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HomeMy WebLinkAbout007-360-017t s Ray E. Johnson, Jr. } „ 704 Grand Teton Way, lot 17, North Park t Sub, Chico 4 r�' • Permit #6132B,�,E,M( w single r family) < 7-36-17 PAUL R STUEBER /^/ nom/ //�/g� 2986 Godman,Chico Permit#3993-87B,E(addition & Remodel/SF Y`7=36=1/ •- � •153=91B,` M., r �„ • STUEBER, 'Pau 2986 Godman -Ave; hico: a (new garage & conv,: iI.sti garage'to' :� ily room) , - ''• � ,:T� -361,17 � , _ ��,��� $ Permit#426-91B;E', ., `(add 2nd story/ rage)' ''. .007-360-017' r ;PERMIT#97-1183 - STUEB_ER, • Pau_ 1' 2986 Godman Ave.`, Chico". Reroof/SF t • JOB FINALE Signature d=OK ` O = Not OK = Not Applicable = Not Ready MOBILE HOMES • i Date MOBILE HOME UTILITIES (Plans) OK except #'s •Date DECKS, COVERS, CARPORTS, GARAGES, (Plans)OK except #'s 1. Zoning Requirements -Setbacks -Easements 1. Zoning Requirements -Setbacks -Easements 2. Soils; Special MH Support Sketch 2. Footings; Soils -Size -Depth -Spacing -Connectors -Steel 3. Sewer; Location -Test -Fall -C/O Concrete 3. Decks; Griders and/or Joists -Decking -Bracing -Stairs -Rails 4. Water; Location -Test -Easement Needed (Sketch) 4. Wood Awn.; Posts-Beams-Rftrs.-Coonectors 5. Electricity; Location-Clearences-Grnd-/ /Amp -Concrete Shthg.-Rfg.-Bracing 6. Gas; Location -Test -Wrap: / /" L" ft. 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures / /"Nat. or/ /" L" ft./ /"LPG 6. Carports; Windows -Doors 7. Utility Clearance 7. Electric MISCELLANEOUS Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date MOBILE HOME INSTALLATION (Plans) OK except #'s 1. Zoning Requirements -Setbacks Easements 2. Footings; Size -Spacing -Marriage Line 3. Gas; MH Test -Demand -Valve -Connector 4. Electricity; MH Test -Crossovers -Breakers -Clearances 5. Drain; MH Test -Fall -Flex Connector 6. Water; MH Test -Regulator -Connector 7. Water and Sewer Connected -C/O to Grade -HD Approval 8. Gas and Electricity Tagged 9. Exits; Insp.-Sketch 10. Cert. of Occupancy Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 8. Frmg; Sils-Anchors-Studs-Rftrs-Trusses 9. Siding; Nailing -Veneer -Stucco -Mesh 10. Roof; Shthg-Roofing 11. Ext.; Steps -Doors -Landings Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date POOLS (Plans) OK except #'s 1. Setbacks -Easements 2. Soils; Compaction -Structure Stability 3. Pool Structure; Steel -Connections -Thickness Dead Men -Lining 4. Elec.; Receptacles and Lighting, Distances-GFI 5. Elec.; Pool Lighting; 15 volts-GFI 6. Elec.;Enclosures; Conduit Entries -Terminals -Listed 7. Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater 8. Elec.; Grounding; Equip. w/5' Circulating Equip. -Pool Lghtg. Boxes -Enclosures -Panel boards -Ins. to Main in Conduit 9. Health Department Approval 10. Plumb.; Cir. Test -Water Supply Test Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 'J`= OK 51=N.DtOK = Not Applicable Not Ready RESIDENTIAL = Date UN ERFLOOR (Plans) OK except #'s if n ing-Setbacks-Easements-Flood-Slope F,tg., Main; Soils-Eieeremd.-!U /" Ftg. Depth Ftg., Garage; Soils -Steel -E ee—GL rt -/ " Ftg. Depth 4. Ffg., Porches & Decks; Soils -Steel-/ /Ftg. Depth . 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. 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 Date Card B-1 S Date Card B -1 - Date Card B-1 Date Card B-1 Date PLUMBING Permit PK exqept #'s 16. Z Htr.; V -Ac s -Comb tion Air -B e 1 at ipe; Test & Anchor -Nail Protection 1 W.V.; Test -Fittings & Anchor -Nail Protection 1 st, First Floor -Tub Access 26 eb-&-Shower, Second Floor -Tub Access & Anchors Date 17-19.. cf / Card B-1 46, Date Card B-1 Date Card B-1 Date Card B-1 Date ELEC AL (Permit) OK except #'s Clearance -Ins. at Doors i es & No. of4pd-nductors tapf-ed ^y�LjOJ / o Installed Close to Edge of Studs & C.J. 21wotquip. Ground made up w/Mech. Fastners-Bond Gas & Water s in Kitchen & Conductor Size/GFI e / / ga. Cu or AI-A.C. Wire Size / / ga. Cu or Al ga. Cu or AI -Oven Circ. / / ga. Cu or Al. Insulated Neutral O Yes ❑ No 3¢r-&ertpe44ee►-6onductors & Ground -Main Disconnect 3 qui learances Panels-Motors-Mech. Equip. 3Z,lflothes Closet Light -Shower Light -Spa Light 33. Smoke Detector Date 7i Card B-1 Date Card B-1 Date Card B-1 )2 Date Card B-1 Date MEC ICAL (Permit) OK except #'s A.C. Ducts Insulation & Support an; Exhaust above insulation '86�ortdensate-Orain & Overflow; Size & Grade 87. ccess-Comb. Air -Return Air Vent -115 outlet 3 form if Furnance in Attic Date Card B-1 Date Card B-1 Date Card B_1 Date Card B-1 Date FRAM}N%fPlans) OK except #'s / 0,."ringails over Girders & Floor Nailing A�WgmDrp in Walls (rat proof) ,Z 1 i Stoos,� Furred.CeAnas-Stairs-Chases-Tub Single 4k Duplex) r Date RA G (Con ' ued) �17 an rs-Pos ps- or Con a tors - 46. Ong. -Rft es -PL n roo a Tr -Sh ng.-Rf lue-Fireplace Throat clearance C)I,': 46. AtJio-Access; Size & Romex Protectior-f Draft Sto-.Baf es 40!Bdr.Windows or Exiting Doors -Sill Hgt. & Dimensions Fire Protection Fi r Line Firewall & 5i -'V. Doors-One•4'-Check�Eara&-3rOStoryr2 Exits / plywood on Roof Overhang -Attic Vents Rafter Outriggers PR Area -Glass Infiltration -Walls -Windows Date Card B-112Date Card B-1 Date Car 1 Date Card B-1 Date FINA P s OK except #'s 7 Door & Sidelight Protection -Landings 7e"_A.C,,06uct hZe Detector . Furnace; Vents -Clearance -Comb. Air -Connector - In Garage; Above Floor-Ducts-Mech. Protection .6p--Bedroem Exiting 7 Fixtures & Tub Access -Spa -'L/e, Var'Eoc-Trim & Subpanel; Breaker Sizes & Labels 7 Stairs & Rails 79x6 e or to e; Clearances -Hearth 69-E1eer'Da Sis at Wood Panel; Int. & Ext. ance; Grnd.-Air Gap -Cooking Clearance s Receptacles at Kit. Counter 7 ar ire Door; Swing -Landing -Closer 7e"_A.C,,06uct in Gar a-Dampe tr. Htr.; Clea a -Comb it on or- . In gAJg,,rAbove Floor-Mech. Protection 7 . Ib lec. ech. Equip. Listed for Location -'L/e, eceptacles in Garage; (G.F.I.)-Rom ection 7 sulatioo,-�a m- Looked in Attic BYes 79x6 ails & Dec Construction -Post Caps 70"-Fdn. Vents & Crawl Hole Door -Drainage & Wood -Earth Clearance Looked under Floor 0 Yes 80. Followi Id.; Drive Yes No; Walks Yes ❑ No; PI rs 0 Yes No tucco; Br ini is onnect, Electrical, Plumbing 8 ents Above Roof; Plbg.-Appliance-Fireplace.-Clearance to Opening 84. Wa ell; isconnect, Electrical, Plumbing xt . Tr'm; G.F.I. Receptacle -Underground e ' do roughout House GI rotection dg"C-orrections from Previous Inspections as es - e e ged; Gas -Electric cted-C/O to Grade -HD Approval ner pliance Certificate -Other Certificates &i tN, -'LAS C -e,+ - Date /% Card B-1 Date Card B-1 Date/0-2--f I Card B-1 i2,0 Date Card B-1 Date Card B-1 Date Card B-1 Comments at Final: (NOTE: An entry must be made each time you visit job site) 5-� cnebe %5.3 IF OWNER PERMIT NO. A routine inspection indicates that the following violations of County Ordinance exist at the above address and should be corrected. Please notify this office when correction of work is completed. If you have any question pertaining to this matter, or need additional explanation, please contact this office immediately. Date /" fol — Inspector l r 136e- �; _ h .::M COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 196 Memorial Way, Chico —"Phone: 891-2751 7 County Center Drive, Oroville — Phone: 538-7541 F 747 Elliott Road, Paradise— Phone: 872-6307 CORRECTION NOTICE 5-� cnebe %5.3 IF OWNER PERMIT NO. A routine inspection indicates that the following violations of County Ordinance exist at the above address and should be corrected. Please notify this office when correction of work is completed. If you have any question pertaining to this matter, or need additional explanation, please contact this office immediately. Date /" fol — Inspector l r 136e- �; COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 196 Memorial Way, Chico = Phonei 891-2751 - 7 County Center Drive, Oroville — Phone: 538-7541 747 Elliott Road, Paradise _ Phone: 872-6307 CORRECTION NOTICE OWNER' PERMIT NI 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, o/eed additional explanation, please contact this office immediately. -/v 6+•,, �/ y i/ S / -7lam �y Date�� InspectorGf�SPI I %�. COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 196 Memorial Way, Chico — Phone: 891-2751 ;4 7 County Center Drive, Oroville — Phone: 538-7541 e' 747 Elliott Road, Paradise— Phone: 872-6307 CORRECTION NOTICE ER PERMIT NO. A routine inspection indicates that the following violations of County Ordinance exist at the above address and should be corrected. Please notify this office when correction of work is completed. If you have any question pertaining.to this matter, or need additional explanation, please contact this office immediately. 9 Y' S t Date / l Inspector Ell A -COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 196 Memorial Way; Chico — Phon'e: 891-2751 7 County Center Drive, Orovi Ile — Phone: 538-7541 747 Elliott Road, Paradise— Phone: 872-6307 CORRECTION NOTICE OWNER PERMIT NO. A routine inspection indicates that the following violations of County Ordinance exist at the above address and should be corrected. Please notify this office when corr ction of work is completed. If you have any question pertaining to this matter, r need additional explanation, please contact this office immediately. pi --ox td J ` D++OM + a ; T' G✓` P f% ia`i e - U Ci Cr Date �" 7 1 Inspector t -4 COUNTY OF BUTTE l+ DEPARTMENT OF PUBLIC WORKS ` _ 196 Memorial Way; Ch*Y,co-- Phpne: 891-2751. 7 County Center Drive, Oroville — Phone: 538-7541 747 Elliott Road, Paradise — Phone: 872-6307 CORRECTION NOTICE -,moi MIT NO. A routine inspection indicates that the following violations of County Ordinance exist at the above address and should be corrected. Please notify this office when correction f work is completed. If you have -any question pertaining to this matter, or ne additional explanation, please contact this office immediately. 5111111111 o1 N j z'G,© &J M c yy l be- r e lX e v e }��]] r, y /� Date. Y` � Inspector t �� ?5�/1(, i - 6 , COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 196 Memoriakft Chico — Phone: 891-2751 7 County Center Drive. Orovi Ile — Phone: 538-7541' 747 Elliott Ro-a:d , Paradise — Phone: 872-6307 CORRECTION NOTICE OWNER PERMIT NO. A routine inspection indicates that the following violations of County Ordinance exist at the above address and should be corrected. Please notify this office whe correction of work is completed. If you have any question pertaining to this ma ter, or need additional explanation, please contact this office immediately. 77J - Date Inspector . CL CERYIFICATE OF g,,419 OF T1 IAIIT-ICI 1olin i C N ANC IHE UNDERSIONEQ MANUFAC rUREA HEREBY CERTIFIES that tfie products identified below and an attached sheets Nos._ ..- M marked with the Collective Mark of the AMERICAN INSTITUTE OF TIMBER CONSTRUCTION (AITC) and Were manufactured In conformance with applicable provisions of American National Standard ANSI/AITC AIW.1W1983, Structural Glued Laminated Timber, and that such manufacture ilaS been at our plant la- Saginaw! Oreaatx �. -, , which plant has a quality control system approved by the Inspection Bureau of the AMERICAN INSTITUTE OF TIMBER CONS'T'RUCTION and Inspected periodically by such, Bureau. The manufacture of these mom l'ior$ `comp ies'WiWihe manutdcturing and fabricating provisions of Chapter 28 of the Uniform Building Code. ,ovt'-M* Paul Abe ..,.. ._:..:d_.:..-_..,r..__....:—:..::�.._,..._.-r...,..»-.--........ JOB LOCATION 29 §.�QO�"f U C11 CUStGiMI! fl'S OflOF.fl NO. w....S.w.6 � 4b CATg -- c .L.. MFG" OMEN NO � � Q 3 ,,�, � ' -w'�- ^�•• "o 24F -v4 _.. .....�.------.-�- slca,�Yuae xb Mc:Kf. ] aaNv _ BohemiA— trt, a M a ---.._... nosuiEss ►3 xn w OrecJbn . uATe,_ A I rC f'7tE EB Y - CER %IFI E S - that the said. Company at its said plant is licensed by the AMERICAN iNSTITUTE,OF TIMBERCONSTRUCTION to use the AITC Collective Mark in respect of productswhich comply with applicable provisions.of said Siandard, that the adequacy of the quality control system in effect at said plant Is periodically inspected and verified by the inspection Bureau of the AMERICAN; INSTITUTE OF TIMBER CONSTRUCTION, and that, in the judgment of AITC, said company is capable of complying with applicable manufacairing and testing provisions of said Standard in respect of products manufactured at said plant. Conformance with the Standard in respect ai any specific ar parl;irular product is the We responsibility of the manufacturer, AITC's guarantee hereunder being that the said company is quatified: to produce a product meeting the said Standard end that its plant is periodically Inspected and verified by the AITC Inspection Bureau. AITC Certificate No. 4 7 4 7 6 A AMERICAN INSTITUTE -OF TIMBER CONSTRUCTION QI 1903 AMEASCAN 1NST1TUTr OF TIMKR CQNr?TR►iCT10t4 ENERGY INSTALLATION CERTIFICATE Building Owner Ma L- iQ,' 5z—de6&W Building Permit # Building Location -799"z�, 6t?W4A/ A✓e_ DESCRIPTION OF INSULATION ROOF Material Brand Name Thickness(inches) Thermal Resistance (R.Value) EXTERIOR"WALL Material` Brand Name Thickness(inches) �..�Y Thermal Resistance(R Value) !R -P9 EILING Batt or Blanket Type �w-/ - Brand Name Thickness(inches) 6 fv Thermal Resistance(R Value) Loose Fill Type Brand Name Minimum Thickness(Inches) Number of Bags Wt. per bag lb. Area covered(ft.2) Thermal Resistance(R Value) FLOOR, ELEVATED Material Brand Name Thickness(inches) �'l�—� Thermal Resistance.(R Value) - 30 FLOOR, SLAB Material Thickness(inches) Width(inches) FOUNDATION WALL Material Thickness(inches) Brand Name Thermal Resistance(R Value) Brand Name Thermal Resistance(R Value)_ I hereby certify that the above insula tion was installed in the above building, is consistent with approved building department plans and attachments and con- forms with requirements of Chapter 2-53 of State of California Energy Requirement FIRM NAME/OWNER STATE CONTRACTOR'S LICENSE NO. SIGNATURE OF INSTALLATION APPLICATOR DATE I hereby certify the required features, devices, and equipment, a5 shown on the approved Building Department plans and attachments have been installed and conform to the appli- ance standards and Chapter 2-53 of the State of California Energy requirements. BUILDING CONTRACTOR/OWNER (Please Print) (F 'u•1 NAME) SIGNATURE OF BUILDING CONTRACTOR/OWNER HVAC FIRIM NAME/OWNER (Please Print) SIGNATURE -OF HVAC CONTRACTOR/OWNER STATE CONTRACTOR'S LICENSE NO. DATE STATE CONTRACTOR'S LICENSE NO. DATE THIS CERTIFICATE MUST BE ON FILE WITH THE BUILDING DEPARTMENT PRIOR. TO FINAL INSPECTION APPROVAL AND A COPY SHALL BE POSTED WITHIN THE BUILDING. SEPTEMBER 1988 COUNTY OF BUTTE - DEPART MENT OF PUBLIC WORKS 7 County Center Drive - Oroville. California 95965 - Telephone: 916/538-7541 "APPLICATION AND PERMIT PERMIT NO. ASSESSOR PARCEL NUMBER 7-36-017 ZONING R1 BUILDING PERMIT OWNER Paul Stueber TELEPHONE 345-8454 SO. FT. OCC. BUILDING V ON OWNER'S MAILING ADDRESS 2986 Godman Ave., Chico, CA 95926 CONTRACTOR'S NAME Owner TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ 04. 00 Filing Fee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee $ ' ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ 3.25 Energy Plan Checking Fee $ 15-00 ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS 2986 Godman Ave., Chico P it fee ee $ I 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 Q 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 ❑ Installation❑ Other Describe work: _ convert garage to family room and .add new garage Permit Fee $ Contractor 1 ELECTRICAL PERMIT Filing Fee 10:00 Main service SS 1000 AMP O1 OR R 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.d+ OR ADDNS. ACC. BLOGS. ,i20sgft 22.05 NEW CONSTR. U TI.OUTLET _NO ESID BRANCH CIRC ITS 2,50 ea POWER APPARATUS e) SINGLE OUTLET CIR. Ex. Occup( OUTLETS OR FIXTURES 20®50C e ALO 30 FIXED ALNS. Ex. OCCup. OUT ETS P(RESID•)REAJ 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. 6Yirin 9 15.00 Permit Fee $ 32.05 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 duct in -nn Cooling g Hood 3.00 Ventilation. Permit Fee Contractor $ 1 certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue against s Cou y In onse�ncehegranting of this permit. `�!•i Date % — % %' Signature of Applicant — OwnerIA Contractor ❑ Agent ❑ An OSHA permit is required for excavations over 5'0" a aemRlition or construct- on of structures over 3 stories in height. cc11*4-- Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST TYPE A TOTAL FEE $ 23(n•� 27:6'0 HAz '—--''�/This CUA PARK _ FE PAR D ISSUE permit is hereby issued under sions ar. the Butte County. Code and/or work indicated above for which fees DIRECTOR OF PUBLIC By P MIT EXPIRES Date the applicable provi-X��.�/ resolutions to do have been paid. WORKS Date !—z% — Z J — i Receipt No. 84751—$227.910 , ® WHITE-O.P.W.. YELLOW-ASSlSSOR, PINK•INSPECTO GOLDENROD -APPLICANT �'t�?':��f ���)�,�5+S^F'ti'�"�����Y'"�^"r�ii"»+bW +��'Yr!'''.�a:..R'-,....rri•-M'r. _� , COUNTY OF BUTTE =,'�DEPARTMX.N.7O.F PUBLIC WORKS.- BUILDING DIVISION � 7 COUNTY CENTER D,liilVE - OROVILLE, CALIFORNIA 96986 -TELEPHONE: 918/638-7641 r PERMIT APPLICATION DATA SHEET / Permit No. OWNER V �j y �jK--� ,.A:, o. 3 Proposed Building Use /v Building Inspector. Date At time of permit application, I was advised th4following 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 caics, 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 t �� instructions....................................................... _ Fees of $ 9.6D ........................ 11. Chico Urban Area fees paid ....................................... 3. Parkfees paid ..................................................... (JS Sqhool Di s rict fees paid . 9� 4. Sanitation approval from G Health Department — ' 15. City of Chico plumbing permit ..................................... u 16. Plot plan and business license approval from City of i+ (see City for other requirements) 17. Planning approval for (A) Use: (B) Parking: ...... 18. Improvements may be required. Contact Land Development Section DPS t 19. Driveway permit (construction approval required prior to occupancy) ` 20. Pre -Inspection for required Pre-Inspec.request to Building Inspector (Date) 21.. Contractor's license information (No., Name Style, Classifications ... 22. Certificate of Workmans Compensation Insurance .................. 23. Owner -Builder Verification (Given to owner ❑,.Mail to owner ❑) ..... 24. Recorded copy of Agricultural Acknowledgment Statement ......... 25. Letter of signature authorization .............. - ................ . 26. 27. When you issue the permit, process follows: —Mailto owner. Mail to contractor. Telephone & 4 % and hold for pickup at /-office. Deliver w./inspector. Other i ti Applicant Date �7 / t Copy of Haz-Mat corm 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--nail—counter by .date Contractor, designer, owner, was advised of above required data by—phone —ma II—counter by date Plans checked by RMS Date Plans approved by e) Date 24?2( Sets of plans on hold in Copy—DPW File cabinet AP folder TO Buildinq Department FROM: Environmental Health i SUBJECT: Sanitation Clearance 'Owner Location AP# Plan Approved for: Sewage Disposal Water Supply Hold final for: Water Supply Final clearance O.R. for: Clearance for bedroom mobile home. NOTE :** Water Supply Other .O -X -/-o C 2udare— Date Sanitarian . 3 COUNTY OF BUTTE - Department of Public Works 7 Couhty Center Drive, Oroville, CA 95965 Phone: 916-538-7541 OWNER -BUILDER VERIFICATION Attention Property Owner: An 'owner -builder" building permit has been applied foi in your name and bearing, your signature. Please complete and return this information at your earliest opportunity to avoid unnecessary delay in processing and issuing your building permit. No building permit will be issued until this verification is received. /1. I personally plan to provide the major labor and materials for construction of the proposed property improvement (yes or no) y e5 /2. I (have/have not) _,4Z.P4A-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: O /� Property Owner 222!/i� < Social Security NumberSs- Date / — 7-9/ NOTE: This Owner -Builder Verification is sent to you as required by Sections 19831.and 19832 of the California Health and Safety Code. This verification must be completed and returned to our office before we are per- mitted to issue the permit. COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 - Telephone: 916/538-7541 APPLICATION AND PERMIT PERMIT NO. ASSESSOR P=RCNyMBERv f� (� Z°"'� 1 BUILDING PERMIT OWNER ,L�// C �% [/ v L J E J 511--, TEL,E`P—HO�N1E.� ��TJ So. -FT.- O C. BUILDING VALUATION OWNER'S MAILI G ADORE CONTR AS',TOQ'S jjAM� CT•MAILING TELEPHONE CONTRACTOR'S ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ Filing Fee $ 10,00 LENDER'S MAILING ADDRESS Permit Fee $ �%•S7J ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ S, Q ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ eu1LDI�G DgRES,S O/– Permit fee ;-75 PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 Solar or heat pump water heate 20.00 LOT NO.SUBDIVISION NAME PARCEL MAP Water piping 5.00 Each qas water heater r vent 5.00 USE OF STRUCTURE S�K Duplex❑ Mobilehome❑ Other SPECIFY Gas piping system - 5 outlets 5.00 Building sewer 5.00 Mobile Home S I GJWJ 10.00 e TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation[] Other � Describe work: 0411,1 e!J /I—� ����L7 �%��% All a6t,) Permit Fee Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 600v OR LESS 100 AMP OR LESS 10.00 Main service EA. ADD'L 100 AMP 2.50 CONTRACTORS LICENSE LAW I declare under penalty p jy (check one): of perjury ) ❑ 1 am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in full force and effect. License No. Classification I, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONST. DWELLING OCCUP.a() OR ACDNS. ACG. BLDGS. '/z2sgft NEW CONSTR.MULTI-OUTLET NON.RESID BRANCH CIRC ITS 2.50 ea POWER APPARATUS e SINGLE OUTLET CIR. ) Ex. Occup(OUTLETS OR FIXTURES 20e50aSAL030 FIXED Ex. Occup..OUT OUTLETS P(RESID )LNS REA.) 1 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. / Ishall not employ any person in any manner so as to become subject x to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. MECHANICAL PERMIT FiIIng Fee 10.00 Heating D,D 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 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 over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST TYPE TOTAL FEE $ �y HAz I CUA I PARK I SCHL I FLD I PAR PO HD ISSUE This permit is nereby issued under sions of the Butte County Code and/or work indicated above for which fees DIRECTOR OF PUBLIC By _ . the applicable provi- resolutions to do have been paid. WORKS Date Receipt No. ...,sr'w+�.,g3•.�'K'LSn.�ry�te�,ir +E�Tkn�"'i`T'�t"``Ott"1R•'a'�'a'�C�!�!-i2�1.�`�ti'�'ti�`�`P-'11�7E. `"+�^ih BUTTE COUNTY SCHOOLS DEVELOPMENT FEE.CERTIFICATION FORM (One .Form -per Building) A.P. Number - -36 'Ul- Building Department No. School District Cit n County ® Jurisdiction Property Owner P� (/ �i_ -5(����L. Project Location/Address 02910 GD1�/�t�it/ ff U-�� Subdivision 1` Residential Lot Number Sq. Footage Addition (Group R) Development: # of Living MHI Units Commercial/Industrial: A ( Sq. Footage New Addition (Including Exterior Roofed Areas) z ///;7 Buildireg_D'epaitment Representative. Efate. (Floor Plans„ reviewed by School District Personnel) District Id" No. �- Applicant Name Street Address. School District certifies that �5 one Number (City) (State) (Zip Code ) has complied -with the requirements of Resolution No. wD r by the.payment of $ S representing Cp square feet. School District Representative Nate r PAID BY CHECK NO. N� REMARKS: BANK NO PAID BY CASH white -applicant, yellow -building department, pink -school district SCHOOL.FEE (8/88) �\ RESIDENTIAL PLAN CHECKING GUIDE .12/90 (S.F.,.DUPLEX & MISC. ONLY) Bldg. Permit # 153-�jJ OWNER�,TOF,(3�P A.P. # ^7 - �(n -alb GENERAL Plan Checker ?36() �1. Zoning requirements: (sideyards and number of permitted living units). .-2' Valuation. <✓3. Plans signed by designer. �+. Proper description of work on application. existing violations on .property. 6�. Items on data sheet. (W.C., fees. Health, Developer Fees, License law, etc). Recorded notice of violation. PLOT PLAN �. Complete parcel size and dimensions. Setbacks, sideyards, easements, etc. Other buildings or structures. -4*-- Grading, fills, drainage. —5--. Flood hazard. moi. Special conditions- ,on creation map, ustible, and foundations). FAU & FAS road setback. (noise, CDF, fire sprinklers, non -comb- -8: Building or utilities across lot lines (Record form). FT.nnR PT.AN ✓l. Complete to scale plan with dimensions. ✓1. Required windows for light and ventilation (Sec. 1205). f3. Required windows for second exit (Sec. 1204).. ,X4. Skylights (Chapter 34 & Sec. 5207). -5: Human impact glass (Sec. 5406). A6: Required room sizes, ceiling heights (Sec. 1207). GFCIs in baths, garage, kitchen, and exterior outlets (Article 210-8). Light fixtures, switches, receptacles, and exterior receptacles for main - ' of mechanical equipment. ccations of water heater, heating and cooling equipment, other electrical mor gas equipment. 0. Garage firewall, door size, and closer (Sec. 503(d)(3)). 1 - 3'0" exterior exit door (sec. 3304 (f). -1-2--Fireplace and wood stove location, alcoves, and clearance. k3: Smoke detectors (Sec. 1210). X4'.'—Plumbing fixtures, water closet clearances and shower size. STRUCTURAL DETAILS —r'-- Standard bracing or engineered design (Table 25V) /2-.— Unusual shape, size, or split level house requiring lateral design. Foundation plan complete enough.to construct building. ,Floor construction details complete enough to construct building. -.� Elevations and wall construction details complete enough to construct building. -6! Roof construction details complete enough to construct building. Fireplace construction details and calcs if necessary. ties or bearing ridge beam. Garage door or porch header sizes. 1@: Stud heights. --11. Adobe soils - special foundation design. Z3etaining walls requiring design. . Special Inspection required. 12/90 RESIDENTIAL PLAN CHECKIING 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� Brick or stone veneer (Chapter 30). -4-. Exterior plaster - weep screeds (Sec. 4706). -5 Proper roof pitch for roof convering (Chapter 32). i6—Roof covering type -.(fire hazard). ,-? Foam insulation - protection. -36" halls and stairways. Living area over garage - complete 1 -hour separation required on garage side including supporting walls and posts, etc. Two exits on three-story dwellings (sec. 3303 & see Mezannines - 1716). _-Yr Attic access and ventilation (Sec. 3205). N►"T2. Underfloor access and ventilation (Sec. 2516). ombustion air for fuel burning appliances - L.P.G. requirements. Noise requirements on duplexes. i,�_Energy design. !/ib. Flashing at all. exterior openings. ---r7—.CDF responsible area requirements. V.1 COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS / 7 County genter Drive - Oroville, California 95965 - Telephone: 916/538-7541 APPLICATION AND PERMIT PERMIT NO. ASSESSOR PARCEL NUMBER 7-36-17 ZONING Rl BUILDING PERMIT OWNER Paul R. 'Stueber TELEPHONE 345-8454 SO. FT. OCC. BUILDING VA ON 484 19,360 OWNER'S MAILING ADDRESS 2986 Godman Ave., Chico 95926 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 $ 140.50 ARCHITECT OR ENGINEER None LICENSE NO. Plan Checking Fee $ 70.25 Ener Plan Checking Fee 9y g $ 15.00 ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS 2986 Godman Ave., Chico 95926 Permit fee $ 235.75 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 SFU Duplex❑ Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home I S I G I W 0.00ea TYPE OF WORK New ❑ Addition [k Remodel ❑ Utilities ❑ Installation❑ Other ❑ Describe work: add 2nd story over new garage per _ 153-91. Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.In, Main service 6111 OR LESS 100 AMP OR LESS 10.00 Main service EA. ADD'L 100 AMP 2.50 CONTRACTORS LICENSE LAW 1 declare under penalty of perjury (check one): ❑ I am licensed under provisions of Chapt. 9, Div. 3 of the 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. ACC. BLDGS. DWELLING OCCUP.tr OR ADDNS. /zQsgft 12. 10 NEW CONSTR. MULTI -OUTLET NON.RESID BRANCH CIRC ITS 2.50 ea /POWER APPARATUS tr (SINGLE OUTLET CIR. Ex. Occup(OUTLETS OR FIXTURES i1®e/t eALO 30 IXED PR EX. Occup. OUTLETS (RESID,)EA.1 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 Permit Fee $ 99-1 Contractor WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ 1 have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. 1shall 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 deet ext. Cooling Hood 3.00 Ventilation permit Fee $ 00 ' Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. 1 also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue agains )d C,,ounty in c nseque ce of the granting of this permit. ,E,/i/ �_ 9_�� X.6( / Date Signature of Applicant — Owner �9 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 $ o CONST PE TOT F E $ 273J HAz. _ CUA PARK " s H FL CDF PAR D i H This permit is hereby issued unser the applicable provi- sions of the Butte County.Code and/or resolutions to do work indicated ab ve for which fees have been paid. D OR 7LIC WORKS By. Date PERMIT EXPIRE Date Receipt No. 83366 WNITC-D.P.W.. YELLOW -ASSESSOR. PINK -INSPECTOR. GOLDENROD -APPLICANT ?/ COUNTY OF"BUTTE - DEPARTMENT OF►PUBLIC WORKS - BUILDING DIVISION / 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965'- TELEPHONE: 916/538-7541 VVV tl - ..y, a 6: -rf' PERMIT APPLICATION DATA SHEET 41 i OWNER_ 4 Proposed ' 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"�cs, 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 ............. Engineered truss details and layout in duplicate (required prior to plan checkl!5; �3 - 9. Mobilehome installation data including manufacturer's installation instructions ............................. 11. Chico Urban Area fees paid ....................................... arkfees paid .................................................... 3. 'ark _�� SchAof Di rict fees paid .............. 4. Sanitation approval from G14 r'G Health Department 29, 15. City of Chico plumbing permit. ..................... 4 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) 121. ontractor's license information (No:, Name Style, Classification) ... Certificate of Workmans Compensation Insurance .......... ....... Owner -Builder Verification (Given to owner o, Mail to own ' 24. Recorded copy of Agricultural Acknowledgment Statemen ......... 25. Letter of signature authorization .............................:.... . - �471 ! : — WhX Issue the permit, process follows: Mail to o ner. Mail to contractor. lephone andahold for pickup atC�office. Deliver w/inspector. Other ! Applicant Date Copy of Haz-Mat form sent Health Dept. Fire Dept. Air Pollution Date Copy of plans sent Health Dept. _Fire Dept. Other Date By The following data must be submitted prior to permit issuance: jCircle new item not checked above). 1. Index permit for above items No. 2. Additional items required: P� UL ST e�b—_b - QLD a,�42 se 4 y Building Use uildirig Permit No. A. o. /' Inspector Date– Contractor, designer, owner, was advised of above required data by phone---mail—counter byQal..date -2-2 -7 Contractor, designer, owner, was advised of above required data by_phone_mall_counier bydate Plans checked by Date Plans approved by ZZ Date 4 ' Sets of plans on hold in Copy—DPW File cabinet AP folder TO g'uildina Department FROM: Environmental Health SUBJECT: Sanitation Clearance /7 Owner Location AP# Plan Approved for: Sewage Disposal Water Supply t Hold final for: Water Supply Final clearance O.R. for: Water.Supply Clearance for bedroom mobile home. Other NOTE Sanitarian Date COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT NO. 7 County Center Drive - Oroville, California 95965 - Telephone: 916/538-7541 APPLICATION AND PERMIT ASSESSOR PARCEL UMBE -� —-7 OWrhu L �. STaeeet2 ZONING TELE,PHON �Sqy BUILDING PERMIT S0. FT OCC. BUI DING VALUATION OWNER'S MAILING ADDRESS a 9 S,6 (�,'ePrnAn/ CONTRACTOR'S NAMED (' TELEPHONE CONTRACTOR -5 MAILING ADDRESS CONSTRUCTION LENDER UNKNOWN Fireplace Total Valuation Is I LENDER'S MAILING ADDRESS ARCHITECT OR ENGINEER LICENSE NO. Filing Fee - $ 10 Permit Fee Plan Checking Fee $ I $ - ARCHITECT OR ENGINEER'S MAILING ADDRESS Energy Plan Checking Fee $' O Penalty $ BUILDING D RESS RIC 60D Permit fee $ PLUMBING PERMIT Filing Fee 10.00 Each Trap 2,00 Solar or heat pump water heater 20.00 LOT NO. SUBOI VISION NAME PARCEL MAP Water piping 5.00 Each qas water heater or vent 5,00 USE OF STRUCTURE SF Duplex[] Mobilehome❑ Other SPECI FY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home S. G W 10.00e TYPE OF WORK New❑ Additio Remodel❑ Utilities❑ Installation❑ Other❑ Describe work: 7V o V — 41 iiLu 65yl2� W 3 Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 100 AMP 01 OR ORSLESS 10.00 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. 7'044) ❑ 1 am exempt under Sec. Business and Professions Code for this reason Main service EA. ADD'L too AMP 2.50 NEW CONST. DWELLING OCCUP.& OR ADDNS. ( ACC. BLDGS. ) /z¢sgft NEW CONSTR. MULTI -OUTLET— NON.RESID BRANCH CIRC ITS 2.50 ea (POWER APPARATUS e) l SINGLE OUTLET CIR. Ex. Occup(OUTLETS OR FIXTURES 20050t eAL@ 30t 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 $ 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 tothe W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. Contractor " MECHANICAL PERMIT FiIingFee 10.00 Heating Cooling Hood --3.0+0— ,00to Ventilation Permit Fee $ �Q Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the Countyot Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue against said County in consequence of the granting of this permit. XThis Signature of Applicant – Owner Contractor ❑ Agent ❑ An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST TYPE TOTAL FEE $ HAZ CUA PARK I SCHL FLo PAR PD HD ISSUE permit is hereby issued under sions of the Butte County Code and/or work indicated above for which fees DIRECTOR OF PUBLIC By PERMIT EXPIRES Date the applicable provi- resolutions to do have been paid. WORKS Date Receipt No. �; C/O C, WHITE-D.P.W.. YELLOW -ASSESSOR, PINK -INSPECTOR. GOLDENROD -APPLICANT BUTTE COUNTY SCHOOLS DEVELOPMENT FEE CERTIFICATION FORM • ( One Form per Binding) A.P_. ,..Number 7-36— /7 Bui'l'ding Department No. School District (l<;y City = County-©, Jurisdiction Property Owner pISTY t-17 A E Project Location/Address yy/l�Lf� Subdivision Lot Number Residential Development: [a`Sq. Footage # of Living MHI' Addition (Group R) Units Commercial/Industrial: O O Sq. Footage New Addition (Including Exterior Roofed Areas) Building Xeparrtment- Repr.esektative Date (Floor Plans reviewed by School.District Personnel) 'District Id No. �) �• to o�ru J/ School District certifies that (Applicant•Name) •(Phone Number) ow (Street Address) eta (City) (State). (Zip Code) has complied with the requirements of Resolution No. �1q-qo by the payment of $ %%I/�� representing square feet'. School Dis.tridt Representative Date PAID BY CHECK NO.. .REMARKS: i.t,rf,n r BANK NO PAID BY CASH white-app.licant,'yellow-building department, pink -school district SCHOOL.FEE (8/88) COUNTY OF BUTTE - Department of Public Works 7 County Center Drive, Orov;.lIe, -CA 95965 OWNER -BUILDER VERIFICATION Attention Property Owner: Phone: 916 -538 -7541 - An 'owner -builder" building permit has been applied for in your name and bearing your signature. Please complete and return this information at your earliest opportunity to avoid unnecessary delay in processing and issuing your building permit. No building permit will be issued until this verification is received. 1 1. I personally plan to provide the major labor and materials for construction of / the proposed property improvement (yes or no) _ye -15 2. I (have/have not) ff4yei signed an application for a building permit / for the proposed work. 3. I have contracted with the following person.(firm) to provide the proposed construction: Name Address City Phone Contractors License No. 4. I.plan to provide portions of this work, but I have hired the following person to coordinate, supervise, and provide the major work: Name Address City Phone Contractors License No. 5. I will provide some of the work but I have contracted (hired) the following persons to provide,the work indicated: Name Address Phone Type of Work Signed: Property Owner Social Security Number Date 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. FO R M 7 ADDITIONS TO RESIDENTIAL BUILDINGS ENERGY SHEET PACKAGE "A" (Additions) Owner ti.e 6e �' Climate Zone Permit # -L? / Floor Area 41P `/ The following data showing mandatory and required features of Package "A" shall be installed for additions to dwellings. Additions to dwellings include room additions, converting garages and patios to living areas, house moves that add footage and attic conversions, and any space that is existing non -conditioned space that is converted to conditioned space. Remodeling of existing conditioned space is not included. ZONE 11 ONE 6 APPLIES TO NEW AREA Q CEILING R-30 R- 8 ® WALL ® FLOOR R-11 -19 SLAB R-7 R-7 p GLAZING U-.65 (Dual) U-.65 ual)�.�. SHADING SOUTH - OPT I MUM 'OVERHANG 7 or .36 Shading Coefficient WEST - .36 Shading Coefficient— - t - - -- LOOSE FILL'' INSULATION '(Density) ® INFILTRATION CONTROL (Weatherstrip doors, certified windows, caulking) VAPOR BARRIER (Zone 16) - ® DUCTS PER UNIFORM MECHANICAL CODE - Ch. 10 ® LIGHTING KITCHEN & BATH NOT LESS THAN 25 LUMENS/WATT ® MAXIMUM GLAZING 16% OF -AREA PLUS.REMOVED GLAZING NEW HEATING, VENTILATING,,AIR CONDITIONING AND HOT WATER SYSTEMS IN CONJUNCTION WITH AN ADDITION SHALL BE INSTALLED AS SHOWN ON BACK OF THIS SHEET. OTHER 12/85 r' *1 HEATING, VENTILATING, AIR CONDITIONING SYSTEM' (A) Heating ❑ Central Gas Furnace % (brand and model number)' SE Btu/hr (heating capacity) ❑ Heat Pump (brand and model number) ACOP Btu/hr (heating capacity at 47°F) ❑ Active Solar type (liquid or air) Collector brand and ft2 model number solar fraction collector area collector orientation collector tilt rated y -intercept rated slope ❑ Other (describe) *1. (B) Cooling ❑ Electric Air Conditioner . (brand and model number) (seasonal EER) Btu/hr (cooling capacity at 95°F) ❑ Electric Heat Pump EER Btu/hr (cooling capacity at 95°F) ❑ Other (describe) DOMESTIC WATER SYSTEM ❑ (A) Gas Only Gallons (brand and model number) (tank size) ❑ Heat Pump w/Electric Backup (brand and model number) Gallons (tank size) ❑ *2 Active Solar (collector brand and model number) (rated y -intercept) (rated slope) (solar fraction) ft (backup heater type, brand and model number) (collector area) (collector orientation) (collector -tilt) ❑ Location of Solar Panels ❑ Other (Describe) *1 Submit documentation of sizing heating and cooling equipment by Manual J, sizing charts (form #4) or other approved methods, section 2-5352(8), and fill out the following: _ Heating: Winter design temperature °, elevation ', heating load BTU -1 elevation factor x heating load . maximum outlet capacity gas furnace BTU Cooling: Summer design temperature _*,*cooling load BTU ,2 Submit T.I.P.S.E. chart'or other approved system (form #5) to document sizing of solar panels. ® DESIGN COMPLIANCE, STATEMENT: The above building design meets the requirements of Title 24, Part 2, Chapter 2-53 of the California Administration Code. XIGdNATURE OF B ILDING DESIGNER OR APPLICANT !t � ,� � � ///// � .? ������/ COMPUTER METHOD SUMMARY Page 3 C -2R Project Title: K HAYES 2023-3 B/R (ENHANCED CASE)12 Run: 049 09 -Dec -90 GLAZING SURFACES SC with FMF Glazing ------------- " Glazing Area True Open Frame Charactr Shades Shades Name Type ---- (ft2) ----- Azm ---- Tilt ---- Type ------ Type -------- Name Open Closed ------------ ------ ------ -------------- Zone = STANDARD W1 -N1 Wind 17.5 0 90 Slider Metal Double 0.77 0.66 W2 -N1 Wind 20.0 0 90 Slider Metal Double 0.77 0.66 W1 -N3 Wind 20.0 0 90 Slider Metal Double 0.77 0.66 W2 -N3 Wind 20.0 0 90 Slider Metal Double 0.77 0.66 W1-NE1 Wind 10.0 0 90 Other Metal Double 0.77 0.66 W1 -E2 Wind 6.0 90 90 Other Metal Double 0.77 0.66 W1 -E3 Wind 25.0 90 90 Slider Metal Double 0.77 0.66 W1 -S1 Wind 32.0 180 90 Slider Metal Double 0.77 0.66 W2 -S1 Wind 32.0 180 90 Slider Metal Double 0.77 0.66 Wl-S2 Wind 6.3 180 90 Slider Metal Double 0.77 0.66 W1 -W1 Wind 16.0 270 90 Fixed Metal Double 0.77 0.66 W1-NW1 Wind 10.0 270 90 Other Metal Double 0.77 0.66 SL1-C1 Wind 4.0 270 90 Fixed Metal Double 0.77 0.66 SL2-C1 Wind 6.0 270 90 Fixed Metal Double 0.77 0.66 GLAZING CHARACTERISTICS SC w/o FMF Glazing ------------- Interior SC Exterior Charactr Glazing # of Glass w/Int Shade Ext Shade Name Type Panes U-val Only Shades Type Shade Type ---------- ------------ Double --------- Clear ----- ----- 2 0.62 ------ 0.88 ------ 0.75 ---------- ------ Lght Drape 1.00 None OVERHANGS Glazing Glazing ------------- Above Left Right Name Height Width ------ ------ Depth ------ Glazing --------- Extension Extension --------- --------- -------------- None FINS Left Fin Right Fin Glazing Exten Dist Exten Dist Glazing ------------- Fin Fin above to Fin Fin above to Name Height Width Depth Height glzng glzing Depth Height glzng glzing None C n L r o C u L!1 12�f= 2 I -I P 5 F Z-,/- /C> .L,o P5P P•L- / Li,d-/� = 22 v -f /," �` -- L t7 _ 7 i Sx 15-t? Sy3 i PC Ll 1.,U -L L �o ter, S = y25,e5G Z %.oa 4 5 '5 L/ ' j2 Z . 9 QROFESS, C,�`Z��eA �y A C1V1� C AUS 11 =lion x �x 5 = 2 1/ oc3 F'5 i 7� G % /3.5 4 = If /, y," MAR' 01 1991 6 PROJECT:DRAWN; DATE. SHEET NO. IrAA BACHMAN &c ASSOCIATES , CHECKED: JOB NO. 3012 Espla7de Chico. Ca. (916) 342-4136 OF 6�0 109 ............ x Z- 32- Z, Z7 z -3 2.. 0 - --------------- 12. Lv x C? \i ROFESS/ SAO Exp. y;l 6-30-93 7 is z Lr! pJl = �- clvl\, 0F CAL\F MAR 011991 PROJECT: DRAWN: DATE: SHEET NO. CHECKEDJOB NO.: 13AC Hl ASSOCIATES 3012 EsP� -4136 :,,Phico. Ca. (916) 342ASSOCIATES I I OF G b, FORN T ADDITIONS TO PISIDENTIAL BUILDINGS ENERGY S= PACKAGE "A" (Additions) -Owner Climate Zone Permit # Floor Area The following data showing mandatory and.required features of Package "A". shall be installed for additions to dwellings. Additi6ns to dwellings include room additions, convertingg-garages and patios to living areas, house moves that add ,footage and attic conversions, and any space that is existing non -conditioned space that is converted to conditioned space. Remodeling of existing conditioned space.is not included. - ZONE 11 ZONE 16 APPLIES TO NEW -AREA 1�7C�EILI�NG�' �_R�-30 FLOOR R-11 SLAB R-7 GLAZING U=.65 guar SHADING SOUTH - OPTIMUM OVERHANG* R-38 R-19 R-19. R -T U-.65 (Dual) or .36 Shading Coefficient WEST .36 Shading Coefficient LOOSE FILL INSULATION -(Density) INFILTRATION CONTROL (Weatherstrip doors;. certified windows, caulking) VAPOR BARRIER -(Zone 16) DUCTS PER UNIFORM MECHANICAL CODE Ch. 10 LIGHTING KITCHEN & BATH NOT LESS'THAN 25 LUMENS/WATT MAXIMUM GLAZ-I.N.G-1-67.—O F—AREA-PbU-S­R-EM OV ­E D—GL NEW HEATING, VENTILATING,, -AIR CONDITIONING AND HOT WATER SYSTEMS IN CONJUNCTION WITH AN ADDITION SHALL BE•INSTALLED AS SHOWN ON BACK OF THIS SHEET. OTHER 12/85 *1 HEATING VENPIIATING, AIR CONDITIONING SYSTEM (A) Heating ❑ Central Gas Furnace U dd model number SE ( ran an Btu/hr (heating capacity) Heat Pump , (brand and model number) ACOP Btu/hr (heating capacity at 4 F) Active Solar type (liquid or air) Collector brand and ft2 model number solar fraction collector area - collector orientation collector tilt rated y -intercept rated slope Other (describe) *1. (B) Cooling Electric Air Conditioner (brand and model number) (seasonal EER) Btu/hr (cooling capacity at 95°F) Electric Heat Pump Btu/hr (cooling capacity at 95°F) ❑ Other (describe) DOMESTIC WATER SYSTEM ❑ .(A) Gas Only_ Gallons (brand and model number) (tank size) ❑ Heat Pump w/Electric Backup (brand and model number) Gallons (tank size) ❑ *2 Active Solar (collector brand and model number) (rated -y -intercept) (rated slope) (solar fraction) ft (backup -heater type, brand and model number) (collector area) (collector orientation) (collector tilt) ❑ Location of Solar Panels ❑ Other (Describe) *1 Submit documentation of sizing heating and cooling equipment by Manual J, sizing charts (form #4) or other approved methods, section 2-5352(g), and fill out the following: P Heating: Winter design temperature °, elevation ', heating load BTU elevation factor x heating load - maximum outlet capacity gas furnace BTU Cooling: Summer design temperature ', cooling load BTU *2 Submit T.I.P.S.E. chart"or other approved system (form #5) to document sizing of solar panels. ® DESIGN COMPLIANCE STATEMENT: The above building design meets the requirements of Title 24, Part 2, Chapter 2-53 of the California Administration Code. AL& S TUR BUILDING DESIGNER OR APPLICANT COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PE MIT NO. 7 County Center Drive - Oroville, California x_-5965 - Telephone: 916/538-7541. APPLICATIG�N ANdPERMIT L ASSESSOR PARCEL NUMBER — I ZO NG BUILDING PERMIT OWNL IQt aV piVQIp //��J Ef� TELEPHONE S FT. OCC. BUILDING VA AT N �.SO/. 7 OWNER'S MAILING ADDRESS -b.o, 6mu. 6 co C4. 9� z CONTRACTOR'S N/1ME //1v/ �Y W nr TELEPHONE CONTRACTOR'S MAILING ADDRESS A- Fireplace CONSTRUCTION LENDER VNKNOWN Total Valuation $ Filing Fee $ 10.00/ LENDER'S MA✓IL 7 ADq RESS Permit Fee ARCHITECT OR ENGINEER ✓/ LIGEN SE NO. Plan Checking Fee $ Energy Plan Checking Fee $ c� ARCHITECT OR NGINEER'S MAILING ADDRESS I /+ Penalty BUILDING ADDRESS ;Z 96 Permit fee !S $ t PERMIT Filing Fee 10.00 CPLUMBING � 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 0 Building sewer 5.00 Mobile Home S I G W 0.00 ea TYPE OF WORK New ❑ Addition& Remodel Utilities ❑ In allation❑ Other ❑ Describe work: .A,,6 i...4,✓ i 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. Classification8AL@30 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.N) OR ADDNS, l ACC. SLOGS. YzQsgft •3oJJ NEW CONSTR MULTI -OUTLET NON.RESID BRANCH CIRCUITS) 2,50 ea POWER APPARATUS e\ SINGLE OUTLET CIR. Ex. Occup OUTLETS OR FIXTURES\\ 200030 FIXED APLNS Ex. Occup. OUTLETS P(RESID )REA.J 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 onsent to Self -Insure. shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement,should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. MECHANICAL PERMIT Filing Fee 1D. Heating Cooling Hood 3.00 i Ventilation permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all Iiabilitie judgments, cost nd expenses. which may in any way accrue against ou in c se antng of this permit. XDate / Signature of Applicant — ` Owner Contractor 13Agent El 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 $ TOTAL PERMIT F $ 3 , 3 Q �'l uP Co sCNoo FLOOD This permit is hereby issued under stons the Butte County Code and/or work i icated a ova for which R CTOR OF PUBLIC By PERMIT EXPIRES Date PARCEL PD HD u the applicable provi- resolutions to do fees have been paid. WORKS IS? � o7 Date `8 O �� fl Receipt No. 2,'I 0 WHITE-O.P.W., YELLOW -ASSESSOR. PINR-INSPECTOR. GOLDENROD -APPLICANT OWNER Tti�s,n..ar...�v_..ry..+-•..N.,..x-.-a.�. +� .. ... ., ice..:-�«TM�"i4�sy�s�^rY."n kd�a:trni�i}4'^,,,Ay'y``"�ft�,.if"+i.i't.+.:rT-�s+�..4 r 'd r r I COUNTY OF BUTTE - DEPARTMENT--'OF.::PUBL'IC WORKS - BUILDING DIVISION 7 COUNTY CENTER DRIVE=jOROVILLTE;. ALIFO6WA 95965 - TELEPHONE: 916/538-7541 PERMIT AP,PL°LC•AiTMN DATA SHEET -7� Permit No. �U L / V%��%f� A. -P. No. 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 RECEAVED APPROVED 1. All items have been-sib�ie'd. ? C �2� Plot plans in duplicate/triplicate, signed by preparer of plans. - �. Complete plates' n du licate riplicate, sigge by prejt&CeOd�I ns. '�- 4. Complete engineered implans and calcs, with wet signature on plans. 2!5. P ans witnl�ifergy Design Compliance Statement. . . . . . ' 6. �"�`' School District "Fees Paid" Stamp on Floor Plan. ' 7 Statement of Intent for Non -Heated and AC Buildings. 8. Fees of $ . . . . . . . . 9. Letter of signature authorization. . . . . . . . 10. Sanitation approval from _ Health Dept. . . 11. Planning approval for (A) Use: (B) Parking: 12. Certificate of Workmen's Compensation Insurance. . . . . . 3 Contracto_r.'s License Information (no., name style, classif.) _14- Owner -Builder Verification (Given to owner[], Mail to owner ❑ ) s _.—..._ 15. Improvements may be:required. . . . . . . . . . . . 16. Mobilehome Installation Data. . . . . . . Prednspec.request to (Date) 17. Pre -Inspection for—.-.--,- _ ..._._. _ Required- Building Inspector 18. Recorded copy of Agricultural Acknowledgment Statement. 19. Driveway Permit, — 20. Plot plan approval from city of 21. - - - 22. — — -- When you issue the permit, process as follows: Mail to opner; Mail to contractor- Telephone and hold for pickup 46�,Cyoffice, Deliver w/inspector. Other Applicant ate Copy of plans sent Health Dept.; Fire Dept., Other Date The following data must be submitted prior to permit issuance: (Circle new item not checked above). 1: Index permit for above items No. 2. Additional items required: —_-_ Contractor, designer, owner, was advised of above required data by_phone____jnail—counter by date Contractor, designer, owner, was advised c? above required data by_phone_mail_counter by at`e Plans checked_ by Date Plans approved by to '--..,--Sets t' r of plans on hold in File cabinet AP folder Copy -DPW COUNTY OF BUTTE - Depart*ment 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 returnthis 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 iimprovement (.yes or no) �2S__. 2.• I (have/have not) 114 V 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, nd provide the major work: Name AddressCity 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:7J Property Owner Social Security Number $ ` - Date NOTE: This Owner -Builder Verification is sent to you as required by Sections 19831 and 19832 of the California Health and Safety Code. This verification must be completed and returned to our office before we are per- mitted to issue the permit. Temp. Pow Called ' Temp. Elec Called Temp: Pias Called JOB FINAL Sipnak PERMIT NO. 3993-87B . E PERMIT EXPIRES OWNER PAUT, R_ STRURBER CONTR.- OWnPr ASSESSOR PARCEL 7-16-1.7 F LOCATION 998 Cmiman , Chi rn Temp. Pow Called ' Temp. Elec Called Temp: Pias Called JOB FINAL Sipnak = OK 0 = Not OK = Not Readyable MOBILE HOMES MISCELLANEOUS Date MOBILE HOME UTILITIES (Plans) OK except #'s ' Date ',_ DECKS,COVERS,CARPORTS,GARAGES, (Plans)OK except #'s 1. Zoning Requirements -Setbacks -Easements 1. Zoning Requirements -Setbacks -Easements 2. Soils; Special MH Support -Sketch 2. Footings; Soils -Size -Depth -Spacing -Connectors -Steel 3. Sewer; Location -Test -Fall -C/O -Concrete 3. Decks; Girders and/or Joists -Decking -Bracing -Stairs -Rails 4. Water; Location -Test -Easement Needed (Sketch) 4. Wood Awn.; Posts:Beams-Rftrs.-Connec.- Shthg.-Rfg.-Bracing .5. Electricity; Location-Clearances=Grnd.-/ /-Amp-Concrete 6. Gas; Location -Test -Wrap: / /"L"ft., / /"Nat. or/ /"L"ft./ /"LPG 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures. 6. Carports; Windows -Doors 7. Utility Clearance 7. Elec. 8. Frmg; Sills-Anchors-Studs-Rftrs-Trusses 9. Siding; Nailing -Veneer -Stucco -Mesh Card -B1 Date Card -B1 Date 10. Roof; Shthg-Roofing Card -B1 Date Card -B1 Date 11. Ext.; Steps -Doors -Landings Date MOBILEHOME INSTALLATION (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements Card -131 Date Card -B1 Date 2. Footings; Size -Spacing -Marriage Line Card -B1 Date Card -B1 Date 3. Gas; MH Test -Demand -Valve -Connector 4. Electricity; MH Test -Crossovers -Breakers -Clearances Date POOLS (Plans) OK except #'s 5. Drain; MH Test -Fall -Flex Connector 1. Setbacks -Easements 6. Water; MH Test -Regulator -Connector 2. Soils; Compaction -Structure Stability 7. Water and Sewer Connected -C/O to Grade -HD Approval 3. Pool Structure; Steel -Connections -Thickness - Dead Men -Lining 8. Gas and Electricity Tagged 9. Exits; Insp.-Sketch 4. Elec.; Receptacles and Lighting, Distances-GFI 10. Cert. of Occupancy 5. Elec.; Pool Lighting; 15 volts-GFI 6. Elec.; Enclosures; Conduit Entries -Terminals -Listed 7. Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater 8. Elec.; Grounding; Equip. w/5' -circulating Equip. -Pool Lghtg. Boxes -Enc losures-Panel boards- Ins. to Main in Conduit Card -B1 Date _ Card -81 Date Card -B1 Date Card -B1 Date 9. Health Department Approval 10. Plumb.; Cir. Test -Water Supply Test Card -B1 Date Card -B1 Date Card -B1 Date Card -131 Date 0=Not OK - = Not Applicable = Not Ready RESIDENTIAL (Single and Duplex) . Date UND FLOOR (Plans) OK except #'sr _ • 'Date FRAMING (Continued) oning requirements -Setbacks -Easements _44 -Hangers -Post Caps-Anchors-Connectors --2-F1g-Main; Soils-Steel-Elec. Grnd.-/ /" Ftg. Depth -,:4. Cing. Joist-Rftr. Ties-Purlin-Roof Brac.-Truss-Shthng.-Rfng. -3-Rg-Garage; Soils -Steel-/ /" Ftg. Depth 46. Fireplace Ties or Type A Flue -Fireplace Throat -4-Ftg—,Porches & Decks; Soils -Steel-/ /"Ftg. Depth . Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 5-6M—MwaIIS Main; Steel-Blockouts-Wrapped . Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions ells, Garage; Steel-Blockouts-Wrapped �l9. Garage Fire Protection Framing t,Afab; Steel -Wrapped ~59 Property Line Firewall & Openings 8. Piers -Fireplace Ftg.-Steel 1. Ext. Doors -One T -Check Garage -3rd story, 2 exits 9. D.W.V.; Fall -Fittings -Test -2 way C/O -Sewer Test Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 10. Gas Pipe; Size -Anchors 3. Plywood on Roof Overhang -Attic Vents -Rafter Outriggers 11. Water Pipe; Test -Anchors -Regulator -Service Test 54. Siding:.Nailing Veneer 12. Electric; Underground co Mesh -Drip Screed -Fd. Vents-Underflr. Access 13. Plenums & Ducts; Clearance-Material-Supprt-Ins. . Glazi rea-Glass Protection -Skylights -Plastic 14. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples Walls; Nailing -Bolts 15. Insulation 5. sulation-Walls-Clg. 41 . Infiltration-Walls-Wndws Card -B1 Date (if and -B1 Date Card -B1 Date Card -131 Date Card -B1 Dat rd -B1 Date ' Card -B1 Dated rd -B1 Date Date PLUMBING (Per 'OK except #'s 16. Water Ht. Yent-Access-Combustion Air Date FIML (Plans) OK except #'s 17. Water pipe; Test & Anchors -Nail Protection 66 Fxf. Steps -Door & Sidelight Protection -Landings 18. D.e.; .; Test-Fttngs & Anchors -Nail Protection WSmoke Detector 19. ower Pan; -Test, First Floor -Tub Access . urnace; Vents -Clearance -Comb. Air -Connector - In Garage; Above Floor-Ducts-Mech. Protection Test Tub & Shower, 2nd Floor -Tub Access 21: Gas Pipe;•Size & Anchors a room x- ing at Fixtures & Tub Access -Spa 8 Elec. Trim & Su►+^�^�I Card -B1 Date Card -B1 Date . Card -B1 Dat_el Card -B1 Date -4.-FHep,face,-or-Stove; Clearances -Hearth Date EL (Per T AL (Permit) OK except #'s 6i3-Efee:-0otlets at Wood Panel; Int. & Ext. F ure & Trans earance-Ins. Protection . Kit..Fixt. & Appliance; Grnd. -Air Gap -Cooking Clearance 2 lec. ,eceptacle Spavin fights &Switches at Doors te-tlec. Outlets &Receptacles at Kit. Counter S' B es & No. o Conductors -Stapled Swing -Landing -Closer 71-ke. in gLolR ex Installed Close.lo Edge of Studs & C.J. Duct 712-B�fin-Garage-Damper in-GBoor;arage-Damper 2 . Equip. Ground made up w-Mech. Fasteners -Bond Gas & Water -Clearance -Comb. Air-Connector-P.R.V.- In Garage; Above Floor-Mech. Protection V. 2 Appliance Circuits in Kitchen &Conductor Size U4411—Elec. & Meeh. Equip. Listed for Location ee Size / / ga. Cu or AI-A.C. Wire Size / /ga.S-Ike-Reeeptacles Cu or Al in Garage; (G.F.I.)-Romex Protec. / ga. Cu or AI -Oven Circ. / / ga. Cu or Al. Insulated Neutral Yes No Insulation -Foam -Looked in Attic C3 Yes eck-Construction- Post Caps ervice- -ser Conductors & Ground -Main Disconnect . Fdn. Vents & Crawl Hole Door -Drainage & Wood -Earth Clearance Looked under Floor O Yes u -p. Clearances Panels-Motors-Mech. Equip. es Diet Light -Shower Light -Spa Light 7 Yes O No; Walks O Yes O N% Planters O Yes ❑ No rown- -nish Card -B1 Date Card -B1 Date • onnect, Electrical, Plumbing Card -B1 Date Card -81 Date. Vents Above Roof; Plbg.-Appliance-Firepl.-Clearance to enings. Date MECHANICAL (Pera4) OK except #'s -sconnect, Electrical, Plumbing 33. A.C. Ducts !pCulation & Support eceptacle-Underground 34. Vent FaDef=xhaust above insulation WVqntilation throughout House 35. Con sate Drain & Overflow; Size & Grade .Glass Protection 36. F ace -Vent; Access -Comb. Air -Return Air Vent -115 . Corrections from Previous Inpections -outlet 37. ttic Access & Platform if Furnace in Attic ged; Gas -Electric onnected-C/O to Grade -HD Approval Energy Compliance Certificate -Other Certificates Card -131 Date Card -131 Date Card -131 Da Card -131 Date Card -B1. � Date J6 � Card -B1 Date Card-Bf Date Card -B1 Date Date F M G (Plans) OK except #'s ro er Materia & Anch Card -131 Date Card -B1 Date all tuds . ailing, Spac-n Bracin Plates -Sound Comments at Final: 4Kaodg Walls over Girders & Floor Nailing 4 . D ft Stop in Walls (rat proof) 4tAire Stops; Furred Cei • - tairs-Chases-Tub Header & Beam -Size earin (NOTE: An entry must be made each time you visit job site) COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 196 Memorial Way, Chico — Phone: 891-2751' 7 County Center Drive, Oroville — Phone: 538-7541 747 Elliott Road, Paradise — Phone: 872=6307 — CORRECTION NOTICE OWNER PERMIT NO. A routine inspection indicates that the following violations of County Ordinance exist at the above address and should be corrected. Please notify this office when correction of work is completed. If you have any question pertaining to this matter, or need additional explanation, please contact this office immediately. 41VC11/1'1-r eSw -4:w SiG� s A iii Inspector Date AZZ Owner:. A1/I,t�iLwL Permit No, S. / 9j -­& % ENERGY C E R THI F ICAT ION n LOCATION A.P. No. DESCRIPTION OF INSULATION ROOF Material -Thickness(inches) EXTERIOR WALL Material l� Thickness(inches) CEILING Batt or Blanket Type Thickness(inches) Loose Fill Type Minimum Thicknesis(Inches) Area covered(ft. ) FLOOR, ELEVATED Material Thickness(inches) FLOOR, SLAB Material Thickness(inches) T- Width(inches) FOUNDATION WALL Material Thickness(inches) Brand Name Thermal Resistance (R Value) Brand Name Thermal Resistance(R Value) Brand Name Thermal Resistance(R Value) Brand Name Number of Bags Wt. per bag lb. Thermal Resistance(R Value) Brand Name Thermal Resistance(R Value) Brand Name Thermal Resistance(R Value) Brand Name ' Thermal Resistance(R Value) I hereby certify that the above insulation was installed in the above building in conformance with the State of California Energy Requirements. FIRM NAME/OWNER' STATE CONTRACTORS LICENSE NO. SIGNATURE OF INSTALLATION APPLICATOR DATE I hereby certify the above insulation and all required items as shown on the Building Department approved plans and attachments have been installed as required by the State of California Energy Requirements. All equipment, devices and materials are of the quality prescribed or are specifically approved by the State of California. FIRM NAME/OWNER (Please print) STATE CONTRACTORS LICENSE'NO. SIGNATURE OF GENERAL CONTRACTOR OWNER DATE -THIS CERTIFICATE MUST BE ON FILE WITH THE BUILDING DEPARTMENT PRIOR TO FINAL INSPECTION APPROVAL AND A COPY SHALL BE POSTED WITHIN THE BUILDING. January 1984 FORM. 7 ADDITIONS TO RES IDEN'V:kL._BUILDINGS ENERGY SHEET PACKAGE 'SAE" (Additions) Owner l �- `� % �Yi �%t Climate Zone �I Permit # 3.3 Floor Area �i Z � D&J16 � The following data showing mandatory and required features of Package "A" shall be installed for additions to dwellings. Additions to dwellings include room additions, converting garages and patios to living areas, house moves that add footage and.attic conversions, and any space that is existing non -conditioned space that is converted to conditioned space. Remodeling of existing conditioned space is not included. APPLIES TO NEW AREA CEILING WALL FLOOR SLAB GLAZING SHADING SOUTH - OPTIMUM OVERHANG ZONE 11 LONE 16/1 R-11 R-11 R-7 U-.65 (Dual) '. or .36 Shading.Coefficient R- 8 R-1 R-1 R- U -.65 (Dual) WEST - .36 Shading Coefficient LOOSE FILL INSULATION (Density ) INFILTRATION CONTROL (Weatherstrip doors, certified windows, caulking) VAPOR BARRIER (Zone 16) - DUCTS PER UNIFORM MECHANICAL CODE - Ch. 10 M LIGHTING KITCHEN & BATH NOT LESS THAN 25 LUMENS/WATT MAXIMUM GLAZING 16% OF -AREA PLUS REMOVED GLAZING NEW HEATING, VENTILATING, AIR CONDITIONING AND HOT WATER SYSTEMS'IN CONJUNCTION WITH A_N ADDITION SHALL BE INSTALLED AS SHOWN ON BACK - OF THIS SHEET. j. OTHER 12/85 *1 HEATING, VENTIIATING, &IR COND?IONING SYSTEM DOMESTIC WATER SYSTEM E3 • (A) Gas Only Gallons (brand and model number) (tank size) 13 Heat Pump w/Electric Backup (brand and model number) Gallons 2 (tank size) ❑ * Active Solar (collector brand and model number) (rated y -intercept) (rated slope) (solar fraction) ' ft2 (backup heater type, brand and model number) (collector area) (collector orientation) (collector tilt) Incation of Solar Panels ❑ 13 Other (Describe) (A) Heating 13 Central Gas Furnace � (brand a[td model number) SE ' Btu/hr _ c ! • (heating capacity) -' C3 Heat Pump (brand and -,model number) ACOP • Btu/hr (heating capacity at 47°F) C3 Active Solar type (liquid or air) Collector brand and ft2 model number solar fraction collector area collector - orientation collector tilt rated y -intercept rated slope 13 other (describe) *1 (B) Cooling E3 Electric Air Conditioner • (brand and model number) (seasonal'EER) - Btu/hr (cooling capacity at 95°F) 13 Electric *1 Submit documentation of sizing heating and cooling equipment by Manual J, sizing charts (form #4) or other approved methods, section 2-5352(8), and fill out the following: _ Heating: Winter design temperature °, elevation ', heating load BTU elevation factor x heating load maximum outlet capacity gas furnace BTU Cooling: Summer design temperature ", cooling load BTU *2 Submit T.I.P,S.E. chart'or other approved system (form #5) to document sizing of solar panels. ® DESIGN COMPLIANCE STATEMENT: The above building design meets the requirements of Title 24, Part 2, Chapter 2-53 of the California Administration Code. SIGNATURE OF BU LDING DESIGNER OR APPLICANT 9 A Heat Pump EER • '{ Stu/hr (cooling capacity at 95°F) ❑ Other (describe) ' *1 Submit documentation of sizing heating and cooling equipment by Manual J, sizing charts (form #4) or other approved methods, section 2-5352(8), and fill out the following: _ Heating: Winter design temperature °, elevation ', heating load BTU elevation factor x heating load maximum outlet capacity gas furnace BTU Cooling: Summer design temperature ", cooling load BTU *2 Submit T.I.P,S.E. chart'or other approved system (form #5) to document sizing of solar panels. ® DESIGN COMPLIANCE STATEMENT: The above building design meets the requirements of Title 24, Part 2, Chapter 2-53 of the California Administration Code. SIGNATURE OF BU LDING DESIGNER OR APPLICANT 9 A .."K"�....�w'saw�ynCsi.3T.�`�aE`TMSS"`' ...ap'pkv°�+eC��"o"o"!c'�{'�y,;,.t-m.�'gsA�irr TV'TEM�M4T.'TrF.'lR`i.. r :'� �nv'R+"'�Ta++p�`^`.�q�p.'^7rM:^r'�+--rc.�uN.;�.,�`.�+n�-. � rt � `'L i 7�, � ,t i� ,� ! < < ,6 F2 COUNTY OF BUTTE- DEPARTMENT OF DEVELOPMENT SERVICES - 7 County Center Drive - Oroville, 'California 95965 - Telephone (Rev. 12/96) APPLICATION AND PERMIT w BUILDING DIVISION (916)1 � 41� — LPERMIT ASSESSOR PARCEL NUMBER 00-7 _ oc)_ O I ZONVZ ` BCIILDINGPERMIT OWNER - / u �n '`+n T��V/C_ SO. FT. OCC. BUILDING VALUATION /ro Z6 NADDfiEj�S�S� 6' OWNER'S MAILIG /y CONTRACTOR'S NAME r AJ `(L TELEPHONE CONTRACTOR'S MAILING ADDRESS CONSTRUCTION LENDER Fireplace LENDER'S MAILING ADDRESS ' Total Valuation $ ARCHITECT OR ENGINEER LICENSE NO. - Filing Fee $ 2//0.00 Permit Fee $ Y 100 ARCHITECT OR ENGINEER'S MAILING ADDRESS Plan Checking Fee $ BUILDING ADDRESS /ti 7 (,Jy" /" (i O UVJ' Energy Plan Checking Fee $ $ PERMIT FEE $ ".00 LOT NO. SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMIT Fling Fee 20.00 USEOFSTRUCTURE t SF Duplex ❑ Mobilehome ❑ Other SPECIFY Each Trap 7.00 Solar or heat pump water heater 23.00 Water piping 15.00 Each gas water heater or vent 15.00 TYPE OF WORK New ❑ Addition ❑RRemodel ❑ Utiliti s ❑ Installation ❑ Other O'— Describe Work: V` C'7 � V (fm Gas piping system 1 - 5 outlets 15.00 Buildingsewer 15.00 Mobile Home I S I G I W @20.00 PERMIT FEE S ELECTRICAL PERMIT Fling Fee 20.00 Main Service Toon oa Lf r' 23.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter i . 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect. License Class LIC. NO. OWNER -BUILDER DECLARATION 1 hereby affirm under penalty of perjury that I am exempt from the Contractors License Law Jor the following reason: I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason Main Service 200A TO 1000A 46.00 NEW CONST. DWELLING OCCUP. OR AODNS. ( 6 ACC. BLOS. SO 3.50FT_ NEW CONST. MULTI.OUTLET NON-RESID.BRANCH CIRCUITS97.50 POWER APPARATUS 8 SINGLE OUTLET CIR. Ex. Occup. OUTLET OR FIXTURES 20 Q 1.00 BAL p .50 Ex. Occup. OUTLETSPRES ED 6.) E 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE S WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ 1 have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE $ Policy Number (The above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) O� I certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall forthwith comply with those provisions. X I��%/ CGf _✓l. AWA Date _l'%7 Signature of Applicant - T Owner ❑ Contractor ❑ Agent An OSHA permit is required for excavations over 60" deep and demolition or construction of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST. TYPE TOTAL FEE $ HA2. 0. FEES IMP I FLOOD I CDF PARCEL PO HD ISSUE This permit is hereby issued under the applicable provisions of the Butte County Code and/or Resolutions to do work indicated above for which fees have been paid. By I I Date PERMIT EXPIRES ON Date Receipt No. ;VW U7 WHITE-D.D.S.-B.D. - CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT COUNTY OF BUTTE- DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING DIVISION 7 County Center Drive - Oroville,;California 95965 - Telephone (916) 538-754 ERT`NNO. (Rev. 12/96) APPLICATIONAND PERMIT _ ASSESSOR PARCEL NUMBER 0,7 _ 1B II ILDING PERMIT OWNER L C-( ` T TELEPHONE- SO. FT. OCC. BUILDING VALUATION OWNERS MAI ADDRE /' 4(ltf cot w�yv� CC) CONTRACTOR'S NAM S TELEPHONE ' CONTRACTORS MA NG XbDRFSS CONSTRUCTION LENDER LENDER'S MAIUNG ADDRESS ' Fireplace Total Valuation $ ARCHITECT OR ENGINEER LICENSE NO. —Fling Fee $ 20.00 Permit Fee $ I Q© ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ BUILDING ADDRESS �Jr Energy Plan Checking Fee $ $ PERMIT FEE $ SDC) LOT NO. SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMIT Fling Fee 20.00 USEOFSTRUCTURE SF uplex ❑ Mobilehome ❑ Other SPECIFY Each Trap 7.00 Solar or heat'pump water heater 23.00 Water piping 15.00 Each as water heater or vent 15.00 TYPE OF WORK New ❑ Addition ❑modeelll 0 U6blities ❑ Installation ❑ Other �� Describe Work: 1 �(TLi /n Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home I S I G I W @20.00 PERMIT FEE S ELECTRICAL PERMIT Filing Fee 20.00 Main Service 2oonoa�ss 23.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect. 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, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason Main Service 200A To 1000A 46.00 NEW CONST. DwEWNG OCCUP. SO OR ADDNS. ( a ACC. BLDS. 3.5QFT; NON -RES DT MCANLTI OUTLET 97.50 POWER APPARATUS 8 SINGLE OUTLET CIR. RURES zL p 1.00 EX. Occup. OUTLET OR FOBA L @ .SO EX. Occup. OUTELETS REESID.DEA 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE S 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 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 the workers' compensation provisions of section 3700 of the Labor Code, I shall fort with compl w�eprns. �q�of X Date �L –7 __ Signa ure of Applicant - ).Owner ❑ Contractor ❑ Agent An OSHA permit is required for excavations over 5'0" deep and demolition or construction of structures over 3 stories in height. MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE $ Mobile Home Installation Fee $ Energy Inspection Fee $ Occ CONST. T TOTAL FEE $ =.AFdEIMP I FLOOD I CDF PARCEL PO HD ISSUE This permit is hereby issued under the applicable provisions the Butte County Code and/or Resolutions to do work indicated above for w ' h fees have been paid. L By / ,Daae 1-1-r2 PERMIT EXPIRES ON (� "`'t Fk Oe re Receipt No. WHITE-D.D.S.-B.D. CANARY -AS SSOR PINK -INSPECTOR GOLDENROD -APPLICANT ' COUNTY OF BUTTE- DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive - Oroville, California 95965 --Telephone (916) 538-7541 PERMIT NO. Rev. 12/96) APPLICAtION AND PERMIT ASSESSOR PARCEL NUMBER �jl�) zONI _' V� BUILDING PERMIT OWNER PAUL- R. ST pP- TELEPHONE SO, FT, OCC. BUILDING VALUATION 7 &0i 210 S OWNER'S MAILING ADOz 217 fV N ✓2 CONTRACTOR'S NAME TELEPHONE CONTRACTOR'S MAILING ADDRESS CONSTRUCTION LENDER Fireplace LENDER'S MAILING ADDRESS Total Valuation $ ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00 Permit Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Plan Checking Fee $ BUILDING ADDRESS Energy Plan Checking Fee $ PERMIT FEE LOT NO. SUBDNLSION'SHAME PARCEL MAP PLUMBING PERMIT Fling Fee 20.00 Each Trap 7.00 USEOFSTRUCTURE SF Duplex ❑ Mobilehome ❑ Other SPECIFY Solar or heat pump water heater 23.00 Water piping 15.00 Each clas water heater or vent 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other fiL e / Describe Work: /V Gas piping system 1 - 5 outlets 15.00 Building sewer 15.001 Mobile Home S G W (920.00 PERMIT FEE S ELECTRICAL PERMIT I Fling Feel 20.00 eoov oR tEss Main Service200A OR LESS 23.00 • LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect. 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, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. ❑ I, as owner'of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ 1 have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier Policy Number (The above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) ❑ 1 certify that in the performance of the work for which this permit is issued. I shall not employ any person in any manner so as to become subject to workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall forthwith comply with those provisions. X Date Signature of Applicant - ❑ Owner ❑ Contractor ❑ Agent An OSHA permit is required for excavations over 50" deep and demolition or construction of structures over 3 stories in height. Main Service 200A TO IOWA 1 46.00 NEW CONST. DWELLING OCCUP. SO OR AODNS. a ACC. erns. 3.50FT. Np RaID ' MULTI.OUTLET @7.50 POr AP=US 8 SINGLE OUTLET CIR. p @ 100 Ex. Occup. oLmETORPaTUREs aAL @ .50 FlID APPLNS. OR 5.00 Ex. Occup. oLmETS RESID. OR. Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE S MECHANICAL PERMIT Fling Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE S Mobile Home Installation Fee $ Energy Inspection Fee $ Occ CONST. TYPE TOTAL FEE $ �7,b�j HAz. I D. FEES I IMP I FLOOD I COF I PARCEL I PO I HD ISSUE This permit is hereby issued under the of the Butte County Code and/or indicated above for which fees have By PERMIT EXPIRES ON applicable provisions Resolutions to do work been paid. Date /Dalai Receipt No. WHITE•D.D.S -B.D. GAN AR V -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT z PERMIT NO. 6132-79B,P,E,M PERMIT EXPIRES OWNER Ray E. Johnson, Jr. owner CONTR. 44-38-102, Pont LOCATION (A.P. ) Way, lot 17, North Park Sub, Chico D/,4r b ni is ttf Itt' kl Temp. Power Pole Called�PG&E N l llec. Serv: Called PG&E ' Tan Gas Serv. �> Called PG&E )I FINALED (Date) (Signature) E Y t A y7V L F INAL C'i;T.il i.`_ 1i0 Gam/ '-? e Ste2s, & SidelightectioIn Detector _ Trnace--Vents Clearances, Combustion Air, Connector' Garage -Height & Mech.Protection Loon Exiting —! I & Bath Fixtures _ Electric Trim 6: e -=-Labels F irenlace or Stove --Clearances, Hearth 10. F uses � Appliances in Kitchen--Grounded--Ai ap--Coo'kintr Clearance E1z6'L rical Outlets & Receptacles at Kitchen Counter ou at ion Vents &. Crawl hole Dooar--Dra3e &Wood-Eartrances-- - 61,sd tinder Floor -=Yes � Fol' i-ag Installed: Drive. Yes Lj No; Halks / es f__j No; Planters or _n,,4al'_s 1'-/ Yes . To --- Creating Drainage Problems 7-"7 Yes /15:27 --No .C. Unit --Disconnect Clearances Brezker & Conductor Size --115V Outlet Ven: Above Roof --Plumbing, Appliances Firenlace--Clearance to Openings Wel p ming .-te:for Electrical Trim & G.F.I. Receptacle . V ilation Throughout House 2 Class Protection c ion r . s Gas Test—Meters Ta.n:e'd- & E1 is 31. Tater Supply y & Sewage Connected C4� - F -Ter- Compliance Certificate Sign Job Card n ALL OF ABOVL COMPLETED / / EXCEPT zk- Signed- Date: ABOVE LISTED COR°:CTIONS CO:H'LETED SIGN JOB CARD Signed: Date.+ 4- 11 PLUiIBINC- -Above Floor t't'er�*eit No. 1. Water Heater-•-Vent.--Access--Combustion Air . 2. Water Pipe --Test & Anchors --Nail Protection 3 Drain Pipe--Test--Fittings & Anchors --avail Protection 42" Test L 4. Shower Pan --Test, First floor --Tub Access 5. Test Tub & Shower, second floor --Tub Access 6. Gas Pipe --Size & Anchors Sign Job Card ALL yOF ABOVE C0;•L.°LETED / EXCEPT Signed: Date: ABOVE LISTED CORRECTIONS COMPLETED Date: ELECTRICAL --Above Floor Permit No. ' 1. Clearance & Insulation Protection at Flush Light Fixtures 2. Elec. Receptacles Spacing --Lights & Switches at Doors 3. Size, Boxes & No, of Conductors --Stapled- - 4 Romex Installed Close to Edge of Studs & C.J. 5. Equip. Ground made up w/: -tech. Fasteners 6. 2 Appliance Circuits -in Kitchen & Conductor Size 7. Sub Feeders --Wire size `Q ga. Cu or Al, Breaker Size Q Amp.-- Insulated Neutral, Yes Q No Q_ _.. " 8. Range Circuit Q ga. Cu or Al, Breaker Size Q Amp. --Oven Circuit Breaker Sizc C7 Amp. [Q ga. Cu or Al, 9. Service --Riser Conductors & Ground 10. Bond Gas & Water Pipes 11. Clothes Closet Light --Shower Light 12 Simon Job Card ALL OF ABOVE COMPLETED EXCEPT _ Signed: ABOVE LISTED CORRECTIONS COMPLETED Date: Date: -1. MECHANICAL --Above Floor Permit No. -,,_ ._ _ _ _ ,. - - A.C. Ducts --Insulation & Supporta` 2. Vent Fan --Exhaust Above Insulation 3. _ Condensate Drain•& Overflow --Size & Grady: 4: Furnace--Vent--Access-Comb.Air--Return Air Vent --115V Outlet 5. Attic Access & Platform if Furnace in Attic 6. Sign Job Card ATL OF ABOVE COMPLETED LZZ EXCEPT Signed: ABOVE LISTED CORRECTIONS COMPLETED Date: Date: -3- LRSET qqpp �- COMPANY LICENSED CONTRACTOR Phone: 342764^a u•._ P.O. Box 628 — Durham, California 959384�.,wfd; . INSULATION (Batted or Blown) Date—% 1S6 THIS IS TO CERTIFY THAT .INSULATION HAS BEEN INSTALLED IN CONFORMANCE WITH THE CURRENT ENERGY REGULATIONS, CALIFORNIA ADMINISTRATIVE CODE, TITLE 25, STATE OF CALIFORNIA, IN THE BUILDING LOCATED AT: Street Lot Number Tract No. EXTERIOR WALLS Manufacturer- Thickness/Type R Value CEILINGS Batts: Manufacturer Thickness R Value / C Blown: Manufacture Thic�kne`'ss� No. Bags 1,�Z Wt./Bag3-+ Sq. Ft. Covered 2212a— . R' Value FLOORS Manufacturer Thickness/Type R Value SLAB ON GRADE Manufacturer Thickness/Type R Value Width of Insulation Inches FOUNDATION WALLS Manufacturer Thickness/Type GENERAL CONTRACTOR R Value LICENSE NUMBER BY LE DATE 1 ULA ION NTRA TO LICENSE NUMBER '7 B50,5 TITLE DATE 3-' J SAVE ENERGY - INSULATE! ( DATE) ACCEPTED N H OMPANY (Authorized Representative) zo 1 1 RESIDENTIAL ENERGY CONSERVATION STANDARDS CONSTRUCTION COMPLIANCE CERTIFICATE THIS IS TO CERTIFY THAT ENERGY CONSERVATION REQUIREMENTS HAVE BEEN INSTALLED IN CONFORMANCE WWIHU RRENT ENERGY CONSL•x VATION REGULATIONS ' AT /10L _7� (location) BU ILD ING PERMIT NO. /�, J ,� 2--791 A. P. N0. YV--3 THE FOLLOWING HAVE BEEN INSTALLED AS PER APPROVED PLANS: (Check each item or write N/A if not applicable) INSULAT ION : CLAZ ING : Slab Edge. Single Glazed Fdn. Walls Special (Insulated) - Floors CERIT. & LABELED WDS. / Walls - / & SLIDING DI(S, 1/ Ceiling/Roof - WEA'1'liERSTRIP111L:1) DRS. Ducts BACK DnMPERED FANS Circulating Pipes ✓ IN'1'l.;Q,11'TlFN'r I'GNIT'ION DEVICES APPROVED HEATER APPROVED 1JTR. HT _ I DECLARE THAT ALL REQUIRED ITEMS AS NOTED ABOVE HAVE BEEN INSTALLED IN ACCORDANCE WITH THE ENERGY CONSERVATION RI-:QU IREMENTS AND AGREE T6 - THE COMPLETENESS OF THIS CERTIFICATE AS SUW,1I'T'TED. Insulation Applicator Name Signature of: (please print) InsulatYon Applicator State Contractors License No. General Contractor/Owner Name �- ',,, Signature of (please print) General Contractor/Owne Date Sta Contractors Li lse No.S�� 'THIS CERTIFICATE MUST BE ON FILE WITH THE BUILDING DEPARTMENT PRIOR -TO REQUESTING FINAL INSPECTION AND S1lALL BE POSTED IN A CONSPICUOUS LOCATION WITHIN THE DWELLING. J 1. 'Sills—Proper Mat' erial and Aa ors 2. Studs--N.gil.g & faced Ko7erly 3. Braces Whe e Req ui:c 4d 4 , s over Gir�,e-r's & Floor Nailing r ' Draft Stop in vla c rat proof) 6. Ferre Stop at FurrP Ceilings & Stair Strias.•_.,. er 7. Header Size & C.JJ,S_-ilie 8. Joist Hangers 'Wh" ere Required g, a tI ,u insf p!, Trusses 10. Fire lac or ^1 ase A Flue-- oat- Y 11. Attic Acces -Size & Ro.mex Protection - 12. Ext. Door or Rea. Hzt & Size '.7liiidow--Bedroom, i 13. Garage Fire Pro e -tion Framing 14.7 -.,Are a Sepa on ialls--1 hr.* Fire-- Fired 15. Ext. Doors e 3' - e if Required 16. tair4 if 17. Post Ca s cAnchor- s 18. Type Plywood.onoof Overhang --Attic Vents --Rafter Outriggers 19. Siding, --Nail e roperly--;gip P,n. Pte— J ,r 20. Stucco esh, Drip creed & +, nn VPnt.G 21. Gasf r2 ui ed 22. Sign Job Card ALL OF ABOYE COMPLETED ' EXCEPT ti Signed: Date Z -� ABOVE LISTED CORRECTIONS COMPUTED SIGN JOB CARD f Signed: Date 1. Water ileate: PLUMBING --Above Floor Permit No.(pl-%Z _�79 Vent Inst. properly--Access--Combustion- Air ' 2. Water -Pipe -Test h s 3. Drain Pipe- Test --Ft Anchors 42" EJ^ 4. Shower Fan --Test•, fir t floor--`Y'u"-)ccess 5 fi T ,pp SE'c`ax—r1� ice- rt' 6. Uas Pipe --Size &Anchors 7. Sian Job Card AT,I. OF ABOVE CGP IDLETED E17.0 I.FT 3: Da t o :1- ABOVE LISTED CORRECTIONS COHPLETED Date: arance & 1 Elec. Receptacle ELECTRT; ;:, -Above Floor Permit No. Jam..--.. _ ..+--��. ,.� ,.,,, �_��-7=i�:r�t _r•'es cea Proper_•1--L —Light, & Switches at Doors T_ 4. Romex Installed Close tod-,�of Studs & C.J. ._ Bouap. urouna mace un W/iie,cl , rasieners _ ~6. 2 �:r;;liance Circuit _"i1;c'rien Conductor Size — 11. Sign_ Job Card --- -- AT. OF ABOVE COM IETI: COUNTY -OF 61JTTE — DEPARTMENT OF PUBLIC WORKS �/ a BUILDING INSPECTION RECORD BUILDING BU I LDI•NG !(Cont'd) PLL.UUMBBIIN-66 Setback -Firewall- Soil Piping Forms Parapets 1st Floor Main Bidg. Restroom Finish 2nd Floor Footings Windows 3rd Floor Stemwall Siding To out Slab '-' Piers Roof Sheathing t Roofing Water Piping Sewer Garage Fdn. Vents Fixtures Footings 00_ Stemwall a" Garage Vents Insulation Water Htr. Heaters Slab Carport Footings Prov. for ph sically handicaped Conformance of ex. structure Appliances Gas Piping &Test Temp. Gas Slab Final Sanitation Patio FIREPLACE Final Footings Footing r ELECTRICAL Masonry Walls Throat Rou h Relnf. Steel Final Fixtures Bond Beam FIRE SPRINKLERS Motors Framing Test Water Htr. Stucco Final Subpanels Mesh MECHANICAL Grd. Fault Prot. Scratch Heating Service Brown v� Cooling Temp. Pole Finish Ducts Underground Interior Lath a Ventilation Permanent Door Closer Final Final MOBILEHOME UTILITIES - ---------------- Elec. Service Elec. Pedestal Water Piping Sewer Gas Piping MOBILEHOME INSTALLATION - - - - - - --- - - - - - - Sunnnrt Flar rnntinuity DATE OR CORRECTIONS /7' n (NOTE An entry must be made on this form each time you visit the job site.) COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 Telephone: 534-4541 APPLICAT1 N AND PERMIT authorize representaVves of the County of Butte to enter upon the above-mentioned pr.Q erty for inspection purposes. 5NII A— %.— Date of P rmite`.F-�Agant Receipt No: tel(&lam White-D.P.W. - Yellow -Assessor - Pink -Inspector - Goldenrod -Applicant This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DIRECTOP.OE PUBLIC WORKS By Date C -I wilding permit expires Date /o— 17.— eO BUILDING Owner y�� SQ. FT. OCC. BUILDING VALUATION �^ Mailing Address?() 20y, (700 04i cp phon No. ' s Contractor Mailing Address Fireplace �O Total Valuation Telephone No. Permit Fee Building Address Plan Checking Fee&/or Penalty Permit Fee , dp I �^ PLUMBING No. @ FEE PERMIT FILING FEE $3.00 'g, Each TraD 1.50 , �,/..o�f 1 } vy POWS0 Lb 1% cukco Repair drainage or vent piping 1.50 f t � _/� ����e`.� A. P. No. "! Ircf �v Zoning & PIA Water piping 1.50 J, -So Each gas water heater or vent 1.50 ISO F64 I C. y ire Dept. Fire Zone Use Permit Gas piping system 1 - 5 outlets 1.50 EQA Parking Plans Parcel Declaration Parcel Map 60' R/W Improvem Each additional outlet .30 Building sewer 5.00 ( 'WeB dg. ansR c Parc roval Plans Approval Lawn sprinkler system 2.00 NEW ADDITION ❑ UTILITIES ❑ OTHER ❑ Permit Fee $ , $ ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 Main service 600v OR LESS 100 AMP OR LESS 5.00 Single Family Duplex ❑ Mobil Home ❑ Others ❑ Main service EA. ADD -L 100 AMP 2.50 Main service OVER 600 25,00 100 AMP OR LESS Main service EA. ADD'L 100 AMP 1.00 NEW CONST. OR ADDNS. i D S A G GS.OCCUP. ) 20 sq ft w% CONTRACTORS LICENSE LAW I am licensed under the provisions of Chapter 9, Div. 3, of the State of California Business & Professions Code under the name style of: NEW RESID. BRANCHMULTI-OCIRCUTLET ` NON.CONST BRANCH CIRCUITS/ 2.50ea NEW CONSTR. POWER APPARATUS B NON.RESID. SINGLE OUTLET CIR. Ex. OccuD(OUTLETS OR FIXTIIRES) g L 101 FIXED APPLNS. OR Ex. Occup. OUTLETS (RESID.) EA) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 License No. Classification Misc. Wiring 6.25 I am exempt from the Contractors License Laws of the State of California. Permit Fee $ Z6 $ a J 7 MECHANICAL No. @ FEE WORKMEN'S COMPENSATION INSURANCE I am aware of the provisions of Section3700 of the California Labor Code which requires every employer to be insured against liability for Workmen's Compensation. ❑I have placed on file with the County of Butte a certificate of Workmen's Compensation Insurance. 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 the Workmen's Compensation Laws of California.`346 PERMIT FILING FEE $3.00 *?,tab Heating LQ Cooling Ll X bb Ventilation +2.00 Hood Permit Fee $ $ 3 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 Land Development Fee $ TOTAL PERMIT FEE $� authorize representaVves of the County of Butte to enter upon the above-mentioned pr.Q erty for inspection purposes. 5NII A— %.— Date of P rmite`.F-�Agant Receipt No: tel(&lam White-D.P.W. - Yellow -Assessor - Pink -Inspector - Goldenrod -Applicant This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DIRECTOP.OE PUBLIC WORKS By Date C -I wilding permit expires Date /o— 17.— eO y .-1•t - I ,, ., COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS — BUILDING DIVISION 7 County Center Drive — Oroville, California 95965 — Telephone 534-4541 r, PERMIT APPLICATION DATA SHEET i &\4 Permit No. OWNER C �IJSd/J A.P. No. 4 �U7; Proposed Building Use Permit fee, based upon Complete Contract Price 1✓ DPW Valuation Other, (explain) Building Inspector FVW I Date lbs'-/ /79 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 ................... .......... 7�Plotplans in du licate/t'eee.e✓!e.c ..�... 3. Complete plans in duplicate/triplicate................................................... 4. Complete engineered plans and calcs..................................................... 5. Plans with Energy Design Compliance Statement ............................ 6. State Energy Forms No. .................... 7. Statement of Intent for Non -Heated & AC Buildings ................... 8. Fees of $:....:................................ 9. Letter of signature authorization............................................................. 10. Sanitation approval from Health Dept.... 11. Planning approval for 12. Certificate of Workmen's Compensation Insurance ........................ 13. Contractors License Information (no., name style, classification) ............................... 14. Improvements may be required. Contact Land Development Section of Dept. Public Works (see addressbelow)................................................................................................. 15. Pre -inspection for required. Pre-inspec. request to 16. Other bldg.inspector (date) When you issue the permit, process as follows: Mail to owner Mail to contractor. Telephone' r (� 7 and hold for pickup at ���>��U office. Deliver w/inspection. Other Applicants �.,�. �• Date 1 q Copy of plans sent Health Dept., Fire -Dept', — Other Date— During ateDuring the plan checking process, the following data must be submitted prior to permit issuance: (For required items not checked above at time of application, circle item.)^ 1. Index permit for above Items No. 2. Additional items required: (Contractor, Designer, Owner) was advised of above required data by e— Telephone ; Mail Other By Date Plans checked by Date Plans approved by / Date Z� OTHER: cnnvmpw -, . 7 Ito M II II This se of plans and specifi tions MUST b@ kept on t e job at all tires rand it is unldWfuj �FO� 1 II I I MOO any changes or olt5r -41mns on ten some w 4hout w ifmission from the Dep rtmen OIL-ty of Butte. w� --rho Bldg. Sefbcpli be 5 3t. from .a� ide rty li^Q 5�J ft. from 'miffing a rnCUO- 1\ + I p � \t.►:f � '• •• of a � �, but en#ireby of alb z I I Zf?•O" SST � � ce 44 ' BUTTE COUNTY !. BUILDING DEPARTMENT �o z 7 PA 9,� �/+�•''u,� c)iV.,�o ter' Q Q FIROVE D /wrt- A ^-, z_ �.. NA V See Master �! 71i/7 Plan on file for building � , plans. • . 1 -,* mssfq Lu lorm 0 Cl -L i=- • °- s: 3 ON CD g r LH 00 �+ �j _ -o _ - •1 °30� i +15 o, oCL ' - _ N 41 ca fd S NOTE. 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