HomeMy WebLinkAbout047-500-025T
.47 - 50-25
RICH CAVANAUGH 1 60 -(D -
r*W
4785-S-orfgbtrd---Chic'o
Contr: Jerry Len Const, Chico
Permit#536-�85B,P,E,M(ndw single family)
47=50-25
Cont: Bonita Pools F7AAV
termit #3339-86B,P,E(pri. pool)
047-50-"25 00-1591
LITON, JANET AAW4 5-17-00
4785 SONGBIRD LANE,, CIRCO
coNTR: OWNER
REPLACE BEAT PLMP
U4
047-500-025
GLICKSBERG, MICHAEL INALE
4785 SONGBIRD, C1711CO (7/Z 2/.0
CONT: BAIRD ROOFING
RE -ROOF 7.
I
d
07003�
V ��
Ole PERMIT NO. 536-85B.P.E.M
PERMIT EXPIRES
OWNER RICH CAVANAUGH
CONTR. Jerry Leen Const
ASSESSOR PARCEL 47-50-25
LOCATION 4785 Songbird, Chico
A OFFICE C Y
Address
GAS
Meter By — Da t e
ELECTR
Meter By IC — Date�qjwooi-
OFFICE COPY
Address
GAS
Meter By
i ELECTRIC Date
Meter By—
Called PG&E
Temp. Elec. Service
Called PG&E
Temp. Gas Service
CaIledPG&E
1 1-7
JOB FINAL
Signatui
'I. OK,
0 Not OK
Not Applicable MOBILEHOMES
* Not Ready
MISCELLANEOUS
Date
MOBILEHOME UTILITIES (Plans) OK except #'s
1. Zoning Req u i rements-Setbacks- Easements
2. Soils; Special MH Support -Sketch
Date
DECKS, COVERS, CARPORTS, ETC-. (Plans) OK except #'s
1. Zoning Requirements-Setbacks�Easements
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; Locat i on-Tes t- Easement Needed (Sketch)
4. Wood Awn.; Posts-Beams-Rftrs.-Connec.-Shthg.-Rfg.-Bracing
5. Electricity; Location-Clearances-Grnd.-/ Amp -Concrete
5. Alum. Awn.; Column�-Connections-Splice*-Decal-Enclosures
6. Gas; Locatiorr--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 -131
Date Card -131 Date
Card -B I
Date
Date Card -BI Date
MOBILEHOME INSTALLATION (Plans) OK except #'s
1 . Zoning Requirements-Setbacks-Easeme nts
Card -131
Date
Date Card -131 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
4. Electricity; MH Test -Crossovers -Breakers -Clearances
13. Pool Structure; Steel -Connections -Thickness -Dead Men -Lining
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. Elec.; Bonding; Metal w/5' -Circulating Equipment -Heater
8. Gas and Electricity Tagged
8. Elec.; Grounding; Equip. w/5'-Circulaiing Equip. -Pool Lghig.
Boxes -Enc losures-Pane I boards- Ins. to Main in Conduit
9. Ex'Irt's; Insp.-Sketch
10. Cert. of Occupancy
9. Health Department Approval
10. Plumb; Cir. Test -Water Supply Test
Card B-1
Date Card -Bl Date
Card -131
Date Card -131 Date
Card B-1
Date Card -Bl Date
Card -131
Date Card -131 Date
11
A
!j
I
0 =�Not W
Not Applicable
Not Ready RESIDENTIAL (Single and Ouplex)
Date
UNI)gRFLOOR (Plans) OK except #'s
Date FRAMING (Continued)
K&ning requirements-Setbacks-EKement 3 ,
- emAgs
!�.'Ftg., Main; Soils-Steel-Elec. efnd.- / Ftg. Depth
I. Doors -One 3'-Cheqj5,.Gafag�4-
V.' Ftg., Garage; Soils -Steel- /15 /" Ftg. Depth
jQRZ',1Ytairs;
Width-Headroom-Rise-Run2!nnding-F ire Protection
4,�^., Porches & Decks; Soils -Steel- / /" Ftg. Depth
kS%.gP-li,���ng:CAttiVVen7t)rRafte
OutrL
ggers
Xtemwalls, main; Steel-Blockouts-Wrapped-Slab
52vXSiding-Nailing-Veneer
V,<e-rnwalls, Garage; Steel-Blockouts-Wrapped-Slab
5
Stucco Mesh -Drip Screed-Fdn. Vents-Underflr. Access
K4iers-Fireplace Ftg.-Steel
tflyGlaz&4W�AK-f-ea-
ass Protec�kjLUjh1rs--f4asLlj&
/VID.W.V.: Fall-Fittings-Tbs(j w A
Wa I I s , Na i I i ng--BbttT-
4-jj3e-w+4w, Size -Anchors JK�
Poter Pipe, Test-Angkorg-Regulator Seqd est
n 7-o
jPleavais-& Ducts, (7learance-Materia!;:Ap 0
5Wrders -Sills-Anchor Bolts-Joists-Vim<LCripples
Card -BI
Oat Card -BI Date
Card -BI
Date Card -BI Date
Card -BI
Dat&J-16 '-Y3- Card -BI Date
Card -BI
Nk Date YIN S' Card -BI Cork, Date In
Date FINAL
(Plans) OK except #'s
Card -BI Nf Dat%a/;�/," Card -BI �0 Date J��
Date
I 1 (40
PLQfijMG (Permit) OK except #'s 140
W.ZExt.
Steps -Door & Sidelight Protection -Landings
3f.
Smoke Detector
. Ze>
$'%"r Ht.; V=-Acg0ss-Combu*t�r
58..,Furnace;
Vents -Clearance -Comb. Air -Connector -
in Garage; Above Floor-Ducts-Mech. Protection
A -7 Water PipeQj Ll Aethoitjg5��
��-1
1Wf-Fttgga1& UaKors
(3,Egower Pan; T9.%t-,,1irst Floor-TuilloA-ccess—
14,,'Bedroom
Exiting
U6/G.F.I.
& Bath Fixtures & Tub Access
6X�-Qst--Tub & Shower, 2nd-Poor-TubA-Gese
K/Elec.
Trim & Subpanel; Breaker Sizes -Labels
19. Etas Pipe-, 44e-&-AfGbbrs
W.
Stairs &_Rails
Mj /4S W<Eikjga4;i-'br
Stove; Clearances-V2arth
A,EU- 64,,--Elec.
Outlets at Wood Panel; Vt. & Ext.
Card -B I
rfZ Date Card -131 P'Zt) Date
66.zKit.
Fixt. & Appliance; Grnd.-Air Gap -Cooking Clearance
Card -BI
Q�p Date jaX5 -Card-B I Date
W./bec.
Outlets & Receptacles at Kit. Counter
Date
ELECTRICAL (Permit) OK except #'s
V.,/Garage
Fire Door; Swing -Landing -C loser
".
A_C- Duct in Garage -Damper
20eo�Fixture & Transforme[-CIearanc -Ins-.-Pratectron
<2y��*trvw-r;
-,4n
4ej.qa---.aLearance-Comb. Air-Connector-(ZE�2�
Garage!Q:bove F-1g0I,-Mech. Protection
24r-ETe-c. Receptaelsig-Spacing-Lights ggl&iLotre-s at Doors
2&-Sri-ze Boxes & No. of Conductors-Skaplect
YO./Plb.,
Elec. & Mach. Equip. Listed for Location
9a,-9-om", -Installed Close to Edge of Studs & G.J.
U/Elec.
Receptacles in Garage; (G.F.I.)-5emex Protec.
2��-Ground made up whMeeW Fasteners-Bondegs-& Water-
/Insulation
-Foam -Looked in Attic YYes
29,*' -2 Appliance Circuits in Kitchen & Conductor Size az-
Guard Rails & Deck Construct i on -Post Caps
a-So6feed Wire Size /I / ga.,Qmw Al-A.C. Wire Size Idl ga. 6"e Al
r4.
dn. Vents & Crawl Hole Door -Drainage & Wood -Earth Clearance
Looked upder Floor Ves
gZ--Range Circ. / X1 �-a. C =Mr -Oven Circ. ga. Cu or At,
_Sy , _
Insulated Neutral L!�Yes No
M
Following instid.: Driv es tj No; Walks []Yes P60;
Planters El Yes ko
28. §o6ice-Riser Conductors & Gfealld--Main Disconnect
76,-etairc-oBrown-Finish
77.
,A,.'C. Unit; Disconnect-Cirnces-Brkr. & Cond. Size -115V Outlet
&g'Equip. Clearances; Pane I s-Motors-Mech. Equip.
Clothes Closet Light-4$Fower
�ents
Above Roof; Plbg.-Appliance-Firepi.-Clearance to Opngs.
V.,,Water
Well; Disconnect, Electrical, Plumbing
49.
,Exterior Elec. Trim; G.F.I. Receptacle-Undergr�pund
Card B -I
414? Date,6::�?-J5,- Card -BI Date
qy/yentilation
throughout House
Card B -I
",�IX Date Qjj 18>7 Card -BI Date
W/"Glass
Protection
orrections from Previous Inspectio %1W-02tv
Date
f
MECHANICAL (Permit) OK except #'s
meters Tagged; Gas-Ele,� - -
Ou,p ts; Insu&46h &
ater & Sewer Connected -C/0 to Grade -HD Approval
Energy Compliance Certificate -Other Certificates
16e--C�ondensate Drain & Overflow; &ze &4Crade
34 9-RaGe VQR4�,��mb. Air-Relurn Air Vent -115V outlet
Y.,-Aftic Access & Platform if Furnace in Attic
7
Card -BI
Card
Date !�( 1�� -BI Date
Card -BI
Card -BI go Dat�Kfr-y-lk
Card -BI
Date /,kj.;--J�;Card-B I Date
Card -BI
Date QqA5 Card -BI Date-
Card -BI Date Card -BI Date
Comments qFinal:
Date EA�MING(Plans) OK exceptg,,L:,
Sills; Pr6pee4aterial &%A&6pph
sk
-
-67,,WCk; Studs -Nailing, SpaQlpg-& Q0c4ng-PAa1es-$owid
A
(AA
W43-LtLring Walls over Girders & PQooF Nailing
,,2raft Stop in Walls (rat proof)
Fire �tops; Fq*Fsd-.&w4ngs40ER7rb-e41ffsas- Tub---
%tA
Tvwk ;4;;Z 0/t
]J.-+teader & Beam -Size & TINeafing
42./�angers-P�pst Caps -A nchors-C onngcZrs
S L,� -
-
r 'le�(.
-T1 -Shdmq-"--Rfnp-
jMg::,jr-gl!j±�f�y-peW �6�p-ra-cZCR
v e
Attic AGE fles)§
gss, Sf & P4m-e5FProteqg2a-D3?SIENFop4;�rns- W=
or Exiting Doors -Sill HQL-&.Dimensions
IL:
4T,09rage Fire Protection Framing
(NOTE: An entry must be madeeach time youvisit jobsite)
t
COUNTY OF BUTTE
DEPARTMENT OF PUBLIC WORKS
196 Memorial Way, Chico — Phone: 891-2751
7 County Center Drive, Oroville — Phone: 534-4541
4 S kyway and Elliott Road, Paradise — Phone: 872-2961, Ext. 57
CORRECTION NOTICE
,-/
'ERMIT
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.
9,
6r
I COUNTY OF BUTTE
DEPARTMENT 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
1�2/, - 3--76 -.F11 -
OWNER PF=PKAIT KIFT
A routine inspection indicateg that the following violations of County Ordinance
exist at the above address and should be corrected. Please notify this office
when cqrrectio ' n of work is completed. If you have any question pertaining to this
maye�
*0--A,0'4dditlonaI explanation, please contact this office immediately -
I? 7K -
( W % Y-� 514 /' I,,- 7C e'e C- Z'�( � e
C7/'
en, o-U�
Z 3 --f Z13 ;�cp' eV Zo
i'v
Inspector Z'ae Date �r">—
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'A
CA� .
. x-aAAl Pl%
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-W
COUNTY OF BUTTE
DEPARTMENT 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
OWNER 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. It you have any question pertaining to this
matter, or need additional explanation, please contact this office immediately.
Inspector— Date—
COUNTY OF BUTTE
DEPARTMENT 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
UWNt:H 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. It you have any question pertaining to this
�t .1 y
matter, or need additional ex�lanation, Please contact this office immediately.
A3'
- eirlAk�iLF,
Inspe c t o r D a t e
COUNTY OF BUTTE
/V DEPARTMENT 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
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.
4:z
'L"Z ;� 3r—
I
Inspector Date 19
C/
I
COUNTY OF BUTTE
DEPARTMENT 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
5-T ( , - R:�
PERMIT N5-.
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. It you have any question pertaining to this
matter, or need additional explanation, please contact this off" immediately.
Inspector Date—
I FS15
COUNTY OF BUTTE
DEPARTMENT 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
AP)
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
matte r need additional explanation, please contact this office immediately.
7;
/ 6/c -
f
Inspector Date /4' , T-- 0 � -
COUNTY OF BUTTE
DEPARTMENT OF PUBLIC WORKS
196 Memorial Way, Chico — Phone: 891-2751
7 County Center Drive, Oroville — Phone: 534-4541
Skyway and,E I I iott Road, Paradi se — Phone: 872-2961, Ext. 57
CORRECTION NOTICE
nwpd P P f
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 r need additional explanation, please contact this office immediately.
o,,o
01,,�e— 17 e,, -k/ ;�-K
COUNTY OF BUTTE
DEPARTMENT 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
iN E R E- MIT N(
Ij tj
J �6) A �W
A routine' inspection indicates Aat tZhg;�� � d�inance
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
need additional explanation, please contact this office immediately.
61 / 61—y- ;7—' � 7 :::� -L1 ;7;,er 11A /.s- '�-
15,--
Inspector Date
i
COUNTY.OF BUTTE
DEPARTMENT 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
A routine inspection indicates that the following violations of County Ordinance
exist at llhe� o0vfe'3ddress and should be corrected. Please notify this office
n
when cor ork is completed. If you have any question pertaining to this
matter, r need additional explanation, please contact this office immediately.
'h �� - 4 1 A - A
Inspector. D t e
1
COUNTY OF BUTTE
DEPARTMENT 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
A routin# inspection indicates that the following violations of County Ordinance
exist a the above address and should be corrected. Please notify this office
I �
when orrection of work is completed. If you have any question pertaining to this
m t �,
r, or need additional explanation, please contact this office immediately.
,77
7"— 0",
Y) J, I JA -MA A
N -A IAA�,O' .11 LA��-,Z
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Inspector- A)o C, Date 4(
COUNTY OF BUTTE - &EPAR"TM'ENT OF PUBLIC WORKS PERMIT NO/
7 County Center Drive - Oroville, GaIiJ9rni&95965 - Telephone 916/534-4541
L
APOLICATIN ANY PERMIT n
ASSESSOR PARCEL NUMBER
y W,5 �
zM
— J
C�
I
BUILDING PERMIT 4
OWNER
A�il'-b (:-'56 1/6 A111, t-1014
TELEPHONE
SQ.FT. OCC. BUILDING VALUATION
L9 0
OWN S I L �S
IN"DDRE
-
I F15171— aZ2
0 v
F
CO T OR'S NA M E//
J( ,0,04/ X
�ELEP HONE
ps
o
CONTRA'If OR'Sf Al LrNG ADDRESS
Zaq Z4 �&,J��
ireplaceA,,,/- �1' 2,
�_00 o o
CON fRUCTI N LENDER
UNKNOWN
Total Valuation
Filing Fee
10.00
LENDER'S MAILING AZRESS
- -) 5-:r- -- Z
5 el. c4el�
Permit Fee
$
ARCHITECT OR ENGINEER
A.10e-VE
LICENSE NO.
-
Plan Checking Fee
$ -5-4)
Rene4ly Of��
$
AR(fHITECT OR ENGINEER'S MAILING ADDRESS
Permit iee
$
BUILDING ADDRESS
PLUMBING PERMIT
FilingFee 10.00
rSI f
e ZAI
Each Trap
2. 00
Solar Water Heategf�
20.00 00
Water pipi'ng
1?4Q1
5.00 J-, 00
LOT N_��
SUBDIVISION NAME
Lt tj 311 I'J
7X
PARCEL MAP
Each qas water heater or vent
5.00
Gas piping system 1 - 5 outlets
5.00
-
USE OF STRUCTURE
SFV;,"6upIexn MobilehomeF� Other SPECIFY
Building sewer
5.00 J-,00
Mobile Home S I G I IN
TYPE OF WORK
Newk-__Addition[:1 RemodeiE] Utilities[:] InstallationEl Other 0
Describe work: -
Permit Fee
Contractor
ELECTRICAL PERMIT
FilingFee 10.00,
Main service 600V OR LESS
100 AMP OR LESS
10.00 /6, Do
Main service EA. ADD -L 100 AMP
2.50 '2_5-C)
NEW CONST OWELLIL��,&
OR ADDNS. ACC. B
2/20sq ft //C/, 96
CONTRACTORS LICENSE LAW
I declare der penalty of perjury (check one):
��m licensed under provisions of Chapt. 9, Div. 3 of the Business
f
and Professions Code and my license is in full force and e fect.
__i!� f2 'S L
License No. , Z -t!5- Classification 13- 1.
1, as the owner, or myemployees with wages as their sole compen-
sation, will do the work,and the structure is not intended or offered
for sale. (Sec. 7044)
0 1, as the owner, am exclusively contracting with licensed contract-
ors. (Sec. 7044)
I am exempt under Sec.___�_, Business and Professions Code
for this reason
NF_W.CON5TK(MLI1 T--UIUTLF-T S)
NON RESID. BRANCH CIRCUIT 2.50 ea
NEW.CONSTR. POWER APPARATUS.&)
NON-RESID. ( SINGLE OUTLET CIR
20050C
Ex. Occup(OUTLETS OR FIXTURES BAL@30
FIXED APPLNS OR
Ex. Occup. OUTLETS (RESI*D.) EA.) 2.00
Temporary service 10.00
Mobile Home Facilities 15.00
Misc. Wiring 15.00
Permit Fee $
Contractor /ff1`/fJr_L/4//Z`1.1 ;;11
MECHANICAL PERMOT
Fi I ing F2S 10.00
WORKMEN'S COMPENSATION INSURANCE
I declare under penalty of perjury (check one):
F] The permit is for $100-00 (valuation) or less.
Ej I have placed on file with the County of Butte Building Department
a Certificate of Workmen's Compensation Insurance or a Certificate
qj-C-onsent to Self-Insture.
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 th.e.W. C. provisions of the Labor Code, you must forthwith comply with such
provisions or this permit shall be deemed revoked.
Heating 61,4 1,Q0 0,V
WK;- /-"* J
Cooling
2-
Hood
_12,00
3.00 1 _7 f -J r)
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 C
'ounty ot
Butte to enter upon the above-mentioned property for inspection purposes.
1 also agree to save, indemnify and keep harmless the County of Butte against
all liabilities, judgments, costs, and expenses which may in any way accrue
against said County in. coTquence of the granting of this permit.
X Date �:P,- -6
Signature of Applicant �- ED F�Zgent M
An OSHA permit is required for ehxcavat on,
i and demolition or construct-
ion of structures over 3 stories in eight.
Mobile Home Installatiorif Fee $
TOTPA!PERfAIT FEE $ 90
OCCUP. GROUP
P —3
I TYPE OF CONST.
It-- AJ
I V
JPAV9LJ
PK XIj7
This permit is hereby issued under
sions of the Butte County Code and/or
work indicated above for which
DIREC OF PUBLIC
By-
PERWT IiXPIRES Date—
the applicable provi-
resolutions to do
fees have been paid.
WORKS
Date
Receipt No. U,�uz- �to
WHITE-D.P. K-INSPECTOR. GOLDENROD-APPL [CANT
6779
SUTTE. C
EcoaDs
REQUESTC�)
KAR 45
CLERK
OrEV
Re�urn t6 DPW AGRICULTURAL STATEMENT OF ACKNOWLEDGMENT
FOR,RESIDMIAL'DEVELOPNENT
Section 26-0.1 of the Butte County Code requires this acknowledgement
be recorded prior to issuance of a building permit.
The property described herein is adjacent to land or included mOT COMPARED WITH
within an area zoned for agricultural purposes, and residents of this ORIGINAL DOCUMENT
property may be subject to inconveniences or discomfort arising from
the use of agricultural chemicals, including, but not limited to herbicides, pesticides,
and fertilizers; and from the pursuit of agricultural operations including, but not limited
to cultivation, plowing, spraying, pruning, and harvesting which occasionally generate dust,
smoke, noise, and odor. Butte County has established agricultural zones which have as a
priority use for productive agricultural purposes, and residents within said zones and on
adjacent property should be prepared to accept such inconvenience or disconform from normal,
necessary farm operations.
All that real property situate in the County of Butte, State of California, described
as follows:
I _y/-
�- 0, 7- R5
Date: >
I-S'l o "'� f
13o-T-rc-
N. C) � e-rz
G7. � I�L-Jy 9
PROPERTY OWNERS:
State of On this the dav of 19L�—, before
S. me, the undersigned Notary Public, personally appeared
County of aljzze&�— ) /"'� , -
Personally known to me.. /7 Proved to me on the basis
of satisfact6ry evidence.
F-1 r" F1 n M- Pr r "',
to be the person(s) whose hame(s) subscribed to
�he within instrument and acknowledged that
e�ecuted the same for the purposes therein contained.
oc:,iwy
16.19181-Y WITNESS WHEREOF, I hereunto set my hand and official seal.
Expires Se,11.
cow 0:7 jnnramm:�
Notary-�ublic
Present A. P. No. �1-7
_ /__
,/33
7,
RESIDENT,IAL ENERCY PLAN CIIECZINSPECTION,SUMMARY FORM I
Owner
"'loor
C-"
Climate Zone Permit No.
Area
-6
��,Anpliance
path:
Package CIB CIC X<Oint 'System C1 Budget 0 Other
MIN
REQ'D
R -VALUE DESCRIPTION
�'i_TALLED
ITEMS,
(1) INSULATION:
Roof/Coiling
Wall
Slab Floor Pe r inie t e r
Raised Floor
(2) INFILTRATION:
11
(A) A vapor ' barrier is r—eq—uired in c—limate zones, 1, 14 & 16.
(B) All rianufactured window's and sliding glass doors shall meet the
1972 ANSI Air Infiltiation Standards and shall be certified and
labeled.
(C) All swinging doors and,windows leading to uncondition ed areas
shall be-ftilly-we'atherstripped.
BUTTE COUNTY
Tight - Lhe above sLandard, features plus: BUILDING DEPARTMENT*
(D) ContinLIOUS ififilLr,
ation barrier
(E) Electrical outlet plate gasket
APPROVED
(F) Air-to-air heat exclianger
(3) Gl,�ZING:
-(A) fj)c;.tL ion
Are. -A Glazing %Floor Area Single Double Triple
-
Total Bldg 2�� hm
North
Ea s t
V_;�
(n
1,
SOLIth
West .01
Skylights —
(B) S h ad in v
S had i rig
Coefficient Description
0
East 6",7
South
We s t FALC4)�
Sky 11 gh ts
(C) South Overhang
I,ength of projection -ft. Description
(D) 'Inveabjc- insulation: 'Area ftZ Description
mass
Area Ft.2 HC= R=
Location
e Area Ft.4 HC-_ R=—
"'IC 1,o c a t io n
1-1
Typul - Area Ft.2 HC_ R=
MC= Location
13
Type - Ared. Ft.2 IIC= R=
MC= LojaLion
0
Type - Area Ft.2 HC=_ R=
Location
L3
Type - Area Ft.Z HC. R=
N. C = Location
,/33
W. �_V
FORM I
0 (4) MASONRY AND FACTOR�.-81JILT FIR�PLACES shall be equipped with tight
fitting closeable metal or glass doors covering the entire -opening
of the. firebox; a combusion air intake equipped with a readily
accessible, openable, and tight fitting damper to draw air from the
outside of the building; and tight fitting flue damper with a
readily accessible control.
*1(5) HEATING, VENTILATING, AIR CONDITIONING SYSTEM
(A) Heating
Central Gas Furnace ::5j C7
(brand and model number) SE
Btu/hr
(heating capacity)
Heat Pump (brand and model number)
ACOP
Btu/hr
(heating capacity at 47*F)*
13 Active Solar
type (liquid or air) Collector brand and
ft2
model nUmbcr solar fraction collector area collector
orientation collector tilt y -intercept
rated slope
13 Other
(describe)
(B) Cooling
0 Electric Air Conditioner
(brand and model number) (season,al EER)
Btu/hr
(cooling capacity at 95*F)
Electric Heat Pump
EER
Btu/hr
(cooling capacity at.95*F)
0 Othe,
(describe)
(C) A T140 -STAGE TREI;*IOSTAT, which controls the supplementary heat on
its second stage, shall be'required for heat pumps.
(D Lfj AUTOMATIC SETBACK shall be provided for all thermostat�, except
those controlling heat pumps.
(E) LN IDITERNITTENr IGNlTION DEVICE shall be provided for all gas-fired
fan type central furnaces, gas-fired fan.type wall furnaces and
gas cooking appliances.
(F) BACKDRAF1 DAMPERS shall be provided for all fan systems exhausting
air to the Outside.
(G) DUCT CONSTRUCTION & INSULATION. All transverse duct, plenum, and
fitting joints shall be sealed with pressure sensitive tape or
mastic to prevent air loss and shall be insulated -to conform to
the provisions of Section 1005 of the UMC, 1976 Editioia.
7/83 2
t-UKM I
(6) DOMESTIC WATER SYSTEM
13 (A) Gas Callons
(brand and model numbe�) (tank size)
13 Heat Pump w/ElectricBackup
(brand and model number)
Gallons
*2 (tank size)
Active Solar
(collector b rand and model number)
(rated y -intercept) (rated slope) (solar fraction) 2
ft
(backup heater type, brand and model number) (collector area)
(collector orientation) (collector tilt)
E3 Location of Solar P iels
Other
(Describe)
(B) TANK INSULATION. Storage'type water heaters and storage and
backup tanks for solar sys'tems shall be externally wrapped with
R-12 insulation or greater.
(C) PIPE INSULAVION. The five leet of pipe closest to the water
heater and outside conditioned space shall be insulated with a
minimum of R-3. Steam and steam conditioned space shall be
insulated with a minimum of R-3. Steam and steam condensation
return piping and recirculating hot water piping outside the
building envelope shall be insulated in accordance wi-r-"h
T20 -1408(d).
(D) FLOW R�,STRICTORS shall be provided for showerheads and faucets
as outlined in the new appliance efficiency standards and shall
be certified to the Energy'Commission.
(7) LIGHTING
(A) Lamps used in luminaries for general lighting in kitchens and
bathrooms shall have an efficacy of not less than 25 lumens per
watt (usually florescent).
Submit documentati I on of sizin g heating and cooling equipment by Manual J, sizing
charts (for'm or other approved methods, seciion 2-5352(g), and fill out the
following:,
elevation 0 heatin
Hea.ting: Winter design temperature a ' 40 g load -4' a, O-BTi:
elevation factor x heating load = maximum outlet capacity gas furnace
BTU
Cooling: -Summer design temperature 102- cooling load OV. L...BTU
*2 Submit T.I.P.S.E. chart or other approved system (form #5) rd-d-obug a -D -f
VWt�TfNb' GOIDE,
solar panels. I
COOLING MAYBE INADEQUATE
EM DESIGN COMPLIANCE STATEMENT: The above building design meets the requirements of
Title 24, Part 2, Chapter 2-53 ot the California Administration Code.
7/83 ��:A����SIGNER OR APPLICANT
SIGNATU - OF L
3
cl,
------ 77 ------ ---
co-
64
-010000
0 a 0 C, 0 -
C,
0: a
A
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— — — — — — — — — — — — —
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tc�
ca 7 7 7 7 7 7
- — — — — — — — — — n n
40 — — — — - -
G —70
+ 4 T
+
---- - - - - - - - - - - -
- - - - - - - - - - - - - - -
j I I I I , I , , " , , ", -. , -, - 1
- - - - - - - - - - - - - - -
- - - - - - - - - - - - - - - - -
0 0
7 7 0 q
'o . . . . . . .
-- — — — — — — — — — — — — — — — — — —
— — — — — — — — — — — — — — — — — -- — — L — — — — — — —
f— — — — — — — — — — — — — — — — — — — — — — — — — — — -
- - - - - — — — --
C;
7 7 7 7 T. F�
4 - — — — — — — — — — — — — — —
C—mo
C'.
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7 7
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— — — — — — — — — — — — — — — — — — — — — —
Q to . . . . . . .
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— — — — — — — — — — -- -- — — —
00
— — — — — — — — — — —
ao 'i (n 'n .40,
WN a Ch (D '0 -------------
t;
C.
UD
u
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wW — — — — --
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in in v)
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ki
17
Tab,e 3-'3. . InVI!2allcia Coatrol
rmt"res Points
'Coatral Festuret Points I
Stan -lard 0
1.9 air changes p*r hr
1 lrisu +tz
0-5 air changes per hr
Tj'*!e 3-15. Cos F.ri,ice vithour
Caj!!nq pninel
Seasonal Efetct.!n:y Points
(SE),
71 - 76 0 1
77 - 82 +2
83 - 3.9- +4
89 - 9. 46
95 up +8
'!_J_�Ie 3-!C'- Plat Noo ?olncs
I Soery Effic!ency
Points
Ratio
I
(EESQ
7.5 -
7.9
+3
3.0 -
8.3
+6
3.4 -
3.1
+9
8.? -
9.1
+12
9.2 -
9.6 f
3 1
9. 7
11.2
�11 I
10.3
13.8
-21
10.9
11.5
+:-
5
12.3
-27
12..A
13.2
+30
I
*Able 3-17. Cis rurnace With
Refriveration Cooling Pointj
T__
FurnAc`e
Coot I nj I t
1 7 1-1 1-i ai-I 39-77-5-7
1 761 Ol 811 9-�l , I
T --i 1 1 1 1
11.0 - 8. 3 1 ')1 +21 4-41 -61 18 1
S. JL - a , 1., 1 �21 +. +?1 +10
t t.� - 9.2
1 9.2;
!(.4
-..I A P ! ! )) . . 'u,' , ;
;if TER log 111EPMAL KA'% Pal ?:�S
4A ',t DvrLL ING AREA SQUADE FOOT
A�EA I COO 1.500 2.000 2.500 3.000 J.SOO 4.000L
sm. r t A 9 C D A 8 C 0 A 6 C 0 A C 0 A 8 C 0 A 9 C 1) A 1 4 . SGO
4
C 0 -A 5
7 2 2 2 0 1 2 0 0 0 0 0 0 0 0
0 0 a 0 0 a 0 0 0 0 C 0 CIO 3
4 4 4 2 ? 2 2 2 2 2 2 2 0 2 2 Z 0 2 0 0 2 2
Isn 6 4 4 0 0 2 2 0 11 0 a 0 0
2 2 2 2 2 2 o
ten 8 6 4 : 6 4 2 4 4 A 2
10 1-3 a 6 6 6 4 6 6 4 2 4 4 4' 2 4 2 2 1 2 2
341 12 12 To 6 8 8 6 4 6 6 6 4 6 6 4 2
35J - 14 14-12 C 10 IG 8 6 6 6 f 4 6 6 6 2 6 4 A
40.7- 14 14 1 to 10 a 6 4 6 6 4 4 6 6 4 2 4 4
III Is 16 to 12 12 10 6 10 10 a 6 a 8 6 4 6 01 6 A 6 6 6 6
22 20 18 12 14 14 12 8 12 12 10 & to to a 6 a a 6 4 a C 6 4 4
6 6 6 6 L a j
s : 2
24 2: 20 6 14 10 14 14 12 a 19 10 10 6 10 10 a 6 a a a A & 6
2)o .16 1 22 7 6 16 10 14 14 1 z a 12 10 1.11 IS 10 10 a 9 10 a 0
z,j :R ;,4 16 70 A 17 1 1� 14 12 6 17 1 Z I n 6 6 6' 4 1. 6 i,
_0 0 30 : 6 18 ? ? 20 4 0 h 6 0 4 : 4 : 2 8 5 4 6
h 1 :4 : 0 : 4 8 C 4
otizi 112 V Z8 ZO ?4 24 22 14 1 :1 :0
20 20 18 10 16 6 4 4, : 4, :2 8 12 12 :0 1 to f 1.1 in
.200 - 34 32 30 22 26 26 2? 16 22 20 1 3 e r
18 12 10 18 14 10 14 14 12 8 14 12 2 a 17 1 10 10 10 0 6
J 70 - 34 14 32 "1 1 r a
? 2 28 L' 6 24 16 7? 22 20 .1.2 18 13 1 C 10 1 �; 14 14 8 14 ! 2 1 2 8 12 12 1 6 12 0 11)
03 34 34 3Z 24 21.- 28 26 18 2: 24 2n 10 20 19 12 19 It 14 10
.1 � : 3 t 1.1 1
17
16 34 14 24 30 30 26 1 Fj 2 24 22 8 is I f C C, I'll : 41 114,
?? 20 le
34 14 32 2? 30 30 z6 118
0 2 2 & 26 22 62 22 22 20 1 z 2o ?o ;e. It Z IS 10 16 1 0 16
2.Sil 34 34 3 2 8 26 26 24 1 t 4 1 22 ZI i 1 .4
30 30 26 2
3.500 34, 32 30 22 320 30 26 1: 28 6 is 16 14 '4 1? 21
3 3 ? 30 30 33 26 6 28 14 .1 2Z
.1 . 3 30 ;a 1 ?6 21
4.SO3 32 3 ? 3 0 3 3 It 24 1
t
A 3'3' Coot rete Slab: VC -A.93'. L
2. 3 3W C 0-,)o 0 , I I � : - , I C � 7 1 factor -7.3
1. S%* rontl.te Slab: IIC-14.106: t.C!,7.1
C I - b- So I I d F I tied .3licL: HC -?..6); Factor -6.1 wood stove P33 pnints (nz� back
2. 8' St, I te F I IIPA Slor.. With Ont', Stdt� E.p,;%ed '. CordItioned Air. ca s ablanca fan 0
Not[: Use all square foot.5,, directly exp3ted to Cordft ior.fd air
lot Iher7j;:P1,&ss.Are;:
nr Factor -6.1
0) 1' Thick Co r e/l KC 2.5 ; R . 08j; F t r r.3.7
Table 3-19. Zonally Controlled
Electric Resistdnce
SDACP 11164tInq Poirtg
Points for this sure wf I S,,lar Wnzor FL.ijJn4 With Cos flarlrup Fjjrs�s
be completed -a!, er t h. -,�C
ham appru�ed an Ut,.rnat�,, ful t I f1ml 1 po t nt s)
Component Packal;e -for Resista-1ce 1_91_�
tie 4t Floor Area Set Solar Fraction (tISF). Z
Pcr tintt,
Tal,le 3-13. Active Sol.ir Sp,.,:e 1 1:2
ti I Is r 9 PoIntq 0.9 10-19 20-29 30-39 -0-49 5�)-59 60-69
70--79 Table 1-21 Cth�r Water !!-,t!rjt pts.
'let Solar Fraction PolnE3
600-799 0 +3 +7 System Typ� rofr-s
+In +14 411 421 �: I .
80()_9�9 0 +3 +5 +8 14 4 j'! jf,4 I
.000- 1 4 9 9 0 42 +4 +6 -.10 2
0 - 6 0 +3 +10 -12 +14 c4a Only 11
+4 +b +7
7 - 14 +2 ,Z uZ
+2 4-4 �4
9,.t
- 23
15 +4 0
26 i 0 +6 others e- butlittin P,,ints)
31 3q 40 7, Sol.r v!:h Electric
++ �19 A
40 - 47 410 9 1 0- 99 9 0 '4 S
4-12 tt.e R,.-ui ri-
56 - 63 414 1 4 5 9 .,Mt, I, Fit,
48 55 1) �q
r 5
7 1 1
+ +
GLAZING PLAN TAKEOFF SHEET
3-5 NorEh Glazing
QUANTI SIZE AREA (SQ.FT.)
4. x 544(a (.1010
x 7L4
x
x
x
Total North Glazing (SQ.FT.)
.(a+b+c+.d+e)
YrAL
I
)RTH
TOTAL BLDG
LZING
TLOOR AREA
1,7_
x
%
SQ.'FT.
3 -7 -South Glazin
CONVERSION TOTAL %
FACTOR NORTH GLAZING
100 on ("o, %
QUANTITY SIZE AM (SQ.FT.)
-x A40
x -7r.54*7,
?c = —22
x
x
'.:Total South Glazing (SQ -FT-)
(a+b+c4.d+e)
)TAL
34 East
)UTH TOTAL BLDG CONVERSION
TOTAL %
kZING FLOOR AREA FACTOR
SOUTH GLAZING
1,7_
x loo
%
1 -.FT. SQ.FT.
x
3-9 Skyl��ts
(b)
QUANTITY SIZE
AREA (SQ.FT.)
I x
(c)
x
x
x
Total Skylights
(SQ.FT.)
(a+b+c)
x
OTAL
34 East
nIGRT
TOTAL BLDG
AZING
FLOOR AREA
1,7_
x
Q. FT.
SQ. Fr.
TOTAL
EAST TOTAL BLDG
GLAZING FLOOR AREA
x
SQ.FT.
CONVERSION TOTAL %
FACTOR EAST GLAZIN
100 1. 4&
3-8 West Glazing,
QUANTITY SIZE AREA (SQ.Fr.�
(a) x
(b) x
(c) x
(d) x
(e)
total West Glazing (SQ.Fr,
(a+b+c+d+e)
TOTAL
34 East
Glazing
TOTAL BLDG
GLAZING
QUANTITY
6)
AREA (SQ.FT..
(a)
x
x
SQ.FT.
(b)
x
(c)
x
(d)
x
(e)
x
Total East Glazing
(SQ.Fr.
.
(a+b+c+d+e)
TOTAL
EAST TOTAL BLDG
GLAZING FLOOR AREA
x
SQ.FT.
CONVERSION TOTAL %
FACTOR EAST GLAZIN
100 1. 4&
3-8 West Glazing,
QUANTITY SIZE AREA (SQ.Fr.�
(a) x
(b) x
(c) x
(d) x
(e)
total West Glazing (SQ.Fr,
(a+b+c+d+e)
TOTAL
WEST
TOTAL BLDG
GLAZING
FLOOR AREA
6)
" -S
&-
x
SQ.FT.
SQ.FT.
CONVERSION TOTAL %
FACTOR SKYLIGHT GLAZING
100 - - 6o, 5 %
CONVERSION TOTAL %
FACTOR WEST GLAZING
100
OWiR THERMAL MASS TAKEOFF -SHEET FORM I
PERMIT NG.
Thermal mass: Materials which'have- I the abil'ity to' store heat (typical types are masonry,,
bkick and.ceramic tile).
Thermal mass cannot be insulated from the interior of the building. (If covered by car-
pet, cabinets, or enclosed in closets the mass is,considered insulated).
Thermal mass fl ' oors must have an exposed and textured surface or design so that carpeting
not occur. (Covering of vinyl or asp -halt tile and linoleum is permitted).
TYPE THICKNESS LOCATION
DIMENSIONS
AREA
Entry Floor
X
SQ.Fr
Bath #1 Floor
x
SQJ7�
Bath #2 Floor
x
SQ.Fr
Bath #3 Floor,
x
_�SQ. Fr.
Kitchen Floor
x
SQ.n�
Floor
x
SQ.Fr,
Floor
x
—SQ.Ff.
Fireplace---
x
SQ.Fr.
Fireplace
x
SQ.F—L.
Bath #1 Counters
x
SQ.F-1.
Bath #2 Counters
X
SQ.Fr,
Bath #3 Counters
X,
SQ.Fr.
Kitchen Counters
x
SQ.F7.
Wall Shield
x
Walls
x
—SQ.F7,
SQ.Ff,
Walls
x
Walls
x
_SQ.FT.'
SQ.Fr.
—SQ. Fr,,
x
SQ.Fr..
x
SQ.FT.
if compliance method.proposed is other than the point system (where thermal mass point
charts are available), use calculation methods on.reverse of this form to show thermal
mass compliance.
7/83
IM
UTTE-CONT
BUIL)ING DEPART
K�RPROVI
?s
. 4�W-
-W
�52
omes)
-A 0 T.
4
lvr_l 2Q
6 A
APG, BI --P; -
41 vo f 15
0)
Z16,
311 541
fal 000 bq x 5.61
1 %10
ISO,
40
jai
P Ift OJA cilre u -a
m
*.(P BCD
Ile
IA I Scl
BE -AM (D GLU -�-A�A
-19 7- ..-"L
Z- r ins
11N
F.) m
-7,-(; LA' -A JZ)
—At V CAIRO
klo
A -it Awt44
JACL
Izz
- , �:",
Oft
�llj I . 1, 1 ICU!"
a, I IWO
..4 on -O!g
Vo
0, 1.4 P. J
MAW SA'F—&—tA
-4(
Trh
&,(41, —Z Ins
d*g -4.vlo PA
Ownjir,: Permit No.,.—
E N E R G Ll Y C E R T I F I C A T 1 0 N
Songbird Lane (Cavanaugh)
LOCATION A.R. No.
DESCRIPTION OF INSULATION
ROOF
Material
Thickness(inches)
EXTERIOR WALL
Material FiberQlass
Batts
Thickness(inches)
61,11
CEILING
'Batt or Blanket Type
Fiberolass Batts
Thickness (inches)_
-.91'!
Loose Fill Type
Minimum Thickness(Inches)
Area covered(ft.2)
iLOOR, ELEVATED
Material- Fiberglass'
Batts
.. Thickness(inches)
6
FLOOR,, SLAB
Material
Thickness(inches)
Width(inches)
FOUNDATION WALL
Material
Thickness(inches)
Brand Name
Thermal Resistance (R Value)
Brand Name Owens-Corning
Thermal Resistance(R Value) R19
Brand Name Owens-Corning
Thermal Resistance(R Value) R30,
Brand Name
Number of Bags— Wt. per bag lb.
Thermal Resistance(R Value)
Brand Name Owens-Corning
Thermal Resistance(R Value) R19
Brand Name
Thermal Resistance(R Value)
Brand Name
Thermal Resistance(R Value)
I hereby certify that -the above insulation was installed in the above building
in conformance with the State of Califorzaa Energy Requirements*
LOERKE INSULATION CO. #432518
FIRM NAME/OWNER STATE CONTRACTOR'S LICENSE NO.
July 2, 1985
SIGNAT11RE OF INSTALLATIbN APPLICATOR DATE
I hereby certify the above insulation and all required items as shown on the
Building Department approved plans and attachments have been installed as
requiredby the State of California Energy Requirements-.
All equipment, -devices and materials are of the quality prescribed or are
ifically approved by the State of California.
speci
FIRM NANE/OWNER (Please pritht) STATE CONTRACTbR'S LICENSE NO.
S IGNA-i-��-GlMqE%4',l--C6NTRACTOR /OWNER DATE
THIS CERTIFICATE MUST BE ON FILE WITH THE BUILDING DEPARTMENT PRIOR TO FINAL
INSPECTION APPROVAL AND A COPY SHALL BE POSTED WITHIN THE BUILDING.
January 1984
rot,
PERMIT NO. 3339-86B.P,E
PERMIT EXPIRES
OWNER RICH & BETH CAVANAUGH
CONTR.— BONITA POOLS
ASSESSOR PARCEL 47,50-25
LOCATION 4,78% Songbird Chico
temp. Power Pole_
Called PG&E
Temp. Elec. Service
Called PG&F-
Temp. Gas Sei
t Called PG'
JOBFINALEI
Signature
OK
0 Not OK --
Not Applicable
Not Ready
MOBILEHOMES
MISCELLANEOUS
Date
MOBILEHOME UTILITIES (Plans) OK except #'s
1. Zoning Requirements—Setbacks—Easements
Da te
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; Local i on—Test— Easement Needed (Sketch)
4. Wood Awn.; Posts— Beams—R f trs.—Con nec.—Shthg.— R fg.—Brac i ng
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 -Bl
Date Card -Bl Date
Card -Bl
Date
Date Card -131 Date
MOBILEHOMEINSTALLATION (Plans) OK except #'s
Card -BI
Date
Date Card -Bl Date
POOLS (Plans) OK except #'s
1 . Zoning Requi rements—Setbac ks— Easements
VjXetbacks— Easements
2. Footings; Size—Spacing—Marriage Line
VISoils: compaction—structure Stability
3. Gas; MH Test—Demand—Valve—Connector
./Pool Structure; Steel—Connections—Thickness—Dead Men—Lining
4. Electricity; MH Test—Crossovers—Breakers—Cl6arances
Elec.; Receptacles and Lighting; Distances—GF1
5. Drain; MH Test—Fall—Flex Connector
Elec.; Pool Lighting; 15 volts—GF1
6. Water; MH Test—Regulator—Connector
Elec.; Enclosures; Conduit Entries—Terminals—Listed
7. Water and Sewer Connected—C/O to Grade—HD Approval
V E lec.; Bonding; Metal w/5'—Circulating Equipment—Heater
8. Gas and Electricity Tagged Irf
Elec.; Grounding; Equip. w/5'—Circulating Equip.—Pool Lghig.
jBo xes—Enclosures—Panelboards—Ins. to Main in Conduit
9. Exits; Insp.—Sketch
10. Cart. of Occupancy
24 Health Department Approval
10'. Plumb; Cir. Test—Water Supply Test
Card B-1
Date Card -131 Date
Card -Bl
Date Card -131 Date
Card B-1
Date Card -Bl Date
1 -Card -BI
Date 'tW31.91F Card -81 Date
I
I
, f
0
4
V = OK
0 = Not OK
- = Not Applicable
* = Not Ready RESIDENTIAL (Single and Duplex)
Date
UNDERFLOOR (Plans) OK except#'s
Date
FRAMING (Continued)
1.
Zoning requirements -Setbacks -Easements
48.
Property Line Firewall & Openings
2.
-F-1g., Main; Soils-Steel-Elec. Grnd.- Ftg. Depth
49.
Ext. Doors -One 3' -Check Garage -3rd story, 2 exits
3.
Ftg., Garage; Soils -Steel- Ftg. Depth
50.
Stairs; Width -Headroom -R ise- Run -Landing -F ire Protection
4.
Ftg., Porches & Decks; Soils -Steel- / / Ftg. Depth
51.
Plywood on Roof Overhang -Attic Vents -Rafter Outriggers
5.
Stemwalls, Main; Steel -B loc kouts-Wrapped-S lab
52.
Siding -Nailing -Veneer
6.
Stemwalls, Garage; Steel-Blockouts-Wrapped-Slab
53.
Stucco Mesh -Drip Screed-Fdn. Vents-UnderfIr. Access
7.
Piers -Fireplace Ftg.-Steel
54.
Glazing Area -Glass Protect i on -Sky I i ghts-P last ic
8.
D.W.V.: Fall -Fittings -Test -2 way C/0 -Sewer Test
55.
Shear Walls; Nailing -Bolts
Gas Pipe; Size -Anchors
10.
Water Pipe: Test-Anchors-Regulator-Sery ice Test
11.
Electric: Underground
12.
Plenums & Duc ts; Clearance -Material -Support -ins.
13.
Girders -Sills -Anchor Bolts -Joists -Vents -Cripples
Card -BI
Date Card -BI Date
Card -BI
Date Card -BI Date
-r -d
Card -BI
Date Card -Bl Date
Ea 6 1
Date Card -BI Date
Card -BI
Date Card -131 Date
Date
FINAL (Plans) OK except #'s
56.
Ext. Steps -Door & Sidelight Protection -Landings
Date
PLUMBING (Permit) OK except #'s
57.
Smoke Detector
14.
Water Ht-.: Vent -Access-Combustion Air
58.
Furnace; Vents -C I earance -Comb. Air -Conn ctor-
15.
-
Water Pipe; Test & Anchors -Nail Protection
In Garage; Above Floor-Ducts-Mech. Protection
16.
D.W.V.: Test-Fttngs & Anchors -Nail Protection
59.
Bedroom Exiting
60.
G.F.I. & Bath Fixtures & Tub Access
17.
Shower_Pan: Test'. �irs I Floor -Tub Access
61.
Elec. Trim & Subpanel; Breaker Sizes -Labels
18.
- '
Test Tub & Shower, 2nd Floor -Tub Access
62.
Stairs & Rails
19.
Gas Pt:p"e-: Size & Anchors
63.
Fireplace or Stove; Clearances -Hearth
64.
Elec. Outlets at Wood Panel; Int. & Ext.
Card -BI
Date Card -B Date
65.
Kit. Fixt. & Appliance; Grnd.-Air Gap -Cooking Clearance
66.
67.
Elec. Outlets & Receptacles at Kit. Counter
Garage Fire Door; Swing -Landing -Closer
Card -BI Date Card -Bi Date
68.
A.C. Duct in Garage -Damper
Date ELECTRICAL (Permit) OK except #'s
20. Fixture & Transformer Clearance -Ins. Protection
21. Elec. Receptacles Spacing -Lights & Switches at Doors
22. Size Boxes & No. of Conduc - tors -Stapled
23. Romex Installed Close to Edge of Studs & C.J.
24, Equip. Ground made up w/Mech. -- Fasteners -Bond Gas & Water
25., 2 Appliance Circuits in Kitchen & Conductor Size
26. Subfeed Wire Size ga. Cu or AI-A.C. W . ire Size / Y ga. Cu or Al
27. Range Circ. g . Cu or.Al
-a Circ. ga. Cu or At,
insulated Neutral -- Yes - -No
28. Service -Riser Conductors & Ground7Main Di - sconnect
29. Equip. Clearances: Pane I s-Motors-Mec h. Equip.
30. Clothes Closet Light -Shower Light
69.
Wtr. Htr.: Vents -Clearance -Comb. Air-Connector-P.R.V.-
In Garage; Above Floor-Mech. Protection
70.
71.
Plb., Elec. & Mech. Equip. Listed for Location
Elec. Receptacles in Garage; (G.F.I.)-Romex Protec.
72.
Insulation -Foam -Looked in Attic E] Yes
73.
Guard Rails & Deck Construct ion -Post Caps
74.
--
Fdn. Vents & Crawl Hole Door -Drainage & Wood -Earth Clearance
Looked under Floor E Yes
75.
Following instid.: Drive [] Yes Ll No: Walks Yes
Planters El Yes [J No E] No:
76.
Stucco; Brown -Finish
77.
A.C. Unit; Disconnect-Cirnces-Brkr. & Cond. Size -115V Outlet
78.
Vents Above Roof; Plbg.-Appliance-Firepi.-Clearance to Opngs.
79.
Water Well; Disconnect, Electrical, Plumbing
Card B-1
Card B -I
Date Card -BI Date
Date Card -61 Date
80.
Exterior Elec. Trim: G.F.I. Receptacle -Underground
81.
Ventilation throughout House
82.
Glass Protection
83.
Corrections from Previous Inspections
Date
MECHANICAL (Permit) OK except #'s
84.
Gas Test -Meters Tagged; Gas -Electric
31.
A.C. Ducts. Insulation & Support
85.
Water & Sewer Connected -C/O to Grade -HD Approval
32.
Vent Fan: Exhaust above Insulation
Energy Compliance Certificate -Other -Certificates
33.
Condensate Drain & Overflow: Size_& Grade
-86.
34.
Fornace-Vent: Access -Comb. Air -Return Air Vent -1 15V
35.
-outlet
Attic Access & Platform if Furnace in Attic
Card -BI
Card -BI
Date Card -BI Date
Date Card -BI Date
Card -61
Date Card -BI Date
Card -Bl-----
-Ea rd - 61
e Card -BI Date
E te Card -BI Date
Date
FRAMING(Plans) OK except #'s
Com: ients at Final:
36.
Sills, Proper Material & Anchors
37.
Walls. Studs -Nailing, Spacing & Bracing -Plates -Sound
38.
Bearing Walls over Girders & Floor Nailing
39.
Draft Stop in Walls (rat proof)
40.
Fire Stops.Furred Ceilings -Stairs -Chases -Tub
41
Header & Beam -Size & Bearing
42.
Hangers -Post Caps-Anchors-ConneclorS
43.
CIng. Joist-Rtti. Ties-Purlin- Roof Brac.-Truss-Shthnq.-Rfnq.
44.
Fireplace Ties or Type A Flue -Fireplace Throat
45.
Attic Access. Size & Romex Protect ion -Draft Stop -Ins. Baffles
46.
Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions
47.
Garage Fire Protection Framing
(NOTE Anentrymust be made each time youvisit jobsite)
COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS PERMIT NO.
7 County Center Drive - Oroville, Caftrnia 95965 - Telephone 916/534-4 1
APPLICATION AND PERMIT ;Z
ASSESSOR PARCEL NUMBER
"V -7 50 — -L5
ZO�N
BUILDING PERMIT
OWNER ITEIEPHONE
ilz l�tx a (ICA (� 12�V CL tJ 0- LA,% I,
SQ.FT. OCC. BUILDING VALUATION
--a,
�,,
) 2 15 -a C)
OWNER'S MAILING ADDRESS 13 _
Ai -7 tr.�
C 0 Nr
_�ACTO.7-S NAME 1�3
0ni4r, pool_lr�
TELEPHONE
cot4TRACTOR'S MAILING ADDRESS
fz+ 3 6,1
Fireplace
CONSTRUCTION LENDE
IN n 0_
UNKNOWN
I
Total Valuation 1$
0 t
Filing Fee
$ 10.00
—
LENDER'S MAILING ADDRESS
Permit Fee
$
ARCHIXT OR ENGINEER
cl, V_,_J
LICENSE NO.
Plan Checking Fee
$ b
Energy Plan Checking Fee
$
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Penalty
$
BUILDING ADDRESS
'd4 2 S -S �50 r2v,�, 1 ir-
Permit fee
$ 15-3. S'0
PLUMBING PERMIT
FilingFee 10.00
Each Trap
2.00
Solar or heat pump water heater
20.00
LOT NO.
-:513,
SUBDIVISION NAME
Qum, (I a4_10
ARCEL MAP
1P
Water piping
5.00 S" 0 a,
Each cias water heater or vent
5.00
USE OF STRUCTURE
SF [I DuplexF� Mobilehomer_� Other P., Pool
SPECIFY
Gas piping system 1 - 5 outlets
5.00
Building sewer
5.00
Mobile Home S I G I W
10-00ea
TYPE OF WORK
New�L AdditionEl Remodelo Utilitieso InstallationEl Othero
Describe work:—
I
Permit Fee
$ 00
Contractor
ELECTRICAL PERMIT
Fi I ing Fee 10.00
600V OR UESS
Main service 100 AMR 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 Professio Code and my license is in full force and effect.
License No.RZ-"&� —Classification _C_-4 -3
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, arn exclusively contracting with licenseU UVIILICIUI-
ors. (Sec. 7044)
E] I am exempt under Sec.—, Business and Professions Code
for this reason
NEW CONST DWELLING OCCUP.8d
OR ACCNS. ACC. BLOGS. 21/4sqft
NEW CONSTR. M ULT'_OUTLET 2.50 ea
N ON-RESID. BRANCH CIRCUITS)
PO ER APPARATUS.&)
(SINWGLE OUTLET CIR
20@50*
Ex. OCCUP(OUTLETS OR FIXTURES BALO 301
FIXED APPLINIS OR
Ex. Occup. OUTLETS (RES(D.) EA.) 2.00
Temporary service 10.00
Mobile Home Facilities 15-00
M"c,. Wiring R)a 15.00 00
Permit Fee $
WORKMEN'S COMPENSATION INSURANCE
I declare under penalty of perjury (check one):
The permit is for $100.00 (valuation) or less.
1 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.
Contractor
MECH NICAL PERMIT
Fi I ing Fee 10.00
Heating
Cooling
Hood
3.00
Venti lation
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 ot
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 liabi ties, judgments, costs, and expenses which may in any way accrue
against ai Cou in consequence of the granting of this per it.
44 n //7-
90AW-e-f I — Date
Signature of Applicant — Owner L" Contractor El Agent
1)6�
An OSHA permit is required for excavations over 5'0" deep and demolition or construct-
ion of structures over 3 stories in height.
Mobile Home Installation Fee $
Energy Inspection Fee
-
TOTAL PERMIT FEE $ /P7.5,5-6
occ"P,
I CONST*TYPI�
I
JFLOOOJPA7J
This permit is hereby issued under
sions of the Butte County Code and/or
work icated above for which
UBLI
B
PERMIT EXPIRES Date
the applicable provi-
resolutions to do
fees have been paid.
WORKS
Date 15410VYJI�
Receipt No. (a�3 3 -
WHITE-O.P.W., YELLOW -ASSESSOR. PINK -INSPECTOR. GOLDENROD-APPL I CANT
COUNTY OF BUTTE - DEPARTMEW-OF L PUBLIC WORKS BUILDING DIVISION
7 COUNTY CENTER DRIVE - OROVI LLE, tall?,'Fb A 95965 - TELEPHONE: 916/534-4541
PERMIT APPLICATI:GN DATA SHEET
I r Permit No. k
OWNER 0- rj 0 -!dA No. -5—
pos(
Proposed Building Use Building Inspector4 Date
At time of permit application, I was advised the following data must be submitted prior to permit processing
and:/or i.ssuance: DATE RECEIVED APPROVED
_JZ1. All items have been submitted.
;r of plans.
2. Plot plans in duplicate./triplicate, signed by prepar
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. CUSD ''Fee's Paid" Stamp on Floor Plan . . . . . . . .
7 Statement of Intent for Non -Heated and AC Buildings. . . . . 1 11%
8. Fees of $ . . . . . . . . .
9., Letter of signature authorization.
10; Sanitation approval from Health Dept.
— 11. Pl.anning approval for (A) Use: — (B) Parking:-
-12. Certif.icate of Workmen's Compensation Insurance . . . . . .
1
13. Contractor's License Information (no., name sty le.,,,c lass if.)
—14. Owner -Builder Verification (Given to ownerEl, Mai I to ownerEb
__15. Improvements may be required . . . . . . . . . . . .
16. Mobilehome Installation Data. . . . . . . . . . . .
4 Pre-Inspec. request to (Date)
17. Pre -Inspection for Required- Building Inspector
V 18. Recorded copy of Agricultural Acknowledgment Statement.
19. Driveway Permit.
20. Plot plan approval from city of
21.
22.
When u issue the permit, process as follows: —Mail to -owner, —Mc -M to contractor.
_!!!��__Telephone and hold for pickup at.0_14& office, —Deliver w/inspector.
Other
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 --mal I —counter by— date
Contractor, designer, owner, was advised of above re4u,tlred data by—phone —mal I —counter by� date
Plans checked by Date Plans approved by Date
Sets of plans on hold in —File cabinet _AP folder
Hours: 10:00 a.m. - 3:00 p.m.
Copy—DPW
Z11
TO: Building Department
FROM: . Environmental Health, Chico
SUBJECT: Sanitation Clearance
c/ 7
Owner Location AP#
Plan approved for: sewage disposal water supply
Hold final for: water sup�ly
Final clearance O.K. for: water supply
Clearance for bedroom mobile home. Other
Note***
Sanitarian
Date
i
TO: Building Department
FROM: . Environmental Health, Chico
SUBJECT: Sanitation Clearance
c/ 7
Owner Location AP#
Plan approved for: sewage disposal water supply
Hold final for: water sup�ly
Final clearance O.K. for: water supply
Clearance for bedroom mobile home. Other
Note***
Sanitarian
Date
114"V1�1,17.^1 vl.!R,�OV4�' 11
v
'4
F 025 02 -'Oo�
047 ' 500-025 02-1004.
rL
GLICKSBERG, MICHAEL
IC
4785 SONGBIRD, CHICO
V
C T. I RD.ROOFING
ONT:.BAIRD
RE -ROOF
COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION
7 County Center Drive - Oroville, California 95965 4, Telephone (530) 538-7541
1
(Rev. 12/96) APPLICATION AND PERMIT
ASSESSOR PARCEL NUMBER
ZONING
BUILDINGPERMIT
OWNERL
/y/ r
TELEPHONE
T_ K21 :121 d
SO. FT. OCC. BUILDING VALUATION
r
OWNEWS MAILING ADDRESS
r To
CONTRACTOR'S NAME
A41'ell
TELEP14ONE
Ve
__z&TL
CONTRACTOR'S MAILING ADDRESS
/ A ) 1-.2 5_
CONSTR&TION LENDER
Fireplace
LENDER'S MAILING ADDRESS
Total Valuation $
ARCHITECT OR ENGINEER
LICENSE NO.
Fee $ 20.00
—Filing
Permit Fee $
ARCHITECT OR ENGINEERS MAILING ADDRESS
Plan Checking Fee $
BUILDING ADDRESS,/
Energy Plan Checking Fee
$
PERMIT FEE $
LOT NO.
SUBDIVISIONS NAME
1
PARCEL MAP
1
PLUMBING PERMIT Filing Fee 20.00
—
USEOFSTRUCTURE
SF.,,Ij Duplex 0 Mobilehome 0 Other
SPECIFY
Each Trap 7.00
Solar or heat pump water heater 23.00
piping 15.00
—Water
Each gas water heater or vent 15.00
TYPE OF WORK
New 0 Addition 0 Remodel 0 Utilities 0 Installation 0 Other 0
Describe Work:
Gas piping system I - 5 outlets 15.00
Building sewer 15.00
Mobile Home I S I G I W (9?20.00
I
PERMIT FEE $
ELECTRICAL PERMIT Filing Fee 20.00
Main Service '.' vA OoRR 'ssss 23.00
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter
9 (commencing with Section 7000) of Division 3 of the Business and Professions Code,
and my license is in full force and effect.
License Class Lic. NO.
6 -3 �
OWNER -BUILDER DECLARATION-
I hereby affirm under penalty of perjury that I am exempt from the Contractors License
Law for the following reason:
0 1, as owner of the property, or my employeeswith wages as their sole compensation,
will do the work, and the structure is not intended or offered for sale.
0 1, as owner of the property, am exclusively contracting with licensed contractors
to construct the project.
D I am exempt under Sec. Business and Professions Code for this
reason
WORKERS' COMPENSATION DECLARATION
I hereby affirm under penalty of perjury one of the following declarations:
0 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.
)fq I have and will maintain workers' compensation Insurance, as required by Section
3700 of the Labor Code, forthe performance of work for which this permitis issued.
My workers' compensation insurance carrier and policy number are:
Carrier AVI-4 " I- rA 1--F- P -f 1,A)41-)
Policy Number- J'7 1(, :Z
(The above sections need not be Completed iftfie permit is for work of a valuabon
of one hundred dollars ($100) or less.)
0 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' compensation provisions of section 3700 of the Labor Code, I shall
forthwith comply with those provisions.
X /J�//, Date
SignatuRe of Applicant - 0 wribir-tYlbo-r-itiractor 0 Agent/
An OSHA p t erAit is required for excavations over 60" deep and demolition or construction
of structures over 3 stories in heig
Main Service 200A TO 1000A 46.00
NEW CONST. DWPING OCCUR Q.
C. S. 3.5,s
OR ADDNS. FT.
NEZ=.T- MULTI -OUTLET
No H CIRCUITS 97.50
POWER APPARATUS
& SINGLE oun-u CIR.
OUTLET OR FD(TURES 20 @ 1.00
Ex. Occup. ( BAL @ .50
( O.FIXED APPLINIS 0"
Ex. Occup. (RES,6.) E.. 5.00
Temporary Service 23.00
Mobile Home Facilities 20.001
Misc. Wiring 23.001
I
PERMIT FEE
MECHANICAL PERMIT FilingFee 20.00
Heating
Cooling
Hood 6.50
Ventilation
PERMIT FEt $
Mobile Home Installation Fee $
Energy Inspection Fee $
OCC
CONST. TYPE
TOTALFEE$
HAZ.
D. FEES
IMP ]
FLOOD
CDF
PAR
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 Date 4 L
4//,
I PERMIT EXPIRES ON (Date) , I
ReceiptNo. 4
- ,
WHITE-D.D.S.-B.D. CANARY-ASSWOR - —PINK -INSPECTOR GOLDEN ROD -APPLICANT
COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION
7 County Center Drive * Oroville, California 95965 9 Telephone (530) 538-7541
(�ev. 12/96) APPLICATION AND PERMIT -,)A -
ASSESSOR PARCEL NUMBER
ZONING
BUILDINGPERMIT
OWNER,�& cz 11A 6 6-7 &!4��rAvry
TELEPHONE
SO. FT OCC. BUILDING VALUATION
tp� S-r
L -T
OWNERS MAILING ADDRESS
CONTRACTOR'S NAME I I
gwl,ea ITTO
-/ ov
CONTRACTORS MAILING ADDRESS
/ lf).2,f CAICO
CONSTRUCTION LENDER
Fireplace
LENDER'S MAILING ADDRESS
Total Valuation $
ARCHITECT OR ENGINEER
LICENSE NO.
Filing Fee
$ 20.00
Permit Fee
$
ARCHITECT OR ENGINEERS MAILING ADDRESS
Plan Checking Fee
$
BUILDING ADDRESS,/7((�) iS
Energy Plan Checking Fee
$
$
7 C
PERMIT FEE
$
LOT NO.
SUBDIVISIONS NAME
I
L MAP
PLUMBING PERMIT
Filing Fee 20.00
Each Trap
7.00
USEOFSTRUCTURE
SF,A Duplex 0 M,bil,h,m, 0 Other SPECIFY_
Solar or heat pump water heater
23.00
Water piping
15.00
Each gas water heater or vent
15.00
TYPE OF WORK —
New 0 Addition 0 Remodel 0 Utilities 0 Installation 0 Other 13
Describe Work: 5-�
Gas piping system 1 - 5 outlets
15.00
Building sewer
15.00
Home ISI GI W1
@D20.00
–Mobile
-LE!!!
PERMIT FEE
$
ELECTRICAL PERMIT
Filing Fee 20-00
Main Service ( "..v,...Sss )
23.00
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter
9 (commencing with Section 7000) of Division 3 of the Business and Professions Code,
and my license is inAfuDforce and effect.
License Class C:t-4 I Lic. No.
OWNER -BUILDER DECLARATION-
I hereby affirm under penalty of perjury that I am exempt from the Contractors License
Law for the following reason:
0 1, asownerof theproperty, ormy employees with wages as their sole compensation,
will do the work, and the structure is not intended or offered for sale.
EI 1, as owner of the property, am exclusively contracting with licensed contractors
to construct the project.
0 1 am exempt under Sec. Business and Professions Code for this
reason
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.
)sIL I have and will maintain workers' compensation Insurance, as required by Section
3700 of the Labor Code, forthe performanceof work for which this permitis issued.
MY workers' c en 0 1 rance carrier and policy number are:
Carrier F 7A F-0/1�0
Policy Number :z
'a3,y- j-4
(The above sections need not be completed ifthe permit is for work of a valuation
of one hundred dollars ($100) or less.)
0 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' compensation provisions of section 3700 of the Labor Code, I shall
forthwitb comply with those provisions
X A7 WDate �11(712
------ 77 7 - --
SignatuFe f pplicant 0 Own"elr-�'tlontFaclbr 0 Agen
AnOSH pait is required for excavations over 60" deep and demolition or construction
of structures over 3 stories in heig
Main Service TO 1000A
46.00
JL200A
NEW CONST. DW:�UNGffUIP. so.
OR ADDNS. C S. 3.50FT.
NEW CONST.
NOWRESID. @7.50
OWE.RAP� 6RATU
PSIN. . CSI R.
20 @ 1.00
Ex. Occup. OUTLET OR FixTURES BAL @- .50
OFLIED A - 0"
Ex. Occup. PPM.) EA.
5.00
Temporary Service 23.00
Mobile Home Facilities 20.00
Misc. Wiring 23.00
PERMIT FEE $
MECHANICAL PERMIT Filing Fee 20.00
Heating
Cooling
-
Hood 6.50
Ventilation
PERMIT FlEt $
Mobile Home Installation Fee $
Energy Inspection Fee $
occ CONST. TYPE
TOTALFEE$ 52 --
E
IMP FLOOD CDF PARCEL PD HD I ISS
7!�i�
This permit is hereby issued under
of the Butte County Code and/or
indicated above for which fees have
By
PERMIT EXPIRES ON
I
—
the applicable provisions
Resolutions to do work
been paid.
Date
ReceiptNo. 2>q
WHITE-D.D.S.-B.D. CANARY-ASS�;�OR —P'INK-IWECTOR GOLDEN ROD -APPLICANT
047-50-0-0�5 00-1591
LiToN, JANET,,,
4785 SONGB'IRD
LANE, CFHCO
CONTR: OW�NER
REPLACE BEAT PUW
COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION-.
7 County Center Drive - Oroville, California 95965 9 Telephone (530) 538-7541 "ptAWT NO.
(Rev. 12/96) APPLICATION AND PERMIT - YX
ASSESSOR PARCEL NUMBER
ZONING
BUILDINGPERMIT
OWNER
J A w
IELEP ...
So. FT. OCC. BUILDING VALUATION
OWNERS MAILING ADDRESS 1
4106 sc),kltoni
CONTRACfOFfS NAME TELEPHONE
CONTRACTORS MAILING ADDRESS
CONSTRUCTION LENDER
Fireplace
LENDERS MAJUNG ADDRESS
Total Valuation $
ARCHITECT OR ENGINEER
LICENSE NO.
Filing Fee $ 20.00
Permit Fee $
ARCHITECT OR ENGINEERS MAILING ADDRESS
Plan Checking Fee $
BUILDING ADDRESS 1_4t
Energy Plan Checking Fee
PERMIT FEE $
LOT NO.
SUBDIVISIONS NAME
PARCEL MAP
PLUMBING PERMIT Filing Fee 20.00
USEOFSTRUCTURE
SF %, /Duplex 0 Mobilehome [3 Other
Each Trap 7.00
Solar or heat pump water heater 23.00
Water piping 15.00
Each gas water heater or vent 15.00
TYPE OF WORK _LP.ECIFY
New 0 Addition 0 Remodel 0 Ublities 0 Installation C3 Other 0
Describe Work: 14"-r RAtnp
Gas piping system I - 5 outlets 15.00
Building sewer 15.00
Mobile Home I iiT�W
PERMIT FEE $
ELECTRICAL PERMIT Filing Fee 20.00
Main Service *.A oRR 23.00
LICENSED CONTRACTOR'S DECLARATION
I her eby 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 !C - u-) Lic. No. SIJ'5*- 17,1
OWNER -BUILDER DECLARATION
I hereby affirm under penalty of perjury that I am exempt from the Contractors License
Law for the following reason:
0 1, as owner of the property, or my employees with wages astheirsole compensation,
will do the work, and the structure is not intended or offered for sale.
0 1, as owner of the property, am exclusively contracting with licensed contractors
to construct the project.
0 1 am exempt under Sec. Business and Professions Code for this
reason
Main Service 200A TO 1000A 46.00
NEW CONST OWE NG OCCUP- so
OR ADDNS. W 3.50
ACC B.S. Fr.
NEW CONST. OUTLET
NON-RESID. =1 CIRCUITS 97.50
OWE.RAP&kRATUS
PSIN. . ET C'R.
20 @ 1.00
Ex. Occup. OUTLET OR FDrrURES BAL @ .50
FDIED APPLNS OR,
Ex. Occup. . E 5.00
Temporary Service 23.00
Mobile Home Facilities 20.00
Wiring 23.00
—Misc.
PERMIT FEE $
WORKERS' COMPENSATION DECLARATION
1 hereby affirm under penalty of perjury one of the following declarations:
0 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.
0 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 k ' ensation insurance carrier and policy number are:
Carrier �kl ( A"'t 0.7
Policy Number — T- ' !11 -:2 va
(The above sections need not be 'completed if the permit is for work of a valuation
of one hundred dollars ($100) or less.)
0 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' compensation provisions of section 3700 of the Labor Code, I shall
forthwith cc p y w, K those provisions.
X \J Date
Sidna1bre of A VpIlcant _-V0_ Owner 0 Contractor 0 AgeFnV
An OSHA permit is required for excavations over 60" deep and demolition or construction
of structures over 3 stories in height.
MECHANICAL PERMIT Filing Fee 20,00
Heating
Cooling
Hood 6.50
Ventilation
PERMIT FEt $
Mobile Home Installation Fee $
Energy Inspection Fee $
occ
CONST. TYPE
TOTALFEE$
FEES IMP
I FLOOD
I CDF
PARCEL
P6
AD
I ISSUE4
This permit is hereby issued under the applicable provisions
of the Buffe County Code and/or Resolutions to do work
indicated above for which fees have been paid.
By i?f 0*24, /rED,te
PERMIT EXPIRES ON /A
I . (Date) 4
ReceiptNo. -17
WHITE-D.D.S.-B�D. CANARY -ASSESSOR PINK -INSPECTOR GOLDEN ROD -APPLICANT
CbUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION
�4 7 County Center Drive Oroville, California 95965 * Telephone (530) 538-7541 PERMIT NO.
(Rev.1,12/96) APPLICATION AND PERMIT
ASSESSOR PARCEL NUMBER 41 - 50- -z
ZONING
BUILDINGPERMIT Vr
OWNER L21 ITO KI 1k:-1
TELEPHONE
V4T_ 13
SO. Fr. OCC. BUILDING
VALUATION
OWNERS MAILING ADDRESS D
q ?Y5 1;&Q1Jb!5t0 RAE-> 11-1 etl (0, (
CONTRACTORS NAME TELEPHONE
CONTRACTORS MAJUNG ADDRESS
CONSTRUCTION LENDER
Fireplace
LENDERS MAILING ADDRESS
Total Valuation $
ARCHITECT OR ENGINEER
Filing Fee
$ 20.00
Permit Fee
$
ARCHITECT OR ENGINEERS MAILING ADDRESS
Plan Checking Fee
$
BUILDINGADDRESS
Energy Plan Checking Fee
$
PERMIT FEE
$
LOT NO.
SUBDIVISIONS NAME
PARCEL MAP
PLUMBING PERMIT
Filing Fee 20.00
USEOFSTRUCTURE
SFk"Duplex 0 Mobilehome 0 Other SPECIFY
Each Trap
7.00
Solar or heat pump water heater
23.00
Water piping
15.00
Each gas water heater or vent
15.00
TYPE OF WORK
New 0 Addition 0 Remodel 0 Utilities 0 Installation 0 Other 0
Describe Work:
Gas piping system I - 5 outlets
15.00
Building sewer
15.00
Mobile Home IS I GI W1
920.00
PERMIT FEE
ELECTRICAL PERMIT
Filing Fee 20.00
Main Service .*vA oR' "sss
23.00
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter
9 (commencing with Section 7000) of Division 3 of the Business and Professions Code,
and my license is in full force and effect.
License Class C , LQ Lic. No. :�45- 1-6
OWNER -BUILDER DECLARATION
I hereby affirm under penalty of perjury that I am exempt from the Contractors License
Law for the following reason:
11 1, as owner of the property, or my employees with wagesastheir sole compensation,
will do the work, and the structure is not intended or offered for sale.
0 1, as owner of the property, am exclusively contracting with licensed contractors
to construct the project.
0 1 am exempt under Sec. Business and Professions Code for this
reason
WORKERS' COMPENSATION DECLARATION
I hereby affirm under penalty of perjury one of the following declarations:
0 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.
0 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 permitis issued.
My workeri�'cppen ion insurance carrier and policy number are:
Car
Policy Number
(The above sections nand not ha 'completed if the permit is for work of a valuation
of one hundred dollars ($100) or less.)
0 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
w rkers' cam P7 sation provisions of section 3700 of the Labor Code, I shall
f hwith cc I w* those provisions.
X Date 171111cl�
Si'gn-a-I—re of Akic-ant - 0 Owner El Contractor Agernt
An OSHA permit is required for excavations over 60" deep and demolition or construction
of structures over 3 stories in height.
Main Service 200A TO 1000A 46.00
NEW CONST. DWELUNGffUP. so
OR ADDNS. & ACC. S. 3.50FT.
NEW CONST,
NON-RESID. S=O.UITIM 97.50
OWE.RAP=US
( P.IN. . CIR.
oLrnHr OR FD(TURES 20 @ 1.00
Ex. Occup. ( BAL @ .50
( ..FVED APP . OR
Ex. Occup. I.= .) EA. 5.00
Temporary Service 23.00
-Mobile Home Facilities 20.00
Misc. Wiring 23.00
PERMIT FEE $
MECHANICAL PERMIT Filing Fee- 20.00
Heating X0.60
Cooling
Hood 6.50
Ventilation
PERMIT FEt $
Mobile Home Installation Fee $
Energy Inspection Fee $
OCC
CONST. TYPE
TOTALFEE$
OF
PARCEL
P6
AD IS5V
This permit is hereby issued under
of the Butte County Code and/or
indicated above for which fees have
B IVIN6WDate
PERMIT EXPIRES ON
C
the applicable provisions
Resolutions to do work
been paid.
7_ffoa
(Date) L-
ReceiptNo. 4X
WHITE-D.D.S.-B.D. CANAR"Y-ASSESSOR FANK-INSPEc'rOR GOLDEN ROD -APPLICANT
I/