HomeMy WebLinkAbout025-140-005•- -� 25-14
in & Gail Moffitt
E/S Larkin Rd., 550' S.of Palm Ave.,
R. M
Biggs
Permit #129-78B,P,E,M(new s'ngle
family) �w
h
25-14-5
Permit ##39 -7,8B (add cov patio)SF
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q 025-140-005 PERMIT 94-1-917
MOFFITT, CLINT '& GAIL
2770 LARKIN RD., BIGGS
CONT: MORTH VALLEY CONTRACTIN
NEW PRI SWIMMING POOL 1 I
025-140-005 Y PERMIT#94-2646
.MOFFITT, CLINTON `
2770 LARKIN RD., BIGG
CONT: TML CONST.
NEW POOL HOUSE
025-140-005 PERMIT#97-.1407
MOFFITT, Clint & Gail.
f 2770 Larkin. Rd.,; Biggs
Add to BedrRom & Master Bath/SF
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25-14-5 _ D ej ,
ON MOFFITT
70 Larkin Rd, Biggs
Permit#30-83A(Agricultural Building Exemp
P-�ermit(horse barn & storage of ag equip)
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RESIDENTIAL
025-140-005 PERMIT#94-1917
MOFFITT, CLINT & GAIL
2770 LARKIN RD., BIGGS
CONT: MORTH VALLEY CONTRACTING `
NEW PRI SWIMMING POOL Z -
JOB FINALED (Data)
Signature
V=OK
O=Not OK
-= Not Applicable
Not Ready • MOBILE HOMES
=
Date/Initials MOBILE HOME UTILITIES (Plans) OK except #'s
1. Zoning Requirements -Setbacks -Easements
2. Soils; Special MH Support Sketch
3. Sewer; Location -Test -Fell -C/O Concrete
4. Water; Location -Teat -Easement Needed (Sketch)
5. Electricity; Location-Clearences-Grnd-/ /Amp -Concrete
6. Gas; Location -Test -Wrap: / /" L"ft.
/ /"Net. or/ PU ft./ /"LPG
7. Well Clearance & Disconnect
8. Utility Clearance
Date/Initials MOBILE HOME INSTALLATION (Plans) OK except #'s
1. Zoning Requirements -Setbacks Easements
2. Footings; Size -Spacing -Marriage Line
3.. Gas; MH Test -Demand -Valve -Connector
4. Electricity; MH Test -Crossovers -Breakers -Clearances
5. Drain; MH Test -Fall -Flex Connector
6. Water; MH Teat -Regulator -Connector
7. Water and Sewer Connected -C/O to Grade -HD Approval
8. Gas and Electricity Tagged
9. Exits; Insp.-Sketch
10. Cert. of Occupancy
MISCELLANEOUS
Date/Initial DECKS, COVERS, CARPORTS, GARAGES, (Plans)OK except #'s
1. Zoning Requirements -Setbacks -Easements
2. Footings; Soils -Size -Depth -Spacing -Connectors -Steel
3. Decks; Griders and/or Joists -Decking -Bracing -Stairs -Rails
4. Wood Awn.; Posta-Beams-Rftrs.-Connectors
Shthg.-Rig.-Bracing
S. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures
6. Carports; Windows -Doors
7. Electric
8. Frmg; Sils-Anchors-Studs-Rftrs-Trusses
9. Siding; Nailing -Veneer -Stucco -Mash
10. Roof; Shthg-Roofing
11. Ext.; Steps -Doors -Landings
Date/Initials POOL tans OK except #'s
etbacks-Easements
o' , Compaction -Structure Stability
LA"Tpool 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. .; Bonding; Metal w/5' -Circulating Equip. -Heater
. Elec.; Grounding; Equip. w/5' Circulating Equip. -Pool Lghtg.
Box -Enclosures-Panelboards-Ins. to Main in Conduit
ealth Department Approval
10. Plumb.; Cir. Test -Water Supply Test
V=OK
O=NV OK"
= Jot Applicable
= Not Ready
RESIDENTIAL (Single,& Duplex)
Date/Initials UNDERFLOOR (Plans) OK except #'s
1. Zoning -Setbacks -Easements -Flood -Slope
2. Ftg., Main; Soils-Elec. Grnd.-/ P' Ftg. Depth
3. Ftg., Garage; Soils-Steel-Elec. Grnd.-/ /" Ftg. Depth
4: Ftg., Porches 8 Decks; Soils -Steel-/ /Ftg. Depth
5. Stemwalls, Main; Steel-Blockouts-Wrapped
6. Stemwalls, Garage; Steel-Blockouts-Wrapped
6a. Hold Downs and Special Anchors
7. Slab; Steel -Wrapped
8. Piers -Fireplace Ftg.-Steel
9. D.W.V.; Fell -Fitting -Test -2 Way C/O -Sewer Test
10. UF. Gas Pipe; Size -Anchors - yard gas piping: size -test
11. Water Pipe; Test -Anchor -Regulator -Service Test
12. Electric; Underground
13. Pienums & Ducts; Clearance -Material -Support -Ins.
14. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples
15. Access & Ventilation
16. Insulation
Date/Initials PLUMBING (Permit) OK except #'s
16. Water Htr.; Vent -Access -Combustion Air -Baffle
17. Water Pipe; Test & Anchor -Neil Protection
18. D.W.V.; Test -Fittings & Anchor -Nail Protection
19. Shower Pan; Test, First Floor -Tub Access
20. Test Tub & Shower, Second Floor -Tub Access
21. Gas Pipe; Siie & Anchors
Date/initials ELECTRICAL (Permit) OK except #'s `
22. Fixture & Transformer Clearance -Ins. Protection
23. Elec. Receptacles Spacing -Lights & Switches at Doors
24. Size Boxes & No. of Conductors -Stapled
-25. Romex Installed Close to Edge of Studs & C.J.
26. Equip. Ground made up w/Mach. Fastners-Bond Gas & Water
27. 2 Appliance Circuts in Kitchen & Conductor Size/GFI
28. Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / / ga.
Cu or Al
29. Range Circ. / / ga. Cu or AI -Oven Circ. / / ga. Cu or Al.
Insulated Neutral ❑ Yes ❑ No
30. Service -Riser Conductors & Ground -Main Disconnect
31. Equip. Clearances Panels -Motors -Mach. Equip.
32. Clothes Closet Light -Shower Light -Spa Light
33. Smoke Detector
Date/Initials MECHANICAL (Permit) OK except #'s
34. A.C. Ducts Insulation & Support
35. Vent Fan; Exhaust above insulation
36. Condensate Drain & Overflow; Size & Grade
37. Furnance-Vent; Access -Comb. Air -Return Air Vent -115 outlet
38. Attic Access & Platform if Furnance in Attic
Date/Initials FRAMING (Plans) OK except #'s
39. Sils, Proper Material & Anchors
40. Walls Studs -Nailing, Spacing & Bracing -Plates -Sound
41. Bearing Wells 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. Ong. Joist-Rftr. ties-Purlln=roof Brac-Truss-Shthng.-Ring.
47. Fireplace Ties or Type A Flue -Fireplace Throat clearance
48. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles
49. Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions
50. Garage Fire Protection Framing
51. Property Line Firewall & Openings
52. Ext. Doors -One 3' -Check Garage -3rd Story, 2 Exits
53. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection
54. plywood on Roof Overhang -Attic Vents -Rafter Outriggers
55. Siding -Nailing Veneer
56. Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access
57. Glazing Area -Glass Protection -Skylights -Plastic
58. Shear Walls; Nailing -Bolts
59. Insulation -Walls -Ceilings
60. Infiltration -Wells -Windows
Date/Initials FINAL (Plans) OK except #'s -
61. Ext. Steps -Door & Sidelight Protection -Landings
62. Smoke Detector
63. Furnace; Vents -Clearance -Comb. Air -Connector -
In Garage; Above Floor -Ducts -Mach. 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 -Lending -Closer
73. A.C. Duct in Garage -Damper
74. Wtr. Htr.; Vents -Clearance -Comb. Air-Connector-P.R.V.
In Garage; Above Floor -Mach. 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 ❑ Yes
78. Guard Rails & Deck Construction -Post Caps
79. Fdn. Vents & Crawl Hole Door-Drainagge & Wood -Earth
Clearance Looked under Floor O Yes
80. Following instld.; Drive ❑ Yes ❑ No; Walks ❑ Yes ❑ No;
Planters ❑ Yes ❑ 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 Certificate -Other Certificates
Comments at Final:
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
ASSESSOR PARCEL NUMBER
25-14-5
ZONING
BUILDING PERMIT
OWNER
CLINT A�D GAIT. MOFFITT
TELEPHONE
868-1359
S FT. OCC. BUILDING VALUATION
15,800.00
OWNER'S MAILING ADDRESS
2770 LARKIN RD BIGGS
CONTRACTOR'S NAME I
NORTH VALLEY CONTRACTING
TELEPHONE
513-9416
CONTRACTOR'S MAILING ADDRESS .
Fireplace
CONSTRUCTION LENDER
NONE
UNKNOWN
Total Valuation $
Filing Fee
$ 20.00
LENDER'S MAILING ADDRESS
Permit Fee
$ 171.00
ARCHITECT OR ENGINEER
LICENSE NO.
Plan Checking Fee
$ 911-00
Energy Plan Checking Fee
$
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Penalty
$
BUILDING ADDRESS
2_770 L-A-RKIN
PERMIT FEE
$ 214.00
PLUMBING PERMIT
Filing Fee 20.00
-ROAD
Each Trap
7.00
Solar or heat pump water heater
23.00
Water piping
15.00 15,00
LOT NO.
SUBDIVISION'S NAMEL
PA CE MAP p�
%- p f fi
Each gas water heater or vent
15.00
USE OF STRUCTURE
SF ❑ Duplex O Mobilehome ❑ Other POOL
SPECIFY
Gas piping system 1 - 5 outlets
15.00
Building sewer
15.00
Mobile Home S G I W
@20.0O
TYPE OF WORK
New CIX Addition 1:1Remodel ❑ Utilities ❑ Installation ❑ Other CIContractor
Describe Work: SWIM POOL #510-91
PERMIT FEE
g 3s nn
ELECTRICAL PERMIT
Filing Fee 20.00
Main Service ( BOON OR LESS )
200A OR LESS
23.00
Main Service ( 200A To 1000A )
46.00 ,
NEW CONST. DWELLING OCCUP.
OR ADONS. ( & ACC. BLDS. )
So.
3.50 FT.
CONTRACTORS LICENSE LAW(
I de are under penalty of perjury (check one)
am a licensed under provisions of Chapter 9, Division 3 of the Business and
I.50
Code and my license is in full force and effect.
License No. Classification t/Y� /p� '
O I, as the owner, or my employees with wages as their sole compensation, will do
the work, and the structure is not intended or offered for sale. (Sec 7044)
❑ I, as the owner, am exclusively contracting with licensed contractors. (Sec 7044)
❑ 1 am exempt under Sec. Business and Professions Code
forthis reason
NEW CONST. MULTI -OUTLET
.NON-RESID. ( BRANCH CIRCUITS )
@7.50
POW ER APPARATUS Y.
& SINGLE OUTLET CIR.
Ex. Occup. ( OUTLET OR FIXTURES )
B20 @ 1
0rofessions
Ex. Occu FIXED APPS.OR
p' ( OUTLETS MESID.) EA. )
5.00
Temporary Service
23.00
Mobile Home Facilities20.00
Misc. Wiring
t2ff.00
POOL ELEC
30. GO -
WORKER'S COMPENSATION INSURANCE
I declare under penalty of perjury (check one):
❑ This permit is for $100.00 (valuation) or less.
XI 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.
❑ 1 shall not employ any person in any manner so as to become subject to the Worker's
Compensation laws of California.
Notice to Applicant: If after making this statement, should you become subject to the
Worker's Compensation provisions of the Labor Code, you must forthwith comply with
such provisions or this permit will be revoked.
PERMIT FEE
S 50.00
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 County Ordinances and California State Laws relating to
building construction, and hereby authorize representatives of the County of Butte to
enter upon the above mentioned property for inspection purposes.
I also agree to save, indemnlf i and keep harmless the County of Butte against all
liabilities, judgments s, and c enses which ma _in any way accrue against said
County, in ence of t It.
Date
Signature of Applic nt Owneractor ❑ Agent
An OSHA permit is required for excavations over 5"0" deep and demolition or
construction of structures over 3 stories in height.
Mobile Home Installation Fee $
Energy Inspection Fee $
occ
CONST. TYPETOTAL
FEE $ 299.00
HAZ. D. FEES IMP FLOOD
�^
CDF
PARCEL PD
H
I SU
This permit is hereby issued under
of the Butte County Code and/or
indicated above for which fees have
DIRECTOR OF PUBUQ
Y. By
PERMIT EXPIRES ON
the applicable provisions
Resolutions to do work
been paid.
WORKS
Date `
/
`� /�
(Dere
Receipt No. 167080p
WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT
T;;�;si},;i�.fNrs#+�:%y�t�H"%'1'Y•"�'''�+i'.'i�r°y"�'�r'?:X13'�'�`jt�i'}"!'.'•'"t��-.�"a°'�'tir,n-ar�mAtt�aw.:.r"".�,,.-a�r=:.�,...,.:.-:.
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- •GOUNTYOFBUTTE - DEPARTMENTOF DEVELOPMENT SERVICES -BUILDING DIVISION
Y 1 :J`• -.gyp. r �./ V
�''7COUNTY CENTER DRIVE - OROVILLE�,�CALIFORNIA 95965 -TELEPHONE (916) 538-7541
i
t: PERMIT APPLICATION DATA SHEET
OWNER Mo f-
I ( A. P. o. 4�� / -do
Proposed Building Use '.Building Inspector
At time of permit application, I was advised the following data must be submitted prior to permit processing and/or issuance:
DATE RECENED BY
1, All items have been submitted. ........... .............................
2. Plot plans, 3/4 sets, signed by preparer of plans. ..........................
3. Completg plans, 3/4 sets, signed by preparer of plans. ......................
4. Engineered plans and calcs, 3/4 sets, with wet signature on plans. .............
5. Hazardous Material Form. `......................................... .
6. Energy Design Compliance and supporting documentation . ............... '.. .
7. Statement of Intent for Non-Heated and A/C Buildings. .....:......... .
8. Engineered truss details and layout in duplicate (required prior to plan check). .' . .
9. Mobilehome,data and manufacturer's installation instructions, 2 sets. ...........
10. Fees of $ '".........................................
k 11. Impact fees as shown on attached schedule. ............................. .
12. California Department of Forestry plan approval/fees. ....................... .
13. Flood elevation letter (100 year flood) by lifornia Engineer.............
I JAI :::::
14. Sanitation and plot plan approval a /'L Health Department. .
15. City of Chico plumbing permit ............... I............................
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. ...........z�
19. Driveway permit (construction approval required prior to occupancy). ...Pn�I;eo; i6qu
est
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................................... k-
26. Copy of recorded deed of parcel creation and 60 right of way to a public road...
27. Letter of intent on building use.................................:........ .
28. Mobilehome utility clearance...........................................
29. Documentation of legal access . ..................... :..................
30. Documentation of 50% subdivision developed or (A) Road improvements completed
and (B) Parcel meets zoning area and frontage requirements. ...............
31. Existing violations/expired permits.......................................
32. Plan check list . .....................................................
33.
When y issue the permit, process as follows: Mail to owner. Mail to contractor.
Telephone-_G 3 3 74/-k and hold for pickup at t9l2 C7 office. Deliver with inspector.
Other r
Parcel Creation
Acreage Applicant Date
Copy of Haz-Mat form sent Health Dept. Fire Dept. Air Pollution Date
Copy of plans sent Health Dept. Fire Dept. Other Date By
The following data must be submitted prior to permit issuance: (Circle new item not checked above).
1. Index permit for above items No.
2. Additional items required:
Contractor, designer, owner, was advised of above required data by - phone _ mail Counter by _ Date
Contractor, designer, owner, was advised of above required data by _ phone _ mail C t by _ Date
Plans checked by Date Plans approved by Date /- Z
Sets of plans on hold in File cabinet AP folder
Copy - Department of Public Works T
E.M. USE ONLY
Plot Plan AuRchod
Floor Plan A06cbad
Smt to B.D.
TO: Building Department
FROM: Environmental Health
SUBJECT: Sanitation Clearance
Owner Location AP#
Plan Approved for: Sewage Disposal Water Supply: Public Private Well
Clearance for bedroom mobile home. Other r'
Hold, final for:
Final clearance O.K. for: ,
NOTE:
'/P k-1 7
Environmental Health Specialist Date
8/92
-2 Dto;vO
CIA,
. >°rS, B�� � X35'9 :�...? .. . -i . ; . � ..
&646'
This "t Of plani ind: e
kVt cm the job at, all mea aad It- Is
make my olza�es or
WAUOU
pmMmipsion &0m tae.
Wbfts, pjcw,41_K.4k
r
bulldlng Plane. -9.
j_L
rT
APPROVED
Butte: -County
ALL STRUCTURES AND EQUIPMENT.- INCLUDING'
OVERHANGS SHALL BE CLEAR OF ALL EASMENT'S.'.
A SET BACKIM
FT. MOM THE REAR PROPEtRTY Mtt, AND:
FF. F c
ROMTHEFROAD; ENT. RLINE.6kAiLik,
CLEAR M$TRUCTURES AND EQUIPMENT I EXCEPT
FORA 2FT. EAVE-OVERHANG.
C 19 r7;
r
COUNTY,
U.ILDING. DEPARTMENT
-PP
ROVED
A
__T A
4
j
APPROVED
Butte: -County
ALL STRUCTURES AND EQUIPMENT.- INCLUDING'
OVERHANGS SHALL BE CLEAR OF ALL EASMENT'S.'.
A SET BACKIM
FT. MOM THE REAR PROPEtRTY Mtt, AND:
FF. F c
ROMTHEFROAD; ENT. RLINE.6kAiLik,
CLEAR M$TRUCTURES AND EQUIPMENT I EXCEPT
FORA 2FT. EAVE-OVERHANG.
C 19 r7;
r
COUNTY,
U.ILDING. DEPARTMENT
-PP
ROVED
A
COUNTY OF BUTTE
BUILDING DIVISION
DEPARTMENT OF DEVELOPMENT SERVICES
1469 Humboldt Road, Chico, CA - `i916Y'891-2751
7 County Center Drive, Oroville, CA - (916) 538-7541
747 Elliott Road, Paradise, CA - (916) 872-6307
CORRECTION NOTICE
NO.
A routine inspection indicates that the following violations of Butte County Ordinances exist at
the above address and should be corrected. Please notify this office when correction of work
is completed. If you have any questions pertaining to this matter, or need additional explanation,
please contact this office immediately.
Date 71,2f1wInspector
REV 10/ 2
COUNTY OF BUTTE
�•. BUILDING DIVISION
'DEPARTMENT OF DEVELOPMENT SERVICES
411 Main Street, Chico, CA - (916) 891-2751
7,County Center Drive, Oroville, CA - (9.16) 538-7541
CORRECTION NOTICE
OWNER PERMIT NO.
t
A routine inspection indicates that the following violations of Butte County Ordinances exist at
the above address and should be corrected. Please notify this office when correction of work
is completed. If you have any questions pertaining to this matter, or need additional explanation,
please contact this office immediately.
Date Inspector
REV 10/9'
2: •.• c+ro+..�_'a'n"ry«S'���,'v"-����%+`._� � rr,,��ty 4s ,� .. y'T�
t
' COUNTY OF BUTTE =9
BUILDING DIVISION E
V IJEPARTMENT OF DEVELOPMENT SERVICES
411 Main Street, Chico, CA - (916) 891-2751 :^
7 County Center Drive, Oroville, CA - (916) 538-7541
CORRECTION NOTICE
/ 1 -/ u -j
6%/ntact
PERMIT NO. A
A rindicates that the following violations of Butte County Ordinances exist at y
theand should be corrected. Please notify this office when correction of work
is chave any questions pertaining to this matter, or need additional explanation,
pleoffice immediately. 7� ,y
REV 10192
RESIDENTIAL
025-140-005 PERMIT#97-1407
PERM MOFFITT, Clint &
Gail
2770 Larkin Rd.,
Biggs
PERMI Add to Bedroom &
Master Bath/SF
191
�W
3 OWNER
t
3 CONTR.
r,
_ASSESSOR PARCEL
} 'LOCATION
,t
-7
i,
I Temp. Power Pole
Called PG&E
Temp. Elec. Service
r
Called PG&E
_
Temp. Gas Service
Called PG&E
— JOB FINALED (Date)
Signature
V=OK
O = Not OK
* =
Not
t Applicable
ole
NofleaMOBILE HOMES
Date MOBILE HOME UTILITIES (Plans) OK except #'s
1. Zoning Requirements - Setbacks - Easements
2. Soils; Special MH Support Sketch
3. Sewer, Location-Test-Fall-C)O-Concrete
4. Water, Location -Test -Easement Needed (Sketch)
5. Electricity; Location-Clearances-Gmd-/ /Amp -Concrete
6. Gas; Location -Test -Wrap; / /LYL
/ /Nat. or/ /'L°ft./ /LPG
7. Well Clearance & Disconnect
8. Utility Clearance
Date Card B-1 Date Card B-1
Date Card B-1 Date Card B-1
Date MOBILE HOME INSTALLATION (Plans) OK except #'s
1. Zoning Requirements- Setbacks Easements
2. Footings; Sim -Spacing -Marriage Line
3. Gas; MH Test DemancWalve-Connector
4. Electricity; MH Test -Crossovers -Breakers -Clearances
5. Drain; MH Test -Fall -Flex Connector
6. Water; MH Test -Regulator -Connector
7. Water and Sewer Connected -C/0 to Grade -HD Approval
8. Gas and Electricity Tagged
9. Tie Downs -Type -installation Cert.
10. Exits; Insp.-Sketch
11. Cert of Occupancy
12. Permanent Foundation Only: License Decal
Date Card B-1 Date Card B-1
Date Card B-1 Date Card B-1
R.
-M,18;CELLANEOUS
Date
ffCKS,'COVERS, CARPORTS, GARAM'(Plans) OK except #'s
1. Zoning RgqukernenusS tbacks-Easements
2. Fpotgrgs; SoRsSize-0epthSpacing-Connectors-Steel
3. Delo; Girders and/or Joists -Decking -Bracing -Stairs -Rails
4. ,Wood Awn.; Posts-Beams-Rftm-Connectors
Sh2N.- fg.-8facng
S. Alum. Awn.; Columns-ConnectionsSplice-0ecal-Enclosures
6. Carports; Windows -Doors
7. Electric '
8. Frmg.; Sils-AnchorsStuds-RWs-Trusses
.9. Siding; Nailing-VeneerStuxo-Mesh
10. Roof; Shthg-Roofing
11. Ext.; Steps Doors -Landings
12. Braced Wall.Panels
Date
Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1
Date
POOLS (Plans) OK except #'s
1. Setbacks -Easements
2. Soils; Compaction -Structure Stability
3. Pool Structure; Steel -Connections -Thickness
. Dead Men -Lining
4. Elec.; Receptacles and Lighting, Distance-GFI
5. Elec.; Pool Lighting; 15 Volts-GFI
6. Elec.; Enclosures; Conduit Entries -Terminals -Listed
7. Elec.; Bonding; Metal wX-Circulating Equip.+teater
8. Elec.; Grounding; Equip. w/5 Circulating Equip. -Pool Lghtg.
Boxes•Enclosures-Panelboards4ns. to Main in Conduit
9. Health Department Approval
10. Plumb.; Cir. -Test -Water Supply Test
11. Light Niche
Date
Card B-1 Date Card B-1
Date Card B-1 Date Card B-1
te
_No
0 = Not OK RESIDENTIAL
- = Not Applicable_ "
= Not Ready `
Date UNDERFLOOR (Plans) OK except #'s
oningSetbacks-Easments-Setbacks
Ftg., Main; Soils-Elec. Gmd. / Depth
3. Ftg. Garage; Soils-Steel-Elec. Gmd/ P Ftg. Depth
(Single & Duplex)
Date FRAMING (Continued)
Hangers -Post Caps -Anchors -Connectors
Cling. Joist Rftr. Ties-Purlin-roff Brac: Truss-Shting.-Rfng.
Fireplace Ties or Type A Flue -Fireplace Throat clearance
4J. is Access; Size & Romex Protection -Draft Stop -Ins. Baffles
B - Windows or Exiting Doors -Sill Hgt. & Dimensions
497 -Garage Fire Protection Framing
Property Line Firewall & Openings
. Ext. Doors -One 3 -Check Garage 3rd Story, 2 Exits
Stairs; Width -Headroom -Rise -Run -landing -Fire Protection
Plywood on Roof Overhang -Attic Vents -Rafter Outriggers
i mg -Nailing Veneer
57. Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access
Glazing Area -Glass Protection -Skylights -Plastic
59. Shear Walls; Nailing -Bolts
P -trace Interior / Exterior Wall Panels
.�61. Insulation -Walls -Ceilings
-;%/ _ -
Date'J -: j'7Card B-1 Date Card B-1
Date 7 Card Date Card B-1
Date V FINAL (Plans OK except #'s
fps -Door & Sidelight Protection -Landings
moke Detector
Air-Conector-
In G 6, Above Floor -Ducts -Meeh. Protection
edr Exiting
FI. & Bath Fixtures & Tub Access -Spa
ec. Trim-& Subpanel, Breaker Sizes & Labels
tairs & Rails
ace or Stove, Clearance -Hearth
ec. Outi is -at Wood Panel, Int. & Ext.
Fixt. & Appliance; Ground. -Air Gap -Cooking Clearance
Outlets & Rece ticales at Kit. Counter
arra a Fire Door; Swing -Landing -Closure
uct in Gara a Dam
7 Wtr. Htr.; Vents-Clearan o b. A' onnector-P.R.V.
In Ga -e; Above Floor-Mec . Protection
Ib., Elec & Mech. Equip. Listed for Location
ec ece tacles in Garage G.F.I. -Romex Protection
nsulation-Foam-Looked in Attic
uard rails & Deck Construction -Post Caps
OT -rd -n VBents & Crawl Hole Door Drainage & Wood -Earth
Clearance Looked under Floor 0 Yes
, 82. Following Instid./Dhw 0 Yes 0 No/Walks 0 Yes 0 No/Planters 0 Yes 0 No
u Town -Finish
A.C. Vpit-Disconnect, Electrical -Plumbing
45�-ents Above Roof. Plba-ADDliance-FireDlace-Clearance to Oceninas
ate [-,Disconnect, Electrical, Plumbing
terio . Trim, G.F.I. Receptacle -Underground
enWadon Throught House
lass Protection
Corrections from Previous Inspections
X . Gas Test- eters Tagged, Gas -Electric
ater & Swer Connected -C/O to Grade -HD Approval
nergy Compliance Certificate -Other Certificates
DateCard B Date Card B-1
Date' Card B-1 Date Card B-1
Date Card B-1 Date Card B-1
Comments at Final:
4.
Ftq. Porches & Decks; SoilsSteel-/ /" Ftg. Depth
5. Stemwalls, Main;,Steel-Blockouts-Wrapped
6..Stemwalls,
Garage; Steel-Blockouts-Wrapped
6a.
Hold Downs and Special Anchors .
7.
Slab, Steel -Wrapped
8.
Fireplace Ftg.-Steel
D.W.V.; Fall -Fitting -Test -2 Way C/0 -Sewer Test
10.
UF. Gas Pipe; Si Anchors - Yard Gas Piping; Size Test
Water Pipe; -Anchors-Regulator-Service Test
12.
Electric Underground
3.
ienums & Ducts; Clearance -Material -Support -ins.
4.
irdersSills-Anchor Bolts -Joists Vents-Crippies
Access & Ventilation
16.
Insulation
Date
7Card
B-1 Date Card B-1
Date
Date
Card B-1 ate Card B-1 `
PLUM BIN (Perm' K exce t #s
17. Water Htr.; Vent-Acces �ombustio 'r Baffle
er Pipe; Test & Anchor -Nail Protection
D.W.V.; Test Fittings & Anchor -Nail Protection
20.
Shower Pan; Test, First Floor -Tub Access
21. Test Tub & Shower, Second Floor -Tub Access
22.
Gas Pipe; Sixe & Anchors
Date
Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1
Date
ELECTRICAL (Permit) OK except #s
23.
Fixture & Transformer Clearance -Ins. Protection
24. Elec. Receptacles Spacing -Lights & Switches at Doors
5.
Size Boxes & No. of Conductors Stapled
6.
Fjerg'x Installed Close to Edge of Studs & C.J.
Equip. Ground made up w/Mech Fastners-Bond Gas & Water
28.
2 Appliance Circuts in Kitchen & Conductor Size GA
29.
Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size/ / ga Cu or AI
30.
Range Circ. / / ga Cu or AI -Oven Circ. / / ga Cu or AI
Insulated Neutral 0 Yes 0 No
31.
Service -Riser Conductors & Ground -Main Disconect
32.
Equip. Clearances Panels-Motors-Mech. Epuip.
33._,Qothes
Closet Light -Shower Light -Spa Light
4.
Smoke Detector
Date
Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1
Date
MECHANICAL (Permit) OK except #'s
35.
A.C. Ducts Insulation & Support
36.
Vent Fan, Exhaust above insulation
37.
Condensate Drain & Overflow, Size & Grade
38.
Fumance-Vent Access -Comb. Air -Return Air Vent 115 outlet
39.
Attic Access & Platform if Furnace in Attic
Date
Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1
Date
FRAMING (Plans) OK except #s
Q,08its Proper Materials & Anchors
1_41
-Walls Studs -Nailing Spacing & Braces -Plates -Sound
v�Bearing Walls over Girders & Floor Nailing
Draft Stop in Walls (rat proof)
v 44.
-ire Stops, Furred Ceilings -Stairs -Chasers -Tubs
45.
Headers & Beams -Size & Bearing
Date FRAMING (Continued)
Hangers -Post Caps -Anchors -Connectors
Cling. Joist Rftr. Ties-Purlin-roff Brac: Truss-Shting.-Rfng.
Fireplace Ties or Type A Flue -Fireplace Throat clearance
4J. is Access; Size & Romex Protection -Draft Stop -Ins. Baffles
B - Windows or Exiting Doors -Sill Hgt. & Dimensions
497 -Garage Fire Protection Framing
Property Line Firewall & Openings
. Ext. Doors -One 3 -Check Garage 3rd Story, 2 Exits
Stairs; Width -Headroom -Rise -Run -landing -Fire Protection
Plywood on Roof Overhang -Attic Vents -Rafter Outriggers
i mg -Nailing Veneer
57. Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access
Glazing Area -Glass Protection -Skylights -Plastic
59. Shear Walls; Nailing -Bolts
P -trace Interior / Exterior Wall Panels
.�61. Insulation -Walls -Ceilings
-;%/ _ -
Date'J -: j'7Card B-1 Date Card B-1
Date 7 Card Date Card B-1
Date V FINAL (Plans OK except #'s
fps -Door & Sidelight Protection -Landings
moke Detector
Air-Conector-
In G 6, Above Floor -Ducts -Meeh. Protection
edr Exiting
FI. & Bath Fixtures & Tub Access -Spa
ec. Trim-& Subpanel, Breaker Sizes & Labels
tairs & Rails
ace or Stove, Clearance -Hearth
ec. Outi is -at Wood Panel, Int. & Ext.
Fixt. & Appliance; Ground. -Air Gap -Cooking Clearance
Outlets & Rece ticales at Kit. Counter
arra a Fire Door; Swing -Landing -Closure
uct in Gara a Dam
7 Wtr. Htr.; Vents-Clearan o b. A' onnector-P.R.V.
In Ga -e; Above Floor-Mec . Protection
Ib., Elec & Mech. Equip. Listed for Location
ec ece tacles in Garage G.F.I. -Romex Protection
nsulation-Foam-Looked in Attic
uard rails & Deck Construction -Post Caps
OT -rd -n VBents & Crawl Hole Door Drainage & Wood -Earth
Clearance Looked under Floor 0 Yes
, 82. Following Instid./Dhw 0 Yes 0 No/Walks 0 Yes 0 No/Planters 0 Yes 0 No
u Town -Finish
A.C. Vpit-Disconnect, Electrical -Plumbing
45�-ents Above Roof. Plba-ADDliance-FireDlace-Clearance to Oceninas
ate [-,Disconnect, Electrical, Plumbing
terio . Trim, G.F.I. Receptacle -Underground
enWadon Throught House
lass Protection
Corrections from Previous Inspections
X . Gas Test- eters Tagged, Gas -Electric
ater & Swer Connected -C/O to Grade -HD Approval
nergy Compliance Certificate -Other Certificates
DateCard B Date Card B-1
Date' Card B-1 Date Card B-1
Date Card B-1 Date Card B-1
Comments at Final:
COUNTY OF BUTTE- DEPARTMENT OF DEVELOPMENT SERVICES - BUILD DIVISION
7 County Center Drive - Oroville, California •95965 Telephone (91 538-7541 PERMIT NO.
(Rev. 12/96) APPLICATION AND PERMIT (�g�" /�
ASSESSOR PARCEL NUMBER 025-140-005
ZONING A 40
/ BUILDINGPERMIT
OWNER CLINT &GAIL MOFFITT
8680 1359
SO. FT. OCC. BUILDING VALUATION
R 24,94F -O0
OWNERS MAILING ADDRESS
2770 LARKIN RD BIGGS, 95917
CONTRACTOR'S NAME OWNER
TELEPHONE
CONTRACTORS MAILING ADDRESS
CONSTRUCTION LENDER
Fireplace
LENDER'S MAILING ADDRESS
'
Total Valuation $ 24,948.00
ARCHITECT OR ENGINEER
LICENSE NO.
-Filing Fee
$ 20.00
Permit Fee
$ 252.00
ARCHITECT OR ENGINEERS MAIUNG ADDRESS
Plan Checking Fee
$ 163.80
BUILDING ADDRESS 2770 LARKIN RD
Energy Plan Checking Fee
$ 23.00
BIGGS, 95917
$
PERMIT FEE
$ 458.80
LOT NO.
SUBDNISIONS NAME
PARCEL MAP
PLUMBING PERMIT
Fling Fee 20.00
USEOFSTRUCTURE
SF CX Duplex ❑ Mobilehome ❑ Other
SPECIFY
Each Trap
7.00
Solar or heat'pump water heater
23.00
Water piping
15-00.15. 00
Each as water heater or vent
15.00 15.00
TYPE OF WORK
New ❑ Addition )b Remodel ❑ Utilities ❑ Installation ❑ Other ❑
Describe work: _ ADD TO BEDROOM & Ann MASTER BATH
Gas piping system 1 - 5 outlets
15.00 15 .00
Building sewer
15-0015.00
Mobile Home I S I G I W
@20.00
PERMIT FEE
$ 80.00
ELECTRICAL PERMIT
Fling Fee 20.00
600VOR LESS
Main Service 200A OR LESS
23.00
LICENSED CONTRACTOR'S DECLARATION
1 hereby affirm under penalty of perjury that I am licensed under provisions of Chapter
9 (commencing with Section 7000) of Division 3 of the Business and Professions Code,
and my license is in full force and effect.
License Class LIC. No.
OWNER -BUILDER DECLARATION
I hereby affirm under penalty of perjury that I am exempt from the Contractors License
Law for the following reason:
rjMg- I, as owner of the property, or my employees with wages as their sole compensation,
will do the work, and the structure is not intended or offered for sale.
❑ I, as owner of the property, am exclusively contracting with licensed contractors
to construct the project.
❑ 1 am exempt under Sec. Business and Professions Code for this
reason
Main Service 200A TO 1000A
46.00
NEW CONST. 07UNG OCCUP.
OR ADDNS. ( 07
ACC. BLDS.
SO
3.50FT.NEW 16.20
NON-RESIIDT AS. NCI CIRCUUIIfTS
@7.50
POWER APPARATUS
8 SINGLE OUTLET CIR.
Ex. Occu OUTLET OR FIXTURE
20 Q 1.00
ens @ .so
Ex. Occup. O REESSIp.OEX
5.00
Temporary Service
23.00
Mobile Home Facilities
20.00
Misc. Wiring
23.00
PERMIT FEE
s 36.20
WORKERS' COMPENSATION DECLARATION
1 hereby affirm under penalty of perjury one of the following declarations:
❑ 1 have and will maintain a certificate of consent to self -insure for workers'
compensation, as provided for by section 3700 of the Labor Code, for the
performance of the work for which this permit is issued.
❑ 1 have and will maintain workers' compensation insurance, as required by Section
3700 of the Labor Code, for the performance of work for which this permit is issued.
My workers' compensation insurance carrier and policy number are:
Carrier
MECHANICAL PERMIT
Fling Fee 20.00
Heating EXTEND
15.00
Cooling DUCTS
Hood
6.50
Ventilation
PERMIT FEE
$ 35.00
Policy Number
(The above sections need not be completed if the permit is for work of a valuation
of one hundred dollars ($100) or less.)
jV, I certify that in the performance of the work for which this permit is issued, I shall
not employ any person in any manner so as to become subject to workers'
compensation laws of California, and agree that if I should become subject to the
workers' compensation provisions of section 3700 of the Labor Code, I shall
forthwith comply Wthosepros.
X ___ Date Z �-_
Signature of Applicant ntractor ❑ Agent
An OSHA permit is required for excavationsova 5'0" dee a d demolition or construction
of structures over 3 stories in height.
r
Mobile Home Installation Fee $
Energy Inspection Fee $
1 46.00
occ CONST. TYPE
TOTAL F $
HA2. D. FEE IMP FL D
C PAR
ISS
This permit is hereby issued under
of the Butte County Code and/or
indicated above for which fees have
By
PERMIT EXPIRES ON
the applicable provisions
Resolutions to do work
been paid.
q�
ate
2 (f g
Def,
Receipt No. 224127- - 243.80// O. c�I
WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -IN ECTOR GO DENROD-APPLICANT
a
TO: Building Department
FROM: Environmental Health
SUBJECT: Sanitation Clearance
qo f 44 /- 7 7 iJ
Owner
Plan Approved for: Sewage Disposal
Clearance for dwelling. Other _
Hold final for:
Final clearance O.K. for:
NOTE:
Environmental Health Specialist
E.H. USE ONLY
l
Plot Plan Attached
Floor Plan Attached
Sent to B.D. /
Location
1✓ Water Supply:
-dj -f--) Z.X 'a A
AP#
Publi Private Well
7,F'(7
Date
1F^�` � . r 4......�:.t-:�'i^^t ..na-w•7.:s 4 .+?w - j� � r. y.. .. SMrP..S�y�r'�«r�r'�� a • r �.�n,i, ; r,.. . ! -
r
COUNTY OF BUTTE DEPARTMENT OF DEVEBO-PRIENT SERVICES - BU ING DIVISION
7 COUNTY CENTER DRIVE - OROVILLE, CALIFWR 5 - TELEPHONE 6)p53388-7541
PERMIT APPLICATION DATA SHEE
OWNER: ASSESSOR PARCEL ER:
Proposed Building tfse: Building Inspector: Date:
At time of permit application, I was advis-ea 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 the preparer of plans. ------------------------------------------------------------
❑ 3 . Complete plans, 3/4 sets, signed by the preparer of plans. -----------------------------------------------------
04. Engineered plans, 3/4 sets, with wet signature on plans. All engineering must be shown on plans. --------
❑ 5. Engineered truss details and layout in duplicate (required prior to plan review) No faxes! ------------------
V#Energy Design Compliance and supporting documentation. -----------------------------------------------------
0 7.
---------------------------------------------------❑7. Statement of Intent for Non -Heated and A/C Buildings. ---------------------------------------------------------
❑ 8. Hazardous Material Form.------------------------------------------------------------------------------------------
Manufactured Home data and installation instructions including Tie Down Specifications.------------------ iw ale
} Fees of $ - -----------------------------------------------------------------------------------
Impact fees as shown on the attached schedule. - <"�i�� ���'� p "----------------------------- C�
❑ 12. California Department of Forestry plan approval/fees. ---------------------------------------------------------
❑ 11 Fl elevation certificate. ----------------------------------------------------------------------------------------
amtation and plot plan approval � Health Department.-------------------------------------------
I
------------------------------------------ p-
15. City of Chico plumbing permit.-----------------------------------------------------------------------------------
❑ 16. Plot plan and business license approval from the City of Biggs. ----------------------------------------
❑ 17. Planning approval for (A) Use: (B) Parking:. --------------- ____
❑ 18. Contact Land Development about ❑ Improvements, ❑ Drainage, ❑ Legal Parcel. -----------------
❑ 19. Encroachment Permit for driveway (construction approval prior to occupancy). ---------------------
020. Pre -inspection for required. Request to Building Inspector. on
❑21. Contractor's license information. (Number, Name Style, Classification). -----------------------------
022. Workers' Compensation carrier and policy number. -----------------------------------------------------
023. Owner -Builder Verification (Given to owner ❑, Mailed to owner 0) - -------------------------------
024. Letter of signature authorization. -------------------------------
025. Recorded copy of Agricultural Acknowledgment Statement.
❑ 26. Letter of intent on building use. ---------------------------------
027. Manufactured Home utility clearance. --------------------------
028. Existing violations and/or expired permits. --------------------
029. 0433 A, ❑Grant Deed, ❑ M.H. Title, ❑ Check to H.C.D $
030. Other:
_ (Date)
you issue the p� p o ss as fo ows 11 Mail to owner, /❑ ail t contractor.
Telephone �� U _L 13 and hold for pickup at (/ office. ❑ Deliver with ctor.
Applicant: Date: 71-71,77
Copy of Haz-Mat form sent ❑ Health Department, ❑ Fire Department, ❑ Air Pollution Date: By:
Copy of plans sent ❑ Health Department, ❑ Fire Department, ❑ Other: ate: By:
1. Index permit application for the above 'tem umber
El Plan Check List
2. Additional items required:
Contracto�wner, was ad the above required data by ❑ phone, ❑ mail, ❑ Building Division counter, by Date:
Contractor, desi owner, was advised of a above required data by ❑ phone, ❑ mail, ❑ Building Division counter, by Date:
Contractor, designer, owner, was advised of the above required data by ❑ phone, ❑ mail, ❑ Building Division counter, by Date:
Contractor, designer, owner, was advised of the above req 'A data by ❑ phone, ❑ mail, ❑ Building Divi ion counter, by Date:
Plans reviewed by: [ f�,�j Pproved by: Date:
Sets of plans on hold in ❑ Plan Cabinet, ❑ A.P. folder. i Note transfer by: Date:
Yellow Copy - Department of Development Services, Building Division. V—
OWNER -BUILDER VERIFICATION
Attention Property Owner:
An "owner -builder" building permit has been applied for in your name and bearing your signature.
Please complete and return this information at your earliest opportunity to avoid unnecessary delay
in processing and issuing your building permit. No building permit will .be issued until this
verification is received.
1. I personally plan to provide the major labor and materials for construction of the proposed
property improvement: YES NO ❑
2. I HAVE (9 HAVE NOT ❑ 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. I plan to provide portions of this work, but I have hired the following person to coordinate,
supervise, and provide the major work:
NAME:
ADDRESS: I CITY:
PHONE: CONTRACTOR'S LICENSE NO.
5. I will provide some of the work but I have contracted (hired) the following persons to provide'
the work indicated:
NAME ADDRESS PHONE TYPE OF WORK
SIGNED:
PROPERTYO
SOCIAL SECURITY NUMBER:
DATE: -%
Z/11
NOTE. This Owner -Builder Veryl-cation is required by Section 19831 and 19832 of the
California Health and Safety Code. This verification must be completed ' and
returned to our office before we are permitted to issue the permit.
OVER
OWNER BUILDER.INFORIti1ATION I
Dear Property Owner:
An application for a building permit has been submitted in your name listing yourself as the builder of property
improvements specified.
For your protection, you should be aware that as "owner -builder' you are the responsible party of record on such
a permit. Building permits are not required to be signed by property owners unless they are personally performing their
own work. If your work is being performed by someone other than yourself. ,you may protect yourself from possible
liability if that person applies for the proper permit in his or her name.
Contractors are required by law to be licensed and bonded by the State of California and to have a business
license from the city or county. They are also required by law to put their license number on all permits for which they
apply.
If you plan to doryour o ork, with the exception of various trades that you plan to subcontract, you should
be aware of the folio tttg information or your benefit and protection:
If you emplo, or otherwise engage an persons other than your.immediate family, and -the work -(including materials
and oter c ts)�s $300 or more 'for the. anti a"project;' and such persons are noz 'icensed as contractors or
subcontracto , the�ouu mayLus:%.,
employer.
♦ If you are an ,plover; yo�Iister with the State and Federal Governments as an employer and you are
subject to several obligations including state and federal income tax withholding, federal social security takes,
workers compensation insurance, disability insurance costs, and unemployment compensation contributions.
♦ There may be financial risks for you if you do not carry out these obligations, and these risks are especially serious
with respect to worker's compensation insurance.
♦ For more specific information about your obligations under Federal Law, contract the Internal Revenue Service (and,
if you wish, the U.S. Small Business Administration). For more specific information about your obligations under
State Law, contact the Department of Benefit Payments and the Division of Industrial Accidents.
If the structure is intended for sale, property owners who are -not licensed contractors are allowed to perform their
work personally or through their own employees, without a licensed contractor or subcontractor, only under limited
conditions.
A frequent practice of unlicensed persons professing to be contractors is to secure an "owner builder" building
permit, erroneously implying that the property owner is providing his or her own labor and material personally. Building
permits are not required to be signed by property owners unless they are performing their own work personally.
Information about licensed contractors may be obtained by contracting the Contractors State License Board in your
community or at 1020 N Street, Sacramento, CA. 95814.
Please complete the "Owner -Builder Verification" on the reverse side of this form so that we can confirm that you
are aware of these matters. The building permit will not. be issued until the verification is returned.
I rely,
Mic el C. Vi ira, C.B.O.
Ma ger, Building Inspection
NOTE. This Owner -Builder Information is required by Section 19830 of the California Health and Safety Code
OVER
COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT -SERVICES - BUILDING DIVISION
7 County Center Drive - Oroville, California 95965 - Telephone (916) 538-7541 PERMIT NO.
(Rev. 12/96) APPLICATION AND PERMIT
ASSESSOR PARCEL NUMBER /^�
�J
n' 20NING
BUILDING PERMIT
OWNER
1
1
TELFPH/NE`
S0. FT.Wo OCC. BUILDING
VALUATION
OWNERS MMVNQ AQDREs (
v r I
CO CTOR'S NAME "i U
e..ON1E'
CONTRACTORS MAILING ADDRESS
CONSTRUCTION LENDER
Fireplace
LENDER'S MAIUNG ADDRESS
Total Valuation Is
ARCHITECT OR ENGINEER
UCENSE NO.
Filing Fee $
20.00
Permit Fee $
ARCHITECT OR ENGINEERS MAILING ADDRESS
Plan Checking Fee $
BUILDING ADDRESS�� V
Energy Plan Checking Fee $
PERMIT FEE $
s
LOT NO.
SUBDIVISION'S NAME
PARCEL MAP
PLUMBING PERMIT
Fling Fee 20.00
Each Trap
7.00
USEOFSTRUCTURE
SF 4 Duplex ❑ Mobilehome ❑ Other
SPECIFY
Solar or heat pump water heater
23.00
Water piping
15.00
Each gas water heater or vent
15.00
TYPE OF WORK
New ❑ AdditionRemodel P t4lifies ❑ Installation ❑ Other ❑
j
Describe Work: 11
o
Gas piping system 1 - 5 outlets
15.00 /
Building sewer
15.00 i
Mobile Home S G W
@20.00
PERMIT FEE t
ELECTRICAL PERMIT
Fling Fee 20.00
Main Service 6600v op mss
23.00
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter
9 (commencing with Section 7000) of Division 3 of the Business and Professions Code,
and my license is in full force and effect.
License Class Lic. No.
OWNER -BUILDER DECLARATION
I hereby affirm under penalty of perjury that I am exempt from the Contractors License
Law for the following reason:
❑ I, as owner of the property, or my employees with wages as their sole compensation,
will do the work, and the structure is not intended or offered for sale.
❑ I, as owner of the property, am exclusively contracting with licensed contractors
to construct the project.
❑ 1 am exempt under Sec. Business and Professions Code for this
reason
WORKERS' COMPENSATION DECLARATION
1 hereby affirm under penalty of perjury one of the following declarations:
❑ 1 have and will maintain a certificate of consent to self -insure for workers'
compensation, as provided for by section 3700 of the Labor Code, for the
performance of the work for which this permit is issued.
❑ 1 have and will maintain workers' compensation insurance, as required by Section
3700 of the Labor Code, for the performance of work for which this permit is issued.
My workers' compensation insurance carrier and policy number are:
Carrier
Policy Number
(The above sections need not be completed if the permit is for work of a valuation
of one hundred dollars ($100) or less.)
❑ 1 certify that in the performance of the work for which this permit is Issued, I shall :
not employ any person in any manner so as to become subject to workers'
compensation laws of California, and agree that if I should become subject to the
workers' compensation provisions of section 3700 of the Labor Code, I shall
forthwith comply with those provisions.
X Date _
Signature of Applicant - ❑ Owner ❑ Contractor ❑ Agent
An OSHA permit is required for excavations over 5'0" deep and demolition or construction
of structures over 3 stories in heigh
Main Service tow TO IooDA
46.00
NEW CONST. DWELLWO OCCUR 3.SQso i
(
CONST. MUAir�ou�rLSS.
NRA
NON-RESIO. @7.5ET 0
POWER APPARATUS
6 SINGLE OUTLET CIR.
Ex. Occup. OUTLET OR FOCTURES BAL @ I.so
FDEDAPPtxs.CR
Ex. Occup. OUTLETS RESID. EA 5.00
Temporary Service 23.00
Mobile Home Facilities 20.00
Misc. Wiring 23.00
PERMIT FEE $
MECHANICAL PERMIT Fling Fee 20.00
Heating zr.. wo_
Cooling
Hood 6.50
Ventilation
PERMIT FEES
Mobile Home Installation Fee $
Energy Inspection Fee $
Occ
CONST. TYPE
TOTAL FEE $ G 100
HAz.
1 D. FEES I IMP
I FLOOD
CDF
PARCEL PO I NO
I ISSUE
This permit is hereby issued under the applicable
of the Butte County Code and/or Resolutions
indicated above for which fees have been
By Date
PERMIT EXPIRES ON
m_._,
provisions
to do work
paid.
ReceiptNo.
._.. ..__ - - - - - _...._.. ._ ---- -.1 1- ncuonn_noo, [rAMT
• e ��
'. �
.. f' t
of
��
.F y:
.
.
�'J.-
+ ...�:
J .,...
�. k.. ...
:;}.: �'
�.:
... r• •s -.r ., w , '�;�..... y s1�..[t.7're'�rr�' �. s <' i :.":y rJ�"r 'r�i�w as• '4<"'.:.._ . -. ,...� ..1.....�E. .. -. .. �ti . .
BUTTE COUNTY SCHOOLS IMPACT FEE CERTIFICATION FORM
(One form per Building)
School District / Building Department No.
A.P. Number a �7 i��� Jurisdiction: i City\ �� County
„Property Owner CL1 %ti ( A l 0
Property Location/Address c;)-7 7 4 /�-A�( / I,/ /'o
Subdivision Lot.No' /
4
Residential Development � � �� Sq. Footage
/Q
No of Living Mobile Home " Addition (Group R)
Units Installation
Commercial/Industrial
Building Department Representative
Addition
moor runs reviewea Dy acnooi uistnct rersonneil
District Identification No. 0(p
Sq. Footage
(Including Exterior
Roofed Areas))
—7-4;z,77-
Date
-4;z,g /Date
�v1
1477-e Gl School District certifies that C� lt'1-�- M. t ► f
(Applicant)
L���
(Street Address) (Phone Number)
�i eR "7
(City) �-/ I (State) (Zip Code)
has complied with the requirements of Resolution No. 1
representing 4 � :9, square feet.
School
by payment of $ '0/
rB 2926 $
LL MITIGATION $
r7- 5- 9'7
Date
Paid by Check # 4A Remarks: UnGL4i SDO S -4ee--f—
Nodce: You may protest the imposition of the fees identified above by submitting a written protest to the District, in compliance with
Government Code Section 660201a), within 90 days from the date fees are paid. Failure to submit a timely written protest will prohibit
you from challenging the Imposition of the fees in any court action.
If, subsequent to the School District Representative signing this Butte County Schools Impact Fee Certification Form, the School District is
notified by the applicable Local Planning Agency that this project is being reviewed under the California Environmental Quality Act (CEQA),
this project may be subject to additional school fees to fully mitigate its impact on the school district's schools. x
White (applicant), Yellow (building department), Pink (school district) feeform�xI ff/97•)dmm
C' rtificate of Compliance: Residential
LARRb . ,�AI�V �✓` AE -e—
(Page 1 of 2) CF -1 R
Building Permit #
Plan Chock/ Date
Field Check/ Date
mulnoa jr-amage. roint bystem or Computer) Climate Zone Enforcement Agency Use Only
GENERAL INFORMATION
Total Conditioned Floor Area:
Building Type:
(check one or more)
Front Orientation: 7.20
Number of Dwelling Units:
Floor Construction Type:
,4( ft2
Single Family ?C Addition
Mufti -Family Existing -Plus -Addition
North / East / South A�/ All Orientations
(Input orientation in degrees and circle one.)
.19
Slab / wised FIo (circle one or both)
BUILDING SHELL INSULATION
Construction
Component Insulation Assembly Location/Comments
Type R -Value U -Value (attic to garage, typical etc.)
Wall .............. 12—I5
Wall ..............
Roof ............. - TY►� 5--oa� Gt-4
Roof .....:.......
Floor.............
12_19 —r�iN F mo�-
Floor .............
Slab Edge ....
FENESTRATION Shading Devices
Fenestration Area
Orientation (sf)
Fenestration
U -Value
Interior
Exterior Overhang
Framing Type
(roller blind, etc.)
(shadescreen, etc.) (yes/no)
(metal/wood/vinyl)
Front..... ( ) �_
Front..... ( )
sr�Pr►�cOILY—
NIT
_
Left ....... ( )
Left ....... ( )
Rear .... ( )
Rear. ( )
Right..... ( )
'
SZ7M?t_
J5
Right..... ( )
S� d�
Y
M7L
Skylight ....... —L_
5
A
a-
hTL
Skylight .......
�_
M7 4-
-T ERM Rr�rlo./� 39.65
THERMAL MASS
s,f= I&%O��OOi7J04 73.92 sf TcML
I CTAct...- N E t`! 1 22 SF-.
Area Thickness
-T I L -e— 2 k80{T A
Revised January 1922
l� • V
�{ �� �
/' _ tom'%
��'•
7
Cate of Compliance: Residential
110 ASO n j7 / n,)
Project Tlue
(Page 2 of 2) CF -1 R
HVAC SYSTEMS
Note: Input hydronic or combined hydronic data under Water Heating Systems, except Design Heating Load.
Distribution
Heating Equipment Minimum Type and Duct or
Type (furnace, heat Efficiency Location Piping Thermostat
pump, etc. AF E/HSPF ducts/attic, etc.) R -Value Type
-- �I _ E 1V S7i,yS
Cooling Equipment Minimum
Type (air conditioner, Efficiency
heat oumD_ avan mnlinnl icr-co%
WATER HEATING SYSTEMS
Duct
Location Duct
(attic, etc.) R -V;
ated' Tank
Water Heater Distribution Number Input (kW Capa
Type Type in Svstem nr Rtu/hrl Innun
Thermostat Configuration
Type (split or Dack.
Energyl
External
Factor or
Tank
Recovery Standbys
Insulation
Efficiency Loss fom
R -V I
o a ue
�l4S S�utiAt� 1i7% �
1. For small gas storage (rated input 5 75,000 Btu/hr), electric resistance and heat pump water heaters, list Energy Factor.
For large gas storage water heaters (rated input a 75,000 Btu/hr), list Rated Input, Recovery Efficiency and Standby Loss.
For Instantaneous gas water heaters, list Rated Input and Recovery Efficiency.
SPECIAL FEATURES/REMARKS (Add extra sheets if necessary)
COMPLIANCE STATEMENT
This certificate of compliance lists the building features and performance specifications needed to comply with Title 24, Parts 1 and 6, of
the California Code of Regulations, and the administrative regulations to implement them. This certificate has been signed by the
individual with overall design responsibility. 'When this certificate of compliance is submitted for a single building plan to be built in multiple
orientations, any shading feature that is varied is indicated in the Special Features/Remarks section.
Designer or Owner (per Business 6 Professions Code)
Name: L A p -2y arie/L
Titre/Firm:
Address: S9
t.t-I t to c A. ,
Telephone: 9 / fS 92- o0 8
Lic. e: C-1 96F 1
(sig re) (date)
Enforcement Agency
Name:
Title:
Agency:
Telephone:
(signature/stamp) (date)
Revised January 1992
Documentation Author
Name: L AIL2y -1 -Wass--JA"
Tide/Firm: pt L �(ZpJ/°
Address:
C.I.�I C o tom. 9 e
Telephone: 9 t! 6 A4 2 - A u0
lq�Mandatory Measures Checklist: Residential
MF -1 R
NOTE: Lowrise residential buildings subject to the Standards must contain these measures regardless of the compliance
approach used. Items marked with an asterisk (') may be superseded by more stringent compliance requirements
listed on the Certificate of Compliance. When this checklist is incorporated into the permit documents, the features
noted shall be considered by all parties as binding minimum component performance specifications for the
mandatory measures whether they are shown elsewhere in the documents or on this checklist only.
DESCRIPTION
DESIGNER
ENFORCEMENT
Building Envelope Measures
* §150(a): Minimum R-19 ceiling insulation.
§150(b): Loose fill insulation manufacturer's labeled R -Value.
* §150(c): Minimum R-13 wall insulation in framed walls does not
( apply to exterior mass walls).
* §150(d): Minimum R-13 raised floor insulation in framed floors; minimum R-8 in concrete raised floors.
§150(1): Slab edge insulation - water absorption rate no greater than 0.3%, water vapor transmission rate no
greater than 2.0 perm/inch.
§118: Insulation specified or installed meets California Energy Commission quality standards.
Indicate type and form.
§116.17: Fenestration Products, Exterior Doors and Infiltration/Exfiltration Controls
a. Doors and windows between conditioned and unconditioned spaces designed to limit air leakage.
b. Manufactured fenestration products have label with certified U -value, and infiltration certification.
c. Exterior doors and windows weatherstripped; all joints and penetrations caulked and sealed.
§150(g): Vapor barriers mandatory in Climate Zones 14 and 16 only.
§150(0: Special infiltration barrier installed to comply with §151 meets Commission quality standards.
§150(e): Installation of Fireplaces, Decorative Gas Appliances and Gas Logs
1. Masonry and factory -built fireplaces have:
a. Closeable metal or glass door
b. Outside air intake with damper and control
c. Flue damper and control
2. No continuous burning gas pilots allowed.
r )
_
19
A
A
Space Conditioning, Water Heating and Plumbing System Measures
§110-13: HVAC equipment, water heaters, showerheads and faucets certified by the Commission.
§150(i): Setback thermostat on all applicable heating systems.
§1500): Pipe and Tank Insulation
/
1. Indirect hot water tanks (e.g., unfired storage tanks or backup solar hot water tanks) have insulation
blanket (R-12 or greater) or combined interior/exterior insulation (R-16 or greater).
2. First 5 feet of pipes closest to water heater tank, non -recirculating systems, insulated (R-4 or greater).
3. All buried or exposed piping insulated in recirculating sections of hot water system.
4. Cooling system piping below 55°F insulated.
5. Piping insulated between heating source and indirect hot water tank.
* §150(m): Ducts and Fans
1. Ducts constructed, installed and sealed to comply with UMC Sections 1002 and 1004; ducts insulated
to a minimum installed value of R-4.2 or ducts enclosed entirely within conditioned space.
2. Exhaust,fan systems have backdraft or automatic dampers
3. Gravity ventilating systems serving conditioned space have either automatic or readily accessible,
manually operated dampers..
§114: Pool and Spa Heating Systems and Equipment
1. System is certified with 78% thermal efficiency, on-off switch, weatherproof operating instructions,
no electric resistance heating and no pilot light.
2. System is installed with:
�.
a. At least 36' pipe between filter and heater for future solar heating.
b. Cover for outdoor pools or outdoor spa.
3. Pool system has directional inlets and a circulation pump time switch.
§115: Gas-fired central furnace, pool heater, spa heater or household cooking appliance have no
continuously buring pilot light. (Exception: Nonelectrical cooking appliance with pilot < 150 Btu/hr.)
Lighting Measures
§150(k): 40 lumens/watt or greater for general lighting in kitchens and rooms with water closets; and
recessed ceiling fixtures IC (insulation cover) approved.
Revised January 1992
v
Cbrtificate of Compliance: Residential ,
LP.RI2b 3. `_4Alr,4FYL W. fi �7Yln
N
GENERAL INFORMATION
Total Conditioned Floor Area:
Building Type:
(check one or more)
Front Orientation: 22o
Number of Dwelling Units:
Floor Construction Type:
or
4& 7 ft2
Single Family K Addition
Multi -Family Existing -Plus -Addition
North / East / Southj�/ All Orientations
(Input orientation in degrees and circle one.)
.19
Slab / wised FIo (circle one or both)
BUILDING SHELL INSULATION
Construction
Component Insulation Assembly Location/Comments
Type —R -Value U -Value (attic to garage typical etc.)
Wall .............. 7R -ISS T�I� tau.
Wall ..............
Roof ..............
Roof .............
Floor ............. 11_19
Floor ............. -
Slab Edge....
FENESTRATION Shading Devices
(Page 1 of 2) CF -1 R
Building Permit #
Plan Check/ Data
Field Check / Date
Fenestration Area
Orientation (sf)
Fenestration
LI -Value
Interior Exterior Overhang
Framing Type
(roller blind, etc.) (shadescreen, etc.) (yes/no)
(metal/wood/vinyl)
Front..... ( ) �_
Front..... ( )
���_ _ Y
Nut-
u _Left
Left....... ( )
Left ...... ( )
Rear..... ( )
Rear 1111. ( )
Right..... ( )
� ►�/LM A _�—
f�1-1 t_
�S
Right... ( )
�7� ��` Y—
HIL
Skylight ....... rz
� 5
Y
A
- M -f L
Skylight .......
- - N1
r% 7 L
-T C7,11, L r2... rz.-i ov e..o 39.6 S
THERMAL MASS
s , P I & % 0" "+0O)TJ O = 7 3.9 2 s f T -au ASO I )3.S? s;-
Cr, -%r L_ t\lrzk.l 122 sF.
Type/Covering
Area Thickness
(slab/exposed, tile, etc.)
(sf) (inches)
Location/Description (kitchen, bath, etc.)
1(00
Revised January 1292
Certificate of Compliance: Residential (Page 2 of 2) CF -1 R
N1 t7 EL- A 0 0 1 -7
Project Title 25
HVAC SYSTEMS
Note: Input hydronic or combined hydronic data under Water Heating Systems, except Design Heating Load.
Heating Equipment Minimum Type and Distribution Duct or
Type (furnace, heat Efficiency Location Piping Thermostat
Durno- ete.l /A CI ICiunnr.
Cooling Equipment Minimum
Type (air conditioner, Efficiency
heat Dumb. even_ ennlinni icr-r-0%
WATER HEATING SYSTEMS
Water Heater Distribution
Duct
Location Duct Thermostat
(attic, etc.) R -Value Tvne
Rated'
Number Input (kW
in System or Btu/hr)
Configuration
(split or pack
Energy' External
Tank Factor or Tank
Capacity Recovery Standby' Insulation
�ArS s�uwk� - l jig, J --
-�— Q -I 2
1. For small gas storage (rated input:5 75,000 Btu/hr), electric resistance and heat pump water heaters, list Energy Factor.
For large gas storage water heaters (rated input 2 75,000 Btu/hr), list Rated Input, Recovery Efficiency and Standby Loss.
For Instantaneous gas water heaters, list Rated Input and Recovery Efficiency.
SPECIAL FEATURES/REMARKS (Add extra sheets if necessary)
COMPLIANCE STATEMENT
This certificate of compliance lists the building features and performance specifications needed to comply with Title 24, Parts 1 and 6, of
the California Code of Regulations, and the administrative regulations to implement them. This certificate has been signed by the
individual with overall design responsibility. When this certificate of compliance is submitted for a single building plan to be built in multiple
orientations, any shading feature that is varied is indicated in the Special Features/Remarks section.
Designer or Owner (per Business & Professions Code)
Name: L A. 2A--/ J. W a w e,/L.
Title/Firm:
Address: _2-n mac)=d21_aT q- 14,�
Telephone: _ 9 / to B 92- $ oa s
Lic. C-196 J
(sign re)
(date)
Enforcement Agency
Name:
Title:
Agency:
Telephone:
(signature/stam))
(date)
Revised January 1992
Documentation Author
Name: L A1L2`I a . wA/t" i/L
Title/Firm: Ar t; G [?:QJP
Address: -2,.369 V F x�
e 2Y
Telephone: 9 r' f; fi4 , - & UcII-
6 5
( lure) (date)
Mandatory Measures Checklist: Residenti•aL MF -1 R
NOTE: Lowrise residential buildings subject to the Standards must contain these measures regardless of the compliance
approach used. Items marked with an asterisk (') may be superseded by more stringent compliance requirements
listed on the Certificate of Compliance. When this checklist is incorporated into the permit documents, the features
noted shall be considered by all parties as binding minimum component performance specifications for the
mandatory measures whether they are shown elsewhere in the documents or on this checklist only.
DESCRIPTION
DESIGNER
ENFORCEMENT
Building Envelope Measures
§150(i): Setback thermostat on all applicable heating systems.
* §150(a): Minimum R-19 ceiling insulation.
§1500): Pipe and Tank Insulation
§150(b): Loose fill insulation manufacturer's labeled R -Value.
* §150(c): Minimum R-13 wall insulation in framed walls does not
( apply to exterior mass walls).
* §150(d): Minimum R-13 raised floor insulation in framed floors; minimum R-8 in concrete raised floors.
§150(1): Slab edge insulation - water absorption rate no greater than 0.3%, water vapor transmission rate no
greater than 2.0 perm/inch.
3
systems, insulated (R-4 or greater).
3. All buried or exposed piping insulated in recirculating sections of hot water system.
12-19
5. Piping insulated between heating source and indirect hot water tank.
§118: Insulation specified or installed meets California Energy Commission quality standards.
Indicate type and form.
§116-17: Fenestration Products, Exterior Doors and Infiltration/Exfiltrahon Controls
a. Doors and windows between conditioned and unconditioned spaces designed to limit air leakage.
b. Manufactured fenestration products have label with certified U -value, and infiltration certification.
c. Exterior doors and windows weatherstripped; all joints and penetrations caulked and sealed.
§150(8): Vapor barriers mandatory in Climate Zones 14 and 16 only.
§150(f): Special infiltration barrier installed to comply with §151 meets Commission quality standards.
§150(e): Installation of Fireplaces, Decorative Gas Appliances and Gas Logs
1. Masonry and factory -built fireplaces have:
a. Closeable metal or glass door
b. Outside air intake with damper and control
c. Flue damper and control
2. No continuous burning gas pilots allowed.
A
L�
2. Exhaust fan systems have backdraft or automatic dampers
G. 75
3. Gravity ventilating systems serving conditioned spacehave either automatic or readily accessible,
manually operated dampers..
§114: Pool and Spa Heating Systems and Equipment
A
1. System is certified with 78% thermal efficiency, on-off switch, weatherproof operating instructions,
no electric resistance heating and no pilot light.
Space Conditioning, Water Heating and Plumbing System Measures.
§110-13: HVAC equipment, water heaters, showerheads and faucets certified by the Commission.
§150(i): Setback thermostat on all applicable heating systems.
§1500): Pipe and Tank Insulation
1. Indirect hot water tanks (e.g., unfired storage tanks or backup solar hot water tanks) have insulation
blanket (R-12 or greater) or combined interior/exterior insulation
(R-16 or greater).
2. First 5 feet of pipes closest to water heater tank, non -recirculating
systems, insulated (R-4 or greater).
3. All buried or exposed piping insulated in recirculating sections of hot water system.
4. Cooling system piping below 55°F insulated.
5. Piping insulated between heating source and indirect hot water tank.
* §150(m): Ducts and Fans
1. Ducts constructed, installed and sealed to comply with UMC Sections 1002 and 1004; ducts insulated
to a minimum installed value of R-4.2 or ducts enclosed entirely within conditioned space.
2. Exhaust fan systems have backdraft or automatic dampers
3. Gravity ventilating systems serving conditioned spacehave either automatic or readily accessible,
manually operated dampers..
§114: Pool and Spa Heating Systems and Equipment
1. System is certified with 78% thermal efficiency, on-off switch, weatherproof operating instructions,
no electric resistance heating and no pilot light.
2. System is installed with:
�.
a. At least 36' pipe between filter and heater for future solar heating.
b. Cover for outdoor pools or outdoor spa.
3. Pool system has directional inlets and a circulation pump time switch.
§115: Gas-fired central furnace, pool heater, spa heater or household cooking appliance have no
continuously buring pilot light. (Exception: Non -electrical cooking appliance with pilot < 150 Btu/hr.)
Lighting Measures
§150(k): 40 lumens/watt or greater for general lighting inkitchens and rooms with water closets; and
recessed ceiling fixtures IC (insulation cover)•approved.
Revised January 1992
RESIDENTIAL
0257140-005 PERMIT#94-2646
MOFFITT, CLINTON
2770 LARKIN RD., BIGGS
CONT: TML CONST.
NEW POOL HOUSE
qq,/ //7
JOB FINAL Date)
Signature
J=OK
O = Not OK
Not
= Not Readyable MOBILE HOMES
Date
MOBILE HOME UTILITIES (Plans) OK except #'s
1. Zoning Requirements -Setbacks -Easements
2. Soils; Special MH Support Sketch
3. Sewer; Location -Test -Fall -C/O Concrete
4. Water; Location -Test -Easement Needed (Sketch)
5. Electricity; Location-Clearences-Grnd-/ /Amp -Concrete
6. Gas; Location -Test -Wrap: / /" L" ft.
/ /"Nat. or/ /"L"ft./ /"LPG
7. Well Clearance & Disconnect
8. Utility Clearance
Date
Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1
Date
MOBILE HOME INSTALLATION (Plans) OK except #'s
1. Zoning Requirements -Setbacks Easements
2. Footings; Size -Spacing -Marriage Line
3. Gas; MH Test -Demand -Valve -Connector
4. Electricity; MH Test -Crossovers -Breakers -Clearances
5. Drain; MH Test -Fall -Flex Connector
6. Water; MH Test -Regulator -Connector
7. Water and Sewer Connected -C/O to Grade -HD Approval
8. Gas and Electricity Tagged
9. Exits; Insp.-Sketch
10. Cert. of Occupancy
Date
Card B-1 Date Card B-1
Date
Card B-1 Date card B-1
MISCELLANEOUS
Date DECKS, COVERS, CARPORTS, GARAGES, (Plans)OK except #'s
1. Zoning Requirements -Setbacks -Easements
2. Footings; Soils -Size -Depth -Spacing -Connectors -Steel
3. Decks; Griders and/or Joists -Decking -Bracing -Stairs -Rails
4. Wood Awn.; Posts-Beams-Rftrs.-Connectors
Shthg.-Rfg.-Bracing
5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures
6. Carports; Windows -Doors
7. Electric
8. Frmg; Sils-Anchors-Studs-Rftrs-Trusses
9. Siding; Nailing -Veneer -Stucco -Mesh
10. Roof; Shthg-Roofing
11, Ext.; Steps -Doors -Landings
Date Card B-1 Date Card B-1
Date Card B-1 Date Card B-1
Date POOLS (Plans) OK except #'s
1. Setbacks -Easements
2. Soils; Compaction -Structure Stability
3. Pool Structure; Steel -Connections -Thickness
Dead Men -Lining
4. Elec.; Receptacles and Lighting. Distances-GFI
5. Elec.; Pool Lighting; 15 volts-GFI
6. Elec.;Enclosures; Conduit Entries -Terminals -Listed
7. Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater
8. Elec.; Grounding; Equip. w/5' Circulating Equip. -Pool Lghtg.
Boxes-Enclosures-Panelboards-Ins. to Main in Conduit
9. Health Department Approval
10. Plumb.; Cir. Test -Water Supply Test
Date Card B-1 Date Card B-1
Date Card B-1 Date Card B-1
'✓=OK
O = Not OK
= Not Applicable ' = Not Ready
RESIDENTIAL (Single
Date UNDMFCOOR (Plans) OK except #'s
te'zon,igg'Setbacks-Easements-Flood-Slope
atfflg Main; Soils-Elec. Grnd.-/jj2:�Ftg. Depth
3. Ftg., Garage; Soils-Steel-Elec. Grnd.-/ /" Ftg. Depth
4. Ftg., Porches & Decks; Soils -Steel-/ /Ftg. Depth
5. Stemwalls, Main; Steel -Bloc kouts-Wrapped
6. Stemwalls, Garage; Steel-Blockouts-Wrapped
6a. Hold Downs and Special Anchors
7. Slab; Steel -Wrapped
/)8. Piers -Fireplace Ftg.-Steel
D.W.V.; Fall -Fitting -Test -2 Way C/O -Sewer Test
0. UF. Gas Pipe; Siz =Anchors - yard gas piping: size -test
Water Pipe; st-Anchor-Regulator-Service Test
1 . Electric; Underground
Pie ums & Ducts; Clearance -Material -Support -Ins.
Girde s -Sills -Anchor Bolts -Joists -Vents -Cripples
ccess & Ventilation
1 Insulation
D47-MmCard B-1 Date Card B-1
Date k Card B-1 Date Card B-1
Date PLUMBING (Permit),OK except k's
- - - 16. Wa r-Htr.. Vent -Access -Combustion Air -Baffle
ater Pipe; Test & Anchor -Nail Protection
------------�� ------------------------------------
Test -Fittings & Anchor -Nail Protection
--------------------------- --------------------
19. Shower Pan: Test, First Floor -Tub Access
20. Test Tub & Shower. Second Floor -Tub Access
------------ ---------------------------------
21. Gas Pipe: Size & Anchors
--------------------------------------------------------------------------------
Date Card B-1 Date Card B-1
-------------------------------------------------------------------------
Date Card B-1 Date Card B-1
Date ELEC ICAL (Permit) OK except ft's
Fi to & Transformer Clearance_Ins. Protection
--------------- -- ----------
-----------
Ele eceptacles Spacing -Lights & Switches at Doors
---------------- -----
------------- Size ---m------N-------C-o-n--d-u-cos--
of
--------
-------
------------------
omex.lnstalled Close to Edge of Studs & C.J.
-------------- -- ---- - -
--------------------------- -------------G-as-&-
quip Ground made up w!Mech. Fasiners-Bond Gas - - &- Water
------------------------------------------------ -------------- -----
27. 2 Appliance Circuts in Kitchen & Conductor Size/GFI
---------- --------------------------------------------
28. Subfeed Wire Size ga. Cu or AI-A.C. Wire Size ga.
Cu or Al
------------------------------------- -- -------------------------------------------29. Range Circ. ! I ga. Cu or AI -Oven Circ. / / ga. Cu or Al.
Insulated Neutral ❑ Yes ❑ No
----------------------------------------------------- - ---------------------------- ---
30. Service -Riser Conductors & Ground -Main Disconnect
----------- -- -- --------------------------------.
31. Equip Clearances Panels-Motors-Mech. Equip.
--------------------------------------------- --
32. Clothes Closet Light -Shower Light -Spa Light
------------------------------------------ -- - ----- - ----- ----- - .._...._._.
33. Smoke Detector
----------------------------------------------------------------------------------
---------------------------------------------------------------- - -- -- -- -
Date Card B-1 Date Card -B-1
Date Card B-1 Date Card B-1
Date MECHANICAL (Permit) OK except n's
34. A.C. Ducts Insulation & Support
------------------------------- ------------------------
35.
--------------------
35. Vent Fan: Exhaust above insulation
- -- -------------------------------------------
36.
-------------- --- -----------
36 Condensate Drain & Overflow: Size & Grade
--------- --------------------------- --...... -
37. Furnance-Vent: Access -Comb. Air -Return Air Vent -115 outlet
---------------------------------------------------------- -..- - - -
38. Attic Access & Platform if Furnance in Attic
------------------------------------------- ---------------------------------------
Date
------------------------------------
Date Card B-1 Date Card B-1
---------------------------------------------------------------- - ----------------
Date Card B-1 Date Card B-1
Date FRA Plans OK t #'s
-(Plans) except
30.'
Sils oper_Material & Anchors
- - a tud.ling. Spacing & Bracing -Plates -Sound
-- -
----- ----- ---- a ---------------------- ---------------------------
4 Be §Walls over Girders & Floor Nailing
- --- -- - ----- - - ----
4 . D Stop in Walls (rat proof)
---------------------------------------------- --- - --- -
4 Fir ps: Furred Ceilings -Stairs -Chases -Tub
441"H-eaders & Beam -Size & Bearing
& Duplex)
Date FRAMING (Continued)
agers-Post Caps -Anchors -Connectors
"'Cing. Joist-Rttr. ties-Purlin-roof Brac-Truss-Shthng.-Ring.
7. F�4 ireplace Ties or Type A Flue -Fireplace Throat clearance
------------------
ic Access; Size & Romex Protection -Draft Stop -Ins. Baffles
49--Bumf'-Windows or Exiting Doors -Sill Hgt. & Dimensions
---- ge Fire Protection Framing
P erty Line Firewall & Openings
--------------- ----
._Ext. Doors -One 3' -Check Garage -3rd Story, 2 Exits
----- --------idIh-Head room -Rise -Run- Land ing-Fire Protection
ply ed on Roof Overhang -Attic Vents -Rafter Outriggers
------------------
- . iding-Nailing Veneer
Mesh -Drip Screed -Fd. Vents-Underflr. Access
----!------ ------
-- ----
zmg Area -Glass Protection -Skylights- Plastic
Shear Walls. Nailing -Bolts
-------------------------
3�YYrtSulat'ion-Walls Ceilings
----------------------------- -
lelllvtration
_WaIIs=Windowsindows - -
------ ---------------------------- -- -
e Card B-1 Date Card B-1
---------------------------------- ---
Date Card B-1 Date Card B-1
Date FINAL (Plans) OK except ft's
€xt. Steps -Door & Sidelight Protection -Landings
-------------
62. Smoke Detector
-
------------- ---------------------
63. Furnace: Vents -Clearance -Comb. Air -Connector -
In Garage: Above Floor-Ducts-Mech. Protection
--- -----
-- ---------
64. Bedroom Exiting
--------------- - -
5. G.F.I. Bath Fixtures & Tub Access -Spa
66. Elec. Trim & Subpanel: Breaker Sizes & Labels
------------ -----------------
67. Stags & Rails
68. Fireplace or Stove: Clearances -Hearth
-- -
69. Elec. Outlets at Wood Panel: Int. & Ext.
7 Fix K tt. & Appliance, Grnd.-Air Gap -Cooking CI aran
ce
- ._
71.
Elec. Outlets & Receptacles at Kit. Counter
72. Garage Fire Door Swing -Landing -Closer
73.A C Duct inGarage_Damper
-- - -
74. Wtr. Htr.: Vents -Clearance -Comb. Air-Connector-P.R.V.
In Garage: Above Floor-Mech. Protection
75. Plb. Elec. & Mech. Equip. Listed for Location
--------------
76. Elec. Receptacles in Garage: (G.F.I.)-Romex Protection
----------------------------------------------
7,. Insulation -Foam -Looked in -Attic- ❑ Yes
78. Guard Rails & Deck Construction -Post Caps
79. Fdn. Vents & Crawl Hole Door -Drainage & Wood -Earth
Clearance Looked under Floor ❑ Yes
----- -------------------------------- ---------
80. Following instld.: Drive ❑ Yes ❑ No: Walks ❑ Yes
Planters ❑ Yes ❑ No
-----------------------------------------
81.
--------------------------------------81. Stucco. Brown_Finish -
82. A.C. Unit: Disconnect. Electrical, Plumbing
❑ No:
83. Vents Above Roof: Plbg.-Appliance-Fireplace.-Clearance to
Openings
------ -----------------------------------------
84. Water Well; Disconnect, Electrical, Plumbing
xterior Elec. Trim: G.F.I. Rece tacle- U nde rg round
a6. Ventilation Throughout House
- - --------------------------------------------
87. Glass Protection
...... ...... -----------------------------------
88. - - - --- - - ---------------------------
88. Corrections from Previous Inspections
....... . --- ----------------------------------------------------
89. Gas Test -Meters Tagged: Gas -Electric
_.....----------------------------------------- ---
90. Water & Sewer Connected -C/O to Grade -HD Approval ..
----- --- - -- ------------------------------ -
91. Energy Compliance Certificate -Other Certificates
--- - - ----------------------- -- -- --
Date G and B-1 Date Card B-1
--- ---- - --
Date Card B_1 -- Date Card B-1
-- --- - ----------------------
Date . Card B-1 Date Card B-1
Comments at Final
COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION
.7 County Center Drive - Oroville, California 95965 - Telephone 1916) 538-7541 PER T NO.
APPLICATION AND PERMIT !_ o��
ASSESSOR PARCEL NUMBER gel$ 25-14-005
ZONING A40
BUILDING PERMIT
OWNER CLINTON MOFFITT
868.1359
SO. FT. OCC. BUILDING VALUATION
OWNEWS MAILING ADDRESS
2770 LARKIN RD BIGGS
96 M 1 728.00
CONTRACTOR'S NAME T M L
589-1529
CONTRACTOR'S MAILING ADOflESS
2944 HERITAGE RD OROVILLE, 95966
Fireplace
CONSTRUCTION LENDER
UNKNOWN
Total Valuation Is
LENDER'S MAILING ADDRESS
Filing Fee $
20,00
Permit Fee $
41.00
ARCHITECT OR ENGINEER
LICENSE NO.
Plan Checking Fee $
26-65
Energy Plan Checking Fee $
X
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Penalty $
BUILDING ADDRESS 2770 LARKIN RD
PERMIT FEE $
$7.65
BIGGS
PLUMBING PERMIT
Filing Fee 20.00
Each Trap 2 1
7.00 14.00
Solar or heat pump water heater
23.00
LOT NO.
SUBDIVISION'S NAME
PARCEL MAP
Water piping
15.00 15.00
Each gas water heater or vent
15.00
USE OF STRUCTURE
SF O Duplex ❑ Mobilehome ❑ Other POOL HOUSE
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 ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑
Describe Work: Pool, HOUSR
PERMIT FEE $
64.00
Contractor
ELECTRICAL PERMIT
Filing Fee 20.00
Main Service ( BOOV OR LESS )
200A OR LESS
23.00
Main Service ( 200A TO 1000A I
46.00
NEW CONS.OR ADDNS T ( O BEACCLING BLDS. I
3.50 FTO. 3.35
CONTRACTORS LICENSE LAW
I declare under penalty of perjury (check one)
I 1 am a licensed under provisions of Chapter 9, Division 3 of the Business and
Professions Code and my ' ense is in full force and effect.
License No. Classification
❑ I, as the owner, or my employees with wages as their sole compensation, will do
the work, and the structure is not intended or offered for sale. (Sec 7044)
❑ I, as the owner, am exclusively contracting with licensed contractors. (Sec 7044)
O I am exempt under Sec. Business and Professions Code
forthis reason
NEW CONST. MULTI -OUTLET
-NON-RESOD. I BRANCH CIRCUITS I
@7.50
I POWER APPARATUS )
8 SINGLE OUTLET CIR.
Ex. Occup. ( OUTLET OR FIXTURES )
BAL. @ r.50
FIxEO APPLNS. OR
Ex. Occup. ( OUTLETS (RESID.) EA. I
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):
❑ This permit is for $100.00 (valuation) or less.
I have placed on file with the County of Butte Dept. of Development Services,
Building Division a Certificate of Workmen's Compensation Insurance or a
Certificate of Consent to Self -insure.
❑ I shall not employ any person in any manner so as to become subject to the Worker's
Compensation laws of California.
Notice to Applicant: If after making this statement, should you become subject to the
Worker's Compensation provisions of the Labor Code, you must forthwith comply with
such provisions or this permit will be revoked.
PERMIT FEE $
23.35
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.
1 agree to comply to all Butte County Ordinances and California State Laws relating to
building construction, and hereby authorize representatives of the County of Butte to
enter upon the above mentioned property for inspection purposes.
1 also agree to save, indemnify and keep harmless the County of Butte against all
liabilities, judgments, costs, and expenses which may in any way accrue against said
Co y in consequence of th�grantin this permit.
X Date �9
I ature of Applicant - ❑ Owner Contractor ❑ Agent
n OSHA permit is required for excavations over 5"0" deep and demolition or
construction of structures over 3 stories in height.
Mobile Home Installation Fee $
Energy Inspection Fee $
CONST ,TgrE
N
TOTAL FEE $ .00
HAZ O. FEES
I IMP
Fl O CDF
pARCEI I D
HD UE
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.
/
BYate 6
PERMIT EXPIRES ON �� -2 T�
a tel
Receipt No. 167757
WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT
--:CO�UNTYOF BUTTE -DEPARTMENT OF DEVELOPM ENT SERVICES -BUILDING DIVISION
4 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 -TELEPHONE (916) 538-7541
PERMIT APPLICATION DATA SHEET (�
OWNER o."?- 5, / TU7 O0
Proposed Building Use Building Inspector;,,e Date
At time of permit application, I was advised the following data must be submitted prior to permit processing and/or issuance:
i
DATE RECEIVED BY
i 1,
All items have been submitted . ........................................
2.
Plot plans, 3/4 sets, signed by preparer of plans . ..........................
3.
Complete plans, 3/4 sets, signed by preparer of plans . ..................... .
4.
Engineered plans and calcs, 3/4 sets, with wet signature on plans . .............
5.
Hazardous Material Form . .............................................
6.
Energy Design Compliance and supporting documentation . ..................
7.
Statement of Intent for Non -Heated and A/C Buildings . ......................
8.
Engineered truss details and layout in duplicate (required prior to plan check). ....
9.
Mobilehome data and manufacturer's installation instructions, 2 sets. ...........
10.
Fees of $ .......................... .............
11.
Impact fees as shown on attached schedule . ............... '...............
r12.
California Department of Forestry plan approval/fees.........................
t13.
14.
Flood elevation letter (100 year flood) by California Engineer...
Sanitation and plot plan approval Health Department . ............/QZ��
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 2qu-0-
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 . ..........................................
26.
Copy of recorded deed of parcel creation and 60 right of way to a public road. .... .
27.
Letter of intent on building use . ........................................ .
28.
Mobilehome utility clearance . ..........................................
29.
Documentation of legal access . ..................... :..................
30.
Documentation of 50% subdivision developed or (A) Road improvements completed
and (B) Parcel meets zoning area and frontage requirements . ..... :.........
31.
Existing violations/expired permits . ......................................
32.
Plan check list . .....................................................
33.
34.
When you issue the permit, process as follows: Mail to owner. Mail to contractor.
Telephon@_j:�j f!Z?=Q and hold for pickup at /9Gt_O office. Deliver with inspector.
Other c�
Parcel Creation� Date
Acreage �, Applicant
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
1. Index permit for above items No.
2. Additional items required:
it issuance: (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 bygyDate •ZfS-�%
:! Sets of plans on hold in File cabinet AP folder�)L J-Zg-L?
Copy - Department of Public Works l
E.H. USE ONLY
.. "�
. Plot PLa'Amsched
i%" Play AmwhW,.
Seat to B.D. � Oi
TO: Building Department
FROM: Environmental Health
SUBJECT: Sanitation Clearance
yn4z�/2� owb &AALn Rd, cis -m ._s -
Owner Location AP#
Plan Approved for: Sewage Disposal Water 4VY: Public Private Well
Clearance b m ther
Hold final for:
Final clearance O.K. for:
Ph 1 I / u!�
Environmental Heaith Specialist Date
Qia1)
F1041AL
G-Fx aot
Environmental Health
SEP 2 1994
droville, California
APPROVED
Butte County
Environmental Health
-
® 07
---g�
Dto
Signature.
jumx3 imanO3 aw a3dnionvamo uvm
'M nwe 3m"Riamao WON 3a vim I'm
OW S3Nn MSUOW UM MU nOW *.0
CHAOd
. d d V- ...... ONd MIS 3H1, WONT 'L-! ~_� Ao ire I v
kN3W1bVd30 - atw ITW
�j
�!/ •,.SIU/,��/n� Q�/r7m � QOO/ ..
em
joso aid. 9
�u�ts►�3 N
"79
0616 r
,-ERMIT NO. 1295-78B.%P,E)m
PERMIT EXPIRES
OWNER Clint & Gdil Moffitt
CONTR. owner
LOCATION (A.P. 25-14-2
E/S Larkin Rd., 550'S.of Palm Ave., Biggs
irT
F.
Temp. Power Pole
Called PG&E
Temp. Elec. Serv.
Cgllecl PG&E
T
p. Gas Serv.
Called
e PG&E
JOB \/F1NALED---/J//c9�.
l.-
r
-
. tr
b I
. Q
. f
•
1 r'`•
.3
COUNTY OF BUTTE --DEPARTMENT OF PUBLIC WORKS "
BUILDING INSPECTION RECORD
BUILDING,,,.,., BUILDING (Cont'd) PLUMBING
Setback
Forms
Main Bid
Footin
Stemm
Slab
Piers
lasonry Walls
owwn
Finish
1
Water Piping Sewer Gas Piping
MOBILEHOME INSTALLATION - - - - - - - - - - - - - - Support Elec. Continuity _
Water Piping Drainage Gas Piping
_ DATE REMARKS OR CORRECTIONS
S'� o v -e S'I de, a x 4 � { ra--e.`s
�,'"o ✓ r d c�d c S te' A-, 6e—s o +' PI 'a S u r. d 4-- cp b C Oki
7 S'„ 78e �bo✓tins 6� s "�
r
(N E: An �tftry mLst a ma ;Pf is o�m� eacl i you vi�6�r[e.l�' �e
/_T/5 — 44
f � i
! 3 E t
I i I I f T
• RESIDENTIAL
ENERGY CONSERVATION:"STANDARDS
CONSTRUCTION COMPLIANCE CERTIFICATE
THIS IS TO CERTIFY THAT ENERGY CONSERVATION REQUIREMENTS HAVE BEEN
INSTALLED IN CONFORMANCE WITH CURRENT ENERGY CONSERVATION REGULATIONS
AT
(location)
BUILDING PERMIT NO. A;P. NO.
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 de4i2lmim
Ceiling/Roof
Ducts adZS
Circulalting Pipes
APPROVED HEATER
APPROVED WTR.HTR.
GLAZING:
Single Glazed
Special (Insulated) ,
CERT. & LABELED WDS.
& SLIDING DRS.
WEATHERSTRIPPED DRS.
BACK DAMPERED FANS
INTERMITTENT IGNITION DEVICES
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. %% ,,fi�r
Insulation Applicator Name �I , XI✓ f *4 tows
Signature of '�J� (please print)
Insulation Applicator ff 0— wit , IV S
State Contractors
License No.
General Contractor/Owner Name l�,�/ f f Ad /', *T A rp
( ase•print)
Signature of
General Contractor/Owner Date ��"� *7J1v
State Contractor
License No.
THIS CERT IF ICATE MUST BE ON FILE WITH THE BU ILD ING DEPARTMENT PRIOR TO
REQUESTING FINAL INSPECTION AND SHALL BE POSTED IN A CONSPICUOUS LOCATION
WITHIN THE DWELLING.
COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS
7 County Center Drive - Oroville, California 95965
Telephone: 934-4541
APPLICATION AND PERMIT
71
/5;� �>
Signature of Permitee or Agent
%
BY Date
Receipt No. !,
�—
White-D.P.W. - Yellow -Assessor - Pink -Inspector - Goldenrod -Applicant Building permit expires Date `[tet �� 7 �/
BUILDING
Owner G
SQ. FT. OCC. BUILDING VALUATION
Mai I ing Address AP 7- S3P
elephone No.
Contractor
Mailing Address
Fireplace
Total Valuation
Telephone No.
Permit Fee
Building Address �� e ` .. r^I
P�
Plan Checking Fee&/or Penalty
Permit Fee
��Ci �>
PLUMBING No.1 @ FEE
!!
PERMIT FILING FEE $3.00
Each Trao It1.50
Zorbg Ver ificafi n 0.1,
Repair drainage or vent piping 1.50
A. P.No. ,�/' `%�� �ZonI r
Water piping 1.50
Each gas water heater or vent 1.50
Fae's W/ S ion
Parking Parcel
EQA Pla s Declaration
Fire Dept.
Fire Zone Use Permit
Gas piping system 1 - 5 outlets 1.50
Parcel Map
60' R/W
Improvements
Each additional outlet .30
Building sewer 5.00
�ij
Bldg. PItS s Rec'd
Parc p rovol
Plon pproval
Lawn sprinkler system 2.00
NEW ADDITION ❑ UTILITIES ❑ OTHER ❑
Permit Fee $
.$
ELECTRICAL No.1 @ FEE
PERMIT FILING FEE $3.00
-
Main service 600V OR LESS
100 AMP OR LESS 5.00
SinSingle Family Duplex
9 Y p ❑ Mobil Home ❑ Others ❑
Main service EA. ADD'L 100 AMP 2.50
Main service OVER 600V
00 AMP OR LESS 25.00
Main service/ EA. ADD'L 100 AMP 1.00
NE ONST. OR ACDNS. LAW I O 'C 4\ 20sgft
/
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:
NEW CONSTRES,D, MOLT I - OU LET
NON-RESID ( BRANCH CIRCUITS/ 2.5Oea
NEW CONSTR. POWER APPARATUS .&
NON-RESID. SINGLE OUTLET CIR.
Ex. Occuo{OUTLETS OR FIXT11RES 1 5 L01
Ex. OCCU / FIXED APPLNS. OR
p.(FIXED
(RESID.) EA) 2.00
Temporary service 10.00
Mobile Home Facilities 15.00
License No. Classification
Misc. Wiring 6.25
®1 am exempt from the Contractors License Laws of the State of Cal ifomia.
Permit Fee $
WORKMEN'S COMPENSATION INSURANCE
I 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.
❑I have placed on file with the County of Butte a certificate of
Workmen's Compensation Insurance.
LYJ 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
California.
MECHANICAL :No.1 @ FEE
PERMIT FILING FEE $3.00
Heating
P
Cooling
'
Ventilation % ��
Hood I J 2.00
Permit Fee $
$ t;
I certify that I have read this application and state that the above
information is correct. I agree to comply to all County Ordinances
and State Laws relating to building construction, and hereby
authorize representatives of the County of Butte to enter upon the
above-mentioned property for inspection purposes.
%%��
X1e� � t'T Date 31
Land Development Fee
$
TOTAL PERMIT FEE
$
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.
DIRECTOTOI PUBLIC WORKS
Signature of Permitee or Agent
%
BY Date
Receipt No. !,
�—
White-D.P.W. - Yellow -Assessor - Pink -Inspector - Goldenrod -Applicant Building permit expires Date `[tet �� 7 �/
RESIDENTIAL PLAN CHECKING GUIDE
(S.F., DUPLEX, & MISC. ONLY)
Bldg. Permit # zya--7f
OWNER A.P. # .2101–
A.
?ef
A. GENERAL
Zoning requirements (sideyards and parking).
;----ysignature
aluation. t
by R.C.E. or Architect (if required).
B.. PLOT PLAN
Complete parcel size and dimensions.
Setback*, sideyards, easements, etc.
Other buildings or structures.
Grading, fills, drainage.
C. FLOOR PLAN
Complete to scale plan with dimensions.
Required windows for light and ventilation (Sec. 1405).-
Required
405). Required windows for second exit (Sec. 1404).
Allowable glazing for energy requirements (20% max. per.State law).
® Human impact glass (Sec. 5406).
Required room sizes, ceiling heights (Sec. 1407).
G.F.C.I.'s in baths and exterior outlets (Sec. 210-8).
Light fixtures, switches, receptacles, and exterior receptacles for maintenance of
mechanical equipment.
/ Locations of water heater, heating & cooling equipment, other electrical or gas
equipment, and plumbing fixtures.
Garage firewall, door size, and closer (Sec. 503(d)(4)).
5l l -•3'0" exterior exit door (Sec. 3303d).
fireplace location.
Smoke detectors (Sec. 1413). 2—
D. STRUCTURAL DETAILS,
Foundation plan complete enough to construct building.
Floor construction details complete enough to construct building.
;3• Elevations and wall construction details complete enough to construct building.
�+! Roof construction details complete enough to construct building.
Fireplace construction details and calcs if over one-story in height.
6. Sufficient data and details to satisfy energy insulation requirements (State law).
A
E. MIR;CELLANEOUS ITEMS TO LOOK OUT FOR
CCX plywood on exposed locations and overhangs.
(21 Stairway details (Sec. 3305).
3. Guardrail details (Sec. 1716).
Brick or stone veneer (Chapter 30).
,00.5. Exterior plaster - weep screeds (Sec. 4706 & 4708).
P -roper roof pitch for roof covering (Chapter 32).
87� Aafter ties or bearing ridge beam.
. Garage door or porch header sizes.
,,uvi dequate bracing.
10? Living area over garage - complete 1 -hour separation required including supporting
walls and posts, etc. W.
11. Two (2) exits on three-story dwellings (Sec. 3302).
PE,AMIT N0. 3980-78B
i
PERMIT EXPIRES 7/
","OWNER EM CLIFF & GAIL MOFFITT
CONTR. owner
Y'
LOCATION (A.P. 25-14-02 )
9616 Larkin Rd, Biggs
.n
' 4
d '
F
4 •
Temp. Power Pole
Called PG&E
Temp. Elea Serv.
i
Called PG&E
yTem Gas Serv.
lled PG&E
LED
(Date)
(Signature)
.,r
v"
�_
.►
.,r
.. ,
� ,f �
,.
COUNTY OF BUTTE,'—' DEPARTMENT OF-PUBLIC• WORKS:: .
BUILDING INSPECTION-REGORD
BUILDING BUILDING .(Cont'd) PLUMBING'
Setback Firewall Soil Piping
Forms Parapets 1st Floor
Main Bldg. Restroom Finish 2nd Floor
Footings Windows 3rd Floor
Stemwall Siding To out
Slab Roof Sheathing Water PI in .,
Piers . Roofing Sewer
Garage Fdn. Vents Fixtures
Footings Garage Vents Water Htr.
Stemwal l Insulation Heaters
Slab Prov. for ph sically Appliances
handicaped
Carport Conformance of ex. Gas Piping &Test
Footings structure Temp. Gas
Slab Final Sanitation
Patio FIREPLACE Final .
Footings Footing ELECTRICAL
Masonry Walls . Throat Rough
Reinf. Steel Final Fixtures
Bond Beam FIRE SPRINKLERS Motors
Framing Test Water Htr.
Stucco Final Subpanels
Mesh MECHANICAL Grd. Fault Prot.
Scratch Heating Service
Brown Cooling Temp. Pole
Finish Ducts Underground
Interior Lath Ventilation Permanent
Door Closer Final Final
MOBILEHOME UTILITIES - - - - - - - - - - - - - - Elec. Service Elec. Pedestal
Water Piping Sewer Gas Piping
MOBILEHOME INSTALLATION ------------ -Support Elec. Continuity
------------
Water Piping Drainage Gas Piping yti
DATE REMARKS OR CORRECTIONS
-2 =eo
(NOTE: An entry must be made on this form each time you visit the job site.)
COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS
7 County Center Drive — Oroville, California 95965
Tel epholie: 534 ,4541
• APPLICATION AND PERMIT
Owner rnMN A�-Iljwfj,
Contractor
..
AddressPIP
Building /6/rI
..wA), �_-.
A Telephone No.
09
^
A. P. No. ��`IIJ
0
Zoning & Planning
F
TLET
NEW RESID,CONST/ BRANCH CIRCUITS NON -REST D, 1 BRANCH CIRCUITS
•8:ci(*A�
EX. Occup{OUTLETS OR FIXTIII7E;
Fire Dept.
I Fire ZoneI
Use Permit
EQA Parking
Plans
I Parcel
Declaration
Parcel Ma P
60' R/W
Im rovements
P
Permit Fee
WORKMEN'S COMPENSATION INSURANCE
I 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.
❑ I have placed on file with the County of Butte a certificate of
Workmen's Compensation Insurance.
I t'if th t' th f f h
Parcel Aeproval
PERMIT FILING FEE
Plans Approval
NEW
ADDITION
UTILITIES OTHER ❑
Single Family
Duplex ❑
ModHome ❑ Others ❑
BUILDING
SQ. FT. I OCC. I BUILDING V%TION
Fireplace
Total Valuation
Permit Fee
Plan Checking Fee &/or Penalty
Permit Fee
PLUMBING
PERMIT FILING FEE
Each Trap
Repair drainage or vent piping
Water piping
Each gas water heater or vent
Gas piping system 1 - 5 outlets
Each additional outlet
Building sewer
Lawn sprinkler system
Permit Fee
ELECTRICAL
PERMIT FILING FEE
Main service 800V OR LESS
100 AMP OR LESS
Main service EA. ADO -1- 100 AMP
Main service OVER 600V
100 AMP OR LESS
$3.00
1.50
1.50
1.50
1.50
1.50
.30
5.00
2.00
$3.00
5.00
2.50
25.00
1.00
>0 sq ft
2.00
10.00
15.00
6.25
$3.00
cer y a in a per ormance o t e work for which this Ventilation
permit is issued I shall not employ any person in any manner
so as to become subject to the Workmen's Compensation Laws of Hood 2.00
Cal i forni a.
Permit Fee
I certify that I have read this application and state that the above
information is correct. I agree to comply to all County Ordinances
and State Laws relating to building construction, and hereby
authorize representatives of the County of Butte to enter upon the
above-mentioned property for inspection purposes.
X Date
6 ignature of Permitee or Agent
Receipt No. or / 4 -107W
White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant
FEE
Land Development Fee $
TOTAL PERMIT FEE I =—
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.
D RECT F PU IC WORKS
c
BDat
Building permit expires Date
Main service EA. AOD•L 100 AMP
NEW CONST. DWELLING OCCUP. S
OR ADDNS. ACC. BLDGS.
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:
TLET
NEW RESID,CONST/ BRANCH CIRCUITS NON -REST D, 1 BRANCH CIRCUITS
NEWCONSTR POWER APPARATUS 6
NON -RESID. SINGLE OUTLET CIR.
EX. Occup{OUTLETS OR FIXTIII7E;
FIXED APPLNS. OR
Ex. Occup. OUTLETS (RESID.) EA
Temporary service
Mobile Home Facilities
License No. Classification
Misc. Wiring
® I am exempt from the Contractors License Laws of the State of California.
Permit Fee
WORKMEN'S COMPENSATION INSURANCE
I 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.
❑ I have placed on file with the County of Butte a certificate of
Workmen's Compensation Insurance.
I t'if th t' th f f h
MECHANICAL
PERMIT FILING FEE
Heating
Cooling
$3.00
1.50
1.50
1.50
1.50
1.50
.30
5.00
2.00
$3.00
5.00
2.50
25.00
1.00
>0 sq ft
2.00
10.00
15.00
6.25
$3.00
cer y a in a per ormance o t e work for which this Ventilation
permit is issued I shall not employ any person in any manner
so as to become subject to the Workmen's Compensation Laws of Hood 2.00
Cal i forni a.
Permit Fee
I certify that I have read this application and state that the above
information is correct. I agree to comply to all County Ordinances
and State Laws relating to building construction, and hereby
authorize representatives of the County of Butte to enter upon the
above-mentioned property for inspection purposes.
X Date
6 ignature of Permitee or Agent
Receipt No. or / 4 -107W
White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant
FEE
Land Development Fee $
TOTAL PERMIT FEE I =—
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.
D RECT F PU IC WORKS
c
BDat
Building permit expires Date
Suite, county
s I
LAND OF NATURAL WEALTH AND BEAUTY
DEPARTMENT OF PUBLIC WQRKS .
CLAY CASTLEBERRY, Director
7 COUNTY CENTER DRIVE, OROVILLE, CALIFORNIA 95965
Telephone: (916) 534-4541
tidy 61 1981
WILLIAM (Bill) CHEFF
Deputy Director
-RE: Building Permit
Stwo, CA J9591?
bear Mr. tiffut a
With reference to the above subject, -we have been advised by one°of our building
inspectors that you have not obtained the required permits and inspections from
this office for the work you are doing as follows:
co*otrueted 4 gav ago horde bare your property Wawa off
Urns Rods SIM641 . ''1
Since permits and inspections are required by both State and County laws, please
contact this office within ten (10) days of the date of this letter, submit two
(2) complete sets of plans, apply for the required permits, and pay the appropriate
fees.Ilud' Iteeg.,
All work must stop until you obtain these permits and are authorized by our field
inspector to proceed. This field authorization cannot be made until the existing
work is inspected and approved.
Your cooperation.in resolving this matter would certainly be appreciated. Should
you have any questions concerning this matter, please contact this office..
JFG:aj
cc: Building Inspector , -i 0r'ofilillo
A613'agmt
Yours very truly,
Clay Castleberry
Director of Public Works
Original signed Sp
J. F. Glander
J.F. Glander
Chief Building Inspector
File No.
BUTTE COUNTY (For Action 1, 2,3)
Public Works Dept. (For Information ✓)
D ire'ctor
Dep. Dir.
Sec.
Rd. & Br. Mtce.
Shop & Yards
Bldg. Insp. Admin.
D&C / Traffic
Const.
Rd. Des.
Br. Des.
Sur. & Loc.
Transp.
R/W
Mapping
Land Dev.
Ref. Disp.
Drng. / S. I.
P
ub. & PCI. Maps
erm its
Owne:
Addres
BUTTE COUNTY DEPARTMENT OF PUBLIC WORKS
SPECIAL INSPECTION REPORT
Date of Inspec on' I'^
Tenant: Inspector
Building Location:—, ,
Type of Inspection requested: t
T% 1. Housing, 2. Financing 1..L 3. Change of Occupancy to J
Z7'4,0. Other (specify)* 5--
Present use of building:
A. Sanitation (Housing)
1. Water closet:.
2. Lavatory:
3. Bathtub or shower:
4. Kitchen sink:
5. Hot and cold water to fixtures:
6. Heating facilities:
7. Natural light and ventilation:
8.' Room and space requirements:
Bedroom window or door for second exit:
10. Infestation of insects, vermin, or rodents:
.11. Connection. -to sewage disposal:
12. Connection to water supply:
13. Rubbish and garbage facilities:
14. Comments•
B. Structural
1. Piers and footings:
2. Floor construction:
3: Wall construction:
...4. Ceiling and : roof construction:
5. Fireplaces:
6. Comments:
C. Electrical
1. Service and ground:
2. Receptac es•
3. Fusing:
4. Comments:
s
D. Plumbing
1. Futures connected and vented:
2. Gas water heater:
3. Gas heating vents:
4... Comments
E. Other
1. Maintenance and repair.:-:
Fire` hazards _____�—-----_
3. Safety hazards:
WeAtl?er prote.ction:
Si. Underfloor and attic ventilation:
6.."" C6nno:nts
F.` Ccmercial Buildings
1. .Roof covering:
. , " 2:' ''Distance to property lines: _
3. Physically handicapped:4
_.. Rest�oortl' floors and walls:��
S. Exit
' 6 --.-Improvements :
7. Zoning _
8. Comment
G.
e, Problems it Viclaticros
1. Pro1h or -�:olation (give co Ie a eccr.iptir;;�) :
000,
µ: 7. What ction taken (give complete - escrip .oxi) :
eoaen
. .3e^ Whctt action r.eccrrccriend d: �
_ A. znfonuaticn only fil._.
B. Hold for ten (10) days, then write letter.
r. Write letter.
17 D. Other:
- COUNTY OF BUTTE - DEPAPMENT OF PUBLIC WORKS
�
7 County Center Drive - Oroville,'alif is 95965 - Telephone 916/534-4541
AGRICULTURAL BUILDING EXEMPTION PERMIT
PERMIT NO.
ea-- S/5
Agricultural building is defined as follows: Agricultural building is a structure designed and constructed to
house farm. implements, hay, grain, poultry, livestock, or other horticulutral products. This structure shall not
be a_place ofu�i man habitation or a place of employment where agricultural products are processed, treated,
or packaged, nor shall it be a place used by the public.
ASSESSOR PARCEL NO.
ZONING
- Is-
A- o
OWN
'
I-
PHONE NO. /
o�•� P
OWNER'S ADDRESS
: a f
LOCATION OF BUILDING
1K
USE OF BUIL ING
s
t -
SIZE OF STRUCTURE
57 X 1 h SO. FT.
TYPE OF CONSTRUCTION:
WOOD FRAME STEEL
CONCRETE OTHER (Specify)
TYPE OF SIDING
ROOF COV RING
TYPE
ESTIMATED COST OF CONSTRUCTION
91*
h
$
AG Buildings shall comply with the building front, side, and rear yard requirements of the applicable County
Ordinances as follows:
��✓�
S! a J"^�
FRONT
SIDES REAR
AG Buildings shall be a minimum of five (5) feet from any septic tank or leach fields.
AG Buildings less than 1000 sq. ft. in floor area shall be located a minimum of 6 feet from a residence, 10 feet
from a mobilehome, and 23 feet from a commercial building. .
AG Buildings greater than 1000 sq. ft. in floor area shall be located a minimum of 23 feet from a residence and
a mobilehome, and 40 feet from a commercial building.
I declare under penalty of perjury that the building will be used as stated above and the proposed use
conforms with the AG Building definition. If any change in use or occupancy of the building is made, I will
contact the Department of Public Works and will obtain any necessary permits, inspections, and approvals to
comply with the requirements in effect at that time and before occupancy.
Date Signature of Owner a'74,4
Permit Fee - $25.00 The above described AG Building is exempt from a building permit.
Receipt No. d a Qe? Director of Public Works
By Date
White - DPW, Yellow - Assessor, Pink - B. I., Goldenrod - Applicant
• COUNTY OF BUTTE - DEPARTMEMT:QAPUBLIC WORKS - BUILDING DIVISION
7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE: 916/534-4541
PERMIT APPLICATION DATA SHEET
91
OWNER
Proposed Building Use
Permit Fee Based Upon:
Building Inspector /
Permit No.
A. P. No. �.�1 " %q —IC3—
omplete CoUact Price DPW Valuation
Iain)
Date n
At time of permit application, I was advised the following data must be submitted prior to permit processing
and/orriisnance: DATE RECEIVED APPROVED
1. All items have been submitted. . . . . . . . . . . .
2. Plot plans in duplicateJtriplicate. . . . . . . . . . . -"
3. Complete plans in duplicate/triplicate. . . . . . . . .
4. Complete engineered plans and calcs. . . . . . . . . .
5. Plans with Energy Design Compliance Statement. . . . . .
6. State Energy Forms No.
7 Statement of Intent for Non -Heated and AC Buildings.
8. Fees of $ . . . . . . . .
9. Letter of signature authorization. . . . . . . . . . .
10. Sanitation approval from Health Dept. . .
11. Planning approval for (A) Use: (B) Parking: .
12. Certificate of Workmen's Compensation Insurance. . . . . .
13, Contractor's License Information (no., name style, classif.)
14. Owner -Builder Verification (Given to owner[], Mail to owner ❑ )
15. Improvements may be required. . . . . . . . . . . .
16. Mobilehome Installation Data. . . . . . . ..
17. Pre -Inspection for
•Pre-Inspec. request to
Required. Building Inspector (D
18. Other
When you issue the permit, process as follows: Mail to owner. Mail to contractor.
Telephone and hold for pickup at office. Deliver w/inspector.
Other
Copy of plans sent Health Dept., Fire Dept., Other Date
During the plan checking process, the following data must be submitted prior to permit issuance:
(For required items not checked above at time of application, circle item.)
1. Index permit for above Items No.
2. Additional items required:
(Contractor, Designer, Owner) was advised of above required data by Telephone Mail Other
By Date
Plans checked by Date
Plans approved by Date
Other:
Copy—DPW
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