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HomeMy WebLinkAbout028-090-00728-09 07 766-90P,E EASH, Jay-& Mae _ 415 Rolling OaksRLn, Bangor (utilities/travel trailer) ELEC Q O GAS COMPACTION TEST REQ 11 SUPPORT STRUCT REQ 28-09=07 ' � ' - v 2752-90B;P,E EASH, 'Jay r 415 Rolling Oa s L ,—Ba r(garage/VIII) 28-09-07 2725-91B,P,E EASH, Jay 415 Rolling Oaks Ln, Bangor (garage) ( u2d_U90=007 EASH, Jay 92-247pB �—` 1 415 Rolling Oaks Ln, Bangor lst renewal/91-2725 028=D9-0= -0Q� 9J2=3504 BPE EASH, Jay 415 Rolling Oaks, Bangor conv garage to sf r4t/ 4 �f-ZZ-q$ 028-09-0-007 - cl -55 a9 1ST RENEWAL/92-3504 F028-090-007 - PERMIT#94-2892 EASH, JAY 415 ROLLING OAKS LN., BANGOR 2ND RENEWAL_BP..#.92=3504 028-09-0-007 9572481 EASH, JAY CONTR: OWNER 415 ROLLING OAKS LN, BANGOR RENEWAL/SF 028-090-007 PERMIT#96-2280 EASH, Jay 415 Rolling Oaks Ln,Berry Creek 4th Renewal BP# 42-5- i— N vze —ORO ;t,UA' 01." -2 cp 02 -090-007 PERMIT#97-0683 ' SH, Jay 5 Rolling Oaks Ln., Bangor /11 e Ser/SF d 028-090=007 PERMIT#97-1887 Jay � L15ASH, Rolling Oaks Ln.°, Bangor Renewal BP#92=3504 ;t,UA' 01." -2 cp C"l i r •, ' � i RESIDENTIAL X F 028=09-07 92-3504 BPE r EASH, Jay 415 Rolling Oaks, Bangor conv garage to sf j 2-2-4?0 -4 •j �l 1 •f �YK//Ia�(C/ OFFICE COPY r Address ' GAS Meter By Date ELECTRIC ,_ / Meter By '01t Date OFFICE COPY ' ' 1Address GAS Meter BD ELECTRIC Meter By —Date . I JOB FINALEDJ - Signature .;jii �. J1 k" . �' `� J=OK O = Not OK Not = Not Readyable MOBILE HOMES Date MOBILE HOME UTILITIES (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Soils; Special MH Support Sketch 3. Sewer; Location -Test -Fall -C/O Concrete 4. Water; Location -Test -Easement Needed (Sketch) 5. Electricity; Location-Clearences-Grnd-/ /Amp -Concrete 6. Gas; Location -Test -Wrap: / P L" ft. / /"Nat. or/ /" L"ft./ /"LPG 7. Well Clearance & Disconnect 8. Utility Clearance Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date MOBILE HOME INSTALLATION (Plans) OK except #'s 1. Zoning Requirements -Setbacks Easements 2. Footings; Size -Spacing -Marriage Line 3. Gas; MH Test -Demand -Valve -Connector 4. Electricity; MH Test -Crossovers -Breakers -Clearances 5. Drain; MH Test -Fall -Flex Connector 6. Water; MH Test -Regulator -Connector 7. Water and Sewer Connected -C/O to Grade -HD Approval 8. Gas and Electricity Tagged 9. Exits; Insp.-Sketch 10. Cert. of Occupancy Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 MISCELLANEOUS Date DECKS, COVERS, CARPORTS, GARAGES, (Plans)OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Footings; Soils -Size -Depth -Spacing -Connectors -Steel, 3. Decks; Griders and/or Joists -Decking -Bracing -Stairs -Rails 4. Wood Awn.; Posts-Beams-Rftrs.-Connectors Shthg.-Rfg.-Bracing `5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Carports; Windows -Doors 7. Electric 8. Frmg; Sils-Anchors-Studs-Rftrs-Trusses 9. Siding; Nailing -Veneer -Stucco -Mesh 10. Roof; Shthg-Roofing 11. Ext.; Steps -Doors -Landings Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date POOLS (Plans) OK except #'s 1. Setbacks -Easements 2. Soils; Compaction -Structure Stability 3. Pool Structure; Steel -Connections -Thickness Dead Men -Lining 4. Elec.; Receptacles and Lighting, Distances-GFI 5. Elec.; Pool Lighting; 15 volts-GFI 6. Elec.; Enclosures; Conduit Entries -Terminals -Listed 7. Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater 8. Elec.; Grounding; Equip. w/5' Circulating Equip. -Pool Lghtg. _ Boxes-Enclosures-Panelboards- Ins. to Main in Conduit 9. Health Department Approval 10. Plumb.; Cir. Test -Water Supply Test Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 J=OK O = Not OK = Not Applicable Not Ready RESIDENTIAL (Single = Date UND FLOOR (Plans) OK_ except a's Date Zo -Setbacks-Easements-Flood-Slope tg., Main; Soils-Elec. Grnd.-/ /" Ftg. Depth --_-� 3. Ftg., Garage; Soils-Steel-Elec. Grnd.-/ /" Ftg. Depth -- 4. Ftg., Porches & Decks; Soils -Steel-/ /Ftg. Depth -� 5. Stemwalls, Main; Steel -Bloc kouts-Wrapped ----- 6. Stemwalls. Garage; Steel-Blockouts-Wrapped------` 6a. Hold Downs and Special Anchors ----� 7. Slab; Steel -Wrapped 8. Piers -Fireplace Ftg.-Steel 9. D.W.V.; Fall -Fitting -Test -2 Way C/O -Sewer Test 0. UF. Gas Pipe; Size -Anchors - yard gas piping: size -test l 11. Water Pipe; Test -Anchor -Regulator -Service Test 12. Electric; Underground 13. Pienums & Ducts; Clearance -Material -Support -Ins. 14. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples 15. Access & Ventilation 16. Insulation Date Card B-1 Date Card B-1 Date Car B-1 Date Card B-1 Date PLWAflN '(Permit),OK except ft's 6. ter Htr.: Vent -Access -Combustion Air -Baffle er Pipe; Test & Anchor -Nail Protection 8. D.W.V.; Test -Fittings & Anchor -Nail Protection -------------- ----- - -------------------- - Shower Pan; Test. First Floor -Tub Access Tub & Shower. Second Floor -Tub Access - Gas Pipe: Size & Anchors Date - Card B_1 - Date Card B-1 ------- -- -------------------------------------- Date Card B-1 Date Card -B-1 Date ELECTRICAL (Permit) OK except h's 22. Fixture & Transformer Clearance -Ins. Protection -3. Elec. Receptacles Spacing -Lights & Switches at Doors 4. Size -Boxes & No. of Conductors -Stapled omex Installed Close to Edge of Studs & C.J. uip. Ground made up wrMech Fastners B d Water ----- - - - - --------------- -- - /----------- -- 27. 2 Appl' ce Circuts in Kitchen & Conductor I ubfeed Wire Size / ga. Cu or AI-A.C. Wire Size ga. Cu or At ---- - --- ------------- --------------- ---------------------------------- ----- 29. flange Circ. / ga. Cu or AI -Oven Circ. / / ga. Cu or Al. Insulated Neutral 0 Yes 0 No ----------- --------------------------------------- --- ---------------------------- 30. Service -Riser Conductors & Ground -Main Disconnect -------------- ------------------------- ------------------------------- uip. Clearances Panels -Motors -Meth. Equip. ----------- - --- ----- ----------------------------------------------- Closet Light -Shower Light -Spa Light Sm ke Dete or --------- --------- ----- t -or------------------------------- -------------- - -_ l - --------- ------ ------ - - -- Date Card Date Card B-1 --------------- - --- -------------------------------------------------- Date ------------------------------------------------Date Card B-1 Date Card B-1 Date MECHANICAL (Permit) OK except h's A.C. Ducts Insulation & Support ------- _ 35. nt Fan Exhaust above insulation --- - -- 6. Condensate Drain & Overflow Size & Grade -- - 7rnance-Vent: Access -Comb Air -Return Air Vent---------- 115outlet - - - - -------------------------- 3d. Attic Access 8 Platform if Furnance in Attic Date Card B-1 Date Card B-1 ------------- -- ----- ---- -------- --------------------- -- ------- Date Card B-1 Date Card B-1 Date FRAMING (Plans) OK except h's 39. Sils Proper Material & Anchors ------- ------------------------------------------------------ --- - Walls Studs -Nailing. Spacing & Bracing -Plates -Sound `�1. Bearm --------- Walls over Girders & Floor Nailing - - - - - ---------------------------- --- - - ----------- ----- Stop in Walls (rat proof) -----------Q-3 --- ------ r ps: Furred Ceilings -Stairs -Chases -Tub ------ - -------------------------------- Headers & Beam -Size & Bearing & Duplex) NG CCo_ntinued) Post Caps -Anchors -Connectors Cing. Joist=Rftr. ties-Purlin-roof Brac-Truss-Shthng.-Rfng. ace Tie .or Type A Flue -Fireplace Throat clearance At ' cess; Size & Romex Protection -Draft Stop -Ins. Baffles Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions irp-Protection Framing $ erty Line Firewall & Openings Ext. Doors -One 3' -Check Garage -3rd Story, 2 Exits Width -Headroom -Rise -Run -Landing -Fire Protection lywood -Roof Overhang -Attic Vents -Rafter Outriggers d g -Nailing Veneer I h -Drip Screed -Fd. Vents-Underflr. Access ing Area -Glass Protection- Skylights -Plastic r -CHs ailing Bolts 59. Ins on -Walls -Ceilings I filtrat ion-Wall5,JVindows Date / Card Date and Date G Card B-1 Date Card Date FINAL 1L'lerrs) OK except ff's �Ex eps-Door & Sidelight Protection -Landings ------------ -- Smo Detector --1 urnace; Vents -Clearance -Comb. Air -Connector - I arage: Above Floor -Ducts -Meth. Protection 4. B oom Exiting G F.I & Bath Fixtures & Tub Access -Spa ----------------- -- ----- Elec. Trim & Subpanel; Breaker Sizes & Labels ----------------------- ---------- lairs & Rails ------------------------------------ - ir Stove:_Clearances-Hearth -- let. utlets at Wood Panel: Int. & Ext. t. & Appliance; Grnd -Air Gap -Cooking Clearance Llelec. Outlets & Receptacles at Kit. Counter -- - --- - - rFire Door; Swing -Landing -Closer 32'A C. t in Garage -Damper 7 tr. Htr (Vents -Clearance -Comb. Air-Connector-P.R.V. . In G q- Above Floor -Meth. Protection 7 E10�lec. &- Mech. _Equip. Listed for Location ............. - T6�-Erc. ceptacles in Garage: (G.F.I.)-Romex Protection nsulation-Foam-Looked in Attic ❑ Yes - - - - 3$ -eau crRails & Deck Construction -Post Caps ------- --- - - - - dn. Vents & Crawl Hole Door -Drainage & Wood -Earth Clearance Looked under Floor O Yes ------ ----------------------------- - -- ------------------------------�-----v 80. Following instld.: Drit es - No; Walks 13 Yes 0 No; Planters ID Yes 0 No ------- uc'o Brown -Finish ----------------- -- - -- --- ry t Disconnect, Electrical, Plumbing ents Above Roof; Plbg.-Appliance-Fireplace.-Clearance to 2p,.. -Kgs _ Well; Disconnect, Electrical, Plumbing Ext rElec. Trim; G.F.I. Receptacle -Underground - entil tion Throughout House - -- --- ------------------------------------- 1 ' ass tection _ /(Q�}/✓ d orrectio -- from Previous Inspections - - - - -----_ l�89. Meters Tagged; Gas -Electric - --------------------------------- ater & Sewer Connected -C/O to Grade -HD Approval Energy Compliance Certificate -Other Certificates -------------------- ---- Date /2/ -rd-B_ Date _ _ Card B-1 Date Card B- Date Card B-1 ------ ---------------- ----------------- Date Card'B-1 Date Card B-1 Comments at Final: COUNTY OF BUTTE - DEPARt'MENT OF PUBLIC WORKS PER#1NO. 7 County Center Drive - Oroville, California 95965 - Telephone: 916/538-7541 APPLICATION AND'PERMIT ASSESS R PARCEL NUMBER t 028-090-007 ZONING A 20 ' BUILDING PERMIT OWNER JAY EASH TELEPHONE 755-8274 SQ. FT. OCC. BUILDING VALUATION 765 M -R 15,300 OWNER'S MAILING ADDRESS P.O. BOX 366 BANGOR 95914 CONTRACTOR'S NAME OWNER TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ 15,300 LENDER'S MAILING ADDRESS Filing Fee $ 15.00 Permit Fee $ 142.50 ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ 71.25 Energy Plan Checking Fee $ 20.00 ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS 415 ROLLING OAKS LANE BANGOR 95914 Permit fee $ 248.75 PLUMBING PERMIT Filing Fee 15.00 Each Trap 5.00 OU Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP -� Water piping 7.00 Each qas water heater or vent 7.00 USE OF STRUCTURE,,,,_,Gas F Duplex❑ Mobilehome❑ OtherBuilding LS SPECIFY TYPE OF WORK New Addition Remodel Utilities❑ Installation❑ Other Desc Ibe work: CONVERT GARAGE TO SF RE: B.P. #91-2725 Sem P�-.�..�92_297o piping system 1 - 5 outlets 5.00 sewer 15.00 0 Mobile Home S I G I W @ 15.00 Permit Fee $ 20.00 Contractor ELECTRICAL PERMIT Filing Fee 15.00 Main service 200A OR LESS 18.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): ❑ I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license Is In full force and effect. License No. Classification as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason Main service 200A TO 1000A) 37.50 NEW CONST. (DWELLING OCCUP.&1 3.60 sq.ft. OR ADONS. ACC, BLDGS. I/ NEW CONSTR. MULT'-OUTLET NON.RESID BRANCH CIRCUITS) @ 5.00 POWER APPARATUS e SINGLE OUTLET CIR. OUTLETS OR FIXTURES EX. OCCU 20 @ T6d p FIXED APLNS.I, Ex. Occup. OUTLETS P(RESID )REA.) I 3.00 Temporary service 15.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 Permit Fee $ WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate Vr of Consent to Self -Insure. 1 shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. Contractor MECHANICAL PERMIT FiIingFee 15.00 Heating qpT,TT SySTEM 9.00 Cooling 9.00 Hood 6.50 6.50 Ventilation 1 4.50 . Permit Fee $ 59.00 Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the Countyot Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgment -c sts, and expenses which may in any way accrue against did Count in ons'eq�ce of the granting of thi/s permit. g x Date( � / L" $i jn r { Appl' ant - Owner Contractor ❑ Agent [:]sions 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 Inspectionfee $ 40-00 CON T Y TOTAL FEE $ 3 .75 rlAz 0FEES IMP F F PARC PO HD ISSUE This permit is hereby issued under the applicable provi- � of the Butte County Co and/or resolutions to do j work indicated,01 fo ch fees have been paid. OUBLIC WORKS .6�Z By DateD PERMIT XPIRES Date Receipt No. 125972 WHITE -D. P. W., 7ELLOW-ASSE950R, PINK -INSPECTOR, GOLDENROD -APPLICANT r rld V . COUNTY OF BUTTE NT-_U,5LIC WO ,- BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILLE,`,CA4,IPRNIA 95965 - TELEPHONE (916) 538-7541 / PERMIT APPLICATION DATA SHEET OWNER P. No. OaP- 690 - 007 Proposed Building Use &AM6C. CaAlue T 't o UUI' N�uilding Inspector ,`(moi Date �2 At time of permit application, I was advised the following data must be submitted prior to permit processing and/or issuance: DATE RECEIVED BY 1. All items have been submitted . ........................................ 2. Plot plans, 3/4 sets, signed by preparer of plans . .......................... 3. Complete plans, 3/4 sets, signed by preparer of plans . ..................... . 4. Engineered plans and calcs, 3/4 sets, with wet signature on plans . ............ . 5. Hazardous Material Form . ............................................ 6. Energy Design Compliance and supporting documentation . .................. 7. Statement of Intent for Non -Heated and A/C Buildings . ...................... 8. Engineered truss details and layout in duplicate (required prior to plan check). .... 9. Mobilehome data and manufacturer's installllatio.ninstru ctions, 2 sets. ........... 10. Fees of $ �\,� 1. Impact fees as shown on attached scheduleti�. S�Sb (. 2- 12. California Department of Forestry plan approval/fees. ....................... . 13. Flood elevation letter (100 year flood) by California Engineer . ................. . 14. Sanitation and plot plan approval O2bo,'iIri Health Department . ............ /d' 15. City of Chico plumbing permit . ......................................... 16. Plot plan and business license approval from City of Biggs/Gridley. ............. 17. Planning approval for (A) Use: (B) Parking: . ........ 18. Contact Land Development about (A) Improvements (B) Drainage. 19. Driveway permit (construction approval required prior to occupancy). . . r Pre -Inspection request - 20. Pre -inspection for required. . to Building inspector _(Date 21. Contractor's license information. (No., Name Style, Classification) . .............. - 22. Certificate of Workmans Compensation Insurance. .....: ................. . 23. Owner -Builder Verification (Given to owner Mail to owner_) ........... . 44& 24. Recorded copy of Agricultural Acknowledgement Statement . ................. . 25. Letter of signature authorization . ....................................... . 26. Copy of recorded deed of parcel creation and 60 right of way to a publiq road . . 27. Letter of intent on building use. fo.� M- . T -T'. r. ?!�P,!ei �!? .. vr- .:SiF , 10 - 6L 21- lu 28. Mobilehome utility clearance . ...................... `........... . 29. Documentation of legal access . ........................................ 30. Documentation of 50% subdivision developed or (A) Road improvements completed and (B) Parcel meets zoning area and frontage requirements . ............... 31. Existing violations/expired permits . ...................................... Plan check list. ....... .... ..... . �V34- J When you issue the permit, process as follows: Mail too�er. Mail to contractor. I Telephone 755- 27yand hold for pickup at office. Deliver with inspector. Other Parcel Creation C191.11 ,or iZ Acreage Applic n Date Copy of Haz-Mat form sent Health Dept. Fire 9 pt. Air Pollution Date Copy of plans sent Health Dept. Fire Dept. Other Date By The following data must be submitted prior t e -t ldre ' cle new item not checked above). 1. Index permit for above items No. 2. Additional items required: VM Contractor, designerowner as advised of above required data by phone _ mall Counter by 43 Date -16)- 117 Contractor, designer, er, was advised of above required data by _phone _ mail Count r by -Date Plans checked by Date Plans approved by�_ Date Sets of plans on hold in File cabinet AP folder Copy - Department of Public Works Hot Pian Attacked I Irwc I'liiii Aiin I d -�---- I1.U: TO: Building Del)artment FROM: Environmental Health SUBJECT: Sanitation Clearance Ow er LocationG o Plan Approved for: Sewa-e Disposal Water Supply: I'ublic. — Clearance forbedroom home. Ther -61)-- Hold finalifor: Final clearance O.K. for: N Environmental Health Specialist 8/92 D02-6- 0 AN Private Well —o C.,/ Date e,. OWNER COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS - BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE (916)5387541 - PROPOSED BUILDING .USE A? A. P. NO. �Zv - O9U- Oo7 DATET13 REC. DATE REC School Distric Fees (paid at District Office) Sheriff Fees - (paid at Building Department) Residential .......... X =$ Zoo.= I 19 S" (( -6-9z-. unit amt. Commercial(per sq.ft.) X =$ sq.ft. amt. 3. Urban Area Fees (paid at,Building Department Residential (per unit) X =$ # units amt. Commerical(per sq.ft.) X 4 sq.ft. amt. 4. Recreation District Fees (paid at District Office) 5. Drainage District -Fees (Contact Land Development) ......................... 6. Other 7. Other At time of permit application, I was advised the above fees are required to be paid prior to issuance of the permit. -' i COUNTY OF BUTTE-- Department of Public Works. 7 County Center Drive, Oroville, CA 95965 Phone: 916-538-7541 OWNER -BUILDER VERIFICATION Attention Property Owner: An "owner -builder" building permit has been applied fo.r 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 aterials for construction of* the.proposed property improvement (yes or no) �. 2. I (have/have not) LA --U- < 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, supers�, and provide the major work: Address__ City Phone. Cantractors 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 Secy Date 16 / -7 r e 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. COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 - Telephone: 916.'538-7541 APPLICATION AND PERMIT PERMIT NO. ASSESSOR PARCEL NUMBER 6a8-096-007 ZON NG -�Z" BUILDING PERMIT OWNER J 6 TELEPHONE 55 . L. S0. FT. OCC. BUILDING VALUATION / r '_ �•/�� OWNER'S M ILING ADDRESS .0 0 3(0(0 /',)&O2 CONTRACTOR'SNAME ow ties TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ �Jr OD Filing Fee $ 15.00 LENDER'S MAILING ADDRESS Permit Fee $ 02 _ S > ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ -7 1. .Z Energy Plan Checking Fee $ D. V -c� ARCHITECT OR ENGINEER'S MAILING ADDRESS i Penalty $ BUILDING ADDRESS p 5 o f t ti O fl kQS /\J Permit fee $ Z2s PLUMBING PERMIT Filing Fee 15.00 fw Each Trap I 5.001 S, ax> Solar or heat pump water heater 1 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP Water piping 7.00 Each qas water heater or vent 7.00 USE OF STRUCTURE SF ❑ Duplex❑ Mobilehome❑ Other CTA4 A& -C SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer15.001 Mobile Home S G W 415.001 TYPE OF WORK New❑ Addition/Lj Remodel_ Utilities❑ Installation[ Other ❑ Describe work: 6%It/ &e TD SF G!(1 fir /u Permit Fee s p.pp Contractor ELECTRICAL PERMIT Filing Fee 15.00 Main service 600V OR LESS 200A OR LESS 18.50 Main service 200ATO1000A, 37.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): 17I am licensed under provisions of Chapt. 9, Div. 3 of the BUSIneSS and Professions Code and my license is in full force and effect. License No. Classification LJ I, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ 1 am exempt under Sec. Business and Professions Code for this reason NEW CONST,OR ADDNS. 1 / ACC. BLDGS. DWELLING OCCUP.a) 3.6asq.ft. NEW CONSTR. ^ ULTI-OUTLET NON_RESID BRANCH CIRC ITS 5.00 /POWER APPARATUS e %SINGLE OUTLET CIR. Ex. OCCUp(OUTLETS OR FIXTURES 20 76d A 460 FIXED EX. Occup. OUTLETS PRESID )REAJ I 3.00 Temporary service 15.00 Mobile Home Facilities 15.00 Misc. Wiring . g 15.00 .5EE 3Q 2- ZS --II Permit Fee $ WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. I— I have placed on file with the County of Butte Building Department u a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. ❑ I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. Contractor MECHANICAL PERMIT FiIingFee 15.00 Heating aPLt 00 Cooling g _ p� Hood 6.50 �d Ventilation permit Fee $ CSO Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the Countyot Butte to enter upon the above-mentioned property for inspection purposes. I 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 consequence of the granting of this permit. X Date signature of Applicant — Owner C Contractor L Agent C An OSHA ion of structures toverr 3 srorriesoineheigfattlons over 5'0" deep and demolition or construct. Mobile Home Installation Fee S Energy Inspection Fee $ o� occ CONST TYPE TOTAL FE ,$- ,?j(p� �S HAz 1 0FEES I IMP I FL COF I PARCEL PO I FID ISSUE This permit is hereby issued under the sions of the Butte County Code and/or work indicated above for which fees DIRECTOR OF PUBLIC By PERMIT EXPIRES Date applicable provi- resolutions to do have been paid. WORKS Date Receipt No. �,2 � �/ 7 Z nNltC•O. P. W., YELLOW -ASSESSOR. 014R—SPECTOR, .;OLUCNPCO-APPL. CANT t BUTTE COUNTY SCHOOLS IMPACT FEE CERTIFICATION FORM (One Form Per Building) a School Districtt�V / G- N( Building Department No. A.P. Number Jurisdiction' City (k County Property Owner &A0 Property Location/Address -i/J/5 { N !�S ;21AvC �iUGU2 Subdivison Lot No. r Residential Development XJ Sq. Footage 7G • ' No. of Living MHI Addition (Group R) Units. y ! z T- 7 i Commercial/Industrial �� Sq. Footage New Addition (Including Exterior _ Roofed Areas) 5z Building Department Representative ``- y : IN, .,,,.,Date (Floor Plans reviewed by School District Pers nnel) OUN'ry OF But TT . 9�0594 .• --_ ..��� +-. pV 06199 District Identification No. N School District certifies that 6ci S I I (Applicant) 4 15� k�.J (Street ess) ', (Phone Number) }} (City a (State) (Zip Code) . . i .1 j has complied with the requirements of Resolution Nos _ / (� Jam'- �� r kiy -is t of $ representing %�,� square feet. School Dlstrlct Nepre _ '6411. Date Paid by Check Number . Remarks: Bank Number Paid by Cash PIN If, subsequent to the School District Representative signing this Butte County Schools Impact Fee Certification Form, the School District is notified by the applicable Local Planning Agency that this project is being reviewed under the California Environmental Quality Act (CEQA), this project may be subject to additional school fees to fully mitigate its impact on the school district's schools. White (applicant), Yellow (building department), Pink (school district) feeform.wki (4/92) RESIDENTIAL PLAN CHECKING GUIDE (S.F., DUPLEX & MISC. ONLY) OWNER GENERANL /Zoning requirements: (sideyards and number Valuation. Plans signed by designer. Proper description of work on application. —Existing violations on property. Bldg. Permit. # A. P. # ,7 C;) _�Z Plan Checker ' f_,!S; of permitted living units). 8/91 6V- Items on data sheet. (W.C., fees, Health, Developer Fees, License.law, etc)., �� Recorded notice of violation. PLOT PLAN Complete parcel size.and dimensions. -tbacks, sideyards, easements, etc. "er buildings or structures. ading, fills, drainage. lood hazard. Special conditions on creation map, ustible, and foundations). AU & FAS road setback. (noise,.CDF, fire sprinklers, non -comb - Building or utilities across lot lines (Record form). FLOOR PLAN s Complete to.scale,plan with dimensions. Required windows for light and ventilation (Sec. 1205). Required windows for second exit (Sec. 1204). Skylights (Chapter 34 & Sec. 5207). Human impact glass (Sec. 5406). Required room sizes, ceiling heights (Sec. 120.7,). FCIs in baths; garage, kitchen, and exterior outlets (Article 210-8). Light fixtures; switches, receptacles, and exterior receptacles -for main- tenance of mechanical equipmen Locations of water; heater, eating and cooling equipment other electrical or gas equipment: Garage firewall, door size, and closer (Sec. 503(d)(3)). _1 - 3'0" exterior exit door (sec. 3304 (f). Fireplace and wood stove location, alcoves,..and clearance. Smoke detectors (Sec. 1210). Plumbing fixtures, water closet clearances and shower size. STRUCTURAL DETAILS Standard bracing or engineered design (Table 25V) Unusual shape, size, or split level house requiring lateral design. Clerestory requiring balloon framing and/or engineering. Three story building requiring engineered calculations and plans. Foundation plan complete enough to construct building. Floor construction details complete enough to construct building. Elevations and wall construction details complete enough to construct building Roof construction details complete enough to construct building. r Fireplace construction details and talcs if necessary. 3' Rafter ties or bearing ridge beam. I— Garage door or porch header sizes. Z. Stud 'heights. Adobe soils - special foundation design. t> Retaining walls requiring design. 5-. Special Inspection required. 8/91 RESIDENTIAL PLAN CHECKING GUIDE MISCELLANEOUS ITEMS TO LOOK OUT FOR + Stairway details: landings, rise and run, head clearance, handrails (Sec. 3306). Guardrail details (Sec. 1711 & 3306(j). Brick or stone veneer (Chapter 30). • Exterior plaster - weep screeds (Sec. 4706). • Proper roof pitch for roof convering (Chapter 32). Roof covering type - (fire hazard). Foam insulation - protection. 36" halls and stairways. Living area over garage - complete 1 -hour separation required on garage side including supporting walls and posts, etc. 9-r Two exits on three-story dwellings (sec. 3303 & see Mezannines - 1716). 1-a- Attic access and ventilation (Sec. 3205). 2: Underfloor access and ventilation (Sec. 2516). Combustion air for fuel burning appliances - L.P.G. requirements. Noise requirements on duplexes. rEnergy design. Flashing at all exterior openings. ijp,WAPILW i. _ / :r %Q -P' 4 � (, w"01 r Relqdue- rk ��v0 G%is caNec� /til% 7- T �,�� /j/D ONS w�� Gccv�� i fi_ COUNTY OF BUTTE BUILDING DEPT OCT 14 692 0 Cal ifornia wilding Officials PRESID�NT� WARRE V.O'BRIEN General Manager Depart urt bf Building and Safety City of Los Ingele e �s VICE -PRE I ENT FRED B. C L UM Building O ice City of Sa Ma eo TREASU ER WALTER .LOP S Deputyerector o Public Works County o,Y Merced D L. WOLFF Director lent of Public Works of Los Angeles DIR CTORS JIM LANDER Chie Building Insp ctor Cou ty of Butte MI HAEL W. BO SE, C.B.O: Dir ctor Bu Iding and Safety Department Ci of National City T NY C'DE BACA, C.B.O. A sistant Development Services irector/Building Official ity of Costa Mesa I ONALD E. CLARK, C.B.O. uilding and Zoning Official ity of Kingsb� rg AST PRESI ENT MILTON A. TROMBORG ommunity Development Director itv of Dinuba CALBO CO ULTANTS CONNER & AA- SOCIATES, 2215 21 Street acramgnto, CA 95818 916) 4F-1103 1 COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Orovll Ie,_Ca1,I1 ;la 95965 - Telephone: 916,538-7541 APPLICATION AND PERMIT PERMIT NO. 9 ASSESSOR PARCEL NUMBER 02.3-090-007 ZONING a20 BUILDING PERMIT OWNER JAY EAST{ TELEPHONE SO. FT. OCC. BUILDING VALUATION 1ST 7EFEWA OWNER'S MAILING ADDRESS PO BOX 355 BANGO:? 95914 CONTRACTOR'S NAME OT.-INEE TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ LENDER'S MAILING ADDRESS Filing Fee $ 15.00 Permit Fee FEL $ 52.25 ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS 415 ROLLING OAKS LKBANGORPermit tee $ 57, 25 PLUMBING PERMIT Filing Fee 15.00 Each Trap 5.00 Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP Water piping 7.00 Each qas water heater or vent 7.00 USE OF STRUCTURE SF ❑ Duplex❑ Mobilehome❑ Other (:ARACE. SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 15.00 Mobile Home S I G I W @ 15.00 TYPE OF WORK New❑ Addition❑ Remodel[-] Utilities❑ Installation❑ Other] Describe work: }S.T _'rENEidALQ-1-2 Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 15.00 Main service LESS 200A OR LESS 18.50 Main service 200A TO IOOOA) 37.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check One): ❑ I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in full force and effect. License No. Classification I, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed Contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONST. ( DWELLING OCCUP.9 3.64sq.ft. OR ADONS. ACC. BLOGS. / NEW CON5TR ULTI.OUTLET IRC ITS @ 5.00 NON•RESI BRANCH _,.C" POWER APPARATUS h (SINGLE OUTLET CIR. ) Ex. Occup(OUTLETS OR FIXTURES 20 @ 76 FIXED Ex. DCCUp. OUTLETS ((RESID )REA.) ( 3.00 Temporary service 15.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 Permit Fee $ — WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Not. ce to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. Contractor MECHANICAL PERMIT FiIingFee 15.00 Heating Cooling g EL E650 Ventilation permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the Countyot Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against II liabilities, judgments, costs, and expenses which may in any way accrue gainst said County in sequence of the granting of this permit. Date 7 Aff % � s Dture f Applicant — Owner C�YContractor ❑ Agent ❑ n 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 S Ener gY Inspection Fee $ occ CONST TYPE TOTAL FEE '$ 57.2.5 HAz DFEES IMP FLOOD cDF PAP.CEL PD HD ISSUE This permit is hereby issued under the applicable provi cions of the Butte County Code and/or resolutions to do work Indicated bove c1hich fees have been paid. PUBLIC WORKS BY Date �� - PER IT PIKES Date -n- -7 Receipt No. q' � /� ! WNITE-D.P.W., YELLOW-ASSFSSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT � � r o07 COUNTY OF BUTTE - Department of Public Works 7 County Center Drive, Oroville, CA 95965 Phone: 916-538-7541 OWNER -BUILDER VERIFICATION Attention Property Owner: An 'owner -builder" building permit has been applied for in your name and bearing your signature. Please complete and return this information at your earliest opportunity to avoid unnecessary delay in, processing and -issuing your building permit. No building permit- will-be ermitwillbe 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) _ �., tl 2. I (have/4awe--rte) ..�� 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 �1,�-•-C 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 96,,/,-2 J��/ Social Securi u er Date p</ �5 Z 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. COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Orovllle, 6allf6rnla 95985 - Telephone: 918/538.7541 APPLICATION AND -PERMIT PERMIT NO. rt/1 / JJJ ASSESSOR PARC11L NUMBER 28-09-07 ZONING 2 BUILDING PEFiM1T OWNERJAY EASH EPHONE SO. FT, OCC. BUILDING VALUATION p� 750 M 13,500 OWNER'S MAILING ADDRESS P.O. BOX 366 BANGOR CONTRACTOR'S NAME OWNER TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER NONE UNKNOWN Total Valuation $ 13,500 Filing Fee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee $ 104.50 ARCHITECT OR ENGINEER NONE LICENSE No. Plan Checking Fee $ Ener Plan Checking Fee Energy g 752 ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty _ $ DDRESS BUILDING A415 ROLLING OAKS LANE BANGOR Permit fee $ 114.50 PLUMBING PERMIT Filing Fee 10.00 Each Trap 41 2.00 Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP Water piping 5.00 Each qas water heater or vent 5.00 USE OF STRUCTURE SF ❑ Duplex❑ Mobilehome❑ Other DET GARar SPECIFY Gas piping system 1 - 5 outlets 5.00 5 on Building sewer 5.00 5 00 Mobile Home I S I G JW 1 1 0.00 ea TYPE OF WORK New [X] Addition ❑ Remodel ❑ Utilities ❑ Installation❑ Other ❑ Describe work: — _ _ Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 8001 OR LESS 100 AMP OR LESS 10,00 Main service EA. ADD'L 100 AMP 2.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (Check One): F1 am licensed under provisions of Chapt. 9, Div. 3 of the Bushes$ and Professions Code and my license is in full force and effect. License No. Classification, I, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONST. / DWELLING OCCUP.&) OR ADDNS. ACC. BLDGS. 1 +/zQsgft 18.75 NEW CONSTR MULTI -OUTLET NON•RESID BRANCH CIRC ITS 2.50 ea POWER APPARATUS el SINGLE OUTLET CIR. I Ex. Occup(OUTLETS OR FIXTURES 20030! SALo30 FIXED APPLNS. Ex. Occup. OUTLETS (RESID )KEA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Iyirin 9 15.00 Permit Fee $ 28.75 WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shal I be deemed revoked. Contractor MECHANICAL PERMIT Filing Fee 10.00 Heating Cooling 9 Hood 3,00 Ventilation Permit Fee $ L Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. aI also agree to save, indemnify and keep harmless the County of Butte against ll liabilities, judgm s, costs, and expenses which may in any way accrue against aid C y n sequ ce of the granting of this permit. XO d2 CJ Date 'gnatur of Appl cont — OwnerFUl Contractor ElAgent ❑ 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 $ occ CONST TYPE TOTAL FEE $ 181.25 HAz. CUA PARK SCHL FLD EDF PAfl PD j HD. IS E This permit is hereby issued under the applicable provi- sions of the Butte County. Code and/or resolutions to do work indicated above for which fees have been paid. DIRECTOR OF PUBLIC WORKS By Date b—,9p PE IT EXPIRES Date 6 Receipt No.971 1 1 181-25 WNIrC-D. r. W., YELLOW-A5e(e30R, PINK -INSPECTOR, GOLDENROD -APPLICANT - I 4 COUNTY OF BUTTE:D zPAR,TM_EWf V PUBLICt WORKS - BUILDING DIVISION 7 COUNTY CENTER DRIVE - OR 'LLE, CALIFQP A-95963 - TELEPHONE: 916/538-7541xltl PERMIT APPLICATION DATA SHEET Permit No. OWNER S=� l4'� / - P. No. 2 - Ute'- 6 -1 Proposed Building Use ePNQcn.1)1 lPec--*L_2752_9Building Inspector Date - Z At time of permit application, I was advised the following data must be submitted prior to permit processing and/or issuance: DATE RECEIVED APPROVED 1. 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. Hazardous Material Form .......................................... 6f Energy Design Compliance and supporting documentation ......... 7. Statement of Intent for Non -Heated and AC Buildings .............. 8. Engineered truss details and layout in duplicate (required prior to plan check) 9. Mobilehome installation data including manufacturer's installation instructions....................................................... 10. Fees of $ 11. Chico Urban Area fees paid ....................................... 12. Park fees paid ..................... .....,.....,................ .y 13• School District fees paid .............. 14. Sanitation approval from Health Department 15. City of Chico plumbing permit ..................................... 16. Plot plan and business license approval from City of (see City for other requirements) j 17. Planning approval for (A) Use: (B) Parking: ...... 18. Improvements may be required. Contact Land Development Section DPW 19. Driveway permit (construction approval required prior to occupancy) 20. Pre -Inspection for required Pre-inspec. request to 4* Building Inspector (Date) : 21. Contractor's license information (No., Name Style, Classifications ... 22. Certificate of Workmans Compensation Insurance .................. 23. Owner -Builder Verification (Given to owner ❑, Mail to owner ❑) ..... Y 24. Recorded copy of Agricultural Acknowledgment Statement ......... 25. Letter of signature authorization ................................... 26. 27. When you issue the permit, process as follows: I X Mail to owner. Mail to contractor. Telephone and hold for pickup at office _ Deliver w/inspector. Other Applicant Date Z-� Copy of Haz-Mat form sent Health Dept. Fire ept. _Air Pollution Date Copy of plans sent Health Dept. Fire Dept. Other Date By The following data must -be-submitted prior to permit issuance: (Circle new item.not.checked. above). 1. Index permit for above items No. 2. Additional items required: Contractor, designer, owner, was advised of above required data by_phone_-mail counter by ..date Contractor, designer, owner, was advised of above required data by—phone —mal l—counter by date Plans checked by Date Plans approved by Date Sets of plans on hold in File cabinet AP folder Copy—DPW COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMITAO. 7 County Center Drive - Oroville, Craiifornle95965 - Telephone: 916/538-7541 APPLICATION AND PERMIT ASSESSOR PARCEL NUMBER ZONING X -20 BUILDING PERMIT OWNER /', j TELEPHONE SO. FT. OCC, BUILDING VALUATION .50 0 OWNER'S MAILINGP.DQROE S4 tj E>1_ CONTRACTOR'S NA TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation Is ! O 0 Filing Fee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee $ ,575 ARCHITECT OR ENG)NE. R - LICENSE No. Plan Checking Fees'2&7 FLI>M j,{.- $ 0— Energy Plan Checking Fee�•]5Z $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS cv Permit fee $ 50 PLUMBING PERMIT Filing Fee 10.00 �� Each Trap 2.00 Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP Water piping 5.00 5_6o Each qas water heater or vent 5.00 5 - USE USE OF STRUCTURE SF ❑ Duplex❑ Mobilehome❑ Other Det A CA&6- tyPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 5.p Mobile Home S I G I W 10.00 ea TYPE OF WORK New Addition❑ Remodel❑ Utilities[] installation[] Other ❑ Describe work: V? NetA^II, 42,,T n^1 021 'Z�c10 Permit Fee $ _38.00 Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 60OV OR LESS 100 AMP OR LESS 10.00 Main service EA. ADD'L 100 AMP 2.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): F1 am licensed under provisions of Chapt. 9, Div. 3 Of the BUsines$ and Professions Code and my license is in full force and effect. License No. Classification. F-1 1, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONST. DWELLING OCCUP.a7 OR ADDNS. ACC. SLOGS. /20sgft 16, NEW CON5TR ULTI.OUTLFT NON•RESID BRANCH CIRC ITS 2.50 ea POWER APPARATUS e (SINGLE OUTLET CIR. / Ex. Occup(OUTLETS OR FIXTURES 20050c .AL@3o FIXED APLNS. Ex. Occup. OUTLETS P(RESID )REA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 9 15.00 Permit Fee $ X75 Contractor WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. ❑ I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. MECHANICAL PERMIT Filing Fee 10.00 Heating Cooling g Hood 3.00 Ventilation permit Fee $ Lcontractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue against said County in consequence of the granting of this permit. XThis Signature of Applicant — Owner ❑ Contractor ❑ Agent ❑ An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST TYPE TOTAL FEE $ ��� HA2 I CUA I PARK I SCHL I FLD I CDF PAR I PD ; Ho. ISSUE permit is hereby issued under the applicable provi- sions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DIRECTOR OF PUBLIC WORKS By Date PERMIT EXPIRES Date Receipt No. / WHITE-D.P.W.. YELLOW -ASSESSOR. PINK -INSPECTOR, GOLDENROD -APPLICANT COUNTY:OF BUTTE - Department of Public Works 7 County Center Drive, Oroville, CA 95965 Phone: 916-538-7541 OWNER -BUILDER VERIFICATION Attention Property Owner: An 'owner -builder" building permit has been applied for in your name and bearing your signature.. Please complete and return .this information at your earliest opportunity to avoid unnecessary delay in processing and issuing your building permit No building permit will be issued until this verification is received. 1. I personally plan to provide the major labor and materials for construction of the proposed property improvement (yes or no) 2. I (have/have not) L61L4signed 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 SocialpecrCir#� / umb — Date / NOTE: This Owner -Builder Verification is sent to you as required_ by. Sections 19831 and 19832 of the California Health and Safety Code. This verification mustbe completed and returned to our office before we are per- mitted to issue the permit. ,o�C /O Qn,Ciio�- ,6v/t's 7" W, f`tisil /2"�iv�•, enws ✓o/i,'v4s �B�i/9eod fir• Piessv� Treofed At y �iro'vI' woo /B Mia �X7�erior dp � li •�M/� ,✓afdro/� li�rc�d/L�6oet � Ecrr�d, i I W fbst Alf, Re wwoo el or �essvrr Ti'eoJ�eo/ !3/OC Areaos� %�/er s�� bN 41 h �oySHy D,47Z- e e/T15P Reelwoocl oe pressure Treofei Fit�Gr/Dr t-rJ ROVED Zdx/O,�Qr�ci,e� bo��s 7' �� /h Ifo CoHcrG c 44 3 2 iv1, r/ older sls6 A& OR SOL/O AND AOR VERT/CAG OR/ZONTAL CELL CELL UN/TS Um/Ts CAV/T WALL TIES 3 D/AAOETER 3q- 12 I WA PA OR AN STI Y VENEER WALL SUPPORTED ON AOOT/Na MASONRY VENEERED WALL Pw e -q- 3o vv — FIG. 13 sm� MU �vll. iNG DEpa��i� MMA ppp.0VEDA 81 �R GE :H 7/ES X J'W/Of STUD ",-.O'LlI-OlA.,A NO-9 PORE CONT/NUOUr T/Er /7" C. TO C. VERT/CALLY IL - Y VENEER WALL SUPPORTED ON AOOT/Na MASONRY VENEERED WALL Pw e -q- 3o vv — FIG. 13 sm� MU �vll. iNG DEpa��i� MMA ppp.0VEDA 81 a m Mandatory Measures Checklist: Residential MF•lR NOTE: Lowrise residential buildings subject to" Standards must contain these memm regardless of the Compliance approach used. Items marked with an asterisk (•) may be superseded by more stringent compliance requirements listed on the Certificate of Compliance. When Nis checklist is incorporated into the permit documents, the features noted shall be considered by all parties as binding minimum component perfomunce spearwatim for the mandatory measures whether they are shown elsewhere in the documents or on this checklist only. ' DESCRIPTION I DESIGNER I ENFORCEMENT Building Envelope Measures • §2.5352(a): Minimum ceiling insulation R-19 weighted average. §2.5352(b): Loose fill insulation manufacturer's labeled R -Value. • §2.5352(c): Minimum wall insulation in framed walls R -I 1 weighted average (does not apply to exterior mass walls). §2.5352(k): Slab edge insulation - water absorption rate no greater than 03%, water vapor transmission rate no greater than 2.0 pemJurch. 12.5311: Insulation specified or installed meets California Energy Commission (CEC) quality standards. Indicate type and form. §2.5352(f): Vapor barriers mandatory in Climate Zones 14 and 16 only. §2-5317: Infiltration/Exfiltration Controls a. Doors and windows between conditioned and unconditioned spaces designed to limit air leakage. b. Doors and windows certified. c. Doors and windows weatherstripped. all joints and penetrations caulked and soled §2-5352(e): Special infiltration barrier installed to comply with 12-5351 meets CEC quality standards. §2-5352(d): Installation of Fireplaces 1. Masonry and factory -built fireplaces have: a Tight fitting, closeable metal or glass door b. Outside air intake with damper and control c. Flue damper and control 2. No continuous burning fiat pilots allowed. HVAC and Plumbing System Measures 12.5352(8) and 2-5303: Space conditioning equipment siring: attach calculations. 12.5352(h) and 2-5315: Setback thermostaton all applicable heating systems. 12-5316(a): Ducts constructed. installed and insulated per Chapter 10, 1976 UMC. §2.5316(b): Exhaust systems have damper controls. 62-5314(e): Gas -rued space heating equipment has intermittent ignition devices. §2.5314: HVAC equipment, water beaters, showerheads and faucets certified by the CEC. 12.5352(i): Water heater insulation blanket (R-12 or greater) or combined interiorkaterior insulation (R-16 or greater): fust 5 feet of pipes closest to tank insulated (R-3 or greater). 12.5312(Exception 1): Pipe insulation on steam and steam condensate return k recirculating piping. §2-531R(d): Swimming Pool Heating 1. System has. a. On/off switch on heater. b. Weatherproof instruction plate on heater. c. Plumbed to allow for solar. 2. 75 percent thermal efficiency._ 3. Pool cover. 4. Time clock. 5. Directional water inlet. Lighting and Appliance Measures 12-5352(1): Lighting - 25 lumens/wait or greater for general fighting in kitchens and bathrooms. 62.5314(c): Gas fired appliances equipped with intermittent ignition devices. §2.5314(a): Refrigerators. refrigerator -freezers. freezers and fluorescent lamp ballasts cenified by the CEC. Indicate make and model number. COMPLIANCE STATEMENT . This oertifiahte of oompliancoe lists the binding features and performarhoe specifications needed to comply with Title 24. Chapter 2-53 and Title 20. C haptnrl SubchapW4. Article 1 of the California Administrative code. This - CC&f'cate has boon signed by the individual with overall design t WIlsibility and the building owner. who shall retain a copy of it and transmit the certificate to any subsequent purchaser of the building, - Designer '- Ti1WFirra: ~ _ Address: ++ , Telcownc r ` Lic. 0: i (sitrtatttrc) (date) Documentation Author TitWFirm: Address: Building Owner Names- Ttle/Fum. Address: If 15— X0 / 0 6i Ce' /mac ,-c Tettphonc g 7-7 �e d Z (sign ) (date) } Enforcement Agency Names Atm Tekpttorte: - 1. Ceiling Insulation 2. Wall Insulation Single- Number of stories 0.80 R -value One Two Three R-0 -103 -49 32 R-19 -8 -4 -2 R-30 .2 -1 -1 R-38 0 0 0 U -value 8 6 4 0.50 -176 -84 -54 0.30 -102 -49 32 0.10 -26 -13 -8 0.08 -18 -9 -6. 0.06 -11 -5 -4 0.04 -4 -2 .1 0.02 4 2 1 0.00 11 5 3 2. Wall Insulation 3. Raised Floor Insulation Single- Single - 0.80 R -value Family Family MuICi- R-value Detached Attached Family R-0 -68 -51 -34 R-11 0 0 0 R-13 2 2 1 R-19 8 6 4 U -value -26 R -value 0.60 0.80 -153 -114 -76 0.50 -91 -68 -46 0.30 -47 -36 -24 0.10 0 0 0 0.08 4 3 2 0.06 9 7 5 0.04 14 11 7 0.02 19 14 10 - 0.00 24 18 12 3. Raised Floor Insulation F2 factor 0.90 Insulation in Floor Number of stories 0.80 R -value Number of stories Two R -value One Two Three R-0 -17 -8 -5 R-11 -3 -2 -1 R-19 0 0 0 R-30 3 1 1 U -value Number of Stories -26 R -value 0.60 -144 .70 -46 0.50 -120 .58 38 0.40 -95 -46 30 0.30 -69. -34 .22 0.20 -43 -21 -14 0.10 -17 -8 -5 0.08 -11 -6 4 0.06 -6 -3 -2 0.04 -1 0 0 0.02. 4 2 1 _ 0.00 10- 5 3 Controlled Ventilation Crawlspace F2 factor 0.90 -4 Number of stories 0.80 R -value One Two Three R-0 -11 J -5 R-5 -4 -4 3 R-11 -2 -2 .72 R-19 -1-2 -39 =2 4. Slab Edge Insulation 4 40 -90 Number of Stories -26 R -value One Two Three R-0 a 0 0 R-5 8 5 •2 R-7 8 6 .3 F2 factor 0.90 -4 3 -1 0.80 -1 -1 0 0.70 2 2 1 0.60 6 4 2 0.50 9 6 3 0.40 12 8 '. 4 5. Infiltration (Air Leakage) Speech bm Pointe Standard 0 6. Glass Heat Loss Total Single. Stab Floor Raised Floor Effective Percent Glass U -value Stories IPercent (peteettt �Ias x SC) Stories .51 to .41 to .31 to 0.30 or Glass Single Double .60 .50 .40 less 50 -121 -53 -39 -24 -10 4 40 -90 37 -26 -14 -3 8 35 -75 -29 -19 -9 1 10 30 -61 -21 -13 4 4 12 29 -58 -20 -12 -3 5 12 28 -55 -18 -10 -2 5 13 27 -52 -17 -9 -2 6 13 26 -49 -15 -8 -1 7 14 25 -46 -14 -7 0 7 14 24 -43 -12 -5 1 8 14 23 -40 -11 -4 2 8 15 22 -37 -9 -3 3 9 15 21 -34 -7 -2 4 10 15 20 -31 -6 0 5 10 16 19 -29 -4 1 6 11 16 18 -26 -3 2 7 12 16 17 -23 -1 3 8 12 17 16 -20 0 4 9 13 17 15 -17 1 6 10 14 17 14 -14 3 7 10 14 18 13 -12 4 8 11 15 18 12 -9 6 9 12 15 19 11 -6 7 10 13 16. 19 10 -3 9 11 14 17 19 9 -1 10 13 15 17 20 8 2 12 14 16 18 20 7. Shading (Shade Open) Single. Stab Floor Raised Floor Effective Percent Glass Effective Pei t Gist Stories Mutti (peteettt �Ias x SC) Stories (Peteent Zhu x SC) NoM Effective &A Waat SlWW 18 %Glass North East South :West Skylight 18 5 1 4 1 na 16 4 2 5 1 na 14 4 2 5 1 na_ 12 3 3 5 2 na 11 3 3 5 2 na 10 2 3 5 2 1 9 2 3 5 2 2 8 2 3 5 2 .2_ 7 1 3 4 2 2 6 1 3 4 2 3 5 1 2 4 2 3 4 0 2 3 1 3 3 0 1 2 1 3 2 0 0 1 0 3 1 -1 -1 -1 -1 2 0 -1 .2 -4 -2 0 na = not allowed 1 1. 1 IB. Shading (Shade Closed) Single. Stab Floor Raised Floor Effective Percent Glass Family Stories Mutti (peteettt �Ias x SC) Stories %(lou NoM tent &A Waat SlWW 18 -14 .48 -69 -64 na 16 -12 -42 -59 -55 na 14 -10 -35 -50 -46 na 12 -8 -29 -40 -37 na 11 -7 -26 -36 -33 na 10 -6 -23 31 -29 -74 9 .5 -20 -27 -25 -65 8 -5 -17 -23 -21•. -56. .7 -4 -14 -19 -18 -47 6 3 -11 -15 -14 38 5 -2 -9 -11 -10 -30 , 4 -i -6 -8 -7 -23 3 0 -4 -5 -4 -16 2 1 .1 -2 -1 -9 1 1 1 1. 1 -4 0-' 2 3 4 3 0 no not a8owed 9 - - -- 4.5 3 9. Interior Thermal Mass Interior Single. Stab Floor Raised Floor Mats Family Stories Mutti Mass Stories Attached ICFA One Two Three One Two Three 0.0 -8 -5 -4 -2 -1 -1 0.1 -8 -5 3 -1 0 0 0.3 -7 -4 -2 0 1 1 0.5 -6 -3 -1 1 1 2 0.7 -5 -2 -1 1 2 2 0.9 -5 -1 0 2 3 2 1.1 -4 -1 1 3 4 4 1.3 -3 0 2 3 4 5 1.5 -3 1 2 4 5 5 2.0 -1 2 4 5 6 7 2.5 0 3 5 7 7 8 3.0 1 4 6 8 8 9 3.5 2 5 7 9 9 10 4.0 3 6 8 9 10 10 4.5 3 7 8 10 11 11 5.0 4 7 9 11 12 12 5.5 5 8 9 11 12 12 6.0 5 8 10 12 13 13 6.5 6 9 10 12 13 13 7.0 6 9 11 13 13 14 7.5 6 10 11 13 14 14 8.0 7 10 11 13 14 14 8.5 7 10 12 13 14 15 10. Exterior Wall Thermal Mass Exterior Wall Single. Sagle- Sum of 13 45 Family Family Mutti Mass Detached Attached Fainly 0.00 0 0 0 0.20 3 2 1 0.40 5 4 3 0.60 0.80 8 10 6 8 4 5 1.00 13 10 7 1.20 13 12 8 1.40 1.60 12 10 13 13 9 11 . . 1.80 10 12 12 2.00 10 11 13 11. Heating System SE or HSPF (assumes duets In aide) Zonal -Control Adjustment System Type Resistance 10 9 7 6 4 3 Other 6 5 4 3 2 2 12. Cooling Sy: (assun -25 or -24 « SEER Sum of 13 45 8.0 -14 - -25 or -24 to -14 to -4 to +6 to 16 or SE HSPF less -15 -5 +5 +15 more 0.72 6.60 0 0 0 0 0 0 0.75 .6.88 3 3 3 2 2 1 0.80 7.33 8 7 6 5 4 -3 0.85 7.79 13 11 10 8 7- 5 0.90 8.25 17 15 13 11 9 7 0.95 8.71 -20 _18 -' 15_ 13 11 8 Effective SE or HSPF (SE or HSPF x duct eftidency) -ID- EIIWIve .25 or -24 b 44 .4 to +6.1D 16 or SE HSPF lest 45 -5 +5 +15 more' 0.30 2.75 -73' 34 -56 -47 . -38 -30 na 3.41 -45 -39 -34 -29 -24 -18 0.40 3.67 -34 -30 -26 -22 -18 -14 0.50 4.58 -10 -9 -8 -7 -5 =4 0.56 5.13 0 0 0 0 0 0 0.60 5.50 5 5 4 3 3 2 0.70 6.42 17 15 13 11 9 7 0.80 7.33 25 22 19 16 -13 10 0.90 8.25 32 28 24 20 17 13 1.00 9.17 37 32 28 24 19 15 Zonal -Control Adjustment System Type Resistance 10 9 7 6 4 3 Other 6 5 4 3 2 2 12. Cooling Sy: (assun Effective -25 or -24a -25 or -24 « SEER less 45 8.0 -14 -12 -12 -11. 6.6 8.9 -5 .4 9.0 -4 3 9.5 0 0 10.0 4 3 10.5 7 6 ' 11.0 10 9 12.0 15 13 _13.0 20 17 . -25 Ef -1-8 (SEER Effective -25 or -24a SEER less -15 5.0 -30 -25 6.0 -12 -11. 6.6 -5 -4 7.0 0 0 8.0 9 8 9.0 16 14 10.0 22 19 11.0 26 23 12.0 30 26 13.0 33 29 Zonal C 10 i No Cooli Stories One .5 -4 Two+ 3 3 Single -Family Water ;i9g Heater Credit . or Type Type less SG None 0 or Solar_ 12 HP -HWR 8 WSB 5 POU 8_ SE None 37 Solar -1 HWR -18 WSB._ . -25 POU -1-8 IG None = is - Solar 7 - POU POU _3_: IE None- =28 Solar . 8 POU -10 Muld-Fart Water ' 699 Heater Credit or Type Type Less SG None 07 or Solar 14 HP. HWR 9 WSB 9 POU 9 SE None -45 Solar : 2 HWR --23 WSB -25 POIJ -23 IG None, -8 Solar:, S. POUT •1 E None 30 Solar - 18 i POU -8 BEER 6. Unit Size [so b. -1410 :i'ducts In attic) 16 or :m of 7-10 4S +15 more r1.6 i5 �i15 more -9 -7 -6 -4 -10 -8 -6 -4 -6 -5 -4 -3 .4 -3 -2 -2 -3 -2 -2 -1 0 0 0 0 3 2 2 1 # 18 14 9 7 6 4 3 11 9 7 5 _ 14 12 9 6 Wilve SEER educt efficiency) i:.m of 7-10 6. Unit Size [so b. -1410 -410 46 b 16 or -6 4S +15 more -21 -17 -13 -9 -9 -7 -6 -4 -4 -3 .. -2 -2 0 0 0 0 6 5 4 3 12 9 7 5 16 13 10 7 19 15 12 8 22- 18 14 9 24 20 15 10 )ntrol Adjustment 7 6 4 3 r; System Installed -4 -3 -2 -2 2 2 2 1" 1*ched and Attached 6. Unit Size [so b. � 1 W,' 1700 2200 2700 b to to --or. 1699 2199 2699 mote 0 A. 0 0 8 6 5 4 5 4 3 3 3 3 2 2 5 4 3 1- -24 -18 -15 -12 1 -1 .. 0 0 -12 -9 -7 •6 -16 -12 -10' -8 .---7- -6 -3 -2 -2 -2 - -5- ---'--4 lexposed e: -�.--- 3 2 2 1 1 1 -19 -14 -11 -9 S,,. -4 3. 3 ' -6. ,- 5 -4 -3 Dy (individual units) 50% -- tw size (s 60% 606 700 1200 1700 2200 b 1109 b 91� to 2109 or more 76--o- 0 0 7- - 5 4, 3 5... 3 2:---2. 2.3 2.5 2.7 2.9 3.2 5 3 2 2 E3 -15 -11 -9' 1 1 0 <0 -12 -8 7 -6...,, -13 -8 ' ;-s -5 1.9 21 2.3 -•-4 -•-- -3 2 2.9 3.1 3.3 3.5 9.7 _0_0 0 . -o -15. -10 " -8 -6 y 9 6 4 4 F .-4 u -3 -2 - -2 ... . Point System Summary: Climate Zone 11 SCORECARD 1. Ceiling Insulation 2. Wall Insulation 3. Raised Floor Insulation 4. Slab Edge Insulation S. Infiltration 6. Glass Heat Loss Measures 3n or R -value [381 U -value [0.030] or R -value [ I l] U -value [0.098] or R-value[191 U -value [0.037] or R -value [0] F2 factor [0.77] CtnnAnr4 /7 -.2- Type [double] U -value [0.65] F. Total Glass [ 161 7. Shading (Shade Open) - %Glass -X a� X a. North b. East c. South d. West e. Skylight 8. Shading (Shade Closed) a. North b. East c. South d. West e. Skylight InteriorMass/CFA \ Tt►6 2 ows t 1.7wlllca4.2) tcarpet.d Slab) t TYPE I MASS (UIMC a 4.2, lexposed e: -�.--- slab) 0%, 5%. 10% 15% 20%, 25% 30% 3S% 40% 4SY. 50% 56% 60% 606 70% 75% 80% $S% 90% 9S% 100% 105% 110% 115%.•120% 125` 0% 0 0.2 0.4 0.6 0.8 1.1 1.3 1.5 1.7 1.9 2.1 2.3 2.5 2.7 2.9 3.2 3.4 3.6 .3.8 4 4.2 4.4 4.6 4.8 5 S.3 10% 0.2 0.4 0.6 0.8 1 1.2 to 1.6 1.9 21 2.3 23 2.7 2.9 3.1 3.3 3.5 9.7 4 4.2 4.4 4.6 4.5 5 5.2 5.4 20% 0.3 0.6 0.8 .1 1.2 1.4 IS 1.8 2 2.2 24 21 2.9 3.1 3.3 3.S 3.7 3.9 4.1 4.3 4.5 4.8 5 5.2 5.4 56 30% 0.S 0.7 0.9 1.1 1.4 1.6 1.8 2. 2.2 2.4 26 2.8 3 3.2 3.5 3.7 3A 4.1 4.3 4.5 4.7 4.9 5.1 5.3 5.6 5.8 10%. 0.7 0.9 1.1 1.3 1.5 1.7 14 2.2 ' 24 2.6 2.8 3 3.2 3.4 3.6 3.8. 4 4.3 4.S 4.7 4.9 5.1 5.3 5.5 5.7 5.9 .50% 0.9 1.1 1.3 13 1.7 1.9 21 23 25 27 3 32 3.4 3.8 3.8 4 42 4.4 4.6 4.8 5.1 5.3 5.5 5.7 5.9 6.1 SS% 0.9 1.1 1.4 1.8 1.8 2 2.2 2.4 2.6 2.8 3 32 3.S 3.7 3.9 4.1 4.3 4.S 4.7 4.9 5.1 S.3 5.6 5.8 6 6.2 60% 1 1.2 1.4 1.7 1.9 21 2.3 2.5 2.7 2.9 3.1 3.3 3.5 3.8 4 4.2 4A 4.6 4.8 ' 5 5.2 5.4 5.6 SS 6.1 6 3 65% 1.1 1.3 1.5 1.7 1.9 2.2 2.4 2.6 2.8 3 3.2 3.4 3.6 3.8 4 4.3 4.5 4.7 4.9 5.1 5.3 5.5 5.7 5.9 6.1 6.4 70% 1.2 1.4 1.6 1.6 2 22 2S 27 2.9 3.1 3.3 3.5 3.7 3.9 4.1 4.3 4.6 4.6 5 5.2 5.4 5.6 58 6 6.2 64 75% 1.3 13 1.7 1.9 21 23 23 2.7 3 3.2 3.4 3.6 3.8 4 4.2 4.4 4.6 4.8 5.1 5.3 S.5 5.7 5.9 6.1 6.3 6.5 80%. 1.4 1.6 , 1.8 2 2.2 2.4 26 2.8 3 3.3 3.5 3.7 3.9 4.1 4.3 4.5 4.7 4.9 5.1 5.4 5.6 5.8 -6 6.2 64 6 6 85Y.1.4 1.7 • 1.9 2.1 2.3 2S 2.7 2.9 3.1 3.3 3.5 3.8 4 4.2 4.4 4.6 4.8 5 5.2 54 5.6 5.9 6.1 6.3 65 67 90% "" 1.5 1.7 2 2.2 24 26 2.8 3 3.2 3.4 3.6 3.8 4.1 4.3 4.S 4.7 4.9 5.1 63 5.5 5.7 5.9 6.2 6.4 66 6 6 95% 1.6 1.8. 2 2.2 2S 27 24 3.1 3.3 3.S 3.7 3.9 4.1 .4.3. 4.6 4.8 5 5.2 5.4 5.6 5.8 6 6.2 6.4 6.7 6.9 100Y. 1.7 1.9 21 22 2S 28 3 3.2 3.4 3.6 3.8 4 4.2 4.4 4.6 4.9 5.1 5.3 53 5.7 5.9 6.1 6.3 6.5 6.7 7 105% 1.8 2 2.2 2.4 2.6 28 3 3.3 9.S 3.7 3.9 4.1 4.3 4.5 4.7 4.9 5.1 5.4 5.6 5.8 6 6.2 6.4 6.6 6.8 7 110%. 1.9 2.1 2.3 2.5 27 29 9.1 3.3 3.6 3.8 4 4.2 4.4 4.6 4.8 5 5.2 5.4 5.7 5.9 6.1 6.3 6.5 6.7 6.9 7.1 115% 2 2.2 2.4 2.6 2.8 3 3.2 3.4 3.6 3.8 4.1 4.3 4.5 4.7 4.9 5.1 5.3 5.S 5.7 5.9 6.2 6.4 6.8 6.8 7 7.2 120% 2 2.3 2.S 2.7 29 3.1 3.3 3.5 3.7 3.9 4.1 4.4 4.6 4.6 5 5.2 S.4 5.6 58 6 6.2 6.5 6.7 6.9 7.1 7.3 125%. 2.1 2.3 2S 2.8 3 3.2 3.4 3.8 3.8 4 4.2 4.4 4.6 4.9 5.1 5.3 5.5 5.7 5.9 6.1 6.3 6.5 6.7 7 7.2 7.4 Point System Summary: Climate Zone 11 SCORECARD 1. Ceiling Insulation 2. Wall Insulation 3. Raised Floor Insulation 4. Slab Edge Insulation S. Infiltration 6. Glass Heat Loss Measures 3n or R -value [381 U -value [0.030] or R -value [ I l] U -value [0.098] or R-value[191 U -value [0.037] or R -value [0] F2 factor [0.77] CtnnAnr4 /7 -.2- Type [double] U -value [0.65] F. Total Glass [ 161 7. Shading (Shade Open) - %Glass -X a� X a. North b. East c. South d. West e. Skylight 8. Shading (Shade Closed) a. North b. East c. South d. West e. Skylight 9. Interior Thermal Mass 10. Exterior Wall Mass 11. Heating System Zonal Control? ( Y / N ) 12. Cooling System Zonal Control? ( Y / N ) 13. Water Heating 3•/ X _X D X SC Eff. % Glass Point Scores A C 0 Sum 1.6 SC Eff. % Glass TYPE 1 MASS AREA LlteriorMns:/CFA COND. FLOOR AREA TYPE 2 MASS AREA % Exterior Wall MassND. FLOOR AREA X = SE or HSPF Duct Efficiency [0.78] Effective SE or [0.7216.6] ry HSPF [0.56/5.15] SEECcR [9.5] Duct Efficiency [0.74] Effective SEER [7.03) //--�- _ *_.. . Type [SG] Credit [none] Point Total: tl Certificate of Compliance: Residential Climate Zone 11 Project Tide Aden ;S BUILDING DATA Conditioned Floor Area Number of Stories AlQtaised Floor Number of -Units Tq1tingle Family Detached (SFD) [ ] Addition Alone (] Single Family Attached (SFA) [ ] Existing Building [ j Multi -Family (MF) [ ] Existing -Plus -Addition BUU,DING SHELL INSULA y;or - ?V ButUinS Permit g .0 5 Cbecited By / Due Force nau Agency use only Component Glass Area % Glass North 4 P -7, V East ( ) a . o South Roof ............. West_ ( ) Floor ............. Skylight Slab Edge ..... Total Shadirig Devices • 3 - Component Insulation LocaffoAlComments Type R -Value We, to garage. Mi al. etc.) Wall .............. tell Wall .............. ( ) Roof ............. Roof ............. Floor ............. ( ) Floor ............. South Slab Edge ..... GLAZING Shadirig Devices Glaring Area Glass Type Interior : Exterior Orientation (Sf) (single,double)__roller blind. etc.) (shadesereen, etc.) North North ( ) EastEast ( ) South ( ) South Y ) West ( ) 3�— West ( ) Skylight....... THERMAL MASS Type/Covering L Area Thickness Overhang Framing Type HVAC SYSTEMS Minimum Duct Type (furnace, air -Efficiency Location Duct Output conditioner, hest pump) (SE, SEER.HSPF) (attic. etc.) R -Value (Btuh) �— ��� � Manufacturer / Model # Maximum Furnace Heating Output: Btuh HOT WATER SYSTEMS Tank Manufacturer/Model # System Type (storage gas. etc.) Capacity (or approved equal) Special Feature(s) J; SPECIAL FEATURES/REMAR-KS (Add extra sheets if necessary) COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION ' 7 County Center Drive - Oroville, Cal;fornia- 95965 - Telephone (916) 538-7541 q, E o APPLICATION AND PERMIT / -��-� ASSESSOR PARCEL NUMBER _ ZONING A-20 BUILDING PERMIT OWNER JayEash TELEPHONE SQ. FT. OCC. BUILDING VALU'A`TION OWNER'S MAILING ADDRESS P.O. Box 366 Bangor 95 14 1ST RENEWAL CONTRACTOR'S NAME Owner TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER None UNKNOWN Total Valuation $ Filing Fee $ 20.00 LENDER'S MAILING ADDRESS Permit Fee @ 2 Fee $71.25 ARCHITECT OR ENGINEER Non LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS PERMIT FEE $ 91.25 415 Rolling Oaks Lane, Bangor PLUMBING PERMIT Filing Fee 20.00 Each Trap 7.00 Solar or heat pump water heater 23.00 Water piping 15,00 LOT NO. SUBDIVISION'S NAME PARCEL MAP Each gas water heater or vent 15.00 USE OF STRUCTURE SIX Duplex O Mobilehome EIOther GftrffMobile SPECIFY Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Home S G W @20.00 TYPE OF WORK New O Addition ❑ Remodel ❑ Utilities ❑ Installation ElOther EX Describe Work: 1st Renewal of B.P. #92-3504 PERMIT FEE $ Contractor ELECTRICAL PERMIT Filing Fee 20.00 Main Service ( 6001 ORLESS ) 200A OR LESS 23.00 Main Service ( 200A TO 1000A ) 46.00 NEW CONST. DWELLING OCCUP. OR ADDNS. ( & ACC. BLDS. ) 3.50 F$T.0, CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one) ❑ I am a licensed under provisions of Chapter 9, Division 3 of the Business and Code and my license is in full force and effect. ��icense No. Classification V� I, as the owner, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. (Sec 7044) ❑ I, as the owner, am exclusively contracting with licensed contractors. (Sec 7044) ❑ lam exempt under Sec. Business and Professions Code forthis reason NEW CONST. MULTI -OUTLET .NON-RESID. ( BRANCH CIRCUITS ) @7.50 ( POWER APPARATUS ) & SINGLE OUTLET CIR. Ex. Occup. ( OUTLET OR FIXTURES I B20AL. @ 1.00 Professions Ex. Occup.FIXED APPLNS. OR (OUTLETS (RESID.) EA. I 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 WORKER'S COMPENSATION INSURANCE 1 declare under penalty of perjury (check one): ❑ This permit is for $100.00 (valuation) or less. El have placed on file with the County of Butte Dept. of Development Services, Building Division a Certificate of Workmen's Compensation Insurance or a VIVertificate of Consent to Self -insure. I hall not employ any person in any manner sD as to become subject to the Worker's Compensation laws of California. Notice to Applicant: If after making this statement, should you become subject to the Worker's Compensation provisions of the Labor Code, you must forthwith comply with such provisions or this permit will be revoked. PERMIT FEE $ Contractor MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling Hood Ventilation +_6.50 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 Butte County Ordinances and California State Laws relating to building construction, and hereby authorize representatives of the County of Butte to enter upon the above mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs—and expenses which may in any way accrue against said County consequenc th grantin of this permit. G� X Date at f A ant(O Owner Contractor O Agent An 0 A permit is required for excavations over 5"0" deep and demolition or construction of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ GCC CONST. TYPE TOTAL FEE $ 91.25 HAZ• D. FEES IMP I FLOOD I CDF I PARCEL PO HO 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. DIRECTOR OF P aLLCwORKS By Date PERMIT EXPIRES ON 140 l are) Receipt No. 148992 WHITE-D.D.S.-S.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT COUNTYOF BUTTE - DEPARTMENTOF DEVELOPMENT SERVICES -BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 -TELEPHONE (916) 538-7541 OWNER Proposed Building. Use PERMIT APPLICATION DATA SHEET Building Inspector A. P. No. D � 9 &a _ev Date At time ofjAdhmit application, I was advised the following data must be submitted prior to permit processing and/or issuance: 1. All items have been submitted. 2. Plot plans, 3/4 sets, signed by preparer of plans. 3. Complete plans, 3/4 sets, signed by preparer of plans. 4. Engineered plans and calcs, 3/4 sets, with wet signature on plans. 5. Hazardous Material Form. 6. Energy Design Compliance and supporting documentation. 7. Statement of Intent for Non -Heated and A/C Buildings. 8. Engineered truss details and layout in duplicate (required prior to plan check). 9. Mobilehome data and manufacturer's installation instructions, 2 sets. 10. Fees of $ 11. Impact fees as shown on attached schedule. 12. California Department of Forestry plan approval/fees. 13. Flood elevation letter (100 year flood) by California Engineer. 14. Sanitation and plot plan approval Health Department. 15. City of Chico plumbing permit. 16. Plot plan and business license approval from City of Biggs/Gridley.', 17. Planning approval for (A) Use: (B) Parking: 18. Contact Land Development about (A) Improvements (B) Drainage. 19. Driveway permit (construction approval required prior to occupancy). 20. Pre -inspection for required. 21. Contractor's license information. (No., Name Style, Classification). 22. Certificate of Workmans Compensation Insurance. 23. Owner -Builder Verification (Given to owner , Mail to owner �. 24. Recorded copy of Agricultural Acknowledgement Statement. 25. Letter of signature authorization. 26. Copy of recorded deed of parcel creation and 60 right of way to a public road. 27. Letter of intent on building use. 28. Mobilehome utility clearance. 29. Documentation of legal access. 30. Documentation of 50% subdivision developed or (A) Road improvements completed and (B) Parcel meets zoning area and frontage requirements. 31. Existing violations/expired permits. 32. Plan check list. 33. 34. When you issue the permit, process as follows: _ Telephone and hold for pi Other _ Mail to owner p at Mail to contractor. office. Deliver with inspector. Applicant Date EXPIRATION OF APPLICATION Applications for which a permit has not been issued, will expire by limitation one year after date of application. In order to renew action on an application after expiration, a new application, plans and fees will be required. FEE REFUNDS Refunds can only be made upon writtten request by the person who paid the fee. The request must be made within one year from the date of fee payment on permits not issued, and one yearfrom the date of permit issuancefor permits issued; however, on issued permits refunds can only be made if no construction work has been done. Filing fees, plan checking fees for work plan checked and other department costs are not refundable. Original - Applicant �;' �- ...�,- y...--,...sT......,f:C.�.ti--r...r}��-.�.,ti-.�-r vY�v.'�•ifarif-.,.3/''�'�r�"s.��(-.rr ^.v �.-...• "a"�ti;,.�a,.-.•..-.... �-�� .�Y„... ,. C;OUNTYOF BUTTE - DEPARTMENTOF DEVELOPMENT SERVICES -BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILLE;.CALIFORNIA95965 -TELEPHONE (916) 538-7541 PERMIT APPLICATION DATA SHEET OWNER / I A. P. No. O D 'a SOD Proposed Building Use Building Inspector Date At time of rmit application, I was advised the following data must be submitted prior to permit processing and/or issuance: 1. DATE RECEIVED BY All items have been submitted......................................... 2. Plot plans, 3/4 sets, signed by preparer of plans . .......................... 3_ Complete plans, 3/4 sets, signed by preparer of plans . ...................... .4. Engineered plans and calcs, 3/4 sets, with wet signature on plans . ............. 5. Hazardous Material Form . ........................................... . 6. Energy Design Compliance and supporting documentation. .................. 7. Statement of Intent for Non -Heated and A/C Buildings . ...................... 8. Engineered truss details and layout in duplicate (required prior to plan check). ..... 9. Mobilehome data and manufacturer's installation instructions, 2 sets. ........... 10. Fees of $......................................... 11. Impact fees as shown on attached schedule. ............................. . 12. California Department of Forestry plan approval/fees. ....................... . 13. Flood elevation letter (100 year flood) by California Engineer ................... 14. Sanitation and plot plan approval Health Department . ............ 15. City of Chico plumbing permit . ........................................ . 16. Plot plan and business license approval from City of Biggs/Gridley. ............. 17. Planning approval for (A) Use: (B) Parking: 18. Contact Land Development about (A) Improvements (B) Drainage. .......... . 19. Driveway permit (construction approval required prior to occupancy). .. ' 20. Pre -inspection for required. .. o eu,d �9i�spaao� (Date) 21. Contractor's license information: (No., Name Style, Classification) . ............. . 22. Certificate of Workmans Compensation Insurance . .......................... 23. Owner -Builder Verification (Given to owner , Mail to owner )............ 24. Recorded copy of Agricultural Acknowledgement Statement . .................. 25. Letter of signature authorization . ........................................ 26. Copy of recorded deed of parcel creation and 60 right of way to a public road. .... . 27. 'Letter of intent on building use . ......................................... 28. Mobilehome utility clearance . .......................................... 29. Documentation of legal access . ....................................... . 30. Documentation of 50% subdivision developed or (A) Road improvements completed and (B) Parcel meets zoning area and frontage requirements . ............... 31. Existing violations/expired permits . ...................................... 32. Plan check list. ................................................... 33. 34. When you issue the permit, process as follows: Mail to owner. Mail to contractor. Telephone and hold for pic pat office. Deliver with inspector. Other Parcel Creation Acreage Applicant Date Copy of Haz-Mat form sent Health Dept. Fire Dept. Air Pollution Date Copy of plans sent Health Dept. Fire Dept. Other Date By The following data must be submitted prior to permit issuance: (Circle new item not checked above). 1. Index permit for above items No. 2. Additional items required: Contractor, designer, owner, was advised of above required data by _ phone -mail Counter by _ Date Contractor, designer, owner, was advised of above required data by _ phone _ mail ` - Counter by _ Date Plans checked by Date Plans approved by Date Sets of plans on hold in File cabinet AP folder Copy - Department of Public Works 'ter COUNTY OF BUTTE -,DEPARTMENT OF DEVELOPMENT SERVICES -'BUILDING DIVISION 7 County Center Drive - Oroville, California 95965 - Telephone (916) 538-7541 APPLICATION AND PERMIT PERMIT NO. ASS �P EiNUM69 0:_ 00? ZON, a© BUILDING PERMIT OWNI TELEPHONE SQ. FT. OCC. BUILDING 4ALUATION OW E{YS M - AODR o X V 10 It/ I ` 1 `l) q ✓ACTOR'S CON NAME V i TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRU TION LENDER y( .Q_ UNKNOWN Total Valuation $ LENDER'S MAILING ADDRESS Flling Fee $ 20.00 . Permit Fee $ a ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADOR ssan <S �-ti ir D . PERMIT FEE $ 1, .1n PLUMBING PERMIT Filing Fee 20.00 Each Trap 7.00 Solar or heat pump water heater 23.00 Water piping 15,00 LOT NO. SUBDIVISION'S NAME PARCEL MAP Each gas water,heater or vent 15.00 USE OF STRUCTURE SF O Duplex O Mobilehome ❑ Other ( l^ sP£ Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home S G W @20.00 TYPE OF WORK New O Addition Cl Remodel ❑ Utilities ❑ Installs on O Oth j� Describe Work: ` �✓ t Y h 1il'�C (� PERMIT FEE $ Contractor ELECTRICAL PERMIT Filing Fee 20.00 Main Service ( 600' 0R) 200A OR LESS 23.00 Main Service 200A TO I 000 I 46.00 NEW OR ACDNS? I 0 BELLINACCG BLOSOCCUP I . 3.50 NEW CONST. MULTI -OUTLET NON RESID. ( BRANCH CIRCUITS I @7.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one) O I am a licensed under provisions of Chapter 9, Division 3 of the Business and Professions Code and my license is in full force and effect. License No. Classification O I, as the owner, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. (Sec 7044) O I, as the owner, am exclusively contracting with licensed contractors. (Sec 7044) O I am exempt under Sec. Business and Professions Code forthis reason ( POWER APPARATUS ) A SINGLE OUTLET CIR. Ex. Occup. ( OUTLET OR FIXTURES ) B20 @ 1.00 50 Ex. Occup.FIXED APPLNS. OR I .OUTLETS (RESID.) EA. I 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 WORKER'S COMPENSATION INSURANCE 1 declare under penalty of perjury (check one): O This permit is for $100.00 (valuation) or less. O 1 have placed on file with the County of Butte Dept. of Development Services, Building Division a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -insure. O I shall not employ any person in any manner so as to become subject to the Worker's Compensation laws of California. Notice to Applicant: If after making this statement, should you become subject to the Worker's Compensation provisions of the Labor Code, you must forthwith comply with such provisions or this permit will be revoked. PERMIT FEE $ Contractor MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all Butte County Ordinances and California State Laws relating to building construction, and hereby authorise representatives of the County of Butte to enter upon the above mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue against said County in consequence of the granting of this permit. X Date Signature of Applicant - ❑ Owner O Contractor O Agent An OSHA permit is required for excavations over 5"0" deep and demolition or construction of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ occ coNsr. TYPE TOTAL FEES �f HAZ. 1 0. FEES I IMP I FLOOD CDF I PARCEL PO NO 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. DIRECTOR OF PUBLIC WORKS BY Date PERMIT EXPIRES ON /i !/ eo /r 94 IDetel / f J ff 9 ?� Receipt WHITE•D.D.'7`.D.S.•B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT c COUNTY. OF BUTTE - Department of Public Works 7 County Center Drive, Oroville, CA 95965 Phone: 916-538-7541 5 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 ox --ac) 2. I (have/h4ue—ee, 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: Nam eAddress Phone Type of Work Signed: Property Owner Social Secr­"'N er � Date fQ/`7/�13 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. - COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive - Oroville..,California 95965 - Telephone (916) 538-75 _ �P,�13A(IIT NO. APPLICATiod AND PERMIT ASSESSOR PARCEL NUMBEfl028-090-007 ZONA20 BUILDING PERMIT OWNER JAY EASH TELEPHONE SO. FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS PO BOX 366 BANTGOR , 95914 CONTRACTOR'S NAME OWNER TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation is LENDER'S MAILING ADDRESS Filing Fee $ 20,00 Permit Fee $ 71 25 ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Energy Plan Checking Fee $ Penalty $ BUILDING ADDRESS 415 ROLLING OAKS LANE PERMIT PERMIT FEE $ BNAGOR 95914 PERMIT Filing Fee 20.00 Each Trap 7.00 RENE Solar or heat pump water heater 23.00 LOT NO. SUBDIVISION'S NAME PARCEL MAP Water piping 15,00 Each gas water heater or vent 15.00 USE OF STRUCTURE SF ❑ Duplex O Mobilehome ❑ Other SPECIFY Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home S G I W @20.00 TYPE OF WORK New O Addition ❑ Remodel O Utilities O Installation ElOther O Describe Work: RFN'RWAT, R_P_ # 92 35E) (1ST 93-3329 PERMIT FEE $ Contractor ELECTRICAL PERMIT Filing Fee 20.00 Main Service" OR LESS ( 200AORLESS ) 23.00 Main Service I 200A TO IOOOA ) 46.00 NEW CONST. DWELLING OCCUP. OR ADDNS. I a ACC. BLOS. ) s0, 3.50 FT. _ CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one) O I am a licensed under provisions of Chapter 9, Division 3 of the Business and Professions Code and my license is in full force and effect. License No. Classification W_<as the owner, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. (Sec 7044) ❑ I, as the owner, am exclusively contracting with licensed contractors. (Sec 7044) O I am exempt under Sec. Business and Professions Code forthis reason NEW CONST. MULTI -OUTLET NON.RESID. ( BRANCH CIRCUITS ) @7.50 ( POWER APPARATUS ) & SINGLE OUTLET CIR. Ex. Occup. ( OUTLET OR FIXTURES ) 20 Q 1.00 BAL. @ .50 Ex. Occu FIXED APPLNS. OR p- (OUTLETS (RESOD.) EA. ) 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 WORKER'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): O This permit is for $100.00 (valuation) or less. O I have placed on file with the County of Butte Dept. of Development Services, Building Division a Certificate' of Workmen's Compensation Insurance or a Certificate of Consent to Self -insure. O'(shall not employ any person in any manner so as to become subject to the Worker's Compensation laws of California. Notice to Applicant: If after making this statement, should you become subject to the Worker's Compensation provisions of the Labor Code, you must forthwith comply with such provisions or this permit will be revoked. PERMIT FEE $, Contractor MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE $ Contractor I certify that I have read this application and state that the above information is correct. 1 agree to comply to all Butte County Ordinances and California State Laws relating to building construction, and hereby authorize representatives of the County of Butte to enter upon the above mentioned property for inspection purposes. 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 consequence a granting of this permit. C X Date /0 /9-5 y S' ature Appli Owner O Contractor ❑ Agent n OS permit is required for excavations over 5"0" deep and demolition or construction of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ Occ CONST. TYPE TOTAL FEE $ HAZ- I D. FEES I IMP I FLOOD CDF PARCEL Po HD ISSUE This permit is hereby issued under the applicable provisions of the Butte County Code and/or Resol tions to do work indicate ab ve for which f as have a paid. qe�) By Date PERMIT EXPIRES ON Motel Receipt No. WHITE-D.D.S.-B.D. CAN R -A SESSOR PINK -INSPECTOR GOLDENROD -APPLICANT COUNTY OF BUTTE Department of-D&elopment Services Building Division Oroville: 7 County Center Dr., Oroville CA 95965 Ph: 916-538-7541 Chico: 1469 Humboldt Rd., Chico CA 95928 Ph: 916-891-2751 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. 1 personally plan to provide the major labor and materials for construction of the proposed property improvement (yes or no) 2. I (have/lxot) signed an application for a building permit for the proposed work. 3. I have c Name Address Phone the following person (firm) to provide the proposed construction: City Contractor's License No. 4. I plan to provide portions of this work, but I have hired the following person to coordinate, supervise, and provide themajorj�'ork: Name // i Address City Phone Contractor's License No. 5. I will provide some of the work but I have contracted (hired) the following persons to provide the work indicated: Name Address Phone Type of Work Signed: Proper Social Date NOTE: This Owner -Builder Verification is sent to you as required by Sections 19831 and 19832 of the California Health and Safety Code. This verification must be completed and .returned to our office before we are permitted to issue the permit. COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive - Oroville, California 95965 - Telephone (916)'538-7541 APPLICATION AND PERMIT PERMIT NO. ASSESSOR PARCEL NUMBER zON �J BUILDING PERMIT OWNER V ��—_ ¢� o SQ. FT. OCC. BUILDING VALUATION OWNER' O ADOR IY �0� / CONTRACTOR'S NAM / /.[n 1 TELEPHO E CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRICTION LENDER UNKNOWN Total Valuation $ LENDER'S MARLING ADDRESS Fling Fee $ 20.00 Permit Fee $ ARCHITECT OR ENGINEER LICENSE No. Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Energy Plan Checking Fee $ Penalty $ aulLowo ADDRESS , 0// �1Qp/C� PERMIT FEE $ PLUMBING PERMIT Filing Fee 20.00 Each Trap 7.00 Solar or heat pump water heater 23.00 LOT NO. SUBDIVISION'S NAME PARCEL MAP Water piping 15.00 Each gas water heater or vent 15.00 USE OF STRUCTURE SF Duplex ❑ Mobilehome O Other X SPECIFY Gas piping system 1 5 outlets 15.00 Building sewer 15.00 Mobile Home S G I W @20.00 TYPE OF WORK New O Additio 0 Remodel O O Utilities O Installation Other O .. Describe Work: ��N� W TL f PERMIT FEE g Contractor ELECTRICAL PERMIT Filing Fee 20.00 Main Service ( "OR LESS ) 200A OR LESS 23.00 Main Service( 200A TO 1000A ) 46.00 NEW CONST. DWELLING OCCUP. OR AODNS. ( & ACC. B) SOLDS. 3.SC FT. NEW CONST. MULTI -OUTLET •NON-RESID. ( BRANCH CIRCUITS ) @7.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one) ❑ I am a licensed under provisions of Chapter 9, Division 3 of the Business and Professions Code and my license is in full force and effect. License No. Classification O I, as the owner, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. (Sea 7044) ❑ I, as the owner, am exclusively contracting with licensed contractors. (Sec 7044) O 1 am exempt under Sec. Business and Professions Code forthis reason ( POW INGLE OUTLET IR APPARATUS ) 8 SCIR. Ex. Occup. ( OUTLET OR FIXTURES ) B 20 @ 1.00 Ex. Occup. FIXED APPINS. OR p' (OUTLETS IRESID.I EA. ) 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 WORKER'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): O This permit is for $100.00 (valuation) or less. O 1 have placed on file with the County of Butte Dept. of Development Services, Building Division a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -insure. O I shall not employ any person in any manner so as to become subject to the Worker's Compensation laws of California. Notice to Applicant: If after making this statement, should you become subject to the Worker's Compensation provisions of the Labor Code, you must forthwith comply with such provisions or this permit will be revoked. PERMIT FEE $ Contractor MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE S Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all Butte County Ordinances and California State Laws relating to building construction, and hereby authorize representatives of the County of Butte to enter upon the above mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue against said County in consequence of the granting of this permit. X Date Signature of Applicant - O Owner O Contractor O Agent An OSHA permit is required for excavations over 5"0" deep and demolition or construction of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ OCC CONST. TYPE TOTAL FEES < HAZ• 1 D. FEES I IMP FL000 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 Date PERMIT EXPIRES ON rOerel Receipt No. WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT V COUNTY OFBUTTE - DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING DIVISION M 7 County Center Drive - Oroville, California 959155 - Telephone (916) 538-75495_ P E,Ryi�T NO. APPLICATION AND PERMIT ��j ASSESSOR PARCEL NUMBER 028-090-007 A20 ZONING BUILDING PERMIT OWNER JAY EASH TELEPHONE SO, Fr, OCC. BUILDING VALUATION OWNERS MAILING ADDRESS PO BOX 366 BANGOR, 95914 CONTRACTOR'S NAME OWNER TELEPHONE CONTRACTORS MAIUNG ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation is Filing Fee $ 20.00 LENDER'S MAILING ADDRESS Permit Fee $ 71.25 ARCHITECT OR ENGINEER UCENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEERS MAILING ADDRESS Penalty $ BUILDINGADDRESS 415 ]ROILING OAKS ' PERMITFEE $ 91.25 RANGOR 95914 PLUMBING PERMIT Filing Fee 20.00 Each Trap 7.00 LOT NO. SUBDNSroN'S NAME PARCEL MAP Solar or heat pump water heater 23.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome ❑ Other SPECIFY Water piping 15.00 Each gas water heater or vent 15.00 Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑ Describe Work: RENEWAL OF BP#92-3504 (2NS RENEWAL #94-2892) Mobile Home S G W @20.00 PERMITFEE $ Contractor ELECTRICAL PERMIT Filino Fee 20.'00 Main Service OOov OR LESS ( 6o.OR LESS ) 23.00 Main Service ( 200A TO ,000A ) 46.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect. License Class Lic. No. OWNER -BUILDER DECLARATION 1 hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: O 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. wo,oi, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason NEW CONST. DWELLING OCCUP. OR ADONS. ( a ACC. BLDS. ) sO. 3.SQ FT. NEW CONST. MULTI.OUTLET NON•RESID. ( BRANCH CIRCUITS ) 97.50 ( POWER APPARATUS 8 SINGLE OUTLET CIR. Ex. Occup. (OUTLET OR FD(TURES) 2e 0 1.00 RAL SO EX. Occup. ouTLEEDTs RESID.�EA ( ) 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMITFEE $ Contractor WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ 1 have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMITFEE S Contractor Policy Number (The above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) ❑ 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 compliple9hose provisions. XDate Z_Xr atur of c nt - E�—Owner ❑ Contractor ❑ Agent An OS A permit is required for excavations over 60" deep and demolition or construction of structures over 3 stories height. Mobile Home Installation Fee $ Energy Inspection Fee $ oer coectST. TYPE TOTAL FEE $ 91.25 HAZ. I D. FEES I IMP I FLOOD CDF PARCEL PD HD SSUE This permit is hereby issued under the of the Butte County Code and/or indicated above for which fees have By =6 PERMITEX IRESON V applicable provisions Resolutions to do work been paid. Date �p e) /in Receipt No. /1W6 V / 2— WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR -GOLDEN ROD.APPLICANT COUNTY OF BUTTE- DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING DIVIS 7 County Center Drive - Oroville,-CaiiforMa 95965 - Telephone (916) 538-75 PERMIT NO. APPLICATION AND PERMIT ASSESSOR PARCEL NUMBER 028-090-007 A20 ZONING BUI ING PERMIT OWNER JAY7�EASH TELEPHONE SO. FT. OCC. BUILDING VALUATION OWNERS MAILING ADDRESS PO BOX 366 BANGOR, 95914 CONTRACTOR'S NAME OWNER TELEPHONE CONTRACTORS MAIUNG ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation is Filing Fee $ 20.00 LENDER'S "UNG ADDRESS Permit Fee XTYnX7 $ 71-25 ARCHITECT OR ENGINEER UCENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDINGADDRESS PERMITFEE $ 91.25 PLUMBINGPERMIT Filing Fee 20.00 ROLLING415 AKLANE BANGOR, 95914 Each Trap 7.00 LOT NO. SUBDIVISION'S NAME PARCEL MAP Solar or heat pump water heater 23.00 Water piping 15.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome ❑ OtherGas 'PECIFY Each gas water heater or vent 15.00 piping system 1 - 5 outlets 15.00 Building sewer 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other f Describe Work: Mobile Home I S I GI W 1 @20.00 PERMITFEE S Contractor ELECTRICAL PERMITFilin Fee 20.'00 _ Main Service eoov OR LESS ( z00A OR LESS ) 23.00 Main Service ( 200A TO 1000A ) 46.00 LICENSED CONTRACTOR'S DECLARATION I hereb ffi under penalty of perjury that I am licensed under provisions of Chapter 9 (co encing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect. License Class Lic. No. OWNER -BUILDER DECLARATION 1 hereby affirm un nalty of perjury that I am exempt from the Contractors License r pe Law f r the following reason: V as owner of the property, or my employees with wages astheir 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. I am exempt under Sec. Business and Professions Code for this reason NEW CONST. DWELLING OCCUP. So. OR ADONS. ( a ACC. BLDS. ) 3.52 FT. NEW CONST. MULTI.OUTLET NON-RESID. ( BRANCH CIRCUITS ) @7.50 ( POWER APPARATUS ) a SINGLE OUTLET CIR. Ex. Occup. ( OUTLET OR FIXTURES) 20 Q 1.00 BAL 0 .50 Ex. Occup. FIXED APPLNS. D.OR 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMITFEE $ Contractor WORKERS'COMPENSATION DECLARATION I hereby aff m under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ 1 have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMITFEE $ Contractor Policy Number (The above sections need not be completed if the permit is for work of a valuation Of one hundred dollars ($100) or less.) I ce •fy that in the performance of the work for which this permit is issued, I shall Vt employ any person In any manner so as to become subject to workers' ompensation 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 wi ose provisions. OF '4/2Date (5 Q �` �-6 _ A pli ❑ Owner ❑ Contractor ❑ Agent A per � s required for excavations over 60" deep and demolition or construction OA� of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee Is occ CONST. TYPE TOTAL FEE $ 91.25 HAZ. I D. FEES I IMP I FLOOD CDF PARCEL PD I 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. l BY Date PERMITEXPIRESON /d/8/97 I (Date) ReceiptNo. WHITE-D.D.S.-B.D. CAN RY-AS ESSOR PINK -INSPECTOR GOLDENROD -APPLICANT 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[] NO[ ]. 2. I HAVE[ HAVE NOT[ ] 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: CONTRACTOR'S 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: PHONE: CITY: CONTRACTOR'S LICENSE NO. 5. I will provide some of the work but I have contracted (hired) the following persons to provide'the work indicated: NAME ADDRESS _ PHONE TYPE OF WORK SIGNED: PROPERTY OWNER: SOCIAL SECURITY NUMBER: / DATE: /D o a 9 --t/ NOTE: This owner -Builder Verification is required by Section 19831 and 19832 of the California Health and Safety Code. This verification must be completed and returned to our office before we are permitted to issue the permit. OVER Dear Property Owner: An application for a building permit has been submitted in your name listing yourself as the builder of property improvements specified. For your protection, you should be aware that as "owner -builder" you are the responsible party of record on such a permit. Building permits are not required to be signed by property owners unless they are personally performing their own work. If your work is being performed by someone other than yourself, you may protect yourself from possible liability if that person applies for the proper permit in his or her name. Contractors are required by law to be licensed and bonded by the State of California and to have a business license from the city or county. They are also required by law to put their license number on all permits for which they apply. If you plan to .do -your own work, with the exception of various trades that you plan to subcontract, you should be aware of the following information for your benefit and protection: 0 If you employ or otherwise engage any persons other than your immediate family, and the work (including materials and other costs) is $300 or more for the entire project, and such persons are not licensed as contractors or subcontractors, then you may be an employer. 0 If you are an employer, you must register with the State and Federal Governments as an employer and you are subject to several obligations including state and federal income tax withholding, federal social security taxes, workers compensation insurance, disability insurance costs, and unemployment compensation contributions. 0 There may be financial risks for you if you do not carry out these obligations, and these risks are especially serious with respect to worker's compensation insurance. 0 For more specific information about your obligations under Federal Law, contract the Internal Revenue Service (and, if you wish, the U.S. Small Business Administration). For more specific information about your obligations under State Law, contact the Department of Benefit Payments and the Division of Industrial Accidents. If the structure is intended for sale, property owners who are not licensed contractors are allowed to perform their work personally or through their own employees, without a licensed contractor or subcontractor, only under limited conditions. A frequent practice of unlicensed persons professing to be contractors is to secure an "ownerbuilder" building permit, erroneously implying that the property owner is providing his or her own labor and material personally. Building permits are not required to be signed by property owners unless they are performing their own work personally. Information about licensed contractors may be obtained by contracting the Contractors State License Board in your community or at 1020 N Street, Sacramento, CA. 95814. Please complete the "Owner Builder Verification" on the reverse side of this form so that we can confirm that you are aware of these matters. The building permit will not be issued until the verification is returned. S�n�rel Micha4l C. Vieira, C.B.O. Manager, Building Inspection NOTE: This Owner -Builder Information is required by Section 19830 of the California Health and Safety Code. COUNTY OF BUTTE- DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING DIVISIO 7 County Center Drive - Oroville, Califoria 95965 - Telephone (916) 538-754 PERMIT NO. (Rev. 12/96) APPLICATION AND PERMIT ASSESSOR PARCEL NUMBER ZONING A-20 BU, DING PERMIT OWNER JAY EASH TELEPHONE SQ. FT. OCC. BUILDING VALUATION OWNER'S MAKING ADDRESS 415 ROLLING OAKS T,ANF9 -RANGOR CONTRACTOR'S NAME UiNER TELEPHONE ' CONTRACTOR'S MAILING ADDRESS CONSTRUCTION LENDER Fireplace LENDER'S MAILING ADDRESS ' Total Valuation $ ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00 Permit Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Plan Checking Fee $ BUILD NG ADDRESS +15 ROLLING OAKS LANE, BANGOR Energy Plan Checking Fee $ $ PERMIT FEE $ LOT NO. SUBDNISION'S NAME PARCEL MAP PLUMBING PERMIT Filing Fee 20.00 Each Trap 7.00 USEOFSTRUCTURE SF ❑ 7Duplex ❑ 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 ❑ Ublifies ❑ Installation ❑ Other ❑X Describe Work: ELEC SERVICE Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home I S I G I W 920.00 PERMIT FEE $ RE: 96-2280 ELECTRICAL PERMIT Fling Fee 20.00 Main Service zoonoRLEss 23.00 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.8 License Class LIC. NO. OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors License Laye f0f the following reason: 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 ( 200A To 1000A 46.00 NEW CONST. DWELLING OCCUP. OR ADDNS. ( 6 ACC. BUDS. so 3.50 FT. NON -RES DT MULTI -C,, ITS uLET Qa 7,50 SINPOWER APPARATUS OUTLET TUCIR.S Ex. Occu OUTLET OR FIXTURES 20 @ t.00 BAL @ .s0 Ex. Occup. OUTLEEDTs RES D.OEA 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wirina 23.00 PERMIT FEE $ 43.00 WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ 1 have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier MECHANICAL PERMIT Fling Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE $ Policy Number (The above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) 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 comp) I those provisions. �f ___ Date _ / _ na a of A Icant - Owner ❑Contractor ❑ A en kAn HA permit is required for excavations over 60" deep and demolition or construction of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST. TYPE TOTAL FEE $• 00 HAZ. D. FEES IMP FLOOD CDF PARCEL PD HD ISSUE This permit is hereby issued under the applicable provisions of the Butte County ode and/or Resolutions to do work indicated above f whl h fees have been paid. B Date PERMIT EXPIRES ON Date Receipt No. 218803 WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT 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 im ovement : YES NO ❑ 2. I HAVE ® HAVE NOT ❑ 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: CONTRACTOR'S 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: CONTRACTOR'S LICENSE NO. 5. I will provide some of the work but I have contracted (hired) the following persons to provide the work indicated: NAME ADDRESS PHONE TYPE OF WORK SIGNED: PROPERTYOWNER: SOCIAL SEC ER: DATE: � 7 7 NOTE. This Owner -Builder Verification is required by Section 19831 and 19832 of the California Health and Safety Code. This verification must be completed and returned to our office before we are permitted to issue the permit. OVER -��O.B.- I OWNER BUILDER INFORMATION Dear Property Owner: An application for a building permit has been submitted in your name listing yourself as the builder of property improvements specified. For your protection, you should be aware that as "owner -builder" you are the responsible party of record on such a permit. Building permits are not required to be signed by property owners unless they are personally performing their own work. If your work is being performed by someone other than yourself, you may protect yourself from possible liability if that person applies for the proper permit in his or her name. Contractors are required by law to be licensed and bonded by the State of California and to have a business license from the city or county. They are also required by law to put their license number on all permits for which they apply. If you plan to do your own work, with the exception of various trades that you plan to subcontract, you should be. aware of the following information for your benefit and protection: ♦ If you employ or otherwise engage any persons other than your immediate family, and the work (including materials and other costs) is $300 or more for the entire project, and such persons are not licensed as contractors or subcontractors, then you may be an employer. ♦ If you are an employer, you must register with the State and Federal Governments as an employer and you are subject to several obligations including state and federal income tax withholding, federal social security taxes, workers compensation insurance, disability insurance costs, and unemployment compensation contributions. ♦ There may be financial risks for you if you do not carry out these obligations, and these risks are especially serious with respect to worker's compensation insurance. ♦ For more specific information about your obligations under Federal Law, contract the Internal Revenue Service (and, if you wish, the U.S. Small Business Administration). For more specific information about your obligations under State Law, contact the Department of Benefit Payments and the Division of Industrial Accidents. If the structure is intended for sale, property owners who are not licensed contractors are allowed to perform their work personally or through their own employees, without a licensed contractor or subcontractor, only under limited conditions. A frequent practice of unlicensed persons professing to be contractors is to secure an "owner builder" building permit, erroneously implying that the property owner is providing his or her own labor and material personally. Building permits are not required to be signed by property owners unless they are performing their own work personally. Information about licensed contractors may be obtained by contracting the Contractors State License Board in your community or at 1020 N Street, Sacramento, CA. 95814. Please complete the "Owner Builder Verification" on the reverse side of this form so that we can confirm that you are aware of these matters. The building permit will not be issued until the verification is returned. I rely, Mic el C. Vi ira, C.B.O. Ma ger, Building Inspection NOTE. This Owner Builder Information is required by Section 19830 of the California Health and Safety Code. OVER COUNTY OF BUTTE -DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING DIVISION 7 County Center Drive - Oroville, California 95965 -.Telephone (916) 538-7541 PERMIT NC. (Rev. 12/96) APPLICATIONAND PERMIT ASSESSORPARCELNUMM ZONING BUILDING PERMIT OWNER TELEPHONE 7 SO. FT. OCC. BUILDING VALUATION OWMER'S MAILING ADDRESS ' :C019RACTOR'S NAME TELEPHONE CONTRACTOR'S MAILING ADDRESS ._eDNpTRfJCTtON,Ef►DER • Fireplace LENDERS MAILING ADDRESS Total Valuation $ ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00 Permit Fee $ ARCHITECT OR ENGIN ERS MAILING ADDRESS Plan Checking Fee $ BUILDING ADDRESS Energy Plan Checking Fee S S PERMIT FEE (DT No. SUSONISIONSNAME _ PARCEL MAP PLUMBING PERMIT Fling Fee 20.00 Each Trap 7.00 USEOFSTRUCTURE SF ❑ Duplex O Mobilehome O 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 ❑ Addition O Re el ❑ Utilities ❑ InsVIation O Other O Describe Work: Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 _ Mobile Home S G' W @20.00 PERMIT FEE $ ELECTRICAL PERMIT Fling Fee 20.00 Main Service "*' 0A mss Main Service 200A TO I000A 23.00 , 46.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 70CC) of Civision 3 c`. the 9usiness and Professions Code, and my license is in full force and effect. License Class 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: ❑ 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 WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ I 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. Q 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' compensation insurance carrier and policy number are: Carrier Policy Number (The above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) ❑ 1 certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall forthwith comply with those provisions. X Date Signature of Applicant - O Owner O Contractor ❑ Agent An OSHA permit is required for excavations over 60" deep and demolition or construction of structures over 3 stories in height. NEN CONST. OWpy1N0OCCUP. SJ OR AODNS. ( a ACC. eLnS. 3.50PT. NEW CONS .MULTI.OUTLET �7 CQ NON-AESIO. CIRCUITS POWER APPARATUS a SINGLE OUTLET CIR 1 EX. Occup. OUTLET OR FIXTURES eAL 5'.50 FIXEDAPPINS. OR Ex. Occup. ourLETS RESIo. EA 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring23.00 PERMIT FEE $ L �` MECHANICAL PERMIT Fling Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE $ Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST. TYPE TOTAL FEE $ 1'5 =H-AZ.=FEES IMP FLOOD coF PARCEL PD Ho ssuE This permit is hereby Issued under of the Butte County Code and/or indicated above for which fees have By PERMIT EXPIRES ON the applicable provisions Resolutions to do work been paid. Date Dere) Receip&. C2 J WHITE -0.0.S. -B. NA Y-ASSE PINK -INSPECTOR GOLDENROD -APPLICANT VUNTYOF BUTTE -DEPARTMENT OF DEVELOPMENT SERVICES- BUILDING DIV ION 7 County Center Drive - Oroville, California 95965 - Telephone (916) 538-7 4y, _ -PERMIT NO. (Rev. 12/96) APPLICATION AND PERMIT ASSESSOR PARCEL NUMBER 028-090-007 20NIN1 20 BUI . ING PERMIT OWNER JAY EASH TELEPHONE SO. FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS PO BOX 366 BANGOR, CA 95914 CONTRACTOR'S NAME TELEPHONE CONTRACTOR'S MAILING ADDRESS CONSTRUCTION LENDER Fireplace LENDER'S MAIUNG ADDRESS ' Total Valuation $ ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00 Permit Fee $ 71.25 ARCHITECT OR ENGINEERS MAILING ADDRESS Plan CheckingFee $ BUILDING ADDRESS n 4•�L/IJt.�— Energy Plan Checking Fee $ $ PERMIT FEE $ 91.25 LOT NO. SUBDNISIONS NAME PARCEL MAP PLUMBING PERMIT Filing Fee 20.00 USEOFSTRUCTURE SF X Duplex ❑ Mobilehome ❑ Other SPECIFY Each Trap 1 7.00 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: 51H RENEWAL OF #92-3504 -2280) Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home I S I G I W @20.00 PERMIT FEE S ELECTRICAL PERMIT Fling Fee 20.00 Main Service zoonoaEss 23.00 LICENS D CONTRACTOR'S DECLARATION I hereby affirm under pens of perjury that I am licensed under provisions of Chapter 9 (commencing with Secti n 7000) of Division 3 of the Business and Professions Code, and my license is in full rce and effect. License Class Lic. No. OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors License Law fr�r the following reason: � I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ 1 have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permitis issued. My workers' compensation insurance carrier and policy number are: Carrier Policy Number (The above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) C� I certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to 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 forwith co y ith those provisions. Date J 7� 1 z of pplicant - Owner ❑ Contractor ❑ Agent [#AnHtA ermit is required for excavations over 5'0"deep and demolition or construction es over 3 stories in height. Main Service 200A TO 1000A 46.00 NEW CONST. DWELLING OCCUP. SO OR ADDNS. ( 8 ACC. BLOB. 3.50FT, NEW CONST. MULTI -OUTLET NON-RESID. g ANC @7.50 POWER APPARATUS 8 SINGLE OUTLET CIR. OUTLET OR FIXTURES 20 O 1.00 Ex. Occup.SAL p .50 ED UNS Ex. Occup, ouirs RES D.OEA 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wirina 23.00 PERMIT FEE $ MECHANICAL PERMIT Fling Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE $ Mobile Home Installation Fee $ Energy Inspection Fee $ occ 3 PE TOTAL FEE $ 91.25 EES IMP I FLOOD CDF PARCEL PD HD SUE This permit is hereby issued under the applicable provisions of the Butte County Code and/or Resolutions to do work indicated bove for which fees have been paid. By Date PERMIT EXPIRES ON 10/8/98 Date Receipt No. Z 39L0 WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT 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 r� r abor and materials for construction: of the proposed property improv nt : YES: ❑ 2. I HAVE HAVE NOT ❑ 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: CONTRACTOR'S 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: CONTRACTOR'S LICENSE NO. 5. I will provide some of the work but I have contracted (hired) the following persons to provide the work indicated: NAME ADDRESS PHONE TYPE OF WORK SIGNED: PROPERTYOWN SOCIAL SECURIER: DATE: //0— NOTE. �- 9 This Owner -Builder Verification is required by Section 19831 and 19832 of the California Health and Safety Code. This verification must be completed and returned to our office before we are permitted to issue the permit. OVER OWNER BUILDER INFORMATION Dear Property Owner: An application for a building permit has been submitted in your name listing yourself as the builder of property improvements specified. For your protection, you should be aware that as "owner -builder" you are the responsible party of record on such a permit. Building permits are not required to be signed by property owners unless they are personally performing their own work. If your work is being performed by someone other than yourself, you may protect yourself from possible liability if that person applies for the proper permit in his or her name. Contractors are required by law to be licensed and bonded by the State of California and to have a business license from the city or county. They are also required by law to put their license number on all permits for which they apply. If you plan to do your own work, with the exception of various trades that you plan to subcontract, you should be aware of the following information for your benefit and protection: ♦ If you employ or otherwise engage any persons other than your immediate family, and the work (including materials and other ;,ozlrs)'-is S.00 or more for the entire project, and such persons are not licensed as -contractocs,or subcontractors, then you may be ari employer. ' ♦ If you are an employer, you must register with the State and Federal Governments as an employer and you are subject to several ligations including state and federal income tax withholding, federal social security taxes, workers compensation insurance, disability insurance costs, and unemployment compensation contributions. ♦ There may be financial risks for you if you do not cant' out these obligations, and these risks are especially serious with respect to worker's compensation insurance. ♦ For more specific information about your obligations under Federal Law, contract the Internal Revenue Service (and, if you wish, the U.S. Small Business Administration). For more specific information about your obligations under State Law, contact the Department of Benefit Payments and the Division of Industrial Accidents. If the structure is intended for sale, property owners who are not licensed contractors are allowed to perform their work personally or through their own employees, without a licensed contractor or subcontractor, only under limited conditions. A frequent practice of unlicensed persons professing to be contractors is to secure an "owner builder" building permit, erroneously implying that the property owner is providing his or her own labor and material personally. Building permits are not required to be signed by property owners unless they are performing their own work personally. Information about licensed contractors may be obtained by contracting the Contractors State License Board in your community or at 1020 N Street, Sacramento, CA. 95814. Please complete the "Owner Builder Verification" on the reverse side of this form so that we can confirm that you are aware of these matters. The building permit will not be issued until the verification is returned. i rely, Mic el C. Vi ira, C.B.O. Ma ger, Building Inspection NOTE. This Owner -Builder Information is required by Section 19830 of the California Health and Safety Code. OVER • �-d o. C 1 I 4M i0 >�A �u�plbs m �n p 1m o* uYou'u o9 owsed p V- m �,plp1 v� sz c J7 . .:.'!. � �.. ��7 � �j �. �y� �uh;a Mt 49"•} r, :.rTi y,}.. .r. i.s. ,r 'g N Vt6 GMMUJ4mM ! SPY040H UV ---310M ming }o /4unco 'sjjgM 311gbd p ad�1 4 uYojl uolsslu uad uaAlJm Ob iw aYul!04 s la suo.49A4° jo sasueYp Auo 04eui n4(uuY sl t1 pug Baum 11 to goj 91# uo tda)l p igt1W su�olt�!1Is PU° sued 10 tgs s141 0 ,P31 N co N. 0 C 4M i0 0 u m v� c J7 . .:.'!. � �.. ��7 � �j �. �y� �uh;a Mt 49"•} r, :.rTi y,}.. .r. i.s. ,r 'g N Vt6 GMMUJ4mM ! SPY040H UV ---310M ming }o /4unco 'sjjgM 311gbd p ad�1 4 uYojl uolsslu uad uaAlJm Ob iw aYul!04 s la suo.49A4° jo sasueYp Auo 04eui n4(uuY sl t1 pug Baum 11 to goj 91# uo tda)l p igt1W su�olt�!1Is PU° sued 10 tgs s141 0 ,P31 N co N. 0 COUNTY OF BUTTE BUILDING DIVISION DEPARTMENT OF DEVELOPMENT SERVICES 1469 Humboldt Road, Chico, CA - (916) 891-2751 7 County Center Drive, Oroville, CA - (916) 538-7541 747 Elliott Road, Paradise, CA - (916) 872-6307 r CORRECTION NOTICE OWNER PERMIT NO. A routine inspection indicates that the following violations of Butte County Ordinances exist at the above address and should be corrected. Please notify this office when correction of work is completed. If you have any questions pertaining to this matter, or need additional explanation, please contact this office immediately. Date Q /-z-"f Inspector REV 10/92 r sly s• t .p Date Q /-z-"f Inspector REV 10/92 COUNTY OF BUTTE BUILDING DIVISION DEPARTMENT OF DEVELOPMENT SERVICES 1469 Humboldt Road, Chico, CA -.(916) 891-2751 7 County Center Drive, Oroville, CA - (916) 538-7541 747 Elliott Road, Paradise, CA - (916) 872-6307 CORRECTION NOTICE PERMIT NO. A routine inspection indicates that the following violations of Butte County Ordinances exist at the above address and should be corrected. Please notify this office when correction of work is completed. If you have any questions pertaining to this matter, or need additional explanation, please contpct this office immediately. Date -C.74 Inspector REV 10/92 Insulation Certificate BUILDING LOCATION: _7 2�s# Description of Installation ROOF Material Thickness (inches) BUILDING PERMIT #!L cle --25' Y Brand Name Thermal Resistance (R -Value) CEILING �� ABatt or Blanket Type Brand Name Thickness ('inches) Thermal Resistance_(R-value) /4) Loose Fill Type �/v W, � Brand Name Contractor's minimum installed weight/$ _ lb Minimum thickness inches Manufacturer's installed weight per square foot to acheive Thermal Resistance (R -Value) EXTERIOR WALL Brand Name � � e� C�0 ` '— � Material �� Thermal Resistance (R -Value) Thickness (inches) RAISED FLOOR Material Thickness (inches) SLAB FLOOR Material Thickness (inches) Width (inches) FOUNDATION WALL Material Thickness (inches) Declaration 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 building at the above location in conformance with the current Building Energy Efficiency Standards for new residential buildings contained in Title 24 of the California Administrative Code. eneral ontractor (Builder) License Number Signature and Title Dace Sub Contractor (Insulation Installer) License Number Signature and Title Date THIS CERTIFICATE �SSHI3�E PROVIDED THE BUILDING PRIOR TO FINAL INSPECTION APPROVAL AND A CO JANUARY 1993 ,. BUILDING DIVISION CO AY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE: (916) 538-7541 AGRICULTURAL BUILDING EXEMPTION PERMIT P�,RIAJT S NQ��/ Agricultural building is defined as follows: Agricultural building is a structure designed and constructed to house farm implements, hay, grain, poultry, livestock, or other horticultural products. This structure shall not be a place of human habitation or a place of employment where agricultural products are processed, treated, or packaged, nor shall it be a place used by the public. ASSESSOR PARCEL NO. ZONING C) _ oo 4 2- c. OWNER / T f- S PHONE NO. ?S 151 �.� .? c -f OWNER'S ADDRESS pO FO 31 LOCATION OF BUILDING y l S� �0 -11 S USE OF BUILDING(� --,P- �ZX/ � ^ SIZE OF STRUCTURE ' S X ._ SQ. FT. TYPE OF CONSTRUCTION: WOOD FRAME __X_ STEEL CONCRETE OTHER (Specify) TYPE OF SIDING wood ROOF COVERING FLOOR TYPE ESTIMATED COST OF CONSTRUCTION $ _2S'\0 (7 c O t92UL ! ��qfc' AG Buildings shall comply with the minimum front, side, and rear yard setback requirements of the applicable County Ordinances as follows: f I , � I FRONT �'M SIDES REAR AG Buildings shall be a minimum of five (5) feet from any septic tank or leach fields. AG Buildings less than 1000 sq. ft. in floor area shall be located a minimum of 6 feet from a residence, 10 feet from a mobilehome, and 23 feet from a commercial building. AG Buildings greater than 1000 sq. ft. in floor area shall be located a minimum of 23 feet from a residence and a mobilehome, and 40 feet from a commercial building. AG Buildings must comply with Flood Zone requirements. Finish floor elevation must be at or above elevation USGS Datum. I declare under penalty of perjury that the building will be used as stated above and the purposed use confirms with the AG Building definition. If any change in use or occupancy of the building is made, I will contact the Building Division and obtain any necessary permits, inspections, and approvals to comply with the requirem is in effect at that time and before occupancy. Date-/ 5� 5 Signature of Owner. - Permit Fee - $60.00 The above descri"d AG Building is exempt from a building permit. FL PARC P.D Receipt No. 106 0 / G� Manager Building Division By — Date White — DPW, Yellow — Assessor, Pink — B. I., Goldenrod — Applicant I declare that the proposed construction of the c under Building Permit Application at 41 (s- l /(-y. 0-a.le_s 14 1 1 A.P. # U -0V ` a 70 ` . 00 � will be used as indicated o it will not be considered a buildings "lowest floor." I am aware that the floor level is below the 100 year flood elevation and will advise prospective buyers of this condition. Property Owner 4, Address (c5 �G Phone Number 2 5-5' S' > ? y Date 104 —A � Lowest Floor means the lowest floor of the lowest enclosed area (including basement). An unfinished or flood resistant enclosure, usable solely for parking of vehicles, building access or storage in an area other than a basement area is not considered a buildings lowest floor. Provided that such enclosure is not built so as to render the structure in violation of the applicable non -elevation design requirements. Residential Garages, Residential Storage Buildings, Agricultural Buildings, Residential Crawlspaces and all Residential Buildings are subject to the requirements listed on this document. Buildings located in designated flood areas generally must have the lowest floor elevated at or above the 100 year flood elevation. `Lowest Floor" means the lowest floor of the lowest enclosed area (including basement). An unfinished or flood resistant enclosure, usable solely for parking of vehicles, building access or storage in an area other than a basement area is not considered a buildings lowest floor; provided that such enclosure is not built so as to render the structure in violation of applicable non -elevation design requirements. If the floor is not elevated and the structure is exempt from the `lowest floor requirement," (see above), then the following must be done: A. Building designed and anchored to prevent floatation, collapse or lateral movement. B. Building is constructed with materials resistant to flood damage. C. Building constructed by methods and practices that minimize flood damage. D. Electric, heating, ventilation, plumbing and air conditioning equipment and other service facilities shall be designed and/or located so as to prevent water from entering or accumulating with the components during conditions of flooding. NOTE: We will normally accept the following as compliance with the above conditions: 1. Building is anchored to concrete stemwall system with conventional anchor bolts. 2. Building plate on top of stemwall to be at or above the 100 year flood elevation. (Plate height less than 24" above grade or engineered design required). 3. Electrical, heating, ventilation, plumbing and AC equipment and facilities located above the plate, (100 year flood elevation). 4. At, least 2 openings in exterior walls, located on opposite or adjacent walls with a total net area of not less than 1 square inch for every square foot of enclosed area. 5. The bottom of the openings shall be no higher than 1 foot above grade. 6. The openings may be screened or covered with other devices that will permit automatic entry and exit of flood water. 7. Lowest Floor Declaration form signed by property owner. On residential buildings where the `lowest floor" is elevated at or above the 100 year flood elevation, the crawlspace must comply with items 3, 4, 5 and 6 above. Agricultural Buildings: 0 Owner must sign Lowest Floor Declaration prior to issuance. 0 Or, owner must provide a flood letter. OVER RESIDENTIAL 28-09-07 766-90P,E EASH, Jay & Mae 415 Rolling Oaks Ln, Bangor (utilities/travel trailer) ,? 7 JOB FINALED (Date)�— Signature J=OK - ' O=Not OK ' -=Not Applicable Not Ready MOBILE HOMES = Date MOBILE HOME UTILITIES (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements Soils; Special MH Support Sketch 3. Sewer; Location -Test -Fall -C/O Concrete 4. Water; Location -Test -Easement Needed (Sketch) 5. Electricity; Location-Clearences-Grnd-/ /Amp -Concrete 6. Gas; Location -Test -Wrap: / /"L"ft. / /"Nat. or/ /"L" ft./ /"LPG 7. Utility Clearance Date's /) Card B-1 Date Card B-1 Date r 4 Card B-1 Date Card B-1 Date MOBILE HOME INSTALLATION (Plans) OK except #'s 1. Zoning Requirements -Setbacks Easements 2. Footings; Size -Spacing -Marriage Line 3. Gas; MH Test -Demand -Valve -Connector 4. Electricity; MH Test -Crossovers -Breakers -Clearances 5. Drain; MH Test -Fall -Flex Connector 6. Water; MH Test -Regulator -Connector 7. Water and Sewer Connected -C/O to Grade -HD Approval 8. Gas and Electricity Tagged 9. Exits; Insp.-Sketch 10. Cert. of Occupancy Date Card 0-1 Date Card B-1 Date Card B-1 Date Card B-1 MISCELLANEOUS Date DECKS, COVERS, CARPORTS, GARAGES, (Plans)OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Footings; Soils -Size -Depth -Spacing -Connectors -Steel 3. Decks; Griders and/or Joists -Decking -Bracing -Stairs -Rails 4. Wood Awn.; Posts -Bea ms-Rftrs.-Coo nectors Shthg: Rfg.-Bracing 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Carports; Windows -Doors 7. Electric 8. Frmg; Sils-Anchors-Studs-Rftrs-Trusses 9. Siding; Nailing -Veneer -Stucco -Mash 10. Roof; Shthg-Roofing 11. Ext.; Steps -Doors -Landings Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date POOLS (Plans) OK except #'s 1. Setbacks -Easements 2. Soils; Compaction -Structure Stability 3. Pool Structure; Steel -Connections -Thickness Dead Men -Lining 4. Elec.; Receptacles and Lighting, Distances-GFI 5. Elec.; Pool Lighting; 15 volts-GFI 6. Elec.;Enclosures; Conduit Entries -Terminals -Listed 7. Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater '8. Elec.; Grounding; Equip. w/5' Circulating Equip. -Pool Lghtg. Boxes-Enclosures-Panelboards-Ins. to Main in Conduit 9. Health Department Approval 10. Plumb.; Cir. Test -Water Supply Test Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 V OK O=Not OK = Not Applicable ' = Not Ready RESIDENTIAL (Single w & Duplex) Date UNDERFLOOR (Plans) OK except #'s Date FRAMING (Continued) 1. Zoning -Setbacks -Easements -Flood -Slope 45. Hangers -Post Caps -Anchors -Connectors 2. Fig., Main; Soils-Elec. Grnd.-/ /" Ftg. Depth 46. Cing. Joist-Rftr. ties-Purlin-roof Brac-Truss-Shthng.-Rfng. 3. Fig., Garage; Soils-Steel-Elec. Grnd.-/ /" Fig. Depth 47. Fireplace Ties or Type A Flue -Fireplace Throat clearance 4. Fig., Porches & Decks; Soils -Steel-/ /Fig. Depth 48. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 5. Stemwalls, Main; Steel -Bloc kouts-Wrapped 49. Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions 6. Stemwalls, Garage; Steel-Blockouts-Wrapped 50. Garage Fire Protection Framing 6a. Hold Downs and Special Anchors 51. Property Line Firewall & Openings 7. Slab; Steel -Wrapped 52. Ext. Doors -One T -Check Garage -3rd Story, 2 Exits 8. Piers -Fireplace Ftg.-Steel 53. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 9. D.W.V.; Fall -Fitting -Test -2 Way C/O -Sewer Test 54. plywood on Roof Overhang -Attic Vents -Rafter Outriggers 10. Gas Pipe; Size -Anchors 55. Siding -Nailing Veneer 11. Water Pipe; Test -Anchor -Regulator -Service Test 56. Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access 12. Electric; Underground 57. Glazing Area -Glass Protection -Skylights -Plastic. 13. Pienums & Ducts; Clearance -Material -Support -Ins. 58. Shear Walls; Nailing -Bolts 14. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples 59. Insulation -Walls -Ceilings 15. Insulation 60. Infiltration -Walls -Windows Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date PLUMBING (Permit) OK except #'s Date Card B-1 Date Card B-1 16. Water Htr.; Vent -Access -Combustion Air -Baffle Date FINAL (Plans) OK except #'s 17. Water Pipe; Test & Anchor -Nail Protection 61. Ext. Steps -Door & Sidelight Protection -Landings 18. D.W.V.; Test -Fittings & Anchor -Nail Protection 62. Smoke Detector 19. Shower Pan; Test, First Floor -Tub Access 63. Furnace; Vents -Clearance -Comb. Air -Connector - In Garage; Above Floor-Ducts-Mech. Protection 20. Test Tub & Shower, Second Floor -Tub Access 21. Gas Pipe; Size & Anchors 64. Bedroom Exiting 65. G.F.I. & Bath Fixtures & Tub Access -Spa Date Card B-1 Date Card B-1 66. Elec. Trim & Subpanel; Breaker Sizes & Labels Date Card B-1 Date Card B-1 67. Stairs & Rails Date ELECTRICAL (Permit) OK except #'s 68. Fireplace or Stove; Clearances -Hearth 22. Fixture & Transformer Clearance -Ins. Protection 69. Elec. Outlets at Wood Panel; Int. & Ext. 23. Elec. Receptacles Spacing -Lights & Switches at Doors 70. Kit.Fixt. & Appliance; Grnd.-Air Gap -Cooking Clearance 24. Size Boxes & No. of Conductors -Stapled 71. Elec. Outlets & Receptacles at Kit. Counter 25. Romex Installed Close to Edge of Studs & C.J. 72. Garage Fire Door; Swing -Landing -Closer 26. Equip. Ground made up w/Mech. Fastners-Bond Gas & Water 73. A.C. Duct in Garage -Damper 27. 2 Appliance Circuts in Kitchen & Conductor Size/GFI 74. Wtr. Htr.; Vents -Clearance -Comb. Air-Connector-P.R.V. In Garage; Above Floor-Mech. Protection 28. Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / / ga. Cu or Al 75. Plb., Elec. & Mech. Equip. Listed for Location 29. Range Circ. / / ga. Cu or AI -Oven Circ. / / ga. Cu or Al. Insulated Neutral ❑ Yes ❑ No 76. Elec. Receptacles in Garage; (G.F.I.)-Romex Protection 77. Insulation -Foam -Looked in Attic ❑ Yes 30. Service -Riser Conductors & Ground -Main Disconnect 78. Guard Rails & Deck Construction -Post Caps 31. Equip. Clearances Panels-Motors-Mech. Equip. 79. Fdn. Vents & Crawl Hole Door -Drainage & Wood -Earth Clearance Looked under Floor ❑ Yes 32. Clothes Closet Light -Shower Light -Spa Light 33. Smoke Detector 80. Following instld.; Drive ❑ Yes ❑ No; Walks ❑ Yes ❑ No; Planters ❑ Yes ❑ No Date Card B-1 Date Card B-1 81. Stucco; Brown -Finish Date Card B-1 Date Card B-1 82. A.C. Unit; Disconnect, Electrical, Plumbing Date MECHANICAL (Permit) OK except #'s 83. Vents Above Roof; Plbg.-Appliance-Fireplace.-Clearance to Openings 34. A.C. Ducts Insulation & Support 84. Water Well; Disconnect, Electrical, Plumbing 35. Vent Fan; Exhaust above insulation 85. Exterior Elec. Trim; G.F.I. Receptacle -Underground 36. Condensate Drain & Overflow; Size & Grade 86. Ventilation Throughout House 37. Furnance-Vent; Access -Comb. Air -Return Air Vent -115 outlet 87. Glass Protection 38. Attic Access & Platform if Furnance in Attic 88. Corrections from Previous Inspections 89. Gas Test -Meters Tagged; Gas -Electric 90. Water & Sewer Connected -C/O to Grade -HD Approval Date Card B-1 Date Card B-1 91. Energy Compliance Certificate -Other Certificates Date Card B-1 Date Card B-1 Date FRAMING (Plans) OK except #'s Date Card B-1 Date Card B-1 39. Sils, Proper Material & Anchors Date Card B-1 Date Card B-1 40. Walls Studs -Nailing, Spacing & Bracing -Plates -Sound Date Card B-1 Date Card B-1 41. Bearing Walls over Girders & Floor Nailing Comments at Final: 42. Draft Stop in Walls (rat proof) 43. Fire Stops; Furred Ceilings -Stairs -Chases -Tub 44. Headers & Beam -Size & Bearing each time you visit job site) (NOTE: An entry must be made '- COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS t 7 County Center Drive - Of'ovilld, dalifornia 95965 - Telephone: 916/538-7541 APPLICATIGNr"AND PERMIT PERMIT NO. ASSESSOR PARCEL NUMBER ?8-09-07 ZONING A20 BUILDING PERMIT OWNER JAY AND MAE EASH TELEPHONE S0. FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS General Delivery, Bangor, CA 95914 CONTRACTOR'S NAME Owner TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER None UNKNOWN Total Valuation is Filing Fee $ LENDER'S MAILING ADDRESS Permit Fee ARCHITECT OR ENGINEER None LICENSE NO. Plan Checking Fee Q$ $ 15.00 Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS Rollinp, Oaks Ln. Bangor Permit fee $ PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME PARCEL MA 1%�" Z Water piping 5.00 Each qas water heater or vent 5.00 USE OF STRUCTURE SF ❑ Duplex❑ Mobilehome[a Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home I X I G I OXI 10.00e 20.00 TYPE OF WORK New Addition❑ Remodel❑ Utilities] Installation[- Other Describe work: Travel Trailer Permit Fee $ 30.00 Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 100 AMP 001 OR ORSLESS Gen 10.00 10.00 Main service EA. ADD'L 100 AMP 2.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): F -1I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in full force and effect. Icense No. Classification I, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contra ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONST. DWELLING OCCUP.E! OR ACDNS. ACC. BLDGS. ,/z¢sgft NEW CONSTROUTLET NON•R ESID BRANCH CIRC ITS 2,50 ea POWER APPARATUS &) SINGLE OUTLET CIR. Ex. OCCU p OUTLETS OR FIXTURES 20050t BAL030 FIXED APPNS EX. OCCUp. OUTLETS IIRESID )REA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 15,00ct- Misc. bVirin g 15.00 Permit Fee $ WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate �f Consent to Self -Insure. L� shall not employ any person in any manner so as to become subject ' to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. Contractor MECHANICAL PERMIT FiIingFee 10.00 Heating Cooling g Hood 3,00 Ventilation permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, ts, and expenses which may in any way accrue against id Count in rise ence of the granting of this permit. X� �� ��J Date i arur Applica — Owner Contractor ❑ Agent ❑ n OSH permit isrequired for excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories ssjin height. Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST TYPE TOTAL FEE $ 0.00 HAZ — CUA PARK 1_SCHL FLD PA P HD IssuE This permit is hereby issued under siois of the Butte County Code and/or work indicated above for which fees DIRECTO OF PUBLIC By PE EXPIRES Date the applicable provi- resolutions to do have been paid. WORKS Date 3 7, 1-1-7-91 Receipt No. 59J WHITE-D.P.W.. YELLOW -ASSESSOR, PINK -INSPECTOR. GOLDENROD -APPLICANT V ' COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS - BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILLEg,CALIFORNIA 95965 - TELEPHONE: 916/538-7541 PERMIT APPLICATION DATA SHEET ,. Permit No. ,r� h OWNER C4—�f— A. P. No. _ C�—ncl — Proposed Building Use / Building Inspector Date At time of permit application, I was advised the following data must be submitted prior to permit processing and/or issuance: DATE RECEIVED APPROVED 1 All items have been submitted . .................................... Plot plans in uplica triplicate, signed by preparer of plans........ 3. Complete plans i'- n duplicate/triplicate, signed by preparer of plans .. 4. Complete engineered plans and calcs, with wet signature on plans .. 5. Hazardous Material Form .......................................... 6. Energy Design Compliance and supporting documentation ......... 7. Statement of Intent for Non -Heated and AC Buildings .............. i 8. Engineered truss details and layout in duplicate (required prior to plan check) 9. Mobilehome installation data including manufacturer's installation instructions....................................................... 10. Fees of $ ........................ 11. Chico Urban Area fees paid ....................................... 12. Park fees paid.............................................�... 13. .—School Distr ct fees paid .............. 14. Sanitation approval from ���'� 6I c., Health Department 15. City of Chico plumbing permit ..................................... 16. Plot plan and business license approval from City of (see City for other requirements) 17. Planning approval for (A) Use: (B) Parking: ...... 18. Improvements may be required. Contact Land Development Section DPW rlveway permit (construction approval required prior to occupancy) 20. Pre -Inspection for required Pre-Inspec. request to Building Inspector (Date) 21. Contractor's license information (No., Name Style, Classifications ... 22. Certificate of Workmans Compensation Insurance .................. 3. Owner -Builder Verification (Given to owner ❑, Mail to owner ❑) ..... 24. Recorded copy of Agricultural Acknowledgment Statement ......... 25. Letter of signature authorization .. .............................. . 26. ' 27. When you issue the permit, process as follows: Mail to owner. Mail to contractor. Telephone and hold for pickup at office. Deliver w/inspector. Other _ Appl ican(Q�aor. 12 Date 7At '0 ib Copy of plans sent Health Dept., Fire Dept., Other Date The following data must be submitted prior to permit issuance: ( irc a new item not checked above). 1. Index permit for above items No. 2. Additional items required: Contractor, designer, owner, was advised of above required data by_phone_mail—counter by .date Contractor, designer, owner, was advised of above required data by—phone—mall—co unter b c, date Plans checked by Date Plans approved by d` Date Sets of plans on hold in . File cabinet AP folder Copy—DPW TO ...Building Department FROM: Environmental Health SUBJECT:. Sanitation Clearance Owner oc n AP# Plan AO . proved. for: Sewage Disposal Water Supply Hold final for: Water Supply Final clearance,K. for: Water Supply Clearance for bedroomhome. Other NOTE an r 3. ad h Date COUNTY OF BUTTE - Department of Public Works 7 County Center Drive, Orovil.le, CA 95965 Phone: 916-538-7541 OWNER -BUILDER VERIFICATION Attention Property Owner: An 'owner -builder" building permit has' been applied for in your name and bearing your signature. Please complete and return this information at your earliest opportunity to avoid unnecessary delay in processing and..issuing your building permit. No building permit will be issued until this verification is received. 1. I personally plan to provide the major labor and materials for construction of the proposed property improvement (yes or no) 2. I (have/have not) 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 _�L_ / )C,�ez Social Secur' Nu er Date NOTE: This Owner -Builder Verification is sent to you as required by Sections 19831 and 19832 of the California Health and Safety Code. This verification must be completed and returned to our office before we are per- mitted to issue the permit. 1.1kC !"il�'�?q4r;�3S or �k3 bc� ;' "• , i I Iq®`i & ww%,W�� Be in J�Ccod` r�t�s with R30grized Good grmficm and 01 a quvN,,4y p'roscri'ZO 3 for the Spey fmd ase in the Unifolu SWI&Ig, Humbing & fhe National HiOWC4 QX6. f� l pack o ft. ftorn the rrty lines and a setback Ft. from the road rline shall be clear of tires or equipment wept 2 ft. .- Return ,o DPW AGRICULTURAL STATEMENT OF ACKNOWLEDGEMENT 9 0- 12 13 6 7 FOR RESIDENTIAL DEVELOPMENT Section 26-8.1 of the Butte County. Code requires this, acknowledgement be recorded , ,x prior to issuance of a building permit. The property described herein is adjacent 1. 7.00 to land or included within an area zoned 90-012136 i Rec Fee 7.00 for agricultural purposes, and residents Caassh C of this property may be subject to incon- Recorded veniences or discomfort arising from the Official Records use of agricultural chemicals, including, County of but not limited to herbicides, pesticides, Butte and fertilizers; and from the pursuit Candace J. Grubbs of agricultural operations including, Recorder BG 2 but not limited to cultivation, plowing, 1:06pm 27 -Mar -90 spraying, pruning, and harvesting which occasionally generate dust, smoke, noise, and odor. Butte County has established agricul- tural 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: Date: i� # aj // 1 Q PROPERTY OWNERS: On this the Z3d da of��f-t 19 90,: before me, State of G4Gr �/��� ) Y SS. the undersigned Notary Public, personally appeared County of Su rr ) J'A Y !7 �'H s ft- Aye M11•[�' G� EF+S fF Personally known to me. ® Proved to me on the basis OFFICIAL SEAL of satisfactory evidence. ROGER N BROWN to be the person(s) whose names) .a�-c m NOTARY PUBLIC - CALIFORNIA subscribed to the within instrument and acknowledged that ?w,'r SUTTER COUNTY My comm. expires JUL 11, 1991 executed the same for the purposes therein contained. IN WITNESS WHEREOF, I hereunto set my hand and official seal. Present A.P. No. 0 ' 7:2 1 Notary Public j %11rf) VALLEY TITLE AND ESCROW Order No. r' Escrow ---No. 103708-3 Loan No. 007 AN 028 -09 -0 -'&G* -0 Lot 6 WHEN RECORDED MAIL TO: JAY AND MAE EASH 1993 Sunrise Ave. Marvsville, CA. 95901 89-042.8-9 89-004289 Recorded Official Records County of Butte Candace J. Grubbs Recorder 8:00am 9 -Feb -89 Rec Fee vu DOC 14 5 Total 14. 9t.i MIDVALLEY TITLE CO. RB 1 SPACE ABOVE THIS LINE FOR RErnAnc A•S ucc MAIL TAX STATEMENTS TO: DOCUMENT Y ER g •,,,, 4; 9 5 Comput on the c ns or do value of property conveyed; OR x... Comput o the o . at n r value less Yens or encumbrances Same As Above rem a tl Ie signature o1 DWirrent 'r pi t determining tete — F trm Nemr MID VALLEY TITLE AND ESCROW GRANT DEED FOR A VALUABLE CONSIDERATION, receipt of which :s hereby acknowledged, TAXNSFER PAID HENRY T. RUNGE, JR. and CYNTHIA A. RUNGE, husband and wife hereby GRANT(S) to JAY DEAN EASH and MAE ELIZABETH EASH, husband and wife, as Joint Tenants the real property in the ICXX)OA unincorporated area County of Butte State of California, described as PARCEL I: PARCEL 6, AS SHOWN ON 'f'HAT CERTAIN PARCEL MAP, RECORDED IN THE OFFICE OF THE RECORDER OF THE COUNTY OF' BUTTE, STATE OF CALIFORNIA, ON JULY 27, 1988, IN BOOK 111 OF MAPS, AT PAGE(S) 74 THRU 79. SUBJECT TO COVENANTS, CONDITIONS AND RESTRICTIONS, RECORDED NOVEMBER 21, 1988, UNDER BUTTE COUNTY RECORDER'S SERIAL NO. 88- 39464 AND RE-RECORDED DECEMBER 12, 1988, UNDER BUTTE COUNTY RECORDER'S SERIAL NO. 88-41893. RESERVING THEREFROM A NON-EXCLUSIVE RIGHT OF WAY AND PUBLIC UTILITY EASEMENT KNOWN AS ROLLING OAKS LANE, AS SHOWN ON THE ABOVE PARCEI, MAP. PARCEL II: A NON-EXCLUSIVE RIGHT OF WAY AND PUBLIC UTILITY EASEMENT KNOWN AS ROLLING OAKS LANE, AS SHOWN ON THAT CERTAIN PARCEL MAP, RECORDED IN THE OFFICE OF THE RECORDER OF THE COUNTY OF BUTTE, STATE OF CALIFORNIA, ON JULY 27, 1988 IN BOOK 111 OF' MAPS, AT PAGE(S) 74 THRU 79. Dated_..-Jebru.ar l' �- .- .-..-_... _. _...._ I N NRY T. 12�JNGE, JR---- 3TATE OF CALIFORNIA Iso -""""YNTHIA A. R GE STATE OF CALIFORNIA i County of etrrTe) U• --- , GG `�+r In and for said State, per- On pr On this O'er- day of f 6,2v.f71 , 19e-,�, before rro, thn signed, a Nutary Public in and for the State o CALfFORNI , duly 6r,,,,0,e, and sworn, personally appeared IIENRY T. RUNCE. JR. persOnal ly known to nw YX1LY YtLLRr1:(.tXl:cL':.QI:.t:27C(tyynir,;.of�Gati'ctaCU1C}:::: C \'14:+... , tr •, I'.. 11,. x:1:!1'. .rii., rl.. .rt"j�. ., �:i r .. .Iti... rr. r_1 /1•. .r tr ,r Ie\® OF DOCUMENT a c I s I - a c N CLAIMANT: ADDRESS: eoutd*- Xutte OROVILLE, CALIFORNIA GENERAL CLAIM JAY EASH P.O. BOX 366 CITY & STATE: BANGOR, CA 95914 IMPORTANT: AUGUST 6,1991 SEE INSTRUCTIONS DATE OF CLAIM: ON REVERSE SIDE SUBMIT CLAIM TO DEPARTMENT RECEIVING GOODS OR SERVICES DATE DESCRIPTION OF CLAIM (DESCRIBE FULLY TO AVOID DELAY) AMOUNT Owner has decided not to do work. Permit #2752-90B,P,E, AP#28-09-07, Receipt #70578, dated 8/8/90. i I (Total Permit Fees Paid --------------------------------- =--$206.50 Retain Plan Checking Fee ----------------------- $43.25 Retain Building Permit Filing Fee-------------- 10.00 Retain Plumbing Permit Filing Fee-------------- 10.00 Retain Electrical Permit Filing Fee------------ Total�Permit Fees Retained ----------------------------- 73.25 I t I P i I ! I TOTAL $133:25. I, the undersigned, declare under penalty of perjury that the services or articles claimed have been performed r de ' ere d, and that this claim is true and correct as stated. Dated this�..... day of i 19 :�l Cali[. :: A /.................. f................. :., et ...Ci c' S . L%1.......................... Signatur of Claimant I, the undersigned, hereby certify that, to the best of my knowledge, the services articles specified above have been Performed or de- livered and that there is a FD n Budget A ro ation or Specific Board Approval I em 6th g August Pecif91 OiOVll (Check one) for the ss ��-- Dated this,,,,,,,,,,,,,,,, ..... day of 19„ at Calif.n6epa ................ ................. ... .............ent Head or Authoeputy, Dept. Exp. Code 440-002Code 4210500 PAYABLE FROM on ". Permits FUND DO NOT WRITE BELOW THIS LINE - AUDITOR'S USE 'ONLY DEPT. & SUB. PROJ. SUB. OBJ. CLAIM NO. INV. NO. INV. DATE ENCUMB. GROSS AMT. F 14 5 9'� box 3�C �fY.C) 6 62 -7 • Izi COUNTY OF -.BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Orovi!le, California 95965 - Telephone: 916/538-7541 APPLICATION AND PERMIT PERMIT NO. fIL1 ASSESSOR PARCEL NUMBER ZONING A20 BUILDING PERMIT OWNER JAY EASH TELEPHONE SO. FT. DCC. BUILDING VALUA ID 750 M 10 500 OWNER'S MAILING ADDRESS P.O. BoxX66 Bangor, CA 95914 CONTRACTOR'S NAME OWNER TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ 10,500. Filing Fee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee $ 86,50 ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ 43.25 Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS 415 RollingOaks Ln. Permit fee $ 139.75 PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 8,00 Ban or Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP Water piping 5.00 5.00 Each qas water heater or vent 5.00 1 5.00 USE OF STRUCTURE SF ❑ Duplex❑ Mobilehome❑ Other pri. det. Cara e sPE Gas piping system 1 - 5 outlets 5.00 5,00 Building sewer 5.00 5.Q0 Mobile Home S I G I W 10.00e TYPE OF WORK New ba Addition❑ Remodel❑ Utilities❑ Installation❑ Other Describe work: Permit Fee $` 38.00 Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 8001 OR LESS 100 AMP OR LESS 10.00 Main service ADD'L 100 AMP 2.50 CONTRACTORS LICENSE LAW 1 declare under penalty of perjury (check one): ❑ I am licensed under provisions Of Chapt. 9, Div. 3 of the Busines$ and Professions Code and my license is in full force and effect. License No. Classification I, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ontract- ors.(Sec. 7044) ors. ❑ I am exempt under Sec. , Business and Professions Code for this reason /EA. NEW ADDNST C DWEACCLLIN GScCUP.97 0. 2h¢sgft 18.7 NEW CONSTR. MULTI -OUTLET NON•RESI0 BRANCH CIRC ITS 2,50 ea /POWER APPARATUS &) %SINGLE OUTLET CIR. Ex. Occup( p�OUTLETS OR FIXTURES 20@500 SAL030 FIXED APLNS. EX. Occup. OUTLETS P(RESID )REA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. bVirin g 15.00 Permit Fee $ 28.75 WORKMEN'S COMPENSATION INSURANCE I -declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. Contractor MECHANICAL PERMIT Filing Fee 10.00 Heating Cooling g Hood 3.00 Ventilation Permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the Countyot Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgme costs, and expenses which may in any way accrue ins id County n nsequ ce of the granting of this permi %� Date f Applicant — Owner Contractor E)Agent E] narfApermit An OS 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 $ occ CONST TYPE TOTAL F E 2JL HAZ CUA PARK F PAR A/J AeX �;< This permit is nereby issued under sions of the Butte County Code and/or work indicated ab ve or which fees IR OF IC BY PE MIT EXPIRES IiVte the applicable prcvi- resolutions to do have been paid. WORKS D to 7i(/ % Receipt No. 70578 WHITE-D.P.W., YELLOW -ASSESSOR. PINK -INSPECTOR. GOLDENROD -APPLICANT n 1 ! COUNTY OF BUTTE W6F_PAATI 'ENT OF PUBLIC WORKS -BUILDING DIVISION 7 COUNTY CENTER DRi7E •,pF�„VILE, CALIFORNIA 95965 - TELEPHONE: 916/538-7541 �r+m - PERMIT APPLICATION DATA SHEET OWNER_ Proposed Building Use l At time of permit application, I was advised the following data must be submitted prior to permit processing and/or issuance: DATE RECEIVED APPROVED 1. 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. Hazardous Material Form .......................................... 6. Energy Design Compliance and supporting documentation ......... 7. Statement of Intent for Non -Heated and AC Buildings .............. 8. Engineered truss details and layout in duplicate (required prior to plan check) 9. Mobilehome installation data including manufacturer's installation instructions....................................................... 10. Fees of $ ........................ 11. Chico Urban Area fees paid ....................................... 12. Paf`kfees paid ..................................................... 13. Schon strict fees paid ............. . �14. Sanitation approval from Health Department 15. City of Chico plumbing permit ..................................... 16. Plot plan and business license approval from City of (see City for other requirements) 17. Planning approval for (A) Use: (B) Parking: ...... 18. Improvements may be required. Contact Land Development Section DPW 19. Driveway permit (construction approval required prior to occupancy) 20. Pre -Inspection for required Pre-inspec.request to Building Inspector (Date) 21. Contractor's license information (No., Name Style, Classifications ..:- 22. Certificate of Workmans Compensation Insurance .................. r- 23. Owner -Builder Verification (Given to owner ❑, Mail to owner ❑) ...... 24. Recorded copy of Agricultural Acknowledgment Statement ......... 25. Letter of signature authorization ................................... 26. ti 27. When you issue the permit, process as follows: VIM I to owner. Mail to contractor. Telephone and hold for pi up office. Deliver w/inspector. Other /J ,;. Appl ican ' / Date U Copy of Haz- Mat corm sent Health Dept. Fire Dept. fir Pollution (Date Copy of plans sent Health Dept. Fire Dept.Other-------- Dater By 'A The following data must be submitted prior to permit issuance: (Circle 1. Index permit for above items No. ✓ 2. Additional items required: item —not checked -above). s t Contractor, designer, owner, was advised of above required data by_phone_mail—counter by ..date. Contractor, designer, owner, was advised of above required data by_phone_mall_coun er by date. Plans checked by Date PIa approved by� Date Sets of plans on hold in File cabinet AP folder Copy—DPW :. TO Building Department --. FROM: Environmental Health SUBJECT: Sanitation Clearance OwnerLocation AP# Plan Approved for: Sewage Disposal Water Supply Hold final for: Water Supply Final clearance O.R. for: ff W„a� ater Supply Clearance for —Other oC�Joi ���� CvH PLOTS Date Sanitarian COUNTY OF BUTTE Department of Public Works 7 County Center Drive, Oroville, CA 95965 Phone: 916-538_754.1 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) Y"-- 2. I (have/h-ft nom) 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 Se." Qe Date NOTE: This Owner -Builder Verification is sent to you as required by Sections 19831 and 19832 of the'California Health and Safety Code. This verification must be completed and returned to our office before we are per- mitted to issue the permit. IF M - ze .,e/p Z,7 041 a ti -'o uj 0 TO 4-1 OtAll ZO Ol oode Sir 0 I�lk CJS 9 =r 1-4 R -A c o ) LA a to N ''^ Nj T w dr l J \r i 1� o W- - ~-- -- --- , 4 D . . ` ^ 1` 1 3a 1. 910 G Y . E lli^�f.. !` CO.4-1 i i PROVIDE APPROV VET AND ADEQUATE COIv4�16AIR FOR HEATER/OR1 •�- P r°oU (. $ f-�Tro r2W1 7,q 1`- y KC D f ' 17 k ,� BUTTE COUNTY , v BUILQIN0, DEPARTMENT AprROVED Provide'h" x 10" anchor bof @ 6' O.C. max. and withla 12" of joihta. 1 riJ s 1` 1 3a 1. 910 G Y . E lli^�f.. !` CO.4-1 i i PROVIDE APPROV VET AND ADEQUATE COIv4�16AIR FOR HEATER/OR1 •�- P r°oU (. $ f-�Tro r2W1 7,q 1`- y KC D f ' 17 k ,� BUTTE COUNTY , v BUILQIN0, DEPARTMENT AprROVED Provide'h" x 10" anchor bof @ 6' O.C. max. and withla 12" of joihta. 1 riJ r, I f :� �. � � ._..`_ �. . � T �� - � ..... _ �♦�u _. «� - - - . _ __ �-�-+-w..R +..-.rte a,,. -N � ' ..� y� � yycr - t d. C—� P7* 9h r n r LAI --~r�------ - - ----'-- - ------------------^---- ----- -- -- -' � - ' ~ -. U w /^ `