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HomeMy WebLinkAbout028-100-039i 28-10-29 3 Charles Johnson & Don Eeich SE corner @ inters.of LaPorte Rd. & Loma Rica Rd., Bangor -Permit #733-81BPuE,M(new ngle., - famil r•,�_ _- --- ,I �— ".- 28-10- W 3� Pett #734-81.(storage b dg, bldg. materials) ��✓i 28 -10 -AW 39 Per -it 7P5+8-82B(lsta rene al for permit #733- 1) 2ind rrenewalY733-81) - 28-10-39 8038 LaPorte Rd, Bangor Permit#452-88B,P,E(addition/SF) .28-10-39 2734-.91E .JOHNSON; Chari,es 8038? LaPorte'Rd',Marysville- (elec upgrade/sf) ( �0� 810-0-039 92-0279 j JOHNSON, CHARLES 1 CONTR : UNKNOWN '��8038 .LAPORTEGRC , MARYSV I E , '♦ s. EDROOMS� ` ;�" .-. `}F ADD 2 'B , b2(B Y � �,_ '� _>;,��> ==►tel L ;�.3C�F -L7t-r _� _ RESIDENTIAL 028-10-0-039 92-0279 JOHNSON, CHARLES CONTR: UNKNOWN 8038 LAPORTE RD, MARYSVILLE ADD 2 BEDROOMS - x f x r fi J i/ 4 k OFFICE COPY Address r GAS Meter By Date ELECTRIC t t Meter By Date JOB FINALED (Date) f Signature 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: / /" L" ft. / /"Nat. or/ /"L"ft./ /"LPG' 7. Well Clearance & Disconnect 8. Utility Clearance Date Card B-1 Date Card &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 .r 6. Water; MH Test -Regulator -Connector T 7. Water and Sewer Connected -C/O to Grade -HD Approval 8. Gas and Electricity Tagged 9. Exits; Insp.-Sketch ,l 10. Cert. of Occupancy t Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 t MISCELLANEOUS 4 ay 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 -Panel boards -Ins. to Main in Conduit 9. Health Department Approval 10. Plumb.; Cir. Test -Water Supply Test Date Card B-1 Date , Card B-1 Date Card B-1 Date Card B-1 ✓=OK O = Not OK = Not Applicable RESIDENTIAL (Single & Duplex) ' = Not•Ready Date"Uncocinn. (Plans) OK except ff's l 1. -lining-Setbacks-Easements-Flood-Slope Ftg., Main; Soils-Elec. Grnd.- " Ftg. Depth 3. Ftg., Garage; Soils-Steel-Elec. Grnd.-/ /" Ftg. Depth 4. Ftg., Porches & Decks; Soils -Steel-/ /Ftg. Depth 5. Stemwalls, Main; Steel-Blockouts-Wrapped 6. Stemwalls, Garage; Steel-Blockouts-Wrapped 6a. Hold Downs and Special Anchors 7. Slab; Steel -Wrapped 8. Piers -Fireplace Ftg.-Steel 9. D�-V.; Fall -Fitting -Test -2 Way C/O -Sewer Test UF. Gas Pipe; Size -Anchors - yard gas piping: size-tes 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- Date Card B-1 Date and B-1 Date Card B-1 Date PJAOBJNG (Permit),OK except ff's 16. Water Htr.: Vent -Access -Combustion Air -Baffle ------ -- -- - -------------------------- 17. Water Pipe: Test & Anchor -Nail Protection 18. D.W.V.: Test -Fittings & Anchor -Nail Protection - - -19. Shower Pan: Test, First Floor -Tub Access -- ---------- - 20. Test Tub & Shower, Second Floor -Tub Access --------------------------------- -------- 21. Gas Pipe: Size & Anchors Date Card B-1 - Date - Card B-1 ---------------------------- ----------=----------------- Date Card B-1 Date Card B-1 Date ELECTRICAL (Permit) OK except ft's 22. Fixture & Transformer Clearance -Ins. Protection 23. Elec. Receptacles Spacing -Lights & Switches at Doors ----- --- --- - - ------------------------------ ze Boxes & No. of_Conductors-Stapled -25 Romex Installed Close to Edge of Studs & C.J. 26. Equip Ground made up w/Mech. Fastners-Bond Gas & Water --------- --------------------------------------------------------------- 27 2 Appliance Circuts in Kitchen & Conductor Size/GFI --------------------------------- --------- --------- ---=------------------------ 28. Subfeed Wire Size / r ga. Cu or AI-A.C. Wire Size ! / ga. Cu or At ------------------------------------------- - 29. Range Circ. / r ga. Cu or AI -Oven Circ. / / ga. Cu or Al. Insulated Neutral ❑ Yes ❑ No - ---------------------------------------- -------------30.-Service-Riser --- Conductors & Ground -Main - - - Disconnect -------------------------------------------------------- -- -------------- 31. Equip_Clearances Panels-Motors-Mech. Equip. Clothes Closet Light -Shower Light -Spa Light _33 'Smoke Detector - ------------------------------- -------- ------------------------------------------ - Date Card -B-1 Date Card -6- 1 -Date --------------------------------------------------------------- Date Card B-1 Date Card B-1 Date MECHANICAL (Permit) OK except N's 34. A.C. Ducts Insulation & Support -------------------------- - -- -- ----- ----- ---------------- --------------- 35. Vent Fan: Exhaust above i on --------------------------------------- ---------=-------------------------- 36. Condensate Drain verflow_Size & Grade 37. Furnance-V Access -Comb. Air Return Air Vent -115 outlet ------------------------------------------------------------------- out -le ------- 38. At ti ccess &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 ft's 39. Sils. Proper Material & Anchors - -- -- --- --- - - - -- -- - - ---- -------- --- --- -- - -------------------------- - ----- 40. Walls Studs -Nailing. Spacing & Bracing -Plates -Sound -------------------------------------- --------------------- �/ 41. Bearing Walls over Girders & Floor Nailing -------------------------------------- ------- ------------ 42.- Draft -Stop- in- - Walls - (rat- proof)- -------------- ------ --------------------------------------- 4 Fire -Stops: Furred Ceilings-StairsChases-Tub 44. Headers & Beam -Size & Bearing Date FRAMING (Continued) • 45. rs-Post Caps -Anchors -Connectors -- 46. Cing. Joist-Rftr. ties-Purlin-roof Brac-Truss-Shthng.-Rfng. 47. Fireplace Ties or Type A Flue -Fireplace Throat clearance 48. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 49. Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions Garage Fire Protection Framing ---- -- 5 roperty Line Firewall & Openings 52. Ext. Doors -One 3' -Check Garage -3rd Story, 2 Exits ---- 53. S rs; Width -Headroom -Rise -Run -Landing -Fire Protection i -O--- -K6S _ plywood on Roof Overhang -Attic Vents -Rafter Outriggers - - ing-Nailing Veneer ucco Mesh -Drip Screed -Fd. Vents-Underflr. Access 57. Glazing Area -Glass Protection -Skylights -Plastic 58. Shear Walls; Nailing -Bolts _ sulation-Walls-Ceilings 60. Infiltration -Walls -Windows Date Date Card B-1 Date rd B-1 Date Card B-1 Date FINAL ans) OK except r#'s eps-Door & Sidelight Protection-Landinos 6 moke (Selector 3. Furn s -Clearance -Comb. Air -Connector- n G :Above Floor -Ducts -Meth. Protection Bedroom E iting .I & Bath Fixtures & Tub Access -Spa 6. Elec. Trim & Subpanel; Breaker Sizes & Labels ---------------------------------- �Z�feir5-& Rails --------------------- - ----- - --------------- aa F' „tate or Stove: Clearances -Hearth ---------- -------------- ec. Outlets at Wood Panel: Int. & Ext. ---------------------------- -- - �'-KK-t �& Appliance: Grnd.-Air Gap -Cooking Clearance �1. Elec. Outlets & Receptacles at Kit. Counter - ----Rage Fire Door Swing -Landing -Closer Duct in Garage -Damper ----------------------------------------- - 74. Wtr. -Clearance-Comb. Air-Connector-P.R.V. In Garage: Above Floor-Mech. Protection ----------- 75. Plb. Elec. & Mech. Equip. Listed for Location Rece acles in Garage: (G.F.I.)-Romex Protection ---------------------- -- -- nsulation-Foam-Looked in Attic ❑ Yes ------------------------------------------- - f--�- . Guard Rails & Deck Construction -Post Caps ---------------------------------------- 7 ents & Crawl Hole Door -Drainage & Wood -Earth Clearance Looked under Floor ❑ Yes .. - - - - ---------------- a- -- -- --------------------- ----- it. t6wing instld.: Drive ❑ Yes ❑ No: Walks ❑ Yes ❑ No; Planters ❑ Yes ❑ No -------------- --- - - --- -e1-Stucco. Brown -Finish- ---------------- - --- -- Unit Disconnect. Electrical, Plumbing ove Roof: PIbg.-Appliance-Fireplace.-Clearance to Openings ----------------------------------------- - ---24� ter Well: Disconnect, Electrical, Plumbing - 8§_Xxter' r--2-1 Trim; G.F.I. Receptacle -Underground - Ventilation Throughout House - - - - - - - - - - - - - - ----- ------------------------------ s rotection ---------------------------- rrections from Previous Inspections ------ --------------- - ----------------- �Gas Test -Meters Ttqgged, _aS s -Electric --- 90. Water .& Sewer Connected -C/O to Grade -HD Approval 1. nergy Compliance Certificate -Other Certificates _ Dat ----� �ard-B-------'�-----Date ---- Card B-1 - -- Date and B-1 Date Card B-1 Date rd B-1 ate Card B-1 Comments at inal: COUNTY OF BUTTE BUILDING.DIVISION DEKA, RTMENT OF; DEVELOPMENT SERVICES 1469 Humboldt Road, Chico, CA - (916) 891-2751 v 7.County Center Drive, Oroville, CA - (916) 538-7541; YY 747 Elliott Road, Paradise, CA - (916).872-6307. •, _ CORRECTION NOTICE !t Y OWNER PERMIT NO: f4' 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. IA , nom. Date Inspect " REV 10/92 0. ENERGY CERTIFICATION n NUMIIER-AND STREET CITY COUNTY SUBDIVISION LOT NUMBER DESCRIh'I'1:ON OF INSULATION ROOF MATERIAL BRAND NAME THICKNESS (INCHES) THERMAL RES. EXTERIOR WALL MATERIAL TYPE Fiberglass BRAND NAME CertainTeed THICKNESS (INCHES) L THERMAL RES. CEILING BATT OR -BLANKET ' RBLANKET. TYPE Fiberglass BRAND HAKE CertainTeed THICKNESS (INCHES) THERMAL RES. 3 LOOSE FILL TYPE Fiberglass BRAND NAME InsulSafe III THICKNESS (INCHES) THERMAL RES. FLOOR, ELEVATED MATERIAL Fiberglass:; BRAND NAME CertainTeed THICKNESS (INCHES) THERMAL RES. FLOOR, SLAB MATERIAL 'BRAND NAME 'PHICKNESS (INCHES) THERMAL RES. WIDTH FOUNDATION WALL MATERIAL BRAND NAME THICKNESS (INCHES) THERMAL RES. HEATING SYSTEM '! A KE MODEL .RATED BONNET CAPACITY - DECLARATION I HEREBY CERTIFY THAT THE ABOVE INSULATION WAS INSTALLED IN THE BUILDING AT THE ABOVE LOCATION IN CONFORMANCE WITH THE CURRENT REGULATIONS SETTING ENERGY CONSERVATION STANDARDS FOR NEW RESIDENTIAL BUILDINGS (LOCATED IN TITLE 24.OF.,THE CALIFORNIA ADMINISTRATIVE CODE). UENERAL CONTRACTOR / OWNER SIGNATURE HAWKINS INDUSTRIES INC. NAME SIGNATURE STATE CONTRACTOR'S LICENSE # DATE 622184 STATE CONTRACTOR'S LICENSE N DATE .i COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Orovllle, California 95965 - Telephone: 916/538.7541 APPLICATrON AND PERMIT ,r J ASSESSOR PARCEL NUMBER 028-100-039 ZONING A 5 BUILDING PERMIT OWNER CHARLES JOHNSON TELEPHONE 747-1166 SO. FT. OCC.1 BUILDING VALUATION ' 279 R t OWNER'S MAI},{.N,y,.,r,L}D229 a`OT'te Rd Marysville 95901 3NAME CONTRACTOR'S UNKNOWN TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation Is Filing Fee $ 15.00 LENDER'S MAILING ADDRESS Permit Fee $ 135.00 ARCHITECT OR ENGINEER NONE LICENSE NO. Plan Checking Fee $ 67.50 Energy Plan Checking Fee $ 20.00 ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS Permit fee $ 237.50 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 pas water heater or vent 7.00 USE OF STRUCTURE SF ERDuplex❑ Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 15.00 Mobile Home S G W @ 15.00 TYPE OF WORK New ❑ Addition [ Remodel ❑ Utilities ❑ Installation[] Other ❑ Describe work: 2 BDRM Permit Fee $ 20.00 Contractor ELECTRICAL PERMIT Filing Fee 15.00 Main service 600VORLESS 200A OR LESS j$,50 Main service 200A TO 1000A1 CONTRACTORS LICENSE LAW 1 declare under penalty of perjury (check one): ❑ 1 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 OR ADDNS. ACC. SLOGS. / _37.50 3.64 sq.ft. (�. /5 NEW CONST_ULTI-OUTLET NON-RESID BRANCH CIRC ITS I @ 5.00 POWER APPARATUS e (SINGLE OUTLET CIR. Ex. Occup(OUTLETS OR FIXTURES 20 7611 FIXED APPLNS. Ex. OCCUp. OUTLETS RESID )REA.� I 3.00 Temporary service 15.00 Mobile Home Facilities 15.00 Misc. Wiring g '15.00 Permit Fee $ 24.75 — 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. sr 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 becomesubject 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 FXTqTTNC Cooling g 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 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 quence of the granting of this permit. against1s�aidCounty i);;� X ('1 'A ��`--- Date�' 7�' - 12" Si nature of Applicant - owner 9 PP � Contractor ❑ Agent ❑ 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 S Energy Inspection Fee $ 40.00 CONS v TOTAL FEE $ I HAz OFEES IMP I FL D DF PARCEL PD HD ISS This permit is hereby issued under the sions of the Butte C my Code and/or � work i 'cated a for which fees DI E6 OR O PUBL BY PER IT EXPIRES Wate 7R� applicable provi- resolutions to do have been aid. p WORKS Date- l3 -i Receipt No. 1 Q96QR WHITE-D.P.W.. YELLOW -ASSESSOR. PINK -INSPECTOR, GOLDENROD -APPLICANT �S�fi74^m'.. -+vr. �: �--•-"¢i 7Fv� .. is ".5 :... ._ � _t ;. p'S—vw�7-1. -�: _ ... _. .—.. �.., ,•,. .P_.�^. , .,yrrw, COUNTY OF BUTTE -bEPART) NT OF PUBLIIC WORKS - BUILDING DIVISION 7 COUNTY CENTER DRIVE - ORO CALI -,R`105965 - TELEPHONE: 916/538-7541 � PtRMIT APPLICATION DATA SHEET Permit OWNER Proposed Building Use No. lo. �1 � g- /o Date Z M 1 4 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 pre -parer of plans .. 4. Complete engineered plans and calcs, withrt wet signature on plans .. y 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. Pjk feed f aid ...... �/ (' .................. . Care u P7 ion !C J Sc of Distr' t fees paid ..............Z- 14. Sanitation approval from rov I fI"e 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 .................. 23. Owner -Builder Verification (Given to owner ❑, Mail to owner ❑) ..... 24. Recorded copy of Agricultural Acknowledgment Statement ......... 25. Letter of signature authorization 26. L +eflei-e- 27. When you issue the permit, process as follows: Mail to owner. Mail to contractor. Telephone 7�/7-//G� and hold for pickup at Q�office. Deliver w/inspector. Other Applicant G - Date Copy of Hdz-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 issuan : (Circle new item of checked above). 1. Index permit for above items No. 4571 2. Additional items required: Contractor, designer, owner, was advised of above required data by_phone---nail—counter by .date Contractor, designer, owner, was advised of above required data by_phone_mail_c unter by date Plans checked by Date_Plans approved by Date Sets of plans on hold in Copy—DPW File cabinet AP folder COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT NO. 7 County Center Drive - Oroviller California 95885 - Telephone: 918.'538-7541 APPLICATION AND 'PERMIT A33F3 b R NLIC7 D� - )00- ZONIN_ BUILDING PERMIT OW ER oq TEC PHONE -d 1J SQ. FT. OCC. BUILDING VALUATION OW�,EIR'S M IL NG DR d03 Ci VS19 0 CGyNJ�R C OR'S NAME TELEPHONE CON/TRA TO 'S MAILING ADDRESS Fireplace S RUCpTION LENDER COZ UNKNOWN Total Valuation - $ Filing Fee $ 15.00 LENDER'S MAILING ADDRESS Permit Fee $ /no AR H ;ECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ J0.00 ARCHI ECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS Permit fee $ 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 SFX] Duplex❑ Mobilehome❑ Other 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 N Remodel ❑ ill es ❑ Installation El Other ❑ Describe work: rr Permit Fee $ 0.0 Contractor ELECTRICAL PERMIT Filing Fee 15.00 Main service 600v OR 200A OR LESS j$,50 Main service 200ATO1000AI 37.50 CONTRACTORS LICENSE LAW I declare under ucheck one penalty of P Y perjury Y( : ) ❑ 1 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. ClassificationAt F1 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. OR ACDNS. ACC. BLDGS. 3.60sq.ft. Cj I NEW CONSTR.MULTI-OUTLET NON-RESID BRANCH CIRC ITS @ 5.00 POWER APPARATUS e SINGLE OUTLET CIR. / EX. Occup(OUTLETS OR FIXTURES 20 754d ARA FIXED EX. OCCUp. OUTLETS PIRESID )REA.� I 3.00 Temporary service 15.00 Mobile Home Facilities 15.00 Misc. Wiring 9 "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. 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 15.00 Heating WOOA -0 L, e-- 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 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 Si nature of Applicant - Owner g pp ❑ Contractor ❑ Agent ❑ 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 S Ins Energy Inspection Fee $ OCC CONST TYPE TOTAL FEE $ HAz DFEES I IMP I FLOOD I COF PARCEL PD HD 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. r 0 9 08 _- WHITE-D.P.W., YELLOW-ASDESSOR. PINK -INSPECTOR, GOLDENROD -APPLICANT i FLOOD PLAIN DECLARATION I declare the actual value of the proposed construction`work,under build- ing permit application at A.P. # 1 ^%Q' 3q- for Y -e (,d fl"+Ci does not equal or exceed the definition of "Substantial Improvement."# I am. aware the -building site is in a flood -plain area, even -though I am not required to comply with the flood plain management criteria. „ PROPERTY OWNER C/ - v / L . `�G �Dy�►. ADDRESS 3� �J PHONE NO. DATE • 5 *Substantial improvement.is defined as follows: Any'repair, reconstruc- tion, or,impr.ovement of a structure, the cost of which equals or.exceeds 'S0% of the market -value of the. structure either, (a) before-the�improvement or repair is started, or (b) if 'the structure has been damaged, and is being 'restored, before the damage occurred. NOTE: Documentation may be required to substantiate costs:' TO Buildina Department FROM: Environmental Health SUBJECT: Sanitation Clearance Owner Location AP# Plan Approved for: Sewaqe Disposal Water Supply Fold final for: Water Supply Final clearance O.R. for: ater Supply 03e)ma ce for ��mvbY�. Other V�d0 7,0 n 1 ' l a - h ejr6or✓ ,. 'I V� kou se - NOTE * * * Sanitaria Date l FORM 7 ADDITIONS TO RESIDENTIAL BUILDINGS ENERGY SHEET PACKAGE "A" (Additions) Owner &heatks N O�n-W 10 Climate Zone % Permit # O/c -o a '7y Floor Area A2 7 The following data showing mandatory and required features of Package "A" shall be installed for additions to dwellings. Additions to dwellings include room additions, converting garages and patios to living areas, house moves that add footage and attic conversions, and any space that is existing non -conditioned space that is converted to conditioned space. Remodeling of existing conditioned space is not included. APPLIES TO NEW AREA O CEILING O WALL FLOOR SLAB • GLAZING o SHADING SOUTH - OPTIMUM OVERHANG ZONE 11 \ R-30 R-11 R-11 R-7 U-.65 (Dual) or .36 Shading Coefficient WEST - .36 Shading Coefficient LOOSE FILL INSULATION (Density) ZONE 16 R-38 R-19 R-19 R-7 U-.65 (Dual) m INFILTRATION CONTROL (Weatherstrip_doors, certified windows, caulking) VAPOR BARRIER (Zone 16) 0 DUCTS PER UNIFORM MECHANICAL CODE - Ch. 10 i LIGHTING KITCHEN & BATH NOT LESS THAN 25 LUMENS/WATT O MAXIMUM GLAZING 16% OF AREA PLUS REMOVED GLAZING NEW HEATING, VENTILATING, AIR CONDITIONING AND HOT WATER SYSTEMS IN CONJUNCTION WITH AN ADDITION SHALL BE INSTALLED AS SHOWN ON BACK OF THIS SHEET. OTHER 12/85 *1 - '.'HEATING, VENTILATING. AIR CONDITIONING SYSTEM (A)Heating , ❑ Central Gas Furnace (brand and model number) SE Btu/hr (heating capacity) ❑ Heat Pump (brand and model number) ACOP Btu/hr (heating capacity at 47°F) ❑ Active Solar type (liquid or air) Collector brand and ft2 model number solar fraction collector area collector orientation collector tilt rated y -intercept rated slope ❑ Other ' (describe) *1. (B) Cooling ❑ Electric Air Conditioner (brand and model number) (seasonal EER) Btu/hr (cooling.capacity at 95°F) ❑ Electric Heat Pump EER Btu/hr (cooling capacity at 95°F) ❑ Other (describe) DOFZSTIC WATER SYSTEM Q • (B) Gas Only Gallons (brand and model number) (tank size) ❑ Heat Pump w/Electric Backup (brand and model number) Gallons 2 (tank size) Q * Active Solar (collector brand and model number) (rated y -intercept) (rated slope) (solar fraction) ft 2 (backup heater type, brand and model number) (collector area) (collector orientation) (collector tilt) ❑ Location of Solar Panels ❑ Other (Describe) *1 Submit documentation of sizing heating and cooling equipment by Manual J, sizing charts (form 464) or other approved methods, section 2-5352(8), and fill out the following: Heating: Winter design temperature °, elevation ', heating load BTU elevation factor x heating load a maximum outlet capacity gas furnace BTU Cooling: Summer design temperature ", cooling load BTU *2 Submit T.I.P.S.E. chart'or other approved system (form 465) to document sizing of solar panels. ® DESIGN COMPLIANCE STATEMENT: The above building design meets the requirements of Title 24, Part 2, Chapter 2-53 of the California Administration Code. SIGNATURE/OF BUILDING DESIGNER OR APPLICANT v..,5r'•`r. w'i...eaa.*r•fM`•,r t. .7 ���.:,,( .,'i ..KK ...•�. ..,.rn..,:l'yf.r....yy,:.f'^. •f.°�.w w'L�:.^•'. �'•�`c�'S'-� ,11�1'�jY�?A^ S.�T►Y[gwl'•i"�'Y'a3rhCVt�•J':At.M1'.[�.Yya,o�r.KpMlrwyfr'MM„Y1 j ie. _ rY..+ i a -goo 3 9 5a- BUTTE COUNTY SCHOOLS DEVELOPMENT FEE CERTIFICATION FORM .(One"Form per -Building) A.P. Number fag -100-062 Building Department No. School DistrictOrb l,t ItiOr1as City [:]County t19"Jurisdiction Property Owner C ho r /v s V 6 n so ri '411 P Project Location/AddressQ3� Subdivision Lot Number ResidenN "Dmenti � O [Z] �p 9 1 Sq. Footage JAN 1992 # of Living MHI Addition (Group R) Units i Commercial/Industrial: a 0 Sq. Footage i' New Addition (Including Exterior Roofed Areas) Klw/ k4&lz /S Building Department Representative .Date (Floor Plans reviewed by School District Personnel) District Id No. 92 Y //e) 61W/'t d j School District certifies that J'P (r'Applicant Name) (Phone Number) L0 po .reet F (City) actress) � GL•� State 990 / Zip Code has complied with the requirements of Resolution No. f o'5-- 9 0 by the payment of $ ^-� `representing d % 9 square feet. School District -Representative Date PAID BY CHECK N• BANK NO PAID BY CASH white -applicant, yellow -building department, pink -school district SCHOOL.FEE (8/88) -:`•1•{ .E. `.iC;C;. _3�u�i�':�P1:j�"$r�;t }� ,., r n a : i, .•.. i r -a-.. e, . _ .H .� •' r o + 3. ..L Y a ,,i . s•. �F �..-,. r .� �,; r r ,. ,s •gym A•, i. c._ s -28-10-39 2734-91E• ". JOHNSON, Charles 8038 LaPorte Rd,Marysville (elec upgrade/sf) w FIRCOUNTY-OF BUTT -E - D .PART�MENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 - Telephone: 916/538.7541 APPLICATION AND PERMIT PERMIT NO ASS2V „P EL NUMB R ZONING A5 BUILDING PERMIT OW ARIA LES JOHNSON ES TE FEPHONE SQ. FT. OCC. BUILDING VALUATION EL1GADORES O M,„Ws MHRYSVIT*E 95901 CO dA'S NAME w TELEPHONE E CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation Is Filing Fee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ B� "G ET, RD rARYSVILLE 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 MAP Water piping * 5.00 Each qas water heater or vent 5.00 USE OF STRUCTURE SFMK Duplex❑ Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home S I G I W 0.00 ea TYPE OF WORK New F] Addition F] Remodel❑ Utilities Installation[] Other ❑ Describe work: 200 AMP ELEC SERV Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 600V OR LESS 10.00 19.00 100 AMP OR LESS Main service EA. ADD'L 100 AMP 2.50 2.50 CONTRACTORS LICENSE LAW r- r _ 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.6 2�,2QSQ ft OR ADDNS. ( ACC. BLDGS. NEW CONSTR. ULT' -OUTLET NON-RESID BRANCH CIRCUITS2.50 ea POWER APPARATUS 6 (SINGLE OUTLET CIR. / Ex. Occup(ouTLETS OR FIXTURES 20050C eAL030 Ex. Occup. OUED R TLETS ((RESID )EA.J 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 15.00 PRE INSP. 15.00 Permit Fee $ Contractor WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ 1 have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed,revoked. MECHANICAL PERMIT FiIing.Fee 10.00 Heating Cooling 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. 1 also agree to save, indemnify and keep harmless the Count of Butte against 9 Y P Y g all liabilities, judgments, costs, and expenses which may in any way accrue against aid County 'n cons quence of the granting of this permit. q- X L---- Date �+ ' �— f Signature of Applicant - Owner R' Contractor ❑ Agent ❑ 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 52.50 TOTAL FEE HAZ. I CUA I PARK I SCHL I FLD I CDF,_ PAR I PD I HD • I 'SSU This permit is hereby issued unoer the applicable provi- sions of the Butte County -Code and/or resolutions to do work indicated above for which fees have been paid. DIRECTOR F PU IC WORKS BDate ���- 9 y PER EXPIRES Date D--4— Z Receipt No. 97125. WHITE-O.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR; GOLDENROD -APPLICANT COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT NO 7 County Center Drive - Oroville, California 95965 - Telephone: 916/538-7541 '%� APPLICAtION AD PERMIT v 4n ASS SO10 39 EL NUMBER ZONIKG A5 BUILDING PERMIT OWNERCHARLES JOHNSON TELEPHONE SO. FT. OCC, BUILDING VALUATION OWNER'S MAILING ADDRESS 8038 LAPORTE RD MARYSVILLE 95901 CONTRACTOR'S NAME UNKNOWN TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation Is Filing Fee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS 8038 LAPORTE RD MARYSVILLE 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 MAP Water piping * 5.00 Each qas water heater or vent 5.00 USE OF STRUCTURE SF a, Duplex❑ Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home S G W 0.00ea TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities]R Installation❑ Other ❑ Describe work: 200 AMP ELEC SERV Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 600V OR LESS 100 AMP OR LESS 10.00 1 . Main service EA. ADD'L 100 AMP 2.50 2.30 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): ❑ 1 am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in full force and effect.SINGLE 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 OCCUPM OR ADDNS, l ACC. BLDGS. , /20sq ft NEW CONSTFL ULTI.OUTLET NON-RESID BRANCH CIRC ITS 2,50 ea POWER APPARATUS e OUTLET CIR. Ex. OCcup(OUTLETS OR FIXTURES SAL SOC vso FIXED PR11\ Ex. Occup. OUTLETS IRESID IEA.1 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 15.00 PRE INSP. 1 15.00 Permit Fee $ 92-90 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. XI 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 FiIirig Fee 10.00 Heating Cooling g Hood 3.00 Ventilation penult 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, judgments, costs, and expenses which may in any way accrue against said Coun n consquence of the granting of this permit. �_ r X cl��N Date J Signature Of Applicant — Owner, Contractor ❑ Agent ❑ 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 $ 52.50 HAz. PARK I scHL I FLD I cDF I PAR PD I Ho. Issu This permit is hereby issued unoer the sions of the Butte County -Code and/or work indicated above for which fees DIRECTORAF) PU LIC By PERM EXPIRES Date applicable provi- resolutions to do have been paid. WORKS Date Receipt No. 97125 WHITE-D.P.W.. YELLOW -ASSESSOR. PINK -INSPECTOR. GOLDENROD -APPLICANT ice) , `COUNTY OF BUTTE - DEPARTMENT'rOF•PUBLIC WORKS - BUILDING DIVISION f-7. 7 COUNTY CENTER DRIVE - OROVILLEi•C VFOfiNIA 95965 - TELEPHONE: 916/538-7541 PERMIT APPLICATION DATA SHEET fft / OWNER efIf f�-- ��.s�C,i r AermP it NN o Z �".�G2J Proposed Building UseBuilding Inspector Date e6Z� 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. Park fees paid .......................:............................ 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) 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) _E Pre -Inspection forC- required Pre-Inspec. request to �� �— Building Inspector 1— (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 ❑) ...... 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 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 1bydate 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 PERMIT NO. 7 County Center Drive - Oroville, California 95965 - Telephone: 916/538-7541 APPLICATION AND PERMIT ASSE4RRCE=NUlq,BEQ ZON G BUILDING PERMIT OWNEReLES 1���� A , (:f_HA PHONE SO. FT. OCC. BUILDING VALUATION (�TVE/L OW4�10NER'S I I G g.D�7 ft K_ AZZ) IWIf," Itte T A 7,0�• N(/1 CONw // (/(�// _ / TELEPHONE CONTRACTOR'S MMAILINGADDDRR/ESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ Filing Fee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDQESS Z /A 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 MAP Water piping 5.00 Each qas water heater or vent 5.00 USE OF STRUCTURE SF Duplex❑ Mobilehome❑ Other SPECI FY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home S I GW 0.00 ea TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities Installati ❑ Other ❑ DescrivJdrls:/ Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 600V OR LESS 100 AMP OR LESS 10.00 Main service EA. ADD•L 100 AMP 2.50 .2, S 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. 17I, 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. I DWELLING OCCUP.d+) OR ADDNS. ACC. BLDGS. yzQsgft NE w CONSTR ULTI-OUTLET NO. -RE ID, BRANCH CIRC ITS 2.50 ea POWER APPARATUS & . ) SINGLE OUTLET CIR20 Ex. Occup(OUTLETS OR FIXTURES Eso 0 50C B AL@ 30ALo FIXED APPLNS. EX. Occup. OUTLETS (RESID )KEA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 — Y% 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. ❑ Ishall 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, 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 over 3 stories in h 'ght. Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST TYPETj— TOTAL FEE $ ''/ t `� (J HAz CUA PARK SCHL FLD coF PAR PD j HD. ISSUE permit is hereby issued unser 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 ASSE330R-, PINK -INSPECTOR. GOLDENROD -APPLICANT PRE -IN ECTION L OWNER : G P/I 112 L E_G . � (� 17��SO�r� DATE LOCATION: T50 (/ A. P. # �0 J CONTRACTOR :(/ /l/ (�/ ZONING PRE -INSPECTION FOR: p< (�' �� `/ �/ l/ l 7 s / ��- DATE TO INSPECTOR PERMIT HISTORY: NONE ( AS FOLLOWS.: m TYPE OF OCCUPANCY FIELD - INFORMATION BUILDING USAGE: TENNANT: _- OCCUPIED HAS ELECTRIC F] H:kS GAS ZaHAS SANITATION FACILITIES r Q HEATED -COOLED f—I PERSON CONTACTED OTHER COMMENTS: ACTION MMENDED: ISSUE Q OTHER: HOLD FOR BY llama �� !�: �e DATE g��/ PERMIT NO. 452-88B , P , E PERMIT EXPIRES OWNER CHARLES JOHNSON ' CONTR. owner '.ASSESSOR PARCEL 28-10-39 LOCATION 8038 LaPorte Rd, Bangor 1 60 Pot r Temp. Pow Called Temp. Else Called Temp. Gas Called JOB FINAL SlSnatu = OK 0 = Not OK = Not Ready able MOBILE HOMES MISCELLANEOUS Date MOBILE HOME UTILITIES (Plans) OK except #'s Date DECKS,COVERS,CARPORTS,GARAGES, (Plans)OK except #'s 1. Zoning Requirements -Setbacks -Easements 1. Zoning Requirements -Setbacks -Easements 2. Soils; Special MH Support -Sketch 2. Footings; Soils -Size -Depth -Spacing -Connectors -Steel 3. Sewer; .Location -Test -Fall -C/O -Concrete 3. Decks; Girders and/or Joists -Decking -Bracing -Stairs -Rails 4. Water; Location -Test -Easement Needed (Sketch) 4. Wood Awn.; Posts-Beams-Rftrs.-Connec.- Shthg.-Rfg.-Bracing 5. Electricity; Location-Clearances-Grnd.-/ / Amp -Concrete 6. Gas; Location -Test -Wrap: / P'l-It. / /"Nat. or/ /"L"ft./ /"LPG 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Carports; Windows -Doors 7. Utility Clearance 7. Elec. 8. Frmg; Sills-Anchors-Studs-Rftrs-Trusses 9. Siding; Nailing -Veneer -Stucco -Mesh 10. Roof; Shthg-Roofing Card -B1 Date Card -B1 Date Card -131 Date Card -B1 Date 11. Ext.; Steps -Doors -Landings Date MOBILEHOME INSTALLATION (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements Card -B1 Date Card -131 Date 2. Footings; Size -Spacing -Marriage Line Card -B1 Date Card -131 Date 3. Gas; MH Test -Demand -Valve -Connector 4. Electricity; MH Test -Crossovers -Breakers -Clearances Date POOLS (Plans) OK except #'s 5. Drain; MH Test -Fall -Flex Connector 1. Setbacks -Easements 6. Water; MH Test -Regulator -Connector 2. Soils; Compaction -Structure Stability 7. Water and Sewer Connected -C/O to Grade -HD Approval 3. Pool Structure; Steel -Connections -Thickness - Dead Men -Lining 8. Gas and Electricity Tagged 9. Exits; Insp.-Sketch 4. Elec.; Receptacles and Lighting, Distances-GFI 10. Cert. of Occupancy 5. Elec.; Pool Lighting; 15 volts-GFI 6. Elec.; Enclosures; Conduit Entries -Terminals -Listed 7. Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater 8. Elec.;Grounding; Equip. w/5' -circulating Equip. -Pool Lghtg. Boxes-Enclosures-Panelboards-Ins. to Main in Conduit Card -B1 Date Card -B1 Date Card -131 Date Card -131 Date 9. Health Department Approval 10. Plumb.; Cir. Test -Water Supply Test Card -61 Date Card -B1 Date Card -B1 Date Card -131 Date = OK o = NotOK RESIDENTIAL (Single and Duplex) - =Not Applicable . = Not Ready Date UNDERFLOOR (Plans) OK except #'s Date FRAMING (Continued) 1. Zoning requirements -Setbacks -Easements 44. Hangers -Post Caps -Anchors -Connectors 2. Ftg., Main; Soils-Steel-Elec. Grnd.-/ /" Ftg. Depth 45. Cing. Joist-Rftr. Ties-Purlin-Roof Brac.-Truss-Shthng.-Rfng. 3. Ftg., Garage; Soils -Steel-/ /" Ftg. Depth 46. Fireplace Ties or Type A Flue -Fireplace Throat 4. Ftg., Porches & Decks; Soils -Steel-/ /"Ftg. Depth 47. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 5. Stemwalls, Main; Steel-Blockouts-Wrapped 48. Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions 6. Stemwalls, Garage; Steel- Bloc kouts-Wrapped 49. Garage Fire Protection Framing 7. Slab; Steel -Wrapped 50. Property Line Firewall & Openings 8. Piers -Fireplace Ftg.-Steel 51. Ext. Doors -One T -Check Garage -3rd story, 2 exits 9. D.W:V.; Fall -Fittings -Test -2 way C/O -Sewer Test 52. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 10. Gas Pipe; Size -Anchors 53. Plywood on Roof Overhang -Attic Vents -Rafter Outriggers 11. Water Pipe; Test -Anchors -Regulator -Service Test 54. Siding -Nailing Veneer 12. Electric; Underground 55. Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access 13. Plenums & Ducts; Clearance- Material -Su pprt-Ins. 56. Glazing Area -Glass Protection -Skylights -Plastic 14. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples 57. Shear Walls; Nailing -Bolts 15. Insulation 58. Insulation-Walls-Cig. 59. Infiltration-Walls-Wndws Card -B1 Date Card -131 Date Card -131 Date Card -131 Date Date PLUMBING (Permit) OK except #'s 16. Water Ht. Vent -Access -Combustion Air 17. Water Pipe; Test & Anchors -Nail Protection 18. D.W.V.; Test-Fttngs & Anchors -Nail Protection 19. Shower Pan; Test, First Floor -Tub Access 20. Test Tub & Shower, 2nd Floor -Tub Access 21. Gas Pipe; Size & Anchors Card -B1 Date Card -B1 Date Card -B1 Date Card -B1 Date Date ELECTRICAL (Permit) OK except #'s 22. Fixture & Transformer Clearance -Ins. Protection 23. Elec. Receptacles Spacing -Lights & Switches at Doors 24. Size Boxes & No. of Conductors -Stapled 25. Romex Installed Close to Edge of Studs & C.J. 26. Equip. Ground made up w/Mech. Fasteners -Bond Gas & Water 27. 2 Appliance Circuits in Kitchen & Conductor Size 28. Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / /ga. Cu or Al 29. Range Circ. / / ga. Cu or AI -Oven Circ. / / ga. Cu or Al. Insulated Neutral Yes No 30. Service -Riser Conductors & Ground -Main Disconnect 31. Equip. Clearances Panels-Motors-Mech. Equip. 32. Clothes Closet Light -Shower Light -Spa Light Card -61 Date Card -B1 Date Card -B1 Date Card -B1 Date Date MECHANICAL (Permit) OK except #'s 33. A.C. Ducts Insulation & Support 34. Vent Fan; Exhaust above insulation 35. Condensate Drain & Overflow; Size & Grade 36. Furnace -Vent; Access -Comb. Air -Return Air Vent -115 outlet 37. Attic Access & Platform if Furnace in Attic Card -81 Date Card -81 Date Card -B1 Date Card -B1 Date Date FRAMING (Plans) OK except #'s 38. Sills, Proper Material & Anchors 39. Walls Studs -Nailing, Spacing & Bracing -Plates -Sound 40. Bearing Walls over Girders & Floor Nailing 41. Draft Stop in Walls (rat proof) 42. Fire Stops; Furred Ceilings -Stairs -Chases -Tub 43. Header & Beam -Size & Bearing Card -131 Date Card -B1 Date Card -B1 Date Card -B1 Date Date FINAL (Plans) OK except #'s 60. Ext. Steps -Door & Sidelight Protection -Landings 61. Smoke Detector 62. Furnace; Vents -Clearance -Comb. Air -Connector - In Garage; Above Floor -Ducts -Mach. Protection 63. Bedroom Exiting 64. G.F.I. & Bath Fixtures & Tub Access -Spa 65. Elec. Trim & Subpanel; Breaker Sizes -Labels 66. Stairs & Rails 67. Fireplace or Stove; Clearances -Hearth 68. Elec. Outlets at Wood Panel; Int. & Ext. 69. Kit. Fixt. & Appliance; Grnd. -Air Gap -Cooking Clearance 70. Elec. Outlets & Receptacles at Kit. Counter 71. Garage Fire Door; Swing -Landing -Closer 72. A.C. Duct in Garage -Damper 73. Wtr. Htr.; Vents -Clearance -Comb. Air-Connector-P.R.V.- In Garage; Above Floor-Mech. Protection 74. Plb., Elec. & Mech. Equip. Listed for Location 75. Elec. Receptacles in Garage; (G.F.I.)-Romex Protec. 76. Insulation -Foam -Looked in Attic ❑ Yes 77. Guard Rails & Deck Construction -Post Caps 78. Fdn. Vents & Crawl Hole Door -Drainage & Wood -Earth Clearance Looked under Floor ❑Yes 79. Following instld.; Drive ❑ Yes ❑ No; Walks ❑ Yes ❑ No; Planters ❑ Yes ❑ No 80. Stucco; Brown -Finish 81. A.C. Unit; Disconnect, Electrical, Plumbing 82. Vents Above Roof; PIbg.-Appliance-Firep l. -Clearance to Openings. 83. Water Well; Disconnect, Electrical, Plumbing 84. Exterior Elec. Trim; G.F.I. Receptacle -Underground 85. Ventilation throughout House 86. Glass Protection 87. Corrections from Previous Inpections 88. Gas Test -Meters Tagged; Gas -Electric 89. Water & Sewer Connected -C/O to Grade -HD Approval 90. Energy Compliance Certificate -Other Certificates Card -81 Date Card -B1 Date Card -131 Date Card -131 Date Card -131 Date Card -61 Date Comments at Final: (NOTE: An entry must be made each time you visit job site) couftfq- LAND OF NATURAL WEALTH AND BEAUTY '_- 'DEPARTMENT OF PUBLIC WORKS WILLIAM (Bill) CHEFF, Director 7 COUNTY CENTER DRIVE Y OROVILLE. CALIFORNIA 95965 Telephone: (916) 538-7541 RONALD D. McELROY Deputy Direct-or April 7, 1989 Charles Johnson 8038 LaPorte Road Bangor, CA 95914 RE: Building Permit #452-88 Expiration Date: March 7, 1989 A.P.#28-10-39 Dear Mr. Johnson With reference to the above subject, our records indicate your building permit expired on March 7, 1989. Building permits are valid for one year and are renewable if construction has.started. We have been informed by one of our field inspectors, as well as your letter dated March 22, 1989, that -construction has not started. New plans and permits will be required if and when you build. Yours very truly, William Cheff Director of Public Works JFG:laj r F. G ander Chief Building Inspector S COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT NO. 7 County Center Drive - Oroville, California 95965 - Telephone: 916/538-7541 APPLICATION AND PERMIT �J ASSESSOR PARCEL NUM 'F -.R ZONAC� BUILDING PERMIT OWNER TELEPHONE SO. FT. I OCC.1 BUILDING VALUATION 0 LENDER'S M NEER'S MAILING ADDR BUILDIN LOT NO. ( SUBDIVISION NAME USE OF STRUCTURE SF Duplex ❑ Mobi lehome ❑ Other - TELEPHON 117 t 14 PA CEL AP SPECIFY TYPE OF WORK New ❑ Addition E<RemodeI ❑ Util/ities ❑ Installation❑ Other ❑ Describe work: 4"? �-pah�r� 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 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. 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 against1¢aid Count -y inn co a uence of the granting of this permit. X ( 1441,n: (A t> e L_ Date 2- Signature Signature of Applicant — Owner a Contractor ❑ Agent ❑ An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories in height. Receipt No. O lr `C/ WNITE-O.P.W.. YELLOW -ASSESSOR, PINE -INSPECTOR, GOLDENROD -APPLICANT Fireplace $ Contractor Total Valuation $ /(p ELECTRICAL PERMIT Filing Fee Filing Fee $ __F1 -0.00 10,00 Permit Fee $ ;S Plan Checking Fee $ Energy Inspection Fee $ Energy Plan Checking Fee $ $ S Penalty $ SCHOOL Permit fee $ PD rf PLUMBING PERMIT FiiingFee 10.00 Each Trap 2.00 Solar or heat pump water heater 20.00 Water piping 5.00 Each qas water heater or vent 5.00 Gas piping system 1 - 5 outlets 5.00 '1'0� Building sewer 5.00 Mobile Home I S G W 0.00 ea Permit Fee $ Contractor 3.00 ELECTRICAL PERMIT Filing Fee 10.00 Main service JOOV OR LESS 00 AMP OR LESS __F1 -0.00 Main service EA. ADD'L 100 AMP 2.50 NEW CONST. ( DWELLING CCUP. tl) OR ADDNS.ACCBLDGS. 1/20sgf 1. 1,91 POWER APPARATUS IN SINGLE OUTLET CIR. Ex. OCCUp OUTLETS OR FIXTURES eAL030 FIXED ALNSEx. Occup. OUTLETS P(RESID )REAJ 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 Permit Fee $ 1 Z tXi Contractor MECHANICAL PERMIT FilirgFee 10.00 Heating Cooling Hood 3.00 Ventilation Permit Fee $ Contractor Mobile Home Installation Fee $ Energy Inspection Fee $ ov TOTAL PERMIT FEE, $ �S DC�UP. CON 9T.TYPE SCHOOL FLQ PARCEL I PD I HO:r ISSyt 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. DIRE 7OR OF PUBLIC WORKS By( Date �'" ?- P IT EXPIRES Date -f—?—)?9 . r . ..r, �.�'.`1. ��Y},..t . fti�•i rQ t'y,,. _:.i.yr � �"�K•i:..^.J��,rei'- `.r'L»`�u-:c%'3,'Z.�.l•4'�^�"'a:�_',�'�44�'�� r t , i � . ` � � y i' .�, COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS - BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE: 916/538-7541 !�f PERMIT APPOCATA DATA SHEET Permit No. OWNER !LA. P. No. ri - /U- Proposed Building Useoda&�'( Building Inspector s Date v' 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. Plans with Energy Design Compliance Statement. . . . . . 6. School District "Fees Paid" Stamp on Floor Plan,. 7 Statement of Intent for Non -Heated and AC Buildings. 8. Fees of $. . . . . . . 9. Letter of signature authorization. . . . . . . . 10. Sanitation approval from6ro Health Dept. 11. Planning approval for (A) Use: (B) Parking: 12. Certificate of Workmen's Compensation Insurance. . . . . . 13. Contractor's License Information (no., name style, classif.) _14. Owner -Builder Verification (Given to owner❑, Mail to owner ❑) _—_..._15. Improvements may be required. . . . . . . . . . . 16. Mobilehome Installation Data. . . . . . . . . . }' Pre -In spec. request to —(Dote) 17. Pre -Inspection for _ . __ _ Required, Building InspectorlY 18. Recorded copy of Agricultural Acknowledgment Statement. 19. Driveway Permit. — 20. Plotplan approval from city of 21 Engineered trusses in duplicate (required prior to plan check) _ 22. — -- When, you issue the permit —Telephone— process elephone process as follows: �YMai I to owner; Mai I to contractor - and hold for pickup at office, Deliver w/inspector. ti Other Applicant1—C Date Copy of plans sent Health Dept.; Fire Dept., Other Date The following data must be submitted prior to permit issuance: (Circle new item not checked above). 1. Index permit for above items No. 2. Additional items required: — —_— Contractor, designer, owner, was advised of abAe required data by—phone---nail—counter by date Contractor, designer, owner, was advised c? above required data by—phone—mail—counter b date Plans checked by Date Plans approved by Date Sets of plans on hold in File cabinet AP folder e Copy—DPW TO Building Department FROM: Environmental Health SUBJECT: Sanitation Clearance ZY-10 35 Owner- Location AP# Plan Approved for: Sewage Disposal Z Water Supply Hold final for: Water Supply Final clearance O.R..for: Water Supply Clearance for _ Z- bedroom home. Other , NOTE *** Sanitarian Date FORM 7 ADDITIONS TO RESIDENTIAL BUILDINGS ENERGY SHEET PACKAGE "A" (Additions) Owner dea c elm Climate Zone Permit # AR -1% Floor Area ?,79 The following data showing mandatory and required features of Package "A" shall be installed for additions to dwellings. Additions to dwellings include room additions, converting garages and patios to living areas, house moves that add footage and attic conversions, and any space that is existing non -conditioned space that is converted to conditioned space. Remodeling of existing conditioned space is not included. ZONE 11 APPLIES TO NEW AREA CEILING R-30 WALL R-11 FLOOR R-11 SLAB R-7 GLAZING U-.65 (Dual) SHADING SOUTH - OPTIMUM OVERHANG or .36 Shading Coefficient WEST. - .36 Shading Coefficient LOOSE FILL INSULATION (Density) ZONE 16 R-38 R-19 R-19 R-7 U-.65 (Dual) /INFILTRATION CONTROL (Weatherstrip doors, certified windows, caulking) VAPOR BARRIER (Zone 16) DUCTS PER UNIFORM MECHANICAL CODE - Ch. 10 LIGHTING KITCHEN & BATH NOT LESS THAN 25 LUMENS/WATT MAXIMUM GLAZING 16% OF -AREA PLUS REMOVED GLAZING 44.,&4 0 qAx NEW HEATING, VENTILATING, AIR CONDITIONING AND HOT WATER SYSTEMS IN CONJUNCTION WITH AN ADDITION SHALL BE INSTALLED AS SHOWN ON BACK OF THIS SHEET. OTHER 12/85 *1 HEATING, VENTILATING, AYR CONDITIONING SYSTEM (A) Heating ❑ Central Gas Furnace % (brand and model number) SE Btu/hr ^ (heating capacity) ❑ Heat Pump (brand and model number) ACOP Btu/hr (heating capacity at 47°F) ❑ Active Solar type (liquid or air) Collector brand and ft2 model number solar fraction collector area collector orientation collector tilt rated y -intercept rated slope ❑ Other (describe) *1' (B) Cooling ❑ Electric Air Conditioner . (brand and model number) (seasonal EER) Btu/hr (cooling capacity at 95°F) ❑ Electric Heat Pump EER Btu/hr (cooling capacity at 95°F) ❑ Other (describe) DOMESTIC WATER SYSTEM ❑ (A) Gas Only Gallons (brand and model number) (tank size) ❑ Heat Pump w/Electric Backup (brand and model number) Gallons 2 (tank size) ❑ * Active Solar (collector brand and model number) (rated y -intercept) (rated slope) (solar fraction) ft (backup heater type, brand and model number) (collector area) (collector orientation) (collector tilt) Location of Solar Panels Other (Describe) *1 Submit documentation of sizing heating and cooling equipment by Manual J, sizing charts (form #4) or other approved methods, section 2-5352(g), and fill out the following: Heating: Winter design temperature °, elevation ', heating load BTU elevation factor x heating load - maximum outlet capacity gas furnace BTU Cooling: Summer design temperature ', cooling load BTU *2 ,Submit T.I.P..S.E. chart•or other approved system (form #5) to document sizing of solar panels. ® DESIGN COMPLIANCE STATEMENT: The above building design meets the requirements of Title 24, Part 2, Chapter 2-53 of the California Administration Code. SIGNATURE OF BUILDING DESIGNER OR APPLICANT COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive, Oroville, CA 95965 PHONE: 916-538-7.541 Charles Johnson 8038 LaPorte Rd. Marysville, CA 95901 With reference to the above subject: " Attached is: DATE Feb. 18, 198$ RE:Building Permit Application#452-88 A.P. # 28-10-39 Application for permit Mobilehome Utilities Installation Sheet Building Plans Mobilehome Installation Information Sheet Engr. Calcs Typical Plan Sheet Owner -Builder Verification Form List of Codes Enforced OTHER " We need the following information: L_JL OTHER Permit application signed and completed where indicated with all copies returned. Fees of $ payable to Butte County Treasurer. Certificate of Workmen's Compensation Insurance or check exemption statement. Contractor's License Law information or check exemption statement. Complete plans in including plot plans. Plot plans in Structural details in Complete plans and calcs in by registered engineer or architect. Energy design including Street and drainage improvement plan approval from Land Development Section (DPW). sets of plans in accordance with the changes marked in red. Sanitation approval from Butte County Health Department at: 196 Memorial Way,' Chico 7 County Center Dr., Oroville Skyway & Elliott Rd., Paradise Planning approval from Butte County Planning Department, 7 County Center Drive, Oroville, for Completed Owner -B Recorded copy Recorded copy of alder Verification form. eed showing agricultural acknowledgement statement. lan reflecting parce to heat new r lit r map 98-93. comply with Section 1204, U.B.C. Should you have any questions concerning the above, please contact this office. JFG/aj RK Yours very truly, William Cheff Director.of Public Works .F. Glander Chief Building Inspector r PVl� �►� �� f „�o� N1 V n a `T I (o �/vr --(1,4 �v -f /o z��jl.,vQ'U�� c �fl2 !., s-�� l dov f v�� ��I'\ ov oe —t'091, z p �f vl j!% OA f --�" 117 cA q,)�q a/ 12 April 7, 1989 Charles Johnson 8038 LaPorte Road Bangor, CA 95914 RE: Building Permit #452-88 Expiration Date: March 7, 1989 A.P.#28-10-39 Dear Mr. Johnson With reference to the above subject, our records indicate your building permit expired on March 7, 1989. Building permits are valid for one year and are renewable if construction has started. We have been informed by one of our field inspectors, as well as your letter dated March 22, 1989, that construction has not started. New plans and permits will be required if and when you build. JFG:laj Yours very truly, William Cheff . Director of Public Works LAW st"8 �. 1 F. Giem J. F. Glander Chief Building Inspector 4 t April 21, 1989 Charles Johnson 8038 LaPorte Road Marysville, CA 95901 RE: Building Permit #452-88 Expiration Date: March 7, 1989 A.P.#28-10-39 Dear Mr. Johnson: With reference to the above subject, our records indicate your building permit expired on March 7, 1989. Building permits are valid for one year and are renewable if construction has started. We have been informed by one of our field inspectors, as well as your letter dated March 22, 1989, that construction has not started. New plans and permits will be required if and when you build. Yours.very truly, William Cheff Director of Public Works J. F. Glander Chief Building Inspector JFG:laj File No. BUTTE COUNTY '(For Action 1, 2, 3) Public Works Dept. (For Information t/ ) Director Dep. Dir. Sec. Rd. & Br. Mtce. Shop & Yards Bldg. Insp. Admin. Design Engr. Bridge Engr. Constr. Engr. Surveys Mapping T ran s p. Land Dev. Drng. /S.I. Sub. & Pc 1. Maps Permits Addr. t' .. L i734 -81B N0. 734-81B PERMIT EXPIRES OWNER Charles Johnson &Don Reich CONTR. owner i ASSESSOR PARCEL 28'10-24 LOCATION SE cor.of LaPorte Rd.& Loma Rica, Bangor 1 f Temp. Power Pole Called PG&E Temp. Elec. Service Called PG&E Temp. is Service Cal led PG&E JQBjFINALED (Date)�p Signature I J = OK O =-Not OK = Not Applicable MOBILEHOMES = Not Ready MPSCELLANEOUS Date MOBILEHOME UTILITIES (Plansl OK except N's 1. Zoning Requirements -Setbacks -Easements Date DECKS, COVERS, CARPORT§, ETC. (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Soils; Special MH Support -Sketch _ 2. Footings; Size -Depth -Spacing -Connectors 3. Sewer; Location -Test -Fall -C/0 -Concrete 3. Decks; Girders and/or Joists -Decking -Bracing -Stairs -Rails 4. Water; Location -Test -Easement Needed (Sketch) 4. Wood Awn.; Posts-Beams-Rftrs.-Connec.-Shthg.-Rfg.-Bracing 5. Electricity; Location-Clearances-Grnd.-/ / Amp -Concrete 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Gas; Location -Test -Wrap:/ /"L"ft./ /"Nat. or/ /"L"ft./ /"LPG 6. Carports; Windows -Doors 7. Utility Clearance 7. Elec. Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Date Card -BI Date MOBILEHOME INSTALLATION (Plans) OK except H's 1. Zoning Requirements -Setbacks -Easements Card -BI Date Date Card -BI Date POOLS (Plans) OK except N's 1. Setbacks -Easements 2. Footings; Size -Spacing -Marriage Line 2. Soils; Compaction -Structure Stability' 3. Gas; MH Test -Demand -Valve -Connector 3. Pool Structure; Steel -Connections -Thickness -Dead Men -Lining 4. Electricity; MH Test -Crossovers -Breakers -Clearances 4. Elec.; Receptacles and Lighting; Distances-GFI 5. Drain; MH Test -Fall -Flex Connector 5. Elec.; Pool Lighting; 15 volts-GFI 6. Water; MH Test -Regulator -Connector 6. Elec.; Enclosures; Conduit Entries -Terminals -Listed 7. Water and Sewer Connected -C/0 to Grade -HD Approval 7. Elec.; Bonding; Metal w/5' -Circulating Equipment -Heater 6. Gas and Electricity Tagged 6. Elec.; Grounding; Equip. w/5' -Circulating Equip. -Pool Lghtg. Boxes -Enclosures -Panel boards -Ins. to Main in Conduit 9. Exits; Insp.-Sketch 10. Cert. of Occupancy 9. Health Department Approval 10. Plumb; Cir. Test -Water Supply Test Card B -I Date Card -BI Date Card -BI Date Card -BI Date Card B -I Date Card -BI Date Card -BI Date Card -BI Date J = OK 0 = Not OK Not Applicable RESIDENTIAL (Sifngle and Duplex) = Not Ready Date UNDERFLOOR (Plans) OK except N's 1. Zoning requirements -Setbacks -Easements 2. Ft Ma'j Soils-Steel-Elec. Grnd.- / P Ftg. Dept tg., ; Soils -Steel- / /" Ftg. Depth 4. Ftg., Porches & Decks; Soils -Steel- / /" Ftg. Depth 5. Stemwalls, Main; Steel-Blockouts-Wrapped-Slab temwalls, Gmagty Steel-Blockouts-Wrapped-Slab 7. Piers -Fireplace Ftg.-Steel 8. D.W.V.: Fall -Fittings -Test -2 way C/0 -Sewer Test 9. Gas Pipe; Size -Anchors 10. Water Pipe; Test -Anchors -Regulator -Service Test 11. Electric; Underground 12. Plenums & Ducts; Clearance -Material -Support -Ins. 13. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples Card -BI W Date Card -BI Date Card -BI Date Card -BI Date Date PLUMBING (Permit) 0 except p's 14. Water Ht.; Venit Access -Combustion Air 15. Water Pipe; Te A& Anchors -Nail Protection 16. D.W.V.; Test- ngs & Anchors -Nail Protection 17. 18. Shower Pan; lesi, First Floor -Tub Access Test Tub & Ahot, 2nd Floor -Tub Access 19. Gas Pipe;_ize Anchors Card -BI Date Card -BI Date Card -BI Date Card -BI Date Date ELECTRICAL Per .it OK e e t q's 20. Fixture & Trans ormer learance-Ins. Protection 21. Elec. Receptacl Spicing -Lights & Switches at Doors 22. Size Boxes & No. of onductors-Stapled 23. Romex Installed C se to Edge of Studs & C.J. 24. Equip. Ground maA up w/Mech. Fasteners -Bond Gas & Water 25. 2 Appliance CircJillp in Kitchen & Conductor Size 26. Subfeed Wire Si / / ga. Cu or AI-A.C. Wire Size / / ga. Cu or Al 27. Range Circ. // g Cu or AI -Oven Circ. / / ga. Cu or Al, Insulated Neu al ';Yes El No 28. Service -Rise Cond tors & Ground -Main Disconnect 29. Equip. Clear nces; laneIs-Motors-Mech. Equip. 30. Clothes CI et Liahi Shower Liaht Card B -I Date Card -BI Date Card B -I Date Card -BI Date Date MECHANICAL (Permit) OK xcept q's 31. A.C. Ducts; Insulati & Support 32. Vent Fan; Exhaust ve Insulation 33. Condensate Drain erflow; Size & Grade 34. Furnace -Vent; A ces -Comb. Air -Return Air Vent -115V outlet 35. Attic Access latf m if Furnace in Attic Card -BI _ _Date Card -BI Date Card -BI Date Card -BI Date Date FRA�1"G(Plans) OK except q's 11 lls Proper Material & Anchors Walls; Studs -Nailing, Spacing & Bracing -Plates -Sound X58 -Bearing Walls over Girders & Floor Nailing 39�D aft Stop in Walls (rat proof) _ •Fire Stops; Furred Ceilings -Stairs -Chases -Tub oel�lodader & Beam -Size .& Bearing _ ngers-Post Caps -Anchors -Connectors - Cing. Joist-Rftr. Ties-Purlin-Root Brac.-Truss-Shthnq.-Rfnp. •14d Fireplace Ties or Type A Flue -Fireplace Throat •-0,a. itic Access; Size & Romex Protection -Draft Stop -Ins. Baffles _ 46! Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions Gil' Garage Fire Protection Framing Date FRAM Continued 410�-Pro2erty Line Firewall & Openings xt. Doors -One 3' -Check Garage -3rd story, 2 exits -50. -tairs; Width -Headroom -Rise -Run -Landing -Fire Protection Plywood on Roof Overhang -Attic Vents -Rafter Outriggers mid ing-Nai I ing-Veneer -69. Stucco Mesh -Drip Screed-Fdn. Vents-Underflr. Access I*.- Glazing Area -Glass Protection -Skylights -Plastic .56 -Shear Walls; Nailing -Bolts Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Date FINAL (Plans) OK except N's 56. Ext. Steps -Door & Sidelight Protection -Landings 57. Smoke Detector 58. Furnace; Vents -Clearance -Comb. Air -Connector - In Garage; Above Floor -Ducts -Meeh. Protection 59. Bedroom Exiting 60. G.F.I. & Bath Fixtures & Tub Access 61. Elec. Trim & Subpanel; Breaker Sizes -Labels 62. Stairs & Rails 63. Fireplace or Stove; Clearances -Hearth 64. Elec. Outlets at Wood Panel; Int. & Ext. 65. Kit. Fixt. & Appliance; Grnd.-Air Gap -Cooking Clearance 66. Elec. Outlets & Receptacles at Kit. Counter 67. Garage Fire Door; Swing -Landing -Closer 68. A.C. Duct in Garage -Damper 69. Wtr. Htr.; Vents -Clearance -Comb. Air-Connector-P.R.V.- In Garage; Above Floor-Mech. Protection 70. Plb., Elec. & Mech. Equip. Listed for Location 71. Elec. Receptacles in Garage; (G.F.I.)-Romex Protec. 72. 73. Insulation -Foam -Looked in Attic ❑Yes Guard Rails & Deck Construction -Post Caps 74. Fdn. Vents & Crawl Hole Door -Drainage & Wood -Earth Clearance Looked under Floor ❑ Yes 75. Following instid.: Drive ❑ Yes ❑ No; Walks ❑ Yes ❑ No; Planters El Yes 0 N 76. Stucco; Brown -Finish 77. A.C. Unit; Disconnect-Clrnces-Brkr. & Cond. Size -115V Outlet 78. Vents Above Roof; Plbg.-Appliance-Firepl.-Clearance to Oongs. 79. Water Well; Disconnect, Electrical, Plumbing 80. Exterior Elec. Trim; G.F.I. Receptacle -Underground 81. Ventilation throughout House 82. Glass Protection 83. Corrections from Previous Inspections 84. Gas Test -Meters Tagged; Gas -Electric 85. Water & Sewer Connected -C/O to Grade -HD Approval 86. Energy Compliance Certificate -Other Certificates Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Comments at Final: (NOTE: Anentrymust be made each time youvisit jobsite) COUNTY OF BUTTE - DEPARTMENT OF PL�BLIG WORKS PERMJT NQ 7 County Center Drive - Oroville, California 1)5965 - Telephone 916/534-454 ;;a APPLICATION AND PERMIT ASSESSOR PARCEL UMBER $� /Q—Z ZON G BUILDING PERMIT OWNER L!Nf9RLES g. 01,1A)9VAl �p� ,2E1L/� TE,1111111E 7 Z-7�YQ SO. FT. OCC. BUILDING VALUATION /L1 OWNER'S MAILING ADDRESS ./ / 64 9�} CONTRACTOR'S NAMF�� TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LEN ER UNKNOWN Total Valuation $ Filing Fee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee $ -Zltdo ARCHITECT OR ENGIN ER LICENSE No. Plan Checking Fee $ Penalty $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Permit fee $ f U d BUI GOING A�RE55� /� /��r Aa" S G /G�/h��/ PLUMBING PERMIT Filing Fee 10.00 �5 (�/�i� p�eA g7)f Each Trap 2.00 Repair drainage or vent piping 5.00 /-?14/✓60/Z Water piping LOT NO. SUBDIVISION NAME PARCEL MAP Each qas water heater or vent 5.00 Gas piping system 1 - 5 outlets USE OF STRUCTURE TT� ,r► SF uplex ❑ Mobi lehome ❑ Other -STD)2 (; G t. /� �-�� i SPECIFY Building sewer Lawn sprinkler system 5.00 TYPE OF WORK New arAddition❑ Remodel Utilit'es❑ Instiliation❑ Other❑ Describe work: �tlT 5—� / Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 600V OR LESS 100 AMP OR LESS 5.00 Main service EA. ADD'L 100 AMP 2.50 NEW CONST. 1 DWELLING OCCUP.N) OR ADDNS, ACC. BLDGS. 20 sq ft 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 CONSTR. -OU •LET 2.50 ea NON.RESID BRANCH CIRC TS NEW CONSTR. / POWER APPARATUS 6 NON-RESID. %SINGLE OUTLET CIR, / 50 @ 2150 Ex. OCCUp OUTLETS OR FIXTURES BAL@1 LNS Ex. Occup.(OUTLETS FIXED P(RESID )REA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 7.50 Permit Fee $ Contractor MECHANICAL PERMIT FiIingFee 10.00 WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shal I be deemed revoked. ' Heating Cooling Hood 3.00 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 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 Coy my in co equ nce of the granting of this permit. X G1�1s1.� o n in � pn-3'6„�' ( Date Signature of Applicant — Owner ❑ Contractor ❑ Agent ❑ An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 tories in height. g Mobile Home Installation Fee $ TOTAL PERMIT FEE $ 0C) occuP. GROUP TYPE OF CONST. PARCEL v PD ND ISSUE t/ This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which Dt TOROF UBLIC BY � �r � PERMIT EXPIRES Date the applicable provi- resolutions to do fees have been paid. WORKS Date �" �v / -� Receipt No. % WHITE-D.P.W.• YELLOW -ASSESSOR, PINK -INSPECTOR. GOLDENROD -APPLICANT CGUNTY OF BUTTE - Department of Public Works 7 County Center Drive, Oroville, CA. 95.965 Phone: 916-534-4541 OWNER -BUILDER VERIFICATION Attention Property Owner: An "owner -builder" building permit has been applied for in your name and bearing your signature. Please complete and return this information in the envelope provided at your earliest opportunity to avoid unnecessary delay in processing and issuing your build- ing 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) YA 5 h _. 2. I (have/have not) Qye— 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: � �+ ;? \ A Property Owner (,� � f �'l Social Security number Date 3 -G—y I NOTE: This Owner -Builder Verification is sent to you as required by Sections 19831 and 19832 of the California Health and Safety Code. This verification must be completed and returned to our office before we are permitted to issue the permit. COUNTY OF BUTTE - DEPARTMENT OF PUtBLIC WORXS - BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE: 916/534-4541 PERMIT APPLICATION DATA SHEET &4R, --ES Permit No. OWNER V101k�S'0AJ �(�i✓ KE/G A. P. No. 28' 10 `Z `l Proposed Building Use 572)efi�E l3LPG Permit Fee Based Upon: Complete Contract Price DPW Valuation Other (Explain) 3 8/ Building Inspector Date , i 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. . . . . . . . . . . 3. Complete plans in duplicate/triplicate. . . . . . . 4. Complete engineered plans and calcs. . . . . . . . . . 5. Plans with Energy Design Compliance Statement. . . . . . 6. State Energy Forms No. 7 Statement of Intent for Non -Heated and AC Buildings. 8. Fees of $ . . . . . . . . �- 9. Letter of signature authorization. 0. Sanitation approval from 1.r�}.eC-�.H� Health Dept.. �. G �� 11. Planning approval for (A) Use: (B) Parking: 12. Certificate of Workmen's Compensation Insurance. . . . . . 13. Contractor's License Information (no., name style, classif.) 0(/,-14. Owner -Builder Verification (Given to owner❑, Mail to owner ❑ ) 15. Improvements may be required. . . . . . . . . , . 16. Mobilehome Installation Data. . . . . . . .,. . Pre-Inspec. request to 17. Pre -Inspection for Required. Building Inspector (Dae) 18. Other When ,ou issue the permit, process as follows: Mail to owner. Mail to contractor. Telephone 7580 an of for pickup at office. Deliver w/inspector. Other t Appl icant L 4," T) � L. S Date Copy of plans sent Health Dept., Fire Dept., Other Date During the plan checking process, the following data must be submitted prior to permit issuance: (For required items not checked above at time of application, circle item.) 1. Index permit for above Items No. 2. Additional items required: (Contractor, Designer, Owner) was advised of above required data by Telephone By Plans checked by oe Date Plans approved by : Date Other: Copy—DPW Mail Other Date T _..:� 5- V= .�'P,E,M PER'1iA'N0. /4ZOWPERMIT EXPIRES 3h 3/4Z- OWNER NER Charles Johnson & Don Reich CONTR. owner ASSESSOR PARCEL 28-10-24 LOCATION SE corner @ inters.of LaPorte Rd. & Loma Rica Rd., Bangor Temp. Power Pole Called PG&E Temp. Elec. Service i Called PG&E Temp. Gas Serv' e3; --V Called PG&E JOB FINALED (Date) Signatur f •F . RF.0 TflRNT TAT. ENERGY CONSERVATION STANDARDS CONSTRUCTION COMPLIANCE CERTIFICATE THIS IS TO CERTIFY THAT ENERGY CONSERVATION REQUIREMENTS HAVE BEEN INSTALLED IN CONFORMAL WITH CURRENT ENERGYMONSE-$VATION REGULATIONS kiocatiun) BUILDING PERMIT NO. 73,7—Ft A;P. THE FOLLOWING HAVE BEEN INSTALLED AS PER APPROVED PLANS: (Check each item or write N/A if not applicable) INSULATION: Slab Edge--� Fdn. Walls Floors Walls Ceiling/Roof Ducts Circulating Pipes APPROVED HEATER APPROVED WTR.HTR. GLAZING: , Single Glazed _ Special (Insulated) CERT. & LABELED WDS. & SLIDING DRS. WEATHERSTRIPPED DRS. BACK DAMPERED FANS INTERMITTENT IGNITION DEVICES CERT. APPLIANCES I DECLARE THAT ALL REQUIRED ITEMS AS NOTED ABOVE HAVE BEEN INSTALLED IN ACCORDANCE WITH THE ENERGY CONSERVATION REQUIREMENTS AND AGREE TO THE COMPLETENESS OF THIS CERTIFICATE AS SUBMITTED. Insulation Applicator Name (� 1�. V (f �j �� U, S� in Signature of ease print) Insulation Applicator C1��,,. t -- State Contractors License No. General Contract Owner. ame�l V ILOS t ��V L, 50(- Signature of (please print) f General Contra o Owner c lA Date - g State Contractors License No. THIS CERTIFICATE MUST. BE ON FILE WITH THE BUILDING DEPARTMENT PRIOR TO REQUESTING FINAL INSPECTION AND SHALL BE POSTED IN A CONSPICUOUS LOCATION WITHIN THE DWELLING. V = OK 0 = Not OK - =Not Applicable MOBILEHOMES MISCELLANEOUS * = Not Ready Date MOBILEHOME UTILITIES (Plans) OK except q's 1. Zoning Requirements -Setbacks -Easements 2. Soils; Special MH Support -Sketch Date DECKS, COVERS, CARPORTS, ETC. (Plans) OK except N's 1. Zoning Requirements -Setbacks -Easements _ 2. Footings; Size -Depth -Spacing -Connectors 3. Sewer; Location -Test -Fall -C/0 -Concrete 3. Decks; Girders and/or Joists -Decking -Bracing -Stairs -Rails 4. Water; Location -Test -Easement Needed (Sketch) 4, Wood Awn.; Posts-Beams-Rftrs.-Connec.-Shthg.-Rig.-Bracing 5. Electricity; Location-Clearances-Grnd.-/ / Amp -Concrete 6. Gas; Location -Test -Wrap:/ /"L"ft./ /"Nat.or/ /"L"ft./ /"LPG 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Carports; Windows -Doors 7. Utility Clearance 7. Elec. Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Date Card -BI Date MOBILEHOME INSTALLATION (Plans) OK except k's 1. Zoning Requirements -Setbacks -Easements Card -BI Date Date Card -BI Date POOLS (Plans) OK except H's 1, Setbacks -Easements 2. Footings; Size -Spacing -Marriage Line 3. Gas; MH Test -Demand -Valve -Connector 2. Soils; Compaction -Structure Stability 3. Pool Structure; Steel -Connections -Thickness -Dead Men -Lining 4. Electricity; MH Test -Crossovers -Breakers -Clearances 4. Elec.; Receptacles and Lighting; Distances-GFI 5. Drain; MH Test -Fall -Flex Connector 5. Elec.; Pool Lighting; 15 volts-GFI 6. Water; MH Test -Regulator -Connector 6. Elec.; Enclosures; Conduit Entries -Terminals -Listed 7. Water and Sewer Connected -C/0 to Grade -HD Approval 8. Gas and Electricity Tagged 7. Elec.; Bonding; Metal w/5' -Circulating Equipment -Heater, 8. Elec.; Grounding; Equip. w/5' -Circulating Equip. -Pool Lghig. Boxes -Enclosures -Panel boards -Ins. to Main in Conduit 9. Exits; Insp.-Sketch 10. Cert. of Occupancy 9. Health Department Approval 10. Plumb; Cir. Test -Water Supply Test Card B -I Date Card -BI Date Card -BI Date Card -BI Date Card B -I Date Card -BI Date Card -BI Date Card -BI Date V OK 0 = Not OK Not Applicable Not Ready RESIDENTIAL (Singl<e and Duplex) � J Date UNDE FLOOR PI s OK exce t#'s Date FRA G Continued 1 oning requirements -Setbacks -Easements . Property Line Firewall & Openings tg., Main; Soils -Steel -E d.- / /" Ftg. Depth 44/Ext. Doors -One 3' -Check Garage -3rd story, 2 exits 3. Ftg., Garage; Soils -Steel- / /" Ftg. Depth 50. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 4. Ftg., Porches & Decks; Soils -Steel- / /" Ftg. Depth 5*-'-Plyxood on Roof Overhang -Attic Vents -Rafter Outriggers 5. Stemwalls, Main; Steel-Blockouts-Wrapped-Slab iding-Nailing-Veneer 6. Stemwalls, Garage; Steel-Blockouts-Wrapped-Slab 63_8tIICa'tT•Mesh-Drip Screed-Fdn. Vents-Underflr. Access 7. Piers -Fireplace Ftg.-Steell 5 zing Area -Glass Protection -Skylights -Plastic 8 D.W Fall t_tng TeS way C/0 -Sewer Test 5 Shear Walls; Nailing -Bolts 19. Gas Pipe; Size -Anchors 10. Water Pipe; Test -Anchors -Regulator -Service Test 11. Electric; Underground 12. Plenums & Ducts; Clearance -Material -Support -Ins. 13. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date I Card -BI Date Card -81 DateCard-BI.Date Date FINAL (PlAmSI'OK except N's Card-BINU Date 2,297,q Card -BI Date Date LUMBING (PermW PK except N's I&WIffxt. Steps -Door & Sidelight Protection -Landings 5jolmoke Detector water Ht.;IV Access -Combustion Air 58. Furnace; Vents -Clearance -Comb. Air -Connector - In Garage; Above Floor-Ducts-Mech. Protection 1 er Pipe; Test & Anchors -Nail Protection ft D.W.V.'<ZWttngs & Anchors 5 edroom Exiting 17. Shower Pan; Test, First Floor -Tub Access I. & Bath Fixtures & Tub Access 18. Test Tub & Shower, 2nd Floor -Tub Access 6�. Trim & Subpanel; Breaker Sizes -Labels Gas Pip Anchors 62. Stairs & Rails ---- ireplace or Stove; Clearances -Hearth 6A_-EY€V. Outlets at Wood Panel; Int. & Ext. Card -81 Date � Card -BI Date it. Fixt. & Appliance; Grnd.-Air Gap -Cooking Clearance Card-BIDate Card -BI Date 66ifReb. Outlets & Receptacles at Kit. Counter Date ELE RICALPe-ir"t OK except q's 67. IGarage Fire Door; Swing -Landing -Closer 68. JAT Duct in Garage -Damper Fixture & Transformer Clearance -Ins. Protection 6g,4Y11­Rtr.; Vents -Clearance -Comb. Air-Connector-P.R.V.- In Garage; Above Floor-Mech. Protection Elec. Receptacles Spacing -Lights &Switches at Doors Ib., Elec. & Mech. Equip. Listed for Location ize Boxes & No. of Conductors - 71. Receptacles in Garage; .)-Romex Protec. ex Installed Close to Edge of Studs & C.J. E 'p. Ground made up w/Mech. Fasteners and & Water Insulation- 72. Insulation -Foam -Looked in Attic ❑Yes Attic 73. Guard Rails & Deck Construction -Post Caps Appliance Circuits in Kitchen & Conductor Size 74. Fdn. Vents & Crawl Hole Door -Drainage & Wood -Earth Clearance Looked under Floor ❑ Yes 27.- Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / / ga. Cu or At 27. Range Circ. / / ga. Cu or AI -Oven Circ. / / ga. Cu or Al, Insulated Neutral CYes ED No 75. Following instl_ d rive Eryes ❑ No; Walks es C:]No; Planters ED No 28. Service -Riser Conductors & Ground -Main Disconnect 76. Stucco; Brown -Finish V!E•quip. Clearances; Panels-Motors-Mech. Equip. 77, A.C. Unit; Disconnect-Clrnces-Brkr. & Cond. Size -115V Outlet 30. Clothes Closet Light -Shower Light, Ve Above Roof; Plbg.-Appliance-Firepl.-Clearance to Opngs. 7 ater Well; Disconnect, Electrical, Plumbing 8 xterior Elec. Trim; G.F.I. Receptacle -Underground Card B -I Dat%2, Card -BI Date e ' ation throughout House Card B -I Date .� �_Q� Card -BI Date lass Protection Date MECHANICAL (Permit) OK except q's 83. Coytions from Previous Inspections t -Meters Tagged; -Electric 31. A.C. Ducts; Insulation & Support ater & Sewer Connected -C/O to Grade -HD Approval Vent Fan; Exhaust above Insulation nergy Compliance Certificate -Other Certificates _ 33. Condensate Drain & Overflow; Size & Grade -r-$ < K- 34. Furnace -Vent; Access -Comb. Air -Return Air Vent -115V outlet 35. Attic Access & Platform if Furnace in Attic Ca a - I Date Card -BI Date Card -BI Date�' and -BI Date Card -BI Card -BI Date Card -BI Date Date Card -BI Date Card -BI Date -"Card-BI Date Date FRAMPlefis) OK except q's JWG3 Comments at Final: IIs; Proper Material & Anchors Walls; Studs -Nailing, Spacing & Bracing -Plates -Sound _ _ 31Bearing Walls over Girders & Floor Nailing` qpaft Stop in Walls (rat proof) _3 4 Fire Stops; Furred Ceilings -Stairs -Chases -Tub 0.- Header & Beam -Size & Bearing 446Hangers-Post Caps -Anchors -Connectors __ -Pin-f Brac.-Truss-Shthng.-Rfn Jd-Cing. Joist-Rftr. Ties'urlRoo g. Fireplace Ties or Types rlue-Fireplace Throat 45F. Attic Access; Size & Rom_ex Protection -Draft Stop -Ins. Baffles 46. Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions _ 47. Garage Fire Protection Framing (NOTE: An entry must be made each time you visit jobsite) 1 ' COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 196 Memorial Way, Chico — Phone: 891-2951 —j 7 County Center Drive, Oroville— Phone: 534-4541 Skyway and Elliott Road, Paradise,— Phone: 872-2961, Ext. 57 CORRECTION NOTICE BUILDING OR PROPERTY ADDRESS' v j �fA routine inspection indicates that the following violations of County Ordinance exist at the above address and should be corrected. Please notify this office when correction of work is completed. If you have any question pertaining to this matter, or need additional explanation, please contact this office immediately. 3 /IV Inspector��""� �"' Date' 2 _� ? COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 1. 7 County Center Drive - Oroville, California 95965 - Telephone 916/534-4541 APPLICATION AND`PERMIT 5_NO NO. f�" ASSESSOR PARCEL NU.BE,Q v -\L. ZONING BUILDING PERMIT owN as �a a - 'DRIO TELEPHONE SQ. FT. OCC. BUILDING VALUATION OW R'S MAILING ADDRESS - d r fTE CONTR CTOR'S NAME PHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ Filing Fee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Penalty $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Permit fee $ BUILDING DDREy I r. r PLUMBING PERMIT Filing Fee 10.00 -I 1 %07 C7 Each Trap 2.00 Solar Water Heater 20.00 ®le, Water piping 5.00 LOT NO. SUBDIVISION NAME P CEL MAP Each qas water heater or vent 5.00 Gas piping system 1 - 5 outlets 5.00 USE OF STRUCTURE SF EQ Duplex ❑ Mobi lehome ❑ Other SPECIFY Building sewer 5.00 Mobile Home S I G I W __10-00e4 TYPE OF WORK New❑ Add ition❑ R�eT Utilities In�lallation❑ Other Describe work: °-- d�lJ\Ne_ ►' QlA) Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10. o0 Main service 600V OR LESS 10.00 100 AMP OR LESS T p K ^ L Main service EA. ADD'L 100 AMP 2.50 NEW CONST.(( DWELLING OCCUP.&` I OR ADDNS. l ACC. BLOGS. / 2/20sgft CONTRACTORS LICENSE LAW I declare under penalty of perjury (Check One): ❑ 1 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 CONSTR MULTI -CUTLET \ 2.50 ea NON .RES ID BRANCH CIRCUITS) NEW CONSTR 1 POWER APPARATUS &1 NON-RESID, SINGLE OUTLET CIR. / Ex. Occu BAL@30 p(RAL®3om FIXED APPLNSXORRES\\ EX. OCCUp. OUTLETS (RESID.) EA./ 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 Permit Fee $ Contractor MECHANICAL PERMIT FiIingFee 10.00 WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. Heating Cooling 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. 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 agai st aid Countyin ons quence of the granting of this permit. X1l�` Date2'2 i �g j Signature of Applicant — Owner& Contractor ❑ Agent ❑ 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 $ TOTAL PERMIT FEE $ OCcu P. GROUP I TYPE OF CONST. PARCEL PD ND 199UE 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. 0 IR O F PUBLIC WORKS BY , !Dat— PERMIT EXPIRES Dat—/�-�(\ f! Receipt No. e_1913 WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT COUNTY OF BUTTE - Department of Public Works 7 County Center Drive, Oroville, CA. 95965 OWNER -BUILDER VERIFICATION Attention Property Owner: Phone: 916-534-4541 An "owner -builder" building permit has been applied for in your name and bearing your signature. Please complete and return this information in the envelope provided at your earliest opportunity to avoid unnecessary delay in processing and issuing your build- ing 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) l 2. I (have/have not) � 3 V 2 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 followink persons to provide the work indicated: Name Address Phone Type of Work Signed: Property Ownerr,�,�, Social Security number ­� - 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 PUBLIC WORKS ✓✓✓ 7 County Center Drive - Oroville, California 95965 - Telephone 916/534- 41 APPLICATION AND'PERMIT PERMIT NO. ASSESSOR PARQEL NUMBER 0 1_;9Z- ZONING BUILDING PERMIT O TELEPHONE SQ. FT. OCC. BUILDING VALUATION O_WNEJ MAILING DRESS W CONTRACTOR'S NAME TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ Filing Fee !�'C.+�/ $ 10.00 LENDER'S MAILING ADDRESS Permit Fee $ –" ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Penalty $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Permit fee $ BUILDING ADDRESS /L�Gr�Z @ %n/TC�6c� ftT 6 PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 Repair drainage or vent piping 5.00 rn O!LLt��f— Water piping LOT NO. SUBDIVISION NAME PARCEL MAP Each qas water heater or vent 5.00 Gas piping system 1 - 5 outlets USE OF STRUCTURE SFW Duplex❑ Mobilehome❑ Other SPECIFY Building sewer Lawn sprinkler system 5.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Otherx Describe work: ZJ-1 Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 1100V OR LESS 100 AMP OR LESS 5•00 Main service EA. ADD'L 100 AMP 2.50 NEW CONST. (DWELLING OCCUP.y) OR ADDNS. l ACC. BLDGS. 20 sq 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 CONSTR.C1 Er Ou L 2.50 ea NON-RESID BRANCH CIRC ITS NEW CONSTR. I POWER APPARATUS 6 NON-RESID. %SINGLE OUTLET CIR. Ex. Occup OUTLETS OR FIXTURES_ BAL@1 00 FIXED APPLNS. OR Ex. Occup.�OUTLETS (RESID.) EA. 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 7.50 Permit Fee $ Contractor MECHANICAL PERMIT Filing Fee 10.00 WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. 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 shal I be deemed revoked. Heating Cooling 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, judgments, costs, and expenses which may in any way accrue against saidounty i co sequence of the granting of this permit. ty �( X — �y �C-- Datel– '" v y Signature of Applicant — Owner V Contractor ❑ Agent ❑ An OSHA permit is required for excavations over 5'0" deep and demolition or construct- over 3 stories in height. ion of structures// Mobile Home Installation Fee $ TOTAL PERMIT FEE $ — OCCUP. GROUP I TYPE OF CONST. JPARcrLJ.PD I ND I ISSUE This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which Dt OR OF PUBLIC BY PERMIT XPIRES Date the applicable provi- resolutions to do fees have been paid. WORKS ', Receipt No. lD11 7� WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR. GOLDENROD -APPLICANT COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT N t 7 County Center Drive - Oroville, California 95965 - Telephone 916/534-4 1 / • " APPLICATION AND PERMIT 1 ASSESSOR PA EL N MBER Z�'— ZO IN BUILDING PERMIT OWNER C/��A� /21 s t3. aN/��lso�Xl/j of ic� TEL PHONE � 2- �s�a S0. FT. OCC. BUILDING VALUATION o & o OWNER'S67-9 MAILING ADDRESS /� /A _P—)T /4(� / J9D/ 3610 (�P c 32061' BQ CONTRAC TOR'SN E OGf/N EL' � TELEPHONE 0 Aw W 209.00 CONTRACTORS MAILING ADDRESS Fireplace A 000. Of% CONSTRUCTION LENDER UNKNOWN Total Valuation $ (/,Q� Filing Fee $ 1(].00 LENDER'S MAILING ADDRESS Permit Fee $ / • v J ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ 100 Penalty $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Permit fee $ 87 OO BUIL ING ADDRESS nO� PLUMBING PERMIT Filing Fee 10:00 �MM F—/CA POD, Each Trap 2.00 g -OL Repair drainage or vent piping 5.00 �L� of /9'lv9- Water piping S-00 LOT NO. SUBDIVISION NAME „ PARCEL MAP ,,� Each qas water heater or vent 5.00 15--00 Gas piping system 1 - 5 outlets S pp USE OF STRUCTURE SF L� Duplex❑ Mobilehome❑ Other SPECIFY Building -sewer p p Lawn sprinkler system 5.00 ,�,TYPE OF WORK New P/"Addition❑ Remodel[:] Utilities[] Installation❑ Other Lam Describe work: Permit Fee $ . ba Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 600V OR LESS AMP OR LESS 5.00 5,00100 Main service EA. ADD'L 100 AMP 2.50 2-,-0 NEW CONST. I DWELLING OC OR ADDNS. ACC. BLDGS. 22 S ft ^ q CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): ❑ 1 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 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 CONSTR. I.OUTL T 2.50 ea NON.RESID BRANCH CIRC ITS NEW CONSTR. POWER APPARATUS &) NON.RESID. SINGLE OUTLET CIR. Ex.ccup OOUTLETS OR FIXTURES BAL�j 00 FIXED APPLNS. OR Ex. Occup.(OUTLETS (RESID.) EA. 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 7.50 Permit Fee $ 0. 3C7 Contractor MECHANICAL PERMIT Filing Fee 10.00 WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. Heating Cooling Hood 3.00 3.OD Ventilation Permit Fee S .OV 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, costs, and expenses which may in any way accrue `again said oulin onsequence of the granting of thispermit. j I Date 7�—y i r� Signature of Applicant — Owner Ig Contractor ❑ Agent ❑ 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 $ TOTAL PERMIT FEE $ 9-Sa OCCUP. GROUP .3 I TYPE OF CONST, PARCEL (/ ISSUE This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which DIRE TOA O UBLIC By ` PERMIT EXPfRES Date— the applicable provi- resolutions to do fees have been paid. WORKS Dat� ~—_0 �� Receipt No. �1/ WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR. GOLDENROD -APPLICANT r COUNTY OF BUTTE - Department of Public Works 7 County Center Drive, Oroville, CA. 95965 Phone: 916-534-4541 OWNER -BUILDER VER]F ICATION 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•in the envelope provided at your. earliest opportunity to avoid unnecessary delay in processing and issuing your build- ing permit. No building permit will be issued until this verification is received. 1. I personally plan to provide the major labor and mat rials for construction of the proposed property improvement (yes or no) M 2. I (have/have not) DvC- 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: /� r Property Owner (�, Social Security number Date I NOTE: This Owner -Builder Verification is sent to you as required by Sections 19831 and 19832 of the California Health and Safety Code. This verification must be completed and returned to our office before.we are permitted to issue the permit. OWNER COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS - BUILDING DIVISION 3 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE: 916/534-4541 4 PERMIT APPLICATION 'BATA SHEET �101I.Also1,1 Permit No. A. P. No. Proposed Building Use i Permit Fee Based Upon / Complete Contract Price `/DPW Valuation Other (Explain) 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. . . . . . . . . . . . 2. Plot plans in duplicate/triplicate. . . . . . . . . . . 3. Complete plans in duplicate. /triplicate. . . . . . . . . 4. Complete engineered plans and calcs. . . . . . . . . . 5. Plans with Energy Design Compliance Statement. . . . . 6. State Energy Forms No. 7 Statement of Intent for Non -Heated and AC Buildings. 8. Fees of $ . . . . . . . . 9. Letter of signature authorization., . A�0. Sanitation approval from Health Dept..3F 11. Planning approval for (A) Use: (B) Parking: 12. Certificate of Workmen's Compensation Insurance. . . . . . 13. Contractor's License Information (no., name style, classif.) 14. Owner -Builder Verification (Given to owner0, Mail to owner ❑.) 15. Improvements may be required. . . . . . . . . . . . 16. Mobi lehome Installation Data. . . . . . . .. •Pre-Inspec. request to (Date) 17. Pre -Inspection for Required. Building Inspector 18 Other When you issue the permit, process as follows: Mail to owner. Mail to contractor. Telepho a -"7S 0 and' for pickup at -office. Deliver w/inspector. Other Applicant L Date Copy of plans sent Health Dept., Fire Dept., Other Date During the plan checking process, the following data must be submitted prior to permit issuance. (For required items not checked above at time of application, circle item.) 1. Index permit for above Items No. 2. Additional items required: f (Contractor, Designer, Owner) was advised of above required data by Telephone Mail Other By Plans checked by Plans aDDroved b, Other Copy—DPW Date y This set of plans amid specifications MUST be kept on the jab at all, times and it is unlawful to make any chem" or alterations on some without O written p®mission from the Department of Public Works, County of Butte. 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HE BUTYE'GOUNTY RECO E ` 5UP£RV150RS:C[RTIFIGTE-ARE tlEINO CONCURRENTLY RECORDED IN 111E � ` � " _, tj.I �@ � r , Ar Al&A f �A!M� U TY RECORDER'S OFFICE UNDER SCRIA NUMBER �. r-, ^5.� _c hlj , c . ; xA tlITTTE CON J 'M° l ]j� , f]Iik jjYY.�. •. . ,r. , SEC DER'r CMRTIFIGATE ATE COUN ► Y SUVEYOI S CF2Ti�ICATE `,BYO 5 CFRTIFIC T r SURVEYOR I� _ C EG -T IS DAY OF ieA(i1A .. Ef:Gf UFu...Af1E10 k1 AP fkIFCMNS WtTH:T1lE;REOt11REAlENTS:Of (HS BIL D Y11EOA ONDJA (lY 01AECT101 THE IS BASED TNGo C THE ACgUE5T Of , q THIS tdA� WCONFORMAN D . , 0j1k _ ,OF- MAPS AT:PAOE . , �.� THS pp 'SNDOIVIS,ON,NAPACt SU9DIVISION`AiN AC.Y AND LOCAL. "OROIHANCK. r B WITH THE RCQUIREMCNT! Of THE "' SUNV6YING ' CONFORMANCE -" 1�.,� _ SURVEYI JlaeE4 UOurJsO•i ANGC AT' TNCREOUESY OF, _. ,(ryi r AND LOCAL OADIR DAYCD r L PLANNING' A S' PARCEL MAP SU6STANTI,ALLY ' i d 1l0.1'. NEAEK 5YATG TN T TH1 pNil -1A �, _�...I _w ,. +. M.. - A VC .AAA IF.ANY.., : :•DERIAL HO. r . :. to OR CONojYIONALL`f'APVROVtU TENT TI INFORMS�T'THEA..MOVLD.--DR.k..aECk R -.. ,RlO':GRANDAVE, ..<. s _ C 0 UPY THC$ 3motit Li R F' THE _CNARACTER AND.:000 ' CC SHOWN NCACON A E,0COUNTY RECORDER � � OROVI LES CALF/ORHII► - `� � ALLlAkTto, HE N,FrN.. -.UNV Y -TO BIC:. - L r.. i T TO"ENABLE. T E S C,. .. n 7 ,..9S9G5 r i " (NtltCATED, THE ,.,..k1M,ENT!IARC pU. rIfILN h /- . /% r •••• 6 lOAf', RCTRACEO« + yri .c [/, -.�Ju /� y\ k1AvX•13i V 4Al[FT^:/hurl //'",�. �j! WILLIAM CHEEF,Nw26_ /'" ./y/'. 2.i.I, 42 0 _ 11011 .::.:..DEP Y aDNN 0. CNRISTOFfEft$M1, L.S.920i;, ,:COUNTY SUIT, kl f ;' : , t. .. ,....,- ..t�Mi:. •+.,W .. . " r , , w rc.. • ... r, ..+: s,.-.r.+w Aw.mt«. x, ..� w.r .. w a;x .. .. ,w,ar•.�rw�.»�s:.�4L1.a.T..r:r"tcr.�i.x,Y.LW«1W.+'+,.+�+hi.+.�.a.rvn..+'4.W.i+�.�+�+"r. ...,� 1� • � ', IY r ,. t.:v • r t t u r s+M x '.:•.,,,, � .y. - i f " r�:.e., xi . • ". ?orr.+y: r r : ,. , , _ � : 1.: �' ' .. s.. r' 4 i s t,M