HomeMy WebLinkAbout025-110-0187
J.
COs- 67
IALPH MARONEY 25-1 =18
E./S OF Dos Rios RD! S T .�FE+,tyWj45-5;-
�-RMOAST 13IG-G--S-'-H'w--- --J'A I_ S
G G
PERMIT
E I T Y .
#6421-75E(SERV CE CHANGE)
/F, CONTR: NORTH VALLEY ELECT.
N%.
.25r11718
NEW OWNER -
DAN 'NAVA!&.(),
3072 Dos ermi#3000.
A'ioh- Rd; East Biggs
0 *K
t 6ABK(addition/SF
ISD
215-11-18
Per 3-t#340-8-8'3P(`gas line/3660-83)
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X3/2- 06�Z
U.S. DEPARTMENT OF HOMELAND SECURITY ELEVATION CERTIFICATEOMB No. 1660-0008
Federal Emergency Management Agency Expires March 31, 2012
National Flood Insurance Program Important: Read the instructions on pages 1-9.
SECTION A - PROPERTY INFORMATION For Insurance Company Use:
Al. Building Owner's Name Dan and Mary Navarro Policy Number.
A2. Building Street Address (including Apt., Unit, Suite, and/or Bldg. No.) or P.O. Route and Box No. Company.NAIC Number
P.O. Box 64 (Dos Rios Road)
City Biggs State CA ZIP Code 95917
A3. Property Description (Lot and Block Numbers, Tax Parcel Number, Legal Description, etc.)
APN 025-110-018-000
A4. Building Use (e.g., Residential, Non -Residential, Addition, Accessory, etc.) Non -Residential
A5. Latitude/Longitude: Lat. 39°25'04" Long. -121°39'27" Horizontal Datum: ❑ NAD 1927 ❑ NAD 1983
A6. Attach at least 2 photographs of the building if the Certificate is being used to obtain flood insurance.
A7. Building Diagram Number 1
A8. For a building with a crawlspace or enclosure(s): A9. For a building with an attached garage:
a) Square footage of crawlspace or enclosure(s) N/A sq ft a) Square footage of attached garage N/A sq ft
b) No. of permanent flood openings in the crawlspace or b) No. of permanent flood openings in the attached garage
enclosure(s) within 1.0 foot above adjacent grade N/A within 1.0 foot above adjacent grade N/A
c) Total net area of flood openings in A8.b N/A sq in c) Total net area of flood openings in A9.b N/A sq in
d) Engineered flood openings? ❑ Yes ® No d) Engineered flood openings? ❑ Yes ® No
SECTION B - FLOOD INSURANCE RATE MAP (FIRM) INFORMATION
B1. NFIP Community Name & Community Number B2. County Name B3. State
Butte County 060017 Butte CA
B4. Map/Panel Number
B5. Suffix
66. FIRM Index
B7. FIRM Panel
B8. Flood
69. Base Flood Elevation(s) (Zone
06007CO975
E
Date
Effective/Revised Date
Zone(s)
AO, use base flood depth)
1-6-11
1-6-11
A
107.9
B10. Indicate the source of the Base Flood Elevation (BFE) data or base flood depth entered in Item B9.
❑ FIS Profile ® FIRM ❑ Community Determined ® Other (Describe) See attached plat
811. Indicate elevation datum used for BFE in Item 139: ❑ NGVD 1929 ® NAVD 1988 ❑ Other (Describe)
B12. Is the building located in a Coastal Barrier Resources System (CBRS) area or Otherwise Protected Area (OPA)? ❑ Yes ® No
Designation Date ❑ CBRS ❑ OPA
SECTION C - BUILDING ELEVATION INFORMATION (SURVEY REQUIRED)
Cl. Building elevations are based on: ❑ Construction Drawings* ❑ Building Under Construction* Finished Construction
*A new Elevation Certificate will be required when construction of the building is complete.
C2. Elevations -Zones Al -A30, AE, AH, A (with BFE), VE, V1 -V30, V (with BFE), AR, AR/A, AR/AE, AR/A1-A30, AR/AH, AR/AO. Complete Items C2.a-h
below according to the building diagram specified in Item A7. Use the same datum as the BFE. �/
Benchmark Utilized AH9375Vertical Datum NAVD 88 BUTTE COUN 1 1
Conversion/Comments N/A ('II (n'�1n' Q DIVISION
Check the me��Pra�e+�4�1�.
a) Top of bottom floor (including basement, crawlspace, or enclosure floor) 116.87 ® feet ❑ meters J13OVED
b) Top of the next higher floor N/A. ❑feet ❑meters u o R o
pp
c) Bottom of the lowest horizontal structural member (V Zones only) N/A. ❑ feet ❑ meters (Puerto Rico only)
d) Attached garage (top of slab) N/A. ❑ feet ❑ meters (Puerto Rico only)
e) Lowest elevation of machinery or equipment servicing the building N/A. ❑ feet ❑ meters (Puerto Rico only)
(Describe type of equipment and location in Comments)
f) Lowest adjacent (finished) grade next to building (LAG) 115.8 ® feet ❑ meters (Puerto Rico only)
g) Highest adjacent (finished) grade next to building (HAG) 116.2 ® feet ❑ meters (Puerto Rico only)
h) Lowest adjacent grade at lowest elevation of deck or stairs, including N/A. ❑ feet ❑ meters (Puerto Rico only)
structural support
SECTION D - SURVEYOR, ENGINEER, OR ARCHITECT CERTIFICATION
This certification is to be signed and sealed by a land surveyor, engineer, or architect authorized by law to certify elevation
information. I certify that the information on this Certificate represents my best efforts to interpret the data available.1 QQpFESS/p
understand that any false statement may be punishable by fine or imprisonment under 18 U.S. Code, Section 1001.0 c�
Check here if comments are provided on back of form. Were latitude and longitude in Section A provided by a
licensed land surveyor? ® Yes ❑ No °~ �'LACE
AL SE�
Certifier's Name Michael S. Byrd License Number 28998 i = E 0
Title Principal Engineer
Company Name
Rolls, Anderson & Rolls
Address 115 Yellow rive
City Chico
State CA ZIP Code 95973
Signat
Date
07-10-12 Telephone (530) 895-1422
FEMA Form 81-31, Mar 09 See reverse side for continuation. Replaces all previous editions
IMPORTANT: In these spaces, copy the corresponding information from Section A. For Insurance Company Use:
Building Street Address (including Apt., Unit, Suite, and/or Bldg. No.) or P.O. Route and Box No. Policy Number
PO Box 64 (Dos Rios Road)
City BiggsState CA ZIP Code 95917 Y Company NAIC Number
SECTION D - SURVEYOR, ENGINEER, OR ARCHITECT CERTIFICATION (CONTINUED)
Copy both sides of this Elevation Certificate for (1) community official, (2) insurance agent/company, and (3) building owner.
Comments As shown on the attached plat, the existing levee located at 4444 feet west of the shop building is the boundary between Zone A and Zone X on
the referenceq,�.Iqd Insurance Rate Map. Jae field determined top of levee elevation of 107.9 was used as the base,flood elevation.
ru l Date 07-10-12
,l/ ®Check here if attachments
SECTION E - BUILDING ELEVATION INFORMATION (SURVEY NOT REQUIRED) FOR ZONE AO AND ZONE A (WITHOUT BFE)
For Zones AO and A (without BFE), complete Items E1 -E5. If the Certificate is intended to support a LOMA or LOMR-F request, complete Sections A, B,
and C. For Items E1 -E4, use natural grade, if available. Check the measurement used. In Puerto Rico only, enter meters.
E1. Provide elevation information for the following and check the appropriate boxes to show whether the elevation is above or below the highest adjacent
grade (HAG) and the lowest adjacent grade (LAG).
a) Top of bottom floor (including basement, crawlspace, or enclosure) is ❑ feet ❑ meters ❑ above or ❑ below the HAG.
b) Top of bottom floor (including basement, crawlspace, or enclosure) is ❑ feet ❑ meters ❑ above or ❑ below the LAG.
E2. For Building Diagrams 6-9 with permanent flood openings provided in Section A Items 8 and/or 9 (see pages 8-9 of Instructions), the next higher floor
(elevation C2.b in the diagrams) of the building is ❑ feet ❑ meters ❑ above or ❑ below the HAG.
E3. Attached garage (top of slab) is ❑ feet ❑ meters ❑ above or
❑ below the HAG.-
E4.
AG:E4. Top of platform of machinery and/or equipment servicing the building is ❑ feet ❑ meters ❑ above or ❑ below the HAG.
E5. Zone AO only: If no flood depth number is available, is the top of the bottom floor elevated in accordance with the community's floodplain management
ordinance? ❑ Yes ❑ No ❑ Unknown. The local official must certify this information in Section G.
SECTION F - PROPERTY OWNER (OR OWNER'S REPRESENTATIVE) CERTIFICATION
The property owner or owner's authorized representative who completes Sections A, B, and E for Zone A (without a FEMA -issued or community -issued BFE)
or Zone AO must sign here. The statements in Sections A, B, and E are correct to the best of my knowledge.
Property Owner's or Owner's Authorized Representative's Name
Address City State ZIP Code
Signature Date Telephone
Comments
❑ Check here if attachments
SECTION G - COMMUNITY INFORMATION (OPTIONAL)
The local official who is authorized by law or ordinance to administer the community's floodplain management ordinance can complete Sections A, B, C (or E),
and G of this Elevation Certificate. Complete the applicable item(s) and sign below. Check the measurement used in Items G8 and G9. -
G1. ❑ The information in Section C was taken from other documentation that has been signed and sealed by a licensed surveyor, engineer, or architect who
is authorized by law to certify elevation information. (Indicate the source and date of the elevation data in the Comments area below.)
G2. ❑ A community official completed Section E for a building located in Zone A (without a FEMA -issued or community -issued BFE) or Zone AO.
G3. ❑ The following information (Items G4 -G9) is provided for community floodplain management purposes.
G4. Permit Number
G5. Date Permit Issued
G6. Date Certificate Of Compliance/Occupancy Issued
G7. This permit has been issued for: ❑ New Construction ❑ Substantial Improvement
G8. Elevation of as -built lowest floor (including basement) of the building: ❑ feet ❑ meters (PR) Datum
G9. BFE or (in Zone AO) depth of flooding at the building site: ❑ feet ❑ meters (PR) Datum
G10. Community's design flood elevation ❑ feet ❑ meters (PR) Datum
Local Official's Name Title
Community Name Telephone
Signature Date
Comments
❑ Check here if attachments
FEMA Form 81-31, Mar 09 Replaces all previous editions
--------------------- ZONE X
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3000-83B,E
PER NO. �1
PERMIT EXPIRES
��� 8,-T
DAN NAVARRO
' OWNER
CONTR. owner'
25-11-18
ASSESSOR PARCEL
r
LOCATION 3072 Dos Rios Rd, East Biggs _
PE
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.h
1
1
Temp. Power Pole
1
t Called PG&E
s.
Temp. Elec. Service
t Called PG&E _
1 Temp. Gas Service '
r
i Called PG&E
JOB FINALED (Date)
3
4 Signature
t
i
J OK
0 = Not OK
- = Not Applicable
* = Not Ready
MOBILEHOMES
MISCELLANEOUS
Date
MOBILEHOME UTILITIES (Plans) OK except N's
1. Zoning Requirements -Setbacks -Easements
Date
DECKS, COVERS, CARPORTS, ETC. (Plans) OK except k's
1. Zoning Requirements -Setbacks -Easements
2. Soils; Special MH Support -Sketch
2. Footings; Size -Depth -Spacing -Connectors
3. Sewer; Location -Test -Fall -C/0 -Concrete
_
3. Decks; Girders and/or Joists -Decking -Bracing -Stairs -Rails
4. Water; Location -Test -Easement Needed (Sketch)
4. Wood Awn.; Posts-Beams-Rfirs.-Connec.-Shthg.-Rfg.-Bracing_
5. Electricity; Location-Clearances-Grnd.-/ / Amp -Concrete
_
5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures
6. Gas; Location -Test -Wrap:/ /"L"ft./ /"Nat. or/ /"L"ft./ /"LPG
7. Utility Clearance
------
6. Carports; Windows -Doors'
7. Elec.
Card -BI
Date Card -BI Date
Card -BI
Date Card -BI Date
Card -BI
Date Card -BI • Date
Card -BI
Date Card -BI Date
Date
MOBILEHOME INSTALLATION (Plans) OK except it's
1, Zoning Requirements -Setbacks -Easements
Date
POOLS (Plans) OK except #'s
1. Setbacks -Easements
2. Footings; Size -Spacing -Marriage Line
2. Soils; Compaction -Structure Stability
3. Gas; MH Test -Demand -Valve -Connector
4. Electricity; MH Test -Crossovers -Breakers -Clearances
3. Pool Structure: Steel -Connections -Thickness -Dead Men -Lining
4. Elec.; Receptacles and Lighting; Distances-GFI
5. Drain; MH Test -Fall -Flex Connector
5. Elec.; Pool Lighting; 15 volts-GFI
6. Water; MH Test -Regulator -Connector
6. Elec.; Enclosures; Conduit Entries -Terminals -Listed
7. Water and Sewer Connected -C/O to Grade -HD Approval
7. Elec.; Bonding; Metal w/5' -Circulating Equipment -Heater
8. Gas and Electricity Tagged.
9. Exits; Insp.-Sketch
-Pool Elec.; Grounding; Equip. w/5' -Circulating Equip. -Pool Lghig.
Boxes -Enclosures -Panel boards -Ins. to Main in Conduit
10. Cert. of Occupancy
9. Health Department Approval
10. Plumb; Cir. Test -Water Supply Test
Card B -I
Date Card -BI Date
Card -BI
Date Card -BI Date
Card B-1
Date Card -BI Date
Card -BI
Date Card -BI Date
0
V = OK JP 4b-.
0 = Not OK
- = Not Applicable
* = Not Ready
U
RESIDENTIAL (Single and Duplex)
Date
UNDE LOOK P s OK except#'s
Date
FRAMING Continued
oning requirements -Se cks-Easements
48.
Property Lie Firewall & Openings
g., Main; Soils-S-Elec.�Grnd.- f.81" Ftg. Depth
Q9
Boors -one 3' -Check Garage -3rd story, 2 exits
3. Ftg., Garage; Soils-Steei- / /" Ftg. Depth
50.
_ - room -Rise -Run -Landing -Fire Protection
4. Ftg., Porches & Decks; Soils -Steel- / /" Ftg. Depth
5
ywood on Roof Overhang -Attic Vents -Rafter Outriggers
temwalls, Main; Steel-Blockouts-Wrapped-Slab
52-_S:i ing-Nailing-Veneer
6. Stemwalls, Garage; Steel-Blockouts-Wrapped-Slab
53._.S1ueeo Drip Screed-Fdn. Vents-Underflr. Access
7. Piers -Fireplace Ft .-Steelazing
Area -Glass Protection -Skylights -Plastic
8. D.W.V.: Fall -Fittings -Test -2 way C/O -Sewer Test
5 :.heaYWatfs
T -failing -Bolts
s Pipe; Size -Anchors
fjSG�(_�QTf'
10. Water Pipe; Test -Anchors -Regulator -Service Test
11. Electric; Underground
i & Ducts; Clearance -Material -Support -Ins.
_
16o -Sills -Anchor Bolts -Joists -Vents -Cripples
M52
BgteL Card -BI Date
d- -
_-Date - Card -BI Date
Card -BI
Date Card -BI Date
I
Date Card -BI Date
Date
FINAL (PlK) OK except q's
d -BI Date O Card -BI Date
Date
PLUMBING (Permit) OK exce s
51
Ext.,Steps-Door & Sidelight Protection -Landings
yoke Detector
-
14. Water Ht.: Vent -Act s -Combust ion Air
58.�Furnace;
Vents -Clearance -Comb. Air -Connector -
1n�arage; Above Floor-Ducts-Mech. Protection
15. Water Pipe; Tes Anchors -Nail Protection
16. D.W.V.; TesjoeFttngs & Anchors -Nail Protection
%
edroom Exiting
17. Shower n; Test, First Floor -Tub Access
60.
G.F.I. & Bath Fixtures & Tub Access
_
18. Te5Vfub & Shower, 2nd Floor -Tub Access
6
c. Trim & Subpanel; Breaker Sizes -Labels
19. as Pipe; Size & Anchors
62.
Stairs & Rails
_
63.
Fireplace or Stove; Clearances -Hearth
r�44
lec. Outlets at Wood Panel; Int. & Ext.
Card -BI
Date Card -BI Date
65.1
Kit. Fixt. & Appliance; Grnd.-Air Gap -Cooking Clearance
Card -BI
Date Card -BI Date
66.
JElec. Outlets & Receptacles at Kit. Counter
Date
ELEC L Permit OK except q's
67.
Garage Fire Door; Swing -Landing -Closer
68.
IA.C. Duct in Garage -Damper
_-
Fi&Uue-&r Transformer Clearance -Ins. Protection
69.
Wtr. Htr.; Vents -Clearance -Comb. Air-Connector-P.R.V.-
In Garage; Above Floor-Mech. Protection
lec. Baaeptacles Spacing -Lights & Switches at Doors
7ar.plb., Elec. & Mech. Equip. Listed for Location
_ 2 ze No. of Conductors -Stapled
71.1
Elec. Receptacles in Garage; (G.F.I.)-Romex Protec.
2 ex Installed Close to Edge of Studs & C.J.
quip. Ground made up w/Mech. Fasteners -Bond Gas &Water
72.1
Insulation -Foam -Looked in Attic
73.1
Guard Rails & Deck Construction -Post Caps
its in Kitchen & Conductor Size
-
26. 6_, tri ireSize / ga. Cu or AI-A.C. Wire Size / / ga. Cu or At
74.
Fdn. Vents & Crawl Hole Door -Drainage & Wood -Earth Clearance
Looked under Floor R�Y-es
27. Range Cir / g^. Cu or AI -Oven Circ. / / ga. Cu or Al,
la ted Neutral L Yes ❑No
75.
Following ins_- .: Drive �E� ❑ No; Walks r Yes ❑ No;
Planters Yes ❑No
---
2&--e.w 4ee--Rtser-Conductors & Ground -Main Disconnect
76.
Stucco; Brown -Finish
29..Fga+p�iFear es: Panels-Motors-Mech. Equip.
77,
A.C. Unit; Disconnect-Clrnces-Brkr. & Cond. Size -115V Outlet
_
30. • - -Shower Light _
7
nts Above Roof; Plbg.-Appliance-Firepl.-Clearance to Opngs.
---------------------------------
Card -BI Date
-- --
Card B-1 Date Card -BI Date
79.1 Water Well; Disconnect, Electrical, Plumbing
&Q. -Exterior Elec. Trim; G.F.I. Receptacle -Underground
entilation throughout House
B -Gass Protection
Date
MECHANICAL (Permit) OK exce 's
_
Corrections from Previous Inspections
da•�
st-Meters Tagged; Gas -Electric
31_ A_C. Duc[s: Insulation upport
/�
f
85.
gg
Water & Sewer Connected -C/O to Grade -HD Approval
Energy Compliance Certificate -Other Certificates
_
32. Venl-Fan_Exh above Insulation _
_ 33. Condens rain_& Overilow; Size & Grade
34. F _ ce-Vent; Access -Comb. Air -Return Air Vent -115V outlet
35. flit Access & Platform if Furnace in Attic
-- --- --- - -- -- ---------
Card -BI - Date _ Card -BI Date
Card -BI Date Card -BI Date
Card -BI
Date e- rd -BI Date
Card -BI
Date and -BI Date
Card -BI
Date Card -BI Date
Date
FRAMI lans) OK except N's
Comments
at Final:
-
_ _ ills; Pr_ _Material & Anchors
37 s; St s -Nailing, Spacing & Bracing -Plates -Sound
3 r g Walls over Girders & Floor Nailing-_ -
---------------- -
raft Stop in Walls (rat proof) -
urred Ceilings-Stairhases-Tub
-_40 s -C
-
eader & Beam -Size & Bearing
angers -Post Caps -Anchors -Connectors - - -
ng. Joist-Rftr. Ties-Purlin-Roof Brac.-Truss-Shthng.-Rfng.
44r-fep+ese-Lips or Type A Flue -Fireplace Throat
cc-eS Size & Rom ex Prote Draft Stop -Ins. Baffles _
Bdrm._Windows or Exiting Doors _' L H - Dimensions -`
arage ire iotection Framing
- -
(NOTE: An entry must be made each time you visit job site)
1,
n
COUNTY OF BUTTE
DEPARTMENT OF PUBLIC WORKS,
196 Memorial Way, Chico — Phone: 891-2751
7 County Center Drive, Oroville — Phone: `344541
Skyway and Elliott Road, Paradise -- Phone: 87'-2961, Ext. 57
CORRECTION NOTICE
A routine inspection indicates that the following violatiois 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.
II
au,c4,>\ .Set -C'
Inspector_ r%t2`�i"! c 'r-r�-t fi'�► Date
b COUNTY OF BUTTE
DEPARTMENT OF PUBLIC WORKS
196 Memorial Way, Chico — Phone: 891-2751
7 County Center Drive, Oroville - Phcne: 534-4541
Skyway and Elliott Road, Paradise — Phone: 872-2961, Ext. 57
CORRECTION NOTICE
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.
/'f 151i7 -?
Inspector Date Date
THIS IS. TO CERTIFY THAT ENERGY CONSERVATION REQUIREMENTS HAVE' BEEN
INSTALLED IN COQ RMANCE WITH. CURRENT ENERGY CONSERVATION REGULATIONS
AT 4
(location)
BUILDING PERMIT NOA.P. N0.
THE FOLLOWING HAVE BEEN INSTALLED AS PER APPROVED PLANS:
(Check each item or write N/A. if not applicable).
INSULATION:
.Slab Edge.
Fdn. Walls
Floors ✓
Walls
Ceiling/Roof
Ducts
Circulating.Pipes
APPROVED HEATER 77n
APPROVED WTR:HTR.*
GLAZING:
Single Glazed �.
Special (Insulated) y/�9
CERT. & LABELED WDS.
& SLIDING DRS. .
WEATHERSTRIPPED DRS._
BACK DAMPERED FANS
INTERMITTENT IGNITION DEVICES t9
CERT. APPLIANCES
I DECLARE THAT ALL REQUIRED ITEMS AS NOTED ABOVE HAVE BEEN INSTALLED
IN ACCORDANCE WITH THE ENERGY -.CONSERVATION REQUIREMENTS' AND AGREE TO
THE COMPLETENESS OF THIS CERTIFICATE AS SUBMITTED..
Insulation Applicator Name 9w As9,VPv
Signature of (' lease print)
Insulation Applicator Q�
State Contractors
License No.
General Contractor/Owner Name /)oqn-
^� (please print)
Signature of &
General Contractor/Owner - - Date
State Contractors
License No.
THIS CERTIFICATE MUST BE ON FILE WITH THE BUILDING" DEPARTMENT PRIOR TO
REQUESTING FINAL INSPECTION AND SHALL. BE POSTED IN A CONSPICUOUS LOCATION
WITHIN THE DWELLING.
COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT NO.
7 County Center Drive - Oroville, California 95965 - Telephone 916/534-4541
APPLICATION "ANDPERMIT L
ASSESSOR PARCEL NUMBER
,-11K_X-1
ZON G
BUILDING PERMIT
OWN
1
TE EPHO E
r
S0. FT. OCC- BUILDING VAL TION
DO 0
O ,` R' MAI G ADD ESS
IF, 0a L .— S
CONTRACTOR'S NAM
TELEPHONE
CONTRACTOR'S MAILING ADDRESS
Fireplace
CONSTRUCTION LENDER
UNKNO
Total Valuation $
Filing Fee
$ 10.00
LENDER'S MAILING ADDRESS
Permit Fee
$,(�
ARCHITECT OR ENGINEER
LICENSE NO.
Plan Checking Fee
$ S^
Penalty
$
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Permit fee
$
BUILDING ADDRESS
e
PLUMBING PERMIT
Filing Fee 10.00
Each Trap
2.00
Solar Water Heater
20.00
-y S
Water piping
5.00
LOT NO. SUBDIVISION NAME PARC AP
Each qas water heater or vent
5.00
Gas piping system 1 - 5 outlets
5.00
USE OF STRUCTURE
SF Duplex❑ Mobilehome❑ Other
SPECIFY
Building sewer
5.00
Mobile Home FsFG] W
10.00 e
TYPE OF WORK
New ❑ Addition p -*,R m del Util'ties ❑ Installation❑ Other ❑
Describe work: 1`
Permit Fee
$
Contractor
ELECTRICAL PERMIT
Filing Fee 10:00
Main service 600V OR LESS
100 AMP OR LESS
10.00
Main service EA. ADD'L 100 AMP
2:50
NEW CONS. ( DWELINGOR ADDNST ACCLBLDGO U
21�20sgft .Sr
CONTRACTORS LICENSE LAW
I declare under penalty of perjury (check one):
❑ I am licensed under provisions of Chapt. 9, Div. 3 of the Business
and Professions Code and my license is in full force and effect.
License No. Classification
I, as the owner, or my employees with wages as their sole compen-
sation, will do the work,and the structure is not intended or offered
for sale. (Sec. 7044)
❑ I, as the owner, am exclusively contracting with licensed contract-
ors. (Sec. 7044)
❑ I am exempt under Sec. , Business and Professions Code
for this reason
NNEW ON•RESID R. BRANCH CIRCTITS 2.50 ea
NEW CONSTR. /POWER APPARATUS &'1
NON-RESID. (SINGLE OUTLET CIR.
20®50C
Ex. Occup(O TS OR FIXTURES BAL®30
FIXED
FIXED APPLNS, OR
Ex. Occup. OUTLETS (RESID•) EAJ 2.00
Temporary service 10.00
Mobile Home Facilities 15.00
Misc. Wiring 15.00
Permit Fee $
Contractor
WORKMEN'S COMPENSATION INSURANCE
I declare under penalty of perjury (check one):
vQ The permit is for $100.00 (valuation) or less.
❑ I have placed on file with the County of Butte Building Department
a Certificate of Workmen's Compensation Insurance or a Certificate
of Consent to Self -Insure.
IM I shall not employ any person in any manner so as to become subject
to the W. C. laws of California.
Notice to Applicant: If after making this statement, should you become subject
to the W. C. provisions of the Labor Code, you must forthwith comply with such
provisions or this permit shall be deemed revoked.
MECHANICAL PERMIT
FiIingFee 10.00
Heating
S
Cooling
Hood
3.00
Ventilation
permit Fee
$
Contractor
I certify that I have read this application and state that the above information
is correct. I agree to comply to all County Ordinances and State Laws relating
to building construction, and hereby authorize representatives of the Countyot
Butte to enter upon the above-mentioned property for inspection purposes.
I also agree save, indemnify and keep harmless the County of Butte against
all liabili eS, judgments, costs, and expenses which may in any way accrue
against Mgidbiunty in c equence of the granting of this permit.
X 0-44fo Date
Signature of Applicant — Owner ® Contractor ❑ Agent ❑
An OSHA permit is required for excavations over 5'0" deep and demolition or construct-
ion of structures over 3 stories in heigh .
Mobile Home Installation Fee $
TOTAL PERMIT FEE $
OCCUP. GROUP
TYPE OF CONST.
PARCEL
PD
ND
ISSUE
This permit is hereby issued under
sions of the Butte County Code and/or
work indicated above for which
D TOFi O PUBLIC
/^ 0
By. `� a
PERMIT EXPIRES Date
the applicable provi-
resolutions to do
fees have been paid.
WORKS
Dat "A
Receipt No.
WNITE-D.P.W., Y O PIN INSPECTOR, GOLDENROD -APPLICANT
COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS
- 7 County Center Drive - Oroville, California�95965 - Telephone 916/534-4541
APPLICATION AND PERMIT
PERMITNO.
ASSESSOR PARCEL NUMB ZO ING
'--// f
BUILDING PERMIT
OWNER ELAEE��PHON
D V`
SQ. FT. OCC. BUILDING VALUATION
OW E MAILING A DRES �%
° I&
CO'NTRACTOR'S NAME
TELEPHONE
CONTRACTOR'S MAILING ADDRESS
Fireplace
CONSTRUCTION LENDER
UNKNOWN
Total Valuation Is
Filing Fee
$ 10.00
LENDER'S MAILING ADDRESS
Permit Fee
$
ARCHITECT OR ENGINEER
LICENSE NO.
Plan Checking Fee
$
Penalty
$
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Permit fee
$
BUILDING ADDRESS
® � • DS QS
PLUMBING PERMIT
Filing Fee 10.00
Each Trap
2.00
Solar Water Heater
20.00
Water piping
5.00
LOT NO.SUBDI
VISION NAME
PARCEL MAP
Each qas water heater or vent
5.00
Gas piping system 1 - 5 outlets
5.00 60
USE OF STRUCTURE
SF Duplex ❑ Mobi lehome ❑ Other
SPECIFY
Building sewer
5.00
Mobile Home S G W
10.00 e
TYPE OF WORK
New ❑ Addition Remodel ❑ Utilities ❑ Installation ❑ Other ❑
Describe work:AI aqQ, IJA)F_ �4_ Wq _'WW -9t,-
Permit Fee
$ 1,5006
Contractor
ELECTRICAL PERMIT
Filing Fee 10.00
Main service eODV OR LESS
100 AMP OR LESS
10.00
Main service EA. ADD'L 100 AMP
2.50
NEW CONST. DWELLING OCCUP.&`
OR ADONS. ( ACC. BLDGS.
/ 2h¢sq ft
CONTRACTORS LICENSE LAW
I declare under penalty of perjury (check one):
F-1NON.RESID,
I am licensed under provisions of Chapt. 9, Div. 3 of the Business
and Professions Code and my license is in full force and effect.
License No. Classification
® I, as the owner, or my employees with wages as their sole compen-
sation, will do the work,and the structure is not intended or offered
for sale. (Sec. 7044)
❑ I, as the owner, am `exclusively contracting with licensed contract-
ors. (Sec. 7044)
❑ I am exempt under Sec. , Business and Professions Code
for this reason
NEW CONSTR ULTI.OUTLET 2,50 ea
NON.RESID BRANCH CIRCUITS)
NEW CONSTR.. J POWER APPARATUS &'\
%SINGLE OUTLET CIR. /
zo-030
Ex. Occup(o OR FIXTURES 9AL®ao
FIXED A
FIXED APP LNS, OR
EX. Occup. OUTLETS (RESID.) EA.1 2.00
Temporary service 10.00
Mobile Home Facilities 15.00
Misc. Wiring 15.00
Permit Fee $
Contractor
MECHANICAL PERMIT
FiIingFee 10.00
WORKMEN'S COMPENSATION INSURANCE
I declare under penalty of perjury (check one):
❑ The permit is for $100.00 (valuation) or less.
❑ I have placed on file with the County of Butte Building Department
a Certificate of Workmen's Compensation Insurance or a Certificate
of Consent to Self -Insure.
I shall not employ any person in any manner so as to become subject
to the W. C. laws of California.
Notice to Applicant: If after making this statement, should you become subject
to the W. C. provisions of the Labor Code, you must forthwith comply with such
provisions or this permit shall be deemed revoked.
Heating
Cooling
Hood
3.00
Ventilation
permit Fee
$
Contractor
1 certify that I have read this application and state that the above information
is correct. I agree to comply to all County Ordinances and State Laws relating
to building construction, and hereby authorize representatives of the Countyot
Butte to enter upon the above-mentioned property for inspection purposes.
I also agr save, indemnify and keep harmless the County of Butte against
all liabi ies, udgments, costs, and expenses which may in any way accrue
against/saio C my in con uence of the granting of this permit.
%� �� �Lt�'I Date /0,' `l 'W3
Signature of Applicant — Ownert, Contractor ❑ Agent ❑
AnOSHA permit is required for excavations over 5'0" deep and demolition or construct-
ion of structures over 3 stories in height.
Mobile Home Installation Fee $
TOTAL PERMIT FEE r—
OCCUP. GROUP
I TYPE OF CONST.
PARCEL
PD
HD
IesuE
This permit is hereby issued under
sions of the Butte County Code and/or
work indicated above for which
CTO OF PUBLIC
BY
PERMIT EXPIRES D to
the applicable provi-
resolutions to do
fees have been paid.
WORKS
Date
- !_
Receipt No. 0���/
WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR. GOLDENROD -APPLICANT
i
INSTALLED
ENERGY SHEET
FOR
ADDITIONS TO RESIDENTIAL BUILDINGS
PERMIT NO. -��_ PACKAGE ItA" (Additions)
NAME
JOB ADDRESS 6
TYPE OF WORK __Fe,_��i��.—
FORM 7
SQUARE FOOTAGE
Existing Residence,
New Addition a
New Total o9tld d
The following information sheet,,showing mandatory features and required features of
Package "A" must be completed and attached to all plans for additions. to dwellings.
Additions, to dwellings include room aidditions,.converting garages and patios to living
-areas, house moves that add footage and attic conversions, and any space that is ex-
isting non -conditioned space that is converted to conditioned space. Remodeling of
existing conditioned space is not included.
ZONE 11 ZONE 12 ZONE 16
APPLIES TO NEW AREA
CEILING R-30 R-30 R-38
WALL R-11 R-11 R-19
FLOOR R-11 R-11 R-19
..SLAB R- 7 R-11 R- 7
GLAZING ,65 .65 ,65
SHADING
SOUTH -OPTIMUM OVERHANG
or .36 S.C.
WEST - .36 S.C.
LOOSE FILL INSULATION (Density)
INFILTRATION CONTROL (Weatherstrip doors, certified windows, caulking)
&&- VAPOR BARRIER (Zone 16)
DUCTS PER UMC - Ch. 10
Y_A LIGHTING KITCHEN & BATH NOT LESS THAN 25 LUMENS/WATT
MAXIMUM GLAZING 16% OF AREA PLUS REMOVED GLAZING
_A/A NEW HVAC AND HOT WATER IN CONJUNCTION WITH AN ADDITION SHALL COMPLY
AND FILL OUT DATA ON BACK OF THIS SHEET
7/83 -'
*1 HEATING VENTILATING. AIR CONDITIONING SYSTEM
(A) Heating
❑ Central Gas Furnace %
(brand and model number) SE
Btu/hr
(heating capacity)
❑ Heat Pump
(brand and model number) ACOP
Btu/hr
(heating capacity at 47°F)
❑ Active Solar
type (liquid or air) Collector brand and
ft2
model number solar fraction collector area collector
orientation collector tilt rated y -intercept
❑ Other
(describe)
*1 (B) Cooling
❑ Electric Air Conditioner
(brand and model number) (seasonal EER)
Btu/hr
(cooling capacity at 95°F)
❑ Electric Heat Pump
EER
Btu/hr
(cooling capacity at 95°F)
❑ Other
(describe)
DOMESTIC WATER SYSTEM
❑ (A) Gas Only Gallons
(brand and model number) (tank size)
❑ Heat Pump w/Electric Backup
(brand and model number)
Gallons
(tank size)
❑ *2 Active Solar
(collector brand and model number)
(rated y -intercept) (rated slope) (solar fraction)
ft
2
(backup heater type, brand and model number) (collector area)
(collector orientation)
Location of Solar Panel
other
(collector tilt)
(Describe)
*1 Submit documentation of sizing heating and cooling equipment by Manual J, sizing
charts (form X64) or other approved methods, section 2-5352(g), and fill out the
following:
Heating: Winter design temperature °, elevation ', heating load BTU
elevation factor x heating load = maximum outlet capacity gas furnace
BTU
Cooling: Summer design temperature °, cooling load BTU
i-
*2 Submit T.I.P.S.E. chart or other approved system (form 4)5) to document sizing of
solar panels.
® DESIGN COMPLIANCE STATEMENT: The above building design meets the requirements of
Title 24, Part 2, Chapter 2-53 of the Califo i Administration Code.
SIGNATUBUILDING DESIGNER�LICANT
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r -- --j-- _ i— i I r ! F r t 1 ttt r. ( ( _!- ( -J� �» i -�• j`` ,
�tsc,k,
_
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1 i I �' 1 /M f t �- � I -' •-
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N
. F ,
f sutbLjck Of S ft. from he
` OupeCty Imes and-a set )ack'
I Of Wt, from the road
eCtnturlinq� shall be clear f
` stFuctums or e
} r gvipment • xcQgt
! O� fora 2 ft. ea" overhan ,
' '_ Se�T G t 2 S =--1
This set oflans and specificat ons MUST b3
kept on the jo at all times and i- is unlawful to NOYE: :-til ���«�e,ja,y ! : 'h;
make an chap es or alterations n same wifhoui a Yi7 :j
y � ACCfr.. �.�yr� Nfe;'i'1 ^ry,...7�,., �; �,_,-„„'! H� •-s �..
written ermiss on from the De altment of Public te; and
P P of a � - !'' - .
Works, ' Counr of Butte. t �nifnrm Bu'' r • ~ r ` F t ' r ._��:.^� t" "
the Nati
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�-
COUMTY OF BUTTE DEPARTMENT OF PUBLIC WORKS
• „ 7 County Center Drive — Uroville, California 95965
Telephone: 531-4541
APPLICATION AND PERMIT
w i.. V....+a.n wuvc..� , .nc VVul. Y UI ouiic W QIIICI UPUII IIIc
above-mentioned property for inspection purposes.
DX--' �. / Date
Signature of Permiteeeor Agent
1' t^
Receipt No. l J Q I i
White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant
This permit is hereby issued under the applicable provisions of
the Butte County Code and/or resolutions to do work indicated
above for which fees have been paid.
DIRECTOR OF PUBLIC WORKS
� J _
By . r / ` �- - x Date
Building -permit expires Date
BUILDING
Owner
SQ. FT. OCC. BUILDING VALUATION
Mai I i ng Address
Telephone No.
Fireplace
Contractor
Total Valuation
Mailing Address,
Permit Fee
Plan Checking Fee &/orPenalty
Telephone No.
_
Permit Fee $
Building Address _.
PLUMBING No.1 @ FEE
PERMIT FILING FEE $3.00
Each Trap 1.50
I
Repair drainage or vent piping 1.50
Water piping 1.50
Each gas water heater or vent 1.50
A. P. No. ) _ 1
Zoning & Planning
Gas piping system 1 - 5 outlets 1.50
Each additional outlet .30
Fees
me
Sanitatico
Fire Dept.
Fire Zone
Use Permit
Building sewer 5.00
EQA
ParkinDeclaration
Plans
IBIdg.—PlansRecL
Parcel Map
60' R/W
Improvements
Lawn sprinkler system 2.00
Parcel Approval
Plans Approval
Permit Fee $
$
NEW ❑ ADDITION ❑ UTILITIES ❑ OTHER 0
ELECTRICAL No.1 @ FEE
PERMIT FILING FEE $3.000V
OR L
Main service 100 AMP ORSLESS 5.00 " ( r
y
Main service EA. ADD'L 100 AMP 2,50
Single Family ❑ Duplex ❑ Mobil Home ❑ Others ❑
Main service 1100EAMP OR LESS 25.00
Main service EA. ADD'L 100 AMP 1.00
NEW OR ADDNS. ( DACCLBLDGS.LING CCUP, &) 2¢Sgft
NEW CONSTR(MULTI-OUTLET
.
NON-RESID, BRANCH CIRCUITS) 2.50ea
NEW CONSTR. POWER APPARATUS &
NON-RESID, (SINGLE OUTLET CIR.
CONTRACTORS LICENSE LAW
I am licensed under the provisions of Chapter 9, Div. 3, of the
State of California Business & Professions Code under the name
style of:
! �` ► l�,-; I:'
' 'I
Ex. Occup(OUTLETS OR FIXTURES) *L0
BAL@1
Ex. Occu p•(FIXED APPI OR
OUTLETS (RESID,) EA) 2.00
Temporary service 10.00
-
Mobile Home Facilities 15.00
License No. + ^.Misc.
Classification i�. '
Wiring 4 6.25
❑ I am exempt from the Contractors License Laws of the State of California.
Permit Fee $
WORKMEN'S COMPENSATION INSURANCE
1 am aware of the provisions of Section3700 of the California Labor
Code which requires every employer to be insured against liability
for Workmen's Compensation.
1 have placed on file with the County of Butte a certificate of
_ Workmen's Compensation Insurance.
I certify that in the performance of the work for which this
permit is issued I shall not employ any person in any manner
so as to become subject to the Workmen's Compensation Laws of
Cal i forn i a.
MECHANICAL No. @ FEE
PERMIT FILING FEE $3.00
Heating
Cooling
Ventilation
Hood 2.00
Permit Fee $
$
1 certify that I have read this application and state that the above
information is correct. I agree to comply to all County Ordinances
and State Laws relating to building construction, and hereby
TOTAL PERMIT FEE
$ /�/
w i.. V....+a.n wuvc..� , .nc VVul. Y UI ouiic W QIIICI UPUII IIIc
above-mentioned property for inspection purposes.
DX--' �. / Date
Signature of Permiteeeor Agent
1' t^
Receipt No. l J Q I i
White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant
This permit is hereby issued under the applicable provisions of
the Butte County Code and/or resolutions to do work indicated
above for which fees have been paid.
DIRECTOR OF PUBLIC WORKS
� J _
By . r / ` �- - x Date
Building -permit expires Date
0
COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS
7 County Center Drive — UroviUe, C 4ornia 95965
Telephone: 534-4541
APPLICATION AND PERMIT
I+, cii.oaivuo 0� t e %.Gun.y VI putte w enier upon me
above-mentioned property for inspection purposes.
Date 12' &-L—
Signature of Permitee or Agent
Receipt No. 3 `
White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant
This permit is hereby issued under the applicable provisions of
the Butte County Code and/or resolutions to do work indicated
above for which fees have been paid.
X, DIRENT6� OF PUBLIC WORKS
............
BUILDING
Owner
SQ. FT. OCC. BUILDING VALUATION
Mailing Address
--
Telephone No.
Fireplace
Contractor /�
Total Valuation
Mailing Address
Permit Fee
Plan Checking Fee &/or Penalty
Telephone No.
�_�
Permit Fee
Building Address
PLUMBING No. @ FEE
PERMIT FILING FEE $3.00
40
Each Trap 1.50
_
Repair drainage or vent piping 1.50
Water piping 1.50
Each gas water heater or vent 1.50
A. P. No./� _ r
Zoning 8 Planning
Gas piping system 1 - 5 outlets 1.50
Each additional outlet .30
,
Wrc/
atierr Senit
Fire Dept.
FireZone
Use Permit
Building sewer 5.00
EQA
Parkin
Pa
Declaration
I Parcel Map
60' R/W
I Improvements
Lawn sprinkler system 2.00
Parcel Approval
Plans Approval
Permit Fee $
NEW,0 ADDITION ❑ UTILITIES ❑ OTHER
ELECTRICAL No. @ FEE
PERMIT FILING FEE $3.00 spp
Main service 600V OR LESS
100 AMP OR LESS 5.00 LS.0
Main service EA. ADD'L 100 AMP 2.50
Single Family Duplex ❑ Mobil Home ❑ Others ❑
Main service OVER 600V
00 AMP OR LESS 25.00
Main service EA. ADD'L 100 AMP 1.00
NEW
OR ADDNST ( ACCLBL GS.LING CCUP. &) 20 sq tt
NEW CONST R. (MULTI -OUTLET
NON-RESID. BRANCH CIRCUITS) 2.50ea
NEW CONSTR. POWER APPARATUS &
NON.RESI D. (SINGLE OUTLET CIR.
CONTRACTORS LICENSE LAW
I am licensed under the provisions of Chapter 9, Div. 3, of the
State of California Business & Professions Code under the name
style of:
",a 1 �F�r�F�
Ex. Occup(OUTLETS OR FIXTURES)@29C
BAL@1
Ex. Occup. (OU LETS PRESID )REA) 200
Temporary service 10.00
Mobile Home Facilities 15.00
License No. 62%T :3 - Classification Ca /d
Misc. Wiring 6.25
❑ I am exempt from the Contractors License Laws of the State of California.
Permit Fee $ /44 2-3-
$ Z
WORKMEN'S COMPENSATION INSURANCE
1 am aware of the provisions of Section3700 of the California Labor
Code which requires every employer to be insured against liability
for Workmen's Compensation.
�jA I have placed on file with the County of Butte a certificate of
VJ� Workmen's Compensation Insurance.
I certify that in the performance of the work for which this
permit is issued 1 shall not employ any person in any manner
so as to become subject to the Workmen's Compensation Laws of
California.
MECHANICAL No. @ FEE
PERMIT FILING FEE J$3.00
Heating
Cooling
Ventilation
Hood 2.00
Permit Fee $
$
1 certify that I have read this application and state that the above
information is correct. 1 agree to comply to all County Ordinances
and State Laws relating to building construction, and hereby
TOTAL PERMIT FEE
f -S
I+, cii.oaivuo 0� t e %.Gun.y VI putte w enier upon me
above-mentioned property for inspection purposes.
Date 12' &-L—
Signature of Permitee or Agent
Receipt No. 3 `
White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant
This permit is hereby issued under the applicable provisions of
the Butte County Code and/or resolutions to do work indicated
above for which fees have been paid.
X, DIRENT6� OF PUBLIC WORKS
............
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