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027-35004 =# PERMIT#97=
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RESIDENTIAL
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027-350-174. PERMIT#97-2083
PERMIT N ' COSTELLO;• Marcus —
1820 Cox Ln., Oroville
PERMIT El New Single Family -
%g
" OWNER
2 CONTR.
ASSESSOR PARCEL
e w 4.
LOCATION
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OFFICE COPY
Address
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Meter By GAS
Date
ELECTRIC,
Meter By �� Date
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tTemp. Power Pole
a Called, PG&E
'Temp. Elec. Service
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Temp. Gas Service
Called PG&E
' ';tOB FINALED(Date)
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Signature
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COUNTY.OF BUTTE - DEPARTMENTOF DEVELOPMENTSERVICES - BUIL fNG DIVISION
7COUNTY CENTER DRIVE -OROVILLE,CALIFORNIA95965-TELEPH!NEj 6)538-7541
OWNER//QrL�Id
Proposed Building Use_
PERMIT APPLICATION DATA SHEET
Building Inspector
A. P. No. 4� 7- 3.s- /-/7
R!, Date 7--2-1-q7
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 h e been submitted . ....................................... .
2. Plot plans/4 s-t� signed by preparer of plans . .......................... /0 9 9
3. Complete plans, 4 sets, signed by preparer of plans . ...................... ,Q °s
4. Engineered plans and calcs, 3/4 sets, with wet signature on plans . .............
5. Hazardous Material Form . ............................................
6. Energy Design Compliance and supporting documentation . ..................
7. Statement of Intent for Non -Heated and A/C Buildings . ......................
8. Engineered truss details and layout in duplicate (required prior to plan check). ....
9. MobilehMA2a and manuf Is installation instructions, 2 sets. ...........
19iFees of % 4 2 .................... Impact fees as shown on attached schedule. / ""°% Q� ..... .
12. -California Department of Forestry plan approv (/fees... .
* f13 Flood elevation letter (100 year floQd)�y_Qal'for ' neer. .
Sanitation and plot plan approval((-�YY VVI/� Health Department . ............ /
15. City of Chico plumbing permit . .......................................... .
16. Plot plan and business license approval from City of Biggs/Gridley.
17. Planning approval for (A) Use: (B) Parking:
�`� 18. Contact Land Development about (A) Improvements (B) Drainage. .......... .
C.)t l 19. Driveway permit (construction approval required prior to occupancy). .. .
20. Pre -inspection for P��"�ng Ins `�qO�
p required. . to Building Inspector (Date)
21. Contractor's license information. (No., Name Style, Classification) . ...............
22. Certificate of Workmans Compensation Insurance . .......................... .
23. Owner -Builder Verification (Given to owner , Mail to owner ) ............
24. Recorded copy of Agricultural Acknowledgement Statement . ..................
25. Letter of signature authorization .................................... .
26. Copy of recorded deed of parcel creation and 60 right of way to a public road. :: _ ::
27. Letter of intent on building use. �t�!#%�� .,M* I"!... _ ... - -
28. Mobilehome utility clearance . .............. F ....................... ` .. .
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 perlmits�`.......................................
32. Plan check list . .....................................................
33.
34.
Whenyou issue the r roc ss as follows: Mail owner. Mail to contractor.
Telephoned �a�1 and hold for pickup at 0 �/i� office. Deliver with inspector.
Other
Parcel Creation - 7' a 44-77
Acreage Applicant � Date
Copy of Haz-Mat form sent Health Dept. Fire Dept. Air Pollution Date
Copy of plans sent Health Dept. Fire Dept. Other Date By
The following data must be submitted
1. Index permit for above items No. _
2. Additional items required:
(Circle new item not checked above).
Contractor, designer, owner, was advised of above required data by �✓phone it •
Counter by
_ Date
Contractor, designer, owner,>mps
Plans checked by
advised of above qu. ed data by _ phone _ mail
Date Plans approved by k
Counter by
_ Date
' Date
Sets of plans on hold in File cabinet '' AP folder�
Copy - Department of Public Works
� Plot Plan Attached �
Floor Plan Attached ^�
Sent to B.D. 7
TO: ' Building Department
FROM: Environmental' Health
SUBJECT: Sanitation Clearance
Owner Location
Plan Approved for: Sewage Disposal l,.Water Supply: Public
Clearance for dwelling. Other I
Hold fin or
Final eara ce K. for:
NOTE:
v
Environmental Health Sr
8/96
AP#
Private Well
alist Date
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COUNTY OF BUTTE -DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING DIV ION
7 County Center Drive - Oroville, California 95965 -Telephone (916) 538-7 41 l7 ERM_1TU9.
(Rev.12/96) APPLICATION AND PERMIT /f j `� -
CEL NUMBER
ASSESSOR PAR27-35-174
• - '
ZONING
A-5
I DINGPERMIT
OWNER
J �' . t4 --t � `- e > / C)
TELEPHONE
9s
SO. FT. OCC. BUILDING VALUATION
1399 R 75
546.00
'OWNERS MAILING ADDRE S
ae o /t tV)q `jS' i G°
365 U 6,570.00
CONTRACTOR'S NAME
TELEPHONE -7 Ci
CONTRACTORS MAI ADDRESS n
sc- ' ool. G EI /L-' ('l
CONS RUCTION LENDER
7��',
Fireplace A 1,500.00
LENDER'S MAILING ADDRESS
41 ' > 4 S S % U IU t/0 ,1 / L
Total Valuation $ 83
616.00:
ARCHrrE& OR ENGINEER
LICENSE NO.
Filing Fee
$ 20.00
Permit Fee
$ 567.50
ARCHITECT OR ENGINEERS MAILING ADDRESS
Plan Checking Fee
$ 368.88
BUILDING ADDRESS
1820 COX LN
Energy Plan Checking Fee
$ 23.00
$
OROVILLE
PERMIT FEE
t 979.38
LOT NO.
SUBDIVISION'S NAME
PARCEL MAP
PLUMBING PERMIT
Filing Fee 20.00
USEOFSTRUCTURE
SF Duplex ❑ Mobilehome ❑ Other
SPECIFY
Each Trap
81 7.00 56.00
Solar or heat'pump water heater
23.00
Water piping
15.00 15.00
Each as water heater or vent
15-00
TYPE OF WORK
NewPrAddition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑
Describe Work: 3 RFnROOM 2 BATH
Gas piping system 1 - 5 outlets
15.00 15.00
Building sewer
15.00 15-00
Mobile Home S G W
@20.00
PERMIT FEE
$ 116
ELECTRICAL PERMIT
Fling Fee 20.00
Main Service zoo. OR mss
23.00
CONTRACTOR'S DECLARATION
I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter
(commencing with Section 7000) of Division 3 of the Business and Professions Code,
and my license is in full force and effect.PSINGow
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:
I, as owner of the property, or my employees with wages as their sole compensation,
will do the work, and the structure is not intended or offered for sale.
❑ I, as owner of the property, am exclusively contracting with licensed contractors
to construct the project.
❑ 1 am exempt under Sec. Business and Professions Code for this
reason
WORKERS' COMPENSATION DECLARATION
1 hereby affirm under penalty of perjury one of the following declarations:
❑ 1 have and will maintain a certificate of consent to self -insure for workers'
compensation, as provided for by section 3700 of the Labor Code, for the
performance of the work for which this permit is issued.
❑ 1 have and will maintain workers' compensation insurance, as required by Section
3700 of the Labor Code, for the performance of work for which this permit is issued.
My workers' compensation insurance carrier and policy number are:
Carrier
Main Service TO
200ALICENSED
46.00
NEW CONST. DWELLING OCUP.
WEE CCU
OR ADDNS. ( 8 ACC. BIDS.
3.5QF°.
74
NE COS9
N-
NOR SNDT .CTI.00IRCUT
97.50
RATUS
d E OUTERLAPPALET CIR.
Ex. Occup. OUTLET OR F°cruREs
20 @ 1.00
BAL O .50
Ex. Occup. Du"EL .Es p.°E.,
5.00
Temporary Service
23.00
Mobile Home Facilities
20.00
Misc. Wirina
23.00
PERMIT FEE
$ 104.1f,
MECHANICAL PERMIT
Fling Fee 1 20.00
Heating
Cooling
Hood
6.50
Ventilation
PERMIT FEE
$ QQ
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 c ply with those provisions.
_ 7
__ Date_ 7 _
X _rA
Signature of Applica Owner ❑ Contractor [3 Agent
An OSHA permit is re fired for excavations over 60" deep and demolition or construction
of structures over 3 stories in height.
Mobile Home Installation Fee
$
Energy Inspection Fee $
occ
CONST. TYPE
TOTAL FEE $ 1336.12
HAZ.
10. FE IMP FOOD
CDF P C PD
HD
Issu
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 Da e6 (/ ��
PERMIT EXPIRES ON �0J Z2 lei
Dafe
Receipt No. 224631 - 466.00// QI
WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR OLDENRO-A PLICANT
' .COUNTY'OF BUTTE
DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION
7 COUNTY CENTER DRIVE, OROVILLE CA 95965 TELEPHONE (916) 538-7541 '
r
SCHEDULE OF FEES DUE
OWNER /{/GI/CUS (_DS��I�D A.P. # C�_ 7+ .35_.�'(
PROPOSED BUILDING USE DATE
p, REC # DATE REC
1. BUILDING PERMIT FEES
-- Balance Due ................ $ .
-- Additional Fees Due ........... $
-- Additional Fees Due ...:....... $
-- Revised Plan Checking Fee ....... $
SCHOOL DISTRICT FEES
(paid at District Office)
3. SHERIFF FEES (paid at Building Division)`
Residential ........ x $360.00 = $ 11)(e -nip �i c C' wthn f ✓�< .
Units «.
Commercial (sq.ft)... �x $0.03 = $
Sq. Ft.
4. URBAN AREA FEES (paid at Building Division)
Residential (per unit) . x = $ `
#Units Amt.
Commercial (sq.ft.) .. x _$
Sq.Ft. Amt.
5. RECREATION DISTRICT FEES
(paid at District Office)
6. THERMALITO DRAINAGE DISTRICT FEES
425.00 (paid at Building Division)
7. SRA FIRE INSPECTION AND PLAN CHECK ,y
$89.00 (paid at Building Division) ed
8. WATER TENDER FEES (Battalion # ` )
$200.00 (paid at Building Division)
9.`CSA 87 TRAFFIC FEE
$2500.00 (paid at Building Division) '
10. OTHER
A't-time of permit application, I was advised the above fees are required to be paid prior to issuance of the
building permit. These fees may be changed during the plan checking process:,
APPLICANT - DATE 9 - -�2
Original -Owner Copy-BuildingI (Rev. 12/96)
r
OWNER -BUILDER VERIFICATION
Attention Property Owner: I -
An "owner -builder" building permit has been applied for in your name and bearing your signature.
Please complete and return this information at your earliest opportunity to avoid unnecessary delay
in processing and issuing- your building permit. No building permit will be issued until this
verification is received.-
1. I personally plan to provide the dor labor and materials for construction of the proposed
property imprroo�'�ment : YES NO D
2. I HAVE.�Y HAVE NOT i ed an application for a building e
gn pp g p rrrut 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:
NAINIE:
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:
PROPERTYOWNER:
SOCIAL SECURITY NUMBER: _ , /
DATE:
NOTE. This Owner -Builder Verification is required by Section 19831 and 19832 of the
California Health and Safety Code. This verification must he completed and
returned to our office before we are permitted to issue the permit.
OVER
OWNER BUILDER INFORNIATION
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 parry 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 vour 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:
♦ if you employ or otherwise engage any persons other than your immediate family, and the work (including materials
and other costs) is 5300 or more for the entire project, and such persons are not licensed as contractors or
subcontractors, then you may be an employer.
♦ 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.
♦ There may be financial risks for you if you do not carry out these obligations, and these risks are especially serious
with respect to worker's compensation insurance.
♦ For more specific information about your obligations under Federal Law, contract the Internal Revenue Service (and,
if you wish, the U.S. Small Business Administration). For more specific information about your obligations under
State Law, contact the Department of Benefit Payments and the Division of Industrial Accidents.
If the structure is intended for sale, property owners who are not licensed contractors are allowed to perform their
work personally or through their own employees, without a licensed contractor or subcontractor, only under limited
conditions.
A frequent practice of unlicensed persons professing to be contractors is to secure an "owner builder" building
permit, erroneously implying that the property owner is providing his or her own labor and material personally. Building
permits are not required to be signed by property owners unless they are performing their own work personally.
Information about licensed contractprs 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.
+1re Vi ira, C.B.O.,uilding Inspection
NOTE. This Owner -Builder Information is required by Section 19830 of the California Health and Safety Code
OVER
' • P%® 4_ & ng la`�
COUNTY OF BUTTE- DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION m1WO
7 County Center Drive - Oroville, California 95965 - Telephone (916) 538-7541 PERMIT NO.
(Rev. 12/96) APPLICATION AMD PERMIT 97,WKS
ASSESS? R PARCEL NUMBER _ 3
ZONING _
BUILDING PERMIT
OWNER
L- D
TELEPHONE
53V - 9S
SOFT. OCC. BUILDING VALUATION
OWNERS ADDRESS
� o Co vr.�9111,//-e SSS' 6
/399
3&5 yk
CONTRACTOR'S NAME
TELEPHONE
CONTRACTORS MAILING ADDRESS
CONSTRUCTION LENDER
LENDER'S MAILING ADDRESS
Fireplace
2l O
Total Valuation $ kt�=i
W51 10141up—
ARCHITECT OR ENGINEER
LICENSE NO.
Filing Fee
$ 20.00
ARCHITECT OR ENGINEERS MAILING ADDRESS
Permit Fee • S
$ -
Plan Ch cking Fee 3 U If$
D
BUILDING ADDRESS n/�
aO O><
Energy Plan Checking Fee
S s C--
6f
PERMIT FEE
$
LOT NO.
SUBDIVISION'S NAME
PARCEL MAP
PLUMBING PERMIT
Fling Fee 1 20.00
USEOFSTRUCTURE
SF Duplex ❑ Mobilehome ❑ Other
SPECIFY
Each Trap
e3 7.00 . j4 o610
Solar or heat 'pump water heater
23.00
Water piping
15.00 j', k -,v
Each as water heater or vent
15.00
TYPE OF WORK
New 0 --'Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑
Describe Work: �j IjGQ
Gas piping system t - 5 outlets
15.00
Building sewer
15.00 o -o
Mobile Home ISI GI W1
@20.00
PERMIT FEE
$
ELECTRICAL PERMIT
Filing Fee 20.00
Main Service eoOV OR LESS
200A OR LESS
p 23.00 �3, el
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm under penalty of perjury that 1 am licensed under provisions of Chapter
9 (commencing with Section 7000) of Division 3 of the Business and Professions Code,NNON
and my license is in full force and effect.
License Class Lic. No.
OWNER -BUILDER DECLARATION
I herebyaffirm under penalty of perjury that I am exempt from the Contractors License
P nY 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.
❑ 1, as owner of the property, am exclusively contracting with licensed contractors
to construct the project.
❑ 1 am exempt under Sec. Business and Professions Code for this
reason
Main Service 200A TO 1000A
46,00
NEW CONST. DWELLING OCCUR
OR AD DNS. ( a ACC. BLDS.
3.5Q50F.
pESID. muLT,' OurLTS ET
@7.50
PSO APPARATUS
8 SINGLE OUREi CIR.
Ex. Occup. oUTLErORFIXTURES
e20
..FIXED APpuvs. Oq
Ex. Occup. . XED RESI - R
5.00
Temporary Service
23.00
Mobile Home Facilities
20.00
Misc. Wiring
23.00
O 74
PERMIT FEE
$
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 (o p
Ventilation
3 L/5o E3 il; D
PERMIT FEE
$
Policy Number
(The above sections need not be completed 4 the permit is for work of a valuation
of one hundred dollars ($100) or less.)
❑ 1 certify that in the performance of the work for which this permit is issued, I shall
not employ any person in any manner so as to become subject to workers'
compensation laws of California, and agree that if I should become subject to the
workers' compensation provisions of section 3700 of the Labor Code, I shall
forthwith comply with those provisions.
X _ Date _
Signature of Applicant - ❑ Owner ❑ Contractor ❑ Agent
An OSHA permit is required for excavations over 5' "deep and demolition or construction
of structures over 3 stories in height.
Mobile Home Installation Fee
$
Energy Inspection Fee
OCC
CONST. TYPE
OTA FEE $
HA2. D. F IMP
FLOOD
CDF p-00.
PO
HD
bSUE
This permit is hereby issued under
of the Butte County Code and/or
indicated above for which fees have
By
PERMIT EXPIRES ON
the applicable provisions
Resolutions to do work
been paid.
Date
(Date)
rReceiptNo. a 1 3 '� , 0
HITE-D.D.S.•B.D. CANARY -ASSESSOR INSPECTOR GOLDENROD -APPLICANT
(/
RESIDENTIAL PLAN. CHECKING GUIDE
SINGLE FAMILY, DUPLEX AND MISCELLANEOUS ONLY
OWNER: Maf Ck5 COSTLiI (D BUILDINGPERNHTNUMBER:
PLAN CHECKER: M J VLI A. P. NUMBER: O a % " 3e; ` l % q
GENERAL:
Zoning requirements: (side yards and number of permitted living units).
Valuation.
Plans signed by designer.
Proper description of work on application.
Existing violations on property.
Items on data sheet, (Impact Fees, Environmental Health, Developer Fees, etc.).
Recorded notice of violation.
LOT PLAN: '
Complete parcel size and dimensions.
Setbacks, side yards, easements, etc.
Other buildings or structures.
Grading, fills and/or drainage.
Flood hazard.
Special conditions on creation map (Noise, SA.A., Fire Sprinklers, Water Tender, Trees, etc.).
F.A.U. & F.A.S. road setback.
Building or utilities across lot lines (Record form).
LOOR PLAN:
1. Complete to scale plan with dimensions.
Required windows for light and ventilation (Section 1203).
3. Required windows for second exit (Section 310.4).
1-1
Skylights (Section 2409 & 2603.7).
Glazing in Hazardous Locations (Section 2406).
Required room sizes, ceiling heights (Section 310.6).
G.F.C.I. in baths, garage, kitchen, wet bar and exterior outlets (N.E.C. 210).-
10):Lights,
Lights,switches, receptacles, and exterior receptacles for maintenance of mechanical equipment.
Location of water heaters, heating and cooling equipment, other electrical or gas equipment.
Garage firewall, door size and closer (Section 302.4).
Minimum of one 3'0" exterior door (Section 1004.6).
Fireplace and wood stove location, alcoves and clearance.
Smoke detectors (Section 310.9.1).
Plumbing fixtures, water closet clearances and shower size.
UCTURAL DETAILS:
Conventional Construction - Unusually Shaped Buildings (Section 2326.5.4).
Standard bracing or engineered design (Section 2326.11.3).
Clerestory requiring balloon framing and/or engineering.
Axe Three story building requiring engineered calculations and plans.
Foundation plan complete enough to construct building.
Floor construction details complete enough to construct building.
Elevations and wall construction details complete enough to construct building.
8. Roof construction details complete enough to construct building.
Rafter ties or bearing ridge beam.
Fireplace construction details and calc. if necessary.
Garage door and/or porch header sizes.
Stud heights.
Adobe soils - special foundation design.
4. Retaining walls requiring design.
Special Inspection requirements.
Header size.
June 1997 3.2
5.
9.
Stairway details: landings, rise and run, head clearance, handrails (Section 1006).
Guardrail details (Section 509).
Brick or stone veneer (Section 1403).
Exterior plaster - weep screeds (Section 2506).
Proper roof pitch for roof covering (Section 1501). {
Roof covering type - (fire hazard).
Foam insulation - protection.
36" halls and stairways. {
Living area over garage - complete 1 -hour separation required on garage side including supporting walls and posts.
Two exits on three - story dwellings (Section 1003).
Underfloor access and ventilation (Section 2317.7).
Attic access and ventilation (Section 1505).
Combustion air for fuel burning appliances - L.P.G. requirements.
Noise requirements on duplexes.
Energy design.
Flashing at all exterior openings.
C.D.F. responsible area requirements.
Automatic Fire Sprinkler Systems (Section 310.10)
For Insp/e6tion Jacket: --
lood Hazard/Elevation Certificate
SRA Requirements
Special Inspection Requirements
Automatic Fire Sprinklers
June 1997
3.2
N%
a
10/9/97
MARCUS COSTELLO
1820 COX LN
OROVILLE, CA 95966
Re: B.P.#97-2083
= ut a fount
LAND OF NATURA WEALTH AND' BEAUTY
BUILE ING DIVISION
DEPARTMENT O DEVELOPMENT SERVICES
7 COUNTY CENTER DRIVE OROVILLE, CALIFORNIA 95965-3397
TELEPHONE: (916) 538-7541
FAX: (916) 533-2140
A.P.# 027-35.
-174
With reference to the bove subject, attached is:
[x ] Plan Check List
[ ] Red Marked Calculations
[ ] Red Marked Plans
[ ] Other
Action Required:
[x ] Comply with PI; n Check List
[) Resubmit Plans with Revisions As Required
[ ] Return All Original Materials and Revised Plans to the Building Department
[ ] Other
Should you have any questions, please contact this office at the address or phone number
listed above.
Sincerely,
MARTHA WHITNEY - PLAN CHECKER
MARCUS COSTELLO
kiERMIT APPLICANT
ASSESSOR PARCEL N0.
027-35-174
97-2083
PERMIT NO.
DATE '10/9/97
The above referenced building plans were reviewed by this office. Provide
additional information and/or make appropriate revisions to plans,
specifications, and calculations as follows:
PLOT PLAN DOES NOT SHOW MOBIL TO BE USED AS STORAGE BUILDING. SUBMIT NEW PLOT
PLANS (3) SHOWING ALL STRUCTURES. SHOW STREET.
KITCHEN AND BATHROOM MUST BE REMOVED.FROM MOBIL TO USE AS STORAGE BUILDING.
/ DISCONNECTION ONLY IS -NOT ADEQUATE.
�3. PROVIDE A WINDOW IN LIVING ROOM THAT IS AT -LEAST -29 SQUARE FEET.
REVISE ENERGY CALCS USING CORRECT SIZE WINDOW PER #3 ABOVE.
PROVIDE LOCATION OF FURNACE. IF LOCATED IN ATTIC HAVE TRUSS SIZED FOR
MECHANICAL LOAD.
Ja! BUILDING IS NOT BRACED CONVENTIONALLY. YOU HAVE A ROOF THAT IS NOT SUPPORTED
ON A BRACED WALL LINE -CARPORT. PROVIDE LATERAL ANALYSIS FROM A LICENSED
PROFESSIONAL.
I
MARTHA WHITNEY - PLAN CHECKER
If .you wish to discuss any requirements, you may contact me at (916) 538-7541
between 1:00p.m. and 4:00 p.m., Monday through Thursday.
BUTTE COUNTY SCHOOLS IMPACT FEE CERTIFICATION FORM (� _ O 01
(One form per Buildtn� CJ�y�
School District �/� i//(j Building Department No.
A.P. Number ! Jurisdiction: City ® County /J
Property Owner ///Cli „r 5 I f f /D / / � 't—*174 V- % XJ 7-f4DAA y 1 e .S l t' .Q
Property Location/Address �� r\x �t�. ��(� I/,,
ti
Subdivision Lot No. Z 3 115
Residential .evelopme E Sq. Footage
II ti 6a� � -e-
Commercial/industrial
� No o Living Mobile Home Addition (Group R)
Commercial/Industrial
Building Department
istrict Ident
(Street
Units Installation
New
Addition
(Floor Plans reviewed by School District Personnel)
No. 980038
f ( [G N School District certifies that
(City)
has complie ith the requirements of Resolution No.
representing 7 75— square feet.
k--, ti `�
School District Representative
Paid by Check N
Sq. Footage
Roofed Areas)
Date
pli
(Phone Number)
(Zip Code)
90 by payment of $ 1426.60
B 2926 $
[FULL MITIGATION $
A . Date
9/
Notice: You maypfotest the imposition of the fees identified above y su�ting a written protest to the District, in compliance with
Government Code ction 66020(a), within 90 days from the date f es are paid. Failure to submit a timely written protest will prohibit
you from challenging the imposition of the fees in any court action. "
If, subsequent to the School District Representative signing this Butte County SchoolImpact 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 feeAto fully mitigate its impact on the school district's schools.
White pl'cant), Ilow (building departure t) ink �chgd),strict) \ fe 2/97)dmm
ff 1 A ^��
I
Richards Door Shop
�iU: rL--s
9163423765
112 P61
P.01
MAY 14 ' 98 14:59•'
The Challenge 20 Minute Fire Door has been tested and certified by Warnock Hersey International
The tests were conducted in accordance with the eriteri3 specified in ASTM E-152, U.L.10B, NFPA
CSFM43.7. USC 43.2, and CAN4 S-104 for 20 minute rated fire resistant auemblies. Warnock He
International Inc. acknowledges product certification with the use of a special W H 1 Label. These la
have been granted to Challenge Boor Company and are displayed on the edge of the door, di=dy be
the top hinge.
WARNOCK Challenge
HERSEY Door
W 1""VCompany
LO VIAoo
S Dr
® � ! Ti�O L1cON1eR, tit. x( o
JW
H r* HI- SULPIIua SPRINGS, T=. 73487
'dWWVN1ATC1ITHROW 1319cit
AMOvr.D HARDWARX aaQUIRt0
SINOI. MNOONLY ADIVISION OF JELD•WEN COR PO RATIO,-( J
QQbjSTRUCTTnN
Challenge 20 Minute Fire Doors ars con-
structed of.
-24 gauge galvanized steel.
-Inner steel surfaces coated with epoxy
primer.
-Outer surfaces receive two coats of baked
erusmcl.
-Stud W004 lock blocks,
w4jildi,
1 11/64 T_
1 1/4
CHALLENGE ® Section: VII Eire Doors
Effective: 6 April 1992
Part of the JELD-WEND Family. Page: 6 .
"'the Perfect Fit"•
Insulation Certificate
BUILDING , OWNER : - = L l U BUILDING PERMIT #
BUILDING LOCATION: 13 ZO Cax' CU(_(
Description of Installation
ROOF
Material
Thickness (inches)
Brand Name
Thermal Resistance (R -Value)
.
CEILING
nn
' L M
Brand Name ou L
Blanloet T hi (��
Yp�
Thickness ('inches)
,�C
Thermal Resistance_(R-Value) lot
Loose Fill Type
Contractor's minimum installed weight
Brand Name
lb Minimum thickness inches
Manufacn=ls installed weight per square foot to acheive Thermal Resistance (R -Value)
EXTERIOR WA
Material $drtT �1g1r1'LC�-ti��S
Brand Name �oAr-? MA�.tIL.L+� -
Thickness (inches) 3 r---
Thermal Resistance (R -Value) _ 1
RAISED FLO
FtS
Brand Name
serial
Thermal Resistance (R -,Value)
Thickness (inches) l'o
SLAB FLOOR
Material
Thickness (inches)
Width (inches)
FOUNDATION WALL
Material
Thickness (inches)
Declaration
Brand Name
Thermal Resistance (R -Value)
Brand Name
Thermal Resistance (R -Value)
I hereby certify that the above insulation was installed in the building at the above location in conformance with
the current Building Energy Efficiency Standards for new residential buildings contained in Title 24 of the
Califrtnia Administrative Code.
�N S't N (.t =Q (VJ
General Contractor (Builder)
O Gt1.v�
Signature and Title
Sub-Contr for (Insulation Installer)
Signature and Title
License Number
Date
' ,,�Vl,q—
License Number
Date
THIS CERTIFICATE MUST.BE PROVIDED TO THE BUILDING DEPARTMENT PRIOR TO FINAL INSPECTION,
APPROVAL AND A COPY SHALL BE POSTED WITHI
JAR N L� BUILDING.
UNDERWRITERS' I.ABORATORIES. INC.'
CIAILINED
MINERAL AND FIBER BOARDS
co-I-li of O -I. len to I, Io..... Issue -o 11.e1-
s
,,•FIRE HAZARD CLASSIFICATION
�M, .ve o. .m .o. u•n•no no o•.•
NATURAL PRIMED
'A. FLAME SPREAD ........1........ 25 20
FUEL CONTRIBUTED ........... 0 0 '
SMOKE DEVELOPED ........... 20 0
SEE U.L. CLASSIFIED BUILDING MATERIALS INDEX
code compliances
BSA Approval, New York City,
Calendar No. 540-72 SM
BOCA Research Report #73-87
UL Report No. R-5268
Federal Spec. SS -S-1 118A; Class "25"
SBCC-Report 8653
advantages
Fire rated N.C.F.R.0 Homasote is relatively
lightweight, easy to work and handle. It can
be cut, shaped and made to follow moder-
ate bends without cracking or splintering. It
can be attached to conventional framing with
nails or by glue -nailing. The larger size panels
will reduce application time and costs.
sizes (Nominal)
Other sizes available on request.
material composition
Fire rated N.C.F.R.® Homasote is made with
100% recycled, all wood fiber material com-
pletely impregnated with fire retardant
chemical ingredients, treated for protection
'against termltes,"rot, fungus, and moisture'
absorption, and compressed into high density,
structural exterior building board.
physical data
in weather -capped shipping units until ready
for use. If no shelter is available, and panels
must be stored at ground level, stack on
skids 8' above grade and cover with poly-
ethylene film or similar device -Provide for
ventilation to prevent condensation. Rain or
snow will not normally damage weather
resistant N.C.F.R.0 Homasote, but panels
must be installed in a dry condition only.
61:W 11
inten
To prevent condensation damage within
walls, it is good building practice to install a
vapor barrier in buildings Inhere the January
mean temperature falls below 40 OF.
general application
instructions.
instructions. '
Continuity of Fire-Rating—N.C.F.R.0
Homasote is a Low Fire Hazard substrate
for a variety of exterior or interior finishes.
Any component added toCr structurally
combined with N.C.F.R.0 Homasote when
used as a siding, paneling, or underlayment
should be Fire Hazard Classification rated
to maintain continuity. f
N.C.F.R.0 Homasote as a substrate is avail-
able with the following decorative finish fac-
ings: Burlap, and 3 varieties of Cork: The
total component paneling maintains.a Class
"A" Fire Hazard Rating, also available prime
coated on one side with white acrylic latex
paint, with Class A rating.
• Density, Ib./ft.3 ..................... 34-40
Tensile parallel to surface, psi (min.).. 400-700
Transverse M.O.R., psi (min.) ....... 600-950
Hardness, lbs. (Janka Ball) (min.) ........ 275
Water absorption by vol. (max.) - '
(2 hrs. immers.) ....................5%
(24 hrs. immers.) .................. 14%
Expansion from 500/o-90%
rel. hum. (max.) .................. 0.30%
Noise Reduction Coefficient ............ 0.20
R-value............................0.85
architectural
specification (short form)
All as shown on drawings
shall be Class A Fire Rated N.C. F.R.® Homa-
sote panels, natural or primed white, as
manufactured by The Homasote Company,
West Trenton, N.J., and installed in accord-
ance with current Homasote instructions.
general application data
Job Conditions -Temperature & humidity
conditions closely approximating those
which will exist when building is occupied
shall be maintained before, during and after
the application of N.C.F.R.® Homasote Panels.
Installations shall not be made when build-
ing is excessively cold, hot and/or damp.
Building Site Storage—Protect N.C.F.R.®
Homasote, as any valuable building product,
from inclement weather by storing on a
dry platform under shelter. Keep protected
N41-381.8 PRINTED IN U.S.A. FEBRUARY 1992
Framing—Walls: not to exceed 16" o.c. Ceil-
ings and soffits: not to exceed 12" o.c. for
panels 1/2" thick.
Exteriors—Panels may be applied over
wood sheathing or direct to framing by glue -
nailing or with nails only. All exposed joints
must be gapped 3/16' and sealed with caulk-
ing and covered with battens. See Homasote
Installation Instructions, H-8-252-3 for
glue -nailing or nailing procedure and joint
details.
Interiors—Apply direct to framing or solid
furring by glue -nailing or with nails only.
Panels may be applied to old masonry walls
by glue -nailing provided old walls are flat and
solid. Butt joints must be gapped 3/16" with
3/8" gaps at floor, ceiling and abutting fram-
ing. See Homasote Installation Instructions
H-8-252-3 for glue -nailing or nailing pro-
cedure and joint details.
Finish Paneling, or Siding—Any wood or
hardboard finish paneling, or metal or vinyl
siding to be applied over. N.C.F.R.m Homasote
must be installed with nails of sufficient length
to penetrate through the Homasote and anchor
into framing 1 'minimum.
Underlayment on Wood Stib•Flooring—
Where used as underlayment, fire rating can
only be maintained when fire rated carpet
and pad are used.
Sub -floor must be flat (not cupped), dry, level
and securely fastened to joists. Shim or sand
sub -floor as necessary to provide a flat surface
continuity for N.C.F.R.0 Homasote panels.
Panels may be applied with APA approved
decking adhesive and nails, or with nails only.
Gap all abutting edges 3/16" and keep edges
3/8" from all walls and partitions to avoid
damage from expansion or contraction.
See Homasote form H-8-252-3 for under-
layment installation and floor covering
application instructions.
_HOMIASOTE -INSTALLATION INSTRUCTIONS -
/L • WALL SHIELD IS INTENDED FOR USE WITH UL US' ED eULIO• `
NON-hASBESTOS ESIDENTIAL TYPE STRUCTURES TYPE ROOM HEATERS & UST1D FIREPLACE STOVES IN
WALL PC. MUST IM! 3P OUT I' FROM WAIL W UL
'AFMIOVM','NON•OOMVATf g', SPACER$ ATTACHED.TO
C VAM AND WALL OMD AS SPISC PIED BY MANUFACTURER
• iooeFacl6D SPACE0.t.�t'�SGC}LWo-. �•?�`£!V:°' "'
'lv WAIl'BWEW YUBT EB SPACED A YdIMUM OF T• AND IIAX•
,l
-WAtl•,SNIELDIIST
LT'®REND TO*A MDUMUOF M t' AND A
■ ■r
■CMA1dMUM.OF.r Br3Aw t”?' :•,`.: •••
WA L �f�l'l1ELD OR
SHIELD MUST EXTEND AT LEAST a TO E SIDE,
M
OF THE PROTECTED AREA OF THE BACK OF THE STOVE
FLU
• PANELS ARE ADPROVED FOR USE WITH VERTICAL FLUE IN-
USTED91G7 NRU SHIELD.O�LY NOTT FOR USE WHERE FLUE PASSES
e
I
,
I_
sizes 4'x4', 4'x8', 4'x10'
N
Wetpht
;
oa
I�'
Thickness
Width Lengths
IIIJ.4 E.
Flnlah
soDL
A Itwm•
4, 4', 8'
nffiurelar
1/2"
10',12'
1.5
primed white
8' 1 12'
naturelDnty
Other sizes available on request.
material composition
Fire rated N.C.F.R.® Homasote is made with
100% recycled, all wood fiber material com-
pletely impregnated with fire retardant
chemical ingredients, treated for protection
'against termltes,"rot, fungus, and moisture'
absorption, and compressed into high density,
structural exterior building board.
physical data
in weather -capped shipping units until ready
for use. If no shelter is available, and panels
must be stored at ground level, stack on
skids 8' above grade and cover with poly-
ethylene film or similar device -Provide for
ventilation to prevent condensation. Rain or
snow will not normally damage weather
resistant N.C.F.R.0 Homasote, but panels
must be installed in a dry condition only.
61:W 11
inten
To prevent condensation damage within
walls, it is good building practice to install a
vapor barrier in buildings Inhere the January
mean temperature falls below 40 OF.
general application
instructions.
instructions. '
Continuity of Fire-Rating—N.C.F.R.0
Homasote is a Low Fire Hazard substrate
for a variety of exterior or interior finishes.
Any component added toCr structurally
combined with N.C.F.R.0 Homasote when
used as a siding, paneling, or underlayment
should be Fire Hazard Classification rated
to maintain continuity. f
N.C.F.R.0 Homasote as a substrate is avail-
able with the following decorative finish fac-
ings: Burlap, and 3 varieties of Cork: The
total component paneling maintains.a Class
"A" Fire Hazard Rating, also available prime
coated on one side with white acrylic latex
paint, with Class A rating.
• Density, Ib./ft.3 ..................... 34-40
Tensile parallel to surface, psi (min.).. 400-700
Transverse M.O.R., psi (min.) ....... 600-950
Hardness, lbs. (Janka Ball) (min.) ........ 275
Water absorption by vol. (max.) - '
(2 hrs. immers.) ....................5%
(24 hrs. immers.) .................. 14%
Expansion from 500/o-90%
rel. hum. (max.) .................. 0.30%
Noise Reduction Coefficient ............ 0.20
R-value............................0.85
architectural
specification (short form)
All as shown on drawings
shall be Class A Fire Rated N.C. F.R.® Homa-
sote panels, natural or primed white, as
manufactured by The Homasote Company,
West Trenton, N.J., and installed in accord-
ance with current Homasote instructions.
general application data
Job Conditions -Temperature & humidity
conditions closely approximating those
which will exist when building is occupied
shall be maintained before, during and after
the application of N.C.F.R.® Homasote Panels.
Installations shall not be made when build-
ing is excessively cold, hot and/or damp.
Building Site Storage—Protect N.C.F.R.®
Homasote, as any valuable building product,
from inclement weather by storing on a
dry platform under shelter. Keep protected
N41-381.8 PRINTED IN U.S.A. FEBRUARY 1992
Framing—Walls: not to exceed 16" o.c. Ceil-
ings and soffits: not to exceed 12" o.c. for
panels 1/2" thick.
Exteriors—Panels may be applied over
wood sheathing or direct to framing by glue -
nailing or with nails only. All exposed joints
must be gapped 3/16' and sealed with caulk-
ing and covered with battens. See Homasote
Installation Instructions, H-8-252-3 for
glue -nailing or nailing procedure and joint
details.
Interiors—Apply direct to framing or solid
furring by glue -nailing or with nails only.
Panels may be applied to old masonry walls
by glue -nailing provided old walls are flat and
solid. Butt joints must be gapped 3/16" with
3/8" gaps at floor, ceiling and abutting fram-
ing. See Homasote Installation Instructions
H-8-252-3 for glue -nailing or nailing pro-
cedure and joint details.
Finish Paneling, or Siding—Any wood or
hardboard finish paneling, or metal or vinyl
siding to be applied over. N.C.F.R.m Homasote
must be installed with nails of sufficient length
to penetrate through the Homasote and anchor
into framing 1 'minimum.
Underlayment on Wood Stib•Flooring—
Where used as underlayment, fire rating can
only be maintained when fire rated carpet
and pad are used.
Sub -floor must be flat (not cupped), dry, level
and securely fastened to joists. Shim or sand
sub -floor as necessary to provide a flat surface
continuity for N.C.F.R.0 Homasote panels.
Panels may be applied with APA approved
decking adhesive and nails, or with nails only.
Gap all abutting edges 3/16" and keep edges
3/8" from all walls and partitions to avoid
damage from expansion or contraction.
See Homasote form H-8-252-3 for under-
layment installation and floor covering
application instructions.
_HOMIASOTE -INSTALLATION INSTRUCTIONS -
/L • WALL SHIELD IS INTENDED FOR USE WITH UL US' ED eULIO• `
NON-hASBESTOS ESIDENTIAL TYPE STRUCTURES TYPE ROOM HEATERS & UST1D FIREPLACE STOVES IN
WALL PC. MUST IM! 3P OUT I' FROM WAIL W UL
'AFMIOVM','NON•OOMVATf g', SPACER$ ATTACHED.TO
C VAM AND WALL OMD AS SPISC PIED BY MANUFACTURER
• iooeFacl6D SPACE0.t.�t'�SGC}LWo-. �•?�`£!V:°' "'
'lv WAIl'BWEW YUBT EB SPACED A YdIMUM OF T• AND IIAX•
,l
-WAtl•,SNIELDIIST
LT'®REND TO*A MDUMUOF M t' AND A
■ ■r
■CMA1dMUM.OF.r Br3Aw t”?' :•,`.: •••
WA L �f�l'l1ELD OR
SHIELD MUST EXTEND AT LEAST a TO E SIDE,
M
OF THE PROTECTED AREA OF THE BACK OF THE STOVE
FLU
• PANELS ARE ADPROVED FOR USE WITH VERTICAL FLUE IN-
USTED91G7 NRU SHIELD.O�LY NOTT FOR USE WHERE FLUE PASSES
e
I
,
I_
sizes 4'x4', 4'x8', 4'x10'
Box 7240, W. Trenton, NJ 08628-0240
iJ
homasote ,!
C O M P• A N Y
Phone: (609) 883-3300 Fax: (609) 530-1584
J
N
ENVIRON
MENTAL
;
oa
I�'
SAFE
:
NO m2DlI,VDL!
soDL
A Itwm•
•roal ,.„ •"
.
Box 7240, W. Trenton, NJ 08628-0240
iJ
homasote ,!
C O M P• A N Y
Phone: (609) 883-3300 Fax: (609) 530-1584
J
RESIDENTIAL
:`-
PERMIT NO.
PERMIT EXPIRES �::i2 2—
OWNER
i' CONTR.
/
'.ASSESSOR PARCEL /
LOCATION
P.
x�
vi.
,4
s Temp. Power Pole
Y .
V Called PG&E
U-t;Temp. Elec. Service
Called PG&E
Temp. Gas Service
r
Called PG&E
.JOB FINALED (Date)
Signature
c
V=OK
O = Not OK
NotApplicableMOBILE HOMES
Date
MOBILE HOME UTILITIES (Plans) OK except #F's
Card B-1 Date Card B-1
1. Zoning Requirements - Setbacks - Easements
MOBILE HOME INSTALLATION (Plans) OK except #'s,
2. Soils; Special MH Support Sketch
1. Zoning Requirements Setbacks Easements
3. Sewer, Locatiort-Test-Fall-C/O-Concrete
2. Footings; SbL- Spacing -Marriage Line
4. Water, Location -Test -Easement Needed (Sketch)
3. Gas; MH Test DernarKWalve-Connector
5. Electricity; Location-Clearances-Gmd-/ /Amp -Concrete
4. Electricity; MH Test•Crossovem-BreakersClearances
6. Gas; Location -Test -Wrap; / /'Lift
/ /Nat or/ It'(t/ /LPG
5. Drain; MH Test-FalWlex Connector
7. Well Clearance & Disconnect
8. Utility Clearance
Date
Card B-1 Date Cana 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; SbL- Spacing -Marriage Line
3. Gas; MH Test DernarKWalve-Connector
4. Electricity; MH Test•Crossovem-BreakersClearances
5. Drain; MH Test-FalWlex 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 Only: License Decal
Date
Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1
r
MISCELLANEOUS
Date
DECKS. COVERS. CARPORTS, GARAGES (Plana) OK except #'s
1. Zoning Requirements -Setbacks -Easements
2. Footings; SoilsSme-DepthSpacing-ConnectorsSteel
3. Decks; Girders and/or Joists Decking-BracingStairs-Rails
4. Wood Awn.; PostsBeams-RfOra.-Connectors
Shtt g,-Rfg.-Bracing
5. Alum. Awn.; ColumnsConnectionsSplice•Decal-Enclosures
s. Carports; Windows -Doors
7. Electric
8. Fang.; SdsAnchorsStuds-Rftrs•Trusses
9. Siding; Naifing-VeneerShxco-Mesh
10. Roof; ShdV-Roofing
11. Ext; Steps -Doors -Landings
12. Braced Wall.Pan als
Date
Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1
Date
POOLS (Plans) OK except B'a
1. Setbacks -Easements
2. Soils; Compaction -Structure Stability
3. Pool Structure; Steel-ConnectionsThickness
Dead Men -Lining
4. Elec.; Receptacles and Lighting, Distance•GFI
5. Elec.; Pod Lighting; 15 Volts -GR
6. Else.; Enclosures; Conduit EntriesTerminalsUsted
7. Elec.; Bonding; Metal w/6 -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. Pluinh.; Cir. TesEWater Supply Test
11. Lot Niche
Date
Card B-1 Date Card B-1
Date
Card B-1 Date Card 0-1
O = Not o OK RESIDENTIAL
- = Not Applicable
= Not Ready r a
Date UNDERFLOOR (Plans) OK except #'s
j. ning-Setbacks-Easments-FloodSlope
FW., Main; Soils-Elec. Gmd. / i Ftg. Depth
Ftg. Garage; Soils-Steel-Elec. Gmd/ C Ftg. Depth
Ftg. Porches & Decks; SoilsSteel-/ p Ftg. Depth
5. Stemwalls, Main;'Stee4-Blockouts4Nrapped
6. Stemwalls, Garage; Steel-Blockouts-Wrapped
6a. Hold Downs and Special Anchors .
Steel -Wrapped
8. Piers -Fireplace Ftg.-Steel
i,, WV.; Fall -Fitting -Test -2 Way C/0 -Sewer Tey
0. UF. Gas Pipe; Size Anchors - Yard G aping; Si a-sst
V--_1 1. Wa r Pipe; Test -Anchors -Regulator -Service Test
VolflectricUnderground
13. Pienums & Ducts; Clearance -Material -Support -Ins.
L- U. Girders -Sills -Anchor BoltsJoists Vents-Crippies
fj 5. Access & Ventilation
16. Insulation
Date - U Card B- Date 57-/ Card B
Date and 8 ate Card B-1
Date PLUM er OK except #'s
,V. Water .; Ve ccess-Combustion Air Baffle
Water Pipe; Test & Anchor -Nail Protection
19. D.W.V.; Test Fittings & Anchor -Nail Protection
20. Shower Pan; Test, First Floor -Tub Access
21. T ub & Shower, Second Floor -Tub Access
Gas Pipe; Sixe & Anchors
Date
Card B-1 Date Card B-1
Date /a�%�
Card B-1 Date Card B-1
Date
ELECTRICAL (Permit) OK except #'s
• Fixture & Transformer Clearance -Ins. Protection
24.
ec. Receptacles Spacing -Lights & Switches at Doors
5.
Boxes & No, of Conductors Stapled
Romex Installed Close to Edge of Studs & C.J.
2Z_.Equip.
Ground made up w/Mech Fastners-Bon Water:•-
tll�28.
2 Appliance Circuts in Kitchen & Conductor Size - l
29.
Subfeed Wire Si / / ga. Cu or AI-A.C. Wire Size / / ga Cu or AI
Range Circ. / 0/ ga Cu or AI -Oven Circ. / / ga Cu or AI
Insulated Neutral n Yes n No
31. Service -Riser Conductors & Ground -Main Disconect
32. Equip. Clearances Panels -Motors -Meeh. Epuip.
33. Clothes Closet Light -Shower Light -Spa Light
L/34. Smoke Detector
Date Card B-1 Date Card B-1
Date Card B-1 ILII Date Card B-1
Date MECH AL (Permit) OK except #s
r. 35. A.0 cts Insulation & Support
nt Fan, Exhaust above insulation
Condensate Drain & Overflow, Size & Grade
JV
Fumance-Vent Access -Comb. Air -Return Air Vent 115 outlet
39. Attic Access & Platform if Furnace in Attic
Date Card B-1 Date Card B-1
Date / ,*, Y% Card B-1 &4 Date Card B-1
Date FRAMING (Plants) OK except #'s
Sits Proper Materials & Anchors
Z/ malls Studs -Nailing Spacing & Braces -Plates -Sound
t/ 42 hg Walls over Girders & Floor Nailing
Stop in Walls (rat proof) a_ Z
)-tea- re Stops, Furred Ceilings -Stairs -Chasers -Tubs
x/45. Headers & Beams -Size & Bearing
(Single & Duplex)
Date FRAMING (Continued)
ing. Joist-Rftr. Ties-Purlin-roll Brac: TrussShting.-Rfng.
fireplace Ties or Type A Flue -Fireplace Throat clearance
Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles
/ 50. Bdrm. Windows or Exiting Doors -Sill Hgt & Dimensions
ti •�f.�arage Fire Protection Framing
r'rry Line Firewall & Openings
u/53. E)S Doors -One 3 -Check Garage 3rd Story, 2 Exits
Protection
L,,�'- 65. Plywood on Roof Overhang -Attic Vents -Rafter Outriggers
56. Siding -Nailing Veneer
57 Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access
58. Glazing Glass otectio -Skylights-Plastic
59. Sh %13
I&OWor Wall Panels
nsulation-Walls-Ceilings P_ ( L__---52. Infiltration -Walls -Windows
Date Card B-1 R.Date a,� Z _ 98'Card B-1
Date ��iZ�Tgs 6- Card B-1 A.I� Date ,2„/0 t?113-Card B-1
Date FINAL (Plans) OK except #'s
d6S. Furnace; Vents -Clearance -Comb, Air-Conector-
I e; Above Floor -Ducts -Meth. Protection
Bedroom Exiting
Bath Fixtures & Tub Access -Spa
Trim & Subpanel, Breaker Sizes & Labels
Stairs & Rails
it lace or Stove, Clearance -Hearth
Alec. Outlets at Wood Panel, Int. & Ext.
`M-, . Ki . & Appliance; Ground: Air Gap -Cooking Clearance
<Outlets & Receticales at Kit. Counter
'
ara a Fire Door; Swing -Landing -Closure
7 y am per
6. tr. Htr.; Vents -Clearance -Comb. Air Connector-P.R.V.
I ara e; Above Floor -Meeh. Protection
Plb., Elec. & Mech. Equip. Listed for Location
7
Receptacles in Garage G.F.I. -Romex Protection
I tion -Foam -Looked in Attic
Gins & Deck Construction -Post Caps
44"fdn. VBents & Crawl Hole Door Drainage & Wood -Earth
Clearance Looked under Floor es
82. Following Instld./Drive 0 Yes fflloXialks 0 Yes lanters 0 Yes o
cW Rt, -Rmu -Fnieh
Electrical -Plumbing
Above Roof, Plbg-Appliance-Fireplace-Clearance to Openings
Wya er Well, Disconnect, Electrical, Plumbing
✓e'TExteri ,Elec. Trim, G.F.I. Receptacle -Underground
er�plation Throught House
tBV-Glass Protection
90. Corectio from Previous Inspections
91. Ga st-Meters Tagged, Gas -Electric
92. Ydter & Sewer Connected -C/O to Grade -HD Approval
nergy Compliance Certificate -Other Certificates
Da C Card B-1 Date Card B-1
Date �:2 1 1 ward B Date Card B-1
Date Card B-1 Date Card B-1
Comments at Final:
.y - .r � _ �:� ,,,,;..--: ��.-0..•,:�-•�-r�-:,.E`r' __ ,rr - y r. -a'..,. -,s ri-`"^ ,.. .ten--.-�-a...,_-.rte -.r... �
a �
COUNTY OF BUTTE
a BUILDING DIVISION
DEPARTMENT OF DEVELOPMENT SERVICES
.. - 411 Main Street, Chico, CA - (916) 891-2751
>, 7 County Center Drive, Oroville, CA - (916) 538-7541 ' v
CORRECTION NOTICE
N'7 7-2 ja
F
ONNW 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 contact this office immediately.
tJas h,.
1
C -U -r c_a_. Ceti
�1�,�•�v�t�� o �, �v �'�,K G$,� �
T WIT K ' r. ,o_ A a 4J, -
n/
Date S Inspector
REV 10/
-.r`.i•-"°.-c.�+-'-^tz�'—itt,^8i"--^i'tAjt-.,�.�+'a�v._r"n"`ti.T°•--r•e�•�-d:s,s,Tt"!t„•.e«+.-r.;*-_s
` COUNTY OF BUTTE
€, ft BUILDING DIVISION
rF DEPARTMENT OF DEVELOPMENT SERVICES
411 Main Street, Chico, CA-, (916) 891-2751
`' 7 County Center Drive, Oroville, CA - (916) 538-7541
r'- CORRECTION NOTICE
PERMIT NO.
?en indicates that the following violations of Butte County Ordinances exist at
E!ss and should be corrected. Please notify this office when correction of work
you have any questions pertaining to this matter, or need additional explanation,
this office immediately. '
Date �J / 9 0 Inspector
"= REV 10/92
r'
0
-11,-
k SS P
L-
,� �; _,., ,e.r �r �_. , q� "'--� :a+�•'��t,,.F" Y a '�' : '`.«----•`'.'� ^ii':' . ,r -'i ,z S.�„x---•.: .. _ r ...TM
r, COUNTY OF BUTTE !
BUILDING DIVISION
—DEPARTMENT OF DEVELOPMENT SERVICES
�l.
411 Main Street, Chico, CA - (916) 891-2751
?i 7 County Center Dr-ivy,Oroville, CA - (916) 538-7541
CORRECTION NOTICE
�o 5 'g, 97-,�2o93
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 thi_s'matter, or need additional explanation,
please contact this office immediately,.
L-
Date Inspector [/SSPI�i
REV 10 2 I
COUNTY OF BUTTE
BUILDING DIVISION
DEPARTMENT OF DEVELOPMENT SERVICES
411 Main Street, Chico, CA - (916) 891-2751
7 County Center Drive, Oroville, CA - (916) 538-7541
CORRECTION NOTICE
/" IDS/0 92 ,D 93,
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 contact this office immediately -7--
M
11
Date '6 Inspector I& 51-
REV 10/9 ;,
M
1
COUNTY OF BUTTE
_n\ BUILDING DIVISLON
DEPARTMENT OF DEVELOPMENT SERVICES
411 Main Street, Chico, CA - (916) 891-2751
7 County Center Drive, Oroville, CA - (916) 538-7541
CORRECTION NOTICE
PERMIT NO.
A routine i/.-,Iou
'6dicates that the following violations of Butte County Ordinances exist at
the above d should be corrected. Please notify this office when correction of work
is completeave any questions pertaining to this matter, or need additional explanation,
please conffice immediately.
,,, REV 10/91
r-
RESIDENTIAL_
X027=s0-174
COSTE L0, RITA
1820 COX LN, OROVILLE
M UTILITIES
i
OFFICE COPY 1
1 i
Address �
7 GAS
pate J3_P
�.. Meter BY
"J3
ELECTRIC pat
k, 1 Meter BY
i
71
�' did /'/�✓h.� �D/1 � ��� ��� �a
i
JOB FINALED (Date)
1' Signature
r
11
W.FrAllo"m"
N
i y
J=OK
O= Not OK j
=Not Applicable
=Not Ready. MOBILE HOMES lj
'
Date 1M_0iHLE HOME UTILITIES (Plans) OK except #'s i
1.�ng Requirements -Setbacks -Easements I
"Soils; Speciai MH Support Sketch
.Sewer cation -Test -Fall -.C/0 Concrete
ate ocation-Test-Easement Needed (Sketch)
ctr' 'ty;'Location-Clearences-Grnd-/ /Amp -Concrete
s; Location -Test -Wrap: / /"L" ft.
J /" at. or/ /" L" ftJ /"LPG
ell Cleara6ce & Disconnect
Utility Clearance
t'f .
Da ( Card -B-1,'` Date Card B-1
Date Cardr6-1 ,Date Card B-1
Date MOBILE HOME INSTALLATION (Plans) OK except #'s
1. Zoning Requirements -Setbacks Easements
2. Footings; Size -Spacing -Marriage Line
,' as rest-Demand-Valve—Connector
Elec 'city;,_MH Test -Crossovers -Breakers -Clearances
rain; M est -Fall -Flex Connector
" er; H Test -Regulator -Connector
ater and Sewer Connected -C/O to Gra a -HD Ap roval
`/8, Gas and Electricity Tagged
s 6 Insp.-Sketch 4
iO.'Cert. of Occupancy
Date _.`Card B Date Card B-1
Date `t _'?� Date Card B-1
MISCELLANEOUS
Date DECKS, COVERS, CARPORTS, GARAGES, (Plans)OK except #'s
1. Zoning Requirements -Setbacks -Easements
2. Footings; Soils -Size -Depth -Spacing -Connectors -Steel
3. Decks; Griders and/or Joists -Decking -Bracing -Stairs -Rails
4. Wood Awn.; Posts-Beams-Rftrs.-Connectors
Shthg.-Rfg.-Bracing
5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures
6. Carports; Windows -Doors
7. Electric
8. Frmg; Sils-Anchors-Studs-Rftrs-Trusses
9. Siding; Nailing -Veneer -Stucco -Mesh
10. Roof; Shthg-Roofing
11. Ext.; Steps -Doors -Landings
Date Card B-1 Date Card B-1
Date Card B-1 Date Card B-1
Date POOLS (Plans) OK except #'s
1. Setbacks -Easements
2. Soils; Compaction -Structure Stability
3. Pool Structure; Steel -Connections -Thickness
Dead Men -Lining
4. Elec.; Receptacles and Lighting, Distances-GFI
5. Elec.; Pool Lighting; 15 volts-GFI
6. Elec.;Enclosures; Conduit Entries -Terminals -Listed
7. Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater
8. Elec.; Grounding; Equip. w/5' Circulating Equip. -Pool Lghtg.
_ Boxes -Enclosures -Panel boards -Ins. to Main in Conduit
9. Health Department Approval
10. Plumb.; Cir. Test -Water Supply Test
Date Card B-1 Date Card B-1
Date Card B-1 Date Card B-1
J=OK
O=Not OK
Not Applicable
Not Ready RESIDENTIAL' (;
=
Date UNDERFLOOR (Plans) OK except N's
1. Zoning -Setbacks -Easements -Flood -Slope
2. Ftg., Main; Soils-Elec. Grnd.-/ /" Ftg. Depth
3. Ftg., Garage; Soils-Steel-Elec. Grnd.-/ /" Ftg. Depth
4. Ftg., Porches & Decks; Soils -Steel-/ /Ftg. Depth
5. Stemwalls, Main; Steel-Blockouts-Wrapped
6. Stemwalls, Garage; Steel- Blockouts-Wrapped
6a. 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 -Anchor -Regulator -Service Test
12. Electric; Underground
13. Pienums & Ducts; Clearance -Material -Support -Ins.
14. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples
15. Access & Ventilation
16. Insulation
Date Card B-1 Date Card B-1
Date Card B-1 Date Card B-1
Date PLUMBING (Permit),OK except a's
16- Water Htr.: Vent -Access -Combustion Air -Baffle
-17. Water Pipe: Test & Anchor -Nail Protection
-------- -- --------------------------
18. D.W.V.: Test -Fittings & Anchor -Nail Protection
----- ------ ---- -- ------------------
19. Shower Pan: Test. First Floor -Tub Access
-------- - -------------------------
20. Test Tub & Shower, Second Floor -Tub Access
--------------------------- ------ -----------
21. Gas Pipe: Size & Anchors
Date Card B-1 Date Card B-1
Date Card B-1 Date Card B-1
Date ELECTRICAL (Permit) OK except a's
22. Fixture & Transformer Clearance -Ins. Protection
--- - -- - - - ------
23. Elec. Receptacles Spacing -Lights & Switches at Doors
---------- -------------------------------------------------------
24. Size Boxes & No. of Conductors -Stapled
25. Romex Installed Close to Edge of Studs & C.J.
--------------------------------------------------------------------
26.
-------------------------------
26. Equip. Ground made 'up w/Mech. Fastners-Bond Gas & Water
-------- ----------------- --------------------------
27. 2 Appliance Circuts in Kitchen & Conductor Size!GFI
--------------------- ------------------------------------------------------------
28. Subfeed Wire Size i ga. Cu or AI-A.C. Wire Size i / ga.
Cu or At
---------------------------------------------------
29.
--------------------------------
29. Range Circ. / / ga. Cu or AI -Oven Circ. / / ga. Cu or Al.
Insulated Neutral ❑ Yes ❑ No
------------------------------------------------------------------------
30. Service -Riser Conductors & Ground -Main Disconnect
--
----------------------------------------------- ------------------------------
31. Equip. -Clearances Panels-Motors-Mech. Equip.
32. Clothes Closet Light -Shower Light -Spa Light
--------- ------------ - -------------------------------
------------- -----
33. Smoke Detector
------------------------------ ---------------------------------------------------
Date
------------------------------------------------
Date Card B-1 Date Card B-1
-------------- ---- -----------------------------------------------------------
Date Card B-1 Date Card B-1
Date MECHANICAL (Permit) OK except n's
34. A.C. Ducts Insulation & Support
--- ---- - ----- - - ----- ----- ------ ---- -- - - - - --- - - - -- ---
35. Vent Fan: Exhaust above -insulation
-------------- ------------------------------------ ---
36. _Condensate Drain & Overflow: Size & Grade
37. Furnance-Vent: Access -Comb. Air -Return Air Vent -115 outlet
-----------------------------------------------------
38. Attic Access &Platform if Furnance in Attic
---------------------------- ------------ -------------------------------------
Date
------------------------------------
Date Card B-1 Date Card B-1
-- - - --- --- --------------------------------------------------- ----------
Date Card B-1 Date Card B-1
Date FRAMING (Plans) OK except 4's
39. Sils. Proper Material & Anchors
---------------------------------------------------------------------- --
40. Walls Studs -Nailing. Spacing & Bracing -Plates -Sound
41.
-Bearing--Walls-over--- G-irders -&- Floor -Nailng
------------------------------ ----
- -------i--------------------------
42. Draft Stop in Walls (rat proof)
-------- -----------------------------------------------------------------
43. Fire Stops: Furred Ceilings -Stairs -Chases -Tub
------------- -- ------------------------ - ----- - - - -------- - ---------------------
44. Headers & Beam -Size & Bearing
jingle &Duplex) '
Date FRAMING (Continued)
45. Hangers -Post Caps -Anchors -Connectors _
46. Cing. Joist-Rftr. ties-Purlin -roof Brac-Truss-Shthng.-Rfng.
47. Fireplace Ties or Type A Flue -Fireplace Throat clearance
48. Attic Access; Size & Romex Protection -Draft Stop -Ins. Battles
49. Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions
50. Garage Fire Protection Framing
51. Property Line Firewall & Openings
52. Ext. Doors -One 3' -Check Garage -3rd Story, 2 Exits
53. - Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection
----------------------- -
54. plywood on Roof Overhang -Attic Vents -Rafter Outriggers
------------------- -----
55. Siding -Nailing Veneer 1
-----------------
56.
----------------56. Stucco Mesh -Drip Screed-Fd.'Vents-Underflr. Access%
----------------------
57. Glazing Area -Glass Protection -Skylights -Plastic
58. Shear Walls: -Nailing -Bolts
59. Insulation -Walls -Ceilings
60. Infiltration -Walls -Windows
------------
------------------------------
Date ------ -----Card B-1 Date _ Card B-1
Date Card B-1 Date Card -B-1
Date FINAL (Plans) OK except ft's
61.- Ext. Steps -Door & Sidelight Protection -Landings
---------------------- ---
62. Smoke Detector
63. Furnace: Vents -Clearance -Comb. Air -Connector -
In Garage: Above Floor-Ducts-Mech. Protection
------------- ---------------------
64. Bedroom Exiting
65. G.F.I & Bath Fixtures & Tub Access -Spa
66. Elec. Trim & Subpanel; Breaker Sizes & Labels
---------------
--------------
---- __ 67. Stairs & Rails
68. Fireplace or Stove:_ Clearances -Hearth
--------------
69. Elec. Outlets at Wood Panel: Int. & Ext.
70. Kit.Fixt. & Appliance: Grnd.-Air Gap -Cooking Gap-CookingClearance
------ -- - - - - - ------------------- - -
71. Elec. Outlets & Receptacles at Kit. Counter
72. Garage Fire Door: Swing -Landing -Closer
-----------------------------------
73. A.C. Duct in Garage -Damper
--------------------------------------- -----
74. Wtr. Htr.: Vents-Cfearance-Comb. Air-Connector-P.R.V.
In Garage: Above Floor-Mech, Protection
75. Plb. Elec. & Mech. Equip. Listed for Location
76. Elec. Receptacles in Garage: (G.F.I.)-Romex Protection
7 .Insulation -Foam -Looked in Attic ❑ Yes
----------------------------------------- - 78. -Guard -Rails & Deck -Const ruct ion- Post Caps
79. Fdn Vents & Crawl Hole Door -Drainage & Wood -Earth
Clearance Looked under Floor ❑ Yes
80. Following instld.: Drive ❑ Yes ❑ No: Walks ❑ Yes ❑ No;
Planters ❑ Yes ❑ No
--------------------------- - ------------ - - -----
8t.
Stucco.Brown_Finish- -----
82. A.C. Unit; Disconnect. Electrical, Plumbing
.. - -- - ----------------------------- ----- ---
83. Vents Above Roof: Plbg_ A pp liance-Fire P lace. -Clearance to
Openings
- - - - - - -- -- -------------------------------- -----
84. Water Well: Disconnect, Electrical, Plumbing
85. Exterior Elec. Trim; G.F.I. Receptacle -Underground
86. Ventilation Throughout. House
-- ---------------------------------
87. Glass Protection
88. Corrections from Previous Inspections
- --- -- ---- ------- ------ ----------- -----------------
89. Gas Test -Meters Tagged: Gas -Electric
- - - ---- -------------------------------
90. Water & Sewer Connected -C/O to Grade -HD Approval
91. Energy Compliance Certificate -Other Certificates
-- --- ------- --------------------------- -----
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:
J. '
COUNTY OF BUTTE - DEPARTMENT OF PUBLIC O
7 County Center Drive - Oroville,•California.95965 -,Telephone: 16/538 541
APPLICATION AND PERMIT
PERMIT NO.
ASSESSOR PA NUMBER
027�—1 74
ZONING
A5
BUILDING PERMIT
OWNER
707-447-5372
TELEPHONE
SO. FT. OCC. BUILDING VALUATION
OWNER'S MAILING ADDRESS
394 DR VILLE 5687
CONTRACTOR'S NAME TELEPHONE
�1Z
CO A S MAI LIN A DRESS
Fireplace
CONSTRUCTION LENDER
NQNF
UNKNOWN
Total Valuation Is
LENDER'S MAILING ADDRESS
Filing Fee
$ 15.00
Permit Fee
$
ARCHITECT OR ENGINEER
LICENSE NO.
Plan Checking Fee
$ 20.00
AR.HNREMT OR ENGINEER'S MAILING ADDRESS
Energy Plan Checking Fee
$
Penalty
$
BUILDING ADDRESS
Permit fee
$ 35.00
PLUMBING PERMIT
Filing Fee 15.00
Each Trap
5.00
Solar or heat pump water heater
20.00
LOT NO.SUBDIVISION
NAME
PARCEL MAP
Water piping
7.00
Each qas water heater or vent
7.00
USE OF STRUCTURE
SF❑ Duplex❑ Mobilehome Other
SPECIFY
Gas piping system 1 - 5 outlets
5.00
Building sewer
15.00
Mobile Home ISI GJWJ
@ 15.00
TYPE OF WORK
New ❑ Addition ❑ Remodel ❑ Uti lities ❑ InstallationK Other ❑
Describe work: /L fm ' ` _
Permit Fee
$
Contractor
ELECTRICAL PERMIT
Filing Fee 15.00
Main service 200AORLESS
18.50
CONTRACTORS LICENSE LAW
I declare under penalty of perjury (check one):
I am licensed under p
❑ provisions of Cha t. 9, Div. 3 of the Business
and Professions Code and my license is in full force and effect.
License No. Classification
1, as the owner, or my employees with wages as their sole compen-
tion, will do the work,and the structure is not intended or offered
r sale. (Sec. 7044)
I, as the owner, am exclusively contracting with licensed contract-
ors. (Sec. 7044)
❑ I am exempt under Sec. , Business and Professions Code
for this reason
Main service 200ATO10o0A).
37.50
NEW CONST. DWELLING OCCUP.8\
OR ADONS. ACC. BLDGS. I
3.54 sq.ft.
NEW CONSTFL U I.OUTLET
NON -RE BRANCH CIRCUITS)
@ 5.00
POWER APPARATUS e
SINGLE OUTLET CIR.
EX. Occu
Occup(OUTLETS OR FIXTURES
20 7e
FIXED APPLNS. OR
EX. Occup. OUTLETS (RESID.) EA.)
3.00
Temporary service
15.00
Mobile Home Facilities
15.00
Misc. Wiring
-15.00
Permit Fee
$
WORKMEN'S COMPENSATION INSURANCE
I declare under penalty of perjury (check one):
❑ The permit is for $100.00 (valuation) or less.
❑ I have placed on file with the County of Butte Building Department
a Certificate of Workmen's Compensation Insurance or a Certificate
of Consent to Self -Insure.
I shall not employ any person in any manner so as to become subject
to the W. C. laws of California.
Notice to Applicant: If after making this statement, should you become subjectto the W. C. provisions of the Labor Code, you must forthwith comply with suchprovisions or this permit shall be deemed revoked.
Contractor
MECHANICAL PERMIT
Filing Fee 15.00
Heating
Cooling
Hood
6.50
ilation
KPermltFee
$
tractor
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 granting of this permit.
X �� ✓ Date 52 " — P 3
Signature of Applicant — OwnerContractor ❑ Agent ❑
An OSHA permit is required for excavations over 5'0" deep and demolition or construct-
ion of structures over 3 stories in height.
Mobile Home Installation Fee S 70.00
Energy Inspection Fee $
occ
CONST TYPE
TOTAL FEE $ 105.00
I HAz OFEES I IMP F1000 COF
PARC
PD
HD
I Issu
This permit is hereby issued under the
sions of the Butte County Code and/or
work indicated above for which fees
DI JX
BY
PERMIT EXPIRES Dat
applicable provi-
resolutions to do
have been aid.,
O KS
143
`Receipt No. 130490-105.00
,TE-D.P.W., YELLOW -ASSESSOR, PINK•INSPECTOR, GOLDENROD -APPLICANT
. _. ,t l�-i l" � `1y •.,y �."�••��, 'v tM... w. "-i`Y •,�+�"T.• 'l�iw�(.."'F ti"`1SMi, rr��., . ...:'�:•��s'�q"�.�; rt."r�-•�. ,.. �. .�, ..
COUNTYOF BUTTE - DEPARTMENTOR.0 MENTSERV CES BUILDING DIVISION
7 COUNTY CENTER DRIVE - OROVILL
a
A95965 - TELE F t E (916) 538-7541
i'
PERMIT APPLICATION DATASHEET
OWNER
Proposed Building Use
Building Inspector Date azz
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 have been submitted . ................... .................. .
2. Plot plans, 3/4 sets, signed by preparer of plans . ..........................
•� 3, Complete plans, 3/4 sets,, signed by preparer of plans . .....................
.4. Engineered plans and calcs, 3/4 sets, with wet signature on plans. ..... "...... .
5. Hazardous Material Form . ...............:............................
w� 6. Energy Design Compliance and supporting documentation.
7. Statement of Intent for Non -Heated and A/C Buildings . ......................
8. Engineered truss details and layout in duplicate (required prior to plan check). ....
---
9. Mobilehome data and manufacturer's installation instructions, 2 sets.
10. Fees of $ ......................................... .
11. Impact fees as shown on attached schedule . ..............................
12. California Department of Forestry plan approval/fees. ....................... .
13. Flood elevation letter (100 year flood) by California Engineer . ................. .
14. Sanitation and plot plan approval Health Department . ............
15. City of Chico plumbing permit . .........................................
16. Plot plan and business license approval from City of Biggs/Gridley. .............
17. Planning approval for (A) Use: (B) Parking: . .........
18. Contact Land Development.about (A) Improvements (B) Drainage. .......... .
19. Driveway permit (construction approval required prior to occupancy). .. .. .. .
lln,.ction request20. Pre inspection for required. . to Building Inspector (Date)
21. Contractor's license information. (No., Name Style, Classification) . ..............
22. Certificate of Workmans Compensation Insurance . ..........................
23. Owner -Builder Verification (Given to owner , Mail to owner _�. .......... .
24. Recorded copy of Agricultural Acknowledgement Statement . ..................
25. Letter of signature authorization..........................:..............1
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 . ........................................ I
30. Documentation of 50% subdivision developed or (A) Road improvements completed
and (B) Parcel meets zoning area and frontage requirements . ...............
31. Existing violations/expired permits . ......................................
32. Plan check list . .....................................................
33.
34
When you issue the perm'!o ess as follows: Mail to wner. Mail to contractor.
Telephone and hold for pickup at office. Deliver with inspector.
Other s33 S
Parcel Creation
Acreage Applicant -✓ C- Date
Copy of Haz-Mat form sent Health Dept. Fire Dept. Air Pollution Date
Copy of plans sent Health Dept. Fire Dept: Other Date By
The following data must be submitted ri ' to pkrm, it iss` a : (Circle new item not checked above).
1. Index permit for above items No.
2. Additional items required:
Contractor, designer, o er, was advised of above required data by phone -mail Counter b Date
Contractor, designer, owner, was advised of above required data by _ phone _ mail Counter by_ Date
Plans checked by Date Plans approved by Date -/7- 3
10 •� File cabinet <A7 TOT DI,
- Copy I Department of Public Works
COUNTY OF BUTTE
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
CORRECTION NOTICE
MIT NO.
A routine inspection indicates that the following violations of Butte County Ordinances exist at
the above address and should be corrected. Please notify this office when correction of work
is completed. If you have any questions pertaining to this matter, or need additional explanation,
please contact this office immediately.
KCV lul`JL
COUNTY OF BUTTE
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
CORRECTION NOTICE
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 contact this office immediately.
/ 4 _ `� 1
REV 10/91
COUNTY OF
BUTTE - DEPARTMENT' OF PUBLIC
WORKS - BUILDING
DIVISION
7 COUNTY CENTER
DRIVE - OROVILLE, CALIFORNIA
95965 - TELEPHONE (916)5387541
e
eqS (
A. P. NO.
PROPOSED BUILDING USE
�/Y �
DATE
REC. � DATE RFC
V- 1. School DistrictFees
(paid at District Office)
=2. She_--Lff Fees
(paid. at Building Department)
Residential C g _
unit amt.
Commercial(per sq.ft.) x =$
sq.ft. amt.
3. Urban Area Fees
(paid at Building Department
Residential (per unit) % _$
units amt.
Commerical(per sq.ft.) X _
sq.ft. amt.
4. Recreation District Fees
(paid at District Office) ..........................
5. Drainage District Fees
(Contact Land Development)
6. Other
7: Other
�
t time of permit application, I was advised the above fees are required to be paid pr=
co issuance of the permit.
-PPLICANT 7]e
This set of plans and specifications MUST be
kept on the job at all times and it is unlawful to
make any changes or alterations on same without
written permission from the Department of Public
Works, County of Butte.
NOTE:—All Materials & WOft
Aceordance with Recognized C
of a quality prescribed for the
Uniform Building, Plumbing & f
. y4 the National Electrical Code.
ALL STRUCTURES AND EQUIPMENT INCLUDWG
OVERHANGS SHALL BE CLEAR OF ALL EASEMENTS.
A SET BACK OF S FT. FROM THE SIDE AND
FT. FROM THE REAR PROPERTY LINES AND
�FT. FROM THE -ROAD CENTERLINE SHALL BE
CLEAR OF STRUCTURES AND EQUIPMENT EXCEPT
FOR A 2 FT. EAVE OVERHANG.
746
i,
v
U
500 SQ. FT. MtNIMUM
tZ FOR MOBILES
J J
0.4
!:u
V1
0
a
1
Be in
s and
in the
odes and
q3-L3y tii/fz
413- z33 '&7,7
BUTTE COUNTY
ui iu ninir r+GPnoT..��rrvecrr�T
o
APPROi/ED
r
BUTTE COUNTY DEPARTMENT OF PUBLIC WORKS
7 County-Center Drive, Oroville, CA-
PHONE: 538-7541.
MOBILEHOME INSTALLATION SHEET
' 1. Owner's Name:
is 7e LL o
2. " Installer's Name: ti
3. Is the site currently under permit? Yes �. No F
(If yes, furnish permit number 3 3 ).OR
Is the site-an existing site? Yes T-1 No.
(If yes, furnish two plot plans.)
r. •
, 4. Will. the mobilehome. bei located.'at-least 5-ft—away-from-septic tank and leach.
fields and clear of-all setbacks and easements? Yes VT No
(If no, 'clarify '
5. What is the mobilehome electrical rating?*=,.. Amps
6. What is the 'mobilehome site service rating?------------,,_ Amps .
7. What is the,mobilehome site circuit breaker rating? -'---- 46. Amps. '
8.. Is there any,'other electric load to be served by the
mobilehome site service? ------------------ ------ Yes~ No
(If yes, identify the load and size: .(Load)- (Amps).
9. What is the mobilehome-site,gas pipe size? -------------- (in.)
.a 10. What is the type of gas service? ------------------- Natural LPG
11. What, is the gas pipe length from meter or tank to the
mobilehome?----------=--------------------------=-------
1 )
BUTTE
12. What is the mobilehome-gas demand?---------- EU LUNG D R RA RTMF:N fBTU)
*(This information not required if pipe g lRs Ran ftp! oMENZIP 0 `
natural gas or less•than 50 ft. ori LPG.)
NEXT PAGE MUST BE COMPLETED TO PROCESS PERMIT APPLICATION.
•
MOBILEHOME SUPPORT DATA
If ather..than single wide,
Mobilehome Mfr,.. _ furnish Setup Model No.
Year 7-3
Width (ft.) Box Length --'D (ft.) Tagalong or Expando Size '--ft. x -ft.
On all mobilehomes manufactured after October 7, 1973, furnish manufacturer's installation
manual and structural
setup sheets (if not on file with the County of Butte).
FOOTINGS (check one) 1 Wood -pressure treate r foundation grade . 2. Other (specify)
SUPPORTS (check one)�1. Concrete block. 2. Other (specify)
Pier Footing Sizes and Locations
SINGLE -WIDE
MULTI -WIDE
Line 1
Main Beams
Line 2
• _-- — � Main Beams
Tag or Triple
L I Line 1
Line 1 Piers: Line 1 Openings:
Size -Min. ------------ �_g/s Size -Min. ------------------�
� - iGc�i// „x
Spacing -Max. `. --"" -' �I� D Each Side of Openings
From Ends -Max.------- ': " With Width Over--'------
-x---_
Line 2 Piers:
Size-Min.------------
Spacing-Max -
-----------Spacing-Max.---------
From Ends -Max .-------
Line 3 Roof Loads:
Size -Mia .------------
Location (From Front)
Size-Min-------------
Spacing-Max ----------
From
------------Spacing-Max.---------
From Ends-Max.-------
Line 3 Piers:(Under Bearing Wall Only)
Size -Min ------------------- k
Spacing -Max.---------------
From Ends -Max .------------- �_ u
Size-Min.------------------
Spacing -Max.--------------- ,
From Ends -Max .-------------
Line 5 Roof Loads:
Size -Min. - ----------- i 3!t r .
"x "x "x " "x 'k d "x " 'A "x
Location (From Front)
COUNTY OF BUTTE - DEPARM= -OF PUBLIC WORKS - BUMDING DIVISION
7 COUNTY C== ER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE (916)5387541
A. P. NO.
ROPOSr-D BUZI.DING USE / DATE
%2-0 a, l �� s REC. DATE_ REC
1 1. School DistriciFees
(paid at District Office). ............:... / ( / 71d ,3
She_-iff tees
(paid. at Building Department)
/,7Residential .. .....
unit amt.
Commercial(per sq . f t .) x =$
sq.ft. amt. .
3. Urban Area Fees
(paid at Building Department
'Residential (per unit) X _$
Ir
units amt.
Commerical(per sq . f t.) X _�
sq. ft. amt.
4. Rec-eation Dist. -mac- Fees
(paid at District Of==ce) ..........................
S. Drainage Dist -__c- Fees
(Contact Land Deve_opment) ........................
6. Other
7. Other
_t
t: -:me of permit application, I was advised the above tees are required to be paid pr==
:o issuance of t:ze permit.
?P:2CAN 1 � � --ie, c DAA' ,z .,
tc DPW M=CULTURAL STATE:` NT OF ACKN0W`=F_`0JT
r ""� FOR RFSID:EI MAL •I)EVELOP."F-NT
section 26-8.1 of the Butte Count• Code
requires this acknowledgement be recorded
prior to issuance of a building permit.
9%3-0304461'
The property described herein is `adjacent
I
to land or included within an area zoned
Recorded
for agricultural purposes, and residents
Official Records I
of this property may be subject to incon-
County of I
veziences or discomfort arising from the
Butte I
use of agricultural chemicals, including,
Candace J. Grubbs I
but not limited to herbicides, pesticides,
Recorder I
and fertilizers; and from the pursuit
Z
12:06pm 19 -Jul -93 I
05. agricultural operations including,
but not limited to cultivation, plowing,
spraying, pruning, and harvesting which
occasionally generate dust, smoke, noise, and odor.
:=al zones which have as a priority use for productive
within said zones and on adiacent property should be
or discomfort from normal, necessary farm operations.
Rec Fee
Cash
PUBL
11.00
11.00
XX 3
Butte County has established agricul-
agricultural purposes, and residents
prepared to accept such inconvenience
All that real property situate in the County of Butte, State of California, described as
follows:
Date:
.� \'r
2�� COUNTY OF BUTTE
SUILDING DEPT
J U L 1 9 1993
PROPERTY 0«'ERS :
State of On this the -(C( day of 19c before me, the
SS. undersigned Notary Public, person lly appeared
County of )
S A-- 1 l o
�... DONNA S. CROSBY Personally known to me. 14 Proved to me on the basis
COMM. -'#973601 of satisfactory evidence.
NOTARY PUBLIC•CdUFORNIA Q to be the person(s) whose name(s)
�.: BUTTE COUNTY subscribed to the within instrument and acknowledged that
My Comm. Explree Sept 23,1980 $
executed the same for the purposes therein contained. IN WITNESS
WHEREOF, I hereunto set my hand and official seal.
Present A.P. No.
Notary Public
C;o �tanr �Public
State of California.
County of
OnS.. 9 k423 before
personnally appeared
personally known to me
(or proved to me on the basis of satisfactory
evidence) to be the person(s) whose names(s)
is/are subscribed to the within instrument and
acknowledged to me that-he/she/they executed
-� DONNA`S CROSBYt
the same in his/her/their authorized capacity(ies),
�..• , ,
COMM. *973001Q
and by his/her/their signatures) on the
. LIfiA
NOTARY PIIJLIC•CALIFORNIA;
instrument the person (s) , . or the entity upon
�.: WMICOUPM r
behalf of which the person(s), acted, executed
wry comm. Dpfr®oaw,2a,i"F
the instrument.
WITNESS -my hand and official seal.
C;o �tanr �Public
DESCRIPTION
ORDER NO. BU -116129-3
ALL THAT CERTAIN REAL PROPERTY SITUATE IN THE STATE OF
CALIFORNIA, COUNTY OF BUTTE, -DESCRIBED AS FOLLOWS:
PARCEL I.
LOT 25, AS SHOWN.ON THAT CERTAIN MAP ENTITLED, "VALENCIA TRACT,
...SUBDIVISION_,NO*BUTTE COUNTY CALIFORNIA", WHICH MAP WAS
RECORDED IN THE OFFICE OF THE RECORDER OF THE COUNTY OF BUTTE,
STATE OF CALIFORNIA, ON AUGUST 11, 1913, IN BOOK 7 OF MAPS, AT
PAGE(S) 58.
RESERVING THEREFROM A NON-EXCLUSIVE EASEMENT FOR INGRESS AND
EGRESS..;AND FOR. PUBLIC.UTILITY PURPOSES OVER THAT PORTION OF SAID
Ltywsar!•_; ; 25_.LYING . WITHIN A CIRCLE HAVING A RADIUS OF 50.00 FEET AND
THE -„CENTER ,POINT ,OF."WHICH IS LOCATED AT THE .CORNER COMMON TO SAID
�. LOTS :FIFTEEN.,,:'SIXTEEN,. TWENTY-FIVE, AND TWENTY-SIX.
PARCEL II•'�" `'`•
ANON -EXCLUSIVE EASEMENT FOR INGRESS AND EGRESS, AND FOR PUBLIC
UTILITY PURPOSES, OVER A PORTION OF LOTS FIFTEEN, SIXTEEN,
TWENTY-FIVE AND TWENTY-SIX ACCORDING TO THAT CERTAIN MAP
ENTITLED, "VALENCIA TRACT, SUBDIVISION NO. 111, WHICH MAP WAS
RECORDED IN THE OFFICE OF THE RECORDER OF THE COUNTY OF BUTTE,
STATE OF CALIFORNIA, ON AUGUST 11, 1913, IN BOOK 7 OF MAPS, AT
PAGE(S) 58, LYING IN SECTION 27 AND 28, TOWNSHIP 18 NORTH, RANGE
4, M.D.M., SAID EASEMENT BEING COMPRISED OF THE LYING OVER THE
FOLLOWING DESCRIBED THREE PARCELS:
PARCEL ONE:
THE WESTERLY, 30.00 .FEET OF SAID LOT FIFTEEN.
i .a4i'J ♦ -a�' ;K.' PCt`�' ..,jam �'•3 ,,r ... r.',. �� •• _ .
PARCEL TWO:
THE EASTERLY 30.00 FEET OF SAID LOT SIXTEEN.
PARCEL THREE:
A CIRCLE HAVING A RADIUS OF 50.00 FEET AND THE CENTER
POINT OF WHICH IS LOCATED AT THE CORNER COMMON TO SAID
LOTS FIFTEEN, SIXTEEN,'TWENTY-FIVE, AND TWENTY-SIX.
EXCEPTING THAT PORTION LYING WITHIN PARCEL I, DESCRIBED HEREIN.
PAGE 4
jf't"`r-';s�.��i.�,��t^� ' �'i�""�'�ti�`r:5��""1"'TMa,S�uvw`a•t'+r'j..'"`tc�"�'�kT�av''�c"�y+tcn+ltl�i�k"�r'aM^�1dy�Y+s'+eev'�tr"�+��*►�*�
t J O
_09
BUTTE COUNTY SCHOOLS IMPACT FEE CERTIFICATION FORM
°i
(One Form Per Building) -
litl
ie
School District 1^(7
1 On 1 r ��
I,S
-Building Department No.
A.P. Number /� � , %' Jurisdiction
City `-County
Property'Owner ,`" Gt,
(� • (��� ��
//O
Property Location/Address
Y-0 V I Ae,
Subdivison
Lot No.
Residential Development
0
- Sq. Footage d r
No. of Living
KAFiI
Addition (Group R)
Units
Commercial/Industrial 0
New Addition
Sq. Footage
(Including Exterior
Roofed Areas)
"/� IAWAoi 40- / �5 ,
Building D&WrfrKenl Representative Date
ti
(Floor Plans reviewed by School'District Personnel)
®
District Identification No. 19
at:rx- School District certifies that �c�. " �• (�6 .Q.�Q"
(Applicant)
dao
(Street Address)
CA
(Phone Number)
(City) (State) (Zip Code)
has complied with the requirements of Resolution No. by payment of $
representing �_ square feet. Jy
District Representative
Paid by Check Number Remarks:
Bank Number'
Paid by Cash
Date
If, subsequent to the School District Representative signing this Butte County Schools Impact Fee
Certification Form, the School District is notified by the applicable Local Planning Agency that this project
is being reviewed under the California Environmental Quality Act (CECQA), 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.wkl (4/92)
• J7z%
APP ,O\JED
Butte County
environmental Health
G-
�12e-R
s
ati
-�a
e-0
RO 6
o
0
0
� o\
foo �
Post-It"routing request pad 7664
ROUTING - REQUEST
Please
❑ READ
❑ HANDLE
® APPROVE
and
❑ FORWARD
I� RETURN
❑ KEEP OR DISCARD
❑ 2-19-93
-REVIEEW(�WIITH ME
Date 2-1 l -g3
To
From
MOBILEHOME INSTALLATION ACCEPTANCE
��.,� COUNTY OF BUTTE 4
DEPfA.fi�'dkNT OF PUBZIC WORKS — 7 COUNTY CENTER DRIVE
OROVILLE, CALIFORNIA 95965 — TELEPHONE: (916) 538-7541
PERMIT N0.?3
_ 3
Address or location of mobilehome 1&90 to I
Owner's name
ti Owner's address
1 Insignia or hud number
fMenufacturer's name
Serial number of V I N.��t�
Yearof-Tanufacture
Off'cial App ovin'stallation) �- (15ate)
Ir
{
IF THE MOBILEHOME IS MOVED OR RELOCATED, THE MOBILEHOME INSTALLATION.-
ACCEPTANCE
NSTALLATION-ACCEPTANCE SHALL BECOME INVALID. THIS FORM SHALL NOT BE USED WHEN THE,'
MOBILEHOME IS INSTALLED ON A FOUNDATION SYSTEM.
5138 White - Owner, Yellow - Installer, Pink - D.P.W.
OWNER'S NAME: J / C, (���'.e �l o
RECEIVED
PERMIT NUMBER: 9.3 03 3 A . P . # : 017-210-1-1 DATE ::17 40P-3
❑ RESIDENTIAL ❑ NON RESIDENTIAL RECEIVED BY /0C__>TIME /, l�
REQUIRED PRIOR TO PERMIT ISSUANCE
❑ FROM DATA SHEET REQUESTED BY PLAN CHECKER
❑ OTHER - Afcl/{_h D '11�9-�_ G e e r
REQUESTED BY CORRECTION NOTICE ❑ YES ❑ NO ITEM:
LOCATION IN BUILDING WHERE CHANGE OCCURS:
-----------------------------
WHEN APPROVED, PROCESS AS FOLLOWS:
Mail to owner
(Address)
Mail to contractor -
.5334 05''2-5 (Name and Address)
Cal 1 and hold for pickup at �� ��� office.
Deliver with next inspection.
REVISED PIAN -CHECK FEES PAID:
$20.00- $40.00 Additional Fees Not Required
'CIO 4
di
IE7-
t
oo
co ar
--
AP
OWNER _7A,
PERMIT 4 7 "
Iii UT IL. CLEARANC E DATE
INSPECTOR
ELECTRIC GAS
Support Compaction
Struc. Test Re .
Service
Size
OtherPipe
Load T e
Size
Length
YES NO ES N0
.,10� ,.
COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS
7 County Center Drive - Oroville, California -95965 - Telephone: 916/538-7541
APPLICATION AND PERMIT
PERMIT NO.
i
ASSESS ORP CEL NUMBER
74
ZONING
A5
BUILDING PERMIT
O WNE
RITA G. COSTELLO 707
SQ. FT. OCC. BUILDING VALUATION
OWNER'S MAILING ADDRESS
324 CASCADE DR VACAVILLE, CA 95687
CONTRACTOR'S NAME
UNKNOWN
TELEPHONE
CONTRACTOR'S MAILING ADDRESS
Fireplace
CONS�Rb ft!`ION LENDER
UNKNOWN
Total Valuation $
LENDER'S MAILING ADDRESS
Filing Fee
7�N
$ X� OIOCX
Permit Fee
$
ARCHITECT OR ENGINEER
NONE
LICENSE NO.
Plan Checking Fee
g
$ 20.00
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Energy Plan Checking Fee
$
Penalty
$
BUILDING 80 CS L
OXN OROVILLE
Permit fee
$ 20.00
PLUMBING PERMIT
Filing Fee 15.00
Each Trap
5.00
Solar or heat pump water heater
20.00
LOT NO.
SU'B/DIVISION NAME
V 4/ P'vC 4-
PARCEL MAP
?_S_10
Water piping
7.00
Each qas water heater or vent
7.00
USE OF STRUCTURE
SF ❑ Duplex❑ Mobilehomen Other
SPECIFY
Gas piping system 1 - 5 outlets
5.00
Building sewer
15.00
Mobi le Home lye
@ 15.00
TYPE OF WORK
New ❑ Addition ❑ Remodel ❑ Utilities OK Installation[--] Other ❑
Describe work: MHU
Permit Fee
$ 60.00
Contractor
ELECTRICAL PERMIT
Filing Fee 15.00
Main service 200AORLESS
18.50 18.50
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
Main service 200ATO1000A,
37.50
NEW CONST. ( DWELLING OCCUP.dd)
OR ADDNS. ACG. BLDGS.
3.6Q sq.ft.
NEW CONSTR U TNCH CI.OUTIRCLET
NON•RESID BRA ITS
@ 5•00
POWER APPARATUS I!
(SINGLE OUTLET CIR.
Ex. Occup(OUTLETS OR FIXTURES
20 76
FIXED APPLNS. OR
Ex. Occup. OUTLETS (RESID.I EA.)
3.00
Temporary service
15.00
Mobile Home Facilities
15.00 15.00
Misc. Wiring
-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.
19 1 shall not employ any person in any manner so as to become subject
to the W. C. laws of California.
Notice to Applicant: If after making this statement, should you become subject
to the W. C. provisions of the Labor Code, you must forthwith comply with such
provisions or this permit shall be deemed revoked.
Contractor
MECHANICAL PERMIT
Filing Fee 15.00
Heating
Cooling
Hood
6.50
Ventilation
permit Fee
$
Contractor
I certify that I have read this application and state that the above information
is correct. I agree to comply to all County Ordinances and State Laws relating
to building construction, and hereby authorize representatives of the Countyot
Butte to enter upon the above-mentioned property for inspection purposes.
I also agree to save, indemnify and keep harmless the County of Butte against
all liabilities, judgments, costs, and expenses which may in any way accrueHAz
againstsaid County in cons ue�ce of granting of this permit.
X `��-��"`' —/ Date 93
Signature of Applicant — Owner ❑Q 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 FEES 128.50
DFEES IMP FLOOD CDF
PARCEL
PD
HD SSU
This permit is hereby issued under the
sions of the Butte County Code and/or
work indicated above for which fees
�O. PUBL C
By
PERMIT EXPIRES Dalre
applicable provi
resolutions to do
have been paid.
WORKS �
D to
Receipt No. 130490-128.50
WHITE-D.P.W., YELLOW-ASS[SSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT
.. ' `,T r'y,�,.fr - ,, ,jt"' • M r..' '1,.• a" y't •.�f1n-• f r-wY:.;� „y y.�.0 �Lr•'y^�� :� .., , _ .. r .' , � .,
r'.
- ' COUNTYOF UTTE-,DEPARTMENT pEVf LOPMENTSERVICES - B ILDING DIVISION
7 OUNTYCENTER DRIVE - OROVILLE, CALIFORNIA 95965 -TELEPHONE (916) 538-7541
n PERMIT APPLICATION DATA SHEET
OWNER / 1
Proposed Building Use
a Uosto.
Building Inspector Date a 1
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 hUe been submitted . ... .................................. .
2. Plot plans,('/4 sets, signed by preparer of plans. .. .......................
3_ Complete plans, 3/4 sets, signed by preparer of plans . ......................
.4.
Engineered plans and calcs,.3/4 sets, with wet signature on plans . .............
5.
Hazardous Material Form . ..............................................
6.
Energy Design Compliance and supporting documentation . ..................
7.
Statement of Intent for Non -Heated and A/C Buildings . ...................... '
8.
Engineered truss details and layout in duplicate (required prior to plan check). ....
9.
Mobilehome data and manufacturer's installation instructions, 2 sets. ...........
10.
Fees of $.........................................
11.
Impact fees as shown on attached schedule. ............................. .
' 12.
California Department of Forestry plan approval/fees. ....................... .
r 13.
14.
Flood elevation letter (100 year flood) by CpJif#ornia Engineer. . .
Sanitation and plot plan approval 0(0 Ide-Health Department . ............
15.\City of Chico plumbing permit . .........................................
16.
P, lot plan and business license approval from City of Biggs/Gridley. .............
17.
Planning approval for (A) Use: I (B) Parking: . .........
18. Contact Land Development about (A) Improvements (B) Drainage. .
19. Driveway permit (construction approval required prior to occupancy). ..-01C?7�T
20. Pre -inspection for to Buispection edor
required. . to Building lnspeaor (Date)
21. Contractor's license information. (No., Name Style, Classification) . ..............
' 22. Certificate of Workmans Compensation Insurance . .........................
23. Owner -Builder Verification (Given to owner , Mail to owner . ...........
24. Recorded copy of Agricultural Acknowledgement Statement .
..................
25. Letter of signature authorization . ........................................
26. Copy of recorded deed of parcel creation and 60 right of way to a public road. .... .
27. Letter of intent on building use . .........................................
28. Mobilehome utility clearance . ..........................................
29. Documentation of legal access . ..................... :..................
30. Documentation of 50% subdivision developed or (A) Road improvements completed
and (B) Parcel meets zoning area and frontage requirements . ...............
31. Existing violations/expired permits . ......................................
32. Plan check list . .....................................................
33.
-34.
When you i ape mit,�p� c ss as follows: Mail to wner. _ Mail to contractor.
_ Tele �a (o " �S`i and hol f9r ickup at C) (10 y office. Deliver with inspector.
Other so q' 0 /
Parcel Creation Z;0
Acreage / O /� Applicant Date
Copy of Haz-Mat form sent Health Dept. Fire Dept. Air Pollution Date
Copy of plans sent Health Dept. Fire Dept. Other Date By
The following data must be submitted pri r to p r (ssua (Circleitem not checked above).
1. Index permiffor above items No. `
2. Additional items required:
Contractor, designer, ow er, was advised of above required data by phone _ mail Counter b _ Datea-,-/4
Contractor, designer, owner, was advised of above required data by _ phone - mail Counter by _ Date
Plans checked by , Date Plans approved by Data
Sets of plans on hold in File cabinet AP folder
Copy - Department of Public Works
TO: Building Department
FROM: Encroachment Permit Section
f..
RE: Driveway'Clearance
nCoSf� AP #
4
owner locution
Driveway permit
/� has been issued for the above property.
ZOL
a /
date._
si ature
i
Phil Plan Aunehcd
• Hour Him Atwthvd
i`
„{
sent to b,l). I
TO: Building Department
FROM: Environmental Health
SUBJECT: Sanitation Clearance
Owner Location AP//
Plan Approved for: Sewage Disposal "Vater Supply: Public Private Well
Clearance for bedroom mobile ]ionic. Other
Hold final for: I c
Final clearance O.K. for:
NOTE:
J/
Environmental 0 ealth Specialistite
8/92
COUNTY OF BUTTE - DEPARTMENT -JF PUBLIC WORKS
7 County Center Drive - Oroville, California 95965 - Telephone: 916.'538-7541
APPLICATION AND PERMIT
PERMIT NO.
ASSESSOR PARCEL NUMBEZONIN
071 - ) -'
s
BUILDING PERMIT
OW ER O?
e
TELEPHONE
_�%
Sq, FT. OCC. BUILDING VALUATION
el
OWNER'S AI ING ADDR SS � /' 1 n n
°� coca 2 r Vacctv,, (2A 9J�$%
CO TRACTOR'S A E A I
11 n
TELEPHONE
CONTRACTOR'S MAILING ADDRESS
Fireplace
CO TRUCTION LENDER
UNKNOWN
Total Valuation $
LENDER'S MAILING ADDRESS
Filing Fee $ _L5,rgg__1
Permit Fee $
ARG 11TECT OR ENGINEER
A V1 1P
LICENSE NO.
Plan Checking Fee $ JQ- O
ARC TECT OR ENGINEER'S MAILING ADDRESS
Energy Plan Checking Fee $
Penalty $
BUILDADDRESS
11/l'' ((�JJjj
a
Permit fee $
PLUMBING PERMIT Filing Fee 15.00
Each Trap 1 5.001
Solar or heat pump water heater 20.00
LOT NO.
S
SUBDIVISION NAME ,.
PARCEL MAP
Water piping 7.00
Each qas water heater or vent 7.00
USE OF -STRUCTURE
SF ❑ Duplex❑ Mobilehome% Other -
SPECIFY
Gas piping system 1 - 5 outlets 5.00
Building sewer 4c) op 15.00
Mobile Home G @ 15.00 Q
S
TYPE OF WORK
New❑ Addition Remodel❑ Utilities Installation❑ Other❑
Describe work:
Permit Fee $ 0
Contractor
ELECTRICAL PERMIT Filing Fee 15.00
Main service 200AORLESS 18.50 Lb
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
Main service 200A TO 1000A1 37,50
NEW CONST. ( DWELLING OCCUPM 3.60 sq.ft.
OR ADDNS. ACC. SLOGS.
NEW CONSTR. ULTI.OUTLET @ 5 00
NON-RESID BRANCH CIRC ITS
POWER APPARATUS e
( SINGLE OUTLET CIR. I
Ex. Occup(OUTLETS OR FIXTURES R20 76d
Ex. Occup. OU LETS PIRESID IFIXED APLNS.RE A.� I 3.00
Temporary service 15.00
Mobile Home Facilities 15.00 /S `�O
Misc. Wiring
g '15.00
Permit Fee $ S
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.
Contractor
MECHANICAL PERMIT Filing Fee 15.00
Heating 1
Cooling
g
Hood 6.50
Ventilation
permit Fee $
Contractor
I certify that I have read this application and state that the above information
is correct. I agree to comply to all County Ordinances and State Laws relating
to building construction, and hereby authorize representatives of the Countyot
Butte to enter upon the above-mentioned property for inspection purposes.
I also agree to save, indemnify and keep harmless the County of Butte against
all liabilities, judgments, costs, and expenses which may in any way accrue
against said County in consequence of the granting of this permit.
X Date
Signature of Applicant — Owner❑ Contractor ❑ Agent ❑
An OSHA
ion of struc urestover 34 stories inheight.excavations over 5'0" deep and demolition or construct-
Mobile Home Installation Fee $
Energy Inspection Fee $
occ
I CONST TYPE
TOTAL FEE $
HAz
1 0FEEs I
IMP
I FLoo
CDF
PARCEL rDJ HO
SSUE
This permit is hereby issued under the applicable provi-
sions of the Butte County Code and/or resolutions to do
work indicated above for which fees have been paid.
DIRECTOR OF PUBLIC WORKS
By Date
PERMIT -EXPIRES Date
l
Receipt No. /,3DL/9P�
WHITE-D.P.W.. YELLOW -ASSESSOR, PINK -INSPECTOR. GOLDENROD-APPL I CANT
COUNTY OF BUTTE - Deoartment of Public Works
1 County Center Drive, Oroville, CA 95965 Phone: 916-538-7541
OWNER -BUILDER VERIFICATION:
Attention Property Owner:
An 'owner -builder" building permit has been applied for in your name and bearing
your signature.
Please complete and return this information at your earliest opportunity to avoid
unnecessary delay in processing and issuing your building permit. No building permit
will be issued until this verification is received.
1. I personally plan to. provide the ma labor and aterials for construction of
the proposed property improvement yes or no) E=S
2. I av /have not) fi\ic 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 Contractors License No.
4. I plan -to provide- portions of this work,.but'I have hire& the following person
to coordinate, supervise, and provide the major work:
Name
Address City
Phone Contractors License No:
5. I will provide some of the worktbut 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
NOTE: This Owner -Builder Verification is sent to you as required by Sections 19831 and
19832 of the California Health and Safety Code.
This verification must be completed and returned to our office before we are per-
mitted to issue the permit.
COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT NO
e—j,4_�7 County Center Drive - Oroville, California 95965 - Telephone: 916/538-7541 5
APPLICATION AND PERMIT
AKSESSOR PA C.&L. NUMBER
n97 —174
ZONING
A5
BUILDING PERMIT _
OWNER
TELEPHONE
72
SQ. FT. OCC. BUILDING VALUATION
OWNER'S MAILING ADDRESS
324 CASCADE DR VACAVILLE 95687
ONTRACTOR'S NAME
190A
TELEPHONE
CON A S MAI ADZSS
Fireplace
CONSTRUCTION LENDER
UNKNOWN
Total Valuation $
Filing Fee
$ 15.00
LENDER'S MAILING ADDRESS
Permit Fee
$
ARCHITECT OR ENGINEER
_NNARCHI
LICENSE No.
Plan Checking Fee
$ 20.00
Energy Plan Checking Fee
$
ECT OR ENGINEER'S MAILING ADDRESS
Penalty
$
BUILDING ADDRESS
Permit fee
$ 35.00
PLUMBING PERMIT
Filing Fee 15.00
Each Trap
5.00
Solar or heat pump water heater
20.00
LOT NO.
SUBDIVISION NAME
PARCEL MAP
Water piping
7,00
Each qas water heater or vent
7.00
USE OF STRUCTURE
SF ❑ Duplex[] MobilehomeM Other
(ftJ SPECIFY
Gas piping system 1 - 5 outlets
5.00
Building sewer
15.00
Mobile Home S I G I W
@ 15.00
TYPE OF WORK
New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation/�J Other ❑
Describe work: _ � 'sP 4 y lytta
Permit Fee
$
Contractor
ELECTRICAL PERMIT
Filing Fee 15.00
Main service 600V OR LESS
200A OR LESS
j $•50
Main service 200A TO 1000AI
37.50
CONTRACTORS LICENSE LAW
declare under penalty of perjury (check one):
❑ 1 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-
i,ation, will do the work,and the structure is not intended or offered
1. '" r sale. (Sec. 7044)
I, as the owner, am exclusively contracting with licensed contract-
ors. (Sec. 7044)
❑ 1 am exempt under Sec. , Business and Professions Code
for this reason
NEW CONST. DWELLING OCCUP.eI
DR ACDNS. ACC. BLDGS.
3.64sq.ft.
NEW CONST R.UL ET
NON.RESID BRANCCHH CICI.RC ITS
@ 5.00
f POWER APPARATUS &)
SINGLE OUTLET CIR.
EX. Occup( OR FIXTURES
20 76d
FIXED APPLNS. OR
Ex. Occup. UTLETS (RESID.) EA.)
O
3.00
Temporary service
15.00
Mobile Home Facilities
15.00
Misc. Wiring
-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.
® 1 shall not employ any person in any manner so as to become subject
to the W. C. laws of California.
Notice to Applicant: If after making this statement, should you become subject
to the W. C. provisions of the Labor Code, you must forthwith comply with such
provisions or this permit shall be deemed revoked.
Contractor
MECHANICAL PERMIT
FiIirig Fee 15.00
Heating
Cooling
Hood
6.50
Ventilation
permit Fee
$
LContractor
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 granting of this permit.
�/�-� Date = . / .- `' �
ignature of Applicant — OwnerControctor EDAgent ❑
An OSHA
ion of structures toverr34storiesoineheight'ons over 5'0" deep and demolition or construct.
Mobile Home Installation Fee S 70.00
Energy Inspection Fee $
occ
CONST TYPE
TOTAL FEES 105.00
HA2
DFEES IMP
-
FLOOD
- --
CDF
-_
PARCj�C
PD HD
IssuE
This permit is hereby issued under the
sions of the Butte County Code and/or
work indicated above for which fees
DIRECTOR OF PUBLIC
By
PERMIT EXPIRES Date
applicable provi-
resolutions to do
have been paid.
WORKS
Date
Receipt No. 130490-105.00
WNITE•D.P.W., YELLOW-ASSE350R. PINK -INSPECTOR. GOLDENROD -APPLICANT