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026-280-014
'026-287'0-0 , 1.4 1,,9-.1-4380 BRACEY;"KENNETH &.GAIL CONTR:--'BROONER, JOSHUA 7567 OCCIDENTAL.A'VE, PALE REPLACE WINDOWS/SF �. o -9,Z- 026-280-014 02-0293 RASH, JEREMIAH & KA IE 7567 OCCIDENTAL, i O CONT: JACE RASH ADDITION 026-280-014 05-0922 STATON, JOANNA 7567 OCCIDENTAL AVE, PALERMO. Cont: SPARKS, BEN Y ADD BEDRM & BATH/SF Pitt, 4-i3-0-7 , i I k 614 talle- ly 1'�' C"-_ �3 �3- BUTTE COUNTY DEPARTM.F.6�2 DEVELOPMENT SERVICES D �5;.' , ERMIT APPLICATION c ► TAL REQUIREMENTS p �_W0 VILLE: (530) 538-7636 • CHICO: (530) 891-2834 nt jOPN�P P� PVE,4A ; I{: (530) 538-7541 ' ED AT TIME OFAPPLICATION {� ,^ 6 OCCl S $E ISF �{p �e�'buttecounty.netldds Co „r. BFB &� ^abE PRINT CLEARLY** /�, ✓ CONTRACTOR Name Address�a Fit rb �� � r Phone � SAS-- • E-mail Lic. # tllr�.l�ii r ,I CONTRACTOR Name Address�a Fit rb t Zip Phone � Fax E-mail Lic. # tllr�.l�ii ARCHITECT/ENGINEER Name Address City to Zip Phone Fax E-mail State License Number APPLICANT SIGNATURE X c2 - For office APPLICANT Zoning Flood Zone L I Yes Occ. tllr�.l�ii r Subdivision N g1l, tt�:s Ma Book Page - P L t # APPLICANT SIGNATURE X c2 - For office 16se only: J 11 Zoning Flood Zone JASRA I Yes Occ. Type Const. Subdivision N g1l, tt�:s Ma Book Page - P L t # P e® Date Approved: o rt OVER -FOFj SUBMITTAL REQUIREMENTS K:\FORMS\BUILDING FORMS\BldgApplSubRgmts.doc Page 1 of 2 PERMIT NO. LOCATION AP# Property Address Cr i et WORKER'S COMPENSATION Policy Number Carrier If hiring anyone other than license contractors, a certificate of worker's ompensation must be shown at the time of permit issuance. LENDING AGENCY Name Address REV 2-24-05 SUBMITTAL & PERMIT REQUIREMENTS The following drawings and specifications must be submitted to the Building Division in order to apply for a permit. INCOMPLETE SUBMITTALS WILL NOT BE ACCEPTED. ALL PLANS MUST BE LEGIBLE AND IN INK. 1. Site plans, or 4 sets, signed by the preparer of the plans. No graph paper! 2. Complete plans r 4 sets, signed by the preparer of the plans (No graph paper!) OR Engineered plans, 3 or 4 sets, with wet signature on plans AND 2 sets of stamped and signed calculations. �1 3. Engineered truss details and layouts in duplicate (if required). No faxes! �Df5� 4. Energy compliance design and supporting documentation in duplicate. . ❑ 5. Statement of Intent for Non -heated and A/C for Non -Residential Buildings. ❑ 6. Manufactured homes: (A) installation inst, (B) Marriage line info, (C) Floor Plan, (D) Tie down or fnd plans, all in duplicate. ❑ 7. Metal bldgs: (A) Metal Bldg Plans, (B) Fnd plans and calcs in triplicate, (C) Elevations in tripli Floor plans in triplicate. All of these must be stamped and wet -signed by the engineer. Jb ❑ 8. Flood Elevation Certificate, wet -stamped and signed, in duplicate (if required). ❑ 9. Site plan and business license approval from the City of Biggs. a El10. Letter of intent for non-residential buildings. ��o2� l ❑ 11. Detached Accessory Building Form filled out by the owner (if required). 1C'e�s ❑ 12. Hazardous Material Form (for Commercial Buildings only). � '(0/9 Remaining items needed to issue the permit. Additional items may be required after Plan Check and Plana itrg review (May require additional plan review upon receipt of the following items.) ❑ 1. Agricultural Buffer clearance and site plan approval from the Ag Commissioner's office (if required). ❑ 2. Impact Fees. ❑ 3. California Department of Forestry plan approval (if required). ❑ 4. NPDES Form. ❑ 5. Encroachment Permit for driveway from the Public Works Dept. (construction approval prior to occupancy). ❑ 6. Contractor's license information. (Number, Name Style, Classification). ❑ 7. Worker's Compensation Carrier and Policy Number. ❑ 8. Owner -Builder Verification (if required). ❑ 9. Letter of Signature authorization (if required). ❑ 10. Recorded copy of Agricultural Acknowledgment Statement. ❑ 11. ❑ Grant Deed, ❑ M.H. Title/Statement of Facts. ❑ 12. Sanitation and site plan approval from the Environmental Health Department. If you have questions or would like additional information regarding this process, please contact a Permit Assistant at (530)538-7541. EXPIRATION OF APPLICATION Applications for which a permit has not been issued will expire one year after date of application. In order to renew action on an application after expiration, a new application, plans and fees will be required. REQUEST FOR FEE REFUNDS Refunds can only be made upon written request by the person who paid the fee. The request must be made within two years from the date of fee payment on permits not issued, and two years from the date of permit issuance for permits issued; however, on issued permits refunds can only be made if no construction work has been done. Filing fees, plan check fees for work plan checked and other department costs are not refundable. OVER FOR BUILDING PERMIT APPLICATION KAFORMS\BUILDING F0RMS\B1dgApp1SubRgmts.doc Page 2 of 2 REV 2-24-05 Butte County Department of Development Services vTtF YVONNE CHRISTOPHER, DIRECTOR° ° o i o N °_- o 7 County Center Drive ° �:•�;, �. ,.;` ° Oroville, CA 95965 c�UN'�y (530) 538-7601 Telephone (530) 538-7785 Facsimile O TO: WILLDAN t FROM: Scott Rutherford (530) 538-7160 ■ A iia srutherford cDbuttecounty.net 1 (/1 SUBJECT: Plans Transmittal For'Review Per Contract O DATE: `. 4/11/2005 Applicant: IStaton, JoAnna Permit No: 05-0922 Project Type: Addn/BR/Bath APN: 026-280-014 100% 70% Plan Check Fees $ 340.94 $ 238.66 $ 340.94 $ 238.66 WILLDAN Fee $ 238.66 Copies Attached: Qty Chk Application Site Plan Review FEMA Elevation Certificate Building Plans Truss Calculations Energy Calculations Structural Calculations Residential Plan Review Guide Residential Construction Requirements Other Other COUNTY OF BUTTE -DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING DIVISION 7 County Center Drive, Oroville, CA 95965 Phone (530)538-7541 Fax (530)538-2140 PERMIT APPLICATION DATA SHEET OWNER: ASSESSOR PARCEL NU%inor Proposed Building Use: ,tel _ ` P g � l�'1 l �' \� Permit Technician: Date: � Q 1 gems required in order to apply for a permit. All boxes MUST be checked OR marked NA d'e o apply. 1. Site plans, 3 or 4 sets, signed by the preparer of the plans. 2. Complete plans, 3 or 4 sets, signed by the preparer of the plans. 3. Engineered plans, 3 or 4 sets, with wet signature on plans AND 2 sets of stamped and signed calculations. 4. Engineered truss details and layouts in duplicate. No faxes! 5. Letter from Engineer or Architect for truss design review. 6. Energy compliance design and supporting documentation in duplicate. ❑ 7. Statement of Intent for Non -heated and A/C for Non -Residential Buildings. ❑ 8. Manufactured homes: (A) Installation manual, including marriage line info, (C) Floor Plan, (D) Tie down or fnd plans, all in duplicate. ❑ 9. Metal bldgs: (A) Metal Bldg Plans, (B) Fnd plans and calcs in triplicate, (C) Elevations in triplicate. (D) Floor plans in triplicate. All of these must be stamped and wet -signed by the engineer. ❑ 10. Flood Elevation Certificate, wet -stamped and signed, in duplicate. ❑ 11. Letter of intent for non-residential buildings ❑ 12. Hazardous Material Form ,ff.,' 13. Acknowledgement of building permit application without required clearances. ❑ 14. Other R aining items needed to issue the permit. (May require additional plan review upon receipt of the following items.) 15. Sanitation and site plan approval from the Environmental Health Department in ❑ Chico ❑ Oroville, as applicable ❑ 16. Fire Sprinklers............................................................................................ ❑ 17. Agricultural Buffer clr and site plan apr from the Ag Commissioner Sent by ❑ 18. Soils Report and/or Engineered Foundation required ........................................... ❑ r 19. Erosion Control Plan Required........................................................................ ° 20. Fees as shown on the attached Schedule of Fees Due Sheet .............................. ❑ 21. City of Chico Plumbing permit........................................................................ ❑ 22. Site plan and business license approval from the City of Biggs .............................. ❑ ` 23. 24. California Department of Forestry plan approval ❑ paid. Sent by: Planning approval for (A) Use: 6'&-(B)Parking: (C) Parcel Check::...._ ❑ 25. Contact Land Development about _ Improvements, _ Drainage ........................ 26. NPDES Form.............................................................................................. ❑ 27. Encroachment Permit for driveway from the Public Works Dept ........................... ❑ 28. Contractor's license information. (Number, Name Style, Classification) ................... ❑ 29. Worker's Compensation Carrier and Policy Number .......................................... ❑ 30. Owner -Builder Verification ( _ Given to owner, _Mailed to owner) ..................... ❑ 31. Letter of Signature authorization.................................................................... ❑ 32. Recorded copy of Agricultural Acknowledgment Statement ................................. ❑ 33. Existing violations and/or expired permits......................................................... ❑ 34. Deed Restriction.......................................................................................... ❑ 35. ❑ Legal description, ❑ M.H. Title, title search, registration or MCO ......................... ❑ 36. Other: ❑ 37. Other: �� b , When issued Telephone �` `i` and hold for pickup. I have been informed of the above items and requirements for obtaining a building, permit. n. . , / A A / Applicant--�'�-'�'►t- �-� i JQ�L.R.! 1. Index Index permit apple ation for the abovkems numbered: _ 2. Additional items required Contractor, designer, owner, was advised of the above data by Contractor, designer, owner, was advised of the above data by Contractor, designer, owner, was advised of the above data by Plans reviewed by: Date: Structural reviewed by: Date: Note transfer by: Date: Date: + Plan Check Letter ❑ phone, ❑ mail, ❑ counter, by Date: ❑ phone, ❑ mail, ❑ counter, by Date: ❑ phone, ❑ mail, ❑ counter, by Date: _ Plans approved by: Date: _ Structural approved by: Date: Yellow: Building Division COUNTY OF BUTTE DEPARTMENT OF DEVELOPMENT SERVICES — BUILDING DIVISION 7 COUNTY CENTER DRIVE, OROVILLE, CA 95965 PHONE -(530)538-7541, FAX (530)538-2140 SCHEDULE OF RECEIPT OF FEES Website: www.buttecounty.net/dds OWNER A.P. # v' 6 l ::7 SED BUILDING USE I J)6Y\, DATE ( U� RECEIPT # DATE REC. 1. BUILDING PERMIT FEES --- Balance Due ..................... $ 1 --- FEMA Flood elevation review ... $ --- Additional plan checking Fee.... $ 2. SCHOOL DISTRICT FEES (paid at School District Office) (form available after Plan Check) 3. SHERIFF FEES (paid at Building Division) Residential............ X $360.00 =$_ Units Commercial (sq. ftg.)..,.. X $0.03 = $ Sq.Ftg. 4. RECREATION DISTRICT FEES (paid at Recreation District Office) (form available after Plan Check) 5. RESIDENTIAL DEVELOPMENT IMPACT FEES COUNTY WIDE (per dwelling) $ CHICO URBAN AREA (per dwelling) $ EL MEDIO FIRE DISTRICT (per dwelling) $ NORTH CHICO SPECIFIC PLAN (per. dwelling) Zoning_ 6. SRA FIRE INSPECTION AND PLAN CHECK FEE $204.98 (paid at Building Division) 7. WATER TENDER FEES BATTALION # ` $200.00 (paid at Building Division) 8. SMIP 9. OTHER 10. OTHER 11. OTHER At time of permit application, I was advised the above fees are required to be paid prior to issuance of the, permit. These fees may be changed during the plan checking process. APPLICANT DATE LI—c9-0,'5 Pursuant to Government Code Section 66020, you are hereby notified that items, 2, 3, 4, 5, 6, 8, 9, and 10 above may have been imposed on your project. You have 90 days from the date of approval of the project or from the imposition of the above mentioned items during which you may protest. The requirements for a protest are specified in Government Code Section 66020(a). Original -Building Division Yellow -Applicant Pink -Owner (rev. 3/05) Tr Butte CounCyDeparanent of-DevelopinentSerw* °��U7 0 7 County Center Drive ° \� ° Oroville, CA 95965 (530) 538.7601 Telephone ° ^''° (530) 538-7785 Facsimile c00 �y BUILDING PERMIT APPLICATION WITHOUT REQUIRED CLEARANCES I request and authorize the Building Division to process this building permit application through the plans examination process WITHOUT first obtaining all necessary, related permits and clearances from other regulatory entities; including but not limited to, Planning, Environmental Health, Land Development, County Fire, and Agriculture. I hereby acknowledge: I need to submit applications for septic and/or well to Butte County Environmental Health immediately. • I,am required to bring the approved Environmental Health site plan and approved sanitation clearance to the Building Division as soon as clearance is obtained • I am responsible for notifying Development Services, in writing, to stop processing of the application and to arrange for disposition of plans. The Building Division will process the application through the plans examination process, as submitted, without input from other regulatory entities that could prohibit issuance of the building permit or require submission of amended building plans to the Building Division. Once the plans examination process begins, there will be no refund of plans examination fees. Any changes requiring submission of amended plans to the Building Division will incur additional fees. Within one year from the date of application for a building permit, all other required permits and clearances from other entities must be obtained for the permit to be issued. Failure to obtain these permits/clearances will void the application. Typically other required permits/clearances include, but are not limited to, verification the parcel was legally created, adherence to. all mitigations and conditions imposed on the parcel at time of creation, as well as zoning requirements, legal access, and applicable set -backs and environmental issues (fire, agriculture buffer zones, and habitat/species). Please print: Applicant Name: �A-Ytyya APN: f0� �}— Q 1 Building site address: 0 Permit No.: O'D �/�-.� 9'S `) % 0 I have read, understoodand accept they terms and conditions as expressed herein as indicated by my submission of the above -referenced building permit application and my signature below: e� - 9 -OS S GN TURF OF PLICANT DATE K:Fomu/B]dePermitwithoutC)earances020705 IQ Q WTM" j o I ° 1 O t \ O O ACOVN��S �Llc W°F� Department .0 o u n t y J. Michael Crump, Director , of Public o f B u t t Works LAND DEVELOPMENT DIVISION Storm Water Management Program 7 County Center Drive Oroville, CA 95965 (530) 538-7266 (FAX) 538-7171 National Pollutant Discharge Elimination System (NPDES) Phase II Construction Storm Water Permit and Storm Water Pollution Prevention Plan (SWPPP) Acknowledgement jLESS THAN 1 ACREI Project Descriptio n: Qool-'1 Project Location and/or Parcel Number: —If -SG -7 0 0 C[ 0-CK4- _ L . A2:f By signing below, I, the project owner/owner's agent, certify that this project WILL NOT DISTURB 1 acre or more of land and that I, therefore, do not need to apply for a Construction Storm Water Permit from the State of California Regional Water Quality Control Board. Phased projects that contain multiple site build -outs of less than one acre but when combined with subsequent phases total more than one acre of disturbed soil will require a Construction Storm Water Permit from the State of California Regional Water Quality Control Board. I am aware that submitting false and/or inaccurate information or failure to apply for a Construction Storm Water Permit from the State of California Regional Water Quality Control Board for a project that disturbs one acre or more of land may result in revocation of grading and/or other permits or other sanctions provided by law. Signed: Title: Date: Less than l Acre NPDES & SWPPP Compliance Certification Butte County Storm Water Management Program Revised 5/24/04 NOTES RESIDENTIAL PERMIT NO. — 026-280-014 , __ _ 05-0922 STATON, JOANNA 7567 OCCIDENTAL AVE, PALERMO Cont: SPARKS, BEN ' ADD BEDRM & BATH/SF SPECIAL CONDITIONS CHECKED BY SRA FLOOD CERTIFICATE REQ. FIRE SPRINKLERS REQ. SPECIAL INSPECTION ITEMS VERIFY USE PERMIT CONDITIONS SUB -STANDARD HOUSING LETTER JOB FINALED (Date) Signature 4=OK O'' Not OK NotApplicable . Not Ready MOBILE HOMES Date MOBILE HOME UTILITIES (Plans) OK except #'s Date 1. Zoning Requirements-Setbacks-Easements Card B-1 Date 2. Soils; Special MH Support Sketch Date 3. Sewer; Location-Test-Fall-C/O-Concrete Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 4. Water; Location-Test-Easement Needed (Sketch) 1. 5. Electricity; Location-Clearances-Grnd-/ /Amp-Concrete Electric 6. Gas; Location-Test-Wrap;-/ /" L 'ft. / P Nat. or/ /" L "ft./ P LPG 2. 7. Well Clearance & Disconnect Siding; Nailing -Veneer -Stucco -Mesh 8. Utility Clearance 3. Blocking Ext.; Steps -Doors -Landings 12. Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date MOBILE HOME INSTALLATION. (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Footings; Size -Spacing -Marriage Line 3. Gas; MH Test -Demand -Valve -Connector 4. Electricity; MH Test -Crossovers -Breakers -Clearances 5. Drain; MH Test -Fall -Flex Connector 6. Water; MH Test -Regulator -Connector 7. Water and Sewer Connected -C/O to Grade -HD Approval 8. , Gas and Electricity Tagged 9. Tie Downs -Type -Installation Cert. 10. Exits; Insp.-Sketch 11. Cert. of Occupancy Date 1. Card B-1 Date Card B-1 Date 3. Card B-1 Date Card B=1 Date PERMANENT END SYSTEM (ONLY) Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. 1. Zoning Requirements -Setbacks -Easements Electric 8. 2. Footings; Size -Spacing -Marriage Line Siding; Nailing -Veneer -Stucco -Mesh 10. 3. Blocking Ext.; Steps -Doors -Landings 12. 4. Gas; MH Test -Demand -Valve 5. Electricity; MH Test 6. Water; MH Test 7. Water and Sewer Connected 8. Gas and Electricity Tagged 9. Exits 10. License Decals 11. Verify #'s with Office Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 MISCELLANEOUS Date DECKS, COVERS, CARPORTS, GARAGES (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Footings; Soils -Size -Depth -Spacing -Connectors -Steel 3. Decks, Girders and/or Joists -Decking -Bracing -Stairs -Rails 4. Wood Awn.; Posts- Beams- Rftrs-Connectors Shthg-Frg-Bracing 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Carports; Windows -Doors 7. Electric 8. Frmg.; Sills-Anchors-Studs-Rftrs-Trusses 9. Siding; Nailing -Veneer -Stucco -Mesh 10. Roof; Shthg-Roofing 11. Ext.; Steps -Doors -Landings 12. Braced Wall Panels Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date POOLS (Plans) OK except #'s 1. Setbacks -Easements 2. Soils; Compaction -Structure Stability 3. Pool Structure; Steel -Connections -Thickness Dead Men -Lining 4. Elec.; Receptacles and Lighting, Distance -GR 5. Elec.; Pool Lighting; 15 Volts-GFI 6. _Elec.; Enclosures; Conduit Entries -Terminals -Listed 7. Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater 8. Elec.; Grounding; Equip. w/5' Circulating Equip. -Pool Lghtg. Boxes- Enclosures -Panel boards -Ins. to Main Conduit 9. Health Department Approval 10. Plumb.; Cir. Test -Water Supply Test 11. Light Niche 12. Enclosure; Fencing -Alarms Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 J=OK 0 = Not OK - = Not Applicable . = Not Ready RESIDENTIAL (Single & Duplex) Date UNDERFLOOR (Plans) OK except #'s Hangers -Post Caps -Anchors -Connectors 1. Zoning -Setbacks -Easements -Flood -Slope 49. 2. Ftg., Main; Soils-Elec. Grnd.-/ /" Ftg. Depth Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 3. Ftg., Garage; Soils-Steel-Elec. Grnd.-/ /" Ftg. Depth 52. 4. Ftg., Porches & Decks; Soils -Steel-/ /" Ftg. Depth 54. 5. Stemwalls, Main; Steel-Blockouts-Wrapped Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 6. Stemwalls, Garage; Steel- Bloc kouts-Wrapped 57. 6a. Hold Downs and Special Anchors Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access 7. Slab, Steel -Wrapped 60. 8. Piers -Fireplace Ftg.-Steel 61. 9. D.W.V.; Fall -Fitting -Test -2 Way C/0 -Sewer Test 10. UF, Gas Pipe; Size Anchors -Yard Gas Piping; Size Test 72. Elec. Outlets at Wood Panel, Int. & Ext. 11. Water Pipe; Test -Anchors -Regulator -Service Test Kit. Fixt. & Appliance; Ground -Air -Gap -Cooking Clearance 12. Electric Underground Elec. Outlets & Receptacles at Kit. Counter 13. Plenums & Ducts; Clearance -Material -Support -Ins. Garage Fire Door; Swing -Landing -Closure 14. Girders -Sills -Anchor Bolts-Joists-Vents-Crippies A.C. Duct in Garage -Damper 15. Access & Ventilation Wtr. Htr.; Vents -Clearance -Comb. Air Connector-P.R.V. in Garage; Above Floor-Mech. Protection 16. Insulation Plb.; Elec. & Mech. Equip. Listed for Location 79. Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date PLUMBING (Permit) OK except #'s 82. 17. Water Htr; Vent -Access -Combustion Air Baffle 18. Water Pipe; Test & Anchor -Nail Protection 83. 19. D.W.V.; Test Fittings & Anchor -Nail Protection 84. Stucco Brown -Finish 20. Shower Pan; Test, First Floor -Tub Access A.C. Unit Disconnect, Electrical -Plumbing 21. Test Tub & Shower, Second Floor -Tub Access 86. 22. Gas Pipe; Sixe & Anchors 87. 23. Fire Sprinkler; Test 88. Exterior Elec. Trim, G.F.I. Receptacle -Underground Date Ventilation Throughout House Card B-1 Date Card B-1 Date Glass Protection Card B-1 Date Card B-1 Date ELECTRICAL (Permit) OK except #'s 24. Fixture & Transformer Clearance -Ins. Protection 25. Elec. Receptacles Spacing -Lights & Switches at Doors Water & Sewer Connected -C/O to Grade -HD Approval 26. Size Boxes & No. of Conductors Stapled Energy Compliance Certificate -Other Certificates 27. Romex Installed Close to Edge of Studs & C.J. Address Posted 28. Equip. Ground made up w/Mech Fasteners -Bond Gas & Water 96. 29. 2 Appliance Circuits in Kitchen & Conductor Size GFI 30. Subfeed Wire Size/ /ga. Cu or AI-A.C. Wire Size/ /ga Cu or AI 31. Range Circle/ /ga Cu or AI -Oven Circ. / /ga Cu or Al Insulated Neutral ❑ Yes ❑ No 32. Service -Riser Conductors & Ground Main Disconnect 33. Equip. Clearances Panels-Motors-Mech. Equip. 34. Clothes Closet Light -Shower Light -Spa Light 35. Smoke Detector Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date MECHANICAL (Permit) OK except #'s 36. A.C. Ducts Insulation & Support 37. Vent Fan, Exhaust above insulation 38. Condensate Drain & Overflow, Size & Grade 39. Furnace -Vent Access -Comb. Ait-Return Air Vent 115 Outlet 40. Attic Access & Platform if Furnace in Attic Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date FRAMING (Permit) OK except #'s 41. Sills Proper Materials & Anchors 42. Walls Studs -Nailing Spacing & Braces -Plates -Sound 43. Bearing Walls over Girders & Floor Nailing 44. Draft Stop in Walls (rat proof) 45. Fire Stops, Furred Ceilings -Stairs -Chasers -Tubs 46. Headers & Beams -Size & Bearing Date FRAMING (Continued) 47. Hangers -Post Caps -Anchors -Connectors 48. Cling. Joist-Rftr. Ties- Purlin-Roll Brac.-Truss-Shting.-Rtng. 49. Fireplace Ties or Type A Flue -Fireplace Throat Clearance 50. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 51. Bdrm. Windows or Exiting Doors -Sill Ht. & Dimensions 52. Garage Fire Protection Framing -RC Channel 53. Property Line Firewall & Openings 54. Ext. Doors -One 3' -Check Garage 3rd Story, 2 Exits 55. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 56. Plywood on Roof Overhang -Attic Vents -Rafter Outriggers 57. Siding -Nailing Veneer 58. Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access 59. Glazing Area -Glass Protection -Skylights -Plastic 60. Shear Walls; Nailing -Bolts 61. Brace Interior/Exterior Wall Panels Date Card B-1 Date Card B-1 Comments at Final: :iw 62. Insulation -Walls -Ceilings 63. Infiltration -Walls -Windows Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date FINAL (Plans) OK except #'s 64. Ext. Steps -Door & Sidelight Protection -Landings 65. Smoke Detector 66. Furnace Vents -clearance -Comb, Air -Connector - In Garage; Above Floor-Ducts-Mech. Protection 67. Bedroom Exiting 68. G.F.I. & Bath Fixtures & Tub Access -Spa 69. Elec. Trim & Subpanel, Breaker Sizes & Labels 70. Stairs & Rails 71. Fireplace or Stove, Clearance -Hearth 72. Elec. Outlets at Wood Panel, Int. & Ext. 73. Kit. Fixt. & Appliance; Ground -Air -Gap -Cooking Clearance 74. Elec. Outlets & Receptacles at Kit. Counter 75. Garage Fire Door; Swing -Landing -Closure 76. A.C. Duct in Garage -Damper 77. Wtr. Htr.; Vents -Clearance -Comb. Air Connector-P.R.V. in Garage; Above Floor-Mech. Protection 78. Plb.; Elec. & Mech. Equip. Listed for Location 79. Elec. Receptacles in Garage (F.F.I.)-Romex Protection 80. Insulation -Foam -Looked in Attic 81. Guard Rails & Deck Construction -Post Caps 82. Fdn. VBents & Crawl Hole Door Drainage & Wood -Earth Clearance Looked under Floor ❑ Yes _ 83. Following Instld./Drive O Yes ❑ No/Walks ❑ Yes ❑ No/Planters ❑ Yes ❑ No 84. Stucco Brown -Finish 85. A.C. Unit Disconnect, Electrical -Plumbing 86. Vents Above Roof, Plbg-Appliance-Fireplace-Clearance to Openings 87. Water Well, Disconnect, Electrical, Plumbing 88. Exterior Elec. Trim, G.F.I. Receptacle -Underground 89. Ventilation Throughout House 90. Glass Protection 91. Corrections from Previous Inspections 92. Gas Test -Meters Tagged, Gas -Electric 93. Water & Sewer Connected -C/O to Grade -HD Approval 94. Energy Compliance Certificate -Other Certificates 95. Address Posted 96. Fire Sprinkler Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Comments at Final: :iw COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive Oroville, California 95965 • Telephone (530) 538-7541 PERMIT NO. (Rev. 12/96) APPLICATION AND PERMIT ASSESSOR PARCEL NUMBER 026-280-014 ZONING BUILDING PERMIT OWNER RASH J TELEPHONE SQ. FT. OCC. BUILDING VALUATION . OWNERS MAIUNG ADDRESS • P -0 -BOX 665 PATEEMM CA 9996a 96 R 5,184.00 CONTRACTOR'S NAME JACE RASH I TELEPHONE 589-1985 CONTRACTORS MAILING ADDRESS CONSTRUCTION LENDER Fireplace 11A7 1,500.00 LENDER'S MAIUNG ADDRESS Total Valuation $ 6 684.00 ARCHITECT OR ENGINEER LICENSE NO. $ 20.00 —FilingFee Permit Fee $ 90.00 ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ 519,50 BUILDING ADDRESS 7567 OCCIDENTAL PATERAMO CA 99968 Energy Plan Checking Fee $ 23.00 $ PERMIT FEE $ 191.50 LOT NO. SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMIT Fling Fee 20.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome ❑ Other SPECIFY Each Trap 7.00 - Solar or heat um water heater 23.00 Water piping 15.00 Each as water heater or vent 15.00 TYPE OF WORK New ❑ Addition OX Remodel ❑ Utilities ❑ Installation ❑ Other ❑ Describe Work: ADDITTON 6X16=96 Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home I S I G I W 920.00 PERMIT FEE S ELECTRICAL PERMIT Fling Fee 20.00 LESS Main Service ZpOA OR LESS 23.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license isj full force and effect.����yyl..ryyy S �J' / License Class Lic. No. L F� OWNER -BUILDER DE ARATION 1 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 Main Service 200A TO 1000A 46.00 NEW CONST. DWELUNG OCCUP. so OR ADONS. ( 8 aCC. BLDS. 3.50FT. NEW NOEOSIUT. MULTI -OUTLET @7.50 POWER APPARATUS 8 SINGLE OUTLET CIR. 20 @ 1.00 Ex. Occup. OUTLET OR FIXTURES BAL @ .50 Ex. Occup. oFlxUT1E�°S P(PL.16JOAEA 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE $ 23.35 WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure, for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ 1 have and will maintain workers' compensation Insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier MECHANICAL PERMIT Fling Fee 1 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE $ 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.) 125, 1 certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall forthwith comply with thos provisions. q X Date % — Z ` Sig t e of Applicant - ❑ Owner X Contractor ❑ Agent An HA permit is required for excavations over 5'0" deep and demolition or construction of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ 46.00 occ CONST. TYPE TOTAL FEE $ 260.85 HAZ. D F IMP FLOOD CDF PARCEL _ PD HD SUE This permit is hereby issued under the applicable provisions of the Butte County Code and/or Resolutions to do work indicated abov r w ich fees h e been paid. By .r Date 2-12-2002 PERMIT EXPIRES O 2-12-2003 Date Receipt No. 343205 WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT I COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISIONOa . 0a3 7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-7541 PERMIT NO. (Rev. 12/96) APPLICATION AND PERMIT _ ASSESSOR PARCEL NUMBERD n/ ZONINO/ BUILDING PERMIT OWNER O B ALU TION LENDER'S MAIUNG ADDRESS ARCHITECT OR ENGINEER ARCHITECT OR ENGINEER'S MAILING ADDRESS BUILDING ADDRESS 17/ -"7 12 /7 j r LOT NO. I SUBDNISION'SNAME i PARCEL USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome ❑ Other SPECIFY TYPE OF WORK New ❑ Addition ❑ Remodel ❑ ilitie ❑ Installation r ❑ Other ❑ Describe Work: �� C��► ► U (1� *PERMIT FEE PAlb SRA • . SHERIFF OTHER AMOVNT RECEMb s� s X •RE�'i NWN�Ot c�7iV'J TO r!!T INTO COMRlTER Receipt No. WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT Fireplace I JUI PERMIT FEE Total Valuation $ .4 - Filing Fee $ 20.00 Permit Fee $ 46.00 Plan Checking Fee $ 5¢SO. IT. t: Energy Plan Checking Fee $ @7.50 $ PERMIT FEE $ PLUMBING PERMIT Filing Fee 20.00 Each Trap 1 7.00 Solar or heat pump water heater 1 23.00 Water piping 5.00 Each gas water heater or ven 15.00 Gas piping system 1- 5 ets 15.00 Building sewer 15.00 Mobile Hom S I G I W @20.001 EX. Occup. OUTLET OR FIXTURES -@� .5,'�0 8AL Ex. Occup. Ix,� E�_D�A q�. DER,,, 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE i J MECHANICAL PERMIT Filing Fee 20.00 6.50 Ventilation PERMIT FEE $ Mobile Home Installation Fee $ Energy Inspection Fee $ / Occ CONST. TYPE �IOTAL FEE $ HAZ--i D. FE IMP I I HD E 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. By Date PERMIT EXPIRES ON PERMIT FEE S ELECTRICAL PERMIT Filing Fee 20.00 Main Service 600v OR LESS 200A OR LESS 23.00 Main .Service 200A TO 1000A 46.00 NEW CONST. OR ADONS. ( DWELLING OCCUR 01LING BLDS. 5¢SO. IT. t: NEW CONST. NOWRESID. MULTI.OUTLET wceururioriuTc @7.50 EX. Occup. OUTLET OR FIXTURES -@� .5,'�0 8AL Ex. Occup. Ix,� E�_D�A q�. DER,,, 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE i J MECHANICAL PERMIT Filing Fee 20.00 6.50 Ventilation PERMIT FEE $ Mobile Home Installation Fee $ Energy Inspection Fee $ / Occ CONST. TYPE �IOTAL FEE $ HAZ--i D. FE IMP I I HD E 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. By Date PERMIT EXPIRES ON COUNTY OF BUTTE -DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING DIVISION 7 County Center Drive, Oroville, CA 95965 Phone (530)538-7541 Fax (530)538-2140 PERMIT APPLICATION DATA SHEET A& OWNER: ASSESSOR PARCEL NUMBIJR Proposed Building Use: Counter Technici / 0 Date: Items required in order to apply for a permit. All boxes MUST be checke marked NA in order to apply. Plot plans, 3 or 4 sets, signed by the preparer of the plans. Complete plans, 3 or 4 sets, signed by the preparer of the plans. 3. Engineered plans, 3 or 4 sets, with wet signature on plans AND 2 sets of stamped and signed calculations. H4. E gineered truss details and layouts in duplicate. No faxes! nergy compliance design and supporting documentation in duplicate. 6. Manufactured homes: (A) Data sheets and installation instructions, (B) Marriage line information, (C) Floor Plan, (D) Tie down or foundation plans, all in duplicate. ❑ T. Metal buildings: (A) Metal Building Plans, (B) Foundation plans and calculations in triplicate, (C) Elevation views in triplicate. (D) Floor plans in triplicate. All of these must be stamped and wet -signed by the engineer. Items required for initial plan review. If checked items have not been received, plan review cannot proceed. The permit will be dexed and returned to the plan review line-up when required items are received. Date Received By 8. Flood Elevation Certificate, wet -stamped and signed, in duplicate ................................ ❑ 9. Plot plan and business license approval from the City of Biggs .................................... ❑ 10. Letter of intent for non-residential buildings......................................................... ® 11. Detached Accessory Building Form filled out by the owner ..................................... ❑ 12. Hazardous Material Form............................................................................... ❑ 13. Other Remaining items needed to issue the permit. (May require additional plan review upon receipt of the following items.) 14. Fees as shown on the attached Schedule of Fees Due Sheet ..................................... . Zy� Statement of Intent for Non -heated and A/C Buildings ................................. .. Sanitation and plot plan approval from the Environmental Health Department in ❑ 17. City of Chico Plumbing permit......................................................................... ❑ 18. California Department of Forestry plan approval ❑ paid. Sent by: ...................... ❑ 19. Planning approval for (A) Use: (B)Parking: (C) Parcel Check: ❑ 20. Contact Land Development about ❑ Improvements, ❑ Drainage ............................... ❑ 21. Encroachment Permit for driveway from the Public Works Dept. (construction approval prior to occupancy). ❑ 22. Pre -Inspection for required ................ ❑ 23. Contractor's license information. (Number, Name Style, Classification) ...................... ❑ 24. Worker's Compensation Carrier and Policy Number ..............:.............................. ❑ 25. Owner -Builder Verification (❑ Given to owner, ❑ Mailed to owner)........ ............. ❑ 26. Letter of Signature authorization.................................................................... ❑ 27. Recorded copy of Agricultural Acknowledgment Statement ..................................... ❑ 28. Manufactured home utility clearance............................................................... ❑ 29. Existing violations and/or expired permits......................................................... ❑ 30. ❑ Grant Deed, ❑ M.H. Title/Statement of Facts, ❑ Letter from Legal Owner, ❑ Check to H.C.D. $ ❑ 31. Other: When issued Telephone and hold for pickup. I have been informed of the above 'terns and requirements for obtaining a building permit. Applicant: a� �� Date: 1. Index permit application for the above items numbered: 2. Additional items required Contractor, designer, owner, was advised of the above data by ❑ phone, ❑ mail, ❑ counter, by Contractor, designer, owner, was advised of the above d to by ❑ phone, ❑ mail,' ❑ counter, by Plans reviewed by: (Z. Date: 2 Ov Plans approved by: Structural reviewed by: Date: Structural approved by: Note transfer by: Date: Yellow: Building Division Plan Check Letter _Date: _Date: Date:_ Date: � _ } ��eµi�A4�Rk?1t�.j`"9r'.•:t++:�j�5 LLfi �i�� ' E.N. USE ONLY Plot Plan Attached Floor Plan Attached 4 Sent to S.O. % S 1 TO: Building Department FROM: Environmental Health SUBJECT: Sanitation Clearance L) Owner Location AP# Plan Approved for: Sewage Disposal �, , Water Supply: Public Private Well Clearance for dwelling. Other Hold final for: Final clearance O.K. for: NOTE: Environmental Health Specialist Date a y _ 8/96 Name—J Mailing Address: % SS &I ><Cvc C' Dx– Owner Q lG'�S Telephone # S ��t a °/6 a �- Mailing Address Inspectors Comments: Fee Receipt # 3f 1 �51 r "k- COUNTY OF BUTTE DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE (530) 538-7541 SCHEDULE OF FEES DUE OWNER. A.P. # U PROPOSED BUILDING USE i DATE RECEIPT # DATE REC. 1. BUILDING PERMIT FEES --Balance Due ........................................................ $ --Additional Fees Due ............................................ $ --Additional Fees Due ............................................ $ -- evised Plan Checking Fee ....... ....................... $ _&�SCHOOL DISTRICT ES ' (paid at District Office 2 iL 42 3. SHERIFF FEES (paid Af Building Division) Residential .................................... x $360.00 = $ Units Commercial (sq. ft.) ...................... x $0.03 = $ Sq. ft. 4. URBAN AREA FEES Residential ................... :........ x = $ # Units Amt. Commercial (Sq. ft.) ............. x = $ Sq. ft. Amt. 5. RECREATION DISTRICT FEES 6. THERMALITO DRAINAGE DISTRICT FEES $510.00 (paid at Building Division) NJ SRA FIRE INSPECTION AND PLAN CHECK $89.00.(paid at Building Division) 8. WATER TENDER FEES (Battalion # ) $200.00 (paid at Building Division) 9. CSA 87 TRAFFIC FEE $2500.00 (paid at Building Division) 10. OTHER At time of permit application, I was advised the above fees are required to be paid prior to issuance of the building permit. These fees may be changed during the plan checking process. APPLICANT Ir DATE ;� / Z —') ?-- Pursuant to (!',overnment Code Section 66020, you are hereby notified that items 2, 3, 4, 5, 6, 7, 8, 9, and 10 above may have been imposed on your project. You have 90 days from the date of approval of the project or from the imposition of the above mentioned items during which you may protest. The requirements for a protest are specified in Government Code Section 66020(a). Original - Building Div. 2nd Copy - Applicant 3rd Copy - Owner (Rev. 6/00) r r. x b 1 School District A.P. Number Property Owner Property Locatic Subdivision BUTTE COUNTY SCHOOLS IMPACT FEE CERTIFICATION FORM (One form per Building) � Building Department No. Residential Development No of Living Mobile Home Units Installation County 0 Lot No.� " ............................................ : I Sq. Footage Addition/ *Supplemental to (Group R) Conversion Permit # '(No foundation inspection): :................................................................................................................... n� District Identification No. r 9200,83 if IP—" � ( 4 School District certifies that 1 -(,Stre Address) (City) 7i has complied with the requirements ?f solution No. repre enting square feet. A n :1 Sc'fool"District Representative 6111- - Paid by Check # Remarks: r Sq. Footage . (Including Exterior R ooffeed Areas) V Date h I It �• �j (Applicant) ' (Phone Number)". / (State)Q_ (Zip Code) by payment of $ AB 2926 s FULL MITIGATION $ iLoe 2 Date 102- Notice: You may protest the imposition of the fees identified above by submitting a written protest to the District, in compliance with a Government Code Section 66020(a), within 90 days from the date fees are paid. Failure to submit a timely written protest will prohibit you from challenging the imposition of the fees in any court action. If, subsequent to the School District Representative signing this Butte Counfy'Schools Impact Fee Certification Form, the School District is notified by the applicable Local Planning Agency that this project is being. reviewed under the California Environmental Quality Act (CEQA), this project may be subject to additional school fees to fully mitigate its impact on the school district's schools. White (applicant), Yellow (building' department), Pink (school district) feeform.xis (10/98)dmm s ,,,f;Fr �.,...� _._l► --`,�,,_.r..,"Y-'i•.'"""r^""" ".:7R"'t; r.`'�.'".w,""'E'�'^'..'^�"""� .'�"..".. _ �',�±+�, �i'�+"•P`,i!'�jN"" .. w� . �..._- .,. ,r-� v:jp��.p�1�,4.�,��}�t�;�y�a•�{�:,rrr,.- . COUNTY'OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 0111 n 7.County Center Drive • Oroville, California 95965 • Telephone (530),538-7541 PERMIT NO. (Rev. 12/96) - z APPLICATION AND PERMIT' ASSESSOR PARCEL NUMBER '^ -' 026#28(y-€�14 ZONING. - - BUILDINGPERMIT OWNER .- Wk. JERDUAH & MTIE TELEPHONE 29-2966 SO. FT. OCC. BUILDING VALUATION . OWNERS MAIUNG ADDRESS.,,..- P.O. BOX 665 PALMMM CA 95968 96 R 5,184.00 CONTRACTOR'S NAMETELEPHONE ,LACE RASH'15894-1985 , CONTRACTORS MAILING ADDRESS 155 DISTRICr C F IGA CONSTRUCTION LENDER [Fireplace " A`" 19500.00 LENDER'S MAILING ADDRESS Total Valuation $ y684.00 ARCHITECTOR ENGINEER LICENSE NO. Filing Fee $ 20.00 Permit Fee $ 90.00 ARCHITECT OR ENGINEERS MAILING ADDRESS ` Plan. Checking Fee $ 58.50 BUILDINGADDRESS 7567 D t i 4568 0 Energy'Plan Checking Fee $' 23.00 $ I ' PERMIT FEE $ 191.50 LOT NO. SUBDIVISIONS NAME 1 PARCEL MAP, PLUMBING PERMIT Filing Fee 20.00 Each Trap 7.00 USEOFSTRUCTURE I SF ❑ Duplex ❑ Mobilehome ❑ Other - SPECIFY Solar or heat pump water heater 23.00 Water piping 15.00 Each gas water heater or vent 15.00 TYPE OF WORK t New ❑ Addition GX Remodel ❑ Utilities ❑ Installation ❑ Other ❑ Describe Work: ADD13" 6X16-96 ` Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 W @ Mobile Home S G 20.00 PERMIT FEE S' ELECTRICAL PERMIT Fling Fee 20.00 LE Main Service zo.A OR LESS 23.00 LICENSED CONTRACTOR'S DECLARATION - t 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. I`"'11°/��,r+ License Class � Lic. No. r� .GJei`-'ifFl OWNER -BUILDER DECLARATION 1 hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: ❑ I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason 'e 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 Main Service 200A TO ,000A 46.00 NEW CONST. DWELLING OCCUP. SO OR ADDNS. ( & ACC. BLDS. 3.50FT, p1Oµq�,pT' M11AULTI.OUTLETIM @7,50 3115 POWER APPARATUS a sINGLE OUTLET CIR. zp Q ,•op EO X. CCU OUTLET OR FIXTURES BAL @ .50 Ex. Occup. ouT>Frs a IESIES o.OEA 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE $ 23.35 MECHANICAL PERMIT Fling Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE $ 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.)Occ O* I certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall forthwith comply with those, provisions. X Date % Signalur`e of Applicant - ❑ Owner O, Contractor ❑ Agent An OSHA permit is required for excavations over 60" deep and"demolition or construction of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection,,Fee $ 46.00 CONST. TYPE TOTAL FEE $ 260.85 HAZ. .., '� p F IMP ,,. '! FLOOD CDF ..,,. PARCEL PD r HD !ISSUE / 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 hwfie been paid. By Date 2-12-'2002 PERMIT EXPIRES O V 2-12-2003 15 Date ReceiptNo. 343205 i WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT 1 • ' ,..V1. FLOOD PLAIN DECLARATION I declare the actual value of the proposed construction work under building permit application number: at the location of '7!5 6'7 6 e C/ 3 P to Assessor Parcel Number: a 6 — ey for the construction of an addition for 15;- A,,, . �'a"4:/e-i / ,l)jw Buz does not equal or exceed the definition of "Substantial Improvement I `am aware the building site is in a flood - plain area, even though I am not required to comply with the flood plain management criteria. Property Owner: �e Address: lS PhoneNumber: Date: ' Substantial improvement is defined as follows: Any repair, reconstruction, or improvement of a structure, the cost equals or exceeds 50% of the market value of the structure either, (a) before improvement or repair is started or (b) if the structure has been damaged, and is being restored, before the damage occurred. NOTE: Documentation may be required to substantiate cost. r DEPARTMENT OF DEVELOPMENT SERVICES BUILDING DIVISION 7 County Center Drive, Oroville CA 95985 Phone (530)538-7541 Substantial Improvement Worksheet for Projects within FEMA Floodplain APN: "_21,'— ;?- '? ,_ / Existing Building: DATE: —/2-- 2 - USE USE AREA SF -VALUE TOTAL X 1131 x 415q _ _(O 1 b-? .�x se *x 8 X X = X X = X X = X X = X X = Existing Structure Value (E Proposed Addition -Remodel USE AREA SF -VALUE TOTAL F x _ ` x stl 0 X X = X X = X X = X X = X X = Remodel Contract: O Im rovements Value (IV): I &, r o 11 Improvement Percentage = IV - 5 L ESV If improvement percentage equals or exceeds 40 %, an appraisal is required on the existing building. Submit appraisal documents prepared by a certified appraiser. A new Improvement percentage will be calculated. If improvement percentage exceeds 50%, a .substantial improvement exists. Ry, NOTES c RESIDENTIAL f vGU--'ov-v 14 •vL-vLys }I RASH, JEREMIAH & KATIE 17567 OCCIDENTAL, PALERMO CONT: JACE RASH ADDITION 11 SPECIAL CONDITIONS CHECKED BY SRA FLOOD CERTIFICATE REQ. FIRE SPRINKLERS REQ. SPECIAL INSPECTION ITEMS VERIFY USE PERMIT CONDITIONS SUB -STANDARD HOUSING LETTER 1 JOB FINALED (Dam Signature "ld6S, fi. t, i j 7 RESIDENTIAL f vGU--'ov-v 14 •vL-vLys }I RASH, JEREMIAH & KATIE 17567 OCCIDENTAL, PALERMO CONT: JACE RASH ADDITION 11 SPECIAL CONDITIONS CHECKED BY SRA FLOOD CERTIFICATE REQ. FIRE SPRINKLERS REQ. SPECIAL INSPECTION ITEMS VERIFY USE PERMIT CONDITIONS SUB -STANDARD HOUSING LETTER 1 JOB FINALED (Dam Signature "ld6S, ✓ = OK i 0 = Not OK n ^ - = Not Applicable MOBILE HOMES = Not Ready Date MOBILE HOME UTILITIES (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Soils; Special MH Support Sketch 3. Sewer; Location -Test -Fall -C/O -Concrete 4. Water; Location -Test -Easement Needed (Sketch) 5. Electricity; Location-Clearances-Grnd-/ /Amp -Concrete 6. Gas; Location -Test -Wrap;-/ /" L'ft. / /'Nat. or / /"L"ft./ PLPG 7. Well Clearance & Disconnect 8. Utility Clearance 9. Siding; Nailing -Veneer -Stucco -Mesh 10. Roof; Shthg-Roofing Date 11. Card B-1 Date Card B-1 Date 12. Card B-1 Date Card B-1 Date MOBILE HOME INSTALLATION (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements Card B-1 Date Card B-1 2. Footings; Size -Spacing -Marriage Line Card B-1 Date Card B-1 3. Gas; MH Test -Demand -Valve -Connector FINAL (Plans) OK except #'s 4. Electricity; MH Test -Crossovers -Breakers -Clearances Setbacks -Easements 5. Drain; MH Test -Fall -Flex Connector Soils; Compaction -Structure Stability 6. Water; MH Test -Regulator -Connector Pool Structure; Steel -Connections -Thickness Dead Men -Lining 7. Water and Sewer Connected -C/O to Grade -HD Approval Elec.; Receptacles and Lighting, Distance-GFI 8. Gas and Electricity Tagged Elec.; Pool Lighting; 15 Volts-GFI 9. Tie Downs -Type -Installation Cert. Elec.; Enclosures; Conduit Entries -Terminals -Listed 10. Exits; Insp.-Sketch Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater 11. Cert. of Occupancy Elec.; Grounding; Equip. w/5' Circulating Equip. -Pool Lghtg. Boxes-Enclosures-Panelboards-Ins. to Main in Conduit 12. _ Permanent Foundation Only; License Decal Health Department Approval 10. Date Card B-1 Date Card B-1 Date _ Card B-1 Date Card B-1 - S MISCELLANEOUS Date DECKS, COVERS, CARPORTS GARAGES (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Footings; Soils -Size -Depth -Spacing -Connectors -Steel ' 3. Decks; Girders and/or Joists -Decking -Bracing -Stairs -Rails 4. Wood Awn.; Posts- Beams- Rftrs.-Connectors Shthg.-Frg-Bracing 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Carports; Windows -Doors 7. Electric 8. Frmg.; Sills-Anchors-Studs-Rftrs-Trusses 9. Siding; Nailing -Veneer -Stucco -Mesh 10. Roof; Shthg-Roofing 11. Ext.; Steps -Doors -Landings • w 12. Braced Wall Panels Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date FINAL (Plans) OK except #'s 1. Setbacks -Easements 2. Soils; Compaction -Structure Stability 3. Pool Structure; Steel -Connections -Thickness Dead Men -Lining 4. Elec.; Receptacles and Lighting, Distance-GFI 5. Elec.; Pool Lighting; 15 Volts-GFI 6. Elec.; Enclosures; Conduit Entries -Terminals -Listed 7. Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater 8. Elec.; Grounding; Equip. w/5' Circulating Equip. -Pool Lghtg. Boxes-Enclosures-Panelboards-Ins. to Main in Conduit 9. Health Department Approval 10. Plumb.; Cir. Test -Water Supply Test 11. Light Niche Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 • is . a .'N �t !f • w r ✓ = OK 0 = Not OK = Not Applicable RESIDENTIAL (� = Not Ready Date nderfloor (Plans) OK except #'s A. Clothes Closet Light -Shower Light -Spa Light 1. Ing -Setbacks -Easements -Flood -Slope 34, Smoke Detector Ftg., Main; Soils-Elec. Grnd.-/ /" Ftg. Depth 3. Ftg., Garage; Soils-Steel-Elec. Grnd.-/ P' Ftg. Depth 4. Ftg., Porches & Decks; Soils -Steel-/ P' Ftg. Depth 5. Stemwalls, Main; Ste el- Blockouts-Wrapped 91. 6. Stemwalls, Garage; Steel-Blockouts-Wrapped Card B-1 Date Card B-1 6a. Hold Downs and Special Anchors Card B-1 Date Card B-1 7. Slab, Steel -Wrapped MECHANICAL (Permit) OK except #'s 8. Piers -Fireplace Fig. -Steel a25- A.C. Ducts Insulation & Support 9. D.W.V.; Fall -Fitting -Test -2 Way C/O -Sewer Test 8 -Vent Fan, Exhaust above insulation 10. UF, Gas Pipe; Size Anchors - Yard Gas Piping; Size Test TTCondensate Drain & Overflow, Size & Grade 11. Water Pipe; Test -Anchors -Regulator -Service Test 31 -Furnace -Vent Access -Comb. Air -Return Air Vent 115 outlet 12. Electric Underground Attic Access & Platform if Furnace in Attic 13. P nums & Ducts; Clearance -Material -Support -Ins. 2 r t�2 Girders -Sills -Anchor Bolts-Joists-Vents-Crippies 15. Access & Ventilation Date 16. Insulation Card B-1 Date Card B-1 Comments at Final: Date Card B-1 Date Card 6-1 Date Card B-1 Date Card B-1 Date PLUMBING (Permit) OK except #'s SIT. Water Htr.; Vent -Access -Combustion Air Baffle J•8. Water Pipe; Test & Anchor -Nail Protection d$ D.W.V.; Test Fittings & Anchor -Nail Protection 29 -Shower Pan; Test, First Floor -Tub Access •rr Test Tub & Shower, Second Floor -Tub Access 22. Gas Pipe; Sixe &Anchors Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date ELECTRICAL (Permit) OK except #'s 23 F ure & Transformer Clearance -Ins. Protection Q4.Ejn. Receptacles Spacing -Lights & Switches at Doors e Boxes & No. of Conductors Stapled Romex Installed Close to Edge of Studs & C.J. Equip. Ground made up w/Mech Fasteners -Bond Gas & Water M- 2 Appliance Circuits in Kitchen & Conductor Size GFI 29- Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / / ga Cu or At ZA,•- Range Circle / / ga Cu or AI -Oven Circ. / / ga Cu or At Insulated Neutral 0 Yes ❑ No 'U. Service -Riser Conductors & Ground Main Disconnect Date Card B-1 Date Card B-1 Date AMING (Permit) OK except #'s ills Proper Materials & Anchors IIs Studs -Nailing Spacing & Braces -Plates -Sound Bearing Walls over Girders & Floor Nailing VS -Draft Stop in Walls (rat proof) 447" Stops, Furred Ceilings -Stairs -Chasers -Tubs Headers & Beams -Size & Bearing ►ingle & Duplex) Date FRAMING (Continued) qlfr.- Caps -Anchors -Connectors g. Joist•Rftr. Ties- Purlin-Rolf Brac.•Truss-Shting.-Rfng. Fireplace Ties or Type A Flue -Fireplace Throat Clearance 4177 Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 917713drm. Windows or Exiting Doors -Sill Ht. & Dimensions fi+- Garage Fire Protection Framing S2Property Line Firewall & Openings 577Ext. Doors -One 3' -Check Garage 3rd Story, 2 Exits airs; Width -Headroom -Rise -Run -Landing -Fire Protection P wood on Roof Overhang -Attic Vents -Rafter Outriggers Ir Siding -Nailing Veneer t7 -Stucco Mesh -Drip Screed -Fd. Vents•Underflr. Access 58 --Glazing Area -Glass Protection -Skylights -Plastic et.- hear Walls; Nailing -Bolts NWJI(race Interior/Exterior Wall Panels sulation• Walls -Ceilings Infiltration -Walls- Windows Date , S2 Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date FINAL (Plans) OK except #'s 63. Ext. Steps -Door & Sidelight Protection -Landings 64. Smoke Detector 65. Furnace Vents•clearance-Comb, Air -Connector - In Garage; Above Floor-Ducts-Mech. Protection 66. Bedroom Exiting 67. G.F.I. & Bath Fixtures & Tub Access -Spa 68. Elec. Trim & Subpanel, Breaker Sizes & Labels 69. Stairs & Rails 70. Fireplace or Stove, Clearance -Hearth 71. Elec. Outlets at Wood Panel, Int. & Ext. 72. Kit. Fixt. & Appliance; Ground -Air Gap -Cooking Clearance 73. Elec. Outlets & Receptacles at Kit. Counter 74. Garage Fire Door; Swing -Landing -Closure 75. A.C. Duct in Garage -Damper 76. Wtr. Htr.; Vents•Clearance-Comb. Air Connector-P.R.V. in Garage; Above Floor-Mech. Protection 77. Plb., Elec. & Mech. Equip. Listed for Location 78. Elec. Receptacles in Garage (F.F.I.)-Romex Protection 79. Insulation -Foam -Looked in Attic 80. Guard Rails & Deck Construction -Post Caps 81. Fdn. VBents & Crawl Hole Door Drainage & Wood -Earth Clearance Looked under Floor ❑ Yes 82. Following Instld./Drive J Yes D No/Walks J Yes J No/Planters J Yes J No 83. Stucco Brown -Finish 84. A.C. Unit Disconnect, Electrical -Plumbing 85. Vents Above Roof, Plbg-Appliance-Fireplace-Clearance to Openings 86. Water Well, Disconnect, Electrical, Plumbing 87. Exterior Elec. Trim, G.F.I. Receptacle -Underground 88. Ventilation Throughout House 32. Equip. Clearances Panels-Motors-Mech. Equip. Glass Protection A. Clothes Closet Light -Shower Light -Spa Light 90. 34, Smoke Detector 91. Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date MECHANICAL (Permit) OK except #'s Energy Compliance Certificate -Other Certificates a25- A.C. Ducts Insulation & Support 94. 8 -Vent Fan, Exhaust above insulation TTCondensate Drain & Overflow, Size & Grade 31 -Furnace -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 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date AMING (Permit) OK except #'s ills Proper Materials & Anchors IIs Studs -Nailing Spacing & Braces -Plates -Sound Bearing Walls over Girders & Floor Nailing VS -Draft Stop in Walls (rat proof) 447" Stops, Furred Ceilings -Stairs -Chasers -Tubs Headers & Beams -Size & Bearing ►ingle & Duplex) Date FRAMING (Continued) qlfr.- Caps -Anchors -Connectors g. Joist•Rftr. Ties- Purlin-Rolf Brac.•Truss-Shting.-Rfng. Fireplace Ties or Type A Flue -Fireplace Throat Clearance 4177 Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 917713drm. Windows or Exiting Doors -Sill Ht. & Dimensions fi+- Garage Fire Protection Framing S2Property Line Firewall & Openings 577Ext. Doors -One 3' -Check Garage 3rd Story, 2 Exits airs; Width -Headroom -Rise -Run -Landing -Fire Protection P wood on Roof Overhang -Attic Vents -Rafter Outriggers Ir Siding -Nailing Veneer t7 -Stucco Mesh -Drip Screed -Fd. Vents•Underflr. Access 58 --Glazing Area -Glass Protection -Skylights -Plastic et.- hear Walls; Nailing -Bolts NWJI(race Interior/Exterior Wall Panels sulation• Walls -Ceilings Infiltration -Walls- Windows Date , S2 Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date FINAL (Plans) OK except #'s 63. Ext. Steps -Door & Sidelight Protection -Landings 64. Smoke Detector 65. Furnace Vents•clearance-Comb, Air -Connector - In Garage; Above Floor-Ducts-Mech. Protection 66. Bedroom Exiting 67. G.F.I. & Bath Fixtures & Tub Access -Spa 68. Elec. Trim & Subpanel, Breaker Sizes & Labels 69. Stairs & Rails 70. Fireplace or Stove, Clearance -Hearth 71. Elec. Outlets at Wood Panel, Int. & Ext. 72. Kit. Fixt. & Appliance; Ground -Air Gap -Cooking Clearance 73. Elec. Outlets & Receptacles at Kit. Counter 74. Garage Fire Door; Swing -Landing -Closure 75. A.C. Duct in Garage -Damper 76. Wtr. Htr.; Vents•Clearance-Comb. Air Connector-P.R.V. in Garage; Above Floor-Mech. Protection 77. Plb., Elec. & Mech. Equip. Listed for Location 78. Elec. Receptacles in Garage (F.F.I.)-Romex Protection 79. Insulation -Foam -Looked in Attic 80. Guard Rails & Deck Construction -Post Caps 81. Fdn. VBents & Crawl Hole Door Drainage & Wood -Earth Clearance Looked under Floor ❑ Yes 82. Following Instld./Drive J Yes D No/Walks J Yes J No/Planters J Yes J No 83. Stucco Brown -Finish 84. A.C. Unit Disconnect, Electrical -Plumbing 85. Vents Above Roof, Plbg-Appliance-Fireplace-Clearance to Openings 86. Water Well, Disconnect, Electrical, Plumbing 87. Exterior Elec. Trim, G.F.I. Receptacle -Underground 88. Ventilation Throughout House 89. Glass Protection 90. Corrections from Previous Inspections 91. Gas Test -Meters Tagged, Gas -Electric 92. Water & Sewer Connected -C/O to Grade -HD Approval 93. Energy Compliance Certificate -Other Certificates 94. Address Posted Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Comments at Final: COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Orovllle; Callfornia 95965 - Telephone: 916/538-7541 i APPLICATIONAND PERMIT PERMIT NO. Q1 ASSESSOR PARCEL NUMBER ZONING BUILDING PERMIT OWNER Kenneth &, Gail Bracer TELEPHONE 534-77531 ' SQ- FT. OCC. BUILDIN VALUATION a5 I' OWNER'S MAILING ADDRESS 1567 Occidental Ave. Palermo, CA.- 95968 CONTRACTOR'S NAME Joshua Brooner Const. T EPHOr� CONTRACTOR'S MAILING ADDRESS P.O. Box 2124, Susanville, CA. 96130 Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ 3,86 LENDER'S MAILING ADDRESS Filing Fee $ 15,00 Permit Fee $ . ARCHITECT OR ENGINEER LICENSE No. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDIN ADDRESS % C C A/77 AV e Permit fee $ PLUMBING PERMIT Filing Fee 15.00 t– �IUIi 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 ❑X Duplex❑ Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 15.00 Mobile Home I S FGTWF @ 15.00 TYPE OF WORK New Addition❑ Remodel❑ Utilities❑ Installation❑ Other Describe work: _ :replace windows Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 15.00 Main service 200AORLESS 18.50 Main service 200A TO 1000A1 37.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): ® I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in full force and effect. License No. 428795 Classification B1 ❑ I, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONST. DWELLING OCCUP3.64 sq.ft. OR ADONS. ( .S ACC'. BLDGS. NEW CONSTR.ULTI.OUTLET @ 5.00 NON-RESID BRANCH CIRC TS (POWER APPARATUS e) SINGLE OUTLET CIR. Ex. Occup(OUTLETS OR FIXTURES L) 0 76 46, Ex. Occup. ou LETS ED APPIRESID. IREA.� I 3.00 Temporary service 15.00 Mobile Home Facilities 15.00 Misc. byirin g 15.00 Permit Fee $ — WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. ❑ I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. Contractor MECHANICAL PERMIT Filing Fee 1 15.00 Heating Cooling Hood 6.50 Ventilation Permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all 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 c_onnssoquence of the granting of this permit. X '' I ! i� t a'� {T� Date 12�26�r)1 /' Signature of Applicant - owner 9 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 Ener Inspection Fee $ Energy P OCC CONST TYPE TOTAL FEE $ 07.50 HAz I DFEES I IMP I FLOOD I CD=D 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 h --f 7-f r PERMIT S Date �1 7 _ z - –I; P � Receipt No. �4 t!S � WHITE -D. r. W.. YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Orovllle, California 95965 - Telephone: 916/538.7541 APPLICATION -AND PERMIT PERMITro. !4 6 _A55ES30R PARCELN N1N6 BUILDING PERMIT OWNER Kenneth & Gail Brace TELEPHONE :aSQ.FT. 534-7531� OCC. BUILDING VALUATION VC -2 OWNER'S MAILING ADDRESS73 '7567 Occidental Ave. Palermo, CA. 95968 CONTRACTOR'S NAME Joshua Brooner Const. TELEP O y3E 257-8�O CONTRACTOR'S MAILING ADDRESS P.O. Box 2124, Susanville, CA. 96130 Fireplace CONSTRUCTION LENDER UNKNOWN A Total Valuation $ 3,867 LENDER'S MAILING ADDRESS Filing Fee $ 15,00 Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS 75 GG y A/+1p- ^ Ve C..� I /'t Permit fee $ PLUMBING PERMIT Filing Fee 15.00 A LEA Each Trap 1 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 RDuplex❑ Mobilehome❑ Other SPECIFY — Gas piping system 1 - 5 outlets 5.00 Building sewer 15.00 E Mobile Home I S I G I W @ 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Uti lities ❑ Installation ❑ Other Describe work: Replace windows Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 15.00 Main service 200A OR LESS 18.50 Main service 200A TO IOOOA> CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): x❑ 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 ;do. 428795 Classification B1 El 1, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ 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 _37.50 NEW CONST.( DWELLING OCCUP.g\ 3.64sq.ft. OR ADDNS. ACC. SLOGS. / NEW CONST R. ULTI.OUTLET NON.RESID BRANCH CIRC ITS @ 5.00 POWER APPARATUS &) (SINGLE OUTLET CIR. Ex. Occup(OUTLETS OR FIXTURES 20 @ 76 FIXED Ex. Occup. OUTLETS ((RESID )REA.) I 3.00 Temporary service 15.00 Mobile Home Facilities 15.00 Misc. Wiring 15.001 A I Permit Fee $ — WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. Contractor MECHANICAL PERMIT Filing Fee 15.00 Heating Cooling g Hood 6.50 Ventilation Permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all 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 agarinsEtid unty in cons uence of the granting of this permit. X Date 12/26/91 Si ature 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 $ 67.50 HAZ 1 DFEES I IMP I FLOOD I CDF I PARCEL PO D I 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. IRECT R OF PUBLIC WORKS BY Date/_7--_L7—F/ PEPWITEXPIRES Date 12..27-1Z Receipt No. 1 n �S 3 WHITE-D.P.W., YELLOW-A33C930R, PINK -INSPECTOR, GOLDENROD -APPLICANT C) C'j �j N' 77 „zoo - r I g- andscaping: Other Department of Development Services Building Division 7 County Center Drive Oroville, CA 95965 (530) 538-7541 (530) 538-2140 FAX ADDITIONS TO RESIDENTIAL BUILDINGS ENERGY COMPLIANCE PACKAGE CLIMATE ZONE I1 Ownerttcc�,t-i� !PermitNumber Address 75C! 6,--G /14a ( Floor Area The following data showing mandatory and required features shall be installed for additions to dwellings. Additions shall not include conversion of non -conditioned space to conditioned space. Remodeling of existing conditioned space Is not included. COMPONENT <=100SQ.FT 101-499SQ.FT 500-999SQ.FT 1000>SQ.FT Ceiling Insulation R-19 R-38 R-38 R-38 Wall Insulation R-13 R-13 R-13 R-19 Floor Insulation R-19 R-19 R-19 R-19 Radiant Barrier Required Required Required Required Glass U -factor .75 .75 .65 .65 Max.area of glass 50 sq.ft 16% plus removed 16% plus removed 16% Solar heat gain NSEW: .40 .40 .40 .40 Heat, Electric resistance Not allowed Not allowed Not allowed Not allowed Heat, Gas AFUE 78% AFUE 78% AFUE 79% AFUE 78% Heat Pump -Split HSPF 6.8 HSPF 6.9 HSPF 6.9 HSPF 6.8 Heat Pump Package HSPF 6.6 HSPF 6.6 HSPF 6.6 HSPF 6.6 Cooling - Split SEER 10 SEER 10 SEER 10 SEER 10 Cooling Package SEER 9.7 SEER 9.7 SEER 9.7 SEER 9.7 Thermostatic expansion vaiv*• Required on new split A/C systems Required on new split A/C systems Required on new split A/C systems Required on new split A/C systems Duct Insulation Duct Sealing* R-4.2 Required R-4.2 Required R4.2 Required R-4.2 Required Additional water heater: Any which meets budget Any which meets budget Any which meets budget Any which meets budget • AS AN ALTERNATIVE, GLAZING WITH A MAXIMUM 0.40 U -FACTOR AND A MAXIMUM 0.35 SOLAR HEAT GAIN COEFFICIENT, AND A 11.0 SEER SPACE COOLING SYSTEM CAN BE SUBSTITUTED FOR DUCT SEALING AND THERMOSTIC EXPANSION VALVE. SEALED DUCTS AND THERMOSTATIC VALVE REQUIRES SPECIAL INSPECTION BY A HERS RATER. PROVIDE INFILTRATION CONTROL - WEATHERSTRIP DOORS, CERTIFIED WINDOWS, CAULKING. LIGHTING KITCHEN AND BATH NOT LESS THAN 40 LUMENSfWATT DUCTS TO MEET REQUIREMENTS OF UNIFORM MECHANICAL CODE -CHAPTER 6. DESIGN COMPLIANCE STATEMENT: THE ABOVE BUILDING DESIGN MEETS THE REQUIREMENTS OF TITLE 24, PARTS 1 AND 6 OF THE CALIFORNIA CODE OF REGULATIONS. PROPERTY OWNER (6/1/01 Ila,t a 8 L «.6 �JeAoo— 7s 6 7 ©cr , b LA sw • - C b } �191 a C7 • 4 � �� � A' �; i4 a i�� e• ¢I f1. r