HomeMy WebLinkAbout078-180-008r
-. t
Donald Dirks
N%W corner Lincoi6 Z 'Ciinton Avenues,
Oroville
Permit # 1207-82B',P, (move -in amd fnd.
41 for SF)
1990 Clinton Ave _fJovrYle
Permit#=ggB,E;M(addition/SF)
----------------
1
�o
COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS
7 County Center Drive, Oroville, CA 95965 PHONE: 916-538-7541
Donald Dirks
2160 Montgomery DATE December 20, 1988
ORoville, cA 95965 i
'RE: Permit application #2155-88 for addition -
applied for 7/17/88.(1990 Clinton)
A.P. # 36-171-12
With reference to the above subject:
L� Attached is:,.
Application for permit Mobilehome Utilities Installation Sheet
Building Plans Mobilehome Installation Information Sheet
Engr. Calcs Typical Plan Sheet
Owner -Builder Verification Form List of Codes Enforced
OTHER
�L We need the following information: .
Permit application signed and completed where indicated with all copies returned.
Fees of $ payable to Butte County Treasurer.
Certificate of Workmen's Compensation Insurance or'check exemption statement.
Contractor's -License Law information or check exemption statement.
Complete plans in including plot plans.
Plot plans, in
Structural details in ,
Complete plans and calcs in by registered engineer or architect.
Energy design including
Street and drainage improvement plan approval from Land Development'Section (DPW).
sets of plans in accordance.with the changes marked in'red.
Sanitation approval from Butte County Health Department at:
196 Memorial Way, Chico
7 County Center Dr., Oroville
Skyway & Elliott Rd., Paradise
Planning approval'from Butte County Planning Department, 7.County Center Drive,
Oroville,.for
Completed Owner -Builder Verification form.
Recorded copy of deedshowing
Recorded copy of agricultural acknowledgement statement.
t zxA OTHER In ardor to Iasue your permit we still need School District fees from the
OrnvillP Elpmpntary School District.
Should you have any questions concerning the above, please contact this office.
JFG/aj
,Yours very truly,
William Cheff
Director, of Public Works
F. Glander
Chief Building Inspector
COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS
w 7 County Center Drive - Oroville, California 95965 - Telephone: 916/538-7541
APPLICAT=ION AND PERMIT
ERMMIrIT NO.
V�
ASSESSOR PARCEL NUMBER
'3 6_ _
Z G
BUILDING PERMIT
OWNER
1'1
TELEPHONE
-,2--'
SQ. FT. OCC. BUILDING VALUATION
b
OWNER'S MAILING ADDRESS
U ►�
bu L
A
C CTOR'S NAME
0wiV& P_
TELEPHONE
CONTRACTOR'S MAILING ADDRESS
Fireplace
CONSTRUCTION LENDER
UNKNOWN
Total Valuation Is
Filing Fee
$ 10,00
LENDER'S MAILING ADDRESS
Permit Fee
$ O
ARCHITECT OR ENGINEER
LICENSE NO.
Plan Checking Fee
$
Energy Plan Checking Fee
$ 15. 00
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Penalty
$
BUILDING ADDRESS
Permit fee
$ '`
PLUMBING PERMIT
Filing Fee 10.00
Each Trap
2.00
I LLS
Solar or heat pump water heater
20.00
LOT NO.
SUBDIVISION NAME PARCEL MAP
Water piping
5.00
Each qas water heater or vent
5.00
USE OF STRUCTURE
IIS�
SF9 Duplex❑ Mobilehome❑ Other
SPECIFY
Gas piping system 1 - 5 outlets
5.00
Building sewer
5.00
Mobile Home JSFG FW
0.00 ea
TYPE OF WORK
New ❑ AdditionX Remodel ❑ Utilities ❑ Installation❑ Other ❑ !
Describe work: i i� X QV1,1. AAA c A-' i
Permit Fee
$
Contractor
ELECTRICAL PERMIT
Filing Fee 10.00
Main service SOOV OR LESS
AMP OR LESS
10.00 /,0,00100
Main service EA. ADD'L 100 AMP
2.50 2 . 6V
CONTRACTORS LICENSE LAW
1 declare under penalty of perjury (check one):
❑ I am licensed under provisions of Chapt. 9, Div. 3 of the BUSines$
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
oR ADDNST CONSTLIN OCCS. UP. 9,au
G
NEW CONSTR MULTI -OUTLET 2,SOea
NON•RESID .BRA CH CIRCU' TO
/POWER APPARATUS e
(SINGLE OUTLET CIR.
o®sos
z 30
Ex. OCCup OUTLETS OR FIXTURES eAL0
FIXED APPLNS. OR
Ex. OCCUp. OUTLETS (RESID.) EA.) 1 2.00
Temporary service 10.00
Mobile Home Facilities 15.00
Misc. �Yirih 15.00
g
Permit Fee $ , OD
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 i,j Lp, Aj to -t.- .00
Cooling
Hood. 3.00
Ventilation
Permit Fee $ (jU
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
allliabilities, judgments, costs, and expenses which may in any way accrue
against County in c que a of he granting of this permit
X Date
il
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 $ ,00
TOTAL PERMIT FEE $ a '7J S
occuP.
CONST.TYPE
SCHOOL
FLOOD
PARCEL
PD
1_.NTSSUE
This permit is hereby issued under
sions of the Butte County Code and/or
work indicated above for which
DIRECTOR OF PUBLIC
By
PERMIT EXPIRES Date
the applicable provi-
resolutions to do
fees have been paid.
WORKS
Date
Receipt No. 12 L19 J
WHITE-D.r.W.. YELLOW -ASSESSOR. PINK -INSPECTOR, GOLDENROD -APPLICANT
COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS - BUILDING DIVISION
7 COUNTY CENTER DRIVE - OR49V9,1-CR, CALIFORNIA 95965 - TELEPHONE: 916/538-7541
"PERMIT APPLICATION DATA SHEET
Permit No.
OWNER Doo AL Q 13 A. P. No. 16 - 17/ -
Proposed Building Use S -r. Building Inspector <4�)`-f Date 7` 7-��
At time of permit application, I was advised the following data must be submitted prior to permit processing
andlor 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. Plans with Energy Design Compliance Statement. . . . . .
6.0001 LL b School District "Fees Paid" Stamp on Floor Plan.
7 Statement of Intent for Non -Heated and AC Buildings.
8. Fees of $ , , , , , , ,
9. Letter of signature authorization. � des-.
&;i;910. Sanitation approval from G�'�-� 'eH a h Dept.
11. Planning approval for (A) Use: (B) Parking:
12, Certificate of Workmen's Compensation Insurance. . . . . .
13. Contractor's License Information (no., name style, classif.)
14. Owner -Builder Verification (Given to owner0, Mail to owner ❑•)
_15. Improvements may be required. . . . . . . . . . . .
16. ' Mobi lehome Installation Data. . . . . . . . . .
Prednspec.request to
17. Pre -Inspection for Required. Building Inspector (Date)
18. Recorded copy of Agricultural Acknowledgment Statement.
19. Driveway Permit.
20. Plot plan approval from city of
21. Engineered trusses in duplicate (required prior to plan check).
22.
When you issue the permit, process as follows: Mail to owner, Mail to contractor.
Telephone !9 -33 -`YS -k3- and hold for pickupate? ►«af�fice, Deliver w/inspector.
Other /
A p p I i c a n t ,0"',Date
Copy of plans sent Health Dept., Fire Dept., Other Date
The following data must be submitted prior to permit issuance: (Circle new item of checke a ).
1. Index permit for above items No.-'_
2. Additional items required:
Contractor, designer, owner, was advised of above required data by_phone_lnail—counter by date
Contractor, designer, owner, was advised of above required data by—phone —mal l—counter by date p -
Plans checked by Date Plans approved by Date
.22:Sets of plans on hold in File cabinet AP folder
Copy—DPW
FORM 7
ADDITIONS TO RESIDENTIAL-BUILDINGS ENERGY SHEET
PACKAGE,"Q";(Additions)-
Owner Do /1G,/ d or ks Climate Zone l
Permit # a'k/,yS T - P Y Floor Area 4300 ,
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 ZONE 6
APPLIES TO NEW AREA
O CEILING -R-30 -3 r
O WALL R-11 R 9
r
p FLOOR; R-11 R 9
SLAB R-7 R 7
GLAZING U-.65-(Dual) -.6 (Dual)
A SHADING ;
SOUTH - OPTIMUM OVERHANG
or •.36-Shading Coefficient
WEST - .36 Shading Coefficient.--
LOOSE FILL INSULATION (Density) -
t%INFILTRATION CONTROL (Weatherstrip`doors, certified windows,- caulking)
VAPOR BARRIER (Zone 16)
DUCTS PER UNIFORM MECHANICAL CODE - Ch. 10
LIGHTING KITCHEN,& BATH NOT LESS THAN 25 LUMENS/WATT
MAXIMUM GLAZING 16% OF`AREA PLUS•REMOVED GLAZING S7
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
12/85
*1 HEATING, VENTILATING, AIR CONDITIONING.SYSTEM
(A) Heating ti
❑ 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)
Cl 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)
*1 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 a maximum outlet capacity gas furnace
BTU
Cooling: Summer design temperature cooling load BTU
*2 Submit T.I.P.$.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.
SMNATURE OF BUI ING DESIGNER OR APPLICANT
r s
i
PERMIT NO. _ 120%-H2B"Pg
•PERMIT EXPIRES
OWNER Donald Dirks
owner
CONTR.
ASSESSOR PARCEL 36-171-12
i
LOCATION NW cor .of Lincoln & Clinton Ave
"�� Orovi 11e
a
v
x
5.'
4
.0
y Temp. Power Pole
t
Called PG&E
Temp. Elec. Service,
�. Called PG&E
i' Temp. Gas Service
w
1 Called PG&E IV —
'i'
9
d
JOB FINALED (Date) 4— a,5 :1y I
4
Signature
9
J`
J OK
0 = Not OK
= Not Applicable MOBILEHOMES
* = Not Ready
s .
MISCELLANEOUS
Date
MOBILEHOME UTILITIES (Plans) OK except N's
iDate
DECKS, COVERS, CARPORTS, ETC. (Plans) Or. axcept N'
1. Zoning Requirements -Setbacks -Easements
1. Zoning Requirements -Setbacks -Easements
2. Soils; Special MH Support -Sketch
2. Footings; Size -Depth -Spacing -Connectors
3. Sewer; Location -Test -Fall -C/0 -Concrete `^
3. Decks; Girders and/or Joists -Decking -Bracing -Stairs -Rails
4. Water; Location -Test -Easement Needed (Sketch)
4• Wood Awn.; Posts-Beams-Rftrs.-Connec.-Shthg.-Rfg.-Bracing_
5. Electricity; Location-Clearances-Grnd.-/ / Amp -Concrete
5. Alum. Awn.; Columns-Connections-Splice-Decal-En6l6SLres
6. Gas; Location -Test -Wrap:/ /"L"ft./ /"Nat. or/ /"L"ft./ /" LPG
6. Carports; Windows -Doors
7. Utility Clearance
7. Elec.
Card -BI
Date Card -BI Date,- t
Card -BI
Date Card -BI Date
Card -BI
Date Card -BI Date
Card -BI
Date Card -BI Date _
Date
MOBILEHOME INSTALLATION (Plans) OK except N's
Date
POOLS (Plans) OK except #'s
1. Zoning Requirements -Setbacks -Easements
1. Setbacks -Easements
2. Footings; Size -Spacing -Marriage Line
2. Soils; Compaction -Structure Stability
3. Gas; MH Test -Demand -Valve -Connector
3. Pool Structure; Steel -Connections -Thickness -Dead Men -Lining
4. Electricity; MH Test -Crossovers -Breakers -Clearances
4• Elec.; Receptacles and Lighting; Distances -GF]
5. Drain; MH Test -Fall -Flex Connector
5. Elec.; Pool Lighting; 15 volts-GFI
6. Water; MH Test -Regulator -Connector
6. Elec.; Enclosures; Conduit Entries -Terminals -Listed. -
7. Water and Sewer Connected-C/O'to'GFad e-HD_Approva1
7. Elec.; Bonding; Metal w/5' -Circulating Equipment -Heater
8. Gas and Electricity Tagged
8. Elec.; Grounding; Equip. w/5' -Circulating Equip. -Pool Lghtg.
Boxes -Enc losures- Pane lboards-Ins. to Main in Conduit _.
9. Exits; Insp.-Sketch -
10. Cert. of Occupancy
9. Health Department Approval
10. Plumb; Cir. Test -Water Supply Test ,
Card B-1
Date Card -BI Date • ._
Card -BI
Date Card -BI Date
Card B -I
Date Card -BI Date
Card -BI
- Date Card -BI Date
r �
- t
n ,
- v
r � t
I r r
J = OK
O = Not OK
= Not Applicable
* = Not Ready RESIDENTIAL.(Sirgle'csnd Duplex)
Date
UNDE LOOK Plans OK except N's
Date
FRAMING (Continued)
on'ng requirements -Setbacks asements
48.
Property Line Firewall &Openings
tg., Main; Soils -Steel- c. d.- /I 'yf" Fig. Depth
49.
Ext. Doors -One 3' -Check Garage -3rd story, 2 exits ^
3.
Fig., Garage; Soils -Steel- /" Fig. Depth
50.
Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection
4.
Ftg. Porches & Decks; Soils -Steel- / /" Fig. Depth
51.
Plywood on Roof Overhang -Attic Vents -Rafter Outriggers
emwalls, Main; Steel-Blockouts-Wrapped-Slabt
ing-Nailing-Veneer
6. Stemwalls, Garage; Steel-Blockouts-Wrapped-Slab
53.
Stucco Mesh -Drip Screed-Fdn. Vents-Underflr. Access
7#- I
54.
Glazing Area -Glass Protection -Skylights -Plastic
&-D.W.V.: Fall -Fittings -Test -2 way C/O -Sewer Test
55.
Shear Walls; Nailing -Bolts
Z,fGas Pipe; Size -Anchors
-
Ae"Water Pipe; Test -Anchors -Regulator -Service Test
11.
12.
Electric; Underground
Plenums & Ducts; Clearance -Material -Support -Ins.
16, -,Girders -Sills -Anchor Bolts -Joists -Vents -Cripples
Card -BI
Date Card -BI Date
Card -BI
Card -BI
Date Card -BI Date
Date Card -BI Date
Card -BI CQ
Date Card -BI Date
Date
FINAL (PI OK except N's
Card -BI Date ,,:!t_(K-mrd-BI Date
Date
PLUMBING (Permit) OK except q's
14. Water Ht.; Vent -Access -Combustion Air
L56
t. Steps -Door & Sidelight Protection -Landings
57.-
58:
Furnace; Ve arance-Comb. Air -Connector -
age; Above Floor-Ducts-Mech. Protection
1 air Pipe; Test & Anchors -Nail Protection
1
.W.V.; Test-Fttngs & Anchors -Nail Protection
59.
60.
Bedroom-ETrITTfg
C_. F -F-8 ix ures u ccess
17. Shower Pan; Test, First Floor -Tub Access
18.
Test Tub & Shower, 2nd Floor -Tub Access
fil
ec. Trim & Subpanel; Breaker Sizes -Labels
Jae-<ais
Pipe; Size & Anchors
62.
Stairs -&-Rails
63.
FLLa ac nr Slo e. �w rth
64. o • Int. & Ext.
Card -BI
Date -$ and -BI Date
65.
_Kit. Fix[[ & Aooliance; Grnd.-Air Gap -Cooking Clearance
Card -BI
Date
Date Card -BI Date
ELECTRICAL Permit OK except p's
6F. E1ec `ets & Receptacles at Kit. Counter
67 ar qe-Fre Door; Swing -Landing -Closer
6a -_8.0-+w
69
Garage -Damper
learance-Comb. Air-Connector-P.R.V.-
In Garage; Above Floor-Mech. Protection
20. Fixture & Transformer Clearance -Ins. Protection
21. Elec. Receptacles Spacing -Lights &Switches at Doors
22.
Size Boxes & No. of Conductors -Stapled
70��1brE
a%. & Mech. Equip. Listed for Location
71
Fio� �crantarlP in Garage; (G.F.I.)-Romex Protec.
23. Romex Installed Close to Edge of Studs & C.J.
24.
Equip. Ground made up w/Mech. Fasteners -Bond Gas & Water
72,Foam-Looked
in Attic EJ Yes
25.
2 Appliance Circuits in Kitchen & Conductor Size
73.-._
Construction -Post Caps
_
26.
Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / / ga. Cu or Al
74.
Fdn. Ven Door -Drainage &Wood -Earth Clearance
L <ed under Floor �'l es
27.
Range Circ. / / ga. Cu or AI -Oven Circ. / / ga. Cu or At,
Insulated Neutral ❑Yes ❑No
75. Following instld.: Drive E] Yes �fNo; Walks E] Yes E] No;
.PJanters ❑Yes ONO ><Z
2
ervice-Riser Conductors & Ground -Main Disconnect
76 .
eel BFGWR FiRieh
2At!!!!�quip.
Clearances; Panels-Motors-Mech. Equip.
77.
-Brkr. & Cond. Size -115V Outlet
30.
Clothes Closet Light -Shower Light
78,
Appliance-Firepl.-Clearance to Opngs.
79.ec
ical, Plumbing
80.
,ec
rim; Receptacle -Underground
Card B -I
Dat i "Z Card -BI Date
81.
ion throughout House
Card B -I
Date Card -BI Date
82,ion
83.
_
s Inspections
Date
MECHANICAL (Permit) OK exce s
$2
� est -Meters Tagged; Gas -Electric
31.
A.C. Ducts; Insulation __u pport
f
85.
_
water & Sewer Connected -C/0 to Grade -HD Approval
-•-- _
32.
Vent Fan; Exhaus ove Insulation
r
�861
Energy Compliance Certificate -Other Certificates
_
33.
Condensate D n & Overflow; Size & Grade
_
34.
35.
Furnace- nt; Access -Comb. Air -Return Air Vent -115V outlet
Attic ess &Platform if Furnace in Attic
Card -1317/
Date/ -as Card -BI Date
Card -BI
-.
Date Card -BI Date
-_
Card -BY
Date Card -BI Date
Card -BI
Date Card -BI Date
Card -BI
Date Card -BI Date
Comments at Final:
Date FRAMING(PIAnST OK except #'s
36. Sills; Proper Material & Anchors
37.
Walls; Studs -Nailing, Spacing & Bracing -Plates -Sound
_
38.
Bearing Walls over Girders & Floor Nailing_
39.
Draft Stop in Walls (rat proof)
_40.
Fire Stops; Furred Ceilings -Stairs -Chases -Tub
_
41.
Header & Beam -Size & Bearing
42.
43.
44.
45.
Hangers -Post Caps -Anchors -Connectors
Cing. Joist-Rftr. Ties-Purlin-Roof Brac.-Truss-Shlhng.-Rfnq.
Fireplace Ties or Type A Flue -Fireplace Throat
Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles
_
_
46.
Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions
47.
Garage Fire Protection Framing
(NOTE: Anentrymust be made each time youvisit jobsite)
--RESIDENTIAL
ENERGY -CONSERVATION STANDARDS
CONSTRUCTION COMPLIANCE CERTIFICATE
THIS IS TO CERTIFY THAT ENERGY CONSERVATION REQUIREMENTS HAVE BEEN
INSTALLED .IN CONFORMANC H -C R -,ENT EN ONSERVATION REGULATIONS
AT /, % U �l�i7i C�3-� •
(location)
BU ILD ING PERMIT NO. % �_ U 7 O A.P. NO . 3
THE FOLLOWING HAVE BEEN INSTALLED AS PEEL APPROVED.PLANS:
(Check each item or write N/A if not applicable)
INSftAT ION
Slab Edge
Fdn. Walls
Floors Xj
Walls
Ceiling/Roof
Ducts
Circulating Pipes
lYlcl-
APPROVED HEATER {
APPROVED WTR.HTR.
GLAZING:
Single. Glazed
Special'(Insulated)
CERT. & LABELED WDS.
& SLIDING DRS. %O
WEATHERSTRIPPED DRS.
BACK DAMPERED FANS Al
INTERMITTENT IGNITION DEVICES
CERT. APPLIANCES k
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 1 SUBMITTED.
I
Insulation Applicator Name
Signature of
(please print)
Insulation Applicator
State Contractors
License No.
General Contractor/Owner Name�o
(pleas print)
Signature of Datemz
�
General Contractor/Owner ' , O
State Contractors
License No.
THIS CERTIFICATE MUST BE ON FILE WITH THE BUILDING DEPARTMENT ,PRIOR TO
REQUESTING FINAL INSPECTION AND SHALL BE POSTED IN A CONSPICUOUS LOCATION
WITHIN THE DWELLING.
COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT NO.
7 County Center Drive - Orovil.le, California 95965 - Telephone 916/534-4541 / a0 `7 Q
APPLICATION, AND -PERMIT ( ! .A o
ASSESSOR i �_1 ARCE N M ER ZONING
BUILDING PERMIT
OWN
ITELEPHONE
S 3
SO. FT. OCr_- BUILDING VALUATION
OWN 'S MAILING f5DRESS
CONT T R'S NAME
TELEPHONE
CONTRACTOR'S MAILING ADDRESS
i
Fireplace
CONSTRUCTION LENDER
UNKNOWN
Total Valuation Is
Filing Fee
$ 10.00
LENDER'S MAILING ADDRESS
Permit Fee
$
ARCHITECT OR ENGINEER
LICENSE NO.
Plan Checking Fee
$
Penalty
$
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Permit fee
$ 1S I DO
BUILDI ADDRES
Y, C,I th
PLUMBING PERMIT
Filing Fee 10.00
Each Trap
1 2.00
Repair drainage or vent piping
A2.00
Water piping
LOT NO.
SUBDIVISION NAME
PARCEL MAP
Each qas water heater or vent
5.00
Gas piping system 1 - 5 outlets
USE OF STRUCTURE
SF Duplex❑ Mobilehome0, Other
SPECIFY
Building sewer
Lawn sprinkler system
5.00
TYPE OF WORK
New [--I Addition Remodel Utilities a Installation Other
Describe work: —4
Permit Fee
$
Contractor
ELECTRICAL PERMIT
Filing Fee 10.00
Main service 100V OR LESS
100 AMP OR LESS
00 6,
Main service EA. ADD'L 100 AMP
2.50
NEW CONST. ( DWELLING OCCUP.y\
OR ADDNS. ACC. BLDGS.
20 sq ft .�
CONTRACTORS LICENSE LAW
I declare under penalty of perjury (check one):
❑ I am licensed under provisions of Chapt. 9, Div. 3 of the Bus Iness
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
R. BRANCH CIRLE
NEWCO NON.RESIC. CTITS 2.50 ea
NEw CONSTR. POWER APPARATUS eJr
NON.RESID. (SINGLE OUTLET CIR.
Ex. OCCUp OUTLETS OR FIXTURES BAL21
(,FIXED APPLNS. OR
Ex. Occup.UTLETS (RESID.) EA.) 1 2.00
Temporary service 10.00
Mobile Home Facilities
15.00
Misc. Wiring 7.50
Permit Fee $
Contractor
MECHANICAL PERMIT
FiIirig Fee 10.00
WORKMEN'S COMPENSATION INSURANCE
I declare under penalty of perjury (check one):
❑ The permit is for $100.00 (valuation) or less.
❑ I have placed on file with the County of Butte Building Department
a Certificate of Workmen's Compensation Insurance or a Certificate
of Consent to Self -Insure.
1 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 shal I be deemed revoked..
Heating
Cooling
Hood
3.00
Ventilation
permit Fee
S
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
agar said y in con quence of the granting of this permit
Co���� `
Xalta/ 2.) Date 4 44 11 AZ_--
Signature of Applicant — OwnerA Contractor ❑ Agent 5
An OSHA permit is required for excavations over 5'0" deep and demolition or construct-
of structures over 3 stories in height.
Mobile Home Installation Fee $
TOTAL PERMIT FEE $
OCCUP. GROUP
I TYPE OF CONST.
I PARc�L
✓
H15
Y
ISSUE
V
This permit is hereby issued under
sions of the Butte County Code and/or
work indicated above for which
DIREC OF PUBLIC
By
MIT EXPIRES Date
the applicable provi-
resolutions to do
fees have been paid.
WORKS
Date ` 'f
eipt No. �/92 ' �1
rReE-D.P.W.. YELLOW -ASSESSOR, PINK -INS PECTOR. GOLDENROD -APPLICANT
Telephone
533.2000
North Burbank- Public. Utility District
1960 Elgin Street ,
OROVI.LLE, CALIFORNIA 95965 27-82
DISTRICT APPROVAL AND-
VERIFICATION
ND VERIFICATION OF INSPECTION
BUILDING SEWERS
This verification form must be submitted to the -Butte County Department of
Public Works - Building Department .prior to issuance of a building 'or occupancy
permit, whichever is applicable.
Prior to final approval by Butte County of a Building or an Occupancy Permit, a
copy of,this verification form, signed off by North Burbank Public Utility District,
must be submitted to Butte County.
t,
Applicant: DONALD DIRKS
Applicant Address: 1505 Pomona Ave.. Oroville, CA 95965
Applicant Phone No.: 533-32-16 •
Property Location (s): Clinton Avenue
Hill N/9' Dale .Sub. No. 1 Lot 7
'A. P. No. (s): 036-17-1412-0 ;
Fees Paid: N.B.PX.D: $250.00 Connection & SC -OR Facility-
Char
acility-
Charge of $900.00 unpaid as'of 5/10/82.
Application for service approved:
May 10, 1982 North Burbank
r Public Utility District
f
Inspection(s) made and successful tests) observed: -
Location: Date:
By: ,
North Burbank Public Utility District release to'close permit:
' Date: By:
COUNTY OF BUTTE - Department..of Public Works
7 County Center Drive, Oroville, CA. 95965
OWNER -BUILDER VERIFICATION
Attention Property Owner:
Phone: 916-534-4541
An "owner -builder" building permit has been applied for in your nameand bearing
your signature.
Please complete and return this information in the envelope provided at your
earliest opportunity to avoid unnecessary delay iri processing and issuing your build-
ing 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) ¢�
67
2. I (have/have not) signed -an application for a building
permit for the propo ed work.
3. I have ontracted with the following person (firm) to provide the proposed
const ction:
Name_
Addres
Phone
Contractors License No.
City.
4. I plato provide portions of this work, but I have hired the following
pers n to coordinate, supervise, and provide the major work:
Nam
Addiess
Contractors License No.
C ity
5.. I ill provide some of the work but I have contracted (hired) the following
p rsons to'provide the work indicated:
N e Address Phone Type of Work
Signed:
Property Owner,
Social Security numbe
Date
NOTE: This Owner -Builder Verification is sent to you as required by Sections 19831
and 19832 of the California Health and Safety Code.
This verification must be completed and returned to our office before we are
permitted to issue the permit. ,
Return to DPW
AGRICULTURAL STATE11U-T OF ACKNOWLEDGEMENT
FOR RESIDENTIAL DEVELOPMENT
Section 26-8.1of the Butte County Code requires this acknowledgement
be recorded prior to issuance of a building permit.
BUTTE Cot;: ,
MAY
The property described herein is adjacent to land or included IFLEAN0R11.SEC CR �
within an area zoned for agricultural purposes, and residents of CLERK •RECORUER
this property may be subject to inconveniences or discomfort arising
from the use of agricultural chemicals, including, but not limited to herbicides,* rFEE
pesticides, and fertilizers; and from the pursuit of agricultural operations including,
but not limited to cultivation, plowing, spraying, pruning, and harvesting which occa-
sionally generate dust, smoke, noise, and odor. Butte County has established agricul-
tural zones which have as a priority use for productive agricultural purposes, and
residents within said zones and on adjacent property should be prepared to accept such
inconvenience or discomfort from normal, necessary farm operations.
All that real property situate in the County of Butte, State of California,
described as follows:
:1 p,)rtiml Lot 7, as :i�o�r on the r Certain ruip entitl.eci, "OIl :ICIl+I 'IAP Or HILL in
!),`.L1: Sl l:i)LVi5I0?, wlii(:h [;lap was filed in 010 ofF ce. of the Recorder of
iii•. C�ui ty ::f Butte, State of California, ?ioveriber 15, 1948 in i),00k
pages 4 and 5, more particularly described as foilo,!s: 17 of Maps, at
Bc;;inn Lna_ at the Soltthl 4ost corner of said Lot 7; thence 'r<)rLli 0'44'37'' f est along,
tie '.:est line of said Lot 7, a distance of 90.0 feet tO the :•forthcaest corner of
East alone the No rth,-rly line. of Said Lot 7, a
said Lot 7; thence 'forth 89°15'23"
distance of 32.97 feet; thence South 21°.19'0'_'" Gast, 67.20 feet; Lhcnce Southcrest-
erly on a tangent 20.0 foot radius curve, concave to the %-*or.thwesr through a central
anclle of 110°34'25", 38.60 feet to the Souther.l.v line of said Lot 7; t
39015'23" t.�ence South
° '23" ?Fest, aloe;
SZ -14066
Return to DPW AGRICULTURAL STATEMENT OF ACKNOWLEDGEMENT — -
FOR RESIDENTIAL DEVELOPMENT )J7` E COE.I`, �' • �YI� I
Section 26-8.1 of the Butte County Code requires this acknowledgement 1"va1tU a R
be recorded prior to issuance of a building permit.
MAY I1 I=° 4;
The property described herein is adjacent to land or included EIE�NOR14.E.E;; ER
within an area zoned for agricultural purposes, and residents of CLERK•RECORQ,ER
this property may be subject to inconveniences or discomfort arising t
from the use of agricultural chemicals, including, but not limited to herbicides; rrEE
pesticides, and fertilizers; and from the pursuit of agricultural operations including,
but not limited to cultivation, plowing, spraying, pruning, and harvesting which occa-
sionally generate dust, smoke, noise, and odor. Butte County has established agricul-
tural zones which have as a priority use for productive agricultural purposes, and
residents within said zones and on adjacent property should be prepared to accept such
inconvenience or discomfort from normal, necessary farm operations.
All that real property situate in the County of Butte, State of California,
described as follows:
:':' ,-ertrlin laap enritle,i, "I)l l'iCJ.A1, i1Ai' Or MILL n
• [:'. Ic);, O,il'(' ;,c)_ 1", wilicll j, was tiled in the oil iv_: of tlle iZecordr!r of
I lIIRLy of iiilCl'C', St7Li' of (:,I] ;l ''iU`JeCll)ei' 15, 1948 ill IiUn1CY
I7 of labs, t
a
1)•lt;eti 4 and 5, more nart.icolarly described ;is follows:
Gc);il!ning aL rile Sontlr[Jest corner of said LOC 7; thence• NorLli 0044137" hest along
::ost tine of saki Lot 7, a distance of O0.0 t:eeC to Lhe A:orL11[Jest corner of
,id LoL 7; tilence forth 9901.5'23" last al-ong the NorL!wrl\, 1 ine of said l.ot 7, n
-:t;lnce or 32.97 feeC; thence south 2J.0.19'0:1" East:, 67.26 feer; thence Sotlth[:u5t-
r'' oil tangent. 20.0 foot rndius c[irve, collca[le to Che NortlnJesr tilro"gii a central
I,le of -110'34125", 38.60 feet to the souLllerly .line of said Lot 7 t(1,_nce South
' ' 5' 2 i gest: , 01011" slid Southerly line, 37.87 feet to the point of
Date: S� /g'� PROPERTY OWNER :
State of CALIFORNIA ) On this the 11th day of May , 19—.&2_,
) SS. before me, the undersigned Notary Public, personally
County of BUTTE ) appeared
OFFICIAL SEAL
Thelma M. Swearengin
NOTARY PUBLIC - CALIFORRMA
PRINCIPAL OFFICEIN
BUTTE COUNTY
W Commissioal Exp. Oct 3, 1982
Present A.P. NO_ 1 `
Donald D. Dirks only
known to me to be the person(s) whose name(s) is
subscribed to the within instrument and acknowledged
that he executed the'same for the purposes
therein contained.
IN WITNESS WHEREOF, I hereunto set my hand and official
seal.
Notary Public
END OF DOCUMENT
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