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079-240-010
n �-- A.P. �.7e/spe C ERLAI N �. ermo Rd. mi. so. of Wyandotte ., le 3202-72B,P,E,M �ingle family) —72ow8 Prank LindJ 6091 Upper Palermo Rd., Oroville Permit #3283-80B, (conv.garage to family room/SF) �K� ��11_ Permit #605-82B(add covered porch/SF) i qq t/9-43 Contr : Robert Davi "- C Chico ' Permit#1606-87B(addition ) Permit#1669-87B,E(con unfinis ed t living/'STY— �/ IL �93 p'7q--;2-q0- 0l b r :u 1+ r i CIO I n �-- A.P. �.7e/spe C ERLAI N �. ermo Rd. mi. so. of Wyandotte ., le 3202-72B,P,E,M �ingle family) —72ow8 Prank LindJ 6091 Upper Palermo Rd., Oroville Permit #3283-80B, (conv.garage to family room/SF) �K� ��11_ Permit #605-82B(add covered porch/SF) i qq t/9-43 Contr : Robert Davi "- C Chico ' Permit#1606-87B(addition ) Permit#1669-87B,E(con unfinis ed t living/'STY— �/ IL �93 p'7q--;2-q0- 0l b r :u 1+ r i CIO FORM 7 ADDITIONS TO RESIDENTIAL BUILDINGS ENERGY SHEET PACKAGE "A" (Additions) Owner D Climate Zone �I Permit # Ao0 it 87 Floor Area f Cr Z 4 V p n -c o N The following data showing mandatory and required features of Package "A" shall be installed for additions to dwellings. Additions to dwellings include room additions, converting garages and patios to living areas, house moves that add footage and attic conversions, and any space that is existing non -conditioned space that is converted to conditioned'space. Remodeling of existing conditioned space is not included. ZONE 11 NE 16 APPLIES TO NEW AREA CEILING R-30 R-3 WALL R-11 R - FLOOR R-11 -19 SLAB R-7 R-7 GLAZING U-.65 (Dual) U-.65 Dual) SHADING SOUTH - OPTIMUM OVERHANG or .36 Shading Coefficient WEST - .36 Shading Coefficient LOOSE FILL INSULATION (Density) INFILTRATION CONTROL (Weatherstrip doors, certified windows, caulking) VAPOR BARRIER (Zone 16) DUCTS PER UNIFORM MECHANICAL CODE - Ch. 10 LIGHTING KITCHEN & BATH NOT LESS THAN 25 LUMENS/WATT .A �j MAXIMUM GLAZING 16% OF -AREA PLUS REMOVED GLAZING M4 -X• 5_+7s9rr II v, 3�/ 7 NEW HEATING, VENTILATING, AIR CONDITIONING AND HOT WATER SYSTEMS IN CONJUNCTION WITH AN ADDITION SHALL BE INSTALLED AS SHOWN ON BACK OF THIS SHEET. OTHER 12/85 *1 HEATING, VENTILATING, AIR CONDITIONING SYSTEM (A) Heating ❑ Central Gas Furnace % (brand and model number) SE Btu/hr ' (heating capacity) ❑ Heat Pump-, (brand and model number) ACOP Btu/hr (heating capacity at 47°F) ❑ Active Solar type (liquid or air) Collector brand and ft2 model number solar fraction collector area collector orientation collector tilt rated y -intercept ❑ Other. (describe) *1. (B) Cooling ❑ Electric Air Conditioner . (brand and model number) (seasonal EER) Btu/hr (cooling capacity at 95°F) ❑ Electric Heat Pump EER Btu/hr (cooling capacity at 95°F) ❑ Other - (describe) DOMESTIC WATER SYSTEM ❑ (A) Gas Only Gallons (brand and model number) (tank size) Q Heat Pump w/Electric Backup (brand and model number) Gallons 2 (tank size) Q * Active Solar (collector brand and model number) (rated y -intercept) (rated slope) (solar fraction) ft (backup heater type, brand and model number) (collector area) (collector orientation) (collector tilt) Q Location of Solar Panels ❑ Other (Describe) *1 Submit documentation of sizing heating and cooling equipment by Manual J, sizing charts (form #4) or other approved methods, section 2-5352(g), and fill out the following: - Heating: Winter design temperature °, elevation ', heating load BTU elevation factor x heating load maximum outlet capacity gas furnace BTU Cooling: Summer design temperature °, cooling load BTU *2 Submit T.I.P..S.E. chart'or other approved system (form #5) to document sizing of solar panels. ® DESIGN COMPLIANCE STATEMENT: The above building design meets the requirements of Title 24, Part 2, Chapter 2-53 of the California Administration Code. SIGNATURE OF BUILDING DESIGNER OR APPLICANT BUTTE COUNTY DEPARTMENT OF PUBLIC WORKS SPECIAL PSPEC{TION- REPORT Owner. J k..�!'...b �- E" P��"'a' �,v ;1 ����'I_ A#.P. a:. Address: v 'O •�+ v ,D •..� �z��R n /e of inspe , o y` Tenant 5 , Spector Building. Location': . % f �1���!/� f!/,�-L�2�ed -.Type of Inspection requested :.j 1. Hou s,ing., 2.:' Financing:. 3. Change of Occupancy to z f. 4O'r the (specify) ` Present .use of building: A Sanitation .'(Housing)' a{ '1: .Water closet: 2...Lavit6ry: • 3. Bathtub' : or 'shower '4.: Kitchen • s ink: 5. Hot and cold.' water to fixtures: Heating'facilities: 7. Natural light and.:ventilation: r :. ':8:' Room and space requirements: ` :9:.' Bedroom window or door for second exit:- xit: 10.. 10.. Infestatioii of :insects, vermin, or - rodents: 21. Connectior•to'sewage-disposal: 12. Connection fq.� water -.supply: • 13: Rubbish and. garbage facilities: 14. ,Comments: B. Structural :. 1. Piers- and . foo:tings: 2: - "Floor construction: 3:: Wall construction: 4. Ceiling and: roof construction: 5. . Fireplaces: 6.. Comments:' C.: Electrical :. ' 1:: Service -and ground c ' 2. .•Receptacles:: :.. 3.; Fusing 4. Comments: 7. 77 D.• ' Plumbing.: 1. Fiktures.connected and -vented:. . _ 2... "Gas wate'r heater: 3. 'Gas . heat-ing: vent s: ; 4. Cdim ents: `• (continued on back) E. Other ' 1. Maintenance and repair: 2. Fire hazards: 3. Safety hazards: 4. Weather protection: 5. Underfloor and attic+ventilation: 6. Cortm►ents: F. Commercial Buildings 1. Roof covering: 2. Distance to property lines: 3. Physically handicapped: 4. Restroom floors and walls: _5. Exits: 6. Improvements: 7. Zoning:__ 8. Com,ments : G. Field Problrus or Violations Problem or violation (give complete description): Wha action taken (give complete desq.ri tz.oxi) : - �t 2. 3. Wheat atiti.on recommended:' %% A. information only - file, B. Hold for tea. (10) days, then write Letter. Write letter. 77 D. Other: r /� Biu•-�---�� �-�� � `�`��-� d�-` ��--�"" . a �'r Q 1 KnK OZ PERMIT NO. PERMIT EXPIRES--_ � � ---- • OWNER FRA � & NE LA LIM) CCN TR. Robert Davis ASSESSOR -PARCEL 36-28-48 LOCATION Oro' For ( — ee,44 -21' 53q -S�JZZ Pomp. Power Polo Called PGAE ,iomp. Eloc. Sorvlco Called PGAE Tomp. Goo Servico Called PG&E .10(1 FINALco Signnlwo .. ,rv111 A(.p L, ,It11.• • - NmI;eWit RESIDENTIAL (Singl,o and Duplex ti --u,• IINUFn O --- -I',.,n♦ OK r.rr?I • • __�-- ---- —� �Or if /rqU VCn1P,110-$O (1.'►._ O.lin FRANINQ I('nnunuatl -- .. .. Eas•meots .. _ - 40. Pru00, e to.. ua,n; Salle -01' 1 -Flee. Grad.- / /.. F -••-._ _.. v (elnp FrrowLU b Ute, • �'-�. , Mnp•. $orts_Steol_ j:- r�FI ,. oln!p_DoDln -a0. E.t._Doo.e-Ono 3'-Chnck Germs -10 -_ t hCS A Uocka; So,Is- -•- S0: Stauf, rtldtn-Heomown-q-�po_R " - ° N_2 n._,g - - - _.. _ _ Stcet- /� ---- - - __ _. _.._ ty. Dop1n S1. Pty-a.t on Rool Uvontagg L f Slomwntlry, Naut, $loot --III koula-1'a,e - C �Iro Pr ._. _ -.-" _'__ - '- _ _Attic Von!y- ,olect,on Gorayo Stant-Dlxe-ula_Wr -Stop -� - S_?. Slol,p-Nalt_np_V_ennor��'- Qa�!orr-C. --� Piers -' _____.- DDed-Slab J. Stucco fMsn- 1 _ D$Crpt`d_Fdn, VOn17-__ 5e. Gl,ul Aroa- ,I -- _Uorrlr• Ac _-•-E-1xrV=-Froll-Flulnys-Teat-2 ma ----- __ ^9 _C asf Vrotoctlon-�ylt9nts-?' --. Y C/p-Sotsor Toot S5. Slsav Mans. No111n tosllc - - (rra-y��,zo-Ancttor9_ -- - o -Dons 10���'173b Tost-Ancrtors-Reoulator_So,vico To9t �-- _ 11, U,C UrdoryrounJ __ nuns 6 Ducts: CtearariCO-Wtorlot_S-- ----- _ u DDOrt-Ina,• Gtrdo•g_$,I_'_Aocrtor Dolts-Jo,a17-Vents-'• f[C -- "—• �- �DDIC9 — -_Data� Dale gle S Card•DI I Date Ca:a•i3l =- Da10 Date Card 01 pato Moto FINA (Plans OK Cato ;p(Uer91N0 (Pertnil) OK o,Copt a•s ta. IYator Ht,. Vont-Accoes-COmOueUon Alf 15. W.210? Pipe: Test 6 Ancnmo Nall on 8. D:ro.V_„ Tost-Fllrga 11 Afthars-Nall Protoct.on t7, Snowor Con:_Tes1. IF Ftoor_T 10. lost Tuba Show_Or- --oss 2rtd Ffoor-Tub Accoee 10. Gas P po S120 b Anthore =a'a DI Data - - .a y 31 - - _ Card•81 Mato Qata Card•9t paiO Card -Di Daio Cord DI Data Card-B� �,o1q except o 0 . Stops -Door a Sloollght Pratect'Oft-LandinQ9 Saloko Detector Vie; Vonts-Cioaranco-Ccau, Air-Conne_tor_ _ - In Garage: Above Floa.-Ducts-y-cn Plate[Ilnn SIDW00MEa,t1ng 6 petn Futures 8 Tui Access /�,1�EIt7t Ttlm b bLOMMl Brockor e1___ -___ _ _ _ .<en-t_abel9 D'i,y b 80119 -epmco Or Stove: Clearences-Haarta lee. Outtots of r1ow Porto,: Im, 'r'• o "IIanCO' Grnd.-Alr G>-C0.:klr. CICOranre Outlets b ReceptaCl09 at Kit. CCLnler ELECTMIZAt Porn,,t1 OK o.ce01 ay --vara;a FrrO Door; SW,M_ C:oser �= O- 20 Fla;,rc b Tranatoimer GtoaranCo_Ins. ?ro,ecuon � A C�Otxt in GC_ e -Damp•., - _ _ Hit.: Vons -Clearance -C a, ser-P.R.V.- Etec. Rec Cpta CJeS S:vCInO_LI ht9 8 SwIlC nef at Deo+9 t a'p�p. AWve PICOT-CtCC-,• Pretocucn Sue Doles b No, of ConOu[!ors�� i -' 7 PU., Elec. b 4eccn. EOurD. Llsao for Lcaal,co Insmicic CIO to " of Stubs b C.J. '�+-'E'�, Rcccstac.es In G�:aga. P:o;ee. 24, E3 to. Ground mala u Etoc Fastoners•.DOnd Gas b vvato, I ancrt-F _ _ --- Ca:n-loo►00 in Attic ,_ Yes 7. IIJrfC C1rCW:a In KrlchCn b CdRduC tCr Size G: sits 5S Jrck Cons iic•,on-Pest Caps `Ta: 5v5!cca nlrc Size / ga. Cu or A!_A.C_tyuo $Ize i r a. _ V Cu or Al,�F-n• �Mts b Crani Hole Door-Qre,ra,e & 1•rood•Earin Clearance `^C'rc• r ga. Cu at AI -Own CIrC, 771 ga. Cu a At, - LOOaoO u^O•r Floor Yes In.9uta,CA Neutrll YM ,No _ 75. F011oomg Instid.: Drive Ground-ma.n D _• 29, Scrvlco-R,ser Conotx19COnrltrCl an,NO tas 8 Gr - -- p,� r L.rY4a' No: Walks _ YC3 _A 29. Equrp. Clearances. Panels-Moters-`•Aech, Equip. _._. tuCCO: Brown -Finish 30. ClothrS Closet Llgnt-Shower Lioht •�7 -�l-C nit. D,sconnnCt-Clrncea-ark, b Cond. SIZO-115V 0u!1at -• .. - Von19 ACavo ROO?. PI Appl,anco-F lrepl,-Clearance to 0;-, t'd B•I t.� D-1 D.vc Caro -91 - ... .. --. - - Oatc D.tle Card•DI Dile - - - -- TMWECICAL tPcrn•Itl OK c%Ceol 0'9 uctsIsulation A 5uppwr<• fan. - -- E,hiusl above Insutat,on - ' '- rncatC Drain Overrton, Slzob Grade An_ Air Vent -115V Ou11t•1 AcCea: b Pl lito/m If Fu nacv In Attic11• ---- • IeConnect, Ero_C!rlCel, PII,•nDinj _ Ea m E!ot. Trim G.F.I. R_eC•ptaC!c-Unaergrourd Ve,D+,1e!Ion lnrougnOut Howe GI Pro,oct,on ` --_ -- ettrons f om PIev10lf9 Ing - _ _ Inspections -- t`r b Server Connecicb_C/0 toGroco-Hp Approval ECorrphonce Certlticate-Diner Ceruhcates%CC-Vrnts-Como. -Return '1t QI c.t,d.R,•---. _.. _. __. [1. n,• este D.voe,�? Corn (1t c,l;a•nl,1• � ...—._._. .._._- C1uU•01 -Q.vO _.- ___ Caro•(fl O.I:c _nl a'r, 11 . X111•. P'ov 'M.1! a 1.11 Am aur!. (:111•. Hurl•... N.n 11 ? ' J. �•" "11 6 111 nt nl;t_1•Lur.-, 1 rant i!1. 111• u.1,y .. In•. , .1•, G11,!.1,. • A 1 -bun N.L Ir111; lu ,.111 H,q1 u1 1Vnll OM (q ua11 411 1 n1 ' rr•I•• Inv 1•.1 Cr,11 11 �•. :1.11.., .l h 1�1•', 1 uh , 1 .1,•.1.1. , A tir.ul \1; r 1l 16•.0 u1,i I,' 11 . ,.,� • . 1',1 .1 1 ,,11 . . A111 1111 •. 1 1 r 1 r r 1. I 1 111.1. 1. •. ., 1111•. 111• . I', 111..1 1111r 11 t . 1 I •1 .• 11„1-. 1 1 , ., 11111/11 1 A 1 A. 1 .. .. .♦ 11.. 1..�. 1' 1 11 ,1.. 11..1 I. •.. , , •I ' 1 111 .1 I r1,1!1 I.•(1 . 111 !1 111,1• . •'1 Ii1• 1.11 It.�1 ♦ 1111 111 1 ..- Crm'"!., 11 F1o,ll N MOBILEHOMES Not Ready MISCELLANEOUS Dote raarLEHOUR UTILITIES (Planal OK.e.cr•pI s•a 0010 DECKS. COVERS, CARPORT$, fiTC. IPlanel OK *.coat a sj' 1, 2onirg gepuuamants-Sattacks-Eeaemsnta ---- 1, 2onr R rg apulranyMa—ttalbOcke-Eaeea•Mle — -- -- 2. Solis: special N11 Support -sketch __ ----- - - -- 2_Focitinos, Slier-Depth-Spacing-Cemactas 2. Sane.: Location -Test -Fall -C/O -Connate 7. Decks; Girders and/or Joists-Ooektnp-BraCIng- StOrrs-Rarts a, Mater: Location- Test -Easawent Needed (Sketch) a. Wood Awn.: Poets-Soares-Rtirs.-Gannet.-Shiho.-RLQ.-Orecing d. Elaetrtclty: Lecatlen—Clwrancee—Grnd.—/ / Amp—Concrois 9. Alum, Awn.; ColuwAs—Connectione—Spl.co—Docel—Enclosures — e. Gas: Local on—Twt—aAll:/ /%"It,/ /"Nat.$/ /"L"tt./ /••LPG =— _.cl 0. Carports: window*—Odors 7, Utility Ctearseco 7, Elec. -- r Card -81 Data Card -1131 Date Card -131 Oate Card -81 Oeta Card 431 Data Card -81 Data Card -81 Date Ca10•81 Date Data WOBILI![•eOY11 INSTALLATION (Plans) OK except a's Date POOLS (Plans) OK except /'s I. Zoning Raquirewents-Selbaeks-Easemenle 1. Setbacks—Essementa 2. Footinga: Sizedoaeing-Marriage Lira 2. Soils; Compaction -Structure Stability — --- S. Gas: I61 Test—Demand—Valve•—Caraetar J. Pool Slrmtwe; Steal—Connect tons—ThrCkneas—Dead teen—Linin a. Electricity; MHT Iearanme a, Elac.; Recieptactes and LigMing: Distancae—OF1 5. Drain: 164 Teat -Rall -Flea ConneCtM S, Eloc.; Pool Lighting; 15 volts-GFI - S. water: W/ Tast-ilaprtator-Conraeta d. Elic.; Enctoatrw; Co",it Entrlas-Terminals-Listed T. water and dower Contacted -C/0 to Grads -KO Aparov4I 7, Elec.: Sonde!. Metal w15'-Circuteting Equipment -Heater d. Gas and Etoevicity Tagged e, Else..; Or, ling: Epuip.w/S'-Circulating Equip. -Pool Lpmo. - BoaarEncloaue-Pwlaoa►da-Ina. to Main in Conduit g. Exits: Inap.-&wtcD 10. Cart, of Occmpamy g. Health 0"mmisai Appreosl y �j 10. Ptd: Clr. Test -water Supply Test Card 8.1 - Data Card -81 Onto Card•81 Data Card -BI Data -^ Card 8.1 Dote Card -81 Date Card•81 Oate Cara -81 Ove pit COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 --Telephone: 916/538-7541 APPLICATION AND PERMIT /PERRMIIT} NO. AS S oR PAF3C NUM BUILDING PERMIT ER�� J TELEPHONE UILDING VALUATION SQ. FT. OCC. IB AG AS �6,- l S NAME TELEPHONE O NTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation Is Filing Fee $ 10,00 LENDER'S MAILING ADDRESS Permit Fee $ 3 `j ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESSP ermit fee $ PLUMBING PERMIT Filing Fee 10.00 © I Each Trap 2.00 Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP Water piping 5.00 Each qas water heater or vent 5.00 USE OF STRUCTURE SF US'.- Duplex❑ Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home S G W 0.00ea. TYPE OF WORK New ❑ Addition ❑ Remodel g Utilities ❑ Installation❑ Other ❑ Describe work: _ anic Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 IQ Main service 800V 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): El am licensed under provisions of Chapt. 9, Div. 3 of the Buslnes$ and Professions Code and my license is in full force and effect. License No. Classification 1, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONST. DWELLING o , h¢sgft New AMULTI-OUTLET CONSTR. NON.RESID BRANCH CIRC ITS 2.50 ea /POWER APPARATUS e (SINGLE OUTLET CIR. ) 20050t - Ex. Occup(OUTLETS OR FIXTURES B ALo3o 30AL0 FIXED APPLNS. OR Ex. Occup. OUTLETS (RESIO.) EA.) 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. RM I shall not employ any person in any manner so as to become subject Y� 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 Filing Fee 10.00 Heating Cooling g Hood 3.00 Ventilation Permit Fee $ Contractor 1 certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the 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 County in consequence of the granting of this permit. X `iwa !�l�.1 Date ,%- ZZ� �% Signature of Applicant — Owner C. Contractor ❑ Agent ❑ An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ TOTAL PERMIT FEE $ v !e 15 0 occu P. CONST.TYPc I I FLOOo PARCEL PD I No 1 .SSu57 This permit is hereby issued under sions of the Butte County. Code and/or work indicated above for which DIRECTO F UBLIC B PERMIT EXPIRE Date the applicable provi- resolutions to do fees have been paid. WORKS Da �7 Receipt No. WHITE-O.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 ASSES OR P R EL N E —�� ZO I G BUILDING PERMIT OR TELEPHONE SQ. FT. OCC. BUILDING VALUATION ii SS OW ER' MAILI ADDTT rrl 1l0 v i CON AC OR'S NAMETE av` EPH E CO T R'S MAI LI ADD ES • 41 1 e Fireplace CO RU TION LEND R M UNKNOWN Total Valuation $ Filing Fee $ 10,00 LENDER'S MAILING ADDRESS Permit Fee $ AVFrECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ . Q ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS Q Permit fee $ I PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 ro Solar or heat pump water heater 20.00 LOT NO.SUBDIVISION NAME PARCEL MAP Water piping 5.00 Each gas water heater or vent 5.00 USE OF STRUCTURE SF') Duplex❑ Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home S G I IN 10.00ea TYPE OF WORK emo e F New ❑ Additiong RUtili�i�s ❑ Installatio Other ❑ Describe work: : r _ ` IVAIN 61 Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 ,^ � ^ ran&r WiLl, 621' l.- Main service 600V OR LESS 100 AMP OR LESS 10.00 Main service EA. ADD'L 100 AMP 2.50 CONTRACTORS LICENSE LAW I declare rider penalty of perjury (check one): 1 am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and m license is in full fo ce 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) ❑ 1, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONST. / DWELLING OCCUP.e� yzQsgft OR ADDNS. % ACC. BLDGS. NEW CONSTR U TI.OUTLET 2.SOea NO N.RESID BRANCH CRC., (POWER APPARATUS e) SINGLE OUTLET CIR. 200502 Ex. Occup(OUTLETS OR FIXTURES SAL030 IXED PR EX. Occup. OUTLETS IRESID )EA,) 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 ,6f Consent to Self -Insure. 6�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. MECHANICAL PERMIT Filing Fee 10.00 Heating Cooling Hood 3.00 Ventilation Permit Fee $ Contractor 1 certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the 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 againstUP. all liabilities, judgments, costs, and expenses which may in any way accrue against said Count in consequence of the granting of this permit. Q X /�lifi{/`'2� Date J Signature of Applicant — Owner ❑ Contractor Agent ❑ An OSHA permit is required for excavations over 5'0" deep and de olition or c nstruct- ion of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $JV 0 TOTAL PERMIT FEE $ CON E FL PAR E PO O SSU This permit is hereby issued under sions the Butte County. Code and/or wo in icated ab ve`for which RE TO OF PUBLIC By PERMIT EXPIRES Date the applicable provi- resolutions to do fees have been paid. WORKS Date h111 ZZ M�3'8 f� ' Receipt NO. / rA� WHITE-O.P.W., YELLOW -ASSESSOR, PINK -INSPECT . 00LDENROO-APP ICANT COUNTY OF BUTTE - Department of Public Works 7 County Center Drive, Oroville, CA 95965 Phone: 9167538.7541 OWNER -BUILDER VERIFICATION Attention Property Owner: An 'owner -builder" building permit has been applied for in your name and bearing your signature. Please complete and return this information at your earliest opportunity to avoid unnecessary delay in processing and issuing your building permit. No building permit will be issued until this verification is received. 1. I personally plan to provide the major labor and materials for construction of the proposed property improvement (yes or no) SES 2. I (have/have not) /'1 B VC signed an application for a building permit for the proposed work. 3. I have contracted with the following person (firm) to provide the proposed construction: Name /✓ 1A Address / City Phone Contractors License. No. 4. I plan to provide portions of this work, but I have hired the following person to coordinate, supervise, and provide the major work: Name Address City Phone Contractors License No. 5. I will provide some of the work.but I have contracted (hired) the following persons to provide the work indicated: Name Address Phone Type of Work Signed: Property Owner =6m Social Security umber Date _-5- d"7 NOTE: This Owner -Builder Verification is sent to you as required by Sections 19831 and 19832 of the California Health and Safety Code. This verification must be completed and returned to our office before we are per- mitted to issue the permit. ff *. COUNTY OF BUTTE - DEPARTMENT. OF.n;PUBLIC-WORKS - BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORN•I,A-959.55 - TELEPHONE: 916/534-4541 .r PERMIT APPLICATION DATA SHEET '' Permit No. l �Z/O !,C OWNER ��Q � e ! �1 A. P. � ��r ` ¢ i S` � U Proposed Building Use H Sr Bliildirig Inspector 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. Plans with Energy tesign Compliance Statement. . . . . . 6. CUSD "Fees Paid'' Stamp on Floor Plan . . . . . . . . ��A' atement of Into t/for Nonl-Heated and AC Buildings. l`y�8.Fees of $ �l� r.�t / . . . . . .. 9./ Letter of signature authorize = on.Wf Sanitation approval from V, 0 VHealth Dept. g 11. Planning approval for (A) Use: (B) Parking: 12. Certificate of Workmen's Compensation Insurance. . . . . . 13. Contractor's License Information (no., name style, classif.) 14. Owner -Builder Verification (Given to owner❑, Mail to owner ❑ ), —15. Improvements may be required. . . . . . . . . . . . 16. Mobilehome Installation Data. . . . . . . . . . 17. Pre -Inspection for Pre-Inspec. request to (Date) Required. Building Inspector 18. 19. 20. 21. 22. Recorded copy of Agricultural Acknowledgment Statement. Driveway Permit. Plot plan approval from city of W�you issue the pe t, r c s as,follows: MaiZ!Z�`;f Maii to contractor. Telephone �� and hold for pickup ice,./ Deliver w/inspector. er lApplicant �sGtSe ge Copy of plans sent Health Dept., Fire Dept., Other Date The following data must be submittedr' r to peIrmit issuance: (Circle new item not checked above). 1. Index permit for above items No. 2. Additional items requ red: _ ` 0=O vwwV ontract signer, owner, was advised of above required data by_�phone---naiI—counter by date Contractor, designer, owner, was advised of above required data by —phone _maII—counter by date Plans checked by Date Plans approved by Date S--?— Z _T7 Sets of plans on hold in File cabinet AP folder — Flours: 10:00 a.m. - 3:00 p.m. Copy—DPW TO Buildinct Department FROM: Environmental Health SUBJECT: Sanitation Clearance C0-4,4- Llel-mo Owner Location AP# Plan Approved for: Sewage Disposal Water Supply Hold final for: Water Supply Final clearance O.R. for: Water Supply Clearance for _ _ bedroom mobile home. OtherL��i�1 NOTE * * * i 3 This se# of plans and specifications MUST get 60 on the iob at all times and it is unlawful #,0° rooke any changes or alterations on some withou written permission from the Department of Publ 1 Works, County of Butte. 3 � Q ci + A setback of # 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. } J,A nPZ`r Is i f Z CY A/ /wCe-% M 3�crcAA F ry o U vim% •S -ucCo u/6EP SCREED PER Sic 470 (p s^ qj lam G RO (f VA A1.4 Al -- N o✓�K RUM Com 80ILDING DEPARTMEM _ PPROVED NOTE:—All Materials & Workmanship- •Shdif" I Accordance with Recognized Good Practices and of a quality prescribed for the Specified use in the Uniform Building, Plumbing & Machanical CoQ%0 and the National Electrical Code. - AY WE --1 M qtZZ BUTTE Cou" ti OUILDING ®EPA TIM" I 3;14--- R tye 0 a 5] ,Clef' 'Plywoocl �6 \IV 141AI. lArro MIMPOSE D SOIL, 40,q USE 4Y 1+ v7 - OR 4 S. , %SG I fx Sy 161 Provide 1/2" x 10" anch I)o I is @ 6' O. -C. max. and withn 12" of joints. h ql Or tr-1 -Z..- LA(v A 0 hl PROY(P6; OAlomr-001Z Acces's V,&Artl LA-T70M ?ER SEC TSt(v qZSC - Coto" il-LDING DE . PARTM" APPROVEOIC A 1 -"Pt &0'q1 Ity in 0 u0n 605-82B PERMIT NO. PERMIT EXPIRES Frank Lind OWNER owner CONTR. 36-28-48 ASSESSOR PARCEL LOCATION 6091 Upper Palermo Rd., Oroville ' Temp. Power Pole Called PG&E i Temp. Elec. Service Called PG&E Temp. Gas Service Cal led PG&E JOB FINALED (Date) ✓ ,/ Signatu V = OK _ 0 = Rot OK — = Not Applicable . MOBILEHOMES * = Not Ready MISCELLANEOUS Date MOBILEHOME UTILITIES (Plans) OK except #'s Date DECKS, COVERS, CARPORTS, ETC. fPPT1r0K except #'s 1. Zoning Requirements -Setbacks -Easements Al'-Z-9ping Requirements -Setbacks -Easements 2. Soils; Special MH Support -Sketch Footings; Size -Depth -Spacing -Connectors 3. Sewer; Location -Test -Fall -C/0 -Concrete ecks; Girders and/or Joists -Decking -Bracing -Stairs -Rails 4. Water; Location -Test -Easement Needed (Sketch)ood Awn.; Posts-Beams-Rftrs.-Connec.-Shrhg.-Rfg.-Bracing 5. Electricity; Location-Clearances-Grnd.-/ / Amp -Concrete wn.; Columns -Connections -Splice -Decal -Enclosures 6. Gas; Location--Test-Wrap:/ /"L"ft./ /"Nat.or/ ./"L"ft./ /"LPG �6:-6arports; Windows -Doors 7. Utility Clearance 7-Efeir Card -BI Date Card -BI Date C BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Date MOBILEHOME INSTALLATION (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements Date _ POOLS (Plans) OK except #'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 = OK = Not OK = Not Applicable = Not Ready RESIDENTIAL (Single and Duplex) Date UNDERFLOOR Plans OK exce t#'s Date FRAMING (Continued) 1. Zoning requirements -Setbacks -Easements 48. Property Line Firewall & Openings 2. Ftg., Main; Soils-Steel-Elec. Grnd.- / /'' Ftg. Depth 49. Ext. Doors -One 3' -Check Garage -3rd story, 2 exits 3. Ftg., Garage; Soils -Steel- / /" Ftg. Depth 50. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 4. Ftg., Porches & Decks; Soils -Steel- / /" Ftg. Depth 51. Plywood on Roof Overhang -Attic Vents -Rafter Outriggers 5. Stemwalls, Main; Steel-Blockouts-Wrapped-Slab 52. Siding -Nailing -Veneer 6. Stemwalls, Garage; Steel-Blockouts-Wrapped-Slab 53. Stucco Mesh -Drip Screed-Fdn. Vents-Underflr. Access 7. Piers -Fireplace Ftg.-Steel 54. Glazing Area -Glass Protection -Skylights -Plastic B. D.W.V.: Fall -Fittings -Test -2 way C/O -Sewer Test 55. 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 -Anchor Bolts -Joists -Vents -Cripples Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Date Card -BI Date FINAL (Plans) OK except it's Card -BI Date Card -BI Date Date PLUMBING (Permit) OK except p's -4. Water Ht.; Vent -Access -Combustion Air - 5.Water Pipe; Test & Anchors -Nail Protection 56. Ext. Steps -Door & Sidelight Protection -Landings 57. Smoke Detector 58. Furnace; Vents -Clearance -Comb. Air -Connector- ir-Connector--5. In Garage; Above Floor-Ducts-Mech. Protection .6. D.W.V.; Test-Fttngs & Anchors -Nail Protection 59. Bedroom Exiting 17. Shower Pan; Test, First Floor -Tub Access 60. G.F.I. & Bath Fixtures & Tub Access 18. Test Tub & Shower, 2nd Floor -Tub Access 61. Elec. Trim & Subpanel; Breaker Sizes -Labels 19. Gas Pipe; Size & Anchors 62. 63. Stairs & Rails Fireplace or Stove; Clearances -Hearth Card -BI Date Card -BI Date 64. Elec. Outlets at Wood Panel; Int. & Ext. 65. Kit. Fixt. & Appliance; Grnd.-Air Gap -Cooking Clearance Card -BI Date Card -BI Date 66. Elec. Outlets & Receptacles at Kit. Counter Date ELECTRICAL Permit OK except N's 67. Garage Fire Door; Swing -Landing -Closer 68. A.C. Duct in Garage -Damper 20. Fixture & Transformer Clearance -Ins. Protection 69. Wtr. Htr.; Vents -Clearance -Comb. Air-Connector-P.R.V.- In Garage; Above Floor-Mech. Protection 21. Elec. Receptacles Spacing -Lights &Switches at Doors 70. Plb., Elec. & Mech. Equip. Listed for Location £2. Size Boxes & No. of Conductors -Stapled 71. Elec. Receptacles in Garage; (G.F.I.)-Romex Protec. 23. Romex Installed Close to Edge of Studs & C.J. 24. Equip. Ground made up w/Mech. Fasteners -Bond Gas &Water 72. Insulation -Foam -Looked in Attic ❑Yes 73. Guard Rails &Deck Construction -Post Caps 25. 2 Appliance Circuits in Kitchen &Conductor Size 74. Fdn. Vents & Crawl Hole Door -Drainage & Wood -Earth Clearance Looked under Floor ❑ Yes _ 26. Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / / ga. Cu or At 27. Range Circ. / / ga. Cu or AI -Oven Circ. / / ga. Cu or At, Insulated Neutral ❑Yes ❑No 75. Following instld.: Drive ❑ Yes ❑ No; Walks ❑ Yes ❑ No; Planters Dyes ❑No 28. Service -Riser Conductors & Ground -Main Disconnect 76. Stucco; Brown -Finish 29. Equip. Clearances; Panels-Motors-Mech. Equip. 77, A.C. Unit; Disconnect-Clrnces-Brkr. & Cond. Size -115V Outlet 30. Clothes Closet Light -Shower Light 78. Vents Above Roof; Plbg.-Appliance-Firepl.-Clearance to Opngs. 79. Water Well; Disconnect, Electrical, Plumbing 80. Exterior Elec. Trim; G.F.I. Receptacle -Underground Card B -I Date Card -BI Date 81. Ventilation throughout House Card B -I Date Card -BI Date 82. 83. Glass Protection _ Corrections from Previous Inspections Date MECHANICAL (Perrrit) OK except q's 84. Gas Test -Meters Tagged; Gas -Electric 31. A.C. Ducts; Insulation & Support 85. Water & Sewer Connected -C/0 to Grade -HD Approval 32. Vent Fan; Exhaust above Insulation 86. Energy Compliance Certificate -Other Certificates _ 33. Condensate Drain & Overflow; Size & Grade 34. Furnace -Vent; Access -Comb. Air -Return Air Vent -115V outlet 35. Attic Access & Platform if Furnace in Attic Card -BI Card -BI Date Card -BI Date Date Card -BI Date -- Card -BI _ _Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Comments at Final: Date FRAMING(Plans) OK except q's 36. Sills; Proper Material & Anchors 37. Walls; Studs -Nailing, Spacing & Bracing -Plates -Sound _ 38. 39. _40. Bearing Walls over Girders & Floor Nailing Draft Stop in Walls (rat proof) Fire Stops; Furred Ceilings -Stairs -Chases -Tub 41. Header & Beam -Size & Bearing 42. 43. 44. _ Hangers -Post Caps -Anchors -Connectors Cing. Joist-Rftr. Ties-Purlin-Roof Brac.-Truss-Shthng.-Rfng. Fireplace Ties or Type A Flue -Fireplace Throat _ 45. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 46. Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions _ 47. Garage Fire Protection Framing11 (NOT E: A n entry must be made each time you vis it job site) / COUNTY OF BUTTE - DEPARTMENT -OF PUBLIC WORKS PERMIT NQ. i 7 County Center Drive - Oroville, CMifornie 95965 = Telephone 916/534-454 APPLIOATION AND PERMIT ASSESSOR PARCEL NUMB R ZONIN 36 91 ei WILDING PERMIT OrRA c/_ L/� 4) 93-9-7�y S FT. OCC. BUILDING VALUATION a I o OW o�%,vI Lai pM P1i9�a . � . eatllOLQ�� CONTRACTOR'S NAME A/ O�/ V TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER LJ�rI� UNKNOWN Total Valuation $ Zot Filing Fee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee $ 0 V ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ O v Penalty $ ARCHITECT OR ENGINEURIS MAILING ADDRESS Permit fee $ =03 BUI DING A DR Q !% 6gti�Wo �D, f f7Each PLUMBING PERMIT Filing Fee 10.00 Trap 2.00 Repair drainage or vent piping 5.00 L Water piping LOT NO. SUBDIVISION NAME PARCEL MAP Each qas water heater or vent 5.00 Gas piping system 1 - 5 outlets USE OF STRUCTURE SF Duplex❑ Mobilehome❑ Other SPECIFY Building sewer Lawn sprinkler system 5.00 TYPE OF WORK New AdditionP-Utilities Insta lation❑ Other Describe work: �(/ ,2t✓ Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 6001 OR LESS 100 AMP OR LESS 5.00 - Main service EA. ADD'L 100 AMP 2.50 NEW CONST. (DWELLING OCCUP.y) OR ADDNS. ACC. BLDGS. 2�sgft CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): ❑NON-RESID. I am licensed under provisions of Chapt. 9, Div. 3 of the Bus Iness 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 CON5TR TI -OUTLET 2.50 ea NON.RESID BRANCH CIRC TS NEW CONSTR. POWER APPARATUS S\ (SINGLE OUTLET CIR. / Ex. Occup OUTLETS OR FIXTURES_ 50@25 IxED APPLNS. OR Ex. Occup. (ou TLETS (RESID.) EA. 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 7.50 Permit Fee $ Contractor MECHANICAL PERMIT Filirig Fee 10.00 WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. °j I shall not employ any person in any manner so as to become subject i 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 S Contractor 1 certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, i tyemnify and keep harmless the County of Butte against all liabiliti j, dg nt's, costs, an en _, which may in any way accrue against rid in conseque ranting of this permit. X c2� Date �S�' Sig .tura of Applicant — Owner XContractor ❑ Agent ❑ An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories in hei ht. Mobile Home Installation Fee $ TOTAL PERMIT FEE $ , p�j OCCUP. GROUP TYPE of CONST. PARCEL PD ND 55 This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which DIRECT F PUBLIC BY PER EXPIRES Date the applicable provi- resolutions to do fees have been paid. WORKS Date :::K-1 Receipt No. WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT I. W2 • -. 3283-80B,E PERMIT NO. PERMIT EXPIRES Li lei Frank. Lind OWNER -CONTR. owner LOCATION (A.P. 36-283 ) Upper Palermo Rd., r6 yi • l t q' y}l 1 4; Temp. Power Pole Called PG&E Temp. Elec. Serv. Called PG&E " Temp. Gas Serv. Called PG&E J\N/L FED I. (Date) ' is s� (Signature t i F ' COUNTY OF BUTTE — DEPARTMENT -OF PUBLIC WORKS BUILDING INSPECTIONRECORD BUILDING BUILDINSs.(Cont'd) PLUMBING Setback ' Firewall Soil Piping Forms Parapets 1st'Floor Main Bldg. Restroom Finish 2nd Floor Footings Windows 3rd Floor Stemwall Siding To out Slab Roof Sheathing Water Piping Piers Roofing Sewer Garage Fdn. Vents Fixtures Footings StemwaI l Garage Vents Insulation Water Htr. Heaters Slab Carport Footings Prov. for physically handica ed Conformance of ex. s Appliances Gas Piping & Test Temp. Gas Slab Final Sanitation Patio RE ACE Final Footings Footing ELECTRICAL Masonry Walls I Throat Rough Reinf. Steel IFinal Fixtures Bond Beam z I FIRE SPRIdKI ERS Motors Mesh MECHANICAL Gird. Fault Prot. �— Scratch Heatin Service Brown Cooling Temp. Pole Finish _ Ducts /+ Underground i yoor closer Fina Y� y�J.lilG/�fjJ � �( ylna1 / 22 / :: /;/ 04 MOBILEHOME UTILITIES --------------- o, ta Deas , i Water Piping Sewer Gas Piping OBILEHOME INSTALLA WN - - - - - - - - - - - - - - Support Elec. Continuity Water Piping Drainage Gas Piping DATE REMARKS OR CORRECTIONS ?/l 2 (NOTE: An entry must be made on this form each time you visit the job site.) RES IDENT IAL ENERGY CONSERVATION STANDARDS CONSTRUCTION COMPLIANCE CERTIFICATE THIS IS TO CERTIFY THAT ENERGY CONSERVATION REQUIREMENTS HAVE BEEN INSTALLED IN CONFORMANCE WITH CU ENERGY C S RVATION REGULATIONS AT "� e �t/L 1 R (YoEation) p BUILDING PERMIT NO. 7 ZS3 —0D 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. Fdn. Walls Floors_ Walls. Ceiling/Roof Ducts Circulating Pipes APPROVED HEATER APPROVED WTR. }ITR. GLAZING: Single Glazed Special (Insulated) CERT. & LABELED WDS. & SLIDING DRS. WEATHERSTRIPPED DRS. BACK DAMPERED FANS INTERMITTENT IGNITION DEVICES 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 SUBTM ITTED. Insulation Applicator Name Signature of (please print) Insulation Applicator �( General Contractor/Owner Name k Signature of l General Contractor/Owner State Contractors License No. 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. COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 - Telephone 916/534-4541 APPLICATION AND PERMIT s� fort'dal ASSESSOR PARCEL NUMBER ZONIN BUILDING PERMI OWNER � TELEPHONE SO. FT. OCC. BUI I VALUATION Z . OWNER'S MAILING ADDRESS o i 0 -ov CONTRACTOR'S NINMEELEPHONE c e-- ca CONTRACTOR'S MAILING ADDRESS CONSTRUCTION LENDER /�� © �-G/ � �_ UNKNOWN Fireplace Total Valuation I $ LENDER'S MAILING ADDRESS Permit Fee $ 00 ARCHITECT OR ENGINEER if 5 ct,-,a `Q t- LICENSE NO. Plan Checking Fee $ 49 a Penalty $ ARCHITECT OR ENGINEER'S MAILING ADDRESS '�- Permit fee $ o OBJ BUILDING ADDRESS/ Pl�x`eowo PLUMBING PERMIT Filing Fee 3.00 Each Trap 2.00 Repair drainage or vent piping 2.00 Water piping LOT NO.SUBDIVISION NAME PARCEL MAP Each qas water heater or vent 2.00 Gas piping system 1 - 5 outlets USE OF STRUCTURE SFIR Duplex[] Mobilehome❑ Other SPECIFY Building sewer Lawn sprinkler system 2.00 TYPE OF WORK New F-1 Addition El Remodel Utilities [I Installat�,on❑ Other EJ Describe work: c— a— — r4 P V I Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 3.00 Main service 100 AMP LESS 100 5.00 Main service EA. ADD•L 100 AMP 2.50 NEW CONST. DWELLING OCCUP.& OR ADDNS. ACC. BLDGS. 20sgft CONTRACTORS LICENSE LAW I declare under penalty of perjury p y p f y (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) � El 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. U TI -OUTLET NON-RESID BRANCH CIRC ITs 2.50 ea NEW CONSTR POWER APPARATUS & NON-RESID. (SINGLE OUTLET CIR, Ex. Occup(OUTLETS OR FIXTURES 50 1 x" BL@10S E X. Occup.( FIXED APPLES, OR p•(DUTLETS (RESID,) EA, 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 6.25 e- 3— Permit Fee $ Contractor MECHANICAL PERMIT FiIingFee 3.00 WORKMEN'S COMPENSATION INSURANCE 1 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. 64 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 2.00 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. 1 also agree to save, indemnify and keep harmless the County of Butte against all liabilities, ju ents, cost expenses which may in any way accrue agains id Co in cons of the granting of this per aa X Date �f✓ Signature of Applicant — Owner Contractor EJAgentp An OSHA permit is required for excova ions over 5'0" deep and demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee $ Land Development Fee $ TOTAL PERMIT FEE $ A OCCUP. GROUP I TYPE OF CONST. v I 17TRCELPD v v HD ssuE This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which DIRE OR OF PUBLIC By MIT EXPIRES Date the applicable provi- resolutions to do fees have been aid. WORKS Date 6✓a`�r Receipt No. �� WHITE-D.P.W.. YELLOW -ASSESSOR. PINK -INSPECTOR, GOLDENROD -APPLICANT Owner: j Permit No. e ENERGY CtRT-IF•I,CAT ION LOCATION; A.P. No. DESCRIPTION OF INSULATION ROOF Material Brand Name Thickness(inches) Thermal Resistance (R Value) EXTERIOR WALL Material Fezxo Brand Name nC-W9oaTz-e e Thickness(inches) , Thermal Resistance(R Value) 2?-/) CEILING /, 1 Bim' or Blanket Type Brand Name Thickness(inches) Thermal Resistance(R Value) Loose Fill Type Brand Name Minimum Thickness(inches) Number of Bags Wt. per bag lb. Area covered(ft. ) Thermal Resistance(R Value) FLOOR, ELEVATED Material[- . Thickness(inches) G '� a FLOOR, SLAB Material Thickness(inches) Width(inches) Brand Name eZ p1741ti %-_e-6 G) Thermal Resistance(R Value) A? -/j Brand Name Thermal Resistance(R Value) FOUNDATION WALL Material 'Brand Name Thickness(inches) ! Thermal_Resistance(R Value) I hereby certify that the above insulation was installed in the above building in conformance with the State of California Energy Requirements. OWNER STATE CONTRACTORS LICENSE NO. r' i;ZO�FSTALLATION APPLICATOR DATE I,hereby`certify'the above insulation and all required items as shown on the Building Department approved plans and attachments have been installed as required by the State of California Energy Requirements. .s All equipment, devices'and materials are of the quality prescribed or are specifically -approved by the State of California. FIRM NAME/OWNER (Please pri t) STATE CONTRACTOR'S LICENSE NO. z 1414- WN�R DATE �f THIS CERTIFICATE MUST BE ON FILE WITH THE BUILDING DEPARTMENT PRIOR TO.FINAL� INSPECTION APPROVAL AND A COPY SHALL BE POSTED WITHIN THE BUILDING. t January 1984 rol t !f May 9,1988 Frank & Nella Lind RE: Building Permit No. 1669-87 6091 Upper Palermo Rd. Expiration Date 5/22/88 Oroville, CA 95965 (A.P. No. 36-28-48) Dear Mr. & Mrs. Lind: t With reference to the above subject, our.records indicate that your Building Permit will expire on the above date. Building permits are valid for one year and should construction be started but not completed by the expiration date of the permit, the permit shall be renewed for the original Building Permit Fee (plus a $10.00 "Filing Fee"). The renewal permit will extend the Building Permit for an additional year from the original expiration date. Should you not renew your permit in a timely manner, it .cannot be renewed and.all work must cease until a new building permit is issued. If your construction is completed -or should you have any questions concern- ing this matter, please contact the Oroville office. For your convenience, we are enclosing a'renewal application form and an owner -builder form to be completed and signed by you where indicated and returned to this office together with the fee shown. Please return all coRies of the application form. Thank you for your prompt attention concerning this matter. JFG:aam Attachments: Permit Application Owner -Builder Information Owner -Builder Verification cc: Building Inspector - Oroville Yours very truly, William Cheff Director of Public Works G ander of Building Inspector PERMIT NUMBER - B 3203-72B,P, E,M P ,1 r E 4 A l PERMIT EXPIRES ZZ_a� _ 7,3 OWNER James Chamberlain �z CONTR: owner h LOCATION (A.P. 36-28-48 •p �v-aA6 Upper Palermo Rd. mi. so. of Lower Wyandotte Rd., Oroville �9�123 4• COUNTY OF BUTTE Deportmont' of -Public, W.o&- BUILDING INSPECTION RECORD Zoning Setback Forms Foundation Piers & Girders 43 Fireplace Rgh. Plumbing 6WI—,e- �- Bond Beam Lath & Plaster Rein. Steel Gas Piping & Test Found. Vents Framing 4Q92-' A Plmg. Topowt A.--25T--7:C Rough El ec. W t t. H t r. All -,7 Furnace Jal�tl Kitchen Vent /A Firewall Garage Vents - Sanitation & Wotg7r ELECTRIC (57 GAS v BUILDING oe - -1 Temporary C�) Temporary Cert. of Occup Final ;61d Final z�ZZI�"l 2 Final 2 DATE REMARKS OR CORRECTIONS all A/ —7s /,0 lot 00, 417ze- Ad f- 6 1 k Ole COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS 7 County Center brie — OroviIIe, California 95965 Telephone: 533-1230, Ext. 259 APPLICATION AND PERMIT S gnoture of Per tee or Agent / D �, �/ � BY Date Receipt No. — Building Permit Expires Date White-D.P.W. — Pink -Inspector — Goldenrod -Assessor — Yellow -Applicant BUILDING Owner CX414713t SQ. FT. OCC. BUILDING VALUATION % 2/ 00 Mailing Addre�ss oF 168-1 ��E C/ / Cl/'p;� h L Fireplace Contractor Total Valuation Mai I i ng Address Permit Fee Plan Checking Fee &/or Penalty Permit Fee $ UJ, GO 1 $ z1- dB Building Address U��� 0 PLUMBING No. @ FEE PERMIT FILING FEE $2.00 2. 0!) &,1 l� %y Q %%f Each Trap 1.50 _ d Repair drainage or vent piping 1.50 Water piping 1.50 5, or Each gas water heater or vent 1.50 6 A. P. No. 3 6 P _2— Zoning Gas piping system 1 - 5 outlets 1.50 O Each additional outlet .50 Fire Zone Fire Dept.- Planning Building sewer 5.00 W. CL/ R/W Encroachment Lawn sprinkler system 2.00 NEW ADDITION ❑ OTHER ❑ Permit Fee $ $ 14ZB`Q ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 3,QO Main service incl. 1 meter 3 00 Additional meters, each 1.00 Sub -panel (12 or less) (more than 12) 6 USE OF STRUCTURE Single Family Duplex ❑ Others ❑ Range, dryer or water heater 1.00 Oven, Cook -top or space heater 1.00 Lig ixtures Z ? 2 a 0 Re s., switches & fix tlets j O CONTRACTORS LICENSE LAW, I am licensed under the provisions of Chapter 9, Div. 3, of the State of California Business & Professions Code under the name style of: Hood, Ex. Fan or F.A. Furn. Motor 1.00 Evap, cooler, gar. disp. or D.W. 1.00 Air conditioner or heat pump Water pump % 00 Misc. wiring License No. Classification i am exempt from the Contractors License Laws of the State of California. Permit Fee $ % $le WO WORKMEN'S COMPENSATION INSURANCE I am aware of the provisions of Section3700 of the California Labor Code which requires every employer to be insured against liability for Workmen's Compensation. ❑I have placed on file with the County of Butte a certificate of Workmen's Compensation Insurance. I certify that in the performance of the work for which this permit is issued I shall not employ any person in any manner so as to become subject to the Workmen's Compensation Laws of California. MECHANICAL No. @ FEE PERMIT FILING FEE $3.00 3 00 Heating , G 61 Cooling Ventilation Permit Fee $ 00 $ &IQ 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 propert f in p poses. LOIIA° ate/ '7' Strate Fee for Strpg Marian $0.07/$1000 Evaluation Instrumentation Program $ , a TOTAL PERMIT FEE pc $ 9 d This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DIRECTOR OF PUBLIC WORKS S gnoture of Per tee or Agent / D �, �/ � BY Date Receipt No. — Building Permit Expires Date White-D.P.W. — Pink -Inspector — Goldenrod -Assessor — Yellow -Applicant