HomeMy WebLinkAbout079-170-0123231189B,P,E,MA7,
Ir
Ire
[LEEN', Brad E0,
/�384 Oroville Bangor H lot 1, ` /`1. VIc
Oroville
(,new single family). ((/
�— 02-3377
ROSE, RICHARD INALE
3684 ORO BANGER HWY., OR =_g
CONT: ARTIC AIRE �.
REPLACE.HVAC
y B08=O'l52} ++,x,079-1.70 012:`.
MISCELLANEOUS r y' ;`'= Electrical j
REPLACE MAIN ELEC BREAKER, --
3684 ORO BANGOR HWY
ROSE RICHARD B & PAT,
j
Y
1
v
Y
3231189B,P,E,MA7,
Ir
Ire
[LEEN', Brad E0,
/�384 Oroville Bangor H lot 1, ` /`1. VIc
Oroville
(,new single family). ((/
�— 02-3377
ROSE, RICHARD INALE
3684 ORO BANGER HWY., OR =_g
CONT: ARTIC AIRE �.
REPLACE.HVAC
y B08=O'l52} ++,x,079-1.70 012:`.
MISCELLANEOUS r y' ;`'= Electrical j
REPLACE MAIN ELEC BREAKER, --
3684 ORO BANGOR HWY
ROSE RICHARD B & PAT,
l;)�
Y
I
v
l;)�
r a X036-460 x072.. 02-3377
ROSE; RICHARD `
3684 ORO BANGER HWY., OROVILLE
" CONT: ARTIC AIRE
J
REPLACE HVAC
1
f
I
f .
w
i.
l � '
i
�1 j
COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION "
7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-7541 t 7 nv
(Rev. 12/96) APPLICATION AND PERMIT L
ASSESSOR PARCEL NUMBER 3 V- J `� U -7L-
l (/
ZONING
BUILDING PERMIT
OWNER
Rr�
TELEPHONE
5 3: 773
SO. FT. OCC. BUILDING VALUATION
OWNERS MAIUNG ADDRESS
36gH uR., '7r1fb�
CONTRACTORS NAME
f t r: /J a Lj
TELEPHONE
`f 1' __J �� v
CONTRACTORS MALINGa�ADDRESS le✓c
CONSTRUCTION LENDER
Fireplace
LENDER'S MAILING ADDRESS
Total Valuation $
ARCHITECT OR ENGINEER
LICENSE NO.
Filing Fee
$ 20.00
Permit Fee
$
ARCHITECT OR ENGINEERS MAILING ADDRESS
Plan Checking Fee
$
BUILDINGADDRESS aG J `1 C�R0 Ani eti �'/.�-
Energy Plan Checking Fee
$
$
t
PERMIT FEE
$
LOT NO.
SUBDNISIONS NAME
PARCEL MAP
PLUMBING PERMIT
Fling Fee 20.00
Each Trap
7.00
USEOFSTRUCTURE
SF / Duplex ❑ Mobilehome ❑ Other
SPECIFY
Solar or heat pump water heater
23.00
Water piping
15.00
Each gas water heater or vent
15.00
TYPE OF WORK
New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑
Describe Work: lR/�
3
Gas piping system 1 - 5 outlets
15.00
Building sewer
15.00
Mobile Home I S I G W
@20.00
PERMIT FEE
$
ELECTRICAL PERMIT
Fling Fee 20.00
500V0 R UE
Main Service zo.A OR LESS
23.00
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 is in full force and effect.P
License Class C "� 1 Lic. No. �. g nt
OWNER -BUILDER DECLARATION
I hereby affirm under penalty of perjury that I am exempt from the Contractors License
Law for the following reason:
❑ I, as owner of the property, or my employees with wages as their sole compensation,
will do the work, and the structure is not intended or offered for sale.
❑ I, as owner of the property, am exclusively contracting with licensed contractors
to construct the project.
❑ 1 am exempt under Sec. Business and Professions Code for this
reason
WORKERS' COMPENSATION DECLARATION
1 hereby affirm under penalty of perjury one of the following declarations:
❑ 1 have and will maintain a certificate of consent to self -insure for workers'
compensation, as provided for by section 3700 of the Labor Code, for the
performance of the work for which this permit is issued.
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 t... aw ml - m r1' 1 YYI & N n a
Policy Number �R» Iir,� 7 41 - 21
(The above sections need not be completed 0 the permit is for work of a valuation
of one hundred dollars ($100) or less.)
❑ 1 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'
Compensation laws of California, and agree that if I should become subject to the
workers' compensation provisions of section 3700 of the Labor Code, I shall
forthwith comply with those provisions.
X J ��"� Date �� — J 1.,
Signature of Applicant - ❑ Owner ❑ Contractor [).Agent
An OSHA permit is required for excavations over 60" deep and demolition or construction
of structures over 3 stories in height.
Main Service 200A TO 1000A
46.00
NEW CONST. DWEwNG Occup. sp
OR ADDNS. ( a ACC. erns. 3.5QFr:
�NjpµgEog,pT MULTI -OUTLET
@7.50
OWER APPARATUS
S SINGLE OURET CIR.
OUTLET OR FIXTURES
Ex. Occup. en ®'.so
Ex. Occup. pFIxuTLEEo�A Burs oR.1
5.00
Temporary Service 23.00
Mobile Home Facilities 20.00
Misc. Wiring 23.00
PERMIT FEE $
MECHANICAL PERMIT Fling Fee 20.00
Heating
Cooling
Hood 6.50
Ventilation
PERMIT FEE $ 5 -
Mobile Home Installation Fee $
Energy Inspection Fee $
occ
CONST. TYPE
TOTAL FEE $ J "'
NAZ.
D. - FE --ES -IMP
FLOOD
CDF
PARCEL
PD
HD
ISS E
.,:
This permit is hereby issued under
of the Butte County Code and/or
indicated above for which fees have
)
BY
PERMIT EXPIRES ON
I
the applicable provisions
Resolutions to do work
been paid.
Date
Date
Receipt No. Sb y� ys.
WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT
COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION,
7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-7541 z &P �
(Rev. 12/96) APPLICATION AND PERMIT
ASSESSOR PARCEL NUMBER 0
b ` V /
ZONING
BUILDING PERMIT
OWNER
/q1 � !�osf
TELEPHONE
533
SO. FT. OCC. BUILDING VALUATION
7973
. OW NE (. M, 1NG ADDRESS �� / 'y ®�QII✓//G.- /D ���
N 0
CONTRACTOR'S NAME
IG I
ELEPHONE
69r ;3330
CONTRACTORS MAILING ADDRESS
23 e-4 93/219
CONSTRUCTION LENDER
Fireplace
LENDER'S MAILING ADDRESS
Total Valuation $
ARCHITECT OR ENGINEER
LICENSE NO.
Filing Fee
$ 20.00
Permit Fee
$
ARCHITECT OR ENGINEERS MAILING ADDRESS
Plan Checking Fee
$
BUILDING ADDRESS
OA -0 /& 4N � /��
,J
Energy Plan Checking Fee
$
$
6) 1?o,),J1 e
PERMIT FEE
$
LOT NO.
SUBDIVISIONS NAME
PARCEL MAP
PLUMBING PERMIT
Fling Fee 20.00
USEOFSTRUCTURE
SF Duplex ❑ Mobilehome ❑ Other
SPECIFY
Each Trap
7.00
Solar or heat pump water heater
23.00
Water piping
15.00
Each gas water heater or vent
15.00
TYPE OF WORK I
New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑
Describe Work: ,/R/�
Gas piping system 1 - 5 outlets
15.00
Building sewer
15.00
Mobile Home I S I G I W
@20.00
PERMIT FEE
$
ELECTRICAL PERMIT
Fling Fee 20.00
Main Service ioonoR'ss
23.00
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 is in full force and effect.POWER
License Class ` b- C' Ay Lic. No. 234 13
OWNER -BUILDER DECLARATION
I hereby affirm under penalty of perjury that I am exempt from the Contractors License
Law for the following reason:
❑ 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.
❑ I, as owner of the property, am exclusively contracting with licensed contractors
to construct the project.
❑ 1 am exempt under Sec. Business and Professions Code for this
reason
Main Service 200A TO tOooA
46,00
NEW CONST. DW- .NG OCC IF.
( a Acc. eros.
OR ADDNS.NEW
SO
3.5Q�:
ONST
NONN•AESIDMULTI.OUTLET
@7,50
APPARATUS
8 SINGLE OUTLET CIR.
OUTLET OR FIXTURES
Ex. Occup.BAL
20 Q I.00
o .so
O
Ex. Occup. o xuntD s .a.) EA
5.00
Temporary Service
23.00
Mobile Home Facilities
20.00
Misc. Wiring
23.00
PERMIT FEE
_
WORKERS' COMPENSATION DECLARATION
1 hereby affirm under penalty of perjury one of the following declarations:
EI I 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
rformance of the work for which this permit is issued.
I have and will maintain workers' compensation insurance, as required by Section
3700 of the Labor Code, for the performance of work for which this permit is issued.
My workers' compensation insurance carrier aqd policy number are:
Carrier I_t&:YtNar''• 1^+f1`MV1J. A'L
MECHANICAL PERMIT
Filing Fee 20.00
Heating
%
Cooling
Hood
6.50
Ventilation
PERMIT FEE
$ S
Policy Number �jMrA 161 41. 1M
(The above sections need not be completed 4 the permit is for work of a valuation
of one hundred dollars ($100) or less.)
❑ 1 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'
compensation laws of California, and agree that if I should become subject to the
workers' compensation provisions of section 3700 of the Labor Code, I shall
forthwith comply with those provisions.
2
X Date % (?i — 402
Signature of Applicant - ❑ Owner ❑ Contractor gent
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 $
occ CONST. TYPE
TOTAL FEE $
HAZ. D. FEES IMP FLOOD CDF PARCEL PD
H ISS
This permit is hereby issued under the
of the Butte County Code and/or Resolutions
indicated above for which fees have
�p Dc� _
By i"Cr epf y1---
PERMIT EXPIRES ON
I
applicable provisions
to do work
been paid.
Date r
/ Z - l —
Date
ReceiptNo. yo i1�
WHITE-D.D.S.-B.D. CANAR -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT
f F41--EEN, Brad r
3684 Oroville Pangor Hwy, lot1,
Oroville
(new single family)
PERMIT EXPIRES
OWNER
t
CONTR.
ASSESSOR PARCEL
LOCATION
3�
�R
+f;
A.
• 4
OFFICE
COPY
t{t Address � `"'!�'� L
GAS
Meter By464� Date
EL
M Date
i, Temp. Power Pole
n
Called PG&E
S Temp. Elec. Service
Called PG&E
Temp. Gas Service
Called PG&E
JOB FINALED (Date) --'//)/A1
:V
Signature
= uK
0 = NotRESIDENTIAL (Single and Duplex),
- =Not Applicable '
= Not Ready
Date UyPERFLOOR (Plans) OK except #'s
Zoninq-Setbacks:- Easements- Flooc
Date F
1A4!! 14AF2. Ftg., Main; Soils-Steel-Ele&'GTnd.-//Z /" Ftg. Depth ' Ing. Joist-Rftr. Ties-Purlin-Roof Brac.-Truss-Shthng.-Rfng. .
/t Imo: Ftg., Garage; Soils -Steel -//2. /" Ftg. Depth 7. F .place Ties or Type A Flue -Fireplace Throat Clearance
[N4. Ftg., Porches & Decks; Soils -Steel-/ /"Ftg. Depth . Atji cAccess; Size & Romex Protection -Draft Stop -Ins. Baffles
ockouts-Wrapped . B im-Windows or Exiting Doors -Sill Hgt. & Dimensions
I-Blockouts-Wrapped . gwdge Fire Protection Framing
B-Riecs�F+�eplsce Ftg.-Steel
jf. D.W.V.; Fall -Fittings -Test -2 way C/O -Sewer Test
40. Gas achors
4,15'Water Pipe; Test -Anchors -Regulator -Service Test
12. Electric; Underground
1 cts; Clearance-Material-Supprt-Ins.
olts-Joists-Vents-Cripples
+6-•4neuFatM
Card -B1 d! t Date %ZzVh-' Card -B1 Date
Card-B1__7/Date Gr7 ::PJWCard-B1 Date
Date PL ING (Permit) OK except #'s
1 W ter Ht. Vent -Access -Combustion •A# -Baffle
er Pipe; Test & Anchors -Nail Protection
D.W.V.; Test-Fttngs & Anchors -Nail Protection
49-StMV-er Pan; Test, First Floor -Tub Access
,20—Tes ub-&'Showe r, 2nd Floor -Tub Access
*21. Gas Pipe; Size & Anchors
Card -B `//}` DateJ2/ard-81 Date
Card -B1 Date Card -B1 Date
Date EL RICAL (Permit) OK except #'s
FjAG're & Transformer Clearance -Ins. Protection
Elec..•Receptacles Spacing -Lights & Switches at Doors
. ! Boxes & No. of Conductors -Stapled 1
o ek Installed Close to Edge of Studs & C.J.
2 . . Ground made up w/Mech. Fasteners -Bond Gas & Water
2 Appliance Circuts in Kitchen & Conductor Size/G.F.I.
28. Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / /ga.
Cu or At '
29. Range Circ. / / ga. Cu or AI -Oven Circ. / / ga. Cu or, Al.
Insulated Neutral Yes No
rvice-Riser Conductors & Ground -Main Disconnect
31. Equip. Clearances Panels-Motors-Mech. Equip. '
32. Clothes Closet Light -Shower Light -Spa Light
a3 -'Smoke Detector
Card -B1 Date Card -B1 Date
Card -B1 Date Card -B1 Date
Date MEC ICAL (Permit) OK except #'s
ucts Insulation & Support
Vent Fan; Exhaust above insulation
36. Condensate Drain & Overflow; Size & Grade
37. Furnace -Vent; Access -Comb. Air -Return Air Vent -115 outlet
38. Attic Access & Platform if Furnace in Attic
Card -B1 Date Card -B1 Date
Card -B1 Date Card -B1 Date
Date FRA (Plans) OK except #'s
. Si Proper Material & Anchors
4.. Studs -Nailing, Spacing & Bracing—Plates-Sound
9, --"Be ' g Walls over Girders.& Floor Nailing
raft Stop in Walls (rat proof)
F' lops; Furred Ceilings -Stairs -Chases -Tub
Header & Beam -Size & Bearing
,ef Pr perty Line Firewall & Openings
Ext. Doors -One T -Check Garage -3rd story, 2 exits
_, airs; Width -Headroom -Rise -Run -Landing -Fire Protection
4. P 2 wood on Roof Overhang -Attic Vents -Rafter Outriggers
55'Siding-Nailing Veneer
__56 -Drip Screed -Fd. Vents-Underflr. Access
Glazing Area -Glass Protection -Skylights -Plastic
.58. Shear Walls; Nailing -Bolts
59. Insulation-Walls-Clg.
60. Infiltration-Walls-Wndws
Card -81 Date and -B1 Date
Card -B1 Date and -B1 Date
Date FINAL. (Plans) OK except #'s
EAi�Bteps-Door & Sidelight Protection -Landings
Smoke Detector
urnace; Vents -Clearance -Comb. Air -Connector -
In Garage; Above Floor-Ducts-Mech. Protection
edr om Exiting
F.I. & Bath Fixtures & Tub Access -Spa
6£uEtai-Trim & Subpanel; Breaker Sizes -Labels
ai s
ve; Clearances -Hearth
Outlets at Wood Panel; Int. & Ext.
Fixt. & Appliance; Grnd. -Air Gap -Cooking Clearance
74-tre—c—Outlets & Receptacles at Kit. Counter
ejpGarage Fire Door; Swing -Landing -Closer
73_A -G Q4Gt- i Garage -Damper
Wtr. Htr.; Vents -Clearance -Comb. Air-Connector-P.R.V.-
In Garage; Above Floor-Mech. Protection
75. Plb., Elec. & Mech. Equip. Listed for Location
Elec. Receptagles in Garage; (G.F.I.)-Romex Protec.
7 sulation- Foam- Looked in Attic ❑ Yes
7 uard Rails & Deck Construction -Post Caps
ents & Crawl Hole Door -Drainage & Wood -Earth
Clearance Looked under Floor ❑ Yes
80IF-ollowing instld.; Drive ❑ Yes ❑ No; Walks ❑ Yes ❑ No;
Planters ❑ Yes ❑ No
Si. Sttrcr0',-0mwn-Finish
Unit; Disconnect, Electrical, Plumbing
ents Above Roof; Pibg.-Appliance-Firepl.-Clearance to
Openings.
84. Water-NeY-Disconnect, Electrical, Plumbing
erior Elec. Trim; G.F.I. Receptacle -Underground
afielre—ntqoon throughout House
BY -t" as Protection
88—oSriectims from Previous Inpections
89. Wit -Meters Tagge a Electric
96. Water & Sewer Connected -C/O to Grade -HD Approval
91. Energy Compliance Certificate -Other Certificates
9?. Roofing Certificate
Card -B Dates4_/ UCard-B1 Date
Card -B1 Date s- p Card -B1 Date
Card -B1 Date Card -B1 Date
Comments at Final:
= OK
0= Not O'K
' = Not Readyable MOBILE HOMES
MISCELLANEOUS
Date
MOBILE HOME UTILITIES (Plans) OK except #'s
Date
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. Footings; Soils -Size -Depth -Spacing -Connectors -Steel
3. Sewer; Location -Test -Fall -C/O -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
6. Gas; Location -Test -Wrap: / P'Vft.
/ /"Nat. or/ /"L"ft./ /"LPG
5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures
6. Carports; Windows -Doors
7. Utility Clearance
7. Elec.
8. Frmg; Sills-Anchors-Studs-Rftrs-Trusses
9. Siding; Nailing -Veneer -Stucco -Mesh
Card -B1
Date Card -B1 Date
10. Roof; Shthg-Roofing
Card -B1
Date Card -B1 Date
11. Ext.; Steps -Doors -Landings
Date
MOBILEHOME INSTALLATION (Plans) OK except #'s
1. Zoning Requirements -Setbacks -Easements ,
Card -B1
Date Card -61 Date
2. Footings; Size -Spacing -Marriage Line
Card -B1
Date Card -B1 Date
3. Gas; MH Test -Demand -Valve -Connector
4. Electricity; MH Test -Crossovers -Breakers -Clearances
Date
POOLS (Plans) OK except #'s
5. Drain; MH Test -Fall -Flex Connector
1. Setbacks -Easements
6. Water; MH Test -Regulator -Connector
2. Soils; Compaction -Structure Stability
7. Water and Sewer Connected -C/O to Grade -HD Approval
3. Pool Structure; Steel -Connections -Thickness -
Dead Men -Lining
8. Gas and Electricity Tagged
9. Exits; Insp.-Sketch
4. Elec.; Receptacles and Lighting, Distances-GFI
10. Cert. of Occupancy
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
Card -B1 Date Card -B1 Date
Card -131
Date Card -B1 Date
9. Health Department Approval
10. Plumb.; Cir. Test -Water Supply Test
Card -131
Date Card -131 Date
Card -131
Date Card -131 Date
Owner 7E�Q�a LGS-**,/ _ Permit No.
ENERGY ('?:RTIFICATTON
f
n R-4=� 93,Aw <1 451x.- �c� imp v 4 4.�
N'OOF
`IATER1AL
RAND NXIE
T T,:�i;``55
i'N��^1:�L
hc�t'�LANI. ALL,L1
EXTERIOR 'FALL
`IATERIAL
fiber ;lass
B :`%ND vA,IE
Certair,teed
THICKNESS
i ;Et;`f;L
RE.ISTAN'Cr (R 1'AL"E) 1
3NG
AT; c R,LA`K'ET ',")7 �1B6ZZ6(.rOrSS:..`;� A
e-:ainteed
THICKNESS
12L
THERMAL
RESISTANCE (R VALUE) 3a
LOOSE FILL TYPE INS -�)A _ t__
SRAND NA:`lE
Certainteed
THICKNESS
/Z/ Zu
iH,ER^tA.L
nt` 5 .1: 1r ALUL �o,r ��•. _
FLOOR, ELEVATED
MATERIAL
FIBERGLASS
BRAND NAME
CERTAINTEED
THICKNESS
THERMAL
RESISTANCE
FLOOR, SLAB
MATERIAL BRAND NAME,
THICKNESS THERMAL RESISTANCE (R VALUE)
WIDTH
FOUNDATION WALL
MATERIAL
THICKNESS
BRAND NAME
THERMAL RESISTANCE (R VALUE)
I herebv certi-"v that the above insulation was installed in the above building in
conformance with the State of Califcraia Energy Requirements.
SHASTA INSULATION 0530235
7RrIRP1 NA^1 T,1TF :01�Tr,CTt�4:".. ICEiac ?.C.
I hereby certify the above insulation and all required :-ems as shown or, the Building
Department approved plans and "attachments have been installed as required by the State
of California Energy Requirements.
All equipment, devices and materials are o� the quali..• prescribed or are specifically
approved by the State of California.
FI.RN. NA` F_,'0WNER (' .EASE PRINT)
------ ----------------------
Sl ITTRE OF GENERAL CONTRACTOR;'OWNEK
--------V 7 0 0 --:c:'- 3 ------------- -----
"1 A T CON'TKACTOR"s LICE NS! NO.
------'� - —--------------------
DATE
r, --This certificatemustybe.,ron. file with the BUILDING DEPARTMENT, prior•,to:final .inspection
Appcoial and a'c'opv shall be posted within the building. Q14
tiditt.Q� �`e � . ,��: +..'..��"���`��'•'.. +: '�`:: '..., _ :, _ .: *, r_ _ i .' w 3 S:�e'H tt .'?�f .. '� .± �a .. ... _ x:> .
COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS
�.T O
' - 7 County Center Drive - Oroville, California 95965 -Telephone: 916/538-7541.
APPA-ICATf0N AND- PERMIT
ASSS PARC r�UMBE
1/(f
ZONI
BUILDING PERMIT
ow
1
TELPHo1E
SO. FT. 0 C. BUILDIN ALUATION
OW 'S MAI LIN DDR 5S
r , ®� n
C R TOR'S N ME
TELEPHONE
X3
141-17
CONT-WACTOIRIS MAILING ADDRESS
Fireplace
CONSTRUCTION LENDER
UNKNOWN
Total Valuation Is
LENDER'S MAILING ADDRESS
Filing Fee
$ 10.00
Permit Fee
$
ARCHITECT OR ENGINEER
LICENSE NO.
Plan Checking Fee
$ /
s
Energy Plan Checking Fee
$
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Penalty
$
BUILDING ADDRESSt
33 ��
Permit fee
S i
PLUMBING PERMIT
Filing Fee 10.00
Each Trap
2,00 on
V _
Solar or heat pump water heater
20.00
LOT O. SUBDIVISION NAME
PA�CEL fQ AP
/5 (�`�(�
Water piping
5,00 S 4
Each pas water heater or vent
5,00
USE OF STRUCTURE
SFX Duplex❑ Mobilehome❑ Other
SPECIFY
Gas piping system 1 - 5 outlets
5.00 Q
Building sewer
5.00
Mobile Home S G W
10.00 ea.
TYPE OF WORK
New Addition ❑ Remo I ❑ Ins al do _Other ❑
❑ Utilities /zy�)
Describe work: ��c� / 1� �t/�
j
Permit Fee
$
Contractor
ELECTRICAL PERMIT
Filing Fee 10.00
Main service eOOV OR LESS
100 AMP OR LESS
10.00
Main service EA. ADD'L 100 AMP
2,50
CONTRACTORS LICENSE LAW
I declar nder 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. Z 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 ,
OR ADDNS. ACC. BLDGS. f �z¢sgft
NEW CONSTR '.OUTLET 2,50 ea
NO N.RESID .BRA CH CIRC ITS
POWER APPARATUS e\
SINGLE OUTLET CIR. /
EX. OCCUp�OUTLET3 OR FIXTURES 5AL@30
ALe
Ex. Occup. OUTLETS PRESID.IIREA.) 2.00
Temporary service 10.00
Mobile Home Facilities 15.00
Misc. Wiring
g 15.00
Permit Fee s
WORKMEN'S COMPENSATION INSURANCE
I declare under penalty of perjury (check one):
❑ The permit is for $100.00 (valuation) or less.
❑ I have placed on file with the County of Butte Building Department
a Certificate of Workmen's Compensation Insurance or a Certificate
Consent to Self -Insure.
I shall not employ any person in any manner so as to become subject
to the W. C. laws of California.
Notice to Applicant: If after making this statement,should you become subject
to the W. C. provisions of the Labor Code, you must forthwith comply with such
provisions or this permit shal I be deemed revoked.
Contractor
MECHANICAL PERMIT
Filing Fee 10.00
Heating
Cooling
9
Hood
3.00
Ventilation
Permit Fee
:
Contractor
I certify that I have read this application and state that the above information
is correct ree to comply to all County Ordinances and State Laws relating
structio and hereby authorize representatives of the Countyot
Butte o enpon th and
property for inspection purposes.
to buil g Yto,
I ails agr save ndemnify and keep harmless the County of Butte against
all Ii bi ies, judg ents, costs, and expenses which may in any way accrue
again said Count in consequence of the granting of this permit.
%� D to (�
(s$ino ure of Applicant — Owner
g pp ❑ Contractor Agent ❑
AnOSHA permit is required for excavations over 5't)" deep and de lition or co truc
of structures over 3 stori s in height.
Mobile Home Installation Fee $
Energy Inspection Fee $
TOTAL PERMIT FEE
oc P.
CONS !
ISCHOOL
�.
PLoo
PAR E
PI,
r
ND Ss
This p rmit is hereby issued under
sions of the Putte County Code and/or
work ilict d above fo which
C F PUBLIC
PERMIIBES Date
the applicable provi-
resolutions to do
fees have been paid.
WORKSion
Date
/Receipt No.01
-�/ Ciry
WNIT!•D.P.W., YlL LO -A ! RC . COLDlNROD-AP 'CANT
T0: Building Department
FROM: Encroachment Permit Section
RE: Driveway Clearance
owner
location
76—N -%Z
AP
Driveway permit t9`7 has been issued for the above property.
-.Si ature date
OWNER
` 1
COUNTY OF BUTTE - DEPARTMENT'OF PUBLIC; WORKS - BUILDING DIVISION
7 COUNTY CENTER DRIVE - 049)tLLL7►ACALI,FO,RNIQ 95965;- TELEPHONE: 916/538-7541
PERMIT APPLICATION DATA SHEET
.\ n,...,.,.:. A f
Proposed Building Use �VP1,r) /l— Building Inspector f,OeS�i Date
At time of permit application, I was advised the following data must be submitted prior to permit processing and/or issuance:
DATE RECEIVED APPROVED
1. All items have been submitted . ..................... ............ .
2. Plot plans in duplicate/triplicate, signed by preparer of plans........
3. Complete plans in duplicate/triplicate, signed by preparer of plans ..
4. Complete engineered plans and calcs, with wet signature on plans ..
5. Hazardous Material Form ..........................................
6. Energy Design Compliance and supporting documentation .........
7. Statement of Intent for Non -Heated and AC Buildings ..............
8. Engineered truss details and layout in duplicate (required prior to plan check)
9. Mobilehome installation data including manufacturer's installation
instructions..
Fees of $ �. .
11. Chico Urban Arepaid...................................
12. Park fees paid .....................................................
13. School District fees paid ..............
14. Sanitation approval from Health Department
15. City of Chico plumbing permit ...............' .....................
16. Plot plan and business license approval from City of
(see City for other requirements)
17. Planning approval for (A) Use: (B) Parking: ...... '
18. Improvements may be required. Contact Land Development Section DPW
19. Driveway permit (construction approval required prior to occupancy)
r----- 20. Pre -Inspection for required Pre-Inspec. request to
Building Inspector (Date)
21. Contractor's license information (No., Name Style, Cla�sification) ...
22. Certificate of Workmans Compensation Insurance ...................
23. Owner -Builder Verification (Given to owner ❑, Mail to owner ❑) .....
24. Recorded copy of Agricultural Acknowledgment Statement .........
25. Letter of signature authorization ......................................
26.
27.
When you issue the permit, process as follows: ail to owner. Mail to contractor.
Telephone . L and hold for pick p office. Deliver w/inspector.
Other
Applicant
Date - LC6
Copy of plans sent Health Dept., Fire Dept., Other Date
The following data must be submitted prior to permi issuance: (Circle new item not checked abpve).
1. Index permit for above items No.
2. Additional items required:
Contractor, designer, owner, was advised of above required data by_phone_—nail—counter by .date
Contractor, designer, owner, was advised of above required data by—phone—mail—counter by date
Plans checked by Date Plans approved by Date
Sets of plans on hold in . File cabinet AP f Id� "451
Copy—DPW
I
PERMIT NO: 61-89
Lake Oroville Area Public Utility District
1960 EWW 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: September 26, 1989
Applicant: BRAD LEEN CONSTRUCTION
Applicant Address: 1135 Montgomery Street, Oroville, CP_ 95965
Applicant Phone No.: 533-2459
Property Location (s): oro Bangor Hwy.
Parcel No.. 1
A. P. No. (s): .36-46 (Formerly 36-46-55)
1Xxx1XxXXXXxXKx1XxHx
Fees due: $275.00 LOAPUD Connection Fee,
$900.00 SC -OR Regional Facility Charge
Approval from State Board oft;i�t-4
ion on nexation of Property require
Application for service approved: _
LAKE OROVILLE AREA
PUBLIC UTILITY DISTRICT
Inspections) made and successful test(s) observed:
Location:
L -
Date:
Lake Oroville Area Public Utility District release to close permit:
Date: By:
Ret,t1rn to DPW AGRICULTURAL STATEMENT OF ACKNOWLEDGEMENT
FOR RESIDENTIAL DrNEI,OPMENT
Section 26-8..1 of the Butte County Code
requires this acknowledgement be recorded
prior to issuance of a,building permit.
The property described herein is adjacent
to land or included within an area honed
for agricultural purposes, and residents
of this property may be subject to incon-
veniences or discomfort arising from the
use of agricultural chemicals, including,
but not limited to herbicides, pesticides,
and fertilizers; and from the pursuit
of agricultural operations including,
but not limited to cultivation, plowing,
spraying, pruning, and harvesting which
occasionally generate dust, smoke, noise, and odor. Butte County has established agrictiI
t.ural zones which have as a priority use for productive agricultural. purposes, aiid rv-,iilcwi ;
within said zones and on adjacent. property should be prepared to accept such i nciinven i (•nce
or disconfor.m from normal, necessary farm operations.
All that real property situate in the County of Butte, State of California, described os
follows:
PARCEL 1, AS SHOWN ON THAT CERTAIN PARCEL MAP, RECORDED IN THE OFFICE OF THE RECORDER
OF THE COUN'T'Y OF BUTTE, STATE OF CALIFORNIA, ON JUNE 26., 1989 IN BOOK 115 OF MAPS, AT
PAGES 80 AND 81.
Date: 9/26/89
State of CALIFORNIA) On this the 26th day of September 9 19 89 before mcg,
) SS. the undersigned Notary Public, personally appeared
County of. BUTTE ) BRADLEY V. LEEN
Personally known to me. E] Proved to me on the basis
■■���■■■■■■■■■■■■■■■■■■■O of satisfactory evidence.
to be the person(s) whose name(s) �S
SANDY A. STACK subscribed to the within instrument and acknowledged that _
NOTARY PUBLIC -CALIFORNIA *xecuted the same for the purposes therein contained. I.N _WI'I'NI tiS
Butte Count, ZMEREOF, Thereunto set m hand and official seal..
My Commissb" Expires Nov. 3. 1989 ■ y
Present A.P. No. _ _ Notary Public
Ncj&�, Mafedcds & workmammp SW Be In
1,11, with R nixed Good Practices tied Accordance wal, K
re
for 6a Specified rise in the
of a qucMy re
U - n Ui _i
fwM B�* i & Mechm" Cad"- and
"INOM &W,
is unbvdul +C-
or U!cr-,ntions On SCAM
piwnission from thO DePCwtUKx* L4 Fh'W
Celft ed VAbb
A set -back of 5 ft. from, the
property lines and a setback
of 50ft. from the road
centerline shall be clear of
structures or equipment except
for a 2 ft. eave overhang
a,zv ;P ave
1- - ..., V "r1f
9
'j-
MO
rjO,f,5
WS.
xw -