HomeMy WebLinkAbout078-130-029Wynoka Homes,, Inc. , ' �/jj r -7 93�" f" ® 2�
5777,. Via Qastana, lot 33,E V' €9a� De
•Cerro#l, Oroville
Permit #3926-77B(ne�gle �i,�ly
36-72-29
WANDA GILMAN
5777 Autrey, Oroville
Permit#2551-84B,E(convert port of garag
7 to bedroom/SF) 0
=� 36-72-29 '
Aermit#797-86B,g(new storage bid
conv stg to sewing room)
036-720-029 00-23.31 °
GILMAN, WANDA j
->
5777 AUTREY IN., OROVII,L
CONTR: OWNER
RE-ROOF'?
v
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036-720-029 00-2331
GELMAN, WANDA
5777 AUTREY LN., OROVILLE
CONTR: OWNER
RE -ROOF
COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION f
7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-7541 ��.PE�1T?N0�
(Rev. 12/96) APPLICATION AND PERMIT
ASSESSOR PARTIM.—.29
ZONING
BUILDING PERMIT
OWNER WAMA M
=41734
J
SO. FT. OCC. BUILDING VALUATION
25
5�G
OWNER'S MAIU5" l�p E A 1M JN 6 , ()ROy I Ir•, lit 959679 ,
CONTRACTOR'ft
TELEPHONE
CONTRACTORS MAILING ADDRESS
CONSTRUCTION LENDER
Fireplace
LENDER'S MAILING ADDRESS
Total Valuation $ 1,500
ARCHITECT OR ENGINEER
LICENSE NO.
$ 20.00
—FilingFee
Permit Fee $ 35.00
ARCHITECT OR ENGINEERS MAILING ADDRESS
Plan Checking Fee $
BUILDINGADDVs77 I��IZC,EY u\.UKW' ^^^__I�
'' ``
Energy Plan Checking Fee $
$
PERMIT FEE $ 55-00
LOT NO.
SUBDIVISIONS NAME
PARCEL MAP
PLUMBING PERMIT Filing Fee 20.00
Each Trap 7.0023.00
USEOFSTRUCTURE
SF ❑ Duplex ❑ Mobilehome ❑ Other
SPECIFY
Solar or heat um water heater
Water piping 15.00
Each gas water heater or vent 15.00
TYPE OF WORK
New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑
Describe Work: RE P%"
Gas piping system 1 - 5 outlets 15.00
Building sewer 15.00
Mobile Home I S I G I W 920.00
PERMIT FEE S
ELECTRICAL PERMIT Filing Fee 20.00
600V OR UE
Main Service zo..OR LESS 23.00
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter
9 (commencing with Section 7000) of Division 3 of the Business and Professions Code,
and my license is in full force and effect.8
License Class Lic. No.
OWNER -BUILDER DECLARATION
I 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 astheir 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
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
Policy Number
(The above sections need not be completed if 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, I shall
forthwith comply with those pro4isiops.
X _� �; �!. _ 9 Date ���
Signature o Applicant - ❑ Owned ntr%to ❑ Agent` %
An OSHA permit is required for excavations over 5'0" deep and demolition or construction
of structures over 3 stories in height.
Main Service zoo. TOL 46.
NEW CONST. DWELLINLi OCCUP. SO
U so
OR ADONS. ( a ACC. S.3.5¢FT;
EW
NO..ESID. ' MULTI.OUTLET 97,50
IR.
PSINGOUTLOWERLE APPARAET CI
zo @ Loo
Ex. Occup. OUTLET OR FDTTURES BAL @ .50
FOCED APPLNS. OR 5.00
Ex. Occup. ourLETs REs10. E.
Temporary Service 23.00
Mobile Home Facilities 20.00
Misc. Wiring 23.00
PERMIT FEE S
MECHANICAL PERMIT Filing Fee 20.00
Heating
Cooling
Hood 6.50
Ventilation
PERMIT FEE $
Mobile Home Installation Fee $
Energy Inspection Fee $
Occ
CONST. TYPE
TOTAL FEE $ 55.00
HAZ.
D. FEES IMP
FL000
CDF
I PARCEL
I PO
HD
SSUE
This permit is hereby issued under the applicable provisions
of the Butte 9punty Code and/or Resolutions to do work
indica ab for whi fees have been paid.
i /n
By (Dat lL
PERMIT EXPIRES ON %/
®ate
Receipt No.
WHITE-D.D.S.-B.D. CANARY -ASSES R PINK -INSPECTOR GOLDENROD -APPLICANT
t
t COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION
7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-7541 PE
(Rev. 12/96) APPLICATION AND PERMIT /),g PM
ASSESSOR PARC WMnO.
ZONING
BUILDING PERMIT
OWNER y'II�LVJJi�'. vlLl�'Ir'i 1
_,J:.;•H-°Y734
SO. FT. OCC. BUILDING VALUATION
o ti
25 -- v✓
.OWNERS MAID 7 S T 1f!') 7
%`� r�Ji .:�Y Lid. , O.OJ?LL,79 C[ 9593*0
CONTRACTOR'S/PJM
V lVLV��
TELEPHONE
CONTRACTORS MAILING ADDRESS
CONSTRUCTION LENDER
Fireplace
LENDER'S MAILING ADDRESS
Total Valuation $ 500
ARCHITECT OR ENGINEER
LICENSE NO.
Fee
$ 20.00
—Filing
Permit Fee
$ 5) . J0
ARCHITECT OR ENGINEERS MAILING ADDRESS
Plan Checking Fee
$
BUILDINGADORE -,L ., ,�. .y
5777 .,IJP _sY ? id. 9 0_.0\1T�LL3
Energy Plan Checking Fee
$
$
PERMIT FEE
$ 55.00
LOT NO.
SUBDIVISIONS NAME
PARCEL MAP
PLUMBING PERMIT
Fling Fee 20.00
Each Trap
7.0023.00
USEOFSTRUCTURE
SF ❑ Duplex ❑ Mobilehome ❑ Other
SPECIFY
Solar or heat um water heater
Water piping
15.00
Each gas water heater or vent
15.00
TYPE OF WORK
New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑
Describe Work: 22 r,.00F
Gas piping system 1 - 5 outlets
15.00
Building sewer
15.00
Mobile Home I S I G W
@20.00
PERMIT FEE
$
ELECTRICAL PERMIT
Fling Fee 20.00
Main Service 200A OR LESS
23.00
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter
9 (commencing with Section 7000) of Division 3 of the Business and Professions Code,
and my license is in full force and effect.FSI
License Class Lic. No.
OWNER -BUILDER DECLARATION
I 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
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
Main Service 200A TO 1000A
46.00
NEW CONST. DWELLING OCCUP.
OR ADDNS. ( a ACC. BInS.
sO
3.5QFT:
T.
NOµRESID. MULTI.OUTLET
07.50
NGLE O R OURiT CAPPA U
CIR. R
Ex. OCCu OUTLET OR FIXTURES
zo @ ,.00
BAL @ .50
Ex. Occup. oFimtTs R DEA.
5.00
Temporary Service
23.00
Mobile Home Facilities
20.00
Misc. Wiring
23.00
PERMIT FEE
S
MECHANICAL PERMIT
Fling Fee 20.00
Heating
Cooling
Hood
6.50
Ventilation
PERMIT FEE
$
Policy Number
(The above sections need not be completed if 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 provisi ns of section 3700 of the Labor Code, I shall
forthwith comp) with those ro Isio s.
2of
X to C2
Signature o Applicant - ❑ Ow o ❑ Age t
An OSHA permit is required for excavations over 5'0" deep and demolition or construction
of structures over 3 stories in height.
Mobile Home Installation Fee
$
Energy Inspection Fee $
occ
CONST. TYPE
TOTAL FEE $ 55. 00
HAZ.
D. FEES IMP
FLOOD
I CDF
I PARCEL
I PD
HD
ISSUE
This permit is hereby issued under
the Butte unty Code and/or
indica abAd for whicp fees have
By
PERMIT EXPIRES ON
the applicable provisions
Resolutions to do work
been paid.
/J�
Z� / // i
�t (��-'
ate
receiptNo. J I�
HITE-D.D.S.-B.D. CANARY -ASSES R PINK -INSPECTOR GOLDENROD -APPLICANT
(Rev. 12/96)
COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION
7 County Center Drive - Oroville, California .95965 - Telephone (530) 538-7541 PER IT
APPLICATION AND PERMIT - do " A03QQ
ASSESSOR PARCEL NUMBER
_-7401` (OZ
CJ
=ONNO
BUILDINGPERMIT
OWNERNEF
T � _ L
SO. FT. OCC. BUILDIN V LUATI N
OWNER'S MAILING ADDRESS
J
CONTRACTOR'
TELEPHONE
CONTRACTOR'S MAILING ADDRESS
CONSTRUCTION LENDER
LENDER'S MAILING ADDRESS
Fireplace
Total Valuation S
ARCHITECT OR ENGINEER
LICENSE NO.
Filing Fee S 20.00
Permit Fee S
ARCHITECT OR ENOWEERS MAILING
ADDRESS
Plan Checking Fee $
BUIL DING ADDRESS E5
-7 V u `
n.
Energy Plan Checking Fee S
S
PERMIT FEE
LOT NO.
SUBDIVISIONS NAME
PARCEL MAP
PLUMBING PERMIT Fling Fee 20.00
USEOFSTRUCTURE
SF ❑ Duplex ❑ Mobilehome ❑ Other
sPEoFY
Each Trap 7.00
Solar or heat pump water heater 23.00
Water piping 15.00
Each as water heater or vent 15.00
New ❑. Addition ❑
Describe Work:
TYPE OF WORK
Remodel ❑ Utilities ❑ Installation ❑
i
90 er ❑
1.{J
Gas piping system t - 5 outlets 15.00
Building sewer 15.00
Mobile Home I S I G W 020.00
PERMIT FEE S
ELECTRICAL PERMIT Fling Fee 20.00
Main Service 600V oa LE S 23.00
.
ReceiptNo. a�g[l
WHITE-O.O.S.-S.D.
•
" EYID
CANARY -ASSESS O PINK•INSPE
GOLDENROD -APPLICANT
Main Service zow TO 1000A 46.00
NEW CONST, DWE111NG OCCUP. 3.5QF7.
OR ADONS. ( IM.
BLOS.
NEW C NS MULTI.OVTLET
NON•RESID. @7.50
FS1 APPARATUS
8 SINGLE OUTLET CIF,
20
Ex. Occup. ovnEr OR FMTUAFS BAL ®1.50
Ex. Occup. ourLEeDTs AEa.1 E 5.00
Temporary Service 23.00
Mobile Home Facilities 20.00
Misc. Wiring 23.00
PERMIT FEE _
MECHANICAL PERMIT Fling Fee 20.00
-
—Heating
Coolin
Hood 6.50
Ventilation
PERMIT FEi_ S
Mobile Home Installation Fee $
Energy Inspection Fee $
occ
CONST. TYPE� TOTAL FEE $
HA2.
D. FE6 IMP
I FLo00
COF
PARCEL
1 PO
MD
6SUE
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.
By Date
PERMIT EXPIRES ON
ro
4
Attention Property Owner:
An "owner -builder" building permit has been applied for in your name and.bearing your
signature.
Please complete and return this information at your earliest opportunity to avoid
unnecessary delay in processing and issuing your building permit. No building permit will
be issued until this verification is received.
1., personally plan to provide the major labor and materials for construction of the
proposed property improvement: YES[` ] NO[ J.
2*I HAVE'] HAVE NOT[ ] sign6d an application for a building permit for the
proposed work.
3. I have contracted with thefollowing person (firm) to provide the proposed
construction:
NAME:
ADDRESS: CITY:
PHONE: CONTRACTOR'S LICENSE NO.
4. I plan to provide portions of this work, but I have hired the following person to
coordinate, supervise, and provide the major work:
NAME:
ADDRESS: CITY:
PHONE: CONTRACTOR'S LICENSE NO.
5. I will provide some of the work but I have contracted (hired) the following persons to
provide the work indicated:
NAME ADDRESS PHONE TYPE OF WORK;;:
DATE:
NOTE: This owner -Builder Verification is required by Section 19831 and
19832 of the California Health. and Safety Code.
This verification must be completed and returned to our office before ..
we are permitted to issue the permit.
OVER
Dear Property Owner:
An application for a building permit has been submitted in your name listing yourself as the builder of
property improvements specified.
For your protection, you should be aware that as "owner -builder" you are the responsible party of record
on such a permit. Building permits are not required to be signed by property owners unless they are personally
performing their own work. If your work is being performed by someone other than yourself, you may protect
yourself from possible liability if that person applies for the proper permit in his or her name.
Contractors are required by law to be licensed and bonded by the State of California and to have a
business license from the city or county. They are also required by law to put their license number on all permits
for which they apply.
If you plan to do your own work, with the exception of various trades that you plan to subcontract, you
should be aware of the following information for your benefit and protection:
0 If you employ or otherwise engage any persons other than your immediate family, and the work (including
materials and other costs) is $300 or more for the entire project, and such persons are not licensed as
contractors or subcontractors, then you may be an employer.
0 If you are an employer, you must register with the State and Federal Governments as an employer and you are
subject to several obligations including state and federal income tax withholding, federal social security taxes,
workers compensation insurance, disability insurance costs, and unemployment compensation contributions.
0 There may be financial risks for you if you do not carry out these obligations, and these risks are especially
serious with respect to worker's compensation insurance.
0 For more specific information about your obligations under Federal Law, contract the Internal Revenue
Service (and, if you wish, the U.S. Small Business Administration). For more specific information about your
obligations under State Law, contact the Department of Benefit Payments and the Division of Industrial
Accidents.
If the structure is intended for sale, property owners who are not licensed contractors are allowed to
perform their work personally or through their own employees, without a licensed contractor or subcontractor, only
under limited conditions.
A frequent practice of unlicensed persons professing to be contractors is to secure an "ownerbuilder"
building permit, erroneously implying that the property owner is providing his or her own labor and material
personally. Building permits are not required to be signed by property owners unless they are performing their own
work personally.
Information about licensed contractors may be obtained by contracting the Contractors State License
Board in your community or at 1020 N Street, Sacramento, CA. 95814.
Please complete the "Owner Builder Verification" on the reverse side of this form so that we can confirm
that you are aware of these matters. The building permit will not be issued until the verification is returned. .
Sin'clirrel , `
Michael C. Vierra, C.B.O.
Manager, Building Inspection
NOTE: This Owner -Builder Information is required by Section 19830 of the California Health and Safety Code.
OVER
inside,)
5
L. i 797-86B -E
PERMIT NO.
• PERMIT EXPIRES ZY7
a`
• ,:tea
d a
OWNER WANDA'tWILMAN
CONTR. owner..;
ASSESSOR PARCEL 5777 Autrey Ln, Oroville
I-OrATMN
Signature
I
i
t
�r
1�
4
i
Temp. Power I
Called P(
Temp. Elec. S
Called P(
iy
Temp. Gas Sei
�f
Called PG
JOB FINALE[
Signature
I
� = OK
0 = Not OK
= Not Applicable MOBILEHOMES
* = Not Ready
MISCELLANEOUS
Date
MOBILEHOME UTILITIES (Plans) OK except N's
1. Zoning Requirements -Setbacks -Easements
Date
DECKS, COVERS, CARPORTS, ETC. (Plans) OK except #'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.-Shing.-Rfg.-Bracing
5. Electricity; Location-Clearances-Grnd.-/ / Amp -Concrete
5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures
6. Gas; Locatiort-Test-Wrap:/ /"L"ft./ /"Nat. or/ /"L"ft./ /"LPG
6. Carports; Windows -Doors
7. Utility Clearance
_
7. Elec.
t
Card -BI
Date Card -BI Date
Card -BI
Date Card -BI Date
Card -BI
Date
Date Card -BI Date
MOBILEHOME INSTALLATION (Plans) OK except #'a
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/O 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
10. Cert. of Occupancy
9. Health Department Approval
10. Plumb; Cir. Test -Water Supply Test
Card B-1
Date Card -BI Date
Card -BI
Date Card -BI Date
Card B-1
Date Card -BI Date
Card -BI
Date Card -BI Date
r ',
V = OK
0 = Not OK
- = Not Applicable RESIDENTIAL (Single and Duplex)
= Not Ready
Date
(NOTE: Anentrymust
UNDE OOR Plans OK exce t#'s
Date FRAMING (Continued)
Zoning requirements -Setbacks -Easements
48.
Property Line Firewall & Openings
2.
- lec. Grnd.- / /" Fig. Depth
49.
Ext. Doors -One 3' -Check Garage -3rd story, 2 exits
oils -Steel- / Fig. Depth
50.
Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection
4.
-Steel- / /'' Fig. Depth
51.
Plywood on Roof Overhang -Attic Vents -Rafter Outriggers
5., outs-Wrapped-S1ab
52.
Siding -Nailing -Veneer
temwalls, C,arap8; Sheet-BloGkedts-Wrapped-S
53.
Stucco Mesh -Drip Screed-Fdn. Vents-Underflr. Access
_
7.
-
54.
Glazing Area -Glass Protection -Skylights -Plastic
8.
- - -2 way C/O -Sewer Test
.
Shear Walls; Nailing -Bolts
s.
-
r
10.
rs-Regulator-Service Test
d"
11
12.19144smoidwis
-A earance-Material-Support-Ins.
13.
- - nc or olts-Joists-Vents-Cripples
Card -BI
Date Card -BI Date
Card -BI
Date Card -BI Date
Card -BI
Date Card -BI Dale
Card -BI
A
Date - t.r Card -BI Date
Date FINA lans) OK except #'s
Card -BI IQ Date Card -BI Date
Date
PLUMBING (Permit) OK except #'s
Ext. Steps -Door & Sidelight Protection -Landings
&fSmoke
Detector
Water Ht.; Vent -Access -Combustion Air
.
Furnace; Vents -Clearance -Comb. Air -Connector -
In Garage; Above Floor-Ducts-Mech. Protection
Z14.
15. Water Pipe; Test & Anchors -Nail Protection
16.
D.W.V.; Test-Fttngs & Anchors -Nail Protection
g
_
17.
Shower Pan; Test, First Floor -Tub Access
fixtures & Tub Access
18.
Test Tub & Shower, 2nd Floor -Tub Access
Elec. Trim & Subpanel; Breaker Sizes -Labels
_
19.
Gas Pipe: Size & Anchors
it s
Card -B1
-
Date Card -BI Date
68
Fic@pk+ee-or Stove; Clearances -Hearth
let. Outlets at Wood Panel; Int. & Ext.
asFixi.
° Appliance; Grnd.-Air Gap -Cooking Clearance
Card -131
Date Card -BI Date
6
Receptacles at Kit. Counter
Date
ELECTRICAL Permit OK except #'s
6ar-On
age fLke or; Swing -Landing -Closer
6
rage -Damper
--
_
20.
21. _Flet.
22.
Fixture & Transformer Clearance -Ins. Protection
Receptacles Spacing -Lights &Switches at Doors
Size Boxes & No. of Conductors -Stapled
B9-'711T'Vents-Clearance-Comb.
Air-Connector-P.R.V.-
In Garage; Above Floor-Mech. Protection
7g--r}ff-�-Mc.
& Mech. Equip. Listed for Location
74"{
e. Reeeptacles in Garage; (G.F.I.)-Romex Protec.
23• Romex Installed Close to Edge of Studs & C.J.
-
_
Card B -I
Card B -I
_
24. Equip. Ground made up w/Mech. Fasteners -Bond Gas &Water
25. 2 Appliance Circuits in Kitchen & Conductor Size
26. Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / / ga. Cu or Al
27. Range Circ. / / ga. Cu or AI -Oven Circ. / / ga. Cu or Al,
Insulated Neutral -,Yes �]No
_28. Service -Riser Conductors & Ground -Main Disconnectucco;
29. Equip. Clearances; Panels-Motors-Mech. Equip.
30„ Clothes Closet Light -Shower Light -
rt� ��-- -
(2�7Date y 7r4 _ Card -B IDate
Date Card -BI Date
7 .
Insulation -Foam -Looked in Attic ❑Yes
7ails
&Deck Construction -Post Caps
7
ents & Crawl !-tole Door -Drainage & Wood -Earth Clearance
Loo ed under Floor El Yes _
Following instld.: Drive es []No; Walks Yes ❑ No;
Planters El Yes ❑No
Brown -Finish
nrt; Disconnect-Clrnces-Brkr. & Cond. Size -115V Outlet
:;ents
7
7 .
Above Roof; Plbg.-Appliance-Firepl.-Clearance to Opngs.
r ell; Disconnect, Electrical, Plumbing
8
xterior Elec. Trim; G.F.I. Receptacle -Underground
ent•lation throughout House
lass Protection
DateMECHANICAL
(Permit) OK except q's
_
86. Corrections from Previous Inspections
SAr- ns -Test -Meters Tagged; Gas -Electric
Card -BI
Card -BI
31.
32.
33.
34.
35.
A.C. Ducts_ Insulation &Support
Vent Fan: Exhaust above Insulation__ -
_Condensate Drain _& Overflow; Size &Grad e _
Furnace -Vent: Access -Comb. Air -Return Air Vent -115V outlet
Attic Access & Platform if Furnace in Attic
_ --- -�-- - _----- _ -Card-BI
Date Card -BI _Date _
Date Card -BI Date
Sewer Connected -C/O to Grade -HD Approval
86,
Energy Compliance Certificate -Other Certificates
-
Date Qi and -BI Date
Card -BI
Date Card -BI Date _
Card -BI
Date Card -BI Date
Date
FRAMING(Plans) OK except #'s
36. Sills; Proper Material & Anchors
37. Walls: Studs -Nailing, Spacing & Bracing -Plates -Sound
38. Bearing Walls over Girders & Floor Nailing
39. Draft Stop in Walls (rat proof)
40. Fire_Stops: Furred Ceilings-Stairs-C_ha_s_e_s-Tub
Comments at Final:
_
_
41.
42.
43.
44.
45.
46.
47.
Header & Beam -Size & Bearing
Hangers -Post Caps -Anchors -Connectors
Cing. Joist-Rfir. Ties-Purlin-Roof Brac.-Truss-Shthnq.-Rfng.
Fireplace Ties or Type A Flue -Fireplace Throat
Attic Access: Size & Romex Protection -Draft Stop -Ins. B_a_ffles
Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions
Garage Fire Protection Framing -
raming
(NOTE:Anentrymust be made each time youvisit jobsite)
Q
a ~~ COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT NO
71County Center Drive - Oroville, California -9595 - Telephone 916/534-4541
APPLICATION AND PERMIT
ASSESSOR PARCEL NUMBER
36 — _ 9'
ZONI G
/
BUILDING PERMIT
OWNERiTELEPHONE
W4tV 04 61L w4 -1t)
SO. FT. OCC. BUILDING VALUATION
To
o1� co D
OWNER'S MAILING ADDRESS
^^
AU
CONTRACTOR'S NAME
tO W4)
TELEPHONE
CONTRACTOR'S MAILING ADDRESS
Fireplace
CONST UCT t,r,FENDER
UNKNOWN
Total Valuation $
Filing Fee
$ 10.00
LENDER'S MAILING ADDRESS
Permit Fee
$
ARCHITECT O!� �rtyGINEER
LICENSE NO.
Plan Checking Fee
? l
Energy Plan Checking Fee
$
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Penalty
$
BUILDING ADDRESS 77.
Permit fee
$
PLUMBING PERMIT
Filing Fee 10.00
Each Trap
2.00
pL�
Solar or heat pump water heater
20.00
LOT NO.
SUBDIVISION NAME
PARCEL MAP
Water piping
5.00
Each qas water heater or vent
5.00
USE OF STRUCTURE
SF ❑ Duplex❑ Mobilehome❑ Other 1 1�—; qD <5-)EW1fV6-
SPECIFY
Gas piping system 1 - 5 outlets
5.00
Building sewer
5.00
Mobile Home S G W
0.00 ea
TYPE OF WORK
NewK Addition❑ Remodel❑ Utilities❑ Installation❑ Other ❑
Describe work: -FPL9GF,__ !wc— &J44,
41- & V,J6
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
CONTRACTORS LICENSE LAW
I declare under penalty of perjury (check one):
❑ I am licensed under provisions of Chapt. 9, Div. 3 of the Bushes$
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 CONST. DWELLING Occ 3•�
New CONSTR.� ACC,i h¢sgft
MULTI-OUTLET
NON.RESID BRANCH CIRC ITS 2.50 ea
POWER APPARATUS &)
SINGLE OUTLET CIR.
EX. OCCUp(OUTLETS OR FIXTURES 2AL0 0O30
1.200030
FIXED PR
EX. Occup. OUTLETS (RESID )EA.7 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
I 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 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 County of
Butte to enter upon the above-mentioned p per for inspection purpo es.
I also agree save, Inde ify and ke p a1 ess the County of Bu a ag
all i iliti judgment cos d pe es which may in y a e
19 6`4 i is
X _ Date y
Signature of Applicant — Owner Contractor ❑ Agent ❑
An OSHA permit is required for excavations over S' e p an demolition or construct-
ion of structures over 3 stories in
Mobile Home Installation Fee
$
Energy Inspection Fee $
TOTAL PERMIT FEE $
occuP,
coNsr.rrPE
FLO1PA7
EL
/
PD ND
149UE
This permit is hereby issued under
sions of the Butte County Code and/or
work indicated above for which
DIRECTOR OF PUBLIC
By
P IT EXPIRES Date
the applicable provi-
resolutions to do
fees have been paid.
WORKS
Date—/0—��
%
"7 O
/�—
//heights.
Receipt No. a '-h5^3d —
WHITE-D.P.W., YELLOW-ASSCSSOR, PINK-INSP OR, GOLDENROD -APPLICANT
_ COON�:Y"OF BUTTE - DEPARTMENT OF PUBLIC WORKS - BUILDING DIVISION
7 tOLINTY CENTER DRIVE - OROVIL'LE,'CALTM(N1*95965 - TELEPHONE: 916/53411541
y. PERMIT APPLICATION `DATA SHEET V
t•" Permit No. C
OWNER �!/tJDf} ls�C,Gk�iAf4J 9 A. P. No.
Proposed Building UseiwG
Permit Fee Based Upon: O,omplete Contract Price DPW Valuation
Other (Explain)
Building Inspector Date 41`�`��
At time of permit application, I was advised the following data must be submitted prior to permit processing
and/or Issuance: DATE RECEIVED APPROVED
1. All items have been submitted. . . . . . . . . . ...
2.. Plot plans i�r�du Icate triplicate. . . . . . . . . . .
i Complete plans Incate/tri.plicate.
U41 Complete engineered plans and calcs. . . . . . . . . .
5. Plans with Energy Design Compliance Statement. . . . . .
6. CUSD "Fees Paid'' Stamp on Floor Plan . . . . . . . .
7 Statement of Intent for Non -Heated and AC Buildings.
8. ees of $
Letter of signature authorization. . . . . . . . . .
S nitation approval from Health Dept. . .
11. Planning approval for (A) Use: (B) Parking:
12. Certificate of Workmen's Compensation Insurance. . . . . .
13. Contractor's License Information (no., name style, classif.)
Owner -Builder Verification (Given to owner❑, Mail to owner ❑ ) u2 14-4 �o*w� I!�/
Improvements may be required. . . . . . . . . . . .
16. Mobilehome Installation Data. . . • . . .
17. Pre -Inspection for Required- BuildingPre-inspIn request to (Dote)
p q Building Inspector
18. Recorded- f A It al Acknowledgment Statement
19. OtherDRl� 7� PEt f��onstruction approval rogUied' prior to occupancy
When fou issue the permit, process as follows: Mail to owner. Mail to contractor.
4 ✓ Telephone S3`�"37�� and hold for pickup at d2� office. Deliver w/inspector.
Other
A p p I i c a n t ate
Copy of plans sent Health Dept., Fire 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 Telephone Mail Other
By Date
Plans checked by.
Plans approved by
Other
Copy—DPW
Date
Date
COUNTY OF BUTTE - Department of Public Works
7 County Center Drive, Oroville, CA 95965 Phone: 916-534-4541
OWNER -BUILDER VERIFICATION
Attention Property Owner:
An 'owner -builder" building permit has been applied for in your name and bearing
your signature.'
Please complete and return this information at your earliest opportunity to avoid
unnecessary delay in processing and issuing your building permit. No building permit -
will be issued until this verification is received.
1. I personally plan to provide the major labor and materials for construction of
the proposed property improvement (yes or no)
2. I (have/� signed an application for a building permit
..for the proposed work.
3.
I have contracted with the following person (firm) to provide the proposed
construction:
Name
Address
Phone Contractors License No.
4. I plan to provide portions of this work, but I have hired the following person
to coordinate, supervise, and pr *d th ajor work:
Name �� ( J
Address
Phone Contractors License No.
5. I will provide some of the work but I have contracted (hired) the following
persons to provide the work indicated:
- Name Address -Phone Type of Work
S igned :
Property Owner
Social,Sec rityq umber
Date z z --
NOTE: This Owner-Builder,Verification is sent to you as required by Sections 19831 and
19832 of the California Health and Safety Code.
This verification must be completed and returned to our office before we are per-
mitted to issue the permit.
'4
• � J
A setback of 5 ft. from the
property lines and a setbacks
of
cei
5ott. trom Tne rucju
terline shall be clear of q;Q/zud_ - A W5,
Z3S str
ctures or equipme a •°' ', /
o ✓EYz %y `/
-��:f
- Su of f"el eere7 defal of frusses
ual- - rior
-PP�'� p
I fa
H
� V
-- -
— �M� get-rvf-plans-anz1 s eci ica ions MUS I be
kept on the job at all times and it is unla Ito
make-any-changeror-aiterations on same i ou
'
written permission from the Depar_Fment of obit¢
VOAS.-County-of -Bu#e.
P2.1
-
I�.DI G DEPARTMENT
.
--` --- - P R O V E -fl-=
-
-
_
Gc1ale - �A
r
'(1f 11C711 .i1 .2 to .!.)sdJ92 A
i 71 D fTCr- TO
E;J P5412
TulsricilLIP9 10 zqlufD,
It2
-DrIzAlTio �,Jvrzl \'
'to
jnvQ3qQb 101
T 2umanoti-cuiltimi,
RQ
10 1
noimmiqq rt
qAj moi ,I
19
VTVI to� 1711 N
�Pl u1 a
•
Provide Y/2' x 10"'a ncho'r bolts
@ 6' O.C. max. and within
12" of joints. 2 �-T s r«
1f i rr
i
j
i
t
• 1
I
FA 9 Materials �r Workm
8�c.o.
I Qu prescribed for the S
Unifarm Edi.agElumb.insjtMpE
she National Electrical Code.;
nship Show
eci•Fied use in the
- n:l_C--o-s.,
i
E UNTO
{# Is U1 - ,ARTMENI
APPROVED,
i
F,
riy, r : ,t, Tx �a •
.96o' I z. 3! CM eA4
ot k
PERMIV'Nd' 3926-77B
PERMIT EXPIRES
OWNER Wynoka Homes, Inc.
CONTR. owner
LOCATION (A.P. 3�-77-19 1
5777 Via Castana, lot 33, Vista Del Cerro#l,
r
i
Temp. Power Pole
Called PG&E
Temp. Elea. Serv. Z `7ov
Balled PG&E /A/,
Temp. Gas Serv.
Called PG&E L/
/0,Br�
FINALED� �� 7�
(Date)'
(Signa r
Bond Beam I rFIRE SPRINKLERS I Motors \
Framing — Z•%
COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS
BUILDING INSPECTION RECORD
r
Water Htr.
BUILDING BUILDING (Cont'd)
Final
PLUMBING
Setback
0 0 Firewall Z
Soil Piping
MECHANICAL
Forms
Parapets
1st Floor
Service
Main Bldg.
Restroom Finish
2nd Floor
Finish
Footings
? Windows
3rd Floor
Stemwall
Siding
To out
ellf j2 7�
Slab
3 Roof Sheathing -6
Water Piping
Piers-74"Roofing
—%��
Sewer
C"`
Garage
Fdn. Vents
Fixtures
Footings
StemwaI l
=:,,I Garage Vents '`
Insulation
Water Htr.
Heaters
Slab
Carport
Footings
Prov. forph sically
handica ed
Conformance of ex
structure
A liances
Gas PI In & Test A-%
Temp. Gas
Slab
Final
Sanitation
Patio
FIREPLACE
Final
Footings
Footina
ELECTRICAL
Masonry Walls
Throat I
Rounh
c / O " i 1;r- P -91 -
Bond Beam I rFIRE SPRINKLERS I Motors \
Framing — Z•%
Test
r
Water Htr.
Stucco
Final
Subpanels
Mesh
MECHANICAL
Grd. Fault Prot.
Scratch
Heating
Service
Brown
Cooling
Temp. Pole
Finish
Ducts
Underaroun A
Interior Lath 1,Ventilation Z( { a 1 Perna r—
Door Closer I Final Final
MOBILEHOME UTILITIES ------------------ Elec. Service Elec. P destal
Water Piping Sewer Gas Piping
BI E OME INSTALLATION - - - - - - - - - - - - - - Support Elec. Continuity
Water Piping Drainage Gas Piping
DATE
REMARKS OR CORRECTIONS
01
5X ry Gl3� � 7N
I
(NOTE: An entry must be made on this form each time you visit the job site.)
THIS IS TO CERTIFY THAT INSULATION HAS BEEN INSTALLED IN CONFORMANCE WITH THE CURRENT REGULA-
4TIONS, CALIFORNIA ADMINISTRATIVE CODE, TITLE 25, STATE OF CALIFORNIA, IN THE BUILDING LOCATED AT:
Street Lot Number Tract No.
EXTERIOR WALLS /' � t
Manufacturer (�!��-��'�Thickness/Type /Z R Value
CEILINGS
Batts: Manufacturer Thickness R Value
Blown: Manufacture,- J--��/��� Thickness S No. Bags '7 3 Wt./Bag
FLOORS
Sq. Ft. Covere
10 R Valu
Manufacturer Thickness/Type R V
SLAB ON GRADE
Manufacturer Thickness/Type R Valu, -
Width of Insulation inches
FOUNDATION WALLS
Manufacturer // Thickness/Type R Value
%�li�.. •�� -
GENERAL C/ONTRACTOR�4 ,file LICENSE No. / IEZ . SIf-'
BY �/� / TITLE — DATE/ 2 217d'
INSULATION CONTRRAyC�,TOOR` HAWKIN'S INSULATION CO. LICENSE No. 215-925
BY� J ,LL/U'"t,, TITLE DATET7/��'
J, LOAA5 ---
_ COUNTY OF BUTTE i- DEPARTMENT OF PUBLIC WORKS
7 County Center Drive - Oroville, California 95965
Telephone: 5344541
APPLICATION AND PERMIT
,Ac26 -- 7 7
authorize representatives of the County of Butte to enter upon the
above-mentioned property for inspection purposes. G
X Date 4 - 2
gnature of Permitee orAge t
Receipt No. 4
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. /
IR R OF PUBLIC WORKS
Date
Building permit expires Date
BUILDING
Owner O M S
SQ. FT. OCC. BUILDING VALUATION
Mailing Addressr Vs s a k d
ofZQ L -
Tele hone N
Fireplace
Contractor AA
Total Valuation
Mailing Address
Permit Fee
Plan Checking Fee&/or Penalty
Telephone No.
Permit Fee —
is
Building Address -- A-53,FL �
PLUMBING No. @ FEE
PERMIT FILING FEE 1$3.00
Each Trap 1.50
URepair
drainage or vent piping 1.50
Water piping 1.50
tonin 1�r'f'c 7 my
- /-
Each gas water heater or vent 1.50
A. P.Npl.
Fees S�i ion Fire Dept. FireZone
�Z I .a n.
Use Permit
Gas piping system 1 - 5 outlets 1.50
Each additional outlet .30
Building sewer 5.00
EQA Parking
Plans
Parcel
Declaration
Parce3 a p
60' R/W
ImprovementsLawn
sprinkler system 2.00
-Sley,-
Bldg. Plans Recd
Parcel Approval
Plans Approval
Permit Fee $
$
NEW ADDITION ❑ UTILITIES ❑ OTHER ❑
ELECTRICAL No. @ FEE
PERMIT FILING FEE $3.00
C
Main service soov OR LESS 5.00
100 AMP OR LESS
Main service EA. ADD'L 100 AMP 2,50
Single Family ® Duplex ❑ Mobil Home ❑ Others ❑
Main service 00 AMP OVER OR LESS 25.00
Main service EA. ADD'L 100 AMP 1.00
NEW CONST*
OR ADDNS. ( DACCLBLDGS,LING CCUP, &) 20sgft
NEW CONSTR, MULTI -OUTLET
NON-RESID, BRANCH CIRCUITS) 12.50ea
NEW CONSTR. POWER APPARATUS &
NON-RESID, (SINGLE OUTLET CIR,
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:
�il>VAVC)kl4 4011A ES LN C
Ex. Occup(OUTLETS OR FIXTURES) BAL29
Ex. Occu FIXED APPLNS. OR
p• OUTLETS (RESID.) EA) 2.00
Temporary service 10.00
Mobile Home Facilities 15.00
•-'❑License No.Classification R-
Misc. Wiring 6.25
E]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.
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.
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
MECHANICAL N0.1 @ FEE
PERMIT FILING FEE J$3.00
Heating
Cooling
Ventilation
Hood 2.00
Permit Fee $
LD /VI T ,os, las
p
$ 0 8
TOTAL PERMIT FEE
$
authorize representatives of the County of Butte to enter upon the
above-mentioned property for inspection purposes. G
X Date 4 - 2
gnature of Permitee orAge t
Receipt No. 4
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. /
IR R OF PUBLIC WORKS
Date
Building permit expires Date
ON
NOTE:—All Materials & Workinanship Shall Be in
Accordal,Le with Recognized Good Practices and ;
of a quul'ty prescribed for the Specified use in the
Uniforra Building, Plumbing & Mechanical Codes and
the National Electrical Code. .
67oo This set of plans 8"4151"i ' MUST be
_kent_on-j!,v •ob .at_a!Uim s -a id -it is unlawful to
make any changes or alteratio is on same without
writrton permission from the C apartment of Pub-
lic Works, County of Butte.
t4
0
S
P,40 61,1= 1/ 2',6�. 5 �b
N
The Bldg. Setback shall be 5 ft. from the
side property line and 50 ft. from the
cente.' ine of the road, permitting a maxi-
murn oi r. 2 ft. eave overhang but entirely
Sl ���39�� -7 7\
V15;rA DEL cERRO BUTTE ��
UMI T AIR_/
SUBDIVISION CITY COUNTY LOT NO.
/V 9UP84NK
SEWER JOB NO.
0 w/ QHOMES,INC. )"= 15,_0
WATER- 3 P.O. BOX 16 SCALE
oG. FE.`Y OROVILLE,
GAS kys N'0 0.=.
R 6. E E. .'., CAL.95SE5
ELECTRIC�� e
I�
00
Qa a III'
.v 7rZ^e lea
' 80
See Master 1an on file"for building
;
i plans: 4 120'e
s_L_
io oUE
Coy c, ID&
-
4700
P20�ERTy/NE
s�oEwa�.�
Q 1 1:36COUNTY
V14 C4 5 TAN4
4 of, 611J. ZPARTMU
r /APPROVED
V15;rA DEL cERRO BUTTE ��
UMI T AIR_/
SUBDIVISION CITY COUNTY LOT NO.
/V 9UP84NK
SEWER JOB NO.
0 w/ QHOMES,INC. )"= 15,_0
WATER- 3 P.O. BOX 16 SCALE
oG. FE.`Y OROVILLE,
GAS kys N'0 0.=.
R 6. E E. .'., CAL.95SE5
ELECTRIC�� e
I�
I
COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS
7 County Center Drive — Qroville, California 95965 / —77
% '�%
Telephone: 534-4541 c/1ni / /
APPLICATION AND PERMIT
aut"Ofze fuPfusCntaiives o1 the County of Butte to enter upon the
above-mentioned pr perty for insp ction purposes.
v
X Date
Signature of Perrwirteelvr g
Receipt No. ju
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.
ODIPU13LIC WORKS
7C111&—B BYDate
—BoWding permit expires Le
BUILDING
OwnerWnoka Homes
SQ. FT. OCC. BUILDING VALUATION
Mailing Address
Telephone No.
Fireplace
Contractor Fox Electric
Total Valuation
Mailing Address 3995 Olive Hwy.
Permit Fee
Plan Checking Fee&/or Penalty
Oroville 95965
Tele hone No.
573- 2730
Permit Fee $
Building Address 5777 Via Castana, Lot 33, Unit #1,
PLUMBING No.1 @ FEE
PERMIT FILING FEE $3.00
Orovi a
Each Trap 1.50
Repair drainage or vent piping 1.50
Water piping 1.50
Each gas water heater or vent 1.50
A. P. No. 36-21-19
Zoning & Planning
Gas piping system 1 - 5 outlets 1.50
Each additional outlet .30
F
zawi�a�+ea-
Fire Dept.
Fire Zone
Use Permit
Building sewer 5.00
EQA
Parking
Plans
Parcel
Declaration
Parcel Ma P
60 ' R/W
Improvements
P
Lawn sprinkler system 2.00
B
Parcel Approval I
Plans Approval
Permit Fee $
$
NEW ❑ ADDITION ❑ UTILITIES E] OTHER
ELECTRICAL No. @ FEE
PERMIT FILING FEE $3.00 3.00
Electrical for Permit #3926-77
Main service 800V OR LESS
100 AMP OR LESS 5.00
Main service EA. ADD -L 100 AMP 2.50
Single Family Duplex ❑ Mobil Home ❑ Others ❑
Main service 1100EAMP OR LESS 25.00
Main service EA. ADD•L 100 AMP 1.00
NEW CONST. ( DWELLING OCJC7,T6 &) 22sgft 30.50
OR ADDNS. ACC. BLDGS.
NEW CONSTR. MULTI.OUTLET
NON•RESID. BRANCH CIRCUITS) 2.50ea
NEW CONSTR. POWER APPARATUS &)
NON.RESID. (SINGLE OUTLET CIR.
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:�
Ex. Occup(OUTLETS OR FIXTURES) BAL@2514t
EX. Occup. FIXED APP LNS. OR
P•(OUTLETS (REBID.) EA) 2.00
Temporary service 10.00
Mobile Home Facilities 15.00
License No.Classification �
Misc. Wiring 6.25
❑ I am exempt from the Contractors License Laws of the State of California.
Permit Fee $ 33.50
$
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
forWrkmen's Compensation.
have placed on file with the County of Butte a certificate of
orkmen'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
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
TOTALPERMIT FEE
$ 33150
aut"Ofze fuPfusCntaiives o1 the County of Butte to enter upon the
above-mentioned pr perty for insp ction purposes.
v
X Date
Signature of Perrwirteelvr g
Receipt No. ju
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.
ODIPU13LIC WORKS
7C111&—B BYDate
—BoWding permit expires Le
COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS
7 County Center Drive — Urpville, California 95965 / -77
Telephone: 534-4541
APPLICATION AND PERMIT
— •�r•��••••••••••••, , aw vvuiay vuu uc av cnaci uNvn uic
above- nti ed property for ins ection purposes.
X Date
Signature of Permitee orAAgent
Receipt No. I�D�?
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.
DI&EGTOR OF PUBLIC WORKS
By Date IQ
I. -permit expires Date
BUILDING
Owner Wq no
SQ. FT. OCC. BUILDING VALUATION
Mailing Address
Telephone No.
Fireplace
Contractor
JkS_Total
Valuation
Mailing Address
Permit Fee
Plan Checking Fee&/or Penalty
Tel phone No.
2
Permit Fee $
Building Address
PLUMBING No. @ FEE
PERMIT FILING FEE $3.00
Each Trap 1.50
VI
Repair drainage or vent piping 1.50
Water piping 1.50
i—V 33 1 / v t C1
Each gas water heater or vent 1.50
A. P. No. 7
3 _ �''' /
Zoning & Planning
Gas piping system 1 - 5 outlets 1.50
Each additional outlet .30
F
Fire Dept.
Fire Zone
Use Permit
Building sewer 5.00
EQA
Parking
Plans
Parcel
Declaration
Parcel Ma P
60' R/W
Improvements
provements
Lawn sprinkler system 2.00
BI P s Recd
Parcel Approval
Plans Approval
Permit Fee $
NEW ❑ ADDITION ❑ UTILITIES ❑ OTHER
ELECTRICAL No. @ FEE
PERMIT FILING FEE $3.00
Main service BOOV OR LESS
100 AMP OR LESS 5.00
Main service EA. ADD'L 100 AMP 2.50
Single Family Duplex ❑ Mobil Home ❑ Others ❑
OVER 600V
Main service 1100 AMP OR LESS 25.00
Main service EA. ADD•L 100 AMP 1.00
NEW CONST. DWELING
OR ADDNS. ( ACCLBLDGS.CCUP. &) 2¢sgft
NEW CONSTR. MULTI.OUTLET
NON-RESID. (BRANCH CIRCUITS) 2.50ea
NEW CONSTR. (POWER APPARATUS &
NON -RESID. SINGLE OUTLET CIR.
CONTRACTORS LICENSE LAW
I am licensed under the provisions of Chapter 9, Div. 3, of the
StWoa.11irnia Business &Prof ssions C de under the name
St
Ex. Occup(ourLETs OR FIXTURES) @�BAL�1 CqFIXED
APPLNS. OR
Ex. Occup.(OUTLETS (RESID.) EA) 2.00
Temporary service 10.00
Mobile Home Facilities 15.00
License No./ gg
•,�-�� �� Classification ! J� U
MISC. Wiring 6.25
❑ 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.
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 @ FEEPERMIT
FILING FEE $3.00 i00
Heating
Cooling U a O
Ventilation
Hood 2.00
Permit Fee $
$ D
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
TOTAL PERMIT FEE
$ �(
— •�r•��••••••••••••, , aw vvuiay vuu uc av cnaci uNvn uic
above- nti ed property for ins ection purposes.
X Date
Signature of Permitee orAAgent
Receipt No. I�D�?
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.
DI&EGTOR OF PUBLIC WORKS
By Date IQ
I. -permit expires Date
COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS
7 County Center Drive — Urgville, California 95965
Telephone: 534-4541
APPLICATION AND PERMIT
W-7 7
authorize representatives of the County of Butte to enter upon the
above-mentioned property for inspection urposes.
11<101J, ZDate �'- 22 2
Signature of Permitee or Agent
Receipt No. =::M
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.
By /��' DIRECjOF� OF PUBLIC WORKS � _
Vj�/j/// 5 Date -
permit expires Date E-- 18-'?
BUILDING
Owner
,6
SQ. FT. OCC. BUILDING VALUATION
Mailing Address
Telephone No.
Fireplace
Contractor
Total Valuation
Mailing Address
Permit Fee
Plan Checking Fee &/or Penalty
�(
�e /
Permit Fee $
Building Address 6_PLUMBING
No. @ FEE
PERMIT FILING FEE $3.00 60
Each Trap 1.50 L2 .150
_
44�Water
Repair drainage or vent piping 1.50
piping 1.50
-49 na I--%
Each gas water heater or vent 1.50 ^�
T, �(Q_ g/
A. P. No C
Zoning & Planning
Gas piping system 1 - 5 outlets 1.50
Each additional outlet 30
F-
Fire ept.
Fire Zone
Use Permit
Building sewer 5.00
EQA
Parking
Plans
Parcel
Declaration
Parcel Map
60' R/W
Improvements
Lawn sprinkler system 2.00
pons a dv
I Parcel Approval
Plans Approval
Permit Fee $
$
NEW ❑ ADDITION ❑ UTILITIES ❑ OTHER
ELECTRICAL No. @ FEE
PERMIT FILING FEE $3.00
Main service 601V OR LESS 5.00
100 AMP OR LESS
Main service EA. ADD•L 100 AMP 2.50
OVER 600V
Main service 100 AMP OR LESS 25.00
Single Family / Duplex ❑ Mobil Home ❑ Others ❑
Main service EA. ADD -L too AMP 1.00
NEW CONST. DWELING
OR ADDNS. ( ACCLBL GS.CCUP. &) 2¢sgft
NEW CONSTR. MULTI -OUTLET
NON.RESID. ( BRANCH CIRCUITS) 2.50ea
NEW CONSTR. (POWER APPARATUS.&J
NON-RESID, (SINGLE OUTLET CIR.
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:
e
@te
Ex. Occup(OUTLETS OR FIXTURES) BA1-@10
FIXED APP LNS. OR
Ex. Occup.(OUTLETS (RESID.) EA) 2.00
Temporary service 10.00
Mobile Home Facilities 15.00
License No&2,S7!2,3 I Classification 3�
Misc. Wiring 6.25
❑ I am exempt from the Contractors License Laws of the State of California.
Permit Fee $
$
MECHANICAL No. @ 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.
eqI 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.
PERMIT FILING FEE J$3.00
Heating
Cooling
Ventilation
Hood 2.00
Permit Fee $
$
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
$��
TRI
authorize representatives of the County of Butte to enter upon the
above-mentioned property for inspection urposes.
11<101J, ZDate �'- 22 2
Signature of Permitee or Agent
Receipt No. =::M
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.
By /��' DIRECjOF� OF PUBLIC WORKS � _
Vj�/j/// 5 Date -
permit expires Date E-- 18-'?
PERMIT NO.
PERMIT EXPIRES J t° U /(D/v�
OWNER WANDA GILIMAN
CONTR.— owner
A . SSESSOR PARCEL 36-72-29
LOCATION 5777 Autrey,-Oroville
3
161
Temp. Power Pole
Called PG&E
Temp. Elec. Service
Called PG&E
Temp. Gas Service
Called PG&E
JOB FINALED (Date) S-1SSI
-7
Signature
J,= OK
0 = Not OK
= Not Applicable MOBILEHOMES
= Not Ready
MISCELLANEOUS
Date
MOBILEHOME UTILITIES (Plans) OK except N's
1. Zoning Requirements -Setbacks -Easements
2. Soils; Special MH Support -Sketch
Date
DECKS, COVERS, CARPORTS, ETC. (Plans) OK except N's
1. Zoning Requirements -Setbacks -.Easements
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"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 #'s
1. Zoning Requirements -Setbacks -Easements
Card -BI
Date
Date Card -BI Date
POOLS (Plans) OK except #'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
B. Gas and Electricity Tagged
8. 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
Card -BI
10. Plumb; Cir. Test -Water Supply Test
Date Card -BI Date
Card B-1 Date Card -BI Date
Card B-1
Date Card -BI Date
Card -BI
Date Card -BI Date
J - OK
b'- Not "JK
No4AVplicaCle RESIDENTIAL' (Single and Duplex)
= Not Ready
Date
UNDERFLOOR Plans OK except #'s
Date FRAMING Continued
1. Zoning requirements -Setbacks -Easements
48,-Pra y ine Firewall & Openings
2. Ftg., Main; Soils-Steel-Elec. Grnd.- / /" Ftg. Depth
4A9 -EV. -Doors -One 3' -Check Garage -3rd 'story, 2 exits
3. Ftg., Garage; Soils -Steel- / /" Ftg. Depth
- adroom-Rise-Run-Landing-Fire Protection
4. Ftg., Porches & Decks; Soils -Steel- / /" Ftg. Depth
_ w_ood on Roof Overhang -Attic Vents -Rafter Outriggers
5. Stemwalls, Main; Steel-Blockouts-Wrapped-Slab
- eneer
6. Stemwalls, Garage; Steel -B lockouts -Wrapped -Slab
o Mesh -Drip Screed-Fdn. Vents-Underflr. Access
7. Piers -Fireplace Ftg.-Steel
54 re - lass Protection -Skylights -Plastic
8. D.W.V.: Fall -Fittings -Test -2 way C/O -Sewer Test
5 ng -Bolts
9. Gas Pipe; Size -Anchors
- 10.Water Pipe; Test-Anchors-Regulat r -Service Test
11. Electric; Underground
12. Plenums & Ducts; Clearance -Material -Support -Ins.
13. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples
Card- at Card -BI Date
.-gf,C__---Date, a� Card -BI Date
Card -BI Date Card -BI Date
Card -BI
Date Card -BI Date
Date FIN yrL (Plans) OK except q's
Card -BI Date Card -BI Date
Date
PLUMBING (Permit) OK except q's
14. Water Ht.; Vent -Access -Combustion Air
. Ext. Steps -Door & Sidelight Protection -Landings
57. Smoke Detector
__5B --W vneee-Vents-Clearance-Comb. Air -Connector -
arage; Above Floor-Ducts-Mech. Protection
15. Water Pipe; Test & Anchors -Nail Protection
16. D.W.V.; Test-Fttngs & Anchors -Nail Protection
53rBedroom Exiting
17. Shower Pan; Test, First Floor -Tub Access
I. & Bath Fixtures & Tub Access
18. Test Tub & Shower, 2nd Floor -Tub Access
rim & Subpanel; Breaker Sizes -Labels
19. Gas Pipe; Size & Anchors
. Stairs & Rails
replace or Stove; Clearances -Hearth
64. c. Outlets at Wood Panel; Int. & Ext.
Card -BI
Date Card -BI Date
-S&- 4"t Fixt. & Appliance; Grnd.-Air Gap -Cooking Clearance
Card -BI
Date
Date Card -BI Date
ELECTRICAL Permit OK except q's
c. Outlets & Receptacles at Kit. Counter
6Z2,Aarage Fire Door; Swing -Landing -Closer
_-S&.-.-AC. Duct in Garage -Damper
20. Fixt _re & Transformer Clearance -Ins. Protection
99. Pttr.; Vents -Clearance -Comb. Air-Connector-P.R.V.-
In Garage; Above Floor-Mech. Protection
l Receptacles Spacing -Lights &Switches at Doors
n1g--plb--Elec. & Mech. Equip. Listed for Location
.Receptacles in Garage; (G. F.I.)-Romex Protec.
Sze &
e Boxes No. of Conductors -Stapled
23� ex Installed Close to Edge of Studs & C.J.
-
Equip. Ground made up w./Mech. Fasteners -Bond Gas & Water
Insulation -Foam -Looked in Attic ❑Yes
T25-2-App+tenee-G4csuits in Kitchen & Conductor Size
e�-��Rails &Deck Construction -Post Caps
26. Sub ee / ga. Cu or AI-A.C. Wire Size / / ga. Cu or At
-74. n. Vents & Crawl Hole Door -Drainage & Wood -Earth Clearance
Looked under Floor ❑ Yes
27. Range irc. / / ga. Cu or AI -Oven Circ. / / ga. Cu or AI,
-I
Insulated Neutral ❑Yes ❑No
J_&._ _0+fowin instld.: Drive Yes No; Walks
9 ❑ ❑ ❑Yes ❑ No;
Planters ❑Yes ❑No
2 - nductors & Ground -Main Disconnect
<T9--3tacco; Brown -Finish
29,_Equip-44earances; Panels-Motors-Mech. Equip.
?il. G. -Unit; Disconnect-Clrnces-Brkr. & Cond. Size -115V Outlet
30.-Cto`thes Goffset Light -Shower Light
78-VeMy-Agave Roof; Plbg.-Appliance-Firepl.-CJearance to Opngs.
7-9--Wa6r Well; Disconnect, Electrical, Plumbing
terior Elec. Trim; G.F.I. Receptacle -Underground
CaL
_,Bzl�/Date /- Card -BI Date
1141". V%Llilation throughout House
Cali -B -I
_,Datey and -BI Date
ss Protection
Date
MECHANICAL (Permit) OK except q's
83f Correc ' ns from Previous Inspections
est -Meters Tagged; Gas -Electric
31. A.C. Ducts; Insulation &Support_ft--yPfiter-&
Sewer Connected -C/O to Grade -HD Approval
32. Vent Fan; Exhaust above Insulation
33. Condensate Drain & Overflow; Size & Grade
AV Energy Compliance Certificate -Other Certificates
34. Furnace -Vent; Access -Comb. Air -Return Air Vent -115V outlet
35. Attic Access & Platform if Furnace in Attic
Card -BI Date Card -BI Date
Card -BI
Date Card -BI Date
Card -BI Date a / Card -BI Date
Card -BI
Date Card -BI Date
Card -BI Date Card -BI Date
Date
FRAMING Plans OK except q's
Comments at Final:
ills; Proper Material . Anchers�
y37..��0alls;
Stud in ; $pacing & Bracing -Plates -Sound
-38-Bear ng Valls over Girders & Floor Nailing
39:-Draft-Sto n Walls (rat proof)
40..-F4re,Stops•; Furred Ceilings -Stairs -Chases -Tub
44,�eader & Beam -Size & Bearing
4�Hanger =PoWt-CTps-Anchors-Connectors
Ing. Joist-Rftr. Ties - Purl in-Roo_f_Brac.-Truss-Shthng.-Rfn_g_.
44-_Firep5ce=f�S or Type A Flue -Fireplace Throat
4T_-Alliq,Access; Size & Romex Protection -Draft Stop -Ins. Baffles
y�drm. Windows or Exiting Doors -Sill Hgt. & Dimensions
.47-6arage`F Te Protection Framing
(NOTE: An entry must be made each time youvisit jobsite)
.. COUNTY OF BUTTE
DEPARTMENT OF PUBLIC WORKS.
196 Memorial Way, Chico — Phone: 891-2751
7 County Center Drive, Orovi Ile — Phone: 534-4541
Skyway and Elliott Road, Paradise — Phone: 872-2961, Ext. 57
. /CORRECTION NOTICE
r)WAICR PFPRAIT Kir)
A 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. It you have any question pertaining to this
matter r need additional explanation, please contact this office Immediately.
(7W/W
'C' lP i�cJ Sr)/,:z c7l0
l
5-1
C -
Inspector i .=!� - Date /
�� -
.t
_. COUNTY OF BUTTE t
DEPARTMENT OF PUBLIC WORKS
196 Memorial Way, Chico — Phone: 891-2751,
7 County Center Drive, Oroville — Phone: 534-4541
Skyway and Elliott Road, Paradise — Phone: 872-2961, Ext. 57
CORRECTION NOTICE
OWNER PPMUIT Kin
A 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, or need additional explanation, please cpnttct this office immediately.
i -# x Per,,,,4— L S 13-1-L v inn r.4.,r ®,A4— 4
�n,, 41 ^jcoG '
G orv4d--17 'L, c ,_.._ .L., '' 2 wls� SSt.cr(
!fit �JX lZ�C'I`6'.MdC'�5
,ar b-/ d ('o(:I ox
Inspector Date A-5
JCOUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS
,f 7 County Center Drive - Oroville, California 95965 - Telephone 916/534-4541
APPLICATION AND PERMIT
PERMIT NO.
ASSESSOR PARCEL NUMBER
3
ZONING
BUILDING PERMIT
OWNER J
TELEPHONE
SQ. FT. OCC. BUILDING VAffOATION
OWNER'S MAILING ADW
,6,� SJ_r52LJ il4aw ra Z
CONTRACTOR'S NAM
TELEPHONE
CONTRACTOR'S MAILING ADDRESS
Fireplace
CONSTRUCTION LENDER
UNKNOWN
Total Valuation $
Filing Fee
$ 10.00
LENDER'S MAILING ADDRESS
Permit Fee
$ 46w
ARCHITECT OR ENGINEER
LICENSE NO.
Plan Checking Fee
,$ I
Penalty Y, in 19 X0$
!sQ
y$
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Permit fee
a M.
BUILDING ADDRESS
�—
PLUMBING PERMIT
Filin Fee 10.00
9
Each Trap
2.00
Solar Water Heater
20.00
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 ISI ,Duplex ❑ Mobi lehome ❑ Other
SPECIFY
Building sewer
5.00
Mobile Home S G W
10-00e
TYPE OF WORK
New ❑ Addition Remodel ❑ ti lit' s ❑ Inst tion❑ Other
De ribe work: V T'
Permit Fee
$
Contractor
ELECTRICAL PERMIT
Filing Fee 10.00
600V OR LESS
Main service 100 AMP OR LESS
10.00
Main service EA. ADD'LLIN��1((00J0 AMP
2.50
NEW CONST. OR ADDNS. ( ACC. LD` #,. 'Q &�
2��2QSq ft O�
CONTRACTORS LICENSE LAW
I declare under penalty of perjury (check one):
❑ I am licensed under provisions of Chapt. 9, Div. 3 of the Business
and Professions Code and m license is in full force and effect.
y
icense No. Classification
2-11-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 MULTI -OUTLET
NON-RESID BRANCH CIRCUITS)
2,50 ea
NEW CONSTR( POWER APPARATUS &\
NON-RESID. SINGLE OUTLET CIR. /
EX.
Ex. Occup(o FIXTURES 6AL®aoc
FIXED A POR
Ex. Occup. OUTLETS (RESID )LNS REA.) 1 2.00
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.
shall not employ any person in any manner so as to become subject
VIy�
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 liabilities, judgments, costs, and expenses which may in any way accrue
against said Col ty in consequ c of the granting of this permit.
X Date Ila
Signature of Applicant — �wner Contractor E]Agent❑
An OSHA permit is required for excavations over 5'0" deep and demolition or construct-
ion of structures stories in height.
Mobile Home Installation Fee $
Vzffi\ r
TOTAL PERMI E $�
OCCUP, GROUP
I TYPE OF CONST.
PARCEL
PD
HD ISSUE
This permit is hereby issued under
sions of the Butte County Code and/or
work indicated above for which
DIRECTO F PUBLIC
By
PE EXPIRES Date
the applicable provi-
resolutions to do
fees have been paid.
WORKS
Date
- low
�over
�3
Receipt No. .>�n ),5--
WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT
__VsCOUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS - BUILDING DIVISION
7 COUNTY CENTER DRIVE - OROVI;LLE,'t�4LIFOR4,)IA�95965 - -TELEPHONE: 916/534-4541
PERMIT APPLICATION DATA SHEET
OWNER
Proposed Building Use
Permit No.
A. P. No. E ~ / 0 1- e5z�
Permit Fee Based Upon: Complete Contract Price L--E'PW Valuation
Other (Explain)
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
�i1: All items have been submitted. . . . . . . . . . .
2. Plot plans in duplicate/triplicate. . . . . . . . . . .
3. Complete plans in duplicate./triplicate. . . . . . . . .
4. sComplete 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 $ . . . . . . . .
9. Letter of signature authorization. . . . . . . . . . .
10. Sanitation approval from Health Dept. . .
11. Planning approval for (A) Use: (B) Parking: .
12. Certificate of Workmen's Compensation Insurance. . . . . .
13. Contractor's License Information (no., name style, classif.) T
14. Owner -Builder Verification (Given to owner❑, Mail to owner ❑ )
15. Improvements may be required. . . . . . . . . . . .
16. Mobilehome Installation Data. . . . . . . . . .
17. Pre -inspection for Required.
request to (Date)
p q Building Inspector
18. Other
When you-i•s'sue the ermit, process as follows: Mail to owner. Mail to contractor.
�elephone5� -��7� and hold for pickup at office. Deliver w/inspector.
Other
Applicant G% ��� /),4,, Date
Copy of plans sent Health Dept., Fire 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
y_Plans approved by
Other
Copy—DPW
_Telephone ('"Mail Other
r
Date
Date
f
,,Date
r'
':
SS�77 �,,,r �i'•e. y . �d � E
.. - . W ---r•
;.,.. .�
o any..chcxnges or altnn
s same without
written permission from the Deoartment of.PubRd :. .
Works, County of $utte.
T OT :•--MMaterials &. Worltnanship'. Shell Be 'fit,
.`
Ace
ordance : with Recognized Good Practices and.
,�f a quality prescribed for the .Specified use in tk
uniform Building, Rlumbing & Machanical Codes a� .
Un .
the National Electrical Codes
� ed ayetin C ci�rcm+K _
rY o
.41
46 � rl
Ile
BUTTE COYNTY
BUILD.JNG DEPARTMENT.
,
INSTALLED
PERMIT NO. 7—f
JOB ADDRESS
TYPE OF WOR
ENERGY SHEET
FOR
ADDITIONS TO RESIDENTIAL BUILDINGS
PACKAGE "A" (Additions)
FOR M %
SQUARE FOOTAGE
e_ 406 Existing Residence /
New Addition 2��
New Total
The following information sheet, showing mandatory features and required features of
Package "A" must be completed and attached to all plans for additions. to dwellings.
Additions to dwellings include room additions, .converting garages and patios to living
areas, house moves that add footage and attic conversions, and any space that is ex-
isting non -conditioned space that is converted to conditioned space. Remodeling of
existing conditioned space is not included.
ZONE 11 ZONE 12 ZONE 16
APPLIES TO NEW AREA
x CEILING R-30 R-30 R-38
x WALL R-11 R-11 R-19
FLOOR R-11 R-11 R-19
SLAB R- 7 R-11 R- 7
x GLAZING .65 .65 .65
SHADING
SOUTH OPTIMUM OVERHANG BUTTE COUNTY
or .36 S.C.- BUILDING DEPARTMENT
MENT
WEST . - .36 S.C.
JC LOOSE FILL INSULATION (Density)
A INFILTRATION CONTROL (Weatherstrip doors,
VAPOR BARRIER (Zone 16)
certified windows, caulking)
DUCTS PER UMC - Ch. 10
_ LIGHTING KITCHEN & BATH NOT LESS THAN 25 LUMENS/WATT
x MAXIMUM GLAZING 16% OF AREA PLUS REMOVED GLAZING
NEW HVAC AND HOT WATER IN CONJUNCTION WITH AN ADDITION SHALL COMPLY
AND FILL OUT DATA ON BACK OF THIS SHEET
7/83
*1 " HEATING VENTILATING. AIR CONDITIONING SYSTEM
(A) Heating
❑ Central Gas Furnace
(brand and model number) SE
Btu/hr
(heating capacity) -
13 Heat Pump
(brand and model number) ACOP
Btu/hr
(heating capacity at 47°F)
❑ Active Solar
type (liquid or air) Collector brand and
ft2
model number solar fraction collector area collector
orientation collector tilt rated y-intercept
rated slope
❑ Other
(describe)
*1 (B) Cooling
❑ Electric Air Conditioner
(brand and model number) (seasonal EER)
Stu/hr
(cooling capacity at 95°F)
❑ Electric Heat Pump
' EER
Btu/hr
(cooling capacity at 95°F)
❑ Other
(describe)
DOMESTIC WATER SYSTEM
❑ (A) Gas Only Gallons
(brand and model number) (tank size)
❑ Heat Pump w/Electric Backup
(brand and model number)
Gallons
2 (tank size)
* Active Solar
(collector brand and model number)
(rated y-intercept) (rated slope) (solar fraction)
ft2
(backup heater type, brand and model number) (collector area)
(collector orientation) (collector tilt)
❑ location of Solar Panels
❑ Other
(Describe)
*1 Submit documentation of sizing heating and cooling equipment by Manual J, sizing
I
harts (form #4) or other approved methods, section 2-5352(g), and fill out the
following:
Heating: Winter design temperature °, elevation ', heating load BTU
elevation factor x heating load = maximum outlet capacity gas furnace
BTU
Cooling: Summer design temperature ', cooling load BTU
*2 Submit T.I.P.S.E. chart'or other approved system (form #5) to document sizing of
solar panels.
® DESIGN COMPLIANCE STATEMENT: The above building design meets the requir menta of
Title 24, Part 2, Chapter 2-53 of the California Administration Code.
1
A �UII.IN.IG OR I A