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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) �i I�c y ;kzt. - I f L4 (9 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, f Fe. Depa Imenf of public C! A BUTTE COUNTY BUILDING DEPARTMENT APPROVED IL � Q- D },.w