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HomeMy WebLinkAbout073-130-03737 LANE L ALDRICH _ 0 3iEar l :'N5 Oro- rbestown Rd., 2 mi. E. - I 4 Feather Fa s turn-off,Forbestown Permit #4585- P(new single Q family) 73-1. E. 'Permit #4925-7 } , (-for permit } 4585=75) - 1--- -- _ 073-130-037 PERMIT#95-2659 f.e CULLIGAN A .3337'Forbestown Rd., Oroville Cont; Steven •D. Smith Add 3 Skylights & Insulate/SF i a I a s f D i� til c - rcn `RESIDENTIAL 073-130-037 PERMIT#95-2659 CULLIGAN 3337 Forbestown Rd., Oroville f Cont; Steven D. Smith l Add 3 Skylights & Insulate'/SF tll�16 I JOB FINALED ( te) Signature J=OK - e O =Not OK MOBILE = Not ApplicReady IYI O B I L E HOME S Date MOBILE HOME UTILITIES (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements i 2. Soils; Special MH Support Sketch 3. Sewer; Location -Test -Fall -C/O Concrete 4. Water; Location -Test -Easement Needed (Sketch) 5. Electricity;Location-Clearences-Grnd-/ /Amp -Concrete 6. Gas: Location -Test -Wrap: / /'11t. ft. / /"Nat. or/ /"L"ft./ /"LPG 7. Well Clearance & Disconnect 8. Utility Clearance Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date MOBILE HOME INSTALLATION (Plans) OK except #'s 1. Zoning Requirements -Setbacks Easements 2. Footings; Size -Spacing -Marriage Line 3. Gas; MH Test -Demand -Valve -Connector 4. Electricity; MH Test -Crossovers -Breakers -Clearances 5. Drain; MH Test -Fall -Flex Connector 6. Water; MH Test -Regulator -Connector 7. Water and Sewer Connected -C/O to Grade -HD Approval 8. Gas and Electricity Tagged 9. Exits; Insp.-Sketch 10. Cert. of Occupancy Date Card B-1 Date Card 3-1 Date Card B-1 Date Card B-1 MISCELLANEOUS Date DECKS, COVERS, CARPORTS, GARAGES, (Plans)OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Footings; Soils -Size -Depth -Spacing -Connectors -Steel 3. Decks; Griders and/or Joists -Decking -Bracing -Stairs -Rails 4. Wood Awn.; Posts- Bea ms- Rftrs.-Connectors Shthg.-Rfg.-Bracing 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Carports; Windows -Doors 7. Electric 8. Frmg; SiIs-Anchors- Stu ds- Rftrs-Trusses 9. Siding; Nailing -Veneer -Stucco -Mesh 10. Roof; Shthg-Roofing 11. Ext.; Steps -Doors -Landings Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date POOLS (Plans) OK except #'s 1. Setbacks -Easements 2. Soils; Compaction -Structure Stability 3. Pool Structure; Steel -Connections -Thickness Dead Men -Lining 4. Elec.; Receptacles and Lighting. Distances-GFI 5. Elec.; Pool Lighting; 15 volts-GFI 6. Elec.: Enclosures; Conduit Entries -Terminals -Listed 7. Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater 8. Elec.: Grounding; Equip. w/5' Circulating Equip. -Pool Lghtg. _ Boxes -Enclosures -Panel boards -Ins. to Main in Conduit 9. Health Department Approval 10. Plumb.; Cir. Test -Water Supply Test Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 '!=OK ' O=Not OK - = Not Applicable Not Ready RESIDENTIAL (Single & Duplex) = Date UNDERFLOOR (Plans) OK except ft's 1. Zoning -Setbacks -Easements -Flood -Slope 2. Ftg., Main; Soils-Elec. Grnd.-/ /" Ftg. Depth 3. Ftg., Garage; Soils-Steel-Elec. Grnd.-/ /" Ftg. Depth 4. Ftg., Porches & Decks; Soils -Steel-/ /Ftg. Depth 5. Stemwalls, Main; Steel-Blockouts-Wrapped 6. Stemwalls. Garage; Steel - Bloc kouts-Wrapped 6a. Hold Downs and Special Anchors 7. Slab; Steel -Wrapped 8. Piers -Fireplace Ftg.-Steel 9. D.W.V.: Fall -Fitting -Test -2 Way C/O -Sewer Test 10. UF. Gas Pipe; Size -Anchors - yard gas piping: size -test 11. Water Pipe; Test -Anchor -Regulator -Service Test 12. Electric: Underground 13. Pienums & Ducts; Clearance -Material -Support -Ins. 14. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples 15. Access & Ventilation 16. Insulation Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date PLUMBING (Permit),OK except u's 16. Water Htr.: Vent -Access -Combustion Air-Baffie 17. Water Pipe; Test & Anchor -Nail Protection 18. D.W.V.: Test -Fittings & Anchor -Nail Protection --------- ---------- ------------------ 19. Shower Pan: Test, First Floor -Tub Access 20. Test Tub & Shower. Second Floor -Tub Access 21. Gas Pipe: Size & Anchors ----------------------------------------------------------------------- - Date Card B-1 Date Card B-1 •---------------------- ---------------------------------------------- Date Card B-1 Date Card B-1 Date ELECTRICAL (Permit) OK except ti's 22. Fixture & Transformer Clearance -Ins. Protection ------------------------------- 23. Elec. Receptacles Spacing -Lights & Switches at Doors --------- ----------- --------- ------ ----------------- -------------- 24. Size Boxes & No. of Conductors -Stapled ----------------------------------------------- - ----------------------------------- 25. ----------- ------------------------------------------------------------- 25. Romex Installed Close to Edge of Studs & C.J. ------------ ----------------------------------------------------------------- 26. Equip. Ground made up w'Mech. Fastners-Bond Gas & Water ----------- ------------- --------------------------------------------------------- 27. 2 Appliance Circuts in Kitchen & Conductor SizerGFI -----------• ----------------------------------------------------------------- 2C Subfeed Wire Size ga. Cu or AI-A.C. Wire Size I / ga. Cu or At ---------------------------- --- ------------------------------ 29. Range Circ. ' ' ga. Cu or AI -Oven Circ. r / ga. Cu or Al. Insulated Neutral ❑ Yes ❑ No --------------- ------------------------------------------------------------------ 30. Service -Riser Conductors & Ground -Main Disconnect - ------------------------- ---------------------------------... 31_ Equip. Clearances Panels-Motors-Mech. Equip. -------- --- ---- -- -- -------------------------------- - -.... 32. Clothes Closet Light -Shower Light -Spa Light ----•--- --------------------------- 33. ------------------------ 33. Smoke Detector -------------------------------- ------- I Card B-1Date Card B-1 - - - ---------- ---................ ----------------------------...... - -- Date Card B-1 Date Card B-1 Date MECHANICAL (Permit) OK except ft's 34. A.C. Ducts Insulation & Support ----- ------------------------------------------------------------- ---------------- 35. Vent Fan: Exhaust above insulation --------------------------------------------------- - ------------- 36. Condensate Drain & Overflow: Size & Grade ---------- ---- -- - - - 37. Furnance-Vent: Access -Comb. Air -Return Air Vent -115 outlet ---- -- ------ ------------------- -- ----------------- -- - 38 Attic Access & Platform if Furnance in Attic ----- ----- ... ... ..... . .. ...... ..... I---- ----------. - - - - Date Card B-1 Date Card B-1 - •-------- . ... .. ....... . _...-----------•-. ------ ... Date Card B-1 Date Card B-1 Date FRAMING (Plans) OK except n's 39 Sils. Proper Material & Anchors 40. Walls Studs -Nailing. Spacing & Bracing- Plates - Sound ... _. .. ---...._ . ....._...--------- _.. 41 Bearing Walls over Girders & Floor Nailing 42, Draft Stop in Walls (rat proof) 43 Fire Slops. Furred Ceilings -Stairs -Chases -Tub - - .... ----- ------------------ - - 44 Headers & Beam -Size & Bearing Date FRAMING (Continued) 45. Hangers -Post Caps -Anchors -Connectors 46. Cing. Joist-Rftr. ties- Pudin -root Brac-Truss-Shthng.-Ring. 47. Fireplace Ties or Type A Flue -Fireplace Throat clearance 48. Attic Access: Size & Romex Protection -Draft Stop -Ins. Battles 49. Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions 50. Garage Fire Protection Framing 51. Property Line Firewall & Openings 52. Ext. Doors -One 3' -Check Garage -3rd Story, 2 Exits ----------- ------------------- _____ 53. Stairs: Width -Headroom -Rise -Run -Landing -Fire Protection 54. plywood on Roof Overhang -Attic Vents -Rafter Outriggers 55. -Siding -Nailing Veneer ------------ 56. Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access -------- -- __ 57. Glazing Area -Glass Protection -Skylights -Plastic 58. Shear Walls: Nailing -Bolts 59. Insulation -Walls -Ceilings --------- 60. Infiltration -Walls -Windows - -- ---------------------- _Date ________Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date FINAL (Plans) OK except #'s 61. Ext. Steps -Door & Sidelight Protection -Landings ------------------------ -- 62. Smoke Detector ---------------------- ---- 63. Furnace: Vents -Clearance -Comb. Air -Connector - In Garage: Above Floor -Ducts -Meth. Protection -------------------- 64. Bedroom Exiting---------------- 65.--G.-F. I, & Bath Fixtures & Tub Access -Spa 66. Elec. Trim & Subpanel: Breaker Sizes & Labels ------------------------------ 67. Stags & Rails --------------------------------------- --- - 68. Fireplace or Stove: Clearances -Hearth - --- - --- -- - -- •----------------- --------- 69. Elec. Outlets at Wood Panel: Int. & Ext. 70. Kit.Fixt. & Appliance: Grnd.-Air Gap -Cooking Gap-CookingClearance - -------------------------- 71. ------------------------71. Elec. Outlets & Receptacles at Kit. Counter --------------------------------- 72. .------- -----------72. Garage Fire Door: Swing -Landing -Closer ------------------- ----- 73. A.C. Duct in Garage -Damper .----- ------------------------------ 74. ---------------------------74. Wtr. Htr.: Vents -Clearance -Comb. Air-Connector-P.R.V. - In Garage: Above Floor -Meth. Protection 75. Plb. Elec. & Mech. Equip. Listed for Location ---------------- 76. Elec. Receptacles in Garage: (G.F.I.)-Romex Protection _------------------------------------------------ 7;. -- Insulation -Foam. in Attic -❑ Yes ---------- ------------------ - 78. Guard Rails & -Deck-Const ruction- Post Caps 79. Fdn Vents & Crawl Hole Door -Drainage & Wood -Earth Clearance Looked under Floor ❑ Yes 80. Following instld.: Drive ❑ Yes ❑ No; Walks ❑ Yes ❑ No; Planters ❑ Yes ❑ No ------------------------------------------- 81. ------------81. Stucco Brown -Finish --- -- --- - --------------------- --- - a2. A.C. Unit Disconnect. Electrical, Plumbing 83. Vents Above Roof: Plbg.-Appliance-Fireplace.-Clearance to Openings ---...----•------------------------------- 84. Water Well: Disconnect. Electrical, Plumbing - - - - - - -- - - - - - ----------------------- ____ -- ----- 85. Exterior Elec. Trim; G.F.I. Receptacle -Underground 86. Ventilation Throughout House .. _-- _.--------•--------------------------------------- -- 87. Glass Protection _. .. ---------------------------------------------- aa. Corrections from Previous Inspections --- - - --- ---------------------------------------------- 89. Gas Test -Meters Tagged: Gas -Electric ...... ------ - - ------------------------------------------------- 90. Water & Sewer Connected-C'O to Grade -HD Approval - -- - - ---- --------------------------------- Energy Compliance Certificate -Other Certificates ---- --------------- Da- I ------------ Dat Date Card B_1 - - -- - --. _ - ---------------- Gate .-_.... --. Card B 1----- _Date ---- Card 8=1 - Date Card B-1 Date Card B-1 Comments at Final COUNTY OF BUTTE -DEPARTMENT QF DEVELOPMENT SERVICES -BUILDING DIVISION 7 County Center Drive - Oroville, California 95965 - Telephone (916) 538-7541, PERMIT NO. APPLICATION AND PERMIT `ahsg ASSESSOR PARCEL NUMBER 073-130-037 ZONING I TM2 BUILDING PERMIT 7 OWNER CULLIGAN, FRANK CAROL ONE 85 9 SO. FT. OCC. BUILDING VALUATION OWNERS MAILING ADDRESS 3337 FORDESTOWN RD OROVILLE 95966 CONTRACT 1,800.00 CONTRACTOR'S NAME K STEVEN D SMITH TELEPHONE 533-7595 CONTRACTORS "UNG ADDRESS 11 DAWN CT OROVILLE 95965 Fireplace CONSTRUCTION LENDER NONE UNIWOWN Total Valuation $ 1 800.00 LENDER'S MAILING ADDRESS NONE Filing Fee $ 20.00 Permit Fee $ 41.00 ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ 26.65 ARCHITECT OR ENGINEERS MAILING ADDRESS Energy Plan Checking Fee $ Penalty $ BUILDING ADDRESS 3337 FORBESTO1,1N RD PERMITFEE $ 87.65 OROVILLE 95966 PLUMBING PERMIT Filing Fee 20.00 Each Trap 7.00 LOT NO. S UBDNISION'S NAME PARCEL MAP Solar or heat pump water heater 23.00 USE OF STRUCTURE SF YJ Duplex ❑ Mobilehome ❑ Other SPECIFY Water piping 15.00 Each gas water heater or vent 15.00 Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel [X Utilities ❑ Installation ❑ Other ❑ Describe Work: ATM I 9X4 UYT.TTES TO VAULTED CEILILJG TN LIVING ROOM Lx KITCHEN. INSULATE (ADDITIONAL) Mobile Home S G W @20.00 PERMITFEE g Contractor ELECTRICAL PERMIT Filina Fee 20:00 CEILING AND FLOOR. Main Service ( zoon o -R -ss ) 23.00 Main Service ( 200A TO 1000A ) 46.00 LICENSEDCONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9(commencing Section with 7000) of Division 3 of the Business and Professions Code, and my license is in f I force and effect. %a License Class Ll Lic. No. / ri) , {V q6� OWNER -BUILDER DECLARATION( 1 hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: ❑ I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason NEW CONST. DWELLING OCCUR OR ADDNS. ( 8 ACC. BLDS. ) so. 3.50 FT. NEW CONST. MULTI.OUTLET NON-RESID. ( BRANCH CIRCUITS ) @7.50 POWER APPARATUS (8 SINGLE OUTLET CIR. ) Ex. Occup. ( OUTLET OR FIXTURES) 20 Q 1.00 BAL .50 Ex. Occup.FIXED APPLNS. OR OUTLETS (RESID.) EA) 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMITFEE _ Contractor WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ 1 have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMITFEE $ Contractor Policy Number (The above sections need not be completed f the permit is for work of a valuation of one hundred dollars ($100) or less.) 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 workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of section 3700 of the Labor Code, Ishall forthwi h comply with those provisions. X 1 _ Date _/0 Signa o pplic ' w e ractor ❑ Agent f An OSHA permit is required for excavations over 60" deep and demolition or construction of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ oer CONST. TYPE TOTAL FEE $ 87.65 HAZ. D. FEES IMP FLOOD COF PARCEL I PD HD I ISSU This permit is hereby issued under the applicable of the Butte County Code and/or Resolutions indicated above for which fees have been BY Arf / PERMITEXPIRESON �[ (D.4) provisions to do work paid. / ��✓ ate t� J Receipt No. 186214 WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT COUNTYOF BUTTE - DEPARTMENTOF°60LLOPMENTSERVICES -BUILDING DIVISION, A 7COUNTYCENTER DRIVE - OROVILLE, CALIFORNIA95965 -)TELEPHONE (916) 538-7541 PERMIT APPLICATION DATA SHEET OWNER 4 6r0 �u �(% Q-c/ A. P. No. 073 r 5 0 x'03 2 Proposed Building Use -5 hr Building Inspector Date /0-;Z4/-9,5 At time of permit application, I was advised the following data must be submitted prior to permit processing and/or issuance: DATE RECEIVED By 1. All items have been submitted. ........................................ 2. Plot plans, 3/4 sets, signed by preparer of plans. ......................... . 3. Complete plans, 3/4 sets, signed by preparer of plans. ...................... 4. Engineered plans and talcs, 3/4 sets,'with wet signature on plans. ............. 5. Hazardous Material Form. .......................................... . 6. Energy Design Compliance and supporting documentation . .................. 7. Statement of Intent for Non-Heated and A/C Buildings. ...................... 8. Engineered truss details and layout in duplicate (required prior to plan check). .... 9. Mobilehome data and manufacturer's installation instructions, 2 sets. ........... 10. Fees of$ .......................................... 11. Impact fees as shown on attached schedule. .............................. 12. California Department of Forestry plan approval/fees. ....................... . 13. Flood elevation letter (100 year flood) by California Engineer. ................. . 14. Sanitation and plot plan approval Health Department . ............ 15. City of Chico plumbing permit............... I.......................... 16. Plot plan and business license approval from City of Biggs/Gridley. ............. 17. Planning approval for (A) Use: (B) Parking: 18. Contact Land Development about (A) Improvements (B) Drainage. .......... . 19. Driveway permit (construction approval required prior to occupancy). .. . Pre-Inspection requ�- 20. Pre-inspection for required. .. to Building Inspector (Date) 21. Contractor's license information. (No., Name Style, Classification). .............. 22. Certificate of Workmans Compensation Insurance. .......................... 23. Owner-Builder Verification (Given to owner Mail to owner _). .......... . .24. Recorded copy of Agricultural Acknowledgement Statement. .................. 25. Letter of signature authorization......................................... 26. Copy of recorded deed of parcel creation and 60 right of way to a public road. ..... 27. Letter of intent on building use............................................ 28. Mobilehome utility clearance.......................................... . 29. Documentation of legal access . ..................... :................... 30. Documentation of 50% subdivision developed or (A) Road improvements completed and (B) Parcel meets zoning area and frontage requirements. ....... * ....... 31. Existing violations/expired permits....................................... 32. Plan check list . ..................................................... 33. 34. Whou issue the permit, process as follows: Mail to owner. Mail to contractor.'j, t/ Telephone ;03-ZVSand hold for pickup at loco v i 1 I.-e office. Deliver with inspector. Other Parcel Creation Acreage Applicant Date Copy of Haz-Mat form sent Health Dept. Fire Dept. Air Pollution Date-1 Copy of plans sent Health Dept. Fire Dept. Other Date .. By The following data must be submitted prior to permit issuance: (Circle new item not checked above). 1. Index permit for above items No. 2. Additional items required: Contractor, designer, owner, was advised of above required data by _ phone _ mail Counter by _ Date Contractor, designer, owner, was advised of above required data by _ phone _ mail Counter by _ Date Plans checked by Date Plans approved by (-,(,0 3-bn/S Date Sets of of plans on hold in File cabinet 2- AP folder Copy - Department of Public Works !NSULA TION CFt, ;'IFICATE: STEVr-,?SMIT'H IC -1 3337 FORBESTOWN ROAD OROVILLE urn er uu; — City BUTTE l.rn r,tv r vir V 1 1;1lrr1. Lot Number Description of Installation R..) 57 ��1 :.t• ,lis� Cir .. .:.� I I.Jlil%; . Thickness (inches) _-_-_•--.._• _ Thr;rrrral Resistance (R -Value) 2. CEILING Batt or Blanket Type FIBERGLASS Brand Name CERTAINTEED Thickness (inches) _ Thermal Resistance (R -Value) loose Fill Type INSUL-SAFE III Brand Name CERTAINTEED Contractor/s min.installed weight/ft' 330Ib Minimum thickness 8j inches Manufacturer's installed weight per square foot to achieve Thermal Resistance (R -Value) 19 3.- EXTERIOR WALL Frame Type A. Cavity Insulation . Material FIBERGLASS BATTS Brand Name CERTAINTEED Thickness (inches) Thermal Resistance (R -Value) B. Exterior Foam Sheathing Material Brand Name Thickness (inches) Thermal Resistance (R -Value) 4. RAISED FLOOR Material FIBERGLASS BATTS Thickness (inches) 5. SLAB FLOOR/PERIMETER Material Thickness (inches) Perimeter Insulation Depth (inches) 6. FOUNDATION WALL Material Thickness (inches) , Declaration Brand Name . CERTAINTEED Thermal Resistance (R -Value) Br.and Name Thermal Resistance (R -Value) _ Brand Name Thermal Resistance (R -Value) I hereby certify that the above insulation was installed in the building at the above location in conformance with. the current Energy Efficiency Standards for residential buildings (Title 24, Part 6, California Code of Regulations) as indicated on the Certificate of Compliance, where applicable. �__�__� �.. ! SHASTA INSULATION tent i Ars ri nature ate Installing Subcontract–or(Co. Name) g O°2I �. General Contractor (Co. Name) OR Owner terms — rgniture, atc Item #s Signature. Date -Revised July. 1995 Installing Subcontractor(Co.Name) General Contractor (Co. Name) OR Owner Installing Subcontractor(Co.Name) General Contractor (Co. Name) OR Owner t tiPERMIT PERMI NO. 4585-75B,P P E M .QMH UTIL. -,PERMIT NO. PERMIT EXPIRES 11 ' x Lane L. Aldrich ,bWNER oum r ,CONTR. I LOCATION (A.p 73-13-031 ,4/S Oro-Forbestown Rd., 2 mi. E. of Feathex Falls turn-off, Forbestown ft 7 Temp. Power P e; Called PG E Temp. Elec erv. — 74e Called G&EZ_ Temp. s Serv. Ca ed PG&E 3/J0F rJ R ALED(Date) I (Signaturq COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS BUILDING INSPECTION RECORD ` BUILDING BUILDING (Cont'd) PLUMBING Setback Firewall -7 Soil Piping Forms Parapets 1st Floor S Main Bldg. Restroom Finish 2nd Floor Footings Windows q-14 7L 3rd Floor Stemwal I 16ZZ - Siding — G To out Slab Roof Sheathin ��%�'— Water Pi in j — — Piers Roofing 4—/4-7C. Sewer Garage Fdn. Vents — Fixtures —{ Footings . — 7 '� Garage Vents Water Htr. StemwalI Prov. for physically Heaters Slab handicapped Appliances Carport Conformance of ex. }� Gas Piping & Test Footings structure Temp. Gases -- Slab Final —J — Sanitation i Patio FIREPLACE Final F Footing Q ELECTRICAL Masonry Walls Throat Rough Reinf. Steel Final Fixtures -- A — Bond Beam FIRE SPRINKLERS Motors Framing Test Water Htr. q —14 - Stucco Final Subpanels % Mesh MECtj8NICAL Grd. Fault Prot. 4 —14 --7� Scratch Heating Service Brown Cooling Temp. Pole Finish Ducts Underground Interior Lath Z vG /- `!Ci' Ventilation — 729C Permanent 47 Door Closer Final Final DATE REMARKS OR CORRECTIONS ��� o �< �- ���� rod - _-� q (/00' COUNTY OF BUTTE ',— gEPARTMENT OF PUBLIC WORKS 7 County Center Dive — Or'oville, California 95965 Telephone: 534-4541 APPLICATION AND PERMIT 42 J BUILDING Owner SQ. FT. OCC. BUILDING VALUATION #6?®0 Mailing AddressAf&1?Fq0 -T 01 /f Telephone No. 33— Fireplace 7 1556 Contractor 4 Total Valuation -C7 VV Mailing Address Permit Fee Plan Checking Fee &/or Penalty Telephone No. Permit Fee / Building Address �/S _ PLUMBING No.1 @ FEE PERMIT FILING FEE $3.00 1, Lo CJ Each Trap 1.50 Y� Repair drainage or vent piping 1.50 Water piping 1.50 Each gas water heater or vent 1.50 A. P. N0. Zoning 8 Planning Gas piping system 1 - 5 outlets 1.50 Each additional outlet .30 X-0- S on Fire Dept. Fire Zone Use Permit Building sewer 5.00 EQA Parking Parcel Plans Declaration Parcel Ma P 60' R/W Im r Improvements Lawn sprinkler system 2.00 BI Ions Recd Parce pprovol Plans Approval Permit Fee $ o Sb $ NEW ADDITION ❑ UTILITIES ❑ OTHER ❑ ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 Main service incl. 1 meter Additional meters, each 1.00 Sub -panel (12 or less) (more than 12) Single Family Duplex ❑ Mobil Home ❑ Others ❑ Range, Cook -top or Oven 1.00 Water Heater or Space Heater 1.00 Light fixtures b 2 Receps„ switches & fix outlets 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: Hood, Ex. Fan or F.A. Furn. Motor 1.00 Evap. cooler, gar. disp. or D.W. 1.00 Air conditioner or heat pump Water pump Mobil Home Facilities 5.00 Temp. Power Pole 5.00 License No. Classification Misc. wiring I am exempt from the Contractors License Laws of the State of California. Permit Fee $ $ 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. XI 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 Heating Cooling Ventilation Hood 2.00 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 t TOTAL PERMIT FEE $ ^ I�d authorize resentati of the County of Butte to enter upon the ve-m 0 pro for inspection purposes. Date Signature of Peer�rmtlitee or Agent Receipt No. / 3Ck_u_ � 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 Y%BLIC WORKS By / Date l 7— ^7 7 ui lding permit expires Date % :7-24 V COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS 7 County Center Drive' - Or`ovilie, California 95965 Telephone- 5'34-4541 APPLICATION AND PERMIT Al autnunze representatives of the County of Butte to enter upon the a ve-mer nedpro ty for inspection purposes. X Date �4/76�_ Signatur of Permitee or Agent Receipt No. 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. CTOR 0 PUBLIC WORKS '7 By Date* / permit expires Date BUILDING Owner - 141, r SQ. FT. OCC. BUILDING VALUATION Mailing Address �dJ Tel �hon 'ey�A�� Fireplace Contractor Total Valuation Mailing Address Permit Fee Plan Checking Fee &/or Penalty Telephone No. Permit Fee Building Address A 4"PLUMBING No. @ FEE PERMIT FILING FEE $3.00 Each Trap 1.50 Repair drainage or vent piping 1.50 Water piping 1.50 Each gas water heater or vent 1.50 �j / f A. P. No. J -� v J Zoning & Planning Gas piping system 1 - 5 outlets 1.50 Each additional outlet .30 FAs 1 V-Ja! '3arritativn Fire Dept. Fire Zone Use Permit Building sewer 5.00 EQA Parking Plans I Parcel Declaration Parcel Ma P 60' R/W ImprovementsLawn sprinkler system 2.00 s ec'd Parcel Approval Plans Approval Permit Fee $ $ NEW ❑ ADDITION ❑ UTILITIES ❑ OTHER (�] ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 ,�Z3 Main service incl. 1 meter , OU Additional meters, each 1.00 Single Family Duplex ❑ Mobil Home ❑ Others ❑ Sub -panel (12 or less) (more th 12) ` Range, Coo op or Oy6n 1.00 ,2, & 0 Water H ater or Space Heater 1.00 /. ty 0 Light fixturesb d2 /10 40 O �s & fix tYdts gJ25 a V, SO 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: HoX, Ex. Fan or F.A. Furn. Motor 1.00 /,60 Evap. coo I er, gar. sp.or .W. 1.00'1100 Air conditioner or heat pump Water pump / 1475— /,00 Mobil Home Facilities 5.00 Temp. Power Pole / 5.00 S-iDC) License No. Classification Misc. wiring Q0 '5a1 am exempt from the Contractors License Laws of the State of California. Permit Fee $ tea, Sti $ .I- TZ 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. 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.1 @ FEE PERMIT FILING FEE $3.00 ,3x67 Heating Cooling Ventilation Hood 2.00 Permit Fee $ C) $ OC 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 TOTAL PERMIT FEE $�% autnunze representatives of the County of Butte to enter upon the a ve-mer nedpro ty for inspection purposes. X Date �4/76�_ Signatur of Permitee or Agent Receipt No. 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. CTOR 0 PUBLIC WORKS '7 By Date* / permit expires Date