HomeMy WebLinkAbout079-080-057...... .....
_,'','92-3333'lBPN'."
h
.381
ye,;,'Oi-6Vi-Ile
079-0to-I
on
c F*
qrti'
rfe'da -Hart m
e�
P�
0111111011M.. Mir-
RESIDENTIAL
92-3333
------057
,/'036-80-0-
ut, Edith ().roville
TR,
3B Grane xveg
'Frieda
- 'Kartin
'Rart
.
colit'r -
new Sf
10
XF
E Copy
OFFICE COPY
OFFIC
dre ss
Address
G FAS
Date A
t r
Meter By
LECTRIC
E L C
Meter B4y
-3�1
Dat
JOB
FINALED (Date)
Signature
-3
V OK
0 NorOK
Not Applicable
Not Ready 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/0 Concrete
4. Water; Location -Test -Ease men t Needed (Sketch)
5. Electricity: Location-Clearences-Grnd-/ /Amp-Coocrete
6. Gas; Location -Test -Wrap: 11 /"L"ft.
/ P'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 Ciird- B-I'k
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 -C rossovers- Brea kers-C lea ra nces
5. Drain; MH Test -Fall -Flex Connector
6. Water; MH Test-Regulator-Conne�tbr -0 \,t *A k
7. Water and Sewer Connected -C/0 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
L=
MISCELLANEOUS
Date DECKS, COVERS, CARPORTS, GARAGES, (Plan4)OK except #'s
1. Zoning Requir , e ments-Setbac ks- Ease men ts
2.'Footings; Soils-Siie'Depth-Spacing-Connectors-Sti'eI
3. Decks; Griders and/or Joists-Decking-Bracing-Stai�i-Rails
4. Wood Awn.; Posts-Beams-Rftrs.-Connectors
Shthg.-Rfg.-Bracing
5. Alum. Awn.; Columns-Connections-SplicerDecal-Enclosures
6. Carports; Windows -Doors
7. Electric
8. Frmg; Sils-Anchors-Studs-Rftrs-Trusses
9. Siding; Nail i ng -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 J
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 Y-4,,� rJ -C k
10. Plumb.; Cir. Test -Water Supply Test I
Date
Card B-1
Date
Card'13-1
Date
Card B-1
Date
Card B-1
'J OK
0 Not OK
Not Applicable
Not Ready RESIDENTIAL
Date UNDEXII-6OR (Plans) OK except It's
"I�.Ing-Setbacks-Easements-Flood-Slope
-j,+1-g., Main; Soils-Elec. Grndj Z-Ftg. Depth
L..R157 Garage; Soils-Steel-Elec. Grnd.-IW Ftg. Depth
4. Ftg., Porches & Decks: Soils -Steel-/ /Ftg. Depth
5. Sternwalls, Main; Steel-Blockouts-Wrapped
6. Sternwalls, Garage; Steel- Blockouts-Wra pped
6a. �21cl Downs and Special Anchors
po§ab; Steei-wrapped
8. PtkFireplace Ftg.-Steel
0,,e.`W.V.; Fall -Fitting -Test -2 Way C/0 -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 -Materia I -Su ppo rt- Ins.
14. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples
15. Access & Ventilation
16. Insulation A
Dat��V-4 ::�Z, Card B-je%<, Date Card B-1
Da42 q -6f?- Card Date Card B-1
Date PLILI MB4*G- (Perm it),O K exce pt #'s
V15Waler Htr.: Ven t -Access -Corn bust ion Air -Baffle
ir'Wq
iar Pipe; Test & Anchor -Nail Protection
-t9"-D.WV.: Test -Fittings & Anchor -Nail Protection
_W--'5-hower Pan: Test. First Floor -Tub Access
_ZO-IrS-,s�-Tub & Shower, Second Floor -Tub Access
Gas Pipe: Size & Anchors
— - - ----- - ---- - ------------------
-Ea7e 'ZICEari Date Card B-1.
— - - - - - ------------------- - ---------
Date Card B-1 Date -Card B-1
Date ELECTRICAL (Permit) OK except ft's
22.- Fixture & Transformer Clearance- Ins. -Protection ------------------
,,23�..�Iec. Receptacles Spacing -Lights & Switches at Doors
---- ------- ---- - -------------
-- ----------- ---- ze --.xes -&-No.-of-cond ucto rs-Sta pled .........................
mex-In-stalled Close to Edge of -Studs & C.J.
-Bond Gas & Water
------------------------
2.4.�Appliance Circuts in Kitchen & Conductor Size/GFI
-------------------------------------------------------------
2Z--SLLb1Q04-Wire Size ga. Cu or AI-A.C. Wire Size ga.
Cu or Al
-------------- ------ ------------------------------- -------------------------- ----
29,.��. / / ga. Cu or Al -Oven Circ. / I ga. Cu or Al.
I nsulated Neutral 0 Yes 0 No
�ervip�
Conductors & Gro und-Main Disco nnec t
3L,eq'uip. Clearances Panels-Motors-Mech. Equip.
----- ;"--- --------------------
-- - ---------- t_ :ihes 6foset Light -Shower Light -Spa Light
----------------- 2�
oke Detector
.. . ......... 3.
..............................................................
��- -B- ---------- ----------------------------------
rj Date
Card B-1
Date Card B-1 Date Card B-1
Date MECHkNICAL (Permit) OK except 4's
34�`A. C. Ducts Insulation & Sup port
ent Fan: Exhaust -a bove insulation
a&-eapaef*ate Drai n & Overflow: Size & Grade
3?"F-urnance-Vent: Access -Comb. Air -Return Air Vent -1 15 outlet_____
-------------- ie-<t�11c- -�cces-s-i--Rl -at-f-o-r-m--i-f-F--u-rn--a-n-c-e--in---At-t-i-c -----------------
11 --------------------------------------------------------------------------------
--------------------------------- --------- --------------------------------------
Date Card B-1 Date Card B-1
- --------------------------------------------------------------------- ----------
Date Card B-1 Date Card B-1
Date FRAMJNG (Plans) OK except h.'s
'#r a
, . Sils. Proper M terial & Anchors
....... .......................................................................
------------- 0-'0.aIIsStu.ds-NaiIing. Spacing-&-B-racing-Plates-Sou-nd -------------
_44-�earing Walls over Girders & Floor Nailing
,��.. - -W� ------------------------------- ---------------------------
Dra t top in Walls (rat proof)
------------- il� --------------- ----------------------------------
Fire Stops: Furred Ceilings -Stairs -Chases -Tub
�;.-H`e.ders & Beam -Size & Bearing
Single & Duplex)
Date FRAMING (Continued)
angers -Post Caps -Anchors -Connectors
4 Cing. Joist-Rftr. ties-Purlin -roof Brac-Truss-Shthng.'Rfng.
---4'77, �,rep ace F=.es or Type A Flue -Fireplace Throat clearance
.. ttic Access; Size & Romex Protection- Draft Stop -Ins. Baffles
40-STr—mWindows or Ex-iting Doors -Sill Hgt. & Dimensions
10�- 15arage,Fire Protection Framing
5O.,T- �r.perty�-Lm
i e Firewall & Openings
5.P5,,,r`Goors-One 3' -Check Garage -3rd Story, 2 Exits
-,2- dth Headroom -Rise
. sT5q_r-s-Wi -Run-Landing-Fire Protection
N--P-lywood on Roof Overhang -Attic Vents -Rafter Outriggers
i in ailing Veneer
o Mesh -Drip Screed -Fd. Vents-UnderfIr. Access
I zing Area -Glass Protection -Skyl ig hts- Plastic
hSar Walls: Nailing -Bolts
fte�Ksulation-Walls-Ceilings
60. Infiltration-Walls-Winclows
------- - ----- - ---- - — -----
Date-yt; B Date
,gr
Datv ard B-lj>� Date Card B-1
Date Fl�tl (Plans) OK except h*s
ce !ction-Landings
LseSmoke Detector
63. Furnace; Vents -Clearance -Comb. Air -Connector -
In Garage: Above Floor-Ducts-Mech. Protection
------------
W. adroom Exiting
............
L-65-G.F.L,8rBath Fixtures & Tub Access -Spa
----------- -------
--------- Trim & Subpanel;.Breaker Sizes & Labels
lw�� --------
60-f-'wep4aGa,or Stove: Clbarances-Hearth
-------------- -
6RI-E7!gc. utlets at Wood Panel: Int. & Ext.
-----------
Appliance: Grnd.-Air Gap -Cooking Clearance
71 c. Outlets & Receptacles at Kit. Counter
.�e Door: Swing- Land i ng -Close r
7-�. �i Garage -Damper
�r-.-Wt-r-..-V--en-t,s-Clearance-Comb. Air -Connect<- �RV
144R&�e: Above Floor-Mech. Protection
L-75.-Plb.. Elec. & Mech. Equip. Listed for Locatioo
bl�iec.-�ece`ptacles in Garage: (G.F.I.)-Romex Protection
--------- I �hsula� on- oarn-Looked in Attic 0 Yes
7848vvrn-Fra—os& Deck Co nst ruction- Post Caps
7QL-F �.n s �Kcrawl Hole Door -Drainage & Wood -Earth
------ . ----------Clearance Looked under Floor 0 Y e_s
80. Following inst1d.1,Dmive 0 Yes CIC-M-T—Walks 0 Yes P -Ale --
Planters CL'�eE ID—Va-
Brown-Fi4frsh
Unit: Disconnect. Electrical, Plumbing
��ts Above Roof� Plbg.-Appliance-Fireplace.-Clearance to
Openings
nect, Electrical, Plumbing
j;..�Ext�e�rior Elec. Trim: G.F.I. Receptacle-Underg round
...........
ti alion Throughout House
-- --- ------------ -
lass Protection
- ----- - ----- - --
88. Corrections from Previous Inspections
----- ------- ----- - ---- - -;� - — -----------
89.i��Tesi:I`Meters Tag§ed-Gar--Erectric
�r-o -C/O to Grade -HD Approval
Energy Compliance Certificate -Other Certificates
Date Card B-1
Date,e� i - 1�
Date Card B-1 Date Card B-1
Date Card B-1 Date Card B-1
Comments at Final
------- ----------
tOUNTY OF BUTTE
DEPARTMENT OF PUBLIC WORKS'
1469 Humboldt.Road, Chico, CA - 1916) 891-2751
County Center Drive, Oroville, CA - (916) 538-7541
747 Ellibtt Road, Paradise, CA - (916) 872-6307
CORRECTION NOTICE
0—
OWNER PERMIT NO -
A routine inspection indicates that the following violations of Butte County Ordinances exist at
' 1
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 cRorntalcjt�t"his- fice immediately.
Ll
,�e :
Date
REV1 1/91
inspector
COUNTY OF BUTTE
DEPARTMENT OF PUBLIC WORKS
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 contapt't-his office immediately.
C> g!- LAJ-��7-
1)4 r
/4 7-
i0k
. 1'r
'X
417� A7-
>/ 7— 17
'//" '11( 1 ,
T -OU
Date -//X,"�-' �A2—inspector
REV 11/91
� 01
COUNTY OF BUTTE
BUILDING DIVISION
DEPARTMENT OF DEVELOPMENT SERVICES
1469 Hurnl5bldt 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.
Date Inspector
REV '1042
V1
SAY
ROSE BURRO
ROSBORO LUMBER COMPANY
P.O. Box 20 * Springfield, OR 97477
PHONE: (503) 746-8411 FAX: (503) 726-8919*
---.I Ij
E'. W C
b, '21 9'.-'.-1. ".31 0
9 0'(3.i.,
'(),A, Y
it I ts Ism Itntst I ItM1111 1111111MIMM13
ORD SH? PROT SOPC ST ... ....
IAR K A OTY QTY W'DTH DEPTH FEET 1N FRACT KT C I E - GR COMB.
:�-3i3 4 4 '06-1/8 X 13-1/2 60-02 1 D' V4 2400r'
4 4 011-1/8 X 15 60 02 1 D V4 240OF'
'-509N 4 4 05-1/8 X 0? co 00
D V4 2400F
�-510 4 4 05-1/8 X 10-1/2 A 02
D V4 240OF
;-512 Y 8 8 0j-1/8 X 12 60 02 D -V4 2400rr
1-513 4 4 0j-1/8 X 13-1!2 60 02 D V4 240OF
51 11-N 8 8 05-1/8 X 15 50 00 1 D V4 MOF
DER ACKNOWLEDGMENT / INVOICE TERMS AND CONDITIONS
2
0j -1i8 X
19-1/2
50
00
1 D
V4
240OF
All litigation concerning this order will take piece in Lane County, Oregon.
05-1/n
0 X
21
60
021
D
V4
2400F
—521N.
2
2
05-1/8 X
21'
50
00
D
V4
240OF
-61B
1
1
06-3A X
A
60
0.2
1 D
V4
240OF
'-621
1
1
06-13/4 X
21
60
02
D
V4
240OF
,.-312R
4
4
05-1/8 X
12
44
02
1 D
IVY'
240OF
.-51311
4
4
OJ -1/8 X
13-1/1'
If 4
02
1 D
V4
240OF
-513R
4
4
05-1/8 X
18
44
02
/A D
V4
240OF'
DER ACKNOWLEDGMENT / INVOICE TERMS AND CONDITIONS
Maass Support all freight deductions with original freight bills.
Association rules to apply on Claims of grade, tally & manufacture.
Past due accounts will be assessed a service charge of I 'h% per month (18%
CUSTOMER'S ORDER IS SUBJECT
per annum).
Customer agrees to indemnity Rosboro Lumber Company for all expenses incurred in connection
with the collection of amounts due hereunder. including all court costs
TO ALL OF THE TERMS AND
CONDITIONS STATED HEREIN.
and attorney*s fees incurred
at the trial level and on any appeal.
All litigation concerning this order will take piece in Lane County, Oregon.
Should inconsistencies In terms be found between this acknowledgment and customer purchase
order. this acknowledgment takes precedence in all cases.
ii-
Certificate of Confonnance
Certificate 8981 -91
-Z;�q . !��
THE UNDERSIGNED MANUFACTURER HEREBY CERTIFIES that the structural wood products
identified below and marked with a collective mark of A m'erican Wood Systems (AWS) were man-
ufactured in accordance with the specifications indicated below.
1i ANSI Standard A190.1-1983, for Structural Glued Laminated Timber
1701
Job Name PALMER G. LEWIS & CO
Job Location SACRAMENTO, CA
Customer's Order No. 301-28086 Date 9-8-92 —Mfgr'sOrderNo. 7123—C
PROOF LOADED END
Signature
Company ROSBORO LUMBER CO.
Title QUALITY CONTROL
Address SPRINGFIELD, OREGON
Date 9-8-92
IT IS HEREBY CERTIFIED that the structural glued laminated timber production of the above-named
manufacturer which carries a collective mark of American Wood Systems (AWS) is subject to regular
audit by American Wood Systems, such audit consisting of the inspection with reasonable frequency
of the manufacturing process, with adequate sampling to verify the quality of glularn construction and
the adequacy of glue bond.
, #
OR4
SEAL I
by6/p
Michael R. O'Halloran
Executive Vice President
AMERICAN WOOD SYSTEMS — A RELATED CORPORATION OF AMERICAN PLYWOOD ASSOCIATION
1.
ENEICT CERTIFICATION
6Q,� Vj e
LOC.A 7: -1.4
.'DE_zCR:FT-O3 OF
INSULATION
ROOF
MATERIAL BRAND NAME
THICKNESS THERMAL RES..
or ,
Permit#
A. P. I
EXTERIOR.WALL
rlib4r-lass: -Cer't i need
MATERIAL BRAND NAME
THICKNESS THERMAL RES.
CEILING
BATT, OR BLANKET tY?E-FIB1RGLASS BRAND NAME Certi.need d.
THICKNESS. THERMAL RES. 3 k
LOOSE FILL INSULSAFE III BRAND NAME CERTAINTEED
40
THICKNESS THERMAL RES.
"Tr LOOR-ELEVATED
MATERIAI Fiberglass BRAND NAME Certineed
THICKNESS THERMAL RES.
FLOOR -SLAB
INTERIOR WALL
MATERIAt- Fiberglass
THICKNESS
BRAND NAME* Certineed
THERMAL RES.
I HEREBY CERTIFY THAT THE ABOYE INSULATION WAS INSTALLED IN THE ABOVE
.BUILD . !N(; IN CONFORMANCE WITH THE STATE OF CALIF.' ENERCY REQUIREMENTS.
HAWKINS IND.IN
�/dba SHASTA TNS'ULATION LIC.#650722
A21 c2/ /9,?
0
Iherebv ' certify the above insulation and all required items as sh wn
on the building department approved plans and attachments have been
installed as required by the State of California Energy Requirem2nts.
All e(juipment devices and. materials are of the qualiiv�prescribed or
are specifically approved by the State of Calif,.
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - --------------------------------
FIRM NAME/,OWNER (PLEASE PRINT) STATE CONT. LICI
SIGNATURE OF GENERAL CONVOWNER DATE
This certificate must be on file with the Building Dept. prior 'to Final
and Posted within the buildine.
COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS
7 County Center Drive - Oroville, falifornief95965 - Telephone: 916/538-7541
APPLICATION AND PERMIT
PER IT NO._
ASSESSOR PARCEL NUMBER
ZONING
036-800-057
A R
BUILDING PERMIT
OWNER
EDITH TRUE
TELEP ONE
H
633-9323
`F'oN
SQ.FT. OCC. BUILDING VALUA
199-8-- R
OWNER'S MAILING ADDRESS
195 PARSONS LANE OROVILLE 95966
- - - - - -
651 M
CONYRACTOR'SNAME
FTF�SP..NE
FRIEDA HART MARTIN
5 -9323
C 403
CONTRACTOR'S MAILING ADDRESS
195 PARSONS LANE OROVILLE 95966
Fireplace
CONSTRUCTION LENDER
UNKNOWN
Total Valuation Is 119-
71
LENDER'S MAILING ADDRESS
Filing Fee
$ 15.00
__rEi�_S
Permit Fee
$ 667.50
ARCHITECT OR ENGINEER
E NO.
Plan Checking Fee
$ 333.75
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Energy Plan Checking Fee
$ 20.00
Penalty
$
BUILDING ADDRESS
381 CRANE AVE OROVILLE 95966
Permit fee
$ 1.036.25
PLUMBING PERMIT
FilingFee 1 15.00
Each Trap
10 5-ool 50.00
Solar or heat pump water heater
20.001
LOT NO.
UBDIVISION NAME
PARCEL MAP
Water piping
7.00 7.00
50
COPLEY ACRES UNIT 3 PHASE 111
122-27
Each qas water heater or vent
7.00 7.00
USE OF STRUCTURE
Gas piping system 1 - 5 outlets
5.00 5.00
Building sewer _T__T_
1 15.00 15.00
SFNI DupIexF1 MobilehomeEl Other
Mobile Home JSFG W
-
@ 15.00
SPECIFY -
TYPE OF WORK
i I -
NewV AdditionF RemodelEl UtilitiesO installationEi- Other EJ
Permit Fee
$ 99.00
Describe work: 3 BEIRM
Contractor
ELECTRICAL PERMIT
Fi I i ng Fee 15.00
Main service 600V OR LESS
200A OR LESS
1 18.50 18.50
Main service 200A TO 1 OOOA)
37.50
CONTRACTORS LICENSE LAW
ld-
eclare under penalty of perjury (check one):
NEW CONST DWELLING OCCUP.&)
OR ADONS. ACC. BLOGS.
3.54 sq.ft.1 92.35
F-1 I am licensed under provisions of Chapt. 9, Div. 3 of the Business
NEW CONSTR. MULT"OUTLET
NO N.R E S, BRANCH CIRCUITS)
@ 5.00
and Professions Code and my license is in full force and effect.
(POWER APPARATU
SINGLE OUTLET CIR.&)
License No. 31 1PJ Classification 3-
Ex. Occup(OUTLETS OR FIXTURES
��20 1,61
.8.
El 1, as the owner, or my employees with wages as their sole compen-
FIXED APPLNS. OR
Ex. Occup. OUTLETS (RESIO.) EAT
1 3.00
sation, will do the work,and the structure is not intended or offered
Temporary service
15.00 15.00
for sale. (Sec. 7044)
i, as the owner, am exclusively contracting with licensed contract-
Mobile Home Facilities
15.00
ors. (Sec. 7044)
Misc. Wiring
'15.00
I
0 1 am exempt under Sec.-, Business and Professions Code
for this reason
Permit Fee
s 140.85
Contractor
WORKMEN'S COMPENSATION INSURANCE
I declare under penalty of perjury (check one):
MECHANICAL PERMIT
Fi I i ng Fee 1 15.00
F� The permit is for $100.00 (valuation) or less.
Heating
9.00
I have placed on file with the County of Butte Building Department
SPLIT ATTIC
a Certificate of Workmen's Compensation Insurance or a Certificate
of Consent to Self -insure.
Cooling 3 TON
9.00
F-1 I shall not employ any person in any manner so as to become subject
Hood
6.50 6.50
to the W. C. laws of California.
Ventilation
2 4.50 9.00
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 1, ith such
Permit Fee
$ 48.50
provisions or this permit shall be deemed revoked.
Contractor
I certify that I have read this application and state that the above information
Mobile Home Installation Fee
is correct. I agree to comply to all County Ordinances and State Laws relating
to building construction, and hereby authorize representatives of the Countyot
Energy Inspection Fee
$ 40.00
Butte to enter upon the above-mentioned property for inspection purposes.
occ CONST TYPE
I also agree to save, indemnify and keep harmless the County of Butte against
ITOTAL FEE
$ 1,364.60
all liabilities, judgments, costs, and expenses which may in any way accrue
HAZ D FEES IMP CDF
PARCEL PD HD ISSUE
against said County�in 5pnsequence of the granting of this permit.
[FLOOD I
I I I
I I I
X Date
M
T hh', It is hereby issuep under the applicable provi-
Signature of Applicant - Owner El Contractor E] Agent Eg-
I ns of 1he t, C
But e and/or resolutions to do
t '0
An OSHA permit is required for excavations over 5'0'' deep and demolition or construct-
41unty
of
work i ic ed f f
f ch fees
have been pa�icl.
ion of structures over 3 stories in height.
IR lal 0 P LIC
BLIC
WO S
WORKS
Receipt No.125821
D te 0 !g
D te
:S
PEF(MIT EXPIRES Date
WHITE-D.P.W.. YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD-APPLI CANT
COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS
7 County Center Drive - Oroville, Qalifornia,95965 - Telephone� 916.'538-7541
% APPLICATION AND PERMIT
PERMIT NO.
N U E
-77
ASSESSOR P ZON��
—C)— 0_57
Ow ONE
0 W 72,_Z r N
BUILDING PERMIT
SO. FT. OCC. BUILDING VALUATION
-4
EPHON�L
C r R A7Ao F 37
S M;O�NG 5RE7
A/
E�
--:n,
Fireplace
TR .N ENDER
UNKNOWN
Total Valuation 145�"
—7
LENCER'S MAILING ADDRESS
Filing Fee -
$ 15.00
Permit Fee
$
ARCHITECT OR ENGINEER
LICENSE NO.
Plan Checkihg Fee
$
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Energy Plan Checking Fee
$ 1;t 0 1 010
Penalty
$
BUILDING ADDRESS
381 CAAM�5
Permit fee
$
PLUMBING PERMIT
FilingFee 15.00
Each Trap
5.00 60,
Solar or heat pump water heater
20.00 —
L�M_J
SUBDIVISION NAME ARCEL MAP
Water piping
7.00 -7, .9
Each qas water heater or vent
7.00
USE OF STRUCTURE
S DuplexC] Mobilehome[] Other
SPECIFY
Gas piping system 1 - 5 outlets
5.00
Building sewer
15.00
Mobile Home S I G I W
15.00
TYPE OF WORK
New - Addition RiemodelC Utilitieso InstallationF_! Other
De;�be work: /SZ D k /
Permit Fee
Contractor
ELECTRICAL PERMIT
FilingFee 15.00
Main service 600V OR LESS
200A OR LESS
18.50
CONTRACTORS LICENSE LAW
I declare under penalty of perjury (check one):
El I am licensed under provisions of Chapt. 9, Div. 3 of the Business
and Professions Code and my license is in full fo d effect.
ge an
License No. 1,7_7 Classification
1, as the owner, or my e�ployees with wages as their sole compen-
sation, will do the work,and the structure is not intended or offered
for sale. (Sec. 7044)
El I, as the owner, am exclusively contracting with licensed contract-
ors. (Sec. 7044)
f_I I am exempt under Sec.—, Business and Professions Code
for this reason
Main service 200A TO 1 OOOAi
3� 5-0
NEW CONST. DWELLING 0 CUPM
OR ADDNS. ACC. BLOGS.0
3.6.
NEW CONSTR. 1,4ULTI-OUTLET
NON-RESID. BRANCH CIRCUITS)
@ �-OOL
(PO ER APPARATUS.&)
SiNWGLE OUTLET CIR
Ex. Occup( OUTLETS OR FIXTURES
20 (0) 75d
AL (@ 4F;
@ 4r
FIXED APPLNS OR
Ex. Occup. OUTLETS (RFSI'D.) EA.)
3.00
Temporary service
15.00 & 00
Mobile Home Facilities
15.00
Misc. Wiring
15.00
I
Permit Fee
$ IZA*)
WORKMEN'S COMPENSATION INSURANCE
I declare under penalty of perjury (check one):
The permit is for $100.00 (valuation) or less.
I have placed on file with the County of Butte Building Department
a Certificate of Workmen's Compensation Insurance or a Certificate
of Consent to Self -Insure.
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
Fi I ing Fee 15.00
Heating
Coolin
Hood
6.50
Ventilation
2 cl. `�M
Permit Fee —
$ 4k I SO
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 w7a� accrue
against said County in consequence of the granting of this perm i.
X Date 2�7
Signature of Applicant – Owner 0 Contractor 0 Agent C:f / t
An OSHA permit is required for excavations over 5'0'' deep and demolition or construct-
ion of S tructureS over 3 stories in height.
Mobile Home Installation Fee
Energy Inspection Fee $ al) 1 06
OCC
–7
CONST TYPE
;i,,
I TOTAL FEE $
1
HAZ
I 0,V I
lt��
I CDF
I PAR PD]
Ho
This permit is hereby issued under the
sions of the Butte County Code and/or
work indicated above for which fees
DIRECTOR OF PUBLIC
By
PERMIT EXPIRES Date
applicable provi-
resolutions to do
have been paid.
WORKS
Date
1�
Receipt No. C
-WITIE-D.P.W., YE!LLOW-ASSESSOR. PINK—SPECTOR. GOLDENROD-APPLI CANT I
COUNTY OF BUTTE - DEPARTMENT OF OUBLIC WORKS - BUILDING DIVISION
7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE (916) 538-7541
PERMIT APPLICATION DATA SHEET
OWNER C1017?4 . T12 Ve - 4 0. 0 -3 6 -Y�
ir2 ogf� Building Inspec Date
Proposed Building Use tor
t
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, signed by preparer of plans . ......
4. Engineered plans and calcs, 3/4 sets, with wet signature on plans . .............
5. Hazardous Material Form . ................
6. Energy Design Compliance and supporting documentation . ..................
7. Statement of Intent for Non -Heated and A/C Buildings . ......................
8. Engineered truss details and layout in duplicate (required prior to plan check). . . . . q f Z-2 j 20
9. Mobilehome data and manufacturer's installation instructions, 2 sets . ...........
-An. Fees of $ . .........................................
I&E 11. Impact fees as shown on attached schedule . ..............................
`12. California Department of Forestry plan approval/fees .........................
13. Flood elevation letter (100 year flood) by Ca mia Engineer ................... i
14. Sanitation and plot plan approvaL Health Department . .............
15. City of Chico plumbing permit. ...........
16. Plot plan and business license approval from City of Biggs/Gridley . .....
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). . . .
P�44;sp'�ction' r6q' est
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_) ............
24. 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 the permit, process as follows: Mail to owner. Mail to contractor.
Telephone and hold for I30ck-up at 42 X-0 office. Deliver with inspector.
Other
Parcel Creation
r- ? /.2
Acreage Applicant fek-y&�-- Date
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
1. Index permit for above items No.
2. Additional items required:
(Circle new item not checked above)
Contractor, designer, owner, was advised of above required data by _ phone - mail Cou er by _ Date
Contractor, designer. owner,,was advised of above required data by E
_ phone mail C nter by Date
Plans checked by Date Plans approved by Date
Sets of plans on hold in File cabinet AP folder
611h, Copy - Department of Public Works
AAL
COUNTY OF BUTTE DEPAR17-1ENT OF PUBLIC WORKS BUILDING DIVISION
7 COUNTY CENTER DRtVE OROVILLE, CALIFORNIA 95965 TELEPHONE (916)5387541
OWNER Jt:�P./C_DA E�- HAILT AAI-277AIA.P. NO.
41 -
PROPOSED BUILDING USE 15 DATE Ar
REC. DATE REC
-School Distric Feesol,11-6.
(paid at District Office) ..................
......... za�
2. Sheriff Fees
(paid at Building Department)
Residential .......... x -3(� A15
unit amt.
3.
Commercial(per sq.ft.)
x
sq.ft. amt.
Urban Area Fees
(paid at Building Department
Residential (per unit) . x 1 .4
# units amt.
Commerical(per sq.ft.) x
sq.ft. amt.
4. Recreation District Fee's
(paid at District Office) ...........................
Drainage District Fees
(Contact Land Development) ........
.................
6. Other
7. Other
At time of permit application, I. was advised'the above fees are required to be paid pr -;'.07 --
to issuance of the permit.
DATE
PERMIT NO: 60-92
Lake Oroville Area Public Utility District
1960 Elgin Street
OROVILLE, CALIFORNIA 95966
533-2000
DISTRICT APPROVAL AND
VERIFICATION OF INSPECTION
. BUILDING SEWERS
This verification form must be submitted to the -Butte County Department of Public
Works Building Department prior to issuance of a building or occupancy permit,
whichever is applicable.
Prior to final approval by Butte County of a Building or an Occupancy Permit, a copy
of this verification form, signed off by Lake Oroville Area Public Utility District, must
be submitted to Butte County.
Date: Septeffber 21, 1992
Applicant: BUTTE LAND DEVELOPMENT - FR IEDA.E. HART MARTIN
Applicant Address:
Applicant Phone No.:
Property Location (s):
A. P. No. (s):
195 Parsons Lane, Oroville., CA 95966
533-9323
381 Crane Avenue, Oroville, CA 95966
Copley Acres Phase III, Unit 3, Lot 50
036-80-0-057
Fees due: $900.00--SC-OR Regional Facility Charge
$350.00 LO�
Application for service approved:
nnection Fee
LAKE OROVILLE AREA
PUBLIC UTILITY DISTRICT
Inspection(s) made and successful test(s) observed:
Location:
M
Date:
Lake Oroville Area Public Utility District release to close permit:
Date: By:
BUTTE COUNTY SCHOOLS IMPACT FEE CERTIFICATION FORM
(One Form Per Building)
School District 0 o Building Department No.
A.P. NumbeO -0 -0-57 Jurisdiction CRY E(��Atounty
Property Owner 71-/ 7
Property Location/Address:g6i c�-9.4 1v E.' 14V 6--14-L,&
Subdivison 1-6t No
Residential Development Sq. Foot4e
No. of Living MHI Addition (droup R)
Units
Commercial/Industrial t�* Footag6
New Addition' (Including Exterior
Roofed Areas)
e7/21
Build(ng Department �4rise'ntativek, daiite
-�4FIoor Plans reviewed by School District Personnel)
District Identification No.
'School District certifies that JU4-.(—
(Applicant),
(S-treet Address) (Phone Numb
(cry) (State) Code)
113,
has complied with the. requirements of Resolution No. byyayment of
Ar
representing MY square feet.
da
School bistrict Representative Date
Paid by Check Number Remarks: 0AA-
4
Bank Number 0
Paid by Cash
If, subsequent to the School District Representative signing this Butte County Schools Impact Fee
Certification Form, the Scho6i', District is notified by'the applicable Local Planning Agency that this project
is being reviewed tinder the Caliii6rnia Environmental Quality Act (CEQA), this project may be subject to
additional school fees to fully miti-ga '-its -impact on the school district's schools.
Mite (applicant), Yellow (building department), Pin�'jkhool I district) feefarmmkl (4/92)
I'll