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028-170-110
4- _ et """ +.^•'C-^'mac--.1.^�-yt__r, � i---�'f- .r.Ayd*� ... �,. ._ ..--. .-.� � -- .. .�•.- _�_ . -. - -.. _ _- _ _ - _ _ � �� . 28-17-110 .. LARRY & CARLOTTA BOOTH - q 6 28-17-179 t y� SIS Obert Dr. a mi E Stony Oak S/S Obert Dr., app mi E •Stony^ Qaks_,_ .. ti. Blvd., Oroville `jam 75 y Blvd., oroville`} Permit 458-86E(ele ser for welly,& Permit #13 -86A -feed s_tora e �} future lot development) f, u 028-170-110 PERMIT#96-0631„ -28-17-110 BOOTH Larry & Carletta H)Tr�e1 traile ,Eutil,Peimit#1868-86P98.Obert Dr., Oroville ELEC 6 .. , k 1, 2nd Renewal BP#94=0820 try 4 GAS SUPPORT STR REQ +' COMPACTION TEST REQ ;t. •''28-17-110 Permit#1 69-86B,P,E,M(new single fRmily) ' 1 28-17-110 98 Obe' Drive t" Permit �k27-86B,E(new cabana/stg) 28-17-110 Permit#726-87P,E(ut "'W MH) ELEC 's�0 30W GAS ';X vtt� 7 g SUPPORT STR REQ O COMPACTION TEST REO 28- 10 Permit#l0 MHI Issue - O — y'' 028-170-110 94-0819B,E BOOTH, LARRY &-CARLOTTA 98 OBERT•DR., OROVILL_ ADD TO STG � `��%/9 7 •-. _023-170-110 194=0820W BOOTH, LARRY .& CARLOTTA I 98 OBERT,_DR., OROVIDLE j7/91 .OPEN DECK/MH 028-170_-110 ±•PERMIT#95-'05.47. BOOTH, Larry'& Care_tta 98 Obert D'r. , Oroville. '1st Renewal' of ' BP#94-0820- _ eat N -�q I r� V=OK. O = Not OK =NReaab�e dyMOBILE HOMES Date/Initials MOBILE HOME UTILITIES (Plans) OK except #'a - 1. Zoning Requirements -Setbacks -Easements 2. Soils; Special MH Support Sketch 3. Sewer; Location -Test -Fell -C/O Concrete 4. Water; Location -Test -Easement Needed (Sketch) 5. Electricity; Location-Clearences-Grnd-/ /Amp -Concrete 6. Gas; Location -Test -Wrap: / /"L"ft. / /"Nat. or/ /" L"ft./ /"LPG 7. Well Clearance & Disconnect 8. Utility Clearance Date/Initials MOBILE HOME INSTALLATION (Plana) OK except #'a 1. Zoning Requirements -Setbacks Easements 2. Footings; Size -Spacing -Marriage Line 3.. Gas; MH Teat -Demand -Valve -Connector 4. Electricity; MH Test -Crossovers -Breakers -Clearances 5. Drain; MH Test -Fall -Flex Connector 6. Water; MH Tat -Regulator -Connector 7. Water and Sewer Connected -C/O to Grade -HD Approval 8. Gas and Electricity Tagged 9. Exits; Insp.-Sketch 10. Cert. of Occupancy MISCELLANEOUS Date/Initial 009SLAOIERS, CARPORTS GARAGES. Plana OK except #'a ni Requirements -Setbacks -Easements otings; Soils -Size -De -Spacing-Connecto - : Decks;riders - . or Joists k n B 4. Wood Awn.; Posts-Beams-Rftra.- nnectors 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 -a5 '7-7:2 44!::� Date/Initials 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 -Hater 8. Elec.; Grounding; Equip. w/5' Circulating Equip. -Pool Lghtg. Boxes-Enclosures-Panelboards-Ins. to Main in Conduit 9. Health Department Approval 10. Plumb.; Cir. Tat-Water'Supply Tat V=OK O = Not OK - = Not Applicable = Not Ready RESIDENTIAL(Sftle & Duplex) Date/Initials UNDERFLOOR (Plans) OK except #'s 1. Zoning -Setbacks -Easements -Flood -Slope 2. Ftg., Main; Soils-Elec. Grnd.-/ P' Ftg. Depth 3. Ftg., Garage; Soils-Steel-Elec. Grnd. / /" Ftg. Depth 4. Ftg., Porches & Decks; Soils -Steel-/ /Ftg. Depth 5. Stemwalis, 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 -Ina. 14. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples 15. Access & Ventilation 16. Insulation Date/Initials PLUMBING (Permit) OK except #'a 16. Water Htr.; Vent -Access -Combustion Air -Baffle 17. Water Pipe; Test & Anchor -Nail Protection 18. D.W.V.; Test -Fittings & Anchor -Neil Protection 19. Shower Pan; Test, First Floor -Tub Access 20. Test Tub & Shower, Second Floor -Tub Access 21. Gas Pipe; Size & Anchors Date/initials ELECTRICAL (Permit) OK except #'a 22. Fixture & Transformer Clearance -Ina. Protection 23. Elec. Receptacles Spacing -Lights & Switches at Doors 24. Size Boxes & No. of Conductors -Stapled 25. Romex Installed Close to Edge of Studs & C.J. 26. Equip. Ground made up w/Meth. Fastners-Bond Gas & Water 27. 2 Appliance Circuts in Kitchen & Conductor Size/GFI 28. Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / / ga. Cu or AI 29. Range Circ. / / ga. Cu or AI -Oven Circ. / / ga. Cu or Al. Insulated Neutral ❑ Yes ❑ No 30. Service -Riser Conductors & Ground -Mein Disconnect 31. Equip. Clearances Panels -Motors -Mach. Equip. 32. Clothes Closet Light -Shower Light -Spa Light 33. Smoke Detector Date/Initials MECHANICAL (Permit) OK except #'a 34. A.C. Ducts Insulation & Support 35. Vent Fan; Exhaust above insulation 36. Condensate Drain & Overflow; Size & Grade 37. Furnance-Vent; Access -Comb. Air -Return Air Vent -115 outlet 38. Attic Access & Platform if Furnance in Attic Date/Initials FRAMING (Plans) OK except #'s 39. Sils, Proper Material & Anchors 40. Wells Studs -Nailing, Spacing & Bracing -Plates -Sound 41. Bearing Wells over Girders & Floor Nailing 42. Draft Stop in Wells (ret proof) 43. Fire Stops; Furred Ceilings -Stairs -Chases -Tub 44. Headers & Beam -Size & Bearing Date/Initials FRAMING (Continued) 45. Hangers -Post Caps -Anchors -Connectors 46. Ong. Joist-Rftr. ties- Puri ln=roof Brac-Truss-Shthng.-Rfng. 47. Fireplace Ties or Type A Flue -Fireplace Throat clearance 48. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 49. Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions 50. Garage Fire Protection Framing 51. Property Line Firewall & Openings 52. Ext. Doors -One 3' -Check Garage -3rd Story, 2 Exits 53. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 54. plywood on Roof Overhang -Attic Vents -Rafter Outriggers 55. Siding -Nailing Veneer 56. Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access 57. Glazing Area -Glass Protection-Skyllghts-Plastic 58. Shear Wells; Nailing -Bolts 59. Insulation -Walls -Collings 60. Infiltration -Walls -Windows Date/Initials FINAL (Plans) OK except #'a 61. Ext. Steps -Door & Sidelight Protection -Landings 62. Smoke Detector 63. Furnace; Vents -Clearance -Comb. Air -Connector - In Garage; Above Floor -Ducts -Mach. Protection 64. Bedroom Exiting 65. G.F.I. & Bath Fixtures & Tub Access -Spa 66. Elec. Trim & Subpanel; Breaker Sizes & Labels 67. Stairs & Rails 68. Fireplace or Stove; Clearances -Hearth 69. Elec. Outlets at Wood Panel; Int. & Ext. 70. Kit.Fixt. & Appliance; Grnd -Air Gap -Cooking Clearance 71. Elec. Outlets & Receptacles at Kit. Counter 72. Garage Fire Door, Swing -Landing -Closer 73. A.C. Duct in Garage -Damper 74. Wtr. Htr.; Vents -Clearance -Comb. Air-Connector-P.R.V. In Garage; Above Floor -Meth. Protection 75. Plb., Elec. & Mach. Equip. Listed for Location 76. Elec. Receptacles in Garage; (G.F.I.)-Romex Protection 77. Insulation -Foam -Looked in Attic ❑ Yes 78. Guard Rails & Deck Construction -Post Caps 79. Fdn. Vents & Crawl Hole Door-Drainagge & Wood -Earth Clearance Looked under Floor ❑ Yes 80. Following inatld.; Drive ❑ Yes ❑ No; Walks ❑ Yes ❑ No; Planters ❑ Yea ❑ No 81. Stucco; Brown -Finish 82. A.C. Unit; Disconnect, Electrical, Plumbing 83. Vents Above Roof; Plbg.-Appliance-Fireplace-Clearance to Openings 84. Water Well; Disconnect, Electrical, Plumbing 85. Exterior Elec. Trim; G.F.I. Receptacle -Underground 86. Ventilation Throughout House 87. Glass Protection 88. Corrections from Previous Inspections 89. Gas Test -Meters Tagged; Gas -Electric 90. Water & Sewer Connected -C/O to Grade -HD Approval 91. Energy Compliance Certificate -Other Certificates Comments at Final: COUNTY OF BUTTE -DEPARTMENT OFZLVELOPMENT SERVICES - 7 .County Center Drive - Oroville, California 95965 - Telephone APPLICATION AND PERMIT BUILDING DIVISIO (916) 538-7541 PERMIT NO. !O— AssESSGRRAR Nu a _ O _ I CR� L zO1'1K BUILDING PERMIT OWNE LARRY AND CARLETTA j TELEPHONE SQ. FT. OCC. BUILDING VALUATION OWNERS MAILING ADDRESS CONTRACTOR'S NAME OWNER TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER NONE UNKNOWN Total Valuation $ Filing Fee $ 20.00 LENDER'S MAILING ADDRESS Permit Fee — ORIGTNAt $ 27.00 ARCHITECT OR ENGINEER NONE LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BULD9n'r2,RT DRIVE OROVILLE PERMITFEE $47.00 PLUMBINGPERMIT Filing Fee 20.00 Each Trap 7.00 LOT NO. SUBDIVISION'S NAME PARCEL MAP Solar or heat pump water heater 23.00 Water piping 15.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome ❑ Other OPEN DECK SPECIFY Each gas water heater or vent 15.00 Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Otheryd Describe Work: 2ND RENE14AL/94-0820 — Mobile Home I S I GI W I @20.00 PERMITFEE $ Contractor ELECTRICAL PERMIT Filina Fee 20.00 Main Service Eeev OR LESS ( 2.OA OR LESS ) 23.00 Main Service ( 200A TO 1000A ) 46.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect. License Class Lic. No. OWNER -BUILDER DECLARATION 1 hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason NEW CONST. DWELLING OCCUR OR ADONS. ( a ACC. BEDS. ) So. 3.5¢ FT. NEW CONST. MULTI.O UTLET NON-RESID. ( BRANCH CIRCUITS ) @7.50 POWER APPARATUS ( a SINGLE OUTLET CIR. ) Ex. Occup. (OUTLET OR FIXTURES ) BAL ®'.30 Ex. Occup. (OUTLETS (RE ISIS . OR 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMITFEE $ Contractor WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of. the following declarations: ❑ I have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ 1 have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier MECHANICAL PERMIT Filing Fee 20.00 9 Heating Cooling Hood 6.50 Ventilation PERMITFEE $ Contractor Policy Number (The above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) AI certify that in the performance of the work for which this permit is issued, I shall not employ an person in any manner so as to become subject to workers' co ens n so California, and agree that if I should become subject tc, the work rs' om ensation provisions of section 3700 of the Labor Code, I shall forth it co tly hosrovisl ns. X Date (� % rp _ Signature of App1i nt - ner ❑ Contractor ❑ Agent An OSHA permit is required for excavations over 60" deep and demolition or construction of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee Is occ CONST. TYPE I TOTAL FEE $ 47.00 HAZ. I D. FEES IMP FLOOD CDF PARCEL PD HD ISSUE g This permit is hereby issued under of the tte County Code and/or Indic ed bove for whi feesJhe B PERMITEXPIRESON I the applicable provisions Resolutions to do work en paid. Date 3/26/96 (Date) Receipt No. 194694 WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT Attention Property Owner: An "owner -builder" building permit has been applied for in your name and bearing your signature. Please complete and return this information at your earliest opportunity to avoid unnecessary delay in processing and issuing your building permit. No building permit will be issued until this verification is received. 1. I personally plan to provide the major labor and materials for construction of the proposed property improvement: YES[] NO[ ]. 2. I HAVE['(,,] HAVE NOT[ ] signed an application for a building permit for the proposed work. 3. I have contracted with the followine person (firm) to provide the nronosed construction: NAME: ADDRESS: CITY: PHONE: CONTRACTOR'S LICENSE NO. 4. I plan to provide portions of this work, but I have hired the following person to coordinate, supervise, and provide the major work: NAME: ADDRESS: CITY: PHONE: CONTRACTOR'S LICENSE NO. 5. I will provide some of the work but I have contracted (hired) the following persons to provide'the work indicated: NAME ADDRESS PHOtiTE TYPE OF WORK SIGNED: PROPERTY OWNER: SOCIAL SECURITY NUMBER: /„ DATE: � -- a 6 Gj NOTE: This owner -Builder Verification is required by Section 19831 and 19832 of the California Health and Safety Code. This verification must be completed and returned to our office before we are permitted to issue the permit. OVER Dear Property Owner: An application for a building permit has been submitted in your name listing yourself as the builder of property improvements specified For your protection, you should be aware that as "owner -builder" you are the responsible party of record on such a permit. Building permits are not required to be signed by property owners unless they are personally performing their own work If your work is being performed by someone other than yourself, you may protect yourself from possible liability if that person applies for the proper permit in his or her name. Contractors are required by law to be licensed and bonded by the State of California and to have a business license from the city or county. They are also required by law to put their license number on all permits for which they apply. If you plan to do your own work, with the exception of various trades that you plan to subcontract, you should be aware of the following information for your benefit and protection: 0 If you employ or otherwise engage any persons other than your immediate family, and the work (including materials and other costs) is S300 or more for the entire project, and such persons are not licensed as contractors or subcontractors, then you may be an employer. 0 If you are an employer, you must register with the State and Federal Governments as an employer and you are subject to several obligations including state and federal income tax withholding, federal social security taxes, workers compensation insurance, disability insurance costs, and unemployment compensation contributions. 0 There may be financial risks for you if you do not carry out these obligations, and these risks are especially serious with respect to worker's compensation insurance. 0 For more specific information about your obligations under Federal Law, contract the Internal Revenue Service (and, if you wish, the U.S. Small Business Administration). For more specific information about your obligations under State Law, contact the Department of Benefit Payments and the Division of Industrial Accidents. If the structure is intended for sale, property owners who are not licensed contractors are allowed to perform their work personally or through their own employees, without a licensed contractor or subcontractor, only under limited conditions. A frequent practice of unuceased persons professing to be contractors is to secure an "ow-nerbuilder" building permit, erroneously impi;ring that the property owner is providing his or her own labor and material personally. Building permits are not required to be signed by property owners unless they are performing their own work personally. Information about licensed contractors may be obtained by contracting the Contractors State License Board in your community or at 1020 N Street, Sacramento, CA. 95314. Please complete the "Owner Builder Verification" on the reverse side of this form so that we can confirm that you are aware of these matters. The building permit will not be issued until the verification is returned. Sincerely, ' Michail C. Vieira, C.B.O. Manager, Building Inspection NOTE: This Owner -Builder Information is required by Section 19330 of the California Health and Safety Code. OVER COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive - Oroville, Californij •95965 - Telephone (916) 538-7541 PERMIT NO. APPLICATION AND PERMIT ASSESSOR PARCEL NUMBER 028-170-110 ZONING MR BUILDING PERMIT TWIRY AND CARLETTA BOOTH TELEPHONE SO. FT. OCC. BUILDING VALUATION T"'s W `STS+; BANGOR CA 95914 Cf],M('.'jQR'S NAME TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace COJJ RUL,CTIONLENDER UNKNOWN Total Valuation $ Filing Fee $ 20.00 LENDER'S MAILING ADDRESS Permit Fee 1/2 OF ORlGlWiL 27—.OU— TC �8RqE 1 OR ENGINEER UCENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEERS MAIUNG ADDRESS Penalty $ BUIL INGADDRESS 98 OBERT DRIVE, OROVILLE PERMITFEE $ 47.00 PLUMBINGPERMIT Fling Fee 20.00 Each Trap 7.00 LOT NO. SUBDIVISION'S NAME PARCEL MAP Solar Or heat pump water heater 23.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome Cf Other OPEN DECK SPECIFY Water piping 15.00 Each gas water heater or vent 15.00 Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 TYPE OF WORK New ❑ Addition M Remodel ❑ Utilities ❑ Installation ❑ Other ❑ Describe Work: 1ST RENEWAL © Mobile Home IqG W 920.00 PERMITFEE $ Contractor ELECTRICAL PERMIT Filinq Fee 20:00 Main Service000V OR LESS ( 200A OR LESS ) 23.00 Main Service ( 200A TO 1000A ) 46.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect. License Class Lic. No. OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: AQ� 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 NEW CONST. DWELLING OCCUR OR NS. ( 8 ACC. ) So. 3.5Q FT. NEW CT CONST. MULTI.OUTLETLE NON-RESID. ( BRANCH CIRCUITS ) 97.50 ( POWER APPARATUS ) 8 SINGLE OUTLET CIR. Ex. Occup. (OUTLET OR FD(TURES) 20 Q 1.00 BAL .50 Ex. Occup. ( OUTLETS(OR RESD. 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMITFEE $ Contractor WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ 1 have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier MECHANICAL PERMIT Filing 9 Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMITFEE $ Contractor Policy Number (The above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) I certify that in the performance of the work for which this permit is issued, I shall not employ a person in any manner so as to become subject to workers' mp satio laws of California, and agree that if I should become subject to the workers co pens ion provisi sof se tion 3700 of the Labor Code, I shall forth i c mply it e_�r vi ions. XC. Z DateZ� Cgnature of Applicant - ❑ caner Contractor ❑Agent An OSHA permit is required for excavations over 50" deep and demolition or construction of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee Is occ CONST. TYPE TOTAL FEE $ 47.00 HAZ. I D. FEES IMP I FLOOD I CDF PARCEL I PD I HD ISSU This permit is hereby issued under the of the Butte County Code and/or indicate ve for which ees have BY6ww PERMITEXPIRESON I applicable provisions Resolutions to do work a paid. Date a&M (Date) Receipt No. WHITE-D.D.S.-B.D. A RY- SESSOR PINK -INSPECTOR GOLDENROD -APPLICANT Attention Property Owner: An "owner -builder" building permit has been applied for in your name and bearing your signature. Please complete and return this information at your earliest opportunity to avoid unnecessary delay in processing and issuing your building permit. No building permit will be issued until this verification is received. 1. I personally plan to, provide the major labor and materials for construction of the proposed property'improvement : YES[)(] NO[ ]. 2. I HAVE[ ] HAVE NOT[ ] signed an application for a building permit for the proposed work. 3. I have contracted with the following person (firm) to provide the proposed construction: NAME: ADDRESS: CITY: PHONE: CONTRACTOR'S LICENSE NO. 4. I plan to provide portions of this work, but I have hired the following person to coordinate, supervise, and provide the major work: NAME: ADDRESS: CITY: PHONE: CONTRACTOR'S LICENSE NO. 5. I will provide some of the work but I have contracted (hired) the following persons to provide the work indicated: NAME ADDRESS PHONE TYPE OF WORK SIGNED: PROPERTY OWNER: SOCIAL SECURITY NUMBER: DATE: . :Z — 0 7 — Cf T - NOTE: This owner -Builder Verification is required by Section 19831 and 19832 of the California Health and Safety Code. This verification must be completed and returned to our office before we are permitted to issue the permit. OVER Dear Property Owner: An application for a building permit has been submitted in your name listing yourself as the builder of property improvements specified. For your protection, you should be aware that as "owner -builder" you are the responsible party of record on such a permit. Building permits are not required to be signed by property owners unless they are personally performing their own work. If your work is being performed by someone other than yourself, you may protect yourself from possible liability if that person applies for the proper permit in his or her name. Contractors are required by law to be licensed and bonded by the State of California and to have a business license from the city or county. They are also required by law to put their license number on all permits for which they apply. If you plan to do your own work, with the exception of various trades that you plan to subcontract, you should be aware of the following information for your benefit and protection: 0 If you employ or otherwise engage any persons other than your immediate family, and the work (including materials and other costs) is $300 or more for the entire project, and such persons are not licensed as contractors or subcontractors, then you may be an employer. 0 If you are an employer, you must register with the State and Federal Governments as an employer and you are subject to several obligations including state and federal income tax withholding, federal social security taxes, workers compensation insurance, disability insurance costs, and unemployment compensation contributions. 0 There may be financial risks for you if you do not carry out these obligations, and these risks are especially serious with respect to worker's compensation insurance. 0 For more specific information about your obligations under Federal Law, contract the Internal Revenue Service (and, if you wish, the U.S. Small Business Administration). For more specific information about your obligations under State Law, contact the Department of Benefit Payments and the Division of Industrial Accidents. If the structure is intended for sale, property owners who are not licensed contractors are allowed to perform their work personally or through their own employees, without a licensed contractor or subcontractor, only under limited conditions. A frequent practice of unlicensed persons professing to be contractors is to secure an "ownerbuilder" building permit, erroneously implying that the property owner is providing his or her own labor and material personally. Building permits are not required to be signed by property owners unless they are performing their own work personally. Information about licensed contractors may be obtained by contracting the Contractors State License Board in your community or at 1020 N Street, Sacramento, CA. 95814. Please complete the "Owner Builder Verification" on the reverse side of this form so that we can confirm that you are aware of these matters. The building permit will not be issued until the verification is returned. Sinclrel , Michael C. Vieira, C.B.O. Manager, Building Inspection NOTE: This Owner -Builder Information is required by Section 19830 of the California Health and Safety Code. OVER COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive= Oroville, Cplifornia.95965 - Telephone (916) 538-7541 PERMIT NO. APPLICATION AND PERMIT CNUMBER ASSE RPAREL 28-17-0-110 ZONING MR BUILDING PERMIT OWNER LARRY & CARLETTA BOOTH TELEPHONE SQ. FT. OCC. BUILDING VALUATION 288 9 OWNER'S MAILING ADDRESS P 0 Box 354 Bangor, CA 95914 ' CONTRACTOR'S NAME Owner TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER None UNKNOWN Total Valuation Is Filing Fee $ 20.00 LENDER'S MAILING ADDRESS Permit Fee $ 54.00 ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ 35.10 Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS PERMIT FEE $ 109.10 PLUMBING PERMIT Filing Fee 20.00 Each Trap 7.00 Solar or heat pump water heater 23.00 Water piping 15.00 LOT NO. SUBDIVISION'S NAME PARCEL MAP Each gas water heater or vent 15.00 USE OF STRUCTURE SF ❑ Duplex ❑ Mobilehome UX Other SPECIFY Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home S G W @20.00 TYPE OF WORK XX New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑ Describe Work: open deck (121 X 24t) PERMIT FEE $ Contractor ELECTRICAL PERMIT Filing Fee 20.00 Main Service ( 800V OR LESS ) 200A OR LESS 23.00 Main Service ( 200A TO IOOOA ) 46.00 NEW CONST. DWELLING OCCUP. OR AODNS. ( & ACC. BLDS. ) SO. 3.50 FT. CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one) O I am a licensed under provisions of Chapter 9, Division 3 of the Business and Professions Code and my license is in full force and effect. �License No. Classification ,moi', as the owner, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for safe. (Sec 7044) ❑ I, as the owner, am exclusively contracting with licensed contractors. (Sec 7044) ❑ I am exempt under Sec. Business and Professions Code forthis reason NEW CONST. MULTI -OUTLET NON.RESID. ( BRANCH CIRCUITS ) @7.50 ( POWER APPARATUS ) & SINGLE OUTLET CIR, Ex. Occup. ( OUTLET OR FIXTURES ) BA20 @ 1.000 Ex. Occup.FIXED APPLNS. OR (OUTLETS (RESID.) EA. ) 5•00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 WORKER'S COMPENSATION INSURANCE 1 declare under penalty of perjury (check one): ❑ This permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Dept. of Development Services, Building Division a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -insure. shall not employ any person in any manner so as to become subject to the Worker's Compensation laws of California. Notice to Applicant: If after making this statement, should you become subject to the Worker's Compensation provisions of the Labor Code, you must forthwith comply with such provisions or this permit will be revoked. PERMIT FEE $ Contractor MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all Butte County Ordinances and California State Laws relating to building construction, and hereby authorize representatives of the County of Butte to enter upon the above mentioned property for inspection purposes. I also Be to S , indemnify and keep harmless the County of Butte against all liabili es, j dgme t , cs, and expense which y in any way accrue against said Co ty i onse u nc f t gr n this p r t. X 'Date J — / Sig lure of p Icant Owner ntr c or O Agent An OSHA permit is required for excavations over 5"0" deep and demolition or construction of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ ocC CONST. TYPE TOTAL FEE $ 10 HAZ• D. FEES IMP FIOOD CDF PARCEL PD H ISSUE This permit is hereby issued under the applicable provisions of the Butte County Code and/or Resolutions to do work indicate above for which fees have been paid. By Date �g � PERMIT EXPIRES ON /✓' etel Receipt No. 156692 WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT . „ "Y"",y,�-.,.-.. i,�y...l-tw.. i•+�r... ..,.*=r, -,..:.r..... ....�..-...ir"`-�,.�+-�a...�r..f^^.r+�sY)-r-'.ir..-.ttS'S+n*'ti7.1i.:,�p7'.,-.yn. .'a�+.. .+-r.-.. «.s•.r.... ..,. k..r .. �, ,... ... . CGUNTY,OF BUTTE - 4EPART ENTF.OF DEVELOPMENTSERVICES -BUILDING DIVISION *041 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE (916) 538-7541 PERMIT APPLICATION DATASHEET OWNER h e r ,'~. 800 A. P. No. /62 - Proposed Building Use ZU d A I ZI'VBuilding Inspector Date At time of permit application, I was advised the following data must be submitted prior to permit processing and/or issuance:, DATE RECEIVED 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 . ............................................ 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 floe) by Cali rnia Engineer ................... + 14. Sanitation and plot plan approval rO ✓, Ile Health Department . ............ a a 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). .. 'Fr 4AsWct`; reyuest" 20. Pre -inspection for required. .. to Building lnepector (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 _). .......... �X 24. Recorded copy of Agricultural Acknowledgement Statement . .................. a 25. Letter of signature authorization . ......................................... 26. Copy of recorded deed of parcel creation and 60 right of way to a public road. .... . 27. Letter of intent on building use . ......................................... 28. Mobilehome utility clearance . .......................................... 29. Documentation of legal access . ..................... :.................. 30. Documentation of 50% subdivision developed or (A) Road improvements completed and (B) Parcel meets zoning area and frontage requirements . ............... 31. Existing violations/expired permits . ...................................... 32. Plan check list . ...................................................... 33. 34. When you issue the permit, process as follows: Mail to owner. Mail to contractor. Telephone and hold for pickup at ice. Deliver with inspector. Other 77 Parcel Creation Acreage Applicant #01 Date Copy of Haz-Mat form sent Health Dept. Fire Dept. Air Pollution Date Copy of plans sent Health Dept. Fire Dept. Other Date By The following data must be submitted prior to permit issuance: (Circle new item not checked above). 1. Index permit for above items No. 2. Additional items required: Contractor, designer, owner, was advised of above required data by _ phone -.mail Counter by _ Date Contractor, designer, owner, was advised of above required data by _ phone _ mailCounter by _ Date Plans checked by Date Plans approved by ✓/ Date f Sets of plans on hold in File cabinet AP folder Copy - Department of Public Works i%il Phan Alladmi Floor Plan AmcbW svill to A;L Building Department 0 FROM: Envi roil mental Health SUBJECT: Sanitation Clearance I Owner Location CA& Plan Approved I -or: Sewage Disposal Water SkIpply: / PLIblic Clearance for 0 t I i c r /0��o -7�--Sw 114 final for: Final clen (0� or: S-),-/ 7 AP# Pri Environmental Heal all Date 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 OWNER rL;z 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. PC Z2 L2 d, -e fi,4 gy 9 e-' 0,36e 4)d a v r= e d-0 a COUNTY OF BUTTE 4. BUILDING DIVISION DEPARTMENT OF DEVELOPMENT SERVICES 1469 Humboldt Road, Chico, C� - (916) 891-2751 7 County Center Drive, Oroville,-CA - (916) 538-7541 747 Elliott Road, Paradise, CA - (916) 872-6307 CORRECTION -NOTICE ;60 of 05V7 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�'nbtify this office when correction of work is completed. If you have any questions pertaining to t�his matter, or need additional explanation. please contact this office immediately. 0 0 r- �.>'t 7 Jr Date 3-,A5_ 9.6 inspector REV 10/92 COUNTY OF 3UTTE - Deoartment of Public Works 7 County Center Drive, Oroville, CA 95965 Phone: 916-538_7341 OWNER -BUILDER VERIFICATION Attention Property Owner: An 'owner -builder". building permit has been applied for in your name and bearing your signature. Please complete and return this information at your earliest opportunity to avoid unnecessary delay in processing and. issuing your building permit. No building permit will be issued until this verification is received. 1. I personally plan to provide the major labor and materials for construction of the proposed property improvement (yes or no) S 2. 1.(have/have not) 'signed an application for a building permit for the proposed wAork. 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 hired 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 work but I have contracted (hired) the following persons to provide the work indicated: Name Address Phone Type of Work Sign 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. C q,lt - _ r, J 0 goon , PaaceL t;Loz9-»-o-'//o /0.09 AcRes Environmentai Health 10 0 C Z MAR 2 8 1994 t Orovilie, California p li J j J0 iS0 Ffi �o ,)-+ 7 3 /. ?5- ALL S ALL STRUCTURES AND EQUIPMENT INCLUDING OVERHANGS SMALL BE CLEAR OF ALL EASEMENTS. A SET BACK OF ,1h FT. FROM THE SIDE AND l a . Fr. FR'JM THE REAR PROPERTY LINES ANO a FT. FIRM. THE -READ CENTERLINE SHALL.'%3E ILEEAR M STRUCTURES' AND EQUIPMENT EXCEPT FOR A 2 FT. SAVE OVERHANG. NOTE:=—All Materials & Workmanship Shalt Be in Accordance .,!ith Recognized Good Practices and" of a quality prescribed for the Specified use in the Uniform Building, Plumbing & Mechanical Codes and the National Electrical Code. This set of plans and spec ' s MUST be kept on the job at all times d i unlawful to make any changes or er s on same without written permi si n f y epartment of Public Wo r bul f tte. 4 ; 140 57r- I. This set of plans and spec ' s MUST be kept on the job at all times d i unlawful to make any changes or er s on same without written permi si n f y epartment of Public Wo r bul f tte. r �. BUTITE' '.00 NTY I BUILOIN � DEPARTMENT �x h I \� I G OIL, z ill BUTTE COUNTY BUILDING DEPARTMENt" APPROVES lu L Y ---t d � /._ 4� CL I " I Z V �cl 7` o •5 iv tn - BUTTE ' OUW BUILDING, EPA TMENT V M.. , 1869-86 PERMIT NO. 2787-86B,E PERMIT EXPIRES - OWNER XPIRES OWNER LARRY & CARLOTTA BOOTH CONTR. owner ASSESSOR PARCEL. 28-17-110 LOCATION 98 Obert Drive, Oroville c7 c=ate $ OA -<S 18L VO. Temp. Power Pole Called PG&E Temp. Elec. Service Called PG&E Temp. Gas Service' Called PG&E JOB FINALED (Date) Signature _. J = OK 0 = Not OK — = Not Applicable MOBILEHOMES * = Not Ready , MISCELLANEOUS Date MOBILEHOME UTILITIES (Plaris) OK except #'s Date DECK , CO.VERS, CARPORTS, ETC. (Plans) OK except H's 1. Zoning Requirements—Setbacks—Easements . Zo Requirements—Setbacks—Easements 2. Soils; Special MH Support—Sketch _ ootings; Size—Depth—Spacing—Connectors 3. Sewer; Location—Test—Fall-C/0—Concrete 3. Decks; Girders and/or Joists—Decking—Bracing—Stairs—Rails 4. Water; Location—Test—Easement Needed (Sketch) 4. Wood Awn.; Posts—Beams—Rftrs.-Connec.-Shthg.—Rfg.—Bracing 5. Electricity; Location—Clearances—Grnd.—/ / Amp—Concrete _ 5. Alum. Awn.; Columns—Connections—Splice-Decal—Enclosures. 6. Gas; Location—Test—Wrap:/ /"L"ft./ /"Nat. or/ /"L"ft./ /"LPG 6. Carports; Windows—Doors 7. Utility Clearance _ 7. Elec. Card -BI Date Card - BI Date Card -BI Date Card -BI Date Card -BI Date Date Card -Bt Date MOBILEHOME INSTALLATION (Plans) OK except N's 1, Zoning Requirements—Setbacks—Easements Card -BI Date Date Card -BI Date POOLS (Plans) OK except N's 1. Setbacks—Easements 2. Footings; Size—Spacing—Marriage Line 2. Soils; Compaction—Structure Stability 3. Gas; MH Test—Demand—Valve—Connector 3. Pool Structure; Steel—Connections—Thickness—Dead Men—Lining 4. Electricity; MH Test—Crossovers—Breakers—Clearances 4, Elec.; Receptacles and Lighting; Distances—GFt • ; _ ,. 5. Drain; MH Test—Fall—Flex Connector 5. Elec.; Pool Lighting; 15 volts—GFI 6. Water; MH Test-Regulator—Connector 6. Elec.; Enclosures; Conduit Entries—Terminals—Listed 7. Water and Sewer Connected—C/0 to Grade—HD Approval 7. Elec.; Bonding; Metal w/5'—Circulating Equipment—Heater 8. Gas and Electricity Tagged 8. Elec.; Grounding; Equip.w/5'-Circulating Equip., Pool Lghtg. Boxes—Enclosures—Panel boards—Ins. to Main in Conduit ., 9. Exits; Insp.—Sketch 10. Cert. of Occupancy 9. Health Department Approval 10. Plumb; Cir. Test—Water Supply Test Card B -I Date Card -BI Date Card -BI Date Card -BI Date, . Card B -I Date Card -BI Date Card -BI Date Card -BI Date J = OK 0 = Not OK - = Not Applicable * = Not Ready r RESIDENTIAL (Single and Duplex) Date UNDERFLOOR Plans OK except N's - Zoning requirements -Setbacks -Easements 2. Ftg., Main; Soils-Steel-Elec. Grnd.- / /" Ftg. - 3. Flg,-Garage; Soils -Steel- / /" Ftg. Depth a.--Ftg., Porches & Decks: Soils -Steel- / /" Ftg. 1 5. Stemwalls, Main; Steel-Blockouts-Wrapped-Slab 6. Stemwalls, Garage; Steel-Blockouts-Wrapped-Slab 7. Piers -Fireplace Ftg.-Steel 8. D.W.V.: Fall -Fittings -Test -2 way C/O -Sewer Test Gas Pipe; Size -Anchors 10. Water Pipe,: Test -Anchors -Regulator -Service Test 11. Electric: Underground 12.PI ums Ducts; Clearance-MateriakSupport-Ins. irde. -Sills-Anchor Bolts-Jo&t -Vents-Cripples Card -BI Date Card -BI Date Card -BI Date Card -81 Date Date PLUMBING (Permit) OK except p's 14. Water Ht.: Vent -Access-Combustion Air 15. Water Pipe: Test & Anchors -Nail Protection 16. D.W.V.: Test-Fttngs & Anchors -Nail Protection 17. Shower Pan: Test, First Floor -Tub Access 18. Test Tub _& Shower, 2nd Floor -Tub Access 19. Gas Pipe: Size & Anchors Card -BI Date Card -BI Date Card -BI Date Card -BI Date Date ELECTRICAL (Permit) OK except q's Date FRAMING (Continued) 21. Elec. Receptacles Spacing -Lights & Switches at Doors 48. Property Line Firewall & Openings h Romex Installed Close to Edge of Studs & C.J. 49. Ext. Doors -One 3' -Check Garage -3rd story, 2 exits 25. 2 Appliance Circuits in Kitchen & Conductor Size 50. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 27. Range Circ. / / ga. Cu or AI -Oven Circ. / / ga. Cu or At, 51. _ Plywood on Roof Overhang -Attic Vents -Rafter Outriggers 28. Service -Riser Conductors & Ground -Main Disconnect 52. Siding -Nailing -Veneer _ Clothes Closet Light -Shower Light 53. 54. Stucco Mesh -Drip Screed-Fdn. Vents-Underflr. Access _ Glazing Area -Glass Protection -Skylights -Plastic 55. Shear Walls; Nailing -Bolts Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Date FINAL (Plans) OK except N's 56. Ext. Steps -Door & Sidelight Protection -Landings 57. Smoke Detector 58. Furnace; Vents -Clearance -Comb. Air -Connector - In Garage; Above Floor -Ducts -Meth. Protection 59. Bedroom Exiting 60. G.F.I. & Bath Fixtures & Tub Access' 61. Elec. Trim & Subpanel; Breaker Sizes -Labels 62. Stairs & Rails 63. Fireplace or Stove; Clearances -Hearth 64. Elec. Outlets at Wood Panel; Int. & Ext. Date ELECTRICAL (Permit) OK except q's 20. Fixture & Transformer Clearance -Ins. Protection 21. Elec. Receptacles Spacing -Lights & Switches at Doors 22. Size Boxes & No. of Conductors -Stapled 23. Romex Installed Close to Edge of Studs & C.J. 24. Equip. Ground made up w-/Mech. Fasteners -Bond Gas & Water 25. 2 Appliance Circuits in Kitchen & Conductor Size 26. Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / / ga. Cu or At 27. Range Circ. / / ga. Cu or AI -Oven Circ. / / ga. Cu or At, -- Insulated Neutral Yes _7No _ 28. Service -Riser Conductors & Ground -Main Disconnect 29. Equip. Clearances: Panels-Motors-Mech. Equip. _ 30.- Clothes Closet Light -Shower Light tit). Kit. Fixt. & Appliance; Grnd.-Air Gap -Cooking Clearance 66. Elec. Outlets & Receptacles at Kit. Counter 67. Garage Fire Door; Swing -Landing -Closer 68. A.C. Duct in Garage -Damper 69. Wtr. Htr.; Vents -Clearance -Comb. Air-Connector-P.R.V.- In Garage; Above Floor -Meth. Protection 70. Plb., Elec. & Mech. Equip. Listed for Location 71. Elec. Receptacles in Garage; (G.F.I.)-Romex Protec. 72. Insulation -Foam -Looked in Attic ❑Yes 73. Guard Rails & Deck Construction -Post Caps 74. Fdn. Vents & Crawl !-tole Door -Drainage & Wood -Earth Clearance Looked under Floor Ci Yes 75. Following instld.: Drive ❑ Yes []No: Walks ❑ Yes ❑ No; Planters ❑Yes EJ -No 76. Stucco; Brown -Finish 77. A.C. Unit; Disconnect-Clrnces-Brkr. & Cord. Size -115V Outlet 78. Vents Above Roof; Plbg.-Appliance-Firepl.-Clearance to Opngs. 79. Water Well; Disconnect, Electrical, Plumbing 80. Exterior Elec. Trim; G.F.I. Receptacle -Underground Card B -I Card B -I Date Card -BI _ Date _- Date Card -BI Date 81. Ventilation throughout House 82. Glass Protection Date MECHANICAL (Permit) OK except q's 83. _ Corrections from Previous Inspections _ 84. Gas Test -Meters Tagged: Gas -Electric 31. 32. 33. 34. A.C. Ducts. Insulation &--Support _ _ _ Vent Fan: Exhaust above Insulation _ Condensate Drain & Overflow: Size_& Grade Furnace -Vent: Access -Comb. Air -Return Air Vent -115V outlet 85. Water & Sewer Connected -C/O to Grade -HD Approval 86. Energy Compliance Certificate -Other Certificates -- -- -- - -- - Card -BI Card -BI Date 35. Attic Access & Platform if Furnace in Attic - -- -- --- - _ - _ Card -BI Date Card -BI Date _ Card -BI Date Card -BI Date Card -BI FRAMING(Plans) OK except N's _ 36. Sills. Proper Material & Anchors 37. Walls: Studs -Nailing, Spacing & Bracing -Plates -Sound _ 38. Bearing Walls over Girders & Floor Nailing _ 39. Draft Stop in Walls (rat proof) 40. Fire Stops: Furred Ceilings-Stair_s_-Chases-Tub 41 Header & Beam -Size & Bearing 42. Hangers -Post Caps -Anchors -Connectors _ 43. Cing. Joist-Rftr. Ties-Purlin-Roof Brac.-Truss-Shihng.-Rfng. _ 44. Fireplace Ties or Type A Flue -Fireplace Throat 45. Attic Access. Size & Romex Protection -Draft Stop -Ins. Baffles Date Card -BI Date Dale Card -BI Date Date Card -BI Date Com rents at Final: 46, Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions _ 47. Garage Fire Protection Framing (NOTE Anentry must be made each time you visit job site) COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS '\/I/ 7 County Center Drive - Ofoville, CalihSrnia'�5b65•- Telephone 916/534-4541 APPLICATION'ANU PERMIT 9 NO • 1 ASS SO PARCEL NUMBER — _ //0 'Ilwr ZON NG . BUILDING PERMIT . OWNER L-0 It)a �� TE�' LEP ONE .SQ. FT. OCC. BUILDING VALUATION OWNER'S M (LING ADDRESS 50S:205�'D C' TRACTOR'S NAME T LE PHONE CONTRACTOR'S MAILING ADDRESS Fireplace �0 p ONS RUC ION LENDER UNKNOWN Total Valuation $ ' Filing Fee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER LICENSE No. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS Permit fee $ PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 rro Solar or heat pump water heater 20.00 LOT N SUBDIVISION NAME PARCEL MAP- 153 —53 Water piping 5.00 Each qas water heater or vent .00 USE OF STRUCTU E SF ❑ Duplex❑ Mobilehome❑ OtherBui.lding SPECIFY Gas piping system 1 - 5 outlets 5.00 sewer 5.00 Mobile Home G W 10.00ea TYPE OF WORK New nAddition ❑ Remodel [:]Utilities ❑ Installation[]Other ❑ Describe work: Perrni ee $ ntractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 600V OR LESS 100 AMP OR LESS 10.00 Main service EA. ADD'L 100 AMP 2.50 CONTRACTORS LICENSE LAW 1 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 1, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ontract- ors. ors.(Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONST. / DWELLING OCCUP.ai\ YzQsgft a,s(� OR ADDNS. \ ACC, BLDGS. NEW CONSTR ULTI.OUTLET 2,50 ea NON.RESID BRANCH CIRC ITS POWER APPARATUS h1 SINGLE OUTLET CIR. / ( EX. OCCup\OUTLETS OR FIXTURES 200500 9ALOso FIXED APPLNS. OR EX. Occup. OUTLETS (RESID.) EA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 g Permit Fee $ Contractor WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. MECHANICAL PERMIT FiIingFee 10.00 Heating Cooling Hood 3.00 Ventilation permit F $ CDAtractor 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. 1 also ree to save, indemnify and keep harmless the County of Butte against all h bit tie ' dg nts, cos and a enses which may in any way accrue ago' st nt in ons nce of. a granting of this permit. X Date / �[i Signature of Applicant — Owner ❑ Contractor ❑ Agent ❑ An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ TOTAL PERMIT FEE $ D Occup. R3 J CONST C FLOOD ARCEL PD D seu This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which DIREC R OF LIC �- BY PERMIT EXPIRES Date the applicable provi- resolutions to do fees have been paid. WORKS Date Receipt No. WHIT!-D.P.W., YELLOW -ASS E950R, PINK -INSPECTOR, GOLDENROD -APPLICANT - COUNTY OF BUTTE - DEPARTMENT<OF. a, "PURROBUILDING DhVISIONLIC WRKS / 7 COUNTY CENTER DRIV=E -4 OR`i'bVIL nE'; Cfj,L�!�nRNIA`95965 - TELEPHONE: 9161/5%4-4541 Y PERMIT APPLICATION DATA SHEET --D Permit No. OWNER :.f(,.- f f k- l.. 'C.T�1 7� i�ft i A. P. No. ' Proposed Building Use-�-`- , Permit Fee Based Upon: Comple a Contract Price _DPW Valuation Other (�E/xplain) ,� _ J / `�j Building Inspector /�` / ' �`� Date ` !i% �j ri At time of permit application, I was advised the following data must be submitted prior to permit processing and./or issuance: DATE RECEIVED APPROVED 1. All items have been submitted. . . . . . . . . . . 2.., Plot plans in duplicate/triplicate. . . . . . . . . . . 3. Complete plans in duplicate/tri-plicate. . . . . . . . . 4. Complete engineered plans and calcs. . . . . . . . . . 5. Plans with Energy Design Compliance Statement. . . . . . 6. CUSD "Fees Paid'' Stamp on Floor Plan . . . . . . 7 Statement of Intent for Non -Heated and AC Buildings. 8. Fees of $ . . . . . . . . 9. Letter of signature authorization. . 0. Sanitation approval from �'i�-e. Health Dept. 11. Planning approval for (A) Use: (B) Parking: 12. Certificate of Workmen's Compensation Insurance. . . . . . 13. Contractor's License Information (no., name style, classif.) "fr 14- yOwner-Builder Verification (Given to owner❑, Mail to owner ❑ ) 15. Improvements may be required. . . . . . . . . . . . 16. Mobilehome Installation Data. . . . . . . . . . Pre-Insp17. Pre -Inspection for Required- Building In request to (Dote) p q Building Inspector 18. Recorded copy of Agricultural Acknowledgment Statement . . . 19. Other When you issue th Telephone Other e permit, process as follows: Mail to owner. Mail to contractor. r? ' and hold for pickup at office. Deliver w/inspestgr- PP A licantt Ui((/I%Zl Date � Copy of plans sent Health Dept., Fire Dept., Other Date During the plan checking process, the following data must be submitted prior to permit issuance. (For required items not checked above at time of application, circle item.) 1. Index permit for above Items No. 2. Additional items required: (Contractor, Designer, Owner) was advised of above required data by Telephone By Plans checked by _ Plans approved by Other Copy—DPW Dater_ Date _ -Mail Other Date To: :juiiding DeparLm��ot From: -mvironmental llc!llth Subject: Sanitation Clearance A) I Owner Location AP// Plan Approved for: 'Sewa,,e dispo5al uater supply Hold final for: i -;,.ter supply Final clearance O.K. for: water supply Clearance for bedrooi-.,. mobile hom.c. Other C NOTE! *** CO— 'Sanitarian Date COUNTY OF BUTTE - Department of Public Works 7 County Center Drive, Oroville, CA 95965 Phone: 916-534-4541 OWNER -BUILDER VERIFICATION Attention Property Owner: An 'owner -builder" building permit has been applied for in your name and bearing your signature. Please complete and return this information at your earliest opportunity to avoid unnecessary delay in processing and issuing your building permit. No building permit will be issued until this verification is received. 1. I personally plan to provide the major labor and materials for construction of the proposed property improvement (yes or no) 2. I (have/have not) (walbl 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 A Address P41/ 4� City Phone V F Contractors License No. 4. I plan to provide portions of this work, but I have hired the following person to coordinate, supervise, and provide the major work: Name / /I Address City Phone Contractors 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 SignPd: AKoperty Owner ( 6 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. This set of plans and specifications MUST be L pt on•the job at all times and it is'unlo�fitl to r ke any changes or alterations on same witl% e ir itten permission from the mento u is orks, County of Butte. C q,Lt a y IFY. 0S_ H o PatceLs:.0ZQ-l7-O-IIO 'NOTE:—All Materials Workmanship Practices Shall aand Accordance with Rec nized Good of a quality prescribe for the Specified use in the q Uniform Building, Plum g & Mechanical Codes and c 4 = the National Electrical . e• o V tLL .w O • l� alnb t � �Q sp Ft /-7.0-7 a A se ack of /ft. from the grope lines and a setback of 50ft. from the road y centerline shall be clear of structures or equipment except .0 0 for a 2 ft. eave overhang. �p "I o� �7� �d qS surrE courvrY BUILDING DEPARTMENT C�tv / APPROVED 4a� a � L 1 z 4 y SJF � V v L� H u,e to Q 4a� a � L 1 � r� �C2 b goc C, VVII CIO Q p- a PAsso*C #4e#OAW&4 RooFIA16: cqv � %,I .1 0 X? -'/7-0 a � xy� B 3, BUIL E COUNTY I NG DEP A R ENT7n AP'PRO\/!Fn 14r �- A -t1 f -4t: or- i � ili o i �w1 . t ® ...... .._..... ._ � t t• � fm -v �- A f . ............ ... ilk -411rn C5 rxl. LA Ism ;i ilk -411rn C5 rxl. LA Ism Y _ , COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Chive - Oroville, California 95965 - Telephone (916) 538-7541 jP/N. APPLICATION AND PERMIT - D 1 AssESSggP CE1�NyM6�(1 110 ZONING BUILDING PERMIT VIA OWNER KKALZRSRIY/& CARLOTTA BOOTH TELEPHONE SO. FT. OCC. BUILDING VAILOATION 100 M 1,800 OWNER'^}{.1lINCy{�DXE5 54, BAnbor, CA 95914 CONTRACTOR'S NAME TELEPHONE CONTflACTO R'S MAILING ADDRESS Fireplace CONST TION LENDER lone UNKNOWN Total Valuation $ 1,800 LENDER'S MAILING ADDRESS Filing Fee $ 20.00 Permit Fee $ 41.00 ARCHITECT OR ENGINEER None LICENSE NO. Plan Checking Fee $ 26.65 Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS 98 Obert Drive, Oroville PERMIT FEE $ $ 7.65 PLUMBING PERMIT Filing Fee 20.00 Each Trap 7.00 Solar or heat pump water heater 23.00 Water piping 15,00 LOT NO. SUBDIVISION'S NAME PARCEL MAP Each gas water heater or vent 15.00 USE OF STRUCTURE SF ❑ Duplex ElMobilehome ❑ Other Storage SPECIFY Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home S G I W @20.00 TYPE OF WORK New ❑ Addition ❑XXX emodel ❑ Utilities ❑ Installation ❑ Other 1:1Contractor Describe Work: PERMIT FEE g ELECTRICAL PERMIT Filing Fee 20.00 Main Service ( 600V OR LESS ) 200A OR LESS 23.00 Main Service ( 200A TO 1000A ) 46.00 NEW CONST. DWELLING OCCUP. OR ADDNS. ( 8 ACC. BLOS. ) so - 3.50 FT. CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one) ❑ 1 am a licensed under provisions of Chapter 9, Division 3 of the Business and Professions Code and my license is in full force and effect. (cense No. Classification I, as the owner, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sate. (Sec 7044) ❑ I, as the owner, am exclusively contracting with licensed contractors. (Sec 7044) ❑ I am exempt under Sec. Business and Professions Code forthis reason NEW CONST. MULTI-OUTLET -NON-RESID. ( BRANCH CIRCUITS ) -00 @7.50 ( POWER APPARATUS ) B SINGLE OUTLET CIR. Ex. Occup. ( OUTLET OR FIXTURES ) BA20 @ 1.000 Ex. Occup. ( OUTLETS (RES . GEA. ) 5..0 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 WORKER'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): O This permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Dept. of Development Services, a Building Division a Certificate of Workmen's Compensation Insurance or a kCertificate of Consent to Self -insure. shall not employ any person in any manner so as to become subject to the Worker's Compensation laws of California. Notice to Applicant: If after making this statement, should you become subject to the Worker's Compensation provisions of the Labor Code, you must forthwith comply with such provisions or this permit will be revoked. PERMIT FEE $ 2700 Contractor MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all Butte County Ordinances and California State Laws relating to building construction, and hereby authorize representatives of the County of Butte to enter upon the above mentioned property for inspection purposes. 1 al ag a to ave, indemnify and keep harmless the County of Butte against all Iia ities, j dg en sts, and ex nses w 'ch may in any way accrue against said C my i on ence of r f g of th' permit. X Date o� o Sign ure Applicant e O Contractor ❑ Agent An OSHA permit is required for excavations over 5"0" deep and demolition or construction of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ ocC 1 CONST. TYPE TOTAL FEE $ HAZ. D. FEES IMP FLOOD cOF PARCEL PD IID ISSUE This permit is hereby issued under the applicable provisions of the Butte County Code and/or Resolutions to do work indica above for hich fees have been paid. ey Date PERMIT EXPIRES ON (Date) Receipt No. 156692 WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT i ";•we.:%7Y^�+'WM.'ttr+'rw,w.nar^+C'.'""''-'�*a.*.'.Y'.'."i�.,�.r,....•.-�'^1ay'�pjr'vtq,�s'T�'rrp,7�,'�..:rii:.nirrti+�..µv.,..,.•. .,....r,..s+N•,-•- , yl•. .,Tad---"i:-'�".... .. COUNTYOF BUTTE -j TNIEN.T. OF D,E�EPMENT SERVICES -BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 -;TELEPHONE (916) 538-7541 #t, PERMIT APPLICATION DATA SHEET l V1 OWNER to r r c 16 110 40 sy A. P. No. Od Proposed Building Use Building Inspector' Date At time of permit application, I was advised the following data must be submitted prior to permit processing and/or issuance: DATE RECEIVED BY 1. 2. 3. 4. 5. 6. 7. 8. 9. 10. 11. 12. 13. 14. 15. 16. 17. 18. 19. 20. 21. 22. 23. 24. 25. 26. 27. 28. 29. 30. 31. 32. 33. 34. All items have been submitted . ........................................ Plot "plans, 3/4 sets, signed by preparer of plans . .......................... Complete plans, 3/4 sets, signed by preparer of plans. Engineered plans and calcs, 3/4 sets, with wet signature on plans . ............. Hazardous Material Form. ............ . Energy Design Compliance and supporting documentation . .................. Statement of Intent for Non -Heated and A/C Buildings . ...................... Engineered truss details ai�d layout in duplicate (required prior to plan check). .... Mobilehome data and manufacturer's installation instructions, 2 sets. ........... Feesof $ .......................................... Impact fees as shown on attached schedule. ............................. . California Department of Forestry plan approval/fees. ....................... . Flood elevation letter (100 year floo�J by Caffp rnia Engineer ................... Sanitation and plot plan approval i0Vt R.,Health Department . ............ City of Chico plumbing permit . ......................................... Plot plan and business license approval from City of Biggs/Gridley. ............ . Planning approval for (A) Use: (B) Parking: 'I-". • ...... . Contact Land Development about (A) Improvements (B) Drainage. .......... . Driveway permit (construction approval required prior to occupancy). ...Pre-ine'ction �que� Pre -inspection for required. . to Building Inspector (Date) Contractor's license ihformation. (No., Name Style, Classification) . .............. Certificate of Workmans Compensation Insurance . .......................... Owner -Builder Verification (Given to owner , Mail to owner _). .......... . Recorded copy of Agricultural Acknowledgement Statement . .................. Letter of signature authorization . ......................................... Copy of recorded deed of parcel creation and 60 right of way to a public road. .... . Letter of intent on building use . ......................................... Mobilehome utility clearance . ........................................... Documentation of legal access . ..................... :.................. Documentation of 50% subdivision developed or (A) Road improvements completed and (B) Parcel meets zoning area and frontage requirements . ............... Existing violations/expired permits . ...................................... Plancheck list . ..................................................... When you issue the permit, process as follows: Mail to owner. Mail to contractor. Telephone and hold for ckup at office. eliver with inspector. Other Parcel Creation Acreage Applican - `z Date Copy of Haz-Mat form sent Health Dept. Fire Dept. Air Pollution Date Copy of plans sent Health Dept. Fire Dept. Other Date By The following data must be submitted prior to permit issuance 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 _ mail Counter by _ Date Contractor, designer, owner, was advised of above required data by _ phone -mail unter by _ Date Plans checked by Date Plans approved by 4ak Date Sets of plans on hold in File cabinet AP folder Copy - Department of Public Works Phil Plan Atiached M 1.1 A lu ell A G(jr Wl sent I') LIM TO: Building Department tP FROM: Environmental Health SUBJECT: Sanitation Clearance Owner Location Plan Approved for: Sewaoe Disposal Water Supply: I'LlbhQ, 0'00��/ Clearance for 0 t I i c r 0 ��5w' HoW final for: Final clearance� �,' fori NOTE:— Environmental HealtIf-Specil 8/92 "-s AP# Date COUNTY OF BUTTE Department of Development Services Building Division Oroville: 7 County Center Dr., Oroville CA 95965 Ph: 916-538-7541 Chico: 1469 Humboldt Rd., Chico CA 95928 Ph: 916-891-2751 OWNER -BUILDER VERIFICATION Attention Property Owner: An "owner -builder" building permit has been applied for in your name and bearing your signature. Please complete and return this information at your earliest opportunity to avoid unnecessary delay in processing and issuing your building permit. No building permit will be issued until this verification is received. 1. I personally plan to provide the major labor and materials for construction of the proposed property improvement (yes or no) 2. I (have/have not) signed an application for a building permit for the proposed work. 3. I have contracted with the following person (firm) to provide the proposed construction: Name Address City Phone tl Contractor's License No. 4. I plan to provide portions of this work, but I have hired the following person to coordinate, supervise, and provide the major work: Name Address City Phone- Contractor's License No. 5. I will provide some of the work but I have contracted (hired) the following persons to provide the work indicated: Name Address Phone Type of Work Signed Property Owner k""=—Tt�,ME' Social Security Number / Date `3 /;,Z R/ e7h 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 permitted to issue the permit. COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive - Oroville, California 95965 - Telephone (916) 538-7541 APPLICATION AND PERMIT PERMIT NO. ASSE$^aQRJLN.-BER • � 0Jl 0 ZONING BUILDING PERMIT OWN r � � �,, � �Aoo TELEPHONE SO. FT. OCC. BUILDING VALUATION OWN SMAI G RE U / n� ('��/t_/ S C 7 O / O CO NTR TO R•S NAME C TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRyCp^N DEP //V/li UNKNOWN Total Valuation $ LENDER'S MAILING ADDRESS Filing Fee $ 20.00 Permit Fee $ =OR ENGINEER LICENSE NO. Plan Checking Fee $ (� Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDI D ESS �^ f ti/ P J; PERMIT FEE $ S PLUMBING PERMIT Filing Fee 20.00 Each Trap 7.00 Solar or heat pump water heater 23.00 LOT NO. SUBDIVISION'S NAME PARCEL MAP Water piping 15.00 Each gas water heater or vent 15.00 USE OF STRUCTURE CJ �f © d SFO Duplex O Mobilehome O Other / t SPECIFY Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home S G I W @20.00 TYPE OF WORK New O Addition AlRemodel O Utilities O Installation O Other O Describe Work: PERMIT FEE g Contractor ELECTRICAL PERMIT Filing Fee 20.00 Main Service ( "OR LESS ) 200A OR LESS 23.00 Main Service ( 200A TO t000A ) 46.00 NEW CONST. DWELLING OR ADONS. ( a ACC. OCBLDSCUP. . ) 3.5CSO, FT. CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one) O 1 am a licensed under provisions of Chapter 9, Division 3 of the Business and Professions Code and my license is in full force and effect. �cense No. Classification as the owner, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. (Sec 7044) O I, as the owner, am exclusively contracting with licensed contractors. (Sec 7044) O I am exempt under Sec. Business and Professions Code forthis reason NEW CONST. MULTI -OUTLET NON.RESID. ( BRANCH CIRCUITS ) @7.50 ( POWER APPARATUS ) 8 SINGLE OUTLET CIR. Ex. Occup. ( OUTLET OR FIXTURES ) 20 @ 1.00 BAL. 8o Ex. Occu FIXED APPLNS. OR p' ( OUTLETS IRESID.1 EA. ) 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 WORKER'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): O This permit is for $100.00 (valuation) or less. O I have placed on file with the County of Butte Dept. of Development Services, Building Division a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -insure. -.R01shall not employ any person in any manner so as to become subject to the Worker's Compensation laws of California. Notice to Applicant: If after making this statement, should you become subject to the Worker's Compensation provisions of the Labor Code, you must forthwith comply with such provisions or this permit will be revoked. PERMIT FEE $ Contractor MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all Butte County Ordinances and California State Laws relating to building construction, and hereby authorize representatives of the County of Butte to enter upon the a ove mentioned property for inspection purposes. gree to save, indemnify and keep harmless a County of Butte against all obilitie , judgm nts, s , and expenses which y any way accrue against said n conse uen o theis per it. to Si ture o App'cant wn trac -O OAgent An OSHA permit is required for excavations over 5"0" deep and demolition or construction of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ OCC CONST. TYPE TOTAL FEE $ HAZ• D. FEES IMPFLOOD COF PARCEL PD HD ISSUE This permit is hereby issued under the of the Butte County Code and/or Resolutions indicated above for which fees have been BY PERMIT EXPIRES ON (Dare) applicable provisions to do work paid. Date J5 / / Q Receipt No. ` O l WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT Sootb 0 0 Paace.Lx$-0ZQ—��-O" 110 /0.09 Ac Res U, E COUNTY BUILDING DEPART '' APP 0VE'_ N 0 L, 32Ti � i ' q D �y �Y ps'.bp � . is sJF t ri !� 7 3 ALL. STRUCTURES AND EQUIPMENT INCLUDING NOT — II �t a Workmanship Shall Be in OVERHANGS SHALL BE CLEAR OF ALL EASEMENTS. Ac .►Ian ognized Good Practices and A. SET BACK OF FF. FROM THE SIDE AND of qua cribed for the Specified use in the FT. FROM THE REAR PROPERTY LINES AND U .'forildjng, Plumbing &Mechanical Codes and _ FT. FROM THE -RUAD.CEtNTERLINE SHALL 13E the tional Electrical Code. CLEAR OF 'STRUCTURES AND EQUIPMENT EXCEPT FOR A-2 FT. EAVE OVERHANG. - This set of plans and specifications MUST be • kept on the job at all times' acid it is unlawful -to' make any changes or alterations on same without written permission from the Department of Public Works, County of Butte. N Ar 01CW7 „_• seg �s• 1 je• Saw .ara.�cx twar . �• PA.fGfL � zj.4"- 6w Awo firdCie vi+ci/id _ alt[ 71'�.t) , R E E■,ariwo JrgevAq. I ti� AG o PQOA&RrY lw/ ^ d t •e I P.�'RCEL •8 — . ® W{,j,.: %P .✓S'f'Jd•lf✓ JKtN• � � ' I S I PA.<�TZ AV h 74 � o �• Z � �.erct -3 � � n ._� � yyr ' • \ I� /gide• —� �- /1i N d1• /'I'1f'L ,f , R E E■,ariwo JrgevAq. I ti� AG o PQOA&RrY lw/ ^ d t •e I P.�'RCEL •8 — . ® W{,j,.: %P .✓S'f'Jd•lf✓ JKtN• � � ' I S I PA.<�TZ AV h 74 � o �• Z � �.erct -3 � � n ._� � yyr ' • \ I� /gide• —� �- /1i N d1• /'I'1f'L Top rail to be 36 in. high with in- termediate rails to be not over q in. apart. KA sef6c,,{• L +41 r j-/ � 4 Y C �oSS a.X'y Max. Rise Min. Run Ryan measured toe to toe. Old' max. tolerance between largest & smallest rise/run. i i XE, Dec /04 ID I I 1 e CU -C, P� Post. 1 joie/" s- T �/ 6 j a C7 a �a 0 Q 2 Y ,o J 2787=86 1:869-86 /olS `77 _ • -i 2� E NH 'PERMIT NO. PERMIT EXPIRES OWNER LARRY & CARLOTTA BOOTH CONTR. owner ASSESSOR PARCEL 28-1.7-110 LOCATION 98 Obert Dr, Oroville 1 . a:. 4 a l - Temp. Power Pole Called PG&E Temp., Elegy Callec Temp. Gas �i Callec 3 JOB FINAI Signal J = OK 0 = Not OK - = Not Applicable MOBILEHOMES * = Not Ready MISCELLANEOUS Date MOJWLEHOME UTILITIES (Plans) OK except N's Date DECKS, COVERS, CARPORTS, ETC. (Plans) OK except N's, 8. 14,zoning Requirements -Setbacks -Easements 9. Exits; Insp.-Sketch 1. Zoning Requirements -Setbacks -Easements J 9. Soils; Special MH Support -Sketch 2. Footings; Size -Depth -Spacing -Connectors Plumb; Cir. Test -Water Supply Test ,Date .,Sewer; Location -Test -Fall -C/0 -Concrete Card B -I Date Card -BI Date 3. Decks; Girders and/or Joists -Decking -Bracing -Stairs -Rails Date Card -BI ii Water; Location -Test -Easement Needed (Sketch) Card -BI 4. Wood Awn.; Posts-Beams-Rftrs.-Connec.-Shthg.-Rfg.-Bracing r 11,10`5 ion-Clearances-Grnd.--I.)W Amp -Concrete _ 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Gas; Location -Test -Wrap:/ /"L"ft./ /"Nat. or/ /"L"ft./ /"LPG 6. Carports; Windows -Doors 7. Elec. Card -BI Dat Card -BI Date Card -BI Date Card -BI Date Card -BI Date. Card -BI Date Card -BI Date Card -BI Date Date MOBILEHOME INSTALLATION (Plans) OK except #'s Date POOLS (Plans) OK except q's 1 Zoning Requirements -Setbacks -Easements 1. Setbacks -Easements 1,1�2. Footings; -Size -Spacing -Marriage Line 2. Soils; Compaction -Structure Stability 3.--Bae�-Ml�-Demand-Valve-Connector 3. Pool Structure; Steel -Connections -Thickness -Dead Men -Lining 4. Electricity; MH Test -Crossovers -Breakers -Clearances 4. Elec.; Receptacles and Lighting; Distances-GFI tl Drain; MH Test -Fall -Flex Connector 5. Elec.; Pool Lighting; 15 volts-GFI 6.,Water; MH Test -Regulator -Connector 6. Elec.;* Enclosures; Conduit Entries -Terminals -Listed ✓7. Water and Sewer Connected -C/O to Grade -HD Approval 7. Elec.; Bonding; Metal w/5' -Circulating Equipment -Heater Gas and Electricity Tagged 8. Elec.; Grounding; Equip,w/5'-Circulating Equip. -Pool Lghtg. Boxes-Enclosures-Panelboards-Ins. to Main in Conduit 9. Exits; Insp.-Sketch 0. 'Cert. of Occupancy 9. Health Department Approval 10. Plumb; Cir. Test -Water Supply Test ,Date Card B -I Date Card -BI Date Card -BI Date Card -BI Card B -I Date Card -BI Date Card -BI Date Card -BI Date r Y V r OK VA 0 - Not OK Not ble Read Not Read, RESIDENTIAL (Single and Duplex) Date UNDERFLOOR (Plans) OK except#'s __1. Zoning requirements -Setbacks -Easements 2. Ftg., Main; Soils-Steel-Elec. Grnd.- / /'' Ftg. Depth 3. Ftg., Garage: Soils -Steel- / /" Ftg. Depth 4. Fig., Porches & Decks; Soils -Steel- / /" Ftg. Depth 5. Stemwalls, Main; Steel-Blockouts-Wrapped-Slab 6.-Ste_mwalls;.Garage; Steel-Blockouts-Wrapped-Slab 7. [Piers -Fireplace Ftg.-Steel 8. O.W.V. Fall -Fittings -Test -2 way C/0 -Sewer Test 9. Gas Pipe; Size -Anchors 10. Water Pipe: Test -Anchors -Regulator -Service Test 11. Electric: Underground '12. IPlenum_s & D_ucts; Clearance -Material -Support -Ins. 13. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples Card -BI Date _ Card -BI Date Card -BI Date Card -BI Date Date PLUMBING (Permit) OK except #'s 14. Water Ht.: Vent -Access -Combustion Air 15. Water Pipe: Test & Anchors -Nail Protection 16. D.W.V.: Test-Fttngs & Anchors -Nail Protection 17. Shower Pan: Test, First Floor -Tub Access 18. Test Tub & Shower, 2nd Floor -Tub Access 19. Gas Pipe: Size & Anchors Card -BI Date f Card -BI Date Card -BI Date Card -BI Date Date ELECTRICAL (Permit) OK except #'s 20. Fixture & Transformer Clearance - Ins. Protection 21. Elec. Receptacles Spacing -Lights & Switches at Doors 22. Size Boxes & No. of Conductors -Stapled _ 23. Romex Installed Close to Edge of Studs & C.J. 24. Equip. Ground made up w/Mech. Fasteners -Bond Gas & Water 25. 2 Appliance Circuits in Kitchen & Conductor Size 26. Subfeed Wire Size r / ga. Cu or AI-A.C. Wire Size / / ga. Cu or At 27. Range Circ. / / ga. Cu or AI -Oven Circ. / / ga. Cu or At, Insulated Neutral Yes No 28. Service -Riser Conductors & Ground -Main Disconnect 29. Equip. Clearances: Panels-Motors-Mech. Equip. _ 30. Clothes Closet Light -Shower Light Card B -I Date Card -Bi Date Card B -I Date Card -BI Date Date ME--HANICAL (Permit) OK except #'s 31. A.C. Ducis. insulation & Support 32. Vent Fan; Exhaust above Insulation 33. Condensate Drain & Overflow: Size _& Grade 34. Furnace -Vent: Access -Comb. Air -Return Air Vent -115V outlet _ 35. Attic Access & Platform if Furnace in Attic Card -BI Date Card -BI Date Caid-BI Date Card -BI Date Date FRAMING(Plans) OK except #'s 36. Sills, Proper Material & Anchors 37. Walls: Studs -Nailing, Spacing & Bracing -Plates -Sound _ 38. Bearing Walls over Girders & Floor Nailing 39. Draft Stop in Walls (rat proof) 40. Fire Stops: -Furred Ceilirnjs-Stairs_-Chases-Tub 41 Header & Beam -Size & Bearing 42. Hangers -Post Caps -Anchors -Connectors 43. Cing. Joist-Rftr. Ties-Purlin-Roof Brac.-Truss-Shthnp.-Rfnq. 44 Fireplace Ties or Type ype AFlue-Fireplace Throat Date FRAMING (Continued) 48. Property Line Firewall & Openings 49. Ext. Doors -One 3' -Check Garage -3rd story, 2 exits 50. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection__ 51. _ Plywood on Roof Overhang -Attic Vents -Rafter Outriggers 52. Siding -Nailing -Veneer 53. Stucco Mesh -Drip Screed-Fdn. Vents-Underflr. Access_ 54. _ Glazing Area -Glass Protection -Skylights -Plastic 55. Shear Walls; Nailing -Bolts Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Date FINAL (Plans) OK except #'s 56. Ext. Steps -Door & Sidelight Protection -Landings 57. Smoke Detector 58. Furnace; Vents -Clearance -Comb. Air -Connector - In Garage; Above Floor -Ducts -Meth. Protection 59. Bedroom Exiting 60. G.F.I. & Bath Fixtures & Tub Access 61. Elec. Trim & Subpanel; Breaker Sizes -Labels 62. Stairs & Rails 63. Fireplace or Stove; Clearances -Hearth 64. Elec. Outlets at Wood Panel; Int. & Ext. 55. Kit. Fixt. & Appliance; Grnd.-Air Gap -Cooking Clearance 66. Elec. Outlets & Receptacles at Kit. Counter 67. Garage Fire Door; Swing -Landing -Closer 68. A.C. Duct in Garage -Damper 69. Wtr. Htr.; Vents -Clearance -Comb. Air-Connector-P.R.V.- In Garage; Above Floor -Meth. Protection 70. Plb., Elec. & Mech. Equip. Listed for Location 71. Elec. Receptacles in Garage; (G.F.I.)-Romex Protec. 72. Insulation -Foam -Looked in Attic [3 Yes 73. Guard Rails & Deck Construction -Post Caps 74. Fdn. Vents & Crawl !-tole Door -Drainage & Wood -Earth Clearance Looked under Floor ❑ Yes 75. Following instld.: Drive ❑ Yes ❑ No: Walks ❑ Yes ❑ No; Planters ❑Yes ❑No 76. Stucco; Brown -Finish 77. A.C. Unit; Disconnect-Clrnces-Brkr. & Cond. Size -115V Outlet 78. Vents Above Roof; Plbg.-Appliance-Firepl.-Clearance to Opngs. 79. Water Well; Disconnect, Electrical, Plumbing 80. Exterior Elec. Trim; G.F.I. Receptacle -Underground 81. Ventilation throughout House 82. Glass Protection 83. Corrections from Previous Inspections 84. Gas `est -Meters Tagged; Gas -Electric 85. Water & Sewer Connected -C/O to Grade -HD Approval 86. Energy Compliance Certificate -Other Certificates Card -BI Date Card -BI Date Card -BI Dale Card -BI Date Card -BI Date Card -BI Date Com lents at Final 45 Attic Access. Size & Romex Protection -Draft Stop -Ins. Baffles 46- Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions 47 Garage Fire Protection Framing (NOTE Anenoy must be made each time you visit jobsite) MOBILEHOME INSTALLATION ACCEPTANCE 5. COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS — 7 COUNTY CENTER DRIVE' i , OROVILLE, CALIFORNIA — 534-4541 PERMIT NO. ZQ I 4 Address or location of mobilehome 6p I r KOftfowner's name k— Owner's address insignia or hud number J -5b Q 45b;2, 9 ix� Manufacturer's name Fu no Serial number of V.I.N-9L/ 0 /5 - Year of manufacture �-7 (Offi—ci`al Approv" Installati n) (Date) IF THE MOBILEHOME IS MOVIID OR RELOCATED, THE MOBILEHOME INST ALLATION ACCEPTANCE SHALL BECOME INVALID. THIS FORM SHALL NOT BE USED WHEN TKE. MOBILEHOME IS INSTALLED ON A FOUNDATION SYSTEM. wne�,, �Yellow - Inst aller,.Pink - D.P.W. &�,513[3 Whit. COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 96 Memorial Way, Chi(; -o — Phope: 891-2751 7 County Center Drive, Oroville — Phone: 534-4541 Skyway 'and E I I iott Road, Paradi se — Phone: 872-2961, Ext. 57 CORRECTION NOTICE A routine inspection indicates that the follow'Ing violations of County Ordinance exist at the above address an % d should be corrected. Please notify this office when correction of work is c9mp�leted. It you have.any question pertaining to this matter, or need additional explination, please contact is office imm iately. —1 " . -4L— A 11 01 If Inspector_ 0--q Date "J. f COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 - Telephone 916/534-4541 APPLICATION AND PERMIT I PERMIT N ASSESSOR PARCEL NUMBER a -/7 -,`/Q ZONIN BUILDING PERMIT OW ER TELEPHONE SO. FT. OCC. BUILDING U ION OWNER'S M% IIANG ADDRESS � � � CONTRACTOR'S AME TELEPHONE CONTRACTOR'S M&JILING ADDRESS I Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ Filing Fee $ 4Q�e--- LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRg.ss Permit fee $ d7� PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 6 Solar or heat pump water heater 20.00 LOT NO. SUB IVISION NAME PARCEL MAP Water piping 5.00 Each qas water heater or vent 5.00 USE OF STRUCTURE SF ❑ Duplex❑ MobilehomeX Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home S W 10.00 ea TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilitiex Installation❑ Other ❑ Describe work: _ Sq FT jV(I{,) Permit Fee $� Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 1,100V OR LESS 100 AMP OR LESS 10.00 Main service EA. ADD'L 100 AMP 2.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): ❑ I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in full force and effect. License No. Classification ❑ I, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONST. DWELLING OCCUP.& A�2 Osq ft OR DDNS. ACC, BLDGS. , NEW CONSTR. U TI.OUTLET 2.50 ea NON.RESID BRANCH CIRC ITS / POWER APPARATUS &) (SINGLE OUTLET CIR. Ex. Occu S Occup(OUTLETS OR FIXTURES AL@AL030 R Ex. Occup. OUTLETS (RESID.)EAJ 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 g Permit Fee $ Contractor WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. f I shall not employ any person in any manner so as to become subject o the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. MECHANICAL PERMIT FiIingFee 10.00 Heating Cooling Hood 3.00 Ventilation Permit Fee $ Contractor 1 certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the Countyot Butte to enter upon the above-mentioned property for inspection purposes. 1 also agree to save, indemnify and keep harmless the County of Butte against all 1 1 judgments, costs, and expenses which may in any way accrue ainst said unty in on a of the granting of this per it. Date Signature of Applicant On., EJ Contractor ❑ Agent An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ TOTAL PERMIT FEE $ occuP. cox sr.rrve F PARC PD ND ISSUE ;/ This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which DIREC R OF PUBLIC By. PE T EXPIRES Date the applicable provi- resolutions to do fees have been paid. WORKS Date d Receipt No. 1J WHITE-D.P.W.. TELLOW-ASSE990R. PINK -INSPECTOR. GOLDENROD -APPLICANT a . .z}!-,% If.1'4::,,lt �: z..-Ir._"'AX4 e+.7r`.�4. COUNTY OF BUTTE - DERARTMENT:.OFrOUBLIC'WOR"S - BUILDING DIVISION , J 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE: 916/534-4541 PERMIT APPLICATION DATA SHEET r Permit No. l � OWNER GZWlle X d r;;9 A. P. No. r - Proposed Building Use�%2t/G(i Building Inspector=fl� Date ✓ �% At time of permit application, I was advised the following data must be submitted prior to permit processing andJor issuance: DATE RECEIVED APPROVED 1. All items have been submitted. . . . . . . . . 2. Plot plans in duplicate./triplicate, signed by preparer of plans. . 3. Complete plans in duplicate./triplicate, signed by preparer of plans. 4. Complete engineered plans and calcs, with wet signature on plans. 5. Plans with Energy Design Compliance Statement. . . . . . 6. CUSD "Fees Paid" Stamp on Floor Plan . . . . . . . . 7 Statement of Intent for Non -Heated and' AC Buildings. 8. Fees of $ , . , , , , 9. 10. Letter of signature authorization.. . Sanitation approval from ��Falth Dept. 1 Planning approval for (A) Use: (B) Parking: 12. Certificate of Workmen's Compensation Insurance. . . . . . 13. Contractor's License Information (no., name style, classif.) 14. Owner -Builder Verification (Given to owner[], Mail to owner ❑.), —15. Improvements may be required. . . , . , , , , , , , 16. Mobilehome Installation Data. . . . . . . . . . 17. Pre-Inspec. request to (Date) Pre -Inspection for Required, Building Inspector 18. Recorded copy of Agricultural Acknowledgment Statement. u 19. Driveway Permit. 20. Plot plan approval from city of 21. 22. When you issue the permit, process as follows: Mail to owner, t Mail to contractor. _Telephone t �and hold for pickup at office, i Deliver w/inspector. Other Copy of plans sent Health Dept., Fire Dept., Other ' Date The following data must be submitted prior to permit issuance: (Circle new item not checked above). 1. Index permit for above items No. 2. Additional items required: r` Contractor, designer, owner, was advised of above required data by_phone---nail—counter by - date Contractor, designer, owner, was advised of above required data by—phone� ` mail counter by date Plans checked by Date Plans approved by r' we ' Sets of plans on hold in File cabinet AP folder — Hours: 10:00 a.m. - 3:00 p.m. Copy—DPW TO Buildina Department ,--_ 4,�, FROM: Environmental Health SUBJECT: Sanitation Clearance 'gel) owner Location AP# t Plan Approved for: Sewage Disposal Water Supply Hold final for: Final clearance O.K. for: Clearance for bedroonQ �bil home. Other NOTE I. Water Supply Water Supply Sanitarian Dat Return- to DPW RO*T&RICULTURAL STATEMENT OF ACKNOWLEDGEMENT Q � BUTTE,���Y QM4-�' UNNb- FOR RESIDENTIAL DEVELOPMENT r tAol.�,. �too� OF IM L RECORDS BY Section 26.1 of the Butte County Code requires this acknowledgement be recorded prior to issuance of a building permit.87—. 8489 VAR The property described herein is adjacent to land or included l 9-2e within an area zoned for agricultural purposes, and residents of this ; CA6AC �.GRUBBS: property may be subject to inconveniences or discomfort arising from-: the use of agricultural chemicals, including, but not limited to herbicie�; and fertilizers; and from the pursuit of agricultural operations including, but not limited to cultivation, plowing, spraying, pruning, and harvesting which occasionally generate dust, smoke, noise, and odor.' Butte County has established agricultural zones which have as a priority use for productive. agricultural purposes, and residents within said zones and on adjacent property should be prepared to accept such inconvenience or disconform from normal, necessary farm operations. All that real property situate in the County of Butte, State of California, described as follows: SEE ATTACHED LEGAL DESCRIPTION' Date: March 3, 1987 PROP TY WN S• 67 0 l State of California ) On this the 3rd day of- March 1987 , before SS. me, the undersigned Notary Public, personally appeared County of Butte ) ***CARLOTTA P. BOOTH*** Personally known to me. /X/ Proved to me on the basis of satisfactory evidence. ®m■aesmaa■wnaso■■tans■■■■■■■® to be the person(h) whose name(J) IS subscribed to DEBORAH A. DAVIS o the within instrument an knowledged that SHE NOTARY PUBLIC -CALIFORNIA a executed the same for t e purposes therein. cortnF3unocounry ® IN WITNESS WHEREOF, I he eunto set my handanci 1 seal. ■ My Commission Expires April 30,1990 DEB -Present A. P. No. 28— /7— p, /,0 —.0 A. DAVIS Notary Public h cc ..7P1 order No. 23504. DESCRIPTION All that certain real property situate in the County of Butte, State of California, described as follows: Parcel -4, as shown on that certain Parcel Map being a portion of the Section 11, Township 18 North, Range 5 East, M.D.B. & M., which map was filed in the office of the Recorder of the County of Butte, State of California, on September 25, 1975 in Book 53 of Parcel Maps, at pages 53 and 54. TOGETHER WITH and .RESERVING THEREFROM a 60.00 foot easement for road and public utility purposes located in Sections 2 .and 11, Township 18 North, Range 5 East, M.D.B.- be M., Butte County, California, more particularly described as follows: A Strip of land 60.00 feet in width lying 30.00 feet on each side of the following described centerline: Beginning ata point in the centerline of Swede's Flat. Road (County Road) that bears South 3 .50e 27 East, 688.68 feet from the center of s id Section 2; thence from said poit, tile following courses and distances: South 19� 4025 51 feet11 , South11Pet; South 320 23 53 West, 206.42 feet; South 5 41 50 East, 3 , 051 22" East, 1348.46 feet; South 00 36' 18" West, 1323.87 feet; thence North 89 171 590 East, 1109.37 feet to a point; thenSe the following courses and distances: North 19 21'• 22" East,. 119.88 feet; North 51 17' 13" East, 118.32 feet; North 0 25, 35" East, 1150.11 feet to a pgint in the North line of said Section 11; thence on and along said Noath.line North 88 45' 03" East, 1193.80 feet; thence leaving said North line, NOrth 43 45' 03" East, 62.10 feet to a point in the East line of said Section 2, being the point of termination of this line. ALSO TQGETHER WITH and RESERVING THEREFROM' an easement for road and on each side of the following described centerline: public utility purposes, lying 30 feet Beginning at the Northwest corner of Parcel 1, as shown on the above described Parcel . Map; thence North 880 45' 30" East along the.Northerly boundary -line of said Northwest quarter of the Northeast quarter of said Section .11, 1,236'.22 feet to the' Northeast corner , of said Northwest quarter of the Northeast quarter of Section 11 and the *end of said line. ii i. All that certain real property situate in the County of Butte, State of California, described as follows: Parcel -4, as shown on that certain Parcel Map being a portion of the Section 11, Township 18 North, Range 5 East, M.D.B. & M., which map was filed in the office of the Recorder of the County of Butte, State of California, on September 25, 1975 in Book 53 of Parcel Maps, at pages 53 and 54. TOGETHER WITH and .RESERVING THEREFROM a 60.00 foot easement for road and public utility purposes located in Sections 2 .and 11, Township 18 North, Range 5 East, M.D.B.- be M., Butte County, California, more particularly described as follows: A Strip of land 60.00 feet in width lying 30.00 feet on each side of the following described centerline: Beginning ata point in the centerline of Swede's Flat. Road (County Road) that bears South 3 .50e 27 East, 688.68 feet from the center of s id Section 2; thence from said poit, tile following courses and distances: South 19� 4025 51 feet11 , South11Pet; South 320 23 53 West, 206.42 feet; South 5 41 50 East, 3 , 051 22" East, 1348.46 feet; South 00 36' 18" West, 1323.87 feet; thence North 89 171 590 East, 1109.37 feet to a point; thenSe the following courses and distances: North 19 21'• 22" East,. 119.88 feet; North 51 17' 13" East, 118.32 feet; North 0 25, 35" East, 1150.11 feet to a pgint in the North line of said Section 11; thence on and along said Noath.line North 88 45' 03" East, 1193.80 feet; thence leaving said North line, NOrth 43 45' 03" East, 62.10 feet to a point in the East line of said Section 2, being the point of termination of this line. ALSO TQGETHER WITH and RESERVING THEREFROM' an easement for road and on each side of the following described centerline: public utility purposes, lying 30 feet Beginning at the Northwest corner of Parcel 1, as shown on the above described Parcel . Map; thence North 880 45' 30" East along the.Northerly boundary -line of said Northwest quarter of the Northeast quarter of said Section .11, 1,236'.22 feet to the' Northeast corner , of said Northwest quarter of the Northeast quarter of Section 11 and the *end of said line. AFFORDABLE BLAKE REALTY ousINc�� �i�r`hpotl ONC[P7 S 91 CONCEPTS 3 I FUOUA HOMES G175 FD,. HER RIVER 16)5EVARD 34.8336 Oroviile, CA March 3, 1987 AP# 28-17-0-110-0 I hereby authorize Don Blake to obtain any county permits on my behalf. Carlotta Booth 98 Obert Dr. (P. 0. Box 354) Bangor, Ca. M5 sk--f of plans and specifications MUST be on the jobat all times and it is unlawful to make any changes or alterof;ons on same without written permission from the Department of Public Works, County of Butte. NATE:—All Materials & Workmanship Shall W I Accordance with Recognized Good Practices and pf a quaJity prescribed for the Specified use in the Uniform Building, Plumbing & Machonical Codes and O. National Electrical Code. i permit will, be required for F ,� :ialkatioe Of f6mobdeh - J 1 ,1, Z } To Q�7EMOVCP, P2�b� -to /kOL. ) rle- Utility connections shall be wit "SPE N o F © Msi� � I 41I ft. of the mobi'lehome, eith t i I I directly behind or within the rear half 9i 11of the mobilehorno. G ��/. �� �:©1�. I r, (AFP!zO vG This is .for a re -inspection of utilities. Origirial iffispee was for a coriventional house. ! f4 @ME couI" BUILDING, DEPARTMEN, A P R 0 VE r72Co •8'] MHLL . A: setbis of Irf. from the ' pro e�F p y Ines 03 N and a setback of 50ftt f om the road r Z "� centerlind shall be clear of Wuctu(eslor equipment except; for a 2 ft. ,eave overhang. I i } To Q�7EMOVCP, P2�b� -to /kOL. ) rle- Utility connections shall be wit "SPE N o F © Msi� � I 41I ft. of the mobi'lehome, eith t i I I directly behind or within the rear half 9i 11of the mobilehorno. G ��/. �� �:©1�. I r, (AFP!zO vG This is .for a re -inspection of utilities. Origirial iffispee was for a coriventional house. ! f4 @ME couI" BUILDING, DEPARTMEN, A P R 0 VE r72Co •8'] MHLL . COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT 7 County Center Drive - Oroville, California..95965 - Telephone 916/534-4541 APPLICATION AND PERMIT ASSESSOR PARCEL NUMBER 2 _ 17— o ZONING BUILDING PERMIT OWN R TELEPHONE SQ. FT. OCC. BUILDING VALUATION OWNER'S MA ING DRESS ClRiCyA�D NA�///�/ S+AC: EI TELEPHONE CONTRACTOR'S MAILING ADDRESS /430 6q ePOLL ill /Ilwo/Sr— Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation Is Filing Fee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ �- Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADD R ss q8 �3CrRT Permit fee $ PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP Water piping 5.00 Each qas water heater or vent 5.00 USE OF STRUCTURE SF ❑ Duplex❑ MobilehomeQ'__&her SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home S I G I W 10.00ea TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installationg Other ❑ Describe work: _ (%f '4� 72 Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 100V OR LESS I00 AMP OR LESS 10.00 Main service EA. ADD'L 100 AMP 2.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): 13-'1 am licensed under provisions of Chapt. 9, Div. 3 of the Bushes$I and Professions Code and my license is in full force and effect. License No.:Z rr�� -•7 I Y7 Classification �� / F-11, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors.(Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONST. DWELLING OCCUP.!♦I , , /22sgft NEW CONSTR.(A ULTB OUTLET NON.RESID BRANCH CIRC ITS 2.50 ea POWER APPARATUS e %SINGLE OUTLET CIR. Ex. Occu 120 050t p OUTLETS OR FIXTURES IsALO 30 FIXED APPLNS. R Ex. Occup. OUTLETS (RESID.)EA.� 1 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring g 15.00 Permit Fee $ Contractor WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -insure. ❑ I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. MECHANICAL PERMIT Filing Fee 10.00 Heating Cooling Hood 3.00 Ventilation Permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue against sai d County in 1coonsequencof the granting of this permit. Date 3 —.2 G — 6'4 Signature of Applicant — Owner ❑ Contractor � Agent ❑ An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee $ S ' �- Energy Inspection Fee $ TOTAL PERMIT FEE $ 0 OCCUP. CONST.TYPEJ I IfLDOO1 PARCEL I PD I NO s u This permit is hereby issued under sions of the Butte County Code and/or work i I ated abo a for which 1 E Oft OF PUBLIC BY PERMIT EXPIRES Date the applicable provi- resolutions to do fees have been paid. WORKS Date/%//t/f 8 �` •�/�U Receipt No. WHITE-D.P.W.. YELLOW-ASSESS&R. PINK -INSPECTOR. GOLDENROD -APPLICANT V// Y COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS - BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILLE,..CA4FONIA 95.965 - TELEPHONE: 916/534-4541 PERMIT APPLICATION DATA SHEET - Permit No.r - OWNER �lY � r /4 A. P. No'.2 5 ".- 4 114 Proposed Building Use �% ��/ ' Building Inspector Date L / At time of permit application, I was advised the following data must'be submitted prior to permit processing and:/or issuance: DATE RECEIVED APPROVED 1. All items have been submitted. . . . . . . ' 2. Plot plans in duplicate. /triplicate, signed by preparer of plans. 3. Complete plans in duplicate./triplicate, signed by preparer of plans. _ 4. Complete engineered plans and calcs, with wet signature on /plans. 5. Plans with Energy Design Compliance Statement. 6. CUSD "Fees Paid" Stamp on Floor Plan , 7 Statement of Intent for Non -Heated and AC Buildings. 8. Fees of $ . . . . . . . , 9. Letter of signature authorization. . . . . . . . . 10. Sanitation approval from Health'�Dept. 11. Planning approval 'for (A) Use: (B) Parking: 12. Certificate of Workmen's Compensation Insurance. ` 13. Contractor's License Information (no., name style, classif.). 14. Owner -Builder Verification (Given to owner❑, Mail to owner ❑ ), =15. Improvements may be required. . . . . . . . E� .. 16. Mobilehome Installation Data. . . . . . . . . . 17. Pre -Inspection for Required— to (Date) .-- Building Inspector 18. Recorded copy of Agricultural Acknowledgment Statement. 49. Driveway Permit. 4 20. Plot plan approval from city of , 21. 22. When you issue the permit, process as follows: - Mail to owner, Mail to contractor. i 'Telephone and hold for pickup atmoffice, Deliver w/inspector. Other Y I' Appl icant 6� Copy of plans sent. Health Dept., Fire Dept., Other Date The following data must be submitted prior to permit issuance: (Circle new item`. not. checked above). 1. .:Index perm t. for above items No. 2. Additional items required: 1 Contractor, designer, owner, was advised•ot above required data by—phone _—mai.l—counter by date Contractor, designer, owner, was advised of above required data by—phone —ma II' counter by date Plans checked by Date Plans approved by f e Sets of plans on hold in File cabinet AP folder �` I = Flours: 10,:00 a.m. - 3:00 P.M. Copy—DPW BUTTE COUNTY DEPARTMENT OF PUBLIC WORKS' 7 County Center Drive, Orovil`le, CA PHONE: 534-4541 MOBILEHOME INSTALLATION SHEET 1. Owner's Name: 2. Installer's Name.: �TfiVmf 3. Is the site currently under permit? Yes No F]. (If yes, furnish permit number 7:25P " g % ) OR Is the site an existing site? Yes No (If yes, furnish two plot plans.) 4. Will the mobilehome be located at least 5 ft. away from septic, tank and leach fields and clear of all setbacks and easements? Yes � No F1 .(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? ----- 2� a Amps 8. Is there any other,,electric load,to be. served by the .4 .. - -- D mobilehome site service? -------------------- --= Yes No (If yes, identify the load and size: .'ice (Load); (Amps) 9. What is the mobilehome sitegas pipe'"size? ---=---------- (in.) , F-1 D 10. What is the type of gas service? --=---------------- Natural LPG 11. What is the gas pipe length from meter or tank to the mobilehome?--------------------------------------------- (ft. ) * 12. What is the mobilehome gas demand? ---------------------- (BTU) *(This information not required if pipe,length less than 6 ft. on _natural gas or less than -50 ft. on LPG.) MOBILEROME SUPPORT DATA If" other'than single wide, p Mobilehome Mfr. (% (% Ar furnish Setup Model No. Year Width Z(ft. ) Box Length_3yg7 (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)F l. Wood -pressure treated or foundation grade. ❑ 2. Other (specify) SUPPORTS (check one)rv1. Concrete block. a 2. Other (specify) Pier Footing Sizes and Locations h to SINGLE -WIDE MULTI -WIDE 12 13&— Line /� ! ♦ 0f __-P.L�1C"�� _ _. _ _ _. — _ _ � Line 2 �-0r � Main Beams .in — — — — — — —' — _ � .0-11UL-2 Main Beams r Line 2 Line 1 ine Tag or Triple i.ine L , Line 1 Piers: Size -Min. ---- Spacing-Max. - From Ends -Max. Line 2 Piers: Size -Min ------------- Spacing-Max ---------- From ------------Spacing-Max.--------- From Ends -Max. ------- Line 3 Roof Loads: Size -Min. ---------- Location (From Front) Line 1 Openings: ,Ix a Size -Min- ------------------ „x u Each Side of Openings With WS h Over --------- Line 3 Piers: (Under Bearing Wall Only) Size -Min ---------------- K' Spaci------------ -- , Fro Ends- . --------... '- `7 ''1 ux 2 w u / i lA ux � u /� nx� a ux a ux #I nx iJ•,_o 161-6 n i K• _O .-Ea �_ n ._III_ Cine 4 Piers: Size -Min ------------- "x Spacing -Max---------- ,- n From Ends -Max. ------- Line 5 Roof Loads: Size -Min. ------------ Location (From Front) Line 5 Piers: (Under Bearing Walls only) Size -Min ------------------- "x n Spacing -Max.--------------- ._ u From Ends -Max.------------- '- " r Rr, 5? 17 r -7, FUQUA HOMES INC.. COLUMN SUPPORT SPEC. SHEET APPROVAL MODEL ROOF LIVE LOAD 30 ROOF DEAD LOAD LENGTH •"W= SC' U, WIDTH all 14:4, + "I A 42'-8' COL- DOWNWARD LOAD (LBS.) SPECIAL INSTRUCTIONS CO L. DOWNWARD S PECI AL- I NS T R U CT I ONS:' LOAD LBS. 2 340 10 n p 3 11 .4 12 5 13 C-) I IV V CJ 6 bile 7 1 r -45 And Safe tv 1>truclion 116 'Footing or pad size must be determined' by dividing theit bearing capacity into the downward load. Ex: Soil bearing capacity 1500 PSF• sl0ownward Footing size 3200 LBS load - 3ZOO-LBS. = = 2. 13 SQ. FT. AP # OWNER PERMIT - M UTIL.CLEARANCE DATE 3 —1'7 - INSPECTOR ry NIV7— ELECTRIC GAS Support Compaction Str'uc. Test Req. Service Other Pipe YES NO YES NO Si'ze Load Type*l Size Length A r1i -)M Vie- -V- a- -tq - k-4 4001M. -O *VAC Bo&P4 7.7. AACss 7w4oc--' 6-6400 .,4/,p7 'p4ot.W1 rX..rV ,A) *jO 26OLkE VOV44S5 FC.VL (.1SOE W14tLeZ- &11,LO1x14.- 160(e4eSA, WIM i -IC— SAWN.", i't VIA kn- f-11 . MO , r fin PERMIT NO. 1868-86P E MH travel trailer) PERMIT EXPIRES OWNER LARRY BOOTH CONTR. Owner .ASSESSOR PARCEL 28-17-110 LOCATION �0'14 ert Dr, Oroville I • i .v 1' s . Temp. Power I Called P( Temp. Elea S Called P( Temp. Gas Sei Called PC- JOB G JOB FINALE( Signature 0 = Not OK — = Not Applicable MOBILEHOMES = Not Ready 1 MISCELLANEOUS Date EHOME UTILITIES (Plans) OK except #'s Date DECKS, COVERS, CARPORTS, ETC. (Plans) OK except #'s 1. g Requirements—Setbacks—Easements 1. Zoning Requirements—Setbacks—Easements _ Soils,; pecial MH Support—Sketch 2. Footings; Size—Depth—Spacing—Connectors ew Location—Test—Fall-C/0—Concrete 3. Decks; Girders and/or Joists—Decking—Bracing—Stairs—Rails Ae'fater;)_ocati6n—Test—Easement Needed (Sketch) 4. Wood Awn.; Posts—Beams—Rftrs.—Connec.—Shthg.—Rfg.—Bracing ectricity; Location—Clearances—Grnd.—/ / Amp—Concrete 5. Alum. Awn.; Columns—Connections—Splice—Decal—Enclosures rap:/ /"L"ft./ /"Nat. or/ /"L"ft./ /"LPG 6. Carports; Windows—Doors 7. Utility Clearance _ 7. Elec. Card -BI Date and -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Date h0b ILEHOME INSTALLATION (Plans) OK except #'s 1. Zoning Requirements—Setbacks—Easements Date POOLS (Plans) OK except #'s 1. Setbacks—Easements 2. Footings; Size—Spacing—Marriage Line 2. Soils; Compaction—Structure Stability 3. Gas; MH Test—Demand—Valve—Connector 3. Pool Structure; Steel—Connections—Thickness—Dead Men—Lining 4. Electricity; MH Test—Crossovers—Breakers—Clearances 4. Elec.; Receptacles and Lighting; Distances—GFI 5. Drain; MH Test—Fall—Flex Connector 5. Elec.; Pool Lighting; 15 volts—GFI 6. Water; MH Test—Regulator—Connector 6. Elec.; Enclosures; Conduit Entries—Terminals—Listed 7. Water and Sewer Connected—C/0 to Grade—HD Approval 7. Elec.; Bonding; Metal w/5'—Circulating Equipment—Heater 8. Gas and Electricity Tagged 8. Elec.; Grounding; Equip. w/5',—Circulating Equip.—Pool Lghtg. Boxes—Enclosures—Panel boards—Ins. to Main in Conduit 9. Exits; Insp.—Sketch 10. Cert. of Occupancy 9. Health Department Approval 10. Plumb; Cir. Test—Water Supply Test Card B -I Date Card -BI Date Card -BI Date Card -BI Date Card B-1 Date Card -BI Date _jI Card -BI Date Card -BI Date C) l� /1fi w l\ A /V V L J = OK 0 = Not OK ` - = Not Applicable = Not Ready RESIDENTIAL (Single and Duplex) Date UNDERFLOOR Plans OK exce tk's Date FRAMING (Continued) .----2. 1. Zoning requirements -Setbacks -Easements Ftg., Main: Soils-Steel-Elec. Grnd.- / /" Ftg. Depth 48. 49. Property Line Firewall & Openings Ext. Doors -One 3' -Check Garage -3rd story, 2 exits 3 Ftg., Garage: Soils -Steel- / /" Ftg. Depth 50. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 4. Ftg., Porches & Decks; Soils -Steel- / /" Ftg. Depth 51. Plywood on Roof Overhang -Attic Vents -Rafter Outriggers 5. Stemwalls, Main: Steel-Blockouts-Wrapped-Slab 52. -__- Siding -Nailing -Veneer 6. Ste -walls, Garage; Steel-Blockouts-Wrapped-Slab 53. Stucco Mesh -Drip Screed-Fdn. Vents-Underflr. Access_ 7. 8. Piers -Fireplace Ftg.-Steel D.W.V.: Fall -Fittings -Test -2 way C/O -Sewer Test 54. _ Glazing Area -Glass Protection -Skylights -Plastic 55. Shear Walls; Nailing -Bolts 9. Gas Pipe; Size -Anchors 10. Water Pipe: Test -Anchors -Regulator -Service Test 11. 12. Electric; Underground Plenums & Ducts; Clearance -Material -Support -Ins. _ Card -BI 13. _ Girders -Sills -Anchor Bolts -Joists -Vents -Cripples DateCard-BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Date Card -BI Date FINAL (Plans) OK except q's 56. Ext. Steps -Door & Sidelight Protection -Landings Card -BI Date Card -BI Card -BI Date Card -BI Date PLUMBING (Permit) OK except N's 14. Water Ht.: Vent -Access -Combustion Air 15. Water Pipe: Test & Anchors -Nail Protection 16. D.W.V.: Test-Fitngs & Anchors -Nail Protection 17. Shower Pan: Test, First Floor -Tub Access 18. Test Tub & Shower, 2nd Floor -Tub Access 19. Gas Pipe: Size & Anchors - -- _ Date Card -BI Date_ Date Card -BI Date 57. Smoke Detector 58. 59. Furnace; Vents -Clearance -Comb. Air -Connector - In Garage; Above Floor -Ducts -Meth. Protection Bedroom Exiling 60. G.F.I. & Bath Fixtures & Tub Access 61. Elec. Trim & Subpanel; Breaker Sizes -Labels 62. Stairs & Rails 63. Fireplace or Stove; Clearances -Hearth 64. Elec. Outlets at Wood Panel; Int. & Ext. 65. Kit. Fixt. & Appliance; Grnd.-Air Gap -Cooking Clearance 66. Elec. Outlets & Receptacles at Kit. Counter Date ELECTRICAL Permit OK except q's 67. Garage Fire Door; Swing -Landing -Closer 68. A.C. Duct in Garage -Damper Card B I Card B -I _ 20. 21. 22. 23• 24. 25. 26. 27. 28. 29. 30. Fixture & Transformer Clearance -Ins. Protection Elec. Receptacles Spacing -Lights & Switches at Doors Size Boxes & No. of Conductors -Stapled Romex Installed Close to Edge of Studs & C.J. Equip. Ground made up w/Mech. Fasteners -Bond Gas & Water 2 Appliance Circuits in Kitchen &Conductor Size Subfeed Wire Size i / ga. Cu or AI-A.C. Wire Size / / ga. Cu or Al Range,Ctrc. / / ga. Cu or AI -Oven Circ. / / ga. Cu or Al, Insulated Neutral Yes -No Service -Riser Conductors & Ground -Main Disconnect - Equip. Clearances: Panels-Motors-Mech. Equip. _ Clothes Closet Light -Shower Light Date Card -BI Date Date Card -BI Date 69. Wtr. Htr.; Vents -Clearance -Comb. Air-Connector-P.R.V.- In Garage; Above Floor-Mech. Protection 70. Plb., Elec. &Mech. Equip. Listed for Location 71. Elec. Receptacles in Garage; (G.F.I.)-Romex Protec. 72, 73. Insulation -Foam -Looked in Attic ❑Yes Guard Rails & Deck Construction -Post Caps 74. Fdn. Vents & Crawl !-tole Door -Drainage & Wood -Earth. Clearance Looked under Floor C Yes -- 75, Following instld.: Drive C! Yes ❑ No: ' Walks [ Yes ❑ No; Planters ❑Yes ❑No 76. Stucco; Brown -Finish 77, A.C. Unit; Disconnect-Clrnces-Brkr. & Cond. Size -115V Outlet 78, Vents Above Roof; Plbg.-Appliance-Firepl.-Clearance to Opngs. 79. Water Well; Disconnect, Electrical, Plumbing 80. Exterior Elec. Trim; G.F.I. Receptacle -Underground 81. Ventilation throughout House 82. Glass Protection Date MECHANICAL (Permit) OK except a's 83. _ Corrections from Previous Inspections - 84. Gas Test -Meters Tagged; Gas -Electric Card -BI Ca,d-BI 31. 32. 33. 34. 35. A.C. Ducts Insulation & Support Vent Fan: Exhaust above Insulation _ Condensate Drain & Overflow: Size & Grade Furnace -Vent: Access -Comb. Air -Return Air Vent -115V outlet _ Attic Access & Platform if Furnace in Attic Date Card -BI Date Date Card -BI Date 85. Water &'Sewer Connected -C/O to Grade -HD Approval _ 86, Energy Compliance Certificate -Other Certificates - -- - -- - -- - - `-' - - - --"- Card -BI Date Card -BI Date Card -BI Oate Card -BI Date .-_. Card -BI Date Card -BI Date Date FRAMING(Plans) OK except N's Com tents at Final: 36. 37. 38. 39. 40. 41 42. 43. 44. 45. 46. 47. Sills, Proper Material & Anchors Walls: Studs -Nailing, Spacing & Bracing -Plates -Sound Bearing Walls over Girders & Floor Nailing Draft Stop in Walls (rat proof) Fire Stops: Furred Ceilings -Stairs -Chases -Tub Header & Beam -Size & Bearing Hangers -Post Caps -Anchors -Connectors Cing. Joist-Rftr. Ties-Purlin-Roof Brac.-Truss-Shthng.-Rfng. Fireplace Ties or Type A Flue -Fireplace Throat Attic Access. Size & Romex Protection -Draft Stop. -Ins. Baffles Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions Garage Fire Protection Framing f (NOTE Anentrymust be made each time you visit jobsite) COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PER IT / ~ 7 County Center Drive - Oroville, Caiif&nia 95,%5 - Telephone 916/534-4541 y APPLICATION AND PERMIT ASSES OARC, L NUMBER (j�f / ZONIN BUILDIN PERMIT OWN r � r L T E PHO /1 o� SO. FT. OCC. BUILDING VALUATION OWN 'S ILI G DRESS ,^ S f CO ACTOR'S,NNAAM Y TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONS CTION LENDER UNKNOWN Total Valuation Is Filing Fee $ _ Q LENDER'S MAILING ADDRESS Permit Fee $ ARCH ECVT��10- OR ENGINEER AIO ` LICENSE No. Plan Checking Fee / Energy Plan Checking Fee E$. $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS fr Permit fee $ PLUMBING PERMIT Filing Fee 10.00 Each Trap 1 2.00 Solar or heat pump water heater 20.00 LOT NO SUBDIVISION NAME PARCEL MAP Water piping 5.00 Each qas water heater or vent 5.00 USE OF STRUCTURE SF [I Duplex❑ Mobilehome Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home SG W 10.00 ea 41) TYPE OF WORK New ❑ Addition ❑ Remgo gl.❑ Uti I' fes Ins Ilation❑ Other ❑ Describe work: Permit Fee $ clirg)7) Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 600 AMP 00V OR I 10.00 Main service EA. ADD * -C QDVMA 2.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): ❑ I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in full force and effect. License No. Classification I, as the owner, Or my employees with wages as their SOIe COmpen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors.(Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONST. DWELLING OCCUP.& , New CONSTR.(A 2h¢sgft MULTI -OUTLET NON-RESID BRANCH CIRC ITS 2.50 ea POW ER APPARATUS &) SINGLE OUTLET CIR. Ex. O(OUTLETS OR FIXTURES eAL@ Ccup30 °ALe FIXED . OR EX. Occup. OUTLETS TS (R(RESESID.) EA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 , Misc. IVirin 15.00 9 Permit Fee $ Contractor WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ 1 have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. I shall not employ any person in any.manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. MECHANICAL PERMIT FiIingFee 10.00. Heating Cooling Hood 3.00 Ventilation permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. 1 also a ree to save, indemnify and keep harmless the County of Butte against all Ii I ities, ud ents, costs, and expenses which may in any way accrue agai st i u t in eque of the g nting of this permit. X Date /' 7— 06 Signature of Applicant — OwnerXl 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 $ TOTAL PERMIT FEE $ OCCUP. CONST.TYPE I JTL_0_0__4rPA7J P ZI Iss E This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which DIR TO P BLIC By PERMIT EXPIRES Date the applicable provi- resolutions to do fees have been paid. WORKS Date -- Receipt No. lt7 �)s� WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT -r COUNTY OF BUTTE - DEPARTMENT -OF PUB41C WORKS - BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILLE, CALIFOR ISA 95965 - TELEPHONE: 91. ,534-4541 PERMIT APPLICATION DATA SHEET / /� l,, Permit No. OWNER �G i✓` C(Y fGi SCJ �'l A.P.No.-C110 Proposed Building Use t Permit Fee Based Upon: Complete Contract Price DPW Valuation Building Inspector Uate v L!? At time of permit application, I was advised the following data must be submitted prior to permit processing and/or issuance: DATE RECEIVED APPROVED /AII items have been submitted.. . . . . . . . . . . 2.., Plot plans in duplicate/ iplicate. .. . 3. Complete plans in duplic to/tri.plicate. . . . . . . . . 4. Complete engineered plans and calcs. . . . . . . . . . 5. Plans with Energy Design Compliance Statement. . . . . . 6. CUSD "Fees Paid" Stamp on Floor Plan . . . . . . . . 7 Statement of Intent for Non -Heated and AC Buildings. 8. Fees of $ . . . . . . . . Letter of signature authoriz t on. &.—Hea Sanitation approval from lJ i lth Dept. 11. Planning approval for (A) Use: (B) Parking: 12. Certificate of Workmen's Compensation Insurance. . . . . . 13. Contractor's License Information (no., name style, classif.) 14. Owner -Builder Verification (Given to owner❑, Mail to owner ❑ ) 15. Improvements may be required. . . . . . . . . . . . 16. Mobilehome Installation Data. . . . . . . . . /. Pre -Ins ection for Required- BuildingPre-inspIn request to p q Building Inspector (pate) , Record copy of Agricul ural Acknowledgment Statement . . . 19. Other 1' I r/(' V_V V c r� When you issue the pe mit, process as follows: Mail to owner. Mail to contractor. Telephone and, hold for pickup at office. Deliver w/inspector. Other — �e QIP r o #1((, n T 10 e- W0a, l y" l _ 7-2 elo Applicant /{ 4,. Date r Copy of plans sent Health Dept., Fire Dept., Other Date During the plan checking process, the following data must be submitted prior to permit issuance: (For required items not checked above at time of application, circle item.) 1. Index permit for above Items No. 2. Additional items required: (Contractor, Designer, Owner) was advised of above required data by Telep e Mail Other By Date Copy—DPW L TO: Building Z.) From: Twirm-neni":-!] Subject: Sanitation 0. Locatlion AR.,/- Plin Appro-%,-,,,O. 1 lold f in,.il - f or: '.;, :� j . '. �:Aapply Final cleamnci.� Clearance for A"I': v', :. i t, r, r . supply S ani t a r 41..- 3, r, ~ `* COUNTY OF BUTTE - Department of Public. Works 7 County Center Drive, Oroville, CA 95965 Phone: 916-534-4541 OWNER -BUILDER VERIFICATION Attention Property Owner: An 'owner -builder" building permit has been applied for in your name and bearing your signature. Please complete and return this information.at your earliest opportunity to avoid unnecessary delay in processing and issuing your building permit. No building permit will be issued until this verification is received. 1. I personally plan to provide the major labor and materials for construction of the proposed property improvement (yes or no) 2. I (have/have not)signed an application for a building permit for the proposed work. 3. 1. have contracted with the following person (firm) to provide the proposed onstruction: Name Address City Phone Contractors License No. 4. I plan to provide portions of this work, but I. have hired the following person to coordinate, supervise, and provide the major work: Name Address City Phone Contractors License No. . 5. I will provide some of the work but I have contracted (hired) the following persons to provide the work indicated: Name Address Phone Type of Work Signed: Property Owner Social Sec urit Number Date 7_ � Q C 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. ,--A6 CeiVl bG✓r -Q rywy �tiw..,P � uta k C C. �L� 4, 6) O �o LL1 300 r11 100 PQRC [;L At 07-8-17-0- 110 o j0oa8' �CR2s a A[his sat of plans and specifications MUST b, � sept on the job at all times and it is unlawful tc. a IZI make any changes or alterations on same w" �" itht, written permisson from the Department of,publ,, Q) 1 O arks, County of Butte. �p Utility connections shall be witlpin 4 ft. of the mobilehome, either I directly behind or within the re l o half of thgq, mobilehome, 6aK n�n � S Ft Vi (49:2,6 1� 1 150 FT� 4e Pod WILL s �. 3, 32 v� ^ 44• (1 0 A'setback ofh1t. from the property lines and a setback of 50ft. from the road centerline shall be clear of structures or equipment except N for a 2 ft. eave overhang, Y, 0V %3 � SQ f0L -P SLS t 9� Tq Ft, To RtAa I a J� a � r or P- �CL F q � 1 N Q � o � -"4' 0 NOTE:—All Materials & Workmanship Shall Be in Accordance with Recognized Good Practices and D� of a quality prescribed for foo Specified use in the ( Uniform Building, Plumbing & Mechanical Odes and BUTTE ���/ E COUNTY the National Electrical Code. A ;'fir j:`+ ,M, t D W % -- - i COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 - Telephone 916/534-4541 AGRICULTURAL BUILDING EXEMPTION PERMIT PERMIT NO. 13 -&P A - Agricultural building is defined as follows: Agricultural building is a structure designed and constructed to house farm implements, hay, grain, poultry, livestock, or other horticulutral products. This structure shall not be a place of human habitation or a place of employment where agricultural products are processed, treated, or packaged, nor shall it be a place used by the public. ASSESSOR PA CEL NO. ZONING 1J /� 'r /9_ K OW ERPHONFNO. C�_ ektt &Ot� .. Vlt V 6rI� 07R AD S ,�n 96 9D f/l ►� LOCATI N OF B I ING Rbe rt 'q USED BUILDING 10 &� SIZE F #RUCTURE ' X = S0. FT. TYPE OF CONSTRUCTION: WOOD FRAME_X_ STEEL CONCRETE OTHER (Specify) TYPE OF SID NG ROOF CO ERING FLOOR JtYPE ��lf�! ESTIMA D COST F CONSTRUCTION $ AG Buildings shall comply Withe building front, side, and rear yard requirements of the applicable County Ordinances as follows: sp v/oM /o FRONTL2 -meSIDES REAR AG Buildings shall be a minimum of five (5) feet from any septic tank or leach fields. AG Buildings less than 1000 sq. ft. in floor area shall be located a minimum of 6 feet from a residence, 10 feet from a mobilehome, and 23 feet from a commercial building. AG Buildings greater than 1000 sq. ft. in floor area shall be located a minimum of 23 feet from a residence and a mobilehome, and 40 feet from a commercial building. I declare under penalty of. perjury that the building will be used as stated above and the proposed use conforms with the AG Building definition. If any change in use or occupancy of the building is made, I will contact the Department of Public Works and will obtain any necessary permits, inspections, and approvals to comply with the requirements in effect at that time and before occupancy. Date — — g Signature of Owner Permit Fee'- $25.00 The above described AG Building exempt from a building permit. Receipt No. d / Director of Public Works By A. Date White - DPW, Yellow - Assessor, Pink - B. I., Goldenrod - Applicant 1 July 2, 11986 Larry Booth RE: Zoning!Violation P.O, Box 5057 A.P. #28-17-110 Marysville,. CA 95901 Dear Mr. Booth:.. With reference• to the above subject., we have been advised by one of our building .inspectors ''that you have installed and are occupying a travel' trailer on your property located•off Obert Dri_ve,.Oroville, without approval, of Butte County. Since the above parcel is zoned "MV Iand, requires a mobile of 500 squarlt,r _ feet minimum, •":please remove the travel trailer within ten.days of .the date of -this letter. ?: Should you have any questions concerning 'this matter', please contact this office. , E Yoursvery truly, William Cheff Director of Public Works Original signed by J. F. Glander -.. J.,F, ' Glander JFG:ahb Chief Building Inspector" cc: Building inspector - Oroville -Planning Department ; Health Department: I FVPublicWorks lNwbN En Yept. Rd. & Br. Mtce. Shop & Yards Bldg. Insp. Admin. Design Engr. Bridge Engr. Constr. Engr. Surveys Mapping Transp. Land Dev. Drng. Sub. & Pcl. Maps Permits Addr. ❑ Complaint -Date ❑ Other -Date Owner: Addres Tenant. Building Location: BUTTE COUNTY DEPARTMENT OF PUBLIC WORKS SPECIAL INSPECTION REPORT ZONING AA <, A. P. # a/i ////Z) Date of Inspection rpb Inspector _ �dL IV Type of Inspection requested: Housing / / 2. Financing / / 3. Change of Occupancy to Work W/0 Permit / / 5. Other, (specify) A. B. C. Present use of building: Sanitation (Housing) 1. Water closet: 2. Lavatory: 3. Bathtub or shower: 4. Kitchen sink: 5. Hot and cold water to fixtures: 6. Heating facilities: 7. Natural light and ventilation: 8. Room and space requirements: 9. Bedroom window or door for second exit: 10. Infestation of insects, vermin, or rodents: 11'. Connection to sewage disposal:. 12. Connection to water supply: 13. Rubbish and garbage facilities: 14. Stairs:(Rise,-Run, Headroom, 1HR, Tolerances,Handrails) 15. Comments: Structural 1. Piers and footings: 2. Floor construction: 3. Wall construction: 4. Ceiling and roof construction: 5. Fireplaces: 6. Comments: Electrical 1. Service and ground: 2. Receptacles: 3. Fusing: 4. Comments: D. Plumbing 1. Fixtures connected and vented: 2. Gas water heater: 3. Gas heating vents: 4. Comments: E. Other 1. 'Maintenance and repair: 2. Fire hazards: 3. Safety hazards: 4. Weather protection: 5. Underfloor and attic ventilation: 6. Energy: 7. Comments: F. Commercial Buildings 1. Roof covering: 2. Distance to property lines: 3. Physically handicapped: _ 4. Restroom floors and walls: 5. Exits: 6. Improvements: 7. Zoning: 8. Comments: G. Field Problems or Violations ` 1. Problem or .�vio�lation ( ve complete description): 17 /T Ln 2. What actin taken (&Lve c*p`�ete descriptiRrtk. 3. What action recommended /}/� A. Information only - file. A / B. Hold for ten days, then write letter. C. Write letter. Sem 404 6 rvt AGK / /.D. Other: A CLAIMANT: &U&*.- "Of el twe OROVILLE, CALIFORNIA GENERAL CLAIM Larry & Carlotta Booth ADDRESS: P.O. Box 5057 CITY & STATE: Marysville, CA 95901 IMPORTANT: March 10, 1987 SEE INSTRUCTIONS DATE OF CLAIM: ON REVERSE SIDE SUBMIT CLAIM TO DEPARTMENT RECEIVING GOODS OR SERVICES DATE DESCRIPTION OF CLAIM (DESCRIBE FULLY TO AVOID DELAY) AMOUNT Owner has decided not to do work. (Bldg Permit Appin. #1869-86B,P,E Receipt #62557, dated 7/7/86 and Receipt #63161, A.P. -17-110). M, Building permit fees paid ------------------------ $485.50 Retain i ing ee------------------- Retain plan checking fees ----------- $153.50 Retain energy pian checking tees ---- Amount retained-------------------------------- J178.50 Refund due ------------------------------------------------ $307.00 Plumbing permit fees paid ------------------------ $ 54.00 Retai-n.--filing fee -------------------------------- Refund due ------------------------------------------------ $ 44.00 Electrical permit fees paid ---------------------- $ 45.65 Retain -filing fee-------------------------------- 10.00 Refund due ----- ------------------------------------------- $ 35.65 Mechanical permit fees paid ---------------------- $ 28.00 Retain filing fee-------------------------------- 10.00 Refund ude------------------------------------------------ $ 18.00 Refund energy inspection fee ------------------------------ $ 30.00 TOTAL REFUND DUE ------------------------------------------ $434.65$434. TOTAL 5 I. the undersigned, declare under penalty of perjury that the services or articles claimed have en pertorme or delivered, and that is claim is true and correct as stated. ���J / pp Dated this �..........`!�..............day of/.fl..Gf.�..G./...., 19[, et1.��..t./il..�../,,,lf..... Calif. ... .... U..L� ......... �1.......... ... Si of Claim ant I, the undersigned, hereby certify that, to the best of my knowledge, the services or articles specified above livered and that there is a Budget Appropriation 0 or Specific Board Approval (Check one) fo e s 10th March 87 Orovillle Dated this .................................... day of ............................. 19 at Call t. -- .... ve been performed or de. Department Head or A :;:;�D eQUty........ Dept. Exp. Code ............................................ Code ................................................PAYABLE FROM............................................................................................ FUND DO NOT WRITE BELOW THIS LINE - AUDITOR'S USF f)NI v DEPT. & SUB. PROJ. SUB. OBJ. CLAIM NO. INV. NO. INV. DATE ENCUMB. GROSS AMT. 4 COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT NO, 7 County Center Drive - Orovilde, California 95965 - Telephone 916/534-4541 APPLICATION AND PERMIT ASSES A.RC L IUMBER, ZONING BUILDING PERMIT OWIf} r `I' 1 MID E SQ. FT. 0 C. BUILDING VALUATION OW R'S MAI IN ADDRESS s CO ACTOR S NAME in TEP HONE CONTRACTOR'S MAILING ADDRESS Fireplace Jinoo CONSiTPUCTION LENDER UNKNOWN Total Valuation $ Filing Fee $ 10,00 LENDER'S MAILING ADDRESS Permit Fee ARCH ECT OR ENGINEER LICENSE NO. Plan Checking Fee Energy Plan Checking Fee $ A ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS 91 Permit fee $ 1 PLUMBING PERMIT FiIingFee 10.00 Each Trap 2.00 % Q r Solar or heat pump water heater 20.00 40,C7 LOT N SUBDIVISION NAME PARCEL MAP Water piping 5.00 sf� Each qas water heater or vent 5.00 USE OF STRUCTURE SFO Duplex❑ Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 s Mobile Home S I G I W 10.00 ea TYPE OF WORK New AA Addition El Reel Utilities ❑ Installation[] Other ❑ Describe work: [[ Permit Fee $ Sfj Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 8001 OR LE S 100 AMP O C 10.00 Main service EA. ADD'L 100 AMP 2.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in full force and effect. License No. Classification I, as the owner, or my employees with wages as their SOIe Compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONST. DWELLING 0 A New , 4sq It �50ea CONSTR. UC TII-OUTLET NO N.RESID BRANCH CIRC ITS 2.50 ea POWER APPARATUS Q (SINGLE OUTLET CIR. EX. Occup(OUTLETS OR FIXTURES 20050c SALO 30 FIXED APPLES. OR EX. QCCUp. OUTLETS (RESIO.) EA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 9 15.00 Permit Fee $ Contractor WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. 3KI shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. MECHANICAL PERMIT Filing Fee 10.00 Heating t Cooling Hood 3.00 Ventilation Permit Fee $ Contractor 1 certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby 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 againstoccu all li lities judgments, costs, and expenses which may in any way accrue agai st ou OYnseque of the ranting of this permit. 7�— X '% Date �/ Signature of Applicant — Owner ❑ Contractor ❑ Agent ❑ An OSHA permit is required for excavations over 5'0" deep nd demolition or onstruct- ion of structures over 3 stories in hei ht. Mobile Home Installation Fee $ Energy Inspection Fee $ TOTAL PERMIT FEE P, i 3 cow sT.TTPE PAR E PD NO 39U This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which DIRECTO PUBLIC By PERM EXPIRES Date'�� the applicable provi- resolutions to do fees have been paid. WORKS ate 1p O Z Receipt No. '�j� WHITE-D.P.W., YELLOW -ASSESSOR. P K -INSPECTOR. COLD OD- PL I CANT FJ � COUNTY OF BUTTE - DEPART.VENTF•- , 'OU-iBLIC WORKS - BUILDINGDIVISION 7 COUNTY CENTER; DRIVE °' OROVILLE, CALIFORNIA 95965 - TELEPHONE: 916/5344541 l• a PERMIT APPLICATION DATA SHEET _ — �J Permit No. OWNER �6 r N fi 4 A. -P. No. Proposed Building Use Permit Fee Based Upon: Complete Contract Price DPW Valuation • Other (Ex I i Building Inspector Date At time of permit application, I was advised the following data must be submitted prior to permit processing and./or Issuance: DATE RECEIVED APPROVED items,have bee ubmitted. . . . . . . . . . . . Plot plans ir✓dplicate ri licate. plete plans_duplicateltri.plicate.**,.All Co plete engineered plans and calcs. . �./ . . . 5. Plans with Energy Design Compliance Statement. . . . . . 6. CUSD "Fees Paid'' Stamp on Floor Plan . . . . . . . . 7 Statement of Intent for Non -Heated and AC Buildings; ,l�zl Fees of $ � p 9. Letter of signature authorization. . . . . . . . . . 10. Sanitation approval from Health Dept. . . 11. Planning approval for (A) Use: (B) Parking: 12. Certificate of Workmen's Compensation Insurance. . . . . . 13. Contractor's License Information (no., name style, classif.) 14. Owner -Builder Verification (Given to owner❑, Mail to owner ❑ ) 15Improvements may be required. , . . . . . . . . . . 16. Mobi lehome Installation Data. . . . . . . .. • Pre-Inspec. request to (Date) Pre-Irispection for Required. Building Inspector . Recorde opy of Agricultur I Acknowledgment Statement . . . 9. Other IJ r I vF w a q r f-I— When you issue the permit, process as follows: Mail to owner. Mail to contractor. Telephone and hold for pickup at office. Deliver w/inspector. Other Applicant if . 6)Z�Z�rCate r; Copy of plans sent Health Dept., Fire Dept., Other Date During the plan checking process, the following data must be submitted prior to permit issuance: (For required items not checked above at time of application, circle item.) 1. Index permit for above Items No. 2. Additional items required: (Contractor, Designer,n ) was advised of above required data by Telephone Mail Other By ( Date .9l 86 Plans checked by Plans approved b, Other Copy—DPW Date Date TO: Building From: .71-wiromentz�,li Subject: Sanitation La (Y"y C Plan Approv,.,O. fo,,,: 11 -old f inal. for: ?inal clearance O.i,". J[01*7: Clearance for 'he-d'room :�Icjbi"I_e EO"ITF *-x * .UpPly Sur)]-.)IY Iz S anit 8ri:.ir, I v COUNTY OF BUTTE - Department of Public Works 7 County Center Drive, Oroville, CA 95965 OWNER -BUILDER VERIFICATION Attention Property Owner: Phone: 916-534-4541 An 'owner -builder" building permit has been applied for in your name and bearing your signature. Please complete and return this information at your earliest opportunity to avoid unnecessary delay in processing and issuing your building permit. No building permit will be issued until this verification is received. 1. I personally plan to provide the major labor and materials for construction of the proposed property improvement (yes or no) JS 2. 1have/have not �`— ( ) signed an application for a building permit for the proposed work. 3. I have contracted with the following person (firm) to provide the proposed construction: Name Address City Phone Contractors License No. 4. I plan to provide portions of this work, but I. have hired the following person to coordinate, supervise, and provide the major work: Name Address City Phone Contractors 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 !� / Dy! Lf ,y -du/ !/J S ign Property Owner P. Social Security umber ,/� Date 7-7-Z6 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. Return to DPW AGRICULTURAL STATEMENT 'OF ACKNOWLEDGENENTRECORDED IN OFFICIAL RECORDS FOR RESIDENTIAL DEVELOPMENT OF13hTIT 01jXT FSTIFORNIA Section 26-8.1 of the Butte County Code requires this acknowledgement pARV SHOWN be recorded prior -to issuance of a building permit. SG®21419 1986 JUL -7 P9 2 28 The property described herein is adjacent to land or included RDgP4.BEC1(ER within an area zoned for *agricultural purposes, and residents of tS& FEE property may be subject to inconveniences or discomfort arising.fr6OK-RECORDER the use of agricultural chemicals, including, but not limited.to herbic,ide`s, pesticides, and fertilizers; and from the pursuit of agricultural operations including, but not limited to cultivation, plowing, spraying, pruning, and harvesting which occasionally generate dust, smoke, noise, and odor. Butte County has established agricultural zones which have as a priority use for productive agricultural purposes, and residents within said zones and on adjacent property should be prepared to accept such inconvenience or disconform from normal, necessary farm operations. All that real property situatein the County of Butte, State of California, described as follows: Date : / — 7- Y10 State of Rm";/ ) County of �, ) On this the �{'day of _ 19A, before SS. me, the undersigned Notary u�b ic, rsonally appeared Personally known to me. owed to me on the basis of satisfactory evidence. to be the person(s) whose names) su scribed to the within instrument and acknowledged that executed the same for the purposes therein contained. ®®®®wca�°®e®®r"•nsa era U1110eo I MIN WITNESS WHEREOF, I hereunto set my hand and official seal. 9 1`r PAME i_AJ. -U' aSLER on r:OTr.?Y FURLIC-GAUFORt`IA Eu:te County C My Commission Expires August 9, 1987 0 j �flma®m�e®ca®e®'m®ea®®m®�®®®ems Notary Public Present A.P. No. :c ..7p1 rder No. .4..23504:= t:.. ;7 :......... - DESCRIPTION ll that certain real property situate in the County o ;scribed as follows: f Butte, State of California, Parcel 4, as shown on that certain Parcel Map being a portion of the Section 11, Township 18 Northi Range 5 East, M.D.B. & M., which map was filed in the office of the Recorder of the County of Butte, State. of California, on September 25, 1975 in Book 53 of Parcel Maps, at pages 53 and 54. TOGETHER WITH and .RESERVING THEREFROM a 60.00 foot easement for road and public utility purposes located in Sections 2 and 11, Township 18 North, Range 5 East, M.D.B. & M., Butte County, California, more particularly described as follows: A -Strip of land 60.00 feet in width lying 30.00 feet on each side of the following described centerline: g Beginnirj� at a point in the centerline of Swede's Flat Road (County Road) that bears South 3 50' 27" East, 688.68 feet from the center of said Section 2; thence from said point, the following courses and distarnc�s: South 19 40' 49" East, 172.61 eet; 22" East, 1348 ° f South 32° 23' S3" West, 206.42 o eet; South 5 41' 50" East, 325.51 feet; Sou h la OS' .46 feet; South 0 36' 18" West, 1323.87 feet; thenc� East, 1109.37 feet to a point; then Se the following e North 89 11 59" courses and distanc8s: North 190 21' 22" East, 119.88 feet; North 51 171. 13" East, 118.32 feet; North 0 25' 35" East, 1150.11 feet to a pgint in the North line of said Section 11; thence on and along said North line North 88 45' 03" East, 1193.80 feet; thence leaving said North line, NOrth 43 . 45' 03" East, 62.10 feet to a point in the East line of said Section 2, being the point of termination of this line. .ALSO TOGETHCR WITH and RESERVING THEREFROM an easement for road and public utility purposes, lying 30 feet on each side of the following described centerline: Beginning at the Northwest corner of Parcel 1, as shown on the above described Parcel Map; thence North 88° 45' 30" East along the Northerly boundary -.line of said Northwest quarter of the Northeast quarter of said Section 11, 1,236.22 feet 'to the* Northeast corner' of said Northwest quarter of the Northeast quarter of Section 11 and the end of said line. - DEPARTMENT OF PUBLIC WORKS PERMIT NO. '�28-17-110 ville, (:alifornia 95965 - Telephone 916/534-4541 % ry Permit#1869-86B,P,E,M(new single frmily CATION AND PERMIT fLL ,,^0t7 ZONIN BUILDING PERMIT pWN 1 /j^ ,� ^ T E NE SO. FT. O C. BUILDING VALUATION OW R'S MAI IN ADDRESS A ` CO ACTOR S NAME TE�EGPH ONE CONTRACTOR'S MAILING ADDRESS Fireply4e � X000 CON TUCTION LENDER UNKNOWN pp Tota Valuation $ 56� O Filing Fee o.o C $ 10.00 LENDER'S MAILING ADDRESS Permit Fee 507,po $ 1 ARCH ECT OR ENGINEER LICENSE NO. Plan Checking Fee /53•N—V ,a' Energy Plan Checking Fee/&'_t0 $ AE. Ej ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS Permit fee PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 Solar or heat pump water heater 20.00 o LOT N SUBDIVISION NAME PARCEL MAP — Water piping 5.00 i Each qas water heater or vent 5.00 USE OF STRUCTURE SFJ Duplex❑ Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 �S Mobile Home S G W 10.00ea TYPE OF WORK New Addition❑ Remo el Utilities ❑ installation❑ Other ❑ Describe work: _ 67? b� / t7 y Permit Fee $ 159- n Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 6100V OR LE M 100 AMP O 2 10.00 Main service EA. ADD'L 100 AMP 2.50 CONTRACTORS LICEN E 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.SINGLE License No. Classification 1, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I. as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONST. DWELLING oc , OR ADDNS. ACC. BLDG S. �2¢SQ ft65 NEW CONSTR. MULTI—OUTLET NON.RESID 2.50 ea Po ERC APPARATUSNH a OUTLET CIR. Ex. Occup( OUTLETS OR FIXTURES .20950t ALO 30C FIXED APPLNS. OR EX. OCCUp. OUTLETS (REST D.) EA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 Permit Fee $ _ W�iiK_s_�Ft►•c rnuns—s_+ate..-.........�.---- I declare u n ¢ ❑ T /�� p a '^ 1 I ❑ of OLA) ►1Cs✓` v(� Q(�C lC` IC(ecome tc WOO Notice to J LS� IeLa to the W. C l e t/`� I certify th ` is correctC6,�aCt A to buildinil � / - Butte to en, I also agret / \f ��i� / �PS all li 1iti sh / I / Q �/ CCC��� agai st t / X ` Q �C ✓� Signature of /17 An OSHA pel ion of structu Receipt No. ry.) WHITE-D.P.W.. TELLOW-ASeE330R. PINK -INSPECTOR, GOLDENROD -APPLICANT ng Department r a Certificate subject ecome subject nply with suchprovisions ve information Laws relating the County of irposes. Butte against y way accrue %�—�% :--P-6 an or construct- Contractor MECHANICAL PERMIT FiIingFee 10.00 Heating t Cooling Hood 3.00 Ventilation Ventilation Permit Fee ' y Contractor Mobile Home Installation Fee $ Energy Inspection Fee $ % TOTAL PERMIT FEE $ OCCUP. .3 CONST.TYP[ ' W FLOO PARCE PD ND• Is9DE 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 /� Z ONEQ,11 OWNER aiUY �POINTS PERMIT NO.f' ASSIGNED ACTUAL 1. SLAB - INSULATION 2. RAISED FLOOR - R-19 3. CEILING - R-30 4. WALL - R-19 5. NORTH GLAZING 6. EAST GLAZING 7. SOUTH GLAZING B. WEST GLAZING /9.00 0 30.00 U 2.4-3.6 < h .QUOt - -4 2.5-3.67 S•79 -61 1.6-3.6% 2.9-3.67 O� 6 3 9. SKYLIGHT - 0-1.37 10. SHADING (Exclude Overhang) EAST - .66 SOUTH - .19-.42 WEST - .13-.36 f (p 61 .SKYLIGHT - .37-.57 , --- Z 11. HORIZONTAL SOUTH OVERHANG 2' 12. MOVABLE INSULATION - NONE 19. INFILTRATION (Standard=0)(Tight=+12) sr.D 14. THERMAL MASS SF 15. GAS FURNACE (SE) 71-767 16. HEAT PUI1P (EER) 7.5-7.97 17.' DUAL PACK (SE, SEER) 8,0-8.3/71-767 WOOD STOVE WATER HEATER ATTIC 10 OTHER 1 TOTAL POINTS = -able 3-1. Slab Floor Points T __ T I Incula- I R -Value of Insvistion I I tlun I Depth, 1 --T Table 3-2. Raised Floor Points I R -Value of I 1 I Insulation I Points I I I I I Lnches 1 0-2 1 3-4 ! 5-6 I 7+ 1 T- 1 -8 I I I l l I I below 3 I -8 T -T I 3 - 4 I 0- 11 I -5 l -5 1 -5 ' I -5 I I 5- 7 I 12 - 15 ( -5 ( -3 1 -2 I -1 I I 8 - 12 I 16 - 19 I -5 i -2 I -1 I 0 1 1 13 - 18 1 20 + I -5 1 1 1 -1 1 0 1 +1 I I I I I I 1 •19+ 1 -20 I 90�� I South 7/7/83 I I to I to. I' to I to I up 5.0 I 22/90 0 -.I8 Table 3-3a. Ceiling Insulation Points I R -Value of Insulation I Points I I I I I 19 I -4 I I 22 I -2 I I 30 1 0 I I 49 I +4 I 1 I I e 3-4a. Wall Insulation Points I R -Value of Insulation I Points I 11 1 -7 I 19 I 0 I 24 I +2 I 30 I +3 Table 3-5. North-Faclnq Glazing Pts I 1 Glazing Type I I Total I I I of I Sngl, Dbl, Trp1,1 I Floor I U- I U- I U- I I Azea 10.66 10.42- 1 0.41 1 I 1 1.10 1 0.65-1 down I o +4 +4 +4 I 0.1- 1.2 I +4 ! +4 1 +4 I I 1.3- 2.3 I +1 I +2 I +2 I I 2.4- 3.6 I -2 I 0 1 +1 I 1 3.7- 4.8 I -4 I -2 I -1 1 1 4.9- 6.1 i -7 I -4 I -3 I I 6.2- 7.3 I -9 ( -6 1 -5 I 1 7.4- 8.2 I -12 I -8 I -7 I I 8.3- 9.7 I -14 I -10 I -8 1 I 9.8-10.8 I -17 1 -12 I -10 I 110.9-12.0 I -19 I -14 I -12 I 112.1-13.2 I -22 1 -16 I -13 I 113.3-14.5 I -24 I -18 I -15 I 14.6-15.3 i -27 i =20 i -17 7aDle 3-6. East-Facin Glazin Pts. 1 I Glazing Type I -I Total I I 2 -of 1 Sngl, I Dbl, Trpl, I Floor I (11 - I (U - I (U - I I Area 11.10) 1 0.65).1 0.41)1 I��I�mints Ipofnts I ofntsl I o I + 4 +4 rte 1 up to 1.3 1 +3 1 +4 1 +4 1 I 1.4- 2.4 I +1 I +2 1 +2 1 -12 I I 2.5- 3.6 I -2 I 0 1 0 1 -8 i I 3.7- 4.6 I -5 I -2 I -1 I -6 I I 4.7- 5.6 1 -8 I -4 I -3 I -4' I I 5.7- 6.7 i T2 I I 6.8- 7.7 0 I I 7.8- 8.7 1 1 1 8.8- 9.7 I I 9.8-11.2 I 111.3-12.7 I 112.8-14.0 I ( 14.1-15.3 I -10 Int -5 -13 1 -8 1 -7 1 -15 1 -10 I -8 -1.7 1 -12 I -10 1 10-3.1 I to 1 6.4 up I i -25 1 -18 •I -15 1 -28 I -21 I -18 I -32 I -24 1 -20 I le 3-7. South -Facing Glazing Pte Table 3-1.0. Shading Coefficient Pot -its I . I Glazing Type I 1 • Total I 1 i I of I Sngl, Dbl, I Trpl, I Floor I (U - I (U - I (U • I I Area 11.10) 10.65) 1 0.41)1 I 1POInts Ioofnts loointsl I up to 1.5 I +2 1+ I +2 I 1 1.6- 3.6 I -1 I I 0 I I 3.7•- 5.2 -4 -2 I -2 I 5.3- 6.5 I -6 I -4 I -3 I I 6.6- 7.7 1 -9 1 -6 1 -5 I I 7.8- 8.9 I -11 I -8 I -7 I I 9.0-10.0 I -13 1 -10 .I -9 110.1-11.5 I -17 i -13' I -11 I 1 11.6-13.0 I -21 I'-16 I -14 1 113.1-14.5 1 -25 1 -19 I -16 14.6-16.0 I -28 I -22 I -19 i I I I I I Table 3-8. West -Facing Glazing Pts. I Glazing Type I I Total I I I of I Sngl, I Dbl, Trp1.I I Floor I (U - 1 (U - I (U - I Area 11.10) 10.65) 10.41)1 I Iofnts !Points 1 ofntsl o +8 +6 +6 I up to 1.3 I +5 i +6 I +6 I I 1.4- 2.2 I +3 I +4 1 +5 I I 2.7- 2.8 I 0 1 +2 I +3 I I 2.9- 3.6 1 -3 I 0 1 +1 I 3.7- 4.2 i -5 I 2 1 0 I 4.3- 5.0 I -8 1 (-- 4DI -2 I I 5.1- 5.6 I -10 - 1 -4 I 5.7- 6.2 i -13 I -8 I -6 1 I 6.3- 6.9 1 -15 I -10 I -7 I I 7.0- 7.6 I -18 1.-12 I 7.7- 8.2 1•-20 I -14 1 8.3- 8.8 1 -22 I -16 l -13 I 1 8.9- 9.5 I -25 I -18 1 -15 I I 9.6-10.1 I -27 ( -20 l -16 I l 10.2-11.0 I -29 1 -23 I -17 I 111.1-11.8 I -35 i -26 I -21 I I 11.9-12.7\1 -38 1 -29 I -24' I 112.8-13.5 I -42 i -32 1 -27 1 1 13.6-14.3 I -46 1 -.35 I -29 I ( 14.4-15.2 I -50 I -38 I -32 I I I I I I Table 3-11. Horizontal South Overhane Points Sou [h Glaring Length Out I Area, I of Floor I I from Wall I _ I I ft 1- I I 0-6.3 I .6.4 up I I I I I 0 - 0.5 1 -2 - 1 0.6 - 1.0 i -2 I -3 i 11.1 - 1.9 1 -1 I -2 I 2.0 up i 0 i 0 Table 3-12. Movable Insulation Points Moveable Insulation] I I Area, Z of Floor I Points I I I I 0- 5.5 I 0 1 i 5.6 - 11.5 1 +2 1 I 11.6 - 17.5 I +4 I I 17.6 - 23.5 I +6 i i `23.6+ ( +8 1 -- T --F- SCby ISC I I Orien- 1 I Floor Area tation I 1.4- I East I I 3.2�- I 10-3.1 I to 1 6.4 up I I 6.3 I I 0 -.19 I 0 ( +1 I +2 I .20-.36 I 0 I 0 I ♦1 I .37-.66 I 0 I 0 I 0 I .67-.82 I 0 I 0 I -1 I .83 up I 1 0 i -1 I -2 I I I I South I 3.2 16.4 i 8.0 19.6 I I to I to. I' to I to I up 5.0 I 13. 16.3 17.9 19.5 I 0 -.I8 10 I +1 I +2 I +2 I +3 I .19-.42 1 0 1 0 1 0 I 0 1 0 I .43-.66 1 0 1 -1 I -2 I -2 -3 I .67 up ,I I I -2 I -4 I -4 I -6 ' -19 I Weat( .1 11.6 3.2 16.4 19.0 I 6.3- I to I to to to I up -21 1 11.5 1 3.1 6. 17.9 i I I I I 0-.12 i 0 1 +1 I +3 I +6 i +7 .13-.36 1 0 1 0 1 0 1 0 1 0 .37-.57I 0 1 -1 I I -6 I -7 .58-.82 i -1 I -3 I�61 -12 1 -15 .83 up I -2 I -4 1(8--1 - -16 I -20 I I I I I Skylight i .1 I .8 11.6 13.2 14.0 8.8 I I to I to I to I to I to -22 1 .7 11.5 13.1 13.9 15.2 0-.12 1 0 1 +1 I +3 I +6 I +7 .13-.36 1 0( 0 1 0 1 0 1 0 .37-.57 1 0 1 -1 I -3 I -6 I .58-.82 1 -1 I -3 I -6 I -12 I -. .83 up i -2 i -4 i -8 i -16 1 -20 Table 3-9. Skylipht Points I I Glazing Type I I Total 1 . I l I of Sngl, Dbl, Trpl, I Floor l U- l u- I U- I I Area 10.66- 10.42- 10.41 I I 11.10 10.65 I down I I up to 1.3 I -1 I 0 1 0 I 1.4- 2.2 I -3 I -2 I -1 I I 2.3- 2.8 I -6 I -4 I -3 i I 2.9- 3.6 I -9 1 -6 I -5 i i 3.7- 4.2 I -11 I -8 1 -6 I I 4.3- 5.0 I -14 1 -10 I -8 I 5.1- 5.6 I -16 I -12 I -10 I 1 5.7- 6.2 I -19 I -14 1 -12 I I 6.3- 6.9 I -21 1 -16 I -13 I 1 7.0- 7.6 1 -24 I -18 1 -15 I ( 7.7- 8.2 1 -26 I -20 I -17 I 1 8.3- 8.8 I -28 1 -22 1 -19 I I 8.9- 9.5 1 -31 i -24 I -21 I I 9.6-10.1 I -33 I -26 I -22 I Table 13- Infiltration Control Fer.r9res Points 1 Control Features I Points I 7- I I I Standard I 0 I I I 0.9 air changes per hr- 1 I T- I Tight 1 +12 I I I I 11.6 air changes per hr I' I i I I Table 3-15. Cas Furnace l:ithouc Refrigeration Cco1_nq Points I Points I I Seasonal Efficiency I Points I i (SE), � I I I 71 - 76 I 0 1 I 77 - 82 I +2 I I 83 - 88 I 4a I I 89 - 94 I +6 . I I 95 up I I I +8 I I +12 I I 9.2 Table 3-16. Heat PumD Points r I Energy Effic!eney 1 Points I I Ratio (EER) I I 7.5 - :.9 1 +3 I I S.0 - 8.3 I +6 I I 8.4 - 3.7 I +9 I I 8.8 - 9.1 I +12 I I 9.2 - 9.•6 I +15 I I 9.7 - 10.2 I +i8 I I '10.3 - 10.8 I +21 I I 10.9 - 11.5 I +24 I I 1T-5 - 12.3 I +27 I I 12.4 I - 13.2 I 1 +30 I I Table 3-17. Cas Furnace With Refriveration Coo'line Points Refeigeraciod Cas Furnace I 1 Cooling I SE Z I I 171-117-183-1 89- 95 1 1 761 821 881 941 up I 1 8.0 - 8.3 1 01 +21 +41 +61 +8 1 1 8.4 - 8.7 1 +21 +1 +51 +91+10 1 1 8.8 - 9.2 1 +41 +61 +81+101+12 1 I 9.: - 9.7 1 +61 +81+101+121+14 1 1 9.8 - 10.3 1 +31+101+121+151+16 1 1 10.4 - 10.9 I+1G1+12i+I41+161+15 I 111.0 - 11.5 1+121+141+161+•151+20 I I ( I I I I 7/7/83 ZONE 11 TALE 3-14 (ADAPTED) INTERIOR THERMAL MASS POINTS - MASS _ DWELLING AREA QUARE FOOT AREA 1,000 I 1,500 ! 2,000 4 2.500 ! 3,000 I 3,500 4,000 ! 4.$GO S_,000 1 Sj. FT. A 8 C D A. 8 C D A 0 A 6 C D B C D A 8 C 0 1 A 6 C' D A 8 C 1 A b .. G :� I C- L1 50 2 2 2 2 2 2 2 0 1 2 2 2 0 1 0 0 0 0 0 0 0 0 0 0 0 0. 0 0 0 00 C 0 C 0. a G 0! '.OG. 4 4 4 2 2 2 2 2 2 2 2 2 2 2 2 0 2 2 2 0 2 2 0 0 2 2 0 0 2 2 0 0I O D 0 0 1 150 6 6 5 4 4 4 4 2 2 '2 2 2 2 2 2 2 2 2- •K- 2 2 2 2 2 2 2 2 0 2 ? 2 O I 2 2 2 0 1 200 B 8 6 4 6 6 4 2 4 4 4 2 4 4 2 2 2 2 2 2 2 2 2 2 2 2 2 2 i 2 2 2 2( 2 Z 2 D 250 10 10 8 6 6 6 6 4 6 6 4 2 4 4 4 2 0 4 2 2 2 2 �2 2 2 1 2 2 2 2 2 2 2 2 2 300 12 12 10 6 8 8 6 4 6 6 6 4 6 6 4 2 4 4 4 2 4 4 2 2 2 2 2 2 2 2 2 2' 2 2 2 2 350 14 14 12 8 10 1G 8 6 6 6 6 4 6 6 6 2 6 4 4 2 4 4 4 2 4 4 2 2 I 4 4 2 7I 2 2 2 2 400 14 14 12 8 In 10 8 6 8 8 6 4 6 6 4 4 6• 6 4 2 4 4 4 1 4 4 4 2 I 4 4 2 2 I S 4 2 2 501 18 18 16 10 12 12 10 6 10 10 8 6 R -8 6 4 6 6 6 4 6 6 6 2 6 5 4 2 4 44 2 4 4 4 j 603 22 20 18 12 14 14 12 8 12 12 10 E 10 10 8 6 8 8 6 4 8 C 6 4 6 6 6 4 1 6 6 4 2 16 6 4 2 1 790 ' 24 24 20 14 18 16 11 10 14 14 12 3 13 10 10 6 10 10 8 68 8 6 4 8 6. 6 4 1 6 6 5 41 6 6 R 7 230 126 24 22 16 70 )6 16 10 14 14 12 8 12 10 10 6 10 10 8 6 10 R 8 4 12 6 6 4 8 6 6 4 6 5 0 900 28 28 74 16 22 20 18 12 16 16 14 10 14 14 12 8 12 12 10 6 10 10 a 6 I a 8 '8 4 8 8 5 41 B 8 6 < 1,010 30 :O 26 18 i22 20 20 14 18 18 16 10 14 14 12 8 12 17. la 6 12 10 10 6 10 1D B 6 I 8 B 0 41 8 E J i 1.;OU 32 32 28 20 I24 24 22 14 20 20 18 10 16 16 14 8 14 14 12 8 12 12 10 6 10 1D 10 6 !10 10 8 (I !,, e f 1,200 34 32 30 22 26 26 22 16 22 20 18 12 18 18 14 10 (14 14 12 8 14 12 12 8 '12 12 10 6 !13 10 8 E! 10 In 8 6 i I i 1,JG0 34 74 72 22 28 26 24 16 22 22 20 12 Ig 19 If 10 13 14 10 8 14 12 12 6 12 12 13 6 !12 10 10 LI 10 110 F u ! 1,400 134 34 72 24 28 28 26 18 24 24 20 14 20 20 18 12 18 16 14 10 14 14 12 8 X14 14 IZ 8 11 i? :G E; 1n la 17 4 1 , 5L`0 I 36 74 34 24 30 30 26 18 24 24 22 14 122 20 18 12 I8 18 16 10 116 16 14 8 14 14 12 [< 117 1: 10 f, l ;1 12 1.. e i 2,GOD 34 34 32 22 30 30 26 18 26 26 22 16 22 22 20 14 20 20 18 12 18 18 16 10 1L• 16 i4 LI 14 14 12 3 i 2,500 I 34 34 30 22 I30 30 26 18 26 26 24 16 (24 24 22. 14 22 22 i3 !2 20 20 18 !: 1 13 15 IS !"i 34 32 30 22 30 30 26 18 28 .26 24 16 124 24 22 14 22 22 20 14� :2 .3 It 3,500 I 32 32 70 20 30 30 26ld 26 28 24 16 26 24 22 1: ! •1 'a ;4 20 7•i .090 12 32 30 20 130 3U 26 1^0 20 26 24 if ! 26 2•i 2: if 4,500 132 32 28 20 lU 30 2f Ij 1 k 2-' :( ; j 32 T7 tF YOj i3. :6 1?. A) 1. 3's" Concrete Slab: I!C-8.93; R-.29; Factor -7.3 2. 3 3/4" Thick Common Brick: IIC-7.125; R-.13; Factor -7.3 B) 1. Sy" Concrete Slab: HC -14.106: '".418; Factor•7.1 wood StOVe ' C ) 1. 8" Solid Filled Block: HC -2C.67; R-1.97; Factor -6.1 //33 points'(no back up) 2. 8" Solid Filled Bloc: With Both Sides Exposed To Conditioned Air. casablanca fan + 1.point NOTE: Use all square footage directly exposed to conditioned air for Thermal'Mass Area: HC=10.164; R-.96:; Factor -6.1 D) 1" Thick Concrete/Ti-le:' HC -2.55; R-.083; Factor2-3.7 Table 3-19. Zonally Controlled Electric Reslstunce Space HeatlnQ Points Points forthis measure v!11 I Table 3-20. Solar Water Healing With Cas Backup Paints , I be completed after the CEC ) I has approved an Alternative I I Component Package for Resistance 'I I Beat. I Tache 3-15. Active Solar Spnce Heating with Cas Points Net Solar Fraction I Points (NSF), I 1 I o-6 I o f 1 7-14 I +2 1 I 15 - 23 i +4 I 1 24 - 30 1 +6 1 1 31 - 39 1 +8 I I 40 - 47 1 : +10 I I 48 - 55 I 4.12 I I 56 - 63 I +14 I I 64 - 71 1 +18 1 I 72 up I 1 +20 1 { I Multlfamll (pit unitpoints) Points I I Cas Only I I I 0 I I Beat Pump ( I Floor area 1 Solar with Electric I i Net Solar Fraction (NSF), Z I per unit, I I ments in Part 2 1 0 i I Electric Resistance I I On. 1 i -40 I It2. 0.9 10-19 20-29 30-39 40-49 50-59 60-69 70-79 , 600-799 0 +3 +7 +10 +14 +17 +21 +24 800-999 0 +3 +5 +8 +11 +14 +16 +19 1,000-1,499 0 +2 +4 +6 +8 +10 +12 +14 1,500-1,999 0 +l +3 +4 +6 +7 +8 +10 2 (:00 and u 0' +1 +2 +4 4.5 +6 +7 +9 All pothers (pe building points) 800-P.99 900-999 0 0 +5 +4 +10 +9 +14 +13 +19 +17 +24 +11 +29 '- +34 +26 +30 1,JOD-1,199 0 +4 +7 +11 +15 4.19 +22 +26 1,20ii-1.499 0 +3 +6 +9 +12 +15 +18 +21 1,500-1,999 0 +2 +5 +7 1 +9 +12 +14 +lc 2,000-'.999 0 +2 +3 +5 +7 +8 +10 +11 3,060 ac.d up -0 +! +3 +S +5 +7_ +S +IO 1 Table 3-21. Othsr Water Heating Pta. T-- I I I System Type: I i I Points I I Cas Only I I I 0 I I Beat Pump ( I 0 I 1 Solar with Electric I i I Reslstonce Backup I I I Meeting the Require- I I I ments in Part 2 1 0 i I Electric Resistance I I On. 1 i -40 I RESIDENTIAL.ENERGY PLAN CHECK/INSPECTION SUMMARY FORM I Owner L4R-!� gOOT/f Climate Zone JJ Permit No. 109 -IC' Floor Area //GZS _S _ Compliance path: Package ❑ A ❑ B ❑ C L�oint System [I Budget her 413'_163 MIN R -VALUE DESCRIPTION REQ'D INSTALLED ITEMS (1) INSULATION: [� Roof/Ceiling 30.00 CY Wall J3•ov ❑ Slab Floor Perimeter [� Raised Floor (2) INFILTRATION• ❑❑/ (A).A vapor barrier is required in climate zones, 1, 14 & 16. I� (B) All manufactured windows and sliding glass doors shall meet the 1972 ANSI Air Infiltration Standards and shall be certified and labeled. (C) All swinging doors and windows leading to unconditioned areas shall be fully weatherstripped. Tight - the above standard features plus: ❑ (D) Continuous infiltration barrier ❑ (E) Electrical outlet plate gasket ❑ (F) Air-to-air heat exchanger (3) GLAZING: (A) Location Area Glazing %,Floor Area Single Double Triple ((� Total Bldg /8x.00 /Y. /f Q' North D.OU D• 00 [� East f:? -co 5.75 � [� South ¢0.00 2.8/ ci Q� West !o •00 4.6.3 ❑ Skylights (B) Shading Shading Coefficient Description p' East [[� South /0,6 West. �To- ❑ Skylights (� (C) South Overhang Z E Length of projection ft. Description/ ❑ (D) Moveable insulation: Area ft Description (E) Thermal mass ❑ Type - Area Ft.2 HC= R= MC= Location ❑ Type - Area Ft. HC= R= MC= Location ❑ Type - Area Ft.2 HC= R= MC= Location ❑ Type - Area Ft . HC= R= MC= Location ❑ Type - Area Ft.2 HC= R= MC= Location ❑ Type - Area Ft.Z HC= R= MC= Location 7/83 '. FORM .. ❑ (4) MASONRY AND FACTORY -BUILT FIREPLACES shall be equipped with tight fitting closeable metal or glass doors covering the entire opening of the firebox; a combusion air intake equipped with a readily accessible, openable, and tight fitting damper to draw air.from the outside of the building; and a tight fitting flue damper with a' readily accessible control. *1(5) HEATING, VENTIIATING; AIR CONDITIONING SYSTEM (A):..Heat ing ❑ Central Gas Furnace % (brand and model number) SE Btu/hr (heating capacity) ❑ Heat Pump. (brand and model number) ACOP Btu/hr (heating capacity at 47°F) ❑ Active Solar type (liquid or air) Collector brand and ft2 model number solar fraction collector area collector orientation collector tilt rated y-intercept �/ rated s 1p pe Dre.N,fNF.A/T Gv�iPA Other WON) 49U0AJIAI V'OV6 Allr# CG45r-rIeVG Be 16 2AP-D 1114. (describe). *1 (B) Cooling ❑ Electric Air Conditioner (brand and model number) (seasonal EER) Btu/hr r (cooling capacity at 95°F) 7 L� Electric Heat Pump EER Btu/hr (cooling capacity at 95°F) ❑ Other (describe) (C) A TWO-STAGE THERMOSTAT, which controls the supplementary heat on its second stage, shall be required for heat pumps. (D) AN•AUTOMATIC SETBACK shall be provided for all thermostats, except those controlling heat pumps. (E) AN INTERMITTENT IGNITION DEVICE shall be provided for all gas-fired fan type central furnaces, gas-fired fan type wall furnaces and gas cooking appliances. (F) BACKDRAFT DAMPERS shall be provided for all fan systems exhausting air to the outside. (G) DUCT CONSTRUCTION' & INSULATION. All transverse duct, plenum, and fitting joints shall be sealed with pressure sensitive tape ,or mastic to prevent air loss and shall be insulated to conform to the provisions of Section 1005 of_the UMC, 1976 Edition. 7/83 2 *1 Submit documentation of sizing heating and cooling equipment by Manual J, sizing charts. -(form #4) or other approved methods, section 2-5352(8), and fill out the following: Heating Winter design temperature 30 0, elevation L %Od ', heating load 46 300 BTU elevation factor /•od x heating load = maximum outlet capacity gas furnace 46 3CO BTU Cooling: Summer design temperature °, cooling load 2Z1O'O BTU (USE ONLY AS A SIZING GUIDE, COOLING MAY BE INADEQUATE) *2 Submit T.I.P.S.E. chart or other approved system (form #5) to document sizing of solar panels. ® DESIGN COMPLIANCE STATEMENT: The above building design meets the requirements of Title 24, Part 2, Chapter 2-53 of the California Administration Code. 7/83 S NATUOF BUILDING DESIGNER OR APPLICANT 3 FORM i . (6) DOMESTIC WATER SYSTEM ❑ -(A)- Gas Only Gallons (brand and model number) (tank size).' or Heat Pump w/Electric Backup (brand and model number) Gallons (tank size) ❑ * 2 Active Solar (collector brand and model number) (rated y -intercept) (rated slope) (solar fraction) ft :(backup heater type, brand and model number) (collector area) (collector orientation) (collector tilt) ❑ Location of Solar Panels ❑ Other (Describe) :(B) TANK INSULATION. Storage type water heaters and storage and backup tanks for solar systems shall be externally wrapped with R-12 insulation or greater. — / I� (C) PIPE INSULATION. The five feet of pipe closest to the water heater and outside conditioned space shall be insulated with a minimum of R-3. Steam.and steam conditioned space shall be insulated with a minimum of R-3. Steam and steam -condensation return piping and recirculating hot water piping outside the building envelope shall be insulated in accordance with T20 -1408(d). (D) FLOW RESTRICTORS shall be provided for showerheads and faucets as outlined in the new appliance efficiency standards and shall be certified to the Energy Commission. (7) LIGHTING (A) Lamps used in luminaries for general lighting in kitchens and bathrooms shall have an efficacy of not less than 25 lumens per watt (usually florescent). *1 Submit documentation of sizing heating and cooling equipment by Manual J, sizing charts. -(form #4) or other approved methods, section 2-5352(8), and fill out the following: Heating Winter design temperature 30 0, elevation L %Od ', heating load 46 300 BTU elevation factor /•od x heating load = maximum outlet capacity gas furnace 46 3CO BTU Cooling: Summer design temperature °, cooling load 2Z1O'O BTU (USE ONLY AS A SIZING GUIDE, COOLING MAY BE INADEQUATE) *2 Submit T.I.P.S.E. chart or other approved system (form #5) to document sizing of solar panels. ® DESIGN COMPLIANCE STATEMENT: The above building design meets the requirements of Title 24, Part 2, Chapter 2-53 of the California Administration Code. 7/83 S NATUOF BUILDING DESIGNER OR APPLICANT 3 3-6-g7 o a -op. all HCa44--may (Oh. LV ��e I 1—t lzl,4 e�7 . 't�V Vv -1868-86 3i g7,Q G ' r PERMIT NO. 1869-86B P E M PERMIT EXPIRES AV - OWNER LARRY BOOTH CONTR. owner ASSESSOR PARCEL 28-17-110 LOCATION Obert Dr, Oroville i �6 C. v v ( Temp. Power Pole Called PG&E Temp. Elec. Service Called PG&E Temp. Gas Service Called PG& E w JOB F.INALED (Date) Signature -- JV = OK " I I. . 0 = Not OK = Not Applicable MOBILEHOMES * = Not Ready MISCELLANEOUS Date MOBILEHOME UTILITIES (Plans) OK except N's 1. Zoning Requirements -Setbacks -Easements 2. Soils; Special MH Support -Sketch Date DECKS, COVERS, CARPORTS, ETC. (Plans) OK except N's 1. Zoning Requirements -Setbacks -Easements _ 2. Footings; Size -Depth -Spacing -Connectors 3. Sewer; Location -Test -Fall -C/0 -Concrete 3. Decks; Girders and/or Joists -Decking -Bracing -Stairs -Rails 4. Water; Location -Test -Easement Needed (Sketch) 4. Wood Awn.; Posts-Beams-Rftrs.-Connec.-Shthg.-Rfg.-Bracing 5. Electricity; Location-Clearances-Grnd.-/ / Amp -Concrete 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Gas; Location -Test -Wrap:/ /"L"ft./ P'Nat. or/ /"L "ft./ /"LPG 6. Carports; Windows=Doors 7. Utility Clearance 7. Elec. Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Date Card -BI Date MOBILEHOME INSTALLATION (Plans) OK except k's 1. Zoning Requirements -Setbacks -Easements Card -BI Date Date Card -BI Date POOLS (Plans) OK except k's 1. Setbacks -Easements 2. Footings; Size -Spacing -Marriage Line 2. Soils; Compaction -Structure Stability 3. Gas; MH Test -Demand -Valve -Connector .3. Pool Structure; Steel -.Connections -Thickness -Dead Men -Lining 4. Electricity; MH Test -Crossovers -Breakers -Clearances 4. Elec.; Receptacles and Lighting; Distances-GFI 5. Drain; MH Test -Fall -Flex Connector 5. Elec.; Pool Lighting; 15 volts-GFI 6. Water; MH Test -Regulator -Connector 6. Elec.; Enclosures; Conduit Entries -Terminals -Listed 7. Water and Sewer Connected -C/0 to Grade -HD Approval 7. Elec.; Bonding; Metal w/5' -Circulating Equipment -Heater B. Gas and Electricity Tagged 8. Elec.; Grounding; Equip. w/5' -Circulating Equip. -Pool Lghtg. Boxes -Enclosures -Panel boards -Ins. to Main in Conduit 9. Exits; Insp.-Sketch 10. Cert. of Occupancy 9. Health Department Approval 10. Plumb; Cir. Test -Water Supply Test Card B -I Card B -I Date Card -BI Date Date Card -BI Date Card -BI Card -BI Date Card -BI Date Date Card -BI Date J = OK , 0 = Not OK = Not Applicable RESIDENTIAL (Single and Duplex)-, Not Ready , Date UNDERFLOOR Plans OK exce tN's Date FRAMING (Continued) - _ -1.: '.Zoning requirements -Setbacks -Easements - 48. Property Line Firewall & Openings 2.1IFtg., Main; Soils-Steel-Elec. Grnd.- /- /" Ftg. Depth 49. Ext. Doors -One 3' -Check Garage -3rd story, 2 exits - 3. Ftg., Garage: Soils -Steel- / /",Ftg. Depth 50. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection - 4."Ftg., Porches & Decks: Soils -Steel- / " /" Ftg. Depth 5. 'Stemwalls, Main: Steel-Blockouts-Wrapped-Slab 51. 52. _ Plywood on Roof Overhang -Attic Vents -Rafter Outriggers Siding -Nailing -Veneer 6.)fStemwalls, Garage; Steel-Blockouts-Wrapped-Slab 53. Stucco Mesh -Drip Screed-Fdn. Vents-Underflr. Access 7.NPIers-Fireplace Ftg.-Steel 54. _ Glazing Area -Glass Protection -Skylights -Plastic - 8.11D.W V. Fall -Fittings -Test -2 way C/O -Sewer Test 55. Shear Walls; Nailing -Bolts _ 9. L Gas Pipe; Size -Anchors 10.ff1,Water Pipe: Test -Anchors -Regulator -Service Test 11.1jElectric: Underground - 12.`1Plenums & Ducts; Clearance -Material -Support -Ins. 13.1;Girders-Sills-Anchor Bolts -Joists -Vents -Cripples Card -B1 Date Card -BI Date I Card -BI Date Card -BI Date __ Card -BI Date Card -BI. Date Card -BI DateCard-BI Date Date FINAL (Plans) OK except q's. 56. Ext. Steps -Door & Sidelight Protection -Landings Card -BI Date + Date Card -BI Date i PLUMBING (Permit) OK except N's 57. Smoke Detector ' Card -Bt Card -BI 14. Water Ht.: Vent- Access -Combustion Air - 15., Water Pipe: Test & Anchors -Nail Protection 16..!D.W.V.: Test-Fttngs & Anchors -Nail Protection 17. i Shower Pan: Test, First Floor -Tub Access 18. (Test Tub -&. Shower, 2nd Floor -Tub Access 19.11Gas Pipe: Size & Anchors j --- - Date __ _Card -B I_ _ _ Date t� Date Card -BI Date 58. Furnace; Vents -Clearance -Comb. Air -Connector - In Garage; Above Floor -Ducts -Meeh. Protection 59. Bedroom Exiting 60. G.F.I. & Bath Fixtures& Tub Access 61. Elec. Trim & Subpanel; Breaker Sizes -Labels 62. Stairs & Rails 63. Fireplace or Stove; Clearances -Hearth 64. .Elea Outlets at Wood Panel; Int. & Ext. 65. Kit. Fixt. & Appliance; Grnd.-Air Gap -Cooking Clearance 66. Elec. Outlets & Receptacles at Kit. Counter Garage Fire Door; Swing -Landing -Closer Date r67. ELECTRICAL Permit OK except p's 68. A.C. Duct in Garage -Damper Card B -I Card B -I 20., Fixture & Transformer Clearance -ins. Protection 21. ,,Flet. Receptacles Spacing -Lights _& Switches at Doors 22.. Size Boxes & No. of Conductors -Stapled 23, Romex Installed Close to Edge of Studs & C.J. 24. ,.Equip. Ground made up w/Mech. Fasteners -Bond Gas & Water 25.,'2 Appliance Circuits in Kitchen & Conductor Size 26.} Subfeed Wire Size i / ga. Cu or AI-A.C. Wire Size / / ga. Cu or AI 27..' Range Circ. / / ga. Cu or AI -Oven Circ. / / ga. Cu or At, Insulated Neutral -Yes __No 28. Service -Riser Conductors & Ground -Main D_isconnect-- - _ 29. Equrp. Clearances: Panels-Motors_Mech_Equip. • _ 30.j'Clolhes Closet light -Shower Light ( Date Card -BI Date Date Card-BI� Date 69. Wtr. Htr.: Vents -Clearance -Comb. Air-Connector-P.R.V.- In Garage; Above Floor-Mech. Protection 70. Plb., Elec. & Mech. Equip. Listed for Location 71. Elec. Receptacles in Garage; (G.F.I.)-Romex Protec. 72. Insulation -Foam -Looked in Attic ❑Yes - 73. Guard Rails & Deck Construction -Post Caps 74. Fdn. Vents & Crawl !dole Door -Drainage & Wood -Earth Clearance Looked under Floor El 75, Following instld.: Drive ❑ Yes ❑ No; Walks ❑ Yes ❑ No; Planters EJ Yes ❑No 76. Stucco; Brown -Finish 77, A.C. Unit; Disconnect-Clrnces-Brkr. & Cond. Size -115V Outlet 78. 79. 80. Vents Above Roof; Plbg.-Appliance-Firepl.-Clearance to Opngs. Water Well; Disconnect, Electrical, Plumbing Exterior Elec. Trim; G.F.I. Receptacle -Underground 81. Ventilation throughout House 82. Glass Protection Date MECHANICAL (Permit) OK except N's 83. _ Corrections from Previous Inspections 84. _ Gas `est -Meters Tagged; Gas -Electric Cara -BI Card -Bi 31. ' A.C. Ducts. Insulation & Support - --_ _ - _ 32. Vent Fan: Exhaust above Insulation _ Y_ 33. Condensate, Drain & Overflow: Size _& Grade 34.+ Furnace -Vern: Access -Comb. Air -Return Air_ Vent -_115_V outlet 35. Attic Access & Platform if Furnace in Attic 1' _ Date Card -BI Date Date Card -81 Date 85. Water & Sewer Connected -C/O to Grade -HD Approval 86, Energy Compliance Certificate -Other Certificates - - - Card -81 Date. Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Date FRAMING(Plans) OK except Ws - Com: tents at Final: ' 36. , Sills: Proper Material & Ancho_rs _ 37., Walls: Studs -Nailing, Spacing & Bracing -Plates -Sound 38. Bearing Walls over Girders & Floor Nailing 39.{ Draft Stop in Walls (rat proof) 40.1 Fire Stops: Furred Ceilings-Stairs_Chases-Tub_ _ 41 .'Header & Beam -Size & Bearing 42." Hangers -Post Caps -Anchors -Connectors 43.1 Cing. Joist-Rftr. Ties-Purlin-Roof Brac.-Truss-Shthnp.-Rfng. 44.lFireplace Ties or Type A Flue -Fireplace Throat 45.- AIlic Access: Size -& Romex Protection -Draft Stop -Ins. Ba_ff_les 46.•' Bdrm. Windows or Exiting Doors -Sill Hgl. & Dimensions 47.: Garage Fire Protection Framing -- _ - (NOTE Anentrymust be made each time youvisit jobsite) 458-869 w f� Larry & Carlotta Boo ti S/S/Obert Dr. Oroville ' tJ • t 1114, - � ; { COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT NO. 7 County Center Drive - Oroville, California 95965.- Telephone 916/534-4541' APPLICATION AND PERMIT ASSESSOR PARCEL NUMBER ZONING BUILDING PERMIT OWNER 'r t TELEPHONE SQ. FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDR"S CONT R A C T O R' S NAME ?! 1J/ ki (- V TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER ,,��l//l__ UNKNOWN Total Total Valuation $ Filing Fee 10.00 LENDER/'S MAILING ADDRESS Permit Fee $ ARCHI,T,ECT OR ENGINEER 'i- "/)V LICENSE NO. Plan Checking Fee ,$ Ener PlChkin Fee Energy an Checking 9 $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS 'f/�J Permit fee $ PLUMBING PERMIT Filing Fee 10.00 f� 7 + {. I%' t f �� l Each Trap 2.00 f. Solar or heat pump water heater 20.00 LOT NO., SU-BDIVISION NAME ]PARCEL MAP Water piping 5.00 Each qas water heater or vent 5.00 USE OF STRUCTURE SF ❑ Duplex❑ Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home S I G I W 10.00.. TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Uti lities ❑ V_Instal .tio�np Other E] t jj rttf /% Describe work: r � I v - - L :f � Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 J Mahn service eOOV OR LESS 100 AMP OR LESS 10.00 .° Main service EA. ADD -L 100 AMP 2.50 !. CONTRACTORS LICENSE LAW I declare under penalty of perjury (check One): F!NON-RESID 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 1, as the owner, Or my employees with wages as their 501. COmpen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONST. DWELLING oCCUP.h , OR ADONS. ( ACC. BLDGS. /20sq ft NEW CONSTR. U '.OUTLET 2,50 ea BRANCH CIRC ITS POWER APPARATUS &) (SINGLE OUTLET CIR. Ex.Occup(OUTLETSOR FIXTURES BAL0320@50t eALeo FIXED , OR EX. Occup. OUTLETS TS (RES(RESID,) EA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 sc. Wiring Wg f .) 15.00 I' Permit Fee J $ Contractor WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. MECHANICAL PERMIT Filing Fee 10.00 Heating Cooling Hood 3.00 Ventilation Permit Fee $ Contractor I certify that I have read this application1 and -state that the above information is correct. I agree to comply to al,l Coun'q,Ordinances and State Laws relating to building construction, and hereby authorize representatives of the Countyot Butte to enter upon the above-mentioned property fo'r inspection purposes. I also agree to save, indemnify ancWeeo harmless the County of Butte against all liabilities, judgments, costs, and `expens�5,which may in any way accrue against said County in consequence of the granting of this permit. ` r ;� X `'—���/-•r1a 1�J C = -~'ice. Date Sig'rbafure of A'pp`I`eant — OWner Contractor ❑ Agent An OSHA perrr�i'F 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 $ TOTAL PERMIT FEE $ / OCCUP. CONST.TYPE FLOOD PAR; I/ Po No 33u This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which DIRECTOR OF P CLIC By , '' PERMIT EXPIRES Date the applicable provi- resolutions to do fees have been paid. WORKS Date; I /1 /J � 2 Receipt No. ) rI i WHITE-D.P.W., YELLOW-ASSE330R. PINK -INSPECTOR. GOLDENROD -APPLICANT COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive-,Oroville, California,95965 - Telephone 916/534-4541 i APPLICATION AND PERMIT *ri 1 ASSESS R PAREL NUM . �� — ZONA G BUILDING PERMIT OWN_ T E HON SQ. FT. OCC. BUILDING VALUATION OWNS 'SILI G DRE S G ` tO CONT C OR'S NAME W TELEPHONE CON RACTOR'S MAILING ADDRESS Fireplace CONS TR CTION LENDER UNKNOWN Total Valuation is Flling Fee $ 10,00 LENDER'S MAILING ADDRESS Permit Fee $ ARCH r CT OR ENGINEER LICENSE No. Plan Checking Fee $ARCHITECT Energy Plan Checking Fee $ OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDIN /yDDRES V -+Permit 5 fee $ PLUMBING PERMIT Filing Fee 10.00 -tO Each Trap 2.00 t Solar or heat pump water heater 20.00 LOT NO SUBDIVISION NAME PARCEL MAP ' � Water piping 5.00 Each qas water heater or vent 5.00 USE OF STRUCTURE SF ❑ Duplex❑ Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home S W G O .00ea TYPE OF WORK New ❑ Addition F Remodel ❑ Lfq lities ❑ tal ion ❑ Other ❑ I Describework: ))� to Vs e` �� _ Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 600V OR LESS 100 AMP OR LESS 10.00 Main service EA. ADD'L 100 AMP 2.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): ElI am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in full force and effect. License No. Classification XI, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONST.DWELLING OCCUP.& '/z¢sgft OR ADDNS. ACC. BLDGS. NEW CONSTR. MULTI -OUTLET 2,50 ea NON-RESID BRANCH CIRC ITS POWER APPARATUS e SINGLE OUTLET CAR. / Ex. OCcu 20®50e Occup(OUTLETS OR FIXTURES aAL@30 FIXED APPLNS. OR Ex. Occup. OUTLETS (RESID.) EA.1 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 M'sc. lyiring 15.00 Pff Permit Fee J $ Contractor WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. ill I shall not employ any person in any manner so as to become subject K� to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. MECHANICAL PERMIT FiIingFee 10.00 Heating Cooling Hood 3.00 Ventilation Permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the Countyot Butte to enter upon the above-mentioned property for inspection purposes. 1 also agree to save, indemnify and keep harmless the County of Butte against all liabilipps, judgments, costs, and expenses which may in any way accrue ag inst d County in copse ce of t e ranting of this permit. .- �^ / X Date 4—+ Sig Ore p Dane — owner Contractor ❑ Agent ❑ An OSHA per 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 $ TOTAL PERMIT FEE $ , OCCUP. CONST.TYPC I I FLOODIPAV I PD I MD 1 17 This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which DIREC OF P c� By PERMIT EXPIRES Date the applicable provi- resolutions to do fees have been paid. IC WORKS Date Receipt No. �ri� WMITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR. GOLDENROD -APPLICANT COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS - BUILDING/DIV`ISION 4, 7 COUNTY CENTER DRIVEy'= ROVyILL ��CAkrl A,,ORNIA 95965 - TELEPHONE: 9' y/5341,4541 a PERMIT APPLICATION _DATA SHEET .. I _.4, 9 A r Permit No OWNER Proposed Building Use. Permit Fee Based Upon ✓ V V 4 ' Mjm Complete Contract Price A. P. No.. DPW Valuation Building Inspector [dLY/o1�tx.�l( Date r -3l (. -2i �� V� At time of permit application, I was advised the following data must be submitted prior to permit processing and./or issuance: DATE RECEIVED APPROVED 1. All items. have been submitted. . . . . . . . . . . 2.. Plot plans in duplicate/triplicate. . . . . . . . . . . 3. Complete plans in duplicate/triplicate. . . . . . . . . 4. Complete engineered plans and calcs. 5. Plans with Energy Design Compliance Statement. . . . . . 6. CUSD "Fees Paid'' Stamp on Floor Plan : 7 Statement of Intent for Non -Heated and AC Buildings. 8. Fees of $ . . . . . . . 9. Letter of signature authorization. . . . . . 10. Sanitation approval from Health Dept. 11. Planning approval for (A) Use: (B) Parking: 12. Certificate of Workmen's Compensation Insurance. . . . . . 13. Contractor's License Information (no., name style, classif.) 14. Owner -Builder Verification (Given to owner❑, Mail to owner ❑ ) 15. Improvements mayberequired. . . . . . . . . . . . .4a 1 Mobilehome Installation Dat fiq ,r . . . . 1 l 'J Y •Pre-Inspec. request to �'' (Date) Pre -Inspection for Required. Building Inspector 18. Recorde�Rc%x��jctISUr 1 Acknowledgment Statement . . . _ 19. Other R►►"4I �Gonstruction approval required prior to occupancy) When you issue the permit, process as follows: Mail to owner. Mail to contractor. Telephone and hold for ckup at office. Deliver w/inspector. Other /I Date 3 —3— Copy of plans sent Health Dept., Fire Dept., Other Date During the plan checking process, the following data must be submitted prior to permit issuance: (For required items not checked"above at time of application, circle item.) 1. Index permit for above Items No. 2. Additional items required: 1^y 4., (Contractor, Designer, Owner) was advised of above required data by By Plans checked by _ Plans approved by Other: r Copy—DPW ? Telephone Mail Date. Date . Date Other COUNTY OF BUTTE - Department of Public Works 7 County Center Drive,;,Oroville, CA 95965 Phone: 916-534-4541 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. r 1. I personally plan to provide the major labor and materials for construction of the proposed property improvement (yes or no) % p S. 2. I (have/have not) 0 signed an application for a building permit for the proposed work. 3. I have contr.acted 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 hired 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 work but I have contracted (hired) the following persons to provide the work indicated: Name Address Phone Type of Work Signed: Property Owner Social-Securityumber Date g 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. RESIDRN:TIAL 028-170-110 -- BOOTH, LARRY & CARLOTTA94-0819B,E ,§ OBERT DR., OROVILLE : ADD TO STG 4, JOB:TINALED (Dato) T Signature V=OK " O = Not OK • = NotNot Reeadyabla MOBILE HOMES Date/Initials MOBILE HOME UTILITIES (Plana) OK except #'a 1. Zoning Requirements-Setbacks-Easementa 2. Soils; Special MH Support Sketch 3. Sewer; Location -Teat -Fall -C/O Concrete 4. Water; Location -Test -Easement Needed (Sketch) 5. Electricity; Location-Clearences-Grnd-/ /Amp -Concrete 6. Gas; Location -Teat -Wrap: / /"L"ft. / /"Net. or/ P'L"ft./ /"LPG 7. Well Clearance & Disconnect 8. Utility Clearance a Date/Initials MOBILE HOME INSTALLATION (Plans) OK except #'s 1. Zoning Requirements -Setbacks Easements 2. Footings; Size -Spacing -Marriage Line 3.. Gas; MH Teat -Demand -Valve -Connector 4. Electricity; MH Test -Crossovers -Breakers -Clearances 5. Drain; MH Test -Fall -Flex Connector 6. Water; MH Test -Regulator -Connector 7. Water and Sewer Connected -C/O to Grade -HD Approval 8. Gas and Electricity Tagged 9. Exits; Insp.-Sketch 10. Cert. of Occupancy MISCELLANEOUS Date/Initial DECKS, COVERS, CARPORTS, GARAGES, (Plans)OK except #'a 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 S. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Carports; Windows -Doors 7. Electric 8. Frmg; Sils-Anchors-Studs-Rftm-Trusses 9. Siding; Nailing -Veneer -Stucco -Mesh 10. Roof; Shthg-Roofing 11. Ext.; Steps -Doors -Landings Date/Initials POOLS (Plana) OK except #'a 1. Setbacks -Easements 2. Soils; Compaction -Structure Stability 3. Pool Structure; Steel -Connections -Thickness Dead Men -Lining 4. Elec.; Receptacles and Lighting, Distances-GFI 5. Elec.; Pool Lighting; 15 volts-GFI 6. Elec.; Enclosures; Conduit Entries -Terminals -Listed 7. Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater 8. Elec.; Grounding; Equip. w/5' Circulating Equip. -Pool Lghtg. Boxes-Enclosures-Panelboards-Ins. to Mein in Conduit 9. Health Department Approval 10. Plumb.; Cir. Test -Water Supply Test V=OK O = Not OK - = Not Applicable = Not Ready RESIDENTIAL (Single & Duplex) Date/Initials UNDERFLOOR (Plans) OK except #'s 1. Zoning -Setbacks -Easements -Flood -Slope 2. Ftg., Mein; Soils-Elec. Grnd. / P' Fig. Depth 3. Ftg., Garage; Soils-Steel-Elec. Grnd.-/ /" Fig. Depth 4. Fig., 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 Teat 12. Electric; Underground 13. Plenums & Ducts; Clearance -Material -Support -Ina. 14. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples 15. Access & Ventilation 16. Insulation Date/Initials PLUMBING (Permit) OK except #'a 16. Water Htr.; Vent -Access -Combustion Air -Baffle 17. Water Pipe; Test & Anchor -Nail Protection 18. D.W.V.; Test -Fittings & Anchor -Nall Protection 19. Shower Pan; Test, First Floor -Tub Access 20. Test Tub & Shower, Second Floor -Tub Access 21. Gas Pipe; Size & Anchors Date/initials ELECTRICAL (Permit) OK except #'s 22. Fixture & Transformer Clearance -Ins. Protection 23. Elec. Receptacles Spacing -Lights & Switches at Doors 24. Size Boxes & No. of Conductors -Stapled 25. Romex Installed Close to Edge of Studs & C.J. 26. Equip. Ground made up w/Meth. Fastners-Bond Gas & Water 27. 2 Appliance Circuta in Kitchen & Conductor Size/GFI 28. Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / / ga. Cu or At 29. Range Circ. / / ga. Cu or AI -Oven Circ. / / ga. Cu or Al. Insulated Neutral O Yes O No 30. Service -Riser Conductors & Ground -Mein Disconnect 31. Equip. Clearances Panels -Motors -Mach. Equip. 32. Clothes Closet Light -Shower Light -Spa Light 33. Smoke Detector Date/Initials MECHANICAL Permit OK except #'s 34. A.C. Ducts Insulation & Support 35. Vent Fan; Exhaust above insulation 36. Condensate Drain & Overflow; Size & Grade 37. Furnance-Vent; Access -Comb. Air -Return Air Vent -115 outlet 38. Attic Access & Platform if Furnance in Attic Date/Initials FRAMING (Plans) OK except #'s 39. Sils, Proper Material & Anchors 40. Walls Studs -Nailing, Spacing & Bracing -Plates -Sound 41. Bearing Walls over Girders & Floor Nailing 42. Draft Stop in Wells (rat proof) 43. Fire Stops; Furred Ceilings -Stairs -Chases -Tub 44. Headers & Beam -Size & Bearing Date/Initials FRAMING (Continued) 45. Hangers -Post Caps -Anchors -Connectors 46. Ong. Joist-Rftr. ties-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. Baffles 49. Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions 50. Garage Fire Protection Framing 51. Property Line Firewall & Openings 52. Ext. Doors -One 3' -Check Garage -3rd Story, 2 Exits 53. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 54. plywood on Roof Overhang -Attic Vents -Rafter Outriggers 55. Siding -Nailing Veneer 56. Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access 57. Glazing Area -Glass Protection -Skylights -Plastic 58. Shear Walls; Nailing -Bolts 59. Insulation -Walls -Ceilings 60. Infiltration -Wells -Windows Date/Initials FINAL (Plans) OK except #'a 61. Ext. Steps -Door & Sidelight Protection -Landings 62. Smoke Detector 63. Furnace; Vents -Clearance -Comb. Air -Connector - In Garage; Above Floor -Ducts -Meth. Protection 64. Bedroom Exiting 65. G.F.I. & Bath Fixtures & Tub Access -Spa 66. • Elec. Trim & Subpanel; Breaker Sizes & Labels 67. Stairs & Rails 68. Fireplace or Stove; Clearances -Hearth 69. Elec. Outlets at Wood Panel; Int. & Ext. 70. Kit.Fixt. & Appliance; Grnd: Air Gap -Cooking Clearance 71. Elec. Outlets & Receptacles at Kit. Counter 72. Garage Fire Door; Swing -Landing -Closer 73. A.C. Duct in Garage -Damper 74. Wtr. Htr.; Vents -Clearance -Comb. Air-Connector-P.R.V. In Garage; Above Floor -Mach. Protection 75. Plb., Elec. & Mech. Equip. Listed for Location 76. Elec. Receptacles in Garage; (G.F.I.)-Romex Protection 77. Insulation -Foam -Looked in Attic O Yea 78. Guard Rails & Deck Construction -Post Caps 79. Fdn. Vents & Crawl Hole Door-Dreina e & Wood -Earth Clearance Looked under Floor Yes 80. Following instld.; Drive O Yes O No; Walks O Yes O No; Planters O Yes O No 81. Stucco; Brown -Finish 82. A.C. Unit; Disconnect, Electrical, Plumbing 83. Vents Above Roof; Plbg: Appliance -Fireplace. -Clearance to Openings 84. Water Well; Disconnect, Electrical, Plumbing 85. Exterior Elec. Trim; G.F.I. Receptacle -Underground 86. Ventilation Throughout House 87. Glass Protection 88. Corrections from Previous Inspections 89. Gas Test -Meters Tagged; Gas -Electric 90. Water & Sewer Connected -C/O to Grade -HD Approval 91. Energy Compliance Certificate -Other Certificates Comments at Final: COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive - Oroville, California 95965 - Telephone (916) 538-7541 APPLICATION AND PERMIT e� _ (�a�iT NO. ASSESSDZITM-110 ZONING ' BUILDING PERMIT OWNER y"y y CAR �ABOM TELEPHONE 'k SO, FT, OCC. BUILDING VALUATION �7(� (� OWNER'i WN D rS'13 •i, BAngors CA 75714 77 O CONTRACTOR'S NAME Chmer TELEPHONE CONTRACTOR'S MAILING ADDRESS - Fireplace CONSTRaSON LENDER ne UNKNOWN Total Valuation $ 1,800 LENDER'S MAILING ADDRESS Filing Fee $ 20.00 Permit Fee $ 41.00 ARCHITFWTOOA ENGINEER (Y LICENSE NO. Plan Checking Fee $ 26.65 Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILD'N1%DR.VE� _ rt Drive , OroVille � PERMIT FEE $ 87.65 PLUMBING PERMIT Filing Fee 20.00 Each Trap `1 7.00 Solar or heat pump water heater 23.00 Water piping 15,00 LOT NO. SUBDIVISION'SNAME PARCEL MAP Each gas water heater or vent 15.00 USE OF STRUCTURE SF ❑ Duplex ❑ Mobilehome ❑ Other Storage SPECIFY Gas piping system 1 - 5 outlets 15:00 Building sewer 15.00 Mobile Home S G I W @20.00 TYPE OF WORK New ❑ Addition ❑VAemodel ❑ Utilities ❑ Installation CIOther ❑ i I Describe Work:! PERMIT FEE $ Contractor ELECTRICAL PERMIT Filing Fee 20.00 Main Service BOOV OR LESS ( 200A OR LESS ) 23.00 Main Service ( 200A TO 1000A ) 46.00 NEW OCC Up' OR ADDNS.T ( D LLIN&EACCGBLDS. ) 3.50 RT. 7.00 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one) ❑ I am a licensed underrovisions of Chapter 9, Division 3 of the Business and P P Professions Code and my license is in full force and effect. Ice No. Classification I, as tthe he owner, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. (Sec 7044) ❑ I, as the owner, am exclusively contracting with licensed contractors. (Sec 7044) ❑ I am exempt under Sec. Business and Professions Code forthis reason NEW CONST. MULTI -OUTLET •NON-RESID. ( BRANCH CIRCUITS ) @7.50 ( POWERAPPARATUS ) & SINGLE OUTLET CIR. Ex. Occup. ( OUTLET OR FIXTURES ) 20 @ 1.00 BAL. .50 Ex. Occup. (OFIXED APPWS. OR UTLETS IRESID.1 EA. ) 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 WORKER'S COMPENSATION INSURANCE 1 declare under penalty of perjury (check one): ❑ This permit is for $100.00 (valuation) or less. ❑ 1 have placed on file with the County of Butte Dept. of Development Services, Building Division a Certificate of Workmen's Compensation Insurance or a ;1Certificate of Consent to Self -insure. k < shall not employ any person in any manner so as to become subject to the Worker's Compensation laws of California. Notice to Applicant: If after making this statement, should you become subject to the Worker's Compensation provisions of the Labor Code, you must forthwith comply with such provisions or this permit will be revoked. PERMIT FEE $ 27.00 Contractor MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all Butte County Ordinances and California State Laws relating to building construction, and hereby authorize representatives of the County of Butte to enter upon the above mentioned property for inspection purposes. 1 als�d'agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, -costs, and expe�lses wh ch may in any way accrue against said CoGnty in consPgt;ence of.the�gr,ting of thispermit. X (f// ( f ,, t )�- `,(`"" Date Signature of Applicant - ❑ 5; ❑ Contractor ❑ Agent—3/" Jr er An OSHA permit is required for excavations over 5"0" deep and demolition or construction of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ ocC CONST. TYPE TOTAL FEE $ 114.65 HAZ- D.`FEES IMP •`"' FIOOD ""' CDF �� PARCEL PD "„� HD,'IssuE This permit is hereby issued under the applicable provisions of the Butte County Code and/or Resolutions to do work indicated above for ,which fees have been paid. By Date PERMIT EXPIRES ON r (Da rel 15 6602 Receipt No. WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT wrrAK 1 mcim 1 ur YCvccvrmom i 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965-3397 TELEPHONE: (916) 538.7541 FAX: (916) 538-2140 KARRY & CARLOTTA BOOTH 2/5/96 P.O. BOX 354 BANGOR, CA 95914 RE: Building Permit # 94-0819 Expiration Date: 3/31/96 A . P . # 028-170-110 With reference to the above subject, our records indicate that your building permit` expires on the above ;date and your permit falls into the category marked below: [ ] Permit work started, but not completed. Permit may be renewed for 1/2 the original building permit fee (plus a $20.00 filing fee). The renewal permit will extend the building permit for an additional year from the original expiration date. Should you not renew your permit within 30 days of the expiration date, all work must cease until a new building permit has^been issued. For your convenience, we are enclosing a renewal application form and owner -builder form to be completed and signed by you where indicated and returned to this office together with the fee shown. Please return all copies of the application form. [XA No inspections have been made on permit work. Inspections are required to verify code compliance. We are unable to renew a permit where the work has not been started and inspected prior to permit expiration. After expiration of your permit, no work may be started until a new permit has been issued. If our records are in error or should you have any questions concerning this matter, please contact the OROVILLE of f ice. Thank you for your prompt attention concerning this matter. Yours very truly, Michlael C.1 Vieira, C.B.O. MCV:ahb Manager, Building Inspection Attachments Chico Office -'1469 Humboldt Rd/891-2751 Paradise Office - 747 Elliott Rd/872-6307 VA V%if TM: X) 'J", > v VA u pp�� cp (( fi■rr PVR. 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