HomeMy WebLinkAbout007-360-034:?• � +r � sew( r— .�:- _ _ , �J ,i.. '
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Ray.Johnson, Jr. y(
4M Lawn Dr., lot 3 , North ParkAl
Sub, Chico r _.0 a
Permit #5298-79B,P,E,M(new sin,
family) ..�Fj
a
7-36-34
JERRY GILSTRAP
716 Lawn Dr, Chico
Permit#670-88B,E(new garage) +
"
7-36-34
Permit#3266-88E(wiring for spa)
007-360034---" " 99=1436 "'
HRADECKY, Michael & Karen . ' y
716 Lawn Drive, Chico �• �a` 'l1 f
E� a Contr: Owner
- Addiiion to single family
v` 3 -
'E �
007- 60-034 0 2754
*ADE�C6.
716 LAWN CONTR: OW
y ` q
44 X 12 GUNITE POOL%
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NOTES -
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RESIDENTIAL
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{ 007-360-034 00-2764 I
CtRADECKY, MIKE '
716 LAWN DR., CHICO
CONTR:OWNER
44 Xy12 GUNITE POOL
m
SPECIAL-
.SRAM.--
FLOOD'CERTIFICATE REQ.
FIRE SPRINKLERS REQ.
SPECIAL INSPECTION ITEMS
VERIFY
USE PERMIT CONDITIONS
SUB -STANDARD HOUSING LETTER
JOB FINALED (Date) O x D l
r,
Signature
,
CHECKED
BY
d = OK
0 = Not OK
= Not Applicable
= Not Ready
MOBILE HOMES
Date
MOBILE HOME UTILITIES (Plans) OK except #'s
oning Requirements -Setbacks -Easements
1.
Zoning Requirements -Setbacks -Easements
Footings; Soils -Size -Depth -Spacing -Connectors -Steel
2.
Soils; Special MH Support Sketch
Decks; Girders and/or Joists -Decking -Bracing -Stairs -Rails
3.
Sewer; Location -Test -Fall -C/O -Concrete
Wood Awn.; Posts- Bea ms- Rftrs.-Connectors
Shthg.-Frg-Bracing
4.
Water; Location -Test -Easement Needed (Sketch)
Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures
5.
Electricity; Location-Clearances-Grnd-/ /Amp -Concrete
Carports; Windows -Doors
6.
Gas; location -Test -Wrap;-/ /" L'ft.
/ /'Nat. or / /"L"h./ PLPG
Electric
7.
Well Clearance 8 Disconnect
Frmg.; Sills-Anchors-Studs-Rftrs-Trusses
8.
Utility Clearance
Siding; Nailing -Veneer -Stucco -Mesh
10.
Roof; Shthg-Roofing
11.
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
1.
4.
Electricity; MH Test -Crossovers -Breakers -Clearances
2.
5.
Drain; MH Test -Fall -Flex Connector
3.
6.
Water; MH Test -Regulator -Connector
4.
7.
Water and Sewer Connected -C/O to Grade -HD Approval
5.
8.
Gas and Electricity Tagged
6.
9.
Tie Downs -Type -Installation Cert.
7.
10.
Exits; Insp.-Sketch
8.
11.
Cert. of Occupancy
9.
12.
Permanent Foundation Only; License Decal
Date Card B-1 Date Card B-1
Date Card B-1 Date Card B-1
r.:
MISCELLANEOUS
Date
DECKS, COVE59, CARPORTS GARAGES (Plans) OK except #'s
oning Requirements -Setbacks -Easements
2.
Footings; Soils -Size -Depth -Spacing -Connectors -Steel
3.
Decks; Girders and/or Joists -Decking -Bracing -Stairs -Rails
4.
Wood Awn.; Posts- Bea ms- Rftrs.-Connectors
Shthg.-Frg-Bracing
5.
Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures
6.
Carports; Windows -Doors
7.
Electric
8.
Frmg.; Sills-Anchors-Studs-Rftrs-Trusses
9.
Siding; Nailing -Veneer -Stucco -Mesh
10.
Roof; Shthg-Roofing
11.
Ext.; Steps -Doors -Landings
12.
Braced Wall Panels
Date
Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1
Date,
FINAL (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, Distance-GFI
5.
Elec.; Pool Lighting; 15 Volts-GFI
6.
Elec.; Enclosures; Conduit Entries -Terminals -Listed
7.
Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater
8.
Elec.; Grounding; Equip. w/5' Circulating Equip. -Pool Lghtg.
Boxes- Enclosures- Panelboards-Ins. to Main in Conduit
9.
Health Department Approval
O�
10. Plumb.; Cir. Test -Water Supply Test
11Aight Niche
Date
Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1
J = OK
0 = Not OK
- = Not Applicable RESIDENTIAL (:
= Not Ready
Date
Underfloor (Plans) OK except #'s
1.
Zoning -Setbacks -Easements -Flood -Slope
2.
Ftg., Main; Soils-Elec. Grnd.-/ /" Ftg. Depth
3.
Ftg., Garage; Soils-Steel-Elec. Grnd.-/ /" Ftg. Depth
4.
Ftg., Porches & Decks; Soils -Steel-/ P' Ftg. Depth
5.
Stemwalls, Main; Steel- Blockouts-Wrapped
6.
Stemwalls, Garage; Steel-Blockouts-Wrapped
6a.
Hold Downs and Special Anchors
7.
Slab, Steel -Wrapped
8.
Piers -Fireplace Ftg.-Steel
9.
D.W.V.; Fall -Fitting -Test -2 Way C/O -Sewer Test
10.
UF, Gas Pipe; Size Anchors - Yard Gas Piping; Size Test
11.
Water Pipe; Test -Anchors -Regulator -Service Test
12.
Electric Underground
13.
Plenums & Ducts; Clearance -Material -Support -Ins.
14.
Girders -Sills -Anchor Bolts-Joists-Vents-Crippies
15.
Access & Ventilation
16.
Insulation
Date
Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1
Date
PLUMBING (Permit) OK except #'s
17.
Water Htr.; Vent -Access -Combustion Air Baffle
18.
Water Pipe; Test & Anchor -Nail Protection
19.
D.W.V.; Test Fittings & Anchor -Nail Protection
20.
Shower Pan; Test, First Floor -Tub Access
21.
Test Tub & Shower, Second Floor -Tub Access
22.
Gas Pipe; Sixe & Anchors
69.
Stairs & Rails
Date
70.
Card B-1 Date Card B-1
Date
71.
Card B-1 Date Card B-1
Date
72.
ELECTRICAL (Permit) OK except #'s
23.
Fixture & Transformer Clearance -Ins. Protection
24.
Elec. Receptacles Spacing -Lights & Switches at Doors
25.
Size Boxes & No. of Conductors Stapled
26.
Romex Installed Close to Edge of Studs & C.J.
27.
Equip. Ground made up w/Mech Fasteners -Bond Gas & Water
28.
2 Appliance Circuits in Kitchen & Conductor Size GFI
29.
Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / / ga Cu or AI
30.
Range Circle / / ga Cu or AI -Oven Circ. / / ga Cu or At
Insulated Neutral ID Yes O No
31.
Service -Riser Conductors & Ground Main Disconnect
32.
Equip. Clearances Panels-Motors-Mech. Equip.
33.
Clothes Closet Light -Shower Light -Spa Light
34.
Smoke Detector
84.
A.C. Unit Disconnect, Electrical -Plumbing
Date
85.
Card B-1 Date Card B-1
Date
86.
Card B-1 Date Card B-1
Date
87.
MECHANICAL (Permit) OK except #'s
35.
A.C. Ducts Insulation & Support
36.
Vent Fan, Exhaust above insulation
37.
Condensate Drain & Overflow, Size & Grade
38.
Furnace -Vent Access -Comb. Air -Return Air Vent 115 outlet
39.
Attic Access & Platform if Furnace in Attic
93.
Energy Compliance Certificate -Other Certificates
94.
Address Posted
Date
Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1
Date
FRAMING (Permit) OK except #'s
Date
40.
Sills Proper Materials & Anchors
Comments at Final:
41.
Walls Studs -Nailing Spacing & Braces -Plates -Sound
42.
Bearing Walls over Girders & Floor Nailing
43.
Draft Stop in Walls (rat proof)
44.
Fire Stops, Furred Ceilings -Stairs -Chasers -Tubs
45.
Headers & Beams -Size & Bearing
'ingle & Duplex)
Date
FRAMING (Continued)
46.
Hangers -Post Caps -Anchors -Connectors
47.
Cling. Joist-Rftr. Ties-Purlin-Rolf Brac.-Truss-Shting.-Rfng.
48.
Fireplace Ties or Type A Flue -Fireplace Throat Clearance
49.
Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles
50.
Bdrm. Windows or Exiting Doors -Sill Ht. & Dimensions
51.
Garage Fire Protection Framing
52.
Property Line Firewall & Openings
53.
Ext. Doors -One 3' -Check Garage 3rd Story, 2 Exits
54.
Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection
55.
Plywood on Root Overhang -Attic Vents -Rafter Outriggers
56.
Siding -Nailing Veneer
57.
Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access
58.
Glazing Area -Glass Protection -Skylights -Plastic
59.
Shear Walls; Nailing -Bolts
60.
Brace Interior/Exterior Wall Panels
61.
Insulation -Walls -Ceilings
62.
Infiltration -Walls -Windows
Date
Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1
Date
FINAL (Plans) OK except #'s
63.
Ext. Steps -Door & Sidelight Protection -Landings
64.
Smoke Detector
65.
Furnace Vents -clearance -Comb, Air -Connector -
In Garage; Above Floor-Ducts-Mech. Protection
66.
Bedroom Exiting
67.
G.F.I. & Bath Fixtures & Tub Access -Spa
68.
Elec. Trim & Subpanel, Breaker Sizes & Labels
69.
Stairs & Rails
70.
Fireplace or Stove, Clearance -Hearth
71.
Elec. Outlets at Wood Panel, Int. & Ext.
72.
Kit. Fixt. & Appliance; Ground -Air Gap -Cooking Clearance
73.
Elec. Outlets & Receptacles at Kit. Counter
74.
Garage Fire Door; Swing -Landing -Closure
75.
A.C. Duct in Garage -Damper
76.
Wtr. Htr.; Vents -Clearance -Comb. Air Connector-P.R.V.
in Garage; Above Floor-Mech. Protection
77.
Plb., Elec. & Mech. Equip. Listed for Location
78.
Elec. Receptacles in Garage (F.F.I.)-Ramex Protection
79.
Insulation -Foam -Looked in Attic
80.
Guard Rails & Deck Construction -Post Caps
81.
Fdn. VBents & Crawl Hole Door Drainage & Wood -Earth
Clearance Looked under Floor O Yes
82.
Following Instld./Drive J Yes J No/Walks J Yes J No/Planters J Yes J No
83.
Stucco Brown -Finish
84.
A.C. Unit Disconnect, Electrical -Plumbing
85.
Vents Above Roof, Plbg-Appliance-Fireplace-Clearance to Openings
86.
Water Well, Disconnect, Electrical, Plumbing
87.
Exterior Elec. Trim, G.F.I. Receptacle -Underground
88.
Ventilation Throughout House
89.
Glass Protection
90.
Corrections from Previous Inspections
91.
Gas Test -Meters Tagged, Gas -Electric
92.
Water & Sewer Connected -C/O to Grade -HD Approval
93.
Energy Compliance Certificate -Other Certificates
94.
Address Posted
Date
Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1
Comments at Final:
W
JANUARY 10, 2001 B A C H M A N &
ASSOCIATES
k
COUNTY OF BUTTE
DEPARTMENT OF BUILDING
7 COUNTY CENTER DRIVE
OROVILLE, CA 95965
RE: ALPINE LANDSCAPING
716 LAWN DRIVE
CHICO,CA 95973 t
• l
Dear Sir: This is to state that the use of' a ('ou:ole curtain of No. 3, rebars at 12 inches
on center for the ramp area of the pool is mre4uate.
If I can answer any questions. Please let me '.now.'`
Very truly ours,,2EA.
s ce (2-O A -r, I N 1-D:
C.W. Bachman
RCE h46803-
�ISc�S'S-� wl COAL �,
CURREN'C';ADDRESS 12' C) l . �� N 4
13647 GARNER LANE 1 N S f ,
CMCO, CAL I; ORNIA 95973
W lrJTN
U0V2tSNV►3-Nf V 6 .
Q�pFESSIO
Exp.
o. 6803 r^
."%61W.co ��� --275
Gds J'lgT CIVtL o��
WE OF CAI�� f�tJTI E �( t
DING DF-PARTME-KIN
I� v
o/
ENGINEERING 'SURVEYING PLANNING DESIGNING
} 3012 The Esplanade, Chico, California 95926 Telephone: (916) 342-4136
COUNTY OF BUTTE
BUILDING DIVISION
DEPARTMENT OF DEVELOPMENT SERVICES
411 Main Street • Chico, CA • (530) 891-2751
7 County Center Drive • Oroville, CA • (530) 538-7541 h'
CORRECTION NOTICE
OWNER PERMIT NO.
A routine inspection indicates that the following violations of butte county Ordinances exist:at the
above address and should be corrected. Please notice this office when correction of work is
completed. If you have any questions pertaining to this matter, or need additional explanation,
please contact this office immediately.
.:s
Date
REV
T
COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION
7 County Center Drive • Oroville, California 95965 • TelePttone1530) 538-7541N—A PERMIT NO.
(Rev.12/96), APPLICATION AND PERMIT —
ASSESSOR PARCEL NUMBER
007-360-014
ZONING
BUILDING PERMIT
OWNER
TELEPHONE
SO. FT. OCC. BUILDING VALUATION
. OWNERS MAILING ADDRESS
716 1 AWN DR, C14TCD CA 99W�
colt 10,000.00
CONTRACTOR'S NAME
owner
TELEPHONE
CONTRACTORS MAILING ADDRESS
CONSTRUCTION LENDER
Fireplace
LENDER'S MAILING ADDRESS
Total Valuation $ 10,000.00
ARCHITECT OR ENGINEER
OG—Filing
LICENSE NO.
Fee $ 20.00
Permit Fee $ 117.00
ARCHITECT OR ENGINEERS MAIUNG ADDRESS
Plan Checking Fee $ 76.00
BUILDINGADDRESS
716 TAWN DR- CHIC CA 955973
Energy Plan Checking Fee $
-0
$
PERMIT FEE $ 213.00
LOT NO.
SUBDIVISIONS NAME
PARCEL MAP
PLUMBING PERMIT Filing Fee 20.00
USEOFSTRUCTURE
SF ❑ Duplex ❑ Mobilehome O Other
SPECIFY
Each Trap 7.00
Solar or heat pump water heater 23.00
Water piping 15.00 15.00
Each as water heater or vent 15.00
TYPE OF WORK
New ❑ Addition O Remodel ❑ Utilities O Installation O Other ❑
Describe Work: GUNITE POOL
Gas piping system 1 - 5 outlets 15.00
Building sewer 15.00
Mobile Home I S I G I W Q20.00
PERMIT FEE :
ELECTRICAL PERMIT Fling Fee 20.00
Main Service z"Doo&v oa v 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
Xw orthe 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.
O 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.)
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 ff I should become subject to the
workers' coqipensabon provisions of section 3700 of the Labor Code, I shall
fo with o ply with those provisions.
X A Date W
Si re Owner ❑ Contrfor ❑ AgentV vt
An OSHA perm is require excavations over 5'0" deep and demolition or construction
of structures over 3 storie in height.
Main Service 2-A To L000& 46.00so
NEW CONST. DWELLING OCCUP. 3.5♦Z F'T.
ORS.
Aoc��
Mu oL ET
NO RESID. @7.50
POWER APPARATUS
8 SINGLE OUTLET CIR.
.00
EX. Occup. OUTLET OR FDRES BAL @ +.,50
Ex. Occup. ourELF°rs A LNS°� 5.00
Temporary Service 23.00
Mobile Home Facilities 20.00
Misc. Wirina 23.00
P90i
PERMIT FEE $ 50.00
MECHANICAL PERMIT Fling Fee 20.00
Heating
Cooling
Hood 6.50
Ventilation
PERMIT FEIE $
Mobile Home Installation Fee $
Energy Inspection Fee $
Occ
CONST. TYPE
TOTAL FEE $ 298.00
HAZ.
D. FEES IMP
X
FLOOD
X
CDF
pARC0.
X
PD
X
HD
X
ISSUE
X
This permit is hereby issued under the applicable provisions
of the Butte Counly Code and/or Resolutions to do work
indic b fo which fees have been paid.
By Date I
PERMIT EXPIRES ON 1I 17
ate
Receipt No. 308993 /$298.00
WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT
' 7 COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION
7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-7541 PERMIT NO.
�(Rev.12/66i APPLICATION AND PERMIT — `
Asseswn ARcaNu �Z
m""G
BUILDING PERMIT
7�SO.
FT. OCC. BUILDING VALUATION
NIL m9
1
TELM►gNE
7 aMALU1G ADDRESS
,OMI
CON9 LElDEA
WV&luatlon
LENDERS MMu+o ADDRESS
=ARCMrtECT
"�UCE16E
No.
E 20.00
Permit Fee
S y
OT
ARcN TELT OR OgNFERS LaUUNG ADDRESS
Plan Checking Fee
S
euADDRESS /��
Energy Plan Checking Fee
S
$
co
PERMIT FEE
S 4a,
LOT No.
euaDNsioNswwAE
PARCEL MAP
PLUMBING PERMIT
Filing Fee 20.00
Each Tra
7.00
USEOFSTRUCTURE
SF ❑ Duplex ❑ Mobilehome ❑ Other
SPWfy
Solar or hent pump water heater
23.00
Water piping
15.00
Each gas water heater or vent
15.00
TYPE OF WORK
New ❑ Addition ❑ Remodel ❑ Utilities ❑ installation ❑ Other`
Describe Work: �} �
!//lL�/ ✓
Gas piping system 1 - 5 outlets
15.00
Building sewer
15.00
Mobile Home IS I G I W
Q20.00
PERMIT FEE
t
ELECTRICAL PERMIT
I Filing Feel 20.00
Main Service °x00wv. LEss
23.00
/�
*PERMIT FEE PAID $ r �' v
SRA - - $
SHERIFF $
OTHER $
$
$
AMOUNT RECEIVED $ a0 G�
*RECEIPT NUMBER
* TO BE PUT INTO COMPUTER
rvice 200A TO IOWA
46.00
T. OwELLNG occuP. 3.5¢F°:
OR a Acc. alas.
MUIT@7.50
PSO APPAPATUS
SNOIEOUTLETC,.tU
rx.Occup.OUTLET OR FIXTURES e 0 01.00
u . ounErs Esio.D APPLNS oEA 5.00
a Service 23.00
ome Facilities 20.00
irin 23.00
PERMIT FEE
MECHANICAL PERMIT Fling Fee 20.00
Heati
Cooling
Hood 6.50
Ventilation
PERMIT FEt t
Mobile Home Installation Fee I S
Energy Inspection Fee is
occ
CONST. TYPE '
TOTAL FEE ,
° �ES P
"°G° `°P P""
°° `
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 Date
PERMIT EXPIRES ON
Mate)
I
COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION
7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE (530) 538-7541
PERMIT APPLICATION DATA SHEET
OWNER: /� /7 E6 ASSESSOR PARCEL NUMBER: C " -7 L
Proposed Building Use: Building Inspector: 4, Date:
prio— —
At time of permit application, I was advised the following data must be su witted r to permit processing and/or issuance:
111. All items have been submitted.
Wu)• Plot plans, 3/4 sets, signed by the preparer of plans.
113. Complete plans, 3/4 sets, signed by the preparer of plans.
Engineered plans, 3/4 sets, with wet signature on plans. All engineering must be shown on plans.
05. Engineered truss details and layout in duplicate (required prior to plan review) No faxes!
116. Energy Design Compliance and supporting documentation.
07. Statement of Intent for Non -Heated and A/C Buildings.
❑ 8. Hazardous Material Form.
;I'
9anufactured Home data and installation instructions includinP'
g Tie Down Specifications.
0. Fees of $
C]11. Impact fees as shown on the attached schedule.
❑ 12. California Department of Forestry plan approval/fees.
❑13 loud elevation certificate.
4. Sanitation and plot plan approval Health Department.
❑ 15. City of Chico plumbing permit.
❑ 16. Plot plan and business license approval from the City of Biggs.
❑ 17. Planning approval for (A) Use: (B) Parking:
❑ 18. Contact Land Development about ❑ Improvements, ❑ Drainage, ❑ Legal Parcel.
❑ 19.,Encr6achment Permit for driveway (construction approval prior to occupancy).
❑ 20. Pre -inspection for required.
112 1. Contractor's license information. (Number, Name Style, Classification).
022. Workers' Compensation carrier and policy number.
023. Owner -Builder Verification (Given to owner ❑, Mailed to owner ❑).
024. Letter of signature authorization.
025. Recorded copy of Agricultural Acknowledgment Statement.
❑ 26. Letter of intent on building use.
1127. Manufactured Home utility clearance.
1128. Existing violations and/or expired permits.
029. 0433 A, 11 Grant Deed, ❑ M.H. Title, ❑ Check to H.C.D $
1130. Other:
When you issue the permit, process as follows ❑ Mail to owner, ❑ ail to contractor.
❑Telephone and hold for pickup at ff*ION
r with inspector.
Applicant ate:
EXPIRATION OF A LICA
Applications for which a permit has not been issued, will expire by limitation one year after date of application. In
order to renew action on an application after expiration, a new application, plans and fees 1 be required.
FEE REFUNDS ,-�- lel--17-06
Refunds can only be made upon written request by the person who paid the fee. The request must be made within
two years from the date of fee payment on permits not issued, and two years from the date of permit issuance for
permits issued; however, on issued permits refunds can only be made if no construction work has been done. Filing
fees, plan checking fees for work plan checked and other department costs are not refundable.
Original - Applicant
TO:
FROM:
SUBJECT:
Building Department
Environmental Health
Sanitation Clearance
E.H. USE ONLY
Plot Plan Attached L' S
Floor Plan Attached_
Sent to B.D. /
lei rct 711( -7-3,60 —03 �L
Owner Location AP#
Plan Approved for: Sewage Disposal x Water Supply: Public X Private' Well
Clearance for�4weWiRT. Other
Hold final for:
Final clearance 0. K. for:
NOTE:
Environmental Health Specialist Date
8/96
7:5 24
C- = 3 cz>
o
P
DRAWNt
DATE.
SHEET NO.
B`ACHMAN. S. ASSOCIATES
:cHECKE°'
JGo�ej�No.
9012iEsotanade Chieo..Ca;, (916).342-sa36,
!�/ p��•
OF
PROJECT:_.
DRAWN-
DATE: l
311EET NO,
5111
'. RACHMAN: di ASSOCIATES
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30121 EsOlanada: CAiCQ. Ca: (9161342-4136
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PROJECT:
DRAWN
OATE:
SHEET N0.
9
11
B'A.CHMAN'. a ASSOCIATES.
CHECKED:
JOS' NO.
1
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3012' EsWansa*'V. Chico. Ca. (916). 3�2-�t36
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PROJECT:
DRAWN:
DATE: /
SHEET N0.
CHECXEO:
JOB NO.
BACHMAN, &. ASSOCIATES
3012.Esolanadw Chien. Ca: 1916) 342-4136
OF.
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ROJECT: ORAWW DATE: SHEET NO.
CHECKED: J09 NO:
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BACHMAa ASSOCIATES
1 " l 3012. Esalanaa. Chico. Ca: (916) 342413W
OF
NOTES
RESIDENTIAL
007-360-034 99-1436
PERMIT NO. _HRADECKY, Michael & Karen -
716 Lawn Drive, Chico
Contr: Owner
Addition to single family
i
SPECIAL CONDITIONS
CHECKED
BY
SRA _
FLOOD CERTIFICATE REQ. _
FIRE SPRINKLERS REQ. _
SPECIAL INSPECTION ITEMS
VERIFY
USE PERMIT CONDITIONS
SUB -STANDARD HOUSING LETTER
JOB FINALED (Date) '2/) L/Z o L7 o
Signature i%y
M
s
SPECIAL CONDITIONS
CHECKED
BY
SRA _
FLOOD CERTIFICATE REQ. _
FIRE SPRINKLERS REQ. _
SPECIAL INSPECTION ITEMS
VERIFY
USE PERMIT CONDITIONS
SUB -STANDARD HOUSING LETTER
JOB FINALED (Date) '2/) L/Z o L7 o
Signature i%y
✓ = OK
0 = Not OK '
= Not Applicable
= Not Ready
MOBILE HOMES
Date MOBILE HOME UTILITIES (Plans) OK except It's
1.
Zoning Requirements -Setbacks -Easements
2.
Soils; Special MH Support Sketch
3.
Sewer; Location -Test -Fall -C/O -Concrete
4.
Water; Location -Test -Easement Needed (Sketch)
5.
Electricity; Location-Clearances-Grnd-/ /Amp -Concrete
6.
Gas; Location -Test -Wrap;-/ /" L'ft.
/ P Nat. or / /"L"ft./ /'LPG
7.
Well Clearance & Disconnect
8.
Utilitv Clearance
MISCELLANEOUS
Date DECKS, COVERS, CARPORTS GARAGES (Plans) -OK except ti's
1.
Zoning Requirements -Setbacks -Easements
Date
Footing§; Soils -Size -Depth -Spacing -Connectors -Steel
Card B-1 Date Card B-1
Date
4.
Card B-1 Date Card B-1
Date
MOBILE HOME INSTALLATION (Plans) OK except #'s
6.
1.
Zoning Requirements -Setbacks -Easements
Electric
2.
Footings; Size -Spacing -Marriage Line
9.
3.
Gas; MH Test -Demand -Valve -Connector
Roof; Shthg-Roofing
4.
Electricity; MH Test -Crossovers -Breakers -Clearances
12.
5.
Drain; MH Test -Fall -Flex Connector
Elec.; Enclosures; Conduit Entries -Terminals -Listed
6.
Water; MH Test -Regulator -Connector
Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater
7.
Water and Sewer Connected -C/O to Grade -HD Approval
Elec.; Grounding; Equip. w/5' Circulating Equip. -Pool Lghtg.
Boxes- Enclosures- Panelboards-Ins. to Main in Conduit
8.
Gas and Electricity Tagged
Health Department Approval
9.
Tie Downs -Type -Installation Cert.
Plumb.; Cir. Test -Water Supply Test
10.
Exits; Insp.-Sketch
Light Niche
11.
Cert. of Occupancy
12.
Permanent Foundation Only; License Decal
Date
Date
Date
Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1
c
MISCELLANEOUS
Date DECKS, COVERS, CARPORTS GARAGES (Plans) -OK except ti's
1.
Zoning Requirements -Setbacks -Easements
?.
Footing§; Soils -Size -Depth -Spacing -Connectors -Steel
3.
Decks; Girders and/or Joists -Decking -Bracing -Stairs -Rails
4.
Wood Awn.; Posts- Bea ms- Rftrs.-Connectors
Shthg.-Frg-Bracing
5.
Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures
6.
Carports; Windows -Doors
7.
Electric
8.
Frmg.; Sills-Anchors-Studs-Rftrs-Trusses
9.
Siding; Nailing -Veneer -Stucco -Mesh
10.
Roof; Shthg-Roofing
11.
Ext.; Steps -Doors -Landings
12.
Braced Wall Panels
Date
Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1
Date
FINAL (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, Distance-GFI
5.
Elec.; Pool Lighting; 15 Volts-GFI
6.
Elec.; Enclosures; Conduit Entries -Terminals -Listed
7.
Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater
8.
Elec.; Grounding; Equip. w/5' Circulating Equip. -Pool Lghtg.
Boxes- Enclosures- Panelboards-Ins. to Main in Conduit
9.
Health Department Approval
10.
Plumb.; Cir. Test -Water Supply Test
11.
Light Niche
Date
Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1
V= OK
0 = Not OK
- = Not Applicable = Not Ready RESIDENTIAL (:
Date nderfloor (Plans) OK except #'s
Z g•Setbacks- Easements- Flood -Slope
Ftg., Main; Soils-Elec. Grnd.-/ & Ftg. DeQth
3. Ftg., Garage; Soils- Steel- Elec. Grnd.-/ /" Ftg. Depth
4. Ftg., Porches & Decks; Soils -Steel-/ /" Ftg. Depth
5. Stemwalls, Main; Steel-Blockouts-Wrapped
6. Stemwalls, Garage; Steel-Blockouts-Wrapped
6a. Ho Downs and Special Anchors
Slab, Steel -Wrapped
8. Pie ireplace Fig. -Steel
D.W.V.; Fall -Fitting -Test -2 Way C/O -Sewer Test
10. UF, Gas Pipe; Size Anchors - Yard Gas Piping; Size Test
11. Water Pipe; Test -Anchors -Regulator -Service Test
12. Electric Underground
13. Plenums & Ducts; Clearance- Material -Support -Ins.
14. Girders -Sills -Anchor Bolts-Joists-Vents-Crippies
15. Access & Ventilation
16. Insulation
Date y' Card B-1 gtr7 Date Card B-1
Date Card B-1 Date Card B-1
Date 96UMBING (Permit) OK except #'s
r Ir.; Vent -Access -Combustion Air B ffle
1 r Pipe; Test & Anchor -Nail Eof c
W.V.; Test Fittings & Anchor -Nail ctio
20. Shower Pan; Test, First Floor -Tub Access
21. Test Tub & Shower, Second Floor -Tub Access
22. Gas Pipe; Sixe & Anchors
Date 1 nj ( Card B-1 Date Card B-1
Date Card B-1 Date Card B-1
Date EL TRICAL (Permit) OK except #'s
23e & Transformer Clearance -Ins. Protection
2 Ele Receptacles Spacing -Lights & Switches at Doors
2 Size Boxes & No. of Conductors Stapled
Ve-Romex Installed Close to Edge of Studs & C.J.
2 Equip. Ground made up w/Mech Fasteners -Bond Gas & Water
2�Appliance Circuits in Kitchen & Conductor Size GFI
. ubfeed Wire Size/ / ga. Cu or AI-A.C. Wire Size / / ga Cu or AI
an Circle / / ga Cu or Al -Oven Circ. / / ga Cu or Al
Insulated Neutral ❑ Yes O No
31eyyee=Riser Conductors & Ground Main Disconnect
3 . quip. Clearances Panels-Motors-Mech. Equip.
33. QfMhes Closet Light -Shower Light -Spa Light
Smoke Detector
Date % Card B -1 -Z -_Date Card B-1
Date Card B-1 Date Card B•1
Date MECHANICAL (Permit) OK except #'s
35. A.C. Ducts Insulation & Support
36. Vent Fan,rFxhaust above insulation
37. Con_defsate Drain & Overflow, Size & Grade
3i�urnace-Vent Access -Comb. Air -Return Air Vent 115 outlet
/39. Attic Access & Platform if Furnace in Attic
Date CIA, / Card B-1 V 'N Date Card B-1
Date / Card B-1 Date Card B-1
Date _fRAMING (Permit) OK except #'s
Materials & Anchors
41. W_, IK Studs -Nailing Spacing & Braces -Plates -Sound
42: B ng Walls over Girders & Floor Nailing
43. raft top in Walls (rat proof)
44. r lops, Furred Ceilings -Stairs -Chasers -Tubs
45 eaders & Beams -Size & Bearing
>ingle & Duplex)
Date FRAMING (Continued)
Angers -Post Caps -Anchors -Connectors
K. 9fing. Joist-Rftr. Ties-Purlin-Roll Brac.-Truss-Shting.-Rfng.
4 . Veplace Ties or Type A Flue -Fireplace Throat Clearance
4 . Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles
rm. Windows or Exiting Doors -Sill Ht. & Dimensions
Garage Fire Protection Framing
y6zroperty Line Firewall & Openings
Ext. Doors -One 3' -Check Garage 3rd Story, 2 Exits
64-61eir5; Width -Headroom -Rise -Run -Landing -Fire Protection
mood on Roof Overhang-Aftic Vents -Rafter Outriggers
ing-Nailing Veneer
tucco Mesh -Drip Screed -Fd. Vents-Underflr. Access
lazing Area -Glass Protection -Skylights -Plastic
5 hear Walls; Nailing -Bolts
0. Xrace Interior/Exterior Wall Panels
64"' Insulation -Walls -Ceilings
62. Infiltration -Walls -Windows
Date2/ !` < Card B-1 Date Card B-1
Date C rd B-1 Date Card B-1
Date FINAL (Plans) OK except #'s
EAVxt. Steps -Door &Sidelight Protection- Landings
Smoke Detector
65. Furnace Vents -clearance -Comb, Air -Connector -
In Garage; Above Floor-Ducts-Mech. Protection
oom Exiting
G.F.I. & Bath Fixtures & Tub Access -Spa
6�c. Trim & Subpanel, Breaker Sizes & Labels
- 69'bTayrs & Rails
70' Fireplace or Stove, Clearance -Hearth J.
Elec. Outlets at Wood Panel, Int. & Ext.
-71. Kit. Fixt. & Appliance; Ground -Air Gap -Cooking Clearance
Elec. Outlets & Receptacles at Kit. Counter
garage Fire Door; Swing -Landing -Closure
7 . A.C. Duct in Garage -Damper
Wtr. Htr.; Vents -Clearance -Comb. Air Connector- P.R.V.'
in Garage; Above Floor -Mach. Protection
7 Plb., Elec. & Mech. Equip. Listed for Location
7 Elec. Receptacles in Garage (F.F.1.)-Romex Protection
A. Insulation -Foam -Looked in Attic
W. Guard Rails & Deck Construction -Post Caps
BJ,.-'Fdn. VBents & Crawl Hole Door Drainage & Wood -Earth
Clearance Looked undgrRoor ❑ Yes
PP. following Instld./ J Yes j NoMalks 0 Yes J No/Planters ] Yes J No
• g'qq . Stucco Br n -Finish Y
8A- A.C. Unit Disconnect, Electrical- Plumbing
85AVents Above Roof, Plbg-Appliance-Fireplace-Clearance to Openings
8 . Water Well, Disconnect, Electrical, Plumbing
8,—"Exterior Elec. Trim, G.F.I. Receptacle -Underground
Ventilation Throughout House
89 lass Protection
9.Q. -Corrections from Previous Inspections
91/Gas Test -Meters Tagged, Gas -Electric
9"ater & Sewer Connected -C/O to Grade -HD Approval
Energy Compliance Certificate -Other Certificates
9 '. Address Posted
Date "! L 1 Card B-1 (7,� Date Card B-1
Date Card B-1 Date Card B-1
Date Card B-1 Date Card B-1
Comments at Final:
COUNTY OF BUTTE - DEPARTMENT OF DEQ/ELOPMENT SERVICES - BUILDING DIVISION
7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-75 1 PSR IT NQ.
(Rev. 12/96) APPLICATION AND PERMIT
ASSESSOR PARCEL NUMBER 007-360-034
ZONINGRIBUILDINGPERMIT
i
OWNER HRADECKY, MICHAEL & KAREN
TELEPHONE
893 -2620
SO. FT. OCC. BUILDING VALUATION
31 a 41 i3038.00
3_8 36 1368.90
. OWNERS MAILING ADDRESS 716 LAWN DRIVE, CHICO 95973
CONTRACTOR'S NAME
OWNER
TELEPHONE
29 5 54 IF;02 no
CONTRACTORS MAILING ADDRESS
CONSTRUCTION LENDER
Fireplace
LENDER'S MAILING ADDRESS
Total Valuation $
ARCHITECT OR ENGINEER
LICENSE NO.
Filing Fee
20.00
Permit Fee $
285.50
ARCHITECT OR ENGINEERS MAILING ADDRESS
Plan Checking Fee $
168.00
BUILDINGADDRESS 716 LAWN DRIVE, CHICO
Energy Plan Checking Fee $
23.00
$
PERMIT FEE s
469.50
LOT NO.
SUBDIVISIONS NAME
PARCEL MAP
PLUMBING PERMIT
Fling Fee 20.00
USEOFSTRUCTURE
SF [N Duplex ❑ Mobilehome ❑ Other
SPECIFY
Each Trap 71
7.00 49.00
Solar or heat pump water heater
23.00
Water piping
15.00 15.00
Each as water heater or vent
15.00
15.00
TYPE OF WORK
New 6 Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑
Describe Work: ADDITION TO SINGLE FAMILY DWELLING
SQUARE FOOTAGE AND CONVERT GARAGE PORTION) TO
Gas piping stem 1 - 5 outlets
15.00 .00
Building sewer
15.00
Mobile Home I s I G I W
@20.00
PERMIT FEE s
LIVING
ELECTRICAL PERMIT
Fling Fee 20.00
Main Service 200AORLESS
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.POWER
License Class Lic. No.
OWNER -BUILDER DECLARATION
1 hereby affirm under penalty of perjury that I am exempt from the Contractors License
LkJfor 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 UP.
OR ADDNS. ( a act. stns.
SO
3.5QFT;
NON -EW pESID. Y. MULTI.
OUTLET CIRCUITS
@7,50
APPARATUS
a sINGLE 0.cIR.
EX. Occup. OUTLET OR FIXTURES
.00
eAL @ 20 g 1.w
Ex. Occup. DUTELETS RAID) E
5.00
Temporary Service
23.00
Mobile Home Facilities
20.00
Misc. Wiring
23.00
PERMIT FEE $
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
works s' compe ation provisions of section 3700 of the Labor Code, I shall
forth h ply ith those provisions.
®
X Date
Sig tire of Ap icant - er ❑ Contra r [3Agent
An SHA permit is required fo xcavations over 5'0" deep and demolition or onstruction
of structures over 3 stories in height.
MECHANICAL PERMIT Filing Fee 1 20.00
Heating 1 115.00
Cooling
Hood 6.50 6.50
Ventilation 2 4.50 9.00
PERMIT FEI: $ 50.50
Mobile Home Installation Fee $
Energy Inspection Fee $ 46.00
�c
consT,;tRE TOTAL FEE $ 738.00
IFVEES
HAZ.
D. 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
indica above f r which fees have been paid.
�(/-�r Z Q q
By ate I
PERMIT EXPIRES ON " 1 '
fDere
Receipt No.265245/$738.UU173r
WHITE-D.D.S.-B.D. CANARY -ASSES PINK-INSPE TOR GOLD OD-APPLICANTr
to
H�:;�"'.,"�"r.,'�'��`�9.'oj'7�L��a.�"�+"�F`'?`�•IW�::t''�+rifr3"'„�I"�✓�z •,,4 �,...,.-t-,.
4
N� �DIVISION
COUNTY OF,.BUTTE -DEPARTMENT OF DE-VELOPMENT SPRYICES - BUILDI
7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TE PHONE (530) 53J75�1
r ' - PERMIT APPLICATION DATA SHEET'VZ
OWNER: ASSESSOR PARCEL NUMBER: e, --;)d % / � 4 D 3
Proposed Building Use: • ,p,v Building Inspector: -6 Date: gj' R
At time of permit appliviiion, I was advised the following data must be submitted prior to permit processinand/or issuance:
s Date Received By
111. All items have been submitted .-------------------------------------------------------------------------------------
-� ❑2. Plot plans, 3/4 sets, signed by the preparer of plans. ------
03. Complete plans, 3/4 sets, signed by the preparer of plans.
❑4. Engineered plans, 3/4 sets, with wet signature on plans. All engineering must be shown on plans. --------
❑ 5. Engineered truss details and layout in duplicate (required prior to plan review) No faxes! ------------------
E16. Energy Design Compliance and supporting documentation. ---=----------=-------------------------------------
❑ 7. Statement of Intent for Non -Heated and A/C Buildings. ---------------------------------------------------------
❑ 8. Hazardous Material Form. ----------------------------=-------------------------------------------------------------
0J9. anufactured Home data and installation instructions including Tie Down Specifications .-----------------
eesof $ -/ ``7,y"o -------------------------------------------------------------------------------------
W1011
mpact fees as -shown on the attached schedule. 51- •tom -Uy 0-4----------------------------------------------- ,� �( S �
2. California Department of Forestry plan approval/fees. ---------------------------------------------------------
❑ 13. ood elevation certificate. ------=---------------------------------------------------------------------------------
4. Sanitation and plot plan approval Heal Depa�tment.------------------------------------------- ,
El15. City of Chico plumbing permit. -----------------------------------------------------------------------------------
,1� 6. Plot plan and business license approval from the City of Biggs. ---------------------------- --=-------------
017.
---------
❑17. Planning approval for (A) Use: (B) Parking:
--------------------------
,r`
o It Contact Land Development about ❑ Improvements, ❑ Drainage, ❑ Legal Parcel. ---------------------=-
❑ 19. Encroachment Permit for driveway (construction approval prior to occupancy). --------- =-------- ----==--
❑20.; Pre -inspection for required Request to Building Inspector on (Date)
021.Contractor's license information. (Number, Name Style, Classification). -----------------------------------
022 .
Workers' Compensation carrier and policy number. -----------------------------------------------------------
023. Owner -Builder Verification (Given to owner ❑, Mailed to owner 11) - --------------------------------------
' ❑24. Letter of signature authorization. --------------------------------------------------------------------------------
❑ 25. Recorded copy of Agricultural Acknowledgment Statement. --------------------------------------------------
1126. Letter of intent on building use. -----------------------------------------------------------------------------------
❑27.:Mariufactured Home utility clearance.--------------------------------------------------------------------------- r
❑28. Existing yiolations and/or expired permits.----------------------------------------------------------------------
❑29. 0433 A'0 Gr a d, Elitle, C to H.C.D $---------------
KM 0. Other: -------
:hp,you issue the permit, process as follows ❑ Mail to owner, ❑+Mail to contractor.
Tel hone / i2� and hold for pickup at C �{� C of '�. ❑ Deliver with '
eP p p inspector.
v
Applicant:
Date:
Copy of Haz-Mat form sent ❑ Health Department, p Fire Department, ❑Air Polluti n Date: By:
. Copy ofyplans sent ❑ Health Department, ❑ Fire:Department, ❑ Other: Date: By:
1. Index permit application for the above items numbered: `/y 10Q, ❑ Plan Check List
2. Additional items required:
J
0
,Contractor, designer, owner, was advised of the above required data by 13 phone, 13 mail, ❑ Building Division counter, by
Date: i
Contractor, designer, owner, was advised of the above required data by ❑ phone, ❑ mail, ❑ Building Division counter, by
Date: w
Contractor, designer, owner, was advised of the above required data by ❑ phone, ❑ mail, ❑ Building Division counter, by
Date:
Contractor, designer, owner, wasised of the above required data by ❑ phone, ❑ mail, ❑ Building D •vision counter, by
Date:
Plans reviewed by: nKp�- Date: 2-c2_0 Plans approved by: Date:
Sets of plans on hold in 0 Plan Cabinet, 11 A.P. folder. Note transfer by: Date:
.7 '_'JV -�I
`R E.H. USE ONLY
Piot P1on Attachedex
Floor Plan Attached �y�eS
Sent to S.D.
7/lo Z -awn ,fir.
TO: Building Department
FROM: Environmental Health
SUBJECT: Sanitation Clearance
-7-360-034 .
Owner Location AP#
Plan Approved.for: Sewage DisposalA Mater Supply: Public X Private Well
Clearance for dwe'.,. Other 4QzvcX con�o� fo /o�t')lc✓r,/ �^oor,� �:,.i�av
Hold final for:
Final clearance O.K. for:
MOTE:
Environmental Health Specialist
6/96
`7 !+ is
Date
• � . `7 �Y ��� i 7 �,.(yk ` '^ r'n^' �' Y7/'�yk.SL�� J�a},�••'tN'�. „(��{�� "�'.�-Z ��w� �'•-`.11 ._♦
6
l COUNTY OF BUTTE
DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION
7 COUNTY CENTER DRIVE, OROVILLE CA 95965 TELEPHONE (916) 538-7541
SCHEDULE OF FEES DUE
OWNER Q de L.
PROPOSED BUILDING USE S 4�GOj�f /tom'✓ DATE 2 S 9
RECEIPT # DATE REC
1. BUILDING PERMIT FEES
-- Balance Due ................ $ / / ► f�
-- Additional Fees Due ........... $
-- Additional Fees Due ........... $
-- Revised Plan Checking Fee ....... $
✓ 2. SCHOOL DISTRICT FEES C 11 / C c7
(paid at District Office)
3. SHERIFF FEES (paid at Building Division)
Residential ...... x $360.00 = $
Units
Commercial (sq.ft.)... x $0.03 = $
Sq.Ft.
4. URBAN AREA FEES (paid at Building Division)
Residential (per unit) . x : = $,
#Units Amt.
Commercial (sq.ft.) .. x =$-
Sq.Ft. Amt.
5. RECREATION DISTRICT FEES (paid at District Office)
6. THERMALITO DRAINAGE DISTRICT FEES
$510.00 (paid at Building Division)
7. SRA FIRE INSPECTION AND PLAN CHECK
$89.00 (paid at Building Division)
8. WATER TENDER FEES (Battalion # )
$200.00 (paid at Building Division)
9. CSA 87 TRAFFIC FEE $2500.00 (paid at Building Division)
10. OTHER
At time of permit application, I was advised the above fees are required to be paid prior to issuance of the building permit.
These fees' °ay be chatiged duri g the plan checking process.
APPLICAN 'DATE
Pursuant to Government Code Section 66020, you ate hereby notified that items 2;3,4,5,6,8,9, and 10 above may have been imposed on your
project. You have 90 days from the date of approval of the project or from the imposition of the above mentioned items during which you may
protest. The requirements for a protest are specified in Government Code Section 66020(a).
Original -Building Div. 2nd Copy - Applicant 3rd Copy - Owner
(Rev. 2/97)
OWNER
51 €lp
J 'd
t. .:.
U COUNTY OF BUTTE' r e'
DEPARTMENT OF DEVELOPMENT SERVICES - BUItDING DIVISIOO
7 COUNTY CENTER DRIVE, OROVILLE CA 95965 TELEPHONE (916) 538-7541
SCHEDULE OF RECEIPT OF FEES
4-
i
PROPOSED BUILDING USE!
!/ 1. BUILDING PERMIT FEES
-- Balance Due ................ $ ��
Wo &10
-- Additional Fees Due ........... $
-- Additional Fees Due ...........
-- Revised P1an.Checking Fee .......
�2. SCHOOL DISTRICT FEES C I,
(paid at District Office)
3. SHERIFF FEES (paid at Building Division)
Residential ...... x $360.00 = $
Units
Commercial (sq. ft.)... x $0.03 = $
Sq. Ft.
F- 4. URBAN AREA FEES (paid at Building Division)
Residential (per unit) . x = $
#Units Amt.
Commercial (sq.ft.) .. x =$
Z. Sq. Ft. Amt.
5. RECREATION DISTRICT FEES (paid at District Office)
i
6. THERMALITO DRAINAGE DISTRICT FEES
$510.00 (paid at Building Division)'
7. SRA FIRE INSPECTION AND PLAN CHECK
$89.00 (paid at Building Division)
r
8. WATER TENDER FEES Battalion # )
$200.00 (paid at Building Division)
9. CSA 87 TRAFFIC FEE, $2500'00 (paid at Building Division)
10. OTHER
A.P: #_607— 390-63Y
DATE & Z X414
RECEIPT # DATE REC
r 1. ___C4�
r,;
,At time of permit application, I was advised the above fees are required to be paid prior to issuance of the building permit'
These fees may 'be changed during the plan checking process.
APPLICAN . ` w (r' DATE
.-y sGr
Pursuant to Government Code Section 66020, you are hereby notified that items 2,3,4,5,6,8,9, and 10 above may have been imposed on your
project. You have 90 days from the date of approval of the project or from the imposition of the above mentioned items during which you may
protesN,Jhe requirements for a protest are specified in Government'Code Section 66020(a).
Original -Building Div. 2nd Copy - Applicant 3rd Copy - Owner '.(Rev. 2/97)
•v 5
OWNER -BUILDER ;VERIFICATION
Attention Property Owner:
An "owner -builder" building permit has been applied for in your name and bearing your signature.
Please complete and return this information at your earliest opportunity to avoid unnecessary delay
in processing and issuing your building permit. No building permit will be issued until ' this
verification is received:
1. I personally plan to provide the major labor and materials for construction of the proposed
property 'qffnprovement
: NO 132. I HAVE HAVE NO ❑ si ed an application for a building permit for the proposed work.
3. I have co tr.4 with the fo ow, mg,ersonPIM
) to, provide the proposed construction:
NAME:
ADDRESS: CITY: Cc)
PHONE: -2q&-)- CONTRACTOR'S LICENSE NO.—:22---1'!Q-
4.
O. —:27i1 'O?
4. I plan to provide portions of this work, but I have hired -the following person to coordinate,
supervise, anM
rovide them or work -
NAM A191K-, ?/1
ADDRESS: Y CITY:
PHONE: ��I t�=j _ .. CONTRACTOR'S LICENSE NO.
5. I will provide some of the work but I have contracted (hired) the following persons to provide
the work indicated:
NAME ADDRESS PHONE TYPE OF WORK
SIGNED:
PROPERTYOWNER:
SOCIAL SECURITY NUMBER: -
DATE:
NOTE: This Owner -Builder Verification is required by Section 19831 and 19832 of the
California Health and Safety Code. This verification must be completed and
returned to our office before we are permitted to issue the permit.
OVER
L OWNER BUILDER INFORMATION
Dear Property Owner:
. An application for a building permit has been submitted in your name listing yourself as the builder of property
improvements specified.
For your protection, you should be aware that as "owner -builder" you are the responsible party of record on such
a permit. Building permits are not required to be signed by property owners unless they are personally performing their
own work. If your work is being performed by someone other than yourself, you may protect yourself from possible
liability if that person applies for the proper permit in his or her name.
Contractors are required by law to be licensed and bonded by the State of California and to have a business
license from the city or county. They are also required by law to put their license number on all permits for which they
apply
If you plan to do your own work, with the exception of various trades that you plan to subcontract, you should
be aware of the following information for your benefit and protection:
-. ♦ If you employ. or otherwise engage any persons other than your immediate family, and the work (including materials
and other costs) is $300 or more for the entire project, and such persons are not licensed as contractors or
subcontractors, then you may be an employer.
♦ If you are an employer, you must register with the State and Federal Governments as an employer and you .are
subject to several obligations including state and federal income tax withholding, federal social security taxes,
workers compensation insurance, disability insurance costs, and, unemployment compensation contributions.
♦ There may be financial risks for you if you do not carry out these obligations, and these risks are especially serious
with respect to worker's compensation insurance.
♦ For more specific information about your obligations under Federal Law, contract the Internal Revenue Service (and,
if you wish, the U.S. Small Business Administration). For more specific information about your obligations under
State Law, contact the Department of Benefit Payments and the Division of Industrial Accidents.
If the structure is intended for sale, property owners who are not licensed contractors are allowed to perform their
work personally or through their own employees, without a licensed contractor or subcontractor, only under limited
conditions.
A frequent practice of unlicensed persons professing to be contractors is to secure an "owner builder" building
permit, erroneously implying that the property owner is providing his or her own labor and material personally. Building
permits are not required to be signed by property owners unless they are performing their own work personally.
Information about licensed contractors may be obtained by contracting the Contractors State License Board in your
community or at 1020 N Street, Sacramento, CA. 95814.
Please complete the "Owner Builder Verification" on the reverse side of this form so that we can confirm that you
are aware of these matters. The building permit will not be issued until the verification is returned.
i rely,
16�I
Mic el C. Vi ira, C.B.O.
Ma ger, Building Inspection
NOTE. This Owner -Builder Information is required by Section 19830 of the California Health and Safety Code
OVER
COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION
7 County Center Drive • Oroville, California 95985 • Telephone (530) 538-7541 PERMrr N,
(Rev. 12/96) - APPLICATION AND PERMIT leff�
AS@UBOMPAAMWJMM
mNNe
F_ r'
BUILDING PERMIT
OWNGA
"U d-kr�rc,.✓ ecic
Ns
ZS7 262-6
SO. FTt OCC. BUILDING VALUATION
OwNas MAL" Aoorws
L''s
6
COWPAMPHI fAW TlLallgNe
coNnucroA, ww►a A4o11ds
coNSTNucrwN us►oa r �
moors wwuNs Aooaess %
"sCT ON Em LJOID/rs No'
AWCWTEcr On V*W9M1 4A11100 AOoass `-' ✓ �:-
Fireplace
Total Valuation ! �/
Fifina Fee ! 20.00
Permit Fee ! 5 P
Plan Checking Fee _f_16 9. cyte
°"'°N°ADCAM
uieu DO—
Energy Plan Checking Fee
v-
! _q_'3Li
f3
PERMIT FEE
! 27
LOT NM
a+soa'earsM""s
" YAP
PLUMBING PERMIT
Mo Fee 20.00
Each Tr
7.00 9&"'•
USEOFSTRUCTURE
SF MIDuplex ❑ Moblehome 0 Other
Solar or heat pump water heater
23.00
Water piping
15.00 �j C --c,
Each use water heater or vent
15.00
TYPE OF WORK
New ❑ Addition Remodel L=Y Udiptles ❑ Installation O Other O
Describe Work: dd dLi-e_0;Ag
CLev , C r
Gu 1 - 5 outlets
15.00 cti
Building sewer -
15.00 uA
Mobile Hone ISIG W
®20.00 j
PERMIT FEE
! ( rl C1 . &-,'
1 Nv ,oyc
ELECTRICAL PERMIT
Fling Fee 20.00
Main Service =
23.00
CONTRACTOR'S DECLARATION
hereby affirm under penalty of perjury that I am licensed under provisions of Chapter
9 (commencing with Section 7000) of Melon 3 of the feu and Pic ns Code.
and my license Is In full force and effect
License Class Lie. No.
OWNER -BUILDER DECLARATION
I hereby affirm under penalty of perjury that I am exempt from the Contractors License
Law for the following reason:
O I, as owner of the property, or my employees with wages as their sols compensation,
will do the work, and the structure is not intended or offend for sale.
❑ I, as owner of the property, am ezdusively 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 poky 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 (1100) or Ion.)
❑ 1 certify that in the performance of the work for which this permit Is Issued. I shad
not employ any person In any manner so as to became subjset 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 - D Owner Cl Contractor O Agent
An OSHA permit Is required for excavations over SO' deep and demolition or construction
of structures over 3 stories In height
Main I sol+
rviceLICENSED
46.00
OR AD". o a �o�c e� 3.59
NONfaa ' To' 97.50
Powm APPAw►Tu
Ex. Occu �Tol a esu 1.0000
»
Ex. Occup. 0= a. a 5.00
Temporary Service 23.00
Mobile Home Facilities 20.00
Mac. WIdng 23.00 .0--V
PERMIT FEE !
MECHANICAL PERMIT Filing Fee 20.00
Heating
Cooling
Hood 0.50 4(,5--D
Ventilation -0 900
PERMIT FEE ! O ,
Mobile Homs Installation Fee !
Energy Inspection Foe
coNsr. K
opef
TO L FEE s 3 W
w nW co"v .o No esus
This permit Is hereby Issued under the
of the Butte County Code and/or Resolutions
Indicated above for which fees have
By
PERMIT EXPIRES ON
applicable provisions
to do work
been paid.
Date
to
Receipt No. .2 C-% 5
WHITE •0.0.3.•6.0. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT
July 20, 4999
Michael Hradecky
716 Lawn Dr,
Chico, Ca. 95973
Assessor Parcel Number: 007-3 60-034
Building Permit Number: 99-1436
�iutte L'ountu
L A N D O F NATURAL WEALTH. AND BEAUTY
BUILDING DIVISION
DEPARTMENT OF DEVELOPMENT SERVICES
7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965-3397
TELEPHONE: (530) 538-7541
FAX: (530) 538-2140
The above referenced building -plans were reviewed by this office. Provide additional information
and/or make revisions to plans, specifications and calculations as follows:
Your plot plan indicates an office where a garage should be. If this garage is an office,
permits are required for the change of use.
Are you going to put a tile roof on your house?
You do not have adequate bracing on the front and rear or the interior of the house per
code. Provide lateral design by an architect or engineer. Have all requirements put on the
plans and have him stamp and sign the plans.(2 sets)
Provide calculations for the 21 foot header which supports the trusses. at the living room
windows.
Plan check will continue upon receipt of the above items. Additional items may be required when
plan check is resumed. If you wish to discuss any requirements, you may contact me at (530)538-
7541 between the hours of 1:00.p.m. and 4:00 p.m., Monday through Friday.
Thank You,
Linda Sexton
Plans Examiner
S T R U C T U R A L
C A L C U L. A T I 0 N S
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P A R A D I SE, CA 95969
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STRUCTURAL CALCULATPONS
BY: IX=e % DATE: 7/ t 0 SHEET No. T OF 1
CHECKED W. DATE: JOB No. QavpO
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CERTIFICATE OF COMPLIANCE: RESIDENTIAL Page 1 of 2 CF -1R
Hradecky Addition
Project Title
716 Lawn Drive Chico, California
Project Address
Donna Wallace (530) 893-4982
Documentation Author Telephone
Prescriptive Package for 300 SF Addition 11
• 07/28/99
Date
Building Permit #
�S
Plan Check/Date
Field Check/Date
Compliance Method (Package, Point System or Computer) Climate Zone Enforcement Agency Use Only
GENERAL INFORMATION
Total Conditioned Floor Area: 300 sf
Building Type: [ ] Single Family [x] Addition [ ] Multi -Family [ ] Existing -Plus -Addition
(check one or more)
0
Front Orientation: 320 [x] North [ ] East [.] South [ ] West [ ] All Orientations
(Input orientation in degrees and check one.)
Number of Dwelling Units: .18
Floor Construction Type: [x] Slab [ ] Raised Floor (check one or both)
BUILDING SHELL INSULATION
Construction
Component Insulation Assembly Location/Comments
Type R -Value U -Value (attic, to garage, typical, etc.)
Wall......... R-13 Typical at Addition
Wall.........
Roof......... R-38 Typical at Addition
Roof.........
Floor........
Floor........
Slab Edge....
FENESTRATION
Shading Devices
Fenestration Area Fenestration Interior Exterior Overhang Framing Type
Orientation (sf) U -Value (roller blind, etc.) (shadescreen, etc.) (yes/no) metal/wood/vinyl)
Front ..... (N) 27 .60 Medium Drapes None No Vinyl
Front.....( ) a
Left......( )`
Left......( ,��
Rear ...... (S) 36 .55 Medium Drapes None /'� Metal
Rear ...... (S) 32 .60 Medium Drapes None Metal
Right.....( )
Right.....( )
Skylight..... 16 .75 None None �('^ �N Metal
Skylight.....
THERMAL MASS
Type/Covering Area Thickness
(slab/exposed, tile, etc.) (sf) (inches) Location/Description (kitchen, bath, etc.)
Slab/Tile 183 3.900 Entry, Kitchen, Laundry, 8 Mud Room
r
Residential Compliance Form March 1, 1996
CERTIFICATE OF COMPLIANCE: RESIDENTIAL Page 2 of 2 CF -1R
Hradecky Addition
Project Title
HVAC SYSTEMS
Date
07/28/99
Note: Input hydronic or combined hydronic data under Water Heating Systems, except Design Heating Load.
Distribution
Heating Equipment Minimum Type and Duct or Heat Pump
Type (furnace, Efficiency Location Piping Thermostat. Configuration
heat pump, etc.) (AFUE/HSPF) (ducts/attic, etc.) R -Value Type (split or package)
Existing
Cooling Equipment
Type (air cond., heat
pump, evap. cooling)
Minimum
Efficiency
(SEER)
Duct
Location
(attic, etc.)
Duct
R -Value
Thermostat
Type
Configuration
(split or package)
Existing
^i'01� Z Z Q
Lic.
Chico,
California 95926
WATER HEATING
SYSTEMS
893-4982
Energy*
External
Rated*
Tank
Factor or
Tank
Water Heater Distribution Number
input (kW
Capacity
Recovery
Standby* Insulation
Type Type
in System
or Btu/hr)
(gallons)
Efficiency
Loss (X) R -Value
Existing
* For small gas storage (rated input < or = 75,000 Btu/hr), electric resistance, and heat pump water heaters, list Energy Factor.
For large gas storage water heaters (rated > 75,000 Btu/hr), list Rated Input, Recovery Efficiency, and Standby Loss.
For Instantaneous gas water heaters, list Rated Input and Recovery Efficiency. '
SPECIAL FEATURES/REMARKS (Add extra sheets if necessary)
See P400-95-002, Table 7-1, page 7-4, for the complete description of this Prescriptive Package. Removed glass as part of this
Addition = 7 (Entry) + 12 (Kitchen) + 12 (Kit.) + 40 (Living) = 71 sf. Allowed glass = 300 x 0.16 + 71 (removed glass) = 119 sf.
Proposed glass at Addition = 111 sf, which is less than 119 sf. Therefore, glazing complies.
COMPLIANCE STATEMENT
This certificate of compliance lists the building features and performance specifications needed to comply with Title 24, Parts
1 and 6, of the California Code of Regulations, and the administrative regulations to implement them. This certificate has been
signed by the individual with overall design responsibility. When this certificate of compliance is submitted for a single
building plan to be built in multiple orientations, any shading feature that is varied is indicated in the Special Features/
Remarks section.
Designer or Owner (per Business & Professions Code)
Name:
A g',
Title/Firm:
�,�••• 1Ye 1
Address:
0 JN �Q
Telephone:
^i'01� Z Z Q
Lic.
(signa`Cure) I- - (date)
Enforcement Agency
Name:
Title:
Agency:
Telephone:
(signature/stamp)
Residential Compliance Form
(date)
Documentation Author
Name:
Donna
Wallace
Title/Firm:
Address:
399 E.
9th Avenue
Chico,
California 95926
Telephone:
(530)
893-4982
(signature)
(date)
March 1, 1996
MANDATORY MEASURES CHECKLIST: RESIDENTIAL MF -1R
NOTE: Lowrise residential buildings subject to the Standards must contain these measures regardless of the compliance approach
used. Items marked with an asterick (*) may be superseded by more stringent comp�,iance requirements listed on the
Certificate of Compliance. When this checklist is incorporated into the permit documents, the features noted shall be
considered by all parties as binding minimum component performance specifications for the mandatory measures whether they
are shown elsewhere in the documents or on this checklist only.
DESCRIPTION
DESIGNER
ENFORCEMENT
Building Envelope Measures
*150(a): Minimum R-19 ceiling insulation.
R-38
150(b): Loose fill insulation manufacturers labeled R -value.
N/A
*150(c): Minimum R-13 wall insulation in wood framed walls or equivalent U -value in metal
R-13
framed walls (does not apply to exterior mass walls).
N/A
150(d): Minimum R-13 raised floor insulation in framed floors; minimum R-8 in concrete
raised floors.
N/A
150(1): Slab edge insulation - water absorption rate no greater than 0.3%, water vapor
transmission rate no greater than 2.0 perm/inch.
Fiberglass
118: Insulation specified or installed meets insulation quality standards. Indicate
type and form.
Batts
116-17: Fenestration Products, Exterior Doors and Infilitration/Exfiltration Controls
1. Doors and windows between conditioned and unconditioned spaces designed to limit
air leakage.
2. Manufactured fenestration products have label with certified U -value and
By Contractor
infiltration certification.
3. Exterior doors and windows weatherstripped; all joints and penetrations caulked and
sealed.
N/A
150(g): Vapor barriers mandatory in Climate Zones 14 and 16 only.
150(f): Special infiltration barrier installed to comply with Section 151 meets Commission
quality standards.
N/A
150(e): Installation of Fireplaces, Decorative Gas Appliances and Gas Logs
1. Masonry and factory -built fireplaces have:
a. Closable metal or glass door
b. Outside air intake with damper and control
N/A
c. Flue damper and control
2. No continuous burning gas pilots allowed.
Space Conditioning, Water Heating and Plumbing System Measures
110-13: HVAC equipment, water heaters, showerheads and faucets certified by the Commission.
By Contractor
150(h): Heating and/or cooling loads calculated in accordance with ASHRAE, SMACNA or ACCA.
N/A
150(1): Setback thermostat on all applicable heating and/or cooling systems.
N/A
150(j): Pipe and Tank Insulation
1. First 5 feet of pipes closest to water heater tank, non -recirculating systems,
insulated (R-4 or greater).
2. Back-up tanks for solar system, unfired storage tanks, or other indirect hot water
tanks have R-12 external insulation or R-16 combined internal/external insulation.
N/A
3. All buried or exposed piping insulated in recirculating sections of hot water
systems.
4. Cooling system piping below 55 degrees Fahrenheit insulated.
5. Piping insulated between heating source and indirect hot water tank.
*150(m): Ducts and Fans
1. Ducts constructed, installed and sealed to comply with UMC Sections 601 and 603.-
03;ducts
ductsinsulated to a minimum installed value of R-4.2 or ducts enclosed entirely
within conditioned space.
N/A
2. Exhaust fan systems have backdraft or automatic dampers
3. Gravity ventilating systems serving conditioned space have either automatic or
readily accessible, manually operated dampers.
114: Pool and Spa Heating Systems and Equipment
1. System is certified with 78% thermal efficiency, on-off switch, weatherproof
operating instructions, no electric resistance heating and no pilot light.
2. System is installed with:
N/A
a. At least 3611 pipe between filter and heater for future solar heating.
b. Cover for outdoor pools or outdoor spas.
3. Pool system has directional inlets and circulation pump time switch.
115: Gas-fired central furnaces, pool heaters, spa heaters or household cooking
appliances have no continuously burning pilot light. (Exception: Nonelectrical
By Contractor
cooking appliances with pilot < 150 Btu/hr.)
Lighting Measures
150(k): 40 lumens/watt or greater for general lighting in kitchens and rooms with water
By Contractor
closets; and recessed ceiling fixtures IC (insulation cover) approved.
Residential Compliance Form March 1, 1996
BUTTE COUNTY SCHOOLS IMPACT FEE CERTIFICATION FORM
(One form per Building)
70
School District Building Department No.,
A.P. Number O0 *7 /— 3 (e0 -63y Jurisdiction: City County
Property Owner ///% r !� d ..� �V" e�/1 r .� �✓ rl / n/�/'. J i i
Property Location/Address
Subdivision Lot No.
(Floor Plans reviewed by School District Personnel)
'
................................................�.......................:....................
Residential Development
2
. CA A SD School District certifies that
Sq. Footage D
No of Living
Mobile Home
A ditiord Supplemental to
(Group R)
/ Units
Installation
Conversion Permit #
(Street Address) (Phone Number) '
*(No foundation inspection);
.......................................r.....................................................
Commercial/ Industrial P- f
O
j 4 _' —•
=SgFootage •-
New
Addition
(Including Exterior
has complied with the requirements of Resolution No. R by payment of $
Roofed Areas)
7 � �o
Building Department Represents iv
-
Date
(Floor Plans reviewed by School District Personnel)
'
District Identification No. f *
i llct.4 1kJ(--i ,
2
. CA A SD School District certifies that
(Applicant) ,
(0 ^
(Street Address) (Phone Number) '
C'
Ulm'CrA-
(City) (State) (Zip Code)
has complied with the requirements of Resolution No. R by payment of $
representing square feet. AB 2926 $
FULL MITIGATION $
School District Representative Date
Paid by Check a UPC Remarks: �C ► A L(V--) �2� QJ,�-�.
Notice: You may protest the imposition of the fees identified above by submitting a written protest to the District, in compliance with
Government Code Section 66020(x), within 90 days from the date fees are paid. Failure,ijo submit a timely written protest will prohibit
you from challenging the imposition of the fees in any court action.t of {.- S ` IL `7 Il
If, subsequent to the School District Representative signing this Butte County Schools Impact Fee Certification Form, the School District is
notified by the applicable Local Planning Agency that this project is being reviewed under.the.Califoiriia"Environmental Quality Act (CEQA),
White (applicant), Yellow (building department), Pink (school district) feeform.xls (10/98)dmm
COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS
7 County Center Drive - Oroville. California 95965 - Telephone: 916/538-7541
APPLICATION AND PERMIT
PERMIT II,
+�rrr
ASSESSOR PARCEL NR
ZONING'
BUILDING PERMIT
O NER
JER 14 4 SA"%4 Q.1 1 ST FLAP
TELEPHONE
343-CISSO
SO. FT. OCC. BUILDING VALUATION
OWNER'S MAILING ADDRESS
11(o "WiJ bpoVE
CONTRACTOR'S NAME
SF --LF
TELEPHONE
CONTRACTOR'S MAILING ADDRESS
Fireplace
CONSTRUCTION LENDER
UNKNOWN
a•
Total Valuation $
LENDER'S MAILING ADDRESS
Filing Fee
$ 10.00
Permit Fee
$
ARCHITECT OR ENGINEER
LICENSE NO.
Plan Checking Fee
$
Energy Plan Checking Fee
$
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Penalty
$
BUILDING ADDRESS
SArAI-
Per fee
—
$
PLUMBING PERMIT
Filing Fee 10.00
Each Trap
1 2,00
c—(,t Z
Solar or heat pump water heater
20.00
LOT N+O. SUBDI VISION NAME
PARCYL MAP
Water piping
5.00
Each qas water heater or vent
5.00. ;
USE OF STRUCTURE
SF ❑ Duplex❑' Mobilehome❑ Other
SPECIFY
Gas piping system 1 - 5 outlets
5.00
Building sewer
5.00
Mobile Home S I G I W I
h0.00j(4
TYPE OF WORK
New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation[] Other ❑
Describe work: %00 2"LO W 12tni� FOR NEW SPA
Permit Fee"
$
Contractor •_
ELECTRICAL PERMIT.
Filing Fee 10.00
1 I
Main serviceeoov OR LESS
100 AMP OR LESS
10.00
Mai -n -service EA. ADD'L 100 AMP
2.50
CONTRACTORS A:W LICENSE L
I declare under penalty of perjury (check One):
❑ I am licensed under pr64isions of Chapt. 9, Div. 3 of the Business
and Professions Code and' my license Is in full force and effect.
License,No. __ Classification
�Q{
1, as the owner!. or my'employees with wages as their sole compen-
sation, will -do the work,and the structure is not intended or offered
for sale. (Sec. 7044.)• •
❑ I, as the owner, am exclusively contracting with licensed contract-
ors. (Sec. 7044)
❑ I am exempt under Sec. Business and Professions Code
for this reason
NEW CONST. DWELL IN G'OCCUP:eI
OR ADDNS. � ACC. BLDGS. 1 /22Sq ft
NEW CONSTRI. U' LEITST
NON* R ESID BRAN CIRC 2.50 ea
- POWER APPARATUS e
SINGLE OUTLET CIR. I
/ 20�SOt
Ex. Occup\OUTLETS OR FIXTURES
_ • ewes 30
FIXED APPLNS. OR
Ex. OCCUp. OUTLETS IRESID;1 EA.)'- `2.00
Temporary service ' 10.00
Mobile Home Facilities. 15.00
Misc. Wiring 15.00 ,
9
`c C" bry
Permit Fee $
WORKMEN'S COMPENSATION INSURANCE
I declare under penalty of perjury (check one):
❑ The permit is for $100.00 (valuation) or less.
❑ I have placed on file with the County of Butte Building Department
a Certificate of Workmen's Compensation Insurance or a Certificate
of Consent to Self -Insure.
I shall not employ any person in any manner so as to become subject
to the W. C. laws of California.
Notice to Applicant: If after making this statement, should you become subject
to the W. C. provisions of the Labor Code, you must forthwith comply with such
provisions or this permit shall be deemed revoked.
Contractor
MECHANICAL PERMIT
Filing Fee 10.00
Heating
Cooling
g
Hood
3.00
Ventilation
Permit Fee
$
Contractor
I certify that I have read this application and state that the above information
is 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
against said County in consequence of the granting of this permit.
%� '���/ Date 1O�Slg
SignatuW 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 $
TOTAL PERMIT FEE $ Y , 00
occu P.
CONST.TYP[
JSCI100LJFI_00DJPARCFLJ
PD
1 ND
1 ISSUC
This permit is hereby Issued under
sions of the Butte County Code and/or
work indicated above for which
DIRECTOR OF PUBLIC
By
PERMIT EXPIRES Date
the applicable provi-
resolutions to do
fees have been paid.
WORKS
Date
Receipt No. a 2 � -'7 :
—¢'—
WNITt-D. P. W., 7[LLOW-A9eLSf0 �. PIN[-INeP[cTOR, aOI D[MIIOD-A►r'IICANT
0(k
a
F)5
= OK
0 = Not OK"
Not ' = Not Ready MOBILE
MOBILE HOMES
MISCELLANEOUS
Date
MOBILE HOME UTILITIES (Plans) OK except #'s 1
:Date
DEC,C OVERS,CARPORTS,GARAGES, (Plans)OK ezce t #`s
. Zo g Requirements -Setbacks -Easements -
-' 1. Zoning. Requirements=Setbacks-Easements .
2. Soils; Special MH Support -Sketch
ootings; 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.
/ P'Nat. or/ • /"L"ft./ /"LPG
5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures
6. Car orts; Windows-Dgors
7. Utility Clearance
c.
rmg.;An ors tuds-Rftrs-Trusses
i Ong% -Vi iNrveneer-Stucco-Mesh
Card -81
Date Card -131 Date
1 oof; Shthg-Roofing
Card -B1
Date Card -131 Date
14"' Ext.; Steps -Doors -Landings
Date
MOBILEHOME INSTALLATION (Plans) OK except #'s
IA
i
1. Zoning Requirements -Setbacks -Easements--
Card -81
� Date � Card -81 Date
2. Footings; Size -Spacing -Marriage Line
Card -81
ds Date/lI Card -1211 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
T.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.; Recepte'c(Qs and Lighting, Distances-GFI
10. Cert. of Occupancy
5. Elec.; Pool Lighting; 15 volts-GFI
6. Elec.; Enclosures; Conduit Entries -Terminals -Listed
7. Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater
8. Elec.;Grounding; Equip. w/5' -circulating Equip. -Pool Lghtg.
Boxes-Enclosures-Panelboards-Ins. to Main in Conduit
Card -B1 Date Card -B1 Date
Card -131
Date Card -131 Date
9. Health Department Approval
10. Plumb.; Cir. Test -Water Supply Test
Card -B1
Date Card -131 Date
Card -B1
Date Card -131 Date
I
a No 6KApplicable
- = Not RESIDENTIAL (Single and. Duplex), -
= Not Ready
Date
UND OOR (Plans) OK except #'s
Ddte
FRAMING (Continued)
oning requirements -Setbacks -Easements .
44. Hangers -Post Caps -Anchors -Connectors
2. Ftg sin; Soils-Steel-Elec. Grnd.-/ /" Ftg. Depth
45. Cing. Joist-Rftr. Ties-Purlin-Roof Brac.-Truss-Shthng.-Rfng.
L-flg, Garage; Soils -Steel-/ I' -/" Ftg. Depth
46. Fireplace Ties or Type A Flue -Fireplace Throat
4. Ftg., Porches &'Decks; Soils -Steel-/ /"Ftg. Depth
47. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles
5. Stemwalls, Main; Steel-Blockouts-Wrapped
48. Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions
6.'Stemwalls, Garage; Steel- Blockouts-Wrapped
49. Garage Fire Protection Framing
7. Slab; Steel -Wrapped
50. Property Line Firewall & Openings
8. Piers -Fireplace Ftg.-Steel
51. Ext. Doors -One T -Check Garage -3rd story, 2 exits
9. D.W.V.; Fall -Fittings -Test -2 way C/O -Sewer Test
52. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection
10. Gaspipe; Size -Anchors
53. Plywood on Roof Overhang -Attic Vents -Rafter Outriggers
11. Wder Pipe; Test -Anchors -Regulator -Service Test
54. Siding -Nailing Veneer
. Electric; Underground
55. Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access
13. Plenums & Ducts; Clearance -Material -Su pprt- Ins.
56. Glazing Area -Glass Protection -Skylights -Plastic
14. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples
57. Shear Walls; Nailing -Bolts
15. Ifiisulation
58.Insulation-Walls-Clg.
59. Infiltration-Walls-Wndws
Card -B
Date - and -B1 Date
Card -B1
Date Card -B1 Date
Card -131
Date Card -B1 Date
Card -131
Date Card -B1 Date
Date
PLUMBING (Permit) OK except #'s
16. Water Ht. Vent -Access -Combustion Air
Date
FINAL (Plans) OK except #'s
17. Water Pipe; Test & Anchors -Nail Protection
60. Ext. Steps -Door & Sidelight Protection -Landings
18. D.W.V.; Test-Fttngs & Anchors -Nail Protection
61. Smoke Detector
19. Shower Pan; Test, First Floor -Tub Access
62. Furnace; Vents -Clearance -Comb. Air -Connector -
In Garage; Above Floor -Ducts -Mach. Protection
20. Test Tub & Shower, 2nd Floor -Tub Access
21. Gas Pipe; Size & Anchors
63. Bedroom Exiting
64. G.F.I. & Bath Fixtures & Tub Access -Spa
65. Elec. Trim & Subpanel; Breaker Sizes -Labels
Card -131
Date Card -B1 Date
66. Stairs & Rails
Card -131
Date Card -81 Date
67. Fireplace or Stove; Clearances -Hearth
68. Elec. Outlets at Wood Panel; Int. & Ext.
Date ELECTRICAL (Permit) OK except #'s
22. Fixture & Transformer Clearance -Ins. Protection
69. Kit. Fixt. & Appliance;, Grnd. -Air Gap -Cooking Clearance
70. Elec. Outlets & Receptacles at Kit. Counter
23. Elec. Receptacles Spacing -Lights & Switches at Doors
71. Garage Fire Door; Swing -Landing -Closer
24. Size Boxes & No. of Conductors -Stapled
72• A.C. Duct in Garage -Damper
25. Romex Installed Close to Edge of Studs & C.J.
73. Wtr. Htr.; Vents -Clearance -Comb. Air-Connector-P.R.V.-
In Garage; Above Floor-Mech. Protection
26. Equip. Ground made up w/Mech. Fasteners -Bond Gas &Water
27. 2 Appliance Circuits in Kitchen & Conductor Size
74. Plb., Elec. & Mech. Equip. Listed for Location
28. Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / /ga.
Cu or Al
75. Elec. Receptacles in Garage; (G.F.I.)-Romex Protec.
76. Insulation -Foam -Looked in Attic O Yes
29. Range Circ. / / ga. Cu or AI -Oven Circ. / / ga. Cu or Al.
Insulated Neutral Yes No
77. Guard Rails & Deck Construction -Post Caps
30. Service -Riser Conductors & Ground -Main Disconnect
78. Fdn. Vents & Crawl Hole Door -Drainage & Wood -Earth
Clearance Looked under Floor ❑Yes
31. Equip. Clearances Panels-Motors-Mech. Equip.
79. Following instld.; Drive O Yes o No; Walks O Yes O No;
Planters O Yes O No
32. Clothes Closet Light -Shower Light -Spa Light
80. Stucco; Brown -Finish
Card -B1
Date Card -B1 Date
81. A.C. Unit; Disconnect, Electrical, Plumbing
Card -B1
Date Card -131 Date
82. Vents Above Roof; Plbg.-Appliance-Firepl.-Clearance to
Openings.
Date
MECHANICAL (Permit) OK except #'s
83. Water Well; Disconnect, Electrical, Plumbing
33. A.C. Ducts Insulation & Support
84. Exterior Elec. Trim; G.F.I. Receptacle -Underground
34. Vent Fan; Exhaust above insulation
85. Ventilation throughout House
35. Condensate Drain & Overflow; Size & Grade
86. Glass Protection
36. Furnace -Vent; Access -Comb. Air -Return Air Vent -115 outlet
87. Corrections from Previous Inpections
37. Attic Access & Platform if Furnace in Attic
88. Gas Test -Meters Tagged; Gas -Electric
89. Water & Sewer Connected -C/O to Grade -HD Approval
90. Energy Compliance Certificate -Other Certificates
Card -81
Date Card -131 Date
Card -B1
Date Card -B1 Date
Card -131
Date Card -B1 Date
Card -131
Date Card -B1 Date
Date FRAMING (Plans) OK except #'s
38. Sills, Proper Material & Anchors
Card -B1
Date Card -131 Date
39. Walls Studs -Nailing, Spacing & Bracing -Plates -Sound
Comments at Final:
40. Bearing Walls over Girders & Floor Nailing
41. Draft Stop in Walls (rat proof)
42. Fire Stops; Furred Ceilings -Stairs -Chases -Tub
43. Header & Beam -Size & Bearing
(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, Orovi I le — Phone: 538-7541,
747 Elliott Road, Paradise— Phone: 872.-6307
CORRECTION NOTICE
OWNER PERMIT NO
A routine ins ectlon Indicates that the following violations of County Ordinance
exist at th 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.
rV /i9�flwX � IUJJ�1,�Io�P�✓(".�l �
Inspector
COUNTY OF BUTTE
DEPARTMENT OF PUBLIC WORKS
196 Memorial Way, Chico — Phone: 891-2751
( t 7 County Center Drive, Orovi Ile - Phone: 538-7541 's
747 Elliott Road, Paradise _ Phone: 872-6307
CORRECTION NOTICE
()W FR r PPPRAIT W1
A routine inspection indicates that the following violations of County Ordinance
exist at !Pe above address and should be corrected. Please notify this office
when cor ection of work is completed. If you have any question pertaining to this
matter,/10
atter, r need additional explanation, please contact this office Immediately.
it 6 -
F
Inspector. Date �l)
COUNTY OF BUTTE - DEPARTMENT OF'PUBLIC WORKS PE MIT NO. .
7 County Center Drive.-, Orovilla, California 95965 - Telephone: 916/538-7541.
APPLICATION AND PERMIT �-
ASSESSOR PARCEL NUMBER
• - d�
20N1
BUILDING PERMIT
OWN - // `f
C 1
T EPH E
S FT`43. OCC. BUILDING VA AT ION
OWNER'S MAILINGADDRESS (�a�
/ ���
CONTRACTOR'S NAME
TELEPHONE
CONTRACTOR'S MAI ING ADDRESS
Fireplace
CONSTRU TION LENDER
UNKNOWN
Total Valuation $
Filing Fee
•$ 10
LENDER'S MAILING ADDRESS
Permit Fee
$
ARCH IT C ENGINEER
LICENSE NO.
Plan Checking Fee
$
Energy Plan Checking Fee -
$
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Penalty
$
BUILDING ADDRESS
Permit fee
PLUMBING PERMIT
Filing Fee 10.00
-
Each Trap
2.00
6
Solar or heat pump water heater
20.00
LOT NO. J
SUBDIVISION NAME
PARCEL MAP
Water piping
5.00
Each pas water heater or v
5.00
USE OF STRUCTURE
SF ❑ Duplex❑ Mobilehome❑ Other F ^ Vx;
SPECIFY
Gas piping system 1 -5o
5.00
Building sewer
00
Mobile Home S I G I W
10.0ea.
TYPE OF WORK
New Addition ❑ Remodel ❑ Utilities ❑ Installation❑ Other ❑
Describe work: aw X O2
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 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.
icense No. Classification
/11,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 AODNS. C ACC. BLDGS. )
, /20sgft
NEW CONSTRMULTI-OUTLET2,50
NON-RESID .BRA C CIRC UITS
ea
PowER APPARATUS e
(SINGLE OUTLET CIR. )
Ex. OCCUp(OUTLETS OR FIXTURES
FIXED APPLNS. OR
Ex. OCCUp. OUTLETS (RESID.) EA.)
Temporary service
20@0OAL030
2.00
10.00 s
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.
a I have placed on file with the County of Butte Building Department
a Certificate of Workmen's Compensation 'Insurance or a Certificate.
Consent to Self -Insure.
I shall not employ any person in any manner so as to become subject
to the W. C. laws of California.
Notice to Applicant: If after making this statement,should you become subject
to the W. C. provisions of the Labor Code, you must forthwith comply with such
provisions or this permit shall be deemed revoked.
MECHANICAL PERMIT
Filing Fee 10.00
Heating
Cooling
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 Countyot
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
again said County in consequence of the granting of this permit.
X Date 3^� S,
Signa ure of Ap licant — Owner Contractor ❑ Agent ❑
An OSHA permit is required for excavations over 5'0" deep and demolition or construct-CTOR
ion of structures over 3 stories in height.
Mobile Home Installation Fee
S
Energy Inspection Fee $
TOTAL PERMIT FEE $
occUP.
CONST.TYP!
ISCHOOLIFL0,0111PARCELI
PD I CDf ISSUE
This permit is hereby issued under
sion f the Bute County Code and/or
w0WdIcated,bove for which
OF PUBLIC
PERMIT EXPIRES Date
the applicable provi-
resolutions to do
fees have been paid.
WORKS
Date
Receipt No.By
WHIT!-D.P.W.. 7CL LO W-AS593301, PINK -INSPECTOR. CTOR, GOLDENROD -APPLICANT
4.� V�%1n.,r+(" - "�,�'`����'' �. ar,lt�.���; 1+�i 1�� 's`?.��'rAi'����1�':'!�r.�'t�'1�3.-;*JY•.,.,..1....
COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS - BUILDING DIVISION
7 COUNTY CENTER DRIVE- bROVILLE, CALIFORNIA 95965 -TELEPHONE: 916/538-7541
tom.
PERMIT APPL41CATfON DATA SHEET
Permit No.
OWNER �G S A. P. No.
Proposed Building Use ���"�� Building Inspector%/ill Date
At time of permit application, I was advised the following data must be submitted prior to permit processing
and/or Issuance: DATE RECEIVED APPROVED
1. All items have been submitted. . . . . . . . . . . . —
2: Plot plans in duplicate/triplicate, signed by preparer of plans. _
3. -Complete plans in duplicate/triplicate, signed by preparer of plans.
4'. Complete engineered plans and calcs, with wet signature on plans.
5. Plans with Energy Design Compliance Statement. . . . . .
6. • School District "Fees Paid" Stamp on Floor Plan.
7 Statement of Intent for Non -Heated and AC Buildings.
8. Fees of $ . . . . . . . .
9. Letter of signature authorization.
��&0. Sanitation approval fro _ Health Dept. -//- S
11. -Planning approval for (A) Use: (B) Parking: .
12. Certificate of Workmen's Compensation Insurance. . . . . .
13. Contractor's License Information (no., name style, classif.)
-14. Owner -Builder Verificati.on (Given to owner❑, Mail to owner ❑ )
_._-..--15. Improvements may be required. . . . . . . . . . . .
16. Mobilehome Installation Data. . . . . . . . . '
Pre-Inspec. request to (Dote)
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 67ywo<
—22.
When, you issue the permit, process as follows: Mail to owner, Mail to contractor -
Telephone and hold for pickup at office, Deliver w/inspector. "
Other
j
Applican t ate
'.
� � v
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: —__—
a f, ,
Contractor, designer, owner, was advised of above required data by—ph'one---nail'counter by date
Contractor, designer, owner, was advised c? above required data by—phone—mal;)—counter by date Q
Plans checked by. Date Plans approved by / Date J
Sets of plans on hold in File cabinet AP folder
Copy—DPW
Jif
TO Buildinv Department
FROM: Environmental Health
SUBJECT: Sanitation Clearance
Owner Location AP#
Plan Approved for: Sewaqe Disposal Water Supply
Hold final for: Water Supply
Final clearance O.K. for: Water Supply
Clearance for _ bedroom mobile home. Other
---3a.4—a(to- -aar cL- haa
NOTE.***
S nitrrian Date
COUNTY OF BUTTE - Department of Public Works _
7 County Center Drive;' CSroville, CA 95965 Phone: 9160 5 -7541
OWNER -BUILDER VERIFICATION
Attention Property Owner:
An 'owner -builder" building permit has been applied for in your name and bearing
your signature.
Please complete and return this information at your earliest opportunity to avoid
unnecessary delay in processing and issuing your building permit. No building permit
will be issued until this verification. is received..
1. I personally plan to provide the major labor and materials for construction of
the proposed property improvement (yes or no)
2. I (have/have not) hILV signed an plT-
application for a building permit
for the proposed work.
3. I have contracted with the following person (firm) to provide the.proposed
construction:
Name Id /A
Address City
Phone Contractors License No.
4. I plan'to provide portions of thiswork, but I have hired the following person
to coordinate, supervie, and provide the major work:
Name IIIA
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
ou 0 btJ
Signed:
Property Owner
Social Security Num r
Date 3 -5 — Mr
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 _PERMIT NO.
7 County Center Drive - Oroville,Jtaliforr*a 95965 - Telephone: 916/538-7541
APPLICATION AND PERMIT
ASSESSOR PARCEL NUMBER
--
ZONING
BUILDING PERMIT
O NERTELEPHONE
JEfzl,�, -� 5�1-z• C,.I�,TROP
37,43 - -IS 5 0
SO. FT. OCC. BUILDING VALUATION
OWNER'S MAILING ADDRESS
n 16 LAU IN bP I\)E
CONTRACTOR'S NAME-.
SLLF :
TELEPHONE
/I
/
CONTRACTOR'S MAILING ADDRESS
,t
Fireplace
r
CONSTRUCTION LENDER
UNKNOWN
Total Valuation Is
Filing Fee
$ %10.00
LENDER'S MAILING ADDRESS _
Permit Fee
$
ARCHITECT OR ENGINEER
LICENSE NO.
Plan Checking Fee
,$
Energy Plan Checking Fee
$
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Penalty
$
BUILDING ADDRESS
Permit fee
PLUMBING PERMIT
Filing Fee 10.00
r
Each Trap
2.00
C C,
Solar or heat pump water heater
20.00
LOT NO.
SUBDIVISION NAME
PARC1L MAP
Water piping
5.00 /
Each qas water heater or vent
5.00
USE OF STRUCTURE
SF ❑ Duplex❑ Mobilehome❑ Other
SPECIFY
Gas piping system 1 - 5 outlets
5.00 j
Building sewer
5.00 I
Mobile Home S I G I W
O.00e�a
TYPE OF WORK
New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑
Describe work: 0D 220 W nZttQ6% i<Oh2 N£W SPA
svdI~
Permit Fee
$
Contractor
ELECTRICAL PERMIT
Filing Fee 10.00
V OR L
Main service 100 AMP ORSLESS
10.00
Main service EA. ADD'L 100 AMP
2.50
CONTRACTORS LICENSE LAW
of perjy (Check One):
I declare under penaltyperjury
❑ 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,a_nd 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 AODNS. ( ACC. BLDGS. /20sgft
NEW CONSTR. MULTI -OUTLET
NON.RESID .BRANCH CIRC ITS 2.50 ea
POWER APPARATUS a
(SINGLE OUTLET CIR.
zoesoe
Ex. Occup OUTLETS OR FIXTURES eAL030
FIXED APPLNS. OR
Ex. Occup. OUTLETS (RESID.) EA.7 2.00
Temporary service 10.00
Mobile Home Facilities 15.00
Misc. Wiring 15.00 ,�
g
5lOP b n. I I S vv
Permit Fee $ m�
Contractor
WORKMEN'S COMPENSATION INSURANCE
I declare under penalty of perjury (check one):
❑ The permit is for $100.00 (valuation) or less.
❑ I have placed on file with the County of Butte Building Department
a Certificate of Workmen's Compensation Insurance or a Certificate
of Consent to Self -Insure.
I shall not employ any person in any manner so as to become subject
p 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
FiIingFee 10.00
Heating
Cooling
Hood
3.00
Ventilation
Permit Fee
$
Contractor
I certify that I have read this application and state that the above information
is correct. I agree to comply to all County Ordinances and State Laws relating
to building construction, and hereby authorize representatives of the Countyot
Butte to enter upon the above-mentioned property for inspection purposes.
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.
' -� �,P Date �o/61 FS
X +�-�ti
Signature of Appli ant - Owne� Controctor E] Agent ❑
An OSHA permit is required for excavations over 5'0" deep and demolition or construct-
ion of structures over 3 stories in height.
g
Mobile Home Installation Fee
$
Energy Inspection Fee $
TOTAL PERMIT FEE $ U4
OCCUP.
CONST.TYPC
SCHOOL
FLOOD
PARCEL
PD
NO
SSUE
This permit is hereby issued under
sions of the Butte County Code and/or
work indicated .above for which
`' DIRECTOR OF PUBLIC
` /
By ` '--
PERMIT EXPIRES Date
the applicable provi-
resolutions to do
fees have been paid.
WORKS
/ �%(�
Date /fes - U (t
Ky
Receipt No.��
WHITE-D.P.W.. YELLOW -ASSESSOR. PINK -INSPECTOR. GOLDENROD -APPLICANT
j 5
't 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
• Gt 11"14
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.
" ,- < r n! S 146e S ✓int ( IV
/ Q 11 ti r .J nr wl 4 i1 r7iL�� Yh @N7Cst�a�
�Ue
Inspector
Date e - s�- Py .
COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS
. 7 County Center Drive - Oroville, Californial5965 - Telephone: 916/538-7541
APPLICATION AND PERMIT7/111
ERMI N
ASSESSOR PARCEL NUMB R
ZONING
BUILDING PERMIT
OYfNERTELEPHONE
JERIZy 4 SALL i STaA P
343-01550
SQ. FT. OCC. BUILDING VALUAT ON
OWNER'S MAILING ADDRESS
r1 t to LAwfJ U-nX
CONTRACTOR'S NAME
SELF
TELEPHONE
CONTRACTOR'S MAILING ADDRESS
Fireplace
CONSTRUCTION LENDER
UNKNOWN
Total Valuation Is
Filing Fee
$ 10.00
LENDER'S MAILING ADDRESS
Permit Fee
$
ARCHITECT OR ENGINEER
LICENSE NO.
Plan Checking Fee
$
Energy Plan Checking Fee
n
$
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Penalty
$
BUILDING ADDRESS
Sl�ME
Permit fee
$ 7
PLUMBING PERMIT
FiIingFee 10.00
Each Trap
2.00
CC., t Z
Solar or heat pump water heater
20.00
LOT NO.
SUBDIVISION NAME
PARC L MAP
Water piping
5.00
Each qas water heater or vent
5.00
USE OF STRUCTURE
SF ❑ Duplex❑ Mobilehome❑ Other
SPECI FY
Gas piping system 1 - 5 outlets
5.00
Building sewer
5.00
Mobile Home S I G I W
p0.000a
TYPE OF WORK
New ❑ Addition ❑ Remodel ❑ Utilities ❑ Instal lation❑ Other ❑
Describe work: b`D'D 220 luI(Z1IQC4 FOP- NEW SPA
5,�(�' �rat+fo_•Y.�d.
Permit Fee
$
Contractor
ELECTRICAL PERMIT
Filing Fee 10.00
__
00V OR Main service 100 AMP ORSESS 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
1, as the owner, or my employees with wages as their sole compen-
4 sation, will do the work,and the structure is not intended or offered
for sale. (Sec. 7044)
❑ I, as the owner, am exclusively contracting with licensed contract-
ors. (Sec. 7044)
❑ I am exempt under Sec. , Business and Professions Code
for this reason
NEW CONST. / DWELLING OCCUP.e,) yxlCsgft
OR ADDNS. l ACC. BLDGS.
NEW CONSTR. MULTI -OUTLET 2,50 ea
NON-RESID BRANCH CIRC ITS
POWER APPARATUS o-\\
(SINGLE OUTLET CIR. /
Ex. Occup(OUTLETS OR FIXTURES 20050t
eALO 30
FIXED APPLNS, OR
Ex. DCCUp. OUTLETS (RESID.) EA.) 1 2.00
Temporary service 1 10.00
Mobile Home Facilities 15.00
Misc. IYirin 15.00 r
g
e_o �b>v
Permit Fee $
Contractor
WORKMEN'S COMPENSATION INSURANCE
I declare under penalty of perjury (check one):
❑ The permit is for $100.00 (valuation) or less.
❑ I have placed on file with the County of Butte Building Department
a Certificate of Workmen's Compensation Insurance or a Certificate
of Consent to Self -Insure.
I shall not employ any person in any manner so as to become subject
to the W. C. laws of California.
Notice to Applicant: If after making this statement, -should you become subject
to the W. C. provisions of the Labor Code, you must forthwith comply with such
provisions or this permit shall be deemed revoked.
MECHANICAL PERMIT
Filing Fee 10.00
Heating
Cooling
Hood
3.00
Ventilation
Permit Fee
$
Contractor
I certify that I have read this application and state that the above information
is correct. I agree to comply to all County Ordinances and State Laws relating
to building construction, and hereby authorize representatives of the 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 QwAeLDate �d/����
Signatu 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 $
TOTAL PERMIT FEE $ Y01 O0
occu P.
CONST.TYPE
JSCN00L
I PLooD
PARCEL
PD
ND
IS9UE
This permit is hereby issued under
sions of the Butte County Code and/or
work indicated above for which
D OR OF PUBLIC
By
PERMIT EXPIRES Date
the applicable provi-
resolutions to do
fees have been paid.
WORKS
Date
Dsv
Receipt No.
WHITE-D.P.W.. YELLOW -ASSESSOR. PINK-INSPCCTOR. GOLDENROD -APPLICANT
"W`.ye y'+ry"n"-f.:�sWy:^ .7�1�-nj ,,...,Y''.(w.41:7Vr.,.r
a
COUNTY OF BUTTE - DEPARTMEr'PL%L• IC WORKS- BUILDING DIVISION
7 COUNTY CENTER DRIVE - OROVILLE,,CALIFORNIA 95965„-„ TELEPHONE: 916/538-7541 w
f PERMIT. APPLICATION -DATA SHEET
Permit No.
/� G-
OWNERJerry -1. �L l��is�ran� _ P..No. 7.' 3y
ls3_tec (,ul�
Building Ins ector Date
Proposed Building Use g p
V
At time of permit application, I was advised the following data must be submitted prior to permit processing
and:/or issuance: DATE RECEIVED APPROVED
V 1. All items.have been submitted. . . . . . ....
. . .
2. Plot plans in duplicate./triplicate, signed by preparer of plans. .
3. Complete plans in duplicate. /triplicate, signed by preparer of plans.
4. Complete engineered plans and calcs, with wet signature on plans.
5. Plans with Energy Design Compliance Statement. . . . . .
6. School District "Fees Paid” Stamp on Floor Plan.
7 Statementfof 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. . . . . .
13. "Contractor's License Information (no., name style, classif.)
14. Owner -Builder Verification (Given to owner0, Mail to owner 0 )
_15. Improvements may be required. . . . . . . . . .
16. Mobi lehome Installation Data. . . . . . . . . .
z' Pre-Inspec. request to (Dote)
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. Engineered trusses 'in duplicate (required prior to plan check).-
22.
heck). 22- CUA FEES RECEIPT #
When you issue the permit, process as follows: Mail to owner, Mail to contractor.
Telephone and hold for pickup at office, Deliver w/inspector.
Other
Applicant
i
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 dicta by—phone---mai [—counter by date
Contractor, designer, owner, was advised of above required data by—phone —mal l—counter by date
Plans checked by
Sets of plans on hold in
Copy—DPW -�.�
Date Plans approved by
File cabinet AP folder
Date
I •
� COUNTY OF BUTTE - Department of Public Works -
7 County Center Drive, Oroville, CA 95965 Phone: 916-538-7541
OWNER -BUILDER VERIFICATION
Attention Property Owner:
An 'owner -builder" building permit has-been applied for in your name and bearing
your signature.
Please complete and return this information at your earliest opportunity to avoid
unnecessary delay in processing and issuing your building permit. No building permit
will be issued until this verification is received.
1. I personally plan to provide the major labor and materials for construction of
the proposed property improvement (yes or no) �LeS
2. I (have/have not) kaV-e_ rJc�t 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.1 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 a Address . Phone Type of Work
Signed:
Property.Owner
Social Security Numb
Date 16-5--98,
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.
a, 529x8 -79B P E M
a.= ''.PERMIT NO.
PERMIT EXPIRES -�-
Ray` E. Johnson., Jr.
°,OWNER
CONTR. owner
44-38-102 port.
LOCATIO (A. )
Lawn Dr., lot 34, North Park Sub,Chico
'x
�.a
}}r
yt,
h -
r.
P
k
Temp. Power Pole
/Called PG&E
lElec. Serv.
ailed PG&E `C
Gas Serv. �%� !/��S► c.�
Called PG&E
JOB --'��`
FINALED
(Date)
(Signature)
4 .
"'! _...i
ERSET
COMPANY
LICENSED CONTRACTOR
Phone: 342-4764
m
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, CALIFORNI ADMINISTRATIVE CODE, TITLE 25,
STATE OF CALIFORNIA, IN THE BUILDING LOCATE AT:
Street Lot Number Tract No.
EXTERIOR WALLS
Manufacturer Thickness/Type 1 R Value
CEILINGS
Batts: Manufacturer /� /��� Thickness R Value �—%
Blown: Manufacturer �-� Thi ne %�- No. Ba s Wt./Bagel_
Sq. Ft. Covered R Value
i
FLOORS
Manufacturer Thickness/Type. R Value
SLAB ON GRADE
Manufacturer Thickness/Type R Value
Width of Insulation Inches
FOUNDATION WALLS
Manufacturer Thickness/Type R Value
GENERAL CONTRACTOR
LICENSE NUMBER
BY T TLE DATE
-=CPZ�E�LE
CENSE NUMBER 40' tE)J 4-2 DATE 2 2—
SAVE ENERGY - INSULATE!
( DATE)
ACCEPTED OM'AY
(Authotind Representative)
RESIDENTIAL
ENERGY CONSERVATION STANDARDS
CONSTRUCTION COMPLIANCE CERTIFICATE
THIS IS TO CERTIFY THAT ENERGY CONSERVATION Ri:QUIREMENTS HAVE: BEEN
INSTALLED IN CONFORMANCE WIN CURRIi:N'1 ENERGY CQNSERIVATION REGULATIONS
(location)
BUILDING PERMIT NO. A. 11. IvO,_ei��/-��
THE FOLLOWING HAVE BEEN INSTALLED AS PER APPROVED PL4Ns-
•
(Check each item or write N/A if not applicable)
INSULATION: GLAZING:
Slab Edge. Single Glazed
Fdn. Walls Special (Insulated)
Floors CERT. & LABELED WDS.
Walls - & SLIDING DRS. .�
Ceiling/Roof - WEATELL:RSTRIPPED DRS.
Ducts BACK DAMPERED FANS
Circulating Pipes INTERMITTENT IGNITION DEVICES
APPROVED HEATER yIr, , 0&0 ggiOvlCER'1. APPLIANCES
APPROVED WTR. HTR._ge�5
I DECLARE THAT ALL REQUIRED ITEMS AS NOTED ABOVE HAVE BEEN !NSTALLED
IN ACCORDANCE WITH THE ENERGY CONSERVATION REQUIREMENTS AND AGREE TO
THE COMPLETENESS OF THIS CERTIFICATE AS SUBMITTED.
Insulation Applicator Name
Signature of , (please print)
Insulation Applicator
State Contractors
License No.
General Contractor/Owner Name -l;;1311)
Signature of (please print)
General Contractor/Own e Date
Sta a Contractors,
nse No. -�W-41561_
THIS CERTIFICATE MUST BE ON FILE WITH THE BU ILD ING DEPARTMENT PRIOR -'.TO
REQUESTING FINAL INSPECTION AND SHALL BE POSTED IN A CONSPICUOUS LOCATION
WITHIN THE DWELLING.
COUNTY BUTTE'— DEPARTMENT OF PUBLIC WORKS ~
BUILDING INSPECTION RECORD
BUJLDING
BUILDING (Cont'd)
I I
PLUMBING
Setback `
Firewall
Soil Piping
Ducts
Forms
Parapets--
-I--,
1st Floor
/
Main Bldg.
Restroom Finish
2nd Floor
MOBILEHOME UTILITIES ------------------
Footings
Windows
3rd Floor
Sewer
Stemwall7
QW Siding
To out
Elec. Continuity
Slaby
Roof Sheathin gZ2
Water Pi In
DATE
Piers
Roofing
Sewer
Garage
1Fder. Vents-
Fixtures
Footings
StemwaI l
Garage Vents
Insulation
Water Htr.
Heaters
Slab
Carport
p
Footings
Prov. for ph slcally
handica ed
Conformance of
structure
Appliances "
Gas Pi in & Test
Temp. as
Slab
Final 0
Sanitation
Patio
F REPLACE
Final
o Q
Footings
Footing
ELECTRICA
Masonry Walls
Th—.# //
/," _
Bond Beam / , I `FIRE SPRINKLERS}' I Motors
Stucco / ,° I Final ik, ISuhnanplc -------- —
Mesh L MEI HANICAL I Grd. Fault Prot.
scratcn / ZQHeatina
Service ------
Brown 2 -
Cooling
Temp. Pole
Finish
Ducts
Underground
Ventilation
Permanent
Door Closer
Final -a'
Final
MOBILEHOME UTILITIES ------------------
Elec_ Service
Elec. Pedestal
Water Piping
Sewer
Gas Piping
MOBILEHOME INSTALLATION - - - - - - - - - - - - - -
Support
Elec. Continuity
Water Piping 4 4
Drainage
Gas Piping
DATE
REMARKS OR CORRECTIONS
/7f Lel �C V C� tel, h
47
G'
V — e1 J"— ,
A WXe_
774
(NOTE: An entry must be made on this form each time you visit the job site.)
1.
2.
Entrance Stepms
Cmnlro n•ni n�
FINAL Permit No.
D r & SidelProtection
FurnGwfrP- k 3WYtPrL+rP-atPr--VP�ItS _ Cl cararinPc Air
n n c n r S -rrT a
10. Fixt1ii6s & A -. es in Ki , •r--Grou
11. Electric lets & Rece--ts Kitchen Counter
12. Fire D to Ga e & win
13. Proper Ty Duct in Garage --D 44 R
14. Furn e Laterer (if in Garage) off Floor & V & P!P".-.
15. Fi all &enings in Fire-,,vall
16.E1 ct e (G.F.I._ whe e R5 � „�-
17. _Type In ation--Attic& erfloor
18. Steps at Ext. D s & Landings.14here required
19.uc ion
20. eFoundat o nts & C 1_ho oor i
21. A.0 _nit --D' A Cle , Bre,v c Conductor Size
22.. Vents e Roof--Pl in Applicam es Fir e
23. Water Well--Disconn t Eisic,�l-; Plun in
24. Exterior Ele cal Trim& G.F.:. Rec e
25 Requires o u s e
26.
Owe �s Qe�is�:.T rT��t i on s
27. Meters Tagged—Gas & Electric
28. Energy Compliance Certificate
29. Sign Job Card
A T T nM A QnlrV nnMUT-VM'VT) v J/mvnti-rm
Signed: /K �i�i� / �4� Date
ABOVE LISTED CORRECTIONS C0l?PLETED SIGN JOB CARD
_. Signed Date
0
UNDERFLOOR Permit' No
1. Setback --Easement
2.. Footings & Stemwall=-Steil 1 & 2 story--Block-outs--Elect'Ground
3. Piers—Fireplace-Footing & Steel
4. Plumbing--Drain--Fall-Fittings--Wrapped in Concrete 42f1 test 1,l
5. Water Pipe --Test & Anchors
6.. Electrical
7. A.C. Ducts--Clearance--Proper Material & Sup -ports
n. Girders---Sills--Anchor Bolts--Joists--Vents
9. Sign. Job Card
ATL OF ABOVE COMP TED 0 EXCEPT
Signed.:
ABOVE I:ISTED CORRECTIONS COFPLE'I:D
Date
SIGN JOB CAPD
Signed: Date:
9
COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS
7 County Center Drive Oroville, California 95965
TeI ephone: 534-4541
APPLICATION AND PERMIT
.5�29P-79
AA
authorize represent Ives of the County of Butte to enter upon the
above-mentione pro erty for inspection purposes.
Date
Si at. a itee or Ag t
Receipt No.
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.
DIRECTOR OF P1dBLIC WORKS
ByAz Date
Building permit expires Date I���
BUILDING
Owner JOA1090 &J
SQ. FT. OCC. BUILDING VALUATION
FT -70 = 2% O. --
Mailing Address P O• $ Ox noo
4(GQ ? -12-7 &,-o ---
CA 997Ae
I.vleH-t
Rp�'���t7I
Go�1 —
Contractor K) Ge -
e-
Mai I ing
Mailing Address
Fireplace kA- 2�O ---
Total Valuation 3. j
Telephone No.
Permit Fee
Building Address
Plan Checking Fee &/or Penalty
Permit Fee
PLUMBING No.1 @ FEE
PERMIT FILING FEE $3.00 J, 00
Each Trao 1.50 f2. CO
LOT OQT�-i—/IL�j L(�
Repair drainage or vent piping 1.50
�j 4-39— 10Z C PO P�
A. P. No., "/j"
ing & Planning
Water piping 1.50
Each gas water heater or vent 1.50 , S
F
W!C.
Sq9
Fire Dept.
Fire Zone
Use Permit
Gas piping system 1 - 5 outlets 1.50 /,SO
EQA
Parking
Plans
ParcelEach
Declaration
I Parcel Map
60' R/W
Improvemyrfs
additional outlet .30
Building sewer 5.00
rHla�51
Parcel roval
Plans pproval
Lawn sprinkler system 2.00
NEW ADDITION ❑ UTILITIES ❑ OTHER ❑
Permit Fee $
77 s1
(1ij fl 51'e�Z-
ELECTRICAL No. @ FEE
PERMIT FILING FEE $3.00 7` 00
Main service 600V OR LESS
100 AMP OR LESS 5.00
Single Family Er Duplex ❑ Mobil Home ❑ Others ❑
Main service EA. ADD'L 100 AMP 2.50
Main service OVER eoov 25.00
100 AMP OR LESS
Main service EA. ADD'L 100 AMP 1.00
NEW CONST. DWELLING
OR ADDNS. � ACC. BLDG (3 20sgft 0
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 CONSTR. MULTI -OU L T
NON.RESID BRANCH CIRCUITS 2.50ea
NEW CONSTR. (POWER APPARATUS a
NON-RESID. SINGLE OUTLET CIR.
254
Ex. OCCUD(OUTLETS OR FIXTIIRES B L-@1
Ex. Occup. (FIXED ALNS.OUT LETS P(RESID )REA) 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 $ 19, &0
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.
Workmen's
pcertify that in the performance of the work for which this
ermit 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 $3.00 J60
Heating A-1
o- PA IL
Cooling 29Z —j—
Ventilation
Hood 2.00 2.00
Permit Fee $ /:F,
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 herebv
Land Development Fee
$ �2SGO
TOTAL PERMIT FEE
$230IC
authorize represent Ives of the County of Butte to enter upon the
above-mentione pro erty for inspection purposes.
Date
Si at. a itee or Ag t
Receipt No.
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.
DIRECTOR OF P1dBLIC WORKS
ByAz Date
Building permit expires Date I���
This set of plans grid specifications MUST be
�Cepi-on the'job at all times and it is unlawful to '
=I.:• �x ma.6 any chnnges or oltPr`n+ions on some without
a written Permission from the Department of Public
Works, C�ntt"+y of Butte.O• 3 7 tl
p Shalt Bs A► 1 � '
I l� AI Materials & Workmdnshi .
. Practices and
with Recognized Good
Acdordanc 9 •
�:�" 'of a quali prescribed for the Specified usek in the
"`; Uni�orrn guiding, Plumbing & Mechanical Codes and '
I'
the Natio Code.
rule. a is system aon o bb�ld.
ip ;fy dd j - stub- t r i • `
"ks1r.: I quirements. r
Y'•r' .i'}� I
I . '
e for
•_�,. �.,w", �. _ I
•• it
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