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072-290-111
Paul Worden IS Black Rd @"inters""of Fire Cam R¢d. , 'of e cotitr, ra k N. W�o - en Con�q.� Marys"vill P,g�rmit #A178B,E;, M(new sing family) Paul Worden 72-29�gg•. ��� NIS Black Bart Rd. @ inters -of Fire Camp Rd., Oroville Permit #3 94-78B,P,E,M(new single family) 72-29 99 --peri. // Permit #6981-78P,E(util.,MH) ELEC. GAS SUPPORT STRUCTURE REQ. COMPACTION TEST REQ, f I' 72-29-111 Permit#3 23-80B(inst. wood stove) SF r 72-29-111 Perm' X3151-82B,E(convert portion of existing eck to living room/SF) 72-19-111 Per10 (new pri det ca port & .garage &open deck)72-29- Permit YA- X79 -83B (conv carportl11 to ga;)oo N N • T !3 3 2 3-86B .,-- )- ARMIT NO. i t PERMIT EXPIRES 6/2781 OWNER PAUL WdRDEN "r I CONTR. Owner LOCATION (A.P. 72-29-111 .. ) NIS Black Bart Rd, Cal inter of Fire Camp RD. Oroville c 1 i 1 I- i . Temp. Power Pole Z Called PG&E Temp. Elec. Ser{v�, Called PG/&4 Temp. Gas Serv. Called G&E 1 � JOB IN ED ✓ o (Date) (Signatur ) f COUP OF BUTTE — DEPARTMENT OF PUBLIC WORKS BUILDING INSPECTION RECORD BUILDING BUILDING (Cont'd)I PLUMBING Setback Firewall Soil Piping Forms Parapets 1st Floor Main Bldg. Restroom Finish 2nd Floor Footings Windows 3rd Floor StemwaII Siding To out Slab Roof Sheathing Water Piping .Piers - Roofing Sewer Garage Fdn. Vents Fixtures Footings Stemwal I Garage Vents Insulation Water Htr. Heaters Slab Carport Footings Prov. for phsically handicappey Conformance of ex. structure Appliances Gas PipingTest Temp. Gas Slab Final Sanitation Patio FIREPLACE Final Footings Footing ELECTRICAL Masonry Walls L 'c s'd - Rou h Relnf. Steel Final 6LsILI Fixtures Bond'Beam. -IIfE RINKLERS Motors Framing Test Water Htr. Stucco Final Subpanels Mesh MECHANICAL Grd. Fault Prot. Scratch Heating Service Brown Cooling Temp. Pole Finish Ducts Underground Interior Lath , Ventilation Permanent Door Closer Final Final MUtSILEHUMEUTILITIES------------------ Elec_ Service Elec. Pedestal Water Piping Sewer Gas Piping OM BILEHOME INSTALLATION - - - - - - - - - - - - - - Support Elec. Continuity Water Piping Drainage Gas Piping DA TE EMARKS OR CORRECTIONS era (NOTE: An entry must be'made on this form each time you visit the job site.) COUNTY OF BUTTe"- DEPARTMENT OF PUBLIC WORKS - PERMIT1V0� 7,.County Center Drive - Oroville, California 95965 - Telephone 916/534-4541 �� vv') APPLICATION AND PERMIT ASS ESSOP RCEL U ER - — /// • ZONING BUILDING PERMI O E L E TPHONE SQ. FT. OCC. BUILDING VALUATION ow /nJ L.� 'yN//• �p/y,(,// ///�/ 9S-q&!9_ CONTRACTOR'S NAME I TELEPHONE CONTRACTOR'S MAILING ADDRESS CONSTRUCTION L NDER UNKNOWN Fireplace Total Valuation $ .Q LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGI ER, - zAh LICENSE NO. Plan Checking Fee . $ Penalty $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Permit fee $ rQ BUILpI G ADD Ess PLUMBING PERMIT Filing Fee 3.00 p�_ ,pmoi y� f^�—/Y� 'a�• Each Trap 2.00 Repair drainage or vent piping 2.00 / JO ! 7 Water piping LOT NO. SUBDIVISION NAME` PARCEL MAP Each qas water heater or vent 2.00 Gas piping system 1 - 5 outlets USE OF STRUCTURE SF Duplex❑ Mobilehome❑ Other SPECIFY Building sewer Lawn sprinkler system 2.00 TYPE OF WORK New ❑ Addition❑ Remodel ❑ Utii Iities ❑ Ion r.�Ot(hei Describework: �T�y[/OOD� ���y� Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 3.00 Main service 100 AMP ORV OR LESS5.00 Main service EA. ADD'L 100 AMP 2.50 NEW OR ADDNSCONST.` DWELBLDGS.LING CCUP,&) (ACC 20sgft CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one):. • ❑ 1 am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in full force and effect. License No. Classification 1, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. Business and Professions Code for this reason NEW CONSTR ULLOUT LE NO N.RESID BRANT CH CIITS 2.50 ea NEW CONSTFL POWER APPARATUS & NON-RESID.SINGLE OUTLET CIR. Ex. Occup(OUTLETS OR FIXTURES 50@� BAL@10a Ex. Occup. FIXED APPLES. OR p•�OUTLETS (RESID.) EA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 ' Misc. Wiring 6.25 Permit Fee $ Contractor WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ 'I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to -Self -Insure. I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W.' C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. MECHANICAL PERMIT Filing Fee 3.00 Heating Cooling Hood 2.00 Ventilation permit Fee $ Contractor 1 certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the Countyot Butte to enter upon the above-mentioned property for.inspection purposes. I also agree to save; indemnify and keep harmless the County of Butte against all lities, judgments, costs; and expenses which may in any way accrue agnst aid nt in onseq nce of the granting of this permit. 9----L � "C�,1 X Date dddddd ����'�� "'''' Signature of Applicant = Owner Contractor ❑ Agent ❑ An OSHA permit is required for excavations over 5'0" deep and demolition or construct -R of structures over3 stariein height.Receipt Mobile Home Installation Fee $ Land Development Fee $ TOTAL PERMIT FEE $ &-o OCCUP. GROUP I TYPE OF CONST. PARCEL PD ND ssuE This mit is hereby issued under the applicable provi- sion o the Butte County Code and/or resolutions to do INa ve for which fees have been paid. COR OF PUBLIC WORion //'� ate PERMIT EXPIRES Date �/ �7 No. J ( WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT ' f PERMIT NO. 3151-82B.E ' I PERMIT EXPIRES ZOZ QAR OWNER- PAUL WORDEN CONTR. owner ASSESSOR PARCEL 72-29-111 LOCATION NIS Black Bart Rd at Fire Camp Rd Or I U i 1 t t i Temp. Power Pole Called PG&E Temp. Elec. Servi 1 Called PG&E i Temp. Gas Service Called PG&E JOB FINALED (Date) Signature V ='OK 0 = Not OK - = Not Applicable * = Not Ready MOBILEHOMES MISCELLANEOUS Date MOBILEHOME UTILITIES (Plans) OK except k's 1. Zoning Requirements -Setbacks -Easements Date DECKS, COVERS, CARPORTS, ETC. (Plans) OK except N's 1. Zoning Requirements -Setbacks -Easements 2. Soils; Special MH Support -Sketch 2. Footings; Size -Depth -Spacing -Connectors 3. Sewer; Location -Test -Fall -C/0 -Concrete 3. Decks; Girders and/or Joists -Decking -Bracing -Stairs -Rails 4. Water; Location -Test -Easement Needed (Sketch) 4. Wood Awn.; Posts-Beams-Rftrs.-Connec.-Shthg.-Rig.-Bracing 5. Electricity; Location-Clearances-Grnd.-/ / Amp -Concrete 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Gas; Location -Test -Wrap:/ /"L"ft./ /"Nat. or/ P'L"ft./ /"LPG 7. Utility Clearance 6. Carports; Windows -Doors 7. Elec. Card -BI Date Card -BI Date Card -81 Date Card -BI Date Card -BI Date Card -BI Date Card -8I Date Card -BI Date Date MOBILEHOME INSTALLATION (Plans) OK except H's 1. Zoning Requirements -Setbacks -Easements Date POOLS (Plans) OK except N's 1. Setbacks -Easements 2. Footings; Size -Spacing -Marriage Line 2. Soils; Compaction -Structure Stability 3. Gas; MH Test -Demand -Valve -Connector 3. Pool Structure; Steel -Connections -Thickness -Dead Men -Lining 4. Electricity; MH Test -Crossovers -Breakers -Clearances 4, Elec.; Receptacles and Lighting; Distances-GFI 5. Drain; MH Test -Fall -Flex Connector 5. Elec.; Pool Lighting; 15 volts-GFI 6. Water; MH Test -Regulator -Connector 6. Elec.; Enclosures; Conduit Entries -Terminals -Listed 7. Water and Sewer Connected -C/0 to Grade -HD Approval 7. Elec.; Bonding; Metal w/5' -Circulating Equipment -Heater 8. Gas and Electricity Tagged 8. Elec.; Grounding; Equip. w/5' -Circulating Equip. -Pool Lghtg. Boxes -Enc losures- Pane Iboards- Ins. to Main in Conduit 9. Exits; Insp.-Sketch 10. Cert. of Occupancy 9. Health Department Approval 10. Plumb; Cir. Test -Water Supply Test Card B -I Date Card -BI Date Card -BI Date Card -BI Date Card B -I Date Card -BI Date Card -BI Date Card -BI Date J=OK O = Not OK = Not Applicable * = Not Ready RESIDENTIAL (Single and Duplex) Date UNDERFLOOR Plans OK exce t#'s Date FRAMING Co ' ued 1. Zoning requirements -Setbacks -Easements 48. roperty Line Firewall & Openings 2. Ftg., Main; Soils-Steel-Elec. Grnd.- / /" Ftg. Depth 49. ESN,-8eers-,@rt03'-Check Garage -3rd story, 2 exits 3. Ftg., Garage; Soils -Steel- / /" Ftg. Depth 50. om-Rise-Run-Landing-Fire Protection 4. Ftg., Porches & Decks; Soils Steel- / /" Ftg. Depth 51. PW7wooa urr-Roo! k hang -Attic Vents -Rafter Outriggers 5. Stemwalls, Main„ teel-Blo outs -Wrapped -Slab 52. S1 ng- aitng- eneer 6. Stemwalls, Garage:; Steel=Blockouts-Wrapped-Slab 53. S� Screed-Fdn. Vents-Underflr. Access 7. Piers -Fireplace Ftg.-Steel 54. Glass Protection -Skylights -Plastic 8. D.W.V.: Fall -Fittings -Test -2 way C/O -Sewer Test 9. Gas Pipe; Size ' nchors 55. Bolts 10. Water Pipe; Te -Anchors-Regulator-Service Test 11. Electric; Underground 12. Plenums & Ducts; Clearance-Material-Subport-Ins. 13. Girders -Sills -Anchor Bolts -Joists -Vents- ipples Caoe6l Date rd -BI Date Card -BI ate Card -BI Date Card -BI Date Card -BI Date Card -BI Date Date Card -BI Date FINA P s) OK except #'s Card -BI Date Card -BI Date Date PLUMBING (Permit) OK except #'s Ext. Steps -Door & Sidelight Protection -Landings 5rSmoke Detector 14. Water Ht.; Vent cess -Combust ion Air 58. Furnace; Vents -Clearance -Comb. Air -Connector - In Garage; Above Floor-Ducts-Mech. Protection 15. Water Pipe; Te t & h s -Nail Protection 16. D.W.V.; Test- ttngs hors Nail Protection 59. edroom Exiting 17. Shower Pan; Test, F' st Floo Tub Access 60. . & Bath Fixtures & Tub Access 18. Test Tub & Sh w , 2nd Floor -Tu cess 6 Elec. Trim & Subpanel; Breaker Sizes -Labels 19. Gas Pipe; Sizet& Anchors 62. IStairs & Rails 63.1 Fireplace or Stove; Clearances -Hearth lec. Outlets at Wood Panel; Int. & Ext. Card -BI Date Card -BI Date M. kit. Fixt. & Appliance; Grnd.-Air Gap -Cooking Clearance Card -BI Date Card -BI Date 66. lec. Outlets & Receptacles at Kit. Counter Date ELEC ICAL Permit OK except #'s 67. Garage Fire Door; Swing -Landing -Closer 68. A.C. Duct in Garage -Damper 90-'E'*tare & Transformer Clearance -Ins. Protection 69. Wtr. Htr.; Vents -Clearance -Comb. Air-Connector-P.R.V.- In Garage; Above Floor-Mech. Protection . Receptacles Spacing -Lights &Switches at Doors 70e -Mb., Elec. & Mech. Equip. Listed for Location Size Boxes & No. of Conductors -Stapled o Close to Edge of Studs & nstalled C.J. X71 Elec. Receptacles in Garage; (G.F.I.)-Romex Protec. quip. Ground made up w/Mech. Fasteners -Bond Gas & Water 72 Insulation -Foam -Looked in Attic ❑Yes 26e"27�pFieaee'Circuits in Kitchen &Conductor Size 73. Guard Rails & Deck Construction -Post Caps 26v31Ttrfeed.Wdw�+ze / / ga. Cu or AI-A.C. Wire Size / / ga. Cu or Al 74. Fdn. Vents & Crawl Hole Do r -Drainage & Wood -Earth Clearance Looked under Floor es 27. -Pl@ags.G4Per0--bga. Cu or AI -Oven Circ. / / ga. Cu or AI, Insulated Neutral ❑Yes [__1 No 75. Following instld.: Drive as ❑ No; Walks [K�<es ❑ No; Planters ❑Yes ❑No 28. Conductors & Ground -Main Disconnect 76. Stucco; Brown -Finish 29.-etfvinI.,�es; Panels-Motors-Mech. Equip. 77, A.C. Unit; Disconnect-Clrnces-Brkr. & Cond. Size -115V Outlet 30. t- Shower Light 78• Vents Above Roof; Plbg.-Appliance-Firepl.-Clearance to Opngs. 79. Water Well; Disconnect, Electrical, Plumbing Exterior Elec. Trim; G.F.I. Receptacle -Underground C -I ate and BI Date entilation throughout House Card B-1 Date Date Card -BI Date MECHANICAL (Perm' pOK except #'s 1?. ass Protection &.-Corrections from Previous Inspections 84. Gas Test -Meters Tagged; Gas -Electric -31. A.C. D cts;, ulation & Support 85. Water & Sewer Connected -C/O to Grade -HD Approval 32. Vent Fa ; xhaust above Insulation nergy Compliance Certificate -Other Certificates _ _33. Condea Drain & Overflow; Size & Grade 34. Fur ce- ent; Access -Comb. Air -Return Air Vent -115V outlet 35. A is Acces Platform if Furnace in Attic C d -BI Card -BI Date Y Card -BI Date Date Card -BI Date - -- -- Card -BI _ _Date _-_ Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Comments at Final: Date FRA (Plans) OK except #'s Sills er Material & Anchors s; Studs -Nailing, Spacing & Bracing -Plates -Sound _ Bearing Walls over Girders & Floor Nailing 39. 40. a -(rat proof) ops; Furred Ceilings -Stairs -Chases -Tub _ _ 42. 43.- 44. Header & Beam -Size & Bearing maps -Anchors -Connectors . is -R r. Ties-Purlin-Roof Brac.-Truss-Shthng.-Rfng. ce fes or Type A Flue -Fireplace Throat 45. A is cces_s_; Size & Romex Protection -Draft Stop -Ins. Baffles -- 46. EMrm.wintlowS UT ETiting Doors -Sill Hgt. & Dimensions 47. Ga�rge c' Prnt r. _g - (NOTE: Anentry must be nade each time you visit jobsite) f Owner • Permit No. `3/ Sl'Z- ENERGY C`EAT• F I C A T ION 2" Alp n �6&gdz� LOCATION A.P. No. DESCRIPTION OF INSULATION ROOF Material Brand Name Thickness(inches) Thermal Resistance (R Value) EXTERIOR WALL -tj Material a`1 Brand Name U ( Thickness(inches) q Thermal Resistance(R Value) CEILING Batt or Blanket Type Brand Name_�pl-P, Thickness(inches) to jjj Thermal Resistance(R Value) 1? Loose Fill Type Brand Name Minimum Thickness(Inches) Number of Bags Wt. per bag lb. Area covered(ft. ) Thermal Resistance(R Value) FLOOR, ELEVATED Material Thickness(inches) FLOOR, SLAB Material Thickness(inches) W idth(inches) FOUNDATION WALL Material Thickness(inches) Brand Name Thermal Resistance(R Value) Brand Name Thermal Resistance(R Value) Brand Name Thermal Resistance(R Value) I hereby certify that the above insulation was ~installed in the above building in conformance with the State of California Energy Requirements, FIRM NAME/OWNER STATE CONTRACTOR'S LICENSE NO. SIGNATURE OF INSTALLATION APPLICATOR DATE I hereby certify the above insulation and all required items as shown on the Building Department approved plans and attachments have been installed as required by the State of California Energy Requirements. All equipment, devices and materials are of the quality prescribed or are specifically approved by the State of California.. P�'(3L_ tK)�n) 'bF_a FI /OWNER (Please print) STATE CONTRACTOR'S LICENSE NO. �A)fteL ma., 3/ GR SIGNATURE •.B.NERAL CONTRACTOR OWNER DATE THIS CERTIFICATE MUST BE ON FILE WITH THE BUILDING DEPARTMENT PRIOR TO FINAL INSPECTION APPROVAL AND A COPY SHALL BE POSTED WITHIN THE BUILDING. '. January 1984 .. �.COUNTY OF BUTTE - DEPARTIA-NT OF PUBLIC WORKS PERMIT NO. � `+ 7 County Center Drive - Oroville, California'g,�65 - Telephone 916/534-4541 APPLICATI©NANO PERMIT ASSESSOR PARCEL NUMBER ZONING BUILDING PERMIT O ITELEPHONE SQ. FT. OCC. BUILDING VALUATION OWNER' MAILING ADDRES 112 LfWS b CONTRACTOR'S NAME TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ Filing Fee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ , Penalty $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Permit fee $ 0 BUIL NG Al ADD ESS PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 Solar Water Heater 20.00 r� Water piping 5.00 LOT NO. SUBDIVISION NAME PARCEL MAP Each qas water heater or vent 5.00 Gas piping system 1 - 5 outlets 5.00 USE OF STRUCTURE SF Duplex❑ Mobilehome❑ Other SPECIFY Building sewer 5.00 Mobile Home S G W 10.00e TYPE F WORK New ❑ Additi El Utilities ❑ I stallation❑ Other ❑ Describe work: U 0 0 <zCtS I _ al V (H� �y� Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 00V OR LESS Main service 600 AMP OR LESS 1 10.00 Main service EA. ADD'L 600 AMP 2.50 OR ADDNST % ACCLNEW CONS.BLDG C &� 21/20Sgft CONTRACTORS LICENSE LAW I declare under penalty of perjury (check One): El am licensed under provisions Of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in full force and effect. License No. Classification I, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONSTR( ULTI-OU LET NON.RESID BRANCH CIRC ITS 2.50 ea NEW CONSTR !POWER APPARATUS &� NON-RESID. %SINGLE OUTLET CIR. Ex. Occup( OUTLETS OR FIXTURES BAL@30C FIXED APPLNS. OR Ex. OCCUp. OUTLETS (RESID.) EAJ 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Mi sc. Wiring 15.00 Permit Fee $ M.00 Contractor MECHANICAL PERMIT FiIingFee 10.00 WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. 'Heating Cooling Hood 3.00 Ventilation permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the Countyot Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all Ii ies, judgments, costs, and expenses which may in any way accrue agai s d Co my in onse ence of the granting of this permit. r' X Date �� d Signature of Applicant — OwnerP Contractor ❑ Agent ❑ An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3�9sto/ries in height. Mobile Home Installation Fee $ TOTAL PERMIT FEE $ ��� OCCUP. GROUP I TYPE OF CONST. I PARCEL PD HD I ISSUE This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which DIRECT OF PUBLIC Byz— P I EXPIRES Date the applicable provi- resolutions to do fees have been paid. WORKS Receipt No. 7�J / WHITE-D.P.W.. YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT 3151-82 r t � PERMIT NO. 321Q, -83B B l PERMIT EXPIRES OWNER. PAUL WORDEN t CONTR. owner ASSESSOR PARCEL 72-19-111 r — LOCATION NIS Black Bart Rd (a Fira ami Rcl • 4 a f Temp. Power Pole Called PG&E "x 1 Temp. Elec. Service s Called PG&E Temp. Gas Service t Cal led PG& E r JOB FINALED (Date) C 4 Signature s �I J = OK 0 = Not OK — = Not Applicable MOBILEHOMES * = Not Ready MISCELLANEOUS Date MOBILEHOME UTILITIES (Plans) OK except #'s Date DECKS, COVERS, A TS, ETC. (Plans) OK except #'s' 1. Zoning Requirements—Setbacks—Easements 1, Zoning Requirements—Setbacks—Easements 2. Soils; Special MH Support—Sketch 2. Footings; Size—Depth_Spacing—Connectors 3. Sewer; Location—Test—Fall-C/0—Concrete 3. Decks; Girders and/or Joists—Decking—Bracing—Stairs—Rails-- 4. Water; Location—Test—Easement Needed (Sketch) 4, Wood Awn.; Posts—Beams—Rftrs.—Connec.—Shthg.—Rfg.—Bracing_ 5. Electricity; Location—Clearances—Grnd.—/ / Amp—Concrete 5. Alum. Awn.; Columns—Connections—Splice—Decal—Enclosures 6. Gas; Location—Test—Wrap:/ /"L"ft./ /" Nat. or/ /"L"fL/ /"LPG — ---- 6, Carports; Windows—Doors- 7. Utility Clearance 7. Elec. Card -BI Date Card -BI Date Card -BI Date— Card -BI Date Card -BI Date Card -BI Date Card -BI _ Date Card -BI Date Date MOBILEHOME INSTALLATION (Plans) OK except #'s 1. Zoning Requirements—Setbacks—Easements Date POOLS (Plans) OK except #'s 1, Setbacks—Easements 2. Footings; Size—Spacing—Marriage Line 3. Gas; MH Test—Demand—Valve—Connector 2. Soils; Compaction—Structure Stability 3. Pool Structure; Steel—Connections—Thickness—Dead Men—Lining___ 4. Electricity; MH Test—Crossovers—Breakers—Clearances 4, Elec.; Receptacles and Lighting; Distances—GFI 5. Drain; MH Test—Fall—Flex Connector 5. Elec.; Pool Lighting; 15 volts—GFI 6. Water; MH Test—Regulator—Connector 6. Elec.; Enclosures; Conduit Entries—Terminals—Listed 7. Water and Sewer Connected—C/0 to.Grade—HD Approval 7. Elec.; Bonding; Metal w/5'—Circulating Equipment—Heater 8. Gas and Electricity Tagged B. Elec.; Grounding; Equip. w/5'—Circulating Equip.—Pool Lghtg. Boxes—Enclosures—Panel boards—Ins. to Main in Conduit 9. Exits; Insp.—Sketch 10, Cert. of Occupancy 9. Health Department Approval 10. Plumb; Cir. Test—Water Supply Test Card B -I Date Card -BI Date Card -BI Date Card -BI Date Card B -I Date Card -BI Date Card -BI Date Card -BI Date 0 V = OK 0 = Not OK - = Not Applicable RESIDENTIAL (Single and Duplex) = Not Ready Date UNDE LOOK P s OK except it's Date FRAMING (Continued) VI 2. -Zoning requirements -Setbacks -Easements Ftg., Main; Soils-Steel-Elec. Grnd.- / P Ftg. Depth 4g,,"Property Line Firewall & Openings 4 xt. Doors -One 3' -Check Garage -3rd story, 2 exits 3y1Ifg., Garage; Soils -Steel- / /" Ftg, Depth 50. Sta' Width -Headroom -Rise -Run -Landing -Fire Protection 4. Fig., Porches & Decks; Soils -Steel- / /" Ftg. Depth mood on Roof Overhang -Attic Vents -Rafter Outriggers 5. Stemwalls, Main; Steel-Blockouts-Wrapped-Slab siding -Nailing -Veneer mwalls, Garage; Steel-Blockouts-Wrapped- 53. Stucco Mesh -Drip Screed-Fdn. Vents-Underflr. Access 7. Piers -Fireplace Ftg.-Steel 54. Glazing Area -Glass Protection -Skylights -Plastic _ 8. D.W.V.: Fall-Fittings�Test-2 way C/O -Sewer Test 55. Shear Walls; Nailing -Bolts 9. Gas Pipe; Size -Anchors 10. Water Pipe; Test -Anchors -Regulator -Service Test 11. Electric; Underground 12. Plenums & Ducts; Clearance -Material -Support -Ins. 13. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples Card -BI ate ✓Card -BI Date Card -B Date Card -BI Date Card -BI Date Card -BI Date C d BI Date Card -BI Date Date FINAL s) OK except H's xt. Steps -Door & Sidelight Protection -Landings Card -BI Date _ Date Card -BI Date PLUMBING (Permit) OK except q's 14. Water Ht.; Vent -Access -Combustion Air 15. Water Pipe; Test & Anchors -Nail Protection 57. Smoke Detector 58. Furnace; Vents -Clearance -Comb. Air -Connector - In Garage; Above Floor-Ducts-Mech. Protection 16. D.W.V.; Test-Fttngs & Anchors -Nail Protection 59. kBedroom Exiting 17. Shower Pan; Test, First Floor -Tub Access 60. G.F.I. & Bath Fixtures & Tub Access 18. Test Tub & Shower, 2nd Floor -Tub Access lec. Trim & Subpanel; Breaker Sizes -Labels 19._ Gas Pipe; Size & Anchors 62.1 Stairs & Rails - - 63. Fireplace or Stove; Clearances -Hearth 64. Elec. Outlets at Wood Panel; Int. & Ext. Card -BI Date Card -BI Date 65. Kit. Fixt. & Appliance; Grnd.-Air Gap -Cooking Clearance Card -BI Date Card -BI Date 66. lec. Outlets & Receptacles at Kit. Counter Date ELECTRICAL Permit OK except q's 67. arage Fire Door; Swing -Landing -Closer 68. A.C. Duct in Garage -Damper -- 20. Fixture & Transformer Clearance -Ins. Protection 69. tr. Htr.; Vents -Clearance -Comb. Air-Connector-P.R.V.- rIn Garage; Above Floor-Mech. Protection __- 21. Elec. Receptacles Spacing -Lights &Switches at Doors 7 ., Elec. &Mech. Equip. Listed for Location - 22. Size Boxes & No. of Conductors -Stapled 71, jElec. Receptacles in Garage; (G.F.I.)-Romex Protec. 23. Romex Installed Close to Edge of Studs & C.J. -__ - 24. Equip. Ground made up w/Mech. Fasteners -Bond Gas & Water 72. nsu lat i on- Foam- Looked in Attic E] Yes 73. ward Rails &Deck Construction -Post Caps - 25. 2 Appliance Circuits in Kitchen &Conductor Size 74. dn. Vents & Crawl Hole Door -Drainage & Wood -Earth Clearance ooked under Floor ❑ Yes 26. Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / / ga. Cu or At __ - -- 27. 28. 29. Range Circ. / / ga. Cu or AI -Oven Circ. / / ga. Cu or Al, Insulated Neutral E ]Yes ❑No Service -Riser Conductors & Ground -Main Disconnect Equip. Clearances; Panels-Motors-Mech. Equip. 75. ollowing instld.: Drive s ❑ No; Walks Z Yes ❑ No; lanters Dyes ❑No 76. tucco; Brown -Finish 77, A.C. Unit; Disconnect-Clrnces-Brkr. & Cond. Size -115V Outlet 76.. Vents Above Roof; Plbg.-Appliance-Firepl.-Clearance to Opngs. 7/9. Water Well; Disconnect, Electrical, Plumbing - ---------- Card B-1 Card B-1 30. Clothes Closet Light -Shower Light - ------------ ----- --._..- Date -- -_ Card -BI - Date -_ Date Card -BI Date 80. Exterior Elec. Trim; G.F.I. Receptacle -Underground 09 --Ventilation throughout House 82. Glass Protection Date - MECHANICAL (Permit) OK except k's 31. A.C. Ducts: Insulation & Support 83. 84. Corrections from Previous Inspections Gas Test -Meters Tagged; Gas -Electric 85. -Water & Sewer Connected -C/O to Grade -HD Approval _ _ Card -BI- .Car -6-I 32.. 33. 34. 35. - -- - Vent -Fan; Exhaust above Insulation Condensate Drain _& Overilow; Size & Grade Furnace-Vent;_Access-Comb._Air-Return Air Vent -115V outlet Attic Access & Platform if Furnace in Attic -- - . - - - ---- ---- -- - ------------- Date _Card -BI _ Date Date Card -BI Date 86, Energy Compliance Certificate -Other Certificates C I Card -BI Date J Card -BI Date Date Card -BI Date _ Card -BI Date Card -BI Date Date FRAMI P ) OK except N's Comments at Final: _- _ -3Proper Material &Anchors_ 3V Wafls:_Sjuds-Nailing, Spacing & Bracing -Plates -Sound Bearing Walls over Girders & Floor Nailing -- 39. Draft Stop in Walls (rat proof) _ _40. 2�Zader 44. 45. 46. 47. _ Fire Stops; Furred Ceilings -Stairs -Chases -Tub & Beam -Size & Bearing Igers-Post Caps -Anchors -Connectors - ng. Joist-Rftr. Ties-Purlin-Roof Brac.-Truss-Shthnq.-Rfnp. Fireplace Ties or Type A Flue -Fireplace Throat Attic Access: Size & Romex Protection -Draft Stop -Ins. Baffles Bdrm. Windows o_r_Exili_ng Doors -Sill H_gt. & Dimensions__ Garage Fire Protection Framing - - _ (NOTE: An entry must be made each time you visit jobsite) COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 - Telephone 916/534-4541 APPLICATION.. AWE PERMIT N O. /D- / S1 I ASSESSOR PARCEL NUMBER �. ZO ING BUILDING PERMIT ow j1� TELEPHONE SQ. FT. OCC. BUILDING VALUATION OWNER'SMAILING ADD ESS CONTRACTOR'S NAME I I 1� Q TELEPHONE r CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ / Filing Fee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee $ 7san A CHITECOR ENG NEER LICENSE No. Plan Checking Fee ,$' Penalty $ ARCHITECT OR ENGINE R'S MAILING ADDRESS Permit fee $J IQ,470 BU LDI DDRESS �.� PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 Solar Water Heater 20.00 Water piping 5.00 LOT NO. SUBDIVISION NAMEPARCEL MAP Each qas water heater or vent 5.00 Gas piping system 1 - 5 outlets 5.00 USE OF STRUC URE� l. SF ElDuplex ❑ Mobi lehome ❑ Other (2 l." SPECIE Building sewer 5.00 Mobile Home S G W 10.00 e �, � TYPE OF WORK D--Addition New � Addition ❑ Remodel ❑ Uti lities ❑ Instal lation ❑ Other ❑ Describe work: Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 600V OR LESS 100 AMP OR LESS 10.00 Main service EA. ADO'L 100 AMP 2.50 NEW CD EOR ADDNST ( ACC LI OR & 21/20sgft , CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): F]NONRESID. I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in full force and effect. License No. Classification I, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW NON-RESID R. BRANCH CIRCMULTI-OUTLEUITS) 2.50 ea NEw - (POWER POWER APPARATUS &' SINGLE OUTLET CIR. , zo@soe Ex. Occup( OUTLETS OR FIXTURES BAL®ao FIXED APPLNS. OR Ex. Occup. OUTLETS (RESID.) EA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 Permit Fee $ Contractor WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ 1 have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. MECHANICAL PERMIT FiIingFee 10.00 Heating Cooling Hood 3.00 Ventilation Permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the Countyot Butte to enter upon the above-mentioned property for inspection purposes. I al s ree to save, indemnify and keep harmless the County of Butte against all labili 'es, 'udgments, costs, and expenses which may in any way accrue age nst sai C nt in nsequ nce of the granting of this permit. a 7� j Signature of Applicant — Ownerj;�' Contractor ❑ Agent ❑ An OSHA permit is required for excavations over 5'0" deep and demolition or construct -DI ion of structures over 3 stories in height. Mobile Home Installation Fee $ TOTAL PERMIT FEE $ t OCCUP. GROUP M_I_ TYPE OF C NST. PARc�L I/ P H ISSUE This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which tou BLIC �+ BY PERMIT EXPIRES Date the applicable provi- resolutions to do fees have been paid. WORKS Da �_ r Receipt No. /1,3 i) WHITE-D.P.W.. YELLOW -ASSESSOR. PINK -INSPECTOR. GOLDENROD -APPLICANT COUNTY OF BUTTE-- DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 - Telephone 916/534-4541 APPLICATION A-WPERMIT PERMIT NO. ASS ESSO ARCE,, NUMBER z — /// ZONIN Z BUILDING PERMIT "'r, I a L- W ��G/V T B I ,/� �f-�O S0. FT. OCC. BUILDING VyA A/TION OW/y€'/R�'-l��tA LING f,DDR,'s chgot-cc, a CONTRACTOR'S NA/MSE r TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ t6� Filing Fee $ 10,00 LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Penalty $ ARCHITECT ORENGINEE 'S MAILING ADDRESS Permit fee $ , p� BUIL AD G �`LL s 64 Co 04 Q> PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 Solar Water Heater 20.00 d�)120v/L[,G Water piping 5.00 LOT NO. SUBDIVISION NAME PARCEL MAP Each qas water heater or vent 5.00 Gas piping system 1 - 5 outlets 5.00 USE OF STRUCTURFE, nnAA SF ❑ Duplex ❑ Mobi lehome ❑ Other 64412 1 SPECIFY Building sewer 5.00 Mobile Home S G W 10.00 e TYPE OF WORK New Addition R model❑ Utilities❑ Installation❑ OtherpCL Describe work: �� ti E /�— Scc— f5p j /Q S3 Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 600V OR LESS 100 AMP OR LESS 10.00 Main service EA. ADD'L 100 AMP 2.50 NEW CONST. DWELLING O OR ADDNS. ACC. BLDGS.CCUP.& ) 2I/20sq ft CONTRACTORS LICENSE LAW I declare under penalty of perjury (Check one): ❑ 1 am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in full force and effect. License No. Classification I, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEWCONSTR. ULTI.OUTLET 2.50 ea NON .RESID BRANCH CIRC ITS NEW CONSTR. / POWER APPARATUS &' NON.RESID. \SINGLE OUTLET CIR. Ex. Occu (oX20@50C P\Ts OR FIXTURES eAL@30 FIXED APP LNS. OR Ex. Occup. OUTLETS (RESID.) EA,) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 Permit Fee $ Contractor WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ i have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. I shall not employ any person in any manner so as to become subject to the W. C. laws of California.rT Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shal I be deemed revoked. MECHANICAL PERMIT Filing Fee 10.00 Heating Cooling Hood 3.00 Ventilation permit Fee $ Contractor 1 certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the Countyot Butte to enter upon the above-mentioned property for inspection purposes. I also a save, indemnify and keep harmless the County of Butte against all liab' ities, jud ents, costs, and expenses which may in any way accrue agains said un i co equ nce of the granting of this permit. 3 %� Date Signature of Applicant — Owner Contractor ❑ Agent ❑ An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee $ TOTAL PERMIT FEE $ � 00 OCcuP. GROUP TYPE OF CONST. PARCEL PD HD ISSUE This permit is hereby issued under sicof the Butte County Code and/or bove for which wor i d' ted61CTOROF PUBLIC �f� G� By � PERMIT EXPIRES Date the applicable provi- resolutions to do fees have been paid: WORKS / Date �� —y /_��✓ Receipt No. �s WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT e r PERMIT NO. 3194-78B,P,E,M PERMIT EXPIRES Paul Worden )OWNER 'CONTR. owner LOCATION (A.P. 72-29-88 port. ) N/S Black Bart Rd., @ inters. of Fire Camp Rd., Oroville i i p� -t L 6 i *t' ± Temp. Power Pole— Called PG&E ole Called'PG&E Temp. lec. Serv. 7;F- •alled PG&E Gas Serv. Called PG&E /Temp. B 7 FINALED (Dat 0 AU ��d (Signature) `1. k PERMIT NO. 3194-78B,P,E,M PERMIT EXPIRES Paul Worden )OWNER 'CONTR. owner LOCATION (A.P. 72-29-88 port. ) N/S Black Bart Rd., @ inters. of Fire Camp Rd., Oroville i i p� -t L 6 i *t' ± Temp. Power Pole— Called PG&E ole Called'PG&E Temp. lec. Serv. 7;F- •alled PG&E Gas Serv. Called PG&E /Temp. B 7 FINALED (Dat 0 AU ��d (Signature) ,. t a � � _ _ f a� . �� � • _ t r .. � .. ` i O.' t' � �' , �. x .. � ' ,,. �, r �. . ,, � � _ _ f a� . �� � • _ t r .. � .. ` i O.' t' � �' , Mesh MEC CAL Grd. Fault Prot. - 3 -Z Scratch HeatingService Brown Cooling — Temp. Pole Finish Ducts Underground Interior Lath Ventilation Permanent Door Closer Final Final - y MOBILEHOME UTILITIES ---- Elec. Service Elec. Pedestal Water Piping Sewer Gas Piping MOBILEHOME INSTALLATION - - - - - - - - - - - - - - Support Elec. Continuity Water Piping Drainage Gas Piping DATE REMARKS OR CORRECTIONS C) r6TQ bJ--,-t&VV 4-"+ PL f A 6 5 76 PL�3 (NOTE: An entry must be made on this form each time you visit the job site.) COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS BUILDING INSPECTION RECORD BUILDING BUILDING (Cont'd) PLUMBING Setback % Firewall Soil Piping Forms Parapets 1st Floor Main Bldg. Restroom Finish 2nd Floor Footings > Windows :5' ` 3rd Floor Stemwall Sidin To out ' Slab` Roof Sheathing Water Piping. Piers - Roofing Sewer 2P .7- Gara a Garage Fdn. Vents Fixtures Footings StemwalI Garage Vents Insulation Water Htr. Heaters 2 Slab Carport Footings Prov. for phsically handica ed Conformance of ex. structure A liances -� Gas Piping & Test Temp. Gas Slab Final Sanitation Patio FIREPLACE Final -- ` Footin s Footing ELECTRICAL Masonry Walls Throat Rough , " Reinf. Steel Final Fixtures "T< �---- Bond Beam FIR SPRAKLERS Motors Framing Test Water Htr. Stucco Final Subpanels Mesh MEC CAL Grd. Fault Prot. - 3 -Z Scratch HeatingService Brown Cooling — Temp. Pole Finish Ducts Underground Interior Lath Ventilation Permanent Door Closer Final Final - y MOBILEHOME UTILITIES ---- Elec. Service Elec. Pedestal Water Piping Sewer Gas Piping MOBILEHOME INSTALLATION - - - - - - - - - - - - - - Support Elec. Continuity Water Piping Drainage Gas Piping DATE REMARKS OR CORRECTIONS C) r6TQ bJ--,-t&VV 4-"+ PL f A 6 5 76 PL�3 (NOTE: An entry must be made on this form each time you visit the job site.) c RESIDENTIAL ENERGY CONSERVATION STANDARDS CONSTRUCTION COMPLIANCE CERTIFICATE THIS IS TO CERTIFY THAT ENERGY CONSERVATION REQUIREMENTS HAVE BEEN INSTALLEDIN,CONFORMANCE WITH CURRE 'RGY CONSERVATION REqULATIONS AT 6 I,2/L'� (location) BUILDING PERMIT NO. _��=7j? A;P. N0. THE FOLLOWING HAVE BEEN INSTALLED AS PER APPROVED PLANS: (Check each item or write N/A if not applicable) INSULATION: Slab -Edge. OV A- Fdn. Walls I Floors A7 / Walls R // Ceiling/Roof ►% Ducts UCz`� Circulating Pipes�VA APPROVED HEATER 14 f� S APPROVED wTR. HTR. GLAZING: Single Glazed N )q- Special (Insulated) "AR 5 CERT. & LABELED WDS. & SLIDING DRS. WEATHERSTRIPPED DRS. BACK DAMPERED FANS —T AIR - INTERMITTENT IGNITION DEVICES rUA CERT. APPLIANCES_ ILS I DECLARE THAT ALL REQUIRED ITEMS AS NOTED ABOVE HAVE BEEN INSTALLED IN ACCORDANCE WITH THE ENERGY CONSERVATION REQUIREMENTS AND AGREE TO THE COMPLETENESS OF THIS CERTIFICATE AS SUBMITTED. Insulation Applicator Nar ee_ Signature of (please print) Insulation Applicator S6,_/i. State Contractors License No. 2 45 y.S- General Contractor/Owner Name pAI Signature of (please print) ..General Contractor/Own ��w,rlG' 7/f j �'I/,� Date t j ' 2-0 `" 71 ' State Contractors License No. '333 THIS CERTIFICATE MUST BE ON FILE WITH THE BUILDING DEPARTMENT PRIOR TO REQUESTING FINAL INSPECTION AND SHALL BE POSTED IN'A CONSPICUOUS LOCATION WITHIN THE DWELLING. r" _J I ` Permitf INSULATION CERTIFICATION _ Blackbart Road Oroville Number and Street City County Subdivlslon Lot Number DESCRIPTION OF INSTALLATION - ROOF „ Material Brand Name Thickness (inches) Thermal Resistance (R Value) EXTERIOR WALL a Material Fiberglass Brand Name Certainteed Thickness (inches) S�u c r.1 Thermal Resistance (R Value) ll CEILING Batt or Blanket Type Fiberglass Brand Name Certainteed 6" Thickness (inches) 1 �•' Thermal Resistance (R Value) 9 Loose Fill Type r 3e Brand Name Minimum Thickness (inches) Number of bags ) Weight per bag Ib Area Covered (ft 2) Thermal Resistance (R Valuej' ' of FLOOR, ELEVATED Material - nberglass Brand Name Certainteed 2i rr Thickness (inches) J2 Thermal Resistance (R Value) 11 FLOOR, SLAB y `— Material Brand Name Thickness (inches) Thermal Resistance (R Value) Width (inches) FOUNDATION WALL Material ' Brand Name 1 Thickness (inches) "} Thermal Resistance (R Value) , HEATING SYSTEM Gas Furnace - - Make r Model Description Rated Bonnet Capacity { ' J4 DECLARATION 1 hereby certify that the above insulation was installed in the building at the above location ir. conformance with the current regulations setting Energy Conservation Standards for new residential buildings' (located in Title 24 of the California Administrative Code). F'R9W k1 AZgzq,e�� 61RgerZ - general Contractor (builder) License rJerumb //G (�/\ 1 7-- O - ZZ i� Signature and Title -1 Date Hawkins Insulation Qo., Inc. 215925 Sub -Contractor (insulation Applicator) License Number 1�. 711", Owner 6Z6/79 Signature and Title Date CERTIFICATE REVIEWED BY Tate BIN -029 4 (Building Inspection Off ice) COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS 7 County Center [Five'- - Oroville, California 95965 Telephone: 534-4541 APPLICATION AND PERMIT authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. r� X ) pate Signature of Permitee or Agent Receipt No. /2-773c7 White-D.P.W. - Yellow -Assessor - Pink -Inspector - Goldenrod -Applicant , This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees have be aid. DIRECTOR QfF P BLIC WORKS By Cate _ 4�, --74 -1 , Building permit expires Date BUILDING Owner�� SQ. FT. OCC. BUILDING VALUATION p0 0 Mailing Address �. SC�tiI S� �-- Sct s o2s L LL3 rlephone No. Contractor /4-C Mailing Address Fireplace Total Valuation Telephone No. Permit Fee O Building Address --. Plan Checking Fee&/or Penalty Permit Fee o�(9p fl — -'� A d, PLUMBING No.1 @ FEE PERMIT FILING FEE $3.00 ,OO Each Trap 1.50 O ^� v, u Repair drainage or vent piping 1.50 A. P. No. oZ `- Z g(Ad / A Zo Water piping 1.50 z SD Each gas water heater or vent 1.50 Fels 1 41r _ S r 'on I FireDept. f FireZone Use Permit Gas piping system 1 -5 outlets 1.50 EQA Parking Plans Parcel Declarati ar el Map 0' R/W Improvements Each additional outlet .30 Building sewer 5.00 Bldg. tec'd Parcel Appr I Plans proval Lawn sprinkler system 2.00 F� NEW ADDITION LJ UTILITIES ❑ OTHER ❑ Permit Fee $ -6 is ELECTRICAL No.1 @ I FEE PERMIT FILING FEE $3.00 dO Main service 600V OR LESS 100 AMP OR LESS 5.00 SirIle Famil Duplex Mobil Home 43 Y P ❑ ❑ Others ❑ Main service EA. ADDtoo AMP 2.50 Main service OVER 600V 25.00 100 AMP OR LESS Main service EA. ADD'L 100 AMP 1.00 ' NEW OR CONST• / DA I SACC UP. 5 •Z�Sq ft CONTRACTORS LICENSE LAW I am licensed under the provisions of Chapter 9, Div. 3, of the State of California Business & Professions Code under the name le of: style NEW RESID,CONSTRANCHUTL T NON -REBID � BRANCH CIRCUITS) 2.50ea , - NEW CONSTR. POWER APPARATUS 8 NON-RESID. IL SINGLE OUTLET CIR. EX. OCcuD{OUTLETS OR FIXTIIRES buv 44 1@ Ex. OCCU FIXED APPLNS. OR P•(OUTLETS (RESID.) EA) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 - License No. Classification Misc. Wiring 6.25 1 I am exempt from the Contractors License Laws of the State of California. Permit Fee $ $ WORKMEN'S COMPENSATION INSURANCE I am aware of the provisions of Section3700 of the California Labor Code which requires every employer to be insured against liability for Workmen's Compensation. ❑I have placed on file with the County of Butte a certificate of Workmen's Compensation Insurance. ./4r I certify that in the performance of the work for which this permit is issued I shall not employ any person in any manner so as to become subject to the Workmen's Compensation Laws of California. MECHANICAL No @. FEEPERMIT FILING FEE $3.00 Qp Heating (�� v �p Cooling ,bap Ventilation Hood 2.00 �O Permit Fee $ 1 I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby Land Development Fee $ ©f TOTAL PERMIT FEE $ L 176 authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. r� X ) pate Signature of Permitee or Agent Receipt No. /2-773c7 White-D.P.W. - Yellow -Assessor - Pink -Inspector - Goldenrod -Applicant , This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees have be aid. DIRECTOR QfF P BLIC WORKS By Cate _ 4�, --74 -1 , Building permit expires Date CLAIMANT: emud* ot al tdk OROVILLE, CALIFORNIA GENERAL CLAIM Paul Worden ADDRESS: 9464 Woodleaf star Route CITY & STATE: Oroville; :CA. • 95965 IMPORTANT: July 31, 1979 SEE INSTRUCTIONS DATE OF CLAIM: ON REVERSE SIDE SUBMIT CLAIM TO DEPARTMENT RECEIVING GOODS OR SERVICES DATE DESCRIPTION OF CLAIM (DESCRIBE. FULLY TO AVOID DELAY) AMOUNT Owner did not •install mtilities for a mobilehome. -' . -• (Permit ;6981-78P,E - Receipt- 18 5 --, -t - - _ Plumbing, permit :fee ------=$33'.00 Retain filingfee' -=--------- Amount 'of refund due --------==--==----$30.00 Electrical pdri t"fee -;--"423.00 -Ain Ref g fee Amount `of `refund due ----i-new ------ 20.00 Total Permits Fees Refund Due ----- ---- $50.00 Land Development Fee Reruad•Due -:---"425.00 TOTAL. REFUAID DUE ----------------------$75.00 $75.00 TOTAL $75 00 I. the undersigned, declare under penalty of perjury that the services or articles claimed have been performed or delivered, and that this claim is true and correct as stated. Datedthis' .................................. day of ............................. 19....... at..:.............................. Calif..................................................................................... • Signature of Claimant I, the undersigned, hereby certify that, to the best of my knowledge, the services or articles specified above have been performed or de- livered and the there is a Budget AppropriationE] or Specific Board Approval❑ (Check one) for the same. Dated this 31st 'July79 Oroville • ................................... day of ......................... 19......, at .............................. . Callf..................................................................................... • Department Heed or Authorized Deputy Dept. Exp. Code.........:.................................. Code ................................................PAYABLE FROM............................................................................................ FUND DO NOT WRITE BELOW. THIS LINE - AUDITOR'S USE ONLY VENDOR CODE DEPT. & SUB. PROD• SUB. 0BJ. CLAIM NO. INVOICE NO. INVOICE DATE DISC. GROSS AMOUNT ENCUMB. SUB -DIST. INSTRUCTIONS to CLAIMANTS All claims against the county must be'itemized, giving -dates and - character of service rendeied or work performed, quantities, de= scription and unit prices of articles furnished -or delivered, Claims must be certified by. the -claimant. •and- submitted to the De- partment head for approval. Upon approval the Department head will forward claim to County Auditor -for payment procedure. Do-, not file with the County Auditor first. Claims should be presented to officials for approval immediately upon completion of services requested or material ordered. Claims are paid every Tuesday; however, same must be approved by officials and in Auditor's office before preceeding Wednesday noon. Compliance with above will expedite payment of claim, failure to do so may delay payment considerably. I COUNTY OF BUTTE D'EP'ARTMENT OF PUBLIC WORKS ,j,7 County Center Drive - Oroville, California 95965� /)/ �j %� ' Telephone: 534-4541 APPLICATION AND PERMIT CLU uIU1I" IeNresentauVes of the %,oumy o1 tsurte to enter upon the above-mentioned property for inspection purposes. p� za���Lam" Date > Signatures of Permitee or Agent Receipt No. ( Zi White-D.P.W. - Yellow -Assessor - Pink -Inspector - Goldenrod -Applicant This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DIRECTOR OVnUBLIC WORKS By ate%-tJ%7 wilding permit expires Date i BUILDING Owner / ioordeK SQ. FT. OCC. BUILDING VALUATION Mailing Address 6 S Tele�No. v; V's -.74, 6 Contractor ff L— Mailing Address Fireplace Total Valuation Telephone No. Permit Fee Building AddressPlan eP Checking Fee&/or Penalty Permit Fee �O / PLUMBING No.1 @ FEE / r t.✓t r Cr, PERMIT FILING FEE $3.00 s®'0 Each Trap 1.50 r�{S%fJ�ifi1�FJdpair drainage or vent piping 1.50 A. P No. 082-4 7 -!z g -o " Zoning a Planni Water piping 1.50 Each gas water heater or vent 1.50 d Fs WJ"i n Fire Dept. Fire Zone Use Permit Gas piping system 1 - 5 outlets 1.50 EQA Parking Plans Parcel Declaration / Cel Map 60' R/W Improvements Each additional outlet .30 Building sewer 5.00 10 Bldg. P7�,� Rec'd �`�! ace Plans proval Lawn sprinkler system 2.00 NCHO EW ❑ ADDITION ❑ T CITIES OTHER Permit Fee $ •'Qv $ K ` ELECTRICAL No.1 @ FEE PERMIT FILING FEE J$3.00 3,r00 Main service 100V OR L 00 AMP ORSLESS 5.00 /0 4 Single Family ❑ Duplex ❑ Mobil Home Others ❑ Main service EA. ADD•L 100 AMP 2.50 Main service OVER e00V 25.00 100 AMP OR LESS Main service EA. ADD'L 100 AMP 1.00 NEW OR AODNST // DWE%ACCLBLDGS.LING CCU. ')P 22sgft CONTRACTORS LICENSE LAW I am licensed under the provisions of Chapter 9, Div. 3, of the State of California Business & Professions Code under the name st le of: y NEW CONSTR (MULTI.OUTL T NON.RESID ` BRANCH CIRCUITS) 2.50ea NEW CONSTR. POWER APPARATUS & NON-RESID. SINGLE OUTLET CIR. EX. OCCUD(OUTLETS OR FIXTIIRES BAL@; Ex. OCCU FIXED APPLNS. OR p• OUTLETS (RESID.) EA) 2.00 Temporary service 10.00 Mobile Home Facilities License No. Classification Misc. Wiring 6.25 rVi I am exempt from the Contractors License Laws of the State of Califomia. Permit Fee $ c� $LAP ct WORKMEN'S COMPENSATION INSURANCE 1 am aware of the provisions of Section3700 of the California Labor Code which requires every employer to be insured against liability for Workmen's Compensation. ❑I have placed on file with the County of Butte a certificate of Workmen's Compensation Insurance. 5A 1 certify that in the performance of the work for which this permit is issued I shall not employ any person in any manner so as to become subject to the Workmen's Compensation Laws of Cal i forni a. MECHANICAL No. @ FEE PERMIT FILING FEE $3.00 Heating Cooling Ventilation +2.00 Hood Permit Fee $ $ 1 certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby Land Development Fee $,ej TOTAL PERMIT FEE $ Ot CLU uIU1I" IeNresentauVes of the %,oumy o1 tsurte to enter upon the above-mentioned property for inspection purposes. p� za���Lam" Date > Signatures of Permitee or Agent Receipt No. ( Zi White-D.P.W. - Yellow -Assessor - Pink -Inspector - Goldenrod -Applicant This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DIRECTOR OVnUBLIC WORKS By ate%-tJ%7 wilding permit expires Date i eautd* of a taut t e OROVILLE, CALIFORNIA GENERAL CLAIM CLAIMANT: Frank N. Worden Construction Co. ADDRESS: 11424 Hill Rd. CITY & STATE Marysville, CA. 95901 IMPORTANT: M8 10 1978 SEE INSTRUCTIONS DATE OF CLAIM: ON REVERSE SIDE SUBMIT CLAIM TO DEPARTMENT RECEIVING GOODS OR SERVICES DATE DESCRIPTION OF CLAIM (DESCRIBE FULLY TO AVOID DELAY) AMOUNT Owner (Paul Worden) decided not to build. (Permit pp n. - , , , - Receipt VI/4UZY - AP 72-29-88 port. Building permit fee ----- $211.00 Retain 173 of fee ------- 70.33 Amount of refund due -------------- $140.67 Plumbing permit fee ----- $ 22.50 - Ret ain ng fee ------ 3.00 Amount of refund due -------------- $ 19.50 Electrical permit fee --- $ 65.70 Retain filing fee -------� Amount of refund due -------------- $ 62.70 Mechanical permit fee --- $ 17.50 Retain filing fee ------- . Amount of refund due -------------- 14.50 Permits Fees Refund due ----------- $237.37 Land Development fee refund ------- 25.00 TOTAL REFUND DUE ------------------ $262.37 $262.37 TOTALJ $262 37 I, the undersigned, declare under penalty of perjury that the services or articles claimed have been performed or delivered, and that this claim is true and correct as stated. Datedthis .................................. day of.......................19....... at................................. Calif..................................................................................... Signature of Claimant I, the undersigned, hereby certify that, to the best of my knowledge, the services or articles specified above have been performed or de- livered and that there isLa Budget Appropriation O or Specific Board Approval [`_� (Check one) for the same. Dated this ",......... day of any,,,,,,,,,,,,,, 19x,, at Oroville Calif. ................. ..... 7 ......... .................. ..................................................................................... Department Heed or Authorized Deputy Dept. Exp. Code............................................ Code ................................................PAYABLE FROM............................................................................................ FUND DO NOT WRITE BELOW THIS LINE - AUDITOR'S USE ONLY VENDOR CODE DEPT. &SUB. PROD. SUB. 0BJ. CLAIM NO. INVOICE NO. INVOICE DATE DISC. GROSS AMOUNT ENCUMB. SUB -DIST. c INSTRUCTIONS. to A—AIMANTS All claims against the county must be itemized, giving dates and character of service rendered or- work performed, quantities, de- scription and unit prices of articles furnished or delivered.. Claims must be certified by the claimant and submitted to the De- partment head for approval. Upon approval the Department head will forward claim to. County -Auditor for- payment procedure, -Do not file with the County Auditor first. Claims should be presented to cifficials Ior approval immediately upon completion of services requested or material ordered. Claims are paid every Tuesday; however, same must be approved by officials and in Auditor's office- before. -preceeding Wednesday noon. Compliance with above will expedite payment of claim, failure to do so may delay payment considerably. COUNTY OF BUTTE — DEPAF+TMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 Telephone: 534-4541 APPLICATION AND PERMIT 171-76 -7f--" lz "UMVIlcc 1VV1VJO11LaI1VV0 UI UIC UUUlllj• UI DUIIC Ul CIIICI UPUII IIIU above-mentioned property for inspection purposes. Date 0416n4wou,d.of Peermitee or Agent Receipt No. 7�'I - White-D.P.W. - Yellow -Assessor - Pink -Inspector - Goldenrod -Applicant This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DIRECTOR OF PUBLIC WORKS By Building permit expires Date Date BUILDING Owner R4 14 0 y d e A-JSQ. FT. OCC. BUILDING VALUATION Mai I i ng Address 3 y o0 Telephone No. Contractor r y Al. /p, -dam ,v Cb V677 Up Mailing Address Z Fireplace/1,000,00 Total Valuation p t Telephone No. S6 Permit FeeLW Building AddressPlan rT Checking Fee&/or Penalty Permit Fee �t9 % A/7�i r -5,P c-7-1 o v ►-e_ CA k P PLUMBING No.1 @ FEE 4'0 d PERMIT FILING FEE $3.00 T. 00 Each Trap 1.50 ,0 Repair drainage or vent piping 1.50 A. P. 7.2 ^- a O F g Water piping 1.50 1 j Each gas water heater or vent 1.50 ees Sanitation Fire Dept. FireZone Use Permit Gas piping system 1 -5 outlets 1.50 EQA Parking Plans Parcel Declaration Parcel Map 60' R/W Improvements Each additional outlet .30 Building sewer 5.00 r—t-A.61 Moo Bld .Plans Recd Parcel A roval Plans Approval Lawn sprinkler system 2.00 NEW ADDITION ❑ UTILITIES ❑ OTHER ❑ Permit Fee $ _7Z SD ELECTRICAL No. @ FES PERMIT FILING FEE $3.00 c Main service 600V OR LESS 100 AMP OR LESS 5.00 Single Family 2L Duplex ❑ Mobil Home ❑ Others ❑ Main service EA. ADD'L 100 AMP 2.50 10 0 AMP OR LESS 25.00 Main service VER 600V 1.00 Main service/ EA. ADD•L 100 AMDWELLING/1P \ NEW CONST.OR ADDNS. \ Ac,:. LDG f3P(: 22sgft 0L. CONTRACTORS LICENSE LAW I am licensed under the provisions of Chapter 9, Div. 3, of the State of California Business & Professions Code under the name style of: %� ^ /Z/4itl r M i,,y5Ti (�0 TLET NEW CO ID � BRANCH CIRCUITS) 2.50ea NEW RESID, BRANCH CIRCUITS) NEW CONSTR. POWER APPARATUS B NON.RESID. SINGLE OUTLET CIR, Ex. OCCUD(OUTLETS OR FIXTIIRES) B L0; Ex. Occu FIXED APPLNS. OR p• OUTLETS (RESID•) EA) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 License No. 3 33 X13 Classification Misc. Wiring 6.25 ❑ I am exempt from the Contractors License Laws of the State of California. Permit Fee $ ,5. 70 $10*7 WORKMEN'S COMPENSATION INSURANCE I am aware of the provisions of Section3700 of the California Labor Code which requires every employer to be insured against liability for Workmen's Compensation. XI have placed on file with the County of Butte a certificate of Workmen's Compensation Insurance. I certify that in the performance of the work for which this permit is issued I shall not employ any person in any manner so as to become subject to the Workmen's Compensation Laws of California. MECHANICAL No. @ FEE PERMIT FILING FEE $3.00 p Heating /JrD bo T Cooling s e ,L 1 7 , S'd Ventilation Hood f 2.00 2-00 Permit Fee $ L %i I certify that i have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby Land Development Fee $ 2z ;pt TOTAL PERMIT FEE $ ?C "UMVIlcc 1VV1VJO11LaI1VV0 UI UIC UUUlllj• UI DUIIC Ul CIIICI UPUII IIIU above-mentioned property for inspection purposes. Date 0416n4wou,d.of Peermitee or Agent Receipt No. 7�'I - White-D.P.W. - Yellow -Assessor - Pink -Inspector - Goldenrod -Applicant This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DIRECTOR OF PUBLIC WORKS By Building permit expires Date Date