HomeMy WebLinkAbout078-180-012i
L
Troy Bradford
2025 Clinton Ave., Oroville
Peru #914-80B,P,E,M(conv.garage to
kitchen, new leG.se .
heater/SF
B07-0086 078-180-012
MISCELLANEOUS Electric Panel
REPLACE EXISTING PANFL- PER CO
2025 CLINTON AVE �•,0
SOUDAN, FAMILY TRUST :r. 1 .01
ROGERS, Olen 179-68B a
2025 ClintonClinton ve., Oroville I
(addition)
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BUTTE COUNTY AREA
DEPARTMENT OF DEVELOPMENT SERVICES 1
INSPECTION CARD MUST BE ON JOB SITE
24 Hour Inspection Line: (530) 538-7636 (Oroville) (530) 891-2834 (Chico)
Office: (530) 538-7541 Fax: (530) 538-2140 Website: www.buttecounty.net/dds
Permit No: B07-0086 Issued: 01/17/2007
Address: 2025 CLINTON AVE Area: OROVILLE
Owner: SOUDAN, FAMILY TRUSAPN: 078-180-012
Applicant: SOUDAN, FAMILY TRU'.Map Page:
Permit Type: Electric Panel
Description: REPLACE EXISTING PANEL- PER CODE V
Flood Zone: None SRA Area: No
Set Backs
Front Setback: Side Setback:
Rear Setback: Other Setback:
Minimum Setback From Centerline of Street:
ALL PLAN REVISIONS MUST BE APPROVED BY THE COUNTY BEFORE PROCEEDING
Inspection Type
IVR INSP DATE
Setbacks
132
Foundations / Footings
111
Pier/Column Footings
122
Grade Beams
114
Eufer Ground
216
Forms/Steel/Holdowns
122
Do Not Pour Concrete Until Above are Signed
Pre -Slab
124
Gas Test House
404
Gas Test Yard
404
Masonry Grout
120
Masonry Bond Beam
119
Underfloor Framing
149
Underfloor Ducts
319
Shear Transfer
136
Under Floor Plumbing
412
Under Slab Plumbing
411
Gas Piping
403
Do Not Install Floor Sheathing or Slab Until Above Signed
Holdowns/Straps
122
Shearwall/B.W.P.-Interior
135
Shearwall/B.W.P.-Exterior
135
Roof Nail/Drag Trusses
129
Do Not Install Siding/Stucco or Roofing Until Above Signed
Rough Framing
128
Rough Plumbing
406
Rough Mechanical
316
Rough Electrical
208
Gas Piping
403
Shower Pan/Tub Test
408
Fire Sprinkler Test
702
Fire Sprinkler Final
702
I
Inspection Type
IVR INSP DATE
Do Not Insulate Until
Above S gned
Wall Insulation
117
Ceiling Insulation
118
Do Not Cover Until Above Signed
T -Bar Ceiling / RC
145
Stucco Lath
142
Stucco Scratch
143
Stucco Brown
144
Swimming Pools
Setbacks
132
Pool Plumbing Test
504
Gas Test
404
Pre-Gunute
506
Pool ElecBonding/Light Nitch
502
Pool Fencing/Alarms/Barriers
503
Pre -Plaster
507
Manufactur d Homes
Block OFFICE COPY
Tiedo; Bldg Permit: k
Site U 'Address: N
Gas i N
Mano
Contif GAS By: Date:
Skirti� t
Electric By. _ ��7- Date:
Many M
Date { oTZvianaiacLur .
Model Name/Number: Cr ,,-x C,
Serial Numbers: f,
Length x Width:
Insignia:
'`', µ _ Finals .T _
Building Final
Fire Department/CDF 538-7111
Env. Health Final 538-7281
802
Electrical Final
803
Mechanical Final
809
Plumbing Final
813
Pool Final
.802
Mobile
M
Home Final 802 "PROJECT FINAL 141 801 I (-/(S —
�ojec�i�is a erti�c�eof Occupancy or (Residential my
PERMITS BECOME NULL AND VOID 1 YEAR FROM THE DATE OF ISSUANCE. IF WORK HAS COMMENCED, YOU MAY PAY FOR A 1 YEAR
RENEWAL 30 DAYS PRIOR TO EXPIRATION
Inspector Copy
'`i
r��
Y { COUNTY OF BUTTE
BUILDING DIVISION
DEPARTMENT OF DEVELOPMENT SERVICES
7 County Center Drive - Oroville, CA - (530) 538-7541
CORRECTION NOTICE
= OWNER PERMIT NO.
1� is r
q� A routine inspection indicates that the following violations of Butte County Ordinances exist at
the above address and should be corrected. Please call for re -inspection when correction of
work is completed. If you have any questions pertaining to this matter, or need additional
.z,. explanation, please contact the Building Inspector as indicated below.
fir!';
rµ
—
ycv.
4�- Date Inspector wDe y df.i�� -e n, -A
'- REV 4/05 Phone #�
FOR RE -INSPECTION CALL: 538-7636 OR 891-2834
t-
BUTTE COUNTY
DEPARTMENT OF DEVELOPMENT SERVICES
BUILDING PERMIT
24 HOUR INSPECTION #:(530) 538-7636 (OROVILLE) (530) 891-2834 (CHICO)
OFFICE #:(530) 538-7541 FAX#: (530) 538-2140
WEBSITE: www.buttecounty.net\dds
PROJECT INFORMATION
Site Address: 2025 CLINTON AVE
Owner:
Permit NO: B07-0086
APN: 078-180-012
SOUDAN, FAMILY TRUST
Issued Date: 01/17/2007 By KEJ
Permit type: MISCELLANEOUS
21 LIVE OAK KNOLLS
Subtype: Electric Panel
OROVILLE, CA 95966
Expiration Date: 01/17/2008
Description: REPLACE EXISTING PANEL- PER
(530) 589-0448
Occupancy: Zoning: R1
Contractor
Applicant:
Square Footage:
SOUDAN, FAMILY TRUST
Building, Garage RemdUAddn
21 LIVE OAK KNOLLS
OROVILLE, CA 95966
Other Porch/Patio Total
(530)589-0448
FEE INFORMATION
Single Phase Service - Res $55.00
Total Charged: $55.00 Fees Paid: $55.00
Balance Due: $0.00 Receipt No: B1510
LICENSED CONTRACTOR'S DECLARATION
OWNER / BUILDER DECLARATION
Contractor (Name) State Contractors License No. / Class / Expires
I HEREBY AFFIRM UNDER PENALTY OF PERJURY that I am exempt from the Contractor's License
Law for the following reason (Sec. 7031.5), Business and Professions Code: Any city or county that
requires a permit to construct, alter, improve, demolish, or repair any structure prior to its issuance,
also requires the applicant for such permit to file a signed statement that he or she is licensed
I HEREBY AFFIRM UNDER PENALTY OF PERJURY that I am licensed under provisions of Chapter 9
(commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license
pursuant to the provisions of the Contractor's License Law [Chapter 9 (commencing with Section 7000)
is in full force and effect.
of Division 3 of the Business and Professions Code) or that he or she is exempt therefrom and the
X
basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit subjects
the applicant to a civil of not more than five hundred dollars
01/17/2007
penalty [$500];
Please check one of the following:
Contractors Signature Date
❑ 1, AS OWNER OF THE PROPERTY, OR MY EMPLOYEES WITH WAGES AS THEIR SOLE
COMPENSATION, WILL DO THE WORK, AND THE STRUCTURE IS NOT INTENDED OR
OFFERED FOR SALE (Sec. 7044, Business and Professions Code: The Contractor's License
Law does not apply to an owner of the property, who builds or improves thereon, and who does
WORKERS' COMPENSATION DECLARATION
I HEREBY AFFIRM UNDER PENALTY OF PERJURY one of the following declarations:
I HAVE
the work himself or herself or through his or her own employees, provided that such improvements
AND WILL MAINTAIN A CERTIFICATE OF CONSENT TO SELF -INSURE FOR
are not intended or offered for sale. If, however, the building or improvement is sold within one
WORKERS' COMPENSATION, as provided for by Section 3700 of the Labor Code, for the
year of completion, the owner -builder will have the burden of proof that he or she did not build or
performance of the work for which this permit is issued.
improve for the purpose of sale.).
❑ I HAVE AND WILL MAINTAIN WORKER'S COMPENSATION INSURANCE, as required by
I, AS OWNER OF THE PROPERTY, AM EXCLUSIVELY CONTRACTING WITH LICENSED
CONTRACTORS TO CONSTRUCT THE PROJECT (Sec. 7044, Business and Provessions Code:
Section 3700 of the Labor Code, for the performance of the work for which this permit is issued.
My Workers' Compensation insurance carrier and policy number are;
The Contractor's License Law dows not apply to an owner of the property who builds or improves
thereon, and who contracts for the projects with a contractor(s) licensed pursuant to the
Contractor's License Law.).
Carrier. Policy Number: Exp. Date:
(This section nee ple
not a comted if the permit is or one hundred dollars ($100) or less.)
❑ 1 AM EXEMPT under Section B. & P.C. for this reason:
❑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 Workers'
Compensation laws of California, and agree that if I should become subject to the workers'
X 01/17/2007
compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those
Owners Signature Date
provisions.
X 01/17/2007
"
I hereby certify that I have read this application and state that the above information is correct. I agree
to comply with all City and County ordinances, rules, regulations, and State laws relating to building
Signature Date
WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL,
construction, and with any and all conditions of permit. I agree to defend, indemnify, and hold harmless
Butte County, its officers, agents and employees from any and all claims and liability for personal
AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE
HUNDRED THOUSAND DOLLARS ($100,000), IN ADDITION TO THE COST OF COMPENSATION,
injury, including death, and property damage caused arising out of, in any way connected with
the issuance of this permit. I hereby acknowledge thatt is issuance of this pea rmit does not authorize the
DAMAGES AS PROVIDED FOR INSECTION 3706 OF THE LABOR CODE, INTEREST AND
use or occupancy of any sidewalk, street, or subsidewalk. I hereby authorize representatives of Butte
ATTORNEY'S FEES.
County to enter the above mentioned property for inspection purposes. I hereby certify that 1 am the
property owner or am authorized to act on the property owners behalf.
01/17/2007
'CONSTRUCTION LENDING AGENCY
1 HEREBY AFFIRM UNDER PENALTY OF PERJURY that there is a construction lending agency for
Name of Permittee [SIGN] Print Date
the performance of the work for which this permit is issued. (3097 civ. code)
Owner ❑ Contractor OR. 11Agent for Owner ElAgent for Contractor
INSPECTOR COPY
Lenders Address City State Zip
BUTTE COUNTY
DEPARTMENT OF DEVELOPMENT SERVICES
BUILDING PERMIT
24 HOUR INSPECTION #:(530) 538-7636 (OROVILLE) (530) 891-2834 (CHICO)
OFFICE #:(530) 538-7541 FAX#: (530) 538-2140
WEBSITE: www.buttecounty.net\dds
PROJECT INFORMATION
Site Address: 2025 CLINTON AVE
Owner:
Permit No: B07-0086
APN: 078-180-012
SOUDAN, FAMILY TRUST
Issued Date: 01/17/2007 By KEJ
Permit type: MISCELLANEOUS
21 LIVE OAK KNOLLS
Subtype: Electric Panel
OROVILLE, CA 95966
Expiration Date: 01/17/2008
Description: REPLACE EXISTING PANEL- PER
(530) 589-0448
Occupancy: Zoning: R1
Contractor
Applicant:
Square Footage:
SOUDAN, FAMILY TRUST
Building Garage Remdl/Addn
21 LIVE OAK KNOLLS
OROVILLE, CA 95966
Other Porch/Patio Total
(530) 589-0448
FEE INFORMATION
Single Phase Service - Res $55.00
Total Charged: $55.00 Fees Paid: $55.00
Balance Due: $0.00 Receipt No: B1510
LICENSED CONTRACTOR'S DECLARATION
OWNER / BUILDER DECLARATION
Contractor (Name) State Contractors License No. / Class / Expires
I HEREBY AFFIRM UNDER PENALTY OF PERJURY that I am exempt from the Contractor's License
Law for the following reason (Sec. 7031.5), Business and Professions Code: Any city or county that
requires a permit to construct, alter, improve, demolish, or repair any structure prior to its issuance,
also requires the applicant for such permit to file a signed statement that he or she is licensed
I HEREBY AFFIRM UNDER PENALTY OF PERJURY that I am licensed under provisions of Chapter 9
(commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license
pursuant to the provisions of the Contractor's License Law [Chapter 9 (commencing with Section 7000)
is in full force and effect.
of Division 3 of the Business and Professions Code) or that he or she is exempt therefrom and the
basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit subjects
X 01/17/2007
the applicant to a civil penalty of not more than five hundred dollars ($500];
Please check one of the following:
Contractor's Signature Date
M I, AS OWNER OF THE PROPERTY, OR MY EMPLOYEES WITH WAGES AS THEIR SOLE
COMPENSATION, WILL DO THE WORK AND THE STRUCTURE IS NOT INTENDED OR
OFFERED FOR SALE (Sec. 7044, Business and Professions Code: The Contractors License
Law does not apply to an owner of the property, who builds or improves thereon, and who does
WORKERS' COMPENSATION DECLARATION
I HEREBY AFFIRM UNDER PENALTY OF PERJURY one of the following declarations:
the work himself or herself or through his or her own employees, provided that such improvements
❑I HAVE AND WILL MAINTAIN A CERTIFICATE OF CONSENT TO SELF -INSURE FOR
are notintended or offered for sale. If, however, the building or improvement is sold within one
WORKERS' COMPENSATION, as provided for by Section 3700 of the Labor Code, for the
year of completion, the owner -builder will have the burden of proof that he or she did not build or
performance of the work for which this permit is issued.
improve for the purpose of sale.).
I HAVE AND WILL MAINTAIN WORKER'S COMPENSATION INSURANCE, as required by
❑❑
I, AS OWNER OF THE PROPERTY, AM EXCLUSIVELY CONTRACTING WITH LICENSED
CONTRACTORS TO CONSTRUCT THE PROJECT (Sec. 7044, Business and Provessions Code:
Section 3700 of the Labor Code, for the performance of the work for which this permit is issued.
The Contractors License Law dows not apply to an owner of the property who builds or improves
My Workers' Compensation insurance carrier and policy number are;
thereon, and who contracts for the projects with a contractor(s) licensed pursuant to the
Contractors License Law.).
Carrier: Policy Number. Exp. Date:
(This section need not be completed if the permit is oror one hundred dollars ($100) or less.)
❑ I AM EXEMPT under Section B. 8 P.C. for this reason:
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 Workers'
Compensation laws of California, and agree that if I should become subject to the workers'X
01/17/2007
compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those
Owner's Signature Date
provisions.
X 01/17/2007
I hereby certify that I have read this application and state that the above information is correct. I agree
to comply with all City and County ordinances, rules, regulations, and State laws relating to building
Signature Date
WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL,
construction, and with any and all conditions of permit. I agree to defend, indemnify, and hold harmless
Butte County, its officers, agents and employees from any and all claims and liability for personal
AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE
HUNDRED THOUSAND DOLLARS $100,000, IN ADDITION TO THE COST OF COMPENSATION,
( )
injury, including death, and property damage caused arising out of, or in any way connected with
the issuance of this permit. I hereby acknowledge thatt is issuance of this permit does not authorize the
DAMAGES AS PROVIDED FOR INSECTION 3706 OF THE LABOR CODE, INTEREST AND
use or occupancy of any sidewalk, street, or subsidewalk. I hereby authorize representatives of Butte
ATTORNEY'S FEES.
County to enter the above mentioned property for inspection purposes. I hereby certify that I am the
pro owner or anyauthonxft to act on the property owners behalf.
G'Alt 6ov)3An/ 01/17/2007
. CONSTRUCTION LENDING AGENCY
I HEREBY AFFIRM UNDER PENALTY OF PERJURY that there is a construction lending agency for
Marne of P rmittee [SIGN] Print Date
the performance of the work for which this permit is issued. (3097 civ. code)
0 Owner 1:1Contractor OR; Agent for Owner ❑Agent for Contractor
�' FILE COPY
Lender's Address City State Zip
Butte County Department of Development Services
TIM SNELLINGS, DIRECTOR I PETE CALARCO, ASSISTANT DIRECTOR
7 County Center Drive
Oroville, CA 75965
(530) 538-7601 Telephone
(530) 538-7785 Fax
www.buttecounty.net/dds
OWNER -BUILDER INFORMATION
An application for a building permit has been submitted in your name listing yourself as the builder of the property improvements specified.
For your protection you should be aware that as "owner -builder" you are the responsible party of record on such a permit. Building permits are not required to be signed
by property owners unless they are personally performing their own work. If your work is being performed by someone other than yourself, you may protect yourself from
possible liability if that person applies for the proper permit in his or her name. `
Contractors are required by law to be licensed and bonded by the State of Califomia and to have a business license from the city or county. They are also required by
law to put their license number on all permits for which they apply.
If you plan to do your own work, with the exception of various trades that you plan to subcontract, you should be aware of the following information for your benefit and
protection:
° If you employ or otherwise engage any persons other than your immediate family, and the work (including materials and other costs) is $500 or more for the entire
project and such persons are not licensed as contractors or subcontractors, then you may be an employer.
° If you are an employer, you must register with the state and federal government as an employer and you are subject to several obligations including state and federal
° income tax withholding, federal social security taxes, workers/ compensation insurance, disability insurance costs, and unemployment compensation contributions.
There may be financial risks to you if you do not carry out these obligations, and these risks are especially serious with respect to workers' compensation insurance.
° For more specific information about your obligations under federal law, contact the Internal Revenue Service (and, if you wish, the U.S. Small business
Administration). For more specific information about your obligations unders state law, contact the Department of Benerit Payments and the Division of Industrial
Accidents.
If the structure is intended for sale, property owners who are not licensed contractors are allowed to perform thier work personally or through thier own employees,
without a license contractor or subcontractor, only under limited conditions.
A frequent practice of unlicensed persons professing to be contractor is to secure an "owner -builder" building permit, erroneously implying that the property owner is
providing his or her own labor and material personally. Building permits are not required to be signed by property owners unless they are performing their own work
personally.
Information about licensed contractors may be obtained by contacting the Contractors' State License Board's automated telephone information system at 1-800-321
-CLSB (2752) or by accessing thier website at www.CSLB.ca.gov.
PLEASE COMPLETE AND RETURN THE ENCLOSED OWNER -BUILDER VERIFICATION FORM SO THAT WE CAN CONFIRM THAT YOU ARE
AWARE OF THESE MATTERS. THE BUILDING PERMIT WILL NOT BE ISSUED UNTILL THE VERIFICATION IS RETURNED.
OWNER BUILDER VERIFICATION
PLEASE COMPLETE THIS FORM AS REQUIRED BY THE STATE OF CALIFORNIA (SENATE BILL NO. 831 EFFECTIVE JULY 1, 1980). 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. O'ORNO)
2. I (HA /HAVE NOT) SIGNED AN APPLICATION FOR A BUILDING PERMIT FOR THE PROPOSED WORK.
3. I HAVE CONTRACTED WITH THE FOLLOWING PERSON (FIRM) TO PROVIDE THE PROPOSED CONSTRUCTION
ADDRESS
CITY
PHONE CONTRACTORS LICENSE NO
4. I PLAN TO PROVIDE PORTIONS OF THE WORK, BUT I HAVE HIRED THE FOLLOWING PERSON TO COORDINATE, SUPERVISE, AND PROVIDE
THE MAJOR WORK:
NAME
ADDRESS CITY
PHONE CONTRACTORS LICENSE NO
5. I WILL PROVIDE SOME OF THE WORK BUT I HAVE CONTRACTED (HIRED) THE FOLLOWING PERSONS TO PROVIDE THE WORK INDICATED:
NAME ADDRESS PHONE TYPE OF WORK
Description: REPLACE EXISTING PANEL- PER CODE VIOLATION
Reference Number: B07-0086
Applicant Name: SOUDAN, FAMILY TRUST
Signature of Property Owner: Date:
1-17-q-7
BUTTE COUNTY
DEPARTMENT OF DEVELOPMENT SERVICES
BUILDING PERMIT APPLICATION
AND SUBMITTAL REQUIREMENTS
OFFICE #: (530) 538-7541 FAX #: (530) 538-2140
A FEE 'WILL BE REQUIRED AT TIME OFAPPLICA TION
Website: www.buttecounty.net/dds
"PLEASE PRINT CLEARLY"
OWNER INFORMATION
Last Nam
Name_
irst Name
Mailing Address
1 .1t 1).-e- o
I< ro s
City O �-O V t He
Stat Zi (�
Phone oyN
Fax
E-mail
Name
APPLICANT INFORMATION
CONTRACTOR
Name_
City 0 k0 v 1/ ice-
Address
7in
City
Fax
State
Zip
Phone
Name
Fax
E-mail
Lic. #
Class
APPLICANT INFORMATION
ARCHITECT/ENGINEER
Name
City 0 k0 v 1/ ice-
Address
7in
City
Fax
State
Zip
Phone
Name
Fax
E-mail
State License Number
APPLICANT INFORMATION
Name 4 R Y U D A It/
Address Z ` o k
City 0 k0 v 1/ ice-
State��l
7in
Phone .-
Fax
E-mail
APPLICANT SIGN URE
X
For office use only:
Zoning
Flood Zone SRA I Yes No
Occ.
Type Const.
Subdivision Name
Map Book
Page
Lot #
Planner
Date Approved:
PERMIT
NO. -
0 -
O..0- 60�
r;W#7
PROJECT LOCATION
AP#
U12-- 0
Property Address
2 C> a C t -f
City
Rc► ucllp
Cross Stree -
SRA
WORKER'S COMPENSATION
Policy Number
Carrier
If hiring anyone other than license contractors, a certificate of worker's
compensation must be shown at the time of permit issuance.
LENDING AGENCY
Name
Address
Description or Scope of Work:
C/ ate, L /X
,e )q
Sq FT- Living Garage Open Cov
❑ Structure Built without Permits
❑ Proposed Change of Occupancy
(Note previous use):
EXPIRATION OF APPLICATION
Applications for which a permit has not been issued will expire one
year after the date of application. In order to renew action on an
application after expiration, a new application, plans and fee will be
REQUEST FOR REFUNDS
Refunds can only be made upon written request by the person who
paid the fee. The request must be made prior to the expiration of the
permit and no construction work has been done. Filing fees, plan
check fees for work plan checked and other department costs are not
refundable.
Received : Amount:
Bldg
SRA
Receipt #:
Sheriff
SMIP
Date:/ I � �
Other
i%%
Total
z --•PERMIT NO. 914-80B,P,E,M
r
PER EXPIRES �/AY/Y
OWNER Troy Bradford
owner
CONTR.
36-172-3
LOCATION (A.P. )
2025 Clinton Ave., Oroville
f
Temp..Power Pole
' Called PG&E'
Temp. Elec. Selh,
Called PG&E IA
Temp. Gas �Serv.
Called PG&E
JOB
FIN D
(Date)
(Signatur
FIREPLACE
I
ELE'CTR1CA
Bond Bee—"IRE
'
ft
Framing
Test
t
Stucco
COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS I
Subpanels
BUILDING INSPECThON RECORD
MECHANICAL
Grd. Fault Prot.
BUILDING BUILDING (Cont'd)
PLUMBING
Setback
Firewall
Soil Piping Z V dVd
Forms
Parapets
1st Floor z or
Main Bldg.
Restroom Fini
2nd Floor
Footings
Windows
' 3rd Floor
Stemwall
Siding
To out Z
Slab
Roof Sheathing
Water Pi in L—V ko
Piers
Roofing
Sewer
Garage
Fdn. Vents
F I xlgjls
Footings
Garage Vents
ater Ht evA,Q,- fW& 0A
Stemwall
Insulation 3 9
Heaters Cs7G
Slab
Prov. for phsically
Appliances K-
Carport
handica ed
Conformance of ex.
n12
Gas Pipin &Test
Footings
re — n
Temp. Gas
FIREPLACE
I
ELE'CTR1CA
Bond Bee—"IRE
SPRINKLERS
Motors
Framing
Test
Water Htr.
Stucco
Final
Subpanels
Mesh
MECHANICAL
Grd. Fault Prot.
Scratch
Heating
Service
Brown
Cooling
Temp. Pole
Finish _
Ducts
Underaround
poor Closer Fina f Y/ Fina f
MOBILEHOME UTILITIES ------------------ lec- Service ec. Pedestal
Water Piping Sewer Gas Piping
SdOBILEH 'ME INSTALLATION - - - - - - - - - - - - - - Support Elec. Continuity
Water Piping Drainage Gas Piping
DATE REMARKS OR CORRECTIONS
C�>r/ vim°'►-�`— l �c.�
ERVC _
act..-� � •� d c- � � z. �� lLc���
( OTE: An entry must be made on form each ti a you wi ie job site.)
61
fi
°
'R
61
RES IDENT IAL
ENERGY CONSERVATION STANDARDS
CONSTRUCTION COMPLIANCE CERTIFICATE
THIS IS TO CERTIFY THAT ENERGY CONSERVATION REQUIREMENTS HAVE BEEN
INSTALLED IN CONFORMANCE WITH GURRENT ENERGY GONSERVATION REGULATIONS
AT U 1_ 5
(location)
BU ILD ING PERMIT NO. "5;/ i c-/— A!: P. NO. `3 (, 17 2 `
THE FOLLOWING HAVE BEEN INSTALLED AS PER APPROVED PLANS:
(Check each item or write N/A if not applicable)
INSULATION:
Slab Edge
Fdn. Walls
Floors
Walls
Ceiling/Roof
Ducts
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
a
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 AS SUBMITTED.
Insulation Applicator Name
Signature of
Insulation Applicator.
State Contractors
License No.
General Contractor/Owner Name 7060 yy y e"o /) ---8
(please print)
Signature of
General Contractor/Own V1 Date 9- �f
tate Contractors
License No.
(please print)
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.
COUNTY OF BUTTE – DEPARTMENT OF PUBLIC WORKS
7 County Center Drive - Oroville, California 95965
Telephone; 534-4541
APPLICATION AND PERMIT
authorize representatives of the County of Butte to enter upon the
above-mentioned. property for inspection purposes.
X&1A0&&3&2 Date �� dt✓
Si wyure ooffPPermitee Agent
Receipt No. 3 ✓ 0S 1
White-D.P.W. - Yellow -Assessor - Pink -Inspector - Goldenrod -Applicant
This permit is hereby issued under the applicable provisions of
the Butte County Code and/or resolutions to do work indicated
above for which fees have been paid.
DIRECT.ORrOF PUBLIC WORKS
ByDate Z_
B ding permit expires Date
BUILDING
Owner
SO. FT. OCC. BUILDING VALUATION
�' 2 ��
// pp
Mailing Address s LES� PA-
® d
Telephone No.
Contractor
Mailing Address
Fireplace -A�--
Total Valuation 00
Telephone No.
Permit Fee Z$'
Building Address ZS �(u�af
IanCheckingF /or Penalty L
Permit Fee -Z,
Z
PLUMBING No.1 @ FEE
PERMIT FILING FEE $3.00 ;3, 0 -0
Each Trao / 21,.80 Z, 0 0
6fZ6V1L.1_E
Repair drainage or vent piping 1.50
A. P. No. �7� —r
n j
Zoning Planning
Water piping a-60 , p0
Each gas water heater or vent �,� 7,00
Fe'ss
VAGI
SAA4"ia0
FireDept.
Fire Zone
Use Permit
Gas piping system 1 -5 outlets ''fib Z,OQ
EOA
Parking
Plans
Parcel
Declaration
Parcel Map
60' R/W
Improvements
Each additional outlet .30
-Building sewer 5.00
Bldg. Plans`Rec'd I
Parcel Approval Plans Appra
Lawn sprinkler system 2.00
NEW ❑ ADDITION ❑ UTILITIES ❑ OTHER
Permit Fee $
y, �fj �,�-��(,�.,.� i✓l �1rt/i cue.
ELECTRICAL No. @ FEE
YP�o „_ J _� �, / _ / _,/_ _ `
�a�rG �'r"/' t���-�
PERMIT FILING FEE $3.00 D
0ov OR LESS �
Main service 1ESS 5•�0 J
100 AMP OR L100
Single Family Duplex ❑ Mobil Home ❑ Others ❑
Main service EA. ADD'L 100 AMP 2.50
Main service 100 OVER AMP e00vOR LESS 25.00
Main service EA. ADD'L 100 AMP 1.00
NEW CONSOR ADDNST ACCLBLDGS.0 P 4) 22 sq ft , 9J
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:
LET
NEW CONSTR BRANCH
NON.CRESID.ONST ( BRANCH CIRCUITS) 2.50ea
NEWCONSTR POWER APPARATUS 9
NON .RESID. (SINGLE OUTLET CIR.
Ex. Occuo(OUTLETS OR FIXTIIRES) g L 1� 00
FIXED APPLNS. OR
EX. Occup. OUTLETS (RESID.) EA) 2.00
Temporary service 10.00
Mobile Home Facilities 15.00
.
License No. Classification
Misc. Wiring 6.25
® I am exempt from the Contractors License Laws of the State of California.
Permit Fee $ / 2.00
/ Z OG
MECHANICAL No. @ FEE
WORKMEN'S COMPENSATION INSURANCE
1 am aware of the provisions of Section3700 of the California Labor
Code which requires every employer to be insured against liability
for Workmen's Compensation.
❑I have placed on file with the County of Butte a certificate of
Workmen's Compensation Insurance.
®I certify that in the performance of the work for which this
permit is issued I shall not employ any person in any manner
so as to become subject to the Workmen's Compensation Laws of
California.
PERMIT FILING FEE $3.00 3.00
Heating
t7c/67-1oc.1 d W,414—
Cooling
Ventilation
Hood 2.00 2 .00
Permit Fee $ , 00
$ 5 OL
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
Land Development Fee
$
TOTAL PERMIT FEE
$ Q a®
authorize representatives of the County of Butte to enter upon the
above-mentioned. property for inspection purposes.
X&1A0&&3&2 Date �� dt✓
Si wyure ooffPPermitee Agent
Receipt No. 3 ✓ 0S 1
White-D.P.W. - Yellow -Assessor - Pink -Inspector - Goldenrod -Applicant
This permit is hereby issued under the applicable provisions of
the Butte County Code and/or resolutions to do work indicated
above for which fees have been paid.
DIRECT.ORrOF PUBLIC WORKS
ByDate Z_
B ding permit expires Date
Owner:
Addres
Tenant: C>
Building Location:
BUTTE COUNTY DEPARTMENT OF PUBLIC WORKS
SPECIAL INSPECTION REPORT
Q Z S"- ��
Type of Inspecti®n requested:
1. Housing / / 2. Financing
4. Other (specify)
A. P. 1 74, %2- r
Date of Inspection '2 -Z2
Inspector
r r.
3. Change of Occupancy to
Present use of buhAine: /,64,~,-70'
A. Sanitation (Housing)
1. Water closet:
2. Lavatory
3. Bathtub or shower:
4. Kitchen sink:
5. Hot and cold water to fixtures:
6. Heating'facilities:'-
7. Natural light and. ventilation:
8. Room and space requirements:
9. Bedroom window or door for second exit:
10. Infestation of insects, vermin, or rodents:
11. Connection to sewage disposal:
12. Connection to water.supply:
13. Rubbish and garbage facilities:
14. Comments:
B. Structural ;
1. Piers and footings:
2. Floor construction
3. Wall construction:
4. Ceiling and'roof c
5. Fireplaces:
6. Comments:
C. Electrical
1. Service and ground:_
2. Receptacles:
3. Fusing:
4. C otmnent s :
D. Plumbing
1. Fixtures connected and vented:
2. Gas water heater:
3. Gas heating vents:
4.
(enntintipd nn hankl
E. Other
1. Maintenance and repair:
2. Fire hazards:
3. Safety hazards:
4. Weather protection:
5. Underfloor and attic ventilation:
6. Comments:
F. Comnerciai Buildings ,
10 Roof covering:
2. Distance to property lines:
3. Physically handicapped:
4. Restroom floors and walls:
5. Exits:
6. Improvements:
7. Zoning:_..
8. Comments:
G. Field Probl crus or Violations
1. Pro,�lem or violation (give complete d9scription):
2. What act -ion _take(g've comp ete description):
USG G'ia
3. What acti.3n recommended:
%/ A. inforaation only -- five.
/v/ B. Hold for ten. (10) days, there wri c. letter.
C. Write letter.
7-1
/7D,. Other:
N C) T
Accoidc-
of a qu-
UTO orm
the Haf
I
& Workrntrshib th?il!
-101k R G--�4 Preiefleu
lin Sneelfied use
ldinzri, Machanical.Cod
A Electrical Code.
t
This set I
L of plan, and -specifi—V
epr on the job of all f
make any changes nr c-
wiffen.!f
-perrn,*s,.%;0" fj-,.),
I wailis" of Butte
In
and
the
and.
4
ions UST be
es and
� is unlawful to,_
or lame Without,
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Fe. Depa Imenf of public
C! A
BUTTE COUNTY
BUILDING DEPARTMENT
APPROVED
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