HomeMy WebLinkAbout079-370-064..........
Pamela Ludemann
S/end of Pioneer Trail, App -4/10 mi.
S.of Mt.Ida, Oroville
K' contr: Heritage Const., Oroville
Permit #1076-81B,P,E,M(new single
family)
PERMIT#96-2586 .
[NELSON, Art & Pam
262 Pioneer Trail, Orodfillee /
New.Pri Det. Garage
/ V
D V9, 3 70- CO
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✓�- __ --
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�A,ESIDENTIAL
Q36-230-064 PERMIT#96-2586
j NELSON, Art & Pam
262 Pioneer Trail, Oroville
New Pri Det Garage
y ,
9
x
G
JOB FINALED (Date;�7
i
Signature
1
V =bK -(
O' = Not OK
Not '=Not Ready MOBILE HOMES
Date
MOBILE HOME UTILITIES (Plans) OK except #'s
Card B-1 Date Card B -
1. Zoning Requirements - Setbacks - Easements
POOLS (Plans) OK except #'s
2. Soils; Special MH Support Sketch
1'. Setbacks -Easements
3. Sewer, Location -Test -Fall -C/O -Concrete
2. Soils; Compaction -Structure Stability
4. Water, Location -Test -Easement Needed (Sketch)
3. Pool Structure; Steel -Connections -Thickness
Dead Men -Lining
5. Electricity; Location-Clearances-Gmd-/ /Amp -Concrete
4. Elec.; Receptacles and Lighting, Distance-GFI
6. Gas; Location -Test -Wrap; / /"L'tL
/ /Nat. or/ Ml t./ /LPG
5. Elec.; Pool Lighting; 15 Volts-GFI
7. Well Clearance & Disconnect
6. Elec.; Enclosures; Conduit Entries -Terminals -Listed
8. Utility Clearance
7. Elec.; Bonding; Metal w/6 -Circulating Equip. -Heater
8. Elec.; Grounding; Equip. w/5' Circulating Equip. -Pool Lghtg.
Boxes-Enclosures-Panelboards-Ins. to Main in Conduit
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; Sine -Spacing -Marriage Line
Card B-1 Date Card B-1
3. Gas; MH Test -Demand -Valle -Connector
Card B-1 Date Card B-1
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. Tie Downs -Type -Installation Cert.
10. Exits; Insp.-Sketch
11. Cert of Occupancy
Date
Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1
r MISCELLANEOUS
Date DECKS VERS, CARPORTS, GARAGES(Plans) OK except #'s
l onirt €quirements-Setbacks-Easements
tings; SoilsSize-DepthSpacing-ConnectorsSteel
3. Decks; Girders and/or Joists -Decking -Bracing -Stairs -Rails
4. Wood Awn.; Posts-Beams-Rttrs.-Connectors
Shthg.-Rfg: Bracing
S. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures
Date
Card B-1 Date /p Card B-1
Date
Card B-1 Date Card B -
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, Distance-GFI
5. Elec.; Pool Lighting; 15 Volts-GFI
6. Elec.; Enclosures; Conduit Entries -Terminals -Listed
7. Elec.; Bonding; Metal w/6 -Circulating Equip. -Heater
8. Elec.; Grounding; Equip. w/5' Circulating Equip. -Pool Lghtg.
Boxes-Enclosures-Panelboards-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
✓= OK
O = Not No OK RESIDENTIAL -(Single & Duplex) -
- = Not Applicable ,
= Not Ready '
Date UNDERFLOOR (Plans) OK except #'s I Date FRAMING (Continued)
1. Zoning-Setbacks-Easments-Flood-Slope 46. Hangers -Post Caps -Anchors -Connectors
2.
Ftg., Main; Soils-Elec. Gmd. / P Ftg. Depth - .
3.
Ftg. Garage; Soils-Steel-Elec. Grnd/ P Ftg. Depth
4.
Ftg. Porches & Decks; Soils -Steel-/ P Ftg. Depth
5. Stemwalls, Main; Steel-Blockouts-Wrapped
6.
Stemwalls, Garage; Steel-BlockoutstVrapped
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
57.
11.
Water Pipe; Test -Anchors -Regulator -Service Test
58.
12.
Electric Underground r
59.
13.
Pienums & Ducts; Clearance-Mater:al-Support-Ins.
60.
14.
Girders -Sills -Anchor Bolts-Joists-Vents-Crippies
61.
15.
Access & Ventilation
62.
16.
Insulation
Date
Date
Card B-1 Date Card B-1
Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1
Card B-1 Date Card E-1
Date
FINAL (Plans) OK except #'s
PLUMBING (Permit) OK except #'s
63.
17.
Water Htr.; Vent -Access -Combustion Air Baffle
64.
18.
Water Pipe; Test & Anchor -Nail Protection
65.
19.
D.W.V.; Test Fittings & Anchor -Nail Protection
66.
20.
Shower Pan; Test, First Floor -Tub Access
67.
21.
Test Tub & Shower, Second Floor -Tub Access
68.
22.
Gas Pipe; Sixe & Anchors
69.
Stairs & Rails
Date
Fireplace or Stove, Clearance -Hearth
Card B-1 Date Card B-1
Date
Elec. Outlets at Wood Panel, Int. & Ext.
Card B-1 Date Card B-1
Date
Kit. Fixt. & Appliance; Ground. -Air -Gap -Cooking Clearance
ELECTRICAL (Permit) OK except #'s
73.
23.
Fixture & Transformer Clearance -Ins. Protection
74.
24.
Elec. Receptacles Spacing -Lights & Switches at Doors
75.
25.
Size Boxes & No. of Conductors Stapled
76.
26.
Romex Installed Close to Edge of Studs & C.J.
77.
27.
Equip. Ground made up w/Mech Fastners-Bond Gas & Water
78.
28.
2 Appliance Circuts in Kitchen & Conductor Size GFI
79.
29.
Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / / ga Cu or Al
80.
30.
Range Circ. / / ga Cu or AI -Oven Circ. / / ga Cu or Al
Insulated Neutral 0 Yes 0 No
81.
31.
Service -Riser Conductors & Ground -Main Disconect
82.
32.
Equip. Clearances Panels-Motors-Mech. Epuip.
83.
33.
Clothes Closet Light -Shower Light -Spa Light
84.
34.
Smoke Detector
85.
Vents Above Roof, Plbg-Appliance-Fireplace-Clearance to Openings
Date
Water Well, Disconnect, Electrical, Plumbing
Card B-1 Date Card B-1
Date
Exterior Elec. Trim, G.F.I. Receptacle -Underground
Card B-1 Date Card B-1
Date
Ventilation Throught House
MECHANICAL (Permit) OK except Ws
89.
35.
A.C. Ducts Insulation & Support
90.
36.
Vent Fan, Exhaust above insulation
91.
37.
Condensate Drain & Overflow, Size & Grade
92.
38.
Furnance-Vent Access -Comb. Air -Return Air Vent 115 outlet
93.
39.
Attic Access & Platform if Furnace in Attic
Date
Date
Card B-1 Date Card B-1
Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1
Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1
FRAMING (Plans) OK except #'s
40.
Sits Proper Materials & Anchors
41.
Walls Studs -Nailing Spacing & Braces -Plates -Sound
42.
Bearing Walls over Girders & Floor Nailing
43.
Draft Stop in Walls (rat prool)
44.
Fire Stops, Furred Ceilings -Stairs -Chasers -Tubs
45.
Headers & Beams -Size & Bearing
47.
Cling. Joist-Rftr. Ties-Purlin-roff Brac.-Truss-Shting.-Rfng:
48.
Fireplace Ties or Type A Flue -Fireplace Throat clearance
49.
Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles
50. Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions
51.
Garage Fire Protection Framing
52.
Property Line Firewall & Openings
53.
Ext. Doors -One 3' -Check Garage 3rd Story, 2 Exits
54.
Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection
55.
Plywood on Roof Overhang -Attic Vents -Rafter Outriggers
56. • Siding -Nailing Veneer
57.
Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access
58.
Glazing Area -Glass Protection -Skylights -Plastic
59.
Shear Walls; Nailing -Bolts
60.
Brace Wall Panels
61.
Insulation -Walls -Ceilings
62.
Infiltration-Walis-W indows
Date
Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1
Date
FINAL (Plans) OK except #'s
63.
Ext Steps -Door & Sidelight Protection -Landings
64.
Smoke Detector
65.
Furnace; Vents -Clearance -Comb, Air-Conector-
In Garage; Above Floor-Ducts-Mech. Protection
66.
Bedroom Exiting
67.
G.F.I. & Bath Fixtures & Tub Access -Spa
68.
Elec. Trim & Subpanel, Breaker Sizes & Labels
69.
Stairs & Rails
70.
Fireplace or Stove, Clearance -Hearth
71.
Elec. Outlets at Wood Panel, Int. & Ext.
72.
Kit. Fixt. & Appliance; Ground. -Air -Gap -Cooking Clearance
73.
Elec. Outlets & Recepticales at Kit. Counter
74.
Garage Fire Door; Swing -Landing -Closure
75.
A.C. Duct in Garage -Damper
76.
Wtr. Htr.; Vents -Clearance -Comb. Air Connector-P.R.V.
In Garage; Above Floor-Mech. Protection
77.
Plb., Elec. & Mech. Equip. Listed for Location
78.
Elec. Receptacles in Garage (G.FI.)-Romex Protection
79.
Insulation -Foam -Looked in Attic
80.
Guard rails & Deck Construction -Post Caps
81.
Fdn. VBents & Crawl Hole Door Drainage & Wood -Earth
Clearance Looked under Floor 0 Yes
82.
Following Instld./Drive 0 Yes 0 No/Walks 0 Yes 0 No/Planters 0 Yes 0 No
83.
Stucco Brown -Finish
84.
A.C. Unit Disconnect, Electrical -Plumbing
85.
Vents Above Roof, Plbg-Appliance-Fireplace-Clearance to Openings
86.
Water Well, Disconnect, Electrical, Plumbing
87.
Exterior Elec. Trim, G.F.I. Receptacle -Underground
88.
Ventilation Throught House
89.
Glass Protection
90.
Corrections from Previous Inspections
91.
Gas Test -Meters Tagged, Gas -Electric
92.
Water & Sewer Connected -C/O to Grade -HD Approval
93.
Energy Compliance Certificate -Other Certificates
Date
Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1
Comments at Final:
COUNTY OF BUTTE- DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING DIVISION
7 .County Center Drive - Oroville, California 95965 - Telephone (916) 538-754/.E��NO•
APPLICATION AND PERMIT (f' 2
ASSESSOR PARCEL NUMBER 036-230-064
ZONING AR5
BUILDING PERMIT 0
OWNER ART & PAPA NELSON
-1178
SO. FT. OCC. BUILDING VALUATION
768 U 13,824.00
OWNERS MAILING ADDRESS262 PIONEER TRAIL OROVILLE, 95966
CONTRACTOR'S NAME 01,1 E 1
TELEPHONE
CONTRACTORS MAILING ADDRESS
Fireplace
CONSTRUCTION LENDER
UNMOWN
Total Valuation is
Filing Fee
$ 20.00
LENDER'S MAILING ADDRESS
Permit Fee
$ 153.00
ARCHITECT OR ENGINEER
LICENSE NO.
Plan Checking Fee
$ 99.45
Energy Plan Checking Fee
$
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Penalty
$
BUILDING ADDRESS 262 PIONEER TRAIL
PERMITFEE
$ 272.45
PLUMBING PERMIT
Filing Fee 20.00
OROVILLE, 95966
Each Trap
7.00
LOT NO.
SUBDNSION'S NAME
PARCEL MAP
Solar Or heat pump water heater
23.00
Water piping
15.00
USEOFSTRUCTURE
SF ❑ Duplex ❑ Mobilehome ❑ Other GARAGE
SPECIFY
Each gas water heater or vent
15.00
Gas piping system 1 - 5 outlets
15.00
Building sewer
15.00
TYPE OF WORK
New EK Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑
Describe Work: 24 X 32
—
Mobile Home S I G W 1
@20.00
PERMITFEE
g
Contractor
ELECTRICAL PERMIT
Filina Fee 20:00
Main Service000v OR LESS
( 200A OR LESS )
23.00
Main Service ( 200A TO 1000A )
46.00
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter
9 (commencing with Section 7000) of Division 3 of the Business and Professions Code,
and my license is in full force and effect.
License Class 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 ADDNS. ( 8 ACC. BLDS. /
SO.
3.50 FT.
NEW CONST. MULTI -OUTLET
NON-RESID. ( BRANCH CIRCUITS )
@7.50
( POWER APPARATUS
8 SINGLE OUTLET CIR. /
Ex. Occup. ( OUTLET OR FIXTURES)
20 ® 1.00
BAL Q .30
Ex. Occup. FIXED APPLNS.
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
MECHANICAL PERMIT
Filing Fee 20.00
9
Heating
Cooling
Hood
6.50
Ventilation
PERMITFEE
$
Contractor
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.)
�l I certify that in the performance of the work for which this permit is issued, I shallTOTAL
not employ any person in any manner so as to become subject to workers'
compensation laws of California, and ag e t t if I should becomes ject to the
workers' compensation provisions of s c 'on 3700 of the Labor Co e, I shall
forthwith comply It those provisi ns r Sag
Date _L / Z —�_
Signature of Applicant - Towner ❑ Contractor ❑ Agent
An OSHA permit is required tor excavations over 60" deep and demolition or construction
of structures over 3 stories in height.
Mobile Home Installation Fee
$
Energy Inspection Fee $
occ
CONST. TYPE
FEE $ 272.45
HA2.
I D. FEES
—
IMP
FLOOD
X
CDF PARCEL PD ISSU
This permit is hereby issued under
of the Butte County Code and/or
indicated above for which fees have
BY /
PERMITEXPIRESON ``
the applicable provisions
Resolutions to do work
been paid.
// /
(Dat m( �
J
(ate
Receipt No. 206864
WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT
� �-v�'*'-r�� tiT1 r� y�J'r'� 1�ii'^Yeti.�i.-j�T':,1:..�jy�,�'''"K�•'�"�flFrv"�t'si"if•'•--4...:..+.-...^.��'r�..+'Y���T".f�'C.+V:.� ..:1;:.=...:,,..:...._;.,:.Y: ,. .. .---
ry .. COUNTYOF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISIgN/
7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 -TELEPHONE (916) 538-7541
PERMIT APPLICATION DATA SHEET
OWNER r t /s rl A. P. No.
Proposed Building Use 0a /`Cl qBuilding Inspector Date / /a
At time of permit application, I was advised the following data must be submitted prior to permit processing and/or issuance:
1 DATE RECEIVED BY
1. All items have been submitted . ........................................
2. Plot plans, 3/4 sets, signed by preparer 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 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 $ .............. .
11. Impact fees as shown on attached schedule. ...
12. Cal'' ofj, ia-D.epa;tMentt of-F�rest�plan.approual�f
Flood elevation letter (100 year floo by liforni neer...................
t/ UI Sanitation and plot plan approval V1 ;1 r e Health Department./ 6
............
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). .. .. ...
20. Pre -inspection for Frednspeetion reques
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, 5r cess as follows. Milt owner. Mail to contractor.
X Telephone - '/ and hold for pickup at r 2 office. Deliver with inspector.
Other w. s 1
i
Parcel Creation
Acreage Applicant Date �o
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 p it 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 r Q g o j -S Date
Sets of plans on hold in File cabinet AP folder
Copy - Department of Public Works
.. Fr
TO:
FROM:
SUBJECT:
LIa P r(Y
Building Department
Environmental Health
Sanitation Clearance
Owner Location
Plan Approved for: Sewage Disposal ) Water Supply:
Clearance for dwelling. Other -�/�
Ho final for:
Fin clearance for:
NOTE:
Environmental Health Specialist
8/96
11
E.H. USE ONLY
Plot Plan Attached
Floor Plan Attac ed
Sent to B.D. I— I
AP#
Public Private Well
Date
Attention Property Owner:
An "owner -builder" building permit has been applied for in your name and bearing your
signature.
Please complete and return thin 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[/J] NO[ ].
2. I HAVE[r-]- HAVE NOT[ ] signed an application fora building permit for the
proposed work.
3. I have contracted with the following person (firm) to provide the proposed
construction:
NAME:
ADDRESS: CITY.:—
PHONE:
ITY:PHONE: CONTRACTOR'S LICENSE NO.
4. I plan to provide portions of this work, but I have hired the following person to
coordinate, supervise, and rovide the or work:
NAME:
ADDRESS: Com:
PHONE: CONTRACTOR'S 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: �J
SOCIAL SECURITY NUMBER:
DATE: 11 v
NOTE: This owner -Builder Verification is required by Section 19831 and
19832 of the California Health and Safety Code.
This verification must be completed and returned to our office before
we are permitted to issue the permit.
May 1995 2.26
Dear Property Owner:
An application for a building permit has been submitted in your name listing yourself as the builder of
property improvements specified.
For your protection, you should be aware that as "owner -builder" you are the responsible party of record
on such a permit. Building permits are not required to be signed by property owners unless they are personally
performing their own work. If your work is being performed by someone other than yourself, you may protect
yourself from possible liability if that person applies for the proper permit in his or her name.
Contractors are required by law to be licensed and bonded by the State of California and to have a
business license from the city or county. They are also required by law to put their license number on all permits
for which they apply.
If you plan to do your, own work, with the exception of various trades that you plan to subcontract, you
should be aware of the following information for your benefit and protection:
0 If you employ or otherwise engage any persons other than your immediate family, and the work (including
materials and other costs) is 5300 or more for the entire project, and such persons are not licensed as
contractors or subcontractors, then you may be an employer.
0 If you are an employer, you must register with the State and Federal Governments as an employer and'you are
subject to several obligations including state and federal income tax withholding, federal social security taxes,
workers compensation insurance, disability insurance costs, and unemployment compensation contributions.
0 There may be financial risks* for you if you do not carry out these obligations, and these risks are especially
serious with respect to worker's compensation insurance.
0 For more specific information about your obligations under Federal Law, contract the Internal Revenue
Service (and, if you wish, the U.S. Small Business Administration). For more specific information about your
obligations under State Law, contact the Department of Benefit Payments and the Division of Industrial
Accidents.
If the structure is intended for sale, property owners who are not licensed contractors are allowed to
perform their work personally or through their own employees, without a licensed contractor or subcontractor, only
under limited conditions.
A frequent practice of unlicensed persons professing to be contractors is to secure an "ownerbuilder"
building permit, erroneously implying that the property owner is providing his or her own labor and material
personally. Building permits are not required to be signed by property owners unless they are performing their own
work personally.
Information about licensed contractors may be obtained by contracting the Contractors State License
Board in your community or at 1020 N Street, Sacramento, CA. 95814.
Please complete the "Owner Builder Verification" on the reverse side of this form so that we can confirm
that you are aware of these matters. The building permit will not be issued until the verification is returned.
Sincerely,
Michael C. Vieira, C.B.O.
Manager, Building Inspection
NOTE: This Owner -Builder Information is required by Section 19830 of the California Health and Safety Code.
May 1995 12.27
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= m=:abie shew for wind or scism., iQ-^2s it arses pe_ 1. otic 116 ' SO 1 " 224
iY� ♦�. j � �.rr ,.
k
C.- 5=am zdgL t
C These �aiu�a=for siert fine i%I Si D MST prrd-cts ine i ds due io wind or arts,
-- '•1. ��yijS i0 be drIVCr7 N" t �¢ aztd mu -i be reduced 25% �:. nomml lms v
mcmnun from Life capm a aG square "0 Any 14' CC apps Rgwre sr .,lie wrtim aperma)
¢fi.•;¢ 2.'Id 55i¢�no 2 �fC o tin wdr4mp 0* of from $ft afii Nmvsptint Zoomµ
R3 I:= b¢ rL= Yd frau Bre ¢.'`'ti. Nab to be
L9 . •
n
_.=««'ACES -32 Ver.
1 . OB»»===-_____ [ 411209 ] ==========««TROJAN»»=========
Customer
: MITCHELL
Fri Oct 18 13:13:32 1996
'Project
#: 1018MIT
Truss ID : 24COM
Family # :-104
Span
24-0
Quantity--_ 1
Top-Pitch_N 4/12_J
TOP CHORD
BOTTOM CHORD
WEBS
REACTIONS - SIZE*
APPROVED FOR•MITEK INDUSTRIES INC.
1-2=-1862
5-6- 1761
2-7=-281
�1=-998 3.50{
2-3=-1700
6-7= 1218
3-7= 561
5=-998 3.50
3-4=-1700
7-1= 1761
3-6= 561
-- - - --- '
4-5=-1862
4-6=-281
PLATE OFFSETS (X=LEFTY=TOP):[j7=3,2),
3;
.2-0 6-7-8 12-0 17-4-8 24-0 .2-0
6-7-8 5-4-8 5.-4-8 6-7-8
4�4
UAv OA4
8-0 16-0 24-0
870 8-0 8-0
�5
L. HL TO PK:12-7-13 R. HL TO PK :12-7-13
LEFT HEIGHT:0-3-14 SPAN:24-0, RISE:4-3-14 RIGHT HEIGHT:0-3-14
LOADING (PSF) MAX STRESSES MINIMUM GRADE OF LUMBER
L D _TOP 1-2=0.287 TOP CHORD:2X4 No.l&Btr 91 DF -L
TOP 16 10 BOTT 5-6=0.473 BOT CHORD:2X4 No.l&Btr 91 DF -L
BOTT 0 10 LL.DEFL.@7=0.07 < L/240 WEBS :2X4 STANDARD 91 DF -L
STR.INC.: LUMB.= 1.25 PLATE = 1.25 (SPACING 24.0 in. o. c.
REPETITIVE STRESSES USED NO:—OF-MEMBERS -- 1
DEFLECTION(IN.) L.L= 0.07,D.L=0.09,T.L=O.16 OCT 18 1996
PLATES ARE MITEK M20-186,147 MANUFACTURED FROM ASTM A 446 GRD A GALVANIZED STEEL(EXCEPT AS SHOWN)
PLATE MUST BE INSTALLED ON EACH FACE OF JOINT, SYMMETRICALLY(EXCEPT AS SHOWN)DESIGN CONFORMS WITH NDS DESIGN SPE BC-ICBO,TPI-91
TOP CHORD BRACING Q 24' O.C. UNLESS RIGIDLY SHEATHED, BOTTOM CHORD
CONTINUOUSLY BRACED Q 10 O' O.C. UNLESS RIGIDLY SHEATHED. LATERAL
BRAONG OF WEB MEMBERS,.WHERE REQUIRED, ARE AS SHOWN ABOVE _ ��-
FOR ADDRIONAL PERMANENT AND TEMPORARY BRACING'(WHICHSHOWN IS ALWAYS �
COMM REFER ANTO D
PUBLICATION ION.: BRACING WOOD TRUSSES elo® a `rev �pONG
COMMENTARY AND RECOMMENDATION.: /!
m
,g NO, C049919
V�,j{'tf�R'A�'`+ • EXP 9-30-00'
�T9r CIVIL
CAIIF
mow.,
5 AG
)kL%- ;0 1' , S
O\,eRHAo(�
A SET SACS
C�Of
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eve
F,Pp ED
Butte County
Environments Health
i
azure
1
lBuTCE CO FIRE DEPT. f
CALIF. DEPT of FORESTRY
0 approved as submitted
approved With conditions
per attached-
q
l' /
u4e
Signature
� EASE�eS�Ts•
GLE-{Ap, or- A �H� �%DC.±AIp'ID
FEAR PROP" ttAe Sk4i\L-
ROA V au Pmw CepT
aFS pND
Lp Z-io •
CDF FIRE SAFE REQUIREMENTS
AP# PERMIT # NAME
Under authority of PRC 4290, the following checked items are required
by the Butte County Fire Department and are made a part of this permit.
These requirements are minimums and will be superseded by Butte County
local regulations which equal.or exceed these standards. Field
inspections will be made by the Butte County Building Department for
compliance.
1272.00 Maintenance of Defensible Space. To ensure continued
maintenance of properties in conformance with these
standards and measures and to assure continued avail-
ability, access and utilization of the defensible space
provided for in these standards, annual maintenance
must be provide for by the land owner.
Driveway Standards
(K]1273.02
Surface. All driveway surfaces and structures (bridges,
1273.07
culverts and other apparteaant structures which supple-
ment the roadway bed or shoulders) shall provide unob-
structed access to conventional drive vehicles, includ-
ing sedans and fire apparatus weighing up to 40,000
pounds.
[X]
1273.03
Grade. Not to exceed 16 percent unless paved.
1273.04
Driveway Radius
1. No roadway shall have a horizontal inside radius of
curvature of less than 50 feet and additional sur-
face width of 4 feet shall be added to curves of 50-
100 feet radius; 2 feet to those from 100-200 feet.
[r`]
2. The length of vertical curves in roadways exclusive
of gutters, ditches and drainage structures designed
to hold or divert water shall be not less than 100
feet.
1273.05
Turnarounds. If required, will have a minimum turning
1
radius of 40 feet from the center of the road.
] 1273.05 Turnouts. Shall be a minimum of 10 feet wide and 30
feet long with a minimum 25 foot taper on each end.
[� 1270.10 Width. All driveways shall provide a minimum 10 foot
1 traf f is lane and unobstructed vertical clearance of 15
BUfeet along its entire length.
TTE
BUILD.. t Page 1 of .3--.
1 ��
dig 7
AP # PERMIT # NAME
[� 1273.10 Turnouts. Driveways exceeding 150 feet in length, but
less than.800 feet in length, shall provide a turnout
near the midpoint of the driveway. Where a driveway
exceeds 800 feet, turnouts shall be provided no more
than 400 feet apart.
T 1273.10 Turnaround. A turnaround shall be provided at all
building sites on driveways over 300 feet in length and
shall be within 50 feet of the building.
1273.11 Gates
[X] 1. Gate entrances'shall be at least two feet wider than
// the roadway it serves.
[x] 2. The gates must be located at least 30 feet from the
// roadway and shall open to allow a vehicle to stop
without obstructing traffic on that roadway.
[ J 3. Where a one-way road with a single traffic lane
provides entrance, a 50 foot turning radius shall be
used.
Fuel Modification
1276.01 Setback for Structure Defensible Space.
[x] 1. All parcels.l acre and larger shall provide a mini-
mum 30 foot setback for buildings and accessory
buildings from 411 property lines and/or the center
of the road.
[ ] 2. For parcels less than l acre, local jurisdiction
shall provide for'the same practical effect. See
Other Requirements below.
[�] 1276.02 Disposal of Vegetation and Fuels. Disposal, including
chipping, burying, burning or removal to a landfill site
approved by the local jurisdiction, of flammable
vegetation and fuels caused by site development and
construction, road and driveway construction and fuel
modification shall be completed prior to completion of
road construction )r fi:ial inspection of a building
permit.
, PN
f to Page 2 of 3
46.
/ b —2
AP # PERMIT # AME
Other Requirements
[ ] If Building Setback is 15 to 30 Feet:
- Class A or B roof
- Enclosed eaves
[ ] If Building Setback is Less Than 15 Feet
Choose any 3 of the following:
- Metal or no doors on side toward property line with insuffi-
cient setback
- Class A or B roof with enclosed eaves
- Interior automatic sprinkler system per NFPA 13D
- Glass area not to exceed 1_0% of wall area toward property
line with insufficient setback
- Siding from the following list:
Stucco - 3 coat
Hardi-Board or Plank
Masonry
Masonry veneer
Metal
Other Butte County Fire Department approved materials
Date° Signature
i`lz
Page 3 of 3
J
3
a
oa .
Pic No. 1076-81B,P,E,M
PERMIT EXPIRES
OWNER Pamela Ludemann
r CONTR. Heritage Const., Oroville
ASSESSOR PARCEL 36-23-46
S,
`. LOCATION S/end of Pioneer Trail,app.
4/10 mi.S.of HU Mt.Ida, Oro.
i
r
l -
a
t
'i
Temp. Power Pole
Called PG&E
Temp. Elec. Se 'ce_
Called PG&E
Temp. Gas Service
Called PG&E
-/
JOB FI A D (Date)
Signature
tI
t
oa .
Pic No. 1076-81B,P,E,M
PERMIT EXPIRES
OWNER Pamela Ludemann
r CONTR. Heritage Const., Oroville
ASSESSOR PARCEL 36-23-46
S,
`. LOCATION S/end of Pioneer Trail,app.
4/10 mi.S.of HU Mt.Ida, Oro.
i
r
l -
a
t
'i
Temp. Power Pole
Called PG&E
Temp. Elec. Se 'ce_
Called PG&E
Temp. Gas Service
Called PG&E
-/
JOB FI A D (Date)
Signature
J OK
0 Not OK '
= Not Applicable MOBILEHOMES
- Not Ready
:,
MISCELLANEOUS
r
Date
MOBILEHOME UTILITIES (Plans) OK except #'s
1. Zoning Requirements -Setbacks -Easements
Date
DECKS, COVERS, CARPORTS, ETC. (Plans) OK except #'s
1. Zoning Requirements -Setbacks -Easements _
2. Soils; Special MH Support -Sketch
2. Footings; Size -Depth -Spacing -Connectors
3. Sewer; Location -Test -Fall -C/0 -Concrete
3. Decks; Girders and/or Joists -Decking -Bracing -Stairs -Rails
4. Water; Location -Test -Easement Needed (Sketch)
I
4. Wood Awn.; Posts-Beams-Rftrs.-Connec.-Shthg.-Rfg.-Bracing
5. Electricity; Location-Clearances-Grnd.-/ / Amp -Concrete
5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures
6. Gas; Location -Test -Wrap:/ /"L"ft./ /"Nat. or/ /"L"ft./ /"LPG
6. Carports; Windows -Doors
7. Utility Clearance
_
7. Elec.
Card -BI
Date Card -BI Date
Card -BI
Date Card -BI Date
Card -BI
Date Card -BI Date
Card -BI
Date Card -BI Date
Date
MOBILEHOME INSTALLATION (Plans) OK except #'s
1. Zoning Requirements -Setbacks -Easements
_Date
POOLS (Plans) OK except #'s
1. Setbacks -Easements
2. Footings; Size -Spacing -Marriage Line
2. Soils; Compaction -Structure Stability
3. Gas; MH Test -Demand -Valve -Connector
3, Pool Structure; Steel -Connections -Thickness -Dead Men -Lining
4. Electricity; MH Test -Crossovers -Breakers -Clearances
4. Elec.; Receptacles and Lighting; Distances-GFI
5. Drain; MH Test -Fall -Flex Connector
5. Elec.; Pool Lighting; 15 volts-GFI
6. Water; MH Test -Regulator -Connector
6. Elec.; Enclosures; Conduit Entries -Terminals -Listed
7. Water and Sewer Connected -C/0 to Grade -HD Approval
1
7. Elec.; Bonding; Metal w/5' -Circulating Equipment -Heater
8. Gas and Electricity Tagged
8. Elec.; Grounding; Equip.w/5'-Circulating Equip. -Pool Lghtg.
Boxes -Enclosures -Panel boards -Ins. to Main in Conduit
9. Exits; Insp.-Sketch
10. Cert. of Occupancy
9. Health Department Approval
10. Plumb; Cir. Test -Water Supply Test
Card B -I
Date Card -BI Date
'Card -BI
Date Card -BI Date
Card B-1
Date Card -BI Date "
>Card -BI
Date Card -BI Date
Y.
M
J OK
0 = Not OK
- = Not Applicable
= Not Ready RESIDENTIAL (Single and Duplex)
�F ,
Date
UNDERFLOOR (PWs) OK`exce t#'s•
Date FRAMI Continued-
oning requirements-Setbacks-Easementsroperty
Line Firewall & Openings
�tg., Main; Soils -Steel- d.- / r/" Ftg. Depth4Q--Ext.
Doors -One 3' -Check Garage -3rd story, 2 exits
3. Ftg., Garage; Soils -Steel- /" Ftg. Depth
s; Width -Headroom -Rise -R - a ' g -Fire Protection
lywood on Roof Overhang ttt fits Rafter Outriggers
4:., Porches & Decks; Soils -Steel- / /" Ftg. Depth
mwalls, Main; Steel-Blockouts-Wrapped-Slab
Siding -Nailing -Veneer
6. Stemwalls, Garage; Steel-Blockouts-Wrapped-Slab
5i.mli4men Mesh -Drip Screed-Fdn. Vents-Underflr. Access
7t. rs-Fireplace Ftg.-Steel
$4 -Glazing Area -Glass Protection -Skylights -Plastic
lein-V.: Fall -Fittings -Test -2 way C/O -Sewer Test
ear Walls; Nailing -Bolts
9. Gas Pipe; Size -Anchors
1prC0ater Pipe; Test-Anchors-Regulator-Seryice Test
1 lectric; Underground
12. Plenums & Ducts; Clearance -Material -Support -Ins.
1 irders-Sills-Anchor Bolts -Joists -Vents -Cripples
Card -BI at and -BI Date
C -B Date - 3 -,r2- Card -BI Date
Card -BI Date and BI Date
C 5 -BI
Dat -� Card -BI Date ,.
Date FINAL IAP4 OK except H's
Card -BI 40,1 Date - Card -BI Date
Date
PLU G (P-64<01< except p's
Steps -Door & Sidelight Protection -Landings
Smoke Detector
Y4 ;Vent -Access -Combustion Air
ur ce; Vents -Clearance -Comb.
Air -Connector
In Garage; Above Floor-Ducts-Mech. Protection
-1 ater Pipe; Test & Anchors -Nail Protection -
1Q_.a.W.V.; Test-Fttngs & Anchors -Nail Protection
Fgt✓� room Exiting
ip-Show.er Pan; TW, First Floor -Tub Access
G.F.I. & Bath Fixtures & Tub Access
1 Tub & Shower, 2nd Floor -Tub Access
. Trim & Subpanel; Breaker Sizes -Labels
1,9: -83s -Pipe; Size & Anchors
"WItair Rails
fireplace o Clearances -Hearth
ec. Outlets at Wood Panel; Int. &Ext.
Card-BI
Date 2 - `1Card-BI Date
6�i. -it. Fixt. & Appliance; Grnd.-Air Gap -Cooking Clearance
Card -BI
Date Card -BI Date
0--elec. Outlets & Receptacles at Kit. Counter
Date
ELECT AL Pe OK except q's
6?0�arage Fire Door; Swing -Landing -Closer
in Garage—Damper
2 xture & Transformer Clearance -Ins. Protection
6 tr. VentsClearance-Comb. Air-Connector-P.R.V.-
In Garage; Above Floor-Mech. Protection �
Elec. Receptacles Spacing -Lights & Switches at Doors
Plb., Elec. & Mech. Equip. Listed for Location
2 t Boxes & No. of Conductors -Stapled
sin Garage; (G.F.I.)-Romex Protec.
2 omex Installed Close to Edge of Studs & C.J.
lation-Foam-Looked in Attic -
quip. Ground made up w/Mech. Fasteners -Bond Gas & Water
d W"& Deck ruction
A Appliance Circuits in Kitchen & Conductor Size
2 PP
74. Fdn. Vents & Crawl Hole Door -Drainage & Wood -Earth Clearance
Looked under Floor [9-Yft�
26. Subfeed Wire Size <,r-/ ga. Cu or AI-A.C. Wire Size / / ga. Cu or Al
27. Range Circ. /� / ga. Cu o Oven Circ. / / ga. Cu or AI,
Insulated Neu ral ❑Yes o
75. Following instld.: rive es El No; Walks s ❑ No;
Planters es ❑No
?/Service -Riser Conductors & Ground -Main Disconnect
rown-Finis
Disconnect-Clrnces-Brkr. & Cond. Size -115V Outlet
20,pf�uip. Clearances; Panels-Motors-Mech. Equip.
3 Clothes Closet Light -Shower Light
7 e Above Roof; Plbg.-Appliance-Firepl.-Clearance to Opngs.
ater Well; Disconnect, Electrical, Plumbing
Card B -I �� Dai � J�Gard-BI Date
error Elec. Trim; G.F.I. Receptacle -Underground
lation throughout House
Card B -I
Date
Date Card -BI Date
MEC NICAL (Permit) OK except k's
Protection
-5 Corrections from Previous Inspections
84. Gas Test -Meters Tagged; Gas -EI c
A.C. Ducts; Insulation & Support
er & Sewer Connected -C/O to Grade -HD Approval
ergy Compliance Certificate -Other Certificates
ent an; 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
Card-BIDate
_
! 7� Card -BI Date
I Date �
Card -BI at rd -BI Date
Card BI ate f and -BI Date
Card -BI Date Card -BI Date
Comments at Final:
Card -BI Date Card -BI Date
Date FRAMING Pl.41) OK except q's
3 i ; Proper Material & Anchors
_
Studs -Nailing, Spacing & Bracing -Plates -Sound
_
_Walls;
ing Walls over Girders & Floor Nailing
W3
Draft Stop in Walls (rat proof)
ps; Furred Ceilings -Stairs -Chases -Tub _
Header & Beam -Size & BearingAM
angers -Post Caps -Anchors -Connectors
4 Cing. Joist-Rftr. Ties-Purlin-Roof Brac.-Truss-StU ng.-Rfng.
Fireplace Ties or Type -Fireplace Throat
ttic Access; Size & Romex Protection -Draft Stop -Ins. Baffles
Windows or Exiting Doors -Sill Hgt. & Dimensions
_q�SB'drm.
,gy.,dGR5;e--P4►e-Prd1'ection Framing
(NOTE: Anentry must be made each time you visit job site)
County of Butte
il60,q'/a/ DEPARTMENT OF PUBLIC WORKS 891a75/
Ulay ., Chico — 348 4211, Ext.
7 County Center Dr., broville •— 534-4541
Skyway and Elliott Rd., Paradise — $7? 3435
87,9 ,*eo/-Ers 57
CORRECTION NOTICE
Building or Property Address
A routine inspection indicates that the following
violations of County - Ordinance exAst at ` the, above
address and should be corrected., Please notify tl is
office when correction of wtio& is cbmpleted. If you
have any question peltaining to this- matter, or need '
additional explanation, please 'contact.: this office
�immediately. ti
.... '`.......:.Q » ..... '� :.' `.flZ:.:.. .f.. .... . ............................
!..�. !...... .... .... ..:..... ...........................
'.. ' �.........t...................
............:t z: �'f t...:.F'.................................
�7t.:
DateI.•'•. �:!•••..,.�. Ins ector''
p ............... .{,..»....r.:`.rr.�?:?..-cry!!'...
Do Not Remove This Tog
(400-4)
COUNTY OF BUTTE
• DEPA-RTMENT OF PUBLIC WORKS
196 Memorial Way, Chico — Phone: 891-2751
7 County Center Drive, Oroville — Phone: 534-4541
Skyway and Elliott Road, Paradise — Phone: 872-2961, Ext. 57
CORRECTION NOTICE
'OF 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.
r
ow
Inspectori� Date 's �� �
RESIDENTIAL
ENERGY CONSERVATION STANDARDS
CONSTRUCTION COMPLIANCE CERTIFICATE
THIS IS TO CERTIFY THAT ENERGY CONSERVATION REQUIREMENTS HAVE BEEN
INSTALLED IN CONFORMANCE WITH CURRENT ENERGY CONSERVATION REGULATIONS
AT Pioneer Trail Rd Oroville
(location) I
r
BUILDING PERMIT NO.�� !E(A.P. N0, /,�-- Z 3 ^--ip c
THE FOLLOWING HAVE BEEN INSTALLED AS PER APPROVED PLANS:
(Check each item or write N/A if not applicable)
INSULATION:
GLAZING:
Slab Edge NA
Single Glazed
NA
Fdn. Walls NA
Special (Insulated)
NA
Floors NA
CERT...&_LABELED WDS.
Walls R-11
& SLIDING DRS.
NA
Ceiling/Roof R-19
WEATHERSTRIPPED DRS.
NA
Ducts Imo—
BACK DAMPERED FANS
NA
Circulating Pipes NA
INTERMITTENT IGNITION DEVICES
NA
APPROVED HEATER �—
CERT. APPLIANCES
NA
APPROVED WTR. HTR,
I DECLARE THAT ALL REQUIRED ITEMS AS NOTED ABOVE HAVE BEEN INSTALLED
IN ACCORDANCE WITH THE ENERGY CONSERVATION REQUIREMENTS AND AGREE TO
THE COMPLETENESS OF THIS CERTIFICATE AS SUBMITTED.
Insulation Applicator Name- Hatwkine Insulation Co
Signature of-
pP z��ZO tf (please print
Insulation A licator
State Cdnttla-ftors
License No, 378407
General Contractor/Owner Nime n[,10P lA.
-Signature of please print)
General Contractor/Owner ng.4,p Date 6
State Contractors
License_No.,3696., 3 _
THIS CERTIFICATE MUST BE ON FILE WITH THE BUILDING DEPARTMENT PRIOR TO
REQUESTING FINAL INSPECTION AND SMALL BE POSTED IN A CONSPICUOUS LOCATION
WITHIN THE DWELLING.
' COUNTY OF`BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT NO.
7 County Center Drive - Oroville, California 95965 - Telephone 916/534 41 /LI)76, j
• APPLICATION ANP PERMIT
ASSESSORPARCEL NU
3(0- 23_
ZONING -'
BUILDING PERMIT
OWNER ./
.PA"6LA LvDeMp_A1�
TELEPHONE
SO. FT. OCC. BUILDING VA7-3129,
����"' o�
OW 'S M LING ADDRES
ip
2 0 9 Mzo
80. o0
CONTRA XCrJSE P 01y"a Ja3TELEPHONE
1304 CC)V I
7O• 24 go
76•QoC0
TRACTOR'SM I G ADDRESS
Firelacejj A
1000-00
CONSTR CTION L NDE
S -C
UNKNOWN
Total Valuation $
'7g p p 09. 04D
Filing Fee
$ 10.00
LENDER'S MAILINt ADDRESS
Permit Fee
$ 2 5 .C -o1
ARCHITECT OR ENGINEER
LICENSE NO.
Plan Checking Fee
$ 11. 5V
L
Penalty
$
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Permit fee
$ 377.50
BUILDING ADD S //PLUMBING
�,
PERMIT
Filin Fee 10.00
Filing
FeeO'h�'eY
Each Trap
111 2.00 22 .00
Repair drainage or vent piping
5.00
�7
Water piping
> 00
LOT NJ
SUBDIVISION NAME
PA r.,CEL MnP
Each qas water heater.or vent
5.00 5. 00
Gas piping system 1 - 5 outlets
S', 00
USE OF STRUCTURE
SF L;-' Duplex ❑ Mobilehome❑ Other
SPECIFY
Building sewer
510 d
Lawn sprinkler system
5.00
TYPE OF WORK
New er Addition ❑ Remodel ❑ Utilities ❑ Installation[] Other ❑
Describe work:
Permit Fee
$
Contractor
ELECTRICAL PERMIT
Filing Fee 10.00
Main service 600V OR LESS
100 AMP OR LESS
5.00 S,OO
Main service EA. ADD'L 100 AMP
2.50 Q,50
NEW CONST.(OCf LI q) 20 sq ft 42,05
OR ADDNS, l AGC. BLDG S. -L V`Y/
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.3 ��� ` Classification
❑ I, as the owner, or my employees with wages as their sole compen-
sation, will do the work,and the structure is not intended or offered
for sale. (Sec. 7044)
❑ I, as the owner, am exclusively contracting with licensed contract-
ors. (Sec. 7044)
❑ I am exempt under Sec. Business and Professions Code
for this reason
NEW CONSTR. -OUTLET 2.50 ea
N.N.RESID BRANCH CIRCUITS)
APPARATUS &)
NEW CONSTR, / POWER NON-RESID, \SINGLE OUTLET C113 /
Ex. OCCUp OUTLETS OR FIXTURES AL�1
BAL011
Ex. Occup. �OUTLETS FIXED P(RESID )REA. 2.00
Temporary service 10.00
Mobile Home Facilities 15.00
Misc. Wiring 7.50
_
Permit Fee $ S9 55
Contractor
MECHANICAL PERMIT
FiIingFee 10.00
WORKMEN'S COMPENSATION INSURANCE
I declare under penalty of perjury (check one):
❑ The permit is for $100.00 (valuation) or less.
I have placed on file with the County of Butte Building Department
a Certificate of Workmen's Compensation Insurance 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 shal I be deemed revoked.
Heating
Cooling A -P
Z rj,�6 0.00
Hood
3.00 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 County of
Butte to enter upon the above-mentioned property for inspection purposes.
1 also agree to save, Inde fi-,R and keep harmless the County of Butte against
all liabilities, I dgm costs, and expenses which may in any way accrue
against said C n�ty in ence of the granting of this permit.
%< </ Date_�t�i2lL
Signa tu of Icon - ner El E]Agent F-1work
An 01 permit is requiretrfor excavations over 5'0" deep and demolition or construct-
ion of structures over 3 stories in height.
Mobile Home Installation Fee $
TOTAL PERMIT .FEE $ 0
OCCUP. GROUP
TYPE OF CONST.
Q`
IV
PARCE
PD
HD 1550E
This permit is hereby issued under
sions of the Butte County Code and/or
indicated above for which
DIRECT F PUBLIC
BY
PE T EXPIRES Date
the applicable provi-
resolutions to do
fees have been paid.
WORKS
Date
Receipt NO. :'Zf (J
WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT
,s ` ' � -'i.r � .;` M • I.p r . �r�' '- � w '. . • � 1 • 1 " •. A - � ., i ... .... - f iY 0 f1(9
• a