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HomeMy WebLinkAbout078-140-014l 0 9 Wynoka Homes, Inc. 5770 Via Pacana, Oroville lot 14 Permit #4760-79B,P,E,M(new single�� familya AAP ) .°3019-91B,P,E,M DEASON, Debbie 5770 Via Pacana, Oroville cont: Walter Connely (wtr htr, hvac, elec serv,reroof/sf) ,A, ; 4760-79B,P,E3,M P" PERMIT NO. (� ' PERMIT EXPIRES OWNER Wyooka Homes, inn r CONTR. owner LOCATION (A.P. 36-74-14 5770 Via Pacana, lot 14, Oroville/ t Temp. d ower Pole Ca'led PG&E 1 Temp Elec. Serv. J Z� C lied PG&E Tem. Gas Serv. / S L✓� � % Q alled PG&E 0 ALED L 7 (Date) (Signal e) "Jit- aavruc. - Nrmit# INSULATION CERTIFICATION Number and Street City County Vista Del Cerro lot -14 Subdivision Lot Number DESCRIPTION OF INSTALLATION ROOF' Materiel. Thickness (inchesl EXTERIOR WALL Material Fiberglass Thickness (inches) All CEILING Brand Name. Thermal Resistance IR Value) Brand Name Certainteed Thermal. Aesistance'(R Value) 11 Batt or Blanket Type Brand Name Thickness finches) Thermal Resistance (R Value) Loose Fill Type Fiberglass Brand Name Certainteed Minimum Thickness (inches) 832" Number of bags 21 Weight per bag Ib Area Covered Ih21 1110 Thermal Resistance (R Value) 24 FLOOR,ELEVATED Material `t Brand Name Thickness (inches) Thermal Resistance (R Value) FLOOR, SLAB Material Brand Name Thickness (inches) Thermal Resistance (R Value) Width (inches) FOUNDATION WALL. Material Brand Name Thickness (inches) Thermal Resistance (R Value) . HEATING SYSTEM Gas Furnace `- Make Model Description Rated Bonnet Capacity DECLARATION I hereby certify that the above insulation was installed in the building at the above location ir conformance with the current regulations setting Energy Conservation Standards for new residential buildings (located in Title N of. the California Administrative Code). G eral Contractor (Builder). License Number, Signature'and Title Date Hawkins Ins><tlatbon Co,_Ine. 378407 Su Contractor (Insulation Applicator) License Number R /��--_= Pres. d- 1-24-80 Signature and Title CERTIFICATE REVIEWED BY Late BIN -029 (Building Inspection. ofd) =•3 RESIDENTIAL ENERGY CONSERVATION STANDARDS. CONSTRUCTION COMPLIANCE CERTIFICATE THIS IS TO CERTIFY THAT ENERGY CONSERVATION. REQUIREMENTS HAVE BEEN INSTALLED IN CONFORMANCE WITH CURRENT ENERGY. CONSERVATION REGULATIONS, Ate' / V s7'7d vfij 12&1 1vX -- (location) BUILDING PERMIT NO. 14 y6D -%% A.P. NO. 3K' -71l / 3 THE FOLLOWING HAVE BEEN INSTALLED AS PER APPROVED PLANS: (Check each item or -write N/A if not applicable) INSULATION: Slab Edge. Fdn. Walls 41A Floors AYA Walls Ceiling/Roof i2LI Ducts11 Circulating Pipes APPROVED HEATER APPROVED WTR.HTR. GLAZING: Single Glazed .Special (Insulated) CERT. & LABELED WDS. & SLIDING DRS. WEATHERSTRIPPED DRS. ✓ BACK DAMPERED FANS 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 �1if /"✓J USUCArl6'A GO: Signature of (please print) Insulation Applicator State Contractor License No. 5VO General Contractor/Owner Name 1•'C ( se print) Signature of General Contractor/Owner Date State Contractors License No. �ZS 6g 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 FINAL Permit No. Y. Plans Entrance Steps, Door & Sidelight Protection Smoke Detector 4—. Furnace --Vents, Clearances, Combustion Air.:Connecto Garage -Height & Mech.Protection Bedroom Exiting G.F.I. & Bath Fixtures Electric Trim & Sub Panel --Labels -8..- Stairs & Rails --9':' Fireplace or Stove --Clearances, Hearth 1*1. Electric Outlets at Wood Panel --Int. & Ext. ` 7!9/. Fixtures & Appliances in Kitchen--Grounded--Air Gap --Cooking Clearance Electrical Outlets & Receptacles at Kitchen Counter 13,.' Garage Fire Door --Swing & Landing, Closer Duct in Garage --Damper 151"Water Heater --Vents, Clearances, Combustion Air, P.R.V., Connector Garage -Height & ech.Protection lb -. "Firewalls & OpeninRs--Area Separation Walls 141* EJectrical Receptacles in Garage G.F.I Romex protect b . Insulation--Foam--Looked in Attic Yes W. Steps at Ext. Doors & Landings 1-9; Guard Rails and Deck Construction Foundation Vents &.Crawl hole Door --Drainage & Wood -Earth Clearances .Looked Under Floor -77 Yes Following Installed: Drive Yes L1 No; Walks Jj Yes jyzt- To; Planters or in Walls %—� xes No --- Creating Drainage Problems 7'7 Yes 17T No 2 Unit --Disconnect Clearances Breaker & Conductor Size --115V Outlet n/<_ 2 Vents Above Roof --Plumbing, Appliances, Fireplace --Clearance to Openings -24kYater Well -Disconnect Electrical Plumbing xterior Electrical Trim & G.F.I. Receptacle Ventilation Throughout House -2.8:.Glass Protection W. Corrections from Previous Inspections 30'.1 Gas Test --Meters TaQeed-Gas & Electric 32'. Xnerzv Compliance Certificate. ALL OF ABOVE COMPLETED / / EXCEPT Signed: Date: ABOVE LISTED CORRECTIONS COMPLETED SIGN JOB CARD Signed: Date / ME 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 4. Shower Pan --Test First floor --Tub Access 5. Test Tub & Shower, second floor --Tub Access 6. Gas Pipe --Size & Anchors 7. Sign Job Card ' _ .. . ..... .............................. ALL OF ABOVE COMPLETED L_/ 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 Q 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 Q 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. I J EXCEPT Signed• Date• ABOVE LISTED CORRECTIONS COMPLETED Date: ............................... MECHANICAL --Above Floor ...... Permit- 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 Sign Job Card ALL OF ABOVE COMPLETED C.7 EXCEPT Signed• Date• ABOVE LISTED CORRECTIONS COMPLETED Date: -3- M E C H A N I C A L Check List ❑ Permit , ® U d oor Stage nderfloor Supply Plenum: (1) One-story. (2) Clearances. (3) Combustible material. (4) Insulation and vapor barrier. (5) Access. (6) Catch receptacles and registers. (7) Fire -stopping. (8) Boots. (9) Supply ducts. (10) Gas lines and plumbing cleanouts.' Ducts: (1) Size. (2) Materials. (3) Support. (4) Fittings. (5) Wrapping. (6) Insulation. (7) Clearances - ground, crawlspace, cleanoutg, plumbing, etc. Combustion Air: (1) Size. Refrigerant Piping: (1) Material. (2) Support. (3) Fittings. (4) Insulation. ❑ Frami Sta e Heating: (1) Approved appliances. (2) Accessibility ..(3) Clearances. ;/(4) Combustion air. Vent and Connector: (1) Approved._(2) Size. (3) Clearances. (4) Cap: (5) Termination. Ducts: (1) Materials. (2) Size. (3) Support. (4) Fittings. (5) Insulation. _ (6) Fire Damper. Refrigerant Piping: (1) Material. (2) Support. (3) Fittings. (4) Insulation. (5) Condensate drain. Final ❑ Heating: (1) Accessibility. (2) Combustion air. (3) Safety controls. (4) Electrical connection. (5) Fuel shut-off. ❑ Cooling: (1) Accessibility. (2) Support. (3) Controls. (4) Pressure relief valves. (5) Class 2 refrigerant. 5/79 P L U M B I N G Check List ermit Under oor Sta e .W.V.: (1) Sizing. (2) Materials. (3) Fittings. (4) Grade & Support. (5) Cleanouts & Accessibility. (6) Clearances. (7) Rough -in Locations. ®* (8) Wrapping. (9) Test - including "Ts". (10) Additional test not required.* jWater: (1) Sizing. (2) Materials. (3) Support. (4) Test. (5) Wrapping. * (6) Dissimilar metals. (7) Service regulator.installed or not required.* Gas: .(1) Sizing. (2).Materials. (3) Support. (4) Log Lighter. (5) Wrapping. ' Sta a (Top Out D.W.V.: (1) Size. (2) Vent Area & Termination. (3) Materials. (4) Fittings. (5) Grade & Support. (6) Cleanouts. (7) Traps. (8) Nail Protection: (9) Plumbing Access. (10) Toilet Clearances. (11) Shower size. (12) Shower Pan Test. (13) Vents - turns, horiz., runs, loop, wet, etc. ❑* (14) Additional 2nd floor test not required.* W r: (1) Pipe Test. (2) Mixer Valves. (3) Support. (4) Roof drains. as: (1) Size. (2) Materials. (3) PR Valve Drain. Water Heater: (1) Vent. (2).Locatione (3).PR.Valve Drain. ❑ Final " D.W.V.: (1) Connected to sewer system. (2) Special systems. ❑ Water: (1) Water Source. (2) Shut-off. (3) Anti -siphon Valves. ❑ Gas: (1) Test. (2) Connectors. ❑ Water Heater: (1) Location. (2) Accessibility. (3) Clearances. (4) Stability. (5) 18" Garage Floor. (6) Mechanical protection. (7) Combustion Air. (8) Draft Diverter. (9) Vent Connector. (10) Vent. (11) Shut-off and connector. (12) PR Valve & Drain. ❑ Fixtures: (1) Approved. (2) Stability. (3) Clearances. (4) Trapped. (5) Connections. (6) Cross -connections. (7).Dishwasher Air Gap. 5/79 y� ` .. ,. ^ . .. i . . ` COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS BUILDING INSPECTION RECORD (44 BUILDING BUILDING (Cont'd) PLUMBING Setback Firewall , Z Soil Piping Forms got Parapets 1st Floor Main Bldg. -r . • Restroom Finish 2nd Floor Footings Windows 2 3rd Floor StemwN I Siding To out V C6 7 47 Slab 1- Roof Sheathini Water Pi in .92Xi7 Piers Roofing Sewer $"7 Garage Fdn. Vents Fixtures 0 Footings Garage Vents Water Htr. l StemwaI1- Insulation Heaters L Z Q/ 72 Slab Prov. for physically Appliances Carport handicaped Conformance of ex. Gas Piping & Test %72 Footings strtta4ure Temp. Gas Slab F nal O Sanitation Patio FIREPLACEnal Footings Footing LECTRICAL Masonry Walls Throat Rough Relnf. Steep- `fs�..� S (,i�7 Final Fixtures 1 %� Bond Beam FIRE SPRINKLERS Motors Framing Test Water Htr. Stucco Final Subpanels ` Mesh 7 7 MECHANICAL Grd. Fault Prot. Scratch Heatin Service �%2 Brown % Cooling -C Temp. Pole Finish 3 Ducts Underground Interior Lath VenLLIlation L Permanent Door Closer 3, CJ JgaiE MOBILEHOME UTILITIES ---------------••- ec. Service Elec. Pedestal Water Piping Sewer Gas Piping MOBILEHOME INSTALLAMN - - - - - - - - - - - - - - Support Elec. Continuity Water Piping Drainage Gas Piping DATE REMARKS OR CORRECTIONS h (NOTE: An entry must be made on this form each time you vislt the job site.) COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center.Drive — Oroville, California 95965 Telephone: 534-4541 APPLICATION AND PERMIT �C BUILDING Owner M C SQ. FT. OCC. BUILDING VALUATION 11210 X Mailing Address '3 0 1600 91 rr_p - CATelephone � . Contractor -5 14M 67 Mai I i ng Address Building Address Telephone No. -/2O-/' V19 A. P. No.r Zoning & Pla in Fees W.C. Sapon Fire Dept. Fire Zone Use Pe it EQA I Parking I Parcel Parcel N�e 60' R/W I Improvements Plans Declaration P P ' Bldg. Plans Recd Parcel A roval Plans4kpproval NEW ® ADDITION ❑ UTILITIES ❑ OTHER ❑ Single Family V1 Duplex ❑ Mobil Home ❑ Others ❑ Fireplace Total Valuation —tl— Permit Fee Plan Checking Fee &/or Penalty Permit Fee PLUMBING PERMIT FILING FEE Each Trap Repair drainage or vent piping Nater piping Each gas water heater or vent Gas piping system 1 - 5 outlets Each additional outlet Building sewer Lawn sprinkler system Permit Fee ELECTRICAL PERMIT FILING FEE Main service 600v OR LESS 100 AMP OR LESS Main service EA. ADO'L 100 AMP Main service OVER eoov 100 AMP OR LESS Main servlce EA. ADD'L 100 AMP NEW CONST. / DWELLING OC.VVP. $3.00 1.50 1.50 1.50 1.50 1.50 .30 5.00 2.00 $3.00 5.00 2.50 25.00 1.00 C&� MII MI l2M 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 r V� Y/V o K A 4oM S `N C NEW CONSTR MULTI.OUT T NON•RESID ( BRANCH CIRcuITs 12.50ea NEW C ONST R. ( POWER APPARATUS d NON•RESID. SINGLE OUTLET CIR. Ex. OCCUP(OUTLETS OR FIXTIIRES 6 L2; EX. Occup. (OOU LETS P(RESID )KEA) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 c' License No. I R ZS i d Classification Q' Mise. Wiring 6.25 I am exempt from the Contractors License Laws of the State of Cal ifomia. Permit Fee $ a MECHANICAL No. @ FEE WORKMEN'S COMPENSATION INSURANCE I am aware of the provisions of Section 3700 of the California Labor PERMIT FILING FEE /1$3.00- Heating -.y°".;" i 2/ 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 authorize representatives of the County of Butte to enter upon the above-mentio d property for in ction purposes. X Date ignature of PPermitee or Agent of Receipt No. ""'112' White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant Coo I i Ventilation Hood 1 11 2.00 IS� Permit Fee $ MOA$ J1Q1Op Land Development Fee $ TOTAL PERMIT FEE $ 249 20 This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DIRECTOR OF PUBLIC WORKS By Date gf— (o ll�wilding permit expires Date o ��� '� 0 ` PERMIT APPLICATION WORK SHEET -74;'0 ^ G Permit No.® OWNER (/L U ��a ` ^!A.P. No. 3� - ;;' rr� Zoning Use Proposed Approved Not approved Permit fee based upon: 1. Complete contract price. 2. Partial contract price (explain). 3. DPW Valuation (show): At time of permit application, the'applicant was advised the following data or information must. be submitted prior to permit processing and/or issuance: Date received 1. All items have been submitted. -------------------------- 2. Plot plans in duplicate/triplicate. -7 ----------------- 3. Complete plans in duplicate/triplicate. ----------------- 4. Complete engineered plans and calcs. ------- ------------ 5. -Fees of $ -------------------- 6. Letter of signature authorization. ---------------------- 7. Sanitation approval. ----------------------- 8. Planning approval for 9. Workmen's Compensation Insurance Certificate. ----------- 10. Contractors license information. ------------------------ 11. Parcel declaration, recorded copy. ---------------------- 12. Access declaration. ------------------------------------- 13. Aunt Minnie information. -------------------------------- 14. Deed of access, recorded copy -------------------------- 15. Deed of parcel creation, recorded copy. ----------------- 16. Parcel map, recording data. ----------------------------- 17. Pre -inspection request for -- 18. Improvements - plan- rpnuired & DPW approval. ----------- _ _ -19. Other ------- By Dat. Bldg tnspector During plan checking process, the following data or information must be submitted prior to permit issuance: 1. Index permit for items 7�z above and in addition the following: 2. Applicant advised by Telephone Mail Other 3. Plans checked by 10 Date 4. Plans.approved by_�� Date 8 When permit is issued, process as follows: 1. Mail to owner. 2. Mail to contractor. 3. Deliver with inspection. 4. Telephone and hold, for pickup @ office. 5. Other Before permit issuance, all of the following items must be signed or marked NA: 1. Zoning use 2. Legal parcel 3. Envir.Health - Date Plans Sent A. Sanitation B. Restaurant C. Other 4. Public Works - Date Ndtice Sent A. Street Imp. B. Drainage C. Permits & Fees D. Other 5. Planning A. Use Permit B. Variance C. Other 6. Other Agencies - Date Plans Sent A. Fire Dept. B. Other NO (��fiEt---All Materials & Workmanship Shall Be *w6ko with Rc-cognized Good Practices id�� :� a��lii� ♦4 Jbeilao l ur +lie Specified RuOjto, in op esRs; uids"z a va/J foie. • 2 This set of plans end MUSS 60 kepa on the 'sob of e-rimcis and it 14 VAIP ful t® ma!:e any chnAes or ri:ir-mismio oA vim w 94l f .r m the Dopartmont of M11G Wars, CC-Ur,4 of a,"te. S its • O ♦♦ • � O 0 491 0 o 100412 � e® Muter Plan on dile Tor 6uircling Ions, Cis: 111-3� o AA V14 CZ X., ,OQ r•`Q T> ,, 'Mcl§ Setback shall 6e 6 fit. froth P,0 perty line and so ft. from the ceww7nc at the road, permitting a mcm- mr , of a 2 ft, owm ovorhang but ontiroly. 0:6 cf CAca=m, cnih. . VAII SLJ3D!VIS10N CITY CCDUNTY ._.,rL .•r - — - •.-••�-�•-vd• s.avz:�r<s a;�.sra_-n�a:-sarm.o.¢.ci>-•- �"^s'.� 4760 -,"? I DUTTE COUNTY Is ��ENT SE\r✓ER T E R EL!nCTRIC P. O.e!_3X:ESCALE_ OROVILLE, ��•� �y' S e� S zE53"Ia 2 7-733.�.-!��.M•�:. CAL. S'S 55 V.. _...._ ,., I ....—.—..1L 3� G � AFL �i -: Y13 • �KTJ L]G:1. 1.•ICL�i�2�iT t.++.. X..L.T.}c!`�at3_.. '.:...tC_YSS.�"2 x.91 - - '— i—.: �.- �sr :.�_."h._-/�.w•.5:�- Y. �Y'MS� �C-i•2._•." 4.•: � - / . I IN" V✓l..'R+t:. :/f. 4-V x'17 j_iJ+C+r4f"�:! .r ve.�^ ' r' " :�.'1%�� �, �?'4'*�2�T��n..r�""� �w�.+�`•'S �?7�"��%d_ rV COUNTYI OROUTTE DEPARTMENT OF PUBLIC WORKS 09111W NO. 9 6auflty 00teP fj'Fly®a 6ravllf®, O®Ilfarfll� ®�@®� o TSI®phanf�l �iS/S�f��9S41 9 - K - APPLICATION AND P IIT ASSESSOR R 1 BUI6DINd PERMIT OWN DEBBIE L. DEASON ---------------------- T -go. Ff. _000. f�llfL-6iNa VALUATIONELEPHONE 1 I lo, OWNR'9 I G D-RE9S 5770 VIA PACANA OROVILLE C-ONTRAE OR' A TE- t� HO -- -�1�. 1= irdplace ---- ---- CONTRACTOR'S MAi 61NG��f= . i 9NI CONSTRUCTION LEN6ER NOWN Total Valuation $ Filing Fee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee $ 9. ARCHITECT OR ENGINEERLICENSE 7Energy NO. Plan Checking Fee $ Plan Checking Fee - -$ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS 5770.VIA-PACANA OROVILLE Permit fee $ 29.00 PLUMBING PERMIT FIIIngFee 10.00 V Each Trap 12.00 Solar or heat pump water heater 20.00 LOT NO. 14 SUBDIVISION NAME PARCEL:.MAP : VISTA DEL CMO UNIT 2 Water piping • 5.00 5.00 Each qas water heater or vent 5.00 5.00 USE OF STRUCTURE �r�-1 P SF' �] Duplex❑ Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets 5.00 5.00 Building sewer 5.00 Mobile Home S G W 0.00 ea TYPE OF WORK t New ❑ Addition ❑ Remodel ❑ . Utilities ❑ Installation❑ Other ❑ I Describe work: NEW 14AM HEATER, NEW HVAC, 200 AMP _ SFRVI(:T?9 RF -ROOF '' _ Permit Fee $ 25.00 Contractor ELECTRICAL PERMIT Filing Fee 10.00 - Main service 1 100v OR LESS100. AMP OR LESS 1000 10.00 Main service EA. ADD'L 100 AMP 2.50 2.50 CONTRACTORS LICENSE LAW I I declare under penalty of perjury (check one): ._�NON-RESID I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code a d my license is in full force and fect. 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) Contract- ❑ 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 GSCCUP..) oR ADDNSCONST. DWEACCLLING / yzQsgft NEW CONSTR.U TI.OUTLET BRANCH CIRC ITS 2,50 ea POWER APPARATUS &) SINGLE OUTLET CIR. Ex, OCCUp�OUTLETS OR FIXTURES aA 090 \ Ex. OCCUp- OUTLETS FIXED P(RESID.)REA.) 2.00 Temporary service 1b.00 Mobile Home Facilities 15.00 i Misc. Wiring 15.00 00 Permit Fee ; Contractor WORKMEN'S'COMPENSATION`INSURANCE I declare under penalty of perjury (check one): 1.- ' . I I ❑ The permit is for $100.00 (valuation) or less. I ❑ 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 so as to become subject to the W. C. laws of California.- 1• K 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 FiIingFee 10.00 Heating DUAL (ROOF) Cooling 0 Hood 3.00 Ventilation permit Fee ; ZZOVU Contractor , 1 certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. I also a ree to save, indemnif and kee harmless the Count of Butte a ainstTOTAL y p y g all liabilities, judgments, costs, and expenses which may in any way accrue against said County in c asequence f the granting of this permit. � X Date �p 2 � Signature of Applicant - Owner Contractor Agent ❑ An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee ; Energy Inspection Fee $ JH1 occ CONST TYPE FEE $g 113.50 HAL. CUA PARK SCHL FLD CDF PAR PD This permit is hereby issued unaer the applicable provi- sions of the Butte County -Code and/or resolutions to do work indJ ted above for which fees have been paid. DIREf, '19 OflOF PU LIWORKS ByLI. Date ,gll Phl PERMIT EXPIRES Date Receipt No. 97360 WHITE-D.P.W.. YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Orovllle, California 06886 - Telephone. 018/838.7541 APP4,1UTION AND PERMIT 0 36-74-14 R 1 •- .r BUILDING PERMIT ; DEBBIE L. DEASON 80, FT, OCC. BUILDING VAL -ION 19 1110 N D 5770 VIA! PSA%CANA OROVILLE c L 7s H iJ' CONTRACTOR'S M 1 INGD ESIQ S rQJ Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation Is Filing Fee $ 10,00 LENDER'S MAILING ADDRESS Permit Fee $ 19.00 ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS 5770 VIA PACANA OROVILLE Permit fee $ 29.00 PLUMBING PERMIT FIIIngFee 10.00 Each Trap 2.00 Solar or heat pump water heater 20.00 LOT NO. 14 SUBDIVISION NAME PARCEL MAP VISTA DEL CERRO UNIT 2 Water piping - 5.00 5.00 Each qas water heater or vent 5.00 1 5.00 USE OF STRUCTURE SF ® Duplex❑ Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets 5.00 1 5.00 Building sewer 5.00 Mobile Home S I G I W 10.00 ea' TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Uti Iities ❑ Installation ❑ Other ❑ Describe work: NEW W_AIFR HFATFR, NEW HVAC:, 200 AMP SERVICE, RE-ROnF Permit Fee $ 25.00 Contractor ELECTRICAL PERMIT FilingFee 10.00 Main service 11001 OR LESS 100 AMP OR LESS 10.00 10.00 Main service EA. ADD'L 100 AMP 2.50 9.90 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 a d my license is in full force and ffect. License No. Classification, Fl 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 OCCUP.a) OR ADDNS. 1 ACC. BLDGS. yzCsgft NEW CONSTR.MULTI-OUTLET NON•RESID BRANCH CIRC ITS 2,50 ea /POWER APPARATUS e (SINGLE OUTLET CIR. I Ex, OCCUp(OUTLETS OR FIXTURES 2 SOS eALAleaoFIXED APPLNS. Ex. Occup. OUTLETS ((RESID.)REA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 Permit Fee ; 3750 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. 1 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 FiIirig Fee 10.00 Heating 6.00 DUAL ROOF Cooling 6.00 Hood 3.00 Ventilation Permit Fee ; 22.00 Contractor 1 certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. 1 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 c sequence f the granting of this permit. - g--2 .-1 X Date SeT Signature of Applicant - Owner Contractor Agent ❑ An OSHA permit is required for excavations over 5' " deep and demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee ; Energy Inspection Fee $ occ CONST TYPE TOTAL FEE $ 113.50 HAL. I CUA PARK I SCHL I FLD CDF I PAR PD 1 HD• (SSU . This permit is hereby issued unoer the applicable provi- sions of the Butte County. Code and/or resolutions to do work in ' ted above for which fees have been aid. p DI R, OF PIUI ORKS By Date PERMIT EXPIRES Date Receipt No. 97360 WHITE-D.P.W., YELLOW -ASSESSOR. PINK -INSPECTOR. GOLDENROD -APPLICANT r.},• �r . -r. -. s., ...,,�Ty,,, yl�"^'11"'�,�''o�rs'1 .7.-....--w. ti'1:.}..n. i.R .,.+h^ .1 11. ..-,-.? 4 t COUNTY OF BUTTE - DEPARTMENT OF',P.0 LIC WORKS - BUILDING DIVISION 7 COUNTY CENTER DRIVE-(^(r1VdLLCALIFORNIA 95965 - TELEPHONE: 916/538-7541 PERMIT APPLICATI 4 BATA SHEET / + Permit No. OWNER `J/J�� L No.7V -A Proposed Building Use Building Inspector Date 1,;i�,Al 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 in duplicate/triplicate, signed by preparer of plans ........ 3. Complete plans in duplicate/triplicate, signed by preparer. of plans . . 4. Complete engineered plans and calcs, with wet signature on plans .. 5. Hazardous Material Form .............. :........................... 6. Energy Design Compliance and supporting documentation ......... 7. Statement of Intent for Non -Heated and AC Buildings :............. 8. Engineered truss details and layout in duplicate (required prior to plan check) 9. Mobilehome installation data including manufacturer's installation instructions....................................................... 10. Fees of $ ........................ 11. Chico Urban Area fees paid ....................................... 12. Park fees paid .................................................... 13. School District fees paid .............. 14. Sanitation approval from Health Department 15. City of Chico plumbing permit ..................................... 16. Plot plan and business license approval from City of (see City for other requirements) 17. Planning approval for (A) Use: (B) Parking: ...... 18. Improvements may be required. Contact Land ,Development Section DPW 19. Driveway permit (construction approval required prior to occupancy) 20. Pre -Inspection for required Pre-Inspec. request to Building Inspector 21. Contractors license information (No., Name Style, Classifications ... 22. Certificate of Workmans Compensation Insurance .................. 23. Owner -Builder Verification (Given to owner ❑, Mail to owner ❑) ..... 24. Recorded copy of Agricultural Acknowledgment Statement ......... 25. Letter of signature authorization ................................... 26. 27. Whenyou issue the permit, process as follows: Maij too ner. _ "" .�..�'telephone and hold for pickup at office. r)thor (Date) Mail to contractor. _Deliver w/inspector. Copy of Haz-Mat torm 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 issuance: (Circle new item not checked above). 1. Index permit for above items No. 2. Additional items required: Contractor, designer, owner, was advised of above required data by -phone ---Mail Contractor, designer, owner, was advised of above required data by -phone -mall Plans checked by Sets of plans on hold in Copy -DPW Date Plans approved by File cabinet AP folder by ..date unter by; date Date COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 - Telephone: 916/538-7541 APPLICATION AND PERMIT PERMIT NO. ASSESSOR P7E NUMB _G i ZONIN .' BUILDING PERMIT OWNER ^ TEL PHo�erE SO. FT. OCC. BUIL-01-NG VALUATION OWNER'S MAILING ADDRE17 SS / I /V CONTRA O '3 AME TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation Filing Fee $ t0 LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEERLICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS � �� v Permit fee $ / PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME/ PARCEL MAP SO+ DFL 6 C () C/V Z Water pining 5.00 � oa Each qas water heater or vent 5,00 <, o o USE OF STRUCTURE SF Duplex❑ Mobilehome❑ Other SA SPECIFY Gas piping system 1 - 5 outlets 5.00 ; p Q Building sewer 5.00 Mobile Home I S I G JWT 10.00 ea TYPE OF WORK New F-1 Addition [I Remodel❑'!D�Utilities❑ Installation Other ❑ Describe work: A/1 U) A/M tf7_/- I ItI560 OU/4G Ii 12V ��KQ�.� Permit Fee Contractor $ ELECTRICAL PERMIT Filing Fee 10.00 Main service fOOv DR LESS I00 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 Business 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 OCCUP.&) OR AOONS. ACC. BLDGS. / , /20soft NEW CONSTR. ULTI.OUTi-ST NON-RESID BRANCH C;RC ITS 2,SOeal POWER APPARATUS 6 (SINGLE CUTLET CIR. I Ex. Occup(OUTLETS OR FIXTURES 200!OtI i OAL33Ce FIXED APP LHS. OR Ex. Occup. OUTLETS (RESIO.) EA.) 1 2.00 1 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 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 r Q Vft L, A00 ling ,Q rHo0od 3.00 ntilation 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 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 ❑ Contractor ❑ Agent ❑ An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ OCC CONST TYPE TOTAL FEE $ HAz CUA I PARK SCHL FLO COF PAR PO H0. SSUE i I i !` This permit is hereby issued unser sions or the Butte County Code and/or work indicated above for which fees DIRECTOR OF PUBLIC BY PERMIT EXPIRES Date the applicable provl- resolutions to do have been paid. WORKS Date Receipt No. NMITE-O.P.W.. TELLO-ASeC35OR. PINK -INSPECTOR. GOLD EMPOO-APPLICAN T I