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Home My WebLink About007-360-051- - —. - - � Ray E. Johnson, Jr. . i 742 Kings Canyon Rd., low North ' Park Sub, Chico Permit #6665-79B,P,E M(new single • f1 am•1 ) 4+ 1 y 3/a��., •�. '7-3=51yw 89 1284' B , P, E o 'WILKINS,, j David . , ,'. R �'•fi; a t + + '' 742 -,Kings' Canyon ;Waf, Chico ` ContR •Carefree Pools V j (new;Yswimming 007-360-051 r w�P � 06-1636 KN 4.� ' HARRISON,•VJILLIE 742 KINGS CANYON4WY-, CHICO Cont:' CHICO ROOFING CO RE ROOF,,. r ' f rem% 007-360-051 06-1636 HARRISON, WILLIE NOTES 742 KINGS., CANYON WY, CHICO f Cont: CHICO ROOFING CO A RESIDENTIAL j APN: Permit No. SRA FLOOD CERTIFICATE EQUIRED FIRE SPRINKLERS REQUIRED SPECIAL INSPECTION ITEMS VERIFY USE PERMIT CONDITIONS SUBSTANDARD HOUSING LETTER ENCROACHMENT PERMIT REINSPECTION FEE PAID FIN HLTH CLEARANCE DATE JOB FINALED: SIGNATURE: AREA • =OK MANUFACTURED HOMES MISCELLANEOUS - DATE I Lj PERMANENT FOUNDATION Li SOFT -SET ---DATE 1 Zoning -Setbacks -Easements} 2 Soils; Special MH Support Sketch 3 Sewer; Loctn-Test; Fall/C/0-Concrete 4 Wtr, Loctn-Test-Easeinent Needed -Regulator 5 Eiec Loctn-DImcs-Dmd Amp -Concrete 6 Yard Gas; Loctn-Test-Wrap Nat ❑ or LPQ Inch Sz Ft Lngth 7 Blckng; SzSpacing-Marriage Llne 8 Gas; MH Test -Demand Valve-Cnncir 9 Elec MH Cntnty Test-Crossovers-Breakers-Clmcs 10 Drain; MH Test -Fall -Flex Cnnctr 11 Wtr & Sewer Connected -C/O to Grade 12 Gas and Electricity Tagged 13 Tie Downs 0 Foundation ❑ 14 Exits 15 Cert of Occupancy 16 HUD Labellinsignia Numbers Serial Numbers DECKS -COVERS -CARPORTS •GARAGE S 1 Zon(ngSetbaclrs-Easements 2 Figs; SoilsSz-0pthSpacing-CnnctrsSteel 3 Decks, Girders/Joists-0cking-Brcing Stairs -Guard_ /Handrails 4 Wood Awn; Posts-Beams-FUirs-CnnctrsShthg. 'Frmg-Brcng 5 Alum Awn; Columns-DnnctnsSpilee-Decal-Enclsrs 6 Carports; Wndws-Doors 7 Electric 6 Frmg; Sills-AnchrsStuds-Rftrs Tn/.sses 9 Siding; Nailing-VeneerStucco-Lath 10 Roof, Shthg-Roofing 11 Ezt; Steps -Doors -Landings 12 Braced Wall pnls s} DATE 113OOLS 1 Setbacks -Easements 2 Soils; Compaction -Structure Stability 3 Pool Structure; Steel-Cnnctns Thickness Dead Men -Lining 4 Elec Rcptcls/Lting; Distance -GR 5 Elec Pool Lting; 15 volts-GFI EIec.EnGsrs; Conduit Entries TermInals-1-isted 7 Elec Bonding; Metal w/5'-DrcItng Egp-Htr 8 Elec Gmdng; Eqp w/5' Crcltng Eqp-Pool Ightg Boxes-Encisrs-prilboardsansultn to Main Conduit 9 Health Dept Apprvl ' 10 Plmb; Cir Test Wtr Supply Test 11 Lt Niche , 12 Enclsr, Fencing -Alarms 13 Bonding, Diving board or Slide 4SIa6 Pool Drawing . 0 =Not RESIDENTIAL (Single & Duplex) DATE JUNDERFLOOR 1 Zoning -Setbacks -Easements -Flood -Slope 2 Ftg Main; Soils-Elec Grnd Ftq Dpth 3 Ftg Garage; SoilsSteel-Elec Gmd Ftg Dpth 4 Ftg Porches/Decks; Soils -Steel Ftg Dpth 5 Stemwalls Main; Steel-Blockouts Wrapped 6 Stemwalls Garage; Steel-Blockouts-Wrapped 6a Hold Downs and Special Anchrs 7 Slab, Steel Wrapped 8 Piers-Frpic Ftg-Steel 9 DWV; Fall -Fitting -Test -2 -way CIO -Sewer Test 10 UF, Gas Pipe; Sz Anchrs-Sz Test 11 Wtr Pipe; Test-Anchrs-RgltrService Test 12. Elec Undrgmd 13 Plenums & Ducts; Clrnc-MaterialSupport4nsultn 14 GirdersSills-Anchr Bolts-Joists-Vnts-Cripples 15 Ace & Vntltn 16 Insulation o' DATE FRAMING 1T Sills Proper Materials & Anchrs 18 Walls Studs -Nailing Spacing & Braces -Plates -Sound 19 Bearing Walls ovet Girders & fir Nailing 20 Draft Stop In Walls (rat proof) 21 Fire Stops; Fiirred CeilingsStairs-Chasers Tubs 22 Headers &.BeaersSz &'Bearing' 23 Hangers-Posf'Caps-Anchrs-Ci►nctns 24 Ceiling Joist-Rftr Ties-Purlin-Roof Brac TrussShthg 25 Frplc Tie's" or Type A FIue=Frpic Throat Clrnc 26 Attic Acc; Sz &'Rfirx Pitctn-Draft Stop -Ins Baffles 27 Bdrm Wndws or Exiting Doors -Sill Nt & Dimensions 28 Garage Fire Prtctri Framing -RC Channel 29 Prprty Line Firewall & Opngs' . 30 Ext Doors One 3' -Check Garage 3rd Story, 2 Exits 31 Stairs; Width-Hdrm-Rise-Run-Landing-Fire Prtctn 32 Plywd on Roof Ovrhng Attic Vnts-Rftr Outrgrs 33 Siding -Nailing Veneer 34 Stucco Lath -Weep Screed-Fndtn Vnts-Undrflr Ace 35 Glazing Area -Glass PrtetnSkyLts-Plastic . 36 Shear Walls; Nailing -Bolts 37 Brace InUExt Wall pnls 38 Insults -W al Is-Cei lin gs 39 Infiltration Watts-Wndws oa � o+` oma DATE ELECTRICAL 40 Fxtr & Trnsfrmr Cimc-Ins Prtctn 41 Elec Rcptcls Spacing-Lts & Switches at Doors 42 Sz Boxes & No Of Cndetrs Stapled 43 Romex Installed Close to Edge of Studs & CJ 44 Eqp Gmd made up w/Mech Fstnrs 45 Grndng Electrode Bond Gas & Wtr 46 2 Appinc Cires in Ktchn & Cndctr Sz GFI 47 Subfeed Wire Sz w ❑CU or ❑AL AC Wire Sz ga ❑ CU or Q AL 48 Range Circ oa Q CU or Q AL Oven Circ oa Q CU or DAL Insulated Neutral ❑Yes 0 N 49 Service -Riser Cndctrs & Gmd Main Dscnnct 50 Eqp Clrncs pnis-Motors-Mech Eqp 51 Clothes Closet Lt-Shwr Lt -Spa Lt 52 Smoke Detector oATE IPLUMBING 53 Wtr Htr; Vent Acc-Cmbstn Air Baffle 54 Wtr Pipe; Test & Anchr-Nail Prtctn 55 DWV; Test Fittings & Anchr. Nail Prtctn 56 Shwr Pan; Test, First fir -Tub Ace 57 Test Tubi & Shwr, 2nd fir - Tub Ace 58 Gas Pipe; Sz & Anchrs ' 59 Fire Sprinkler; Test 60 Yard Gas.Piping DATE MECHANICAL 61 AC Ducts Insultn & Support 62 Vent Fan, Exhaust abv Insults 63 Condensate Drain & Ovrflw, Sz & Grade 64 Furnace -Vent Acc-Comb Air Rtrn/Vent 115 Outlet 65 Attic Ace & Pltfrm if Furnace In attic DATE FINAL 66 Ext Steps -Door & Sider Prtctn-Landings 67 Smoke Detector 68 Furnace Vnts-Cimc-Comb, Air-Cnnctr In Garage; abv-flr-Ducts-Mech Prtctn 69 Bedroom Exiting 70 GFI & Bath Fxtrs & Tub Ace -Spa 71 GFI Arc Fault 72 Elec Trim & Subpnl, Breaker Szs & Labels 73 Stairs, Guard/Handrails 74 Frplc or Stove, Clmc-Hearth 75 Elec Outlets at Wood Pnl, Int & Ext 76 Ktchn, Fxtr & Appinc; Gmd-Air-Gap-Cooking Cimc 77 Elec Outlets & Rcptcls at Ktchn Counter 78 Garage Fire Door, Swing -Landing -Closure 79 AC Duct in Garage -Damper. 80 Wtr Htr, Vnts-Cimc-Com Air Cnnctr-PRV; abv fir Mech Prtctn; LPG Appince Undr House 3" drain 81 Plmb; Elec & Mech Eqp Listed for Loctn 82 Elec Rcptcls in Garage (GFI) Romex Prtctn 83 Insults -Foam -Looked in Attic 84 Guard Rails & Deck Cnstrctn-Post Caps 85 Fndn Vnts & Crawl Hole Door Dmge & Wood -Earth 86 Clmc Dmge Planters ❑ Yes Q No 87 Stucco Brown -Finish 88 AC Unit Dscnnct, Elec-Pimb 89 Vnts abv Roof, Pimb-Appinc-Frplc-Cimc to Opngs 90 Wtr Well, Dscnnct, Elec, Pimb 91 Ext Elec Trim, GFI Rcptcl-Undrgmd 92 Vntltn thru House 93 Glass Prtctn 94 Corrections from previous irispctns 95 Gas Test -Meters Tagged, Gas-Elec 96 Wtr & Sewer Cnnctd-C/O to grade -HD Apprvl 97 Energy Cmpinc Cert -Other Certs 98 Address Posted 99 Fire Sprinkler d'a BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT 24 HOUR INSPECTION M (530) 538-7636 (OROVILLE) (530) 8911-28341, (CHICO) OFFICE M (530) 538-7541 PERMIT NO. BP061636 PERMITS BECOME NULL AND VOID 1 YEAR FROM THE DATE OF ISSUANCE, OR IF WORK IS DONE IN VIOLATION OF ANY COUNTY OR STATE LAWS. LICENSED CONTRACTORS DECLARATION I hereby affirm under penalty of perjury that I am licensed under Issued Date: 07/07/2006 APN: 007-360-051-000 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.Site License Class : License Number: Address: 742 KINGS CANYON WAY CHI Date: d � Contractor. Map Index: Description: RE ROOF COMP TO COMP 29 SQ'S OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors' State License Law for the following reason (Sec. 7031.5 Business and Professions Code: Any city or county which requires a Owner: WYLIE SCOTT HARRISON permit to construct, alter, improve, demolish, or repair any structure, prior 2145 HADDEN RD to its issuance, also requires the applicant for such permit to file a signed statement that.he or she is licensed pursuant to the provisions of WALNUT CREEK, CA the Contractor's State License Law (Chapter 9 commencing with Section 94596-5822 7000) of Division 3 of the Business and Professions Code) or that he or she is exempt therefrom and the basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars ($500).): ❑ 1, 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 (Sec. 7044, Business and Professions Applicant: CHICO ROOFING COMPANY Code: The Contractors' State License Law does not apply to an CRANE, BILL owner of property who builds or improves thereon, and who does such work himself or herself or through his or her own employees, 540 MADRONE AVENUE provided that such improvements are not intended or offered for CHICO,.CA 95926 sale. If however, the building or improvements are sold within one 530-892-9021 year of completion, the owner -builder will have the burden of proving that he or she did not build or improve for the purpose of BILLCRANE@CHICO.COM sale.). ❑ 1, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec. 7044, Business and Professions Code. The Contractors' State License Law does Contractor: CHICO ROOFING COMPANY not apply to an owner of property who builds or improves thereon, CRANE, BILL and who contracts for such projects with a contractor(s) licensed pursuant to the Contractors' State License Law.). 540 MADRONE AVENUE CHICO, CA 95926530-892-9021 ❑ lam Exempt under Article 3 of the Business and Professions Code Date: Owner: BILLCRANE@CHICO.COM License #: 775265 WORKERS' COMPENSATION DECLARATION I hereby affirm under penalty of perjury one of the following declarations: ❑ I have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by Section 3700 of the Architect: Labor Code, for the performance of the work for which this permit s issued. Engineer: Q/1), have and will maintain workers' compensation insurance, as required by Section 3700 the Labor Code, for the performance of the work for which this permit is issued. My workers' compensation insurance carrier and number are: QQpolicy ) Carrier: Total Square Ft: 0 S. F. / j 9 Valuation: $0.00 Policy #: 2 Census Code: ❑ 1 certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to the 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 co ply with those provisions. , Date: `� C>-� Applicant: WARNING: Failure Failure to secure workers' compensation coverage is unlawful, and shall subject an employer to criminal penalties and one hundred thousand dollars ($100,000), in addition to the cost of compensation, damages as provided for in Section 3706 of the Labor code, interest, and attorney's fees. / CONSTRUCTION LENDING AGENCY This permit is here)Dy issued under th plicable provisions of the Butte County Code and/or I hereby affirm that there is a construction lending agency for the Resolutions to d ork indicated ab e r which fees have been paid. performance of the work for which this permit is issued (Sec 3097 Civ.) Name: By: Date: PERMIT EXPIRES ON: Address: Date ❑ I hereby certify that the use of this facility shall comply with Sections 25505, 25533,•and 25534 of the California Health and Safety Code, which regulate the storage, handling and use of hazardous materials. ❑ Notification in accordance with Section 19827.5 of California Health & Safety Code is not applicable to the scheduled construction of this project. ❑ Attached are copies of the required E.P.A. notification forms. I hereby certify that I have read this application, that the above information Is correct, and that I am the owner or the duly authorized agent of the owner. I agree to comply with all county and state laws relating to building construction. I acknowledge it is unlawful to alter the substance of any official form or document of Butte County. I hereby authorize representatives of Butte County to enter upon the above mentioned property for inspection pur oses. 11) f `8 Print Name: V v Signature: Date: / F ❑ Owner Contractor ❑ Agent for Owner ❑ Agent for Contractor B: C. Building Permit 01-16-04 pg 1 BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT 24 HOUR INSPECTION M (530) 538-7636 (OROVILLE) (530) 891-2834. (CHICO) OFFICE M (530) 538-7541 PERMIT NO. BP061636 PERMITS BECOME NULL AND VOID 1 YEAR FROM THE DATE OF ISSUANCE, OR IF WORK IS DONE IN VIOLATION OF ANY COUNTY OR STATE LAWS. LICENSED CONTRACTORS DECLARATION I hereby affirm under penalty of perjury that I am licensed under Issued Date: 07/07/2006 APN: 007-360-051-000 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 : License Number: 777 Site Address: 742 KINGS CANYON WAY CHI /� % Date: �/ 9 Contractor: Map Index: Description: RE ROOF COMP TO COMP 29 SQ'S OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors' State License Law for the following reason (Sec. 7031.5 Business and Professions Code: Any city or county which requires a Owner: WYLIE SCOTT HARRISON permit to construct, alter, improve, demolish, or repair any structure, prior 2145 HADDEN RD to its issuance, also requires the applicant for such permit to file a signed statement that.he or she is licensed pursuant to the provisions of WALNUT CREEK, CA the Contractor's State License Law (Chapter 9 commencing with Section 94596-5822 7000) of Division 3 of the Business and Professions Code) or that he or she is exempt therefrom and the basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars ($500).): ❑ 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 (Sec. 7044; Business and Professions Applicant: CHICO ROOFING COMPANY Code: The Contractors' State License Law does not apply to an CRANE, BILL owner of property who builds or improves thereon, and who does 540 MADRONE AVENUE such work himself or herself or through his or her own employees, provided that such improvements are not intended or offered for CHICO, CA 95926 sale. If however, the building or improvements are sold within one 530-892-9021 year of completion, the owner -builder will have the burden of proving that he or she did not build or improve for the purpose of BILLCRANE@CHICO.COM sale.). ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec. 7044, Business and Professions Code. The Contractors' State License Law does Contractor: CHICO ROOFING COMPANY not apply to an owner of property who builds or improves thereon, CRANE, BILL and who contracts for such projects with a contractor(s) licensed pursuant to the Contractors' State License Law.). 540 MADRONE AVENUE CHICO, CA 95926 El I am Exempt under Article 3 of the Business and Professions Code 530-892-9021 Date: Owner: BILLCRANE@CHICO.COM License #: 775265 WORKERS' COMPENSATION DECLARATION I hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by Section 3700 of the Architect: La¢or Code, for the performance of the work for which this permit issued. Engineer: �.,%, 'f�" have and will maintain workers' compensation insurance, as required by Section 3700 the Labor Code, for the performance of the work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier: 94vcl�� Total Square Ft: 0 S. F. �Zg 9 Valuation: $0.00 Policy #: Census Code: ❑ I certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to the 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 co ply with those provisions. Date: Applicant: WARNING: Failure to secure workers' compensation coverage is unlawful, and shall subject an employer to criminal penalties and one hundred thousand dollars ($100,000), in addition to the cost of compensation, damages as provided for in Section 3706 of the Labor[`� code, interest, and attorney's fees. �d Anawd CONSTRUCTION LENDING AGENCY This permit is here)Dy issued under th plicable provisions of the Butte County Code and/or I hereby affirm that there is a construction lending agency for the Resolutions to d eork indicated atigive Jbr which fees have been paid. performance of the work for which this permit is issued (Sec 3097 Civ.) BY Date: 7 7-6 Name: PERMIT EXPIRES ON: Address: Date ❑ 1 hereby certify that the use of this facility shall comply with Sections 25505, 25533, and 25534 of the California Health and Safety Code, which regulate the storage, handling and use of hazardous materials. O Notification in accordance with Section 19827.5 of California Health 8 Safety Code is not applicable to the scheduled construction of this project. ❑ Attached are copies of the required E.P.A. notification forms. I hereby certify that I have read this application, that the above information is correct, and that I am the owner or the duly authorized agent of the owner. I agree to comply with army official form or document of Butte County. I hereby all county and state laws relating to building construction. I acknowledge it is unlawful to alter the substance of any authorize representatives ojf/Butte to enter upon the above mentioned property for inspection purposes. %County � Print Name:—'7 f ✓C v Signature: Date: < ❑ Owner Contractor ❑ Agent for Owner ❑ Agent for Contractor B. C. Building Permit 01-16-04 pg 1 /w rF , BUTTE COUNTY O O -. DEPARTMENT OF DEVELOPMENT SERVICES O O BUILDING PERMIT APPLICATION o - O AND SUBMITTAL REQUIREMENTS O -moo_" O 24 HOUR INSPECTION#: OROVILLE: (530) 538-7636 • CHICO: (530) 891-2834 OFFICE #: (530) 538-7541 A FEE WILL BE REQUIRED AT TIME OFAPPLICA TION Website: www.buttecounty.net/dds "PLEASE PRINT CLEARLY" OWNER INFORMATION Last Name. irst Nam ;O Address V' G V, City S e ip Phone q ' 7' _,4 36g 66 Fax E-mail CONTRACTOR Name ` l.0 J Address p�.ZJ Q City C61,-c. CC//� State Ziq �� Phone d ►-Z I Fax E -m 'I Lic. # . 7 �5 � C ss 3 APPLICANT INFORMATION RCHI TECT/ENGINEER Name City Address Zip City Fax State Zip Phone Map Book Fax E-mail Planner State License Number APPLICANT INFORMATION Name Address City State Zip Phone Fax E-mail 1 APPLICANT SIGNATURE X aa2 CUu_� For office use only: Zoning Property Address �2 Flood Zone Cross Street SRA I Yes I No Occ. Type Const. Subdivision -Name Map Book Page Lot# Planner Date Approved: OVER FOR SUBMITTAL REQUIREMENTS K:\FORMS\BUILDING FORMS\BldgApplSubRgmts.doc PERMIT lqP BIN # PROJECT LOCATION AP# Property Address �2 ity Cross Street WORKER'S COMPENSATION Policy Number*JAG Carrier If hiring anyone other than license contractors, a certificate of worker's compensation must be shown at the time of permit issuance. LENDING AGENCY Name Address Description or Scope of Work: Z� Sq FT- Living Garage Open Cov ❑ Structure Built without Permits ❑ Proposed Change of Occupancy (Note previous use): EXPIRATION OF APPLICATION Applications for which a permit has not been issued will expire one year after the date of application. In order to renew action on an application after expiration, anew application, plans and fee will be REQUEST FOR REFUNDS Refunds can only be made upon written request by the person who paid the fee. The request must be made prior to the expiration of the permit and no construction work has been done. Filing fees, plan check fees for work plan checked and other department costs are not refundable. C, 1) Received by: Amount:&_1- Bldg —] I Other Date: 1 4/117G ` Total Page 1 of 2 REV 5-12-05 SRA Receipt #: J t iQ� Sheriff SMIP Other Date: 1 4/117G ` Total Page 1 of 2 REV 5-12-05 SUBMITTAL & PERMIT REQUIREMENTS. The following drawings and specifications must be submitted to the Building Division in order to apply for a permit. INCOMPLETE SUBMITTALS WILL NOT BE ACCEPTED. ALL PLANS MUST BE LEGIBLE AND IN INK. ❑ 1. Site plans, 3 or 4 sets, signed by the preparer of the plans. No graph paper! ❑ 2. Complete plans, 3 or 4 sets, signed by the preparer of the plans (No graph paper!) OR Engineered plans, 3 or 4 sets, with wet signature on plans AND 2 sets of stamped and signed calculations. ❑ 3. Engineered truss details and layouts in duplicate (if required). No faxes! ❑ 4. Energy compliance design and supporting documentation in duplicate. ❑ 5. Statement of Intent for Non -heated and A/C for Non -Residential Buildings. ❑ 6. Manufactured homes: (A) Installation. manual, (B) Marriage line info, (C) Floor Plan, (D) Tie down or fnd plans, all in duplicate ❑ 7. Metal bldgs: (A) Metal Bldg Plans, (B) Fnd plans and calcs in triplicate, (C) Elevations in triplicate. (D) Floor plans in triplicate. All of these must be stamped and wet -signed by the engineer. ❑ 8. Flood Elevation Certificate, wet -stamped and signed, in duplicate (if required). ❑ 9. Site plan and business license approval from the City of Biggs. ❑ 10. Letter of intent for non-residential buildings. ❑ 11. Building Permit Application Without Required Clearances Form ❑ 12. Hazardous Material Form (for Commercial Buildings only).. Remaining items needed to issue the permit. Additional items may be required after Plan Check and Planning review (May require additional plan review upon receipt of the following items.) ❑ 1. Agricultural Buffer clearance and site plan approval from the Ag Commissioner's office (if required). ❑ 2. Impact Fees. ❑ 3. California Department of Forestry plan approval (if required). ❑ 4. NPDES Form. ❑ 5. Encroachment Permit for driveway from the Public Works Dept. (construction approval prior to occupancy). ❑ 6. Contractor's license information. (Number, Name Style, Classification). ❑ 7. Worker's Compensation Carrier and Policy Number. ❑ 8. Owner -Builder Verification (if required). ❑ 9. Letter of Signature authorization (if required). ❑ 10. Recorded copy of Agricultural Acknowledgment Statement. ❑ 11. ❑ Legal description from current recorded grant deed, ❑ Copy of M.H. Title, Title transfer, or MCO. ❑ 12. Sanitation and site plan approval from the Environmental Health Department. If you have questions or would like additional information regarding this process, please contact a Permit Assistant at (530) 538-7541. EXPIRATION OF APPLICATION Applications for which a permit has not been issued will expire one year after date of application. In order to renew action on an application after expiration, a new application, plans and fees will be required. REQUEST FOR FEE REFUNDS 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 check fees for work plan checked and other department costs are not refundable. OVER FOR BUILDING PERMIT APPLICATION KAFORMS\BUILDING F0RMS\B1dgApp1SubRgmts.doc Page 2 of 2 REV 8-12-05 F7-36-51 1284-89B, P PEI. WILKINS, David pE 742 Kings Canyon Way, Chico I ContR: Carefree Pools 0 (new swimming pool) y Cob—.. —f ASSESSOR PARCEL LOCATION R, "M J 5 , f,.l� 17 - ll Temp. Power Pole Called PG&E Temp. Elec. Service Called PG&E Temp. Gas Service Called PG&E JOB FINALED (Date) / Signature = OK 0_= Not, OK ' = Not Readyable MOBILE HOMES MISCELLANEOUS Date MOBILE HOME UTILITIES (Plans) OK except #'s Date DEC ,COVERS,CARPORTS,GARAGES, (Plans)OK except #'s 1. Zoning Requirements-Setbacks-Easements qpKgRequirements-Setbacks-Easements Vf 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: / P L" ft. / /"Nat. or/ /"L"ft./ /"LPG 5. Alum. Awn.; Columns-Connections-Splice-Decal-Enclosures 6. Carports; Windows-Doors 7. Utility Clearance 7. Elec. 8. Frmg; Sills-Anchors-Studs-Rftrs-Trusses 9. Siding; Nailing-Veneer-Stucco-Mesh Card-B1 Date Card-131 Date 10. Roof; Shthg-Roofing Card-B1 Date Card-61 Date 11. Ext.; Steps-Doors-Landings Date MOBILEHOME INSTALLATION (Plans) OK except #'s 1. Zoning Requirements-Setbacks-Easements Card-B1 Date Card-B1 Date 2. Footings; Size-Spacing-Marriage Line Card-B1 Date Card-B1 Date 3. Gas; MH Test-Demand-Valve-Connector 4. Electricity; MH Test-Crossovers-Breakers-Clearances Date PO S (Plans) OK except #'s 5. Drain; MH Test-Fall-Flex Connector Se s-Easements 6. Water; MH. Test-Regulator-Connector s; Compaction-Structure Stability 7. Water and Sewer Connected-C/O to Grade-HD Approval ool Structure; Steel-Connections-Thickness- Dead Men -Lining 8. Gas and Electricity Tagged 9. Exits; Insp.-Sketch 4. Elec.; Receptacles and Lighting, Distances-GFI 10. Cert. of Occupancy Elec.; Pool Lighting; 15 volts-GFI f �5. lec.; Enclosu�CUnd Entries-Terminals-Listed - 7. Elec.; Bona g; Meta w/5'-Circulating Equip.-Heater 8. Elec.; Grounding; Equip. w/5'-circulating Equip.-Pool Lghtg. Boxes-Enclosures-Panel boards-Ins. to Main in Conduit Card-B1 Date Card-B1 Date Card-131 Date Card-B1 Date 9. Health Department Approval 10. Plumb.; Cir. Test-Water Supply Test Card-61 Date Card-61 Date Card-B1 r Date �. Card-B1 Date N1 0 0=Not OK - = Not Applicable RESIDENTIAL (Single -and Duplex) = Not Ready Date UNDERFLOOR (Plans) OK except #'s Date FRAMING (Continued) 1. Zoning -Setbacks; -Easements -Flood -Slope 45.'Hangers-Post Caps -Anchors -Connectors 2. Ftg., Main; Soils-Steel-Elec. Grnd.-/ P' Ftg. Depth 46. Cing. Joist-Rftr. Ties -Purl in -Roof Brac.-Truss-Shthng.-Rfng. 3. Ftg., Garage; Soils -Steel-/ /" Ftg. Depth '47. Fireplace Ties or Type A Flue -Fireplace Throat Clearance 4. Ftg., Porches & Decks; Soils -Steel-/ /"Ftg. Depth 48. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 5. Stemwalls, Main; Steel-Blockouts-Wrapped 49. Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions 6. Stemwalls, Garage; Steel-Blockouts-Wrapped 50. Garage Fire Protection Framing 7. Slab; Steel -Wrapped 51. Property Line Firewall & Openings 8. Piers -Fireplace Ftg.-Steel 52. Ext. Doors -One T -Check Garage -3rd story, 2 exits 9. D.W.V.; Fall -Fittings -Test -2 way C/O -Sewer Test 53. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 10. Gas Pipe; Size -Anchors 54. Plywood on Roof Overhang -Attic Vents -Rafter Outriggers 11. Water Pipe; Test -Anchors -Regulator -Service Test 55. Siding -Nailing Veneer 12. Electric; Underground 56. Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access 13. Plenums & Ducts; Clearance-Material-Supprt-Ins. 57. Glazing Area -Glass Protection -Skylights -Plastic 14. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples 58. Shear Walls; Nailing -Bolts 15. Insulation 59. Insulation-Walls-Clg. 60. Infiltration-Walls-Wndws Card -B1 Date Card -131 Date Card -B1 Date Card -B1 Date Date PLUMBING (Permit) OK except #'s 16. Water Ht. Vent -Access -Combustion Air -Baffle 17. Water Pipe; Test & Anchors -Nail Protection 18. D.W.V.; Test-Fttngs & Anchors -Nail Protection 19. Shower Pan; Test, First Floor -Tub Access 20. Test Tub & Shower, 2nd Floor -Tub Access 21. Gas Pipe; Size & Anchors Card -131 Date Card -131 Date Card -131 Date Card -131 Date Date ELECTRICAL (Permit) OK except #'s 22. Fixture & Transformer Clearance -Ins. Protection 23. Elec. Receptacles Spacing -Lights & Switches at Doors 24. Size Boxes & No. of Conductors -Stapled 25. Romex Installed Close to Edge of Studs & C.J. 26. Equip. Ground made up w/Mech. Fasteners -Bond Gas & Water 27. 2 Appliance Circuts in Kitchen & Conductor Size/G.F.I. 28. Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / /ga. Cu or Al 29. Range Circ. / / ga. Cu or AI -Oven Circ. / / ga. Cu or Al. Insulated Neutral Yes No 30. Service -Riser Conductors & Ground -Main Disconnect 31. Equip. Clearances Panels-Motors-Mech. Equip. 32. Clothes Closet Light -Shower Light-SDa Liaht Card -B1 Date Card -B1 Date Card -B1 Date Card -B1 Date Date MECHANICAL (Permit) OK except #'s 34. A.C. Ducts Insulation & Support 35. Vent Fan; Exhaust above insulation 36. Condensate Drain & Overflow; Size & Grade 37. Furnace -Vent; Access -Comb. Air -Return Air Vent -115 outlet 38. Attic Access & Platform if Furnace in Attic Card -B1 Date Card -B1 Date Card -B1 Date Card -B1 Date Date FRAMING (Plans) OK except #'s 39. Sills, Proper Material & Anchors 40. Walls Studs -Nailing, Spacing & Bracing -Plates -Sound 41. Bearing Walls over Girders & Floor Nailing 42. Draft Stop in Walls (rat proof) 43. Fire Stops; Furred Ceilings -Stairs -Chases -Tub 44. Header & Beam -Size & Bearing Card -Bt Date Card -B1 Date Card -131 - Date Card -131 Date Date FINAL (Plans) OK except #'s 61. Ext. Steps -Door & Sidelight Protection -Landings 62. Smoke Detector 63. Furnace; Vents -Clearance -Comb. Air -Connector - In Garage; Above Floor -Ducts -Mach. Protection 64. Bedroom Exiting 85. G.F.I. & Bath Fixtures & Tub Access -Spa 66. Elec. Trim & Subpanel; Breaker Sizes -Labels 67. Stairs & Rails 68. Fireplace or Stove; Clearances -Hearth 69. Elec. Outlets at Wood Panel; Int. & Ext. 70. Kit. Fixt. & Appliance; Grnd. -Air Gap -Cooking Clearance 71. Elec. Outlets & Receptacles at Kit. Counter 72. Garage Fire Door; Swing -Landing -Closer 73. A.C. Duct in Garage -Damper 74. Wtr. Htr.; Vents -Clearance -Comb. Air-Connector-P.R.V.- In Garage; Above Floor-Mech. Protection 75. Plb., Elec. & Mech. Equip. Listed for Location 76. Elec. Receptacles in Garage; (G.F.I.)-Romex Protec. 77. Insulation -Foam -Looked in Attic ❑ Yes 78. Guard Rails & Deck Construction -Post Caps 79. Fdn. Vents & Crawl Hole Door -Drainage & Wood -Earth Clearance Looked under Floor ❑ Yes 80. Following instld.; Drive ❑ Yes ❑ No; Walks ❑ Yes ❑ No; Planters ❑ Yes ❑ No 81. Stucco; Brown -Finish 82. A.C. Unit; Disconnect, Electrical, Plumbing 83. Vents Above Roof; Plbg.-Appliance-Firepl.-Clearance to Openings. 84. Water Well; Disconnect, Electrical, Plumbing 85. Exterior Elec. Trim; G.F.I. Receptacle -Underground 86. Ventilation throughout House 87. Glass Protection 88. Corrections from Previous Inpections 89. Gas Test -Meters Tagged; Gas -Electric 90. Water & Sewer Connected -C/O to Grade -HD Approval 9i. Energy Compliance Certificate -Other Certificates 92. Roofing Certificate Card -B1 Date Card -B1 Date Card -B1 Date Card -131 Date Card -B1 Date Card -131 Date Comments at Final: (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; OroviIle— Phone: 538-754.1 747 Elliott Road, Paradise,=• Phone: 87s-6307' CORRECTION NOTICE OWNER PERMIT NO. A routine inspection indicates that the following violations of County Ordinance exist at the above address and should be corrected. Please notify this office when correction of work is completed. If you have any question pertaining to this matter, or need additional explanation, please contact this office immediately. i r Inspector F Date — /� COUNTY OF BUTTE DEPARTMENT,OF PUBLIC WORKS 196 Memorial Way, Chico — Phone: 891-2751 7 County Center Drtve, Oroville — Phone: 538.7541 747 Elliott Road, Paradise— Phone: A72-6307 CORRECTION NOTICE OWNER PF 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, r need additional explanation, please contactthisoffice Immediately. 9 e C UU�(tr t 11 Inspector Date SY COUNTY OF BUTTE` - DEPARTMENT O-F'PUBLIC WORKS 196 Memorial Way, Chico — Phone: 891-2751 7 County Center Drige.,Orovil,le — Phone: 5,38-7544 747 Elliott Road, Paradist Phone: 872-8'307 CORRECTION NOTICE OWNER PERMIT NO. A routine inspection indicates that the following violations of County Ordinance exist at the above address and should be corrected. Please notify this office when correction of work is completed. If you have any question pertaining to this matter, or need additional explanation, please contact this office immediately. Inspector Date COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKSP IT NOr/ y 7 County Center Drive - Oroville. California 95965 - Telephone: 916/538-7541 — �( APPLICATION AND PERMIT U ASSESSOR PARCEL NUMBER — ZONING BUILDING PE T OWNERTELEPHONNE LV I'n 'N S 10 .32q SO. FT. OCC. BUILDING VALUATION OWNER'S MAILINI—i�N LGADDRESS n ;t_(\ CcN (:l' `_ / G 0 C93� TRACTO 'S NAME L rt—� o (s TELEPHONE 2- y6 CONTRACTOR'S MAILING ADDRESS Ipp X C Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ �f—CT9 Filing Fee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee $ ! O 5 a 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 2 '.A' 6L V ° V A.)Q Each Trap 2.00 e d Solar or heat pump water heater 20.00 LOT NO. 51 SUBDIVISION NAME/ h PGtr/, Rh -t 'E. PARCEL MAP Water piping 5.00 __0 Each qas water heater or vent 5.00 USE OF STIRUCTURE / SF ❑ Duplex❑ Mobilehome❑Oth �(,y�N O O SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home S G W 0.00 ea TYPE OF WORK New Addition❑ Remodel❑ Utilities❑ Installation❑ Other❑ Describe work: %y%G:fi�el 60-2— Permit $ -0-0 Contractor ELECTRICAL PERMIT Filing Fee 10.00 UOOV DR LESS Main service 100 AMP OR LESS 10.00 Main serv.ice,EA. ADD -L 100 AMP 2.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): P -1 -am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in full force \and effect. License No. �d a Classification ��S / ElI, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONST. DWELLING OCCUP.61 , OR ACDNS. Acc, BLDGS. /aQsgft NEW CONST R. TI.OUTLET 2.50 ea NO N.R ESID .BRA CH CIRC TS IPOWER APPARATUS e (SINGLE OUTLET CIR. EX. Occup(OUTLETS OR FIXTURES SALO20@30 ALO 30 FIXED Ex. OCCup. OUTLETS P(RESID.)REA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring g 15.00 o -O Permit Fee $ WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. l� 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 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 again aid Cou!2 consequence of the granting of this permit. X 1t-�-C Date S��r� — _ Z r, Signature of Applicant - Owner ❑ Contractor 191� 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 $/75,56 OCCUP. CONST.TYPE SCHOOL FLIPIODIPARCELI PD I No ISSUE This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which DIRECTO OFBLIC By P IT EXPIRES Date the applicable to do resolutions to do fees have been paid. WORKS 3� X"9 Date ' Receipt No. (� WHITE-O.P.W., YELLOW-ASSE330R. PINK -INSPECTOR, GOLDENROD -APPLICANT :. �.�.`'y`'it�E�'.-•:.R�:.-,aj;,y.i0►r^wwT."y`�'4+'iaRS-+"�y�-�!'•�.�€. . COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS - BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILLE, CATII�&N& 95965 - TELEPHONE: 916/538-7541 y t PERMIT APPLICATION DATA SHEET OWNER Z)l ea—s_ 0 AJ Permit No. A. P. No. 7 — :34 — .5 / Proposed Building Use �1Je ZJ 51., ; .1 n� � ( Bui ldi-ng Inspector _ Date �=,2 7— R �! 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. Energy Design Compliance and supporting documentation ......... 6. Statement of Intent for Non -Heated and AC Buildings .............. 7. Engineered truss details and layout in duplicate (required prior to plan check) 8. Mobilehome installation data including manufacturer's installation instructions....................................................... 9. Fees of $ 10. Chico Urban Area fees paid ........................................ 11. Park fees paid .............................:..:..................... 12- / School District fees paid ................. _ Sanitation approval from ,'— 61 %r n Health Department ... 14. City of Chico plumbing -permit ...................................... 15. Plot plan and business license approval from City of (see City for other requirements) 16. Planning approval for (A) Use: (B) Parking: 17. Improvements may be required. 18. Driveway permit (construction approval required prior to occupancy) ... Pre-Inspec. request to 19. Pre -Inspection for required ...... Building Inspector (Date) 20. Contractor's license information (No., Name Style, Classification) ....... 21. Certificate of Workmans Compensation Insurance .................... 22. Owner -Builder Verification (Given to owner ❑, Mail to owner o) ... . . 23. Recorded copy of Agricultural Acknowledgment Statement ............ 24. Letter of signature authorization ..................................... 25. 26. } When ou issue the permit, process as follows: Mail to owner. Mail to contractor. Telephone "y2- V421a and hold for pickup at ��office. Deliver w/inspector. Other Applicant �Date — 9 Copy of plans sent Health Dept., Fire Dept., Other Date The following data must be submitted prior to_�it is§ua_nce: ( irc:le neem. not__ e, . ed aboyeL 1. Index permit for above items No. 2. Additional items required: Contrac or designer, owner, was advised of above required data by Z phone�nail_counter by� date l E5or, designer, owner, was advised of above required data by—phone —mal l—counter by date a Plans checked by Date Plans approved bye Datee/ 2 Sets of plans on hold in File cabinet AP folder Copy—DPW I TO Buildinq Department FROM: Environmental Health SUBJECT:. Sanitation Clearance Owner L o c a ion AP# Pian Approved for: Sewage Disposal- ,Water Supply f, Mold final for: Water Supply. Final clearance O.R..for: Water Supply Clearance for _ bedroom mobile home. Other NOTE SanitarianDate to r PE0411IT NO. 6665-79B,P,E,M PERMIT EXPIRES d �� OWNER Ray E. Johnson, Jr. CONTR. owner 44-38-102 port. `LOCATION (A.P. ) 742 Kings Canyon Rd., lot 51, North Park Sub, Chico. ` I 1 f SII 1 It I' . 2 Y Temp. Power Pole Called PG&E Temp. Elec. Se4�2 �"- Called PG&E Temp. G s Serv. 3-/746 Ca ed PIG& E 3- �' &J Gt S tl ,g _ I FINALED J (Dae (S ure)t Mesh /— /-6u COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS BUILDING INSPECTION RECORD Gird. Fault Prot. BUILDING BUILDING (Cont'd) PLUMBING Setback z Firewall 7 — Soil Piping Forms A 14 Parapets 1st Floor Main Bldg. JinyRestroom Finish 2nd Floor Footings 11 Windows 3rd Floor Stemwall Sidina To out � Slab Roof Sheathing "jam Water Piping Piers Roofing Sewer Garage Fdn. Vents' ` Fixtures Footings Stemwall Garage Vents Insulation Water Htr. Heaters Slab Carport p Footings Prov. for physically handica ed Conformance of ex. structure Appliances Gas PI In & Test Tem . Gas Slab Final — Z 7 Sanitation Patio FIREPLACE Final - ,- Footin s Footing ELECTRICAL Masonry Walls Throat Rou h Reinf. Steel Final — 2� — $`� Fixtures, Bond Beam FIRE SPRINKLERS Motors Framing'— — Test Water Htr. Stucco _ Final Suboanels Mesh /— /-6u 'MECHANICAL Gird. Fault Prot. Scratch Heating Service — Brown .. ` Cooling Temp. Pole Finish Ducts J Underground Interior Lath Ventilation Permanent. Door Closer Final Final MOBILEHOME UTILITIES ---------- -•------ Elec. Service Elec. Pedestal Water Piping Sewer Gas Piping MQ§ILEHQME IN ALLATI N - - - - - - - - - - - - - - Support Elec. Continuity Water Piping Drainage Gas Piping DATE REMARKS OR CORRECTIONS (NOTE: An entry must be made on this form each time you visit the job site.) ERSET 1_ COMPANY H, LICENSED CONTRACTOR Phone: 342-0764 P.O. Box 628 — Durham, California 95938 INSULATION (Batted or Blown) Date19 _ P Q9 UPJ THIS IS TO CERTIFY THAT INSULATION HAS BEEN INSTALLED IN CONFORMANCE WITH THE CURRENT ENERGY REGULATIONS, CALIFORNIA ADMINISTRATIVE CODE, TITLE 25, STATE OF CALIFORNIA, IN THE BUILDING LOCATED AT: Street Lot Number Tract No. EXTERIOR WALLS �, Manufacture /r(1� (/,)�,� Thickness/Type R Value CEILINGS Batts: Manufacturer Thickness R Value � Blown: Manufacture _fit � Thickness �� NoBags I " Wt./BaA_� Sq. Ft. Covered 1�_ R Value o.. FLOORS Manufacturer Thickness/Type SLAB ON GRADE Manufacturer Thickness/Type _ Width of Insulation Inches FOUNDATION WALLS Manufacturer Thickness/Type _ GENERAL CONTRACTOR R Value R Value R Value LICENSE NUMBER BY TI LE DATE SE NUMBE INSULAT N, O TRA R n I (CENFY BY TITLE �/ DATE ( DATE) ACCEPTED SAVE ENERGY INSULATE! R H COMP Y (Authorized Representative) RESIDENTIAL ENERGY CONSERVATION STANDARDS CONSTRUCTION COMPLIANCE CERTIFICATE THIS IS TO CERTIFY THAT ENERGY CONSERVATION REQUIREMENTS HAVE BEEN INSTALLED IN CONF RMANCE WITH CURRENT ENERGY CONSERVATION REGULATIONS AT -7,412—g ar /1i. (location) BUILDING PERMIT NO. 64 A.P. NO. �/�/ :38-1• THE FOLLOWING HAVE BEEN INSTALLED AS PER APPROVEW Pi.anic • (Check each item or write N/A if.not applicable) INSULAT ION : GLAZING: Slab Edge. Single Glazed Fdn. Walls Special (Insulated) Floors CERT. & LABELED WDS. / Walls - / & SLIDING D1cS. Ceiling/Roof - WEAT11J!RS'1'1:1P1'1?D" llKS. Ducts BACK D,1PlPIiRG:D FANS" Circulating Pipes IN'1'1•:1SII'1"t'I::NT :I;CN1'1'TON DL'VIC1:S APPROVED HEATER,_ gr..C1:1�1', ,1lll.11�Ni:E:; APPROVED WTR.11'PR. -� I DECLARE THAT ALL REQUIRED ITEMS AS NOTED ABOVE RAVE BEEN INSTALLED IN ACCORDANCE WITH THE ENERGY CONSERVATION REQUIREMENTS AND AGREE TO THE COMPLETENESS OF THIS CERTIFICATE AS SUBt•1ITTED. Insulation Applicator Name Signature of : (please.print) Insulation Applicator State Contractors License No. General Contractor/Owner Name_ � - 1,, Signature of (please print) General Contractor/Owne Date IZZZ�. Sta Contractors Li ise No.(�(S_ 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. M E C H A N I C A L Check List ❑ Permit ❑ Underfloo-Stage ❑ Underfloor Supply Plenum: (1) One-story. (2) Clearances., (3) Combustible material. (4) Insulation and vapor barrier. (5) Access. (6) Catch. receptacles and registers. (7) Fire -stopping. (8) Boots. (9) Supply ducts. (10) Gas lines and plumbing cleanouts. ❑ Ducts: (1) Size. (2) Materials. (3) Support. (4) Fittings. (5) Wrapping. (6) Insulation. (7) Clearances - ground, crawlspace, cleanouts, plumbing, etc. ❑ Combustion Air: (1) Size. ❑ Refrigerant Piping: (1) Material. (2) Support. (3) Fittings. (4) Insulation. ❑ Framing Stage ❑ Heating: (1) Approved appliances. (2) Accessibility..(3) Clearances. (4) Combustion air. ❑ Vent and Connector: (1) Approved. (2) Size..(3) Clearances. (4) Cap. (5) Termination. ❑ Ducts: (1) Materials. (2) Size. (3) Support. (4) Fittings. (5) Insulation. (6) Fire Damper. ❑ Refrigerant Piping: (1) Material. (2) Support. (3) Fittings. (4) Insulation. (5) Condensate drain. El F inal ❑ Heating:' (1) Accessibility. (2) Combustion air. (3) Safety controls. (4) Electrical connection. (5) Fuel shut-off. • ❑Cooling: (1) Accessibility. (2) Support. (3) Controls. -(4) Pressure'relief valves. (5) Class 2 refrigerant. I 5/79 P L U M B I N G Check List ❑ Permit ❑ Underfloor Stage ❑ D.W.V.: (1) Sizing. (2) Materials. (3) Fittings. (4) Grade & Support. (5) Cleanouts & Accessibility. (6) Clearances. (7) Rough -in Locations._ ❑* (8) Wrapping. (9) Test - including "Ts". (10) Additional test not required.' ❑ Water: (1) Sizing. (2) Materials. (3) Support. (4) Test. (5) Wrapping. ❑* (6) Dissimilar metals. (7) Service regulator installed or not required.* ® Gas: (1) Sizing. (2) Materials. (3) Support. (4) Log Lighter. (5) Wrapping. ❑ Framing Stage (Top Out D.W.V.: (1) Size. (2) Vent Area & Termination. (3) Materials. (4) Fittings. (5) Grade & Support. (6) Cleanouts. (7) Traps. (8) Nail Protection. (9) Plumbing Access. (10) Toilet Clearances. (11) Shower size. (12) Shower Pan Test. (13) Vents - turns, horiz., runs, loop, wet, etc. ❑* (14) Additional 2nd floor test not required.* ❑ Water: (1) Pipe Test. (2) Mixer Valves. (3) Support. (4) Roof drains. ❑ Gas: (1) Size. (2) Materials. (3) PR Valve Drain. ❑ Water Heater: (1) Vent. (2).Location. (3).PR Valve Drain. ❑ Final D.W.V.: (1) Connected to sewer system. (2) Special systems. ❑ Water: (1) Water Source. (2) Shut-off. (3) Anti -siphon Valves. ❑ Gas: (1) Test. (2) Connectors. 0 Water Heater: (1) Location. (2) Accessibility. (3) Clearances. (4) Stability. (5) 18" Garage Floor. (6) Mechanical protection. (7) Combustion Air. (8) Draft Diverter. (9) Vent Connector. (10) Vent. (11) Shut-off and connector. (12) PR Valve & Drain. ❑ Fixtures: (1) Approved. (2) Stability. (3).Clearances. (4) Trapped. (5) Connections. (6) Cross -connections. (7) Dishwasher Air Gap. I 5/79 COUNTY OF BUTTE - DEPARTMENT OF PUBLIC 7 County Center Drive - Oroville, California 95965 Telephone: 534-4541 APPLICATION AND PERMIT PP[iL�i , � 2 &.&;! 5 authorize representatives of the County of Butte to enter upon the e ppelly for inspection purposes. 72 X Date en Sign re of Pe mites ent �2Receipt No --I . White-D.P.W. — Yeilow-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 ftBLIC WORKS By Date ! 0-21- 74 3�O Building permit expires Date l' _�_ BUILDING Owner 4 C �3-o tJS0ly -T9 SQ. FT. OCC. BUILDING VALUATION 2( -151-2 Mailing Address Q Ltso 7 Z3 Is 0 cHico .Irhone'No. CD V I 0Aq Contractor JU C Mai I ing Address Fireplace Total Valuation ' j14'(PLAO Telephone No. j 1 00 Permit Fee `.M1 Building Address YZ XtOC,-$ CA04od 12D Plan Checking Fee&/or Penalty Permit Fee l 82...00 t Lt2, PC PLUMBING No. @ FEE PERMIT FILING FEE $3.00 Each Trap 1.50 (2, Lp5/ llr�♦Psc18 C&ICO Repair drainage or vent piping 1.50 14 —3 9r IO� A. P. No. Lj'-i /' 11 1- Zoning & la g Water piping 1.50 l rjQ Each gas water heater or vent 1.50 FVs C. - a Yon I Fire Dept. Fire Zone Use ermit Gas piping system 1 - 5 outlets 1.50 Parking EQA Plans ParcelEach Declaration Parcel Map 60' R/W Improvements - additional outlet .30 Building sewer 5.00 ��R O 1%1I g. P ans c'd Parcel royal Plans pproyal Lawn sprinkler system 2.00 NEW ADDITION ❑ UTILITIES ❑ OTHER ❑ Permit Fee $ $ 1 cl 15Q ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 a®O Main service 600V OR LESS 100 AMP OR LESS 5.00 Single Family Duplex ❑ Mobil Home ❑ Others ❑ Main service EA. ADD'L 100 AMP 2.50 Main service OVER 600V 25.00 100 AMP OR LESS Main service EA. ADD'L 100 AMP 1.00 NEW CONST. IfAWGOCCUP. S OR ADDNS. DGS. ) 22 sq ft ' CONTRACTORS LICENSE LAW I am licensed under the provisions of Chapter 9, Div. 3, of the State of California Business & Professions Code under the name style of: NEW RESID. / BRANCH CIR T NON.CONST l BRANCH CIRCUITS) 2.50ea NEW CONSTR (POWER APPARATUS & NON.RESID. SINGLE OUTLET CIR. Ex. Occuo(OUTLETS OR FIXTURES) g �@1 Ex. Occup. (OUTLETS IXED APP(RESID )RE A) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 License No. Classification Misc. Wiring 6.25' 09 I am exempt from the Contractors License Laws of the State of California. Permit Fee $ 2.70 $ 4Z 1b 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. A�certify 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 :?to(:) Heatingr� QO N' Duo fte,, Cooling 'r00 Ventilation Hood 2.00 �Z ()O Permit Fee $ 13,00 $ 13 I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relatinq to buildinq construction, and hereby Land Development Fee $ads 1406 TOTAL PERMIT FEE $��/�,. 3� authorize representatives of the County of Butte to enter upon the e ppelly for inspection purposes. 72 X Date en Sign re of Pe mites ent �2Receipt No --I . White-D.P.W. — Yeilow-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 ftBLIC WORKS By Date ! 0-21- 74 3�O Building permit expires Date l' _�_ tiv bv a r� Jz r`Q 4 as �yQ,oaeS a' ooae sr This set of kept on th,, ; plans and specifications \� rr�ca►;n `�,� chnrb at c'I( times and it is un awf l bo writte jos or c�,tf,.ryc;Ins on same without \ Works, Cou3ion m the Department of Public Y of Butte. �. b, Oa `ice Nd g- Setback shall be 5 ft. from the zty line and 53 ft. from the r end parnniffieg ei maxi - df e, cl Qasemmnfs:- 4) j.40111 Av o 6�`ON BUTTE COUNTY BUILDING D' PA TMENT' o See Mas}er Plan on file for bulf&4 ,. fJ • • �`1 7 ..�,...� A;. ,12A -'tit