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HomeMy WebLinkAbout078-240-010`. ' � \ \ . � � ' � / ! � ' ) ) � | . �. ' ^ / � ` 5579 Debbie Avenue, Oroville, Contr o Community Action Agency ��Iwllr7 Permi ` � AVE, OROV/LL ' �` � 8 ' ' ^ ' y .~ . ` �� � ' U 076 ' | ( \ . � � ' � ' ! , | . �. � � . � .- �U-m , M--. --- "0,:" �( 9�D )I ��� �� RESIDENTIAL 036-66-0-010'g�1(-42'13 �� N CUEVAS, ALICIA & ROMA" CONTR: BOLT, DAVID ' / 5579 DEBBIE AVE, OROVILLE ADDITION/SF JOB FINALE Signature J=OK O = Not OK Not = N t Readyabfe MOBILE HOMES Date MOBILE HOME UTILITIES (Plans) OK except N's - 1. Zoning Requirements -Setbacks -Easements 2. Soils; Special MH Support Sketch 3. Sewer; Location -Test -Fall -C/O Concrete 4. Water; Location -Test -Easement Needed (Sketch) 5. Electricity; Location-Clearences-Grnd-/ /Amp -Concrete 6. Gas; Location -Test -Wrap: / P L" ft. / /"Nat. or/ /" L" fL/ /"LPG 7. Well Clearance & Disconnect 8. Utility Clearance Date Card 13-1 Date Card B-1 Date Card B-1 Date Card B-1 Date MOBILE HOME INSTALLATION (Plans) OK except #Ys 1. Zoning Requirements -Setbacks Easements 2. Footings; Size -Spacing -Marriage Line 3. Gas; MH Test -Demand -Valve -Connector 4. Electricity; MH Test -Crossovers -Breakers -Clearances 5. Drain; MH Test -Fall -Flex Connector 6. Water; MH Test -Regulator -Connector 7. Water and Sewer Connected -C/O to Grade -HD Approval 8. Gas and Electricity Tagged 9. Exits; Insp.-Sketch 10. Cert. of Occupancy Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 t• MISCELLANEOUS Date DECKS, COVERS,, CARPORTS, GARAGES, (Plans)OK except ##'s 1. Zoning Requirements -Setbacks -Easements 2. Footings; Soils -Size -Depth -Spacing -Connectors -Steel 3. Decks; Griders and/or Joists -Decking -Bracing -Stairs -Rails 4. Wood Awn.; Posts-Beams-Rftrs.-Connectors Shthg.-Rfg.-Bracing 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Carports; Windows -Doors 7. Electric 8. Frmg; Sils-Anchors-Studs-Rftrs-Trusses 9. Siding; Nailing -Veneer -Stucco -Mesh 10. Roof; Shthg-Roofing 11. Ext.; Steps -Doors -Landings Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date POOLS (Plans) OK except N's 1. Setbacks -Easements 2. Soils; Compaction -Structure Stability 3. Pool Structure; Steel -Connections -Thickness Dead Men -Lining 4. Elec.; Receptacles and Lighting, Distances-GFI 5. Elec.; Pool Lighting; 15 volts-GFI 6. Elec.: Enclosures; Conduit Entries -Terminals -Listed 7. Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater 8. Elec.; Grounding; Equip. w/5' Circulating Equip. -Pool Lghtg. _ Boxes -Enclosures -Panel boards -Ins. to Main in Conduit 9. Health Department Approval 10. Plumb.; Cir. Test -Water Supply Test Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 ✓=OK O = Not OKy = IJbY Applicable Read Not Ready RESIDENTIAL (Single ' = Date UNDERFLOOR (Plans) OK except # s Zon ing-Setbacks-Ease ments-Flood-Slope _2�-Ftg., Main; Soils-Elec. Grnd.-r-7y1Ftg. Depth 3. Ftg.. Garage; Soils-Steel-Elec. Grnd.-/ P' Ftg. Depth 4. Ftg., Porches & Decks; Soils -Steel-/ /Ftg. Depth 5. Stemwalls, Main; Steel -Bloc kouts-Wra pped 6. Ste mwalIs,,Garage; Steel-Blockouts-Wrapped 6a. Hold Downs and Special Anchors 7. Slab; Steel -Wrapped 8. Piers -Fireplace Ftg.-Steel 9. D.W.V.; Fall -Fitting -Test -2 Way C/O -Sewer Test 10. UF. Gas Pipe; Size -Anchors - yard gas piping: size -test 11. Water Pipe; Test -Anchor -Regulator -Service Test 12. Electric; Underground 13. Pienums & Ducts; Clearance -Material -Support -Ins. 14. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples 15. Access & Ventilation 16. Insulation Date O `I (i Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date PLUMBING (Permit),OK except a's 16. Water Hir.; Vent -Access -Combustion Air -Baffle _ - - - 17. Water i e; Test & Anchor -Nal Protection _---------- ____ W.V.; Test -Fittings & Anchor -Nail Protection - - — ower Pan: Test, First Floor -Tub Access -_-- --- ---- 20. Test Tub & Shower, Second Floor -Tutt Access 21. Gas Pipe; Size & Anchors -------------- - - - --- - - ---- - --------- - ---- --------- --- - Date Z::f` (Card 6-1 Date Card B-1 ---------------- ----------------- ------- ------------ Date Card B-1 Date Card B-1 Date ELECTRICAL (Permit) OK except a's 22. Fixture & Transformer Clearance -Ins. Protection let. Receptacles Spacing -Lights & Switches at Doors --- -- - ------ ---- --- -- ------- ----- --- Size Boxes & -------- Noof Conductors -Stapled _ --- ------------ �mex Installed Close to Edge of Studs & C.J. ------- ---- -------------------------- ----------------------------- quip. Ground made up w!Mech. Fastners-Bond Gas & Water ----------------------------------------- ppance - 2AliCircuts in Kitchen & Conductor Size/GFI ----------------------------------------­----------- ------------- ?_C_-GieeN- hre Size r r ga. Cu or AI-A.C. Wire Size ! / ga. ___Cu or -Al -------------------------------------------------- c / r ga. Cu or AI -Oven Circ. / / ga. Cu or Al. Insulated Neutral O Yes ❑ No ------ -------------------------------------- Service -Riser Conductors & Ground -Main Disconnect ----------------/- ----------------------- 2d "! uip_Clearances Panels -Motors -Meth. Equip. 32. Clothes Closet Light -Shower Light -Spa Light - -- ------------------ --- 33. Smoke Detector -------------------------------------- ---------------------------- --- - -- - - -- -- -- - - ---- - - -------- ---- - ------ ------ - Date 2- VV 5 Card B -i Date Card B-1 ---------- ------------------- ------------------ ---------- Date Card B-1 Date Card B-1 Date MECHANICAL (Permit) OK except p' 34.--A.-C.- Ducts Insulation &Sup rt --------------------------------------- --------------------------------------- 35. nt Fan; Exhaust a insulation ----------------- ------------------------------------------ 36. Con gate in & Overflow: Size & Grade ---------------- - --- - - -------------------------------------- ---------- c ---- - -- 37. Furn e- t: Access -Comb. Air -Return Air Vent -115 outlet -------- ---- r- ------------------------------------------ 38. c Access & P rm if Furnance in Attic ----------------------------- ----------------------------------------------- Date --------------Card B ----------------Date --------------- ----- ---- Card -B---- ---------- Date Card B-1 Date Card B-1 Date FRAMING (Plans) OK except ff's ils. roper Material & Anchors ------- ----- -- - - - - - Walls Studs -Nailing Spacing & Bracing -Plates -Sound ---------------- --------------------------------------------------------- 111Y�ear ng Walls over Girders & Floor Nailing --------------- ---- ----------------------- ----------------------------- Draft Stop in Walls (rat proof) -- -- ---- - ------------ - - -- -- --- ------------ Fire ops: Furred Ceilings -Stairs -Chases -Tub - --- --t--------------------------- - --------------------- - eaders & Beam -Size & Bearing A Duplex) Date FRAMING (Continued) an rs Post Caps -Anchors -Connectors Cing. Joist-Rftr. ties-Purlin-root Brac-Truss-Shthng.-Rfng. 4!- T ePtdCe'iies or Type A Flue -Fireplace Throat clearance tic Access; Size & Romex Protection -Draft Stop -Ins. Baffles rm. in ws or Exiting Doors -Sill Hgt. & Dimensions 58-_G7r3g2'Frre-Protection Framing � crnnarry Line Firewall & Openings -_ '-Check Garage -3rd Story, 2 Exits eadroom-Rise-Run-Landing-Fire Protection ---- ---- —ywood on df Overhang -Attic Vents -Rafter Outriggers _ 5 ng -Nailing Veneer 5 klewl-Drip Screed -Fd. Vents-Underflr. Access Glazing Area -Glass Protection -Skylights -Plastic ar W s`Nailing-Bolts 5 _ulation-Walls-Ceilings 60. Infiltration -Walls -Windows Date -Lard B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date FINA fans) OK except #'s Ext. Steps -Door & Sidelight Protection -Landings ------------------- 6 oke Detector 6 u�tr e.Uents-Clearance-Comb. Air -Connector - In Garage: Above Floor -Ducts -Meth. Protection ------------------------ --- 6A --BedrvvrrrExiting - ----- -------- ----------- -- h Fixtures & Tub Access -Spa ----------------- ------- lec_ Trim-& Subpanel_Breaker Sizes & Labels ---------- -+�-8rRails rove: Clearances -Hearth ------------ 69-9WQ--Outlets at Wood Panel: Int. & Ext. - -- t.Fixl & Appliance: Grnd.-Air Gap -Cooking Clearance ec. Outlets &_Receptacles at Kit. Counter -- 7_-- arage ire- or_Swing-Landing-Closer A_C_IIde1-i+rGarage- Damper - ----- ------------------------------- -- , Clearance -Comb. Air-Connector-P.R.V. In Garage: Above Floor -Meth. Protection Equip. Listed for Location 8:- rfee--Receptacles in Garage: (G.F.I.)-Romex Protection ------------------------------------- a4-rn—sulation-Foam-Looked in Attic ❑ Yes ------ 7_- r ails & Deck Construction -Post Caps --------------------- n. ens rawl Hole Door -Drainage & Wood -Earth Clearance Looked under Floor ❑ Yes - -------------- -- - --- a . ollowing instld.: Drive 9 -7 -e -s-7'0 No: Walks es ❑ No: Planters ❑ Yes ❑ No ei - --------------Gtuee--------_Finish ------ -- ---- --------------------------- +t� Disconnect. Electrical, Plumbing ents Above Roof: Plbg.-Appliance-Fireplace.-Clearance to Openings - connect, Electrical, Plumbing -- xterior Elec. Trim: G.F.I. Receptacle -Underground ---------------------------------- - Talion Throughout House Protection ------------------- -------- orrections from Previous Inspections ----- ----- --------- I ---------------------------------- jg-&as-�esr Meters Tagged: Gas -Electric -- - 90'-Wa r Connected -C/O to Grade -HD Approval- — nergy Compliance Certificate -Other Certificates ------ ----C ------------ - -- - - -- -- Dat 7 Card 6-1 - Date --- Card B-1 Date - Card B_1 - ----------- Date Card B-1 Date Card B-1 Date Card B-1 Comments at Final: COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 196 Memorial Way, Chico — Phone: 891-2751 3 7 County Center Drive, Orovi Ile — Phone: 538-7541 747 Elliott Road, Paradise — Phone: 872-6307 CORRECTION NOTICE' OWNER ' PERMIT NO. A routine inspection indicates that the following violations of County Ordinance exist at the above address and should be corrected. Please notify this office; when correction of work is completed. If you have any question pertaining to this matter, or need additional explanation, please contact this office immediately. r-.' 7 -t)C..jt. 7 Date --2- �Z Inspector 61- 4y" " COUNTY OF BUTTE .: DEPARTMENT OF PUBLIC WORKS = 196 Memorial Way, Chico — Phone: 891-2751 Y=' 7 County Center Drive, Oroville — Phone: 538-7541 747 Elliott Road, Paradise— Phone: 872-6307 CORRECTION NOTICE ?F 7�-- �z�.3 .: OMWER PERMIT N . A L �G A routine inspection indicates that the following violations of County Ordinance exist at the above address and should be corrected. Please notify this office when correction of work is completed. If you have any question pertaining to this matter, or need additional explanation, please contact this office immediately. w"A S •4.� orf Date_�.r // Inspector s, '['r! L orf rte; rs t �t i d t:9 'll Date_�.r // Inspector s, H4PP 16 '91 j -T:' ­E'0 Pl-:-L FLE-Z_. FP::,[,. Val 4%41 f it ffin tt�:tf IM U Z CERfIFICATE OF aM. M. CONiORMANCE UNDERSIONfD Av,1ANUrACT1,,1RFJ? HEREBY Cbrz X,�� that the productr, identified below ai�d on attocher sholets oto marked with the Collective Mark 0 !110 A-0% 91CAr., ilV;T, i P.,'Tr. ) 1 WBEP CONSTRUCTION (AITC) and were manufactured irl confortnarco w -!h. ap',viimcle pr3vi0orti of American National Standard ANSI/RITC A190.1-1983, Structural Gtuel Lam-nated Timber, and that such manufacture has, been at our plant o4!!rh plant h:jl a quality control system approved by the Insp,_6011 6VfC3U of t --,e AVT.P:v7.A'- INS"'T,'TE OF TWBER CONSTRUCTION .Ir and inspected peOcidi.ailybq such Bureau. The maoufaciture of iihest mernbirs cr)mPlies wi-h th-._-- and 1abricatiri§ priyiil3Jont 0>i Chapter 25 of the Uniforcy, Duildfiiq Code. af Jot NAME PALMAR C.- LIEWIS Jnl LOCAYION- 5ArRM.F TA, CUSTOMERIS.oADEArvo5441—C, 24F—v4 BDOM() LO.41) F #1 JF %40NATULt 7tTIA _QQ&LLTY CONTROL -S. 2?ND ST. PA16 .A/TC HEREBY CERTIFIES tha-z the saga (�.,:rpaay at its slid plant is lit.ems6d by AMERICAN INs*rvrUTE OF TIMBER C0I`4S1,'P!XTZ'%) t'l ui;e tilt RITC Collective Mark of products which co.. -Y --ply with pto,i,i,,ions of said S-z.-indarLI, tF,at zl.,D adequacy of th*qualitV control system in effect at sa;d ;14r., is :.er;ocli,-Illy :o:v� verifiid Lly the Inspectloh Bureau of the AMERICAN INS71TUTE Or- TIMBER an<Jthat, in the judgment of.AITC, said company is Capat-le of complying vv;t', man ifacii-i ing and %,sting provisions of Wd Standard in respect of prodoictr, rn3,,ufwvred at piaro. C--)n;.ir.njrcLt with the Standard ;n retokt of any Specific or prirtictilar r.-roduct. is the of the manufacturer; AITC's quarantee hereunder being that the S3icl rcmpariy ij q;jal;fiP,:! to, p;--:,+jce :, p*oduct weeting the said Standard and that its plant is p(,ri(jrPra!!V inspPciec: and vpWisl i by the Bureau. AITC FORM IBCA AITC Ph 02S34 A. AMERICAN INSTITU'll OF TIMER CONSTRUCTION' -..f V. .A.: .'VJ'T TJ.,'Z'•;Pr lmetFA f!0?%S1rAu6i*4 IM U Z CERfIFICATE OF aM. M. CONiORMANCE UNDERSIONfD Av,1ANUrACT1,,1RFJ? HEREBY Cbrz X,�� that the productr, identified below ai�d on attocher sholets oto marked with the Collective Mark 0 !110 A-0% 91CAr., ilV;T, i P.,'Tr. ) 1 WBEP CONSTRUCTION (AITC) and were manufactured irl confortnarco w -!h. ap',viimcle pr3vi0orti of American National Standard ANSI/RITC A190.1-1983, Structural Gtuel Lam-nated Timber, and that such manufacture has, been at our plant o4!!rh plant h:jl a quality control system approved by the Insp,_6011 6VfC3U of t --,e AVT.P:v7.A'- INS"'T,'TE OF TWBER CONSTRUCTION .Ir and inspected peOcidi.ailybq such Bureau. The maoufaciture of iihest mernbirs cr)mPlies wi-h th-._-- and 1abricatiri§ priyiil3Jont 0>i Chapter 25 of the Uniforcy, Duildfiiq Code. af Jot NAME PALMAR C.- LIEWIS Jnl LOCAYION- 5ArRM.F TA, CUSTOMERIS.oADEArvo5441—C, 24F—v4 BDOM() LO.41) F #1 JF %40NATULt 7tTIA _QQ&LLTY CONTROL -S. 2?ND ST. PA16 .A/TC HEREBY CERTIFIES tha-z the saga (�.,:rpaay at its slid plant is lit.ems6d by AMERICAN INs*rvrUTE OF TIMBER C0I`4S1,'P!XTZ'%) t'l ui;e tilt RITC Collective Mark of products which co.. -Y --ply with pto,i,i,,ions of said S-z.-indarLI, tF,at zl.,D adequacy of th*qualitV control system in effect at sa;d ;14r., is :.er;ocli,-Illy :o:v� verifiid Lly the Inspectloh Bureau of the AMERICAN INS71TUTE Or- TIMBER an<Jthat, in the judgment of.AITC, said company is Capat-le of complying vv;t', man ifacii-i ing and %,sting provisions of Wd Standard in respect of prodoictr, rn3,,ufwvred at piaro. C--)n;.ir.njrcLt with the Standard ;n retokt of any Specific or prirtictilar r.-roduct. is the of the manufacturer; AITC's quarantee hereunder being that the S3icl rcmpariy ij q;jal;fiP,:! to, p;--:,+jce :, p*oduct weeting the said Standard and that its plant is p(,ri(jrPra!!V inspPciec: and vpWisl i by the Bureau. AITC FORM IBCA AITC Ph 02S34 A. AMERICAN INSTITU'll OF TIMER CONSTRUCTION' -..f V. .A.: .'VJ'T TJ.,'Z'•;Pr lmetFA f!0?%S1rAu6i*4 BUILDERS SUPPLY DIVISION OF COLLINS PINE COMPANY 2560 FEATHER RIVER BLVD. OROVILLE CA. 95965 PHONE: 916 534-1242 S HOUSE BID PRICINGS O L D T O LOADED: DEL: TIME: DATE: WOME DATE I INVOICE NO. 02/20/92 P068136 5 CUSTOMER NO. c SALESMAN r CUSTOMER ORDER NO. DATE ORDERED DATE DELIVERED DELIVERY ADDRESS 5 0129 02./20/92 02/20/92 CK: 1938/90-22.67 QUANTITY ITEM NUMBER UNIT DESCRIPTION PRICE AMOUNT CUEVAS JOB 5579 -DEBBY ST. 2 -BC4 EA 4X4 BASF/CAP (20 CTN) 2.400 4.80 1 ST6224 EA 2 :1./16X23" 16 GA STRAP(25 1.888 1..89 1 U44 EA 4X4 J HANGER (100 C.TN) - 1.216:.-1 1.22 3 92448 BF DF 2B 4X4X8'S4S 32.00BF @ 528.00/MBF 1.6.90 12 92248 BF DF SB 2X4X8 S4S 64.01BF @ 345.00/MBI' 22.08 6 922416 BF DF SB 2X4X16 S4S 64.00BF @ 362.25/MBF 23.18 *CONTINUED* o' NON -TAX MDSE. TAXABLE MDSE. SALES TAX MISC. CHARGE MISC. CREDIT GRAND TOTAL CASH REC'D. ACCOUNTS ARE DUE AND PAYABLE ON THE 10TH AND PAST DUE ON THE 11TH OF THE MONTH FOLLOWING DATE OF PURCHASE. LEGAL ACTION MAY BE INSTITUTED FOR COLLECTION. A LATE CHARGE OF 1K% WILL BE IMPOSED EACH AND EVERY MONTH ON ALL PAST DUE BALANCES. THIS LATE CHARGE IS LIQUIDATED DAMAGES MEASURED BY THE TIME THE MONEY IS WRONGFULLY WITHHELD PLUS ADMINIS- TRATIVE COSTS RELATED TO COLLECTION AND ACCOUNTING FOR A LATE PAYMENT. SINCE IT WOULD BE IMPRACTICAL IN EACH INSTANCE OF DEFAULT TO ESTABLISH THE ACTUAL DAMAGES BY ACCOUNTING PROCEDURES, BUILDERS SUPPLY AND THE BUYER HAVE AGREED IN ADVANCE THAT 115% EACH MONTH IS A FAIR COMPENSATION FOR LATE PAYMENT. ALL MERCHANDISE RETURNED FOR CREDIT MUST BE ACCOMPANIED BY THE ORIGINAL INVOICE. NO EXCEPTIONS. RETURNS WILL BE SUBJECT TO A MINIMUM 15% RESTOCKING CHARGE. NO ACCEPTED AND RETURNS ALLOWED AFTER 30 DAYS. GOODS RECEIVED BY r` �w TERMS: NET CASH. NO DISCOUNT r� BUILDERS SUPPLY DIVISION OF COLLINS PINE COMPANY S HOUSE BID PRICING O L D T O 1 TIME: LOADED: DEL: DATE: NVOCE DATE I INVOICE NO. 02./20/92 P068136 CUSTOMER NO. SALESMAN CUSTOMER ORDER NO. DATE ORDERED DATE DELIVERED DELIVERY ADDRESS 5 012.9 02/20/92 02/20/92 CK: 1938/90-2267 QUANTITY ITEM.NUMBER UNIT DESCRIPTION PRICE AMOUNT 1 A 4x12-•17'61' GLUE LAM. 3'.000 73.00 .00 143.07 10.37 .00 .00 153.44 153.44 .00 CHANGE NON -TAX MDSE. TAXABLE MDSE. SALES TAX MISC. CHARGE MISC. CREDIT GRAND TOTAL ' CASH RECD. ACCOUNTS ARE DUE AND PAYABLE ON THE 10TH AND PAST DUE ON THE 11TH OF THE MONTH FOLLOWING DATE OF PURCHASE. LEGAL ACTION MAY BE INSTITUTED FOR COLLECTION. A LATE CHARGE OF 14596 WILL BE IMPOSED EACH AND EVERY MONTH ON ALL PAST DUE BALANCES. THIS LATE CHARGE IS LIQUIDATED DAMAGES MEASURED BY THE TIME THE MONEY IS WRONGFULLY WITHHELD PLUS ADMINIS- TRATIVE COSTS RELATED TO COLLECTION AND ACCOUNTING FOR A LATE PAYMENT. SINCE IT WOULD BE IMPRACTICAL IN EACH INSTANCE OF DEFAULT TO ESTABLISH. THE ACTUAL DAMAGES BY ACCOUNTING PROCEDURES. BUILDERS SUPPLY AND THE BUYER HAVE AGREED IN ADVANCE THAT 11596 EACH MONTH IS A FAIR COMPENSATION FOR LATE PAYMENT. ALL MERCHANDISE RETURNED FOR CREDIT MUST BE ACCOMPANIED BY THE ORIGINAL INVOICE. NO EXCEPTIONS. RETURNS WILL BE SUBJECT TO A MINIMUM 16% RESTOCKING CHARGE. NO ACCEPTED AND RETURNS ALLOWED AFTER 30 DAYS. J' o.f1 GOODS RECEIVED BY ti I CHIYID: NC 1 NAZI'. NV UTAI.VUIY 1 Uni���d10'di•to�'`�eai-`�nm`�OUMS ��� 24F -V4 r%uglas Fir. f• Roof Beams *Depending on the supply of raw material, 31,',a?ndustrial Grade Rcdi-! may be as 24F -VS, mixed Sponlfeetl °' WMIOh 8 10 12 14 16 18 _20 12 14 26 26 30 32 34 36 36 40: . 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Thickness(inches) — �l EI LING att or Blanket Type LIMMWbv Thickness(inches) 10 If U Loose Fill Type Minimum Thickness(Inches) Area covered(ft.2) LOOR, ELEVATE terialC Thickness(inches) �. FLOOR, SLAB Material Thickness(inches) Width(inches) FOUNDATION WALL Material Thickness(inches) • Brand Name Thermal Resistance(R ValueX-111 Brand Name Thermal Resistance(R Value) :gyp Brand Name . Number of Bags Wt. per bag lb. Thermal Resistance(R Value) Brand Name Thermal Resistance(R Value) Brand Name Thermal Resistance(R Value) Brand Name Thermal Resistance(R Value) I hereby certify that the above insulation was installed in the above building, is consistent with approved building department plans and attachments and con- forms with requirements of Chapter 2-53 of State of California Energy Requirement]: FIRM NAME / OWNER SIGNATURE OF INSTALLATION APPLICATOR STATE CONTRACTOR'S LICENSE NO. DATE I hereby certify the.required features, devices, and equipment, aci Building Department -plans and attachments have been installed and ance standards and Chapter 2-53 of the State of California Energy UILDIiG CO TRACTOR/OWNER (Please Print) (FIRM NAME) N .. A 41 A A S ATURE OF BUILDING ONTRACTOR OWNER HVAC FIRM NAME/OWNER (Please Print) • SIGNATURE OF HVAC CONTRACTOR/OWNER shown on the approved conform -to the appli- Lequirements. TA E CONTRACTOR'S LICENSE NO. TE 14 STATE CONTRACTOR'S LICENSE NO. DATE THIS CERTIFICATE MUST BE ON FILE WITH THE BUILDING DEPARTMENT PRIOR TO FINAL INSPECTION APPROVAL AND A COPY SHALL BE POSTED WITHIN THE BUILDING. SEPTEMBER 1988 COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PB MIT NO 7 County Center Drive - Orovllle, California 96986 - Telephone: 916.1638.7541 /— APPLICATION AND PERMIT A06ff S R PARCKL NUM59R 036-660-010 2 NIN R 1 BUILDING PERMIT OWNER ALICIA &ROMAN CUEVAS TELEPHONE SO. FT. OCC. BUILDING VALUATION [� -," OWNER'S MAILING ADDRESS 5579 DIBBIE AVE OROVILLE 4ZO-7 PC` CONTRACTOR'S NAME DAVID BOLT TELEPHONE 533-5938 CONTRACTOR'S MAILING ADDRESS 1475 HIGH STREET OROVILLE Fireplace CONSTRUCTION LENDER NONE UNKNOWN Total Valuation $ Q Filing Fee $ 15.00 LENDER'S MAILING ADDRESS Permit Fee $ .5-1. 50 Q ARCHITECT OR ENGINEER NONE LICENSE NO. Plan Checking Fee $ Ener Plan Checkin Fee Energy g $ 20.00 ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS 5579 DEBBIE AVE OROVILLE Permit fee $ rJ PLUMBING PERMIT Filing Fee 15.00 Each Trap 5.00 5.00 Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP Water piping 7.00 7.00 Each qas water heater or vent 700 USE OF STRUCTURE SF ® Duplex❑ Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets Building sewer Mobile Home S G W @A115.00 TYPE OF WORK New ❑ Addition [J Remodel ❑ Uti lities ❑ Installation ❑ Other ❑ Describe work: KITCHEN EXTENSION _ Permit Fee $ 42.00 Contractor ELECTRICAL PERMIT Filing Fee 15.00 Main service 600VORLESS 200A OR LESS 18.50 Main service 200A TO t000A) 37.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): 1 am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions �C'o�de[ �and my license is in f I force and effect. License .Jo. S.� 0'/� 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- Elors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONST,(DWELLING OCCUP.e` OR ADDNS. ACC. BLDGS. / 3.64 sq.ft. 4-25 NEW CONSTP1 U TI.OUTLET NON.RESID BRANCH CIRC ITS � 5.00 POWER APPARATUS 6 (SINGLE OUTLET CIR. Ex. Occup(OUTLETS OR FIXTURES 20 76d EX. OCCUp. OUTLETS ((RESID )REA.) I 3.00 Temporary service 15.00 Mobile Home Facilities 15.00 Misc. Wiring g 15.00 Permit Fee $ .,, Contractor — WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -insure. I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. MECHANICAL PERMIT FiIingFee 1 15.00 Heating Cooling Hood 6.50 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. I also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue again aid County^in consequence of the granting of this permit. X _��/> c Date Signature of Applicant — Owner ❑ ContractorAgent ❑ An OSHA permit is required For excavations over 5' "deep and demolition or construct - ion of structures over 3 stories in height. / Mobile Home Installation Fee $ Energy Inspection Fee $ 40.00 o c PE OTAL FEE $`� S HAz DFEE IMP FL J.CDF PA PD H 1 S This permit is hereby issued under the sions of the Butte County Code and/or work ind ic ed abo or which fees D OF PUBLIC B(y •�– Date applicable provi- resolutions to do have been paid. WORKS Dat/2 YZ— Receipt No.103517 'O -3O— WNITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR. GOLDENROD -APPLICANT Oq �- ro c ' COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 - Telephone: 916.'538-7541 APPLIEATION AND PERMIT PERMIT NO. AS �PA*RC�L�f/u O zoNly I BUILDING PERMIT ow V �� TELEPHONE S0. FT. 0 C. BUILDING VALUATION OWN` 'S MAI LIN D E 5(42 S P 0►^f� v' e 91 CON A TOR'S NAME TELEPHONE - 3 CON - TOR'S MA NG DR / IS+ � V t ^�_g(� `u J (,(j Fireplace C TRUCTION LENDEV UNKNOWN Total Valuation $ Filing Fee $ 15.00 LENDER'S MAILING ADDRESS Permit Fee $ - AR H`gTE�CCT OR ENGINEER LICENSE NO. Plan Checking Fee $ a Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS QQ ^^ I Permit fee $ PLUMBING PERMIT Filing Fee 15.00 Each Trap 1 5.001 5 ,00 Solar or heat pump water heater 1 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP Water piping 7.00 Each qas water heater or vent 7.00 USE OF STRUCTURE SF?r Duplex❑ Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer15.00 Mobile Home S G W @ 15.00 TYPE OF WORK stallation❑ Other❑ New❑ AdditionZ Remodel❑Utilities❑Air Describe work: �l t f � IK L4 -m -t&KS )`©in Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 15.00 Main service 600V OR LESS 200A OR LESS 18.50 Main service 200A TO 1000A1 37.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): ❑ I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in full force and effect. License .Jo. 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-Mobile Elors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONST. / DWELLING OCCUP.& ACDNS. 1 ACC. BLDGS. !! 3.60 sq.ft. N EWOR NON.RESID CO R BRANCH CIRCTITS @ 5.00 /POWER APPARATUS &) (SINGLE OUTLET CIR. ) Ex. OCcup(OUTLETS OR FIXTURES 20S7 Ex. OCCup. OU LETS P(RESID.)REA.) I 3.00 Temporary service 15.00 Mobile Home Facilities 15.00 Wiring 15.00 Permit Fee $ , — 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-!nsure. F1I 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. Contractor MECHANICAL PERMITFi ling Fee 15.00 Heating 1 Cooling Hood 6.50 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. I also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which ma �pf�/� gMe against said County in consequence of the granting of this egpp INGDE T X Date Si nature of Applicant - Owner g pp ❑ Contractor ❑ Agent An OSHA ion of structures tover 3gstoriesoineheightlons over 5'0" deep and demolition or construct. Mobile Home Installation Fee $ Energy Inspection Fee $ DCC CONST TYPE TOTAL FEE $ �Q . HAZ 0FEES IMP FLOOD COF PARCEL PD HD ISSUE This permit is hereby issued under the sions of the Butte County Code and/or work indicated above for which fees DIRECTOR OF PUBLIC By PERMIT EXPIRES Date applicable provi- resolutions to do have been paid. WORKS Date Receipt No. /03 WNITE-D.P.W.. YELLOW -ASSESSOR, PINK -INSPECTOR. GOLDENROD -APPLICANT COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS - BUILDING DIVISION 7 COUNTY CENTER DRIVE - CIAOVILLE.-CALIFORNIA 95965 - TELEPHONE: 916/538-7541 ERMIT APPLICATION DATA SHEET Permit No. OWNER e 1 Q I'( �Gi e (/�S A. P No v Proposed Building Use Aid l S Building Inspector Date At time of permit application, I was advised the following data must be submitted prior to permit processing and/or issuance: DATE RECEIVED APPROVED 1. All items have been submitted. 2. Plot plans in d Icate (plicate, signed by preparer of plans ........ 3. Complete pla rcate/triplicate, signed by preparer of plans .. 4. Complete engineered plans and calcs, with wet signature on plans .. 5. Hazardous Material Form .......................................... 6. Energy Design Compliance and supporting documentation ......... 7. Statement of Intent for Non -Heated and AC Buildings .............. 8. Engineered truss details and layout in duplicate (required prior to plan check) 9. Mobilehome installation data including manufacturer's installation .nstructions . 10 ees of $ 1 .................. l Z - I e 91 ................. .......... 1. Chico Urban Area fees paid .................................... 1 Park �ff jes par�d`/. .... t/ ...................................... 3. C / r� (itlli©yf Il► �hoot Di t ict fees paid .............. 12-- a/A67 14. Sanitation approval from C(�© j 'Q--1 Health Department 7 - (?3•X11 (LYS 15. City of Chico plumbing permit ..................................... 16. Plot plan and business license approval from City of (see City for other requirements) 17. Planning approval for (A) Use: (B) Parking: ...... 18. Improvements may be required. Contact Land Development Section DPW 19. Driveway permit (construction approval required prior to occupancy) 20. Pre -Inspection for required Pre-inspec. request to Building Inspector (Date) 21. Contractor's license information (No., Name Style, Classifications ... 22. Certificate of Workmans Compensation Insurance .................. 23. Owner -Builder Verification (Given to owner ❑, Mail to owner ❑) ..... 24. Recorded copy of Agricultural Acknowledgment Statement ......... 21A. Lette of signature authorization ................................... 27. When you issue the permit, pro es follows: Mail to owner. Mail to contractor. Telephone n hold for UR ffice. Deliver w/inspector. Other Applicant a Date), f Copy of } laz-Mat form sent Health Dept. Fire Dept. ----Air Pollution Date Copy of plans sent Health Dept. Fire Dept. Other Date By The following data must be submitted prior to per it i anc (Circle ew item not checked above). 1. Index permit for above items No. 2. Additional items required: 00 ontractor signer, was advised of above required data by_phone_ nail counter by�ate Contractor, designer, owner, was advised of above required data by—phone _mall—counter by date Plans checked by 2\�_—Date Plans approved by L -Date -�ets of plans on hold in File cabinet AP folder Copy—DPW TO Building Department FROM: Environmental Health SUBJECT: Sanitation Clearance JL5Z9 Age_a S-ol �Q Owner Location AP# Plan Approved for: Sewaqe Disposal 'dater Supply Hold final for: Water Supply Final clearance O.R. for: it —home. LI rfi- 5 �Z?� ©: NOTE * * * /� j Water Supply Other /Ij I /,-n f, 1- s` 0^(5h f e �- Date Sani aar76 n I ........ o l ti ► �> \ fN j f Ilk" N 61 .a Ur Of 80 ft, mom Des ani $ Qetb canto it the rpm � eGr��e eh4ll be cI $SfOeave o OP u pme�Gae.Pt `' • .. �S J ' _r yyN hag (�CII`t-1.Ci.C�-LZ V 1c APPROVED Butte County - 1 LI 7E Environmental Health t a . X33 _ s� 3g Data ---- FO R M '7 ADDITIONS TO RESIDENTIAL BUILDINGS ENERGY,SHEET PACKAGE "A" (Additions) Owner Climate Zone Permit # Floor Area The following data showing mandatory and required features of Package "A" shall be installed for additions to dwellings. Additions to dwellings include room additions, converting garages and patios to living areas, house moves that. add footage and attic conversions, and any space that is existing non -conditioned space that is converted to conditioned space. Remodeling of existing conditioned space is not included. APPLIES TO NEW AREA CEILING WALL FLOOR SLAB GLAZ IIJG SHADING ZONE 11 ZONE 16 R -_3_O R-38 R-19 R-11 R-19 R-7 R-7 SOUTH - OPTIMUM OVERHANG U-.65 (Dual) U-.65 (Dual) or .36 Shading Coefficient WEST - .36 Shading Coefficient LOOSE FILL INSULATION (Density) INFILTRATION CONTROL (Weatherstrip_.doors, certified windows, caulking) VAPOR BARRIER (Zone 16) DUCTS PER UNIFORM MECHANICAL CODE - Ch. 10 LIGHTING KITCHEN & BATH NOT LESS THAN 25 LUMENS/WA T MAXIMUM GLAZING 16% OF AREA PLUS REMOVED GLAZING 5 514 NEW HEATING, VENTILATING, A-IIt�'ND1; N NG AND HOT WATER SYSTEMS IN CONJUNCTION WITH AN AqQ ALLED AS SHOWN ON BACK OF THIS SHEET.�nn OTHER Ap�1�RO VG�i 12/85 C *1 : '. HEATING. VENTILATING i AIR CONDITIONING SYSTEM (A) Heating Central Gas Furnace i (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) Collectgr brand and ftZ model number solar fraction collector area collector orientation collector tilt rated y -intercept rated slope Other (describe) *1. (B) Cooling Electric Air Conditioner (brand and model number) (seasonal EER) Btu/hr (cooling capacity at 95'F) Electric Heat Pump EER Btu/hr (cooling capacity at 95°F) other (describe) ❑ *2 y... DOMESTIC WATER SYSTEM • (6) Gas.Only Gallons (brand and model number) (tank size) Heat -Pump w/Electric Backup (brand and model number) Gallons (tank size) Active Solar (collector brand and model number) (rated y -intercept) (rated slope) (solar fraction) ft (backup heater type, brand and model number) (collector area) (collector orientation) (collector tilt) Location of Solar Panels Other (Describe) *1 Submit documentation of sizing heating and cooling equipment by Manual J, sizing charts (form 464) or other approved methods, section 2-5352(8), and fill out the following. Heating: Winter design temperature °, elevation ', heating load BTL' elevation factor x heating load = maximum outlet capacity gas furnace BTU Cooling: Summer"deaign temperature *'-*,-cooling Load. BTU *2 Submit T.I.P.S.E. chart -or other approved system (form 465) to document sizing of solar panels. ® DESIGN COMPLIANCE STAT•EMENT`sr� The�'A'646 building design meets the requirements of Title 24, Part 2, Chapter 2-53 of the California Administration Code. r^, �' •S GNATURE DESIGNER OR APPLICANT > Z v1qtv4-TIOK CL G 42 f DJC. e5MoQE �e 1 z �� COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive, Oroville, CA 95965 PHONE: 916-538-7541 DAVID BOLT RE: 1475 HIGH STREET OROVILLE CA With reference to the above subject: DATE 12-10-91 B.P. #91-4213 CUEVAS JOB A.P. # 36-66-10 L l Attached is: Application for permit Mobilehome Utilities Installation Sheet Building Plans Mobilehome Installation Information Sheet Engr. Calcs Typical Plan Sheet Owner -Builder Verification Form List of Codes Enforced OTHER L_yl We need the following information: Permit application signed and completed where indicated with all copies returned. Fees of $ payable to Butte County Treasurer. Certificate of Workmen's Compensation Insurance or check exemption statement. Contractor's License Law information or check exemption statement. Complete plans in including plot plans. �- Plot plans in DUPLICATE Structural details in Complete plans and calcs in by registered engineer or architect. Energy design including Street and drainage improvement plan approval from Land Development Section (DPW). sets of plans in accordance with the changes marked in red. �- Sanitation approval from Butte County Health Department at: 196 Memorial Way,' Chico X 7 County Center Dr., Oroville Skyway & Elliott Rd., Paradise Planning approval from Butte County Planning Department, 7 Co4nty Center Drive, Oroville, for Completed Owner -Builder Verification form. Recorded.copy of deed showing Recorded copy of agricultural acknowledgement statement. Should you have any questions concerning the above, please contact Bob Keith of this office. Between 3 & 5 P.M. Yours very truly, JFG/aj William Chaff Director of Public Works .F. Glander Chief Building Inspector moi: i. •u. , .. _ _ ,.�... � �. �... r... � r i .. N N N N hSS (►l v24 V l Ir ua IOC 4 X - �`7�� (43 )•�w = �%lp /.vim 44 ' r• X !4-'l /c gc.4 /'!� .o 4. 3Z0 f' �.,P9 bu TE cc)uv Z5��N�EPENT PpROV D �,.x 4P I" (� (O -Z - 1 1_ ��E'F3f�i L lSvC „LG 'asa lvb x�P-4 Y ' _ I4o 4x4 -5U Ou- ev� rrE couivr LDIt4G D&RA p,90 W W W W W W xxx H h N vo+00 •• N N It aaa N N N N N N QooG ,02Fo = ZOO 7000 437, CGE,cigTi� /!o / GG��lrL ) A = _i 715 ( 437,5) ka 1.8 /8 /A�l Z 74) /N 3 Z400 c%E x /Z 24 f 'Qt 4470 �i� Cx/S Titi/G ¢,4GTEQS To y wiDTr�' /✓ EK/�S%/.uG I�oec ri AAee4 OAU 5p 4 A-1 AyE,K/ Ex /ST/.V C AO/1C/-% ,000E ,OT 3�/Z /Tcf,� - i200F p/TCS✓ rp RITcI� (.eu�G'r�l dUj j-ji WtqI CQ I' CEILInUG Ike la' T neop 3UILDI NG DEpARrMENT APPR®\/ CD �!r'�-..h.,y'^'Mn.:-'�p�r,^.r;,,+ wY�-'�1+'-w.N.S,T'f.,�,.*`+�r,;��.�4,y,,;.;7•`r�.+�r,l�r`5fi(:+�+�M'•:y�iy"qfi"'Lf�'xr`:tf''S�a�l'h+r+l.4.trf�#b"1rtC"JAy}r�YA^"i'i''kit"'d'�.'f.'.tCY:shr"r"��Y-,..'a'•,e'g'�"!13'�'�,It,;; t"'"yo': BUTTECOUNTY SCHOOLS DEVELOPMENT FEE CERTIFICATION FORM 036 _ (pr O__//O 1( ) ( One Form per Building) '"] A o ?a, ap S A.P. Number 3;-66 -0/D Building Department No. School District 00 9/( City D County [ - Jurisdiction Property Owner%/1I[-1A - C a e Project Location/Address 55-701 fbbVe JJ00 Subdivision Lot Number Residential Development: Sq. Footage RZZ COUN"�o��� gUILDINGDEPT # of Living MHI Addition (Group R) DEC 1 8 1�3yi Units Commercial/Industrial: 0 Sq. Footage New Addition (Including Exterior Roofed Areas) Bui-rding Department Representative IZ— (3-91 Date (Floor Plans reviewed by School District Personnel) District Id No. 920376 School .District certifies that (Appl icant Name) (Phone Number) -- 5, % q (Street Address) City ,,( State p Code) has complied 'with the requirements of Resolution No. D -+ y by e payment of $ representing �°�-' square feet. lc , C1 gaefel District Represe ative Date f PAID BY CHECK NO. BANK NO PAID BY CASH '�� • white -applicant, yellow -building department, pink -school district SCHOOL.FEE (8/88) 0 Permit#919-$4 i,~ w Alicia Cuevas _...,, 5579 Debbie Ave,Oro �ca&?IV V0ap. 6 zt"' II i I COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT NO. 7 County Center Drive - Oroville, California 95965 - Telephone 916/534-4541 APPLICATION AND PERMIT ASSESSOR PARCEL NUMBER L, ZONING BUILDING PERMIT OWNER TELEPHONE SQ. FT. OCC. BUILDING VALUATION A PI -1 Ir OWNER'S MAILING ADDRESS CONTRACTOR'S NAME / P/ TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ Filing Fee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Penalty $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Permit fee $ h F' _ BUILDING ADDRESS10.00 i J(— � ; •� f ���-, , �. r- PLUMBING PERMIT Filin Fee 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❑ Mobilehome❑ Other SPECIFY Building sewer 5.00 Mobile Home S GW 10.0 0 e TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other" Describe work: r'C �r C.f t ✓( 7 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. L ACC. BLDGS. � t 2h0Sgft 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. 1 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 ULTI-OUTLET 2.50 ea NON-RESID BRANCH CIRC ITS NEW CONSTR. f POWER APPARATUS IN'� NON-RESID. (SINGLE OUTLET CIR. Ex. Occup(OUTLETS OR FIXTURES ew 50 300 APPLNS. OR Ex. QCCUp. FIXED OUTLETS (RESID.) EA.� 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 Permit Fee $ Contractor MECHANICAL PERMIT Filing Fee 10.00 WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. ❑ 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 $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the Countyot Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue against said County in consequence of the granting of this permit. - XDate Signature of Applicant — Owner ❑ Contractor ❑ Agent Q An OSHA permit is required for excavations over 5'0" deep and demolition or construct. ion of structures over 3 stories in height. Mobile Home Installation Fee $ TOTAL PERMIT FEE $ oto OccUP. GROUP I TYPE OF CONST. PARCEL PD I HD I ISSUE This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which ` / 1 DIRECTOR OF PUBLIC By / Il/ �: ' . 4 — PERMIT EXPIRES Date the applicable provi- resolutions to do fees have been paid. WORKS Date •� Receipt No.- WHITE-D.P.W.. YELLOW -ASSESSOR, PINK -INSPECTOR. GOLDENROO-APPLICANT COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 - Telephone 916/534-4541 APPLICATIO14.ANb PERMIT PERMITNO. ASSESSOR P CEL (��N M ER ZONING BUILDING PERMIT OWNERII tl C/ ,^ ^ , V A S TELEPHONE ,S`Q� FT. OCC, BUILDING VALUA ON OWNER'S MAILING ADDRESS//// TELEPHONE CON ACTQR,•$l.�t LING ADDRESSA l y l////rl v UG'T//i�/i' Fireplace /fp0—�� CONSTRUCTION LENDER �"� UNKNO/W(NO Total Valuation $ �` Filing Fee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee $ 25 ov ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Penalty $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Permit fee $ `rj. o -d BUILDING ADDRESS']DESS/E /✓) 511 PLUMBING PERMIT Filing Fee 10.00 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 LJ Duplex ❑ Mobi lehome ❑ Other SPECIFY Building sewer 5.00 Mobile Home ISI G W 10.00 e TYPE OF WORK New ❑ Addition ❑ emodeI [IUtilities Instal I, tion ❑ Other Describe work: ���� �� /4 -r->%i ,Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service e0v OR LESS 1000 AMP OR LESS 10.00 15 C�jl /�//y– �/" rj•TO ( IL C� GL•�/ Main service EA. ADD'L 100 AMP 2.50 NEW CONST.(DWELLING OCCUP.& OR ADDNS. ACC. BLDGS. t 2/22sgft 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 e a license is in full force and effect. y 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 NON.RESID BRANCH CIRC ITS 2.50 ea NEW CON ST R. /POWER APPARATUS &1 NON-RESID. %SINGLE OUTLET CIR. / Ex. Occup(o OR FIXTURES 20es0c BAL®30 IXEDTS FIXED APPLNS. OR EX. Occup. OUTLETS (RESID.) EA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 Permit Fee $ Contractor MECHANICAL PERMIT Filing Fee 10.00 WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. ❑ 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 $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the Countyot Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all I' ities, judgm nts, cos •s, and xpenses which may in any way accrue agai t aid Count '� co s q once f he granting of this p rmit. X Date Signa re of Applicant — Owner Contractor ❑ Agent An OS A permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee $ TOTAL PERMIT FEE $ _�57. &-b Occup. GROUP I TYPE OF CONST. PARCEL PD I NO I ISSUE This permit is hereby issued under sions the Butte County Code and/or woi kicatedbove for which fees CTOR OF PUBLIC By. PERMIT EXPIRES Date the applicable provi- resolutions to do have been paid. WORKS 3-z9 d Date Receipt No. Z�1 WHITE-D.P.W., 7ELLOW-ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT