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HomeMy WebLinkAbout022-210-080COUNTY OF BUTTE -DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING DIVISION 7 County Center Drive, Oroville, CA 95965 Phone (530)538-7541 Fax (530)538-2140 PERMIT APPLICATION DATA SHEET OWNER: Y) Q ASSESSOR PARCEL NUMBER rO P "a / U- C>YU Proposed Building Use: Counter Technician: g m Date: �' d Items required in order to a ply fora permit. All boxes MUST be checked OR marked NA in order to apply. Ir 1: Site plans, 3 or 4 sets, signed by the preparer of the�plans. . 2. Complete plans, 3 or 4 sets, signed by the preparer of the plans. ❑ 3. Engineered plans, 3 or 4 sets, with wet signature on plans AND 2 sets of stamped and.signed calculations. ❑ 4. Engineered truss details and layouts in duplicate. No faxes! ❑ 5. Letter from Engineer or Architect for truss design review. ❑ 6. Energy compliance design and supporting documentation in duplicate. ❑ 7. Statement of Intent for Non -heated and A/C for Non -Residential Buildings. ❑ 8. Manufactured homes: (A) Data sheets and installation inst, (B) Marriage line info, (C) Floor Plan, (D) Tie down or fnd plans, all in duplicate. ❑ 9. Metal bldgs: (A) Metal Bldg Plans, (B) Fnd plans and calcs in triplicate, (C) Elevations in triplicate. (D) Floor plans in triplicate. All of these must be stamped and wet -signed by the engineer. ❑ 10. Flood Elevation Certificate, wet -stamped and signed, in duplicate ❑ 11. Site plan and business license approval from the City of Biggs fi ❑ 12. Letter of intent for non-residential buildings.. ❑ 13. Detached Accessory Building Form filled out by the owner ❑ 14. Hazardous Material Form 15. Sanitation and site plan approval from the Environmental Health Department in ❑ Chico ❑ Oroville, as applicable. 0 16. Other Remaining items needed to issue the permit. (May require additional plan review upon receipt of the following items.) ❑ 17. Fire Sprinklers............................................................................................ ❑ 18. Agricultural Buffer clr and site plan apr from the Ag Commissioner Sent by ❑ 19. Soils Report and/or Engineered Foundation required ........................................... ........ ❑ 20. Erosion Control Plan Required........................................................................ ........ ❑ 21. Fees as shown on the attached Schedule of Fees Due Sheet .............................. ❑ 22. City of Chico Plumbing permit........................................................................ y� ❑ 23. California Department of Forestry plan approval ❑ paid. Sent by: ............. 24. Planning approval (A) Use:01::� (B)Parking: (C) Parcel Check: 9 ❑ 25. Contact Land Development about _ Improvements, _ Drainage ......................... ❑ 26. NPDES Form............................................................................................. ❑ 27. Encroachment Permit for driveway from the Public Works Dept ........................... ❑ 28. Pre -Inspection for required....... ❑ 29. Contractor's license information. (Number, Name Style, Classification) ................... ❑ 30. Worker's Compensation Carrier and Policy Number .......................................... ❑ 31. Owner -Builder Verification (_ Given to owner, _Mailed to owner) ..................... ❑ 32. Letter of Signature authorization ...................................... :................... .......... ❑ 33. Recorded copy of Agricultural Acknowledgment Statement ................................. , ❑ 34. Manufactured home utility clearance............................................................... ❑ -35. Existing violations and/or expired permits......................................................... ❑ 36. Deed Restriction......................................................................................... ❑ 37. ❑ Grant Deed, ❑ M.H. Title/Statement of Facts, ❑ Letter from Legal Owner, ❑ Check to H.C.D. $ ❑ 38. Other: ❑ 39. Other: a When issued Telephone and hold for pickup. I have been informed of the above items and requirements for obtaining_a building permit. Applicant: Date: 1. Index permit application for the above items numbered: Plan Check Letter i nal items required Pract rdesigner, owner, was advised of the above data by _ phone, ❑mail, ❑ counter,'by • Date:r, designer, owne was advised of the above d a by phone, ❑ mail, ❑ counterby Date: Plans reviewed by: Date: V Plans approved by: Date Structural reviewed by: Date: Structural approved by: Date: Note transfer by: Date: Yellow: Building ;Division'.'r',, .A, 'S�31 IL E.H. USE ONLY Plot Ran ArtacMd N Flow Plan Attachod'N Sam to 6.0. TO: Building Department FROM: Environmental Health SUBJECT: Sanitation Clearance Owner Location AP# Plan Approved for: Sewage Disposal— Water Supply: Public.— -Private Well Clearance for dwelling. Hold final for: Final clearance O.K. for. ,NOTE: AJ Environmental Health Specialist Date 8/96 LICENSE NUMBER LICENSETYPE: C, S3 ARCH ITECTIENGINEER NAME: PHONE STREET ADDRESS: FAX. CITY, ZIP: LICENSE NUMBER E-MAIL DESCRIPTION OR SCOPE OF WORK: G-20 v ,J-0 Poo L p I _ 51 G ❑ Structure Built without permits ❑ Proposed Change of Occupancy (note previous use) EXPIRATION OF APPLICATION Applications for which a permit has not been issued will expire one year after the date of application. In order to renew action on an application after expiration, a new application, plans and fees will be required. REQUEST FOR REFUNDS Refunds can only be made upon written request by the person who paid the fee. The request must be made prior to the expiration of the permit and: no construction work has been done. Filing fees, plan check fees for work plan checked and other department costs are not refundable. For office use only: Notes: Application Received by: K Date: 5,16-64 Receipt number: 4o583Sy Amount Received: 47,42 BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT 24 HOUR INSPECTION #: (530) 538-7636 (OROVILLE) (530) 891-2834 (CHICO) OFFICE #: (530) 538-7541 FAX#: (530)538-2140 WEBSITE: www.buttecounty.net\dds PERMIT NO. BP041321 LICENSED CONTRACTORS DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of Issued Date: 05/20/2004 APN' 022-210-080-000 the Business and Professions Code, and my license is in full force and ' effect. 3 39 9 � License Class: Lice Number: Site Address: 128 HINAMAN DR BIG Date: 5 Zn t Contractor.7L f° Map Index: OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Description: IN GROUND POOL 01-516 Contractors' State License Law for the following reason (Sec. 7031.5 Business and Professions Code: Any city or county which requires a permit to construct, alter, improve, demolish, or repair any structure, prior Owner' LYNN HINAMAN to its issuance, also requires the applicant for such permit to file a signed statement that he or she is licensed pursuant to the provisions of the Contractor's State License Law (Chapter 9 commencing with Section 128 HINAMAN LANE 7000) of Division 3 of the Business and Professions Code) or that he or BIGGS, CA she is exempt therefrom and the basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars ($500).): ❑ I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale (Sec. 7044, Business and Professions Code: The Contractors' State License Law does not apply to an Applicant: POOL BUILDERS owner of property who builds or improves thereon, and who does such work himself or herself or through his or her own employees, 1351 MANGROVE AVENUE provided that such improvements are not intended or offered for sale. If however, the building or improvements are sold within one CHICO, CA 95926 year of completion, the owner -builder will have the burden of 530-899-8988 proving that he or she did not build or improve for the purpose of sale.). SKIMMERCH@AOL.COM ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec. 7044, Business and Professions Code. The Contractors' State License Law does not apply to an owner of property who builds or improves thereon, Contractor: POOL BUILDERS and who contracts for such projects with a contractor(s) licensed pursuant to the Contractors' State License Law.). 1351 MANGROVE AVENUE ❑ I am Exempt under Article 3 of the Business and Professions Code CHICO, CA 95926 530-899-8988 Date: Owner: SKIMMERCH@AOL.COM License #: 833994 WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by Section 3700 of the Labor Code, for the performance of the work for which this permit Architect' is i ssued. I have and will maintain workers' compensation insurance, as ' Engineer: required by Section 3700 the Labor Code, for the performance of the work for which this permit is issued. My workers' compensation insurance carderandpolicy number are: (C� Carrier: t-�� Total Square Ft: 0 S.F. q Policy #: � 13 — D D I Zd e o Valuation: $0.00 ❑ I certify that in the performance of the work for which this permit is Census Code: issued, 1 shall not employ any person in any manner so as to become subject to the workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. Date: ZO Lo Applicant: WARNING: Failure to secure workers' compensation coverage is unlawful, and shall subject an employer to criminal penalties and one hundred thousand dollars ($100,000), in addition to the cost of compensation, damages as provided for in Section 3706 of the Labor code, interest, and attorney's fees. CONSTRUCTION LENDING AGENCY This permit is hereby issued under the applicable provisions of the Birtte County Code anrUor I hereby affirm that there is a construction lending agency for the Resolution o work ' dicated abo or which fees have been paid. performance of the work for which this permit is issued (Sec 3097 Civ.) 1� Name: BY Date: .i Address: PERMIT EXPIRES ON: Date ❑ 1 hereby certify that the use of this facility shall comply with Sections 25505, 25533, and 25534 of the California Health and Safety Code, which regulate the storage, handling and use of hazardous materials. ❑ Notification in accordance with Section 19827.5 of California Health 8 Safety Code is not applicable to the scheduled construction of this project. ❑ Attached are copies of the required E.P.A. notification forms. I hereby certify that I have read this application, that the above information is correct, and that I am the owner or the duly authorized agent of the owner. 1 agree to comply with all county and state laws relating to building construction. I acknowledge it is unlawful to alter the substance of any official form or document of Butte County. I hereby authorize represe f Butte County to enter upon theabove mentioned property for inspection purpo, Print Name: Signature: Date: /.ZO / o! 0 Owner Contractor gent for Owner gent for Contractor _099smah2k, "COIL fxud®rS . T r1w X31-400. 113up-W 40OX-16LIMC1, C: -JJ PX-JM11EL 91963 ' NOT -F_ o i?001L tJ.37 6 (00 WELL RAb 10.5 OWL' Q/ /71 A/ F7 .. V�r -Alt A� APPR WN rr V 4f ,/ V VV v1, - 010 ORIGINAL SCALE: I-,= S-40 Assessor's Parcel Number: Fal Size (Acres) Owner Name /Address Phone No. _LJON HiLiAoA� 141 oArv\w -Site Location f4 ( N Prwt&� L -P,*) ta- Zoning Genbral Plan Contact: Name Phone A k _ RESIDENTIAL 22-21-80 ~ - - ' 2294-91B,p,g,M HINAMAN 128 HinamanuDr, ise (Estate) ` (addition & s kitchen �c�33cl f Y i i - r a s , k . • t, F .1 Jli1i Y 1 c L. { k JOB FINALE Signature J=OK t O = Not OK 1 = Not Aeadyable MOBILE HOMES ' =Not• Ready , Date MOBILE HOME UTILITIES (Plans) OK except f1's 1. Zoning Requirements -Setbacks -Easements 2. Soils; Special MH Support Sketch 3. Sewer; Location -Test -Fall -C/O Concrete 4 d MISCELLANEOUS Date DECKS, COVERS, CARPORTS, GARAGES, (Plans)OK except It's 1. Zoning Requirements -Setbacks -Easements 2. Footings; Soils -Size -Depth -Spacing -Connectors -Steel 3. Decks; Griders and/or Joists -Decking -Bracing -Stairs -Rails 4. Wood Awn.; Posts- Bea ms- Rftrs.-Connectors Shthg.-Rfg.-Bracing 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Carports; Windows -Doors 7. Electric 8. Frmg; Sils-Anchors-Studs-Rftrs-Trusses 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 ti's 1. Setbacks -Easements 2. Soils; Compaction -Structure Stability 3. Pool Structure; Steel -Connections -Thickness Dead Men -Lining 4. Elec.; Receptacles and Lighting, Distances-GFI 5. Elec.; Pool Lighting; 15 volts-GFI 6. Elec.; Enclosures; Conduit Entries -Terminals -Listed 7. Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater 8. Elec.; Grounding; Equip. w/5' Circulating Equip. -Pool Lghtg. Boxes -Enclosures -Panel boards -Ins. to Main in Conduit 9. Health Department Approval 10. Plumb.; Cir. Test -Water Supply Test r Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 4. Water; Location -Test -Easement Needed (Sketch) 5. Electricity; Location-Clearences-Grnd-/ /Amp -Concrete 6. Gas; Location -Test -Wrap: / /" L" ft. / /-Nat. or/ /"L" ft./ 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 t1'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 1 9. Exits; Insp.-Sketch 10. Cert. of Occupancy Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 4 d MISCELLANEOUS Date DECKS, COVERS, CARPORTS, GARAGES, (Plans)OK except It's 1. Zoning Requirements -Setbacks -Easements 2. Footings; Soils -Size -Depth -Spacing -Connectors -Steel 3. Decks; Griders and/or Joists -Decking -Bracing -Stairs -Rails 4. Wood Awn.; Posts- Bea ms- Rftrs.-Connectors Shthg.-Rfg.-Bracing 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Carports; Windows -Doors 7. Electric 8. Frmg; Sils-Anchors-Studs-Rftrs-Trusses 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 ti's 1. Setbacks -Easements 2. Soils; Compaction -Structure Stability 3. Pool Structure; Steel -Connections -Thickness Dead Men -Lining 4. Elec.; Receptacles and Lighting, Distances-GFI 5. Elec.; Pool Lighting; 15 volts-GFI 6. Elec.; Enclosures; Conduit Entries -Terminals -Listed 7. Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater 8. Elec.; Grounding; Equip. w/5' Circulating Equip. -Pool Lghtg. Boxes -Enclosures -Panel boards -Ins. to Main in Conduit 9. Health Department Approval 10. Plumb.; Cir. Test -Water Supply Test r Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 J=OK O=Not OK = Not Applicable Not Ready RESIDENTIAL (; = Date U RFLOOR (Plans) OK except ft's 1. Zoning -Setbacks -Easements -Flood -Slope ✓ G Ftg., Main; Soils-Elec. Grnd.-/ /" Ftg. Depth 3. Ftg., Garage; Soils-Steel-Elec. Grnd.-/ /" Ftg. Depth 4. Ftg., Porches & Decks; Soils -Steel-/ /Ftg. Depth 5. Stemwalls, Main; Steel-Blockouts-Wrapped 6. Stemwalls, Garage; Steel-Blockouts-Wrapped 6a. Hold Downs and Special Anchors - 7. Slab; Steel -Wrapped 8. Piers -Fireplace Ftg.-Steel 9. D.W.V.; Fall -Fitting -Test -2 Way C/O -Sewer Test 10. UF. Gas Pipe; Size -Anchors - yard gas piping: size -test 11. Water Pipe; Test -Anchor -Regulator -Service Test 12. Electric; Underground 13. Pienums & Ducts; Clearance -Material -Support -Ins. 14. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples 15. Access & Ventilation 16In ulation Date &'-` f and B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date PLUMBING (Permit),OK except h's 6. Water Htr.: Vent -Access -Combustion Air -Baffle -- L--1'8- / 1-7. ater'Pipe: Test & Anchor -Nail Protection - ---------- 118. D.W.V.; Test -Fittings & Anchor -Nail Protection ----- ----- -- - ------------------ --19. Shower Pan; Test. First Floor -Tub Access TUb & Shower, Second Floor -Tub Access --------- ------------------- tjj21. 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 h's 22. Fixture & Transformer Clearance -Ins. Protection 3. Elec. --R - - -------- - - ------- - ----------------- ----------- - - eceptacles paing-Lighs& Switches at Doors 24. Size Boxes & No. of Conductors -Stapled 25. Romex Installed Close to Edge of Studs & C.J. ------------------------------------------------------------------------------ 26. Equip. Ground made 'up w!Mech. Fastners-Bond Gas & Water - - -------------------------------------------- 27. 2 Appliance Circuts in Kitchen & Conductor Size!GFI ------------------------------------ =------------------- ---- - 28. Subfeed Wire Size i i ga. Cu or AI-A.C. Wire Size ! ! ga. Cu or AI ---------------- -------------------------- ---- 29. Range Circ. / ga. Cu or AI -Oven Circ. / / ga. Cu or Al. Insulated Neutral ❑Yes- -- ❑ No --------- 30. Service -Riser Conductors Ground -Main Disconnect --------------------------- 31 Equip. Clearances -Panel s Motors Mech. Equip - 32. Clothes Closet Light -Shower Light -Spa Light --a -- ---------------------------------------- 33 Smoke Detector --------------------------------------------=--------------------------------- Date Card B-1 Date Card B_1 -------------------------------------- - ---- Date Card B-1 Date Card B-1 Date ME ANICAL (Permit) Ok except h's 4. A.C. Ducts Insulation & Support ��Vent : Exhaust above insulation ate Drain & Overflow: Size & Grade Furnance-Vent: Access -Comb Air -Return Air Vent -115 outlet --------------------------------------------- ttic Access & Platform if Furnance in Attic -------------------------------------------------------------------------------- Date Card B_1 Date - Card B_1 --------------- - - ----- Date Card B-1 Date Card B-1 Date FRAMING (Plans) OK except h's i§ -Proper Material & Anchors ------- -- 115�-- ----------------------------------------- ---------- - 0. Wall tuds-Nailing. Spacing & Bracing -Plates -Sound ------------------ ___ZZ --------------------------- ---------------- ----------------- mg.Walls over Girders & Floor Nailing - --- 42. t Stop in Walls (rat proof) -- t Stop in Walls (---------------------------------------- Fire Stops: Furred Ceilings -Stairs -Chases -Tub ----------- ----- Fire-------Furre --------------------- ----------- ------ 44. Headers & Beam -Size & Bearing NO = 4 jingle & Duplex) Date FRAMING (Continued) - ___ H ctg'ers-Post Caps -Anchors -Connectors Cing. Joist-Rftr. ties-Purlin-roof Brac-Truss-Shthng.-Rfng. 47. 'r ce Ties or Type A Flue -Fireplace Throat clearance v9 Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles -- 49 indows or Exiting Doors -Sill Hgt. & Dimensions -rte-Fire Protection Framing --5-1 roperty Line Firewall & Openings 52. Ext. Doors -One 3' -Check Garage -3rd Story, 2 Exits �Sta-if Width -Headroom -Rise -Run -Landing -Fire Protection --------------------- - 0 on ­Rof Overhang -Attic Vents -Rafter Outriggers ----------------- --- 55. Siding -Nailing Veneer o Mesh -Drip Screed -Fd. Vents-Underflr. Access >GIding Area -Glass Protection -Skylights-Plastic Walls; Nailing -Bolts 9. Insulation -Walls -Ceilings 60. filtration -Walls -Windows Dat and B- Date Card B-1 DCard B-1 ate Card B-1 Dae FINAL (Plans) OK except ff's -xt. Steps -Door & Sidelight Protection -Landings mo Detector 63. Furnace Vents -Clearance -Comb. Air -Connector - In Garage; Above Floor -Ducts -Meeh. Protection ----------------- ------------ e room Exiting ------------------------ Bath Fixtures & Tub Access -Spa 6. Elec. Trim & Subpanel: Breaker Sizes & Labels ---------------------------- - Rails -66--FimVace or Stove: Clearances -Hearth 69. at Wood Panel; Int. & Ext. ----- ✓70. it.Fixt & Appliance; Grnd.-Air Gap -Cooking Clearance - -- Elec_-Outlets & Receptacles at Kit. Counter --- ----'Eiarage Fire Door; Swing -Landing -Closer -------------------- 3. ------------------ ---------------- �. Duct in Garage -Damper -- -_--- ------------------ _---------- ------ tr. Htr., Vents -Clearance -Comb. Air-Connector-P.R.V. In age: Above Floor-Mech. Protection - ----- - --5. Plb Elec. & Mech_Equip. Listed for Location Elec eepta'C1es in Garage; (G.F I.)-Romex Protection •----------�11----- - --------- - --- -- Insulation -Foam -Looked in Attic ❑ Yes Guar Rails & Deck Construction -Post Caps -= r- --- ---- -- - - - dn. Vents &Crawl Hole Door -Drainage &Wood -Earth Clearance Looked under Floor ❑ Yes -- ---- ---- g - - . Followin instld. Drivp�Yes No; Walks Yes ❑ No; Planters--O-Yes U No Brown-Finish A.C. Unit: Disconnect. Electrical, Plumbing ----------------------------------------- - ---- 8�e Above Roof; Plbg.-Appliance-Fireplace.-Clearance to Openings _ r Well: Disconnect, Electrical, Plumbing ___,& interior Elec. Trim; G.F.I. Receptacle -Underground Ve lat on Throughout House s Protection 88. Corrections from Previous Inspections - - ------------------ -------- -------------- s Test -Meters Tagged: _ Gas -Electric -------------------------- - - -- & Sewer Connected -C/O to Grade -HD Approval - 1. Energy Compliance Certificate -Other Certificates _ - - -- - Date 8-1---- ate 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 PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 - Telephone: 916/538-7541 APPLICATION AND PERMIT PERMIT NO. —2994-91 I ASSESSOR PARCEL NUMBER 022-21-080 1 ZON NG 40,4 BUILDING PERMIT OWNER LOUISEH ESTATE TELEPHONE 846-3671 SQA FT. OCC. BUILDING VALUATION 128 128 R 6,528 OWNER'S MAILING ADDRESS P.O. BOX 365 GRIDLEY CA 370 OPEN 2,590 CONTRACTOR'S NAME UNKNOWN TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER NONE UNKNOWN Total Valuation $ 9,118 Filing Fee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee $ 80.50 ARCHITECT OR ENGINEER NONE LICENSE NO. Plan Checking Fee $ 40.25 Energy g Plan Checking Fee 15.00 ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS HINAMAN DRIVE BIGGS 128 Permit tee $ 7 PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 Solar or heat pump water heater 20.00 LOT,NO. SUBDIVISION NAME PARCEL MAP Water piping 5.00 Each qas water heater or vent 5.00 on USE OF STRUCTURE SFq Duplex❑ Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home S G W 0.00 PA TYPE OF WORK New ❑ Addition U Remodel ❑ Utilities ❑ Installation[] Other ❑ Describe work: ADD STINRnnM & RFMnuT, KTTC;HFN Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 6001 OR LESS 100 AMP OR LESS 10.00 Main service EA. ADO'L 100 AMP 2.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): ❑ I am licensed under provisions of Chapt. 9, Div. 3 of the BusinessPOWER and Professions Code and my license is in full force and effect. License No. Classification, El 1, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ontract- el, as the owner, am exclusively contracting with licensed contract- ors. ors.(Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason - NEW CONST.( DWOCCUP.aa OR ADONS. ( ACC. SLOGS. , /20sgft NEW CON5TR. ULTI.OUTLET NON .RES,D BRANCH CIRC ITS 2.SOea APPARATUS e (SINGLE OUTLET CIR. Ex. Occup(OUTLETS OR FIXTURES 20050Q eAL®90 FIXED ALINIS Ex. Occup. OUTLETS P(RESID )REA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 Permit Fee WORKMEN'S COMPENSATION INSURANCE I declare qodevoenalty of perjury (check one): permit is for $100.00 (valuation) or less. I Fve placed on file with the County of Butte Building DepartmentEXTEND ertificate of Workmen's Compensation Insurance or a Certificate to Self -Insure. © I shall not employ any person in any manner so as to become subject to the W. C. laws of California. ' Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. Contractor MECHANICAL PERMIT Filing Fee 10.00 Heating DUCTS 6.60 Coolinonsent g Hood 3.00 3.00 Ventilation Permit Fee $ 19.00 Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. ' I also agree tosave, indemnify and keep harmless the County of Butte against ud osts, and expenses which may in any way accrue all l�tZ'o agaion�equen oft granting f this permit. _ _ ' Date Signature of Applicant — Owner Contractor ❑ Agent An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ 30.00 occ CONST TYPE TOTAL FEE $ 2 9.95 HAi. CUA- PARK scH FLo coF PA PD i HD. ISSUE This permit is hereby issued unser the applicable provi- sions of the Butte County. Code and/or resolutions to do work indicated above for which fees have been paid. DIRECTOR UBLIC WORKS BY Date -%/Z�� PER EXPIRES Date /! .Receipt No. 94517 239.95 WHITE-O.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR. GOLDENROD -APPLICANT ,,..Wai�"'r`4fArro �7✓L't^i+ft '."T'TWY".�„7i"w0'. ..rn .. �.���, r••- ry7 •-• • R � '(a ( '^'S('A^I t ./'r+- .,-.,yoT}.w �. r ✓.h I'f►- A COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS - BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILLE, bALIFORNIA 95965 - TELEPHONE: 916/538-7541 PERMIT A RPLI'GATrpN DATA SHEET / Permit No. OWNER DUlSE �11 "A"A. P. No. ZZ -2 t !Proposed Building Use A 4t .3 ay e.61 BuildingInspector Date 7-9 ! Cl e At time of permit application, I was advised the following data must be submitted prior to permit processing and/or issuance: , < DATE RECEIVED APPROVED 1. All items have been submitted . ........................ 2. Plot plans in duplicate/triplicate, signed by preparer of plans ........ 3. Complete plans in duplicate/triplicate, signed by preparer. of plans . . 4. Complete engineered plans and calcs, with wet signature on plans .. 5. Hazardous Material Form .......................................... 6. Energy Design Compliance and supporting documentation ......... 7. Statement of Intent for Non -Heated and AC Buildings .............. 8. Engineered truss details and layout in duplicate (required prior to plan check) 9. Mobilehome installation data including manufacturer's installation instructions....................................................... 10. Fees of.$ ........................ 11. Chico Urban Area fees paid ....................................... " Park fees paid.......................................... Iew School District fees paid ......... , ... r L Sanitation approval from -0 ttZU1 ! e-- Health Department 7/23/9! do 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-1•nspection for required Pre-inspec. request to Building Inspector (Date) 21. Contractor's license information -(No Name Style, Classifications ... 22. Certificate of Workmans Compensation Insurance .................. 23. Owner -Builder Verification (Given to owner ❑, Mail to owner ❑) ..... 24. Recorded copy of Agricultural Acknowledgment Statement ......... 25. Letter -of signature authorization ................................... 26. 27. When ou issue thepe�r/mit, rocess as follows: Mail to owner. Mail to contractor. Telephone "�- 61 and hold for pickup at Oex> office. Deliver w/inspector. Other 2 Applicant Datef Copy of Hdz-Mat form sent Health Dept. Fire Dept. Air Pollution Dato Copy of plans sent Health Dept. Fire Dept. Other Date By The following data must be submitted prior tp rmjt 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—counter by ..date Contractor, designer, owner, was advised of above required data by_phone_m:��7 er by date / Plans checked by ate Plans .approved by Date Z� Sets of plans on hold in Copy—DPW File cabinet AP folder TO Buildinv Department FROM: Knvironmental Health SUBJECT: Sanitation Clearance Owner Plan Approved for: Hold final for: Final clearance O.K. for: Zj Location AP# Sewaqe Disposal �� Water Supply Clearance for bedroom mobile home. Other Water Supply Water Supply 1 - v NOTE *** Sanitarian Date BUTTE,COUNTY SCHOOLS DEVELOPMENT FEE CERTIFICATION FORM (One Form per Building) A.P. Number Building -Department No. schoolibistrict O City D County ffRI Jurisdiction Property Owner/, ou6,r %rMAA1 ) Project Location/Address Zf Hi AIA /VjAN Pr, 15ie Subdivision Lot Number Residential Development:' Z .,_.,4 Sq. Footage 1 1 # of Living -MHI Addition (Group R) � Units Commercial/Industrial: a Sq. Footage New Addition (Including Exterior Roofed Areas) Buija "A J -`7 lding Depar m Representative Date i(Floor Plans'reviewed by1Schoo1!District Personnel),_ District Id No. N School District certifies that -'Woo (Applicant Name) (Phone Number) 3�s (Street Address) (City) (State) ti. (Zip Code) has complied with the requirementsof Resolution No. by the payment of $ -- representing /square'feet. Scho istrict Representative Date PAID 'BY CHECK NO. BANK NO PAID BY CASH -� white -applicant, yellow -building department, pink -school district SCHOOL.FEE (8/88) COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 - Telephone: 916!538-7541 APPLICA .0N119YKNIT PERMIT NO. ASSESSOR PARCEL NUMBE G ZONfNG Oaf - j -0 - O LJ BUILDING PERMIT OW ER LT t TELE NE 7; u s L i n ( 1a f� SO. FT. OCC. BUILDING VALUATION O ER MAIL G PODR S 4S G CO TRACTOR'S N M TELEPHONE ONTRACTOR'S MAItING A D SS Fireplace CONS RUCTION LENDERUNKNOWN Total Valuation $ LENDER'S MAILING ADDRESS Filing Fee $ 10.00 Permit Fee $ AR ITECTTVOR ENGINEER ii LICENSE NO. Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Energy Plan Checking Fee $ Penalty $ BUILDI G AOT Sts � n � Permit fee $ PLUMBING PERMIT Filing Fee 10.00 VU Each Trap 2,00 a. Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP Water piping 5.00 0 Each qas water heater or vent 5.00 r 0 USE OF STRUCTURE SF K Duplex❑ Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets 5.00 .60` Building sewer 5.00 00 Mobile Home S I G I W 10.00ea TYPE OF WORK New ❑ Addition /em1fdel Utilities ❑ Install ' n Other ❑ Describe work:/] (t �s2unroowl p. fn 9J I 1� +C Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 600V OR LESS 100 AMP OR LESS 10.00 Main service EA. ADD'L 100 AMP 2,50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): ❑ I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in full force and effect. License No. Classification, ❑ I, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I. as the owner, am exclusively contracting with licensed contract- ontract- ors. ors.(Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONST. DWELLING occu OR ADDNS. ACC. BLOGS. It'�z¢Sgft NEW CONSTR. ULT[.OUTLET NON.RESID BRANCH CIRCUITS) 2.50 ea POWER APPARATUS e SINGLE OUTLET CIR. ) Ex. OCcU OUTLETS OR FIXTURES p e0L030 2ALO 30 FIXED APPLNS. OR Ex. Occup. OUTLETS (RESID.1 EA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring g 15.00 Permit Fee $ .110 WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. ❑ I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. Contractor MECHANICAL PERMIT FiIingFee 10.00 Heating Coolin g Hood 3,00 Ventilation Permit it Fee $ Q 0 Contractor 1 certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte againstHAz all liabilities, judgments, costs, and expenses which may in any way accrue against said County in consequence of the granting of this permit. XThis Signature of Applicant — Owner ❑ Contractor ❑ Agent ❑ An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories i,n height. Mobile Home Installation Fee $ Energy Inspection Fee $ �� occ CONST TYPE TOTAL FEE $ CUA I PARK SCHL FLD cpF PAR Pp HD. ISSUE permit is hereby issued unaer the applicable provi- sions of the Butte County. Code and/or resolutions to do work indicated above for which fees have been paid. DIRECTOR OF PUBLIC WORKS By Date PERMIT EXPIRES Date Receipt No. gZI5'11 — WHITE-D.P.W., YELLOW-ASSf35OR, PINK -INSPECTOR, GOLDENROD -APPLICANT G i�,x ly 39f7 FOR M 7 ADDITIONS TO RESIDENTIAL BUILDINGS ENERGY SHEET PACKAGE "A" (Additions) Owner ,Z,t/ Climate Zone Permit # Floor Area The following data showing mandatory and required features of Package "A" shall be installed for additions to dwellings. Additions to dwellings include room additions, converting garages and patios to living areas, house moves that add footage and attic conversions, and any space that is existing non -conditioned space that is converted to conditioned space. Remodeling of existing conditioned space is not included. ZONE 11 ` ZONE 16 APPLIES TO NEW AREA CEILING R-30 R3 WALL R-11 R- 9 FLOOR R-11 /u-.6 1 SLAB R-7 7 GLAZING U-.65 (Dual) ,(Dual) SHADING SOUTH - OPTIMUM OVERHANG BUTTE COUNTY or .36 Shading CoefficientBUILOMD02ARTUM. WEST - .36 Shading .Coefficient APPROVED LOOSE FILL INSULATION (Density) INFILTRATION CONTROL (Weatherstrip doors, certified windows-;- caulking) Z DUCTS PER UNIFORM MECHANICAL CODE - Ch. 10 LIGHTING KITCHEN & BATH NOT LESS THAN 25 LUMENS/WATT MAXIMUM GLAZING 16% OF AREA PLUS REMOVED GLAZING NEW HEATING, VENTILATING, AIR CONDITIONING AND HOT WATER SYSTEMS IN CONJUNCTION WITH AN ADDITION SHALL BE INSTALLED AS SHOWN ON BACK OF THIS SHEET. OTHER 12/85 *1. HEATING VENTILATING, AIR CONDITI.ONING SYSTEM (A) Heating - ❑ Central Gas Furnace ' 7 (brand and model number) SE Btu/hr (heating capacity) ❑ Heat Pump (brand and model number) ACOP Btu/hr (heating capacity at 4 F) ❑ Active Solar type (liquid or air) Collector brand and ft2 model number solar fraction collector area collector orientation collector tilt rated y -intercept rated slope ❑ Other. (describe) *1' (B) Cooling ❑ Electric Air Conditioner (brand and model number) (seasonal EER) Btu/hr (cooling capacity at 95°F) ❑ Electric Heat Pump ' EER Btu/hr (cooling capacity at 95°F) ❑ other (describe) DOMESTIC WATER SYSTEM ❑ (A) Gas Only Gallons (brand and model number) (tank size) ❑ Heat Pump w/Electric Backup (brand and model number) Gallons (tank size) 2 C3* Active Solar (collector brand and model number) (rated y -intercept) (rated slope) (solar fraction) ft2 '(backup heater type, brand and model number) (collector area) I `" (collector orientation) (collector tilt) ❑ Location of Solar Panels ❑ Other (Describe) *1 Submit documentation of sizing heating and cooling equipment by Manual J, sizing charts (form #4) or other approved methods, section 2-5352(g), and fill out the following: Heating:. Winter design temperature °, elevation ', heating load BTU elevation factor x heating load . maximum outlet capacity gas furnace BTU Cooling: Summer design temperature °, cooling load BTU *2 Submit T.I.P.S.E. chart'or* other approved system (form #5) to document sizing of solar panels. ® DESIGN COMPLIANCE STATEMENT: The above building design meets the requirements of Title 24, Part 2, Chapter 2-53 of the California Administr on o e. t �Yi N TU OF BUI ING ES R Olk APPLICANT April 7, 1989 Louise Hinaman % Sherman Hinaman P.O. Box 365 - -- - _ Gridley, CA 95948 . CERTIFIED MAIL -utte Moura .- L A N D O F N A T U R A L W E A L T H A N D B E A U T Y PLANNING DEPARTMENT 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965-3397 TELEPHONE: (916) 538-7601 Re: Use Permit, AP 22-21-76 Dear Ms. Hinaman: Enclosed is your validated Use Permit No. 89-34 to allow a homesite segregation in an agricultural zone located on the west side of Highway 99, approximately 1/2 mile north of Gridley -Biggs Cemetery, north Gridley. Should you have any questions regarding this matter, please contact this office between 10:00 a.m. and 3:00 p.m. Sincerely, g.A. Kircher Director of Planning BAK:lr Enc. cc: Department of Public Works (2) Environmental Health Department of Forestry USE PERMIT BUTTE COUNTY PLANNING COMMISSION April 7, 1989 DATE: (Certified Mail Rec.) 89-34 PERMIT NO. AP 22-21-76 • ASSESSOR'S PARCEL NO. Pursuant to the provisions of the Zoning Ordinance of the County of Butte and the special conditions set forth below: Louise Hinaman is hereby granted a Use Permit in accordance with application filed: 1/19/89 to allow a homesite segregation in an agricultural zone located on the west side of Highway 99, approximately 1/2 mile north of Gridley -Biggs Cemetery, north Gridley. 1. Failure to comply with the conditions specified herein as the basis for approval of application and issuance of Permit, constitutes cause for the revocation of said permit in. accordance with the procedures set forth in the Butte County Zoning Enabling Ordinance., 2. Unless otherwise provided for in a condition to 'a use permit, all conditions must be completed by the permittee within 12 months of the delivery of the countersigned permit to the permittee. 3. If any use for which a use permit has been granted is not established within one year of the date of receipt of the countersigned permit by the permittee, the permit shall be Come null and.void and reapplication shall be required to establish the use. SPECIAL CONDITIONS: 1. Parcels to be created pursuant to Chapter 20 of the Butte County Code and -Subdivision Map. 2. Prior to the division being effective, the owner or owners of the - property included in the approved development shall 'execute and cause to be recorded in the office of. the Recorder of Butte County a restriction binding upon the original owners and their heirs, successors, and assigns which disallows additional dwelling and building from being .located on -the property until either of the following conditions occur: a. The property is rezoned to any non-agricultural zone; .or b. At least.10 years has elapsed from date of recordation, and the Commission and other properties in the area have changed sufficiently -to reconsider the restriction. 3.� Applicant must also comply with all other applicable State and ;- local statutes, ordinances, and regulations. I hereby declare under penalty of perjury that I have read the foregoing conditions, that they are in fact the conditions which were imposed upon the granting of this use permit, and that I agree to abide fully by said conditions. Dated: Applicant NOTE: Issuance 'of this Use Permit does not waive requirement of obtaining Building and Health Department permits before starting construction, nor does it waive any other requirements. _ Butte County Planning Commission Chairman ' CC: Department of Public Works (2) Health Department Department of Forestry IN I RESIDENTIAL 22-21-80 2643-91B,P,E,M_ HINAMAN, Louise 128 Hinaman Dr, Biggs - cont: Theveos Const (addition/sf) 7 , w � x1 e� It • `� t I S • r 1 j JOB FINALE ` Signature � Y J=OK O = Not OK Not = Not Readyable MOBILE HOMES Date MOBILE HOME UTILITIES (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Soils; Special MH Support Sketch 3. Sewer; Location -Test -Fall -C/O Concrete 4. Water; Location -Test -Easement Needed (Sketch) 5. Electricity; Location-Clearences-Grnd-/ /Amp -Concrete -7 6. Gas; Location -Test -Wrap: / /" L" ft. / /"Nat. or/ /"L"ft./ /"LPG 7. Well Clearance & Disconnect ,. 8. Utility Clearance �T Date _ Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date MOBILE HOME INSTALLATION (Plans) OK except #'s J 1. Zoning Requirements -Setbacks Easements 2. Footings; Size -Spacing -Marriage Line .J 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 -Steel 3. Decks; Griders and/or Joists -Decking -Bracing -Stairs -Rails 4. Wood Awn.; Posts- Bea ms- Rftrs.-Connectors Shthg.-Rfg.-Bracing 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Carports; Windows -Doors 7. Electric 8. Frmg; Sils-Anchors-Studs-Rftrs-Trusses 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 J=OK O = Not OK = Not Applicable Not Ready RESIDENTIAL (Single & Duplex) ' = Date AADERFLOOR (Plans) OK except N's 1. Zo ing-Setbacks-Easements-Flood-Slope il�2. Ftg., Main; Soils-Elec. Grnd. ; g. Depth 3. Ftg., Garage; Soils-Steel-Elec. Grnd.-/ /" Ftg. Depth 4. Ftg., Porches & Decks; Soils -Steel-/ /Ftg. Depth 5. Stemwalls, Main; Steel-Blockouts-Wrapped 6. Stemwalls• Garage; Steel-Blockouts-Wrapped 6a. Hold Downs and Special Anchors Slab; Steel -Wrapped V-•8. Pier -Fireplace Ftg.-Steel joaec1A �,/d- .W.V.; Fall -Fitting -Test -2 Way C/O -Sewer Test 10. UF. Gas Pipe: Size -Anchors - yard gas piping: size -test 11. Water Pipe; Test -Anchor -Regulator -Service Test 12. Electric; Underground 13. Pienums & Ducts; Clearance -Material -Support -Ins. 14. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples 15. Access & Ventilation Dat -a16. nsulation Dat -a,' Card B-1 Date Card B-1 Dat Card B-1 Date Card B-1 Date P BING'(Permit),OK except N's 16. W tr.: Vent -Access -Combustion Air -Baffle --------- --- ----- ------------ ------------------- _ ater Pipe: Test & Anchor -Nail Protection D.W.V.; Test -Fittings & Anchor -Nail Protection- ------------_ 1 hower Pan: Test. First Floor -Tub Access 20. Test Tub & Shower. Second Floor -Tub Access -- - ------------------ ------------------ -L----2'1-Gas Pipe: Size & Anchors ----------- -- -- -------- ---- - -- - -- Date Card B-1 Date Card B-1 -------- --- ----- ------ ---- Dat Card B-1 Date Card B-1 Date WCTRICAL (Permit) OK except N's fixture & Transformer Clearance -Ins. Protection ---=-- -------------------------------------------------- 23. c. Receptacles Spacing -Lights & Switches at Doors 24 ze Boxes & No. of Conductors -Stapled ------ ----------------------------------------------- 25. Romex Installed Close to ------------------ Edge of Studs & C.J. -- ��Ground made up w/Mech. Fastners-Bond Gas & Water ---- --------- -- - - --------------------------------------- --- ------ ------------- 27. 2 Appliance Circuis in Kitchen & Conductor SizerGFI 28. Subfeed Wire Sizer r ga. Cu or AI-A.C. Wire Size ! ! ga. Cu or Al ---------------------•-------------------------------------- ---- 29. Range Circ. / r ga. Cu or AI -Oven Circ. / / ga. Cu or Al. Insulated Neutral ❑ Yes ❑ No ----------- ------------------------------------------------------------------ 30. Service -Riser Conductors & Ground -Main Disconnect ------------------------------------------------------------------ 31. Equip. Clearances Panels-Motors-Mech. Equip. ------------------------------------------ --------- - 32. Clothes Closet Light -Shower Light -Spa Light --- - ---------------------------------------- Smoke Detector -------------------------------------------- ------------------------------------ Date Card B-1 Date Card B-1 --------------------------------------------------------------------------- Date Card B-1 Date Card B-1 Date MECHANICAL (Permit) OK except N's 34. A.C. is Insulation & Support - - -� an: Exhaust above insulation ✓36. Condensate Drain & Overflow: Size -& Grade - Furnance-Vent: Access -Comb Air -Return Air Vent -115 outlet -------------------------------------- - - 3 _ - cess-& Platform if Furnance in Attic ------------------------------------------------- --------------------------------------------------------------------------------- D----------------------------------------- Card BDate--------Card-B-------- Date Card B-1 Date Card B-1 Date FR NG (PI ns) OK except N's 39. Si--..- roper- Mater al & Anchors -1111-- --------- -------------------------------------------------1111-- Wall uds-Nailing. Spacing & Bracing -Plates -Sound ------------------- --------- -----------------------------1111-- -- - e g t(s over Girders & Floor Nailing - - -- - _ -- rZders top in ails (rat proof) ------------------------- '4 'Ir Ceilings-Stairs-Chases-Tub --- 1111-- - --14 & Beam -Size & Bearing Date MING (Continued) Hangers -Post Caps -Anchors -Connectors ng. Joist-Rftr. ties-Purlin-roof Brac-Truss-Shthng.-Ring. e Ties or Type A Flue -Fireplace Throat clearance 8. cess: Size & Romex Protection -Draft Stop -Ins. Baffles Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions Fire Protection Framing - Property -Line Firewall & Openings oors-One 3' -Check Garage -3rd Story, 2 Exits 53. sWidth-Head room -Rise-Run-Landing-Fire Protection- --- -- 54. 'Id on Roof Overhang -Attic Vents -Rafter Outriggers �V/55. Siding -Nailing Veneer Mesh -Drip Screed -Fd. Vents-Underflr. Access ---- 1/S7'-rea-Glass Protection -Skylights -Plastic mg A L5;;- ear Walls: Nailing -Bolls 59. Insulation -Walls -Ceilings ------------------ Infiltration-Walls-Windows Dat and B-1 Date Card B-1 Date lCard B-1 Date Card B-1 Da4 FI tans) OK except N's 61..6teps Door & Sidelight Protection -Landings ------ ll 6/2. moke Detector 63. Furnace; Vents -Clearance -Comb. Air -Connector - In Garage; Above Floor -Ducts -Meth. Protection 64. Bedroom Exiting G.F.I. & Bath Fixtures & Tub Access -Spa Trim & Subpanel; Breaker Sizes & Labels 1/t% Stairs & Rails replace or Stove: Clearances -Hearth -------------- - 69. Outlets at Wood Panel: Int. & Ext. 70. Kit. R Appliance; Grnd.-Air Gap -Cooking Clearance llets & Receptacles at Kit. Counter -------------------- ----- r 72. Fire Door: Swing -Landing -Closer --------------------------------- 73. A.C. Du tin Garage -Damper tr. Htr Vents -Clearance -Comb. Air-Connector-P.R.V. In Garage: Above Floor -Meth. Protection ------------------- - Ib.. Elec. & Mech. Equip. Listed for Location tacles in Garage; (G.F.I.)-Romex Protection nsulation-Foam-Looked in Attic ❑ Yes ----------------- -------------------- %--r8-'Uu'ard Rails & Deck Construction -Post Caps 79 ents & Crawl Hole Door -Drainage & Wood -Earth Clearance Looked under Floor 0 e following instld.: Drive ❑ s No: Walks *'0 Yes ❑ No: Planters ❑ Yes ucco: Brown -Finish 8 2-4,C. Unit: Disconnect. Electrical, Plumbing 83. Vents Above Roof; Plbg.-Appliance-Fireplace.-Clearance to Openings ����[.Well; Disconnect, Electrical, Plumbing C /ifs. Exteri C� Trim: G.F.I. Receptacle -Underground ------------ Ven fttlrbughout House -- ----- __--- --1837. GLection --- - - ---1111 - -- -------------1111--------------------1111-- d8. Corrections from Previous Inspections .--------------------- •------------------------1111-- 89. Gas Test -Meters Tagged; Gas -Electric ------- t- 9 aterter & Sewer Connected -C/O to Grade -HD Approval 9 1. Energy CompliagFe_Certificate-Other Certificates Dat Card B- Date Card B-1 ---�- - v _ Card ------ Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Comments at Final: Owner: Permit No. ENERGY CERT IF ICAT I.0 N .HN naman Ln. Biggs C' LOCATION A.P. No. DESCRIPTION OF INSULATION ROOF Material _ Brand Name _ Thickness(inches) Thermal Resistance (R Value) EXTERIOR WALL Material FIBERGLASS_BATTS Brand Name OWENS-CORNING Thickness (inches) 3 .5/8". Thermal Resistance(R Value).R13. _ CEILING Batt or Blanket Type FIBERGLASS BATTS Brand Name OWENS-CORNING Thickness(inches) 9.2': _ Thermal Resistance(R Value) R30 _ Loose Fill Type Minimum Thickneaa(Inches) Brand Name 'Number of Bags Wt. per bag lb. Area covered(ft.Z) Thermal Resistance(R Value) FLOOR, ELEVATED Material, Brand Name Thickness(inches). Thermal Resistance(R Value)__ FLOOR, SLAB 10 Material Brand Name _ Thickness (inches) ;,� Thermal Resistance(R Value)_ Width (inches), FOUNDATION WALL' . Material _. Brand Name Thickness(inches) .,,; Thermal Resistance(R Value):_. I hereby certify that -the -above insula tion'was installed in the above building in conformance with the State of CalifoVn3a Sneray Requirements. LOERKE INSULATION CO., INC. 499150 FIRM NAME/OWNER STATE CONTRACTOR'S LICENSE NO. Sent /25, 1991 SIG tTURE OF INSTALLATION APPLICATOR DATE I hereby certify the above insulation and -all required items ss shown on the Building Department approved plans and attactiments have been installed as required by the State of California Energy Requirements. All equipment, devices and materials are of the quality prescribed or are specifically approved by the State of California. 7 F / R PI a print). STATE CONTRACTOR'S LICENSE NO. SIG TUBE OF GENERAL CONTRACTOR OWNER D THIS CERTIFICATE MUST BE ON FILE WITH THE BUILDING DEPARTMENT PRIOR TO FINAL INSPECTION APPROVAL ANDA COPY SHALL BE POSTED WITHIN THE BUILDING. January 1984 FR0II P. 001 0Wne - Permit No. ENERGY CERTIFICATION LOCATION A, P. NO. DESCRIPTION OF INSULATION ROOF MATERIAL BRAND 14AME THICKNESS THERMAL RES. EXTERIOR WALL MATERIAL GL BRAND NAME RT AIN Ln THICKNESS ' 4' THERMAL RES._ CEILING BATT OR BLANK T TYPE-FiberglasNRAND NAME C£ INTEED THICKNESS 0 THERMAL RIES. �- LOOSE FILLTYPE INSUL-SAFE IIIBRAND NAME CERTAINTEED THICKNESS 4_ THERMAL RE7��� FLOOR,ELEVATED b MATERIAL FIDERGLA_SS BRAND NAME CERTAINTEED THICKNESS �� THERMAL RE9._ FLOOR, SLAB MATERIAL BRAND NAME THICKNESS TH1~RMAL RES. WIDTH FOUNDATION WALL MATERIAL BRAND NAME _ _-_-- THICKNESS� THERMAL RES. _ I HEREBY CERTIFY THAT THE ABOVE INSULATION WAS INSTALLED IN THE ABOVE BUILDING IN CONFORMANCE WITH THE STATE OF CALIF. ENERGY REQUIREMENTS. HAWKINS INDUSTRIES INC. # 622154 FIRM NA tE 0 ' ER STATE CON'lR,LICE NO. ' on and all required items as shown I hereby cern y t e- above 1nsu,.at1 4 on the Building Depart. approved plans and aLLdc:lialer,ts have been installed as required by the State of California Eueigy Requirements. All equipment, devices and materials are of the qutility pit -scribed or are spec fically appr' ed by Llte SLate of Calif, _eve ---- ------------------------ _,hFIRM-NAME/OWNER (PLEA k1NT) - STATi: COIiTR�,f.'.Tf11" I.lt.►.!��I: t�(1• "hNE ALL l.0'!'ltAI TOR!UVN1'•!( A] ! '•, ctn f 1 le w i III t lit• I1i.1 L111 i%(,' 1)1:1'r�r'1''<.1:'�1 10: ,"I t t- ,1 a cnlly r:l�all J)e itosta•d >-:ilhlll 111c huildifg:. COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drivj. - Oroville, California 95965 - Telephone: 916/538-7541 APPLICATION AND PERMIT ASSESSOR PARCEL NUMBER ZONING 22-21-80 A40 OWNER TELEPHONE LOUISE HINAMAN 846-3671 OWNER'S MAILING ADDRESS PO BOX 365 GRIDLEY 95948 CONTRACTOR'S NAME TELEPHONE THEVEOS CONST. 533-0716 CONTRACTOR'S MAILING ADDRESS 7070 ORO COUNTRY CLUB RD OROVILLE 95966 CONSTRUCTION LENDER IUNKN6WN ENDER'S MAI ARCHITECT OR ENGINEE ARCHITECT OR ENGINEER'S MAILING ADDRESS BUILDING ADDRESS 128 HINAMAN DR BIGGS LOT NO. I SUBDIVISION NAME C-9593 PARCEL MA 11-7-8 USE OF STRUCTURE SFM( Duplex❑ Mobilehome❑ Other SPECIFY TYPE OF WORK New ❑ Addition[3X Remodel ❑ Utilities ❑ Installation❑ Other ❑ Describe work: MASTER BDRM 9 OFFICE CONTRACTORS LICENSE LAW I declarg under penalty of perjury (check one): I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code! and my license is in full rce and effect. License No. •3i gacl Classification. .3 ❑ I, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. ❑ I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: if after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. I also eagreesave, indemnify and keep harmless the County of Butte against all liajudgments, costs, and expenses which may in any way accrue again nt i eoins 4bence of the granting of this permit. X Date � d ? Si nature of Applicant - Owner ❑ Contractor Agent Ir An OSHA permit is required for excavations over 5'0 ' deep and demolition or construct- ion of structures over 3 stories in height. Receipt No. 96893-234.00 g7%7LI (7d WHITE-D.P.W.. YELLOW-FOEOWIL)E INK -INSPECTOR, GOLDENROD -APPLICANT A BUILDING PERMIT u( SQ. FT. OCC. BUILDING VALUATION .434 R 73,134 118 C 1.534 Fireplace Total Valuation $ 74,668 Contractor Filing Fee $ 10,00 Permit Fee $ 358. Plan Checking Fee $ 179.00 Energy Plan Checking Fee $ 15.00 Penalty $ 20®509 D ALO 30 Permit fee $ 562.00 PLUMBING PERMIT Filing Fee 10.00 Each Trap 6 2.00 12.0( Solar or heat pump water heater 20.00 Water piping 5.00 5.0( Each qas water heater or vent 5.00 1 5.0( Gas piping system 1 - 5 outlets 5.00 ,0( Building sewer5.00 ( Mobile Home S G W 10.00 ea Permit Fee $ 42.00 Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 600V OR LESS 100 AMP OR LESS 10.00 Main service EA. ADD'L 100 AMP 2.50 NEW CONST. ( DWELLING OCCUP.tr\ OR ADDNS. ACC. BLDGS. // 'C p /20Sq ft 35.8-r NEW CONSTR. U TI.OUTLET NO N.RES'D BRANCH CIRC ITS 2.50 ea POWER APPARATUS &) (POWER OUTLET CIR. Ex. OCcup(OUTLETS OR FIXTURES 20®509 D ALO 30 FIXED APLNS.Ex. Occup. OUTLETS P(RESID )REAJ 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 Permit Fee S Ac; QS Contractor MECHANICAL PERMIT Filing Fee 10.00 Heating SPLIT .0 Cooling 3T . 00 Hood 3.00 Ventilation I Permit Fee $ 1) S nn Contractor -- - - Mobile Home Installation Fee $ Energy Inspection Fee $ 30.00 OCC CONST TYPE TOTOL FEE $ 704.85 PAg1( S H F D CDiljP) HD This permit is hereby issued unser the applicable provi- sions of the Butte County. Code and/or resolutions to do work indicated above for which fees have been paid. DIRECTOR 05�.PUBLIC WORKS By PERM EXPIRES Date ,., �,,....,r-p,�....�..,,..„�,,.,x;sit.V,r^,���P�•,,"�*iff�r..t$"�.{..�:..I+SV�`"�y^c'31:rwr_=Or i'�J..�:,-�.t'-ser'.r.:��,�,p:e y,,:�«rye rf «-'..� L.�F i'�'1r-`+.�"T�'r.rY ,F; •. COUNTY OF BUTTE - DEtPAE3TMENT OF PUBLIC WORKS -BUILDING DIVISION V 7 COUNTY CENTER DRIVE - OROVILLE,rCALIFORNIA 95965 - TELEPHONE: 916/538-7541 PERMIT APPLICATION DATA SHEET I /1 Permit No. OWNER ZU u f S.� r�A1AAi�N '� x A.Y. No. �2Z--��_ ��® r � Proposed Building Use �r A0Y,%/7`ila Buil-.ding Inspector Date -%'0 g r. At time of permit application, I was advised the following data must be submitted prior to permit processing and/or issuance: DATE RECEIVED APPROVED 1. All items have been submitted . .................................... 2. Plot plans in duplicate/triplicate, signed by preparer of plans........ 3. Complete plans in duplicate/triplicate, signed by preparer. of plans . . 4. Complete engineered plans and calcs, with wet signature on plans .. 5. Hazardous Material Form .......................................... 6. Energy Design Compliance and supporting documentation ......... 7. Statement of Intent for Non -Heated and AC Buildings .............. 8. Engineered truss details and layout in duplicate (required prior to plan check) 9. Mobilehome installation d to including manufacturer's installation !instructions. _ 11. Chico Urban Area fees paid ....................................... 12. ark feesd................................................ _•���`� School District fees paid .............. `� `�f -� Sanitation approval from Health Department -�3" 5. 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 SectionfDPW 19. Driveway permit (construction approval required ,prior to occupancy) \NPre-Inspec. request to 20. Pre -Inspection for required ..,: Building Inspector (Date) 21. Contractor's license information(No., Name Style, Classifications ... 22. Certificate of Workmans Compensation Insurance .................. 23. Owner -Builder Verification (Given to owner ❑, Mail to owner ❑) ..... 24. Recorded copy of Agricultural Acknowledgment Statement ......... 25. Letter of signature authorization ................................... 26. 27. When you issue the permit, proce s as follows: Mail to owner. Mail to contractor.' GO� Telephone .533 `G7 and hold for pickup at office. Deliver w/inspector. Other / Q 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_subm.itted prio to p,rmit issu ce: Circle new -i -tem -•not -checked above). 1. Index permit for above Iitems No. r 2. Additional items required: Contractor, designer, owner, was advised of above required data by_phone_mail—counter by ..date Contractor, designe , owner, was advised of a ve required data by—phone mail coun r by date Plans checked by ;� to I Plans approved by Date q �I Sets of plans on hold File cabinet AP folder Copy—DPW TO. Building Department FROM: Environmental Health SUBJECT: Sanitation Clearance 'S , S , e � ti ( -DL Y N! oma' Owner Location ��/(�].J//�Jp■'f{��j Plan Approved for: Sewage Disposalr\� Hold final for: Final clearance O.R. for: Clearance for _ _ bedroom mobile home. NOTE * * * H 1 Sanitarian a. -.)L. --a) -Y AP# Water Supply Water Supply Water Supply Other 044 I % l Date �\ COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT NO. 7 County Center DrlGe - Oroville, California 95965 - Telephone: 916/538-7541 APPLICATION AND PERMIT ASSESSOR PARCEL NUMBER J ZON NG 02;? -z ,/�--L a BUILDING PERMIT OWNER r TELEPHONE SQ. FT. OCC. BUILDING VALUATION OWNER'^MAI ING ADDRESS- 1 A --I ki 6V CGS Gou, < S33-67 CONTRA TOR'S MAILING ADDRESS /� ! -70-70 U� ajv if i'/ /�(/ C.I+ Fireplace CONSTRUCTION LENDER lyd —d UNKNOWN Total Valuation $ LENDER• MAILI ADDRESS Filing Fee $ 10.00 Permit Fee $$ ARCHITECT OR ENGINE R y�lJ"�� LICENSE NO. C'155 E5 Plan Checking Fee $ Energy Plan Checking Fee $ 0c5 AR CHI TE E WGIN- ER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS / ^� %J _ Permit fee $ PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 •l% Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP Water piping 5.00 '60 Each qas water heater or vent 5.00 ,$.O -t> USE OF STRUCTURE S� Duplex❑ Mobilehome❑ Other SPECIFYMobile Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 _do Home S GJWJ 0.00 ea TYPE OF WORK New ❑ Addition Remodel) E] Utilities ❑ Installation❑ Other ��� b Describe work: e/XiQDI✓1 O -S- 0A Permit Fee $ Iv Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 8001 OR LESS 100 AMP OR LESS 10.00 Main service EA. AOD•L 100 AMP 2.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): F -1I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in full force and effect. License No. Classification. ElI, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONST. DWELLING OCCUP.& OR ADDNS. ( ACC. SLOGS. , !z¢sg11 NEW CONSTFL ULTI.OUTLET NON.RESID BRANCH CIRCU. TS 2.50ea POWER APPARATUS &) (SINGLE OUTLET CIR. Ex. Occup(OUTLETS OR FIXTURES 20050Q BALO30 FIXED APPLNS. EX. Occup. OUTLETS ((RESID )REA.1 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring g 15.00 Permit Fee $ WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. ❑ I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. Contractor MECHANICAL PERMIT FiIingFee 10.00 Heating ,(j Cooling -0 -0 Hood 3,00 Ventilation Pe Fee ee $ d� Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue against said County in consequence of the granting of this permit. Mobile Home Installation Fee Energy Inspection Fee $ $ ,,,50, cn,> occ CONST TYPE TOTAL FEE $ i) HAZ. CUA PARK SCHL FLD CDF P R PD j HD. ISSUE X This permit is hereby issued unser the applicable provi- sions of the Butte County Code and/or resolutions to do Signature of Applicant — Owner ❑ Contractor ❑ Agent ❑ work indicated above for which fees have been paid. An OSHA permit is required for excavations over 5'0" deep and demolition or construct- DIRECTOR OF PUBLIC WORKS ion of structures over 3/s'tories in heiggghht. Receipt No. 01U � rC - 2 3c/ oma— By Date ,.. - ----'--- -- -- --- ---- -- - DFAUIT FYDIGCC n.t. .Qa7� '�..r:� -c'�`• m.F3 V ,.� .� � ..:r-Ye?^Fs.�-... �••�-a4i'M•., �,:n:, . �sravv ,.n -, .o ,z-�...�a.y.,v2F + a •.:r • n w+ S.rtr. .BUTTE COUNTY SCH06LS"D8VELOPMENT FEE CERTIFICATION FORM (One Form.per Building) A. P. Number �� —;?/Building Department No. t School District City County Jurisdiction Property OwnerQ(f/�E" Project Location/Address Subdivision Lot Number Residential Development: Sq. Footage # of Living MHI AWition (Group R) Units -Commercial/Industriale,_et(4ke6pkese-nT-ative : Sq. Footage New Addition (Including Exterior Roofed Areas) hfv/ 9/ J Building DepD to ******************************************************************* (Floor Plans reviewed by School District Personnel) District Id No. e School District certi`fities that (Applicant Name)', (Phone'Numbe.r) (Street Address) o (City (State)1 (Zip/Code) has com-lied with the requ rements of Resolution'No by the payment of $ e--- repr'ese.nting square feet. ��. School/District Representative Date PAID BY CHECK NO. BANK NO l / L`IZz 27// i/& PAID BY CASH REMARKS: "s white -applicant, yellow -building department, pink -school district SCHOOL.FEE (8/88) FORM 7 ADDITIONS TO RESIDENTIAL BUILDINGS ENERGY SHEET PACKAGE "A" (Additions) Owner �.7/ Climate Zone Permit # Floor Area The following data showing mandatory and required features of Package "A" shall be installed for additions to dwellings. Additions to dwellings include room additions, converting garages and patios to living areas, house moves that add footage and attic conversions, and any space that is existing non -conditioned space that is converted to conditioned space. Remodeling of existing conditioned space is not included. APPLIES TO NEW AREA CEILING WALL FLOOR SLAB GLAZING SHADING SOUTH - OPTIMUM OVERHANG ZONE 11 ZONE 16 R-30 R-11 R-11 R-7 U-.65 (Dual) or .36 Shading Coefficient WEST - .36 Shading Coefficient LOOSE FILL INSULATION (Density) INFILTRATION CONTROL (Weatherstrip, -doors, DUCTS PER UNIFORM MECHANICAL CODE - Ch. 1 (Dual) certified windows, caulking)' GOO' '� 0 8� ,,p t,-wftl LIGHTING.KITCHEN & BATH NOT LESS THAN 25 LUMENS/WA'� D MAXIMUM GLAZING 16% OF AREA PLUS REMOVED GLAZING Fky1*A0\ NEW HEATING, VENTILATING, AIR CONDITIONING AND HOT WATER SYSTEMS IN CONJUNCTION WITH AN ADDITION SHALL BE INSTALLED AS SHOWN ON BACK OF THIS SHEET. OTHER 12/85 0 *1 - .'HEATING. VENTIIATING. AIR CONDITIONIlrG SYSTM (A) Heating ❑ Central Gas Furnace 7 . (brand and -model number) SE Btu/hr (heating capacity) ❑ Heat Pump (brand and model number) ACOP Btu/hr (heating capacity at 47°F) ❑ Active Solar type (liquid or air) Collector brand and ft2 model number solar fraction collector area collector orientation collector tilt rated y -intercept rated slope ❑ Other (describe) *1 (B) Cooling ❑ Electric Air Conditioner (brand and model number) (seasonal EER) Btu/hr (cooling capacity at 95°F) ❑ Electric Heat Pump ' - EER Btu/hr (cooling capacity at 95°F) ❑ Other (describe) DOMESTIC WATER SYSTEM ❑ • (A) Gas Only Gallons (brand od model number) (tank size) ❑ Heat Pump w/Elect Backup (brand and model number) Gallons 2 (tank size) [3* Active Solar (collector brand and model number) (rated y -intercept) (rated slope) (solar fraction) ft (backup heater type, brand and model number) (collector area) (collector orientation) (collector tilt) ❑ Location of Solar Panels ❑ Other (Describe) *1 Submit documentation of sizing heating and cooling equipment by Manual J, sizing charts (form #4) or other approved methods, section 2-5352(g), and fill out the following: Heating: Winter design temperature °, elevation ', heating load BTU elevation factor x heating load maximum outlet capacity gas furnace BTU Cooling: Summer design temperature °, cooling load BTU *2 Submit T.I.P.S.E. chart or other approved system (form #5) to document sizing of solar panels. ® DESIGN COMPLIANCE STATEMENT: The above building dejign eets the req 'rements of Title 24, Part 2, Chapter 2-53 of the Cal/AuRE d"min ration Cod SI0 BUILDINGDESIGNER OR APPLICANT -TIP T2- -- 210-08 HINAMAN REVOCABLE TRUST 128 HINAMAN DR.. GRIDLEY CONTR: NORTH VALLEY ELECTRIC STAND BY POWER u w COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-7541 PMIT NO. (Rev. 12/96) APPLICATION AND PERMIT ASSESSOR PARCEL NUMBER 022-110—WO ZONING A.L.0 BUILDING PERMIT OWNER T' AI1iA a 'u TELEPAOINE SO. FT. OCC. BUILDING VALUATION OWNERS MAILING ADDRESS WX 911 GRIDDLEY 95948 CONTRACTOR'S NAME 846-2081 NORTH VAUJ Y UMritIC INC TELEPHONE CONTRACTORS MAILING ADDRESS CONSTRUCTION LENDER LENDER'S MAILING ADDRESS Fireplace Total Valuation $ ARCHITECT OR ENGINEER LICENSE NO. —Filing Fee $ 20.00 Permit Fee $ ARCHITECT OR ENGINEERS MA UNG ADDRESS Plan Checking Fee $ BUILDING ADDRESS 128 HItiAL'w I DRIVL GRIDDI Y Energy Plan Checking Fee $ $ PERMIT FEE $ LAT NO. SUBDNIS IONS NAME PARCEL MAP PLUMBING PERMIT Filing Fee 20.00 USEOFSTRUCTURE j SF ❑ Duplex ❑ Mobilehome ❑ Other i sPEC�v Each Trap 1 7.00 Solar or heat pump water heater 23.00 Water piping 15.00 Each as water heater or vent 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ,18 Installation ❑ Other ❑ c Describe Work: n J II - A, ,J /. / hy%t) Ny 11ISC ELECTRIC FOR GF14ERATOR BLACK Ul S'YSM Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home S G W @20.00 PERMIT FEE $ ELECTRICAL PERMIT Filing Fee 20.00 aoovOR LE Main Service zo..OR LESS 23.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect. / 7 License Class - / /1 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: ❑ I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. ❑ 1, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. I have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensatio insurance carrier and policy number are: Carrier 7_ I/ Ct ' % �.''. e. Main Service 200A TO 1000A 46.00NEW CONST. DWELLING OCCUP. OR ADDNS. ( & ACC. BLDS. SG 3.5¢FT, pN1OP1p�I. ' MULTI.OUTLET 97.50 POWER APPARATUS 6 SINGLE OUTLET CIR. Ex. Occup. OUTLET OR FDRURES zo @ ,too BAL @ .50 Ex. Occup. oU S RED aID.G� 5.00 Tem Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 23.00 PERMIT FEE $ MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEL: $ Policy Number L, !r, - 2 1 -, 3 Ci JL/ (The above sections need not'be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) ❑ 1 certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall forthwith comply with those provisions., i� r= X Date �� i / _ Signature of Applicant/ ❑Owner lZContractor ❑ Agent An OSHA permit is required for excavations over 5'0" deep and demolition or construction of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST. TYPE TOTAL FEE $ 43•W MAZ. D. FEES IMP FLOOD I CDF PARCEL I PD I HD ISSUE This permit is hereby issued under of the Butte County Code and/or indicated above for which fees have V By. . 4Pf,) .. PERMIT EXPIRES ON /! f ;� :S / the applicable provisions Resolutions to do work been paid. Date434i 91 > ) f(Date Receipt No. zeI066 WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-7541 qV! ER SIT NO. (Rev. 12/96) APPLICATION AND PERMIT - ASSESSOR PARCEL NUMBER 022-210-080 ZONING BU ILD I NG P ER M IT OWNER N.E SO. FT. OCC. BUILDING VALUATION .OWNERSMAILING ADDRESS BOX 911 GRIDDLEY 95948 CONTRACTOR'S NAME 846-2081 NORTH VALLEY ELE TELEPHONE CONTRACTORS MAILING ADDRESS CONSTRUCTION LENDER Fireplace LENDER'S MAILING ADDRESS Total Valuation $ ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00 Permit Fee $ ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ BUILDING ADDRESS 128 HINAMAN DRIVE GRIDDLEY Energy Plan Checking Fee $ $ PERMIT FEE S LAT NO. SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMIT Fling Fee 20.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome ❑ Other SPECIFY Each Trap 7.00 Solar or heat pump water heater 23.00 Water piping 15.00 Each gas water heater or vent 15.00 TYPE OF WORK ❑ UfilitiesA Installation ❑ Other ❑ New ❑ Addition ❑ Remodel Qu Describe Work: �TG 4d h /y 1 Cw P t- MISC ELECTRIC FOR GENERATOR BACK UP SYSTEM Gas piping system 1 - 5 outlets 15.00 Buildingsewer . 15.00 Mobile Home I S I G I W @20.00 PERMIT FEE S ELECTRICAL PERMIT Fling Fee 20.00 800VOR LE Main Service zo.A OR LESS 23.00 LICENSED CONTRACTOR'S DECLARATION 1 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. f / License Class — 0 Lic. No. (y OWNER -BUILDER DECLARATION 1 hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: ❑ I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason Main Service 200A TO 1000A 46.00 NEW CONST. DWELLING OCCUR OR ADDNS.( & ACC. BLDS. so NEW RESID. MULTI -OUTLET 97,50 POWER AFPAPATUS a SINGLE OLJTLEr CIR. Ex. Occup. OUTLET OR FIXTURES j 20 BAS p'.w Ex. Occup. 0FIXSg'., CER. 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 23.00 PERMIT FEE $ 43.00 WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. �( I have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My worker ' co m ensatio insuran carrier and policy number are; Carrier t/ MECHANICAL PERMIT Fling Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FES $ Policy Number (The above sections ne o be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) ❑ 1 certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to workers', compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of ction 3700 of the Labor Code, I shall f hwith comply ith those p ov. ins � X Dete �/- a 3- 9 /y Signature of App (cant ❑ Owner Contractor ❑ 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 $ occ CONST. TYPE 43.00 TOTAL FEE $ D �ES IMP FLOOD CDF PARCEL PD HD ISSUE This permit is hereby issued under of the Butte County Code and/or indicated above for which fees have By 1--C— PERMIT EXP RES ON the applicable provisions Resolutions to do work been paid. Date Defe ReceiptNo..W/00 WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT s. COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-7541 PERMIT NC (Rev. %2A6) - APPLICATION AND PERMIT AsseaoRPARatNueee� — 2 _ © OBUILDING PERMIT OWN" /� M-:16 1 IAoi-s — ye, I/a r L A, �.. � I- SO. FT. I OCC. I Ruu nwr_ vee s MAN►O ADOWN 6. SOONiMCTORa WMp / MMIONE OOONn1Ac ADOAM p. Fire faceTOtal WS COMTRUCT WN Moet LOCUS UNL"e ADORaaa ARurrreT OR aNDlra:e� uccNsa No. Valuatlo Firing Fee S 20.00 Permit Fee = ARCHTM ON LNONEER7 1r`VNO ADaREsa 9ULDM„CO,M i Z 1 Plan Checking Fee S Ener9Y Plan Checking Fee S i PERMIT FEE PLUMBING PERMIT Fling Fee 20.00 Each Trap 7.00 LCTNO. auaotveannrwe P M MAP USEOFSTAUCTURE SF C"plex O Mobm ilehoe O Other aPecsv Solar or heat PUmP water heater 23.00 Water piping 15.00 TYPE OF WORK Each gas water heater or vent 15.00 Gas piping stem 1 - 5 Outlets 15.00 New O Addition O Remodai 1:3 mus O hstaJaticn O Describe Work: .i S C_ /�� v q >,t 4 L, �— Other O dt�� r gu�� rawer 15.00 Mobile Home ISI G1 W1 @20.00 o<,-/-1 PERMIT FEE S ELECTRICAL PERMIT Filing Fee 20.00 Main Service "u OOn � 23.00 Main Service 200% TO 1000A 46.00 NEW COMT. ( OWULM OC'CVP. OR AOONS. A ACC. aWs. 3.5CR NONRESID. MULII.Ounu @7.50 POWER APPARATUY i SWOUO CLR. _ Ex. Occup. amET OR wruRO 200 1.00 RAL a .a0 ' F=D A. Ex. Occu „TLET2 fRENsIEs O Ek 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Msc. Wiring23.0023. ®=1 PERMIT FEE S 10 AVAP MECHANICAL PERMIT Fling Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEtc S Mobile Home Installation Fee S Energy Inspection Fee $ occFR TOTAL FEE _ Zj �m s . - IIMP n=O I COP PARCEL 00 ND 16'SLE 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. r By Date PERMIT EXPIRES ON iDu.l NOTES RESIDENTIAL 4 PERMIT NO. —. 022-210-080. _ _ 05-0187 `. d HINAMAN, SHERMAN 1 128 HINAMAN DR, BIGGS I i Cont: RICH&CARL ROOFING REROOF 68 SQ i 11 SPECIAL CONDITIONS 11 CHECKED BY SRA FLOOD CERTIFICATE REQ. FIRE SPRINKLERS REQ. SPECIAL INSPECTION ITEMS VERIFY USE PERMIT CONDITIONS SUB -STANDARD HOUSING LETTER Q JOB FINALE D (Date) 2 ' Or— Signaturei� J=OK 0 = Not OK - = Nottreb . =Not ReaReady DECKS, COVERS, CARPORTS, GARAGES (Plans) OK except #'s MOBILE HOMES Date MOBILE HOME UTILITIES (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Soils; Special MH Support Sketch S 3. Sewer; Location -Test -Fall -C/O -Concrete 4. Water; Location -Test -Easement Needed (Sketch) Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 5. Electricity; Location-Clearances-Grnd-/ /Amp -Concrete Carports; Windows -Doors 6. Gas; Location -Test -Wrap;-/ /" L -ft. / P Nat. or / /" L "ft./ P LPG Electric 7. Well Clearance & Disconnect Frmg.; Sills-Anchors-Studs-Rftrs-Trusses 8. Utility Clearance Siding; Nailing -Veneer -Stucco -Mesh 10. Roof; Shthg-Roofing 11. 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 POOLS (Plans) OK except #'s 3. Gas; MH Test -Demand -Valve -Connector Setbacks -Easements 4. Electricity; MH Test -Crossovers -Breakers -Clearances Soils; Compaction -Structure Stability 5. Drain; MH Test -Fall -Flex Connector Pool Structure; Steel -Connections -Thickness Dead Men -Lining 6. Water; MH Test -Regulator -Connector Elec.; Receptacles and Lighting, Distance-GFI 7. Water and Sewer Connected -C/O to Grade -HD Approval Elec.; Pool Lighting; 15 Volts-GFI 8. Gas and Electricity Tagged Elec.; Enclosures; Conduit Entries -Terminals -Listed 9. Tie Downs -Type -Installation Cert. Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater 10. Exits; Insp.-Sketch Elec.; Grounding; Equip. w/5' Circulating Equip. -Pool Lghtg. Boxes- Enclosures -Panel boards- Ins. to Main Conduit 11. Cert. of Occupancy Health Department Approval 10. Plumb.; Cir. Test -Water Supply Test 11. Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date PERMANENT END SYSTEM (ONLY) 1. Zoning Requirements -Setbacks -Easements 2. Footings; Size -Spacing -Marriage Line 3. Blocking 4. Gas; MH Test -Demand -Valve 5. Electricity; MH Test 6. Water; MH Test 7. Water and Sewer Connected 8. Gas and Electricity Tagged 9. Exits 10. License Decals 11. Verify #'s with Office 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 -Steel 3. Decks, Girders and/or Joists -Decking -Bracing -Stairs -Rails S 4. Wood Awn.; Posts- Beams- Rftrs-Connectors Shthg-Frg-Bracing 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Carports; Windows -Doors 7. Electric 8. Frmg.; Sills-Anchors-Studs-Rftrs-Trusses 9. Siding; Nailing -Veneer -Stucco -Mesh 10. Roof; Shthg-Roofing 11. Ext.; Steps -Doors -Landings 12. Braced Wall Panels 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, Distance-GFI 5. Elec.; Pool Lighting; 15 Volts-GFI 6. Elec.; Enclosures; Conduit Entries -Terminals -Listed 7. Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater 8. Elec.; Grounding; Equip. w/5' Circulating Equip. -Pool Lghtg. Boxes- Enclosures -Panel boards- Ins. to Main Conduit 9. Health Department Approval 10. Plumb.; Cir. Test -Water Supply Test 11. Light Niche 12. Enclosure; Fencing -Alarms Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 J=OK _ 0 = Not OK = Not Applicable =Not Ready RESIDENTIAL (Single & Duplex) 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. Ftg., Porches & Decks; Soils -Steel-/ /" Ftg. Depth 5. Stemwalls, Main; Steel-Blockouts-Wrapped 6. Stemwalls, Garage; Steel- Bloc kouts-Wrapped 6a. Hold Downs and Special Anchors 7. Slab, Steel -Wrapped 8. Piers -Fireplace Ftg.-Steel 9. D.W.V.; Fall -Fitting -Test -2 Way C/O -Sewer Test 10. UF, Gas Pipe; Size Anchors -Yard Gas Piping; Size Test 11. Water Pipe; Test -Anchors -Regulator -Service Test 12. Electric Underground 13. Plenums & Ducts; Clearance -Material -Support -Ins. 14. Girders -Sills -Anchor Bolts-Joists-Vents-Crippies 15. Access & Ventilation 16. Insulation Date FRAMING (Continued) Date Hangers -Post Caps -Anchors -Connectors Card B-1 Date Card B-1 Date Cling. Joist-Rftr. Ties-Purlin-Roll Brac.-Truss-Shting.-Rtng. Card B-1 Date Card B-1 Date PLUMBING (Permit) OK except #'s 17. Water Htr.; Vent -Access -Combustion Air Baffle 18. Water Pipe; Test & Anchor -Nail Protection 19. D.W.V.; Test Fittings & Anchor -Nail Protection 20. Shower Pan; Test, First Floor -Tub Access 21. Test Tub & Shower, Second Floor -Tub Access 22. Gas Pipe; Sixe & Anchors 23. Fire Sprinkler; Test 57. Siding -Nailing Veneer Date 58. Card B-1 Date Card B-1 Date 59. Card B-1 Date Card B-1 Date ELECTRICAL (Permit) OK except #'s Shear Walls; Nailing -Bolts 24. Fixture & Transformer Clearance -Ins. Protection Brace Interior/Exterior Wall Panels 25. Elec. Receptacles Spacing -Lights & Switches at Doors Insulation -Walls -Ceilings 26. Size Boxes & No. of Conductors Stapled I nfi Itration-Wal Is -Windows 27. Romex Installed Close to Edge of Studs & C.J. Card B-1 Date Card B-1 28. Equip. Ground made up w/Mech Fasteners -Bond Gas & Water Card B-1 Date Card B-1 29. 2 Appliance Circuits in Kitchen & Conductor Size GFI 30. Subfeed Wire Size/ /ga. Cu or AI-A.C. Wire Size/ /ga Cu or Al 31. Range Circle/ /ga Cu or AI -Oven Circ. / /ga Cu or Al Insulated Neutral O Yes ❑ No 66. 32. Service -Riser Conductors & Ground Main Disconnect 67. 33. Equip. Clearances Panels-Motors-Mech. Equip. 68. 34. Clothes Closet Light -Shower Light -Spa Light 69. 35. Smoke Detector 70. Stairs & Rails Date Fireplace or Stove, Clearance -Hearth Card B-1 Date Card B-1 Date Elec. Outlets at Wood Panel, Int. & Ext. Card B-1 Date Card B-1 Date MECHANICAL (Permit) OK except #'s 36. A.C. Ducts Insulation & Support 37. Vent Fan, Exhaust above insulation 38. Condensate Drain & Overflow, Size & Grade 39. Furnace -Vent Access -Comb. Ait-Return Air Vent 115 Outlet 40. Attic Access & Platform if Furnace in Attic Date 79. Card B-1 Date Card B-1 Date 80. Card B-1 Date Card B-1 Date FRAMING (Permit) OK except #'s Guard Rails & Deck Construction -Post Caps 41. Sills Proper Materials & Anchors Fdn. VBents & Crawl Hole Door Drainage & Wood -Earth 42. Walls Studs -Nailing Spacing & Braces -Plates -Sound Clearance Looked under Floor ❑ Yes 43. Bearing Walls over Girders & Floor Nailing Following Instld./Drive O Yes O No/Walks ❑ Yes ❑ No/Planters O Yes O No 44. Draft Stop in Walls (rat proof) Stucco Brown -Finish 45. Fire Stops, Furred Ceilings -Stairs -Chasers -Tubs A.C. Unit Disconnect, Electrical -Plumbing 46. Headers & Beams -Size & Bearing Date FRAMING (Continued) 47. Hangers -Post Caps -Anchors -Connectors 48. Cling. Joist-Rftr. Ties-Purlin-Roll Brac.-Truss-Shting.-Rtng. 49. Fireplace Ties or Type A Flue -Fireplace Throat Clearance 50. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 51. Bdrm. Windows or Exiting Doors -Sill Ht. & Dimensions 52. Garage Fire Protection Framing -RC Channel 53. Property Line Firewall & Openings 54. Ext. Doors -One 3' -Check Garage 3rd Story, 2 Exits 55. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 56. Plywood on Roof Overhang -Attic Vents -Rafter Outriggers 57. Siding -Nailing Veneer 58. Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access 59. Glazing Area -Glass Protection -Skylights -Plastic 60. Shear Walls; Nailing -Bolts 61. Brace Interior/Exterior Wall Panels 62. Insulation -Walls -Ceilings 63. I nfi Itration-Wal Is -Windows Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date FINAL (Plans) OK except #'s 64. Ext. Steps -Door & Sidelight Protection -Landings 65. Smoke Detector 66. Furnace Vents -clearance -Comb, Air -Connector - In Garage; Above Floor-Ducts-Mech. Protection 67. Bedroom Exiting 68. G.F.I. & Bath Fixtures & Tub Access -Spa 69. Elec. Trim & Subpanel, Breaker Sizes & Labels 70. Stairs & Rails 71. Fireplace or Stove, Clearance -Hearth 72. Elec. Outlets at Wood Panel, Int. & Ext. 73. Kit. Fixt. & Appliance; Ground -Air -Gap -Cooking Clearance 74. Elec. Outlets & Receptacles at Kit. Counter 75. Garage Fire Door; Swing -Landing -Closure 76. A.C. Duct in Garage -Damper 77. Wtr. Htr.; Vents -Clearance -Comb. Air Connector-P.R.V. in Garage; Above Floor-Mech. Protection 78. Plb.; Elec. & Mech. Equip. Listed for Location 79. Elec. Receptacles in Garage (F.F.I.)-Romex Protection 80. Insulation -Foam -Looked in Attic 81. Guard Rails & Deck Construction -Post Caps 82. Fdn. VBents & Crawl Hole Door Drainage & Wood -Earth Clearance Looked under Floor ❑ Yes 83. Following Instld./Drive O Yes O No/Walks ❑ Yes ❑ No/Planters O Yes O No 84. Stucco Brown -Finish 85. A.C. Unit Disconnect, Electrical -Plumbing 86. Vents Above Roof, Plbg-Appliance-Fireplace-Clearance to Openings 87. Water Well, Disconnect, Electrical, Plumbing 88. Exterior Elec. Trim, G.F.I. Receptacle -Underground 89. Ventilation Throughout House 90. Glass Protection 91. Corrections from Previous Inspections 92. Gas Test -Meters Tagged, Gas -Electric 93. Water & Sewer Connected -C/O to Grade -HD Approval 94. Energy Compliance Certificate -Other Certificates 95. Address Posted 96. Fire Sprinkler 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: Cy `)to " j(%j BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT 24 HOUR INSPECTION #: (530) 538-7636 (OROVIL'LE) (530) 891-2834 (CHICO) OFFICE #: (530) 538-7541 FAM (530)538-2140 WEBSITE: www.buttecounty.netldds LICENSED CONTRACTORS DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is In full force and effect. License Class: License Number: f Date: ^zG Contractor.�� OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors' State License Law for the following reason (Sec. 7031.5 Business and Professions Code: Any clty .or county which requires a permit to construct, alter, improve, demolish; or repair any structure, prior to its Issuance, also requires the applicant for such permit to rile a signed statement that he or she Is licensed pursuant to the provisions of the Contractor's State License Law (Chapter 9. commencing with Section 7000) of Division 3 of the Business and Professions Code) or that he or she is exempt therefrom and the basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars ($500).): ❑ I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale (Sec. 7044, Business and Professions Code: The Contractors' State License Law does not apply to an owner of property who builds or Improves thereon, and who does such work himself or herself or through his or her own employees, provided that such Improvements are not intended or offered for sale. If however, the building or Improvements are sold within one year of completion, the owner-bullder will have the burden of proving that he or she did not build or improve for the purpose of sale.). ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec. 7044, Business and Profdsstons Code. The Contractors' State License Law does not apply to an owner of property who builds or improves thereon, and who contracts for such projects with a contractor(s) licensed pursuant to the Contractors' State License Law.). ❑ '1 am Exempt under Article 3 of the Business and Professions Code Date: Owner: WORKERS' COMPENSATION DECLARATION I hereby affirm under penally of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ 1 have and will maintain workers' compensation insurance, as required by Section 3700 the Labor Code, for the performance of the work for which this permit Is Issued. My workers' compensation insurance carrier and pollc number are: Carrier. Policy ❑ 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 the workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of Section 3700 of the Labor Code, 1 shell forthwith comply with those provisions. Date: Applicant: WARNIUG: Failure to secure workers' compensation coverage Is unlawful, and shall subject an employer to criminal penalties and one hundred thousand dollars ($100,000), in addition to the cost of compensation, damages as provided for in Section 3706 of the Labor code, interest, and attorney's fees. CONSTRUCTION LENDING AGENCY I hereby affirm that there is a construction lending agency for the performance of the work for which this permit Is Issued (Sec 3097 Clv.) Name: Address: PERMIT NO. BP05018,7 Issued Date: 01/26/2005 APN: 022-210-080-000 Site Address: 128 HINAMAN DR BIG Map Index: Description: TEAR OFF TO COMP 68 SQ. Owner: HINAMAN REVOCABLE TRUST HINAMAN SHERMAN S JR & LYNN K TRUSTEES P O BOX 365 GRIDLEY, CA 95948 Applicant: RICHARDS' AND CARL'S ROOFING 2472 ELM STREET LIVE OAK, CA 95953 530-695-2632 Contractor: RICHARDS' AND CARL'S ROOFING 2472 ELM STREET LIVE OAK, CA 95953 530-695-2632 .License #: 775873 Architect: Engineer: Total Square Ft: 0 S. F. Valuation: $0.00 Census Code: to PERMIT EXPIRES sued under theapplivable provisions of the Butte Cnunty Coda anNor Indicat q abn6e f which fees have been paid. rlzel —as Date: ❑ 1 hereby certify that the use of this facility shall comply with Sections 25505, 25533, and 25534 of the California Health and Safety Code, which regulate the storage, handling and use of hazardous materials. ❑ Notification In accordance with Section 19827.5 of California Health & Safety Code is not applicable to the scheduled construction of this project. ❑ Attached are copies of the required E.P.A. notification forms. I hereby certify that I have read this application, that the above information Is correct, and that'I am the owner or the duly authorized agent of the owner. I agree to comply with all county and state laws relating to building construction. I acknowledge it Is unlawful to alter the substance of any official form or document of Butte County. I hereby authorize representatives of Butte County to enter upon the above mentioned property for Inspection purposes. Print Name: �rG/e/�yt//t�C% Signature: �La =- Date: /—a b `' 0 Owner We Contractor ❑ Agent for Owner ❑ Agent for Contractor