HomeMy WebLinkAbout078-380-030FORD OBERHOLSTER GliF_
NIS Oro Bangor Hwy, app 2/10 mi.
E of V.E. Ave, Oroville
Contr: Fox Electric
Permit #6716-78E (ele ser ch &
clpqn upl wiring) b rned SF
92-,1159;"'B i
r. kj ,
BILL,. Eugene
3479 Oro BangorHwy;"Oroville
yfooting under house '' t
4,14
02-1023
FLEURY, RAY�t
3479 ORO BANGOR HWY, ORO
CONT: LAR WEST
OPEN DECK� (J,�—
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FORD OBERHOLSTER GliF_
NIS Oro Bangor Hwy, app 2/10 mi.
E of V.E. Ave, Oroville
Contr: Fox Electric
Permit #6716-78E (ele ser ch &
clpqn upl wiring) b rned SF
92-,1159;"'B i
r. kj ,
BILL,. Eugene
3479 Oro BangorHwy;"Oroville
yfooting under house '' t
4,14
02-1023
FLEURY, RAY�t
3479 ORO BANGOR HWY, ORO
CONT: LAR WEST
OPEN DECK� (J,�—
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- NOTES
RESIDENTIAL
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036-112-0 02-1023
65
,
s
PERMIT
NQ,FLEURY,JR'AY
3479 ORO BANGOR HWY, ORO
CONT: LARRY WEST
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OPEN DECK
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SPECIAL CONDITIONS -
CHECKED
BY
SRA
FLOOD CERTIFICATE REQ.
FIRE SPRINKLERS REQ.
SPECIAL INSPECTION ITEMS
VERIFY
"
USE PERMIT CONDITIONS
V
SUB -STANDARD HOUSING LETTER
•
t.
1
t•
JOB FINALED
(Date)
4 r
Signature
V= OK
0 = Not OK
- = Not Applicable = Not Ready
Date
RESIDENTIAL (;
Date
Underfloor (Plans) OK except #'s
Hangers -Post Caps -Anchors -Connectors
1.
Zoning -Setbacks -Easements -Flood -Slope
Cling. Joist-Rhr. Ties-Purlin-Roft Brac.-Truss-Shting.-Rfng.
2.
Ftg., Main; Soils-Elec. Grnd.-/ r Ftg. Depth
Fireplace Ties or Type A Flue -Fireplace Throat Clearance
3.
Fig., Garage; Soils-Steel-Elec. Grnd.-/ r Ftg. Depth
Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles
4.
Ftg., Porches & Decks; Soils -Steel-/ r Ftg. Depth
Bdrm. Windows or Exiting Doors -Sill Ht. & Dimensions
5.
Stemwalls, Main; Steel-Blockouts-Wrapped
Garage Fire Protection Framing
6.
Stemwalls, Garage; Steel-Blockouts-Wrapped
Property Line Firewall & Openings
6a.
Hold Downs and Special Anchors
Ext. Doors -One 3' -Check Garage 3rd Story, 2 Exits
7.
Slab, Steel -Wrapped
Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection
8.
Piers -Fireplace Ftg.-Steel
Plywood on Roof Overhang -Attic Vents -Rafter Outriggers
9.
D.W.V.; Fall -Fitting -Test -2 Way Q/0 -Sewer Test
Siding -Nailing Veneer
10.
UF, Gas Pipe; Size Anchors - Yard Gas Piping; Size Test
Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access
11.
Water Pipe; Test -Anchors -Regulator -Service Test
Glazing Area -Glass Protection -Skylights -Plastic
12.
Electric Underground
Shear Walls; Nailing -Bolts
13.
Plenums & Ducts; Clearance -Material -Support -Ins.
Brace Interior/Exterior Wall Panels
14.
Girders -Sills -Anchor Bolts-Joists-Vents-Crippies
Insulation -Walls -Ceilings
15.
Access & Ventilation
Infiltration -Walls -Windows
16.
Insulation
Date
Date
Date
Card B-1 Date Card B-1
Date
Date
Card B-1 Date Card B-1
Date
PLUMBING (Permit)'OK except #'s
Ext. Steps -Door & Sidelight Protection -Landings
17.
Water Htr.; Vent -Access -Combustion Air Baffle
Smoke Detector
18.
Water Pipe; Test & Anchor -Nail Protection
Furnace Vents -clearance -Comb, Air -Connector -
In Garage; Above Floor -Ducts -Mach. Protection
19.
D.W.V.; Test Fittings & Anchor -Nail Protection
Bedroom Exiting
20.
Shower Pan; Test, First Floor -Tub Access
G.F.I. & Bath Fixtures & Tub Access -Spa
21.
Test Tub & Shower, Second Floor -Tub Access
Elec. Trim & Subpanel, Breaker Sizes & Labels
22.
Gas Pipe; Sixe & Anchors
Stairs & Rails
70.
Date
Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1
Date
ELECTRICAL (Permit) OK except #'s
Elec. Outlets & Receptacles at Kit. Counter
23.
Fixture & Transformer Clearance -Ins. Protection
Garage Fire Door; Swing -Landing -Closure
24.
Elec. Receptacles Spacing -Lights & Switches at Doors
A.C. Duct in Garage -Damper
25.
Size Boxes & No. of Conductors Stapled
Wtr. Htr.; Vents -Clearance -Comb. Air Connector-P.R.V.
in Garage; Above Floor-Mech. Protection
26.
Romex Installed Close to Edge of Studs & C.J.
Plb., Elec. & Mech. Equip. Listed for Location
27.
Equip. Ground made up w/Mech Fasteners -Bond Gas & Water
Elec. Receptacles in Garage (F.F.I.)-Romex Protection
28.
2 Appliance Circuits in Kitchen & Conductor Size GFI
Insulation -Foam -Looked in Attic
29.
Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / / ga Cu or AI
Guard Rails & Deck Construction -Post Caps
30.
Range Circle / / ga Cu or AI -Oven Circ. / / ga Cu or At
Insulated Neutral ❑ Yes O No
Fdn. VBents & Crawl Hole Door Drainage & Wood -Earth
31.
Service -Riser Conductors & Ground Main Disconnect
Clearance Looked under Floor ❑ Yes
32.
Equip. Clearances Panels-Motors-Mech. Equip.
Following Instld./Drive p Yes ] NoMalks J Yes 0 No/Planters ] Yes ] No
33.
Clothes Closet Light -Shower Light -Spa Light
Stucco Brown -Finish
34.
Smoke Detector
A.C. Unit Disconnect, Electrical -Plumbing
85.
Date
Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1
Date
87.
MECHANICAL (Permit) OK except #'s
35.
A.C. Ducts Insulation & Support
36.
Vent Fan, Exhaust above insulation
37.
Condensate Drain & Overflow, Size & Grade
38.
Furnace -Vent Access -Comb. Air -Return Air Vent 115 outlet
39.
Attic Access & Platform if Furnace in Attic
93.
Energy Compliance Certificate -Other Certificates
94.
Address Posted
Date
Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1
Date
Date
FRAMING (Permit) OK except #'s
Date
40.
Sits Proper Materials & Anchors
41.
Walls Studs -Nailing Spacing & Braces -Plates -Sound
42.
Bearing Walls over Girders & Floor Nailing
43.
Draft Stop in Walls (rat proof)
44.
Fire Stops, Furred Ceilings -Stairs -Chasers -Tubs
45.
Headers & Beams -Size & Bearing
� ' n
jingle & Duplex)
Date
FRAMING (Continued)
46.
Hangers -Post Caps -Anchors -Connectors
47.
Cling. Joist-Rhr. Ties-Purlin-Roft Brac.-Truss-Shting.-Rfng.
48.
Fireplace Ties or Type A Flue -Fireplace Throat Clearance
49.
Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles
50.
Bdrm. Windows or Exiting Doors -Sill Ht. & Dimensions
51.
Garage Fire Protection Framing
52.
Property Line Firewall & Openings
53.
Ext. Doors -One 3' -Check Garage 3rd Story, 2 Exits
54.
Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection
55.
Plywood on Roof Overhang -Attic Vents -Rafter Outriggers
56.
Siding -Nailing Veneer
57.
Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access
58.
Glazing Area -Glass Protection -Skylights -Plastic
59.
Shear Walls; Nailing -Bolts
60.
Brace Interior/Exterior Wall Panels
61.
Insulation -Walls -Ceilings
62.
Infiltration -Walls -Windows
Date
Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1
Date
FINAL (Plans) OK except #'s
63.
Ext. Steps -Door & Sidelight Protection -Landings
64.
Smoke Detector
65.
Furnace Vents -clearance -Comb, Air -Connector -
In Garage; Above Floor -Ducts -Mach. Protection
66.
Bedroom Exiting
67.
G.F.I. & Bath Fixtures & Tub Access -Spa
68.
Elec. Trim & Subpanel, Breaker Sizes & Labels
69.
Stairs & Rails
70.
Fireplace or Stove, Clearance -Hearth
71.
Elec. Outlets at Wood Panel, Int. & Ext.
72.
Kit. Fixt. & Appliance; Ground -Air Gap -Cooking Clearance
73.
Elec. Outlets & Receptacles at Kit. Counter
74.
Garage Fire Door; Swing -Landing -Closure
75.
A.C. Duct in Garage -Damper
76.
Wtr. Htr.; Vents -Clearance -Comb. Air Connector-P.R.V.
in Garage; Above Floor-Mech. Protection
77.
Plb., Elec. & Mech. Equip. Listed for Location
78.
Elec. Receptacles in Garage (F.F.I.)-Romex Protection
79.
Insulation -Foam -Looked in Attic
80.
Guard Rails & Deck Construction -Post Caps
81.
Fdn. VBents & Crawl Hole Door Drainage & Wood -Earth
Clearance Looked under Floor ❑ Yes
82.
Following Instld./Drive p Yes ] NoMalks J Yes 0 No/Planters ] Yes ] No
83.
Stucco Brown -Finish
84.
A.C. Unit Disconnect, Electrical -Plumbing
85.
Vents Above Roof, Plbg-Appliance-Fireplace-Clearance to Openings
86.
Water Well, Disconnect, Electrical, Plumbing
87.
Exterior Elec. Trim, G.F.I. Receptacle -Underground
88.
Ventilation Throughout House
89.
Glass Protection
90.
Corrections from Previous Inspections
91.
Gas Test -Meters Tagged, Gas -Electric
92.
Water & Sewer Connected -C/O to Grade -HD Approval
93.
Energy Compliance Certificate -Other Certificates
94.
Address Posted
Date
Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1
Comments at Final:
J = OK
0 = Not OK
- = Not Applicable MOBILE HOMES
= Not Rea•1y
Date MOBILE HOME UTILITIES (Plans) OK except #'s
1. Zoning Requirements -Setbacks -Easements
MISCELLANEOUS
Date DECKS, COVUM, CARPORTS GARAGES (Plans) OK except #'s
Zo ' g Requirements -Setbacks -Easements
ooti�Soils-Size- Depth -Spacing-Connectors-Steel
ecks; Girders and/or Joists -Decking -Bracing -Stairs -Rails
4. Wood Awn.; Posts- Bea ms- Rftrs.-Connectors
Shthg.-Frg-Bracing
5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures
6. Carports; Windows -Doors
7. Electric
2.
Soils; Special MH Support Sketch
3.
Sewer; Location -Test -Fall -C/O -Concrete
4.
Water; Location -Test -Easement Needed (Sketch)
5.
Electricity; Location-Clearances-Grnd-/ /Amp -Concrete
6.
Gas; Location -Test -Wrap;-/ /" L'ft.
/ P Nat. or / /"L"ft./ PLPG
7.
Well Clearance & Disconnect
Date
8.
Utility Clearance
Date
Card B-1 Date Card B-1
Date
FINAL (Plans) OK except #'s
Date
1.
Card B-1 Date Card B-1
Date
2.
Card B-1 Date Card B-1
Date
MOBILE HOME INSTALLATION (Plans) OK except #'s
Pool Structure; Steel -Connections -Thickness
Dead Men -Lining
1.
Zoning Requirements -Setbacks -Easements
Elec.; Receptacles and Lighting, Distance-GFI
2.
Footings; Size -Spacing -Marriage Line
Elec.; Pool Lighting; 15 Volts-GFI
3.
Gas; MH Test -Demand -Valve -Connector
Elec.; Enclosures; Conduit Entries -Terminals -Listed
4.
Electricity; MH Test -Crossovers -Breakers -Clearances
Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater
5.
Drain; MH Test -Fall -Flex Connector
Elec.; Grounding; Equip. w/5' Circulating Equip. -Pool Lghtg.
Boxes- Enclosures- Panelboards-Ins. to Main in Conduit
6.
Water; MH Test -Regulator -Connector
Health Department Approval
7.
Water and Sewer Connected -C/O to Grade -HD Approval
Plumb.; Cir. Test -Water Supply Test
8.
Gas and Electricity Tagged
Light Niche
9.
Tie Downs -Type -Installation Cert.
10.
Exits; Insp.-Sketch
11.
Cert. of Occupancy
Card B-1 Date Card B-1
12.
Permanent Foundation Only; License Decal
Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1
MISCELLANEOUS
Date DECKS, COVUM, CARPORTS GARAGES (Plans) OK except #'s
Zo ' g Requirements -Setbacks -Easements
ooti�Soils-Size- Depth -Spacing-Connectors-Steel
ecks; Girders and/or Joists -Decking -Bracing -Stairs -Rails
4. Wood Awn.; Posts- Bea ms- Rftrs.-Connectors
Shthg.-Frg-Bracing
5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures
6. Carports; Windows -Doors
7. Electric
8.
Frmg.; Sills-Anchors-Studs-Rttrs-Trusses
9.
Siding; Nailing -Veneer -Stucco -Mesh
10.
Roof; Shthg-Rooting
11.
Ext.; Steps -Doors -Landings
12.
Braced Wall Panels
Date
Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1
Date
FINAL (Plans) OK except #'s
1.
Setbacks -Easements
2.
Soils; Compaction -Structure Stability
3.
Pool Structure; Steel -Connections -Thickness
Dead Men -Lining
4.
Elec.; Receptacles and Lighting, Distance-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- Panelboards-Ins. to Main in Conduit
9.
Health Department Approval
10.
Plumb.; Cir. Test -Water Supply Test
11.
Light Niche
Date
Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1
COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION
7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-7541 oR -1 _ l 3 .
(Rev.12/96) APPLICATION AND PERMIT (/
ASSESSOji�CELN{�MJ�ERO�S
UU 1111 L1
ZONING ^
BUILDING PERMIT
OWNER
FLMY RAY
TELEPHONE
SO. FT. OCC. BUILDING VALUATION
-390 OPEN 2,450-
. OWNERS MAILING ADDRESS
CONTRA T f' FtiW. 533-5478
TELEPHONE
IX%bbddm
CONTRACTORS MAILING ADDRESS
CONSTRUCTION LENDER
Fireplace
LENDER'S MAIUNG ADDRESS
Total Valuation $
ARCHITECT OR ENGINEER
LICENSE NO.
—Filing Fee $
20.00
Permit Fee $
ARCHITECT OR ENGINEERS MAILING ADDRESS
Plan Checking Fee $
BUILDING ADDRESS
3479 ORO BANGOR HWY OROVILIE
Energy Plan Checking Fee $
$
PERMIT FEE $
109.10
LOT NO.
SUBDIVISION'S NAME
PARCEL MAP
PLUMBING PERMIT
Filing Fee 20.00
USEOFSTRUCTURE
SFX Duplex ❑ Mobilehome ❑ Other
SPECIFY
Each Trap 1
7.00
Solar or heat pump water heater
23.00
Water piping
15.00
Each as water heater or vent
15.00
TYPE OF WORK
New ❑ Addition IX Remodel ❑ Udlrbes ❑ Installation ❑ Other ❑
Describe Work: OPEN DECK
Gas piping system 1 - 5 outlets
15.00
Building sewer
15.00
Mobile Home I S I G I W
@20.00
PERMIT FEE $
ELECTRICAL PERMIT
Fling Fee 20.00
R LESS
Main Service p A OR LESS
23.00
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter
(commencing with Section 7000) of Division 3 of the Business and Professions Code,
and my license is in full force and effect./- c�
License Class �j Lic. No. l� C i I
OWNER -BUILDER DECLARATION
hereby affirm under penalty of perjury that I am exempt from the Contractors License
Law for the following reason:
❑ 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.
❑ I, as owner of the property, am exclusively contracting with licensed contractors
to construct the project.
❑ 1 am exempt under Sec. Business and Professions Code for this
reason
Main Service 200A TO 1000A
46.00so
NEW CONST. DWEWNG CUP.
OR ADDNS. ( 8 ACC. BLDS.
SO
3.5¢FT.
=RO.,,. MULTI.OBRANCH UTLET
@7,50
POWER APPARATUS
8 SINGLE OUTLET CIR.
Ex. OCCU OUTLET OR FocruREs
20 @'.00
0
BA.0
FIXED AI
Ex. Occup. Dui PEESS,6.OEA
5.00
Temporary Service
23.00
Mobile Home Facilities
20.00
Misc. Wiring
23.00
PERMIT FEE S
WORKERS' COMPENSATION DECLARATION
1 hereby affirm under penalty of perjury one of the following declarations:
❑ 1 have and will maintain a certificate of consent to self -insure for workers'
compensation, as provided for by section 3700 of the Labor Code, for the
performance of the work for which this permit is issued.
❑ I have and will maintain workers' compensation insurance, as required by Section
3700 of the Labor Code, for the performance of work for which this permit is issued.
My workers' compensation insurance carrier and policy number are:
Carrier
Policy Number
(The above sections need not be completed if the permit is for work of a valuation
of one hundred dollars ($100) or less.)
[ 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 workers'
com nsation laws of California, and agree that if I should become subject to the
work rs' c mpensation provisions of section 3700 of the Labor Code, I shall
fort ith c mpl with those provisions.
I 7
X D ' e 2 �
04
gna p cant - ❑ Owner ❑ Contractor ❑ Ager
An ermit Is required for excavations er 5'0" deep and demolition or construction
of stru ures over 3 stories in height.
MECHANICAL PERMIT Fling Fee 20.00
Heating
Cooling
Hood 6.50
Ventilation
PERMIT FEE $
Mobile Home Installation Fee Is
Energy Inspection Fee Is
occ
CONST. TYPE
TOTAL FEE $ 109.10
.AZ-
D. FEES
_._
IMP
_
O
COF
PARC PD
_
HD SUE
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.
By Date t!
PERMIT EXPIRES ON t�
Dete
Receipt No.
WHITE-D.D.S.-B.D. CANARY- S SSOR PINK -INSPECTOR GOLDENROD -APPLICANT
.. _..� ..,: [.W'...,,.. o,'.«.r a .. -..� -- - .. .. ., - ....:.yy...- -,.. �. v r .-•.. ......r. ., y>w��s:ror•^..�,..:yr r
` AOU�{TY OF BUTTE -DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING DIVISION
a 7 County Center Drive, Oroville, CA 95965 Phone (530)538-7541 Fax (530)538-2140 ;
PERMIT APPLICATION DATA SHEET //^^ a
OWNER: ASSESSOR PARCE NUMBER V J 6 r //d
Proposed Building Use:. CounteAdchnician: Date: `� �� 5
Items required in order to apply for a permit. All boxes MUST be checked OR marked NA in order to apply.
*Plot plans, 3 or 4 sets, signed by the preparer of the plans.
Complete plans, 3 or 4 sets, signed by the preparer of the plans.
3. Engineered plans, 3 or 4 sets, with wet signature on plans AND 2 sets of stamped and signed calculations.
❑ 4. Engineered truss details and layouts in duplicate. No faxes!
❑ 5. Energy compliance design and supporting documentation in duplicate.
❑ 6. Manufactured homes: (A) Data sheets and installation instructions, (B) Marriage line information, (C) Floor Plan, (D) Tie down or
foundation plans, all in duplicate.
❑ 7.1 Metal buildings: (A) Metal Building Plans, (B) Foundation plans and calculations in triplicate, (C) Elevation views in triplicate.
(D) Floor plans in triplicate. All of these must be stamped and wet -signed by the engineer.
Items required for initial plan review. If checked items have not been received, plan review cannot proceed. The permit will be
indexed and returned to the plan review line-up when required items are received.
Date Received By
❑ 8. Flood Elevation Certificate, wet -stamped and signed, in duplicate ................................
❑ 9. Plot plan and business license approval from the City of Biggs ....................................
❑ 10. Letter of intent for non-residential buildings.........................................................
❑ 11. Detached Accessory Building Form filled out by the owner .....................................
❑ 12. Hazardous Material Form...............................................................................
❑ 13. Other
Remaining items needed to issue the permit. (MTpy require additional plan review upon receipt of the following items.)
❑ 14. Fees as shown on the attached Schedule of Fees Due Sheet ....................................... _
$W. Statement of Intent for Non -heated and A/C Buildings...................................Lb .. _
6. Sanitation and plot plan approval from the Environmental Health Department in
❑ 17. City of Chico Plumbing permit......................................................................... _
❑ 18. California Department of Forestry plan approval ❑ paid. Sent by: ...................... _
❑ 19. 'Planning approval for (A) Use: (B)Parking: (C) Parcel Check:
❑ 20. 'Contact Land Development about Improvements, ❑ Drainage ............................... _
❑ 21. , Encroachment Permit for driveway from the Public Works Dept. (construction approval prior to occupancy).
❑ 22? Pre -Inspection for required ................ _
❑ 21 Contractor's license information. (Number, Name Style, Classification) ...................... _
❑ 24. Worker's Compensation Carrier and Policy Number ..............:.............................. _
❑ 25. Owner -Builder Verification (❑ Given to owner, ❑ Mailed to owner) .....................
❑ 2'6. Letter of Signature authorization....................................................................
❑ 27. Recorded copy of Agricultural Acknowledgment Statement ....................................
❑ 28. Manufactured home utility clearance...............................................................
❑ 29.. Existing violations and/or expired permits.........................................................
❑ 30.E ❑Grant Deed, ❑ M.H. Title/Statement of Facts, ❑ Letter from Legal Owner, ❑ Check to H.C.D. $
❑ 31. Other: _
When issued Telephone '" and hold for pickup.
I have been int; of the above items and requirements for obt . ' g a building permit.
Ap icant:
Dat
1. Index pe$t application for the above items numbered:
Plan Check Letter
2. Additional items required
Contractor, designer, owner, was advised of the above data by ❑ phone, ❑ mail, ❑ counter, by
Date:
Contractor, designer, owner, was advised of the above data by ❑ phone, ❑ mail, ❑ counter, by
Date:
Plans reviewed by: 2 8", Date: !!;—'2- — 02, Plans approved by: _g6, Da'te: • - �=� d 2 --
Structural
Structural reviewed by: Date: Structural approved by:
Date:
Note transfer by: Date:
Yellow: Building Division
LA 9
ALL STRUCTURES AND EQUIPMENT 'INCLUDINQ 'r
OVERHANGS SHALL BE CLEAR OF ALL EASEMENTS. .
A SET BACK OF S FT. FROM THE SIDE- AND
FT. FROM THE REAR PROPERTY
LINES AND "
r SS FT. FROM THE ROAD CENTERLINE SHALL BE
CLEAR OF STRUCTURES AND EQUIPMENT EXCEPT
FOR A 2 FT. 12 -AVE OVERHANG. `
fit
t ,
! ► 1001,.3 bot, O."t
C4 Pero I; r ,
� IGYrSTrNlo � � `
u4g,
MVille ga=r HVAP'tl' 3&t-?
VARIES 36" MIN.
o �
R
m
' MAX.
6" o
y
-4
�
May 1995
-P,
I -ob
X CA
v 0.
M rr,
�✓ . � MAX. �
m
�oN
03
7/-4
34"
o
A
REI6HT
J,/HNWvRRIL
r,
rn
®p
BUTTE Couffly
v
BUILDING DEPARTMEI
APPRO1 ED
x
n -m
rn
36"MIN. STAIR
W I DT4
6.5
RESIDENTIAL
36-112-65 92-1159 B `l
BILL, Eugene
3479 Oro Bangor Hwy, Oroville
footing under house
. i
Y "
f
JC
J=OK
O = Not OK
= Not Applicable, RESIDENTIAL,(;
= Not Ready
Date UN RFLOOR (Plans) OK except ti's
zoning"Setbacks-Easements-Flood-Slope
Ftg_ Main; Soils-Elec. Grnd.-/j at -Ftg. Depth
3. Ftg., Garage; Soils-Steel-Elec. Grnd.-/ /" Ftg. Depth
4. Ftg., Porches & Decks; Soils -Steel-/ /Ftg. Depth
5. Stemwalls, Main; Steel-Blockouts-Wrapped
6. Stemwalls, 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 _:4 L Card B-1 Date Card B-1
Date Card B-1 Date Card B-1
Date PLUMBING (Permil),OK except N's
-16. Water Htr.: Vent -Access -Combustion Air -Baffle
----------- ----- ---------------------------
17. Water Pipe; Test & Anchor -Nail Protection
---------
------ ------------------------------------
18. D.W.V. Test -Fit ' gs & Anchor -Nail Protection
-- ----- -- - - -----------------
19. Shower , est, First Floor -Tub Access
20. Tes ub Shower, Second Floor -Tub Access
-- - 21. Gas Pipe: -ze & Anchors
Date --------- -Card B_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
------ ---------------------------------------------------------
----- - 23. Elec. Receptacles Spacing -Lights & Switches at Doors
------------- -----------------------------------------------
24. Size Boxes & No. of Conductors -Stapled
------------------------------------- --------------------------
- 25. Romex Installed Close to Edge of Studs & C.J.
--------------------------------------------------------------------
------ 26. Equip. Ground made'up w/Mech.Fastners-Bond Gas & Water
---- 27. 2 AppI'anc Circuts in Kitchen & Conductor Size/GFI
28. Subfeed Wi Sizer ga. Cu or AI-A.C. Wire Size ! / ga.
Cu or AI
29. Range Circ. ! Cu or AI -Oven Circ. / / ga. Cu or Al.
Insulated N 1 ❑ Yes ❑ No
-- -- ----- 30. Service iser Co uctors & Ground -Main Disconnect
---------------- ----- ---------------------------- -----------------
31. Equip. Clearances nels_Motors- Mech. Equip.
- ----------------------------
32. Clothes Closet Light_Shower Light -Spa Light
-------------------------------------------
33. Smoke Detector
----------------------------------------------------------------------------------
Date Card B-1 Date Card B-1
---------------------------------------------------------------------------------
Date Card B-1 Date Card B-1
Date
MECHANICAL (Permit) Ok except n's
-----------
34. A.C. Ducts Insulation & Support
--------------------------------------------------------------------
---------------------------------
35. Vent Fan: Exhaust above insulation
I ------- - --- - -
-- - -----------------------36. Condensate Drain & Overflow: Size & Grade
----------------------------------------------------------------------
--- ------
-
37. Furnance- nt: Access -Comb. Air -Return Air Vent -115 outlet
-- ---- - - -------- '----------------------------- -- ----------
38. Attic Access Plat rm if Furnance in Attic
------------
Date
---------- --------- ---------------------------------------------
Card 1 Date Card B-1
Date
Card B-1 Date Card B-1
Date
FRAMING (Plans) OK except 4's
- ------------------------------------
39. Sils. Proper Material anchors
-------------------------------------------
'
40. Walls Studs -Nadi Spacing & Bracing -Plates -Sound
--- -----
41. Bearing IIs ver Girders &Floor Nailinq
--...- -
•
--- ----
--- ----------------------------------------------------.
42. Draft Stop n alts (rat proof)
------------- -- - ---- -9------ ----- ---------------------
______
43. Fire St s: Furre Ceilin s -Stairs -Chases -Tub
_
44. Headers & Beam -Size & Bearin0
►irigle' & Duplex)
Date
FRAMING (Continued)
45. Hangers -Post Caps -Anchors -Connectors
46. Cing. Joist-Rftr. ties -Pullin -roof Brac-Truss-Shthng.-Rfng.
47. Fireplace Ties or Type A Flue -Fireplace Throat clearance
48. Attic Access; Size & R "ex Protection -Draft Stop -Ins. Baffles
49. Bdr Windows or Xiting Doors -Sill Hgt. & Dimensions
50. Garage ' e Prot tion Framing
_ --51.-Property
I-NiVfirewall & Openings
n 3" Check Garage -3rd Story, 2 Exits
52. Ex/NasilEin�
53. _StaHe Broom -Rise -Run -Landing -Fire Protection
-----------;Z!1155.
54. plyoof Overhang -Attic Vents -Rafter Outriggers
Sid Veneer
56. Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access
______
57._Glazing Area -Glass Protection -Skylights -Plastic
_
58. Shear Walls; Nailing -Bolts
59. Insulation -Walls -Ceilings
60. Infiltration -Walls -Windows
Date
_ Card B-1 Date Card B-1
Date
_
Card B-1 Date Card B-1
Date
FINAL (Plans) OK except ft's
61. Ext. Steps -Door & Sidelight Protection -Landings
62. Smoke Detector
63. Furnace: Vents -Clearance -Comb. Air -Connector-
- In - Garage; Above Floor-Ducts-Mech. Protection
--------------
-
64. Bedroom Exiting
-------------------------------
65. G F.I_& Bath Fixtures & Tub Access -Spa
66. Elec_ Trim & Subpanel_Breaker Sizes & Labels
---------------------------------------
67. Stairs & Rails
-- ---- -
--
68. Fireplace or Stove: Clearances -Hearth
--- -- - --------------------
69. Elec_ Outlets at Wood Panel; Int. Ext.
70. Kit.Fixt. & Appliance: Grnd.-Air Gap -Cooking Clearance
-------------
-71.--Elec.-Outlets & Receptacles at Kit. Counter
------------------ -----
-----------------------------------
72. Garage Fire Door: Swing -Landing -Closer
-----------------
--------------
-- ----- - ------
73. A.C. Duct in rage -Damper
3.__A ,_Duct -- _ rage Da - --
74. Wir. Htr.; ents-Clearance-Comb. Air-Connector-P.R.V. ,
--------------
In Gar e: Above Floor-Mech. Protection
--------- ------------
7 Plb.. ec. & M_ech._Equip. Listed for Location
------------------
76. Receptacles in Garage; (G.F.I.)-Romex Protection
--------------
7;* I sul ' n -Foam -Looked in Attic ❑ Yes
-
- 78. Guard Rai- - Deck -Post Caps
-Construction
7 . Fd n. Vents & Cr w)Hole Door -Drainage & Wood -Earth
Clearance Looked under Floor ❑ Yes
80. Following instld. Drive ❑ Yes ❑ No; Walks ❑ Yes ❑ No;
Planters ❑ Yes ❑ No
81. Stucco: Brown -Finish
-82. A_C_Unit: _Disconnect, Electrical_ Plumbing
83. Vents Above Roof: Plbg.-Appliance-Fireplace.-Clearance to
Openings _
84. Water Well; Disconnect, Electrical, Plumbing
85. Exterior Elec. Trim; G.F.I. Receptacle -Underground
------------------------------- -
--------------------------------
86. Ventilation Throughout House
87. Glass Protection
88. Corrections from Previous Inspections
-- ---------------------------------------
---------------------------------------
89. Gas Test -Meters Tagged; Gas -Electric
---------------
- ----- --
90. Water & Sewer Connected -C/O to Grade -HD Approval
------ ---- ----
91. Energy -Compliance -Certificate. -Other Certificates
----------------------------------------
Date
-
---- --- -
Card B_t - Date _ _ B-1
Date
-Card
-
Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1
Comments at Final:
q OK
O = Not OK
Not
= Not Readyable MOBILE HOMES
Date
MOBILE HOME UTILITIES (Plans) OK except #'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: / /" L" ft.
/ /"Nat. or/ /"L"ft./ /"LPG
7. Well Clearance & Disconnect
8. Utility Clearance
Date
Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1
Date
MOBILE HOME INSTALLATION (Plans) OK except #'s
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
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- Bea ms- Rftrs.-Con nectors
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 #'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-Panelboards-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
COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS
7 County Center Drive - Orovllle, California 95965 - Telephone: 916,`538-7541
APPLECATUON ANBD PERMIT
PERMIT N0.
2r C
ASSESSOR PARCEL NUMBER
36-112-65
ZONING
AR
�-
BUILDING PERMIT
OWNER EUGENE BILL
TELEPHONE
S0. FT. OCC. BUILDING VALUATION
OWNER'S MAILING ADDRESS
P.O. BOX 5172 OROVILLE
�+�7+ t
56 L' 1 footl 0 560
CONTRA TOR'S NAMTELEPHONE
1:
CO TR OR'S MAILING ADDRESS
(off
Fireplace
CONSTR CTION LENDER
UNKNOWN
Total Valuation is
LENDER'S MAILING ADDRESS
Filing Fee $ 15,00
Permit Fee $ 16.50
ARCHITECT OR ENGINEER
LICENSE NO.
Plan Checking Fee $ 8.25
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Energy Plan Checking Fee $
Penalty $
BUILDING ADDRESS
3479 ORO BANGOR HWY OROVILLE
Permit fee $ 39.75
PLUMBING PERMIT Filing Fee 15.00
Each Trap 5.00
Solar or heat pump water heater 20.00
LOT NO.SUBDIVISION
NAME
PARCEL MAP
Water piping 7.00
Each qas water heater or vent 7.00
USE OF STRUCTURE
SF ❑X Duplex❑ Mobilehome❑ Other
SPECI FY
Gas piping system 1 - 5 outlets 5.00
Building sewer 15.00
Mobile Home S I G I W @_1 5.00
TYPE OF WORK
New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation❑ Other ❑
Describe work: FonTIN(-. UNDER iXIgTTNG H9USE _
Permit Fee $
Contractor
ELECTRICAL PERMIT Filing Fee 15.00
Main service R LESS
200A OR LESS 18.50
CONTRACTORS LICENSE LAW
I declare under penalty of perjury (check one):
I am licensed under provisions of Chapt. 9, Div. 3 of the BuslnesSPOWER
and Professions Code and my license is in full force and eff Ct.
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
Main service 20CATO t000A) 37.50
NEW CONST. ( DWELLING OCCUP.BI 3.66 sq.ft.
OR ACDNS. ACC. BLDGS. I
NEW CONSTR. ULT' -OUTLET
NON.RESI D,, BRANCH CIRCUITS @ 5.00
APPARATUS 9
(SINGLE OUTLET C'R. )
Ex. OccuP(OUTLETS OR FIXTURES 20 76d
Ex. Occup. OUTLETS (PRESID )REA.) I 3.00
Temporary service 15.00
Mobile Home Facilities 15.00
Misc. byirin g 15.00
Permit Fee $
WORKMEN'S COMPENSATION INSURANCE
I declare under penalty of perjury (check one):
I—]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.
Contractor
MECHANICAL PERMIT FiIingFee 15.00
Heating
Cooling
g
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
agains �aicountyin ons quence of the granting of this permit.
X /v Date ,! �i�' ��
Si a,ure of Applicant — Owner ❑ Contractor � Agent ❑
An OSHA tions over 5'0" deep and demolition or construct-
ion of structuresover3gstoriesoineheigvht.
Mobile Home Ins=Fee
Energy Inspectio
occ
CONST T
.75
S
This permit is hereby issued under the applicable pro vi
sions of the Butte County Code and/or resolutions to do
work indicated bove for which fees have been paid.
Ixrk
CT OF PUBLIC WORKS
PE IT EXPI Date —�Z By P6— Date
r
Receipt No. leS� 3�
WHITE-D.P.W., YELLOW -ASSESSOR. PINK -INSPECTOR, GOLDENROD -APPLICANT
''�� ' T' ":���P....H.,,.. ,� T t �•nnT ` i"'R�a��,rrr�}'V„y;.•+,. _ .. � ..,• .,. Rr� ,�;i �'4,'�rh��,l.`'ll��O�:•t 1r-a�,�,a•r+Rir�''��{• . .��
e. ,r COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS - BUILDING DIVISION
cr.
.� e•. 7 COUNTY CENTER DRIVE - OR0,VI6L& C3 LIFORNIA 95965 - TELEPHONE: 916/538-7541
`may~ PERMIT APPLICATION DATA SHEET �—
Copy of Haz-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 permit issuance: (Circle new item not checked above).
1. Index permit for above items No.
2. Additional items required:
Contractor, designer, owner, was advised of above required data by —phone Ana i l_coun r by date if'�
Contractor, designer, owner, was advised of above required data by—phone—mall o ter by date
Plans checked by Date Plans approved by Dat
Sets of plans on hold in File cabinet AP folder ►
Copy—DPW
No.
OWNER
IPermit
R1 ` A. P. No.
3G "-PZ —r ,t'5--
Proposed Building Use � Building Inspector
Date " Z
At time of permit application, I"was advised the following data musf 6e'°submitted prior to permit processing and/or issuance:
s✓ ... .�•i.
"� zp� !r+"�'r's:rff`'`�j •- DATE RECEIVED APPROVED
1.
All items have been submitted . ....................................
2.
Plot plans in duplicate/triplicate, signed by preparer of plans ........
3.
Complete plans in duplicate/triplicate, signed by preparer. of plans . .
4.
Complete engineered plans and calcs, with wet signature on plans ..
5.
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
instructions.......................................................
10.
Fees of $
11.'Chico
Urban Area fees paid .......................................
12.
Park fees paid ....................................................
13•
School District fees paid ..............
14.
Sanitation approval from Health Department
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
21.
Building Inspector
Contractor's license information (No., Name Style, Classifications ...
(Date)
22.
Certificate of Workmans Compensation Insurance ..................
23.
Owner -Builder Verification (Given to owner ❑, Mail to owner ❑) . • . • •
24.
Recorded copy of Agricultural Acknowledgment Statement .........
25.
Letter of signature authorization ...................................
26.
27.
When you issue the permit, process as follows: —Mai lto owner. Mail to contractor.
Telephone_S-5t/-4`/e_ and hold for pickup at ORO office.
Deliver w/inspector.
Other
Applicant
//,, 9
.Date -�` _amu `/�
Copy of Haz-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 permit issuance: (Circle new item not checked above).
1. Index permit for above items No.
2. Additional items required:
Contractor, designer, owner, was advised of above required data by —phone Ana i l_coun r by date if'�
Contractor, designer, owner, was advised of above required data by—phone—mall o ter by date
Plans checked by Date Plans approved by Dat
Sets of plans on hold in File cabinet AP folder ►
Copy—DPW
COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT NO.
7 County Center Drive - Orovllle, California 95965 - Telephone: 916.'538-7541
APPLICATION AND PERMIT
ASSESSOR PARCEL NUMBER Z
65
BUILDING PERMIT
OWNER ELEPHONE
FT. OCC. BUILDING VALUATION
6 ti S6 O
OWNER'S MAILIMr. ADDRESS
Pone% E 1-7"t- Ono
CONTRACTOR'S NAME
TELEPHONE
.CONTRACTOR'S MAILING ADDRESS
Fireplace
CONSTRUCTION LENDER
UNKNOWN
Total Valuation Is
LENDER'S MAILING ADDRESS
Filing Fee $ 15,00
Permit Fee $ 16--g-
ARCHITECT OR ENGINEER
LICENSE ND.
Plan Checking Fee $ g zf
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Energy Plan Checking Fee $
Penalty $
BUILDING ADDRESS
Permit fee $
3 y % _ G ��`
PLUMBING PERMIT Filing Fee 15.00
Each Trap 5.00
Solar or heat pump water heat r 20.00
LOT NO.
SUBDIVISION NAME
PARCEL MAP
Water piping 7.00
Each qas water heater Or/Vent 7.00
USE OF STRUCTURE
SFD( Duplex❑ Mobilehome❑ Other
SPECIFY
Gas piping system 1 - outlets 5.00
Building sewer 15.00
Mobile Home S I G I W @ 15.00
TYPE OF WORK
New 7.7 Addition'77 Remodel L; Utilities ❑ Installation[ Other
Describe work:
tFoo�rr. t LLh1 3 �n
~
Permit Fee $
Contractor
ELECTRICAL PERMIT Filing Fee 15.00
'r00V
OR LESS
Main service 200A OR LESS 18.50
Main service 200A TO 1000AI 37.50
CONTRACTORS LICENSE LAW
I declare under penalty Of perjury (check one):
11
I� 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
1, 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 contact-
ors. (Sec. 7044)
❑ 1 am exempt under Sec. , Business and Professions Code
for this reason
NEW CONST./ DWELLING OCCUP.h)
OR ADONS. ( ACC. SLOGS. 3.54 sq.ft.
NEW CONST R. r ULTI.OUTLET
NO .RES'D BRANCH CIRC ITS @ 5.00
APPARATUS tr
(SINGLE OUTLET cIR. )
Ex. Occup(OUTLETS OR FIXTURE 20 V 75d
A
FIXED APP LNS. OR
Ex. Occup. OUTLETS (RESID.1 A.) 1 3.00
Temporary service 1 15.00
Mobile Home Facilities 15.00
9 15.00
Permit Fee $
WORKMEN'S COMPENSATION INSURANCE
I declare under penalty of perjury (check one):
U 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.
71 1 shall not employ any person in any manner so as to become subject
to the W. C. laws of California.
Notice to Applicant: If after making this statement, should you become subject
to the W. C. provisions of the Labor Code, you must forthwith comply with such
provisions or this permit shall be deemed revoked.
Contractor
MECHANICAL PERMIT FiIingFee 15.00
Heating t
Cooling
9
Hood 6.50
Ventilation
Permit Fee $
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 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.
X Date
Signature of Applicant — Owner ❑ Contractor G Agent ❑
An OSHA
ion of structuresoverstories oinehe excavations over 5'0" deep and demolition or construct-
Mobile HomeAnstallation Fee S
Energy Inspection Fee $
OE-CCONST TYPE TOTAL FEES
HAZ
I
1 0FEES
IMP
I FLOOD
I CDF
I PARCEL PO
HD
ISSUE
This permit is hereby issued under the applicable provi-
sions of the Butte County Code and/or resolutions to do
work indicated above for which fees have been paid.
DIRECTOR OF PUBLIC WORKS
By Date
PERMIT EXPIRES Date
Receipt No. �i�4�
WNITE-O.P.W.. YELLOW-ASSE330R, PINK -INSPECTOR. GOLDENROD -APPLICANT
Y�ely
�o y{u Qf
lQ PrOVld9 1/2" X 7 O" aJ1CFlol bolts
@ 6'0-C. max. Alla within
n^ art: ; ` i �•r �.
12' of joints.
1L�tit✓' L�9thy f IJ)I�
71 Oro Dt"gc✓
n/r� Vua��at�b�
BUTTE COONTY.
G DEPARTMENT
VEw
This set of plans and specifications MUST be
jeep! on the job at all times and it is unlawful to
make any changes or alterations on some with
out mem permission from .the Department of` .
pUbI,=W%xks. County of Butte.
go% . A® Materials & Workmanship Shad '
mcwdance with Recognized Good Practices oad
of a equality .prescribed for the specifiedMechanical Codes a d.
tWform Buiidoc►g, Plumbing' & Mechc+
'the National Electrical code.
oNW- Jai bh
V �
79
3t375 090
i
7
Cv `
COUNTY OF BUTTE —. DEPARTMENT OF PUBLIC WORKS
7 County Center Drive — Oroville, California 95965
Tel epVne: 534-4541
APPLICATION AND PERMIT
authorize representatives of the County of Butte to enter upon the
above-mentioned property foC'ns- purposes.
X Date /� ' 8
$Ignoture ofPel ite orA t
Receipt No. / O 9 3 -
White-D.P.W.
- Yellow -Assessor - Pink -Inspector - Goldenrod-Appliccnt
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.
DIREI;.TOR OF UBLIC WORKS
By— Date
1
MW*ngpermit expires Date �� �.5�-,2
BUILDING
Owner roW r -D I`+O L'T
SQ. FT. OCC. BUILDING VALUATION
Mai I i ng Address
Telephone No.
Contractor 'Fc, X L Cc -112 l C I N L,
Mailing Address 39y 5 OLJ Iu£ 40
Fireplace
Total Valuation
0 kC1 1 ll" (A �C%r� C
hone
3-73o
Permit Fee
Building Address G��, I �Nf�e7PI
an Checki ng Fee &/or Penalty
Permit Fee
14 r,J'(. 11 r -'W. 211.., 1k C C Qi-
PLUMBING No.1 @ FEE
' �• A UE
PERMIT FILING FEE $3.00
Each Trap 1.50
34-71 tJk ,- gFii jr It 4W T C) e(, 01 L t-
Repair drainage or vent piping 1.50
A. P. No. '3L I I Z- .A
Zoning &Planning
Water piping 1.50
Each gas water heater or vent 1.50
/F s
&C.
Seffi4fta4tem
Fire Dept.
Fire Zone
Use Permit
Gas piping system 1 - 5 outlets 1.50
EQA
Parking
I Plans
ParcelEach
I Declaration
I Parcel Map
60' R/W
I Improvements
additional outlet .30
Building sewer 5.00
B49_Q4errt—R•ec'd
Parcel Ap roval
Plans Approval
Lawn sprinkler system 2.00
NEW ❑ ADDITION ❑ UTILITIES ❑ OTHER L�—
Permit Fee $
$
CL illi, t -J ArJ I)
ELECTRICAL No. @ FEE
Lar f, 13UK/JEp i1 �US�
PERMIT FILING FEE $3.00 ,vu
Main service eoov OR LESS
100 AMP OR LESS 5.00 2,00
Single Family Duplex ❑ Mobil Home ❑ Others ❑
Main service EA. ADD -L 100 AMP 2.50
Main service OVERe00v 25.00
100 AMP OR LESS
Main service EA. ADD'L 100 AMP 1.00
NEW CONST. DWELLING OCCUP. Y 2�S ft
OR A DNS. ACC. BLOGS. q
CONTRACTORS LICENSE LAW
I am licensed under the provisions of Chapter 9. Div. 3, o1 the
State of California Business & Professions Code under the name
style of: //
i"O)r AL e c'77?01 C _TN G
NEW CONSTR. /MULTI- U LET
NON -REBID ` BRANCH CIRCUITS 2.50ea
NEW CONSTRPOWER APPARATUS e
.
NON•RESID. SINGLE OUTLET CIR.
A 1
50
Ex. Occup(OUTLETS OR FIXTIIRES IB Le;
Ex. Occup.(OUTLETS(PRESID)REA) 2.00
Temporary service 10.00
Mobile Home Facilities 15.00
License No..%S36 S Classification
Misc. Wiring 6.25 I Ziy
❑ I am exempt from the Contractors License Laws of the State of California.
Permit Fee $ 25
$/ I/ 5
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.
have placed on file with the County of Butte a certificate of
have
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
Heating
Cooling
Ventilation
Hood 2.00
Permit Fee $
$
1 certify that 1 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
$ �i c
authorize representatives of the County of Butte to enter upon the
above-mentioned property foC'ns- purposes.
X Date /� ' 8
$Ignoture ofPel ite orA t
Receipt No. / O 9 3 -
White-D.P.W.
- Yellow -Assessor - Pink -Inspector - Goldenrod-Appliccnt
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.
DIREI;.TOR OF UBLIC WORKS
By— Date
1
MW*ngpermit expires Date �� �.5�-,2
'N COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS /y
7 County Center Drive — Oroville, California 95965
Telephone: 534.4541
APPLICATION AND PERMIT �n itV
auulunce reptesentduVeb ul the uuunry of matte to enter upon ine
above-mentioned property for i s ion purposes.
P A f
X Date % 6
Signature of Pper it r Ag t
eceipt No. /91, , 35
`ite-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.
DIREC OR O�BLIC WORKS
By Date ` u
]GUNag permit expires Date
BUILDING
Owner 1::iI 013 re 40 V_
SQ. FT. OCC. BUILDING VA UATIO
Mailing Address
Telephone No.
Contractor 'FO)L C(•eC ('` I C-1 N"
Mailing Address , ooe !-wy,
Fireplace
Total Valuation
hone N
�� Z��d
Permit Fee
Building Address fJ ISDPOU I $
Plan Checking Fee &/or Penalty
Permit Fee
14 -WY. APAP. `2-110 /W ILZ E . OIC
PLUMBING No. @ FEE
PERMIT FILING FEE $3.00
Each Trap 1.50
3471 O� ER040? Q� �` (-,�
Repair drainage or vent piping 1,50
A. P. No. 3� "" i Z '-�Q
Zoning & Planning
Water piping 1.50
Each gas water heater or vent 1.50
Ws
S9M4Mier1
Fire Dept.
Fire Zone
Use Pennit
Gas piping system 1 - 5 outlets 1.50
EQA
Parking
Plans
I Parcel
Declaration
Parcel Map
60' R/W
Improvements
Each additional outlet .30
Building sewer 5.00
13194g,44ene-R,e'd I
Parcel Approyal
Plans Approval
Lawn sprinkler system 2.00
NEW ❑ ADDITION ❑ UTILITIES [:]—OTHER E�--
Permit Fee $
$
r -L,96- 6'", CP,4J6r, f tJ 0 CLEAA4
ELECTRICAL No. @ FEE
UP ,W! P—I M(1, m C5VOJED WOUSJE
PERMIT FILING FEE $3.00 ,DC7
100V OR LE
100 AMP OR LESS 5•��
Main service SS 1J. 00
Single Family Duplex ❑ Mobil Home ❑ Others ❑
Main service EA. ADD'L 100 AMP 2.50
Main service OVER 600V 25.00
100 AMP OR LESS
Main service EA. ADD'L 100 AMP 1.00
NEW CONS.DWELING
OR ADDNST � ACCLBLDGS.CCUP. Y) 22sgft
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
st le of:
±�
/ dX ZLLZ.7?I C _Af C
NEW CONSTR BRANCHCIR-OUTLET
NON.RES7D (MULTI BRANCH CIRCUITS 12.50ea
NEWCONSTR. /POWER APPARATUS aJ
NON .RESID, %SINGLE OUTLET CIR,
Ex. Occuo(OUTLETS OR FIXTI]RES 50@� @1
BAL
EOFIXED APPLNS, OR
Ex. ccu 2.00
p• OUTLETS (RESID.1 EA)
Temporary service 10.00
Mobile Home Facilities 15.00
�����,�
License No. Classification C"10
Misc. Wiring 6.25 t
❑ I am exempt from the Contractors License Laws of the State of California.
Permit Fee $ /41,- 2-,6
$/ T
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.
U have placed on file with the County of Butte a certificate of
yywaaaaa have
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.
MECHANICAL No. @ FEE
PERMIT FILING FEE $3.00
Heating
Cooling
Ventilation
Hood 2.00
Permit Fee $
$
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
Land Development Fee
$
TOTAL PERMIT FEE
$ j
auulunce reptesentduVeb ul the uuunry of matte to enter upon ine
above-mentioned property for i s ion purposes.
P A f
X Date % 6
Signature of Pper it r Ag t
eceipt No. /91, , 35
`ite-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.
DIREC OR O�BLIC WORKS
By Date ` u
]GUNag permit expires Date
lAr.
gTATE OF CALIFORNIA}
I?ESOURCEs AGENCY �" �j (�(p ;�4LM?r3./ °.y/J to 2
DEPARTMENT OF CONSERVATION �+� • J .I � r +
6v1V7tS10f1 OF FORMISYRlf
w1ICA..y,.....�.a..;� IN
OLOCK LTj�r»YMrF.,..l„'.!^x.l,-�x�.,�w�...aa...,,rr.ay.{......"w1,11w�..�ile.-wee. .iMi- # r•wf-:x.G q��
'i -IDE4' ION
t i !IRE' -RE -PORT- «� _ r, ,, •. awl
.�rR%.�y 1 0+
A. FIRE [NUMBER .i �y��ly ��; � _-1C. RANGER UNIT-' 46,rAa ,t t,;E. ZONE OFrOFg16lN: +sraj`
F: .-i �r.-� •� -+• ..�_. >-.fs}.._.>,� i(:+..wry�.c.:1..a.. 1+,. t+x. k rv-+ti r... � !t•..V,.t. .,w d,..c ,. Iai�uv�+�K�wx,..w..yx
t .'r r. T . any 4,/' //��°.L�t� ""` f -r ,- +r3.wFILMrJ,rl:a-..Y�1 ! ,�, )d^"= ,-• ^,�- ! I.- r.. .v-fVr �r VY M�^h
.,+rIT.tr440 TA P. SIZE CLASS
13. NAME OF,(FSRC,: , �i p. DATE FIRE STARTED: I� � ht�`•(" � � i 4T �s.r��t+ � ""
�> t toy,'+�,,'a''Tt7•yI p` }� }
ELI"
I , I-a��'I G FIRP CLAS
ILo1. I !iwf: m' TA r NUtJAJ�) .. rFi1MN�ITAq`r
CK-II:F CAUSE � .� �.-::�..._�.;�,a.�.. •,.C�w�. N `BLOCK'IV
GENERAL a y� '� ,�,_�►,���,�.,� p� ' Kh ><+,
A. CAUSE! Si:4irtxi.b6s'�.? T ^�
SPECIFICi ..1.r«uT.w ?�. ,•H.� KNOWN
B. CAUSE a'
LOGICAL
CAUSAL LOCAL Ik"y0ro N.y rt�LL^,,'„�j �,I��4 ; KNOWN p
C. AGENT N0 N. AL. * I7f "
Otq [ r�+wr r 11 SYN j,A, I,QGICAL
- r •, t , : TY.CS �' wlterT' ,� sY A!i �.
t?• FALSE ALARM E! ERMIT liS_CAP P. PE
}LOCK III. LOCATION OF"ORIGIN"
1 �
A. SECTION TWP.
D. FIRE STARTED ONAN
C. FUEL TYPE:
�l - r7_ �TD7 • ,
PROTECTION ` _ •�� t ,-.....,+ ••.
P. JURISDICTION
FIRE ON ARRIVAL. SIY¢:.SPOT'A* I �C11t •� '`-�
T ' E. (FOREST FIRES ONLY) s'.G ~.2: DISTANCE FROM 149ApdF s`s_
rF:LPk* To OR 'GIN 2 t FT . I .ti
_ t �a
SKETCH TOTAL AREA •BURNED--�r'r'- �'•xy ti 1.,�:;'' �.iP•.+�.: R"1':
♦ tT
NIT
"-
11
SCALE: I"=----�MIL[Ifl I
':LOCK V. AREA BURNED
VEGETATIVE TYPE ACRES
OLUILoW Yl: WEATHER
A. ESTIMATED WIND ON ARRIVAL:
x V FLOC 1 TY:
{DIRECTION:
B. TEMPERATURE: 1
RELATIVE HUMIDITY:
FUEL MOISTURE:
t
WIND DIRECTION: II'.) I A0.0
WIND VELOCITY:
r r ,
C. FROM
STATION
1
�dfi t7X InS,A,4'3 .
}Yfr�:Ys. Ci10A 1144T4 .x't
ct
7 a16
1 rtC�.31t 1'1ip'tY"1'l�k !
I ,
A. NON -FOREST IMPROVEMENTS x i4siN NO.
w
f UNIT'+ f1DAMA,09
t-
if 1 o. -s Of SZ"Avc.
..
Bolt* vitj IAM I1.L•1r, it? q,
DAMAGE OF FIRE
H JjA1 YTIVITZIA, I:7A3l [`00,4 ,11 1
`�
RECREATION LOSS
t TOTAL XXXXXXx
XXXXX `
13. FOREST IMPROVEMENTS '� �('
r •.,..I`.......„..r•.,..,._.
I
xxxxx
xxxxx
xxxxx
XXXxX
• ' , _' r-, �,� i 1 y •�.
XXXXX •'
VtfV41__-11S_'t4'4PID', TOTAL XXXXXXX
XXXXX
C.' PORtiT PRODUCTS -Mt}
I Yi Nt> :3i j jlr ` 1 I ( io I' (.
l... t. f�71 ! -'tt /gr r.',., ..:Wt .:r '�' ✓�' ij',ji ti.1+ �t.�x1 {y.�i...__
�. 1
y
_.
TOTAL XXXXXXX
XXXXX
D. FOREST AND OTHER VEGETATION
11"taN +. ,t 6 Clf.♦ ! Vt)A` A I It'V 171
1XXXXXXXIXXXXXI
TOTAL
GRAND TOTAL (A•® -C -D) DAMAGES S
Q
f
BLOCK VII. REMARKS AND/OR OWNER(S) 1 I
. I 1
Me e1A)1 ��Vosl�=,IVA
�
TOTAL AREA
E. ESTIMATED
WATERSHED
DAMAGE OF FIRE
F. ESTIMATED
RECREATION LOSS
,LOCK VIII. SIGNA�T/URES B J� ... ... _. ..
ORIGINAL REPORT BY /1 ��?�+!l,( .C. � ,�i �$,�_ BvvR��jGE`RRR'S SIGNATURE A j',4j_ g
NAM[ MA `� •A.t 1? �
NAM[
.•IB ra•out
TITLE TITLR