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HomeMy WebLinkAbout079-340-018n H i l t on�S=immon s 1172 Mt. I d., Lot#4, Oroville Permit #5488-76B, , ,.It(new single family) Thomas�Veronica Adam 1172 Mt. Ida Permit #3' gg . pool) ne pri� 95-1 22 QUINN, . c //( 1172 Mt. Ida Road, Oroville (cover existing deck)'SF Jay Carter 0 N 4 i I i I, i 1 .k II I f .A I H i l t on�S=immon s 1172 Mt. I d., Lot#4, Oroville Permit #5488-76B, , ,.It(new single family) Thomas�Veronica Adam 1172 Mt. Ida Permit #3' gg . pool) ne pri� 95-1 22 QUINN, . c //( 1172 Mt. Ida Road, Oroville (cover existing deck)'SF Jay Carter 0 N 4 I i .A �� CnI C� �' RESIDENTIAL 4 036-67-0-018 95-1922 B 7: QUINN, , 1172 Mt. Ida Road, Oroville (cover existing deck) SF Jay Carter i q. a' l F, JOB FINALED (Date)— Signature J=OK O = Not OK = Not Readyable 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. Well Clearance & Disconnect 8. Utility 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 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 DEC COVERS, CARPORTS, GARAGES, (Plans)OK except #'s j,A-'."ZqpiKg Requirements -Setbacks -Easements Footings; Soils -Size -Depth -Spacing -Connectors -Steel 3. Decks, Grid/or J -Decking-Bracing-stair- o ood Awn.; Posts-Beams-Rftrs.-Connectors Shthg.-Rfg.-Bracing 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Carports; Windows -Doors 7. Electric r 8. Frmg; SiIs-Anchors- Stu ds- R trs-Trusses 9. Siding; Nailing -Veneer -Stucco -Mesh oof; Shthg-Roofing 11. Ext.; Steps -Doors -Landings DateCard B-1 Date Card B-1 Date ` Card B-1 ate Card B-1 Date FfOOLS (Plans) OY, exc pt #'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 -Panel boards -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 J=OK O = Not OK = Not Applicable RESIDENTIAL(; =Not Ready Date UNDERFLOOR (Plans).OK except tt's 1. Zoning -Setbacks -Easements -Flood -Slope 2. Ftg., Main; Soils-Elec. Grnd.-/ /" Ftg. Depth 3. Ftg., Garage; Soils-Steel-Elec. Grnd.-/ /" Ftg. Depth 4. Ftg., Porches & Decks; Soils -Steel-/ /Ftg. Depth 5. Stemwalls, Main; Steel-Blockouts-Wrapped 6. Stemwalls, Garage; Steel-Blockouts-Wrapped 6a. Hold Downs and Special Anchors 7. Slab; Steel -Wrapped 8. Piers -Fireplace Ftg.-Steel 9. D.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 -Material -Support -Ins. 14. Girders-Sills-Anchor--Bolts-Joists-Vents-Cripples 15. Access & Ventilation 16. Insulation Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date PLUMBING (Permit),OK except ft's 16. Water Htr.: Vent -Access -Combustion Air -Baffle ------ ---------------------------------- ------------ 17. Water Pipe; Test & Anchor -Nail Protection --------- ------ 18. D.W.V : Test -Fittings & Anchor -Nail Protection ------- -------- ------ ------------------- 19. Shower Pan; Test, First Floor -Tub Access ------------ -- ------------------------------ 20. Test Tub & Shower, Second Floor -Tub Access ----------------- ------------ ---------------- 21. Gas Pipe: Size & Anchors Date - - -Card B_1 -- Date Card B-1 ------- ------------------------------------------ Date Card B-1 Date Card B-1 Date ELECTRICAL (Permit) OK except ft's 22. Fixture & Transformer Clearance -Ins. Protection ----------------------- ------------------------------------------------ -- Elec_Receptacles Spacing -Lights & Switches at Doors- - 24. Size Boxes & No. of Conductors -Stapled ------ - ------------------------------------------ 25. Romex Installed Close to Edge of Studs & C.J. --------------------------------------------------------- 26. Equip 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 At -------------- --- ---------------------------------------------------------- 29. Range Circ. ! ga. Cu or AI -Oven Circ. r ! ga. Cu or Al. Insulated Neutral ❑ Yes ❑ 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 P'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-1Date Card B-1 -------------------------------- ----------------------------------------------------------------------------- Date Card B-1 Date Card B-1 Date FRAMING (Plans) OK except h's 39. Sils. Proper Material & Anchors ------- ------------------ ------------------------------------------------ ----- 40. Walls Studs -Nailing. Spacing & Bracing -Plates -Sound ---------------- Bearing Walls over Girders & Floor Nailing ------------------------------------------------------- ­­ ------------------------ 42. Draft Stop in Walls (rat proof) --------------------------------------------------------- - ----------------------- 43. Fire Stops: Furred Ceilings -Stairs -Chases -Tub ---------------------------------- ---- ------ ------------ -------------- -------- 44. Headers & Beam -Size & Bearing tingle & Duplex) Date FRAMING (Continued) 45. Hangers -Post Caps -Anchors -Connectors 46. Cing. Joist-Rftr. ties-Purlin-roof Brac-Truss-Shthng.-Rfng. 47. 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 3' -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-Underflr. Access ----------- 57. Glazing Area -Glass Protection -Skylights- Plastic - --------- 58. -Shear Walls: Nailing -Bolts 59. Insulation -Walls -Ceilings 60. Infiltration -Walls -Windows -------------- ----------------------- Card ---------------------Card B-1___ Date _ Card B-1 Date Card B-1 Date Card B-1 Date FINAL (Plans) OK except #'s 61. Ext. Steps -Door & Sidelight Protection -Landings 62. Smoke Detector ------------------- 63. ----------------63. Furnace; Vents -Clearance -Comb. Air -Connector - In Garage: Above Floor -Ducts -Meth. Protection --------------------------------- - 64. Bedroom Exiting ---------------------- ------------- ------------------- ------ 65. G.F.I. & Bath Fixtures & Tub Access -Spa 66. Elec_ Trim & Sub-anel: Breaker Sizes & Labels 67. Stairs -&-Rai-Is---- 68. Fireplace or Stove Clearances -Hearth -------------------------------------------- 69. Elec. Outlets at Wood Panel: Int. & Ext. ------ --------------------- ------ .------------------- ---- 70. Kit Fixt_& Appliance; Grnd_Air Gap -Cooking Clearance --------- - - 71. --Elec. -Outlets & Receptacles at Kit. Counter ------------------------ --- 72. Garage Fire Door: Swing -Landing -Closer 73. A.C. Duct in Garage -Damper ---------------------- 74. Wtr. Htr.: Vents -Clearance -Comb Air-Connector-P.R.V. In Garage; Above Floor -Meth. Protection 75. Plb.. Elec. &Mech. Equip. Listed for Location 76. Elec. Receptacles in Garage; (G.F.I.)-Romex Protection 7;. Insulation -Foam -Looked in Attic ❑ Yes --------------------------- ---- - ------------- - - -------------- 78. -Guard -Rails Rails & Deck -Const Caps ------------------------- -- 79. Fdn. Vents & Crawl Hole Door -Drainage & Wood -Earth Clearance Looked under Floor ❑ Yes 80. Following instid.; Drive ❑ Yes ❑ No; Walks ❑ Yes ❑ No; Planters ❑ Yes ❑ No ..---- ---------------------------- --- 81. Stucco_ Brown_Finish--------- 82. A.C. Unit: Disconnect. Electrical, Plumbing 83. Vents Above Roof; Plbg.-Appliance-Fireplace.-Clearance to Openings .... - ------------------------------- 84. Water Well; Disconnect, Electrical, Plumbing - - --- ---- --------------- 85. Exterior Elec. Trim; G.F.I. Receptacle -Underground 86. Ventilation Throughout House - --- - -- --------------------------------------- 87. Glass Protection ---------------- 88. - -------------------- 88. Corrections from Previous Inspections - - - - - - --- -- - - - --- ---- --- -------------------------------------------- 89. Gas Test -Meters Tagged; Gas -Electric -- - ---------------------------------------- 90. Water & Sewer Connected -C/O to Grade -HD Approval ------------ 91. --------- 91. Energy Compliance Certificate -Other Certificates ­­- -- --- ----------------------- D-a-1 e --------------------- Date Card B-1 Date Card B -1-- D ate -1Date Card _B- 1 Date Card B-1 Date Card B-1 Date Card B-1 Comments at Final: it • . COUNTY OF BUTTE- DEPARTME147.0F DEVELOPMENT SERVICES -BUILDING DIVISION 7 County Center Drive Oroville, California 95965 - Telephone (916) 538-7541 l O• APPLICATION AND PERMIT ASSESSOR PARCEL NUMBER 036-670-018 AR ZONING BUILDING PERMIT OWNER MR. & MRS QUINN T`'HONE SO. FT. OCC. BUILDING VALUATION OWNERS MAILING ADDRESS 1172 MT IDA RD OROVILLE 5966 336 C 4,368.00 CONTRACTOR'S NAME JAY CARTER TELEPHONE CONTRACTORS MAILING ADDRESS Fireplace Fireplace CONSTRUCTION LENDER NONE UNKNOWN Valuation Is LENDER'S MAIUNG ADDRESS Filing Fee $ 20,00 Permit Fee $ 72.00 ARCHITECT OR ENGINEER NONE LICENSE NO. Plan Checking Fee $ 46.80 Energy Plan Checking Fee $ ARCHITECT OR ENGINEERS MAILING ADDRESS Penalty $ BUILDING ADDRESS 1172 MT TDA RT) PERMITFEE $ 138.80 PLUMBINGPERMIT Filing Fee 20.00 Each Trap 7.00 LOT NO.SUBDIVISION'S NAME PARCEL MAP Solar or heat pump water heater 23.00 �g( USEOFSTRUCTURE SF Q Duplex ❑ Mobilehome ❑ Other SPECIFY Water piping 15.00 Each gas water heater or vent 15.00 Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 TYPE OF WORK New ❑ Addition E Remodel ❑ Utilities ❑ Installation ❑ Other ❑ Describe Work: COV OVER EXISTING DECK Mobile Home I S I GI W 1 920.00 PERMITFEE $ Contractor ELECTRICAL PERMIT Filina Fee 20.'00 Main Service OOOV OR LESS ( zooA OR LESS ) 23.00 Main Service ( 200A TO 1000A ) 46.00 LICENSED CONTRACTOR'S DECLARATIONNEW I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect.—Ex. License Class pj Lic. No. OWNER -BUILDER DECLARATION 1 hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: ❑ I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason NEW CONST. DWELLING OCCUR OR ADONS. ( & ACC. BLDS. ) SO. 3.50 FT. CONST. MULTI.OUTLET NON-RESID. ( BRANCH CIRCUITS ) 97.50 ( POWER APPARATUS ) d SINGLE OUTLET CIA. Occup. ( OUTLET OR FIXTURES) 20 @ i.00 BAL so _ Ex. Occup. ( OUTLETS FIXED APPRESID.)EA) 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMITFEE $ Contractor WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. [ 1 have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier Policy Number (The above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) ❑ 1 certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to workers' compensation laws of California, and agree that if I should become subject to the workers' compensatio rovisions of section 3700 of the Labor Code, I shall forth co ply wit thyose pr ons. X __ Date IV/_ v Signature of licant - ❑ Owner ontractor ❑ Agent An OSHA pe it is required for excavations over 60" deep and demolition or construction of structures over 3 stories in height. MECHANICAL PERMIT Fling Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMITFEE $ Contractor Mobile Home Installation Fee $ Energy Inspection Fee is occ CONST. TYPE TOTAL FEE $ 138.80 HAZ. ,� I D. FEES r IMP FLOOD CDF _ PARCEL PD ," _ HD ISSU 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= to !S PERMITEXPIRESON 4 (Date) Receipt No. 180944 WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT TF 111� COUNTYOF BUTTE - FEPARTMFNff DEVELOPMENT SERVICES -BUILDING DIVISION 7COUNTY CEN"TERDRIVE -OROVILLECALIFORNIA 95965-TELEPHONE(916)538-7541 PERMIT APPLICATION DATA SHEET OWNER nu rl' A. P. No. Proposed Building Use - f 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 1. All items have been submitted. ...................................... 2. Plot plans, 3/4 sets, signed bye prep'arer of plans. ......................... . 3. Complete plans, 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 anZLA/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 $......................................... 11. Impact fees as shown on attached schedule . ............................. . 12. California Department of Forestry plan approval/fees......................... >' 13. Flood elevation letter (100 year flood) by California Engineer . ................. . 14. Sanitation and plot plan approval 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)... . �FreanspecGon request 20. Pre -inspection for required. . to Building Inspector (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. .... . 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 you issue the permit, proces as follows: Ma' to owner. Mail to contractor. _ Telephone 9 nd hold for pickup a ario V office Deliver with inspector. Other _ Parcel Creation C Acreage Applica t 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 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 _ mail Counter by _ Date Contractor, designer, owner, was advised of above required data by _ phone _ mail Counter by _ Date Plans checked by Date Plans approved by (21 f? G W Date Sets of plans on hold in File cabinet K' AP folder Copy - Department of Public Works 0 r, PERMIT NO. ` 5488-76B,P,E,M h J PERMIT EXPIRES "OWNER Hilton Simmons CONTR. owner LOCATION (A.P. 36-67-18 i 1172 Mt. Ida Rd., lot #4, Oroville r 4f • { 5 6 1. I f i �j I� tai i i. • Temp. Power Pole i Called PG&E Temp. Elea Serv. Com. Called PG&E �� -Zt Temp. Gas Serv. Called PG&E ' JOB 46/ — FINALED (Date (Signature) / G -7 G.1�v L w �vpp<�- �-o war s«v�� c• •L ` COUNTY OF BUTTE -' DEPARTMENT OF PUBLC WORKS BUILDING INSPECTION RECORD . Framino i.P-a1 Mesh Scratch Brown % �D Finish Interior Lath Door Closer nal Heating "' /` / Cooling Ducts 2 Ventilation Final i--%-% uo aneis Grd. Fault Prot. Service Temp. Pole / Underground y— Permanent Final DATE REMARKS OR CORRECTIONS / �us G 0�n u�. ��o �o _,7 rY Al a 0 v 1J 1 //OS;:,8113 1- . sr D F�i�/ !. O/13 4J PAAS71C, a&e 14e� (,l3 ¢! H �/ t�T S7721 P �`3�cXi�i►� S f20,c.t, TUB M PxE-7E. s u�/-10I&Xwt OFF �/4 t1nao/z r a oc IAI_S4w� c/C,v iioi►,� e,� v& AXvE, 7D 1YIVAA--- (NOTE: An entry must be made on this form each time you visit the job site.) BUILDING BUILDING (Cont'd) PLUMBING Setback 0-/ 3 " % 6. Firewall Soil Piping Forms ©- 3 ' 7 Parapets "- 1st Floor AQZ / - 7 G Main Bldg. Restroom Finish a 2nd Floor Footings 0 - / 7� Windows 11 -Ir -7 9, 3rd Floor Stemwall Siding To out �- Slab Roof Sheathing/ Water Piping - 7-- / - 7G Piers Roofing - Sewer Garage Fdn. Vents 7 Fixtures Footings - /,3- 7C Garage Vents Water Htr.- Stemwall bOnsulation /t Heaters Slab Prov. for physically_T_ A liances ._, Carport handicapped Gas Piping & Test Conformance of ex. Footings structure Temp. Gas �"-- Slab Final A -e' 7 ion Patio FIREPLACE Final- inalFootin Footings s Footing /0 -Z/ - % ELECTRICAL Masonry Walls Throat Rou h cP "m2-7 to Reinf. Steel Final % ^ Fixtures - Bond Beam FIRE SPRINKLERS .Motors % - '7 --77 Framino i.P-a1 Mesh Scratch Brown % �D Finish Interior Lath Door Closer nal Heating "' /` / Cooling Ducts 2 Ventilation Final i--%-% uo aneis Grd. Fault Prot. Service Temp. Pole / Underground y— Permanent Final DATE REMARKS OR CORRECTIONS / �us G 0�n u�. ��o �o _,7 rY Al a 0 v 1J 1 //OS;:,8113 1- . sr D F�i�/ !. O/13 4J PAAS71C, a&e 14e� (,l3 ¢! H �/ t�T S7721 P �`3�cXi�i►� S f20,c.t, TUB M PxE-7E. s u�/-10I&Xwt OFF �/4 t1nao/z r a oc IAI_S4w� c/C,v iioi►,� e,� v& AXvE, 7D 1YIVAA--- (NOTE: An entry must be made on this form each time you visit the job site.) Fiber Glass Insulation BUILDERS INSULATION STATEMENT BLOWN INSULATION 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 con ormance with the above recom- mendations to provide a value of R *Iusing �� ba of insula- tion to cover Z7 6 sq e feet of� A 0 Insu� Contractor (Sign) Builder ign) Company Name Company Name, BATTS AND BLANKET R INSULATION R INSULATION VALUE THICKNESS VALUE THICKNESS R-22 6112" R-13 35/8" R-19 6" R-11 3th" NVA Meets Federal Specification HHI-521E Fiber glass batts or rolls have been installed in accordance with the manufacturer's recommendation to provide an R -Value of in the ceiling, L_in the exterior walls, in the floo r wl space perimeter. Insulation" Contractor (Sign) ` Builder ' n) Company Nameompany ame eh! CSG-32-11-Cto ly CertainTeed Corporation, P.O. Box 860, Valley Forge, Pa. 19482 CEATAINI® HAWKINS INSULATION CO. Yuba City, CA Lic. #215925 PHONE: 916/673.2674 ' COUNTY OF BUTTE - DEPARTMENT OF PY B'F ' U LIC WORKS 7 County Center Drive — UroOille, California 95965 Tel.pphone: 1334-4541 APPLICATION AND PERMIT authorize representatives of the County of Butte to enter upon the abovvee�mentioned p�byyinspection purposes. XDate / ' Signature of Permitee or Agent Receipt No.�Z7 GP 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 bee paid. DIRECTOR UBLIC WORKS By Date /0-1 Z- 7 Building permit expires Date ��—� L- % 7 BUILDING Owner 111-7,?Al SO. FT. OCC. BUILDING VALUATION /,2- 2- % .f Mailing Address /` �'h , ��� /Z S � 00 (:5200 1�-� Z T Sone N� 2 L% �' e Fireplace / � p0 0 Contractor Total Valuation 6 .00 Mailing Address o►�ll Permit Fee l p J Plan Checking Fee &/or Penalty Telephone No. Permit Fee $ o '?. &a A9910 Building Address/ / PLUMBING No. @ FEE PERMIT FILING FEE $3.00 .7-ao Each Trap 1,50 Z• 0 a Repair drainage or vent piping 1.50 Water piping 1.50 S' T � n Zoning Verificatio0,91], Each gas water heater or vent 1.50 A. P. No. 3G —� �� Z�° Gas piping system 1 - 5 outlets 1.50 Each additional outlet .30 Fe 4-1KSan Fire Dept. Fire Zone Use Permit Building sewer 5.00 j Ci0 EQA Parking Plans Parcel Declaration Parcel Ma P 60' R/W Im r p ovements Lawn sprinkler system 2.00 Bldg. Plans Rec'd Parcel proval Pla Approval Permit Fee $ 2/s0 $ NEW CK ADDITION ❑ UTILITIES ❑ OTHER ❑ ELECTRICAL No. @ , FEE PERMIT FILING FEE $3.00 3 .v Main service 100 AMP V OR ORSLESS - 5.00 Main service EA. ADO'L 100 AMP 2.50 Single Family Duplex ❑ Mobil Home ❑ Others ❑ Main service OVER 6 00V25.00 100 AMP OR LESS Main service EA. ADD'L 100 AMP 1.00 NEW CONS. DWELING 0 OR ADDNST ( ACC.BLDGS.0 U &) 22sgft 3 S NEW CONSTR. MULTI.OUTLET - NON.RESID. ( BRANCH CIRCUITS) 12.50ea NEW CONSTR. (POWER APPARATUS & NON•RESID. SINGLE OUTLET CIR. 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: Ex. Occup(OUTLETS OR FIXTURES) BAL@1 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 $ C15,01 $ C s� WORKMEN'S COMPENSATION INSURANCE I am aware of the provisions of Section3700 of the California Labor Code which requires every employer to be insured against liability for Workmen's Compensation. ❑ WI have placed on file with the County of Butte a certificate of orkmen's Compensation Insurance. I certify that in the performance of the work for which this permit is issued I shall not employ any person in any manner so as to become subject to the Workmen's Compensation Laws of California. MECHANICAL No. @ FEE PERMIT FILING FEE $3.00 3.00 Heating c� �fU 0 , Do Cooling 4.100 y�J Ventilation Hood 2.00 Z --C Permit Fee $ -00 $ /3 2l 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 $ C authorize representatives of the County of Butte to enter upon the abovvee�mentioned p�byyinspection purposes. XDate / ' Signature of Permitee or Agent Receipt No.�Z7 GP 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 bee paid. DIRECTOR UBLIC WORKS By Date /0-1 Z- 7 Building permit expires Date ��—� L- % 7 eoutd* of - ✓� OROVILLE, CALIFORNIA GENERAL CLAIM CLAIMANT: Thomas & Veronica Adams ADDRESS: 1172 Mt. Ida Rd. CITY & STATE: Oroville, CA. 95965 IMPORTANT: July 17, 1979 SEE INSTRUCTIONS DATE OF CLAIM: ON REVERSE SIDE SUBMIT CLAIM TO DEPARTMENT RECEIVING GOODS OR SERVICES DATE DESCRIPTION OF CLAIM (DESCRIBE FULLY TO AVOID DELAY) I AMOUNT _ UNABLE TO ISSUE PERMIT FOR SWIMING POOL.DUE TO SEWER EASEMENT. (Permit #3845-79B,P,E - Receipt ,#25216- AP 36-67-18) _ Building permit fee ----- $44.00 Plumbing permit fee ----• '4.50 Electrical permit,fee --- 9.25 TOTAL REFUND DUE -------- $57.75 $5".75 TOTAL $5 .75 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 AppropriationQ or Specific Board ApprovalF__J (Checkone) for the same. 17th......... day of .... July 19 79, at Oroville Calif Dated this ................. ................. . . ...................................................................................... Department Head or Authorized Deputy Dept. Exp. Code............................................ Code ................................................PAYABLE 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. e 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. COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS ,4 7 County Center Drive_ Oroville, California 95965 Telephone: 534-4541 APPLICATION AND PERMIT _ BUILDING Owner . SQ. FT. OCC. BUILDING VALUATION Mailing Address//79 olzeZz -a Telephone N . Contractor Mailing Addressol-uu Fireplace Total Valuation Telephone No. Permit Fee Building Address Plan Checking Fee &/or Penalty Permit Fee PLUMBING No.1 @ FEE PERMIT FILING FEE J$3.00 Each TraD 1.50 Repair drainage or vent piping 1.50 A. P. No. lg -� (y 7- !, ///� /Ming & Planning Water piping 1.50 Each gas water heater or vent 1.50 F Fire Dept. Fire Zone Use Permit Parking Parcel EQA Plans Declaration Parcel Map 60' R/W Improvements Gas piping system 1 -5 outlets 1.50 Each additional outlet .30 Building sewer 5.00 Bldg. ns Recd Parcel A royal Plans Approval Lawn sprinkler system 2.00 NEW ADDITION ❑ UTILITIES ❑ OTHER ❑ Fee o G-40Permit $ Al ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 0 Main service 10000 AMP ORV OR LESS5.00 Single Family ❑ Duplex ❑ Mobil Home ❑ Others Main service EA. ADD'L 100 AMP 2.50 &4"ZIt�� w C Main service OVER P O 100 AMP OR LESS 25.00 Main service EA. ADD'L 100 AMP 1.00 NEW CONST. ( DWELLING OR ADDNS. ACC. BLDGS.CCUP. Y) 20sgft 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: IRCUITS EX. OCCUDIOUTLETS OR FIXTURE FIXED APLNS. EX. Occup. OUTLETS P(RESID )REC Temporary service Mobile Home Fa ilitie M. W. . fisc. firing d License No. Classification I am exempt from the Contractors License Laws of the State of Califomia. Permit Fee MECHANICAL WORKMEN'S COMPENSATION INSURANCE PERMIT FILING FEE I am aware of the provisions of Section3700 of the California Labor Heating 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 Cooling Workmen's Compensation Insurance. 2.00 10.00 15.00 6.25 $3.00 �I certify that in the performance of the work for which this Ventilation permit is issued I shall not employ any person in any manner so as to become subject to the Workmen's Compensation Laws of Hood 2.00 California. 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 authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. X ate S' Signature of Permitee or Agent Receipt No.��'Il� White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant Land Development Fee $ TOTAL PERMIT FEE $ '? This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DIRECTOR OF PUBLIC WORKS By Building permit expires Date Date f. k it . 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