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I YDS BANK OF CALIFORNIA eZ� 107A Centennial, Chico-� 7� ; Contr: Sutton Roofing, Paradise !, j Permit #1170-84B (reroof & smoke det/f ' r r ATRICK BARCLEY� 107A Centennial, Chico I�a�/v� ermit#2242-85B,P,E,M(addition & remodel/ ! rF) 011-010-010 03-2496 VANDERPOOL, KAREN 284 CENTINNIAL, CHICO Cont: NEAR ROOFING XNpa,ED RE-ROOF10 g ZZ'D3 q o-0 U, �t .o%oa�o - PATRICK BARCLEY S/S Centennial,•400'E Manzanita, Chic Permit#67-84A(Agri�c_u1tura1 Bldg 'P ---- /horse __s.t_a.lj xemp/horse] s) ""' 11-01-10 MARK & THERESA DAHLHEIMER 284 Centennial Chico Permit#69-89A-Ug"cc,u tur clg xe lean to addition existing barn- ,shad•e�or MEALT -ARARAWE D /0 0&R -0/0-0I0 7 /0 0&R -0/0-0I0 - - -1 rm o� BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT 24 HOUR INSPECTION #:(530) 538-7636 (OROVILLE) (530) 891-2834 (CHICO) OFFICE #:(530) 538-7541 FAX#: (530) 538-2140 WEBSITE: www.buttecounty.net\dds PROJECT INFORMATION Site Address: 284 CENTENNIAL AVE Owner: permit No: B09-0032 APN: 018-010-010 VANDERPOOL KAREN M, Issued Date: 1/9/2009 By GLB Permit type: MISCELLANEOUS P O BOX 57 Subtype: Electrical CHICO, CA 95927 Expiration, Date: 1/9/2010 Description: ELECTRICAL TRENCH AND LINE (530) 342-2265 . Occupancy: Zoning: AR Contractor Applicant: Square Footage: VANDERPOOL KAREN M, Building Garage RemdUAddn POBOX 57 CHICO, CA 95927 Other Porch/Patio Total (530) 342-2265 FEE INFORMATION DBE Misc Residential Wiring $59.00 Total Charged: $59.00 Fees Paid: $59.00 Balance Due: $0.00 Receipt No: B9504 LICENSED CONTRACTOR'S DECLARATION OWNER / BUILDER DECLARATION Contractor (Name) - State Contractors License No. / Class / Expires I hereby affirm under penalty of perjury that I am exempt from the Contractors' State License Law for the reason(s) indicated below by the checkmark(s) I have placed next to the applicable item(s) (Section 7031.5, Business and Professions Code: Any city or county that requires a permit to construct, alter, improve, demolish, or repair any structure, prior to its issuance, also requires the I HEREBY AFFIRM UNDER PENALTY OF PERJURY that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license applicant for the permit to file a signed statement that he or she is licensed pursuant to the provisions is in full force and effect, of the Contractors' State License Law (Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code) or that he or she is exempt from licensure and the basis for the X 1/9/2009 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).): Contractors Signature Date 1, as owner of the property, or my employees with wages as their sole compensation, will do L) all of or L) portions of the work, and the structure is not intended or offered for sale (Section 7044, Business and Professions Code: The Contractors' State License Law does not apply to an owner of property who, through employees' or personal effort, builds or WORKERS' COMPENSATION DECLARATION I HEREBY AFFIRM UNDER PENALTY OF PERJURY one of the following declarations: improves the property, provided that the improvements are not intended or offered for sale. If, ❑1 have and will maintain a certificate of consent to self -insure for workers' however, the building or improvement is sold within one year of completion, the Owner -Builder will have the burden of proving that it was not built or compensation, issued by the Director of Industrial Relations as provided for by Section improved for the purpose of sale.). 3700 of the Labor Code, for the performance of the work for which this permit is issued. Policy No. I, as owner of the property, am exclusively contracting with licensed Contractors to ❑ ❑1 have and will maintain workers' compensation insurance, as required by Section 3700 construct the project (Section 7044, Business and Professions Code: The Contractors' State License Law does not apply to aowner of property who builds or improves thereon, and who of the Labor Code, for the performance of the work for which this permit is issued. My workers' contracts for the projects with a licensed Contractor pursuant to the Contractors' State License Law.). Carrier: Policy Number: Exp. Date: ElI am exempt from licensure under the Contractors' State License Law for the following I certify that, in the performance of the work for which this permit is issued, 1 shall not reason: X 1/9/2009 employ any person in any manner so as to become subject to the workers' compensation laws of California, and agree that, if I should become subject to the workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with i - - wners Signature Date PERMIT APPLICANT DECLARATION 1/9/2009 /`Signature Date By my signature below, I certify to each of thRE e (lowing: WARN/NG: FAILUTO SECUR WORKERS' COMPENSATION COVERAGE IS I am U a California licensed contractor or, the property owner' or, L)'authorized to UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES act on the property owners behalf". AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($100,000), IN I have read this construction permit application and the information I have provided is ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN correct. SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. I agree to comply with all applicable city and county ordinances and state laws relating to building construction. I authorize representatives of this city or county to enter the above -identified property for inspection purposes. California Licensed Contractor, Property Owner' or Authorized CONSTRUCTION LENDING AGENCY DECLARATION I hereby affirm under penalty of perjury that there is a construction lending agency for the performance of the work for which this permit is issued (Section 3097, civil Code). ��.'�G?`%2%U 1/9/2009 Lender's Name and Address a e of Permittee [SIGN] V Print Date FILE COPY Lenders Name & Address City State zip Butte County Department of Development Services :-1 TIM SNELLINGS, DIRECTOR I PETE CALARCO, ASSISTANT DIRECTOR 7 County Center Drive Oroville, CA 95965 (530) 538-7601 Telephone (530) 538-2140 Fax www.buttecounty.net/dds IMPORTANT! NOTICE TO PROPERTY OWNER Dear Property Owner: An application for a building permit has been submitted in your name listing yourself as the builder of the property improvements specified at 284 CENTENNIAL AVE, CHICO. We are providing you with an Owner -Builder Acknowledgment and Information Verification Form to make you aware of your responsibilities and possible risk you may incur by having this permit issued in your name as the Owner -Builder. We will not issue a building permit until you have read, initialed your understanding of each provision, signed, and returned this form to us at our official address indicated. An agent of the owner cannot execute this notice unless you, the property owner, obtain the prior approval of the permitting authority. OWNER'S ACKNOWLEDGMENT AND VERIFICATION OF INFORMATION DIe__NS: Read and initial each statement below to signify you understand or verify this information. derstand a frequent practice of unlicensed persons is to have the property owner obtain an "Owner -Builder" building permit that erroneously implies that the property owner is providing his or her own labor and material personally. I, as an Owner -Builder, may be held liable and subject to serious financial risk for any injuries sustained by an unlicensed person and his or her employees while working on my property. My homeowner's insurance may not provide coverage for those injuries. I am willfully acting as an Owner -Builder and am aware of the limits of my insurance coverage for injuries to workers on my property. 01* understand building permits are not required to be signed by property owners unless they are responsible for the onstruction and are not hiring a licensed Contractor to assume this responsibility. understand as an "Owner -Builder" I am the responsible party of record on the permit. I understand that I may protect m self from potential financial risk by hiring a licensed Contractor and having the permit filed in his or her name instead of my own. understand Contractors are required by law to be licensed and bonded in California and to list their license numbers on #Dprmits and contracts. understand if I employ or otherwise engage any persons, other than California licensed Contractors, and the total value y construction is at least five hundred dollars ($500), including labor and materials, I may be considered an "employer' under state and federal law. r derstand if I am considered an "employer" under state and federal law, I must register.with the state and federal withhold payroll taxes, provide workers' compensation disability insurance, and contribute to unemployment n for each "employee." I also understand my failure to abide by these laws may subject me to serious financial risk. understand under California Contractors' State License Law, an Owner -Builder who builds single-family residential eandcthe t es cannot legally build them with the intent to offer them for sale, unless all work is performed by licensed subcontractors number of structures does not exceed four within any calendar year, or all of the work is performed under contract with a licensed general building Contractor. understand as an Owner -Builder if I sell the property for which this permit is issued, I may be held liable for any G ancial or personal injuries sustained by any subsequent owner(s) that result from any latent construction defects in the workmanship or materials. rstand I may obtain more information regarding my obligations as an "employer" from the Internal Revenue Pervice'*e United States Small Business Administration, the California Department of Benefit Payments, and the California Division of Industrial Accidents. I also understand I may contact the California Contractors' State License Board (CSLB) at 1-800-321-CSLB (2752) or www.cslb.ca.gov for more information about licensed contractors. I am aware of and consent to an Owner-Builder building permit applied for in my name, and understand that I am the legally and financially responsible for proposed construction activity at the following address: 2 $ u( C,etA in vl -1, c_l A-v-e. t C-4 ce) CA - ct J-KI Z &a� gree that, as the party legally. and. financially responsible for this proposed construction activity, I will abide by all cable laws and requirements that govern Owner-Builders as well as employers. jJ2 �agreeo notify the issuer of this form immediately of any additions, deletions, or changes to any of the information I have provided on this form. Licensed contractors are regulated by laws designed to protect the public. If you contract with someone who does not have a license, the Contractors' State License Board may be unable to assist you with any financial loss you may sustain as a result of a complaint. Your only remedy against unlicensed Contractors may be in civil court. It is also important for you to understand that if an unlicensed Contractor or employee of that individual or firm is injured while working on your property, you may be held liable for damages. If you obtain a permit as Owner-Builder and wish to hire Contractors, you will be responsible for verifying whether or not those Contractors are. properly licensed and the status of their workers' compensation insurance coverage. Before a building permit can be issued, this form must be completed and signed by the property owner and returned to the agency responsible for issuing the permit. Note: A copy of the property owner's driver's license, form notarization, or other verification acceptable to the agency is required to be presented when the permit is issued to verify.the property owner's signature. Description: 'ELECTRICAL TRENCH AND LINE REPAIR Reference Number: B09-0032 Applicant Name: VANDERPOOL KAREN M, Owner's Name: VANDERPOOL KAREN M, AP # : 018-010-010 Signature of Property Owne . �Date: /-01-01 Note: The following Authorization Form is required to be completed by the. property owner only when designating an agent of the property owner to apply for a construction permit for the Owner -Builder. AUTHORIZATION OF AGENT TO ACT ON PROPERTY OWNER'S BEHALF Excluding the Notice to Property Owner, the execution of which I understand is my personal responsibility, I hereby authorize the following person(s) to act as my agent(s) to apply for, sign, and file the documents necessary to obtain an Owner -Builder Permit for my project. Scope of Construction Project (or Description of Work): Project Location or Address: Name of Authorized Agent: Tel No Address of Authorized Agent: I declare under penalty of perjury that I am the property owner for the address listed above and I personally filled out the above information and certify its accuracy. Note: A copy of the owner's driver's license, form notarization, or other verification acceptable to the agency is required to be presented when the permit is issued to verify the property owners signature. Property Owner's Signature:. Date: BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT APPLICATION* OFFICE 4:(530) 538-7541 FAX #: (530) 538-2140 A FEE WILL BE REQUIRED AT TIME OF APPLICA TION Website: www.buttecounty.net/dds PLEASE PRINT CLEARLY PERMIT NO. BIN N "When filed, this application and all supporting material becomes subject to the California Public Records Act. All public information related to this application is'subject to public inspection and will be posted on the County's website for electronic access. OWNER INFORMATION Last Name SJA-w wa(- I First Name Mailing Address Po . .. City C C State C Z�p� C Phone' Fax E-mail E-mail APPLICANT INFORMATION CONTRACTOR Name City Address Zip City Fax State Zip Phone Fax E-mail Lic. # Class APPLICANT INFORMATION ARCHITECT/ENGINEER Name City Address Zip City Fax State Zip Phone Fax E-mail State License Number APPLICANT INFORMATION Name 0 U Address City State Zip Phone Fax E-mail APPLICANT SIGNATURE X [.wliv PROJECT LOCATION AP# 0k 010 Oi0 Property Address City G co CR Ct -Z WORKER'S COMPENSATION Policy Number Carrier If hiring anyone other than'ticensed contractors, a certificate of worker's compensation must be shown at the time of permit issuance. LENDING AGENCY Name Address DESCRIPTION OR SCOPE OF WORK: L� iu 1Z) 9-F—F t(Z EY-cS i I t— Sq FT- Living Garage Open Cov ❑ Structure Built without Permits ❑ Proposed Change of Occupancy (Note previous use): For office use only: Zoning Flood Zone SRA Yes No Occ. Type Const. 011-010-010 03-2496 VANDERPOOL KAREN 284 CENTINNal,�) C141co Cont: NEAR ROOFING RE -ROOF COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 4//.� / 7 County Center Drive • Oroville, California 95965 • Telephone (530) 5B8-754.1 ER Taro. �b -� (Rev. 12/96) APPLICATION AND PERMIT C -r f ASSESSORPAR CEL NUMBER C)I 0 O ' O 0 ZONING BUILDINGPERMIT OWNER p + �I' // _ ` TELEPHONE ' SO. FT. OCC. BUILDING VALUATION I ' _L o v OWNERS `/UNGgADDREjS ) ' ` J J(v�l/ 71 Ito S W 5 O . IVy CONTRALTO � � % ] TELEQHOyE�� � CONTRACTS NG A?1 m o 4 1d CONSTRUCTION LENDER Fireplace LENDER'S MAILING ADDRESS Total Valuation $ ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00 Permit Fee $ , OC,% ARCHITECT OR ENGINEERS "UNG ADDRESS Plan Checking Fee $ BUILDING ADDRESS / � C 1 t'1 4 l- 'i �,Cc:7 Energy Plan Checking Fee $ C $ PERMIT FEE S "7 LOT NO. S UBDNISIONSNAME PARCEL MAP PLUMBING PERMIT Fling Fee 20.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome ❑ Other SPECIFY Each Trap 7.00 Solar or heat pump water heater 23.00 Water piping 15.00 Each gas water heater or vent 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ ^Uili�tiiees❑ Installation ❑ Other ❑ JJ Describe Work: ke VT►�� l �/� � , f `��i- i) l9 31 I , T"I a Gas piping system 1 - 5 outlets 15.00 Buildingsewer 15.00 Mobile Home I S I G I W @20.00 PERMIT FEE $ ELECTRICAL PERMIT Fling Fee 20.00 600V ORLE Main Service .0. OR LESS 23.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect. (5 License Class (_I `� k it, LIC. NO. OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: ❑ I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason Main Service 200A TO as. 00 CCU000A NEW CONST. DWELLING OCCUP. OR ADDNS. ( 8 ACC. BLD S. SO so 3.50FT. T. NOµ,pa,p MULTI -OUTLET @7,50 POWER APPARATUS 8 SINGLE OUTLET LIR. Ex. OccUp. OUTLET OR FDCTUREs 20 Q ' .00 BALQ .50 Ex. Occup. ourLEEDTs� RRta.oew 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE S WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. I have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued, My workers' cym ensatio insurance carrjer and policy number are: Carrier 5-r AT f; p LA N V MECHANICAL PERMIT Fling Fee 20.00 Heating Cooling Hood 6.50 Ventilation ti PERMIT FEE $ Policy Number (r o%k 1) -1175- (10 , W' U L.• (The above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) not employ any person in any manner so as to become subject to workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall forthwith comply with those provisions. 1` X "C' 'i, t A 04v% - Date �6 ' Iq Signature of Applicant - ❑ Owner ,12'Contractor ❑ Agent An OSHA permit is required for excavations over 5'0" deep and demolition or construction of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST. TYPE �4. v ' HAZ. D. FEES IMP I FLOOD CDP PARCEL I pD I HD ISSUE This permit is hereby issued under the applicable provisions of the Butte County Code and/or Resolutions to do work indicate above for which fees have been paid. �. ) r ( By ,v / Date U () 7 {� r PERMIT EXPIRES ON ' / Date Receipt No. % I /- X LV WHITE-D.D.S.-B.D. CANARY --ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDI G DIVISION 0?4 7 County Center Drive Oroville, California 95965 •Telephone (530) 8-7 T No. (Rev. 12/96) APPLICATION AND PERMIT C,-`J� ASSESSOR PARCEL NUMBER /'1 I + © 10 I O ZONING BUILDING PERMIT OWNER VA4VAJ / _ TELEPHONE SO. FT. OCC. BUILDING VALU TION z- ' .OWNERS NGGODRE$�}� A U �l"// U CONTRA S �AE f n TE HO E` � CJ.ChJ CONT S IUNG RE �M o I � W 7 I j� CONSTRUCTION LENDER Fireplace LENDER'S MAILING ADDRESS Total Valuation $ ARCHITECT OR ENGINEER LICENSE NO. —Filing Fee $ 20.00 Permit Fee $ —1 _ 6L) ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ BUILDING ADDRESS � Camn t G0 Energy Plan Checking Fee $ $ PERMIT FEE $ '2 LOT NO. SUBDNIS IONS NAME PARCEL MAP PLUMBING PERMIT Fling Fee 20.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome ❑ Other SPECIFY Each Trap 7.00 Solar or heat pump water heater 23.00 Water piping 15.00 Each as water heater or vent 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑ Describe Work::te 1 t T Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home I S I G I W @20.00 PERMIT FEE $ ELECTRICAL PERMIT Fling Fee 20.00 Main Service *.".A OR LESS 23.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect. S �y (� License Class [_��C1 k I [i Lic. No. i71 OWNER -BUILDER DECLARATION 1 hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: ❑ I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the /performance of the work for which this permit is issued. �( I have and will maintain workers' compensation Insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers'c9�pensatio insurance car5r and policy number are: Carrier i T �ti V Policy Number (-2-0N,Q `7 (1 5 (P-0 (The above sections need not h- completed 'rf the permit is for work of a valuation of one hundred dollars ($100) or less.) ❑ 1 certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to workers' compensation laws of California, and agree that f I should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall forthwith comply with those provisions. X !�lC, `�'�— Date `0 Signature of Applicant - ❑ Owner Contractor ❑ Agent An OSHA permit is required for excavations over 60" deep and demolition or construction of structures over 3 stories in height. Main Service 200A TO +000A 46.00 NEW CONST. DW NG OCCSO OR ADDNS. ( 8 ELLIACUP. C. S.3.50FT. NpNpO�,p MULTI.OUTLET 97,50 POWER APPARATUS a SINGLE ourLET cIR. Ex. OCCU . OLRLETORFDCTUREs Q20 (9 .50 BA L Q .50 Ex. Occup. of ,MED s°PR�D°� 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wirina 23.00 PERMIT FEE $ MECHANICAL PERMIT Fling Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE $ Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST. TYPE TOTAL FEE $ O Iwz. D FEES IMP FLOOD COF PARCEL PD HD sSUE This permit is hereby issued under the applicable provisions of the Butte County Co a end/or Resolutions to do work indi a above for,yv ' h fees ave been aid. By D eReceiptNo. PERMIT EXPIRES ON P---Oq ate WHITE-D.D.S.-B.D. CANARY- S ESSOR PINK -INSPECTOR GOLDENROD -APPLICANT COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE: (916) 538-7531 AGRICULTURAL BUILDING EXEMPTION PERMIT PERM Agricultural building is defined as follows: Agricultural building is a structure designed and cPnstructed to house farm implements, hay, grain, poultry, livestock, or other horticulutral products. This structure shall not be a place of human habitation or a place of employment where agricultural products are processed, treated, or packaged, nor shall it be a place used by the public. ASSESSOR PARCEL NO.( ` _O _I O ZONING OWNER PHONE NO. 3 7235 ISSUE OWNER'S ADDRESS I LOCATION OF BUILDING [ROOFING / � g A -,'f -t-- ,.v i✓ i a of 14 -t- J 9.5 IF 2- 2 0. .n/ - *0 0. ° .3 iv USE OF BUILDING151 I t-e0i CL 00 yr � r9c SIZE OF STRUCTURE X 2 SQ. FT. = TYPE OF CONSTRUCTIOfjI- WOOD FRAME STEEL CONCRETE OTHER (Specify) TYPE OF SIDING ROOF COVERING FLOOR TYPE_/ /V Z) P0010 ESTIMATED COST OF OONSTRUCTION $ ID o AG Buildings shall comply with the building front, side, and rear yard requirements of the applicable County Ordinances as follow FRONT T6 o� _ SIDES ® REAR �S AG Buildings shall be a minimum of five (5) feet from any septic tank or leach fields. AG Buildings less than 1000 sq. ft. in floor area shall be located a minimum of 6 feet from a residence, 10 feet from a mobilehome, and 23 feet from a commercial building. AG Buildings greater than 1000 sq. ft. in floor area shall be located a minimum of 23 feet from a residence and a mobilehome, and 40 feet from a commercial building. I declare under penalty of perjury that the building will be used as stated above and the proposed use conforms with the AG Building definition. If any change in use or occupancy of the building is made, I will contact the Department of Public Works and will obtain any necessary permits, inspections, and approvals to comply with the requirements in effect at that time and before occupancy. Date Permit Fee - $25.00 Receipt No. q//a2 Signature of Owner Cc The above described AG Building is exempt from a building permit. White - DPW, Yellow - Assessor, Pink - B. I., Goldenrod - Applicant Director of Public Works By Date G - a 7x211 FLOOD PARCEL P.D. ISSUE I [ROOFING Director of Public Works By Date G - a 7x211 . ,- `r-'^' - .- ..,. f ., L%. �:. ♦ r., !-!: M. *.� .vs. f.`i•.rl.--"I+,�fAt" T++i' 71 „ �r L.�t�i'�.. 0.9 -T* ;`O.yi: v r' -- COUNTY OF BUTTE - DEPARTMENT, OF PUBLIC WORKS - BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILLE,'CALIFORNIA 95965 - TELEPHONE: 916/538-7541 PERMIT APPLICATION.DATA SHEET Permit No. OWNER //^ M��rk. �' TYl ?T2 _j, I I P An -P rA. P. No. _/Q) Proposed Building Use Q Ie/y-fi�,r f7 Y Building Inspector Date l -_2/ �Q At time of permit application, I was advised the following data must be submitted prior to permit processing and/or issuance: DATE RECEIVED APPROVED 1. All items have been submitted. .................................. 2. Plot plans in duplicate/triplicate, signed by preparer of plans........ - 3. Complete plans in duplicate/triplicate, signed by preparer of plans .. 4. Complete.engineered plans and calcs, with wet signature on plans .. 5. Energy Design Compliance and supporting documentation ......... 6. Statement of Intent for Non -Heated and AC Buildings .............. 7. Engineered truss details and layout in duplicate (required prior to plan check) 8. Mobilehome installation data including manufacturer's installation instructions....................................................... 9. Fees of $ .......................... 10. Chico Urban Area fees paid ........................................ 11. Park fees paid ..................................................... 12. School District fees paid ................. 13. Sanitation approval from Health Department ... 14. City of Chico plumbing_ permit ..................................... . 15. Plot plan and business license approval from City of (see City for other requirements) 11 16. Planning approval for (A) Use: (B) Parking: ......... 17. Improvements may be required. 18. Driveway permit (construction approval required prior to occupancy) ... 19. Pre-Inspec. request to Pre -Inspection for required ...... Building Inspector %(Date ) 20. Contractor's license information (No., Name Style, Classification) ....... 21. Certificate of Workmains 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. When/�' u issue the permit, process as follows: Mail to owner. Mail to contractor. v Telephone97.3 2256 and hold for pickup at /` : _ office. Deliver w/inspector. Other � r Applicant. . JJ r• .( c ., r( 41.1 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_-nail counter by_ date Contractor, designer, owner, was advised of above required data by -phone _maII-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 916/534-4541 AGRICULTURAL BUILDING EXEMPTION PERMIT PERMIT NO. Agricultural building is defined as follows: Agricultural building is a structure designed and constructed to house farm implements, hay, grain, poultry, livestock, or other horticulutral products. This structure shall not be a place of human habitation or a place of employment where agricultural products are processed, treated, or packaged, nor shall it be a place used by the public. ASSESSO P CEL NO. ZONING- ON NG -7 OWNER PHONE NO. OWNER'S VIDRESS LObATJ9N OF BUILDI G C' "re USE OF BUILDING SIZE OF STRUCTURE Ix (�vO SO. FT. = TYPE OF CONSTRUCTIOfjI! ' WOOD FRAME cSTEEL CONCRETE OTHER (Specify) TYPE OF SIDING ROOF COVERING FLOOR TYPE D 7 I� GCi ESTIMATED COST OF CONSTRUCTION $ O o AG Buildings shall comply with the building front, side, and rear yard requirements of the applicable County Ordinances as follows: <t , FRONT_,2_"(g2— SIDES REAR AG Buildings shall be a minimum of five (5) feet from any septic tank or leach fields. AG Buildings less than 1000 sq. ft. in floor area shall be located a minimum of 6 feet from a residence, 10 feet from a mobilehome, and 23 feet from a commercial building. AG Buildings greater than 1000 sq. ft. in floor area shall be located a minimum of 23 feet from a residence and a mobilehome, and 40 feet from a commercial building. I declare under penalty of perjury that the building will be used as stated above and the proposed use conforms with the AG Building definition. If any change in use or occupancy of the building is made, I will contact the Department of Public Works and will obtain any necessary permits, inspections, and approvals to comply with the requirements in effect at that time and before occupancy. Date / Signature of Owner Permit Fee - $25.00 The above described AG Building is exempt from a building (irmit. Receipt No. Director of Public Works By Date White - DPW, Yellow - Assessor, Pink - B.I., Goldenrod - Applicant "/r /��� ��%( PERMIT NO. _ .2242-85B,P,E;M PERMIT EXPIRES OWNER PATRTCY RARCLEY CONTR.. „nknown ASSESSOR PARCEL--3G-1-A- LOCATION X 107A Centennial, Chico 7_, '-.c vr5b C yizo�u'�,vZG�i� h 4 1 Temp. Power Pole Called PG&E Temp. Elec. Service Called PG&E Temp. Gas Se Called PC JOB FINALEI a (� ti Signature � I c1f l L fc �— �d, 7 j F Owner: �7, Permit No. ENERGY CERT -.IF ICAT ION Centeni nal Ave (Addition) / - of ^ / a LOCATION A.P. No. DESCRIPTION Or INSULATION ROOF Material Thickness(inches) EXTERIOR WALL Material Fiberu ass Batts Thickness(inches);.'3, 5 _'/61" CEILING Batt or Blanket Type Thickness(inches) Loose Fill Type Fiberglass Minimum Thickness (Inches) 14" Area covered(ft.2) 364 FLOOR, ELEVATED Material Thickness(inches) FLOOR, SLAB Material Thickness(inches) Width(inches) FOUNDATION WALL Material Thickness(inches) Brand Name Thermal Resistance (R Value) Brand. Name Owens-Corning Thermal Resistance(R Value)R13/R19 Brand Name Thermal Resistance(R Value) Brand Name Owens-Corning Number of Bags 8 Wt. per bag 35 lb. Thermal Resistance(R Value) R Brand Name Thermal Resistance(R Value) Brand Name Thermal Resistance(R Value) Brand Name, Thermal Resistance(R Value) I hereby certify that -the above insulation was installed in the above building in conformance with the State of California Energy Requirements. LOERKE INSULATION COMPANY #432518 FIRM NAME/OWNER STATE CONTRACTOR'S LICENSE NO. SIGNATURE OF INSTALLATIONT APPLICATOR January 6, 1986 DATE I hereby certify the above insulation and all required items as shown on the Building Department approved plans and attachments have been installed as required by the State of California Energy Requirements. All equipment, devices and materials are of the quality prescribed or are snecifically avnroved by the State of California. STQ�"Zn A �AtluSTSZvc.T1c�J FIRM NAME/OWNER (Please print) SIGNATURE OF GENERAL CONTRACTOR OWNER -6 ri 5- -1't, STATE CONTRACTOR'S LICENSE NO. \— \S- 9-4 DATE THIS CERTIFICATE MUST BE ON FILE WITH THE BUILDING DEPARTMENT PRIOR TO FINAL INSPECTION APPROVAL AND A COPY SHALL BE POSTED WITHIN THE BUILDING. January 1984 COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS,,, 196 Memorial Way, Chico — Phone: 891-2751 7 County Center Drive, Oroville — Phone: 5344541 Skyway and Elliott Road, Paradise — Phone: 872-2961, Ext. 57 CORRECTION NOTICE A routine inspection indicates that the following violations of County Ordinance exist at the above address and should be corrected. Please notify this office when correction of work is completed. If you have any question pertaining to this matte.r, or need additional explanation, please contact this office immediately. k S52EEEIZ f 0' . Lpz� 191AIL-11 y Z. -I .1 Ru C. 141 41U—J1- '(22��f?rllcA S'Zr 7, Az 4�� "loys C/ Ago) lnspectoz� Date COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 196 Memorial Way, Chico — Phone: 891-2751 7 County Center Drive, Oroville — Phone: 534-4541 Skyway and Elliott Road, Paradise — Phone: 872-2961, Ext. 57 CORRECTION NOTICE e 12 —,P) 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 corlrp_rtion of work is completed. If you have any question pertaining to this ,�malle r need additional explanation, please contact this office immediately. rh Xj/ 611 A 0 , 1/-) A6-"" dz� , -�� rl�- '6 'f.' '14- A? S - le, - e/, 5 / ,IV /'- 4) 1 / C" Y-1 5-71,U9' Z' 62V)041 //-/ ?-' � 9 ( - Inspector / — Date d - -- COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 196 Memorial Way, Chico — Phone: 891-051' 7 County Center Drive, Oroville — Phone: 5344541 Skyway and Elliott Road, Paradise — Phone: 872-2961, Ext. 57 CORRECTION NOTICE 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. An- 6>/,(-, -* // ilaTu 4- 'r 6 A> 'C' 'M 4- c,:;? Z,/ " 'Z�"Va' (g - 120- A6,64CrO4 Inspectole-11 D ate j---- 10, J -='OK• •• 0 = Not OK — = Not Applicable MOBILEHOMES * = Not Ready MISCELLANEOUS '' �'`• Date MOBILEHOME UTILITIES (Plans) OK except q's 1. Zoning Requirements—Setbacks—Easements 2. Soils; Special MH Support—Sketch ' Date DECKS, COVERS, CARPORTS, ETC. (Plans) OK except N's 1. Zoning Requirements—Setbacks—.Easements - ' 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 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 q's 1. Zoning Requirements—Setbacks—Easements Card -BI . Date Date Card -BI Date POOLS (Plans) OK except q'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 7. Water and Sewer Connected—C/0 to Grade—HD Approval 6. Elec.; Enclosures; Conduit Entries—Terminals—Listed 7. Elec.; Bonding; Metal w/5'—Circulating Equipment—Heater B. Gas and Electricity Tagged B. Elec.; Grounding; Equip. w/5'—Circulating Equip.—Pool Lghig. Boxes—Enclosures—Panelboards—Ins. to Main in Conduit 9. Health Department Approval 9. Exits; Insp.—Sketch 10. Cert. of Occupancy Card -BI 10. Plumb; Cir. Test—Water Supply Test Date Card -BI Date Card B -I Date Card -BI Date Card B -I Date Card -BI Date Card -BI Date Card -BI Date A61 J 0 K 1_ 0 = Not 0K`* Not Applicable RESIDENTIAL (Single and Duplex) .46t Ready Date UNDERF -0OR P s OK except -#;s Date FRAMING Continued (Ining requirements -Set s -Easements Ae"Ftg., Main; Soils-SteeI-Elee_4Bmd.- / /" Ftg. Depth a 3'-CihP 4 G _•a ^ exits Fig., Oetage,- /" Ftg. Depth wirith n 4 tg., Porches & D cks; oils -Steel- / /" Ftg. Depth SJ Ply,nnd nn rs emwalls, ; 6 I outs Wrapped -SM 52. iding-Nailing-Veneer - - - ed-Fdn. Vents-Underflr. Access -F' laz!rea-G lass Protection -Skylights -Plastic 8r-9iM-W-FallrFittings-Test-2 way C/O -Sewer Test Bolts e -Anchors 1 e t -Anchors -Regulator -Service Test C 1 Lound 12 Clearance -Material -Support -Ins. J /!� 1 ir¢8rs^=S1Ancf3gyB6lts- - - ri�p�e� Card -BI Date -- j Card -BI Date Card -BI JAP Dat":;t_ -� Card -BI Date Card -BI l Dat �- - Card -BI Date Card -BI Date/Q.�/S'� Card -BI Date Date FIN Plans) OK except q's Card -BIS) Dat Card -BI Date I Date PLUMBING (Permit) OK except p's n Air 5V I. Steps -Door & Sidelight Protection -Landings . Smoke Detector Vents -Clearance -Comb. Air -Connector - I arage; Above Floor-Ducts-Mech. Protection 1 ater Pipe; T NaiFWetection r .W.V. T ttngs hors-Na'I Protection L041oBedroom Exiting ccess .I. & Bath Fixtures & Tub Access 1 or -Tub Access ec. Trim & Subpanel; Breaker Sizes -Labels 1 hors Stairs & Rails 63 "T. place or Stove; Clearances -Hearth Card -BI Date 'Card -BI Date 6. Outlets at Wood Panel; Int. & Ext. . Fixt. & Appliance; Grnd.-Air Gap -Cooking Clearance Card -BI Date /, j -- Card -BI Date 6 Elec. Outlets & Receptacles at Kit. Counter Date ELEC_(Permit OK except 67-4arage-Fire Door; Swing -Landing -Closer f68—A L-Duct in Garage -Damper Tr -Ins. Protection fir.; Vents -Clearance -Comb. Air-Connector-P.R.V.- Irydarage; Above Floor-Mech. Protection / � 22 le a I a Lights 8(�>d.itchtis at Doors ze Boxes o. o actors -Stapled- 7 Plb. Elec. & Mech. Equip. Listed for Location 2 nstalled Close to Edge of Studs & C.J. Receptacles in Garage; (G.F.I.)-Romex Protec. ater 7 W+.-%V4-RaiIs Insulation-Foam-Loos.ked in Attic __gg_Y4 fl-rc7 & Deck Construction -Post Caps ppliance Circuits in Kitchen &Conductor Size 2 or AI-A.C. Wire Size / / ga. Cu or AI 74. dn. Vents & Crawl Hole D -Drainage & Wood -Earth Clearance Loo ed under Floor es 2 ange Circ. 1/0/ �a. Cu -or-�P,d���O'ven Circ. //O/ ga. Cu or k, Insulated Neutral l 7 ollowing instld.: Dgiive� es ❑ No; Walks es El No; Planters ❑Yes L�J'N0 - and -Main Disconnect �gt;own-Finish 2 30. quip. Clearances; Panels-Motors-Mech. Equip. g - ower Light nit; Disconnect-Clrnces-Brkr. & Cond. Size -115V Outlet 7 ve ents AboRoof; Plbg.-Appliance-Firepl.-Clearance to Opn s. 70--WeterWell; Disconnect, Electrical, Plumbing Elec. Trim; G.F.I. Receptacle -Underground Card B -I Dat o/ Card BI Date V ntilation throughout House Card B -I &9Date/,_/Y_'> and -BI Date ss Protection Date MECHANI AL (Permit) OK except q's C. Ducts; Insulation & Support 8 Corrections from Previous Inspections o.�"ters r ., Tagged; Gas -Electric wer Connected -C/O to Grade -HD Approval 32 VQA% Fan* Exhaust abo aB on Overflow; Size & Grade Energy Compliance Certificate -Other Certificates 34 - reuse V@At; Access -Comb. Air -Return Air Vent -115V outlet 35. Attic *ccesg-& Platform if Furnace in Attic Card -BI Date �- 2-i -Card-BI Date Card-BIev Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date C Card -BI Date Card -BI Date Card -BI Date Comments at Final: Date FRAMI Plans OK except q's 6 ills Proper Material & Anchors 7 alls; Stugs�iliagr6pacing_g,_Braaiflg-RLVes-Salad 3,9_.—Waring Walls over Girders & Floor Nailing Dr It Stop in Walls (rat proof) Fire Stops; Furred Ceilin gs-Stairs-Chases-Tub J ea0er&_B�m-size'& 1e ' rs- aps-An s-Conaeet6rs 4 ng. -Rftr. s-Purlin-Rarac.-FrOSs-Shl4rrtg -Rf ._. 4 - Throat 4x Protection -Draft Stop -Ins. Baffles 4 4. . dows or Exiting Do drm. Winors-Sill Hgt. & Dimensions C 10AJ (NOT E: An entry must be made each time you visit job site) COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 - Telephone 916/534-4541 APPLICATION AND PERMIT PERMIT NO. �, r ASSES P A RCE {,�N UM�Fjt t/�_7 ZONI BUILDING PERMIT OWNER Ir ' c e TE EPHO E - ,SQA FT. OCC. BUILDING VALUATION OWNER' MAILING AD ESS CONT A TO'S NAME TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNO C Total Valuation $ Filing Fee - 10.00 LENDER'S MAILING ADDRESS Permit Fee $ ARCL4,EC OR E INEE e. I LICE E N Plan Checking Fee $ Energy Plan Checking Fee $ on ARCHITECT OR NGINE,ER'S MAILING ADDRESS Penalty $ BUILDING DDRESS Permit fee PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 (e) 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 X Duplex❑ Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home S I G I W 0.00 ea TYPE OF WORK New ❑ AdditionIxRe o el rX Utilities ❑ Itallation❑ Other ❑ Describe work: ' / (wi�" _ �{ r ` I^ Permit Fee $ Oil. Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 1 0001 OR 0 AMP ORLESS10.00 Main service EA. ADD'L too AMP 2.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): F -1I am licensed under provisions of Chapt. 9, Div. 3 of the Bushes$ 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) ❑ 1 am exempt under Sec. , Business and Professions Code for this reason NEW CONST. DWELLING OCG LDGS , 19,50 NEW AULTCC.BI.OUTLET 2�zQsgft CCONSTR.( NON.RESID BRANCH CIRCUITS) 2.50 ea POWER APPARATUS &) (SINGLE OUTLET CIR. Ex. Occup(OUTLETS OR FIXTURES 20050t eALO 30 FIXED APPLINIS Ex. Occup. OUTLETS IIRESID )KEA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00-- Misc. lyirin 15.00 g 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 FiIingFee 1 10.00 Heating Q Cooling Hood 3.00 Ventilation Permit Fee $ 161 Contractor 1 certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the 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 id County in cons quence the granting of this permit. X -- Date !!Lr' Signature of Applicant — Owner ❑ onrracror ❑ 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 ArQ, 0� TOTAL PERMIT FEEO$C 6 $ oCCUP. CONST.TYPE 1 0o PARCEL I PO ND 39UE This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which DIRE OR OF PUBLIC BY � PER T EXPIRES Date the applicable provi- resolutions to do fees have been paid. WORKS r9 Date J9 —/Z�O3L Receipt No. W WNITE-O.P.W., YELLOW -ASSES OR, PINK -INSPECTOR. GOLDENROD -APPLICANT ENERGY SHEET FOR ADDITIONS TO RESIDENTIAL BUILDINGS PERMIT N0. � ' PACKAGE. "A" (Additions) FOR M '7 NAME—P&DUCKC SQUARE FOOTAGE JOB ADDRESS /V Existing Residence TYPE OF. WORK ADO bINIAJ&- New Addition 3& L 1� 6/L New Total The following information sheet, showing mandatory features and required features of Package "A" must be completed and attached to all plans for additions. to dwellings. Additions to dwellings include -room additions,.converting garages and patios to living areas, house moves that add footage and attic conversions, and any space that is ex- isting non -conditioned space that is converted to conditioned space. Remodeling of existing conditioned space is not included. ZONE 11 ZONE 12 ZONE 16 INSTALLED APPLE ES TORN AR OFtR a/CEILING .. Tr'w. Q 30 /eJ - 38 '� Rs/ ��/G ALL R-11FO� ll R-19 L,�OOR R-11, R-11 R-19 SLAB R- 7 R-11 R- 7 4.�zING , 65 � .65 .65 SHADING 41 -'SOUTH --OPTIMUM OVERHANG or .36 S.C. ,%fS'T - .36 S.0.-. _ OOSE FILL INSULATION (Density) FILTRATION CONTROL (Weatherstrip doors, certified windows, caulking) VAPOR BARRIER (Zone 16) UCTS PER UMC - Ch. 10 LIGHTING KITCHEN & BATH NOT LESS THAN 25 LUMENS/WATT L IMUM GLAZING 1670 OF AREA PLUS REMOVED GLAZING NEW HVAC AND HOT WATER IN CONJUNCTION WITH AN ADDITION SHALL COMPLY AND FILL OUT DATA ON BACK OF THIS SHEET 7/83 *I HEATING VENTIIATING. AIR CONDITIONING SYSTEM (A) Heating ❑ Central Gas Furnace (brand and model number) SE Btu/hr (heating capacity) ❑ Heat Pump (brand and model number) - ACOP Btu/hr (heating capacity at 4 F) ❑ Active Solar type (liquid or air) Collector brand and ft2 model number solar fraction* collector area collector orientation collector tilt rated y -intercept " s rated slope ❑ Other (describe) *I (B) Cooling ❑ Electric Air Conditioner (brand and model number) (seasonal EER) Btu/hr (cooling capacity at 95°F) ❑ Electric Heat Pump • EER Btu/hr (cooling capacity at 95°F) ❑ Other (describe) DOMESTIC WATER SYSTEM ❑ .(A) Gas Only Gallons (brand and model number) (tank size) - 13 Heat Pump w/Electric Backup (brand and model number) Gallons (tank size) ❑ *2 Active Solar (collector brand and model number) (rated y -intercept) (rated slope) (solar fraction) ft (backup heater type, brand and model number) (collector area) (collector orientation) (collector tilt) ❑ Location of Solar Panels ❑ Other (Describe) *I Submit documentation of sizing heating and cooling equipment by Manual J, sizing charts (form #4) or other approved methods, section 2-5352(8), and fill out the following: Heating: Winter design temperature t °, elevation ', heating load BTU elevation factor x heating load = maximum outlet capacity gas furnace BTU Cooling: Summer design temperature °, cooling load BTU *2 Submit T.I.P.S.E. chart or other approved system (form #5) to document sizing of solar panels. ® DESIGN COMPLIANCE STATEMENT: The above building design meets the requirements of Title 24, Part 2, Chapter 2-53 of the California Administration Code. SIGN TURE OF BUILDIN DESIGNER OR APP CANT RAF c y. Zzeyb-s der/ �4�FJ� COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT NO. 7 County Center Drive - Oroville, CYiforn{a 95965 - Telephone 916/534-4541 �, 1 APPLICATION AND PERMIT ASSESSOR PARCEL NUMBER ,., 1 - ZONING BUILDING PERMIT OWNER TELEPHONE SQ. FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS J1 "r•' CONTRACTOR'S NAME - TELEPHONE CONTRACTOR'S MAILING ADDRESS J /1' . / — f Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation Filing Fee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Penalty $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Permit fee $ BUILDING ADDRESS PLUMBING PERMIT FilingFee 10.00 / J 4 H Each Trap 2.00 Solar Water Heater 20.00 'n i1 f Water piping 5.00 LOT NO. SUBDIVISION NAME PARCEL MAP Each qas water heater or vent 5.00 Gas piping system 1 - 5 outlets 5.00 USE OF STRUCTURE SF 0 Duplex❑ Mobilehome❑ Other SPECIFY Building sewer 5.00 Mobile Home S G W 10.00e TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Uti Iities ❑ Installation ❑ Other Q Describe work: - ! )• �� /��' �� J•1 f� -- //1 �/, _ h� - ; �,,� Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 V OR L Main service 1$o AMP ORSLESS 10.00 Main service EA. ADD'L too AMP 2.50 NEW CONST. DWELLING OCCUP.& OR ADDNS. ACC. BLDGS. 2th2sgit 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 CONSTR. L UOUTLET 2,50 ea NO N.RESID BRANCTI. H CIRC ITS NEW CONSTR. /POWER APPARATUS &1 NON.RESID. %SINGLE OUTLET CIR. / OR FIXTURES BAL03030 Ex. OccuP\/ oAL@ FIXED A Ex. Occup. OUTLETS PLNS (RESID IKEA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 Permit Fee $ Contractor MECHANICAL PERMIT FiIingFee 10.00 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. O 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 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. .1 , X' Date o Signature of Applicant —. `Owner,❑ Contractor ❑ Agent ❑ An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee $ TOTAL PERMIT FEE $ OCCUP. GROUP I TYPE OF CONST, PARCEL PD I HD I ISSUE This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which DIRECTOR OF PUBLIC r Bye`- 4,1 / PERMIT EXPIRES Date ' the applicable provi- resolutions to do fees have been paid. WORKS Date �' • ` / Receipt No. WHITE-D.P.W.. YELLOW -ASSESSOR, PINK -INSPECTOR. GOLDENROD -APPLICANT COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville,io—alifotaia 95965 - Telephone 916/534-4541 APPLICATION AND PERMIT PERMIT NQS, 0171 ASSESSOR PARCEL NUMBER ZONING BUILDING PERMIT OWNER o s co TE HONE SQ. FT. OCC. BUILDING VAL TION OWNER' MAILING ADDRESS O (/ 7 CONTRACT R•S NA E T LEPHONE CONTRACTOR'S MAILING ADDRESS s Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ Filing Fee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Penalty $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Permit fee $ ,eD BUILDING ADDRESS L PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 Solar Water Heater 20.00 OF Water piping 5.00 LOT NO.SUBDIVISION NAME PARCEL MAP Each qas water heater or vent 5.00 Gas piping system 1 - 5 outlets 5.00 USE OF STRUCTURE SF)91 Duplex ❑ Mobi lehome ❑ Other SPECIFY Building sewer 5.00 Mobile Home S G W 10.00 e TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other19 Describe work: ;1'�®�/r/i�jQf'—� g Permit Fee $ 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 NEW CONST. DWELLING OCCUP.& OR ADDNS. ACC. BLDGS. 2t/20sgft CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): I am licensed under provisions of Chapt. 9, Div. 3 of the Business20s0e and Professions Code a d my license is in full fo ce 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 CONSTR. MULTI -OUTLET 2,50 ea NON.RESID BRANCH CIRC ITS. NEW CONSTFL ( POWER APPARATUS &� NON-RESID. SINGLE OUTLET CIR. OR FIXTURES BA0L®ao Ex. Occup(o XED A PP LNS. OR FIXED A EX. Occup. OUTLETS (RESID.) EAJ 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 Permit Fee $ Contractor MECHANICAL PERMIT FiIingFee 10.00 WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ 1 have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. 1 shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you 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 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 ankeep harmless the County of Butte against all liabili ' s, judgmen , osts ed expenses which may in any way accrue against aid oun . i c equ ce of t -ranting of this permi . X Date ignar0 of Applicant — Own Contractor Agent A SHA permit is required for excavations over 5'0" deep and demolition or construct- Ion of structures over in height. Mobile Home Installation Fee $ TOTAL PERMIT FEE $ 7W OccUP. GROUP TYPE OF CONST. PARCEL PD HD ISSUE This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which DIRECTOR OF PUBLIC By PERMIT PIKES Date the applicable provi- resolutions to do fees have been paid. WORKS Date 91 f3�stories Receipt NO. 1 / / Cry WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT Owner: Address:- ` Tenant: Building Location: S BUTTE COUNTY DEPARTMENT OF PUBLIC WORKS SPECIAL INSPECTION REPORT j A.P. Date of Inspe ion' Inspec 61 Type of Inspection requested: 7 1. Housing. —17'2. Financing 3. Change of Occupancy to ' ,. Other (specify) Present use of building_ A. Sanitation (Housing) 1. Water closet:` 2. Lavatory: 3. Bathtub or shower: 4. Kitchen sink: 5. Hot and cold water to fixtures: . 6. Heating' facilities: 7. Natural light and ventilation: ' B.' -Room and space requirements: 9.. Bedroom window or door for second exit: 10. Infestation of insects, vermin, or rodents: .11. Connectior•to sewage disposal: 12. Connection to water -.supply: 13. Rubbish and garbage facilities: - 14. Comments: B. Structural 1. Piers and footings: 2.- Floor construction: 3. Wall construction: ' .. .. 4. Ceiling and 'roof construction: 5. Fireplaces:' 6. . Comments: C. Electrical, 1.. Service and ground: 2. Receptac- es: 3. Fusing: 4. Comments• D. Plumbing 1. Fixtures connected and vented: 2. Gas water heater: 3. Gas heating vents: 4.. Comments • E. Other j 1. Maintenance and repair: 2. Fire hazards 3. Safety hazards: 4. WeaV!er protection: 5. Underfloor and attic ventilation: 6': ! Comments:',- F.' ormaents•' F.` Commercial Buildings 1. Roof covering: °= 2 " - Distance to property lines: 3. Physically handicapped: 4. Rest- ora floors and walls: 5. Exits: 6 -."-Improvements: 7. Zoning:_ 8. Comment G. w Field Problen-s 1")r Viclat ions - 1. Problem �o- -riolatiori (give complete deEcription) : ..1. ld t action taken (give coniplate dlscription) af . • 3. What ac';- i0n ecomriended /Sv %% A. "i.nfo-Infoonly - fil,�CG/L� D� �� �S C4 t/ire-J /loa�4l� f' / Hold for tcn Wri.te letter. 77D. Other: (10.) days,- then writ: 6 latter.. WSJ /��i7 4 7 _17,71 z4 J� n, IL W �Ng .1? .8 Is' T F7 C 0 -T. ,7 C A." STO r 'T 'T A JC �0 140Q. e A] A sotbacic of 5 Ft. f roti the ef W ST property lines and a 4 ba ck IV 6LV of 50ft. from the roa� rkmanshi Shall Be In -00M.—All Moforials & Wo P 8,11 be d4ar of. center! ine sh Recognized Good Practices and Acc. ordance with xCept 16eA for ihe Specified use 'in the C -qu.,pmInt e strULtures ore prescr des and Mechanical Co 2 ft. eaV6 overhrng. I"I'llydi nq, for a 01 Uraorm Suli Plumbing �jN the t Aational 'Electrical C040 1' 4 fications MUST �o ns and speci TWs seL 0. P job of all times and if is unlawful fo kept on i 41 ri 1B ke any, Changes or alf eratons on some withoui Mel T w i permission,from the Deparfmont of Public A? 4, Worko, Cou nty of Butte - C ,A r 'P IDIL D P�T "Ela. ST X X 'K A Iit's A T EC L I t 0 �4 17' BUTTE COUNTY DEPART' T BUILDING M P PROVE D WD jig 4A% Now" . . ...... .. w _7 7 TIIITItIIIIIIIIIt7 — IIIIIIIIIIIIIItI........ .. 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