HomeMy WebLinkAbout026-070-022I a
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26-07-22 1 -
STANLEY NELSON BRAUND, Robert E.!`
,� - X3138,
2520 Messing Ave, Palermo a` ---- _. -3437P
Permit#3998-87B,P,E-,M(conv garage to { a(o -p'7 -as` R- 6E
living area/SF)
4026'070-0221
"PERMIT#98-47 R
NELSON;".Stan}^a , " , : 43 2570 Messina Avenue.; -Pale rmo
2520',Messina' t* "`" `{ (new, single family)
Ave: , .Oroville " ;
HVAC/SF,'`
BRAUND, Robert E. 367-66B* 4916]x >�
_ 1106-678-,,* •38271:
"47611,
2520 Messina Ave, Palermo . . . - jj—
(addition) ('REPAIRS) 0* RENEWAL of 367-661'
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026-070=022 PERMIT#98=1437
'NELSON Stan
2520 Messina Ave., Orgville y,
Cont: Artic Aire
HVAC/SF till
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COUNTY OF'BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION -
7
-7 County Center Drive t Oroville, California 95965 • Telephone (530) 53& lri PEFNIT No.
(Rev. 12/96) APPLICATION AND PERMIT , 43 2
ASSESSOR PARCEL NUMBER y
26-07-22
ZONING
B ILDING PERMIT
OWNER
S
TELEPHONE
532-06-02
SQ. FT. OCC. BUILDING VALUATION
OWNERS MAIUNG ADDRESS
MINSINA AVE. OROVITLE
CONTRACTOR'S NAME
ARTr
TELEPHONE
CONTRACTORS MAILING ADDRESS
?A3A HIGHWAY 12 CHIM
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 2520 MESSINIA AVE.-
Energy Plan Checking Fee $
OROVILLE
PERMIT FEE $
LOT NO.
SUBDIVISION'S NAME
PARCEL MAP
PLUMBING PERMIT
Fling Fee 20.00
Each Trap
7.00
USEOFSTRUCTURE
SF G3 Duplex ❑ Mobilehome ❑ Other
SPECIFY
Solar or heat pump water heater
23.00
Water piping
15.00
Each as water heater or vent
15.00
TYPE OF WORK
New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑
Describe Work: ADD HVAC
Gas piping system 1 - 5 outlets
15.00
Building sewer
15.00
Mobile Home I S I G I W
@20.00
PERMIT FEE S35
ELECTRICAL PERMIT
Fling Fee 20.00
R LES
Main Service 200. OR LESS
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,NoµR'
and my license is in full force and effect.POWER
License Class e,- ,I c)LIC. NO. ,.� 3 `/ !I / �
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.
sfa' 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
WORKERS' COMPENSATION DECLARATION
I 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.
I 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 workers' compensation insurance carrier and policy number are:
Carrier 140!I A L
Policy Number T f 4
(The above sections need not be completed if the permit is for work of a valuation
of one hundred dollars ($100) or less.)
❑ 1 certify that in the performance of the work for which this permit is issued, I shall
not employ 9hy person in any manner so as to become subject to workers'
compensatiph 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 crpoiply with those provisions.
r
X 4Date -7- % r IF,
Sign ure f 1 Applicant - ❑ Owner ❑ Contractor 3 -Agent
An OSHA permit is required for excavations over 60" deep and demolition or constructionof structures over 3 stories in height.
Main Service 200A TO
46.00so
CCU000A
NEW CONST. DWEWNG OCCUP. SO
OR ADDNS. ( 8 ACC. S.3.5¢FT.
,DT. muLTI.OUTLET 97.50
APPARATUS
a SINGLE OUTLET CIR.
20 .00
EX. Occup. OUTLET OR FD(TURES BAL @ I. 0
Ex. Occup. OFlx„TEE'A R6DOE. 5.00
Temporary Service 23.00
Mobile Home Facilities 20.00
Misc. Wiring 23.00
PERMIT FEE $ 41
MECHANICAL PERMIT Fling Fee 20.00
Heating 95.00
Cooling
Hood 6.50
Ventilation
PERMIT FEE $ •
Mobile Home Installation Fee Is
Energy Inspection Fee is
�,
cD�s rrPE TOTAL FEE $ 148.00
HAZ. I D. FEES IMP
I FLOOD
I CDF
PARCEL
PD
HD
ISSUE
This permit is hereby issued under the applicable provisions
of the Butte County Code and/or Resolutions to do work
indicated above for which fees have been paid.
By,00 2�>�.f" � �f,./�" Date
PERMIT EXPIRES ON / /- 99
Date
Receipt No. 237180
WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT
!"
M
J,
COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIV N
7 County Center Drive - Oroville, California 95965 - Telephone (530) 538- 41 IT No.
(Rev. 12/96) APPLICATION AND PERMIT
ASSESSOR PARCEL NUMBER
ZONING
BUILDING PERMIT
OWNER
STAN NELSON
TELEPHONE
531-0692
SO. FT. OCC. BUILDING VALUATION
OWNERS MAIUNG ADDRESS
9590 MESSINA AVE_ OROVITLE
CONTRACTOR'S NAME
TELEPHONE
CONTRACTORS MAILING ADDRESS
9818 HIGHWAY 32 CHICO
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 $
BUILDINGADDRESS
252-0 MESSTUA.
Energy Plan Checking Fee $
$
-A-VE-
OROVILLE
PERMIT FEE $
LOT NO.
SUBDIVISIONS NAME
PARCEL MAP
PLUMBING PERMIT Filing Fee 20.00
Each Trap 7.00
USEOFSTRUCTURE
SF §P Duplex ❑ Mobilehome ❑ Other
SPECIFY
Solar or heat pump water heater 23.00
Water piping 15.00
Each as water heater or vent 15.00
TYPE OF WORK
New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑
Describe Work: ADD HVAC
Gas piping system 1 - 5 outlets 15.00
Building sewer 15.00
Mobile Home I S I G W 920.00
PERMIT FEE $ 35-0
ELECTRICAL PERMIT Fling Fee 20.00
Main Service zoOA OR LESS 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.POWER
License Class C — ;L-c>Lic. No. 023 l{ y I
OWNER -BUILDER DECLARATION
1 hereby affirm under penalty of perjury that I am exempt from the Contractors License
Law for the following reason:
❑ 1, 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
Main Service TO IOCU00A 46.00
Wo U
NEW CONST. DWEILNG OCCUP. SO
OR ADDNS. ( a ACC. BLDS. 3.5¢FT,
,.mµR61DT MULTI -OUTLET @7.50
APPARATUS
6 SINGLE OUTLET CIR.
20
Ex. Occup. OUTLET OR FDTrURES BAL @' 0
Ex. Occup. ounEEDTs[RRE=.)0EA. 5.00
Temporary Service 23.00
Mobile Home Facilities 20.00
Misc. Wiring 23.00
PERMIT FEE $ 41 nn
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.
I 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' compen tion insurance carrier and policy number are:
Carrier L
Policy Number TT_ 4-,* 3 77
(The above sections need not be completed if the permit is for work of a valuation
of one hundred dollars ($100) or less.)
❑ 1 certify that in the performance of the work for which this permit is issued, I shall
not employ person in any manner so as to become subject to workers'
compensati laws of California, and agree that if I should become subject to the
w kers' pensation provisions of section 3700 of the Labor Code, I shall
o with ply with those provisions.
X Date ^ 7Fof
Sign ure df Applicant - ❑Owner ❑Contractor Agent
An OSHA permit is required for excavations over 60" deep and demolition or construction
of structures over 3 stories in height.
MECHANICAL PERMIT Fling Fee 20.00
Heating
Cooling
95 00
Hood 6.50
Ventilation
PERMIT FEES 70.00
Mobile Home Installation Fee $
Energy Inspection Fee $
P-01
r PE
�_ TOTAL FEE $ 148.00
HAz. D FEES IMP
I FLOOD
I COF
PARCEL
I PD
HD
UE
This permit is hereby issued under the applicable provisions
the Butte County Code and/or Resolutions to do work
indicat above for which fees have been paid.
By .tJ%/}i.�Jt�/' �yQ� DateG / r�
PERMIT EXPIRES ON /��a f7
Date
ReceiptNo. 237180
WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT
. -1
PERMIT NO. 1 3998-87B P E,M
PERMIT EXPIRES
OWNER STANLEY NELSON
CONTR. OWNER
ASSESSOR PARCEL 26-07-22
LOCATION 2520 Messina Ave. Palermo
Temp. Pow
Called
Temp. Elec
Called
Temp. Gas
Called
JOB FINAL
Signatu
r
,
k
4
l
,
. -1
PERMIT NO. 1 3998-87B P E,M
PERMIT EXPIRES
OWNER STANLEY NELSON
CONTR. OWNER
ASSESSOR PARCEL 26-07-22
LOCATION 2520 Messina Ave. Palermo
Temp. Pow
Called
Temp. Elec
Called
Temp. Gas
Called
JOB FINAL
Signatu
= OK
0 = Not OK,
=NotReaable dyMOBILE HOMES ,' l MISCELLANEOUS
Date
MOBILE HOME UTILITIES (Plans) OK except #'s
Date
DECKS,COVERS,CARPORTS,GARAGES, (Plans)OK except #'s
1. Zoning Requirements -Setbacks -Easements
1. Zoning Requirements -Setbacks -Easements
2. Soils; Special MH Support -Sketch
2. Footings; Soils -Size -Depth -Spacing -Connectors -Steel
3. Sewer; Location -Test -Fall -C/O -Concrete
3. Decks; Girders and/or Joists -Decking -Bracing -Stairs -Rails
4. Water; Location -Test -Easement Needed (Sketch)
4. Wood Awn.; Posts-Beams-Rftrs.-Connec.-
Shthg.-Rfg.-Bracing
5. Electricity; Location-Clearances-Grnd.-/ / Amp -Concrete
6. Gas; Location -Test -Wrap: / /"L"ft.
/ /"Nat. or/ /"L"ft./ /"LPG
5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures
6. Carports; Windows -Doors
7. Utility Clearance
7. Elec.
8. Frmg; Sills-Anchors-Studs-Rftrs-Trusses
9. Siding; Nailing -Veneer -Stucco -Mesh
Card -131
Date Card -61 Date
10. Roof; Shthg-Roofing
Card -61
Date Card -1211 Date
11. Ext.; Steps -Doors -Landings
Date
MOBILEHOME INSTALLATION (Plans) OK except #'s
1. Zoning Requirements -Setbacks -Easements
Card -B1
Date Card -1211 Date
2. Footings; Size -Spacing -Marriage Line
Card -B1
Date Card -B1 Date
3. Gas; MH Test -Demand -Valve -Connector
4. Electricity; MH Test -Crossovers -Breakers -Clearances
Date
POOLS (Plans) OK except #'s
5. Drain; MH Test -Fall -Flex Connector
1. Setbacks -Easements
6. Water; MH Test -Regulator -Connector
2. Soils; Compaction -Structure Stability
7. Water and Sewer Connected -C/O to Grade -HD Approval
3. Pool Structure; Steel -Connections -Thickness -
Dead Men -Lining
8. Gas and Electricity Tagged
9. Exits; Insp.-Sketch
4. Elec.; Receptacles and Lighting, Distances-GFI
10. Cert. of Occupancy
5. Elec.; Pool Lighting; 15 volts-GFI
6. Elec.; Enclosures; Conduit Entries -Terminals -Listed
7. Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater
8. Elec.;Grounding; Equip. w/5' -circulating Equip. -Pool Lghtg.
Boxes-Enclosures-Panelboards-Ins. to Main in Conduit
Card -B1 Date Card -81 Date
Card -1211
Date Card -B1 Date
9. Health Department Approval
10. Plumb.; Cir. Test -Water Supply Test
Card -131
Date Card -1211 Date
Card -131
Date Card -B1 Date
= OK
0 = NotOK
RESIDENTIA!, (Single and Duplex)
- =Not Applicable � ,
= Not Ready
Date UNDERFLOOR (Plans) OK except #'s
1. Zoning requirements -Setbacks -Easements
.2. Ftg., Main;. Soils-Steel-Elec. Grnd.-/ /" Ftg. Depth
3. Ftg., Garage; Soils -Steel-/ /" Ftg. Depth -
4. Ftg., Porches & Decks; Soils -Steel-/ /"Ftg. Depth
5. Stemwalls, Main; Steel- Bloc kouts-Wrapped
6. Stemwalls, Garage;"Steel-Blockouts-Wrapped
7. Slab; Steel -Wrapped
8. Piers -Fireplace Ftg.-Steel
9. D.W.V.; Fall -Fittings -Test -2 way C/O -Sewer Test
10. Gas Pipe; Size -Anchors
11. Water Pipe; Test -Anchors -Regulator -Service Test
12. Electric; Underground
13. Plenums & Ducts; Clearance- Material -Supprt-Ins.
14. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples
15. Insulation
Card -131 Date Card -131 Date '
Card -81 Date Card -131. Date
DateLUMBING (Permit) OK except #'s .
Water Ht. Vent -Access -Combustion Air
1 . Water Pipe; Test & Anchors -Nail Protection
1 . D.W.V.; Test-Fttngs & Anchors -Nail Protection
1 .Shower Pan; Test, First Floor -Tub Access
2P. Test Tub & Shower, 2nd Floor -Tub Access
Gas Pipe; Size & Anchors
Card -131 Date Card -61 Date
Card -B1 Date Card -131 Date
Date ELECTRICAL (Permit) OK except #'s
22. Fixture & Transformer Clearance -Ins. Protection
23. Elec. Receptacles,Spacing-Lights & Switches at Doors
24. Size Boxes & No. of Conductors -Stapled
25. Romex Installed Close to Edge of Studs & C.J.
26. Equip. Ground made up w/Mech. Fasteners -Bond Gas &.Water
27. 2 Appliance Circuits in Kitchen & Conductor Size
28. Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / /ga.
Cu or AI
29. Range Circ. / / ga. Cu or AI -Oven Circ. / / ga. Cu or Al.
Insulated Neutral Yes No
30. Service -Riser Conductors & Ground -Main Disconnect
31. Equip. Clearances Panels-Motors-Mech. Equip.
32. Clothes Closet Light -Shower Light -Spa Light
Card -B1 Date Card -B1 Date
Card -61 Date Card -131 Date
Date MECHANICAL (Permit) OK except #'s
-33-A,C. Ducts Insulation & Support
-84-Fent Fan; Exhaust above insulation
-36-Gondensate D in & Overflow; Size & Grade
36. Furnac - ; Access -Comb. Air -Return Air Vent -115 outlet
-&?--Attic Access & Platform if Furnace in Attic
Card -B1 Date /-/ - Card -B1 Date
Card -131 Date Card -131 Date
Date FRAMING (Plans) OK except #'s
AT ,Sills, Proper Material & Anchors
eg_VWls Studs -Nailing, Spacing & Bracing -Plates -Sounds
40',searing Walls over Girders & Floor Nailing
graft Stop in Walls (rat proof)
42'Fire Stops; Furred Ceilings -Stairs -Chases -Tub
eader & Beam -Size & Bearing
Date FRAMING (Continued
45. CN. Joist-Rftr. Ties-Purlin-Roof Brac.-Truss-Shthng.-Rfng.
place Ties or Type A Flue -Fireplace Throat
is Access; Size & Romex Protection -Draft Stop -Ins. Baffles
Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions
a ge Fire Protection Framing
6"Epperty Line Firewall & Openings
Ext. Doors -One 3' -Check Garage -3rd story, 2 exits
ta' s; Width -Headroom -Rise -Run -Landing -Fire Protection
lywood on Roof Overhang -Attic Vents -Rafter Outriggers
&A -Nailing Veneer
tuc o Mesh -Drip Screed -Fd. Vents-Underflr. Access
lazing Area -Glass Protection -Skylights -Plastic
57. Sbegr Walls; Nailin -Bolts
of nsulation-W -CI .
59. Infiltration-Walls-Wndws
Card -131 Date' -,/5- Card -B1 Date
Card -131 Date (- Card -B1 Date
Date FI L (Plans) OK except #'s
0. t. Steps -Door & Sidelight Protection -Landings
. _$moke Detector
kff Furnace; Vents -Clearance -Comb. Air-Connector-
_WGarage; Above Floor -Ducts -Mach. Protection
&of& Bedroom Exiting
Fixtures & Tub Access -Spa
65. u panel; Breaker Sizes -Labels
6.
rances-Hearth
68-. el; Int. & Ext.
69. . -Air Gap -Cooking Clearance
70. sat Kit. Counter
7 -Landing-Closer
72. er
7 - - b. Air-Connector-P.R.V.-
In Garage; Above Floor-Mech. Protection
74.ec. & Mech. Equip. Listed for Location
7 p aches in Garage; (G.F.I.)-Romex Protec.
L,715.- Insulation -Foam -Looked in_Attic ❑ Yes
7 . ai s & De k Construction -Post Caps
7 . ants & Crawl Hole Door -Drainage & Wood -Earth
Clearance Looked under Floor O Yes
79. Following instld.; DriveYA&- 0 No; Walks 0 Yes
Planters ❑ Yes
80. ewa-Finish}
aL.&4 G�Umt;-BFseonnect-Electrical, Plumbing
82 a oof; Plbg.-Appliance-Firepl.-Clearance to
Openings.
8 . isconnect, Electrical, Plumbing
g4.Ex4eAeF-E1ea. Trim; G.F.I. Receptacle -Underground
i a ion ughout House
ss fotection
LW -Corrections from Previous Inpections
gged; Gas -Electric
ewer Connected -C/O to Grade -HD Approval
90. Energy Compliance Certificate -Other Certificates
Card -Bt Dat and -61 Date
Card -131 Date Card -131 Date
Card -81 Date Card -61 Date
Comments at Final:
(NOTE: An entry must be made each time you visit job site)
i .�
�
T
� ,�
Owner • S Al e-ts 4=!, No. 3 2 % P -e'7
ENERGY g E R T I F ICATION
f.
E 014) .h- 6 07 --2-2--1
LOCATION A.P. No.
DESCRIPTION OF INSULATION
ROOF
Material
Thickness(inches)
EXTERIOR WALL
Material I:::-- )
Thickness (inches)_
CEILING
Batt or Blanket Type 9
Thickness(inches)
Loose Fill Type
Minimum Thickness(Inches)
Area covered(ft.2)
FLOOR, ELEVATED
Material
Thickness(inches)
FLOOR, SLAB
Material
Thickness(inches)
W idth(inches)
FOUNDATION WALL
Material
Thickness(inches)
Brand Name
Thermal Resistance (R Value)
Brand Name D C F
Thermal Resistance(R Value) R jL_
Brand Name b C r
Thermal Resistance(R Value)
Brand Name
Number of Bags Wt. per bag lb.
Thermal Resistance(R Value)
Brand Name
Thermal Resistance(R Value)
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 California Energy Requirements.
—5-64 tZZ - G. 4,-)F.G.SC3A1
FIRM NAME OWNER'. STATE CONTRACTORS LICENSE NO.
A —x ,
V-
SIt;NATV10 STALLATION 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
required by the State of California Energy Requirements.
All equipment, devices and materials are of the quality prescribed or are
specifically approved -by the State of California.
S"rAA)tX "' Cr. ",CtSM
FIRM WNER (Please print) STATE CONTRACTOR'S LI SE NO.
SI 0 G RAL CONTRACTOlf OWNEW 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
t
COUNTY OFRBUTTE
DEPARTMENT OF PUBLIC WORKS
196 Memorial Way, Chico — Phone: 891-2751
7 County Center Drive, Oroville — Phone: 538-7541
747 Elliott Road, Paradise— Phone: 872-6307
CORRECTION NOTICE
OWNER
W — G /
A routine inspection Indicates that the following violations of County Ordinance
exist at the above address and should be corrected. Please notify this office
when correction of work is completed. If you have any question pertaining to this
matter, or need additional explanation, please contact this office Immediately.
Inspector �i Date / 1-212 !i (�
COUNTY OF BUTTE
DEPARTMENT OF PUBLIC WORKS
196 Memorial Way, Chico — Phone: 891-2751
7 County Center Drive, Orovi Ile — Phone: 538-7541
747 Elliott Road, Paradise — Phone: 872.-6307
CORRECTION NOTICE
R
IT NO.
A routine Inspection indicates that the following violations of County Ordinance
exist at the above address and should be corrected. Please notify this office
when correction of work is completed. If you have any question pertaining to this
matter, or need additional explanation, please contact this office Immediately.
Inspector /�q2 Date
i
COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 79MFTO7 County Center Drive Oroville. California 95965 - Telephone: 916/538-7541
' - APPLICATION AND PERMIT
ASSE //��99R PA C NUMB R
V
ZO N
BUILDING PERMIT
ow� TE EPHO
91
SO. FT. OCC. BUILDING VALUATION
OWNER'S MA LIRESS
395
re � Errn
CO ACTOR'S NAME TELEPHONE
r
CONTRACTOR'S MAILING ADDRESS
Fireplace
CO RUCTION LENDER UNKNOWN
Total Valuation
Filing Fee
$ 10,00
LENDER'S MAILING ADDRESS
Permit Fee
$
ARCH ECT OR ENGINEER LICENSE No.
Plan Checking Fee
$
Energy Plan Checking Fee
$
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Penalty
$
BUILDING ADDRESS
Permit fee
$
PLUMBING PERMIT
Filing Fee 10.00
Each Trap
2.00
rn
Solar or heat pump water heater
20.00
LOT NO. SUBDIVISION NAME PARCEL MAP Water
piping
5.00
Each qas water heater or vent
5.00
USE OF STRUCTURE
Gas piping system 1 - 5 outlets
5.00 , Q
SF [�, Duplex❑ Mobilehome❑ Other
Building sewer
5.00
SPECIFY
Mobile Home S I G I W
10-00 ea
TYPE OF WORK i
1
New F-1 Addition Remodel ❑ tilities❑ Installation❑ Other
Permit Fee
$
Describe work: VContractor
e7 U
ELECTRICAL PERMIT
Filing Fee 10.00
Main service 600v OR LESS
100 AMP OR LESS
10.00
Main service EA. AOD'L 100 AMP
2.50
CONTRACTORS LICENSE LAW
NEW CONST. ( DWELLING Occup
,hQSgft
I declare under penalty of perjury (check one):
OR AODNS. ACC. BLDGS.
NEW CONSTR.MULTI-OUTLET
2.50 ea
❑ 1 am licensed under provisions of Chapt. 9, Div. 3 of the -Business
NON-RESID .BRA CH CIRC ITS
POWER APPARATUS S
(SINGLE CIR. I
and Professions Code and my license is in full force and effect.
OUTLET
License No. ClassificationzA
Ex. Occup OUTLETS OR FIXTURES
.200030
@30
I, as the owner, or my employees with wages as their sole compen-
Ex. DCCUp. OUTLETS PIRESID IREA.)
2.00
sation, will do the work,and the structure is not intended or offered
Temporary service
10.00
for sale. (Sec. 7044)
Mobile Home Facilities
15.00
❑ I, as the owner, am exclusively contracting with licensed contract-
ors. (Sec. 7044)
Misc. Wiring
15.00
❑ I am exempt under Sec. , Business and Professions Code
for this reason
Permit Fee
$
Contractor
WORKMEN'S COMPENSATION INSURANCE
I declare under penalty of perjury (check one):
MECHANICAL PERMIT
FiIingFee 10.00
❑ The permit is for $100.00 (valuation) or less.
Heating y^
❑ I have placed on file with the County of Butte Building Department
a Certificate of Workmen's Compensation Insurance or a Certificate
f Consent to Self -Insure.
Cooling - - -
II shall not employ any person in any manner so as to become subject
Hood
3.00
to the W. C. laws of California.
Ventilation
Notice to Applicant: If after making this statement,should you become subject
permit Fee
$
to the W. C. provisions of the Labor Code, you must forthwith comply with such
provisions or this permit shall be deemed revoked.
Contractor
I certify that I have read this application and state that the above information
Mobile Home Installation Fee
$
is correct. I agree to comply to all County Ordinances and State Laws relating
Energy Inspection Fee
$
to building construction, and hereby authorize representatives of the County
51
Butte to enter upon the above-mentioned property for inspection purposes.
TOTAL PERMIT FEE
$
1 also agree to save, indemnify and keep harmless the County of Butte against
OqAUP.l CONST*TYPc SCHOOL IMPIICIIJ
PD IND su
all liabilities, judgments, costs, and expenses which may in any way accrue
against d Cou y inconsequence of the granting of this permit.
�2 /`�-�
This permit is hereby issued under
the applicable provi-
X Date
sions the Butte County Code and/or
resolutions to do
Signature o pplico t - Owner Contractor ❑ Agent ❑
bove for which
fees have been paid.
An OSHA permit is required for excavations over 5'0" deep and demolition or construct-CIbR
OF PUBLIC WORKS
ion of structures over 3 stories i height.
ZM
Receipt NO.
Date
/
WHITE-D.P.W.. YELLOW -ASB ESSa K. PINK -INSPECTOR. GOLDENROD -APPLICANT
PE MIT EXPIRES Date
OWNER
COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS - BUILDING DIVISION
7 COUNTY CENTER DRIVE - OROVILLE,4�,,ALIFO9WA 95965 - TELEPHONE: 916/538-7541
_4
PERMIT APPLICATION DATA SHEET of
i"'t Permit No.
C1�I1C� I/
st�� Sdpq A P No
Proposed Building Use
K v &a ra q&
Building Inspector `Date g
At time of permit application, I was advised the following data must be submitted prior to permit processing
and/o ISSuance: DATE RECEIVED APPROVED
I. All items have been submitted. . . . . . . . . . . .
2. Plot plans in duplicate/triplicate, signed by preparer of plans. .
3. Complete plans in duplicate/triplicate, signed by preparer of plans.
4. Complete engineered plans and calcs, with wet signature on plans.
5. Plans with Energy Design Compliance Statement. . . . . .
6. School District "Fees Paid" Stamp on Floor Plan.
7 Statement of Intent for Non -Heated and AC Buildings,
8. Fees of $ . . . . . . . .
9. Letter of signature authorization. . . . . . . . . .
10. Sanitation approval from _ Health Dept. . .
11. Planning approval for (A) Use: (B) Parking: .
12. Certificate of Workmen's Compensation Insurance. . . . . .
13. Contractor's License Information (no., name style, classif.)
_14. Owner -Builder Verification (Given to owner0, Mail to owner ❑.)
_-_---._15. Improvements may be required. . . . . . . . . . . .
16. Mobilehome Installation Data. . . . . . . . . .
17. Pre -Inspection for _ Required. Pre-Inspec. request to
p - --- - - - ---- - q Building Inspector
18. Recorded copy of Agricultural Acknowledgment Statement.
19. Driveway Permit.
20. Plot plan approval from city of
21. _
22.
en you issue the p r it, pr cess as follows: Mail �townel; ti?aii to contractor.
Telephone Y -N9c and hold for pickup �, office, Deliver w/inspector.
Other _
Applicant
Date
Copy of plans sent Health Dept., Fire Dept., Other Date
The following data must be submitted prior to permit issuance:
1. Index permit for above items No.
2. Additional items required: —_—
,f a
(Circle new item not checked above).
Contractor, designer, owner, was advised of above required data by—phone---mai [—counter by date
Contractor, designer, owner, was advised c? above required data by—phone —ma il—counter by date c/
Plans checked by Date Plans approved by Date O'
Sets of plans on hold in File cabinet AP folder
Copy—DPW
(Dav)
TO Buildinv Department
FROM: -� Environmental Health
SUBJECT: Sanitation Clearance
Owner Location AP#
Plan Approved for: Sewage Disposal A- Water Supply
Hold final for: Water Supply
Final clearance O.K. for:
Water Supply _.
Clearance for _ bedroom mobile home. Other �.t d -
NOTE * * *
Sanitarian( r Date
COUNTY OF BUTTE - Department of Public Works
7 County Center Drive, Oroville, CA 95965 Phone: 916-534-4541
OWNER -BUILDER VERIFICATION
Attention Property Owner:
An 'owner -builder" building permit has been applied for in your name and bearing
your signature.
Please complete and return this information at your earliest opportunity to avoid
unnecessary delay in processing and issuing your building permit. No building permit
will be issued until this verification is received.
1. I personally plan to provide the major labor and materials for construction of
the proposed property improvement (yes or no) yEs
2. I (have/have not) NAv�- signed an application for a building permit
for the proposed work.
3. I have contracted with the following person (firm) to provide the proposed
construction:
Name
Address City
Phone Contractors License No.
4. I plan to provide portions of this work, but I have hired the following person
to coordinate, supervise, and provide the major work:
Name
Address City
Phone Contractors License No.
5. I will provide some of the work but I have contracted (hired) the following
persons to provide the work indicated:
Name Address Phone Type of Work
Signed:
Property Owner
Social Security Numbe
Date i-z-,y-I�
NOTE: This Owner -Builder Verification is sent to you as required by Sections 19831 and
19832 of the California Health and Safety Code.
This verification must be completed and returned to our office before we are per-
mitted to issue the permit.
FORM 7
ADDITIONS TO RESIDENTIAL BUILDINGS ENERGY SHEET
PACKAGE "A" (Additions)
Owner Climate Zone
Permit # .8r% Floor Area 39s
The following data showing mandatory and required features of Package "A' shall
be installed for additions to dwellings. Additions to dwellings include room
additions, converting garages and patios to living areas, house moves that add
footage and attic conversions, and any space that is existing non -conditioned
space that is converted to conditioned space. Remodeling of existing conditioned
space is not included.
APPLIES TO NEW AREA
CEILING
WALL
FLOOR
SLAB
j. GLAZING
SHADING
SOUTH - OPTIMUM OVERHANG
ZONE 11
R-30
R-11
R-11
R-7
U-.65 (Dual)
or .36 Shading Coefficient
ONE 16
R-
R -
R 19
-7
U-.65 (Dual)
WEST - .36 Shading Coefficient
LOOSE FILL INSULATION (Density)
INFILTRATION CONTROL (Weatherstrip doors, certified windows, caulking)
VAPOR BARRIER (Zone 16)
DUCTS PER UNIFORM MECHANICAL CODE - Ch. 10
LIGHTING KITCHEN & BATH NOT LESS THAN 25 LUMENS/WATT
MAXIMUM GLAZING 16% OF -AREA PLUS REMOVED GLAZING
NEW HEATING, VENTILATING, AIR CONDITIONING AND HOT WATER SYSTEMS IN
CONJUNCTION WITH AN ADDITION SHALL BE INSTALLED AS SHOWN ON BACK
OF THIS SHEET.
OTHER
12/85
*1 HEATING, VENTILATING, AIR CONDITIONING SYSTEM
(A) Heating
❑ Central Gas Furnace 7
(brand and model number) SE
Btu/hr
(heating capacity)
❑ Heat Pump
(brand and model number) ACOP
Btu/hr
(heating capacity at 47°F)
❑ Active Solar
type (liquid or air) Collector brand and
ft2
model number solar fraction collector area collector
orientation collector tilt rated y -intercept
rated slope
❑ Other
(describe)
*l (B) Cooling �
❑ Electric Air Conditioner
(brand and model number) (seasonal EER)
Btu/hr
(cooling capacity at 95°F)
❑ Electric Heat Pump
EER
Btu/hr
(cooling capacity at 95°F)
❑ Other
(describe)
DOMESTIC WATER SYSTEM
❑ (A) Gas Only Gallons
(brand and model number) (tank size)
❑ Heat Pump w/Electric Backup
(brand and model number)
Gallons
2 (tank size)
13* Active Solar
(collector brand and model number)
(rated y -intercept) (rated slope) (solar fraction)
ft
(backup heater type, brand and model number) (collector area)
(collector orientation) (collector tilt)
❑ Location of Solar Panels
❑ Other
(Describe)
*1 Submit documentation of sizing heating.and cooling equipment by Manual J, sizing
charts (form #4) or other approved methods, section 2-5352(g), and fill out the
following:
Heating: Winter design temperature °, elevation ', heating load BTU
elevation factor x heating load - maximum outlet capacity gas furnace
BTU
Cooling: Summer design temperature °, cooling load BTU
*2 Submit T-I.P.,S.E. chart or other approved system (form #5) to document sizing of
solar panels.
® DESIGN COMPLIANCE STATEMENT: The above building design meets the requirements of
Title 24, Part 2, Chapter 2-53 of the California Administration Code.
SIGNATURVOF BUILDING DESIGNER OR APPLICANT
Ilk
b
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i
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it -_ I - q� 0 so
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1W IT J�
401
P.f vAlde 1 bedmm Wmdow MIN minlMum
q)en dimensiOns of 24" high, 200 wjde, Pmvide I be&00-M Window th minimum
5.7 sq. It area, and 44- open dimensions of 24,1 hi�o 20,, wide,
helghL fftftum sill 5.7 sq. ft. area, and 44-" um sill
heighL
TW
D C) _T 0 BE-
P L 4, C E: D -M ------
a" w,p4-* pl K" r,-- 5 1 DI M G\
FkOVIPS W6ATM?t gfttrl��
vtiwv- f4okz-
19 3
��-Toz WALt-
l?'xis
S h 01- A
06
POO Wl -0,00 po
'0 Lvtog smoke defector per Codft
G
SUITE COUNTY
.1000MON. BUILDIN13 DME.
-ARMENT
PROVIDE APPROVED VENT
AND ADEQUATE t RUM(5f4
'APPROVED
AIR- FOR HEATER VOR -W;
MOr PnKffMD M--9blvrMj4 ZoMi
381-
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