HomeMy WebLinkAbout007-450-082Alvins
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560 Grand Teton Way, Ch
Permit # 2106-82B,P,E,M( c� api)
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007-450-082
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HILL: SCOTT .,�r,.ay- x..;:A- • -
560 GRAND TETON WAY, CIIICO" •';, 'x
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Alvins
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560 Grand Teton Way, Ch
Permit # 2106-82B,P,E,M( c� api)
contra; [ ebb Bros Const ,C i o !j ISI
Contr: Webb Bros. ,Const, Chico k
Permit#384-83B P E p(new singleamily)•_
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7-45-82 r
f DAVID SPRING
560,Grand Teton- %ay, �Co i
Permit#2585-89B,E(new det�C ed g:r ) -
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Yv i?� . 45.18
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;renewal
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007-450-082
105 -'1380, -
HILL: SCOTT .,�r,.ay- x..;:A- • -
560 GRAND TETON WAY, CIIICO" •';, 'x
Cciit:`OWNER.
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BUTTE COUNTY
DEPARTMENT OF DEVELOPMENT SERVICES
BUILDING PERMIT
24 HOUR IUSPECTION #: '(530) 538-7636 (OROVILLE) (530) 891-2834 (CHICO)
OFFICE M (530) 538-7541
PERMIT NO.
BPO51380
LICENSED CONTRACTORS DECLARATION
I hereby affirm under penalty of perjury that I am licensed under
Issued Date: 09/13/2005 APN: 007-450-082-000
provisions of Chapter 9 (commencing with Section 7000) of Division 3 of
the Business and Professions Code, and my license is in full force and
effect.
Site Address: 560 GRAND TETON WAY CHI
License Class : License Number:
Map Index:
Date: Contractor:
Description: ADD SF(873)
OWNER -BUILDER DECLARATION
I hereby affirm under penalty of perjury that I am exempt from the
Contractors' State License Law for the following reason (Sec. 7031.5
Business and Professions Code: Any city or county which requires a
Owner: HILL SCOTT & NORA C
permit to construct, alter, improve, demolish, or repair any structure, prior
560 GRAND TETON WAY
to its issuance, also requires the applicant for such permit to file a
CHICO, CA
signed statement that he or she is licensed pursuant to the provisions of
the Contractor's State License Law (Chapter 9 commencing with Section
95973-0384
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).):
8__114
/ I, as owner of the property, or my employees with wages as their
sole compensation, will do the work, and the structure is not
Applicant: HILL SCOTT & NORA C
pp
intended or offered for sale (Sec. 7044, Business and Professions
Code: The Contractors' State License Law does not apply to an
560 GRAND TETON WAY
owner of property who builds or improves thereon, and who does
CHICO, CA
such work himself or herself or through his or her own employees,
95973-0384
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
Contractor:
and Professions Code. The Contractors' State License Law does
not apply to an owner of property who builds or improves thereon,
and who contracts for such projects with a contractor(s) licensed
pursuant to the Contractors' State License Law.).
❑ 1�aym Exempt under Article 3 of the Business and Professions Code
Date: Own I- fi ( �_
!::.
License #:
WORKERS' COMPENSATION DECLARATION
I hereby affirm under penalty of perjury one of the following declarations:
❑ 1 have and will maintain a certificate of consent to self -insure for
workers' compensation, as provided for by Section 3700 of the
Architect: ACQUISTAPACE, JOSEPH
Labor Code, for the performance of the work for which this permit
Engineer:
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:
Total Square Ft: 873 S.F.
Carrier:
Valuation: $56,745.00
Policy n:
Census Code:
❑ I certify that in the performance of the work for which this permit is
issued, I shall not employ any person in any manner so as to
become subject to the workers' compensation laws of California,
and agree that if I should become subject to the workers'
compensation provisions of Section 3700 of the Labor Code, I shall
I O�
forthwith comply with those provisions.
Date:
ll J 05
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
w -
compensation, damages as provided for in Section 3706 of the Labor
code, interest, and attorney's fees.
CONSTRUCTION LENDING AGENCY
This permit is hereby issued under the applicable provisions of the Butte County Code and/or
I hereby affirm that there is a construction lending agency for the
Resolutions to do work indicated abo a for which fees have been paid.
performance of the work for which this permit is issued (Sec 3097 Civ.)
� I v Date: lJ
Name:
By. /1, )
PERMIT EXPIRES ON: "I ' 0 n
Address:
Date
❑, 1 hereby certify that the use of this facility shall comply with Sections 25505, 25533, and 25534 of the California Health and Safety Code, which regulate the storage,
handling and use of hazardous materials.
❑ 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 Countytoenter upon theabovementioned property for inspection purposes
Print Name:^ /\a I I I Sign-
DS--
Date:
Owner ❑ Contractor O Agent for Owner ❑ Agent for Contractor
0i]
BUTTE COUNTY U� 4 3Y
DEPARTMENT OF DEVELOPMENT4SkICES
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 V p�, V
Website: www.buttecounty.net/dds
"PLEASE PRINT CLEARLY" ✓ �,
APPLICANT NAME
OWNER
L st Nal
Cit VN `GQ
irs Name
Zi
�'S9 3
City
a
Address
SSD
cfl � Tea o
City ,,
Map Book
Ste
Zig
Phon�s Ol
r
� 7
Fax
E-mail
APPLICANT NAME
CONTRACTOR
Name
Cit VN `GQ
Address
Zi
�'S9 3
City
xE-mail
State —Flip
Phone
Map Book
Fax
E-mail
Planner
Lic. #
Class
APPLICANT NAME
ARCHITECT/ENGINEER
Name
Cit VN `GQ
Address
Zi
�'S9 3
City
xE-mail
State
Zip
Phone
Map Book
Fax
E-mail
Planner
State License Number
APPLICANT NAME
Name , I
Address T��v
S GrA� r
Cit VN `GQ
State
C.tb
Zi
�'S9 3
Phone
CC30? ` Y-089
xE-mail
E-mail
APPLICANT SIGNATURE
X
For office use only:
Zoning
Property Address
660 6tA^3& °Te4O.,D WA -
Flood Zone
Cross Street
tJ
SRA
I Yes
119P
Occ.
Type Const.
Subdivision Name
Map Book
Page
Lot #
Planner
Date Approved:
OVER FOR SUBMITTAL REQUIREMENTS
K:\FORMS\BUILDING FORMS\BldgApplSubRgmts.doc
PERMIT
NO. l
OS -1,5's -o
BIN #
Q_
LOCATION
AP#
00)1- yS_d - o
Property Address
660 6tA^3& °Te4O.,D WA -
City
GI^ w
Cross Street
tJ
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:
Sq. Footage 8 73
❑ 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.
tunt:% L�jReceived 44- C5 " lV r --/-//Bldg
SRA
Receipt #:4367,� Sheriff
(2 l�
SMIP
DatOther
Date- �'S.r �lW /
�J c. /�� 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.
❑ 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).
❑
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
Butte County Department of Development Services
YVONNE CHRISTOPHER, DIRECTOR
O
7 County Center Drive
Oroville, CA 95965
(530) 538.7601 Telephone
x•/00M
(530) 538.7785 Facsimile
co
TO:
'
FROM:
LOr
1
SUBJECT:
O
�
DATE:
WILLDAN
o�UTtFo
o o
0 0
o 0
UN
Scott Rutherford (530) 538-7160
srutherford@buttecountv.net
Plans Transmittal For Review Per Contract
6/3/2005
Applicant: Hill, Scott Permit No: 05-1380
Project Type: JAddn APN: 1 007-450-082
100% 70%
Plan Check Fees $ 340.94 $ 238.66
$ 340.94 $ 238.66
WILLDAN Fee $ 238.66
Copies Attached: Qty
Chk
Application
Site Plan Review
FEMA Elevation Certificate
Building Plans
Truss Calculations
Energy Calculations
Structural Calculations
Residential Plan Review Guide
Residential Construction Requirements
Other
Other
COUNTY OF BUTTE -DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING DIVISION
7 County Center Drive, Oroville, CA 95965 Phone (530)538-7541 Fax (530)538-2140
PERMIT APPLICATION DATA SHEET
OWNER: 141- ASSESSOR PARCEL NUMBER ( JU
/ �C
Proposed Building Use: /`/�(�/ /%/G / -L �/ Permit Technician: � Date:
Items required in order to apply for a permit. All boxes MUST be checked OR marked NA in order to apply.
1. Site plans, 3 or 4 sets, signed by the preparer of the plans.
tL 2. Complete plans, 3 or 4 sets, signed by the preparer of the plans.
❑ 3. Engineered plans, 3 or 4 sets, with wet signature on plans AND 2 sets of stamped and signed calculations.
4. Engineered truss details and layouts in duplicate. No faxes!
❑ 5. Letter from Engineer or Architect for truss design review. 4
6. Energy compliance design and supporting documentation in duplicate.
❑ 7. Statement of Intent for Non -heated and A/C for Non -Residential Buildings.
❑ 8. Manufactured homes: (A) Installation manual, including marriage line info, (C) Floor Plan, (D) Tie down or fnd plans, all in
duplicate.
❑ 9. 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.
❑ 10. Flood Elevation Certificate, wet -stamped and signed, in duplicate.
❑ 11. Letter of intent for non-residential buildings
❑ 12. Hazardous Material Form
0 13. Acknowledgement of building permit application without required clearances.
❑ 14. Other
Remaining items needed to issue the permit. (May require additional plan review upon receipt of the following items.)
fL 15. Sanitation and site plan approval from the Environmental Health Department in 51t-'<ico ❑ Oroville, as applicable
❑ 16. Fire Sprinklers............................................................................................
❑ 17. Agricultural Buffer clr and site plan apr from the Ag Commissioner Sent by
❑ 18. Soils Report and/or Engineered Foundation required ...........................................
❑ Erosion Control Plan Required.........................................................................
,t
ees as shown on the attached Schedule of Fees Due Sheet ..............................
❑ City of Chico Plumbing permit........................................................................
❑ 22. Site plan and business license approval from the City of Biggs ..............................
❑ 323, -California Department of Forestr plan approval ❑ paid. Sent by:
24.
tanning approval for (A) Use: (B)Parking: (C) Parcel Check:...1/......
❑ 5'Contact Land Development about _ Improvements, _ Drainage ........................
26. NPDES Form'.............................................................................................
❑ 27. Encroachment Permit for driveway from the Public Works Dept ...........................
❑ 28. Contractor's license information. (Number, Name Style, Classification) ...................
❑ 29. Worker's Compensation Carrier and Policy Number ..........................................
30. Owner -Builder Verification ( t6iven to owner, _Mailed to owner) .....................
❑ 31. Letter of Signature authorization....................................................................
❑ 32. Recorded copy of Agricultural Acknowledgment Statement .................................
❑ 33. Existing violations and/or expired permits.......................:::...............................
❑ 34. Deed Restriction......................................................:....................................
❑ 35. ❑ Legal description, ❑ M.H. Title, title search, registration or MCO .........................
❑ 36. Other:
❑ 37. Other:
When issued Telephone and hold for pickup.
I have been informed of the above items and requirements for obtaining a building permit.
Applica :� �G 4wW Date: �- o -
1. Index permit application for the above items numbered: _ Plan Check Lett
2. Additional items re u d
Contractor, desi erowne was advised of the above data by phone, ❑ mail, ❑ counter, by Date:
Contractor, design rvvGner, was advised of the above data by ❑ phone, ❑ mail, ❑ counter, by Date:
Contractor, designer, owner, was advised of the above data by ❑ phone, ❑ mail, ❑ counter, by Date:
Plans reviewed by: Date: Plans approved by: I In Date:
Structural reviewed by: Date: I Structural approved by: Date:
Note transfer by: T Date: 114 i
Yellow: Building Division
s
E.H. USE ONLY
Slot Plan Attachod ✓
Rost Plan Attachad
Santo G.D. !
TO: Building Department
FROM: Environmental Health
SUBJECT: Sanitation Clearance
Owner Location AP#
Plan Approved for: Sewage Disposal e/ Water Supply: Public :% Private Well
Clearance for dwelling. Other
/-- /,-1 /,;Jo .e&r"x" , -n 5r e .
Hold final for: C5�i1'0%iC- A -4 A/7-1, QA -2
Final clearance O.K. for:
NOTE:
Environmental Healt pecialist Date
8/96
COUNTY OF BUTTE
DEPARTMENT OF DEVELOPMENT SERVICES — BUILDING DIVISION
7 COUNTY CENTER DRIVE, OROVILLE, CA 95965 PHONE (530)538-7541, FAX (530)538-2140
SCHEDULE OF RECEIPT OF FEES
Website: www.buttecounty.net/dds
OWNER r! J1
J
PROPROSED BUILDING USE
0 -1-
1. BUILDING PERMIT FEES
--- Balance Due ..................... $
--- FEMA Flood elevation review ... $
A.P. # z zV_
DATE
RECEIPT # DATE REC.
M X56 9 -13-O5
--- Additional plan checking Fee.... $ 'n /)()
2. SCHOOL DISTRICT FEES 1 11.M ( ( Ir4c �l 9/��5
(paid at School District Office) (form available after Plan Check)
3. SHERIFF FEES (paid at Building Division)
Residential............ X $360.00 =$
Units
Commercial (sq. ftg.).
bq.rtg.
X $0.03 = $
4. RECREATION DISTRICT FEES
(paid at Recreation District Office) (form available after Plan Check)
5. RESIDENTIAL DEVELOPMENT IMPACT FEES
COUNTY WIDE (per dwelling) $
CHICO URBAN AREA (per dwelling) $
EL MEDIO FIRE DISTRICT (per dwelling) $
NORTH CHICO SPECIFIC PLAN (per dwelling) Zoning $
Iyn 6. SRA FIRE INSPECTION AND PLAN CHECK FEE
$204.98 (paid at Building Division)
7. WATER TENDER FEES BATTALION #
$200.00 (paid at Building Division) G
V/ '8. SMIP C '7 1'1�
9. OTHER
10. OTHER
11. OTHER
At time of permit application, I was advised the above fees are required to be paid prior to issuance of the permit. These fees
may be changed during the plan checking process.
DATE, S U�
Pursuant to Government Code Section 66020, you are hereby notified that items, 2, 3, 4, 5, 6, 8, 9, and 10 above may have been imposed on your project. You
have 90 days from the date of approval of the project or from the imposition of the above mentioned items during which you may protest. The requirements for a
protest are specified in Government Code Section 66020(a).
Original -Building Division Yellow -Applicant Pink -Owner (rev. 3/05)
O�Q FgTMENT O�
0
0 _ c
pc�UN��s
�U0 W�F�
Department
.0 o u n t Y
J. Michael Crump, Director
of Public
o f B u t t
ork5
LAND DEVELOPMENT DIVISION
Storm Water Management Program
7 County Center Drive
Oroville, CA 95965
(5.30) 538-7266
(FAX) 538-7171
National Pollutant Discharge Elimination System (N.PDES) Phase ll
Construction storm Wafer Permit and Storm Wafer. Pollution Prevention
Placa (SWPPP) Acknowledgement ����
Project Description:
Project Location and/or Parcel Number:
By signing below, I, the project owner/owner's agent, certify that this project WVML NOT DISTURB
1 acre -or more of land and that I, therefore, do not need to apply for a Construction Storm Water Pemlit
from the State of California Regional Water Quality Control Board. Phased projects that contain
multiple site build -outs of less than one acre but when combined with subsequent phases total more
than one acre of disturbed soil will require a Construction Storm Water Permit from the State of
California Regional Water Quality Control Board.
I am aware that submitting false and/or inaccurate information or failure to apply for a Construction
Storm Water Permit from the State of California Regional Water Quality Control Board for a project
that disturbs one acre or more of land may result in revocation of grading and/or other permits or other
sanctions provided by law.
Signed:
Title:
Date:
Dec 17 02 11:38a
p.2
OWNER -BUILDER VERIFICATION
Attention Property Owner:
An "owner -builder" building permit has been applied for in your name and bearing your signature.
Please complete and return this information at your earliest opportunity to avoid unnecessary delay
in processing and issuing your building permit. No building permit will be issued until this
verification is received.
1. I personally plan to provide the major labor and materials for construction of the proposed
property improvement: YES M`� NO ❑
2. I HAVE @HAVE NOT ❑ signed an application for a building permit for the proposed work
3. I have contracted with the following person (firm) to provide the proposed construction:
NAME:
ADDRESS: CITY:
PHONE: CONTRACTOR'S LICENSE NO.
4. I plan to provide portions of this work, but I have hired the following person to coordinate,
supervise, and provide the major work:
NAME:
ADDRESS: CITY:
PHONE: CONTRACTOR'S LICENSE NO.
5. I will provide some of the work but I have contracted (hired) the following persons to provide
the work indicated:
NAME ADDRESS PHONE TYPE OF WORK
SIGNED:
PROPERTYOWNER:,�
SOCIAL SECURITY NUMBER:__
DATE: � —,.?, ��— O
NOTE: This Owner -Builder Verification is required by Section 19831 and 198.12 of the
California Health and Safety Code. This verification must be completed and
returned to our office before we are permitted to issue the permit.
OVER
W I LLDAN 17 C Street
Marysville, California 95901
Serving Public Agencies 530/749.2373 fax 530/749.2199
'www.willdan.com
August 29, 2005 x
Scott Rutherford
Butte County Building' epartment
7 County Center Drive
Oroville, CA 95965
(530) 538-7169
(530) 538-2140 FAX
BUTTE COUNTY PLAN REVIEW REPORT
Status:
Approved
Jurisdiction Job No:
05-1380
Assessor's Parcel No:
007-450-082
Description:
Hill Addn
Willdan Project No:
14353-1705
Dear Mr. -Rutherford:
Willdan has completed a plan review of submitted plans and documents for the above referenced project
and recommends your approval with the conditions noted on the 2nd page of this letter. The plans and
documents provided for this review that have been found in compliance with the applicable codes are:
* Plans: Two (2) copies, Sheets 1 through 4, dated 5/13/05, by Dave Wasney Jr., Building
Design Consultation.
* Structural Calculations: Two (2) copies dated 5/17/0,5 by Joe Aquistapace, Architect.
* Truss Calculations: Two (2) copies dated 3/28/05, by Longfellow Lumber Co. Inc.
* Energy Calculations: Two (2) copies dated 5/18/05, by Robert MacKenzi.
The plans have been stamped with the Willdan approval stamp and dated. According to our previous letters
relating to this project, the superseded plans and documents will be discarded within 10 days unless we
receive other instructions.
On the pages to follow is the identification of the codes and standards applicable to the project, a code
analysis, conditions -of -approval and identification of any deferred submittals.
APPLICABLE CODES
Our review was based on `requirements of the 2001 California Building Standards Code found in the
California Code -of Regulations, Title'24:
• Part 2, known as the California Building Code (CBC)
• , Part 6, known as the` California Energy Code, and Energy Commission Standards (CELS)
CODE ANALYSIS
Our, plan review, revealed the following information regarding the occupancy designation, type of
construction, and other pertinent 'features. This information is consistent with that shown on the, plans.
Specific
Type of Type of
1" Floor Sq-'
2"d Floor S q
Stories
Total Sq.Ft
Use
Occupancy Construction
Ft
Ft
y
' p
E;.E ks-:L`f9.
+'� s� �.f
^i r: ,. i�
1„4"4 .4
.-Y
Dwelling
R-3 V -N -
1
_873
NA
873
Addition
CONDITIONS OFAAPPROVAL
1. Approval is `contingent upon'the review, requirements and approval of other departments
and/or agencies'that have jurisdiction over this project.
.2. Revisions'and notes as redlined on the plans.
3. Contingent upon Butte County Planning. Department review and conditions of approval:
4. . Contingent upon California Department of Forestry (CDF) review and condition's of approval.
SPECIAL INSPECTION NEEDS
Our plan review;reveals_no special inspection needs pursuant to CBC '1701.
DEFERRED SUBMITTALS
Our plan review reveals no deferred submittals.
Sincerely,
Tom Trueb
Plans Examiner
Cc: Alice Mefford amefford@buttecounty.net
JoeAcquistapace, Architect. 32 Quista Drive, Chico, CA 95926
Page 2 of 2 County of Butte
Willdan-14353- 1705
BUTTE COUNTY SCHOOLS IMPACT.FEE CERTIFICATION FORM
(One form per Building)
School District w� Building Department No.
e
A.P. Number n' ° V Jurisdiction: City County
Property Owner 1 .
Property Location/Address
Subdivision
Residential Development
No ofXiving
Units
0
Mobile Home
Installation
V�
Lot No.
..........
Sq. Footage ��3
Add'tioN 'Supplemental. to (Group. R)
Conversion Permit # -
'(No foundation.inspection)
............................................................
t 'Deed Restricted Sq. Footage
(Attach a signed copy of Deed Restriction and Notice of Limited Use Facility document)
Commercial/Industrial 0 i ' Q Sq. Footage
New Addition Including Exterior
Roofed Areas)
Building Department Representative .. Date
6'
District Identification No.
School District certifies that
as 6 (Applicant)
22
(Street Address) _ A, (Phone NNuummber)
M'V f v / ��
(City)
has complied with the requirements of Resolution No.
representing U square feet.
School District Representative
Paid by Check # Remarks:
(State) .C� (Zip Code)
by payment of $
'B 926:. ' � $ ULL MIftAT10N $
9
Date
Notice: You may protest the Imposition of the fees Identified above by submitting a written protest to the District, In coinptiance with
Government Code Section 66020(a), within 90 days from the date fees are paid. Failure to submit a timely written protest will prohibit
you from challenging the Imposition of the fees In any coin action.
If, subsequent to the School District Representative signing this Butte County Schools Impact Fee CertMcation'Form, the School District Is
notified by the applicable Local Planning Agency that this project Is being reviewed under the California Envlronmental Quality Act (CEQA),
this project may be subject to additional school tees to fully mltlgate Itt Impact on the school district's schools.
White (school district), Yellow (building department), Pink (applicant). feeform.xls (3lOSklrnm
BUTTE COUNTY SCHOOLS IMPACT.FEE CERTIFICATION FORM 075, c„✓
(One form per Building)
School District
A.P . Number
Property Owner
Property Location/Addres's
Subdivision
V Jurisdiction: City
Residential Development Q
No oftiving Mobile Home
Units Installation
i
Commercial/Industrial
i
Building Department
i
New Addition
Building Department No.
County
Lot No:
y
............... `......................................................................1
'?7
Zdditio�nv;l;>
Sq. Footage
"Supplemental to (Group. R)
Conversion Permit #
No foundation inspection)
,..................................................................
Deed Restricted Sq. Footage
(Attach a signed copy of Deed Restriction and Notice of Limited Use Facility document)
Sq. Footage
(Including Exterior
Roofed Areas)
Date
District Identification No. ��(n�f
School District certifies that
(Applicant)
(Street Address) / (Phone Number)
(City)
hats complied with the requirements of Resolution No.
Q
representing U square feet. .
District Representative
Paid by Check # / Remarks:
(State)
(Zip Code)
by payment of $
B 2926 $
ULL MITIGATION $
Date .10
N=. You may protest the Imposition of the fees Identified above by submitting a written protest to the District, in compliance with
Goveanment Code Section 66020(a), within 90 days from the date fees are paid. Failure to submit a timely written protest will prohibit
you from challenging the imposition of the fees in any court action.
If, subsequent to the School District Representative signing this Butte County Schools Impact Fee Certification Form, the School DN*W Is
notified by the applicable Local Planning Agency that this project is being reviewed under the California Environmental Guallty Act (CEQA),
this project may be subject to additional school fees to fully mitigate Its Impact on the school district's schools.
White (school district), Yellow (building department), Pink (applicant). feeform.xis (3I05)dr=
` PERMIT NO. a1 I N' 384-83B,P,E,M
PERMIT EXPIRES ___`/ / 1-n v T
OWNER ALVINCO
Webb Bros Const, Chico
CONTR.
+ ASSESSOR PARCEL 44-74-82
LOCATION 560 Grand Teton Way, Chico.
laTa��
h
Y`
1 ,
j
�1
t
i
C Temp. Power Pole
Called PG&E
3�✓/0 � Anuli w S
Temp. Elec. Service ✓ ��i
Called PG&E��
( . as Service t� '/ .��a�� 4
Called PG&E
OA
JOB FINALED (Date)
P
Signature
J = OK '
0 = Not OK
- = Not Applicable
* = Not Ready
MOBILEHOMES
MISCELLANEOUS
Date
MOBILEHOME UTILITIES (Plans) OK except N's
1. Zoning Requirements -Setbacks -Easements
Date
DECKS, COVERS, CARPORTS, ETC. (Plans) OK except N's
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 -Enclosures
6. Gas; Location -Test -Wrap:/ /"L"ft./ /"Nat. or/ /"L"ft./ /"LPG
6. Carports; Windows -Doors T
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 k's
1. Zoning Requirements -Setbacks -Easements
2. Footings; Size -Spacing -Marriage Line
Date
POOLS (Plans) OK except p's
1. Setbacks -Easements
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
5. Elec.; Pool Lighting; 15 volts-GFI L
6. Water; MH Test -Regulator -Connector
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
L
Card B -I
Date Card -BI Date
Card BI
Date Card -BI Date
Card B -I
Date Card -BI Date
Card -BI
Date Card -BI Date °
j
5
V
JK'
t Applicable
it`- Not Ready
RESIDENTIAL (Single and Duplex)
Date UNDE LOOK PWP9rK except N's
Date
FRAMING (Continued)
oning requirements -S 0efler-tiT%
Firewall & Openings
? Main; SEifS- -Ela rnd.- / /" Ftg. Depth
xt. Doors -One 31.- keciCGarage-3r4-etectrg-exits
tg., Garage; Soils- - / Ftg. Depth
-Headroom-Rise-Run-Landing-Fire Protection
tg., Po Be-Bec'ks; SbitS'-'Steef- // " Ftg. Depth
E4rPr ood on Roof Overhang -:At ' s-Raft�,Qytsiggers
to s, Main; S-BlbC<buts r I
Si a' - eaeer
temywM1', Garage; $lyes -BI outs-Wr ed I
e4ptuccoI*e trDri d-Fdw.-VTMs-Undet#n-Arress
_ i rs- Sl@ Sigel _ j
az' rea-Glass action-SkyU%lffF-R}ee!rc
J .W.V.: Y tr-FVA+rrljs-T -2
95-817159r alls; Nailing -Bolts
rs 0
. Water Pipe; - -Ser st
i'
1& g
1 'pples
Card -BI
Date ,Card -BI Date
Card -BI
Dat Card -BI Date
Card -BI
Date _ % Card -BI Date
Card -BI Date 7-��ejr Card -BI Date �� �
Date
._
FINAL -(Pians) OK except q's
Card -BI Date},.-jp- Card -BI Date
Date UM NG (Permit) OK -except q's
Ext. St -D gs
Detector
_Water HL; V Acce -Combustion Ai
Ee!Furnace; Verds-Cle ce-Comb!Air-Cdnnec Ur --
I - cts-Meth. Protection
LTi ater Pipe; e A ors
-*'6Ftt - & &e-hor ail
J Se RFExiting
--- _- 1 hoover Pan; Test, First Floor-TaFs•FlCL�ess /
Bp�.F.l. &Bath Fixtures & TIIt17i
Access
ec. Trim & Subpanel; Bre ties-L&ibeIFs
_ 1 as Pipe; Size & Anchors
_
ce or -Sieve; C nces-H
Card -BI _ Date r Card -BI 49h Date
Ar'Sleq-Otrt at Wood Panel;.A=& Ext.
it. F' . & Appliance; Grnd.-Air Ga -Co earance
Card -81 Date -a Card -BI Dat® �'�?��
ec. Outlets & Receptacles at Kit. Counter
Date ELECTRICAL Permit OK exce l 11's
arage Fire Door;-[pp-Clecer�
ara -Damper
e & T.4~0enner,&Iwmance-i Pr cho
Elec.-Receptacles Spacing -Lights & Switches at Doors
tr. Htr.; le -Co -Co-0,fKV.-
In Gar ve Floor-Mec tion
—
_ 1z Boxes & No. of Conductors-Stap+ed
b., Elec. &Mech. Equip. Listed for Location
7 receptacles in Garage; (G.F.I.)-Rorcfx.Wetec.
omex Installed Close to Edge of Studs & C.J.
_--
uip. Ground madeFMech. Fasteners -Bond & r
nsulat' n-FearrrrLooked in Attic-[i}Ye�
-
7r5 !2!/ ppliance Circuits in Kitchen & Conductor Size
on -Po
_
--ubfeed Wire Size /z/ ga. 6n.or AI-A.C. Wire Size ire/ ga. Cuss-hf
7 n. ens rawl Hole Door -Drainage & Wood -Earth Clearance
❑ Yes
2�nge Circ. 4P / ga. Barer AI -Oven Circ. / / ga. Cu or AI,
-- Insulated Neutral `- es ❑No
_ 22v-Service-Riser—"—d & Gr - aiai4;+bE"onnect
o lowing instld.: Drive 0 No; Walks (J es No;''
Pialirers EIxes ,
Stucco; Br F' ' ZQ, Y3 64�
Ze"Equip.
- - Clearances; Panels-Motors-Mech. Equip.
7 C. Disc-ClrpGee�Br ond. Size--11dY-LWt f
ht -Shower Light _
7 . - ents Above Roof; Plbg.-Appliance-Firepl.-Clearance to Opngs.
------------ --
Card B -I --Datq[y� Card -BI Date
trical, Plumbing
rior Elec. Trim; G.F.I. Receptacle-bMdergrbund
p+ --Ventilation throwg hour House
82. n
lgy
Card B -I Date Card -BI Date
MEC ANICAL (Permit) OK except N's
erections from Previous I spections
GaSf-Meters Tagg ; Gas -EI ric pip
IIIDate
- ___ A. Ducts; Insulation &Support
ant Fan_Exhaust above Insulation
_ 3 _ _ & Grade
r & Sewer Connected -C/O to Grade -HD Approval
nergy Compliance Certificate -Other Certificates
3 ._Air -Return Air Vent -115V outlet
3latform if Furnace in Attic
Card -BI Date-�� -Card-BI Date
Card -BI Date Card -Bl- Date
Card -BI
Date '� -� Card -BI Date
Card -BI
Dat Card -BI Date
Card -BI
Date Card -BI Date
Comments at Final:
Date FRAMIN (Plans) OK except N's
3@r—Sills; Proper Material & Anchors
3 alls;__Studs-Nailing, Spacing & Bracing-Plates-Senad
_ ver Girders & Floor Nailing -
-3gvMTrL,&Wp in Walls (rat proof)
_ 0estops; F.a::e:�_' gs-SteiFr-Greases-T&. �
oryHeader & Beam -Size & Bearing
an ers-Post &P& -A of S-CoMaeciors
4B!(:I oist-R,tx: Fier-Par+ice-Roesi.Brac.-j�jies�-Sh�f---
Atte ccess Size&Rom otection-Dr o ns. e
CS+"' -- ---- ---
e - !$,
ndows or Exiting Doors-Sill4Ag1Dimensions__ _
4 arage Fire Protection Framing
- -
(NOTE: Anentrymust be made each time youvisit jobsite)
A
i 400,� f ••
Inter -Depart"
cObbb N
TO:
FROM: e _ uJ . /J [ ✓�(
SUBJECT: �� f
Tertr— �,�,a.� _ n�or�./>is,�� .f�6d[✓
OATE:
_.f/l,ela
e`er 6 Cciy-
f C�GPac T
r
RESIDENTIAL
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 82 Plan 207 North Park Chico, Ca. '
(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:
Slab Edge n/ a
Fdn. Walls n/ a
Floors n/a
E_xt Wills R-11
Ceiling/Roof R-30
Ducts
Circulating Pipes L --
APPROVED
APPROVED HEATER mpka y
APPROVED WATER HEATERv
GLAZING:
Single Glazed n/ a
Special (Insulated) v
CERT. & LABELED WDS.
& SLIDING DRS. t�
WEATHERSTRIPPED DRS. .qg 2r
BACK DAMPERED FANS n<fary
INTERMITTENT IGNITION DEVICES . C—,
CERT. APPPLIANCES -:Fafia L-�—
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 NICHOLSON_ INSULATION.INC
(please print)
Signature of
Insulation Applicator a
State Contractors
License No. 398551
General Contractor/Owner Name
(please print)
Signature of '
General Contractor/Owner Date /
State Contractors
License No. 110 7�P- 3?�
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.
E
• 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
I
CORRECTION NOTICE
jA routine inspection indicates that the following violations of County Ordinance
lexist 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
ma er, or need additional explanation, please contact this office immediately.
VC 9
I
n
i
J
;
I
i
s
Inspector_�/I/ Date J-
Z
--
COUNTY OF BUTTE
DEPARTMENT OF PUBLIC WORKS
4 196 Memorial Way, Chico — Phone: 891-2751
7 County Center Drive, Oroville — Phone: 534-4541
Skyway and Elliott Road, Paradise — Phone: 872-2961. Ext. 57
�k
/U
CORRECTION NOTICE
OWNER PER NO.
A routine inspection indicates that the following violations of County Ordinance
exist at the above address and should be corrected. Please notify this office
when correction of work is completed. If you have any question pertaining to this
matter, or need additional explanation, please contact this office immediately.
~ 7
Ste'
Sl y 7 It
Inspector_ t /', nate_
COUNTY OF BUTTE
DEPARTMENT OF PUBLIC WORKS
ri -
��' 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
Mattel or need additional explanation, please contact this office immediately.
/ "o /.,.o j. N
V 3 leJ
Ji�Jl; S �Sl�/ �c �� �����✓ £yY �' /.mil /� >
,7-.76#-r,7
Inspector �/ w LIN21--tv— Date 3—
�� 6
COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT NO.
• 7 County Center Drive - Oroville, Califor,r,465965 - Telephone 916/534-4541 _
APPLICATION AND PERMIT n
ASSES OR_.PARCEL NUMB'�R�
ZO G
BUILDING PERMIT
OWNERTEL
PHONE
SQ. FT. OCC. BUILDING VALUATION
OWNER'S AILING ADDRESS
JA
C�NJ T�R CTOR• AME}/ TELEPHONE
W S v / 3 a2
CONTRAACTOR'S AILING ADDRES
.� 1nn
Fireplace 1` 1r
CONS UCTIr DER
NKNOWN
Total Valuation $
Filing Fee
$ 10.00
LE[JDER�DDILING E
//
Permit Fee
$
ARCHITECT OR ENGINEER
LICENSE NO.
Plan Checking Fee
$
Penalty
$
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Permit fee
$ .2
BUILDING A RE
PLUMBING PERMIT
Filing Fee 10.00
i
Each Trap
gt 2.00 ,00
Solar Water Heater
20.00
A t
Water piping
5.00 S-6-0
LOT NO.,00
SUBDIVISION NAME
PARCEL MAP
Each qas water heater or vent
5.00 Sr
Gas piping system 1 - 5 outlets
5.00
I USE OF STRUCTURE
SF L! Duplex ❑ Mobi lehome ❑ Other
SPECIFY
Building sewer
5.00 Z,cDC)
Mobile Home S I G I W I
110.00ee_
TYPE OF WORK
New [Addition ❑ Remodel ❑ Utilities ❑ Installation[] Other ❑
Des r'be w k: —
-a � r I .�9
Permit Fee
$ qc dv
Contractor
ELECTRICAL PERMIT
Filing Fee 10.00
Main service e0ov OR LESS
100 AMP OR LESS
10.00 pp��
{y
/
Main service EA. ADD'L 100 AMP
2.50
NEW CONST. DW CUP.&
1,
OR ADONS. ( AC
t
21/
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 Professi /ss Code and my license is in full rce and effect.
License No. ` �+JC7 Classification
❑ I, as the owner, or my employees with wages as their sole compen-
sation, will do the work,and the structure is not intended or offered
for sale. (Sec. 7044)
❑ I, as the owner, am exclusively contracting with licensed contract-
ors. (Sec. 7044)
❑ I am exempt under Sec. , Business and Professions Code
for this reason
NEW conlsTR U TI'
NON.R E'SID BRANCH CIRC ITS
NEW CONSTR POWER APPARATUS &)
NON-RESID. (SINGLE OUTLET CIR.
Ex. OCCUp(OUTLETS OR FIXTURES 20@50t
FIXED APPLNS. OR
EX. QCCUp. OUTLETS (RESID.) EA.) 2.00
Temporary service 10.00
Mobile Home Facilities 15.00
Misc. Wiring 15.00
Permit Fee $
Contractor
MECHANICAL PERMIT
Filing Fee 10.00
WORKMEN'S COMPENSATION INSURANCE
I declare under penalty of perjury (check one):
❑ The permit is for $100.00 (valuation) or less.
ave 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.
Heating ^
Cooling 14, 7-
Hood
3.00
Ventilation
Permit Fee
$
Contractor
I certify that I have read this application and state that the above information
is correct. I agree to comply to all County Ordinances and State Laws relating
to building construction, and hereby authorize representatives of the Countyot
Butte to enter upon the above-mentioned property for inspection purposes.
I also agree to save, indemnify and keep harmless the County of Butte against
all liabil' ies, judgments, costs, and expenses which may in any way accirue
against aid County in consequence of the granting of this permit.
X A211 Date I3
Signature of Applicant — Owner ❑ Contractor F::r— Agent
An OSHA permit is required for excavations over 5'0" deep and demolition or construct-
ion of structures over 3 stories in hei ht.
Mobile Home Installation Fee
$
TOTAL PERMIT FEE $
OCCUP. GROUP
TYPE OF CONST.
PARC _
PD
HD
ISSUE
This permit is hereby issued under
sions of the Butte County Code and/or
work indicated above for which
DIREC O OF PUBLIC
By
PIT EXPIRES Date
the applicable provi-
resolutions to do
fees have been paid.
WORKS
Dater —
,,.2 — l'Z
�7 �
Receipt NO. — - .
WHITE-D.P.W., YELLOW -ASSESSOR, P fNK-INSPECTOR, GOLDENROD -APPLICANT
wLW��+}+„fjy,. i -7..s;{' ` � • - RL"a`FwrF"�:e..r•'s(.3���i.+.-•.oktyws•Me�ysq�t�w�sV""�".,�,'tr"�is.+-f'n a.',.•...as..._,F a t,r . ��..a ,��
-
COUNTY OF BUTTE - DEPARTMENT``OF UBLIC WORKS`- BUILDING DIVISION
a 7 COUNTY CENTER`DRIVE-),OROVILt E;rE�Ll RNIA 95965 - TELEPHONE: 916/534-4541
r PERMIT APPLICATION DATA SHEET
Permit No.
OWNER ,& refns� p � < '• �3 A. P. No.
74L--372,
Proposed Building Use S
Permit Fee Based Upon: Complete Contract Price ---DPW Valuation
�trplain)
Building Inspector__�2 Date
At time of permit application, I was advised the following data must be submitted prior to permit processing
and/or '2 uance: DATE RECEIVED APPROVED
1. All items have been submitted. . . . . . . ... . . .
2. Plot plans in duplicate./triplicate. . . . . . . . . . .
3. Complete plans in duplicate/triplicate. . . . . . . . .
4. Complete engineered plans and calcs. . . . . . . . . .
5. Plans with Energy Design Compliance Statement. . . . . .
6. State Energy Forms No. 1 . .
7 Statement of Intent for Non -Heated and AC Buildings.
8. Fees of $ . . . . . . . .
9. Letter of signature authorization. . . . . . . . . .
10. Sanitation approval from Health Dept.
11. Planning approval for (A) Use: (B) Parking:
12. Certificate of Workmen's Compensation Insurance. . . . . .
13. Contractor's License Information (no., name style, classif.)
14. Owner -Builder Verification (Given to owner❑, Mail to owner ❑ )
15. Improvements may be required. . . . . . . . . . . .
16. Mobi lehome Installation Data. . . . . . . ..
17. Pre -Inspection for
•Pre-Inspec. request to
Required. Building Inspector (Date)
18. Other
When you issue the permit, process as follows: Mail to owner. Mail to contractor.
yTelephone 51 . and hold for pickup at Tice. Deliver w/inspector.
Other
Applicant O Date -z / �S✓
Copy of plans sent Health Dept., Fire Dept., Other Date
During the plan checking process, the following data must be submitted prior to permit issuance.
(For required items not checked above at time of application, circle item.)
1. Index permit for above Items No.
2. Additional items required:
(Contractor, Designer, Owner) was advised of above required data by Telephone Mail Other
,$y — Date
Plans checked by Date
Plans approved by Al Date
Other:
Copy—DPW
Y.. a:.-. _... a.....:._.—...-.._. _ ..__ .._._-.___"—__�_ T.•_iI. •�► � _ t- .ice.- � _—. ..
NOTE, All Waterials & W rkmanship Shall Be
` Accordaneo with Rcrogniz Good Ptactices_ •
of in gaoality prescribed for M e Sp6cifiedto . Uni#pcm�Buildind,' Plumbing & achanicai odes
tho •Nationd Electrical Codes
AV
PLAN 201 A� ,
85 W
r
• . 4' � � See Master lsa cn �il� `'•'��`� ,'' 50
f ural &fails
150 (JAL
DD
•#3ueqaano anew •+f Z e xay off•/ 7)r-S"�PTr. TA�1K '
h 1daxira;uaWd nba ao saunpnj,1s 2
• � �,A,�, legs aullaa4uaD,
paoi a i .. o "/y ! N - / x•100 W' zl _
��eq as a pue saull A4jadad g 1. p�1 1i� TR�NcH
• aq1 uua f '4 9 fo 313eq aS y
'titin sst of arts„pnd specifications MUST.-va r°L��'�= ��•'�
Aopt on,#he'•job ot•plt.,fimes and it is unld' �'° 4 SEP
rr'rd6 an'y°changes or'.'alterations'on sgme ai t t
written'ercnission from the Department, of f'uRic _ f {
W�rks, COUM.y of Butte.
;tx
D_
,R T. N
OWNEJ R FA LV ltiC 0
JAG,►K, . A t6iIRMA'N 1$ A5506, JOS' �jq'� 1 G�icC)* CA `.
�2 V
qo L. -F:
This set b plans and specifications MUS'i bF--..... .
kept on the ob at all times and it is unlawful to
make any ch 3nges or alterations on some without
writtep Perry ission from the Depwttment of �-Ubk
�OC KY -
Works, Cou ty of Butte, _
X21 MOUNTAN -
r WAY
g3 : 201
r-Lrj
CIV
f
A 5eibsck of 5 ft. from t`he .
property
Iii es and a setback
of 50#t. fro the road •�� , .r
centerline ` hall be cleat o
structures'-r�equipmen#
FLA W
o� e 2 ..2 T.
See Master Plan on file Tor building
plans.
I
�{ 3 a50 (�Al::. i
. r
.-_TA N K
I O ,
`• —� 100 Lr _ 11
NOTE:—All . Materials & Workmanship Shall ge iii T R E N G H. _
Accordance with. Recognized Good Practices anc+
of a quality prescribed for the Specified use in th
Uniform Building, Plumbing & Machanical Codes and 1ti
hhe National Electrical Code.
OUh ty
ORTH 5��DIVI�IDI EPARN
owNeR / oEvl✓ orr- z . = QLVINCO SG 1 � UVED
J -AC I<, . A 15LFWAR w ASSOG. ,JOB y I cii'1 Cul Cv, CA
= 255 �Q�z
J .. - i ,i" ' E'•a,►'
'{ PERMIT NO.
'r PERMIT EXPIRES
Y
OWNER DAVID SPRING }
CONTR.. owner
ASSESSOR PARCEL 7-45-82
+ '56
LOCATION 0 Grand Teton Way, Chirn
`
CV
Ave,
+li♦♦♦�-�T,
,
' r
Temp. Power Pole'
Called PG&E
Temp. Elec. Service
' Called PG&E
r
_ Temp. Gas Service
• • � YA "t..t ,, Called,PG&E•
JOB FINALED
(Date)
^'; t Signature
= OK:
0 = Not OK
' = Not Readyable MOBILE HOMES
h'
MISCELLANEOUS
Date
MOBILE HOME UTILITIES (Plans) OK except #'s
Date
DEC VERS,CARPORTS,GARAGES, (Plans)OK except #'s
1. Zoning Requirements-Setbacks-Easementsing
Requirements -Setbacks -Easements
2. Soils; Special MH Support-SketchZ.-,footings;
Soils-Size-Depth-Spacing-Connectors-Stee+-
3. Sewer; Location -Test -Fall -C/O -Concrete
3. Becks; -Girders -and/ eckirrg-Braeirtg-Stairs-Rails
4. Water; Location -Test -Easement Needed (Sketch)
4. Wood Awn.; Posts- Beam s-Rftrs.-Connec.-
Shthg.-Rfg.-Bracing.
5. Electricity; Location-Clearances-Grnd.-/ / Amp -Concrete
6. Gas; Location -Test -Wrap: / P'L"ft
/ /"Nat. or/ /"L"ft./ /"LPG
5. Alum. Awn.; Col u m ns -Con necti ons-Spl ice- Decal- Enr4osures
6. C o ; Windows -Doors
7. Utility Clearance
%-V FR �i GZ S'9
Fr ; Sills-Anchors-Studs-Rftrs-Trusses
S' g; Nailing -Veneer -Stucco -Mesh
Card -B1
Date Card -B1 Date
V. Beof; Shthg-Roofing
Card -Bl
Date Card -B1 Date
t.; Steps -Doors -Landings
Date
MOBILEHOME INSTALLATION (Plans) OK except #'s
S
Card -B10 ejQDate - Card-B1Q ($$4 Date(LJS-
1. Zoning Requirements -Setbacks -Easements
2. Footings; Size -Spacing -Marriage Line
Card-B1U4O
Date9 89 Card-81/-1s'jDate .+
3. Gas; MH Test -Demand -Valve -Connector
cc
4. Electricity; MH Test -Crossovers -Breakers -Clearances
Date
POOLS (Plans) OK except #'s
5. Drain; MH Test -Fall -Flex Connector
1. Setbacks -Easements
6. Water; MH Test -Regulator -Connector
2. Soils; Compaction -Structure Stability
7. Water and Sewer Connected -C/O to Grade -HD Approval
3. Pool Structure; Steel -Connections -Thickness -
Dead Men -Lining
8. Gas and Electricity Tagged
9. Exits; Insp.-Sketch
4. Elec.; Receptacles and Lighting, Distances-GFI
10. Cert. of Occupancy
5. Elec.; Pool Lighting; 15 volts-GFI
6. Elec.; Enclosures; Conduit Entries -Terminals -Listed
7. Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater
8. Elec.; Grounding; Equip. w/5' -circulating Equip. -Pool Lghtg.
Boxes-Enclosures-Panelboards-Ins. to Main in Conduit
Card -81 Date Card -81 Date
Card -B1
Date Card -131 Date
9. Health Department Approval
H
10. Plumb.; Cir. Test -Water Supply Test
Card -B1
Date Card -B1 Date
Card -B1
Date Card -B1 Date
0=Not OK
- = Not Applicable
= Not Ready
RESIDENTIAL (Single and Duplex)
Date UNDERFLOOR (Plans) OK except #'s
1. Zoning -Setbacks; -Easements -Flood -Slope
2. Ftg., Main; Soils-Steel-Elec. Grnd.-/ P' Ftg. Depth
3. Ftg., Garage; Soils -Steel-/ /" Ftg. Depth
4. Ftg., Porches & Decks; Soils -Steel-/ /"Ftg. Depth
5. Stemwalls, Main; Steel-Blockouts-Wrapped
6. Stemwalls, Garage; Steel-Blockouts-Wrapped
7. Slab; Steel -Wrapped
8. Piers -Fireplace Ftg.-Steel „
9. D.W.V.; Fall -Fittings -Test -2 way C/O -Sewer Test
10. Gas Pipe; Size -Anchors
11. Water Pipe; Test -Anchors -Regulator -Service Test
12. Electric; Underground
13. Plenums & Ducts; Clearance- Material-Su pprt-Ins.
14. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples
15. Insulation
t
Card -81 Date *Card -B1 Date`
Card -81 Date Card -131 Date
Date PLUMBING (Permit) OK except #'s
16. Water Ht. Vent -Access -Combustion Air -Baffle
17. Water Pipe; Test & Anchors -Nail Protection
18. D.W.V.; Test-Fttngs & Anchors -Nail Protection
19. Shower Pan; Test, First Floor -Tub Access
20. Test Tub & Shower, 2nd Floor -Tub Access
21. Gas Pipe; Size & Anchors
Card -131 Date Card -B1 Date
Card -131 Date Card -131 Date
Date ELECTRICAL (Permit) OK except #'s
22. Fixture & Transformer Clearance -Ins. Protection
23. Elec. Receptacles Spacing -Lights & Switches at Doors
24. Size Boxes & No. of Conductors -Stapled
25. Romex Installed Close to Edge of Studs & C.J.
26. Equip. Ground made up w/Mech. Fasteners -Bond Gas & Water
27. 2 Appliance Circuts in Kitchen & Conductor Size/G.F.I.
28. Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / /ga.
Cu or Al
29. Range Circ. / / ga. Cu or AI -Oven Circ. / / ga. Cu or Al.
Insulated Neutral Yes No
30. Service -Riser Conductors & Ground -Main Disconnect
31. Equip. Clearances Panels-Motors-Mech. Equip.
32. Clothes Closet Light -Shower Light -Spa Light
33. Smoke Detector
Card -B1 Date Card -B1 Date
Card -B1 Date Card -131 Date
Date MECHANICAL (Permit) OK except #'s
34. A.C. Ducts Insulation & Support
35. Vent Fan; Exhaust above insulation
36. Condensate Drain & Overflow; Size & Grade
37. Furnace -Vent; Access -Comb. Air -Return Air Vent -115 outlet
38. Attic Access & Platform if Furnace in Attic
Card -81 Date Card -131 Date
Card -131 Date Card -131 Date
Date FRAMING (Plans) OK except #'s
39. Sills, Proper Material & Anchors
40. Walls Studs -Nailing, Spacing & Bracing -Plates -Sound
41. Bearing Walls over Girders & Floor Nailing
42. Draft Stop in Walls (rat proof)
43. Fire Stops; Furred Ceilings -Stairs -Chases -Tub
44. Header & Beam -Size & Bearing
Data FRAMING (Continued)
45. Hangers -Post Caps -Anchors -Connectors
46. Cing. Joist-Rftr. Ties -Purl in -Roof Brac.-Truss-Shthng.-Rfng.
47. Fireplace Ties or Type A Flue -Fireplace Throat Clearance
48. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles
49. Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions
50. Garage Fire Protection Framing
51. Property Line Firewall & Openings
52. Ext. Doors -One 3' -Check Garage -3rd story, 2 exits
53. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection
54. Plywood on Roof Overhang -Attic Vents -Rafter Outriggers
55. Siding -Nailing Veneer
56. Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access
57. Glazing Area -Glass Protection -Skylights -Plastic
58. Shear Walls; Nailing -Bolts
59. Insulation-Walls-Clg.
60. Infiltration-Walls-Wndws
Card -131 Date Card -61 Date
Card -131 Date Card -131 Date
Date FINAL (Plans) OK except #'s
61. Ext. Steps -Door & Sidelight Protection -Landings
62. Smoke Detector
63. Furnace; Vents -Clearance -Comb. Air -Connector -
In Garage; Above Floor-Ducts-Mech. Protection
64. Bedroom Exiting
65. G.F.I. & Bath Fixtures & Tub Access -Spa
66. Elec. Trim & Subpanel; Breaker Sizes -Labels
67. Stairs & Rails
68. Fireplace or Stove; Clearances -Hearth
69. Elec. Outlets at Wood Panel; Int. & Ext.
70. Kit. Fixt. & Appliance; Grnd. -Air Gap -Cooking Clearance
71. Elec. Outlets & Receptacles at Kit. Counter
72. Garage Fire Door; Swing -Landing -Closer
73. A.C. Duct in Garage -Damper
74. Wtr. Htr.; Vents -Clearance -Comb. Air-Connector-P.R.V.-
In Garage; Above Floor-Mech. Protection
75. Plb., Elec. & Mech. Equip. Listed for Location
76. Elec. Receptacles in Garage; (G.F.I.)-Romex Protec.
77. Insulation -Foam -Looked in Attic ❑ Yes
78. Guard Rails & Deck Construction -Post Caps
79. Fdn. Vents & Crawl Hole Door -Drainage & Wood -Earth
Clearance Looked under Floor ❑ Yes
80. Following instid.; Drive ❑ Yes ❑ No; Walks O Yes ❑ No;
Planters ❑ Yes ❑ No
81, Stucco; Brown -Finish
82. A.C. Unit; Disconnect, Electrical, Plumbing
83. Vents Above Roof; Plbg.-Appliance-Firepl.-Clearance to
Openings.
84. Water Well; Disconnect, Electrical, Plumbing
85. Exterior Elec. Trim; G.F.I. Receptacle -Underground
86. Ventilation throughout House
87. Glass Protection
88. Corrections from Previous Inpections
89. Gas Test -Meters Tagged; Gas -Electric
90. Water & Sewer Connected -C/O to Grade -HD Approval
91. Energy Compliance Certificate -Other Certificates
92. Roofing Certificate
Card -B1 Date Card -131 Date
Card -131 Date Card -131 Date
Card -61 Date Card -131 Date
Comments at Final:
(NOTE: An entry must be made each time you visit iob site)
COUNTY OF BUTTE
DEPARTMENT OF PUBLIC WORKS
196 Memorial Way, Chico — Phone: 891-2751
7 County Center Drive, Orovi Ile — Phone: 538-7541
747 Elliott Road, Paradise — Phone: 8,72-6307 ,.
CORRECTION NOTICE
OWNER PERMIT NO.
A routine inspection indicates that the following violations of County Ordinance
exist at the above address and should be corrected. Please notify this office
when correctio f work is completed. If you have any question pertaining to this
matter, o eed additional explanation, please contact this office immediately.
-041 WE 911,
1*1
Jim
c
Date q—A 46 Inspector `� '�
.�. +�..� rx r.. 1,+^t+ -.c.r �^-•' ri'yor+�++a• v-- ..-vy—•;s"•`.F fr�A'i^s.-�s ._-. ....
i
COUNTY OF BUTTE A, �� J.
DEPARTMENT OF PUBLIC WORKS t
196 Memorial Way, Chico — Phone: 891-2751-
7 County Center Drive, Orovi Ile — Phone: 538-7541
747 Elliott Road, Paradise—,Phone:`872-63"
CORRECTION NOTICE
9
OWNER \ - PERMIT NO. ;
is
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, )Uwl—w Date_ � - _-� l i / I
COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT NO.
7 County Censer Drive - OrovilAe, California 95965 - Telephone: 916/538-7541 -
APPLICATION AND PERMIT i
ASSESSOR PARCEL NUMBER
7 -45-82
ZONING -
R-1
BUILDING PERMIT
OWNER
David Spring
TELEPHONE
894-1718
SO. FT. OCC.1 BUILDING VALUATION
OWNER'S MAILING ADDRESS.
560 Grand Teton Way, Chico CA 95926
1ST Renewal
CONTRACTOR'S NAME -
Owner
TELEPHONE
CONTRACTOR'S MAILING ADDRESS
Fireplace
CONSTRUCTION LENDER
UNKNOWN
Total Valuation $
LENDER.'S MAILING ADDRESS
Filing Fee
$ 10.00
Permit Fee @ 3- FEE
$ 40.25
ARCHITECT OR ENGINEER
LICENSE NO.
Plan Checking Fee
$
Energy Plan Checking Fee
$
ARCHITECT OR ENGINEER'S -MAILING ADDRESS
Penalty
$
BUILDING ADDRESS
560 Grand Teton Way,Chico
Permit tee
$50.25
PLUMBING PERMIT
Filing Fee 10.00
Each Trap
2.00
Solar or heat pump water heater
20.00
LOT NO. SUBDIVISION NAME
PARCEL MAP
Water piping
5.00 .
Each qas water heater or vent
5,00
USE OF STRUCTURE
SF ❑ Duplex❑ Mobilehome❑ Other Garage
SPECIFY
Gas piping system 1 - 5 outlets
5.00
Building sewer
5.00
Mobile Home S I G I W
10.00e
TYPE OF WORK
New Addition❑ Remodel❑. Utilities[] Installation El Other
Describe work: 1 ct Rpnewal of R_P_ #2585-8( _
Permit Fee
$
Contractor
ELECTRICAL PERMIT
Filing Fee 10.00
V OR L
Main service 1000 AMP ORSLESS
10.00
Main service EA. ADD'L too AMP
2.50
CONTRACTORS LICENSE LAW
I declare und�_pelty of perjury check one):
❑ I am licensed under provisions of Chapt. 9, Div. 3 of the Business
and Professions Code .and my license Is In full 'force and effect.
License No. Classification -
I, as the owner, .or my employees with wages as their sole compen-
sation, will do the work,and the structure is not intended or offered
for sale. (Sec. 7044)
❑ I, as the owner, am exclusively contracting with licensed contract-
ors. (Sec. 7044)
❑ I am exempt under Sec. Business and Professions Code
for h' reason
NEW CONST. DWELLING Occup. Bt
Oew DONS. ( AMULTI-OUTLET
,
2/vtsgft
NO N.RESID BRANCH CIRC ITS
2.50 ea
(POWER
/POWER APPARATUS .&)
OUTLET CIR.
Ex. OCCup(OUTLETS OR FIXTURES
20@306
BAL® 30
FIXED APPLNS. OR
Ex. Occup. OUTLETS (RESIO.) EA.)
2.00
Temporary service
10.00
Mobile Home Facilities
15.00
Misc. bVirin g
15.00
Permit Fee
$
WORKMEN'S COMPENSATION INSURANCE
(.declare un er penalty of perjury (�hPrk nr,a�
❑ T e permit is for $100.00 (valuation) or -less.
❑ I have placed on file with the County of Butte Building Department
a Certificate of Workmen's Compensation Insurance or a Certificate
of Consent to Self -Insure.
® I shall not employ any person in any manner so as to become subject
to the W. C. laws of -California.
Notice to Applicant: If after making this statement, should you become subject
to the W. C. provisions of the Labor Code, you must forthwith comply with such
provisions or this permit shall be deemed revoked.
Contractor
MECHANICAL PERMIT
Filing Fee 10.00
Heating
Cooling
g
Hood
3,00
Ventilation
permit Fee
$
Contractor
I certify that l 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.
also agree to save; indemnify and keep harmless the County of Butte against
II liabilities, judgments, costs, and expenses which may in any way accrue
against said County in consequence of the granting of this permit.
% 5o
%� �J 4 k '� Date f
Signature of Applicant — Owner ® otontractor ❑ Agent
An OSHA permit is required for excavations over 5'0" deep and demolition'or construct-
ion of structures over 3 stories in height.
Mobile.Home Installation Fee $
Energy Inspection Fee $
occ
CONST TYPE
TOTAL $50.25
AL E
FEE
HAZ
CUA
PARK
E
I PAR
I PD
HO
ISSUE
This permit is hereby issued under
sions of the Butte County Code and/or
work icated above forYPf
D T OFWORKS
Y
PERMIT EXPIRES Date 8/9/91
the applicable provi-
resolutions to do
s have been paid.
Date
Receipt No.
WHITE-D.P.W.. YEL LOW-ASS'ESSO R,'�P INK -INSPECTOR, GOLDENROD -.APPLICANT
COUNTY OF BUTTE - Department of Public Works
7 County Center Drive,-Oroville, CA 95965 Phone: 916-538-7541
OWNER -BUILDER VERIFICATION
Attention Property Owner:
An 'owner -builder" building permit has been applied for in your name and bearing
your signature.
Please complete and return this information at your earliest opportunity to avoid
unnecessary delay in processing and issuing your building permit. No building permit
will be issued until this verification is received.
1. I personally plan to provide the major labor and materials for construction of
the proposed property improvement (yes or no) Ye -5
- 2. I (have/have not) '-' a s signed an application for a building permit
for the proposed work.
3. I have contracted with the following person (firm) to provide the proposed
construction: KIA
Name
Address City
Phone Contractors License No.
4. I plan to provide portions of this work, but I have hired the following person
to coordinate, supervise, and provide the major work: Nlf1
Name
Address City
Phone Contractors License No.
5. I will provide some of the work but I have contracted (hired) the following
persons to provide the work indicated: NM
Name Address . Phone Type of Work
Signed:
Property Owner
Social Security Number
Date 7- 3/ - 90
NOTE: This Owner -Builder Verification is sent to you as required by Sections 19831.and
19832 of the California Health and Safety Code.
This verification must be completed and returned to our office before we are per-
mitted to issue the permit.
COUNTY OF BUTTE - D-EF'AR+MENT OF PUBLIC WORKS
7 County Center Drive - Oroville, California 95965 - Telephone: 916/538-7541
APPLICATION AND PERMIT
PERMIT N0. �
�A A
ASSESSOR ARCEL NUMBER 77
ZONIy,�
BUILDING PERMIT
OWNER
TELEPHONE
SQ. FT. OCC.1 BUILDING VAL ATION
OWNER'S (LING ADDRESS
CONT CT�OJR'' /NAM
TELEPHONE
CONTRACTOR'S MAILING ADDRESS
Fireplace
CONSTRUCTION LENDER
UNKNOWN
Total Valuation $ '
LENDER'S MAILING ADDRESS
Filing Fee
$ 10.00
Permit Fee
$
ARCHITECT OR ENGINEER
LICENSE NO.
Plan Checking Fee
$
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Energy Plan Checking Fee
$
Penalty
$
BUILDING ADDRESS 046 07aIA-VIO ^ (
�!' - v
Permit fee
$
PLUMBING PERMIT
Filing Fee 10.00
Each Trap
2.00
Solar or heat pump water heater
20.00
LOT NO.
i
SUBDIVISION NAME
PARCEL MAP
I
Water piping
5,00
Each pas water heater or vent
5.00
USE OF STRUCTURE
SF ❑ Duplex❑ Mobilehome❑ Other OGAOP.AFc�
SPECIFY
Gas piping system 1 - 5 outlets
5.00
Building sewer
5.00
Mobile Home S G W
0.00ea
TYPE OF WORK
Newk Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑
Describe work: (SkQ2.9G(r- j
14 ..�� V j
Permit Fee
$
Contractor
ELECTRICAL PERMIT
Filing Fee 10.0
Main service 600V OR LESS
100 AMP OR LESS
10.00
Main service EA. ADD'L 100 AMP
2.50
CONTRACTORS LICENSE LAW
I declare under penalty of perjury (check one):
❑ I am licensed under provisions of Chapt. 9, Div. 3 Of the Business
and Professions Code and my license is in full force and effect.
License No. Classification
I, as the owner, or my employees with wages as their sole compen-
sation, will do the work,and the structure is not intended or offered
for sale. (Sec. 7044)
❑ I, as the owner, am exclusively contracting with licensed contract-
ors. (Sec. 7044)
❑ I am exempt under Sec. , Business and Professions Code
for this reason
NEW CONST. DWELLING oc ri,a %
OR ADDNS. ACC.BLDG .l ,/20sgft
NEW CONSTR. MULTI -OUTLET
NON.RESID .BRA CH CIRC TS 2.50 ea
POWER APPARATUS e
(SINGLE OUTLET CIR.
Ex. OCCU OUTLETS OR FIXTURES 209307
p SAL93o
FIXED APPLNS, OR
E%• Occup. OUTLETS TS (R ESID,) EA.) 2.00
Temporary service 10.00
Mobile Home Facilities 15.00
Misc. Wiring 15.00
9
Permit Fee
WORKMEN'S COMPENSATION INSURANCE
I declare under penalty of perjury (check one):
❑ The permit is for $100.00 (valuation) or less.
❑ I have placed on file with the County of Butte Building Department
a Certificate of Workmen's Compensation Insurance or a Certificate
of Consent to Self -Insure.
I shall not employ any person in any manner so as to become subject
to the W. C. laws of California.
Notice to Applicant: If after making this statement,should you become subject
to the W. C. provisions of the Labor Code, you must forthwith comply with such
provisions or this permit shall be deemed revoked.
Contractor
MECHANICAL PERMIT
Filing Fee 10.00
Heating
Cooling
g
Hood
3.00
Ventilation
permit Fee
$
Contractor
I certify that I have read this application and state that the above information
is correct. I agree to comply to all County Ordinances and State Laws relating
to building construction, and hereby authorize representatives of the County of
Butte to enter upon the above-mentioned property for inspection purposes.
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 conse uence of the granting of this per 't
X k r .0 7.
Date
Signature of Applicant — Wner Contractor ❑ Agent ❑
An OSHA permit is required for excavations over 5'0" deep and demolition or construct-
ion of structures over 3 stories in height.
Mobile Home Installation Fee $
Energy Inspection Fee $
TOTAL PERMIT FEE
OCCUP.
CONST.T PE
SCHOOL
.�
Flo D
PARCEL
✓.
PD
/
ND
lSUE
This permit is hereby issued under
sions of the Butte County Code and/or
work indicated above for which
DIR TORIPF PUBLIC
By
PERM EXPIRES Date
the applicable provi-
resolutions to do
fees have been paid.
WORKS
�i
Date-'^/
.f
Receipt No. �
WHITE-D.P.W., YELLOW ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT
COUNTY -OF BUTTE - Department of :Public Works
7 County Center Drive, Oroville,'CA 95965 Phone: 916-538-7541
OWNER -BUILDER VERIFICATION.
Attention Property Owner:
An 'owner -builder" building permit has been applied for in your name and bearing
your signature..
Please complete and return this information at your earliest opportunity to avoid
unnecessary delay in processing and issuing your building permit. No building permit.
will be issued until this verification is received.
1. I personally plan to provide the major labor and materials for construction of
the proposed property improvement (yes or do) yieg
2; I (have/have not) ha"/e_ signed an application for a building permit
for the proposed work.
3. I have contracted with the following person (firm) to provide the proposed
construction:
Name VJ 1A
Address City
Phone Contractors License No.
4. I plan to provide portions of this work, but I have hired the following person
to coordinate, supervise, and provide the major work:
Name
Address City
Phone Contractors License No.
5. I will provide some of the work but I have contracted (hired) the following
persons to provide the work indicated:
Name Address Phone Type of Work
Signed: ,
Property Owner tN gid/ *VSocial
Secur'tyNumber '-
Date 8 ? g
NOTE: This Owner -Builder Verification is sent to you as required by Sections 19831 and
19832 of the California Health and Safety Code.
This verification must be completed and returned to our office before we are per-
mitted to issue the permit.
COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS - BUILDING DIVISION
7 COUNTY CENTER DRIVE - OROVILLE,,'C4LIFORNIA 95965 - TELEPHONE: 916/538-7541
PERMIT APPLICATION DATA SHEET
Permit No.
OWNER A. P. No.
Proposed Building Use Building Inspector Date
At time of permit application, I was advised the following data must be submitted prior to permit processing and/or issuance:
DATE RECEIVED APPROVED
1. All items have been submitted . ....................................
2. Plot plans in duplicate/triplicate, signed by preparer of plans........
3. Complete plans in duplicate/triplicate, signed by preparer of plans ..
4. Complete engineered plans and calcs, with wet signature on plans ..
5. Energy Design Compliance and supporting documentation .........
6. Statement of Intent for Non -Heated and AC Buildings ..............
7. Engineered truss details and layout in duplicate (required prior to plan check)
8. Mobilehome installation data including manufacturer's installation
instructions.......................................................
9. Fees of $ ..........................
10. Chico Urban Area fees paid ........................................
11. Park fees laid .....................................................
—Z12. School District fees paid .................
4 Sanitati n a proval from Health Department ...
14. City of Chico plumbing. permit ..................................... .
15. Plot plan and business license approval from City of
(see City for other requirements)
16. Planning approval for (A) Use: (B) Parking: .........
17. Improvements may be required.
18. Driveway permit (construction approval required prior to occupancy) ...
19. Pre -Inspection for required ...... B� lding Inspe tort to (Date)
20. Contractor's license information (No., Name Style, Classification) .......
21. Certificate of Workmans Compensation Insurance ....................
22. Owner -Builder Verification (Given to owner ❑, Mail to owner ❑) ........
23. Recorded copy of Agricultural Acknowledgment Statement .............
24. Letter of signature authorization ......................................
25.
26. 6O �
��O ,.9S6j-26
When you issue the permit, process as follows: Mail to owner. Mail 94ontractor.
Telephone and hold for pickup at office. Deliver w/inspector.
Other c /
Applicant —_ /!` Date. 1149
f
Copy of plans sent Health Dept., Fire Dept., Other Date
The following data must be submitted prior to permit issuance: (Circle new item not checked above).
1. Index permit for above items No.
2. Additional items required:
Contractor, designer, owner, was advised of above required data by_phone---nall—counter by date
Contractor, designer, owner, was advised of above required data by—phone —mal l—counter by date
Plans checked by Date Plans approved by Date If
Sets of plans on hold in File cabinet AP folder
Copy—DPW
TD Buildino Deoartment -
FROM: :Environmental Health
SUBJECT:- sanitation Clearance
xYler Location AP#
Plan Approved for: Se4acde Disposal Slater Supply
Hold final fors -. Suter Supply
Final clearance O.N. for: Water Supply
Other G�SR
--Clearance-foe- bedroom mobile home. �
Suite Counfq
D O F N A T U R A L W E A L T H A N D B E A U T Y
DEPARTMENT OF PUBLIC WORKS
WILLIAM (Bill) CHEFF, Director
7 COUNTY CENTER DRIVE t OROVILLE, CALIFORNIA 95965
Telephone: (916) 538-7541
June 13, 1991
RONALD D. McELROY
Deputy Director
David Spring RE: Building Permit No. 2575-90
560 Grand Teton Way Expiration Date 8/9/91
Chico, CA 95926 (A.P. No. 7-45-82 )
Dear Mr. Spring:
With reference to the above subject, our records indicate that your Building
Permit expires on the above date. Building permits are valid for
one year and should construction be started but not completed by the expiration
date of the permit, the permit shall be renewed for 2 the original Building
Permit Fee (plus a $10.00 "Filing Fee"). The renewal permit will extend the
Building Permit for an additional year from the original expiration date.
Should you not renew your permit within thirty days of the expiration date,
it cannot be renewed and all work must cease until a new building permit is
issued.
If your construction is completed or should you have any questions concerning
this matter, please contact the Chico office.
For your convenience, we are enclosing a renewal application form and owner -
builder form to be completed and signed by you where indicated and returned
to this office together with the fee shown. Please return all copies of the
application form.
Thank you for your prompt attention concerning this matter.
0
JFG:aam
Attachments: Permit Application
Owner -Builder Information
Owner -Builder Verification
cc: Building Inspector
Chico - 196 Memorial Way/891-2751
Yours very truly,
William Cheff
Director of Public Works -
Glander
krhief Building Inspector
Paradise - 745 Elliot Rd./872-6'07
}Y;i 31*". .. .f�M•�.. /` -•7 ijy.v r C,� *J-T'+R� Fy=yyR•N„y. . ;, .. l`iti t'Sr�' 1"'
(�•3'�S COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT NO.
Z� 7 County Center Drive - Oroville, Cali ornia,05965 - Telephone: 916/538-7541 �/ / L _ nto
• r
APPLICATIONIN( PERMIT fm v 7
ASSESSOR PARCEL NUMBER ,
07-45-82
ZONING
vR_1
BUILDING PERMIT
OWNER
David K. Spring
TELEPHONE
894-1718
SO. FT. OCC. BUILDING VALUATION
OWNER'S MAILING ADDRESS
560 Grand Teton Way, Chico 95926 '
CONTRACTOR'S NAME -
Unknown
TELEPHONE
CONTRACTOR'S MAILING ADDRESS
Fireplace
CONSTRUCTION LENDER
UNKNOWN
Total Valuation is
Filing Fee
$ 10.00
LENDER'S MAILING ADDRESS
Permit Fee
$
ARCHITECT OR ENGINEER
LICENSE NO.
Plan Checking Fee
$
Energy Plan Checking Fee
$
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Penalty
$
BUILDING ADDRESS
Permit fee
$
PLUMBING PERMIT
Filing Fee 10.00
560 Grand Teton Way, Chico
Each Trap
11 2.00 2.00
Solar or heat pump water heater
20.00
LOT NO.
82
SUBDIVISION NAME
North Park
PARCEL MAP
Water piping
/�/�
1 5.00 5.00
Each qas water heater or vent
5.00
USE OF STRUCTURE
rY�
SF M Duplex❑ Mobilehome❑ Other
SPECIFY
Gas piping system 1 - 5 outlets
5.00
Building sewer
5.00
Mobile Home I S I G JW
110.00ed
TYPE OF WORK
New Addition[} Remodel[] Utilities[] Installation❑ Other El
Describe workfin A RlPr-rrir (Por Ah1tm) _
RE* A P 6258.5-89
Permit Fee
$ 17.00
Contractor
ELECTRICAL PERMIT
FilingFee 10.00
—�
OOV OR LE
Main service 100 AMP ORSLESS
10.00
Main service EA. ADO'L 100 AMP
2.50
CONTRACTORS LICENSE LAW
A
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
El 1, as the owner, or my employees with wages as their sole compen-
sation, will do the work,and the structure is not intended or offered
for sale. (Sec. 7044)
I, as the owner, am exclusively contracting with licensed contract-
ors. (Sec. 7044)
❑ I am exempt under Sec. , Business and Professions Code
for this reason
NEW CONST. DWELLING OCCUR
OR ADONIS. ( ACC. BLDGS.
2/20sgft
NEW CONSTR ULTI-OUTLET
NON.RESID BRANCH CIRC ITS
2,50 ea
POWER APPARATUS 6
(SINGLE OUTLET CIR.
Ex. OCCUp(OUTLETS OR FIXTURES
BA50
309
Ex. OCCUp. OUTLETS FIXED P(RESID )REA.)
2.00
Temporary service
10.00
Mobile Home Facilities
15.00
Misc. Wiring
15.00
Spa Electric 11
115.00115.00
Permit Fee
$25.00
Contractor
WORKMEN'S COMPENSATION INSURANCE
I declare under penalty of perjury (check one):
❑ The permit is for $100.00 (valuation) or less.
❑ I have placed on file with the County of Butte Building Department
a Certificate of Workmen's Compensation Insurance or a Certificate
of Consent to Self -Insure.
I shall not employ any person in any manner so as to become subject
to the W. C. laws of California.
Notice to Applicant: If after making this statement, should you become subject
to the W. C. provisions of the Labor Code, you must forthwith comply with such
provisions or this permit shall be deemed revoked.
MECHANICAL PERMIT
Filing Fee 10.00
Heating
Cooling
Hood
3.00
Ventilation
Permit Fee
$
—
Contractor
I certify that I have read this application and state that the above information
is correct. I agree to comply to all County Ordinances and State Laws relating
to building construction, and hereby authorize representatives of the County of
Butte to enter upon the above-mentioned property for inspection purposes.
1 also agree to save, indemnify and keep harmless the County of Butte against
all liabilities, judgments, costs, and expenses which may in any way accrue
against said County in consequence of the granting of this permit.
X z, Z �, , ,Date
Signature of Appli ant - �Ow Ar Contractor ElAgent❑
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 $
-6-66-CONST TYPE
TOTAL FEE $42.00
HAz
CUA
PARK
SCHL
FLD
PAR
PD
HD
ISSUE
This permit is nereby issued under
sions or the Butte County Code and/or
work indicated above for which fees
DIRECTO F PUBLIC
By
PERM EXPIRES Date
the applicable provi-
resolutions to do
have been paid.
WORKS
Dater,
¢ '/
Receipt No. 70234
WHITE-D.P.W.. YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT
COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT NO. i
7 Coylnty Center Drive - OroYiile, California 95965 - Telephone: 916/538-7541
APPLICATION -AND PERMIT
ASSESSOR PARCEL NUMBER
07-45-82
ZONING _-
R-1 ''
BUILDING PERJ2�f
OWNER
David K. Spring
TELEPHONE
894-1718
SQ. FT. OCC. BUILDING AL ATION
OWNER'S MAILING ADDRESS
560 Grand Teton Way, Chico 95926
CONTRACTOR'S NAME
Unknown
TELEPHONE
CONTRACTOR'S MAILING ADDRESS
Fireplace
CONSTRUCTION LENDER
UNKNOWN
C
Total Valuation $
Filing Fee
$ 10.00
LENDER'S MAILING ADDRESS
Permit Fee
$
ARCHITECT OR ENGINEER
LICENSE NO.
Plan Checking Fee
$
Energy Plan Checking Fee
$
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Penalty
$
BUILDING ADDRESS
Permit fee
$
PLUMBING PERMIT
Filing Fee 10.00
560 Grand Teton Way, Chico
Each Trap
1 2.00 2.00
Solar or heat pump water heater
20.00
LOT NO.
82
SUBDIVISION NAME
North Park
PARCEL MAP
Water piping
1 5.00 5.00
Each pas water heater or vent
5.00
USE OF STRUCTURE
SF ® Duplex❑ Mobilehome❑ Other
SPECIFY
Gas piping system 1 - 5 outlets
5.00
Building sewer
5.00
Mobile Home S I G W
10.00e
TYPE OF WORK
New ❑ Addition Remodel ❑ Utilities ❑ Installation❑ Other ❑
Describe work ,nn Fl ert-r; c—(Portable) _
RE- 'R P #2S85_39
Permit Fee
$ 17.00
Contractor
ELECTRICAL PERMIT
Filing Fee 10.00
Main service 100V OR LESS
100 AMP OR LESS
10.00
Main service EA. ADD•L 100 AMP
2.50
CONTRACTORS LICENSE LAW
I declare under penaltyof perjury y (Check one):
❑NON-RESID
I am licensed under provisions of Chapt. 9, Div. 3 of the Business
and Professions Code and my license is in full force and effect.
License No. Classification
❑ I, as the owner, or my employees with wages as their sole compen-
sation, will do the work,and the structure is not intended or offered
for sale. (Sec. 7044)
I, as the owner, am exclusively contracting with licensed contract-
ors. (Sec. 7044)
❑ I am exempt under Sec. , Business and Professions Code
for this reason
NEW CONST.(DWELLING OCCUP.&`
OR ADONS. ACC. BLDGS. /
,
2Y20sgft
NEW CONSTRMULTI-OUTLET
BRANCH CIRC ITS
2.50 ea
POWER APPARATUS Q
(SINGLE OUTLET CIR. )
Ex. Occup(OUTLETS OR FIXTURES
20®50C
9AL®3o
Ex. Occup. OUTLETS FIXED PIRESID.ILNS REA.)
2.00
Temporary service
10.00
Mobile Home Facilities
15.00
Misc. Wiring
15.00
Spa Electric
1 15.00 15.00
Permit Fee
$25,00
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
LA to the W. C. laws of California.
Notice to Applicant: If after making this statement, should you become subject
to the W. C. provisions of the Labor Code, you must forthwith comply with such
provisions or this permit shall be deemed revoked.
MECHANICAL PERMIT
FiIingFee 10.00
Heating
Cooling
Hood
3.00
Ventilation
permit Fee
$
Contractor
I certify that I have read this application and state that the above information
is correct. I agree to comply to all County Ordinances and State Laws relating
to building construction, and hereby authorize representatives of the 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
a ainst said ounty in consequence of the granting of this permit.
X Date
Signat a of Applicant — �on.rA Contractor❑ Agent
An OSHA permit is requiredexcavations 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 $
42,00
HAz
I CUA
PARK
SCHL
rLD
PAR
I PD
HD
ISSUE
This permit is hereby issued under
sions of the Butte County Code and/or
work indicated above for which fees
DIRECTOR F PUBLIC
By
PERM EXPIRES Date
the applicable provi-
resolutions to do
have been paid.
WORKS
Date P'l'f
/
'` '�
Receipt No. 70234
WHITE-D.P.W.. YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT
A
COUNTY OF ,BUTTE - DEPARTME 4T"O.,F''PUBLIC'WORKS - BUILDING DIVISION
7 COUNTY CENTER DRIVE - OROVI&L'�>�` Ali, FORN1'/�95965 - TELEPHONE: 916/538-7541
c,
PERMIT ApLICAT IOmAA SHEET ....
�� �/� ,O/� /' ` Permit No.—,//
OWNER C r�12 S / 0`— lIV C A. P o.
Proposed Building UserxBilding Inspector Date �U
At time of permit application, I was advised the following data must be submitted prior to permit processing and/or issuance:
DATE RECEIVED APPROVED
1. All items have been submitted . ........................ .........
2. Plot plans in duplicate/triplicate, signed by preparer of plans........
3. Complete plans in duplicate/triplicate, signed by preparer. of plans . .
4. Complete engineered plans and calcs, with wet signature on plans
5. Hazardous Material Form ..........................................
6. Energy Design Compliance and supporting documentation .........
7. Statement of Intent for Non -Heated and AC Buildings ...............
8. Engineered truss details and layout in duplicate (required prior to plan check)
9. Mobilehome installation data including manufacturer's installation -
instructions........................................................
10. Fees of $ ........................
11. Chico Urban Area fees paid .......................................
12. Park fees paid ....................................................
13. School District fees paid ..............
14. Sanitation approval from Health Department
15. City of Chico plumbing permit.. ....................................
16. Plot plan and business license approval from City of
(see City for other requirements)
17. Planning approval for (A) Use: (B) Parking: ......
18. Improvements may be required. Contact Land Development Section DPW
19. Driveway permit (construction approval required prior to occupancy)
20. Pre -Inspection for required Pre-Inspec. request to•�,
Building Inspector (Dile)
21. Contractor's license information (No., Name Style, Classifications ..
22. Certificate of Workmans Compensation Insurance ..................
23. Owner -Builder Verification (Given to. owner ❑, Mail to owner ❑) .....
24. Recorded copy of Agricultural Acknowledgment Statement .:.......
25. Letter of signature authorization ...................................
26.
27.
When ygu issue the permit, process as follows: Mail to owner. Mail to contractor.
Telephone and hold for pickup at office. Deliver w./inspector.
Other
M Applicant \,.Date �� � " \
Copy of Haz-Mat form sent Health Dept. Fire Dept. Air Pollution Date
Copy of plans sent Health Dept. Fire Dept. Other Date By
The following data must be submitted prior to permit issuance
1. Index permit for above items No.
2. Additional items required:
(Circle new item not checked above).
Contractor, designer, owner, was advised of.above required data by—phone _—jnail_coun r by date
r
Contractor, designer, owner, was advised of above required data by—phone —ma II—counter by date
Plans checked by Date Plans approved by Date
Sets of plans on hold in File cabinet AP folder
Copy—DPW
COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS
..7 County Center Drive - Oroville, California 95965 - Telephone: 916/538-7541.
r APPLICATI'011 AND PERMIT
PERMIT NO.
ASSESSOR PARCEL NU
ZONING
BUILDING PERMIT
�/^e
V ,Vvi lV • V -o 1
EPHONE
�I
SO. FT, OCC. BUILDING VALUATION
OWNER'SMAI ING ADDRESS
CO T
TELEPHONE
- - ,
-
CONTRACTOR'S MAILING ADDRESS
_
Fireplace,.
CONSTRUCTION LENDER --- - _ --- ---
r
UNKNOWN.---
'
Total ValUatlOn"$
Filing Fee -' �aN -, •?..---'%• ,$
10.00
LENDER'S MAILING ADDRESS
- _
Permit Fee $
ARCHITECT OR ENGINEER,.. _ -
LICENSE No.
Plan Checking Fee . •, $
,
Energy Plan Checking Fee $
-
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Penalty $
BUILDING ADDRESS _ �/ //�
0 ca
Permit fee • $
PLUMBING PERMIT ' Filing Fee
10.00
_
Each Trap - 2.00
Q
Solar or heat pump water heater 20.00
LOT NO
-T
SUBDIVISION N E
► \IVC y _ {.__ �,
PARCEL MAP _
�«+, �,-. ,
Water piping �:"..'. - 5.00
Each qas water heater or vent " 5.00
USE OF STRUCTURE
SF L�1 Duplex F-1 Mobilehome❑ , Other
SPECI FY
Gas piping system 1 - 5 outlets 5.00
•.=r^
Building sewer 's _ 5.00
Mobile Home ' r^ S G W 0,00 e
TYPE OF WORK
New ❑ Addltlon Remodel ❑ Utilities ❑ - Installation❑ : Other ❑
Describe work: `
Permit Fee " <;,� $
Contractor '`�M' -
--'ELECTRICAL PERMIT Filing Fee
-.10.00 -..
Main service 1000 AMP 1 OR ORSLESS 10.00
Main service EA. ADD -L 100 AMP 2.50
�'.,,• CONTRACTORS LICENSE LAW • "
_ _
I declare under penalty of perjury (check one) - ,' t,, Y 1
' - -•' -"" "� """ "' °•
-%-❑ I am licensed under provisions of Chapt. 9, Div. 3 of the Business
_ -and Professions Code and my _license is in full force and effect.
_' License No. Classification
•: _
_�'.;'❑ I, as the owner, or my employees with wages as their sole compen-
sation, will do the work,and the structure is not intended or offered
for sale. (Sec. 7044)
" .; .` .: •'�'-s°- -�4 --
�❑ _I, as the owner, am exclusively contracting with licensed contract-
ors. (Sec. 7044)
❑ I am exempt under Sec. -Business and Professions Code
for this reason
NEW CONST. DWELLING occuP.e` ,�2QSQ ft
OR ADDNS. ( ACC- BLDGS. 1
.• ^+'-'-=-=
NEW CONSTR ULTI.OUTLET
NO N•R ESID BRANCH CIRCUITS)' 2.50 ea
-•• �` i
_ - _,,.,..(POWER APPARATUS eI
"" r a>- SINGLE OUTLET CIR. -
•�._,,,.,;-
-
20e50a
Ex. Occup(OUTLETs OR FIXTURES eAL030
— --
FIXED PR
EX. Occup. OUTLETS (RESID ) EA.) 2.00
Temporary service ' ='fi' " ='"""_ 10.00
Mobile Home Facilities --• - -•- - 15.00
- •. '
Misc. Wiring
9 15.00.
rQ;J
Permit Fee $
Contractor
WORKMEN'S COMPENSATION INSURANCE
I declare under penalty of perjury (check one):
❑ The permit is for $100.00 (valuation) or less.
❑ I have placed on file with the County of Butte Building Department
a Certificate of Workmen's Compensation Insurance or a Certificate
of Consent to Self -Insure.
❑ I shall not employ any person in any manner so as to become subject
to the W. C. laws of California.
Notice to Applicant: If after making this statement, should you become subject
to the W. C. provisions of the Labor Code, you must forthwith comply with such
provisions or this permit shall be deemed revoked.
MECHANICAL PERMIT Filing Fee
10.00
Heating'
Cooling
g
Hood 3.00
'
Ventilation
Permit Fee $
Contractor
I certify that I have read this application and state that the above information
is correct. I agree to comply to all County Ordinances and State Laws relating
to building construction, and hereby authorize representatives of the County of
Butte to enter upon the above-mentioned property for inspection purposes.
I also agree to save, indemnify and keep harmless the County of Butte against
all liabilities, judgments, costs, and expenses which may in any way accrue
against said County in consequence of the granting of this permit. -
_ -
X Date
Signature of Applicant — Owner ❑ Contractor ❑ Agent ❑
An OSHA permit is required for excavations over 5'0" deep and demolition or construct-
on of structureS over 3 stories in height.
Mobile Home Installation Fee $ t,
Energy Inspection Fee $
occ CONST TYPE /
ITOTAL FEE $
HAz CUAPARK sCHL FLO P Po Ho ISSUE
- -- - - - -
This permit is nereby issued under the applicable
sions of the Butte County Code and/or resolutions
work indicated above for which fees have
DIRECTOR OF PUBLIC WORKS _
By Date
PERMIT EXPIRES Date
provi-
to do
been paid.
Receipt No. /r�L 37
WHITE-O.P.W.. YELLOW -ASSESSOR, PINK -INSPECTOR. GOLDENROD -APPLICANT
PERMIT NO. 2106-82B,P,E,M
PERMIT EXPIRES
OWNER
A ].y inco
CONTR. Webb Bros Const, Chico
ASSESSOR PARCEL 44-74-82
LOCATION 560 Grand Teton Way, Chico
Y
G,
l
Temp. Power Pole
Called PG&E
Temp. Elec., Service
7
Called PG&E
Temp. Gas Service
Called PG&E
JOB FINALED (Date)
Signature
J = OK
0 = Not OK
- = Not Applicable
= Not Ready
MOBILEHOMES
i
MISCELLANEOUS
Date
MOBILEHOME UTILITJES (Plans) OK except k's
1. Zoning Requirements -Setbacks -Easements
Date
DECKS, COVERS, CARPORTS, ZTC. (P18ns) Gam. except k .
1. Zoning Requirements -Setbacks -Easements
2. Soils; Special MH Support-Skelch
2. Footings; Size -Depth -Spacing -Connectors
3. Sewer; Location -Test -Fall -C/0 -Concrete
4. Water; Location -Test -Easement Needed (Sketch)
3. Decks; Girders and/or Joists -Decking -Bracing -Stairs -Rails
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
6. Gas; Locatiorti-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
Date Card -BI Date
MOBILEHOME INSTALLATION (Plans) OK except N's
1. Zoning Requirements -Setbacks -Easements
Card -BI
Date
Date Card -BI Date +_
POOLS (Plans) OK except k'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
5. Elec.; Pool Lighting; 15 volts-GFI
6. Water; MH Test -Regulator -Connector
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
Card B-1
Date Card -BI Date
Date Card -BI Date
Card -BI
Card -BI
Date Card -BI Date
Date Card -BI Date
J = OK
0 = Not OK -
Not Applicable
Read
= Not Ready RESIDENTCAL (Single and Duplex)
Date
UNDERFLOOR Plans OK except #'s
Date
FRAMING (Continued)
1. Zoning requirements -Setbacks -Easements
48.
Property Line Firewall & Openings ,
2.
Ftg., Main; Soils-Steel-Elec. Grnd.- / /" Ftg. Depth
49.
Ext. Doors -One 3' -Check Garage -3rd story, 2 exits
3.
Ftg., Garage; Soils -Steel- / /" Ftg. Depth
50.
Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection
4.
Ftg., Porches & Decks; Soils -Steel- / /" Ftg. Depth
51.
Plywood on Roof Overhang -Attic Vents -Rafter Outriggers
5.
Stemwalls, Main; Steel-Blockouts-Wrapped-Slab
52.
Siding -Nailing -Veneer
6. Stemwalls, Garage; Steel-Blockouts-Wrapped-Slab
53.
Stucco Mesh -Drip Screed-Fdn. Vents-Underflr. Access
7.
Piers -Fireplace Ftg.-Steel
54.
Glazing Area -Glass Protection -Skylights -Plastic
8.
D.W.V.: Fall -Fittings -Test -2 way C/O -Sewer Test
55.
Shear Walls; Nailing -Bolts
9. Gas Pipe; Size -Anchors
10.
Water Pipe; Test -Anchors -Regulator -Service Test
11.
Electric; Underground
12.
Plenums & Ducts; Clearance -Material -Support -Ins.
13.
Girders -Sills -Anchor Bolts -Joists -Vents -Cripples
Card -BI
Date Card -BI Date
Card -BI
Date Card -BI Date
Card -BI
Card -BI
Date
Date Card -BI Date
Date Card -BI Date
FINAL (Plans) OK except q's
56. Ext. Steps -Door & Sidelight Protection -Landings
Card -BI
Date
_
Date Card -BI Date
PLUMBING (Permit) OK except p's
14. Water Ht.; Vent -Access -Combustion Air
57.
58.
Smoke Detector
Furnace; Vents -Clearance -Comb. Air -Connector -
In Garage; Above Floor-Ducts-Mech. Protection
15. Water Pipe; Test & Anchors -Nail Protection
16.
D.W.V.; Test-Fttngs & Anchors -Nail Protection
59.
Bedroom Exiting
17.
Shower Pan; Test, First Floor -Tub Access
60.
G.F.I. & Bath Fixtures & Tub Access
18.
Test Tub & Shower, 2nd Floor -Tub Access
61.
Elec. Trim & Subpanel; Breaker Sizes -Labels
Gas Pipe; Size & Anchors
62.
Stairs & Rails
63.
Fireplace or Stove; Clearances -Hearth
64.
Elec. Outlets at Wood Panel; Int. & Ext.
Card -BI
Date Card -BI Date
65.
Kit. Fixt. & Appliance; Grnd.-Air Gap -Cooking Clearance
Card -BI
Date Card -BI Date
66.
Elec. Outlets & Receptacles at Kit. Counter
Date
ELECTRICAL Permit OK except N's
67.
Garage Fire Door; Swing -Landing -Closer
68.
A.C. Duct in Garage -Damper
20.
Fixture & Transformer Clearance -Ins. Protection
69.
Wtr. Htr.; Vents -Clearance -Comb. Air-Connector-P.R.V.-
In Garage; Above Floor-Mech. Protection
21. Elec. Receptacles Spacing -Lights &Switches at Doors
22.
Size Boxes & No. Conductors -Stapled
70.
Plb., Elec. & Mech. Equip. Listed for Location
23.
Romex Installed Cltoo se to Edge of Studs & C.J.
71,
Elec. Receptacles in Garage; (G.F.I.)-Romex Protec.
24.
Equip. Ground made up w/Mech. Fasteners -Bond Gas & Water
72.
Insulation -Foam -Looked in Attic ❑Yes73.
25.
2 Appliance Circuits in Kitchen &Conductor Size
Guard Rails &Deck Construction -Post Caps
26.
Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / / ga. Cu or At
74.
Fdn. Vents & Crawl Hole Door -Drainage & Wood -Earth Clearance
Looked under Floor ❑ Yes
27.
Range Circ. / / ga. Cu or AI -Oven Circ. / / ga. Cu or Al,
Insulated Neutral JYes ❑No
75.
Following instld.: Drive
PlantersEl Yes ❑No El Yes E] No; Walks El Yes [j No;
28.
Service -Riser Conductors & Ground -Main Disconnect
76.
Stucco; Brown -Finish
29.
Equip. Clearances; Panels-Motors-Mech. Equip.
77.
A.C. Unit; Disconnect-Clrnces-Brkr. & Cond. Size -115V Outlet
30.
Clothes Closet Light -Shower Light
78.
Vents Above Roof; Plbg.-Appliance-Firepl.-Clearance to Opngs.
-
79.
Water Well; Disconnect, Electrical, Plumbing
80.
81.
Exterior Elec. Trim; G.F.I. Receptacle -Underground
Ventilation throughout House
Card B -I Date Card -BI Date
Card B -I
Date Card -BI Date
82.
Glass Protection
Date
MECHANICAL (Permit) OK except q's
83.
Corrections from Previous Inspections
84.
85.
Gas Test -Meters Tagged; Gas -Electric
Water & Sewer Connected -C/O to Grade -HD Approval
31. A.C. Ducts; Insulation & Support
_
32.
Vent Fan; Exhaust above Insulation
8E,
Energy Compliance Certificate -Other Certificates
33.
Condensate Drain & Overflow; Size & Grade
_
34.
Furnace -Vent; Access -Comb. Air -Return Air Vent -115V outlet
35.
Attic Access & Platform if Furnace in Attic
Card -BI
Card -BI
Date
_ Date - - _ Card -BI Date
Date Card -BI Date
FRAMING(Plans) OK except q's
Card -BI
Date Card -BI Date
Card -BI
Date Card -BI Date
Card -BI Date Card -BI Date
Comments at Final:
_
36.
Sills; Proper Material & Anchors
_
37.
38.
38.
39.
Walls; Studs -Nailing, Spacing & Bracing -Plates -Sound
Bearing Walls over _Girde_rs & Floor _Nailin_g___ __
Draft Stop in Walls (rat proof) _
40.
Fire Stops; Furred Ceilings -Stairs -Chases -Tub
41.
42.
43.
44.
Header & Beam -Size & Bearing
Hangers -Post Caps -Anchors -Connectors
Cing. Joist-Rftr. Ties- Purlin_ -Roof Brac.-Truss-Shthnq.-Rfnq.
Fireplace Ties or Type A Flue -Fireplace Throat
45.
46.
47.
Attic Access: Size &_ Rom_ex Protection -Draft Stop -Ins. Baffles
Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions _
Garage Fire Protection Framing
(NOTE:Anentrymust be made each time youvisit jobsite)
F+r'
kY
r
OROVILLE, CALIFORNIA]
GENERAL CLAIM
CLAIMANT: — Webb Brothers Const.
ADDRESS: 389—C Conners Court
CITY 3 STATE: Chico, CA 95926 IMPORTANT:
February 15 1983 SEE INSTRUCTIONS
DATE OF CLAIM: ' ON REVERSE SIDE
SUBMIT CLAIM TO DEPARTMENT RECEIVING GOODS OSP SERVICES
DATE
DESCRIPTION OF CLAIM (DESCRIBE FULLY TO AVOID DELAY)
AMOUNT
Owner has decided to build a different house on the same lot.
Bldg permit appin. #2106-82B,P,E,M, Receipt #68905, dated 7/12/82,
-74-82, wner: Alvinco.
Building permit fees paid ---------------------- $282.50
Retain filing fee --------------------$10 00
Retain plan checking fee ------------ = 15.00
Total amount retained----------------------- 25.00
Amount of refund -------------------------------------------- $257.50
Plumbing permit fees paid ---------------------- $ 46.00
Retain filing fee--------- ------------------------------ 10.00
Amount of refund--------------------------------------------$ 36.00
E ectrical permit fees paid--------------------$ 68.25
Retain filing fee------------------------------ 10.00
mount of refund--------------------------------------------$ 58.25
Mechanical permit fees paid--------------------$ 25.00
Retain filing fee ------------------------------ $ 10.00
Amount of refund------------ ------------------------------- 15.00
TOTAL REFUNDDUE
$366.75
TOTAL
$366
75
I, the undersigned, declare under penalty of perjury that the services or articles claimed ]hZlbeen performed or delivered, and that this
claim le true and correct as stated.Dated thio ............ day of t�v............ 1,, 6L!/:.:.f•.�. ....... Calif.t.Y..............(.'. ... ...........................
...... I .........
Signature of Claimant
1, the undersigned, hereby .certify that, to the beat of my knowledge, the services or articles specified above a been performed or de-
livered and that there is a Budget Appropriation s or Specific Board Approval s (Check one) for the same.
Dated this 15th da or February 19 83, at ...Oroville Calif... .
....................................Y ............................. ... .......... ............................................
Department Head or Authorize uty
Dept.
Code ............................................
Exp.
Code ................................................PAYABLE FROM ........................ ...........
.........................................................
FUND
DO NOT WRITE BELOW THIS LINE — AUDITOR'S USE ONLY
VENDOR
CODE
DEPT.
& SUB.
PROD•
SUB.
OBJ.
CLAIM
N0.
INVOICE
NO.
INVOICE
DATE
DISC.
GROSS
AMOUNT
ENCUMB.
SUB -DIST.
i
f
I
l
I r .
COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT N0.
7 County Center Drive - Oroville, California 95965 - Telephone 916/534-4541
APPLICATION AND PERMIT w
ASS4r4 PARCEL UMBE
-- 7Lx—
ZON G
L.
DING PERMIT
OWNER
TE PHONE
SQ. FT. OCC. BUILDING VALUATION
/��
• W
OWNER'S MAILING ADDRESS
5 SZr> _ Ov
CONTRiCJOR'S AME
VA n�'S
L/PHONE
•7 a
!A
C(%CJJ//'TOR
CONT AILING ADDRESS
�-
Fireplace
CONST CTION 9,./?DER
(/rJ
UNKNOWN
Total Valuation $
_ `co
`-V
Filing Fee
$ 10.00
LENDER'S M ING•ADD E
g
Permit Fee
$ 2S%. SO
ARC IT T OR ENGINEER
Arow
LICENSE NO.
Plan Checking Fee
$ /� 00
Penalty
$
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Permit fee
$ Z �' 7, 90
BUILDING ADDRESS
PLUMBING PERMIT
Filing Fee 10.00
Each Trap
2.00 6,00
Repair drainage or vent piping
5.00
n
Water piping
,OU
LOT NO.
9�
SUB (VISSIIOTN�NAME /1�p /�
�4 i4 ,0A --� _S 1//J
CEL MAP
790-36
Each qas water heater or vent
5.00 U
Gas piping system 1 - 5 outlets
0 C
�,/ USE OF STRUCTURE
SF �I Duplex❑ Mobilehome❑ Other
SPECIFY
Building sewer
�00
Lawn sprinkler system
5.00
TYPE OF WORK
New Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑
Describe work:
�s
Permit Fee
$ ,00
Contractor
ELECTRICAL PERMIT
Filing Fee 10.00
Main service 600 100 V OR LESS
AMP OR LESS
Main service EA. ADD'L 100 AMP
2;50
NEW CONST. DWELLING S. O2&qft C
OR ADDNS. ACCBLDG ,
•CH
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 Professio s ode and my license is in full -force force anal effect.
License No. 3 Classification 6
❑ 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 NON -CONSTRESIDR BR•CUTE T 2.50 ea
A CIRCUITS)
NEW CONSTR ( POWER APPARATUS &)
NON-RESID. SINGLE OUTLET CIR.
s0 @2S¢
Ex. Occup_ o TS OR FIXTURES gpL�i
IXED
Ex. Occup.IX L TS (RESAPPLINIS. OR
�OUT LETS (RESID.) EA. 2.00
Temporary service 10.00
Mobile Home Facilities 15.00
Misc. Wiring 7.50
Permit Fee $ 1,
Contractor
MECHANICAL PERMIT
Filing Fee 10.00
WORKMEN'S COMPENSATION INSURANCE
I declare under penalty of perjury (check one):
❑ The permit is for $100.00 (valuation) or less.
�l have placed on file with the County of Butte Building Department
a Certificate of Workmen's Compensation Insurance or a Certificate
of Consent to Self -Insure.
❑ I shall not employ any person in any manner so as to become subject
to the W. C. laws of California.
Notice to Applicant: If after making this statement, should you become subject
to the W. C. provisions of the Labor Code, you must forthwith comply with such
provisions or this permit shall be deemed revoked.
Heating &,/coo
4, l90
3PU7—
Cooling
Ori
Hood
3.00 _V,00
Ventilation
Permit Fee
Contractor
I certify that I have read this application and state that the above information
is correct. I agree to comply to all County Ordinances and State Laws relating
to building construction, and hereby authorize representatives of the County of
Butte to enter upon the above-mentioned property for inspection purposes.
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 aid County in copse uence of the granting of this permit.
X Date
Signature of Applicant — Owner ❑ Contractor ❑ Age ❑
An OSHA permit is required for excavations over 5'0" deep and demolition or construct-
of structures over 3lsttories in height.ceipt
Mobile Home Installation Fee $
TOTAL PERMIT FEE $ ,
OCCU . GROYP
TYPE OF CONST.
PARCELPD
XD SUE
4l
This permit is hereby issued under
sions the Butte County Code and/or
work indicated above for which
DIRECT^ OF PUBLIC
By
PER EXPIRES Date
the applicable provi-
of
resolutions to do
fees have been paid.
WORKS
Date —7y-�TE-D.P.W.,
c.� �v l ��
No. 4,6 <o
L
YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APDL [CANT
TO: Building Department
FROM: Environmental Health, Chico
SUBJECT: Sanitation Clearance /'�C�/�/�pW
Owner Location AP#
Plan approved for: sewage disposal water supply
Hold final for:
Final clearance O.K. for:
Clearance for bedroom t+e6i4-e home. Other
Note***
Sanitarian
water supply
water supply
/ X710
Date
352 V to rosa
Return to DPW AGRICULTURAL STATEMENT OF ACKNOWLEDGEMENT Chierb, Valif.
Y� FOR RESIDENTIAL,DEVELOPMENT 8� w�
D. FICIAL liEC..'R _
Section 26-811 of the Butte County Code requires this acknowledgemen ' _
;ORDS REC-1!. ;.
be recorded prior to issuance of a- building permit..bRML1,E Trtt~ cv,'
f JUL I Z! 4
a o,
The prop rty described herein is adjacent to land or included 2.h.1.:1
within an area zoned for agricultural purposes, and residents of ELEANOR M. BECKER
this property may be subject to inconveniences or discomfort arisin(.ERK-RECORDER
from the use of agricultural chemicals, including, but not limited to herbicides,
fT
pesticides, and fertilizers; and from the pursuit of agricultural operation.s 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 77,78,79,80,81,82,83,84,85,86,87,88,89,9.1,92,93,94,95,96,97,
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:
ALVINCO
TO 1945 CA (8-74) `
PROPERTY OWNERS:
r
(Corporation) _
I
W
rc
W
2
W
J
a
a
WITNESS my hand and official seal.
Signatu11
r i
NIA
�,a:,;;^•-, �
PRINCIPAL OFFICE IN
SHASTA COUNTY
My Commission Expires July 12, 1932
(This area END p F DOCUMENT.
19 ;
tally
is ial
TITLE 1NSURAN55p
STATE OF CALIFORNIA
AND TRUST o
COUNTY OF Butte r S-
J
ATI[OR COMPANY -
On July 6, 1982
—before me,
State, personally appeared_ Mack W. Hill
the undersigned, a
Notary Public in and for said
known to me to be the Treasurer t�txxr
-o
.
known to me to be '---"'---'------
_Secretary
rn
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 theI
within instrument pursuant to its by-laws or a resolution of
"
t�
•�:=;,,�:
OFFICIAL SEAL CHERYL J. JINK$
I
its board of directors.
' '
NOTARY PUB' ICCAL0 IF R
WITNESS my hand and official seal.
Signatu11
r i
NIA
�,a:,;;^•-, �
PRINCIPAL OFFICE IN
SHASTA COUNTY
My Commission Expires July 12, 1932
(This area END p F DOCUMENT.
19 ;
tally
is ial
\ 3lot o `
dOTE:—
All Moterials & Wo kmanship Shall
� .
accordance with Recognized Good Practices= Nil 3 -
�f a quality prescribed for th Specified use
�p 3
Jniform Building, Plumbing & I Aachanicol Codes
he National Electrical Code.
Q..
This set of plans anc specifications MUST �r ,
60on the job at all f;mes and
it is
make any changes or all a aticnson same witul - a
N
written permission froC:.o,, bout
Works. County of Buff: eaartment a� ;9u tic n' /
30! i
ids f
A sett cc o? 5 i.r mn -Me I IA .2
property lines . r ac
� of 50ft. from th a road p
centerlines �e clear of +
I �- -
.structures or. equipment except (�'` -R dee `�qs , ; �� 7e �ej�
fn a 2 ft. eave overhanq. lan&
\----
D TN I-V I�
OWN e9 0�VErL0FE)Z.._ ALVINC0.._..._._. ..- 5(� �II_30 oil—
JA-6IC , A.. bLIZMAK $ A'5SO6, JU6. 19 I'l CNI Gv, CA