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HomeMy WebLinkAbout028-240-03828-24- b�Ri WESLEY WEBB I d, Bangor '3J� ��Permit#94-89A(A.gricultural.Bldg.Exemp j e-rmit#1977-89B;0,E,M(new single family stg of`farm & ag supplies, feed etc) 028-24-0-9� 3 y WEBB, 92-4269B- <` Wesley �'D aj,,TEBB24Weng n 0i8y +T PE� IT#96-14AG Bangor / cov porch & conv� X�I ' 40.,".Webb Creek Circle', Bangor. garage to hobby room �, . Ag:+Exempt'Permit-Stg- Tractor & Fee`d •, 028-24-0-0,32r-S93-3759 E,B �J WEBB., WESLEY LnTanrsr, BANGOR ELEC OUTLETS & 1ST RENEWAL/92-4263 S 9 y k I ! i Ur; County of Butte Oroville, California GENERAL CLAIM CLAIMANT: Fleetwood Retail ADDRESS: 2243 Feather River Blvd. IM12013f-135 CITY & STATE: Orovllle, CA 95965 SEE INSTRUCTIONS ON REVERSE SIDE DATE OF CLAIM: 2/20/2003 SUBMIT CLAIM TO DEPARTMENT RECEIVING GOODS OR SERVICES DATE DESCRIPTION OF CLAIM DESCRIBE FULLY TO AVOID DELAY) AMOUNT Reason for the Over charged BlaRefund: g Permitpp No.: 03-0100 AP No: 028-240-033 Receipt No.: 369700 Receipt Date: Bldg Permit Fees: Owner's Name: Joe & Donna Vasquez TOTAL FEES PAID: $1,454.70 TOTAL FEES RETAINED (Breakdown Below): $1,431.70 Building Permit Filing Fees: $1 ,431.70 Plan Checking Fee: Plumbing Permit Filing Fees: Energy Plan Checking Fee: Electrical Permit Filing Fees: Refund Processing Fee: Mechanical Permit Filing Fees: Inspection Fee: SRA Fee: $23.00 I, the undersigned, declare under penalty of perjury that the services or articles claimed have been performed or delivered, and that this claim is true and correct as stated Dated this day of , 2003, at Calif. Signature of Claimant I, the undersigned, hereby certify that, to the best of my knowledge, the services or articles specified above have been performed or delivered and that there is a Budget Appropriation or Specific Board Approval (Check one) for the same. Dated this _26 day of _March 2003, at _Oroville Calif. Department Head or Authorized Deputy Dept. Code 440-001 Exp. Code 4210500 PAYABLE FROM Construction Permits FUND Dept. Code Exp. Code PAYABLE FROM FUND Dept. Code Exp. Code PAYABLE FROM FUND DO NOT WRITE BELOW THIS LINE - AUDITOR'S USE ONLY DEPT & SUB. PROJ. SUB. OBJ CLAIM NO. INV. NO. INV. DATE ENCUMB GROSS AMT. COUNTY OF BUTTE - Department of Public Works 7 County Center Drive, Oroville, CA 95965 Phone: 916-538-7541 OWNER -BUILDER VERIFICATION Attention Property Owner: An 'owner -builder" building permit has been applied for in your name and bearing your signature. Please complete and return this information at your earliest opportunity to avoid unnecessary delay in processing and issuing your building permit. No building permit will be issued until this verification is received. 1...I personally plan to provide the major labor and materials for construction of the proposed property improvement (yes or no) S 2. I (have/have not) y%Jel 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 persons to provide the work indicated: Name Address . Phone Signed: Property Owner � �✓ Social Security Number Date le /Y-Oy (hired) the following Type of Work NOTE: This Owner -Builder Verification is sent to you as required by Sections 19831 and 19832 of the California Health and Safety Code. This verification must be completed and returned to our office before we are per- mitted to issue -the permit. COUNTY OF BUTTE-- Dep"artment of Public Works 7 County Center Drive, Oroville, CA 95965 Phone: 916-538-7541 '. OWNER -BUILDER VERIFICATION Attention Property Owner: An 'owner -builder" building permit has been applied for in your name and bearing your signature. 1 Please complete and return this information at your earliest opportunity to avoid unnecessary delay in processing and issuing your building permit. No building permit will be issued until this verification is received. 1. I personally plan to provide the major labor and materials for construction of the propo.sed property improvement (yes or no) 2. I (have/he ) signed an application for a building permit for the proposed work. 3. I have contracted with the following person (firm) to provide the proposed construction: Name Address City Phone Contractors License No. 4. )I plan to provide portions of this work, but I have hired the following person to coordinate, supervise, and provide the major work: Name Address City Phone Contractors License No. 5. I will provide some of the work but I have contracted (hired) the following persons to provide the work indicated: Name Address Phone Type of Work Signed: Property Owner Social Security Number Date L)"Lc /9977 NOTE: 5'9z- NOTE: This Owner -Builder Verification is sent to you as required by Sections 19831 and 19832 of the California Health and Safety Code. 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LQp' _J ' _• G J. _._. c _ d}`o,t t•J 11 4t B,j up I m CU 0 ';�} �r 'Q to I •I �-� — L_�__. � � .�, �+ c'k pF` a 14 1!6— LLL ►� !err �'•• :.D . .. _ ... , — � { — — — 1 � r. ,, c•, z; �, F I r�n,,, vY!{Mtt �.J`.. " - - 'lei �''I r'(e -- --• Zt- ate .✓` N�;Z� t t' •N, www��.�www��L�ww'����,P¢' L.r '♦C1i�' 1: ' �•• � Y�'IEd�•.t �.�� �� i�#•. _ t`s.. _ �r�`."c :-: i... _ " ,:i.:. .:., ' .tom _.. . - _ - .. ._ r... ....�:r'� ... .. .. ♦.. _._......, ... r,1»�i!^. -v.,:^+►,K'�.Z'- j COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS R 196 Memorial Way, Chico — Phone: 891-2751 7 County Center Drive, Orovi Ile — Phone: 538-7541 t= 747 Elliott Road, Paradise— Phone: 872-6307 CORRECTION NOTICE s: Ig -77 &4 A routine inspection indicates that the following violations of County Ordinance exist at the above address and should be corrected. Please notify this office when correction of work is completed. If you have any question pertaining to this matter, or need additional explanation, please contact this office immediately. (� Inspector RA-:� I Date3 —/ 9 Q— l Z) COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 196 Memorial Way, Chico — Phone: 891-2751 7 County Center Drive, Oroville — Phone: 538-7541 747 Elliott Road, Paradise — Phone: 872-6307 CORRECTION NOTICE W . ER T A routine inspection indicates that the following violations of County Ordinance exist at the above address and should be corrected. Please notify this office when correction of work is completed. If you have any question pertaining to this •Inspector Date % �'� �O " COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 196 Memorial Way, Chico — Phone: 891-2751 7 County Center Drive, Oroville — Phone: 538-7541 747 Elliott Road, Paradise— Phone: 872-6307 CORRECTION NOTICE ER A routine inspection indicates that the following violations of County Ordinance exist at the above address and should be corrected. Please notify this office when correction of work is completed. If you have any question pertaining to this milker, or need additional explanation, please contact this office immediately. n 0 Inspector. �. � "T1 Date 9�' v COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 196 Memorial Way, Chico — Phone: 891-2751 7 County Center Drive, Oroville Phone: 538-7541 747 Elliott Road, Paradise— Phone: 872-6307 CORRECTION NOTICE ER A routine inspection indicates that the following violations of County Ordinance exist at the above address and should be corrected. Please notify this office when correction of work Is completed. If you have any question pertaining to this matter need additional explanation, please contact this office immediately. N J Inspector Date �_ COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 196 Memorial Way, Chico — Phone: 891-2751 7 County Center Drive, Orovi Ile — Phone: 538-7541 747 Elliott Road,. Paradise — Phone: 872-6307 CORRECTION NOTICE OWNER 1977-P A routine inspection indicates that the following violations of County Ordinance exist at the above address and should.be corrected. Please notify this office when correction of work is completed. If you have any question pertaining to this matter, or need additional explanation, please contact this office immediately. S�/GG FST icyy o i� 7X! ZA) fi/ CL- P /111 . /n T ?'n -�(V�t a &a, sTa/z y SA /t/ / -P/4 X 5' T C C ,tJ U i 'd LL 04,(je U Inspector Date ` ,S_ r li. 1.1_ 1: ON lye 10: flat PlanAuachalPleur flan Attach.d Sent U, Ii. U�Building Departm/✓ ent (T FROM: Environmental Health SUBJECT: Sanitation Clearance Wes& Owner Location -- AP# Plan Approved for: Sewage Disposal Water Supply: Public Private Well Clearance for bedroom mobile home. Other 700 �P"Z Pore 14 Hold fi Final cl"arance O.K. for` NOTE Environmental Health Specialist 8/92 Date r TO Buildinv Department FROM: Environmental Health SUBJECT: Sanitation Clearance Y161�5_r T(&c-_-ee . ". Owner Locatio AP# Water Supply Plan Approved for: Hold final for: Sewage Disposal Final clearance O.R. for: Clearance for bedroom home. Other an Water Supply Water Supply 0 Da/e r TO: Building Department -.1 FROM: Encroachment Permit Section RE: Driveway Clearance J, Mlt/ _J? R `� 5'� / LAG'2. � AVA/9 owner location AP # Driveway permit ti %- 2 �l �� '-� has been issued for the above property. a04.nture --date Owner • We T . 1,1114 314 Permit No. % 7 Q ENERGY C ERTIFJCAT ION 9S-9/ 4A P-04 rx ,24) 48 6-02 C.4 28-246-33 LOCATION A.P. No. DESCRIPTION OF INSULATION ROOF Material Thickness(inches) EXTERIOR WALL Material b16,TIZ64"S Thickness(inches) CEILING Batt or Blanket Type Q Thickness(inches) Loose'Fill Type Minimum ThicknesWnches) Area covered(ft.) FLOOR, ELEVATED Material gixa/7 lA��1-TTs Thickness(inches) FLOOR, SLAB Material Thickness(inches) Width(inches) FOUNDATION WALL Material Thickness(inches) Brand Name Thermal Resistance (R Value) Brand Name 04,16IVS — C0PWlt4e, Thermal Resistance(R Value) ,e Brand Name ® 4(16 , Co 91V < Thermal Resistance(R Value) -3 o Brand Name Number of Bags Wt. per bag lb. Thermal Resistance(R Value) Brand Name ® W.''yC_S . 0VtZ&11)e6 Thermal Resistance(R Value) RZ -If Brand Name Thermal Resistance(R Value) Brand Name Thermal Resistance(R Value) I hereby certify that -the above insulation was installed in the above building in conformance with the State of California Ener, Requirements. DOWNER STATE CONTRACTOR'S LICENSE NO. SIGNATURE N MALLATION APPLICATOR DATE I hereby certify the above insulation and all required items as shown on the Building Department approved plans and attachments have been installed as required by the State of California Energy Requirements. All equipment, devices and materials are of the quality prescribed or are specifically approved by the State of California. Y J, 1_('4'46/3 1 z2 /1 FIRM NAME/0 (Please pKnt) STATE CONT OR'S LI N0. 2/ 1990 SIGNATURE FNERAL CONYRACTORIOWNER DATE THIS CERTIFICATE MUST BE ON FILE WITH THE BUILDING DEPARTMENT PRIOR TO FINAL INSPECTION APPROVAL AND A COPY SHALL BE POSTED WITHIN THE BUILDING. January 1984 1. Ceiling Insulation U -value 0.80 Number of stories -114 R -value One Two Three R-0 -103 -49 32 R-19 -8 -4 -2 R-30 -2 -1 -1 R-38 0 0 0 U -value - 0.04 14 11 0.50 -176 -84 -54 0.30 -102 -49 32 0.10 -26 -13 -8 0.08 -18 -9 -6. 0.06 -11 -5 .4 0.04 -4 -2 -1 0.02 4 2 1 0.00 11 5 3 -2 0.08 -11 -6 -4 2. Wall Insulation 0.06 -6 .3 -2 Single- Single - -1 0 0 Family Family Multi - R -value Detached Attached Family R-0 -68 -51 -34 R-11 0 0 0 R-13 2 2 1 R-19 8 6 4 U -value 0.80 -153 -114 -76 0.50 -91 -68 -46 0.30 -47 -36 -24 0.10 0 0 0 0.08 4 3 2 0.06 9 7 5 0.04 14 11 7 0.02 19 14 10 0.00 24 18 12 S. Infiltration (Air Leakage) Specification Points Standard .0 6. Glass Heat loss Total 3. Itaised Floor'Insulation Slab Floor Raised Floor Mass Insulation In Floor %Glass North ' South Number of stories .51 to .41 to R -value One Two Three ' R-0 -17 -8 -5 less R-11 -3 -2 -1 -39 R-19 0 0 0 40 R-30 3 1 1 ... U -value 8 35 - _- -0.60 . -144 -70 -46 1 - 0.50 -120 -58 38 -21 0.40 -95 -46 30 12 0.30 -69 -34 -22 -12 0.20 -43 -21 -14 28 0.10 -17 -8 -5 -2 0.08 -11 -6 -4 -52 0.06 -6 .3 -2 6 0.04 -1 0 0 -15 0.02 4 -.-2 1 14 0.00 10 5 3 -7 Controlled Ventilation Crawispace 7 14 Number of stories -43 -12 R -value One Two Three 14 R-0 -11 -7 -5 -4 R-5 -4 -4 3 22 R-11 -2 -2 -2 3 R-19 -1 -2 -2 34 4. Slab Edge Insulation -2 4 10 Number cf Stories 20 31 R -value One Two . Three 10 R-0 0 0 0 -4 R-5 8 5 2. 16 R-7 8 6 3 2 F2 factor 12 16 17 0.90 -4 3 -1 8 0.80 -1 -1 0 -20 0.70 2 2 1 13 0.60 6 4 2 1 0.50 9 6 3 17 0.40 12 8 4 S. Infiltration (Air Leakage) Specification Points Standard .0 6. Glass Heat loss Total Single- Slab Floor Raised Floor Mass U -value %Glass North Percent South West .51 to .41 to .31 to 0.30 or Glass Single Double- .60 .50 .40 less 50 -121 -53 -39 -24 -10 4 40 -90 37 -26 -14 3 8 35 -75 -29 -19 -9 1 - 10 30 -61 -21 -13 -4 4 12 29 -58 -20 -12 -3 5 12 28 -55 -18 -10 -2 5 13 27 -52 -17 -9 -2 6 13 26 -49 -15 -8 .1 7 14 25 -46 -14 -7 0 7 14 24 -43 -12 -5 1 8 14 23 -40 -11 • -4 2 8 15 22 -37 -9 3 3 9 15 21 34 -7 -2 4 10 15 20 31 -6 0 5 10 16 19 -29 -4 1 6 11 16 18 -26 3 2 7 12 16 17 -23 -1 3 8 12 17 16 -20 0 4 9 13 17 15 -17 1 '6 10 14 17 14 -14 3 7 10 14 18 13 -12 4 8 11 15 18 12 -9 6 9 12 15 19 11 3 7 10 13 16 19 10 3 9 11 14 17 19 9 -1 10 -13 15 17 20 8 2 12 14 16 18 20 7. Shading (Shade Open) Effective Percent Glass (percent glass x SC) Effective Single- Slab Floor Raised Floor Mass Wall %Glass North East South West Skylight 18 5 1 4 1 na 16 4 2 5 1 na 14 4 2 5 1 na 12 3 3 5 2 _ na ` 11 3 3 5 2 na 10 2 3 5 2 1 9 2 3 5 2 2 8 2 3 5 2 2 7 1 3 4 2 2 6 1 3 4 -2 3 5 1 2 4 2 3 4 0 2 3 1 3 3 0 1 2 1 3 2 0 0 1 0 3 1 -1 -1 -1 -1 2 0 -1 -2 -4 -2 0 na = not allowed 10 4.0 3 6 1B. Shading (Shade Closed) 9 10 Effective Percait clan 4.5 3 (fit Sim x SC) 10 Elective 11 5.0 4 7 9 %Glass Nor11 Ead Sotto West Skylight 18 -14 -48 -69 34 ria 16 -12 -42 39 -55 na 14 -10 35 -50 -46 na 12 -8 -29 -40 37 na 11 -7' -26 36 33 na 10 -6 -23 31 .29 -74 9 -5 -20 -27 • -25 35 8 -5 -17 -23 -21. -56 7 -4 -14 -19 -18 -47 6 3 -11 -15 -14 38 5 -2 -9 -11 -10 -30 4 -1 -6 -8 -7 .23 3 0 -4 -5 -4 -16 2 1 -1 .2 -1 -9, 1 1 1 1 1 -4 0 2 3 4 3 0 9. Interior Thermal Mass Interior Single- Slab Floor Raised Floor Mass Wall Stories Family Mule Stories Mass /CFA One Two Three One Two Three 0.0 -8 -5 -4 -2 -1 -1 0.1 -8 -5 3 -1 "0" 0 0.3 -7 -4 -2 0 1 1 0.5 -6 -3 -1 1 1 2 0.7 -5 -2 -1 1 2 2 0.9 -5 -1 0 2 3 3 1.1 -4 -1 1 13 4 4 1.3 -3 0 2 3 4 5 1.5, -3 .1 2 4 5 5 20 -1 2 4 5 6 7. 25 0 3 5 7 7 8 3.0 1 4 6 8 8 9 3.5 2 5 7 9' 9 10 4.0 3 6 8 9 10 10 4.5 3 7 8 10 11 11 5.0 4 7 9 11 12 12 5.5 5 8 9 11 12 12 6.0 5 8 10 12 13 13 6.5 6 9 10 12 13 13 7.0 6 . 9 11 13 13 14 7.5 6 10 11 13 14 14 8.0 7 10 11 13 14 14 8.5 7 10 12 13 14 15 10. Exterior Wall Thermal Mass Exterior Single- Single - Unit Size (sQ SEER Wall Family Family Mule 1700 Mass Detached Attached Family 0.00 0 0 0 SEER 0.2b 3 2 1 -14 -12 -10 -8 0.40. 5 4 3 -4 0.60 8 6 4 -2 0.80 10 8 5 9.5 1.00 13 10 7 4 3 3 2 1.20 13 12 8 3 1.40 12 13 9 3 1.60 10 13 11 13.0 1.80 10 12 12 Effective SEER 200 10 11 13 i 11. Heating System Sum of 7-10 -1 -1 Effective -25 or -24110 -1410 -4b SE or HSPF 16 or SEER (assumes ducts In attic) +15 more 5.0 Sun1 of 1.6 -13 -9 6.0 _ -25 or -24 to -14 to -4 to +6 to 16 or ' SE HSPF less -15 -5 +5 +15 more 0.72 6.60 0 0 0 0 0 0 0.75 6.88 3 3 3 2 2 1 0.80 7.33 8 7 6 5 4 3 0.85 7.79 13 11 10 8 7 5 0.90 8.25 17 15 13 11 9 7 ' 0.95 8.71 20 18 15 13 11 8 10 8 7 6 Effective SE or HSPF 3 (SE or HSPF x duct efficiency) No Cooling System Installed Effective -25 or -24 to -14 to d to +6 b 16 or SE HSPF less -15 -5 +5 +15 more 0.30 275 -73 -64 -56 -47• 38 -30 na 3.41 -45 -39 -34 --29 -24 -18 0.40 3.67 -34 30 -26 -22 -18 -14 0.50 4.58 -10 -9 -8 -7 -5 -4 0.56 5.13 0 0 0 0 0 0; 0.60 5.50 5 5 4 3' 3 2 0.70 6.42 17 15 13 11 9 7 0.80 7.33 25 22 19 16 13 10 0.90 8.25 32 28 24 20 17 13 1..00 9.17 37 32 28 24 19 15 Zonal Control Adjustment 3 System Type 2 4.1 WSB 9 Resistance 10 9 7 6 4 3 Other . 6 5 4 3 2 2 12. Cooling Syst,!m . G5- 1 3.7 Unit Size (sQ SEER Water % Glass 1199 (assumes duets In attic) 1700 2200 Sem of 7-10 Heater Cfedit or • • -250r ,24 to -14 to -410 +6 to 16 or ` SEER lest .15 -S +5 +15 more 8.0 -14 -12 -10 -8 -6 -4 8.5 -9 -7 -6 -5 -4 3 8.9 -5 -4 -4 -3 -2 -2 9.0 -4 3 -3 -2 -2 -1 9.5 9 0 0 0 0 0 10.0' 4 3 3 2 2 1 10.5 7 6 5 4 3 2 11.0 10. 9 7 6 4 3 120 15' 13 11 9 7 5 13.0 20 17 14 12 9 6 None Effective SEER -24 -18 -15 (SEER xduct efficiency) Solar Sum of 7-10 -1 -1 Effective -25 or -24110 -1410 -4b +6b 16 or SEER less .15 .6 +5 +15 more 5.0 .30 -25 -21 -17 -13 -9 6.0 -12 -11. -9 -7 -6 4 6.6 -5 -4 -4 3 -2 -2 7.0 0 0 0 0 0 0 8.0 9 8 6 5 4 3 9.0 16 14 12 9 7 5 10.0 22 19 16 13 10 7 11.0 26 23 19 15 12 8 120 30 26 22 18 14 9 13.0 33 29 24 20 15 10 -19 Zonal Control Adjustment -11 -9 10 8 7 6 4 3 5 No Cooling System Installed 3 Stories One -5 -4 -4 -3 -2 -2 Two + 3 3 2 2 2 1 Single -Family Detached and Attached Point System Summary: Climate Zone 11 SCORE CARD Measures 1. Ceiling Insulation f2 -6 o or R -value [38] U -value (0.030] 2. Wall Insulation P, (!� or R -value [ 11 ] U -value [0.098] 3. Raised Floor Insulation or ' R -value (19] • U -value [0.037] 4. _Slab Edge Insulation S. Infiltration 6. Glass Heat Loss 7. Shading (Shade Open) a. North b. East c. South d. West e. Skylight 8. Shading (Shade Closed) a. North b. East c. South d. - West e. Skylight. 9. Interior Thermal Mass 10. Exterior Wall Mass .11. Heating System Zonal Control? ( Y / N ) 12. Cooling System Zonal Control? ( Y / N ) 13. Water Heating. or R -value (0] F2 factor [0.77] Standard J)D,43L . G5- 1 3.7 Unit Size (sQ U -value [0.65] Water % Glass 1199 1200 1700 2200 2700 Heater Cfedit or • • b to to or Type. Type less •1699 2199 2699 more SG None 0 0 0 0 0 or Solar 12 8 6 5 4 HP- -HWR 8 5 4 3 3 7 Di- WSB 5 3 3 2 2 Effective SE or POU 8_ 5 4 3 3 SE None 37 -24 -18 -15 -12 Solar -1 -1 -1 0 0 >• 2S% HWR -18 -12 -9 -7 -6 60% WSB -2.5 -16 -12- -10 -8 95% POU -19 _ -12 -9 -7 -6 IG None -5 -3 -2 -2 -2 23 Solar 7 5 4 3 2 3.8 POU 3_ 2 1 1 1 IE None -28 -19 14 -11 -9 1.2 Solar '8 5 4 3 3 2.7 POU -10 -6 -5 -4 -3 j 4.2 Muld-Family (Individual units) 4.8 5 5.2 5.4 Unit Size (s 0.3 0.6 Water 1 699 700 1200 1700 2240 Heater Credit or b to b or Type Type less 1199 1699 2199 more SG None 0 0 0 0 0 1 or Solar 14 7 5 4• 3 HP HWR 9 5 3 2 2 4.1 WSB 9 4 3 2 2 5.6 POU 9 5 3 2. 2 SE None -45 -23 -15 -11 19" 3 Solar 2 1 1 0 0 4.5 HWR .23 -12 -8 -6 '-5 5.9 WSB -25 -13 -8 3 .5. 1.9 _PQU _23. -12 -8 6 -5 IG None -8 -4 -3 .2 )---2: 42 Solar 6 3 2 1' 1 _ POU 1 0 0 0 0 IE None -30_ -15 -10 -8 -C,- 3 Solar 18 ' 9 6 4 4 4.5 4.7 4.9 5.1 5.3 5.6 5.9 Point System Summary: Climate Zone 11 SCORE CARD Measures 1. Ceiling Insulation f2 -6 o or R -value [38] U -value (0.030] 2. Wall Insulation P, (!� or R -value [ 11 ] U -value [0.098] 3. Raised Floor Insulation or ' R -value (19] • U -value [0.037] 4. _Slab Edge Insulation S. Infiltration 6. Glass Heat Loss 7. Shading (Shade Open) a. North b. East c. South d. West e. Skylight 8. Shading (Shade Closed) a. North b. East c. South d. - West e. Skylight. 9. Interior Thermal Mass 10. Exterior Wall Mass .11. Heating System Zonal Control? ( Y / N ) 12. Cooling System Zonal Control? ( Y / N ) 13. Water Heating. or R -value (0] F2 factor [0.77] Standard J)D,43L . G5- 1 3.7 Type (double] U -value [0.65] % Total Glass (16] % Glass Sc ^ j Eff. % Glass ,3-4 x.77 =_'). 77 3 X Interior MasVCFA = 1.72 `.� x .77 X X .77 = 31 �- X . TYPE 2 1"S (1.7.e2wC•4.21 = 'd TYPE 1 MASS�AREA_$ COND. FLOOR ' t Type 'I PWS (0114 + 4.2. !e: exposed slab) TYPE 2 MASS AREA $ Exterior Wall Mass ND. L OR AREA 7 Di- x SE or HSPF Duct Efficiency [0.78] Effective SE or [0.72/6.6] HSPF [0.5615.15] 0% 5% IM. 15% 20% 2S% 30% 35% 40% 45% 50% 55% 60% 66',5 70% 75% 80% 85% 90% 95% 100% 105% 11015 115% 120% t25` 0y. 0 0.2 0.4 0.6 0.8 1.1 1.3 1.5 1.7 1.9 21 23 25 2.7 2.9 3.2 3.4 3.6 3.8 4 4.2 4.4 4.6 4.8 5 5.3 10Y. 0.2 0.4 , 0.6 0.8 1 1.2 1.4 1.8 1.9 21 23 2S 2.7 2.9 11 3.3 3.5 17 4 4.2 4.4 4.6 4.8 5 5.2 5.4 20% 0.3 0.6 0.8 1 1.2 1.4 1.6 1.8 2 2.2 24 27 29 3.1 13 15 17 3.9 4.1 4.3 4.5 4.8 5 ' 5.2 5.4 56 30% 0.5 0.7 0.9 1.1 1.4 1.6 1.8 2 2.2 24 26 28 3 3.2 3.5 3.7 3.9 4.1 4.3 4.5 4.7 4.9 5.1 5.3 5.6 5.8 40% 0.7 0.9 1.1 .1.3 1.5 1.7 1.9 2.2 24 26 2.8 3 12 3.4 3.6 3.8 4 4.3 4.5 4.7 4.9 5.1 5.3 5.5 5.7 5.9 Soy. 0.9 1.1 1.3 1.5 1.7 1.9 21 23 25 27 _ 3 32 14 3.6 3.8 4 42 4.4 4.6 4.8 5.1 5.3 5.5 5.7 5.9 6.1 55% 0.9 1.1 1.4 1.6 1.8 2 2.2 24 2.6 28 3 32 3.5 3.7 3.9 4.1 4.3 4.5 4.7 4.9 5.1 5.3 5.6 5.9 6 6.2 60% 1 1.2 '1.4 1.7 1.9 21 23 25 2.7 29 11 13 3.5 3.8 4 4.2 4.4 4.6 4.8 ' 5 5.2 5.4 5.6 S.9 6.1 6.3 65% 1.1 1.3 1.5 1.1 1.9 2.2 2.4 2.6 2.8 3 3.2 14 3.6 3.8 4 4.3 4.5 4.7 4.9 5.1 5.3 5.5 5.7 5.9 6.1 6.4 70% 1.2 1.4 1.6 1.8 2 22 25 27 2.9 11 3.3 3.S 3.7 3.9 4.1 4.3 4.6 ,4.8 5 5.2 5.4 5.6 58 6 6.2 64 75% 1.3 1.5 1.7 1.9 21 23 25 27 3 3.2 14 16 3.8 4 4.2 4.4 4.6 4.6 5.1 5.3 5.5 5.7 5.9 6.1 6.3 6.5 80%. 1.4 1.6 1.8 2 2.2 2.4 26 2.8 3 3.3 3.5 3.7 3.9 4.1 4.3 4.5 4.7 4.9 5.1 5.4 5.6 5.8 6 6.2 64 66 65% 1.4 1.7 1.9 2.1 2.3 25 2.7 29 3.1 3.3 3.5 3.8 4 4.2 4.4 4.6 4.8 5 5.2 54 S.6 5.9 6.1 6.3 6 5 6 7 9oY. ' 1.5 1.7 2 2.2 24 26 2.8 3 3.2 3.4 3.6 18 4.1 4.3 4.5 4.7 4.9 S.1 53 5.5 5.7 5.9 6.2 6.4 6 6 6 6 95% 1.6 1.8 2 2.2 25 27 2.9 3.1 3.3 3.5 17 19 4.1 4.3 4.6 4.8 5 5.2 5.4 5.6 5.8 6 6.2 6.4 6.7 6.9 .100Y. 1.7 1.9 21 2.3 25 28 3 3.2 3.4 18 18 4 4.2 4.4 4.6 4.9 5.1 5.3 5.5 5.7 5.9 6.1 6.3 6.5 6.7 7 105% 1.8 2 2.2 2.4 2.6 28 3 3.3 3.5 3.7 3.9 4.1 4.3 4.5 4.7 4.9 5.1 5.4 5.6 5.8 6 6.2 6.4 6.6 6.6 7 110Y.. 1.9 2.1 2.3 2.S 27 29 3.1 13 3.6 3.8 4 4.2 4.4 4.6 4.8 5 5.2 5.4 5.7 5.9 6.1 6.3 6.5 6.7 6.9 7.1 115% 2 2.2 2.4 2.6 2.8 3 3.2 3.4 3.6 3.6 4.1 4.3 4.5 4.7 4.9 5.1 5.3 5.5 5.7 5.9 6.2 6.4 6.6 6.8 7 7.2 1207 2 2.3 2.5 2.7 29 3.1 13 3.5 -3.7 3.9 4.1 4.4 4.6 4.6 5 5.2 S.4 5.6 50 6 6.2 65 6.7 6.9 7.1 7.3 125% 21 23 25 2.8 3 3.2 14 3.6 3.8 4 4.2 4.4 4.6 4.9 5.1 5.3 5.5 5.7 5.9 6.1 6.3 6.5 6.7 7 7.2 7.4 Point System Summary: Climate Zone 11 SCORE CARD Measures 1. Ceiling Insulation f2 -6 o or R -value [38] U -value (0.030] 2. Wall Insulation P, (!� or R -value [ 11 ] U -value [0.098] 3. Raised Floor Insulation or ' R -value (19] • U -value [0.037] 4. _Slab Edge Insulation S. Infiltration 6. Glass Heat Loss 7. Shading (Shade Open) a. North b. East c. South d. West e. Skylight 8. Shading (Shade Closed) a. North b. East c. South d. - West e. Skylight. 9. Interior Thermal Mass 10. Exterior Wall Mass .11. Heating System Zonal Control? ( Y / N ) 12. Cooling System Zonal Control? ( Y / N ) 13. Water Heating. or R -value (0] F2 factor [0.77] Standard J)D,43L . G5- 1 3.7 Type (double] U -value [0.65] % Total Glass (16] % Glass Sc ^ j Eff. % Glass ,3-4 x.77 =_'). 77 3 X ,77 = 1.72 `.� x .77 X X .77 = 31 �- X = 'd Point Scores -I t8 % Glass SC Eff. % Glass X 6 = )-- a•3 X �� = l•J�L �.� x = 3•l7 X .GG = •26 19-- X y TYPE 1 MASS�AREA_$ COND. FLOOR AREA Interior M-iss/CFA TYPE 2 MASS AREA $ Exterior Wall Mass ND. L OR AREA 7 Di- x SE or HSPF Duct Efficiency [0.78] Effective SE or [0.72/6.6] HSPF [0.5615.15] X I - SEER 19.51 Duct Efficiency [0.74] Effective SEER [7.03] -, , Type ISGI Credit (none] 0 Sum 1-6 Certificate of Compliance: Residential Climate Zone 11 Documentation Author Telephone Butt �Fr % Checked By / Data :a Enforcement Agency Use only BUILDING DATA North Glass Area % GI$ss Conditi oor AreaO Number of Stories �- East S ised Floo sNumber of -Units _L South [ m e amity Detached (SED) [ ] Addition Alone West ' [ ] Single Family Attached (SFA) [ ] Existing Building Skylight [ ] Multi -Family (MF) [ l Existing -Plus -Addition Total BUILDING SHELL INSULATION Component Insulation Location/Comments Type R -Value (attic, to garages typical, etc.) Wall .............. .919 Wall .............. Output Manufacturer / Model # Roof ............. East Roof ............. (Btuh) (or approved equal) Floor ............. i c.. Floor ............. South ( ) Slab Edge ..... GLAZING Shading Devices Glazing Area Glass Type Interior Exterior Overhang Framing Type North ( ) 251�- Noah ( ) Type (furnace. air Efficiency Location East Output Manufacturer / Model # Nf East R -Value (Btuh) (or approved equal) South ( )WOW i c.. S• 2 South ( ) West ♦1 West ( ) Skylight....... THERMAL MASS Type/Covering Area Thickness (stab/exposed, tile. etc.). (SO (inches) L ocadon/DCscription (kitchenu bath. etc.) HVAC SYSTEMS Minimum Duct Type (furnace. air Efficiency Location Duct Output Manufacturer / Model # conditioner, heat pump) (SE, SEER,HSPF) (attic, etc.) R -Value (Btuh) (or approved equal) S 4.- .7 :1-. i c.. S• 2 62 9'P Maximum Furnace Heating Output: HOT WATER SYSTEMS G 7 Btuh Tank Manufacturer/Model # System Type (storage gas, etc.) Capacity (or approved equal) Special Feature(s) ,$SGA 64S SPECIAL FEATURESIREMARKS (Add extra sheets if necessary) Mandatory Measures Checklist: Residential MF -111 NOTE: Low -rim residential buildings subject to the Standards must contain these measnra regardless Of the comPliance approach used. twins marked with an asterisk(*) maybe superseded by mat stringent comptnrra Mquuements listed on the Certificate of Compliance. When this checklist is incorporated into the permit documans, the features noted shall be considered by all parties as binding minimum component performance specifications for the mandatory measures whether they are shown elsewhere in the documents or on this checklist only. DESCRIPTION Building Envelope Measures • §2-5352(a): Minimum ceiling insulation R-19 weighted avenge. 02.5352(b): Loose fill insulation manufacturer's labeled R -value. • §2.5352(c): Minimum wall insulation in fruned walls R-11 weighted average (does not apply to exterior mass walls). 4 2.5352(k), Slab edge insulation - water absorption rate no greater than 03%. water vapor transmission rate no greater than 2.0 pcmtfuch. §2-5311: Insulation specified or installed mats California Energy Commission (CEC) quality standards. Indicate type and form. 12-5352((): vapor barriers mandatory in Climate Zones 14 and 16 only. §2-5317: Infilttation/Exfiltration Controls a Doors and windows between conditioned and unconditioned spaces designed to limit air leakage. b. Doors and windows certified. c. Doors and windows wcatherstripped: all joints and pericaudons caulked and sealed 12-5352(e): Special infiltration barrier installed to comply with §2-5351 meets CEC quality standards §2-5352(d): Installation of Futplaces 1. Masonry and factory -built fuYplaces have: a Tight fitting, closeable metal or glass door b. Outside au intake with damper and control c. Flue damper and control 2. No continuous burning gas pilots allowed. HVAC and Plumbing System Measures 62-5352(8) and 2-5303: Space conditioning equipment sizing: attach calculations. §2-5352(h) and 2-5315: Setback thermostat on all applicable heating systems. 62-5316(a): Ducts constructed, installed and insulated per Chapter 10, 1976 UMC. §2-5316(b): Exhaust systems have damper controls. §2-5314(c): Gas-fired space heating equipment has intermittent ignition devices. 62-5314: HVAC equipment, water heaters. showerheads and faucets certified by the CEC. §2-5352(1): Water heater insulation blanket (R-12 or greater) or combined interior/exterior insulation (R-16 or greater): fust 5 feet of pipes closest to tank insulated (R-3 or greater). §2-5312(Exception 1): Pipe insulation on steam and steam condensate return de recirculating piping. §2-5318(d): Swimming Pool Heating 1. System has: a On/off switch on heater. i b. Weatherproof instruction plate on heater: ' c. Plumbed to allow for solar. {I 2. 75 percent thermal efficiency. 3. Pool cover. 4. Time clock. i5. Directional water inlet. i Lighting and Appliance Measures §2-5352(j): Lighting - 25 lumens/watt or greater for general fighting in kitchens and bathrooms. • §2-5314(c): Gs toed appliances equipped with intermittent ignition devices. 62-5314(a): Refrigerators, refrigerator -freezers, freezers and fluorescent lamp ballasts certified by the CEC. Indicate make and model number. COMPLIANCE STATEMENT DESIGNER I ENFORCEMENT This certificate of compliance lists the building features and performance specifications needed to comply with Title 24. Chapter 2-53 and Title 20. Chapter 2. Subchapter4. Article 1 of the California Administrative code. This certificate has been signed by the individual with overall design responsibility and the building owner. who shall retain a copy of it and transmit the certificate to any subsequent purchaser of the building. Designer Nam= Titkffibm Address: Telephone Lic. 0: (signature) (date) Documentation Author Name: rldc/Fum AMrh ": Building Owner Nam= TitkJFum- Telcphonc�� /J (signature) (dart) Enforcement Agency Name: Agency: T.4.J.nrW_ Return to DPW AGRICULTURAL STATEMENT OF ACKNOWLEDGEMENT FOR RESIDENTIAL DEVELOPMENT Section 26-8.1 of the Butte County Code requires this acknowledgement be recorded prior to issuance of a building permit. The property described herein is adjacent to land or included within an area zoned LIt ral ur oses and residents NOT COMNARED WITH ORIGINAL DOCUMENT or agricu u p p f of this property may be subject to incon- veniences or discomfort arising from the X9_03 �� 4 use of agricultural chemicals, including, ' but not limited to herbicides, pesticides, and fertilizers; and from the pursuit of agricultural operations including, but not limited to cultivation, plowing, spraying, pruning, and harvesting which occasionally generate dust, smoke, noise, and odor. Butte County has established agricul.- tural zones which have as a priority use for productive agricultural. purposes, and residents within said zones and on adjacent property should be prepared to accept such inconvenience or disconform from normal, necessary farm operations. All that real property situate in the County of Butte, State of California, described as follows: PARCEL A: Parcel 1, as shown on that certain Parcel Map recorded April 3, 1985 in Book 99 of Maps, at page 6, in the office of the Recorder, County of Butte, State of California. r PARCEL B: A right of way for road and public utility purposes 60 feet in width as shown on the Parcel recorded April 3, 1985 in Book 99 of Maps, at page 6. AP NO. 028-240-033 Date: June 21, 1989 PROPERTY OWNERS: rr Wesley Webb H. rie ebb State of Calif . ) On this the .21st day of June , 1989 , before me, SS. the undersigned Notary Public, personally appeared Couri:ty of But to ) Wesley J. Webb and H. Marie.:Webb-------------------- ------------------------------ ----------------- E] Personally known to me. Fx Proved to me on the bas.s �(� �� of satisfactory evidence. Ay to be the person(s) whose name(s) a r a ����i ( sr �n �_ „mak. 11EY� subscribed to the within instrument and acknowledged that. they _ - �,f N0TAR% PU@L!C - (.'A! !r0RN!A s� �� U 1. executed the same for the purposes therein contained. IN 1d .1`I'NI?S:> �� tn+Cor :i. cxa r reb.1,1993 WHEREOF I hereunto set my hand and official seal . Present A.P. No. 028-240-033 Notary Public COUNTY OF BUTTE - Department of Public Works 7 County Center Drive, Oroville, CA 95965 Phone: 916-538-7541' OWNER -BUILDER. VERIFICATION Attention Property Owner: An "owner-build'er" building permit has been applied for in your name and bearing your signature: Please complete and return this information at.your earliest opportunity to avoid unnecessary delay in process ing:and issuing your building permit: No building.permit will be issued until this verification is received. 1. I personally plan to provide the major labor and materials for construction of the proposed property improvement (yes or no)/ 2. I (have/h;,k -met) signed an application for a building permit for the proposed work. 3. I have contractedwith the following person (firm) to provide the proposed construction: Name _ Address City Phone Contractors License No. 4. I plan to provide portions of this work, but I have hired the following person to coordinate, supervise, and provide the major work: Name Address _ City Phone Contractors License No. _ 5. I will provide some of the work but I have contracted (hired) the following persons to provide the work indicated: Name- Address . Phone Type of Work Signed Property Owner Z,2,,_a Social Security Number Date 41 NOTE: This Owner -Builder Verification is sent to you as required by Sections 19831 and 19832 of the California Health and Safety Code. This verification must be completed and returned to our office before we are per- mitted to issue the permit. 5/89 RESIDENTIAL PLAN CHECKING GUIDE (S.F. DUPLEX & MISC. ONLY) Bldg. Permit # l7% 89 OWNER fi w C A. P. # a8 _a V- B.3, GENERAL 41: Zoning requirements: (sideyards and number of permitted living units). - /Vaivation. Q: Plans signed by designer. 4. Energy Design and Compliance.. 5. Existing violations on property. 6. .Items on data sheet. r LOT PLAN 1. Complete parcel size and dimensions. 2. Setbacks, sideyards, easements, etc. Other buildings or structures. J+,Grading, fills, drainage. �n lood hazard. pecial conditions.ocreation map or compliance document. FAU & FAS road setback. FLOOR PLAN � �� r A: omplete to scale plan with dimensions. .7Y. equired windows for light and ventilation (Sec. 1205). .V./ equired windows for second exit (Sec. 1204). E_✓� ylights (Chapter 34 & Sec. 5207). man impact glass (Sec. 5406). quired room sizes, ceiling heights (Sec. 1207). 7- G�-Is in baths, garage, and exterior outlets (Article 210-8). Light fixtures, switches, receptacles, and exterior receptacles for maintenance of mechanical equipment. Locations of water heater, heating and cooling equipment, other electrical or �as equipment, and plumbing fixtures. - ge firewall, door size, and closer (Sec. 503(d)(3)). 1,1� 1 - 3'0" exterior exit door (Sec. 3304(e)). d wood stove location, alcoves, and clearance. Smoke detectors (Sec. 1210). STRUCTURAL DETAILS !��ndation plan complete enough to construct building. _Floor construction details complete enough to construct building. c3! evations and wall construction details complete enough to construct building. 4. Roof construction details complete enough to construct building. —5-.�ireplace construction details and talcs if necessary. MISCELLANEOUS ITEMS TO LOOK OUT FOR airway details: landings, rise and run, head clearance, handrails (Sec. 3306). &,---Guardrail details (Sec. 1711 & 3306(j)). --3-.---Brick or stone veneer (Chapter 30). WES L -y co&A6 /�l77—g9 5/89 RESIDENTIAL PLAN CHECKING GUIDE MISCELLANEOUS ITEMS TO LOOK OUT FOR (CONT'D) „ exterior plaster - weep screeds (Sec./4706). � oper roof pitch for roof covering (Chapter 32).' 6! Roof covering type - (fire hazard). fter ties or bearing ridge beam. 8/ G age door or porch header sizes. V. Adequate bracing. wing area over garage - complete 1 -hour separation required on garage side. including supporting walls and posts, etc. �- exits on three-story dwellings (Sec. 3303 & see Mezannines - 1716). 14!Attic access and ventilation (Sec. 3205). W. U�n erfloor access and ventilation (Sec. 2516). 14 Combustion air for fuel burning appliances. --.-Noise requirements on duplexes. �d a soils - special foundation design. Retaining walls requiring design. l&-.-'6n_usual shape, size, or split level house requiring lateral design. 19 -.-Ii ashing at.all exterior openings. N � r i BUILDING DIVISION COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES 7 COUNTY CENTER DRIVE — OROVILLE, CALIFORNIA 95965 — TELEPHONE: (916) 538-7541 AGRICULTURAL BUILDING EXEMPTION PERMIT P JIT / Agricultural building is defined as follows: Agricultural building is a structure designe constructed to house farm implements, hay, grain, poultry, livestock, or other horticultural products. This structure shall not be a place of human habitation or a place of employment where agricultural products are processed, treated, or packaged, nor shall it be a place used by the public. ASSES V Rp CEL NO. D �t ZONING OWNE / PHONE NO. e- !� OWNER'SADDRESS n aJ, CIA 9S`7 BUD Qn e ©r LOCATION OF BUILDING I l C, v, 0-1 4 Q USE OF BUILDI SIZE OF STRUCTURE X a © _ � SO. FT. TYPE OF CONSTRUCTION: WOOD FRAME --KL STEEL CONCRETE OTHER (Specify) TYPE OF SIDING ROOF C VERING I FLOOR TYPEWool ESTIMATED COST OF CONSTRUCTION AG Buildings shall comply with the minimum front, side, and rear yard setback requirements of the applicable County Ordinances as follows -55_ _ FRONT SS �u""`/ SIDES �d .mak, REAR �- �✓ AG Buildings shall be a minimum of five (5) feet from any septic tank or leach fields. AG Buildings less than 1000 sq. ft. in floor area shall be located a minimum of 6 feet from a residence, 10 feet from a mobilehome, and 23 feet from a commercial building. AG Buildings greater than 1000 sq. ft. in floor area shall be located a minimum of 23 feet from a residence and a mobilehome, and 40 feet from a commercial building. AG Buildings must comply with Flood Zone requirements. Finish floor elevation must be at or above elevation USGS Datum. I declare under penalty of perjury that the building will be used as stated above and the purposed use confirms with the AG Building definition. If any change in use or occupancy of the building is made, I will contact the Building Division and obtain any necessary permits, inspections, and approvals to comply with the requirements in effect at that time and before occupancy. Date Signature of Owner Permit Fee - $60.00 The above described AG Building is exempt from a building permit. 9/ �j FLOOD PAROL P.D ROOFfWG ISSUE -1 Receipt No. /"? �V/ VC �/ Manager Building Division While — DPW, Yellow — Assessor, Pink — B. I., Goldenrod — Applicant By Date �� . .. :#'.-�.ti ,/._. -. �r'"-.. -t.. ;-�n'r.4,',..-..r`y.X•ifr,a �^�1Z�'r*i'Mf?"f•IT� 'Y+r`lw/k:�j�'�•;�=�'C•F�T`�t:: i!^I�•1�4 few '.n...t'i-.•'-1..+.,�•.. •_• w.., . �'1- ,,-�*1'-0"6OUNTYOF BUTTE - DEPARTMENTOF DEVELOPMENT SERVICES -BUILDING DIVISION i Y• 7COUNTY CENTER DRIVE -OROVILLE,CALIFORNIA95965-TELEPHONE(916)538-7541 PERMIT APPLICATION DATA KEET ,,- //r"ollij� OWNER CltS .C' Wf`KJ No'Od(�J(�JV "03� Proposed Building Use Building Inspector Date U 4L At time of permit application, I was advised the following data must be submitted prior to permit processing and/or issuance: DATE RECEIVED BY 1 • All items have been submitted . ....................................... . 2. Plot plans, 3/4 sets, signed by preparer of plans . .......................... 3. Complete plans, 3/4 sets, signed by preparer of plans . ...................... 4. Engineered plans and calcs, 3/4 sets, with wet signature on plans . ............. 5. Hazardous Material Form. .......................................... . 6. Energy Design Compliance and supporting documentation . ................... 7. Statement of Intent for Non -Heated and A/C Buildings. ...... ;.,t .............. 8. Engineered truss details and layout in duplicate (required prior to plan check). ... . 9. Mobilehome data and manufacturer's installation instruction -s,, 2 sets. ............ 410. Fees of$ ........................`:........ 11. Impact fees as shown on attached schedule . ...........:................. 1. 12. California Department of Forestry plan approval/fees. ....................... . 13. Flood elevation letter (100 year flood) by California Engineer . ................. . 14. Sanitation and plot plan approval Health Department . ............ 15. Cityjof Chico plumbing permit . ........................................ . 16. Plot plan and business license approval from City of Biggs/Gridley. ••••••••••••• w 17. Planning approval for (A) Use.: (B) Parking: 18. Contact Land Development.about (A) Improvements (B) Drainage. . - 19. Driveway permit (construction approval required prior to occupancy). . . 20. Pre -inspection for Pre -Inspection reqt .r+ required. .. to Building inspectouer ...3 (Date) ` 21. Contractor's license information. (No., Name Style, Classification) . .............. :w 22. Certificate of Workmans Compensation Insurance . .......................... 23. Owner -Builder Verification (Given to owner Mail to owner .......... .- !' 24. _). Recorded copy of Agricultural Acknowledgement Statement. 25. Letter of signature authorization . ......................................... 26. Copy of recorded deed of parcel creation and 60 right of way to a public road. ..... 27. Letter of intent on building use . .................................. I......... 28. Mobilehome utility clearance . .......................................... 29.' Documentation of legal access . ..................... :.................. 30. Documentation of 50% subdivision developed or (A) Road improvements completed and (B) Parcel meets zoning area and frontage requirements. ... < -- 31. Existing violations/expired permits . ........................... " ......... . 32. Plan check list. '" 33. 34. When you issue the permit, process as follows: Mail to owner. Mail to contractor. Telephone and hold for ickup at office. ; �y. J Deliver with inspector. Other Parcel Creation i Acreage Applicant Date Copy of Haz-Mat form sent Health Dept. Fire Dept. Air Pollution Date Copy of plans sent Health Dept. Fire Dept. Other Date By The following data must be submitted prior to permit issuance: (Circle new item not checked above). 1. Index permit for above items No. A 2. Additional items required: Contractor, designer, owner, was advised of above required data by _phone _'mail Counter by _Date Contractor, designer, owner, was advised of above ,required data by _ phone _ mail Counter by _ Date Plans checked by'." Date 'Plans approved,by Date . Sets of -plans on hold in File cabinet AP folder Copy - Department of Public Works �3 RESIDENTIAL �:' 028-24-0-Q,3�r3' 92-4269B VEBB, Wesley 95" ta ,- angor cov porch &'&jy garage to hobby room �o f; a 33 /,2 - �4- 1K JOB FINALED (Date) ! __ Signature V OK O=Not OK = Not Applicable =Not Ready RESIDENTIAL (•: ' Date UNDERFLOOR (Plans) OK except k's 1. Zoning -Setbacks -Easements -Flood -Slope 2. Fig., Main; Soils-Elec. Grnd.-/ /" Fig. Depth 3. Fig., Garage; Soils-Steel-Elec. Grnd.-/ /" Fig. Depth 4. Fig., Porches & Decks; Soils -Steel-/ /Fig. Depth 5. Stemwalls, Main; Steel-Blockouts-Wrapped 6. Stemwalls, Garage; Steel- Bloc kouts-Wrapped 6a. Hold Downs and Special Anchors 7. Slab; Steel -Wrapped 8. Piers -Fireplace Ftg.-Steel 9. D.W.V.; Fall -Fitting -Test -2 Way C/O -Sewer Test 10. UF. Gas Pipe; Size -Anchors - yard gas piping: size -test 11. Water Pipe; Test -Anchor -Regulator -Service Test 12. Electric; Underground 13. Pienums & Ducts; Clearance -Material -Support -Ins. 14. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples 15. Access & Ventilation 16. Insulation Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date UMBING (Permit),OK except ft's 1i . Water Htr.: Vent -Access -Combustion Air -Baffle -------- ----- --------------------------- 1 Water Pipe; Test & Anchor -Nail Protection -------- ------ -------------------------- - -- 1 D.W.V.; Test -Fittings & Anchor -Nail Protection ----------------- - - - 1 Shower Pan; Test. First Floor -Tub Access 2 Te ----------estTub &Shower, Second Floor -Tub Access -- -------------------- ----------------- -- -- 2 . 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 Fixtur & Transformer Clearance -Ins. Protection ------------- -------------------------------------------------- ---------- le�. R eptacles Spacing Lights & Switches at Doors -- - - - -- a xes & No. of Conductors Stapled o x Installed Close to Edge of Studs & C.J. ----- - - ------------------------------------------------------ ---------- --- --- - --------- -------- ---------------- ----------------------------------- Equip. Ground madeup w!Mech. Fastners-Bond Gas & Water - ---fiance Circuts in Kitchen & Conductor Size!GFI -- ---- -------- ----------------------------------------------------- - 28. Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size ! / ga. Cu or AI 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. ----------------- ------------- ---------------------- 32. Clothes Closet Light -Shower Light -Spa Light moke Detector --------------------------------------- -- - ----------------------------------- Date Card B_1 Date Card B-1 ---------- -------------------------------------------------------------- Date Card B-1 Date Card B-1 Date MECHANICAL (Permit) Ok except a's A.C. Ducts Insulation & Support --------------------------------- ------------------------------- -- 3 Vent Fan: Exhaust above insulation ------------------------------------------------------------ Condensate Drain & Overflow: Size & Grade 7 Furnance Vent: Access Comb Air -Return Air Vent -115 outlet 8. Attic Access & Platform if Furnance in Attic - - --- - --- -- - - -------------I------------------------------------ I ---------------------------------- -------------------------------------------------------------------------------- _D_ate______ Card B_1 Date Card B_1 Date Card B-1 Date Card B-1 DateFRAM (Plans) OK except fr'sOK except h's Sits oyer Material & Anchors -------- ------- ------------------------------------ al tud .-.Nailing. Spacing & Bracing -Plates -Sound -- - ----------- - ----- ----- ----- ------ --- ea Walls over Girders & Floor Nailing --------- -- --- -..- - - ----------------- -- - -- - - ---- ----- - ----- --- - - ----- - ----- r top in Walls (rat proof) ------------- --- ---- ---------- -- --------- ------ -- ------------------- 4 Fire ps: Furred Ceilings -Stairs -Chases -Tub 44 eaders & Beam -Size & Bearing HO =V Mngle & Duplex) Date MING (Continued) ers-Post Caps -Anchors -Connectors _ Cing. Joist-Rftr. ties-Purlin-roof Brac-Truss-Shthng.-Ring. lace Ties or Type A Flue -Fireplace Throat clearance Attic Access; Size & Romex Protection -Draft Stop -Ins. Battles - -- rm. Windows or Exiting Doors -Sill Hgt. & Dimensions ge-Fire Protection Framing ----- -- rop Line Firewall & Openings xt. Doors -One 3' -Check Garage -3rd Story, 2 Exits -------to , dth-Headroom-Rise-Run-Landing-Fire Protection --fly-s�Wi----- - 5A�ply d on Roof Overhang -Attic Vents -Rafter Outriggers - iding-Nailing Veneer c -Mesh-Drip Screed -Fd. Vents-Underflr. Access -- - -_lazing Area -Glass Protection -Skylights- Plastic - - --- 58. Shear Walls: Nailing -Bolts 59. Insulation -Walls -Ceilings 60. Infiltration -Walls -Windows ----------- ------------1 ----- - Dater� C pCard B Date Card B-1 Date Card B-1 Date Card B-1 Date FIN tans) OK except u's __. E eps-Door & Sidelight Protection -Landings Smo --Detector -------------------- 63. urnace; Vents -Clearance -Comb. Air-Connector- arage; Above Floor -Ducts -Meth. Protection - --------------------------- ---- Be 6m_Exiting 6 F.I. ath Fixtures & Tub Access -Spa 66 ec. �m & Subpanel; Breaker Sizes & Labels -------------- _- --- - 67. airs Rails e- 8. eplace or Stove: Clearances -Hearth 9.�EI Outlets at Wood Panel; Int. & Ext. & Appliance; Grnd.-Air Gap -Cooking Clearance 7 le utlets & Receptacles at Kit. Counter --- 72 arag Fire Door; Swing -Landing -Closer 73. Det in -Garage -Damper ---------------- ---- - ----- ----------- 74. H , Vents -Clearance -Comb. Air-Connector-P.R.V. I arage: Above Floor -Meeh. Protection ------ --- 75_�b . ec. &Mech. Equip. Listed for Locatioq 7ec. Receptacles in Garage; (G.F.I.)-Romex Protection ---------- 7 ---- ---- 77. Ins ion -Foam -Looked in Attic ❑ Yes -------- --------- ------ -------------- 78 ua ails & Deck Construction -Post Caps ----------- --- ----- - 79. do nts & Crawl Hole Door -Drainage & Wood -Earth arance Looked under Floor ❑Yes Following instld.; Drive ❑ Yes ❑ No; Walks ❑ Yes ❑ No; �P ers ❑ Yes ❑ No --------------dam St o' -Brown -Finish Disconnect. Electrical, Plumbing V s Above Roof; Plbg.-Appliance-Fireplace.-Clearance to ----------- -l- ---- 8 ater ell; Disconnect, Electrical, Plumbing --- 85. teriipr Elec. Trim; G.F.I. Receptacle -Underground -- .d6. ntilation Throughout House ---- GI S"Protection ----8". orre tions from Previous Inspections -------------- -- -- ------ ----- -KWa -- ----------------------------- itest-Meters Tagged; Gas -Electric --------------9. &Sewer Connected -C/O to -Grade -HD Approval 9 Compliance Certificate -Other Certificates Date _ �S' Bj Date Card B-1 Date C rd _ -- -- Date Card B-1 Date Card B-1 Date Card B-1 Comments at Final: J=OK O = Not OK =Not Applicable :MOBILE HOMES =Not Ready 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 B-1 Date Card B-1 Date Card B-1 Date MOBILE HOME INSTALLATION (Plans) OK except #'s 1. Zoning Requirements -Setbacks Easements 2. Footings; Size -Spacing -Marriage Line 3. Gas; MH Test -Demand -Valve -Connector 4. Electricity; MH Test -Crossovers -Breakers -Clearances 5. Drain; MH Test -Fall -Flex Connector 6. Water; MH Test -Regulator -Connector 7. Water and Sewer Connected -C/O to Grade -HD Approval 8. Gas and Electricity Tagged 9. Exits; Insp.-Sketch 10. Cert. of Occupancy Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 MISCELLANEOUS Date DECKS, COVERS, CARPORTS, GARAGES, (Plans)OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Footings; Soils -Size -Depth -Spacing -Connectors -Steel 3. Decks; Griders and/or Joists -Decking -Bracing -Stairs -Rails 4. Wood Awn.; Posts-Beams-Rftrs.-Connectors Shthg.-Rfg.-Bracing 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Carports; Windows -Doors 7. Electric 8. Frmg; Sils-Anchors-Studs-Rftrs-Trusses 9. Siding; Nailing -Veneer -Stucco -Mesh 10. Roof; Shthg-Roofing 11. Ext.; Steps -Doors -Landings Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date POOLS (Plans) OK except #'s 1. Setbacks -Easements 2. Soils; Compaction -Structure Stability 3. Pool Structure; Steel -Connections -Thickness Dead Men -Lining 4. Elec.; Receptacles and Lighting, Distances-GFI 5. Elec.; Pool Lighting; 15 volts-GFI 6. Elec.; Enclosures; Conduit Entries -Terminals -Listed 7. Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater 8. Elec.; Grounding; Equip. w/5' Circulating Equip. -Pool Lghtg. _ Boxes-Enclosures-Panelboards-Ins. to Main in Conduit 9. Health Department Approval 10. Plumb.; Cir. Test -Water Supply Test Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 COUNTY OF BUTTE - DEPARTMENTOF QEVELOPMENT S 1 ES - BUILDING DIVISION �- 7 County Center Drive - Oroville, California 95965 - 1 h ne (916) 538-7541 PERMIT NO. ' APPLICATION AND PE IT - a ASSESSOR PARCEL NUMBER 028-240—Z!i 5 ZONING A-5 BUILDING PERMIT OWNER WESLEY WEBB TELEPHONE SQ. FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS 9591 LAPORTE RD BANGOR 95914 CONTRACTOR'S NAME OWNER TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation Is Filing Fee $ 20.00 LENDER'S MAILING ADDRESS Permit Fee $ 48.75 ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS - Q �^/ (� PERMIT FEE $ 68.75 BANGOR PLUMBING PERMIT Filing Fee 20.00 Each Trap 7.00 Solar or heat pump water heater 23.00 Water piping 15.00 LOT NO. SUBDIVISION'S NAME PARCEL MAP Each gas water heater or vent 15.00 USE OF STRUCTURE SF V Duplex ❑ Mobilehome ❑ Other SPECIFY Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home S G I W @20.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ElInstallation ❑ Other] Describework: IST RENEWAL OF BP#92-4265 AND PERMIT FEE $ Contractor ELECTRICAL PERMIT Filing Fee 20.00 ELECTRICAL OUTLETS FOR CRAFT ROOM Main Service ( L100V I" Ll ESS ) 23.00 Main Service ( 200A TO 1000A I 46.00 NEW CONST. DWELLING OCCUP. OR ADDNS. ( & ACC. OLDS. I S0. 3.50 FT. CONTRACTORS LICENSE LAW( I declare under penalty of perjury (check one) ❑ 1 am a licensed under provisions of Chapter 9, Division 3 of the Business and Professions Code and my license is in full force and effect. �/ License No. Classification 14.1, as the owner, or my employees with wages as their sole compensation, will do � the work, and the structure is not intended or offered for sale. (Sec 7044) 1 ❑ I, as the owner, am exclusively contracting with licensed contractors. (Sec 7044) ❑ I am exempt under Sec. Business and Professions Code forthis reason NEW CONST. MULTI -OUTLET •NON.RESID. ( BRANCH CIRCUITS I @7.50 POWER APPARATUS I & SINGLE OUTLET CIR. Ex. Occup. ( OUTLET OR FIXTURES I BAL. @ 1 50 Ex. Occup.FIXED APPLNS. OR ( OUTLETS IRESID.1 EA. I 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 23.00 WORKER'S COMPENSATION INSURANCE 1 declare under penalty of perjury (check one): ❑ This permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Dept. of Development Services, Building Division a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -insure. I shall not employ any person in any manner so as to become subject to the Worker's Compensation laws of California. Notice to Applicant: If after making this statement, should you become subject to the Worker's Compensation provisions of the Labor Code, you must forthwith comply with such provisions or this permit will be revoked. PERMIT FEE $ 43.00 Contractor MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all Butte County Ordinances and California State Laws relating to building construction, and hereby authorize representatives of the County of Butte to enter upon the above mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue against said County in consequent of the granting of ermit. X..1/ Date C1 !/ / i Signature of Applican - Owner O Contractor ❑ Agent An OSHA permit Is r quired for excavations over 5"0" deep and demolition or construction of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ OCC CONST. TYPE TOTAL FEE $ 111.75 HAZ. 1 D. FEES I IMP I FLOOD I CDF PARCEL I PD I HO ISSUE This permit is hereby issued under the applicable provisions of the Butte County Code and/or Resolutions to do work indicated above for which fees have been paid. DIRECTOR OF PUBLIC WORKS�} By &PJ!yDate l/� /5 PERMIT EXPIRES ON r (Darel Receipt No. 153729 WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT a COUNTYOF BUTTE - DEPARTMENTOF�t' 4LO M:E ' E VICES - BUILDING DIVISION 7 COUNTY CENTER DRIVE OFtOVILLE, CALIFORNIA95 65 -TELEPHONE (916) 538-7541 ,PERM APPLICATION DATA SHEET OWNER Proposed Building Use �. P. No. 112e - X4/0 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 syr' J.,All items have been submitted. ...................................... . 2. Plot plans, 3/4 sets, signed by preparer of plans . .......................... 3_ Complete plans, 3/4 sets, signed by preparer of plans . ...................... .4. Engineered plans and calcs; 3/4 sets, with wet signature on plans . ............. 5. Hazardous Material Form. ....... 6.--E-Aergy-Design-Comp) �r�ice ary supJport4g docur� dnfation. .................. 7. Statement of Intent fo on -Heated and A/C B`uildmgs. ...................... 8. Engineered truss details and layout in duplicate (required prior to plan check). .... 9. _ Mobilehome data and manufacturer's installation instructions, 2 sets. ........... 10. Fees of $......................................... 11. Impact fees as shown on attached schedule . .............................. 12., California Department of Forestry plan approval/fees. ....................... . 13. Flood elevation letter (100 year flood) by California Engineer . ... ............. . 14. Sanitation and plot plan approval Health Department . ............ 15. City of Chico plumbing permit. 16. Plot plan and business license approval from City of Biggs/Gridley. ............. 17. Planning approval for (A) Use: (B) Parking: . ......... 18. Contact Land Development.about (A) Improvements (B) Drainage. ........... 19. Driveway permit (construction approval required prior to occupancy). . . 20. Pre -inspection for required. .. o e�,d �spedoe,�- (Date) 21. ° Contractor's license information. (No., Name Style, Classification) . .............. 22. iCertificate of Workmans Compensation Insurance . ......................... . 23. "Owner -Builder Verification (Given to owner , Mail to owner ............ 24. Recorded copy of Agricultural Acknowledgement Statement . .................. 25. Letter of signature authorization . ....................................... . 26. Copy of recorded deed of parcel creation and 60 right of way to a public road. ..... 27. Letter of intent on building use . ......................................... 28. Mobilehome utility clearance . ..................:................:..... . 29. Documentation of legal access . ......................................... 30. Documentation of 50% subdivision developed or (A) Road improvements completed and (B) Parcel meets zoning area and frontage requirements. .............. 31. Existing violations/expired permits . ...................................... 32. Plan check list . .................................... ............. �. 33. 34 When you issue the permit, process as follows: Mail to owner. Mail to contractor. Telephone and hold for ? kup�at office. Deliver with inspector. Other Parcel Creation Acreage Applicant Date Copy of Haz-Mat form sent Health Dept. Fire Dept. Air Pollution Date Copy of plans sent Health Dept. Fire Dept. Other Date By The following data must be submitted prior to permit issuance: (Circle new item not checked above). 1. Index permit for above items No. 2. Additional items required: Contractor, designer, owner, was advised of above required data by _ phone _ mail Counter by _ Date Contractor, designer, owner, was advised of above required data by _ phone -mail Counter by _ Date Plans checked by Date Plans approved by Date Sets of plans on hold in File cabinet AP folder Copy - Department of Public Works 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965-3397 TELEPHONE: (916) 536-7541 FAX: (916) 536-2140 October 18, 1994 E A U T ' Wesley Webb RE: Building Permit # 93-3759 P 0 box 233 Expiration Date: 12/14/94; Bangor CA 95914 A. P. # 028-24-0-038 With reference to the above subject, our records indicate that your building permit expires on the above date and your permit falls into the category marked below: [ ] Permit work started, but not completed. Permit may be renewed for 1/2 the original building permit fee (plus a $20.00 filing fee). The renewal permit will extend the building permit for an additional year from the original expiration date. Should you not renew your permit within 30 days of the expiration date, all work must cease until a new building permit has been issued. For your convenience, we are enclosing a renewal application form and owner -builder form to be completed and signed by you where indicated and returned to this office together with the fee shown. Please return all copies of the application form. XfXyX.. No inspections have been made on permit work. Inspections are required .-to verify code compliance. -We are unable to renew. a permit -where the work has not been started and inspected prior to permit expiration. After expiration of your permit; no work-. :.may.-be,started-until a new permit has-been issued.i If our records are in error or should you have any questions concerning this matter, please contact the -Oroville office. Thank you for your prompt attention concerning this matter. Yours very truly, Micbfael C.1 Vieira, C.B.O. MCV:ahb Manager, Building Inspection Attachments Chico Office - 1469 Humboldt Rd/891-2751 Paradise Office - 747 Elliott Rd/872-6307 COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 - Telephone 916/534-4541 AGRICULTURAL BUILDING EXEMPTION PERMIT 9//— PERMIT 07 Agricultural building is defined as follows: Agricultural building is a structure designed and constructed to house farm implements, hay, grain, poultry, livestock, or other horticulutral products. This structure shall not be a place of human habitation or a place of employment where agricultural products are processed, treated, or packaged, nor shall it be a place used by the public. ASSESSOR PARCEL NO. ZONING r� OWNER PHONE N0. OWNER'S ADDRESS ,. g,? / z,4 )Oorz-fw 1,2cD ,Q -. Coe 4 r LOCATION OF BUILDING USE OF BUILDING 570/�sh;� CK 1 4lL ) /f G SuPO4.t Sa SIZE OF STRUCTURE -2o x 3o = .660 SQ. FT. TYPE OF CONSTRUCTION: r-�dO�L WOOD FRAME a,-- STEEL CONCRETE OTHER (Specify) TYPE OF SIDING ROOF COVERING FLOOR TYPE "00 9 46&r4-% u ESTIMATED COST OF CONSTRUCTION $ 's cd CO (!j AG Buildings shall comply with the building front, side, and rear yard requirements of the applicable County Ordinances as follows: X- FRONT—,3'3- , SIDES REAR AG Buildings shall be a minimum of five (5) feet from any septic tank or leach fields. AG Buildings less than 1000 sq. ft. in floor area shall be located a minimum of 6 feet from a residence, 10 feet from a mobilehome, and 23 feet from a commercial building. AG Buildings greater than 1000 sq. ft. in floor area shall be located a minimum of 23 feet from a residence and a mobilehome, and 40 feet from a commercial building. I declare under penalty of perjury that the building will be used as stated above and the proposed use conforms with the AG Building definition. If any change in use or occupancy of the building is made, I will contact the Department of Public Works and will obtain any necessary permits, inspections, and approvals to comply with the requirements in effect at that time and before occupancy. Date ;?--f *tt (7 Signature of Oiwnerz� Permit Fee - $25.00 The above described AG Building is exempt from a building permit. Receipt No. 962 Director of Public Works By Date White - DPW, Yellow - Assessor, Pink - B. L, Goldenrod - Applicant COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 - Telephone: 916/538-7541 APPLMAT10% AND PERMIT PERMIT N0. J ASSESSOrR PARCEL NUMBER ZONING A-5 BUILDING PERMIT OWNER TELEPHONE SO. FT. OCC. BUILDING VALUATION OWNER'S MAI INA ADDRESS 9591 Rd., Bangor 95914 795 C 9,425.00 500.00 CONTRACTOR'S NAME nwnpr TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation 1$9.925.00 LENDER'S MAILING ADDRESS ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 15,00 Permit Fee $ 97.50 Plan Checking Fee $ 48.75 ARCHITECT OR ENGINEER'S MAILING ADDRESS Energy Plan Checking Fee $ Penalty $ BUILDING ADDRESS Permit fee $ 161.25 PLUMBING PERMIT Filing Fee 15.00 Each Trap 5.00 Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP Water piping 7.00 Each qas water heater or vent 7.00 USE OF STRUCTURE SF91 Duplex❑ Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 15.00 Mobile Home Is G W @ 15.00 TYPE OF WORK New❑ Addition Remodel[] Utilities❑ Installation❑ Other❑ Describe work:_ Coy- Porch & Enclose Garage to Craft Rnnm Permit Fee $ Contractor ELECTRICAL PERMIT J Filing Fee 15.00 Main service 200A OR LESS 18.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): ❑ I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in full force and effect. License No. Classification I� 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 Main service 200AT01000AI 37.50 NEW CONST. / DWELLING OCCUP.&) 3.64 sq.ft. OR ADONS. 1 ACC. BLOGS. II NEW CONSTR. ULTI.OUTLET NON .RESID BRANCH CIRC ITS @ 5.00 POWER APPARATUS &) (SINGLE OUTLET CIR. Ex. Occup(OUTLETS OR FIXTURES 20 @ 76 FIXED . OR EX. Occup. OUTLETS TS (RES(RESID.) EA.) 3.00 Temporary service 15.00 Mobile Home Facilities 15.00 Misc. Wiring -15.00 Permit Fee $ WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ 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 td 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 Cooling Hood 6.50 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 Countyor 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 Count ' onsequence of the�ting of this permit. X Date 6 J j4' J-�rp t, 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 S Energy Inspection Fee $ occ CONST TYPE TOTAL FEE $ 161. 5 HAz DFEES IMP FLOOD COF PARC PD HD ISS 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. ECTOR OF PUB --WORKS By Dat l l PE IT P • ES Date Receipt No. 129900 WHITE-O.P.W.. YELLOW -ASSESSOR, PINK -INSPECTOR. GOLDENROD -APPLICANT .e..-yr.S ' (yfiir'�ly�i� :y�`--rL ,,.z..� '•� l .. � .w..t . ir .. , .. ;�Y - _ " COUNTY OF BUTTE -DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING DIVISION 7 COUNTY CENTER DR:VE - OR161ILLE; CALIFORNIA 95965 - TELEPHONE (916) 538-7541 PERMIT APPLICATION DATA SHEET OWNER lVe S /0, W (,T, e SCJ A. P. o. Proposed Building Use A(9 re b C� �,14JQSPuilding 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 BY All items have been submitted . ....................................... . 2. of plans, 3/4 sets, signed by preparer of plans . ......................... . _Complete plans, 3/4 sets, signed by preparer of plans . ...................... .4. Engineered plans and calcs, 3/4 sets, with wet signature on plans . ............. 5. Hazardous Material Form. ......................................... . 6. Energy Design Compliance and supporting documentation . .................. 7. Statement of Intent for Non -Heated and A/C Buildings . ...................... 8. Engineered truss details and layout in duplicate (required prior to plan check). .... 9. Mobilehome data and manufacturer's installation instructions, 2 sets. ........... 10. Fees of $......................................... 11. Impact fees as shown on attached schedule. ............................. . 12. California Department of Forestry plan approval/fees. ....................... . ` 13. 14. Flood elevation letter (100 year floo by Ca iff ornia Engineer . ............::::. . Sanitation and plot plan approval rdyi�1e,,Health Department. . .. /Z-(? ' 15. City of Chico plumbing permit . ......................................... " 16. Plot plan and business license approval from City of Biggs/Gridley. ............. 17. Planning approval for (A) Use: (B) Parking: . ......... I 18. Contact Land Development.about (A) Improvements (B) Drainage. .......... . 19. Driveway permit (construction approval required prior to occupancy). .. . . 20. jest Pre -inspection for required. o Build g Inspector (Date) 21. Contractor's license information. No., Name Style, Classification . ' 22. Certificate of Workmans Compensation Insurance . .......................... r� 23. Owner -Builder Verification (Given to owner , Mail to owner ............ 24.. Recorded copy of Agricultural Acknowledgement Statement.`- -" 25. .................. Letter of signature authorization . ........................................ 26. Copy of recorded deed of parcel creation and 60 right of way to a public road. .... . 27. Letter of intent on building use . ......................................... 28. Mobilehome utility clearance . ......................................... 29. Documentation of legal access . ..................... :.............. r.`.t 30. Documentation of 50% subdivision developed or (A) Road improvements completed and (B) Parcel meets zoning area and frontage requirements. :` `........ . 31. Existing violations/expired permits . ................... { .............. . 32. Plan check list . ..................................................... . 33. 34. When you issue the permit, processus follows: Mail to owner. Mail to contractor. Telephone6 1>9 Fand hold for pickup at ('n office. Deliver with inspector. Other Parcel Creation n Acreage Applicant Gam-- �, Date ---------------------- Copy of Haz-Mat form sent Health Dept. Fire Dept. Air Pollution Date Copy of plans sent Health Dept. Fire Dept. Other Date By The following data must be submitted prior to permit issuance: (Circle new item not checked above). 1. Index permit for above items No. 2. Additional items required: Contractor, designer, owner, was advised of above required data by _ phone _ mail Counter by _ Date Contractor, designer, owner, was advised of above required data by _ phone -mail Counter by _ Date Plans checked by Date I2j I� 192 Plans approved by &A Date Sets of plans on hold in File cabinet AP folder Copy - Department of Public Works ' ���2j_ 1V _ 0 OWNER WESt f I/ OWNER'S MAILING ADDRESS CONTRACTOR'S NAME CONTRACTOR'S MAILING ADORE CONSTRUCTION LENDER LENDER'S MAILING ADDRESS ARCHITECT OR ENGINEER ARCHITECT OR ENGINEER'S MAI BUILDING ADDRESS LOT NO. I SUBDIVISION NAME COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 - Telephone: 916!538-7541 APPLICATIOWAND PERMIT is 20 USE OF STRUCTURE SF K Duplex ❑ MobHehome❑ Other A SPECI Ch e/Sy/4 TELEPHONE N PARCEL MAP PERMIT NO. BUILDING PERMIT SO. FT. I OCC. I BUILDING VALUATION Fireplace Total Valuation $ Filing Fee Permit Fee Plan Checking Fee Energy Plan Checking Fee Penalty Permit fee PLUMBING PERMIT Each Trap Solar or heat pump water heater Water piping Each qas water heater or vent Gas piping system 1 - 5 outlets Building sewer Mobile Home S I G I WT - TYPE OF WORK New ❑ Addition Remodel ❑ Uti I%'�es Instal lationJther Describe work: �O V ! ®� F' 1 ``( > 0 $ _� Gal\ g +Cd Cello %Co�vK) Permit Fee Contractor ELECTRICAL PERMIT Id Main service 600V OR LESS 200A OR LESS Main service 200ATO1000AI CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): ❑NON.RESID 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 Lf I, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONST. DWELLING OCCUP.& OR ADDNS. ( ACC. SLOGS. NEWCONST R."ULT'-OUTLET BRANCH CIRCUITS) POWER APPARATUS 6 SINGLE OUTLET CIR. / Ex. Occup( OR FIXTURES FIXED APLNS, Ex. OCCup. OUTLETS PI RESID IKEA.) Temporary service Mobile Home Facilities Misc. Wiring g 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 Contractor MECHANICAL PERMIT Heating S /(& F i I i ng Fee 5.00 20.00 7.00 7.00 5.00 15.00 @ 15.00 Filing Fee 18.50 37.50 3.6E sq.tt. @ 5.00 3.00 15.00 15.00 15.00 S 15.00 15.00 15.00 Filing Fee 1 15.00 of Consent to Self -insure. Cooling ❑ I shall not employ any person in any manner so as to become subject Hood 6.50 to the W. C. laws of California. Ventilation Notice to Applicant: If after making this statement, should you become subject Permit Fee $ to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the Countyot Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue against said County in consequence of the granting of this permit. X Date Signature of Applicant — Owner El Contractor ❑ Agent ❑ An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures Cyr 3 stories in height. Receipt No. 0 WHITE•O.P.W., YELLOW-ASSE990R, PINK -INSPECTOR. GOLDENROD -APPLICANT Mobile Home Installation Fee $ Energy Inspection Fee $ DCC CONST TYPE TOTAL FEE $ HA2 10 FEES I IMP I FLOOD I CDF I PARCEL IPD HO ISSUE This permit is hereby issued under the applicable provi- sions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DIRECTOR OF PUBLIC WORKS By Date PERMIT EXPIRES Date y A { PERMIT NO. 1977-89B , P , E, M PERMIT EXPIRES 'y OWNER WESLEY WEBB owner CONTR. ASSESSOR PARCEL 28-24-33 C� LOCATION —LaPorte Rd, Bangor dam- 3� - �9 --wO ��°'� �-�.,.._- • �• CiE�E4lA2E a� �CUMB/.✓6 � w�d�G VAY lE-wRo�6 i i Temp. Power Pole Called PG&E Temp. Elec. Service Called PG&E Temp. Gas Service Called PG&E JOB FINALED (Date) Signature 9% = VK 0 = Not OK - a: Not Applicable = Not Ready Date UN,EI RESIDENTIAL (Single and Duplex)' ans) OK except #'s VFtg., Main; Soils-Steel-Elec. Grnd. FlFfj g., Garage; Soils -Steel-// '),1"-Ftg. De 4. Ftg., Porches & Decks; Soils -Steel-/ mwalls, Main; Steel-Blockouts-Wrap; 6rGtem lls, Garage; Steel-Blockouts-Wri ab; Steel -Wrapped Date FRAMING (Continued) H rs-Post Caps -Anchors -Connectors Cing. Joist-Rftr. Ties-Purlin-Roof Brac.-Truss-Shthng.-Rfng. 0-/9 . Fireplace Ties or Type A Flue -Fireplace Throat Clearance Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions Garage Fire Protection Framing 1. Property Line Firewall & Openings fireplace Ftg.-Steel 152. Ext: Doors -One T -Check Garage -3rd story 4-15"WV.; Fall -Fittings -Test -2 way C/O -Sewer Test tairs; Width -Headroom -Rise -Run -Landing ire Protec6opy 10. Gas Pipe; Size -Anchors 4. Plywood on Roof Overhang -Attic Vents -Rafter u riggers• 11. Water Pipe; Test -Anchors -Regulator -Service Test 19_49 Siding -Nailing Veneer 12. Electric; Underground 13. Ple 's & Ducts; Clearance -Material -Su Girders -Sills -Anchor Bolts -Joists -Vents-( 15. Insulation Card-BlVMA /Date 77� Card -B1 Date Card -B1 /'_ Dateq 7`i, and -B1 Date Date PLUMBING (Per 't) OK except #'s 1 ater H V ccess-Combustion Air -Baffle Vyater Pipe; Test & Anchors -Nail Protection j,,( ?,jj .W.V.• est ttngs & Anchors -Nail Protection 19. Shower Pan; Test, First Floor -Tub Access 20. Test Tub & Shower, 2nd Floor -Tub Access Gas Pipe; Size & Anchors Card -61 Date J[_ and -B1 Date Card -B1 Date Card -B1 Date Date ELECTRICAL (Permit) OK except #'s Flxture & Transformer Clearance -Ina. Protection 23. ec. Receptacles pacing- fights & Switches at Doors -Size Boxes & No. o ductors-Stapled 5. Romex Installed Close to Edge of Studs & C.J. -1,? 2§,E -quip. Ground made up w/Mach. Fasteners -Bond Gas & Water 7. 2 Appliance Circuts in Kitchen & Conductor Size/G.F.I. 28--30bfeed-Whe-SI2F/- / ga. Cu or AI-A.C. Wire Size / /ga. Cu or Al �?9-Range Circ. / " % ga. Cu Oven Circ. u or Al. )wGated Neutral s No �,-L_eq 60. Service -Riser Conductors & Ground -Main Disconnect 31. Equip. Clearances Panels-Motors-Mech. Equip. ht -Shower Light -Spa Light Smoke Detector Card -B1 Date jL2 _ and -B1 Date Card -B1 W Date -/ Card -B1 Date Date I MECHANICAL (Permit) OK except #'s -/4; 4. A:C. Ducts Insulation & Support . V nt Fan; Exhaust above insulation Gendensate Drain & Overflow; Size & Grade 03.7'Furnace-Vent; Access -Comb. Air -Return Air Vent -115 outlet if Furnace in Attic Card -B1 Date and -131 Date Card -131 Date Card -131 Date Date FRAMING (Plans) OK except #'s t-1-9. Sills, Proper Material & Anchors 0. Walls Studs -Nailing, Spacing & Bracing -Plates -Sound 44�- Bearing Walls over Girders & Floor Nailing G42. DStop in Walls (rat proof) L� ire Stops; Furred Ceilings-Stairs-Chasek-TOW l,a- Header & Beam -Size & Bearing -Drip Screed -Fd. Vents-Underflr. Access i,&7. Glazing Area -Glass Protection -Skylights -Plastic 68. SheaF ' g -Bolts 59.Insulation-Walls-Clg. 60. Infiltration-Walls-Wndws Card -131 � Datej/_Card-131 Date Card -131 C_�b Date 2- fW Card -81 Date ky- Date FINAL (Plans) OK except #'s 6 zt. Steps-D-dar & Sidelight Protection -Landings 62. S oke Detector Furnace; Vents -Clearance -Comb. Air - Connector -1 -Garage; Above Floor -Ducts -Mach. Protection 4. bedroom Exiting & Bath Fixtures & Tub Access -Spa L -r6. ec. Trim & Subpanel; Breaker Size -L ter -stairs & Rails 8. Fireplace or Stove; Clearances -Hearth W. EI ,c<Outlets at Wood Panel; Int. & Ext. Fi t. & Appliance; Grnd. -Air Gap -Cooking Clearance 1. c. Outlets & Receptacles at Kit. Counter Garage Fire Door; Swing-Landin -C 7 Duct in Garage -Damper 4. Wtr. Htr.; Vents -Clearance- nnector-P.R.V.- Garage; Above Floor -M ch. Pr action Elec. & Mech. Equip. Lis$99Qcation c. Receptacles in Garage; G. - omex Protec. 771"Ins, in Atti Yes 78. 9 -Rails & Deck Construction -Post Caps g . Fdn. Vents & Crawl Hole Door -Drainages -Wood -Earth Clearance Looked under Floor 80. Following instld.; Drive Yes o; Walks ❑ Yes No; Planters O Yes o co; Brown -Finish A.C. Unit; Disconnect, Electrical, Plumbigg 83. Vents Above Roof; Plbg.-Appliance-Firepl.-Clearance to Openings. t.94 -'Water Well; Disconnect, Electrical, Plumbing 85. Exterior Elec. Trim; G.F.I. Receptacle -Underground 86. V ntilation throughout House Ltf Class Protection C W. Corrections from Previous Inpections Baas Test -Meters Tagged; Gas -Electric 1Nat Sewer Connected -C/O to Grade -HD Approval nergy Compliance Certificate -Other Certificates 92. Roofing ate Card -131 Date3/rd-B1 Date Card -81 Date ,a_Eiff and -B1 Date Card -61 Date Card -B1 Date Comments atnal: k. 9 MISK4 '0 = Not OK = 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-Clearances-Grnd.-/ / Amp -Concrete - 6. Gas; Location -Test -Wrap: / /"L"ft. / /"Nat. or/ /"L"ft./ /"LPG 7. Utility Clearance Card -131 Date Card -Bt Date I Card -B1 Date Card -B1 Date Date MOBILEHOME INSTALLATION (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Footings; Size -Spacing -Marriage Line 3. Gas; MH Test -Demand -Valve -Connector 4. Electricity; MH Test -Crossovers -Breakers -Clearances 5. Drain; MH Test -Fall -Flex Connector 6. Water; MH Test -Regulator -Connector 7. Water and Sewer Connected -C/O to Grade -HD Approval 8. Gas and Electricity Tagged 9. Exits; Insp.-Sketch 10. Cert. of Occupancy Card -Bt Date Card -1211 Date Card -81 Date Card -131 Date Date MISCELLANEOUS OK except ff's 1. Zoning Requirements -Setbacks -Easements 2. Footings; Soils -Size -Depth -Spacing -Connectors -Steel 3. Decks; Girders and/or Joists -Decking -Bracing -Stairs -Rails 4. Wood Awn.; Posts-Beams-Rftrs.-Connec.- Shthg.-Rfg.-Bracing 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Carports; Windows -Doors 7. Elec. 8. Frmg; Sills-Anchors-Studs-Rftrs-Trusses 9. Siding; Nailing -Veneer -Stucco -Mesh 10. Roof; Shthg-Roofing 11. Ext.; Steps -Doors -Landings Card -1211 Date Card -B1 Date Card -131 Date Card -131 Date 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 -Enc losures- Panel boards- Ins. to Main in Conduit 9. Health Department Approval 10. Plumb.; Cir. Test -Water Supply Test ICard -1211 Date Card -B1 Date Card -131 Date Card -B1 Date COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS P9RR T Ny • • 7 County Center Drive - Orovillq, CalifoAnia 95965 - Telephone: 916/538-7541 !7 APPLICATION AND PERMIT ASSESSO P R / — ��/ �j ZONIN ' BUILDING PERMIT OWNER TELEPHONE FT. OCC. BUILDING VALUATION rSQ. iC- OWNER'S MAILING A010RESS f � A CONTRDR'S NAME LA ,� T EPHONE e0 , CONTRACTOR'S MAILING ADDRESS Fireplace 1 1660 CONSTRUCTION LENDER UNKNOWN Total Valuation $ i LENDER'S MAILING ADDRESS Filing Fee $ 10.00 Permit Fee $ Al 12 ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ �O! Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS r Permit Pee $ PLUMBING PERMIT Filing Fee 10.00 Each Trap 111 2,00 �V(Z Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP I--?, 10 Water piping 5,00 00 Each qas water heater or vent 5.00 S USE OF STRUCTURE SF k Duplex❑ Mobilehome❑ OtherBuilding SPECT FV Gas piping system 1 - 5 outlets 5.00 6 Q2 sewer 5.00 E,!!:O Mobile Home S I G I W= AO.00 ea TYPE OF WORK New Addition ❑ Remodel ❑ Utilities ❑ Installation[] Other❑ Describe work: ,Sp) Permit Fee $ s� Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 10100v OR LESS 0 AMP OR LESS 10.00 /0 77— CONTRACTORS LICENSE LAW ena I declare under penalty of perjury check one): p y p l y ( ): El 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 Main service EA. ADD'L 100 AMP 2.50 SIO NEW CONST. DWELLING o P OR ADDNS. ACC.BLDG r,°d ) '�z2sgft e 410n NEW CONSTR TI -OUTLET . NON.RESID BRA C CIRCUITS) 2.50 ea ' POWER APPARATUS e\ SINGLE OUTLET CIR. / Ex. OCCUp(OUTLETS OR FIXTURES D 200AL000"30 FIXED APPLNS. OR Ex. Occup. OUTLETS (RESIO.) EA.) 2.00 Temporary service 10.00 ftlw Mobile Home Facilities 15.00 Misc. Wiring g 15.00 ' I. 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 shal I be deemed revoked. Contractor MECHANICAL PERMIT Filing Fee 10.00 Heating /0000 isrul'� SO Cooling g Hood 3,00 3.® Ventilation Permit Fee $ 50 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 k ep harmless the County of Butte against all liabilities, judgments, costs, expenses which may in any way accrue against aid C t in cgnse ue of the granting of this permit. X �� ��- 0 7 Date Signature of Ap 'cant — Ownerx Contractor 1:1 Agent El An OSHA permit is required for excavations over S'0" deep and demolition or construct- ion of structures over 3 st ties in height. Mobile Home Installation Fee $ Energy Inspection Fee $ TOTAL PERMIT FEE $ •+� ocs�. �J CON9T.TYPt ISCHOOLI"La,0D ARCEL PD D 39 E This permit is hereby issued under sions of the Butte County ode and/or work indic abov for hich EC PUBLIC ey PERMIT EXPIR S Dat@ the applicable provi- resolutions to do fees have been paid. WORKS oat@ � �� r� e cle Receipt No.i(�',//0 �. �- •%� WHITE-D.P.W.. YELLOW- SSESSOR. PINK -INSPECTOR. GOLDENROD-APPLI ANT i r 9 / a COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS - BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVIOLE, CALIFORNIA 95965 - TELEPHONE: 916/538-7541 / PERMIT APPLICATION,DATA SHEET Permit No. j OWNER �! �Sl_a l�l.�c�� A. P No.=�?�-_- Proposed Building Use Building Inspector—mo?),/ 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 ,:�:a1. All items have been submitted . .................................... 2. Plot plans i u ica. triplicate, signed by preparer of plans ........ _y - 3. Complete plans in duplicate/triplicate, signed by preparer of plans .. 4. Complete engineered plans and calcs, with wet signature on plans .. 5. Energy Design Compliance and supporting documentation ......... 6. Statement of Intent for Non -Heated and AC Buildings .............. 7. Engineered truss details and layout in duplicate (required prior to plan check) 8. Vobilehome installation data including manufacturer's installation instructions ............................................ _4 /Fees of $ .......................... 10. Chico Urban Area fees paid ........................................ 11. Park fees aid ..................................................... w2'.� School District fees paid .............. 4ZAI—Sanit ion approval from Q,P_,�2der- Health Department 14. City of Chico plumbing permit ...................................... 15. Plot plan and business license approval from City of (see City for other requirements) 16. Planning approval for (A) Use: (B) Parking: ......... Y. Improvements may be required. (_Driveway permit (construction approval required prior to occupancy) ... 19. Pre -Inspection for required ...... B� idi�g inspector c. st to (Ate) /20. Contractor's license information (No., Name Style, Classification) ....... / �21. Certificate of Workmans Compensation Insurance .................... 2. Owner -Builder Verification (Given to owner ❑, Mail to owner ❑) -89 Co.23. Recorded copy of Agricultural Acknowledgment Statement ............ 24. Letter of signature authorization ..................................... 25. 26. When you issue the permit, process as follows: Mail to owner. Mail to contractor: TelephoneC-- � and hold for pickup at 0-00—office. Deliver w/inspector. Other Applicant Date Copy of plans sent Health Dept., Fire Dept., Other Date The following data must be submitted prior to permit issuance: (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---nail—counter by date Contractor, designer, owner, was advised of above required data by—phone—mall— oun r by date Plans checked by Date Plans approved by Date 7 -7 -0- -Sets of plans on hold in File cabinet AP folder Copy—DPW