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
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`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