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079-340-011
D. Hoffman 0 7? u, / STREET 1056 Mt. Ida Rd., Oroville PermitS 67B (addition & remodel) 30 6 67 li- NEW 0 Lor BLOCK SUB DIV. HUB` ZEMKE 1056 Mt. Ida Rd,,Or e , TYPE OF COntr'r-D'eed's' &- Barton-' - - - Permit#41-87B, P,E (,r o el/SF)� REMARKS PERMIT PERMIT NO. PLAN NO. DATE ISSUEDfPpf trit#786-88B(add deck/SF) PERMIT#95+2065 LEMKE, ` 1056 Mt Ida Rd., Oroville Cont; George Roofing Reroof/SF Cy X i PERMIT DESIGNATION: B -BUILDING E -ELECTRICAL U -USE PERMIT HM -HOUSE MOVING DEPARTMENT OF P -PLUMBING TV -RADIO -TV ANTENNA V -VARIANCE EP -ENCROACHMENT 1 BUILDING AND SAFETY T -TRAILER S/W-SIDEWALK NOTICE S_ SIGN PERMIT D -DEMOLITION 600.1 �;'. INSPECTION RECORD RUILDINO A PPRAV A T.0 I= 0—; F W mi a Z Z 0 ~rc0 U O Z -1 0 z z UW OW LL y C Z i Q 4 OS �IQ- F J z O= rcFQ F J O W ¢y W za OW w W a ,rjY it U O Um WJ QQQ C ,Ij �� U g a x a Z a SIG. DATE SIG. DATE SIG. DATE SIG. DATE SIG. DATE SIG. DATE SIG. DATE SIG. DAYE SIG. DATE SIG. DATE SIG. DATE SIG. DATE r/►Elul %ff;#SAY PAW IJJ:lf1 pArlIF . PERMIT NUMBER: SIG. DATE SIG. DATE SIG. DATE SIG. DATE SIG. DATE ROUGH -IN GAS PRESSURE TEST WATER PIPING SEWER LINE APPLIANCES & VENTS FINAL PERMIT NUMBER: SIG. DATE SIG. DATE SIG. DATE SIG. DATE SIG. DATE ROUGH -IN FIXTURES & APPLIANCES METERS FINAL MI. VEELANK01I N A PPROV A L,C PERMIT NUMBER: DESIGNATION SIG. DATE SIG. DATE SIG. DATE SIG. DATE SIG. DATE m .-nAiVFwL•. $;.^,,.,aceta' '•�ArY'!��6 :: si3•}'`1IIar �Y'a'-'A9P%'�' e•..w,•;�r•+sr-n- �`Tanr"�3n<"•s,r� ;7 ;... ..;•;; '4�;�„�ix�7•v+''sC k`,,.4.Y r�wa.,� .�.; . 036-670-011 PERMIT#95-2065 LEMKE, F 1056 Mt Ida Rd., Oroville Cont; George Roofing j Reroof/SF/ 9� COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County. Center Drive - Oroville, CaRfgrniq,95965 - Telephone (916) 538-75g ' PERMIT No, - APPLICATION AND PERMIT 7 C-5 ( ASSESSOR PARCEL NUMBE(/ n 4•+ ZONING BUI ING PERMIT OWNER TELEPHONE SO- FT- OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS, ` las/y 1 Dwel, 40 4) CI' ' 00 h/u 1' 3 9U, CONTRACTOR'S NAMETELEPHONE C ao sl 3 -1,393 CON TRACTO R'J MAILING ADDRESS /�/� � I7 r�lJ d i' / GF'/4OL%/�� �(N'i q� 5'14 Fireplace CONSTRUCTION LE NDE UNKNOWN Total Valuation $ LENDER'S MAILING ADDRESS Filing Fee $ 20.00 Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. -99 Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS / , 7 SJ7 4i 5(✓ �, i- Z f�c t '�G drf PERMIT FEE $ PLUMBING PERMIT Filing Fee 20.00 Each Trap 7.00 Solar or heat pump water heater 23.00 LOT NO. SUBDIVISION'S NAME PARCEL MAP Water piping 15.00 Each gas water heater or vent 15.00 USE OF STRUCTURE SFDuplex ElMobilehome O Other SPECIFY Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home S G W @20.00 TYPE OF WORK New O Addition O Remodel O Utilities ❑ Installation ❑ Other O Describe Work: J u jr i - 1 ( PERMIT FEE $ Contractor ELECTRICAL PERMIT Filing Fee 20.00 Main Service ( BOOV OR LESS ) 23.00 200A OR LE Main Service ( 200A TO 1000A ) 46.00 NEW CONST. DWELLING OCCUP. So. OR ADDNS. ( 6 ACC. BLDS. ) 3.50 FT. CONTRACTORS LICENSE LAW 1 declare under penalty of perjury (check one) O I am a licensed under provisions of Chapter 9, Division 3 of the Business and Professions Code and my license is in full force and effect. License No..�/$' <. (,r V Classification 0 - 3 c? O I, as the owner, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. (Sec 7044) O 1, as the owner, am exclusively contracting with licensed contractors. (Sec 7044) O 1 am exempt under Sec. Business and Professions Code forthis reason NEW CONST. MULTI -OUTLET -NON-RESID. ( BRANCH CIRCUITS ) @7.50 ( POW ER APPARATUS ) 8 SINGLE OUTLET CIR. Ex. Occup. ( OUTLET OR FIXTURES ) 20 @ 1.00 BAL. 50 Ex. Occup.FIXED APPLNS. OR ( OUTLETS (RESID.) EA. ) 5.00 Temporary Service 23.00 Mobile Home Facilities 20,00 Misc. Wiring 23 WORKER'S COMPENSATION INSURANCE 1 declareAnder penalty of perjury (check one): 011is permit is for $100.00 (valuation) or less. I have placed on file with the County of Butte Dept. of Development Services, Building Division a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -insure. ❑ 1 shall not employ any person in any manner so as to become subject to the Worker's Compensation laws of California. Notice to Applicant: If after making this statement, should you become subject to the Worker's Compensation provisions of the Labor Code, you must forthwith comply with such provisions or this permit will be revoked. PERMIT FEE $ Contractor MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE $ Contractor I certify that I have read this application and state thatthe above information is correct. I agree to comply to all Butte County Ordinances and California State Laws relating to building construction, and hereby authorize representatives of the County of Butte to enter upon the above mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue against said County' onseggence of the granting of this,permit. X f Date Z / S~ Signature of Applicant - Owner O Contractor Agent An OSHA permit is required for excavations over 5"0" deep and demolition or construction of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ OCC CONST. Tr PE TOTAL FEE $e4- 4 /, HAZ. I D. FEES IMP I FLOOD I COF PARCEL I PO HD ISSUE 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. By �•�.� f Date 1S iik�— PERMIT EXPIRES ON rtC �Or/`y (De tel ^ WHITE- O.D.S -ElO CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT / COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDINGDTVI N 7 County Center Drive - Oroville, Calift-nia,,9065 - Telephone (916) 538-75 t PERMIT NO APPLICATION AND PERMIT ASSESSOR PARCEL N320NING BUI ING PERMIT OWNER imp ;�eOWNER'S TELEPHONE �31�� SQ. FT. OCC. BUILDING VALUATION MAILING AODRESS f, ee-00 0 -9 00 /Vo t :3 90A — CONTRACTOR'S NAME lgroticf,e- TELEPHONE -1313 CONTRACTOR` MAILING ADDRESS �J /p r r0l�i t11L- CCr q. ?de�� Fireplace CONSTRUCTION LENDEFY UNKNOWN Total Valuation $ LENDER'S MAILING ADDRESS Filing Fee $ 20,00 Permit Fee $ — ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDoING sADDRE�SS 1� �` YYI r A-42 4111 C PERMIT FEE $ J /• --'- PLUMBING PERMIT Filing Fee 20.00 Each Trap 7.00 Solar or heat pump water heater 23.00 Water piping 15,00 LOT NO. SUBDIVISION'S NAME PARCEL MAP Each gas water heater or vent 15.00 USE OF STRUCTURE SFg Duplex ❑ Mobilehome ❑ Other SPECIFY Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home S G W @ 20 •00 TYPE OF WORK New ❑ Addition O Remodel ❑ Utilities O Installation ❑ Other 1:1Contractor Describe Work: _ J -3c4 ; Id — u IQ PERMIT FEE $ ELECTRICAL PERMIT Filing Fee 20.00 OV OR LE Main Service ( '200A OLESSSS ) 23.00 R Main Service ( 200A TO 1000A ) 46.00 NEW CONST. DWELLING OCCUP. SQ. ORADDNS. ( & ACC. BLDS. ) 3.50 FT. CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one) ❑ I am a licensed underrovisions of Chapter 9, Division 3 of the Business and P P Professions Code and my license is in full force and effect. License No. A/S ,= 4 (p Classification 0 —3 l O I, as the owner, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. (Sec 7044) O I, as the owner, am exclusively contracting with licensed contractors. (Sec 7044) O I am exempt under Sec. Business and Professions Code forthis reason NEw CONST. MULTI -OUTLET NON -REBID. ( BRANCH CIRCUITS I @7.50 ( POWER APPARATUS ) & SINGLE OUTLET CIR. Ex. Occup. ( OUTLET OR FIXTURES ) 20 @ 1.00 RAL. .so Ex. Occup.FIXED APPLNS. OR (OUTLETS IRESID.I EA. I 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 WORKER'S COMPENSATION INSURANCE Id rider penalty of perjury (check one): is permit is for $100.00 (valuation) or less. have placed on file with the County of Butte Dept. of Development Services, Building Division a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -insure. O 1 shall not employ any person in any manner so as to become subject to the Worker's Compensation laws of California. Notice to Applicant: If after making this statement, should you become subject to the Worker's Compensation provisions of the Labor Code, you must forthwith comply with such provisions or this permit will be revoked. PERMIT FEE $ Contractor MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling Hood ff6.50 Ventilation PERMIT 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 Butte County Ordinances and California State Laws relating to building construction, and hereby authorize representatives of the County of Butte to enter upon the above mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accr a against said County ' onseq ence of the granting this ermit. X / ate Z ps~ Signature of ApplicantOwner El Co actor Agent JV An OSHA permit is required for ex ations over 5"0" deep and demolition or An construction of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST. TYPE TOTAL FEE $ �' e HAZ- 1 O. FEES I IMP I FLOOD I COF PARCEL I PD HD ISSUE This permit is hereby issued under the applicable provisions of the Butte County Code and/or Resolutions to do work above for which fees have been paid. D, to ghrk`�L rip PERMIT EXPIRES ON 19 (Det ) Receipt No. (�"%� I1(� WHITEoe- -D.D.S.- .0. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT 41-87 PERMIT NO. 78&-88B PERMIT EXPIRES OWNER uUR—ZEMKE CONTR. OWNER ASSESSOR PARCEL _ 36-6711-1- LOCATION 6-671-1-LOCATION X56 "Mt -Ida. -R d-, Oroville Temp. Polt Called Temp. Elec Called Temp. Gas Called JOB FINAL Slgnatu r - OK, 0'= Not OK NotNot Readiyable 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-Clearances-Grnd.-/ / Am 6. Gas; Location -Test -Wrap: / ' P L" ft. / /"Nat. or/ P L" ft./ /"LPG crete 7. Utility Clearance Card -1211 Date Card -B1 Date Card -81 Date Card -B1 Date Date MOBILEHOME INSTALLATION (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Footings; Size -Spacing -Marriage Line 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 Card -B1 Date Card -B1 Date Card -B1 Date Card -B1 Date MISCELLANEOUS Date DE S,COVERS,CARPORTS;GARAGES, (Plans)OK except #'s . ing quirements-Setbacks-Easements Fo gs; Soils -Size -Depth -Spacing -Connectors -Steel L,3-115ecks; Girders and/or Joists -Decking -Bracing -Stairs -Rails 4. Wood Awn.; Posts-Beams-Rftrs.-Connec.- Shthg.-Rfg.-Bracing 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Carports; Windows -Doors 7. Elec. 8.• Frmg; Sills-Anchors-Studs-Rftrs-Trusses 9. Siding; Nailing -Veneer -Stucco -Mesh 10. Roof; Shthg-Roofing 11. Ext.; Steps -Doors -Landings Card -W2 Datg Card -B1 Date Card -Bt Date Card -B1 Date 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- Enc losures-Panel board s -Ins. to Main in Conduit 9. Health Department Approval 10. Plumb.; Cir. Test -Water Supply Test Card -B1 Date Card -B1 Date Card -B1 Date Card -81 Date = OK =NotOK Applicable = Not Applicable RESIDENTIAL (Single and Duplex) = Not Ready Date UNDERFLOOR (Plans) OK except #'s Date FRAMING (Continued) 1. Zoning requirements -Setbacks -Easements 44. Hangers -Post Caps -Anchors -Connectors 2. Ftg., Main; Soils-Steel-Elec. Grnd.-/ /" Ftg. Depth 45. Cing. Joist-Rftr. Ties-Purlin-Roof Brac.-Truss-Shthng.-Rfng. 3. Ftg., Garage; Soils -Steel-/ /" Ftg. Depth 46. Fireplace Ties or Type A Flue -Fireplace Throat 4. Ftg., Porches & Decks; Soils -Steel-/ /"Ftg. Depth 47. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 5. Stemwalls, Main; Steel-Blockouts-Wrapped 48. Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions 6. Stemwalls, Garage; Steel-Blockouts-Wrapped 49. Garage Fire Protection Framing 7. Slab; Steel -Wrapped 50. Property Line Firewall & Openings 8. Piers -Fireplace Ftg.-Steel 51. Ext. Doors -One T -Check Garage -3rd story, 2 exits 9. D.W.V.; Fall -Fittings -Test -2 way C/O -Sewer Test 52. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 10. Gas Pipe; Size -Anchors • 53. Plywood on Roof Overhang -Attic Vents -Rafter Outriggers 11. Water Pipe; Test -Anchors -Regulator -Service Test 54. Siding -Nailing Veneer 12. Electric; Underground 55. Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access 13. Plenums & Ducts; Clearance-Material-Supprt-Ins. 56. Glazing Area -Glass Protection -Skylights -Plastic 14. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples 57. Shear Walls; Nailing -Bolts 15. Insulation 58. Insulation-Walls-Clg. 59. Infiltration-Walls-Wndws Card -B1 Date Card -B1 Date Card -B1 Date Card -B1 Date Card -B1 Date Card -131 Date Card -B1 Date Card -B1 Date Date PLUMBING (Permit) OK except #'s 16. Water Ht. Vent -Access -Combustion Air Date FINAL (Plans) OK except #'s 17. Water. Pipe; Test & Anchors -Nail Protection 60. Ext. Steps -Door & Sidelight Protection -Landings 18. D.W.V.; Test-Fttngs & Anchors -Nail Protection 61. Smoke Detector 19. Shower Pan; Test, First Floor -Tub Access 62. Furnace; Vents -Clearance -Comb. Air -Connector - In Garage; Above Floor -Ducts -Mach. Protection 20. Test Tub & Shower, 2nd Floor -Tub Access 21. Gas Pipe; Size & Anchors 63. Bedroom Exiting 64. G.F.I. & Bath Fixtures & Tub Access -Spa 65. Elec. Trim & Subpanel; Breaker Sizes -Labels Card -B1 Date Card -61 Date 66. Stairs &Rails Card -B1 Date Card -B1 Date 67. Fireplace or Stove; Clearances -Hearth Date ELECTRICAL (Permit) OK except #'s 68. Elec. Outlets at Wood Panel; Int. & Ext. 22. Fixture & Transformer Clearance -Ins. Protection 69. Kit. Fixt. & Appliance; Grnd. -Air Gap -Cooking Clearance 23. Elec. Receptacles Spacing -Lights & Switches at Doors 70. Elec. Outlets & Receptacles at Kit. Counter 24. Size Boxes & No. of Conductors -Stapled 71. Garage Fire Door; Swing -Landing -Closer 25. Romex Installed Close to Edge of Studs & C.J. 72. A.C. Duct in Garage -Damper 26. Equip. Ground made up w/Mech. Fasteners -Bond Gas &Water 73. Wtr. Htr.; Vents -Clearance -Comb. Air-Connector-P.R.V.- In Garage; Above Floor-Mech. Protection 27. 2 Appliance Circuits in Kitchen & Conductor Size 74. Plb., Elec. & Mech. Equip. Listed for Location 28. Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / /ga. Cu or Al 75. Elec. Receptacles in Garage; (G.F.I.)-Romex Protec. 29. Range Circ. / / ga. Cu or AI -Oven Circ. / / ga. Cu or Al. Insulated Neutral Yes No 76. Insulation -Foam -Looked in Attic ❑ Yes 77. Guard Rails & Deck Construction -Post Caps 30. Service -Riser Conductors & Ground -Main Disconnect 78. Fdn. Vents & Crawl Hole Door -Drainage & Wood -Earth Clearance Looked under Floor ❑ Yes 31. Equip. Clearances Panels-Motors-Mech. Equip. 32. Clothes Closet Light -Shower Light -Spa Light 79. Following instld.; Drive ❑ Yes ❑ No; Walks ❑ Yes ❑ No; Planters ❑ Yes ❑ No 80. Stucco; Brown -Finish Card -B1 Date Card -B1 Date 81. A.C. Unit; Disconnect, Electrical, Plumbing Card -131 Date Card -B1 Date 82. Vents Above Roof; Plbg.-Appliance-Firepl.-Clearance to Openings. Date MECHANICAL (Permit) OK except #'s 83. Water Well; Disconnect, Electrical, Plumbing 33. A.C. Ducts Insulation & Support 84. Exterior Elec. Trim; G.F.I. Receptacle -Underground 34. Vent Fan; Exhaust above insulation 85. Ventilation throughout House 35. Condensate Drain & Overflow; Size & Grade 86. Glass Protection 36. Furnace -Vent; Access -Comb. Air -Return Air Vent -115 outlet 87. Corrections from Previous Inpections 37. Attic Access & Platform if Furnace in Attic 88. Gas Test -Meters Tagged; Gas -Electric 89. Water & Sewer Connected -C/O to Grade -HD Approval 90. Energy Compliance Certificate -Other Certificates Card -131 Date Card -B1 Date Card -B1 Date Card -B1 Date Card -131 Date Card -B1 Date Date FRAMING (Plans) OK except #'s Card -B1 Date Card -B1 Date 38. Sills, Proper Material & Anchors Card -B1 Date Card -B1 Date 39. Walls Studs -Nailing, Spacing & Bracing -Plates -Sound Comments at Final: 40. Bearing Walls over Girders & Floor Nailing 41. Draft Stop in Walls (rat proof) 42. Fire Stops; Furred Ceilings -Stairs -Chases -Tub 43. Header & Beam -Size & Bearing (NOTE: An entry must be made each time you visit job site) COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PER I NO.. 7 County Center Drive - Oroville, California 95965 - Telephone: 916/538-7541 Y APPLICATION AND PERMIT PPPIII r, ASSESSOR PARO✓o( L, NUMBER _ ZONIN BUILDING PERMIT WNER TELEPHONE ,SQ, FT. OCC. BUILDING VALUATION WNE 'S MAI ING ADR [CONTRACTOF;rS NAME T L PHON CONTRACTOR'SAILI G ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ Filing Fee $ 10,00 LENDER'S MAILING AD ESS Permit Fee $ ARCHITECT OR ENGIN ER LICENSE NO. Plan Checking Fee $ _ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty BUILDING ADDRESS mf Q 5� Permit fee !$ $ PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP Water piping 5.00 Each qas water heater or vent 5.00 USE OF STRUCTURE SF ❑ Duplex❑ Mobilehome❑ QQ Other ' SPECIFY' Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home S I G I W 0.00 ea TYPE OF WORK New E? --Addition ❑ Remlodel ❑ Utilities ❑ Installation❑ Other ❑ 1', Describe work: �I 1� S. a I Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 6001 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 Business and Professions Code and my license is in full force and effect. icense No. Classification I, as the owner, or my employees with wages as their sole compen- cation, 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.N)/xQsgft OR ADDNS. ACC. BLDGS. NEW CONSTR U 1.OUTLET 2,50 ea S NON.RESID .BRA C CIRCUITS) POWER APPARATUS &) SINGLE OUTLET CIR. Ex. Occup(OUTLETS OR FIXTURES OA 0320@500 Ex. P(RESID 1FIXED APLNS.REA.1 2.00 Ex. Occup. OUT LE Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 Permit Fee $ Contractor WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. ❑ I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. MECHANICAL PERMIT Filing Fee 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 alsoa to save, indemnify and keep harmless the County of Butte against all liabilit( n judgments, costs, and expenses which may in any way accrue a ' a' Coupty in c se nce of the nting of this permit. X �L- �� Date Sig ure of Applicant — Owner Contractor ElAgent ❑ An OSHA permit is required for excavations over 5'0" deep and demolition or construct -RECTOR ion of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ TOTAL PERMIT FEE $ Als 'm occuP. CONST.TrPC ISCNOOL PLo P�R��L PD N Is9 This permit is hereby issued under sions of the Butte County Code and/or WO ndicated above for which OF PUBLIC By PERMIT EXPIRES Date the applicable provi- resolutions to do fees have been paid. WORKS Date 7M AVg Receipt No. Oqd WHITE-D.P.W.. YELLOW-ASBE330R. PINK -INSPECTOR. GOLDENROD -APPLICANT r- COUNTY OF BUTTE - DEPARTMENT OF -PUBLIC WORKS - BUILDING DIVISION •!_ ,y,s 7 COUNTY CENTER DRIVE - OROVILL&, CAI.IFQRNIA 95965 - TELEPHONE: 916/538-7541 5 'h PERMIT APPLICATION DATA SHEET Permit No. OWNER A. jP. No. 311 Proposed Building Use d Building Inspector. Z Date At time of permit application, I was advised the following data must be submitted prior to permit processing and:/or issuance: DATE RECEIVED APPROVED ::Lu1. All items. have been ,submitted. _�2. Plot plans in�/triplicate, signed by preparer of plans. 3. Complete plans in duplicate./triplicate, signed by preparer of plans. 4. Complete engineered plans and calcs, with wet signature on plans.. 5. Plans with Energy Design Compliance Statement. . . . . . 6. School District "Fees Paid" Stamp on Floor Plan. 7 Statement of Intent for Non -Heated and AC Buildings. 8. Fees of $ . . . . . . . . 9. Letter of signature authorization. . . . . . . . . . C.O. Sanitation approval from Health Dept. . .11. Planning Planning approval for (A) Use: (B) Parking: . 12. Certificate of Workmen's Compensation Insurance. . . . . . 13. Contractor's License Information (no., name style, classif.) 14. Owner -Builder Verification (Given to owner, Mail to ownerEl _15. Improvements may be required. . . . . . . . . . . . 16. Mobi lehome Installation Data. . . . . . . . . . Pre-Inspec. request to 17. Pre -Inspection for Required. Building Inspector (Date) 18. Recorded copy of Agricultural Acknowledgment Statement. 19. Driveway Permit. 20. Plot plan approval from city of 21. Engineered trusses'in duplicate (required prior to plan check). 22. When you issue the permit, process as follows: ail to owner, Mail to contractor. Telephone and hold for pickup at office, Deliver w/inspector. Other _ x Appli Copy of plans sent Health Dept., Fire Dept., Other Date The following data must be submitted prior to permit issuance: (Circle new item not checked above). 1. Index permit for above items No. 2. Additional items required: Contractor, designer, owner, was advised of above required data by_phone_—nail counter by date Contractor, designer, owner, was advised of above required data by—phone _mall_co:;T:�Date3J7-W date Plans checked by Date Plans approved by Sets of plans on hold in File cabinet AP folder Copy—DPW TO FROM: SUBJECT: Buildincx Department Environmental Health Sanitation Clearance e �,J e__ Owner Location AP# Plan Approved for: Sewage Disposal Hold final for: Final clearance O.R. for: Clearance for bedroom mobile home. NOTE *** Sanitarian Other P Water Supply Water Supply. Water Supply ate 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 m terials for construction of the proposed property improvement (yes or no) 2. I (have/have not)&���'signed an app ication for a building permit for the proposed work. 3. I have contracted with the foll 'ng pexson--(firm) to provide the proposed construction: Name Address Phone Contractors License No. City 4. I plan to provide portions of this week, but.I have hired the following person to coordinate, supervise, and .provide the -major work: Name OF Address City Phone Contractors License No. 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 mber Date 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. r This set bf •:plans end specifications MUST be • = �' kept on the iob dt: 0111 Mmes rand it is unlawful to make any ch�engos ©r altRrryAi�nS on s.c�me without •f ' :. written ,perrriissi©A.from the Department of Public - ''�' Works, County of Butte. .10 A setback of Eft. from the property lines and a setback., `•� 7• X05 t C-5.1 of 5bft, from 6e --road centerline s,'hall, e-cl to � .�' • structures'or eq�iipment except ' - ... NE`N OD�rT' i 'xat for. a 2 ft. eave'overhang. �• SAY Y Ty d`; , - TGA' SkR'� � `•� � . t - Ud is x i M'1•ti fr f I X ,D, G � iTMNT ♦ T ••f�^� .' �d'2S; we -~✓"I. eA3 '� 1 t. Yf� -Vl 8P ;• t ._�4 _'r?Y'i.'APPROVED P- '• �, %may JR4 •ROV�ii p PARTI r�tor-rH 0& — ` �3 L) iT . 1 VOTES 36" MIN. Fe" I N I 00 V 0 m —ft a m T1 r I _;s (0' A o D rrnn m < O X 3 -P UO r MAX. _ 3 rn LN 1- � � Q W v� f x (I o — � o - i rn V) II II �n -i �- - -- - L i�30"- 34" J/HNORAIL NEI GHT I EE v0 sv�� �� MINW I DT++s 7A t R X _ 1� z mC-') c � v o � z a, Fe" I N I 00 V 0 m —ft a m T1 r I _;s (0' A o D rrnn m < O X 3 -P UO r MAX. _ 3 rn LN 1- � � Q W v� f x (I o — � o - i rn V) II II �n -i �- - -- - L i�30"- 34" J/HNORAIL NEI GHT I EE v0 sv�� �� MINW I DT++s 7A t R X _ 1� �, i � '. �' i 1 � : 'i. � � �� ,. : � :� I 1 � - _��� t � -. - � .� ,. � r -� �. � -- .. �. 6 � i u �o �� �� A d 4` i } i � � 4 If * � - __ � r - .. - x � ,. � I . a � + �p , i �" ! f � �. � ,. � ! . A r ' � � �. '. yr y f f ',� f f -. a '� r r . a .. 4 - k. � { � r t �, '# F �. k- ' - .�, 4 . . ,. - ` � h �,. � � ,� a ... � .. 1 r I ,. F ^ a i; � I �� _ ., � �i j i.. _ i. f ?- - f _ Y .f. M, x - -,� i � p '. p P f. �, r � i. �� li ' i �, i ,� n a � � � f' � � � 1 -+ r Y y. � i � ` f } � � � � a � � i ��� t � u + ,� - �- � i ' � r o � � r I ? .. r_ k t t _ y _ Y .� i r- � ,a LL - .. e + � r - i �. - t - f 9 PERMIT NO. 41-87B,P,E PERMIT EXPIRES- OWNER XPIRES OWNER HUB ZEMKE i CONTR. De ds & Barton ASSESSOR PARCEL 36-67-11 LOCATION 1056 Mt Ida Road, Oroville l t�k, 7. i • Temp. Power Pole Called PG&E Temp. Elec. Service Called PG&E Temp. Gas Service Cal led PG& E JOB FINALE[ Signature VaOK 0 = Not OK - = Not Applicable * = Not Ready MOBILEHOMES °' MISCELLANEOUS `t " Date MOBILEFIOME UTILITIES (Plans) OK except q's 1. Zoning Requirements -Setbacks -Easements Date DECKS, COVERS, CARPORTS, ETC. (Plans) OK except N's 1. Zoning Requirements -Setbacks -Easements _ 2. Soils; Special MH Support -Sketch 2. Footings; Size -Depth -Spacing -Connectors ' 3. Sewer; Location -Test -Fall -C/0 -Concrete 3. Decks; Girders and/or Joists -Decking -Bracing -Stairs -Rails 4. Water; Location -Test -Easement Needed (Sketch) 4, Wood Awn.; Posts-Beams-Rftrs.-Connec.-Shthg.-Rfg.-Bracing 5. Electricity; Location-Clearances-Grnd.-/ / Amp -Concrete 6. Gas; Locatiorr-Test-Wrap:/ /"L"ft./, /"Nat. or/ /"L"ft./ /"LPG _ 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 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 N's 1. Zoning Requirements -Setbacks -Easements Card -BI Date Date Card -BI Date POOLS (Plans) OK except #'s 1. Setbacks -Easements 2. Footings; Size -Spacing -Marriage Line 2. Soils; Compaction -Structure Stability 3. Gas; MH Test -Demand -Valve -Connector 3. Pool Structure; Steel -Connections -Thickness -Dead Men -Lining . `• ' 4. Electricity; MH Test -Crossovers -Breakers -Clearances 4, Elec.; Receptacles and Lighting; Distances-GFI 5. Drain; MH Test -Fall -Flex Connector 5. Elec.; Pool Lighting; 15 volts-GFI 6. Water; MH Test -Regulator -Connector 6. Elec.; Enclosures; Conduit Entries -Terminals -Listed { 7. Water and Sewer Connected -C/0 to Grade -HD Approval 7. EIec.; Bonding; Metal w/5' -Circulating Equipment -Heater 8. Gas and Electricity Tagged 8. Elec.; Grounding; Equip. w/5' -Circulating Equip. -Pool Lghtg. Boxes -Enc losures- Pane I 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 'I Date Card -BI Date Card BI Date Card -BI Date Card B -I Date Card -BI Date Card -BI Date Card -BI _ Date..3 J = OK Q = Not OK �1ot Applicable *. = Not Ready RESIDENTIAL (Single and Duplex Date UND FLOOR Plans OK except #'s Date FRAMI Continued Zoning requirements -Setback Easements 48 erty Line Firewall & Openings __. 2. Ftg., Main; Soils t ec. Grnd.- / /" Ftg. Depth 4 xt. Doors -One 3' -Check Garage -3rd story, 2 exits - 3. Fig., Gar e; - t I- / /" Ftg. Depth rs; Width -Headroom -Rise -Run -Landing -Fire Protection 4. Ftg es s; oils -St I- / /" Ftg. Depth 5 Plywood n Roof Overhang -Attic Vents -Rafter Outriggers 5. S mw I ; Steel- outs -Wrapped -Slab _ 'ling -Veneer 6.__ t_ 1 ara e Ge BIockouts-Wrapped-Slab 5 t Stucco Mesh -Drip Screed-Fdn. Vents-Underflr. Access 7 _ Fre ce Ftg.-Steel 54. _ Glazing Area -Glass Protection -Skylights -Plastic _ D. .V,': F611 -Fittings -Test -2 way C/O -Sewer Test 55. Shear Walls; Nailing -Bolts 9. Gas Pipe; Size -Anchors _ 10. Water Pipe; Test -Anchors -Regulator -Service Test 11. El ric; Underground 12. e_n_ums &_Ducts; Clearance -Material -Support -Ins. t ..Z� 1 . Girders -Sills -Anchor Bolts -Joists -Vents -Cripples ----- - Card -BI Date Card -BI Date Card -BI Date f VCard-BI Date _ _ Card -BI Date Card -BI Date _ Card -BI Date Card -BI Date Date I L (Plans) OK except ft's Card -Bi ate2� Card -BI Date �1 Date PLUMBING (Permit) OK except N's 56.jxt. Steps -Door & Sidelight Protection -Landings f' moke Detector % f Card -81 Card -BI 14. W ter Ht.: Vent -Access -Combustion Air r_P_ipe: Test & Anchors -Nail Protection 1 D.W.V. Test & Anchors -Nail Protection 17. Shower Pan: Test, First Floor -Tub Access 18. Test Tub & Shower, 2nd Floor -Tub Access 19. Gas Pipe: Size & Anchors - Date 'W7 Card -BI Date Date Card -BI Date e; nts-Clearance-Comb. Air -Connector- i Garage; Above Floor -Ducts -Meth. Protection edroom Exiting ; 60.t:8.P1 C,41. &-B-affi tx ures & Tub Access Elec. Trim & Subpanel; Breaker Sizes -Labels 6 is 6 ove; earances-Hearth 64 Panel; Int. & Ext. 65• t tan�Grnd.-Air Gap -Cooking Clearance 66. e s & Receptacles at Kit. Counter / Date ER L Permit OK except q's 67. _ g -Landing -Closer r 68. uc in arage- amper Card B�/Date Card B -I -t 2 ixtu & Transformer Clearance -Ins. Protection 21: c eceptacles Spacing -Lights &Switches at Doors ize xes & No. of Conductors -Stapled 2 _mex Installed Close to Edge of Studs & C.J. 2 Equip. Ground made up w/Mech. Fasteners -Bond Gas & Water 2 ante Circuits in Kitchen &Conductor Size 26. ubfeed Wire_ Size /_ / ga. Cu or AI-A.C. Wire Size / / ga. Cu or AI 27. R nge Circ. / / ga. Cu or AI -Oven Circ. / / ga. Cu or At,0-7S Ins ated Neutral _,Yes No 28. Servic -Riser Conductors & Ground -Main Disconnect _14K76. 29. Equip. C rances: Panels-Motors-Mech. Equip. 30. Clothes Closet ight-Shower Light_ _ ------ --- /.�/�?C_ard-BI _ Date -_ - _-- �- Date ( Card -BI Date 69. s- earance-Comb. Air-Connector-P.R.V.- In Garage; Above Floor -Meth. Protection 0. Plb., Elec. & Mech. Equip. Listed for Location 71fe'c. Receptacles in Garage; (G. F.I.)-Romex Protec. X42. Ineetaftri-'F02 -Looked in Attic ❑Yes - 73. and Rails &Deck Construction -Post Caps W.Fdn. Vents & Crawl 4ole Door -Drainage & Wood-EE.rth Clearance oked under Floor ❑ Yes . Following instld Drive s ❑ No; Walks ❑ es ❑ No; Planters es ❑N Stucco; B wn-Fin' ni iscon ct-Clrnces-Brkr. & Cond. Size -115V Outlet -- 78 g.-Appliance-Firep 1. -Clearance to Opngs. 79. - nett, Electrical, Plumbing 0. 8e-+ 4e in=G.F.l. Receptacle -Underground 81, . g ou ouse 8 rotection Date MECHANICAL (Permit) OK except N's 83. _ Corrections from Previous Inspections 8 1 - ers a -g -2g d; Gas -Electric Card -BI Card -131 31. A.C. Ducts. Insulation & Support _ - -- _ _ _ 32. Vent Fan: Exhaust above Insulation - _ 33• Condensate Drain & Overflow: Size _& Grade 34. Furnace -Vent: Access -Comb, Air -Return Air Vent -115V outlet 35, Attic Access & Platform if Furnace in Attic - Date Card -BI Date _ _ Date Card -BI Date 85. Water & Sewer Connected -C/O to Grade -HD Approval 86. ertificate-Other Certificates - -- Card -BI Date Card -BI Date Card -BI )at Card -BI Date _ Card -BI Date Card -BI Date Date FRAMIN sans) OK except il's m* lents at Final: 36. Proper Material & Anchors 37: Studs -Nailing, Spacing & Bracing -Plates -Sound B�aerng Walls over Girders & Floor Nailing- 39�Dr�1 Stop in Walls (rat proof) 40 F Stops: Furred Ceilings-Stairs_Cha_s_e_s-Tub __ 41� H�3der & Beam -Size & Bearing a2/gangers-Post Caps -Anchors -Connectors 4 Ctng. Joist-Rfir. Ties-Purlin-Root Brac.-Truss-Shthng.-Ring. a pe A Flue -Fireplace Throat 45_.911TL_Access: Size & Romex Protection -Draft Slop -Ins. Baffles Edi/Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions arage Fire Proteclion Framing_ - - -- - - --- _-_-- - - --_-_-_ - (NOTE An entry must be made each time youvisit jobsite) COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 196 Memorial Way, Chico — Phone: 891-2751 /J 7 County Center Drive, Oroville — Phone: 534454'1 Skyway and Elliott Road, Paradise — Phone: 872-2961, Ext. 57, CORRECTION NOTICE IT NO. A routine inspection indicates that the following violations of County Ordinance exist at the above address and should be corrected. Please notify this office Inspector_ T� Date `� COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 196 Memorial Way, Chico — Phone: 891-2751 7 County Center Drive, Orovi Ile — Phone: 538-7541 747 Elliott Road, Paradise — Phone: 872-6307 CORRECTION NOTICE q -/- PERMIT NO. 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. Inspector Date ` / COUNTY OF BUTTE - DEPARTMENIT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 - Telephone 9161�rX911?I. APPLICATION AND PERMIT 538-75417 PERMIT ASSESSOR PA C L KUZON N BUILDING PERMIT OWNMR Ze TELEPHONE SQ. FT. OCC. BUILDING VALUATION O WF„R'S MAILING DDR t,1IIP 1 CONT` A TOR' NAME O O CTOR'S -AILIN ADD SS no 141 a yi f •X Fireplace CONSTR CTION LENDER UNKNOWN Total Valuation Is 14a 4 Filing Fee $ 10,00 LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ s" Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS / �/ Permit fee $ PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP Water piping 5.00 Each qas water heater or vent 5.00 USE OF STRUCTURE SF rNA Duplex❑ Mobilehome❑ Other 7777��W SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home S I G I W 0.00 ea TYPE OF WORK New ❑ Addition Remode X Utilities ❑ Installatio � Other ❑ Describe work' % V V c� ` ` Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 200V OR LESS 100 AMP OR LESS 10.00 Main service EA. ADD'L 100 AMP 2.50 CONTRACTORS LICENSE LAW I declare under penaltyper of perjury (Check One): ❑ I am licensed under provisions of Chapt. 9, Div. 3 of the Business and ProfessIo Code and my license Is In ful forC and ct. License No. Classification El 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) ❑ 1 am exempt under Sec. , Business and Professions Code for this reason NEW CONST. DWELLING OCCUP. , OR ADDNS. ( .,C.BLDGS. �Z�Sgft NEW CONSTR. U TI -OUTLET NON.RESID BRANCH CIRC ITS 2.50 ea POWER APPARATUS tr (SINGLE OUTLET CIR. ) Ex. Occup(OUTLETS OR FIXTURES 20 0 50C 200030 FIXED APLNS Ex. Occup. OUTLETS P(RESID )REA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 g Permit Fee $ Contractor WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. ❑ I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. MECHANICAL PERMIT FiIingFee 10.00 Heating 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. 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 Cou ty in consequence of the granting of this perm X Date Signature of Applicant — Owner ❑ Contractor Agent ❑ An OSHA permit is required for excavations over 5' " deep and demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ / '� ✓ TOTAL PERMIT FEE ,$ (o s o cuP. CONST.T E ) FLOOD RDE PD D ISSUE This permit is hereby issued under sions he Butte County Code and/or w , indicated above for which TGR OF PUBLIC By �y�'� PERMIT EXPIRES Date the applicable provi- resolutions to do fees have been paid. WORKS Date PVA�J Receipt No. WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT ^�-_-� r.:n+cc...a-p...a��"1''�"`'�Ikiy+dT�� "'. r �- ,... ... tr-. .l....t ,.N w, �' . Rf�• :'•i`. COUNTY OF BUTTE - DEPARTMENT 6�PU�LIC WORKS - BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE: 916/534-4541 ,. PERMIT APPLICATION DATA SHEET f OWNER Proposed Building Use L 0 Permit No. A. P. No / Building Inspector Date v At time of permit application, I was advised the following data must be submitted prior to permit processing andJor issuance: DATE RECEIVED APPROVED 1. All items have been submitted. . . . . . . . . . . . 2 Plot plans in duplicate./triplicate, signed by preparer of plans. . '/Complete plans in uplic�ate./t 'plicate, signed by preparer of plans. _ 4. Complete engineere pld ans and calcs, with wet signature on plans. 5. Plans with Energy Design Compliance Statement. . . . 6. CUSD ''Fees Paid" Stamp on Floor Plan . . .. ;. 7 Statement of Intent for Non -Heated and AC Buildings. 8. Fees of $ . . . . . . . . 9. Letter of signature authorization. . . . . . . . . . . 10. Sanitation approval from Health Dept. . . 1 / Planning approval for (A) Use: (B) Parking: Certificate of Workmen's Compensation Insurance. . . . . . 13. Contractor's License Information (no., name style, classif.) 14. Owner -Builder Verification (Given to owner[], Mail to owner ❑ ), —15. Improvements may be required. . . . . . . . . . . . 16. Mobilehome Installation Data. . . . . . . . . . Pre-Inspec. request to (Dote) 1,7. Pre -Inspection for Required. Building Inspector 18. Recorded copy of Agricultural Acknowledgment Statement. 19. Driveway Permit. 20. Plot plan approval from city of 21. 22. Wh n ou issue the er %fit, pro[ s as follows: Mail to o er, Mail to contractor. Telephonev _m and hold for pickup atffice, Deliver w/inspector,. [ Other. t Applicant Date /' D Copy of plans sent Health Dept., Fire Dept., Other Date The following data must be submitted prior to permit issuance: (Circle new item not checked above). 1. Index permit for above items No. 2. Additional items required: Contractor, designer, owner, was advised of above required data by_phone---nail—counter by date Contractor, designer, owner, was advised of above required data by—phone _mall—counter by f� date Plans checked by Date Plans approved by ' IDate 4 Sets of plans on hold in File cabinet AP folder — Flours: 10:00 a.m. - 3:00 p.m. Copy—DPW SHADING -SOUTH - OPTIMUM OVERHANG or .36 S.C. WEST - .36 S.C. OSE FILL INSULATION (Density) ..-,VFILTRATION CONTROL (Weatherstrip doors, certified windows, caulking) VAPOR BARRIER (Zone 16) ' DUCTS PER UMC - Ch, 10 jXfGHTING KITCHEN & BATH NOT LESS THAN 25 LUMENS/WATT _,WIMUM GLAZING 16% OF AREA PLUS REMOVED GLAZING /N5'%[.L OC30 1Af5CJGIVP7o-sv lAt jF_1ctSF1000_ 1AX43& 4777/e-, NEW HVAC AND HOT WATER IN CONJUNCTION WITH AN ADDITION SHALL COMPLY AND FILL OUT DATA ON BACK OF THIS SHEET 7/83 FORM ENERGY SHEET FOR ADDITIONS TO RESIDENTIAL BUILDINGS PERMIT N0. PACKAGE "A" (Additions) NAME P5✓yr- SQUARE FOOTAGE JOB ADDRESS T !1)/-- 4D CW.D Existing Residence ' TYPE OF WORK ADO New Addition /S4!11 New Total The following information sheet, showing mandatory features and required features of Package "A" must be completed and attached to all plans for additions. to dwellings. Additions to dwellings include room additions,.converti"ng garages and patios to living areas, house moves that add footage and attic conversions, and any space that is ex- isting non -conditioned space that is converted to conditioned space. Remodeling of existing conditioned space is not included. ZONE 11 ZONE 1 Z/11 INSTALLED APPLIES TO NEW AREA / &--'CEILING R-30 R- 8 ALL R-11 -19 FLOOR R-11 R-19 SLAB R- 7 R- 7 LAZING ,65 .65 .65 SHADING -SOUTH - OPTIMUM OVERHANG or .36 S.C. WEST - .36 S.C. OSE FILL INSULATION (Density) ..-,VFILTRATION CONTROL (Weatherstrip doors, certified windows, caulking) VAPOR BARRIER (Zone 16) ' DUCTS PER UMC - Ch, 10 jXfGHTING KITCHEN & BATH NOT LESS THAN 25 LUMENS/WATT _,WIMUM GLAZING 16% OF AREA PLUS REMOVED GLAZING /N5'%[.L OC30 1Af5CJGIVP7o-sv lAt jF_1ctSF1000_ 1AX43& 4777/e-, NEW HVAC AND HOT WATER IN CONJUNCTION WITH AN ADDITION SHALL COMPLY AND FILL OUT DATA ON BACK OF THIS SHEET 7/83 *1 HEATING VENTILATING, AIR CONDITIONING SYSTEM (A) Heating ❑ Central Gas Furnace % (brand and model number) SE Btu/hr (heating capacity) ❑ Heat Pump (brand and model number) ACOP Btu/hr (heating capacity at 47°F) ❑ Active Solar type (liquid or air) Collector brand and ft2 • model number solar fraction collector area collector orientation collector tilt • rated y -intercept ❑ Other (describe) *1 (B) Cooling ❑ Electric Air Conditioner (brand and model number) (seasonal EER) Btu/hr (cooling capacity at 95°F) ❑ Electric Heat Pump EER Btu/hr (cooling capacity at 95°F) ❑ Other (describe) DOMESTIC WATER SYSTEM ❑ (A) Gas Only Gallons (brand and model number) (tank size) ❑ Heat Pump w/Electric Backup (brand and model number) Gallons 2 (tank size) [3* 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 ❑ Other (Describe) *1 Submit documentation of sizing heating and cooling equipment by Manual J, sizing charts (form #4) or other approved methods, section 2-5352(g), and fill out the following: Heating: Winter design temperature °, elevation ', heating load BTU elevation factor x heating load = maximum outlet capacity gas furnace BTU Cooling: Summer design temperature ', cooling load BTU *2 Submit T.I.P.S.E. chart'or other approved system (form 4/5) to document sizing of solar panels. ® DESIGN COMPLIANCE STATEMENT: The above building design meets the requirements of Title 24, Part 2, Chapter 2-53 of the California Administration Code,. SIGNATME OF BUILDING DESIGNER OR APPLICANT COUNTY OF BUTTE 1' DEPARTMENT OF PUBLIC WORKS 7 County Center Drive--*Orov,ille, California 95965 Phone: 533-1230, Ext. 259 APPLICATION AND BUILDING PERMIT Permittee Owner / /�f%� .� '�'"�"`' A. P_ No. Mailing Address r/ ,/ '�.'_1/'^ l�r^ Zoning /� Sanitation �. Contractor ...+/'r Plans`'" I Fees ,� W..C. � Mailing Address Planning BLDG. Address NEW Q _ADDITION Q' REPAIRSFj OTHER 0 Others �Q'"'' ��"/r a' "t%r� Single Multi USE OF STRUCTURE Family Duplex r__j Dwelling ED Others FOUNDATION MATERIAL EXTERIOR PIERS Width at Top Width at Bottom Depth in Ground 7 ' SO. FT. OCC. BUILDING VALUATION R.W. PLATE (Sill) SIZE �-SPACIN�Gr' -SPAN Girders joists - 1st FloorAi ,n /r Joists - 2nd Floor V Q�' / !, Joists - Ceiling. Total Valuation �, Exterior Studs r. Permit Fee 7 Interior Studs � F, Plan Checking Fee &/or Penalty Roof Rafters ' Total Permit Fee Bearing Walls CONTRACTORS LICENSE LAW A. LICENSED CONTRACTORS COMPLETE THE FOLLOWING: c am ucensea unaer the provisions of Chapter 9, Div. 3, of the State of California Business & Professions Code under the name styleof................................................................................................................................................................................................................................................ . License No. Classification,,,,,,,,,,,,,,,, and certify that the aforesaid license is in -full force and effect. B. OWNER -BUILDER & OTHERS COMPLETE THE FOLLOWING: I am exempt from the Contractors License Laws of the State of California under Sec. 7031.5 because (check one): 0 I am the owner of the above property and I will contract to have all of the above work performed by licensed contractors. (Sec. 7044). Q. I am the owner of the above property and do not intend to offer it for sale for one year from the date of completion of the improvements. (Sec. 7044). QBasis, if any, for other statutory exemption.................................................................................................................................................................. WORKMEN'S COMPENSATION INSURANCE I am aware of the provisions of Section 3700 of the California Labor Code which requires every employer to be insured against liabil- ity for Workmen's Compensation. I 'have placed on file with the County of Butte a certificate of compliance or proof of exemption pursuant to Section 3800. I certify that I have read this application and state that the above information is correct, and agree to comply to all County ord antes and State Laws relating to building construction. 111V4 X Date 444 .. ......................................................................... ......................................j wSIGNATURE OF PERMITTEE OR AGENT ^ Receipt No....:...LJf�.'2�....................... APPROVED.,"'"" This BUILDING PERMIT is hereby issued'under the appli- cable provisions of the He`�alchd �d feyy,GGod lµnd�[h6aC�if- fornia'-Adtniiiiisir'ative Codne DIRECTOR OF PUBLIC WORKS r, 7 BY..................................E..............................:............ Date...CC7.......`.. ................... Permit Expires Date .7- _ C? .................................. k AAV s�-,.'��•w�l'�. a.�es�..wq.wtl.2"a4�"1 A•.v*„•4F A•�Agp:�,.¢ ,vrs.M�.r:'c+' r i✓x .. .. .. a COUNTY 'OF 'BUTTE •_- ti/ DEPARTMENT OF PUBLIC WORKS 7 County Center Drive-..Oroville, California 95965 *hone: 533-1230, Ext. 259 A P P LICATION AND PLUM B I N G P E R M I T .1 Permittee Owner Mailing Address A.P. No. V -•� (. �`' __ d -.ti . / /'%. --.J Contractor __-t.4•-s---�r''�� Mailing Address ' BLDG. Address/ ' DESCRIPTION OF WORK No. @ Fee NEW ADDITION �] REPAIRS F-1 PERMIT FILING FEE 52.00 _ Each fixture or trap or set of fixtures on one trap �` _2 1'2.5• OTHERS: Repair or alteration drainage or vent piping 1.50 Remarks: Z/ Installation or repair water piping` 1.50 Each gas water heater or -- — • USE OF STRUCTURE gas heater vent 1.50 Gas piping system 1 - 5 outlets 1.50 • RESIDENTIAL Single Multi Family Duplex Q Dwelling F-1 Gas piping 6 or more - Each .30 House Sewer 5.00 Lawn Sarinkler system 2.00 - OTHERS: Remarks: TOTAL FEE I $ A. LICENSED CONTRACTORS COMPLETE THE FOLLOWING: I am licensed under the provisions of Chapter 9, Div. 3, of the State of California Business & Professions Code under the name styleof................................................................................................................................................................................................................................................ f License No. Classification ................ and certify that the aforesaid license is in full force and effect. B. OWNER -BUILDER & OTHERS COMPLETE THE FOLLOWING: I am exempt from the Contractors License Laws of the State of California under Sec. 7031.5 because (check one): Q I am the owner of the above property and I will contract to have all of the above work performed by licensed contractors. ( Sec. 7044): QkI am the owner of the above property and do not intend to offer it for sale for one year from the date of completion of the improvements. (Sec. 7044). QBasis, if any, for other statutory exemption.................................................................................................................................................................. .................................................................................................................................................................................................................................................................... WORKMEN'S COMPENSATION INSURANCE I am aware of the provisions of Section 3700 of the California Labor Code which requires every employer to be insured against liabil- ity for Workmen's Compensation. I have placed on file with the County of Butte a certificate of compliance or proof of exemption pursuant to Section 3800. I certify that I have read this application and state that the above information is correct, and agree to comply to all County ar 'nances and State Laws relating to building construction. c i : � r Date 1.... ...... SIGNATURE OF PERMjITTEE`ORAGENT Receipt No...........//.Z........... CO— ................... APPROVED ........ ........... This PLUMBING PERMIT is hereby issued under the appli- cable provisions of the-H"Itti-'9n"d' Tai�t�4$de-and-che-C_ fomta A -df iffi-f native -God,-- r�IIJ' 1'=C%} Il DIRECTOR OF PUBLIC WORKS By......:. �-���` --� ........... Date! A S':..^.....`.... ....:...:..: Permit Expires Date ................................. 1 f I Permittee Owner COUNTY ,SOF ',BUTTE DEPARTMENT OF PUBLIC WORKS 7 County Center Drive =0roville, California 95965 Phone: 533-1230, Ext. 259 APPLICATION AND ELECTRICAL PERMIT A. P. No. — -oma Mailing Address / /' Contractor fly Mailing Address n BLDG. Address✓. �'— /i1/� /.--^:. yc ,., ��.' . i DESCRIPTION OF WORK j NEW F__j ADDITION F-1 METER SERVICE 0 OTHERS: Remarks: PERMIT FILING FEE No. @ Fee 1 $2.00 c�L' Supplementary Filing Fee d AO Main Service c- R/agre, 0061? or DiWi -4-d, 0 Water iE'a`r-'er or He'dAer Fixture u e tlet.A +Y u OZU USE OF STRUCTURE Single Multi RESIDENTIAL Family F Duplex Dwelling OTHERS: Remarks: ,�&_F_i Recepta2les or Switc �� - Z I/ Ile OA 0 Hood or Exhaust Far S Evap. Cooler or F.A. Fum. Motor 5 , Garbage Disp. or Dishwasher 5 Air Conditioner or Heat Pump Water Pump TOTAL FEE —.5,0 CONTRACTORS LICENSE LAW A. LICENSED CONTRACTORS COMPLETE THE FOLLOWING: I am licensed under the provisions of Chapter 9, Div. 3, of the State of California Business & Professions Code under the name styleof......................................................................................................................................................................................._..................................................... License No .............................. Classification,,,,,,,,,,,,,,,,,,............................ , and certify that the aforesaid license is in full force and effect. B. OWNER -BUILDER & OTHERS COMPLETE THE FOLLOWING: I am exempt from the Contractors License Laws of the State of California under Sec. 7031.5 because (check one): 0 I am the owner of the above property and I will contract to have all of the above work performed by licensed contractors. (Sec. 7044). I am the owner of the above property and do not intend to offer it for sale for one year from the date of completion of the improvements. (Sec. 7044). Basis, if any, for other statutory exemption.................................................................................................................................................................. .................................................................................................................................................................................................................................................................... WORKMEN'S COMPENSATION INSURANCE I am aware of the provisions of Section 3700 of the California Labor Code which requires every employer to be insured against liabil- ity for Workmen's Compensation. I have placed on file with the County of Butte a certificate of compliance or proof of exemption pursuant to Section 3800. I certify that I have read this application and state that the above 'information is o1L correct, and agree to comply to all County rdinances and State aws relating to building construction. %� ......:Z.u4`...!..... ►/':./,!';~.':�LG� ...... Date 'Z / >b %......... SIGNATURE OF PERMITTEE OR AGENT / Receipt .....P.",,,,,,,,,,,,,,,,,,,,,APPROVED ................... , ,,,,,, v ...................... This ELECTRICAL PERMIT is hereby issued under the appli- cable provisions of an p f County Ordinance 88p DIRECTOR OF PUBLIC WORKS BY..!� .4. Date Permit Expires Date ................................. n r �_ L i/ i11�' f `'�" 1�J9 +C.{T'Z/"'i' �•v, 4/"�.r4�e�� }"'.V 'i.`.�'1''�% �Yr w �ivf.{/'{,- i� !� i! �•� r' /'�i vG./i�'TM':+�.. /'"KZ'(��� � ' +„� � 1D . �i�+ �&'r9-t��.t = e� i'i� ,�,��,'7 vr;I•'�d..4.�1�i Ff i,�;..�#►,"'�'�.�.. ��� ~ 1 7T ?+•r `J ti t `� �' ^,`- •.a + ..,1 Y - 'i. '� _ - �' 1.+GSI Ac5.t FP .. ,. '' k t<�{ �• ,, '4 ;00-L40-a ' N�`V D��rT �;. Sti7c NOT ,=-_Ad Materials 8r Workmanship Be . ; •' - `Accordance w�h � Reco `S, � — - • ' of gnized Good Practices , U d'•gga(ity prescribed for. the Specified use in the TGA Sit�D th dorm Building, Plumbing & Mechanical Codes and ; a Notional pgctrical:ode, • This set of plans. ana specifications MUST 6e 600 on the job at all times and it is unlawfulfr ' to anv chranges or alterations on same without r: ' •. wriften permission from the Department of Publbe t' Works, County of Butte. c� • A setback of 5 ft. fr6M the property lines and a setback • ` 4"a f V of 50ft. from the Foad ��`f: /S /� I centerline shall be clear of ' ' 4, 1 structures or equipment except `{ , ti• �� ,�, . �.: / L ' ;+ for a 2ftt. eavve�overhang. _ 4(e.4r AA_f' y j, �� X !"t' y - , ` 7 . •L . • 3 w •' .. - Ole T✓� �'��OI+'1� /�h TS t � .. .. `•. • .. . ��.� � � {,� _ . �' -�' _ '� ' ' - _ 1 tea,,,,.-' �1 �a •• C a'�s,? + +� a X.4: _ iBUM i COUNTY- rr�l!i!~D(hIG aEPARTtyt.EK►. • r s; : =. - - , Com/` � , . { � �• '�=� � .�'' �i� r ' -, � 9 r •i� •}• •c• t .,`'.�C •f �. .. 1 _ .. i _ _ C _ �� ��� jam: :'��,�1} �,�µ` +. i �- - �♦ .j PP 4. .. 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