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021-132-037
g1-3646: 021- j'3_2=037;-' - L" E ,FIN,-.LUCI"BLDRS .ROULSTI C;P. RAFT CONTR:- -GR'CDLEY -ROU CONTR' L S E _ft4_,._'L -C PLF_ L 0 r R LIBERTY RD,, r 0L .4r06 W. S /SF 0 N D T ION ADD I 0 021-13-2-037 192-4084B,E � J�mn �TvTmT ROULSTtiN, Lucile', 466 W Liberty RD,'.GRidley 10/y/71 *3 elec sery &,.open deck/sf,, 021-13-2-037 93-1631 B,E- ROUt-STEIN, LUCILE : "� e�".3 466 W,,LIBERTYRD, GRIDLEY, CONTR: , fti�F` - CRAFT BLDRS "ADDITION/SF 021-132-037 99-2551 ROULSTEIN, LUCILE& JAMES 466 WEST LIBERTY, GRIDLEY CONTR: RIGHT WAY CONSTPUCTION' RE ROOF (14 a COOPER, Edward,. F. B 1864P 9FTWe v 1 n/corner W. Liberty & Dewsnuy, yj CONTR: Joe Powell, Gridley (new, 'single family) cobAR; E. F. n/wcorn_er'De'vsnup'& W Liberty, CONTR: Joe Powellq Rt. 2, Bx.69ji (addition) i a= 30 4. ,.;-�,v�,,�. ..�.,�, �. vKC;� ..-�..,�m'�:;-p:�^.'A"34y=,,, a,.. ..:-.:� ... ;:LS+`,�::y'.v'�:4('v-:,�r"`J:n`:..:�-.+��c:�.�i^;2rtr'r� :.�..-,�,.�i-.,:4z:-y;,'v�7?;�'.`K'„iA�r;��d'wiv:t!c�»k"r�:" � 4 .. .. t. { f COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-7541 PERMIT NO. (Rev. 12/96) APPLICATION AND PERMIT�:,'-' ASSESSOR PARCEL NUMBER 021-132-037 ZONING BUILDING PERMIT OWNER ROULSTEIN, LUCILE & .DAMES TELEPHONE 846-3873 SO. FT. VA BUILDING OCC. VA VALUATION 12 00 . OWNERS MAIUNG ADDRESS 466 W. LIBERTY ROAD, GRIDLEY 95948 CONTRACTOR'S NAME RIGHT WAY CONSTRUCTION TELEPHONE 846-2328 CONTRACTORS MAILING ADDRESS CONSTRUCTION LENDER Fireplace LENDER'S MAILING ADDRESS Total Valuation $ 1200 ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00 Permit Fee $ 29.00 ARCHITECT OR ENGINEERS MAILING ADDRESS Plan CheckingFee $ BUILDINGADDRESS 466 REST LIBERTY, GUDLEY Energy Plan Checking Fee $ $ PERMIT FEE $ 49.00 LOT NO. SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMIT Filing Fee 20.00 USEOFSTRUCTURE SF At Duplex ❑ Mobilehome ❑ Other SPECIFY Each Trap 7.00 Solar or heat pump water heater 23.00 Water piping 15.00 Each gas water heater or vent 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑ Describe Work: RE ROOF Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home S G W @20.00 PERMIT FEE $ ELECTRICAL PERMIT Filing Fee 20.00 800VOR LESS Main Service zo.A OR LESS 23.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect., ` Y� License Class � Lic. No. �/ 2 7 r 6 OWNER -BUILDER DETCIA TION I hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: ❑ I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason Main Service TO 46.00 WEE200A CCU000A NEW CONST. DWELLING OCCUP. OR ADONS. ( a ACC. BLDS. SO 3.5¢F.: NpµROSIID MULTI -OUTLET @7.50 OWER APPARATUS 6 PSINGLE OUTLET CIR. Ex. Occup. OUTLET OR FDCTURES 20 Q 1.00 enl. @ .so FIXED Ex. Occup. G, .= JE 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE $ 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 MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE $ 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.) t� 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, end 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. - ' p X�, ter, ,�'�"% - i Date.. V/ -^ " - / '°SIgnature of;A_ an ' ❑40wner ❑ Contractor ❑ Agent An OSHA permit is required for excavations over 5'0" deep and demolition or construction of structures over 3 stories in height. _ _ _ Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST. TYPE TOTAL FEE $ 49.00 HAZ. I D. FEES IMP I FLOOD I CDF PARCEL I PD I HD ISSUE This permit is hereby issued under of the Butte County Code and/or indicated above for which fees have ,. _ r. By PERMIT~EXPIR_ES ON the applicable provisions Resolutions to do work been paid. Date ✓ [�/(1 Receipt No. .2$07fW1N Q • % '" WHITE-D.D.S.-B.D.. CANARY -ASSESSOR PINK -INSPECTOR' GOLDENROD -APPLICANT COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION � 7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-7541 PERMIT NO. (Rev.b2/96)--- APPLICATION AND PERMIT ASSESSOR PARCEL NUMBER 021-132-037 ZONING BUILDING PERMIT OWNER ROULSTEIN, LUCILE &JAMES TELEPHONE 846 SO. FT. OCC. BUILDING VALUATION 1200 .OWNERS MAILING ADDRESS 466 W. LIBERTY ROAD, GRIDLEY 95948 CONTRACTOR'S NAME RIGHT WAY CONSTRUCTION TELEPHONE 846-2328 CONTRACTOR'S MAILING ADDRESS CONSTRUCTION LENDER Fireplace LENDER'S MAILING ADDRESS Total Valuation $ 1200 ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00 Permit Fee $ 29.00 ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ BUILDINGADDRESS 466 WEST LIBERTY, GRIDLEY Energy Plan Checking Fee $ $ PERMIT FEE $ 49.00 LOT NO. SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMIT Filing Fee 20.00 USEOFSTRUCTURE SF XX Duplex ❑ Mobilehome ❑ Other SPECIFY Each Trap 7.00 Solar or heat pump water heater 23.00 Water piping 15.00 Each as water heater or vent 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑ Describe Work: RE ROOF Gas piping stem 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home I S I G I W @20.00 PERMIT FEE $ ELECTRICAL PERMIT Fling Fee 20.00 600VMain Service 20OA OR IESS 23.00 LICENSED CONTRACTOR'S DECLARATION 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.c, .rte License Class ,%a Lic. No. 7 �� C5 OWNER -BUILDER DIECLARATION 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 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 shall forthwith comply with those provisions. XDate _ gnat a pplicant - ❑ ner ❑ Contractor ❑ Agent An OSHA permit is required for excavations over 5'0" deep and demolition or construction of structures over 3 stories in height. Main Service 200A TO 1000A 46.00 NEW CONST. DWELIJNGoccUP. So OR ADDNS. ( a ACC. BLnS. 3.5QFT: T. NON-REOSID. MULTI.OUTLET 97.50 41N..WER APPARATUS OUTLET CIR. EX. OCCU . OUTLET OR FIXTURES eAL 201.00 Ex. Occup. oFlxunEED�A a� oR� 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE $ MECHANICAL PERMIT Fling Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEI: $ Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST. TYPE TOTAL FEE $ EL HAZ. I o FEES IMP I FLOOD I COF PARCEL I PD -.- I HD I ISSUE This permit is hereby issued under of the Butte County Code and/or indicated above for which fees have By PERMIT EXPIRES ON the applicable provisions Resolutions to do work been paid. Date /� l J� C1 of Receipt No. c WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive - Oroville, California 95965 - Telephone (530) 538-7541 ERMIT C (Rev.1WC)-2 - APPLICATION AND PERMIT A!flliORPMCaL Ntg8I61 oz)i _ 13p ^ zomm BUILDING PERMIT SO. FT. OCC. BUILDING VALUATION OWNER? p®, MC1DRV Nue EL®tWN! 2 COMRACTOR7 MALM ADORl98 cowTnucnON umot U NDEA•s WAMOM ADORM Fireplace Total Valuation S ARCNMECT OR EN004M ucENSE NO. Filing Fee S 20.00 ARC34T r OR 04ONEHt7 wuNv ADDRESS Permit Fee Plan Checking Fee S Energy Plan Checking Fee t PERMIT FEE _ qq. CID toTND •usonecNsrwre P a tuP PLUMBING. PERMIT Filing Fee 20.00 USEOFSTRUCTURE SF 0, Duplex O Mobilehome O Other ePEesv Each Trap 7.00 Solar or heat pump water heater 23.00 Water piping 15.00 TYPE OF WORK New O Addition 0 Remodel O Utilities O Installation O Describe Work: Other Each as water heater or vent 15.00 Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home I S I G I W 020.00 PERMIT FEE $ ELECTRICAL PERMIT I Filing Feel 20.00 Main Service =OR= s oa sA 23.00 /•� �/ �[ l� V U� Main Service 20" TO lo -- 46.00 NEW CONST. DwBLHO OCCVP. OR AODNs. BtDB. s0 3.5QR. NOKRESID. ' MULTFOIm.ET @7.50 P9NOLEOWEa APPARArIs A OVRtT d0. EX. Occup. OUTLET OR ParrAES 20 0 I'0O BAL 00 Ex. Occup. o � 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE t MECHANICAL PERMIT Fling Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEt i Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST. TrPE TOTAL FEES 7q UD NAZ. 0. PEES IMP fL000 I COF PARC� 16SUE 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. By Date PERMIT EXPIRES ON -RESIDENTIAL 021-13-2—p3 7— ' �ROULSTEIN LUCILE 93 vt4 466 W LIBERTY CONTR: RD, GRIDLEY CLIFF CRAFT ADDITION/SF BLDRS 3 J98:FINALE �i Signntur4 •l V=OK O = Not OK , NotReadyable MOBILE HOMES Date/Initials MOBILE HOME UTILITIES (Plans) OK except #'a 1. Zoning Requirements -Setbacks -Easements 2. Soils; Special MH Support Sketch 3. Sewer; Location -Teat -Fall -C/O Concrete _ 4. Water; Location -Teat -Easement Needed (Sketch) 5. Electricity; Location-Clearences-Grnd-/ /Amp -Concrete 8. Gas; Location -Teat -Wrap: / /" U ft. / /"Net. or/ /'L"ft./ /"LPG 7. Well Clearance & Disconnect 8. Utility Clearance %- t ,, Date/Initials MOBILE HOME INSTALLATION (Plana) OK except #'a 1. Zoning Requirements -Setbacks Easements 2 Footings; Size -Spacing -Marriage Line 3.. Gas; MH Teat -Demand -Valve -Connector 4. Electricity; MH Test -Crossovers -Breakers -Clearances 5. Drain; MH Test -Fell -Flex Connector 8. Water; MH Test -Regulator -Connector 7. Water and Sewer Connected -C/O to Grade -HD Approval 8. Gas and Electricity Tagged _ 9. Exits; Insp.-Sketch 10. Cert. of Occupancy MISCELLANEOUS Date/Initial DECKS, COVERS, CARPORTS, GARAGES, (Plans)OK except #'a 1. Zoning Requirements -Setbacks -Easements 2. Footings; Soils -Size -Depth -Spacing -Connectors -Steel 3. Decks; Griders and/or Joists -Decking -Bracing -Stairs -Rails 4. Wood Awn.; Posts-Beams-Rftrs.-Connectors Shthg -Rfg.-Bracing 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 8. Carports; Windows -Doors 7. Electric 8. Frmg; Sils-Anchors-Studs-Rftrs-Trusses 9. Siding; Nailing -Veneer -Stucco -Mesh 10. Roof; Shthg-Roofing 11. Ext.; Steps -Doors -Landings Date/Initials POOLS (Plana) OK except #'a 1. Setbacks -Easements 2. Soils; Compaction -Structure Stability 3. Pool Structure; Steel -Connections -Thickness Dead Men -Lining 4. Elec.; Receptacles and Lighting, Distances-GFI 5. Elec.; Pool Lighting; 15 volts-GFI 8. Elec.; Enclosures; Conduit Entries -Terminals -Listed 7. Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater 8. Elec.; Grounding; Equip. w/5' Circulating Equip. -Pool Lghtg. Boxes -Enclosures -Pane lboa rds- Ins. to Mein in Conduit 9. Health Department Approval 10. Plumb.; Cir. Test-Water'Supply Test V=OK O=Not OK - = Not Applicable = Not Ready • RESIDENTIAL (Single & Duplex) Date/Initials UND FLOOR (Plans) OK except #'s Zoning -Setbacks -Easements -Flood -Slope 2. Ftg., Main; Soils-Elec. Grnd.-/ P' Ftg. Depth 3. Ftg., Garage; Soils-Steel-Elec. Grnd. / /" Ftg. Depth 4. Ftg., Porches & Decks; Soils -Steel-/ /Ftg. Depth 5. Stemwalls, Main; Steel-Blockouts-Wrapped 6. Stemwalls, Garage; Steel-Blockouts-Wrapped 6a. Hold Downs and Special Anchors 7. Slab; Steel -Wrapped 8. Piers -Fireplace Ftg.-Steel 9. D.W.V.; Fall -Fitting -Test -2 Way C/O -Sewer Test 10. UF. Gas Pipe; Size -Anchors - yard gas piping: size -test 11. Water Pipe; Test -Anchor -Regulator -Service Test 12. Electric; Underground 1�3, Plenums & Ducts; Clearance -M rial-Support-Ins. 14. Girders -Sills -Anchor Bolts -12!!t! -Vents -Cripples 15..Access & Ventilation nn 16. Insulati Date/Initials PLUMBING Permit OK except #'s 16. Water Htr.; Vent -Access- ustion Air -Baffle 17. Water Pipe; Test & ahor-Nail Protection 18. D.W.V.; Test-' ngs &Anchor -Neil Protection 19. Showa an; Test, First Floor -Tub Access 20. TjisfTub & Shower, Second Floor -Tub Access yl' Gas Pipe; Size & Anchors Date/initials ELECTRICAL Permit OK except #'a 22. ure & Transformer Clearance -Ins. Protection 3. Ele eceptacies Spacing -Lights & Switches at Doors e Boxes & No. of Conductors -Stapled 25. Romex Installed Close to Edge of Studs & C.J. 6. Equip. Ground made up w/Meth. Fastners-Bond Gas & Water 27. 2 Appliance Circuts in Kitchen & Conductor Size/GFI 28. Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / / ga. Cu or Al 29. Range Circ. / / ga. Cu or AI -Oven Circ. / / ga. Cu or Al. Insulated Neutral ❑ Yes Cl No 30. Service -Riser Conductors & Ground -Mein Disconnect 31. Equip. Clearances Panels -Motors -Meeh. Equip. 32. Clothes Closet Light -Shower Light -Spa Light 33. Smoke Detector V 4 Date/Initials MECHANICAL (Permit) OK except #'s 34. A.C. Ducts Insulation & Support - 35. Vent Fan; Exhaust above' on 36. Condensate Overflow; Size & Grade 37. Fur ce-Vent; Access -Comb. Air -Return Air Vent -115 outlet Attic Access & Platform if Furnance in Attic Date/Initials FR G Plans OK except #'s 9. s' , -proper Material & Anchors "T. BeaOng Walls over Girders & Floor Neilino 43. Fops; Furred Ceilings -Stairs -Chases -Tub Headers & Beam -Size & Bearino Date/initials MING (Continued) _engqM:P_ost Caps -Anchors -Connectors Ing. Joist-Rftr. ties -Purling roof Bmc-Truas-Shthng.-Rfng. ireplace Ties or Type A Flue -Fireplace Throat clearance ess; Size & Romex Protectlon-Draft Stop -Ins. Baffles w`s or Exiting Doors -Sill Hgt. & Dimensions �9-9arage Flre Protection Framing _�1r'Line Firewall & Openings -ST-Ext. Doors -One 3' -Check Garage -3rd Story, 2 Exits idth-Headroom-Rise-Run-Landing-Fire Protection plyw oof Overhang -Attic Vents -Rafter Outriggers ng Ven D St -Drip Screed -Fd. Vents-Underflr. Access Glazing Area -Glass Protection -Skylights -Plastic 58. S Is; Nailing -Bolts YA _ � ails -Ceilings . Inf filtration -Wells -Windows Qn ,. je_,�.Al xt,SWps-Door & Sidelight Protection-Landinas - 63. Fur amts -Clearance -Comb. Air -Connector - n Garage;Above Floor -Ducts -Mach. Protection weu.'Fixtures & Tub Access -Spa 66. Elec. Trim & Subpanel; Breaker Sizes & Labels 67. Stairs & Rails , -e.'FiFep a%e or Stove; Clearances -Hearth �c Outlets at Wood Panel; Int. & Ext. 70. Kit ppliance; Grnd.-Air Gap -Cooking Clearance 71. Elec. Outlets & Receptacles at Kit. Counter 72. Garag2_Ejrq Door, Swing -Landing -Closer C. Duct in Garage -Damper ,_JAr-V1tr�Mr.; Vents -Clearance -Comb. Air-Connector-P.R.V. In Garage; Above Floor -Meth. Protection 75. Plb. Mach. Equip. Listed for Location Elec. acles in Garage; (G.F.I.)-Romex Protection Fn- oam-Looked in Attic ❑ Yes 78. Guard s & Deck Construction -Post Caps 79. . Vents & Crawl Hole Door -Drainage & Wood -Earth Clearance Looked under Floor ❑ Yes 80. FoIJpwFrtg nstid, rive ❑ Y No; Walks ❑ Yes ❑ No; /Fla ❑ es ❑ ,r-84- A -C Mit; Disconnect, Electrical, Plumbing ���3rA�4Seveiieof; Plbg: Appliance -Fireplace. -Clearance to Openings Disconnect, Electrical, Plumbing ( _49"�terior Elec. Trim; G.F.I. Receptacle -Underground ant ation Throughout House . ass Protection - 488--2orr9UTTlo`ns from Previous Inspections _ Aj_Gas-Test-Meters Tagged; Gas -Electric r &Sewer nnected-C/O to Grade -HD Approval er Compliahce Cerfificat= Certificates Comments at Final: COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 - Telephone: 916.538-7541 .� • I? APPLICATIOW AND'PERMIT PER T O. ASSESSOR PARCEL NUMBER 021-132-037 1 ZONING A-5 BUILDING PERMIT OWNER Lucile ulste' TELEPHONE 846-3873 SO. FT. OCC. BUILDING VALUATION 308 R 16 632.00 OWNER'S MAILING ADDRESS 466 ibert Rd. Gridley 95948 CONTRACTOR'S NAM E TELEPHONE 533-4719 CONTRACTOR'S MAILING ADDRESS 116ZL50 Cotter Terrace, Oroville Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation 1$16,632.00 Filing Fee $ 15.00 LENDER'S MAILING ADDRESS Permit Fee ARCHITECT OR ENGINEER LICENSE NO. $$150.00 $ Plan Checking Fee 7)5.00 Energy Plan Checking Fee $ `20.00 ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS Permit fee $260.00 PLUMBING PERMIT FilingFee 15.00 466 W Liberty Rd-, Each Trap 1 5.00 Solar or heat pump water heater 1 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP Water piping 7.00 Each pas water heater or vent - 7.00 ,}}(( USE OF STRUCTURE SF L_( Duplex❑ Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 15.00 Mobile Home S I G I W @ 15.00 TYPE OF WORK New ❑ Addition YJ Remodel❑ Utilities❑ Installation❑ Other Describe work: Add Study Roomer 2nd Floor gbitjpt Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 15.00 Main service 600V OR LESS 18.50 200A OR LESS Main service 20CATO 1000A) 37.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): I am licensed under provisions Of Chapt. 9, Div. 3 of the Business(POWER and Professio s Code and my license is in full force a d eff t. License .Jo. .� Classification �Ufl ❑ I, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONST. ( DWELLING OCCUP.&) X 3.6dsq.ft. 10,80 OR ADDNS, l ACC. BLDGS. NEWCONSTR ULT' -OUTLET @ 5.00 NO N.R ESID BRANCH CIRC ITS APPARATUS &) (SINGLE OUTLET CIR. Ex. Occup(OUTLETS OR FIXTURES 20 7150 EX. Occup. OUTLETS P(RESID )FIXED APLNS REA.) I 3.00 Temporary service 15.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 9 Permit Fee $25.80 — WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ I have placed pri file with the County of Butte Building Department a Certificate &I 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 15.00 Heating Cooling Hood 6.50 Ventilation Permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the Countyot Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabilities, ju ents, cos and expenses which may in any way accrue again Lien a of the granting of this permit. �� -. lr.� Date Signature Applicant DenerX Contractor ❑ Agent ❑ An OSHA permit is required for excavations ove 5'0" a n d olition or construct- ion of structures over 3 stories in height. J Mobile Home Installation Fee S Energy Inspection Fee $ 40.00 cc �� CWT ar TOTAL FEES 325.8 r,Az DFEE IMP FLOOD —� cDF PARCEL PDIrHO 'ssu This permit is hereby issued under the applicable provi- sions of the Butte County Code and/or resolutions to do work indica ab ve fo which fees have been paid. T UBLIC WORKS By Date%-� PER IT EXPIRES Date —77--Z2--5 Receipt No. 143179 PC �S MITE-D.P.W.. YELLOW -ASSESSOR. PINK -INSPECT ! GOLDENROD -APPLICANT M 7. r jH -7!� .+ .4 � ...t-? SI I�;,el'"�i"Yr's ale � 'n�a�a+��ri��.�r7lYrx �7nt.a'�ira�y Rw�`�����n��T;;wvr"fTt- w�M � .-� •r r % COUNTYOF BUTTE - DEPARTMENTOFcDEV� 'O ENTSERVICES -BUILDING DIVISION o --t, z 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA95965 - TELEPHONE (916) 538-7541 PE MIT APPLICATION DATA SHEET OWNER C I1E A�}P.,� No. Q Z- CZ b3 7 Proposed Building Use ,^ Building Inspector /� Date g1/2 At time of permit application, I was advised the following data must be submitted prior to permit processing and/or issuance: 1. DATE RECENED BY All it have been submitted . ........................................ 2. 3. Plot plans, 3/4 sets signed by preparer of plans. ........... Complete plans,/ sets, signed by preparer of plan /1'lA/' / A. Engineered plans and calcs, 3/4 sets, with wet signature on plans . ............. 5. Hazardous Material Form . .............................................. 6. Energy Design Compliance and supporting documentation . .................. 7. Statement of Intent for Non -Heated and A/C Buildings . ...................... 8. Engineered truss details and layout in duplicate (required prior to plan check). ... . 9. 10. Mobilehome data and manufacturer's installation instructions, 2 sets. ........... Fees of $ V 0. Xd . ................ 11. Impact fees as shown on attached schedule. .. ....... ............. 12. California Department of Forestry plan approval/fees................. . 13. Flood elevation letter (100 year flood) by California Engineer ................... Sanitation and plot plan approval Health Department . ............ 15. City of Chico plumbing permit . .......................................... 16. Plot plan and business license approval from City of Biggs/Gridley. ............. f=- 17. Planning approval for (A) Use: (B) Parking:' 18. Contact Land Development about (A) Improvements (B)Drainage ........... . 19. Driveway permit (construction approval required prior to occupancy). .. . 20. Preanspedion r6gluest Pre -inspection for required. . to Building Inspector i' \ (Date) - 21. Contractor's license information. (No., Name Style, Classification) . .............. 22. Certificate of Workmans Compensation Insurance . .......................... 23. Owner -Builder Verification (Given to owner , Mail to owner 24. _)............ Recorded,copy of Agricultural Acknowledgement Statement . .................. 25. Letter of signature authorization . ........................................ 26. Copy of recorded deed of parcel creation and 60 right of way to a public road. ..... 27. Letter of intent on building use . ......................................... 28. Mobilehome utility clearance . .......................................... 29. Documentation of legal access . ..................... :.................. 30. Documentation of 50% subdivision developed or (A) Road improvements completed and (B) Parcel meets zoning area and frontage requirements . ............... 31. Existing violations/expired permits . ...................................... 32. Plan check list . ........................................... ........... . 33 34. When you issue the permit, process as follows: Mail to owner. Mail.to contractor. ,-"'Telephone 533 -1/719 and hold for pickup at office. Deliver with inspector. Other Parcel Creation Acreage Applicant Date 4v -Z Copy of Haz-Mat form sent Health Dept. Fire Dept. Air Pollution Date Copy of plans sent Health Dept. Fire Dept. Other Date By The following data must be submittedp t ermit issu nc . (Circle w item not checked above). 1. Index permiffor above items No. W 2. Additional items required: IJ Contractor, designer, owner, was advised of above required data by _ phone _ mail Counter by _ Date Contractor, designer, owner, was advised of above required data by _ phone _ mail Counter _ Date Plans checked by Date Plans approved by Date "-2 Sets of plans on hold in File cabinet AP folder Copy - Department of Public Works v E.11. USE ONLY I'hot Him Aua.hed I'hior Phan Alukelml soul to B.D. I TO: Building Departmcnt FROM: Environmental Hcalth SUBJECT: Sanitation Clearance 1 llr,/ (A/js� t� � Owner Location AP# Plan Approved for: Sewac Disposal Water Supply: Public Private Well Clearance for bedroom mobile home- Other(% Hold final for: Final clearance O.K. for: NOTE: dV - Environmental Health Specialist 8/92 Date . ADDITIONS. TO RESIDENTIAL; BUILDINGS ENERGY SHEET i PACKAGE COMPLIANCE Owner. Climate Zone Cti Permit # Floor Area The following data .showing mandatory and required features shall be installed for additions to dwellings. Additions to dwellings include room additions, converting garages and patios to living areas, house moves that add footage and attic conversions, andany space that is existing non -conditioned space that is converted to conditioned space. Remodeling of existing conditioned space is not included. Climate Zones 11 and 16* Component <=100 sqft 101-499 500-999 >=1000 sqft Ceiling R-19 R-38 R-38 R-38 Ins. Wall Ins., R-13 R-13 R-13 R-19, 21 Floor Ins. R-13 R-19 R-19 R-19 Slab Edge NR NR, R-7 NR, R-7 NR, R-7 Ins. Glass (U) .75 ,75 .65, .60 .65, .60 Max. Glass .50 sq.ft. 16% + 16% + 16% Removed Removed Shading NR .66 .66 .66 Coeff(S&N) Shading NR ..40,. .66 .40, .66 .40, .66 Coeff(W&E) Thermal NR 5% 'Raised 5% Raised 5% Raised Mass 20% Slab 20%.Slab 20% Slab Heat, Elect Not Allowed Not Allowed Not Allowed Not Allowed Resistance Heat, Gas AFUE 78% AFUE 78% AFUE 78% AFUE 78% Heat Pump HSPF 6.8 HSPF 6.8 HSPF 6.8 HSPF 6.8 Split Sys. Heat Pump HSPF 6.6 HSPF 6.6 HSPF 6.6 HSPF 6.6 Package Cooling - SEER 10.0 SEER 10.0 SEER 10.0 SEER 10.0 Split Sys. Cooling - SEER 9.7 SEER 9.7 SEER 9.7 SEER 9.7 Package Increased # Allowed w/ Allowed w/ Allowed w/ Allowed w/ of Wtr Htrs calculation calculation calculation calculation * One entry/column = req both zones, 2nd entry = req zone 16. SPECIAL FEATURES/REMARKS LOOSE FILL INSULATION (Density) INFILTRATION CONTROL. (Weatherstrip doors, certified windows, caulking) VAPOR BARRIER (Zone 16) DUCTS PER UNIFORM MECHANICAL CODE - Ch. 10 LIGHTING KITCHEN & BATH NOT LESS THAN 40 LUMENS/WATT DESIGN COMPLIANCE STATEMENT: The above building design meets the requirements of Title 24, Parts !'and 6 of the -California Code of Regulations. �Q (Jan 93) SIG URE OF UI G DESICNER.OR APPLICANT Installation Certificate: Residential CF -6R - BUILDING -OWNER: _ _ _ :ti BUILDING PEP14IT # BUILDING LOCATION: An installation certificate is required to be posted at the building site prior to the issuance of the occupancy permit. This form may be used to meet these requirements. All appliance categories listed below are the actual equipment installed. Note that the efficiency and type of the appliance installed must be equivalent or better than the appliance specified on the Certificate of Compliance (CF -1 R). This certificate (or its equivalent) shall be prepared and signed by the person(s) assuming overall responsibility for the appliance installation. I, the undersigned, verify that the equipment listed in the -category above my signature is the actual equipment installed and that the equipment meets or exceeds the requirements of the Appliance Efficiency Standards. In addition, I have verified that the equipment is equivalent to or more efficient than the equipment specified on the Certificate of Compliance submitted to demonstrate compliance with the Energy Efficiency Standards for residential buildings. HVAC SYSTEMS Note: Hydmnic boiler information is entered here. Other hydronic or combined hydronic=equipment is listed under Water Heating Systems. Heating Equip.'� CEC Certified Actual Distribution Duct or Heiting Load Heating Type (furnace, ' Manuf. Make & Efficiency Type and Plping 'Before Over- Equipment heat pump, etc.) Model Number (AFUE, etc.) Location R -Value- Sizing (Btuh) Capacity (Btuh) s� CEC Cartfffed i Cooling Equip: ' ,`Compressor Unit Actual Distribution Duct or t •� Type (air Gond.; Manuf. Make & EffJciency Type and Piping J - heat pump, etc.) Model Number (SEER) Location R -Value The building design heat loss and design heat gain rate have been determined using a method specified in Section 150(h) of the Energy Efficiency Standards, and are two of the criteria used for equipment sizing and selection. Signature Date WATER HEATING SYSTEMS HVAC Subontractor (Co. Name) or General Contractor or Owner Energy' External Water Heating CEC Cartffled Rated' Tank Factor or Tank System Type Manuf._ Make & Input (kW Capacity Recovery Standby' Insulation (storage gas, etc.) Model Number or Btuh) (gallons) Efficiency Loss (%) R -Value 1. For small gas storage (rated inputs 75.000 Btu/hr), electric resistance and heat pump water heaters, list Energy Factor. For large gas storage water heaters (rated input >75,000 Stwhr), list Rated Input, Recovery Efficiency and Standby Loss. For Instantaneous gas water heaters, list Rated Input and Recovery Efficiency. For Instantaneous electric water heaters, list Rated Input. Ir -�.\ `� `, moi, � - . .�. •� ,� . � FAUCETS & SHOWER HEADS All faucets and showerheads installed are listed in the Commission's Directory of Certified Faucets and Sh_owerheads, pursuant to Titie 24, Part 6. Subchapter 2, Section 111. Signature Date ) Plumbing Subcontractor (Co. Name) or General Contractor or Owner THIS CERTIFICATE MUST BE PROVIDED TO THE BUILDING DEPARTMENT PRIOR TO FINAL INSPECTION APPROVAL AN -D A COPY SHALL BE POSTED WITHIN THE BUILDING. JANUARY 1993 1 Insulation Certificate BUILDING OWNER: 1_/(d ( IGfJ �' X�A/BUILDING PERMIT #: BUILDING LOCATION: ��, u) /,I I3 A;e i 4 � `- Description of -Installation ROOF - Material' Brand Name Thickness (inches) Thermal Resistance (R -Value) CEILING Batt or Blanket Type Brand Name Thickness (inches) Thermal Resistance (R -Value) Loose Fill Type Brand Name Contractor's minimum installed weight/ftlb Minimum thickness inches Manufacturer's installed weight per square foot to acheive Thermal Resistance (R -Value) .EXTERIOR WALL . -Material 5 Thickness (inches) ,RAISED FLOOR Material Thickness (inches) SLAB FLOOR Material Thickfless (inches) Width (inches) FOUNDATION WALL Brand Name 4,*V e . Thermal Resistance (R -Value) Brand Name t,✓ ;O Thermal Resistance -Value) 42 4K Brand Name Thermal Resistance (R -Value) Material Brand Name Thickness (inches) Thermal Resistance (R-Vaiue) Declaration I hereby certify that the above insulation was installed in the buiidinQ at the above location in conformance with the current Building Energy Efficiency Standards for new residendal buildings contained in Title 24 of the California Administrative Code. �1 q� License Number Date License Number Signature and Tide Date THIS CERTIFICATE MUST BE PROVIDED TO TILE BUILDING DEPARTMENT PRIOR TO FINAL INSPECTION APPROVAL AND A COPY SHALL BE POSTED WITHIN THE BUILDING. JANUARY 1993 t"c�+v'"f,"w.a.'e9^,!�Irm*1!-.,n�►r'i�t}'irril' 'r-.�,yR��+�^ �.Y•'�y q,r'r,�ry"W.'TJ•^i'+`il9'i,Vw{�1��YA',fi'+'"a'g'9't....�y +or.*Yf .r,..- .r!< BUTTE COUNTY SCHOOLS IMPACT FEE CERTIFICATION FORM V`(One Form Per Building) J- �. School District ABuilding Department No. A.P. Number 03 7 Jurisdiction.,_, City County Property Owner (Jl' i�� 11 6�Sf'C nJ Property Location/Address Subdivison Residential Development Commercial/Industrial �D D. No. of Living MHe Units'�- — New 9 AeLA Lot No. Ntr Sq. Footage Addition- (Group R) Sq. Footage Addition (Including Exterior Roofed Areas) Building epartment Repres ntative Date 49 (Floor Plans reviewed by School District Personnel) Distric/t ldentfi t o N t, #" School District certifies that " plicant) (City) (State) (Zip Code) has complied with the requirements of Resolution No. - / 9 Z by payment of $ representing 3.0 !9' square feet. District c Paid by Check Numb Bank Number Paid by Cash Remarks-."- 00 emarks:� Q A Date <<� .C'SDGf- 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 additionafi school fees to fully. mitigate its impact on the school district's schools. White (applicant), Yellow (building department), Pink (school district) feeformmkf (4/92) t 021-/3-e37 COUNTY OF BUTTE Department o'f Public Works 7 County Center Drive,'.Oroville, CA 95965 Phone: 916-538=7541 OWNER-BUILDER,VERIFI.CATION Attention Property Owner: -: An "owner -builder" building permit has been applied for in your name and bearing your signature. Please complete and return this information at your earliest opportunity to avoid unnecessary delay in processing and issuing your building permit... No building permit will --be issued until this verification is received. 1. I personally plan to'provide the major labor and.materials for construction of . the proposed property improvement (yes or no). 2. I (have/have not) Wdew signed an application for a building permit for the proposed work. 3. I have contracted with the following person (firm) to provide the proposed. construction: Name G'i -- v Address � 1 is y SCi �� / �%/ 2 `7l� eei city . oW111Z Phone �"?2 - u t� �C�, Contractors- License" No. ... _. 4. I plan'to provide portions 6f, this, work,.but.L have.hired thee- following person to coordinate, supervise, and provide the major work: Name Address City .-.Phone _ _::_. _.:_-___._. ...:Con-t-rac<tors,..Lice:nse 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 NOTE: This Owner -Builder Verification is sent to you ss required by Sections 19831 and 19832 of the California Aealth.and Safety Code. This verification must be completed and returned to our office before we are per- mitted to issue the permit. �� 02 / - /32- 03'y j COUNTY OF BUTTE - Department of Public Works 7 County Center Drive, Oroville, CA 95965 Phone: 916-538-7541 OWNER -BUILDER VERIFICATION Attention Property Owner: An "owner -builder" building permit has been applied -for in your name and bearing your signature. Please complete and return this information at your earliest opportunity to avoid unnecessary delay in processing and issuing your building permit. No building permit will be issued until this verification is received. 1. I personally plan to provide the major..labor and materials for construction of the proposed property improvement -(yes or no) 2. I (have/have not) signed an app ication for a building permit for the proposed work. 3. I have contracted with the following person (firm) to provide the proposed construction: Name Address City Phone Contractors License No. 4. I plan to provide portiorrs of this work, but I have hired the following person to coordinate, supervise, and provide the major work: > Name Address City Phone Contractors License No. 5 I will provide some of the work but I have contracted (hired) the following persons to provide the work indicated: Name Address P ne Type of Work .41 (7oll ',C'/Z Wy' /1 7" w a_ M G T / f ,f > " 0 C �4'" 0 / Df u�tr i -P BVS w I 1 U6(,'rCS F c wit/ r Signed Property Owner _41�1 J ?. /! Social Security Number Date NOTE: This Owner -Builder Verification is sent to you as required by Sections 19831 and 19832 of the California Health and Safety Code . This verification must be completed and returned to our office before we are per - mi ted to issue the permit. 32 XA v} j COUNTY OF BUTTE - Department of Public Works 7 County Center Drive, Oroville, CA 95965 Phone: 916-538-7541 OWNER -BUILDER VERIFICATION Attention Property Owner: An 'owner -builder" building -permit has been applied for in your name and bearing your signature. Please complete and return this information at your earliest opportunity to avoid unnecessary delay in processing and issuing your buildin4 permit.. No building permit will be issued until this verification'is received. 1. I personally plan to provide •the major labor and materials for construction of the proposed property improvement -(yes or no) 2. I (have/have not)ilLirt_ signed an application for a building permit for the proposed work. 3. I have contracted with the following; person (firm) to provide the proposed construction: Name Address City Phone Contractors License No. 4. I plan to provide portions of this work, but I have hired'the following person to coordinate, supervise, and provide the major work: Name Address City Phone Contractors License No. 5. I will provide some of the work but I have contracted (hired) the following persons to provide the work indicated: Name Address r P •ne Type of Work' -257RE7-t/ W /' 1 I T L'/2 iw / �j'' �1 T L %Z v ! Gi/i' C 6dl D S _Tw llT Tse 6c, %' OF ca way � Signed: Property Owner 'i 2 �44.1 Social 'Security Number Date C / NOTE: This Owner -Builder Verification is sent to you as required by Sections 19831 and 19832 of the California Health and Safety Code.. This verification must be completed and returned to our office before we are per - mi ted to issue the permit. L_,�_ 1 � `_ ,gid �) COUNTY--OFTBUTTE' Depar.tirent of -Public Works 7 County Center Drive, Oroville, CA 95965 Phone: 916-538=7541 OWNER -BUILDER VERIFICATION COBUNILDING DEPT�E Attention Property Owner: DEC 0 2 1992 An 'owner -builder" building permit has been applied for in your name and bearing -. your signature. Please complete and return this information at your earliest opportunity to avoid . unnecessary delay in'processing and issuing.your building permit. No building permit will be issued until this verification is received: 1. I personally plan to -provide the major labor and materials.for construction. -of. the proposed property improvement (yes or no) 2. I (have/have not) . Milk signed an app ication. for a building. permit for the proposed work. 3. I have contracted with the following person (firm) to provide the proposed construction: Name Address City Phone Contractors License No. 4. -I plan to provide--port-ions -of this work, but I have hired' -the following person to coordinate, supervise, and provide the major work: Name Address City Phone Contractors License No. 5. I will provide some of the work but I have contracted (hired) the following . persons to provide the work indicated: Name Address P n Type of Work 10 4 L Signed: Property Ownerav °— Social Security Number $ Date f).r c / , /9 4P NOTE: This Owner -Builder Verification is sent to you as required by Sections 19831 and 19832 of the California Health and Safety Code. This verification must be completed and returned to our office before we are per - ted to issue the permit. S�_ 9z- Yt� l �l `1,' - \ -- _ - -i. m� APPROVED46 Butte County ,a Environmental Health PV K z a: O .-3 ---------- ____ Signature c uj 31 r 6 RESIDENTIAL 021-13-2-037 92-4084B,E 1 ROULSTEIN, Lucile . I 466 W Liberty RD, GRidley elec sery & open deck/sf JOB FINALED (Date) Signature 9�a i 1911 J=OK O = Not OK ' Not ApplRgadyaple MOBILE HOMES ' =Not Rgady , Date MOBILE HOME UTILITIES (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Soils; Special MH Support Sketch 3. Sewer; Location -Test -Fall -C/O Concrete 4. Water; Location -Test -Easement Needed (Sketch) 5. Electricity; Location-Clearences-Grnd-/ /Amp -Concrete 6. Gas; Location -Test -Wrap: / /"L"ft. / /"Nat. or/ /"L"ft./ /"LPG 7. Well Clearance & Disconnect 8. Utility Clearance Date _ Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date MOBILE HOME INSTALLATION (Plans)'OK.except #'s 1. Zoning Requirements -Setbacks Easements 4 2. Footings; Size -Spacing -Marriage Line 3. Gas; MH Test -Demand -Valve -Connector 4. Electricity; MH Test -Crossovers -Breakers -Clearances 5. Drain; MH Test -Fall -Flex Connector 6. Water; MH Test -Regulator -Connector 7. Water and Sewer Connected -C/O to Grade -HD Approval 8. Gas and Electricity Tagged , 9. Exits; Insp.-Sketch 10. Cert. of Occupancy Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 MISCELLANEOUS Date DECK RS, CARPORTS; GARAGES,(Plans)OK except #'s r . Zoni qufrements-Setbacks-Easements ,__%.-'rootings;S9ils-Size-Depth-Spacing- Conn ectors-Steel r3. -Be s; riders and/or Joists -Decking -Bracing -Stairs -Rails 4. Wood Awn.; Posts-Beams-Rftrs.-Connectors Shthg.-Rfg.-Bracing 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Carpor in s -Doors 7 ctric 8. Frmg; Sils-Anchors-Studs-Rftrs-Trusses 9. Siding; Nailing -Veneer -Stucco -Mesh 10. Roof; Shthg-Roofing 11. t.; Steps' Doors -Landings Date Card B-1 Dae Card B-1 Date Card B-1 Date POOLS (Plans) OK except #'s 1. Setbacks -Easements 2. Soils; Compaction -Structure Stability 3. Pool Structure; Steel -Connections -Thickness Dead Men -Lining 4. Elec.; Receptacles and Lighting, Distances-GFI 5. Elec.; Pool Lighting; 15 volts-GFI 6. Elec.;Enclosures; Conduit Entries -Terminals -Listed 7. Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater 8. Elec.; Grounding; Equip. w/5' Circulating Equip. -Pool Lghtg. _ Boxes -Enclosures -Panel boards -Ins. to Main in Conduit 9. Health Department Approval 10. Plumb.; Cir. Test -Water Supply Test Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 ✓=OK O=Not OK = Not Applicable Not Ready RESIDENTIAL (: = Date UNDERFLOOR (Plans) OK except ft's 1. Zoning -Setbacks -Easements -Flood -Slope - 2. Ftg., Main; Soils-Elec. Grnd.-/ /" Ftg. Depth 3. Ftg., Garage; Soils-Steel-Elec. Grnd.-/ /" Ftg. Depth 4. Ftg., Porches & Decks; Soils -Steel-/ /Ftg. Depth 5. Stemwalls, Main; Steel-Blockouts-Wrapped 6. Stemwalls, Garage; Steel-Blockouts-Wrapped 6a. Hold Downs and Special Anchors 7. Slab; Steel -Wrapped - 8. Piers -Fireplace Ftg.-Steel 9. D.W.V.; Fall -Fitting -Test -2 Way C/O -Sewer Test 10. UF. Gas Pipe; Size -Anchors - yard gas piping: size -test 11. Water Pipe; Test -Anchor -Regulator -Service Test. 12. Electric; Underground 13. Pienums & Ducts; Clearance -Material -Support -Ins. 14. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples 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 a's 16. Water Htr.: Vent -Access -Combustion Air -Baffle --------------- ------------------------------ 17. Water Pipe; Test & Anchor -Nail Protection 18. D.W.V.: Test -Fittings & Anchor -Nail Protection ----------------- - ----------------- 19. Shower Pan: Test, First Floor -Tub Access --------------- ---------------------------- 20. Test Tub & Shower, Second Floor -Tub Access 21. Gas Pipe: Size & Anchors Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date ELECTRICAL (Permit) OK except n's ------------ - 22. Fixture & Transformer Clearance -Ins. -Protection - - ------------------------------ --------- 23.- Elec. Receptacles Spacing -Lights & Switches at Doors ---------------- 24. Size Boxes & No. of Conductors -Stapled =------------------------------------------------------------------------------ 25. Romex Installed Close to Edge of Studs & C.J. -------------------------------------------------------------- 26. Equip. Ground made"up w!Mech. Fasiners-Bond Gas- & Water ---------------- ---- -------- ---------------------------------------------------------------- 27. 2 Appliance Circuts in Kitchen & Conductor Size/GFI --------------------- ------------------- ------ ------------------------------ 28. Subfeed Wire Size i ga. Cu or AI-A.C. Wire Size ! / ga. Cu or At - ----------------------- 29. Range Circ ! / ga Cu or AI -Oven Circ. / / ga. Cu or Al. Insulated Neutral 0 Yes ------O No ------------------------------------ --- -- - 30. Service -Riser Conductors & Ground -Main Disconnect - ------------------------------------- 31. -Equip. -Clearances Panels-Motors-Mech. Equip. 32. Clothes Closet Light -Shower Light -Spa Light --- - ---- ------------------------------- ------------- -- ------- 33. Smoke Detector ----------------------------------------- -------------------------------------------- Date Card B-1 Date Card B-1 ----------------------------------------------------------------------------------- Date Card B-1 Date Card B-1 Date MECHANICAL (Permit) OK except #'s 34. -.A. -C.- Ducts Insulation & Support -------------------------------------------------- --------------------------- - 35. Vent Fan: Exhaust above insulation ----------------------------------------------------------- ------------- --------------------- _________ 36. _Condensat-e Drain- - & Overflo-w: Size- &- Grade -------------------------------------- ---------- ---- 37. Furnance-Vent; Access -Comb. Air -Return Air Vent -115 outlet ----------- ----------------------------------------------------------------- 38. Attic Access & Platform if Furnance in Attic _--------------------------------------------------------------------------------- Date Card B-1 Date Card B-1 -------------------------------------------------------------------------------- Date Card B-1 Date Card B-1 Date FRAMING (Plans) OK except tr's 39. Sils. Proper Material & Anchors ------------------------------------------------------------------ --------- 40. Walls Studs -Nailing. Spacing & Bracing -Plates -Sound --------------------------- ------------------------------------------------------ 41 ---------- -------------------------------------------------------- 41 Bearing Walls over Girders & Floor Nailing 42. Draft Stop in Walls (rat proof) --------------------------------------------------------------------------------- 43. Fire Stops Furred Ceilings -Stairs -Chases -Tub ----------------. ---------------------------------------------------------- 44. Headers & Beam -Size & Bearing jingle & Duplex) Date FRAMING (Continued) 45. Hangers -Post Caps -Anchors -Connectors 46. Cing. Joist-Rftr. ties-Purlin-roof Brac-Truss-Shthng.-Ring. 47. Fireplace Ties or Type A Flue -Fireplace Throat clearance 48. Attic Access: Size & Romex Protection -Draft Stop -Ins. Baffles 49. Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions 50. Garage Fire Protection Framing 51. Property Line Firewall & Openings 52. Ext. Doors -One 3' -Check Garage -3rd Story, 2 Exits ------------ 53.-Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection ------------ 54. plywood on Roof Overhang -Attic Vents -Rafter Outriggers -------- --- _ 55. Siding -Nailing Veneer 56. Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access _ 57.'.Glazing Area -Glass Protection -Skylights- Plastic 58. Shear Walls 'Nailing -Bolts 59. Insulation=Walls-Ceilings ------------- 60. Infiltration -Walls -Windows Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date FINAL (Plans) OK except ft's 61. Ext. Steps -Door & Sidelight Protection -Landings 62. Smoke Detector ------------------------- -- 63. Furnace: Vents -Clearance -Comb. Air -Connector - In Garage: Above Floor -Ducts -Meth. Protection ----------- --------------- 64. Bedroom Exiting ----------------- ----- ------------- ------ ---- 65. G.F.I. & Bath Fixtures & Tub Access -Spa 66. Elec. Trim & Su_b_panel; Breaker Sizes & Labels 67. Stairs & Rails ----------------- ---- ------------- - 68. Fireplace or Stove: Clearances -Hearth 69. Elec. Outlets at Wood Panel: Int. & Ext. --------...---------------------------------- 70. Kit.Fixt. & Appliance; Grnd.-Air Gap -Cooking Clearance --------...-- -------------------- - 71. Elec. Outlets & Receptacles at Kit. Counter 72. Garage Fire Door: Swing -Landing -Closer 73.--A.C.-Duct in -Garage -Damper ----------------------------------------- 74. Wtr. Htr.; Vents -Clearance -Comb. Air-Connector-P.R.V. In Garage: Above Floor-Mech. Protection ------------------------------------ 75. Plb.. Elec. & Mech. Equip. Listed for Location ------------------------------------ 76. Elec. Receptacles in Garage; (G.F.I.)-Romex Protection ---------------- 7;. Insulation -Foam -Looked in Attic 0 Yes -------------------------- ------ ---------- - -- 78. Guard Rails & Deck Construction -Post Caps 79. Fdn Vents & Crawl Hole Door -Drainage & Wood -Earth Clearance Looked -under Floor-- - O Yes 80. Following instld.: Drive ❑ Yes ❑ No: Walks ❑ Yes ❑ No; Planters Yes 11No -------------- -- 81. Stucco Brown -Finish - -- 82. A.C. Unit; Disconnect. Electrical, Plumbing -------------------- 83. Vents Above Roof; Plbg.-Appliance-Fireplace.-Clearance to Openings 84. Water Well: Disconnect, Electrical, Plumbing - --------- ------------------------ -- g --- 85. Exterior Elec. Trim; G.F.I. Receptacle -Under round -- -- - ---------- d6. Ventilation Throughout House .............. - - ------------------ -------------------- 87. Glass Protection ----------- -------------------------------- 88. Corrections from Previous Inspections -- ---------------------------------------------- 89. Gas Test -Meters Tagged; Gas -Electric 90. Water & Sewer Connected -C/O to Grade-HDApproval --------------------------------- --- -- - -- - - - - -- - ----------------------- - 91. Energy Compliance Certificate -Other Certificates ------- -------------------------------- Date ------------------------------Date Card B-1 Date Card B -1 -------------------------------------------- ----------- Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Comments at Final: COUNTY, OF BUTTE - DEPARTMENT OFIPUBL OR S PERMIT NO. County Center Drive - Oroville, Cal.ifor,a 95965 - Telephone 916/53 -7541 =7 APPLICATION AND PERMIT U� ASSEU/j 1 PPJJL / Eb JYMBER ZONING A-5 110, BUILDING PERMIT OWNER Lucile Roulstein TELEPHONE 846-3873 SO. FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS 466 W.Libert Rd. Gridley 95948 . 480 0 3 360.00 CONTRACTOR'S NAME TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $3,360.00 LENDER'S MAILING ADDRESS Filing Fee $ 155.00 Permit Fee $ 52.50 ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ 26.25 ARCHITECT OR ENGINEER'S MAILING ADDRESS Energy Plan Checking Fee $ Penalty - 7$ BUILDING ADDRESS Permit fee $ 93.75 466 W- Ubprty Rd., Gridley PLUMBING PERMIT Filing Fee 15.00 Each Trap 5.00 Solar or heat pump water heater 20.00 LOT NO.SUBDIVISION NAME PARCEL MAP Water piping 7.00 Each qas water heater or vent 7.00 USE OF STRUCTURE SFEJ Duplex❑ Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 15.00 Mobile Home S I G I W @ 15.00 TYPE OF WORK New ❑ Addition ® Remodel ❑ Utilities ❑ Installation❑ Other ❑ Describe work: _Open Derk and Main 4arvi re _ Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 15.00 Main service 200AORLESS 1 18.50 18.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury p Y p y (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. NLicense No. Classification I, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract - ors. (Sec. 7044) ❑ 1 am exempt under Sec. , Business and Professions Code for this reason Main service 200ATO1000A, 37.50 NEW CONST. DWELLING OCCUP.&\ OR ADD S.ACC. BLDGS. I 3.64sq.ft. NEW CONSTR. ULT( -OUTLET NO N.R ESID BRANCH CIRC ITS @ 5.00 /POWER APPARATUS d) (SINGLE OUTLET CIR. Ex. OCCU P OUTLETS OR FIXTURES 20 76 FIXED APPLNS. OR Ex. Occup. OUTLETS (RESID.) EA.) 3.00 Temporary service 15.00 Mobile Home Facilities 15.00 Misc. Wiring -15.00 Permit Fee $ WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. Contractor MECHANICAL PERMIT Filing Fee 15.00 Heating Cooling Hood 6.50 Ventilation penult Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the Countyot Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all •lities, judgments, costs, and expenses which may in any way accrue a Inst aid County in consequence of the granting of this per t. Date iG% �� �er❑ Contractor `' q g - Agent ermit is ruire excavations over SO" deep and demolition or Construct- ".,tures over 3 st es in height. 129828 /"' W.. -YELLOW-ASSESSOR, PINK -INSPECTOR. GOLDENROD -APPLICANT Mobile Home Installation Fee S Energy Inspection Fee $ �r OCC CONST TYPE TOTAL FEE $ 12,7,-25 HAz DFEES IMP FLOOD CDF PA C PD , E This permit is hereby issued under the applicable provi- sions of t Y utte Count Code and/ resolutions to do work in is ed ove for whic e�ehave been paid.. DIR TO KS BYQ 3 / _Date _Z 'Iq PERMIT XPIRE Date s• '� '��, '� ��•� ,ir�� ��jF-��F�!��r��"il d.t"•"+ni"'�'v.'1^.r�'"rir'�r-v".-`....�vr�`r `� ,�'"'! •l r + COUNTYOF BUTTE - DEPARTMENTOF D8VELOPMENTSE L ICE -BUILDING DIVISION i�4 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA95965 -TEL P ONE(916)538-7541 PERMIT APPLICATION DATA SHEET y OWNER )1Ll 145 /'St 4J STC//J A. P. No. _O2 f 3Z- 03 r7 Proposed Building Usey0EnlbeGlZ -k /�,FiN,Sr/��r� Building Inspector Date 1 ( 1 ?--- At time of permit application, I was advised the following data must be submitted prior to permit processing and/or issuance: DATE RECENED BY 1. All items have been submitted . ....................................... . 2. Plot plans, 3/4 sets, signed by preparer of plans . .......................... 3. Complete plans, 3/4 sets, signed by preparer of plans . ...................... .4. Engineered plans and calcs, 3/4 sets, with wet signature on plans . ............. 5.. Hazardous Material Form. .........,.. ................................. . 6. Energy Design Compliance and supporting documentation . .................. 7. Statement of Intent for Non -Heated and A/C Buildings . ...................... 8. Engineered truss details and layout in -duplicate (required prior to plan check). .... 9. Mobilehome data and manufacturer's installation instructions, 2 sets. ........... 10. Fees of $ .......................................... 11. Impact fees as shown on attached schedule. .............................. r� 12. California Department of Forestry plan approval/fees. ....................... . i 13. Flood elevation letter (100 year flood) by California Engineer . ................. . 14. Sanitation and plot plan approval 0�U//A-�Health Department . ............ 15. City of Chico plumbing permit . ......................................... 16. Plot plan and business license approval from City of Biggs/Gridley. ............. 17. Planning approval for (A) Use: (B) Parking: 18. Contact Land Development.about (A) Improvements (B) Drainage. ......... . 19. Driveway permit (construction approval required prior to occupancy). .. ... . 20. Pre -inspection for required. .. o Building Inspector (Date 21. Contractor's license information. (No., Name Style, Classification) . .............. 22. Certificate of Workmans Compensation Insurance. ..... . 23. Owner -Builder Verification (Given to owner Mail to owner. ........... L 24. Recorded copy of Agricultural Acknowledgement Statement . .................. / Letter of signature authorization . ....................................... . 26. Copy of recorded deed of parcel creation and 60 right of way to a public road. ..... 27. Letter of intent on building use . ........................................ . 28. Mobilehome utility clearance . .......................................... 29. Documentation of legal access . ..................... :.................. 30. Documentation of 50% subdivision developed or (A) Road improvements completed and (B) Parcel meets zoning area and frontage requirements . ............... 31. Existing violations/expired permits . ...................................... 32. Plan check list . ..................................................... 33. 34. Why u issue the permit, process as follows: Mail to owner. Mail to contractor. Telephone Irl% -.3BT and hold for pickup at 60c>--);i(-,o _ office. Deliver with inspector. Other Parcel Creation Acreage Applicant ( Date Copy of Haz-Mat form sent Health Dept. Fire Dept. Air Pollution Date Copy of plans sent Health Dept. Fire Dept. Other Date By The following data must be submitted • ' o er ' issuance: (Circle new item not checked above). 1. Index permit .for above items No. 2. Additional items required: Contractor, designer, owner, was advised of above required data _ one it Counter _ to Contractor, designer, owner, was advised of above required data by _ phone _ mail /Counter by _ Date Plans checked by Date Plans approved by -G�/ Date�� Sets of plans on hold in File cabinet AP folder Copy - Department of Public Works . Floor Thin Amiched C BULONOpaurr� Sent In ' G DEPT TO: BuildingDepartment SEP FROM: Environmental Health SUBJECT: Sanitation Clearance 00"y-1, base C) kd-sux4l Owner Location AP# Plan Approved for: Sewage Disposal Water Supply: Public Private Well Clearance for bedroom mobile home. Other 02, C Hold final for: Final clearance O.K. for: NOTE: ao/e /� ye .x Environmental Health Specialist 8/92 w I tJ V '('►'- J t�14 0 Y- Ao-C,� Date COUNTY OF BUTTE -DEPARTMENT OF -PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 - Telephone: 916/538-7541 APPLICATION 9ND PERMIT PERMIT NO. ASSESSOR PARCEL NUMBER 03'7 ZO IING — BUILDING PERMIT OWNER Cf iE Ei rJ TELEPHONE 8496-367-3 SQ. FT. OCC.1 BUILDING VALUATION OWNER'S MAILIN ADDRESS L 3 3 Coo o oAJ-ijlecy CONTRACTOR•' NAME (/_7 Cr t�/J� �7 i i Dert,& TELEPHONE 533- 7/ CONTRACTOR'S MAILING ADOR1-S /� � 0 C� S 02wil1t Fireplace Bf �� GE CONSTRUCTION LENDER UNKNOWN Total Valuation $ 3G LENDER'S MAILING ADDRESS Filing Fee $ 15.00 Permit Fee $ SZ o SO ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee ARCHITECT OR ENGINEER'S MAILING ADDRESS Energy Plan Checking Fee $ Penalty $ BUILDING ADDRESS 464 0). Liber+ & Permit fee $ 41 r -7S PLUMBING PERMIT Filing Fee 15.00 Each Trap 1 5.00 Solar or heat pump water heater 20.00 LOT NO.SUBDIVISION NAME PARCEL MAP Water piping 7.00 Each qas water heater or vent 7.00 USE OF STRUCTURE Gas piping system 1 - 5 outlets 5.00 SF�$ Duplex❑ Mobilehome❑ Other Building sewer 1 15.00 Mobile Home S I G I W @ 15.00 SPECIFY TYPE OF WORK New ❑ Additiong Remodel ❑ Utilities ❑ Installation El Other Permit Fee $ Describe work: 0 EAI 0666 A AIN3 AAA4 Al S(EC U I Cz Contractor ELECTRICAL PERMIT Filing Fee 15.00 Main service 200AORLESS 18.50 Main service 200A TO 1000A) 37.501 CONTRACTORS LICENSE LAW I NEW CONST. DWELLING OCCUP.N\ OR ADONS. ACC. BLDGS. I 3.6C sq.ft.l declare under penalty of perjury (check one): ❑ I am licensed under provisions of Chapt. 9, Div. 3 of the Business NEW CONSTR ULTI-OUTLET NON-RESID BRANCH CIRC ITS @ 5.00 and Professions Code and my license is in full force and effect. POWER APPARATUS d SINGLE OUTLET CIR. / License No. Classification Ex. Occup( OUTLETS OR FIXTURES 120 @ 76d ArA I, as the owner, or my employees with wages as their sole compen- FIXED APPLNS. OR Ex. Occup. OUTLETS (RESID.) EA.) I 3.00 sation, will do the work,and the structure is not intended or offered Temporary service 1 15.00 for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract - Mobile Home Facilities 15.00 ors. (Sec. 7044) Misc. Wiring 15.00 ❑ 1 am exempt under Sec. , Business and Professions Code for this reason Permit Fee $ 133aSb WORKMEN'S COMPENSATION INSURANCE Contractor - I declare under penalty of perjury (check one): MECHANICAL PERMIT Filing Fee 1 15.00 ❑ The permit is for $100.00 (valuation) or less. Heating ❑ 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. Cooling ❑ I shall not employ any person in any manner so as to become subject Hood 6.50 to the W. C. laws of California. Ventilation 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 Perm Permit Fee $ provisions or this permit shall be deemed revoked. Contractor I certify that I have read this application and state that the above information Mobile Home Installation Fee $ is correct. I agree to comply to all County Ordinances and State Laws relating Energy Inspection Fee $ to building construction, and hereby authorize representatives of the Countyot Butte to enter upon the above-mentioned property for inspection purposes. occ CONST TYPE I also agree to save, indemnify and keep harmless the County of Butte against TOTAL FEES all liabilities, judgments, costs, and expenses which may in any way accrue HAz 0FEEs IMP FL000 CDF PAFCEL PD HO ISSUE against said County in consequence of the granting of this permit. 1 I IX Date Signature of Applicant — Owner ❑ Contractor ❑ Agent ❑ An OSHA permit is required for excavations over 5'0" deep and demolition or construct. ion of structures over 3 stories in height. Receipt No. ) a9C5>Z19 WHITE-D.P.W.. YELLOW-♦SSESSa P. PINK -INSPECTOR, GOLDENROD -APPLICANT This permit is hereby issued under the applicable provi- sions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DIRECTOR OF PUBLIC WORKS By Date PERMIT EXPIRES Date 1 ' RESIDENTIAL 13-2-037_ 91-3646 y ; R.O:ULSTE I N, LUC I LE` • CONTR: CLIFF,-CRAFT BLDRS 466 W LIBERTY R`D;''GRIDLEY ` ADDITION/SF e a i . w f f . J=OK O = Not OK Not = Not Readyable MOBILE HOMES. Date MOBILE HOME UTILITIES (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements'. } 2. Soils; Special MH Support Sketch 3. Sewer; Location -Test -Fall -C/O Concrete 4. Water; Location -Test -Easement Needed (Sketch) ti 5. Electricity; Location-Clearences-Grnd-/ /Amp -Concrete 6. Gas; Location -Test -Wrap: / /"L" ft. `� f / /"Nat. or/ /" L"ft./ /"LPG 7. Well Clearance & Disconnect 8. Utility Clearance Date \-' Card B-1 Date `�,, Card B-1 Date Card B-1 Date 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 -Demand -Valve -Connector 4. Electricity; MH Test -Crossovers -Breakers -Clearances 5. Drain; MH Test -Fall -Flex Connector ! 6. Water; MH Test -Regulator -Connector 7. Water and Sewer Connected -C/O to Grade -HD Approval 8. Gas and Electricity Tagged 9. Exits; Insp.-Sketch 10. Cert. of OCCUDancv Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 "%�j MISCELLANEOUS Date DECKS, COVERS, CARPORTS, GARAGES, (Plans)OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Footings; Soils -Size -Depth -Spacing -Connectors -Steel 3: Decks; Griders and/or Joists -Decking -Bracing -Stairs -Rails 4. Wood Awn.; Posts- Beam s-Rftrs.-Connectors Shthg.-Rfg.-Bracing 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Carports; Windows -Doors 7. Electric 8. Frmg; Sils-Anchors-Studs-Rftrs-Trusses Nj j 9. Siding; Nailing -Veneer -Stucco -Mesh 10. Roof; Shthg-Roofing 11. Ext.; Steps -Doors -Landings Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date POOLS (Plans) OK except #'s 1. Setbacks -Easements 2. Soils; Compaction -Structure Stability 0 3. Pool Structure; Steel -Connections -Thickness Dead Men -Lining 4. Elec.; Receptacles and Lighting, Distances-GFI 5. Elec.; Pool Lighting; 15 volts-GFI 6. Elec.; Enclosures; Conduit Entries -Terminals -Listed 7. Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater 8. Elec.; Grounding; Equip. w/5' Circulating Equip. -Pool Lghtg.' _ Boxes-Enclosures-Panelboards-Ins. to Main in Conduit 9. Health Department Approval 10. Plumb.; Cir. Test -Water Supply Test Date Card B-1 Date Card B-1, Date Card B-1 Date Card B-1 ems - V OK O=Not OK = Not Applicable Not Ready RESIDENTIAL (Single & Duplex) = Date ERFLOOR (Plans) OK except #'s 1 dining -Setbacks -Easements -Flood- lope 2. Ftg., Main; Soils-Elec. Grnd.-/• " Ftg. Depth 3. Ftg., Garage; Soils-Steel-Elec. Grnd.-/ /" Ftg. Depth 4. Ftg., Porches & Decks; Soils -Steel-/ /Ftg. Depth 5. Stemwalls, Main; Steel-Blockouts-Wrapped 6. Stemwalls. Garage; Steel-Blockouts-Wrapped I 6a. Hold Downs and Special Anchors 7. Slabzteel-Wrapped V-"8. rs-Fireplace Ftg.-Steel 9. D.W.V.; Fall -Fitting -Test -2 Way C/O -Sewer Test 10. UF. Gas Pipe; Size -Anchors - yard gas piping: size -test 11. Water Pipe; Test -Anchor -Regulator -Service Test 12. Electric; Underground„ 13. Pienums & Ducts; Clearance -Material -Support -Ins. 14. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples 15. Access & Ventilation 16. Insulation Date 6 Card B-1 �Date Card B-1 Date j- a - Y#- Card B-1 C" Date Card B-1 Date PLUMBING (Permit),OK except ti's 16. Water Htr.: Vent -Access -Combustion Air -Baffle ----------------------------------------------- ------- 17. Water Pipe: Test & Anchor -Nail Protection --------- ------ - --- -- 18. D_W.V.: Test-Fjj�g6s & Anchor -Nail Protection ... ................. 19. Shower P Test, First Floor -Tub Access --------------- -- -------------------------------- 20. Tes ub & Shower, Second Floor -Tub Access ---------- -------------------------------------- 21,,,d -as Pipe: Size & Anchors -------- ----------------------------------------------------------------- Date Card B-1 Date Card B -t ---- ------------------------------------------------------------------- Dat Card B-1 Date Card B-1 Date ELECTRICAL (Permit) OK except a's 22. Fixture & Transformer Clearance -Ins. Protection --(�. EI- ' Receptacles Spacing -Lights & Switches at Doors --`--- -------------------- -- ` --------- - 7iq _ Size Boxes & No. of Conductors -Stapled l= _Size ------------ ----------- ------------------ ------ ---- 25. Ro nstalled Close to Edge of Studs & C.J. - quip Ground made up w/Mech. Fastners_Bond Gas & Water ,-*F--2--Appl ante Circuits in Kitchen & Conductor SizerGFI ----------------------------------------------------------------------------------- -2b--3ubfeed Wire Size i r ga. Cu or AI-A.C. Wire Sizer 1 ga. Cu or Al mange Circ / r ga Cu or AI -Oven Circ. / r ga. Cu or Al. Insulated Neutral ❑ Yes 0 No ------------------------------------- -- .3A�ervice-Riser Conductors & Ground -Main Disconnect -a-Eiluip Clearances Panels-Motors-Mech. Equip. lothes Closet Light -Shower Light Spa Light Smoke Detector -------------- - ----------- --------------------------------------- --- --- -- D -ate-- -------------- Card B-1 Date Card B-1 ---------- - -------------------------------------------------- Date Card B-1 Date Card B-1 Date MECHANICAL (Permit) OK except #'s 34. A.C. Ducts In ation & Support ---------------------------- --------------------------------------------------- 35. Vent F Exhaust above insulation ------ --- 36. ndensate Drain & Overflow: _Size & Grade 7. Furnance-Vent: Access -Comb Air -Return Air Vent -115 outlet - - ---------------- ------------ ----------- -------- 38. Attic Access & Platform if Furnance in Attic Date - - ---- - Card B - - - ------ ------ ------------------- -- ------- - -1Date Card -B-1 -- - - - - --- ------------------------ - - ---------- Date Card B-1 Date Card B-1 Date FRAMING (Plans) OK except N's 9. Sils. Proper Material & Anchors 40 Walls Studs -Nailing. Spacing & Bracing-Plates:Sound ---- -- 4 Bearing Walls over Girders &Floor Nailing - - ------------- - - --------- -- 42. Draft Stop in Walls (rat proof) 43. Fire Stops. Furred Ceilings -Stairs -Chases -Tub ----------------------------------------------- - --------------------- 44. Headers & Beam -Size & Bearing Date F ING (Continued) /_ _ angers -Post Caps -Anchors -Connectors - _ CIng. Joist-Rftr. ties-Purlin-roof Bran-Truss-Shthng.-Rtng. Fir ace Ties or Type A Flue -Fireplace Throat clearance !tic Access; Size & Romex Protection -Draft Stop -Ins. Baffles B m Windows or Exiting Doors -Sill Hgt. & Dimensi ns - - r ge Fire Protection Framing ----?-Property Line Firewall & Openings _ xt. oors-One 3' -Check Garage -3rd Story, 2 Exits airs; Width -Headroom -Rise -Run -Landing -Fire Protection 4 plywood on Roof Overhang -Attic Vents -Rafter Outriggers _ _ _ding -Nailing Vene cco Mesh p Screed -Fd. Vents-Underflr. A ss -------_ 57. Glazing Area -Glass Protection -Skylights -Plastic / Shear Walls; Nailing -Bolts - 9. Insulation -Walls -Ceilings - --- Infiltration -Walls -Windows and B-1 Date Card B-1 Date -9/,A-Gard B-1/ Date Card B-1 ADate L (Plans) OK except N's xt. Steps -Door & Sidelight Protection -Landings Smoke Detector --=------ ------- --- - . urnace: Vents -Clearance -Comb. Air -Connector - In" Garage: Above Floor -Ducts -Meth. Protection 64. Bedroom Exiting ------ ----- �=--------------- 7- 6 F.l. & Bath Fixtures & Tub Access -Spa 6. ec. Trim & Subpanel: Breaker Sizes & Labels ---------' --------- 67.- S -irs Rails ------- ---- rs && R- ---------- - lace or Stove: Clearances -Hearth Elec. O Il�ets at Wood Panel Int. & Ext. 7 F rrrs Appliance; Grnd.-Air Gap -Cooking Clearance --- ------- -- - - -. Eleecc. tlets & Receptacles at Kit. Counter --------- --2.----rage-Fire Door Swing -Landing -Closer 73. A C Duct in -Garage -Damper r. Htr.: Vents -Clearance -Comb Air-Connector-P.R.V. In Gara =-e:-Above Floor -Meth. Protection ---- ------------- Elec. & Mech. Equip. Listed for Location -- _ eceptacles in Garage: (G.F.I.)-Romex Protection Insulation -Foam -looked in Attic ❑ Yes Guar --Rails & Deck -Const ruction- Post Caps 7 dn. Vents Crawl Hole Door -Drainage Wood -Earth Clear n Looked under Floor Yes ------ -------------- 80. --------- 80. 1 in -rns Id.: Drive ❑ Yes ❑ No: Walks ❑ Yes ❑ No; an ❑ Yes ❑ No cco: B wn-Finish - -ti-- ------ ---- 2. A.C. nit: Disconnect. Electrical, Plumbing ------------------------------------- - - 83. ents Above Roof: Plbg:-Appliance-Fireplace.-Clearance to Openings _ -,---84-Water,Well: Disconnect, Electrical, Plumbing - erio �c. Trim; G.F.I. Receptacle -Underground - ntilation Throughout House 7. Glass Protection ---------------_-------- - ----------------------- - - -- -- ---OF ctions from Previous Inspections - --- -- -- --------------------------------- 89. Gas Test Meters Tagged: Gas -Electric -- 90. W r &Sewer Connected -C/O to Grade -HD Approval -- Ene-rgy Compliance Certificate -Other Certificates Date I ✓ rd B-1 _Date _ Card B-1 - _ Date ` -� - and B_t -- Date __Card B-1 Date Card B-1 Date Card B-1 Comments at Final: COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 1469 Humboldt Road, Chico, CA - (916) 891-2751 7 County Center Drive, Oroville, CA - (916) 538-7541 747 Elliott Road, Paradise, CA - (916) 872-6307 CORRECTION NOTICE OWNER PERMIT NO. A routine inspection indicates that the following violations of Butte County Ordinances exist at � the above address and should be corrected. Please notify this office when correction of work is complete you have any questions pertaining to this matter, or need additional explanation, ? pleas o act this office immediately. / s. WAAi FA all�+ Date V Inspector r REV 11/91 COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS A 196 Memorial Way, ehico = Phone: 891-2751 7 County Center Drive, Orovi Ile — Phone: 538-7541 747 Elliott Road, Paradise — Phone: 872-6307 .J CORRECTION NOTICE OWNER PERMIT NO. A routine inspection indicates that the following violations of County Ordinance exist at the above address and should be corrected. Please notify this office when correction of work is completed. If you have any question pertaining to this or need additional explanation, please contact this office immediately. Vt U © G eo v A)-4 T Al- 609-5 AL W F�1-STiv. w6 STA IQ �a Date Inspec ENERGY CERTIFICATION_ LOCATION DESCRIPTION OF INSULATION ROOF MATERIAL BRAND NAME . THICKNESS (INCHES) THERMAL RES. EXTERIOR WALL MATERIAL TYPE FIBERGLASS BRAND NAME CERTAINTEED THICKNESS (INCHES) THERMAL RES. R-/ CEILING BATT OR BLANKET TYPE FIBERGLASS BRAND NAME CER'TAINTEED THICKNESS (INCHES) THERMAL. RES. Lt- LOOSE FILL TYPE FIBERGLASS BRAND NAME CERT I MT— TiIICKNESS (INCHES) /c2 THERMAL RES. R- FLOOR, ELEVATED MATERIAL FIBERGLASS BRAND NAME CERTAINTEED THICKNESS (INCHES) THERMAL RES. - F"-%'IOR. SLAB �r MATERIAL BRAND NAME THICKNESS (INCHES) THERMAL. RES. WIDTH FOUNDATION WALL MATERIAL BRAND NAME THICKNESS (INCHES) THERMAL RES. I HEREBY CERTIFY THAT THE ABOVE INSULATION WAS INSTALLED IN THE ABOVE BUILDING IN CONFORMANCE WITH THE STATE OF CALIFORNIA ENERGY REQUIREMENTS, % HAWKINS INDUSTRIES INC. 6221.84 FIRM NAME STATE CONTR:ICTOR'S LICENSE SIGNATURE DA E R1►RRMRi►RR/1RNARkARNNRRIlRNNkR4FRNRpNNRkRRRRRR11RM11RRM1►R1fNRNRRNNN 114EREBY CERTIFY THE ABOVE INSULATION AND ALL REQUIRED ITEMS AS SHOWN ON THE BUILDING DEPARTMENT APPROVED PLANS AND ATTACHMENTS HAVE BEEN INSTALLED AS REQUIRED BY THE STATE OF C'!..TF0RNIA ENERGY REQUIREMENTS. Y FIRM NAME SIGNATURE - GEN. CONTR. /OWNER It STATE CONTRACTOR'S LICENSE # DATE .tom' ROSBORO I 4 SAY "lotion rules to apply on claims of grade, tally 6 manufacture. CUSTOMER'S ORDER IS SUBJECT oast due accounts will be assessed a service charge of 11/2% per month (18% per annum). TO ALL OF THE TERMS AND 'uslomor agrees to Indemnity Rosboro Lumber Company for all expenses incurred In connection CONDITIONS STATED HEREIN. ROSE OLSM at the trial love) and on any appeal. ' All litigation concerning this order will take place In Lane County, Oregon. Should Inconsistencies In terms be found between this ackn`arAodgment and customer purchaso order, this acknowledgment takes precedence In all casoa.. R®SB®R® LUMBER C®IV PAN :I P.O. Box 20 o Springfield, OR 97477 PHONE: (503) 746-8411 o FAX: (503) 726-8919 :r0B ''f A.c)inC)I' F'i'tl_.I'll_:F� ( _ L_L•::4J:f.;:i (�)f'll`(111'7" :I:I�IC; 131-6.1:i 'T'i:) VIL I I' r:� r cyl:• F1 (3 rt. < 4 r }• k k k:¢ .4c:,.:>• F i< } �h ?k'k:}::.:.. ..'.:.:,. r,:.: , (;r,:k:n%r:, .r..yt:F:n: ,.,1'.. <... :..: .......y. ,� ?')t 1� tk i'�n kr 'ir f.r,•f'k'i'>�'k'T'k . r c: e. r' l):....e•. .:• .L,:., ..,. F.c.:... ,.. hr.L ):. _ 1: a �..cc. i a.l:,r , :I. i��c:•v:i. <.:>:i. c:)rt 1 <:I Y. c, �) i<;rj;Fr;r:; 1.3. it .:i c.1 :1. :'.:I Girl.:; (::L.t:> I:. ,r; _,b :>; ,,,• _.. r .... l.,c t.t -L In 1) 3Villb(11. 1='a i.c:J :l:r/ titittJiltittiiYlltittititit1:111itY1Yt11ititttillitttYYit9ttYEtttitYlYtfttttittttittlYiit11tt1t1tY1iftitltttttt. APPEARANCE PROT SPC ST BEAM PROFIL LINEAL )RK CITY WIDTH DEPTH FEET IN FRACT RADIUS GRADE MODIFY -ECT FN CIE GR COMB. SECT L R FEET /I •3126 1.4_ _ 03 1424-!2 _ 16.09 -. _ ___ 2000 --Arch. 1 _ __ S- W ----EIV -- -- A -1 _ W -- _5 _224 3136 7 03-1/2 X 13-1i2 16 09 2000 Arch. 1 S W EW A l W S 112 510 4 05-1/6 X 16-1i2 60 02 2000 Arch. 1 S D V4 2400F A 1 W S 240 ; S12 8 05-liB X 12 60 02 2000 Arch. I S D V4 240OF A l W S 480 5i3 4 05-1/8 X 13-112 6'! (12 2(!00 Arch. 1 S 0 V4 240OF A l W S 240 1 - 4 OS -:/8 X 1` 6!i �2 2040 Arch. 1 i D V4 240OF A 1 W S 24:? ' 6i5 _ 06-3/4 X 15 6(! O2 2000 Arch. 1 S D V4 2400F A 1 W S _2''! ; ..i1b c 06-3/4 X 16-1/261? 02 2000 Arch. I S D V4 2400E A 1 W S 121 ; X19 2 06-3/4 X 19-112 60 02 2000 Arch. I S D V4 2400F A l W S 1120 S 5128 4 05-1/8 X 12 4S 02 20:10 Arch. I S D V4 2400F A l W S 176 5138 4 05-118 X 13-1/2 44 02 21100 Arch. 1 S D V4 2400r' A l W S 116 4 5158 4 05-1/8 X 15 44 02 2:),)O Arch. I S D V4 2400F A l W S 176 • ER ACKNOWLEDGMENT I INVOICE TERMS AND CONDITIONS ROSBORO I ?lease support all freight deductions with original freight bills. "lotion rules to apply on claims of grade, tally 6 manufacture. CUSTOMER'S ORDER IS SUBJECT oast due accounts will be assessed a service charge of 11/2% per month (18% per annum). TO ALL OF THE TERMS AND 'uslomor agrees to Indemnity Rosboro Lumber Company for all expenses incurred In connection CONDITIONS STATED HEREIN. with the collection of amounts due hereunder, Including all court costs and attorney's fees incurred at the trial love) and on any appeal. ' All litigation concerning this order will take place In Lane County, Oregon. Should Inconsistencies In terms be found between this ackn`arAodgment and customer purchaso order, this acknowledgment takes precedence In all casoa.. I I r "SO Pl;L F -LE, FF -,*:`[1- c.14 - .CER I F I CATE 0C IT -I .0 N FO R%M C I F E Y E u T HEREBY CF_ - R that the producin identified L)Plow and on atiiched arb rnarkdd with the Collective Mark of the A'.AL- 91CAN IN"'T. i P'Tr- WBER CONSTAUCTOWIAITC) and were manufactured irl conformance w:+, pi rle of Arnerican National Standdrd A.NSIIAITC A190.1—'1983, Structural Glued Urn*nateid Timber, and !hat such manufacture hat::4.", toren at our plant odti!rh plant hjs a quality*c6nir6l approved by tho !ASWtion Pvrr3u of tf-,.e AV-RF:raA.J"*- IN5r'T,,ITE OF TWBER CONSTRUCTION and insp6cted per;odicaily,':,y wch 3ureau. The manufacture of 4,hes,- rnernbnrj c.-)rnplies ma-ifacturiog and abrkit'164' "'P"Wildni a :i,: Chapter 25 of the Unilorer, Duildln4 Code. JOO NAME Jn9 k0CAYIAt?- .....�... � ; 544 ..-_. '� ^ -'� i �-------- ' 1 1 1 1 GLU 3 CUITOW R'S DADE A NO 24F—v4 N Y0II!TS- L y SICNATU CONTROL 2?ND ST. .RITC HEf-?F-8Y GYRTIF11-S AMERICAN I Ns"rrru T F Q F T I M F1 E 8 CONS-* P!)"'T! OiN tricsL tre A ITC Collective Mark In rtipft . t f of prodUdis which corn 5Ay with ptn 1. v I ior..s of said S-z:iw;-%rdJ, z`.-2 adequacy of the OualitV control system in effeei At said I-PIlInt is oeriodi,�;,Ity lr`spwt.,J lby :he Inspection Bureau of the AMERICAN INS71TLITI' OF- TIMBER am) that, in the judgment of AItC,, said Coff'PaPy is Capable of complying w;0, OPPNra'-lc mar, i'lact,.- ing ar:d vesting provisions Of. Wdo' Standard in respect of products iniwfaclivred at sLiA pant.with the Standard in reI;peCt:*I!,.-, Of any %PeCIfiC Of P.3fti(LIlar !.�roidtict.is tti;� su!e rt?..' 5prinmilit V of the nianufacturer: AITC's guarantee hereunder being that the i;3io rcryipant i-, ci;jalifip�' to p-oduv weeting the said Stan'dard-1,-, •i and that its plant Pet insp�vfsc: etW, . , J the k. T-- Ir, on Bureau. AITC 02534 'T. `C -4, 'AMERICAN INSTITIVII OF T11IMPHR CONSTRUCTION-,.. JI. U, AITC f ORM IIICA COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 - Telephone: 916/538-7541 APPLICATION AND' PERMIT PERMIT N0. ASSESSOR PARCEL NUMBER 021 _ _ ZONING BUILDING PERMIT OWNER LUCILE ROUL T TEL PHONE S0. FT. OCC. BUILDING VALUATION R 47.736 OWNER'S MAILING ADDRESS 466 W. LIBERTY ROAD GRIDLEY CONTRACTOR'S NAME CLTFF-CRAFT BUILDERS TELEPHONE 1533-4719 CONTRACTOR'S MAILING ADDRESS 116450 COTTERZTERRACE OROVILLE Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ LENDER'S MAILING ADDRESS Filing Fee $ 15.00 Permit Fee $ ARCHITECT OR ENGINEER NONE LICENSE NO. Plan Checking Fee $ 179-75 ARCHITECT OR ENGINEER'S MAILING ADDRESS Energy Plan Checking Fee $ 20.00 Penalty $ BUILDING ADDRESS 466 W_ LIBERTY RnAD GRIDLEY 9994R Permit fee $ 574-2-3 PLUMBING PERMIT Filing Fee 15.00 Each Trap 5.00 Solar or heat pump water heater 20.DO LOT NO.SUBDIVISION NAME PARCEL MAP Water piping 7.00 Each pas water heater or vent 7.00 --// USE OF STRUCTURE SF � Duplex❑ Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 15.00 Mobile Home I S I G JW I@ 15.00 TYPE OF WORK New ❑ Addition Remodel ❑ Utilities ❑ Installation❑ Other ❑ Describe work: Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 15.00 Main service 600V OR LESS 200A OR LESS 18.50 Main service 200ATO1000AI 37.50 CONTRACTORS LICENSE LAW 1 declare under penalty of perjury (check one): ❑ I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in full force and effect. License No. Classification ❑ I, as the owner, or my employees with wages as their sole compen- "tion, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) � I, as the owner, am exclusively contracting with licensed contract- � ors. (Sec. 7044) [�] I am exempt under Sec. , Business and Professions Code for this reason NEW CONST. / DWELLING OCCUP.&\ OR ACDNS. l ACC. BLDGS. / 3.6asq.ft. 32,75 NEW CONSTRESID. RANCH TLETCIRCUITS) NON-RESID BRANCH CIRC ITS @ 5,00 POWER APPARATUS e (SINGLE OUTLET CIR. Ex. OCCup(OUTLETS OR FIXTURES 20 @ 76d FIXED APLNS. Ex. Occup. OUTLETS IPRESIO IREA.) I 3.00 Temporary service 15.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 Permit Fee $ 47.75 — 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 f 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. No� .e -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 1 15.00 Heating WAALL UNIT 9.00 HEAT PUMP Coolin g 9.00 Hood 6.50 Ventilation Permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the Countyot Butte to enter upon the above-mentioned property for inspection purposes. 1 also agree to save, indemnify and keep harmless the County of Butte against all liabilities: judgments, costs, and expenses which may in any way accrueNAz against aid County in co a uenc of he granting of this permit. Date 57/ g Applicant noture of A - owner ( Contractor ❑ Agent El L� An OSHA permit is required for excavations over 5'0" deep an a lition or construct- ion of structures over 3 stories in height. /, Mobile Home Installation Fee $ Energy Inspection Fee $ 40.00 OCC _ CONS '; Ji� TOTAL FEES 695.00 OFEES IMP I FLO26 CDF I PARCEL Po Ido ISSUE This permit is hereby issued under the of the Butte County Code and/or work indica abov r which fees OF PUBLIC By I PERNM EXPIRES Date LL-'/%- applicable provi- resolutions to do have been paid. WORKS Date Receipt No. 101342 259.75 PC FEES WNITC-D.P.W.. YELLOW-AS3[$90R, PINK -INSPECTOR. GOL ENROD-APPLICANT / i '^••.,-ri .:ao.+.::ri'-'^,:.v^�tyr.sYr w-'a'„r�. y: , ..^:W�r+zv��',A :YrI-$�f' %'.r: z'n Xi'°+ r COUNTY OF BUTTE- DEPARTMENT OF PUBLIC WORKS - BUILDING DIVISION 7t COUNTY CEN R DRIVE- O VILLEOCALIF04KIA 95965 - TELEPHONE: 916/538-7541 FP R�,Al APPLICA ION DATA SHEET Permit No. ! OWNER -`i C1(., A. P. No._��—�3Z"6,3 Proposed Building Use__!5_&02� ( Building Inspector V Date At time of permit application, I was advised the following data must be submitted prior to permit processing and/or issuance: DATE RECEIVED APPROVED 1. 2. All items have been submitted. .................................... .................... Plot plans in duplicate/triplicate, signed by preparer of plans........ 3. Complete plans in duplicate/triplicate, signed by preparer. of plans . . 4. Complete engineered plans and calcs, with wet signature on plans .. 5. Hazardous Material Form .......................................... 6. Energy Design Compliance and supporting documentation ......... 7. 8. Statement of Intent for Non -Heated and AC Buildings .............. Engineered truss details and layout in duplicate (required prior to plan check) 9. Mobilehome installation data including manufacturer's installation —1X1 0. instructions .,�. Z.5. . Fees of $ O 8' 11. Chico Urban Area fees paid ....................................... 12. _= J� 13. Park fe� paid � ;C4 School istrict fees paid .............. 0 14. Sanitation approval from (�rCD U�/A Health Department 15. City of Chico plumbing permit ..................................... 16. Plot plan and business license approval from City of (see City for other requirements) 17. Planning approval for (A) Use: (B) Parking: ...... 18. Improvements may be required. Contact Land Development Section DPW 19. Driveway permit (construction approval required prior to occupancy) 20. Pre -Inspection for required Pre-Inspec. request to Building Inspector (Date) 21. Contractor's license information (No., Name Style, Classifications ... 22. Certificate of Workmans Compensation Insurance .................. 23. Owner -Builder Verification (Given to owner ❑, Mail to owner ❑) ..... 24. Recorded copy of Agricultural Acknowledgment Statement ......... 25. Letter of signature authorization ................................... 26. 27. 'When you issue the permit, process as follows: Mail to owner. Mail to contractor. �elephone O ` and hold for pickup at office. Deliver w/inspecto.r. Other k Aq� Applicant / Date h6_/ZY_ 17/ Copy of H.az-Mat form sent Health Dept. Fire Dept. Air Pollution Date Copy of plans sent Health Dept. Fire Dept. Other Date By The following data must be submitted prior to 1. Index permit for above items No. 2. Additional items required: issuance: (Circe new item not checked above). ContP91155-or, designer, ov l -r -was advised of above required data b � phonenaiI—counter by—&..date Contractor, designer, owner, was advised of above required data by_phone_mal!.,,z_counter by date Plans checked by Date Plans approved by Sets of plans on hold in File cabinet AP folder d� ?L0 A Copy—DPW��'Y�L/`�c%� Date TO; Buildina Department FROM: Environmental Health SUBJECT: Sanitation Clearance 0djI OwnerLocation AP Pian Approved for: Sewaqe Disposal Water Supply Water Supply Hold final for: Final clearance O.R. for: WaterS pply Clearance for bedroom mobile home. Ot r oZ• ���� � "���� NOTE * * * Date Sanitarian 6 MAN ;- LANE Pis F, Power C77 > IR FLAH APPROVED Butte County Environmental Health )(0— 1-c--!1__ - D to -------------- -------- Signature IVC; 'T',y � -J COUNTY OF BUTTE - DEPART N 0 PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 - Telephone: 916.'538-7541 APPLICATION AND PERMIT a 57�E1�MIT NO. PIMCK ASSESSOR PARCEL NUMBER - T- ZONING (j ,�' - _-E Hot{€,�_ OWNER'S M LI G A DRE 5 BUILDING PERMIT SO. FT. OCC. BUILDING VALUATION CONTRA TOR'S NAME /� t.r. Fr-- C - L5 u I 115 T ;PHONE 1533-4 CONTRACTOR'S MAILIN`��`ADDRESS,f % 6 S© (L ek f el/ACz:�_ 6 Fireplace CONSTRUCTION LENDER IVAA-Ci 9 UNKNOWN 1 Total Valuation $ C !_7S6 LENDER'S MAILING ADDRESS Filing Fee $ 15,00 , Permit Fee $ ARCHITECT OR ENGINEER /VOA LICENSE NO. Plan Checking Fee $ 5 - ARCHITECT OR ENGINEER'S MAILING ADDRESS Energy Plan Checking Fee $ (J O Lo Penalty $ BUILDING ADDRESS 41 ` �r� Permit fee $ 5-7 „z5 PLUMBING PERMIT Filing Fee 15.00 !� Each Trap 5.00 Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP Water piping 7.00 Each qas water heater or vent 7.00 USE OF STRUCTURE SF [a Duplex❑ Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer J 15.00 Mobile Home SG W 615.001 TYPE OF WORK New ❑ Addition & Remodel ❑ Utilities ❑ Installation❑ Other ❑ Describe work: Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 15.00 Main service 500v OR LESS 200A OR LESS 18.50 Main service 200ATOI000A1 37.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): ❑ 1 am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in full force and effect.SINGLE License No. Classification 17I, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONST. OR ADONS. l ( DWELLING OCCUP.&) ACC. BLDGS. 32,_�_ 3.56 sq.ft. "'EWCONSTR ••' ULTI-OUTLET NON-RES10 BRANCH CIRC ITS @ 5.00 POWER APPARATUS & OUTLET CIR. EX. OCCUp(OUTLETS OR FIXTURES 20046d A la Ex. Occup. OUT ETS PRESIDu)REA.1 I 3.00 Temporary service 1 15.00 Mobile Home Facilities 15.00 Misc. Wiring 9 15.00 Permit Fee $ L — 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 15.00 Heating / Q UM lin Cooling 0 Hood 6.50 Ventilation permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the Countyot Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue against said County in consequence of the granting of this permit. X Date Si nature of Applicant — Owner g pp ❑ Contractor ❑ Agent ❑ An OSHA permit is required for excavations over 5'0" deep and demolition or construct - ion of structures over 33 stories in height. Mobile Home Installation Fee S Energy Inspection Fee $ occ CONST TYPE TOTAL FEE $ S d I'HAz DFEES I IMP I FLOOD I COF PARCEL I PD HD ISSUE This permit is hereby issued under the sions of the Butte County Code and/or work indicated above for which fees DIRECTOR OF PUBLIC By PERMIT EXPIRES Date applicable provi- resolutions to do have been paid. WORKS Date Receipt No. 1 1��/ YAGf e 5 2 J%" ' Y WHITE-O.P.W.. TELLOw-A5SESSOR, PINK -INSPECTOR, GOLDENROD-APPL I CANT �G C RESIDENTIAL PLAN CHECKING GUIDE .12/90 (S.F., DUPLEX.& MISC. ONLY) Bldg. Permit # OWNER l�Gi��' �I�/`S'�iitJ A.P. # J/- 1.?,2- _p7 Plan Checker * GENERA Plan ing requirements: (sideyards and number of permitted living units). Valuation. 3 -.-"Plans signed by designer. ,/ ioper description of work on application. --y . Items on data sheet_ =, fees, Health, Developer Fees, License law, etc). Z Rar.,r�o� - PLOT PLAN PLAN _ .. VY1Complete parcel size and dimensions. Setbacks, sideyards, easements, etc. Other buildings or structures. _ �di�rg ; -lis —,d-pai nage . Flood hazard. A____qPocza-1G-9�-t�oi-s-e-n-c-r-ea-tion-ma-p—(-n.o-ise CDF, fire spz.i,nklers_,_no'n--comb- ust-ibie ; cr rd--feu*4a-t i ens-) . 7. T: ATT A ti=ec ..--' --•� 8�---�.g� r u t i 1 i r; -es -a -Er -os s-fat-lines-(-Re-co r-d�o � . FLOOR PLAN k.�Re�_qulired te to scale plan with.dimensi.ons. ed windows for light and ventilation (Sec. 1205). windows for second.exit (Sec. 1204): - -los-_Chapter 34 -&--Sec —5207)-. man impact glass (Sec. 5406). w equired room sizes,.ceiling heights (Sec. 1207): CIs in and exterio utlets (Article 210-8). $! Light fixtures, switches, receptacles, and exterior receptacles for main- tenance of mechanical equipment. in - f , 1 1 - 3'0" exterior exit door (sec. 3304-M. e. 1&1 Smoke detectors (Sec. 1210). 1`+TtT.!im }1_l� flYY11T pCG/^~^`^ ^� ^f �p'�iYanrGcnw l'7P STRUCTURAL DETAILS St dard bracing or engineered design (Table 25V)` aiw--,--szze-,_ar—.p-1�t-Le-v e-l-t-meas,e-r-e q -u i r-rn•g-1-a-t e r -a -1-d e s -i g rr. . foundation plan complete enough to construct building. !6/ oor construction details complete enough to construct building. elevations and wall construction details complete enough to construct 6! Roof construction details complete enough to construct building. ox-bea-rte- --d- e- lR. Spud heights. 14 -'Adobe soils - special foundation design. 1 R ^; _'-x,g-wa-l-1-s-r-eq-u ring -design. 1 �p��'nT�s-pe c� renes equ�r ed . building. 12/90 RESIDENTIAL PLAN CHECKING GUIDE MISCELLANEOUS ITEMS TO LOOK OUT FOR 1/ Stairway details: landings, rise and'run, head clearance, handrails ec..3306). Guardrail details (Sec. 1711 & 3306(j). terior plaster - weep screeds (Sec. 4706). Peer roof pitch for roof convening (Chapter 32). 6! Roof covering type - (fire -hazer -d). n. 36" halls and stairways. iv - i ]rl! ttic access and ventilation (Sec. 3205). . Under oor access and venJFJ tilation (Sec. 2516). n 11 Energy design. Giv ashing at all exterior openings. �7�y gv�. .� • koo L• J- /rfo o 69Z y CJS it � Y s 1115011 sFr7' i �F 3so o,� o�oyo 0031- o- 51? u 940 Fl, 7 23.3 3�T 8 r�/ 3 �S' = Z? y . t2 lie 3.& ¢soy o. sly x 23.3 �. - � l0Z• � �N .� 2 g coo Lv , �c0.535 CASE W 8 x 3 6&-4M- Z4 &-4M24Sl07Mv, C��P � FGaDK JD�S7S � 4 o c . v I y x 4p &to BOLT �MOR,��� pos�; ?-g C6:- D E --r4 I L o3 0�3 sTeXII ' **Beam run** #8991 - 12/10/89 . . ***Typical header at first floor ^ . \ l= 3.50 ft. R1,R2= 3.08 k LDF= 1.00 WdQ . 777 k/ft . ~' 44 % TL WlI= .982 k/ft. 56 % TL Wtl= 1.759 k/ft. \ ~~~'� ~ M=wl^2/8= 2.69 ' V=wl/2= 3.08 kips Sreq= 24.86in^3 5 psi Areq= 54.32 v= i *try: 5.5 X .25 df#1 / / S= 116.02' > 24.86 <ok> A= 61.88 > 54.32 <ok> I= 652.59 \ \ * Check deflection E= 1700000 ph'' dx tl=22.5wl^4/EI= .005 in. = l/ 7845 <ok> dx ll=(%tl)dx tl= .003 in. =l/ 14053 <ok> min. camber=1.5<dx dl>= . .004 in. ' **use: 6 . \ ^� .. - �y w^P-v� ^ �� " ------ �9L t4 ^ � k _5:�;,Y��'���'�'"i•M�.+t-t"•'44'�r;'ifi�AF'�'��."Viiia''+p!•''''P!'4•iA!?t{P"s7):*a+r:a'..�.?tn;^�.-«.tTa.vT-sir+'�.'.^v`-w.:ro:ri'%EFy7i!�ktw'�+K�=sl'�: .,,.,,;;"nr`_`7�. .s+:t??;.5}re�it' 1 . BUTTE COUNTY SCHOOLS DEVELOPMENT'FEE'CERTIFICATION FORM `(One Form per Building) A.P. Number ���--%32 - D32Building Department No. School District City County Jurisdiction Property'Owner �(/ �C U 72 Project Location/Address Wa L 6e �� Subdivision Lot Number Residential Development: o a a Sq. Footage # of Living_ MHI Addition (Group R) Units Commercial/Ind�Qt'ral : a a Sq' Footage New Addition (Including Exterior Roofed Areas) B ilding Department Representative -Date .(Floor-,Plans.reviewed.by School District Personnel) District Id No. fides, School District certifies that (Applicant Name) (Phone Number) , .(Street Address (City)V. (State) (Zip Code) A.has .complied with the requirements of Resolution No. by the payment: of $ i representing square feet. . o�f9/ chool istrict Representative Date PAID BY CHECK NO. BANK NO PAID BY CASH REMARKS : white' -applicant,. yellow -building department, pink -school district SCHOOL.FEE (8/88) Residential & Commercial Emergency Service Available 24 Hours DASL-H. ea#ing&Air Con d 1 f8i o n in' Sales & Service Phone (916) 846-0377 or (916) 589-5070 654 Kentucky St. P.O. Box 969. Gridley, CA 95948 Lic. No. 402533 j7aAee VI ,% �0 IV, j5, (G; -toss / �7- -- / Ir4D 0-r— W/VI 20 (-J) ZX�/ , 'AAD c, o 17Z IF7V Al- T7 w COUNTY OR emg BUILDING DEPT NOV 1 Z 1991 'Residential & Commercial Emergency Service Available 24 Hours ®ASL: HOataing & Air Conditioning Sales & Service Phone (916) 846-0377 or (916) 589-5070 654 Kentucky St. P.O. Box 969 • Gridley, CA 95948 Lic. No. 402533 Dov/����/ �/ 1z - 9/ FIA150 x 97-6 C, (�' -3 3e, Z 6 � 0 90 71,2- 73 3, Residential & Commercial Emergency Service Available 24 Hours ®ASL.. H.e'tir g' & Air Conditioning . Sales & Service Phone (916) 846-0377 or (916) 589-5070 • 654 Kentucky St. P.O. Box 969 • Gridley, CA 95948 Lic. No. 402533 `— f0'- CAIf/n LA-) s 4.9 aL-ti9. FI,5o Cr-, ��. 4� x �D 4Z'(7' ZI Z7' Q R �w s . _ Location of structures & N�jE lj `Ma}e�fais.:&. _wQ� manship Shall Be h� ®quipment*shall be as shovM • ` - fall easements. AccotOInce wifh Recognize 'Good Practices and & clear o al,}� prescribed .for the S eci7ied use in the :._../ Plu ing: &,Ivlechanicai Codes and NcWju4 ectr. Code:; . be - :of •P lan5 .an sPe- rr is unlawful tc r:.. . ih►s mese° . "(oQki7e. Lb.afi;al ns on samhangeso artme .. fromjhe..D permissioks,Caunfi of Bu e.��' 214, • •/ / , �• pull Wa" I q AM+tit,LAW APPROVED Butte County t (environmental Health }p' l� -- -- --- - -- PAZ�at - o F---------------------- Sigture-�, PL AH c 2 5rC9f APP+1-10�-I: 181+ ya.F- 4 ~ IJ Y 5r 4 x t• 7C r. Y w: COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive, Oroville, CA 95965 PHONE: 916-538-7541 Cliff Craft Builders DATE June 23, 1993 116450 Cotter Terrace Oroville,'CA 95965 `RE: -Building Permit Application '#93-1631 Dear Sirs: A.P. # 021-132-037 (Lucile Roulstein) With reference to -the above subject: / / Attached is: Application for permit Mobilehome Utilities Installation Sheet Building Plans Mobilehome Installation Information Sheet Engr. Calcs Typical Plan Sheet Owner -Builder Verification Form List of Codes Enforced OTHER XXXX We need the following information: Permit application signed and completed where indicated with all copies returned. XXX Fees of $ 200.80 payable to Butte County Treasurer. Certificate of Workmen's Compensation Insurance or check exemption statement. Contractor'.s License Law information or check exemption statement. Complete plans in including plot plans. Plot plans in Structural details in r Complete plans and talcs in - by registered engineer or. architect. Energy design including Street and drainage improvement plan approval from Land Development Section (DPW). _ sets o.f plans in accordance w-tif the -changes marked- in --red. = Sanitation approval from Butte County Health Department at: .1469 Humboldt Road, Chico. 7 -County Center Dr., Oroville - - : ...-Skyway_ &.Elliott :Rd: ; .:Paradise Planning approval from Butte County Planning Department, 7 County Center Drive, Oroville,. for Completed Owner -Builder Verification form. Recorded copy of deed showing Recorded copy of agricultural acknowledgement.statement. - - XX OTHER` 1. Provide energy calciulations. -2. Designate type of -stucco being used. (Let in bracing is not'Allowed-_for 1st Story bracing.) 3. -Provide detail of loading and calculations for existing_glu-lam-being point loaded by 4 x'8.@stairs. 4: Floor framing plan -shows 2" 2'x 12's adiacent-stairway. Cross section shows 4 x 8 - clarify. _ 5._ 2 x 8_ "ledger'! .incased inconcrete not allowed. (pQ 4/.4).-, Should you have any questions concerning the above, please contact of this office. between 3.00 and 5.00 PM weekdays Dave Wasney ' Yours very truly, cc: Lucile Roulstein_ _. William Chuff Director of Public Works ;J.F. Glander JFG/aj