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HomeMy WebLinkAbout079-250-033z Kermit Patton 2455 Maple Ave., Palermo (WORK DONE W/O PERMITS - 12/4/80) Kermit Patton p 2455 Maple Av. .alermo �V C O � ntr� Forman Const:, Reddi❑g Permit #&l62-80B,P,E(remodel/SF) Permit' #' 2785-82B(reroof/SF)• contr: Don George,Oroville �toldt 09t- - 02-1767 PIERSON, Charles 2455 Maple Ave., Oroville Siding & new Ele Ser Panel/SF 0 rAG1 99-79AGULTU EXE PERM TRLES PIERSON JR.FEED, HAY , i Kermit Patton 2455 Maple Ave., Palermo (WORK DONE W/O PERMITS - 12/4/80) Kermit Patton p 2455 Maple Av. .alermo �V C O � ntr� Forman Const:, Reddi❑g Permit #&l62-80B,P,E(remodel/SF) Permit' #' 2785-82B(reroof/SF)• contr: Don George,Oroville �toldt 09t- - 02-1767 PIERSON, Charles 2455 Maple Ave., Oroville Siding & new Ele Ser Panel/SF 0 rAG1 99-79AGULTU EXE PERM TRLES PIERSON JR.FEED, HAY , CO_UNTY,OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-7541 PERMIT NO. (Rev. 12/96) APPLICATION AND PERMIT 02-1767 ASSESSOR PARCEL NUMBX36-300-052 ZONING AR -5 BUILDING PERMIT OWNER CHARLES PIERSON TELEPHONE 533-8910 SQ. FT. OCC. BUILDING VALUATION .OWNERS MAKING ADDRESS 2455 MAPIE. AVE. OROVILLE CA 95966 EST. 1,500.00 CONTRACTOR'S NAME CHARLES PIERSON CONSTRUCTION TELEPHONE CONTRACTORS MAILING ADDRESS CONSTRUCTION LENDER Fireplace LENDER'S MAILING ADDRESS Total Valuation $ 1,500.00 ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00 Permit Fee $ 35.00 ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ BUILDING ADDRESS 2455 MAPLE AVE. OROVILLE CA 95966 Energy Plan Checking Fee $ $ PERMIT FEE $ 55.00 LOT NO. SUBDNISIONS 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 New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑ Describe Work: SIDING , NEW WINDOWS, NEW ELEC. SERV. PANEL Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home I S I G I W @20.00 PERMIT FEE S ELECTRICAL PERMIT Fling Fee 20.00 500VUE Main Service 200A OR LESS 23.00 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 ia in full 19rce and effect.�y License Class /G- Lic. No. �� �/ OWNER -BUILDER DECLA ATION 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 Main Service To 46.00 WEE200A NEW CONST. DWELLING OCCUP. SO CCU000A .50so OR ADDNS. ( 8 ACC. BLDS. 3.5QFT. =RESD.T MULTI.OUTLETr. @7.50 POWER APPARATUS 8 SINGLE OUTLET CIR. OUTLET OR FIXTURES 20 @ 1'50 EX. OCCU BAL @ .50 Ex. Occup. OFucuTe�°TSA A OR EA. 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 3.00 Pre -Iris 3.00 PERMIT FEE $ 89.00 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 MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE $ Policy Number (The above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) I certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to workers' compensation laws of California, and agree that if I should become subject to the workers' compensatqgn provisions of section 3700 of the Labor Code, I shall forthwith cogi those provisions. 9 Date G-? �,AE:rre�OfApplicant - ❑ Owner ❑ Contractor ❑ Agent An OSHA permit is required for excavations over 60" deep and demolition or construction of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST. TYPE TOTAL FEE $ 14-q. 01i I HAZ. I D. FEES IMP I FLOOD F779 PD HD ISSUE This permit is hereby issued under the applicable provisions of the Butte County Co a d/or Resolutions to do work indi ted a vefor whi fee have been paid. ll B Date 7-22-02 PERMIT EXPIRES ON 7-22-03 Date ReceiptNo. 360411 ,147.05 WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT ".. ONVNER-BUILDER VERIFICATION Attention Property Owner: An "owner -builder" building permit has been applied for in your name and bearing your signapu+e. 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. CIO I personally plan to provide the major labor and materials for construction of the proposed Oproperty improvement : YES NO13 I HAVE HAVE NOT Cf signed an application for a building permit for the proposed WadL 3. I have contracted with the following person (firm) to provide the proposed construction: NAME: PH DRESS: CITY: CONTRACTOR'S LICENSE NO.. 4. I plan top vide portions of this work, but I have hired supervise, and vide the major work: NAME: ADDRESS: PHONE: CITY: CTOR'S LICENSE NO. person to coordinate, 5. -'I will provide some of work but I have con cted (hired) the following persons to provide the work indicated - NAME ADDRESS PHONE TYPE OF WORK SIGNED: PROPERTYOWNERk1E SOCLAL S CURITYR: DATE: -��- NOTE: This Owner -Builder Verification is required by Section 198.31 and 19832 of lis California Health and Safety Code. This verification must be compktsd and returned to our office before we are permitted to issue the permit OVER OWNER BUILDER INFORINIATION Dea: P-opem" Ow':-" An application for a building permit has been submitted in your name listing yourself as the builder of property improvements specified. For your protection, you should be aware that as "owner -builder" you are the responsible parry of record on such a permit. Building permits are not required to be signed by property owners unless they are personally performing their own work. If your work is being performed by someone other than yourself, you may protect yourself from possible liability if that person applies for the proper permit in his or her name. Contractors are required by taw to be licensed and bonded by the State of California and to have a business license from the city or county. They are also required by law to put their license number on all permits for which they apply. If you plan to do your own work, with the exception of various trades that you plan to subcontract, you should be aware of the following information for your benefit and protection: ♦ If you employ or otherwise engage any persons other than your immediate family, and the work (including materials and other costs) is 5300 or more for the entire project, and such persons are not licensed as contractors or subcontractors. then you may be an employer. ♦ If you are an employer, you must register with the State and Federal Governments as an employer and you are subject to several obligations includin- state and federal income tax withholding, federal social security taxes, workers compensation insurance, disability insurance costs, and unemployment compensation contributions. ♦ There may be financial risks for you if you do not carry out these obli;ations, and these risks are especially serious With respect to worker's compensation insurance. ♦ For more specific information about your obligations under Federal Law, contract the Internal Revenue Service (and, if You wish, the U.S. Small Business Administration). For more specific information about your obligations under State Law, contact the Department of Benefit Payments and the Division of Industrial Accidents. If the structure is intended for sale, property owners who are not licensed contractors are allowed to perform their work personally or though their own employees, without a licensed contractor or subcontractor, only under limited conditions. A frequent practice of unlicensed persons professing to be contractors is to secure an "owner builder" building permit, erroneously implying that the property owner is providing his or her own labor and material personally. Building, permits are not required to be signed by property owners unless they are performing their own work personally. Information about licensed contractors may be obtained by contracting the Contractors State License Board in your community or at 10:0 N Street, Sacramento, CA. 95814. Please complete the "Owner Builder Verification" on the reverse side of this form so that we can confirm that you are aware of these matters. The building permit will not be issued until the verification is returned. I!N�lt -rely, el C. Vi ira, C.B.O. ger, Building Inspection NOTE: Tit is Owner -Builder Information is required by Section 19810 of the Callfornla Health and Safety Cods OVER PRE -INSPECTION REPORT OWNER: LOCATION: . S A) UL Gt,� CONTRACTOR: PRE-INSPETION FOR DATE: " 3 a A.P. #- - !o 30'0 —5 Q3. ZONING: _rJ PET HISTORY-( )NONE TO INSPECTOR: -- %'I►S FOLLOWS: BUILDING R4SPECTOR'S REPORT Bullding Description: Electrk: Gas: C hmercial/Usage: ResidentiaW of Units: Currently Occupied Abandoned/Vacant Yes No Electric ctu=,dy On Off Condition of Electric Natural Propane None, Obvious Problems: Sanitation: Currently On Off Plumbing Working _ Well Working Potable Water Obvious SewageProblems I e ACTION RECOMMENDED: ISSUE: HOLD FOR Inspector.^�� Date ,D 2— Sketch buildings on reverse and indicate location on p"ropert� BUILDING DIVISION COUNTY OF BUTTE-' DEPARTMENT OF DEVELOPMENT SERVICES 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE: (530) 538-7541 AGRICULTURAL BUILDING EXEMPTION PERMIT I&MAIRMI Agricultural building is defined as follows: Agricultural building is a structure designed and constructed to house farm implements, hay, grain, poultry, livestock, or other horticultural products. This structure shall not be a place of human habitation or a place of employment where agricultural products are processed, treated, or packaged, nor shall it be a place used by the public. ASSESSOR PARCEL NO. �/ _ AG �S—L ZONING A OWNER ,S J PHONE NOY O 6 OWNER'S ADDRESS t LOCATION OF BUILDING _ USE OF BUILDING $ �^ SIZE OF STRUCTURE ^ / 24 � /���.�� ' X = LP��� SQ. FT. TYPE OF CONSTRUCTION: WOOD FRAME —Y— STEEL CONCRETE OTHER(Specify) TYPE OFDING ROOF COVE G FLOOR TYP .S D9iK `` ESTIMATENSTRUCTION S�v AG Buildings shall comply with the minimum front, side, and rear yard setback requirements of the applicable County Ordinances as follows: I — 5� t — FRONT SIDES'``" EAR REAR— AG Buildings shall be a minimum of five (5) feet from any septic tank or leach fields. AG Buildings less than 1000 sq. ft. in floor area shall be located a minimum of 6 feet from a residence, 10 feet from a mobilehome, and 23 feet from a commercial building. AG Buildings greater than 1000 sq. ft. in floor area shall be located a minimum of 23 feet from a residence and a mobilehome, and 40 feet from a commercial building. AG Buildings must comply with Flood Zone requirements. Finish floor elevation must be at or above elevation USGS Datum. I declare under penalty of perjury that the building will be used as stated above and the purposed use confirms with the AG Building definition. If any change in use or occupancy of the building is made, I will contact the Building Division and obtain any necessary permits, inspections, and approvals to comply with the�nts in effect at that time and before occupancy. g Date 4 - Z of— L Permit Fee - $60.00 Receipt No. 27 -LL Z, Signature of The above d6s�`&ribed AG Buildini is exempt from a building permit. / FLOO I PAR LP.D/ RO(O G ISSU Manager Building Division By Date White — DPW, Yellow — Assessor, Pink — B. I., Goldenrod — Applicant e. ,., ._. , �,-...-.,�..,ay.-_...t.r�--�,.�,.�sn-..�.r+o.r+r, Ir'ss.•�ar�.�y+.►+sn:svai�� r v� 1 1 i f COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 - Telephone 916/534-4541 APPLICATION AN&PERMIT f PERMIT NO, ASSESSOR PARCEL NUMBER 36 - o - 5Z ZONING BUILDING PERMIT OWNS T PA T7'DAl TELEPHONE SQ. FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS CjONTRACTOR'SNAMC /CAJCnc,,I�L JHO/4/2r: OR•MAILINGDRE CMJT, .l -lb Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation Z_ Filing Fee $ 10,00 LENDER'S MAILING ADDRESS Permit Fee $ rj, Uv ARCHITECT OR ENGINEER //`• ot JAIGD••-DRESS LICENSE NO. Plan Checking Fee ,$ Penalty $ ARCHITECT OR ENGINEER'S MAILING Permit fee $ , F BUIL G AD KESS J � S M� / C_ C 5i PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 . Repair drainage or vent piping 5.00 (jA Water piping LOT NO. SUBDIVISION NAMEPARCEL 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 ❑ Addition Remode��[] �Ut iliti� � sta��� ❑ Other Describe work: NVC/ / ISWM l/ L 6.S Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service OOOV OR LESS 100 AMP OR LESS 5.00 Main service EA. ADD'L 100 AMP 2.50 NEW CONST. DWELLING OccUP.ej OR ADDNS, ( ACC. BLDGS. / 2�sgft CONTRACTORS LICENSE LAW I decla a 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. (.elf/' License No. .x� > �J Classification i' - '-"l ❑ 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 I. u L T 2.50 ea NON.RESID BRANCH CIRC ITS NEW CONSTR I POWER APPARATUS 6) NON-RESID. SINGLE OUTLET CIR. azx Ex. OCCUP OUTLETS OR FIXTURES BAL@1 Ex. Occup.(OUTLETS FIXED P(RESID )REA. 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 7.50 Permit Fee $ Contractor MECHANICAL PERMIT Filing Fee 10.00 WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ©, 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 subjectpermit to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shal I be deemed revoked. Heating Cooling Hood 3.00 Ventilation Fee S 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 Tial Iities, j dgn)ents, costs, and expenses which may in any way accrue again 'f aid Cooubty/in �nsequence of the granting of thispermit. X ! J f 'i'r Date Signature of Applican/t�` Owner ❑ Contractor Agent ❑ An OSHA permit is re p p qulred for excavations over 5'0" dee and demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee $ TOTAL PERMIT FEE $� r t� Occup. GROUP TYPE OF CONST. PARCEL PD ND ISSUE This permit is her by issued under sions f the -Butte Count Code and/or work ��tl' at d move for which I CTOR OF PUBLIC By- PERMIT EXPIRES Date the applicable provi- resolutions to do fees have been paid. WORKS ? Date _ / '7r /W Receipt No.77 WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR. GOLDENROD -APPLICANT COUNTY OF BUTTE -DEPARTMENT OF PUBLIC WORKS PERMIT NQS 7 County Center Drive - Oroville, California 95965 - Telephone 916/534-4541 �_7 APPLICA T ION`'AND PERMIT ASSESSOR PARCEL NUMBER 36-30 - ZONING '-gUILDING PERMIT Ow E A A TELEPHONE SQ. T. OCC.1 BUILDING VALUATION r . OWNER'S MAILING ADDRESS CONTOR Af-TOR'SfIAME TELEPHOE 57 y2;P 537 CO TR�!/TOR S MAILING ��lV DREr'vV v Fireplace CONSTRUCTION LENDER U KNOWN Total Valuation $ Filing Fee $ 10,00 LENDER'S MAILING ADDRESS Permit Fee $ 2-G. p� ARCHITECT OR ENGINEER LICENSE No. Plan Checking Fee $ Penalty $ ARCHITECT OR ENGINEER' MAILING ADDRESS Permit fee $ � BUIL IG A YSS !•� `] S%, PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 Repair drainage or vent piping 5.00 e�vl Water piping LOT NO. SUBDIVISION NAMEPARCEL 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 Addition q Remod❑�iliti Jpstaii tigp❑ Other Describe work: Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 100v 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. 20sgft CONTRACTORS LICENSE LAW I declaye'Under penalty of perjury (Check one): LKJ I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Profession Code and my license is in full force and effect. License No. Classification C n _— ?F ❑ 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. 1.OUTLET NON.RESID BRANCH CIRCUITS) 2.50 ea NEW CONSTR. POWER APPARATUS S1 NON.RESID. (SINGLE OUTLET CIR• 1 EX. OCCUp OUTLETS OR FIXTURES gL� A FIXED APPLNS. OR Ex. Occup.(OUTLETS (RESID.) EA.) 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. 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 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 aar6m to save, indemnif nd keep harmless the County of Butte against all Iia es, I gTents, , and expenses which may in any way accrue again s id Co qty in n e ence of the granting of this ermit. X Date 7��i� Signature of Applicant Owner ❑ Con actor Agenr ❑ An OSHA permit is ouired for excavations over 5'0" deep and demolition or construct- ion of structures over 3 sstCriesin height. Mobile Home Installation Fee $ TOTAL PERMIT FEE OCCUP. GROUP TYPE OF CONST. PARCEL PD HD 550E hiop rmit is here y issued under si s f th utte County Code and/or w rk ted ove for which CTOR OF PUBLIC /D,/� By. IJ�C�v PERMIT EXPIRES Date_ the applicable provi- resolutions to do fees have been paid. WORKS �f 0 Date / / 9-1% Receipt No. / /O�o WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT { 1 fi PERMIT NO. 6172-80B,P,E - PERMIT EXPIRES- 2�/�'/ Kermit Patton OWNER CONTR. Forman Const., Redding 36-30-52 I ASSESSOR PARCEL LOCATION 2455 Maple Ave., Palermo a Temp. Power Pole Called PG&E i Temp. Elec. Ser u"ice It Called PG&E Temp. Gas Service Called PG&E JQB W NALED (Date) � a ;1 � Signature i ( J=OK 0 = Not OK - = Not Applicable - = Not Ready MOBILEHOMES MISCELLANEOUS Date MOBILEHOME UTILITIES (Plans) OK except N's 1. Zoning Requirements -Setbacks -Easements Date DECKS, COVERS, CARPORTS, ETC. (Plans) OK except #'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 H'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 5. Drain; MH Test -Fall -Flex Connector 4, Elec.; Receptacles and Lighting; Distances -GF] 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-1 Date Card -BI Date t Card -BI Date Card -BI Date Card B-1 Date Card -BI Date Card -BI Date Card -BI Date t E 4 M V = OK 0 = Not OK 16 - = Not Applicable RESIDENTIAL (Single and Duplex) * = Not Ready Date UNDERFLOOR Plans OK ezce t#'s ' Date FRAMING (Continued) ' 1. ing requirements -Setbacks -Easements .a Property Line Firewall & Openings Ftg., Main; Soils-Steel-Elec. Grnd.- / " Ftg. Depth .a Ext. Doors -One 3' -Check Garage -3rd story, 2 exits Ftg., Garage; Soils -Steel- / /" Ftg. Depth tairs; Widt Headroom -Rise -Run -Landing -Fire Protection 4. Pg., Porches & Decks; Soils -Steel- / /" Ftg. Depth Ply on Roof Overhang -Attic Vents -Rafter Outriggers Stemwalls, Main; Steel-Blockouts-Wrapped-Slab Ss52iding-Nailing-Veneer 13. Stemwalls, Garage; Steel - Bloc kouts-Wrapped-Slab 53. Stucco Mesh -Drip Screed-Fdn. Vents-Underflr. Access 7. Pi s -Fireplace Ftg.-Steel 54. Glazing Area -Glass Protection -Skylights -Plastic UP W.V.: Fall -Fittings -Test -2 way C/O -Sewer Test 55. Shear Walls; Nailing -Bolts - 9. Ga Pipe; Size -Anchors F( / 8% ater Pipe; Test -Anchors -Regulator -Service Test 1. 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 Card -BI Date/// - and BI Date Date Card -BI Date Card -BI Date Card -BI Date Date FI lans) OK except k's Card -BI Date Card -B+ Date Date PLUMBING (Permit) OK except #'s Ext. Steps -Door & Sidelight Protection -Landings 5- _ 14. W_W< Ht.; Vent -Access -Combustion Air 58. ace; Vents -Clearance -Comb. Air -Connector - In Garage; Above Floor-Ducts-Mech. Protection y er Pipe; Test & Anchors -Nail Protection D W.V.; Test-Fttngs & Anchors -Nail Protectionxiting 17. Shower Pan; Test, First Floor -Tub Access69Bath Fixtures & Tub Access 18. Test Tub & Shower, 2nd Floor -Tub Access 61. lec. Trim & Subpanel; Breaker Sizes -Labels 19, Gas Pipe Size & Anchors ai s e; Clearances -Hearth d Panel; Int. & Ext. Card -BI lit, Date Card -BI Date it. F' . & Appliance; Grnd. ookin Clearance Card -BI Date Card -BI Date c. & Receptacles at Kit. Counter Date ELECTRICAL Permit OK except N'suc 67. arage Fire Door; Swing -Landing -Closer in Garage -Damper 20. F' ture & Transformer Clearage -Ins. Protection 6 Vents -Clearance -Comb. Air -Connector- .R.V.- In Ga ge; Abov h. Protection t?bool5rc. Receptacles Spacing -Lights & Switches at Doors 70.,,-c. Elec. & Mech. Equip. Listed for Location e Boxes & No. of Conductors -Stapled eceptacles in Garage; (G.F.I.)-Romex Protec. x Installed Close to Edae of Studs & C.J. QGLM ip.-Ground made up w/Mech. Fasteners -Bond Gas & Water rn-Looked in Attic ❑Yes Post ConstructionCaps / 2 Appliance Circuits in Kitchen & Conductor Size - - 6. Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / / ga. Cu or Al 74.ents &Crawl Crawl Hole Door -Drainage &Wood -Earth Clearance Looked under Floor ❑ Yes 27. Range Circ. / / ga. Cu or AI -Oven Circ. / / ga. Cu or Al, Insulated Neutral ❑Yes :D No 75. 19 Following instld.: Drive es ❑ No; Walks Yes E] No; Planters ❑Yes ❑ o 28. Service -Riser Conductors & Ground -Main Disconnect -ITtucco; Brown -Finish 29. Equip. Clearances; Pane ls-Alotors-Mech. Equip. H. connect-Clrnces-Brkr. & Cond. Size -115V Outlet 30. Clothes Closet Light -Shower _fight 78 s Above Roof; Plbg.-Appliance-Firepl.-Clearance to Opngs. ^« PITti-Disconnect, Electrical, Plumbing a__. -Trim; G.F.I. Receptacle -Underground Card B -I Date Card -BI Date 81• Llation throughout House Card B -I Date Date Card -BI Date MECHANICAL (Permit) OK except #'s 8220! ..n IA,gs.Protection corrections from Previous Inspections as est -Meters Tagged; Gas -Electric 31. A.C. Ducts; Insulation & Support 8Wer Connected -C/O to Grade -HD Approval 32. Vent ; Exh t above Insulation g nergy Compliance Certificate -Other Certificates _ 33. Condenl@te Orlin & Overflow; Size & Grade 34. Furnace-, Access -Comb. Air -Return Air Vent -115V outlet 35. Attic Acce^ Platform if Furnace in Attic Card -BI -I Card -BI Date Card -BI Date Date and BI Date -- Card -BI _ Dalk Card -B. Date Card -BI Date Card -BI Date Card -BI Date and -BI Date Date FRA G(Plans) OK except q's Comments at Final: ills; Proper Material & Anchors Is; Studs -Nailing, Spacing & Bracing -Plates -Sound A/#?�Draft aring Walls over Girders & Floor Nailing Stop in Walls (rat proof) 40 -.-/ire Stops; Furred Ceilings -Stairs -Chases -Tub 41�Header & Beam -Size & Bearing -42. yt ngerCaps-Anchor;-Connectors Cln9. Joist-_Rftr. Ties-Purlin-Roof Brac.-Truss-Shthng.-Rfng. -Fireplace Ties or Type A Flue -Fireplace Throat A.9 -A is Access; Size & Romex Protection -Draft Stop -Ins. Baffles 4 rm. Windows or Exiting Doors -Sill Hgt. & Dimensions .47 -'Garage Fire Protection Framing (NOTE: An entry must be made each time you visit jobsite) 4 RESIDENTIAL ENERGY CONSERVATION STANDARDS CONSTRUCTION COMPLIANCE CERTIFICATE THIS IS TO CERTIFY THAT ENERGY CONSERVATION REQUIREMENTS HAVE BEEN INSTALLED IN CONFORMANCE WITH WRRENT ENERGY CONSERVATION REGULATIONS (locaelon) BU ILD ING PERMIT NO. '9;1Z Z - �y A P. NO. 30-- 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 1f Ceiling/Roof Ducts Circulating Pipes APPROVED HEATER o/< APPROVED WTR.HTR. GLAZING: Single Glazed Special (Insulated) CERT. & LABELED WDS. & SLIDING DRS. WEATHERSTRIPPED DRS. BACK DAMPERED FANS INTERMITTENT IGNITION DEVICES ti - CERT. APPLIANCES I DECLARE THAT ALL REQUIRED ITEMS AS NOTED ABOVE HAVE BEEN INSTALLED IN ACCORDANCE WITH THE ENERGY CONSERVATION REQUIREMENTS AND AGREE TO THE COMPLETENESS OF THIS CERTIFICATE AS SUBMITTED. Insulation Applicator Name Signature of (please print) Insulation Applicator State Contractors License No. General Contractor/Owner NameA�t-W2-, (please tint) Signature of- General Contractor/Owner Dat �G-e9' State Contractort 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 � PERMIT N0. 7 County Center Drive - Oroville, California 95965 - Telephone 916/534-45 `%a J% APPLICATION AND PERMIT !� CI ASSES ON P RCEL NUMBER 6-2, ZONING BUILDING PERM% OWN R % TELEPHONE SQ. FT. OCC. BUILDING VALUATION OW ER'S MAI LING ADD SS , Av CONT CTO1RR''S NAME'TELEPHONE r- 1 S CONTRACTOR'S MAILING D ESS — ��� Fireplace CONSTRUCTION E DER NKNOWN Q Total Valuation $ Filing Fee $ 10,00 LENDER'S MAILING ADDRESS Permit Fee $ 4DD ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ OO Penalty $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Permit fee $ ; BUILDING ADDRESS PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 Repair drainage or vent piping 5.00 Water piping i .Dl} LOT NO.S UBDIVISION.NAME _ PARCEL MAP Each qas water heater or vent 5,00 ' Gas piping system 1 - 5 outlets �—, USE OF STRUCTURE SF LIQ Duplex❑ Mobilehome❑ Other SPECIFY Building sewer Lawn sprinkler system 5.00 TYPE OFWORK New E]Additiof❑ Remodel �,� Inst Ilation❑ Other ❑ Describe work: r T L r'-' ( �QiVI iJl h�Y�.O.- Kr Permit Fee $ DVvD Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 600V OR LESS 100 AMP OR LESS 5.00 S ►1 Main service EA. ADD'L 100 AMP 2.50 NEW CONST. ( DWELLING y 81 OR ADDNS. \ ACC, BLD i0 / 2� sq ft CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): ® I am licensed under provisions of Chapt. 91 Div. 3 of the Business and " Professions e a d my license is in fu I force and effect. License No Q 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 T1 -OUTLET 2,50 ea NON.RESID BRA CH CIRCUITS) NEW CONSTR. /POWER APPARATUS.9 NON-RESID, %SINGLE OUTLET CIR9 eo L zsm Ex. Occup OUTLETS OR FIXTURES BAL@100 FIXED APPLNS. OR \ Ex. Occup.(OUTLE TS (RESID,) EA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 7.50 F. S 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 ora 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. 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 Countyot Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, c sts, and expenses which may in any way accrue a? again sa• Cp in equence of the granting of this permit. / X Date � Sig re of Applicant — Owner ❑ Contractor Agent ❑ An SHA permit is required For excavations over 5'0" deep and demolition or construct- ion of structures ov/Ie''r 3 stories in height. Mobile Home Installation Fee $ TOTAL PERMIT FEE $ OCCUP. GROUP 3 I ^% OF CONST. i� �Av// PAROL O ND I5SUE This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which �DIRECFUBLIC BiDate P �2T EXPIRES Date the applicable provi- resolutions to do fees have been paid. WORK$ %2- 7--9-PO L - !/Q - a Receipt No. T`_._% `7 WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR. GOLDENROD -APPLICANT Owner: / k e7,4—YY--- CE 7,4-rY-- Address Tenant: Building Location: Type of Inspection requested: 1. Housing / / 2. Financing 3. Change of Occupancy to ? 4: Other (specify) CE COUNTY DEPARTMEWT DF PUBLIC WORKS SPECIAL INSPEGTIt� NN REPORT W -7e .P. Date of Inspect Inspecto Present use, of build /d ",4" C" 'A. Sanitation (Hou sifig) 1. Water closet•. ,. . 2. Lavatory: - - _ .3. Bathtub or shower: M 4. Kitchen sink: 5. Hot and cold water to fixtures:�� 1� •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 and ground: 2. Receptacles: " 3.. Fusing: 4. Comments: D. Plumbing 1. Fixtures connected and vented: 2. Gas water heater: 3. Gas heating vents: 4. Comments: E. Other 1. Maintenance and repair: 2. Fire hazards: 3. Safety hazards: 4. Weather protection: 5. Underfloor and attic ventilation: 6. Conur ents : F. Cc:mmerci_al Buildings 1. Roof covering: 2. Distance to property lines: 3. Physically handicapped: 4. Restroom floors and walls: 5. Exits: _ h. Improvements: 7. Zoning,:_" _ 8. Comments: G. Field Probl��s or Violations 1. nP •oblc7,or,-iiolatiPjn (give c"ompkpte descriptAc n) : 2. What action taken (give complete d.esG-ripfion)_" JA -..s. .. ✓ 7r- 3. What action recommended: 77A. infor atioc, only -- file. / Hold for ten. (10) days, thea writs: letter. 1 L. Write letter. 77D. Other: a C o ,n° 1 sMAu_ 4 PPo,4klc6' (21,eeolT� in! A'i 7-e ` 54). 1� a �0 t 1 N ky LV 51.h'dr ovoyq Provide one-hour profectiori tm garage side of common wall I gether with self-closing 1- 3/8 thick solid -core door. I � o NOT A I M .. als ', orkmanshi P ShaA in This set of la nd A P MUST b� rcor of a < r.'3Ge wit pr ec'o i r e "'tor ' d Good,,*% dices and 'the Speci#►ed "use in kept on the job at all times and it make any changes or alterations o rdawfi►I to ame without Un;fo .&Aifv, Building idg t%`e-' Mocharlical Codes written permission from the Depart v* of Public �'* the N tional He I Cod Works, County of Butte. a C o ,n° 1 sMAu_ 4 PPo,4klc6' (21,eeolT� in! A'i 7-e ` 54). 1� a �0 t 1 N ky LV 51.h'dr ovoyq Provide one-hour profectiori tm garage side of common wall I gether with self-closing 1- 3/8 thick solid -core door. I � W V ,.:. 1Y r RRY i 000, &172 - BUTTE C UILDING DE ME APPR 1