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Home My WebLink About078-140-0030'1�- tti0-003 I v ' i • I Wynoka Homes,Inc. f 5716 Via Pacana, lot 3, Oroville . Permit #29A9-79B,P,E,M(new_ss ngl� _ family) .�� 92-1654 BPEM ROGERS, Terry -3-7 5716 Via Pacana, Oroville conv port of garage to living - 02-3186 WHEELER, WILLIE 5716 VIA PACANA, OROVILLE ADD INTERIOR WALL TO CONVERTED GARAGE 0'1�- tti0-003 I v ' i • I o 0'1�- tti0-003 I v ' i o f . I I COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION r 7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-7541 M i�• (Rev.12 96) ' APPLICATION AND PERMIT ASSESSOR PARCEL NUMBER 036-740-003 ZONING BUILDING PERMIT OWNER WILLIE JJE= TELEPHONE 932-443/ SO, FT. OCC. BUILDING VALUATION FST OWNER'S MAIUNG ADDRESS 5716 VIA PACANA OROVITLE CONTRACTOR'S NAME OVJLVliIt TELEPHONE CONTRACTOR'S MAILING ADDRESS CONSTRUCTION LENDER Fireplace LENDER'S MAILING ADDRESS Total Valuation $ 900- 0 ARCHITECT OR ENGINEER LICENSE NO. Film Fee $ 20.00 Permit Fee $ ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ BUILDING ADDRESS 5716 VIA PACANA OROVILLE Energy Plan Checking Fee $ $ PERMIT FEE s 35.00 IAT NO. SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMIT Filing Fee 20.00 Each Trap 7.00 USEOFSTRUCTURE SFx❑ Duplex ❑ Mobilehome ❑ Other SPECIFY Solar or heat pump water heater 23.00 Water piping 15.00 Each gas water heater or vent 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel Yi Utilities ❑ Installation ❑ Other ❑ Describe Work: ADD INTERIOR WALL TO CONVERTED GARAGE Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home I S I G I W @20.00 PERMIT FEE $ ELECTRICAL PERMIT Fling Fee 20.00 Main Service 200AORLESS 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. License Class Lic. No. OWNER -BUILDER DECLARATION 1 hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: ❑ I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. 1I, 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 wor e ' compensation provisions of section 3700 of the Labor Code, I shall fort mply with those provisions. X Date �� _L� 0a2 _ Signature of pplicant - ❑ Owner ❑ Contractor ❑ Agent An OSHA permit is required for excavations over 5'0" deep and demolition or construction of structures over 3 stories 'n heig Main Service TO 46.00 CCU000A NEW CONST. DWEWNG OCCUP. SO OR ADDNS. ( DW:LNG W: BinS. 3.5¢Fr: NEW gD�,oT MULTI.OUTLEr @7.50 POWER APPARATUS 8 SINGLE OUTLET CIR. EX. OCCU OUTLET OR FDS BAS @':w 0" FIXED APPLN, OR 5.00 Ex. Occup.OUTLETS REBID. EA Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE $ 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 $ 35.00 HAZ. I D. FEES IMP FLOOD CDF PARCEL PD HD ISS This permit is hereby issued under the applicable of aP Bu Linty C de and/or Resolutions indic ed o r wh h fees have been By �Da PERMIT EXPIRES ON provisions to do work paid /570 efe Receipt No. WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES 7 County Center Drive • Oroville, California 95965 - BUILDING DIVISION • Telephone (530) 538-7541 If•.-ev.12/96) APPLICATION AND PERMIT - �Z "` a A:SESSORPARCEL NUMB / •.'� � ZONING -' BUILDING PERMIT SQ FT. QC . BUIL I ATION -- OWNER T LEPHONE - .. OWNEA I NO ORES / `� COMRACT ' `� • TELEPHONE CONTRACTORS MAILING ADDRESS CONSTRUCTION LENDER LENDERS MAILING ADDRESS Fireplace -----• • TV— Total al Valuation b � ARCHITECT OR ENGINEER LICENSE NO. Filin Fee S 20.0_0 Permit Fee $ – ARCHITECT OR ENGINEEAS MAILING ADDRESS BULLDINGADDRESS / Plan Checking Fee --- L Energy Plan Checking Fee S S PERMIT FEE S �-- LOT NO. SUBDIVISIONS NAME - PARCEL MAP PLUMBING PERMIT Fling Fee 20.00 Each Trap 7.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome ❑ Other Solar or he um water heater 23.00 SPECIFY Water iping 15.00 Each as water hea or vent 15.00 TYPE OF WORK New O Addition ❑ emodel O Utilities installation O Other Gas 1 in stem 1 •5 0 15.00 Building sewer 15.00 Des rib W rk• Mobile Home 1 S I G I W 20.00 PERMIT FEE S ELECTRICAL PERMIT Fling Feel 20.00 Main Service 000V OR LESS 200A OR LESS 23.00 Main Service 200A TO 1000A 46.001 NEW CONST. DWELLING OCCUP.- OR ADDNS. & ACC. WDS. 3.5¢F° NEW CONS ULTi-ovnzr NON•RESID. @7.50 POWER Tus & SINGLE 0 CIR. Ex. Occup. OUTLET OR FIXTURES 20 p 1.00 SAL .SO *PERMIT FEE PAID �� J Ex. OCCU 0lli1.FTS RESiD:oeA 5.00 Temporary .� Service 23.00 Mobile Home Facilities 20.00 SM Misc. Wirin 23.001 SHERIFF OTHELR PERMIT FEE S MECHANICAL PERMIT Fling Fee 20.00 Heating Cooling I • Hood 6.50 u O � T REw�� AMOUNT TVI`� V Ventilation PERMIT FEtEE7E� S Mobile Home Installation Fee $ Energy Inspection Fee $ A • (`t/', occ CONST. TYPE ]TOTAL FEE $ --r HA2. 1 D. FEES IMP FLOOD I COF PARCEL PO I HO i ISSUE TOPir 2wo COM"M 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 ReceiptNo. WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT fDefe1-- ... V' v � �. • �� _. f �- __ W�,� t _.. T ______--_.�, ._-_. _ _..I _-_ _ -.� ^� �� /( } RESIDENTIAL 36-74-03 92-1654 BPEM ROGERS, Terry 5716 via Pacana, Oroville conv port of garage to living 13 JOB FINALI Signature • Building Owner KQ Building Location ENERGY INSTALLATION CERTIFICATE Building Permit # DESCRIPTION OF INSULATION ROOF ' Material Thickness(inches) EXTERIOR WALL t Material Thickness(inches) L CEILING Batt or Blanket Type Thickness(inches) Loose Fill Type Minimum Thickness(Inches) . Area covered(ft.2) FLOOR, ELEVATED Material Thickness(inches) FLOOR, SLAB Material Thickness(inches) Width(inches) FOUNDATION WALL Material Thickness(inches) Brand Name (oate-.1 Thermal Resistance -(R Value) Brand Name Thermal Resistance(R Value) Brand Name .Thermal Resistance(R Value) Brand Name . Number of Bags Wt. per bag lb. Thermal Resistance(R Value) Brand Name Thermal Resistance(R Value) Brand Name Thermal Resistance(R Value) Brand Name Thermal Resistance(R Value) I hereby certify that the above insulation was installed in the above building, -.-consisten-t .with approved building- department -plans -and--attachments and- con= forms with requirements of Chapter 2-53 of State of California Energy Requirements. FIRM NAME/OWNER STATE CONTRACTOR'S LICENSE NO. SIGNATURE OF INSTALLATION APPLICATOR DATE I hereby certify the required features, devices, and equipment, ati shown on the approved Building Department plans and attachments have been installed and conform to'the appli- ance standards and Chapter.2-53 of the State of California Energy requirements. UILDING CONTRACTOR/OWNER (P se Print) ( FIRM NAME) 0" 1 V y a, &/A t i 0--D4' e (SIGNATUR-E OF BUILDING CON RA OR/OWNER HVAC FIRM NAME/OWNER (Please Print) STATE CONTRACTOR'S LICENSE NO. x (�' - 'S9a DATE STATE CONTRACTOR'S LICENSE NO. • SIGNATURE OF HVAC CONTRACTOR/OWNER DATE THIS CERTIFICATE MUST BE ON FILE WITH THE BUILDING DEPARTMENT PRIOR APPROVAL AND A COPY SHALL BE POSTED WITHIN THE BUILDING. SEPTEMBER 1988 TO FINAL INSPECTION t J=OK O=Not OK = Not Ready, 'MOBILE HOMES Date MOBILE HOME UTILITIES (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Soils; Special MH Support Sketch 3. Sewer; Location -Test -Fall -C/O Concrete 4. Water; Location -Test -Easement Needed (Sketch) 5. Electricity; Location-Clearences-Grnd-/ /Amp -Concrete 6. Gas; Location -Test -Wrap: / /" L" ft. / /"Nat. or/ /" L"ft./ /"LPG 7. Well Clearance & Disconnect 8. Utility Clearance Date Card B-1 Date Card 6-1 Date Card B-1 Date Card B-1 Date MOBILE HOME INSTALLATION (Plans) OK except #'s, 1. Zoning Requirements -Setbacks Easements 2. Footings; Size -Spacing -Marriage Line 3. Gas; MH Test -Demand -Valve -Connector 4. Electricity; MH Test -Crossovers -Breakers -Clearances 5. Drain; MH Test -Fall -Flex Connector 6. Water; MH Test -Regulator -Connector 7. Water and Sewer Connected -C/O to Grade -HD Approval 8. Gas and Electricity Tagged 9. Exits; Insp.-Sketch - 10. Cert. of Occupancy Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 MISCELLANEOUS Date DECKS, COVERS, CARPORTS, GARAGES, (Plans)OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Footings; Soils -Size -Depth -Spacing -Connectors -Steel 3. Decks; Griders and/or Joists -Decking -Bracing -Stairs -Rails 4. Wood Awn.; Posts-Beams-Rftrs.-Connectors Shthg.-Rfg.-Bracing 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Carports; Windows -Doors 7. Electric 8. Frmg; Sils-Anchors-Studs-Rftrs-Trusses 9. Siding; Nailing -Veneer -Stucco -Mesh 10. Roof; Shthg-Roofing 11. Ext.; Steps -Doors -Landings Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date POOLS (Plans) OK except #'s 1. Setbacks -Easements 2. Soils; Compaction -Structure Stability 3. Pool Structure; Steel -Connections -Thickness Dead Men -Lining 4. Elec.; Receptacles and Lighting, Distances-GFI 5. Elec.; Pool Lighting; 15 volts-GFI 6. Elec.;Enclosures; Conduit Entries -Terminals -Listed 7. Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater 8. Elec.; Grounding; Equip. w/5' Circulating Equip. -Pool Lghtg. _ Boxes -Enclosures -Panel boards -Ins. to Main in Conduit 9. Health Department Approval 10. Plumb.; Cir. Test -Water Supply Test Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 J=OK O = Not OK = Not Applicable Not Ready RESIDENTIAL (Single & Duplex) ' = Date UNDERFLOOR (Plans) OK except k's 1. Zoning -Setbacks -Easements -Flood -Slope 2. Ftg., Main; Soils-Elec. Grnd.-/ /",Ftg. Depth 3. Ftg., Garag ; Soils-Steel-Elec. Gind.-/ /" Ftg. Depth 4. Ftg., Porche & Decks; Soils- eel-/ /Ftg. Depth 5. Stemwalls, ain; Steel-BlocOuts-Wrapped 6. Stemwalls, rage; Steel- ockouts-Wrapped 6a. Hold Down and SpecipfAnchors 7. Slab; Steel- W apped 8. Piers-Fireplac Ftg. teel 9. D.W.V.; Fall -Fit -Test-2 Way C/O -Sewer Test 10. UF. Gas Pipe; i e -Anchors - yard gas piping: size -test 11. Water Pipe; est- nchor-Regulator-Service Test 12. Electric; dergro nd 13. Pienu & Ducts; learance-Materia l -Support -Ins. 14. Gird s -Sills -Anchor Bolts -Joists -Vents -Cripples 15. AccGs & Ventilation 16. Insulation Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date PLUMBING (Permit),OK except #'s 16. Water Htr.: Vent -Access -Combustion Air -Baffle 17. Water Pipe: Test & Anc - Nail Protection -------- ---------- ------------------------------ 18. D.W. Test -Fitting Ancho--r-Nail Protection ------- ----- ----------- -------------------- 19. Showe Pan: Test/first Floor -Tub Access ------------------- -- ------------------------------ 20. Test Tub Sho er, Second Floor -Tub Access - - --------- 21. Gas Pipe: Si & Anchors ------------------------------------------------------------------ Date Card B-1 - Date - Card B-11 - - ---------- --- Date Card B-1 Date Card B-1 Date ELECTRICAL (Permit) OK except a's 22. Fixture & Transformer Clearance -Ins. Protection 23. Elec. Receptacles Spacing -Lights & Switches at ------- ------------ ---------------------------------- Size B-oxes & No. of Conductors_Stapled e2�J. •omex Installed Close to Edge of Studs & C - ------------------ -------------------- 26 -Equip. Ground made up w!Mech. Fastners-Bond Gas & Water ------------------------------------------------------------------------- - pp lance Circuts in Kitchen & Conductor SizerGFI -------------------------------------------------- - -------------------------------- 285. Subfeed 'ire Sizer r ga. Cu or AI-A.C. Wire Size ! ! ga. Cu or At --------------------------------- -------------------------- ---- 29. Range Circ. / / ga. Cu or AI -Oven Circ. / / ga. Cu or Al. Insulated Neutral 0 Yes 0 No ---------------------------- -------------------- 30. Service -Riser Conductors & Ground -Main Disconnect --------------------------------------------------- ----------------------------- --------------- 31. ----- ------------------------------------------------------------------------- 31. Equip_ Clearances Panels-Motors-Mech. Equip. 32. Clothes Closet Light -Shower Light -Spa Light ---------- - --------------------------------------------- moke Detector Dat --- ---- - - - --- ----------------- ----------- Date -� and B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date MECHANICAL (Permit) OK except ft's 34. A.C. D cts Insulation & Support --- -------------------------------------------- -------------- Vent Fan: Exhaust above insulation -------------------- ----------- 36. Condensate Drain & Overflow Size & Grade --- - ---------------------------- ----------._... ..__. 37. Furnance-Vent: Access -Comb. Air -Return Air Vent -115 outlet ------- --- --- ----------- -------------------------- 38. Attic Access & Platform if Furnance in Attic ----------------------------------- ---------------------------------._..----------- ----- - ---- -- - -- - --- --- -------------- Dat is Card- B - Date- ---- Card B-1 Date Card B-1 Date Card B-1 Date FRAMING (Plans) OK except h's its. Proper Material & Anchors - - ------------------------------------- �4V. W211S Studs -Nailing Spacing & Bracing -Plates -Sound ----------- - - ---------------------------------------------------- wring ------------------------------------ - - _. wring Walls over Girders & Floor Nailing -- - ---- - -------------------------------------------------------------------- Stop in Walls (rat proof) Fire Stops: Furred Ceilings -Stairs -Chases -Tub -- ------ - --- ---------- ----------------------------------------- eaders & Beam -Size & Bearing Date F AMING (Continued) Hangers -Post Caps -Anchors -Connectors _ ----- 4----. Joist-Rftr. ties-Purlin-roof Brac-Truss-Shthng.-Ring. 4rFi es -or Type A Flue -Fireplace Throat clearance VT -Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 4T-8t7rM-Wrndcws'or Exiting Doors -Sill Hgt. & Dimensions ----- ge Fire Protection Framing perty Line Firewall & Openings Ext. Doors -One 3' -Check Garage -3rd Story, 2 Exits i5--9ttr-j-' iidlfi-Headroom -Rise-Run-Landing-Fire Protection S4-7nyvvoott-orrF(oot Overhang -Attic Vents -Rafter Outriggers ------------------------- ---------- n_g VAneer lucc Mesh -Drip Screed -Fd. Vents-Underflr. Access lazing Area -Glass Protection -Skylights -Plastic --------------- --- _ a - ------------- iling-Bolts------ - ation-Walls-Ceilings 60. Infiltration -Walls -Windows 'Dat eard B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date FINAL (Pla s) OK except N's Ext. Steps -Door & Sidelight Protection -Landings -------------=----- - -- moke Detector -------- -------------------------- Clearance-Comb. Air -Connector - In Garage; Above Floor-Ducts-Mech. Protection ---------6rh-Beting ------- ------ .F.I Bath Fixtures & Tub Access -Spa ------------- --- ------ -- -- -------lec. nn-P-a- -ne-l; - Breaker Sizes & Labels - rs & Rails ------------- ------------------- learances-Hearth ----------------------------- 61k.-�ec. Outlets at Wood Panel; Int. & Ext. --------------------------------- -- - 79--IEit-Ft><l'pliance; Grnd.-Air Gap -Cooking Clearance 7 Out is &Receptacles at Kit. Counter --------------- t- - ---- 7 arage Fire Door Swing -Landing -Closer - -- --- - �3--ft-G�-B gelDamper 7 . tr. Htr.: Vents -Clearance -Comb. Air-Connector-P.R.V. In Garage; Above Floor-Mech. Protection 1 '&-Mech. Equip. Listed for Location ------------ 75-E. ---------- . ecepac es in Gara g e; G.F.I.) -Romex Protection ---------------------------- - -------- - 7i. htsalatiem ked in Attic Yes ------------------------------------------------ -- 7? -Beck Construction -Post Caps dn. Vents & Crawl Hole Door -Drainage & Wood -Earth Clearance Looked under Floor Yes -------------------------------- ------- 6&-rullowilly Ins '.: Drive -------------------------------------Drive 0 Yes ❑ No; Walks ID Yes O No; Plante - ----- Ye-- --- s - No --- -------- --- -- - - ucco_Brown_Finish - -_--- -------------------------- ' . lett_ Electrical, Plumbing - ---- - •--- - -- --------------- .85 -Appliance -Fireplace. -Clearance to Openings - -------------------------- -- -onnect, Electrical, Plumbing G.F.I. Receptacle- Underground -- --- lalihroughout House .. ..-- -------- -- -- - - - - - -- _ ass otection--------- ------ ------ ---------- Corrections from Previous Inspections ------ ----•---------- ----- --------------------------------- 8 Tagged; Gas -Electric _ - ewef--6onnected-C/O to Grade -HD Approval. nergy Compliance Certificate -Other Certificates Date ---� - Card -f3 --------------Date ---- Card B-1 ---- Date Card B-1 Date Card B-1 ---- --- -- --------------------------------- Date Card B-1 Date Card B-1 Comments at Final:' / T COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 - Telephone: 916/538-7541 APPLICATION AND PERMIT PERMIT NO. 92-1654 ASS SSOR PARCEL NUMBER 036-740-003 ZONING R 1 BUILDING PERMIT OWNER / TERRY ROGERS ' ' a TELEPHONE 534-9693 SO, FT. OCC. BUILDING V A ION 1�1 255 M—R 5,355 OWNER'S MAILING ADDRESS 5716 VIA PLACANA OROVILLL CONTRACTOR'S NAME OWNER TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ 5,355 LENDER'S MAILING ADDRESS Filing Fee $ 15,00 Permit Fee $ 67.50 ARCHITECT OR ENGINEER NONE LICENSE NO. Plan Checking Fee $ 33.75 Energy Plan Checking Fee $ 20.00 ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS 5716 VIA PLACANA OROVILLE Permit fee $ 136.2.5 PLUMBING PERMIT FiIingFee 15.00 Each Trap 5.00 Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP Water piping 7.00 Each qas water heater or vent 7.00 USE OF STRUCTURE SF ® Duplex❑ Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 15.00 Mobile Home S I G I W @ 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel;p Utilities ❑ Installation❑ Other ❑ Describe work: CONVERT PORTION OF GARAGE TO LIVING rr Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 15.00 Main service 600VORLESS j$,50 200A OR LESS Main service 200A TO 1000A1 .37,50 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 my license is in full force and effect. License No. Classification 211 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 OCCUP3.64sq.ft. 8. OR ADDNS. M ACC. BLDGS. / NEW CONSTR. ULTI.OUTLET @ 5 00 NON-RESID BRANCH CIRC ITS POWER APPARATUS 6 (SINGLE OUTLET CIR. ) Ex. Occup(OUTLETS OR FIXTURES 20 @ 76 FIXEDPP ALNS Ex. Occup. OUTLETS (RESI'D.)OR EA.) 3.00 Temporary service 15.00 Mobile Home Facilities 15.00 Misc. Wiring "15.00 9 Permit Fee $ 23.90 — 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 f Consent to Self -Insure. II 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. Contractor MECHANICAL PERMIT FiIirig Fee 15.00 Heating Cooling Hood 6.50 Ventilation -4.50- Permit Fee $ 1 .50 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 Count in consequence of the granting of this permit. % X Date �� of Appl ant — Wner Contractor ❑ Agent ❑ An OSHA ion of structures t is quire for height. vations over 5'0" deep and demolition or construct- Mobile Home Installation Fee S Energy Inspection Fee $ 40-00 occ CONST TYPE TOTAL FEE $ 219,&5 rlAz DFEES IMP FLOOQ I CDF PARCEL PD D ISSUE This permit is hereby issued under the applicable provi- sions of the Butte 9ounty Code and/or resolutions to do work indicate a ve for which fees have been paid. TO OF PUBLIC WORKS By - _ Date —Zl�' , PEftlf tkPlINEV Date Receipt No. 116080 200.15�� WHITE-D.P.W., YELLOW -ASSESSOR, PINK-INSPACTOR. GOLDENROD -APPLICANT / T 1 �" 'Y "";r'r �r"'t;',�iSl�j'��r",t�t�'(,;r(►'j�•rit'�, `�-ti•`' 'i,:j��7'"'• '�+,�in�`�r� f�^'ll'"'i'-f� ''�{�,t �;.,' `r-�. $.rf ::,�,',�' 1%�v ; �4,r . COUNTY OF BUTTE ;-�PARTMENT OF PUBLIC WO'' BUILDING DIVISION/ 7 COUNTY CENTER DRIVE - QRQVILLE, CALIFORNIA 95965 - TELEPHONE (916) 538-7541 PER IT *PPLICATION DATA SHEET OWNER P. No. D�J(o - �7 O 00-3 Proposed Building Use/ �7fil�G'6 t�'oti Building InspectorA�)Date At time of permit application, I was advised the following data must be submitted prior to permit processing and/or issuance: DATE RECEIVED BY 1. All items have been submitted . ........................................ 2. Plot plans, 3/4 sets, signed by preparer of plans . ......................... . 3. Complete plans, 3/4 sets, signed by preparer of plans . ...................... 4. Engineered plans and calcs, 3/4 sets, with wet signature on plans . ............. 5. Hazardous Material Form . ............................................ 6. Energy Design Compliance and supporting documentation . ................. . 7. Statement of Intent for Non -Heated and A/C Buildings . ...................... 8. Engineered truss details and,layout,in duplicate (required prior to plan check). .... Mobilehome data and manufacture installation instructions, 2 sets. ........... �1 Fees of $ . ( GOr¢ e)C rA;!.................................... :� - pact fees as shown on attached schedule . .......................... .... alifornia Department of Forestry plan approval/fees. ....................... . 13. lood elevation letter.(100 year floo) b Cgbfornia Engineer. . 14.S Ration and plot plan approval i/�� Health Department . ............. 15. City f Chico plumbing permit . ................,; ....................... . 16. Plot plan and business license approval from City of Biggs/Gridley. .............. 17. Planning approval for (A) Use: i , 7 (B) Parking: 18. Contact Land Development about/,(A) Improvements (B) Drainage. ......... . 19. Driveway permit (construction approval required prior to occupancy). .. ... ... . 20. Pre -inspection for �,y c / required. .. c`e;,"spe ion rego_ (Date) 21. Contractor's license information. (Noy, tNa`me S yle, Classification) . .............. 22. Certificate of Workmans Compensation Insurance . .......................... ner , , Mail to owner _). ........... 24. Recorded Verification d copy fAg Agricultural rultual Acknow edgement'Statement. .................. 25. Letter of signature authorization. .. , . !.y ................................. . 26. Copy of recorded deed of parcel creation and 60 right of way to a public road.; ..... 27. Letter of intent on building use. 28. Mobilehome utility clearance : ......................................... . 29. Documentation of legal access . ........................................ 30. Qgcumentation of 50% subdivision developed or (A) Road improvements completed Y and (B) Parcel meets zoning area and frontage requi ements. .............. . 31. Existing violations/expired permits./...... ... ...............:......... . 32. Plan check list. ........... ' ,. j..y.. ! .............................. . 33.. 34. t , V !teKyou issue the ess as follows: / Mail XQ cvLner. Mail to contractor. Telephone �� and hold for pickup at office. Deliver with inspector. Other Parcel Creation IS 92� Acreage Applicant Date I Copy of Haz-Mat form sent Health Dept. Fire Dept. Air Pollution Date Copy of plans sent Health Dept. Fire Dept. Other Date By The following data must be submitted prior to permit i suan e: ircle new item not checked above). 1. Index permit for above items No. 2. Additional items required: Contractor, designer, owner, was advised of above required data by _ phone _ mail Count r by _ Date Contractor, designer, owner, was advise of hove required data by _phone _mail o ter by _Date Plans checked by � Date;f' Plans approved by Date Sets of plans on hold in File cabinet AP folder Copy - Department of Public Works O/Wr tlevi-_ - COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville.-California 95965 - Telephone: 916/538-7541 APPLICATION AND PERMIT PERMIT N.O.60 ASSESSOR PARCEL NUMBER Q3b - -' 03 -. ZO ING / BUILDING PERMIT. OWNER r rro acs ,. E TELEPHON ,��J(lJ,(f} SO. FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS -9 / AAJ,#A CONTRACTOR'S NAME - TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION_ LENDER UNKNOWN. Total Valuation LENDER'S MAILING ADDRESS _ _ Filing Fee $ 15.00 Permit Fee $ S O ARCHITECT OR ENGINEER _--_ NO 4le- LICENSE NO. Plan Checking Fee $ 33,75 Energy g Fee Ener Plan Checking $ 96.00 ARCHITECT OR ENGINEER'S MAILING ADDRESS - – Penalty $ BUILDING. ADDRESS �' 71(o /V��, I r,A q e A/ vlo Permit fee $ 113 .25 PLUMBING PERMIT Filing Fee 15.00 Each'Trap 5.00 _ - Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP Water piping 7.00 - Each qas water heater or vent 7.00 .. USE OF STRUCTURE SF9V Duplex❑ Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 15.00 Mobile Home S I G W @ 15.00 TYPE OF WORK New Addition [I Remodel Utilities /❑ Installation ❑ Other ❑ Describe work: 122 QrfirOtl DF ��'A `�y _ VeAl& I- Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 15.00 Main service 600v OR LESS 200A OR LESS 18.50 Main service 200A TO t000A1 37.50 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 my license is in full force and effect. License No. Classification ❑Ex. 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) ❑ 1 am exempt under Sec. , Business and Professions Code for this reason NEW CONST. DWELLING OCC,t1�q . DR ACDNS. ACC. BLDGS. 'I _ 3.64sq.ft. 0 NEW CONSTR. ULTI.OUTLET T NON-RESID BRANCH CIRC ITS @ 5.00 POWER APPARATUS e (SINGLE OUTLET CIR- EX. OCCUp(OUTLETS OR FIXTURES 20@ 76d DCCUp. OUTLETS FIXED PIRESID )REA.) I 3.00 Temporary service 15.00 Mobile Home Facilities 15.00 Misc. Wiring '15.00 Permit Fee Contractor $ — WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. ❑ I shall not employ any person in any manner so as to become subject to the W. C. laws of California. 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 15.00 Heating Cooling g Hood 6.50 VentilationO Permit Fee $ 0 Contracto 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 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 County in consequence of the granting of this permit. X Date Signature of Applicant — Owner ❑ Contra for ❑ Agent ❑ An OSHA ' ion of structures over stories oin excavations r 5'0" deep and demolition or construct. MPdile Home Installation Fee $ IIns Energy Inspection Fee $ 10 •OU occ CONST TYPE TOTAL FEE $ a �— I I HA2 1 0IEES I IMP I FLOOD %.� I COP I PARCEL I PD HD I ISSUE This permit is hereby issued under the sions of the Butte County Code and/or work indicated above for which fees DIRECTOR OF PUBLIC BY PERMIT EXPIRES Date applicable provi- resolutions to do have been paid. WORKS Date /r39 Recei P t No. t� VOD�� J` ,MITE-D.P.W.. YELLOW-AeeC»OR, PINX-IN8PECO GOLDENROD -APPLICANT COUNTY OF BUTTE--DEPARTMT-OF'-PUBLIC WORKS --BUILDING DIVISION = - 7 COUNTY CENTER DRIVE'- OROV'IiLE, CALIFORNIA 95965 - TELEPHONE (916)5387541 OWNER 4 L4 A . P.. NO. PROPOSED BUILDING USE ��f�/�� ,�0r1N�� DATE REC. # _DATE REC �> 1. School Distric -Fees 6i'o _ _ - (paid at District Office).- . . ....... 0 ^% G . 2. Sheriff Fees (paid at Building Department) Residential ... .... unit amt. Commercial(per sq.ft.) R =$ sq,ft. _ amt. 3. Urban Area Fees (paid at Building Department Residential (per unit) X _$ # units amt. Commerical(per sq.ft.) X =$ sq.ft. amt. 4. Recreation District Fees (paid at District Office) .......... 5. Drainage District Fees (Contact Land Development) 6. Other 7. Other At time of permit application, I was advised the above fees are required to be paid prior to issuance of the permit. APPLICANT DATE �� - COUNTY OF BUTTE - Department of Public Works 7 County Cea.tpar 6rive, Oroville, CA 95965 Phone: 916-538-7541 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/have not) koiyy-�._ 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 City Phone Contractors 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 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 Signed: Property Owner 1A Social Security Number Date NOTE: This Owner -Builder Verification is sent to you as required by Sections 19831 and 19832 of the Califarnia..Health- and Safety. Code.. - This verification must be completed and returned to our office before we are per- mitted to issue the permit. ADDITIONS TO RESIDENTIAL BUILDINGS ENERGY SHEET PACKAGE -"A!' (Additions) . Owner J r Climate Zone / Permit # Floor Area ZSR r The following data showing mandatory and required features of Package "A" shall be installed 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 existing non -conditioned space that is converted to conditioned space. Remodeling of existing conditioned space is not included. ZONE 11 APPLIES TO NEW AREA 1 CEILING R-30 R-38. WALL R-11 R-19 FLOOR R-11 R-19 SLAB R-7 GLAZING U-.65 (Dual) 7-.6P (Dual) SHADING SOUTH - OPTIMUM OVERHANG or .36 Shading Coefficient WEST - .36 Shading Coefficient LOOSE FILL INSULATION (Density) INFILTRATION CONTROL (Weatherstrip_doors, certified windows, caulking) PO BAR R (e 1 ) DUCTS PER UNIFORM MECHANICAL CODE - Ch. 10 LIGHTING KITCHEN & BATH NOT LESS THAN 25 LUMENS/WATT MAXIMUM GLAZING 16% OF AREA PLUS REMOVED GLAZING NEW HEATING, VENTILATING, AIR CONDITIONING AND HOT WATER SYSTEMS IN CONJUNCTION WITH AN ADDITION SHALL BE INSTALLED AS SHOWN ON BACK OF THIS SHEET. OTHER co.. uni,�,c-tj AV 12/85 J S *1 .. HEATING VENTILATING, AIR-CONDITIONING SYSTEM (A) Heating ❑ Central Gas Furnace '_- % (brand and model number) SE Btu/hr (heating capacity) ❑ 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) Btu/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) [3* Active Solar (collector brand and model number) (rated y -intercept) (rated slope) (solar fraction) ft (backup heater type, brand and model number) (collector area) (collector orientation) (collector tilt) ❑ Location of Solar Panels ❑ Other (Describe) *l Submit documentation of sizing heating and cooling equipment by Manual J, sizing charts (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 requirements of Title 24, Part 2, Chapter 2-53 of the California Administration Code. SIGNATURE OF TLDING D �GNER OR APPLICANT v�. This set of plans and specifications MUST3 kept on the job at all times and it is unlawful te- maKe any hangar rIr o wf%Ren permissicWf, from the Departmenk County of Butte. • Jiv I 4 I it c �+ .� - - • ,, r I i,� jttls..8t.RfiSlydrl f i►� SI�Q 11 iA►iH�Qwlates ctice! Accor ce with Recognized Good,Prsc ` , PROVW fAPPROVED o q lity prescribed for the Sp'eodifieal use k ,4PID A Cl.�Tl= 1 f P.! ' _ UrAjbr u uiiding, Rlurnbirti9�8y E, ' AIR FOR HEATER k Oft W. hiL ! �nd Eleetficiii'Code�. A. ,-1i .'•J1 ..�.. ^` li h ,S rte` ,✓.. I ,u,� �..... '�� •\•' I I r ,r (LU55ES 'T ((�� `• — Q �' � ` :�•�.�a I � ' 1, is -J:,h.-.. � I Off, l �,.. �•� � _ I� � e. , . n. r.• yg n t J/r G G . { EA)CI05G W f ple r " JL__ Tc ILI • , v I � z Gry Bbl �l �p BU COUNTY BUILDING DEPJA.R ' t�I `016,`V E 0 1 14 al IL i t'�''"'� '7�' �3:. � s rt �� q � � � R , �• �%�ir�t�- ";�'�� r'�• 4�rfi'�;•I 3' L BUTTE COUNTY SCHOOLS IMPACT FEE CERTIFICATION FORM '(One Form Per Buildin,g) School District— A �� Building Department No. —JQ --- ---- --- A.P. Number 2 (D-71/0-0)3 Jurisdiction (_ J City County ` �f Property Owner Property Location/Address _ �f0 �f f 1911fCAl /ff O/rx::�:) Subdivison Lot No. Residential Development ire Sq..Footage 4�155 No. of Living MHI Ad ition 'i1 (Group R) o Al/ Units 0-4111 6!5- Cd 4/V Commercial/Industrial Sq. Footage New Addition (Including Exterior Roofed Areas) BuildirM Department Representative Da (Floor Plans reviewed by School District Personnel) District Identification No. School District certifies that 1 r y _QA yn, f,2 �J (Ap icant) -7 1--� I _C 0.V% --=-----=---- 5 `L- q 3 (Street Address) (Phone Number) hr o 4 t :e- --------- - -- ------ (City) (State) (Zip Code) has complied with the requirements of Resolution No. _ $ `� —� p 0 by payment of $ representing Z_ ___ — square feet. 9 t �L, I M Schoo istric Representative Date z Paid by Check Number —__ — _ Remarks: , Bank Number _ _ _ Paid by Cash If, subsequent to the School District Representative signing this Butte County Schools Impact Fee Certification Form, the School District is notified by the applicable Local Planning Agency that this project is being reviewed under the California Environmental Quality Act (CEQA), this project may be subject to additional school fees to fully mitigate its impact on the school district's schools. White (applicant), Yellow (building department), Pink (school district) feeform.wkl (4/92) This set of plans and specifications MUST bE _ kept on the job at all times and it is unlawful to hanges or alterations on same without written permission from the Department of Pub lic Works, County of Butte. NOTE:—ATI Materials & Workmanship Shall Be in Accordance with Recognized Good Practices and �.of a gwality prescribed for the Specified use in the uildingr Plum c-MeehcmiaaI Codes and the National El'c ode. ` 0 N. 12.4 12 �� , The B dg. Setback shall be 5 ft. from the side property line and 50 ft. from the cente line of the road, permitting a rr axi- mumbf a 2 ft. eave overhang but ent relY Qut o all easements. •8 •9 io ' �, u. E. C : tat' See Master plan on file fog shav- +wal o shav- +wal details &aZyd9 —7S surrE couNrr BUILDING DEPARTMENT vos rz 0EC �' s�o :3 07 re � _ �/ T its' -- CITY COUNTY_ ]r",— P.O. SU?OIVISION 'JO3 NO.HO1Y.isS,I'-7YN zz�N �.,,� ea FOX I ZC GLECTRICr a�91S•-:3v•27.,313 _ -- � •[ .4 2• �. ._: i'i."6'�3:'�.-.� ....` a.,r J:fJ.. b.7ei�''l �..t. �..tJt•ie1��TII_:.YII- Jbsi.rt'Li ,• +••.: �3_ a ::.. .:..1t�.'�..��.k N S VL.2'=•�C:L^.M•�.=.inY•.�..�:4...Y_ti l�:J'•iL.a 2.181.— .-Z4� !PERMIT NO. 2909-79B,P,EM PERMIT EXPIRES OWNER Wynoka Homes, Inc. owner CONTR. LOCATION (A.P. 36-74-3 5716 Via Pacana, lot 3, Oroville, N Temp. Powtr Pole , Calle PG&E Temp. Efec. Serv. 2 Cal I Id PG&E Temp Gas Serv. e Temp. C lied PG&E J Jo ALED (Date) (Signature) RFC T1)VWTTAT. ENERGY CONSERVATION STANDARDS CONSTRUCTION COMPLIANCE CERTIFICATE THIS IS TO CERTIFY THAT ENERGY CONSERVATION REQUIREMENTS HAVE BEEN INSTALLED IN CONFORMANCE WITH CURRENT ENERGY CONSERVATION REGULATIONS AT G S7/6 11119 PAcXA1A • (location) BUILDING PERMIT NO.290"1'79 A.P. N0. '9, THE FOLLOWING HAVE BEEN INSTALLED AS PER APPROVED PLANS: (Check each itemor write N/A if not applicable) INSULATION: Slab Edge. /l=_ Fdn. Walls Floors Walls R Ceiling/Roof 2 Ducts tvt Circulating Pipes_ APPROVED HEATER c/ APPROVED WTR.HTR. 4 CLAZ TNG Single Glazed Special (Insulated) CERT. & LABELED WDS. & SLIDING DRS. WEATHERSTRIPPED DRS. BACK DAMPERED FANS r INTERMITTENT. IGNITION DEVICES CERT. APPLIANCES I DECLARE THAT ALL -REQUIRED ITEMS AS NOTED ABOVE HAVE BEEN INSTALLED IN ACCORDANCE WITH THE ENERGY CONSERVATION REQUIREMENTS AND AGREE TO THE COMPLETENESS OF THIS CERTIFICATE AS SUBMITTED. Insulation Applicator Name f ��;�/"✓J /Rf �(11G.4%L'A) G0. - Signature of (please print) .Insulation Applicator State Contractors �1 License No. �3 7 7 O General Contractor/Owner Name 4J (p se print) Signature of General Contractor/Owner Date 2' Z /-� U State Contractors License No,. THIS CERT IF ICATE MUST BE ON FILE WITH THE BU ILD ING DEPARTMENT PRIOR TO REQUESTING FINAL INSPECTION AND SHALL BE POSTED IN A CONSPICUOUS LOCATION WITHIN THE DWELLING. i;4 Wynoka Homes Permit# INSULATION CERTIFICATION Number and SlreatCity County Vista -Del Oerro Unit. •2 _ lot 3 Subdivision Lot Number DESCRIPTION OF INSTALLATION ROOF Material Brand Name Thickness (inches) Thermal Resistance (R Value) EXTERIOR WALL Material Fiberglass Brand Name_ Certainteed Thickness finches) 3 11 Thermal Resistance (R Value) 11 CEILING — Batt or Blanket Type Brand Name Thickness (inches) Thermal Resistance (R Value) Loofa Fill TypeFiberglass Brand Name Certainteed Minimum Thickness (inches) 8211 Number of bags 24 Weight per bag ='l Ib Area Covered Ih21 1054 Thermal Resistance (R Value) 24 FLOOR, ELEVATED Material Brand Name Thickness (inches) Thermal Resistance (R Value) FLOOR, SLAB Material Brand Name Thickness (inches) Thermal Resistance (R Value) Width (inches) FOUNDATION WALL. Material Band Name Thickness (inches) Thermal Resistance (R Value) . HEATING SYSTEM Gas Furnace Make Model Description Rated Bonnet Capacity ' DECLARATION 1 hereby certify that the above insulation was installed in the building at the above location ir. conformance with the current regulations setting Energy Conservation Standards for new residential buildings (located in Title 24 of the California Administrative Code). U114 'f 117kla Ale -3 P Genet Contractor (Builder) License rjZo- Signature and Title Daft Hawkins Insulation'Co._ Inc. 378407 Sub•Cont,.rto, (Intulat on Applicator) License Number `/G ♦ Prem - — 12-29-79 Signature and Title Dale CERTIFICATE REVIEWED BY Late BIN -029 (Building Inspection O ice) FINAL ans 2! Entrance Steps. Door & Sidelieht Protection Permit No. ' V. Smoke Detector urnace--Vents Clearances Combustion Air, :Connecto Garage -Height ,-Bedroom Exiting G.F.I. & Bath Fixtures Electric Trim & Sub Panel --Labels ,Stairs & Rails ., ire lace or Stove --Clearances Hearth ectric Outlets at Wood Panel --Int. & Ext. ixtures & Ann liances in Kitchen--Grounded--Air GaD--Cookina Clearance lectrical Outlets & Receptacles at Kitchen Counter . Garage Fire Door --Swing & Landing, Closer C. Duct in Garage --Damper Water Heater --Vents, Clearances, Combustion Air, P.R.V., Connector Mech.Protection W. Firewalls & Openings --Area Separation Walls 17. lectrical Receptacles in Garage (G.E4.) Romex protect Insulation--Foam--Looked in Attic Yes ,25UK S ps at Ext. Doors & Landings *;;ard Rails and Deck Construction & Mech.Protection Garage -Height & Foundation Vents &.Crawl hole Door --Drainage.& Wood -Earth Clearan es-- ooked Under Floor%Yes -I-:- . Following Installed: Drive L Yes I No; Walks No; 'P1 meters or in Walls %y1/ Yes /-7 No --- Creatin Drain a Problems 77 Yes jt7 No 2 . A.C. Unit --Disconnect Clearances Breaker &,,Conductor Size --115V Outlet ak"Vents Above Roof --Plumbing, Appliances, Fireplace --Clearance to Openings ater Well -Disconnect Electrical Plumbing ..Exterior Electrical Trim & G.F.I. Receptacle. Ventilation Throughout House Glass Protection 29. orrections from Previous Inspections ._Cas Test --Meters Tagged -Gas & Electric M Energy Compliance Certificate 33. Sign Job Card 1 ALL OF ABOVE COMPLETED / / EXCEPT Signed: Date: - ABOVE LISTED CORRECTIONS COMPLETED SIGN JOB CARD Sianed: Date -4- PLUMBING --Above Floor Permit No. 1. Water Heater--Vent--Access--Combustion Air 2. Water Pipe --Test & Anchors --Nail Protection 3. Drain Pipe--Test--Fittings & Anchors --Nail Protection 42" Test Q 4. Shower Pan --Test First floor --Tub Access 5. Test Tub & Shower, second.floor--Tub Access 6. Gas Pipe --Size & Anchors 7. Sin Job Card ' ...................... ALL OF ABOVE COMPLETED EXCEPT Signed: Date: ABOVE LISTED CORRECTIONS COMPLETED Date: ELECTRICAL --Above Floor Permit No. 1. Clearance & Insulation Protection at Flush Light Fixtures 2. Elec. Receptacles Spacing --Lights & Switches at Doors 3. Size Boxes & No. of Conductors --Stapled 4. Romex Installed Close to Edge of Studs & C.J. 5 Equip Ground made up w/Mech Fasteners 6. 2 Appliance Circuits in Kitchen & Conductor Size 7. Sub Feeders --Wire size Q ga. Cu or Al. Breaker Size = Amp. -- Insulated Neutral, Yes Q No Q 8. Range Circuit Q ga. Cu or Al, Breaker Size %Q Amp. --Oven Circuit [-Q ga. Cu or Al, Breaker Size Amp. 9. Service --Riser Conductors & Ground 10. Bond Gas & Water Pipes 11. Clothes Closet Light --Shower Light 12 Sign Job Card ALL OF ABOVE COMPLETED 1___I EXCEPT Signed: Date: ABOVE LISTED CORRECTIONS COMPLETED Date: .............. ........ _.... MECHANICAL --Above Floor Pexmit.No. 1. A.C. Ducts --Insulation & Support 2. Vent Fan --Exhaust Above Insulation 3. Condensate Drain & Overflow --Size & Grade 4. Furnace--Vent--Access-Comb.Air--Return Air Vent --115V Outlet 5. Attic Access & Platform if Furnace in Attic 6. Sin Job Card ALL OF ABOVE COMPLETED EXCEPT . Signed: Date: ABOVE LISTED CORRECTIONS COMPLETED Date: -3- 6. r COUNTY OF'BUTTE - DEPARTMENT OF PUBLIC WORKS, C BUILDINGNS. ECTION RECORD Q aulLutNU Setback Forms Main BI Footi Stemu Slab Piers c10ti PLUMBING 1 3. liances --------- masonry wails Throat Rou h Reinf. Steel Final Fixtures 30 Bond BelffllFIRE SPRINKLERS Motors Framing 111417,7 Test Water Htr. �— Stucco Final Subpanels '�— Mesh % MECHANICAL Grd. Fault Prot. Scratch Heating Service l Brown Cooling Temp. Pole Finish / O Ducts /.'/ 124 7'i iindo.,,., e—A --l—nvrvnc u 1 11.1 1 i cw - - - - - - - - - - - - - - - - - - tiec. service Elec . Pedestal Water Piping Sewer Gas Piping OBILEHOME INSTALLATION - - - - - - - - - • - - - - Support Elec. Continuity - Water Piping Drainage Gas Piping DATE. REMARKS OR CORRECTIONS (NOTE: An entry must be made on this form each time you visit the job site.) C.O7' Q4/ JCOUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS • 7 County Center Drive — Orovi Ile, California 95965 Telephone: 534-4541 APPLICATION AND PERMIT / BUILDING Owner W YNO a H OM N C SQ. FT. OCC. BUILDING KLUATION Mailing Address0 130)( k600 Tel o^e�lo. LL Contractor S PA Mailing Address Fireplace Total Valuation Telephone No. Permit Fee _ Building Address L��' 3 Plan Checking Fee&/or Penalty •$ Permit Fee ,5-716 VIA P A C A NA PLUMBING No.1 @ FEE 0 (1,0vll L -l6 CA PERMIT FILING FEE J$3.00 Each Trap 1.50 Repair drainage or vent piping 1.50 A. P. No. (O`r � � __., � Aging & Planning Water piping 1.50 � Each gas water heater or vent 1.50,�� Fille s ire Dept. Fire Zone Use Permit Gas piping system 1 - 5 outlets 1.50 EQA Parking Plans Parcel Declaration Parcel Map 60' /W Improvem s Each additional outlet .30 Building sewer 5.00 g 12. arcel Approval Plans n sprinkler p Y Lawrinkler s stem 2.00 NEW ADDITION ❑ UTILITIES ❑ OTHER ❑ Permit Fee $ ,00 ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 Main service 100 AMP OR00V OR L LESS5.00 Single Family E] Duplex ❑ Mobil Home ❑ Others ❑ Main service EA. ADD•L 100 AMP 2.50 Main service OVER 25.00 100 AMPP OR LESS O Main service EA. ADD•L 100 AMP 1.00 NEW CONST. DWELLING OCC1 P q ` OR ADDNS, ACC. BLDGS. 20sq ft aC7,¢,7 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: A) YAM KA tj ()^A ES NG NEW CONSTR MULTI NON.RESID BRANCH CIRC 12.50ea NEW CONSTR. POWER APPARATUS 8 NON•RESID. SINGLE OUTLET CIR. Ex. OCCUD(OUTLETS OR FIXTIIRES1 s X25 FIXED APPLNS, OR Ex. Occup. (OUTLETS (REBID.) EA) 2•00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 6.25 [� ' License No. � TJ 2 S g Classification_ ❑ I am exempt from the Contractors License Laws of the State of California. Permit Fee $ JO,641 $ MECHANICAL No. @ 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. PERMIT FILING FEE $3.00 �.� Heating �b �!') Cooling AIJ Ventilation Hood 2.00 �pj 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 authorize representatives of the County of Butte to enter upon the above-mentioned property for inspec ' purposes. X Date% g,ature g Permitee or Agent—AA Receipt No.�/� �� White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant Land' Development Fee Lan l t F $ TOTAL PERMIT FEE$ This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated aboveor which fees have been paid. IRE T R OF 9UBLIC WORKS Date/ / Building permit expires Date [•`�