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Home My WebLink About024-080-116N -Z, 3129-89B,P,EiM CASEY, R.L. 433 O'Brien Ave, Gridley (new single family) 024'-080-116 4"' 94-1193P,E(MH) HAWES, JAMES & T AN �JA 611 y --041 -- 433 O'BRIEN AVE., GR - MOBILEHOME UTILITIES IDLEY ELECTRIC GAS LINE— COMPACTION TEST RE SUPPORT STRUCT REQ__ z 0 024-O&O�116 -94-1194TMHI RU -#U014, CLIFFORD & LILLIAM VE., GRIDLEY 433 O'BRIEN A MOBILEHOME INSTALLATION(MHU-HAWES) 624--080-116 06-2190 JANS ' EN, BURTIS 433 OBRIEN AVE, GRIDLEY Cont, SPENCER INC HVAC. lb -06 89-2-;50('QcLn"e&) 00- 116 %3 ObP'I'tn AVe. &P jd' it Td -ea 0510 D10= I ��o (o 4-1 C)rcyD — I I JAMES W HAWES �O 1 24-08-0— . I 1s6 433 O'Brien Avenue,, Gridley USE PERMIT 4/18/94 0 024-080-116 66-2 00 JANSEN BURTIS -'433 OBP�EN AVE GRIDLEY NOTES 'Cont: SPENCER INC Alo C)AIC- (40-InE t6�—T- HVAC R3 fn Q- p 7u� -----l.W(4tTE 7r/ -+C C—�-e mll-w&q- A&745-) aQl C,- RESIDENTIAL APN: Pennit No. Ommer Site Address: Contractor Type of Pennit; SPECL46L CONDITIONS CHECKED BY SRA FLOOD CERTIFICATE EQUIRED FIRE SPRINKLERS REQUIRED SPECIAL INSPECTION ITEMS [—]VEWY F I USE PEkMff CONDMNS SUB -STANDARD HOUSING LETTER F-1 ENCROACHMENT PERMIT PmmspEcnom FEE PAID ENV WTH CLEARANCE DAT E JOB FIN.ALED: SIGNATURE- -=OK I a = Not OK' MANUFACTURED HOME.S " PERMANENT FOUNDATION Lj SOFT-sEr 1 Zoning-Setbacks-Eisements 2So ' its; Special MH Support Sketch 3 Sewer, Loctn-Test; FaIIICIO-Concrete 4 Wtr; Loctn-Test-Easeinent Ne�ded-Regulator 5 Elec Loctni-CIrrics-Grrid 'Amp -Concrete 6 Yard Gas; Loctn-Test-Wrap Hat LJ or LPr Inch Sz . Ft Lngth 7 BIckng; Sz-Spacing-Marriage Une 8 Gas; MH Test-Demand-Valve-Cnncir 9 Elec MH Cntnty Test-Crossovers-Breakers-CIrrics 10 Drain; MH Test -fall -Rex Cnnctr I I Wtr & Sewer Connected -CIO to Grade 12 Gas and Electricity Tagged 13 Tie Dowqs El Foundation 14 Exits 15 Cert of Occupancy IS HUD Labellinsignia Numbers Serial Numbers MISCELLANEOUS - D E C K S -C 9 V E R S -C A R P 0 R T S -G A R A G E S 1 Zonfng�Setbacks-Easements 2 Ftgs; Soits-Sz-Dpth-Spacing-Cnnctrs-SteeI 3 Decks. GirdersfJoIsts -DcIdng-Brcing Stairs-Guard[Handralls 4 Wood Awn;'P�sts-Beams-Rftrs-Cnnctrs-Shthg. Frmg-Brcng 5 Alum Awn; Columns-Cnnctns-Splice-Decal-Encisrs 6 Carports; Wndws-Doors 7 Electr1c; 8 Frmg-. Sills-Anchrs-Studs-Rfts-Trusses 9 S�Iding; Nalfling-Veneer-Stucco-1-ath 10 Roof. Shthg-"qJ`mq II E)&, Steps-Doors-Landihgs 12 Braced Wall prils If'ool DraiNing 1 Setbacks -Easements Sails; Compaction-Structury Stability 3 Pool Structure; Steel-Cnnctrts-Thickness Dead . Men -lining' 4 Elec RcptcIsIWng; Distance -GH 5 Elec Ppol Ltipg; IS volts-GFI 6 Elec.Efich-irs; Conduit Entries-TfarmInals-listed 7 Elec Bonding; Metal vdw-crdtng Eqp4itr 8 Elec: Gmdng; Eqp wIT CrcItng Eqp-Pool Ightg Bmqp'-EnEL-4s-ppffioards4nsultn-to Main Conduit 9 Health D . ept Apprvl 10'PImb; Cir Test-Wtr Supply Test 11 U Niche 12 Endsr; Fencing-Ahmm 13 Borgring, DivIng board or Slide RESIDENTIAL (Single & Duplex) DATE JUNDERFLOOR DATE IPLUMBING I Zoning -Setbacks -Easements -Rood -Slope 53 Wtr Ktr-. Vent-Acc-Cmbstn Air Baffle 2 Ftg Main; Soils-Elec Grnd Ftq Dpjys 54 Wtr Pipe; Test & Anchr-Nail Prtctn 3 Ftg Garage; Soils-Steel-Rec Grnd Ftj.Ppth 55 DWV; Test Fittings & Anchr Nail - Prfctn 4 Ftg PorcheslDecks; Soils -Steel _ Fig Dpth - S6 Shwr Par'k; Test, First flr-Tu b**Acc 5 Stdmwalls Main; Steel-Blockouts-Wrapped 57 Test Tub' & Shwr, 2nd fir - Tub Acc 6 Sternwalls Garagi; Steel-Blockouts-Wrapped 58 Gas Pipe; Sz & Anchrs 6a Hold Downs and Spicial Anchrs 59 Fire Sprinkler, Test 7 Slab. Steel Wrapped 60 Yard Gas Piping 8 Piers-FrpIc Ftg-Steel 9 DV%fV;Fall-Fdfing-Test-24MCIO-Sewer Test 10 UF, Gas Pipe; Sz Anchrs-Sz Test 11 Wtr Pipe; Test-Anr-hrs-Rgitr-Service Test 7-- 12. Elec Undrgmd DATE IMECHAKICAL 7 13* Plenums i Ducts; Clrnc.-Material-Support4asultn 61 AC Ducts ln'suftn & Support 14 Girders-Slits-Anchr Bolts-Joists-Vnts-Cripples 62 VepWain. hatist abv Insulin 15 Acc & VntItn P'f6n�ate Drain& Ovrffw'. Sz &Grade - 16 Insulation M.Fdm-ace-Vent Acc-Comb Air RhTuVent 115 Outlet 65 Attic Acc & Pltftin if Furnace In attic 0 4P DATE IrRAMING 17 Sills Pr - qper Material - i & Anchrs DATE IFINAL i* Is Wills Studs-Nailifig S��ici�g i Bra6e.-Plales-Sound 66 ExtS teps-Door & Sldet-t Pdctn4-andings 19 Bearing Walls ovet Girderd' fir Nailing A.. 67 Smoke Detector 20 Draft Stop In Walls (iat ISr'60f), 68 Furnace Vrds-Cimc-Comb, Air-Cnnctr 21 Fire Stops.* Fiirriia Ceilings-Stair:�-Chasers-Tubs In Garage; abv4lr-Ducts-Mech Prtctn 22 Headers &biia�is-i�i&:Bearido- 69 Bedroom Exiting 23 Hang&i-Ppif:faps-Anchrid-Cnncins TO GFI j& Bath Fxtrs & Tub Acc-Spa 24 Ceiling..,ioist4* rws~jiR-Roqf Prac-Truss-Shthg 71 GFI Are Fault 25 Frpfc'ri(�ior,iy�� X FIU'6'*fp.l Throat CImc 'Pitil�-brift 72 Elec Trim & Subpnl, Breaker Szs & Labels 26 Attic ACR; Sz. &Rthi Stop -Ins B.afftes 73 Stairs. GuardfHandraits 27 Bdrm Wndws Zrliffind 15;�rs-Slfl lit & Dimensions 74 FrpIc or Stave, Cirne-Hearth 28 Garage Fire PrkM Friml�g4iC Ch6rinel 75 Elec Outlet� at Wood PnL Int & Ext 29 Prprty Une Firewall & Opn OS - 76 Ktchn. Fxtr & Appinc; Grnd-Air-Gap-Cooking Cime 30 Ext Doors -One �r-Check Ga�& 3rd Story, 2 Exits 77 Efec Outlets & Acptcls ai Ktchn Counter 31 Stairs; Width-Hdrm-Rise4bm4.ancrtng-Fire Prtctn 78 Garage Fire Dobr, Swing -Landing -Closure 32 Ply-wd on koof Ovrhng-Attic Vnts4Wa dtftrgm 79 AC Duct In Garage -Damper. 33 Siding-Nalfing V�neer - 80 Wtr Htr; Vnts-Cime-Com Air Cnnctr-PRV; aby fir 34 Stucco La"eep Screed-Fndtn Vnts-Undrfir Ace Mech Prtctn; LPG AppInce Undr House 3' drain 35 Glazing Area -Glass Prtctn-SkyLts-Plastir- 81 PImb; Elec & Mech Eqp Listed for Loctn 36 Shear Walli; Nailing -Bolts 82 Elec RcptcIs in Garage (GFQ Romex PrIctn 3T Brace Int/Ext Wall pnls 113 Insultn-Foam4-ooked in Attic 38 lnsultn-Walls-Cellings 84 Guard Rails & Deck Cnsbnctn-Pos't Caps 39 Infiltration-Walls-Wndws 85 Fndn Vnts & Crawl Hole Door Drnge & Wood -Earth 86 Cimc Drnge Planters OYes ONO .87 �� Brown-FinIsh -AC 89 Unit Dscnnct, Elec-Pimb 89 Vn - abV of, Plmb-Appinc-Frplc-Clmc to Opngs ts rV a � 0 90 Wtr 4 Dsr-nnc:k Elec, Pimb, Elec Trim, GFI ReptclJJndrgmd DATE JELECTRICAL 40 Fxtr & Trnsfrmr Cimc-Ins Pfttn 41 Elec Rcptcls Spacing-Lts & SwItches at Doors 2 VtIt. t VntItn thru House 42 Sz Boxes & No Of Cndetrs Stapled 93 Glass Prtctn 43 Romex Installed Close to Edge of Studs & CJ 94 Correctbi / from previous Ifispctfts 44 Eqp Gmd made up w/Mech Fsbus 5 T -Me 91 Gas ters Tagged, Gas-Elec 45 Grndng Electrode Bond Gas & Wtr SW Se:w:er Cnnctd-C10 to grade -HD Appryl iergy 46 2 AppInc Circs in Ktchn & Cndctr Sz GFI 9 CmpInc Cert -Mer Certs 47 Subfeed Wire Sz - OCUor DAL 98 Address Posted AC Wire Sz -9a cli or 0 AL 99 Fire Sprinkler 48 Range Ciic CU or F-1 AL 0ven Circ Ckj or DAL to -f6 -0 P" C. Insulated Neutral [!]Yes 0 No /0 - 20 - D& 49 Service -Riser Cndcbrs & Grnd Main Dscnnct 50 EcIp Clrncs pnts-Motors-Mech Eqp 51 Clothes Closet Lt-Shwr U -Spa Lt 52 Smoke Detector t. -1 .4k COUNTY OF BUTTE ..... BUILDING DIVISION DEPARTMENT,OF DEVELOPMENT SERVICES 7 County Center Drive * Oroville, CA * (530) 538-7541 CORRECTION NOTICE Tc� Kt sE-N(. ND-Z�`�io OWNER PERMIT NO. A routine inspection indicates that the following violations of Butte County Ordinances exist at the above address and should be corrected. Please call for re -inspection when correction of work is completed. It you have any questions pertaining to this matter, or need additional explanation, please contact the Building Inspector as indicated below. F�OtZ_' I-IUA-C (_0C1+ -7 ab 2!7' r)F u/�,(t-7- o/,-/ /R(DOF Date inspector REV 4/05 Phone # FOR RE -INSPECTION CALL: 538-7636 OR 891-2834 t, M For -�etz� urgent Date Z --' Time While You Were Out M Of Phone AREA CODE NUMBI!A EXTENSION Telephoned Came To See You Returned Your Call Please Call Will C I Will Call �Aagain Wants To See You Message Signe N" .00, 9711 ADAMS BUSINESS FORMS ru F6(� —,SO'c2 q BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT 24 HOUR INSPECTION #: (530) 538-7636 (OROVILLE) (530) 891-2834 (CHICO) OFFICE M (530) 538-7541 FAM (530)538-2140 WEBSITE: www.buttecounty.netWids PERMIT NO. BP062190 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: 09/13/2006 APN: 024-080-116-OQO the Business and Professions Code, and my license is in full force and effect. License Class al�lv Lic nse Ni,paper: 1�,6 Site Address: 433 OBRIEN AVE GRI ', zy / Date:143&(41 Contractor.0216 OC4?1-- Map Index: Description: HVAC CHANGE OUT OWNER -BUILDER DECLARATION I hereby affirm under penalty' of perjury that I am exempt from the contractors' State License Law for the following reason (Sec. 7031.5 Business and Professions Code: Any city or county which requires a permit to construct, alter, improve, demolish, or repair any structure, prior Owner: JANSEN, BURTIS & JANIS to Its issuance, also requires the applicant for such permit to file a 433 OBRIEN AVE signed statement that he or she is licensed pursuant to the provisions of GRIDLEY, CA 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 95948 she is exempt therefrom and the basis for the alleged exemption. Any (530) 846-4810 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 (000).): C3 1. as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale (Sec. 7044, Business and Professions Applicant: SPENCER INC., R.B. Code: The Contractors' State License Law d6es.-not apply to an owner of property who builqs or improves thereon. and. who does such work himself or herself or through his or her own employees, 1188 HASSETT AVENUE provided that such improvements are not intended or offered for sale. If however, the building or improvements are sold within one YUBA CITY, CA 95993 year of completion, the owner -builder will have the burden of 530-674-8307 proving that he or she did not build or improve for the purpose of sale.). 1, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec. 7044, Business and Professions Code. The Contractors' State License Law does. not apply to an owner of property who builds or improves thereon, Contractor:. SPENCER INC., R.B. and who contracts for such projects with a contractor(s) licensed pursuant to the Contractors' State License Law.). 1188 HASSETT AVEN U E 1 am Exempt under Article 3 of the Business and Professions Code YUBA CITY, CA 95993 530-674-8307 Date: — Owner: License #: 664429 WORIKERS'COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: 0 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by Section 3700 of the Labor Code, for the performance of the work for which this permit Architect: is issued. Engineer: 13-'< 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 policy number are: Carrier: Total Square Ft: 0 S. F. Policy#: Valuation: $0.00 Census Code: Q 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 to the /V—" UU subject 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. f -7 Ap`0l1i%-'1.. �ai��r. t� sec �,k WARNING: Failure to secure work s' 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 parmit-i7ereby issued under the qpplicable provisions of the Bijfte Cnunty CodA ?nr(lor I hereby affirm that there is a construction lending agency for the o w, ResolL I d rk d' led a have been paid. "r whi fees performance of the work for which this permit is issued (Sec 309, P Civ.) tv�, 1 r T� By:_ Date: oc Name: V Address: PERMIT EX6ES ON: (Date) 0 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. 0 Notification in accordance with Section 19827.5 of California Health & Safety Code is not applicable to the scheduled construction of this project. 0 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 a 1h n. r o,jI, d y authorized agent of the owner. I agree to comply with osb4to.wn all r.06 I d st te Ipws relating to building construction. I acknowledge it is unlawful to eth, I u c ot glial f . Ty an( .�t a orm or document of Butte County. I hereby lives authorize repres:nI of Butte gou pty to enter upon the above mentioned property for inspe ' I p Print Name: Signature. Date: 9--Zz -,0(4,2 El owner 13 Contractor CI Agent for Owner 4'ent for Contractor A INSTALLATION CERTIFICATE (Page 3 of 12) CF - Site Address ermi t Number 4j3 0-'brienA'v-e-G--rid-le-ytA-.95948�' SlObUl 96, -7- An installation certificate is required to be.posted at the building site or made available for all appropriate inspections. (The information provided on this form is required) After completion of final inspection, a copy must be provided to the building department (upon request) and the building owner at occupancy, per Section 10- 1 03(a). HVAC SYSTEMS: Heating Equipment Equip Type (pkg. heat pump) .CEC Certified Mfr. Name and Model Number # of Identical sys(ems Efficiency (AFUE; etc.) (;->CF-IR value) Due( Location (altir, etc.) Due( or Piping R -value Healing Load (Btu/hr) 'Heating Capacity (Btu/hr) P ackage a _ I 3G xmR-RRY .1 80.0 Attic. 4 68000 58 Cooling Equipment Equip Type (Pk9. heat pump) CEC Certified Mfr. Name and Model Number # of Identical Systems Efficiency (SFFR or EER) (;->CF-IR value) Duel Location (attic, etc.) Duct R -value Cooling Load (Bia/hr) Cooling Capacity (B(dhr) Package AC -1� Gas,, _ I 3G xmR-RRY !13. 0 Attic. .36 . 000 3600 1 0 I , I 1. > symbol reads g7ater than or equal to mihat is indicated on the CF -IR value.. I;nclude bot and EER if compliance credit for high EER air conditioner is claimed. 11, the undersigned, verify that equipment listed above is: 1) is the actual equipment installed, 2) equivalent to or more efficient than that specified in the certificate of compliance (Form CF -IR) submitted for compliance with the Energy Efficiency Standards for residential buildings, and 3) equipment that meets or exceeds the appropriate requirements for manufactured devices (from the Appliance Efjzciency Regulations or Part.6), where applicable. Installing Subcoltracto (Co. Name) OR General I r I Contr, or a OR Owner R.B. Spencer Inci SignyqAW-/-�� Date: 09/25/06' Copies to: BUIIDINGDEPARTMEw 4MnS RATER (IF APPLICABLE) BUILDING OWNER AT OCCUPANCY Residential Compliance Forms April 2005 IINSTALLATION CERTIFICATE (Page 4 of 12) CF -6R Site Address Permit Number I bk�62_10, INSTALLER COMPLIANCE STATEMENT FOR DUCT LEAKAGE INSTALLER COMPLIANCE STATEMENT The building was: vO' 1X_ 'ested at Final V [3 Tested at Rough -in INSTALLER VISUAL INSPECTION AT FINAL CONSTRUCTION STAGE: FX -].Remove at least one supply and one return.register, and verify that the spaces between the register boot -and the interior finishing Wall are properly sealed. FX_J If the house rough- in.duct leakage test was conducted without an air handler installed, inspect the connection points between the air handler and the supply and return plenums to verify that the connection points are properly sealed. i�-Inspect all joints to ensure that no cloth backed rubber adhesive duct tape is used IX.New Distribution system is fully ducted (i.e., does not use building cavities as plenums or platforms returns in lieu of 13DUCT LEAKAGE REDUCTION PFocedures for rwid verification and diapnestic testing ofair distributionvyvmmv arp availahlp in RACH AnnonlIfy J71 -d I NEW CONSTRUCTION: Duct Pressurization Test Results (CFM @ 25 Pa) Measured Si Dale: b9/29/061 Values I Enter Tested Leakage Flow in CFM: Fan Flow: Calculated (Nominal:,/ [�('Cooling V 0 Heating) or V 0 Measured 2. If Fan Flow is Calculated as 400 ofirdton x number of tons or as 21.7 cfm/(kBta1hr) x Heating !i�5§ Cavacity in Thousands of BftAr output, enter total calculated or measured fan flow in CFM herd: ve, 3 Pass if Leakage Percentage!� 6% for Final or:5 4% at Rough-im 0 Pass 0 Fail 1 riooxr —(Line #1) /—(Line# 2)11 ALTERATIONS: Duct System and/or HVAC Equipment Change -Out Enter Tested Leakage Flow in CFM from Pre -Test of Existing Duct System Prior to Duct 4 System Alteration and/or Equipment Change -Out. Enter Tested Leakage Flow in CFM from Final Test of New Duct System or Altered Duct 5 System for Duct System Alteration and/or Equipment Change -Out. 8� Enter Reduction in Leakage for Altered Duct System 6 r (Line# 4) Minus (Line # 5)] — (Only if Applicable) 7 Enter Tested Leakage Flow in CFM to Outside (Only if Applicable) Entire New Duct System - Pass if Leakage Percentage!� 6% for Final 0 Pass 0 Fail 8 [100 x L_(Line # 5) Line # 2)]] TEST OR VERIFICATION STANDARDS: For Altered Duct System and/or HVAC Equipment Change - Out Use one of the following four Test or Verification Standards for compliance: 9 Pass if Leakage Percentage !� 15% [100x[ :',9,1 Line# 5) /_,'f2.9jq (Line#2)]] .6 .6 FX Yass 0 Fail 10 Pass if Leakage to Outside Percentage !9 10% [100 x [ (Line # 7) / (Line # 2)] 0 Pass 0 Fail Pass if Leakage Reduction Percentage �: 60% [100 x r (Line # 6) / (Line # 4)]] 0 Pass 0 Fail and Verification by Smoke Test and Visual Inspection E2 Pass if Sealing of all Accessible Leaks and Verification by Smoke Test and Visual Inspection. 0 Pass 0 Fail Pass If One of Lines # 9 through #'12 pass F—Pass 0 Fail X 1( qk-,She undersigned, verify that the above diagnostic test results were performed in conformance with the requirements for compliance credit. 1, the undersigned, also certify that thenewly instadled or retrofit Air -Distribution System Ducts, Plenums and Fans comply with Mandatory requirements specified in Section 150 (m) of the 2005,Building Energy Efficiency standards. Installing Subcontractor (Co. Name) OR General or S);, OR Owner R.B.-Spen-cer-Incl Si Dale: b9/29/061 (-opies to:. BUILDING DEPARTMENT, H)4 RATER (IF APPLICABLE) ]BUILDING OWNER AT OCCUPANCY Residential Compliance Forms September 2005 -INSTALLATION CERTIFICATE (Page 5 of 12) CF -6R Site Address ermit Number _7BP062-1401 4_3_3__C�b 7rW_nA_ve. (j-ri—dI e—y-C—A-9-59-4--81 V PX� THERMOSTATIC EXPANSION VALVE (TXV) Proceduresforfield verification of, th erm - ostatic expansion valves are available in RACM, Appendix PU Access is provided for inspection. The procedure shall consist of visual verification that the TXV is installed on ,0" [R yes 0 No the system and installation of the specific equipment I EX, 1 1:1 shall be verified. Yes is a pass I Pass I Fail REFRIGERANT CHARGE MEASUREMENT, Verification for Required -Refrigerant Charge and Adequate Airflow for Split System Space Cooling Systems without Thermostatic'ExD-an'sion Valves Outdoor Unit Serial # Location Return (evaporator entering) air dry-bulb temperature (Tietum, db) OutdooTUnitMake OF Outdoor Unit Model Cooling Capacity Btu/hr_ Date of Verification OF �Date of Refrigerant Gauge Calibration (must.be checked monthly) Date of Thermocouple Calibration, (must be checked monthly) FAI Standard Char2e Measurement Procedure (outdoor air drv!b U�lb 55F and above): .F�roceduresfor Determining Reftigerant Charge using the StandardMethod are available in RACM, Appendix RD2. Note: The system should be,installed. and charged in accordance with the manufacturer's specifications before starting -this procedure. Measured TemDeratures 51; Supply (6vap6ratbr leaving) air dry-bulb temperature (Tsupply, db) OF Return (evaporator entering) air dry-bulb temperature (Tietum, db) OF Return (evaporator entering) air wet -bulb temperature (Treturn, wb) OF Evaporator saturation temperature (Tevaporator, sat) OF Suction line temperature (Tsuction, db) OF Condenser (entering) air dry-bulb temperature (Tcondenser, db) OF erheat Char2e Method Calculations for Refri2erant Charize Actual Superheat = Tsuction, db — Tevaporator, sat OF Target S I uperheat (ftom Table RD72) OF Actual Superheat —Target Superheat (System passes if between -5 and +50F) PF Temperature Split Method Calculations for Adequate Airflow Rnlif Mpfhnli (alruly2tion iv nnt nPrP.v.vary if .4dPnyjj7fP.4irflf)w rrpdif is talrpn Actual T I emperature Split = T return, db Tsupply, db OF Target Temperature Split (ftom Table RD3). OF A * ctual Temperature Split TargetTemperature Split (System,passes if between-- OF 3 IF and +3'F or, uponremeasurement, if between -3'F and -I 00?F) Residential Compliance Forms April 2005 4 i CERTIFICATE OF FIELD VERIFICATION DIAGNOS'TIC TESTING (Page I of'.si) CF4R P rqj mt Add rem 433 O'brien Ave -Gridley CA 95948. B ui Ider Na me B uild6r C&tsct 'Installing Contra . ctor' R.B. Spencer lnc� 7elepbone' Plan Number HERS Rater Hriome,Enalasys Telepbone 760-768-3228 Sample Group Number I Corrfpl iance Metbod (Prexf ipLi ve), Cl i rratsZone GeAffyingSignalare. ::� (Electronically signed) 7-<O 09/25/06, Dale. -Sample House Number' '3763, Pirm Enalasys Corp] HEM Provide -r CBPCA Sireet'Address: 250, CamjAlo Ave! City�StatetZip: Calexico CA 92231 Copies to:,BUMDER, HERS FROV11DER AND IBUFLDT14C DEPARWENT. HERS RATER CO MPLI A NC E STATEPA ENT TFc F�D use was: V' 0 Tea Led %' 0 Appm ved a;s paTt o Fsa-rnplc tcsfing, bu L was Typt Lesled As the HEM rater pro%ridi n,& diagnostic twti ng a nd f kld veri fication I mrLi fy that the bouse identif ied on tb is for m compl ies ve itli tbe diagnostic tested compl iancZ requi remeats as cteaked *' on-th is t�rm. ne HERS- rater must cbeck a nd veri ty that tbe new disir ibution systern is ful ry dLrted and correct tape is useA bekae�a CP -4R may be reJeased on every tevLed buildi ng. TbeHUM ratet m ust not release. the CF -4R until a. proper 1Y completed a nd signed CF -6R tas been re6ei ved for ffie—sample and towi bui Idings. 0 'ne. i net I le�r,bas provided a copy of CP -6R (I net I lation CeAi fiCate). 0 NekwDistribution symmjs fully ducted(i.e, does not usebuilding qvities asplenums or platform returns in lieu ofduc.10. 0 New sysLerre where elol.h backmd, TubbeT ad hcsi vc ducal. tape is ins Lal led, masfic- and draw bards am med in c-ombination wi Lh elol.,h bar-ked,'Tubber aAhesi ve , d wl. L* Lo seal leaks at d wl. eonTmfions. V' rX- MYKFMUM REQUFREMENTS FOR DUCr LEARACE REDUCTTON COMMLTANCE CREDTr PrOLedx,,ufO.rj^je1d verjGt&fio-t &*d diagAo-elk, feffjAg ofair ajs-(rjbidjoYtvjd1entv &.re aLailable bt RA CM AppeA6x R C4 I D ml. Diapca Lie Lcaka�e Tcsfin�'Ftm al is NEW CONSTRUCTTON! Dud P ressur i2ation Test Resuits ' M ' 25, P (CP @ 3) Measured Va I ues I Enur 7erLed Leakage, P lokw in CPM: Pan T low: Calculated (Nomi na 1: te 0 Cool i ng,/ 0 Head ng) o r V O,Measured 1259 Eniv total Pan Plow in CPM: 3 1 pa.w' ifLeakagePercentage:56% OD.8 [—(Li ne W 1) 1 �--(Li , ne'*2)]] —T 0 pass 0 Pail ALTERATIONS! 'Duct Systern and/or HVAC Equipribeut Cb au%e-Out E nl&r Terted Leakage F low i n CFM from CP -6R: Pre-Testo'(Ex iErti ng D uct Syz1Pm P rior b 4 D uct System A Iteration a nd/or Equip ment Cha nge�Out. j E nur 7ened Leakage P low i n CPM: Final Test of Nekw Dua System or Altered Duct System 5 for Dud System A Iteration a nd/or Equipment Cbang&Out.. Env�r Reduction in Leakage for Altered Duct System [_(Line;W 4) Min us Line It 5)] 6 (only if fi�ppl icable.) 7 Envr Tested Leakage P low i n CPM to Ouleids (On ly i f Applicable) B nti re New Duct .3yetern.- Paw i fLeakage. Pe rcentsge�:5 6% 0 Nee Opail [I 00.m r (Line It 5) / LineW2)]] TM OR VF-RYFFCA7TON STANDARDS! For Altered Duct SysteTn aud.?or RVAC, Equliprneut Cbiu%e--�v Vie Use one of the f�llawin% four Test or Verifle atiou'St and ards for eoTnpliauce.' P I an i f Leakage Percentage:5 15% [ 100 x [__�-3(Li ne W 5) i' 1259 (Li ne- -N 2)]], 6.6 Lpsse 0 Fail jo Pass i f Leakage to 0 u1side Percentage :5 10% [) 00 x, [—(Li ne� It 7) -(Line*2)]] 0 P622 13 Psi I Pass i f Leakage 1�eduotlibn Percentage 2 60% [ I 00.x [—(Li ne W 6) 1. (Li ne -,NA)]] 0 Pass 13 Pail and Veri fication by 3 mokeTest a nd Visual Inqw-tion Pass.i f Seal i ng of a 11 Axessible. Leaks and Ver if icatiob by. Smoke. Test and Visual I napectiori 0 Page 13 pail Pm if One of Lines A 9 tbrou%b 0112 pan IX Pass 111, %i I Re&daAaal QwKp.U&@v-e Fornu Apfif 2DOS BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT 24 HOUR INSPECTION #: (530) 538-7636 (OROVILLE) (530) 891-2834 (CHICO) OFFICE Al: (530) 538-7541 FAM (530)538-2140 WEBSITE: www.buttecounty.net1dds PERMIT NO. BP062190 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: 09/13/2006 APN: 024-080-116-000 the Business and Professions Code, and my license is in full force and effect. 'Lass: 0,1:Z1V License C Licpnse N4oaper: Site Address: 433 OBRIEN AVE GRI ,,- zl Date: 04��: Contractor:6�_ Map Index: Description: HVAC CHANGE OUT OWNER -BUILDER DECLARATION I hereby affirm under penalty' of perjury that I am exempt from the Contractors' State License Law for the following reason (Sec. 7031.5 Business and Professions Code: Any city or county which requires a permit to construct, alter, improve, demolish, or repair any structure, prior Owner: JANSEN, BURTIS & JANIS to its issuance, also requires the applicant for such permit to file a 433 OBRIEN AVE signed statement that he or she is licensed pursuant to the provisions of GRIDLEY, CA 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 95948 she is exempt therefrom and the basis for the alleged exemption. Any (530) 846-4810 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).): 1, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is, not intended or offered for sale (Sec. 7044, Business and Professions Applicant: SPENCER INC., R.B. 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, 1188 HASSETT AVENUE provided that such improvements are not intended or offered for sale. If however, the building or improvements are sold within one YUBA CITY, CA 95993 year of completion, the owner -builder will have the burden of 530-674-8307 proving that he or she did not build or improve for the purpose of sale.). 1, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec. 7044. Business and Professions Code. The Contractors' State License Law does not apply to an owner of property who builds or improves thereon, Contractor:. SPENCER INC., R.B. and who contracts for such projects with a contractor(s) licensed pursuant to the Contractors' State License Law.). 1188 HASSETT AVENUE Q I am Exempt under Article 3 of the Business and Professions Code YUBA CITY, CA 95993 530-674-8307 Date: — Owner: License #: 664429 WORKERS'COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: 13 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 issued. Engineer: U-- 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 policy number are: Carrier:— Total Square Ft: 0 S. F. Policy#:. Valuation: $0.00 Census Code: Q 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, I shall forthwith comply with those provisions. A7p:14 4� WARNING: Failure to secure work 4 s' 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 attomey's fees. CONSTRUCTION LENDING AGENCY This permit is hereby issued und—er th --p licable provisions of the Bijitte Cqyr�y Cpds �?nrt/or a I hereby affirm that there is a construction lending agency for the Resol4ti*S tj do work 0dicated a ove for wh1h feeshave been paid P 'iv performance of the %vork for which this permit is issued (Sec 3097 C Name: r By: Cnal A Date: C)C,,, _ I — PERMIT EX IRES ON: V Cl --. I co Address: (Date) 13 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. Cl Notification in accordance with Section 19827.5 of California Health & Safety Code is not applicable to the scheduled construction of this project. C1 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 th I al th own:r o I d authorized agent of the owner. I agree to comply with n' all coOnt d st te Ipws relating to building construction. I acknowledge it is unlawful to r th ub tanc _.��of Jal orm or document of Butte County. I hereby _.ves 0 or inspe I authorize rprs:nt f Butte gou I ,pty to enter upon the above mentioned property f Print Name: Sign atu re Date: C] owner Contractor CI Agent for Owner ant for Contractor BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT APPLICATION AND SUBMITTAL REQUIREMENTS 24 HOUR INSPECTION#: OROVILLE: (530) 538-7636 - CHICO: (530) 891-2834 OFFICE #: (530) 538-7541 A FEE WILL BE REQUIRED A T TIME OF APPLICA TION Website: www.buttecounty.net/dds "PLEASE PRINT CLEARLY" CONTRACTOR OWNER INFORMATION 53M ='(M CAM I ro I City �� M� State TIJP Phone Map Book Fax E-mail Planner CONTRACTOR ARCHITECTIENGINEER 53M ='(M W1, M -M FREE= I ro I City �� M� State TIJP Phone 'j, APPLICANT INFORMATION ARCHITECTIENGINEER Name W1, M -M FREE= Address I City �� M� State TIJP Phone Map Book Fax E-mail Planner State License Number 'j, APPLICANT INFORMATION FAI W1, M -M FREE= I I Il" �� M� Occ. I APPLICANT SIGNATURE "0 For office use only: Zoning Flood �one SRA I Yes I No Occ. I Type Const. Subdivision Name Map Book I Page Planner I Date Approved: OVER FOR SUBMITTAL REQUIREMENTS KWORMSWILDING FORMS\BldgApplSubRqmts.doc PERMIT NO. 11PUI-1 BIN# PROJECT LOCATION A NLA _0�_& I IG) Property res ity ; I � '9 Cross Street WORKER'S COMPENSATION Pofic N mber Carder N hiring anyone other than license contractors, a certificate of compensation must be shown at the time of permit issuance. LENDING AGENCY Name Address Description or Scope of Work: Sq FT- Living Garage Open Cov 0 Structure Built without Permits El Proposed Change of Occupancy (Note previous use): EXPIRATION OF APPLICATION Applications for which a permit has not been issued will expire one year after the date of application. In order to renew action on an application after expiration, a new application, plans and fee will be REQUEST FOR REFUNDS Refunds can only be made upon written request by the pe'rson 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. II Received by: K.61 Amount: jrc�� 1 0)0 Bldg I I Pade 1 of 2 R '16 1-4)0\� eceipt #: U4060 - SRA Sheriff -SMIP ate: q - 13 _f6. Other REV 8-12-05 SUBMITTAL & PERMIT REQUIREMENTS The following drawings and specifications must be submitted to the Building Division in order to apply for a permit. INCOMPLETE SUBMITTALS WILL NOT BE ACCEPTED. ALL PLANS MUST BE LEGIBLE AND IN INK. 11 1 . Site plans, 3 or 4 sets, signed by the preparer of the plans. No graph paper! 11 2. Complete plans, 3 or 4 sets, signed by the preparer of the plans (No graph paper!) OR Engineered plans, 3 or 4 sets, with wet signature on plans AND 2 sets of stamped and signed calculations. El 3. Engineered truss details and layouts in duplicate (if required). No faxes! 0 4. Energy compliance design and supporting documentation in duplicate. 0 5. Statement of Intent for Non -heated and A/C for Non -Residential Buildings. 0 6. Manufactured homes: (A) Installation manual, (B) Marriage line info, (C) Floor Plan, (D) Tie down or fnd plans, all in duplicate El 7. Metal bldgs: (A) Metal Bldg Plans, (B) Fnd plans and calcs in triplicate, (C) Elevations in tripJicate. (D) Floor plans in triplicate. All of these must be stamped and wet -signed by the enginee . 0 8. Flood Elevation Certificate, wet -stamped and signed, in duplicate (if required). El 9. Site plan and business license approval from the City of Biggs. 0 10. Letter of intent for non-residential buildings. 11 11. Building Permit Application Without Required Clearances Form 0 12. Hazardous Material Form (for Commercial Buildings only). Remaining items needed to issue the permit. Additional items may be required after Plan Check and Planning review (May require additional plan review upon receipt of the following items.) 0 1 . Agricultural Buffer'clearance and site plan approval from the Ag Commissioner's office (if required). 0 2. Impact Fees. El 3. California Department of Forestry plan approval (if required). 1:1 4. NPDES Form. El 5. Encroachment Permit for driveway from the Public Works Dept. (construction approval prior to occupancy). El 6. Contractor's license information. (Number, Name Style, Classification). 0 7. Worker's Compensation Carrier and Policy Number. 0 8. Owner -Builder Verification (if required). 0 9. Letter of Signature authorization (if required). 11 10. Recorded copy of Agricultural Acknowledgment Statement. 0 11. El Legal description from current recorded grant deed, 11 Copy of M.H. Title, Title transfer, or MCO. El 12. Sanitation and site plan approval from the Environmental Health Department. If you have questions or would like additional information regarding this process, please contact a Permit Assistant at (530) 538-7541. EXPIRATION OF APPLICATION Applications for which a permit has not been issued will expire one year after date of application. In order to renew action on an application after expiration, a new application, plans and fees will be required. REQUEST FOR FEE REFUNDS Refunds can only be made upon written request by the person who paid the fee. The request must be made within two years from the date of fee payment on permits not issued, and two years from the date of permit issuance for permits issued; however, on issued permits refunds can only be made if no construction work has been done. Filing fees, plan check fees for work plan checked and other department costs are not refundable. OVER FOR BUILDING PERMIT APPLICATION KTORMSMILDING F0RMS\B1dgApp1SubRqmts.doc Page 2 of 2 REV 8-12-05 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965-3397 TELEPHONE: (916) 538-7601 FAX: (916) 538-7785 April 18, 199� James W. Hawes 43 O'Brien Gridley, CA 95948 CERTIFIED MAIL Re: Use Permit, AP No�024--'080r-l-!�- Dear Mr. Hawes: Enclosed is your validated Use Permit No 94-15 to allow a mobile home as a temporary second dwelling on property zoned A-5 and located at 433 O'Brien Avenue, Gridley, CA. Should you have any questions regarding this matter, please co ntact Stephen Hackney of this office between 8:00 a.m. and 4:00 p.m.,, Monday through Thursday. Very truly yours, pats u-, Paula Leasure Principal Planner PL:bd Enclosure cc: Building Division Land Development Division Environmental Health Department of Forestry Z * 2. USE PERMIT BUTTE COUNTY PLANNING COMMISSION April 18, 1994 DATE: (Certified Mail Rec.)' 94-15 PERMIT NO. 024-080-116 ASSESSOR'S PARCEL NO. Pursuant to the provisions of the Zoning Ordinance of the County of Butte and the special conditions set forth below: James W. Hawes is hereby granted a Use Permit in accordance with application filed: January 20, 41994 - to allow a mobile home as a temporary second dwelling on property zoned A-5 (Agricultural - 5 acre parcels) located on the north side of O'Brien Avenue, approAmately 2,200 feet west of Larkin Road at 433 O'Brien Avenue, identified as AP No. 024-080-116, Gridley, CA. 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 Ordinance, including Butte County Code Sec. 24-62. 2. Unless otherwise provided for in a special condition to this use permit, all conditions must be completed by the Pormittee 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 become null and void and reapplication and a new permit shall be required to establish the use. 4. The terms and conditions of this permit shall run with the land and shall be binding upon and be to the benefit of the heirs, lega! representatives, -successors, and assigns of the Permittee. SPECIAL CONDITIONS: 1.' Occupancy of the mobile home is'limited to Clifford and Lillian Nuchols. 2. No rent is to be charged to the occupants of the mobile home. 3. The applicant shall meet the requirements of the Butte County Environmental Health Department for domestic water supply and sewage disposal prior to locating the mobile home. A permit and inspection from Butte County Environmental Health for the sewage disposal system shall be required. 4. The Use Permit shall expire two years from the date of issuance of the Use Permit. Upon application, the Planning Commission may grant an extension of the Use Permit not exceeding one year. 5. In the event that the applicant, for any reason, moves to another location or becomes deceased, the Use Permit granted herein shall automatically expire and the mobile home shall be removed by the successors in interest within one hundred twenty (120) calendar days or the County shall remove the mobile home and store it at the successors in interest's expense. 6. The applicant is to pay a deposit or post a bond to cover the cost of removal in the amount of $1,500 for a single -wide mobile or $2,000.00 for a double -wide mobile. 7. The applicant shall meet the requirements of the Butte County Building. Division for the siting of mobile homes. 8. The. applicant shall meet the requirements of the Butte County Fire D6partment/California -Department of Forestry, including but not limited to (1) provide an all weather access for a 40,000 pound fire apparatus to all structures, and (2) pay the currently adopted fee ($200.00) into the Battalion 3 Water Tender Fund. 9. Building permit fees and any current, or new, impact fees are to be paid, at the fee level in place, at the time of the application for the building permit. 10. The applicant must also comply with all other applicable State and local statutes, ordinances, and regulations. 11. Minor changes may be approved administratively by the Planning Manager upon receipt of a substantiated written request by the applicant. Prior to such approval, verification 'shall be made by each Department or Division that the modification is consistent with the application, fees paid and environmental determination as conditionally approved. Changes deemed to be major or-signific.ant in nature sh_,A requi.re a formal application for an amendment. I hereby declare under penalty of perju ve read the fore VN�a 9_&Hl� conditions, that they are in fact the conditions whlch�Nvgre imp�Wd upon the grantin of this use ,41said coKdiXD*.—, permit, and that I agree to abide fully 11"p,e 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. Butt dounty Planning.Com mission Chairman 11 CC: Land Development -Division Building Division Health Department Department of Forestry ra . 4 Rd A P P R 0 V E D' DEVELOPMENT PLAN DATIE - March 24, 1994 USE PERMIT Xx By Butte County Planning Commission KIM 4t 3 0 3 r e-. Y-\: - 1 n , I 0 CL, N -�j I Vii re y Vo- -fI I yyle-. Return to: AGRICULTURAL STATEMENT OF ACKNOWLEDGEMENT Building Division FOR RESEDENTIAL DEVELOPMENT Section 26-8 of the Butte County Code requires this acknowledgement be recorded prior to issuance of a building permit. The property described herein is adjacent to land or included within an area zoned for agricultural purposes, and residents of this property may be subject to inconveniences or discomfort arising from the use of agricultural chemicals, including, but not limited to herbicides, pesticides, and fertilizers; and from the pursuit of agricultural operations including, but not limited to cultivation, plowing, spraying, pruning, and harvesting which occasionally generate dust, smoke, noise*, and odor. Butte County has established agricultural zones which have as a priority use for produc- tive agricultural purposes and residents within said zones and ofi adjacent property should be prepared to accept such inconvenience or discomfort from normal, necessary farm operations. All that real property situate in the County of Butte, State of California, described as follows: 77 4 151 OR I'M v7 �'M- _4 44 /,ZN .�10 IF .�t -4 t -A -08-116 24 3129-89B,P,E,M A CASEY, R.L. 433 O'Brien Ave, Gridley Kff 5,M 7 1 (new single family) 17 .-N Az- Zr Lv�r z :�.A M11) 024-030-116 94-1193P,E( J1 HAWES, JAMES & TANJA A7. 433 O'B RIEN AVE., GRIDLEY s� MOBILEHOME UTILITIES gr� t ELECTRIC GAS LINE 'lie ":�f 2, COMPACTION TEST REQ SUPPORT STRUCT REQ r '.tj' 1 194MIll '4r $1� 024-OL,9-116 94 W -HOLE!, CLIFFORD & LILLIAM K 433 O'BRIEN AVE., GRIDLEY 0- -M MOBILEHOME INSTALLATION(MliU-IIAWES) A*' a W1, " — I , ,. 25- Won ps 5f Ni7� W" jt, M'" ol, A A W I 4""op % . W; i,r "n" A4 # C. W 7 "5-, 0.1 i'�, Z91 J, X, 'xit T'c 0®rolm- 112! It' X-1, 71t 4A V. 3f N J -71I A Z, TIM X 21� ft�, n.;g 1711' 4. r, AIN V 6 �X Z N V 14" a Pe_ 94. r V W 11 IRMA, _Zf k, I Va. rvv. �e3 V, COUNTY OF BUTTE BUILDING DIVISION DEPARTMENT OF DEVELOPMENT SERVICES 1469 Humboldt Road, Chico, CA - (916) 891-2751 7 County Center Drive, Oroville, CA - (916) 538-7541 747 Elliott Road, Paradise, CA - (916) 872-6307 CORRECTION NOTICE PERMIT NO. A routine ingpection indicates that the following violations of Butte County Ordinances exist at the above address and should be corrected. Please notify this office when correction of work is completed. If you have any questions pertaining to this matter, or need additional explanation, olease contact this office immPdiatPIv Date nspector REV 10/9V : N "RESIDENTIAL 024-080-116 94-1193P,E01H) HAWES, JAMES & TANJA - 433 O'BRIEN AVE., GRIDLEY MOBILEHOME UTILITIES . It OFFICE COPY I Address C!, D GAS Meter By ELECTRIC Meter BY 'JOB FINALED (Date) Signature V=OK, 0 = Not OK Not Applicable Not Ready MOBILE HOMES Date/initials - MOBILE MOME UTILITIES (Plans) OK except #'a 1. Zoning Requirements-Setbacks-Eaeoments Soils; Special MH Support Sketch ,3. Sewer; Location -Test -F all -C/0 Concrete t,--', 4._Water; Location -Test -Easement NeededXketch) L,115. ElSictricity; Locatlon-ciearenc`k-%�r� /Amp -Concrete a ocaotest-Wrap: / /t-K—/'fP t. L"ftJ /"LPG 7. Well ClearaAce & Disconnect Date/initials k&GME HOME INSTALLATION (Plans) OK except #'a 1. ZqnIng Requirements -Setbacks Easements ;--_'Z-_Footings; size -spacing -Marriage Line W -X '2.�s; MH Test- Do mand-Valve—Connector g:a_ Electricity; MH Test -Crossovers -Breakers -Clearances (---�-3raln; MH Test -Fall -Flex Connector k- —6water; MH Test -Regulator -Connector L -4 --water and Sewer Connected -C/0 to Grade -HD Approval * 8. Gas and Electricity Tagged 4�its; Insp.-Sketch 10. Cart. of Occurncy_,g �J 0 1 - MISCELLANEOUS Date/initial DECKS, COVERS, CARPORTS, GARAGES, (Plans)OK except #'a 1. Zoning Requirements-Setbacks-Easemente 2. Footings; Soils-Size-Depth-Spacing-Connectom-SteeI 3. Decks; GrIders and/or Joists-Docking-Bracing-Staim-Ralls 4. Wood Awn.; Posts-Beams-Rftm.-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-Venear-Stucco-Mosh 10. Roof; Shthg-Roofing 11. Ext.; Steps -Doors -Landings Date/initials POOLS (Plans) OK except #'a 1. Setbacks -Easements 2. Soils; Compaction -Structure Stability 3. Pool Structure; Steel -Connections -Thickness Dead Men -Lining 4. Elec.; Receptacles and Lighting, Distances-GFI 5. Elec.; Pool Lighting; 15 volts-GFI 6. Elec.;Enclosures; Conduit Entries -Terminals -Listed 7. Elec.; Bonding; Metal w/S'-Circulating Equip. -Heater 8. Elec.; Grounding; Equip. w/5'Circulating Equip. -Pool Lghtg. Boxes-Enclosures-Panelboards- Ins. to Main in Conduit 9. Health Department Approval 10. Plumb.; Cir. Test -Water Supply Test V=OK 0 = Not OK Not Applicable Not Ready RESIDENTIAL (Single & Duplex) Date/Initials UNDERFLOOR (Plans) OK except #'s 1. Zoning-Setbacks-Easoments-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. Sternwalls, 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/0 -Sewer Test 10. UF. Gas Pipe; Size -Anchors - yard gas piping: size -test 11. Water Pipe; Test -Anchor -Regulator -Service Test 12. Electric; Underground 13. Pienums & Ducts; Clea ra nce-Material-Su pport- ins. 14. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples 15. Acc9ss & Ventilation 16. Insulation Date/Initials PLUMBING (Permit) OK except #'a 16. Water Htr.; Vent -Access -Combustion Air -Baffle 17. Water Pipe; Test & Anchor -Nall Protection 18. D.W.V.; Test -Fittings & Anchor-Naii Protection 19. Shower Pan; Test, First Floor -Tub Access 20. Test Tub & Shower, Second Floor -Tub Access 21. Gas Pipe; Size & Anchors Date/initials ELECTRICAL (Permit) OK except #'a 22. Fixture & Transformer Clearance -ins. Protection 23. Elec. Receptacles Spacing -Lights & Switches at Doors 24. Size Boxes & No. of Conductors -Stapled 25. Romex Installed Close to Edge of Studs & C.J. 26. Equip. Ground made up w/Mach. Fastners-Bond Gas & Water 27. 2 Appliance Circuts in Kitchen & Conductor Size/GFI 28. Subfeed Wire Size ga. Cu or Al-A.C. Wire Size ga. Cu or Al 29. Range Circ. ga. Cu or Al -Oven Circ. ga. Cu or Al. Insulated Neutral 13 Yes El No 30. Service -Riser Conductors & Ground -Main Disconnect 31. Equip. Clearances Pane Is-Moto-rs-Mech. Equip. 32. Clothes Closet Light -Shower Light -Spa Light 33. Smoke Detector Date/initials MECHANICAL (Permit) OK except #'a 34. A.C. Ducts Insulation & Support 35. Vent Fan; Exhaust above insulation 36. Condensate Drain & Overflow; Size & Grade 37. Furnance-Vent; Access -Comb. Air -Return Air Vent -1 15 outlet 38. Attic Access & Platform if Furnance in Attic Date/initials FRAMING (Plans) OK except #'a 39. Sils, Proper Material & Anchors 40. Walls Studs -Nailing, Spacing & Bracing -Plates -Sound 41. Bearing Walls over Girders & Floor Nailing 42. Draft Stop in Walls (rat proof) 43. Fire Stops; Furred Ceilings -Stairs -Chases -Tub 44. Headers & Beam -Size & Bearing Date/initials FRAMING (Continued) 45. Hangers -Post Caps -Anchors -Connectors 46. Cing. Joist-Rftr. ties -Pu rl in -roof Brac-Truss-Shthng.-Rfng. 47. Fireplace Ties or Type A Flue -Fireplace Throat clearance 48. Attic Access; Size & Romex Protection -Draft Stop -ins. Baffles 49. Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions 50. Garage Fire Protection Framing - 51. Property Line Firewall & Openings 52. Ext. Doors -One X -Check Garage -3rd Story, 2 Exits 53. Stairs; Width -Headroom -Rise-Ru n-Landi ng -Fire Protection 54. plywood on Roof Overhang -Attic Vents -Rafter Outriggers 55. Siding -Nailing Veneer 56. Stucco Mesh -Drip Screed -Fd. Vents-Underfir. Access 57. Glazing Area -Glass Protection -Skylights -Plastic 58. Shear Walls; Nailing -Bolts 59. Insulation -Walls -Ceilings 60. Infiltration -Walls -Windows Date/Initials FINAL (Plans) OK except #'a 61. Ext. Stops -Door & Sidelight Protection -Landings 62. Smoke Detector 63. Furnace; Vents -Clearance -Comb. Air -Connector - In Garage; Above Floor-Ducts-Mech. Protection 64. Bedroom Exiting 65. G.F.I. & Bath Fixtures & Tub Access -Spa 66. Elec. Trim & Subpanel; Breaker Sizes & Labels 67. Stairs & Rails 68. Fireplace or Stove; Clearances -Hearth 69. Elec. Outlets at Wood Panel; Int. & Ext. 70. Kit.Fixt. & Appliance; Grnd.-Air Gap -Cooking Clearance 71. Elec. Outlets & Receptacles at Kit. Counter 72. Garage Fire Door; Swing -Landing -Closer 73 A.C. Duct in Garage -Damper 74. Wtr. Htr.; Vents -Clearance -Comb. Air-Connector-P.R.V. In Garage; Above Floor-Mech. Protection 75. Plb., Elec. & Mach. Equip. Listed for Location 76. Elec. Receptacles in Garage; (G.F.I.)-Romex Protection 77. Insulation -Foam -Looked in Attic 0 Yes 78. Guard Rails & Deck Construction -Post Caps 79. Fdn. Vents & Crawl Hole Door-Drainag & Wood -Earth Clearance Looked under Floor Yes 80. Following instld.; Drive 13 Yes 13 No; Walks 0 Yes 13 No; Planters 13 Yes 13 No 81. Stucco; Brown -Finish 82. A.C. Unit; Disconnect, Electrical, Plumbing 83. Vents Above Roof; Plbg.-Appliance-Fireplace.-Clearance to Openings 84. Water Well; Disconnect, Electrical, Plumbing 85. Exterior Elec. Trim; G.F.I. Receptacle -Underground 86. Ventilation Throughout House 87. Glass Protection 88. Corrections from Previous Inspections 89. Gas Test -Meters Tagged; Gas -Electric 90. Water & Sewer Connected -C/O to Grade -HD Approval 91. Energy Compliance Cerfificate-Other Certificates Comments at Final: /I 0 COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive - Oroville, Calitornia 95965 - Telephone (916) 538-7541 PERMIT NO. APPLICATION AND PERMIT ASSESSOR PAR�EL NUMBER 024-080-116 ZONING A5 BUILDING PERMIT I OWNER JAMES W. & TANJA M. HAWES (916) NZO-U58 SQ. FT. OCC. BUILDING VAL— OWNEWS mA4'�TDbs`GBRIEN AVENUE GRIDLEY, CA 95948 CONTRACTOR bMtRS TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNXNOWN Total Valuation $ LENDER'S MAILING ADDRESS Filing Fee $ 20.00 Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ 23 00 Energy Plan Checking Fee $ - ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS 433 O'BRIEN AVENUE PERMIT FEE $ 2a.no GRIDLEY, CA 95948 PLUMBING PERMIT Filing Fee 20.00 Each Trap 7.00 Solar or heat pump water heater 23.00 Water piping 15.00 LOT N!5 SUBDIVISION'S NAME L MAP Pt 7 Each gas water heater or vent 15.00 --- USE OF STRUCTURE SF 0 Duplex Q Mobilehomea Other SPECIFY Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home x; @20.00 50.00 TYPE OF WORK New 0 Addition Q Remodel Q Utilities (I Installation Q Other 05 DescribeWork: 2 BEIRM PERMIT FEE $ 80.00 Contractor ELECTRICAL PERMIT Filing Fee 20.00 Main Service 2111V OR LESS I OOA OR LESS I 23.00 23.00 Main Service 200A TO I OOOA 46.00 NEW CONST. DWELLING OCCUP. OR AODNS. & ACC. BLOS. so 3.5C FT. CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one) 1 am a licensed under provisions of Chapter 9, Division 3 of the Business and Professions Code and my license is in full force and effect. cense No. Classification ^%./bas the owner, or my employees with wages as their sole compensation, will do ;he work, and the structure is not intended or offered for sale. (Sec 7044) ID I, as the owner, am exclusively contracting with licensed contractors. (Sec 7044) Q I am exempt under Sec. Business and Professions Code for this reason .NEW.CONST. MULTI -OUTLET _NON RESID. BRANCH C IRCUITS @7.50 POWER APPARATUS ( & SINGLE OUTLET CIR. 1 Ex. Occup. OUTLET OR FIXTURES 20 Q 1.00 BAL. @ .50 Ex. Occup. FIXED APPLNS. OR UTLETS IRESID.) EA. 1 5.00 Temporary Service 23.00 Mobile Home Facilities 000 )0.00 Misc. Wiring t2�3�.0O WORKER'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): LI This permit is for $100.00 (valuation) or less. Q I have placed on file with the County of Butte Dept. of Development Services, Building Division a Certificate of Workmen's Compensation Insurance or a XCertificate of Consent to Self -insure. I shall not employ any person inanymannerso as to become subject to the Worker's Compensation laws of California. Notice to Applicant: If after making this statement, should you become subject to the Worker's Compensation provisions of the Labor Code, you must forthwith comply with such provisions or this permit will be revoked. PERMIT FEE Contractor MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all Butte C21��In�ances and California State Laws relating to building constr n, a e y authorize-"��,e,,Ps:cnt�atnives of the County of Butte to e i.� n entei upon a egt imo n a ! propert 0 purposes. 1 also a a save,i nil and ep her less the County of Butte against all liabilit' s gm nts, c t , a ex nses w ' h may in any way accrue against said 0 nse Lie ting of t s permit. Date ature of A .—Weriv �-bwner Q Contractor 0 Agent An OSHA permit is (equired 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 Fur-/ 166.00 :�Jp Z. FEES RI -Of CDF PARCEL I PD r This permit is hereby issued under the applicable of the Butte County Code and/or Resolutions indicated above for which fees have been DIRECTOR OF PUBLIC WORKJS y— PERMIT EXPIRES ON provisions to do work p aid. ate (6 -75 Receipt No. &2 P 7/ WHITE-D.D.S.-B:D. CANARY -ASSESSOR PINK -INSPECTOR GOLDEN RO D-APPLIC ANT OF F. 'iL6PMENT SERVICES -BUILDING DIVISION COUNTY OF BUTTE -DEPARTMENT DW 7 COONTY CENTER DRIVE - OROVILLE,CALIFORNIA95965 -TELEPHONE (916)538-7541 W 1 .1, PERMIT APPLICATION DATASHEET .0101 ;2 OWNER A. Proposed Building Use Building Inspector Date :gz,2 /,/!, At time of permit application, I was advised the following data must be submitted prior to permit processing and/or issuance: DATE RECEIVED BY 1. All items have been submitted . ........................................ 2. Plot plans, 3/4 sets� signed by preparer of plans . .......................... -3, Complete plans, 3/4 sets, signed by preparer of plans . ...................... .4. Engineered plans and calcs, 3/4 sets, with wet signature on plans . ............. 5. Hazardous Material Form . ............................................... 6.,E;nergy Design Compliance and supporting documentation . .................. 7. Statement of Intent for Non -Heated and A/C Buildings. . . . . 1� ................. 8. Engineered truss details and layout in duplicate (required prior to plan check) . .... 9. Mobilehome data and manufacturer's installation instructions, 2 sets . ........... 10. Fees of $ . .................. ........................ 11. Impact fees as shown on attached schedule . .............................. 12. California Department of Forestry plan approval/fees ......................... 12 -Flood elevation letter (100 year flood) by California Engineer ................... A A Sanitation and plot plan approval 0&0 _ Health Department . ............ 3Z 15. City of Chico plumbing permit . ........................ 1,6. Plot plan and business license approval from City of Biggs/Grid*ley.* ............. 17. Planning approval for (A) Use: (B) Parking: . ........ 1A Contact Land Development about (A) Improvements (B) Drainage ............ k24j'19*. 'Driveway permit (construction approval required prior to occupancy). . . . P;n�!;sWct6; r6q'uest 20. Pre -inspection for required. to Building Inspectori._(Date) 21. Contractor's license information. (No., Name Style, Classification) . .............. 22. Certificate of Workmans Compensation Insurance . .......................... 23,-Gwner-Builder Verification (Given to owner _, Mail to owner ........ 4. Recorded copy of Agricultural Acknowledgement Statement . .................. 25. Letter of signature authorization . ........................................ 26, Copy of recorded deed of parcel creation and 60 right of way to a public road ...... 27. Letter of intent on building use . ......................................... 28. Mobilehome utility clearance . .......................................... 29. Documentation of legal access . ..................... ; .................. 30. Documentation of 50% subdivision developed or (A) Road improvements completed and (B) Parcel meets zoning area and frontage requirements . ............... 31. Existing violations/expired perrpits . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 32, Plan check list . ..................................................... 33. -34. When ziff issue he permit roces as follows: Mail to owner. Mail to contractor. Tele' hone J�&, Z I - Z Wand hold for pickup at office. Deliver with inspector. Other I Parcel Creation Acreage Applicant e Date Copy of Haz-Mat form sent Health Dept. Fire Dept. _ Air Pollution Date Copy of plans sent Health Dept. _ Fire Dept. Other Date By The following data must be submitted prior to permit issuance 1. Index permit for above items No. 2. Additional items required: (Circle new item not checked above). Contractor, designer, owner, was advised of above required data by _ phone — mail — Counter. by _ Date Contractor, designer, owner, was advised of above required data by _ phone — mail Counter by — Date Plans checked by Date. Plans approved by_ —Date 5--16 Sets of plans on hold in File cabinet AP folder Copy - Department of Public Works Elf. USE 0NI,V Plot Plan Aascbod Floor Plan Attached TO: Building Department Sent to B.D.j FROM: Environmental Health SUBJECT: Sanitation Clearance CjUj oer-I --z Y\ L/,- 0 (P Owner Location AP# Plan Approved for: Sewage Disposal Water Supply Hold final for: Water Supply Final clearance 0. K. for: Water Supply Clearance for e-2- bedroom mobile home. Other NOTE: Environmental Health Specialist Date COUNTY OF BUTTE BUILDING IjIAVISION DEPARTMENT OF DPEVELOPMENT SERVICES 1469 Humboldt Road, Chico, CA - (916) 891-2751 7 County Center Drive, Oroville, CA - (916) 538-7541 747 Elliott Road, Paradise, CA - (916) 872-6307 CORRECTION NOTICE OW�Ifk PERMIT NCr. A routine inspection indicates that the following violations of Butte County Ordinances exist at X the above address and should be corrected. Please notify this office when correction of work is completed.'If you have any questions pertaining to this matter, or need additional explanation, please contact this office immediately. REV I U/9Z COUNTY OF BUTTE BUILDING DIVISION DEPARTMENT OF DEVELOPMENT SERVICES 1469 Humboldt Road, Chico, CA - (916) 891-2751 7 County Center Drive, Oroville, CA - (916) 538-7541 747 Elliott Road, Paradise, CA - (916) 872-6307 CORRECTION NOTICE - 7 1 A 7-1 /-f OWNER -//2-3 PERMIT NO. A routine inspection indicates that the following violations of Butte County Ordinances exist at the above add - a"n—d should be corrected. Please notify this office when correction of work is complete dJ7vy.0 have any questions pertaining to this matter, or need additional explanation, please c Tea ct this office immediately. OA&V, -7Z7,c, LE C' of 2- A�'.,Vo C 4�' /9 tj—/- lk-J M A /,,j A"i Dat Inspecto REV 10192 kP # OWWERa/4-qia5 /4,4'.t/ PERMI M UT INSPE ELECTRIC GAS Support S�ruc. Compactio: Test,Rea. ,Service Other Pipe YES NO YESI NO ,Size. Load' Type Size Length .2 kept mAke set of plaon'si aAd specifications MUST be r n thejob it aU timeo and it- �A anges or alteration- f 3A same without a permission from the Department of WO, 1, Co�inty of BIAte. x(x �-O 5-0 F. MNNI U -M 500 SQ. FOK> MOP)II Pq AV Mate Ace rials ordanceMt� R & Workmansh'P MlaU Be of R Qualit3l.Pr ecOgWZed Good PraCticess In the UjUfOM1911cribbd for tj�..e 's. and cPecjfi.d ,, I. Code Buildirig'.P1 - e urnbing and� the XatlOUQ BlectrIcal Code. IPMOV. INC.LUI)ING — A V--Kk'r-Q ALL"5_iMu%'*g___ BEC %,#% - ER8ANGJ S SHALL t:V40t'A _T14F SIDE AN Ov _T ;�_ F RTY Lit"Es GE -r BACK OF A "TAE FENR P U C,;EN'TF_11LINE S14A cad r -TUVIFS AND F_Gl,PMv4T �L�EAR Or ,jG O\jEJAHANG- JE Tj r -OR A 2 FT EAN I VII M G N - VIN tv 14 3 r , ez V_\�, L�r b C) MOBILEHOME INSTALLATION, ACCEPTANCE COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS — 7 COUNTY CENTER DRIVE OROVILLE, CALIFORNIA 95965 TELEPHONE: .(916) 538-7541 PERMIT NO Address or location of mobilehome Owner's name C'uE -5 Owner's address Insignia or hud number n 3 -7 Manufacturer's name 11 V I ILE �e 5 1140.OLA -*V .4� Serial number of PI.N. /7'W Year of manufacture4 7 (Official Approving%Ln_stapT[ation IF THE MOBILEHOME IS MOVED OR RELOCATED, THE MOBILEHOME INSTALLATION. ACCEPTANCE SHALL BECOME INVALID. THIS FORM SHALL NOT BE USED WHEN THE MOBILEHOME IS INSTALLED ON A FOUNDATION SYSTEM. 0,-,-� �/, 6 2,4 - // 4 513B White - Owner, Yellow - Installer, Pink D.P.W. I V COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive - Oroville, California 95965 - Telephone (916) 538-7541 PERMIT NO. APPLICATION AND PERMIT _.z ASSESSOR PARCEL NUMBER 024-080-116 ZONING A 9 BUILDING PERMIT OWNER CLIFFORD & . LILLIAN NUCHOLS TELE .. ONE 846-6058 SQ. FT. OCIC. BUILDING VALUATPN' OWNER'S MAILING ADDRESS 433 O'BRIEN AVE GRIDLEY, 95948 CONTRACTOR'S NAME OWNER TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ LENDER'S MAILING ADDRESS Filing Fee $ 20.00 Permit Fee $ ARCHITECT OR ENGINEER NO. Plan Checking Fee $ 2_3_00 Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS O'BRIEN AVE PERMIT FEE $ 43.00 GRIDLEY, 95948 PLUMBING PERMIT Filing Fee 20.00 Each Trap 7.00 Solar or heat pump water heater 23.00 Water piping 15.00 LOT NO. SUBDIVISION'S NAME PARCEL MAP Each gas water heater or vent 15.00 USE OF STRUCTURE SF 0 Duplex 0 Mobilehome IX Other SPECIFY Gas piping system 1 5 outlets 15.00 Building sewer 15.00 Mobile Home S G I W @20.00 TYPE OF WORK New El Addition 0 Remodel Q Utilities Cl InstallatioW& Other El DescribeWork: MHI PERMIT FEE $ Contractor ELECTRICAL PERMIT Filing Fee 20.00 Main Service III OR LESS I 200A OR LESS 1 23.00 Main Service 200A TO 1000A 46.00 NEW CONST. DWELLING OCCUP* 3.50 so OR ADDNS. 8, ACC. BLOS. FT. CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one) 1 am a licensed under provisions of Chapter 9, Division 3 of the Business and Professions Code and my license is in full force and effect. X icense No. Classification a s the owner, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. (Sec 7044) -1i I Q 1, as the owner, am exclusively contracting with licensed contractors. (Sec 7044) 1:1 1 am exempt under Sec. Business and Professions Code forthis reason NEW.CONST. MULTI -OUTLET NON RESID. BRANCH CIRCUITS @7.50 POWER APPARATUS ( & SINGLE OUTLET CIR. 20 @ 1.00 Ex. Occup. OUTLET OR FIXTURES BAL.@ .50 FIXED APPLNS. OR Ex. Occup. OUTLETS (RESID.) EA. 1 5.00 Temporary Service 23.00 Mobile Home Facilities . 20.00 Misc. Wiring 23.00 WORKER'S COMPENSATION INSURANCE 1 declare under penalty of perjury (check one): 0 This permit is for $100.00 (valuation) or less. Q I have placed on file with the County of Butte Dept. of Development Services, Building Division a Certificate of Workmen's Compensation Insurance or a /Certificate of Consent to Self -insure. . Compensation laws of California. 6,oIshall not employ any person in any manner so asto become subject to the Worker'. tice to Applicant: If after making this statement, should you become subject to the Worker's Compensation provisions of the Labor Code, you must forthwith comply with such provisions or this permit will be revoked. PERMIT FEE $ Contractor MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE $ Contractor I certify that I have read this application and state that the above information is correct. I agree to co 1 11 Butte C Ou M4.0i es and Ca . lifornia State Laws relating to building cons,"t yti _rZy au norize repre I t ' ves of the County of Butte to enter upon e a menti ned prop rty 0, insp -N- riaot"n purposes. I also a ee ave,inde nify an ee hairmlesl le County of Butte against alil th III ab, I it t I ents, cost nd exp S ;w c in any way accrue against said h it C this P 4 y o equence 0 ate 7/1�� Sipk�ure of Applica wrH;r 0 Contractor El Agent .1 0 n OS—HrX -pem it is equired for excavations over 5"0" deep and demolition or o construction of structures over 3 stories in height. Mobile Home Installation Fee $ 100.00 Energy Inspection Fee $ Occ CONST. TYPE TOTAL FEE $ 143.00 I I HAZ. IMP FLO/ I CDF — ARCELT PD 1-1-1-1 I HD ISSU�o 111001, This permit is hereby issued under the applicable provisions of the Butte County Code and/or Resolutions to do work indicated above for which fees have been paid. DIRECTOR OF PUBLIC WORKS B y DAte 2 PERMIT EXPIRES ON N Receipt No. WHITE-D.D.S.-B.D. CANARY7ASSESSOR PINK -INSPECTOR GOLDEN RO D-AP�Ll �C.T] _1 �ARTMENT OF DEVELOPMENT SERVICES BUILDING DIVISION COUNTY OF BUTTE 7 COUNTY CENTER DRIVE, OROVILLE CA 95965,- TELEPHONE (916)1538-7541 OWNER A.P. m VPROPOSED BUILDING USE DATE REC. # DATE REC SCHOOL DISTRICT FEES 6 9- /D . .. (paid at District Office) ......................... SHERI" FEES (paid at Building Department) Residential ...... x =$ unit amt. Commercial (sqft) -;-q—.f—t. amt. 3. URBAN AREA FEES (paid at Building Department) Residential (per unit) x =$ # units amt. Commercial (per sq.ft) x =$ sq.ft. amt. 4. RECREATION DISTRICT FEES (paid at District Office) ......................... IVA 5. DRAINAGE DISTRICT FEES (Contact Land Development Division) .............. 6. SRA FIRE INSPECTION AND PLAN CHECK = $89 - 00 ...... (paid at Building Department) 7. OTHER /62,27/V At time of permit application, I was advised the above fees are required to be paid prior to issuance of the permit. APPLICANT DATE "" " I �� , _�v 7jj , "1rAbW,;;AaMA 2 A- - � 6Lu", , , ) 1,� COUNTYOF BUTTE - DEPARTMENTOF DEVELOPM ENT SERVICES - BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILLE,CALIFORNIA95965 -TELEPHONE (916)538-7541 PERMITAP Ll ATIONDATASHEET OWNER 165 /)q 7; S A R 0 Proposed Building Use Date �-,I: Building Inspector. At time of permit application, I was advised the following data must be submitted prior to permit processing and/or issuance: DATE RECEIVED BY 1. All items have been submitted . ........................................ 2. Plot plans, 3/4 sets, signed by preparer of plans ........................... 3- Complete plans, 3/4 sets, signed by preparer of plans . ..... ...... ..... 4. Engineered plans and calcs, 3/4 sets, with wet signature on p ans . ...... 5. Hazardous Material Form . .............................................. 6. Energy Design Compliance and supporting documentation . .................. 7. Statement of In tent for Non -Heated and A/C Buildings ....................... Engineered truss details and layout in duplicate (required prior to plan check). Mobilehome data and manufacturer's installation instructions, 2 sets. ItI.O. 7—. . . . KCalifornia Department of Forestry plan appro a /fees. .,-� ................... . Fees of $ . ......................................... 4 1. Impact fees as shown on attached schedule. ...... 2 v 1 13. Flood elevation letter (100 year flood) by California Engineer ............. 14. Sanitation and plot plan approval , Health Department . ............ 15. City of Chico plumbing permit . ......................................... 16. Plot plan and business license approval from City of Biggs/Gridley . ............. 17. Planning approval for (A) Use: (B) Parking: . ........ 18. Contact Land Development:about (A) Improvements (B) Drainage ............ 19. Driveway permit (construction approval required prior to occupancy). 20. Pre -inspection for required. to Building Inspector (Date) 21. Contractor's license information. (No., Name Style, Classification) . .............. 22. Certificate of Workmans Compensation Insurance . .......................... 23. Owner -Builder Verification (Given to owner Mail to owner ............ 24. Recorded copy of Agricultural Acknowledgement Statement . .................. 25. Letter of signature authorization. ..fl*,**''*''''******,***''*''**** ........ 99 Copy of recorded deed of parcel creation and 60 right of way to a public road ...... Lette of intent on building use . ......................................... 0' Mobilehome utility clearance . .......................................... I/ ) 29. Documentation of legal access . ..................... ; ........ 0 ......... 30. Documentation of 50% subdivision developed or (A) Road improvements completed and (B) Parcel meets zoning area and frontage requirements . ............... 31. Existing violations/expired permits . ......... 0 ............................. 32. Plan check list . ................................... ......... 0 ....... 33. -34. When you issue th;eppgm*,,tpraoce s as follows: Mail to ow Mail to contractor. per. Telephon and hold for ickup at office. Deliver with inspector. Other Parcel Creation Acreage Applicant Date Copy of Haz-Mat form sent Health Dept. Fire Dept. _ Air Pollution Date Copy of plans sent Health Dept. _ Fire Dept. Other Date By - The following data must be submitted prior to permit issuance 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 requireddata by _ phone — mail Counter by Date Plans checked by Date Plans approved by Date� Sets of plans on hold in File cabinet AP folder Copy - Department of Public Works 24-08-116 .3129-89B, P. -,E-, M ---!- CASEY, R. L. 433 O'Brien Ave, Gridley PE (new single family) PEv—... . ....... OWNER CONTR. ASSESSOR PARCEL LOCATION Af, OFFICE COPY Address GAS Meter By ELECTRIC "C Meter By:� Dat&(�—Z t Temp. Power Pole Called PG&E Temp. Elec. Service Called PG&E Temp. Gas Service Called PG&E JOB FINALED (Datel o 4 Signature NJ = OK 0 Not OK Not Applicable Not Ready MOBILE HOMES MISCELLANEOUS Date MOBILE HOME UTILITIES (Plans) OK except #'s Date DECKS,COVERS,CARPORTS,GARAGES, (Plans)OK except #'s 1. Zoning Requirements -Setbacks -Easements 1. Zoning Requirements -Setbacks -Easements 2. Soils; Special MH Support -Sketch 2. Footings; Soils-Size-Depth-Spacing-Connectors-SteeI 3. Sewer; Location -Test -Fall -C/0 -Concrete 3. Decks; Girders and/or Joists -Decking -Bracing -Stairs -Rails 4. Water; Locati o n -Test- Ease me nt Needed (Sketch) 4. Wood Awn.; Posts-Beams-Rftrs.-Connec.- Shthg.-Rfg.-Bracing 5. Electricity; Location-Clearances-Grnd.-/ / Amp -Concrete- 6. Gas; Location -Test -Wrap: / PV'ft. / P'Nat. or/ /"L"ft./ P'LPG 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Carports; Windows -Doors 7. Utility Clearance 7. Elec. 8. Frmg; Sills-Anchors-Studs-Rftrs-Trusses 9. Siding; Nailing -Veneer -Stucco -Mesh Card -B1 Date Card -Bi Date 10. Roof; Shthg-Roofing Card -131 Date Card -B1 Date 11.. Ext.; Steps -Doors -Landings Date MOBILEHOME INSTALLATION (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements Card -81 Date Card -B1 Date 2. Footings; Size -Spacing -Marriage Line Card -B1 Date Card -131 Date 3. Gas; MH Test- Demand -Valve -Con nector 4. Electricity; MH Test- Crossove rs-Breake rs- Cl ea ra nces Date POOLS (Plans) OK except #'s 5. Drain; MH Test -Fall -Flex Connector 1. Setbacks- Ease m ents 6. Water; MH Test -Regulator -Connector 2. Soils; Compaction -Structure Stability 7. Water and Sewer Connected -C/O to Grade -HD Approval 3. Pool Structure' Steel -Connections -Thickness - Dead Men -Lining 8. Gas and Electricity Tagged 9. Exits; Insp.-Sketch 4. Elec.; Receptacles and Lighting, Distances-GF1 10. Cert. of Occupancy 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 Card -B1 Date Card -B1 Date Card -B1 Date Card -131 Date 9. Health Department Approval 10. Plumb.; Cir. Test -Water Supply Test Card -131 Date Card -B! Date Card -B1 Date Card -B1 Date 11 = UK 0 = Not OK - = Not Applicable RESIDENTIAL (Single and Duplex) * = Not Ready Date UNDWLPOR (Plans) OK except #'s 0,-1/1 Ll,--Zo .Die'g-Setbacks;-Easements-Flood-Slope 0,-Vtg.,Ma1rv, Soils-Steel-EleS(�rh<_/ 41--Frg., Garage; Soils -Steel-/ V Ftd7 Dept 4. Ftg., Porches & Decks; Soils -Steel-/ /11 5. Sternwalls, Main; Steel-Blockouts-Wrappe 6. Sternwalls, Garaqe: Steel - Blockouts-Wrav L? -Slab; Steel -Wrapped 8. Piers -Fireplace Ftg.-Steel -cJD.W.V.; Fall -Fittings -Test -2 way C/0 -Sewer Test_ hors _,!-L-Watef-�est-An c h o rs- Reg u I ato r -Se rvi ce Test 12-Ere—ctric,Underground 13. Plenums & Ducts; Clearanco-Material-Supprt-ins. 14. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples 15. Insulation Card -131 Date /0-//�jf:;eard-131 Date Card -131 Date /Card -131 Date Date _?,LVMBING (Permit) OK except #'s _14. ater Ht. Vent -Access -Combustion Air -Baffle ater Pip ; Test & Anchors -Nail Protection 1-EP.W.V.; Test-Fttngs & Anchors -Nail Protection �.�n; Test, First Floor -Tub Access �.�& Shower, 2nd Floor -Tub Access t -2T. Gas Pipe; Size & Anchors Card -1310,43 Date ln!�Card-131 Date Card -131 �, I Date Card -131 Date Date ELECTRICAL (Permit) OK except #'s 22j�e & Transformer Clearance -ins. Protection Fn_Eleit-Receptacles Spacing -Lights & Switches at Doors "14. Sig .o,Boxes & No. of Conductors -Stapled "ex In talled Close to Edge of Studs & C.J. �.ip. Ground made up w/Mech. Fasteners -Bond Gas& Water C-97. 2 Appliance Circuts in Kitchen & Conductor Size/G.F.I. 2&.-SUbTe-ed Wire Siz-0 / ga. Cu or AI-A.C. Wire Size / /ga. Cu or Al 29.-RTpfig-e !CirC.-/- / ga. Cu or A I -Oven Ci rc. ga. Cu or Al. _,,tf�sulated Neutral Yes No 30. �wvice-Riser Conductors & Ground -Main Disconnect t:��--u ip. Clearances Pane Is- Motors- Mach. Equip. 32._,Clothes Closet Light -Shower Light -Spa Light z-33. Smoke Detector Card -B1 2L,24-S:T(�Card-131 Date Card -B1 Date Card -B1 Date Date MEpHANIC L (Permit) OK except #'s t8C_AZ' Ducts insulation & Support JZ5. Vent Fan; Exhaust above insulation 36-C4ndeasa4e-9raift & Overflow; Size & Grade urnace-Vent; Access -Comb. Air -Return Air Vent -1 15 outlet -t8--Attte-Aeeess& Platform if Furnace in Attic Card-B19,Q Dat� �,S &'(0h rd - B 1 Date Card -131 CA DateY-.0 "'/Mard-131 Date Date FRWING (Plans) OK except #'s V49. Sills, Proper Material & Anchors ILI!Nalls Studs -Nailing, Spacing & Bracing -Plates -Sound <X1. B_earrng Walls over Girders & Floor Nailing Ll a,� ft Stop in Walls (rat proof) L!��.�re Stops; Furred Ceilings -Stairs -Chases -Tub 644. Header & Beam -Size & Bearing Date Y-RA"G (Continued) ,V-2.� �,anqers-Post Caps-Anc �-O-rs-Connect k-�r- �ng. Joist-Rftr. Ties- Pu rii-n--ftoof-Bral��-Tiuss-g�.th ng �Rf ng. ireplace Ties or Type A Flue -Fireplace Throat Clearance -41�ttic Access; Size & Romex Protection -Draft Stop -Ins. Baffles ':'-49 Rd�%, Windows or Exiting Doors -41 t�gt. & Dimensions-\ L607 -Garage Fire Protection Framing (-I- I!JY3;- 51I,Woperty Line Firewall & Openings- I �Z- O��2. Ext. Doors -One T -Check Garage -3rd story, 2 eA - - q- Wwrith-HeqtlrQamzB�ise-Run-Landing-Fire Protection "�4- E�Lywood on Roof Overhang -Attic Vents-Raf ter Outriggers' -"-�5. Siding -Nailing Veneer � �.=s - R=ipc �-Fd. Vents-Underflr. Access L -Off. Glazing Area -Glass Protection -Skylights -Plastic :2t.:§TTa!ra s; - �ai-�olts cl,- *1,-V- 59. Insulation-W616-CIg. 60. Infiltration-Walls-Wndws Card -131 Date'�� Y q-- / 0 ,RCard-Btq-C.,- Date Card -13 Dat4L2n�lyocard-131�SQ_ Date Date \.kINAL_kPlans) OK except #'s Ltje!gr�teps- Door & Sidelight Protection -Land i ngs (q?vTT-0e Detector 4631furnace; Vents -Clearance -Comb. Air -Connector - V, - In Garacie: Above Floor-Ducts-Mech. Protection 4 Bath Fixtures & Tub Access -Spa Trim & Subpanel; Breaker Sizes -Labels & Rails Vp8'Firepjace or Stove; Clearances -Hearth �?..12,10C,,.'-Outlets at Wood Panel; Ini. & Ext. UOI'kit,f�%f & Appliance; Grnd. -Air Gap -Cooking Clearance_ �71,��. Outlets & Receptacles at Kit. Counter .U2'Garage Fire Door; Swing -Landing -Closer L,7,a-�. Duct in Garage -Damper r. Htr.; Vents -Clearance -Comb. Air-Connector-P.R.V.- In garage; Above Floor-Mech. Protection V��b, Elec. & Mach. Equip. Listed for Location k;*-Siec. Receptacles in Garage; (G.F.Q-R�� Protec. Foam- Looked in Attic Q5 Yes 7-7-8 Guard Rails & Deck Constructi on- Post Caps . en s & Crawl Hole Door -Drainage & Wood -Earth Clearance Looked under Floor 0 Yes �.-o o�vving instId.; Drive -0 Yes 0 No; Walks 0 Yes 13 No; I Planters 0 Yes 0 No --t!-Sru—cco; Brown -Finish 1 82. ��. Unit; Disconnect, Electrical, Plumbing Ula-lVents Above Roof; Plbg.-Appliance-Firepl.-Clearance to Openings. __-aA-Wt0e;-WeII; Disconnect, Electrical, Plumbing j -AeSterior Elec. Trim; G.F.I. Receptacle-Underg round L-tg-Ventilation throughout House .,A��tio5s�orn Previous Inpections A§�, �aeK-Meters Tagged; Gas -Electric Wt;�Xater & Sewe Connected-CrO to Grade -HD Approval QfAnergy Compliance Certificate -Other Certificates j_,-Wofing Certificate Card-131�;7� Date J�-,6=Mard-131 Date Card -131 Date Card -131 Date Card -Bl Date Card -131 Date Comments at Final: COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 196 Memorial Way, Chico — Phone: 891-2751 7 County Center Drive. Orovi Ile — Phone: 538-7541 747 Elliott Road, Paradise — Phone: 872-6307 CORRECTION NOTICE OWNER' PERMIT NO. A routine inspection indicates that the following violations of County Ordinance exist at the above address and should be corrected. Please notify this office when correction of work is completed. If you have any question pertaining to this matter, or need additional explanation, please contact this office immediately. 0 131111111111 li�ill��JJ!111111 I Owl 1 Jill 111i > Date Inspector (;4941 -'JJ COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 196 Memorial Way, Chico — Phone: 891-2751 7 County Center Drive, Orovi Ile — Phone: 538-7541 747 Elliott Road, Paradise — Phone: 872-6307 CORRECTION NOTICE OWN t-'WAG-.Wrt� =10161111111110116M A routine inspection indicates that the following violations of County Ordinance exist at the above address and should be corrected. Please notify this office when correction of work is completed. If you have any question pertaining to this RNter, or need additional explanation, lease contact this office immediately. �- 11 J I A I A Inspector Date—'L/ J og COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMI 7 County Center Drive - Oroville, California 95965 - Telephone: 916/538-7541 :=Ob,�� 61 9 ANb PERMIT - APPLICATIO A SS f7 Sq P M N ��M7 7� 0 ZONING A5 BUILDING PERMIT 0 wy�" (L V ()OWHONE Q SQ. FT. I BUILDING VArLIVON lylga 0 TT y qo,� /0- igggyj CC,��CYOR*S NAME' IF — C W & V1 I TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CON U CTION LENDER 19 V7 e- UNKNOWN Total Valuation Is LIENDER'S MAILING ADDRESS Filing Fee $ 10.00 Permit Fee $ 6 ARCIIIIE T OR ENGINEER 4 ta- LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITIECT—OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS4. 33 Permit fee $ PLUMBING PERMIT FilingFee 10.00 Each Trap 2.00 Solar or heat pump water heater 20-00 LOT NO. SUBDIVISION NAME I PARCEL MA /(0 I Water piping 5.00 Slt)6 iter heater or vent 5.00 USE OF STRUCTURE SF DuplexF� MobilehomeF] Other 9(1 SPECIFY Gas piping system 1 - 5 outlets 5.00 )CV9 Building sewer 5.00 Mobile Home S G W 10.00 ea TYPE OF WORK New IX Addition Utilitie Instal tion OjUr F1 Describe work: Y'� 1�z Permit Fee Contractor ELECTRICAL PERMIT FilingFee 10.00, Main service 600V OR LESS 100 AMP OR LESS 10.00 Main service EA. ADO -L 100 AMP 2.50 -Q,cie) CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): El I am licensed under provisions of Chapt. 9, Div. 3 of the Busines S and Professions Code and my license is in full force and effect. License No. '195 Classification n 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) 0 1, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) F] I am exempt under Sec.-, Business and Professions Code for this reason NEW CONST. DWELLING OCCUP.& OR.ADDNS. ( ACC BLCGS. 21/4sqft NEW CONSTR. MU�_TI-OUTLET NON,RES I D , L' RANCH CIRCUITS) 2.50 ea, PO ER APPARATUS.&) (SiNWGLE OUTLET CIR Ex. OCCUP(OUTLETS OR FIXTURES 0050ti 02ALO 30t OCCUP. FIXED APPLINIS OR Ex. OUTLETS (RESI*D.) EA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 Permit Fee $ WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): E] The rmit 'is for $100.00 (valuation) or less. �� hae placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Ce.mILOLU of Consent to Self -Insure. I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the.W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. Contractor MECHANICAL PERMIT Fi I ing Fee 10.00 Heating I n 1 1 Jhla I N 1,1� Cooling Hood "00 3.00 Ventilation Permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws:relating to building construction, and hereby authorize representatives of the Countyot Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue a agi JC ponsequence of the granting of this permit. XT .,_OT D Signature ofyApplicant Own -FT Contractor 9?� Agent An OSHA permit is required fornex C Cig7fin, over 5'0" deep and demolition or construct- ion of structures over 3 st or ie. i h Mobile Home Installation Fee $ Energy Inspection Fee fix 0 T TYPE V,_� I TOTAL FV $ _5A .151e9 �UA ____ PARKW ��r/ A HD U Th's permit is hereby issued under si�ns oi the Butte County Code and/or work indicated above for which fees D1J1IRCTO1�,,PF PUBLIC By 14)h1_&6#__Date PERL41T EXPIRES Date the applicable provi- resolutions to do' have been paid. WORKS 4 q 9 Receipt No. 1�11_ 0 1 WHITE-D.P.W.. TELLOW-ASSFSSOR, PI& -INSPECTOR-_ GOLDEN ROD-APPL I CANT OWNER COUNTY OF BUTTE - DE.PARTMENT OF-- PUBLIC WORKS BUILDING DIVISION 7 COUNTY CENTER DR%17� , Q_POVlLLEAC92�1'f:O_RNlA 95965 - TELEPHONE: 916/538-7541 PERMIt APPLICATION DATA SHEET Permit No. )-j Proposed Building Use 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 d6plicate/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 ....................................... 2. Park fees paid.) ................................................... I 3 CP School Dist 7it fees paid ........ vifrom Health Depa tm 13L i 4 Sanita7tlor� appro r* * *e' n*t* /_ 15. City of Chico plumbing permit .................................. --- 16. Plot plan and business license approval from City of (see City for other requirements) 17. Planning approval for (A) Use:—(B) Parking: q.R_11)`X7 MY 118 Improvements may be required. Contact Land Development Section DPW 1 . Driveway permit (construction approval required prior to occupancy) 20. Pre -Inspection for required ... Pre-Inspec. request to Building Inspector (Date) _____21. Contractor's license information (No., Name Style, Classification) ... 22. Certificate of Workmans Compensation Insurance .................. 3. Owner -Builder Verification (Given to owner 0, Mail to owner cl) ..... 4. Recorded copy of Agricultural Acknowledgment Statement ......... !!�N!l tM 25. Letter of signature authorization ......................... .......... 26. 27. When you issue the permit, proce as follows: —Mail to owner. —Mail to contractor. Telephone "R_S�g M—and hold for pickup at office. Deliver w/inspector. Other Applicant Datel Copy of plans sent Health Dept., Fire Dept., Other— Date The following data must be submitted prior to pe�r ��issuw: (�hnew,,Wt checked above). 1. Index permit for above items No. - 2. Additional items required: Contractor, designer, owner, was advised of above required data by—phone---inai I —counter by—.date Contractor, designer, owner, was advised of above required data by —phone _rna I I —counter by— date Plans checked by Date Plans approved by—WI-51 Date Sets of plans on hold in File cabinet _AP folder Copy—DPW To Buildincy Department FROM: Environmental Health SUBJECT: Sanitation Clearance &AA ----j 9, L LI -S�� o\V , Ou'fi-er Location AP # ,4 Pian Approved for: Sewage Disposal Water Supp*y Hold final for: Final clearance O.'K. for: Clearance for 3 bedroom nfl§§=P home. Other Water Supply Water Supply NOTE Sanitarian Date TO: Building Department FROM: Encroachment Permit Section RE: Driveway Clearance 41,3 ownert' location Driveway permit s i/at.ure 22Z�- 6,0-/AO� . AP # has been issued for the above property. date Return to DPW AGRICULTURAL STATEMENT OF ACKNOWLEDGEMENT FOR RESIDENTIAL DEVELOPMENT Section 26-8.1 of the Butte Counf-y Code requires this acknowledgement be r'ecorded' NOT (_O�*ARED WITH i prior to issuance of a building permll \ t ORIGINAL DOCUMENI The property described herein is adjacent to land' or included 'within an area ' zoned SEP 2 9 109 for agricultural purposes, and res*idents of this property may be subject to incon- veniences or discomfort arising from the F59-037740 use of agricultural chemicals, including, but not limited to herbicides, pesticides, and fertilizers; and from.' the pursuit of agricultural operations . including, but not limited to cultivation, plowing'9 spraying, pruning, and harvesting which occasionally generate dust, . smoke, noise, - and odor. Butte County has est . ablished agricul- tural zones which have as a priority use for productive agricultural purposes, and residents within said zones and on adjacent property should be prepared to accept such inconvenience or disconform from normal, necessary farm operations. All that real property.. -si.tuatejn the County of Butte, State of California, described as follows: The land referred to herein is'described as follows: All that certain real property situate in the County of Butte, State of California, described as follows: Parcel .3, as shown on that certain Parcel Map, being a portion of Parcel 4 of Parcel map 75 at page 38, filed in the office of the Recorder, County of Butte, State of California, on August 22, 1981 in Book 86 of Parcel Maps, at page 17. RTY 0? Date: AZ)a�l P �CRS On this the State of , / day of 19 before me, SS. the undersigned Notary Public9 p6sona ly appeared County of,/5e� A OFFICIAT Sli= BARBARA EDGAR NOTARY Pmuc - tmffonm MIM COUNTY ft WWI EVhs Mar. 8. 1"1 Personally known to me. [9 -15 -roved to me on the basis of satisfactory evidence. to be the person(s) whose name(s) - 09 subscribed to the within instriument and acknowledged thatc--ef-e' executed the same for the purposes therein contained. IN Wffffff§,�� WHEREOF, I hereunto set my hand and official seal. Present A. P. No. r,�2 EQ - L Notary Pufrric ;1 BUTTE COUNTY SCHOOLS DEVELOPMEEN6T FEE CERTIFICATION FORM (16n(� Form per Building) A.P. Number Building Department No. School District City = County Jurisdiction Property Owner V Project Location/Address V Subdivision Lot Number Residential Development: �q. Footage,/ # of Living MHI Addition (Group R) Units, Commercial/Industrial: Sq. Footage New Addition (Includin,g,Exterior Roofed Areas) Buildiriq Department Representative Date (Floor Plans reviewed by School District Personnel-) District Id No. A-4;lVe"o School District certifies t�hat 004 f - r (Applic5fft-Name) (Phone Number) (Street Addrps) (City) (State) (Zip'CodeT has complied with the requirements of Resolution No. by the payment of $ representing square feet. 'm �Af SclYool District Representative Date PAID BY CHECK NO. REMARKS: BANK NO -VIZ -.546 PAID BY CASH white -applicant, yellow -building department, pink -school district SCHOOL.FEE (8/88) Customer CA-5re� Address ONGFE- L Ow AP. # st LUMBER dity *Truss Design f and Floor Syste s a 89 Loren Ave.' Chico, - Ca 95928 916-893-0112 FAX 916-893-0140 14) N r rJ e) 0( y/Z $p BUTTq COUNTY B jLDING DEPARTMENT U ;01 04 .1 '. , InIt.' 1 771 'A THIS DWG. PREPARED FROM COMPUTER SNPUT tLOADS & DIMENSIONS$ SUBMITTED By TRUSS "FR. CHMD ZX4 'M FIR-LACH *1 TC X -LOC t -Rs 6.29 7.07 13.Sff 19.92 26.71 ROT CHORD ZX4 FIR-LAUCH Vl� 26.71 W I BS FCONNTOP WEBS ZX4 FIR -LARCH STANDARD SCrX-LOC t -R, Ar.29 9.22 17.78 ECTOR PLATES C To'R MUST BE INSTALLED IN ACCORDANCE VITN SINGLE CUT WES 6 -TCsl.4 all �."' . .' REGUIRTMENTS OF ' I.C.S.O. RESEARCH REPDXT #2949. _LU) BOTTOM CHORD CHECKED FOR IN PSF LIVE LOAD.. CD ALL PLATES ARE TO BE CENTERED ON THE JOINT. LEFT TO RIGHT AND CD TOP TO BOTTOM, EXCEPT VHEM L�-ATED BY C!RCLS --P. DIRSENSVON. TOP CHORD SHALL BE LATERALLY BRACED WITH PROPERLY CONNECTED SEE DRAWING 33# FOR ;*PLATE LOCATIONS ON TVPICAL )OIXTS.' PURLINS SPACED AT A MAXIMUM OF 24" O.C. IMP C�a NOTE: P-LATES ARE DESIGNED WITH A DURATION FACTOR OF mrA2. k,L)RJEV. 51318v F.K. tWlate cuangel An— I j 4xq (1)jn fto�/Gpl sxq �6( c cj� r t.p. fi'w'lo & " . '!�g X ct 0- 4 of C %xvi t)s r r 13-6;-C t 13-6-0 -0-0 -0-0 OWED PUTTE TYPE-41LPINE SM --218109 FURNIM R COPY OF THIS DESIGN TO ERECTION MN7W= cm Arm ecomEm rmn2LM INK- Mau mum am GESIGN CRIT JEC REF RqZ7 - -914 N& I11P0RTRNT** wa%L ww K mwaamiml am saw VFIRNING- a wmouw- mx.m no T INE tAN 941 If= I c c= C=3 c=m c= wmfrwams mmommna fm -Ty Pw QUE :� Ew C= c=s "m am= a lot "am w ou" w mm all owwwou" twaralawnavii am BUTTE c=1 C= a= X= am UE Immaluff Comm IMPIL, V In. Farm Comm= nm 1111211111101 1" Am"1111111. wam omw Qvm cousmw 0210011 a= a= c= C= IM IFIMIN11111111 00 IN QUM VIC1111111M SKIL OUM MU 411MM 9100143ML 4AM �FA D .9 1w 9111111311IRK Sam 1111011111; smomen w no Sam � 411. Sam lalp � QUA. INE to"N.Llf am= UILDMG Tim CA -M MS $0 C= I cmecamm 0 no In= III am "m me um" as arm I &Twoo ".31101111113 IM UM 27-0-0 mom vam 1041111311111m 090L Sam � mal an am off Pmftn P P R O"ow, am 11119 41- all In" CER= vim sooft"Ex mwuma w m wuvm 0 GEML IWLM. &t.25?f PITM 5.0/12 &M-100 III;H ;PE IWIMANT IffIrIAM U901111A. -am we girt 1Kn_ C= C= 1=3 cm C= ---M - 1111115 PLOW DISTIMIE, M-OWWWOM' �13grItPT-"--FWVMCMMPUDM SMING 24.Om ITYPE f4id -wjw _Aw .inn �01;'Z7A TOP CHORD 2X6 FIR -LARCH 02 BOT CHORD 2X4 FIR -LARCH 01 WEBS 2X4 FIR -LARCH STANDARD CONNECTOR PLATES MUST BE INSTALLED IN ACCORDANCE WITH REGUIREMEN7S OF I.C.B.O. RESEARCH REPORT 02949. ALL PLATES ARE TO BE CENTERED ON THE JOINT. LEFT TO RIGHT AND TOP 10 BOTTOM. EXCEPT WHEN LOCATED BY CIRCLE OR DIMENSION. SEE DRAWING 130 FOR. "PLATE LOCATIONS ON TYPICAL JOINTS. TOP CHORD SHALL BE LATERALLY BRACED WITH PROPERLY CONNECTED PURLINS SPACED AT -A. MAXIMUM OF 24" O.C. I I i, (A) Refer to dra�ing 3,0271,999 fori &able fill detail i and required.bracing. T is - -a of'yruss to su ou rs. h are pport 24" top chord 34-.5--0 CV). TC X-LUC L -R: 0.29 7.29 13.50 19.71 26.71 BC X -LOC L -R: 0.29 '9.36 17-64 26.71 SINGLE CUT WED #-TC:i.4 (U) BOTTOM CHORD CHECKED FOR JO PSF LIVE LOAD. ALL BOTTOM CHORD SPLICES OCCURRING BETWEEN PANEL POINTS ARE TO BE -LOCATED AT APPROXIMATELY 1/4 OF PANEL LENGTH FROM PANEL POINT (WITHIN 12") AND SHOULD NOT OCCUR IN PANELS NEXT TO A PANEL POINT SPLICE. CONNECTOR PLATES DESIGNED FOR GREEN LUMBER PER NOS TABLE 8.16. C. (v o, 1_5X4 I - 5X4 5.00 4X7::�' 3X 10 :3 _j 0-4- tf _4 ID -4-1 r77-7 7 7 T 4X5 4X7 IL z6kialwous, stwpokT7,. CONMU_61�s 4X5 W z %_ 5-5-0 0-1 - _j 13-5-0_L13-5-0 �27-0-0 OVER SUPPORTS AS SROWN A-2031# PL7. TYP.-ALPINE SEGN-- 47028 FURNISH A COPY OF THIS DESIGN TO ERECTION CON'TRAVIOR REV 15.1.2 SCAL 0.1875 t= 1= r= C= = *I MPORT ANT** O'ULL OW '0EFM&1G=MWE f= 'MR. WARNING J'x%%0s—LMsF"M" Iowa 0.0 DESIGN CRIT: UBC REF F4427--3225 DATE 00/30/89 cm t= =1 mnAvim nwo — vmmmmir� an ow wtvmun nm M 1 10 MUCH C" AW F"Aw ID owma TW mm to cown"Mum mucrps.sa -wr-n% smcim mw CD4dMxrr no UTTE COU YL 16.0 PSF DIM CMJSM27 OW4M2 CD C= t= C= um "a "Qw.rly WAMWO offm, &F WL ALptW Ca"Idge"M 74cm resm "M tmrrmw_ Spam mm, 90W�. a V 0 . 0 PSF %1 OYMMUM MWK MMM CMAVIMMM OF J8M A4W -4Q#M A. SHMM UP 00M $MAL GE ;:.-s=D1NGj?EPA 5. 0 PSF CA -ENG. LO C:= PIN mwty ammimr To am num AT Gap jDn=n A= Lu=c&w MOW vEdRM N101 AM 4' nowma- WWW OrAuscm NOW. wine FqKrmy ATWACMD WTM CWM Wv" W OTWD - 0 PSF P R 0 O/A LEN. 27-0-0 1PITCH 5.0/j? TRUSS amum siAmsas awwo a" mwLwAas Pwxmm or s wm"pw a, mum. M & AC_ 1.25 C= C=3 =1 r_ -v C=3 C= RPM !�:!T;p! VC11. Mr.HN STM FFM FetoUsff WEAUD WOO. 24.0" ITYPE COMN MM nATS MVITUM, MR - WIMML DOMM 8WMFrM1tW FM MW emmmCrm -WAr7NG TRUP CHORD 2X4 FIR-LARUH ft 30T CHORD 2X4 FIR -LARCH, 0i - WEBS 2X4 FIR -LARCH STANDARD l;ONNECT6R PLATES MUST BE INSTALLED IN ACCORDANCE WITH �REGUIRENENTS OF I-C.B.O. RESEARCH REPORT #2949 - ALL PLATES ARE TO BE CENTERED ON THE JOINT. LEFT TO RIGHT AND ITOP TO BOTTON. EXCEPT WHEN LOCATED BY CIRCLE OR DIMENSION. SEE ORAWING t30 FOR "PLATE LOCATIONS ON TYPICAL JOINTS." 7 -OP CHORD SHALL BE LATERALLY BRACED WITH PROPERLY CONNECTEO PURLINS.SPACED AT A 14AXIMLM OF 24' O -C. 5X5 3X5 3X6 2.5X4 1.5X4 C:l� 5-00 2.5X4 5X8 17-3-0 t17-3-0 Yc —x -Lo -c- L --Fr 0.29 6.18 I' -.m72 1725 22.78 20.32 34.21 BC X -LOC L -W. 0.29 8.95 17.25 25-35 34.21 SINGLE CUT WEB #-TC: 1. 7 BC: 4 (U) BOTTOM C14ORD CHECKED FOR 110 P9 LIJ=- LOAD. ALL TOP CHORD SPLICES OCCLffG4G BE-wfEE4 PANEL POINTS ARE TO BE LOCATE3 a.T dz3PRDXINATELY 1/4 OF PANEL LENGTH FROM PANE- r011 -T (,aTHIN 12') AND SHOULD NOT OCCUR IN PANELS NEa(T TO sk P'-%*4EL POINT SPLICE. CONNECTOR PLATES DESIGNED FOR GNEER LU43CA PER NDS TABLE 6.18. 2 SUPPOR A-11630 W- 3.50' 3X6 2.5X4 i. 5X4 a o 2.5X4 1;3'LT. TYP.-ALPINE SEGN-- 47027 FURNISH A COPY OF THIS DESIGN TO ERECTION COMPACTOR #Lvp* emm4m" comwv!r' Inlic. moms latum EXTRom cum S- T`C — — — — — — *I MPORTANT** w.%L an m nmpwanw FM ARMING on mmum smaim on C= C= murm flum nw_-m SMIFIMMONS op Mo awFwlwgnmM ammelm.sm "Oho -W. amaxims Itm "Ram& BUTTE C01 =0 C= mul amm m ANK VA&We m snw ra I -- in coomamw me as C= r= VtDl rVe '09%Un STANDMOO WMW W Wl. A"M C"* THM MM fW AWMW& = C= C= AM UZOW&MRM FVVft ZO GANAK GILTIAKWO WISEL men stm2pe fmmxwio�. )ER '= onommum gooL OUTDO wamweem IF fZM 4"S WAZ A. S"It '"P CWW VOKL OF -A:,,M DiNgJAE p N v camomqUOS f0 OWM PAOM AT CUM Onmn AM Lawcalff. wm rompalw Al"oemo ftwwow sw C= Joe%. — Vim% WML IFAMM MM91M AgE 4* KNIMIL t*LrM 61AMMSE SHM00- WTTUN amm 10DO am OMENS P R 0 lc= TRUSS C=3 omm sismoomm cow(NVO WITH AWL=AaA rfmis3o"s AS SVKCPZM. 09 QM491. 90 MT &VM um pm- DMI40 WIN FIM 1"AWIT VIFAIFD U00M. C=3 C=3 cc= cm C= �Wl - CUM PLATE INWITME.— 06 - WAT30ML MUM SPeC97CATUff FM � C10"TOMT10O c ul ID A pi 0 fu 0- 3-(5 IREm 15 1.2 SCALE 0.1875 1:M104 SIT: UBC JAEF R42-7--322EM -LT lj.0 PSF DATE UU/-lV/tftP *A W.o PsF oAwr, cAuam27 owsicio IL 0 PSF CA -EM .L2—s---o PSF I O/A LEN. 34-6-0 .rAC. 1-2.5--- PITCH 15.0/12 cgNs . 4.o" I TYPE COMN-:- 1 w I.- 06 R) :D F- u :z rn 3) r - c: 0 TOP CliORD 2X5 FIR -LAW.;" ve 'BOT CHORD 2X4 FIR -LARCH 01 WEBS 2X4 FIR -LARCH STANDARD CONNECTOR PLATES MUST BE INSTALLED IN ACCORDANCE WITH PEOUlREMENTS OF I.C.B.O. RESEARCH REPORT #2949. CENTERED ON THE JOINT. LEFT TO RIGHT AND ALL PLkTES ARE TO BE TOP TO BOTTOM. EXCEPT WHEN LOCATED BY CIRCLE OR DIMENSION. SEE DRAWING 130 FOR "PLATE LOCATIONS ON TYPICAL JOINTS." TOP 'CHORD SHALL BE LATERALLY BRACED WITH PROPERLY CONNECTED PURL1NS SPACED AT A MAXIMUM OF 24' D.C. I I i, (A) Refer to drawing 3,027,999 for gable fill detail and required bracing. 11* (B)-Th_is��_aY�a of -Eo_9_G_p_pbft 24" fo—p -Ch6rd out-lookerd-. 1. 5X4 5. -3, X 9, - _j 0-4- 4X5 CONT INUOU S, -11SUppORT .,72-.'0-0 7 - __3476-0 6X6 TC X -LOC L -R: 0.20 7.04 13.00 18.95 25.71 0 BC X -LOC L -Pr 0-29 9.03 16.97 25-71 C SINGLE CUT WEB 0 -TC: 1. 4 (U) BOTTOM CHORD CHECKED FOR 10 PSF LIVE LOAD. Pi 'i ALL BOTTOM CHORD SPLICES OCCURRING 13ETWEEN cp PANEL POINTS ARE TO OF LOCATED AT APPROXIMATELY 0 114 OF PANEL LENGTH FROM PANEL POINT (WITHIN 12") AND fu SHOULD NOT OCCUR IN PANELS NEXI TO A PANEL P01NT SPLICE. �h $U CONNECTOR PLATES DESIGNED FOR GREEN LUMBER PER NDS 0 $A TABLE B.1B. 0 0)� --I. 5X4 SX5 4X5 -Z 4X7 zz�, -LO-4-1 7,4 T akf,_M6�s w—pp-Off n I - 13-0-0_1.13-0-0 P - . -1 1-4 L ------496;zO--z6_0VE_1R_ _SUWWTs� ,�) n-19530 1-4 PLT. TYP.-ALPINE SEC"— 47007 FURNIISH A CWPY OF TMS DESIGN TO ESECTIUN CONTRACTOR sunim 931"Fw MIT C=3 C=3 C= C= C -'Z = *IMPORTANT** *"uLmLwmmmmEjeFEemwouapfommm=fsm' "mcv. WARNING 'Noviftim ammm am C=3 C= = Z= mmarmw pool 11I= s"wirlMusm ma "" wvjiLvtm ffm mm�.sw IOWF--,W. wft� tow � CD cm� C= cm Tm Imm mmIm m Am" FAROW vo saw nw Ilk= T11 mrommm 0 -my Am wmw0mT1=1s_ww - sm 13UTTE C= tm cm WrTp "C. =nXW MeMpAN w.w- By M. jLpm MaMCM TMS MSM FIM MMfWft SPMAL VMK- AM so"Accolm rv� ze mw Go-wmazEn snam %wim. ma awcom f6wo"I"rm. Wki= momew ING D 01WOUSE WmK OEEFDIC NEQUIFANNM OF LSIN AAG OMM A. %MK up om mom mE LAmout swcEa 3UILQ-- LO 1= Pi Army COMWIGM = mm vmm AT cum jo TIN Pluvmv ATFA04w ftv� swATvmdx C= T.r C= SHMIL NEARDS NUMB AN 4- MaPUL UNUMI:== emm Km ragm CEKLIM ON @now& A P P R 06 @*arm am mmso w m um Mrs TFUSS - mrs, sumimm uwmm win, Aswummu rXMCW JQTH FUr rRINGANT "FAIM LMM. ftm m XMI ocn. C=3 C= I= C= =1 -71n - 11009 ftAW. IWIFTIM sM - mTMftL UM01 9MIMATim rm mm am-TRumm V 15.1.2 SCALE aim L)BC _rREF P42 TV16.0'PSFIDA-TIE OE DIL-JR. FAC. 3 . et-) SPACING 24.0 O/A LEN. 26-0-0 PITC" 5.0/12 -COMN-- L. V COMFU I �_K THIS DWG. PREPARED FROM CHORD ZX4 -FtR-LARCH .01 CHORD 'ZX4 FIR -LARCH 01 VEas ZX4 FIR -LARCH STANDARD ,WECTOR'PLATES MUST BE INSTALLED IN ACCORDANCE WITH w12REMENTS OF I.c.9.0. RESEARCH REPORT #2949. fPLATES ARE TO BE CENTERED ON THE JOINT. LEFT TO RIGHT AND -To BOTTOM. EXCEPT WHEN LOCATED BY CIRCLE OR DIMENSION - M P ATE LOCATIONS ON TYPICAL JOINTS.- ,AWtNG 138 FOR 'PL :-2X4-#3-bea� f Ir -or -better con, --u— -I i is not requireG O.C. max. required. Attach w/7 -16d nails. Brac nc Ing F �a rigid ceiling is attached dIrectIV to bottom cboid. Brac zterial to be supplied, anf,_�&ttacbed_aL-both -ends -to-a-sVitable-supMt y,r :erection contractorj. 0-4-5 1 T P -n -n TC X -LOC L -R, g.29 G.90 13.0" 17-4m 8C X -LOC L -R: g.29 8.87 17.13 ZS -71 SINGLE CU.T WEB *-TCtl,4 (U) BOTTOM CHORD CHECKED FOR 10 PSF LIVE LOAD. TOP CHORD SMALL BE LATERALLY BRACED WITH PROPERLY CONNECTED PURLINS SPACED AT A MAXIMUM OF 24' O.C. NOTEt PLATES ARE DESIGNED WITH A DURATION FACTOR OF 0.92- 4x4, IX3 IX3 5.00 5.00 2X6 2X6 -Lo-q-5 T 2.5X4 3X4 2.5X4 13-0-0 1 13 -0-0 26-0-0 OVER-2-bWKU�13�= R-9000 W� 3. FURNISH R COPY THIS MSIGN TO ERECTION I III -RTE TYPE --ALPINE SEONN8519 R �SRECUIWE SORM COW pskL mDT BE RESMISIOU FOR FW WARNING u=T"w Aw ;u Im C= C= **IMPORTANT&* "INE 061wjf- IS-,("Mjj6 V= Imams: FIM IHM SpECIrtrAflopa ON FW DEVIATION FROM MCINC-SM '5" jam-01PI). SU C= = 0"tKII04 IN CWWrpwE CIDMID110" F40 KCWrFNDRT c= C=3 11419 CIESICW OR Wf FAILIM M DUMD Of IRS iiiawL sMtFIL PEPm- FRpIwE CONNECTC)" mig DESIGN FW MO Inf I tte Mfttty CCMRCL MAW Ff TPI- Noff MCIN; FOUIREMENTS. LlUSS OTNERVISE C=3 =3 rFWKILM FRM ZD WAM ULTMIZED SMEL WJESS c=3 C=3 KUM KWIvEMW9 OF FSTn M45 GRFM A- 90MI TV CMM S�WL K LjTtMLf SWUI) = i ISE SHOW, 1 100 LOCATF FIS III" RLI ff[IFCWD PL"DDD 9"'HING- C= Lpi C= CD"CM" To ODIN FFICAS AT EMN AIN WT70M CH" vM qICID CERING On MIN - 9 C=3 KM,Nr - MMIW# VIDTM FAE q UNLESS OTHEMISE SHM. pM1910pe OF ya SPECIFIED 04 CIEUM DD NUT USE 7"'S �FOEII RE1FQ0 I n0fED LIMM- AITMISS E .11'1 StMOM CW" JITH FPKICFNLE sMSF90 arpt tPtTI. nq VOW LAM -- 2-0-0 R-9001 w- 3. 50' REY 1-1.0.9 TE U LL 18j) PSF DATE Q 1().() PSF ORVG CIMP TC OL F 5. 0 PSF CR -ENG N 8C OL _(U) A L � OIR L -i TnT_UL.,&31.0PSF O/R LF -N. -I C= I mflowk JIM SPECO 1— r"?-- - S - Ar , v A P R-0. 7, C7_ in a) ED C3 C3 C3 NJ CAJ SME - 0.25010 r I I LOU`! '0. W, � TYPE C5_MN - - S, a I- o" wwim A W-10" III- all 2W_ a" UNIVERSAL -20x5O-2 BEDROOM -CENTER KITCHEN 13 2 00 BATH BEDR ji WAR9 VA AR G ROOM BE TH[ / I/ BEDKOOM DINING 1 4 " I/ - I 0,�. 014 i 25'-10" 'VNIVERSAL-2,0/x5'5-3 B`EDRO�M-CENTE�XTCHEN PRICES & SPECIFICATIONS SU13JECT TO CHANGE WITHOUT NOTICE Rou; BUTTE COUNTY SCHOOLS IMPACT FEE CERTIFICATION FORM. ..(One Form Per Building) School District__e5;P— I D JV FA Building Department No. A.P. Number Jurisdiction CRY ounty E�] �c Property Owner Property Location/Address Subdivison Residential Development Commercial/Industrial Lot No. No.- of. Living MHI Addition Unfts-r� Sq. rootage _(Proup. R) Sq. Footage - New Addition (Including Exterior Roofed Areas) Z-/ Buildind Departme9nepresenhative Date (Floor Plans reviewed by School District Personnel) District Identification No. #51 School D istrict certifies that (Applicant) (Street Address) (City) has complied with the req u irenierits of Resolution No. representing s quare feet. School DiArict Reprq Paid by Check Number Bank Number Paid by Cash Remarks: IY7,4 _&0) 6 (Phone Number) (Zip Code) by payment of $ Av, � 7 Date r— -if, subsequent to'the School District Representative signing this Butte County Schools Impact Fee Certification Form, the School District is notified by the applicabld Local Planning Agency that this project is being reviewed under the California Environmental Quality Act (CEQA), this project may be subject to additional school fees to fully mitigate its impact on the school district's schools. White (applicant), Yellow (building department), Pink (school district) feeformmkl (4/92) COUNTY OF BUTrE Dgpartment of Development Services Building Division Oroville: 7 County Center Dr., Oroville CA 95965 Ph: 916-538-7541 Chico: 1469 Humboldt Rd., Chico CA 95928 Ph: 916-891-2751 OWNER -BUILDER VERMCATION Attention Property Owner: An "owner -builder" building permit has been applied for in your name and bearing, your signature. Please complete and return this information at your earliest opportunity to avoid unnecessary delay in processing and issuing your building permit. No building permit will be issued until this verification is received. I personally plan to provide the major labor and materials for construction of the proposed property improvement (yes or no) 2.- 1 (have/have not)4iljE signed an application for a building permit for the proposed work. 3. 1 have contracted with the following person (firm) to provide the proposed construction: Name Address Phone City Contractor's License No. 4. 1 plan to provide portions of this work, but I have hired the following person to coordinate, supervise, and provide the major work: Name Address City Phone Contractor's License No. 5. 1 will provide some of the work but I have contracted (hired) the following persons to provide the work indicated: Name Address Phone Type of Work Owner , Social Security Number t..Date '0 , NOTE: This Owner -Builder Verification is sent to you as required by Sections '1'9831 and 19832 of the California H�alth and Safety Code. This verification must be completed and returned to our office before we are permitted to issue the permit. COUNTY OF BUTTE b6artment of Develoment Services Building Division Oroville: 7 County Center Dr., Oroville CA 95965 Ph: 916-538-7541 Chico: 1469 Humboldt Rd., Chico CA 95928 Ph: 916-891-2751 OWNER -BUILDER VERIFICATION Attention Property Owner: An "owner -builder" building permit has been applied for in your name and bearing your signature. Please complete and return this information at your earliest opportunity to avoid unnecessary delay in processing and issuing your building permit. No building permit will be issued until this verification is received. I... I personally plan to prQvide the major labor and materials for construction of the proposed property improvement (yes or no) 2. 1 (have/have no04WIE —AP -7 --signed an application for a building permit for the proposed work. 3. I have contracted with the following person (firm) to provide the proposed construction: Name Address City Phone Contractor's License No. 4. 1 plan to provide portions of this work, but I have hired the following person to coordinate, supervise, and provide the major work: Name Address City Phone Contractor's License No. 5. 1 will provide some of the work but I have contracted (hired) the following persons to provide the work indicated: Name Address Phone Type of Work Social Security Number Date NOTE: This Owner -Builder Verification is sent to you as required by Sections 19831 and 19832 of the California Health and Safety Code. This verification must be completed and returned to our office before we are permitted to issue the permit. Fo-57 r -11A �/—�u �!� 0 Rt ;�01 'yl 1"- 1352 �7 (J9 PIA 115-53 1 1 ',, r"I 11 11 L, --- I - EQ111] �',�357.57 Ptn. 1 10, v C59.27 Q& X -V 2 pin. 1 .0 Assessors Moip No t Pv, CIF I,- luttel -l- Fl 07 county of. Butte"\, I Nmi Tha� parceis a" for QSSeSSFmt PWPOSes GRIDLEY COLONY NO -2 M.O.R. B K. 4 Pr,- 41 oriy and may not congttite legal pw-I GRIDLEY COLONY NO. 5 M.O.R. BK. 5 �G. 23 III m 0 QVI 4 PG 44 i5z i p �� elCVDS TRAL; I ::,Utl. NU. I AC AVF