HomeMy WebLinkAbout028-270-15211
AG BLDG W/O PERMIT
11/18/97
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28-27- 52 1121-91P,E _ —
8 KOWAL, an v
_SKI Dunst e Dr-, Oroville
(utilities/mh) - - -- -
028-270-152 PERMIT#97-136AG
ELEC " p0 _ FOWALSKI , Joan yy
GAS ! lv�Q/ 855 Dunstone Dr., Oroville �.
COMPACTION TEST REQ v-/ Ag Ex Permit-Stg Hay,Feed & Horses1
SUPPORT STRUCT REQ
L8=27-152
Permit#1122 MHI ��
(instal ion/mh)
i�_ - 1 --- -_ -- -- - -�
28-27-152 2947-91B,P,E,M
�9 9.
'KOWALSKI, Joan j J. y
855 Dunstone Dr, Oroville
(new sf)
028-27-0-152 9�-3363B
KOWALSKI,Joan
855 Dunstone Dr, Oroville
1st renewal/91=2947 _
028-270-152 93-3476 B
2ND RENEWAL/91-2947 `
028-270-152' PERMIT#96-0937
KOWALSKI, Joan
,,8�5'`Dunstone Dr., Oroville
New Pool��/.
1 ✓�
� C� GSI 1�
BUILDING DIVISION
COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES
7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE: (916) 538-7541
AGRICULTURAL BUILDING EXEMPTION PERMIT
T NO.
Agricultural building is defined as follows: Agricultural building is a structure designed and co
ructed to house farm
implements, hay, grain, poultry, livestock, or other horticultural products. This structure shall not be a place of human
habitation or a place of employment where agricultural products are processed, treated, or packaged, nor shall it.be a
place used by the public.
ASSESSOR PARCEL NO.
S _ --7 0 — l52
ZONING
-s
OWNER
�a� v ek
PHONE NO.
9588
OWNER'S ADDRESS
25 5 ti - o.AJ�e `
LOCATION OF BUILDING
,vs ),ve- 0 19rooi ((-�
USE OF BUILDING
5 .-�v tea- •� p -F � �- -e � � �• v r S e S•(- a � � f
SIZE OF STRUCTURE
X !L2- —L/ SO. FT.
TYPE OF CONSTRUCTION:
WOOD FRAME —K— STEEL CONCRETE OTHER (Specify){ -
TYPE OF SIDING
ROOF COVERING
FLOOR TYPE
n o
ESTIMATED COST OF CONSTRUCTION
$-9
�000
AG Buildings shall comply with the minimum front, side, and rear yard setback requirements of the applicable County
Ordinances as follows: r
S5 20
FRONT SIDES REAR 2-B 44"*—
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
Permit Fee - $60.00
Receipt No. 231330
Signature of Owner l
The above described AG Building is exempt from a buildina Dermit.
FIL PARC P.D. ROOF G ISSU
Manager Building Division
By Date
White — DPW, Yellow — Assessor, Pink — B. I., Goldenrod — Applicant
„4J, fA 1..4”
. ,,«l . T1. $ a r A;k 'A,. It" �� r��c� .i' f Y, ��i I F. -
COUNTY OFBUTTE '-DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION
7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE (916) 538-7541
PERMIT APPLICATION DATA SHEET
OWNER: a I ASSESSOR PARCEL NUMBER: g' — %5 2—
Proposed
Proposed Bui ding Use: Building Inspector: IZA Date: I/— ZAZ—�c�
At time of permit applicatio , I was' ad ed the following data must be submitted prior to permit processing and/or issuance:
Date Received By
All items have been submi'tted --------------------------------------------------------------------------------------
02. Plot.plans, 3/4 sets, signed by the preparer of plans. ----------------------------------------------------
03. Complete plans, 3/4 sets, signed by the preparer of plans. ---------------------------------------------
❑4. Engineered plans, 3/4 sets, with wet signature on plans. All engineering must be shown on plans.
115. Engineered truss details and layout in duplicate (required prior to plan review) No faxes! ---------
Energy. Design Compliance and supporting documentation. ----------------------------------------------------
Statement of Intent for Non -Heated and A/C Buildings. ---------------------------------------------------------
- ti
Hazardous Material Form.
Manufactured Home data and installation instructions including Tie Down Specifications .------------------
1. Fees of $ ,k-------------------------------------------------------------------------------------
Impact fees as shown on the attached schedule. -------
California Department of Forestry plan approval/fees.
Flood elevation certificate. -------------------------------
Sanitation and plot plan approval
City of Chico plumbing permit. --
Health Department.
Plot plan and business license approval from the City of Biggs.
Planning approval for (A) Use: (B) Parking:
❑ 18. Contact Land Development about ❑ Improvements, ❑ Drainage, ❑ Legal Parcel.
111. 9. Encroachment Permit for driveway (construction approval prior to occupancy). --
020. Pre -inspection for
required. Request to Building Inspector on
112 1. Contractor's license information. (Number, Name Style, Classification). ---------------------- -------------
Workers' Compensation carrier and policy number.
Builder Verification (Given to owner ❑, Mailed to owner EI) - --------------------------- ----------
024. Leifer of signature authorization. -------------------------------
❑25. Recorded;oopy of Agricultural Acknowledgment Statement.
026 -Letter of int nt;on building use. --------------------------------
027. Manufactured Home'utility,clearance. ---------------------------------------------------------------------------
❑28. Existing violations and/or expired permits.-------=`------------------------------------------------------------
❑29."04-33A, El Grant Deed, ❑ M . Title, ❑ Check t :C.D $
030. Other:
When you issue the permit, process as follows eNfail to owner, ❑M[ail to contractor.
(Date)
❑ Telephone and hold for pickup at office. ❑Z�=ate://'
or.
Applicant: %
Copy of Haz-Mat form sent ❑ Health Department, ❑ Fire Department, ❑ Air ollution Date: By:
Copy of plans sent ❑ Health Department, ❑ Fire Department, ❑ Other: Date: `� ,. By:
1. Index permit application for the above items numbered: " -- ❑ Plan Check List
2. Additional items required:
Contractor, designer, owner, was advised of the above required data by ❑ phone, ❑ mail, ❑ Building Division counter, by Date:
Contractor, designer, owner, was advised of the above required data by ❑ phone, ❑ mail, ❑ Building Division counter, by Date:
Contractor, designer, owner, was advised of the above required data by ❑ phone, ❑ mail, ❑ Building Division counter, by Date:
Contractor, designer, owner, was advised of the above required data by ❑ phone, ❑ mail, ❑ Building Division counter, by Date:
Plans reviewed by: Date: Plans approved by: Date:
Sets of plans on hold in ❑ Plan Cabinet, ❑ A.P. folder. Note transfer by: Date:
Yellow Copy - Department of Development Services, Building Division.
RESIDENTIAL
028-270-152 PERMIT#96-0937
KOWALSKI, Joan
855 Dunstone Dr., Oroville
New Pool
S-.71 9 7
Li
JOB FINALE (Date) - -
Signature
V=OK
O = Not OK
Not
t adyble
NoReMOBILE 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-Gmd-/ /Amp -Concrete
6. Gas; Location -Test -Wrap; / /'Utt
/ /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. Tie Downs -Type -Installation Cert.
10. Exits; Insp.-Sketch
11. 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-Dep"pacing-Connectors-Steel
3. Decks; Girders 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-Rttrs-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 POOL lans) OK except #'s
Se s -Easements
. oil • ompaction-Structure Stability
b4rool Structure; Steel -Connections -Thickness
Dead Men -Lining
4. Elec.; Receptacles and Lighting, Distance-GFI
lec.; Pool Lighting; 15 Volts-GFI
6. ;Enclosures; Conduit Entries -Terminals -Listed
EI .; Bonding; Metal w/6 -Circulating Equip. -Heater
Elec.; Grounding; Equip. w/5 Circulating Equi�p: P htg.
Boxes-Enclosures-Panelboards-Ins. to iA in in Conduit
9. Health Departme Approval
1Q: Plumb.; Ci st-Water Supply Test
Date W rj_�? CardB-1VfA Date Card B-1
Dat Card B-1 Date Card B-1
O.P. d, mhe'O_.- / �
c�
J
4 O
O = Not OK
= Not ApplicableDuplex).-..-
le & RESIDENTIAL Sin
= Not Ready � 9 T
Date UNDERFLOOR (Plans) OK except If's Date FRAMING (Continued)'
1. Zoning -Setbacks -Easements -Flood -Slope 45. Hangers -Post Caps -Anchors -Connectors
2. Ftg., Main; Soils-Elec. Grnd.-/ /" Ftg. Depth------- - - ------
46. Cing. Joist-Rftr. ties-Purlin-root Brac-Truss-Shthng.-Ring.
3. Ftg., Garage; Soils -Steel -Flet. Grnd.-/ /" Ftg. Depth 47. Fireplace Ties or Type AFlue-Fireplace Throat clearance _
4. Ftg., Porches &Decks; Soils -Steel-/ /Ftg. Depth 48. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles
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 -i
Date PLUMBING (Permit),OK except n's
16. Water Htr.: Vent -Access -Combustion Air -Baffle ----------------------
17.
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
24 Size 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 S ze,GFI -
------------------------------------------------------ --
28 Subfeed Wire Size ga. Cu or AI-A.C. Wire Size ga.
Cu or At - .
- ---- -- = - --- -- - - ------. ... ..
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
----- - -------------------------------------
33. Smoke Detector
................................. .......................... ........ I............... ..
Date Card B-1 Date Card B-1
-----------.._-----.........................----..... ... ....... ... ... ..
Date Card B-1 Date Card B-1
Date MECHANICAL.(Permit) OK except #'s
34. A.C. Ducts Insulation & Support
----------------- - - ----......................................... ....... .
35. Vent Fan: Exhaust above insulation
------------- ---------:--------- ................
36. Conben_ate Drain & Overflow: Sze & Grade
- -- -- -....__............................. ....... .. .
37. Furnance-Vent: Access -Comb. Air -Return Air Vent -115 outlet
........... ... .............. ... ..
38 Attic Access &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 P's
39. Sits. 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)
.... ..
.43. Fire Stops: Furred Ceilings -Stairs -Chases -Tub
- - ....... .. ... ... ..
44. Headers & Beam -Size & Bearing
-------------
------------------- -
49.--Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions
------------ -
50. Garage Fire Protection Framing
----------------
--------- - --- 51.
---------------51. Property Line firewall & Openings
52. Ext. Doors -One 3 -Check Garage -3rd Story, 2 Exits
-- -- -- - ---------------- ---------------------
53. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection
54. plywood on Roof Overhang -Attic Vents -Rafter Outriggers
55. Siding -Nailing Veneer
56. Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access
------------------
------------ 57._Glazing Area -Glass Protection -Skylights -Plastic
58._Shear Walls: Nailing -Bolts _
___________ 59. -.Insulation -Walls -Ceilings
60. •Infiltration -Walls -Windows
-------------------------------------------------- -
D _1e Card B-1 Date Card B-1
Date Card B-1 Date Card B-1
Date FINAL (Plans) OK except h's
61. Ext. Steps -Door & Sidelight Protection -Landings
-------------------------------------- -
62. Smoke Detector
-- ---- ------ ----------------------------- -
63. Furnace: Vents -Clearance -Comb. Air -Connector -
In Garage: Above Floor-Ducts-Mech. Protection
------------------------------
64. Bedroom Exiting
----------------------------------
65.
----- -- -----------65. G.F.I. & Bath Fixtures & Tub Access -Spa _
__ __ _ _66._ Elec. Trim & Subpanel: Breaker Sizes & Labels
- ---- -------------- -----
67. Stags & Rails
------------------------------------------
68. Fireplace or Stove: Clearances -Hearth
---------------------------------
69.
- -------------------------------
69. Elec. Outlets at Wood Panel: Int. & Ext.
------------------------ -----------
70. Kit.Fixt. & Appliance: Grnd.-Air Gap -Cooking Clearance
-. _.-------------------------------------- -- --
71. Elec. Outlets & Receptacles at Kit. Counter
72. Garage Fire Door: Swing -Landing -Closer
73. A.C. Duct in Garage -Damper
74. Wtr. Htr.: Vents -Clearance -Comb. Air-Connector-P.R.V.
In Garage: Above Floor-Mech. Protection
75. Plb.. Elec. & Mech. Equip. Listed for Location
76. Elec. Receptacles in Garage: (G.F.I.)-Romex Protection
- -------------- -------------------------------
7,. Insulation -Foam -Looked in Attic ❑ Yes
------ ---- -- ----------------------------------------------------
78. Guard Rails & Deck Construction -Post Caps
.. _--
--------------
79. Fdn. Vents & Crawl Hole Door -Drainage & Wood -Earth
Clearance Looked under Floor ❑ Yes
9 --------------- --
80. Followin instld. Drive ❑ Yes ❑ No: Walks ❑ Yes ❑ No:
Planters ❑ Yes ❑ No
- - ---- ---- ------------------
81. Stucco: Brown -Finish
.. ... .................--- - ..-------------------------------------
82 A C. Unit: Disconnect. Electrical. Plumbing
.. ... ... ... ... ..................--------------------------------
83. Vents Above Roof: Plbg.-Appliance-Fireplace.-Clearance to
Openings
. . ............... ----------------------------------
84.
-------------..------------------84. Water Well: Disconnect. Electrical. Plumbing
- - --- -----------------------------
85 Exterior Elec. Trim: G.F.I. Receptacle -Underground
.. ... ....... ..... - ----- -------------------------------
86 Ventilation Throughout House
.. ... ... .......... -- --- - -----------------------
87 Glass Protection
88. Corrections from Previous Inspections
.. ... ... ... .. ....... ------------------------------------
89 Gas Test -Meters Tagged: Gas -Electric
90. Water & Sewer Connected -C/O to Grade -HD Approval
---.._..-----------------------------------
91. Energy Compliance Cert ficate-Other Certificates
-----------------------
. ... .. .... ... . . ..... ..................... -- - -- - -------------------
Date Card B-1 Date Card B-1
.. ... .. . .---------------------------------------------
Date Card B-1 Date Card B-1
Date Card B-1 Date Card B-1
Comments. at Final
...... ..... . ..
--_ _..-.COUNTY OF BUTTE- DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING DIVISION
7 County Center Drive - Oroville, California 95965 - Telephone (916) 538-754 P MIT NO.
APPLICATION AND PERMIT
ASSESSOR PARCEL NUMBER 028-270-152
ZONING A-5
BUILDING PERMIT
OWNERT
JOAN KO,dALSILI ,
TELEPHONE
532-9588
SQ. FT. OCC. BUILDING VALUATION
POOL, C NTP,
OWNERS MAILING ADDRESS
855 DUNSTONE DR
CONTRACTOR'S NAME I
TELEPHONE
CONTRACTOR'S MAILING ADDRESS I
Fireplace
CONSTRUCTION LENDER
UNINOWN
Total Valuation $
Filing Fee
$ 20.00
LENDER'S MAILING ADDRESS
Permit Fee
$ 162. 0
ARCHITECT OR ENGINEER
LICENSE NO.
Plan Checking Fee
$
Energy Plan Checking Fee
$
ARCHITECT OR ENGINEERS MAILING ADDRESS
Penalty
$
BUILDINGADDRESS
855 DUNSTONE DR
PERMITFEE
S
PLUMBING PERMIT
Filing Fee 20.00
OROVILLE
Each Trap
7.00
LOT NO.
SUBDIVISIONS NAME
PARCEL MAP
Solar or heat pump water heater
23.00
Water piping
15.00 . UO
USEOFSTRUCTURE
SF ❑ Duplex ❑ Mobilehome 15 Other SWI'14IIIG POOL
SPECIFY
Each gas water heater or vent
15.00
Gas piping system 1 - 5 outlets
15.00
Building sewer
15.00
TYPE OF WORK
New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑
Describe Work: _ NEW ISI GROUND SWIM- ING POOL
Mobile Home IS I GI W 1
@20.00
PERMITFEE
g 35,00
Contractor
ELECTRICAL PERMIT
Filina Fee 20:00
Main Service EOOV OR LESS
( 200A OR LESS )
23.00
Main Service ( 200A TO,1000A )
46.00
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter
9 (commencing with Section 7000) of Division 3 of the Business and Professions Code,
and my license is in full force and effect.
License Class Lic. No.
OWNER -BUILDER DECLARATION
I hereby affirm under penalty of perjury that I am exempt from the Contractors License
Law for the following reason:
i I, as owner of the property, or my employees with wages as their sole compensation,
will do the work, and the structure is not intended or offered for sale.
❑ I, as owner of the property, am exclusively contracting with licensed contractors
to construct the project.
❑ 1 am exempt under Sec. Business and Professions Code for this
reason
NEW CONST. DWELLING OCCUR
OR ADDNS. ( d ACC. BLDS. )
SD.
3.50 FT.
NEW CONST. MULTI.OUTLET
NON-RESID. ( BRANCH CIRCUITS )
97.50
( POWER APPARATUS )
8 SINGLE OUTLET CIR.
Ex. Occup. (OUTLET OR FIXTURES )
. a I..1
Ex. Occup. I FIXED
I EiErs R SE o °Ra)
5.00
Temporary Service
23.00
Mobile Home Facilities
20.00
Misc. Wiring
23.00 23.00
PERMITFEE
$ 43,00
Contractor
WORKERS' COMPENSATION DECLARATION
1 hereby affirm under penalty of perjury one of the following declarations:
❑ 1 have and will maintain a certificate of consent to self -insure for workers'
compensation, as provided for by section 3700 of the Labor Code, for the
performance of the work for which this permit is issued.
❑ 1 have and will maintain workers' compensation insurance, as required by Section
3700 of the Labor Code, for the performance of work for which this permit is issued.
My workers' compensation insurance carrier and policy number are:
Carrier
MECHANICAL PERMIT
Filing Fee 20.00
9
Heating
Cooling
Hood
6.50
Ventilation
PERMITFEE
$
Contractor
Policy Number
(The above sections need not be completed if the permit is for work of a valuation
of one hundred dollars ($100) or less.)
I certify that in the performance of the work for which this permit is issued, I shall
not employ any person in any manner so as to become subject to workers'
compensation laws of California, and agree that if I should become subject to theell
workers' compensation provisions of section 3700 of the Labor Code, I shall
forthwith comply with those provisions.
Date' Cz /d
Sign re of Applicant - ❑ Owner ❑ Contractor ❑ Ag t
An O HA permit is required for excavations over 60" deep and demolition or construction
of structures over 3 stories in height.
Mobile Home Installation Fee
Is
Energy Inspection Fee Is
OCC
CONST. TYPE
TOTAL FEE $ 36)5.30
I
HAZ. D. FEES IMP FL O
CDF EL HD
This permit is hereby issued under tale
of the Butte County Code and/or
indicated above for which fees have
By
PERMITEXPIRESON
applicable provisions
Resolutions to do work
been paid. G�
ate
(Date) — R/'-
Receipt No. S 6 , ! 0 / 6- 3 Z D 0 ' 0-1
WHITE-D.D.S.-B.D. C ARY-ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT
1-1
�gr,�y..^;�;!!'"•ti' '` . `� ,r"+`�'L "^+. � ...'�-r%�^`�`�.�=:�+iD.:3:t _ '. �4'.'•.":��L :z�++rs.w.•+a,.1..:.a:..:i.;:." e„y�,,.�..•:*k�-..r: w .. ., ,
!� (/ COUNTYOFBUTTE -DEPARTMENTOFDEVELOPMENT SERVICES -BUILDING DIVISION
7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA95965 -TELEPHONE (916)538-7,541
PERMIT APPLICATION DATA SHEET
OWNER J. 16 W o s k % „ A. P. No. -2$ - 2 % 0 r,s 2.._.
Proposed Building Use
Building Inspector
Date
At time of permit application, I was advised the following data must be submitted prior to permit processing and/or issuance:
DATE RECEIVED BY
1. All items have been submitted. .................................... .
2. Plot plans, 3/4 sets, signed by preparer of plans . ..........................
3. Complete plans, 3/4 sets, signed by preparer of plans . ......................
4. Engineered plans and calcs, 3/4 sets, with wet signature on plans . .............
5. Hazardous Material Form . .................... ..........................
6. Energy Design Compliance and supporting documentation . ..................
7. Statement of Intent for Non -Heated and A/C Buildings . ......................
8. Engineered truss details and layout in duplicate (required prior to plan check). ....
9. Mobilehome data and r��nufac er's installation instructions, 2 sets. .
X10. Fees of $........................................ /2
11. Impact fees as shown on attached schedule . ..............................
12. California Department of Forestry plan approval/fees. ....................... .
Flood elevation letter (100 year flo5 bV California Engineer.: .
Sanitation and plot plan approval r Health Department . ............
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). ... .
Pre -Inspection requeis-
20. Pre -inspection for required. .. to Building Inspector (Date)
21. Contractoe's license information. (No., Name Style, Classification) . ..............
22. Certificate of Workmans Compensation Insurance . ..........................
23. Owner -Builder Verification (Given to owner , Mail to owner ............
24. Recorded copy of Agricultural Acknowledgement Statement . ..................
25. Letter of signature authorization . ........................................
26. Copy of recorded deed of parcel creation and 60 right of way to a public road. .....
27. Letter of intent on building use . .........................................
28. Mobilehome utility clearance . ..........................................
29. Documentation of legal access . ..................... :...................
30. Documentation of 50% subdivision developed or (A) Road improvements completed
and (B) Parcel meets zoning area and frontage requirements . .............. .
31. Existing violations/expired permits . ......................................
32. Plan check list . ..................................................... 1
33.
34. .�
Wen you issue the pe It pJ�o s follows: Mail o owner. Mail to contractor.
Telephone�J 1oWI hold for pickup at CAo''o office. Deliver with inspector.
Other
Parcel Creation �/30 �,�
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 Co ter by -Date
Plans checked by Date Plans approved byDate-
Sets of plans on hold in File cabinet AP folder
Copy - Department of Public Works
TO: Building Department
FROM: Environmental Health
i
SUBJECT: Sanitation Clearance
c --7:s 1 , �EWBiPiF
Owner
U
Plat Plan At4c5ed
Fla" Phn AUwhod "
Scotto B.D./T
P 0 uAivvA DR -,9102- 74 (5"a
Location CAD. APAP
Plan Approved for: Sewage Disposal Water Supply: Public Private Well
Clearance for Other v (::$LC C��c(C/�C_7Zo 7 o
/06oC-
for:
for:
Environmental Health
2A"
Date
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 pro erty improvement: YES[vf NO[ ].
2. I HAVE 'HAVE NOT[ ] signed an application fora building permit for the
proposed work.
3. I have contracted with the following person (firm) to provide the proposed
construction:
NAME:
ADDRESS: CITY:
PHONE: CONTRACTOR'S LICENSE NO.
4. I plan to provide portions of this work, but I have hired the following person to
coordinate, supervise, and provide the major work:
NAME:
ADDRESS: CITY:
PHONE: CONTRACTOR'S LICENSE NO.
5. I will provide some of the work but I have contracted (hired) the following persons to
provide the work indicated:
NAME - ADDRESS PHONE TYPE OF WORK
SIGNED:
PROPERTY OWNER:
SOCIAL SECURITY NkMBER:
DATE: -/,/ �C
NOTE: This owner -Builder Verification is required by Section 19831 and
19832 of the California Health and Safety Code.
This verification must be completed and returned to our office before
we are permitted to issue the permit.
OVER
O.B.- l
Dear Property Owner:
An application for a building permit has been submitted in your name listing yourself as the builder of
property improvements specified. '
For your protection, you should be aware that as "owner -builder" you are the responsible party of record
on such a permit. Building permits are not required to be signed by property owners unless they are personally
performing their own work. If your work is being performed by someone other than yourself, you may protect
yourself from possible liability if that person applies for the proper permit in his or her name.
Contractors are required by law to be licensed and bonded by the State of California and to have a
business license from the city or county. They are also required by law to put their license number on all permits
for which they apply.
If you plan to do your own work, with the exception of various trades that you plan to subcontract, you
should be aware of the following information for your benefit and protection:
0 If you employ or otherwise engage any persons other than your immediate family, and the work (including
materials and other costs) is $300 or more for the entire project, and such persons are not licensed as
contractors or subcontractors, then you may be an employer.
0 If you are an employer, you must register with the State and Federal Governments as an employer and you are
subject to several obligations including state and federal income tax withholding, federal social security taxes,
workers compensation insurance, disability insurance costs, and unemployment compensation contributions.
0 There may be financial risks for you if you do not carry out these obligations, and these risks are especially
serious with respect to worker's compensation insurance.
0 For more specific information about your obligations under Federal Law, contract the Internal Revenue
Service (and, if you wish, the U.S. Small Business Administration). For more specific information about your
obligations under State Law, contact the Department of Benefit Payments and the Division of Industrial
Accidents.
If the structure is intended for sale, property owners who are not licensed contractors are allowed to
perform their work personally or through their own employees, without a licensed contractor or subcontractor, only
under limited conditions.
A frequent practice of unlicensed persons professing to be contractors is to secure an "ownerbuilder"
building permit, erroneously implying that the property owner is providing his or her own labor and material
personally. Building permits are not required to be signed by property owners unless they are -performing their own
work personally.
Information about licensed contractors may be obtained by contracting the Contractors State License
Board in your community or at 1020 N Street, Sacramento. CA. 95814.
Please complete the "Owner Builder Verification" on the reverse side of this form so that we can confirm
that you are aware of these matters. The building permit will not be issued until the verification is returned.
Sicere!
n
.P.
Michael C. Vieira, C.B.O.
Manager, Building Inspection
NOTE: This O%Nmer-Builder Information is required by Section 19830 of the California Health and Safety Code.
OVER
RESIDENTIAL
r 28-27-152 294 1B,P,E,M
KOWALSKI, Joan !/
855 Dunstone Dr, Oroville
( new sf )
r
i
r �
_ t
JOB FINALED (Date)
4
Signature
J=OK
O = Not OK '
= NoUApplicable
= Not Ready 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: / P1 ft.
/ /"Nat. or/ J"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 5 '
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
W
4 O
O=Not OK
= Not Applicable RESIDENTIAL (Single V Duplex)
= Not Ready
Date UND FLOOR (Plans) OK except If's
Date RAMING (Continued)
Zd.�ing-Setbacks-Easements-Flood-Slope
Ftg., Main; Soils -Flet. Grnd.- " Ftg. Depth
Han eers-Post Caps -Anchors -Connectors
dr�9
Joist-Rftr. ties-Purlin-roof Brac-Truss-Shthng.-Rfng.
fg., Garage; Soils-Steel-Elec,•Grnd.-//," Ftg. epth
I—A.7Ties or Type A Flue Fireplace Throat clearance
tg., Porches & Decks; Soils -Steel-/ /Ftg. Dept _
�"-
= tic cess; Size &Romex Protection -Draft Stop -Ins. Baffles
�-
5. Stemwalls, Main; Steel -Bloc kouts-Wrapped
--
*in. Windows or Exiting Doors -Sill Hgt. & Dimensions
6. Stemwalls, Garage; Steel-Blockouts-Wrapped
50. rage Fire Protection Framing
6a. Hold Downs and Special Anchors
i Pr _erty Line Firewall & Openings
-----`- --- --- ----- ---
sro-s;One 3' -Check Garage Story, 2 Exits
7 Slab; Steel -Wrapped
-3rd
-------- ----------
8 -Fireplace Ftg.-Steel
'53. S :Width -Headroom -Rise -Run -Landing -Fire Protection
D.W.V.; Fall -Fitting -Test -2 Way C/O -Sewer Test
plywood on Roof Overhang -Attic Vents -Rafter Outriggers
10. UF. Gas Pipe; Size -Anchors - yard gas piping: size -test
-
Siding -Nailing Veneer
11. ater Pipe; Test -Anchor -Regulator -Service Test
MeshtDrip Screed -Fd. Vents Underflr. Access
12. Electric; Underground
i.
------------- ---
Glaiin rea-Glass Protection -Skylights- Plastic
13. Pienums & Ducts; Clearance -Material -Support -Ins.
t ar Walls: Nailing -Bolts
14. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples
-------------- --- ---- v
Insulation -Walls -Ceilings -
15. Access & Ventilation_
16. Insulation
Date Card B-1 Date' and B-1
Dat Card B-1 ate Card B-1
Date PLUMBING (Permit).OK except a's
6. Water Htr.: Vent -Access -Combustion Air -Baffle
-- 17. r Pipe: Test & Anchor -Nail Protection
18. D.W.V.: Test -Fittings & Anchor -Nail Protection
_fir Pan: Test. First Floor -Tub Access ----- - -
- 20 5t 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 a's
2 Fixture & Transformer Clearance -Ins. Protection
------- -- -- ---- --- --- - - -
----- -- - -- --- ----- --- -- ----- -----
_ 23 Elec. Receptacles Spacing -Lights & Switches at Doors
------------------
----- -------------------------------------
4. Size Boxes & No. of Conductors -Stapled
Romex Installed Close to Edge of Studs & C.J.
--------------- - -- ----
Equip.
- -- - -- - -- - -
Equip. Ground made up w/Meth. Fastners-Bond & er
----------- ----- -- - - - - - --- --- - ----- -
1,27. Appliance Circuts in Kitchen & Conductor Size/GFI
----`--- --- -----------------------------------------------------------
28. Subfeed Wire Size / ga. Cu or AI-A.C. Wire Size / / ga.
Cu or At
Range Circ ' • ga.r Al -Oven Circ. / / ga. Cu or Al.
Insulated Neutral ❑ Yes_ ❑ No
-
30'-Stsrvice-Riser Conductors & Ground -Main Disconnect
----- .1' uip Clearances Panels-Motors-Mech. Equip ------
V 32. CI the Closet Light -Shower Light -Spa Light
3. Smoke Detector
--------------------------------------------------
-------------- ----------------- -------------------------------------------- -----
Date Card B-1 Date Card B-1
----------------------------------------------------------------------------------
Date Card B-1 Date Card B-1
Date MECHANICAL (Permit) OK except P's
347A't-Ducts Insulation & Support
-----ent Fan Exhaust above insulation--------------------------------------
sate
--------------------
sate Drain & Overflow: Size & Grade
- Furnance-Vent: Access-Comb.---Air-Return Air Vent -115 outlet -
'—' ��±ccess & Platform if Furnance in Attic
------------- • ------------------ --- - --- --- - - ----------------------- ---- ---- ----
Date Card B_1 Date Card -B-1
Date Card B-1 Date Card B-1
Date FRAMI -(Plans) OK except ft's
Sits. Proper Material & Anchors - - - -
----- - - ---------
ails Studs -Nailing. Spacing & Bracing -Plates -Sound
-- ----- ---- -------------------------------------------
anmg Walls over Girders & Floor Nailing
---------- -------------------------------------------------- --------------------
aft Stop in Walls (rat proof)
-0
- -------------------------------------------------------------
43. e Stops: Furred Ceilings -Stairs -Chases -Tub
-- - --------------------------
Headers & Beam -Size & Bearing
--------------
Infiltration-Walls-Windows
Date Land B-1 ate Card B-1
Dat ! Card B-1 to Card B-1
Date FINA fans) OK except k's
..Detector & Sidelight Protection -Landings
Detector
-------------------- ----
rnace: Vents -Clearance -Comb. Air -Connector -
In Garage; Above Floor -Ducts -Meeh. Protection
- yyed��r'oom Exiting
' G.F.I.& Bath Fixtures & Tub Access -Spa
---- - -- pec.. Trim & Subpanel: Breaker Sizes & Labels
------------ 67' s &Rails ------
Fir—�eplace or Stove: Clearances -Hearth
- W. 1ff1/ec putlets --at Wood Panel: Int. & Ext.
7�Kit�Fixt & Appliance; Grnd.-Air Gap -Cooking Clearance
i�El�ec Outlets &Receptacles at Kit. Counter - ---
--tYG�a �_e Fire Door: Swing -Landing -Closer
-73' A.C. uct in Garage -Damper
tr. Htr Vents -Clearance -Comb. Air-Connector-P.R.V.
In Garage: Above Floor -Meth. Protection
----- - 7c. &Mech. Equip. Listed for Location
7 ec. Receptacles n Garage: (G.F.I.)-Romex Protection
------------
--- -- 7 su ion -Foam -Looked in Attic ❑ Yes
u/ark Rails & Deck -Co nstruction-Post Caps
7, rin. Vents & Crawl Hole Door -Drainage & Wood -Earth
Clearance Looked under Floor - ❑ Yes
40. Following instld.: Drive es o; Walks ❑ Yes o:
Planters ❑ Yes No
--------------------------------
rown-Finish
- -- nit: Disconnect. Electrical, Plumbing
ents Above Roof; Plbg.-Appliance-Fireplace.-Clearance to
Openings
at Di
isconnect.
------------ Electrical, Plumbing
�c-_----Well:--------------
. VExV r Elec. Trim; G.F.I. Receptacle -Underground
Venu ion Throughout House
.. -- -- - ------
-------
orre itins from Previous Inspections
as -Meters Tagged; Gas -Electric__
___ _-ewer Connected -C/O to Grade -HD Approval
Energy Compliance Certificate -Other Certificates
- - - - ---- ---
Date Card B- Date Card B-1 -
Date Card B- Date Card B-1 -
----------------- ----- --- -------------
Date Card B-1 Date Card B-1
Comments at Final:
I
COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING DIVISION
7 County Center Drive - Oroville,, California 95965 - Telephone (916) 538-7541 PERMIT NO.
APPLICATION AND PERMIT�'�-`
ASSESSOR PARCEL NUMBER
028-270-152
ZONING
A-5
BUILDING PERMIT
OWNER
Joan Kowalski
TELEPHONE
589-5623
SQ. FT. OCC. BUILDING VALUATION
OWNER'S MAILING ADDRESS
855 Dunstone Dr., Oroville 95966
2ND
RENEWAL
CONTRACTOR'S NAME I
Owner,
TELEPHONE
' CONTRACTOR'S MAILING ADDRESS ,
Fireplace
CONSTRUCTION LENDER
UNKNOWN
Total Valuation is
Filing Fee
$ 20,00
LENDER'S MAILING ADDRESS
Permit Fee • @ 2 Fee
$ 250,25
ARCHITECT OR ENGINEER
LICENSE NO.
Plan Checking Fee
$
Energy Plan Checking Fee
$
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Penalty
$
BUILDING ADDRESS
PERMIT FEE
$ 270.25
855 Dunstone Dr., Oroville
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 ❑ Duplex ❑ Mobilehome ❑ Other New Single FAmi 1 y
SPECIFY '
Gas piping system 1 - 5 outleis
15.00
Building sewer
15.00
Mobile Home S G W
@20.00
TYPE OF WORK
New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other CX
t
Describework: 2nd Renewal of B.P. #2947-91
PERMIT FEE
$
Contractor
ELECTRICAL PERMIT
Filing Fee 20.00
(1st Renewal was #92-3363)
1111 1" LESS )
Main Service ( 200A OR LESS
23.00
Main Service ( 200A TO IOOOA )
46.00
NEW CONST. DWELLING OCCUP.
OR ADDNS. ( & ACC. BLOS. )
S0,
3.5C FT.
CONTRACTORS
____LICENSE LAW
I declare under penalt of perjury (checklWGL
❑ I am a licensed under provisions of Chapter 9, Division 3 of the Business and
Professions Code and my license is in full force and effect.
License No. Classification
I, as the owner, or my employees with wages as their sole compensation, will do
the work, and the structure is not intended or offered for sale. (Sec 7044)
❑ I, as the owner, am exclusively contracting with licensed contractors. (Sec 7044)
❑ lam exempt under Sec. Business and Professions Code
forthis reason
NEW CONST. MULTI- OUTLET
•NON-RESID. ( BRANCH CIRCUITS )
@7.50
( POWERAPPARATUS )
& SINGLE OUTLET CIR.
Ex. Occup. ( OUTLET OR FIXTURES )
Ex. Occup. FIXED APPLNS. OR
p ( OUTLETS (RESID.) EA. )
K23.00
Temporary Service
Mobile Home Facilities
Misc. Wiring
23.00
WORKER'S COMPENSATION INSURANCE
I declare and of perjury check one):
❑ This permit Is for $100.00 (valuation o ess.
❑ 1 have placed on file with the County of Butte Dept. of Development Services,
Building Division a Certificate of Workmen's Compensation Insurance or a
Certificate of Consent to Self -insure.
1�4J shall not employ any person in any manner so as to become subject to the Worker's
Compensation laws of California.
Notice to Applicant: If after making this statement, should you become subject to the
Worker's Compensation provisions of the Labor Code, you must forthwith comply with
such provisions or this permit will be revoked.
PERMIT FEE
$
Contractor
MECHANICAL PERMIT
Filing Fee 20.00
Heating
Cooling
Hood
6.50
Ventilation
PERMIT FEE
$
Contractor
I certify that I have read this application and state thatthe above information is correct.
I agree to comply to all Butte County Ordinances and California State Laws relating to
building construction, and hereby authorize representatives of the County of Butte to
enter upon the above mentioned property for inspection purposes.
I also agree to save, indemnify and keep harmless the County of Butte against all
liabilities, judgments, costs, and expenses which may in any way accrue against said
County in consequence of the granting of this permit.
X _ Date D�/9 X99
nature Applicant Owner ❑ CDnrra .tor O Agent
An OSHA permit is required for excavations over 5"0" deep and demolition or
construction of structures over 3 stories in height.
Mobile Home Installation Fee $
Energy Inspection Fee —,'% $
DCC
CONST. TYPE
% V.
TOTAL FEE $270.75
1.
HAZ:.
D. FEES
IMP?
I FLOOD
CDF
PARCEL PD
HO
ISSUE
n
This permit is.he et issued under
of the Butte County Code and/or
indicated above for which fees have
DIRECTOR OF PUB
y
EXPIRES ON 9/27/94
the applicable provisions
Resolutions to do work
been paid.
• WORKS ks
Date
-
(Date)
Receipt No. 153.2 7
WHITE-D.D.S.-B.D. CANAR -ASSESSOR PINK -INSPECTOR GOLD ENROD-APPLICANTPERMIT
COUNTY OF BUTTE -Department of Public Works
�! 7 County Center Drive, Oroville, CA 95965 Phone: 916-538-7541
OWNER -BUILDER VERIFICATION
Attention Property Owner:
An 'owner -builder" building permit has been applied for in your name and bearing
your signature.
Please complete and return this information at your earliest opportunity to avoid
unnecessary delay in processing and issuing your building permit. No building permit
will be issued until this verification is received.
1. I personally plan to provide the major labor and materials for construction of
the proposed property improvement (yes or no)
2. I (have/have not) signed an application for a building permit
for the proposed work.
3. I have contracted with the following person fi 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 pr fli 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 Numb
Date 0
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.
c
COUNTY OF BUTTE
BUILDING DIVISION
DEPARTMENT OF DEVELOPMENT SERVICES
1469 Humboldt Road, Chico, CA - (916) 891-2751
7 County Center Drive, Oroville, CA - (916) 538-7541
747 Elliott Road; Paradise, CA - (916) 872-6307
CORRECTION NOTICE
PERMIT NO.
A routine inspection indicates that the following violations of Butte County Ordinances exist at
the above address and should be corrected. Please notify this office when correction of work
is crorap4etei u have any questions pertaining to this matte ne�,d ti al W enation,
please ibis office immediately. U �—
P",0)92
COUNTY OF BUTTE
DERARTMEM OF PUBLIC WORKS
196 Memorial Way, Ghico — Phona, 001-ET�
7 County Center Drive, Oroville — PM®i�
747 Elliott Road, Paradise — Phone: 872 63
CORRECTION NOTICE
RMI T NO.
A foutine inspection indicates that the following violations of County Ordinance
exist at the above address and should be corrected. Please notify this office
wtren cofrection of work is completed. If you have any question pertaining to this
mattergor need dditional explanation, please contact this office immediately.
Dtuil
C
COUNTY OF BUTTE Y'
r
DEPARTMENT OF PUBLIC WORKS
196 Memorial Way, Chico — Phone: 891-2751{"
7 County Center Drive, Orovi Ile'44--ghone: 538-7541 �4
747 EIIiott.,Road, Paradise — Phone: 872-6307
CORRECTION NOTICE
OWNER
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.
V7
Date_ ✓ ' — / �— Inspector
-6§��.
�'. t
COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS
7 County Center Drive - Oroville, California 95965 - Telephone: 916/538-7541
APPLI.CATION:,AND PERMIT
PERMIT NO.
ASSESSOR PARCEL NUMBER
028-270-152
ZCPNING
A5
BUILDING PERMIT
OWNER
JOAN KOWALSKI
TELEPHONE
589-5623
SO. FT. OCC. BUILDING VALUATION
ISI RENEWAL
OWNER'S MAILING ADDRESS
855 DUNSTONE DR OROVILLE 95966
CONTRACTOR'S NAME
OWNER
TELEPHONE
CONTRACTOR'S MAILING ADDRESS
Fireplace
CONSTRUCTION LENDER
UNKNOWN
Total Valuation $
Filing Fee $ 15,00
LENDER'S MAILING ADDRESS
Permit Fee 2 FEE $
ARCHITECT OR ENGINEER
LICENSE NO.
Plan Checking Fee $
Energy Plan Checking Fee $
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Penalty $
BUILDING ADDRESS
555DUNSTONE DR - OROVILLE
Permit tee
PLUMBING PERMIT Filing Fee 15.00
Each Trap 5.00
Solar or heat pump water heater 20.00
LOT NO.
SUBDIVISION NAME
PARCEL MAP
Water piping 7.00
Each qas water heater or vent 7.00
USE OF STRUCTURE
SF)R Duplex❑ Mobilehome❑ Other
SPECIFY
Gas piping system 1 - 5 outlets 5.00
Building sewer 15.00
Mobile Home I S I G 1W 1 15.00 \
TYPE OF WORK
New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation❑ Other XX
Describe work: IST RENEWAL OF Rp#2947-91
Permit Fee $
Contractor
ELECTRICAL PERMIT Filing Fee 15.00
Main service 200A OR LESS 18.50
CONTRACTORS LICENSE LAW
I declare under pens ty of perjury (checkone):OR
❑ 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
Main service 200A TO IOOOA1 37.50
NEW CONST. ( DWELLING OCCUP.6) 3.6Qsq.ft.
ADONS. 1 ACC. BLDGS.
NEW CONSTR ULT"OUTLET
NON -R ESID BRANCH CIRCU ITS @ 5.00
POWER APPARATUS 6
SINGLE OUTLET CIR. )
Ex.000u 20 76
p OUTLETS OR FIXTURES
Ex. Occup. OUTLETS (RESID )REA.) 3.00
Temporary service 15.00
Mobile Home Facilities 1 15.00
Misc. byirin g 15.00
Permit Fee $
WORKMEN'S COMPENSATION INSURANCE
I declare under penalty of perjury (check one):
❑ The permit is for $100.00 fflff1 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
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
ainst said County in consequence of he granting of this permit.
Date Z 2 Z
S gnature of Applicant — Owner Contractor 4Z,�Ag;ent
An OSHA permit is require oremolition or construct-
ion of structures over 3 stories in height.
Mobile Home Installation Fee S
Energy Inspection Fee $
OCC
CONST TYPE
TOTAL FEE $ 265.25
HAz
DFEES
IMP
FLOOD
CDF
PARCEL
PD
HD
ISSUE
This permit is hereby issued under the applicable provi-
sions of the Butte Count Code and/or resolutions to do
work indicat abov which fees have been paid.
OF PUBLIC WORKS
By Date 23 9
PERMIT EXPIRES Date �a7_q�
Receipt No. /�,
WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR. GOLDENROD -APPLICANT
s '.'i Iry
,--.::/ �..+ :a
10
COU - W, OF BUTTE PARTOF PUBLIC WO BUILDING DIVISION
7 COUNTY CENTER DRIVE - OROVILLECIL FORNIA 95965 -TELEPHONE (916) 538-7541
r „
PERMIT APPLICATION DATA SHEET
OWNER V� LCj� A. o a
Proposed Building Us -1 Building Inspector Date
At time of per it application, I was advised the following data must be submitted prior to permit processing and/or issuance:
DATE RECEIVED BY
1.
2.
3;
4.
5.
6.
7.
8.
9.
10.
11.
12.
13.
14.
15.
16.
17.
18.
19.
20.
21.
22.
23.
24.
25.
26.
27.
28.
29.
30.
31.
32.
33.
34.
All items have been submitted . ........................................
Plot plans, 3/4 sets, signed by preparer of plans . ..........................
Complete plans, 3/4 sets, signed by preparer of plans . ......................
Engineered plans and calcs, 3/4 sets, with wet signature on plans . .............
Hazardous Material Form . ............................................
Energy Design Compliance and supporting documentation . ................. .
Statement of Intent for Non -Heated and A/C Buildings.. ..................... .
Engineered truss details and layout in duplicate (required prior to plan check). ....
Mobilehome data and manufacturer's installation instructions, 2 sets. .......... .
Feesof$ ..........................................
Impact fees as shown on attached schedule . ............................. .
California Department of Forestry plan approval/fees. ......................
Flood elevation letter (100 year flood) by California Engineer . ................. .
Sanitation and plot plan approval Health Department . .............
City of Chico plumbing permit. ........................................ .
Plot plan and business license approval from City of Biggs/Gridley. .............
Planning approval for (A) Use: (B) Parking: . ........
Contact Land Development about (A) Improvements (B) Drainage. .......... .
Driveway permit (construction approval required prior to occupancy)
Pre -Inspection requ�-
Pre-inspection for required. . to Building Inspector (Date)
Contractor's license information. (No., Name Style, Classification) . ..............
Certificate of Workmans Compensation Insurance . ..........................
Owner -Builder Verification (Given to owner , Mail to owner _) ............ U
Recorded copy of Agricultural Acknowledgement Statement . ..................
Letter of signature authorization . ........................................
Copy of recorded deed of parcel creation and 60 right of way to a public road. .... .
Letter of intent on building use . .........................................
Mobilehome utility clearance . ......................................... .
Documentation of legal access . ....................................... .
Documentation of 50% subdivision developed or (A) Road improvements completed
and (B) Parcel meets zoning area and frontage requirements . ...............
Existing violations/expired permits. ......�: .............................. .
Plan check list . .....................................................
When you issue the permit, process as follows: Mail to owner. Mail to contractor.
Telephone and hold for pickup at office. Deliver with inspector.
Other i i
Parcel Creation C
Acreage Applicant 4
/a��zDate q
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
COUNTY OF BUTTE - Department of Public Works
7 County Center Drive, Oroville, CA 95965 Phone: 916-538-7541
OWNER -BUILDER VERIFICATION
Attention Property Owner:
An 'owner -builder" building permit has been applied for in your name and bearing
your signature.
Please complete and return this information at your earliest opportunity to avoid
unnecessary delay in processing and issuing your building permit. No building permit
will be issued until this verification is received.
1. I personally plan to provide the major labor and materials for construction of
the proposed property improvement (yes or no)
2. I (have/have not) A Q� e_ 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 &66er
Date 9 Z
NOTE: This Owner -Builder Verification is sent to you as required by Sections 19831 and
19832 of the California Health and Safety Code.
This verification must be completed and returned to our office before we are per-
mitted to issue the permit.
t0b ;
COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS
7 County Center Drive - Oroville, California 95965 - Telephone: 916/538-7541
APPLICATION AND PERMIT
PERMIT NO.
r
ASSESSOR PARCEL NUMBER
28-27-152
ZONING
_
BUILDING PERMIT
OWNER
JOAN KOWALSKI
TELEPHONE
589-5625
SO. FT. CC. BUILDING VALUAT ON
�--
OWNER'S MAILING ADDRESS
855 DUNSTONE DRIVE OROVILLEi�
CONTRACTOR'S NAME
OWNER
TELEPHONE
CONTRACTOR'S MAILING ADDRESS
Fireplace "At' 1,500
CONSTRUCTION LENDER
NQNF
VNKNOWN
Total Valuation
Filing Fee
,$ 10,00
LENDER'S MAILING ADDRESS
Permit Fee
$
ARCHITECT OR ENGINEER
LICENSE NO.
Plan Checking Fee
$
Energy Plan Checking Fee
$ 1 9..0
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Penalty
$
BUILDING ADDRESS
855 DUNSIONEDRIVE
Permit fee
$
PLUMBING PERMIT Filing Fee 10.00
Each Trap inj
2.00
Solar or heat pump water heater
20.00
LOT NO.
SUBDIVISION NAME PARCEL MAP
/--2-7
Water piping
5.00 QQ
Each qas water heater or vent
5.00
USE OF STRUCTURE
SF] Duplex❑ Mobilehome❑ Other
SPECIFY
Gas piping system 1 - 5 outlets
5.00
Building sewer
5.00
Mobile Home S I G I W
10.00 ea
TYPE OF WORK
New 0 Addition ❑ Remodel ❑ Utilities ❑ Installation❑ Other ❑
Describe work: 3 BDRM
Permit Fee
$00100
Contractor
ELECTRICAL PERMIT
Filing Fee 10.00
Main service 100v OR LESS
100 AMP OR LESS
10.00 10.00
Main service EA. ADD'L 100 AMP
2.50
CONTRACTORS LICENSE LAW
I declare under email of er ur cecone .
penalty p I y hk ( ):
El am licensed under provisions of Chapt. 9, Div. 3 of the BuSIneSS
nd 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. / DWELL INGo
OR ADDNS. C ACC.BLDG
, �z�SQft
NEW CONSTR.ULTI-OUTLET
NON•RESID BRANCH CIRC ITS
2,50 ea
POWER APPARATUS &)
SINGLE OUTLET CIR.
Ex, OCCUp(OUTLETS OR FIXTURES
nAL&ALe30 2
ao
FIXED APPLNS. OR
Ex. Occup. OUTLETS (RESID,) EA.)
2.00
Temporary service
10.00
Mobile Home Facilities
15.00
Misc. Wiring
15.00
Permit Fee
$
Contractor
0 Fig
W,7 -
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
cE�,eertificateof Workmen's Compensation Insurance or a Certificate
onsent to Self -Insure.
all not employ any person in any manner so as to become subject
to the W. C. laws of California.
Notice to Applicant: If after making this statement, should you become subject
to the W. C. provisions of the Labor Code, you must forthwith comply with such
provisions or this permit shall be deemed.revoked.
MECHANICAL PERMIT
Filing Fee 10.00
Heating
6.00
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
I 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 con equence of th granting of this permit.
%G" ' � Date Z
Signot a of Applicant – Owner(Z Contractor ❑ Agent ❑
An OSHA permit is required for ex ovations er 5'0" deep and demolition or construct-
ion of structures over 3 stories i i t.
Mobile Home Installation Fee $
Energy Inspection Fee $ 30
_�
coN PE
-
TO F E
HAz.
cuA PARK
sc
Fri
CDF
PAR
✓
PD
I Ho ssu
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.
D) OF PUBLIC WORKS
B Date _ ZZ
PERMIT EXPIRES Date 47 — Z7 17Z7-
i
/"
Receipt No. �lD d?—
WNITE-D.P.W., YELLOW-ASSCSSOR. PINK-INSP OR, GOLDENROD -APPLICANT
I
4
BUTTE COUNTY SCHOOLS'DEV;ELOPMENT FEE CERTIFICATION FORM
One F8§64pTer 'Building )
A. P. Number / � Buildirig Department No.
School DistrictCity [:] CountylR�]' Jurisdiction
Property Owner 41y Kowlil:slel
Project Location/Address (//i/57o/4)ilOr 61/10
Subdivision Lot Number
Residential Development:'
a a a Sq. Footage 20�Q
# of Living MHI Addition (Group R)
Units
Commercial/Industrial:
New
a"Sq. Footage
Addition (Including Exterior
Roofed Areas)
Dade
(Floor Plans reviewed by School District Personnel)
r'
District Id No.
lsl I/a O a,� School District certifies' that
Applicant Name
Street Address
ty
-(Phone Number)
State) -(Zip Code)
has .complie.d with the requirements of Resolution No. ��j�J()- Q C.
GD
..by the p yment of $ ,3/cj/ representing square feet.
-7
4 School D/rict Representative Date
PAID BY CHECK NO.
BANK NO 3
REMARKS:
PAID BY CASH
'V,hite-applicants;° yellow -building depattment, pink -school -district
SCHOOL.FEE (8/88)
COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS - BUILDING DIVISION
7 COUNTY CENTER DRIVE +OROVILLE, CALIFORNIA 95965 - TELEPHONE: 916/538-7541
PERMIT AP',PIACATION DAT_,A SHEET
) Permit No.
OWNER dAN ,(�c�JA lSK 1 A. P. No.
Proposed Building Use 5 �2 Building Inspector KID Date 55Y q�
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' tion
instructions.
10. Fees of $
11. Chico Urban Area fees paid ...........................
13. Park fees pt/::5m /a /�........ . f ....... .p 2
S hoot District fees pai 7 �
14. Sanitation approval from d v /�E'- Health Department 9
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 1 (Date)
21. Contractor's license information (No., Name Style, Classifications ...
22. Certificate of Workmans Compensation Insurance .................. i
23. Owner -Builder Verification (Given to owner ❑, Mail to owner o) .....
24. Re c rded copy of Agricultural Acknowledgment Statement .........
ter of signature authorization ......... ........... .
kO
Wen you issue the permit, process as fol-1,Qws: Mail to owner. Mail to contractor.
---A/Telephone�=2SWand hOtbd for pickup at 0 �uv1�e, Deliver w/inspector.
Other
Appl icant_/*_Date (?1-91104
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
1. Index permit for above"Items No. //O. f�
% _ a.
it iss`uanc : (Circle new item not checked above).
Contractor, design , was advised of above required data by_one__jrnail_counter byz/L_date
Contractor, designer, owner, /was advised of above required data by—phone _mall—counter
Plans checked by
4,j�Date! L5 1 Plans approved by
:Llls,ets n on hol�j i vFile cabinet
Copy—DPW
AP folder
_ date
Date "v�J
7 )
TO: Building Department
FROM: Encroachment Permit Section
RE: Driveway Clearance
44 L
s _.o
owner location AP T ;
Driveway permit
n b
sign re
has been issued for the above property.
date
TO Buildina Department
FROM: Environmental Health
SUBJECT: Sanitation Clearance
_.r Owne Location AP#
Plan Approved for:
Hold final for:
^anal clearance O.R. for:
Sewage Disposal
Clearance for :� bedroom Aebd&e home. Other
NOTE ***
Water Supply
Ok-
Water Supply
Water Supply
�- Date
Sanitarian
M
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II
COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS
7 County Center Drive - Oroville, California 95965 - Telephone: 916/538-7541
APPLICATION AND PERMIT
PERMIT NO.
ASSESSOR PARCEL NUMBER
ZONING
BUILDING PERMIT
OWNER TELEPHONE
j</� _ ` S i 562 —562-3
OWNER'S MAILING P,q-.:PF,�^ /� 5 23
s5'` p0:�STOn► p2-71
CONTRACTOR M TELEPHONE
So FT OCC. BUILDING VALUATION
"--� O
C
IU
CONTRACTOR'S MAILING ADDRESS
Fireplace
CD
CONSTRUCTION L NDERR
UNKNOWN
Total Valuation $
0
Filing Fee
$ 10.00
LENDER'S MAILING ADDRESS
Permit Fee
$14 6>0r 0
ARCHITECT OR ENGINEER
LICENSE NO.
Plan Checking Fee
$
Energy Plan Checking Fee
$ -Q
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Penalty
$
BUILDING ADDRESS
FS -5.5 d AJO/?, 0 r?
Permit fee
5 S
'
PLUMBING PERMIT
Filing Fee 10.00
0/4
Each Trap
Al2,00 0-0
Solar or heat pump water heater
20.00
LOT NO.
SUBDIVISION NAME PARCEL MAP
Water piping
5.00 S, r7CI.
Each qas water heater or vent
5.00 00
USE OF STRUCTURE
SFl�T Duplex❑ Mobilehome❑ Other
SPECIFY
Gas piping system 1 - 5 outlets
5.00 1 57.00
Building sewer
5.00 15.00
Mobile Home S I G I W
0.00 ea
TYPE OF WORK
New V Addition ❑ Remodel [:1 Utilities [IInstallation❑ Other ❑
Describe work:
Permit Fee
$ 02
Contractor
ELECTRICAL PERMIT
Filing Fee 10.00
Main service e00V OR LESS
100 AMP OR LESS
10.00 r
Main service EA. ADO'L 100 AMP
2.50 I ,5
CONTRACTORS LICENSE LAW
declare under penalty of perjury (check one):
❑ I am licensed under provisions of Chapt. 9, Div. 3 of the Business/POWER
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)
❑ 1 am exempt under Sec. Business and Professions Code
for this reason
NEW CONST. DWELLING 0 P.
OR ADONS. ACC. BLDG3.
,�20sg ft. .�
NEW CONSTFLULTI-OUTLET
NO N.R ESID BRANCH CIRC ITS
2.SOeal
APPARATUS a)
(SINGLE CUTLET CIR.
Ex. OCCUp(OUTLETS OR FIXTURES
ewL9.oc 3Ctl
FIXED APNS
Ex. Occup. OUTLETS ,PRESID )REAJ
2.00 i I
Temporary service
10.00
Mobile Home Facilities
15.00
Misc. 6yirin '
g
15.00
Permit Fee
$
WORKMEN'S COMPENSATION INSURANCE
I declare under penalty of perjury (check one):
❑ The permit is for $100.00 (valuation) or less.
❑ I have placed on file with the County of Butte Building Department
a Certificate of Workmen's Compensation Insurance or a Certificate
of Consent to Self -Insure.
❑ I shall not employ any person in any manner so as to become subject
to the W. C. laws of California.
Notice to Applicant: If after making this statement, should you become subject
to the W. C. provisions of the Labor Code, you must forthwith comply with such
provisions or this permit shall be deemed revoked.
Contractor
MECHANICAL PERMIT
FiIingFee 10.00
Heating
,00
Cooling 3 Tv A.)
U
Hood
3,00
Ventilation
IS,Ob
3, 3. OU
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
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 over 3 stories in height.
Mobile Home Installation Fee $
Energy Inspection Fee $?j0 0�
occ CONST TYPE %��/ 5—
TOTAL FEE $ / 1
HAz i CUA I PARK I �cHL I FLO I CDF PAR PO ; .40. ISSUE
This permit is hereby issued unser
sions or the Butte County Code and/or
work indicated above for which fees
DIRECTOR OF PUBLIC
8y
PERMIT EXPIRES Date
the appl)caole provl-
resolutions to do
have been paid.
WORKS
Date
q
Receipt No. 973Sy °� <5�
NNITE-O.P.W.. TCLLOW-Ase ESSOR. PINK -INSPECTOR. GOLDCNROD-APPLICANT
COUNTY OF BUTTE - Department of.P.ublic Works
7 County Center Drive, Oroville, CA 95965 Phone: 916-538-7541
OWNER -BUILDER VERIFICATION
Attention Property Owner:
An 'owner -builder" building permit has been applied for in your name and bearing
your signature.
Please complete and return this information at your earliest opportunity to avoid
unnecessary delay in processing and issuing your building permit. No building permit
will be issued until this verification is received.
1. I personally plan to provide the major labor and materials for construction of
the proposed property improvement .(yes or no)
.2. I (have/have not), f7 U 6^e— signed an application for a building permit
for the proposed work.
3. 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 N mber _-
Date
NOTE: This Owner -Builder Verification is sent to you as required by Sections 19831 and
19832 of the California Health and Safety Code.
This verification must be completed and returned to our office before we are per-
mitted to issue the permit.
�N
RESIDENTIAL PLAN CHECKING GUIDE
(S.F., DUPLEX & MISC. ONLY)
OWNER �sowr4Gs��
GEN E RLX An Lu
oning requirements: (sideyards and number
Valuation. 6oJZ26LTED
'plans signed by designer.
-PP�rMer description of work on application.
'5 -Existing violations on property.
Bldg. Permit #
A.P. # 09-
Plan Checker
of permitted living units).
8/91
Items on data sheet. (W.C., fees, Health, Developer Fees, License law, etc).
-?:--Recorded notice of violation.
PLOT PLAN
14Complete parcel size and dimensions.
4_��etbacks, sideyards, easements, etc.
34, Other buildings or structures.
Flood
ading, fills, drainage.
hazard.
Special conditions on creation map,
7\ustible, and foundations).
\FAU & FAS road setback.
(noise, CDF, fire sprinklers, non -comb -
8. lding or utilities across lot lines (Record form).
FLOOR PLAN
�. '< omplete to scale plan with;dimensions..
1,40 uirea windows for light and ventilation (Sec. 1205).
Required windows for second exit (Sec. 1204).
_4+ 7 S g is (Chapter 34 & Sec.' 5207).
5 u impact glass (Sec. .5406).
6 Gequired room sizes, ceiling heights (Sec. 1207).
.. s in baths, garage,`kitchen.,,and exterior outlets (Article 210-8).
.sa ' ties, receptacles, and extefior receptacles for main-
Light`.fixtuies,
nance of'mechancal equipment..
Loc V ons of water heater, heating'and cooling equipment, other'electrical
• gas equipment. ' .
1 rage firewall, door size, and closer (Sec. 503(d)(3)).
1 .. 13'0".exterior exit door (sec. 3304 (f). ' ' '
12. re -ace'and'wood,stove'location, alcoves, and clearance.
13'/ S e detectors (Sec. 1210). ' ' 1,
1�umbing fixtures, water closet clearances and shower size'. -
STRUCTURAL DETAILS
Standard bracing or engineered design (Table 25V) '
mal shape, size, or split level house requiring lateral design.
8`C er�ory requiring balloon framing and/or engineering.
reestory building requiring engineered calculations and plans.
e
dation plan complete enough to construct building.
r construction details complete enough to construct building.
ations and wall construction details complete enough to construct building
construction details complete enough to construct building.
17--Prreplace construction details and calcs if necessary.
1�!R ter ties or bearing ridge beam.
arage'door or porch header sizes. . F� S ;
1 V. 'Stud heights. '
. Adobe soils - special foundation design.
1 Retaining walls requiring design.
15. Special Inspection required.
8/91
RESIDENTIAL PLAN CHECKING GUIDE
MISCELLANEOUS ITEMS TO LOOK OUT FOR
]Stairway details: landings, rise and run, head clearance, handrails
(Sec. 3306).
-2 --guardrail details (Sec. 1711 & 3306(j).
3--tri6—or stone veneer (Chapter 30).
rterior—plaster - weep screeds (Sec. 4706).
5. groper roof pitch for roof convering (Chapter 32).
Roof covering type - (fire hazard).
'-�: sm inmost lation - protection.
36" halls and stairways.
iving area over garage - complete 1 -hour separation required on garage side
inclu upporting walls and posts, etc.
19Twe s on three-story dwellings (sec. 3303 & see Mezannines - 1716).
IYI"-Attic access and ventilation (Sec. 3205).
-1- rfloor access and ventilation (Sec. 2516).
13 ombustion air for fuel burning appliances - L.P.G. requirements.
requirements on duplexes.
VEnerg
1y design.
lashing at all exterior openings.
"_zsponsible area requirements.
/30IR/
F
MI
'p F.
NS -
1► PLN .
TO
EE2
ASLOW
1. Ceiling Insulation
R-0
46
38
R-11
Number
of stories
R•vaiue
One
Two
Three
R-0
.103
-49
. .
RI
R-0
.4
.2
09
R30
R-11
0
0
R38
0
0
0
U -value
0.04
-90
0.02
0.50
-176
-84
-54
0.30
-102
•49
32
0.10.
-26
-13
-8
0.08
-18
-9
-6.
O.C6
-11
-5
-4
O.C4
-4
.2
.1
0.02
_ -4 i(
2
.1
z
0.00
11'
5
3
2. Wall Insulation
R-0
46
38
R-11
Single-
Single.
-3
-17
R-30
Fam,ry
Family
Multi -
R -value
Oetacied
Attadhed
Family
R-0
-68
-51
34
R-11
0
0
0
R-13
2
2
1
0.04
-90
0.02
-26
0.00
One
TWO
.•0.80..._,.__153...
-_0.50 -
- 14 -- ---76
.: __...
0
8
' -91
-68
-A8
0.30
47
v"s
.24
0.10
011
o
0
0.08
4
3
2
0.06
9
7
5
0.04
14'; -
11 ' i
7
j 0.02
19
14
10
_ .0.00
24
18
12
••
2S
4
•15
:•-•3. Raised Floor Insulation
R -value
hmiation in Floor.
Number of stories
One Two Three
-17 6 -S
-3
0 0 0
3
444
-t 20
R-0
46
38
R-11
-46
34
R-19
-3
-17
R-30
.12
14
-5
_ U-vaiue
6
----0.60
4
10
0.50
9
.
0.40
3
0.30
.4o
0.20
50
0.10
-1
0.08
-24
0.06
4
0.04
-90
0.02
-26
0.00
hmiation in Floor.
Number of stories
One Two Three
-17 6 -S
-3
0 0 0
3
444
-t 20
.70
-58
46
38
-95
-69
-46
34
Sb
-3
-17
- -21
~ -8
.12
14
-5
-11
6
-4
4
10
5
9
Controlled Ventilation Crawispaee
' .
-As
Number of stories
fid
R -value
One
Two
Three
R-0
-11
.41 to
.31 to 0.30 <
R-5
-4
-4
3
-. R-11
.4o
'less
50
R-19
-1
2
-24
4. Slab Fdge Insulation
4
40
-90
Number of Stories
-26
R -value
One
TWO
Three
• R-0
R-5
0
8
0
5
0
1
R-7
8
6
3
F2 facztr
-13
-4
d
0.90
-t
3
-1
0.80
0.70
.1
2
, .1 '
2 "
0
1
0.60
6
4
2
0.50
9A
•t • t
-
.'3
0.40
12
8
4
S. Intltration (Air Leakage) "
Spetifraeon Points
6. Glass Heat Loss
Total
' .
-As
S9
fid
U -value
East
Percent
:West
Skylight
.51 to
.41 to
.31 to 0.30 <
Glass
Single
Double
.60
.50
.4o
'less
50
-121
-53
-39
-24
-10
4
40
-90
37
-26
-14
3
8
35
-75
-29
-19
-9
1
10
30
S1
•21
-13
-4
d
12
29
-58.
•20
.12
.3
5
12
28
-55
-18
•10
•2
5
13
27
-52
-17
-9
.2
6
13
2S
-49
•15
_8
.1
7
14
25
-46
•14
•7
0
7
14
14
-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
S
0
5
10
i6
19
-29
-4
1
6
11
16
.--18..:..-26
-9
3
-2
-7
12
16
17
-23
-1
3
8
12
17
i6
-20
0
4
9
13
17
..-.is
.17
1
6
10
14
17
14
-14
3
7
10
14
18
13
-12
4
8
11
15
18
12
-9
120
9
12
15
19
11
S
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)
Efrcetive Pereettt Clan
0-reeot glass x SC)
Effed"
-14
-As
S9
fid
%Glass North
East
South
:West
Skylight
18 5
1
4
1
na
16 .--..4-2.
-A6
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
-14
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
43
-4
-r
0
na = not allowed
3
4
3
0
8. Shading (Shade Closed)
ERective Percent Class
. (Pea i 8iase x SC)
Edecliv6
%Glass North Etat - Soadt -Wen Skylight
18
-14
-As
S9
fid
rta
16
•12
-42
-59
-55
na
14
•10
35
-50
-A6
na
12
-8
-29
-0
37
na
11
-7
•26
36
33
na
10
3
.23
31
-29
-74
9
•5
-20
-27
-25
35
T 8.
r, -5 -
.17
• -23 •
-21
•56
7 ' r *•4 -
-14'
-19
-18
-47
6
3
-11
_15-
-14
38
5
_
•2.
.9
-11
-t0
.30
4
-1
3
3
-7
-23
3
0
-4
-5
-4
•16
2
1
t
2
8.5 7 10
9
13
14
15
43
17 14
12
0
2
3
4
3
0
.e - .,..• A-_4
.12
-10'
8
ERerNve SEER
9. Interior Thermal Mass
Interior Slab Floor
Raised Floor
Mass Sbries
F
Masa Att c ed
LiuN
Stories
Family
JCFA One Two
Three
One
Two
Three
0.0 -8 -5
.4
.2
-1
.1
0.1 -8 5 3
V43) f 7,: �j-2,\
2
1
c0'
0
`.1
0
1
03 S` 3'�
0.7 -5
O A �
L'i
Jf'
Di
2
.2
-1
1•
1
2
0.9� •5.� 1 j,�{0
1110-911".
1:1%i; a„ 1o:'.U1'1
4
,fZJF,f4-
1.3 3 0 2 3
2 4
20 ey t� 2 L3Jr_!!q 5
4
5
6
5
5
7
25 0 2
3.0 1 4
5
6
1 -7
8
7
8
8
9
3.5 2
7
9
9
10
4.0 3 6
4.5 3 7
8
8
9
10
10
11
10
11
5.0 4 7
9
11
12
12
5.5 5 8
9
it
12
12
6.0 5 8
10
12
13
13
U 6 9
10
12
13
13
7.0 6 9
7.5 6 10
11
11
13
13
13
14
14
14
8.0 7 10
11
13
14
14
8.5 7 10
12
13
14
15
M Exterior Wali Thermal Mass
Wall Ettenor
Stories
F
Masa Att c ed
LiuN
Detached ti
Family
0.00 0 0
0
0.20 3 1
1
0.40 5 4
3
0.60 8 6
.4
0.80 10 8
5
1.00 13 10
7
1.20 13 12
8
1.40 12 13 -
9
1.60 10 13 ,
: ' 11-..,
1.80 10 12
12
200 10 11
13
+15
mon
.1. Heating System
-14
SE or HSPF
-8
(aswmes ducts in attic)
.4
- _ Sum of i-6
.9
-25 or -24 b-14 b 4 to
_ _
+6 to 16 or
SE HSPF less -15 -5 +5
+15 mom
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
095 8.71 20 18 15 13
11 8
Effective SE or HSPF
(SE or HSPF x duct eirrdency)
Effective -25 or -24 to -14 b -4 to +6 b 16 or
SE HSPF leu -15 S +5
+15 more
0.30 275 , .73 34 -56 -47
38 30
na 3.41 45. e39 -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 O.a 0 0 0
0 0
0.60 5.50 5 5 4 ;.3
2
0.70 6.42 17 15 13 11
9
_
0.80 7.33 25 22 19 -�16 •
"-;,0
13 0
0.90 8.25 .32 28 24
17 13
1.00 9.17 ' 37 32 28 24
19 15
Zonal Control Adjustment
System Type
iesismnce 00 9 7. 6 4 3
)they 6 5 4• 3 ) 2 2
12. Cooling Syst•:m
Eatertor Wall Maas
Stories
R -v (
U -value (0.0301
SEER
SE or HSPF Due Efficiency 10.781 Effective SE or
One -5
.44
or
3
(&=met ducU
In aWe)
Two + 3
3
.: �
2
Sim of 7-10
2
1
Sia le-Fam
E 11T
-25 or ,24 b ►14 In
-4 to
+6 b
16 at
SEJ:R
.less
•IS 1 S
+5
+15
mon
8.0
-14
•12 -10
-8
S
.4
. 8.5
.9
-7 -6
-5
.4
a
8.9
•5
•4 .4
-3
-2
.2
9.0
,4
3 3
-2
.2
-1
9.5
0
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
0
43
17 14
12
9
6
.13.0
-6
WS3
-25
-16
.12
-10'
8
ERerNve SEER
-18
_-12
.9
(SEER x3nd efflcieae7)
-6
IG None
.5
%a of 7.10
-2
•2
-2
Effective -25 or -24 to -14 b
-4 to
+6 b
16 or
SEER
less
-15 S
.
a5
+15
more
5.0
30
-25 -21
•17
-13
-9
6.0
-12
-11 -9
.7
S
-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 i6
13
10
7
11.0
26
23 19
15
12
8
120
2a
26 22
18
14
9
13.0
33
29 24
20
15
10
Zonal Control Adjustment
10 8 7 6 4 3
No Coolirr System Lutalled
Eatertor Wall Maas
Stories
R -v (
U -value (0.0301
or
SE or HSPF Due Efficiency 10.781 Effective SE or
One -5
.44
or
3
-2
-2
Two + 3
3
.: �
2
2
2
1
Sia le-Fam
E 11T
Detached and
Attached
Unit Size (so
Water
:149
120.''
1700
2200
2700
Heater Credit
or •
b
to
to
: or
TYPO TYPO
less
1699
2199
2699
more
SG None
0
f 0
0.
0
0
or Solar
12
8
6
5
4
HP HWR
8
5
4
3
3
WS8
5
3
3
2
2
POU
8
5
4
3
3
SE None
37
-24
-18
-15
42
- Solar
-1
.1
-1
0
0
HWR
-18
-12
-9
.7
-6
WS3
-25
-16
.12
-10'
8
POU
-18
_-12
.9
-7
-6
IG None
.5
-3
-2
•2
-2
Solar
7
5
.4
3
1157.
POU
3
2
1
1
1
IE None
.28
-t9
-id
.11
•9
Solar
8
5
4
3
3
POU
-10
S
-5
.4
3
Multi-Famlty Ondlvfduat
units)
4.8
S
Una Size (sl)
• 0.2
Water
699
700
1200
1700
2200
Heater credo
at
b
to
to
or
Type TYPO
less
1199
1699
2199
man
SG None
0
0
0
0
0
or Solar
14
7
5
4
3
HP HWR
9
5
3
2
2
WS8
9
4
3
2
2
POU
9
5
3
2
2
SE None
-45
-23
-15
-11
-9
Sown
2
1
1
0
0
HWR
-23
-12
-8
Z8
5
Wss
-25
-13
-8
3
.5
-EDU
_23
•12
-8
-6
•5
IG None
-8
-4
.3
•2
i .2
Soiar
6
3
2
1
1
POU
1
0
• 00
36
0
IE None
_"o
15
-10
3
-6
Solar
O
IS
S.7
6
'
d
U
a -4
13
1.7
•2
-2
rom system bummary: t;llmate Gone 11
SCORE CARD
I. Ceiling Insulation
2. Wall Insulation
3. Raised Floor Insulation
4. Slab Edge Insulation
S. Infiltration
6. Glass Heat Loss
7. Shading (Shade Open)
a. North
b. East
C. South
d. West
e. Skylight
S. Shading (Shade Closed)
a. North
b. East
C. South
d. • West
e. Skylight
9. Interior Thermal Mass
Measures
Eatertor Wall Maas
- 3o or
R -v (
U -value (0.0301
or
SE or HSPF Due Efficiency 10.781 Effective SE or
R -value (111
U -value (0.0981
or
=
191
171terior MassICFA
or
,Ti5
6 ,
F2 factar 10.771
Standard
Type (doublel
1.1 -value [0.651
t t. •w•c•.. i r
leap.ra.. .met
t TTPe 1
PASS
(UW b 4-2.
108
*zP03ed slap)
0%
5%
10%
13%
20% 2S%
30%
35%
40%
43%
`5o% S%
60%
Ott.
711%
73%
60%
0%
0076
95%
1001: 105%
-1.9
110%.
1157.
120x
1I5`
0%
0
42
0.4
0.6
0.8
1.1
12
iS
1.7
Zi
Z3
IS
27
29
• 12
14.
16
3.8
4
42
4.4
-4.8
4.8
S
toy
• 0.2
0.4
0.6
0.8
1
1.2
1.4
1.6
1.9
Zl
Z3
IS
77
19
11
'13
15
17
4
4.2
4.4
4.6
14.8_
S
52
53
5.4
20%
0.3
(16
0.6
1
1.2
1.4
13
1.8
2
22
24
27
Z9
31
23
15
17
19
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
u
L4.
26
Z8
3
32
3
37
1
39
41
4.3
4.5
4.7
4.9
S.1
5.3
So
So
40%
17
"
1.1
12
1.5
1.7
to
22
Z4
26
Z6
12
14
36
16
4
l3
4.5
4.7
l9
5.1
5.3
IS
S.7
59
50%
0.9
U
12
13
1.7
19
Zi
Z3
23
Z7
3
32
14
U
18
4
42
l4
4.6
4.8
i1
5.3
55
S.7
i9
6.1
55%
19
1.1
1.4
1.6
1.8
2
22
Z4
Z6
28
3
32
15
17
19
li
43
4.5
4.7
4.9
S.1
53
56
IS
6
6 2
60%
1
12
1.4
1.7
1.9
Z1
Z3
2.5
21
29
31
13
1S
38
4
l2
l4
4.6
4.8
S
52
5.4
5.8
5.9
6.1
63"
65%
1.1
U
1.S
1.7
1.9
Z2
Z4
26
26
3
12
14
36
i8
4
4.3
AS
4.7
4.9
51
33
55
5.7
5.9
6.1
64
70%
1.2
1.4
1.6
1.8
2
22
2S
27
29
11
33
33
17
11
4.1
43
46
l8
S
5.2
5.4
S.6
So
6
6264
75%
12
13
L?
IJ
It
23
IS
Z7
3
32
14
20
36
4
42
4.4
l6
l8
5.1
13._
SS
it
19 .
5.1
6.3
65
607.
1.4
1.8
1.9
2
22
24
26
28
3
13
SS
17
19
4.1
43
45
4.7
to
5.1
S.4
So
5.8
6
62
64
66
657
907.'
1.4
1.5
1.7
1.7
1-2
2
It
22
Z3
Z4
IS
Z6
Z7
Z6
29
it
13
3.3
it
4
4.2
4.4
It
4.8
S
52
S4
S.6
59
6.1
63
65
67
95%
1.6
.1.8
2
22
IS
Z7
Z9
3
11
12
33
14
33
16
17
18
19
It
11
42
4.3
4.S
4.6
4.7
4.8
l9
it
53
.5.5
17•
5.9
&2
64
66
66
100%
1.7
U
It
2.3
15
26
3
32
1A
16
18
4
42
l4
It
4.9
S
U
5.2
52
5.4
5.6
18
6
6.2
6.4
6.7
6.9
SS
17
19
41
6.3
6.5
6.7
7
105%
1.8
2
Z2
24
2.6
28
3
13
33
17
19
4.1
4.3
43
47
4.9
it
14
so
5.8
6
6.2
&4
6.6
So
7
1107:
1.9
21
2.3
IS
77
29
11
13
16
3.8
4
4.2
4.4
4.6
4.8
S
S2
5.4
5.7
5.9
&1
6.3
6.5
6.7
69
1.1
115%
120%
2
2
U
23
Z4
IS
26
27
Z8
Z9
3
11
12
14
16
164.1
l3
4.S
4.7
4.9
ii
13
i5
5.7
5.9
6.2
64
6.6
6.8
7
7.2
125%
It
23
2:5
28
3
12
13
14
15
36
17
36
19
4
4.1
4.2
l4
4.4
4.6
4.6
4.6
49
S
11
52
13
14
5.6
SO
6
&2
6.S
6.7
6.9
7.1
73 ;
55
5.7
5.9
&1
&3
63
6.7
7
7.2 •,7.4:�
rom system bummary: t;llmate Gone 11
SCORE CARD
I. Ceiling Insulation
2. Wall Insulation
3. Raised Floor Insulation
4. Slab Edge Insulation
S. Infiltration
6. Glass Heat Loss
7. Shading (Shade Open)
a. North
b. East
C. South
d. West
e. Skylight
S. Shading (Shade Closed)
a. North
b. East
C. South
d. • West
e. Skylight
9. Interior Thermal Mass
Measures
Eatertor Wall Maas
- 3o or
R -v (
U -value (0.0301
or
SE or HSPF Due Efficiency 10.781 Effective SE or
R -value (111
U -value (0.0981
or
=
191
U -value (0.0371
or
,Ti5
6 ,
F2 factar 10.771
Standard
Type (doublel
1.1 -value [0.651
% Toul Glau 1161
% Gti/��� C • Eff.. % Glass
Dom- x=�
O• x = O,
0
17
Sum 1.6
g'o GSC Eff. 3'o Glass
x t l06 = _01,7
O, x
g• x
O x = f3 • Z
X
_Lo D i TYPE 1 MASS AREA _ t
IneriorMUSJUA COND. FLOOR AREA
10. Exterior Wall Mass TYPE 2SSR AREA g ^
NO.
L9
OAREA
Str10
i D
Eatertor Wall Maas
11. Heating System
/.0 = 7 -Z-
Zonal
Zonal Control? ( Y / N)
SE or HSPF Due Efficiency 10.781 Effective SE or
s .
10.771661 HSPF (0-W5.151
;1C
12. Cooling System
=
Zonal Control? ( Y / N)
s Duct Efficicncy (x741 Effective SEER (7.031
13. Water Heating
6 ,
Type [SG1 • Credit (naoej
Str10
i D
Leruricace or t,;ompudnce: xesiaenuat
Talo
NST6 MIM
Documentation Author Telephone
BUILDING DATA
Conditioned Floor Area 20 ZO
: Slab/Raised Floor
[ Ingle Family Detached (SFD)
[ ] Single Family Attached (SFA)
(J Multi -Family (IvfF)
I
iiimate Lone 1-L
z9Q- 4
Buildin it.0
A F- - . ��-�f .
Checked By / Elates
Enforcement Agency UseOnhy
Glass Area °5 G
B UU,DING SHELL INSULATION
Component Insulation Locationic-onirnents
Type R -Value (attic, to garage, =i_z, etc,)
Wall ..............
Wall ...........
«.
Roof .............
Roof ...........«
Floor .............
Floor .............
Slab Edge.....
GLAZING Shading Deyices
Glazzin g Area Glass Type Interior Exterior Overhang Framing Type
Orientation (sf) (single. double) (Jolla blind, etc.) (shadescrecn, etc) (yesMo) (mew/wood)
NOr-Ih ( ) i MEL.
North ( )
East ( )
SouUh ( ) ME
Sou th ( )
West
West ( )
Skylight.......
THERMAL MASS
Type/Covering Area Thickness
(slab/exposed, tile, etc.) (Sf) (inches) Location/Description (kitchen. bath, etc.)
HVAC SYSTEMS Iviinimum Duct
Type (furnace, air Efficiency Location Duct Output Manufacturer /Model #
conditioner, heat Bump) (SE, SEERMSPF) (attic, etc.) R -Value (Btuh) (or approved equal)
-71 -Z, 111 kite [=NT�
Maximum Furnace Heating Output: -Md 0 Btuh P P ^ O� / E
HOT WATER SYSTEMS Tank Manufacturer/Model # A �{ V
System Type (storage gas, etc.) Capacity (or approved equal) Soecial Features)
SPECIAL FEATURES/REMARKS (Add extra sheets if necessary)
Mandatory Measures Checklist: Residential MF -1R
NOTE. Lnwruc mudantial buildings subj = u the Standudt mum couain these measttres tegrdless of the complom=
approach used Items marked wnYl an asLcnst (•) may be stpermded "more smngrnt compiiurae requnanatet fined
On the Certificate M Compiarhoe. What this checklist u incorporated into the permit documents. the f alwea noted zMg
be conudaed by alt parties as binding minimum component performance specifications (or the mandatory mcasur"
whether they are 00" dsewhaa in the documents or on this checklist only.
D SClUrno" DESIGNU EN:MCEHFM
Building Envelope Measures
• 12.5352(a). Minimum coling insulation R-19 weighted average.
52.535MY Loose fill insulation manufacturer's labeled R -value.
• 12.5352(e): Minunnm wall insulation in framed walls R-11 weighted average (duct not apply to
ea tenor mass Walls).
§2-5352(k): Slab edge insulation - water absaeption rate no greater than 03%. water vapor
transmission rate no greater than 2.0 permhnch.
§2.5311: insulations speetiwA or insulkd meets California Emery Commission (CECT quality
standards_ Indicate type and forth.
12.5352(rk Vapor banters mandatory in Climate Innes 14 and 16 only.
§2.5317: lnfiluauon Eafrhndon Controls
L Doors and windows between conditioned and unconditioned spaces designed to limit au
leakage.
b. Doors and windows certified.
e Doors and -undoes-cadicrsaipped: all joints and penetrations caulked and sea Led
12-5352(e). Special infiltration barrier -fled m comply with 12.5351 moeta CEC quality
vAndards
12.5352(4): Installation of Fireplaces
1. Masonry and factory -built fireplaces Tuve:
L Thght fitting, closeable meal or glass door
b. Outside au intake vnth damper and control
c. Flue damper and Control
2. No continuous boning EPs pilots allowed.
HVAC and Plumbiog system Measures
52.5352(g) and 2-5303: Space conditioning equipment sizing: auacb calculations.
§2.5352(h) and 2-5315: Setback dw=r4aaan"applicable heating systems.
• 12-5316(a)- Ducts tauuuctm, installed and instdated per Chapter 10. 1976 UMC.
§2.5316(b): Ezhautt systems have damper eomtiois
§2.5314(c): Gas fucd space heating equipment las intnmiwnt ignition deviees.
12-5314: HVAC equipment, water heaters, showeriheads and flute, certified by the CEC.
§2.53520 Water honer insulation blanket (R- l2 ox grater) a combined intrrior/oaterior
insulation (R-16 or greater): fust 5 feet of pipes closest to Lank insulated (R-3 or greater).
12.5312(Eseeption It Pipe insulation on steam and steam condensate return & recireutuing
piping.
t 92.5318(d): Swimming Pod Heating
1. System has:
a. Onloff switch on honer.
b. weathcrproof instruction plate on hctter. -- -
c. Plumbed to allow for solar.
2. 75 patent thermal efficiency.
3. Pool cover.
4. Time clock.
5. Directional water inits.
t Lighting and Appliance Measures
i§2.5352tjx Lighting - 25 hsneruh au at greater for general lighting in kitchens and bathrooms.
i §2.5314(e): Gu furl appliances equipped with intermittent ignition devices.
§2-5314(a)- Refrigerators rdrigosatrx-freezers !+earls and Ouorescau lamp ballasts entified
by the CEC. Indi-te make and model number.
CONeLIANCE STATEMENT
This certificate of compliance lists the building features and performance specifications needed to comply with
Title 24. Chapter 2-53 and Mile 20. Chapter 2. Subctiapver 4. 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 trat=nit the outif cafe to any subsequent purdlaser of the building.
Designer
Name: .
TuklFurs
Addm=
Telep enc:
lic. s:
(sipattsre) (date)
Documentation Author
Namhe:
Titk/FumL
Building Owner
Nammc `
TadclFtrnc
Address:
Telephone
(si tore)V (date)
Enforcement Agency
Name:
Ac -r-
North Z Fi b.
,
Number of Stories
East el
Number of Units
South �
(] Addition Alone
west
[ ] Existing Building
Skylight- '
(] Existing -Plus -Addition
Total
B UU,DING SHELL INSULATION
Component Insulation Locationic-onirnents
Type R -Value (attic, to garage, =i_z, etc,)
Wall ..............
Wall ...........
«.
Roof .............
Roof ...........«
Floor .............
Floor .............
Slab Edge.....
GLAZING Shading Deyices
Glazzin g Area Glass Type Interior Exterior Overhang Framing Type
Orientation (sf) (single. double) (Jolla blind, etc.) (shadescrecn, etc) (yesMo) (mew/wood)
NOr-Ih ( ) i MEL.
North ( )
East ( )
SouUh ( ) ME
Sou th ( )
West
West ( )
Skylight.......
THERMAL MASS
Type/Covering Area Thickness
(slab/exposed, tile, etc.) (Sf) (inches) Location/Description (kitchen. bath, etc.)
HVAC SYSTEMS Iviinimum Duct
Type (furnace, air Efficiency Location Duct Output Manufacturer /Model #
conditioner, heat Bump) (SE, SEERMSPF) (attic, etc.) R -Value (Btuh) (or approved equal)
-71 -Z, 111 kite [=NT�
Maximum Furnace Heating Output: -Md 0 Btuh P P ^ O� / E
HOT WATER SYSTEMS Tank Manufacturer/Model # A �{ V
System Type (storage gas, etc.) Capacity (or approved equal) Soecial Features)
SPECIAL FEATURES/REMARKS (Add extra sheets if necessary)
Mandatory Measures Checklist: Residential MF -1R
NOTE. Lnwruc mudantial buildings subj = u the Standudt mum couain these measttres tegrdless of the complom=
approach used Items marked wnYl an asLcnst (•) may be stpermded "more smngrnt compiiurae requnanatet fined
On the Certificate M Compiarhoe. What this checklist u incorporated into the permit documents. the f alwea noted zMg
be conudaed by alt parties as binding minimum component performance specifications (or the mandatory mcasur"
whether they are 00" dsewhaa in the documents or on this checklist only.
D SClUrno" DESIGNU EN:MCEHFM
Building Envelope Measures
• 12.5352(a). Minimum coling insulation R-19 weighted average.
52.535MY Loose fill insulation manufacturer's labeled R -value.
• 12.5352(e): Minunnm wall insulation in framed walls R-11 weighted average (duct not apply to
ea tenor mass Walls).
§2-5352(k): Slab edge insulation - water absaeption rate no greater than 03%. water vapor
transmission rate no greater than 2.0 permhnch.
§2.5311: insulations speetiwA or insulkd meets California Emery Commission (CECT quality
standards_ Indicate type and forth.
12.5352(rk Vapor banters mandatory in Climate Innes 14 and 16 only.
§2.5317: lnfiluauon Eafrhndon Controls
L Doors and windows between conditioned and unconditioned spaces designed to limit au
leakage.
b. Doors and windows certified.
e Doors and -undoes-cadicrsaipped: all joints and penetrations caulked and sea Led
12-5352(e). Special infiltration barrier -fled m comply with 12.5351 moeta CEC quality
vAndards
12.5352(4): Installation of Fireplaces
1. Masonry and factory -built fireplaces Tuve:
L Thght fitting, closeable meal or glass door
b. Outside au intake vnth damper and control
c. Flue damper and Control
2. No continuous boning EPs pilots allowed.
HVAC and Plumbiog system Measures
52.5352(g) and 2-5303: Space conditioning equipment sizing: auacb calculations.
§2.5352(h) and 2-5315: Setback dw=r4aaan"applicable heating systems.
• 12-5316(a)- Ducts tauuuctm, installed and instdated per Chapter 10. 1976 UMC.
§2.5316(b): Ezhautt systems have damper eomtiois
§2.5314(c): Gas fucd space heating equipment las intnmiwnt ignition deviees.
12-5314: HVAC equipment, water heaters, showeriheads and flute, certified by the CEC.
§2.53520 Water honer insulation blanket (R- l2 ox grater) a combined intrrior/oaterior
insulation (R-16 or greater): fust 5 feet of pipes closest to Lank insulated (R-3 or greater).
12.5312(Eseeption It Pipe insulation on steam and steam condensate return & recireutuing
piping.
t 92.5318(d): Swimming Pod Heating
1. System has:
a. Onloff switch on honer.
b. weathcrproof instruction plate on hctter. -- -
c. Plumbed to allow for solar.
2. 75 patent thermal efficiency.
3. Pool cover.
4. Time clock.
5. Directional water inits.
t Lighting and Appliance Measures
i§2.5352tjx Lighting - 25 hsneruh au at greater for general lighting in kitchens and bathrooms.
i §2.5314(e): Gu furl appliances equipped with intermittent ignition devices.
§2-5314(a)- Refrigerators rdrigosatrx-freezers !+earls and Ouorescau lamp ballasts entified
by the CEC. Indi-te make and model number.
CONeLIANCE STATEMENT
This certificate of compliance lists the building features and performance specifications needed to comply with
Title 24. Chapter 2-53 and Mile 20. Chapter 2. Subctiapver 4. 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 trat=nit the outif cafe to any subsequent purdlaser of the building.
Designer
Name: .
TuklFurs
Addm=
Telep enc:
lic. s:
(sipattsre) (date)
Documentation Author
Namhe:
Titk/FumL
Building Owner
Nammc `
TadclFtrnc
Address:
Telephone
(si tore)V (date)
Enforcement Agency
Name:
Ac -r-
RESIDENTIAL
28-27-152 1121-91P,E
KOWALSKI , Joan
�S r Dunstone Dr, Oroville
(utilities/mh)
OFFICE COPY
Address
GAS
Meter By Date
ELECTRIC
Meter By Da
JOB FINALE
Signature
MOBILEHOME INSTALLATION ACCEPTANCE
COUNTY OF BUTTE
DEPARTMENT OF PUBLIC WORKS — 7 COUNTY CENTER DRIVE
OROVILLE„CALIFORNIA 95965 — TELEPHONE: (9116) 538-7541
_C PERMIT N0.
Address or location of mobilehome,_0-) J' 7; TLj w
Owner's name �i��✓ �4 l K� ��
Owner's address
Insignia or hud number— qR1 1�—Q
Manufacturer's name5y ,)I T5” V 1A ?rte
r
Serial number of V.I.N S`- 0 z. % 0"y
Year of manufacture`
(Official App( ping Installation) (Dote) i
i
IF THE MOBILEHOME IS MOVED OR RELOCATED, THE MOBILEHOME INSTALLATION
ACCEPTANCE SHALL BECOME INVALID. THIS FORM SHALL NOT BE USED WHEN THE
MOBfr_EHOME IS INSTALLED ON A FOUNDATION SYSTEM.
7 v
1 i
r513B
N
White - Owner, Yellow - Installer, Pink - D.P.W.
l
r
J=OK
0 N6 OK
Not
Not Readyable MOBILE HOMES
Date MOB( E HOME UTILITIES Plans OK except #'s
oning Requirements -Setbacks -Easements
Soils; Special MH Support Sketch
er: Location -Test -Fall -C/O Concrete j
ater Location -Test -Easement Needed (Sketch)
iectricity: Location-Clearances-Gmd-/ /Amp -Concrete
_i_4
�T j -Wrap: / /"L"tt. I
/ /" a. or "ft./ /"LPG
tility Clearance i
Date Card B- Date Card B-1 t
Date Card B-1 Date Card B-1 j
Date MOBILE HOME INSTALLATION (Plans) OK except #'s l
.-Zoni g Requirements -Setbacks Easements r
mgs; Size -Spacing -Marriage Line j
Gas; MH Test-Demand-Valve—Connector
ectricity; MH Test -Crossovers -Breakers -Clearances
rain; MH Test -Fall -Flex Connector I
SYWtreI: MH Test -Regulator -Connector
-7-'Water and Sewer Connected -C/O to Grade -HD Approval 1
Cert. of Occu
w
Da Card 8- Date Card B-1
Dat Card B-1 Date Card B-1 I
• .t
4,
MISCELLANEOUS
Date DECKS, COVERS, CARPORTS, GARAGES, (PlansjOK 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 -Coonectors
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 B4 Date Card B-1
Date POOLS (Plans) OK except #s
1. Setbacks -Easements
2. Soils; Compaction -Structure Stability
3. Pool Structure; Steel -Connections -Thickness
Dead Men -Lining
4. Elec.; Receptacles and Lighting, Distances-GFI
5. Elec.; Pool Lighting; 15 volts-GFI
6. Elec.; Enclosures; Conduit Entries -Terminals -Listed
7. Elec.; Bonding; Metal w/5' -Circulating Equip -Heater
'8. Elec.; Grounding; Equip. w/5' Circulating Equip. -Pool Lghtg.
Boxes-Enclosures-Panelboards-Ins. to Main in Conduit
9. Health Department Approval
10. Plumb.; Cir. Test -Water Supply Test
Date Card B-1 Date Card B-1
Date Card B-1 Date Card B-1
'J=OK
0 =,Nof OK
)l - = Not Applicable
= Not Ready
1
RESIDENTIAL (Single & Duplex)
Date UNDERFLOOR (Plans) OK except q's
1. Zoning -Setbacks -Easements -Flood -Slope
2. Ftg., Main; Soils-Elec. Grnd.-/ /" Ftg. Depth v
3. Ftg., Garage; Soils-Steel-Elec. Grnd.-/ /" Ftg. Depth
4. Ftg., Porches & Decks; Soils -Steel-/ /Ftg. Depth
5. Stemwalls, Main; Steel -Bloc kouts-Wrapped
6. Stemwalls, Garage; Steel- 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/0 -Sewer Test
10. Gas Pipe; Size -Anchors
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. Insulation
(NOTE: An entry must be mar
Date FRAMING (Continued)
45. Hangers -Post Caps -Anchors -Connectors
46. Cing. Joist-Rftr. ties -Pu rlin -roof Brac-Truss-Shthng.-Ring.
47. Fireplace Ties or Type A Flue -Fireplace Throat clearance
48. Attic Access; Size & Romex Protection -Draft Slop -Ins. Baffles
49. Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions
50. Garage Fire Protection Framing
51. Property Line Firewali & Openings
52. Ext. Doors -One 3' -Check Garage -3rd Story, 2 Exits
53. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection
54. plywood on Roof Overhang -Attic Vents -Rafter Outriggers
55. Siding -Nailing Veneer
56. Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access
57. Glazing Area -Glass Protection -Skylights -Plastic,
58. Shear Walls; Nailing -Bolts
59. Insulation -Walls -Ceilings
60. Infiltration -Walls -Windows
Date Card B-1 Date Card B-1
Date Card B-1 Date Card B-1
Date FINAL (Plans) OK except If's
61. Ext. Steps -Door & Sidelight Protection -Landings
62. Smoke Detector
63. Furnace; Vents -Clearance -Comb. Air -Connector -
In Garage; Above Floor -Ducts -Meth. Protection
64. Bedroom Exiting
65. G.F.I. & Bath Fixtures & Tub Access -Spa
66. Elec. Trim & Subpanel; Breaker Sizes & Labels
67. Stairs & Rails
68. Fireplace or Stove; Clearances -Hearth
69. Elec. Outlets at Wood Panel; Int. & Ext.
70. Kit.Fixt. & Appliance; Grnd: Air Gap -Cooking Clearance
71. Elec. Outlets & Receptacles at Kit. Counter
72. Garage Fire Door; Swing -Landing -Closer
73. A.C. Duct in Garage -Damper
74. Wtr. Htr.: Vents -Clearance -Comb. Air-Connector-P.R.V.
In Garage; Above Floor-Mech. Protection
75. Plb.. Elec. & Mech. Equip. Listed for Location
76. Elec. Receptacles in Garage; (G.F.I.)-Romex Protection
77. Insulation -Foam -Looked in Attic ❑ Yes
78. Guard Rails & Deck Construction -Post Caps
79. Fdn. Vents & Crawl Hole Door -Drainage & Wood -Earth
Clearance Looked under Floor ❑ Yes
80. Following instld.; Drive ❑ Yes ❑ No; Walks ❑ Yes ❑ No,
Planters ❑ Yes ❑ No
81. Stucco; Brown -Finish
82. A.C. Unit; Disconnect, Electrical, Plumbing
83. Vents Above Roof; Plbg.-Appliance-Fireplace.-Clearance to
Openings
84. Water Well; Disconnect, Electrical, Plumbing
85. Exterior Elec. Trim; G.F.I. Receptacle -Underground
86. Ventilation Throughout House
87. Glass Protection
88. Corrections from Previous Inspections
89. Gas Test -Meters Tagged: Gas -Electric
90. Water & Sewer Connected -C/O to Grade -HD Approval
91. Energy Compliance Certificate -Other Certificates
Date Card B-1 Date Card B -1 -
Date Card B-1 Date Card B-1
Date Card B-1 Date Card B-1
Comments at Final:
e each time you visit iob site)
Date
Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1
Date
PLUMBING (Permit) OK except q'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 s'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. Fastners-Bond Gas & Water
27. 2 Appliance Circuts in Kitchen & Conductor Size/GFI
28. Subteed Wire Size / / ga. Cu or AI-A.C. Wire Size / / ga.
Cu or At
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
33. Smoke Detector
Date
Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1
Date
MECHANICAL (Permit) OK except It's
34. A.C. Ducts Insulation & Support
35. Vent Fan; Exhaust above insulation
36. Condensate Drain & Overflow; Size & Grade
:a
37. Furnance-Vent; Access -Comb. Air -Return Air Vent -115 outlet
38. Attic Access & 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 a'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)
43. Fire Stops; Furred Ceilings -Stairs -Chases -Tub _
44. Headers & Beam -Size & Bearinq
(NOTE: An entry must be mar
Date FRAMING (Continued)
45. Hangers -Post Caps -Anchors -Connectors
46. Cing. Joist-Rftr. ties -Pu rlin -roof Brac-Truss-Shthng.-Ring.
47. Fireplace Ties or Type A Flue -Fireplace Throat clearance
48. Attic Access; Size & Romex Protection -Draft Slop -Ins. Baffles
49. Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions
50. Garage Fire Protection Framing
51. Property Line Firewali & Openings
52. Ext. Doors -One 3' -Check Garage -3rd Story, 2 Exits
53. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection
54. plywood on Roof Overhang -Attic Vents -Rafter Outriggers
55. Siding -Nailing Veneer
56. Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access
57. Glazing Area -Glass Protection -Skylights -Plastic,
58. Shear Walls; Nailing -Bolts
59. Insulation -Walls -Ceilings
60. Infiltration -Walls -Windows
Date Card B-1 Date Card B-1
Date Card B-1 Date Card B-1
Date FINAL (Plans) OK except If's
61. Ext. Steps -Door & Sidelight Protection -Landings
62. Smoke Detector
63. Furnace; Vents -Clearance -Comb. Air -Connector -
In Garage; Above Floor -Ducts -Meth. Protection
64. Bedroom Exiting
65. G.F.I. & Bath Fixtures & Tub Access -Spa
66. Elec. Trim & Subpanel; Breaker Sizes & Labels
67. Stairs & Rails
68. Fireplace or Stove; Clearances -Hearth
69. Elec. Outlets at Wood Panel; Int. & Ext.
70. Kit.Fixt. & Appliance; Grnd: Air Gap -Cooking Clearance
71. Elec. Outlets & Receptacles at Kit. Counter
72. Garage Fire Door; Swing -Landing -Closer
73. A.C. Duct in Garage -Damper
74. Wtr. Htr.: Vents -Clearance -Comb. Air-Connector-P.R.V.
In Garage; Above Floor-Mech. Protection
75. Plb.. Elec. & Mech. Equip. Listed for Location
76. Elec. Receptacles in Garage; (G.F.I.)-Romex Protection
77. Insulation -Foam -Looked in Attic ❑ Yes
78. Guard Rails & Deck Construction -Post Caps
79. Fdn. Vents & Crawl Hole Door -Drainage & Wood -Earth
Clearance Looked under Floor ❑ Yes
80. Following instld.; Drive ❑ Yes ❑ No; Walks ❑ Yes ❑ No,
Planters ❑ Yes ❑ No
81. Stucco; Brown -Finish
82. A.C. Unit; Disconnect, Electrical, Plumbing
83. Vents Above Roof; Plbg.-Appliance-Fireplace.-Clearance to
Openings
84. Water Well; Disconnect, Electrical, Plumbing
85. Exterior Elec. Trim; G.F.I. Receptacle -Underground
86. Ventilation Throughout House
87. Glass Protection
88. Corrections from Previous Inspections
89. Gas Test -Meters Tagged: Gas -Electric
90. Water & Sewer Connected -C/O to Grade -HD Approval
91. Energy Compliance Certificate -Other Certificates
Date Card B-1 Date Card B -1 -
Date Card B-1 Date Card B-1
Date Card B-1 Date Card B-1
Comments at Final:
e each time you visit iob site)
COUNTY OF BUTTE
_ DEPARTMENT OF PUBLIC WORKS
196 Memorial Way, Chico — Phone: 891-2751
4 7 County Center Drive, Orovi Ile — Phone: 538-7541
747 Elliott Road, Paradise — Phone: 872-6307
CORRECTION NOTICE
OWN
IMIT
Z� N .
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
mai a or need additional exp)la ation, please contact this office immediately.
t
Date / Inspector
i
COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS
7 County Center Drive - Orovllle, California 9566$ - Telephone: 916/536.7541
APPLICATION AND PERMIT
PERMIT NO.
1122-91
A09fSS30 RC
28-27-152
ZQNINQ
A-5
BUILDING PERMIT
OWNER
Joan Kowalski
Te EPHONE
589-5623
SQ. FT. OCC. BUILDING VALUATION
OWNER'S MAILING ADDRESS
32 La Mirada Ave. Oroville 95966
CONTRACTOR'S NAME
Owner
TELEPHONE
CONTRACTOR'S MAILING ADDRESS
Fireplace
CONSTRUCTION LENDER
None
UNKNOWN
Total Valuation Is
Filing Fee $ 10.00
LENDER'S MAILING ADDRESS
Permit Fee $$
ARCHITECT OR ENGINEER
None
LICENSE No.
Plan Checking Fee $ 15.00
Energy Plan Checking Fee
$
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Penalty $
BUILDING ADDRESS
Dunstone Drive Oroville
Permit fee $ 25.00
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[] Mobilehomeg Other
SPECIFY
Gas piping system 1 - 5 outlets
5.00
Building sewer
5.00
Mobile Home S G W
0.00 ea
TYPE OF WORK
New ❑ Addition ❑ Remodel El utilities ElInstallationnX Other ❑
Describe work: MHI min 500
(MHU #1121-91)
Permit Fee
$
Contractor
ELECTRICAL PERMIT
Filing Fee 10.00
Main service 100v OR LESS
100 AMP OR LESS
10.00
Main service EA. ADD'L 100 AMP
2.50
CONTRACTORS LICENSE LAW
I declare under penalty of perjury (Check One):
❑ 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. (Sea. 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. OR ADONS. ( DWELLING OCCUP.NACC. BLDGS. /
)
yz2sgft
NEW CONSTR. MULTI -OUTLET
NO N•RESID BRANCH CIRC ITS
2,50 ea
POWER APPARATUS &)
SINGLE OUTLET CIR.
Ex. OCcup(OUTLETS OR FIXTURES
20®5et
eAL93o
FIXED APPLNS. OR
Ex. Occup. OUTLETS (RESIO.) EA.)
2.00
Temporary service
10.00
Mobile Home Facilities
15.00
Misc. Wiring
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.
❑ 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
t NN to the W. C. laws of California.
Notice to Applicant: If after making this statement, should you become subject
to the W. C. provisions of the Labor Code, you must forthwith comply with such
provisions or this permit shall be deemed revoked.
MECHANICAL PERMIT
Filing Fee 10.00
Heating
Cooling
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 ofocc
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 co sequence of th granting of this permit.
X Date
Signor a 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 $ 45.00
Energy Inspection Fee $
coNST TYPE 0—
T0,611- FEE $
HAz.
I CUA I PARK
sc
I FLD
I CDF
PAR
PD
1 HD.
I Iss E,
This permit is hereby issued unser the applicable provi-
sions of the Butte County. Code and/or resolutions to do
work indicated a ove for which fees have been paid.
R. TOR ' IC WORKS
BY(12'16 Date
PERMIT EXPIRES 60ate r- '�
Receipt No. 88675/70.00
WHITE-D.P.W.. YELLOW -ASSESSOR. PINK -INSPECTOR, GOLDENROD -APPLICANT
COUNTY OF BUTTE - DEPARTMEN , F PUBLIC WORKS - BUILD,ING'DIVISION �{
7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA,95%,,�PJ+LEPHONE: 910/538-7541
PERMIT APPLICATION DATA SHEET
\ ( �1 Permit No.
OWNER )C�Q� oU•.�A\SIS l A. P. No. ZB-2
Proposed Building Use_ MTT-X SN �, Building Inspector a` Q 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, 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)
__4Z'0XMobilehome installation data including manufacturer's installation 7,,?/
instructions.......................................................
10. Feg/�5� of $
11fCY1r'co Urban Area fees paid .......................................
12. s paid .. .............................................
--�1i3./Q/S'� CO School District fees paid ..............
14. Sanitation approval from f 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 ...
232. Certificate of Workmans Compensation Insurance ..................
. Owner -Builder Verification (Given to owner ❑, Mail to owner ❑) .....
24. Recorded copy of Agricultural Acknowledgment Statement .........
25. Letter of signature authorization
_-OK6. U C lea rare -e
27.
WheXTissue the ermit e as follows: Mail caner. Mail to contractor.
lephone p and hold for pickup at office. Deliver w/inspector.
Other
GAppIicant��I 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 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 da
Contractor, designer, owner, was advised of above required do
P s checked bychecked by
Copy—DPW
Date
by_phone_-jnail co ter by_ date
to by—phone—mail co nter by date
ans approved by Date-'
Sets of plans on hold in File cabinet ' AP folder
COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT NO.
7 County Center Drive - Orovlller California 95965 - Telephone: 916/538.7541 ��—
APPLICATION AND PERMIT
ASSESSOR PARCEL, NUMBER ^ ^ _ ^^ r ' / ^
O)�CS•%1 oCJ / ✓` C
ZONING _ -
BUILDING PERMIT
OWNER
Tofa N Kou/ /s/t1
TELEPHH,iONEE
5-6c(-5-623
SO. FT. OCC. BUILDING VALUATION
OWNER'S MAILING ADDRESS
3Q 61 /14d-ahlt 141)K'Qeo
CONTRACTOR'S NAME
UJN E
TELEPHONE
CONTRACTOR'S MAILING ADDRESS
Fireplace
CONSTRUCTION LENDER omle
UNKNOWN
Total Valuation $
Filing Fee $ 10.00
LENDER'S MAILING ADDRESS
Permit Fee
$
ARCHITECT OR ENGINEER
Nniv
LICENSE NO.
Plan Checking Fee
t
Energy Plan Checking Fee
$
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Penalty
$
BUILDING ADDRESS
Permit fee
$ -D
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
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 ❑ Addition ❑ Remodel ❑ Utilities ❑ Installations Other ❑
Describe work: 141V SDO 0,
Permit Fee
$
Contractor
ELECTRICAL PERMIT
Filing Fee 10.00
Main service i0°1 OR o AMP OR O LESS
10.00
Main service EA. ADD'L 100 AMP
2.50
CONTRACTORS LICENSE LAW
I declare under penalty of perjury (check one):
❑ I am licensed under provisions of Chapt. 9, Div. 3 of the Business
and 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.e,`
OR AD DNS.' ACC. BLDGS. /
, /z¢sgft
NEW CONSTR U TI -OUTLET
NO N.R ESID BRANCH CIRCUITS)
2.50 ea
POWER APPARATUS &)
SINGLE OUTLET CIR.
Ex. Occu o
p UTLETS OR FIXTURES
200500
eAL030
FIXED APLNS.
EX. OCCUp. OUTLETS PIRESID 1REA.)
1 2.00
Temporary service
10.00
Mobile Home Facilities
15.00Misc.
Wiring
g
15.00
Permit Fee
$
WORKMEN'S COMPENSATION INSURANCE
I declare under penalty of perjury (check one):
❑ The permit is for $100.00 (valuation) or less.
❑ I have placed on file with the County of Butte Building Department
a Certificate of Workmen's Compensation Insurance or a Certificate
of Consent to Self -Insure.
❑ I shall not employ any person in any manner so as to become subject
to the W. C. laws of California.
Notice to Applicant: If after making this statement, should you become subject
to the W. C. provisions of the Labor Code, you must forthwith comply with such
provisions or this permit shall be deemed revoked.
Contractor
MECHANICAL PERMIT
Filing Fee 10.00
Heating
Cooling
g
Hood
3,00
Ventilation
permit Fee
$
Contractor
I certify that I have read this application and state that the above information
is
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, indemnity 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 n height.
Mobile Home Installation Fee $ Z16 -
Energy Inspection Fee $
occ
CONST TYPE
—
TOTAL FEE $ 0'
HAL.
CUA
PARK
SCHL
FLD
CDF
PAR
PD
1 HD.
ISSUE.
permit is hereby issued unaer 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. 9006 zlS l
WHITE-D.P.W., YELLOW -ASSES OR. PINK -INSPECTOR. GOLDENROD -APPLICANT
COUNTY OF BUTTE - Department of Public Works
7 County Center Drive, Oroville, CA 95965 Phone: 916-538-7541
OWNER -BUILDER VERIFICATION
Attention Property Owner:
An 'owner -builder" building permit has been applied for in your name and bearing
your signature.
Please complete and return this information at your earliest opportunity to avoid
unnecessary delay in processing and issuing your building permit. No building permit
will be issued until this verification is received.
y. l. I personally plan to provide the major labor and materials for construction of
the proposed property improvement (yes or no)
2. I (have/have not) U Pi 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
rSigned:
Property Owner
Social Securit Nu er
Date
NOTE: This Owner -Builder Verification is sent to you as required by Sections 19831 and
19832 of the California Health and Safety Code.
This verification must be completed and returned to our office before we are per-
mitted to issue the permit.
��%} � n r.".q""'Y'G�f"99"'`""'Sii'f�'°'�"'"�'ro'�7i�C _": �R'°4"+gre`"' 'r'rC�'�""7+'� ,,,w..������rL�/ N��;1'.r1 �;�����`T �'l���w.•-Y ry
Commercial/Industrial:
ilding
New
IP46411�
tment Representative
Sq. Footage
Addition (Including Exterior
Roofed Areas)
IqJ
Date
(Floor Plans reviewed by School District Personnel)
Distr Qt Id No.
chool District certifies that
k
(Applicant Name) (Phone Number)
, - _J _
(Street Address )
J�
(City) (State) �Z ip0 odes)
AX
has complied with the requirements of Resolution No.
oa
by the ayment of $ %90� representing o5_X) square feet.
&/
School D'Wict Representative Dat
PAID BY CHECK NO. -
REMARKS:
BANK NO /J 40 22
PAID BY CASH
white -applicant, yellow -building department, pink -school district
SCHOOL.FEE (8/88)
44.
q
'D -
�i vq Soo SQ. FT. MINIMUM -
FOR MOB °St"' .
1� pervnit will 6e t�to'Whit
in[lotion of IO
mo7
A setback of 5 ft. from the . . . . . -- . . . . . -
_ RropprtY lines and a setback of . _ .. c.EE - - _ - -� - - -. - • - - -' - - -'
50 ft. ifrorir the-road L ,
-- -- j= -.--centerline-shiFbe clear-off
structures or equ ment except
_ __.J. p . fora 2 ft. eave overhang;Q
. ,04- - r---� T -- -
�__ . c�
--This get- of-pans-and-spec'f'catons-MUST -be .'N .
--kept on'the'lob-at-ait.times.a r.
d it is unlawful t_r'
or alterations on same with-
---•---�---•-
i out�vn , en,pe�mission from the ar it en o ,
— - j---. - •-- �: - -' - - un of-Butte - - --- .-- - ---- --- -
Public ocs, Co-Tfy
_%riahs_&- Worlunambip Shill -Re In
i I Accadanae with: Recogn'iwd Good Practices and
'04 c Bribed-for the S cc ified-use-in
ppee--
• ,_Ph�biri &._�1ex:hanicad Codas and
Ow. n
Nartioa l Electrical Code.
- - BUILDIN P�1RTMElV ;-- - --- _ . -
PPPSOVED----.- -:-_...__ __ -___ __ _ __. : _ : _:__
.
l�UNSTaNC lZ-
S :K� ulR C5 K 5 gq" .S6Z3 ,r%Ta�n�`�"
-- - - 3 z La Arvada
MOBILEHOME SUPPORT DATA
If other than single wide,
Mobilehome Mfr. STSry�r.�5 �%.. furnish Setup. Model No. Year n
Width �} (ft.) Box Length CQ (ft.) Tagalong or Expando Size t. x f't.
On all mobilehomes manufactured after October 7, 1973, furnish manufacturer's installation
manual and structural setup sheets (if not on file with the County of Butte).
FOOTINGS (check one) t�1. Wood -pressure treated or foundation grade. F]
2. Other (specify)
SUPPORTS (check one)Di. Concrete block. 2. Other (specify)
Pier Footing Sizes and Locations
SINGLE -WIDE
MULTI -WIDE
Line 1
Main Beams
Line 2 _
Main Beams
-- — — — — — -- — (Line
Tag or Triple
Line 4
Line 1 Piers: Line 1 Opeoinits:
Size -Min. --------^-- Size -Mia. ------^----^---- ,k „
Spacing -Max. --------- , Each Side of Openings
From Ends -Max. ------- With Width Over ---------
Line 2 Piers:
Size -Min. ------------ „x „
Spacing -Max----------
From Ends -Max .-------
Line 3 Roof Loads:
Size -Min -------------
Location (From Front)
Line 3 Piers: (Under Bearing Wall Only)
Size -Min ------------------,k ,.
Spacing -Max .---------------
From Ends -Max --------------
-Line 4 Piers:
Size -Min .------------
Spacing -Max---------- _
From Ends -Max.------- „
Line 5 Roof Loads:
Size -Min -------------
Lne 5 Piers: (Under Bearing Walls Oniy)
Size-Min-------------------
Spacing-Max ----------------
From
------------------
Spacing-Max.---------------
From Ends -Max .-------------
ux ,.
,.x U
„x 1,
,L. „ ,L_ „
Ox „ ,L_ „ .L_ „
Location (From Front)
st
cr1�.N 1t
I II DING Ott-
. .
ApPROVED
� q1
BUTTE COUNTY DEPARTMENT OF PUBLIC WORKS
7 County Center Drive, Oroville, CA
PHONE: 538-7541.
MOBILEHOME INSTALLATION SHEET
1. Owner's Name:
2. Installer's Name: (aer—z
3. Is the site currently under permit? Yes Ef No �.
J
(If yes, furnish permit number Z (- 1 ) OR J
v i
Is the site an existing site? Yes No �
(If yes, furnish two plot plans.) .i
•4. Will the mobilehome be located at least 5 ft. away from septic tank and leach
U T
a
fields and clear of all setbacks and easements? Yes No �
(If no, clarify
5. What is the mobilehome electrical ratio
g .----------=---- � L.• Amps
1`J
6. What is the mobilehome site service rating? ------------- �~' Amps r rc.
cv
7. What is the mobilehome site circuit breaker rating? ----- Amps
8. Is there any other electric load to be served by the
_---_ ------ a
mobilehome site service? -------------------- - Yes No
(If yes, identify the load and size: (Load) (Amps)
9. What is the mobilehome site gas pipe size? -------------- (in.)
10. What is the type of gas service? ------------------- Natural LPG El�
11. What is the gas pipe length from meter or tank to the
mobilehome?--------------------------------------------- /� (ft.)
* 12. What is the mobilehome gas demand? ---------------------- (BTU)
*(This information not required if pipe length less than 6 ft. on
natural gas or less than 50 ft. on LPG.)
• J,
COUNTY OF BUTTE'- DEPARTMENT OF PUBLIC WORKS
7 County Center Drive - Oroville, California 95965 - Telephone: 916/536.7541
A001 lt%&TIALI AAAI OCOUIT
PERMIT NO.
1121-91 I /
nr r L.tron 111vn nnv r L.nmI
I
10
ASSESSOR RC NUMIJUR
28-27-152
CONING
A-5
-
BUILDING PERMIT
'*56%n Kowalski
TELEPHONE
589-5623
SO. FT. OCC. BUILDING VALUATIO -
OWNER'S MAILING ADDRESS
32 La Mirada Ave., Oroville 95966
CONTRACTOR'S NAMETELEPHONE
Owner
CONTRACTOR'S MAILING ADDRESS
Fireplace
CONSTRUCTION LENDER
None
UNKNOWN
Total Valuation $
Filing Fee
g
$
LENDER'S MAILING ADDRESS
Permit Fee
$
ARCHITECT OR ENGINEER
None
LICENSE NO.
Plan Checking Fee
$
Energy Plan Checking Fee°
$
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Penalty
$
BUILDING ADDRESS 855 Dunstone Drive, Oroville
Permit fee
$ 15.00
PLUMBING PERMIT
FllingFee 10.00
Each Trap
2.00
Solar or heat pump water heater
'20.00
LOT NO SUBDIVISION NAME PARCEL PARCEL MAP
l�1Orc"Vo L/ /1 Crl 1-2-7
Water piping
5.00
Each qas water heater or vent
5.00
USE OF STRUCTURE
SF ❑ Duplex❑ Mobilehomeff Other
SPECIFY
Gas piping system 1 - 5 outlets
5.00
Building sewer
5.00
Mobile Home S
0.00ea 30.00
TYPE OF WORK'
New ❑ Addition ❑ Remodel ❑ Utilities f2 Installation❑ Other ❑
Describe work: MHU
Permit Fee
$ 40.00
Contractor
ELECTRICAL PERMIT
Filing Fee 10.00
Main service 100 AMP OORSLESS
10.00 10.00
Main service EA. ADD'L 100 AMP
2.50 2.50
CONTRACTORS LICENSE LAW
I declare under penalty of perjury (check one):
❑ I am licensed under provisions of Chapt. 9, Div. 3 of the Business
and Professions -Code and my license is in full force and effect.
XLicense 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 CONST. /DWELLING OCCUP.61�
OR ADDNS.' \ ACC. BLDGS.
, /20sgft
NEW CONSTR. MULTI -OUTLET
NON-RESID BRA C CIRCUITS)
.2.50 ea
POWER APPARATUS t1
(SINGLE OUTLET CIR.
Ex. OCCUp(OUTLETS OR FIXTURES
e�L080
FIXED APPLNS. OR
EX. Occup. OUTLETS (RESID.) EA.)
1 2.00
Temporary service
10.00
Mobile Home Facilities
15.00 15.00
Misc. Wiring
9
15.00
Permit Fee
$ 37.50
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
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 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 c nsequence of the ranting of this permit
X f��
Date
Signat of Applicant — Owner ❑ Contractor ❑ Agent ❑
An OSHA permit is required for excavatio r e emolition or construct-
ion of structures over 3 stories in heig
Mobile Home Installation Fee $
Energy Inspection Fee $
occ
CONST TYPE
TOTAL F E
- Az. cuA P RK
SCHL
FLD
D
PAR
P
I
ISS
This permit is hereby issued under the applicable prove -
sions of the Butte County -Code and/or resolutions to do
work Indicated above for which fees have .been paid.
DIRE 0 OF PUBLIC WORKS
/�
By Date _
P MIT EXPIRES Date
Receipt No: 88675/92.50/�� `
WHITE-D.P.W.. YELLOW-Ae SESeOR. PINK -INSPECTOR. GOLDENROD -APPLICANT
COUNTY OF BUTTE - DEPARTMENT
.QF PUBLIC WORKS -BUILDING DIVISION
b
7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 955 - TELEPHONE: 916/538-7541
PERMIT APPLICATION DATA SHEET
Permit No p /-�
OWNER tN dCJ.� 1�'�`� it t A. P. No. 2y Z 7 3 �
Proposed Building Use f !' �/
p g f� �. Building Inspector e� Date 7 —1('
At time of permit application, I was advised the follbwing data must be submitted prior to {hermit processing and/or issuance:
DATE RECEIVED APPROVED
1. All items have been submitted . ...................................
2. Plot plans in duplicate Ipli t signed by preparer of plans. �/—�6�`�/ jeo
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 ....................................................
Scho strict fees paid .............
1 Sanitatian...approval from (0-5 Health Department
15. City of Chico plumbing permit ..................................... '1 — Ot SZc>
16. Plot plan and business license approval from City of
(see City for other requirements)
17. Planning approval for (A) Use: (B) Parking: ......
1 Improvements may be required. Contact Land Development Section DPW
9 Driveway permit (construction approval required prior to occupancy)
20. Pre -Inspection for requiredPre-Inspec. request to
Building Inspector (Date)
21. Contractor's license information (No., Name Style,. Classifications ...
22. Certificate of Workmans Compensation Insurance ...:....::..... .
Owner -Builder Verification (Given to owner ❑, Mail to owner 0)...".. Z(-116-91
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
O A-eLes 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 Ei/
The following data must be submitted prior to per it 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 ✓ hone---mail_counter bydate¢
Contractor, designer, owner, was advised of above required data by:, phone_mail c unter by //W date_
Plans checked by Date fans approved by Date
Sets of plans on hold in File cabinet / AP folder
Copy—DPW
t ..-
TO: Building Department
FROM: Encroachment Permit Section
RE: Driveway Clearance
J/y 17 �L
�y
owner location
Zg_ Z-7- iszAP #
Driveway permit has been/ issued for the above property.
44
si 7ture � date
of e�.,1
T9 * Building Department
I FROM: Environmental Health
SUBJECT: Sanitation Clearance
Owner Location AP#
Plan Approved for: Sewaqe Disposal Water Supply
Hold final for:
Water Supply
Final clearance O.R. for: Water Supply
u �
Clearance fdr bedroom (!!
obile home. Other
NOTE ***
Sanitarian Date
r
i
TO Buildina Department
FROM: Environmental Health
SUBJECT: Sanitation Clearance
Owner Location AP#
Plan Approved for: Sewaqe Disposal Water Supply
Hold final for: Water Supply
Final clearance O.R. for: Water Supply
clearance for '.2> bedroom mobile home. Other
NOTE
Sanitarian Date
COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS
7 County Center Drive - Orovllle, California 95985 - Telephone: 918/538.7541
APPLICATION AND PERMIT
PERMIT NO.
ASSESSOR PARCEL NUMBER ZONING
�_,�% —1 SZ _E
BUILDING PERMIT
OWNER- � TELEPHONE
OW( lS C O
SO. FT. OCC. BUILDING VALUATION
OWNER'S MAILI3-?ADDRESS ,rqdq 11F" oleQ 01 95W,4�
CONTRACTOR'S NAM
TELEPHONE
CONTRACTOR'S MAILING ADDRESS
Fireplace
CONSTRUCTION LENDER06/�
UNKNOWN
Total Valuation $
Filing Fee $ —to -00 --
LENDER'S MAILING ADDRESS
Permit Fee
$
ARCHITECT OR ENGI E`E% /V ^
LICENSE NO.
Plan Checking Fee
$
Energy Plan Checking Fee
$
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Penalty
$
BUILDING ADDRESS
5 ONS � led
Permit fee
$ •a
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 pas water heater or vent
5.00
USE OF STRUCTURE
SF Duplex[] MobilehomeX Other
SPECIFY
Gas piping system 1 - 5 outlets
5.00
Building sewer
5.00
Mobile Home
10.00 ea -30.6a
TYPE OF WORK
New ❑ Addition ❑ / /Remmoddel ❑ Utilities Installation[]Other ❑
Describe work:
Permit Fee
$ t
Contractor
ELECTRICAL PERMIT
Filing Fee 10.00
V OR Main service 100 AMP LESLESS
10.00 0,
Main service EA. ADD'L 100 AMP
2.50
CONTRACTORS LICENSE LAW
I declare under penalty of perjury (check one):
❑ I am licensed under provisions of Chapt. 9, Div. 3 of the Business
and 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.G1
New
, ft
h2sga
CCONSTR.(A ULTBI.OUTLET
NON-RESID BRANCH CIRC ITS
2.50 ea
POWER APPARATUS 8
(SINGLE OUTLET CIR.
Ex. Occup(OUTLETS OR FIXTURES
20050t
eAL030'
FIXED APPLNS.
Ex. OCCup. OUTLETS IIRESID IREA.�
1 2.00
Temporary service
10.00
Mobile Home Facilities
15.00 U
Misc. Wiring
g
15.00
Permit Fee
$ t
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 shall be deemed revoked.
Contractor
MECHANICAL PERMIT
Filing Fee 10.00
Heating
Cooling
9
Hood
3,00
Ventilation
Permit Fee
$
Contractor
I certify that I have read this application and state that the above information
is correct. I agree to comply to all County Ordinances and State Laws relating
to building construction, and hereby authorize representatives of the County of
Butte to enter upon the above-mentioned property for inspection purposes.I.
1 also agree to save, indemnify and keep harmless the County of Butte against
all liabilities, judgments, costs, and expenses which may in any way accrue
against said County in consequence of the granting of this permit.
X 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 offer stories 'n height.
Mobile Home Installation Fee $
Energy Inspection Fee $
occ
CONST TYPE
TOTAL FEE $ �Zs
HAZ.
CUA
PARK
scHL
FLD
cOF
PAR
PD
I HD.
ISSUE.
This permit is hereby issued unaer 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
33
Receipt No. �� `" �-S 2S-�
WHITE-D.P.W., YELLOW -^3-1430- PINK -INSPECTOR, 'GOLDENROD -APPLICANT
COUNTY OF BUTTE -Department of Public Works
7 County Center Drive, Oroville, CA 95965 Phone: 916-538-7541
OWNER -BUILDER VERIFICATION
Attention Property Owner:
An 'owner -builder" building permit has been applied for in your name and bearing
your signature.
Please complete and return this information at your earliest opportunity to avoid
unnecessary delay in processing and issuing your building permit. No building permit
will be issued until this verification is received.
a. 1. I personally plan to provide the major labor and materials for construction of
the proposed property improvement (yes or no)
2. I (have/have not) h a 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 following
persons to provide the work indicated:
Name Address Phone Type of Work
a, Signed:
Property Owner
Social Security Numb(LIr _ �
Date 91
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.
All that real .property: -situate. in the County of Butte, State of California, described as
follows:
Date:
PROPERTY OWNERS:
xl-
State of ) On this the day of Ina V 19 6?/ before me, the
y n ,, j SS. undersigned Notary Public, perso ally appeared
Count of
�oInan /'P.
OFFICIAL SEAL
JUSIF HART '•
P':: ARY VUBLi: - CALIFORNIA
COUNTY OF- BUTTE,
Comm. Exp. August 26, 1991'
Personally known to me. 1 Proved to me on the basis
of satisfactory evidence.
to be the person(s) whose name(s) /<__11
subscribed to the within instrument and acknowledged that
executed the same for the purposes therein contained. IN WITNESS
WHEREOF, I hereunto set my hand and official seal.
Present A.P. No.
otary Public
9 1
-26 162
Retu•rn'�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
1
to land or included within an area zoned
91-08616 1
Rec Fee 7:00
for agricultural purposes, and residents
1
Check 7.00
of this property may be subject to incon-
Recorded
veniences or discomfort arising from the
Official Records
use of agricultural chemicals, including,
County of
but not limited to herbicides, pesticides,
Butte 1
and fertilizers; and from the pursuit
Candace J. Grubbs
of agricultural operations including,
Recorder
but not limited to cultivation, plowing,
11:19am 27 -Jun -91 I
XX 2
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 discomfort from normal, necessary farm.operations.
All that real .property: -situate. in the County of Butte, State of California, described as
follows:
Date:
PROPERTY OWNERS:
xl-
State of ) On this the day of Ina V 19 6?/ before me, the
y n ,, j SS. undersigned Notary Public, perso ally appeared
Count of
�oInan /'P.
OFFICIAL SEAL
JUSIF HART '•
P':: ARY VUBLi: - CALIFORNIA
COUNTY OF- BUTTE,
Comm. Exp. August 26, 1991'
Personally known to me. 1 Proved to me on the basis
of satisfactory evidence.
to be the person(s) whose name(s) /<__11
subscribed to the within instrument and acknowledged that
executed the same for the purposes therein contained. IN WITNESS
WHEREOF, I hereunto set my hand and official seal.
Present A.P. No.
otary Public
l
91-261.62
ORDER NO. BU -120300-3
DESCRIPTION
ALL THAT CERTAIN REAL PROPERTY SITUATE IN THE STATE - OF
CALIFORNIA, COUNTY OF BUTTE, DESCRIBED AS FOLLOWS:
LOT 4, OF BLOCK 9, AS SHOWN ON THAT CERTAIN MAP ENTITLED,
"MAGNOLIA COLONY", WHICH MAP WAS RECORDED IN THE OFFICE OF THE
RECORDgP THE COUNTY OF BUTTE, STATE OF CALIFORNIA, ON JANUARY
-11,97 IN BOOK 1 OF MAPS, AT PAGES) 27.
EXCEPTING THEREFROM ALL OIL, GAS AND OTHER HYDROCARBONS AND
MINERALS HEREINTOFORE RESERVED TO THE GRANTOR NAMED IN THAT
CERTAIN DEED FROM BANK OF AMERICA NATIONAL TRUST AND SAVINGS
ASSOCIATION, A NATIONAL BANKING ASSOCIATION, TO F. H. THOMAS AND
MATTIE E. THOMAS, HIS WIFE, JOINT TENANTS, DATED MAY 14, 1943 AND
RECORDED JUNE 18, 1943, IN BOOK 314, PAGE 152, OFFICIAL RECORDS,
TOGETHER WITH ALL THE RIGHTS AND PRIVILEGES OF THE GRANTOR IN
SAID DEED SET FORTH WITH RESPECT TO SAID OIL GAS AND OTHER.-
HYDROCARBONS
THER_HYDROCARBONS AND MINERALS, REFERENCE HEREBY BEING MADE TO SAID
DEED FOR THE PARTICULARS THEREIN SET FORTH.
ALL OIL, GAS AND OTHER HYDROCARBONS AND MINERALS WERE QUITCLAIMED
FOR A DEPTH OF 500 FEET RECORDED SEPTEMBER. 20, 1978, IN BOOK
2327, PAGE 78, OFFICIAL RECORDS.°
a
1
END OF DOCUMENT
CR
O
This set of plans and specifications MUST be
kept on the job at all'tim'es changes and it is"unia�ul to
I '
make any:. -or alteraiionsi-an.
seine 6rhe with.
OW written permission frorn,the, Department of
Public Works. County of Butte.
q 7
IN �gs�
v C-7Wq
io.
POrmif will be mqdi'red for ifie
installation '.0f.j.he mobilehom
A setback of 5 ft. from the
prdpeity lines -and a setback -
50 ft. frorn.theroaO . -, -, t_ . W o u s E7
centerline shall be clear of
structOres'or equipment except
____a -_AA_'_ -- .__ -
.--for a 2 ft. eave.ov6rhN
o�L OF ALL- EAWjn&U'vS -
-W -jkm-
&c & , ,
: 0 ansh
C5- Wd"ift 4h.--Ne0on. _.G . 1P �hae. Be in
Mid
of -jW, - - 0� es
�Y prescribed for!the-S (I rrac&4
v"_in_.fhS_
S$ n.
National F6 and
Ing machinkal
Codes qnd
06001-Code�--
L
AI
FFARTMW''
BUILDING DE
APPRO: VED.off . �/�/9l •.
D -U[)s 7-.z> oc- Jrz
40 (AJA L,5 K 5623
Coed7`
2 /tic��a
01WVA
I
This set of plans and specifications MUST be
kept on the job at all'tim'es changes and it is"unia�ul to
I '
make any:. -or alteraiionsi-an.
seine 6rhe with.
OW written permission frorn,the, Department of
Public Works. County of Butte.
q 7
IN �gs�
v C-7Wq
io.
POrmif will be mqdi'red for ifie
installation '.0f.j.he mobilehom
A setback of 5 ft. from the
prdpeity lines -and a setback -
50 ft. frorn.theroaO . -, -, t_ . W o u s E7
centerline shall be clear of
structOres'or equipment except
____a -_AA_'_ -- .__ -
.--for a 2 ft. eave.ov6rhN
o�L OF ALL- EAWjn&U'vS -
-W -jkm-
&c & , ,
: 0 ansh
C5- Wd"ift 4h.--Ne0on. _.G . 1P �hae. Be in
Mid
of -jW, - - 0� es
�Y prescribed for!the-S (I rrac&4
v"_in_.fhS_
S$ n.
National F6 and
Ing machinkal
Codes qnd
06001-Code�--
L
AI
FFARTMW''
BUILDING DE
APPRO: VED.off . �/�/9l •.
D -U[)s 7-.z> oc- Jrz
40 (AJA L,5 K 5623
Coed7`
2 /tic��a
01WVA
AP
OWNER.."
PERMIT
MH UT IL . CLEARANCE DATE`��'iI
INSPECTOR
ELECTRIC.
GAS
Support
Struc.
Compaction
Test eq.
ervice
ize
Other
Load
Type
Pipe
Size
Length
YES NO
YESI NO
��Alf
Joan Kowalski
855 Dunstone Drive
Oroville, CA 95966
BEAUTY
DEPARTMENT OF DEVELOPMENT SERVICES
7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965-3397
TELEPHONE: (916) 536-7541
FAX: (9.16) 533-2140
November 18, 1997
RE: Building Code Violation A.P. #028-27-0-152
855 Dunstone Drive, Oroville
Dear Ms. Kowalski:
This is a courtesy notice to notify you that you are in violation of the
Butte County Code, as follows, at the above -referenced location.
Failure to obtain Agricultural Building Exemption permit for constr-
uction of pole barn.
Since an Agricultural Building Exemption. permit is is required for a barn,
apply for the required exemption permit, and pay the appropriate fees.
All work must stop until this permit is issued and you are authorized by
to proceed.
It is the County's goal to obtain voluntary compliance with the Butte County
Code. However, you should be advised that Butte County has an active Code
Enforcement Program which provides an effective means of enforcement if
voluntary compliance is not obtained. Enforcement may be pursued through
the issuance of citations, fines and the recording of a Notice of Violation
including a description of the action necessary to abate the violation.
You have thirty 30 days to voluntarily comply with the above directions
or to present an acceptable plan for abatement or corrective actions to
be taken by you. Should you have any questions concerning this matter,
please contact Scott Rutherford or Michael Vieira in this office at the
address or telephone number listed above.
MCV:dms
cc: Assessor
Sincerely,
Micael C. ieira, C.B.O.
Man ger, Building Inspection
BUTTE COUNTY DEVELOPMENT SERVICES
Complainant:
Address:
Phone Number:
Other Comments:
>.......
::::....:.........I...:.....:::....:.....:::::::. The:abauean.or..matron:.ts,not.auailahl::ia::ahe. uil�..:;;:.....:....::.:::::::....................:.
Inspector must draw a plot plan with all building locations:
Additional comments from Inspector:
'
. ^
PD007 COUNTY OF BUTTE 11/18/97
PROPERTY SYSTEM 7:13:42.5
ASSESSOR INQUIRY
FEE PARCEL
` PARCEL: 028 270 152 000 STATUS: A 00/00/00 CREATED: 79R2408164 00/00/00
SEC TRA: 052002 ' KILLED: .
. DESC: LOT 4 BLOCK 9 MAGNOLIA COLONY' ZONING: A5 00
ASSMT: 028 270 152 000 STATUS: A 00/00/00 CREATED: 79R2408164 00/00/00
TRA: . 052002 TAX CD: 000 BASE: 00/00 KILLED:
. CUR DOC: 91R20792 05/29/91
DESC: LOT 4 BLOCK 9 MAGNOLIA COLONY ' BONDS:
KOWALSKI JOAN ROLL ASSESSEE: N
RETAINED OWNER: Y
855 DUNSTONE DRIVE ACRES: 0.00
' OROVILLE CA 95966 ET AL OWNERS: N
SUPL CNT:
COMMENT: 2827015200 CONVERTED 09/08/88 _
SITUS: 855 DUNSTONE DR ORO
F8=ASMT SUMMARY '
OPTION: ___ NXT OWN PCL SIT EXP TAX PRE RET
. SC2 ATT HON APR MEN HLP PHY
.` PBU501 COUNTY OF BUTTE 11/18/97
PROPERTY SYSTEM 7:13:56.6
PHYSICAL CHARACTERISTICS INQUIRY
ASSMT: '028 270 152 000 '
OWNER: KOWALSKI JOAN
SITUS: 855 DUNSTONE DR
COMMENT: 2827015200 CONVERTED 09/08/88.
CODE AREA: 052002 ' USE CODE: R7 DWELLING: 0002 ACRES: 0.00
= = = = = = = = = = = = = = = = = = = = = = = = = = =
ZONING CONFORMITY. EFFECTIVE YR: 93 '
USE CONFORMITY: YEAR BUILT: 93
BUILDING CLASS: ' D60CM
SQUARE FOOTAGE: 2,152
. NUMBER OF BEDROOMS: 3 .
NUMBER OF BATHS: 2.5 .
`
'
LAND TYPE: H GARAGE: 3 POOL: Y
' FIREPLACE: Y HEATING: N COOLING: N
^
= = = = = = = = = = = = = = = = = = = = = = = = = =
/
PAI = NEXT PA2 = PREVIOUS PF7 = RETURN
, ^