HomeMy WebLinkAbout079-060-067—JOHN V. DRAKE,
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` Termit# 88
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DDMKINS, Oscar 5055B
51 JOHN DRAKE
2914 Foothill Biv le
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�2914,,-Foq,�hill Blvd
(new.,_qingle family
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3F) Pal
Joh6 Drake
2914 Foothill Blvd., Oroville
Permit #5527-79B,P,E,M(new pool side
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P4 A "ed
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Solar Systems, yc
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/Finaled 8/29/83"
WONG', Fa
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Signature
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V OK
0 NotOK.
- = Not Applicable
`-Not Rea6y 'MOBILE HOMES
Date
MOBILE HOME UTILITIES (Plans) OK except #'s
DECKS, COVERS, CARPORTS, GARAGES (Plans) OK except #'s
1. Zoning Requirements - Setbacks - Easements
1 . Zoning Requirements -Setbacks -Easements
2. Soils; Special MH Support Sketch
2. Foofings; Soils-Size-Depth-Spacing-Connectors-SteeI
3. Sewer; Locabon-Test-Fall-CYO-Concrete
3. Decks; Girders and/or Joists -Decking -Bracing -Stairs -Rails
4. Water, Locabon-Test-Easement Needed (Sketch)
4. Wood Awn.; Posts-Beams-Rftrs.-Connectors
Shthg.-Rfg.-Bracing
5. Electricity; Locafion-Clearances-Gmd-/ /Amp -Concrete
5. Alum. Awn.; Columns-Connecbons-Splice-Decal-Enclosures
6. Gas; Location -Test -Wrap; I 112ft.
/ /Nat. or/ PL"ftj /LPG
6. Carports; Windows -Doors
7. Well Clearance & Disconnect
7. Electric
8. Utility Clearance
8. Frmg.; Sils-Anchors-Studs-Rftrs-Trusses
9. Siding; Nailing -Veneer -Stucco -Mesh
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
Card B-1 Date Card B-1
2. Footings; Size -Spacing -Marriage Line
Card B-1 Date Card B-1
3. Gas; MH Test -Demand -Valve -Connector
POOLS (Plans) OK except #'s
4. Electricity; MH Test -Crossovers -Breakers -Clearances
1. Setbacks -Easements
5. 'Drain; MH Test -Fall -Flex Connector
2. Soils; Compaction -Structure Stability
6. Water; MH Test -Regulator -Connector
3. Pool Structure; Steel -Connections -Thickness
Dead Men -Lining
7. Water and Sewer Connected -C/0 to Grade -HD Approval
4. Elec.; Receptacles and Lighfing, Distance-GFI
8. Gas and Electricity Tagged
5. Elec.; Pool Lighting; 15 Volts-GFI
9. Tie Downs-Type-Insta Ila tion Cert.
6. Elec.; Enclosures; Conduit Entries -Terminals -Listed
10. Exits; Insp.-Sketch
7. Elec.; Bonding; Metal w/6-Circulafing Equip. -Heater
11. Cert of Occupancy
8. Elec.; Grounding; Equip. w/6 Circulating Equip. -Pool Lghtg.
Boxes-Enclosures-Panelboards-Ins. to Main in Conduit
9. Health Department Approval
Date
Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1
z
E
0
MISCELLANEOUS
Date
DECKS, COVERS, CARPORTS, GARAGES (Plans) OK except #'s
1 . Zoning Requirements -Setbacks -Easements
2. Foofings; Soils-Size-Depth-Spacing-Connectors-SteeI
3. Decks; Girders and/or Joists -Decking -Bracing -Stairs -Rails
4. Wood Awn.; Posts-Beams-Rftrs.-Connectors
Shthg.-Rfg.-Bracing
5. Alum. Awn.; Columns-Connecbons-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 Lighfing, Distance-GFI
5. Elec.; Pool Lighting; 15 Volts-GFI
6. Elec.; Enclosures; Conduit Entries -Terminals -Listed
7. Elec.; Bonding; Metal w/6-Circulafing Equip. -Heater
8. Elec.; Grounding; Equip. w/6 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
0
V OK
0 Not OK
Not Applicable
Not Rea& RESIDENTIAL (Single & Duplex)
Date UNDEBPLOOR (Plans) OK except #'s
t-2gpki�)-Setbacks-Ea _ sements-Flood -Slope
'2�Ftg Main; iSoils-Elec. Grnd.-/L#-F`t`g. Depth
3. Ftg., Garage; Soils-Steel-Elec. Grnd.-/ /" Ftg. Depth
4. Ftg., Eorches & Decks; Soils -Steel-/ /Ftg. Depth
e-Ti-emwalls, Main; Steel-Blockouts-Wrapped
6. Stemwalls, Garage; Steel- Bloc kouts-Wrapped
6a. Hold Downs and Special Anchors
7. Slalx-Steel-Wrapped
replace Ftg.-Steel
Or'15.W.V.; Fall -Fitting -Test -2 Way C/0 -Sewer Test
10. UF. Gas Pipe: Size -Anchors - yard gas piping: size -test
iAe-Wa-ter Pipe; Test -Anchor -Regulator -Service Test
12. Electric; Underground
13. Pienums & DuSp: Clearance -Material -S �aort-lns,
145;��-SjW'Anchdr-go-lts-Jobtf-Vamls'CripWs-
*r-<`cess & Ventilation
'Altit . Insulation
Date 'Y- if-z?o Card B-1 Date Card B-1
Date,'5-g--q& Card B-1 Date Card B-1
Date PLUMBING (Permit),OK except #*s
er Htr.: V nt-Access-Combustion Air -Baffle
-T-es-t-&--A-nc-ho-r-N--a-il--P-r-o-t-e-c-ti-o-n -------------------------
---------- --- - ------------------------------
!�?.WW�V.: Test -Fittings & Anchor -Nail Protection
19. Sh r Pan. Test. First Floor -Tub Access
e.st- Tub -&-shower.- Second- Floor -Tub Access --------------------
21. Gas Pipe: Size &-Anchors ----------- - -- - ----------- 1. -
------ - -------------------------------------------------------------------------
Dat!5,.q,:-/ C rd El- 1 d
a Car B-1
---------------------
Date Card B-1 Date Card B-1
Date ELECTRICAL (Permit) OK except
22. Fi '0�i! & T stormer Clearance -ins. Protection
-1 -------------------------------------------------
les Spacing -Lights & Switches at Doors
--------------------------------------------------
24""Size Boxes & No. of Cond uctors- Stapled
-------------- i��x - -------------------------------- * ------------- --- --- --
-�nstalled Close to Edge of Studs & C.J.
-------------- ------------ --------------- ------------- ..........
uip. Ground made up w/Mech. Fastners-Bond Gas & Water
----------- e� ------------------------------------- ------- -------- ------- ---
27. 2 Appliance Circuts in Kitchen & Conductor S1ze,GFI
--------------------------------------------------------------------------------- --
28. Subfeed Wire Size ga. Cu or AI-A.C. Wire Size ga.
Cu or At
------------------------------------------ ------------------ --
29. Range Circ. / ! ga. Cu or Al -Oven Circ. Y / ga. Cu or Al.
Insulated Neutral 0 Yes 0 No
------------------------------------------------------------------------------- --
30. Service -Riser Concluclors & Ground -Main Disconnect
----------- ................... . ....... .......
31 Eq p. Clearances Panels- Motors- Mech. Equip.
-------------- ;�� ---- 61--1 .... * ------------------ ------- ------- --- -
I ot�es ose Light -Shower Lig ht S pa Lig ht
33. Smoke Detector
--------- . ............................. ------------ ---------------- --- --- --
---------- +---------- ................... ....... ....... . .... ..
.Dat!_5,,V-- Card B-1 Date Card.B-1
7,r
--- ....................... ......... I .......... ... . ..... ... . . ..
Date Card B-1 Date Card B-1
Date MECUA4RICAL(Permit) OK except P's
A.C. Ducts Insulation & Support
...................................... ... ... ...
&.�.ent Fan: Exhaust above insulation
-------------------------------------- ------- -- ---
36. Condensate Drain & Overflow: Size & Grade
------------- .. ... ....... .. .... .. ..... .. ..
37. Furnance-Vent: Access -Comb' Air -Return Air Vent -1 15 oullet
-------------------------
38 Attic Access & Platform it Furnance in Attic
--- ------- --- ---- I ...... .. .... ... ... ...
------ ------- ------- --- -- . ....... ..
Date Ca d
Date.,5,.,.f-j_& Card B-1. r B -I
Date Card B -I W,,J%j Date Card B-1
Date FRAMJ4'G,,(PIans) OK except 4's
....... ... ... *'0�Si.1,qo.00Prroper Material & Anchors
........ ... ...
...... ... tuds-Nailing. Spacing & Bracing- PIaI`cS-S01J nd
- --------------- ..... .
A�,f'B rn W Its o.ver Girders & Floor Nailing
a
- - ----- . ... . . .
5 S' walls (rat proof)
Sto in
Sic
WF: --.Slops: F red Ceihngs-Stairlc�0.1
440.0'Headers & Beam -Size & Bearing
Daie 54tAMING (Continued)
,,4&'O�'Ha__-rs-Post-Caps-Ancho,(s-Connectors
CIng. Joist-Rftr, ties- Pu rlin -roof Brac-Truss-Shthng.-Rfng.
_4�._ Fireplace Ties or Type A Flue -Fireplace Throat clearance
ttic Access: Size & Romex Protection - Draft Stop -ins. Baffles
m inr Exiting Doors -Sill Hgt. & Dimensions
3U.-Ca-r-ag-e-ri-re-P-roFection Framing
-------------- 51'. -Properly Line'hrewall & Openings
57--E7r-Uoi5F9-" T -Check Garage -3rd Story, 2 Exits
5 1 �.-S-taUrFV70TIt-I'Mad roorn-R ise- Run- Landing -Fire Protection
--------------
lywood on -Roof Overhang -Attic Vents -Rafter Outriggers
---------------
S1 a . ing eneer
S cc Mesh -Drip Screed -Fd. Vents-UnderfIr. Access
Glazing Area -Glass Protection- Skyl ights- Plastic
n evWalls: Nailing -Bolts-
----------- V5-��----
s u la
tge en I WAK-C Akf'Q
e s
QPl'nf-iltration-Walls-Windows
-------------
---------------------------------------------- ---
D a I !-!H ff5'(P- sinq -�: i P-7 Date Card B-1
Date,Xj:Z-9t, Card B-1 Date Card B-1
Date FINAL (Plans) OK except #'s
---&I-.�tep�s-Door & Sidelight Proteclion-Landings
Smoke.Detector
----------- ------------- -1 ------------------
,4a-F-w*Reee-**�nts-it�tearance-Comb. Air-Connector-
_ID,Garage: Above Floor-Ducts-Mech. Protection
--- ---- li; - --------------
r4
------ - edroo� iing
645. G R'l, & Bath Fixtures & Tub Access -Spa
...............
1,8��Elec. Trim & Subpanel: Breaker Sizes & Labels
---------------------------------
_LLSLa4r"-RaiIs-
--------------------------------- - ------
r"� ���arances-Hearth
.62-Z4ee-4autitts-�at Wood Panel, Int. & Ext.
---- ------- ------------------ - ---------- - -- ---
40.-*W.fTxt--&-A-ppIiance: Grnd.-Air Gap -Cooking Clearance
---------------
-i;41�u Oets- Receptacles at Kit. Counter
Swing -Land i ng -Close r
7j._A-C-P"ct7rr15jMge- Dam per
...... .......... I—- --------------------- - -------
�� ��rance-Comb. Air-Connector-P.R.V.
...... ....... >Qa!�g�:.,��ove Floo-r-Mech. Protection
Plb.. Elec. & Mech. Equip. Listed for Location
----------------------------------------
*---ttenTre-ce--ta-7R in Garage: (G.F.I.)-Romex Protection
p
------------------ ---------------------
7;.JID,s�- o5am-Looked in Attic 0 Yes
---------------------------------------
78.
-Post Caps
_�c�nstiru.ction ---------
9 �.6�
dn. Vents rawl Hole Door -Drainage & Wood -Earth
Clearance Looked under Floor 0 Yes
--- -I----- \ ---------------------------
80. Following instIcIA Drive 0 Yes 0 No: Walks 0 Yes 0 No:
P-Ianters 0 Yes - ---------
Slucc Br8w iuni
.. .. . ..... ....... -------
-w
:B:
1. uc r
� -1
-LA:it: D sconnect. Electrical. Plumbing
-87 1 C. In " �O scn
------------------------- -------
�;Ken is- A. b-ove Roof: PI bg. -Appl iance- Fireplace. -CI ea ra nce to
Openings
. . . ... ............. ................................ -------
ZAtkau�r�t sconnect. Electrical, Plumbing
I- * '' ''Pec - - --------------
J165 Exterior Trim: G.F.I. Receptac le-Unde rg round
------------------------------
6��816' Ventilation Throughout House
L,917 -'Glass lection-
A�crecpi,.ns !rom Previous Inspections
---------------------------
4eT6-r9'Tagged: Gas -Electric
.. . ... ....... -----------------------------------------
446=M4itA�vve-r-6onnecled-C/O to Grade -HD Approval
--- --------------------------------------------
li�
4�r.gy.60m. p liance Certificate -Other Certificates
----------------------------------------
- -------------------
Card B I Date Card B-1
-------------
Da e
D a e Card B-1 Date Card B-1
Date i1card B- I Date Card B-1
C.omments at I&': Chee-k
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COUNTY OF BUTTE
BUILDING DIVISION
DEPARTMENT OF DEVELOPMENT SERVICES
1469 Humboldt Road, Chico, CA � (916).891-2 751
.7 County Center Drive, Oroville, CA - (916) 538-7541
747 Elliott Road; Paradise, CA - (916) 872-6307
CORRECTION NOTICE
OWNER PERMIT NO.
A routine inspection indicates that the following violations of Butte County Ordinances exist at
the above address and should be corrected. Please notify this office when correction of work
is completed. If you have any questions pertaining to this matter, or need additional explanation,
ple;7ontact this office immediately.
I A '47
I (� 4, if -
z -
D a-te, Inspector.
REV 10/92
---.,-.---COUNTY OF BYWE--�
BUILDING DIVISION
DEPARTMENT OF DEVEL"6PMENT SERVICES
1469 Humboldt Road, Chico, CA - - (916) 891-2751
7 County Center Drive, Oroville, CA - (916) 538-7541
747 Elliott Road, Paradise, CA - (916) 872-6307
CORRECTION NOTICE
OWNER
PERMIT NO.
A routine inspection indicates that the following violations of Butte County Ordinances exist at
the above address and should be corrected. Please notify this office when correction of work
is completed. If you have any questions pertaining to this matter, or need additional explanation,
please contact this office immediately.
4o
Date 4f-�—�G—lnsp�ctor I(
REV 10/92
Insulation Certificate
BUILDING OWNER: P6tj BUILDING PERMIT4:
x
BUILDING LOCATION: Q q / Y � �-, n A So 1.
Description of Installation
ROOF -
Material
Thickness (inches)
CEILING
Brand Name
Thermal Resistance (R -Value)
Bau or Blanket Type c, 7-/ BrandName \jn�lir ffil-IA11r,11 , //!f—
Thickness (inches) Thermal Resistance (R -Value)
Loose Fill Type Brand Name
Contracta's minimum installed weight/e lb Minimum thickness inches
Manufacturer's installed weight per square foot to acheive Thermal Resistance (R -Value)
EXTERIOR WALL
Material &,4- BrandName JoLlf Ahtl /r -
Thickness (inches) Thermal Resistance (R -Value) / '7
RAISED FLOOR I
Material BrandName JQLZ
Thickness (inches) Thermal Resistance (R -Value)
SLAB FLOOR
Material Brand Name
Thickness (inches) Thermal Resistance (R -Value)
WidLh (inches)
FOUNDATION WALL
Mategial
ThjP)chess (inches)
Declaration
Brand Name
Thermal Resistance (R -Value)
I hereby certify that the above insulation was installed in the building at the above location in conformance with
the curT'e'rkE Building.Energy Efficiency Standards for new residential buildings contained in Title 24 of the
Califorru*4 Administrative Code.
ontractor Muilder) License Number
7 Signa=e and Tide Date
Sub -Contractor (InsulaLion Insufler) License Number
S ignature and Tide Date
TRIS -CERTIFICATE MUST -BE PROVIDED TO THE BUILDING DEPARIMNT PRIOR TO FINAL INSPECTION
APPROVAL AND A COPY SRALL BE POSTED WITHIN THE BUILDING.
JANUARY 1.993
"Z — 7�
COUNTY OF BUTTE -DEPARTMENT 00 DEVELOPMENT SERVICES -BUILDING DIVISION
7 County Center Drive - droville, California 95965 - Telephone (916) 538-7541 PERMIT NO.
APPLICATION AND PERMIT 9 6 - DQ _1___S 5
ASSESSOR PARCEL NUMBER 36-42-067
ZONING. A R
BUILDING PERMIT
OWNER
FAY WONG & CHING YOOK
TELEPHONE
533-1488
SO. FT. OCC. BUILDING VALUATION
468 R
25,272.00
OWNERS MAILING ADDRESS
2914 FOOTHILL BLVD OROVILLE
CONTRACTOR'S NAME
HARRELL cot WILSON
TELEPHONE
533-3994
CONTRACTORS MAILING ADDRESS
2059 144 LINCOLN ST OROVILLE
Fireplace
CONSTRUCTION LENDER
UNKNOWN
Total Valuation Is
Filing Fee
$ 20.00
LENDER'S MAILING ADDRESS
Permit Fee
$ 258.00
ARCHITECT OR ENGINEER
LICENSE NO.
Plan Checking Fee
$ 167 70
Energy Plan Checking Fee
$ 21-00
ARCHITECT OR ENGINEERS MAILING ADDRESS
Penalty
$
BUILDINGADDRESS 2914 FOOTHILL BLVD
PERMITFEE
$ 46 -7n
ORCIVILLE
PLUMBING PERMIT
Filing Fee 20.00
Each Trap
7.00
�Y_N_O.
SUBDIVISIONS NAME
I
IPARCEL MAP
Solar or heat pump water heater
23.00
Water piping
—
15.00
USEOFSTRUCTURE
SF & Duplex 0 Mobilehome 0 Other
SPECIFY
Each gas water heater or vent
15.00
Gas piping system I - 5 outlets
15.00
Building sewer
15.00 15 00
TYPE OF WORK
New 0 Addition OX Remodel 0 Utilibes 0 Installation 0 Other 0
?ezpe r0V,-.-7
Describe Work: +*MttY—R8(W1 AND 'RATTI,
Mobile Home -Ffl _GT7W
920.00
PERMITFEE
71 00
Contractor
ELECTRICAL PERMIT
Filina Fee 2 0.'0 0
Main Service a0000V OR LESS
2 A OR LESS
23.00
Main Service 200A TO 1000A
46.00
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter
9 (commencing with Section 7000) of Division 3 of the Business and Professions Code,
and my license full force and effect.
Lic. No.
License Class cyc (.!2 414.
OWNER -BUILDER DM-LA14A--?IbN
I hereby affirm under penalty of perjury that I am exempt from the Contractors License
Law for the following reason:
0 1, as owner of the property, or my employees with wages as their sole compensation,
will do the work, and the structure is not intended or offered for sale.
0 1, as owner of the property, am exclusively contracting with licensed contractors
to construct the project.
0 1 am exempt under Sec. Business and Professions Code for this
reason
NEW CONST. DWELLING OCCUR
OR ADONS. & ACC. BLDS.
so
3.50 Fr. i 6 8
NEW CONST. MULTI -OUTLET
NON-RESID. RANCH CIRCUITS
_3
97.50
POWER APPARATUS
& SINGLE OUTLET CIR.
Ex. Occup. ( OUTLET OR FIXTURES
20 @ 1.00
BAL 0 .50
( FIXED APPLNS. OR
Ex. Occup. UTLETS (RESID.) EA
5.00
Temporary Service
23.00
Mobile Home Facilities
20.00
Misc. Wiring
23.00
PERMITFEE
$ 36.38
Contractor
WORKERS' COMPENSATION DECLARATION
1 hereby affirm under penalty of perjury one of the following declarations:
0 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.
0 1 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
MECHANICAL PERMIT
Filing Fee 20.00
Heating EXTEND DUCT
15.00
Cooling
Hood
6.50
Ventilation
PERMITFEE
35.00
Contractor
Policy Number
(The above sections need not be completed if the permit is for work of a valuation
of one hundred dollars ($100) or less.)
I certify that in the performance of the work for which this permit is issued, I shall
not employ any person in any manner so as to become subject to workers"
compe ation laws of California, and agree that if I should become subject to the
worke coye,/ thic, Propvrisions of section 3700 of the Labor Code,
f h ith cc e ovisions.
m w�
IJA Date
X
Sign ture of Applicant 0 Owner Contractor 0 Agent
An OSHA permit is required for excavations over 60" deep and demolition or construction
of structures over 3 stories in height.
Mobile Home Installation Fee
Energy Inspection Fee Is 46.00
OCC
CONST. TYPE
I
TOTALFEE$ 657.08
HAZ.
I D. FE
1!� FLOOD
PARCEL
I PO I HDkISSU�l
V
This permit is hereby issued under the applicable provisions
of the Butte County Code and/or Resolutions to do work
indicatA above for hich fees have been paid.
By —Date
PERMITEXPIRESON 13411-17
I (Date)
ReceiptNo. 19ub:39
WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT
M
COUN
-Inr
SA
DF BUTTE - DEPARTMENA916EVELOPM ENT SERVICES - BUILDINC; DIVISION
6
COUNTY CENTER DRIVE - OROVILLE,'16AOF RNIA95965 -TELEPHONE (916) 538-7541
PERMIT APPLICATION DATA SHEET
le
OWNER 0 &,1 C
Proposed Building Use a
j v4 1' .0 A."
A. P. No. 3 & - L17- - 6 67
Building Inspector 1246. -Date
At time of permit application, I was advised the following data must be submitted prior to permit processing and/or issuance:
DATE RECEIVED BY
1 All items have been submitted . ........................................
2. Plot plans, 3/4 sets, signed by preparer of plans . ..........................
3. Complete plans, 3/4 sets sigjked by preparer of plans . ......................
N. 4. Engineered plans and caics(-W4 sets, with wet signature on plans . .............
Hazardous Material Form . ............................................
IN6. Energy Design Compliance and supporting documentation . ..................
-7. Statement of Intent for Non -Heated and A/C Buildings . ................ $ .......
tM 8. Engineered truss details and layout in duplicate (required prior to plan check) . .... J19194,
9. Mobilehome data and manufacturer's installation instructions, 2 sets . ......... \. . -
10. Fees of $ . ..........................................
11. Impact fees as shown on attached schedule.
12. Califo'Ha Department of Forestry plan approval�feesjOk4.
_,-i, - 13. F1' od elevation letter (100 year fl;o�d) by, Califorhia-Efigineer ...................
L4e-_14. Sanitation�and plot plan approva Vt Health Department .............
iy/
15. City of Chico plumbing permit . .........................................
16. Plot plan and business license approval from City of Biggs/Gridley . .............
N 17. Planning approval for (A) Use: (B) Parking:
18. Contact Land Development about (A)Improvements (B)Drainage ............
19. Driveway permit (construction approval required prior to occupancy) . ............
Irel"spectim requ-e-sf-
20. Pre -inspection for required. to Building Inspector (Date)
21. Contractor's license information. (No., Name Style, Classification) . ..............
22. Certificate of Workmans Compensation Insurance ..........................
23. Owner -Builder Verification (Given to owner _, Mail to owner ............
�4. Recorded copy of Agricultural Acknowledgement Statement . ..................
25. Letter of signature authorization . ........................................
26. Copy of recorded deed of parcel creation and 60 right of way to a public road ......
27. Letter of intent on building use . .........................................
28. Mobilehome utility clearance . ..........................................
29. Documentation of legal access . ..................... ; ..................
30. Documentation of 50% subdivision developed or (A) Road improvements completed
and (B) Parcel meets zoning area and frontage requirements . .........
31. Existing violations/expired permits . ......................................
32. Plan check list . .....................................................
33.
34.
When you issue th e cess as follows: Mail to owne(. Mail to contractor.
9 Deliver with inspector.
Telephon.5.3' 1440 and hold for pickup at _ 0/'D VI Office. -
Other 4Z ffj
Parcel Creation
Acreage Applicant Date
Copy of Haz-Mat form sent Health Dept. Fire Dept. _ Air Pollution Date
Copy of plans sent Health Dept. _ Fire Dept. Other Date Bj_
The following data must be submitted prior to permit issuance: (Circle new item not checke��ve).
1. Index permit for above items No.
2. Additional items required: c6a e,&nb-,
(-,A - , U, n Cq- Aaek-y,'h 1, 11 15 -1 3_� CV, f , ) i I
Contractor, designer, owner, was advised of above required data by _ phone mail Counter by _ Date
Contractor, designer, owner advised of above required data by _ phone .1 C er by,,, Date -
Plans checked by Date SL_d'?_ia Plans approved by.
Sets of plans on h6ld in File cabinet AP folder
Copy - Department of Public Works
n
Pka Phu AftcbM -
Flow Pbn Ami&W
S=z to B.D. —:�
TO: Building Department
FROM:. Environmental Health
SUBJECT: Sanitation Clearance
Fp, W CD 4/(;t - (9 17
Owner Location AP#
Plan Approved for: Sewage Disposal tx" Water Supply: Public Private Well
Clearance for Other —(� 3R. /4O(D/7-1 ON ,
Environmental
8/92
O.K. for:
Date
COUNTY OF. BUTTE
DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION
7 COUNTY CENTER DRIVE,' OROVII.LE CA 95965 TELEPHONE (916) 538-7541
OWNER - 1�a < 0 A.P.'. _;7
I/
PROPOSED BUILDING USE C F/0 DATE
DATE REC
REC.#
SCHOOL DISTRICT FEES OFOu
(paid at District Office)
'..2. SHERIFF FEES (paid at Building. Division)
Residential.. x
unit amt.
Commercial (sq.ft.). x =$
3. URBAN AREA FEES
(paid at Building Division)
Residential (per unit). x =$
#units amt..
Commercial (sq.ft.). x
sq.ft. amt.
4. RECREATION DISTRICT FEES
(paid, at District Office)
5. DRAINAGE DISTRICT'FEES
$400.00 (paid at Building Division)
SRA FIRE INSPECTION AND -PLAN CHECK
$89.00 (paid at Building Division)
7. WATER TENDER FEES
(BATTALION #
$200.00 (paid at Building Division)
8. CSA 87 TRAFFIC FEE
$2500.00 (paid at Building Division)
9. OTHER
At time of permit applica' I was advised the above fees are required to be paid prior to issuance of the
p erinit.
t7 -
A
APPLICANT
DATE
BUTTE COUNTY SCHOOLS IMPACT FEE CERTIFICATION FORM
(One Form N'r Building)
0( 0 U,
School District Building Department No.
A.P. Number Jurisdiction: City County
Property Owner Wo
Aj
Do K -
Property Location/Ad dress
9 Ll Fo o )7
v 4,
SlUbdivison
Lot No.
Residential Development
Sq. Footage 4V i�'Sy
No. of Living MHI
Addition
(Group R)
Units
Commercial/Industrial
Sq, Footage
New
Addition
(Including Exterior
Roofed Areas)
Building Department Represen�jl
ve
Date
(Floor Plans reviewed by School District Personnel),
District Identification No.
;;2 0 o P--
(94--c� Ul�
School District certifies that
0
0 k�,
annfinnntl 0/1
q -
(Street Address) (Phone Number)
(City) (State) (Zip Code)
has complied with the requirements of Resolution No. by payment of $
representing square feet. AB 2926 $
FULL MITIGATION $
Date
Paid by Check # Remarks:
Bank Number
Paid by Cash
If, subsequent to the School District Representative signing this Butt& County Schools Impact Fee
Certification Form, the School District is notified by the applicable Local Planning Agency that this project
is being reviewed under the California Environmental Quality Act (CEQA), this project may be subject to
additional school fees to fullv mitioate its imDact on the school district's schools.
White (applicant), Yellow (building department), Pink (schooldistrict) feeformmkl (11/94)dmm
.Point System Summary: Climate Zone I I
v,'Ve c;� 4tA2 I L
Project Two
7 eAXISAP
BUILDING DATA V
Conditipned,ftor Area Number of Stories
Sh-&Raised. Floor
Check -ill applicable Unit Type condition(s):
kKSingle Family Detached (SFD) [e�Wition Alone
Single Family Attached (SFA) Existing Building
Multi -Family (MF) Existing-Plus-Addifion
SCORECARD
Measures
P-213
I
1.
Fenestration
North
Area
%
<,-
East
R -value 1301
U -value J0.0261
South
Wall Insulation
/,4�
West
Skylight
Total
"wus, 10-001
3.
1.
Ceiling Insulation
150 —.
or
R -value 1301
U -value J0.0261
2-
Wall Insulation
/,4�
or
R-valua Ilig—
"wus, 10-001
3.
Raised Floor Insulation
145
or
R-va]W 1191
U -value 10.0371
4.
Slab Edge Insulation
4
f -//�
or
R-vwue 101
F2 factor 10.751
5.
Infiltration
Any Ducts In Unconditioned Space? Y
6.
Fenestration Heat Loss
06//�:s
o-111
Type
U -value 10.651 Total % Fines. li�j
Point Scores
7. Fenestration Heat Gain
% Fenestration SCshaft open Eff. % Fenes. Shade Eff. Ratio
North Sj t x !e2L 9 !3-5-1 jLe– - 0.
East 01 X 0 <� T -
South 1�z- X 7
West X -7,
Skylight. X
Overhangs? UY N ) 113�
8. Interior Thermal Mass or -
% Exp. gab 1201 Int Mass/CFA
9. Exterior Wall Mass A004--
ExL Wan WW
10. HeaUng System X �t
AFUEorHSi57F Duct Etfic. 11 story: Effective AFUE Zonal Cdni;@
V8% or 6.81 0.83; 2+ story: 0.88] HSPF Miusbr(ent 101
11. Cooling System — X — = (/7" --. - , �
SEER 110.01 Duct Effic : . Effective SEER Zonal COMM
0.81; 2+ stiolr;-:!0108;� Adjustment 101
12. Water Heating
System I ii
Heiater T Energy Factor Ut —Ins. R -value Auxiliary Input tls�tributi
�&jpe 10-631 1121 [Nang] ISTDI
System 2
Heater Type [None) Energy Factor Ext Inc R -value Auxiliary Input Distribution
Point Total.,
ran ReWised 3snuary iM Point Gow:
'41&- 1
Sum 1-6
z
Wim 7-9
-0-
M
.Jertificate of Compliance: Residential
(Page 1 of 2) . CF -1 R
14
Building Permit #
Plan Check/ Date
11,�vi) - Field Check / Date
Compliance Method (Package, Point System or Computer) Climate Zone Enforcement Agency Use Only
V Addition
Existing -Plus -Addition
3outh / West / All Orientations
n degrees and circle one.)
Floor (circle one or both)
Location/Comments
(attic, to garage, typic�. etc.)
)SW
GENERAL INFORMATION 9U
Total Conditioned Floor Area: Wjfi;� f t 2
Building Type: L.-� Single Family
(check one or more) Mufti -Family
Front Orientation: North / East
(Input orientation i
Number of Dwelling Units: ' —
Floor Construction Type: .. Sla���
BUILDING SHELL INSULATION -
Construction
Component Insulation Assembly
TVDe R -Value U -Value
Wall ..............
Wall ..............
Roof .............
Roof .............
Floor ............. /Z?
Floor .............
Slab Edge ....
FENESTRATION
Fenestration Area Fenestration Interior
Orientation (sf) U -Value (roller bi
Front ..... (h4
Front .....
Left ....... e-'
Left .......
Rear ..... 02
Rear ..... 14
Right ..... W
Right ..... ( )
Skylight .......
Skylight .......
THERMAL MAd
Shading Devices
Exterior
Overhang
Type/Covering ' Area Thickness
(slab/exposed, tile, etc.) (sf) (inches) Location/Description (kitchen, bath, etc.)
I
Revised December 1992
Framing Type
metal/wood/vin%
,"PERMIT NO. 4788-74B.P,
P
J,
E
M
IMH UTIL.
' �PERMIT NO.
EXPIRES
PWNER John Drake
CONTR. Holiday Pools, Chico
,.A. -
LOCATION (A.P. 36-42-62
12914 Foothil'l Blvd, 0 1 rovil2e
Temp. Power Pole
Called PG&E
Temp. Elec. Serv..
Called PG&E
Temp. Gas Serv.
Called PG&E
./10 B
FINALED ;!4
A �
(Signat,i/e)
I r
COUNTY OF BUTTE DEPARTMEK-T OF%PUBLIC WORKS
BUILDING INSPECTION, RECORD
BUILDING BUILDING (Cont'd) PLUMBING
Setback
Firewall
Soil Piping
Forms
Parapets
1st Floor
Main Bldg.
Restioom Finish
2nd Floor
Footings
Windows
3rd Floor
Stemwall
Siding
Topout
Slab
Roof Sheathing
Water Piping
Piers
Roofing
Sewer
Garage
Fdn. Vents
Fixtures
Footings
Garage Vents
Wa te r H tr.
Stemwa I I
Slab
Prov. for physically
handicapped
Heaters
Appliances
Carport
Footings
Conformance of ex.
structure
Gas Piping & Test
Temp. Gas
Slab
Final
Sanitation
Patio
FIREPLACE
Final
Footinas
Footing
ELECTRICAL
Masonry Walls
Throat
Reinf. Steelo��
Final
Bond Beam
FIRE SPRINKLEF
Framing
Test
Stucco
Final
Mesh
MECHANICAL
Scratch
Heating
Brown
Cooling
Finish
Ducts
Interior Lath
Ventilation
Door Closer
Final
DATE REMARKS OR CORRECTIONS -
Rough
Fixtures IL—
Motors
Water Htr.
Subpanels
Grd. Fault Prof.
Service
Temp. Pole
Underground
Permanent
Final
COUNTY OF BUTTE DEPARTMENT OF PUBLI R
CVr
7 County Center Drive — Orovi I le, California 95965
Telephone: 534-4541
APPLICATION AND PERMIT
authorize representatives ot the County of Butte to enter upon the
above-mentioned property for inspection purposes.
Date
4'��p
y
Si re of Permitee or rgent
Receipt No. 1.2 (a 6 7/
White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod-Applicont
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.
DIRECTOR.2eUBLIC WORKS
By A
Date
/I Wf
Building permit expires Date ............................................
BUILDING
Owner
SQ. FT. OCC. BUILDING VALUATION
Mailing Address
Telephone No.
Fireplace
Contractor 14 b14 ?oe)4.S
Total Valuation 576
Db
Mai I ing Address 1170 f 4E. 044SE41
Permit Fee
0 Z,
PlanChecking Fee&/orPenalty
C 0 9 5- T_:� (40
Telephone No.
ICI _S -84(4,e
Permit Fee
$
$
Building Address ?51/�/ FOOT/4/4t- tLub.
PLUMBING
No.1
@
FEE
PERMIT FILING FEE $2.00
_?,00
to 40 1/ 1 1, 1- ZZ
Each Trap 1.50
Repair drainage or vent piping
1.50
Water piping 1.50
/,0-0
Each gas water heater or vent 1.50
A. P. No.
Zoning & Planning
Gas piping system 1 - 5 outlets
1.50
/. 5_0
Each additional outlet .30
Fps
Sa 1 0
F ire Dept. I
FireZone
Use Permit
Building sewer 5.00
EQA
Parking
Plans
arcel
Declaration
Parcel Map
60' R/W
Improvements
Lawn sprinkler system 2.00
Bldg. 1144RslRiec'd
ParcetooApproval
PlankoApproval
Permit Fee
$
$
NEW S ADDITIONE] UTILITIESEJ OTHER
ELECTRICAL
No.1
@
FEE
I
PERMIT FILING FEE 1 $3.00
.1,00
Main service incl. 1 meter I
Additional meters,,,each
1.00
Single Familys Duplex Mobil Home Others
Sub -panel (12 od4ress) (more than 12)
Range, Cook -top or Oven 1.00
Water Heater or Space Heater
1.00
1 2 25
Light fixtures ba](610
Receps., switches & fix 4utlets 2UIM
CONTRACTORS LICENSE LAW
I am licensed under the provisions of Chapter 9, Div. 3, of the
State of California Business & Professions Code under the name
style of,
40-00-1
Hood, Ex. Fan or F.A. Furn. Motor
1.00
Evap. cooler, gar. disp. or D.W. 1.00
Air conditioner or heat pump
Water pumpP, I yn 114P 1
41.00
Mobil Home FacilitiiErs 5.00
Temp. Power Pole 5.00
License No..20�? ?0?;2 Classification
Misc. wiring
I amexempt from the Contractors License Lawsof theStateof California.
Permit Fee
$
a
$
WORKMEN'S COMPENSATION INSURANCE
1 am aware of the provisions of Section3700 of the California Labor
Code which requires every employer to be insured against liability
for Workmen's Compensation.
I have placed on file with the County of Butte a certificate of
Workmen's Compensation Insurance.
certify that in the performance of the work for which this
plermit 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
TOTAL PERMIT FEE
authorize representatives ot the County of Butte to enter upon the
above-mentioned property for inspection purposes.
Date
4'��p
y
Si re of Permitee or rgent
Receipt No. 1.2 (a 6 7/
White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod-Applicont
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.
DIRECTOR.2eUBLIC WORKS
By A
Date
/I Wf
Building permit expires Date ............................................
"PERMIT NO.
P
E
M
MH UTIL.
PERMIT NO.
PERMIT EXPIRES. �2!01
Ohn Drake
..,OWNER
'CONTR. North State Aluminum, Chico
-,:'LOCATION (A.P. 36-42-67�
2914 Foothill Blvd,et Oroville
4
Temp. Power Pole
tailed PG&E
Temp. Elec. Serv.
Called PG&E.
Temp. Gas Serv.
Called PG&E
JOB
FINAILED
(Date�
(Signature)
DATE REMARKS OR CORRECTIONS
COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS
BUILDING INSPECTION RECORD
BUILDING BUILDING (Cont'd)
PLUMBING
Setback
Firewall
Soil Piping
Forms
Parapets
1st Floor
Main Bldg.
Restroom Finish
2nd Floor
Footings
Windows
3rd Floor
Stemwall
Siding
Topout
Slab
Roof Sheathing
Water Piping
Piers
Roofing
Sewer
Garage
Fdn. Vents
Fixtures
Footings
Garage Vents
Water Htr.
Stemwa I I
Slab
Prov. for physically
handicapped
Heaters
Appliances'
Carport
Footings
Conformance of ex.
structure
Gas Piping &'Test
;7 Temp. Gas
Slab
Final 1--2
sanitation
Patio
FIREPLACE
Final
Footings
Footing
ELECTRICAL
Masonry Walls
Throat
Rouqh
Reinf. Steel
Final
Fixtures
Bond Beam
FIRE SPRINKLERS
Motors
Framing
Test
Water Htr.
Stucco
Final
Subpanels
Mesh
MECHANICAL
Grd. Fault Prot.
Scratch
Heating
Service
Brown
Cooling
Temp. Pole
Finish
Ducts
Underground
Interior Lath
Ventilation
Permanent
Door Closer
Final
Final
DATE REMARKS OR CORRECTIONS
COUNTY OF BUTTE — DEPARTMENT OF PU`BLIC W
7 County Center Driye — 0roville, California 95965
Telephone: 534-4541
APPLICATION AND PERMIT
autnorize representatives oT tne uounty OT t3utte to enter upon trie
above-mentioned property for inspection purposes.
Date
Signature of Permitee gent
Receipt No.
White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod-Appli cant
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.
DIRECTOR OFIPUBLIC WORKS
By Date&L— J_ -_7
92
Building permit expires Date ................ ........................
BUILDING
Owner 'Im62V
SO. FT. OCC. BUILDING VALUATION
Mailing Address
ITelephoneNo.
Fireplace
ContractoA4422-z-
Total Valuation
Mai I ing Address 3w Ze"
Permit Fee
PlanChecking Fee&/orPenalty
Telephone No.
Pe rmit Fee
Building Address
PLUMBING
No.
@ FEE
PERMIT FILING FEE $2.00
Each Trap 1.50
Repair drainage or vent piping
1.50
Water piping 1.50
Each gas water heater or vent 1.50
A. P. No.
Zoning & Planning
Gas piping system 1 - 5 outlets
1.50
Each additional outlet .30
F oervl
SaAQk +-I
Fire Dept.
Fir
Use Permit
Building sewer 5.00
EQA
I Parking
Plans
Pircel
I Declaration
I Parcel Map
60' R/W
I Improvements
-Lawn sprinkler system 2.00
Bldg. Plans Rec'd
Parce KApproval
k.ns Approval
Permit Fee
$
NEW ADDITION 2111�_ UTILITIES OTHER
ELECTRICAL
No.
@ FEE
PERMIT FILING FEE $3.00
loo
Main service incl. 1 meter
Additional meters, each
1.00
Sub -panel (12 or less) (morethonl2)
Single Family JEJ�' Duplex E] Mobi I Home Others
Range, Cook -top or Oven 1.00
Water Heater or Space Heater
1.00
Light fixtures %15
bal 0
Receps., switches & fix outlets AMi
CONTRACTORS LICENSE LAW
I am licensed under the provisions of Chapter 9, Div. 3, of the
State of California Business & Professions Code under the name
style of:
A,4�,eww3r,nio5�,e—
Hood, Ex. Fan or F.A. Furn. Motor
1.00
Evap. cooler, gar. disp. or D.W. 1.00
Air conditioner or heat pump
Water pump
Mobil Home Facilities 5.00
3v2l- -
Temp. Power Pole 5.00
License No..;?2!;,/—," Classification A-1 Z
Misc. wiring
EJ I amexempt from theContractors License Lawsof theStateof California.
Permit Fee
$
WORKMEN'S COMPENSATION INSURANCE
1 am aware of the provisions of Section3700 of the California Labor
Code whic��Pres every employer to be insured against liability
for Wor n's Compensation.
have placed on file with the County of Butte a certificate of
Workmen's Compensation Insurance.
-1 r ple certify that in the performance of the work for which this
rmit 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. 0
Permit Fee $
$
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
TOTAL PERMIT FEE i$
autnorize representatives oT tne uounty OT t3utte to enter upon trie
above-mentioned property for inspection purposes.
Date
Signature of Permitee gent
Receipt No.
White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod-Appli cant
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.
DIRECTOR OFIPUBLIC WORKS
By Date&L— J_ -_7
92
Building permit expires Date ................ ........................
pf
�iPERMIT NO. 5807-75B
I
P
E
M
MH UTIL.
PERMIT NO.
PERMIT EXPIRES ZZZW7('-'
1,bWNER john W. Drake
�CONTR. owner
A LOCATION (A.P -42-67
36
��2914 Foothill Blvd., oroville
Temp. Power Pole
Called PG&E -
Temp�'Ele,. S,r'v.-
/Called PG&E
emp. Gas Serv.
C
Called PG&E
JOB
FINALED /g—
(Date)
/n, / -
(Signatu�e)'-
DATE --REMARKS OR CORRECTIONS
2- - 7(�
h e
COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS
BUILDING INSPECTION RECORD
BUILDING BUILDING (Cont'd)
PLUMBING
Setback
Firewall
Soil Piping
Forms
Parapets
Ist Floor
Main Bldg.
Restroom Finish
2nd Floor
Footings
Windows
3rd Floor
Stemwall
Sidina
Topout
Slab
Roof Sheathing
Water Piping
Piers
Roofing
Sewer
Gara�ge
Fdn. Vents
Fixtures
Footings
Garage Vents
Water Htr.
Stemwa I I
Slab
Pr'ov. for physically
handicapped
Heaters
-Appliances
Carport
Footings
Conformance of ex.
structure
Gas Piping & Test
Temp. Gas
Slab
Final
Sanitation
Patio
FIREPLACE
Final
Footings
Footing
ELECTRICAL
Masonry Walls
Throat
Rough
Reinf. Steel
Final
Fixtures
Bond Beam
FIRE SPRINKLERS
Motors
Framing
Test
Water Htr.
Stucco
Final
Subpanels
Mesh
MECHANICAL
Grd. Fault Prot.
Scratch
Heating
Service
Brown
Cooling
Temp. Pole
Finish
Ducts
Underground
Interior Lath
Ventilation
Permanent
Door Closer
Final.
Final
DATE --REMARKS OR CORRECTIONS
2- - 7(�
h e
j�
,2
COUNTY OF BUTTE — tEPAZITMENT OF PUBLIC WORKS 0 7-75-
7 County Center Drive - Oroville, California 95965 5 61,,",
Telephone: 534-4541 4 �
APPLICATION ANb PERMIT e 5�
- -7 2'K 'r'�� Date /1-14- ZJ
Receipt No.
White-D.P.W. - Yellow -Assessor - Pink -inspector - Goldenrod-Appli cant �W//uilding permit expires Date
1 V
BUILDI9Gg ' -
Owner
14 X0, IJV, -7 k -e—
Mai I ing Address Z 9� Z,
SQ. F T. OSC..- _. BUILDING VALL 4TION
5 J 0
40eZ96Z,L,
FTel.phone No.
Fireplace
Contractor A6P
Total Valuation
Mai I ing Address
Permit Fee
PlanChecking Fee&/orPenalty
Telephone No.
Permit Fee $
Building Address Z Zl-lflll( I
PLUMBING No. @ FEE
PERMIT FILING FEE $3.00
&2
Each Trap 1.50
Repair drainage or vent piping 1.50
Water piping 1.50
Each gas water heater or vent 1.50
A. P. 4G
Zoning & Planning
Gas piping system 1 - 5 outlets 1.50
Each additional outlet .30
FSes
SV
Fi re Dept. re
I Fi ' Zone]
Use Permit
Building sewer 5.00
EQA
Parkin-gT---Parcel
Plans
I Declaration
I Parcel Map
"e
60' R/W
I Improv 2 ents
Lawn sprinkler system 2.00
Bldg. Plor(sCecd
P a r c e I A`p`p`rro v a I
P I a n s"A`p'p r a v a I
Permit Fee $
1$
NEW ADDIT107NW UTILITIES OTHER E]
A .
ELECTRICAL No. @ FEE
PERMIT FILING F EE $3.00
tZ -
1V142 4Z6 ez ko'
Main service incl. 1 meter
Additional meters, each 1.00
Sub -panel (12 or less) (more than 12)
Single Family Duplex 1:1 Mobil Home 1:1 OthersEl
Range, Cook -top or Oven 1.00
Water Heater or Space Heater 1.00
20,12
Light fixtures lbo 11)
Receps.-, swi tches & f i x outl ets M
CONTRACTORS LICENSE LAW
I am licensed under the provisions of Chapter 9, Div. 3, of the
State of California Business & Professions Code under the name
style of:
Hood, Ex. Fan or F. A. Furn. Motor 11.00
Evap. cooler, gar. disp. or D.W. 1.00
Air conditioner or heat pump
Water pump
Mobil Home Facilities 5.00
Temp. Power Pole 5.00
License No. Classification
Misc. wiring
I am xernpt from the Contractors License Laws of the State of California.
Permit 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.
EJI have placed on file with the County of Butte a certificate of
Workmen's Compensation Insurance.
I certify that in the performance of the work for which this
-7- 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 $
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 County of Butte to enter upon the
above-mentioned property for inspection purposes.
4,-Z :;,- 5 —]
te '17'
TOTAL PERMIT FEE
$
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.
DIRECTOR 0 UBLIC WORKS
_--, (r�
- -7 2'K 'r'�� Date /1-14- ZJ
Receipt No.
White-D.P.W. - Yellow -Assessor - Pink -inspector - Goldenrod-Appli cant �W//uilding permit expires Date
1 V
JOHN W. DRA'KE
REAETOR
P.O. BOX 1976
2914 FOOTHILL BOULEVARD OROVILLE. CALIFORNIA 95965
November 12, 1975
Butte County Public Works
Oroville, Calif.
To Whom It May Concern:
PHONE 533-9064
0
We are sending Mr. Harry Haugen in oug place to file for a permit
for an addition to our home at: 2914 Foothill Blvd., Oroville.
Thank you,
Marjorie 0. Drake
2
5527-79B,P.E.M
PERMIT NO.
PERMIT EXPIRES
(.:.:bWNER John Drake
owner,
CONTR.
36-42-67
LOCATION (A.P.
2914 Foothill Blvd., Oroville
Temp. Power Pole
Called PG&E
Temp. Elejc/.§erv. PC) 7A
CalledPG&E
Temp as Serv.
051led PG&E
J B
INALED-
(Date)
(Signater-e)
RESIDENTIAL
ENERGY CONSERVATION S
CONSTRUCTION COMPLIANCE CERTIFICA
THIS IS TO CERTIFY THAT ENERGY C
INSTALLED IN CONFORkA.NCE.WITH CU
AT 2_e? /,V
(location)
BUILDING PERMIT NO. ��27::_Z
THE FOLLOWING HAVE BEEN
ATION REQUIREMENTS HAVE BEEN
P��%GY COJSERVATION REGULATIONS
A-�P.
AS,PER APPROVED PLANS:
(C4eck each item or write,N/A if not applicable)
INSULATION:
Slab Edge.
Fdn. Walls
Floors
Walls
Ceiling./Roof ljl�lq
Ducts —
Circulating Pipe.s
APPROVED HEATER
APPROVED WTR.HTR.
GLAZING:
Single Glazed
-Special (Insulated)
CERT. & LABELED WDS.
& SLibING DRS.
WEATHERSTRIPPED DRS.
BACK DAMPERED FANS
INTERMITTENT IGNITION DEVICES_,aa,,M.,,,
CERT. APPLIANCES
I DECLARE THAT ALL REQUIRED ITEMS AS NOTED ABOVE HAVE BEEN INSTALLED
IN ACCORDANCE WITH THE ENERGY CONSERVATION REQUIREMENTS AND AGREE TO
THE COMPLETENESS OF THIS CERTIFICATE AS SUBMITTED.
Insulation Applicator Name
Signature of (please print)
Insulation Applicator
State Contractors
License No.
General Contractor/Owner Name V, E
lease print)
Signature of
General Contractor/Owner nQj..j Date
State Contractors
U License No.
I
THIS CERTIFICATE MUST BE ON FILE WITH THE BUILDING DEPARTMENT PRIOR TO
REQUESTING FINAL INSPECTION AND SHALL BE POSTED IN A CONSPICUOUS LOCATION
WITHIN THE DWELLING.
COUNTY OF BUTTE DEPARTIVILN'T O'F PUBLIC WORKS
BUILDING INSPECTION RECORD
BUILDING
BUILDING (Cont'd)
MECHANICAL
)LUMBING
Setback
Firewall c--4�
Soil Piping
Service
Forms
Parapets
1st Floor
Temp. Pole
Main Bldg.
Restroom Finish
2nd Floor
Underground
Footings
Windows
3rd Floor
anep!:)
Stemwa I I
Siding
Topout
yl�5
Slab V
Roof Sheathing 9,:�
Water Piping,-'1,52�
Fier Ped -gra,
Piers
Roofing 7, "q
Sewer G��
15?2�,94Z
Garage
Fdn. Vents"'
Fixtures
2--,V-k-0
Footings
Stemwa I I
Garage Vents
Insulation %4::!S 2 "3 - 0
Water Htr.
Heaters
Gas Piping
Slab
Carport
Footings
Prov. for p sically
handicappe�
Conformance of ex
st rR.
Appliances
Gas Piping & Test
Temp. Gas
Slab
qinaVC,4-5
Sse�non
Patio
FIREPLACE
A-nilj
Footings
Footing
ELECTRICAL
Masonry Walls
Throat
Rouah
42,Y 2 2!
Reinf. Steel
Final
Fixtures
Bond !�=
RRE SPRINKLERS
Motors
Framin
Test
Water Htr.
-2-
Stucco
Final
Subpanels
Mesh
MECHANICAL
Grd. Fault Prot:"' -
Scratch
Heating
�;2 2Z2
Service
Brown X/1"
Cooling
Temp. Pole
Finish /
Ducts
Underground
Interior Lath
Ventlla0o�n
anep!:)
Door Closer
a� aiz—�
I—,
yl�5
MOBILEHOi�E UTILITIES ------------------
Elec. Service
Fier Ped -gra,
Water Piping
Sewer
Gas Piping
N121316EUS2ME INSTALLATION --------------
Support
Elec. Continuity
Water Piping
Drainage
Gas Piping
DATE
REMARKS OR CORRECTIONS
12 /2-
0,
(NOTE: An entry must be made on this form each time you visit the job site.)
COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS
7 County Center Drive - Oroville, California 95965
Telephone: 534-4541
APPLICATION AND PERMIT
authorize representatives -of the Count7y of Butte to enter upon the -
above -mentioned property for inspection purposes.
X —A 0 , - Date
S�i_�ture of Permitee or Agent
C7 0
ReceiptU. `7 45--
White-D.P.W. - Yellow-w._5sor - Pink -inspector - Goldenrod-Appli cant
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.
DIRECTOR OFPUBLIC WORKS
By— Date T-1 7-7f
,?7
Building permit expires Dat
BUILDING
Owner
SQ. F T. OCC. I BUILDING V)*L-6ATl6<
qxo _T_
Mailinggdress
I
Te phone No
-:T 3
Contractor A Z:2
Mai I ing Address
Fireplace
Total Valuation golu
Telephone No.
Permit Fee
Building Address
Plan Checking Fee &/or Penalty
Permit Fee $ 0- F
PLUMBING No.1 @ FEE
PERMIT FILING FEE $3.00
Each TraD 1.50
Repair drainage or vent piping 1.50
A. P. No. 2--c-Co 7
oning & Planning
Water piping 1.50
Each gas water heater or vent 1.50
F64
4,�,LSa��7on I Fi re Dept.
Fi re Zone
Use Permit
Gas piping system 1 - 5 outlets 1.50
EQA
Parking
Plans
0-a—rcel on
LDeciarati
I Parcel Map
60' R/W
I Improvements
Each additional outlet .30
Building sewer 5.00
B I d g. Rg_��
ns Rec'd
Parcel /pproval
Plans Approval
Lawn sprinkler system 2 .00
NEW ADDITION UTILITIESE] OTHER E]
Permit Fee $
ELECTRICAL No.1 @ FEE
PERMIT FILING FEE $3.00
600V OR LESS
Main service 100 AMP OR L =SS 5.00
r
Single Family Duplex Mobil Home Others
Main service EA. ADD -L 100 AMP 2.50
J,24
OVER 600V
Main service 100 AMP OR LESS 25.00
Main service EA. ADD -L 100 AMP 1.00
NEW CONST. ( DWELLING OWgPIOSI :20sq ft T.,
OR ADDNS. ACC.BLDGS.
CONTRACTORS LICENSE LAW
I am licensed under the provisions of Chapter 9, Div. 3, of the
State of California Business & Professions Code under the name
style of:
NEW CONSTR. (MULTCIOUTE:ET
NON-RESID, RAN . C RCUITS)_12.50ea
NEW.CONSTR. ( POWER APPARATUS.&
NON RESID. SINGLE OUTLET CIR J
@
Ex. OCCUD(OUTLETS OR FIXTIIRES 1 50 250
BAL@100
FIXED APPLNS. OR %
Ex. Occup. (OUTLETS JRESID.) EAJ 2.00
Temporary service 10.00
Mobile Home Facilities 15.00
License No. Classification
Misc. Wiring 6.25
___r_ I
=Yl am exempt from the Contractors License Laws of the State of California.
Permit Fee $
47.::J( -
MECHANICAL N0.1 R FEE
WORKMEN'S COMPENSATION INSURANCE
I am aware of the provisions ot Section3700 of the California Labor
Code which requires every employer to be insured against liability
for Workmen's Compensation.
I have placed on file with the County of Butte a certificate of
Workmen's Compensation Insurance.
permit is issued I shall not employ any person in any manner
so�I certify that in the performance of the work for which this
s to become subject to the Workmen's Compensation Laws of
California.
PERMIT FILING FEE $3.00,-3, gg C).
Heating 0 0".00
/J(ALo 10A-r_�
Cooling &,_ --> -[— C. 0C
4,
Ventilation
Hood 2.00
Fee $
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 relatina to buildina construction. and herebv
-Permit
Land Development Fee
TOTAL PERMIT FEE
authorize representatives -of the Count7y of Butte to enter upon the -
above -mentioned property for inspection purposes.
X —A 0 , - Date
S�i_�ture of Permitee or Agent
C7 0
ReceiptU. `7 45--
White-D.P.W. - Yellow-w._5sor - Pink -inspector - Goldenrod-Appli cant
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.
DIRECTOR OFPUBLIC WORKS
By— Date T-1 7-7f
,?7
Building permit expires Dat
COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS
7 County Center Drive - Oroville, California 95965
Telephone: 534-4541
APPLICATION AND PERMIT
r
BUILDING
Owner
SQ. F T. OCC. BUILDING VALUATION
Mailing Address /5r 7g�
TT431
I ephon e No
TL
5 -SA
Contractor 0
LYW
Mai I ing Address
Fireplace
Total Valuation
Telephone No.
Permit Fee
Building Address
PlanChecking Fee&/orPenalty
Permit Fee $
PLUMBING No. @ FEE
PERMIT FILING FEE $3.00
Each TraD 1.50
Repair drainage or vent piping 1.50
A. P. No. -3(,, &7
life—
Zoning & Planning
Water piping 1.50
Each gas water heater or vent 1.50
Fees I
wc�san
n
ire �ept.
Fir Zone
Use Permit
Gas piping system 1 - 5 outlets 1.50
EQA
P irking
Plans
Parcel
I Declaration
Parcel M ap
60' R/W I
Improvements
Each additional outlet .30
Building sewer 5.00
13Id,Pr.-.`Sr._.-d' [:
=Prel ApprovolT
Plans Approval
Lawn sprinkler system 2.00
NEW ADDITION UTILITIES OTHER
Permit Fee $ J$
No. @ F
ELECTRICAL EE
PERMIT FILING FEE $3.00
600V OR LESS
main service 100 AMP OR L ESS 5.00
Single Family Duplex Mobi I Home OthersEl
Main service EA. ADDIL 100 AMP 2.50
Main service OVER 600V
100 AMP OR LESS 25.00,
Main service EA. ADD -L 100 AMP 1.00
NEW CONST. ( DWELLING OCCUP. 51)
OR ADDNS. ACC.BLDGS. 120sqftr!
CONTRACTORS LICENSE LAW
I am licensed under the provisions of Chapter 9, Div. 3, of the
State of California Business & Professions Code under the name
style of:
NEW CONSTR. [MULTI -OUTLET
I BRANCH CIRCUITS) 12.50eal
..NON.RESID,
NEW_CONSTPL (POWER APPARATUS b)
NON RESID. SINGLE OUTLET CIR. I I
Exi Occuo(OUTLETS OR FIXTIIRES) 5BOA@L @2514t
W
FIXED APPLNS. OR
Ex. OCCUP- (OUTLETS (RESID.) EA) 2.00
Temporary service 10.00
Mobile Home Facilities, 15.00
License No. Classification
Ile
Misc. Wiringv`47_]Z��
I am exempt from the Contractors License Laws of the State of California.
Permit Fee $ 16-75
7,!5
MECHANICAL N0.1 @ I FEE
WORKMEN'S COMPENSATION INSURANCE
1 am aware of the provisions ot Section3700 of the California Labor
Code which requires every employer to be insured against liability
for Workmen's Compensation.
F1 I have placed on file with the County of Butte*a certificate of
Workmen's Compensation Insurance.
I certify that in the performance of the work for which this
permit is issued I shall not employ any person in any manner
so as to become subject to the Workmen's Compensation Laws of
California.
PERMIT FILING FEE $3.00
Heating
Cooling
Venti lation
Hood 2.00
Permit Fee $
$
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 relatina to buildinq construction, and hereby
Land Development Fee
$
TOTAL PERMIT FEE
$
authorize represe atives of the CountyV Butte to enter upon the
ne ect on urpI
1z D ate
above-mentioned roperty for inspection urposes.
X 1164—
ign atue oiPe,. qtegre
Re('c-Zipt tN' o.
Wkite-D.P.W. - Yellow -Assessor - Pink -inspector - Goldenrod-Appli cant
This per it is hereby issued under the applicable provisions of
th�e �B11eCounty Code and/or resolutions to do work indicated
fo
a fo which fees have been paid.
/1 _dR_EdTJdR OF PUBLIC WORKS
L_ %_�
Building permit expires Date
Date/4--31-7,9
Fl,
Ile
9/1
COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS
7 County Center Drive - Oroville, �aliforNa 95965 - Telephone 916/534-4541
APPLICATION AND PERMIT
PERMIT NO.
J
ASSCOR,7ARCEL. NUMBER
ZONI
BUILDING PERMIT
Ow P/V / L) k-
TELEPHONE
SQ.FT. OCC. BUILDING VALUATION
OWNER'S MAILING ADDRESS
CONTRACTOR'SNAME
V /L/ ^','s
Ml�� �� � I il
TELEPHONE
14-71
CONTRACTOR'S MAILING A
s -7t
6P (1
e.A�i UCTION LENDER ________TNKNOWN
Fireplace
Total Valuation $
LENDER'S MAILING ADDRESS
Permit Fee
$
ARCHITECT OR ENGINEER
SE NO.
Plan Checking Fee
$
Penalty
$
ARCHITECT OR ENGINitER'S MAILING ADDRESS
Permit fee
$
BUILI�,VNG ADDRE*5,
2 L/ noo -/ H /I- L/
PLUMBING PERMIT
Fi ling Fee 3.00
Each Trap
2.00
Repair drainage or vent piping
2.00
Water piping
LOT NO.
UBDIVISION NAME
is
PARCEL MAP
Each qas water heater or vent
2.00
Gas piping system 1 - 5 outlets
USE OF STRUCTURE
S F [::] DuplexFj MobilehomeF� Other
SPECIFY
Building sewer
—
Lawn sprinkler system
2.00
I
I I
TYPE OF WORK
NewEJ Addition [I R emode I [-] Utilities [:1 Instal lationEl Other
Describe work: C,-) 7-1k, Cf
SY':s
Permit Fee
$
Contractor
ELECTRICAL PERMIT
Filing Fee ADOO
main service 610V OR LESS
100 AMP OR LESS
5.00
Main service EA. ADD -L 100 AMP
2.50
NEW CONST. ( DWELLING OCC up.�')
OR ADDNS. ACC. BLCGS.
20 sq ft
CONTRACTORS LICENSE LAW
I de ]a under penalty of perjury (check one):
I am licensed under provisions of Chapt. 9, Div. 3 of the Business
and Profess* I &oe and my license is in full force and effe t
License No. IS t Classification 13
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. (See. 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 ULT. -OUTLET
N N.RES'.. (M
0 R ANCH CIRCUITS)
2.50 ea
NEW CONSTR. I POWER APPARATUS &I
NON-RESID. %SINGLE OUTLET CIR. I
Ex. Occup(OUTLETS OR FIXTURES 50 @ 25e
BAL@10T
FIXED APPLNS. OR
Ex. Occup.(OUTLETS (RESID.) EA.) 2.00
Temporary service 10.00
Mobile Home Facilities 15.00
Misc. Wiring )W 4- 4V'&4 6-25- 7.5-0
1
Permit Fee $ 7F. -5 _0
Contractor
MECHANICAL PERMIT
FilingFee /0.00
WORKMEN'S COMPENSATION INSURANCE
I declare under penalty of perjury (check one):
F-] The permit is for $100.00 (valuation) or less.
E] I have placed on file with the County of Butte Building Department
a Certificate of Workmen's Compensation Insurance or a Certificate
/0 f Consent to Self -Insure.
0 1 shal I 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
Cool ing
—
Hood
2.00
Ventilation
1
57 C 1- .11
—
7
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 County ot
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 Is * C fty in co�sequence of the granting of this permit.
a)
X -J!�'4 Date /4�) 7
Signature of Applicant Owner ContractorE] Agent E]
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 $
Land Development Fee $
TOTAL PERMIT FEE $ ov
occUP. GROUP
I TYPE OF CONST.
IPARCELI
PD
I No
I ISSUE
This permit is hereby issued under
sions -of the Butte County Code and/or
work i,bdicated above for which
/,bi ECTOR OF PUBLIC
I
By d�=
PERMIT EXPIRES Date
the applicable provi-
resolutions to do
fees have been paid.
WORKS
Date
Receipt NO. 4 U ( )&-7
WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR. GOLDENROD-APPL I CANT
COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS P
7 County Center Drive - Oroville California 95965 - Telephone 916/534 Y
1. 101
APPLICATION AND PERMIT
AMOR*
4ARCEL NUMBER
67
ZON G
a
BUILDING PERMIT
OWZYoil,
-W b
TELEPHONE
SQ.FT. OCC. BUILDING VALUATION
OWNER'S MAILING ADDRESS
OR
;WT RjA;C�T V hii�7 E So I e
ITELEPHONE
6 //— 0446
CONTRACTOR'S MAILING AII.RESb,,,/, �,61,gI4 (�17y P, —
, a
CONSTRUCTION LENDER
elkl&,Ay� . I
UNKNOWN
Fireplace
Total Valuation is
—
LENDER'S MAILING ADDRESS
Permit Fee
$
ARCHITECT OR ENGINEER
LICENSE NO.
Plan Checking Fee
$
Penalty
$
ARCHITECT OR ENGINE ER'S MAILING ADDRESS
Permit fee
$
B�N�,rDR A007-HIUL ELVD&
PLUMBING PERMIT
FilingFee 3.00
Each Trap
2.00
Repair drainage or vent piping
2.00
(9
Water piping
LOT NO. J
SUBDIVISION NAME
ARCEL MAP
1P
Each qas water heater or vent
2.00
Gas piping system 1 - 5 outlets
USE OF STRUCTURE
SF[:] Duplexn Mobile'home[_1 Other S*-k11A4M1A14 Poo t-
SPECIFY
Building sewer
Lawn sprinkler system
_+i__00
TYPE OF WORK
New n Addition [:] Remode I [:] Utilities [:1 InstallationD Other
Describe work: Soe-n-Z
16 YS TL" F-0 Poot-
Permit Fee
$
ontractor
ELECTRICAL PERMIT
FilingFee /000
Main service 600V OR LESS
100 AMP OR LESS
5.00
Main service EA. ADD -L 100 AMP
2.50
NEW CONST. ( DWELLING OCCUP.&)
OR ADDNS. ACC.BLOGS.
20 sq ft
CONTRACTORS LICENSE LAW
I de I under penalty of perjury (check one):
I am licensed under provisions of Chapt. 9, Div. 3 of the Business
and Professij§.to e and my license is in full force and effe t
Z— 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)
1, 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. ( MULTI -OUTLET —
NON RESID. BRANCH CI "C' ITS) 2.50 ea
NEW CONSTR. I POWER AP PARATUS &)
NON-RESID. %SINGLE OUTLET CIR.
Ex. OCCUP(OUTLETS OR FIXTURES 50 @ 25C
BAL@10C
IFIXED APPLNS- OR
Ex. OCCUP-kOUTLETS (RESI'D.) EA.) 2.00
Temporary service 10.00
Mobile Home Facilities
15.00
Misc. Wiring ;*ZL- I.V?n-tz -7-5V
Permit Fee
$ /7-5-0
Contractor
MECHANICAL PERMIT
Fi I ing Fee 40.00
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
f Consent to Self -insure.
I shal I 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
2.00
Venti lation
Permit Fee
$ 7� -50
Contractor
I certify that I have read this application and state that the above information
is correct. I agree to comply to all County Ordinances and State Laws relating
to building construction, and hereby authorize representatives of the Countyot
Butte to enter upon the above-mentioned property for inspection purposes.
1 also agree to save, indemnify and keep harmless the County of Butte against
all liabilities, judgments, costs, and expenses which may in any way accrue
agaVinai Cou y in c sequence of the granting of this permit.
X Date/,to Z 7
Signature of Applicant — OwnerEl ContractorEJ Agent0
An OSHA permit is required for excavations over 5'0" deep and demolition or construct-
ion of structures over 3 stories in height.
I
Mobile Home Installation Fee $
Land Development Fee $
TOTAL PERMIT FEE $ 357.00
OCCUP. C;ROUP
I TYPE OF CO.ST.
PARCEL 77
HD
I ISSUE
T his permit is hereby issued under
S15f th B tte County Code and/or
_ i dic:te$u above for which
wo d
I ECTOR OF PUBLIC
% I
�,
y
PERMIT EXPIRES Date
the applicab e provi
resolutions to do
fees have been paid.
WORKS
Date lo/Z,7/0
Receipt NO. 4qO&2
WHITE-O.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD-APPL I CANT
Pi�rmit #2915-83
16 h n jDr :ak /e/..
COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS
7 County Center Drive - Oroville, California 95965 - Telephone 916/534--4541
APPLICATIN AN PERMIT
PERMIT NO.
ASSESSOR PARCEL NUMBER
ZONING
BUILDING PERMIT
OWNE R
TELEPHONE
SQ.FT. OCC. BUILDING VALUATION
OWNEP,ls MAILING ADDRESS
CONTRACTOR'S NAME --FE�EPHONE
I
__ - I C . ( L
CONTRACTOR'S MAILING ADDRESS
I-- I-
C� L �
Fireplace i i
CONSTRUCTION LENDER
WN
Total Valuation Is
Filing Fee
$ 10.00
LENDER'S MAILING ADDRESS
Permit Fee
$ -�c
ARCHITECT OR ENGINEER -7NS
E NO.
Plan Checking Fee
$
Penalty
$
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Permit fee
$ 4, 0-u
BUILDING ADDRESS 7
L
PLUMBING PERMIT
Fi I Ing Fee 10.00
Each Trap
2.00
Solar Water Heater
20.00
Water piping
5.00
LOT NO. SUBDIVISION NAME
1
ARCEL MAP
1P
Each qas water heater or vent
5.00
Gas piping system - 5 outlets
5.00
USE OF STRUCTURE
SFD DupIexFJ MobilehomeF-] Other SPECIFY
-1
Building sewer
5.00
Mobile Home S I GTw--F-
49 -
TYPE OF WORK
New F1 AdditionEj R emode 1 [:1 Uti litiesEl InstallationO Other 51'
Describe work:
e ef
Permit Fee
$
contractor
ELECTRICAL PERMIT
FilingFee 10.00
600V OR LESS
Main service 100 AMP OR LESS
10.00
Main service EA. ADD'L 100 AMP
2.50
NEW CONST ( DWELLING OCCUP.&)
ADDNS. ACC.BLDGS.
21/20sq it
CONTRACTORS LICENSE LAW
I declare under penalty of perjury (check one):
1 am licensed under provisions of Chapt. 9, Div. 3 of the Bus I ness
and Professions Code and my license is in full force and effect.
. /,0 . ,, /... �-
License No. , I Id - Classification
El 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 contract-
ors. (Sec. 7044)
I am exempt under Sec.-, Business and Professions Code
for this reason
_OR
NEW CONSTRJ MU LT' -OUTLET
NON-RESID, I B ANC. CIRCUITS) 2.50 ea
NEW.CONSTR (POWER APPARATUS &')
NON RESID. SINGLE OUTLET CIR.
Ex. Occup(OUTLETS OR FIXTURES 20@50t
BAL@ 300
FIXED APPLNS OR
Ex. Occup. OUTLETS (RESI'D.) EA.) 2.00
Temporary service 10.00
Mobile Home Facilities 15.00
Misc. Wiring 15.00
Permit Fee $
Contractor
MECHANICAL PERMIT
Fi I ing 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-Insture.
F� 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 shal I be deemed revoked.
Heating
Cooling
od
3.00
Venti lation
Pennit 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 pe t
0- J
X /, ,I I . -,0'- Date
Signature of Applicant OwnerEl 0661�?ctor E] AgenS[�J,
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 $ 41C. 0-o
occUP. GROUP
I TYPE OF CONST.
[-I
PARCEL
PD
I No
I ISSUE
This permit is hereby issued under
the Butte County Code and/or
work indicated above for which
DIRECTOR OF PUBLIC
By
PERMIT EXPIRES Date
the applicable provi-
resolutions to do
fees have been paid.
WORKS
Date
I .
( I / - /
Receipt No. L
WHITE-O.P.W., YELLOW -ASSESSOR. PINK -INSPECTOR, GOLDENROD-APPL I CANT
COUNTY OF BUTTE - DEPARTMENT'.OF PUBLIC WORKS
7 County Center Drive - Oroville, CaltfoTaia 95965 - Telephone 916/534--4541
APPLICAMA AND PERMIT
PERMIT 0
ASSESSOR PAR�� NUMBJER
6 — �Lz 2W i�q
ZONING
BUILDING PERMIT
OW
TELEPHONE
SQ.FT. OCC. BUILDING nL ATION
.WN1_9S I�AILING-=PDR I
1�z eld (;;::y
alL_0�1
T
Cyk�gXP �*6 A,4L G ADDPPS
F euc/E_ 17,14dy,
Fireplace
CONSTRUCTION LENDER
1444_nQ___
UNKNOWN
I
Total Valuation Is
Filing Fee
$ 10.00
—
LENDER*S MAILING ADE(RESS
Permit Fee
$ 30, so
ARCHITECT OR ENGINEER
LICENSE NO.
Plan Checking Fee
$
Penalty
$
ARCHITECT OR ENGINEE&�S MAILING ADDRESS
Permit fee
$
BUILDI��S
PLUMBING PERMIT
Fi ling Fee 10.00
Each Trap
2.00
Solar Water Heater
20.00
coer
Water piping
5.00
LOT NO.
SUBDIVISION NAME —7
ARCEL MAP
Each qas water heater or vent
5.00
Gas piping system 1 - 5 outlets
5.00
USE OF STRUCTURE
SF�f Duplexr-1 MobilehomeD Other SPECIFY
Building sewer
5.00
Mobile Home I S I G JW -J __F__J10-O0ea
I I
TYPE OF WORK
New r_J Addition 1:1 Remo eIE:1 Utilities Instl a -on[] OtherX
ct,/ -5, " 4Q
Describe work: F -C =�� F wil -
AVID 5MOA4F 2ELE(!��
Permit Fee
$
contractor
ELECTRICAL PEAMIT
FilingFee 10.00
Main service 600V OR LESS -
100 AMP OR LESS
10.00
Main service EA. ADD -L 100 AMP
2-.50
NEW CONST. ( DWELLING OCCUP.&)
OR ADDNS. ACC.BLDGS.
21/20sq ft
CONTRACTORS LICENSE LAW
I declare under penalty of perjury (check one):
1 am licensed under provisions of Chapt. 9, Div. 3 of the Bus ness
iand Prof essAins�o�e 2nd my license is in full force and ef1fect.
License NqpL4 _ _ t;5: - Classification —
F� 1, as the owne�r`, 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)
0 1, as the owner, am exclusively contracting with licensed contract-
ors. (Sec. 7044)
M I am exempt under Sec.—, Business and Professions Code
for this reason
NEW.CONSTFL(MULTI-OUTLETU
NON RESID, BRANCH CIRC ITS) 2.50 ea
NEW.CONSTR. (POWER APPARATUS &)
NON RESID. SINGLE OUTLET CIR. /
20@500
Ex. Occup(OUTLETS OR FIXTURES ISAL0300
FIXED APPLNSC.)R
Ex. Occup. OUTLETS (RESI* 0 EA.) 2.00
Temporary service 10.00
Mobile Home Facilities 15.00
Misc. Wiring 15.00
Permit Fee $
Contractor
MECHANICAL PERMIT
Fi I ing Fee 10.00
WORKMEN'S COMPENSATION INSURANCE
I declare under penalty of perjury (check one):
F] 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 Certifi cate
of Consent to Self-In1ure.
f 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 shal I be deemed revoked.
Heating
Cooling
Hood
3.
Ventilation
Permit Fee
$
Contractor
1 certify that I have read this application and state that the above information
i s 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, c expenses which may in any way accrue
said County . 0 s, :; ca , t
a e hftxhpe granting of this peruni
Date
Signature of Applicant Owner El tractor E] Ageg!�<
An OSHA permit is required for excavo over 5'0" deep and demolition or construct-
ion of structures over 3 stories in height.
Mobile Home Installation Fee
TOTAL PERMIT FEE $ -Z-la #-a
7-L/
OCCUP. GROUP
I TYP OF CONST.
IPARCELI
PD
I
Thi is hereby issued under
si Kspojm�hlte Butte/County Code and/or
w I , c d ove for which
r
CT" OF PUBLIC
B yv.
PERMIT EXPIRES Date
the applicable provi-
resolutions to do
fees have been paid.
WORKS
as
Date
Receipt No. 40 /Z
WHITE-O.P.W.. YELLOW-ASSES94R. .111,1.1-M.P.CTOR. GOL.F..RO.-A1P1ICA.T