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Home My WebLink About021-060-020- L - 'a ` Lowell L. Wells 21-06-20 S/SGridley m]usa Hwy, app.675'W.of lock ._Grid.ley: — r, Permit #740,6-79B.(new attache a-porrt/t/ SF ! 2� t • i — a, r' Contr: Fowler Roof ing, 106-2 (Yuba City Taj F: �rmit��239-.83B-(reroof /SF) - ry ., • �..* r.. , 241-90B r3rr ' .. r�f 'C` -1',X �,r'�. � �� ."zx � �, Ya,�.� �t ^ 'e s ,'.�• ars E .t , ' + 4. rx1,WELLS" 3rLowell &' Iona t : F.- Ile s ='CONTR, <i�`'��,. Colusa�-Hwy, xGridley- • SF .vin l �sdirig s 021=0 -0-020, -,4 -2 2 0 f .SANTILLAIV,'ALFREDO ; 857'C0LUSkHWY• GRIDLEY' OWNER ,'j-1�1'(,�i"��ix�Z'��j�yC% . - 'CONV GARAGE TO FAMILY RM 021-060-020 - - c 04-2006 - ' SANTILLAN, ALFREDO. �4, 857 COL - �y USA HWY'GRID �� (j , Cont: OWNER -,.j i. ROOF MOUNT HVAC. .Y ; T r y ° 1$t011 ;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 PERMIT NO. BPO42006 LICENSED CONTRACTORS DECLARATION ' I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of Issued Date' 07/08/2004' APN- 021-060-020-000 ' the Business and Professions Code, and my license is in full force and 1 effect. License Class: License Number: Site Address: 857 COLUSA HWY GRI Date: Contractor: Map Index: t a OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Description: ROOF MOUNT HVAC UNIT Contractors' State License Law for the following reason (Sec. 7031.5 Business and Professions Code: Any city or county which requires a permit to construct, alter, improve, demolish, or repair any structure, prior Owner: SANTILLAN ALFREDO & CAROLINA to its issuance, also requires the applicant for such permit to file a 1 signed statement that he or she is licensed pursuant to the provisions of the Contractor's State License Law (Chapter 9 commencing with Section 857 COLUSA HWY 7000) of Division 3 of the Business and Professions Code) or that he or GRIDLEY, CA she is exempt therefrom and the basis for the alleged exemption. Any 95948 - violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars ($500).): I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale (Sec. 7044, Business and Professions Code: The Contractors' State License Law does not apply to an owner of property who builds or improves thereon, and who does (Applicant: SANTILLAN ALFREDO & CAROLINA such work himself or herself or through his or her own employees, provided that such improvements are not intended or offered for 4 sale. If however, the building or improvements are sold within one 857 COLUSA HWY year of completion, the owner -builder will have the burden of GRIDLEY, CA proving that he or she did not build or improve for the purpose of sale.). 95948 ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec. 7044, Business and Professions Code. The Contractors' State License Law does ' not apply to an owner of property who builds or improJesthereon, and who contracts for such projects with a contractor(s) licensed pursuant to the Contractors' State License Law.). Contractor: L3 am Exempt under Article 3 of the Business and Profession's, Code ;,`_y; AL(b Date: Owner: 8�0 �0 �j WORKERS' COMPENSATION DECLARATION I hereby affirm under penalty of perjury one of the following declarations: Y1 ❑ 1 have and will maintain a certificate of consent to self -insure for + workers' compensation, as provided for by Section 3700 of the License #: Labor Code, for the performance of the work for which this permit is issued. ❑ 1 have and will maintain 'workers' compensation insurance, as required by Section 3700 the Labor Code, for the performance of`. Architect: the work for which this permit is issued. My workers' compensation I Engineer: -insurance carrier and policy number are: Cafri&'. „~ 77d LPolicyY#:'' " Total Square Ft' 0 S. F. ('certify that in the performance of the work for which this permit is , ,' i'ssued, I shall not employ any person in any manner so as to Valuation: $0.00 �1[/ become subject to the workers' compensation laws of California, Census Code: G and agree that if I should become subject to the workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. / Date:,9f1� � 'y�� Applicant: C'2 A / [ !G i/7 s WARNING: Failure to secure workers' compensation coverage is unlawful, and shall subject an employer to criminal penalties and one hundred thousand dollars ($100,000), in addition to the cost of compensation, damages as provided for in .Section 3706 of the Labor ¢,D oi% S ' dtf- code, interest, and attorney's fees. l CONSTRUCTION LENDING AGENCY This permit is hereby issued under the applicable provisions of the Butte County Code 2nftr I hereby affirm that there is a construction lending agency for the Resolutions o do work indicated above for which fees have been paid. performance of the work for which this permit is issued (Sec 3097 Civ.) �' 8 ' O. 4' Name: By: Date: PERM XPIRES ON: Address: Date ❑ 1 hereby certify that the use of this facility shall comply with Sections 25505, 25533, and 25534 of the California Health and Safety Code, which regulate the storage, handling and use of hazardous materials. ❑ Notification in accordance with Section 19827.5 of California Health & Safety Code is not applicable to the scheduled construction of this project. ❑ Attached are copies of the required E.P.A. notification forms. I hereby certify that I have read this application, that the above information is correct, and that I am the owner or the duly authorized agent of the owner. I agree to comply with all county and state laws relating to building construction. I acknowledge it is unlawful to alter the substance of any official form or document of Butte County. I hereby authorize representatives of Butte County to enter upon the above mentioned property for inspection purposes. a L /_ �� Sn,41: (�j� 4L9 �`'L[ Print Name: Signature: Y1L'f1{r [�fL:t.li( Date:( ig-owner ❑ Contractor 0 Agent for Owner 0 Agent for Contractor 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 PERMIT NO. BP042006 LICENSED CONTRACTORS DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of Issued Date: 07/08/2004 APN: 021-060-020-000 the Business and Professions Code, and my license is in full force and effect. License Class: License Number: Site Address: 857 COLUSA HWY GRI Date: Contractor: Map Index: Description: ROOF MOUNT HVAC UNIT OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors' State License Law for the following reason (Sec. 7031.5 Business and Professions Code: Any city or county which requires a permit to construct, alter, improve, demolish, or repair any structure, prior Owner: SANTILLAN ALFREDO & CAROLINA to its issuance, also requires the applicant for such permit to file a signed statement that he or she is licensed pursuant to the provisions of the Contractor's State License Law (Chapter 9 commencing with Section 857 COLUSA HWY 7000) of Division 3 of the Business and Professions Code) or that he or GRIDLEY, CA she is exempt therefrom and the basis for the alleged exemption. Any 95948 violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars ($500).): I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale (Sec. 7044, Business and Professions Code: The Contractors' State License Law does not apply to an owner of property who builds or improves thereon, and who does Applicant: SANTILLAN ALFREDO & CAROLINA such work himself or herself or through his or her own employees, provided that such improvements are not intended or offered for sale. If however, the building or improvements are sold within one 857 COLUSA HWY year of completion, the owner -builder will have the burden of GRIDLEY, CA proving that he or she did not build or improve for the purpose of sale.). 95948 ❑ 1, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec. 7044, Business and Professions Code. The Contractors' State License Law does 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.). Contractor: ❑ I am Exempt under Article 3 of the Business and Professions Code Date: Owner: �1'li Nd��S 2Q lA ZICL14_ WORKERS' COMPENSATION DECLARATION I hereby affirm under penalty of perjury one of the following declarations: O 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by Section 3700 of the License #: Labor Code, for the performance of the work for which this permit is issued. ❑ I have and will maintain workers' compensation insurance, as required by Section 3700 the Labor Code, for the performance of Architect' the work for which this permit is issued. My workers' compensation insurance Engineer: carrier and policy number are: Carrier: Total Square Ft: 0 S. F. Policy #: '91I 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 Valuation: $0.00 become subject to the workers' compensation laws of California, Census Code: and agree that if I should become subject to the workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comlpllyy with those provisions. Date: 1 w% �t- /ll(G, Applicant: V3L2�l• WARNING: Failure to secure workers' compensation coverage is unlawful, and shall subject an employer to criminal penalties and one hundred thousand dollars ($100,000), in addition to the cost of compensation, damages as provided for in Section 3706 of the Labor 4-0&-7-75 d code, interest, and attorney's fees. l CONSTRUCTION LENDING AGENCY This permit is hereby issued under the applicable provisions of the Butte County Code anrticw I hereby affirm that there is a construction lending agency for the Resolutions o do work indicated above for which fees have been paid. performance of the work for which this permit is issued (Sec 3097 Civ.) pt. %• 8 O 4 Name: By: �" Date: PERM XPIRES ON: -7' 8 ' O S 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. O Attached are copies of the required E.P.A. notification forms. I hereby certify that I have read this application, that the above information is correct, and that I am the owner or the duly authorized agent of the owner. I agree to comply with all county and state laws relating to building construction. I acknowledge it is unlawful to alter the substance of any official form or document of Butte County. I hereby authorize representatives of Butte County to enter upon the above mentioned property for inspection purposes. �17 ffaa �C `� l Print Name: v1 Signature: 1C��d (�%,4 Date: -6 L%O J4 Owner ❑ Contractor 0 Agent for Owner ❑ Agent for Contractor �uT�•�. BUTTE COUNTY 0 0 DEPARTMENT OF DEVELOPMENT SERVICES 0 0 BUILDING PERMIT APPLICATION 0 0 AND SUBMITTAL REQUIREMENTS o -� 0 24 HOUR INSPECTION#: OROVILLE: (530) 538-7636 • CHICO: (530) 891-2834 0 `, =� 0 OFFICE #: (530) 538-7541 CQ u y A FEE WILL BE REQ UIRED AT TIME OF APPLICATION "PLEASE PRINT CLEARLY" OWNER L Name Virst Nfe Address City C State Zip qSq PhonFax Zip E-mail P.LICANT SIG= For office use only: CONTRACTOR Name 0 v wI G•�l2 Address SRA City" State Zip Phone Fa E-mail Lic. # Class P.LICANT SIG= For office use only: ARCHITECT/ENGINEER Name. 0 v wI G•�l2 Address SRA City State Zip Phone Fax E-mail s State License Number P.LICANT SIG= For office use only: APPLICANT NAME Name 0 v wI G•�l2 Address SRA City I No State Zip •'Phone Book Fax E-mail Planner P.LICANT SIG= For office use only: Zoning Property Address ' ) ' 93.57 L -O L�tS.e. F"t vN Flood Zone Cross Street SRA I Yes I No Occ. Type Const. Subdivision Name Map Book Page Lot # Planner Date Approved: PERMIT NO. BP o4-zco61 BIN # LOCATION AP# OZI• p - Property Address ' ) ' 93.57 L -O L�tS.e. F"t vN City G 21 D L Cross Street WORKER'S COMPENSATION Policy Number Carrier If hiring anyone other than license contractors, a certificate of worker's compensation must be shown at the time of permit issuance. LENDING AGENCY Name Address Description or Scope. of Work: Sq. Footage ❑ 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 required. - REQUEST uired.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. 1 9 OVER FOR SUBMITTAL REQUIREMENTS L KAFORMS\BUILDING FORMS\BldgApplSubRgmts.doc Page 1 of 2 Received by: iAmount 55 • Bldg I SRA Receipt #: 4-O%77. j Sheriff Date: 7/8/04 - SMIP Other , 5 5 Total REV 6-16-04 SUBMITTAL 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. Residential, New, Remodels, Additions, and Accessory Structures: ❑ 1. 3 Site Plans, signed by the preparer. NO GRAPH PAPER! ❑ 2. 3 Complete sets of plans, signed by the preparer. NO GRAPHPAPER! OR 3 Sets Engineered plans (if required) with wet signature on plans AND 2 sets of stamped and signed calculations. ❑ -, 3. 2 Engineered truss details and layouts (if required) (1VO FAXES!). ❑ 4. Letter from Engineer or Architect for truss design review. ❑ 5. 2 Energy compliance design and supporting documentation. (Note: Not required for additions to mobile or modular homes.) ❑ 6. 2 Flood Elevation uCertificate, wet -stamped and signed (if required). ❑ 7. Detached Accessory Building Form, filled out by the property owner (if required). ❑ 8. Sanitation and site plan approval from the Environmental Health Department. ❑ 9. Metal Buildings: (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 en 'neer Mobile, Manufactured, or Modular Homes: ❑ 1. 3 Site Plans, signed by the preparer. NO GRAPHPAPER! ❑ 2. 2 Data sheets and installation instruction manual. ❑ 3. 2 Marriage line information. ❑ 4. 2 Floor plans. ❑ 5. 2 Engineered Tie Downs or Foundation plans. ❑ 6. Sanitation and site plan approval from the Environmental Health Department. ❑ 7. 2 Flood Elevation Certificate, wet -stamped and signed (if required). Commercial, New, Additions and Remodels: ❑ 1. 4 Site Plans, signed by the preparer. NO GRAPH PAPER! ❑ 2. 4 Engineered plans with wet signature on plans AND 2 sets of stamped and signed calculations, with code analysis. ❑ 3. 2 Engineered truss details and layouts (if required) (NO FAXES!). ❑ 4. Letter from Engineer or Architect for truss design review. ❑ 5. 2 Energy compliance design and supporting documentation (if required). ❑ 6. 2 Flood Elevation Certificate, wet -stamped and signed (if required). ❑ 7. Statement of Intent for Non -heated and A/C (if required). ❑ 8. Metal Buildings: (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. ❑ 9. Letter of intent. ❑ 10. Hazardous Material Form. ❑ 11. Sanitation and site plan approval from the Environmental Health Department. If you have questions or would like additional information regarding this process, contact a Permit Application Assistant at (530) 538-7541. OVER FOR BUILDING PERMIT APPLICATION KAFORMS\BUILDING F0RMS\B1dgApp1SubRgmts.doc Page 2 of 2 REV 6-16-04 OWNER -BUILDER VERIF'ICA'TION. Attention Property Owner: An "owner-buildee' 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. Thtil this verification is received. - 41. I personally plan to provide the major labor and materials for construction of the proposed property improvement: YES "�k NO ❑ *2. I HAVE J' HAVE NOT ❑ signed an application for a building permit for the proposed wo'IL I have contracted with the following person (firm) to provide the proposed construction: NAME: , "DRESS: may; 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 worla r . NAME: ; ADDRESS • . CITY. ; PHONE: CONTRACTOR'S;LICENSE NO. . 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: PROPLRTYOWNER: 501AI.cl10, 1 NOTE: TWis Owner -Buller Ven cation is required by Section 19831 and 19832 of the California Health and Safety Code. This verification mast be completed and returned to our office before we are permitted to issue the permit OWNER BUILDER FORMATION Dear Property Owner. An aPPlication fDr a building pemu$ has been submitted in your name listing yourself as the builder of property mvements specified. For your proteciian, You should be aware that as "owner -builder" you are the responsible party ofrecord on such a PennX Building permits ane not required to be signed by prop, owners unless they are personallyperforming own work If your work is being performed by someone other than ourse P rmP heir liability if that person applies for fire Y you may Protect yourself from possible Proper Pew in his or her same. Contractors are required by law to be licensed and bonded by the State of California and to have a business cense from the city or county. They are also reapply.quired by law to put their license number oa allpermits for which they b Ifyou plan to do your own worm with the exception of various trades that you plan to subcontract, You should . aware of the following information for your benefit and protection: a If You employ or otherwise engage MY Persons other than your immediate family, and the work (Including materials and Other costs) is $300 or more for the entire project; and such persons are not licensed as contractors or subconfractors, than You may be an employer. ♦ If your are an employer, you must register WA the State and Federal Govarm ents as an employer and you are subject to several obligations including state and federal mcome tax wits ho workers compensation >�ce, disability costs, and UMEPIoYm cop on coon s' ♦ There may be financial risks far YOU ifyou do not cagy out these obligations, and these risks are especially serious with respect to worm's compensation ice, ♦ For more specific information about your obligations under Federal Law if yon wish, the U.S. Small Business . co1>iract fire Internal Revenue Service and, State Law contort tare D ). For more specific fid malion about your obligations under apartment of Benefit Payments and the Division of Industrial Accidents. If the she is intended for sale, property owners who are not licensed contractors work ass. �Y or dough their own are allowed to perform their �Pk3'�s, without a licensed contractor or subcontractor, only under limited A frequent practice of milicensed persons prOfiWing to be factors is to secure an " perm% erroneously implying that the owner builder" building permits are not m be �°�' owner is Providing his or her own labor and Personally. B Infom ation a by Property owners unless they are pQg their own work personally. �d cofactors may be obtained by the �� cam 'Ry or at 1020 N Street; Sammna�o, CA. 95814. � State License Board in your Please complete the "OW= Bm'ldar Verification" on the reverse side of @tis form so that we can con£aza that yon WO aware of these math, The building pmmit will not be issued mttil the verification is returne& lY. i►� 1 G V" ' C.B.O. Btrrlding Inspection • - NOYZ IAN Owner-BagderLIforntafon is required by Section 13830 ofthe Cafffonda Heat& Inrd Safety Code 1-060-020 #98-2722 `SANTILLAN, ALFREDO RESIDENTIAL tss� coi usA HWY, GRIDLEY OWNER CONY GARAGE TO FAMILY RM PERMIT NO. PERMIT EXPIRES OWNER 4u CONTR. `.ASSESSOR PARCEL 3 LOCATION 3 fgV l r� t CHECKED SRA BY FLOOD CERTIFICATE REQ. ;t FIRE SPRINKLERS REQ. T SPECIAL INSPECTION ITEMS fix VERIFY I, ':;Temp. Power Pole J Called PG&E Temp. Elec. Service - d - Called PG&E 'j.)Temp. Gas Service � Called PG&E a% JOB FINALED (Date) r� „4 Signature C: V=OK O = Not OK Not tReady MOBILE HOMES Date MOBILE HOME UTILITIES (Plans) OK except #'a Card B-1 1. Zoning Requirements - Setbacks - Easements Card 8-1 2. Soils; Special MH Support Sketch - Card B-1 3. Sewer; Location -Test -Fall -CM -Concrete 4. Water, Location -Test -Easement Needed (Sketch) . 5. Electricity; Locabon-Clearances-Gmd-/ /Amp -Concrete 6. Gas; Locatio*-Test-Wrap; / /LIL / /Nat or/ / L*tL/ /LPG 7. Well Clearance & Disconnect 8. Utility Clearance Date Card B-1 Date Card B-1 Date Card B-1 - Dam Card B-1 Date MOBILE HOME INSTALLATION (Plans) OK except #'s 1. Zoning Requirements- Setbacks Easements . 2. Footings; Size -Spacing -Marriage Line 3. Gas; MH Test DemandVaMe-Connector 4. Electricity; MH Test -Crossovers -Breakers -Clearances 5. Drain; MH Test -Fall Flex Connector 6. Water, MH Test -Regulator -Connector 7. Water: and Sewer Connected -C/0 to Grade -HD Approval 8. Gas and Electricity Tagged 9. Tie Downs -Type -Installation Cert 10. Exits; Insp.-Sketch 11. Cert of Occupancy 12. Permanent Foundation Only: LIcense Decal Date Card B-1 Dam Card B-1 Date Card 8-1 Dam Card B-1 MISCELLANEOUS Date DECKS, COVERS, CARPORTS, GARAGES (Plana) OK except #'s 1. Zoning Requirements-Setbacks•Easements 2. Footings; SoilsSine-0epth-Spacing-ConnectorsSteel 3. Decks; Girders and/or Joists-Decking-BracingStairs-Rails 4. Wood Awn.; Posts-Beams-Rftro.Connectors Shthg.-Rfg: Bracing S. Alum. Awn.; Columns-Connections-Splkx-DecaFEnclosures 6. Carports; Windows -Doors 7. Electric 8. Fnng.; Sils-AnchorsStuds-Rflrs-Trusses 9. Siding; Nailing VeneerStuxo-Mesh .10. Root, Shthg-Roofing 11. Ext; Steps•Doorsdendings 12. Braced Wall Panels Dam Card B-1 Dam Cana B-1 Dam Card B-1 Dam Card B-1 Dam POOLS (Plans) OK except #'s 1. Setbacks -Easements 2. Soils; Compaction -Structure Stability 3. Pod Structure; Steel -Connections -Thickness Dead Men -Lining 4. Elec.; Receptacles and Lighting, Distance•GFI 5. Elec.; Pod Lighting; 15 Volts-GFI 6. Elec.; Enclosures; Conduit Entries-Terminals-Usted 7. Elec.; Bonding; Metal w/6 -Circulating Equip. -Heater 8. Elec.; Grounding; Equip. w/5' Circulating Equip. -Pod LBhtg. Boxes-Enclosures-Panellowrds-Ins. to Main in Conduit 9. Health Department Approval 10. Plumb.; Cir. Test -Water Supply Test 11. Light Niche ' Dam Card B-1 Dam Card B-1 Dam Card B-1 Dam Card B-1 t., it r 1 v. = be OK O = Not No OK RESIDENTIAL - = Not Applicable = Not Ready Date UNDERFLOOR (Plans) OK except #a 1. ZoningSetbacks-Easments-Flood-Slope 2. Ftg., Main; Soils-Elec. Gmd. / t Ftg. Depth 3. Ftg. Garage; Soils-Steel-Elec. Gmd/ P Ftg. Depth 4. Ftg. Porches & Decks; SoilsSteel-/ C Ftg. Depth 5. Stemwalls, Main; Steel-Blockouts-Wrapped 6. Stemwalls, Garage; Steel-BlockoutsANrapped 6a. Hold Downs and Special Anchors 7. Slab, Steel -Wrapped 8. Piers -Fireplace Ftg.-Steel 9. D.W.V.; Fall -Fitting -Test -2 Way C/0 -Sewer Test 10. UF. Gas Pipe; Size Anchors - Yard Gas Piping; Size Test 11. Water Pipe; Test -Anchors -Regulator -Service Test 12. Electric Underground 13. Pienums & Ducts; Clearance -Material -Support -Ins. 14. Girders -Sills -Anchor BoltsJoists-Vents-Crippies 15. Access & Ventilation 16. Insulation Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date PLUMBING (Permit) OK except *s 17. Water Htr.; Vent -Access -Combustion Air Baffle 18. Water Pipe; Test & Anchor -Nail Protection 19. D.W.V.; Test Fittings & Anchor -Nail Protection 20. Shower Pan; Test, First Floor -Tub Access 21. Test Tub & Shower, Second Floor -Tub Access 22. Gas Pipe; Sure & Anchors Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date ELECTRICAL (Permit) OK except #'s 23. Fixture & Transformer Clearance -Ins. Protection 0 Elec. Receptacles Spacing -Lights & Switches at Doors ize Boxes & No. of Conductors Stapled 26. Romex stalled Close to Edge of Studs & C.J. 27. Equip. Ground made up w/Mech Fastners-bond Gas & Water 28. 2 Appliance Circuts in Kitchen & Conductor Size GFI 29. Subfeed Wire Size / / ga. Cu or Al A.C. Wire Size / / ga Cu or AI 30. Range Circ. / / ga Cu or At -Own Circ. / / ga Cu or At Insulated Neutral 0 Yes 0 No 31, Service -Riser Conductors & Ground -Main Disconect (Single & Duplex) 41. Walls Studs -Nailing Spacing & Braces -Plates -Sound 42. Bearing Walls over Girders & Floor Nailing 43. Draft Stop in Walls (rat proof) 44. Fire Stops, Furred Ceilings -Stairs -Chasers -Tubs 45. Headers & Beams -Size & Bearing Date FR ING (Continued) 46. gers-Post Caps -Anchors -Connectors Cling. Joist-Rftr. Ties-Purtin-roH Brac: TrussShting.-Rfng. 48. Fireplace Ties or Type A Flue -Fireplace Throat clearance 49. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 50. Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions 51. Garage Fire Protection Framing 52. Property Line Firewall & Openings 53. Ext. Doors -One 3 -Check Garage 3rd Story, 2 Exits 54. Stairs; Width -Headroom -Rise -Run -tending -Fire Protection 55. Plywood on Roof Overhang -Attic Vents -Rafter Outriggers 56. Siding -Nailing Veneer 57. Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access 58. Glaring Area -Glass Protection-Skylights-Ptastic 59. Shear Walls: Nailing -Bolts 60, Brace Interior / Exterior Wall Panels 61. In sulation-JJa ll s -Ceilings 62. Infiltration-WallsANindows Date _ Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date FINAL (Plans) OK except #'s xt Steps -Door & Sidelight Protection -Landings Smoke Detector 65. umace; Vents -Clearance -Comb, Air-Conector- In Garage; Above Floor-Ducts-Mech. Protection r-88�edroom Exiting & Bath Fixtures & Tub Access -Spa �6"lec. Trim & Subpanel, Breaker Sizes & Labels 6.� Stairs & Rails 7 -Fireplace or Stove, Clearance -Hearth ---ZL-Elec. Outlets at Wood Panel, Int. & Ext. 72�-Rxt. & Appliance; Ground. -Air Gap -Cooking Clearance Fl&^ Outlets & Recepticales at Kit. Counter tr-- 7+ -6xe a Fire Door; Swing -Landing -Closure Duct in Garage -Damper 6. 0: Htr.; Vents -Clearance -Comb. Air Connector-P.R.V. ara e; Above _Flair-Mech. Protection Plb., Elec-& Ivlech. Equip. Listed for Location Receptacles in Garage G.F.I. -Romex Protection ! sulation-Foam-Looked in Attic uard rails & Deck Construction -Post Caps Fdn. VBents & Crawl Hole Door Drainage & Wood -Earth Clearance Looked under Floor 0 Yes . o lowing Instld./Drive 0 Yes 0 No/Walks 0 Yes 0 No/Planters 0 Yes 0 No __4kT-'!Tt_ucco Brown -Finish nit Disconnect, Electrical -Plumbing V�pts-Above Roof, Plbg-Appliance-Fireplace-Clearance to Openings Water Well, Disconnect, Electrical, Plumbing r"87 --Exterior Elec. Trim, G.F.I. Receptacle -Underground Ventilation Throught House ti, Glass Protection 90. Corrections from Previous Inspections 91. Gas Test- ers Tagged, Gas -Electric 92. Wa Sewer Connected -C/0 to Grade -HO Approval ergy Compliance Certificate -Other Certificates Dat ✓ Card B-1 Date Card B-1 Dat Card B-1 Date Card B-1 Date 2= and B- Date Card B-1 Comments at Final: 32. Equip. Clearances Panels -Motors -Meth. Epuip. 33. Clothes Closet Light -Shower Light -Spa Light 34. Smoke Detector Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date MECHANICAL (Permit) OK except #s A.C. Ducts Insulation & Support Went Fan, Exhaust above insulation Condensate Drain & Overflow, Size & Grade 38. Fumance-Vent Access -Comb. Air -Return Air Vent 115 outlet 39. Attic Access & Platform if Furnace in Attic Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date FRAMING (Plans) OK except #'s 40. Sits Proper Materials & Anchors 41. Walls Studs -Nailing Spacing & Braces -Plates -Sound 42. Bearing Walls over Girders & Floor Nailing 43. Draft Stop in Walls (rat proof) 44. Fire Stops, Furred Ceilings -Stairs -Chasers -Tubs 45. Headers & Beams -Size & Bearing Date FR ING (Continued) 46. gers-Post Caps -Anchors -Connectors Cling. Joist-Rftr. Ties-Purtin-roH Brac: TrussShting.-Rfng. 48. Fireplace Ties or Type A Flue -Fireplace Throat clearance 49. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 50. Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions 51. Garage Fire Protection Framing 52. Property Line Firewall & Openings 53. Ext. Doors -One 3 -Check Garage 3rd Story, 2 Exits 54. Stairs; Width -Headroom -Rise -Run -tending -Fire Protection 55. Plywood on Roof Overhang -Attic Vents -Rafter Outriggers 56. Siding -Nailing Veneer 57. Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access 58. Glaring Area -Glass Protection-Skylights-Ptastic 59. Shear Walls: Nailing -Bolts 60, Brace Interior / Exterior Wall Panels 61. In sulation-JJa ll s -Ceilings 62. Infiltration-WallsANindows Date _ Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date FINAL (Plans) OK except #'s xt Steps -Door & Sidelight Protection -Landings Smoke Detector 65. umace; Vents -Clearance -Comb, Air-Conector- In Garage; Above Floor-Ducts-Mech. Protection r-88�edroom Exiting & Bath Fixtures & Tub Access -Spa �6"lec. Trim & Subpanel, Breaker Sizes & Labels 6.� Stairs & Rails 7 -Fireplace or Stove, Clearance -Hearth ---ZL-Elec. Outlets at Wood Panel, Int. & Ext. 72�-Rxt. & Appliance; Ground. -Air Gap -Cooking Clearance Fl&^ Outlets & Recepticales at Kit. Counter tr-- 7+ -6xe a Fire Door; Swing -Landing -Closure Duct in Garage -Damper 6. 0: Htr.; Vents -Clearance -Comb. Air Connector-P.R.V. ara e; Above _Flair-Mech. Protection Plb., Elec-& Ivlech. Equip. Listed for Location Receptacles in Garage G.F.I. -Romex Protection ! sulation-Foam-Looked in Attic uard rails & Deck Construction -Post Caps Fdn. VBents & Crawl Hole Door Drainage & Wood -Earth Clearance Looked under Floor 0 Yes . o lowing Instld./Drive 0 Yes 0 No/Walks 0 Yes 0 No/Planters 0 Yes 0 No __4kT-'!Tt_ucco Brown -Finish nit Disconnect, Electrical -Plumbing V�pts-Above Roof, Plbg-Appliance-Fireplace-Clearance to Openings Water Well, Disconnect, Electrical, Plumbing r"87 --Exterior Elec. Trim, G.F.I. Receptacle -Underground Ventilation Throught House ti, Glass Protection 90. Corrections from Previous Inspections 91. Gas Test- ers Tagged, Gas -Electric 92. Wa Sewer Connected -C/0 to Grade -HO Approval ergy Compliance Certificate -Other Certificates Dat ✓ Card B-1 Date Card B-1 Dat Card B-1 Date Card B-1 Date 2= and B- Date Card B-1 Comments at Final: LOERKE INSULATION CO., INC. INSULATION CERTIFICATE 851 COLUSA HWY. GRIDLEY Number and StreetCity BUTTE ounty Lot Number DESCRIPTION OF INSTALLATION 1. ROOF Material Thickness (inches) 2. CEILING Batt or Blanket Type Fiberglass Batts Thickness (inches) Brand Name Thermal Resistance (R -Value) Brand Name Johns Manville Thermal Resistance (R -Value) Loose Fill Type Fiberglass Brand Name Johns Manville Contractor/s min. installed weight/ft sq. .659 Ib. Minimum Thickness 16.25" inches. Manufacturer's installed weight per square foot to achieve Thermal Resistance (R Value) R-38 3. EXTERIOR WALL Material Fiberglass Batts Thickness (inches) 4. RAISED FLOOR Material Fiberglass Batts Thickness (inches) 5. SLAB FLOOR / PERIMETER Material Thickness Perimeter Insulation Depth (inches) 6. FOUNDATION WALL Material Thickness (inches) Brand Name Johns Manville Thermal Resistance (R -Value) t Brand Name Johns Manville Thermal Resistance (R -Value) Brand Name Thermal Resistance (R -Value Brand Name Thermal Resistance (R -Value) DECLARATION i I hereby certify that the above insulation was installed in- the building at the above location in conformance' with the current Energy EfficiencyStandards for residential buildings (Title 24,Part6, California Code of Regulations) as indicated on theertificate of compliance, where applicable. C.L.#499150 �� i,"Z- 2 .�j=_�� LOERKE INSULATION CO., INC. ! Item Signature, Datensta ing Su contractor Co. NameOr j General Contractor (Co. Name) Or Owner Item Signature, Date Insta ling Subcontractor _ (Co. amt) Or General Contractor Co. Name) Or Owner ItemSignature, Date Installinkubcontractorn Co. ame r (_cncr�l nn#rnMr%r /(`n amdl r1r Minor i f COUNTY OF BUTTE r BUILDING DIVISION DEPARTMENT OF DEVELOPMENT SERVICES, - 411 Main Street • Chico, CA • (530) 891-2751 7 County Center Drive • Oroville, CA • (530) 538-7541 -' HC CORRECTION NOTICE sAAir 1L4 -A/0 OWNER PERMIT NO. jh A routine inspection indicates that the following violations of butte county Ordinances -exist ahhe above address and should be corrected. Please notice this office when correction of work is completed. If you have any questions pertaining to this matter, or need additional explanation, please contact this fico immediately. >- Ind Aox) 1-4 1,49.N 7- Dli� v?77� 1 MtV 10/9"2 COUNTY OF BUTTE BUILDING DIVISION DEPARTMENT OF'DEVELOPMENT SERVICES 411 Main Street - Chico, CA - (530) 891-2751. 7 County Center Drive - Oroville, CA - (530) 538-7541 CORRECTION NOTICE OWNER .sr �V—z �Z a PERMIT NO. A routine inspection indicates that the following violations of butte county Ordinances exist at the above address and should be corrected. Please notice this office when correction of work is completed. If y have any questions pertaining to this matter, or need additional explanation, please this office immediately. ,41"' Date ZZ Inspector REV 10192 _ :,:= •. f.`•.�. <: Date: November 25, 1998 �. 0. LAN D O F NAT U RA L W EA Li H A N D B E A U T Y BUILDING DIVISION DEPARTMENT OF DEVELOPMENT SERVICES 7 COUNTY CENTER DRIVE • OROVILLE, CALIFORNIA 95965-3397 TELEPHONE: (530) 538-7541 FAX: (530) 538-2140 Permit Applicant: Alfredo Santillan_- Permit Number: 98-2722 857 Colusa Hwy Assessor Parcel #: 021-060-020 Gridley, CA 95948 With reference to the above subject, attached is: [X] Plan Check List [ ] Red Marked Calculations [ ] Red Marked Plans [ ] Other Action Required: [X] Comply with Plan Check List [ ] Resubmit Plans with Revisions As Required [ ] Return All Original Materials and Revised Plans to the Building Department [ ] Other Should you have any questions, please contact this office at the address or phone number listed above. Sincerely, Linda Sexton Date. November 25, 1998 Permit Applicant: Alfredo Santillan Permit Number : 98-2722 ' 857 Colusa Hwy. Assessor Parcel #: 021-060-020 Gridley, CA 95948 The above referenced building plans were received by this office. Provide additional information and/or make revisions to plans, specifications and calculations as follows: 1 1. You need 47 square feet of window for natural light. You only have 30 square foot. 2. You will need to submit new energy calculations to reflect the new window area. I 3. Is this a trussed roof or rafters? If rafters, you need 2 X * ceiling joists at 16" o.c. to { carry the ceiling. jf . 1 If you wish to discuss any requirements, you may contact me at (530) 538-7541 between 1:00 P.M. and 4.00 P.M., Monday through Friday. Linda Sexton OWNER -BUILDER VERIFICATION Attention Property Owner: An "owner -builder" building permit has been applied for in your name and bearing your signatuK; 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 ❑ NO E" 2. 1 HAVE ❑ HAVE NOT ❑ signed an application for a building permit for the proposed work. 3. I have con d with the folio person (firm) to provide the proposed constructl6ni , NA AX - 1 ADDRESS: CITY: r \ PHONE: Sys ---,�; 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: 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 4 SIGNED: PROPERTYOWNER: SOCIAL SECURITY NUMBER: DATE: NOTE: This Owner Builder Verification is required by Section 19831 and 19832 of agu California Health and Safety Code. This verification must be completed and returned to our office before we are permitted to issue the permit. OVER ALSO NEED LETTER AUTHORIZING SIGNATURE OF JESSIE LAPIZCO CERTIFICATE OF COMPLIANCE: Re.s.i.dent..i.al Page 1 CF -1R .-- ------------------------------------------------------------ -------------- Project. T.it.le: SANTIL...I AN ADDITION Ru.n. 429 25 -Nov -98 Project.' Address: ' 857 COI._t_1SA-GR.ID1...FY'HYW. SANTIL...I....AN ADDITION GRIDL._FY , . CA. Bu i.ld,ing,'T.it.I SANTIi.._L..AN ADDITION Builth ag Perm _t.. # Doc_ Ument. Author : BOB METZGER O.D.S. 2y Telephone:, 530-342-9688 or 865-9688 Plan Check / Dat. Compliance. Method: CAL..RES2 Vers.i.on ,.1...,31_ Field Check /. nate C:l,i..ma•t.e. zone: 1.1. --------------- GFNERAI.... INFORMATION Conditioned -Floor Area : 482 ft.2 Building Type' SFD Single Fa.m.i l.y Det -ached Building- Front. Or _ent.a't. _on: 0 deg ( North ) Number of Dwelling (_lni..t.s: 1. „00 Floor Construction Type: 131.ab on grade BI.)IL...DING SHF_.I....I.... _INSIJL...ATION •w. Component. InsuI Assembly ' Type R. -Value U -value I....oca.t..i..on/Comments ----------------------- ------ ---------- -------------- ----------- Door. 0 0.. 330* 0u.t.si.de Wall_ .1.3 0.088' Outside r. wl..l: 1.3 0..088 t_Fncond:it.ioned Floor 0 0.722 Grade Floor 0 0.295 Grade Ce .i l:i n g38 0.025 A t. t..i. o Slab Pei-.imet.er' 0 0.550 Uncondit-ioned S.la.b. Per _mp-t.er 0 0..5b0 t_lncondit..i.onPd q.l.a..b Peri.met.er 0 0..900 Ou.t...de Slab Per.imet.er 0 0.•720 Ou.t.s.ide FENESTRATION Area.. U- I,nt.er.ior Exterior Overhang Frame Orient.a.t.i.on ( ft.2 ) value Pa. nes' Shading #. Shading. and Fins:,- Type: ----------------- ----- --- Window North, 1.5 .0 0.7-50- 2 Std Drape Rug Screen ' Overhang Metal Window North 20„0. 0,.750 2, St.d Drape Bug Screen Overhang WdDr/Di.v Window Fast. 1,5.0 0.750 2 St.d Drape Rug Screen Overhang Met..a.1 THF_.RMAI.._ MASS Area.. Thick Type Exposed? ( ft:2.) ( .in) L-ocation/Comments - -- Floor Yes 20.0 3.5 Grade F.l.00r . ° No. 462.0 3.5 Grade HVAC SYSTEMS. Duct. I --- oca.t..ion . ;• ..� _ Efficiency a.nd R-va_L U E C UN Tyl `P --------------------------- ------ Dr�MUT Furnace 0 .78 AFUF At.t.i_c R-4 .2P� tea . __ c, e. split. 1.0 ••00 SEER At.t..i.c R-4 .2 Ai•r cond.. CERTIFICATE .'.QF. COMPI....IANCF: Res.ident..i_al. , ' Page 2 CF -1R. Project. Tit -le= SANTIL...I....AN ADDITION Ru..'n: 429, 25 -Nov -98 WATER HEATING SYSTEMS Dist -rib Water Water # of Energy Volume Wrap System Name . Type ,Heater Name Heater". Type Ht.rs Factor ' ( gal ) R-va.1 400AL._W/H; St.anda'rd 40W/H" Storage gas,' 1 0.58 40 0 , WATER. HEATING SYSTEMS MISC ' Solas. savings Solar system Woos! st-ove Wood.•st.ove 'Syst-em Name fraction type r boiler? bo..:l.er pump? 40GAI....W/H __ __ : No No WATER HEATER/ROIL..:F_.R DETAIL;.S i Rat -ed P:i..lot:' Water Recovery, Input. St-andby Tank I.-19ht. Heater Name Efficiency AFUE ( kRtuh) . I --- oss R -value " 40W/H .76% _- 35.00 HYDRONIC DISTR.I..Rt1TION AND TERMINAL -S Pipe. Pipe h,, Insu.l Insul System/Name Type'. Number run (ft.) d.iam (`in) *t.hck (in)' R -value -------------- ------------- ------ -------- --------- --------- .-------, , None SPF...CIAi... FE.AT1JRES , REMARKS, AND NOTES None COMPI....IANCE STATEMENT Thi.s cert-J..ficate of compliance list -s the buil.di.ng feat-ures' and' performance Spec .if.ica.t.i.ons -needed t.o comply w ,t.h the Energy St.andards in Ti.t.:le `24, Part.s .1. and '6, of the California Code of Regulat-ions, and the Adm .ni..st.ra.t..i.ve regUl.at.ions t.o,..i.mp:lement. them. This' cert-ificate has been signed 'by t -he .ihd.iv.idua.l: with overall design rPspons.i.b.il.it.y„ When t.hi:s cert.ifi.ca.t•e of compliance is submi.t.t.ed ifor a single. building Paan to be built. in mu.lt.ip.le orient.at..i.ons, any shadingfeature t.ha.t. .is varied .is i ndicat"ed .i.n 't.he Spec.i.a.l. Feat -fres, Remarks, and Notes sect -ion. COMPUTER METHOD ` . SUMMARY, Page 1 C -2R _______-=_-_-_-____-_________-___�__--_________�________-_--______-_�_________-_` Pr'njert Title: '5ANTILLAN ADDITION . � ` Ru�.:.429 25 -Nov -98 iPrnjeot,Address:`' 857-00LUSA-SRIDLEY HYW. . 5ANTILLAN ADDITION ' ' GRIDLEYCA` value Building Title: SANTILLAM ADDITION ^ ` � ' 8uilding Permit # ^ Document. Authnr:' 808METZGER 0'D'5' ^ 'Telephq�ne.:'�3O-34�-9688 or �65-9688 ` `Plan Check /Date. ` Comp liance Method: CAI RE52 Version 1.31 . ' Field Check / Date ' . =====-==-===============�====�=========================================== . E 'ERG'` USE SUMMARY ' (k|tu/ft2-yr1 3856 ft3 Energy,. Use ---------------- Standard Design Proposed Design. ______ __- -------- Cnndltinned Fnotpriht A.'a:482 Space Heatihg ___-________ � ------- ' 18.22 ' 19.90, ' Space Cooling 17.02� 12.94 Water Heating. _33.90 34'05 ' . ' -------- -------- Cnmolies --`--`' -^----`---- 69.14 66.79 Y e� ` ` ��m�x�� mro�n*uom Conditioned Floor* Area: 482 -f t-2 ` ` Building Type. �� . SFD Single Family Det-ached Slr, BildingFrnnt t u0rienatio�� deg (Nnrth) ` (ft2) value Number of Dw*llingUnitpr: 1.00 Tlt -__ Gns __� Number of Stories: ',` 1 ---------- ------ Zone = HoUae. Floor Construction Type: , 5l�b on. grade ` ` Number of tonditinhed Zones. ` 1 ' . Tot -al �Conditinned Volume: 3856 ft3 0 ' 0 Cnndltinned Fnotpriht A.'a:482 ft -2 30 -Wood 0ut�ide ' Groun(fFloor Area: �`' . 4R� ft -2 ' ' 13' BUILDING. ZONE INF0RMATI0N. 90 Yee ` . Floor Vent. -.Vent. Zone.,' Area � `� Vnlume Thermostat Height Area .Name'(ft2) ' (ft3} . Type `� � Type � -�� /ft) (f t-2 -------------- -------- --------- House `�� . 482 3856 ------ ------- ---------- Condit.ioned CEC-5tandard � ------ 210" ______ 3.0 ^ 0PAQUE`SURFACES .5urfa�e. Area ^ UInsl Tru Slr, Construotion `Type (ft2) value Rval ____ Azm ___ Tlt -__ Gns __� . Type ________-�___--_-____--____________----__ ` Location/Comments ` . ---------- ------ Zone = HoUae. ----- . Dnnr'20.0 0.1330 0 ' 0 '90 Yes 30 -Wood 0ut�ide ' Wall 166.'00.088 13' O 90 Yee W1�.2x4.16 \ DutSide` Wall ' 135.0 0.088 1.'1, 90 90 Yes W13.2x4.16 0uts.ide Wall 34'0 0'088 13 180 90 Yee W13'2x4'16' 0utmide ' Wall 283.0. 0.088 13 180 40 No W3.2x4,16Un ied'�^ co 'ndit�n Floor � 20.0 -- 0 -- 180 No Slab14 Grade. Flonr. ��' 462.0 -- 0 -� 180 No Slab14^C Grade` _ Ceiling 482'0 0'025 . 38 _- 0Y �� ' x R� .�4�24 ` ' Httio ` COMPUTER METHOD.SUMMARY Page ?..., C -2R Project: Title: SANT.T_L._LAN ADDITION Run: 429 25 -Nov -98 PERIMETER LOSSES I nsu.1. Perimeter Length' F2 Insu.l. Depth Type ( ft. Q. -Factor R-va.l. (in) L._oc..:at..i.on/Comments ' -'------------------ ------ ----- ---------------------- ---------- -------- Zone = Howe Exposed 1.010" A.550 O 0 Unconditioned Covered 22'0" 0..000 0 0 Unconditioned Exposed 00" 0..900 0 0 outside Covered 44'0" O0720 0 0 outside FENESTRATION SURFACES G.l.azing Fenestration Area Tru ''Open Frame Charactr Name Type (ftQ Alm Tlt. Type Type Name Comments Zone = House F1.1. Wand 1.5..0 0, 90 ,Slider MPt.a...l. OPER/std F12FRCH Wand- 20.0 0 90 Fixed Wdb?>Div OPER/std 1....1'.1. Wind 15.0 90 .90 S.l idef Metal OPER/std . GL._AZING CHARACTERISTICS Glazing Charactr Glazing # of U- SC GIs Interior SC Int. 'Exterior SC F...xt. Name Type Panes value. only Shade Type Shade Shade Type Shade ------- OPER/std ..Clear 2 0.750 0 4880 Std Drape 0.780- Rug Screen 0.870' OVERHANGS Fenest.ra.t.i..on ------ -------------------- Above I....eft. Right. Name Height Width Depth Glazing. Extension Extension r F11. "0 5'0� 2'6" 4" 8'6" ,554" F1.2FRC:H 6 8"' 300, 24",4" 1916" 46,6„ I.._11. 30"k. 5'0„ 1 'h��4'4" 114". 11'6" FINS L._ o f t. F .i. n Right •F.i.t -------------------------------- - - - - -- Fenestration Ext.en Dist Exten Dist. --------------- --- Fin Fin above to Fin' "Fin n ------- above to . Name Height Depth Hei.'ght. 917ng g.l.7ing Depth Height. glzng g.l.zi.ng . None COMPUTER METHOD ..Sl_1MMARY Page 3 C -=2R Prnjec.t. Title: SANTII__L._AN ADDITION • - Run=, 429 25-Nov798 -------------- THERMAL... MASS Vol Cc?nd- Area:' Thck Heat. duct.- Const:r�.�et..ion.Insd Mass .Name ( ft2 ) (in.) Cap .i.vi.t.y Type, Rva.l L...oca.t..ion/Commen;t.s 7...one = House ' ' Sla.h-Exp 20:.0 3.5 28 0.98 Sl.ab1:40E 0.92 trade 'Slab -Covered 462. 0 . 3.5 28 0.98 Slab140C 2.92 'Grade S61AR GAIN DISTRIBUTION Fenestration 'Wi.nt:er Summer • Targetted Name -------- Fra.ct ion Fraction Thermal. ''.Mass Comments ---------------------- ----`--- --------- -------------------------------------------- -------None None HVAC SYSTEMS Duct. I.:..ocat.i..on { S System .Name System Type : Effi. iency . • and R-val'Ue : 'one = House GasFur n. 78 Fur nate 0'. 78 AFIJE At.t .c; R-4 ..2' ACsp.l i.t:10• Air cond. central split. : 10.00 SEER Attic R-4.2 WATER HEATING. SYSTEMS Di.stri.b Water Water # of Energy Volume Wrap, System Name Type Heater Name ,Heater Type, Ht.rs Factor (gal) R-va.l_. ------------ 40GA1._W/H Standard '40W/H Storage . gas 1. 0'58 40 0 WATER.HEATING SYSTEMS MISC 1' ' Solar savings So.l.a.r system Wood, stove. W6od` stove System -Name fraction type Doi I e r ? boiler pump? , 40GAL._W/H -- -- No No WATER HEATER/BOIL:..ER DF...TAII....S Rated Pi. Iot. Water Recovery Input. Standby Tank . ' •I.._.ight. Heater Name Eff i.c.ienc'AFl)E ( kRtuh ). L-oss R -value 40W/H .76% -- 35.00 -- • -. Alfredo Saritillan__. Home Owner (Rev. 12/96) COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-7541 _ P1 - T APPLICATION AND PERMIT a ASSESSOR PARCEL NUMBER 021-06-0-020 ZONING BUILDING PERMIT OWNER TELEPHONE SO. FT. OCC. BUILDING VALUATION OWNER'S MAIUNG ADDRESS CONTRACTOR'S NAME OWNER TELEPHONE CONTRACTORS MAIUNG ADDRESS CONSTRUCTION LENDER Fireplace LENDER'S MAIUNG ADDRESS Total Valuation Is ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00 Permit Fee $ 135.00 ARCHITECT OR ENGINEERS MAIUNG ADDRESS Plan Checking Fee $ 87.75 BUILDING ADDRESS Energy Plan Checking Fee $ 23-00 PERMIT FEE $ LAT NO. SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMIT Fling ee 20.00 USEOFSTRUCTURE SF ❑X 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 X] Utilities ❑ Installation ❑ Other ❑ Describe Work: CONY GARAGE TO FAMILY ROOM Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home I S I G I W @20.00 PERMIT FEE S ELECTRICAL PERMIT Filing Fee 20.00 800V OR UE Main Service 2o..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.POWER License Class Lic. No. OWNER -BUILDER DECLARATION hereby affirm under penalty of perjury that I am exempt from the Contractors License Law.for the following reason: i 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 zooA To ,000A 46.00 NEW CONST. DW ELIJNG OCCUP. OR ADONS. ( 8 ACC. BLDS. SO 3•5¢FT. 0.93 Y. 1. NON-RESID M& @7,50 APPARATUS 8 SINGLE OurLET CIR. EX. Occup. OUTLET OR FIXTURES BAL @ -.50 FLXI Ex. Occup. oimEEDrAPP M.DEl 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wirina 23.00 PERMIT FEE $ 40.93 WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ 1 have and will maintain workers' compensation Insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier Policy Number (The above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) I certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shallfo hwith comply with 'se provisions. ` `) � -�1 G X Date / / V % Signtu"re of Applicant - 11O her Q Contractor ❑ Agent An (MHA permit is required for excavations over 5'0" deep and demolition or construction of structures over 3 stories in height. MECHANICAL PERMIT Fling Fee 20.00 Heating DUCT EXT Cooling .15.00 Hood 6.50 Ventilation PERMIT FEE $ Mobile Home Installation Fee Is Energy Inspection Fee Is occ CONST. TYaTOTAFLFEE$ 392.18 HAZ D F COF PD H ISSUE This permit is hereby issued under of the Butte County Code and/or indica o for hich fees have ` B Y PERMIT EXPIRES ON /-/ j the applicable provisions Resolutions to do work been paid. Date '/-�� Date ReceiptNo. 251334/170,75// f-,/ 3 WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -AP PLANT (Rev. 12/96) COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-7541 APPLICATION AND PERMIT PERMIT NO. ASSESSOR PARCEL NUMBER 0 2/— 066 —0,-_0 ZONIN9 BUILDING PERMIT OWNER / n/" ego/�,` 1/ le" ego TELEPHONE so. Fr. OCC. BUILDING VALUATION / -16 B „ . OWNER'S S u ,,/ IiI [� j / V,l . — (!� //M, � 7 CONTRACTOR'S NAME TELEPHONE CONTRACTORS MAILING ADDRESS CONSTRUCTION LENDER ' Fireplace LENDER'S MAILING ADDRESS Total Valuation $ ARCHITECT OR ENGINEER LICENSE NO. Fee $ 20.00 —Filing Permit Fee $ 135 _ ,,d ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ .7s BUILDING ADDREQ$ Energy Plan Checking Fee $ 'Z,3 -cam $ PERMIT FEE $ 2-45 . 7 -5 LAT NO. SUBDIVISIONS MIME PARCEL MAP PLUMBING PERMIT Fling Fee 20.00 USEOFSTRUCTURE SF E?"D-uplex ❑ 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 ® /Utilities ❑ Installation ❑ Other ❑ Describe Work: 0-o-0-9 Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home I S I G I W (920.00 PERMIT FEE $ ELECTRICAL PERMIT Fling Fee 20.00 Main Service noon OR LES 23.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect. License Class Lic. No. OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors License 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. ❑ 1 have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier Policy Number (The above sections need not be completed 4 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 if I should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall forthwith comply with those provisions. X Date Signature of Applicant - ❑ Owner ❑ Contractor ❑ Agent An OSHA permit is required for excavations over 5'0" deep and demolition or construction of structures over 3 stories in eight. Main Service 200A TO 1000A 46.00 NEW CONST. DWEwNG OCCUP. SO OR ADONS. ( s ACC. BLDS. 3.5QFT: ' ,9 NST NO COESI' MULTI-OUTLETC. @7.50 i POWER tmET APPARATUS a sINGLE O010. O I'50 B20 ® so Ex. Occu OUTLET OR FWMRES Ex. Occup. OuTIEEDT5�6D°ERA. 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE MECHANICAL PERMIT Fling Fee 20.00, Heating L_ Cooling Hood 6.50 Ventilation / el- Cd PERMIT FEE Mobile Home Installation Fee $ Energy Inspection Fee $ c�6 _ G C, OCC CONST. TYPE TOTAL FEE $ 3-/r2. / HAZ. 1 D. FEES IMP I FLOOD 1. CDF PARCEL I PO HD &WE This permit is hereby issued under of the Butte Counly Code and/or indicate ove for whic fees via �� / % � B ! ( PERMIT EXPIRES ON I the applicable provisiors Resolutions to do wo-k been paic(Q�� Date eta ReceiptNo.2 %Vi WHITE-D.D.S.-B.D. CA ARY-ASSES OR PINK -INSPECTOR GOLDENROD -APPLICANT `COUNTY OF BUTTE DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE (916) 538-7541 PERMIT APPLICATION DATA SHEET OWNER: K Sa h `t,, I • Loil ASSESSOR PARCEL NUMBER: n, 2. t — b t; Q - oZ u Proposed Building Use: G/ ±�a Building Inspector: Date: ///,z�3 /IL- o At time of permit application, I was advised the following data must be submitted prior to pe it pro esamg and/or issuance: Date Received By ❑ 1. All iiems have been submitted --------------------------------------------------------------------------------------- E12. Plot plans, 3/4 sets, signed by the preparer of plans. ------------------------------------------------------------ ❑3. Complete plans, 3/4 sets, signed by the preparer of plans. ----------------------------------------------------- ❑4. Engineered plans, 3/4 sets, with wet signature on plans. All engineering must be shown on plans.-------- 115. ------- ❑5. Engineered truss details and layout in duplicate (required prior to plan review) No faxes! ------------------ 116. Energy Design Compliance and supporting documentation. ---------------------------------------------------- ❑ 7. Statement of Intent for Non -Heated and A/C Buildings. --------------------------------------------------------- ❑ 8. Hazardous Material Form. ------------------------------------------------------------------------------------------ ❑9. Manufactured Home data and installation instructions including Tie Down Specifications.------------------ Q1iKFeesof $ ZZ / o c/ .3 -{- ----------------------------------------------------------------------------- 9mpact fees as shown on the attached schedule. '�� a�tC----------------------------------------------� ❑ 12. California Department of Forestry plan approval/fees.=-------------------------------------------------------- \ ❑ 13 lood elevation certificate. --------------------------------------------- 4. Sanitation and plot plan approval t�`n Health Department. l I ° 15. City of Chico plumbing permit. --------------------------------------- ❑ 16. Plot plan and business license approval from the City of Biggs. --- 1117. -- ❑17. Planning approval for (A) Use: (B) Parking: ❑ 18. Contact Land Development about ❑ Improvements, ❑ Drainage, ❑ Legal Parcel. ❑ 1.9. Encroachment Permit for driveway (construction approval prior to occupancy). El 20. 20. Pre -inspection for required. Request to Building Inspector on (Date) ❑2 .Contractor's license information. (Number, Name Style, Classification). ----------------------=------------- ❑2 orkers' Compensation carrier and policy number.----------------------------------------------------------- ------------------------------------------------ ---- 3 caner -Builder Verification (Given to owner El, Mailed to owner ❑). . Letter of signature authorization. -------------------------------------------------------------------------------- ❑25. Recorded copy of Agricultural Acknowledgment Statement. -------------------------------------------------- ------ 026. --❑26. Letter of intent on building use. ----------------------------------------------------------------------------------- ❑27. Manufactured Home utility clearance.--------------------------------------------------------------------------- ❑28. Existing violations and/or expired permits. ------------------------------------------------------ 1129. 11433 A, ❑Grant Deed, ❑ M.H. Title, ❑ Check to H.C.D $ ❑30. Other: Zeleypohone uissue tllows ❑ Mail to owner, ❑Mail to contractor. g6j- �o 5 and hold for pickup at br G office. El Deliver with inspector. _Applicant: Date: Copy of Haz-Mat form sent ❑ Health Department, ❑ Fire Department, ❑ Air Pollution Date: By: Copy of plans sent 11Health Department, ❑ Fire Department, 13 Other: Date: By: 1. Index pennit'application for the above items numbered: D / ❑ Plan Check List 2. Additional items required: Contractor, designer, owner, was advised of the above required data by ❑ phone, ❑ mail, ❑ Building Division counter, by Date: Contractor, designer, owner, was advised of the above required data by ❑ phone, ❑ mail, ❑ Building Division counter, by Date: Contractor, designer, owner, was advised of the above required data by ❑ phone, ❑ mail, ❑ Building Division counter, by Date: Contractor, designer, owner, was advised of the above required data by ❑ phone, ❑ mail, ❑ Building Division counter, by Date:_;�= Plans reviewed by: Date: Plans approved by: Date: /2 Sets of plans on hold in ❑ Plan Cabinet, ❑ A.P. folder. Note transfer by: Date: Yellow Copy - Department of Development Services, Building Division. E.H. USE ONLY . Plot Plan Anachad Floor Plan Attached soot to B.D. /L-23 • /2 1 TO: Building Department FROM: Environmental Health SUBJECT: Sanitation Clearance W ,LAP an s�4 Gaw1--66 U -6 ZD Owner Loc tion AP# Plan Approved for: Sewage -Disposal Water Supply: Public \ Private Well , Clearance for dwelling.' Other (2 ALA &t /U LnP LQ Y-ni)-4- &L1Dh--I Hold final for: Final clearance OX ,for: . (VOTE: Environmental Health Specialist 9/96 ` BUTTE COUNTY SCHOOLS IMPACT FEE CERTIFICATION FORM (One form per Building) School District c, V A.P. Number U I — 0(00 — Jurisdiction: City Property Owner Property Location/Address Subdivision Residential Development No of Living Mobile Home Units Installation Commercial/Industrial New X, _-u . " ding epartment Representative r Building Department No. unt Lot No.. (moor clans reviewea Dy 5cnooi uistnct rersonnep District Identification No. School District certifies that (Applicant) (Street Address) (Phone Number) (City) (State) (Zip Code) has complied with the requirements of Resolution No. by payment of $. representing square feet. AB 2926 S FULL MITIGATION _ School District Representative l a Date Paid by Check # Remarks: Notice: You may protest the imposition of the fees identified above by submitting a written protest to the District, In compliance with Government Code Section 660201a), 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. District is notified by the applicable Local Planning Agency that this project is being reviewed under the California Environmental Quality Act.ICEGA), this project may be subject to additional school fees'to fully mitigate its impact on the school district's schools. . White (applicant), Yellow (building department), Pink (school district) feeform.xls I10/981dmm BUTTE COUNTY SCHOOLS IMPACT FEE CERTIFICATION FORM (Orie form per Building). School District ( Building Department No. A.P. Number � I' CSO- Jurisdiction: City County. Property Owner �. Property Location/AddressqL Subdivision Lot No. ............... .................................................................................... :.......... Residential Development Sq._ Footage No of living Mobile Home Add'Itio 'Supplemental to (Group R)' Units Installation Conversion Permit # '(No foundation inspection); Commercial/Industrial Sq: Footage New Addition (Including Exterior' r Roofed Areas) wilding epartment Representative Date • I (Floor Plans reviewed by School District Personnel) District Identification No. School District certifies that' (Applicant) :. (Street Address) (Phone Number) , . (City) (State) AZip Code) has complied with the requirements of Resolution No. by payment of $ representing square feet. AB 2926 S FULL MITIGATION $ t-• :~ School District RepreserSiative(,G Date Paid by Check # Remarks: Notice You may protest the imposition of the fees identified above by submitting a written protest to the District, in compliance with Government Code Section 66020(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 District is notified by the applicable Local Planning Agency that this project is being reviewed under the California Env'iro'nmental Quality Act ICEQAL this project may be subject to.additional school fees to fully mitigate its impact on the school district's schools. White (applicant), Yellow (building department), Pink (school district) fe0orm.x1s I10i98)dmm ��.,,�.;�:-,5..,...--r:.i;—n:r �+v.•^..vr4z.:-•'s: �%. r...ii''i=*A,y'.wi ti•'r'YfF4'i�7., .,y. � �'',C;�',INS'+'•'-^'hv7hi':GFF:Eij;il"^``±�Yif�:ikTl7k-T.k7:=.�sR'h'w�j f .. t.;r.4rz. fir, ..�,.�`>ir.' �:r >sy . ,� •F:+:,. . `�-%T �v � • �, - - - - 41 BU_ TTE COUNTY SCHOOLS IMPACT FEE CERTIFICATION FORM (Orie Form Per Building) • School District Building Department No. A.P. Number Dai- 060 -0 7-o Jurisdiction 0 City County. " ` roperty Owner ,d4A�J ,Zi Property Location/Address �5 Subdivison Lot No. %Residential Development � Sq. Footage S� _ No. of Living MHI Addition (Group R) Units ..• Commercial/Industrial 0 Sq. Footage . New Addition (Including Exterior.' Roofed Areas) r_ l Building:Department Representative Date (Floor Plans reviewed by School District Personnel) District Identification. No. /`tel .� School District certifies that A (Applicant) �5 142 (Street Address) (Phone Number) .. S y� (City)' (State) (Zip Code) 3y has complied with the requirements of Resolution No. %- by.payment of $ /11S representing r/ �' square feet. Check here. if fee received represents "Full Mitigation". J i Scho I District R9resentative Dates . Paid by Check #, Remarks: ,�� fO.ZS Bank Number1i 3 S1 (Z S .) Paid by Cash If, subsequent to the School District Representative signing.this Butte County Schools Impact Fee. Certification Form, the School District is notified by,-the'applicable Local Planning Agency that"this project is -being reviewed under. the California Environmental Duality Act (CEQA), this project maybe subject to additional school fees to fully mitigate its impact on the school district's schools. White (applicant), Yellow.(building.department), Pink (school district) feeformmk, (4/94) i 01 4: 'u BUTTE COUNTY SCHOOLS -IMPACT FEE CERTIFICATION FORM. .` -(One form per Building) t C.7 School District r 1 Building Department No. A.P. Number�-4Q;LZ Jurisdiction: 0 City County. Property Owner L14 ? Property Location/Address Subdivision Lot No. ..........................................................................:..................:.................. Residential Development Sq. Footage No of Living Mobile Home i Supplemental to (Gr l!p R). Units Installation Con Permit # e foundation inspection); (No Commeraal/IndustrialSq. Footage New Ad,Qition (Including Exterior (moor mans reviewea Dy scnooi uistnct rersonneq . District Identification No. 1� School District certifies that (Applicant). ,-(Street Address)` (City) has complied with the requirements of Resolution No. representing square feet. (Phone Number). (State)IZip Code) L 7 -127 ° p' by payment of .$ AB 292fi S FULL MITIGATION _' Date f Paid by.Check # J , _. z C` Remarks: S Notice: You may protest the imposition of the fees identified above by submitting a written protest to the District, in compliance with Government Code Section 660201a), 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 District is notified by the applicable Local Planning Agency that this project is being reviewed under the California Environmental Quality Act (CEQAL this project may be subject to additional school fees to fully mitigate its impact on the school district's schools. White ('applicant), Yellow. (building department), Pink (school district) feeform.xis (10/98)dmm r. •ti �, t ,e.,ry . _ R"•, ♦may .V7 BUTTE COUNTY SCHOOLS IMPACT FEE CERTIFICATION FORM Ione form.per Building) { School District : t/L��t� Buildin9 De artment No. i A.P.' Number Jurisdiction: City, County , . Property Owner l ` ` �'c. P. C� C7 C3`� Y� 1 1 QA, Property Location/Address ' Subdivision Lot No. Residential Development Sq. Footage No of Living Mobile Home. Afldition (Group Vit) Units Installation Commercial/Industrial Sq. Footage New Addition (Including Exterior l / Roofed Areas) Building Department Representative bate. Y-ioor rians reviewea Dy acnooi uistnci rersonneu Distri t Identification No. � •1 c� F School District certifies that. :. (Applicant),,,,1; R (Street Address) : ',.� (Phone Number) .(City). - (State) (Zip Code) I has complied` with the requirements of Resolution No.-` by payment of $ representing. F T"7J• square feet. B2926 $ _[FULL MITIGATION $ School Dis fit Representative t Date Paid by Check # Remarks: 'LOIdl Notice: You may, protest. the imposition of the fee's'Identified above by submitting a written protest'to the District, in compliance with Government Code Section 6602016), 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 actin. If, subsequent to,the'School District Representative signing this Butte County Schools Impact Fee Certification Form, the School District is ,notified,by the applicable Local Planning Agency that this project is being reviewed under the California Environmental Quality Act (CEQA), this project may be subject to additional school fees to fully mitigate its impact on the school district's schools. , White (applicant), Yellow (building department), Pink (school district) feeform.xis (2/97)M , _ .. r ... -. � � � '.. -. ,� y �c , �� COUNTY vOF BUTTE - DEPNT OF PUBLIC WORKS 7 County Center Drive - Oroville, C-4ifor6ia495965 - Telephone: 916/538-7541 APPLICATION AND PERMIT PERMIT NO. _T/ sD ASSESSOR PARCEL NUMBER J - -.'I- J ZONING BUILDING PERMIT OWN7 L..pI:,,JC' �� •.Lvi't,� l-) ��5 TELEPHONE 8� SO. FT. OCC. BUILDING VALUATION 7 ,24 OWNER'S MAILING' ADDRESS 7 CONTRACTOR'S NAME TELEPHONE CONTRACTOR'S MAILING ADDRESS - /qt)() st Fireplace CONSTRUCTION LENDER UN OWN Total Valuation Is Filing Fee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee $ 6 SJ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS " ( L tl , Permit fee $ % V PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 ' ICS Solar or heat pump water heater 20.00 LOT NO. n SUBDIVISION NAME PAR EL MAP Water piping 5.00 Each qas water heater or vent 5.00 �' USE OF STRUCTURE SFS Duplex[] Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home S G W 10.00e TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation❑ Other Describe work: V1 Yl V zcI f(} .— S Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 100 VAMP OROR LESS10.00 Main service EA. ADD'L too AMP 2.50 CONTRACTORS LICENSE LAW I declar nder penalty of perjury (check one): I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Profess io s Code and my license is in full orce and effect. License No. � Classification F -1I, 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 GOCCUP.&\ oR ADDNST ( DWEACCLLING S./ 2'/z¢sgft NEW CONSTR. MULTI -OUTLET NON ESID BRANCH CIRC ITS 2,50 ea POWER APPARATUS .&) (SINGLE OUTLET CIR. Ex. Occup(OUTLETS OR FIXTURES 2 0@50t ewLe3o .AL@30 Ex. Occup. our LE Ex. PIRESID,)D APLNS.REA.1 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. �Virin 9 15.00 Permit Fee $ 11 i 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 thi's..applicat.ion 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 authprize 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 again- aid County in c nsequence of the granting of this permit. X —�S ..�o Date Signature of Applicant;— Owner Q 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 $ occ CONST TYPE —7�) TOTAL FEE $ HAZ 'PARKIS CUA . ,SCLC FLD PAR PD HD U Th;s permit is nereby issued under sions of the Butte County Code and/or work indicated above for which fees IR �TQOF/tBLIC BY, PERMIT EXPIRES Date the applicable provi- resolutions to do have been paid. WORKS / _ Date j 2 Receipt No. WNITE. D.P.W., YELLOW -ASSESSOR. PINK -INSPECTOR, GOLDENROD -APPLICANT S a L COUNTY OF BUTTE - DV.?.R,4,F MENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 - Telephone: 916/538-7541 APPLICATION AND PERMIT PERMIT NO. .2�I/- Z�2 ASSESSOR PARCEL NUMBER v _ �� ZONING .1 BUILDING PERMIT OWNER % r ,..� TELEPHONE _ ©[� SQ. FT. OCC. BUILDING VALUATION `, ��— OWNER'S MAILIN> ADDRESS SJ % [ d eta v: c �" L CONTRACTOR'S NAME TE7LEPH ONE / S CONTRACTOR'S MAILING ADDRESS /C�pp Sf Fireplace CONSTRUCTION LENDER UN WN Total Valuation is Filing Fee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee $ o,sv ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ 14' BUILDING ADDRESS o Permit fee 3-U- $ V PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME PAR EL MAP Water piping 5.00 Each qas water heater or vent 5.00 USE OF STRUCTURE SF Duplex❑ Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home S I G I W 10.00e TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation❑ Other -! Describe work: s S1IG h --- 9 _ Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 600V OR LESS 100 AMP OR LESS 10.00 Main Service EA. ADD'L 100 AMP 2.50 CONTRACTORS LICENSE LAW I declar nder penalty of perjury (check one): I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Profess Iops Code a d my license is in full orce 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 oa ADDNSCONST. WEACCLLIN GOCCUP,&) S. 2h2sgft NEW CONSTR ULT' -OUTLET NON.RESID BRANCH CIRC ITS 2,50 ea POWER APPARATUS &) SINGLE OUTLET CIR. ( Ex. Occup(OUTLETS OR FIXTURES .220 a g 00030 0 FIXED PR Ex. Occup. OUTLETS (RESID.IEA.1 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 Permit Fee $ Contractor WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. I have placed on file with the County of Butte Building Department l 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 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 again id County in c asequence of the granting of this permit. —•�� ,�� X Date Signature of Applicant — Owner ❑ Contractor ❑ Agent Q-_ 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 n, TOTAL FEE $ 7 A So HAZ CUA PARK SCHL FLD PARJ PDJ HD IssuE This permit is hereby issued under sions of the Butte County Code and/or work indicated a ve for which fees IR TO OF PUBLIC By PERMIT EXPIRES Date the applicable provi- resolutions to do have been paid. WORKS Date �ZS� Receipt No. & WHITE-D.P.W., YELLOW -ASSESSOR. PINK -INSPECTOR. GOLDENROD -APPLICANT t. PERMIT'-NO. 7406-79R l `A PERMIT EXPIRES •�/ ///�� 'OWNER Lowell L. Wells owner CONTR. LOCATION (A.P. 21'08-20 t SIS Gridley Colusa Hwy, app.675'W.of Block Rd, Gridley r t " k ' e ii v t 9: Temp. Power Pole Called PG&'E/—/ Temp. Elec. S rv. p Called%PG&E Temp. Ga§ Serv. Called PG&E i! JO1 NALED (Date) � i (Signature) s. r COUNTY OF BUTTE — DEPARTMENT"OF RIJBLIC WORKS BUILDING INSPE611OW RECORD BUILDING BUILDING (Cont'd) - Setback Firewall Soil Piping Forms Parapets 1st Floor Main Bldg. Restroom Finish 2nd Floor Footings Windows 3rd Floor Stemwall Sidino To out Slab Roof Sheathing Water Pi In! Piers Roofing Sewer Garage Fdn. Vents Fixtures Footings Stemwall Garage dents Insulation Water Htr. Heaters Slab Prov. forph sical handicaooed Appliances Carport ! - f Footin s Slab ,Patio Footings Masonry Walls Reinf. Steel �c ex. Gas Piping Temp. Gas -c5-Z.. C - Sanitation FIREPLACE Final Final Fl,jafures FIR "SPRINKLERS I Motors Mesn MECHANICAL Grd. Fault•Pro Scratch Heating Service Brown Cooling Temp. P e Finish Ducts Unde rand Interior Lath Ventilation ` Perm ent Door Closer O Final Final MOBILEHOME UTILITIES =,- - - - - - - - - - - - - Elec_ Service Elec. Pedestal Water Piping Sewer GasPiping MOBILEHOME INSTALLATION - - - - - - - - - - - - - -Support Elec. Continuity Water Piping Drainage Gas Piping DATE REMARKS OR CORRECTIONS (NOTE: An entry must be made on this form each time you visit the job site.) PLUMBING E L -COUNTY OF BUTTE . --,— D•EI�ARTMENT OF PUBLIC- WORKS ` 7 County Center DrNe --OroviJle, California 95965 g ` Telephone: 534-454' APPLICATION AND PERMIT / ,A 4 BUI LDING Owner Lowc.-c-u., L wau—s SQ. FT. OCC. _ I BUILDING VALUAT ON . L4(4() Mailing Address R—r Raoj( Com/ � y� q �] � A0U- q 5P '[ / ® Me�Oa'e30 + . Contractor��i2 Mailing Address Fireplace . Total .Valuation v Telephone No. P r ,00 Building Address 5 GRWLC--y Caws 1 -kw Plan Checking Fee„/or Penalty l0•0 err e 2-9, (fib Q QC /� qP/•�� `I S ' U) 0 I 64KK A PLUMBING No. @ FEE PERMIT FILING FEE $3.00 Each Trap 1.50 �y Repair drainage or vent piping 1.50 A. P. o. oG y®� s oning & Planning Water piping 1.50 Each gas water heater or vent 1.50 F es on Fire Dept. Fire Zone Use Permit Gas piping system 1-- 5 outlets 1.50 EQA Park' g P ns Parcel Declaration parcel Ma p 60' R/W Improvements p Each additional outlet .30 Ilding sewer 5.00 Bldg. on ec'd Parcel Ap roval Plans Approval Lawn sprinkler system 2.00 NEW ADDITION ❑ UTILITIES ❑ OTHER ❑ Permit Fee $ $ • ELECTRICAL' No. @ FEE PERMIT FILING FEE $3.00 600V OR LESS Main service 100 AMP OR LESS 5.00 Single Family ❑ Duplex ❑ Mobil Home ❑ Others Main service EA. ADO'L 100 AMP 2.50 lTw�C Po /) 1`T • Main service OVER e O 25.00 100 AMP OR LESS Main service EA. ADD'L 100 AMP 1.00NEW , OR ADDNST /DWELLING ACCBLDGS.CCUP. s) •20sgft CONTRACTORS LICENSE LAW I am licensed under the provisions of Chapter 9, Div. 3, of the State of California Business& Professions Code under the name Style Of: - NEW CONSTR, MULTI-OUTL T NON-RESID, ! BRANCH CIRCUITS) 12.50ea NEW CONSTR POWER APPARATUS 8 NON-RESID. SINGLE OUTLET CIR. Ex. OCCUD(OUTLETs OR FIXTIIRFS) . B L@; FIXED APPLNS. OR Ex. Occup.(OUTLETS (RESID.) EA) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 License No. Classification Misc. Wiring 6.25 ® I am exempt from the Contractors License Laws of the State of Cal ifomia. Permit Fee $ $ 'MECHANICAL No. @ FEE j WORKMEN'S COMPENSATION INSURANCE I am aware of the provisions of Section3700 of the California Labor Code which requires every employer to be insured against liability for Workmen's Compensation. ❑I have placed on file with the County of Butte a certificate of Workmen's Compensation Insurance. 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 Workmen's Compensation Laws of California.. PERMIT FILING FEE $3.00 Heating Cooling Ventilation Hood 2.00 Permit Fee $ $ 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 Land Development Fee $ TOTAL PERMIT FEE $9 C� Z$• authorize representatives of the County oT Butte to enter upon the above-mentioned property for inspection purposes. X d A � 4441--- Date J&:e`i�� Signature of Oermitee or Agent % Receipt No. 3:3 /0 2- White-D.P.W. = Yellow -Assessor - Pink -Inspector - Goldenrod -Applicant This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DIRECTOR 0/ ---)PUBLIC WORKS By _ — Date_%y �l /•- � I Bui ding permit expires Date ��`- "NOTE.—Alf Materials & Workmanship Shall Be m setback`of 5 ft. from the . Q►ccordance .with.' of a quality. Recoyr��a..d. Cod Practices: and prescriiaed vor. the: Specifie:d .use in the. ' property lines and a setback Uniform 'Building- .Plur;l6ing: Machani 4'Codes and Of 5Oft. from the road the. National Electrical Code. centerline shall be clearof .. • stru�rurEs or equipment except ;, i f' or a L ft.ca��e overhang This set of plans and specjfications MUST be kept on the job at all times and '+t is unlawful to make any changes or alterations on same without. written permission from +he iQepartment of Public �e Works, County 'of Butte. -> .l _ ru Q ' x o A_ c9 < .-74106-71 BUTTE COUNTY BUILDING DEPARTWNT. " APPROVED COUNTY OF BUTTE - DtPAP,7MENT OF PUBLIC WORKS PERMIT NO. 7 County Center Drive - Oroville, California 95965 - Telephone 916/534-4541 APPLICATION AND PERMIT ASSESSOR PAR_FX-LN'NUMBER ZONING r 4.1 -. BUILDING PERMIT s OWNER _ TELEPHONE SQ. FT, OCC.1 BUILDING VALUATION OWNER'S MAILING ADDRESS C(0�, TRACTO 'S NAME .7 _ ,.. ' v v fJ~ ,�T'E�LEPHONE C�NTRACTOR'S MAILING ADDRESS _ �I4'� / t./ � // /�/ L,t ! ✓ f; (� ; i. Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ V Filing Fee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee $ /5'(0 ARCHITECT OR ENGINEER' LICENSE NO. Plan Checking Fee $ Penalty $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Permit fee $ a BUILDING DRESS �5� PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 Solar Water Heater 20.00 K7 /;J Water piping 5.00 LOT NO. SUBDIVISION NAMEPARCEL MAP Each qas water heater or vent 5.00 Gas piping system 1 - 5 outlets 5.00 / USE OF STRUCTURE SF IP' Duplex❑ Mobilehome❑ Other SPECIFY Building sewer 5.00 Mobile Home JSJGJWJ 0.00e TYPE -OF WORK New Addition [I Remodel❑ Utili 'es❑ installation[:]Othe " K Describe work: lez6cr -�//./�%� F l�L/ I C Irk �-7 Sjt/E / N! `i-4 Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 100V OR 0 AMP ORSLESS 10.00 Z [ ` Main service EA. ADD'L too AMP 2.50 NEW EADDNSCONST DWELOCCUP.&\ OR LING / 1/20SQ ft 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. LL License No. _/ II F' ( Classification C 3`f ❑ 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 MULTI -OUT LET NON.RESID. BRANCH CIRC ITS 2,50 ea NEW CONSTR. / POWER APPARATUS & NON.RESID. %SINGLE OUTLET CIR. Ex. Occu / 20050¢ P%o XTS OR FIXTURES eAL@30Q FIXEEDD APPLNS. OR Ex. OCCup. OUTLETS (RESIDJ 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. ❑ 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. 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 Countyof 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-- L. ' �L�{ Date d f� Signature of Applicant - Owner'IJ Contractor CV Agent,❑ An OSHA permit is required for excavations over 5'0' deep and demolition or construct- ion of structures 3 stories in height. Mobile Home Installation Fee $ TOTAL PERMIT FEE $ 2J GU OCCUP. GROUP TYPE OF CONST. PARCEL PD HD 9SUE This Permit is hereby issued under sions of the Butte County Code and/or work i /i ated above for which f DIRE/CT-OR OF PUBLIC J j BY 1 (/ � `� PERMIT EXPIRES Date the applicable provi- resolutions to do fees have been paid. WORKS Date Z_ Zf_J- /- �` /over Receipt No. / (.�& 7 WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT �, , r•a,y COUNTY OF BUTTE' DEPARTMENT OF PUBLIC WORKS 185 Meme-rial Way, Chico = Phone: 891-2751 �, r 7 County Center Drive, Orovi Ile — Phone: 534-4541 �` ��1► Skyway and Elliott Road, Paradise— Phone: 872-2961, Ext. 57 - CORRECTION NOTICE BUILDING OR PROPERTY ADDRESS A routine inspection indicates that the following violations of County Ordinance exist at the above address and should be corrected. Please notify this office when correction of work is completed. If you have any question pertaining to this matter, or need additional explanation, 'please contact this office immediately. Ron H 8P --L DeJ S kA -74- S 7Z I f �,iak. WA CC,- est ,X f`r x ,aPz>:57/1Xx-- S " tr.S �X ilryi/i l LR �illrsi ni�l_�flw� AJn'% 19-A .45 1145%�L/sc Inspector �GG��'" / �il L l� ' Date 4? n l �j v • i ` COUNTY OF BUTTE - DEPA„RTME►NT OF PUBLIC WORKS. 7 County Center Drive - Oroville, California 95965 - Telephone 916/534-4541 APPLICATION ANBD PERMIT PERMIT 0. S,� ASSESSOR PARCEL NUMBER ZONING BUILDING PERMIT OWER TELEPHONE SQ. FT. OCC: BUILDING V ATION D OWNER'S MAILING ADDRESS ' � 6kha F SIV/7 1616 CQ0& T�N AME CC��r,/14-1 C//]g] T o 's� V� G xl�L Di YG16/4 6/1*1je Fireplace CONSTRUCTION LENDS UNKNOWN 'Total Valuation $ O_.0 Filing Fee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee $ 15,0o ARCHITECT OR ENGINEE LICENSE NO. Plan Checking Fee - $ Penalty $ ARCHITECT OR ENGINE R'S MAILING ADDRESS Permit fee $ 5..0 BUILDuJ sy DRE55 „ _` CjJ(,✓ PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 Solar Water Heater 20.00 DLEY Water piping 5.00 LOT NO. I SUBDIVISION NAME PARCEL MAP Each qas water heater or vent 5.00 Gas piping system 1 - 5 outlets 5.00 USE OF STRUCTURE SF Mobi lehome ❑ Other SPECIFY Building sewer. 5.00 Mobile Home S G I W 10.00 e TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Uti/li es ❑ Installation[] Othe Describ work: c A� 'TI111042,6f— pLfil� � /�^�// � -7j �/(%� Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 600 V OR AMP LOR ESSLESS 10.00 Main service EA. ADD'L 100 AMP 2.50 NEW CONST: DWELLING OCCUP.& OR ADDNS. ( ACC. BLDGS. 1 2/ 22SQft CONTRACTORS LICENSE LAW, I declari under penalty of perjury (Check one): I am Licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code forceQand effect. f and my license is in full force License No.sf ll �6 ` Classification �•• —3-f ❑ 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 ULT' -OUTLET 2.50 ea NON-RESID BRANCH CIRC ITS NEW CONST R.' POWER APPARATUS &' NON.RESID. SINGLE OUTLET CIR. Ex. OCCUp(OUTLETS OR FIXTURES 20@50c A 0300 FIXED APPLNS, OR EX. OCCUp- 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. ❑ 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. 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 1 certify that I have read this application and state that the above information is correct., I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the Countyot Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless•the County of Butte against all liabi ities, judg nts, costs, and expenses which may in any way accrue against aid County I cons ence of a granting of this permit. I ��_ X Date [ Signat re of Applicant.-- Owner . Contractor, Agent'❑ An OSHA permit is required for excavations over 5' deep and demolition or construct- ion of structures over 33stories in height. Mobile Home Installation Fee $ nn�� TOTAL PERMIT FEE $ �`Crr, OCCUP. GROUP TYPE OF CONST, PARCEL PD' No ISSUE Thi mit is hereby issued under si s o the Butte County Code and/or w rk i i d a over for which R C OR OF PUBLIC By PERMIT EXPIRES Date the applicable provi- resolutions to do fees have been paid. WORKS O Date �" _� /7/- Z Receipt No. / WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT la it, 11 VEkity'AT I It - NOTES &'.YIM'S *'FlEtlD.-"'-. GENEKAtN0—. THIS RRAWING By BOB 44-:TiGEIK O.D.S. HAS BEEN PROVIDED FOR THE OWNEI( ACCORDING TO THE CALIFORNIA I$LDG. A PROFESSIONAL CODE & THE CONTRACT BETWEEN B.M.:O.D.S. & THE OWNER. FOR ANY QUESTIONS CALL B. to OR nwxmi * rm xxv-r7GER OR O.D.S. IS NOT AN ARCHITECT OR IN ANY WAY REPRESENT ITSW AS AN ARCHITECT OR ENGINEER:A= K. ps ,THE - WHOLE ?R6jECTlS SUBJECT TO APPROVAL INSPECTION BY THE LOCAL 81-136. DEFT. Boa METZGER - O.D.S. IS NOT RESPONSIBLE FOR ANYBODY -t INTERPRETATION OF THE KAN, J STANDARD NOTES: (N)-= NEW'Ok ADDED LEDGEND 1. VERIFY ALL DIMENSIONS, NOTES is VIEWS IN FIELD. (E) = EXISTING (N)WAiL 2. LUXIRER-NO.2 D.F.LARCH TYP.U.O.N. (E) WALL [VERIFY LOC. INFIELD] 3. ALL CONC. TORE 2500 F.S.f., 28 DAY, 5 SACK MIX. 7--=-— (E) WALL TO BE REMOVED. 4. SOIL BEARING RESISTANCE IS BASED ON 1206 VS.F KEF.) REFER-ANCE ONLY [VERIFY ALL (E) INFORMATION IN FIELD) t 5. APPROXIMATE a Butte COunty --vironmental Health - (r,\ Use