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4151rIPPIRTW
COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT NO
7 County Center Drive - Oroville, California 95965 - Telephone: 916/538-7541
APPLICATION AND PERMIT
ASSESSOR PARCEL NUMBER
21-16--Ol
ZONING
A40
BUILDING PERMIT
OWNER
Bill and Mark Jordan
TELEPHONE
695-3369
SQ.FT. OCC.1 BUILDING VALUATION
OWNER'S MAILING ADDRESS
3034 Pennington, Live Oak, CA 95953
CONTRACTOR'S NAME
None
TELEPHONE
CONTRACTOR'S MAILING ADDRESS
Fireplace
CONSTRUCTION LENDER
UNKNOWN
Total Valuation Is
Filing Fee $ 10.00
LENDER'S MAILING ADDRESS
Permit Fee $
ARCHITECT OR ENGINEER
None
LICENSE NO.
Plan Checking Fee $
Energy Plan Checking Fee $
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Penalty $
B U I L§.I EG A� D s
, oWer of West Liberty and Block Road,
Permit fee $
PLUMBING PERMIT FilingFee 10.00
Grtdtoy I(@ haga zed barn)
Each Trap 2.00
Solar or heat pump water heater 20.00
LOT NO.
I SUBDIVISION NAME
PARCEL MAP
Water piping 5.00
Each qas water heater or vent 5.00
USE OF STRUCTUIE
SFEI DuplexF� MobilehomeF_J Other e ectric service for we
SPECIFY
Gas piping system 1 - 5 outlets 5.00
99uilding sewer 5.00
Mobile Home I S I G I W 10.00es
TYPE OF WORK
New [_� Addition El Remode 1 [:1 Utilities [:1 InstallationEl Other F-1
Describe work: well -electric service -.on barn
Permit Fee $
Contractor
ELECTRICAL PERMIT Filing Fee 10.00
Main service 600V OR LE SS
100 AMP -OR LESS 10.00 10.00
Main service EA. ADD -L 100 AMP 2.50 2.50
-
CONTRACTORS LICENSE LAW
I declare under penalty of perjury (check one):
I am licensed under provisions of Chapt. 9, Div. 3 of the Busines S
and Professions Code and my license is in full force and effect.
License No. Classification
0 1, as the owner, or my employees with wages as their sole compen-
sation, will do the work,and the structure is not intended or offered
for sale. (Sec. 7044)
I, as the owner, am exclusively contracting with licensed contract-
ors. (Sec. 7044)
F� I am exempt under Sec.—, Business and Professions Code
for this reason
NEW CONST. DWELLING O.CC UPM
OR ADONS. (ACC.BLDGS 121A Osq f t
NEW CONSTR M ULT"OUTLET
NON.RESID. BRANCH CIRCUITS) 12.50 ea
POWER APPARATUS.&)
SINGLE OUTLET CIR
Ex. Occup(OUTLETS OR FIXTURES 120 0 50t 1
BAL@ 30C
FIXED APPLNS. OR %
Ex. Occup. OUTLETS (RESID.) EAJ 1 2.00 1
Temporary service 10.00
Mobile Home Facilities 15.00
Misc. Wiring 15.00
pre, insper-tion 15.00
Permit Fei $ 17.50
WORKMEN'S COMPENSATION INSURANCE
I declare under penalty of perjury (check one):
F� 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 Fi I ing Fee 10.00
Heating
Cooling
Hood 3.00
Venti lation
— . , I
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.
N
X Date
Signature of bp plicant — OwnerEl ControctorEl Agent 14
An OSHA permit is required for excavations over 5'0" deep and demolition or construct-
ion of structures over 3 stories in height.
Mobile Home Installation Fee $
Energy Inspection Fee
occ
CONST TYPE
TOTAL FEE $ 37.50
HAZ
I CUA
SCHL
� FLD
I PAR
JPDJHD
JAI
T.h;l s permit is nereby issued under tne applicable prov"
sions oi the Butte County Code and/or resolutions to do
work irldioated above tof which fee& have been paid.
" .4 ' If .
D I R _EC' , AOF PUB I C ORKS
/"J;; 1 .1
By- At;t t.
PERMIT EXPIRES Date— ZI I A*
Receipt No. 84695
WMITE-D.P.W.. YELLOW -ASSESSOR, PINK -INSPECTOR. GOLDENROD-APPL I CANT
COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT NO
7 County Center Drive - Oroville, Califo rnia 95965 - Telephone: 916/538-7541
APPLIC010N AND PERMIT
ASSESSOR PARCEL NUMBER
21-16-01
ZONING
A40
N. /
BUILDING PERMITI IN
OWNER
Bill and Mark Jordan
TELEPHONE
695-3369
SQ. FT. OCC.1 BUILDING VALbITION
OWNER'S MAILING ADDRESS
3034 Min Live Oak, CA 95953
CONTRACT sQpton,
None
TELEPHONE
CONTRACTOR'S MAILING ADDRESS
Fireplace
CONSTRUCTION LENDER
OWN
Total Valuation Is
LENDER*S MAILING ADDRESS
Filing Fee
$ 10.00
Permit Fee
$
ARCHITECT OR ENGINEER
Nonp
E NO.
Plan Checking Fee
$
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Energy Plan C hecking Fee
$
Penalty
$
BUIL.P.ItG ADDRE IS
. corner of West Liberty and Block Road,
Permit fee
$
Urialey (@ large red barn)
PLUMBING PERMIT
FilingFee 10.00
Each Trap
2.00
Solar or heat pump water heater
20.00
LOT NO.
SUBDIVISION NAME
PA L MAP
I
Water piping
5.00
Each qas water heater or vent
5.00
USE OF STRUCTURE
SFE:1 DuplexR MobilehomeE] Other electric service for weL43uilding
SPECIFY
Gas piping system 1 - 5 outlets
5.00
sewer
5.00
Mobile Home Is
10.00ea
TYPE OF WORK
NewD Addition [:] Remodelo UtilitiesE:1 Installation[] Other FI
Describe work: well -electric service -on barn
Permit Fee
$
Contractor
ELECTRICAL PERMIT
FilingFee 10.00
Main service 600V OR LESS
100 AMP OR LESS
10-00 in -nn
CONTRACTORS LICENSE LAW
I declare under penalty of perjury (check one):
F-1 I am licensed under provisions of Chapt. 9, Div. 3 of the Business
and Professions Code and my license is in full force and effect.
License No. Classification
F-1 1, as the owner, or my employees with wages as their sole compen-
sation, will do the work,and the structure is not intended or offered
for sale. (Sec. 7044)
I, as the owner, am exclusively contracting with licensed contract-
ors. (Sec. 7044)
I am exempt under Sec.—, Business and Professions Code
for this reason
Main service EA. ADD -L 100 AMP
2.50 9-,;n
NEW CONST. ( DWELLING OCCUP..)
OR AODNS. ACC.BLDGS.
121/4sq ft
NE W CO NSTRL MULT'_OUTLE T
NO N -RE S, BRANCH CIRC U ITS)
12.50 ea
(P ER APPARATUS.&)
-SIONWGLE OUTLET CIR
Ex. OCCUP(OUTLETS OR FIXTURES
120@50tl
SAL030c
FIXED APPLNS OR
Ex. Occup. OUTLETS (RESI*D.) EA.)
2.00
Temporary service
10.00
Mobile Home Facilities
-
15.00
Misc. Wiring
15.00
Pre irispect-inJ3
. 15-00
Permit Fei
$
WORKMEN'S COMPENSATION INSURANCE
I declare under penalty of perjury (check one):
F] The permit is for $100.00 (valuation) or less.
E] 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
Fi I ing Fee 10.00
Heating
Cooling
Hood
3.00
Ventilation
Permit Fee
$
Contractor
I certify that I have read this application and state that the above information
is correct. I agree to comply to all County Ordinances and State Laws relating
to building construction, and hereby authorize representatives of the 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 accrue
again%�4aid C ty in consequence of the granting of this permit.
X Date
Signature of tjW,..nl - Owner El Contractor EJ Agent
An OSHA permit is required for excavations over 5'0" deep and demolition or construct-
ion of structures over 3 stories in height.
Mobile Home Installation Fee $
Energy Inspection Fee
occ
CONST TYPE
TOTAL FEE $ 37.50
HAZ
I
I CUA I
PARK
I SC.L
I 1L.
T.h's permit is nereby issued under
sions of the Butte County Code and/or
above I which fee
D I R F PUB
work i ' ated fte
B V
PL;IEXPIRES Date—
the applicable provi-
resolutions to do
have been paid.
ORKS
;Ito /Q�T,
11
Receipt No. 84695
WHITE-O.P.W.. YELLOW -ASSESSOR. PiNK-INSPECTOR, GOLDENROD-APPL I CANT
COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT NO.
7 County Center Drive - Oroville. Califoroia 95965 - Telephone: 916/538-7541
APPLICA116N AND PERMIT
AS ESSOR E
5 ,fARCEL MB R
._.__BVJL.D1_NG_PERMIT__
OWNER
I-
TELEPHONE
kfi- 3361?
SO..FT. OCC. BUILDING VALUATION
OWNER'S MAILING ADD
,44ESS
3034 -
CONTRACTOR'S NAME
T�PH ONE
CONTRACTOR'S MAILING ADDRESS
Fireplace
CONSTRUCTION LENDER
UNkNowN
Total Valuation $
LENDER'S MAILING ADDRESS
Filing Fee
$ 110.00
Permit Fee
$
ARCHITECT OR ENGINEER
LICENSE NO.
Plan Checking Fee
$
Energy Plan Checking Fee
$
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Penalty
$
BUILDING ADDRESS
acaL bkc& &0ad
Permit fee
$
PLUMBING PERMIT
FilingFee 10.00
Each Trap
2.00
Solar or heat pump water heater
20.00
LOT NO.
SUBOIVIS16N NAME
PARCEL MAP
Water piping
5.00
Each qas water heater or vent
5.00
USE OF STRUCTURE
SFF� DuplexF� Mobilehome[] Other Z&M-Cei, kAt)Z_'P f4
SPECIFY -
Gas piping system 1 - 5 outlets
5.00
Building sewer
5.00
Mobile Home S I G I W
0.00ea
TYPE OF WORK
NewD Addition [] RemodelF] UtilitiesE:l lnstqllationE] OtherE]
Describe work: ItIeW — e 99r,_Cizrj o frct IT n bdmo
Permit Fee
$
Contractor
ELECTRICAL PERMIT
FilingFee 10.00
Main service 1,1001 OR LESS
00 AMP OR LESS
10-00
CONTRACTORS LICENSE LAW
I declare under penalty of perjury (check one):
I am licensed under provisions of Chapt. 9, Div. 3 of the Busines S
and Professions Code and my license is in full force and effect.
License No. Classification
I, as the owner, or my employees with wages as their sole compen-
sation, will do the work,and the structure is not intended or offered
for sale. (Sec. 7044)
D I, as the owner, am exclusively contracting with licensed contract-
ors. (Sec. 7044)
E] I am exempt under Sec.-, Business and Professions Code
for this reason
Main service EA. ADD -L 100 AMP
2.50
NEW CONST. DWELLING OCCUP.&)
0 R A C -D -N S. _( ACC. BLDGS.
2/z(tsqft
NEW CONSTR. 14ULTI-OUTLET
NON,RES�D, BRANCH CIRCUITS)
2.50 ea
(PO ER APPARATUS.&)
SINWGLE OUTLET CIR
Ex. Occup(OUTLETS OR FIXTURES
1.20@50C
AL@ 30t,
FIXED APPLNS. D
Ex. Occup. OUTLETS (RESIO.)REA.)
1 2.00
Temporary service
10.00
Mobile Home Facilities
15.00
Misc. Wiring_
15.00
ft W
P�rmlt Fee
s 37, Z
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. ome
Notice to Applicant: If after making this statement, should you bec . 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
Fi i ng Fee 10.00
Heating
Cooling
Hood
3.00
Ventilation
Permit Fee
$
Contractor
I certify that I have read this application and state that the above information
is correct. I agree to comply to all County Ordinances and State Laws relating
to building construction, and hereby authorize representatives of the County ot
Butte to enter upon the above-pentioned 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 i.n consequence of the granting of this permit.
X Date
Signature of Applicant Owner El Contractor E] Agent E]
An OSHA permit is required for excavations over 5'0" deep and demolition or construct-
ion of structures over 3 stories in height.
Mobile Home Installation Fee $
Energy Inspection Fee $
OCC
CONSTTYPE
TOTAL FEE $
HAZ
I CUA
PARK
I SCHL
I FLO
I PAR
PD
HD ISSUE
T.h' s permit is nereby issued under
sions oi the Butte County Code and/or
work indicated above for which fees
DIRECTOR OF PUBLIC
By
PERMIT EXPIRES Date
the appiicable pro I
resolutions to'do
have been paid.
WORKS
Date
Receipt No. e4f., 95-
WMITE-O.P.W.. YELLOW -ASSESSOR. PtNX-INSPECTOR. GOLDENROD-APPLI CANT
I � — , - -ft r.�, , , ff.r,�r, ,;,, �%, '�' - -
F; i�fv. If, a;.A ZZI
'T Mr"',
9— � A_
—dj-
t2l Mt
COUNTY OF BUTTE - DEPARTMENT.OF PUBLIC WORKS - BUILDING DIVISION
7 COUNTY CENTER DRIVE - OROVILLE, CALIFbRNIA 95965-- TELEPHONE: 916/538-7541
.�_ I . .
PERMIT APPLICATIONDATA SHEET
2Z, Permit No.
OWNER -12244,1Z JQ_2 d" A. P. No4/—
Proposed Building Use I_Z�614- rQWI�t 'WC -U Building ln�pectorgw Date LZ -90
At time of permit application, I was advised the following data must be submitted prior 2to permit processing and/or issuance:
DATE RECEIVED . APPROVED
1. All items have been submitted . .. .................................
2. Plot plans in duplicate/triplicate, signed by preparer of plans ........
3. Complete plans in duplicate/triplicate, signed by preparer. of plans
4. Complete engineered plans and calcs, with wet signature on plans
5. Hazardous Material Form .......................................... -
6. Energy Design Compliance and supporting documentation .........
7. Statement of Intent for Non -Heated and AC Buildings ............... -
8. Engineered truss details and layout in duplicate (required prior to plan check)
9. Mobilehome installation data including manufacturer's installation
instructions .........................................................
10. Fees of $ ........................
11. Chico Urban Area fees paid .......................................
12. Park fees paid ....................................................
13. School District fees paid ......... ****'
14. Sanitation approval from Health Department
15 . City of Chico plumbing permit .....................................
16. Plot plan and business license approval from City of
(see City for other requirements)
17. Planning approval for (A) Use:—(B) Parking:
18. Improvements may be required. Contact Land Development Section DPW
19. Driveway permit (construction'approval required prior to,occupancy)
20. Pre -Inspection for required ... Pre-inspec. request to
Building Inspector (Date)
—21. Contractor's license information (No., Name Style, Classificati 0 n)
22. Certificate of Workmans Compensation Insurance ..................
23. Owner -Builder Verification (Given to owner 0, Mail to owner 0) .....
. Recorded copy'of Agricultural Acknowledgment Statement .........
2 Letter — -__0 - NZ
5 of signatqre,authoAization ............ I ................. ..... 127/7,74
-zo-n AA
26.
127.
When you issue the permit, process as follows: — Mail to owner. —Mail to contractor.
Telephone and hold for pickup at 090 office. —Del.iver w/inspector.
Other 04
& q5_ _502c,
Appl icant D ate
Copy of Haz-Mat form sent Health Dept. —Fire Dept. ---Air Pollution Date
Copyofplanssent ___Hea1thDept. ---FireDept. —Other— Date By—
The following data must be submitted prior to permit issuance: (Circle new item not checked above).
1. Index permit for above items No.
2. Additional items required:
Contractor, designer, owner, was advised of above required data by —phone --mal I —counter by—..date*
Contractor, designer, owner, was advised of above required data by—phone —mal I —counter by— date
Plans checked by Date Plans approved by Date
—Sets of plans on hold in—File cabinet _AP folder
Copy—DPW
PRE -INSPECTION
OWNER: fiu,4k JA da"�q DATE
CONTRACTOR:.. ZONING
----------
I
PRE -INSPECTION FOR: �6wtce -
PERMIT HISTORY: M NONE El AS FOLLOWS:
TYPE OF OCCUPANCY m
----------
BUILDING USAGE: I
TENNANT:
0 OCCUPIED F__j -
0 HEATED -COOLED
OTHER COMMENTS:
ACTIO ECOMMENDED:
R JSSUE
7i'sZ
OTHER:
FIELD - INFORMATION
ELECTRIC HAS GAS
I I PERSON CONTACTED
HOLD FOR
DATE TO INSPECTOR
HAS SANITATION FACILITIES
A- AA
ca
COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS
7 COUNTY CENTER DRIVE - OROVILLE, C4[-I,FQF �,NIA 95965 - TELEPHONE: (916) 538-7541
AGRICULTURAL BUILDING EXEMPTION PERMIT
PEBMIT ft
��� 0 '/
Agricultural building is defined as follows: Agricultural building is a structure designed and constructed to
house farm implements, hay, grain, poultry, livestock, or other horticulutral products. This structureshall not
be a place of human habitation or a place of employment where agriculturai products are processed, treated,
or packaged, nor shall it be a place. used by the public.
ASSESSOR PARCEL NO.
0
ZONING
/+
0 R
PHONE NO.
OWtJER'S ADDRESS
P7 p
S 9 S_ -
_j
LOCATInOF BUILDING -B
- E e-n-
USEOFIBUILDING
SIZE OF STRUCTURE
L4o
L)
U `2 e
SQ. FT.
x
TYPE OF CONSTRUCTION:
WOODFRAME _6"�STEEL- CONCRETE
-OTHER (Specify)
TYPE OF SIDING
W
ROOF COVEJINGV
FLOOR TYPE
-
ESTIMATED COST OF CONSTRUCTION
$ n' no -
AG Buildings shall comply with the building front, side, and rear yard requirements of the applicable County
Ordinances as follo S:'
29
FRONT
SIDES
REAR
AG Buildings shall be a minimum of five (5) feet from any septic tank or leach fields.
AG Buildings less than 1000 sq. ft. in floorareashall be located a minimum of 6 feet from a residence, 10 feet
from a mobilehome, and 23 feet from a commercial building.
AG Buildings greaterthan 1000 sq. ft. in floorareashall be located a minimum of 23 feet from a residence and
a mobilehome, and 40 feet from a commercial building.
I declare under penalty of perjury that the building will be used as stated above and the proposed use
conforms with the AG Building definition. If any change in use or occupancy of the building is made, I will
contact the Department of Public Works and will obtain any necessary permits, inspections, and approvals to
comply with the requirements in effect at that time and before occupancy.
Date, _�-- 3 e) — 'y '/
Permit Fee - $25.00
Receipt No. �Lav
Signature of Owner 7;Z22 -V4
The above described AG Building is exempt from a building permit.
White - DPW, Yellow - Assessor, Pink - B. I., Goldenrod - Applicant
F��T::�J P D I :�� I I
Director of Public Works
By Date
OWNER
COUNTY OF BUTTE% DEPAR-TMENT,OFr,:.PUBLIC WORKS - BUILDING DIVISION
-EY CENTER DRIVE�J`h&�k
7 COLIN " 95965 - TELEPHONE: 916/538-7541
4
-,-,,i�--,---�PERMIAP�PLI'c'i,'riON DATA SHEET
4%jtgr 12� W7
Permit No.
Proposed Building Use
�n__ A. P. N o.
Building Inspector
Date
At time of permit application, I was advised the following data must be submitted prior to ;3ermit processing and/or issuance:
DATE RECEIVED APPROVED
1. All items have been submitted . ..........
2. Plot plans in duplicate/triplicate, signed by preparer of plans ........
3. Complete plans in duplicate/triplicate, signed by preparer of plans . .
4. Complete engineered plans and calcs, with wet signature on plans . .
5. Energy Design Compliance and supporting documentation .........
6. Statement of Intent for Non -Heated and AC Buildings ....
7. Engineered truss details and layout in duplicate (required prior to plan check)
8. Mobilehome installation data including manufacturer's installation
instructions.......................................................
9. Fees of $ ..........................
10. Chico Urban Area fees paid .........................................
11. Park fees paid .....................................................
.12. School District fees paid ..................
13. Sanitation approval from Health Department ...
14. City of Chico plumbing permit ................
15. Plot plan and business license approval from City of
(see City for other requirements)
16. Planning approval for (A) Use:—(B) Parking: .........
17. Improvements may be required.
18. Driveway permit (construction approval required prior to occupancy) ...
I -inspec. request to
19. Pre -Inspection for required ...... Pre
Building Inspector
26. Contractor's license information (No., Name Style, Classification) .......
21. Certificate of Workmans Compensation Insurance ....................
2 2. Owner -Builder Verification (Given to owner 0, Mail to owner 1:1) ........
23. Recorded copy of Agricultural Acknowledgment Statement ..............
24. Letter of signature authorization .....................................
25.
26.
(Date)
When you issue the permit, process as.follows: �Z Mai I to owner. Mail to contractor.
.1
Telephone and hold for pickup at —office. —Del i_ver,�v/inspector.
Applicant
Date
Copy of plans sent — Health Dept., —Fire Dept., — Other— Date
The following data must be submitted prior to permit issuance: (Circle new item not checked above).
1. Index permit for above items No.
2. Additional items required:
Contractor, designer, owner, was advised of above required data by—phone---mal I —counter by— date
Contractor, designer, owner, was advised of above required data by—phone —mai I —counter by— date
Plans checked by Date Plans approved by Date
—Sets of plans on hold in —File cabinet _AP folder
Copy—DPW
BUILDING DIVISION
`t'FOUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES
7 COUNTY CENTER DRIVE —OROVILLE, CALIFORNIA 95965— TELEPHONE: (916) 538-7541
AGRICULTURAL BUILDING EXEMPTION PERMIT
1E`RMIT NO.
YO 1110181--q-3
Agricultural building is defined as follows: Agricultural building is a structure designed and,9dristructed to house farm
implements, hay, grain, poultry, livestock, or other horticultural products. This structure all not be a place of human
habitation or a place of employment where agricultural products are processed, treated�, or packaged, nor shall it be a
place used by the public.
ASSES ORLARCEI�N�
I-01
'712
OWNER
LZ n
da4
PHONE NO.6 9,�--
-3
OWNER'S DIE
I 1 0 /-; v 0 0/40 A
4d 9S
LOCATION OF BUILDING
/(I- 'V
Receipt No. 01
USE OF BUI ING
YA -u M M' -'at r &Ctc- 11 0 11el- Le r rat, 10491 e
W
SIZE OF STR6,E�`URL r -
X - SO. FT.
TYPE OF CONSTRUCTION:
WOOD FRAME --)L STEEL CONCRETE OTHER (Specify)
TYPEOFSIDING
ROOF.CTERING
C z2
TYPF�
ESTIMATED COST OF CONSTRUCTION
$ — , S6 DO
AG Buildings shall comply with the minimum front, side, and rear yard setback requirements of the applicable County
Ordinances as follows- - I
370 ;7- 57
FRONT — SIDES REAR
AG Buildings shall be a minimum of five (5) feet from any septic tank or leach fields.
AG Buildings less than 1000 sq. ft. in floor area shall be located a minimum of 6 feet from a residence, 10 feet from a
mobilehome, and 23 feet from a commercial building.
AG Buildings greater than 1000 sq. ft. in floor area shall be located a minimum of 23 feet from a residence and a-
mobilehome, and 40 feet from a commercial building.
AG Buildings must comply with Flood Zone requirements. Finish floor elevation must be at or above elevation
USGS Datum.
I declare under penalty of perjury that the building will be used as stated above and the purposed use confirms with the
AG Building definition. If any change in use or occupancy of the building is made, I will contact the Building Division and
obtain any necessary permits, inspections, and approvals to comply with the requirements in effect at that time and before
occupancy.
Date 7 — /,o -- '-9g Signature of Owner.
Permit Fee - $60.00 The above described AG 1306�inis exemDt from a buildina Dermit.
Manager Buildi Q i ' k
31
Date
White — DPW, Yellow — Assessor, Pink — B. I., Goldenrod — Applicant
FLOOM
PA,�5K'J
P
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J
rl
ISSUL
Receipt No. 01
t'PkG
I
Manager Buildi Q i ' k
31
Date
White — DPW, Yellow — Assessor, Pink — B. I., Goldenrod — Applicant
CO DEPARTMENT9f
9YELOPMENT SERVICES - BUILDING DIVISION.?,
NTER DRIVE -'OROVILLE, CALIFORNIA 95965 -TELEPHONE (916) 538-7541
OWNER
Proposed Building Use
PERMIT APPLICATION DATA SHEET
4 14 A I tTo rda �7 A. P. No.
Building Inspector
Date
.t - r. I
At time f ermi application, I was advised the following data must be submitted Hor-to permit processi " nd r.issuance:
,,66 16 -' �
DATE RECEIVED BY
All items have been submitted . ........... ................ ...
2.
3.
4.
5.
6.
7.
8.
9.
10.
11.
14.
15.
16.
17.
18.
19.
20.
21.
22.
23.
24.
-25.
26.
27.
28.
29.
- 30.
31.
32.
33.
34.
Plot plans, 3/4 sets, signed by preparer of plans . ........................ �i'_ -
Complete plans, 3/4 sets, signed by preparer of plans . ......................
Engineered plans and calcs, 3/4 sets, with wet signature on plans . .............
Hazardous Material Form . ............................................
Energy Design Compliance and supporting documentation . ..................
Statement of Intent for Non -Heated and A/C Buildings .......................
Engineered truss details and layout in duplicate (required prior to plan check) . ....
Mobilehome data and manufacturer's installation instructions, 2 sets . ...........
Feesof $ . .........................................
Impact fees as shown on attached schedule ........................... : , , *_
California Department of Forestry plan approval/fees .........................
Flood elevation letter (100 year flood) by California Engineer ...................
Sanitation and plot plan approval Health Department . ............
City of Chico plumbing permit . ..........................................
Plot plan and business license approval from City of Biggs/Gridley . .............
Planning approval for (A) Use: (B) Parking:
Contact Land Development about (A) Improvements (B) Drainage ............
Driveway permit (construction approval required prior to occupancy).
;re�!As�e*c4� r64uest
Pre -inspection for required. 2 Building Inspector (Date)
Contractor's license information. (No., Name Classification) . ..............
Certificate of Workmans Compensation Insurance . ..........................
Owner -Builder Verification (Given to owner _, Mail to owner ) ............
Recorded copy of Agricultural Acknowledgement Statement . ..................
Letter of signature authorization . ........................................
Copy of recorded deed of parcel creation and 60 right of way to a public road. .1.
Letter of intenN-n 'building use . ......... ..................... Z .......
Mobilehome utility clearance .....
Documentation of legal access . ..................... ; ..................
Documentation of 50% subdivision developed or (A) Road improvements completed
and (B) Parcel meets zoning area and frontage requirements . ...............
Existing violations/expired permits . ......................................
Plan check list . .....................................................
When you issue the permit, process as follows: Mail to owner. Mail to contractor.
Telephone and hold for t 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 prior to permit issuance: (Circle new item not checked above).
1. Index permit for above items No.
2. Additional items required:
Contractor, designer, owner, was advised of above required data by _ phone mail do"unter ki�( Date'
Contractor, designer, owner, was advised of above required data by phone mail Counter by Date
Ijk, �-, Y,
Plans checked by Date Plahs,approved by
A Date
Sets of plans on hold in File cabinet AP folder
Copy Department of Public Works
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AVANSSE Structure data
JOF.'DAN Pa g e
-------------------------------------------------------------- 0 ----------------
Structure info:
Type of structure: Truss 3D
Unit system- JEFFS
D.o.f. per node: 7
Data file: JORDAN. AVD
Size of:
Nodes: 7
Materials; 1
Member types: 2
Truss members: 17:
Plates: 0
GEOMETRY
Node coordinates:
Node X [ft] Y cfti Z Eft]
1 0.00000 0.0 0.00000
000
2 .20.00000 0000000. 0.00000
0.00000 0.00006 20.00000
4 20.00000 04PPOP0 20.00000
5 10.00000 0.000P0 10.00000
6 10.00000 B.2POPO 10.00000
7 0.00000 wop000 0.00000
Node restraints (Translations and rotationsk
Restrained: CXY Not restraineds
Node X-frasi. Y trasl. Z trasi.
.1. [XI C X I C X I
2 [XI EXI CY]
:27% EXI E X I
4 --- 1XI 1XI
Material -properties:
Material E modulus Poisson's Unit weight Thermal coel.
No. . lb/in2 ratio- lb/ft3 I/OF
---------------- 7 --------------------------------------------------------------
1.60000E+06 0.00000' -3,50000E+01 2.00OOOE-06
Membet:Typet:
Notes.->
Properties are related to principal &led
Offset an2le (Off angle) is tsheylle between principal and local axes
Right han rule (about local x s , gives the sign of Off angle
Principal axes are denoted by 2 and V,
-------------------------
Member type No. I onnn-nnnnozzan 1 ------
Section: exB WOOD Li'Qk weight: 14 lb/ft
P R 0 P E R T I E S
Orea 1;,3, 12'2' Torsibn�j Factor Factor Off angle
Ein2l Cin4J Ein4l EinK shear 2' shear 3' CO]
52i5625 230.234701 230.214701 389.096644 1.2 1.2 0.00
G E 0 M E T R Y (in)
RECTANGLE Wi d -L h Hight
7.25 7W25
AVANSSE"(Data) jbRDAN Page
-Member types (continued):
-------------------------------------------------------------- 7 --------------
Member type No. 2
Section: 4mG WOOD Lineal weight: 3.500003 lb/ft
P R 0 P E R T I E S
Area 17�:117!:, 12'2! Torsion J Factor Factor Off angle
Cin2l Ein4l KnQ Ein4l shear 2' shear 3' Col
25.375 111�147786 25.903646. 72.244095 1.2 1.2 0.00
G E 0 M E T R Y (in) n
RECTANGL['.--. Width Hight
3.5 7.25
Truss members:
Notes.--
* DEFAULT: Axis 3 lies on plane X -Z
* AXIS n = ndel-nde2: Axis n is set parallel to vector ndel nde2
* AXIS n = x: Axis n is set parallel to global axis x
* ROTAT m: Axis 2 & I are rotated about axis I by amount
* Positive sign of ROTATion is given by the "Right hand rule''
- - n ------------------------
Memb Node Node Type Mat Local axes
No. j K No. No. settings
------- 0 --------------------------------- ------------------------------------
5 1 5 1 1 DEFAULT
6 2 .5 1 1 DEFAULT
7 3- 5 1 1 DEFAULT
8 4 5 1 1 DEFAULT
9 1 6) 1. 1 DEFAULT
10 .2 6 1 1 DEFAULT,
11 3 6 1 1 DEFAULT
12 4 6 1 1 DEFAULT
13 5 6 1 1 DEFAULT
LOAD COMBINATIONS
Load combinations:
Name of load combination: DEAD+LIVE+SELF WEIGHT
Va5lc Mao Multiplier
-------------- 7 ----------------------------------------------------------
bEAD+LIVE 1.00000
SELF WEIGHT 1.00000
LOAD CONDITIONS
LOAD CASE- DEAD+LIVE
Node loads (Forces and momentsk
Node Force X Force Y ForM Z
No. lb lb lb
-------------------------------------------- 7-"� -------------------------------
6 O.00OE+00 -3.600E+03 0.000E+0Q,.
Load patterns for frame/truss members:
Nofws.-
Distances are measured from node K(node Origin)
Percent distances are computed Is percent of member's length
Distribg Means linerarly distributed force
Distributed forces shows initial And,fipal Magnitude/Distance-
-------------------------------------------------------------------------------
Load pattern No. 1
Distrb: Dir OY0400lb/ft@0.00ft & 0.00lb/ft@100"/`
AVANSSE (Data) JORDAN� Page f�-�
_________________________________________________________________________.
�
'
Load patterns for frame/truss members (continued):
---------------------------------------------------- ---------- n ---------------
Load pattern No. 2
' Distrb: Dir -Y: 100lb/ft@0.00ft & 0.00lb/ft@100%
******************************************************************************
Load on truss members:
Truss member No. Load Pattern No.
------------------ _---------------- �__�______________________________-_____
9 1
10 1
11 . 2
12 2
LOAD CASW SELF WEIGH-1-
Self
EIGHT
Self weight.multipliers
X multiplier y multiplier Z multiplier
----------- ___________________________________________________________________
0.0000 .-1.0000 0.0000 '
`
WHN50L. Linear analysis resujt;4�-..
JORDAN (RUN #1 2-24-14) P Fa g 0
. ..... .. . .... .... ..... -------- z -------------------------------------------------------------
StructuRe info:
-----------------------
n------------------------------------------------
Type of structure -
Unit system:
D.o.f. per node:
Data file:
NODE DISPLACEMENTS
LOAD: DEAD+LIVE+SELF WEIGHT
Truss 3D
JEFFS
7:
JORDAN.AVD
Node displacements (Translations and rotations):
1\4 c; d e X T r a sl. . Y Trasl . Z Trasl.
Ein] [in] [in]
-------------------------------------------------------------------------------
3 -0.01694--.'�
4 0.016943
5 P.000000 -0.026736
6 0.000000 -0.026202
7 0.000000 0.000000
O.00S47i
0.008471.
0.000000
SUPPORT REACTIONS'
LOAD2 DEAD+LIVE+SELF WEIGHT
Node reactions (Fortes and moments):
Node X Force Y Force Z Force
1-.lb1 [lb] Elbl
------------------------------------- 7 -------------------------------- ------
1 0.000000 3.8310E+03 0.000000
2 0.000000 3.3310E+03- 0.000000
--- 2.4167E+03 0.000000
4 --- 2.4167E+03 0.000000
MEMBER ACTIONS
Truss members:
Actions in relation with the
-------------------------------------------------------------------------------
principal
axes of the
element
Dist/L
Axial
Shear 2' Mom T-3,
Shear 3'
Mom 2-2'
Torsion
From J
ClbJ
Elb]
ElboiM
CIV
[lb -in]
Elb-inJ
Member: 5
Load:
DEAD+LIVE+SELF
WEIGHT
.000
.2968.54
-98.995
0.00
0.00
0.00
.100
2968.54
-79.196
1512
.0.00
0.00
0.00
0.00
.200
2968.54
-59.397
2698
0.00
0.00
0.00
.300
2968.54
-39.590
7528
0.00
0.00
0.00
.400
2968.54
-19.799
4032
0.00
0.00
0.00
.500
2968.54
0.00
4200
0.00
0.00
0.00
.600
2968.54
19.799
4032
0.00
0.00
0i0o
.700
2963.54
39.598
3528
0.00
0.00
0.00
.800
2968.54
59.397
2688
0.00
0.00
0.00
.900
2968.54
79-196
1512
0.00
0.00
0.00
1.000
2968.54
98.995
0.00
0.00
0.00
0.00
-----------------------------__-______________________________________________c�
. '
Trusd members (continued):
Bist/L
Axial
Shear 2' Mom
3-3'
Shear 3'
Mom 2-2'
Torsion
From J `
[lb]
[lb]
[lb -in]
[lb].
[lb -in]
[lb^in]
******************************************************************************
Member:
6 Load:
DEAD+LIVE+SELF
WEIGHT
' .000
2968.54
-98.995
0.00
0.00
0.00
0.00
.100
2968.54
-79.196
1512
0.00
0.00
0.00
.200
2968.54
-59.397
2688
0.00
0.00
0.00
.300
2968.54
-39.598
3528
0;00
0.00
0.00
.400
2968.54
-19.799
4032
0.00
0.00
0.00
.500
2968.54
0.00
4200
0.00
0.00
0.00
.600
2968.54
19.799
4032
0.00
0.00
0.00
.700
2968.54
39.598
3528
0.00
0.00
0.00
.800
2968.54
59.397
2688
0.00
0.00
0.00
.900
2968.54
79.196
1512
0.00
0.00
0.00
1.000
2968.54
98.995
0.00
0.00
0.00
0.00
*********************************************$********************************
Member:
7 Load:
DEAD+LIVE+SELF
WEIGHT
.000
2968.54
-98.995
0.00
0.00
0.00
0.00
.100
2968.54
-79.196
1512
0.00
0.00
0.00
.200
2968.54
-59.397
2688
0.00
0.00
0.00
.300
2968.54
-39.598
3528
W00
0.00
0.00
.400
2968.54
-19.799
4032
0.00
0.00
0.00
.500
2968.54
0.00
4200
0.00
0.00
0.00
.600
2968.54
19.799
4032
0.00
0.00
0.00
.700
2968.54
39.598
3528
0.00
0.00
0.00
.800
2968.54
59.397
2688
0.00
0.00
0.00
.900
2968.54
79.196
1512
0.00
0.00
0.00
1.000
2968.54
98.995
0.00
0.00
0.00
0.00
******************************************************************************
Member:
8 Load:
DEAD+LIVE+SELF
WEIGHT
'
.000
2968.54
-98.995
0.00
0.00
0.00
0.00
.100
2968.54
-79.196
1512
0.00
0.00
0.00
.200
2968.54
-59.397
2688
0.00
0.00
0.00
.300
2968.54
-39.598
3528
0.00
0.00.
0.00
'400
2968.54
-19.799 '
4032
0.00
0.00
0.00
.500
2968.54
0.00
4200
0.00
0.00
0.00
.600
2968.54
19.799
4032
0.00
0.00
0.00
.700
2968.54
39.598
3528
0.00
0.00
0.00
.800
2968.54
59.397
2688
0.00
0.00
0.00
' .900
2968.54
79.196
1512
0.00
0.00
0.00
1.000
2968.54
98.995
0.00
0.00 .
0.00
0.00
******************************************************************************
.Member:
9 Load:
DEAD+LIVE+SELF
WEIGHT
.000
-4444.6
-1727.73
0.00
0.00
0.00
0.00
.100
-4162.3
-1243.74
29110.5
0.00
0.00
0.00
.200
-3908.4
-808.62
49192
0.00
0.00
0.00
.300
-3683.1
-422.35
61204
0.00
0.00
0.00
.400
-3486.3
-84.948
66108
0.00
0.00
0.00
.500
-3318
203.592
64862
0.00
0,00
0'00
.600
-3178.1
443.27
58428
0.00
0.00
0.00
.700
-3066.83
634.09
47764
0.00
0.00
0.00
.800
-2984.02
.776.04
33832
0.00
0.00
0.00
0900
-2929.71
869.13
17590.5
0.00
0.00
0.00
1.000
-2903.91
913.36
0.00
0.00
0.00
0.00
****************************************
************************************
Member:
10 Load:
DEAD+LIVE+SELF
WEIGHT
.000
-444446
-1727.73
0.00
0.00
0.00
0.00
.100
-4162.3
-1243.74
29110.5
0.00
^
000
0 00
.200
-3908.4
-809.62
^
491q2
0 . 00
--
0
~ ^00
^
0~~ 00
.300
-3683 1
..
-422 35
61204
0
m .mm
m �0
^
0 00
.400
-0496.3
.
.
-84 948
6610�
u
.
~ ~~
0 00
0^
~^ 00
~
0 00
^ 500
-3318
.
203 592
o�uo
64E62
0.00
0.00
^
0.00
.600
700
-3178.1
443.27
5842-
0^00
^
^
0^00
0^00
.
.800
-3066 83
.
-2984.02
.
634 09
776.04
4776-
4
0.00
0.00
^
0.00
!���2
0^00
0^00
0
.900,
-2929.71
869.13
17590.5
0.00
0'00
0^~~
1.000
-2903.91
913.36
0.00
0.00
0.00
0'--
AVANSSE (Results) JORDAN (RUN #1 2-24-94) ' Page &/0
_____, --------------------------------------- _----------------------------------
Truss members (continued):
Dist/L'
Axial
Shear 2'
Mom 3-3'
Shear 3'
Mom 2-2'
Torsion
From J
[lb]
[lb]
[lb -in]
BY
[lb -in]
[lb -in]
'Member:
11 Load:
DEAD+LIVE+SELF WEIGHT
.000
-3732
-506.18
0.00
0.00
0.00
0.00
.100
-3652.8
-370.33
8590.5
'0.00
0.00
0.00
.200
-3580.6
-246.702
14631.9
0.00
0.00
0.00
' .300
-3515.6
-135.286
18364.4
0.00
0.00
0.00
.400
-3457.8
-36.086
20027.9
0.00
0.00
0.00
.500
-3407
50.898
19862.4
0.00
0.00
.0.00
.600
-3363.4
125.667
18107.9
0.00
0.00
0.00
.700
73326.9
188.22
15004.4
0.00
0.00
0.00
.800
-3297.6
238.558
10791.9
0.00
0.00
0.00
.900
-3275.3
276.68
5710.5
0.00
0.00
0.00
1.000
-3260.2
302.587
0.00
0.00
0.00
0.00
******************************************************************************
Member:
12 Load:
DEAD+LIVE+SELF
WEIGHT
.000
-3732
-506.18
0.00
0.00
0.00
0.00
.100
� -3652.8
-370.33
8590.5
0.00
0.00
0.00
.200
-3580.6
-246.702
14631.9
0.00
0.00
0.00
.300
-3515.6
-135.286
18364.4
0.00
0.00
0.00
.400
_3457.8
-36.086
20027.9
0.00
0.00
0.00
.500
-3407
50.898
19B62.4
0.00.
0.00
0.00
.600
-3363.4
125.667
18107.9
0.00
0.00
0.00
.700,
-3326.9
188.22
15004.4
0,00
0.00
0.00
.800
-3297.6
238.558
10791.9
0.00
0.00
0.00
.900
-3275.3
276.68
5710,5
0.00
0.00
0.00
1.000
-3260.2
302.587
0.00
0.00
0.00
0.00
Membery
13 Load:
DEAD+LIVE+SELF WEIGHT
.000
395.98
0.00
0.000.00
0.00
0.00
.100
407.53
0.00
0.00
0.00
0.00
0.00
.200
419.08
0.00
0.00
0.00
0.00
0.00
.300
430.63
0.00
0.00
0.00
0.00
0.00
.400
442.18
0.00
0.00
0.00
0.00
0.00
.500
453.73
0.00
0.00
0.00
0.00
0.00
.600
465.28
0.00
0.00
0.00
0.00
0.00
.700
476.83
0.00
0.00
0.00
0"00
0.00
.800
488.38
0.00
0.00
0.00
0.00
0.00
.900
499.93
0.00
0.00
0.00
0.00
0.00
1.000
511.48
0.00
0.00
M00
0.00
0.00
Es .0
ROJECT
LAUGHLIN & CO.
L
ENGINEERS -�, �.PO_W4 DATaf?,44-
1008 LIVE OAK BOULEVARD YUBA CITY, CA 95991
(916)671 1008 FAX (916) 671-082 Rc 3 JOB No.
couNly or IBUTTE - SHEET OF
- 13UILDING Dr=PT
c1p.
JUN. 0 2 1994
t 4_
0!
4
i "Tb I
F
.7-
J_
c
4,
-4
_—Aop
PROJECT
LIMLAUGHLIN & CO.
-'CIVIL ENGINEERS BY� DATE.7--Z-0-
1008 LIVE OAK BOULEVARD YUBA CITY, CA 95991
(916) 671.1008 FAX (916) 671-6822 JOB, NO.
I SHEET 2
--To
1� 1 .014
i ?y, 1(
2�OW
It- , - -a -V
4,
Lj
r"a (4-7
cu;
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7
LAUGHLIN & CO.
CIVIL ENGINEERS
1008 LIVE OAK BOULEVARD YUBA CITY, CA 95991
(916) 671-1008 FAX (916) 671-6822
IN
-7
ro
&Z
+ -
'T
1
PROJECT
By DATE f-'?- 41 -
JOB
_ - __ _i_ __ - ...
NO. —99 — / 912t e
SHEET 0 F
JI
_LL
I -4-J-1.1
4 _4
5 �717
-4-4-4-4
00 J
D,
POOJECT IAA�&.D
LAUGHLIN & CO.
CIVIL FENGINEERS
By DATE ?7 C4-
1008 LIVE OAK BOULEVARD
(916) 671-1008
YUBA CITY. CA 95991
FAX (916) 671-0822
JOB' NO.
4.
SHEET OF
K.
P
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4
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J.
Vt>T4- r -
OF C,E�)O?C4
,,s 3vo epubxm,
OAS.
it
5A I: - PLANE - Planar -Frame and Truss Analysis
Version 1.66 �,03/02/90 - C4.0
Copyright (C) 1986, Structural Analysis, Inc.
Indialaniic, FL 32903 (407) 727-1562
User #IPLANE
Input data filename: JORDANI
DATE: 2- 2-1194 TIME� 8:43:22
PROJECT: VAULTEb*TkUSS 20' SPAN
ttt GENERAL DATA lit
Members4 8
Joints : 6
Load Cases: I
Load Combinations: 0
Elasticity: 1600.0 ksi
Structure: PLANE FRAME
III JOINT DATA (feet)-ttt
JT x Y R V
H
.000 Zoo 0 1
1
2 0.600 4.200 0 0
1
3 20.81i .000 0
4 7.000 5.300 a a
a
5 10.900 7.500 0 0
0
6 13.000 5.310 0 0
0
$tt MEMBER DATA tit
MEK FM TO TYPE AREA
INERTIA
E
LENGTH
sq in.
inI14
ksi
f ee*t
I 1 2 0 56.0001
263.000
1600.0
10.846
2 2 3 1 56.0100
263.000
1600.0
16.946
3 '4 2 3 56.0091
263.000
1600.0
3.175
4 2 6 2 56.0900
263.000
1600.0
3..195
5 1 4 1 56.0000
263.000
1600.5
9.783
6 4 5 2 56.0000
263.000
1601.0
--3.720
7 5 6 0 56.0000
263.000
1600.0
3.720
8 6 3 56.0000
263.000
1620.9
8.780
III LOAD CASE # 1 .111
tIt MEMB6 LOADS (UNIF-kIf, CONC-kips) III
TYPE MEN LOAD ALPHA
BEGIN
END
UNIF 5 .014 36.87
.000
8.790
UNIF 6 .014 36.B7
.009
3.720
UNIF 7 .014 -36.87
.000
3.720
-5/
UNIF 1
.014 72.62
.000
10.846
J.
UNIF 4
.014 22.62
logo
3.195
UNIF . 3-
.014 -22.62
.000
3.195
14 1 F 2
_014 -22.62
.000
1-@. B46
UNIF 1
.060 22.62
.000
10.846
UNIF 4'
.660 22.62
.000
3.195
UNIF 3
.060 -22.62
.000
3.195
UNIF 2
.060 -22.62
.000
10.846
ttl JOINT
LOADS t1t
JT
MOMENT Py
PX
kip -ft. kips
kips
5
.0000 -2.809
.000
ttt LOAD
COMBINATIONS Itt
tittittimmmmmmi
t11.JOINT DEFORMATIONS t9l
J2INT 4
1
LOAD
ROTATION (rad)
VERT (in)-
HORIZ (in)
CASE 1
-'.90925
.0009
.0000
JOINT #
LOAD
ROTATION (rad)
VERT (in)
HORIZ (in)
CASE 1
.00281
-.6551
.2790
JOINT #
3
LOAD
ROTATION (rad)
VERT (in)
HORIZ (in)
CASE I
.0077B
.0000
.5606
JOINT #
4
LOAD
ROTATION (rad)
VERT (in)
HORIZ (in)
CASE 1
.00025
-.4658
.3475
JOINT #
5
-LOAD
ROTATION (rad)
VERT (in)
HORIZ (in)
CASE 1
-.00383
-.3797
.2816
JOINT #
6
LOAD
ROiATION (rad)
VERT (in)
HORIZ (in)
CASE 1
00105
-.4708
.2121
ttt MEMBER FORCES t1t MON
- Negative
when clockwise
(or causing top.tensii�n'_01/10 point analysis)
SHR
- Positive
when acting in
the positive Y-diretiioin
AXIAL Positive
when acting in
the positive X-dieection.
MEMBER A
I
J_OAD
S -mon
E -110M
S -SHR
E -SHR
S-A I HAL
E -AXIAL
(kip -ft)
(kip -ft)
(kips)
(kips)
(kips)
(kips)
S'ASE 1-
1.0622
6.2236
1.0422
-.3013
-2.2660
2.5747
1/10 PT:
0.0
0.1
8.2
0.3
0.4
6.5
0.6
8.7 I.B
0.9
1.0
CASE M:
-1.06
.03
1.04
1.97
2.'82
3.59
4.27
4.99 5.41
5.86
6.22
I V:
1.04
.97
.89
.82
.75
.67
.60
.52 .45
38
.33
MEMBER
2
LOAD
S -MOM
E -MOM
S -SHR
E -SHR
S -AXIAL
FAXIAL
(kip -ft)
(kip -ft)
(kips)
(kips)
(kips)
(kips)
CASE 1
.0000
.8527
.4491
.2918
-4.2803
3.9716
1/10 PT:
9.0
0.1
0.2
0.3
0.4
9.5
9.6
0.7 03
0.9
1.0
CASE M:
.02
.45
.81
1.10
1.7111
1.43
1.49
1.44 1.32
1.13
.85
1 V:
.45
.37
.30
.23
.15
.08
.00
-.07 -.14
-.22
-.29
MEMBER #
3
LOAD
S -MOM
E -MOM
S -SHR
E -SHR
S -AXIAL
FAXIAL
(kip -ft)
(kip -ft)
(kips)
(kips)
(kips).
(kips)
CASE 1
.0006
.0000
.1091
.1191
-2.1127
2.0219
1/10 PT:
-0.0
0.1
0.2
0.3
0.4
9.5
0.6
0.7 0.6
0.9
110
CASE M:
.00
.03
.06
-.07
.00
.09
.08
.07 .06
. .03
.00
I V.
.11
.09
.07
.04
.02
.09
-.02
-.84 -.07
�.09
-.11
MEMBER #
4
LOAD
S -MOM
E -MOM
S -SHR
E -SHR
S -AXIAL
E -AXIAL
(kip -ft)
(kip -ft)
(kips)
(kips)
(kips)
(kips)
CASE 1
-6.2236
.0000
-1.8386
2.0569
-1.3903
1.4BI2
1/10 PT:
0.0
0.1
0.2
0.3
9.4
0.5
0.6
0.7 0.8
0.9
1.0
CASE M:
6.22
5.63
5.03
4.43
3.821
3.120
2.57
1.94 1.30
.65
.10
I V:
-1.84
-1.86 -1.88
-1.90
-1.93
-1.95
-1.97
-1.99 -2.01
-2.34
-2.06
MEMBER #
5
LOAD
S_MDM
E -MOM
S -SHR
E -SHR
S -AXIAL
E -AXIAL
(kip -ft)
(kip -ft)
(kips)
(kips)
(kips)
(kipsY
CASE 1
-1.0622
5.1164
15109
-.41216
'3.5367
-3.4629
1/10 PT:
0.0
0.1
0.2
0.3
0.4
0.5
0.6
0.7 O.B
0.9
1.0
CASE M:
1.06
1.51
1.94
2.37
2.79
3.20
3.60
3.99 4.37
4.75
5.12
I V:
.51
JO
.49
48
.47
.46
.45
.44 .43
.42
.41
MEMBER #
6
LOAD
S -MOM
E -MOM
S -SHR
E -SHR
$-AXIAL
E -AXIAL
(kip -ft)
(kip -ft)
(kips)
(kips)
(kips')
(kips)
CASE 1
-5.1164
.0000
-1.3545
1.3961
4.5347
-4.5035
1/10 PT:
0.0
9.1
0.2
0.3
0.4
0.5
9.6
0.7 O.B
0.9
1.0
CASE M:
5.12
4.61
4.1.1
3.60
3.09
2.59
2.07
i..55 1.04
.52
go
I V:.
-1.35
-1.36 -1.36
-1.37
-1.37
-1.38
-1.38
-1.38 -1.39
-1,39'
-1.40
MEMBER #
7
LOAD
S -Mom
E-Mam
S -SHR
E -SHR
SrAXIAL
E -AXIAL
(kip -ft)'
(kip -ft)
(kips)
(kips)
(kips)
(kips)
CASE 1
.0000
5.*9165
1.6112
-1.5695
4.3458
-4.3779
1/10 PT:
0.0
0.1
0.2
0.3
* 0.4
0.5
0.6
0.7 0.8
9.7
1.0
I -V-. 1.61 1.61 1.60 1.60 1.59 1. 59 1.57 1'.58 5 8 1.57 1.57
ME,MBE.R 14 B
LOAD S -MOM E -MOM S -SHR E -SHR. S-AXIAL�--.'� E -AXIAL
(kip -ft) (kip -f t) (kips) (kips) Rips):-�---' (kips)
CASE 1 -5.9165 -.8527 .7218 .82,01 5.2BI7 -5. 3,555
1111 PT: 0.6 0.1 0.2 0.3 0.4 2.5. 0.6 9.7 8.6 0.,g 1.0
CASE M: 5.92 5.218 4.63 3.?G 3.31 21 . 64 1.96' 1'.21 �.67- -.14 -.85
I V: -.72 -.71 -.74 -.75 -.76 -.77 -.7B .79 -:.Be -.81 -.B2
ttl RESTRAINING -FORCES AT SUPPORTS Itt
JOINT # I
.LOAD MOMENT (kip -ft) RY (kips) RX (kips)
CASE 1 .000 2.618 .000
JOINT 4 3
LOAD MOMENT (kip -ft) -RY (kips) RX. (kips)
CASE 1 .000 2.618 .000
End of PLANE
Elapsed Time: 0 min 53 sec
!41
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8 1 1 0
SAND Op", 6RAVEL
13ACKFILL tHI5 AREA
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NOTEt
SOIL KEYRAY MAY BE
DELETED HHEN 5LAB 15
PROVIDED OR THE MAX 31
RETENTION 15 NOT EXCEEDED
ATERIAL 5PEGIFICATION5
COW�,. i3LObK 'ADE N-11) ASTM 0 clo
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MASONRY CEMENT (rrI=E tQ A5TM C ql-b5o
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MA TERIAL SPECIFICATIONS
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-CML ENGINEERS' -
.1008 PAZ IMTD. YP& MT. C&
FAX (91.6)-671-0922
'C"A M7SS
_A
Ju -1--IL GLE
TO THEATTENTION OF:
CIOMPAW-. EU-4jte' Cz ZW bwE
FAX NUt'�BER:.
FROM! L 11kin
DATE:
NIk/bER OF PAOE5 (Indu'dIng the, rover sheet)
-f "u do not recei'e all pages clearly, plem§e
'yo v
.call back irame-diately at (916)'. 671:1008
NOTE5:
orip
f4
Ala/ '04z"
157�
L
LAUGHLIN & COO
CIVIL ENGINEERS
1008 LIVE OAK BOULEVARD
YUBA CITY, CA 95991
Mike Vierra
Butte County Building Department
7 County Center Dr.
Oroville, CA 95965
Re* o ence
near I e.
(916) 671-1008
FAX (916) 6710822
'May 24, 1994
�/, 14 - 00/
On 5-24-94 1 drove to your department to meet with you
personally, but you were in Sacramento. I am asking for your
help in resolving the plan check for this residence. We
submitted the plans on March 4, 1994 for plan check. On 4-21-94
Mr. Henry provided a response asking for additional information.
On 5-4-94 we provided the information requested. On 5-17-94 Mr.
Henry sent out another letter requesting more information and
stating "plan check was not done due to incomplete engineering
and insufficient plans".
I disagree. We, to date (after 2 months) have received
little or no guidance from Mr.' Henry; no red marked plans; and
feel that we have done our best to�-comply with his request. I
ask you to please review his correspondence, our first and second
plan submittals showing our desire to comply with his request,
and a proper plan package. After your review, please call me to
discuss.
Tha k
'ou
you,
Car
E. aughlin
g hli
C i 1,
-E inleer
GEL/ jm
attachments
cc: Mark Jordan
Carl Ryan
L A 1\1 D F N A T U R A L W E A L T H A N' D 8 E A U T Y
BUILDING DIVISION
DEPARTMENT OF DEVELOPMENT SERVICES
7 COUNTY CENTER DRIVE OROVILLE, CALIFORNIA 959655-3397
TELEPHONE: (9161 538-7541
FAX: (916) 538-21 40.
Mark Jordan DATE: 4/21/94
2770 Plum St...
Live Oak, CA.95953 RE: Proposed Residence
A '0/--1,-160-0'01 p. # V4-0900
P:
With reference to the above subject, attached is:
X Plan check list
Red marked calculations
Red marked plans
Other:
ACrION.REQUIRED:
[X Comply with plan check list
[X Resubmit plans with revisions as required
Resubmit calculations with revisions as required.
Remarks:
Should You have any qu estions, 'please call (916) 538-7541 , between 3:00 & 5:00.
Very truly" yours,
cc: Garry Laughlin
17
��n k. H%e n r y
lani eck Engineer
RECE-1\11-r
') n
4 U
COUNTY OF BUTM
BUILDING DEPT
M Ay 2 6 1994
I /'
M
LAUGHLIN & CO.
CIVIL ENGINEERS
1068 IM OAK BLVD. YUBA CITY, CA
(910)-671-100a FAX (916)-671-0822
F'AX M-ESSAC;-E
TO THE ATTENTION OF:
NAME: �UJN -RZWK-f ELk-N
COMPANY:
FAX NUMBER:
FROM.
IDATE:
NUMBER OF PAOES (Inclvding the, rover 5heot)
If you do not receive all pages clearly, please
call back immediately at (916) 67f-1008
NOTE5:
Aj�� - EL�-"t
Rtakimuz \4kL QLIML oz:i- MIS YOUN (SEQIJF--�7
V
Garry Laughlin -
1008 Live Oak.Blvd
Yuba City, CA 95991
Couatg
L A r\I D C F N A T U R A L W E A L T H A N D 3 E A U T Y
BUILDING DIVISION
DEPARTMENT OF DEVELOPMENT SERVICES
7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965-3397
TELEPHONE: 1916) 538-7541
FAX: (916) 538-21 40
DATE: 5/17/94 2 0
RE: JORDAN RESIDENCE 9,9�
A -P-: _._Q? -1-160-001 94-0900
B. P�.
With reference to the above subject, attached is:
X] 'Plan check list
Red marked calculations
Red marked plans
Other:
ACTION REQUIRED:
x] Comply with plan check list
x] Resubmit plans with revisions as required
X] Resubmit calculations with revisions as required.
Remarks:
Should You have any questions, please call (9i6) 538-7541 , between 3:00 & 5:00.
1 0 rfl k) ( T`�-C . -Z W-P-L�
Very.truly yoursi
n
John k/Henry
Plan Check Engineer
LAUGHLIN & CO.
ILE CIVIL ENGINEERS
1008 LIVE OAK BOULEVARD YUBA CITY, CA 95991
(916) 671-1008 FAX (916) 671-0822
TO — -a/77r- g6a�� - -
��Ioq
DATE
SUBJECT
LETTER
ze.
,401:) "Ale, A
-70
jUN.
0 2 1994
[i PLEASE REPLY El NO REPLY NECESSARY
SIGNED
Permit Applicant: Mark Jordan Date: 5/17/94
J.
Permit # 94-0900
The aboye-re'ferenced building.plans were reviewed by this office.
Provide additional information and/or make appropriate revisions
to plans, specifications, and calculations as follows:
1. All engineering requirement's must be shown on the plans.
AME9
eA-tj,.jSf
2. Plans must include complete.shear transfer details showing load path
continuity from roof to foundation at all shear walls.
i3ZOTgWc�,3.' Pr'ovide engineering and shop drawings for stairway.
Refer to.Lateral Design Guidelines previously sent. All relevant items
are required.
The plan check was not done due to incomplete engineering and insufficient
c •,-'v
�a
- �P Gut �� C� bps sG� _ tilxdry -tai
Lateral Design Guidelines - Wood Frame Buildings,(1991 UBC)
1 Lateral design must be per.UBC Chapters 23 and 25, and must result in a struc.;-
tural system which provides a complete load path capable of transferring
all loads and forces from their point of origin to their load -resisting ele-
ments.
.2. Design is to include all required connections and appropriate construction
. detials for shear transfer from roof diaphragm to foundation.
.3. Second floor shear wails which are fram'
ed on the floor system without shear
.walls below must have complete analysis and design to transfer load through
floor diaphragm to load resisting elements.
4. Second floor shear walls which are supported b . y floor beams must have com-
plete design and details -for shear transfer,to beams as well as connnections
required to transmit drag forces to load resisting elements. ..
5.. Second floor shear walls which are supported by cantilevered floor system,
must have complete analysis and design which accounts for effects -of shear
and overturning forces which act on the cantilevered floor as well as com-
plete detailsIto transfer load to resisting elements.
6. Provide complete engineering calculations and specifications as required
per UBC Section 302 (b).
7. Butte County is within Seismic Zone 3 and lies within a wind speed zone of
75 mph (Figure 23-1).
8. Design is to indicate exposure B.or Gas required by UBC Section 2312, method
1 or 2 as required by UBC Section 2317, and must include'disign pressure,
p, as required per UBC Section 2316.
9. Calculate seismic loading (V) per UBC Section 2334.
10. Design is.to be for critical (governing) load, wind"or seismic, in both prin-
cipal directions per UBC Section 2303 (f).
11. Design is to include -diaphragm chords and,collectors as required per UBC
Section 2513 (e).
12. Calculate and design connections and anchorages between diaphragms and resist-
ing elements as required per UBC Section 2513 (a).
13.� The building and structural elements shall be designed to resist overturning
effects caused by lateral forces as required by UBC Section 2303 (b).3.
14. Design.is to include all required anchorage of roof to walls, and walls to
foundation as required per UBC -Section 2303 (b) 4.
15. Holdowns and other anchorage must comply with manufacturers specifications
for end and edge distance, embedments, and other requirements as listed.
Lateral Design Guidelines, cont..
be designed to transmit the design base shear and over�
6. The foundation shall required by VBC Section
turning forces prescribed in. UBC Section 2303, as
2910'(a).
ed to foundations per UBC Section 2910.
7. -Shear walls are to be connect
a
8. -Openings in diaphragms shall be completely analyzed and fully.det iled on
,es reinforced to transfer shear stresses per
the plans and,have their edg
UBC Section 2513 (a).
9. Size -and sh . ape of diaphragms shall be limited to that required by UBC -Section
2513 (a).and Table 25-1.
OT transfer engineering requirements to plans. All engi-
Plan check staff WILL N
neering requirements are to be clearly shown on two sets Of plan - provide com-
plete coordination*between plans,, calculations, I and specifications.
All engineering design requirements are to beclearly shown in engineering draw
ings (separate.from calculations), either 8,12" x 11" or full plan size. All
engineering drawings are to be stamped and signed by the engineer.
FAX COVER SHEET
FAX�NUMBER (916) 538-2140
DATE
TO: Z14ftG11L111v FAX NUMBER: 4 7/ -
ATTENTION: -11,EFF 565-AICE
REGARDING:
A.P. NO.
6,atto Counig
PERMIT NO.
SUBJECT:
JOROKAI
R&-7--,N11A-1G7
N D
0 F N A T U R A L W E A L T H A N D B E A U T Y
BUILDING DIVISION
DEPARTMENT OF DEVELOPMENT SERVICES
7 COUNTY CENTER DRIVE - CROVILLE, CALIFORNIA 95965-3397
TELEPHONE: (916) 538-7541
FAX: (916) 538-2140
B U T T E
C 0 U N T Y B U I L D
I N G I D E P A R T M E N T
FAX COVER SHEET
FAX�NUMBER (916) 538-2140
DATE
TO: Z14ftG11L111v FAX NUMBER: 4 7/ -
ATTENTION: -11,EFF 565-AICE
REGARDING:
A.P. NO.
PERMIT NO.
SUBJECT:
JOROKAI
R&-7--,N11A-1G7
- kl,41-L
SPECIAL INSTRUCTIONS:
SEE PLAN CHECK LIST TO FOLLOW
REVIEW AND RESPOND ACCORDINGLY
FOR YOUR INFORMATION ONLY
OTHER:
SINC LY,
JOHN R. HENRY, P.E.
PLAN CHECK ENGINEER
SPECIFICA TIONS
l..' CONCRETE — f'c=2000 PS[ (9 28 DAYS
2. REINFORCING - ASTM A615, -GRADE 40 MIN
J. BL'OCK — GRADE N, f'm= 1500 PSI (9 28 DAYS
4. GROUT — fc=20*00 'PSI 0 .28 DA YS
.5. MORTAR — TYPE S, - 1800 PSI 28 DAYS
6. LAP SPLICES 20"-A41NIMUM
OF WA44� ,016 ell�
op, TD 0/�-- W,4&L
/4771
Should You have any questions, please call (916) 538-7541, between 3:00 & 5:00.
Very truly yours,
cc: Garry Laughlin
Sn�nJV. Henry
Plantheck Engineer
C
nig
ou
T T Y
L A N D F N A T U R A L W E A L H A N D 3 E A U
BUILDING DIVISION
DEPARTMENT OF DEVELOPMENT SERVICES
7 COUNTY CENTER DRIVE - OROVILLE. CALIFORNIA 95965-3397
TELEPHONE: (916) 538-7541
FAX: 1916) S38-2140
Mark Jordan
DATE: 4/21/94
2770 Plum St..
Live Oak, CA 95953
RE: Proposed Residence
A. P: 021-160-001 B.P.# 94-0900
With reference to the above subject,
attached is:
X Plan check list
Red marked calculations
-Red marked plans
Other:
ACTION.REQUIRED:
[X Comply with plan check list
(X Resubmit plans with revisions
as required
Resubmit calculations with revisions
as required.
Remarks:
Should You have any questions, please call (916) 538-7541, between 3:00 & 5:00.
Very truly yours,
cc: Garry Laughlin
Sn�nJV. Henry
Plantheck Engineer
Permit Appli.cant: Mark Jordan' 4/21/94
Date:
Permit # 94-0900
The above referenced building plan's were reviewed by this office.
Provide additional information and/or make appropriate revisions
to plans, specific-ations, and calculations as follows:
The proposed building is of unusual shape and size per UBC Sec. 2517(a), and
requires complete lateral -load design per UBC Chap.23, all sheets of plans
must be stamped and signed by the engineer.
Provide'complete gravity and lateral.design which provides.a complete load
path capable of transferring all loads from their -point of origin to their
load—resisting elements. Design is to include all required connections.and
appropriate construction details showing shear transfer from roof diaphragm
to foundation.
(See attached Lateral Design Guidelines).
Provide complete specifications for all structural materials on plan.
Provide engineering at entrance clerestory for !'normal" wind loading for
combined compression and flexure.
All.sections must be reference keyed to the plan.
Provide roof framing la . yout plan. Show all truss's, rafters, size and
spacing, all beams and supporting members. -
Submit four sets of plans and two sets of calculations.
The plan check was not completed due to insufficient information as out—
lined above.
I
L A INJ D C 'N,A T U R A L W E A L T H A N D 3 E A U T Y
BUILDING DIVISION
DEPARTMENT OF DEVELOPMENT SERVICES
7 COUNTY CENTER DRIVE - OROVILLE. CALIFORNIA 95965-3397
TELEPHONE: (916) 538-7541
FAX: (916) 538-2140
Garry Laughlin DATE: 5/17/94
1008 Live Oak.Blvd
Yuba City, CA 95991 RE: JORDAN RESIDENCE
A.P: .021-160-00.1 B.P.# 94-0900
With reference to the above subject, attached is:
X] Plan check list
Red marked calculations
Red marked plans
Other:
AMON REQUIRED:
x] Comply with plan check list
x] Resubmit plans -with revisions as required
X] Resubmit calculations with revisions as required.
Remarks:
Should You have any questions, please call (916) 538-7541, between 3:00 & 5:00.
Very.truly yours,
John Z/Henry
Plan Check Engineer
Permit A p p I ic.a-nt
Mark Jordan Date: 5/17/94
Permit 94-0900
The above referenced building plans.were reviewed by this office.
.Provide additional Information and/or make appropriate revisions
to plans, specifications3.and calculations as follows:
1. All engineering requirement's must be shown on the plans.
2.' Plans must include complete shear transfer de ' tails showing load path
continuity.from roof to foundation at all shear walls.
3., Pr'ovide-engineering and shop.drawings for stairway.
Refer to -Lateral Design Guidelines previously sent. All relevant items
are required.
The plan check was -not done due to incomplete engineering and insufficient
plans.
Return to: AGRICULTtJRAL S'fA'I'EMEN'I'Ut'ACk.,NUVVLEI)kiEWNL'
Buildhig Division FOR RESIDENTIAL DEVELOPMENT
12 1910A
Section 26-8.1 of the Butte County Code requires this JUL J111'
acknowledgement be recorded prior to issuance of a building
permit.
Ile property . described herein is adjacent to land or included NOT CCMPARED WITH
within an area zoned for agricultural purposes, and residents ORIGINAL DOCUMENT
of this property may be subject to inconveniences or
discomfort arising from the use of.agricultural chemicals, -
including, but not limited to herbicides, pesticides, and
fertilizers; and from the pursuit of agricultural operations 94-029380
including, but not limited to cultivation, plowing, spraying,
pruning, and harvesting which occasionally generate
dust,smoke, noise, and odor. Butte County has established
agricultural zones which have as a priority use for productive
agricultural purposes and residents within said zones and on adjacent property should be prepared to accept such, inconvenience� or
discomfort from normal, necessary farm operations.
All that real property situate in the County of Butte, State of California, described as follows:
Lots 27 and 31 of GRIDLEY COLONY NO. 9, according to the map of said Colon'Lia,
filed in the office of the Recorder of the County of Butte, State of Califo
July 10, 1907 in Map Book 6, page 58.
Date: PROPERTY OWNERS:
State of California
County of 3 1.t r7 -,--
On 7—/3- 94 before me, Z3,e&A1,1No9 1-14,61,zr' A_�77S A/OE�2� Audl_j e,
personally appeared klAek sne- t.,_t--A( o.-oAepgAl I
personally known to me (or proved to me on the basis of satisfactory evidence) to be the person(s) whose name(s) is/are
subscribed to the within instrument and acknowledged to me that he/she/they executed the same in his/her/their authorized
capacity(ies), and that by his/her/their signature(s) on the instrument, the person(s), or the entity -upon behalf of which the
person(s) acted, executed the instrument. 'n' �_ e. �."_ 4
BRENDA MARIE WATTS
WrrNESS my hand and official seal. Comm. # 973879
NOTARY PUBLIC . CAUFOR141A
0 Butte County
F4 Comm. Expkes Sept 21,1996
Signatwvae�a Seal:
A.P. # 6 0 1 -/40 -190
g!
BUTTE COUNTY SCHOOLS IMPACPFEE CERTIFICATION FORM
(One Form Per Buildin'
g)
School District
A.P. Number U0 -00 Jurisdiction CRY
Property Owner_
Property Location/Address
a, . C I. A e-
Building Department No.
County
Subdivison Lot No.
Residential Development Sq.Footage X 94L
No. of Living MHI Addition (GrotTp R)
Units
Commercial/Industrial
Building DepartmeKt Representative
(Floor;Pldns reviewec
by
= Sq. Footage
New Addition
(including Exterior
Rooted Areas)
Date %
District Identification No. Ila
Sc-hool D i -strict certifies that
(Applicant)
- 9;9��
(Street Address) r)
(Phone Numbe
(C.Ay). IV (State) - (Zip Code)
has complied wit h.Ahe r.equ ir6mbnts of'Resolution No. by payment of
representing square feet. 4- 66-�V��
Schdol District presentative Date
Paid by Check Number 'Remarks:. Aw X -4M 60 / 7,;:�
Bank Number "s- / zv�� 60d
Paid by Cash I -7:F 0,f5�?
If, subsequent to the School District Representative signing this Butte County Schools Impact Fee
Certification Form, the Scho ol 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
I
additional school fees to fully miti-gate its impact on the school district's schools.
White (applicant), Yellow (building department), Pink (school district) feeformmkl (4/92)
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RESIDENTIAL PLAN CHECKING GUIDE 8/91
(S.F., DUPLEX & MISC. ONLY)
Bldg. Permit # 94-0 c? 0 0
014NER A.P. # -Zj- (to -0 (
Plan Checker JZ It- S -
GENERAL
*1-7zoning requirements: (sideyards and number of permitted living units).
3��-aluation.
P ns signed by designer.
4p,-P��ope� description of work on application.
,k----rx-isting violations on property.
Items on data sheet. (W.C., fees, Health, Developer Fees, License law, etc).
7::;�.e'crded notice of violation.
PLOT PLAN
Jr.-_-Cemplete parcel size and dimensions.
2' Setbacks, sideyards, easements, etc.
( .1
�72 ,P�her buildings or structures. "15'TtM�,
Zee Grading, fills, drainage.
5%-�iood hazard.
,6 -.--Special conditions on creation map, (noise,
ustible, and foundations).
_f3.U-& FAS road setback.
k 4 '% L�0� Mc -r % �Alow W
CDF, fire sprinklers, non-comb-
;�-'Building or utilities across lot lines (Record form).
FLOOR PLAN
m ete to scale pian w"ith dimensions.,
pilred windows for light and ventilation (S6b.-�1'205)�-
j eq-ui'reci window§� ?t -dr s6clond lexi.t,;(Sec. ,1204).
...g4ts (Chalptb�t-34 &,,Sec-,---5�07'),�:�
m�n *i'mpact glass (Sec. 5406).
quired room sizes, ceiling heights (Sec. 1207).
FCIs in baths, garage, kitchen, and exterior outlets (Article
. ht fixtures, switches, receptacles, and exterior receptacles
ena e of mechanical equipment.
Lo tions of water heater, heating and cooling equipment, other
r gas equipment.
1 Ga ge firewall, door size, and closer (Sec. 503(d)(3)).
1 /'0" exterior exit door (sec. 3304 (f).
1 'Place and wood stove location, alcoves, and clearance.
1 oke detectors (Sec. 1210).
Plumbing fixtures, water closet clearances and shower size.
STRUCTURAL DETAILS
210-8).
for main -
electrical
tandard bracing or(�� design (Table 25V)
Unusual shape, size, or split level house requiring lateral design.
Clerestory requiring balloon framing and/or engineering.
..4-.'*'* Three story building requiring engineered calculations and plans.
_--5--- Foundation plan complete enough to construct building.
--6' Floor construction details complete -enough to construct building.
Elevations and wall construction details complete enough to construct
Roof construction details complete enough to construct building.
SF' 'eplace construction details and calcs if necessary.
'-r
:::R; fter ties or bearing ridge beam.
arage door or porch header sizes.
Stud heights.
-1-3---Kdobe soils - special foundation design.
44 ---Retaining walls requiring design.
.=L5--5-p—ecial Inspection required.
building
8/91
RESIDENTIAL PLAN CHECKING GUIDE
MISCEL
kl�EOUS*ITEMS TO LOOK OUT FOR
; 1"S) irwa:y*,de�a'l'ls:*-.l'�indings, rise and run, head clearance, handrails
Se c. 3306).
ardrail details (Sec. 1711 & 3306(j).
B r i,
. rick or stone veneer (Chapter 30).
.4-.--Erx+�rior plaster - weep screeds (Sec. 4706).
-5r�. �r roof pitch for roof convering (Chapter 32).
64-76"of covering type - (fire hazard).
m n ation - protection.
8. 36" halls and stairways.
over garage - complete 1 -hour separation required on garage side
includ��iupporting walls and posts, etc.
ke-.--Tj,v—Z5e),its on three-story dwellings (sec. 3303 & see Mezannines - 1716).
j.5 ex
c access and ventilation (Sec. 3205).
3�c
1A'�JpAerfloor access and ventilation (Sec. 2516).
161"'Combustion air - -for: fue 1 - bur,ningt--app�dance.s' - I L".P. G. requirements.
)!'�.ol`se requirements on dupl�xes.
16. Energy design.
V.-.��ing at all exterior openings.
1q -.—&BF responsible area requirements.
L
CZ Z -Z C PILA W S
.5al5ppa' zvsm S I W C P. , I
-SEs IT-% Of 0 x2 C -A t -',LS - 13 -V -r -ro S'rAMfP .".
6"S.- ITC -#4S AlhP64t -TO FLS OW-
,4FTVP_ You- AA -e -T^wn.S'1v1&fN wtr"
'
CERTIFICATE OF COMPLIANCE: Residential Page 1 CF -1R
------------------------------------ _-------- _
---------------------------------
_
Project Title: JORDANw6966-PERMIT ' ' Run: 032 31 -Mar -94
Projbct Address: CORNER of BLOCK & WEST LIBERTY JORDAN -6966 -PERMIT
BUTTE COUNTY JURISDICTION
Building Title: JORDAN -6966 -PERMIT B ild
Document Author: VALERIE SUE PIPKINS
Telephone: 916-671-1008 Flian Check Date
Compliance Method: CALRES2 Version 1.31 Field Check / Date /
Climate Zone: 11
================================================================================
GENERAL INFORMATION
Conditioned Floor Area:
Building Type:
Building Front Orientation:
Number of Dwelling Units:
Floor Construction Type:
'
BUILDING SHELL
Colponent
Type
Door
Wall
Wall
Floor
Ceiling
INSULATION
6966 ft2
SFD Single Family Detached
315 deg (North)
1.00
Raised floor
Assembly
U -value
0.330
19
0.065
19
0.065
19
0.037
31.3
0.025
ON
Orientation Panes
Location/Comments
Outside !�
Outside
Unconditioned
Crawlspace
Attic
Interior
Shading
----------
Std Drape
Std Drape
Std Drape
Std Drape
Std Drape
Std Drape
Exterior
Shading
-------------
_________Bug
Bug
Screen
Window
North
2200
0 2
Window
North
305.8
Q70 2
Window
South
018.8
01 S70 2
Window'
South
131.0TIS70
2
Window
East
145.0
2
�
Window
East
347.0
�z�/
0��^
,m 2
Location/Comments
Outside !�
Outside
Unconditioned
Crawlspace
Attic
Interior
Shading
----------
Std Drape
Std Drape
Std Drape
Std Drape
Std Drape
Std Drape
Exterior
Shading
-------------
_________Bug
Bug
Screen
Bug
Screen
Bug
Screen
Bug
Screen
Bug
Screen
Buq
Screen
Overhang
and Fins
Overhang
Overhang
Overhang
Overhang
Overhang
Overhang
----------
Metal
_______Metal
Wood
Wood
Metal
Wood
Metal
THERMAL MASS Area Thick �
Type Exposed? (ft2) (in) Location/Comments
�------- ----- ----- ------------------- --------- ----
None BUXkE COLJNIK
HVAC SYSTEMS
Type
.
Furhace
Air cond. -- central split
�3��
����&p�«����� ��«�Pv�Rv^ `e.,v
#11, FIFTAN I Mii
Duct
Location
�cv-�
and
�
----
FUE
-----------���
Attic
SEER
Attic
BA5.��
#11, FIFTAN I Mii
CERTIFICATE OF
COMPLIANCE: Residential
Page
2
CF -1R
Project Title:
JORDAN -6966 -PERMIT
Run:
032
31 -Mar -94
WATER HEATING SYSTEMS
'
HYDRONICDISTRIBUTION AND TERMINALS
. Pipe Pipe Insul
System/Name Type Number run (ft) diam (in) thck (in)
______________ _____________ ______ ________ _________ ---------
None
SPECIAL FEATURES, REMARKS, AND NOTES
1. The HVAC s,ystem in this building is zonally controlled.
Insul
R -value
COMPLIANCE STATEMENT '
This certificate of compliance lists the building features and performance
specifications needed to comply with the Energy Standards in Title 24, Parts 1
and 6, of the California Code of Regulations, and the Administrative regulations
to.implement them. -This certificate has been signed by the individual with
overall design responsibility. When this certificate of compliance is submitted
for a single building plan to be built in multiple orientations, any shading
feature that is varied is indicated in the Special Features, Remarks, and Notes
section.
Distrib Water
Water
# of
Volume
Wrap
System Name
Type Heater Name
Heater
Type
Htrs
Factor (gal)
GOV
__________n_
Standard
________ ____________
Standard Standard_Gas
------------------
Storage
gas
____
1
____________
50
_____
-Gas
Standard_Gas
Standard Standard_Gas
Storage
gas
1
50
WATER HEATING
SYSTEMS MISC
`
'
Solar savings Solar
system
Wood stove
Wood �{stove
System Name
____________
fraction type
_____________ ____--------
boiler?
boiler pump?
�|
-
Standard_Gas
�
--
--
__________
No
_____________
' No
Standard_Gas
-
No
No `
WATER HEATER/BOILER
DETAILS
Rated
�
Pilot
Water
Recovery
Input Standby
Tank
Light'
Heater Name
Efficiency AFUE (kBtuh)
---------- ---- -------
Loss
R -value
(Btuh)
Standard_Gas
78% -- 40.00
-------
--
-------
--
---------
--
HYDRONICDISTRIBUTION AND TERMINALS
. Pipe Pipe Insul
System/Name Type Number run (ft) diam (in) thck (in)
______________ _____________ ______ ________ _________ ---------
None
SPECIAL FEATURES, REMARKS, AND NOTES
1. The HVAC s,ystem in this building is zonally controlled.
Insul
R -value
COMPLIANCE STATEMENT '
This certificate of compliance lists the building features and performance
specifications needed to comply with the Energy Standards in Title 24, Parts 1
and 6, of the California Code of Regulations, and the Administrative regulations
to.implement them. -This certificate has been signed by the individual with
overall design responsibility. When this certificate of compliance is submitted
for a single building plan to be built in multiple orientations, any shading
feature that is varied is indicated in the Special Features, Remarks, and Notes
section.
CERTIFICATE OF COMPLIANM Res.identkal Page.3 CF -M
Project Title: JOADAN-6961-PERMIT 'Run. 032 31"Mar-q'(�
DESIGNER OR OWNEIRI. D 0 C U M E 1)1� A 1-10 1\1 AUTHOR
VALERIE SUE PIRWINS WLE RIE SUE PIPKINS
LAUGHLIN & 00. TIM. WGINEERS
- UGH111 9 00. CIVIL ENGINEERS
1008 LIVE OAK QV OC ME OAK BLVD;
YUBA CITY, CA. 15* :1. ul Wryj CA. 95991
916-671 - I (DOS 1 7 1 QQ0
L kc #
ka tte
e E3 le
ENFORCEMENT AGENCN
Nime:
-r' i t I e . .... .... ...... ........ . ... .............
.. . . ........
Agency::
Telephone: . . . . . ............. .
. .. . ............................. 7***"---"'---'-'-"-"-""-""'*'"*"-"""-'-'--""--'---..
Signed Date
COMPUTER METHOD SUMMARY Page 1 C -2R
------------------------------ __________________________________________________
Project Title: JORDAN -6966 -PERMIT Run: 032 31 -Mar -94
ProjAct Address: CORNER of BLOCK & WEST LIBERTY JORDAN -6966 -PERMIT
BUTTE COUNTY JURISDICTION 41.''.
Building Title: JORDAN -6966 -PERMIT Building Permit #
Document Author: VALERIE SUE PIPKINS
Telephone: I916-671-1008 Plan Check / Date
Compliance Method: -CALRES2 Version 1.31 Field Check / Date
Climate Zone: 11 `
ENERGY USE SUMMARY (kBtu/ft2-yr)
Energy Use Standard Design
_______________ _______________
Space Heating 15.35
Space Cooling 10.70
Water Heating3.75
' '
Total 29.80
GENERAL INFORMATION
Conditioned Floor Area:
Building Type:
Building Front Orientation:
Number of Dwelling Units:
Number of Stories:
Floor Construction Type:
Number of Conditioned Zones:
Total Conditioned Volume:
Conditioned Footprint Area:
Ground Floor Area:
BUILDING ZONE
Zone
Name
------------
L IV I NO
___________LIVINO
SLEEPING
Proposed Design
---------------
18.11
7.84
3.63.
---------Complies
29.58 Yes
6966 ft2
SFD Single Family Detahed
315 deg (North)
1.00
2
INFORMATION
Floor
828.0
Area
Volume
(ft2)
(ft3)
_______
4355
________
43550
2611
26110
OPAQUE SURFACES
Surface Area
Type (ft2)
__________ ______
o
Zme = LIVING
�
Door
Wall
.W4ll
Wall
Wall
Wall
Floor
Ceiling
U -
value
17.8
0.330
828.0
0.065
826.2
0.065
956.0
0.065
338.5
0.065
300.0
0.065
4355v0
0.037
4355.0
0.025
Raised floor
2
69660 ft3
5265 ft2
5265 ft2
Type
-------------
Conditioned
Conditioned
Thermostat
Type
CEC_Living
CEC_Sleeping
Vent
Vent
Height
Area
(ft)
(ft2)
8'0"
96.7
8'0"
36.7
Insl
Tr
n
Rval
Az
Location/Comments
_
__________________________
0
45
90`Yes
2868SCS
Outside
19
315
16
Yes
| 19�2x���16
Outside
19
225
'90Yes
W19.2i6.16
Outside
19
135.
90
Yes,W19,2x6,16
Outside
19
45
90
Yes'W19.�x6i1h
�
Outside
19
W
90
NoM19.206.16
Unconditioned
19
180
No
F0900016
Craw|space
38
--
0
Yes
'
R38.2x4.24
Attic
COMPUTER
METHOD
SUMMARY
Page
2
C -2R
�
Project
�
Title:
JORDAN -6966 -PERMIT
Run:
032
31 -Mar -94
OPAQUE SURFACES continued .
'
Surface Area U- Insl Tru Sl. Construction
Type (ft2) value Rval Azm Tlt Gns Type
�
----- _---- ______ _____ ____ ___ ___ ___ -----------
Zone = SLEEPING
Door
40.0
0.330
Wall
477.0
0.065
Wall
124.0
0.065
Wall
402.0
0.065
Wall
264.0
0.065
Wall
100.0
0.065
Floor
910,0
0.037
'Ceiling
2611.0
0.025
Location/Comments
--------------------------
0 315 90 Yes PR -3068 -WOOD Outside '
19 315 90 Yes W19.2x6.16 Outside
19 225 90 Yes W19.2x6,16 Outside
19 135 90 Yes W19.2x6.16 Outside
19 45 90 Yes W19.2x6.16 Outside
19 45 90 No W19.2x6.16 Unconditioned
19 -- 180 No FC19.08.16 Crawlspace
38 -- 0 Yes R38.2x4^24 Attic
PERIMETER LOSSES
' Insul
Perimeter Length F2 Insul Depth
Type (ft) Factor R-val (in)
None
FENESTRATION SURFACES
Fenestration
Name
--------------
Zone = LIVING
F-1
F-2
F-3
F-4
F-5
F-6
F-7
F-8
F-9
F-10
F-11
F-12
R-1
R-2
R-3
R-4
R-5
R-6 '
.R-7
oil
B-2
R-3
B-4
B-5
Location/Comments
---------------------- a -------------
Glazing
Area*Tru
'
Open
Frame
Charactr
Type
____
(ft2)
_____
Azm
___
Tlt
___
Type
_______
Type
________
Name
�
____________
Comments
________________
Wind
15.0315
90
Slider
Metal
CEC_DblStD
Wind
10.0
315
90
Slider
Wood
CEC_DblStD
Wind
20.0
315
90
Slider
Wood
CEC_DblStD
Wind
10.0
315
90
Slider
Wood
CEC`DblStD
Wind
10.0
315
90
Slider
Wbod
CEC_DblStD
Wind
26.0
315
.90
Hinged
Metal
CEC_DblStD
Wind
10.0
315
90
Slider
Wood
CEC_DblStD
Wind
10.0
315
90
Slider
Wood
CEC_DblStD
Wind
26.0
315
90
Hinged
Metal
CEC_DblStD
Wind
10.0
315
90
Slider
Wood
'CEC_DblStD
Wind
40.0
315
90
Hinged
Wood
CEC_DblStD
Wind
25.0
315
90
Fixed
Metal
CEC_DblStD
Wind
40.0
225
90
Hinged
Wood
CEC_DblStD
Wind
15.0
225
90
Slider
Metal
CEC_DblStD
Wind
15.0
225
98
Slider
Metal
CEC_DblStD
Wind
10.0
225
90
Slider
Wood
CEC_DblStD
Wind
20.0
225
90
Slider
Wood
CEC_DblStD
Wind
4b.8
225
90
Slider
Wood
CEC_DblStD
Wind
25.0
225
90
Fixed
Metal
CEC_DblStD
Wind
40.0
135
90
Hinged
Wood
CEC_DblStD
Wind
40.0
135
90
Hinged
Wood
CEC_DblStD
}�
Wind
18.0
135
90
Fixed
Metal
CEC
DblStD
Wind
45.0
135
90
Slider
Wood
CEC�DblStD
Wind
42.0
135
90
Slider
Metal
CEC_DblStD
COMPUTER METHOD SUMMARY Page 3 C -2R
Project Title: JORDAN -6966 -PERMIT Run: 032 31 -Mar -94
. '
================================================================================
FENESTRATION SURFACES continued
Fenestration
Area
Tru
CEC_DblStD
Open
Frame
Name
______________
Type
____
(ft2)
___n_
Azm
___
Tlt
___
Type
_______
Type
B-6
Wind
26.0
135
90
Fixed
________
Metal
B-7
Wind
75.0
135
90
Slider
Metal
B-8
Wind
20.0
135
90
Slider
Wood
B-9
Wind
8.0
135
90
Slider
Metal
B-10
Wind
30.0
135
90
Slider
Metal
L-5
Wind
48.8
45
90
Slider
Wood
L-6
Wind
25.0
45
90
Fixed
Metal
L-7
Wind
10.0
45
90
Slider
Wood
L-8
Wind
10.0
45
'90
Slider
Wood
~L-9
Wind
10.0
45
90
Slider
Wood
L-10
Wind
20.0
45
90
Slider
Wood
'L-11
Wind
20.0
45
90
Slider
Wood
Zone = SLEEPING
F-13
Wind
9.0
315
90
Fixed
Metal
F-14
Wind
18.0
315
90
Fixed
Metal
F-15
Wind
9.0
315
90
Fixed
Metal
F-16
Wind
6.0
315
90
Fixed
Metal
F-17
Wind
18.0
315
90
Slider
Metal
F-18
Wind
6.0
315
90
Fixed
Metal
F-19
Wind
16.0
315
90
Slider
Metal
F-20
Wind
14.0
315
90
Fixed
Metal
D-1
Wind
9.0
315
90
Slider
Wood
D-2
Wind
9.0
315
90
Slider
Wood
D-3
Wind
9.0
315
90
Slider
Wood
R-8
Wipd
20.0
225
90
Slider
Metal
R-9
Wind
30.0
225
90
Slider
Metal
R-10
Wind
26.0
225
90
Hinged
Metal
B-11
Wind
75.0
135
90
Slider
Metal
B-12
Wind
24.0
135
90
Slider
Metal
B-13
Wind
24.0
135
90
Slider
Metal
0-14
Wind
25.0
135
90
Slider
Metal
L-1
Wind
10.0
45
90
Slider
Wood
L-2
Wind
10.0
45
90
Slider
Wood
L-3
Wind
20.0
45
90
Vider
Wood
L-4`
Wind
16.0
45
90
Slider
Metal
GLAZING CHARACTERISTICS
Glazing
Charactr Glazing # of U-
Njoe Type Panes value
CEC_DblStD Clear 2 0.870
'
Glazing
Charictr
Name Comments
CEC_DblStD
CEC_DblStD
CEC_DblStD
CEC_DblStD
CEC_DblStD
CEC_DblStD
CEC_DblStD
CEC_DblStD
CEC_DblStD
CEC_DblStD
CEC_DblStD
CEC_DblStD
CEC_DblStD
CEC_DblStD
CEC_DblStD
CEC_DblStD
CEC_DblStD
CEC_DblStD
CEC_DblStD
CEC_DblStD
CEC_DblStD
CEC_DblStD
CEC_DblStD
CEC_DblStD
CEC_DblStD
CEC_DblStD
CEC_DblStD
CEC_DblStD
CEC_DblStD
CEC_DblStD
CEC_DblStD
CEC_DblStD
CEC_DblStD
CEC_DblStD
SC GIs Interior SC Int
Only Shade Type Shade
______ __________ ------
0.880 Std Drape 0,780
!�
Exterior SC Ext
Shade Type Shade
__________ ______
Bug'Screen 0.870
COMPUTER
METHOD
SUMMARY �
,
Page
4
C -2R
Project
Title:
JORDAN -6966 -PERMIT
Run:
032
31 -Mar -94
INTER -ZONE SURFACES
Surface
Area
Insul
Construction
Type
___________
(ft2)
_______
U -value
_______
R-val
_____
Type : Comments
------ _----- _________________________________
LIVING/SLEEPING
Glazing
Extension
Extension
�
Wall
800.0
0.065
19
V19.2x6.16
Floor
2611.0
0.097
0
FC0.2x6.16 `
INTER -ZONE VENTILATION
Vent/ High
Open Vent Height-
Vent
eightVent Type Area Area Diff
---------- _____ _____
None
'
OVERHANGS
Fenestration
Comments
-------------------------------
--------------------------
_____________________________
--------------------------
Above
Left
Right
Name
____________
Height
______
Width
Depth
Glazing
Extension
Extension
F-1
5'0"
______
3'0"
______
2'0"
_________
4"
------- __
�
' 7'0"
________ _
94'0"
F-2
5'0"
2'0"
2'0"
4"
1010"
92'0"
F-3
00"
4'0"
2'0"
4"
3'0"
97'0"
F-4
5'0"
2'0"
2'0"
4"
3'0"
99'0"
F-5
5'0"
2'0"
2'0"
4"
6~6"
96'0"
F-6
6'6"
4'0"
2'0"
4"
3'0"
97'0"
F-7
5'0,
2'0"
2'0"
4"
310"
99'0"
F-8
5'0"
2'0"
2'0"
4"
3'0"
99'0"
F-9 `.
6'6"
4'0"
2'0"
4"
3'0"
97'0"
F-10
00"
2'0"
2'0"
4"
3'0'^
99'0"
F-11
6'8"'
6'0"
2'0"
4"
5'0"
93'0"
F-12
5'0"
5'09
2'0"
4"
8'V"
91'0"
F-13
6'0"
1'6"
1'0"
4"
2'0"
78'6"
F-14
3'0"
6'0"
1'0"
4"
2''"
74'0"
F-15
6'0"
1'6"
110"
4"
2'0"
78'6"
F-16
6'0"
1'0"
1'0"
4"
5'0"
76'0"
F-17
6'0"
310"
110"
4"
7'0"
72'0"
F-18
6'0"
1'0"
1'0"
4"
2'0"
79'0"
F-19
4'0"
4'0"
118"
4"
310"
75'0"
F-20
3'6"
4'0"
110"
4"
2.0"
76'0"
D- 1
.
3'0'
3'0"
1'0"
4"
2'0"
77'0",
D:-2
310"
3'0"
1'0"
4"
2'0"
77'0"
D-3 _
3'0"
310"
1'0"
4"
2'0"
77'0"
R-1
6'8"
6'0"
8'0"
4"
10'0"
59'0"
R-2
5'0"
310"
810"
4"
1310"
59'0"
R-+
5'0"
31()"
8'0"
4"
910"
13'0"
R-4
5'0"
2'0"
810"
4"
'9'0"
64'0"
R-5
5'0"
4'()"
810"
4"
1010"
61'0"
R-6
6'6"
7'6"
810"
4"
10'0"
57'6"
R-7
5'0"
5'0"
810"
4°
1310"
57'0"
COMPUTER METHOD SUMMARY ., PAge 5 C -2R
Project Title: JORDAN -6966 -PERMIT Run: 032 31 -Mar -94
================================================================================
OVERHANGS continued
Fenestration
--------------------------
Above
Left
Right
Name
____________
Height
______
Width
--- ___
Depth
lazing AExtension
__
Extension
R-8
4'0"
'
5'0"
______
110"
_________
-------
4"
310"
_-_______
4'0".
R-9
4'0"
7'6"
110"
4"
2'0"'
�
� 2'6"
R-10
6'6"
4'0"
110"
4"
310"
5'0"
B-1
6'8"
' 00"
13'6"
4"
14'0"
110'0"
B-2
60"
6'0"
13'6"
4"
10`0"
114'0"
B-3
310"
6'0"
1316"
4"
1810"
1000"
B-4
910"
5'0"
13'6"
'
4"
12'0"
113'0"
12'0"
13'6"
4"
11,0"
107'0"
B-6
2'0"
13'0"
106"
^
4"
16'0"
101'0"
B-7
. 5'0"
15'0"
13'6"
4"
21'0"
94'0"
B�8
5'0"
Co-
13'6"
4"
2310"
10310" `
B-9
2'0"
4'0"
1306"
4"
23'0"
103'0"
B-10
5'0"
6'0"
13'6"
4"
27'0"
97'0"
B-11
5'0"
15'0"
1'0"
4"
2'0"
65'0"
B-12
4'0"
00"
1'0"
4"
3'0"
73'0"
B-13
4'0"
6^0"
1'0"
4"
7'0"
69'0"
B-14
5'0"
5'0"
110"
4"
2'0"
75'0"
L-1
5'0"
2'0"
110"
4"
2'0"
300"
L-2 .
5'0"
2'0"
1'0"
4'.
5'0"
33'0"
L-3
5'0"
4'0"
1'0"
4"
7'0"
29'0"
L-4
4'0"
4'0"
1'0"
4"
1110"
25'0"
L-5
6'6"
7'6"
1'0"
4"
2'0"
50'6"
L-6
5'0"
5'0"
1'0"
4"
6'6"
49'0"
L-7
5'0"
2'0"
110"
4"
2'0"
56'0"
L-8
5'0"
2'0"
1'0"
4"
00"
52'0"
L-9
5'0"
2'0"
1'0"
4"
2'0"
56'0"
L-10
5'0"
4'0"
110"
4"
7'0"
49'0"
L -i1
5'0"
4'0"
1'0"
4"
14'0"
42'0"
`
FINS
__________________________
Left
Fin
Right
---------------------------
_________________________Fenestration
Fin
Fenestration
Exten
Dist
Exten Dist
--------------------------
Fin
Fin
above
to
Fin Fin
above to_
Name
Height
Width
Depth
Height
glzng
glzing
Depth Height
glzng glzing
None
THERMAL MASS
_ Vol Cond-
c
Area Thk Heat duct- Construction Insd
'
Mass Name (ft2) (in) Cap ivity Type Rval Location/Comments
______________ _____ ____ ____ _____ ____________ __7—_________________________
None
COMPUTER
METHOD
SUMMARY
'
Page
6
C -2R
Project
Title:
JORDANn6966-PERMIT
Run:
032
31 -Mar -94
SOLAR GAIN DISTRIBUTION
Fenestration Winter Summer Targetted �
Name Fraction Fraction Thermal Mass Comments
------------ -------- -------- ------------ ----------------- 2 ----------------
None
HVAC SYSTEMS
WATER HEATING SYSTEMS MISC
Solar savings Solar system Wood stove Wood stove
System Name fraction ^ type boiler? boiler pump?
____________ _____________ ____________ ----------- ---------------
Standard_ Gas
____________Standard_Gas -� -- . No No '
Standard, -Gas No No
WATER HEATER/BOILER DETAILS
� Rated � Pilot -
Water Recovery Input Standby Tank Light
Heater Name Efficiency AFUE (kBtuh) Loss R -value (Btuh)
____________ __________ ____ _______ _______ ------- ______
Standard_Gas 78% -- 40.00 -- -- --
HYDRONIC DISTRIBUTION AND TERMINALS
'
' � ^ Pipe Pipe Insul Insul
System/Name Type Number run (ft) 6iam (in) thck (in) R -value
______________ _____________ ______ --------- _________ _________ --------
None
______None � `
Duct Location
System Name
----------- --
System Type
--------------------------
Efficiency.
----------
aqd R -value
-----------
7
Zone = LIVING
7 -
`
GasFurn.80
Furnace
0"80
AFUE
Attic R-5.7
~ACsplit12
Air cond. --
central split
12.00
SEER
Attic R-5.7
Zone = SLEEPING
_GasFurn.80
Furnace
0.80
AFUE
Attic R-5.7
ACsplit12
Air cond. --
central split
12.00
SEER
Attic R-5.7
WATER HEATING
SYSTEMS
Distrib Water
Water
#
of Energy Volume
Wrap
System Name
____________
Type Heater
________ ____________
Name Heater
Type
Htrs Factor (gal)
R-val
Standard_Gas
_________________
Standard Standard _Gas Storage
gas
____
______ ______
1 0.63 50
_____
12
Standard_Gas
Standard Standard
-.-Gas Storage
gas
1 0.63 50
12
`
WATER HEATING SYSTEMS MISC
Solar savings Solar system Wood stove Wood stove
System Name fraction ^ type boiler? boiler pump?
____________ _____________ ____________ ----------- ---------------
Standard_ Gas
____________Standard_Gas -� -- . No No '
Standard, -Gas No No
WATER HEATER/BOILER DETAILS
� Rated � Pilot -
Water Recovery Input Standby Tank Light
Heater Name Efficiency AFUE (kBtuh) Loss R -value (Btuh)
____________ __________ ____ _______ _______ ------- ______
Standard_Gas 78% -- 40.00 -- -- --
HYDRONIC DISTRIBUTION AND TERMINALS
'
' � ^ Pipe Pipe Insul Insul
System/Name Type Number run (ft) 6iam (in) thck (in) R -value
______________ _____________ ______ --------- _________ _________ --------
None
______None � `
Return to: AGRICULTURAL
Buildigg Division - FOR RESIDENTIALbEVELOPMENT 94-29380
Section 26-8.1 of the Butte 'County Code requires this
acknowledgement be recorded prior to issuance of a building
permit.
94-0293801' Rec Fee 6.00
The property described herein is adjacent to land or included I Cash 6.00
within an area zoned for agricultural purposes, and residents Recorded I
of this property may be subject to inconveniences or Official Records I
discomfort arising from the use bf.agriculfta-al chemicals, County of
including, but not limited to herbicides, pesticides, and Butte
Candace J. Grubbs I
fertilizers; and from the pursuit of agricultural operations
including, but not limited to cultivation, plowing, slira Recorder
pruning, and harvesting which occasionally gerying' 9:34am 13 -Jul -94 I PUBL XX I
erate
dust,smoke, noise, and odor. Butte County has established
agricultural zones which have as a priority use for productive
agricultural purposes and residents within said zones and on adjacent property. should be prepared to accept such inconvenience or
discomfort from normal, necessary farm operations.
All that real property situate in the County of Butte, State of California, described as follows:
Lots 27 and 31 of GRIDM COLONY NO. 9, according to the map of said Colony,
filed in the office of the Recorder of the County of Buttel State of California,
July 10, 1907 in Map Book 6, page 58.
Date: 7-13-cft PROPERTY OWNERS:
State of California
County of SZ4771,eE7
On '7—IS-94- before me, AB,,e----Ao0'&'>-*9 edt9 7 -r --S, AIVT�*��
personally appeared 11R&-< 67-�-- VC -1V -,7-0kbAA1
personally known to me (or proved to me on the basis of satisfactory evidence) to be the person(s) whose name(s) is/are
subscribed to the within instrument and acknowledged to me that he/she/they executed the same in his/her/their authorized
capacity(ies), and that by his/her/their signature(s) on the instrument, the &Mp_j�- i in e of which the
.Wo al
person(s) acted, execut the instrument.
BRENDA MARIE WATTS
W of r
WITNESS my 1v cal seal. 40 COMM. # 973879
NOTARY PUSUC. CAUFORNIA
Butte County
MY COM Expires Sept 21. 1996 -4
A.P. # -P—L�140--nQ-0—
END OF DOCUMENT
UtrAK I nnrIM I Wr UCV=LUrMr.1M I -VCr%V 1%,CCI
7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965-3397
TELEPHONE: (916) 538-7541
FAX: (916) 538-2140
I. -A U �
Carl Ryan June 26, 1995
4332 Pennington Rd.
Live Oak, CA 95953 RE: Building Permit # 94-0900
Expiration Date: 7/14/95
A.P. # 021-160-001
With reference to the above subject, our records indicate that your
building permit expires on the above date and your permit falls into the
category marked below:
1XXI Permit work started, but not completed. Permit may be renewed
for 1/2 the original building permit fee (plus a $20.00 filing
fee). The renewal permit will extend the building permit for
an additional year from the original expiration date. Should
you not renew your permit within 30 days of the expiration date,
all work must cease until a new building permit has been issued.
For your convenience, we are enclosing a renewal application form
and owner -builder form to be completed and'signed by'you where
indicated and returned to this office together with the fee
shown. Please return all copies of the application form.
No inspections have been made on permit work. Inspections are
required to verify code compliance. We are unable to renew a
permit where the work has not been started and inspected prior
to permit expiration. After expiration of your permit, no work
may be started until a new permit has been issued.
If our records are in error or should you have any questions concerning
this matter, please contact the Oroville office.
Thank you for your prompt attention concerning this matter.
Yours very truly.,-
Mic el C.' Vieira, C.B.O.
MCV:ahb Manager, Building Inspection
Attachments
cc: Mark & Cindy Jordan, 2770 Plum.St., Live Oak, CA 95953
Chico office - 1469 Humboldt Rd/891-2751
Paradise Office - 747 Elliott Rd/872-6307
DEPARTMENT OF DEVELOPMENT SERVICES
7 COUNTY CENTER DRIVE - OROVILLE. CALIFORNIA 95965-3397
TELEPHONE: (916) 538-7541
FAX: (916) 538-2140
6/3/96
MARK & CINDY JORDAN
2770 PLUM ST 95-1626
LIVE OAK, CA 95953- RE:. Building Permit #
Expiration Date: 7/14/96
A.P. # 021-160-001
With reference to the above subject, our records indicate that your
building permit expires on the above date and your permit falls into the
category marked below:
[X Permit work started, but not completed. Permit may be renewed
for 1/2 the original building permit fee (plus a $20.00 filing
fee). The renewal permit will extend the building permit for
an additional year from the original expiration date. Should
you not renew your permit within 30 days of the.expiration date,
all work must cease until a new building permit has been issued.
For your convenience, we are enclosing a renewal application form
and owner -builder form to be completed and signed by you where
indicated and returned to this office together with the fee
shown. Please return all copies of the application form.
No inspections have been made on permit work. Inspections are
required to verify code compliance. We are unable to renew a
permit where the work has not been started and inspected prior
to permit expiration. After expiration of your permit, no work
may be started until a new permit has been issued.
If our records are in error or should you have any questions concerning
this matter, please contact the OROVTT.T.F office.
Thank you for your prompt attention concerning this matter.
Yours very truly,
Michlael C. Vieira, C.B.O.
MCV:ahb Manager, Building Inspection
Attachments
Chico office - 1469 Humboldt Rd/891-2751
02 1 16-0'-00 1', 9
A4 6-,0007.E'
17 -JORDAN',.. Mark i
Rd, i le
4:781 W-Lib6it�' r
hous"ie
COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION
7 County Center Drive - Oroville, California 95965 - Telephone (916) 538-7541 94— PERMIT NO.
APPLICATIONAND PERMIT
ASfJyJt.PM=1
ZONING
BUILDINGPERMIT
I
i*ff JORDAN
TELEPHONE
SQ. FT. OCC. BUILDING VALUATION
OW291""CUWARTY ROAD, GRIDLEY 95948
com"WA
TEUEI`HONE
CONTRACTOR'S MAILING ADDRESS
____rOWN
Fireplace
CONSTRUCTION LENDER
Total Valuation $
LENDER'S MAILING ADDRESS
Filing Fee $ 20.00
Permit Fee $
ARCHITECT OR ENGINEER
LICENSE NO.
Plan Checking Fee $
Energy Plan Checking Fee $
ARCHITECT OR ENGINEERS MAILING ADDRESS
Penalty $
BUILDING ADDRESS
781 WWT LIBERTY 'ROAD, GRIDLEY
PERMITFEE $
PLUMBING PERMIT Filing Fee 20.00
Each Trap 7.00
LOT NO.
SUBDIVISION'SNAME 1PARCEL
MAP
Solar or heat pump water heater 23.00 —
USEOFSTRUCTURE
SF 0 Duplex 0 Mobilehome 0 Other PUMM, OUSE
SPECIFY
Water piping 15.00
Each gas water heater or vent 15.00
Gas piping system 1 - 5 outlets 15.00
Building sewer 15.00
TYPE OF WORK
New 0 Addition 0 Remodel 0 Utilities 0 Installation 0 Other 0
Describe Work: ELECRIC FOR 95-218W
Mobile Home I S I GI W 1 @�20.00
PERMITFEE $
Contractor
ELECTRICAL PERMIT Filina Fee 20.00
a OR LESS
Main Service 20000VA OR LESS 23.00
Main Service 2..A TO 1000A 46.00
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter
9 (commencing with Section 7000) of Division 3 of the Business and Professions Code,
and my license is in full force and effect. -
License Class Lic. No. 2
OWNER -BUILDER DECLARATION
I hereby affirm under penalty of perjury that I am exempt from the Contractors License
Law for the following reason:
0 1, asowner of theproperty, ormy employees with wages as their sole compensation,
will do the work, and the structure is not intended or offered for sale.
0 1, as owner of the property, am exclusively contracting with licensed contractors
to construct the project.
0 1 am exempt under Sec. Business and Professions Code for this
reason
NEW CONST. DWELLING OCC
OR ADDNS. ACC BLDSL28Y SO 10
a . FT.'
3.50
NEW CONST. MULTI -OUTLET
— NON-RES;D. BRANCH CIRCUITS 97.50
SIWER us
1, PONGLEAOPPALMETT C I R.
—Ex.
Occup. OUTLET OR FDCTURES E
X V:
FIXEDAP LNS. OR
Ex. Occup. OUTLETS (PESID.) EA 5.00
Temporary Service 23.00
Mobile Home Facilities 20.00
Misc. Wiring 23.
PERMITFEE $ 30.05
Contractor
WORKERS' COMPENSATION DECLARATION
1 hereby affirm under penalty of perjury one of the following declarations:
0 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.
0 1 have and will maintain workers' compensation insurance, as required by Section
3700 of the Labor Code, for the performance of workforwhich this permitis issued.
My workers' compensation insurance carrier and policy number are:
Carrier
MECHANICAL PERMIT Filing Fee 20.00
0
Heating
Cooling
Hood 6.50
Ventilation
PERMITFEE $
Contractor
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.)
0 1 certify that in the performance of the work for which this permit is issued, I shall
not employ any person in any manner so as to become subject to workers'
compensation laws of California, and agree that if I should become subject to the
workers' compensation provisions of section 3700 of the Labor Code, I shall
forthwith comply with those provisions.
X Date 1
Signature of Applicant - 0 Owner 0 Contractor 0 Agent
An OSHA permit is required for excavations over 60" deep and demolition or construction
of structures over 3 stories in height.
Mobile Home Installation Fee
Energy Inspection Fee Is
Occ
CONST. TYPE
TOTAL FEE $ V -0i
HAZ.
I D. FEES
� IMP
I FLOOD
I CDF PARCEL
PD I HD I ISSUE
This permit is hereby issued under the applicable provisions
of the Butte County Code and/or Resolutions to do worlk
indicated above for which fees have b pai
ge5n
ByrJ 1/2/96
;/,104�Date
PERMITEXPIRESON 9/1'9/96
(D&-,)
ReceiptNo.
I
WHITE-D.D.S.-B.D. CANARY -AM PINK -INSPECTOR GOLDENROD -APPLICANT
COUNTY OF BUTTE -DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING DIVISION
7 County Center Drive - Oroville, California 95965 - Telephone (916) 538-7541 (9��_ PEFLMIT NO.
APPLICATION AND PERMIT J�z
A`t5yTT'T—, �Y-Tb
ZONING
BUILDINGPERMIT
"MRK JORDAN
TELEPHONE
SO. FT. OCC. BUILDING VALUATION
*191'1YN'tMRTY ROAD, GRIDLEY 95948
co AlMi
TELEPHONE
CONTRACTOWS MAILING ADDRESS
Fireplace
CONSTRUCT]ION LENDER
UNMOWN
Total Valuation Is
LENDER'S MAJUNG ADDRESS
Filing Fee
$ 20.00
Permit Fee
$
ARCHITECT OR ENGINEER
LICENSE NO.
Plan Checking Fee
$
ARCHITECT OR ENGINEERS MAIUNG ADDRESS
Energy Plan Checking Fee
$
Penalty
$
BUILDINGADDRESS
781 WEPST LIBERTY ROAD, GRIDLEY
PERMITFEE $
PLUMBING PERMIT
Filing Fee 20.00
Each Trap
7.00
LOT NO.
SUBDIVISION'S NAME
PARCEL MAP
Solar or heat pump water heater
23.00
USEOFSTRUCTURE
SF 0 Duplex 0 Mobilehome 0 Other PUMPHOUSE
SPECIFY
Water piping
15.00
Each gas water heater or vent
15.00
Gas piping system I - 5 outlets
15.00
Building sewer
15.00
TYPE OF WORK
New 0 Addition 0 Remodel 0 Utilities 0 Installation 0 Other 0
Describe Work: ELECTRIC FOR 95-2180
Mobile Home IS I G1 W 1
@20.00
PERMITFEE
$
Contractor
ELECTRICAL PERMIT
Filina Fee 20.00
R LESS
Main Service 6�0..OVA OR LESS )
0
23.00
Main Service 200A TO 1000A )
46.00
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 licen Se i's 61 full force and effect.
License Class Lic. No.
OWNER -BUILDER DECLARATION
1 hereby affirm under penalty of perjury that I am exempt from the Contractors License
Law for the following reason:
0 1, as owner of theproperty, or my employees with wages as their sole compensation,
will do the work, and the structure is not intended or offered for sale.
0 1, as owner of the property, am exclusively contracting with licensed contractors
to construct the project.
0 1 am exempt under Sec. Business and Professions Code for this
reason
NEW CONST. DWELLING OCCU
OR ADONS. 8, ACC. s. 28�
so 10.05
3.50 FT.*
NEW CONST. MULTI -OUTLET )
NON-RESID. RANCH CIRCUIT
.50
POWFR
a SINGLEAOF15ALREArTU'1R.
—Ex.
Occup. OUTLET OR FIXTURES
20 @ 1.00
BAL 0 .50
Ex. Occup. OFIXED APPLNS..OR
UTLETS (RESID) EA.
5.00
Temporary Service
23.00
Mobile Home Facilities
20.00
Misc. Wiring
23.00
PERMITFEE
$ 30.051
Contractor
WORKERS' COMPENSATION DECLARATION
I hereby affirm under penalty of perjury one of the following declarations:
0 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.
0 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
PERMITFEE
$
Contractor
Policy Number
(The above sections need not be completed 0 the permit is for work of a valuation
of one hundred dollars ($100) or less.)
0 1 certify that in the performance of the work for which this permit is issued, I shall
not employ any person in any manner so as to become subject to workers'
compensation laws of California, and agree that if I should become subject to the
workers' compensation provisions of section 3700 of the Labor Code, I shall
forthwith comply with those provisions.
X Date 2�
Signature of Applictnt - 0 Owner 0 Contractor 0 Agent
An OSHA permit is required for excavations over 60" deep and demolition or construction
of structures over 3 stories in height.
Mobile Home Installation Fee $
Energy Inspection Fee Is
I
OCC
CONST- TYPE
TOTAL FEE $
q0 nc;
HAZ.
I D. FEES
I IMP I FLOOD
I CDF
PARCEL HD
ISSUE,
This permit is hereby issued under the applicable provisions
of the Butte County Code and/or Resolutions to do work
ind
By
PERMITEXPIRESON 9/19/96
(Dade)
FleceiptNo.
WHITE-D.D.S.-B.D. CANARY-AgWM9 PINK -INSPECTOR GOLDEN ROD-TiPPLICANIT
Eutte county..
L A N D 0 F INI A T U R A 1, W E A L T H AND -BE.,a1U:—'
BUILDING DIVISION
DEPARTMENT OF DEVELOPMENT SERVICES
7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965-3397
TELEPHONE: (916) 538-7541
FAX: (916) 538-2140
Mark Jordan
2770 Plum St.
Live Oak, CA 95953
Re: Proposed plan revision
A.P. No. 021-160-001
With reference to the above subject, attached is:
[x] Plan Check List (faxed to Laughlin & Co. 3-28-95)
Red Marked Calculations
Red Marked Plans
Other:
Action Required:
[x] Comply with plan check list
Resubmit plans with revisions as required
Resubmit calculations with revisions as required
May 15, 1995
Permit No. 94-0900
Should you have any questions, please dont hesitate to contact me at (916) 538-7541
Monday through Thursday between 8:00 a.m. and 4:00 p.m.
Sincerely,
Michelle M. Weigel
Plan Checker II
cc: Laughlin & Co.
1008 Live Oak Blvd.
Yuba.City, CA 95991
Permit Applicant: Mark Jordan
Permit #94-0900 Revision
5/15/95
The above referenced plans were reviewed by this office. Provide additional information
and/or make revisions to plans, specifications, and/or calculations as follows:
1. -Provide-revised—en—e—rg—y additional window.
2. Apply -f lumbing permit for the additional plumbing and pay the appropriate fees.
revised p check fee.
3. Pay e requi�red
RESIDENTIAL
021 160-061 PERMIT#95-1627
JORDAN, Mark &'Cind
y
781 W. Liberty.Rd., Gridley
Cont; Carl Ryan
Add Covered Entryway/SFI.-
4p ;L�' q - oq'00
JOB FINAL�ED (Date
Signatur
V OK
0 Not OK
Not Applicable
Not Ready 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/0 Concrete
4. Water; Location -Test- Easement Needed (Sketch)
5. Electricity; Location-Clearences-Grnd-/ /Amp -Concrete
6. Gas; Location -Test -Wrap: 11 P11t.
/ P'Nat. or/ /"L"ft./ P'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 Occupancy
Date
Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1
MISCELLANEOUS
Date DECKS, COVERS, CARPORTS, GARAGES, (Plans)OK except #'s
1. Zoning Requirements -Setbacks -Easements
2. Footings; Soils-Size-Depth-Spacing-Connectors-SteeI
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
6. Carports; Windows -Doors
7. Electric
8. Frmg; Sils-Anchors-Studs-Aftrs-Trusses
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
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
V OK
0 Not OK
Not Applicable
Not Ready RESIDENTIAL (E
DatV N_WFLOOR
. 1 1.
_,eFtg.,
3.
(Plans) OK except #'s
�Zing-Setbacks-Easements-Flood-Slope
Main; Soils-Elec. Grnd.-/ /" Ftg. Depth
Ft9,,9arage; Soils-Steel-Elec. Grnd.7/ Oftg. Depth
I.--ir-hp.,
Porches & Decks; Soils-Steelj�atg. Depth
5.
Sternwalls, Main; Steel-Blockouts-Wrapped
6. Sternwalls, Garage; Steel- Blockouts-Wra pped
Sa.
Hold Downs and Special Anchors
7.
Slab: Steel -Wrapped
8.
Piers -Fireplace Ftg.-Steel
9.
D.W.V.; Fall -Fitting -Test -2 Way C/0 -Sewer Test
10. UF. Gas Pipe; Size -Anchors - yard gas piping: size -test
11.
Water Pipe; Test -Anchor -Regulator -Service Test
12.
Electric: Underground
13.
Pienums & Ducts; Clea ra nce- Mate ria I-Suppo rt- 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 P's
Water Htr.: Vent -Access -Combustion Air -Baffle
17. Water Pipe: Test & Anchor -Nail Protection
18. D.W.V.: Test -Fittings & Anchor -Nail Protection
9. 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 ft's
22. Fixture & Transformer Clearance -Ins. Protection
---- -------- - - ---------------------- - -------------------
------- _____23._ E-lec. Recept-acles Spacing -Lights & Switches at Doors -------------
-------------- 24.- Size- Boxes -&-No-. -of- Cond uctors-Sta pled --------------- ----------
25. Romex Installed Close to Edge of Studs & C.J.
- - --------------------------- -----------------
26. Equip. Ground made up w!Mech. 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. I / ga. Cu or Al -Oven Circ. / / ga. Cu or Al.
Insulated Neutral 0 Yes 0 No
--------------- ------------------------------------------------------------------
- ------ 30.--Service-Riser-Co-nductors-&-Gro.u-nd-M-ain- Disconnect -------------
31. Equip. Clearances Panel s- Motors- Mech. Equip.
-------------- -- - - -------------- - -------------- --- -- - -- - - - -
32. Clothes Closet Light -Shower Light -Spa Light
-------------
33. Smoke Detector
-------------- I -------------------------------------------------------- ------
----------------------------------------------------------------------------------
Date Card B-1 Date Card B-1
---------- ---- -------------------------------------------------- ----------
Date Card B-1 Date Card B-1
Date MECHANICAL (Permit) OK except P's
34. A.C. Ducts Insulation & Support
-------------- -- - ---------- ------------------------------------- .............
35. Vent Fan: Exhaust above insulation
------------- --------- ------- --------- - -- - -----------------------------------
36. Condensate Drain & Overflow ' 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 -I Date Card B-1
Date FRAMING (Plans) OK except #'s
�9?,4ijs, Proper material & Anchors
-- ---------------------------------
VO. Walls Studs -Nailing. Spacing & Bracing -Plates -Sound
------ ---- - ------- -------------------------------- --------------- ----------
41. Bearing Walls over Girders & Floor Nailing
----------------------------- --------------------------
42. Draft Stop in Walls (rat proof)
........... -- --------------------- --- ------- ----------
43. Fire Stops: Furred Ceilings -Stairs -Chases -Tub
-------------- - ------------------- - ------------------ - ---------------------
Headers & Beam -Size & Bearing
,ingile, & Duplex)
Date FRAMING (Continued)
1,� 45. Hangers -Post Caps -Anchors -Connectors
4-9-Clng. Joist-Rftr. tibs-Purlin-roof Brac-Truss-Shthng.-Rfng.
47. Fireplace Ties or Type A Flue -Fireplace Throat clearance
Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles
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-UnderfIr. Access
57. Glazing Area -Glass Protection -Skyl ights-Plastic
------------ 58. Shear Walls: Nailing -Bolts
59. Insulation -Walls -Ceilings
60. Infiltration -Walls -Windows
------ - -----
----------- ---- - --
----------- j& r �__6
Dat rd -1 Dare Card B-1
Dat Card B-1 Date Card B-1
Date FINAL (Plans) OK except #'s
61. Ext. Steps -Door & Sidelight Protection- Landings
62. Smoke Detector
-------------
63. Furnace: Vents -Clearance -Comb. Air -Connector -
In Garage: Above Floor-Ducts-Mech. Protection
--------------
64. Bedroom Exiting
65. G.F.I. & Bath Fixtures & Tub Access -Spa
------------- _ ----------
------------- 6-6.-Elec.-Trim-& Subpanel: Breaker Sizes & Labels
67. Stairs & Rails
-------------- --- ..............
68. Fireplace or Stove: Clea rances- 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.- Gar age -Fire -Door: Swing -Landing -Closer
73. A.C. Duct in Garage -Damper
------- ---------------------------
74. Wtr. HIr.: Vents -Clearance -Comb. Air-Connector-P.R.V.
In Garage: Above Floor-Mech. Protection
75. Plb.. Elec. & Mech. Equip. Listed for Location
---------------------------------
Elec. Receptacles in Garage: (G.F.I.)-Romex Protection
7;. Insu lat ion -Foam- Looked in Attic 0 Yes
---------------- --------------
------------- 78. Guard -Rails & Deck -Const ruct ion -Post Caps
79. Fdn. Vents & Crawl Hole Door -Drainage & Wood -Earth
Clearance Looked under Floor C1 Yes
------ -------------------------------- - -------
80. Following instld.: Drive 13 Yes 11 No: Walks 0 Yes 0 No:
Planters 0 Yes 1:1 No
........... --------------------- -----
Stucco'. Brow -n -Finish -----
82. A'C. Unit: Disconnect. Electrical, Plumbing
------ ----------------------------- - ----- -
83. Vents Above Roof: Plbg.-Appliance-Fireplace.-Clearance to
Openings
- ------------
84. Water Well: Disconnect, Electrical, Plumbing
...... ....... ................
85. Exterior Elec. Trim: G.F.I. Receptacle- Underground
....... I ------------------
86. 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 -HD Approval
...... ....... ..........
91. Energy Compliance Certificate -Other Certificates
------ --------------------------
- I ----------------------------------
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 OF DEVELOPMENT SERVICES - BUILDING DIVISION
-7 County Center Drive - Oroville, California 95965 - Telephone (916) 538-754 PERMIT NO.
APPLICATION AND PERMIT Yi:�--142,27
ASSESSOR PARCEL NUMBER 021-160-001
ZONING A40
BUILDINGPERMIT
OWNER MARK & CINDY JORDAN
T�ONE
SQ. FT. OCC. BUILDING
VALUATION
OWNER'S MAIUNG ADDRESS
11LN
2770 PT ST LIVE OAK, 95953
70 C 910.00
CONTRACTOR'S NAME
CARL RYAN
TELEPHONE
1695-3625
CONTRACTORS MAILING AZT�j PENNINGTON RD LTVF OAK, 95() 3
Fireplace
CONSTRUCTION LENDER
UNI(NOWN
Total Valuation 1$
LENDER'S MAJUNG ADDRESS
Filing Fee $
20.00
Permit Fee $
25.00
ARCHITECT OR ENGINEER
LICENSE NO.
Plan Checking Fee $
23.00
Energy Plan Checking Fee $
ARCHITECT OR ENGINEERS MAIUNG ADDRESS
Penalty $
BUILDING ADDRESS
781 W- LIBERTY RT)
PERMITFEE $
68.00
(1RT TRY,
PLUMBINGPERMIT
Filing Fee 20.00
Each Trap 3 1
7.00 121.00
LOT NO.
SUBDIVISION'S NAME
IPARCEL MAP
Solar or heat pump water heater
23.00
USEOFSTRUCTURE
SF 00 Duplex 0 Mobilehome 0 Other
SPECIFY
Water piping
15.00
Each gas water heater or vent
15.00
Gas piping system I - 5 outlets
15.00
Building sewer
15.00
TYPEOFWORK
New 0 Addition OXRemodel 0 Utilities 0 Installation 0 Other 0
Describe Work:
Mobile Home . IS I GI W1
920.00
PERMITFEE $
41.00
Contractor
ELECTRICAL PERMIT
Filina Fee 20'00
Main Service 500V OR LESS
200A OR LESS
23.00
Main Service 200A TO 1000A
46.00
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 ison full force and effect
License Class to Lic. 'No. 6 �?-s — -�� -2-:5'
OWNER -BUILDER DECLARATION
1 hereby affirm under penalty of perjury that I am exempt from the Contractors License
Law for the following reason:
0 1, 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.
0 1, as owner of the property, am exclusively contracting with licensed contractors
to construct the project.
0 1 am exempt under Sec. Business and Professions Code for this
reason
NEW CONST. DWELLING OCCUP.
OR ADDNS. & ACC. BLDS.
so
3.50 FT._
NEW CONST. MULTI -OUTLET
_NON-RESID. BRANCH CIRCUITS
97.50
POWER ---Us
a. SIN.LE OUTLET CIR.
Ex. Occup. UTLET OR FIXTURES
- F.
20 @ 1.00
BAL .50
FIXED APPLNS. OR
Ex. Occup. OUTLETS (RESID.) EA
5.00
Temporary Service
23.00
Mobile Home Facilities
20.00
Misc. Wiring
23.00
PERMITFEE $
Contractor
WORKERS' COMPENSATION DECLARATION
1 hereby affirm under penalty of perjury one of the following declarations:
0 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.
0 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' compen!ln insurance carrier and policy number are:
,/�o YJ
Carrier . ) 4= 4 ,
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.)
0 1 certify that in the performance of the work for which this permit is issued, I shall
not employ any person in any manner so as to become subject to workers'
compensation laws of California, and agree that if I should become subject to the
workers' compensation provisions of section 3700 of the Labor Code, I shall
hwith COMPI ith those provisions.
X Date I
Signat of App�lican�/�D Ow—ner 0 Contractor 0 A?n
t
An OSHA permit is required for excavations over 60" deep a demolfio�onstr�uction
of structures over 3 stories in height.
MECHANICAL PERMIT Filing Fee 20.00
Heating
Cooling
Hood 6.50
Ventilation
PERMITFEE $
Contractor
Mobile Home Installation Fee
Energy Inspection Fee is
OCC
ONST. TYPE
ITOTALFEE$
109.00
HAZ.
I D. FEES
I IMP I FLOOD
I C.F
_
I PTCEL
This permit is hereby issued under the applicable
of the Butte County Code and/or Resolutions
indicated above for which fees have been
,)at
PERMITEXPIRESO N
(6 -to
provisions
to do work
paid.
T11 �-?5
769
Receipt No. _ 180703
WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDEN ROD-APPL ICA NT
Contractorl<5�wner, was advised of above required data by phone mail Counter by _G:_ Date J!a_
Contractor, designer, owner, was advised of above required data by phone mail Counter by - Date
Plans checked by N QG a4'5 Date 5 Plans approved by e,' t BA oe%cs Date
.j_
P_ - Sets of plans on hold in ),I- File cabinet AP folder
Copy - Department of Public Works
-dOUNTYOF
A` PMENT SERVICES - BUILDING DIVISI040000�
BUTTE - DEPARTMENTOF DO' Ei -6
7COUNTYCENTER DRIVE - OROVIME�6KLIF'.0,RNIA95965 -TELEPHONE (916)538-7541
PERMIT APPLICATION DATA SHEET
OWNER o-- A P. No. In -00
Proposed Building Use rA Building Inspect Date
or !Z/
a -7 � I -Z;3
4
A
At time f ermit application, I was advised the following 6a 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 duplicateftequired prior to plan check).
9.
Mobilehome data and manufacturer's installation instructions, 2 sets . ...........
10.
Fees of $ . ....................................
11.
f
Impact fees as shown on attached schedule . .............................. .
12.
California Department of Forestry plan approval/fees ....... ................ :r-
13.
Flood elevation letter (100 year floodb�by =Cali (hiaEngineer .....................
14.
Sanitation and plot plan approval ) ealth Department. it� .........
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:
Contact Land Developmentabout Improvements Drainage
18.
(A) (B) .....
19.
Driveway permit (construction approval required prior to occupancy).
20.
P;r�4AsWct6 �e4u_eff_
Pre -i spection for required. to Building ;Onspector -(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 AgricultuXar*A'cknowledgement 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 a)ccess . ..................... i ..................
- 30.
Documentation of 50% subdivision developed or (A) Road improvements completed
and (B) Parcel meet§ zoning area -and frontage requirements . ........... i!h. . .-
- 31.
Existing violations/expired permits . .......................................
32.
Plan checklist. .................................................
33.
34.
When o ssue
the rocess as follows: Mail -to owne Mail to contrabtor.
L. -I Telephone and hold for pickup at office. Deliver with inspector.
Other
Parcel Creation
Acreage
6-
Applicant Da te
V
Copy of Haz-Mat form sent Health Dept. Fire Dept. _ Air Pollution Date
Copy of plans sent Health Dept. _ Fire Dept. Other - Date - By
The following data must be submitted prior to permit issuance: (Circle new item not checked above).
1. Index permit
for above items No.
2. Additional items required:
Contractorl<5�wner, was advised of above required data by phone mail Counter by _G:_ Date J!a_
Contractor, designer, owner, was advised of above required data by phone mail Counter by - Date
Plans checked by N QG a4'5 Date 5 Plans approved by e,' t BA oe%cs Date
.j_
P_ - Sets of plans on hold in ),I- File cabinet AP folder
Copy - Department of Public Works
ESIDENTIAL
-2180
021-160-001 PERMIT#95
JORDAN, Mark
781 W. Liberty Rd., Gridley
Cont; Carl Ryan
New Pumphouse
�1013 FINALIECI (I
Signature
4k-
V OK
0 Not OK
Not Applicable
Not Ready 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/0 Concrete
4. Water; Location -Test- Ease men t Needed (Sketch)
5. Electricity; Location-Clearences-Grnd-/ /Amp -Concrete
6. Gas; Location -Test -Wrap: 11 P11t.
/ P'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. Cent. of Occupancy
Date Card B-1 Date Card B-1
Date Card B-1 Date Card B-1
I
MISCELLANEOUS
Date DEW, COVERS, CARPORTS, GARAGES, (Plans)OK except #'s
ning Req u ire ments-Setbac ks- Easements
_Ko
Footings; Soils-Size-Depth-Spacing-Connectors-SteeI
3. Decks; Griders and/or Joists- Decki ng-Braci ng -Stairs-Rails
4. Wood Awn.; Posts- Beam s- Rft rs. -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
9. Siding; Nail i ng -Veneer -Stucco -Mesh
10. Roof; Shthg-Roofing
11. Ext.; Steps -Doors -Landings
I - /, - � _zq
DWV6171�' (_,_C'�rd B-1"VA-�� Date Card B-1
Da(e Card B-1 Date Card B-1
Date POOLS (Plans) OK except #'s
1. Setba c ks- Easements
2. Soils; Compaction -Structure Stability
3. Pool Structure: Steel -Connections -Thickness
Dead Men-Linina
4. Elec.; Receptacles and Lighting, Distances-GF1
5. Elec.; Pool Lighting; 15 volts-GFI
6. Elec.;Enclosures; Conduit En tries -Term i na Is- Listed
7. Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater
8. Elec.; Grounding; Equip. w/5' Circulating Equip. -Pool Lghtg.
Boxes -Enclosures -Pane I boa rds- 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
V OK
0 Not OK
Not Applicable
Not Ready RESIDENTIAL
Date UNDERFLOOR (Plans) OK except #'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. F�tg_ Porches & Decks; Soils -Steel-/ /Ftg. Depth
5. Sternwalls, Main; Steel-Blockouts-Wrapped
6. Sternwalls, Garage; Steel- Blockouts-Wra pped
6a. Hold Downs and Special Anchors
7. Slab; Steel -Wrapped
8. Piers -Fireplace Ftg.-Steel
9. D.W.V.: Fall -Fitting -Test -2 Way C/0 -Sewer Test
10. UF. Gas Pipe; Size -Anchors - yard gas piping: size -test
11. Water Pipe; Test-Anchor-Flegulator-Service Test
12. Electric; Underground
13. Pienums & Ducts; Clea rance- Mate ria I -Su pport- Ins.
14. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples
15. Access & Ventilation'9
16. Insulation
Date Card B-1 Date Card B-1
Date Card B-1 Date Card B-1
Date PLUMBING (Permit).OK except P's
Water Htr.: Vent -Access -Combustion Air -Baffle
17. Water Pipe: Test & Anchor -Nail Protection
_18. D.W.V.: Test -Fittings & Anchor -Nail Protection
9. 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 4's
22. Mixture & Transformer Clearance -Ins. Protection
- ------------ - --------------------
23. Elec. Receptacles Spacing -Lights & Switches at Doors
24. Size Boxes & No. of Cond uc to rs-Sta pled
7 ------- ---------------------------
25. Romex Installed Close to Edge of Studs & C.J.
26. Equip. Ground madeup w/Mech. Fastners-Bond Gas & Water
-------------------------
27. 2 Appliance Circuts in Kitchen & Conductor Size/GFI
------ - ----------------------------------------------------------------------------
28. Subleed Wire Size ga. Cu or AI-A.C. Wire Size ga.
Cu or At
----------------- - ------------------ -----------------------------------------------
29. Range Circ. ! / ga. Cu or Al -Oven Circ. / / ga. Cu or Al.
Insulated Neutral 0 Yes 0 No
------------------------------------------ ----------------------------- --
30. Service -Riser Conductors & Ground -Main Disconnect
-------------- - ---------------------- ------------------------------
-------------- 3 1-.- Eq u i -p. -Clea ra.nces -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- I Date Card B- I
Date MECHANICAL (Permit) Ok except #'s
34. A.C. Ducts Insulation & Support
------------- - - - -----------------------------------------------------
35. Vent Fan: Exhaust above insulation
----------------------------------------- -------------------- -- ---------------
36. Condensate Drain & Overflow: Size & Grade
------------------------------------------------------------------
37. Fu rnance-Vent: Access -Comb. Air -Return Air Vent- 115 outlet
--------------------------------------------------------------------------
38. Attic Access & Platform if-FUrnance in Attic
-------------- - --------------------------------------
------------------------------------------- ------ -------------------------------
Date Card B-1 Date Card B- I
- --------------------------------------------------------------------- -----------
Date Card B-1 Date Card B-1
Date FRAMING (Plans) OK except ft's
39. Sils. Proper Material & Anchors
- ------------------------------------------------------------
40. Walls Studs -Nailing. Spacing & Bracing -Plates -Sound
------------- -- - -- ------------------- I -----------------------------------
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
'Ingle & Duplex)
Date FRAMING (Continued)
45. Hangers -Post Caps -Anchors -Connectors
46. Clng. Joist-Rftr. ties-Purlin-roof Brac-Truss-Shthng.-Rfng.
47. Fireplace Ties or Type A Flue -Fireplace Throat clearance
48. Attic Access; Size & Romex Protection - Draft Stop -Ins. Baffles
49. Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions
50. Garage Fire Protection Framing
Property Line Firewall & Openings
52. Ext. Doors -One T -Check Garage -3rd Story, 2 Exits
53. Stairs: Width -Headroom-Rise-Run-Landi ng -Fire Protection
---- - - -----
54. plywood on Roof Overhang -Attic Vents -Rafter Outriggers
------------- 55. -Siding -Nailing Veneer
56. Stucco Mesh -Drip Screed -Fd. Vents-UnderfIr. Access
57. Glazing Area -Glass Protection -Skylights -Plastic
58. Shear -Wal Is-,-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 It's
61.- Ext. Steps -Door & Sidelight Protection -Landings
62. Smoke Detector
-------------------- ___
63. Furnace: Vents -Clearance -Comb. Air -Connector -
In Garage: -Above Floor-Ducts-Mech. Protection
64. Bedroom Exiting
-------------------------
65. G.F.I. & Bath Fixtures & Tub Access -Spa
------------- ---------------
------------- 6-6. Elec. Trim & Subpanel; Breaker Sizes & Labels
_67._ Stairs _&_Rai_ls___
68. Fireplace or Stove: Clba ra nces- 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 -Const ruct ion -Post Caps
79. Fdn. Vents & Crawl Hole Door -Drainage & Wood -Earth
------ ---------- Clearance Looked -under Floor- C3 Yes
80. Following instld.: Drive 0 Yes 0 No: Walks 0 Yes 0 No:
Planters 0 Yes 0 No
------ ----------------------------- -------
Stucco: Brow -n -Finish ----
82' A.C. Unit: Disconnect. Electrical, Plumbing
----------------------- - ----- -
83. Vents Above Roof: Plbg.-Appliance-Fireplace.-Clearance to
Openings
84. Water Well: Disconnect. Electrical, Plumbing
------- ---------------
.... 85...E_xte_rior_EIec._Tri_m: G.F.I. Receptacle- Underground
86. 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 -HD Approval
------ ----------------------
91. Energy Compliance Certificate -Other Certificates
---- ------------------------ - ------ _
------ ----------------------------------
D-a-t e ---------- 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 OF DEVELOPMENT SERVICES -BUILDING DIVISION
7 County Center Drive - Oroville, California 95965 - Telephone (916) 538-7541 IT NO.
— 9
APPLIcATi6N AND PERMIT
ASSESSOR PARCEL NUMBER 21-160-001
ZONING A40
BUILDING PERMIT
OWNER
MARK JORDAN
TELEPHONE
SO. FT. OCC. BUILDING VALUATION
OWNERS MAILING ADDRESS 781 W. KN LIBERTY RD GRIDLEY
288 5,184.00
CONTRACTORS NAME CARL RYAN
TEI EP14ONE
-
CONTRACTORS MAILING ADDRESS
Fireplace
CONSTRUCTION LENDER
OWN
Total Valuation Is
LENDERS MAILING ADDRESS
Filing Fee $
20.00
Permit Fee $
81.00 --
ARCHITECT OR ENGINEER
LICENSE NO.
Plan Checking Fee $
52.65
ARCHITECT OR ENGINEERS MAILING ADDRESS
Energy Plan Checking Fee $
Penalty $
BUILDING ADDRESS 781 W. LIBERTY RD
PERMITFEE $
153.65
GRIDLEY
PLUMBING PERMIT
Filing Fee- 20.00
Each Trap
7.00
LOT NO.
SUBDIVISIONSNAME
EL MAP
T�
Solar or heat pump water heater
—
-
23.00
USEOFSTRUCTURE
SF 0 Duplex 0 Mobilehome 0 Other PUMPHOUSE
SPECIFY
Water piping
15.00
Each gas water heater or vent
15.00
Gas piping system 1 - 5 outlets
15.00
Building sewer
15.00
TYPE OF WORK
New 4 Addition 0 Remodel 11 Utilities 0 Installation 0 Other 0
Describe Work: EXISTING METERS
Mobile Home G W
@20.00
1
PERMITFEE $
Contractor
ELECTRICAL PERMIT
Filino Fee 2 0.'0 0
OOOV 0" LESS
Main Service ( �..A OR
23.00
Main Service ( 200A TO 1000A
46.00
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 11 Zoe �ncl effect.
Class 9�, F -
License A_ Lic. No. 3,2--5
OWMER-BUILDER DECLARATION
I hereby affirm under penalty of perjury that I am exempt from the Contractors License
Law for the following reason:
D 1, 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.
0 1, as owner of the property, am exclusively contracting with licensed contractors
to construct the project.
0 1 am exempt under Sec. Business and Professions Code for this
reason
NEW CONST. DWELLING OCCUR
OR ADDNS. a ACC. BUDS.
3.50 So
NEW CONST, -OUTLET
NON-RESID. BRMAULCTHI CIRCUITS
97.50
PO ER APPARATUS
SINGLE OUTLET CIR.
Ex. OCCUP. ( OUTLET OR FIXTURES
20 @ 1.00
BAL 0 .5o
FIXED APPLNS. OR I
Ex. Occup. ( OUTLETS (FIESID.) EA 1
5.00
Temporary Service
23.00
Mobile Home Facilities
20.00
Misc. Wiring
23.00
PERMITFEE $
Contractor
WORKERS' COMPENSATION DECLARATION
1 hereby affirm under penalty of perjury one of the following declarations:
0 1 have and will maintain a certificate of consent to self -insure for workers'
copl:rensation, as provided for by section 3700 of the Labor Code, for the
,,p6rformance 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' qWpensation ' uranc C tpf* d policy number are:
Carrier - W p3z�
2—f 4�1�
MECHANICAL PERMIT
Filing Fee 20.00
Heating
Cooling
Hood
6.50
Ventilation
PERMITFEE $
Contractor
Policy qu-m—b7le"r '
(The above sections need not be completed if the permit is for work of a valuation
of one hundred dollars ($100) or less.)
0 1 certify that in the performance of the work for which this permit is issued, I shall
not employ any person in any manner so as to become subject to workers'
compensation laws of California, and agree that if I should become subject to the
workers' compensation provisions of section 3700 of the Labor Code, I shall
forthwith Comply ith those provisions.
X (�Je 3 tggs--
K , —_ D&te Oef //I
Signature of Applicant 40 Owner P Contractor 0 Agent
An OSHA permit is required for exc94ions over 60" deep and demolition or construction
of structures over 3 stories in height.
Mobile Home Installation Fee $
I
Energy Inspection Fee $
OCC
CONST. TYPE
TOT AL FEE $ 153.65
D.
.E.EfiS
IMP FL20D
_
TDF PARCEL
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 .1e
PERMITEXPIRESON
(Date�
WHITE-D.D.S.-B.D. -CANARY-ASSESSOR PINK -INSPECTOR GOLDENROD -__1
ReceiptN 0. 185345 �P_, L, _C, , T
COUNTYOF BUTTE - DEPARTMENTO17DILY'F�tOPM ENT SERVICES -BUILDING DIVISION
7 COUNTY CENTER DRIVE - OROVILLE CALIFORNIA 95965 - TELEPHONE (916) 538-7541
PERMITAPP DATA SHEET',
OWNER 0.
Propd§'ed Buil6fng Use -Building Inspector._, 4e Da te 42
$0, rN/ I f / �
A_
At time of permit application, I was advised the following data must be submitted prior to permit processing and/or issuance:
DATE RECEIVED BY
-A-All itp s have been submitted . ........... .............................
lot plans, 3/4'sets, signed by preparer of plans . ..........................
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. Engin ered truss details and layout in duplicate (required prior to plan check) . ....
9. Mobilehome data and manufacturer's installation instructions� 2 sets . ...........
10. Fees of $ .1 .........................................
11. Impact fees as shown on attached schedule.
C lif rnia Department of Forestry plan approval/fees .........................
A-Ufro elevation letter (100 year flood) by California Engineer ...................
nitation and plot plan approval Health Department . .............
15. City 0 Chico plumbing permit. .......... I ..............
16. Plot plan and business license approval from City of Biggs/Gridley . .............
17. Planning approval for (A) Use: (B) Parking: .. . . ... . . . 0.&
18. Contact Land Development about (A) Improvements (B) Drainage, ........
10. Driveway permit (construction approval required prior to occupancy).
014A * eclo ; r�q*uest
20. Pre -inspection for required.. t6 B.,Isdp,.g 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 ) ...........
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 . ..................................... 0 .....
�8. 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 . ...............
�ftisting violationsa��� ......................................
12. Ian check list . .....................................................
33.
34.
iu issue the permit, proce s as follows: Mail,to owner. Mail to contractor.
elephone 7-12and hold for pickup at office. Deliver with inspector.
Other
Parcel Creation
Acreage Applicant Date
Copy of Haz-Mat form sent Health Dept. - Fire Dept. _ Air Pollution Dafre
Copy of plans sent Health Dept. _ Fire Dept. Other Date
The following data must be submitted prior to permit issuance: (Circle new item not checked above).
1. Index permit for above items No.
2. Additional items required:
Contractor, designer, owner, was advised of above required da by
ta _ phone mail Counter b Date
y_ I
Contractor, designer, owner, was advised of above required data by _ phone mail Counter by _ Date
Plans checked by Date Plans approved by G, N ti 3 W!; Date �j - f 9 cl
Sets of plans on hold in (a File cabinet AP folder
Copy - Department of Public Works
E.H. USE ONLY
PkA Pim AnscW
Flo" PI= AnhcW
SmI to B.D.
TO: Building Department
FROM: Environmental Health
SUBJECT: Sanitation Clearance
Owner Imation AP#
Plan Approved, for: Sewage Disposal Water Supply: Public Private Well
Clearance for bedroom mobile home. Other" 0 CA -
Hold final for:
Final clearance 0. K. for:
NOTE:
Environmental Health Specialist Date
2/01)
COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION
7 County Center Drive - Oroville, California. 95965_- Telephone (916) 538-7541
APPLIGATTONAND PERMIT
PERMIT NO.
ASSESSOR PARCEL NUMBER
ZONING
BUILDINGPERMIT
OWNER
SO. Fr. OCC. BUILDING VALUATION
OWNER'S MAILING ADDPf_SS
7 �) If boe;51- e�A
COWRACTOR'S NAME
(�79 Lj
TELEPHONE
CONTRACTOR'S LAJUUNG ADDRESS
Fireplace
CONSTRUCTION LENDER
UNKNOWN
Total Valuation $ C3
0 0
Filing Fee
$ 20.00
UENDER'S MAILING ADDRESS
Permit Fee
$
AACHITECTPR ENGINEER
LICENSE NO.
Plan Checking Fee
$
Energy Plan Checking Fee
$
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Penalty
$
SULDINGAIDDRIESS
PERMITFEE
$
PLUMBINGPERMIT
Filing Fee 20.00
Each- Trap
7.00
LOT NO. SUBOMSION'S NAME PARCEL MAP
Solar or heat pump water heater
23.00
Water piping
15.00
USEOFSTRUCTURE
SF 0//Duplex'O Mobilehome 0 Other
SPECIFY
Each gas water heater or vent
15.00
Gas piping system 1 - 5 outlets
15.00
Building sewer
15.00
TYPE OF WORK
New 0 Addition 0 Remodel 0 Utilities 0 Installation 0 Other
Describe Work: X"�e,7" 0 4� -.,- ; .,) —, — eo
.5
Mobile Home I S I GI W 1
920.00
PERMITFEE
Contractor
ELECTRICAL PERMIT
Filino Fee 20.00
t4 'A." Z_
Main Service 5000v OR LESS
20 A OR LESS
23.00
Main Service 200A TO 1000A
46.00
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter
9 (commencing with Section 7000) of Division 3 of the Business and Professions Code.
and my license is in full force and effect.
License Class Lic. No.
OWNER -BUILDER DECLARATION
I hereby affirm under penalty of perjury that I am exempt from the Contractors License
Law for the following reason:
0 1, as owner of the property, ormy employees with wages as their sole compensation,
will do the work. and the structure is not intended or offered for sale.
0 1. as owner of the property, am exclusively contracting with licensed contractors
to construct the project.
0 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:
0 1 have and will maintain a certificate of consent to sell -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.
0 1 have and will maintain workers' compensation insurance, as required by Section
3700 of the Labor Code:for the performance of work forwhich 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.)
0 1 certify that in the performance of the work for which this permit is issued, I shall
not employ any person in any manner so as to become subject to workers'
compensation laws of California, and agree that if I should become subject to the
workers' compensation provisions of section 3700 of the Labor Code, I shall
forthwith comply with those provisions.
X Date
Signature of Applicant - 0 Owner 0 Contractor 0 Agent
An OSHA permit is required for excavations over 60" deep and demolition or construction
of structures over 3 stories in height.
NEW CONST. DWELLING OCCUP,
OR ADONS. & ACC. BLDS.
3.5. P. -
NEW CONST. MULTI -OUTLET
NON-RESIO. BRANCH CIRCUITS (97.50
( POWER APPARATUS
SINGLE OUTLET CIPL
OUTLET OR FWTURES 20 @ 1.00
Ex. Occup. ( 8AL 'a .50
FIXED APPUNS. OR
Ex. Occup. ( OUTLETS (RESID.) EA 5.00
Temporary Service 23.00
Mobile Home Facilities 20.00
Misc. Wiring
23.00
PERMITFEE $
Contractor
MECHANICAL PERMIT Filing Fee 20.00
Heating
Cooling
Hood 6.50
Ventilation
PERMITFEE $
Contractor
Mobile Home Installation Fee Is
Energy Inspection Fee Is
OCC
CONST. TYPE
ITOTALFEE$
Z
1 0. FEES I IMP I FLOOD COF PAACEL PO HD ISSUE
This permit is hereby issued under me
of the Butte County Code and/or
indicated above for which fees have
By
PERMITEXPIRESON
applicable provisions
Resolutions to do work
been paid.
Date
(Dvel
ReceiptNo. C;� 062 5 /0
I
WHITE -D 0 S B.0 CANARY -ASSESSOR PINK -INSPECTOR GOLDEN ROD-APPL ICANT
-:7
--RE SIDENTIA L
"T021-160-001 99,99--pRm
kARK AND CINDY JORDAN
tdONTR- CARL RYAN j
78l.'W.EST LIBERTT, 'GRIDtEYL,":
L
J(NEW SINGLE FAMILY)
OFFICE COPY
ress
GAS
Meter By—��
ELECTRIC.
V. Meter By Date
rAdd
71 f yl �A 4-
y
.0
lk
:51
47 C
ell 49, 9 A�
OFFICE COPY
4
Address
Z GAS
Meter By Date
EILECTR
Meter BYE Date/
" 08 FINA
j
Signature
\7Z; r-- U-
V OK
0 Not OK
Not Alliplicable
Not Ready 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 -Test -Fall -C/0 Concrete
4. Water; Location -Test -Easement Needed (Sketch)
5. Electricity; Location-Clearences-Grnd-/ /Amp -Concrete
Gas; Locatlon-Test-Wrap: / /"U'ft.
P'Nat. or/ /"L"ft./ /"LPG
7. Well Clearance & Disconnect
8.'Utility Clearance
Date/initials MOBILE HOME INSTALLATION (Plans) OK except #'a
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
S. Drain; MH Test -Fall -Flex Connector
6. Water; MH Test -Regulator -Connector
7. Water and Sewer Connected -C/0 to Grade -HD Approval
8. Gas and Electricity Tagged
9. Exits; Ins p. -Sketch
'10. Cart. of Occupancy
MISCELLANEOUS
Date/Initial DECKS, COVERS, CARPORTS, GARAGES, (Plans)OK except #'a
1. Zoning Requirements -Setbacks -Easements
2. Footings; Soils-Size-DepthTSpacing-Connectors-StooI
3. Decks; Griders and/or Joists-Decking-Bracing-Staim-Ralls
4. Wood Awn.; Posts-Boams-Rftrs.-Connectors
Shthg.-Rfd.-Bracing
S. Alum. Awn.; Columns-Connections-Splice-Docal-Enclosums
6. Carports; Windows -Doors
7 Electric
8. Frmg; Sils-Anchors-Studs-Rftrs-Truases
9. Siding; Nailing-Veneer-Stucco-Mosh
10. Roof; Shthg-Roofing
11. Ext.; Steps-D6ors-Landing6
Date/initials POOLS (Plans) OK except #'a
1. Setbacks -Easements
2. Soils; Compaction -Structure Stability
3. Pool Structure; Steel -Connections -Thickness
bead 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/S'-Circulating Equip. -Heater
8. Elec.; Grounding; Equip. w/5' Circulating Equip. -Pool Lghtg,
Boxes-Enclosu res -Pane lboards- Ins. to Main In Conduit
9. Health Department Approval
10. Plumb.; Cir. Test-Water'Supply Test
V=OK
0 = Not OK
Not Applicable
Not Ready RESIDENTIAL (Slhgle & Duplex)
Date/initials UNDERFLOOR (Plans) OK except #'a
LA-'Zoning-Setbacks-Easoments-Flopd-Slope
2. Ftg., Main; Soils-Elec. J2;Ad-//P' Ftg. Depth
-j1-Ftg., Garage; Soils-Steel-Elec. Grrrd-�-� Fig. Depth
4. Fig., Porches & Decks; Soils -Steel-/ /Fig. Depth
C5,,"Stq�mwalls, Main; Steel-Blockouts-Wrapped
"temwalls, Garage; Steel-Blockouts-Wrapped
6a. Hold Downs and Special Anchors
Test
12. Elec!jrc; Underground
.46-151-enums & Ducts; Cleara nce-Material-Support- Ins.
W2!cOn-Sills-Anchor Bolts -Joists -Vents -Cripples
��fqQ*O`Access & Ventilation
f6. Insulation
Date/InitiallgMMING (Permit) OK except #*a
�,�at.r Htr.; Vent -Access -Combustion Air -Baffle
J/ J?��katfte; Test & Anchor -Nail Protection
qL) V.; Test -Fitt ngs & Anchor -Nall Protection
�..w r Pan; Test, First Floor -Tub Access
!:::::][O�_.st Tub & Shower, Second Floor -Tub Access
%,�21. Gas Pipe; Size & Anchors
Date/initials EL41CTRICAL (Permit) OK except Va
Fixture & Transformer Clearance -Ins. Protection
%Aec. Rqceptacles Spacing -Lights & Switches at Doors
Oxes & No. of Conductors -Stapled
ex Installed Close to Edge of Studs & C.J.
-,Ufxa u=ip..Ground made up w/Mech. Fastners-Bond Gas & Water
. -1
I jU_Wpliance Circuts in Kitchen & Conductor Size/GFI
/7A_,8-"'§ubfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / / ga.
L19"ange_Ofc./ /ga.CuorAl-OvenCirc./ /ga.CuorAl.
IgAoffled Neutral 13 Yes 0 No
rvice Riser Conductors & Ground -Main Disconnect
Clearances Pane Is-Motors-Mech. Equip.
S�_e__�Cles Clo t Light -Shower Light -Spa Light
_106�smoke Detector
Date/initials MECHANICAL (Permit) OK except #'s
t, --T4-. A.C. Ducts insulation & Support
j,,e5VqOt F4pllxhaust above insulation
,,,3154.ndensate Drain & overflow; Size & Grade
$��ance-Vent; Access -Comb. Air -Return Air Vent -115 outlet
j_!§j_Aftic Access & Platform if Furnance in Attic
Date/Initials Ff"ING (Plans) OK except #'a
32-Sils, Proper Material & Anchors
V*�_4q,,Wslls,Studs-Nalling, Spacing & Bracing -Plates -Sound
vj-�41. B.Wring walls over Girders & Floor Nailing
raft Stop in Walls (rat proof)
re Stops; Furred Ceilings -Stairs -Chases -Tub
C j
Ao�4. Headers & Beam -Size & Bearing
Date/Initials
Toist-Rftr. fies- Puri In -roof Brac-Truss-Shthn-g.-_RVg.
,ce Ties or Type A Flue -Fireplace ThtateKa-rance
ccess; Size & Romex Protection-DraffStop-ins. Baffles
Windows or Exiting Doors -Sill Hgt. & Dimensions
) Fire Protection Framing
ty Une Firewall & Openings
kors-One T -Check Garage -3rd Story, 2 Exits
Width -Headroom -Rise -Run -Landing -Fire Protection
%_-W. plywood on Roof Overhang -Attic Vents -Rafter Outriggers
61k.-SWig-Nailing Veneer
. Stucco Mesh -Drip Screed -Fd. Vents-Underfir. Access
J.Z1GIaz!gg Area -Glass Protection-Skyllghts-Plastic
A--W.,—Shear Walls; Nailing -Bolts
%4§. Insulation -Walls -Ceilings
��Infllilratlon-Walls-Windows
C-1
Date/initials FIN&E (Plans) OK except #'a
jet5e Stops -Door & Sidelight Protection -Land Inge
!fZ"6j,&oke Detector
-Clearance-Comb. Air-Connector-
FurnSW, Vents
19-GarAg_%-Above Floor-Ducts-Mech. Protection
Comments
Bath Fixtures & Tub Access -Spa
4ff%,jbeg,5rKrim & Subpanei; Breaker Sizes & Labels --
Rails
or Stovei Clearances -Hearth
ft'Alec. Outleks at Wood PaneL-4`nt. & Ext.
0. Kit -FK. & Appliance; C.I�<d.-Alt0ap-Cooki6i�Clearance
4!�.Y�ac. outlets & Receptacles at Kit. Counter
Ga!pge Fire Door; Swing -Landing -Closer
11-1511" Duct In Garage -Damper
74. Wtr. Htr.; Vents -Clearance -Comb, Air-Connector-P.R.V.
In 9�rage; Above Floor-Mech. Protection
75. Pjd, Elec. & Mach. Equip. Listed for Location
Receptacles in Garage; (G.F.I-)-Rome�,Protectlon
i��Inwwfiiion-Foam-Looked In Attic 93"Yes
I igg2g!L"ails & Dock Conomction-PostGaps
if [3�P'�_dn. Vents & Cp!tk6la Door
_ ._j_ ;Dnildi'ftEoj�E"
R!TrancAAe&dke under FIqdr —7
110r"Following instid.; Dri Yes 13 No; Walks Iff Yes 13 No;
Planters 0 Yes 174N.
Init; Disconnect, Electrical, Plumbing
Above Roof; Plbg.-Appliance-Fireplace.-Clearance to
, ter Well; Disconnect, Electrical, Plumbing
'o�s. �
iExtSOor Elec. Trim; G.F.I. Receptacle -Underground
-W-V'enjitation Throughout House
8&_ZO�Pntions from Previous Inspections P 0
89. radsZ!!Lt-meters Tagged; Gas -Electric k -k L 6,�!w
A,�_Water_& SetorConnected-C/O to Grade -HD Approval
COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION
7 County Center Drive - Oroville, California 95965 - Telephone (916) 538-7541 �PE3RMIT NO.
APPLICATfW"NI) PERMIT
ASSESSOR PARCEL NUMBER 021-160-001
ZON11 A40
BUILDINGOERMIT
OWNER MARK & CINDY JORDAN
TELEPHONE
SQ. FT. OCC. bUILDING VALUATION
OWNER'S MAILING ADDRESS 2770 PLUM ST LIVE OAK, 95953
CONTPACTOR'S NAME CARL RYAN 7EM5-NE3625
CONTRACTOR'S MAIUNG ADDRESS 4332 PENNINGTON RD LIVE OAK, 95953
Fireplace
CONSTRUCTION LENDER
UNKNOWN
Total Valuation Is
LENDER'S MAJUNG ADDRESS
Filing Fee
$ 20.00
Permit Fee
$ bbb. U
ARCHITECT OR ENGINEER
CENSE NO.
Plan Checking Fee
$
Energy Plan Checking Fee
$
ARCHITECT OR ENGINEER'S MAIUNG ADDRESS
Penalty
$
BUILDING ADDRESS
PERMITFEE
$ 908.50
PLUMBING PERMIT
Filing Fee 20.00
Each Trap
7.00
LOT NO.
SU BDrVISION'S NAME
PARCEL MAP
Solar or heat pump water heater
23.00
—
USEOFSTRUCTURE
SF 0 Duplex 0 Mobilehome 0 Other
SPECIFY
Water piping
15.00
Each gas water heater or vent
15.00
Gas piping system 1 - 5 outlets
15.00
Building sewer
15.00
TYPE OF WORK
New 0 Addition 0 Remodel 0 Utilites 0 Installation 0 Other 0
Describe Work: 1ST RENEWAL OF #94-0900
Mobile Home IS I G1 W_F__
@20.00
1
PERMITIFEE
Contractor
ELECTRICAL PERMIT
1 .00
Filinq Fee 20'
500V OR LESS
Main Service 200A OR LESS )
23.00
Main Service 200A TO 1000A )
46.00
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 i full force and effect.
License I —
Class Lic. No. J S�
OWNER -BUILDER DECLARATIOR
1 hereby affirm under penalty of perjury that I am exempt from the Contractors License
Law for the following reason:
0 1, 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.
0 1, as owner of the property, am exclusively contracting with licensed contractors
to construct the project.
0 1 am exempt under Sec. Business and Professions Code for this
reason
NEW CONST. DWELLING OCCUP.
OR ADDNS. & ACC. BLDS..
so
3.50FT.
NEW CONST. MULTI -OUTLET
NON-RESID. BRANCH CIRCUIT
97.50
POWER APPARATUS
8. SINGLE OUTLET CIR
Ex. Occup. OUTLET OR FIXTURES
20 (P 1.00
BAL 0 .50
FIXED APPLNS. OR
Ex. Occup. OUTLETS (RESID.) EA
5.00
Temporary Service
23.00
Mobile Home Facilities
20.00
Misc. Wiring
23.00
PERMITFEE
$
Contractor
WORKERS' COMPENSATION DECLARATION
1 hereby affirm under penalty of perjury one of the following declarations:
0 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.
0 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 permitis issued.
MY workers' compens n insurance carrier and policy number are:
Carrier tol�z .. ;2
MECHANICAL PERMIT
Filing Fee 20.00
Heating
Cooling
Hood
6.50
Ventilation
PERMITFEE
$
Contractor
Policy Num - ber
(The above sections need not be completed if the permit is for work of a valuation
of one hundred dollars ($100) or less.)
0 1 certify that in the performance of the work for which this permit is issued, I shall
not employ any person in any manner so as to become subject to workers'
compensation laws of California, and agree that if I should become subject to the
workers' compensation provisions of section 3700 of the Labor Code, I shall
fnwith comply ith those provisions.
X Date 773--
Signature of Applicantko Owner 11 Cont—ract—or 0 A nt&4
An OSHA permit is required for excavations over 60" deep and demolition or construction
of structures over 3 stories in height.
Mobile Home Installation Fee Is
Energy Inspection Fee Is
OCC
CONST. PE
TOTAL FEE $ 908.50
HAZ.
I D. FEES
IMP
I FLOOD
I CDF PARCEL I PD I HD
ISSUE
W�l
This permit is hereby issued under tile
of the Butte County Code and/or
indicated above for which fees have
B y
PERMITEXPIRESON
applicable provisions
Resolutions to do work
been paid.
Date
Receipt No. i swm
WHITE-D.D.S.-B.O. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD-APPLICAWT
COUNTY OF BUTTE- DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING DIVISION
7 County Center Drive - Oro\fflle, CalifolnTia 95965 - Telephone (916) 538-7541
APPLICAT10KAND PERMIT
PERMIT NO.
ASSESSORPAR NUM87,,
037- 0-00/
ZONING
Xz,?n
BUILDINGPERMIT
OWNER
W&, " 4 q- e ; , � 0-0
TELEPHONE
SQ. FT. OCC. BUILDING VALUATION
0*7sm.REr,ydl,
e J P77 (S e 04 11N 9(-9513
E TELEIE�0591E -1 - -
77�7 16 C?S 349,�_
I . . .
- - . .
coNTRArTORI MAJUNG AD
yl fi (J
Fireplace
CONSTRUCTION LENDER V
UNKNOWN
Total Valuation Is
Filing Fee I
$ 20.00
LENDER'S MAILING ADDRESS
Permit Fee K:1 0+ awl's"(
ARCHffECT OR ENGINEER
LICENSE NO.
Plan Checking Fee
V $
Energy Plan Checking Fee
$
ARCHITECT OR ENGINEWS MAILING ADDRESS
Penalty
$
SUILDINGADORESS
PERMITFEE
$
PLUMBING PERMIT
Filing Fee 20.00
Each Trap
7.00
LOT NO.
SUBDIVISION'S NAME
1
PARCEL MAP
Solar or heat pump water heater
23.00
—
USEOFSTRUCTURE
SF 0 Duplex 0 Mobilehome 0 Other
SPECIFY
Water piping
15.00
Each gas water heater or vent
15.00
Gas piping system I - 5 outlets
15.00
Building sewer
15.00
TYPE OF WORK
New 0 Addition 0 Remodel 0 Utilities 0 Installation Other 0
Describe Work: L& yJ a- 0
Mobile Home _T'�� �GW
920.00
PERMITFEE
Contractor
ELECTRICAL PERMIT
Flina Fee 20-00
Main Service 800V OR LESS
200A OR LESS
23.00
Main Service 200A TO 1000A
46.00
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm under penalty of perjury that I am licensed under provisio . ns of Chapter
9 (commencing with Section 7000) of Division 3 of the Business and Professions Code,
and my license is in full force and effect.
License Class Lic. No.
OWNER -BUILDER DECLARATION
I hereby affirm under penalty of perjury that I am exempt from the Contractors License
Law for the following reason:
0 1, 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.
0 1, as owner of the property, am exclusively contracting with licensed contractors
to construct the project.
0 1 am exempt under Sec. Business and Professions Code for this
reason
NEW CONST. DWELLING OCCUR
OR ADDNS. , ACC. BWS
so
3.50 Fr.
NEW CONST MULTI -OUTLET
NON-RESID. SRANCH CIRCUITS
97.50
-WE. APPARAT
S,NGLE OUTLET USIR.
Ex. Occup. C OUTLET OR FIXTURES
20 @ 1.00
BAL P .50
/ FIXED APPLINS. OR
—EX' OCCUP* k OUTLETS JRESIO.) EA,
5.00
Temporary Service
23.00
Mobile Home Facilities
20.00
Misc. Wiring
23.00
PERMITFEE
$
Contractor
WORKERS' COMPENSATION DECLARATION
1 hereby affirm under penalty of perjury one of the following declarations:
0 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.
0 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
PERMITFEE
$
Contractor
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.)
0 1 certify that in the performance of the work for which- this permit is issued, I shall
not employ any person in any manner so as to become subject to workers'-
compensation laws of California, and agree that it I should become subject to the
workers' compensation provisions of section 3700 of the Labor Code, I shall
forthwith comply with those provisions.
X Date
Signature of Applicant - 0 Owner 0 Contractor 0 Agent
An OSHA permit is required for excavations over 50" deep and demolition or construction
of structures over 3 stories in height.
Mobile Home Installation Fee Is
Energy Inspection Fee Is
OCC
CONST. TY -
I TOTAL FEE $
HAZ.
1 0. FEES I IMP. I FLOOD
I COP PARCEL P6 HD
ISSUE
This permit is hereby issued under
of the Butte County Code and/or
indicated above for which fees have
By
PERMITEXPIRESON
me applicable provisions
Resolutions to do work
been paid.
Date
(Date)
ReceiptNo. ___7 I I Lln � n ��)
.S.-8.O7_'::;I5ANAFtY-ASSES-TOR PINK -INSPECTOR GOLDENROD -APPLICANT I
COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION
7 County Center Drive - Oroville; 16aliforAa 95965 - Telephone (9116),W -7r -Ai CP 0.
W EBMIT N
APPLICATION AND PERMIT 7 -/-
ASSESSOR PARCEL NUMBER 021-160-001
ZONING A40
BbIbING PERMIT V
OWNER MARK & CINDY JORDAN
TELEPHONE
SQ. FT. OCC. BUILDING VALUATION
OWNER'S MAILING ADDRESS
2770 PLUM ST LIVE OAK, 95953
6966 R 376,164.00
920 @16 14,720.00
CONTRACTOR'S NAME
CARL RYAN
TELEPHONE
695-3625
�840 M 15,120.00
1000 C 13,000.00
CONTRACTOR'S MAILING ADDRESS
4332 PENNINGTON RD LIVE OAK. 95953
Fireplace 2MAS 5,000.00
CONSTRUCTION LENDER NONE
UNKNOWN
Total Valuation 42 004.00
UENDER'S MAILING ADDRESS
Filing Fee $ 20.00
Permit Fee $ 1777.00
ARCHITECT OR ENGINEER
NONE
LICENSE NO.
Plan Checking Fee $ 1155.05
Energy Plan Checking Fee $ 23.00
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Penalty $
BUILDING ADDRESS 781 WEST LIBETTY
PERMIT FEE $ 2975. 5 1
GRTT)T,Fy
PLUMBING PERMIT Filing Fee 20.00
Each Trap 211 7.00 47.00
Solar or heat pump water heater 23.00
Water piping 15.00 15.00
LOT NO.
SUBDIVISION'S NAME
1
PARCEL;�AP
Each gas water heater or vent 2- 15-00 30.00
USE OF STRUCTURE
SFXX Duplex 0 Mobilehome 0 Other
SPECIFY
Gas piping system 1 5 outlets 15.00 1 r, -nn
Building sewer 15.00 1,; - nn
Mobile Home S G I W @20.00
TYPE OF WORK
New PC Addition Q Remodel 0 Utilities 13 Installation Q Other 0
DescribeWork:
PERMIT FEE $ 949-()0
Contractor
ELECTRICAL PERMIT Filing Fee 20.00
Main Service BOOA OR LESS ) 23.00
200V OR LESS 0
Main Service 200A TO 1000A ) 1 46.00 46.00
DEW CONST. DWELLING OCCUP. 3
R ADDNS. P 07 6 3. 55 Cv sF T('m
CONTRACTORS LICENSE LAW
10 lare under penalty of perjury (check one)
I am a lic'ensed under provisions of Chapter 9, Division 3 of the Business and
Professions Code d I' f 11 f d effect.
License No. 1�1_ _ I Cla s ication
;�n,��yeensesisifin u orcagn
1, as the owner, or my employees with wages as their sole compensation, will do
the work, and the structure is not intended or offered for sale. (Sec 7044)
0 1, as the owner, am exclusively contracting with licensed contractors. (Sec 7044)
1 am exempt under Sec. , Business and Professions Code
forthis reason
NEW_CONST. B MULTI -OUTLET 0
NON RESID. RANCH CIR.C. UITS @7.50
POWER APPARATUS
& SINGLE OUTLET CIR.
Ex. Occup. ( OUTLET OR FIXTURES 20 @ 1.00
SAL. 1@ .50
-'X ) A=. R 5.00
Ex. Occup. ( OrUTLETS )OEA.
Temporary Service 23.00
Mobile Home Facilities 20.00
Misc. Wiring 23.00
WORKER'S COMPENSATION INSURANCE
1 declare under penalty of perjury (check one):
0 This permit is for $ 100.00 (valuation) or less.
I have placed on file with the County of Butte Dept. of Development Services,
Building Division a Certificate of Workmen's Compensation Insurance or a
Certificate of Consent to Self -insure.
0 Ishall not employ any person in any manner so asto become subject to the Worker's
Compensation laws of California.
Notice to Applicant: If after making this statement, should you become subject to the
Worker's Compensation provisions of the Labor Code, you must forthwith comply with
such provisions or this permit will be revoked.
PERMIT FEE $ 371. 40
Contractor
MECHANICAL PERMIT Filing Fee 20.00
Heating 2 125.00 50.00
Cooling 2 25.00 50.00
Hood 6.50 6.50
Ventilation 4 3.50, 14.00
PERMIT FEE $ 140.50
Contractor
I certify that I have read this application and state that the above information is correct.
I agree to comply to all Butte County Ordinances and California State Laws relating to
building construction, and hereby authorize representatives of the County of Butte to
entei 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 ihe granting of this permit.
X Date
Signature of A�plicand- 0 Owner 0 Contractor 0 Agent
An OSHA permit is required for excavations over 5"0" deep and demolition or
construction of structures over 3 stories in height. I /
Mobile Home Installation Fee $
Energy Inspection.Fee $ 46.00
c VTJTYtE
IV I
TOTAL FEE $ 3774.95
D. FEES
I IMP
I FLOOD
XX
I CDF
PARCEL
This permit is hereby issued under the applicable provisions
Thi s p e rmit is h,
n
of the Butte County Code and/or Resolutions to do work
rindicated above for which fees have been paid.
A -7 L49�
By ate W
PERMIT EXPIRES ON 7/) Z� ?.5
I
Receipt No. 162414-1258.05///5(OELV "as �90
WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK-INSPECIOR GOLDENRI - PIICANT
CPU-. wx )
COUNTY OF BUTTE - DEPARTMENT OFz-DEVEk.OPMENT SERVICES - BUILDING DIVISION
7 County Center Drive - Oroville,'Califorriia 95965 - Telephone (916) 538-7541 PERMIT NO,
APPLICATION AND PERMIT 914-ngoD
ASSESS01 PA!JGE).1t.ER/ -061
0
BUILDING PERMIT
G?
OWNM 'It L 60
'a. M� V ore A rL
TELEPHONE
SQ. FT. OCC. BUILDING
VALUATION
OWNJV!WDREPJ,, S 't 4;Ve a k 0,4 Qs 3
?�20 0 16
CONTRnR'S NAME1
it L illy
1? 4
S )f 10
1006
Fireplace
CON;fT ve- 06 A ?S9SJ
TSJ�Tr ADD.70., 4-
CONSTRUCTION LE"DER
.X,o . e-
UNKNOWN
-
Total ValLiation $
A+� ff,00
Filing Fee .
UENDEWS MAILING ADDRESS
Permit Fee
$
ARC E
'j);R ENGINE R
LICENSE NO.
Plan Checking Fee
$ 91S 114;-
Energy Plar; Checking Fee
$ 3.00
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Penalty
$
BUILDING ADDRESS?�/ 6 it,
PERMIT FEE
$ 09
PLUMBING PERMIT
Filing Fee 20.00
Each Trap
7.00
a ter
Solar or heat pump water heater
a3
23.00
Water piping
is. 00 15'.00
LOT NO. SUBDIVISION'S NAME
PARCEL MAP
Each gas water heater or vent
15.00
USE OF STRUCTURE
SF)( Duplex 0 Mobilehome 0 Other SPECIFY
ts
Gas piping system 1 5 outlets
15.00 - 00
Building sewer
15.00 f, 0,A0
F
Mobile Home S G I W
@20.00
TYPE OF WORK
Newx Addition 0 Remodel Q Utilities 0 Installation Other
DescribeWork: Jr6 4�
PERMIT FEE
$ 3192-001
Contractor
ELECTRICAL PERMIT
Filing Fee 20.00
Main Service ( 2 .. v 0 OR LESS
OOA R LESS
23.00
Main Service ( 200A TO I OOOA
1 46.00 W -OD
NEW CONST. ( "'LALc"c' occ"'
OR ADONS. & . ,GS
3.,, SQ
FT.
.NEW.CONST. ( R MULTI -OUTLET
RESID. RANCH CIRCUITS
@7.50
CONTRACTORS LICENSE LAW
I declare under penalty of perjury (check one)
WLI am a licensed under provisions of Chapter 9, Division 3 of the Business and
Professions Code and my Vfiense is in full force/ 9d effect.
LicenseNo. Classification ID
0 1, as the owri-er, or mV employees with wages as their sole compensation, will do
the work, and the structure is not intended or offered for sale. (Sec 7044)
0 1, as the owner, am exclusively contracting with licensed contractors. (Sec 7044)
0 1 am exempt under Sec. Business and Professions Code
forthis reason WORKER'S COMPENSATION INSURANCE
I declare under penalty of perjury (check one):
Q This permit is for $ 100.00 (valuation) or less.
%J have placed on file with the County of Butte Dept. of Development Services,
Building Division a Certificate of Workmen's Compensation Insurance or a
Certificate of Consent to Self -insure.
0 1 shall not employ any person in any manner so as to become subject to the Worker's
Compensation laws of California.
Notice to Applicant: If after making this statement, should you become subject to the
Worker's Compensation provisions of the Labor Code, you must forthwith comply with
such provisions or this permit will be revoked.
_NON
POWER APPARATUS
& SINGLE OUTLET CIR.
Ex. Occup. OUTLET OR FIXTURES
20 @ 1.00
BAL. Q .50
Ex. Occup. GFIXED APPLNS..OR
UTLETS (RESID I EA
5.00
Temporary Service
23.00
Mobile Home Facilities
20.00
Misc. Wiring
23.00
PERMIT FEE
$
Contractor
MECHANICAL PERMIT
Filing Fee 20.00
Heating
Cooling
-Is. 6 0
Hood
6.50 /Ilsloo
Ventilation
5-0 It.00
PERMIT FEE
116, S6
Contractor
I certify that I have read this application and state that the above information is correct.
I agree to comply to all Butte County Ordinances and California State Laws relating to
building construction, and hereby authorize representatives of the County of Butte to
entei upon the above mentioned property for inspection purposes.
I also agree to save, indemnify and keep harmless the County of Butte against all
liabilities, judgments, costs, and expenses.which may in any way accrue against said
County in consequence of the granting of this permit.
(-1 n
X LZ�Ak �44 Lt/, Date
Signature of Applicant �El Owner Q Contractor 0 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
INII. Ill I
TOTAL FEE,>
HAZ.
I D. FEE�
'IMP
Fjj:;P� COF
PARCELJ PD
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
tDarel
ReceiptNo. �Jll - IM,6611
WHIT E-D.D.S.-B.O. SSEOR I P�K/rPECTOR GOLDENROD -APPLICANT
� CP rL n k
t2
k I/
COUNTYOF BUTTE - DEPARTM ENTOPDEV.ELOPM ENT SERVICES -BUILDING DIVISION
7 COUNTY CENTER DRIVE - OROVILLE,CALIFORNIA95965 - -MLEPHONE(916)538-7541
PERMIT APPLICATION DATA SHEET
1)�eOWNER rk 4 eikidv 0-orhiq Mo. ar) I
Proposed Building Use :�4k A.2 S / F Building Inspector Date
At time of permit application, I was advised the following data must be submitted prior to permit processing and/or issuance:
DATE RECEIVED BY
All items have been submitted. .51r --f .............................
Plot plans, 31"ets, signed by preparer of plans . ........................
" N3 §(
Complete plans, a�*�ts, signed by preparer of plans . ......................
4 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) . ....
,A 00A, 9. Mobilehome�a? ipd n�ecturer's installation instructions, 2 sets . ...........
10. Fees c (Of . . ........................................... t�� lz214��
ll. Impa t fees as shown on attached schedule ...............................
California.Department of Forestry plan approval/fees . ................
13. Flood elevation letter (100 year floo byCal miaEngineer ...................
14. Sanitation and plot plan approval e) (0 v' rc.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.a bout (A) Improvements (B) Drainage ............
(yt'��19. Driveway permit (construction approval required prior to occupancy) .............
Pre nspection request
20. Pre -inspection for required. to B-'uilding Inspedor Date)
21. Contractor's license information. (No., Name Style, Classification) . ................
22. Certificate of Workmans Compensation Insurance . ........ : .................
91 Owner -Builder Verification (Given to owner Mail.toowner ............ A A I
. 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 . ...............
Existing violations/e red
Plan check list. xP-i d. P
33.
34.
When you issuLee permit, process as Ilows: Mail to owner. X- Mail to contractor.
Teleph ne6 -367-5- A�and oldforpickupat 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 prior to perml��iia, (Cl yiter/T\r�� above).
j
1. Index permit for above items No.
2. Additional items required
Contractor, designer, owner, was advised of above required data by _ phone — mail Counter by _ Date
Contractor, designer, owner, was advised of above required data by _ phone — mail Counter by _ Date
Plans checked,by — Date Plans approved by Date
Sets of plans on hold in Fil c binet, AP folder
Copy - Department of Public Works
TO: Building Department
FROM: Entroachment Permit Section
RE: Driveway Clearance
owner
7 Yl ee,5rl Z.. I/
�7
location
AP
Driveway permit has been issued for the above property.
4�-
All
si ature date
FUL USE ONLY
111.t P1&n Amachod
noor PLan A VCd �-� 7-1
"ac
S�nt to B.D.
TO: Building Department
FROM: Environmental Health
SUBJECT: Sanitation Clearance
all Tdt)O-K R64
Ownqu Location AP#
Plan Approved for: Sewage Disposal Water Supply
Hold final for: Water Supply
Final clearance O.K. for: Water Supply
Clearance for bedroom tAW% home. Other
NOTE:
Environmental Health Specialist Date
COUNTY OF, BuTTE DEPARTMENT OF DEVELOPMENT SERVICES BUILDING D14ISION
7 COUNTY CENTER DRIVE, OROVILLE CA 95965 - TELEPHONE (916) 538-7541
OWNER Ar A. P. #
PROPOSED BUILDING. USE CS DATE '1 /9
REC. # DAM REC
%,- WSCHOOL DISTRICT FEES 6 -r
(paid at District Off�ice). ........ /5d- 4(� -�1/23,Alz
2. SHERIFF FEES.
(paid at Building Department)
Residential ....... 40 Y--: �/o
Commercial (sqft) uhit x I amt-. =$
sq�ft. amt.
3. URBAN AREA FEES
(paid at Building Department)
Residential (per unit) x =$
# units amt. -
Commercial (per sq.ft) -�q. -f x =$
t. amt.
.4. RECREATION DISTRICT FEES
(paid at District Office) -i .......................
5. INAGE DISTRICT FEES
tact Land Development Division) ..............
6. SRA FIRE INSPECTION AND PLAN CHECK = $89.00 ......
(paid at Building Department)
7. OTHER
8. OTHER
I
At time of permit application, I was advised the above fees are required to be paid
prior to issuance of the permit.
APPLICANT
IN
NUM.131311 AND STREET
COUNTY
SUBDIVISION
.... ..............
DESCRIPTION OF INSTALLATION
ROOF:
HATPRIAL
T11ICKNESS(Inches)
CIRILING:
CITY 6f
LOT NUMBER
BRAND NAM
THERMAL RESISTANCE(R -VALUE)
BATTS OR BLANKET TYPE B A TTS
BRAND NAME GERTAINTEED
T11ICKNESS(Inches)
THERMAL RESISTANCE(R-VALUE)
LOOSE FILL TYPE . FIBERGLASS
13RAND NAME I.NSUL,SAFE I]]
CONTR ' ACTOR'S MIN. INSTALLED WT.
lb. MINIMUM THICKNESS INCHES
MANUFACTURER'S INSTALLED WT./SO.
FT. ACHIEVE THERMAL RESISTANCE (R=VALUE)__
F,XTERIOR WALL:
MATERIAL FIBERGLASS...,
BRAND NAME CERTAINTEED
THICKNESS(Inchds)_
THERMAL RESISTANCE(R -VALUE)
RAISED FLOOR:
MATERIAL F] BERGLASS
BRAND NAME CERTAINTEED
T11ICKNESS(Inches)-
THERMAL R ESI STANCE(R -VALUE)
Si -An FLOOR:
MATERIAL
THICK NE S S(Incfie s)_
FOUNDATION WALL:
�wrFRIAL
T11ICKNESS(Inches)
DRCLhRATION:
BRAND NAME
THERMAL RESI STANCE(R -VALUE)
BRAND NAME
THERMAL R ESISTANCE(R -VALUE)
I hereby certify that the above Insulation was Installed' In the building at the above
10cation In conformance with the current Building Energy Standards for new residential
buildings contained In Title 24 of the California Administrative Code.
GENERAL CONTRACTOR(BUILDER) LICENSE NUMBER
STGNATURE AND TITLE
IIA14KINS INDIISTRIES, IN(;.
SIGNATURE AND TITLE
DATE
622 1814
LICENSE NUMBER
DATE
ON
Installation Certificate: Residential
BUILDING LDCATION:
CF -6R
An installation certificate is required to bc posted at the building see prior to the issuance of the occupancy permiL This form
may be used to meet these requirements. Ali appliance categories listed below are the actual equipment installed. Note that
the eff icienci 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.
1. t,,e undersigned, verdy that the equipment listed in the category above my signature is the actual aquipment 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 eff icient than the equipment specified on the Certificate of Compliance submitted to
demonstrate compliance with the Energy Efficiency Standards for residential buildings.
HVAC SYSTEMS
Note: Hydronic boiler information is entered here. Other hydronic or combined hydronic equipment is listed under
Water Heating Systems.
Heating Equip. CEC Certffled
Type (furnace, Manuf. Make &
heat ourno. etc.) Model Number
Actual Distribution Duct or Heating Load Heating
Eff Iclency Type and Piping Before Over- Equipment
(A FUE. etc.) Location R -Value _ Sl#nqtBtuh) Capacity (E
(ZEC Certffled
Cooling Equip. Compressor Unit' Actual Distribution Ductior
Type (air cond., Manuf. Make & Efficiency Type and Piping
heat pump, etc.) Model Number SEER) Location R -Value
/2- ZI
(7- AZI- rzd6z�L M1,960 /Z --�ewp" F,</"Z 412-
-�2L-,' , 497 --
ALL Y4�ZLL r2LOLe2, / ?- t��
The building design heat loss and design heat gain rate have been determined using a method specified in Section 150(h) of
the Energy Efficiieiy Standards, and are two of the criteria used for uipment sizing and selection.
-)- leg
Signayre L11) Date HVAC,,%6bontractor (Co. Name) gYGeneral Contractor or Owner
WATER HEATING SYSTEMS
Water Heating CEC Certff led Rated'
System Type Manuf. Make & Input (kW
.(,storage gas, etc.) Model Number or Btuh)
r V eo A) odo 3;1C
Energyi
Tank Factor or
Capacity Recovery
(oallons) Eff Iciencv
External
I Tank
Standby Insulation
Loss 0%) R -Value
—SO 60 '60
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 Btu/hr), list Rated Input. Recovery Efficiency and Standby Loss.
For Instantaneous gas water heaters, list Rated Input and Recoverf Efficiency.
For Instantaneous electric water heaters, list Rated Input.
FAUCETS & SHOWER HEADS
All faucets and showerheads installed are listed in the Commission's Directory of Candied Faucets and Showerheads,
pursuant to Title 24, Part 6. Subchapter 2. Section 111.
Signature Date Plumbing Subcontractor (Co. Name) or General Contractor or Cowner
THIS CERTIFICATE MUST BE PROVIDED TO THE -BUILDING DEPARTMENT PRIOR TO FINAL INSPECTION
APPROVAL Als-D A COPY SHALL BE POSTED WITHIN THE BUILDING.
JANUARY 1993
VA-07LrAW&—A�XZ"f 140
Q—
-- -
(ZEC Certffled
Cooling Equip. Compressor Unit' Actual Distribution Ductior
Type (air cond., Manuf. Make & Efficiency Type and Piping
heat pump, etc.) Model Number SEER) Location R -Value
/2- ZI
(7- AZI- rzd6z�L M1,960 /Z --�ewp" F,</"Z 412-
-�2L-,' , 497 --
ALL Y4�ZLL r2LOLe2, / ?- t��
The building design heat loss and design heat gain rate have been determined using a method specified in Section 150(h) of
the Energy Efficiieiy Standards, and are two of the criteria used for uipment sizing and selection.
-)- leg
Signayre L11) Date HVAC,,%6bontractor (Co. Name) gYGeneral Contractor or Owner
WATER HEATING SYSTEMS
Water Heating CEC Certff led Rated'
System Type Manuf. Make & Input (kW
.(,storage gas, etc.) Model Number or Btuh)
r V eo A) odo 3;1C
Energyi
Tank Factor or
Capacity Recovery
(oallons) Eff Iciencv
External
I Tank
Standby Insulation
Loss 0%) R -Value
—SO 60 '60
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 Btu/hr), list Rated Input. Recovery Efficiency and Standby Loss.
For Instantaneous gas water heaters, list Rated Input and Recoverf Efficiency.
For Instantaneous electric water heaters, list Rated Input.
FAUCETS & SHOWER HEADS
All faucets and showerheads installed are listed in the Commission's Directory of Candied Faucets and Showerheads,
pursuant to Title 24, Part 6. Subchapter 2. Section 111.
Signature Date Plumbing Subcontractor (Co. Name) or General Contractor or Cowner
THIS CERTIFICATE MUST BE PROVIDED TO THE -BUILDING DEPARTMENT PRIOR TO FINAL INSPECTION
APPROVAL Als-D A COPY SHALL BE POSTED WITHIN THE BUILDING.
JANUARY 1993
N.
COUNTY OF BUTTE
BUILDING DIVISION 4
DEPARTMENT OF DEVELOPMENT SERVICES
1469 Hurnboldt Road, Chico, CA - (916) 891-2751
7 County Center Drive, Oroville, CA - (916) 538'7541
747 Elliott Road, Paradise,'CA - (916) 872-6307
CORRECTIONNOTICE
aWNER 'PEI f N
A routine inspection indicates that the following violations of Butte County Ordinances exist at :3!"
the above address and should be corrected. Please notify this office when correction of work
is complet231�-*you have any questions pertaining to this matter, or need additional explanation,
PI ase tact this office immediately.
I
t
.1
V .
Date
Inspector
REV 10/92
COUNTY OF, BUTTE
BUILDING DIVISION'
DEPARTMENT OF DEVELOPMENT SERVICEi--
1469 Humboldt Road,Chico, CA - (916) 891-2751
7 County Center Drive, Croville, CA - (916) 5-38-7541
747 Elliott Road, Paradise, CA - (916) 872-6307
CORRECTION NOTICE
N�To
OWNER PERMIT NO.
A routine inspection indicates that the following violations of Butte Qounty Ordinances exist at
the above address and should be corrected. Please notify this office when correction of work -
is completed. If you have aNny'questions pertaining to this matter, or need additional explanation,
pleasAcontact this office immediately.
REV 10192
CN -
COUNTY OF BUTTE
BUILDING DIVISION
DEPA
RTMENT OP DEVELOPMENT SERVICES
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 L.
the above address and should be corrected. Please notify this office when correction of work
is completed. If you have any questions pertaining to this matter, or need additional explanation,
please contact this office immediately.
L4 Ale L
1- 49 C— AJ u>l
L� Oe
K. e L
Date Inspector
REV 10/92
COUNTY OF BUTTE
BUILDING DIVISION
DEPARTMENT OPI DEVELOPMENT SERVICES
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
t
CORRECTION NOTICE
A^
OWNER PERMIT NO.'
A routine inspection indicates that the following violations of Butte County Ordinances exist at
the above address and should be corrected. Piease notify this office when correction of work
is completed. If you have any questions pertaining to this matter, or need additional explanation, 7..
please contact this office immediately.
--01- 4-
k -e I
-1-e c k I -,e -
'4v= 0 00
Cc
4-,v -k e e-
7tll�
40h4
IA�l 6?�4
/s,
17
ae-A Q,,., dl
r
w r VIC .s V c, 4�r's cn 4—
ko e- A _-V e -e_ ba -V i I S:
V +tAr r i i b7 a (�j
V
Date
—C4
REV- 10/92
COUNTY OF BUTTE
BUILDING DIVISION
DEPARTMENT OF 01EVELOPMENT SERVICES
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
I
is completed. !�Vou have anyquestions pertaining to this matter, orneed additional explanation,
please contq6t this office immediately.
er;
C�"p -i*1 &
' /7' &-dVC
6
A�>1
�Qq Arc 4- -ow e y -
a r e,- *s
1—" /,A., e—
C�
t9,-- h4-4 A,./d �4e-e-iA-11- /1
Date Inspector
REV 10/92
COUNTY OF BUTTE -.7
BUILDING DIVISION
DEPARTMENT OF D-EVEWPMENT SERVICES
1469 Humboldt Road, Chico, CA - (916) 891-2751
7 County Center Drive, Oroville, CA - (916) 538-7541
747 Elliott Road, Paradise, CA - (916R�7-2-6307-
q
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 completed. If you have any questions pertaining to this matter, or need additional explanation,
please contact this office immediately.
-ul V 1A77e 6
A4!1116� /92,J) Al Y' -1
Al"
Date Inspector lie
REV 10/92
COUNTY OFIBUTTE -DEPARTMENT OFbEVELbPMENT SERVICES -BUILDING DIVIS N
7 County Center Drive - Oroville, California 95965 - Telephone (916) 5381�-75 PERMIT NO.
APPLICATION AND PERMIT _e
ASSEBOR PARCEL NUMBER
21-16-0-001
ZONING
BL<DINGPERMIT
OWNER
VukRK AND CINDY JORDAN
TEA;AP
SO. FT. OCC. BUILDING VALUATION
OWNERS. MAILING ADDRESS
781 WT LIBEM ROAD, GRIDLff
CONTRACTORS NAME
O14M
TELEPHONE
CONTRACTORS MAILING ADDRESS
Fireplace
CONSTRUCTION LENDER
UNKNOWN
Total Valuation Is
Filing Fee $
20.00
LENDERS MAILING ADDRESS
Permit Fee $
15.00
ARCHITECT OR ENGINEER
LICENSE NO.
Plan Checking Fee $
Energy Plan Checking Fee $
ARCHITECT OR ENGINEERS MAIUNG ADDRESS
Penalty $
.1.111.91N,G r`WWT IJBERTY ROAD, GRIDLEY
PERMITFEE $
OU11)
PLUMBING PERMIT Filing Fee 20.00
Each Trap
7.00
LOT NO.
SU BDrVISIONS NAME
IPARCEL MAP
Solar or heat pump water heater
23.00
Water piping
15.00
USEOFSTRUCTURE
SF 11 Duplex 0 Mobilehome 0 Other
SPECIFY
Each gas water heater or vent
15.00
Gas piping system 1 - 5 outlets
15.00
Building sewer
15.00
TYPE OF WORK
New 0 Addibon 0 Remodel 0 Utilites 0 Installation 0 Other
Describe Work: DEWLISH--COKVERT FINISTIED BAS,EMENT INT(
UMNISHO SPACE
Mobile Home I S I GI W 1 920.00
PERMITFEE $
Contractor
ELECTRICAL PERMIT Filinq Fee 2 0.'0 0
800V OR LESS
Main Service OR UESS...
23.00
_200A
Main Service 200A TO 1000A
46.00
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm under penalty of perjury that I am licensed under provisio�ns of Chapter
9 (commencing with Section 7000) of Division 3 of the Business and Professions Code,
and my license is in full force and effect.
License Class Lic. No.
OWNER -BUILDER DECLARATION
1 hereby affirm under penalty of perjury that I am exempt from the Contractors License
Law for the following reason:
19 1, asowner of theproperty, ormy employeeswith wages as their sole compensation,
will do the work, and the structure is not intended or offered for sale.
0 1, as owner of the property, am exclusively contracting with licensed contractors
to construct the project.
0 1 am exempt under Sec. Business and Professions' Code for this
reason
NEW CONST. DWELLING OCCUR
OR ADDNS. & ACC. BLDS.
so.
3.50 FT.
NEW CONST TLET N
go BMULTI-OU
NON -RES RANCH CIRCUITS
97.50
POWER
8, SINGLEA0PIPALREATTUSIR..
Ex. Occup. ( OUTLET OR FIXTURES
20 @ 1.00
SAL Q .50
FIXED APPLNS. OR N
Ex. Occup. ( OUTLETS (RESID.) EA
5.00
Temporary Service
23.00
Mobile Home Facilities
20.00
Misc. Wiring
23.00
PERMITFEE $
Contractor
WORKERS' COMPENSATION DECLARATION
I hereby affirm under penalty of perjury one of the following declarations:
0 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.
0 1 have and will maintain workers' compensation insurance, as required by Section
3700 of the Labor Code, forthe 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
PERMITFEE $
Contractor
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-ofCalifornia, and agree that if I should become subject to the
workers' compensation provisions of section 3700 of the Labor Code, I shall
forthwith comply with those provisions.
X Date �3 — 1:-7
i natur of A`ppI` Owner 0 Contractor 0 Agent
S g i e ca ' t
AnOSHA'permitisre ired for excavations over 60" deep and demolition or construction
of structures over 3 Sides in height.
Mobile Home Instal*ion Fee Is
Energy Inspection Fee is
OCC
CONST. TYPE
TAL F�=
TO 35.00
HAZ.
1 0. FEES
I IMP FLOOD
I COF
PARCEL PD I HD I ISSUE
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.
8/27/96
By Date
/1 8/27/97
PERMIT EXPIRES ON
(Date)
ReceiptNo. 2025W
WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR_ GOLDEN ROD -APPLICANT
N�
COUNTY OF BUTTE
BUILDING DIVISION
DEPARTMENT OF DEVELOPMENT SERVICES
1469 Humboldt Road, Chico, CA - (916) 891-27tl
7 County center Drive', Oroville, CA - (916) 538-7541
. 1 747 Elliott Road, Paradise, CA - (916) 872-6307.
CORRECTION NOTICE
1� 0 r- A 0 A.1 19S3
OWNER k PERMIT NO.
A routine inspection indicates that the following violations of Butte County Ordinances exist at
the above 3��dress and should be corrected. Please notify this office when correction of work
is compl(elied. Ifyou have any questions pertaining to this matter, or need additional explanation,
please,00n actil:46 office immediately.
ev;
N
0'W,0Vz,-- all
C, 0- 4 2 'd e -lee- 3
, V
Date I I- I a-/) ) q
REV 10/92
ep 467.9
cxe,
Inspector
'COUNTY OF BUTTE- DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING DIVIS N
i
7 County Center Drive - Oroville, Cat��qia.;.95965 - Telephone (916) 538-75 PERMIT NO.
Lq�
APPLICATION AND PERMIT
ASSESSOR PARCEL NUMBER
021-16-0-001
ZONING
A
BUf[DINGPERMIT
OWNER
MARK AND CINDY JORDAN
TELiPJF4 P
SQ. Fr. OCC. BUILDING VALUATION
CONTR 500
OWNERS MAILING ADDRESS
781 WEST LIBERTY ROAD, GRIDLEY
CONTRACTOR'S NAME
OWNER
TELEPHONE
CONTRACTORS MAILING ADDRESS
Fireplace
CONSTRUCnON LENDER
UNMOWN
Total Valuation
Filing Fee $
20.00
LENDERS MAILING ADDRESS
Permit Fee $
E). UU
ARCHFTECT OR ENGINEER
LICENSE NO.
Plan Checking Fee $
Energy Plan Checking Fee $
ARCHITECT OR ENGINEERS MAILING ADDRESS
Penalty $
"LOMD"MT LIBERTY IROAD, GRIDLEY
PERMITFEE $
PLUMBINGPERMIT Filing Fee 20.00
Each Trap
7.00
LOT NO.
SUBDIVISIONS NAME
IPARCEL MAP
Solar or heat pump water heater
23.00
Water piping
—
15.00
USEOFSTRUCTURE
SF EX Duplex 0 Mobilehome 0 Other
SPECIFY
Each gas water heater or vent
15.00
Gas piping system I - 5 outlets
15.00
Building sewer
15.00
TYPE OF WORK
New 0 Addition 0 Remodel 0 Utilifies 0 Installation 0 Other ly
I
Describe Work: DEMOLISH --CONVERT FINISHED BASaIENT INT
UNFINISHED SPACE
Mobile Home IS I GI W 1 920.00
I I
PERMITFEE $
Contractor
ELECTRICAL PERMIT Filina Fee 20.*00
Main Service 600V OR LESS
200A OR LESS
23.00
Main Service 200A TO 1000A
46.00
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter
9 (commencing with Section 7000) of Division 3 of the Business and Professions Code,
and my license is in full force and effect.
License Class Lic. No.
OWNER -BUILDER DECLARATION
1 hereby affirm under penalty of perjury that I am exempt from the Contractors License
Law for the following reason:
a? 1, as owner of the property, ormy employees with wages as their sole compensation,
will do the work, and the structure is not intended or 6ffered for sale.
0 1, as owner of the property, am exclusively contracting with licensed contractors
to construct the project.
0 1 am exempt under Sec. Business and Professions Code for this
reason
NEW CONST. DWELLING OCCUR
OR ADONS. a ACC. BUDS.
so
3.50 Fr.
NEW CONST. LTI-OUTLET
NON-RESID._ BRMAUNCH CIRCUITS
97.50
POWER APPARATUS
SINGLE OUTLET CIR.
Ex. Occup. ( OUTLET OR FIXTURES
20 @ 1.00
BAL 9 .50
FIXED APPLNS OR
Ex. Occup. ( OUTLETS (RES16 .) E�A.
5.00
Temporary Service
23.00
Mobile Home Facilities
20.00 1
Misc. Wiring
23.00
PERMITFEE $
Contractor
WORKERS' COMPENSATION DECLARATION
1 hereby affirm under penalty of perjury one of the following declarations:
0 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.
0 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
PERMITFEE $
Contractor
Policy Number
(The above sections need not be completed if the permit is for work (�f a valuation
of one hundred dollars ($100) or less.)
Mf 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.
X Date —7
Signature of A, it - Owner 0 Contractor 0 Agent
..%Iica
_ _I
Is or excavations over 60" deep and demolition or construction
An OS permi A
r\21ries in height.
of stru tures over 3
Mobile Home Installation Fee
Energy Inspection Fee $
occ
CONST. TYPE I
TAL F�= It
TO 35.00
HAZ.
I D. FEES
I IMP
I FLOOD_17�
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 8#1NJ_A__ 8/27/96
— Date
r 8/27/97
PERMITEXPIRES04)
(Date)
ReceiptNo. 202560
WHITE-O.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT
O.R_ I
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.
I personally plan to provide the- major labor and materials for construction of the
proposed property improvement: YES[ NO[
2. 1 HAVE[)�] 'HAVE NOT[ signed an application for a.building permit for the
proposed work.
3. 1 have contracted with the following person (firm) to - provide the proposed
construction:
NAMEE:
ADDRESS: CITY:
PHONE: CONTRACTOR'S LICENSE NO.
4. 1 plan to provide portions of this work, but I have hired the following person to
coordinate, supervise, and provide the major work:
NAMOE:
ADDRESS: CITY:
PHONE: CONTRACTOR'S LICENSE NO.
5. 1 will provide some of the work but I have contracted (hired) the following persons to
provide the work indicated:
NAME ADDRESS PHONE TYPE OF WORK
SIGNED:
y PROPERTY OWNER:
SOCIAL SECURITY NUMBE R:
DATE: -a 7 -
NOTE: This owner -Builder Verification is required by Section 19831 and
19832 of the California Health and Safety Code.
This verification must be completed and returned to our office before
we are permitted to issue the permit.
,-or
D AD)
O.B.- I
Dear Property Owner:
An application for a building permit has been submitted in your name listing yourself as the builder of
property improvements specified.
For your protection, you should be aware that * as "owner -builder" you are the responsible party of record
on such a permit. Building permits are not required to be signed by property owners unless they are personally
performing their own work. If your work is being performed by someone other than yourself, you may protect
yourself from possible liability if that person applies for the proper permit in his or her name.
Contractors are required by law to be licensed and bonded by the State of California and to have a
business license from the city or county. They are also required by law to put their license number on aU permits
for which they apply.
If you plan to do your own work, with the exception of various trades that you plan to subcontract, you
should be aware of the Mowing information for your benefit and protection:
0 If you employ or otherwise engage any persons other than your immediate family, and the work (including
materials and other costs) is $300 or more for the entire project, and such persons are not licensed as
contractors or subcontractors, then you may be an employer.
0 If you are,an employer, you must register with the State and Federal Governments as an employer and you are
subject to several obligations including state and federal income tax withholding, federal social security taxes,
workers compensation insurance, disability insurance costs, and unemployment compensation contributions.
0 There may be financial risks for you if you do not carry out these obligations, and these risks are especially
serious with respect to worker's compensation insurance.
0 For more specific information about your obligations under Federal Law, contract the Internal Revenue
Service (and, if you wish, the U.S. Small Business Administration). For more specific information about your
obligations under State Law, contact the Department of Benefit Payments and the Division of Industrial
Accidents.
If the structure is intended for sale, property owners who are not licensed contractors are allowed to
perform their work personally or through their own employees, without a licensed contractor or subcontractor, only
under limited conditions.
A ftequent practice of unlicensed persons professing to be contractors is to.secure an "ownerbuildee,
building permit, erroneously implying that the property owner is providing his or her own labor and material
personally. Building 7 permits are not required to be signed by property owners unless they are performing their own
work personally.
Information about licensed contractors may be obtained by contracting the Contractors State License
Board in your communitv or at 1020 N Street, Sacramento '. CA. 95814.
Please complete the "Owner Builder Verification" on the reverse side of this form so that we can confirm
that you are aware of these matters. The building permit will not be issued until the verification is returned.
S- "k I
inccrel
Nficha.61 C. Vieir:a, C.B.O.
Manag er, Building Inspection
NOTE: This ONNmer-Builder Information is required by Section 19830 of the California Health and Safety Code.
OVER
IVI
60
5�
'RESIDENTIAL
NOTES
-0-001 00-0919'
PERMITN01- t'-021-16-
- I -E6- -,"MAP
6F Ajq lk 17; i o'.
781 W. LIBEkTY RD., GRIDLEY
GAZEBO.
SPECIAL CONDITIONS
CHECKED
BY
— SRA
— FLOOD CERTIFICATE REQ.,
— FIRE SPRINKLERS REQ.
— SPECIAL INSPECTION ITEMS
— VERIFY
— USE PERMIT CONDITIONS
— SUB -STANDARD HOUSING LETTER
OB FINALED (Date) z -
T -7.1
'Signature
V = OK '
1.
0 = NotOK
2.
- = NotApoficable_' MOBILE HOMES
* = Not Ready
Gas; MH Test -Demand -Valve -Connector
Date
MOBILE HOME UTILITIES (Plans) OK except Ws
5.
1. Zoning Requirements -Setbacks- Easements
6.
2. Soils; Special MH Support Sketch
7.
3. Sewer; Location -Test -Fall -C/0 -Concrete
4. Water; Location -Test- Easement Needed (Sketch)
5. Electricity; Location-Clearances-Grnd-/ /Amp -Concrete
6. Gas; Location -Test -Wrap;-/ /" L 'ft.
P 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; S ize-Spaci ng- 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- Regu lator-Connector
7.
Water and Sewer Connected -C/O to Grade -HD Approval
8.
Gas and Electricity Tagged
9. Tie Downs -Type -Installation Carl.
10. Exits; Insp.-Sketch
11. Cart. of Occupancy
12. Permanent Foundation Only; License Decal
Date Card B-1 Date Card B-1
Date Card B-1 Date Card B-1
MISCELLANEOUS
Date DECKS,"VF
,W, �PARPORTS GARAGES (Plans) OK except #'s
-TV
ing Requirements -Setbacks -Easements
UFootings;
Soi ls-S ize- Depth -Spacing-Connecto rs-Steel
ff4je�,� 3.
Decks; Girders and/or Joists-Decki ng- Bracing- Stairs- Rails
4.
Wood Awn.; Posts- Beams- Rftrs. -Con necto rs
Shthg.- Frg- Bracing
5.
Alum. Awn.; Columns -Connections -Splice -Decal- Enclosures
6.
Carports; Windows -Doors
7.
Elect��
-8�.rmg.;
Sills-Anchors-Studs-Rftrs-Trusses
9.
Siding; Nailing -Veneer- Stucco- Mesh
10.
Roof; Shthg-Roofing
11.
Ext.; Ste ps- Doors- Landings
12.
Braced Wall Panels
Dale
Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1
Date
FINAL (Plans) OK except Ws
1. Setbacks- Easements
2. Soils; Compaction- Structure Stability
3. Pool Structure; Steel -Connections -Thickness
Dead Men -Lining
4. Elec.; Receptacles and Lighting, Distance-GFI
5. Elec.; Pool Lighting; 15 Volts-GFI
6. Elec.; Enclosures; Conduit Entries -Terminals -Listed
7. Elec.; Bonding; Metal w/5' -Circulating Equip. -Healer
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
11. Light Niche
Date
Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1
V= OK
0 = Not OK
- = Not Applicable
* = Not Ready
RESIDENTIAL (4.
Date
FRAMING (Continued)
Underfloor (Plans) OK except #'s
46.
1
. Zo n ing-Selbacks- Ease me nIs- Flood -Slope
47.
2.
Ftg., Main; Soils-Elec. Grnd.-/ r Ftg. Depth
48.
3.
Ftg., Garage; Soils-Steel-Elec. Grnd.-/ /" Ftg. Depth
49.
4.
Ftg., Porches & Decks; Soils -Steel-/ r Ftg. Depth
50.
5.
Sternwalls, Main; Steel- Blockouts-Wrapped
51.
6.
Sternwalls, Garage; Steel-Blockouts-Wrapped
52.
6a.
Hold Downs and Special Anchors
53.
7.
Slab, Steel -Wrapped
54.
8.
Piers -Fireplace Ftg.-Steel
55.
9.
D.W.V.; Fall- Fitting -Test -2 Way C/0 -Sewer Test
56.
10.
UF, Gas Pipe; Size Anchors - Yard Gas Piping; Size Test
57.
11.
Water Pipe; Test -Anchors -Regulator -Service Test
58.
12.
Electric Underground
59.
13.
Plenums & Ducts; Clearance -Material -Support -ins.
60.
14.
Girders -Sills -Anchor Bolts-Joists-Vents-Crippies
61.
15.
Access & Ventilation
62.
16.
Insulation
Date
Date
Card B-1 Date Card B-1
Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1
Card B-1 Date Card B-1
Date
FINAL (Plans) OK except #'s
PLUMBING (Permit) OK except #'s
63.
17.
Water Htr.; Vent -Access -Combustion Air Baffle
64.
18.
Water Pipe; Test & Anchor -Nail Protection
65.
19.
D.W.V.; Test Fittings & Anchor -Nail Protection
66.
20.
Shower Pan; Test, First Floor -Tub Access
67.
21.
Test Tub & Shower, Second Floor -Tub Access
68.
22.
Gas Pipe; Sixe & Anchors
69.
Stairs & Rails
Date
Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1
Date
ELECTRICAL (Permit) OK except #'s
Kit. Fixt. & Appliance; Ground -Air Gap -Cooking Clearance
23.
Fixture & Transformer Clearance -Ins. Protection
Elec. Outlets & Receptacles at Kit. Counter
24.
Elec. Receptacles Spacing -Lights & Switches at Doors
Garage Fire Door; Swing -Landing -Closure
25.
Size Boxes & No. of Conductors Stapled
A.C. Duct in Garage -Damper
26.
Romex Installed Close to Edge of Studs & C.J.
Wtr. Htr.; Vents -Clearance -Comb. Air Connector-P.R.V.
in Garage; Above Floor-Mech. Protection
27.
Equip. Ground made up w/Mech Fasteners -Bond Gas & Water
Plb., Elec. & Mech. Equip. Listed for Location
28.
2 Appliance Circuits in Kitchen & Conductor Size GFI
Elec. Receptacles in Garage (F.F.I.)-Romex Protection
29.
Subieed Wire Size / ga. Cu or N-A.C. Wire Size / / ga Cu or At
Insulation- Foam -Looked in Attic
30.
Range Circle / ga Cu or Al -Oven Circ. / / ga Cu or At
Insulated Neutral ID Yes Q No
Guard Rails & Deck Co nstruction- Post Caps
31.
Service -Riser Conductors & Ground Main Disconnect
Fdn. VBents & Crawl Hole Door Drainage & Wood -Earth
32.
Equip. Clearances Panels-Motors-Mech. Equip.
Clearance Looked under Floor Q Yes
33.
Clothes Closet Light -Shower Light -Spa Light
Following Inst1d./Drive :1 Yes !:) NoMalks EJ Yes 0 No/Planters Yes 1:1 No
34.
Smoke Detector
Stucco Brown -Finish
84.
Date
Card B- I Date Card B-1
Date
Card B-1 Date Card B-1
Date
86.
MECHANICAL (Permit) OK except #'s
35.
A.C. Ducts Insulation & Support
36.
Vent Fan, Exhaust above insulation
37.
Condensate Drain & Overflow, Size & Grade
38.
Furnace -Vent Access -Comb. Air- Return Air Vent 115 outlet
39.
Attic Access & Platform if Furnace in Attic
92.
Water & Sewer Connected -C/O to Grade -HD Approval
93.
Energy Compliance Certificate -Other Certificates
Date
Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1
Date
FRAMING (Permit) OK except #'s
Card B-1 Date Card B-1
40.
Sits Proper Materials & Anchors
Date
41.
Walls Studs -Nailing Spacing & B races- Plates -Sound
42.
Bearing Walls over Girders & Floor Nailing
43.
Draft Stop in Walls (rat proof)
44.
Fire Stops, Furred Cei lings- Stairs- Chase rs-Tubs
45.
Headers & Beams -Size & Bearing
'ingle & Duplex)
Date
FRAMING (Continued)
46.
Hangers -Post Caps -Anchors -Connectors
47.
Cling. Joist-Rttr. Ties- Purlin-Roff Brac.-Truss-Shting.-Rfng.
48.
Fireplace Ties or Type A Flue -Fireplace Throal Clearance
49.
Attic Access; Size & Romex Protection- Draft Stop -Ins. Baffles
50.
Bdrm. Windows or Exiting Doors -Sill Ht. & Dimensions
51.
Garage Fire Protection Framing
52.
Property Line Firewall & Openings
53.
Ext. Doors -One T -Check Garage 3rd Story, 2 Exits
54.
Stairs; Width -Headroom- Rise- R un -Landing- Fire Protection
55.
Plywood on Roof Overhang -Attic Vents -Ratter Outriggers
56.
Siding -Nailing Veneer
57.
Stucco Mesh -Drip Screed -Fd. Vents-Underfir. Access
58.
Glazing Area -Glass P rotection-Skylights- Plastic
59.
Shear Walls; Nailing -Bolts
60.
Brace Interior/Exterior Wall Panels
61.
Insulation -Walls -Ceilings
62.
Infiltration-Walls-Winclows
Date
Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1
Date
FINAL (Plans) OK except #'s
63.
Et. Steps-D..r & Sidelight Protection -Landings
64.
Smoke Detector
65.
Furnace Vents -clearance -Comb, Air -Connector -
In Garage; Above Floor-Ducts-Mech. Protection
66.
Bedroom Exiting
67.
G.F.I. & Bath Fixtures & Tub Access -Spa
68.
Elec. Trim & Subpanel, Breaker Sizes & Labels
69.
Stairs & Rails
70.
Fireplace or Stove, Clearance -Hearth
71.
Elec. Outlets at Wood Panel, Int. & Ext.
72.
Kit. Fixt. & Appliance; Ground -Air Gap -Cooking Clearance
73.
Elec. Outlets & Receptacles at Kit. Counter
74.
Garage Fire Door; Swing -Landing -Closure
75.
A.C. Duct in Garage -Damper
76.
Wtr. Htr.; Vents -Clearance -Comb. Air Connector-P.R.V.
in Garage; Above Floor-Mech. Protection
77.
Plb., Elec. & Mech. Equip. Listed for Location
78.
Elec. Receptacles in Garage (F.F.I.)-Romex Protection
79.
Insulation- Foam -Looked in Attic
80.
Guard Rails & Deck Co nstruction- Post Caps
81.
Fdn. VBents & Crawl Hole Door Drainage & Wood -Earth
Clearance Looked under Floor Q Yes
82.
Following Inst1d./Drive :1 Yes !:) NoMalks EJ Yes 0 No/Planters Yes 1:1 No
83.
Stucco Brown -Finish
84.
A.C. Unit Disconnect, Electrical- Plumbing
85.
Vents Above Roof, Plbg-Appliance-Fireplace-Clearance to Openings
86.
Water Well, Disconnect, Electrical, Plumbing
87.
Exterior Elec. Trim, G.F.I. Receptacle- U ndergrou nd
88.
Ventilation Throughout House
89.
Glass Protection
90.
Corrections from Previous Inspections
91.
Gas Test -Meters Tagged, Gas -Electric
92.
Water & Sewer Connected -C/O to Grade -HD Approval
93.
Energy Compliance Certificate -Other Certificates
94.
Address Posted
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:
'�jCOONTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION
7 County Center Drive * Ciroville, California 95965 9 Telephone (530) 538-75AI.- 6–am NO.
(Rev. 12/96) APPLICATION AND PERMIT
ASSESSOR PARCEL NUMBER 021-160-001
ZONING
BUILDINGPERMIT 71
OWNER MfQ�
TELEPHONE
SQ. FT. OCC. BUILDING VALUATION
OWNER'S MAILING ADDRESS
:231 - kAJ,
478 6,214
CONTRACTOR'S NAME
0 P"
TELEPHONE
CONTRACTOWS MAILING ADDRESS
CONSTRUCTION LENDER
LENDER'S MAILING ADDRESS
Fireplace
Total Valuation $ 6,214
ARCHITECT OR ENGINEER
LICENSE NO.
Filing Fee $ 20.00
Permit Fee $ 90.00
ARCHITECT OR ENGINEEWS MAILING ADDRESS
Plan Checking Fee $ 58.50
BUILDING ADDRESS -701 - W Uk bal 4
Energy Plan Checking Fee $
LW1
"I -&A..
$
PERMIT FEE $ 168.50
LOT NO.
SUBONGIOWS NAMt
PARCEL MAP
PLUMBING PERMIT Filing Fee 20.00
USEOFSTRUCTURE
SF 0 Duplex 0 Mobilehome 0 Other L(AV4AYAQQ— _5�t 017'Atf
I 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 X Addition 0 Remodel 0 Utilities 0 Installation 0 Other 0
Describe Work: GAZEBEL
24 X 24
—Gas piping system I - 5 outlets 15.00
Building sewer 15.00
Mobile Home I S I G .00
PERMIT FEE
ELECTRICAL PERMIT I Filing Feel 20.00
Main Service '.*oA ON 23.00
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter
9 (commencing with Section 7000) of Division 3 of the Business and Professions Code,
and my license is in full force and effect.
License Class Lic. No.
OWNER -BUILDER DECLARATION
I hereby affirm under penalty of perjury that I am exempt from the Contractors License
Law for the following reason:
1, 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,
0 1, as owner of the property, am exclusively contracting with licensed contractors
to construct the project.
0 1 am exempt under Sec. Business and Professions Code for this
reason
Main Service 200A TO 1000A 46.00
NEW CONST. DWELLING OCCUP, so.
OR ADDNS. & ACC. BILDS. 3.50FT.
N MULTI -OUTLET
_NMR
Uri D. I 'U.T. 97.5�
OWER AP=US
&PSIN.. 0 C..
20 @ 1.00
Ex. Occup. OUTLET OR FIXTURES BAL @ .50
FL
xED APP . OR
Ex. Occup. CR=.) EA, 1 5.001
OUTLETS
Temporary Service 1 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:
0 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.
0 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 wi tho e provisions.
X Date cf/
Signature of App I C�wner 0 Contractor 103 Ag nt
An OSHA permit is equ�ii !o cavations; over 60" deep and demolition or construction
Is stories��
tories; i eight.
MECHANICAL PERMIT Filing Fee 20.00
Heating
— Cooling
Hood 6.50
Ventilation
–
PERMIT FEt
Mobile Home Installation Fee $
Energy Inspection Fee $
0 C c TYPE
TOT.AL F EE4-_' 1,68.50
AZ.
I D. FEES
WIF
J P��PD
I HD
17
I tSSUF,
This permit is hereby issued under the applicable provisions
of the Butte County Code and/or Resolutions to do work
indicated above for �whhl h fees have been paid.
of
By Date
C�
PERMIT EXPIRES ON <//7 /Q/
(Da t' ) ' I
ReceiptN 294174 / $168.50
-
WHITE-D.D.S. B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDEN ROD.�PPLICANT
0 u hy
N OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION
7 County Center Drive o Oroville, California 95965 , Telephone (530) 53A 0.
-it4l
APPLICATIONAND PERMIT
BUILDING PERMIT
S0.,FT. OCC. 5-JILDING VALUATION
.'7'3 6&W
Wile e
"�-'S 6W' -W3 ADDRESS
Fireplace
TotAl Valuation is
-=CT Or EHOJWEER LCENSE NO.
Filina Fee 207-0
-C-E--1 Or, EN31NEZAT WAUNG. ADDRESS
-414 A5DRESS
Permit Fee $ (5�-6 rn--
Plan Checking Fee $
Energy Plan Checking Fee
PERMIT FEE
-10. SL&D.YS ON'S KAJAE PAACEL WAP
PLUMBING PERMIT 1 Filing Feel 20.00
USEOFSTRUCTURE
:D D-uplex 0 Mobilehome 0 Other
Etch Trap 7.00
Sol&r or heat pump water hsz-.e.- 23.001
Water Piping 115.00
TYPE OF WORK
0 Ad' -:600 0 Remodel 13 Lkl�*s 0 Vs-trktbi 0 other 0
A
S:ribe �York: Z- Z--
Each gas water heater or ven! 15-007
Gas piping system 1 - s outets 15.00
i. 0 �0-
Building sewer 15.001
Wbile Home IS -I W, 1 1 C-20,001
PERMIT FE -E
ELECTRICAL PERMIT Filing Fee 1 20.00
OR
Main Service =V, OR Uss ) 23.001
Main Service 200A TO too" ) 45.001
NEW COHST. DWR I M O=.j
OR ADONS. A A=. OLDS
0 VrLET
@7.50
POWEA A"AAA,"',X
S,#Clu 0,
Ex. Occup. ovTL- OR Ftcr-Es 00
rAL a -
FIXED APPJ4. OR
Ex. Occup. OLM.M (RESID .1 EA. S.00
Temporary Service -F 23.00
Mobile korrie Facilitieti- 20.00
Misc. Wirina, 23.00
PERMIT FEE S
MECHANICAL PERMIT Firing Fee 20.010
,-Y) Oz
Q7,_1
6.50
Ventilation
PERMIT FEE $
Mobfle Home Installation Foe $
Energy Inspection Fee $
1EDec CONST. Type Tq(TAL FEE $
KA.L 1 0. FZES F�.DOD I =F I pr
J$f&—] po
This permit Is hereby Issued under the applicablat provisions
of the Butte County Code and/or Resolutions to do work
indicated above for which fees have been paid.
By Date
PFRIJIT rypiag:e r%Lj
C.QUN. TY OF BUTTE - 'DEPARTMENT- OF DEVELOPMENT SERVICES -BUILDING DIVISION
7 COUNTY CENTER DRIVE - OROVILLE, CAL-EFORNIA 95965 - TELEPHONE (530) 538-7541
PERMIT APPLICA TION DA TA SHEET
OWNER: �, In 'ASSESSOR PARCEL :_KIOR 0 00/
Proposed Bu&dmg Use: (7) 4 �_ZAA_ff J_ _'guilding Inspector: �� Pile:
At time of permit application, I was advised the i�66wing data must be submitted prio'r' to permit processing and/or issuance:
Date Received By
El I All Aerns; have been submitted ----------------------------------------------------------------------- 71 --------------
Wplot plans,.3/4 sets, signed by the preparer of plans - ---------------------------------------------- ---------
113. Complete plans, 3/4 sets, signed by the preparer of plans - ------------------------------------------------------
OWErigineered plans, 3/4 sets, with wet signature on plans. All engineering must be shown on plans - --------
0 5. Engineered truss details and layout in duplicate (required prior to plan review) No faxes! ------------------
0 6. Energy Design Compliance and supporting documentation ------------------------------------------------------
El 7. Statement of Intent. for Non -Heated and A/C Buildings - ---------------------------------------------------------
El 8. Hazardous Material Form - ------------------------------------------------------------------------------------------
0 9. Manufactured Home data and installation instructions including Tie Down Specifications ------------ :1 ------
Wo. Fees of $ -------------------------------------------------------------------------------------
El 11. Impact fees as shown on the attached schedule - ------------------------------------------------------------------
0 12 -California Department of Forestry plan approval/fees - ---------------------------------------------------------
0 13. Flood elevation certificate - ---------------------------------------------------------------------------------------- -
- - A �
Sanitation and plot plan approval 0 r'O Health Department - ------------------------------- --------------
"_ i I �;11
0 15. City of Chico plumbing permit - -----------------------------------------------------------------------------------
0 16. Plot plan and business license approval from the City of Biggs - ----------------------------------------------
0 17. Planning approval for (A) Use: (B) Parking: --------------------------
1118. Contactland Development about El Improvements, 0 Drainage, 0 Legal Parcel.
0 19. Encroachment Permit for driveway (construction approval prior to occupancy) - -------------------- -------
020. Pre -.inspection for required. Request to Building Inspector on (Date)
It
112 1. C6ntractor's license information. (Number, Name Style, Classification) - ------------------------------------
022. Workers' Compensation carrier and policy number - -----------------------------------------------------------
023. Owner -Builder Verification (Given to owner El, Mailed to owner 0) - --------------------------------------
024. Utter of signature authorization - --------------------------------------------------------------------------------
025. Recorded copy of Agricultural Acknowledgment Statement - --------------------------------------------------
E126. L ' etter of intent on building use - -------------------------------
E327. Manufactured Home utility clearance - ------------------------
028. Exis�ting violations and/or expired permits - ------------------
E129. E1433 A, ElGrant Deed, 1:1 M.H. Title, El Check to H.C.D
030. Other:
When you issWuee� Ermitgce� s
]_,,pr follows[] Mail to owner 11mall tA contractor.
7 and hold for office. 0 Deliver with insp
�Elelephone pickup at'� ��2 ector.
Applicant: Date -S —1
Copy of Haz-Mat form sent 13 Health Department, 0 Fire Department, 0 Air Pollution \ date: By
Copy of plans sent 0 Health Department, 0 Fire Department, 0 Other: BV:
In&x permit application for the above items numbered:
0 Plan Check List
2. Additional items required: , j
Contractor, designer, owner, was advised of the above required data by o phone, 0 mail, 0 Building Division counter, byV Date:
Contractor, designer, owner, was advised of the above required data by o phone, 0 mail, o Building Division counter, by Date:
Contractor, designer, owner, was advised of the above required data by 0 phone, 0 mail, 13 Building Divisiorf counter, by Date:
Contractor, designer, owner, was advised of the above requir I ed data by 0 phone, 0 mail, 0 Buildi� counter, by Da -
Plans reviewed by: Date: Plans approved by: Date:
Sets of plans on hold -in 13 Plan Cabinet, 13 A.P:':f0lde,r. Note transfer by: Date:
Yellow Copy - Departme6t of Development Services, B -1 ing Division.
E.H. USE ONLY
Plot Plan Attached hg
Floor Plan Attached
Sent to B.D.-C —
TO: Building Department
FROM: Environmental Health
SUBJECT: . Sanitation Clearance
Owner Location AP#
Plan Approved for: 'Sewage Dispos—ait'j-,, Water S ply: Public Private Well
7
Clearance for dwelling. Other 'K 2 -LI &-,D
Hold final for:.
Final clearance O.K. for:
NOTE:
Environmental Health Specialist
8/96
Date
Xttention Property Owner:
-An "owner-buUder" building permit has'been applied for in your name and b11!4F1ng-'r1ff
signature.
Please complete . and this . information at. your earliest opportunity. to '.avoid
unnecessary delay in processing and . issuing your building permit. No'bitUding permit
be issued until this verification is received.
I personally plan to provide the -'major labor*and materials for construction -otthi.-.�*.-.,
proposed. property.' it : YMIJ NO[ I.
trnpppyerner
2. 1 HAVE CK] HAVE N'OTJ.,].�ip 'Ap cati6h for'a'buildink for the
p..
proposed %york ... . ..
3. 1 have contracted with the ..following person (firm) to. provide, Ahe --pro
construction:
NAMM: -
ADDRF,SS:"-- Cr1rY:
PHONE::-----;'--- 'CONTRACTOR'S. LICENSE NO.'
4.*' 1 plan to .. provide- 'poftions -of this *6fk�:-bui I have'hired the- following persoif-to
coordinate, supervise, and pro.vid.e the major work-'
NAMM:
ADI)AtSS: CITY:
PHONE: CONTRACTOR'S LICENSE NO.
5. 1 will provide some of the work but I have contracted (hired) the follo*g-peisons to
provride the work indicated:
NAME ADDRESS. PHONE TYPE OF.WORK
SIGNED: A
PROPERTY OWNER:
SOCIAL SECURITY NUNIBER: - �>
DATE: _�:- — / — 2_(2X2_C) -
NOTE: This owner -Builder Verification is required by Section 19831 and
19832 of the California Health and Safety Code.
This verification must be completed and returned to our office before
we are permitted to issue the permit.
Mnv 1995 2.26
Dear Property Owner:
t has been submitted in your name listing yourself as the builder of
Aii application for a.building permi
property improvements specified.
For your protection, you should be aware that as "owner-buildee, you are the responsible party of record
on such a permit. Building permits are not required to be signed by property owners unless they are personally
performing their own work. If your work is being performed by someone other than yourseff, you may protect
yourself from possible liability if that person applies for the proper permit in his or her name.
Contractors are required by law to be licensed and bonded by the State of California and to biye a
business license from the city or co ey are requi;�d by law to put their license number on all permits
for which they apply.
plan to doyour wn work, with the exccp of various trades that you plan to si�� :Yqp�..
Ifyou
g inf 'and protection:
should be'awaie of the f"o-111 ormatioti for your ben ......
0 If you employ or othe engage.any persons other. . your imme ' diate hmilY,-and the.
materials and other costs is $300 or more for entire project, and such persons are -not li�en�id as
contractors or subcontracto , then y may employer.
0 If you are an employer, you e State.and Federal Governments as an employer. and you�are
subject to several obligations inc u state and federal income tax withholding, federal social sicurity bxes,
o
workers compensation insurance; disability insurance costs, and unemoloyineinfti nipensatign
0 There may be financial riikifor-you if you do not carry out these obugations,^and these risks,are,.�sp�ially..
serious with respect to worker's compensation. insurance.
0 For more specific information about your obligations under Federal Law, contract the Iiitein�d Revenue
Service (and, if you wish, the U.S. Small Business Administration). For more specific information about your
obligations under State Law, contact the Department of Benefit Payments and the Division.bf Industrial
Accidents. owners who are not licensed contractors are allowed to
. If the structure is intended for sale, -property contractor or subco . ntractor, only
perform their work personally or through their own employees, without a licensed
under limited conditions.
. A frequent practice of unlicensed persons professing to be contractors is to secure an "ownerbuilder"
building permit erroneously implying that the property owner is providing his or her own labor and mateiial
personally. Building permits are not required to be signed by property owners unless they are performing their oVV'M
work personaUy.
Information about licensed contractors may be obtained by contracting the Contractors State License
Board in your community or at 1020 N Street, Sacramento, CA. 95814.
Please complete the "Owner Builder Verification" on the reverse side of this form so that we can confirm
that you are aware of these matters. The building -permit will not be issued until the verification is returned. -
0
Sincerely,
Nfichael C. Vieira, C.B.O.
I
Manager, Building Inspection
NOTE� TI -Lis (),.vner-Builder Information is required by Section 19830 of the California Health and Safety Code.
Nfav 1995 2.27
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MATMIAL SPECIFIQBGKS
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RASOURT CERENT (Type 9) ASTI C 91-13a:
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