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025-300-005
A.P�'TO-� CAROLYN MOLL -% - f a 25-30-05 B07-1765 025-300-005 000' off N/ Rio BoE. of KURT E. STEINER- MISCELLANEOUS HVAC Change Out -Wer-Butte Canal •W. of Larkin-Dos Rib; 4-5-5 E., Rio Bonito Rd, Biggs ' CHANGE OUT HVAC Ro d connection, Biggs )'f Permit#184-90A(Ag Exemp--hay storage) 355 RIO BONITO RD Permi 3208-73P,E (utilities for MH) . I BOB HALL Awp. - CAROLYN J. OLL 2000' off N S Rio Bonito, 400' E. of `ti 025-300-005 05-3195 Sutter-Butte C al, W. o Lax n-Dos HALL. ROBERT / Rios . connection, iggs (b'� 355E RIO BONITO RD, BIGGS CONTR: Tri-Valley Nntr . , Oroville Cont: GREENE ROOFING 12, 7 -05 - T`'rmit 3739-73B (ram*�_ a for MH) _ _ ELEC PANEL C/O//' 5 CAROLYN J. MOLL .2000' off N/s Rio Bonito\Rd, 400' E. of Sutter Butte Canal W. of Larkin Dos Rios Rd, connec\'on, Biggs FI'n/A L Z- 2S- %S Permit## 4242-74P,E(util,, MH--- eplaces 3208-73) C i � Winford Ray Miller 2000'off NIS Rio Bonito Rd.,app.400' __- E.ot Sutter-Butte Canal, W.of Larkin` ` Dos Rios Rd. Permit #1611-81B,P,E,M(new single family) s'/�74 ' 25-30-05 1878-91B,P,E STEINER, Kurt -5 43-5- E Rio Bonito Rd, iggs cont: Economy Builders _(addition/sf) 25-�-05 Permit#3335-91E - (addl ele` c o 78-91) ' 025-30.0-005 PERMIT#96-2785 LAVY, Mark.& Meridith - 355 E Rio Bonito Rd., Biggs Add,Conv Carport & Remodel/SF -�7-: �j BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT 24 HOUR INSPECTION #:(530) 538-7636 (OROVILLE) (530) 891-2834 (CHICO) OFFICE #:(530) 538-7541 FAX#: (530) 538-2140 WEBSITE: www.buttecounty.net\dds PROJECT INFORMATION Site Address: 355 RIO BONITO RD Owner: Permit NO: B07-1765 APN: 025-300-005 BOB HALL Issued Date: 08/17/2007 By KEJ Permit type: MISCELLANEOUS 355 E RIO BONITO RD Subtype: HVAC Change Out BIGGS, CA 95917 Expiration Date: 08/16/2008 Description: CHANGE OUT HVAC (530) 868-5277 Occupancy: Zoning: A40 0 Contractor Applicant: Square Footage: GALLAGHER'S HEATING & AIR ALL ABOUT PERMITS Building Garage RemdVAddn PO BOX 35 3083 WHISTLER LOS MOLINOS, CA 96055 CHICO, CA 95973 (530)384-2444 (530)680-7619 Other Porch/Patio Total FEE INFORMATION DBM Heat Pump (Package Unit) $58.00 Total Charged: $58.00 Fees Paid: $58.00 Balance Due: $0.00 Receipt No: B4270 LICENSED CONTRACTOR'S DECLARATION OWNER/ BUILDER DECLARATION Contractor (Name) State Contractors License No. / Class / Expires I HEREBY AFFIRM UNDER PENALTY OF PERJURY that I am exempt from the Contractor's License GALLAGHER'S HEATING 8r AIF 777334 / C20 C38 / 04/30/2008 Law for the following reason (Sec. 7031.5), Business and Professions Code: Any city or county that requires a permit to construct, alter, improve, demolish, or repair any structure prior to its issuance, also requires the applicant for such permit to file a signed statement that he or she is licensed I HEREBY AFFIRM UNDER PENALTY OF PERJURY that I am licensed unser provisions of Chapter 9 (commencing with Section 7000) ol Division 3 of the Business and Professions Code, and my license pursuant to the provisions of the Contractor's License Law [Chapter 9 (commencing with Section 7000) s in=rceanideffec of Division 3 of the Business and Professions Code] or that he or she is exempt therefrom and the X basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars 08/17/2007 [$500]; Please check one of the following: CO actor's Signature Date ❑ I, AS OWNER OF THE PROPERTY, OR MY EMPLOYEES WITH WAGES AS THEIR SOLE COMPENSATION, WILL DO THE WORK, AND THE STRUCTURE IS NOT INTENDED OR OFFERED FOR SALE (Sec. 7044, Business and Professions Code: The Contractor's License Law does not apply to an owner of the property, who builds or improves thereon, and who does WORKERS' COMPENSATION DECLARATION I HEREBY AFFIRM UNDER PENALTY OF PERJURY one of the following declarations: the work himself or herself or through his or her own employees, provided that such improvements E]I HAVE AND WILL MAINTAIN A CERTIFICATE OF CONSENT TO SELF -INSURE FOR are not intended or offered for sale. If, however, the building or improvement is sold within one WORKERS' COMPENSATION, as provided for by Section 3700 of the Labor Code, for the year o` completion, the owner -builder will have the burden of proof that he or she did not build or performance of the work for which this permit is issued. improve for the purpose of sale.). I HAVE AND WILL MAINTAIN WORKER'S COMPENSATION INSURANCE, as required by ❑ I, AS OWNER OF THE PROPERTY, AM EXCLUSIVELY CONTRACTING WITH LICENSED CONTRACTORS TO CONSTRUCT THE PROJECT (Sec. 7044, Business and Provessions Cade: Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. The Contractor's License Law dows not apply to an owner of the property who builds or improves My Workers' Compensation insurance carrier and policy number are; thereon, and who contracts for the projects with a contractor(s) licensed pursuant to the Carrier. State Fund policy Number: 713-0013855 Exp. Date:05/0112008 Contractor's License Law.). (This section nee not a completed if the permit is or on7—e hundred dollars ($100) or less.) ❑ 1 AM EXEMPT under Section B. 8 P.C. for this reason: ❑I CERTIFY THAT IN THE PERFORMANCE OF THE WORK FOR WHICH THIS PERMIT IS ISSUED, I shall not employ any person in any manner so as to become subject to the Workers' Compensation laws of California, and agree that if I should become subject to the workers' X 08/17/2007 compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those Owners Signature Date visions. ` 08/17/2007 I hereby certify that I have read this application and state that the above information is correct. I agree to comply with all City and County ordinances, rules, regulations, and Slate laws relating to building sit5wTe Date WARNING: FAILURE T SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, construction, and with any and all conditions of permit. I agree to defend, indemnify, and hold harmless Butte County, its officers, agents and employees from any and all claims and liability for personal AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($100,000), IN ADDITION TO THE COST OF COMPENSATION, injury, including death, and property damage caused by, arising out of, or in any way connected with the issuance of this permit. I hereby acknowledge that issuance of this permit does not authorize the DAMAGES AS PROVIDED FOR INSECTION 3706 OF THE LABOR CODE, INTEREST AND ATTORNEY'S FEES. use or occupancy of ny sidewalk, street, or subsidewalk. I hereby authorize representatives of Butte my to ant theove mentioned pro.perty for inspection purposes. I hereby certify that I am the pro rt own oram t onze to act n a ropertyn eesb elf. CONSTRUCTION LENDING AGENCY �YLn If r 007 I HEREBY AFFIRM UNDER PENALTY OF PERJURY that there is a construction lending agency for 05me of Pe ittee [SIGN] Print Date the performance of the work for which this permit is issued. (3097 civ. code) ❑ Owner ❑ Contractor OR. DAgent for Owner Agent for Contractor FILE COPY Lender's Address City State zip /%3 PF BUTTE COUNTY / 0 1 o ° DEPARTMENT OF DEVELOPMENT SERVICES ° ° ,4- BUILDING PERMIT APPLICATION ° _ 1 AND SUBMITTAL REQUIREMENTS _ rm �0 24 HOUR INSPECTIONII: OROVILLE: (530) 538-7636 • CHiCO: (530) 891-2834 0 _ OFFICE #: (530) 538-7541 CIO (J N jy A FEE WILL BE REQUIRED AT TIME OFAPPLICATION Website: www.buttecounty.net/dds **PLEASE PRINT CLEARLY** i ARCHITECT/ENGINEER ' Name h il''S H VAC I Address No Ci i no State Zip Phone Pianner Fax -mail Slate License Number APPLICANT SIGNATURE Poor office use oniv- Zoning APPLICANT INFORMATION Name h il''S H VAC Address No City'` no Stater Zi Phone Pianner Fax :mail APPLICANT SIGNATURE Poor office use oniv- Zoning Flood Zone SRA Yes No Occ. Type Const. Subdivision Name tvlap Book Page Lot # Pianner Dale Approved: UvtN t -UK JULWI I I AL REQUIREMENTS K:'TORMSIBUILDING F0RMS1BIdgApplSubRgmts.doc Page 1 of 2 PROJECT LOCATION AP# Property Addres L 3 . P_to nl iC� 7C, Cross Street WORKER'S COMPENSATION Policy Number Carrier "ERmIT NO If hiring anyone ofher than license contractors, a certificate of worker's compensation must be shown at the time of permit issuance. Name LENDING AGENCY Address Description or Scope of W'o�r�k:� L Scl FT- Living Garage Open Cov ❑ Structure Built without Permits ❑ Proposed Change of Occupancy (Note previous use): EXPIRATION OF APPLICATION Applications for %vilich a permit has not been issued x%.ill expire One year after the date of application. In order to renew action on an application after expiration, a new application, plans and fee will he required. REQUEST FOR REFUNDS Refunds can only be made upon written request by the pa-snn "ho paid the fee. The request Illust be made prior to the expiration of* the permit and no construction work has been done. filing fees. plan check fees for work plan checked and other department costs are not refundable. Received by: Amount: __Bldg .SR4 Receipt #: -- SMiP Date: —_ 011ier REV 8-12-05 BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT 24 HOUR INSPECTION #: (530) 538-7636 (OROVILLE) (530) 891-2834 (CHICO) OFFICE #: (530) 538-7541 PERMIT NO. BP05319t PERMITS BECOME NULL AND VOID 1 YEAR FROM THE DATE OF ISSUANCE, OR IF WORK IS DONE IN VIOLATION OF ANY COUNTY OR STATE LAWS. LICENSED CONTRACTORS DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of Issued Date: 12/05/2005 APN: 025-300-005-000 the Business and Professions Code, and my license is in full force and effect. License Class: C I Cy LicenselN_umber:si(� Site Address: 355 E RIO BONITO RD BIG Date: %- S Q Contractor: Ndr) v1 S�zi�s i j Map Index: Description: REPLACE EX PANEL 100 AMP OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors' State License Law for the following reason (Sec. 7031.5 Business and Professions Code: Any city or county which requires a Owner: HALL ROBERT & WENDY permit to construct, alter, improve, demolish, or repair any structure, prior to its issuance, also requires the applicant for such permit to file a PO BOX 593 signed statement that he or she is licensed pursuant to the provisions of BIGGS, CA the Contractor's State License Law (Chapter 9 commencing with Section 7000) of Division 3 of the Business and Professions Code) or that he or 95917-0593 she is exempt therefrom and the basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars ($500).): ❑ I, as owner of the property, or my employees .with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale (Sec. 7044, Business and Professions Applicant: NORTH STATE ELECTRICAL AND PUMP Code: The Contractors' State License Law does not apply to an owner of property who builds or improves thereon, and who does such work himself or herself or through his or her own employees, 3282 HWY 32 provided that such improvements are not intended or offered for CHICO, CA sale. If however, the building or improvements are sold within one year of completion, the owner -builder will have the burden of 95973 proving that he or she did not build or Improve for the purpose of 530-891-5545 sale.). ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec. 7044, Business and Professions Code. The Contractors' State License Law does not apply to an owner of property who builds or improves thereon, and who contracts for such projects with a contractor(s) licensed Contractor: NORTH STATE ELECTRICAL AND PUMP pursuant to the Contractors' State License Law.). ❑ 1 am Exempt under Article 3 of the Business and Professions Code 3282 HWY 32 CHICO, CA Date: Owner: 95973 530-891-5545 WORKERS' COMPENSATION DECLARATION I hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for License #: 535959 workers' compensation, as provided for by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. I have and will maintain workers' compensation insurance, as required by Section 3700 the Labor Code, for the performance of Architect: the work for which this permit is issued. My workers' compensation Engineer: insurance carrier and policy number are: Carrier: Policy #: '3 / Z Total Square Ft: 0 S. F. ❑ 1 certify that in the performance of the work for which this permit is Valuation: $0.00 Issued, I shall not employ any person in any manner so as to become subject to the workers' compensation laws of California, Census Code: and agree that if I should become subject to the workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. Date: Applicant: WARNING: Failure to secure workers' compensation coverage is unlawful, and shall subject an employer to criminal penalties and one hundred thousand dollars ($100,000), in addition to the cost of compensation, damages as provided for in Section 3706 of the Labor interest, fees. code, and attorney's J V-0 b� CONSTRUCTION LENDING AGENCY This per re issued under the applicable provisions of the Butte County Code and/or I hereby affirm that there is a construction lending agency for the performance of the work for which this permit is issued (Sec 3097 Civ.) Resolutio do ork indi ted abov for which fees have been paid. I -�k - S .- vs Name: By: Date: �-Zo Address: PERMIT EXPIRES Date ❑ 1 hereby certify that the use of this facility shall comply with Sections 25505, 25533, and 25534 of the California Health and Safety Code, which regulate the storage, handling and use of hazardous materials. ❑ Notification in accordance with Section 19827.5 of California Health & Safety Code is not applicable to the scheduled construction of this project. ❑ Attached are copies of the required E.P.A. notification forms. I hereby certify that I have read this application, that the above Information is correct, and that I am the owner or the duly authorized agent of the owner. I agree to comply with all county and stale laws relating to building construction. I acknowledge it is unlawful to alter the substance of any official form or document of Butte County. I hereby authorize representatives of Butte County upon the above mentioned property for inspection purposes. +toppenter / Print Name: Cd-W1.4ri c l C .2-\-1 n /I--- Signature: - Date: 7.— Sr' U Q -Owner 0 Contractor ❑ Agent for Owner I<Agent for Contractor 12/05/2005 12:20 5308910793 WELL INDS INC PAGE 01/01 FAX LEAD SHEET ATTBNTION.- FAX #: PHONE #: FROM: NORTH STATE ELECTRIC 6 PUMP NORTH STATE DRILLING 3282 HWY. 32 CHICO, CA 95973 530-891-55454HON€ 530 -891 -0793 -TAX EMAIL - NsEp@WAT8RW8LLPUMP.COM COMMENTS: -tom .�A, Q 3� > 0 BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT APPLICATION AND SUBMITTAL REQUIREMENTS 24 HOUR INSPECTION#: OROVILLE: (530) 538-7636 • CHICO: (530) 891-2834 OFFICE #: (530) 538-7541 A FEE WILL BE REQUIRED AT TIME OFAPPLICATION **PLEASE PRINT CLEARLY** APPLICANT NAME CONTRACTOR Name, �� S , Cw Address Zi� /�� City /` n i GU State Ste r Z S9 Phone �I E-mail Fax O E-mail . Planner Lic 1 C�n� APPLICANT NAME ARCHI TECTIENGI NEER Name City Address Zi� City State Zip Phone Fax E-mail State License ber APPLICANT NAME Name � 1 a AddressG City State Zi� Phone , Fax E-mail APPLICANT SIGNATURE X For office use only: Zoning Flood Zone Date: � ��QS SRA Yes No Occ. Type Const. Subdivision Name Map Book Page Lot # Planner Date Approved: OVER FOR SUBMITTAL REQUIREMLN 15 LOCATION PERMIT NO. P' *;106 BIN h Al Property Addr\ t 2 4 Cross Street 55 WORKER'S COMPENSATION Policy Number Carrier If hiring anyone other than license contractors, a certificate of worker's compensation must be shown at the time of permit issuance. EXPIRATION OF APPLICATION Applications for which a permit has not been issued will expire one year after the date of application. In order to renew action on an application after expiration, a new application, plans and fee will be REQUEST FOR REFUNDS Refunds can only be made upon written request by the person who paid the fee. The request must be made prior to the expiration of the permit and no construction work has been done. Filing fees, plan check fees for work plan checked and other department costs are not refundable. Received by: . Amount: Bldg SRA Receipt #: Sheriff SMIP Date: � ��QS Other Total SUBMITTAL REQUIREMENTS TS The following drawings and specifications must be submitted to the Building Division in order to apply fora permit. INCOMPLETE SUBMITTALS WILL NOT BEA CCEPTED. ALL PLANS MUST BE LEGIBLE AND IN INK. Residential, New, Remodels, Additions, and Accessory Structures: ❑ 1. 3 Site Plans, signed by the preparer. NO GRAPH PAPER! ❑ 2. 3 Complete sets of plans, signed by the preparer. NO GRAPHPAPER! OR 3 Sets Engineered plans (if required) with wet signature on plans AND 2 sets of stamped and signed calculations. ❑ 3. 2 Engineered truss details and layouts (if required) (NO FAXES!). ❑ 4. 'Letter from Engineer or Architect for truss design review. ❑ 5. 2 Energy compliance design and supporting documentation. (Note: Not required for additions to mobile or modular homes.) ❑ 6. 2 Flood Elevation Certificate, wet -stamped and signed (if required). ❑ 7. Detached Accessory Building Form, filled out by the property owner (if required). ❑ 8. Sanitation and site plan approval from the Environmental Health Department. ❑ 9. Metal Buildings: (A) Metal Bldg Plans, (B) Fnd plans and calcs in triplicate, (C) Elevations in triplicate, (D) Floor plans in triplicate, All of these must be stamped and wet -signed by the engineer. Mobile, Manufactured, or Modular Homes: ❑ 1. 3 Site Plans, signed by the preparer. NO GRAPHPAPER! ❑ 2. 2 Data sheets and installation instruction manual. ❑ 3. 2 Marriage line information. ❑ 4. 2 Floor plans. ❑ 5. 2 Engineered Tie Downs or Foundation plans. ❑ 6. Sanitation and site plan approval from the Environmental Health Department. ❑ 7. 2 Flood Elevation Certificate, wet -stamped and signed (if required). Commercial, New, Additions and Remodels: ❑ 1. 4 Site Plans, signed by the preparer. NO GRAPH PAPER! ❑ 2. 4 Engineered plans with wet signature on plans AND 2 sets of stamped and signed calculations, with code analysis. ❑ 3. 2 Engineered truss details and layouts (if required) (NO FAXES!). ❑ 4. Letter from Engineer or Architect for truss design review. ❑ 5. 2 Energy compliance design and supporting documentation (if required). ❑ 6. 2 Flood Elevation Certificate, wet -stamped and signed (if required). ❑ 7. Statement of Intent for Non -heated and A/C (if required). ❑ 8. Metal Buildings: (A) Metal Bldg Plans, (B) Fnd plans and calcs in triplicate, (C) Elevations in triplicate, (D) Floor plans in triplicate, All of these must be stamped and wet -signed by the engineer. ❑ 9. Letter of intent. ❑ 10. Hazardous Material Form. ❑ 11. Sanitation and site plan approval from the Environmental Health Department. If you have questions or would like additional information regarding this process, contact a Permit Application Assistant at (530) 538-7541. OVER FOR BUILDING PERMIT APPLICATION KAFORMS\BUILDING F0RMS\BIdgApp1SubRgmts.doc Page 2 of 2 REV 6-16-04 7 ' RESIDENTIAL 025-300-005 PERMIT#96-2785 LAVY, Mark & Meridith E Rio Bonito Rd., Big ' ±Add,Conv Carport &Remodel/SF •k .pe ri OFFICE COPY Address GAS . I Dali Meter By ELECTRIC Date Meter By ` OFFICE COPY ' P Address y i _ .�S• I � GAS Is. Meter By D r ELECTRIC Meter By D 3 JOB'FINALED (Date) Signature I r 7 ' RESIDENTIAL 025-300-005 PERMIT#96-2785 LAVY, Mark & Meridith E Rio Bonito Rd., Big ' ±Add,Conv Carport &Remodel/SF •k .pe ri OFFICE COPY Address GAS . I Dali Meter By ELECTRIC Date Meter By ` OFFICE COPY ' P Address y i _ .�S• I � GAS Is. Meter By D r ELECTRIC Meter By D 3 JOB'FINALED (Date) Signature I a COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMt'ENT SERVICES - BUILDI DIVISION 7 County Center Drive - Oroville, California 95965 - Telephone (91 538-7541 PE I No. APPLICATION AND PERMIT Q� y ASSESSOR PARCEL NUMBER 025-300-005 A40 ZONING BUILDING PERMIT OWNER MARK & MERIDITH LAMP TEUPHONE SO. FT. OCC. BUILDING VALUATION R 36,459 OWNERS MAILING ADDRESS PO BOX 1081 BIGGS 17 741 C-R 30,381 CONTRACTOR'S NAME UNKNOWN TELEPHONE 332 C 4,316 EST 1 , 000 CONTRACTOR'S MAILING ADDRESS Fireplace 0 1,500 CONSTRUCTION LENDER NONE UNINOWN Total ValuatioffX� I 73,647 Filing Fee $ 20.00 LENDER'S MAILING ADDRESS Permit Fee $ 522.50 ARCHITECT OR ENGINEER NONE LICENSE No. Plan Checking Fee $ 339.60 Energy Plan Checking Fee $ 23.00 ARCHITECT OR ENGINEERS MAILING ADDRESS Penalty $ BUILDING ADDRESS 355 F. RTO 'RONITO RD PERMITFEE $ 905.10 IGGS, 99917 PLUMBING PERMIT Fling Fee 20.00 Each Trap 4 7.00 28.00 LOT NO. SUBDIVISIONS NAME PARCEL MAP Solar or heat pump water heater 23.00 Water piping 15.00 15.00 USEOFSTRUCTURE SF IX Duplex ❑ Mobilehome ❑ Other SPECIFY Each gas water heater or vent 15.00 Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 15.00 TYPE OF WORK New ❑ Addition CX Remodel ❑ Utilities ❑ Installation ❑ Other ❑ Describe Work: GREAT ROOM & RELOCATE WATT, IN KITCHEN -Contractor (CONV- CARPORT TO BEDROOM & BATH) Mobile Home I S I GI W 1 @20.00 PERMITFEE 78.00 S ELECTRICAL PERMIT Filina Fee 20:00 Main Service 600V OR LESS ( 200A OR LESS 23.00 Main Service ( 200A TO I000A 46.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect. License Class Lic. No. OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. ❑ 1, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason NEW CONST. DWELLING OCCUP. OR ADONS. ( a Acc. L.S.3.50 FT. SO.49,55 NEW CONST. MULTI.OUTLET NON-RESID. ( ISCIRCUITS 97.50 ( POWER APPARATUS 8 SINGLE OUTLET CIR. EX. Occup. ( OUTLET OR FIXTURES) 20 @ 1.00 BAL Q .50 Ex. Occup. (oFIXEEDrs PLNS. OR 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMITFEE Contractor WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ 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 Filing Fee 20.00 9 Heating i 9 -no Cooling Hood 6.50 Ventilation PERMITFEE $ 5006 Contractor Policy Number (The above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($ ) or less.) I certify that in the p n o he work for which this permit is issued, I shall not em oy a i any anner so as to become subject to workers' compsatio C Ifornia and agree that if I should become subject to the worker ' ti pr ' ions o"ction 3700 of the Labor Code, I shall fo o pl wi tho rov' ions. X Date Sig tura f A Owner ❑ Contractor ❑ Agent An mit is re fired for ex vations over 50" deep and demolition or ruction of structures ova ories in height. 64 - �� Mobile Home Installation Fee $ Energy Inspection Fee Is occ CONST. TYPE TOTAL FEE $ 1,14 .65 HAZ. D. FEES I IMP FLo CD PARC ipelHD AA U 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. BYZ04z Date PERMITEXPIRESON I Date) Receipt No. 209482 - 442.60// 221814/706.05 WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT S� s�`ra < t, COUNTY OF BUTTE -DEPARTMENT OF DEVELOPMENT SERVICES - UILDING DIVI ION 7 County Center Drive - Oroville, California 95965 -Telephone (916) 538-7541 PERMIT NO.' APPLICATION AND PERMIT 274'`1 ASSESSDR C.ELN,MSER _ CJ d�� OWNER r oil mN1NO TELEPHONE BUILDING PERMIT SO. FT. OCC. BUILDING VALUATION OWN ADORE / l- — J CJ CONTRACT R'3 JQAME VV n©U/ kl TElFPF10NE CONTRACTORS MAIUNG ADDRESS Fireplace CONS TRU LENDER UNKNOWN Total Valuation $ Fling Fee $ 20.00 LENDER'S "UNG ADDRESS Permit Fee $ ARCHRE OAENGINEER (C� LICENSE NO. Plan Checking Fee $ 1335 6 Q Energy Plan Checking Fee $ ©0 ARCHRECT OR ENGINEERS MAILING ADDRESS Penalty $ BUILDWGADDRESS 16_ 5 5 1 PERMITFEE $ %S. lQ f PLUMBING PERMIT Fling Fee 20.00 Each Trap Solar or heat pump water heatt'23.00 7.00 LOT NO. SUSDNISIONS NAME PARC Water piping .00USEOFSTRUCTURE SF� Duplex ❑ Mobilehome ❑ Other SPECIFY Each gas water heater or vent.00 Gas piping system 1 - 5 outlet.00 Building sewer .00TYPE OF WORK ❑ New ❑ Addition Remodel ❑ UtilitiesInstallation ❑ OZlece'le Describe Work: Yect)0 ✓, �rrer Mobile Home S G W.00 PERMITFEE $ �-� Contractor ELECTRICAL PERMIT Filinq Fee 1 20.00 _ c,t O T Main Service OOOR LESS ( zooAOV OR LESS ) 23.00 Main Service ( 200A To 1o00A ) NEW CONST. DWELLING OCCUR. \\ OR ADONS. ( a ACC. BLDS. / 46.00 SO. 3.5Q FT. LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect. License Class Lic. No. OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: ❑ 1, as owner of the property, or my employees with wages as.their sole compensation, will do the work, and the structure is not intended or offered for sale. ❑ 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 NEW CONST. MULTI.OUTLET NDN•RESID. ( �w R -P gATUS ) @7.50 ( 8 SINGLE CURET CIR. Ex. Occup. (OUTLET OR FIXTURES) 20 Q ''0° 940 (d .50. Ex. Occu FIXED SIRENS. OR p (OUTLETS )REBID.) EA ) 5.00 Temporary Service _ 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 -i I _EEEE $ _PERMITFEE Contractor MECHANICAL PERMIT filino Fee 20.00 WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: O 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 Heating t Cooling f� Hood 6.50 '^ — Ventilation PERMITFEE S „SO • Q0 Contractor Policy Number (The above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) P ❑ 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 Coda, I shall forthwith comply with those provisions. X _ __ Date Signature of Applicant - ❑ Owner ❑ Contractor ❑71 •••���Agent An OSHA permit is required for excavatio S 0 er n p qnd demolition or construction of structures over 3 stories in height. 1',0XC y Mobile Home Installation Fee $ Energy Inspection Fee is Q0_ OCC CONST. TYPE TOTAL FE $ / 7U HA2. 0. FEES I IMI FLOOD COF PARC_L IPPC) 16suE This permit is hereby issued under the of the Butte County Code and/or indicated above for which fees have By PERMITEXPIRESON applica4e provisions Resolution:. to do wcrk been paid. Date (Dare) ReceiptNo. Q 717,101 N --7 od WHITE-O.D.S.-B.D. CANARY -ASSESSOR P".11 roR GOLDE APPLICANT ti x-'3 .r�._i•�r •.a^.' {.�(. .. -.._. ..,..fir-^:: r.. .. y,r�,. •n��T. rir. r .n � r -=�. ! J• BUTTE COUNTY SCHOOLS IMPACT FEE CERTIFICATION FORM (One Form Per Building) School District n -t Building Department No. A.P. Number.,'. Jurisdiction: 0 -City [] County PropertyOwnerRarlk4V Pperty Location/Address JSS 60. &17do Aubdivison Lot No. ' Residential Development, 0] Sq. Footage 62 No. of Living_ - MHI Addition (Group R) Units Commercial/Industrial 0 Sq. Footage Building Departme New Addition >r Plans reviewed by School District°PersonnelY,' , (Including Exterior f Roofed Areas) Date S District Identification No. _ (� -School District certifies that ! (Applicant)—� ..,(Street Address) (Phone Number) r (City) (State) (Zip Code) . ' has complied with the requirements of Resolution No./ by payment of $ f representing /L,' square feet. AB 2926 $ �.; P FULL MITIGATION $ rr C>/ Z_z�ZZA_r S6Kool Distric res tive Date Paid by Check # Remarks: p Q ,Q a Bank Number rya 0'o2 , a G_c' t ('_C. �2, f`Cf /;'7 Paid by Cash 4•. 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 (CEOA), this project may be subject to additional school fees to fully mitigate its impact on the school district's schools. t White (applicant), Yellow (building department)..,. -Pink (school district) feeformmkt (11/94)dmm a NON M UNTYOF BUTTE - DEPARTMENTOF DEVELOPMENTSERVICES -,BUILDING DIVISION t 7COUNTY CENTER DRIVE -OROVILLE, CALIFORNIA 95965- TELEPHONE (916)538-7541 PERMIT APPLICATION DATA SHEET OWNER /f/a/'A q- IllereJ)yA /-ovv P. o. 3:- 4. 5. 6. 7. 8. 9. 10. 11. 12. 12. Proposed Building Use Building Inspector Date V 116 25. At time of.permit application, I was advised the following data must be submitted prior to permit processing and/or issuance: 1. y 2. DATE RECEIVED BY All items hW been submitted . ................................. ..... Plot plans,0A sets, signed by preparer of plans ........................... 3:- 4. 5. 6. 7. 8. 9. 10. 11. 12. 12. Complete plans, 3/4 sets, signed by preparer of plans . ...................... Engineered plans and calcs, 3/4 sets, with wet signature on plans . ............. Hazardous Material Form . ............................................ Energy Design Compliance and supporting documentation . .................. Statement of Intent for Non -Heated and A/C Buildings ........................... Engineered truss details and layout iaAk4phcate (requi&ed4pdo.Up pjgD rcl_eck). Mobilehome, tta� a d nufacturer's installation instructions, 2 sets. .:...... . Fees of $ O .............. Impact fees as Ca f rnia Department of Forestry plan approval/fees. ....................... . 13. V't4. 15. 16. 17. 18. 19. 20. 21. 22. 23. 24. Flood elevation letter (100 year flo by Ci ornia Engineer. . . Sanitation and plot plan approval le-_ Health Department . ............ City of Chico plumbing permit . .....:.................................. . Plot plan and business license approval from City of Biggs/Gridley. ............. Planning approval for (A) Use: (B) Parking: Contact Land; Development about (A) Improvements (B) Drainage. ...........' Driveway permit (construction approval required prior to occupancy). .. . . Pre -inspection for Fred"sing Ins `�0�- required. .. co B���d��9 ��SPa«or '(Date) Contractor's license information. (No., Name Style, Classification) . .............. Certificate of Workmans Compensation Insurance . .......................... Owner -Builder Verification (Given to owner , Mail to owner _)............ 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. 28. Letter of intent on building use . ......................................... Mobilehome utility clearance . .......................................... 29. 30. Documentation of legal access . ..................... :.................. Documentation of 50% subdivision developed or (A) Road improvements completed and (B) Parcel meets zoning area and frontage requirements . ............... 31. 32. Existing violations/expired permits . ...................................... Plan check list . ..................................................... 33. 34. _ /I Whyyou issue the rmit,-process as follows: Mail Q owner. My�cQf*� -r Telephone ��' 3 �'J and hold for pickup at ( ro v i I / Deliver with inspector. Other-� Parcel Creation Acreage Applicant Date Copy of Haz-Mat form sent Health Dept. Fire Dept. Air Pollutio D e 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. 41 2. Additional items required: /11 Contractor, designer, owner, was advised of above required data by Vphone -mail Counter by _ Date Contractor, designer, owner, was advised of above required data by _ phone -mail C ounter by _ Date Plans checked by Date a Plans approved by Date Sets of plans on hold in File cabinet AP folder Copy- Department of Public Works E.H..HUSE Plot Plan Attached Floor Plan Attached—� Sent to T TO: Building Department FROM: Environmental Health SUBJECT: " Sanitation Clearance L �� ass C o �� N,T., Owner / Location AP# Plan Approved for: Sewage Disposal v Wateo,Supply: Public Private Well Clearance for dwelling. Other �� ti r' �CiLa"'L t ek i &F -k - o r- 3 Hold fina Final clekance O.K. foo NOTE: �7Environmental Health Specialist'D * 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 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: CITY: PHONE: _ CONTRACTOR'S LICENSE NO. 0 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 m/4 - SIGNED: PROPERTY OWNER: SOCIAL SECURITY NUMBER: / DATE: NOTE: This owner -Builder Verification is required by Section 19831 and 19832 of the California Health and Safety Code. This verification must be completed and returned to our office before we are permitted to issue the permit. 515-01 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 do your own work, with the exception of various trades that you plan to subcontract, you should be aware of the following information for your benefit and protection: 0 If you employ or otherwise engage any persons other than your immediate family, and the work (including materials and other costs) is $300 or more for the entire project, and such persons are not licensed as contractors or subcontractors, then you may be an employer. 0 If you are an employer, you must register with the State and Federal Governments as an -employer and you are subject to several obligations including state and federal income tax withholding, federal social security taxes, workers compensation insurance, disability insurance costs,.and unemployment compensation contributions. 0 There may be financial risks for you if you do not carry out these obligations, and these risks are especially serious with respect to worker's compensation insurance. 0 For more specific information about your obligations under Federal Law, contract the Internal Revenue Service (and, if you wish, the U.S. Small Business Administration). For more specific information about your obligations under State Law, contact the Department of Benefit Payments and the Division of Industrial Accidents. If the structure is intended for sale, property owners who are not licensed contractors are allowed to perform their work personally or through their own employees, without a licensed contractor or subcontractor, only under limited conditions. A frequent practice of unlicensed persons professing to be contractors is to secure an "ownerbuilder" building permit, erroneously implying that the property owner is providing his or her own labor and 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. Si n&reIN, ` Michail C. Vieira, C.B.O. Manager, Building Inspection NOTE: This Owner -Builder Information is required by Section 19830 of the California Health and Safety Code. OVER ,.o- PLAN REVISION Please complete the following information in order to process your submittal. If this form is not complete, correct and legible, it may cause a delay in processing. Owner's Nape: Received By: /6 /4 Date: 5 —0 aS A.P. #: 2/- Permit #: q6 Z Time: /D '36 ContactPhoneNumber: Purpose of submittal: ❑ Permit Application Data Item ❑ Engineering ❑ Plan Revision ❑ Requested by Building Inspector or Correction Notice - Inspector's Name: d'Requested By Plan's Examiner - Examiner's Name: ❑ Other: If you are revising a plan which has already been issued, submit two(2) drawings reflecting the revisions for plan review. If engineering is involved in this revision, the engineer must put his requirements on these drawings and stamp and sign the drawings. Include two (2) sets of wet signed engineering. Revised drawings must clearly show When Approved, Process as Follows: ❑ Mail to Owner at this address: ❑ Mail to Contractor at this address: ❑ Call ❑ Deliver with next inspection. Revised Plan Check Fee: and hold for pickup at the ❑ Chico Office ❑ Oroville Office Additional fees may be due Additional Fees: Receipt #: ❑ Additional Fees Not Required based upon complexity and re' involved to process this submittal. Receipt #: D` LOERKE INSULATION CO., INC. INSULATION CERTIFICATE 355 E. Rio Bonito Rd. Biggs Number and StreetCity County Subdivision Lot Number DESCRIPTION OF INSTALLATION 1. ROOF Material Thickness (inches 2. CEILING Batt or Blanket Type Fiberglass Batts Thickness (inches) 13" Brand Name Thermal Resistance (R -Value) Brand Name Schuller Int. Thermal Resistance (R -Value) R38 Loose Fill Type Fiberglass Brand Name Schuller Int. Contractor/s min. installed weight/ft sq. .659 fib. Minimum Thickness 16.25" Manufacturer's installed weight per square foot to achieve Thermal Resistance (R Value) 3. EXTERIOR WALL Material Fiberglass Batts Thickness (inches) 3.5" 4. RAISED FLOOR Material Fiberglass Batts Thickness (inches) 6.75" 5. SLAB FLOOR / PERIMETER Material Thickness Perimeter Insulation Depth (inches) 6. FOUNDATION WALL Material Thickness (inches) DECLARATION inches. R38 Brand Name Schuller Int Thermal Resistance (R -Value) R13 Brand Name Schuller Int, Thermal Resistance (R -Value) R19 Brand Name Thermal Resistance (R -Value Brand Name Thermal Resistance (R -Value) I hereby certify that the above insulation was installed in the building at the above location in conformance with the current Energy Efficiency Standards for residential buildings (Title 24,Part 6, California Code of Regulations) as indicated on the Certificate of compliance, where applicable. C.L.#499150LOERKE INSULATION CO., INC. t—f emus— ' ft-khunstal mg Subcontractor Co. Name)Or 3"o-n'ag General Contractor (Co. Name) Or Owner Item — Signature, Date Installing Subcontract r o. Name Or General Contractor (Co. ame) Or wrier Items Signature, Date Installing Subcont (ctor_ (Co. Name) Or General Contractor Co. Name) Or owner COUNTY OF, PUTTE BUILDMG`DIOISION DEPARTMENT OF DEVELOPMENT SERVICES 1469 Humboldt Road, Chico, CA - (916) 891-2751 7 County Center Drive, Oroville, CA - (916) 538-7541 747 Elliott Road, Paradise, CA - (916) 872-6307 x CORRECTION NOTICE r: ' OWNER PERMIT NO. A routine inspection indicates that the following violations of Butte County Ordinances exist at the above address and should be corrected. Please notify this office when correction of work ;is have an you If completed. p y y questions pertaining to this matter, or need additional explanation, ` 'please cc tact this office immediately. .. ,. .v e {S" J jD��GL. R Date r%— 1� Inspectoru���t� REV 10/92 T V=OK ' C"'= Not OK e Not Applicable * = Not Ready MOBILE HOMES MISCELLANEOUS Date MOBILE HOME UTILITIES (Plans) OK except #'s Date DECKS, COVERS, CARPORTS, GARAGES (Plans) OK except #'s 1. Zoning Requirements - Setbacks - Easements 1. Zoning Requirements -Setbacks -Easements t� 2. Soils; Special MH Support Sketch .r 2. Footings; Soils-Size-Dep"pacing-Connectors-Steel 3. Sewer, Location -Test -Fall -C/O -Concrete 3. Decks; Girders and/or Joists -Decking -Bracing -Stairs -Rails 4. Water, Location -Test -Easement Needed (Sketch) 4. Wood Awn.; Posts-Beams-Rftrs.-Connectors 5. Electricity; LocationClearances-Gmd-/ /Amp -Concrete Shthg.-ft.Bracing 6. Gas; Location -Test -Wrap; / tUtL 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures / /Nat. or/ /Lt./ /LPG 6. Carports; Windows -Doors 7. Well Clearance & Disconnect 7. Electric 8. Utility Clearance 8. Fnng.; Sils-AnchorsStuds-Rttrs-Trusses 9. Siding; NailingVeneer-Stucco-Mesh 10. Roof; Shthg-Roofing 1 Date - Card B-1 Date Card 13-1 11. Ext.; Steps -Doors -Landings . Date Card B-1 Date Card B-1 1 Date MOBILE HOME INSTALLATION (Plans) OK except #'s 1. Zoning Requirements- Setbacks Easements Date Card B-1 Date Card B-1 2. Footings; Size -Spacing -Marriage Line i Date Card B-1 Date Card B-1 3. Gas; MH Test -Demand -Valve Connector Date POOLS (Plans) OK except #'s 4. Electricity; MH Test -Crossovers -Breakers -Clearances 1. Setbacks -Easements 5. Drain; MH Test -Fall -Flex Connector 2. Soils; Compaction -Structure Stability f 6. Water; MH Test -Regulator -Connector 3. Pool Structure; Steel -Connections -Thickness 7. Water and Sewer Connected -C/O to Grade -HC Approval Dead Men -Lining 8. Gas and Electricity Tagged 4. Elec.; Receptacles and Lighting, Distance-GFI 9. Tie Downs -Type -Installation Cert. 5. Elec.; Pool Lighting; 15 Volts-GFI 10. Exits; Insp.-Sketch 6. Elec.; Enclosures; Conduit Entries -Terminals -Listed 11. Cert of Occupancy 7. Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater 8. Elec.; Grounding; Equip. w/5' Circulating Equip. -Pool LBhtg. Boxes-Enclosures-Panelboards-Ins. to Main in Conduit Date Card B-1 Date Card B-1 9. Health Department Approval Date Card B-1 Date Card B-1 10. Plumb.; Cir. Test -Water Supply Test Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 I V = No OK + RESIDENTIAL - = Not Applicable = Not Ready Date UNDERFLOOR (Plans) OK except #'s �. Zoning-Setbacks-Easments-FioOKIope 2. Ftg., Main; Soils-Elec. Gmd.-/ P' Ftg. Depth 3yF(q. Garage; Soils-Steel-Elec. Gmd/ N Ftg. Depth 4. FIg. Porches & Decks; Soils -Steel-/ N Ftg. Depth Stemwalls, Main; Steel-Blockouts-Wrapped 6. Stemwalls, Garage; Steel-Blockouts-Wrapped 6a. Hold Downs and Special Anchors lab teel-Wrap _ 7 8. -Firep ' e Ftg.-St I O.W.V.; Fall -Fitting -Test -2 Way /O -Sewer Test 10. OF Gas Pipe; Size Anchors -Yard Gas Piping; Size Test Water Pipe; Test -Anchors -Regulator -Service Test 12. Electric Underground 13. Pienums Duc s; Clears e-Mater:al-Support-Ins. G irAe s- -Ancho It J& Vents ri ' s 15.- Access & Ventilation 16. Insulation -( (Card Date Card B-1 Date -jq_ 51 7" Card -1 "I Date Card B-1 Date i P UMBING (Permit) OK except #'s 7 ater Htr.; Vent -Access -Combustion Air Baffle X8.lWater Pipe; Test & Anchor -Nail Protection Test Fittings & Anchor -Nail Protection (Wer Pan; Test, First Floor -Tub Access 21. st Tub & Shower, Second Floor -Tub Access 2. Gas Pipe; Sixe & Anchors Date Card B-1 Date Card B -i Date Card B-1 Date Card B-1 Date ELECTRICAL (Permit) OK except #'s ,23i Fixture & Transformer Clearance -Ins. fe6(ection & Switches at Doors & No. of Conductors \,28' Rom_p�stalled Close to Edge of Studs & C.J. r27xqu round made up w/Mech Fastners-Bond Gas & Water R. ppliance Circuts in Kitchen & Conductor Size GA 29. Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / / ga Cu or Al ge Circ. / / ga Cu or AI -Oven Circ. / / ga Cu or Al In fated Neutral 0 Yes 0 No ' Service -Riser Conductors & Ground -Main Disconect 32,kfuip. Clearances Panels-Motors-Mech. Epuip. 3. CI es Closet Light -Shower Light -Spa Light fi Smoke Detector Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date MECHANICAL (Permit) OK except #'s Ducts Insulation & Support t� Vent Fan, Exhaust above insulation 37. C,QRTensate Drain & Overflow, Size & Grade Fu ce-Vent Access -Comb. Air -Return Air Vent 115 outlet 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 40. Proper Materials & Anchors 1. �>Ils Studs -Nailing Spacing & Braces -Plates -Sound Bg Walls over Girders & Floor Nailing D Stop in Walls (rat proof) LPA5"Irstops, Furred Ceilings -Stairs -Chasers -Tubs Headers & Beams -Size & Bear.ng (Single & Duplex) Date Ties-Purlin-roff 1AS. Jr� epface fyb or Type A Flue -Fireplace Thtt clearance �Q _Attic Access; Size & Romex Protection -Draft Stoo-lns. Ba les '- y50. Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions 51-6arerg�ire Protection Framing __.52�-pprtV'Une Firewall & Openings tp f t. RNLs-_Qne 3 -Check Garage 3rd Story, 2 Exits X54. ai�dth-Headroom-Rise-Run-Landinq-Fire Protection f55/9ywood on Roof Overhang -Attic Vents -Rafter Outriggers 56. Siding-Naili eneer D^01 57. Stint esh-Dri reed -Fd. Vents-Underflr. Access Cl`8� azing Area -Glass Protection-Skvliahts-Plastic / Wall 61. `62. Infiltration -Walls -Windows Date _ C rd B-1 Date Card B-1 Date C rd B-1 Date Card B-1 Date t Card B-1 Date Card B-1 Comments at Final: Date and B- Date IDS. j - V Card B-1 Date Card B-1 Date Card B-1 Date / FINAL (Plans) OK except #'s -851 JFxrSteps-Door & Sidelight Protection -Landings S ke Detector Furnace; Vents -Clearance -Comb, Air-Conector- 4 Garage -Above Floor -Ducts -Meth. Protection Bedroom Exiting G.FI & Bath Fixtures & Tub Access -Spa lec. Trim & Subpanel, Breaker Sizes & Labels �Irs-8F£3ads 4,?C-Fireplace og&otct„ Clearance -Hearth . Elec Outlets at Wood Panel, Int. & Ext. it. Fixt. & Appliance; Ground. -Air Gap -Cooking Clearance Elec. Outlets & Recepticales at Kit. Counter 9*. Samye Fire r, ing-Landin -Closure Dam er 76. '; Wtr. Htr.; Vents -Clearance -Comb. Air Connector-P.R.V. Above Floor -Meth. Protection Plb., Elec. & Mech. Equip. Listed for Location 78 I. -Romex Protection / . nsulation-Foam-Looked in Attic 80. tion -Post Caps Fdn. VBents & Crawl Hole Door Drainage & Wood -Earth Clearance Looked under Floor ns 82. Following Instl ./Drive 0 Yes /Walks 0 Yes aNeKanters 0 Yes �le� 83. Stu on. -Finish fYG�Unit Disconnect, Electrical -Plumbing 5' Vents Above Roof, Plbg-Appliance-Fireplace-Clearance to Openings ater Well, Disconnect, Electrical, Plumbing`_ x r Elec. Trim, G.F.I. Receptacle -Underground e 'lation Throught House Glass Protection 90. Correctiops from Previous Ins ectio 91. Gas t -Meters Tagged, Vs-EkCtric 92. ater & Sewer Connected -C/0 to Grade -HD Approval Energy Compliance Certificate -Other Certificates Date _ C rd B-1 Date Card B-1 Date C rd B-1 Date Card B-1 Date t Card B-1 Date Card B-1 Comments at Final: RESIDENTIAL 25-30-05 1878-91B,P,E r STEINER, Kurt 455 E Rio Bonito Rd, Biggs cont: Economy Builders i (addition/sf) 3 33 Ag- o j 9 - J t, n1` ,f Z I' OFFICE COPY Addres GAS > + Meter B\ Date ELECTRI Meter By — Date / I f — -- - jI f1 { JOB FINALED (Date) -- Signature k V=OK O = Not OK NotNo Ready MOBILE MOBILE HOMES MISCELLANEOUS Date MOBILE HOME UTILITIES (Plans) OK except #'s I Date DECKS, COVERS, CARPORTS, GARAGES, (Plans)OK except #'s 1. Zoning Requirements -Setbacks -Easements 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- Beam s-Rftrs.-Con nectors 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 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 t 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 2. Footings; Soils -Size -Depth -Spacing -Connectors -Steel 3. Decks; Griders and/or Joists -Decking -Bracing -Stairs -Rails 4. Wood Awn.; Posts- Beam s-Rftrs.-Con nectors 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 d=OK 0 N OK Not able tReadyRESIDENTIAL (Sing)e & Duplex) Date U ERFLOOR (Plans) OK except ft's Date FRAMING (Continued) Zoning -Setbacks -Easements -Flood -Slope 2. Ftg., Main; Soils-Elec. Grnd.-/ tg. Depth 3. Ftg., Garage; Soils-Steel-Elec. Grnd.-/ /" Ftg. Depth 4. Ftg., Porches & Decks; Soils -Steel-/ /Ftg. Depth 5. Stemwalls, Main; Steel-Blockouts-Wrapped 6. Stemwalls, Garage; Steel- Blockouts-Wrapped 6a. Holgl.,Dovvns and Special Anchors 7 ab; Steel -Wrapped 8. Piers -Fireplace Ftg.-Steel 9. D.W.V.; Fall -Fitting -Test -2 Way C/O -Sewer Test 10. UF. Gas Pipe; Size -Anchors - yard gas piping: size -test 11. Water Pipe; Test -Anchor -Regulator -Service Test 12. Electric; Underground 13. Pienums & Ducts; Clearance -Material -Support -Ins. • Girders -Sills -Anchor Bolts -Joists -Vents -Cripples & Ventilation 16. Insulation Date _*/Card B-1 Date - /0-7/Card B-1 e - // DatCard B-1 Date Card B-1 Date PLUMBING (Permit),OK except ff's 1>✓:" atN`a e---tr.: Vent-Access-Ccmbust ion Air -Baffle ----------- ---------------------------- ater Pipe: Test & Anchor -Nail Protection V.; Test -Fittings & Anchor -Nail Protection ------- --------- ---- — ------------------- 9 Shower Pan: Test, First Flour -Tub Access ------------ --- --------------------------- est Tub & Shower, Second Floor -Tub Access ------ --------------------- -------------------- 2_4;ea-Ptpe'9ize & Anchors ---- -- - -- --- ---- - - oat e�� Card 8-1 Date Card B-1 Date Card B-1 Date Card B-1 Date ELECTRICAL (Permit) OK except a's k2--PirMre-& Transformer Clearance -Ins. -Protection ------ ------------= ---- ------------- le ..Receptacles Spacing -Lights &Switches at Doors --------------------------------- ---------- - _ Size Boxes & No. of Conductors -Stapled ---------- - --- I:r ----------------------------------------------------- omex Installed Close to Edge of Studs & C.J. ------------ - - - of Studs & C._J--------------------- 2�p. Ground made up w/Mech. Fastners-Bond Gas & Water ------------------------------------------------------------------- -------------------------- Lr� Appliance Circuts in Kitchen & Conductor Size/GFI --------------------------------------------------- ---- 2B-Subtert-Vftm Sizer r ga. Cu or AI-A.C. Wire Size ! ! ga. Cu or Al ------------------------------------------ ---------------- - -- --------- 2+- r ga. Cu or 41 -Oven Circ. / r g Al.AI Insulated Neutral ❑ Yes ❑ No --- ----------------------------------- ------------- --- -------- - - --- -- - 3�efaree-Riser Conductors & Ground -Main Disconnect - - ------------------------------------------------------------- ---- - 3 Gni^in [jaa. Q^c Panels-Motors-Mech. Equip. 3Q_-__e5Tfies Closet Light -Shower Light -Spa Light -------------- ------------------------ - --- -- 3 moke Detector --- --- --------------- ---------------------------------- - - --- - --------- Date - �. . Card 8=- - Date Card B_1 Date Card B-1 Date Card B-1 Date MECHANICAL (Permit) OK except a's 3Btcts Insulation & Support --------------3 ------------- ------------------------------------------------------------------ Vent Fan: Exhaust above insulation ----------3to Drain & Overflow: Size & Grade - 3W_Z ra-nce-Vent: Access -Comb Air -Return Air Vent -115 outlet -- - ----- �` --- --------------------------------------- - - 3r`" ss & Platform if Furnance in Attic Date���-- Card B - -----------Date ------------Card-B 1-- ----------- - ------------ Date Card B-1 Date Card B-1 Date FRAMING (Plans) OK except ft's 3&-sli-s-Proper Material & Anchors_ _ l_ s Studs -Nailing Spacing & Bracing -Plates -Sound --------------------------------------- .Bearing Walls over Girders & Floor Nailing ---- ----- --------------------------------------------------------------- Draft Stop in Walls (rat proof) -------------- ---- ------- -------------------------------------------------- Stops: Furred Ceilings -Stairs -Chases -Tub 4. Headers & Beam -Size & Bearing ----_ Hangers -Post Caps -Anchors -Connectors Cing. Joist-Rftr. ties-Purlin-roof Brac-Truss-Shthng.-Ring. ies or Type A Flue -Fireplace Throat clearance 4t�-Attfic Access; Size & Romex Protection -Draft Stop -Ins. Baffles drm. Windows or Exiting Doors -Sill Hgt. & Dimensions 5P_48-05-ge Fire Protection Framing 5 roperty Line Firewall & Openings - 5 xt..Doors-One penings52..Doors-One 3' -Check Garage -3rd Story, 2 Exits --------------- rs;-_ d Hearoom-Rise-Run-Landing-Fire Protection plywood on Roof Overhang -Attic Vents -Rafter Outriggers ----------------- ----- 55.. it11 g Nailing Veneer ------------------------------ -- - - .5 ip Screed -Fd. Vents-Underflr. Access azing Area -Glass Protection -Skylights -Plastic ------ --- ar Walls; Nailing -Bolts i4WInsulation-Walls-Ceilings ---------- - 60. Infiltration -Walls -Windows Date "' -� _Card B-1 _ Date Card B-1 Date Card B-1 Date Card B 1 Date FINA (Pans) OK except 4's xt. Steps -Door & Sidelight Protection -Landings Smoke Detector urnace: Vents -Clearance -Comb. Air -Connector - Inn Garage; Above floor-Ducts-Mech. Protection - ---1/ 64. Bedroom Exiting Bath Fixtures & Tub Access -Spa Elec. Trim & Subpanel Stairs & Rails Breaker Sizes & Labels __.53rF;'replace or Stove: Clearances -Hearth Outlets at Wood Panel: Int. & Ext. $-ttil-Fizt-&Appliance; Grnd.-Air Gap -Cooking Clearance ets & Receptacles at Kit. Counter re Door; Swing -Landing -Closer --------------------------- . -OrcI in Garage -Damper 7 tr.: Vents -Clearance -Comb. Air-Connector-P.R.V. In Garage: Above Floor-Mech. Protection . c. & Mech. Equip. Listed for Locatio c.a ptacles in Garage: (G.F.I.)-Romex Protection sulation-Foam-Looked in Attic Yes 5 --- -------- Fdar a is & Deck - Construction -Post Caps n Vents & Crawl Hole Door -Drain ge & od-Earth --------- --- - t Clearance Looked under Floor es iSD_Fott*S ling instld.; Drive ❑ Yes ❑ No; Walks 11 Yes ❑ No; •/ Planters--O-Yes ❑ No -------------------cco Brown -Finish --- � — 1-' . iCC Unit: Disconnect. Electrical, Plumbing - - --- - ---- -- -- -- -----------9 _---- — 63. Vents Above Roof; Plb A pp liance-Firep lace. -Clearance to Openings -- - - - -- --- -- -- ------------------------------ 4,-24--tl rr-VOell; Disconnect_ Electrical, Plumbing xten r Elec. Ttim; G.F.I. Receptacle -Underground VV - A1ilation Throughout House & . ' d7 - . - -- - -Protection--- ------------------ _ . _Glass 38. Corrections from Previous Inspections ------------•------- I------------ --- ----------- 89. Gas Test -Meters Tagged; ; Gas -Electric -- Water -&-Sewer Connected -C/O to Grade -HD Approval 91. nergy Compliance Certificate -Other Certificates Date and B- Date _Card B-1 Dat Card B- to Card B-1 - ----- Date Card B-1 Date Card B-1 Comments at Final: COUNTY OF BUTTE DEPARTME-NIT OF PUBLIC WORKS 196 Memorial Way, Chico — Phone: 891-2751 7 County Center Drive, Orovi Ile — Phone: 538-7541 747 Elliott Road, Paradise — Phone: 872-6307 CORRECTION NOTICE OWNER -V IT N0. A routine inspection indicates that the following violations of County Ordinance exist at the above address and should be corrected. Please notify this office when correction of work is completed. If you have any question pertaining to this matter, or<anal explanation, please contact this office immediately. � i -90'L 4 i Dateq—1 t , t. Inspecto i 1'� _LI lt,: -JU FI,L. UI -1�. F'F' L • 11... P.4 `. L ` a` Ok Of TWA CERitwIFICATE OF C N F RMANCE /HE UNDERSIGNED MANUFACTURER HEPEB Y CERTIFIES that the products identified below And on attached sheets Nos,— . .___ are marked with the Collective Mark of the AMERICAN INS-nTui,F OF TIMBER CONSTRUCTION (AITC) and were manufactured in conformance with applicable provisions of American National Standard ANSI/AITC Ai9U.1-19$�3 Strne ural Glueti Lamnated Timixr, and that such manufacture has been at our plant in._._S_ __... , __-----'--,which plant has a quality control system approved by the Inspection Bureau of the AMERICAN INSTITUTE OF: TIMBER CONSTRUCTION and inspected periodically by such Bureau, The manufacture of these members complies with the manufacturing and f=abricating provisions of Chapter 25 of the Uniform Building Code. . . Jos NAME: 100 LOCATION. - - --,C d _. _ ... CUSTOMEN'SORDER NO. 3*1-18979DA19 _V 3 .199— _ 1f: -.WS OkOER NC-_..._48a6—C PROOF LO SD M .T W3 SIGNATU a a --- CoMONNr I.W11911t CO. _-- TITLE QUALITY CORTML <.OGkE55 S 22RD d 3 22190 ,_ ... AITC HEREBY CERT/r-1C--5' th t the sp;d company at its said plant is licensed by the AMERICAN INSTITUTE OF TIMBER CONST LJ TION to use the AITC Collective Mark in respect of products which comply with applicable provisions of said Standard, that the adequacy of the quality control system in effect at Said plant Is periodically irspnte"; and '-rerified by the Inspection Bureau of the AMERICAN INSTITU,rE OF TIMBIEFI CONSTRUCTION, and that, in the judgrnent of AITC, said company is capable of complying with appi;raf.,le rrtariufacturing and testing provisions of said Standard in respect of products rnitnufacturtd at said plant. 'Conio!•mance with the Standard in respect of any specific or particular product is the sole resp risibility of the marlufac'turer; AITC's guarantee hereunder being that the said company is qualifiPei to prodUce a product meeting the said Standard and that its plant is periodically inspected and verified by the AITC Inspection Bureau. AITC Certibi--ate Vo, 59161 A AMERICAN INSTITUTE OF TIMBER CONSTRUCTION iy, 1fl83 AMfp�!,'NN INS'. IrW'tE OF l IMBcH CONSTRUCTION JUL '19 '91 L •� ', .-•:_ F-t:3L _DLlih . FRt.!D , dE6!YifiRO RQ. Box 20 o Swirlg(;rild, OR 97477 .. PPME: (6033) 746-6411 W: (503) 72"919 C)I�Iid;:Ft r1r;f�14i7!lfk.l= otne,r F`hL..rIE:;F� f: I'll C::W'11s ..:'f)p1FTII'•IY :I:hi(:i (.'Cl :::1 {:?iso l�QCYrfYlC:3 k.l :S Xr:� W 'it 4, XY. Ch'clt�r lidl•!:t•;r 6:'_',V91 R� cl 51"I:i,p litrr•l'.E:a 7/0/YJ, $`r ��—•;L' r�:' f(:)I:) $F ii�r�V.L'iS7.!a!"l l�il.IGi.. .....:I<cit.i F'rt j.cj1, ). O(s)l:; y<rbfr 1 . n;i i,40 T!-"!) :I.i15il:JE�t,':i�:l.fi)r•I N�I��Fi/'1:_bJ<^ '. -�i:: k:i.C)r) f'G,taci r,. �''�( ► cat:aaaaoatot�atmt3tt8t'f886E4tt4t8t36388:2attaaaAA58><lzx8811t8f81lt88dira8t:4;tabA9titsl<�8E?t4B�;1,8148&8lt8tEt>� ;t APPF.ARA)tC.E PRAT SPC ST BEAR PRIFIL BARK QTY b1DTH DEPTH 8E:T IN FRACT RADIUS 6RADF HLIDI!'Y -ECT Ftp Cif bR (;0918. SECT L k � I' 0-3136 5 03-1/2 X. 13-1/2. 16 09. 2000 Arch, S w EN A l M 1 S i 5-309 4 03-1/8 X 09 60 02 2000 Arch. 1 5 D V4 2400F A l 0 i S S-312 4 03-1/8 X 12 60 07 2000 Arch, 1 5 D V4 240OF A l 8 8 t S-313 4 03.1/E X 131/2 60 02 2000 Arch. 1 G V4 2400r' A l R S S-509 4 05-116 X 09 60 42 2000 Ars:)'. 1 5 D i'4 114COF A l N 1 S. 5-512 9 05-1/8 X 12 60 02 2000 ;rCh. ! a D V4 2466F A 1 A' S $-516 4 05-1/9 X 16-1/2 60 02 200 Ar [ ,, S D V4 240OF A 1 W S S-S1BN 4 05-1/8 X 18 SO 00 2000 Ar:h, ! S D V4 2400F A 1 H S S-519 2 05-1/8 x 19•-1/2 60 02 2000 Arch, S G V4 24001' A l !$ S S -524N 1 05-1/8 X 24 50 00 2000 Arch. 1 5 D V4 1-400F A l !i S 5-612 2 06-3!4 X 12 60 02 200 Arch. ! a'a 210DF A i b S-613 2 06-3/4 X !3-1/2 60 02 2000 Arch. d4 2y00f A l w 5 OMER ACKNOWLEDOMENIr INVOICE TERMS AND CONtir mS t. Ptoesa "OW all be1Vt deductions v.fth orfglifm fralght tines. A. AOaoakqIW Mae to 001Y oA clulms Of glade. Wiry G manufydh;re.cu,.@ TolAEF:'S ()01:FR :S SW`:CT 4. Pass dtla U14U S w111 be Asmilad a oorvlcs margo of t tq% to month (IM pot a:m,.It). TO ALL OF THE TIHIM€ ANI) A. Cummer a4rw03 to IACA!AA;Iy „ patKV0 L41MW C'W"P0Y for en LLaF<APsa in.LLrrt,d In c;.m,ee,ion COMMONS STATE(.? HERE -IN, i/hh Ifte rn!le-•ion CI lfmoani9 due hirtoundet, 1MiLLding y11 Cburi r:ay:e eT•ld 6Knrnoy'P lana ineWretl Al ma 4181 livot And on trry appeal. & Ail Ihtgeuan wnwhlhQ tY;fa order will mw Dteee !A Lyne CouAir• ors';dn. 4 Mould In tarma be tCUAd IrstA4*jI INS ackn?wledymart And Cuetams, purCnabe VOW. thio ACIInaWI0d11!Ttant taMa ptUadany ;n an emus. . of�aI��� H. -s LOCATION ENERGY CERTIFICATION 0-v I +b DESCRIPTION OF INSULATION A. P. # ROOF MATERIAL BRAND NAME THICKNESS (INCHES) THERMAL. RES. EXTERIOR WALL MATERIAL TYPE FIBERGLASS BRAND NAME CERTAINTEED THICKNESS (INCHES) THERMAL RES. R- l CEILING BATT OR BLANKET TYPE FIBERGLASS BRAND NAME CERTAINTEED THICKNESS ( INCHES) . Q TIIERMAL RES. - it - LOOSE FILL TYPE FIBS GLA - ' BRAND NAME CES Ate—" THICKNESS (INCHES) IL - THERMAL RES. R- To FLOOR, ELEVATED FIBERGLASS MATERIAL BRAND NAME CERTAINTEED TIIICKNESS (INCHES) THERMAL RES - F LOOR, SLAB MATERIAL BRAND NAME TIIICKNESS (INCHES)---.... TIIERMAL RES. WIDTH FOUNDATION WALL MATERIAL. BRAND NAME TIIICKNESS (INCHES) _ THERMAL RES. I HEREBY CERTIFY THAT THE ABOVE INSULATION WAS INSTALLED IN THE ABOVE BUILDING Iii CONFORMANCE WITH THE STATE OF CALIFORNIA ENERGY REQUIREMENTS. HAWKINS INI)USTRIES INC. 622184 FIRM NAME STATE CONTRACTOR'S LICENSE # -e-�bio /'/ SIGNATURE DATE 1►RR R R1►k RA1F 1f R1►kA11RAR11A/f 1, 1►RRRA�,A„A �,AA�,A�, �, �, �,RAAff R1, 1,RAA1IAARAMAAA I HEREBY CERTIFY THE ABOVE INSULATION AND ALL REQUIRED ITEMS AS SHOWN ON THE BUILDING DEPARTMENT APPROVED PLANS AND ATTACHMENTS HAVE BEEN INSTALLED AS REQUIRED BY THE STATE OF C.;)-.IFORNIA ENERGY REQUIREMENTS. FIRM NAME SIGNATURE - GEN. CONTR./OWNER STATE CONTRACTOR'S LICENSE # DATE / COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Orovllle, California 95965 - Telephone: 916%538-7541 APPLICATION'AND PERMIT PERMIT N0. ASSESSOR,PARCEL NUMBER 025'-30-0-005 ZONING A40 BUILDING PERMIT OWNER URT STEINER TELEPHONE _CQ, FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS 455 E. RIO BONITO RD., BIGGS CDNECONOMY BUILDERS TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total ValuationNONE $ LENDER'S MAILING ADDRESS Filing Fee $ 15,00 Permit Fee $ ARCHITECT OR ENGINEER NONE LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING455 E ADDRESS RIO BONITO, BIGGS Permit fee $ PLUMBING PERMIT Filing Fee 15.00 Each Trap 1 5.00 Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP Water piping 7.00 Each pas water heater or vent 7.00 �gt USE OF STRUCTURE � SF L� Duplex❑ Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 15.00 Mobile Home S I G I W @ 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities [a Installation❑ Other ❑ Describe work: ADD'T, ELECTRIC FOR #1878-91 Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 15.00 Main service 200AORLESS 18.50 1$,50 Main service 200A TO 1000A) 37.50 CONTRACTORS LICENSE LAW ' I declare under penalty of perjury (check one): c�{J I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in fu force and effect. License No. S y2 'Sym Classification El as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONST.( DWELLING OCCUP. �\ OR ADDNS. ACC. BLDGS. r 3.6Q sq.f[. NEW CONSTR ULT' -OUTLET NON-RESID, BRANCH CIRCUITS @ 5•00 (POWER APPARATUS 6� SINGLE OUTLET CIR. Ex. Occup(oUTLETS OR FIXTURES 20 760 FIXED Ex. DCCUp. OUT ETS ((REBID IREA.T I 3.00 Temporary service 15.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 Permit Fee $ 33.50 — WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. 4 1 shall not employ any person in any manner so as to become subject ! to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. Contractor MECHANICAL PERMIT Filing Fee 1 15.00 Heating Cooling g Hood #6.50 Ventilation Perrnit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the Countyot Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue agains sa'd County in c equence of the granting of this permit. X ' Date q._ 16— '7 r na re of Applicant — owner pp ❑ Contractor ❑ Agent ❑ An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee S Energy Inspection Fee $ occ CONST TYPE TOTAL FEE $ 33.50 HAz 1 DFEES I IMP I FLOOD CDF I PARCEL PO HO 'SSU This permit is hereby issued under the sons o e Butte County Code and/or Wor Ind' ated o for which ee B OF PU C h '4Jp EXP • ES Date applicable provi- esolutions to do ave been paid. ORKS Date 9/16/91 h/�5/92 Receipt No. 101102 WHITE-D.P.W.. YELLOW -ASSESSOR. PINK -INSPECTOR. GOLDENROD -APPLICANT COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 - Telephone: 916.'538-7541 APPLICATION AND PERMIT PERMIT NO. ASSESSOR PAR EL NUMBER ZONI G /1 •1. Q BUILDING PERMIT OWNER '_ 171'� 1 C 1 t�� 1. { T LEPH!!lONE SO. FT. OCC. BUILDING VALUATION •T O ER'S MAIL I ADD SS S1 © n ` tv ' N G TRACTOR'SNAME 0 M Eu �fS ELEPHONE CONTRACTOR'S VAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation Is LENDER'S MAILING ADDRESS Filing Fee $ 155,00 Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ ARCHITECT OR ENGINEER'S,MAILING ADDRESS, Energy Plan Checking Fee $ Penalty $ euI ING ADORE S�Y,D Permit fee $ PLUMBING PERMIT Filing Fee 15.00 Each Trap 5.00 Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP Water piping 7.00 Each qas water heater or vent 7.00 USE OF STRUCTURE SF Duplex❑ Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 15.00 Mobile Home S I G I W @ 15.00 TYPE OF WORK New j Addition R model tilities� Install 'on❑ Other ❑ i Describe work: )^ % Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 15.00 Main service LESS 200AOR ORLESS 18.50 IR -,SD CONTRACTORS LICENSE LAW 1 declare under penalty of perjury (check one): �j I I I am licensed under provisions Of Chapt. 9, Div. 3 of the Business and Professions Code and my license Is In full force and effect. License 4o. Classification U I, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason Main service 200A TO 1000AI 37.50 NEW CONST. ( DWELLING occUP.&) 3.64sa.ft. OR ADDNS. l ACC. BLDGS. NEW_CONSTR ULTI.OUTLET NON.?ESID. BRANCH C!RCI ITS @ 5.00 POWER APPARATUS 3 (SINGLE OUTLET CIR. Ex. Occup(OUTLETS OR FIXTURES AAL -20@75a FIXED APLNS. OR Ex. Occup. OUTLETS IRESI0J EA.) I 3.001 Temporary service 15.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 Permit Fee $ 3 t>- - WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. ❑ I shall not employ any person in any manner so as to become subject to the W. C. laws of California. - Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. Contractor MECHANICAL PERMIT Filing Fee 15.00 Heating Cooling Hood 1__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 County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the Countyot Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses .which may in any way accrue against said County in consequence of the granting of this permit. X Date Signature of Applicant — Owner❑ Contractor ❑ Agent ❑ An OSHA permit is required for excavations over 5'0" deep and demolition or construct. ,on of structures over stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST TYPE TOTAL FEE $S HA2 0FEES IMP FLOOD COF PARCEL PDHD ISSUE This permit is hereby issued under the applicable provi- sions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DIRECTOR OF PUBLIC WORKS By - Date PERMIT EXPIRES Date Receipt No. /0// '.UNITE-D.P.W..'TELLOW-ASSCSSOP. PINK -INSPECTOR. GOLDENROD -APPLICANT COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT NO. 7 County Center Drive - Orovillfi, California,96965 - Telephone: 916/538-7541 1878-91 ' APPLICATION AND PERMIT ASSESSOR PARCEL NUMBER 25-30-05 ZONING XXXX A40 BUILDING PERMI OWNER Kurt Steiner TELEPHONE SQ. FT. OCL`, BUILDING ATI6 N 446 R 29.996 OWNER'S MAILING ADDRESS 455 E Rio Bonito Rd GRX Bi s931 C 12,103 CONTRACTOR'SNAME EconomyBuilders TELEPHONE 532-0855 O�j 288 C 3,744 ' CONTRACTOR'S MAILING ADDRESS P 0 Box 150 Oroville Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ 4 Filing Fee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee $ 247.00 ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ 123.50 Energy Plan Checking Fee $ 15.00 ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS ' 455 E Rio Bonito Bipgs' Permit fee $ 395-.50 PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 Solar or heat pump water heater01000ea LOT NO. SUBDIVISION NAME PARCEL MAP Water plpl ng ' 5 -nn I Each qas water heater or vent USE OF STRUCTURE SF [XX Duplex❑ Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets Building sewer Mobile Home S G W TYPE OF WORK New ❑ Addition)N Remodel ❑ Utilities ❑ Installation❑ Other ❑ Describe work: add bedroom & bath, carport, coy porch Permit Fee $ 29.00 Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 1100V OR LESS 00 AMP OR LESS 10.00 Main service EA. ADD'L 100 AMP 2.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): ❑NON-RESID 1 am licensed under provisions of Chapt. 9, Div. 3 of the Business and Profess ons Code and my license is in full rce and effect. License No. - Classification. ❑ I, as the owner, or my em loyees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ 1, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONST. DWELLING OCCUP.h OR ACDNS.- ( ACC. BLOGS. , /22sgft 19 4,n NEW RES,O. U NCH C LET BRANCH CIRC ITS 2.50 ea POWER APPARATUS e (SINGLE OUTLET CIR. Ex. Occup(OUTLETS OR FIXTURES 20 & 5ALeALs303o Ex. Occup. FIXED A P(RESI D.IREA.I 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. 6yirin 9 15.00 Permit Fee $ 22 .40 WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Noti a to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed.revoked. Contractor MECHANICAL PERMIT Filing Fee 10.00 Heating Cooling g Hood 3.00 Ventilation --- - - Permit Fee $ Contractor l I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against l all liabilities, judgments, costs, and expenses which may in any way accrue 1 against said County in consequence of the granting of this ermit. X C� r-� Date -VILure of Applicant — Owner ❑ Contractor ❑ Agent ❑ An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories in h i ht. Mobile Home Installation Fee $ Energy Inspection Fee $ 30.00_ cc r CONST TYPE TOTAL FEE $ 476.90 HAz. CUA _ PARK scH ',� FLD coF PAR -Pb 1 HD. ISSU ; su This permit is hereby issued unoer the applicable provi- sions of the Butte County. Code and/or resolutions to do work indicated abov for which fees have been paid. DI CT OF LIC WORKS + c; By Date ��✓ PERMIT EXPIRES a <-+ Receipt No. 93989-178,.50/ ���lo �/L- WHITE-D.'.W.. TELLOW-AD R -INSPECTOR. GOLDENROD -APPLICANT N.sass A '�«1 7�m �� P•. I{ fir". .`•f' :'� 4 j. i{�."�"``aFi.,vl.Fy; �i�yY :lXyY •;h,.rii�.-rT COUNTY OF BUTTE - DEPARTME1`6 ELIC WORKS - BUILDING DIVISION 7 COUNTY CENTER DRIVE- OROVItLg.'C LIFORNIA 95965- TELEPHONE: 916/538-7541 PERMIT AP L CKTION DATA SHEET Permit No. - OWN E R o.OWNER U /G!'Y " A. P. No. ?5 Proposed Building Use/��l(,1/V "�(/c/P"Iding Inspector K6 Date At time of permit application, I was advised the following data must be submitted prior to permit processing and/or issuance: DATE RECEIVED APPROVED 1. All items have been submitted. ..................................... 2. Plot plans in duplicate/triplicate, signed by preparer of plans. : . �. . . . 3. Complete plans in duplicate/triplicate, signed by preparer. of plans . . 4. Complete engineered plans and calcs, with wet signature on plans .. 5. Hazardous Material Form .............. ....................... . 6. Energy Design Compliance and supporting documentation ......... 7. Statement of Intent for Non -Heated and AC Buildings .............. 8. Engineered truss details and layout in duplicate (required prior to plan check) 9. Mobilehome installation data including manufacturer's installation . instructions . 10. Fees of $ ............. (p �5- A 1 p 11. Chico Urban Area fees paid ....................................... 12. Park fees aid .................................................... 13./',- r - School District fees paid .............. & -.2S 1; 14. Sanitation ap roval from Health Department ` as` `fi 2 0 15. City of Chico plumbing permit ..................................... 16. Plot plan and business license approval from City of (see City for other requirements) 17. Planning approval for (A) Use: (B) Parking: ...... 18. Improvements may be required. Contact Land Development Section DPW 19. Driveway permit (construction approval required prior to occupancy) ec. re 20. Pre -Inspection for required ... Building Inspector (Date) • (Date) 21. Contractor's license information (No., Name Styfe, Classifications ... `22. Certificate of Workmans Compensation Insurance .................. 23. Owner -Builder Verification (Given to owner 0, Mail to owner o) . , . 24. Recorded copy of Agricultural Acknowledgment Statement ......... 25. Letter of signature authorization ................................... ;L 26. 27. When you issue the permit, process as follows: Mail to owner. Mail to contractor. _1,g!!- Telephone Saand hold for pickup at 02'0 office. Deliver w/inspector. Other Applicant- �--- Date �- � 0 Copy of Hdz-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 rmit 'ssu ce: (Cir le new t m not ec a above). 1. Index permit for above items No. L'A. 2. Additionak iterrfs rqquired: Contractor, designer, owner, was advised of above required data y ✓ph n_ ea—Mail counter byOE ..date Contractor, designer, owner, was advised of above required data by phone_mail_c unter by date IZ Copy—DPW �� - Plans approved by Date E Sets of plans on hold in File cabinet AP folder TO Building Department FROM: Environmental Health SUBJECT: Sanitation Clearance 01 _ h Owner Location AP# Plan Approved for: Sewage Disposal Water Supply Hold final for: Water Supply ^incl clearance O.K. for: Water Supp y bedroom mobile home. Other 1P/�JL�-�'' `-1 clearance for � NOTE *** Sanitarian Date COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT NO. 7 County Center Drive - Oroville. California 95965 - Telephone: 916/538-7541 APPLICATION AND PERMIT ASSESSOR PARCEL NUMBERZONING �5-300-66_ 4- BUILDING PERMIT - OWNER i t TELEPHONE SO, FT. OCC. BUILDING VALUATION OWNER• AILING ADDRESS��� � •\/O 6 7- t d C,� 16.9 CONTRACTOR'S NA].. TEIEP'OOV� 55JJ����yy O(J ACICONTRACTOR'S / is MA�Ij ING AODRE33 !� D k f 50 CA Fireplace CONSTRUCTION LE DE /J ./ UNKNOWN LENDER'S.MAI LING ADDRESS �/IVp rb/ Total Valuation Is Filing Fee S 10.00 Permit Fee $ Q ARCHITECT OR ENGINEER NOW- LICENSE NO. Plan Checking Fee $ JR31SO Energy Plan Checking Fee g 15 -- ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ 1 BUILDING ADDRESS�� 1 _ Permit tee $ PLUMBING PERMIT Filing Fee 10.00 - - -- -- Each Trap 7-1 2.00 1 Z1. D D Solar or heat pump water heater 1 20.00 j LOT NO. SUBDIVISION NAME _ PARCEL MAP Water piping 5.00 Each qas water heater or vent 5.00 USE OF STRUCTURE_ ___._—.___.__� _ SF�DYuplex❑ Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home S G W 0.00 ea TYPE OF WORK New ❑ Addition, Rteemo/dV ❑ Utilities L' Instaa�ll�a/tiioon Other ❑ Describe work: 14 -PP ls'edr6oM->I` 1?,4 I C /7l� �11ye�� Permit Fee $ QD Contractor ELECTRICAL PERMIT Filing Fee 10.00 % 600V OR LESS Main service 100 AMP OR LESS 10.00 Main service EA. ADO -L 100•AMP.-. 1-2.50 CONTRACTORS LICENSE LAW I declare'under penalty of perjury (check one): ❑ I am licensed under provisions of Chapt. 9, Div. 3 of theN01V:ri£Sl Business and Professions Code and my license is in full force. and effect. _ .. ..License No. Classification. _ ' ❑ 1, as the owner, or -my employees with wages as their sole compen- sation, will -do the work, and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I,am exempt under Sec. , Business and Professions Code for this reason NEW CONST. /DWELLING OCC UP al Ih¢sgft wew coHSTR\ DA U� TBLour�E BRANCH CIRCITS 2.50 ea POWER APPARATUS S SINGLE OUTLET CIR• 20 1- / Ex. OCCUp\ OUTLETS OR FIXTURES 5ALI3 t eA�o3ot Ex. OCCup. OUTLETS P(RESID )RE A.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. 1Yirin 15.00 9 Permit Fee $ a _ . , ... WORKMEN'S COMPENSATION INSURANCE" " I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. Contractor MECHANICAL PERMIT Filing Fee 10.00 Heating ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate Coolin of Consent to Self -Insure. g ❑ I shall not employ any person in any manner so as to become subject Hood to the W. C. laws of California. Ventilation Notice to Applicant: If after making this statement, should you• become subject Permit Fee to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. Contractor I certify that I have read this application and state that the above information Mobile Home Installation Fee is correct. I agree to comply to all County Ordinances and State Laws relating Energy Inspection Fee to building construction, and hereby authorize representatives of the Countyot occ CONST TYPE Butte to enter upon the above-mentioned property for inspection purposes. TOTAL I also agree to save, indemnify and keep harmless the County of Butte against HAz. CUA PARK scH� I Fac all liabilities, judgments, costs, and expenses which may in any way accrue against said County in consequence of the granting of this permit. I■ •r A This permit is hereby issued unser the applicable provl- X Date sions of the Butte County. Code and/or resolutions to do Signature of Applicant — Owner ❑ Contractor ❑ Agent ❑ work indicated above for which fees have been paid. An OSHA permit is required for excavations over 5'0" deep and demolition or construct- DIRECTOR OF PUBLIC WORKS ion of structures over 3 stories in height. /� Receipt No.qM� ` /7V�o0 a- r. I By Date $"„ VA •t+ ;inf.3t -e' BUTTE COUNTY SCHOOLS DEVELOPMENT FEE CERTIFICATION FORM (One Form per Building) A. P.- Number I,j -300-oos Building Department No. School.District �/' S City County N Jurisdiction Property Owner ,5r'!!50 rR Project Location/Address '7• I1 �� L?��/�"0 fD Subdivision Lot Number Residential Development: ILI �! W Sq. Footage /(O # of Living MHI Addition (Group R) • Units- Commercial/Industrial: Sq. Footage ` New Addition (Including Exterior Roofed Areas) Building Depa-tme t Representative Date. ******************************************************************* .(Floor Plans reviewed,by School District Personnel) District Id No. School District certifies that ` (Applicant Name) (Phone Number) 'z__. /?16 '& '12'. - (Street Address) / �Jr (City)-.. (S -fate) (Zip Code) ha s. complied with the, requirements of Resolution No. by the payment of $-- -"^"' representinwg square feet. g/ School District Representative Date PAID BY CHECK NO. BANK NO PAID BY CASH r REMARKS: white -applicant, yellow-building;department, pink -school district SCHOOL.FEE (8/88) F0 R M 7 ADDITIONS TO RESIDENTIAL'BUILDINGS ENERGY SHEET PACKAGE "A" (Additions) Owner �— Climate Zone Permit # Floor Area The following data Showing mandatory and required features of Package "A" shall be installed for additions to dwellings. Additions to dwellings include room additions, converting garages and patios to living areas, house moves that add footage and attic conversions, and any space that is existing non -conditioned space that is converted to conditioned space. Remodeling of existing conditioned .space is not included. APPLIES TO NEW AREA CEILING WALL FLOOR GLAZING SHADING SOUTH - OPTIMUM OVERHANG ZONE 11 ZONE 16 R-30- k-3 R-11 RL -1 R-11 R-19 A"ev R U-.65 (Dual) -.,5 (Dual) or .36 Shading Coefficient WEST - .36 Shading Coefficient LOOSE FILL INSULATION (Density) INFILTRATION CONTROL (Weatherstrip doors, certified windows, caulking) DUCTS PER UNIFORM MECHANICAL CODE - Ch. 10 LIGHTING KITCHEN & BATH NOT LESS THAN 25 LUMENS/WATT MAXIMUM GLAZING 16% OF AREA PLUS REMOVED GLAZING NEW HEATING, VENTILATING, AIR CONDITIONING AND HOT WATER SYSTEMS -IN CONJUNCTION WITH AN ADDITION SHALL BE INSTALLED AS SHOWN ON BACK OF THIS SHEET. OTHER BUTTE' COUNTY BUILOM DEPARTMENT APPROVE.D12/85 FOR M 7 ADDITIONS 'fO MAIDaJf. BUILDINGS ENERGY SHEET PGE "A" (Additions) Owner �� Climate Zone Permit # Floor Area The following data showing mandatory and required features of Package "A" shall be installed for additions to dwellings. Additions to dwellings include room additions, converting garages and patios to living areas, house moves that add footage and attic conversions, and any space that is existing non -conditioned space that is converted to conditioned space. Remodeling of existing conditioned space is not included. ZONE 11 ZONE 16 APPLIES TO NEW AREA CEILING R-30 WALL R-11 FLOOR R-11 GLAZING U-.65 (Dual) SHADING SOUTH - OPTIMUM OVERHANG or .36 Shading Coefficient WEST - .36 Shading Coefficient LOOSE FILL INSULATION (Density) -38 R 1 R 9 R 5 (Dual) INFILTRATION CONTROL (Weatherstrip doors, certified windows, caulking) DUCTS PER UNIFORM MECHANICAL CODE - Ch. 10 LIGHTING KITCHEN & BATH NOT LESS THAN 25 LUMENS/WATT MAXIMUM GLAZING 16% OF AREA PLUS REMOVED GLAZING NEW HEATING, VENTILATING, AIR CONDITIONING AND HOT WATER SYSTEMS -IN CONJUNCTION WITH AN ADDITION SHALL BE INSTALLED AS SHOWN ON BACK OF THIS SHEET. OTHER BUM COUNTY BUILDING DEPARTMENT APPROVED 12/85 *1 - HEATING, VENTIIATING,AIR COAITI.ONING SYSTEM (A) Heating ❑ Central Gas Furnace % (brand and model number) SE Btu/hr (heating capacity) E3 Heat Pump (brand and model number) ACOP Btu/hr. (heating capacity at 47°F) ❑ Active Solar type (liquid or air) Collector brand and ft2 model number solar fraction collector area collector orientation collector tilt rated y -intercept rated slope ❑ Other (describe) *1 (B) Cooling ❑ Electric Air Conditioner (brand and model number) (seasonal EER) Btu/hr (cooling capacity at 95°F) ❑ Electric Heat Pump EER Btu/hr (cooling capacity at 95°F) ❑ Other (describe) DOMESTIC WATER SYSTEM ❑ • (A) Gas Only Gallons (brand and model number) (tank size) ❑ Heat Pump w/Electric Backup , (brand and model number) Gallons 2 (tank size) (3* Active Solar (collector brand and model number) (rated y -intercept) (rated slope) (solar fraction) ft (backup heater type, brand and model number) (collector area) (collector orientation) (collector tilt) ❑ Location of Solar Panels ❑ Other (Describe) *1 Submit documentation of sizing heating and cooling equipment by Manual J, sizing charts (form ()4) or other approved methods, section 2-5352(g), and fill out the following: Heating: Winter design temperature °, elevation ', heating load BTU elevation factor x heating load - maximum outlet capacity gas furnace BTU Cooling: Summer design temperature ", cooling load BTU *2 Submit T.I.P.S.E. chart -or other approved system (form #5) to document sizing of solar panels. ® DESIGN COMPLIANCE STATEMENT: The above building design meets the requirements of Title 24, Part 2, Chapter 2-53 of the California Administration Code. �BUILDINGSIGNER (1 r "p -s• f JG,URE OOR APPLICAIrr V COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE: (916) 538-7541 AGRICULTURAL 0 ILRING EXEMPTION PERMIT Agricultural building is defined as follows: Agricultural building is a structure designed and constrLkfed to house farm implements, hay, grain, poultry, livestock, or other horticulutral products. This structure shall not be a place of human habitation or a place of employment where agricultural products are processed, treated, or packaged, nor shall it be a place. used by the public. ASSESSOR PARCEL NO. ZONING D'Z.S--- —O- `- 6 OWNE PHONE NO. OWNER'S ADDRESS LOCATION OF BUILDING '10 67 o USE OF BUILDING S''Oi2.9 SIZE OF S UCTURE © X ALO = / Zdn SQ. FT. TYPE OF CONSTRUCTION: WOOD FRAME_STEEL CONCRETE OTHER (Specify) TYPE OF SIDING ROOF COVERING FLOOR TYPE J ele -S�r>e ,r ESTIMATED COST OFF CONSTRUCTION AG Buildings shall comply with the building front, side, and rear yard requirements of the applicable County Ordinances as follows:-2 � a '-'C. FRONT "n SIDES I�J REARy-- 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 ►-),rC�f 90 Signature of Owner Permit Fee - $25.00.r. The above described AG ding is exempt from a building permit. Receipt No. Z�-LKL— FL000 PARCEL/ PD I 13O0FI ISSUE J Director of Public rks By Date White - DPW, Yellow - Assessor, Pink - B. I., Goldenrod - Applicant u�y.:, mow.. 'rr,- .• - ': "'i'Q^kH°'"."� i�"R:�.l'°t;!r'',�.'A"��'`+'rlp� i�i�„+�, ,•� pr2.: r,T;..� �..:-i .; �'.-y,�: v COUNTY OF BUTTE - DEPARTMENrOF PUBLIC WORKS - BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILtiLSE; GALIFORNIA 95965 - TELEPHONE: 916/538-7541 PERMIT 0700 ATI.ON DATA SHEET '/ _ Permit No. OWNER �C l� �� / �i�i� A. P o. Proposed Building Use zf� CO �i/I �/ wilding Inspector Date At time of permit application, I was advised the following data must be submitted prior. to permit processing and/or issuance: DATE RECEIVED APPROVED' i 1. All items have been submitted. .......... 2. Plot plans in duplicate/triplicate, signed by preparer of plans ........ 3. Complete plans in duplicate/triplicate, signed by preparer. of plans .. ° 4. Complete engineered plans and calcs, with wet signature on plans .. 5. Hazardous Material Form ........................................... 6. Energy Design Compliance and supporting documentation ......... 7. Statement of Intent for Non -Heated and AC Buildings ............... 8. Engineered truss details and layout in duplicate (required prior to plan check) 9. Mobilehome installation data including manufacturer's, installation instructions ....................................... ¢. .. ....... . 10! Fees of $ 11. Chico Urban Area fees paid ....................................... 12. Park fees paid ................................... :................. 13. School District fees paid .............. 14. Sanitation approval from Health Department 15. City of Chico plumbing permit ..................................... 4- 16. Plot plan and business license approval from City, of (see City for other requirements) 17. Planning approval for (A) Use: (B) Parking: ...... 18. Improvements may be required. Contact Land Development Section DPW 19. Driveway permit (construction approval required prior to occupancy) 20. Pre -Inspection for required Pre-inspec. request to Building Inspector (Date) 21. Contractor's license information (No., Name Style, Classifications .::. 22. Certificate of Workmans Compensation Insurance .................. e - 23. Owner -Builder Verification (Given to owner ❑, Mail to owner ❑) ..... 24. Recorded copy of Agricultural Acknowledgment Statement ......... 25. Letter of signature authorization .......... ...................... . 26. 27. When you issue•,the permit, process as follows: Mail to owner. Mail to contractor. Telephone and hold for pickup at office. Deliver w. /inspector. 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). Index permit for above items No. 2. Additional items required: Contractor, designer, owner was advised of above required data by_phone--nail—counter by ..date Contractor, designer, owner, was advised of above required data by—phone —ma ll—counter by date Plans checked by Date Plans approved by Date Sets of plans on hold in File cabinet AP folder Copy—DPW Y� h, 'PERMIT 1611-81B�E,M NO. �� PERMIT EXPIRES T l OWNER' Winford Ray Miller r� CONTR. owner ASSESSORPARCEL25-041-44 LOCATION 2000'off NIS Rio Bonito Rd.,app. 400'E.of Sutter Butte Canal, " W/of Larkin, Dos Rios Rd.,Biggs y, 1f 3.1 r •, i k Temp. Power Pole h5+ Called PG&E ,.. Temp. Elec. Service y s � Called PG&E kr a Temp. Gas Service _ Called PG&E .4 i JOB FINALE Signature C ---T JI - 112W Jp e-7 ry C-- v r 1 Iv. Com/ r -71- I c-v I V = OK 0 = Not OK - = Not Applicable MOBILEHOMES = Not Ready J t MISCELLANEOUS Date MOBILEHOME UTILITIES (Plans) OK except N's 1. Zoning Requirements -Setbacks -Easements Date DECKS, COVERS, CARPORTS, ETC. (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Soils; Special MH Support -Sketch 2. Footings; Size -Depth -Spacing -Connectors 3. Sewer; Location -Test -Fall -C/0 -Concrete 3. Decks; Girders and/or Joists -Decking -Bracing -Stairs -Rails 4. Water; Location -Test -Easement Needed (Sketch) 4. Wood Awn.; Posts-Beams-Rftrs.-Connec.-Shthg.-Rfg.-Bracing 5. Electricity; Location-Clearances-Grnd.-/ / Amp -Concrete 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Gas; Location -Test -Wrap:/ /"L"ft./ /"Nat. or/ /"L"ft./ /"LPG 6. Carports; Windows -Doors 7. Utility Clearance 7. Elec. Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Date Card -BI Date MOBILEHOME INSTALLATION (Plans) OK except It's 1. Zoning Requirements -Setbacks -Easements Card -BI Date Date Card -BI Date POOLS (Plans) OK except k's 1, Setbacks -Easements 2. Footings; Size -Spacing -Marriage Line 2. Soils; Compaction -Structure Stability 3. Gas; MH Test -Demand -Valve -Connector 3. Pool Structure; Steel -Connections -Thickness -Dead Men -Lining 4. Electricity; MH Test -Crossovers -Breakers -Clearances 4. Elec.; Receptacles and Lighting; Distances-GFI 5. Drain; MH Test -Fall -Flex Connector 5. Elec.; Pool Lighting; 15 volts-GFI 6. Water; MH Test -Regulator -Connector 7. Water and Sewer Ccnnected-C/0 to Grade -HD Approval 6. Elec.; Enclosures; Conduit Entries -Terminals -Listed 7. Elec.; Bonding; Metal w/5' -Circulating Equipment -Heater 8. Gas and Electricity Tagged 8. Elec.; Grounding; Equip. w/5' -Circulating Equip. -Pool Lghtg. Boxes -Enclosures -Panel boards -Ins. to Main in Conduit 9. Exits; Insp.-Sketch 10. Cert. of Occupancy 9. Health Department Approval 10. Plumb; Cir. Test -Water Supply Test Card -EI Date Card -BI Date Card B -I Date Card -BI Date + Card B -I Date Card -Bl- Cate i Card -61 Date Card -BI Date 5 J=OK 0 = Not OK — = Not Applicable RESIDENTIAL (Single and Duplex) = Not Ready , r Date UNDERFLO R Plans OK exceot#'s Date FRA "Continued Zoning requirements—Setbacks—Easements Property Line Firewall & Openings 2 g., Main; Soils—Steel—Elec. Grnd.— / /" Ftg. Depth . Ext. Doors—One 3'—Check Garage -3rd story, 2 exits arage; Soils—Steel—: /" Fig. Depth -Protection 4. Ftg., Porches & Decks; Soils—Steel— / /" Ftg. Depth Plywood on Roof Overhang—Attic Vents—Rafter Outriggers emwalls, Main; Steel—Blockouts—Wrapped—Slab — Sla r 52. Siding—Nailing—Veneer — I nderflr. Access - iers—Fireplace Ft .—Stee Glazing Area—Glass Protection—Skylights—Plastic F —Fittings—Test-2 way ewer Te s; 9. Gas Pipe; Size—Anchors 10.Water Pipe; Test—Anchors—Regulator—Service Test 1.Electric; Underground Plenums & Ducts; Clearance—Material—Support—Ins. Girders—Sills—Anchor Bolts—Joists—Vents—Cripples Card -BI Date / Card -BI Date 1 Card -BI Date Card -BI Date Card -BI Date Card -BI Date ^ Card- ater Card -BI Date Date FINA lans) OK except #'s Card -BI /Dated Card -BI Date Date a PLUMBING (Permit) OK except #'s . Ext. Steps -Door & Sidelight Protection -Landings moke Detector 14. Iyater Ht.; Vent -Access -Combustion Air 58. b. Air -Connector - I -Ducts-Meth. Protection Water Pipe; Test & Anch s -Nail Protection D.W.V.; Tes - ttn s Anch -Nail Protectionedroom Exiting 7. Shower Pan; Test, First Floor -Tub Access S& Bath Fixtures & Tub Access 18. Test Tub & Shower, 2nd Floor -Tub Access 6 lec. Trim & Subpanel; Breaker Sizes -Labels 19. Gas Pipe; Size & Anchors 62. - W- Pheptace-or SLove-! leara e ec. Outlets at Wood Panel; Int. & Ext. Card- Date Card -BI Date 5 ixt. & Appliance; Grnd.-Air Gap -Cooking Clearance Card -BI Date Card -BI Dateec. Outlets & Receptacles at Kit. Counter Date ELECTRICAL Permit OK exceot #'s 67. - er 68._ arag - 20. fixture &Transformer Clearance -Ins. Protection g�_Wtr Htr-, Vontc—Clearance-Comb. Air-Connector-P.R.V.- In Garage; Above Floor -Meth. Protection -$-$� lec. Receptacles Spacing -Lights & Switches at Doors 70. Plb., Elec. & Mech. Equip. Listed for Location t ize Boxes & No. of Conductors -Stapled 71. P:t ao,.,ptnrtac;�Age; (G.F.I.)-Romex Protec. tt Romex Installed Close to Edge of Studs & C.J. 4 quip. Ground made up w/Mech. Fasteners -Bond Gas & Water *2w -Foam -Looked in Attic ❑Yes 73. k Construction -Post Caps 2 Appliance Circuits in Kitchen & Conductor Size ?_ -V ubfeed Wire Si e / / ga. Cu ort�A. I jg,,,�ents &Crawl Hole Door -Drainage &Wood -Earth Clearance Looked under Floor ❑ Yes ange Circ. /0 / ga r AI-Ov or Al, Insulated Neutral � ❑No 75.Following❑Yes �No; Walks ❑ Yes o; Planters ❑Yes No 28. Service -Riser Conductors & Ground -Main Disconnect 76. h 29. Equip. Clearances; Panels-Motors-Mech. Equip. 77. A.G.- - utlet _ -80o-G4oset Light -Shower Light 7,,Above Roof; Plbg.-Appliance-Firepl.-Clearance to Opngs. ate, ell; Disconnect, Electrical, Plumbing "--ex- erior Elec. Trim; G.F.I. Receptacle -Underground Card B -I Date 91- erl Card -BI Date entilation throughout House 82 .G1asc PfeteefierL Card B-1 t�d 3]T Card -BI Date Date MECHANICAL (Permit) OK except #'s _ orrections from Previous InJbtio Meters Tagger - TectiTc 31. A.C. Ducts; Insulation & Support 86v--W%Ter & Sewer C cted-C/O to ade-HD Approval -- - _ _ 32. Vent Fan; Exhaust above Insulation _33. Condensate Drain & Overflow; Size & Grade gy Compliance Certificate -Other Certificates 34. Furnace -Vent; Access -Como. Air -Return Air Vent -115V outlet 35. Attic Access & Platform if Furnace in Attic -- Card -B ate and -BI Date Card -BI _ Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Date FRA NG (Plans) OK except #'s Comm e is at Final: s• Proper Material & Anchors Is: Studs -Nailing, Spacing & Bracing -Plates -Sound 39- ring Walls over Girders & Floor Nailing aft Stop in Walls (rat proof) td 4Q ' _A11- Fire Stops; Furred Ceilings- Stairs-ChasesTub _ eam-Si in ti2. Hanger -Po nc Con ctors 'gs Joist- tr. Ti - Siac y Tr s- thng.-Rfng.r — FJ eplace Ties Type e -Fireplace - 401 A tic Access; Size & Romex Protection -Draft Stop -Ins. Baffles Bdrm. Windows or Exiting Dors-Sill Hgt. & Dimensions 4�r6acag ro ec io aming (NOTE: An entry must be made each time you visit jobsite) COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 695 Oleander Avenue, Chico — Phone 343-4211, Eyj. 70 7 County Center Drive, Oroville Phone 534-4541 Skyway and Elliott Road, Paradise Phone 877-3435 CORRECTION NOTICE BUILDING OR PROPERTY ADDRESS A routine inspection Indicates that the following violations of County Ordinance exist at the above address and should be corrected. Please notify this office when correction of work Is completed. If you have any question pertaining to this matter, or need additional explanation, please contact this office immediately. 4 Inspector RES IDENT IAL ENERGY CONSERVATION STANDARDS CONSTRUCTION COMPLIANCE CERTIFICATE THIS IS TO CERTIFY THAT ENERGY CONSERVATION REQUIREMENTS HAVE BEEN INSTALLED N NFOrE WITH NT RGY CONSERVATION �rR��T IONS AT 41 . (location) n BUILDING PERMIT NO,�{� A P . N&. V,.L © �YI-11�1 THE FOLLOWING HAVE BEEN INSTALLED AS PER APPROVED PLANS: (Check each item or write N/A if not applicable) ti INSULATION: Slab Edge.. Fdn. Walls Floors Walls �T Ceiling/Roof Ducts . 411117 Circulating P pes APPROVED HEATER APPROVED WTR.HTR. L/ GLAZING: Single Glazed Special (Insulate L� CERT. & LABELED WDS. & SLIDING DRS. ' WEATHERST RIPPED DRS. 1� BACK DAMPERED FANS INTERMITTENT IGNITION DEVICES CERT. APPLIANCES t/ 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 SU&M ITTED. Insulation Applicator Name 42(,tj Al 2� Signature of(please print) r� Insulation Applicator, Z�d -�%%7 ,� d StAte Contractors License No. General Contractor/Owner Name (/t2j'442rtl (please print) Signature of General Contractor/Owner() , �� ��� Date State Contractors License No. THIS CERTIFICATE MUST BE ON FILE WITH THE BUILDING DEPARTMENT PRIOR TO REQUESTING FINAL INSPECTION AND SHALL BE POSTED IN A CONSPICUOUS LOCATION WITHIN THE DWELLING. COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WO PERMIT NO. 7 County Center Drive - Oroville, California 95965 - Telephone 916 34-4541 APPLICATION AND PERMIT ASSES iARCEL U)BERR ^ �•f� z°NIG BUILDING PERMIT OW ER r TELEPHONE SO. FT. OCC. BUILDING VALUATION /0409 /�S �/ •bv OWNER'S MAILING ADD7& ( 2- CONTRACTORS—ME T HONE CONTRACTOR'S MAILING ADDRESS Fireplace W Z00()w_a:E--t�;D CONSTRUCTION LENDER J�,� N UNKNOWN Total Valuation Is .,%d Filing Fee $ 10,00 LENDER'S MAILING ADDRESS Permit Fee $ 1311,00 ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ ru�V Penalty $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Permit fee $ 7-19,50 BUILDING ADDRESS QF-` NS �/D �OIV170 ,e2j., PLUMBING PERMIT Filing Fee 10.00 /2``000 / TOOK Of .��% _ SVI � !/U Each Trap $� 2.00 .0� Repair drainage or vent piping 5.00 /� DIV F ZAe4 DOS IC /O S 'ell Water piping 6-00 LOT NO. SUBDIVISION NAME PARCEL MAP Each qas water heater or vent 5,00 Gas piping system 1 - 5 outlets USE OF STRUCTURE SF Duplex❑ Mobilehome❑ Other SPECIFY Building sewer 5.02 Lawn sprinkler system I T5.00 TYPE OF WORK New [Addition ❑ Remodel ❑ Utilities ❑ Installation❑ Other ❑ Describe work: Permit Fee $ 361 - 041 Contractor ELECTRICAL PERMIT Filing Fee 10.00*. Main service 600V OR LESS 100 AMP OR LESS 5.00 Sao Main service ADD'L 100 AMP 2.50 'O //EA- NEW CONST, IWI OR ADDNS. l ACCLBLNI DG c 22 sq ft CONTRACTORS LICENSE LAWNEW I declare under penalty of perjury (check one): ❑ I am licensed under provisions of Chapt. 9, Div. 3 of the Business Professions Code and my license is in full force and effect. License No. Classification 1, as the owner, or m employees with wages as their sole com en- sation, will do the work,and the structure 9s not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason CONSTR I.OUTLET 2,50 ea NON.RESID BRANCH CIRC ITS NEW CONSTR (POWER APPARATUS e\ NON-RESID, (SINGLE OUTLET CIR. 1 OBAL Ex. OUTLETS OR FIXTURES_ 21 - nd FIXED APPLNS. ORccup Ex. Occup. OUTLETS (RESID.) EA. 2.00 i Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 7.50 Permit Fee $ , Contractor MECHANICAL PERMIT Filing Fee 10.00 WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): .❑ The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation insurance or a Certificate ef Consent to Self -Insure. shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject . to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. Heating QOM $'7i'I Cooling Hood 3.00 .0V Ventilation Permit Fee S /3,0 Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. 1 also agree to save, indemnify and keep harmless the County of Butte againstOCCUP. all liabilities, judgments, costs, and expenses which may in any way -accrue against said County in c sequenceaof t/e/,granting of this permit. p X 2` Date. ^� r/l Signature o Applicant — Wner ❑ Contractor ❑ Agent ❑ An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee $ TOTAL PERMIT FEE $ D5. GROUP -3 TYPE OF CONST. ITq PARC P ND 199UE r/ his permit is hereby issued under sions of the Butte County Code and/or work indicated above for which DIRECTOR PUBLIC By PER EXPIRES Date the applicable provi- resolutions to do fees have been paid. WORKS Date � Receipt No. _ 50 6 0— WNIT!-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT RESIDENTIAL PLAN CHECKING GUIDE (S.F., DUPLEX, & MISC. ONLY) /1 �y� Bldg. Permit # ! // -'/ OWNER A.P. �� C �� _ �4_ A. GENERAL Voning requirements (sideyards and parking). aluation. Signature by R.C.E. or Architect (if required). B. PLOT PLAN /. Complete parcel size and dimensions. iZ. Setbackq, 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 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). X71 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. �9! 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)). 1 - 3'0" exterior exit door (Sec. 3303d). JZ'. Fireplace location. ,1-3'. Smoke detectors (Sec. 1413). D. STRUCTURAL DETAILS Foundation plan complete enough to construct building. Floor construction details complete enough to construct building. /� Elevations and wall construction details complete enough to construct building. 044 Roof construction details complete enough to construct building. Fireplace construction details and calcs if over one-story in height. Sufficient data and details to satisfy energy insulation requirements (State law). E. MISCELLANEOUS ITEMS TO LOOK OUT FOR ,A'. CCX plywood on exposed locations and overhangs. Stairway details (Sec. 3305). Guardrail details (Sec. 1716). Brick or stone veneer (Chapter 30). Exterior plaster - weep screeds (Sec. 4706 & 4708). Proper roof pitch for roof covering (Chapter 32). Rafter ties or bearing ridge beam. arage door or porch header sizes. �. Adequate bracing. Living area over garage - complete 1 -hour separation required including supporting walls and posts, etc. 0. Two (2) exits on three-story dwellings (Sec. 3302). CrI. ve ,. ooe /� 7L� � C -- -._ y ` -..t -� / ` i� �t ��--'-ss�'-.. ' ��� /��-✓,l � �6°�J� �a ��-�� �� �� � � �� e COUNTY Or-, BUTTE —— IRTMENT OF PUBLI , WORKS 7 County Center Drive — Oroville, California 95965 Tel ephone: T534-4541 APPLICATION AND PERMIT autnorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. *1 Signature of Permitee or Agent Date Receipt No. White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DIRECTOR OF PUBLIC WORKS By Date ' BUILDING Owner SO. FT. OCC. BUILDING VALUATION Mailing Address Telephone No. Fireplace Contractor Total Valuation Mailing Address Permit Fee Plan Checking Fee &/or Penalty Telephone No. Permit Fee $ $ Building Address PLUMBING No.1 @ FEE PERMIT FILING FEE $2.00 Each Trap 1.50 Repair drainage or vent piping 1.50 Water piping 1.50 Each gas water heater or vent 1.50 A. P. No.Gas Zoning &Planning piping system 1 - 5 outlets 1.50 Each additional outlet .30 Fees W. C. Sanitation FireDept. Fire Zone Use Permit Building sewer 5.00 EQA Parking Plans Parcel Declaration Parcel Ma P 60' R/W Im provements Lawn sprinkler system 2.00 Bldg. Plans Recd I Parcel Approval Plans Approval Permit Fee $ $ NEW ❑ ADDITION ❑ UTILITIES ❑ OTHER ❑ ELECTRICAL No.1 @ FEE PERMIT FILING FEE $3.00 Main service incl. 1 meter — Additional meters, each 1.00 Sub -panel (12 or less) (more than 12) Single Family ❑ Duplex ❑ Mobil Home ❑ Others ❑ Range, Cook -top or Oven 1.00 Water Heater or Space Heater 1.00 Light fixtures b6f�25 Receps., switches & fix outlets �' 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: Hood, Ex. Fan or F.A. Furn. Motor 1.00 Evap. cooler, gar. lisp. or D.W. 1.00 Air conditioner or heat pump Water pump Mobil Home Facilities 5.00 Temp. Power Pole 5.00 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 certify that in the performance of the work for which this permit is issued I shall not employ any person in any manner so as to become subject to the Workmen's Compensation Laws of Cal i forni a. MECHANICAL No• @ FEE PERMIT FILING FEE $3.00 Heating Cooling Ventilation Hood 2.00 Permit Fee $ $ 1 certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby TOTAL PERMIT FEE $ autnorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. *1 Signature of Permitee or Agent Date Receipt No. White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DIRECTOR OF PUBLIC WORKS By Date COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS 7 County Center Driy, — Orovi Ile, California 95965 Telephone: 534-4541 APPLICA7 ON AND PERMIT CAROL'YMBUILDING Owner % O / SO. FT. OCC. BUILDING VALUATION Mailing Addressr✓% S� / C -7-L <rd Telephone No. Fireplace Contractor Total Valuation Mailing Address Permit Fee Plan Checking Fee &/or Penalty �� / i Telephone No Telep. Permit Fee Building %ss S v�10 �j 6. iJ PLUMBING No.1 @ FEE i PERMIT FILING FEE $2.00 00 ,C ��% / �. Each Trap1 1.50 1W Repair drainage or vent piping 1.50 00� n /C Water piping 1.50 - iJ Each gas water heater or vent 1.50 4A. P. No. g Gas piping system 1 - 5 outlets 1.50 Each additional outlet .30 Fe Sa i FI re Dept. Fire Zone Use Permit Building sewer 5.00 EQA Parkin Pa Declara ion Parcel Map 60' R/W Improvements Lawn sprinkler system 2.00 �j►g. Plans Recd �� arcel Ap rov ,-3 Plans Approval Permit Fee ,$ /v a NEW ADDITION ❑ ❑ UTILITIES OTHER ❑ ELECTRICAL No. @ FEE PERMIT FILING FEE 1 $3.00 Main service incl. 1 meter Additional meters, each 1.00 Single Family ❑ Duplex ❑ Mobil HomeJEFOthers ❑ Sub -panel (12 or less) (more than 12) Range, Cook -top or Oven 1.00 Water Heater or Space Heater 1.00 Light fixtures bald(Nd15 Receps., switches & fix outlets b2U 25 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: Hood, Ex. Fan or F.A. Furn. Motor 1.00 Evap, cooler, gar. disp. or D.W. 1.00 Air conditioner or heat pump Water pump .60 Mobil Home Facili ies 5.00 Temp. Power Pole 5.00 License No.Misc. Classification wiring ry L,aI am exempt from the Contractors License Laws of the State of California. Permit Fee $ Q-/ $ od WORKMEN'S COMPENSATION INSURANCE 1 am aware of the provisions of Section3700 of the California Labor Code which requires every employer to be insured against liability for Workmen's Compensation. ❑ I have placed on file with the County of Butte a certificate of Workmen's Compensation Insurance. —. I certify that in the performance of the work for which this permit is issued I shall not employ any person in any manner so as to become subject to the Workmen's Compensation Laws of California. MECHANICAL No.1 @ FEEPERMIT FILING FEE $3.00 Heat ng Cooling Ventilation Hood 2.00 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 .ti TOTAL PERMIT FEE Q mpresenLOL ves VI Me GounLy ul Butte to enter upon the above mentioned property for inspection purposes. 4-X �.U/tf��^�1 "!a Date. a z 7� Signature ofermitee or Agent Receipt No. //.2 f ..4� _ White-D.P.W. - Yellow -Assessor - Pink -Inspector - Goldenrod -Applicant This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DIRECTOR OF PUBLIC WORKS By `-�-� ;- Date -� 6 W_otNtuy permit expires We�z6 _ 'PERMIT NO. P l E M MH UTIL PERMIT NO. 4.242-74P,E PERMIT EXPIRES- ZL—/ OWNER __ Carolyn J. Moll CONTR: LOCATION (A.P. 25-041-44 ) app. 2000' off n,ls Rio Bonito Rd, 400' E. of Sutter Butte Canal W. of Larkin 1 Rd;Dos Rios Rd, connection, Biggs c/F r Temp. Power Pole Called PG&E Temp. Elec. Serv. Called PG&E Temp. Gas Ser �As����e Called PG&E JOB .✓�S ✓ FINALED( (Signature) COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS BUILDING INSPECTION RECORD 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 Pip' "`�-�� Piers Roofing Sewer S _ Garage Fdn. Vents Fixtures Footings Garage Vents Water Htr. Stemwall Prov. for physically Heaters Slab handicapped Appliances Carport Conformance of ex. Gas Piping & TestFootings structure Temp. Gas Slab Final *2— ZC, 75- Sanitation Patio FIREPLACE Final- inalFootin s 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 5 Sr Brown Cooling Temp. Pole Finish Ducts Underground Interior Lath Ventilation Permanent Door Closer Final Final S DATE REMARKS OR CORRECTIONS � . dam®`^ - • COUNTY OF BUTTE — DEPARTMENT OF PUBLIC W R 7 County Center Drive — Oroville, California 95965 rTelephone: 52.4-4541 APPLICATION 'ANO `FERMIT authunce represenratives of the County or Butte to enter upon the above-mentioned property for inspection purposes. X Date 1% Signature of P rmitee .7 Agent Receipt No. /4 t_fl U 7 7 White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DIRECTOR OF/AUBLIC WORKS BY Date /D—t %— i V IIding permit expires Date............./...—e2—:?A7.... BUILDING Owner SQ. FT. OCC. BUILDING VALUATION Mailing Address UU I t. Telephone No. Fireplace Contractor O — Total Valuation Mailing Address Permit Fee Plan Checking Fee &/or Penalty Telephone No. Permit Fee $ $ Building Address Atop 0T �/5 PLUMBING No. @ FEE PERMIT FILING FEE J$2.00 Z— Each Trap 1.50 / — C4 1A a F Repair drainage or vent piping 1.50 Water piping 1.50 o P, c ria Each gas water heater or vent 1.50 A. P. No. Z _ �_ Zoning & Planning Gas piping system 1 - 5 outlets 1.50 Q Each additional outlet .30 F W eDept. FireZone Use Permit Building sewer 5.00 EQA I Parking Pla s Parcel Declaration Parcel Ma P 60' R/W Im rovements P Lawn sprinkler system 2.00 ons Recd farce rov" al Pla proval Permit Fee $ $ 0c NEW ❑ ADDITION ❑ UTILITIES � OTHER ❑ ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 3.0Q Main service incl. 1 meter O O Additional meters, each 1.00 Single Family ❑ Duplex ❑ Mobil Home ® Others ❑ Sub -panel (12 or less) (more than 12) Ranee, Cook -top or Oven 1.00 Water Heater or Space Heater 1.00 Light fixtures bal(610 _$a�, �' ,, Receps., switches & fix outlets '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: Hood, Ex. Fan or F.A. Furn. Motor 1.00 Evap. cooler, gar. disp. or D.W. 1.00 Air conditioner or heat pump Water pump Mobil Home Facilities 5.00 Temp. Power Pole 5.00 License No. Classification Misc. wiring ✓M I am exempt from the Contractors License Laws of the State of California. Permit Fee $ $ /� Cj WORKMEN'S COMPENSATION INSURANCE 1 am aware of the provisions of Section3700 of the California Labor Code which requires every employer to be insured against liability for Workmen's Compensation. Elhave placed on file with -the County of Butte a certificate of 'workmen's Compensation Insurance. I certify that in the performance of the work for which this lF��I 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. 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 MECHANICAL No.1 @ I FEEPERMIT FILING FEE $3.00 Heating Cooling Ventilation Hood 2.00 Permit Fee $ $ TOTAL PERMIT FEE $ authunce represenratives of the County or Butte to enter upon the above-mentioned property for inspection purposes. X Date 1% Signature of P rmitee .7 Agent Receipt No. /4 t_fl U 7 7 White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DIRECTOR OF/AUBLIC WORKS BY Date /D—t %— i V IIding permit expires Date............./...—e2—:?A7.... 400 _T�� AP Oar oy 1— oyy ic>fo" All utility connections shall be located within 4 ft. outside the rear +4 »third lection of themobile home ' on the left (road)`side of the mobile hare. BUTTE COUNTY Septc system a 6ffyL To 'fie.Jr^ to be as per �� BUILDING DEPARTMENT Butte County Health Dept. Re - X ciuirements. o APPROVED i nis set of plans and specifications MUST be `kept'on the job at all times and -it is unlawful to zmake any changes or alterations on same without written permisson from. the Department of Publit Works, County of Butte. �y���_.7 �xe PERMIT NUMBER — B 3739-73B P E t 4 PERMIT EXPIRES OWNER' Carolyn J. Moll rrCONTR: Tri-Valley Contractors, Cro. ,t LOCATION (A.P. 25-041-44 ) 20001 off NIS Rio Bonito, 4001 E. of ' Sutter-Butte Canal W. of Larkin-Dos Rios Rd. connection --Biggs c s j4 L� 4't �2r f } I' I !Y . f i COUNTY OF BUTTE Department of Public Works BUILDING INSPECTION RECORD Zoning Setback Forms AQ Foundation Piers & Girders Fireplace Rgh-. Plumbing Bond Beam Lath & Plaster Rein. Steel Gas Piping & Test Found. Vents Framing " ' �L Plmg. Topout Rough Elec. Wtr. Htr. Furnace Kitchen Vent Firewall Garage Vents Sanitation & Water ELECTRIC GAS BUILDING . Temporary Temporary Cert. of Occup. Final Final �a Final f®^"'o�f0 DATE REMARKS OR CORRECTIONS i rin-wmtiu% llo- ,�Lr IaIYL TI;4, 0 533- 9393 COUNTY OF BUTTE — DEPARTMENT OF PUBLIC W 7 County Center DriveOrov�iille, California 95965 / Telephone: 534-4541 ftte APPLICATION AND PERMIT 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 �" —�,o-N�r Date �o —3 Signature of Per m[ Agent Receipt No. White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant TOTAL PERMIT FEE $ o0 This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DIRECTOR �O�FPUBLIC WORKS By —,—r`_� Date 0 1d Building permit expires Date%� BUILDING Owner ezxj-p SO. FT. OCC. BUILDING VALUATION dD. ' Mailing Address Telephone No. Fireplace Contractor �' �u ,0 y Y /'S Total Valuation Mailing Address ZjorL `L Permit Fee Plan Checking Fee &/or Penalty T^lephone No. Permit Fee $ G Building Address ©p ' a 77) PLUMBING No. @ FEE PERMIT FILING FEE J$2.00 n r 00 0 7`T—.,� f G Q G !y Each Trap 1.50 — /Gs l o � Repair drainage or vent piping 1.50 Water piping 1.50 /�C % Each gas water heater or vent 1.50 A. P. No. S '0 �— Zoning & Planning Gas piping system 1 - 5 outlets 1.50 Each additional outlet .30 FSani ation I Fire Dept. Fire Zone Use Permit Building sewer 5.00 EOA Parking Plans Parcel Declaration Parcel Ma P 60' R/W Im rovements P Lawn sprinkler system 2.00 Bldg. Plans Recd Parcel Approval Plans Approval Permit Fee $ NEW 2--_ ADDITION ❑ UTILITIES ❑ OTHER ❑ ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 Q/ Main service incl. 1 meter Additional meters, each 1.00 �—�/ Single Family ❑ Duplex ❑ Mobil Home Others ❑ U Sub -panel (12 or less) (more than 12) Range, Cook -top or Oven 1.00 Water Heater or Space Heater 1.00 Light fixtures bal010 Receps., switches & fix outlets _'.U1M2�5 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: Hood, Ex. Fan or F.A. Furn. Motor 1.00 Evap. cooler, gar. disp. or D.W. 1.00 Air conditioner or heat pump Water pump Mobil Home Facilities 5.00 Temp. Power Pole 5.00 License No.9/l // .3! Classification if Misc. wiring ❑ I am exempt from the Contractors License Laws of the State of California. Permit Fee $ WORKMEN'S COMPENSATION INSURANCE 1 am aware of the provisions of Section3700 of the California Labor Code which requires every employer to be insured against liability f r Workmen's Compensation. I have placed on file with the County of Butte a certificate of Workmen's Compensation Insurance. I certify that in the performance of the work for which this permit is issued I shall not employ any person in any manner �so as to become subject to the Workmen's Compensation Laws of California. MECHANICAL No. @ FEE PERMIT FILING FEE $3.00 Heating Cooling Ventilation Hood 2.00 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 �" —�,o-N�r Date �o —3 Signature of Per m[ Agent Receipt No. White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant TOTAL PERMIT FEE $ o0 This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DIRECTOR �O�FPUBLIC WORKS By —,—r`_� Date 0 1d Building permit expires Date%� Butte County Department of Development Services. eurrf �� I N O T E S 7 County Center Drive, Oroville, CA 95965 (530) 578-7601 vww.buttecounty neUdds RESIDENTIAL APN: Permit No. Owner. 1025-300-005 - 05-3195 Site Address. HALL, ROBERT _ _ 355 E RIO BONITO RD, BIGGS i Contractor _ Cont: GREENE ROOFING _ I ELEC PANEL C/O ? Type of Permit: _ 1 �l 1 r OFFICE COPY ! Address v GAS Meter By Date l U ELECTRIC j Meter By Date CHECKED BY ❑SRA ❑ FLOOD CERTIFICATE EQUIRED ❑ FIRE SPRINKLERS REQUIRED ❑ SPECIAL INSPECTION ITEMS ❑ VERIFY ❑ USE PERMIT CONDITIONS Q SUB -STANDARD HOUSING LETTER ❑ ENCROACHMENT PERMIT ❑ REINSPECTION FEE PAID ❑ ENV HLTH CLEARANCE �`.2- DATE JOS FINALED• OK Not OK MANUFACTURED HOMES MISCELLANEOUS DATE PERMANENT FOUNDATION Lj SOFT -SET 1 Zoning -Setbacks -Easements 2 Soils; Special MH Support Sketch 3 Sewer; Loctn-Test; Fall/CIO-Concrete 4 Wtr; Loctn-Test-Easement Needed -Regulator 5 Elec Loctn-Clrncs-Grnd Amp -Concrete 6 Yard Gas; Loctn-Test-Wrap, Nat ❑ or LPO Inch Sz Ft Lngth 7 Blckng; Sz-Spacing-Marriage Line 8 Gas; MH Test-Demand-Valve-Cnnctr ' 9 Elec MH Cntnty Test-Crossovers-Breakers-Clrncs 10 Drain; MH Test -Fall -Flex Cnnctr 11 Wtr & Sewer Connected -C/O to Grade 12 Gas and Electricity Tagged 13 Tie Downs ❑ Foundation ❑ 14 Exits 15 Cert of Occupancy 16 HUD Label/Insignia Numbers Serial Numbers ' DATE D E C K S'C O V E R S'C A R P O R T S `G A R A G E S 1 Zoning -Setbacks -Easements. 2 Ftgs; SoilsSz-Dpth-Spacing-CnnctrsSteel 3 Decks, Girders/Joists-Dcking-Brcing Stairs-Guard/Handrails 4 Wood Awn; Posts-Beams-Rftrs-Cnnctrs-Shthg . Frmg-Brcng 5 Alum Awn; Columns-CnnctnsSplice-Decal-Enclsrs 6 Carports; Wndws-Doors 7 Electric 8 Frmg; Sills -An chrs-Stu ds-Rftrs-Trusses 9 Siding; Nailing -Veneer -Stucco -Lath 10 Roof, Shthg-Roofing 11 Ext; Steps -Doors -Landings 12 Braced Wall pnls 'o ° ops °'• ops DATE IPOOLS 1 Setbacks -Easements 2 Soils; Compaction -Structure Stability 3 Pool Structure; Steel-Cnnctns-Thickness Dead Men -Lining 4 Elec Rcptcls/Lting; Distance-GFI 5 Elec Pool Lting; 15 volts-GFI 6 Elec Enclsrs; Conduit Entries -Terminals -Listed 7 Elec Bonding; Metal w/5'-Crcltng Eqp-Htr 8 Elec Gmdng; Eqp w/5' Crcltng Eqp-Pool Ightg Bakes-Enclsrs-pn1boards4risultn to Main Conduit 9 Health Dept Apprvl 10 Plmb; Cir Test-Wtr Supply Test 11 Lt Niche 12 Endsr; Fencing -Alarms 13 Bonding, Diving board or Slide a Pool Drawing t = OK = Not RESIDENTIAL (Single & Duplex) DATE JUNDERFLOOR DATE IPLUMBING 1 Zoning -Setbacks -Easements -Flood -Slope 53 Wtr Htr; Vent-Acc-Cmbstn Air Baffle 2 Ftg Main; Soils-Elec Grnd Ftg Dpth 54 Wtr Pipe; Test & Anchr-Nail Prtctn 3 Ftg Garage; Soils-Steel-Elec Grnd Ftg Dpth. 55 DWV; Test Fittings & Anchr Nail Prtctn 4 Ftg Porches/Decks; Soils -Steel Ftg Dpth 56 Shwr Pan; Test, First fir -Tub Acc 5 Stemwalls Main; Steel-Blockouts-Wrapped 57 Test Tub & Shwr, 2nd fir - Tub-Acc 6 Stemwalls Garage; Steel-Blockotits-Wrapped 58 Gas Pipe; Sz & Anchrs 6a Hold Downs and Special Anchrs 59 Fire Sprinkler; Test 7 Slab, Steel Wrapped 60 Yard Gas Piping 8 Piers-Frplc Ftg-Steel 9 DWV; Fall -Fitting -Test -2 -way C/0 -Sewer Test 10 UF, Gas Pipe; Sz Anchrs-' z Test o'er m i I Wtr Pipe; Test-Anchrs-RgltrService Test 12 Elec Undrgrnd DATE IMECHANIC AL 13 Plenums & Ducts; Cirnc-MaterialSupport-Insultn 61 AC Ducts lnsultn & Support _ 14 Girders-Sills-Anchr BoltsJoists-Vnts-Cripples 62 Vent Fan, Exhaust abv lnsultn 15 Acc & Vntltn 63 Condensate Drain & Ovrfiw, Sz & Grade 16.lnsulation 64 Furnace -Vent Acc-Comb Air Rtrn/Vent 115 Outlet 65 Attic Acc & Pltfrm if Furnace in attic c` DATE IFRAMING 17 Sills Proper Materials & Anchrs 18 Walls Studs -Nailing Spacing & Braces -Plates -Sound 19 Bearing Walls over Girders & fir Nailing 20 Draft Stop in Walls (rat proof) 21 Fire Stops, Furred Ceilings -Stairs -Chasers -Tubs 22 Headers & Beams-Sz & Bearing 23 Hangers -Post Caps-Anchrs-Cnnctns 24 Ceiling Joist-Rffr Ties-Purlin-Roof Brac TrussShthg 25 Frplc Ties or Type A Flue-Frplc Throat Clmc 26 Attic Acc; Sz & Rmx Prtctn-Draft Stop -Ins Baffles 27 Bdrm Wndws or Exiting Doors -Sill Ht & Dimensions 28 Garage Fire Prtctn Framing -RC Cliannel 29 Prprty Line Firewall & Opngs 30 Ext Doors -One T -Check Garage 3rd Story, 2 Exits 31 Stairs; Width-Hdrm-Rise-Run-Landing-Fire Prtctn 32 Plywd on Roof Ovrhng-Attic Vnts-Rftr Outrgrs 33 Siding -Nailing Veneer 34 Stucco Lath -Weep Screed-Fndtn Vnts-Undrflr Acc 35 Glazing Area -Glass Prtctn-SkyLts-Plastic 36 Shear Walls; Nailing -Bolts 37 Brace Int/Ext Wall pnis 38 lnsultn-Walls-Ceilings 39 Infiltration-Walls-"Indws DATE JELECTRICAL 40 Fxtr & Tmsfrmr CImc4ns Prtctn 41 Elec Rcptcls Spacing-Lts & Switches at Doors 42 Sz Boxes & No Of Cndctrs Stapled 43 Romex Installed Close to Edge of Studs & CJ 44 Eqp Gmd made up w/Mech Fstnrs 45 Gmdng Electrode Bond Gas & Wtr 46 2 Appinc Cires in Ktchn & Cndctr Sz GFI 47 Subfeed Wire Sz 9 ❑ CU or ❑AL AC Wire Sz 9 ❑ CU or ❑ AL 48 Range Circ as❑ CU or ❑ AL Oven Circ P ❑ CU or ❑ AL Insulated Neutral ❑ Yes ❑ No 49 Service -Riser Cndctrs & Grnd Main Dscnnct 50 Eqp Clrnrs pnis-Motors-Mech Eqp 51 Clothes Closet Lt-Shwr Lt -Spa Lt 52 Smoke Detector FINAL 66 Ext Steps -Door & SideLt Prtctn-Landings 67 Smoke Detector 68 Furnace Vnts-Clrnc-Comb, Air-Cnnctr In Garage; abv-fir-Ducts-Mech Prtctn 69 Bedroom Exiting 70 GFI & Bath Fxtrs & Tub Acc-Spa 71 GFI Arc Fault 72 Elec Trim & Subpnl, Breaker Szs & Labels 73 Stairs, Guard/Handrails 74 Frplc or Stove, Cimc-Hearth 75 Elec Outlets at Wood Pn1, Int & Ext 76 Ktchn, Fxtr & Appinc; Grnd-Air-Gap-Cooking Clmc 77 Elec Outlets & Rcptcls at Ktchn Counter 78 Garage Fire Door, Swing -Landing -Closure 79 AC Duct in Garage -Damper 80 Wtr Htr; Vnts-Clmc-Com Air Cnnctr-PRV; abv fir Mech Prtctn; LPG Appince Undr House 3' drain 81 Plmb; Elec & Mech Eqp Listed for Loctn 82 Elec Rcptcls in Garage (GFI) Romex Prtctn 83 lnsultn-Foam-Looked in Attic 84 Guard Rails & Deck Cnstrctn-Post Caps 85 Fndn Vnts & Crawl Hole Door Drnge & Wood -Earth 86 Clrnc Drnge Planters EjYes ❑ No 87 Stucco Brovrn-Finish 88 AC Unit Dscnnct, Elec-Plmb 89 Vnts abv Roof, Plmb Appinc-Frplc-Clmc to Opngs 90 Wtr Well, Dscnnct, Elec, Plmb 91 Ext Elec Trim, GFI Rcptcl-Undrgrnd 92 Vntltn thru House 93 Glass Prtctn 94 Corrections from previous Inspctns 95 Gas Test -Meters Tagged, Gas-Elec 96 Wtr & Sewer Cnnctd-O/0 to grade -HD Apprvl 97 Energy Cmpinc Cert -Other Certs 98 Address Posted 99 Fire Sprinkler CL �,e.-.-^.r-«..•,�.. per' � UWw.�'c�v.�'.`�,iN�f'`� G`r'w�iu�rL .1��I „% hl ,4 - yfAl WE3PY�'J4,R 4: G�yyM"'N e+g t)�b +p4,�yy fill , 't(+- iv +^ yl Gats 54+v tJ�h.0 ��w."�sg�1 { $�-+ G1wG7 w ti yl>• �S 1 R � vr' v, r. 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