HomeMy WebLinkAbout079-140-011Larry Burton
in Fn i rh i 11 Dr., Orovil le
Permit #1162-81B,P,E(new pri.det.
garage) '
Permit #1582-81B,-P;E,M(new sing:.
_ family)
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Permit #1602-81P,E(ut 3' MH -temp.
while bldg.residence)
ELEC.
GAS
SURORT STRUCTURE REQ
i COMPACTION TEST REQ.
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Permit#2604-87.'
Larry Burton
#lOB Fairhill Dr, No'.
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OFFICE COPY
Address
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ELECTRIC
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OFFICE COPY
Address
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ELECTRIC
Meter By Dat
Jt .� �� �•�"'�',��•, COUNTY OF BUTTE - DEPARTMENT - •� ?� . ,�,, - .., rx x�t� '�% �"?'� .,`*��i•E:�
T OF PUBLIC WORKS PERMIT NO.
7 County Center Drive - Oroville, Kalifornia 95965 - Telephone: 916/538-7541
APPLICATION AND PERMIT
ASSESSOR PARCEL NUMBER
- -
ZONING
BUILDING PERMIT
OWNER
TELEPHONE
SO. FT. OCC. BUILDING VALUATION
OWN_EIR'S MAILI ADORE S'
CONTRACTOR�NAME /
An I /', / ci
TELEPHONE
CONTRACTOR'S MAILING ADDRESS
Fireplace
CONSTRUCTION LENDER
UNKNOWN
Total Valuation $
Filing Fee
$ 10,00
LENDER'S MAILING ADDRESS
Permit Fee
$
ARCHITECT OR ENGINEER
LICENSE NO.
Plan Checking Fee
$
Energy Pian Checking Fee
$
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Penalty
$
BUILDING ADDRESS ,
ZeQ 2
Permit fee
$
PLUMBING PERMIT
Filing Fee 10.00
Each Trap
2.00
�r/'4 P
Solar or heat pump water heater
20.00
LOT NO.SUBDIVISION
NAME
PARCEL P
Water piping
5.00
Each qas water heater or vent
5.00
USE OF STRUCTURE
SFX Duplex❑ Mobilehome❑ Other
SPECIFY
Gas piping system 1 - 5 outlets
5.00 67
Building sewer
5.00
Mobile Home JSFG W
O.00ea
T—
TYPE OF WORK
Newn Addition ❑ Remodel ❑ tyities❑KiallatijnR Other
work: ('3G YEA �J (°
Permit Fee
$ % 1_Z1)Describe
Contractor
ELECTRICAL PERMIT
Filing Fee 10.00
Main service 100V OR LESS
100 AMP OR LESS
10.00
Main Service EA, ADD•L 100 AMP
2.50
CONTRACTORS LICENSE LAW
I declare under penalty of perjury (check.one):
F1 am licensed under provisions of Chapt. 9, Div. 3 of the Business
and Professions Code and my license is in full force and effect.
License No. Classification
❑ I, as the owner, or my employees with wages as their sole compen-
sation, will do the work,and the structure is not intended or offered
for sale. (Sec. 7044)
ontract-
1 I, as the owner, am exclusively contracting with licensed contract-
ors.(Sec. 7044)
ors.
❑ I am exempt under Sec. , Business and Professions Code
for this reason
NEW CONST. ! DWELLING OCCUP.n) yZQsgft
OR ADONIS.t ACC. BLDGS.
NEW CONSTRMULTI-OUTLET 2.50 ea NON-RESID BRANCH CIRC ITS
POWER APPARATUS &)
SINGLE OUTLET CIR.
Ex. Occup(OUTLETS OR FIXTURES ZOeSot
eAL030
FIXED PR
Ex. Occup. OUTLETS (RESID IEAJ 2.00
Temporary service 10.00
Mobile Home Facilities 15.00
Misc. Wiring 15.00
Permit Fee $
Contractor
WORKMEN'S COMPENSATION INSURANCE
I declare under penalty of perjury (check one):
❑ The permit is for $100.00 (valuation) or less.
❑ I have placed on file with the County of Butte Building Department
a Certificate of Workmen's Compensation Insurance or a Certificate
of Consent to Self -Insure.
I shall not employ any person in any manner so as to become subject
to the W. C. laws of California.
Notice to Applicant: If after making this statement, should you become subject
to the W. C. provisions of the Labor Code, you must forthwith comply with such
provisions or this permit shall be deemed revoked.
MECHANICAL PERMIT
FiIingFee 10.00
Heating e,5 Q 77
1 6. (/
"
Cooling
Hood
3.00
Ventilation
Permit Fee
Contractor
$
I certify that I have read this application and state that the above information
is correct. I agree to comply to all County Ordinances and State Laws relating
to building construction, and hereby authorize representatives of the Countyot
Butte to enter upon the above-mentioned property for inspection purposes.
I also agree to save, indemnify and keep harmless the County of Butte against
all liabilities, judgments, costs, and expenses which may in any way accrue
against said County in con equence of the granting of this permit.
X ��� A . _ f7
? Date
Signature of Applicant — Owner ® Contractor ❑ Agent ❑
An OSHA permit is required for excavations over 5'0" deep and demolition or construct-
ion of structures overr stories height.
Mobile Home Installation Fee
$
Energy Inspection Fee $
TOTAL PERMIT FEE $ %
occu P.
CONST.TYPEJ
1.
1 FLOOD
PARCEL
PD
AD
I ISSUE
This permit is hereby issued under the applicable provi-
sions of the Butte County. Code and/or resolutions to do
work indicated- above for which fees have been paid.
D�RECT/Of� PUBLIC'WORKS
4 a
By _ �A{'` ^'%2� ��Date n "�/ynv�
PERMIT EXPIRES Date rAl. ���`
/in
Receipt No. /1 f/
WHITE-D.P.W.• YELLOW -ASSESSOR, PINK -INSPECTOR. GOLDENROD -APPLICANT
COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS
7 County Center Drive - Oroville, California 95965 - Telephone: 916/538-7541
APPLICATION AND PERMIT
PERMIT�O
42U Ou
ASSESS R PAR EL NUM ER
ZONING
BUILDING PERMIT
OWNER
TELEPH NEA
,(I)
SO. FT. OCC. BUILDING VALUATION
OWN 'S M ILI ADD Fsi
1 0& 1
CONT7CTOg NAMETELEPHONE
rrone
CONTRACTOR'S MAILING ADD ESS
Fireplace
CONSTRUCTION LENDER
UNKNOWN
Total Valuation Is
Filing Fee
$ 1000
LENDER'S MAILING ADDRESS
Permit Fee
$
ARCHITECT OR ENGINEER
LICENSE NO.
Plan Checking Fee
$
Energy Plan Checking Fee
$ .
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Penalty
$
BUILDING ADDRESS
Permit fee
PLUMBING PERMIT
Filing Fee 10.00
Each Trap
2.00
Solar or heat pump water heater
20.00
LOT NO.
SUBDIVISION NAME
PARCEL P
Water piping
5.00
Each qas water heater or vent
5,00
USE OF STRUCTURE
rV
SF Duplex❑ Mobilehome❑ Other
SPECIFY
Gas piping system 1 - 5 outlets
5.00 (�
Building sewer
5.00
Mobile Home S G W
10-00 ea'
TYPE OF WORK
New ❑ Addition ❑ R/e�,godel ❑ /,,,,000�tViti ❑ I allati n❑,^Other
Describe work: f.45>aS Vv[� l�Q �� 1
Permit Fee
$
Contractor
ELECTRICAL PERMIT
Filing Fee 10.00
Main service 100 AMP OR1 OR SLESS
10.00
Main service EA. ADD'L too AMP
2.50
CONTRACTORS LICENSE LAW
I declare under penalty of perjury (check.one):
❑ I am licensed under provisions of Chapt. 9, Div. 3 of the Bu$Ines$
and Professions Code and my license is in full force and effect.
License No. Classification
❑ I, as the owner, or my employees with wages as their sole compen-
sation, will do the work,and the structure is not intended or offered
for sale. (Sec. 7044)
I, as the owner, am exclusively contracting with licensed contract-
ors. (Sec. 7044)
❑ I am exempt under Sec. , Business and Professions Code
for this reason
NEW CONST. DWELLING OCCUP.ad ,
BI-
New CONSTR.( AM
ULTOUTLET
.50 ea
NON -RE SIC. BRANCH CIRC ITS 2.50 ea
POWER APPARATUS &)
(SINGLE OUTLET CIR.
Ex. Occup(OUTLETS OR FIXTURES BAL SO2
ALo so
Ex. Occup. OUTLETSP(RESID )REA.) 2.00
Temporary service 10.00
Mobile Home Facilities 15.00
Misc. Wiring 15.00
Permit Fee $
WORKMEN'S COMPENSATION INSURANCE
I declare under penalty of perjury (check one):
❑ The permit is for $100.00 (valuation) or less.
❑ I have placed on file with the County of Butte Building Department
a Certificate of Workmen's Compensation Insurance or a Certificate
of Consent to Self -Insure.
I shall not employ any person in any manner so as to become subject
to the W. C. laws of California.
Notice to Applicant: If after making this statement, should you become subject
to the W. C. provisions of the Labor Code, you must forthwith comply with such
provisions or this permit shall be deemed revoked.
Contractor
MECHANICAL PERMIT
Filing Fee 10.00
Heating
Cooling
g
Hood
3.00
Ventilation
permit Fee
$
Contractor
I certify that I have read this application and state that the above information
is correct. I agree to comply to all County Ordinances and State Laws relating
to building construction, and hereby authorize representatives of the County of
Butte to enter upon the above-mentioned property for inspection purposes.
1 also agree to save, indemnify and keep harmless the County of Butte against
all liabilities, judgments, costs, and expenses which may in any way accrue
against said (;ounty in con equenc f the granting of this ppermiitt.
X Date 2f — 1 f '
Signature of Applicant — Owner ® Contractor 11Agent ❑
An OSHA permit is required for exc vations over 5'0" deep and demolition or construct-
ion of structures over 3 Stories in ight.
Mobile Home Installation Fee $
Energy Inspection Fee $
TOTAL PERMIT FEE $OtO
oCCUP.
CONST.TYPC
I FLOOD
PARCEL
PD
MD
ISSUE
This permit is hereby issued under
sions of the Butte County. Code and/or
work indica above for ich
RECT PBL
"/9
BY
PERMIT EXPIRES Date
the applicable provi-
resolutions to do
fees ave been paid.
RKS
V15�1 2J_ 07)
ate —
—
Receipt No.
WHITE-D.P.W.. YELLOW-ASSE330R. PINK -INSPECTOR, GOLDENROD -APPLICANT
COUNTY OF BUTTE
DEPARTMENT OF PUBLIC WORKS
196 Memorial Way, Chico — Phone: 891-2751
7 County Center Drive, Orovi Ile — Phone: 534-4541 ,
Skyway and Elliott Road; Paradise— Phone: 872-2961, Ext. 57
CORRECTION NOTICE
BUILDING OR PROPERTY ADDRESS
A routine inspection indicates that the following violations of County Ordinance
exist at the above address and should be corrected. Please notify this office
when correction of work is completed. If you have any question pertaining to this
matte or need additional explanation, 'please contact this office immediately.
L I ,L
Y
Inspecto[4516� / - Date ""
— County of Butte
DEPARTMENT OF PUBLIC WORKS
Chico —
7 County Center Dr.,. Oroville — 534-4541
Skyway and Elliott Rd., Paradise — W:F 8486
CORRECTION NOTICE
` r;............. .... ........................... ......................../............z.:::.g..f
Building or Property Address
A routine inspection indicates that the following
violations of County Ordinance exist at the above
address and should be corrected. Please notify this
office when correction of work is completed. If you
have any question pertaining to this matter, or need
additional explanation, please contact this office
immediately. /
.........................................................!`..i.'.:a r�...r......................
.`....""...........1 /..!`_'�^./ : i ` .:.�.... � ,' !... -
� v
......................................................... :
.................................................�.................................................
...:. .........
...............................�'!.1L..l.^.................:..............................................
Dat.................
e'l.��.�.....�
Do Not Remove This Tog
(400-4)
_' ERMIT NO.1� 838,P,E,M
PERMIT EXPIRES 5/21/82
OWNER LARRY BURTON
CONTR. owner
ASSESSOR PARCEL 36-63-11
LOCATION #10 Pa i rb i 11 l)r i 7P� Ornvi 11 P
Temp. Power Pole
Called PG&E
Temp. Elec. Service
Called PG&E
Temp. Gas Service
Called G&E
JOB NALED (Date) `
Signature B
4
V = OKE
b = Not OK
= Not Applicable RESIDENTIAL(Single and Duplex)
= Not Ready Is
11
Date
UNDERFLOOR (ROS) OK exce i#'s
Date FRAMING Continued
oning requirements -Setbacks- asements
roperty Line Firewall & Openings
Z,A� I'g., Main; Soils-Steel-Ele - /"/" Ftg. Depth
Ext. Doo -One 3' -Check Garage -3rd .story, 2 exits
3. Ftg., Garage; Soils -Steel- / /" Ftg. Ilepth
50
Stair -Headroom-Rise-Run-Landing-Fire Protection
4. Ftg., Porches & Decks; Soils -Steel- / /" Ftg. Depth
I od onoo Overhang -Attic Vents -Rafter Outriggers
_
J,.&tefnwalls, Main; Steel-Blockouts-Wrapped-Slab
52
iIIng-Veneer
6. Stemwalls, Garage; Steel-Blockouts-Wrapped-Slab
59ro
Mesh -Drip Screed-Fdn. Vents-Underflr. Access
7., Piers -Fireplace Ftg.-Steel
94!ilazing
Area -Glass Protection -Skylights -Plastic
V.: Fall -Fittings -Test -2 way C/O -Sewer Test
25elghear
Walls• Nailing -Bolts
9YCGas Pipe; Size -Anchors
10 Acater Pipe; Test -Anchors -Regulator -Service Test
f
ectric; Underground
12KPlenums & Ducts; Clearance -Material -Support -Ins.
13° Girders -Sills -Anchor Bolts -Joists -Vents -Cripples
Card -BI
Dat C d -BI.' to
wngeCard-BI
Card -BI
Dat Card -BI Date
Date Card -BI Date
,jbj gilnl�_
I
Date and -BI Date
Date FINAL (P441 --OK except N's
Card -BI Date Card -BI Date
Date
PLUMBING (P t) OK except q'sm
Steps -Door & Sidelight Protection -Landings
ke Detector
4. Water Ht.; Vent -Access -Comb
learance-Comb. Air -Connector -
Ip Garage; Above Floor-Ducts-Mech. Protection
_
1 Pipe; T & A2 ors it jagZ2
D.W.V.; tofs & A ors ail ectton
Jjgdroom Exiting
7. S ower Pan; Test, First Floor -Tu 7-e
G.F.I. & Bath Fixtures & Tub Access
ub & Shower, 2nd Floor -Tub Access
ec. Trim & Subpanel; Breaker Sizes -Labels
_
; Size & Anchors
fairs & Rails l
_
63.
Fireplace or Stove; Cle ces-H
gS1le . Outlets at Wood Panel; Int. & Ext.
Card -BI gftw
ate i rd -BI Date
it. Fixt. & Appliance; Grnd.-Air Gap -Cooking Clearance
Card -BI
Date Card -BI Date
rec. Outlets & Receptacles at Kit. Counter
Date
ELEC ICAL Pe t OK except k's
�arag ' poor, Swing -Landing -Closer
6
uct G. a e -Dam er
Ad fixture & Transformer Carance-Ins. Protection
69.
Wtr. Htr.; l�rance-Comb. Air-Connector-P.R.V.-
In Garag v loor-Mech. Protection
lec. Receptacle Lights &Switches at Doors
7
Ib., Elec. & Mech. Equip. Listed for Location
•2 tze Boxes & No. of Con uctors-Stapled
-
• Garage; (G.F.I.)-Romex Protec.
Romex Installed Close to Edge of Studs & C.J.
Equip. Ground made up w/Mech. Fasteners -Bond Gas &Water
7
-
n1"tion-Foam-Looked in Attic EJ Yes
-
25. 2 Appliance Circuits in Kitchen &Conductor Size
Guard Rails & Deck Construction -Post Caps
74.
%;;MI Hole Door -Drainage & Wood -Earth Clearance
loor ❑ Yes
26. Subfeed Wire Si e / / a. r Al-A.C. Wire Size / / ga. Cu or Al
27. Range Circ. / / ga. r AI -Oven Circ. / / ga. Cu or Al,
Insulated Neutral [P es El No
75.
Following instld.: Drive es ❑ No; Walks Yes ❑ No;
Planters res 13 No
vice -Riser Conductors & Ground -Main Disconnect
7
inish
Equip. Clearances; Panels-Motors-Mech. Equip,
G. isconnect-Clrnces-Brkr. & Cond. Size -115V Outlet
30. Clothes Closet Light -Shower Light
7
Vents Above Roof; Plbg.-Appliance-Firepl.-Clearance to Opngs.
7
nnect, Electrical, Plumbing
0
EY terfor Elec. Trim; G.F.I. Receptacle -Underground
Card B -I
Date Card BI Date
Ventilation throughout House
Guess Protection
Card B -I Date Card -BI Date
�
Date
MECHANICAL (Per ,it) OK except q's
Corrections from Previous Inspections
84.
Gas Test -Meters Tagged; Gas -Electric
31. A.C. Du s; I ul tion & Support
85.
Water & Sewer Connected -C/O to Grade -HD Appro
32. nt Fan; Ex st above Insulation
ergy Compliance Certificate -Other Certificates
_
3 o n a ain & Overflow; Size & Grade
a Access -Comb. Air -Return Air Vent -115V outlet
A c s Platform if Furnace in Attic
---
Card -BI
Date/— 2Card-BI Date
Card -BI
_ -_Date Card -BI Date
Card -BI
Date Card -BI Date
Card -BI
Date Card -BI Date
Card -BI
Date Card -BI Date
Date
FRA N I s OK except q's
Comments at Final:
ills; Proper Material & Anchors
Spacing & Bracing -Plates -Sound
�11-Nailing,
s over Girders & Floor Nailing
Walls (rat proof)
Fire Stops; Furred Ceilin s -Stairs -Chases
__
_
eader & Beam -size & Bearing
Hangers -Post Caps -Anchors -Connectors
JP/Cing. Joist-Rftr. Ties- rlin-Roof Brac.-Truss-Shthng.-Rfng.
4 fireplace Ties or Ty lue-Fireplace Throat
49�-�-M.rtic Access; Size & Romex Protection -Draft Stop -Ins. Baffles
_
gprndrm. Windows or Exiting Doors -Sill Hgt. & Dimensions
Fire Protection Framing
(NOTE: An entry must be made each time you visit job site)
J = OK
O = Not OK
= Not Applicable MOBILEHOMES
* = Not Ready
MISCELLANEOUS
J,
Ir
r ^:Y
Date
MOBILEHOME UTILITIES (Plans) OK except N's
1. Zoning Requirements -Setbacks -Easements
Date
DECKS, COVERS, CARPORTS, ETC. (Plans) OK except N's
1. Zoning Requirements -Setbacks -Easements
2. Soils; Special MH Support -Sketch
_
2. Footings; Size -Depth -Spacing -Connectors
3. Sewer; Location -Test -Fall -C/O -Concrete
4. Water; Location -Test -Easement Needed (Sketch)
3. Decks; Girders and/or Joists -Decking -Bracing -Stairs -Rails
4. Wood Awn.; Posts-Beams-Rfirs.-Connec.-Shthg.-Rfg.=Bracing
5. Electricity; Location-Clearances-Grnd.-/ / Amp -Concrete
5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures
6. Gas; Location -Test -Wrap:/ /"L"ft./ /"Nat. or/ /"L"ft./ /"LPG
7. Utility Clearance
6. Carports; Windows -Doors
7. Elec.
Card -BI
Date Card -BI Date
Card -BI
Date Card -BI Date
Card -BI
Date
Date Card -BI Date
MOBILEHOME INSTALLATION (Plans) OK except H's
1. Zoning Requirements -Setbacks -Easements
Card -BI
Date
_
Date Card -BI Date
POOLS (Plans) OK except N's
1. Setbacks -Easements tit
2. Footings; Size -Spacing -Marriage Line
2. Soils; Compaction -Structure Stability
3. Gas; MH Test -Demand -Valve -Connector
4. Electricity; MH Test-Crossovers-Breakers-Clearancesl',
3. Pool Structure; Steel -Connections -Thickness -Dead Men -Lining
4, Elec.; Receptacles and Lighting; Distances-GFI
5. Drain; MH Test -Fall -Flex Connector -
5. Elec.; Pool Lighting; 15 volts-GFI
6. Water; MH Test -Regulator -Connector
6. Elec.; Enclosures; Conduit Entries -Terminals -Listed ` +
7. Water and Sewer Connected -C/O to Grade -HD Approval
8. Gas and Electricity Tagged
7, Elec.; Bonding;'Metal w/57 -Circulating Equipment -Heater
8. Elec.; Grounding; Equip.w/5'-Circulating Equip. -Pool Lghtg.
Boxes-Enclosures-Panelboards-Ins. to Main in Conduit ,
9. Exits; Insp.-Sketch -
10. Cert. of Occupancy-
9. Health Department Approval
10. Plumb; Cir. Test -Water Supply Test
Card B-1
Date Card -BI Date
Card -BI
Date Card -BI Date
Card B -I
Date Card -BI Date -
Card -BI
Date Card -BI Date
}
.i
V
�p S
R
V
R
T
V
RES IDENT IAL
ENERGY CONSERVATION STANDARDS
CONSTRUCTION COMPLIANCE CERTIFICATE
THIS IS TO CERTIFY THAT ENERGY CONSERVATION REQUIREMENTS HAVE BEEN
INSTAILED IN CON
FORMANggE WITH CURRENT ENER� CONSERVATION REGULATIONS
(location) &�--
BU ILD ING PERMIT NO. _�,�' 2 ) A P . NO.
THE FOLLOWING HAVE BEEN INSTALLED AS PER APPROVED PLANS: -
(Check each item or write N/A if not applicable)
INSULATION:
Slab Edge A
Fdn. Walls ed
Floors
Walls
Ceiling/Roof
Ducts
Circulating Pipes
APPROVED HEATER
APPROVED WTR.HTR. ✓
GLAZ ING :
Single Glazed
Special (Insulated)
CERT. & LABELED WDS.
& SLIDING DRS.
WEATHERSTRIPPED DRS.
BACK DAMPERED FANS
INTERMITTENT IGNITION D ICES
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
Insulation Applicator
General Contracto Owner e
Signature of
General Contracto Owner
(please print)
State Contractors
License No.
Date
State Contractors
License No.
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.
RES IDENT IAL
ENERGY CONSERVATION STANDARDS
CONSTRUCTION.'COMPLIANCE CERTIFICATE
THIS IS TO CERTIFY THAT ENERGY CONSERVATION REQUIREMENTS HAVE BEEN
INSTALLED IIS ONIOr NCE WIJCUENT ENERGY CONSERVATION REGULATIONS
AT l� Fai
nnillll ro}i RR
ville
(location)
BUILDING PERMIT NO. ` A.P. NO. .'e
THE FOLLOWING HAVE BEEN INSTALLED AS PER APPROVED PLANS:
(Check each item or write N/A if not applicable)
I DECLARE THAT ALL REQUIRED ITEMS AS NOTED ABOVE HAVE BEEN INSTALLED
IN ACCORDANCE WITH THE ENERGY CONSERVATION REQUIREMENTS AND AGREE TO •f
THE CMIPLETENESS OF THIS CERTIFICATE AS SUBMIT"TED.
Insulation Applicator Name $ C I
Signature of (�ease pr -- _
Insulation Applicator
—e��"
State C ntractors
License No. 378407
General Contractor/Owner Name
Signature of
General Contractor/Owner
(please print)
Date_
State Contractors
License No.
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.
INSULATION:.
GLAZING:
Slab Edge NA
Single Glazed
NA
Fdn. Walls
Special (Insulated)
NA
Floors NA
CERT. & LABELED WDS.
Walls R_ll 11,910
0 & SLIDING DRS.
NA
Ceiling/Roof
WRATHERSTRIPPED DRS.
NA
Ducts NA
SACK DAMPERED FANS
NA
Circulating Pipes NA
INTERMITTENT IGNITION DEVICES
NA
APPROVED HEATER
CERT. APPT.IANCES
APPROVED 1,rTR.11TR.—
I DECLARE THAT ALL REQUIRED ITEMS AS NOTED ABOVE HAVE BEEN INSTALLED
IN ACCORDANCE WITH THE ENERGY CONSERVATION REQUIREMENTS AND AGREE TO •f
THE CMIPLETENESS OF THIS CERTIFICATE AS SUBMIT"TED.
Insulation Applicator Name $ C I
Signature of (�ease pr -- _
Insulation Applicator
—e��"
State C ntractors
License No. 378407
General Contractor/Owner Name
Signature of
General Contractor/Owner
(please print)
Date_
State Contractors
License No.
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.
�j
COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS
7 County Center Drrye - Oroville, California 95965 - Telephone 916/534-4541
' APPLICATION AND PERMIT
/ PERMIT NO..
A _Cq /
A
ASSESSOR PARCEL NUMBE
_ J
-
ZXG& -
BUI ING PERMIT
OWN
TELEPHO E
SQ. FT. OCC. BUILDING VALUATION
_
0 [JE S MAILING DDRESS
r
CONTRACTOR'S NAME'
TELEPHONE
CONTRACTOR'S MAILING ADDRESS
Fireplace 'r
CONSTRUCTION LENDER
UNKNOWN
Total Valuation $
Filing Fee
$ 10.00
LENDER'S MAILING ADDRESS
Permit Fee
$
ARCHITECT OR ENGINEER
LICENSE No.
Plan Checking Fee
$
Penalty
$
ARCHITECT ORENGINEER'S MAILING ADDRESS -
Permit fee
$
BUILDING ADDRESS
r
PLUMBING PERMIT
Filing Fee 10.00
Each Trap
2.00
Repair drainage or vent piping
5.00
Water piping
LOT NO.SUBDI
VISION NAME
PARCEL MAP
Each qas water heater or vent
5.00
Gas piping system 1 - 5 outlets
�� / USE OF STRUCTURE
SF EJ Duplex❑ Mobilehome❑ Other
SPECIFYsl)
Building sewer
0
Lawn sprinkler system
5.00
I ally -
f
TYPE OF WORK
New Pr Addition❑ Remodel❑ UtilitiesInstallation❑ Other❑
Describe work:
•
Permit Fee
$
Contractor
ELECTRICAL PERMIT
Filing Fee 10.00
Main service 600V OR LESS
100 AMP OR LESS
5.00
Main service EA. ADD'L 100 AMP
2.50
NEW CONST. ( DWEL G O UP.51)
OR ADDNS. ACC. "
2� sq ft Q0
CONTRACTORS LICENSE LAW
1 declare under penalty of perjury (check One):
❑ I am licensed under provisions of Chapt. 9, Div. 3 of the Business
and Professions Code and my license is in full force and effect.
License No. Classification
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)Misc.
❑ I, as the owner, am exclusively contracting with licensed contract-
ors. (Sec. 7044)
❑ I am exempt under Sec. , Business and Professions Code
for this reason
NEWCONSTR I.Ou L -9.1,
N ON. RESID9 BRANCH CIRC TS 2.50 ea
NEW CONSTR. ( POWER APPARATUS 61
NON•RESID. SINGLE OUTLET CIR.
Ex. Occup OUTLETS OR FIXTURES B L@;
FIXED APPLNS. OR
Ex. Occup.(OUTLETS (RESID.) EA.) 2.00
Temporary service 10.00
Mobile Home Facilities 15.00
Wiring 7.50
Permit Fee $
Contractor
MECHANICAL PERMIT
FiIingFee 10.00
WORKMEN'S COMPENSATION INSURANCE
I declare under penalty of perjury (check one):
❑ The permit is for $100.00 (valuation) or less.
❑ I have placed on file with the County of Butte Building Department
a Certificate of Workmen's Compensation Insurance or a Certificate
of Consent to Self -Insure.
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.
Heating
Cooling
Hood '
3.00
Ventilation
penult 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 of
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, sts, and expenses which may in any way accrue
agaist sai in con quence of the granting of this permit.
%� Date �
Signature of Applicant — OWne,X Contractor ❑ Agent ❑
An OSHA permit is required for excavations over 5'0" deep and demolition or construct-
ion of structures over 3 storiees' height.
Mobile Home Installation Fee $
TOTAL PERMIT FEE
OCCUP GROUP
8-,3
TYPE ov CONST.
PARCE
PD
HD ISSU
This permit is hereby issued under
sions of the Butte County Code and/or
work indicated above for which
DIRECTOR OF UBLIC
/-
BY
PERMIT EXPIRES Date
the applicable provi-
resolutions to do
fees have been paid.
WORKS
Date
din
Receipt No.6h X
�
WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR. GOLDENROD -APPLICANT
" Telephone
583-2000
North --Burbank Public -Utility District
1960 Elgin Street
OROVILLE, CALIFORNIA 95965 24-81
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 North Burbank Public Utility District,
must be submitted to Butte County.
Applicant: LAWERENCE P. & ALICE S. BURTON
Applicant Address: 10 FAIRHILL DRIVE, ' OROVILLE, CA. 95965
Applicant Phone No.: 534-0272
Property Location (s): 10 FAIRHILL DRIVE
4
COPLEY ACRES - LOT 37
A. P. No. (s): 036-63-0-011-0
Fees Paid: ALL FEES PAID IN ADVANCE.
Application for service approved:
MARCH 13, 1981' North Burbank
Public Utility District
Inspection(s) made and successful test(s) observed:
Location: Date:
By:
North Burbank Public Utility District release to close permit:
Date: By:
PERMIT NO. 1162-81B,P,E_
PERMIT EXPIRES—
OWNER
XPIRES OWNER Larry Burton
owner
s
CONTR.
/ �('e'a' <9 � � ASSESSOR PARCEL 36-63-11
1
LOCATION 10 Fairhill Dr., Oroville
Temp. Power Pole—
Called
ole_
Cal led /P'GG&&E• _
Temp. 1 `service
Called PG&E_
Temp. Gas Service _
Called PG&E
i
r p%
JOB FINAL /(Date)
Signature
= OK
= Not OK
= Not Applicable
= Not Ready RESIDENTIAL (Sin'gle and Duplex)
Date
UNDERF OR Plans OK exce tN's
Date FRAMING Continued
14 -Toning requirements -Setbacks -Easements
449—.Property Line Firewall & Openings
2. Ftg., Main; Soils-Steel-Elec. Grnd.- / /" Ftg. Depth
4 xt. Doors -One 3' -Check Garage -3rd story, 2•exits
Ftg., Garage; Soils -Steel- / 4ro /-" Ftg. Depth '
-5@-- Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection
4. Ftg., Porches & Decks; Soils -Steel- / /" Ftg. Depth
wood on Roof Overhang -Attic Vents -Rafter Outriggers
5. Stemwalls, Main; Steel-Blockouts-Wrapped-Slab59,iding-Nailing-Veneer
qk4temwalls, Garage; Steel-Blockouts-Wrapped-S
-69--tucco Mesh -Drip Screed-Fdn. Vents-Underflr. Access
7. Pie-Fireplac Ftg.-Steel
-54r Glazing Area -Glass Protection -Skylights -Plastic
W.V.: F -Fit gs-T -2 way C/0 -Sewer Test
-&&. Shear Walls; Nailing -Bolts
9. Gas Pipe; Size -Anchors
10. Water Pipe; Test -Anchors -Regulator -Service Test
11. Electric; Underground
12. Plenums & Ducts; Clearance -Material -Support -Ins.
13. Girders -Sills- nchor Bolts -Joists -Vents -Cripples
Card -BI Dat Card -BI Date
"ujy�v
Card -BI Date Card -BI Date
Card -BI Date Card -BI Date
Card -BI
Date / fr Card -BI Date
Date FINAL (PWns) OK except N's
Card -BI Date Date
Date
��AACard-BI
,; .liXiLS�� exci t #' �!
PL G (Pe l) OK ext pt q'
Ext. Steps -Door & Sidelight Protection -Landings
a Detec or
14. Water Ht.; Vent -Access -Combustion Air
�ents-Clearance-Comb. Air -Connector -
In Garage; Above Floor -Ducts -Meth. Protection
la --Water Pipe; Test & Anchors -Nail Protection
1G/f3.W.V.; Test-Fttngs & Anchors -Nail Protection
99--eVVo Exiting
17. Shower Pan; Test, First Floor -Tub Access
61a.. Q F-r-rBath Fixtures & Tub Access
18. Test Tub & Shower, 2nd Floor -Tub Access
@Elec. Trim & Subpanel; Breaker Sizes -Labels
19. Gas Pipe; Size& Anchors
62+--6taicc-8..9aiIs
89--Fhepfeee-br Stove; Clearances -Hearth
64 --E4es. gets at Wood Panel; Int. & Ext.
Card -BI
4N Date Card -BI Date
65-itTt Trixr & Appliance; Grnd.-Air Gap -Cooking Clearance
Card -BI
Date Card -BI Date
Oe-64ee:-Outlets & Receptacles at Kit. Counter
Date
EL TRICAL P K ex a N's
'6fi"Mrage Fire Door; Swing -Landing -Closer
6&--A+Q_DtXt in Garage -Damper
fixture & Transformer Clearance -Ins. Protection
69. Wtr. Htr.; Vents -Clearance -Comb. Air-Connector-P.R.V.-
I Garage; Above Floor-Mech. Protection
Elec. Receptacles Spacing -Lights &Switches at Doors
ze Boxes & No. of Conductors -Stapled
7 Plb., Elec. &Mech. Equip. Listed for Location
�lec. Receptacles in Garage; (G.F.I.)-Romex Protec.
omex Installed Close to Edge of Studs & C.J.
Equip. Ground made up w/Mech. FastenersBond Gas &Water
7Q-+nsn 3TTtm-Foam-Looked in Attic EJ Yes
2�2Li6nce Circuits in Kitchen &Conductor Size
78--eTffa-�alr s & Deck Construction -Post Caps
_
26. Subfeed Wire Size L4/ ga. r AI-A.C. Wire i I
ti Ede
ked u a Crawl Hole Door -Drainage &Wood -Earth Clearance
Looked under Floor ❑Yes
27. t e Cu or AI -Oven Circ. / / ga. Cu or AI,
Insulated Neutral ❑Yes El No
❑Ye 75. Following in ] Drive C] Yes E] No: Walks ❑Yes ❑ No;
' Planters Yes []No
2e-- ervice-Riser Conductors & Ground -Main Disconnect
7 Br wn-Finish
aW—Equip. Clearances; Panels-Motors-Mech. Equip.
ni ; i connect-Clrnces-Brkr. & Cond. Size -115V Outlet
c-9&-QLaLbaa.,Closet Light -Shower Light
18- Vents Above Roof; Plbg.-Appliance-Firepl.-Clearance to Opngs.
-h9-WaY€r'WM4D.isconnect, Electrical, Plumbing
xterior Elec. Trim; G.F.I. Receptacle -Underground
ZZ
Card B -I
Date �, NCard-BI Date
' Ventilation throughout House
Card B -I
Date Card -BI Dateo
°^s -a ��..olsoFion
Date
MECHANICAL (Permit) OK ept N's
Corrections from Previous Inspections
teeters Tagged; Gas -Electric
Water & Sewer Connected -C/O to Grade -HD Approval
31. A.C. Ducts; InsulaAn n & Support
--
32. Vent Fan; Exhaus above Insulation
86__.En&Fgr-e�=pliance Certificate -Other Certificates
_ 33. Condensate Drain & verflow; Size & Grade
34. Furnace -Vent; Access Comb. Air -Return Air Vent -115V outlet
35. Attic Access & PlatfqrS if Furnace in Attic
C -BI Date - Card -BI Date
Card -BI
_ Date Card -BI Date
Card -BI Date Card -BI Date
Card -BI
Date Card -BI Date
Card -BI Date Card -BI Date
Date
FRAM Plans OK except q's
Comments at Final:
3 Proper Material & Anchors
3 alts; Studs -Nailing, Spacing & Bracing -Plates -Sound
_
+20--B_e_aring Walls over Girders & Floor Nailing
_
`99.,.Draft Stop in Walls (rat proof)
3 -. ,F're Stops; Furred Ceilings -Stairs -Chases -Tub
Hader & Beam -Size & Bearing
_
Hangers -Post Caps -Anchors -Connectors
CIng. Joist-Rftr. Ties-Purlin-Roof Brac.-Truss-Shthng.-Ring.
*4 --Fireplace Ties or Type A Flue -Fireplace Throat
taic Access; Size &Romex Protection -Draft Stop -Ins. Baffles
rm. Windows or Exiting Doors -Sill Hgt. & Dimensions
4 Garage Fire Protection Framing
(NOTE: Anentry must be made each time you visit jobsite)
J=OK
O = Not OK
Not Applicable MOBILEHOMES
*,= Not Ready
MISCELLANEOUS
Date
MOBILEHOME UTILITIES (Plans) OK except H's
1. Zoning Requirements -Setbacks -Easements
Date
DECKS, COVERS, CARPORTS, ETC. (Plans) OK except N's
1. Zoning Requirements -Setbacks -Easements
2. Soils; Special MH -Support -Sketch
_
2. Footings; Size -Depth -Spacing -Connectors
3. Sewer; Location -Test -Fall -C/0 -Concrete
3. Decks; Girders and/or Joists -Decking -Bracing -Stairs -Rails
4. Water; Location -Test -Easement Needed (Sketch)
4. Wood Awn.; Posts-Beams-Rftrs.-Connec.-Shthg.-Rfg.-Bracing
5. Electricity; Location-Clearances-Grnd.-/ / Amp -Concrete
5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures
6. Gas; Location -Test -Wrap:/ /"L"ft./ /"Nat. or/ /"L"ft./ /"LPG
6. Carports; Windows -Doors
7. Utility Clearance
7. Elec.
Card -BI
Date Card -BI Date
Card -BI
Date Card -BI Date
Card -BI
Date
Date Card -BI Date
MOBILEHOME INSTALLATION (Plans) OK except k's
1. Zoning Requirements -Setbacks -Easements
Card -BI
Date
Date Card -BI Date
POOLS (Plans) OK except N's
1, Setbacks -Easements
2. Footings; Size -Spacing -Marriage Line
2. Soils; Compaction -Structure Stability
3. Gas; MH Test -Demand -Valve -Connector
3. Pool Structure; Steel -Connections -Thickness -Dead Men -Lining
4. Electricity; MH Test -Crossovers -Breakers -Clearances
4, Elec.; Receptacles and Lighting; Distances-GFI
5. Drain; MH Test -Fall -Flex Connector
5. Elec.; Pool Lighting; 15 volts-GFI
6. Water; MH Test -Regulator -Connector
6. Elec.; Enclosures; Conduit Entries -Terminals -Listed
7. Water and Sewer Connected -C/0 to Grade -HD Approval
7. Elec.; Bonding; Metal w/5' -Circulating Equipment -Heater
8. Gas and Electricity Tagged
8. Elec.; Grounding; Equip.w/5'-Circulating Equip. -Pool Lghtg.
Boxes -Enclosures -Panel boards -Ins. to Main in Conduit
9. Exits; Insp.-Sketch
10. Cert. of Occupancy
9. Health Department Approval
10. Plumb; Cir. Test -Water Supply Test
Card B -I
Date Card -BI Date
Card -BI
Date Card -BI Date
Card B -I
Date Card -BI Date
Card -BI
Date Card -BI Date
JCOUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT NO
* 7 County Center Drive - Oroville, California 95965 - Telephone 916/534 41
APPLICATION AND"PERMIT
ASSESSOR PARCEL NUMBER1ZO
--
NG
BUILDING PERMIT
OwN R 11— y -
�RESS
TELEPHONE
S0. FT. OCC. BUILDING VALUATION
I '
O NER•S MAI G
W r 710
CO TRACTOR' AME
h e -r'
TELEPHONE
CONTRACTOR'S MAILING ADDRESS
Fireplace
CONSTRUCTION LENDER p-
Ica
V n
UNKNOWN
Total Valuation $
Filing Fee
$ 10,00
LENDER'S MAILING ADDRESS
Permit Fee
$
AR HI ECT9 ENGI F�
IIN
LICENSE NO.
Plan Checking Fee
$
Penalty
$
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Permit fee
$ (fl
BUILDING ADDRESS
PLUMBING PERMIT'
Filing Fee 10.00
Each Trap
2.00
Repair drainage or vent piping
5.00
/ li 1
ht U
Water piping
S ID
LOT NO. SUBDIVISION NAMEPARCEL
MAP
Each qas water heater or vent
5.00
Gas piping system 1 - 5 outlets
USE OF STRU TURE l
SF ❑ Duplex❑ Mobilehome❑ Othe �"I �.T`�he� __
SPECIFY
Building sewer
Lawn sprinkler system
5.00
TYPE OF WORK
New Addition ❑ Remodel ❑ Utilities ❑ Installation❑ Other ❑
Describe work:
Permit Fee
$
Contractor
ELECTRICAL PERMIT
Filing Fee 10.00
Main service 100 AMP OR001 OR LESS5.00
Main service EA_ ADD•L 100 AMP
2,50
NEW CONST. ( DWELLING C�§U(5--)
OR ADDNS. \ ACC. BL S
20 sq ft
CONTRACTORS LICENSE LAW
I declare under penalty of perjury (check one):
ElNON
I am licensed under provisions of Chapt. 9, Div. 3 of the Business
and Professions Code and my license is in full force and effect.
License No. Classification
I, as the owner, or my employees with wages as their sole compen-
/ sation, will do the work,and the structure is not intended or offered
for sale. (Sec. 7044)
❑ I, as the owner, am exclusively contracting with licensed contract-
ors. (Sec. 7044)
❑ I am exempt under Sec. , Business and Professions Code
for this reason
NEW CONSTR -OUTLET 2,50 ea
NON-RESID BRANCH CIRC TS
NEWCONSTR, /SINGLE OUTLET CIR, POWER APPARATUS 6J
- RESID, \
Ex. OCCUp OUTLETS OR FIXTURES AL01
BAL01
\APPLNS
Ex. Occup. OUTLETS (RESIDC.TEA. 2.00
Temporary service 10.00
Mobile Home Facilities 15.00
Misc. Wiring 7.50
Permit Fee $
Contractor
WORKMEN'S COMPENSATION INSURANCE
I declare under penalty of perjury (check one):
❑ The permit is for $100.00 (valuation) or less.
❑ I have placed on file with the County of Butte Building Department
a Certificate of Workmen's Compensation Insurance or a Certificate
of Consent to Self -Insure.
t71' i shall not employ any person in any manner so as to become subject
f" 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.
MECHANICAL PERMIT
FiIingFee 10.00
Heating
Cooling
Hood
3.00
Ventilation
permit Fee
S
Contractor
I certify that I have read this application and state that the above information
1s correct. I agree to comply to all County Ordinances and State Laws relating
to building construction, and hereby authorize representatives of the County of
Butte to enter upon the above-mentioned property for inspection purposes.
1 also agree to save, indemnify and keep harmless the County of Butte against
all liabilities, judgments, r sts, and expenses which may in any way accrue
against sa' County in cons uence of the granting of this permit.
__/
Date (
Sign ,. of Applicant — Owner N Contractor ❑ Agent ❑
An OSHA permit is required for excavations over 5'0" deep and demolition or coristruct.
ion of structures over 3 stories in height.
Mobile Home Installation Fee $
TOTAL PERMIT FEE $ 99,41711
OCC P, GROUP
/
TYPE of CONST.
�iC/
Ar
PARC
Po
ND
ISSUE
This permit is hereby issued under
sions of the Butte County Code and/or
work indicated above for which
DIRE TOR OF P LIC
By
PERMIT EXPIRES Date
X
the applicable provi-
resolutions to do
fees have been paid.
WORKS
Date
Receipt No. _� 6b
WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT
1 lklea A6�
--
1
�- i
Z-VAIMA. A -P -
No M. y• PEP -art i7��
Owner:
je'
Address: %D
Tenant•
Building Location:
BUTTE COUNTY DEPARTMENT OF PUBLIC WORKS
SPECIAL INSPECTION REPORT
FHlkWlLL
Type of Inspection requested:
APP
A. P. #
Date of Inspection l ��
Inspector
A0 -C77 -11a- f L I/D .
7 1. Housing 1..1 2. Financing 3. Change of Occupancy to
�. Other (specify) �IeA�/�L. -1;PAI6Q
Present use of buildin
A Sanitation (HousiinR)_
1. Water closet:
2. Lavatory:
3. Bathtub or shower:
4. Kitchen sink:
5. Hot and cold water to fixtures:
6. Heating'facilities:
7. Natural light and ventilation:
8. Room and space requirements:
9. Bedroom window or door for second exit:
10. Infestation of insects, vermin, or rodents:
11. Connectior. to sewage disposal:
12. Connection to water'•supply:
13. Rubbish and garbage facilities:
14. Comments:
B. Structural /
1. Piers and footings:
2. Floor construction:
3. Wall construction:
4. Ceiling and roof construction:
5. Fireplaces:
6. Comments:
C. Electrical
1. Service ground: -
2. Recept::.. s: '
3. Fusing:
_
4. Coun, ent. s.
D. Plumb
1. Fixtures connected and vented:
2. Gas water heater:
3. Gas heating vents:
4. Comments
E. Other
1. Maintenanceandrepair:
2. Fire hazards:.--.-
3. Safety hazard-Ar.d-s:'
4. Weatl!er protection:
5.. Underfloor and attic ventilation:
6. Cone. ents:-
F. Commercial Buildings
1. Rcof covering:_
2. Distance to property lines:
3. PIrysically handicapped:
4. Restroom floors anil walls:
5. Exits:
6. improvements:
7. Zoi,-Ir.g:-.
8. Comment
G. Fielc
2.
3. What zo-EJln recommended:
T7 A. Infor.-i-tation only
77r-teB Hold for tcn (10.) days, then write 1.*,tter.
J1, / r I , letter.
77D. ther:
COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT NO.
r, 7 County Center Drive - Orovii\;,California 95965 - Telephone 916/534-4541
.,,--W40-..-m!" APPLICATION AND PERMIT c
ASSESS P.. EL. NUMBER
(n— (,3 - �r t --T'-
3(1—
ZONING
't Q,
BUILDING"PERMIT
OWNER
�� \ `�
ri
TELEPHONE
LSO. FT. OCC. BUILDING VALUATION
OWNER'S MAILING ADDRESS'-
-9/0 t h1)1
--
CONTRACTOR'S NAME
I^
TELEPHONE
.� '
CONTRACTOR'S MAILING ADDRESS
-Fireplace
'l
CONSTRUCTION LENDER
UNKNOWN
Total Valuation $
Filing Fee
LENDER'S MAILING ADDRESS
Permit Fee
$ {
ARCHITECT OR ENGINEER
LICENSE NO.
Plan Checking Fee
$
dPenalty,,7-;r t ` Y`
$
ARCHITECT OR ENGINEER'S MAILING ADDRESS •
"Permit fee
$
BUILDING ADDRESS�j
# IO �Ir hf i� ��y i
PLUMBING PERMIT
FilingFee 10.00
Each Trap
2.00
Repair drainage or vent piping
5.00
p�
Water piping ---
LOT NO.SUBDIVISION
��/
NAME r -----]PARCEL
MAP
,Each qas water heater or vent
5.00
IGas piping system 1 - 5 outlets
USE OF STRUCTURE
SF ❑ Duplex❑ Mobilehome�Other
SPECIFY
pBuilding sewer
)'Lawn sprinkler system,
TYPE OF WORK
New❑ Addition[] Remodel❑ Utilities & Installation❑ Other ❑
Describe work: lAMAO Al � 1,." 1Q
i t-k� 0AA 0..(J-.�,L
Permit Fee `�
$
Contractor
—ELECTRICAL PERMIT
Filing Fee 10.00
Main service eODv OR LESS
100 AMP OR LESS
5.00 X jy)
•'�_ r,
`
Main service EA. ADD'L 100 AMP
2.50
.:NEW CONST DWELLING OCCUP.01)
'OR ADDNS. ACC. BLDGS. _
20 sq
CONTRACTORS LICENSE LAW e
I declare under penalty of perjury (check one):
F -1I am licensed under provisions of Chapt. 9, Div. 3 of the Business
and Professions Code and my license is in full force and effect.
License No. Classification
is/,, 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
NE WCONSTR -OUTLET
NON:RESID BRANCH CIRC ITS
2.50 ea
-NEW CONSTR. ( POWER APPARATUS &J
NON.RESID. SINGLE OUTLET CIR.
SO@2S¢
EX. OCCUp OUTLETS OR FIXTURES BALF1
Ex. Occu IXED APPLNSTS (RES, OR
p•�OUTLETS (RESID,) EA.) 2.00 r
Temporary service 10.00
Mobile -Home Facilities 15.00.(
Misc. Wiring 7.50
Permit Fee $',;)
Contractor
MECHANICAL PERMIT
FiIingFee 10.00
WORKMEN'S COMPENSATION INSURANCE
I declare under penalty of perjury (check one):
❑ The permit is•for $100.00 (valuation) or less.
❑ I have placed on file with the County of Butte Building Department
a Certificate of Workmen's Compensation Insurance or a Certificate
of Consent to Self -Insure.
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.
Heating
Cooling
Hood
3.00
Ventilation
Permit Fee
$
Contractor
1 certify that.(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
B utte to enter upon the above=mentioned property for inspection purposes.
I also agree to save, indemnify and keep harmless the County of Butte against
all liabilities, judgments,• costs, and.expenses`which may in any way accrue
against said.County in -.consequence of the granting of this permit.
X - AA /` -o' --_. ~, �4Date -
Signature of Applicant — Owner�/�'� Contractor ❑ Agent ❑
An OSHA permit is required for excavations over 5'0" deep and demolition or construct-
ion of structures over stories in height.
Mobile Home Installation Fee $
•
'7 S1
TOTAL PERMIT FEE $ U
OCCUP, GROUP
I TYPE of CONST.
PARCEL
PO
r HD
ISSUE?
This permit is hereby issued under
sions of 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 aid.
P
WORKS
Date S% 7" � �
`• '•��� ��
Receipt No. _," ^' c cll W-4
WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT
COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT NO.
7 County Center Drive - Oroville, California 95965 - Telephone 916/534 54 //n_ Q
APPLICATION AND PERMIT rG'v
ASSESSOR A EL CIBER
j I
ZON
\
'Pk
BUILDING PERMIT
O WNE
TELEPHONE
SQ. FT. OCC. BUILDING VALUATION
OWNER'S M ILING DR � {
COOS-NTT_RAC I N
TELEPHONE
CONTRACTOR'S MAILING ADDRESS
Fireplace
_
CONSTRUCTION LENDER
UNKNOWN
Total Valuation Is
Filing Fee
$ fit•+•
LENDER'S MAILING ADDRESS
Permit Fee
$
ARCHITECT OR ENGINEER
LICENSE NO.
Plan Checking Fee
$ PIQ
Penalty
$
ARCHITECT OR ENGINEER'S MAILING ADDRESS ,
Permit fee
$
BUILDING ADDRESS
PLUMBING PERMIT
Filing Fee 10.0C
Each Trap
1 2.00
Repair drainage or vent piping
5.00
Water piping
LOT NO.
SUBDIVISION NAME
PARCEL MAP
Each qas. water heater or vent
5.00
Gas piping system 1 - 5 outlets
USEOF STRUCTURE
SF [:1Duplex❑ Mobilehome Other
SPECIFY
Building sewer
,
Lawn sprinkler system
5.00
TYPE OF WORK
New ❑ Addition ElRemodel [:1 Utilities`nstallation Other ❑
Describe work: Te,6nNV
Permit Fee
$ 10�
Contractor
ELECTRICAL PERMIT
Filing Fee 10.00
Main service 1101 OR
00 AMP ORSLESS
5.00 '
r
Main service EA. ADD'L 100 AMP
2-.50
NEW CONST. DWELLING OCCUP.8i
OR ADDNS. ACC, BLDGS.
2Q sq ft
CONTRACTORS LICENSE LAW
I declare under penalty of perjury (check one):
❑ I am licensed under provisions of Chapt. 9, Div. 3 of the Business
and Professions Code and my license is in full force and effect.
License No. Classification
�I, as the owner, or my employees with wages as their sole compen-
sation, will do the work,and the structure is not intended or offered
for sale. (Sec. 7044)
❑ I, as the owner, am exclusively contracting with licensed contract-
ors. (Sec. 7044)
❑ I am exempt under Sec. , Business and Professions Code
for this reason
NEW C.O ID P- BRANCH CIRCTITS 2.50 ea
NEW CONSTR POWER APPARATUS 6\
NON-RESID. SINGLE OUTLET CIR. /
5002NQ
Ex. Occup(OUTLETS OR FIXTURES BAL@100
Ex. Occup. FUTL TS (RESAPPLNS. OR
OUTLETS (RESID.) EA. 2.00
Temporary service 10.00
Mobile Home Facilities 15.00 ,
Misc. Wiring 7.50
Permit Fee
$
Contractor
MECHANICAL PERMIT
FiIingFee 10.00
WORKMEN'S COMPENSATION INSURANCE
I declare under penalty of perjury (check one):
❑ The permit is for $100.00 (valuation) or less. -
❑ I have placed on file with the County of Butte Building Department
a Certificate of Workmen's Compensation Insurance or a Certificate
of Consent to Self -Insure.
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 shat l be deemed revoked.
Heating
Cooling
Hood
3.00
Ventilation
permit Fee
$
Contractor
I certify that I have read this application and state that the above information
is correct. I agree to comply to all County Ordinances and State Laws relating
to building construction, and hereby authorize representatives of the County of
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, judgment costs, and expenses which may in any way accrue
aga' st sa' my i u .ce of the granting of this permit.
S''_' �$
X Date
Signature of Applicant — Owner LIQ Contractor 1:1 Agent ❑
An OSHA permit is required for excavations over 5'0" deep and demolition or construct-
ion of structures over3 stories in height.
Mobile Home Installation Fee $
+
TOTAL PERMIT FEE $
OCCuP. GROUP
'
I TYPE OF CONST.
I
I PARCE
ND
ssu
This permit is hereby issued under
sions of the Butte County Code and/or
work indicated above for which
DIRE R OF PUBLIC
B
P MIT EXPIRES Date
the applicable provi-
resolutions to do
fees have been paid.
WORKS
Date
Receipt No. :1 (J� 7��
WRITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT