HomeMy WebLinkAbout079-300-036ti
FAILURE TO FINAL ADDITIOZIP
N /SF r� AP 5"=° -'
TOM�Wafioo,
1 12/1/92 �A-
038 Oroville ��yU-75
Permit# 396-75B (new SF)
Aell
I
Permit/# 2570-75B(type A flue) --
Walter Lucazk
i/�0/��
38 Wahoo Ave., Oroville
permit' #4061-79B(add p ' deck/SF_)
44
Permi B,E(new pri..garage &
partit" p i exis.garage for laundr
1 LUCZAK, Walter
38-.Wahoo Ave, Oroville�.'
addition/sf
01
i Permit#1296-91B
If . (1st renewa.�838-90),
046-9;n-34-3 N 93-1679 BE
LUCZA , , WALTER'.
WAH00 AVE., OROVILLE
(GAR.'TO LIV, REMODEL/SFj
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p
z - RESIDENTIAL ,
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036-050-141 y 93-1679 BE
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LUCZAK,,,-VALTER- •,
WAH00 AVE., OROVILLE h.
J(GAR TO LIV, REMODEL/SF)
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JOB FINALED (Date)
Signature
V=OK
�. a
O = Not OK
Not Applicable
' =Reay
Not Ready MOBILE HOMES
MISCELLANEOUS
Date/Initials" MOBILE HOME UTILITIES (Plans) OK except #'a
Date/Initial DECKS, COVERS, CARPORTS, GARAGES, (Plans)OK except #'a
1
1: Zoning Requirements -Setbacks -Easements
1. Zoning Requirements -Setbacks -Easements l
`
2. Soils; Special MH Support Sketch
2. Footings; Soils -Size -Depth -Spacing -Connectors -Steel `
3. Sewer, Location -Teat -Fall -C/O Concrete
3. Decks; Griders and/or Joists -Decking -Bracing -Stairs -Rails
4. Water; Location -Test -Easement Needed (Sketch)
4. Wood Awn.; Posta-Beams-Rftrs.-Connectors
5. Electricity; Location-Clearences-Grnd-/ /Amp -Concrete
' Shthg.-Rfg.-Bracing "
6. Gas; Location -Teat -Wrap: / /"L"ft.
5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures
/ /"Net. or/ P'L"ft./ /"LPG, - _
6. Carports; Windows -Doors
7. Well Clearance & Disconnect
7. Electric
8. Utility Clearance8.
Frmg; Sils-Anchors-Studs-Rftrs-Trusses
s
9. Siding; Nailing -Veneer -Stucco -Mash
10. Roof; Shthg-Roofing
11. Ext.; Steps -Doors -Landings '
Date/Initials MOBILE HOME INSTALLATION (Plans) OK except #'a
'
1. Zoning Requirements -Setbacks Easements
2. Footings; Size -Spacing -Marriage Line 1_
3.. Gas; MH Test -Demand -Valve -Connector
Date/Initials POOLS (Plans) OK except #'s
4. Electricity; MH Test -Crossovers -Breakers -Clearances
1. Setbacks -Easements
5. Drain; MH Test -Fall -Flex Connector
2. Soils; Compaction -Structure Stability
6. Water; MH Test -Regulator -Connector
-^ 3. Pool Structure; Steel -Connections -Thickness
7. Water and Sewer Connected -C/O to Grade -HD Approval
Dead Men -Lining
N :.
8. Gas and Electricity Tagged
4. Elec.; Receptacles and Lighting, Distances-GFI
9. Exits; Insp.-Sketch
5. Elec.; Pool Lighting; 15 volts-GFI
10. Cert. of Occupancy
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-PaneIboa rds-Ins. to Main in Conduit
9. Health Department Approval
t -
10. Plumb.; Cir. Test -Water Supply Test
1
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14
^ ..
?
V=OK
O = Not OK
= Not Applicable RESIDENTIAL
= Not Ready'
D /Initials UN LOOK Plans OK except #'s
. Zoning -Setbacks -Easements -Flood -Slope
T 2. Ftg., Main; Soils-Elec. Grnd.-/ . P' Ftg. Depth
3. Ftg., Garage; Soils-Steel-Elec. Grnd.-/ /" Ftg. Depth
4. Ftg., Porches & Decks; Soils -Steel-/ /Ftg. Depth
5. Stemwalis, Main; Steel-Blockouts-Wrapped
6. Stemwalls, Garage; Steel-Blockouts-Wrapped
6s. Hold Downs and Special Anchors
7. ; Steel -Wrapped
iers-Fireplace Ftg.-Steel NS
9. O.W.V.; Fall -Fitting -Test -2 Way C/O -Sewer Test
10. UF. Gas Pipe; Size -Anchors - yard gas piping: size -test
11. Water Pipe; Test -Anchor -Regulator -Service Test
12. Electric; Underground
13. Pienums & Ducts; Clearance -Materiel -Support -Ins.
14. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples
15. Access & Ventilation
16. Insulation
-04
T '
Date/Initials PLUMBING (Permit) OK except #'s
16. Water Htr.; Vent -Access -Combustion Air -Baffle
17. Water Pipe; Test & Anchor -Nail Protection
18. O.W.V.; Test -Fittings & Anchor-Naii Protection
19. Shower Pan; Test, First Floor -Tub Access
20. Test Tub & Shower, Second Floor -Tub Access
21. Gas Pipe; Size & Anchors
Date/initials ELECTRICAL (Permit) OK except #'s
22. Fixture & Transformer Clearance -Ins. Protection
23. Elec. Receptacles Spacing -Lights & Switches at Doors
24. Size Boxes & No. of Conductors -Stapled
mex Installed Close to Edge of Studs & C.J.
26. ip. Ground made u w/Mach. Fa iter
ircuts in Kitchen & Conductor Size/GFI
28 Suble d Ware -Size /-/ ga. Cu or AI-A.C. Wire Size / / ga.
Cu or Al
29. Ran AI -Oven Circ. / / ga. Cu or Al.
Insulated Neutral ❑ Yes ❑ No
tors & Ground -Main Disconnect
31. Equip. Clearances Panels -Motors -Meth. Equip.
32 othes Closet Light -Shower Light -Spa Light
33JSmoke Detector
Date/Initials ME HANICAL Permit OK except #'s
34. A. . Ducts Insulation & Support
35. Ven an; Exhaust above insulation
36. Conde sate Drain & Overflow; Size & Grade
37. Furnance Vent; Access -Comb. Air -Return Air Vent -115 outlet
38. Attic Access Platform if Furnance in Attic
Date/Initials FRA G Plans OK except #'s
�Si1 Proper Material & Anchors
Wells Studs -Nailing, Spacing & Bracing -Plates -Sound
r nng ells over Girders & Floor Nailing
raft Stop in Walls (rat proof)
ops; rred Ceilings -Stairs -Chases -Tub
4. Headers & Beam -Size & Bearing
Single & Duplex) '
Date/Initials FRAMING (Continued)
Hangers -Post Caps -Anchors -Connectors
&AelC'n'g. Joist-Rftr. ties-Purlln=roof Brac-Truss-Shthng.-Rfng.
Type A Flue -Fireplace Throat clearance
U48: Aftic Access; Size & Romex Protection -Draft Stop -Ins. Baffles
s or Exiting Doors -Sill Hgt. & Dimensions
in lection Framing
-6.. e y Line Firewall & Openings
ne '-Check Garage -3rd Story, 2 Exits
�6'�Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection
of Overhang -Attic Vents -Rafter Outriggers
sneer
�SJ.ucco Mesh -Drip Screed -Fd. Vents-Underflr. Access
Glazing Area -Glass Protection -Skylights -Plastic
58. hear Wails; ailing- is
�• Insulatio -Well ilin
nfiltration-Walls-Windows
OK except #'s
Steps -Door &
Smoke Detector
fixtures & Tub Access -Spa
i'6 ec.rim & Subpanel; Breaker Sizes & Labels
V07 --stairs & Rails
SO -Et cam. Outlets- Wood Panel; Int. & Ext.
Appl nce; Grnd: Air Gap -Cooking Clearance
{ utlet & Receptacles at Kit. Counter
{ 72-6ar6 a ii Door; Swing -Landing -Closer
7 r, . Duct in Garage -Damper
. . tr.; Vents -Clearance -Comb. Air-Connector-P.R.V.
In Garage; Above Floor -Mach. Protection
{ , Elec. & Mech. Equip. Listed for Location
{ ec. Receptacles in Garage; (G.F.I.)-Romex Protection
,:.Insulation -Foam -Looked in Attic ❑ Yes
1 ails & Construction -Post Caps
r I Hole Door-Draina e & Wood -Earth
Clearance Looked under Floor Yes
6n-Fnll w ., . e•ia • n,; o ❑ Yes ❑ No; Walks ❑ Yes ❑ No;
j Viers ❑ Yes ❑ No
i L,BfStucco; Brown -Finish
B'£.-A.C. Unit; Disconnect, Electrical, Plumbing
; Plbg: Appliance -Fireplace. -Clearance to
Plumbi
Elec.
( - La8!Ventilation Throughout House
f Glass Protection
{ 88. Corrections from Previous Inspections
f Meters Tagged; Gas -Electric
!,( �Sewer Connected -C/O to Grade -HD Approval
r Energy Compliance Certificate -Other Certificates
Cominents at Flnal:
Insulation Certificate ,_;
BUILDING OWNER: BUILDING PERM #:7 3 — l 6,7
BUILDING LOCATION: g
Description of Installation
ROOF
Material Brand Name
Thickness (inches) Thermal Resistance (R -Value)
CEILING
Batt or Blanket Type Brand Name
Thickness (inches) / Z Thermal Resistance (R -Value) 3
Loose Fill Type Brand Name
Contractor's minimum installed weight/ft lb Minimum thickness inches
Manufacturer's installed weight per square foot to acheive Thermal Resistance (R -Value)
EXTERIOR WAL
Material
Thickness (inches)
RAISED FLOOR
I
Brand Name
Thermal Resistance (R -Value) / 3
Material Brand Name
Thickness (inches) Thermal Resistance (R -Value)
SLAB FLOOR
Material
Thickness'(inches)
Width (inches) ,
FOUNDATION WALL
Material
Thickness (inches)
Declaration
Brand Name
Thermal Resistance (R -Value)
Brand Name
Thermal Resistance (R -Value)
I hereby certify that the above insulation was installed in the building at the above location in conformance with
the current Building Energy Efficiency Standards for new residential buildings contained in Title 24 of the
California Administrative Code..
Ge al Contrac r (B r) License Number
.dam �► /3�g�
Signature and Title Date
Sub -Contractor (Insulation Installer) License Number
Signature and Title Date
THIS CERTIFICATE-MUST.BE PROVIDED TO THE BUILDING DEPARTMENT PRIOR TO FINAL INSPECTION
APPROVAL AND A COPY SHALL BE POSTED WITHIN THE BUILDING.
JANUARY 1993
J
JUL '09 ' 01 oe : 12 PGL BLDG. PROD, SAC . '..t F * a. P . 3i3"—......._...pppp,p
P tf 4
r
1 ���®I�•�.'
his • 'APAAIW FIFO
Certificate of Confoimance
i
INJU
Certificate ' h
THE UNDERSIGNED MANUFACTURER HEREBY CERTIFIES that the structural wood. products
identified below and marked with a collective mark of American Wood Systems (AWS) were man-
ufactured in accordance with the specifications indicated below.
HANSI Standard A190.1-1883, for Structural Glued Laminated Timber
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Job Name PM�BLDG P.r1i."I'.. ,k
Job.Location SACRAHRM CA
CWOmer's Order No, 301-31197 Date 6-29-93 _ Moors order: No. 7&03-c
PROOF LaAMED JGIlM
S►gnature f Title QUALITY CONTROL
Company ROSSORO LUMBER CO- SPRINGFIELD, OREGON
Address Owe 7-1-93
IT IS HEREBY CERTIFIED that the structural glued laminated timber production of the above•name'd
manufacturer which carries a collective mark of American Wood Systems (AWS) is subject to regular
audit by American Wood Systems, such audit consisting of the inspection with reasonable frequency
of the manufacturing process, with adequate sampling to verify the quality of glulam construction and
the adequacy of. -glue bond.
WOO' 't
P
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/1�
�: SEAL 9 by _-
'Michaei R. O'Halloran
, V f• _ Executive Vice President
AMERICAN WOOD SYSTEMS A RELATED r:nRFnAAYinnl nc.9�ecpi^ani
JUL 09 '01 08:11 PGL BLDG. . PROD, SAC,." "" —'P
ROSBORO LUMBER
]PANY
PO. BOX 20 • Spriri9fiOld, OR 97477
PHONE; (503) 746-$411 a FAX:. (503) 726.8919
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(;; -{:1 f�I}�. ?�f.� �, fe;•_..<<.iFtE::r:rl�f>:i:,`•i �`
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ORD5NP l Mltitit$11t-,..{.,...•................
iK # 9TY QTY 410TH DEPTH FEET IH FRACT ?ROT SPC ST I
,•••-•"••`••
-ECT CIE CIR COMB. ,
12S 8 2 03-118 X 12
60 02 I
,0 aD V4 240OF
8 05-118 X 10-1/2 60 02
1 4 3 05-118 X 12 i r 'V, _ '2400F','
-
T47-3
b0 02 0
V4 2 49F-
' 4 .4. 05-1/a
60 Or I
D V4 249
F '
itJ 4 4 05-i; 8 X 15 50 00
IN 4D f V4 ?Lilsjs
a 05-:/8 X 16-1/2 50 00
0 . '14 '21
2 2 05-:l8 60 02
U V4 2400F
4 4 05-118 X 19-1/2 50 00
1 D V4
60 02
I D V4 2-n0f
4 4 051/8 z 1? 42 02
c V4 240OF
X 12 44 0:
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4 a OS-D V4 2400
lJ8 X '13-1/2 a4 02
1 Is V4 2aooF
4 4 '05.-1/8 X 15 44 02 •
,•. , D V4 240OF t !
NHLEOCsMENT r INVOICE 7ERMS ANO CON
OfrION$
all height �uctlena with or,girtal freight bills.
iounlea to in beply An claims of grade, tally $ manufacture.
t0unto win be aeaey" a service cnar of t, ,
Fees to indemnity ROtboro 4umDer Cem /4% par month ps% CUSTOMER'S ORDER I8 SUE
ai*n of "di"mmil due herpu Pany for All expenses i Per annum!.
w and on an oder, including all court incurred in c0nm _tion TO ALE, OF THE TERMS A
Y *`dot . Wets and attorney's feet incurred CONpITI0N5 STA'TEO
pncerMng this oder well take place in Lane C .
lWan les in torrhe he found County, megon.
between this to
Preutlbnce In All &Asap now7edgmont and cusiprnor Purcn,;se .. �;a..., .
COUNTY OF BUTTE
BUILDING DIVISION
DEPARTMENT OF DEVELOPMENT SERVICES
1469 Humboldt Road, Chico, CA - (916) 891-2751
7 County Center Drive, Oroville, CA - (916) 538-7541
747 Elliott Road, Paradise, CA : (916) 872-6307-
CORRECTION NOTICE
,E
�-- 3-
-a i
OWNER PERMIT NO.
A routine inspection indicates that the following violations of Butte County Ordinances exist.at
_- r
the above address and should be corrected. Please notify this office when correction of work
is comp) ed. If you have any questions pertaining to this matter, or need additional explanation,
,
pleas contact this office immediately.
'!
- '- � fZL5 IGlc- '1::z e -r
-.
01 t ZA
/
` Y
Date > jqq Inspector
REV 10/9
F -
A routine inspection indicates that the following violations of Butte County Ordinances exist at .`
the above address and should be corrected. Please notify this office when correction of work
is completed. If you have any questions pertaining to this matter, or need additional explanation,_
please contact this office immediately.!
�,,,,QQ�� /
V L^�`�-! QCr (/
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Date 1 , 2— e Inspector
REv 10/9;2 r .
COUNTY OF BUTTE
BUILDING DIN[ISION '
DEPARTMENT OF DEVELOPMENT SERVICES
`.
1469 Humboldt Road, Chico, CA - (916) 891-2751
7 County Center Drive, Oroville, CA - (916) 538-7541
747 Elliott�-,R�oad, Paradise, CA - (9.16) 872-6307 '
_
CORRECTION NOTICE
w-,
75'
OWNER PERMIT NO.
A routine inspection indicates that the following violations of Butte County Ordinances exist at .`
the above address and should be corrected. Please notify this office when correction of work
is completed. If you have any questions pertaining to this matter, or need additional explanation,_
please contact this office immediately.!
�,,,,QQ�� /
V L^�`�-! QCr (/
Of
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Date 1 , 2— e Inspector
REv 10/9;2 r .
t
COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS
7 County Center Drive - Oroville :California 95965 - Telephone: 916.538-7541
APPLICANOWAND PERMIT
PERMIT NO.
nA
ASSESSOR PARCEL NUMBER
036-050-141
ZONING
AR -1
BUILDING PERMIT
OWNER
Walter Luczak
TELEPHONE
589-0691
SO. FT. OCC. BUILDING VALUATION
317 to R 6,340.00
OWNER'S MAILING ADDRESS
38 Wahoo Ave. Oroville 95966
25 sq Tile 4,375.00
CONTRACTOR'S NAME
Owner
TELEPHONE
sCG C 728.00
Est. 80(07.00
CONTRACTOR'S MAILING ADDRESS
Fireplace
CONSTRUCTION LENDER
UNKNOWN
Total Valuation $ 12, 243.00
Filing Fee $ 15.00
LENDER'S MAILING ADDRESS
Permit Fee $120.00
ARCHITECT OR ENGINEER
LICENSE NO.
Plan Checking Fee $ 60.00
Energy Plan Checking Fee $ 20,00
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Penalty $
BUILDING ADDRESS
Permit fee $ 215.00
PLUMBING PERMIT Filing Fee 15.00
39 Wahnn Ave, Oroville
Each Trap 5.00
Solar or heat pump water heater 20.00
LOT NO.
SUBDIVISION NAME
PARCEL MAP
Water piping 7.00
Each pas water heater or vent 7.00
USE OF STRUCTURE
SF ER Duplex❑ Mobilehome❑ Other
SPECIFY
Gas piping system 1 - 5 outlets 5.00
Building sewer 15.00
Mobile Home S I G I W @ 15.00
TYPE OF WORK
New a Addition I Remodel LX,, Utilities ❑ Installation❑ Other ❑
Describe work: Convert 317 sq ft of Garage to Living_
New Covered Porch, Partial Stucco, 2 New Windows
Permit Fee $
Contractor
ELECTRICAL PERMIT Filing Fee 15.00
CONTRACTORS LICENSE LAW
I declare under penalty of perjury (check one):
❑ I am licensed under provisions of Chapt. 9, Div. 3 of the Business
and Professions Code and my license is in full force and effect.
L
License .Jo. 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)
as the owner, am exclusively contracting with licensed contract-
ors. (Sec. 7044)
❑ I am exempt under Sec. , Business and Professions Code
for this reason
Main service 600V OR LESS 18.50
200A OR LESS
Main service 20GATO1oo0A1 37.50
NEW CONST. DWELLING oCCUP.& 3.64 sq.ft.
OR ADDNS. (ACC, SLOGS.
NEW CONSTRULTI.OUTLET
NON•RESID BRANCH CIRC ITS @ 5.00
POWER APPARATUS
(SINGLE OUTLET cI1, R.
20 764
Ex. Occup(OUTLETS OR FIXTURES
FIXED APPLNS. OR
Ex. Occup. OUTLETS (RES[* EA.) I 3.00
Temporary service 15.00
Mobile Home Facilities 15.00
Misc. Wiring
g 1 15.00 15.00
Permit Fee $ 30,00
Contractor
—
WORKMEN'S COMPENSATION INSURANCE
I declare under penalty of perjury (check one):
❑ The permit is for $100.00 (valuation) or less.
❑ I have.placed on file with the County of Butte Building Department
a Certificate of Workmen's Compensation Insurance or a Certificate
�of Consent to Self -Insure.
) I shall not employ any person in any manner so as to become subject
to the W. C. laws of California.
Notice to Applicant: If after making this statement, should you become subject
to the W. C. provisions of the Labor Code, you must forthwith comply with such
provisions or this permit shall be deemed revoked.
MECHANICAL PERMIT FiIingFee 15.00
Heating
Cooling
Hood 6.50
Ventilation
Permit Fee $
Contractor
I certify that I have read this application and state that the above information
is correct. I agree to comply to all County Ordinances and State Laws relating
to building construction, and hereby authorize representatives of the County of
Butte to enter upon the above-mentioned property for inspection purposes.
1 also agree to save, indemnify and keep harmless the County of Butte against
all liabilities, judgments, costs, and expenses which may in any way accrue
against aid County in consequence of the granting of this permit.
Date `
ignature of Applico er C — nontractor C] 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 $ 40.00
occ
cONSTTVPE
TAL FEE $ 285.00
HAz
I orE oo coP PARCEL
P
H
Issu
This permit is hereby issued under the applicable provi- .
Bions of the Butte County Code and/or resolutions to do
work indicated above for which fees have been paid.
D T R WORKS
BY D to '%� 3
PERMIT EXPIRES Date
Receipt No. 143936
WHITE-O.P.W.. YELLOW -ASSESSOR. PINK -INSPECTOR. GOLDENROD -APPLICANT
I
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rail►r µ., - < •{ i . " v-- r': *�lr`'+l•+r+• a% M'+h""• ""a, 5�,. �6•-'1{S'�rJ'KtA�yW. ' -'- yr-.. ,�. ..
"f �'�("n*la•)l`�.'�J' ,rl. ;r7+tri,i 4�•rtni '"•'Y -..•ter {'�^' ti. 'a1.+ � '�,t +-�Q;r•"�,l*r'�•'i v�y;.n��6^4/�`,-. -..t i'4 /1n�.�rr"N .Nr
' CO.UNT;YPF BUTTE - DEPARTMENTOEVIfLOPMENT SERVICES -BUILDING DIVISION
7 COUNTY CENTER DRIVE OROVILLE, CALIFORNIA95965 -TELEPHONE (916) 538-7541
PERMIT -,APPLICATION DATA SHEET
OWNER /% C!G a A. No. 04.36 S�� %'C/4
Proposed Building Use Building 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 BY
All items have been submitted.........................................
Plot plane04 sets, signed by preparer of plans . .....................lef".... .
~ Complete plan�/3 4 sets, signed by preparer of plans . ..................... .
4. Engineered plans and calcs, 3/4 sets, with wet signature on plans . .............
5. Hazardous Material Form . ............................................ .
6. Energy Design Compliance and supporting documentation ....................
7. Statement of Intent for Non -Heated and A/C Buildings . ......................
8. Engineered truss details and layout in duplicate (required prior to plan check). ....
9. Mobilehome data and manufacturer's installation instructions, 2 sets. .
10. Fees of $ '
Impact fees as shown on attached schedule. o //�%"� d'�f
p .� A. .Ir ......... y...... .
12. California Department of Forestry plan approval/fees. .......................�i
13. Flood elevation letter (100 year flood) byy California Engineer. . .
14. Sanitation and plot plan approval LdA- Ulm Health Department . ............
15. City of Chico plumbing permit . .........................................
16. Plot plan and business license approval from City of Biggs/Gridley. .............
17. Planning approval for (A) Use: (B) Parking: . .........
18. Contact Land Development about (A) Improvements (B) Drainage. .......... .
19. Driveway permit (construction approval required prior to.occupancy). . .
oA
20. Pre -inspection for \ required. oB�ildnInspector (Date)
21. Contractor's license information. (No., Name Style, Classification) . ...............
22. Certificate of Workmans Compensation Insurance . .......................... .
23. Owner -Builder Verification (Given to owner , Mail to owner _)~'
............
24. Recorded copy of Agricultural Acknowledgement .Statement . ........... ....... .
25. Letter of signature authorization . ........................................
26. Copy of recorded deed of parcel creation and 60 right of way to a public road. ..... * t^=
27. Letter of intent on building use. ......
...............................
28. Mobilehome utility clearance . ..........................................
29. Documentation of legal access . .................:...:................. .
30. Documentation of 50% subdivision developed or (A) Road improvements completed
- and (B) Parcel meets zoning area and frontage requirements . ...............
31. Existing violations/expired permits . ...................................... .
32. Plan check list . ..................................................... .
33. "
34.
When ou issue the permit, process as follows: Mail to owner. Mail to contractor.
Telephone, j-669/ and hold for pickup at el rices office. Deliver with inspector.
Other
Parcel Creation
Acreage Applic &����� Date
Copy of Haz-Mat form sent Health Dept. Fire Dept. Air Pollution Date
Copy of plans sent Health Dept. Fire Dept. Other Date By
The following data must be submitted
1. Index permit for above items No.
2. Additional items required:
it issuance: (Circle new item not checked above).
Contractor, designer, owner, was advised of above required data by _ phone _ mail _'�Countenby,_ Date
Contractor, designer, owner, was advised of above required data by _ phone _ mail Cou er�by Date•
Plans checked by Date Plans approved by Date
Sets of plans on hold in File cabinet AP folder
Copy - Department of Public Works
COUNTY OF BUTTE - Department of Public Works
7.County.Center Drive, Oroville, CA 95965 Phone: 916-538-7541
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)
67
2. I (have/have not) 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
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
Social Security Number
Date Low/
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.
BUTTE COUNTY SCHOOLS IMPACT FEE CERTIFICATION FORM.
(One Form Per Building)
School District (/ U Building Department No.
A:P. Numberi //Jrisdiction 0 City County
Property Owner
PropertyLocation/Address , 30 WAVI)6 Ave tIAa/%�
Sub-divison Lot No.
Residential Development 0 Sq. Footage
No. of Living MH_I Addition (Group R)
Units
Commercial/Industrial 0 Sq. Footage
w New Addition (Including'. Exterior
Roofed Areas)
�r
Building DepariKent Representative Date
(Floor Plans reviewed by School District Personnel)
District Identification No. Ito b
t,e P School District certifies that
(Applic )
(Street Address) (Phone Number)
(City) (State) (Zip Code)
has complied with the requirements of Resolution No. 1 _ 1 by payment of $
representing square feet.
I re
School District R resentative Date
p
Paid by Check Number Remarks:_
Bank Number _ u
Paid by Cash
If, subsequent to the School District Representative signing this Butte County Schools Impact Fee
Certification Form, the School District is notified by the applicable Local Planning Agency that this project ;~
is being reviewed under the California Environmental Quality Act (CEQ`A), this.project may be subject to
additional school fees to fully mitigate its impact on the school district's schools.
White (applicant), Yellow (building department), Pink (school district) feeform.wkt (4/92)
ADDITIONS TO RESIDENTIAL BUILDINGS ENERGY SHEET .
PACKAGE C014PLIANCE
Owner,. Climate Zone
Permit # 73 /!5;-i!� Floor Area
The following data showing mandatory and required features 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.
Climate Zones 11 and 16*
SPECIAL FEATURES/ REMARKS L✓"x ��o�-�E2 ��b40E'.f Gt.!/
LOOSE FILL INSULATION (Density)
INFILTRATION CONTROL (Weatherstrip doors, cert•f��ws
caulking) A�
VAPOR BARRIER (Zone 16) 1S'P
DUCTS PER UNIFORM MECHANICAL CODE - Ch.�p�11.,®�
LIGHTING KITCHEN b BATH NOT LESS THAN 40 L 191 TT
DESIGN COMPLIANCE STATEMENT: The above building design meets .the
requirements of Title 24, Parts I and 6 of,the,California Code. of
Regulations.
(Jan 93) SIGNATURE OF BUIL ING.DES.I9ER OR APPLICANT
Component
<=100 sq t
301-499
)00-999'
>=1000 sqft
Ceiling
R-19
R- _
R-38
R-38
Ins.
Wall Ins.,
R-13
R-13
i
R-13
R-19, 21
Floor Ins.
R-13
I.R-19
i
R-19
R-19
Slab Edge
NR
i NR, R-7
NR, R-7
NR, R-7
Ins.
Glass (U).
.75
.75
.65, .60
.65, .60
Max. Glass
50 sq.ft.
16 +
16% +
16%
Removed
Removed
Shading
NR
:66
.66
.66
Coeff(S&N)
Shading
NR
.40,.:66 _
.401 .66
.40, .66
Coeff(WSE)
Thermal
NR
5% Raised
"5% Raised
5% Raised
Mass
20% Slab
20% Slab
20% Slab
Heat, Elect
Not Allowed
Not Allowed
Not Allowed
Not Allowed
Resistance
Heat, Gas
AFUE 78%
AFUE 78%
AFUE 78%
AFUE 78%
Heat Pump
HSPF 6.8
HSPF 6.8
HSPF 6.8
HSPF 6.8
Split Sys.
Heat Pump
HSPF 6.6
HSPF 6.6
HSPF 6.6
HSPF 6.6
Package
Cooling -
SEER 10.0
SEER 10.0
SEER 10.0
SEER 10.0
Split Sys.
Cooling -
SEER 9.7
SEER 9.7
SEER 9.7
SEER 9.7
Package
Increased #
Allowed w/
Allowed w/
Allowed w/
Allowed w/
of Wtr Htrs
calculation
calculation
calculation
calculation
* One entry/column = req both zones, 2nd entry = req zone 16.
SPECIAL FEATURES/ REMARKS L✓"x ��o�-�E2 ��b40E'.f Gt.!/
LOOSE FILL INSULATION (Density)
INFILTRATION CONTROL (Weatherstrip doors, cert•f��ws
caulking) A�
VAPOR BARRIER (Zone 16) 1S'P
DUCTS PER UNIFORM MECHANICAL CODE - Ch.�p�11.,®�
LIGHTING KITCHEN b BATH NOT LESS THAN 40 L 191 TT
DESIGN COMPLIANCE STATEMENT: The above building design meets .the
requirements of Title 24, Parts I and 6 of,the,California Code. of
Regulations.
(Jan 93) SIGNATURE OF BUIL ING.DES.I9ER OR APPLICANT
t•
J
I i�,
J=OK
O=Not OK
- = Not Applicable
= Not Ready MOBILE HOMES �
Date MOBILE HOME UTILITIES (Plans) OK except #'s
1. Zoning Requirements -Setbacks -Easements
2. Soils; Special MH Support Sketch
3. Sewer; Location -Test -Fall -C/O Concrete )
4. Water; Location -Test -Easement Needed (Sketch)
5. Electricity; Location-Clearences-Grnd-/ /Amp -Concrete
6. Gas; Location -Test -Wrap: / /" L'ft.
/ /"Nat. or/ /' L" ft./ /"LPG !
7. Utilitv Clearance
Date Card B-1 Date Card B-1
Date Card B-1 Date Card B-1
Date MOBILE HOME INSTALLATION (Plans) OK except #'s
1. Zoning Requirements -Setbacks Easements ,
2. Footings; Size -Spacing -Marriage Line i
3. Gas; MH Test -Demand -Valve -Connector
4. Electricity; MH Test -Crossovers -Breakers -Clearances
5. Drain; MH Test -Fall -Flex Connector -
6. Water; MH Test -Regulator -Connector
7. Water and Sewer Connected -C/O to Grade -HD Approval
8. Gas and Electricity Tagged
9. Exits; Insp.-Sketch
10. Cert. of Occupancy `
Date Card B-1 Date Card B-1
Date Card B-1 Date Card B-1
MISCELLANEOUS
Date DECKS, COVERS, CARPORTS, GARAGES, (Plans)OK except #'s
1. Zoning Requirements -Setbacks -Easements
2. Footings; Soils -Size -Depth -Spacing -Connectors -Steel
3. Decks; Griders and/or Joists -Decking -Bracing -Stairs -Rails
4. Wood Awn.; Posts-Beams-Rftrs.-Coonectors
Shthg.-Rfg.-Bracing
5., Alum. Awn.;, Columns -.Connections -Splice -Decal -Enclosures
6. Carports; Windows -Doors
7. Electric
8. Frmg; Sits-Anchors-Studs-Rftrs-Trusses,
9. Siding; Nailing -Veneer -Stucco -Mesh
10. Root; Shthg-Roofing
11. Ext.; Steps -Doors -Landings.,,
Date Card B-1 Date Card B-1
Date Card B-1 Date Card B-1 '
Date POOLS (Plans) OK except #'s
1. Setbacks -Easements
2. Soils; Compaction -Structure Stability
3. Pool Structure; Steel -Connections -Thickness
Dead Men -Lining
4. Elec.; Receptacles and Lighting, Distances-GFI
5. Elec.; Pool Lighting; 15 volts-GFI
6. Elec.; Enclosures; Conduit Entries -Terminals -Listed
7. Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater
8. Elec.; Grounding; Equip. w/5' Circulating Equip. -Pool Lghtg.
Boxes-Enclosures-Pane Iboards- Ins. to Main in Conduit
9. Health Department Approval
10. Plumb.; Cir. Test -Water Supply Test
Date Card B-1 Date Card B-1 _
Date Card B-1 Date Card B-1
l '
V OK
O=Not OK
- = Not Applicable
Not Ready t RESIDENTIAL (;
' =
Date (JNDE OOR Plans OK except #'s
oni =Setbacks -Easements -FI d=Slope
X,Kg'., Main; Soils-Elec. �z, Ftg. Depth
3. Ftg., Garage; Soils-Steel-Elec. Grnd.-/ /" Ftg. Depth
4. FZ Porches & Decks; Soils -Steel-/ /Fig. Depth
O temwalls, Main; Steel -Bloc kouts-Wrapped
16. Stemwalls, Garage; Steel-Blockouts-Wrapped
6a. Hold Downs and Special Anchors
7. SI b; Steel -Wrapped
iers-Fireplace Ftg.-Steel
51l -Fitting -Test -2 Way C/O -Sewer Test t,
10. Gas Pipe; Size -Anchors
11. Water Pipe; Test -Anchor -Regulator -Service Test
12. Electric; Underground
13. Pienums & Ducts; Clearance -Material -Support -1 s.
1 it rs-Siff -Anch olts-Jo& s -Ven - ples
sulation
Date Card B-1 Date Card B-1
Date Card B -f Date Card B-1
Date PLUMBING (Permit) OK except #'s
16. Water Htr.; Vent-Access-Combu Air -Baffle
17. Water Pipe; Test & Anc ail Protection
18. D.W.V.; Test -Fitt' & Anchor -Nail Protection
19. Shower P est, First Floor -Tub Access
20. TeslTub & Shower, Second Floor -Tub Access
Pipe; Size & Anchors
Date Card B-1 Date Card B-1
Date Card B-1 Date Card B-1
Date ELECTRICAL (Permit) OK except #'s
22. Fixture & Transformer Clearance -Ins. Protection
23. Elec. Receptacles Spacing -Lights & Switches at Doors
24. Size Boxes & No. of Conductors -Stapled
Romex Installed Close to Edge of Studs & C.J.
!NEquip. Ground made up w/Mech. Fastners-Bond Gas & Water
27:'2 Appliance.Circuts'in Kitchen & Conductor Size/GFI
28. Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / / ga.
Cu or Al
29. Range Circ. / / ga. Cu or AI -Oven Circ. / / ga. Cu or Al.
Insulated Neutral 0 Yes 0 No
30. Service -Riser Conductors & Ground -Main Disconnect
31. Equip. Clearances Panels-Motors-Mech. Equip.
32. Clothes Closet Light -Shower Light -Spa Light
,33. Smoke Detector
Date Card B-1 Date Card B-1
Date Card B-1 Date Card B-1
Date MECHANICAL (Permit) OK except #'s
34. A.C. Ducts Insulation & Support
35. Vent Fan; Exhaust above insulation
36. Condensate Drain & Overflow; Size & Grade
37. Furnance-Vent; Access -Comb. Air -Return Air Vent -115 outlet
38. Attic Access & Platform if Furnance in Attic
Date Card B-1 Date Card B-1
Date Card B-1 Date Card B-1
Date FRAMING (Plans) OK except #'s
39. Sils, Proper Material & Anchors
40. Walls Studs -Nailing, Spacing & Bracing -Plates -Sound
41. Bearinq Walls over Girders & Floor Nailing
42. Draft Stop in Walls (rat proof)
3. Fire Stops; Furred Ceilings -Stairs -Chases -Tub
44. Headers & Beam -Size & Bearing
jingle & Duplex)
..
Date FRAMING (Continued)
45. angers -Post Caps -Anchors -Connectors
. Cing. Joist-Rftr. ties -Pullin -roof Brac-Truss-Shthng.-Ring.
4 Fireplace Ties or Type A Flue -Fireplace Throat clearance
48. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles
49. Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions
50. Garage Fire Protection Framing
51. Property Line Firewall & Openings
52. Ext. Doors -One T -Check Garage -3rd Story, 2 Exits
53. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection
54. plywood on Roof Overhang -Attic Vents -Rafter Outriggers
55. Siding -Nailing Veneer
56. Stucco Mesh -Drip Screed -Fd. Vents-Underfir. Access
57. Glazing Area -Glass Protection -Skylights -Plastic
58. Shear Walls: Nailing -Bolts
Insulation -Walls -Ceilings - (j
t` 60- Infiltration -Walls -Windows
Date j%
Card B-1 Date Card B-1
Dat -
Card B-1 , Date Card B-1
Date FINAL - n -s) OK except #'s
Ext. Steps -Door & Sidelight Protection -Landings
Ar
Smo lector
urnace; Vents -Clearance -Comb. Air -Connector -
In Garage; Above Floor-Ducts-Mech. Protection
edroom Exiting
F.I. Bath Fixtures & Tub Access -Spa
Elec., Trim & Subpanel; Breaker Sizes & Labels
Stairs & Rails
-,replace or Stove; Clearances -Hearth
6
ec. Outlets at Wood Panel; Int. & Ext.
e; Grnd.-Air Gap -Cooking Clearance
7.4.
eptacles at Kit. Counter
74.--99+age-Fire-Door;
Swing -Landing -Closer
rage -Damper
, Clearance -Comb. Air-Connector-P.R.V.
In Garage; Above Floor-Mech. Protection
'-ch. Equip. Listed for Location
les in Garage; (G.F.I.)-Romex Protection
oam-Looked in Attic O Yes
7
and Rails & Deck Construction -Post Caps
7
n. Vents & Crawl Hole Door -Drainage & Wood -Earth
Clearance Looked under Floor qYes
owing instld.; Drive ❑ Yes No; Walks O Yes No;
PlanIqxs 0 Yes 11 No
8
ucco; Brown -Finish
80.
nit; Disconnect, Electrical, Plumbing
oar'vents
Above Roof; Plbg.-Appliance-Fireplace.-Clearance to
Openings
6J
WaIe WaU; Disconnect, Electrical, Plumbing
I,ciQFElec. Trim; G.F.I. Receptacle -Underground
ent' ation Throughout House
g7e<laj
otection
orrections from Previous Inspections
Tagged; Gas -Electric
90.
Waw & Sewer Connected -C/O to Grade -HD Approval
nergy Compliance Certificate -Other Certificates
r
Date -
and B� Date Card B-1
Dater
Card B-1 Date Card B-1
Date'
Card B-1 Date Card B-1
Comments at Final:
(NOTE: An entry must be made each time you visit job site)
CER
'
AA
IFICATE. OF
CONFORMANCE
1HE UNDERSIGNED MANUFACTURER HEREBY CEHTIF/ S
that the products identified below and on attached sheets Nos, are rnarked
with the Collective Mark of the AMERICAN INSTITUTE OF 'TIMBER CONSTRUCTION (AITC)
and were manufactured in conformance with applicable provisions of American National Standard
ANSI/AITC A190.1--1983, Structural Glued Laminated Timber, and that such rnanufacture has
been at our plant in SPRINGFIELD, OR , which plant has a quality control systern
approved by the Inspection Bureau of the AMERICAN INSTITUTE OF TIMBER CONSTRUCTION
and inspected periodically by such Bureau.
The manufacture of these members complies with the manufacturing and fabricating provisions of
Chapter 25 of the Uniform Building Code.
1o9NAhiE: PALMER G. LEWIS CO..
,oiioc�TloN" SACRAMENTO. CA
CLIVOMiA'S ORDER NO. 301-10382 DATE ,_% /9 //90._. morip's oRDER No. --_--. 5048—C
ROOF LOADED END JOINTS
SICNA UR r COMPANY __ ROSBORO LUMBER CO.
7ITI,E QUALITY CONTROL _ADDRESS S. 22ND ST. —DATE --- 7/11/90
A/TC HEREB Y CERTIFIES that the said company at its said plant is licensed by the
AMEKtICAN INSTITUTE OF TIMBER CONSTRUCTION to use the AITC Collective Mark in respect
tfphoductswhich comply with applicable provisions of said Standard, that the adequacy of the quality
t contfol system in effect at said plant is periodically inspected and verified by the Inspection Bureau of
} the AMERICAN INSTITUTE OF TIMBER CONSTRUCTION, and that, in the judgment of AITC,
laid company is capable of complying with applicable manufacturing and testing provisions of said
' Y' Standard in respect of products manufactured at said plant. Conformance with the Standard in respect
of any specific or particular product is the sole responsibility of the manufacturer; AITC's guarantee
hereunder being that the said company is qualified to produce a product meeting the said Standard
• ; 7 Ahd that its plant is periodically inspected and verified by the AITC Inspection Bureau.
zl r
AITC Cerlificate No. 69205
t AMERICAN INSTITUTE OF TIMBER CONSTRUCTION
f ' �
IBCA
0 1983 AMERICAN INSYITUTE OF YlraryER CONSYRuCT'Idry
. COUNTY OF BUTTE
DEPARTMENT OF PUBLIC WORKS
1469 Humboldt Road, Chico, CA - (916) 891-2751
7 County Center Drive, Oroville, CA (916) 538-7541
747 Elliott Road, Paradise, CA - (916) 872-6307
CORRECTION NOTICE
LtA C
OWNER
1,2 (
PERMIT
A routine inspection indicates that the following violations of Butte County Ordinances exist at
the above address and should be corrected. Please notify this office when correction of work
is completed. If you have any questions pertaining to this matter, or need additional explanation,
please contact this office immediately.
A) T) '�` D/�.c
r.,— ti"WA<.
f
Date— Inspector y
REV 11/91
{���+�+v::u-r-�r•,..��-rr}-: . �.. xs ;ry,�.� tti'�ec-tk=- �..� r..,-`. c. - Ts
e COUNTY OF BUTTE*
DEPARTMENT OF PUBLIC WORKS
' 196 Memorial Way, Chico — Phone: 891-2751
AV 7 County Center Drive, Oroville — Phone: 538-7541'
747 Elliott Road, Paradise— Phone: 872-6307
CORRECTION, NOTICE
OWNER PERMIPN 0.
i
A routine inspection indicates that the following violations of County Ordinance
exist at the above address and should be corrected. Please notify4.this office
'c
'i
J
Date �.': fnspector'�
ti
i
COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT NO.
7 County Center Drive - Oroville, California 959E5 - Telephone: 916/538-7541
APPLICATION -AND PERMIT
ASSESSOR PARCEL NUMBER
36-05-141
ZONING
ARI
BUILDING PERMIT
OWNER
WALTER
TER LUCZAK
TELEPHONE
589-0691
SQ. FT. OCC. BUILDING VALUATION
400 R
$16,000
OWNER'S ADORESS
38 Wahoo Ave., Oroville, CA 95966
CONTRACTOR'S NAME TELEPHONE
Owner
CONTRACTOR'S MAILING ADDRESS
"
Fireplace Mas
2,500
CONSTRUCTION LENDER UNKNOWN
None
LENDER'S MAILING ADDRESS
Total Valuation $
Filing Fee
Permit Fee
$ 10,00
$ 134.50
ARCHITECT OR ENGINEER LICENSE NO.
None
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Plan Checking Fee
Ener PlChkin Fee
Energy an ecg15.00
Penalty
$ 67.25
$
$
BUILDING ADDRESS
38 Wahoo Ave., Oroville
Permit fee
$ 226.75
PLUMBING PERMIT
Filing Fee 10.00
Each Trap
2.00
Solar or heat pump water heater
20.00
LOT NO.
SUBDIVISION NAME
PARCEL MAP
0 '
Water piping
5.00
Each qas water heater or vent
5.00
t. USE OF STRUCTURE
SFO Duplex❑ Mobilehome❑ Other
SP cIFY
Gas piping system 1 - 5 outlets
5.00
Building sewer
5.00
Mobile Home S I G I W 1
110.00e
TYPE OF WORK
New Addition® Remodel[] Utilities❑ Installation❑ Other❑
Describe work: Living Room _
Permit Fee
$
Contractor
ELECTRICAL PERMIT
Filing Fee 10.00
Main service 100V OR LESS
100 AMP OR LESS
10.00
Main Service EA, ADD'L 100 AMP
2.50
CONTRACTORS LICENSE LAW
I declare under penalty of perjury (check one):
❑ I am licensed under provisions of Chapt. 9, Div. 3 of the Busines$
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 occuy
OR ADDNS. ( ACC. BLDGS. �+�
,h2sgft 10.00
NEW
NON.RESID R BRANCH CIRCUITS
2.50 ea
POWER APPARATUS
(SINGLE OUTLET CIR.e
Ex. Occup( OR FIXTURES
20®30Q
9AL®ao
FIXED APPLNS. OR
Ex. Occup. OUTLETS (RESID.) EA.)
2.00
Temporary service
10.00
Mobile Home Facilities
15.00
Misc. lyirin 9
15.00
Permit Fee
$ 20,00
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.
pJl 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
Filing Fee 10.00
Heating
Coolin g
Hood
3.00
Ventilation.
Permit Fee
$
Contractor
I certify that I have read this application and state that the above information
is correct. I agree to comply to all County Ordinances and State Laws relating
to building construction, and hereby authorize representatives of the Countyot
Butte to enter upon the above-mentioned property for inspection purposes.
I also agree to save, indemnify and keep harmless the County of Butte against
all liabilities, judgments, costs, and expenses which may in any way accrue
against said County in consequence of th ranting of this per it.
Date •� d
Signature of Applica owne\'o Contractor ❑ Agent ❑
An OSHA permit is required for excavations over 5'0" dee and demolition or construct-
ion of structures over 3 stories i 41-4.42
Mobile Home Installation Fee $
Energy Inspection Fee $ 30.-08—
OCC
CONST TYPE
L F TOTAL $ 276.75
AJ
HAz
CUA
PARK
FLDT
PAR
HD
4
Is
This permit is hereby issued under
sions of the Butte County. Code and/or
work indicated above for which fees
DIRECTOR OF PUBLIC
BY
PE IT EXPIRES Date
the applicable provi-
resolutions to do
have been paid.
WORKS
Date
4 —)o ^ £
Receipt No j
MAKU�
WHITE-D.P.W. , TEL LO W- 53 3 PI R, GOLDEN OD -APPLICANT
--".s.a,..Y-..»._.,hw..--.^: ��i.n...i0`1�`�.�'�.''.++w.•,v'H"�"►7.�7T�,ry;�`IT" 't'i'+�.•R•t� � �s•Y`t��'�-h- :�Y �'�,"'�'j�""fH°vF���'<SiTk�k.1�i•^ tom- .. ..�.- . ; •`. ,•i .i
,;k_,r„,CO�JNTY OF BUTTE - DEPARTMENT`OF�VUBLIC WORKS - BUILDING DIVISION
r .
7 COUNTY CENTER DRIVE - OROVILLE sCA�IFQRNIA 95965 - TELEPHONE: 916/538-7541
PERMIT APPLICATION DATA SHEET
Permit No--
, J
OWNER Q )+er 4(� 0-�� '� A. P. No. –
Proposed Building Use — Building Inspector Date
At time of permit application, I was advised the following data must be submitted prior to permit processing and/or issuance:
1. All items have been submitted . .................................... DATE RECEIVED APPROVED
2. Plot plans in ca /triplicate, signed by preparer of plans........ �;Z—
` 3. Complete plans in dIca triplicate, signed by preparer of plans .:
4. Complete engineered plans and calcs, wit we 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...4 �., . .�. /�,, :...................
10. Fees of $' �./ ........ ? ........
11. Chico Urban Area fees paid .......................................
12. Park fees paid ............ • • • •........... 3 -2? � 9c) r
.. .................
13.—�to�Irn, - School D --t- i- 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)
20. Pre -Inspection for required Pre-Inspec'. request to
Building Inspector (Date)
21. Contractor's license information\(No., Name Style,'Classification) ...
22. Certificate of Workmans Compensation�nsurance ...... .... •
23. Owner -Builder Verification (Given to owner ❑, Mail to owner ❑) .....
24. Recorded copy of Agricultural Acknowledgment Statement .........
25. Letter of signature authorization ........ r ............................
26.
27.
When you issue the permit, process as follows: Mai to owner. Mail to contractor.
_ Telephone!!599 (g9�__and°hold for pickup at rQ office. Deliver w/inspector.
Other
Appl ica 4!:!�ate Z 6 90
Copy of plans sent Health Dept., Fire Dept., Other Date
The following data must be submitted prior to permit issua ce: (Circle new item not chec I
1. Index permit for above items No.
2. Additional items required:
Contractor, designer, owner, was advised of above required data by_phone_maiI—counter by 'v«• date
Contractor, designer, owner, was advised of above required data by—phone —ma II—counter by date,
Plans checked by Date Plans approved by - Date J
Sets of plans on hold in . File cabinet AP folder
C
Copy—DPW ti
r
BUTTE COUNTY SCHOOLS DEVELtJPME13T FEE CERTIFICATION FORM
(One . Fofm per' ,Building)
A.P. Number ��" Building, Department No..
School • District (/�'l9P
City D County ® Jurisdiction
Property Owner... j, )o
haProject. Location/Address � �� �I f�C� A U6 /'O►�; f
Subdivision Lot Number
Residential Development:
W Sq. Footage 4koo
# of Living MHI Addition (Group R)'
Units r;
pi�Commercial/Industrial: Sq. Footage
New Addition (,Including Exterior
'Roofed Areas.)'
do
/9C
Buildingx.Vdpartment Rdpre.sentative ` + Date
(Floor Plans reviewed by School District,Petsonnel)_. r.
Ds4trict Id No.
A t%,,;A r C -k v\.'pAd, y%A School. District,, certifies that
e, L•1 pn
'(Applicant Name) (Phone Number).
JAve
(Street Address)
ra.r�11e` c q59/ 4,
(City) (State) (Zip Code)
has complied with the requirements of Resolution No. 9L -R`1 -►;L
by the payment of , $ representing 0,0 square feet.
School"Dis'tricf Representative 1 �. Date
PAID BY- -CHECK NO. REMARKS: ,.
BANK. NO
PAID..BY CASH
white -applicant., yellow -building department, pink -school, district
SCHOOL.FEE (8/88)
COUNTY OF BUTTE - Dept rtoe nt of Public Works
7 County Center Driye,'Orovil,le, CA 95965 Phone: 916-53877541
OWNER -BUILDER VERIFICATION
Attention Property Owner.-
An
wner:
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.
:e
1. I -personally plan to provide the major labor and materials for construction of
the proposed property improvement (yes or no),,Lz..
2. I (have/have not) 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
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
Social'Security Number
Date I
NOTE: This Owner -Builder Verification is sent to.you as required by Sections 19831.and
19832 of the California Health and Saafety Code.
This verification must be completed and returned to our office before we are per-
mitted to issue the permit.
COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS
7 County Center Drive,,, Oroville,,_CA 95965 PHONE:. 916-538-7541
Walter Luczak.
* : DATE April -J6, l 9qn
_ , ►-. w
38 Wahoo Avenue
Oroville, CA 95966 =S RE: Permit appin #838-90 for addition
A.P. # 36-05-141
With reference to the above subject:
Attached is:
Application for permit Mobilehome Utilities Installation Sheet. -
Building Plans Mobilehome Installation Information Sheet
Engr. Calcs Typical Plan Sheet
Owner -Builder Verification Form List of.Codes Enforced
OTHER.
fele need the following information:
Permit application signed and completed where indicated with all copies returned.
XXX Fees of .$ 196.79 payable to Butte County Treasurer.
Certificate of Workmen's Compensation Insurance or check exemption statement.
Contractor's License Law information or check exemption statement.
Complete plans in including plot.plans..
Plot plans in
Structural details in
Complete,plans and calcs in by registered engineer or architect.
Energy design•including
Street and drainage improvement plan approval from Land Development Section'(DPW).
sets of plans in accordance with the changes marked in red.
Sanitation approval from Butte County Health Department at:
196 Memorial Way,' Chico
7 County Center Dr., Oroville
Skyway & Elliott Rd., Paradise
Planning approval from Butte County Planning Department., 7 County Center Drive,
.Oroville, for
Completed Owner -Builder Verification form.
Recorded copy of deed showing
Recorded copy of agricultural acknowledgement statement.
f OTHER Y*=- nYl ana home been checked a
We need the boma Item to iii slue.
l
Should you have,any questions concerning the above, please contact Linda Sexton
of this office. (916-538-7541 between 3--5pm)
Yours very truly,
William Cheff
Director of Public Works
J.F. Glander
JFG/aj i Chief Building Inspector
FO
ADDITIONS TO RESIDENTIAL BUILDINGS .ENERGY SHEET
PACKAGE:.,:"A". (Additions),,
f
Owner ;��hC zq /� < -Climate-Zone
Permit # S 4 - 05'. Floor Area t*.d .
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 ekisting non -'conditioned
space that is`converted'to conditioned -space. Remodeling of existing conditioned
space is not included.
ZONE ' 1.1 ZONE 16
APPLIES TO NEW AREA ,.. ..
CEILING R-30 -
WALL . R711 - .9
FLOOR R-11 R 19
SLAB R-7' -
&GLAZING ,„ :U= 65 (Dual} U-. 5 ,(Dual)...
•, ,
SHADING ,.
SOUTH OPTIMUM OVERHANG
or,.3,6,-Shading-.Coefficien' t
WEST -.36 Shading -Co'ef f icie.nt
LOOSE FILL INSULATION (Density) `(
40 INFILTRATION CONTRO;L'"(Weatherstrip•doors,,.certified windows, caulking)
VAPOR BARRIER (Zone 16)
a DUCTS; PER UNIFORM MECHANICAL CODE _.Ch. 10
LIGHTING KITCHEN & BATH NOT'LESS. THAN�25,LUMENS/WATT
40MAXIMUM GLAZING '16 OF -AREA 'PLUS .REMOVED GLAZING
NEW HEATING, VENTILATING, AIR'CONDITIONING.AND HOT WATER SYSTEMS IN
CONJUNCTION WITH AN ADDITION SHAtL'BE INSTALLED�AS SHOWN ON BACK.
OF THIS .SHEET. '
OTHER t, '% .. . _ •.
i
12/85,
*1 HEATING VENTIIATING AIR CONDI 0TH NING SYSTEM
(A) Heating
Central Gas Furnace
(brand and model number) SE
Btu/hr s t
(heating capacity)
E Heat Pump ^ - ",
(brand and model number) ACOP.
Btu/hr
(heating capacity at 47°F)
E3 Active Solar
type (liquid or air) Collector brand and
ft2
model number solar fraction collector area collector
orientation collector tilt rated y -intercept
rated slope
Other
(describe)
*1 (B) Cooling
Electric Air Conditioner
(brand and model number) (seasonal EER)
Btu/hr
(cooling capacity at 95°F)
13 Electric Heat Pump
• EER
Btu/hr
(cooling capacity at 95°F)
13 Other
(describe)
r4
DOMESTIC WATER SYSTEM
1 (A) Gas Only Gallons
(brand and model number) (tank size)
1 Heat Pump w/Electric Backup
(brand and model number)
Gallons
(tank size)
0 *2 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)
Location of Solar Panels
13 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(8), 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. =y
® DESIGN COMPLIANCE STATEMENT: The above building design meets the requirements of
Title 24, Part 2, Chapter 2-53 of the California Administration Code.
1.
-'Z
SIGNATURE OF BUI %DESIG9 OR PPLICA
i
COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS
7 County Center Drive - Orovllle., California 95965 - Telephone: 916/538-7541
• 0 APPLICATION AND PERMIT
. vz
J
PERMIT NO.
ASSESSOR PAR 7E -L NUMBER
36-05-141
''TONING
ARI
BUILDING PERMIT
OWNER Walter Luczak
T —"1
SQ, FT. OCC. BUILDING VALUATION
OWNER'S MAILING ADDRESS
38 Wahoo Ave. Oroville 95966
CONTRACTOR'S NAME
owner
TELEPHONE
CONTRACTOR'S MAILING ADDRESS
Fireplace
CONSTRUCTION LENDER
none
UNKNOWN
Total Valuation Is
FilingFee
�
`� 10.00
LENDER'S MAILING ADDRESS
Permit Fee
$ 67.25
ARCHITECT OR ENGINEER
none
LICENSE NO.
Plan Checking Fee
.$'
Energy Plan Checking Fee
$
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Penalty
$
BUILDING ADDRESS
38 Wahoo Ave. Oroville
Permit fee
$ 77.25
PLUMBING PERMIT Filing Fee 10.00 +
Each Trap
2.00 ,
Solar or heat pump water heater
20.00
LOT NO.
2
SUBDIVISION NAME
PARCEL MAP
Water piping
5.00 1
Each qas water heater or vent
5.00
USE OF STRUCTURE
SF)M Duplex❑ Mobilehome❑ Other
SPECIFY
Gas piping system 1 - 5 outlets
5.00 I
Building sewer
5.00
Mobile Home S I G I W
10.00 ea
TYPE OF WORK
New Additio66 Remodel[] Utilities❑ Installation❑ Other j
Describe work:
1._4iPnPwa1 of RP#838-90
Permit Fee
$
Contractor
ELECTRICAL PERMIT
Filing Fee 10.00
Main service 100V DR LESS10010.00
1AMP OR LESS
Main service EA. ADD'L 100 AMP
2.50
CONTRACTORS LICENSE LAW
I declare under penalty of perjury (check one):
❑ I am licensed under provisions of Chapt. 9, Div. 3 of the BuSIneSS
and Professions Code and my license IS In full force and effect.
License No. Classification.
1, as the owner, or my employees with wages as their SOIe 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.BI
New CONSTR.(ACC. BLDGS. )
, h¢sgft
MULTI -OUTLET
NON.RESID BRANCH CIRC ITS
2.50 ea
POWER APPARATUS &)
(SINGLE OUTLET CIR.
r
Ex. Occup(OUTLETS OR FIXTURES
200@00
eAL030 r
FIXED APPLES. OR
Ex. Occup. OUTLETS (RESID.) EA.)
1 2.00 I
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.
2-1 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
g
Hood
3.00 I
Ventilation
permit Fee
$
Contractor
I certify that I have read this application and state that the above information
is correct. I agree to comply to all County Ordinances and State Laws relating
to building construction, and hereby authorize representatives of the County of
Butte to enter upon the above-mentioned property for inspection purposes.
1 also agree to save, indemnify and keep harmless the County of Butte against
all liabilities, judgments, costs, and expenses which may in any way accrue
against said County in co equence pf the granting of this p rmit.
`�Y� Date I —_ 26 � ��
Ore of Applicant — Owne Contractor ❑ Agent ❑
An OSHA permit is required for excavations over 5'0" deep and demolition or construct -RE
ion of structures over 3 st ries in height.
Mobile Home Installation Fee $
Energy Inspection Fee $
occ
CONST TYPE
TOTAL FEE $
77.25
HAz.
CLIAPARK
@CHL
FLD
coF
PAR
PD
) HD.
ISSUE.
This permit is hereby issued unoer the applicable provi-
tte County.Code and/or resolutions to do
wab a or which fees have been paid.
OF PUBLIC WORKS
siAITEXPIRIES
BDate 3O
PDate
Receipt No. HY& 15'
93 —
WNITE-O.P.W., YELLOW -ASSESSOR. PINK -INSPECTOR. GOLDENROD -APPLICANT
.y c
e � ,
December 2, 1992
Walter J. & Jacqueline F. Luczak
38 Wahoo Avenue
Oroville, CA 95966
RF: Building Code Violation A.P. #: 036-05-0-141
.38 Wahoo Avenue, Oroville
Dear Mr. and Mrs. Luczak:
This is a warning letter to notify you that you'are in violation of the
Butte County Code at the above referenced location as follows:
Failure to obtain approval of previous corrections and failure to obtain
final inspection prior to occupancy and permit expiration for addition
to single family residence.
" Since permits and inspections are required for the above work, please contact
this office within ten days of the.date of this letter, apply for the re-
quired permits to make corrections and complete. project, and pay the appro-
priate fees.
All work must stop until these permits are issued and you are authorized
by our field inspector to proceed. This field authorization cannot be made
until the existing work is inspected and approved.,
Please be aware that Butte County has entered into a Code Enforcement Program
that seeks voluntary compliance with the Butte County Code but provides
an effective means .of enforcement if such -compliance is not obtained. If
voluntary compliance is not obtained, enforcement will be pursued through
the issuance of citations, fines, and the recording of a Notice of Violation.
Your cooperation in resolving this matter would be appreciated. Should
you have any questions concerning this matter, please. contact Rod Taylor
or David Purvis of this office at (916)538-7541.
Yours very truly,
RT:dms J.F. Glander
Manager, Building Inspection
cc: Assessor
Building Inspector
' COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS'
"BUILDING INSPECTION RECORD '
BUILDING
BUILDING (Cont'd)
PLUMBING,
Setback
Firewall
Soil Piping
Forms r
Parapets
1st Floor
Main Bldg.
Restroom Finish
2nd Floor
Footings
Windows
3rd Floor
StemwaIl
Siding
To out
Slab
Roof Sheathing
Water Piping
Piers
Roofing
Sewer
Garage
Fdn. Vents
Fixtures
Footings
Stemwall
Garage Vents
Insulation
Water Htr. I
Heaters
Slab
Carport
p
Footings
Prov. for phsically
handicaped
Conformance of ex.
s re
Appliances
Gas Piping& Test
Temp. Gas
Slab
Ina a
'Sanitation
Patio
REP ACE
Final
Footings ZZ Z rn,
Footing
ELECTRICAL
Masonry Walls
Throat
Rou h
Reinf. Steel
Final
Fixtures
Bond Beaptll
FIRE S
�RINILERS
Motors
Framing d
Test
Water Htr.
Stucco'
Final y
Subpanels
Mesh
MEC ICAL
Gird. Fault Pro
Scratch .
Heating
Service
Brown
Cooling
Temp. Pole
Finish
Ducts �,
Underground
Interior Lath
Ventilation
Permanent
Door Closer
Final %
Final
MOBILEHOME UTILITIES ------------------ Elec. Service r
Elec. Pedestal
Water Piping
Sewer
Gas Piping
BILEH IME INSTALLATION
Water Piping
- - - - - - - - - - - - - - Support
Drainage
Elec. Continuity'
Gas Piping
DATE
REMARKS OR CORRECTIONS
(NOTE: An entry must be made on this form each time you visit, the`job site.)
COUNTY OF BUTTE T DEPARTMENT OF PUBLIC WORKS r
7 County Center Drive — Oroville, California 95965
Telephone: 534-4541
APPLICATION ANCA PERMIT
authorize representatives of the County of Butte to enter upon the
above-mentioned property for inspection purposes. 1-71 er ;G to S
Signature of Pe m tcF o^r- en.
Receipt No. J d S
White-D.P.W. - Yellow -Assessor - Pink -Inspector - Goldenrod -Applicant
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 0PUBLIC WORKS
By e e Date -?! —7
Building permit expires Date
BUILDING
Owner
SO. FT. OCC. BUILDING VALUATION
3 5��
Mailing Address
Tele hone No.
Contractor
Mailing Address
Fireplace
Total Valuation
Telephone No.
Permit Fee
Building Address OJ
P I an Checki ng Fee &/or Penalty
Permit Fee
PLUMBING No.1 @ FEE
PERMIT FILING FEE $3.00
Each Trap 1.50
Repair drainage or vent piping 1.50
/.-OS_
A. P. No. (OMEW
Zoning & Planning
Water piping 1.50
Each gas water heater or vent 1.50
F4ef
W
SertFtatirn5
I Fire Dept.
FireZone
Use Permit
Gas piping system 1 - 5 outlets 1.50
EQA
Parking Parcel
Plans Declaration
Parcel Map
60' R/W
Improvements
Each additional outlet .30
Building sewer 5.00
Bldg. W. -ns -Recd
Parcel AEErovol
Plans Approval
Lawn sprinkler system 2.00
NEW ❑ ADDITION X UTILITIES ❑ OTHER ❑
Permit Fee $
$
,� fQ
ELECTRICAL No.1 @ FEE
PERMIT FILING FEE $3,00
Main service 600V OR 100 AMP ORSLESS 5.00
Single Family; Duplex ❑ Mobil Home ❑ Others ❑
Main service EA. ADD'L 100 AMP 2.50
Main service OVERov
100 AMeoP OR LESS 25.00
Main service EA. ADD'L 100 AMP 1.00
NEW CONST. ( OR ADDNS. ACCLLING BLDGSCCUP. s) 2¢sgft
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:
NEW CONSTR / BRANCH CIRCU 1
NON-RESID ` BRANCH CIRCUITS/ 2.50ea
NEW CONSTR POWER APPARATUS&J
/
NON.RESI D. (SINGLE OUTLET CIR.
Ex. OCCUD(OUTLETS OR FIXTIIRES) 5 L25
FIXED APPLNS, OR
EX. Occup.(OUTLETS (RESID.) EA) 2.00
Temporary service 10.00
Mobile Home Facilities 15.00
License No. Classification
Misc. Wiring 6.25
I am exempt from the Contractors License Laws of the State of California.
Permit Fee $
$
MECHANICAL No. @ FEE
WORKMEN'S COMPENSATION INSURANCE
1 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.
PERMIT FILING FEE J$3.00
Heating
Cooling
Ventilation
Hood 2.00
Permit Fee $
$
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
Land Development Fee
$
TOTAL PERMIT FEE
$
authorize representatives of the County of Butte to enter upon the
above-mentioned property for inspection purposes. 1-71 er ;G to S
Signature of Pe m tcF o^r- en.
Receipt No. J d S
White-D.P.W. - Yellow -Assessor - Pink -Inspector - Goldenrod -Applicant
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 0PUBLIC WORKS
By e e Date -?! —7
Building permit expires Date
{PERMIT NO. 396-75B,P,E,M
P
E
M
fMH UTIL.
iPERMIT NO. n
— /
. (O
PERMIT EXPIRES
—/X
OWNER Tom Rogers"
�'CONTR
'LOCATION (A.P. 36
38 Wahoo Ave': , Oroville
t,
Temp. Powe
Called PG&E
Temp. Elec. Serv.
—y
Called PG&E
Temp Gas Serv.
/ CS
Called PG&E
JOB
FINALED
(Date)
(Si ature)
„
COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS
BUILDING INSPECTION RECORD
Footings
Slab
Patio
Footings
Masonry Walls
Reinf. Steel
Bond Beam
Framino C,5— %R
Mesh
Scratch
Brown
Finish
Interior Lath
Door Closed.
BUILDING (Cont'd)
Firewall
Parapets
Restroom Finish
Windows
—
Siding
Roof Sheathin
Roofing
Fdn. Vents
Garage Vents
Prov. for physically
handicapped
Conformance of ex.
structure
Final
Footin
Throat
Final
Test
Final
Heatin
Coolin
Ducts
Ventil;
Fits 1
FIREPLACE
FIRE SPRINKLERS
ME
ICAL
PLUMBING
Soil Piping
1st Floor
2nd Floor
3rd Floor
Topout
Water Pipim
Sewer
Fixtures
Water Htr.
Appliances
Gas Piping & Test
Temp. Gas
Sanitation
Final
ELECTRICAL
Rough
Fixtures
Motors
Water Htr.
Subpanels
Grd. Fault Prot.
Service o2
Temp. Pole
Underground
Permanent
Final ---%
DATE RE ARKS OR CORRECTIONS %�fie-
IE %
z} -mss
° ,k76)°e-d ao4
ewLz,s
a �GL As-
G-� 6�-
�% 7 s” � % �� '� j e,
BUILDING
Setback
Forms
Main Bldg.
Footings
— Z >
Stemwa l l
Slab
Piers
Garage
Footings
Stemwa I I
Slab
Footings
Slab
Patio
Footings
Masonry Walls
Reinf. Steel
Bond Beam
Framino C,5— %R
Mesh
Scratch
Brown
Finish
Interior Lath
Door Closed.
BUILDING (Cont'd)
Firewall
Parapets
Restroom Finish
Windows
—
Siding
Roof Sheathin
Roofing
Fdn. Vents
Garage Vents
Prov. for physically
handicapped
Conformance of ex.
structure
Final
Footin
Throat
Final
Test
Final
Heatin
Coolin
Ducts
Ventil;
Fits 1
FIREPLACE
FIRE SPRINKLERS
ME
ICAL
PLUMBING
Soil Piping
1st Floor
2nd Floor
3rd Floor
Topout
Water Pipim
Sewer
Fixtures
Water Htr.
Appliances
Gas Piping & Test
Temp. Gas
Sanitation
Final
ELECTRICAL
Rough
Fixtures
Motors
Water Htr.
Subpanels
Grd. Fault Prot.
Service o2
Temp. Pole
Underground
Permanent
Final ---%
DATE RE ARKS OR CORRECTIONS %�fie-
IE %
z} -mss
° ,k76)°e-d ao4
ewLz,s
a �GL As-
G-� 6�-
�% 7 s” � % �� '� j e,
Al,
Fiber Glass Isulation
BUILDERS INSULATION STATEMENT
Qr1
BLOWN INSULATION 9 V W �
Manufacturer's minimum thickness to provide the level of insulation
resistance (R) Values as shown:
" R Values are determined in accordance with ASTM -C-687 and C-236.
Conforms to Federal Specification HHI-1030A.
This insulation has been installed in conformance with the above recom-
mendations to provide a value of R using bags of insula-
tion to cover square feet of area. --
Insulation Contractor (Sign) Builder (Sign)
Company Name Company Name
BATTS AND BLANKET
R
INSULATION
R
INSULATION
VALUE
THICKNESS
VALUE
THICKNESS
R-22
61/2"
R-13
35/a"
R-19
6"
R-11
31/2"
Date
Meets Federal
Specification HHI-521 E
Fiber glass batts or rolls have been installed in accordance with the
manufacturer's recommendation to provide an .R -Value ofj! in the
ceiling, in the exteri r walls, in the floor or crawl space
peri r.
Insulation ontractor (Sign) Builder (Si
1/4,7-asti re -o d marts G • C,
Company Name Company Name
CSG -32-11-C Date
\ 7- t S-- -7,Y-
CERTAIN-TEED
S
CERTAIN-TEED PRODUCTS CORPORATION. P.O. BOX 860 VALLEY FORGE PA. 19482 C'
CERTAINTEED
County of Butte
DEPARTMENT OF PUBLIC WORKS
695 Oleander Ave., Chico — 343-4211, Ext. 70
7 County Center Dr., Oroville — 534-4541
Skyway and Elliott Rd., Paradise — 877-3435
CORRECTION NOTICE
X:.. � v............ .......................................
Building or Property Address
A routine inspection indicates that the following
violations of County Ordinance exist at the above
address and should be corrected. Please notify this
office when correction of work is completed. If you
have any, question pertaining to this matter, or need
additional explanation, please contact this office
immediately.
............... .......�. ^ .....^ .
:• K••T.... .•.•.. ........... ...............................
.........................
.' ... ......... ..... ....... .. .......................................
.... . . ................ .............................. ..... ............................
...................................................................................................................
Date%..../ .., Inspeoar� ..............
Do Not Remove This Tog
(400-4)
County of Butte
DEPARTMENT OF PUBLIC WORKS
695 Oleander Ave.; Chico — 343-4211,^Ext. 76,
7 County Center Dr., Oroville — 534-4541
Skyway and Elliott Rd., Paradise — 877-3435
CORRECT10 NOTICE
..... .... ...... ...cS .....................................
Building or Property Address
A routine inspection indicates that the following
violations of County Ordinance exist at the above
address and should be corrected. Please notify this
office when correction of work is completed. If you
have any question pertaining to this matter, or need
additional explanation, please contact this office
mediately.
i
e
........................................................................................................................
Dateq... .....I. 'inspector .......... .
Do Not Remove This Tog
( 400-4)
COUNTY OF BUTTE DLPARTMENT O,F PUBLIC WORKS
7 County Centf;�,,pri.veM — OroviIle, California 95965
Telephone: 534-4541
APPLICATION AND'PERMIT
ouu.0i�cc represenLat ves o[ Me County of Butte to enter upon the
above-mentioned property for inspection purposes. �r
X Date
Signature of Perm' a or Agent
Receipt No.
White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant
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 P BLIC WORKS .p
BY Date
U
uilding permit expires Date............'....... ` �.
.............. .
BUILDING
Owner
SQ. FT. OCC. BUILDING VALUATION
4.71 V:F0
Mailing Address2
Telephone No
Fireplace
Contractor
Total Valuation
Mailing Address
Permit Fee
Plan Checking Fee &/or Penalty
Tlephone No.
e
Permit Fee
$
Q
$ 2
Building Address
PLUMBING
No.
@
FEE
PERMIT FILING FEE 'j 0C3
Each Trap 1.50 1-2,.0 d
Repair drainage or vent piping
1.50
-
Water piping 1.50
Each gas water heater or vent 1.50
A. P. N0. (p _oning
���4C/
& ZPlanning
Gas piping system 1 - 5 outlets
1.50
-
Each additional outlet .30
Fes I
W. Fire Dept.
Fire Zone
Use Permit
Building sewer 5.00
EQA
Parking
Plans
Parcel
Declaration
Parcel Ma P
60' R/W
ImprovementsLawn
sprinkler system 2.00
Bldg -Plans Recd
Parcel roval
PP
Plans PProval
Permit Fee
$
570
$ Ile. I
NEWIR ADDITION ❑ UTILITIES ❑ OTHER ❑
ELECTRICAL
No.
@
FEE
PERMIT FILING FEE 4 $3.00 ®0)
Main service incl. 1 meter . O
Additional meters, each
1.00
Single Family Duplex ❑ Mobil Home ❑ Others ❑
Sub -panel (12 or less) (morel 12) S'
R ge, Cook -top or Oven 1.00 406
Water ter or Space Fater
1.00
&00
Light fixtures 2up20 5, % 49-1
b 01
swy(Sf& & fix ou egr-- & 7 0
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:
H Ex anorF.A.Furn.Motor
1.00
�0
Evap: cooler, gar. disp. or D.W. 1.00 QQ
Air conditioner or heat pump
Water pump
Mobil Home Facilities 5.00
Temp. Power Pole 5.00
A
License No. 2. Classification LJ
Misc. wiring
❑ I am exempt from the Contractors'License Laws of the State of California.
Permit Fee
$
3M 91s,
$
WORKMEN'S COMPENSATION INSURANCE I
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.
have placed on file with the County of Butte a certificate of
Workmen's Compensation Insurance.
lecertify 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 , O�
Heating
Cooling
Ventilation
Hood 2.00
Permit Fee $ � 0 O
$ G, 16C
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
TOTAL PERMIT FEE
$r
ouu.0i�cc represenLat ves o[ Me County of Butte to enter upon the
above-mentioned property for inspection purposes. �r
X Date
Signature of Perm' a or Agent
Receipt No.
White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant
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 P BLIC WORKS .p
BY Date
U
uilding permit expires Date............'....... ` �.
.............. .
I
COUNTY OF BUTTE — ' D-tPARTMENT OF PUBLIC WORKS
7 County Center Drive r Oroville, California 95965
.. Telephone: 534-4541
APPLICATION AND PERMIT
aUU1011LC ftfpruz5unidllv65 of the County of Butte to enter upon the
above-mentioned property for inspection purposes.
X Date
Signature /of Permiter�Agent
Receipt No.
White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant
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 PJdtBLIC WORKS
Bui ing permit expires Date 1 Z—/?— %!m
BUILDING
Owner
BUILDING VALUATION
SQ. FT. 'Ej.k
Mailing Address �� �✓�`
Telephone No.
_60
FireplaceGLv� ��—cJ4_&-e
Contractor ��
Total Valuation
Mailing Address -
Permit Fee'_ 0�
Plan Checking Fee &/or Penalty
Telephone No.
Permit Fee -' ere
elle
Building Address S x ^ .
PLUMBING - No.1 @ FEE
PERMIT FILING FEE $3.00
Each Trap 1.50
Repair drainage or vent piping 1.50
Water piping 1.50
Each gas water heater or vent 1.50
A. P. No. /�+1 '� //
�fQ'— %%7 "'CO
Zoning & Planning
Gas piping system 1 - 5 outlets 1.50
Each additional outlet .30
Fe
WA---tS_eo+
+eR
I Fire Dept.
Fire Zone
Use Permit
Building sewer 5.00
EQA
Parking
Plans
Parcel
Declaration
Parcel Map
60' R/W
I Improvements
Lawn sprinkler system 2.00
Bldg. Plans Rec'd
Parcel Approval
Plans Approval
Permit Fee $
$
NEW ❑ ADDITION ❑ UTILITIES ❑ OTHER Pfl 1
ELECTRICAL No.1 @ FEE
PERMIT FILING FEE $3.00
Main service incl. 1 meter
Additional meters, each 1.00
Sub -panel (12 or less) (more than 12)
—
Single Family ® Duplex ❑ Mobil Home ❑ Others ❑
Range, Cook -top or Oven 1.00
Water Heater or Space Heater 1.00
Light fixtures '2U,%2
Receps., switches & fix outlets
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 o%�l �ep
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
Mobil Home Facilities 5.00
Temp. Power Pole 5.00
License No. ^_ Classification
Misc. wiring
❑ I am exempt from the Contractors License Laws of the State of California.
Permit Fee $
$
WORKMEN'S COMPENSATION INSURANCE
1 am aware of the provisions of Section3700 of the California Labor
Code which requires every employer to be insured against Liability
for Wor en's Compensation.
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
Heating
Cooling
Ventilation
Hood 2.00
Permit Fee $
$
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
TOTAL PERMIT FEE
$
aUU1011LC ftfpruz5unidllv65 of the County of Butte to enter upon the
above-mentioned property for inspection purposes.
X Date
Signature /of Permiter�Agent
Receipt No.
White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant
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 PJdtBLIC WORKS
Bui ing permit expires Date 1 Z—/?— %!m
- � � - a ', • But&
�
emud* of - OROVILLE, CALIFORNIA
GENERAL CLAIM
CLAIMANT: Wall tar Iave2ak
ADDRESS:
CITY & STATE: oroville. eA 9.5965 IMPORTANT:
SEE INSTRUCTIONS
DATE OF CLAIM: Ausuat 26T1981 ON REVERSE SIDE
SUBMIT CLAIM TO DEPARTMENT RECEIVING GOODS OR SERVICES
DATE
DESCRIPTION OF CLAIM (DESCRIBE FULLY TO AVOID DELAY)
AMOUNT
9.12611R]
Owner deedded not to build (Bldg pe=ft #9045-81BvE
Receipt 053621 -AP 36-05.141)
«------------------
Retain plan checking fee -----$20.00
Retain film fee-•--•------- 10.00
Amount retained --- -•__-•---$30.00 30.00
--we OE refund duee—
Elee vice! permit fee paid---" $23.20
Retain filing fee --------- ----««..___------A._J.00
;, . 20
TOTAL REZEUM DUE ---------------------- .._........ -i --- 4053.20
53
20
r
TOTAL
30
I, the undersigned, declare under penalty of perjury that the services or articles claimed have been performed or delivered, and that this
claim is true and correct as stated.
Datedthis .................................. day of ............................. 19....... at................................. Calif.....................................................................................
Signature of Claimant
I, the undersigned, hereby certify that, to the best of my knowledge, the services or articles specified above have been performed or de-
livered and that there is a Budget Appropriat�iton ❑ or Specific Board
p�Approval O (Checkone) for the same.
Dated this 26th de of ' M�j rf. ��'A 194 at ,,, %r��ill� Calif.
.................................... Y ........... ............... ....... ........................ ..... ............. .......... .. ..... .. ................
Department Head or Authorized Deputy
Dept. Exp.
CodeCodePAYABLE FROM............................................................................................ FUND
............................................................................................
DO NOT WRITE BELOW THIS LINE - AUDITOR'S USE ONLY
VENDOR
CODE
DEPT.
& SUB.
PROD.
SUB.
0BJ.
CLAIM
NO.
INVOICE
NO.
INVOICE
DATE
DISC.
GROSS
AMOUNT
ENCUMB.
SUB -DIST.
INSTRUCTIONS to CLAIMANTS
All claims against the county must be itemized, giving dates and
character of service rendered or work performed, quantities, de-
scription and unit prices of articles furnished or delivered.
Claims must be certified by the claimant and submitted to the De-
partment head for approval. Upon- approval the Department head
will forward claim to County Auditor for payment procedure.. Do
not file with the County Auditor first.
Claims should be presented to officials for approval immediately
upon completion of services requested or material ordered.
Claims are paid every Tuesday; however, same must be approved by
officials and in Auditor's office before preceeding Wednesday noon.
Compliance with above will expedite payment of claim, failure to do
so may delay payment considerably.
y - COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMI N0.
A 7 County Center Drive - Oroville, California -85965 - Telephon,. 916/534- 4
APPLICATION AND PERMIT
ASSESSQJ P RC -E NUMBER -
\�•j[
ZONING
,
_ BUILDING PERMIT • ,
OWNER )
TELEP �N
SO. FT. OCC: BUILDING VALUATION
O
OWNER' MAILFNG AD R SS 4
CON AC ORIS NAME r D
TELEPHONE
CONTRACTOR'S MAILING ADDRESS
Fireplace
CONSTRUCTION LENDER —JUN
NOWN
Total Valuation $
Filing Fee
$ 10.00
LENDER'S MAILING ADDRESS - - -
Permit•Fee
$ 0100
ARCHITECT OR ENGINEER - -
LICENSE NO.
Plan Checking Fee
$ f
Penalty
$
ARCHITECT OR ENGINEER'S MAILING ADDRESS -
Permit fee
$ ,
BUILDING :TTS
PLUMBING PERMIT
Filing Fee 10.00
,�
Each Trap
2.00
Repair drainage or vent piping
5.00
Water piping
LOT NO.
SUBDIVISION NAME
PARCEL MAP
Each qas water heater or vent
5.00
Gas piping system 1 - 5 outlets
USE OF STRUC RE
SF ❑ Duplex❑ Mobilehome❑ Other
SPEC FY
Building sewer
Lawn sprinkler system
5.00
TYPE OF WORK • .
New Addition Remod [_1Utilities ❑ I tallation Ot r
Describe work: HS
1 I
Permit Fee
$
Contractor
'.ELECTRICAL PERMIT
Filing Fee 10.00
Main service 6101 OR LESS
100 AMP OR LESS
5.00
Main service EA. ADD'L 100 AMP
2.50
NEW CONST. C / DWELLING Uo-ei1
OR ADONS. \ ACC. BLDG ��JJ I
2P. sq ft
CONTRACTORS LICENSE LAWNEW
_
I declare under penalty of perjury (Check one).:
❑ I am licensed under provisions of Chapt. 9, Div. 3 of the Business
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)
❑ 1 am exempt under Sec. Business and Professions Code
for this reason
CONSTR ( MULTI
NON-RESID. BRANCH CIRCUITS)
NEW CONSTR / POWER APPARATUS 11
NON-RESID. \SINGLE OUTLET CIR. /
Ex. OCCUp OUTLETS OR FIXTURES a ��
00
and
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
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. >
❑ 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
�3 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, indemnify and keep harmless the County of Butte against
bilities, judgments, sts d expenses which may in any way accrue
again t said o ty in c se nce of the gr ting of this permit.
Date -
-ig orure of Applicant — O nertractor ❑ 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
$
TOTAL PERMIT FEE $ D-0
Occup. GROUP
.��
TYPE oe CONST.
Al
PARCEL
✓
PD ND
d
ISSUE
v
This permit is hereby issued under
sions of the Butte County Code and/or
work indicated above for which
DIRECT OF PUBLIC
By.
PE T EXPIRES Date
the applicable provi-
resolutions to do
fees have been paid.
WORKS
_� P
Date �� �
/!yam
Receipt No, .� �a It
WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR. GOLDENROD -APPLICANT