HomeMy WebLinkAbout078-120-04936-75-]apily
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Wynoka Homes v..
2322 ViaLaton 8 ville' lot
"Permit ��'lln3�i .33�P,E,M(new s ng
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contra Wynoka Homes; Oroville'
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36-75-49
ti Permit#239-84B J.E,M( ewe« i l
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PERMIT NO. _ 239-84B,P,E,M
PERMIT EXPIRES
OWNER WYNOKA HOMES
CONTR. owner
ASSESSOR PARCEL 36-75-49
rF LOCATION 2322 Via Laton, Oroville
k
i
0
t
.
Temp. Power Pole
{
Called PG&E
Temp. Elec. Servii
F
Called PG&E
r
i
Temp. Gas Service
Called PG&E.
T
JOB FINALED (D.
SignaturZ
0
d. =.OK {
0 = Not OK _
= Not Applicable MOBILEHOMES MISCELLANEOUS
= Not Ready
Date
MOBILEHOME UTILITIES (Plans) OK except N's
1. Zoning Requirements -Setbacks -Easements
Date
DECKS, COVERS, CARPORTS, ETC. (Plans) OK except q'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
4. Water; Location -Test -Easement Needed (Sketch)
_
3. Decks; Girders and/or Joists -Decking -Bracing -Stairs -Rails _
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./ P' Nat. or/ /"L"ft./ /"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
Date Card -BI Date
MOBILEHOME INSTALLATION (Plans) OK except N's
1. Zoning Requirements -Setbacks -Easements
Card -BI
Date
_
Date Card -BI 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 lboards-Ins. to Main in Conduit
9. Exits; Insp.-Sketch r
10. Carl. of Occupancy i
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
r
= OK
= Not OK -
Not Applicable
Read
= Not Ready RESIDENTIAL (Single and Duplex)
Date
UNDER Plans OK except #'s
Date FRAMING (Continued)
onin irements-Setbacks-Easements
48,.-Pfi7 ine-FTM waf°I-&=Openings
, Main; Soils -Steel -Flet. Grnd.- " Ftg. Depth
49e -15x Doors -One 3' -Check Garage -3rd story, 2 exits
g., Garage; Soils -Steel- Ftg. Depth
50. o m -Rise -Run -Landing -Fire Protection
_
4. Fig., Porches & Decks; Soils -Steel- / /" Fig. Depth
Is, Main; Steel-Blockouts-Wrapped-Slab
5 ood on Roof Overhang -Attic Vents -Rafter Outriggers
52. - er
temwalls, Garage; Steel-BIockouts-Wrapped-Slab
5 ucco -Drip F�nc Vents-Under+Fr-Accessr
7. Piers -Fireplace Ftg.-Steel
azing Area -Glass Protection -Skylights -Plastic
_
�
D.W.V.: Fall -Fittings -Test -2 way C/O -Sewer Test
55. n -
9. Gas Pipe; Size -Anchors
0
_
10. Water Pipe; Test -Anchors -Regulator -Service Test
11. Electric; Underground
12. _Plenums & Ducts; Clearance -Material -Support -Ins.
`jj y/(� �, r
13. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples
C 9 rcr-'B-I ate Card -BI Date
C&4-81 Card -BI Date
Card -BI Date Card -BI Date
C -BI
Date _ - Card -BI Date
Date FINAL (P)a OK except q's
r to _,& Card -BI Date
Date
PLUMBING (Permit) OK except q's
466. Steps -Door & Sidelight Protection -Landings
52_-*mlSke Detector
er HL; Vent -Access -Combustion Air
58. mace; Vents -Clearance -Comb. Air -Connector -
In Garage; Above Floor-Ducts-Mech. Protection
;T-1
r ipe; Test &Anchors -Nail Protection
Test-Fttngs & Anchors -Nail Protection
`01 -Bedroom Exiting
- -
17. Shower Pan; Test, First Floor -Tub Access
.F.I. & Bath Fixtures & Tub Access
_ _
Test Tub & Shower, 2nd Floor -Tub Access
19. Gas Pipe; Size & Anchors
Iec. Trim & Subpanel; Breaker Sizes -Labels
14Stairs & Rails
Of Fireplace or Stove; Clearances-Hearth
�
YA/Elec. Outlets at Wood Panel; Int. & Ext.
CScd�Bl
to .rod Card -BI Date
Kit. Fixt. & Appliance; Grnd.-Air Gap -Cooking Clearance
Card -BI
_
Date Card -BI Date
66 E ec. Outlets & Receptacles at Kit. Counter
Date
ELECTRICAL Permit OK except q's
arage Fire Door; Swing -Landing -Closer
64. A.C. Duct in Garage -Damper
---
-
2 _ ransformer Clearance -Ins. Protection
-- ec. Receptacles Spacing -Lights & Switches at Doors
6�Ntr. Htr.; Vents -Clearance -Comb. Air-Connector-P.R.V.-
In Garage; Above Floor-Mech. Protection
U*-plb., Elec. &Mech. Equip. Listed for Location
e & No. of Conductors -Stapled
Alec. Receptacles in Garage; (G.F.I.)-Romex Protec.
omestalled Close to Edge of Studs & C.J.
-
and made up w/Mech. Fasteners -Bond Gas & Water
72. Insulation -Foam -Looked in Attic (mss
_
2 Appliance Circuits in Kitchen &Conductor Size
73.1
Guard Rails & Deck Construction -Post G ps
26 g . Cu or AI-A.C. Wire Size-/ / ga. Cu or At
74.
Fdn. Vents & Crawl Hole appr ainage & Wood -Earth Clearance
Looked under Floor
_
_
27. Range Circ. / ga. Cu o O
�_
_Insul tral --.Yes o
ervice-Riser Conductors & Ground -Main Disconnect
75. Following inst d. e ❑ Yes ❑ No; Walks ❑ Yes ❑ No;
Planters ❑ EJ
Mr-9-tucco; Br n-Fi '
_-
_
quip. Clearances; Panels-Motors-Mech. Equip.
30. ---Gleam biul-sh-Light -
7e-.A.C. Unit; Disconnect-Clrnces-Brkr. & Cond. Size -115V Outlet
7L-Aents Above Roof; Plbg.-Appliance-Firepl.-Clearance to Opngs.
--- ----------- ----- --- -
��
CdaA�B I�,�Date-�� and -BI _ Date
Card B -I Date Card -BI Date
Mi. Water Well; Disconnect, Electrical, Plumbing
xterior Elec. Trim; G.F.I. Receptacle -Underground
entilation throughout House
82. Glass Protection
Date
MECH dCAL (Permiq OK except q's
_
83. Corrections from Previous Inspe ions,,( -15V
4. s eters Ta • ik ectric
--Ae6s Ducts: Insulation & Support��
32. bove Insulation
____ _-
_3_3.-6eadeaseee-Breisi & Overil_ow; Size & Grade _
24*_ urnace-VAccess-Comb._Air-Return Air Vent -115V outlet
35P1,Raym if Furnace in Attic
-(.L1Z`/ 3G Card -BI Date
Card -BI Date Card -BI Date
W &Sewer netted -C/O to Grade -HD Approval
rgy Compliance Certificate -Other Certificates
Card- B Date Card -BI Date
C BI Date Card -BI Date
Card -BI Date Card -BI Date
Date
FRAMING(Plans) OK except q's
Comments at Final:
_
36 -"Sills; Proper Material & Anchors__
3�a11s; Studs -Nailing, Spacing & Bracing -Plates -Sound_
3 t?8g walls over Girders & Floor Nailing _
39. raft Stop in Walls (rat proof)
40 �Gire-9S°�ed Ceilings -Stairs -Chases -Tub
44.-1.1 e_r95d & Beam -Size & Bearing
4t-. 4- '4 --Wt Caps -Anchors -Connectors
4rt�Jois+.6litr�Tiea�Pflrfrm-Roof Brac.-Tr hthnq.-Rfng.
Fireplace Throat
44. nWMM-Sill
ttection-Draft Stop -Ins. Baffles
rdr -Sill Hgt. & Dimensions
,llarage Fire Protection Framing_-- -- - -
_
(NOTE:Anentrymust be made each time youvisit jobsite)
lPermit#
INSULATION CERTIFICATION
Ar 36- 7r-f-,� 1
Number and Street City County
01J r, Dre, c -9 3 '7 g�
Subdivlslon Lot Num r
DESCRIPTION OF INSTALLATION
ROOF
Material
Thickness (inches)
EXTERIOR WALL
Material Fiberglass
Thickness linches)
CEI .MiS
Brand Name
Thermal Resistance (R Value)
Brand Name Certainteed g
Thermal Resistance (R Valuel _ / z
Batt or Blanket Type _ Brand Name Fiberglass Certainteed
__ _
Thickness finches) _ Thermal Resistance (R Value)
Loose Fill Type_ Fiberglass Brand Name Certainteed
Minimum Thickness (inches)
Z
��. � Number of bagsWeight per bag 24 Ib
Area Covered TE / Thermal Resistance (R Value) - zw_
FLOOR, ELEVATED
Material Fiberglass Brand Name Certainteed
Thickness (inches) _
FLOOR,SLAB
Material
Thickness (inches) _
Width finches)
FOUNDATION WALL
Material
Thermal Resistance (R Value)
Brand Name
Thermal Resistance IR Value)
Brand Name
Thickness (inches) Thermal Resistance (R Value)
HEATING SYST_W Gas Fu;,n ce
Make 2e.efISw
Model Description _ PQW S-0
Rated Bonnet Capacity JO, 0TU
DECLARATION
I 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).
Generenuactor (Builder) License Number
S1 we and Title G2
Date
Hawkins Insulation Co,.. Inc. 378407
SuD• ontractor •f'nsufatlon Applicator) '/�7/ License Number
Signature and Title --� pR ��O
Date
CERTIFICATE REVIEWED BY Late
BIN -029 (Building Inspection ofd)
County of Butte
DEPARTMENT OF PUBLIC WORKS
695 Oleander Ave., Chico — 343-4211, Ext. 70
7 County Center Dr., Oroville — 534-4541
Skyway and Elliott Rd., Paradise —:'877-3435
CORRECTION NOTICE
................................ i ............ ........................................... .............................
/lBuilding or Property Address Z g
routine inspection indicates that the following
violations of County Ordinance exist at the above
address and should be corrected. Please notify this
office when correction of work is completed. If you
have any question pertaining to this matter, r need
additional explanation, please contact is office
immediately..
:'..�
.................................................. ............. :...............................................
-. ....................
.................... ..:................ .. ...................................
C
._?r1- ff............................
.. .. ...... ....
L L 1 �--
/
ltd �,,•.� l' : f"`•/!
Date................ .c,.....' 'Inspector
Do Not Remove This Tag
1400-41
COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS
7 County Center Drive - Oroville, California 95965 - Telephone 916/534-4541
x" APPLICATION AND PERMIT
PERMIT NO.
'ASSESS PARCEL NUMBER
� �
Z I
BUILDING PERMIT
OWNEW
EL PHONE
SQ. FT. OCC. BUILDING VALUATION
7
OWNER'S MAIL NG ADDRESS
COIV.TRACTOR'S NA E
W C e_s
TELEPHONE
C ACT 'S MAILING ADDR SS
Fireplace
CONSTRUCTION LENDER
UNKNOWN
Total Valuation $
Filing Fee
$ 10.00
LENDER'S MAILING ADDRESS
Permit Fee
$
ARCHITECT OR ENGINEER
LICENSE NO.
Plan Checking Fee
$ W V
Penalty r'
$
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Permit fee
$
BUILDIN�y ADDRESS `'
�p•,� •O�` V �
PLUMBING PERMIT
Filing Fee 10.00
Each Trap
2.00
Solar Water Heater
20.00
D
Water piping
5.00 ,C)
LOT NO.
=-,,V,N E PARCEL MAP
LJ
Each qas water heater or vent
5.00
Gas piping system 1 - 5 outlets
5.00 ��,
�,� USE OF STRUCTURE
SF � Duplex ❑ Mobi lehome ❑ Other
SPECIFY
Building sewer
5.00 _C00
Mobile Home S G W
10.00 e
TYPE OF WORK
New 2� Addition ❑ Re oriel ❑ .Utilities ❑II stallation ❑ Other ❑
Describe work: /:� A d_
Permit Fee
$
Contractor
ELECTRICAL PERMIT
Filing Fee 10.00
so0V OR LESS
Main service 100 AMP OR LESS
10.00
Main service EA. ADD'L 100 AMP
'
2.50NEW
CONSDWELING
OR ADDNST ( ACCLBL GS.CCUP.&�
2Y22sg ft /�
CONTRACTORS LICENSE LAW
I declare under penalty of perjury (check one):
1 am licensed under provisions of Chapt. 9, Div. 3 of the Businessz0®s0C
and Professio s Code an my license is in full force and effect.
2 S 6O y
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 LTI.OUTLET 2,50 ea
NON•RESID BRANCH CIRCUITS)
NEW CONSTR.POWER APPARATUS &'
NON.RESID. (SINGLE OUTLET CIR.
OR FIXTURES SAL®300
Ex. Occup(oIXED
A PLNS R
Ex. Occup. our TS (RESID.)EA.) 2.00
E
Temporary service 10.00
Mobile Home Facilities 15.00
Misc. Wiring 15.00
Permit Fee $ �^
Contractor-
MECHANICAL PERMIT
Filing Fee 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
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, indemnifykeep harmless the County of Butte against
all liabilities, ju gments costs��ad expenses which may in any way accrue
against said o my 'n c ns u of the granting of this permit.
2/^ Ci¢
X Date' 6 lam/
Sign re of Applicant — 11K.ner❑ Contractor ❑ Agent
An OSHA permit is required for excavations over 5'0" deep and demolition or construct-
ion of structures overstories in height.
Mobile Home Installation Fee $
TOTAL PERM14 kEE I $
OCCUP. GROUP
_3
TYPE OF CONST.:::�J
PARCEL
XD
ISS
This permit is hereby issued under
sions of the Butte County Code and/or
work indicated above for which
DIRECTO OF PUBLIC
BY 46fn
PE EXPIRES Date
the applicable provi-
resolutions to do
fees have been paid.
WORKS
Date 7-- . —^�
Zi S'� d
`3
Receipt No. �� Y' 3'
WHITE-D.P.W., YELLOW -ASSESSOR. PINK -INSPECTOR, GOLDENROD -APPLICANT
Telephone
' 533-2000
North Burbank Public Utility District
1960 Elgin Street
OROVILLE, CALIFORNIA 95965
DISTRICT APPROVAL AND
VERIFICATION OF INSPECTION 75-83
BUILDING SEWERS
This verification form must be submitted to the Butte County Department of
Public Works - Building Department prior to issuance of a building or occupancy
permit, whichever is applicable.
Prior to final approval by Butte County of a Building or an Occupancy Permit, a
copy of this verification form, signed off by North Burbank Public Utility District,
must be submitted to Butte County.
Applicant: WYNOKA HOMES, 'INC..
Applicant Address: P. 0. Box 1600, Oroville
Applicant Phone No.: 533-2738
Property Location (s): 2322 Via Laton, Oroville
Vista Del Cerro #3, Lot 49
A. P. No. (s):
36-75-49
Fees Paid: $250.00 N.B.P.U.D. .Conn.ection Fee and
$900.00 SC -OR Regional Facility Charge Due
Application for service approved:
North Burbank
May 24, 1983 Public Utility District
Inspection(s) made and successful test(s) observed:
Location: Date:
By:
North Burbank Public Utility District release to close permit:
Date: By:
AGRICULTURAL STATE2,1ENC OF ACt(NOWLEDGEt4ENT ^��(
' " • v FOR RESIDENTIAL DEVELOPMENT ; 4,- �' "C=_`` 5
MiC)VALLEY T3�'UE CO'
Section 26-81 of the Butte County Code requires this acknowledgement , ., �% a ;- p;
be recorded prior to issuance of a building permit. W114 v
The property described herein is adjacent to land or included C! fpr:-#?tCGa'L1=at i
within an area 'zoned for agricultural purposes, and residents of �o.^s3�J FEE i
L .GL
this property may be subject to inconveniences or discomfort arising
.from the use of agricultural chemicals,. including, but not limited to herbicides,
pesticides, and fertilizers; and from the. pursuit of agricultural operations including,
but not limited to cultivation, plowing, spraying, pruning, and harvesting which occa-
sionally generate dust, smoke, noise, and odor. Butte County has established agricul-
tural zones which have as a priority use for productive agricultural purposes, and
residents within said zones and on adjacent property should be prepared to accept such
inconvenience or discomfort from normal, necessary farm operations.
A11 that real property situate in the County of Butte, State of California,
described as follows:
LOTS 1 THROUGH 61, AS SHOWN ON THAT CERTAIN MAP -ENTITLED, t1VISTA DEL CERRO UNIT NO.
311, WHICH MAP WAS RECORDED IN THE OFFICE OF THE RECORDER OF THE COUNTY OF BUTTE,
STATE OF CALIFORNIA, ON AUGUST 20, 1981, IN BOOK 85 OF MAPS, AT PAGES 3, 4,, AND 5.
aw'' �.i
Date:
PROPERTY} OWINERS::p{
d ii da 6,a
Pro'11fie; CCU. 95965
B Doa NRF 633-2.738
STATE OF CALIFORNIA l l s 19 s
personally
c COUNTYsL�1�^ / 1
o L • /-� before me, the undersigned, a Notary Public in and for j
/ . r0Z r3
m said State, personally appeared �
~ known to me to be the President, •afld
C i
'•^�yn�� P �_ •�e-SecFe" of the corporation that executed the within instrument,
Q and known to me to be the persons who executed the within j me � S� r;+
acknowledged _
instrument on behalf of the corporation therein named, and ac- I
0 knowledged to me that such corporation executed the within �9pa'8D3AaB7187399x333597aail9aala88a3aaa�377a'30F%aanaa i e Purposes
F,.. .
OFFICIAL S1=•AL
o
instrument pursuant to its by-laws or a resolution of its board of r DANIEL F. HUNK Ind and official �
•i
a o:y3 as`:r NOTARY PUBLIC — CALIFORNIA
b directors. a yam. -r. ...
PRINCIPAL OFFICE IN THE �=
ti. ) ,. •,�;,,��� COUNTY OF BUTTE I
r+ WITNESS my hand nd official a 1. C' •'°"' Comm. Exp. Oct. 1, 1982
O I r-rr
o Lull a9aas53aisaataa9aaaeasaa3a59ea3a9oeaa3aass�aaaaeaa
o Signature �Lk
u. Vee.�r
::I �% L_ fi '3 END OF DOCUMENT
Name (Typed or Printed) (This area for officgl notarial sea[)
I
A setback of 5 ft. from the
property lines and a setback
of 50ft. from the road
,centerline shall be clear of
structures or equipment excepf-
V Ia L060' for a 2 ft. eave overhang.
st caEWAt K
01 1 0017-
0 6
OTp °
This set of plans and .specifications MUST'1ae ' .
kept on the iob at all times and it is unlawfulao, .
ma4e any chances or alterations on some without
written permission from the Department of Public,,.
Werb, County of ONttg,
20 ' Kc -4.
LOTJr6
O
M
a Master Plan on file Jor Wilding
ns.
PUrrE COQ
BUILDING DEPAF TME ,
� PPROVED
-uDG,3 low
SUBOIVIBION CITY COUNTY LOT NO.
SEWEPI PV JOB NO.
�W% 0 NOMES,IN]SCALE
'
AT14An PO
EA !_
=AB `P
-d
916.533•.2738
916.533•.2738
.O. BX IB
OROVILLE,
CAL . 915985
r
enaehap
OROVILLE, CALIFORNIA
GENERAL CLAIM
CLAIMANT: Wynoka Homes
ADDRESS: P.O. Box 1600
CITY & STATE: Oroville, CA 95965 IMPORTANT:
SEE INSTRUCTIONS
DATE OF CLAIM: Januar 27 1984
Y , ON REVERSE SIDE
SUBMIT CLAIM TO DEPARTMENT RECEIVING GOODS OR SERVICES
DATE
DESCRIPTION OF .CLAIM (DESCRIBE FULLY TO AVOID DELAY)
AMOUNT
•
Owner has decided not to do work. .(Bldg Permit App1 n. ii1634-83B,P,
Receipt #68490, dated 7/9/82, AP #36-75-49).
,M,
Building permit fees paid ----- ------------------ $221.00
Retain filing fee --------------- $10.00
Retain plan checking fee ------- 5.00
_
Amount retained--------------------------------- 25.00
Refund due ------------------------------------- -----------$196.00
PlumbinR permit feesaid----------------------- 40.00
_
Retain filing fee -------------------------------=$ 10.00
Refund due------------------------------------------------ 30.00
Electrical permit fees.paid---------------- -----$ 52.55
Retain filing fee------------------------------- 10.00
Refund due -------------------------------------------- -----$ 42.55
Mechanical permit fees paid--------- ------- 29.00
Retain filing fee------------------------------- 10.00.
Refund due -------------------------------------------------L19.00
TOTAL REFUND DUE----- ----------------- --------------- ------$287.55
$288771f555
`
—
I
—
TOTAL
$287
55
1, the undersigned, declare under penalty, of perjury that the services or articles claimed have been perfo . or d Ii er�d, and that this
claim is true and correct as stated.
' l 1
Dated this day of ....�/:a �� 19 et, L%/t�%L%� ..... Calif. ..
............................... ..... ........ ...................................... y
- at re Clei;aaant
I, the undersigned, hereby certify that, to the best of my knowledge, the services or articles specified abov a been performed or de-
livered and that there itys a Budget Appropriation❑ or.Specipfi/.c Board Approval —1 (Check one) the s me. .
Dated this ............�7 LA.. �........ day of ...wTfa1, MAry..... 19.84. at Qr.Q.v;.A.j.e... Calif. .... �.
;: ......... ........................... ...._.....................
epartment Head or Authorize eputy
'----Dept. Exp.
Code............................................ Code ..................:......:......................PAYABLE FROM .....:........ .................................... ............................. .............
FUND
DO NOT WRITE BELOW THIS LIME - AUDITOR'S USE ONLY
DEPT. & SUB.
PROJ.
SUB. OBJ.
CLAIM NO.
INV. NO.
INV. DATE
ENCUMB.
GROSS AMT.
IZ6t(�
,✓ 01-13
u�LDr,JL- �lrf
COUNTY OF BUTTE - DERARTWENT-OF PUBLIC WORKS
7 County Cent -6r Drive`- Oroville, California 95965 - Telephone 916/534-4541
_ ' - ' APPLICATION AND PERMIT
ASSE,S,SOR P CS^ N� Z
7"
zoNI G
BUILDING PERMIT
oyryE oj,�� / CS
TE EPHONE
SQ.FT. OCC. BUILDING VA`N
�V
+�VD•-o�
O(G�W(V/N�jE'/R'S MAILING ADDRESS
3 i5
3 6�p, ov
2j /f1t�J/Ji � / � �F�/�/�
�j%� Q'
CJ3&ACT,SR•S MAILINGDAOppRESS�MXO'aVV/ C-1—
16
Fireplace
CONSTRUCTION LENDER
UNKNOWN
Total Valuation $
3 , Dd
Filing Fee
$ 10.00
LENDER'S MAILING ADDRESS
Permit Fee
$ .00
ARCHITECT OR ENGINEER
LICENSE NO.
Plan Checking Fee
,$ 45-100
,
Penalty
$
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Permit fee
$ 2z/, Ov
BUILDIjJG�1 DD RE55 - /
G S �-C7/ ��/� L/-� %DN
PLUMBING PERMIT
Filing Fee 10.00
Each Trap
g 2.00
Repair drainage or vent piping
5.00
Water piping
-6.00—
L o01
`�f/"
su DIVISION NAME
/� DEL- C�—�� �
PARCEL MAP
c45-3
Each qas water heater or vent
5.00 Ot7
Gas piping system 1 - 5 outlets
Spp
USE OF STRUCTURE
SF [q Duplex❑ Mobilehome❑ Other
SPECIFY
Building sewer
Lawn sprinkler system
5.00
TYPE OF WORK
New Q-__'�ddition ❑ Remodel ❑ Utilities ❑ . Installation ❑ Other ❑
Describe work:
Permit Fee
$ ,00.
Contractor
ELECTRICAL PERMIT
Filing Fee 10.00
Main service 6111 OR LESS
100 AMP OR LESS
/_o
T"
Main service EA. ADD'L 100 AMP
2.50
NEW CONST. ( DWELLING OC�I�j sq it ,SSS
OR ADDNS. ACC. BLDGS. aJ�/�J I
CONTRACTORS LICENSE LAW
I de are under penalty of perjury (check one):
I am licensed under provisions of Chapt. 9, Div. 3 of the Business
nd Professio s Code an 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
NE CON9TT'-OUTLN-RESID R (MULBRANCH CIRCU
NOITS 2.50 ea
NEw CONSTR. POWER APPARATUS S)
NON-RESID. SINGLE OUTLET CIR.
Ex. Occup OUTLETS OR FIXTURES a ��
Ex. QCCup.00
FIxeD APPLNS. OR
�OUTLETS (RESID.) EA.) 2.00
Temporary service 10.00
Mobile Home Facilities 15.00
Misc. Wiring 7.50
Permit Fee $
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
6,00
�F�►S
Cooling EV14p
Hood
3.00 3, av
Ventilation
Permit Fee
S 00
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.
1 also agree to save, indemnify and keep armless the County of Butte against
all liabilities, ju ents, costs, an enses which may in any way accrue
against said yin con t granting of this permit.
X ate — �
Agent ❑
Signature of pplicant — Owner ❑ ContractorXeep
An OSHA permit is required for excavations over 5' and demolition or construct-
ion of structures ovpe�rr3 stories in height.
Mobile Home Installation Fee $
TOTAL PERMIT FEE $
OCCUP. GROUP
-
I TYPE OF CONST.
.1
tV
PARCEL
PD
D ISSUE
This permit is hereby issued under
sions of the Butte County Code and/or
work indicated above for which
DIRECT9"F PUBLIC
BY
PE 90T EXPIRES Date
the applicable provi-
resolutions to do
fees have been paid.
WORKS
Date7�E,�/3
7—If
Receipt No. 60 'c Z V
WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT
i
When you. -issue the permit, process as follows: Mail to owner. Mail to contractor.
Telephone 537' 273L and honor pickup at office. Deliver, w/inspector.
Other
Applicant Date
Copy of plans sent. Fire De
Health Dept., Dept., Other Date
During the plan checking process, the following data must be submitted prior to permit issuance:
(For required items not checked above at time of application,, circle item.)
1. Index permit for above Items No.
2. Additional items required: '
(Contractor, Designer, Owner) was advised of above required data by
By
Plans checked by.
Plans approved by
Other
Copy—DPW
Telephone Mail
Date
Other
,! +
COUNTY OF BUTTE - DEPAR TMENT OF PUBLIC WORKS - BUILDING DIVISION
7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE: 916/534-4541
PERMIT APPLICATION DATA SHEET
'/ Permit No.
/,41 YA) 0 /L fa //�I s
OWNER
A. P. No .
Proposed Building Use
Permit Fee Based Upon: Complete Contract Price DPW Valuation
J
/ Other (Explain)
At
117
Building Inspector
Date
At time of permit application, I was advised the following data must be submitted prior to permit processing
and/or issuance:
DATE RECEIVED APPROVED
I 1.
v
All items have been submitted. . . . . . . . . . . .
2.
Plot plans in duplicate./triplicate. . . . . . . . . . .
3.
Complete plans in duplicate. /triplicate. . . . . . . .
4.
Complete engineered plans and calcs. . . . . . ... . .
5.
Plans with Energy Design Compliance Statement. . . . . .
6.
State Energy Forms No.
7 Statement of Intent for Non -Heated and AC Buildings.
8.
Fees of $. . . . . . . .
Letter of signature authorization. . . . . . . . . .
10.
Sanitation approval from' 42-3 721,LZ2 Health Dept. . .
Planning approval for (A) Use: (B) Parking:
12.
Certificate of Workmen's Compensation Insurance. . . . . .
13.
Contractor's License Information (no., name style, classif.)
14.
Owner -Builder Verification (Given to owner, Mail to owner ❑•)
15.
Improvements may be required. . . . . . . . . . . .
16.
Mobilehome Installation Data. . . . . . . ..
•Pre-Inspec.
17.
request to
Pre -Inspection for Required. Building Inspector (Date)
18.
Other
When you. -issue the permit, process as follows: Mail to owner. Mail to contractor.
Telephone 537' 273L and honor pickup at office. Deliver, w/inspector.
Other
Applicant Date
Copy of plans sent. Fire De
Health Dept., Dept., Other Date
During the plan checking process, the following data must be submitted prior to permit issuance:
(For required items not checked above at time of application,, circle item.)
1. Index permit for above Items No.
2. Additional items required: '
(Contractor, Designer, Owner) was advised of above required data by
By
Plans checked by.
Plans approved by
Other
Copy—DPW
Telephone Mail
Date
Other
M}
to O
50 1
4S
Ras$ef.pian on NO dId 3` aut-
r -
etcvils: .
PAP SF,3 �y�
Orr
luffE (;0 . `'`� Thisspeci
n ohs I at all tons imes and itl is Unlawful ns MUST to
BUILDING DEPARTMENT` make any changes or alterations on same without
�� written permission from the Department of Public
A p p R O V E Works, County of Butte.
0 PC -411
SUBDIVISION
N6PL)n
SEWER
WATER' PCS
GAS n6 _,i
ELECTRIC
� 2 o v i i -tri _ _ � � T' T �= _ _ L4
CITY'-OUNTV LOT NO.
JOBNO .L I
a - MOMES. INC. •I ' ?.O
PBox 16 SCALE
O. B
•�� ii.. �, s• J aiJ:
•��..ii:., OROVILLE• ,
t" CAL. 96868
.......+..•....,r er. .sem � �.a►.:.�... ....._.. . ..,....-r. e.x.��e._.t�•_^.sra- ..ear �
NOTE:--AII
Materials & 'Workmanship
Shall Be in
Accordance
with Recognized Good Practices and
of a quality
prescribed for fhe Specified
use in the
Uniform Building, Plumbing & Machanical
Codes and
A setback of 5 ft. from
fhe National
Electrical Code.
property lines and a setback
''
of 50ft. from the road -
'
centerline shall 'be dear of
• VIA LAYo I� �
structures ore ui
fora 2 q Pment except*
ft. eave
overhang.
51 Davj&i4
bS.o '
-- =-----
---- 10 PU1:
2a f�SL
to O
50 1
4S
Ras$ef.pian on NO dId 3` aut-
r -
etcvils: .
PAP SF,3 �y�
Orr
luffE (;0 . `'`� Thisspeci
n ohs I at all tons imes and itl is Unlawful ns MUST to
BUILDING DEPARTMENT` make any changes or alterations on same without
�� written permission from the Department of Public
A p p R O V E Works, County of Butte.
0 PC -411
SUBDIVISION
N6PL)n
SEWER
WATER' PCS
GAS n6 _,i
ELECTRIC
� 2 o v i i -tri _ _ � � T' T �= _ _ L4
CITY'-OUNTV LOT NO.
JOBNO .L I
a - MOMES. INC. •I ' ?.O
PBox 16 SCALE
O. B
•�� ii.. �, s• J aiJ:
•��..ii:., OROVILLE• ,
t" CAL. 96868
.......+..•....,r er. .sem � �.a►.:.�... ....._.. . ..,....-r. e.x.��e._.t�•_^.sra- ..ear �