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Home My WebLink About007-360-038sop Ray E. Johnson,Jr. 739 Lawn Dr., lot 38, North Park + Sub, Chico Permit #6345-79B,P E,M(new in�jle family)�V 007'`360=038V- ` ;,; :�SPERMIT#96='05614` � '}VESPER, .Steve,? 1 6 1 ^;:1 �' _ ;< 1739 Lawn=Dr :;+Chico f' 4`r �; C y!°•t e. , Cont: Four-,Seasons'Roofing ;Reroof/SF`" :��«, �, Lr"1 r�•� �_s ." i c �� _ __�i I� Suite fil- Wwv PLANNING DIVISION DEPARTMENT OF DEVELOPMENT SERVICES 7 COUNTY CENTER DRIVE • OROVILLE, CALIFORNIA 95965-3397 TELEPHONE: (530) 538-7601 FAX: (530)538-7785 November 29, 2000 Jennifer Ann Shults 739 Lawn Drive Chico, CA 95973 Re: Minor Use Permit�AP P# 007-360-038 1 Dear Ms. Shults: Enclosed is your validated Minor Use Permit No. MUP 01-07 to expand an existing small Day Care Center from 8 children to a large Day Care to 14 children on property zoned R-1 located on Lawn Drive, Chico. Should you have any questions regarding this matter, please contact this office between 8:00 a.m. and 4:00 p.m., Monday through Friday. Sincerely, /jvt'j"" fgL" Lynn Richardson Planning/Administrative Support Service Assistant Enc. cc: Land Development Division (g) Building Division (y) Environmental Health (p) Department of Forestry (gr) MINOR USE PERMIT BUTTE COUNTY PLANNING COMMISSION NOV 2 9 2000 DATE: (Certified Mail Rec.) MUP 01-07 PERMIT NO. 007-360-038 ASSESSOR'S PARCEL NO. Pursuant to the provisions of the Zoning Ordinance of the County of Butte and the special conditions set_ forth below: Jennifer Shults is hereby granted a Minor Use Permit in accordance with'the application filed August 10, 2000, to allow a large family day care facility for 12 or fewer children. 1. Failure to comply with the conditions specified herein as the basis for approval of application and issuance of Permit, constitutes cause for the revocation of said permit in accordance with the procedures set forth in the Butte County Zoning Ordinance, including Butte County Code Sec. 24-41. 2. Unless otherwise provided for in a special condition to this Minor Use Permit, all conditions must be completed prior to or concurrently with the establishment of the granted use. The use granted by this permit must be established within 12 months of the delivery of the countersigned permit to the Permittee. 3. Minor changes may be approved administratively by the Directors of Development Services, Environmental Health, or Public Works upon receipt of a substantiated written request by the applicant, or their respective designee, Prior to such approval, verification shall be made by each Department or Division that the modification is consistent with the application, fees paid and environmental determination as conditionally approved. Changes deemed to be major or significant in nature shall require a formal application for amendment. . 4. If any use for which a Minor Use Permit has been granted is not established within one year of the date of receipt of the countersigned permit by the Permittee, the permit shall become null and void and reapplication and a new permit shall be required to establish the use. Conditions of Approval: 1. The facility is a single family residence that shall be the principal residence of the provider and the large day care facility shall be clearly incidental and secondary to the use of the property for residential purposes. 2. A minimum of four (4) off-street parking spaces shall be provided, consisting of: (a) Two (2) off-street parking spaces for the residents of the dwelling. (b) One (1) off-street parking space for each employee. The two (2) required residential spaces may not be used for employees. (c) One (1) off-street parking space/loading area. 3. One sign, not to exceed 3 square feet, is allowed. This sign shall not be placed in the front yard building setback. 4. The large family day care home shall be licensed by the California Department of Social Services, Community Care Licensing. 5. Meet all California Building Code regulations pertaining to large family day care facilities, including, but not limited to, the installation of smoke detectors, a device for sounding alarm, fire extinguishers, and exit doors operable from the inside without the use of a key or any special knowledge or effort. 6. Prior to issuance of the Minor Use Permit the large day care facility shall be inspected by- the ythe Butte County Fire Department/CDF and the State Fire Marshal. 7. Building permits shall be required for any change of occupancy. Prior to issuance of the Minor Use Permit, applicant shall obtain any necessary building permits. Applicant must also comply with all other applicable State and local statutes, ordinances and regulations. I hereby declare under penalty of perjury that I have read the foregoing conditions, that they are in fact the conditions which were imposed upon the granting.of this Minor.Use Permit, and that I agree to abide fully by said conditions. Dated: Applicant NOTE: Issuance of this Minor Use Permit does not waive requirement of obtaining Building and Health Department permits before starting construction, nor does it waive any other requirements. CC: Land Development Division Building Division Health Department Department of Forestry Butte County Planning Commission Chairman 2 . STATE OF CAUFORMA . HEALTH AND wELFARE AGENCY DEPARTMENT OF SOCIAL. SERVICES FACILITY SKETCH (Floor Plan) COMMUNRY CARE LICENSING Applicants are required to provide a sketch of the floor plan of the home or facility and outside yard. The Floor Sketch must label rooms such as the kitchen, bath, living room, etc. Circle the names of the rooms that will be used by staff/residents/clients/children. Door and window exits from the rooms must be shown in case of an emergency (see Emergency Disaster Plan). Show room sizes (e.g. 8.5 x 12). Keep close to scale Use the space below. See back for vard Sketch. • � ^ A _ n f ADDRESS: �J -{`S 731 LcU�M- DviI,e to W Q uc 999 (7198) j ; . C� ON to p 3 Inter -Departmental Memorandum To: Building Department ✓ Planning Department From: Ted Crawford, Fire Department Subject: Community Care Licensing Request, STD 850 for Jennifer Shults Family Child Care Home, 739 Lawn Drive, Chico Date: August 30, 2000 The attached Std 850 form from Community Care Licensing has been received for our approval. Prior to the Butte County. Fire Department making a fire clearance inspection it is requested that your department check for compliance with Butte County ordinances (use permit and zoning) and building requirements and occupancy based on the requested category. Please forward your requirements to this office and we will forward them to the applicant. Planning requirements: Building Department Occupancy classification Building Requirements: /+W -u Other: CC: G. Morris Chrono File Copy cOFCALIFORNIA IRE SAFETY INSPECTION REQUEST STD.BW(RE,t 10,94) See instructions on reverse. AGENCY CONTACTS NAME TELEPHONENUMBER REOUESTOATE PROGRAM DSS/COMMUNITY CARE LICENSING 530 895-5033 8/15/00 EVALUATOR'S NAME REQUESTING AGENCY FACILITY NUMBER REQUEST CODE 0104/PAMALA SEXTON 045402237 3A CODES 1. ORIGINAL A. FIRE CLEARANCE (� I LICENSING AGENCY DEPARTMENT OF SOCIAL SERVICES 2. RENEWAL B. LIFE SAFETY NAME AND COMMUNITY CARE LICENSING 3. CAPACITY CHANGE ADDRESS 520 COHASSET ROAD, SUITE 6 4. OWNERSHIP CHANGE CHICO, CA 95926 2. FIRE CLEARANCE DENIED ADDRESS 5. ADDRESS CHANGE L 6. NAME CHANGE A. EXITS 7. OTHER AMBULATORY. NONAMBULATORY BEDRIDDEN TOTAL CAPACITY CAPACITY PREVIOUS CAPACITY CAPACITY PREVIOUS CAPACITY. CAPACITY OCCUPANCYCLASS 8 0 0 0 =PRIOUSACITY14 14 FACILITYNAME LICENSE CATEGORY SHULTS, JENNIFER FAMILY CHILD CARE HOME 810 FCCH STREETADDRESS (ActualLowtion) NUMBER OF BUILDINGS 739 LAWN DRIVE CITY RESTRAINT CHICO NONE FACILITY CONTACT PERSON'S NAME - HOURS JENNIFER SHULTS (530) 894-2443 DAYS bFt:k ALWNUI IIUNJ IF THIS FORM SENT TO YOU IN ERROR, PLEASE NOTIFY OUR OFFICE. THANK YOU TO BE-COMPLETEDBY.INSPECTING`AUTHORITY 1 CLEARANCE /DENIAL CODE CODES FIRE TED CRAWFO.RD AUTHORITY BUTTE COUNTY FIRE DEPARTMENT 1. FIRE CLEARANCE GRANTED NAME AND 176 NELSON AVENUE 2. FIRE CLEARANCE DENIED ADDRESS OROVILLE, CA 95965 A. EXITS I L— B. CONSTRUCTION C. FIRE ALARM OCCUPANCYCLASS D. SPRINKLERS INSPECTOR'S NAME(TypedorPrinted) TELEPHONENUMBER CFIRS NUMBER E. HOUSEKEEPING F. SPECIAL HAZARD INSPECTIONDATE INSPECTOR'S SIGNATURE(TypedorPrinted) .... _G...OTHER EXPLAIN DENIAL OR UST SPECIAL CONDITIONS 1 ;,,,007,-360-038,^ PERMIT#96 L 0561 1�iVESPER, Steve- S! 739'Lawn 'Dr r S�C111C0• ;. ,,i-Corit:. Four' Seasons Roofing ., ' �Yj i• �� ,�. , . a,f , Reroof/SF. .. 4 i - Ly • . i F f t F f COUNTY OF BUTTE - DEPARTMENT OFDEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive - Oroville, California 95965 - Telephone (916) 538-7541 PERMIT NO. APPLICATION AND PERMIT 0- ASSESSOR PARCEL NUMBER 007— ZONING. Rl BUILDING PERMIT OWNER STEVE VESPER TELEPHONE SO. FT. OCC. BUILDING VALUATION 30 SQ 1 800 OWNERS MAILING ADDRESS 739 TC0 CONTRACTOR'S NAME SEASONSFOUR TELEPHONE 1895--0418 CONTRACTORS MAILING ADDRESS 73 CHTCO Fireplace CONSTRUCTION LENDER 1 UNI(NOWN Total Valuation is Filing Fee $ 20.00 LENDER'S MAILING ADDRESS Permit Fee $ 41,00 ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEERS MAILING ADDRESS Penalty $ BUILDINGADDRESS 739 LAWN CHICO PERMITFEE $ 61 X00 PLUMBING PERMIT Filing Fee 20.00 Each Trap 7.00 LOT NO. SUBDIVISION'S NAME PARCEL MAP Solar or heat pump water heater 23.00 Water piping 15.00 USEOFSTRUCTURE SFg Duplex ❑ Mobilehome ❑ Other I SPECIFY Each gas water heater or vent 15.00 Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 TYPE OF WORK i New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑ Describe Work: REROOF COMP ! Mobile Home I S I GI W 1 @20.00 PERMITFEE $ Contractor ELECTRICAL PERMIT Filinq Fee 20:00 Main Service OOOV OR LESS ( 200A OR LESS ) 23.00 Main Service ( 200A TO 1000A ) 46.00 LICENSED CONTRACTOR'S DECLARATION I 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., 1 License Class G -s1 Lic. No. LO 390:"3 1 OWNER -BUILDER DECLARATION 1 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 NEW CONST. DWELLING OCCUP. OR ) ( a ACC.ONST. SO. 3.52 FT. CNS. MULTI.OTLEUTL NEW CT NON-RESID. ( BRANCH CIRCUITS ) 97.50 POWER APPARATUS ( a SINGLE OUTLET CIR. / Ex. Occup. ( OUTLET OR FIXTURES) 20 @ I.GO B FIXED APPLNS. OR Ex. Occup. p. ( OUTLETS (RESID.) E0.) 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMITFEE $ Contractor WORKERS' COMPENSATION DECLARATION I I 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. I have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insuran�cg carrier and policy number are: Carrier r�-✓�� Policy Number --4 "Z -- -9 Q— cv0 S (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 �e Signature of Applicant/- ❑ Owner ❑ Contractor Agent An OSHA permit is required for excavations over 5'0" deep nd demolition or construction of structures over 3 stories in height. MECHANICAL PERMIT Filing Fee 20.00 9 Heating Cooling Hood 6.50 Ventilation PERMITFEE S Contractor Mobile Home Installation Fee $ Energy Inspection Fee Is OCC CONST. TYPE TOTAL FEE $ 61 HAZ. 1 D. FEES I IMP I FLOOD I CDF PARCEL PO HD ISSUE This permit is hereby issued under of the Butte County Code and/or indicated above for which fees have By PERMIT - .. TEXPIRESON I the applicable provisions Resolutions to do work been paid. Date (Oats) Receipt No. I'll h2 WHITE-D.D,S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT t COUNTY OF BUTTE- DEPARTMENT OF DEyEubPMENTSERVICES - BUILDING DIVISION 7 County Center Drive - Oroville, G�alifornia 95965 - Telephone (916) 538-7541 PERMIT NO. APPLICATION AND PERMIT `��-dS6�� ASSESSOR PARCEL NUMBER 007-360-038 ZON'NG R1 BUILDING PERMIT OWNER STEVE VESPER TELEPHONE SO. FT. OCC. BUILDING VALUATION 30 SQ 1800 OWNERS MAILING ADDRESS 71Q LAWN DR CH -CO CONTRACTOR'S NAME FOUR SEASONS TELEPHONE 895-0418 CONTRACTORS MAILING ADDRESS CHI Fireplace -120 CONSTRUCTION LENDER , UNKNOWN Total Valuation $ Filing Fee $ 20.00 LENDER'S MAILING ADDRESS Permit Fee $ 41.00 ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEERS MAILING ADDRESS Penalty $ BUILDING ADDRESS 73 LAWN CHICO PERMITFEE $ 61.00 PLUMBINGPERMIT Fling Fee 20.00 Each Trap 7.00 LOT NO. SUBDNISION'SNAME PARCEL MAP Solar or heat pump water heater 23.00 Water piping 15.00 USEOFSTRUCTURE SF,a Duplex ❑ Mobilehome ❑ Other SPECIFY Each gas water heater or vent 15.00 Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑ Describe Work:RER011F (QMP Mobile Home S G W @20.00 PERMITFEE $ contractor ELECTRICAL PERMIT Filina Fee 20:00 Main ServiceOIIV OR LESS ( 200A OR LESS ) 23.00 Main Service ( 200A TO 1000A ) 46.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect. Class 6311 Lic. No. & 0�� 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 NEW CONST. DWELLING OCCUR SD. OR ( 8 ACC. BLDS. ) 3.51t FT. CNS. NEW CONST. MULTI.OUTLET NON-RESID. ( BRANCH CIRCUITS ) 97.50 WERUS (a SOINGLE OUTLETT R. ) Ex. Occup.( OUTLET OR FIXTURES) B20 Q 1.00 License FIXED APPWS. OR �(, Occup. ( OUTLETS (RESID.) EA) 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMITFEE $ Contractor WORKERS' COMPENSATION DECLARATION I hereby affirm under penalty of perjury one of the following declarations: ❑ I have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the Kperformance of the work for which this permit is issued. I have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insuranc carrier and policy number are: Carrier/i�-� MECHANICAL PERMIT Filing Fee 20.00 9 Heating Cooling Hood 6.50 Ventilation PERMITFEE $ Contractor Policy Number z:q-Z-- 9 ¢— C74z1d73 (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 to 3�1� Signature of Applica - ❑Owner ❑ Contractor Agen( An OSHA permit is required for excavations over 5'0" ee d demolition or construction of structurs over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST. TYPE TOTAL FEE $ 61.0 HAZ. D. FEES IMP FLOOD CDF PARCEL PD HD ISSUE This permit is hereby issued under the applicable provisions of the Butte County Code and/or Resolutions to do work indicated above for which fees have been paid. 2 9 BY Date PERMITEXPIRESON l�`?�7 (Date) Receipt No. SII I�7 WHITE-D.D.S.-B. D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT i S ' 6345.-79B, P E M PERMIT NO. ' ' PERMIT EXPIRES '!OWNER Ray E. Johnson, Jr. • OWNER CONTR. owner ¢. -38-102 port. ',,;LOCATION (A.P. ) 739 Lawn Dr., lot 38 North Park Sub.,Chico.. i c rJ Y` f� A Temp. Power P4le_ Called P &E Temp. Ele . Serv.= Call tl PG&E Temp. as Serv. lled PG&E �_ NALED(_� (Da e) M® RESIDENTIAL �ENERGY CONSERVATION STANDARDS , t CONSTRUCTION COMPLIANCE CERTIFICATE THIS IS TO CERTIFY THAT ENERGY CONSERVATION REQUIREMENTS HAVE BEEN INSTAi,LEO -IN CONFO E WITH CURJLENT ENERGY CONSERVATION REGULATIONS Bu zLp �'r N°, �.��,`r'S 7 �' !� A. P. NO. ;'V-- 3J 62— G,a. �ins ', �' Y lN THE FOLLOWING HAVE BEEN INSTALLED AS PER APPROVED VLANS: each ,ten or write N/A if not applicable) INSULAT ION : CLAZ I NG : Slab, Edge. Single Glazed Fdn. Wi�1 Special (Insulated) Flooxq CERT. & LABELED WDS. Walls`Y -�/ & SLIDING DRS. Ceilipg/Rgof - WEATHERSTRIPPED DRS. Ducts BACK DAMPERED FANS Circulating Pipes INTERMITTENT IGNITION DEVICES APPROVED HEATERAb CERT. APPLIANCES APPRQYED WTR.HTR. I DECLARE THAT ALL REQUIRED ITEMS AS NOTED ABOVE HAVE BEEN INSTALLED IN ACCORDANCE WITH THE ENERGY CONSERVATION REQUIREMENTS AND AGREE TO THE COMPLETENESS OF THIS CERTIFICATE AS SUBMITTED. Insulation Applicator Naive Signature of (please print) Insulation Applicator State Contractors License No. General Coptractor/Owner Name_ ;�:X�.2-�.1a►S��i'i3, Signature of (please print) General-Contractor/Owner Date ate Contractors License No.a,C{C(� THIS CERTIFICATE MUST BE ON FILE WITH THE BUILDING DEPARTMENT PRIOR TO REQUESTING FINAL INSPECTION AND SHALL BE POSTED IN A CONSPICUOUS LOCATION WITHIN THE DWELLING. COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS E. T BUILDING INSPECTION REbORD PLUMBING BUILDING BUILDING (Cont'd) Setback Firewall Soil Piping Forms Parapets 1st Floor GQZ •-- l— Main Bldg. n Restroom Finish' 2nd Floor Footings Windows 3rd Floor Stemwall Siding To out Slab L' — Roof Sheathing - Water Piping Piers Roofing Sewer •r-� Garage Fdn. Vents Fixtures Footings, Garage Vents Water Htr. Stemwall 41 Insulation Heaters �'-- Slab /% %r 7 Prov. for phsically�—, 1 Appliances Carport handica e. Conformance of ex. Gas Piping & Test C7 Footings structure Temp. Gas �— Slab Final Ci. Sanitation Patio FIREPLACE Final O Footings Footing ELECTRICAL Masonry Walls Throat -- Rough Reinf. Steel Final Fixtures [� Bond Beam FIRE SPFl INKLERS Motors Framin _ � — Test Water Htr. Stucco t z Final Subpanels Mesh MECHA AL Gird. Fault Prot. Scratch Heating Service Brown 74 Cooling Temp. Pole Finish Ducts Underground Interior Lath Ventilation Permanent Door Closer Final Final Lets, MOBILEHOME UTILITIES ------------------ Elec- Service Elec. Pedestal Water Piping Sewer Gas Piping BILEHOME INSTALLATION - - - - - - - - - - - - - - Support Elec. Continuity Water Piping Dra' aGas Piping ;9AT' E REMARKS Off CORRECTIONS (NOTE: An entry must be made on this form each time you visit the job site.) r M E C H A N I C A L Check List ❑ Permit . ❑ Underfloo Sta e ❑ Underfloor Supply Plenum: (1) One-story. (2) Clearances. (3) Combustible material. (4) Insulation and vapor barrier. (5) Access. (6) Catch receptacles and registers. (7) Fire -stopping. (8) Boots: (9) Supply ducts. (10) Gas lines and plumbing cleanouts. ❑ Ducts: (1) Size. (2) Materials. (3) Support. (4) Fittings. (5) Wrapping. (6) Insulation. (7) Clearances - ground, crawlspace, cleanouts, plumbing, etc. ® Combustion Air: (1) Size. ❑ Refrigerant Piping:(1) Material. (2)`Support. (3) Fittings. (4) Insulation. ❑ Framing Stage ❑ Heating (1) Approved appliances. (2) Accessib.ility..(3) Clearances. (4) Combustion air. ❑ Vent and Connector: ('1) Approved'. (2) Size. (3) Clearances. (4) Cap. (5) Termination. ❑ Ducts: (1) Materials. (2) Size. (3) Support. (4) Fittings. (5) Insulation. (6) Fire Damper.' ❑ Refrigerant Piping: (1) Material. (2) Support. (3) Fittings. (4) Insulation. (5) Condensate drain. Final ❑ Heating: (1) Accessibility. (2) Combustion air. (3) Safety controls..' (4) Electrical connection. (5) Fuel shut-off. ®.Cooling: (1) Accessibility. (2) Support. (3)-Controls.'(4) Pressure relief, valves. (5) Class 2.refrigerant. 5/79 P L U M B I N G Check List ❑ Permit ❑ Underfloor Stage ❑ D.W.V.: (1) Sizing. (2) Materials. (3) Fittings. (4) Grade & Support. (5) Cleanouts & Accessibility. (6) Clearances. (7) Rough -in Locations. ❑* (8) Wrapping. (9) Test - including "Ts (10) Additional test not required.* ❑ Water: (1) Sizing. (2).Materials. (3) Support. (4) Test. (5) Wrapping. ❑* (6) Dissimilar metals. (7) Service regulatorinstalled or not required.* ❑ Gas: (1) Sizing. (2) Materials. (3) Support. (4) Log Lighter. (5) Wrapping. ❑ Framing Stage (Top Out LJ D.W.V.: (1) Size. (2) Vent Area & Termination. (3) Materials. (4) Fittings. (5) Grade & Support. (6) Cleanouts. (7) Traps. (8) Nail Protection. (9) Plumbing Access. (10) Toilet Clearances. (11) Shower size. (12) Shower Pan Test. (13) Vents - turns, horiz., runs, loop, wet, etc. ❑* (14) Additional 2nd floor test not required.* . ❑ Water: (1) Pipe Test. (2) Mixer Valves. (3) Support. (4) Roof drains. ❑ Gas: (1) Size. (2) Materials. (3) PR Valve Drain. ® Water Heater:' (1) Vent..(2).Location::(3).PR.Va.1v6 Drain. ❑ Final �—D.W.V.: (1) Connected to sewer system. (2) Special systems. ❑ Water: (1) Water Source. (2) Shut-off. (3) Anti -'siphon Valves. ❑ Gas,: .(1) Test. (2) Connectors. ❑ Water Heater: (1) Location. (2) Accessibility. (3) Clearances. (4) Stability. (5) 18" Garage Floor. (6) Mechanical protection. (7) Combustion Air. (8) Draft Diverter. (9) Vent Connector. (10) Vent. (11) Shut-off and connector. (12) PR Valve & Drain. ❑ Fixtures: (1) Approved. (2) Stability. (3) Clearances. -(4) Trapped. (5) Connections. (6) Cross -connections. (7) Dishwasher Air Gap. 5/79 ERSET ` COMPANY ® LICENSED CONTRACTOR Phone: 342.4764 P.O. Box 628 — Durham, California 95938 INSULATION (Batted or Blown) Date 19 _ 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 / Manufacturers Thickness/Type R Value CEILINGS Batts: Manufacturer Blown: Manufacture Thickness R Valluue/^ Thickness I&J No. ags S Wt./Bag Sq. Ft. Covered R Value FLOORS Manufacturer SLAB ON GRADE Manufacturer Thickness/Type R Value Thickness/Type Width of Insulation Inches FOUNDATION WALLS R Value Manufacturer Thickness/Type R Value GENERAL CONTRACTOR LICENSE NUMBER BY TI E 1 DATE INSU ION NTRAC //��•�j �1 Iilr_FNSE NUMBER _ TITLE C1��G 1 J DATE SAVE ENERGY - INSULATEI ( DATE) ACCEPTED M C MPANY (/lufhorizod Represenfafive) COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS 7 County Center Drive — O;oville, California 95965 Telephone: 534-4541 APPLICATION AND PERMIT wA authorize representative _ of the County of Butte to enter upon the ��ro rt for inspection purposes. X Date Sign a of Per it or Age NJ Receipt N%9SJ White-D.P.W. — YefgwE�Ag r Pink�ng�r — Goldenrod -Applicant This permit is hereby issued under the applicable provisions of the Butte County Code and/% resolutions to do work indicated above for which fees have been paid. DIRECTO,R.OF PUBLIC WORKS By` Date Building permit expires Date iD BUILDING Owner ��TIV��N � SQ. FT. OCC. BUILDIN ALUATION U `/ M Mailing AddressPb ox nW j P fj 2C� w CgcoTDkephone No. (,( Cai3a 77 Contractor 060 AJcT'2 Mailing Address Fireplace dd Total Valuation l 29 Telephone No. Permit Fee t Building Address Plan Checking Fee&/or Penalty Permit Fee QU PLUMBING No.1 @ FEE PERMIT FILING FEE $3.00 ,QO Each Trao 1.50 12,00 PAPK�QA C Repair drainage or vent piping 1.50 A. P. No. —?j ! Z, P Qr� d l /-t' Za"i" "i"g Water piping 1.50 f1D Each gas water heater or vent 1.50 F sC. •S�jon I Fire Dept. FireZone se Permit Gas piping system 1 - 5 outlets 1.50 Parking EQA Plans I Parcel Declaration Parcel Map 60' R/W Improvements Each additional outlet .30 sewer 5.00 QBuilding Im c d Parcel A 9 r al Plans Approval Lawn sprinkler system 2.00 NEW FIV ADDITION ❑ UTILITIES ❑ OTHER ❑ permit Fee $ $ C ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 00V OR LE Main service 100 AMP ORSLESS 5.00 Single Family Duplex ❑ Mobil Home ❑ Others ❑ Main service EA. ADD'L too AMP 2.50 Main service OVER 600V 25.00 100 AMP OR LESS Main service EA. ADD•L 100 AMP 1.00 NEW-CONST.L NG OCCUP, B OR ADDNS, C B DGS. 22 Sq ft 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.CONSTBRANCH CIRCUITS) NON.RESI D, � BRANCH CIRCUITS 2.50ea NEW CONSTR POWER APPARATUS a NON-RESID. SINGLE OUTLET CIR, Ex. Occuo(OUTLETS OR FIXTURES g L25 FIXED APPLNS, OR Ex. Occup. OUTLETS (RESID,) EAJ 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 License No,T Classification y Misc. Wiring 6.25 am exempt from the Contractors License Laws of the State of California. Permit Fee $ -75 $ 31 MECHANICAL No. @ 'FEE WORKMEN'S COMPENSATION INSURANCE 1 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. PERMIT FILING FEE J$3.00 5,z Co Heating EqRm 470co ' Cooling Ventilation Hood 1 1 2.00 1 210 Permit Fee $ $T3 a 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 relatinq to building construction, and hereby Land Development Fee $-25 TOTAL PERMIT FEE $� authorize representative _ of the County of Butte to enter upon the ��ro rt for inspection purposes. X Date Sign a of Per it or Age NJ Receipt N%9SJ White-D.P.W. — YefgwE�Ag r Pink�ng�r — Goldenrod -Applicant This permit is hereby issued under the applicable provisions of the Butte County Code and/% resolutions to do work indicated above for which fees have been paid. DIRECTO,R.OF PUBLIC WORKS By` Date Building permit expires Date iD " ,COUNTY OF BUTTE — DEPARTMENTtOF PUBLIC WORKS — BUILDING DIVISION --1 7,Cq;unty Center Drive — Orovillea C.al.ifornia 95965 — Telephone 534-4541 OWNER 1""m, Proposed Building Use Permit fee based uo. Building Inspector At time of permit app issuance PERMIT APPLICATION DATA SHEET Complete Contract Price Oth6G (explain) ition, I was advised Lfye following data must be su l Permit No. A. P. No. DPW Valuation Date fitted prior to permit processing and/or DATE RECEIVED APPROVED y 1. All items have been submitted................................................................... 2. Plot plans in duplicate/triplicate............................................................... 3. Complete plans in duplicate/triplicate................................................... 4. Complete engineered plans and calcs..................................................... 5. Plans with Energy Design Compliance Statement ............................ 6. State Energy Forms No. .................... 7. S4- Statementrde t for Non -Heated & AC Buildings ................... Fees of $ .................................................. Z 9. Letter of signature authorization............................................................. r 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 bldg. inspector (date) 16. Other When you issue the -permit, process as follows: Mail to owner Mail to contractor. C Telephone and hold for picl�up at office. Deliver w/inspection. Other `~_-`,ApplnDate �' ac Copy of plans sent Health Dept., FCire Dept., _. Other Date— During the plan checking process, the following data must be submitted prior to permit issuance: (For required items not checked above at time of application, circle item.) 1. Index permit for above Items No. 2. Additional items required: (Contractor, Designer, Owner) was advised of above required data by Telephone Mail Other By Date Plans checked by Date Plans approved by /� Date /d — l 7 " 2 OTHER: r—,/naw - �.� 5S ' The Bld Setback shall be'5ft. from , ' j'' •' side 'property line and 50 ft. fro the r ry This set of plans and specifk tions r, s centet�line of the road, permitting maxi- * � ' 1 Pj' tilt kept an the job at all Item+ o s on�yameJWitho mum: of� d'2 ft. eave overhang b entirely mpkf� any changes ori a out of all easements. written permission f e*rn the Department, of Qubhic. �\ Works, county of Butte. y �• � 'oma \�� , •/ ,. ';:, s G r hN �I�'v s..E� t �,��II,fiiri SJa�'f,1 .. .'•,, ... �r 1 �l 111 �I.O C/ � / " ' /0 1z 10 �.y,•, a. ,I' t� � If ii : r,UZ. \ \' / ` �~ 1 t+may' t �i�tt ,d. +��•. s (' s 1t / r �L \ J. ' BUTTE COUNTY, BUILDING I EPART,MEIS 0.StSC , 7,4 r +,5 >•}`'Srt t}{�k r�tF-'.f��--i'J-. F:,_I'-` is /..�4wi I i/ � 1 ' > •''' '' ;. �}%,• ' .' "I See- _ a�Pfan on file 'for building ' 'K •�� .�,,`�.,::, :J, .., . ; t, ,+,,:, plans. • � . �,.,�� ,_ , ',. ` ., . .:a� x:' ,.,...,( , ' .s '• a ,, j�� t �I'�V `�} 4S'�`f � l(i 1 {' �{� r ,• it S `� , /�'► Jt 1 �-�, i �,� I rl ( d , y�,+. '`/t 1.: ,j},'�j,i t��t�� ,. a / •` • �,(/ �fb� r 'Q,,,'� ' �ti r✓!,. +t,Is+S,��yS 'tl ,. {- + 4 :' rd ��',i•. > lil.d4. (�'�r�5 tF •�1,' \�\I� j.6 '{I�q �fi;i�°• `lu-r� iS ,�L�f. +r 5S ' The Bld Setback shall be'5ft. from , ' j'' •' side 'property line and 50 ft. fro the r ry This set of plans and specifk tions r, s centet�line of the road, permitting maxi- * � ' 1 Pj' tilt kept an the job at all Item+ o s on�yameJWitho mum: of� d'2 ft. eave overhang b entirely mpkf� any changes ori a out of all easements. written permission f e*rn the Department, of Qubhic. �\ Works, county of Butte. y �• � 'oma \�� , •/ ,. ';:, s G r hN �I�'v s..E� t �,��II,fiiri SJa�'f,1 .. .'•,, ... �r 1 �l 111 �I.O C/ � / " ' /0 1z 10 �.y,•, a. ,I' t� � If ii : r,UZ. \ \' / ` �~ 1 t+may' t �i�tt ,d. +��•. s (' s 1t / r �L \ J. ' BUTTE COUNTY, BUILDING I EPART,MEIS 0.StSC , 7,4 r +,5 >•}`'Srt t}{�k r�tF-'.f��--i'J-. F:,_I'-` is /..�4wi I i/ � 1 ' > •''' '' ;. �}%,• ' .' "I See- _ a�Pfan on file 'for building ' 'K •�� .�,,`�.,::, :J, .., . ; t, ,+,,:, plans. • � . �,.,�� ,_ , ',. ` ., . .:a� x:' ,.,...,(