HomeMy WebLinkAbout007-450-008S
v
A1Vinc, l4S -81
o
568 Grand Teton Way, Chico
ermit.,#_2105-82B,P,E,M(new.singZe. fam' ';i �•' SDS '
C
Webb Bros Const, //y+/hi�i� o � 0; ' •' `
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007:72 0=081 9j' -,'1647'E
POST, ' SUZAPINE._ +1
568 GRAND' TETON CHICO
I _
f ,
ELEC FOR `HOT TUB/SF,
Q07-450-08 1, 06-1426.
- POOLEY;, SANDRA
-� tom. � ' .. c � �` •�, ,� {= .
•�568kGRAND TETON,WY, CHICO�,,�
y
..Cont: GALLAGHERS HEAT&AC,'''',i+^= r'
HVAC-REDUCT R'8 DUCTS: -
Y1-11711. COto"
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A1Vinc, l4S -81
o
568 Grand Teton Way, Chico
ermit.,#_2105-82B,P,E,M(new.singZe. fam' ';i �•' SDS '
C
Webb Bros Const, //y+/hi�i� o � 0; ' •' `
rC t
007:72 0=081 9j' -,'1647'E
POST, ' SUZAPINE._ +1
568 GRAND' TETON CHICO
I _
f ,
ELEC FOR `HOT TUB/SF,
Q07-450-08 1, 06-1426.
- POOLEY;, SANDRA
-� tom. � ' .. c � �` •�, ,� {= .
•�568kGRAND TETON,WY, CHICO�,,�
y
..Cont: GALLAGHERS HEAT&AC,'''',i+^= r'
HVAC-REDUCT R'8 DUCTS: -
Y1-11711. COto"
• tiY
` 1 5a:
Ls
1
007-450;081, 06-1426
NOTES , POOLEY;; SANDRA.
S 568'GRAND TETON WY, &11CO 1
1 Cont: GALLAGHERS HEAT&AC
HVAC-REDUCT, R-8 DUCTS
KtsiUENTIAL
APN: Permit No.
4 Owner.
Site Address:
Contractor.
Type of Permit:
P
r
SPECIAL CONDITIONS
CHECKED BY
F-1 SRA
❑ FLOOD CERTIFICATE EQUIRED
❑ FIRE SPRINKLERS REQUIRED
❑ SPECIAL INSPECTION ITEMS
❑ VERIFY
Q USE PERMIT CONDITIONS
❑ SUBSTANDARD HOUSING LETTER
❑ ENCROACHMENT PERMIT
❑ REINSPECTION FEE PAID
❑ ENV HLTH CLEARANCE
f
DATE JOB FINALED: 19 ^ O G
i
SIGNATURE:
+=OK
0 = Not OK
MANUFACTURED HOMES
MISCELLANEOUS_
DATE PERMANENT FOUNDATION Lj SOFT -SET
1 ZoningSetbacks-Easements
2 Soils; Special MH Support Sketch
3 Sewer; Loctn-Test; FalUC/0-Concrete
4 Wtr; Loctn-Test-Easement Needed -Regulator
5 Elec Loctn-Clrncs-Grnd 'Am -Concrete
6 Yard Gas; Loctn-Test-Wrap Nat or LPD
Inch Sz Ft Lngth
7 Blckng; SzSpacing-Marriage Line
8 Gas; MH Test-Demand-Valve-Dnnctr
9 Elec MH Cntnty Test-Crossovers-Breakers-Clrncs
10 Drain; MH Test -Fall -Flex Cnnctr
11 Wtr & Sewer Connected -C/O to Grade
12 Gas and Electricity Tagged
13 Tie Downs ❑ Foundation ❑
14 Exits
15 Cert of Occupancy
16 HUD Label/Insignia Numbers Serial Numbers
-_.DATE ID E C K S'C O V E R S•C A R P O R T S'G A R A G E S
1 Zoning -Setbacks -Easements
2 Figs; SoilsSz-DpthSpacing-CnnctrsSteel
3 Decks, Girders/Joists-0cking-Brcing
Stairs-Guard/Handrails `.
4 Wood Awn; Posts-Beams-Rftrs-CnnctrsShthg.
Frmg-Brcng
5 Alum Awn; Columns-CnnctnsSplice-Decal-Encisrs
6 Carports; Wndws-Doors
7 Electric
8 Frmg; Sills-AnchrsStuds-Rftrs-Trusses
9 Siding; Nailing -Veneer -Stucco -Lath
10 Roof; Shthg-Roofing
11 Ext; Steps -Doors -Landings
12 Braced Wali pnls
DATE JPOOL.S
1 Setbacks -Easements
2 Soils; Compaction -Structure Stability
3 Pool Structure; Steel-Cnnctns-Thickness
Dead Men -Lining
4 Elec Rcptcls/Lting; Distance-GFI
5 Elec Pool Lung; 15 volts-GFI.
6 Elec.Encisrs; Conduit Entries -Terminals -Listed
7 Elec Bonding; Metal w/5'-Crcitng Egp-Htr
8 Eiec Grndng; Eqp w/5' Crcltng Eqp-Pool Ightg
Boxes-Enclsrs-pnlbaards-lnsultn 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
o d 00 e`s`
Pool Drawing
+=OK
0 = Not OK
RESIDENTIAL (Single
& Duplex)
DATE UNDERFLOOR
DATE
IPLUMBING
1 Zoning -Setbacks -Easements -Flood -Slope
53 Wtr Htr; VentAcc-Cmbstn Air Baffle
2 Ftg Main; Soils-Elec Gmd Ftg DRth
54 Wtr Pipe; Test & Anchr-Nail Prtctn
3 Ftg Garage; ScilsSteel-Elec Gmd Ftg Dpth
55 DWV; Test Fittings & Anchr. Nail Prtctn
4 Ftg Porches/Decks; Soils -Steel Ftg Dpth
56 Shwr Pan; Test, First fir -Tub Acc
5 Stemwalls Main; Steel-Blockouts Wrapped
57 Test Tub* & Shwr, 2nd fir - Tub Acc
6 Stemwalis Garage; Steel-Biockouts Wrapped
58 Gas Pipe; Sz & Anchrs
6a Hold Downs and Special Anchrs
59 Fire Sprinkler; Test
7 Slab, Steel Wrapped
60 Yard Gas.Piping
8 Piers-Frpic Ftg-Steel
9 DWV; Fail -Fitting -Test -2 -way C/0 -Sewer Test
10 UF, Gas Pipe; Sz Anchrs-Sz Test
90
0`
11 Wtr Pipe; Test-Anchrs-RgltrService Test
12 Elec Undrgrnd
DATE
M E C H A N I C A L
13 Plenums & Ducts; Clmc-MaterialSupport4nsultn
61 AC Ducts Insultn & Support
14 GirdersSlits-Anchr Bolts-Joists-Vnts-Cripples
62 Vent Fan, Exhaust abv insultn
15 Acc & VnUtn
63 Condensate Drain & Ovrfiw, Sz & Grade
16 Insulation
64 Furnace -Vent Acc-Comb Air RtmNent 115 Outlet
65 Attic Acc & Pltfrm if Furnace in attic
o 0 o� e?�
DATE IFRAMING
17 Sills Proper Materials & Anchrs
DATE
IFINAL
18 Walls Studs -Nailing Spacing & Braces -Plates -Sound
66 Ext Steps -Door & SideLt Prtctn-Landings
.19 Bearing Walls over Girders & flr Nailing
67 Smoke Detector
20 Draft Stop In Walls (rat proof)
68 Furnace Vnts-Clmc-Comb, Air-Dnnctr
21 Fire Stops,'Fdrred CeilingsStairs-Chasers-Tubs
In Garage; abv-flr-Ducts-Mech Prtctn
22 Headers B Be.amsSi &'Bearing
69 Bedroom Exiting
23 Hangers -Post Caps-Anchrs-Cnnctns
70 GFI & Bath Fxtrs & Tub Acc-Spa
24 Ceiling Joist-Rftr Ties-Purlin-Roof Brac-TrussShthg
71 GFI Arc Fault
25 Frpic Ties or Type A Fiue-Frpic Throat Clmc
72 Elec Trim & Subpnl, Breaker Szs & Labels
26 Attic Acc; Si & Rmx Prtctn-Draft Stop -Ins Baffles
73 Stairs, Guard/Handrails
27 Bdrm Wndws or Exiting Doors -Sill Ht & Dimensions
74 Frplc or Stove, Cime-Hearth
28 Garage Fire Prtctn Framing -RC Channel
75 Elec Outlets at Wood Pnl, Int & Ext
29 Prprty Line Firewall .& Opngs
76 Ktchn, Fxtr & Appinc; Gmd Air -Gap -Cooking Cirnc
30 Ext Doors -One X -Check Garage 3rd Story, 2 Exits
77 Elec Outlets & Rcptcls at Ktchn Counter
31 Stairs; Width-Hdrm-Rise-Run-landing-Fire Prtctn
78 Garage Fire Door; Swing -Landing -Closure
32 Plywd on Roof Ovrhng Attic Vnts-Rftr Outrgrs
79 AC Duct in Garage -Damper
33 Siding -Nailing Veneer
80 Wtr Htr; Vnts-CimcCom Air Cnnctr-PRV; abv fir
34 Stucco Lath -Weep Screed-Fndtn Vnts-Undrflr Acc
Mech Prtctn; LPG Appince Undr House 3' drain
35 Glazing Area -Glass PrtctnSkyLts-Plastic .
81 Plmb; Elec & Mech Eqp Listed for Loctn
36 Shear Walls; Nailing -Bolts
82 Elec Rcptcls in Garage (GFI) Romex Prtctn
37 Brace Int/Ext Wall pnls
83 Insultn-Foam-looked in Attic
38 Insultn-Walls-Ceilings
84 Guard Rails & Deck Cnstrctn-Post Caps
39 Infiltration-Walls-Wndws
85 Fndn Vnts & Crawl Hole Door Drnge & Wood -Earth
86 Clrnc Drnge Planters Q Yes Q No
o� 0'� o�' ��
87 Stucco Brown -Finish
88 AC Unit Dscnnct, Elec-Plmb
89 Vnts abv Roof, PImb-Appinc-Frpic-Cirnc to Opngs
90 Wtr Well, Dscnnct, Elec, Plmb
91 Ext Elec Trim, GFI Rcptcl-Undrgrnd
DATE JELECTRICAL
40 Fxtr & Trnsfrmr Clrnc4ns Prtctn
41 Elec Rcptcls Spacing-Lts & Switches at Doors
92 VnUtn thru House
42 Sz Boxes & No Of Cndctrs Stapled
93 Glass Prtctn
43 Romex Installed Close to Edge of Studs & CJ
94 Corrections from previous lespctns
44 Eqp Grnd made up w/Mech Fstnrs
95 Gas Test -Meters Tagged, Gas-Elec
45 Gmdng Electrode Bond Gas & Wtr
96 Wtr & Sewer Cnnctd-CIO to grade -HD Apprvl
46 2 Appinc Cires in Ktchn & Cndctr Sz GFI
97 Energy Cmpinc Cert -Other Certs
47 Subfeed Wire Sz 93 Q CU or DAL
98 Address Posted
AC Wire Sz 9 Q CU or DAL
99 Fire Sprinkler
48 Range Circ oa Q CU or DAL
Oven Circ 9. [::ICU or DAL
Insulated Neutral Q Yes Q No
90
0s 4F Ops
49 Service -Riser Cndctrs & Gmd Main Dscnnct
50 Eqp Clrncs pnls-Motors-Mech Eqp
51 Clothes Closet Lt-Shwr Lt -Spa Lt
52 Smoke Detector
6
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Pro�eciA�dresa:;
.
Builder Ns roe;::
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568 G d -ton Wy Chico 07K'1 -95.9f73
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B' u'IId.Q:f.G-5n:66f I'nstallirigWContraetor
TeJephooe` °
EIs'n Number'
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A,
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:'Telepfi�+ne.
5sn7 IeGron �:NumDer-i
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Certefgp 3ignsture
61 %O6 Di3ie
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Eleetrorncall" ig ed
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HBi3 P;..–..&' -
C 8 PC
C8PPC
Street Address
CitWtstPri�p
.,.
75(1 0 amriillnw4v
% alox'i�ri (m O'CO, 3A
�ctan;i'�rceritage26+g4fi (144x(. �t.iae�Ib)1� {Lrnefi�'�4)J}
lirink�7�rt��ndsisl�ia 'titan
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INSTALLATION CERTIFICATE (Page 34 12) CF -6R
Site Address Permit Number
5.6.8_Grand Teton. Wy_C.hico-CA_9.5973 1
An installation certificate is required. to be posted at the building site or made available,for.all appropriate inspections: (The
information provided on this. form is. required) After completion of finalanspecti'on, acopy rnustbeprovided to; the building.
department (upon request) and the building owner at occupancy, pet Section 10-103(x)::.
HVAC SYSTEMS:,
Heating Equipment,
Equip Type
k . heat urn)
CFC Certified Mfr.
Name and Model
Number
# of
Identical
Systems
Efficiency
(AFUE, etc.)
ZCF-1Rvalue(attic,
Duct
'Location.
etc
Duct or
pip,ngLoad-
R -value
Heating
.tuhtr
Heating
Capacity
BtuA r
P_ackag.e.AC +�-Gasl
Par vn7e --�
C1?
Ei- 0
A. tt cl
C83.
0
3.0 00 0:
Cooling Equipment
Equip Type
.(pkg. heat um
CECCertified Mfr.
Name and Model
Number
# of
Identical
S stems
Efficiency
t
"(SEER or EER}-
>_CF, -IR valde)
Duct
Uocalion,
attic ` etc.
Duct
R -value
Cooling.
Load,
liar
Cooling
Capacity
BtuAm
P_ackag.e.AC +�-Gasl
Par vn7e --�
C1?
Ei- 0
A. tt cl
C83.
0
3.0 00 0:
1. > symbol.reads greater than or equal to mihat is indicated on iheCF-IR value..
Include both SEER and EER if compliance credit for.Mgh EER air.rondi'tioner,is.claimed.
+�
Of I, the undersigned, verify that equipment listed above is: 1) is'theactual equipment installed,,2. equivalent to or
more efficient. than that specified in the certificate of. compli ance (Form.CF IR) subniitted.for:compliance: with the
Energy Efficiency Standards for residential.: buildings, and 3) equipment that meets ;or exceeds the appropriate
requirements formanufactureti devices (from the Appliance Efficiency; Regulations or Part 6, where, applicable.
Installing. Subcontractor(C6..Name) OR General
Contractor (Co: Name) OR Owner.
,Gallagher's-Air
Signature:
Date: '061301061
(Electronically signed)
Copies to:,BULDI,NG.DEPARTNM. NT; HERS RATER (7F"APPLICABLE) BU1 D1NC7.OWNER AT OCCUPANCY
Residential Compliance Forms April 2005
568Grand-Thco CA_9:5.973' r
INS;TALLER•CQMPLIANC.E STATENiEN�T FO'R�DUCT LEAKAGE'
INSTALI:ER. COMPLIANCE STATEMENT
Tlie:building" was ✓', ested.at Final ✓ ❑ Tested atRough in
INSTALLER 1/ISUAL 1. PECTIQN.AT:FINAL GONSTRUCTION:;ST.AGE:
Rernove.at.leastoii'e su "l and'one return;ie" inter and'veiif thatthe:' aces between the:ire" rster;>;oot and`;the:inta for
PP Y g Y sp g,
ffidishing';wall: are'pioperly sealed.
Fx- If the house rougli=induct leakage test was conducted witFiout:an,air:liandler`installed, tnsp ttlie;connectionpoidts.,
between theatr handler and the supply andseturgaplenums to vertfy that the connection points are ptoperly:sealed.
f']I— .. t all j .'nts to: ensute that no cloth backed rubber adhesive duct:tape is used .
�'
X New DistriliuEion,system is:;fully ducted (i e:, does.riot.use.buildmg.caytties as plenums or platforms returns:inaieu.of
- -
❑ DUCT LEAKAGE REbUCTION
.:Pru!'oduvDc`rnrFDld*vor'rrriifrnn..niidi7riionnMrr.foMr..&,)
NIEW CONSTRUCTION:
DuctTrtzto_stRle(.Q2auC
Contr1.actor.M& arae) OR`Owner
F.; ...:...: ...
x £
"`
Sgnatuie;1
Values
.s>�
1
Enter:Tested &;eakage:Flow'in:CFItif:
�f��°�N�,�¢� ,;:�;
Fan Flow: Calculated (Nominal ✓ [X Cooling •� ❑ He'ahng) or ✓ ❑Measured
2
If Fan Flow �s Calculated:as 4Q0 cfrniton x number of tons:or as 21.7 cfm/(kBtu/hr) x Heating:
1.000
G acct ;:in Ttrousands.ofBtu(hr_ou ut;enter total;calculated:or:measuredSfan flowm.CFIVf)t
=�
3.
Pass.if Lei- 6 o.for Final o'r.5;4%;at Roiigh in `
❑:Pass ❑Fail
:1 OO;z: ine # sl. '/ • ane:# 2
::.. . :..
ALTER'ATIONSiDuct:Sy"stem
andlor:HYAC Egi�ipnient Chanbe=.Out'
�
4a
Enter Tested Leakage Flow m CFM from Pre-Test;of•ECisting:Duct Systrem Piior•:to:Duct
,rh5 �i
Sysfem'Alteration and/o%-Equipment Change -Out:.:
� i �_�� ,.�
�M� ��
Eater Tested Leakage"Flow in CFM from Final Test of New Duet System or Altei`ed Duct.1,
5
S `stem f6f:b ct S .§tern Alteration andLor:E ui ment Chari
9'
Enter Reduc6ron in Leakage for Altered Duct System
sr r'
6me#'4
Minus .OnL.:if.A
7.
'Enier,Tested LeAkaee-.FI6w: in CFIvlao Outside (Only.if Applicabl'e)
✓`
Entire New Duct'System =Pass if Leakage:Percentage''<_'6% for'Final_,
8
too. x .
O::Pass,; O:Fail
TEST OR VERI)tiICATION STANDARDS For A!tered.Duct System:anillorHYAC Equipment Change-
Out.Use one.of: the follorvIn four Test or Verifi¢ation:Standards for coin fiance.:::
4
Pass. if )✓ age -Percentage < 15%oa ( 100.x: [ (Line# 5) /_ OQ _
Wig"
F Pass UT il
10
Pass if Leakage 'to 0utsideP.ercentage`5:10% [a 00:z [ (Lffi6 # 7) .: (L ine'#:2)]]
❑Pass ❑ F,ail
Pass tfLeakage,Reductton''Peceritage>.'60% []Ot};z:f (Line# 6)(` '(Line;#.`4)]]
_. :. .. :.
❑Pass. ❑ 'Fail
-.and venficafon-b Sm6ke,Teshand"., isual' Ins eeti'on
12 :
Tas s:if.gealin of:all:Acros'ible;Leaka.and.Verification s. ,'Smoke,Tesi and..Visual:Ins echon
; ]
❑:P;ass ❑ `Fair :
Pass;if One of Lines #.:9 fhrou h # 12: 'ass
" < �=s
r.Eass. ❑ :Fail_
UPANCY
Se0&hib62005' a
-.!ng:,Subcontractor, (Co Name) QRI General.
Contr1.actor.M& arae) OR`Owner
F.; ...:...: ...
Sgnatuie;1
Date:•: 7—
.8 o6l
((ElectFobidalIy gnged);>
fqopiestot'BUILDrI"G3D9rA_J 1'N1QN.
Res deriiial-'C—bA dn'Lie Forms
INSTALLATION CERTIFICATE (Page 5:bf 12) GF -6
Site Address -PerrnifNw nb 6f
6 6 8-G Fa—n d -T e to n --W-y�G h i 6-6-1-A-0-9-5-9-7--31
13 THERMOSTATMEXPANSIONVAL-W (TX -V)
Procedures for field verification bf-thennostatic expapisioh'vdive"s'ari?:64dil,4bli,*:in..'R,4CA4,4ppe' .Appendix
0RFFRIGERANT-.CHARGF,:,MMASURE,MENT•
Verification for Required ltdfrieer'aht.'Ch&izedhd'Adequate Airflow :.for S'-'�S 0-0.1---S-` -'llf
Split System vac6 Cooking Systems -witho
Th f..'r'm' t1q inch G,F)c nAn Q in-n-VAdvi-A".
,Odtdoof Unit Serial'#
:Outfiot.,UnItMake
Outdoor,UnitModel
,Cooling .Capacity j'B6;)hi
,Date of;Verifcahion
Date of Refrigerant Gauge Cidibrition 1.(must be checked' monthly)
[Date - of Thermocotiple Calibration (huistbecheck6dmonthiy)
Standard Charg'e'Measuqmeht Pr'o dure:(oiitdbdtad'f',,dry-btilb 55'F:.an
'Procedures for. :Determining Refrigerant Charge *ng the, Standard .M�thqd-are available; 61. R
Note: ihe,systernshould beinstalled and -char ed . in accordance md . th:ffie-manufacturPT, s sp
9
procedure,.
Measured Temperatures.
;Supply (6vapofator-leavT g)"' dry-bulb ;t6ini3eraldiejs ' 1,..db)
,?4r ,
Access is FPY1d-qfptinspection The procedure shall�.
Return (evaporator entering)air,d_-bUlb. temperature (Tretum db
F
'Return (evapora,tor.enteripg)gir wet, bulb temperature:(Tretum, w4.
consist of visual;<ver�fication that the TXV is msealled on;
;Evaporator saturation,tenmerature (Tevaporator, sat):
`SUGtiQhjine tbmp6ratatt.(Tsiic.tiofi1 db).
No the system Ad'ifistallation ofthe s'e.c.-
i..E
Condenser (entering), air db):*
.v.�q4q
shall be verified;.
Yes;.is wpass, Tass-
Fail'
0RFFRIGERANT-.CHARGF,:,MMASURE,MENT•
Verification for Required ltdfrieer'aht.'Ch&izedhd'Adequate Airflow :.for S'-'�S 0-0.1---S-` -'llf
Split System vac6 Cooking Systems -witho
Th f..'r'm' t1q inch G,F)c nAn Q in-n-VAdvi-A".
,Odtdoof Unit Serial'#
:Outfiot.,UnItMake
Outdoor,UnitModel
,Cooling .Capacity j'B6;)hi
,Date of;Verifcahion
Date of Refrigerant Gauge Cidibrition 1.(must be checked' monthly)
[Date - of Thermocotiple Calibration (huistbecheck6dmonthiy)
Standard Charg'e'Measuqmeht Pr'o dure:(oiitdbdtad'f',,dry-btilb 55'F:.an
'Procedures for. :Determining Refrigerant Charge *ng the, Standard .M�thqd-are available; 61. R
Note: ihe,systernshould beinstalled and -char ed . in accordance md . th:ffie-manufacturPT, s sp
9
procedure,.
Measured Temperatures.
;Supply (6vapofator-leavT g)"' dry-bulb ;t6ini3eraldiejs ' 1,..db)
,?4r ,
9
Return (evaporator entering)air,d_-bUlb. temperature (Tretum db
F
'Return (evapora,tor.enteripg)gir wet, bulb temperature:(Tretum, w4.
°F
;Evaporator saturation,tenmerature (Tevaporator, sat):
`SUGtiQhjine tbmp6ratatt.(Tsiic.tiofi1 db).
Condenser (entering), air db):*
aperheat Charge Method. Calculations: for Refrigerant Char ge-
Actual'Superheat = Tsuction, db = Teyapopgor, sat OF
Target S
4prerheat,.(fr.omTableRD:-2)
-Actual :Superheat -Target Superheat' (System passes if between• -S and +5'F:) °F
TeThpbrature Split Method Calculations for Adequate Airflow
Split MPth,-jd;C,h1ruh7finn1v nn't nprpssary if-Adpawifi, 4z'r/7nw rrPHitis taken:,
,Actual,TemDeraiure:Spht-,=,T:retum, db,Tsilppl y,.db
OF
- - . Table -, -
T&getTei��p.eraturellSplit: (�roth;e�RD3)�
°F
Actual'Ternverature Sp . lit:T . arget Temper p� t,(Sys I tempasses.-ifbetwfen,-:,,
3 1 T and+YF or, upon, remeasurement, if between-S'Pand.400PF)
T
Ex RDI;
&.0re starting this
Re*s'idiintia'1,:.C.binpli,inceF6riiiy: April -W, 05
BUTTE COUNTY
DEPARTMENT OF DEVELOPMENT SERVICES
BUILDING PERMIT
24 HOUR INSPECTION #: (530) 538-7636 (OROVILLE) (530) 891-2834 (CHICO)
OFFICE #: (530) 538-7541
PERMIT NO.
BP061426
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
provisions of Chapter 9 (commencing with Section 7000) of Division 3 of Issued Date: 06/15/2006 APN: 007-450-081-000
the Business and Professions Code, and my license is in full force and
effect. 1
License lasts : - ��� License Number: 1�-I 7 -/ Site Address: 568 GRAND TETON WAY CHI
Date 13 Contractor: Map Index:
OWNER -BUILDER DECLARATION Description: REDUCT WITH R-8 DUCTS (10 DUCTS)
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: POOLEY, SANDRA D ET AL
permit to construct, alter, improve, demolish, or repair any structure, prior
to its issuance, also requires the applicant for such permit to file a 568 GRAND TETON
signed statement that he or she is licensed pursuant to the provisions of CHICO, CA
the Contractor's State License Law (Chapter 9 commencing with Section
7000) of Division 3 of the Business and Professions Code) or that he or 95973-0384
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: GALLAGHER'S HEATING & AIR
Code: The Contractors' State License Law does not apply to an
owner of property who builds or improves thereon, and who does PO BOX 35
such work himself or herself or through his or her own employees,
provided that such Improvements are not intended or offered for LOS MOLINAS, CA 96055
sale. If however, the building or improvements are sold within one
year of completion, the owner -builder will have the burden of 800-892-3556
proving that he or she did not build or improve for the purpose of
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: GALLAGHER'S HEATING & AIR
not apply to an owner of property who builds or improves thereon,
and who contracts for such projects with a contractor(s) licensed PO BOX 35
pursuant to the Contractors' State License Law.).
❑ 1 am Exempt under Article 3 of the Business and Professions Code LOS MOLINAS, CA 96055
800-892-3556
Date: Owner:
WORKERS' COMPENSATION DECLARATION License #: 777334
1 hereby affirm under penalty of perjury one of the following declarations:
O 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 Architect:
is issued.
O I have and .will maintain workers' compensation insurance, as Engineer:
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:ST��e -(ct
Total Square Ft: 0 S. F.
Policy #:__ _1 13 - d0 13 Uj s Valuation: $0.00
O 1 certify that in the performance of -the work for which this permit is Census Code:
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 comply with those provisions.
Date: ? O
Applicant: f/VVl1,1,
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.
CONSTRUCTION LENDING AGENCY This permit is her y ed undg the applicable provisions'of the Butte County Code and/or
I hereby affirm that there is a construction lending agency for the Resolutions k in 'cated a o If hich fees have been paid.
performance of the work for which this permit is issued (Sec 3097 Civ.)
Name: By: 4? 1
l
Date:
Address: PERMIT EXPIRES ON:
(Date)
O 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 & 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 oy/ner. 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 o document of Bu to County. I hereby
authorize representatives of Butte County to enter upon the above mentioned property for inspection oses.
Print Name: �J ��� (1 ,�`-,.� Y YJ �, Signatures
Date: -
i
❑ ,Owner O Contractor ❑ Agent for Owner
gent for Contractor
• B. C. Building Permit 01-16-04 pg 1
BUTTE COUNTY
- ^ 'DEPARTMENT OF DEVELOPMENT SERVICES
BUILDING PERMIT
24 HOUR INSPECTION #: (530) 538-7636 (OROVILLE) (530) 891-2834 (CHICO)
OFFICE #: (530) 538-7541
PERMITS BECOME NULL AND VOID 1 YEAR FROM THE DATE OF
LICENSED CONTRACTORS 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. ✓�7 �Licensee lass: LicenseNumber:
Date3 Contractor: 60(100Ih.f-,.
I"4i/4(
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
permit to construct, alter, improve, demolish, or repair any structure, prior
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
the Contractor's State License Law (Chapter 9 commencing with Section
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
Code: The Contractors' State License Law does not apply to an
owner of property who builds or improves thereon, and who does
such work himself or herself or through his or her own employees,
provided that such improvements are not intended or offered for
sale. If however, the building or improvements are sold within one
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
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
not apply to an owner of property who builds or improves thereon,
and why contracts for such projects with a contractor(s) licensed'
pursuant to the Contractors' State License Law.).
❑ 1 am Exempt under Article 3 of the Business and Professions Code
Date: Owner:
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
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 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:_ _'5+o, -e t'1a jr)
Policy #:_ f 13 - 00 1 3 T - S
❑ 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 `comply 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.
CONSTRUCTION LENDING AGENCY
I hereby affirm that there is a construction lending agency for the
performance of the work for which this permit is issued (Sec 3097 Civ.)
Name:
Address:
PERMIT NO.
BP061426
OR IF WORK IS DONE IN VIOLATION OF ANY COUNTY OR STATE LAWS.
Issued Date: 06/15/2006 APN: 007-450-081-000
Site Address: 568 GRAND TETON WAY CHI
Map Index:
Description: REDUCT WITH R-8 DUCTS (10 DUCTS)
Owner: POOLEY, SANDRA D ET AL
568 GRAND TETON
CHICO, CA
95973-0384
Applicant: GALLAGHER'S HEATING & AIR
PO BOX 35
LOS MOLINAS, CA 96055
800-892-3556
Contractor: GALLAGHER'S HEATING & AIR
PO BOX 35
LOS MOLINAS, CA 96055
800-892-3556
License #: 777334
Architect:
Engineer:
Total Square Ft: 0 S.F.
Valuation: $0.00
Census Code:
This permit is her y ed unde the applicable provisions'of the Butte County Code and/or
Resolutions in 'cated a o fo hich fees have been paid.
(� /��j
By: r Date: 'T - /5—y°_
PERMIT EXPIRES ON: . l
O 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.
❑ 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
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 oy/ner. 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 o document of Bu to County. I hereby
authorize representatives of Butte County to enter upon the above mentioned property for inspection
L
Print Name: J i' { • oses.
Q I,, � C , ;
f Signature.
Date: 7112, f
❑ Owner
❑ Contractor
❑ Agent for Owner
UP/Agent for Contractor
B. C. Building Permit 01-16-04 0o 1
BUTTE COUNTY
., DEPARTMENT OF DEVELOPMENT SERVICES
BUILDING PERMIT APPLICATION
AND SUBMITTAL REQUIREMENTS
24 HOUR INSPECTION#: OROVILLE: (530) 538-7636 • CHICO: (530) 891-2834
OFFICE #: (530) 538-7541
A FEE WILL BE REQUIRED AT TIME OF APPLICATION
Website: www.buttecounty.net/dds
"PLEASE PRINT CLEARLY"
OWNER INFORMATION
Last Nam1 �r
first e J.—�
CJ
Address 67 rand
City
State
Zip
Phone(077 -'A
Fax
E-mail
APPLICANT SIGNATURE
1-3-A4/ Al)xuio_t�l
For office use only:
CONTRACTOR.
Name
L „ s H VAC
Addresspo
SMIP
City
Stat
I Zip �G
PhoneRC r I
`�
a4 O I '—F I
Fax
E -mailer
Date Approved:
Lic. # —ll,
C ass
APPLICANT SIGNATURE
1-3-A4/ Al)xuio_t�l
For office use only:
ARCHITECT/ENGINEER
Name
L „ s H VAC
Address
SMIP
City
State
Zip
Phone
Page
Fax
E mail
Date Approved:
State License Number
APPLICANT SIGNATURE
1-3-A4/ Al)xuio_t�l
For office use only:
APPLICANT INFORMATION
Name cc
L „ s H VAC
Address
SMIP
City
Stater
Zi
Phone
Page
Fax
E-mail
Date Approved:
APPLICANT SIGNATURE
1-3-A4/ Al)xuio_t�l
For office use only:
Zoning
Propert & dress d
Flood Zone
ISRAI
SMIP
Yes • No
Occ.
Type Const.
Subdivision Name
Map Book
Page
Lot #
Planner
Date Approved:
PERMIT
NO.
BP . I
BIN #
PROJECT LOCATION
AP#
Propert & dress d
Citi
(/
Cross Street
SMIP
WORKER'S COMPENSATION
Policy Number —71oQ 613
I W13
Carrier C ,� -P�A
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
OVER FOR SUBMITTAL REQUIREMENTS
K:\FORMS\BUILDINaFORMS\BldgApplSubRgmts.doc Page 1 of
Description or Scope of Work:
c+, W i k_ -T du -
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, a new 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.
Received by: Amount: Bldg
-1 -6
SRA
Receipt #:
Sheriff
>� v_
SMIP
Date: �Q ��
Other
Total
REV 8-12-05
NOTES
r
14�
It RESIDENTIAL
i'PERMIT NO. _, 007-450-081 O5-'1615_7�
POOLEY, SANDRA ETAL
6 k; 568 GRAND TETON WAY, CHICO
Cont: RONALD DREWS
BAY WINDOW '
i
4�
1
i
tf
11,
f
k. +
t
0 227
!I SPECIAL CONDITIONS
SRA
FLOOD CERTIFICATE REQ.
FIRE SPRINKLERS REQ.
SPECIAL INSPECTION ITEMS
VERIFY
USE PERMIT CONDITIONS
SUB -STANDARD HOUSING LETTER
JOB FINALED (Date)
i
5_
Signature
CHECKED
BY "
OK
= Not OK
=Not Applic
= NotReadyaEle MOBILE HOMES
Date
MOBILE HOME UTILITIES (Plans) OK except #'s
1. Zoning Requirements -Setbacks -Easements
2. Soils; Special MH Support Sketch
3. Sewer, Location -Test -Fall -C/O -Concrete
4. Water, location -Test -Easement Needed (Sketch)
5. Electricity, Location-Clearances-Gmd-/ /Amp -Concrete
6. Gas; Location -Test -Wrap;-/ ' L'ft.
/ P Nat. or/ P' LW P LPG
7. Well Clearance 8; Disconnect
8. Utility Clearance
9. Siding; Nailing -Veneer -Stucco -Mesh
10. Roof; Shthg-Roofing
Date
Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1
Date
MOBILE HOME INSTALLATION (Plans) OK except #'s
Date
1. Zoning Requirements -Setbacks -Easements
Date
2. Footings; Size -Spacing -Marriage Line
Date
3. Gas; MH Test -Demand -Valve -Connector
4. Electricity; MH Test -Crossovers -Breakers -Clearances
5. Drain; MH Test -Fall -Flex Connector
6. Water, MH Test -Regulator -Connector•
7. Water and Sewer Connected -C/O to Grade -HD Approval
8. Gas and Electricity Tagged
9. Tie Downs -Type -Installation Cert.
10. Exits; Insp.-Sketch
11. Cert. of Occupancy
Date
Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1
Date
PERMANENT END SYSTEM (ONLY)
1. Zoning Requirements -Setbacks -Easements
2. Footings; Size -Spacing -Marriage Line
3. Blocking
4. Gas; MH Test -Demand -Valve
5. Electricity; MH Test
6. Water, MH Test
7. Water and Sewer Connected
8. Gas and Electricity Tagged
9. Exits
10. License Decals
11. Verify #'s with Office
Date Card B-1 Date Card B-1
Date Card B-1 Date Card B-1
MISCELLANEOUS
Date
DECKS, COVERS, CARPORTS, GARAGES (Plans) OK except #'s
1. Zoning Requirements -Setbacks -Easements
2. Footings; Soils -Size -Depth -Spacing -Connectors -Steel
3. Decks, Girders and/or Joists -Decking -Bracing -Stairs -Rails
4. Wood Awn.; Posts-Beams-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
POOLS (Plans) OK except #'s
1. Setbacks -Easements
2. Soils; Compaction -Structure Stability
3. Pool Structure; Steel -Connections -Thickness
Dead Men -Lining
4. Elec.; Receptacles and Lighting, Distance -GR
5. Elec.; Pool Lighting; 15 Volts-GFI
6. Elec.; Enclosures; Conduit Entries-Tenninals-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 Conduit
9. Health Department Approval
10. Plumb.; Cir. Test -Water Supply Test
11. Light Niche
12. Enclosure; Fencing -Alarms
Date Card B-1 Date Card B-1
Date Card B-1 Date Card B-1
OK
Not OK
Not Appricable
Not Ready
RESIDENTIAL (Single & Duplex)
Date UNDERFLOOR (Plans) OK except #'s
1. Zoning -Setbacks -Easements -Flood -Slope
2. Ftg., Main; Soils-Elec. Gmd.-/ r Ftg. Depth
3. Ftg., Garage; Soils-Steel-Elec. Grnd.-/ r 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 9-1
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
23. Fire Sprinkler, Test
Date
Card B-1 Date Card.8-1
Date
Card B-1 Date Card B-1
Date
ELECTRICAL (Permit) OK except #'s
24. Fixture & Transformer Clearance -Ins. Protection
25. Elec. Receptacles Spacing -Lights & Switches at Doors
26. Size Boxes & No. of Conductors Stapled
27. Romex Installed Close to Edge of Studs & C.J.
28. Equip. Ground made up w/Mech Fasteners -Bond Gas & Water
29. 2 Appliance Circuits in Kitchen & Conductor Size GFI
30. Subfeed Wire Size/ /ga. Cu or AI -AC. Wire Size/ /ga Cu or AI
31. Range Circle/ /ga Cu or AI -Oven Circ. / /ga Cu or AI
Insulated Neutral O Yes O No
32. Service -Riser Conductors & Ground Main Disconnect
33. Equip. Clearances Panels-Motors-Mech. Equip.
34. Clothes Closet Light -Shower Light -Spa Light
35. Smoke Detector
Date
Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1
Date
MECHANICAL (Permit) OK except #'s
36. A.C. Ducts Insulation & Support
37. Vent Fan, Exhaust above insulation
38. Condensate Drain & Overflow, Size & Grade
39. Fumace-Vent Access -Comb. Ait-Return Air Vent 115 Outlet
40. Attic Access & Platform if Furnace in Attic
Date
Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1
Date
F ING (Permit) OK except #'s
iils Proper Materials & Anchors
Walls Studs -Nailing Spacing & Braces -Plates -Sound
43. Bearing Walls over Girders & Floor Nailing
44. Draft Stop in Walls (rat proof)
. Fire Stops, Furred Ceilings -Stairs -Chasers -Tubs
46. Headers & Beams -Size & Bearing
Date FRAMING (Continued)
47. Hangers -Post Caps-Anchors-CcicipKtors
48. Cling. Joist-Rftc Ties-Purlin-Roll Brac.-Truss-Shting: Rtng.
49. Fireplace Ties or Type AFlue-Fireplace Throat Clearance
50. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles
51. Bdnn. Windows or Exiting Doors -Sill Ht & Dimensions
52. Garage Fire Protection Framing -RC Channel
53. Property Line Firewall & Openings
54. Ext. Doors -One T -Check Garage 3rd Story, 2 Exits
55. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection
56. Plywood on Roof Overhang -Attic Vents -Rafter Outriggers
57. Siding -Nailing Veneer
58. Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access
59. Glazing Area -Glass Protection -Skylights -Plastic
60. Shear Walls; Nailing -Botts
61. Brace Interior/Exterior Wall Panels
62. Insulation -Walls -Ceilings
63. Infiltration- alls- ndows
Date ( and B-1 Date Card B-1
Dated Card B-1 Date Card B-1
Date FINAL ( ans) OK except #'s
64. A. Steps -Door & Sidelight Protection -Landings
Smoke Detector
66. Furnace Vents -clearance -Comb, Air -Connector -
In Garage; Above Floor-Ducts-Mech. Protection
67. Dedroorn Exiting
G.F.I. & Bath Fixtures & Tub Access -Spa
69. Elec. Trim & Subpanel, Breaker Sizes & Labels
70. Stairs & Rails
71. Fireplace or Stove, Clearance -Hearth
72. Elec. Outlets at Wood Panel, Int. & Ext.
73. Kit. Fixt. & Appliance; Ground -Air -Gap -Cooking Clearance
74. Elec. Outlets & Receptacles at Kit. Counter
75. Garage Fire Door, Swing -Landing -Closure
76. A.C. Duct in Garage -Damper
77. Wtr. Htr.; Vents -Clearance -Comb. Air Connector-P.R.V.
in Garage; Above Floor-Mech. Protection
78. Plb.; Bec. & Mech. Equip. Listed for Location
79. Elec. Receptacles in Garage (F.F.I.)-Romex Protection
80. Insulation -Foam -Looked in Attic
81. Guard Rails & Deck Construction -Post Caps
82. Fdn. VBents & Crawl Hole Door Drainage & Wood -Earth
Clearance Looked under Floor D Yes
83. Following InsUdJDrive 0 Yes O No/Walks O Yes O No /Planters 0 Yes O No
84. Stucco Brown -Finish
85. A.C. Unit Disconnect, Electrical -Plumbing
86. Vents Above Roof, Pibg-Appliance-Fireplace-Clearance to Openings
87. Water Well, Disconnect, Electrical, Plumbing
88. Exterior Elec. Trim, G.F.I. Receptacle -Underground
89. Ventilation Throughout House
90. Glass Protection
91. Corrections from Previous Inspections
92. Gas Test -Meters Tagged, Gas -Electric
93. Water & Sewer Connected -C/O to Grade -HD Approval
94. Energy Compliance Certificate -Other Certificates
95. Address Posted
96. Fre Sprinkler
Date aid 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:
BUTTE COUNTY
DEPARTMENT OF DEVELOPMENT SERVICES
BUILDING PERMIT
24 HOUR INSPECTION #: (530) 538-7636 (OROVILLE) (530) 891-2834 (CHICO)
OFFICE #: (530) 538-7541 FAX#: (530)538-2140'
WEBSITE: www.buttecounty.netfdds
LICENSED CONTRACTORS 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. n
License Class: /?" jf License Number: 3G1:73 2—
Date:
Date: A -Z/— 4 S Contractor:
^_1' 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
permit to construct, alter, improve, demolish, or repair any structure, prior
to its issuance.-_ also requires the applicant for such permit to file--a-
signed staieinerti that he or she is licensed pursuant to, ft provisions of
the, Contractor,'s Slate' License Law (Chapter 9 commencing with Section
7000),of Division 3.of the Business and Professions Code) or that he or ;
she ii,exempt tf erefroni• and the basis.for the :alleged ;exemption: Any
violation of=5ecliorr 7031 :5 by any applicant for a permit subjects the
applicant,to:.a civil penalty of not more than five hundred dollars ($500).):.:.
❑ l,'as. owner-of'the property, or my employees with wages as their
sole compensation, will do the work, and the structure is not
- dIn)Q,gded.,or,gffered,.jorsale.(Sec7044,,Business.and..Professions,.
Code: The:Cootractors'-State',Licens.e Law. does. not apply to an
owner. of. property who builds or,improves thereon, and who does
,'such.work.himself or herself or through his or her own employees,
provided that.such improvements are not intended or offered for
sale. If however, the building or improvements are sold within one
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
sale.):
❑.••.:.,,I,...as:,owner.,...o.4.the,..property...am..exclusively,: contracting. with.
licensed contractors lo'construct lhe.project (Sec. 7044, Business
::.;and Professions Code.: The Contractors' State License Law does
not, apply to an owner of property who builds or improves thereon,
,and who.contract s.for such projects with a contractor(s) licensed
pursuant to the. Contractors' State License Law.). „
❑ .,J am•Exempttinder Article 3 of.the Business,and.Professions Code.
Date; Owner:
WORKERS' -COMPENSATION DECLARATION,
I hereby.affirm.under penalty of perjury one of the following declarations: .
❑ . I,have and will maintain a certificate of consent to self -insure for
workers'_ compensation, as provided for by Section 3700 of the
Labor Code, for the performance of the work for which this permit
is issued..,
❑ I 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: Total Square Ft: 0 S. F.
=� Valuation: $0.00
Policy #: 01
Census Code.
15 I certify that in:the:performance.of!the work for which this°permit is
.issued.- 4: shall "notz employ any person in any manner so as to
become subject.to!the':workers'.compensation laws of California,s t>f �1
and agree{that-if: I should become subject to the .workers' (�
compensation provisions of Section 3700 of the Labor Code, I shall lJ
forthwith comply with those provisions.
Date:
I
Applicant.:,..:...: , .... r
<° b
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,,intetest, and, attomey's fees.Y.... .
PERMIT NO.
BP051615
Issued Date: 06/21/2005 APN: 007-450-081-000
a
Site Address: 568 GRAND TETON WAY CHI
Map Index:
Description: bay window
.. ,.,_ Applicant:,DREWS,.,RONALD,..,
4314 KEEFER RD...
CHICO,CA.
95973
z 530-228-6229
Contractor: DREWS, RONALD
ti 4314 KEEFER RD.
CHICO,CA.
95973
530-22.8-6229:
License #: 364732
Architect:
Engineer: .
-CONSTRUCTION. LENDING AGENCY
I hereby affirm thatthere is a construction lending agency for the
performance of the work for which this permit is issued (Sec 3097 Civ.)
Name:
Address:
F.
t
eimit-ereby issued'un the ap lic
ution to do work indleatotl above folr w
PERMIT
have been paid.
Date:
x":,-2
O 1..hereby.certify that.the useof this facility. shalt. 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 6' enter upon the above mentioned property for inspection purpo s.
Print Name:. %�.fily( c-��e--AJ C'- Signature: A
Date:•
i]10wner Contractor 13 Agent for Owner 0 Agent for Contractor
C
Oi
BUTTE COUNTY
IT
T?�to
0 DEPARTMENT OF DEVELOPMENT SERVICES
BUILDING PERMIT
24 HOUR INSPECTION #: (530) 538-7636 (OROVILLE) (530) 891-2834 (CHICO)
OFFICE M (530) 538-7541 FAM (530)538-2140
WEBSITE: www.buttecounty.neAdds
I,. Dv�,
PERMIT NO.
BPO51615
LICENSED CONTRACTORS DECLARATION
I hereby aifi"�under "i- �ofperjury . - that I am - licensed under
provisions of Chapter 9 (commencing with Section 7000) of Division 3 of
Issued Date: 06/21/2005 APN: 007-450-081-000
the Business and Piofeiii6ns Code, and my license is in full force and
effect.'
32—
Site Add ress: 568 GRAND TETO.N WAY CHI 11.,,
License Class Lic6nse Number:.
.
Date: �9. S:' Coniracto�:
Map Index:
Description: bay window
OWNER -BUILDER DECLARATION
I hereby affirm under penalty of perjury that I am exempt from the
Contractors' State LicenseLLaw for the following reason (Sec. 7031.5
Busin6ss and'Prbfessions'Code: . Ahy'city or county which requires a .
Owner: POOLEY, SANDRA
permit to construct,'alterJmprove, demolish, or repair any structure,'pn9r,
to its Jssuan0e',,;:aIso requires ttie apolicant for such permit to file -a-
568 GRAND TETON WAY'.
signed �Iat6�n6r.Lf t-Kalt'he or she is licensed �pursivaqt to, We pinbvisidns of
thWC`ontri�tor's §lGle"Litense Law (Chapt4i'g-cbm"m'e'n'ci'n'g"with'Section
76010),'Zif: DMgi`dh'•3 bithe Business and Professions Code) or that he b'!
-
959730384
s�heAfexempt t6ereiro.rrf- :nd the basis,for,the -,alleged, exemption, Any
any a5picant for a permit
violatign_ P -f'1§- subjects the,
_q�.tLqM,0315,by
applir-ant,ito.-b-ciyil.penalty.'of not more than five hundred d6flar"
s ($.509)
the property, or my employees with wages as their
sole compensation, 'will do the work, and the structure is not
"-� n)er>ded ori offefed for sale. (Sec 704Q, -Business and ero!99199A
Applicant: DREWS,,RONALP,
Code: The; Contractors State' License: Law. does. not apply to an
4314 KEEPER RD.
ownqr who• builds'oi.,improves thereon, and who does
,qf,.property
v ,suc h.work.himself 6i or'.th-ro"ugh -his oer own ern
,a 1- . 1 -1 r, h _ ...plpyees,
CHICO,CA.
provided that such im_pirovim6nts'1are. not intended or offered for
95973
`'sale. ' If 1:561din"g- & improvements aie sold" within one
year of completion, the owner -builder will have the burden of
530-228-6229
=Orovihg that -he -or she did not build or' improve for the purpose of
sale.).'
,..L),,-.,I,,,,,as.-owneir.,of,,the..prpperty., ,am exclusively., contracting. with,
licensed contractdrstd'consfruct -thei,project, (Sec. 7044, Business
�,;jand. Professions Code....The Contractors' State License Law does
Contractor: DREWS, RONALD
-;r!c)t.app!y,.!o an owner of. property -who, builds or,improyes thereon,
4314 KEEPER RD.
and who.contracts. for such projects with, a. contractor(s), licensed
-�,pursuant to the qontractorsState License Law.). z
CHICO,CA.
f
A
95973
LI ,Jam Exempt Under Article 3 of..theBusiness ,.and,Professions Code•.,
-6229 ,',
Date.'LE� :Owner:
3:,,.License.#: 364732
v,;,,,,.-q�...-,','WORKERS,!!COMPENSATtOt4DtCLARAT.ION:,,'--.'-.'-
I hereby:aMlir'in.under pe'nalty-of perjury one of the following decl5rdtiong:.
L:
0 N.,I.have-and'w"ifl maintain a certificate of consent to sel�in-iu_r)e_"for
wor�'6ri'�-`66rnpgnsation_as provided for, by Section.,3700, of the
labor'-'C�;d' ,'tqr:fhe performance of, the work for which this permit
is issued._
Ennineer:
have 'and 4will -maintain -.workerscompensation insurance, as
;..,.required by,.Sectio6 37.00Ahe Labor,.Code, for. the performance of
-the work -for -which. this permitis issued., My workers' compensation
insurance.carrier,and policy number are:
I
,
0 S. F.
Carney., .
.
Total Square Ft:
Valuation: $0.00
Census Code:
policy . M,
Ur
rcertify that -in .�theperforY4ricb_o-f'the vidrki for _which ,this, permit is
j.,-,-.issued,-I:shall::novempidy�ahy'oerson in 'any, manner- so -as -,to
-
_Pe.comesubject .dolthe workers -,compensation lawsof� California.'
and agree
-, c that ii i' I .!'.should �7.bec
become subject ;to the -.workers'
compensation provisions of Section,3700 of the Labor Code, I shall
7, 7
fort ,hwith comply with provisions.
.0
Date ;,
-Applicant — .....
ic" i
WARNINGailu ecure- 'worke'rs''compensation 'covbmge 'is
..�F,W�td'
unlawful,-'and','ghall'sUbjeict " an .'e impildyer to 'crirnin'al'piinalties arid'one
hundred" thA-isanri"dollirs""($,100,000)',--in addition;:to :the. cos'C-of
compensation*,, damagis' as -`provided f6i In -Section376 - 6'6f-thel6bor
,interest , and, aftomey's,fees '.
t,,1!;ONSTRUCTION. LENDING AGENCY, -
his pt 'ereby issued un the apolicab!p1pvisions of the Butte County —CodFi ?nrtlor
provisions
I hereby affirm thaUlnerb is a construction lending agency for the
performance of the work for which this permit is issued (Sec 3097 Civ.)
Resolution (d above�fave been paid.
Name: -7
By: Date: ��-?
PERMITLXPI'RES 2 —6
Address:
N-
Date
_
ereby thatgerlify.thq.4sq;of this facility shall. comply with Sections 25505, 25533, and 25534 of the California Health and Safety Code, which regulate the storage,
handling
0 •ir'Notifidbti6n i6a&drdandd_With'Section 19827.5 of Califorriia Health & Safety Code is not applicable to the scheduled construction of this project.
Q 114ti' h* & " ' " " "-"-
.?ic, q 'a% qppiel,of the required tP.A_'n6ti4caiiti'po i6r'r's'"
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 agr'!ae'to comply
—and
state laws relaf,�b 6 buf0ind construction. I acknowledge it is unlawful to alter the substance of any official or of Butteounty. I hereby
authoirivi, representatives of Butte County to'6nter`6pon the ab6e mentioned property for inspection purpo S.
PriM bigna ure: lG� C\`!///s� i _` /)
Date:
Contractor 0 Agent for Owner 0 Agent for Contractor
--- -- -----
BUTTE COUNTY
DEPARTMENT OF DEVELOPMENT SERVICES
BUILDING PERMIT APPLICATION
AND SUBMITTAL REQUIREMENTS
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
Last Name
First Name
Address
City
State
Zip
7
Phone _
Fax
E-mail
APPLICANT NAME
CONTRACTOR
Name ,
City
Address
S
Zip
City
Fax
Stat
Zips 3
Phone _S�-7o
Planner
Fax
E-mail
Lic. #
1 364-7-321
Class.
APPLICANT NAME
ARCHITECT/ENGINEER
Name
City
Address
Zip
City
Fax
State
Zip
Phone
Planner
Fax
E-mail
State License Number
APPLICANT NAME
Name
Address
City
State
Zip
Phone
Fax
E-mail
APPLICANT SIGNATURE
X
For office use only:
Zoning
Flood Zone 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
NO.
BP 0-5- /6/
BIN ff
LOCATION
AP# 00 - ^ &(50
Property Addres„6� 6 J�
.D
City GR7 CO
Cross Street
WORKER'S COMPENSATION
Policy Number
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
Page 1 of 2
Description or Scope of Work:
�ft%f wINf;>6-KJ
Sq. Footage
O Structure Built without Permits
O 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, a new 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.
r L
Received by: Amount: Bldg
(R�� SRA
Receipt #: b� Sheriff
4__�
S SMIP
2"o
Other
Date: b
! Total
REV 2-24-05
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.
01 5. Statement of Intent for Non -heated and A/C for Non -Residential Buildings.
❑ 6. Manufactured homes: (A) installation inst, (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. Detached Accessory Building Form filled out by the owner (if required).
❑ 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).
Cl
9.
Letter of Signature authorization (if required).
❑
10.
Recorded copy of Agricultural Acknowledgment Statement.
❑
11.
❑ Grant Deed, ❑ M.H. Title/Statement of Facts.
❑
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 2-24-05
L57T4-i2
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2105-82B,P,E Mme_.
PERMIT NO. —,____ _•_ _
��((
PERMIT EXPIRES /a V✓ __ —_ .
OWNER Alvinco
CONTR. Webb Bros Const, Chico
ASSESSOR PARCEL 44-74-81
LOCATION 568 Grand Teton Way, Chico'
r
;r
Ep
Temp. Power Pole
Called PG&E
Temp. Elec. Service A
j'
Called PG&E
TempLGas Service
�,-
CalledPG&E
JOB FINALED (Date) U 0
Signature
V = OK
0 = Not OK
- = Not Applicable
* = Not Ready
• Y
MO-BILEHOMES MISCELLANEOUS �► �,
Date
MOBILEHOME UTILITIES (Plans) OK except N's
1. Zoning Requirements -Setbacks -Easements
Date
DECKS, COVERS, CARPORTS, E'TC. (Plans) 0, czcept ftn
1. Zoning Requirements -Setbacks -Easements_ -
2. Soils; Special MH Support -Sketch
2. Footings; Size -Depth -Spacing -Connectors
3. Sewer; Location -Test -Fall -C/0 -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
_♦
5. Alum. Awn.; Columns-Connections-Splice-Decal-Enc�os;:res y.
6. Gas; Location -Test -Wrap:/ /"L"ft./ /"Nat. or/ /"L"ft./ /"LPG
6. Carports; Windows -Doors
7. Utility Clearance
7. Elec.
Card -BI
Date Card -BI Date
Card -BI
Date Card -BI Date
Card -BI
Date Card -BI Date
Card -BI
Date Card -BI Date
Date
MOBILEHOME INSTALLATION (Plans) OK except N's
1. Zoning Requirements -Setbacks -Easements
Date
_
POOLS (Plans) OK except N's
1. Setbacks -Easements
2. Footings; Size -Spacing -Marriage Line
2. Soils; Compaction -Structure Stability
3. Gas; MH Test -Demand -Valve -Connector
3. Pool Structure; Steel -Connections -Thickness -Dead Men -Lining _
4. Electricity; MH Test -Crossovers -Breakers -Clearances
4, Elec.; Receptacles and Lighting; Distances-GFI
5. Drain; MH Test -Fall -Flex Connector
6. Water; MH Test -Regulator -Connector
5. Elec.; Pool Lighting; 15 volts-GFI
6. Elec.; Enclosures; Conduit Entries -Terminals -Listed
7. Water and Sewer Connected -C/0 to Grade -HD Approval
7. Elec.; Bonding; Metal w/5' -Circulating Equipment -Heater
8. Gas and Electricity Tagged
8. Elec.; Grounding; Equip. w/5' -Circulating Equip. -Pool Lghtg.
Boxes -Enclosures -Panel boards -Ins. to Main in Conduit
9. Exits; Insp.-Sketch
10. Cert. of Occupancy
9. Health Department Approval
10. Plumb; Cir. Test -Water Supply Test
Card B-1
Date Card -BI Date
Card -BI
Date Card -131 Date
Card B-1
Date Card -BI Date
Card -BI
Date Card -BI Date
P.
a
P.
a
V = OK `.
0 = Not OK
- -Not Athlicable
- Not Readyt j
RESIDENTIAL (Single and Duplex)
Date BIND FLOOR P s OK except #'s
Date FRAMING (Continued)
Zonin requirements -S acks-E menu U/GF� Q
nings
, Main; S -S-Elet;p06d.- //A!�) /" Ftg. Depth
Ext. Doors -One 3' -Choc ge-3W- Wpi.,�
arage; $pill's- - / ' /" Fig. Depth
on
4 Ftg., PW6,es & Decks; SBjJe=SFeel- //L/" Ftg. Depth
wood on Roof Overhang -Attic Vents -Rafter Outriggers
_ temwaI , Main; I -BI uts-WoWre
. Skiing -N -Veneer
temwa , Garage; -Blo uts-Wrapped'
tucco Mesh -Drip ed-Fdn-ifents-Uade4k -Aeeess
-Fireplace Ftg Steel
zing Area -Glass Protection -Skylights -Plastic
D.W.V.: -Fi gs-dT-e%t-2 w /O e
a s; ailing -Bolts
9. 9,E Pipe; Size -Anchors
Water Pipe;(!IpeAirs-Regulator rvt
g nd
- ateriat-Support-Ins.
fists -Vents -Cripples
Card -BI gQq Dat -/ Card -BI Date
Card -BI Date f y -r' Card -BI Date
Card -BI Date Card -BI Date
Card -BI ,Date and -BI ApDate
Date FINA_1JPlans) OK except q's
Card -BI nii Date'��z(�,�� Card -BI W Date
Date PLUMPJNG (Permit) OK except p's
58�_W.t. Steps -Door & Sidelight Protection -Landings
oke Detector
1 r Ht.; nt- cEss�Combtfetfvrt Air
FLrnace; Vents -Clearance -Comb. Air -Connector -
IryG`arage; Above Floor -Ducts -Meth. Protection
1 ater Pie%AnchafT Nail P6ptooton
1 W.V.; es flogs & �pGbers-Nat ction
droom Exiting
hewerPeA;-fest. F+-st-Froor- s
6 . F.I. & Bath Fixtures & Tub Access
1 , nd Floor -Tub Access
Elec. Trim & Subpanel; Breaker Sizes -Labels
as Pipe; Size & Anchors
Stairs & Rails
_
fireplace or Stove; Clearances -Hearth
lec. Outlets at Wood Panel; Int. & Ext.
Card -BI CAIDat / Card -BI Date
Kit. Fixt. & Appliance: Grnd.-Air Gap -Cooking Clearance
Card -BI Date Card -BI Date
6'L--Elec. Outlets & Receptacles at Kit. Counter
Date ELECTR CAL Permit OK except q's
6 arage Fire Door; Swing -Landing -Closer
6 C. Duct in Garage -Damper
2 ixture & TraR94e�a�ec�Claarance-Ins-FKeteet�ron
69. tr. Htr.; Vents -Clearance -Comb. Air-Connector-P.R.V.-
In Garage; Above Floor -Meth. Protection
2%v-r:lec. Receptacles Spacing -Lights & Switches at Doors
e Boxes & No. of Conductors -Stapled
Plb., Elec. & Mech. Equip. Listed for Location
Rome Installed Close to Edge of Studs & C.J.
Elec. Receptacles in Garage; (G.F.I.)-Romex Protec.
2 u' round made up w/Mech. Fasteners -Bond
nsu lat i on- Foam- Looked in Attic ❑Yes
2 Appliance Circuits in Kitchen & Conductor Size
fa_ -1 uard Rails & Deck Construction -Post Caps
26. Subfeed Wire Size /190'/ ga. Gwer AI-A.C. Wire Size //a/ ga. Cu ow -A
<-F4-.--Pdn. Vents & Crawl Hole Door -Drainage & Wood -Earth Clearance
Looked under Floor ❑ Yes
27. Range Circ. / ra/ ga. AI -0 I.
Insulated Neutral , es ❑No
Service -Riser Conductors & nd-Main Disconnect
75. Following instld.: Drive E] No; Walks es ❑ No;
Ewe
Planters []Yes28.
76r- tucco; B own -Finish - ;
29—Equip. Clearances; P s-MQLare-Mech. Equip.
. Unit; Disconnect-Clrnces-Brkr. & Cond. Size -115V Outlet
1 �t that rt eight -Shower Light
713: -Vents Above Roof; Plbg.-Appliance-Firepl.-Clearance to Opngs.
ater Well; Disconnect, Electrical, Plumbing
--
Card B -I Date� 5/(i Card -BI Date
Q`-� _-�-�
80 --ex Elec. Trim; G.F.I. Receptacle -Underground
--8i---Ventilation throughout House
Card B -I Date Card -BI Date
82,-81ass Protection
Date MECH CAL (Permit) OK except k's
0 ---Corrections from Previous Inspections
-�.�j est -Meters Tagged; Gas -Electric
Insulation & Support
8 ater & Sewer Connected -C/0 to Grade -HD Approval
Vent Fan;
33/Venn Fan; Exhaust above Insulation
84—Energy Compliance Certificate -Other Certificates
33. ndensate Drain &Overflow; Size &Grade
Furnace -Vent; Access -Comb. Air -Return r Ven 115V utle
.26�c�cess Platform if Furnace in Attic
Card -BI Date /y Card -BI Date
Card -BI Date Card -BI Date
Card -BI Date WA, Card -BI Date
Card -BI Date Card BI Date
Card -BI Date Card -BI Date
Date FRA Plans) OK except p's
Comment at Final:
__ S' Proper Material & Anchors
�/
_
_Wa s; Studs -Nailing, Spacing & Bracing-Plates-6m_md
_. Bea 'ng Walls over Girders & Floor Nailing
-3 rail -S4. top in Walls (rat proof)�-
-ire
G Od O
_--
Stops; 9ierirs-G�f+ases-Yyd�
eaSW &_Beam�-Si�ze &' _ _
ors -_Post -An rs-Co rs
st-Rfer!ries-Faar+rn-R Vac. ru
i plaee-itas or Typ'Flue-F' oa
Attic Access; Size omen otectio Draft St
,
- 4 _ indows or Exiting Doors -Sill H imensions
arage Fire Protection Framing
(NOT E: An entry must be made each time you visit job site)
COUNTY OF BUTTE
f+ DEPARTMENT OF PUBLIC WORKS
196 Memorial Way, Chico — Phone: 891-2751
;. 7 County Center Drive, Oroville —Phone: 534-4541
Skyway and Elliott Road, Paradise- Phone: 872-2961, Ext. 57
/ CORRECTION NOTICE
BUILDING OR PROPERTY ADDRESS
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.
\ / J
Inspector % / Date
COUNTY OF BUTTE
DEPARTMENT OF PUBLIC WORKS
695 Oleander Avenue, Chico — Phone 343-4211, Ext. 70
7 County Center Drive, Oroville — Phone 534-4541
e` Skyway and Elliott Road, Paradise — Phone 877-3435
CORRECTION NOTICE
BUILDING OR PROPERTY ADDRESS
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 WORKS
196 Memorial Way, Chico — Phone: 891-2751
7 County Center Drive, Oroville — Phone: 534-4541
Skyway and Elliott Road, Paradise— Phone: 872-2961, Ext. 57
CORRECTION NOTICE
Go 7* je / - Z/* 5 - '? z
BUILDING OR PROPERTY ADDRESS
A routine inspection indicates that the following violations of County Ordinance
ex' 't at the above address and should be corrected. Please notify this office
en correction of work is completed. If you have any question pertaining to this
atte/r� or need additional explanation, please contact this office immediately.
.0 )v " s- 9s
ss
A& 1- 4
ArO �;Pc' /
rs
`il C f z , //%v/S
,' A� 7ic>/s ✓l %G 7s s ice/ cam/ s /� /f s 4VW'Fcf
Inspector Giv Date o2—rZ
COUNTY OF BUTTE
DEPARTMENT OF PUBLIC WORKS
196 Memorial Way, Chico — Phone: 891-2751
7 County Center Drive, Orovi Ile — Phone: 534-4541
Skyway and Elliott Road, Paradise — Phone: 872-2961, Ext. 57
CORRECTION NOTICE
�X/l/l/co — Z, -;re �i & i i )s =- d>e
BUILDING OR PROPERTY ADDRESS
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.
tiffs d /�/.� .� � C/fes ,� �� � o,� /<, Tc/ f .✓
�� /ldr/ii/� .S� Gig 7s7 a.� Cy� 7� �.✓fs
Ai
`/ �Wcowz'K lvh f5-610 4 fit o'A"&'�W/f �- �;V f'1<11
Inspector U� �"vi Date �— zCJ ' LT
COUNTY OF BUTTE
DEPARTMENT OF PUBLIC WORKS
fr 196 Memorial Way, Chico — Phone: 891-2751 .
oy 7 County Center Drive, Orovi Ile — Phone: 534-4541
Skyway and Elliott Road, Paradise— Phone: 872-2961, Ext. 57
CORRECTION NOTICE
BUILDING OR PROPERTY ADDRESS
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.
%
A ze —k3
-Z / _ X L -
Inspector /W l Date %
i
Inspector /W l Date %
COUNTY OF BUTTE
DEPARTMENT OF PUBLIC WORKS
•� 196 Memorial Wa Chico — Phone: 891-2751
e Y.
r 7 County Center Drive, Orovi Ile — Phone: 534-4541
Skyway and Elliott Road, Paradise— Phone: 872-2961, Ext. 57
CORRECTION NOTICE
BUILDING OR PROPERTY ADDRESS
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
matte r -need additional explanation, please contact this office immediately.
0-70 &1` rl r /sG x/ rev 7 l! lj'zu F /L0OR< G/
K. ,G ru/ si A,' LL1G T �il� lilG �G f�/1�J�i�
Inspector Date
RRSTnF.NTTAT:
ENERGY CONSERVATION STANDARDS
CONSTRUCTION COMPLIANCE CERTIFICATE
THIS IS TO CERTIFY THAT ENERGY CONSERVATION REQUIREMENTS HAVE BEEN
INSTALLED IN CONFORMANCE WITH CURRENT ENERGY CONSERVATION REGULATIONS
AT Lot ## 81 North Parki Chico
(location)
BUILDING PERMIT NO.
A. P. NO.
THE FOLLOWING HAVE BEEN INSTALLED AS PER -APPROVED PLANS:
(Check each item or write N/A if not applicable)
INSULATION: GLAZING:
Slab Edge Single Glazed
Fdn. Walls Special (Insulated) s
Floors '-n.�a CERT. & LABELED WDS.
Walls _ y & SLIDING DRS.
Ceiling/Roof R_92 WEATHERSTRIPPED DRS. -vz;ka c,
Ducts mtim= L�— BACK DAMPERED FANS -=4e. 4 --
Circulating Pipes INTERMITTENT IGNITION DEVICES_—
APPROVED HEATERCERT. APPPLIANCES
APPROVED WATER HEATER
I DECLARE THAT ALL REQUIRED ITEMS AS NOTED ABOVE HAVE BEEN INSTALLED
IN ACCORDANCE WITH THE ENERGY CONSERVATION REQUIREMENTS AND AGREE TO
THE COMPLETENESS OF THIS CERTIFICATE AS SUBMITTED.
Insulation Applicator Name NIC140-LSON INSULATION, INC
(please print)
Signature of �� �
Insulation Applicator
State Contractors
License No.
General Contractor/Owner Name Z %e fid A7, -o S,
(please print)
Signature of ij/
General Contractor/Owner _=%'LL��> Date `? 7-4/= 8�
State Contractors
License No.
THIS CERTIFICATE MUST BE ON FILE WITH THE BUILDING DEPARTMENT PRIOR TO
REQUESTING FINAL INSPECTION AND SHALL BE POSTED IN A CONSPICUOUS LOCATION
WITHIN THE DWELLING.
COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKSPERMIT NO.
7 County Center Drive - Oroville, California 95965 - Telephone 916/534-4541 � o o� 3
APPLICATION AND PERMIT ('
.ASSES ^ARC L N,71
(��jj�•
ZO G
BUILDING PERMIT
OWNER
T LEPHONE
SO. FT. OCC. BUILDING VALUATION/
3 07�C1
Pv
OWNER'S MAILING ADDRESS
lel
OO
CONTRACTOR'S AME
fit/
TELEPHONE
_ E
ov o e0
CO RACTOR'S MAI NG ADDRESS
-Fireplace
/ �QQ, "0
CONS RUC TI XNDER
UNKNOWN
c
Total Valuation $ G
o0
Filing Fee
$ 10,00
LENDER'S AI G ADDRE
60,
Permit Fee
$s'�
ARCHITECT OR E GINEER
LICENSE NO.
Plan Checking Fee
—
$ 45—
Penalty
$
ARCHITECT
ARCHITECT O NGINEER'S MAILING ADDRESS
Permit fee
$ g2 77,,3-0
BUILDING ADDRESS
�� 7Z—:7 730
PLUMBING PERMIT
Filing Fee 10.00
,5_6Each
Trap
2.00 00
Repair drainage or vent piping
5.00
'/
Pvco
Water piping
00
LOT NO.
y� /J
V
SUBDIVISION NAME
['Ja p �-, �1 // //
/`-/! P/� SN
PARCEL MAP
pp.�
Od r-3�
Each qas water heater or vent
5.00 p
Gas piping system 1 - 5 outlets
, CY
USE OF STRUCTURE
SFDuplex ❑ Mobilehome❑ Other
SPECIFY
Building sewer
6,10
Lawn sprinkler system
5.00
TYPE OF WORK
New ��Addition ❑ Remodel Q Utilities ❑ Installation❑ Other ❑
Describe work:
Permit Fee
$ G 00
Contractor
ELECTRICAL PERMIT
Filing Fee 10.00
Main service 600V OR LESS
AMP OR LESS
`�t� 0,0100
Main service EA. ADD'L 100 AMP
2.50 r/-0
NEW CONST. DWELLING Ib G
OR ADDNS. ( ACC. BLD Sf )- 22 S qft 44
CONTRACTORS LICENSE LAW
I declare der penalty of perjury (Check one):
I am licensed under provisions of Chapt. 9, Div. 3 of the Business
and Professio s Code and my license is in full rce and effect.
License No. Classification
Q. I, as the owner, or my employees with wages as their sole compen-
sation, will do the work,and the structure is not intended or offered
for sale. (Sec. 7044)
❑ 1, 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 CONSTR -OUTLET 2,50 ea
NO N.RESID BRANCH CIRCUITS)
NEW CONSTR. ( POWER APPARATUS h�
NON-RESID. SINGLE OUTLET CIR.
Ex. Occ up(o OR FIXTURES BAL�1
BAL@1(
IXED APPLINIS
FIXED TS (RES. OR
EX. Occup. TL(RESID.) EA. 2.00
Temporary service 10.00
Mobile Home Facilities 15.00
Misc. Wiring 7.50
Permit Fee $ v
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
FiIirig Fee 10.00
Heating , 0ae,
O0
/ 1A&11
Cooling
,0O
Hood
3.00 0 Q
Ventilation
Permit Fee
$ oU
Contractor
I certify that I have read this application and state that the above information
is correct. I agree to comply to all County Ordinances and State Laws relating
to building construction, and hereby authorize representatives of the County of
Butte to enter upon the above-mentioned property for inspection purposes.
I also agree to save, indemnify and keep harmless the County of Butte against
all liabilities, judgments, costs, and expenses which may in any way accrue
agCounty in consequ nce of the granting of this permit.
X= �� Date
Signature of Applicant — Owner ❑ Contractor ❑ Agen
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 $
TOTAL PERMIT FEE $ C
71G� 4O
OccUP. GROUP
"
I TYPE of NST.
PARCEL
0/
PD
H
ISSUE
This permit is hereby issued under
sions of the Butte County Code and/or
work indicated above for which
DIRECT OF PUBLIC
By
PE T EXPIRES Date_
the applicable provi-
resolutions to do
fees have been paid.
WORKS
-Date -2- -y
Receipt No. 1O g�05
WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR. GOLDENROD -APPLICANT
TO: Building Department
FROM: Environmental Health, Chico
SUBJECT: Sanitation Clearance '
Owner Location AP#
Plan approved for: sewage disposal water supply
Hold final for: water supply
Final clearance O.K. for:
Clearance for bedroom melt4e home. Other
Note***
Sanitarian
water supply
(tate
Return to DPW
..�.SecY~ion 26-8.1 of the
be recorded prior to
352Yto rosa
kGRICULTURAL STATQIENT OF ACKNOWLEDGEMENT Chi o, alif.
FOR RESIDENTIAL DEVELOPMENT 51''
OrFIOf�: fd(:uf;NL� ��.�7
Butte 'County Code requires this acknowledgemen0"c COU('TY"`:"'!" v�
�f.OF.DS REQ.' t I•
issuance of a -building permit.
ORCIVILLE TI'''LE
The property described herein. is adjacent to land or included JAL 12.1I eq f4r. lax/
within an area zoned for agricultural purposes, and residents of ELEANOR M. SEEKER.g•
this property may be subject to inconveniences or discomfort arisin%LERK-RtCOROER �J.�l
from the use of agricultural chemicals, including, but not limited to herbicides,
pesticides, and fertilizers; and from the pursuit of agricultural operations including,
but not limited to cultivation,. plowing, spraying, pruning, and harvesting which occa-
sionally generate dust, smoke, noise, and odor. Butte County has established agricul-
tural zones which have as a priority use for productive agricultural purposes, and
residents within said zones and on adjacent property should be prepared to accept such
inconvenience or discomfort from normal, necessary farm operations.
All that real property situate in the County of Butte, State of California,
described as follows: Located in North Park Subdivision.
Lots 77,78,79,80,8.1,82,83,84,85,86,87,88,89,91,92,93,94,95,96,97,
98,99,100,101,102,103,104,105,106,107,108,109,110,111,112,113,114,
115,116,117,118,119,120,121,122,123,124,125,126,127,128,129,130,
131;132,133,134,135,136,137, and 138. Lot 90.
Date: July
6, 1982
ALVINCO
.TO 1945 CA (8.74)
(Corporation)
LI
W
X
W
W
J
IL
a
U)
N
I
PROPERTY OWNERS:
s
TITLE INSUP.AP&E
STATE OF CALIFORNIA AND TRUST o
COUNTY OF Butte r SS ATICOR COMPANY
On_ July 6*, 1982 J
before me, the undersigned, a Notary Public in and for said C a
State, personally appeared Mack W. Hill -v
known to me to be the Treasurer _� — c
rn
known to me to be --'------'---- Secretary '
of the corporation that executed the within Instrument,
known to me to be the persons who executed the within
Instrument on behalf of the corporation therein named, and - - - - - -
acknowledged to me that such corporation executed the OFFICIAL SEAL
within instrument pursuant to its by-laws or a resolution ofI V� CHERYL J. ANKS
its board of directors. "==
�' � •3 - NOTARY PUBLIC CALON IF R A
WITNESS my hand and official seal.
Signatur
PRINCIPAL OFFICE IN
SHASTA COUNTY
My Commission Expires July 12, 1982 1,
END OF DOCU/�
(This area for official notarial sea�t)'ENr I
19 ;
ally
dged
es.
f is ial
V1�-
I
A46 0 ,
G..
NOTE:—All Materials & Workmanship Shall ind
NccalAcince with Recoctnized Goad Practices and
of quality prescri a for a peciTie use in TIM
Uniform Building,
Plumbing & Machanical Codes ctrw
the National Electrical Code. `0 -.
\ti \ ^ f,.
,
\V
i
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TN
41
JO(2I
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I
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A'5S0G, JOB.--,. 19 i'1
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CPI GCS, CA
-M.W4
_._
FLAN*, G
Y,
L A
�JILDING
E RT
-
EIT
0
_r
.s®6 Master plan :ak for
ifilf,
a S ' il►'�
ml
41
oo�
L! 4.,%4 tans
and spec,ficryt'v,ns
M' ECTI ►-e
i
.1 s se p I
kept on the job at all tirnes and it is unl�N't'° ' ,0� _
09
make any changes or alfe.rc,+ions on some Withod �� Ase - of 5 ffi. from tie
written permission f B ttehe Department of Pu4a propertylines and a setback
Works, Cou'lty o of 50ft. rom the road
centerline shall be clear of
structures or equipment excepi
_ . y� for a 2 ftoverhana.
�o
TN
41
JO(2I
�
I
iDl D
I
l
A'5S0G, JOB.--,. 19 i'1
.1 s se p I
kept on the job at all tirnes and it is unl�N't'° ' ,0� _
09
make any changes or alfe.rc,+ions on some Withod �� Ase - of 5 ffi. from tie
written permission f B ttehe Department of Pu4a propertylines and a setback
Works, Cou'lty o of 50ft. rom the road
centerline shall be clear of
structures or equipment excepi
_ . y� for a 2 ftoverhana.
�o
TN
�
i
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,1_f�CI� R
bURMAN $
A'5S0G, JOB.--,. 19 i'1
--
CPI GCS, CA
�;_r',n. t�'"�•a'F ._1S?f i.,. r.aY�' 1i�:R�E;- .. _ T. y K,..j, '+?'�..:• .'vs ,.;qf� v.,x .a _ rwy. < r,.r•rir_� ... ,-,p.. r__ _ � ...�„ � :.. `e�{j�r
,1` - �. �" ► . 'x_45-0-081 93 1"647 E ?'a
L\l
ySUZANNE`<�RAND TETON, CHICO r -�..�- ,FOR HOT TUB/SF �F � :�)�'/�� /�y�
,. I ' �,
COUNTY OF BUTTE -,DEPARTMENT. OF PUBLIC WORKS
% 7 County Center Drive - Oroville, California 95965 - Telephone: 916.'538-7541
APPLICATION AND PERMIT
PERMIT N
3VV-
ASSESSOR PARCEL.NUMBER
007-450-081
ZONING
R-1
BUILDING PERMIT
OwN
Suzanne Yost
TELEPHONE
891-1496
80. FT. OCC. BUILDING VALUATION
OWNER'S MAILING ADDRESS
568 Grand Teton Way, Chico 95926
CONTRACTOR'S NAME
Unknown
TELEPHONE
'
CONTRACTOR'S MAILING ADDRESS
Fireplace
CONSTRUCTION LENDER
UNKNOWN
Total Valuation Is
Filing Fee
$ 15.00
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
$
968 Grand Teton W
PLUMBING PERMIT
Filing Fee 15.00
Each Trap
5.00
Solar or heat pump water heater
20.00
LOT NO.
81
SUBDIVISION NAME
North Park Sub. Phas 2 Unit 1
PARCEL MAP
80-37
Water piping
7.00
Each qas water heater or vent
7.00
USE OF STRUCTURE
SF I Duplex❑ Mobilehome❑ Other
SPECIFY
Gas piping system 1 - 5 outlets
5.00
Building sewer
15.00
Mobile Home S I G I W
@ 15.00
TYPE OF WORK It
New Addition a Remodel ❑ Utilities ❑ InstallationC fAther U
Describe work: Add Subpanel for portabel Hot Tub
Permit Fee
$
Contractor
ELECTRICAL PERMIT
Filing Fee 15.00
f
Main service 600V OR LESS
200A OR LESS
1 1 8.50 18 5a
Main service 200A TO 1000AI 1
CONTRACTORS LICENSE LAW
I declare under penalty of perjury (check one):NEW
❑ 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 Ao. Classification
❑ I, as the owner, or my employees with wages as their sole compen-
sation, will do the work,and the structure is not intended or offered
for sale. (Sec. 7044)
LV 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.&)
OR ADDNS. ACC. BLDGS. /
_37.50
3.64 sq.ft.
CONSTR ULT' -OUTLET
NON -R ESID BRANCH CIRC ITS
@ 5.00
POWER APPARATUS e
(SINGLE OUTLET CIS. )
Ex. Occup(OUTLETS OR FIXTURES
20 J 7611
d6L- 46&1
FIXED
Ex. Occup. OUTLETS PRESID ILNS.KEA.)
I 3.00
Temporary service
15.00
Mobile Home Facilities
15.00
Misc. Wiring
1 15.00 15.00
Pre -Inspection
1 20. 20.00
Permit Fee
$ 68.50
—
WORKMEN'S COMPENSATION INSURANCE
I declare under penalty of perjury (check one):
❑ The permit is for $100.00 (valuation) or less.
❑ I have placed on file with the County of Butte Building Department
a Certificate of Workmen's Compensation Insurance or a Certificate
of Consent to Self -Insure.
Q I shall not employ any person in any manner so as to become subject
/ • to the W. C. laws of California.
Notice to Applicant: If after making this statement, should you become subject
to the W. C. provisions of the Labor Code, you must forthwith comply with such
provisions or this permit shall be deemed revoked.
Contractor
MECHANICAL PERMIT
FiIingFee 15.00
Heating
1
Cooling
Hood
6.50
Ventilation
Permit Fee
$
Contractor
I certify that I have read this application and state that the above information
is correct. I agree to comply to all County Ordinances and State Laws relating
to building construction, and hereby authorize representatives of the Countyot
Butte to enter upon the above-ment.oned property for inspection purposes.
I also agree to save, indemnify and keep harmless the County of Butte against
all liabilities, judgments, costs, and expenses which may in any way accrue
against said County in consequence of the granting of this permit.
X Date '' - i
An OSHA permit is required for excavations over 5'0" deep and demolition or construct-
ion of structures over 3 stories in height.
Mobile Home Installation Fee $
Energy Inspection Fee $
OCC
CONST TYPE
TOTAL FEE $� - 50
HAz
1 11 FEES I
IMP
I FLOOD
I CDF
PARCEL
I PD
HD
ISSUE
This permit is hereby issued under the
sions of the Butte County Code and/or
work indicated above for which fees
DIR TO IC
By b- /
PERMIT EXPIRES Date
applicable provi-
resolutions to do i
have been paid.
WORKS
ate
Receipt No.IV3 "%'C
WHITE-D.F.W.. YELLOW -ASSESSOR, PINK-IN5PECTOR. GOLDENROD -APPLICANT
COUNTY OF BUTTE - DEPARTME�JT OF PUBLIC WORKS
7 County Center Drive - Oroville, California 95965 - Telephone: 916.'538-7541
APPLICATION AND PERMIT
PERMIT N
A
ASSESSOR PARCEL NUMBER
007-450-081
ZONING
R-1 r.
BUILDING PERMIT VV V
OWNTELEPHONE
uzanne Yost
891-1496
S0. FT. OCC. BUILDING VALUATION
OWNER'S MAILING ADDRESS
568 Grand Teton Way, Chico 95926
CONTRACTOR'S NAME
Unknown
TELEPHONE
I
CONTRACTOR'S MAILING ADDRESS
Fireplace
CONSTRUCTION LENDER
UNKNOWN
Total Valuation $
Filing Fee
$ 15.00
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 15.00
Each Trap
1 5.00
Solar or heat pump water heater
1 20.00
LOT NO.
81
SUBDIVISION NAMEPARCEL
North Park Sub. Phas 2 Unit 1
MAP
80-37
Water piping
7.00
Each qas water heater or vent
7.00
USE OF STRUCTURE
SF [3 Duplex❑ Mobilehome❑ Other
SPECIFY
Gas piping system 1 - 5 outlets
5.00
Building sewer
15.00
Mobile Home S I G I W
@ 15.00
TYPE OF WORK
New Addition U Remodel ❑ Utilities ❑ Installation❑ Other ❑(
Describe work: _ Add Subpanel for portabel Hot Tub _
Permit Fee
$
Contractor
ELECTRICAL PERMIT
Filing Fee 15.00
Main service 200V OR LESS
00AOR LESS
1 18.50 18.50
Main service 200A TO 1000A1
37.50
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.SINGLE
License .Jo. Classification
El I, as the owner, or my employees with wages as their sole compen-
sation, will do the work,and the structure is not intended or offered
for sale. (Sec. 7044)
LV 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.Ek
OR ACDNS. (ACC. BLDGS.
3.65 sq.ft.
NEW CONSTR. ULTI.OUTLET
NON-RESID BRANCH CIRC ITS
@ 5.00
POWER APPARATUS &
OUTLET CIR.
E_
Ex. Occup(OUTLETS OR FIXTURES
20 76r1
AL_ P 450
EX. Occup. OUTLETS PIRESID 1FIXED APLNS REA.�
I 3.00
Temporary service
15.00
Mobile Home Facilities
15.00
Misc. Wiring
15.00 15.00
.00 20.00
Permit Fee
$ 68-50
—
WORKMEN'S COMPENSATION INSURANCE
I declare under penalty of perjury (check one):
❑ The permit is for $100.00 (valuation) or less.
❑ I have placed on file with the County of Butte Building Department
a Certificate of Workmen's Compensation Insurance or a Certificate
of Consent to Self -Insure.
PV I shall not employ any person in any manner so as to become subject
/N to the W. C. laws of California.
Notice to Applicant: If after making this statement, should you become subject
to the W. C. provisions of the Labor Code, you must forthwith comply with such
provisions or this permit shall be deemed revoked.
Contractor
MECHANICAL PERMIT
FiIingFee 1 15.00
Heating
Cooling
g
Hood
6.50
Ventilation
Permit Fee
$
Contractor
I certify that I have read this application and state that the above information
is correct. I agree to comply to all County Ordinances and State Laws relating
to building construction, and hereby authorize representatives of the Countyot
Butte to enter upon the above-mentioned property for inspection purposes.
I also agree to save, indemnify and keep harmless the County of Butte against
all liabilities, judgments, costs, and expenses which may in any way accrue
again said County in c nseq nce of the granting of this permit.
X Date � 3
re o Applicant — Owner Contractor ❑ Agent ❑
An OS ermit is ra red for excavations over 5'0" deep and demolition or construct-
ion of structures over 3 stories in height.
Mobile Home Installation Fee S
Energy Inspection Fee $
OCC
CONST TYPE
TOTAL FEE $ 68.50
f,Az
1 11 FEES I
IMP
I FLOOD
I CDFPARCEL
PD
HD
ISSUE
This permit is hereby issued under the
of the Butte County Code and/or
sionsSignat
work indicated above for which fees
DIR IC
BY
PERMIT EXPIRES Date
applicable provi-
resolutions to do
have been paid.
WORKS G�
to
,/�
O b/1-6
Receipt No. !!
WHITE-D.P. W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT
PRE -INSPECTION.;
OWNER: DATE (D -LI -q3
LOCATION: c� p PMEQ �o esu W!� A.P.
CONTRACTOR: ZONING
PRE -INSPECTION FOR:
--T
DATE TO INSPECTOR
PERMIT HISTORY: NONE U AS FOLLOWS:
Y
i
TYPE OF OCCUPANCY
FIELD - INFORMATION
BUILDING USAGE:
MWANT : '
Q OCCUPIED HAS ELECTRIC Q HAS GAS HAS SANITATION FACILITIES
Q HEATED -COOLED
PERSON CONTACTED
ACTON RECOMMMMED:
ISSUE Q HOLD FOR
OTHER:
BY ( f, >' L,�(.l�'1 DATE �2 � ` I —
COUNTYOF BUTTE - DEPARTMENTOF DEVELOPMENT SERVICES -BUILDING DIVISION
7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 -TELEPHONE (916) 538-7541
PERMIT APPLICATION DATASHEET
OWNER V 2. rt9� r✓ - .3 0- A. P. No. -
Proposed Building Use Alec 1'z i C_ Building Inspector Date
�C)�
46 - 2- S O
At time of permit application, I was advised the following data must be submitted prior to permit processing and/or issuance:
DATE RECENED BY
1. All items have been submitted . ........................................
2. Plot plans, 3/4 sets, signed by preparer of plans . ..........................
3_ Complete plans, 3/4 sets, signed by preparer of plans . ......................
.4. Engineered plans and calcs, 3/4 sets, with wet signature on plans . .............
5. Hazardous Material Form . ........................................... .
6. Energy Design Compliance and supporting documentation . ..................
7. Statement of Intent for Non -Heated and A/C Buildings . ......................
8. Engineered truss details and layout in duplicate (required prior to plan check). .. .
9. Mobilehome data and manufacturer's installation instructions, 2 sets. ...........
10. Fees of $.........................................
11. Impact fees as shown on attached schedule . ..............................
12. California Department of Forestry plan approval/fees. ....................... .
13. Flood elevation letter (100 year flood) by California Engineer ...................
14. Sanitation and plot plan approval Health Department. ...........
15. City of Chico plumbing permit . .........................................
16. Plot plan and business license approval from City of Biggs/Gridley. .............
17. Planning approval for (A) Use: (B) Parking:
18. Contact Land Development about (A) Improvements (B) Drainage. ......... .
� �1'9 Driveway permit (construction pproval required prior to occupancy). . .
CG 20. Pre -inspection for P��GC /r!/h i- C_ required. .. a�i� :9 i�s'edo�- (Date)
21. Contractor's license information. (No., Name Style, Classification) . ..............
22. Certificate of Workmans Compensation Insurance . ......................... .
23. Owner -Builder Verification (Given to owner , Mail to owner _ )............
24. Recorded copy of Agricultural Acknowledgement Statement . ..................
25. Letter of signature authorization . ........................................
26. Copy of recorded deed of parcel creation and 60 right of way to a public road. .... .
27. Letter of intent on building use . .........................................
28. Mobilehome utility clearance ..... .
29. Documentation of legal access . ....................................... .
30. Documentation of 50% subdivision developed or (A) Road improvements completed
and (B) Parcel meets zoning area and frontage requirements . ...............
31. Existing violations/expired permits . ......................................
32. Plan check list . .....................................................
33.
'34.
s
When you issue the permit, process as follows: Mail to owner. Mail to contractor.
Telephone and hold for pickup at office. Deliver with inspector.
Other
Parcel Creation �(
Acreage Applicant �'�' �-�� Date 9.3
Copy of Haz-Mat form sent Health Dept. Fire Dept. `Air Pollution/ Date
Copy of plans sent Health Dept. Fire Dept. Other Date By
The following data must be submitted prior to permit issuance: (Circle new item not checked above).
1. Index permit for above items No.
2. Additional items required:
Contractor, designer, owner, was advised of above required data by _ phone _ mail Counter by Date
Contractor, designer, owner, was advised of above required data by _ phone _ mail Counter by _ Date
Plans checked by Date Plans approved by Date
Sets of plans on hold in File cabinet AP folder
Copy - Department of Public Works
COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS
7 County Center Drive - Oroville, Californi&95965 - Telephone: 91G,'538-7541
APPLICATION AND PERMIT
PERMIT NO.
ASSESSOR PARCEL NUMBER
'DO SO
ZONIN
,=
.
BUILDING PERMIT
OWNER
S�,z, S a—
TEL -PHONE
2391-1 Aq
SQ. FT. OCC. BUILDING VALUATION
OWNER'S MAILING ADDRESS
(p G�0.r.
CONTRACTOR'S �NAM
TELEPHONE
CONTRRA/C_VTOR'S MAILING ADDRESS
Fireplace
CONSTRUCTION LENDER
UNKNOWN
Total Valuation $
LENDER'S MAILING ADDRESS
Filing Fee $ 1.55,00
Permit Fee $
ARCHITECT OR ENGINEER
LICENSE NO.
Plan Checking Fee $ -
Energy Plan Checking Fee $
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Penalty $
BUILDING ADDRESS
S(e b Cr r`c�r i Is „ \93 a, I'-- Ca , g 5- 12-
Permit fee $ '
PLUMBING PERMIT Filing Fee 15.00
Each Trap I 5.00
Solar or heat pump water heater 20.00
LOT NO. SUBDIVISION NAME / �l ,/ /
�i11'I�S�bCIldi$/O/1� ftSt_,G (�(lril /
PARCEL MAP
O� 3�
Water piping 7.00
Each qas water heater or vent 7.00
USE OF STRUCTURE
SF (% Duplex❑ Mobilehome❑ Other
sPECI FY
Gas piping system 1 - 5 outlets 5.00
Building sewer 15.00
Mobile Home S I G I W @ 15.00
TYPE OF WORK
New Addition _ Remodel, Utilities ❑ Installati//on/❑ Other ❑
Describe work: �� lGGS oah P L ; o2r- p,dq,6 e. �ln1 AA -6 _
Permit Fee $
Contractor
ELECTRICAL PERMIT Filin ee 15.00
Main service 200AOR ORLESS il'18.50 `
Main service 200A TO IOOOA) 37.50
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
11 I, as the owner, or my employees with wages as their sole compen-
sation, will do the work,and the structure is not intended or offered
for sale. (Sec. 7044)
�i, as the owner, am exclusively contracting with licensed contract-
ors. (Sec. 7044)
❑ I am exempt under Sec. , Business and Professions Code
for this reason
NEW CONST.(DWELLING OCCUP.h\ 3.66 sq.tt.
ACC. BLDGS. II
NEW CON5Tit ULTI.OUTLET @ 5 00
NON.RESID BRANCH CIRC ITS
(POWER APPARATUS &)
SINGLE OUTLET CIR.
75d
Ex. Occup(OUTLETS OR FIXTURES AL.
FIXED APLNS.
Ex. Occup. OUTLETS (RESID IREA.) I 3.00
Temporary service 15.00
Mobile Home Facilities 15.00
Misc. Wiring
g 15.00
.JJ eGt'%/' 2�
Pe it 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.
❑ 1 shall not employ any person in any manner so as to become subject
to the W. C. laws of California.
Notice to Applicant: If after making this statement, should you becomesubject
to the W. C. provisions of the Labor Code, you must forthwith comply with such
provisions or this permit shall be deemed revoked.
Contractor
MECHANICAL PERMIT FiIingFee 15.00
Heating
Cooling
g
Hood 6.50
Ventilation
permit Fee $
Contractor
I certify that I have read this application and state that the above information
is correct. I agree to comply to all County Ordinances and State Laws relating
to building construction, and hereby authorize representatives of the Countyot
Butte to enter upon the above-mentioned property for inspection purposes.
I also agree to save, indemnify and keep harmless the County of Butte against
all liab I I s, judgments, costs, and expenses which may in any way accrue
ag est said County in c nse ence of the granting of this permit.
X Date Z
Signa,u of Applicant Owner ❑ Contractor ❑ Agent
An OS ermit is r quired for excavations over 5'0" deep and demolition or construct-
ion of structures ove 3 stories in height.
Mobile Home Installation Fee S
Energy Inspection Fee $
OCC CONST TYPE
I TOTAL FEE $
HAz
1 0FEES
IMP
I FLOOD
I COF
I PARCEL
PD
1;
ISSUE
This permit is hereby issued under the applicable provi-
sions of the Butte County Code and/or resolutions to do
work indicated above for which fees have been paid.
DIRECTOR OF PUBLIC WORKS
By Date
PERMIT EXPIRES Date
Receipt No.
WHITE-D.P.W.. YELLOW-ASSE330R, PINK -INSPECTOR, GOLDENROD -APPLICANT
`A
y 'SI`fiE'PLAN
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Assessor's Parcel Number: p v �I - ❑ p
❑ m ® ®U ®❑ Scale: 1„ 1 2—
Owner Name ///rs
Address / Phone No. Site Location As Ago V9
Contact: Name Phone odchsr23,20o3
FOR OFFICE USE ONLY
Zoning:
General Plan Desig:
Size, Acres
4.00r
PROVIDE FOR ALL
ADJACENT PARCELS
SIZE (AC):
ZONING:
GEN PLAN:
USES: -