HomeMy WebLinkAbout078-200-025f
CH 'RLYNN' MUNDRI'CK
5525 Farley St, Oroville
Permit#4302-81B(install wood
burning stove) SF
Permit#670-84B Econ rt arag to
bedroom/SF) �jj^�� Iff 7
h
02.5
affikaiiiiiiiL I I I
V
PERMIT NO. 4302-81B `
PERMIT EXPIRES
OWNER CHARLYNN MUNDRICK
CONTR. owner
ASSESSOR PARCEL 36-37-23
LOCATION 5525 Farley St, ORoville _
Temp. Power Pole—
Called
ole_Called PG&E _
Temp. Elec. Service
Called PG&E_
Temp. Gas Service
Called PG&E
JOB FINALED (Date)
Signature
J =OK
O = Not OK
= Not Applicable MOBILEHOMES
= Not Ready
MISCELLANEOUS
Date
MOBILEHOME UTILITIES (Plans) OK except H's
Date
DECKS, COVERS, CARPORTS, ETC. (Plans) (; xcept J7
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-Enc;os.,res
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
Card -BI
Date Card -B1. Date
Card -BI
Date
Date Card -BI Date
MOBILEHOME INSTALLATION (Plans) OK except H's
Card -BI
Date
Date Card -BI Date _
POOLS (Plans) OK except Y'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-GFI
5. Drain; MH Test -Fall -Flex Connector
5. Elec.; Pool Lighting; 15 volts-GFI
6. Water; MH Test -Regulator -Connector
7. Water and Sewer Connected -C/O to Grade -HD Approval
6. Elec.; Enclosures; Conduit Entries -Terminals -Listed
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 -Enclosures -Panel boards -Ins. to Main in Conduit
9. Health Department Approval
9. Exits; Insp.-Sketch
10. Cert. of Occupancy
10. Plumb; Cir. Test -Water Supply Test
Card B -I
Date Card -BI Date
Card -BI
Date Card -BI Date
Card B -I
Date Card -BI Date
Card -BI
Date Card -BI Date
= OK
= Not OK
= Not Applicable RESIDENTIAL`(Single and Duplex)
= Noi Ready
Date
UNDERFLOOR Plans OK except #'s
Date
FRAMING (Continued)
1. Zoning requirements -Setbacks -Easements
48.
Property Line Firewall & Openings
2.
Ftg., Main; Soils-Steel-Elec. Grnd.- / /" Ftg. Depth
49.
Ext. Doors -One 3' -Check Garage -3rd story, 2 exits
3.
Fig., Garage; Soils -Steel- / /" Ftg. Depth
50.
Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection
4.
Ftg., Porches & Decks; Soils -Steel- / /" Ftg. Depth
51.
Plywood on Roof Overhang -Attic Vents -Rafter Outriggers
5. Stemwalls, Main; Steel-Blockouts-Wrapped-Slab
52.
Siding -Nailing -Veneer
6. Stemwalls, Garage; Steel-Blockouts-Wrapped-Slab
53.
Stucco Mesh -Drip Screed-Fdn. Vents-Underflr. Access
7.
Piers -Fireplace Ftg.-Steel
54.
-Glazing Area -Glass Protection -Skylights -Plastic
8. D.W.V.: Fall -Fittings -Test -2 way C/O -Sewer Test
55.
Shear Walls; Nailing -Bolts
9. Gas Pipe; Size -Anchors
10.
Water Pipe; Test -Anchors -Regulator -Service Test
11.
Electric; Underground
12.
Plenums & Ducts; Clearance -Material -Support -Ins.
13.
Girders -Sills -Anchor Bolts -Joists -Vents -Cripples
Card -BI
Date - Card -BI Date
Card -BI
Date Card -BI Date
Card -BI
Date Card -BI Date
Card -BI
Date Card -BI Date
Date
FINAL (Plans) OK except N's
56. Ext. Steps -Door & Sidelight Protection -Landings
Card -BI
Date
_
Date Card -BI Date
PLUMBING (Permit) OK except q's
14. Water Ht.; Vent -Access -Combustion Air
57.
58.
Smoke Detector
Furnace; Vents -Clearance -Comb. Air -Connector -
In Garage; Above Floor-Ducts-Mech. Protection
15. Water Pipe; Test & Anchors -Nail Protection
16.
D.W.V.: Test-Fttngs & Anchors -Nail Protection
59.
Bedroom Exiting
_
17.
Shower Pan; Test, First Floor -Tub Access
60.
61.
G.F.I. &•Bath Fixtures & Tub Access
Elec. Trim & Subpanel; Breaker Sizes -Labels
18. Test Tub & Shower, 2nd Floor -Tub Access
19.
Gas Pipe; Size & Anchors
62.
Stair & Rails
fireplace or Stove;_ C learances-Hearth
64.
Elec. Outletst Wood Panel; Int. & Ext.
Card -BI
Date Card -BI Date
65.
Kit. Fixt. & Appliance; Grnd.-Air Gap -Cooking Clearance
Card -BI
Date Card -BI Date
66.
67,
Elec. Outlets & Receptacles at Kit. Counter
Garage Fire Door; Swing -Landing -Closer
Date
ELECTRICAL Permit OK except q's
68.
A.C. Duct in Garage -Damper
20.
Fixture & Transformer Clearance -Ins. Protection
69,
Wtr. Htr.; Vents -Clearance -Comb. Air-Connector-P.R.V.-
In Garage; Above Floor-Mech. Protection
21.
22.
Elec. Receptacles Spacing -Lights &Switches at Doors
Size Boxes & No. of Conductors -Stapled
70.
71.
Plb., Elec. & Mech. Equip. Listed for Location
Elec. Receptacles 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.
Insulation -Foam -Looked in Attic [3 Yes
25.
2 Appliance Circuits in Kitchen & Conductor Size
Guard Rails &Deck Construction -Post Caps
-
26.
Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / / ga. Cu or At
74.
Fdn. Vents & Crawl Hole Door -Drainage & Wood -Earth Clearance
Looked under Floor ❑ Yes
27.
Range Circ. / / ga. Cu or AI -Oven Circ. / / ga. Cu or Al,
Insulated Neutral ❑Yes [3 No
75.
Following instld.: Drive ❑ Yes ❑ No; Walks ❑ Yes ❑ No;
Planters ❑Yes ❑No
28.
Service -Riser Conductors & Ground -Main Disconnect
76.
Stucco; Brown -Finish
29,
Equip. Clearances; Panels-Motors-Mech. Equip.
77,
A.C. Unit; Disconnect-Clrnces-Brkr. & Cond. Size -115V Outlet
-_
30.
Clothes Closet Light -Shower Light
78.
Vents Above Roof; Plbg.-Appliance-Firepl.-Clearance to Opngs,
79.
80.
Water Well; Disconnect, Electrical, Plumbing
Exterior Elec. Trim; G.F.I. Receptacle -Underground
Card B -I
Card B -I
Date
-_
Date_ Card -BI Date
Date Card -BI Date
MECHANICAL (Permit) OK except N's
31. A.C. Ducts; Insulation & Support
81.
Ventilation throughout House
82.
Glass Protection
83.
_
Corrections from Previous Inspections
84.
Gas Test -Meters Tagged; Gas -Electric
85.
Water & Sewer Connected -C/O to Grade -HD Approval
32._
Vent Fan; Exhaust above Insulation
86.
Energy Compliance Certificate -Other Certificates
_
33.
Condensate Drain & Overflow; Size & Grade
_
34.
Furnace -Vent; Access -Comb. Air -Return Air Vent -115V outlet
35.
Attic Access & Platform if Furnace in Attic
-
-----
Card -BI
ate Card -BI Date
Card -BI
-
-_Date Card -BI Date
Card -BI
Date Card -BI Date
Card -BI
Date Card -BI Date
Card -BI
Date Card -BI Date
Comments at Final:
Date FRAMING(Plans) OK except q'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.
41. -Header
42
43.
44.
Fire Stops; Furred Ceilings -Stairs -Chases -Tub
& Beam -Size & Bearing__
Hangers -Post Caps -Anchors -Connectors
Cing. Joist-Rftr. Ties-Purlin-Roof Brac.-Truss-Shthng.-Rfng.
Fireplace Ties or 7ypt.A--Flue-Fireplace Throat
_
45.Attic
Access: Size & Romex Protection -Draft Stop -Ins. Baffles
_
46.
Bdrm._Windo_ws or Exiting Doors -Sill Hgt. & Dimensions
47.
Garage Fire Protection Framing
(NOTE: An entry must be made each time youvisit jobsite)
V COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WOR SPERMIT NO.
7 County Center Drive - Oroville, California 95965 - Telephone 916/5 -4541
APPLICATION AND PERMIT 1
A SS,ES50 R%QAyF.+L..= SJ 7R
(/r/_ 37
ZONING
BUILDING PERMIT
OW ER
TELE OtJE
SO. FT. OCC. BUILDING VALUATION
OR'S MAILING/V57
CONTRACTOR'S NAME "E12—
TELEPAiONE
CONTRACTOR'S MAILING ADDRESS
Fireplace
D v
CONSTRUCTION LENDER
UNKNOWN
Total Valuation
, Q
Filing Fee
$ 10.00
LENDER'S MAILING ADIORESS
Permit Fee
$
ARCHITECT OR ENGINEER
LICENSE No.
Plan Checking Fee
,$
Penalty
$
ARCHITECT OR ENGIN E 'S MAILING ADDRESS
Permit fee
$
BUILD NG ADDRESS /
PLUMBING PERMIT
Filing Fee 10.00
Each Trap
2.00
Repair drainage or vent piping
5.00
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❑ Mobilehome❑ Other
SPECIFY
Building sewer
Lawn sprinkler system
5.00
TYPE OF WORK
New ❑ Addition Remodel ❑ �U�tiI/-ties ❑ Installation ther
Describe work: S%ri (�dOD
Permit Fee
$
ontractor
ELECTRICAL PERMIT
Filing Fee 10.00
Main service 100V OR LESS
100 AMP OR LESS
5.00
Main service EA. ADD'L 100 AMP
2.50
DWELLING OCCUP.)
NEW CONST. ( d
OR ADDNS. ACC. BLDGS.
22 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 Business
and Professions Code and my license is in full force and effect.
License No: Classification
I, as the owner, or my employees with wages as their sole compen-
sation, will do the work,and the structure is not intended or offered
for sale. (Sec. 7044)
❑ I, as the owner, am exclusively contracting with licensed contract-
ors. (Sec. 7044)
❑ I am exempt under Sec. Business and Professions Code
for this reason
NEWCONSTR TI -OUTLET 2,50 ea
NON-RESID BRANCH CIRC ITS
NEW CONSTR (POWER APPARATUS 6
NON-RESID, (SINGLE OUTLET CIR, )
80 @ 8¢
Ex. Occup OUTLETS OR FIXTURES BAL@1 02
FIXED APPLNS. OR
Ex. OCcup.�OUTLE TS (RESID.) EA.) 2.00
Temporary service 10.00
Mobile Home Facilities 15.00
Misc. Wiring 7.50
Permit Fee $
Contractor
MECHANICAL PERMIT
FiIingFee 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.
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.
Heating
Cooling
Hood
3.00
Ventilation
Permit Fee
S
Contractor
1 certify that I have read this application and state that the above information
is correct. I agree to comply to all County Ordinances and State Laws relating
to building construction, and hereby authorize representatives of the County of
Butte to enter upon the above-mentioned property for inspection purposes.
1 also agree to save, indemnify and keep harmless the County of Butte against
all liabilities, judgments, costs, and expenses which may in any way accrue
against said C my in !M;:;=ate0 f this perm't..This
X
Signature of Appli ant — Owner Contractor EJAgent
An OSHA permit is required for excavations over 5'0" deep and demolition or construct-C
ion of structures over 3 stories in height.
Mobile Home Installation Fee $
TOTAL PERMIT FEE $ Z57— p d
OccuP. GROUP
I TYPE OF CONST.
PARCEL
PD I
ND
ssaE
permit is hereby issued under the applicable provi-
sins f the Butte County Code and/or resolutions to do
wor i dicate$d above for which fees have been paid.
��TSR OF PUBLIC WORKS
By Date1,6—,51
PERMIT EXPIRES Date
Receipt No. 593
WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT
COUNTY OF BUTTE - Department of Public Works
7 -county Center Drive, Oroville, CA. 95965 Phone: 916-534-4541
OWNER -BUILDER VERIFICATION
Attention Property Owner:
An "owner -builder" building permit has been applied for in your name and bearing
your signature.
Please complete and return this information in the envelope provided at your
earliest opportunity to avoid unnecessary delay in 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)
2. I (have/have not) signed an application for a building
permit.for the propos work.
3. I have contracted with the following person (firm) to provide the proposed
construction:
Name
Address City
Phone Contractors License No.
4. I plan to provide portions of this 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
Signed:
Property Owner
Social Security numberS &
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.
a
PERMIT NO. 670-84B,E
PERMIT EXPJRES
OWNER CHART MUNDRICK
CONTR. owner
ASSESSOR PARCEL 36-37-23
LOCATION 5525 Farley St, Oroville
7
Temp. Power Pole_
Called PG&E _
Temp. Elec. Service
u
Called PG&E_
r
Temp. Gas S --i-
1
Cal led F
t
JOB FINAL
I
Signatu
J = OK
0 = Not OK
= Not Applicable MOBILEHOMES
= Not Ready +
MISCELLANEOUS -
Date
MOBILEHOME UTILITIES (Plans) OK except k's
1. Zoning Requirements -Setbacks -Easements
Date
DECKS, COVERS, CARPORTS, ETC. (Plans) OK except N's
1. Zoning Requirements -Setbacks -Easements
2. Soils: Special MH Support -Sketch
_
2. Footings; Size tors
3. Sewer; Location -Test -Fall -C/0 -Concrete
4
3. Decks; Girders and/or Joists -Decking -Bracing -Stairs -Rails'
4. Water; Location -Test -Easement Needed (Sketch)
+9 '
_
4, Wood Awn.; Posts-Beams-Rftrs.= Con nec.-Shthg.-Rig .-Bracing
5, Electricity; Location-Clearances-Grnd.-/ / Amp -Concrete
_
5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures -
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
Card -BI
Date Card -BI Date
Card -BI
Date Card -131 Date
Card -BI
_
Date Card -BI Date
Date
MOBILEHOME INSTALLATION (Plans) OK except 1/'s
1. Zoning Requirements -Setbacks -Easements
Date
_
POOLS (Plans) OK except H's
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-GFI
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/0 to Grade -HD Approval
7, Elec.; Bonding; Metal w/5' -Circulating Equipment -Heater
8. Gas and Electricity Tagged
9. Exits; Insp.-Sketch
10• Cert. of Occupancy
8. Elec.; Grounding; Equip. w/5' -Circulating Equip. -Pool Lghtg.
Boxes- Enc losures- Pane Iboards-Ins. to Main in Conduit
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
4
-
4
+9 '
'i
J = OK
0 = Not OK
- = Not Applicable RESIDENTIAL (Single and Duplex)
= Not Ready
Date
UNDERFLOOR Plans OK except #'s
Date
FRAMING (Continued) .
1. Zoning requirements -Setbacks -Easements
48.
Property Line Firewall & Openings
2.
Ftg., Main; Soils-Steel-Elec. Grnd.- / /" Ftg. Depth
49,
Ext. Doors -One 3' -Check Garage -3rd story, 2 exits
3.
Ftg., Garage; Soils -Steel- / /" Ftg. Depth
50.
Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection
4.
Ftg., Porches & Decks; Soils -Steel- / /" Ftg. Depth
51.
Plywood on Roof Overhang -Attic Vents -Rafter Outriggers
5. Stemwalls, Main; Steel-Blockouts-Wrapped-Slab
52.
Siding -Nailing -Veneer
6. Stemwalls, Garage; Steel-Blockouts-Wrapped-Slab
53.
Stucco Mesh -Drip Screed-Fdn. Vents-Underflr. Access
7.
Piers -Fireplace Ftg.-Steel
54.
Glazing Area -Glass Protection -Skylights -Plastic
8.
D.W.V.: Fall -Fittings -Test -2 way C/O -Sewer Test
55.
Shear Walls; Nailing -Bolts
9. Gas Pipe; Size -Anchors
10. Water Pipe; Test -Anchors -Regulator -Service Test
11.
Electric; Underground
12.
13.
Plenums & Ducts; Clearance -Material -Support -Ins.
Girders -Sills -Anchor Bolts -Joists -Vents -Cripples
Card -BI
Date Card -BI Date
Card -BI
Date Card -BI Date
Card -BI
Date Card -BI Date
Card -BI
Date
Date Card -BI Date
FINAL (Plans) OK except H's
56. Ext. Steps -Door & Sidelight Protection -Landings
Card -BI
Date
Date Card -BI Date
PLUMBING (Permit) OK except p's
14. Water Ht.; Vent -Access -Combustion Air
57.
Smoke Detector
58.
Furnace; Vents -Clearance -Comb. Air -Connector -
In Garage; Above Floor -Ducts -Meth. Protection
15. Water Pipe; Test & Anchors -Nail Protection
16.
D.W.V.; Test-Fttngs & Anchors -Nail Protection
59.
Bedroom Exiting
17.
Shower Pan; Test, First Floor -Tub Access
60.
G.F.I. & Bath Fixtures & Tub Access
18.
Test Tub & Shower, 2nd Floor -Tub Access
61.
Elec. Trim & Subpanel; Breaker Sizes -Labels
_
19.
Gas Pipe; Size & Anchors
62.
Stairs & Rails
- --
63.
Fireplace or Stove; Clearances -Hearth
Card -BI
Date Card -BI Date
64.
Elec. Outlets at Wood Panel; Int. & Ext.
65.
Kit. Fixt. & Appliance; Grnd.-Air Gap -Cooking Clearance
Card -BI
Date Card -BI Date
66.
Elec. Outlets & Receptacles at Kit. Counter
Date
ELECTRICAL Permit OK except N's
67.
Garage Fire Door; Swing -Landing -Closer
68.
A.C. Duct in Garage -Damper
20.
Fixture & Transformer Clearance -Ins. Protection
69.
Wtr. Htr.; Vents -Clearance -Comb. Air-Connector-P.R.V.-
In Garage; Above Floor -Meth. Protection
21.
Elec. Receptacles Spacing -Lights &Switches at Doors
70.
Plb., Elec. & Mech. Equip. Listed for Location
22.
Size Boxes & No. of Conductors -Stapled
71.
Elec. Receptacles 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.
Insulation -Foam -Looked in Attic E] Yes
73.
Guard Rails &Deck Construction -Post Caps
25.
2 Appliance Circuits in Kitchen &Conductor Size
74.
Fdn. Vents & Crawl Hole Door -Drainage & Wood -Earth Clearance
Looked under Floor ❑ Yes
- - 26. Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / / ga. Cu or At
27.
Range Circ. / / ga. Cu or AI -Oven Circ. / / ga. Cu or Al,
Insulated Neutral []Yes ❑No
75,
Following instld.: Drive ❑ Yes ❑ No; Walks ❑ Yes ❑ No;
Planters Dyes ❑No
_
28.
Service -Riser Conductors & Ground -Main Disconnect
76.
Stucco; Brown -Finish
--
29.
Equip. Clearances; Panels-Motors-Mech. Equip.
77,
A.C. Unit; Disconnect-Clrnces-Brkr. & Cond. Size -115V Outlet
_ --
30.
Clothes Closet Light -Shower Light -
78.
Vents Above Roof; Plbg.-Appliance-Firepl.-Clearance to Opngs.
-------- -
79.
Water Well; Disconnect, Electrical, Plumbing
- -.-
80.
Exterior Elec. Trim; G.F.I. Receptacle -Underground
Card B -I
_DateCard-BI Date
_ _-
81.
Ventilation throughout House
Card B -I
Date Card -BI Date
82.
Glass Protection
Date
MECHANICAL (Permit) OK except q's
83.
_
Corrections from Previous Inspections
84.
Gas Test -Meters Tagged; Gas -Electric
,_
31.
A.C. Ducts: Insulation & Support
85.
Water & Sewer Connected -C/O to Grade -HD Approval
-
32._
Vent Fan; Exhaust above Insulation
86.
Energy Compliance Certificate -Other Certificates
_
_33.
Condensate Drain & Overilow; Size & Grade
34.
Furnace -Vent; Access -Comb. Air -Return Air Vent -115V outlet
35.
Attic Access & Platform if Furnace in Attic
Card -BI
----
-- -----
Date _-_ Card -BI Date
Card -BI
Date Card -BI Date
Card -BI
Date Card -BI Date
Card -BI
Date Card -BI Date
Card -BI
Date Card -BI Date
Comm n s at Final:
Date FRAMING(Plans) OK except N's
_
_
_36.
37.
38.
_39.
Sills; Proper Material & Anchors
Walls: Studs -Nailing, Spacing & Bracing -Plates -Sound
Bearing Walls over Girders & Floor Nailing___
Draft Stop in Walls (rat proof)
_
40.
Fire Stops; Furred Ceilings -Stairs -Chases -Tub
41.
42.
43.
44.
Header & Beam -Size & Bearing
ang
Hers -Post Caps -Anchors -Connectors
Cing. Joist-Rftr. Ties-Purlin-Roof Brac.-Truss-Shlhnq.-Rfng.
Fireplace Ties or Type A Flue -Fireplace Throat
_
_
45.
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 jobsile)
VT
-
COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS PERMIT NO.
7 County Center Drive - Oroville, California,95965 - Telephone 916/534-4541
APPLICATtON AND PERMIT
ASSESS ARCEL Nf E
/
ZONING
BUILDING PERMIT
o "y�RjD_Lv, Jnp��/
V HS
/a
SO. FT.. OCC. BUILDING VALUATION
�j S M�CA1 LI N/„N/7/�-GEC' � I ' Df-^VVr Wim' CJS
O WGt`>,.F�R/69
SS
�(/ % / /
(/TELEPHONE
CONTRACTOR'S NAME
CONTRACTOR'S MAILING ADDRES
Fireplace
CONSTRUCTION LENDE
UNKNOWN
Total Valuation $
Filing Fee
$ 10.00
LENDER'S MAILING ADDRESS
Permit Fee
$ ,
ARCHITECT OR ENGIN
LICENSE NO.
Plan Checking Fee
$ /171-5101
Penalty
$
ARCHITECT OR ENGINEER'S MAILING ADDRESS -
Permit fee
$
BUIL NrG ADDRESS v
r r
PLUMBING PERMIT
Filin Fee 10.00
9
Each Trap
2.00
Solar Water Heater
20.00
Water piping
5.00
LOT NO.
SUBDIVISION NAME
PARCEL MAP
Each qas water heater or vent
5.00
Gas piping system 1 - 5 outlets
5.00
��,/ USE OF STRUCTURE
SF Duplex ❑ Mobi lehome ❑ Other
SPECIFY
Building sewer
5.00
Mobile Home S G W
10-00e
TYPE OF WORK
New❑ Addition s❑Re ooddeel Utilities inst�llatigq❑ Other ❑
Describe work: (i[/N ��L T (i/�4J� /�� ,/L/
Permit Fee
$
Contractor
ELECTRICAL PERMIT
Filing Fee 10.00
Main service 600V OR LESS
100 AMP OR LESS
10.00
Main service EA. ADD'L 100 AMP
2.50
NEW CONST. DWELLING OCCUP.&
OR ADDNS. ACC. SLOGS.
2/20sgff
CONTRACTORS LICENSE LAW
I declare under penalty of perjury (Check one):
F-1I 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
NEW CONSTR U TI.OUTLET 2.50 ea
NON.RESID BRANCH CIRC ITS
NEW CONSTR. POWER APPARATUS •
NON.RESID.. SINGLE OUTLET CIR.&
EX. Occup\OUTLETS OR FIXTURES eAL030
FIXED APPLNS. OR
Ex. OCCUp. OUTLETS IRESID,) EA.) 2.00
Temporary service 10.00
Mobile Home Facilities 15.00
Misc. Wiring 15.00
Permit Fee $
Contractor
MECHANICAL PERMIT
FiIingFee 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.
I shall not employ any person in any manner so as to become subject
484 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.
Heating
Cooling
Hood
3.00
Ventilation
Permit Fee
$
Contractor
I certify that I have read this application and state that the above information
is correct. I agree to comply to all County Ordinances and State Laws relating
to building construction, and hereby authorize representatives of the Countyot
Butte to enter upon the above-mentioned property for inspection purposes.
1 also agree to save, indemnify and keep harmless the County of Butte against
all liabilities, judgments, costs, and expenses which may in any way accrue
against said Coun in conseque ce oft a granting of this permit.
X ' Date %
Signature of plicant — Owner , Contractor ❑ Agent ❑
An OSHA permit is required for excavations over 5'0" deep and demolition or construct-
ion of structures over33 stories in height.
Mobile Home Installation Fee
$
TOTAL PERMIT FEE $-
occUP. GROUP
K_ j
TYP O r —1.
PA EL
PD
V—
ND
ssu
This permit is hereby issued under
sions of the Butte County Code and/or
work indicated above for which
DIRECTOR OF PUBLIC
B11
ERMIT EXPIRES Date
the applicable provi-
resolutions to do
fees have been paid.
WORKS
Date,?— I 3 5f
-7—/ -- iS^
Receipt No. / sly
WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT
COUNTY OF BUTTE - DEPARTMENT>OF.PUBLIC WORKS - BUILDING DIVISION
7 COUNTY CENTER DRIVE - OROVILL&,CAL-I0ORNIA 95965 - TELEPHONE: 916/534-4541
OWNER
Proposed Building Use
Permit Fee Based Upon
Building Inspector
PERMIT APPLICATION DATA SHEET
A A , ' I Permit No.
A. P. No. Stn -3 7 -
Complete Contract Price DPW Valuation
OWp l a i n)
Date 3
At time of permit application, I was advised t1he following data must be submitted prior to permit processing
and/or issssua`nce: DATE RECEIVED APPROVED
All items have been submitted. . . . . . . . . . . .
2. Plot plans in duplicate./triplicate. . . . . . . . . . .
3. Complete plans in duplicate./triplicate. . . . . . . . .
4. Complete engineered plans and calcs. . . . . . . . . .
5. Plans with Energy Design Compliance Statement. . . . . .
6. State Energy Forms No.
7 Statement of Intent for Non -Heated and AC Buildings.
8. Fees of $ . . . . . . . .
9. Letter of signature authorization. . . . . . . . . . .
10. Sanitation approval from Health 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. Mobilehome Installation Data. . . . . . . . .
. .
Pre-Inspec. request to
17. Pre -Inspection for Required. Building Inspector
18. Other
ate)
When you issue the permit, process as follows: LiKAall to owner. Mail to contractor.
Telephone and hold for pickup at office. Deliver w/inspector.
Other
Applicant
Date
Copy of plans sent Health Dept., Fire Dept., Other Date
During the plan checking process, the following data must be submitted prior to permit issuance.
(For required items not checked above at time of application, circle item.)
1. Index permit for above Items No.
2. Additional items required:
(Contractor, Desig
Plans checked
Plans aDDroved
Other
Copy—DPW
Owner) was advised of above required data by Telephone Mail Other
Z
r
Date
Date
Date
COUNTY OF BUTTE - Department of Public Works
7 County Center.Drive, Oroville, CA. 95965 Phone: 916-534-4541
OWNER -BUILDER VERIFICATION
Attention Property Owner:
An "owner -builder" building permit has been applied for in your name and bearing
your signature.
Please complete and return this information in the envelope provided at your
earliest opportunity to avoid unnecessary delay in 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)
2. I (have/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:
Name
Address. City
Phone Contractors License No.
4. I plan to provide portions of this work, but I have hired the following
person to coordinate, supervise; and provide the major work:
Name -
Address I City
Phone Contractors License No.
5. I will provide some of the work but I have
persons to provide the work indicated:
Name Address
S igned :
Property Owner 0_9,_AA)vj�
Social Secur t umber ,
Date 7
contracted*(hired) the following
Phone Type of Work
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.
This set of plans and specifications MUST be
kept on the fob at all times and it is unlawful to
make any changes or alterations on same with-
out written permission from the Department of
Public Works, County of Butte.
NOTE:—All Materials &
Accordance with P.ecoc
of a quality prescribed
Uniform Building, Plun
and the National Electric
SF
16 it
VJMEJuoWBUSTI►GQU I
WTSZZ
OF SGCT1Glu 17,C)+ Tj• f34.
WF
orkmanship Shall Be in 4040 wimpoW
:ed Good Practices and
the Specified use in the
ig & Mechanical Codes
9 --
1�1SP.
ID F Ew ST 1 NL1
M
"i✓Q u rIcY
cElLI &JeA.
Instaf] _vrwke dietL-cir per wcfe.
T1TILITY A�QE v
-0
'OUNTY
BUILDING DEPARTMENT
APPROVED
i
ENERGY SHEET FORM
FOR
ADDITIONS TO RESIDENTIAL BUILDINGS
PERMIT NO. 1070- �� PACKAGE "A" (Additions) j
36- 1=Z3.
NAME 094,e-4 YVAI44 SQUARE FOOTAGE
JOB ADDRESS 5525 F,4gjg O,WVILLC Existing Residence
TYPE OF WORK ✓EQ 6yqe
A65 TO New Addition /6R Frz
,8ED�00 New Total
The following information sheet, showing mandatory features and required features of
Package "A" must be completed and attached to all plans 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 ex-
isting non -conditioned space that is converted to conditioned space. Remodeling of
existing conditioned space is not included.
ZONE 11 2 ZO 6
INSTALLED APPLIES TO NEW AREA
CEILING R-30 R-30 R-3
WALL R-11 R-1 R- 9
FLOOR R-11. R- 1 R 19
1,10 11 - 7
GLAZING .65 .65 .65
SHADING
SOUTH - OPTIMUM OVERHANG
or .36 S.C. — W141TE poUZe SNA DES
WEST .36 S.C. W#ITE ,Q0LGEp— Shti4DE�'
LOOSE FILL INSULATION (Density)
INFILTRATION CONTROL (Weatherstrip doors, certified windows, caulking)
DUCTS PER UMC - Ch. 10
LIGHTING KITCHEN & BATH NOT LESS THAN 25 LUMENS/WATT
MAXIMUM GLAZING 16% OF AREA PLUS REMOVED GLAZING
NEW HVAC AND HOT WATER IN CONJUNCTION WITH AN ADDITION SHALL COMPLY
AND FILL OUT DATA ON BACK OF THIS SHEET
7/83
Btu/hr
(cooling capacity. at 95°F)
❑ Other
(describe)
DOMESTIC WATER SYSTEM
❑ .(A) Gas Only Gallons
(brand and model number) (tank size)
❑ Heat Pump w/Electric Backup
(brand and model number)
Gallons
(tank size)
❑ *2 Active Solar
(collector brand and model number) .
(rated y -intercept) (rated slope) (solar fraction)
ft
2
(backup heater type, brand and model number) (collector area)
(collector orientation) (collector tilt)
❑ Iocation of Solar Panels
❑ 't Other
(Describe)
w 11
* 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 30 °, elevation ', heating load BTU
elevation factor x heating load = maximum outlet capacity gas furnace
BTU
Cooling: Summei design temperature °, cooling load BTU
*2 Submit T.I.P.S.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.
SIGNATURE OF BUILDING DESIGNER OR APPLICANT
*1
HEATING VENTIIATING. AIR CONDITION_IN_G SYSTEM
(A) Heating
❑
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
pro
Btu/hr
(cooling capacity. at 95°F)
❑ Other
(describe)
DOMESTIC WATER SYSTEM
❑ .(A) Gas Only Gallons
(brand and model number) (tank size)
❑ Heat Pump w/Electric Backup
(brand and model number)
Gallons
(tank size)
❑ *2 Active Solar
(collector brand and model number) .
(rated y -intercept) (rated slope) (solar fraction)
ft
2
(backup heater type, brand and model number) (collector area)
(collector orientation) (collector tilt)
❑ Iocation of Solar Panels
❑ 't Other
(Describe)
w 11
* 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 30 °, elevation ', heating load BTU
elevation factor x heating load = maximum outlet capacity gas furnace
BTU
Cooling: Summei design temperature °, cooling load BTU
*2 Submit T.I.P.S.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.
SIGNATURE OF BUILDING DESIGNER OR APPLICANT