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
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,.
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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