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HomeMy WebLinkAbout026-290-012A.P . Z6-2_9'-12 KINGDOM HALL OF JEHOVAHS WITNESS /14.-c.orner Gene. Ln..-,&_Ralermo!m-Marysv_i1h -,Rd..-., Palermo Perl'it 1697-73B,P,E,M (ne*_church-) A4P. 26-29-12 KINGDOM OF 4,_c Gene.. e, JI -KINGDOM -KINGDOM HALL-C)F-JEHOVAHS WITNESS. ........ 174bO Gene Lane, Palermo Pe (pump -house for church) ... I D__ 26-29-12 contra Blalock Coifst., Oroville"' Permit #6095-80B(extend speaker platform & inst.pas-t r. window` non bearing wall/Church 26-29-12 Contr: Foothills Const Permit#463-84P$E(util, NH) F:Tvut� LEC GAS COMPACTION TEST REQ SUPPORT STRUCTURE REQ 26-29-�,2 3409-9013 KINGDCM HALL 7400 Gene Lane, Palermo (reToof/chur'ch) -.qo 026=290-012 KINGDOM HALL PERMIT#9,5_0 7490 Gene Ln., Palermo Replace Damaged, t.ie'Ser/ChurA_y 96 .,.026-290-012 PERMIT#9 5-1043 KINGDOM HALt-OF­'JEHOVAH,!S��WJ�TNS ,7490'GeneLn.,7-,, Palermo tro.0 •A.d.d Drive-Thru,'Remode iR Restucco/Kingdom -Hall, 02 9 R0-012 00-2694-F 6' 9 PALEII PE RI�Q GDOM 1_IALLh ..7490GENE. LN.-tKQyILLE _CONTR:,OWNER T -BAR CEILING & EXT. DUCC _TS 03-3690 eom. CAS1 " -, W , M R SEE ATTACHED, OROVILLE Cont: WESTCOAST'COMM PLACE CATV POWER SUPPLY --3 10 k/fl'G C/Q ayn C� �d�s� 1E I CN CN =I OFFICE COPY Address GAS Meter By Date ELECTRIC Meter By Dat i ' f , OFFICE COPY Address GAS Meter By Date ELECTRIC Meter By Dat COUNTY OF BUTTE- DEPARTMENT OF 6EVELOPMENT SERVICES - BUILDING DIVISION 7 .County Center Drive - Oroville, California 95965 - Telephone (916) 538-7541 PERMIT NO. APPLICATION AND PERMIT zlnO7 6 ASSESSOR PARCEL NUMBER 026-290-612 ZONING X11 BUILDING PERMIT OWNER '' RZNGDOM RAI,L TELEPHONE SO. FT. OCC. BUILDING VALUATION OWNERS MAILING ADDRESS 7490 GENE I -N PALERMO CONTRACTOR'S NAME TELEPHONE CONTRACTORS MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation is Filing Fee $ 20.00 LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER UCENK NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEERS MAILING ADDRESS Penalty $ BUILDING ADDRESS 7490 G IN PERMITFEE PERMITFEE $ PALERMO Fling Fee 20.00 Each Trap 7.00 LOT NO. SUBDIVISION'S NAME PARCEL MAP Solar or heat pump water heater 23,00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome ❑ Other MTRM SPECIFY Water piping 15.00 Each gas water heater or vent 15.00 Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities Do Installation ❑ Other ❑ Describe Work: RMACE DAMAGED ELE SERV. Mobile Home I S I GI W I @20.00 PERMITFEE J$ Contractor ELECTRICAL PERMIT Filinq Fee 20.'00 Main Service ( a0OVOR LESS ) 200A OR LESS 23.00 23 f Main Service ( 200A TO 1000A ) 46.00 LICENSED CONTRACTOR'S DECLARATION 1 hereby affirm underpenalty of perjury that I am licensed under provisions of Chapter 9 (commencing with'Section 7000) of Division 3 of the Business and Professions Code, ( g8 and my license is in full force and effect. License Class Lic. No. OWNER -BUILDER DECLARATION 1 hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: 11 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. G 1 am exempt under Sec. Business and Professions Code for this reason NEW CONST. DWELLING OCCUR OR ADDNS. ( 8 ACC. BIDS. ) SO. 3.50 FT. NEW CONST.MULTI-OUTLET NON-RESID. ( BRANCH CIRCUITS ) 97.50 POWER APPARATUS ) SINGLE OUTLET US Ex. Occup. ( OUTLET OR FIXTURES) 20 @ 1.00 BAL .50 FIXED (OR Ex. Occup. (OURESD. OUTLETS 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMITFEE $ 43.00 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 Heating Cooling Hood 6.50 Ventilation PERMITFEE $ 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.) ` 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 thpBe prcvisionse X �j_/ `��„�C,a �r _ Date`-_-� �� _ Q'nature of Applicant - El Owner-%❑ Contractor ❑ Agent An OSHA p rmit is required for exoa /tions over SO” deep and demolition or construction of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ OCC i CONST. TYPE TOTAL FEE $ 43.00 HAZ. I D. FEES IMP FLOOD CDF PARCEL PO HD 1 ISLE 00 This permit is hereby issued under of the Butte County Code and/or indicated above for which fees have f! By r PERMITEXPIRESON 12QOF the applicable provisiojs Resolutions to do wok been paid. Date / (Date) Receipt No. 11 ���� J WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDINGDTVI ON 7 .County Center Drive - Oroville, Caiiiornia=95965 - Telephone (916) 538-7 PERMIT NO. APPLICATION AND PERMIT T ASSESSOR PARCEL NUMBER 026-290-012 ZONING U X)�i BUI ING PERMIT ' OWNER KINGDOM HALL TELEPHONE SO, FT. OCC. BUILDING VALUATION OWNERS MAILING ADDRESS 7490 GENE LN PALEPM CONTRACTOR'S NAME TELEPHONE CONTRACTORS MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNIwOWN Total Valuation $ LENDER'S MAILING ADDRESS Filing Fee $ 20,00 Permit Fee $ ARCHITECT OR ENGINEER - LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ' ARCHITECT OR ENGINEERS MAILING ADDRESS Penalty $ BUILDING ADDRESS 7490 GENE LN PERMITFEE $ ALE 40 PLUMBINGPERMIT Filing Fee 20.00 Each Trap 7.00 LOT NO. SUBDIVISION'S NAME PARCEL MAP Solar or heat pump water heater 23.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome ❑ Other CHURCH SPECIFY Water piping 15.00 Each gas water heater or vent 15.00 Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities N Installation ❑ Other ❑ Describe Work: IREPT,ACF. nAMAC'M ELF SFIRV-- Mobile Home I S I G W @20.00 PERMITFEE $ Contractor ELECTRICAL PERMIT Filina Fee 20.00 Main Service O --A OR LESS ( 200A OR IFSS ) 23.00 23 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(commencin with Section 7000 of Division 3 of the Business and Professions Code, and my license ) is in full force andeffect. License Class Lic. No. OWNER-BUILDER DECLARATION( 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 NEW CONST. DWELLING OCCUP. OR ADONS. ( a ACC. BLDS. ) SO. 3.50 FT. NEW CONST.MULTI-OUTLET NON-RESID. ( BRANCH CIRCUITS ) @7.50 POWER APPARATUS (a SINGLE OUTLET CIR.) EX. Occup. ( OUTLET OR FIXTURES) zo @ 1.00 BAL SO FIXED Ex. Occup. OUTLETS (RESID. OR) 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMITFEE $ 43.00 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 Heating Cooling Hood 6.50 Ventilation PERMITFEE $ 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.) I certify that in the performance of the work for which this permit is issued, 1 shall not employ any person in any manner so as to become subject to 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 rthwith comply withe prgvisions ��� Date `T — ture of pplicant � Own e Contractor ❑ Agent ?An OSHA p' rmit is required for exo ations over 60" deep and demolition or construction4Ae of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ oer CONST. TYPE TOTAL FEE $ HAZ. D. FEES IMP FLOOD CDF PARCEL PD 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 have been paid. BY(2�L Date 44A0 147f PERM ITEXPIRESON (Date) Receipt No. �%®�� WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT M 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. 1 personally plan to provide the major labor and materials for construction of the proposed property improvement: YES[A NO ]. 2. I HAVEM 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. 5. I will provide some of the work but I have contracted (hired) the following persons to provide -the work indicated: NAME - ADDRESS PHONE - TYPE OF WORK SIGNED: PROPERTY OWNER: SOCIAL SECURITY NUMBER: DATE: zo'-�� 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. OVER O.B.-1 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. . Sincerely,, .... .41 c �! 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 -76g 7 4VcW-4� wk P►k 533-; 5s 5 i i v L 1NPc�i�tc `�l/j��6a e o, e f c ` r Inis - — ` ICA rDer– -6q,1 /vtSG P11o�2 0343 7 { Wf.!f 19p- -3701 104-3 i �., �. .. _ s : `' \'1v1 �\' �� i \1 'a\ _ _ 11 .._ ,� , '. t' _ I . ",,:, t i ,�' Y. , N ' E � • � � ` .1 .. _ �� � 1 \ 1 -�- � r �. i � � '__ i� ' ` F t , . �: i :t MASONRY WALLS N E S W } •1st Lift 2nd Lift 3rd Lift 4th Lift 5th Lift 6th Lift FIRE WALLS 0 cupancy, Area Propert Gypsum I§oard 1st Layet - 2nd Layer Walls Ceilings "COMMERCIAL (7 6�2b-290-012 pERMIT#95-1043 1 KINGDOM HALL OF JEHOVAH'S WITNESSES 1 7490 Gene Ln. Palermo "ro Add Drive-Thru, Remode Restrooms & 1 Restucco/Kingdom Hall Cf !• �' � G �#�' ,C fF'G � oh [)iUC��I? � gyp" v °�� i • h Ar ' JOB FINALED (Da ) Signature CERTIFICATE OF OCCUPANCY ISSUE Date) Signature, r� t, v=oly O=Not OK ' = Not Applicable ' =Not Read,K COMMERCIAL Date ND OOR Plans OK except #'s Date CA'Xonin etbacks-Easements-Flood-Slope-Soil Report F ., Mai , oils-Uf -Gro .-Ftg. Depth . H owns- s- s -Embedment -Hair Pins 4. Concrete -PSI -Cert -SP. insp.-Loc. 5. Stemwalls, Main; Steel-Blockouts-Wrapped 6. Reinf. Steel -Grade -Placement 7. Slab; Steel -Wrapped -Wire Mesh 8. Piers -Steel . D.W.y.; Fall -Fitting -Test -2 Way C/O -Sewer Te t 0. Gas Pipe; Size -Anchors 1 ,Wpter Pipe; Test -Anchor -R ulator-Service Test 12. Electric; Underground, Underslab /L&I, 4 13. Plenums & Ducts; Clearance -Material -Support -Ins. i4oy$/r 14. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples 15.. Masonry -Rebar -Lifts Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date PLUMBING (Permit) OK except #'s 16. Water Htr.; Vent -Access -Combustion Air -Baffle ji�er Pipe; Test & Anchor -Nail Protection . D.W.V.; Test -Fittings & Anchor -Nail Protection 19. Sinks -Floor -Grease l/20. Hand icap-W/C-Backing 21. Gas Pipe; Size & Anchors - Firewall Penetrations Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date ELECTRICAL (Permit) OK except #'s 22. Fixture & Transformer Clearance -Ins. Protection 23. Single Phase -Three Phase -Equip. Bond 24. Size Boxes & No. of Conductors -Stapled Romex Installed Close to Edge of Studs & C.J. 26. uip. Ground made up w/Mech. Fastners-Bond Gas & Water 27. Wirina-90'-Protected-Color Coded 28. Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / / ga. Cu or Al 29. Fire Resistive-Fixture-Conduit-G.F.I.-Susp. Ceiling 30. Service -Riser Conductors & Ground -Main Disconnect 34. Equip. Clearances Panels -Motors -Mach. Equip. 32. Fire Wall Penetrations oe Date Card B- I Date Card B-1 J Date Card B-1 TDate Card B-1 Date MECHANICAL (Permit) OK except #'s 33. A.C. Ducts Insulation & Support 34. Vent Fan; Exhaust above insulation _ 35. Condensate Drain & Overflow; Size & Grade 36. Furnance-Vent; Access -Comb. Air -Return Air Vent -115 outlet 37. ?Attic Access & Platform if Furnance in Attic 38. Fi.V.A.C.-Ventilation-Roof Access } 39. Smoke & Fire Dampers Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date FRAMING Plans OK except #'s 40. S!!;, Proper Material &Anchors -Hold Downs W tuds-Nailing, Spacing & Bracing -Plates -Sound Bea[ing Walls over Girders & Floor Nailing raftStop in Walls (rat proof) Q4--V,-r. s; Furred Ceilings -Stairs -Chases eaders & Beam -Size & Bearing -Support Fix. FRAMING 46. ng-Diap.Chord Splice 49. Atmel Accliss; Size & Romex Protection -Draft Stop -Ins. Baffles in -Girders !-�52. Property Line Firewall & Openings 53: Ext. Doors -Handicap Access 54.: Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection Q/Jrplywood on Roof Overhang -Attic Vents -Rafter Outriggers _ 56. Siding -Nailing Veneer ucco Mesh -Drip Screed -Fd. Vents-Underflr. Access 58. Glazing Area -Glass Protection -Skylights -Plastic -Fire Port. JAq.eWar Walls -Plywood-Nailing-Conn to Roof 60. InPA LIation-Walls-Ceilings W. -Infiltration -Walls -Windows 62. Corridors- penings-Fire Protection -Framing G Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date FINAL Plans OK except #'s Ext. Steps -Door & Sidelight Protection -Landings Exits -Size -Number -Placement _AK Furnace; Vents -Clearance -Comb. Air -Connector - In Garage; Above Floor-Ducts-Mech. Protection ,)_6§. Sprinklers -Placement -Test --67-Suspended Ceiling-Seismic-Wires-Elec-Light & Mach. . 68. Elec. T '± & Subpanel; Breaker Sizes & Labels --69. St ' s & Rails andicap-Door Levers -Fin. Floor „71. Elec. Outlets at Wood Panel; Int. & Ext. . Wtr. Htr.; Vents -Clearance -Comb. Air-Connector-P.R.V. Above Floor-Mech. Protection Plb., Elec. & Mech. Equip. Listed for Location r74 -insulation -Foam -Looked in Attic 0 Yes ___15. -Guard Rails & Deck Construction -Post Caps 76. Fdn. Vents & Crawl Hole Door-Draina e & Wood -Earth learance Looked under Floor Yes 77. Stucco; Brown -Finish mac:- - A.C. Unit; Disconnect, Electrical, Plumbing X79. Vents Above Roof; Plbg.-Appliance-Fireplace: Clearance to Open? gs --80-W r Well; Disconnect, Electrical, Plumbing X81" terior Elec. Trim; G.F.L .Receptacle -Underground Off Site -Parking -Handicap lass Protection 84: -Corrections from Previous Inspections -85 -Gas Test -Meters Tagged; Gas -Electric f86. -Water & Sewer Connected -C/O to Grade -HD Approval 87. Energy Compliance Certificate -Other Certificates 88. Roofing Certificate -Fire Rating Date Card B-1 Date Card B-1 Date and B-1 Date Card B-1 Date 'Card B-1 Date Card B-1 Comments at Final: Certificate of Occupancy (NOTE: An entry must be made each time you visit the job site) 4 �( mow► a N i y Y All ; - tr - c e Y t- 7 i,, rti Alave ° f' k41Cr"i w Date ' Inspector REV 1019 __ Yt COUNTY OF BUTTE BUILDING DIVISION 'DEP'ARTMENT OF DEVELOPMENT SERVICES /1469 Humboldt Road, Chico, CA - (916) 891-2751 = 7 County Center Drive, Oroville, CA - (916) 538-75"41 747 Elliott Road, Paradise, CA - (916) 872-6307 k A CORRECTION NOTICE L zio el OWNER Of PERMIT VO. -t ' A routine inspection indicates t at the following violations of Butte County Ordinances exist at Jr -'' the above address and should be corrected. Please notify this office when correction of work^tiJ is completed. Ifyou have ny questions pertaining to this matter, or need additional explanation, please contact this idesimmediately. 0'0 dQ L Or F O r57 4 �( mow► a N i y Y All ; - tr - c e Y t- 7 i,, rti Alave ° f' k41Cr"i w Date ' Inspector REV 1019 __ Yt COUNTY OF BUTTE BUILDING DIVISION DEPARTMENT OF DEVELOPMENT SERVICES t 1469 Humboldt Road, Chico, CA - (916) 891-2751 7 County Center Drive, Oroville, CA - (916) 538-7541 747 Elliott Road, Paradise, CA - (916) 872-6307 CORRECTION NOTICE OWNER O PERMIT NO. A routine inspection indi ates that the following violations of Butte County Ordinances exist atY the above address dshould be corrected. Please notify this office when correction of work is completed. If u have any questions pertaining to this matter, or need additional explanation, please cont t this office immediately. V Q WIT A `J el f L- A, 1-,- u VIKENIM EI r 1 si Date ,� ) Inspector q S REV 10192 ; - COUNTY OF BUTTE lr ",BUILDING DIVISION DEPARTMENT OF DEVELOPMENT SERVICES 1469 Humboldt Road, Chico, CA - (916) 891-2751 7 County Center,Drive, Oroville, CA - (916) 538-7541 747 Elliott Road, Paradise, CA - (916) 872-6307 t CORRECTION NOTICE 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 completed. If you have any questions pertaining to this matter, or need additional explanation, please c,�nttaact this office immediately. ter Date Inspector It/1 REV 10l 2 t I 5 - Date Inspector It/1 REV 10l 2 COUNTY OF BUTTE _ {' BUILDING DIVISION DEPARTMENT OF DEVELOPMENT SERVICES 1469 Humboldt Road, Chico, CA - (916) 891-2751, s 7 County Center Drive, Oroville, CA - (916) 538-7541. _. 747 Elliott Road, Paradise, CA - (91 b) 872-6307 CORRECTION NOTICE. 3 OWNER PER IT NO. A routine inspection indicates that the following violations of Butte County Ordinances exist at 4 the above address and should be corrected. Please notify this office when correction of work 'ks is completed. If you have any questions pertaining to this matter, or need additional explanation, ` please conta� this office immediately. rn+ i Date7//d 9.) Inspector REV 10 92 1 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 on,!3, !2 4,,5Q ASSESSOR PARCEL NUMBER SEE A ZONING BUILDING PERMIT OWNER TELEPHONE SO, Fr, OCC. BUILDING VALUATION OWNERS MAILING ADDRESS 4350 PFJJ, DE SACRAH= CA 95838 CONTRACTOR'S NAME:11343-9473 ELEPHONE CONTRACTORS "UNG ADDRESS 140 DYERS STREET CHICO CA 95928 CONSTRUCTION LENDER LENDER'S MAILING ADDRESS Flrepl$Ce .Total Valuation $ ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00 ARCHITECT OR ENGINEERS MAILING ADDRESS Permit Fee $ Plan Checking Fee $ BUILDING ADDRESS 9 PALERMO LOCATIONS SEE ATTACHED Energy Plan Checking Fee $ PERMIT FEE $ 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 pump water heater 23.00 Water piping 15.00 Each as water heater or vent 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑ Describe Work: PLACE CATV POWER SUPPLIES Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home I S I G I W @20.00 PERMIT FEE $ ELECTRICAL PERMIT Fling Fee 20.00 Main Service ZDOAORLESS 9 23.00 207.00 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 in II force and effect. ^•, �''( % q License Class I� —10 Lic. No. / 1,,:S t i • � " OWNER -BUILDER DECLARATION I herebyaffirm under penalty of perjury that I am exempt from the Contractors License P hY P 1 ry p 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 Main Service 200A To 1000A 46.00 NEW CONST. DWELLING OCCUP. OR ADONS. ( & ACC. BUDS. s0 3.5¢FT, NEW CONST. MULTI.OUTLE7 NON RESID. -BRANCH CIRCUITS @7.50 POWER APPARATUS a SINGLE OUTLET CIR. Ex. Occup. OUTLET OR FIXTURES BA0 @ I.00 Ex. Occup. FULED APPESIDLNS. OR O.RESIO. EA 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE $ 227.00 WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ 1 have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier MECHANICAL PERMIT Fling Fee 20.00, Heating 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.) ❑ 1 certifythat in the performance of the work for which this permit is issued, I shall P P 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 ovisions of section 3700 of the Labor Code, I shall forthw' o ply w' th rovisions. X Date � I'— I Z r D� Signature of Applicant - ❑ Owner Contractor ❑ Agent An OSHA permit is required for excavations over 60" deep and demolition or construction of structures over 3 stories in height. 9=4 Mobile Home Installation Fee $ Energy Inspection Fee $ Occ coNsr. rrPE TOTAL FEE $227.00 HAz D. FEES IMP FLOOD CDF PARCEL PO 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 have been paid. IC y Date (J PERMIT EXPIRES ON Da FReceiptNo. HITE-D.D.S.-B.D. NARY- SSESS PINK -INSPECTOR GOLDENROD -APPLICANT I, NOTES RESIDENTIAL 4 026-290-012 00-2694 l R PALERMO KINGDOM HALL t , , 7490 GENE LN. OROVILLE .„ CONTR:OWNER w T T -BAR CEILING & EXT. DUCT LIGHTS! L, f � 4 !a i i f T� I i SPECIAL CONDITIONS CHECKED BY SRA FLOOD CERTIFICATE REQ. �t FIRE SPRINKLERS REQ. SPECIAL INSPECTION ITEMS VERIFY USE PERMIT CONDITIONS SUB -STANDARD HOUSING LETTER I i I ' i JOB FINALED (Date ' l Signature ✓ = OK 0 =i Not OK - --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 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./ /'LPG 7. Well Clearance & Disconnect 8. Utility Clearance Date Card B-1 Date Card B-1 MISCELLANEOUS Date DECKS, COVERS, CARPORTS GARAGES (Plans) OK except #'s 1. 1. Zoning Requirements -Setbacks -Easements Footings; Size -Spacing -Marriage Line 2. Footings; Soils -Size -Depth -Spacing -Connectors -Steel 4. 3. Decks; Girders and/or Joists -Decking -Bracing -Stairs -Rails Drain; MH Test -Fall -Flex Connector 4. Wood Awn.; Posts- Bea ms- Rhrs.-Connectors Shthg.-Frg-Bracing 7. 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures Gas and Electricity Tagged 6. Carports; Windows -Doors 10. 7. Electric Cert. of Occupancy 8. Frmg.; Sills-Anchors-Studs-Rtlrs-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 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 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 12. Permanent Foundation Onlv: License Decal Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 4 V= OK 0 = Not OK - = Not Applicable * = Not Ready RESIDENTIAL (%E Date 46. Underfloor (Plans) OK except #'s 1. Zoning -Setbacks -Easements -Flood -Slope 2. 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- 6lockouts-Wrapped 6. Stemwalls, Garage; Steel-Blockouts-Wrapped 6a. Hold Downs and Special Anchors 7. Slab, Steel -Wrapped 8. Piers -Fireplace Ftg.-Steel 9. D.W.V.; Fall -Fitting -Test -2 Way C/O -Sewer Test 10. UF, Gas Pipe; Size Anchors - Yard Gas Piping; Size Test 11. Water Pipe; Test -Anchors -Regulator -Service Test 12. Electric Underground 13. Plenums & Ducts; Clearance -Material -Support -Ins. 14. Girders -Sills -Anchor Bolts-Joists-Vents-Crippies 15. Access & Ventilation 16. Insulation Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card 6-1 Date 63. PLUMBING (Permit) OK except #'s 17. Water Htr.; Vent -Access -Combustion Air Baffle 18. Water Pipe; Test & Anchor -Nail Protection 19. D.W.V.; Test Fittings & Anchor -Nail Protection 20. Shower Pan; Test, First Floor -Tub Access 21. Test Tub & Shower, Second Floor -Tub Access 22. Gas Pipe; Sixe & Anchors 70. Fireplace or Stove, Clearance -Hearth Date 71. Card B-1 Date Card B-1 Date 72. Card B-1 Date Card B-1 Date 73. ELECTRICAL (Permit) OK except #'s 23. Fixture & Transformer Clearance -Ins. Protection 24. Elec. Receptacles Spacing -Lights & Switches at Doors 25. Size Boxes & No. of Conductors Stapled 26. Romex Installed Close to Edge of Studs & C.J. "- 27. Equip. Ground made up w/Mech Fasteners -Bond Gas & Water 28. 2 Appliance Circuits in Kitchen & Conductor Size GFI 29. Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / / ga Cu or At 30. Range Circle / / ga Cu or AI -Oven Circ. / / ga Cu or At Insulated Neutral ❑ Yes O No 31. Service -Riser Conductors & Ground Main Disconnect 32. Equip. Clearances Panels-Motors-Mech. Equip. 33. Clothes Closet Light -Shower Light -Spa Light 34. Smoke Detector 85. Vents Above Roof, Plbg-Appliance-Fireplace-Clearance to Openings Date 86. Card B-1 Date Card B-1 Date 87. Card B-1 Date Card B-1 Date 88. MECHANICAL (Permit) OK except #'s 35. A.C. Ducts Insulation & Support 36. Vent Fan, Exhaust above insulation 37. Condensate Drain & Overflow, Size & Grade 38. Furnace -Vent Access -Comb. Air -Return Air Vent 115 outlet 39. Attic Access & Platform if Furnace in Attic 94. Address Posted Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date FRAMING (Permit) OK except #'s Comments at Final: 40. Sills Proper Materials & Anchors 41. Walls Studs -Nailing Spacing & Braces -Plates -Sound 42. Bearing Walls over Girders & Floor Nailing 43. Draft Stop in Walls (rat proof) 44. Fire Stops, Furred Ceilings -Stairs -Chasers -Tubs 45. Headers & Beams -Size & Bearing P'ingle & Duplex) Date FRAMING (Continued) • 46. Hangers -Post Caps -Anchors -Connectors 47. Cling. Joist-Rftr. Ties- Purlin-Rolf Brac.-Truss-Shting. -Ring. 48. Fireplace Ties or Type A Flue -Fireplace Throat Clearance 49. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 50. Bdrm. Windows or Exiting Doors -Sill Ht. & Dimensions 51. Garage Fire Protection Framing 52. Property Line Firewall & Openings 53. Ext. Doors -One 3' -Check Garage 3rd Story, 2 Exits 54. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 55. Plywood on Roof Overhang -Attic Vents -Rafter Outriggers 56. Siding -Nailing Veneer 57. Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access 58. Glazing Area -Glass Protection -Skylights -Plastic 59. Shear Walls; Nailing -Bolts 60. Brace Interior/Exterior Wall Panels 61. Insulation -Walls -Ceilings 62. I nfiltration-Walls-Windows Date 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 I] Yes 82. Following Instld./Drive J Yes J 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 DEVELOPMENT SERVICES - BUILDING DIVISION ' 7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-751 IT NO. (Rev. 12/96) APPLICATION AND PERMITS-`� ASSESSC �r°°n6% - 12 ZONING BUILDINGPERMIT OWNER PALERMO KINGDOM HALL TELEPHONE •534-6811 SO. FT. OCC. BUILDING VALUATION . OWNERS MAILING ADDRESS 7490 GENE LN, OROVILLE 95966 CONTRACTOR'S NAME OWNER TELEPHONE CONTRACTORS MAILING ADDRESS CONSTRUCTION LENDER Fireplace LENDERS MAIUNG ADDRESS Total Valuation $ 5000.00 ARCHITECT OR ENGINEER LICENSE NO. Filin Fee $ 20.00 Permit Fee $ 72.00 ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ BUILDING ADDRESS 7490 GENE`,LN OROVILLE Energy Plan Checking Fee $ $ PERMIT FEE $ 92.00 LOT NO. SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMIT Filing Fee 20.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome ❑ Other CHURCH SPECIFY Each Trap 1 7.00 Solar or heat pump water heater 23.00 Water piping 15.00 Each gas water heater or vent 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other Ek Describe Work: =—R R C.9TT T iQ AND —EX'1'1 NP P11=21 G LIG14TS Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home I S I G I W @20.00 PERMIT FEE $ ELECTRICAL PERMIT Filing Fee 20.00 Main Service '*.' Don mss 23.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect. License Class LIC. NO. OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason WORKERS' COMPENSATION DECLARATION 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 workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ 1 have and will maintain workers' compensation Insurance, as required by Section 3700 of the labor Code, for the performance of work for which this permit is Issued. My workers' compensation insurance carrier and policy number are: Carrier Policy Number (The above sections need not be completed if the permit Is for work of a valuation of one hundred dollars ($100) or less.) '0_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'„,,Z. compensation laws of California, and agree that f 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 //— 2 '- o r) Sign re of pplicant - IR Owner ❑ Contractor 13Agent An OSp mit is required for exc ations over 5'0” deep and demolition or construction HA of structures over 3 stories in height. Mein Service TO 10ooA 46.00so NEW CONST. DWELLING OCCUP. SO DWE200ALLING OR AOONS. a ACC. stns. 3.5QFT; NON -LW gES1D. MULTI -OUTLET 97,50 POWER APPARATUS 8 SINGLE OUTLET CIR. 20 O 1.00 Ex. Occup. OUTLET OR FIXTURES BAL Q ,50 Ex. Occup. DU7neDTs At 6.)OER._L 1 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 _011— PERMIT FEE $ MECHANICAL PERMIT Filing Fee 20.00 Heating DUCT S 2 15.00 OU Cooling Hood 6.50 Ventilation PERMIT FEt $ 50.00 Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST. TYPE TOTAL FEE $ 185.00 O. �� IMP FLOOD CDF PARCEL PO HD This permit is hereby Issued under of the Butte County Code and/or indicated ova for ich fees have PERMIT EXPIRES ON the applicable provisions Resolutions to do work been paid. O� to _ pet Receipt No. 308930/$185.00 WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION. 7 County Center Drive - Oroville, California 95965 - Telephone (530) 538-7541ERMIT NO. (ReJ.,2/9t3) APPLICATION AND PERMIT a�° �5� AasnsORFARCKWUM/tj� /„ � /� � /c52--, ZONING v BUILDINGPERMIT OWWA C//Wpc�„r�/��x /l �(�/ /_ f SO. FT. OCC. BUILDING VALUATION OwNE117 „f L� OONrMCrOR1 WJAE UR „w ,, 7 /J J Tam -NONE CONSTRUCT10N LEIQER LENDER'S MAKM ADDRESS ARCNrrECT OR ENWNEER ARMMCT OR 040IlEER1 MAILING ADDRESS /UIDRIOADDRESS —7 Fireplace Total Valuation E Filing Fee b 20.00 Permit Fee $ sv Plan Checking Fee b Energy Plan Checking Fee E >s PERMIT FEE _ LOT N0• SUBDIVISIONS NAM �A"”` x�r PLUMBING PERMIT USEOFSTRUCTURE Each Trap Solar or heat pump water heater SF ❑ Duplex ❑ Mobilehome ❑ Other Water piping 9PECM1Y Each as water heater or vent TYPE OF WORK Gas piping system 1 - S outlets New ❑ Addition ❑ Remodel -0 Utilities ❑ Installation Q Other ❑ Building sewer Describe Work: f-FYC� I� - �% ice- �� Mobile Home I S I G I W PERMIT FEE _ ELECTRICAL PERMIT 000V OR USS Main Service 200A OR LESS Main Service 200A TO 1000A , *PERMIT FEE PAID $ SRA -' $ - SHERIFF $ OTHER $ Temporary Service 23.00 $ AMOUNT RECEIVED $ *RECEIPT 7j NUMBER * TO BE PUT INTO COMPUTER iling Fee 20.00 7.00 23.00 15.00 15.00 15.00 15.00 @20.00 20.00 .50 EX. OCCU . OUTLET OR FVMJAES eAl S0 EX. OCCU Un A O.OREX 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE _ MECHANICAL PERMIT Filing Fee 20.00 Heatin Coolin Hood 8.50 PERMIT FEIE S FJ Mobile Home Installation Fee L Energy Inspection Fee S Occ CONST. TYPE TOTAL FEE $ NAZ. 10. FEES I IMP I FLOOD I COF I FARCEt 100 1 MD I 'SSI, 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 MAW ' .lei w• �J Attention Property Owner: An "owner -builder" building permit has been applied for in your name and be_ adiig;your signature. r �. Please complete -and return this information .at .your earliest opportunity,:Ao avoid; unnecessary delay in processing and issuing your building permit. No building permit will % '4 be issued until this verification is received. 1. I personally plan to provide the major labor and materials for construction of ihe' proposed property improvement: YES] NO[. ]. 2. I HAVE[ ] --MM [: J 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-4'to coordinate, supervise, and provide the major work: NAME: ADDRESS: CITY: PHONE: CONTRACTOR'S LICENSE NO. 5. I will provide some of the work but I have contracted (hired) the following persons to provide the work indicated: = NAME ADDRESS PHONE TYPE OF WORK SIGNED:PROPERTY OWNER: �Z7 O,n /l A 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. OVER 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 . Siniarel , Michail C. Vierra, C.B.O. Manager, Building Inspection NOTE: This Owner -Builder Information.is required by Section 19830 of the California Health and Safety Code. OVER PERMIT NUMBER B 1697-73B,P,E,M :Toa&- 7 3 P 21 E PERMIT EXPIRES -71 OWNER Kingdom Hall of Jehovahs Witness owner CONTR: LOCATION (A.P. 26"29-12 RL n/A)corner Gene Ln. & Palermo Marysville Rd., t Palermo IV .. .. � _ .. _r . � _ �: ` ----- '. • , c ( 1 ./ ,C� _ . .. ,. • • ^ ` � , .. t r 5 � - • 1 � •i �♦ .. + Zoning _ Foundation Rgh. Plumbing,4k,9—,4-72 Rein. Steel, - Framing - W:. Htr. e% Firewall ELECTRIC Temporary ? Final COUNTY OF BUTTE Department of Public Works BUILDING INSP/E/CTIO'N RECORD Setback Piers & Girders Bond Beam Gas Piping & Test —7 Plmg. Topout Furnace Garage Vents GAS Temporary Final r 3 ,F ► .y`u �a t Forms _ loz, �i Fireplace Lath & Plaster Found. Vents Rough Elec. P //—CItL, Kitchen Vent '— Sanitation & Water BUILDING Cert. of Occup. Final I— — DATE REMARKS OR CORRECTIONS i' -lam - �•3 s o� L �� �J� max h1 � �. t; . .. P, , I i --,e e Wd iNJ vsom onand 40 *IdBCI acne Jo AiNnoo r Ile' J� f./W Wd iNJ vsom onand 40 *IdBCI acne Jo AiNnoo r COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive - Oroville, California 95965 - Telephone (916) 538-7541 PERMIT NO. APPLICATION AND PERMIT f ASSESSOR PARCEL NUMBER 026-290-012 ZONING U BUILDING PERMIT OWNER KK KINGDOM HALL JEHOVAH'S TELEPHONE SO. FT. OCC. BUILDING VALUATION OWNERS MAILING ADDRESS 7T4�9T0 GENE LN PALERMO, 95968 CONTR 80,009 00 CONTRACTOR'S NAME OWNER TELEPHONE CONTRACTORS MAILING ADDRESS Fireplace CONSTRUCTION LENDER NONE UNKNOWN Total Valuation Is LENDER'S MAILING ADDRESS Filing Fee $ 20,00 Permit Fee $ ARCHITECT OR ENGINEER DANIEL DOBBIE LICENSE Plan Checking Fee $ Energy Plan Checking Fee $ . ARCHITECT OR ENGINEERS MAILING ADDRESS Penalty $ BUILDING ADDRESS 7490 GENE Lid PERMITFEE $ 926.65 PALERMO PLUMBINGPERMIT Filing Fee 20.00 Each Trap 41 7.00 28.00 LOT NO. SUBDIVISION'S NAME PARCEL MAP Solar or heat pump water heater 1 23,00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome ❑ Other KINGDOM HALL SPECIFY Water piping 15.00 15.00 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 OX Remodel ❑X Utilities ❑ ;Installation ❑ Other ❑ Describe Work: ADD DRIVE—THRU.-=REMODEL RESTROOMS, AND RESTUCCO "` Mobile Home I S I GI W 1 @20.00 PERMITFEE $ 78.00 Contractor ELECTRICAL PERMITilin Fee 20.00 ._pdaln- Service aOv OR LESS ( 20 00A 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 f the following reason: Vas 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. O 1 am exempt under Sec. Business and Professions Code for this reason NEW CONST. DWELLING OCCUR OR ( a ACC. ) SO. 3.5¢ FT. NEW CCNS.ONST. -OUTLETBLDS NON-RESID. BRANCHMULTICIRCUITS ( ) @7 50 15.00 ( POWER APPARATUS ) 8 SINGLE OUTLET CIR. Ex. Occup. (OUTLET OR FIXTURES) 20 Q 1.00 BAL 0 .a0 Ex. Occup. OFIXEDrs PPLNS. OR ( ) 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMITFEE $ 35.00 Contractor 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' /ompensation,as provided for by section 3700 of the Labor Code, for the erformance of the work for which this permit is issued. 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 Heating Cooling Hood 6.50 Ventilation PERMITFEE S 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.) ❑ 1 certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall forthwith comply with those provisions. ,� X / a. AL -44------ Datt�i '� % �/ Signature of Applicant - ❑Owner ❑Contractor Agent & p,j 3 _ 36&•OC"g An OSHA permit is required for excavations over 5'0" deep and demolition or construction of structures over 3 stories in height. �3 r Mobile Home Installation Fee $ Energy Inspection Fee $ OCC CONST. TYPE TOTAL FEE $ 1039.68 HAZ. D. FEES IMP -- FLOOD X CDF PARCEL PD _ — HD ISSUE X This permit is hereby issued under the applicable of the Butte County Code and/or Resolutions indicated above for which fees have been fe BY Dat , PERMITEXPIRESON ( provisions to do work paid. e) Receipt No. _Al ignigo _ 699(� �� SS WHITE-D.D.S.-B.D. CANARY-ASSEO PINK -INSPECTOR G ENROD-APPLICANT if.•"'+f'��1+nn•T�r+.�ani�r'i�\�'�`'^4"�j� l� N{17{qwj I N � i K ._.� �4. r j�` /r �jj�",,.+'+�.'�f. f � ...., Yf�ly t ' � '� N� rti R •.af;�.i�f,(Yf`tinrTli�T' =rC�}i i�.f" tom. y A4 ' COUNTYOF BUTTE - DEPARTMENTORDE`I OPMENTSERVICES -BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILLE, CAtIFORNA95965 -TELEPHONE (916) 538-7541 OWNER !) I Proposed Building Use PERMIT APPLICATION DATA SHEET 17o va S' W:1h,0 (-SA. P. No. �yilding Inspector Date S �% At time of permit application, I was advised the following data must be submitted prior to permit processing and/or issuance: DATE RECEIVED BY 1. All items havebeen submitted . ....................................... . CY 2. Plot'.plans, 3sets, signed by preparer of plans . .......................... 3. Complete plans, 3/4 sets, si ed by preparer of plans . ...................... 4. Engineered plans and calcsL3/4 sets, with wet signature on plans . ............. 5. Hazardous Material Form . ........................................... . 6. Energy Design Compliance and supporting documentation . ........... :...... 7. Statement of Intent for Non -Heated and A/C Buildings . ...................... 8. Engineered truss details and layout in duplicate (required prior to plan check). .... 9. Mobilehome data and manufacturer's installation instructions, 2 sets . .....:..:.. . 10. Fees of $ 5- . ........ f / 11. Impact fees as shown oa Seri [ a n l C 3 12. California Department of Forestry plan approval/fees. ......��..................� 13. Flood elevation letter (100 year floo by C fornia Engineer. . . 14. Sanitation and plot plan approval J e)vi/ e- Health Department . ............3 f17q 1 City of Chico plumbing permit . .......................................... 6. Plot plan and business license approval from City of Biggs/Gri ley. . 17. Planning approval for (A) Use: t_ (B) Parking: ........ t, h 1,-)5 N 18. Contact Land Deyelopment.about (A) Improvements (B) Drainage............( 50- 19. Driveway permit (construction approval required prior to occupancy). . . 20. Pre-inspectionRfor required. d at o e� �d g Inspector (Date) 21. Contractor's license information. (No., Name Style, Classification) . .............. 22. Certificate of WArrians Compensation Insurance . .......................... 23. Owner -Builder Verification (Given to owner , Mail to owner _) ............ 24. Recorded copy of Agricultural Acknowledgement Statement . .................. 25. Letter of signature authorization . ....................................... . 26. Copy of recorded deed of parcel creation and 60 right of way to a public road. .... . 27. Letter of intent on building use . ....................................... .:... 28. Mobilehome utility clearance . ......................................... 29. Documentation of legal access . ..................... :.................. 30. Documentation of 50% subdivision developed or (A) Road improvements completed and (B) Parcel meets zoning area and frontage requirements . ............... 31. Existing violations/expired permits . ...................................... 32. Plan check list . .................................................... . 33. 34. W en you issue the permit, process as follows: Mail to owner. Mail to contractor. Telephone - JW(and hold for pickup at office. Deliver with inspector. Other Parcel Creation Acreage Applicant Date 0 7 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 to pe issu : ( new item not checked above). , 1. Index permit for above items No. 2. Additional items required: Contractor, designer; owner, was advised of above required data by _ phone _ mail Counter by _ Date Contractor, designer, owner, was advised of above required data by _ phone _ mail Counter by _ Date �� C�� Plans checked by Date Plans approved by Date L� Sets of plans on hold in File cabinet AP folder Copy - Department of Public Works E.H. USE ONLY i W Plot Plan Aoudad Flo" Plan Attached Seat to B.D. TO: Building Department FROM: Environmental Health ` SUBJECT: Sanitation Clearance 0 Se GA ova -4 ��° i- i✓ /-1 �' 8;2-6- ,�-4o—ou Owner t� M N --c," Location AP# Plan Approved for: Sewage Disposal Water Supply: Public Private Well Clearance for bedroom mobile home. Other ao Hold final for: Final clearance O.K. for: NOTE:_ _div Divi Al 4l� S 90r - ; ���e 4kv-.- E vironmental Health Specialist Date 8/92 07-04-1995 04:57M FROM BISBEE CONST. TO 1022258919Eh P. 01 V I 71 MIN., W .... ......... . I., P.V.C. CONDUIT ,Uff FOR SFF PI AN FOR .. .... ... 7 _sIZF_X_wlRKr, - . - - ..... 5/8" NUTS & WASHERS -HAND GROUr BE7VVEEN BASE & POLE 4- 5/$ x 24." ANCHOR BOLTS AT` AC14ED TO REBAR CAGE FIN15HED WDt #4 RE -BAR CAGE W/4 VERTICAL BARS & 14ORZ. 4 RINGS 9-1 Mel Ed TO 1022258919Eh P. 01 V I 71 MIN., W .... ......... . I., P.V.C. CONDUIT ,Uff FOR SFF PI AN FOR .. .... ... 7 _sIZF_X_wlRKr, - . - - ..... 5/8" NUTS & WASHERS -HAND GROUr BE7VVEEN BASE & POLE 4- 5/$ x 24." ANCHOR BOLTS AT` AC14ED TO REBAR CAGE FIN15HED WDt #4 RE -BAR CAGE W/4 VERTICAL BARS & 14ORZ. 4 RINGS 9-1 BUTTE COUNTY ENVIRONMENTAL HEALTH DEPARTMENT HAZARDOUS MATERIALS AND EMMISSIONS QUESTIONNAIRE (A Building Permit cannot be approved without this completed form.) BUILDING PERMIT NUMBER/ G•�--� A P N -7G —4::V e__ Firm Name 1�I� Lror^ r(l �J XYr?Oi1Q 6U.4- r _ J'Py Address . Nature of Business Contact Person 90 Phone # 1. Des your business or that of your tennants handle, store, or transport hazardous materials? NO EIYES NOTE: Hazardous materials are defined as any material that, because of its quantity, concentration, or physical or chemical characteristics, poses a significant present or potential hazard to human health and safety or to the evironment if released into the the workplace or the environment. "Hazardous Materials" include, but are not limited to, hazardous chemicals, hazardous waste, paints, oils, lubricants, fuels, flammables, combustibles, corrosives, gases, and any material which a handler or the administering agency has a reasonable basis for believing to be injurious to the health and safety of persons or harmful to the environment if released. 2. Do you or will your future tenants handle store, or transport 55 gallons, 500 pounds, or 200cu.bic feet (at stpdard temperature 4 pressure), or formulation containing hazardous material? NO ❑ YES 891-2727 If you answered YES to 1 or 2, contact the Butte County Environmemtal Health Department (916-9401) for a review of the project. 3. Is the business/facility/operation to be located within 1000 feet or the outer boundry of a school or s hool site? NO ❑ YES F YES, name of school. 4. Does the business/facility/operation have the potential to emit any air pollutants; e.g., dust, soot, odors, es, vapors, or other volatile compounds? RNO ❑ YES IF YES, contact the Butte County'Air Pollution Control District (916-891-2882) for permit requirements. GG Owner or Authorized Company Representative (S? ure (Date) BCEHD BCAPCD The applicant has met or is meeting the applicable requirements of Section 25505, 25533, and 25534 of the Health and Safety Code and the requirements for a permit from the Butte County Air Pollution Control District. 0 11 The Above Regulations Do Not�Apply To This, Facility. BCEHD Signature Date BCAPCD Signature Date WHITE- Building Dept 0 YELLOW - Env. Health 0 PINK - APCD 0 GOLDENROD -Fire Dept. a� ) DANIEL J. DOBBIE Professional Engineer 20 Mayfair Drive Chico, CA 95926 Phone/Fax (916) 345-4743 C:nz:4'-11�;iIsl TION �rh N v LFs I/Ig I I f:: 'T'N cam p f2e>nF -�' MIN V SoFF1 T fwrqvb L—LE c.. /-1 I S 6, �oQ?,OFESr'S/Lip o. 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VIV— OF'ra FO��\P SEISmi C, tj1"a\5 �F �—en LS 00`Jh 15/z x Tx 4- m i 5` - °G I, 3 x 15 = 20,1 rS F Page 2 Job No. K- N 151 Date 5 /I /q S PALE?—MO -�—'IN6U7M } f ,L CSI VE TH PU 2: 7 w r= -s Ek f2:SS V0eT-- G 1NI NU LonYJ . Ili Vwi=-.0201 x(2x3o-r4x1�2) = 2.26k wINC :f�EV—NS 2cr>� t�i�-tie�Gr� VTMA, 2'2jk 20— -651 240 'PLF 6" �I� pftNELj Laysr� To I Y�F = 2'2 f'�Z�c1���'� 1/Z— 2ao x , 2 40 t1l 1/-.--7 11 FL -f wee C::�V x C32/1G) UN0LIC'j�;? g N, E, N, = 8dI C G Efli2- r�'qNEL S 5ft� APA S 1 P N V W/ B:2(>lr N^1L = 8d LV +"c,_(. I&Loctc U h�S UPR 'lEt� 6 E 1 - lis PAF Page 2 Job No. K- N 151 Date 5 /I /q S PALE?—MO -�—'IN6U7M } f ,L CSI VE TH PU 2: 7 w r= -s Ek f2:SS V0eT-- G 1NI NU LonYJ . Ili Vwi=-.0201 x(2x3o-r4x1�2) = 2.26k wINC :f�EV—NS 2cr>� t�i�-tie�Gr� VTMA, 2'2jk 20— -651 240 'PLF 6" �I� pftNELj Laysr� To I Y�F = 2'2 f'�Z�c1���'� 1/Z— 2ao x , 2 40 t1l 1/-.--7 11 FL -f wee C::�V x C32/1G) UN0LIC'j�;? g N, E, N, = 8dI C G Efli2- r�'qNEL S 5ft� APA S 1 P N V W/ B:2(>lr N^1L = 8d LV +"c,_(. I&Loctc U h�S UPR 'lEt� 6 E 1 DANIEL J. DOBBIE Professional Engineer 20 Mayfair Drive Chico, CA 95926 Phone/Fax (916)345-4743 Q jtOFESS/p O ,����•���� J. ppb FZ a No. C42028 `rm * Exp. CIY11. \n L -L.5 �Ccf`�T .) OF CAL�FO GH EGK- i dy -- "'Tu "I N (, ('�@ 3-`d PANEL (Uh = , (:�' r - x 12 = -I, 2 VRI USt ; 51Mpzal Page 3 Job No. Date S A,-1 S PRu-:m O K- R OR VE rtttp-u INN1I CAST Irl Z>INbLE U n �17 L SO-e%A.Ip.LL- 5+}��afz. 11via.� F�1 rr G S I�pov.i►.� '� ��. 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CIV1IL 9 OF CA1.�F��� ,asT 1=�NGs C9 r-- XIS7'v IrvIN,L Page + Job No. iµ.9 51 Date ✓-/g S pA,ee-m 0 Ie -4 Pte+ VE 1- tau Pob '('S X- PavP- OPT, or,^L Cave . l4o�� wT O Ex I ST, G Cav i-, �T, N � USE�1�-�� T�y��eE X 2�-0'! LUyy F76. K -S F I oct:j PS F Ego S I�Tw� s4l-r4� ►3M F wku U-7-= ,x2112- 5 t ,ozs NE' --'J 4- x �-- Pas t JN Wr�I.L 1 -4Ex�sT'v FTG, VvPwt L x 2I -,o" a* -'ELS t o L -x l 51 CS G , 2 - + L,C)N G Mme= 2x2,1 -= 4,za�d� \J-= 2 x 2,1 bk--sk-, S 2-Z,�ip�2 W/f LSU 210 - ZI I-1�c-gs &�--e�-n iQv r BUTTE COUNTY SCHOOLS IMPACT FEE CERTIFICATION FORM (One Form Per Building) School District© �- _—_ Building Department No. A,P. Number O �6 � 90 -Q�� Jurisdiction:` ] City , J County A Property Owner Property Locatic Subdivison Lot No. Residential Development[ j Sq. Footage No. of Living MHI Addition (Group R) Units Commercial/Industrial Sq. Footage New Addition (Including Exterior Roofed Areas) AAA A,4,M111.1,0V Building Departme Representative Date (Floor Plans reviewed by School District Personnel) Identification No, 9 5 0 C District certifies that (Street Ad ss) �- (Phone Number) (City) (State) (Zip Code) has complied with the requirements of Resolution No. by payment of $ representing square feet. AB 2926 $ FULL MITIGATION $ School District Representativ Date / Paid by Check # Remarks: Bank Number Paid by Cash o If, subsequent to the School District Representative signing this Butte County Schools;lmpact 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) feeformmk, (tusa)amm �,- yr���'e�,:{.�ti r..,:r�rrrU �;.-, y:r-.ra+r�,.-•r,i: �ry�„.. wrr _ "F -` .`+c"y'«d �'1..".' 't � � tiv �'$' `�':.�i,a .S�t«... :.. - r :�.,.i:. T BUTTE COUNTY SCHOOLS IMPACT, FEE CERTIFICATION FORM (One .Form Per Building) School District V`p vt00 r�___ Building Department No. A,P. Number "Jurisdiction: City `t'—' County Property Owner Property Locatic Subdivison Lot No. Residential Development No. of Living MHI Addition Units Sq. Footage (Group R) Commercial/Industrial F7V `Sq. Footage New Ad Yon (Including Exterior Roofed Areas) Building Departme Representative Date (Floor Plans reviewed by School District Personnel) _. — A A FA Identification Na r" / / I1 1 1 � � �df oo�l District certifies that k.#/J (Street Ad ss) ! (Phone Number). (City) .(State) (Zip,Code), has complied with the requirements of Resolution No.payment of $ representing , , square feet. AB 2926 • FULL MITIGATION $ School District Representative. Pate Paid by Check # Remarks: Bank Number Paid by Cash If, subsequent to the School District Representative signingthis Butte County Schoolslmpact Fee Certification Form, the School District is notified by the applicableLocal ,Planning Agency that this project is being reviewed under the California Environmental Quality'Act (CECiX,,;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.wk, („/sa)dmm UtFAK i Mtn i yr Utvtwrmtry I atnvwta 7 COUNTY CENTER DRIVE - OROVILLE. CALIFORNIA 95965.3397 TELEPHONE: (916) 538-7541 FAX: 1916) 538-2140 5/21/96 - KINGDOM HALL JEHOVAH'S 7490 GENE LN PALERMO, CA 95968 RE: Building Permit # 95-1043 Expiration Date: 6/8/96 A.P. # 026-290-012 With reference to the above subject, our records indicate that your building permit expires on the above date and your permit falls into the category marked below: [X] Permit work started, but not completed. Permit may be renewed for 1/2 the original building permit fee (plus a $20.00 filing fee). The renewal permit will extend the building permit for an additional year from the original expiration date. Should you not renew your permit within 30 days of the expiration date, all work must cease until a new building permit has been issued. For your convenience, we are enclosing a renewal application form and owner -builder form to be completed and signed by you where indicated and returned to this office together with the fee shown. Please return all copies of the application form. [ ] No inspections have been made on permit work. Inspections are required to verify code compliance. We are unable to renew a permit where the work has not been started and inspected prior to permit expiration. After expiration of your permit, no work may be started until a new permit has been issued. If our records are in error or should you have any questions concerning this matter, please contact the ngnyTTTF office. Thank you for your prompt attention concerning this matter. Yours very truly, Mic el C. Vieira, C.B.O. MCV:ahb Manager, Building Inspection Attachments Chico Office - 1469 Humboldt Rd/891-2751 26-29-12 3409-90B KINGDOM HALL 7400 Gene Lane, Palermo (reroof/church) COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS' 7 County Center Drive - Oroville, Califorq.ia 95965 - Telephone: 916/538-7 APPLICATION' AND PERMIT PERMIT NO.Lf �r ASSESSOR PARCEL NUMBER 4 26-29-12 ZONING , U BUILDING PERMIT OWNER Kingdom Hall TELEPHONE 533-8584 S0. FT. OCC. BUILDING VALUATION 50 s built u 5000 OWNER'S MAILING ADDRESS 7490 Gene Lane, Palermo CONTRACTOR'S NAME TELEPHONE Unknown CONTRACTOR'SiMAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ 50005:. Filing Fee $ "1"0,00 LENDER'S MAILING ADDRESS Permit Fee $50,50 ' ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $, ' Energy Plan Checking Fee '$ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS 7400 Gene Lane, Palermo Permit fee �ii0.50 PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 tt Solar or heat pump water heater 20.00 A . LOT NO. SUBDIVISION NAME PARC L MAP, Water piping 5.00 ' Each qas water heater or vent 5.00 USE OF STRUCTURE I SF ❑ Duplex[] Mobilehome❑ Other Church SPECIFY Gas piping system 1 - 5 outlets 5.00' Building sewer 5.00 Mobile Home S I G I W 10-00ea TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation[] Other Describe work: Reroof _ Permit Fee $ f.,. K. Contractor ELECTRICAL PERMIT Filing Fee 10.00 r Main service eoov OR LESS 100 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): ❑ I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in full force and effect. License No. Classification ❑ I, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONST. DWELLING OCCUP.& OR ACDNS, ( ACC. BLDGS. 2/zQsgft NEW CONSTR. ULTI.OUTLET NON-RESID BRANCH CRC ITS 2,50 ea POWER APPAIRATUS & SINGLE OUTLET CIR. Ex. Occup( OR FIXTURES 20®30C BAL®30 FIXED APPLNS. EX. OCCUp. OUTLETS RESID IKEA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 Permit Fee $ Contractor WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ 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. 1 shall not employ any person in any manner so as to become subject to the W. C. laws of California.Ventilation Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. MECHANICAL PERMIT FiIingFee 10.00 Heating Cooling Hood 3.00 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 County of Butte to enter upon the above-mentioned property for inspection purposes. 1 also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue against said Count in consequence of the granting of this permit. X Date' ' 9"���f�O Signature of Applicant -LOwner❑' Contractor ElAgentwork 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 $ Energy Inspection Fee $ OCC CONSTTVPE TOTAL FEE $ 60.50 HAz I CUA PARK SCHL FLD I PAR I PD I HD I ISSUE This permit i$"hereby issued under sions'o"heAButte CO!mty Code and/or ind')cated above /for' which fees ` DIRECTOR/OF •PUBLIC \w By +//.' PERMIT EXPIRES Date the applicable provi- resolutions to do have been paid. WORKS - Dated ;f-� l/D Receipt No. 73785 WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT NO. 7 County Center Drive --Oroville, �alforna 95965 -Telephone: 916/538-7541�p9�4� APPLICATION AND PERMIT ASSESSOR PARCEL NUMBER 26-29-12 ZONING U BUILDING PERMIT OWNER Kingdom Hall TELEPHONE 533-8584 SQ. FT. OCC. BUILDING VALUATION 50 s built u 5000 OWNER'S MAILING ADDRESS 7490 Gene Lane, Palermo CONTRACTOR'S NAME TELEPHONE Unknown ' CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER - UNKNOWN Total valuation $ 5000 _ LENDER'S MAILING ADDRESS Filing Fee $ 10.00 Permit Fee $50.50 ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS 7400 Gene Lane Palermo Permit fee $60.50 PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP Water piping 55,00 Each•gas water heater or vent 5.00 USE OF STRUCTURE SF ❑ Duplex[] Mobilehome❑ Other Church SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home I S I G JW I10.00e TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other Describe work: Reroof _ Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 100 AMP OROR LESS10.00 Main service EA.'ADD'L 100 AMP 2.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): ElI am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in full force and effect. License No. Classification ❑ I, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered .for sale. (Sec. 7044) I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONST. DWELLING OCCUP.& OR ACDNS. ACC. BLDGS. 2/z ¢sq ft NEW CONSTR ULTI.OUT LET NON.RESID BRANCH CIRC ITS 2.50 ea /POWER APPARATUS & (SINGLE OUTLET SIR. Ex. Occu po UTLETS OR FIXTURES 82 AD AL @@30soa FIXED EX. OCCUp. OUTLETS �R_SID)RE A./ 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Iyirin 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 yam- 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 FiIingFee 10.00 Heating Cooling g Hood 3,00 Ventilation Permit Fee $ Contractor I certify that I have read this application -and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the Countyot Butte to enter upon the above-mentioned property for inspection purposes. I also agree 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 Count -in conse uence of the granting of this permit. %� l� Date-�'D Signature of Applicant — Owner Controctor❑ Agent'91 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 $ Energy Inspection Fee $ occ CONST TYPE TOTAL FEE $ 60.50 HAz CUA PARK I SCHL FLD I PAR I P11 HD ISSUE This permit i ereby issued rder sionyhette Couy d and/or wo iabove fo which fees EC,T OF ELIC BY PERVfT EXPIRES Date the applicable provi- resolutions to do have been paid. WORKS Date R-1 el- Receipt No. 71785 WHITE-O.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR. GOLDENROD -APPLICANT COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT NO. 7 County Center Drive - Oroville,,2Alifo%ia 95965 - Telephone: 916/538-7541 APPLIQRT10N AND PERMIT ASSESSOR PARCEL NUMBE ZONI G BUILDING PERMIT OWNER T5,EPHo 11 SO. FT. OCC. BUILDING VALUATION /Q �— OWN R'S MAILING ADOR ESy�, Z_� � (/ CONTR/� TOR'S ME T'E/L�E/f'H O�N/E�/� i CONTRA DR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ Filing Fee $ 10. LENOER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee Energy Plan.Checking Fee e$. $ ARCHITECT OR ENGINEER'S MAILING ADDRESS ~ Penalty $ BUILDING ADDRESS 1 Permit fee $ PLUMBING PERMIT Filing Fee 10.00 ; h. Each Trap 2.00 Solar or heat pump water heater 20.00 LOT NO.SUBDIVISION NAME PARCEL MAP- Water piping 5.00 Each qas water heater or vent 5.00 USE OF STRUCTURE SF ❑ Duplex❑ Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home S I G I W 10.00e TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation❑ Oth Describe work:F�� _\ Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 6001 OR LESS 100 AMP OR LESS 10.00 Main service EA. ADO•L 100 AMP 2.50 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. Classification ❑ I, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONST. ( DWELLING OCCUP.N) OR ADDNS. ACC. SLOGS. I Ih ¢sgft �b NEW CONSTR ULTI.OUTLET NON•RESID BRANCH CIRC ITS 2.50 ea POWER APPARATUS 6 (SINE OUTLET C.R. ' Ex. OCcup(OUT LETS OR FIXTURES 20@30t BAL@30 Ex. Occup. OUTLETS FIXED P(RESIO.)REA./ 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 Permit Fee $ Contractor WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ 1 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. MECHANICAL PERMIT Filing Fee 10.00 Heating Cooling Hood 3.00 Ventilation Permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the Countyot Butte to enter upon the above-mentioned property for inspection purposes. I also agree 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- ion of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST TYPE TOTAL FEE $ f HAz I CUA I PARK I SCHL FLD Po HD IssuE This permit Is hereby Issued under sions of the Butte County Code and/or work indicated above for which fees DIRECTOR OF PUBLIC By PERMIT EXPIRES Date the applicable provi- resolutions to do have been paid. WORKS Date ' Receipt No. : ,.. . '. WNITE-D.P.W.. YELLOW-ASetSAR, PINK•INSPECTOR. GOLDENROD -APPLICANT I PERMIT NO. 463-84P,E(MH) PERMIT EXPIRES OWNER KINGDOM HALL OF JEHOVAH WITNESS CONTR. owner ASSESSOR PARCEL 26-29-12 LOCATION 7480 Gene Lane, Palermo 1 k � CQ Temp. Power Pole Called PG&E Temp. Elec. Service Called PG&E _ Temp. Gas Service Cal led PG&E f JOB FINALED (Date) �i `� Signature t J =,OK , 0 = Not OK —=NotApplicab = Not Read0I�DM� MISCELLANEOUS y /J� J Date MO �EHOME UTILITIES (PI s) OK except N's Date DECKS, COVERS, CARPORTS, ETC. (Plans) OK except #'s 1 IKZnning Requirements—Setbacks—Easements 1, Zoning Requirements—Setbacks—Easements 2 �Soits; Special MH Support—Sketch 2. Footings; Size—Depth—Spacing—Connectors Sewer; Location—Test—Fall-C/O—Concrete _ 3. Decks; Girders and/or Joists—Decking—Bracing—Stairs—Rails Water; Location—Test—Easement Needed (Sketch) 4. Wood Awn.; Posts—Beams—Rftrs.—Connec.—Shthg.—Rig.—Bracing 5 Electricity; oc Clearances—Grnd.—/ / Amp—Concrete 5. Alum. Awn.; Columns—Connections—Splice—Decal—Enclosures 6. Gas; Locatior-Test—Wrap:/ /"L"ft./ /"Nat.or/ /"L"ft./ /"LPG 6. Carports; Windows—Dodrs 7. Utility Clearance 7. Elec. 0011 Card -BI Date/V— Card - BI Date Card -BI Date Card -BI Date Card -BI Date Date Card -BI Date MOBILEHOME INSTALLATION (Plans) OK except k's 1. Zoning Requirements—Setbacks—Easements t Card -BI Date Date Card -BI Date _ POOLS (Plans) OK except N'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 I 6. Elec.; Enclosures; Conduit Entries—Terminals—Listed 7. Water and Sewer Connected—C/O to Grade—HD Approval I 7. Elec.; Bonding; Metal w/5'—Circulating Equipment—Heater 8. Gas and Electricity Tagged ! 9. Exits; Insp.—Sketch I 8. Elec.; Grounding; Equip. w/5'—Circulating Equip.—Pool Lghtg. Boxes—Enclosures—Panel boards—Ins. to Main in Conduit 10. Cert. of Occupancy 9. Health Department Approval 1, j 10. Plumb; Cir. Test—Water Supply Test Card B-1 Date Card -BI Date I Card -BI Date Card -BI Date Card B-1 Date Card -BI Date I Card -BI Date Card -BI Date J = OK 0 = Not OK . ' - = Not Applicable =k = Not Ready RESIDENTIAL (Sinigle and Duplex) Date UNDERFLOOR (Plans) OK exceptb's 1. Zoning requirements -Setbacks -Easements 2. Ftg., Main; Soils-Steel-Elec. Grnd.- / /" Ftg. 3. Ftg., Garage; Soils -Steel- / /" Ftg. Depth 4. Ftg., Porches & Decks; Soils -Steel- / /" Ftg. 1 5. Stemwalls, Main; Steel-Blockouts-Wrapped-Slab 6. Stemwalls, Garage; Steel-Blockouts-Wrapped-Slab 7. Piers -Fireplace Ftg.-Steel _ 8. D.W.V.: Fall -Fittings -Test -2 way C/O -Sewer Test 9. Gas Pipe; Size -Anchors 10. Water Pipe; Test -Anchors -Regulator -Service Test 11. Electric; Underground 12. Plenums & Ducts; Clearance -Material -Support -Ins. 13. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples Card -BI Date Card -BI Date Card -BI Date Card -BI Date Date PLUMBING (Permit) OK except q's _ 14. Water Ht.; Vent -Access -Combustion Air 15. Water Pipe; Test & Anchors -Nail Protection 16. D.W.V.; Test-Fttngs & Anchors -Nail Protection _ 17. Shower Pan; Test, First Floor -Tub Access 18. Test Tub & Shower, 2nd Floor -Tub Access 19. Gas Pipe; Size & Anchors Date FRAMING (Continued) 48. 49. Property Line Firewall & Openings Ext. Doors -One 3' -Check Garage -3rd story, 2 exits 50. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 51. Plywood on Roof Overhang -Attic Vents -Rafter Outriggers 52. Siding -Nailing -Veneer 53. Stucco Mesh -Drip Screed-Fdn. Vents-Underflr. Access 54, Glazing Area -Glass Protection -Skylights -Plastic 55. Shear Walls; Nailing -Bolts 60. G.F.I. & Bath Fixtures & Tub Access 62. Stairs & Rails 63. Fireplace or Stove; Clearances -Hearth 64. Elec. Outlets at Wood Panel; Int. & Ext. Card -BI Condensate Drain _& Overflow; Size & Grade Date Card -BI Date Card -BI Card -BI Kit. Fixt. & Appliance; Grnd.-Air Gap -Cooking Clearance Date Card -BI Date Date Card -BI Date Card -BI Date Date Card -BI Date FINAL (Plans) OK except H's 56. Ext. Steps -Door & Sidelight Protection -Landings 66. 67. 57. 58. Smoke Detector Furnace; Vents -Clearance -Comb. Air -Connector - In Garage; Above Floor-Ducts-Mech. Protection Date 59. Bedroom Exiting A.C. Duct in Garage -Damper 60. G.F.I. & Bath Fixtures & Tub Access Fixture & Transformer Clearance -Ins. Protection 61. Elec. Trim & Subpanel; Breaker Sizes -Labels 62. Stairs & Rails 63. Fireplace or Stove; Clearances -Hearth 64. Elec. Outlets at Wood Panel; Int. & Ext. Card -BI Condensate Drain _& Overflow; Size & Grade Date Card -BI Date 65. Kit. Fixt. & Appliance; Grnd.-Air Gap -Cooking Clearance Card -BI 35. Date Card -BI Date 66. 67. Elec. Outlets & Receptacles at Kit. Counter Garage Fire Door; Swing -Landing -Closer Card -BI - Card -BI Date ELECTRICAL Permit OK except p's _- 68. A.C. Duct in Garage -Damper - 20. Fixture & Transformer Clearance -Ins. Protection 69. Wtr. Htr.; Vents -Clearance -Comb. Air-Connector-P.R.V.- In Garage; Above Floor-Mech. Protection --21. _ Elec. Receptacles Spacing -Lights & Switches at Doors 70. Plb., Elec. & Mech. Equip. Listed for Location 22. Size Boxes & No. of Conductors -Stapled - 23. Romex Installed Close to Edge of Studs & G.J. 71. Elec. Receptacles in Garage; (G.F.I.)-Romex Protec. 24. Equip. Ground made up w/Mech. Fasteners -Bond Gas & Water 72. Insulation -Foam -Looked in Attic E) Yes - 25. 2 Appliance Circuits in Kitchen & Conductor Size 73. Guard Rails & Deck Construction -Post Caps 26. Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / / ga. Cu or AI 74. Fdn. Vents & Crawl Hole Door -Drainage & Wood -Earth Clearance Looked under Floor ❑ Yes 27. Range Circ. / / ga. Cu or AI -Oven Circ. / / ga. Cu or Al, 75. Followinginstld.; Drive Yes No; Walks ❑ ❑ ED Yes ❑ No; -- Insulated Neutral r'Yes ❑No Planters ❑Yes ❑No _ 28. Service -Riser Conductors & Ground -Main Disconnect 76. Stucco; Brown -Finish - 29. Equip. Clearances; Panels-Motors-Mech. Equip. 77, A.C. Unit; Disconnect-Clrnces-Brkr. & Cond. Size -115V Outlet - 30. Clothes Closet Light -Shower Light -� 78. Vents Above Roof; Plbg.-Appliance-Firepl.-Clearance to Opngs. ---- -- ----------- ------ 79. Water Well; Disconnect, Electrical, Plumbing 80. Exterior Elec. Trim; G.F.I. Receptacle -Underground ------ Card B -I _Date- Card -BI Date 81. Ventilation throughout House Card B -I Date Card -BI Date 82. Glass Protection 83. _ Corrections from Previous Inspections Date MECHANICAL (Permit) OK except N's 84. Gas Test -Meters Tagged; Gas -Electric _ 31. A.C-.-Ducts: Insulation & Support - 85. Water & Sewer Connected -C/O to Grade -HD Approval 32. Vent Fan_ Exhaust above Insulation 86, Energy Compliance Certificate -Other Certificates _ 33. Condensate Drain _& Overflow; Size & Grade 34. Furnace-Vent;_Access-Comb._Air-Return Air Vent -115V outlet 35. Attic Access & Platform if Fjurnace in Attic Card -BI - Card -BI Date - Card -BI Date Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card BI Date Card BI Date Date FRAMING(Plans) OK except q's Comments at Final: 36. _37. 38. 38. Sills; Proper Material & Anchors Walls; Studs -Nailing, Spacing & Bracing -Plates -Sound Bearing Walls over Girders & Floor Nailing__ Draft Stop in Walls (rat proof) _ _39. 40. _Fire Stops; Furred Ceilings -Stairs -Chases -Tub 41. 42. 43. 44. 45. 46. 47. Header & Beam -Size & Bearing Hangers -Post Caps -Anchors -Connectors Cing. Joist-Rftr. Ties- Purlin -Roof Brac.-Truss-Shthnp.-Rfnq. Fireplace Ties or Type A Flue -Fireplace Throat Attic Access: Size & Romex Protection -Draft Stop -Ins. Baffles Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions Garage Fire Protection Framing (NOTE: An entry must be made each time youvisit jobsite) to r C'� n COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 196 Memorial Way, Chico — Phone: 891-2751 7 County Center D.rive, Oroville — Phone: 534-4541 Skyway and Elliott Road; Paradise — Phone: 872-2961, Ext. 57 CORRECTION NOTICE A routine inspection indicates that the following violations of County Ordinance exist at the above address and should be corrected. Please notify this office when correction of work is completed. If you. have any question pertaining to this matter, or need additional explanation, please contact this office immediately. Inspector__ a Date_ u Inspector__ a Date_ COUNTY OF BUTTE - DEPARTMENT OF IfUBLIC WORKS PERMIT NO. 7 County Center Drive - Oroville, California 95965 - Telephone 916/534-4541 APPLICATION ANDPERMIT ASSESSOR PARCEL NUMBER ZO NG BUILDING PERMIT If I o N R J GS r L PHONE SQ. FT. OCC. BUILDING VALUATION WNER MAILI G DRESS 62 CONT TT R•S N V s TELEPHONE CONT'RACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ Filing Fee $ LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ / Penalty $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Permit fee $ ,^ BUILDING ADDRESS '1- e PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 Solar Water Heater 20.00 Water piping 5.00 LOT NO. SUBDIVISION NAME PARCEL MAP Each qas water heater or vent 5,00 Gas piping system 1 - 5 outlets 5.00 USE OF STRUCTURE SF ❑ Duplex[] Mobilehome,�] Other SPECIFY Building sewer 5.00 Mobile Home W 10-00eal TYPE OF WORK New❑ Addition El Remodel❑ Utilities Installation❑ Other[:] Describe work: — Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service e00V OR LESS 100 AMP OR LESS 10.00 Main service EA. ADD'L 100 AMP 2.50 NEW CONST. DWELLING OCCUP.&` OR ADDNS. ACC. BLDGS. / 21/20sq ft 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. t[�License No. Classification I, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ 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 NON.RESID BRANCH CONSTR. MULTI -CUTLET IRTLET C ITSATUS 2,50 ea NEW CONSTR. POWER APPAR&') NON -RESID. SINGLE OUTLET CIR. 1 Ex. Occu 20®s0e P�o OR FIXTURES 9AL®ao FIXED A FIXED APP LNS, OR Ex. Occup. OUTLETS (RESID.) EA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 ,- Misc. Wiring 15.00 Permit Fee $ _ Contractor WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ 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. MECHANICAL PERMIT Filing Fee 10.00 Heating Cooling Hood 3.00 Ventilation permit Fee $ ' Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the 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 all liabilities, judgments, costs, and expenses which may in any way accrue against said County in consequence of the granting of this permit. Xd1J,PI'S 0This Date Signa re of Appli ant — Owner El Contractor ❑ Agent ottil6r -( 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 $ OCCUP. GROUP I TYPE OF CONST, JP./IREL PD ND SSI1 permit is hereby issued under sions of the Butte County Code and/or work indicated above for which DIRECT9"F PUBLIC By PER EXPIRES Date_ the applicable provi- resolutions to do fees have been paid. WORKS 6=1;3 -�S Receipt No. ! %�� WRITE-D.P,W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT COUNTY OF BUTTE Department of Public Works 7 County Center Drive Oroville --- =-534-4541 ELECTRICAL INFORMATION FOR DE -RATING MOBILEHOMES Owner Location Mobilehome Installation Permit No. FILL IN INFORMATION FOR ITEMS 1 THRU 10 Watts 1. Width x Box Length x,3 = 2. 2 Kitchen Appliance Circuits = 3.,000 3.. 1 Laundry Circuit = 1,500 4. Ovens ........................................ _ 5. Cook Stove Top ............................... _ 6. Hot Water Heater............... ........... 7. Dishwasher & Disposal ..................... _ 8. Clothes Dryer = 9. Other (specify, i.e., motors, exhaust fans, etc.) Sub. -total - Watts ..... First 10,000 watts @ 100% ................................ = 10,000 Remaining watts @ 40% _ 10. Air Conditioner /goo watts @100%.. _ Largest Demand = l ,P'l/ e Central Heat System watts @ 65%.. _ ) TOTAL DEMAND WATTS REQUIRED ............. "Demand Watts Required" ; 230 ............. ......... AMPS De -rate Mobilehome to .................................... AMPS COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 196 Memorial Way, Chico — Phone: 891-2751 7 County Center Drive, Oroville — Phone: 534-4541 Skyway and Elliott Road, Paradise — Phone: 872-2961, Ext. 57 CORRECTION NOTICE A routine inspectVn?Inica es that the folio&Ag vio iA4&o Oidinance 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. • .e 1 4'• w e Owner: Addres Tenant: BUTTE COUNTY DEPARTMENT OF PUBLIC WORKS SPECIAL INSPECTION UPORT A. P. # , Date of Insp Inspector Building_ Location: Type of Inspection requested: /J. Housing / / 2. Financing / / 3. Change of Occupancy to 4. Other (specify) Present use of building: A. Sanitation (Housing) 1: Water closet: 2. Lavatory: 3. Bathtub or shower: 4. Kitchen sink: 5. Hot and cold water to fixtures: 6. Heating facilities: 7. Natural light and ventilation: 8. Room and space requirements: 9. Bedroom window or door for second exit: _ 10. Infestation of insects, vermin, or rodents: 11. Connection to sewage disposal: 12. Connection to water supply: 13. Rubbish,.and garbage facilities: ' 14. Comments: B. Structural J. Piers and footings: 2. Floor construction: 3. Wall construction: 4. Ceiling and roof construction: 5. Fireplaces: 6: Comments: 'C. Electrical 1. Service and ground: 2. 'Receptacles:' 3. Fusing: 4. Comments: to] Plumbing I. Fixtures connected and vented: 2. Gas, water heater: 3. Gas heating vents: 4. Comments: E. - Other 1. Maintenance and repair: 2. Fire hazards: 3. Safety hazards: 4. Weather protection: 5. Underfloor and attic ventilation: 6. Comments: F. Commercial Buildings 1. Roof covering: 2. Distance to property lines: 3. Physically handicapped: _ 4. Restroom floors and walls: 5. Exits: 6. Improvements: 7. Zoning: 8. Comments: G. Field Problems or Violations 1. Protl�or vi atiorQ(give complete descri 2. What action taken ($ive complete description): 3. What action recommended: A. Information only - file. �B. Hold for ten days, then write letter. %% C. Write letter. / L.D. Other: n, ft COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORK 7 County Center Drive — Oroville, California 95965 d36 — Tel eplibne: 534-4541 APPLICATION AND PERMIT BUILDING OwnerZ ` SO. FT. OCC. BUILDING VALUATION Mailing Address • 4C9 Telephone No. Fireplace Contractor Total Valuation Mailing Address Permit Fee Plan Checking Fee &/or Penalty Telephone No. Permit Fee $ Building Address PLUMBING No. @ FEE PERMIT FILING FEE $2.00 ' ^— �lij% ��� 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. N G— Zoning & Planning Gas piping system 1 - 5 outlets 1.50 Each additional outlet .30 Fees W.C. Sanitation Fire Dept. Fire Zone Use Permit Building sewer 5.00 EQA 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 ADDITION ❑ UTILITIES ❑ OTHER ❑ ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 Main service incl. 1 meter Additional meters, each 1.00 Single Family ❑ Duplex ❑ Mobil Home ❑ Others ❑ Sub -panel (12 or less) (morethan'12) Range, Cook -top or Oven 1.00 _7 Water Heater or Space Heater 1.00 Light fixtures bal d10 Receps., switches & fix outlets:± b.1 a In 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.orD.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 am exempt from the Contractors License Laws of the State of California. Permit Fee $ WORKMEN'S COMPENSATION INSURANCE 1 am aware of the provisions of Section3700 of the California Labor Code which requires every employer to be insured against liability for Workmen's Compensation. ❑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 $ $ 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 $ [� auinonce representatives of the county of tsutte to enter upon the above-/mp y for inspe n purposes.a191 1 � X Date 121 Signature of Plermitee or Agent Receipt No. 6 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 RJPUBLIC WORKS By Date �' t — 7 31, Building permit expires Date ��� COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORK 7 County Center Drive — Orovi Ile, California 95965 Telephone: 534-4541 APPLICATION AND PERMIT auururrce representauves of County of Butte to enter upon the abWoture rope rty f ins ection purposes. � X Z0, Date Y Permitee or Agent Receipt No. White-D.P.W. — Yel ow -Assessor — Pi -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 0 UBLIC WORKS ^� BY -/ Date'dy '� .1-j 3 Building permit expires Date BUILDING Owner l 0 6ka 71e IC SO. FT. OCC. BUILDING VALUATION _ _,7-3 14 0,0 Mai I i ng Address 0 �� n C Pi+.10 C � -1 Telephone No. Fireplace Contractor Total Valuation QQ Mai I i ng Address Permit Fee Plan Che ' gFee&/or Penalty o� Telephone No. Permit Fee $ 00 $ Building AddressG, PLUMBING No. @ FEE PERMIT FILING FEE $2.90 010 Orap a� Each Trap 1.50 Repair drainage or vent piping 1.50 Water piping 1.50 sd Each gas water heater or vent 1.50 /+, _ / A. P. No. C� % , ani s - s Gas piping system 1 - 5 outlets 1.50 S Each additional outlet .30 F&s- W-(5_1San r r1 I FireDept. Fire Zone Use Permit Building sewer 5.00 EQA Parking Plans Parcel Declaration Parcel Ma P 60' R/W Im rove nts P Lawn sprinkler system 2.00 Bldg. Plans Recd Parcel Approval Plans Approval Permit Fee $ $ l l NEW ADDITION ❑ UTILITIES ❑ OTHER ❑ ELECTRICAL No.1 @ FEE PERMIT FILING FEE $3.00 GO Main service incl. 1 meter 6v Additional metes ach 1.00 Single Family ❑ Duplex ❑ Mobil Home ❑ Others Sub -panel (12 or ess) (more than 12) tiQ Range, Cook -top or Oven 1.00 Water Heater or Space Heater 1.00 LigDt,,fixtures bal010 Re s., switc s & fix ut etsz2o0�li CONTRACTORS LICENSE LAW 1 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. or F.A. Furn. Motor 1.00 Evap, cooler, gar. disp. or D. 1.00 Air conditioner or heat p p3 So Water pump -C e) Mobil Home Facilities 5.00 Temp. Power Pole 5.00 License No. Classification Misc. wiring —` NI 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 California. MECHANICAL No. @ FEE PERMIT FILING FEE $3.00 Heating lf�/Gpd GD Cooling fy,00 •U Ventilation Hood 2.00 Permit Fee $ $ G 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 TOTAL PERMIT FEE $333 AO auururrce representauves of County of Butte to enter upon the abWoture rope rty f ins ection purposes. � X Z0, Date Y Permitee or Agent Receipt No. White-D.P.W. — Yel ow -Assessor — Pi -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 0 UBLIC WORKS ^� BY -/ Date'dy '� .1-j 3 Building permit expires Date C- 7, -?r 5 �i ----- - PLYWOOD s ! C)w(_r- � p0� M H j0-0�� r I This set o f 1 �p f On, the .Pans specification F sv,a q lob at all t rr mes and • s MUST be c r .:�nges or alter ut is unla 1v�'o ran p3s� ' sion ; ations on. wful to ! Co rom the De sante ►vithout Y of butte, partment of Pub. � F �OOF. y"1�yf R P-Lytuoo. �1 Dr.VG { - 11 Materials, � -=--�" & Workmankip Shall" Be ire cognized Goo Practices and d for J lVd .r� ry'cc;� the Spe ified• use in -the N v rn B - . 4 G ©, Unifom Plum in C trig Neto g ode, orad ! 3 We QZ TPiZD PaS PcjA'►l'l nus ro �Z /!1A) 6 �n�l tiiaG`. i Return to DPW AGRICULTURAL STATEMENT OF ACKNOWLEDGEMENT FOR RESIDENTIAL DEVELOPMENT Section 26-8.1 of the Butte County Code requires this acknowledgement be recorded prior to issuance of a building permit. 7' The property described herein is adjacent to land or included �U �3' flc: `7 within an area zoned for agricultural purposes, and residents of this F!�:.r;_:;; property may be subject to inconveniences or discomfort arising from the use of agricultural chemicals, including, but not limited to herbicides, pesticides, and fertilizers; and from the pursuit of agricultural operations including, but not limitet� to cultivation, plowing, spraying, pruning, and harvesting which occasionally generate dust, smoke, noise, and odor. Butte County has established agricultural zones which have as a priority use for productive agricultural purposes, and residents within said zones and on adjacent'property should be prepared to accept such inconvenience or disconform from normal, necessary farm operations. All that real property situate in the County of Butte, State of California, described as follows: TOWN & COUNTRY ESTATES UNIT NO. 1 A PORTION OF THE NORTHWEST QUARTER OF SECTION 7, & A PORTION, OF THE SOUTHWEST QUARTER OF SECTION 6, T..18N., R. 4E., I.D.B., BUTTE COUNTRY, CALIFORNIA Date: /.. 5�'" .:� PROPERTY OWNERS: PAL7.RM0 CCINGPE ��4m�9^T OF TEHQVAHfS WITNESSES State of CALIFORNIA ) On this the day of 19 , before ) SS. me, the undersigned Notary Public, personally appeared •--- "t D.TTMMrV % On this the 13th day of June, 1984, before me, Betty Ann Sentner, the undersigned Notary Public, personally appeared Roger C. Fortier, X proved to me on the basis of satisfactory evidence to be the _person who executed the within instrument as Presiding Overseer on behalf of the Church therein named, and acknowledged to me that the Church executed it. 0FFIE L SL7L�L S` BEFl Y ANN SP -I i MER _ I, NOTARY PUBUi CAU CRNIA � .v C:mm. expires P. No. _ NO. _.-6095-80B % `0 PERMIT EXPIRES OWNER Kingdom Hall of Jehovahs Witness j CONTR. Blalock Const.", Oroville 26-29-12 ot ASSESSOR PARCEL LOCATION NW corner of Gene Lane & ` Palermo Rd., Palermo � f f l it r. 1 Temp. Power Pole Called PG&E Temp. Elec. Service Called PG&E Temp. Gas Service CalledP &E JOB NALED (Date) Signatur J = OK 0 = Not OK - = Not Applicable . MOB•ILEHOMES MISCELLANEOUS = Not Ready c Date MOBILEHOME UTILITIES (Plans) OK except #'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 7. Utility Clearance 6. Carports; Windows -Doors 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 #'s 1. Zoning Requirements -Setbacks -Easements Card -BI Date Date Card -BI Date POOLS (Plans) OK except #'s 1, Setbacks -Easements 2. Footings; Size -Spacing -Marriage Line 2. Soils; Compaction -Structure Stability 3. Gas; MH Test -Demand -Valve -Connector 3. Pool Structure; Steel -Connections -Thickness -Dead Men -Lining 4, Elec.; Receptacles and Lighting; Distances-GFI 4. Electricity; MH Test -Crossovers -Breakers -Clearances 5.Drain; MH Test -Fall -Flex Connector 5. Elec.; Pool Lighting; 15 volts-GFI 6. Water; MH Test -Regulator -Connector 7. Water and Sewer Connected -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 B -I Date Card -BI Date Card -BI Date Card -BI Date Card B -I Date Card -BI Date Card -BI Date Card -BI Date m V = OK 0 = Not OK - = Not Applicable Not Ready RESIDENTIAL JSingle and Duplex) Date UNDERFLOOR Plans OK except #'s Date FRAMING Continued 1. Zoning requirements -Setbacks -Easements 48 Property Line Firewall & Openings 2. Ftg., Main; Soils-Steel-Elec. Grnd.- / /" Ftg. Depth 49. Ext. Doors -One 3' -Check Garage -3rd story, 2 exits 3. Ftg., Garage; Soils -Steel- / /" Ftg. Depth irs; Width -Headroom -Rise -Run -Landing -Fire Protection 4. Ftg., Porches & Decks; Soils -Steel- / /" Ftg. Depth 51. , Plywood on Roof Overhang -Attic Vents -Rafter Outriggers 5. Stemwalls, Main; Steel-Blockouts-Wrapped-Slab 52. Siding -Nailing -Veneer 6. Stemwalls, Garage; Steel-Blockouts-Wrapped-Slab 53. ktucco Mesh -Drip Screed-Fdn. Vents-Underflr. Access 7. Piers -Fireplace Ftg.-Steel 54. Glazing Area -Glass Protection -Skylights -Plastic 8. D.W.V.: Fall -Fittings -Test -2 way C/O -Sewer Test 55. hear Walls; Nailing -Bolts 9. Gas Pipe; Size -Anchors 10. Water Pipe; Test -Anchors -Regulator -Service Test 11. Electric; Underground 12. Plenums & Ducts; Clearance -Material -Support -Ins. 13. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples C d -BI &5 Dat and -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Date FINAL (P18ASf'0K except p's 56. Ext. Steps -Door & Sidelight Protection -Landings Card -61 Date Date Card -BI Date PLUMBING (Permit) OK except N's 57 Smoke Detector 14. Water Ht.; Vent -Access -Combustion Air 58. Furnace; Vents -Clearance -Comb. Air -Connector - n Garage; Above Floor-Ducts-Mech. Protection 15. Water Pipe; Test & Anchors -Nail Protection 16. D.W.V.; Test-Fttngs & Anchors -Nail Protection 59. edroom Exiting 17. Shower Pan; Test, First Floor -Tub Access 60. G.F.I. & Bath Fixtures & Tub Access 18. Test Tub & Shower, 2nd Floor -Tub Access 61. lec. Trim & Subpanel; Breaker Sizes -Labels 19. Gas Pipe; Size & Anchors 62. StAes & Rails 63. Fireplace or Stove; Clearances -Hearth 6A Elec. Outlets at Wood Panel; Int. & Ext. Card -BI Date Card -BI Date 6 Kit. Fixt. & Appliance; Grnd.-Air Gap -Cooking Clearance Card -BI Date Card -BI Date 66.1 Elec. Outlets & Receptacles at Kit. Counter Date ELECTRICAL Permit OK except q's 67.1 Garage Fire Door; Swing -Landing -Closer 68. k A.C. Duct in Garage -Damper 20. Fixture & Transformer Clearance -Ins. Protection 69. Wtr. Htr.; Vents -Clearance -Comb. Air-Connector-P.R.V.- In Garage; Above Floor-Mech. Protection 21. Elec. Receptacles Spacing -Lights &Switches at Doors 70. Plb., Elec. &Mech. Equip. Listed for Location 22. Size Boxes & No. of Conductors -Stapled 71 Elec. Receptacles in Garage; (G.F.I.)-Romex Protec. 23. Romex Installed Close to Edge of Studs & C.J. 24. Equip. Ground made up w/Mech. Fasteners -Bond Gas &Water 72. Insulation -Foam -Looked in Attic El Yes 73. Guard Rails & D onstruction-Post Caps 25. 2 Appliance Circuits in Kitchen &Conductor Size 74. dn. Vents &Crawl Hole Door -Drainage &Wood -Earth Clearance Looked under Floor ❑ Yes 26. Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / / ga. Cu or At 27. Range Circ. / / ga. Cu or AI -Oven Circ. / / ga. Cu or At, Insulated Neutral El ❑No 75. Following inslld.: Drive E] Yes ❑ No; Walks ❑ Yes ❑ No; Planters ❑Yes ❑No 28. Service -Riser Conductors & Ground -Main Disconnect 76. Stucco; Brown -Finish 29. Equip. Clearances; Panels-Motors-Mech. Equip. 77, C. Unit; Disconnect-Clrnces-Brkr. & Cond. Size -115V Outlet 30. Clothes Closet Light -Shower Light 78 Vents Above Roof; Plbg.-Appliance-Firepl.-Clearance to Opngs. 79. Water Well; Disconnect, Electrical, Plumbing 80. Exterior Elec. Trim; G.F.I. Receptacle -Underground Card B -I Date Card BI Date 81. Ventilation throughout House Card B -I Date Card -BI Date 8K Glass Protection Date MECHANICAL (Permit) OK except q's 83. Corrections from Previous Inspections 84. Gas Test -Meters Tagged; Gas -Electric 31. A.C. Ducts; Insulation & Support 85. ater & Sewer Connected -C/O to Grade -HD Approval _ 32. Vent Fan; Exhaust above Insulation 86. Energy Compliance Certificate -Other Certificates _ 33. Condensate Drain & Overflow; Size & Grade 34. Furnace -Vent; Access -Comb. Air -Return Air Vent -115V outlet 35. Attic Access & Platform if Furnace in Attic CO -BI Card -BI Date ,�' - and -BI Date Date Card -BI Date Card -BI -_Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Comments at FinaWK Date FRAMING(P s) OK except q's 3 ills; Proper Material & Anchors 37. Walls; Studs -Nailing, Spacing & Bracing -Plates -Sound _ 38. earing Walls over Girders & Floor Nailing 39. raft Stop in Walls (rat proof) t�(J 40. ire Stops; Furred Ceilings -Stairs -Chases -Tub 41. 42. 43. 44. Header & Beam -Size & Bearing _ angers -Post Caps -Anchors -Connectors Ing. Joist-Rftr. Ties-Purlin-Roof Brac.-Truss-Shthng.-Ring. Fireplace Ties or Type A Flue -Fireplace Throat 45. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 46. drm. Windows or Exiting Doors -Sill Hgt. & Dimensions 47. arage Fire Protection Framing (NOTE: An entry must be made each time you visit jobsite) 1 Ll a COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 - Telephone 916/534-4541 APPLICATION AND PERMIT PERMIT lD N0. /5-�� M ASSE O PA NUMB _ — ZONING BUILDING PERVIfl owN f� TELEPHONE SQ. FT. OCC. BUILDING ALUATION O R' I A RESS 0 T TO 'S 11SM TELEPHONE C NTR C.TOR'S AIL( ADVES Fireplace CONSTRUCTION LENDER • ®� UNKNOWN Total Valuation is Filing Fee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee $ ''lir ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ (v Penalty $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Permit fee $ BUILDI DDR�SS PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 Repair drainage or vent piping 5.00 Water piping LOT NO. SUBDIVISION NAME PARCEL MAP Each qas water heater or vent 5,00 Gas piping system 1 - 5 outlets USE OF STRUCTUN SF ❑ Duplex❑ Mobilehome❑ Other SPECT V Building sewer Lawn sprinkler system 5.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installat' n El Other Describe work: Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 8001 OR LESS 100 AMP OR LESS 5.00 y 1 cu,NEW Main service EA. ADD'L 100 AMP 2.50 CONST. (DWELLING OCCUP.y) OR ADONS. \ ACC. BLDGS. 20 Sq it ONTRACTORS LICENSE LAW I declare u der penalty of perjury (check one): I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code an my license is in full fgtce and effect. License No. Classification �j ❑ I, as the owner, or my employees with wages as their sole compen- sation'will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONSTR(MULTI-OUTLET 2,50 ea NON-RESID BRANCH CIRC ITS NEW CONST R. / POWER APPARATUS e% NON-RESID, SINGLE OUTLET CIR.. ( EX. Occup(OUTLETS OR FIXTURES 50 25 IXED APPLNS. OR EX. OCCUp.(OUTLETS (RESID.) EA. 2.00 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): El Tie permit is for $100.00 (valuation) or less. 000 1 have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. ❑ I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. Heating Cooling Hood 3.00 Ventilation Permit Fee $ Contractor 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. allso liabilities, ilree judgments, se costs,nandeex expeness the ses which may aof nyutte wayacc accrue inst 1 9 P Y Y against s!$y County in con uence of the granting of this permit. X Date aho Signature of Applicant — Owner ❑ Contractor Agent ❑ An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee $ TOTAL PERMIT FEE $ r �� °eeuP. GROUP TYPE of CONST. PAR PD MD SSU This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which DIRECTOR OF P7JBLIC BY r c PERMIT EXPIRES Date the applicable provi- resolutions to do fees have been paid. WORKS Date Receipt No. C47 D�1 WHITE-D.P.W., FELLOW-A38E960R, PINK -INSPECTOR, GOLDENROD -APPLICANT `yWorkmanship Shall Be in NOTA' All Materials & Acro`rlonce with Reco�sQ�e he Specif ed d Good c use in the of a 'juclity ore�cribeti Uniform Building, Plumbing & Machan' Codes and the Na}ional Electrical Code• This set of plansand specification 60 on the iob at all times and it is mr' ^r..nv chnnaes or rlisr-tions on sa wriffen permission from the Depaiime Works, County Qj Bet#e.. fr® BUTTE COUNTY BUILDING DEPARTMENT APPROVED Q V _ _ 2 Xfo @ib o.C._/ L Lc- Dc. ZD& 44ctoc, 6we.) bSL -TVP :bo AO'04-, /C/F r LsfTr BUTTE COUNTY BUILDING DEPARTMENT APPROVED C -M ' p-ic"Itw A ap lo�10 P? G BUTTE COUNTY AUILDING DEPARTMENT. APPROVED�� `�VTE OF TIM U A C C n •� O CER ITICATEAF a z CIN FORMANCE HECINDER. SIGNED MANUFACTURER HEREBY `CERTIFIES that the products identified below and `on attached sheets Nos. are marked with the Collective Mark of the AMERICAN INSTITUTE OF TIMBER, CONSTRUCTION (AITC) and were manufactured in conformance with applicable provisions of U. S. Product Standard PS 56-73, for Structural Glued Laminated -Timber, and.that such manufacture has been at our plant in drain, raopn 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 undersigned manufacturer further certifies that. the work has been done in accordance with the applicable job specifications. The manufacture of these members complies with the manufacturing.and fabricating- provisions .of Chapter 25 of the Uniform Building Code. T } 'JOB NAME:: TantA anal .YhAl.esll - for Ki ndgon Hall - JOB LOCATION.- ' PalerMa Calif. CUSTOMER'S ORDER NO.8963 DATE 9-14-73 MFGR'S ORDER No.4474-73 Comb1 B: WP glue Arch. Am.; B1 1; B2 2; SIGNATURE COMPANYDUCO-Lam Inc. 1 TITLEQ17a�ty Control DireCtOlbDRESSJ�D , O.BOX 297 Drain, Ore, DATE 9-14-73 x r ATC HEREB Y CERTIFIES that- the said company at its said plant is licensed by the AMERICAN INSTITUTE OF TIMBER CONSTRUCTION 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 inspected and verified by the Inspection Bureau of the AMERICAN INSTITUTE OF TIMBER. CONSTRUCTION, and that, in the judgment of the under- signed, said company is capable of complying with applicable manufacturing and testing provisions of said Standard in respect of products manufactured at said plant. Conformance'with the.Standard in respect of any specific or particular product is the sole responsibility .of the manufacturer; AITC's guarantee hereunder being that the said company is qualified to produce a product, meeting the said Standard and that its plant is periodically inspected and verified by the RITC Inspection Bureau. AITC Certificate No. 2421 Signed for AMERICAN INSTITUTE OF TIMBER- CONSTRUCTION E.ecullve Vice President Manager, Inspection Bureau �'✓("� © 1973 AMERICAN INSTITUTE OF TIMBER CONSTRUCTION AITC FORM 18-1-73 The glulam members of the job covered by this certificate are stamped with one of the following type quality marks. Each qualified plant has an individual qualification designation. The designation "P-143" shown on the typical quality marks below is not assigned to any plant and is used only for the purpose of illustration. A TYPICAL CUSTOM PRODUCT QUALITY MARK P-143 AITC designation of qualified licensed plant. QUALITY INSPECTED PS 56-73 Indicates that the designated licensed plant has met all requirements for qualification and maintains an acceptable quality control Indicates conformance to U.S. Product system which is periodically inspected by t Standard for Structural Glued Lam- AITC. inated Timber. r A TYPICAL NON -CUSTOM PRODUCT QUALITY MARK "USE" Identification of structural use, desig- nated by symbols: B—simple span bending member; C— compression member; T—tension mem- ber, CB -simple, continuous or canti- lever span bending member. AITC designation of qualified licensed P-143% plant. Designates type of adhesive, W for "SPECIES" WET USE or D for DRY USE. jj 0 . — — — — — — __ _�=I "��l LQUeALITY INSPECTED®000-00 00 F ARCH Name of wood species used. Indicates that the designated licensed plant has met all requirements for qualification and maintains an acceptable quality control system which is periodically inspected by AITC. PS 56-73 Designates appearance grade. IND— Industrial. ARCH—Architectural. PREM—Premium. Indicates conformance to U. S. Pro- duct Standard for Structural Glued Laminated Timber. Designates applicable AITC laminating specification and combination symbol; for example "117-71 2417" or "117. 713". ► For a custom product the specifications covering the desired product are included in the plans and specifications. ► For non -custom products essential detail specifications are included on stamp. Y _ A\,,rJTE OF TIM@ ITCA o I CERT/1 FICATE OF Q Z CONF 0RMAN CE ' HE UNDERSIGNED MANUFACTURER HEREB Y CERTIFIES that the products identified below and on attached sheets Nos. are marked with the Collective Mark of the AMERICAN INSTITUTE OF TIMBER CONSTRUCTION (AITC) and were manufactured in conformance with applicable provisions of U.. S. Product Standard / t PS 56-73, for Structural Glued Laminated, Timber, and that such manufacture has been at our plant in Pr-zi n,Oregen , 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 undersigned' manufacturer further certifies that the work has been done in accordance with the applicable job specifications. - The manufacture of these members .complies with the manufacturing and .fabricating provisions of Chapter 25 of the Uniform Building Code. 1 JOB NAME: Vn+4 VFk-'l 4'^,w V-4 rA--- T3a1'T JOB LOCATION. CUSTOMER'S ORDER NO.19963 DATE 9-111"73 MFGR'S ORDER NO1 1151— 3 roynhl Ra WP coluA Arrh_ ADP..- Rl I-. R2 2; SIGNATURE COMPANYDuco1 'Lam Ing, TITLEA!+ ORESSP�Ei�RAX 297 Tirfl,n Ora. GATE 9"1� AITC HEREBY CERTIFIES that the said company at its said plant is licensed by the AMERICAN INSTITUTE OF TIMBER CONSTRUCTION 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 inspected and verified by the Inspection Bureau of the AMERICAN INSTITUTE OF TIMBER CONSTRUCTION, and that, in the judgment of the under- signed, said company is capable of complying with applicable manufacturing and testing provisions of said Standard in respect of products manufactured at said plant. Conformance with the Standard in respect of any specific or particular product is the sole' responsibility of the. manufacturer; AITC's guarantee hereunder being that the said company is qualified to -produce a product meeting the said Standard and that its plant is periodically inspected and verified by the AITC Inspection Bureau. AITC Certificate No. 2421 Signed for AMERICAN INSTITUTE OF TIMBER CONSTRUCTION AITC FORM 18-1.73 Executive vice President Monoger. Inspecl.on Bureau (E) 1973 AMERICAN INSTITUTE OF TIMBER CONSTRUCTION The glulam members of the job covered by this certificate are stamped with one of the following type quality marks. Each qualified plant has an individual qualification designation. The designation "P-143" shown on the typical quality' marks below is not assigned to any plant and is used only for the purpose of illustration. �N A TYPICAL CUSTOM PRODUCT QUALITY MARK P-143 AITC designation of qualified licensed plant. QUALITY INSPECTEDJ PS 56-73 Indicates that the designated licensed plant has met all requirements for qualification and maintains an acceptable quality control system which is periodically inspected by AITC. Indicates conformance to U.S. Product Standard* for Structural Glued Lam- inated Timber. A TYPICAL NON -CUSTOM PRODUCT QUALITY MARK "USE" QUALITY / INSPECTED � 000-00 OOF ARC Indicates that the designated licensed plant has met 'all requirements for qualification and maintains an acceptable quality control system which is periodically inspected by AITC. PS 56-73 I Indicates conformance to U., S. Pro- duct Standard for Structural Glued Laminated Timber. Identification of structural use, desig- nated by symbols: B—simple span bending member; C— compression member; T—tension mem- ber; CB—simple, continuous or canti- lever span bending member. AITC designation of qualified licensed plant. Designates type of adhesive, W for WET USE or D for DRY USE. Name of wood species used. Designates appearance grade. IND— Industrial. . ARCH—Architectural. PREM—Premium. Designates applicable AITC laminating specification and combination symbol; for example "117-71 24F" or "117- 71 3". ► For a custom product the specifications covering the desired product are included in the plans and specifications. ► For non -custom products essential detail specifications are included on stamp. CA ON mum mom No FARM wimmimmmmmmmmme SHEET TITLE NO -DATE REVISION PPMECIT TffLE PALERMO KINGDOM HALL REMODEL RBCl CALIFORNIA ������ � � ! r �. a''I rlr� U��'�. �ti� ��` f. � 6Li c7 a '�. � :'1s � 4�'.: � ^ i � �f:,;iri ° �+, I�-�'�� ,� „ �� i[� ii�ir _ ... c'. f°_ � d tMli� 1� � t 1 ',, f i �� f 1 f ;� �� t"�t +r � y u y t tri._. tt 1 �aft.�.