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HomeMy WebLinkAbout028-310-010A.P. 28-31-10. [RICHARD GILKEY 500' off N1W side of LaPorte Rd. 6/10 mi. E. of Upham Rd.,Bangor Permit 1413-74B (remodellg=i:�2�1& -9--3'� 10 ��g 1 31-10 AP 2, 3 �p P:ermit# 1-419-�75B(lssst REEE�WAAL)y� r28-311-lio 292-9­E- LEWIS, Fred 36 KimmieLn, Bangor '(elec ser-v/sf ' 28'-ill"JC)r� 2618-91B LEWIS,- Fred 36 Ki'mmle Ln, Bangor detach�d arage.) 128-31-10 _;V12-�t9lB,P,E� LEWIS, Fred 36.Kimmi6 L., Bafigor (additio " ) no, ra �.RESIDENTIAL 28-31-10 2618-91B LEWIS, Fred 36 Kimmie Ln, Bangor (detaChed garage) JOB FINALE Signature 2 - 4=OK 0 Not OK Not Applicable Not Ready MOBILE HOMES Date MOBILE HOME UTILITIES (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements Card B-1 2. Soils; Special MH Support Sketch Card B-1 3. Sewer; Location -Test -Fall -C/O Concrete, Card B-1 4. Water; Location -Test -Easement Needed (Sketch) Card B-1 15. Electricity: Location-Clearences-Grnd-/ /Amp -Concrete 6. Gas; Location - Test-Wra p: I /"L"ft. / /-Nat. or/ P'L"ft./ P'L�G 7. Well Clearance & Disconnect 8. Utility Clearance Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date MOBILE HOME INSTALLATION (Plans) OK except N's 1. Zoning, Requirements-Setba6ks Easer6ents 2. Footings; Size -Spacing -Marriage Line 3. Gas; MH Test -Demand -Valve -Connector 4. Electricity; MH Test-Crossovers-Break6rs-Clearances 5. Drain; MH Test -Fall -Flex Connector 6. Water; MH Test -Regulator -Connector 7. Water and Sewer Connected -C/O to Grade -HD Approval 8. Gas and Electricity Tagged 9. Exits; Insp.-Sketch 10. Cert. of Occupancy Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 I MISCELLANEOUS-.,, Date S, COVERS, CARPORT( GARAGES,)Plans)OK except It's 444. Zoning Requirements-Setba�cks-Easements 4"" �' Footings; Soils-Size-Depth-Spacing-Connectors-SteeI 3. Decks; Griders and/or Joists -Decking -Bracing -Stairs -Rails 4. Wood Awn.; Posts- Bea ms- Rft rs.-Con nec to rs Shthg.-Rfg.-Bracing 5. Alum. Awn.; Columns-Connections-Splice-Decal-Enclos ures 6. Carports; Windows -Doors 7. Electric 8. Frmg; Si Is-Anc h ors -St u ds- Rftrs- Trusses 9. Siding: Nailing -Veneer -Stucco -Mesh 10. Roof; Shthg-Roofing 11. Ext.; Steps- Doors-Landi ngs L at t2e jak B -1V5 -r *,_;.9dte Card B-1 Da e Card B-1 Date Card B-1 OLS (Plans) OK except #'s - 1. Setbac ks- Ease men Is 2.'Soifs; Compaction -Structure Stability 3. Pobl Structure; Steel -,Connections -Thickness Dead Men -Lining 4. Elec.; Receptacles and Lighting, Distances-GF1. 5. Elec.; Pool Lighting; 15 volts-GFI 6. Elec.; Enclosures; Conduit En tries -Term i na Is- Listed 7. Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater 8. Elec.; Grounding; Equip. w/5' Circulating Equip. -Pool Lghtg. Boxes -Enclosures -Panel boa rds- Ins. to Main in Conduit 9. Health Department Approval 10. Plumb.; Cir. Test -Water Supply Test Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 V OK 0 Not OK Not Applicable Not Ready RESIDENTIAL Date LICERFLOOR (Plans) OK except #'s 1. Zoning-Setbacks-Easernents-Flood-Slope 2. Ftg., Main; Soils-Elec. Grnd.-/ /" Ftg. Depth 3. Ftg., Garage; Soils-Steel-Elec. Grnd.-/ /" Ftg. Depth 4. Ftg., Porches & Decks; Soils -Steel-/ /Ftg. Depth 5. Sternwalls, Main; Steel-Blockouts-Wrapped 6. Sternwalls, Garage; Steel- Bloc kouts-Wrapped 6a. Hold Downs and Special Anchors 7. Stab; Steel -Wrapped 8. Piers -Fireplace Ftg.-Steel -9. D.W.V.; Fall -Fitting -Test -2 Way C/0 -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- Materia I -Support- Ins. 14. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples 15. Access & Ventilation 16. Insulation Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date PLUMBING (Permit),OK except P's 6, Water Htr.: Vent -Access -Combustion Air-,Baff;e - --- - ------------ 17. Water Pipe: Test & Anchor -Nail Protection 18. D.W.V.: Test -Fittings & Anchor -Nail Protection -- -------------- 19. Shower Pan: Test. First Floor -Tub Access 20. Test -Tub & Shower' -Second Floor -Tub Access - -------- 21. Gas Pipe: Size & Anchors Date Card B71 Date Card B-1 - - ---------- - -------- - ---- Date Card B-1 Date Card B-1 Date ELECTRICAL (Permit) OK except ft's 22. Fixture & Transformer Clearance -Ins. Protection - --- - ------- - --- - - - - - - ------- - ---------- - ------------------- ------- _____23._E_Iec. Receptacles Spacing -Lights & Switches at Doors ------------- 24. Size Boxes & No. of Cond ucto rs-Sta pled ------- ------------------------- ----------------- 25. Romex Installed Close to Edge of Studs & C.J. -- - ---------- -- ----------------- 26. Equip. Ground made up w/Mech. Fastners-Bond Gas & Water - -------------------- - --------------------------------- -------------------- 27. 2 Appliance Circuts in Kitchen & Conductor Size/GFI ---- - ------------------------------ - ----------------------- 28. Subfeed Wire Size ga. Cu or At-A.C. Wire Size ga. Cu or Al --------------- ------ ------------------------------- -------------------------- ----- 29. Range Circ. / / ga. Cu or Al -Oven Circ. / / ga. Cu or Al. Insulated Neutral 0 Yes C1 No -------------- - ---------------------------------- - -------- - ------------- I -------- 30. Service -Riser Conductors & Ground -Main Disconnect ------------- ------------------------------- 31. Equip. Clearances Panel s- Motors-Mec h. Equip. -------------- - - -------- - -------- 32. Clothes Closet Light -Shower Light -Spa Light --------------------- ------------- 33. Smoke Detector ------------- ------------------------------------------------------------ -- - ----------------------------------- ------- - - -------------------------------- Date Card B-1 Date Card B-1 ---------------------------------------------------- Date Card B-1 Date Card B-1 Date MECHANICAL (Permit) OK except #'s -------------- 34. -.A. -C.- Ducts Insulation -&-Sup-port ---------------------------------- 35. Vent Fan: Exhaust above insulation ------------------------------------------ - ----- - --------------------- ---------- 36. Condensate Drain & Overflow: Size & Grade ------------------ I ----------------------------------------------------- ------------- 37. Furnance-Vent: Access -Comb. Air -Return Air Vent -1 15 outlet ---------------------------------------------- - --------------------------- 38 Attic Access & Platform if Furnance in Attic ----------- I ----------------------------------------------------------------- --------------------------------- - -- - --- --- -------------------------- ----- -------- - Date ---- - -------- Card -B-1 -------------- Date-_ --------- --Card B-1 ------------- Date Card B-1 Date Card B-1 Date FRAMING (Plans) OK except h's 39. Sils. Proper Material & Anchors ------- --------------------------------------------- 40. Walls Studs -Nailing. Spacing & Bracing -Plates -Sound ------------- ­ .1 -------------------------------------------------------- 41. Bearing Walls over Girders & Floor Nailing ---------- .1 ----------------------------- ---------------------------- -------- I—. 42.--Draft-Stop-in- Walls (rat proof) ---------- - ----------------------- -------------- 43.. F -ire -Stops: Furred Ceilings -Stairs -Chases -Tub - - ------- - ----- 44, Headers & Beam -Size & Bearing 'Ingle & Duplex) Date FRAMING (Continued) Hangers -Post Caps-Anch(�C�-Connec`tors 46. Clng. 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 T -Check Garage -3rd Story, 2 Exits 53. Stairs: Width -Head room -Rise-Run-Landing-Fi re 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.- 1 nfilt rat ion -Walls -Windows Date Card B-1 Date Card B-1 -------------- Date Card B-1 Date Card B-1 Date FINAL (Plans) OK except #'s 61.- Ext. Steps -Door & Sidelight Protect ion -Land ings --------------- 62.- Smoke Detector 63. Furnace: Vents -Clearance -Comb. Air -Connector - In Garage: Above Floor- Ducts-Mech. Protection 64. Bedroom Exiting --------------- 6 5.- -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-Mech. Protection 75. Plb.. Elec. & Mech. Equip. Listed for Location -- -------- ------------------------ 76. Elec. Receptacles in Garage: (G.F.I.)-Rornex Protection ------------- 7;. 1 nsu lation- Foam- Looked in Attic 0 Yes ---------------------------------- ----------- ------------ 78. -Guard -Rails & Dec k -Const ruct ion -Post Caps 79. Fdn. Vents & Crawl Hole Door -Drainage & Wood -Earth Clearance Looked under Floor Yes ---------------------------------------- 80. Following instld.: Drive 13 Yes 0 No: Walks 0 Yes C1 No: Planters 0 Yes 0 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 ------ --------------- I --------- 89. Gas Test -Meters Tagged; Gas -Electric ----------------------------------- 90. Water & Sewer Connected -C/0 to Grade -HD Approval ------------- .. - ----------- -.---.--..--.-91.-E-nergy-Comp-liance-Certificate-Other Certificates ------------------------------------------ Date Card B-1 Date Card B-1 ------------------------ -Date -------------- Card -B-1 ----------- -Date - Card B-1 Date Card B-1 Date Card B-1 Comments at Final: COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 196 Memorial Way, Chico — Phone: 891-2751 7 County Center Drive, Orovi Ile — Phone: 538-7541 747 Elliott Road, Paradise — Phone: 872-6307 CORRECTION NOTICE ER ERMIT NO. A routine inspection indicates that the following violations of County Ordinance exist at the above address and should be corrected. Please notify this office when correction of work is completed. If you have any question pertaining to this matter, or need additional explanati n, please contact this office immediately. Date lnspector/-�� COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PTERMIT NO. 7 County Center Drive - Orovi I le, CiiilKornia 95965 - Telephone: 916/538-7541 APPLICATION AM PSRMIT ASSESSOR PARCEL NUMBER 028-310-010 ZONING A5 BUILDING PERMlk__—) OWNER FRED LEWIS TELEPHONE 675-2038 SQ.FT. OCC. BUILDING VALUATION 480 M 8640 OWNER - S MAILING ADDRESS P.O. BOX 702, BROWNSVILLE, CA 95919 CONTRACTOR'S NAME OWNER TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER NONE OWN Total Valuation Is Filing Fee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee $ 74.50 ARCHITECT OR ENGINEER NONE LICENSE NO. Plan Checking Fee $ 37.25 Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS 36 KIMMIE LN, BANGOR Permit fee $ 121.75 PLUMBING PERMIT FilingFee 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[:] DuplexF_J MobilehomeF� Other DET GARAGE SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home IS FG WT 0.00ea TYPE OF WORK New 1XI Addition [:] Remode I [:] UtilitiesE:l InstallationEl Other E] Describe work: Permit Fee $ Contractor ELECTRICAL PERMIT FilingFee 10.00 6101 OR LESS main service 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): El 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) 1, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) I am exempt under Sec.-, Business and Professions Code for this reason NEW CONST DWELLING OCCUP.&) OR ADDNS.* ( ACC. BLDGS. 21/20sq ft NEW CONSTR. 14ULTI-OUTLET NO .RES'.. BRANCH C'RCU, TsL_ 2.50 ea tPOWER APPARATUS & %SINGLE OUTLET CIR. Ex. Occup(OUTLETS OR FIXTURES 20050c 5AL9 300 FIXED APPLNS. OR I Ex. Occup. OUTLETS (RESID.) EA.1 _ 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 Permit Fee $ WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): The permit is for $100-00 (valuation) or less. I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. FV I shall not employ any person in any manner so as to become subject Notlito the W. C. laws of California. cto Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed.revoked. Contractor MECHANICAL PERMIT Filing Fee 10.00 Heating Cooling Hood 3.00 Venti lation F 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 ot Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify a ep harmless the County of Butte against Ell Ii bili ies, judgments, cost , and expenses which may 'in any wa accrue agai t said COLIPY n n q ence the granting of this per yft. 11 " r ­�/Date 7? �ignature of Applicant Cew_Zer� Contractor El Agent An OSHA permit is requir d fo r exc ov tions over 5'0" deep and demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ OCC CONST TYPE TOTAL FEE $ 121.75 Z. I CUA- I PARK SCHL I FL"F I PAR I PD 11 37 UE Fs _s This permit is hereby issued unaer tne applicable provi- sions of the Butte County -Code and/or resolutions to do work indicatV7above for �,tl;Iich fees have been paid. BLIC WORKS By PERMIT EXPIRES Date Receipt No. 96873 WHITE-O.P.W.. YELLOW -ASSESSOR, PINK -INSPECTOR. GOLDENROD-APPL I CANT COUNTY OF BUTTE - DEPARTMENT LIC WORKS - BUILDING DIVISION JQF PU 7 COUNTY CENTER DRIVE - OROAVILLEJ CALIFORNIA V965 - TELEPHONE: 916/538-7541 1 1 1 *1 rt- 0 �, _e , PERMIT APPLICATION'DATA SHEET Permit No. - OWNER Fred Levi k- e-, e2 /o - S A. P. No. -C 0 Proposed Building Use DkAdItTY A�rW-e_ Building Inspector Date 7-2 9 At time of permit application, I was advised the following data must be submitted prior to permit processing and/or issuance':' DATE RECEIVED APPROVED 1 . All items have been submitted . ........................... 2. Plot plans in duplicate/triplicate, signed by preparer of plans ........ 3. Complete plans in duplicate/triplicate, signed by preparer of plans 4. Complete engineered plans and calcs, with wet signature on plans 5. Hazardous Material Form .......................................... 6. Energy Design Compliance and supporting documentation ......... 7. Statement of Intent for Non -Heated and AC Buildings .............. 8. Engineered truss details and layout in duplicate (required prior to p*lan check) 9. Mobilehome installation data including manufacturer's installation instructions....................................................... 10. Fees of $ ........................ 11. Chico Urban Area fees paid ....................................... 12. Park fees paid .................................................... . .......... 13. - School, istrict fees paid .............. 14. Sanitation approval from - croy i Re- Health Department 15. City of Chico plumbing permit ..................................... 16. Plot plan and business license approval from City of (see City for other requirements) 17. Planning approval for (A) yse:-(B) Parking: . ...... 18. Improvements may be required. Contact Land Development Section DPW 19. Driveway permit (construction approval required prior to occupancy) 20. Pre -inspection for required ... Pre-Inspec. request to Building Inspector (Date) 21. Contractor's license information (No., Name Style, Classification) ... 22. Certificate of Workmans Compensation Insurance .................. 23. Owner -Builder Verification (Given to owner 0, Mail to owner 0) ..... 24. Recorded copy of Agricultural Acknowledgment Statement ......... 25. Letter of signature authorization ................................... -26. 27. When y u issue the permit, process as follows: Mail to owner, __c�il to contractor. _!_a =Telephone _671'�� 0.3 and hold for pickup at off ice. DeNiver w/inspector. __T Other ApplicaA.�!, e _eeF� Copy of Hlaz-Mat form sent -Health Dept. -Fire Dept. -___j =Air Pollution Date- Copyofplanssent _L___Hea1thDept. -FireDept. -Other- Dite- By - T ' he following data must be submitted prior to permit'iss.uance: (Circle new.�46'm not checked above). 1. Index permit for above items No. 2. Additional items required: Contractor, designer, owner, was advised I above required data by -phone---mai I -counter by -.date Contractor, designer, owner, was advise of above required data by-phone-mail-coVinter by- date Tas checked by-- ate Plans approved by Datee Sets of plans on hold in7�bile cabinet _AP folder Copy -DPW TO Buildinc Department FROM: Environmental Health SUBJECT: Sanitation Clearance --- PI Location AP# owner 8 A",� 6"1— Sewace Disposal cl-� Plan Approved for: Hold final for: 7inal clearance O.K. for: clearance ggX. montte—nome NOTS * * Water Supply 0 Water Supply Water supply other 61�� Dat Sanitarian COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT NO. 7 County Center Drive - Orovll.le�, California 95965 - Telephone: 916/538-7541 APPLIOTION AND KNIT ASSESSOR PARCEL NUMBER 98 -31-1-0 ZONING AS BUILDING PERMIT OWNER ,ed L TELEPHONE 6Z51 SO. FT. OCC. BUILDING VALUATION L4 0 OWNF—R-SMAILI G ADDRESS _ I ;90y, 202 8raJJ25U'IJ(,P_ C4 q591q P0 CONTRACIvR-. -m TELEPHONE rm ) V., elk--- I CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENOER r) 0 P1 19— UNKNOWN 1 Tot on is Filing Fee $ 10.00 — LENDER'S MAILING ADDRESS Permit Fee $ 7 Lt. S'O ARCHITECT OR ENZ�EER OVN LICENSE NO. I Plan Checking Fee Energy Plan Checking Fee _L_3ZZ5- $ — ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDI R SS Ra in C, 0 1,-- CcL % Permit fee $ /2/ 75– PLUMBING PERMIT - FilingFee 10.00 Each Trap 2.00 Solar or heat pump water heater 20-00 LOT NO. SUBDIVISION NAME 1 PARCEL MAP 1 Water piping 5.00 Each qas water heater or vent 5.00 USE OF STRUCT,,UR� SFFI DuplexR MobilehomeF� Other 64 SPECI FY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home S I G I W �0.00 ea TYPE OF WORK Ne Addition 0 RemodeiEl I'llities InhtallationO Other Describe work: Mom= 1 1 Permit Fee $ Contractor ELECTRICAL PERMIT FilingFee 10.00 Main service 6001 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): El 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. F1 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) El I, as the owner, am exclusively contracting with licensed cunnaut- ors. (Sec. 7044) 1 am exempt under Sec.—, Business and Professions Code for this reason NEW CONST. DWELLING OCCUP.8!) OR ADONS. ( ACC.BLDGS. 21/20sq ft NE W CONSTR' "'ULT' -OUTLET BRANCH CIRCUITS 2.50 ea _NON-.ESID, POWER APPARATUS.&) SSNGLE OUTLET CIR Ex. Occup(OUTLETS OR FIXTURES 1.20 @ 50c ALO 30t OCCUP. FIXED APPLNS OR x. OUTLETS (RESI*O.) EA.) 2.00 _E — Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 Permit Fee $ WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): The permit is for $100.00 (valuation) or less. I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. 0 1 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. Contractor MECHANICAL PERMIT FilingFee 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 Countycit Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue against said County in consequence of the granting of this permit. X Date Signature of Applicant — Owner El ControctorEl Agentr� An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of S tructures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ occ C NST TYPE TOTAL FEE $ H Z CUA PARW_J_S_C­H­L7FL0 I CDF PAR PD .40. ISSUE T.hl;s permit is hereby issued uncer sions oi the Butte County. Code and/or work indicated above for which fees DIRECTOR OF PUBLIC By PERMIT EXPIRES Date tne applicable provi- resolutions to do have been paid. WORKS Date F Receipt No. 7 (!7 73 A/?-/ WHITE-D.F.W.. YELLOW- AS GC3 SOR, PINK -INSPECTOR. GOLDENROD-APPLI CANT COUNTY OF BUTTE Depart - ment:�of Public Works 'ille, -538-7541 7 County Center Drive, Orov , CA 95965 Phone: 916 OWNER -BUILDER VERIFICATION Attention Property Owner: v 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. I personally plan to,provide the major labor and materia s for construction of the proposed propert improvement (yes or no) 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 �rovide the proposed construction: Name Address City Phone Contractors License No. 4. 1 plan.to provide p6rtions 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. 1 will provide some of the work but I have contracted (h ired) the following persons to provide �he work indicated: .Name Address . Phone Type of Work Signed: Property Owner Social Sec Date P77A'q1 v. 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. A 2 28-31-1 ------ - 8- 31- 0 292-91E L IS EWIS, Fred im 1 L 36 Kimml�e Lnj,�,Banpr ( I c (elec serv/sf) 1-2 or -r -ICE COPY pddress� .............................. GAS Meter BY 1�lc Daw ELECTV Meter BY tw COUNTY OF BUTTE - DEPAR ' TMENT OF PUBLIC WORKS PERMIT NO. 7 County Center Drive - Oroville,palifornia 95965 - Telephone: 916/538-7541 9e- q/ APPLICATIONAD PERMIT A 1tf161 �CEL NUMBER _�161010 ZONIN A5 BUILDING PERMIT 0 Wf4�E R ed Lewis SO. FT. OCC. BUILDING VALUATION OW§ER'S MAILINJ��XDD�blj tar Rt. It Brownsville, CA 95919 CO&;ACTOR'S NAME er TELEPHONE f CONTRACTOR'S MAILING ADDRESS Fireplace COgSTRUCTION LENDER one KNOWN Total Valuation $ Filing Fee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER SE 140. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS 36 Kimmie Lane, Bangor Permit fee $ PLUMBING PERMIT FilingFee 10.00 Each Trap 2.00 Solar or heat pump water heater 20-00 LOT NO. SUBDIVISION NAME 1 PARCEL MAP 1 Water piping 5.00 Each qas water heater or vent 5.00 USE OF STRUCTURE SF [jdK Duplex[] MobilehomeF-1 Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home S I G 10-00ea TYPE OF WORK New F� Addition[] Remode[F] Utilitieslg InstallationEl Othero Describe work: elec. box upgrade, 60A to 100A Permit Fee $ Contractor ELECTRICAL PERMIT FilingFee 10.00 Main service 1111 OR LESS 100 AMP OR LESS 10.00 10.00 Main service EA. ADD'L 100 AMP 2.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): F 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 rV 1, as the owner, or my employees with wages as their sole compen- VV sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) El I, as the owner, am exclusively contracting with licensed L;UIILIa(;L- ors. (Sec. 7044) I am exempt under Sec.—, Business and Professions Code for this reason NEW CONST. DWELLING OCCUP.&) OR ADONS. (ACC.BLDGS. 21/20sq it NEW CONSTR. AULT'_OUTLET 14 N.RES', BRANCH CIRCIJITS) — 2.50 ea (POWER APPARATUS.&) SINGLE OUTLET CIR Ex. Occup(OUTLETS OR FIXTURES 20@50t I. AL& 30C FIXED APPLNS. OR I - Ex. Occup. OUTLETS (RESID.) EAJ 2.00 Temporary service 10.00 Mobile Home Facilities 15-00 Misc. Wiring 15.00 pre—inspection 15.00 Permit Fee $ 35.00 Contractor WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): FV The permit is for $100.00 (valuation) or less. LAJ 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. F� 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 Fi I ing 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 ot Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and aep harmless the County of Butte against all liabylities, judgments, costs, n e;,��.enses which may in accrue agai;;t,said C;ou�n , ke oVhe granting of this per py wyy y In c sequei Mr - X - U 5! �Vz ) — r" ' /f/ I X &t=kV /Dat Signature of Applicant - -ner Contractor E] Agent E:1 ,_ f - A . An OSHA permit is requir.Ar excavations over 5'0" deep and demolition or construct- ion a structures over 3 st �ies in height. Mobile Home Installation Fee $ Energy Inspection Fee occ — 1 ONST TYPE TOTAL FEE $ 35. 00 HAZ CUA I PARK I SCHL I FL D PAR PD HD I ISSU T h;,,; permit is riereby issued under the applicable rfovi- si�ns oi the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. D�RECTOR OF PUBLIC WORKS 4 Jz(�,, I ! lcz,,k) / I/ i-// By ZI D te / Z I f 77 PERMIT EXPIREE ADite I (Z 7SM4035--ip35. 00 Receipt No. WHITE-O.P.W.. YELLOW -ASSESSOR. PINK -INSPECTOR, GOLDENROD-APPL I CANT COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 196 Memorial Way, Chico — Phone: 891-2751 7 County Center Drive. Orovi Ile — Phone: 538-7541 747 Elliott Road, Paradise — Phone: 872-6307 CORRECTION NOTICE I i '�Jgk) VNLH PERMIT A routine inspection indicates that the following violations 6f County Ordinance exist at the above address and should be corrected. Pleas�e notify this office when correction of work is completed. If you have any question pertaining to this matter, or need additional explanation, please contact this office immediately. Ilk — I/ I Date lns�ector COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 - Telephone: 916/538-7541 APPLICAf ION 9ND PERMIT PERMIT NO. ASSESSOR PARCEL NUMBER 028-310-010 ZONING A5 BUILDING PERMIT" OWNER Fred Lewis TELEPHONE 675-2038 SQ.FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS Star Rt. Box 702, Brownsville, CA 95919 CONTRACTOR'S NAME Owner ELEPHONE CONTRACTOR'S MAILING ADDRESS _1�7�WN Fireplace CONSTRUCTION LENDER None 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 ADDRESS 36 Kimmie Lane, Bangor Permit fee $ PLUMBING PERMIT FilingFee 10.00 Each Trap 2.00 Solar or heat pump water heater 20-00 LOT NO. SUBDIVISION NAME 1 . PARCEL MAR I Water piping 5.00 Each qas water heater or vent 5.00 USE OF STRUCTURE SF a. Duplex[-] Mobilehomef-I Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home S I G I W [10-00 ea TYPE OF WORK New n Addition [I Remodel[] UtilitiesXX Installation[] Other Describe work: elec. box upgrade, 60A to 100A I Permit Fee $ Contractor ELECTRICAL PERMIT FilingFee 10.00 Main service 600V OR LESS 100 AMP OR LESS 10.00 10.00 Main service EA, ADO -L 100 AMP 2.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in full force and effect. License No. Classification 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) F] I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) F] I am exempt under Sec.-, Business and Professions Code for this reason NEW CONST. DWELLING O.CCUP.&) OR ADDNS. ACC.BLOGS VzOsq ft NEW CONSTRL MULTI -OUTLET ON.R,7S BRANCH C _N �,RCLI' TS) 2.50 ea (POWER APPARATUS &) SINGLE OUTLET CIR. Ex. Occup(OUTLETS OR FIXTURES 120 @ 50c . AL@30C FIXED APPLNS. OR Ex. Occup. OUTLETS (RESID.) EA.) 1 2.00 Temporary service 1 10.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 pre -inspection 15.00 Permit Fee $ 35.00 WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): FV The permit is for $100.00 (valuation) or less. LAJ 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 to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. Contractor MECHANICAL PERMIT Fi I ing Fee 10.00 Heating Cooling Hood 3.00 Venti lation J 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 a t . d eep harmless the County of Butte against ."e o s�at vt e nand, g�en emni y an .i, Id 'fy (c all liab es nts, costs, nd e��penses which ay In apy w." accru against aid 6oun y.'n c e of e granting of th, se�e ce of m s per". X 7 Date SigX.r. of Applicant W'-' rA C ntractor El Age An OSHA permit is requ r ::cOvations over 5'0" deep and demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST TYPE TOTAL FEE $ 35.00 HAZ � CUA PARK I SCHL I FLD PAR PD HD ISSUE I Th;s permit is nereby issued under tne applicable provi- si��s oi the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. IC WORKS nntp '-e-11 Z/C?/ By W111;,= P-7 I If I--- PERMIT EXPIRES �-bate Receipt No. 83285-$35.00 WHITE-O.P.W.. YELLOW -ASSESSOR. PINK -INSPECTOR, GOLDEN ROD-APPL I CANT COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT NO. 7 County Center Drive - Oroville, California 9065 - Telephone: 916/538-7541 APPLICATION AD PERMIT ASSESSOR PARCEL NUMBER /0 ZONING,� BUILDING PERMIT OWNER #_� 2f -,J/"5 1 TELEPHONE 3ir SQ.FT. OCC. BUILDING VALUATION 4 OWNER'S MAILING ADDRESS & ;7 r) /0, CONTRACTOR'S NAME LEPHONE CONTRACTOR'S MAILI.G1..R.SS Fireplace CONSTRUCTION LENDER WN Total Valuation Is Filing Fee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER 7`5E NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS Q Permit fee $ PLUMBING PERMIT FilingFee 10.00 P�p—y Each Trap 2.00 Solar or heat pump water heater 20-00 LOT NO. SUBDIVISION NAME PARCEL MAP 1 1 Water piping 5.00 Each qas water heater or vent 5.00 USE OF STRUCTURE SFZDuplexF� Mobilehomef_� Other SPECI FY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home Is 10.00 e TYPE OF WORK New F� Addition Rernodel[] Utilities ,Z Instal lationF—J OtherE] Describe work: /50,-"– -�fzo;zlil C> 1�2 �-o /Do 49- Permit Fee $ Contractor ELECTRICAL PERMIT FilingFee 10.00 main service 600V OR LESS 100 AMP OR LESS 10.00 co Main service'EA. ADD -L 100 AMP 2.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): F-1 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) El 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 OCCUPM OR ADONS. ( ACC. SLOGS. 0vtso NEW CONSTR. M ULT'_OUTLET NON"RESID. BRANCH CIRCUITS) 12.50 ea (POWER APPARATUS.&) SINGLE OUTLET CIR Ex. Occup(OUTLETS OR FIXTURES 20@50C 15ALC 30C OCCUP. FIXED APPLNS. OR —Ex. 0 UTLETS (RESID.) EA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. WirAng 1 15.00 Permit ll�ee e--3 a 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 shal I be deemed revoked. Contractor MECHANICAL PERMIT - Filing Fee 10.00 Heating Cooling Hood 3.00 Ventilation Permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the Countyot Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue against said County in consequence of the granting of this permit. X Date Signature of Applicant — Owner Agent Contractor An OSHA permit is required for excavations over 5'0" deep and demolition or construct- a 0 at s' ' n at st uctures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee occ CONST TYPE TOTAL FEE $ HAZ I CUA [��LO I PAR PD H T.h's permit is nereby issued under sions oi the Butte County Code and/or work indicated above for which fees DIRECTOR OF PUBLIC By PERMIT EXPIRES Date the applicable provi- resolutions to do have been paid. WORKS Date Receiptr No. 'K 3 -3 5_-e,6 .. I T.. . WHITC-C.P.W.. YCLLOW-ASSE330R. PINK -INSPECTOR. GOLD ENROO-APPL I CANT COUNTY OF BUTTE - Department of Public Works 7 County Center Drive, O.roville, CA 95965 Phone: 916-'538-7541, 01?NER-BUILDFA 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. 1 personally plan to provide the major labor and materials for construction of the proposed property improvement (yes or no) �s 0 2. 1 (have Ars-sommee) igned an application for a building permit for the proposed work. 0 I have contracted with the following person (firm) to provide the proposed construction: Name . i�� Address (11 - City Phone Contractors License No. 4. 1 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. 1 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 Secur�Xiy N/mber Date A�z L14 q I 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 6 our office before we are . per- mitted to issue the permit; 'T4, o ­ COUNTY OF BUTTE - DEPARTMENT,OF PUBLIC WORKS - BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVI�LE, CALPFORNIA 95965 - TELEPHONE: 916/538-7541 PERMIT APPLICATION DATA SHEET Permit No. OWNER lg:�e A. P. N o. Q,� L - 5Jr - -3 Z, Q Z 0 Proposed Building Use4::54z;;:c1L e,,A 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 1 . All items have been submitted . .. ................................. 2. Plot plans in duplicate/triplicate, signed by preparer of plans ........ 3. Complete plans in duplicate/triplicate, signed by preparer. of plans 4. Complete engineered plans and calcs, with wet signature on plans 5. Hazardous Material Form .......................................... 6. Energy Design Compliance and supporting documentation ......... 7. Statement of Intent for Non -Heated and AC Buildings ... ........... 8. Engineered truss details and layout in duplicate (required prior to plan check) 9. Mobilehome installation data including manufacturer's installation instructions ....................................................... 10. Fees of $ ........................ 11. Chico Urban Area fees paid ....................................... 12. Park fees paid .................................................... —13. School District fees paid .............. 14. Sanitation approval from Health Department 15 City of Chico plumbing permit ..................................... 16. Plot plan and business license approval froTn City of (see City for other requirements) 17. Planning approval for (A) Use:—(B) Parking: . ...... 18. Improvements may be required. Contact Land Development Section DPW 19. Driveway permit (construction approval required prior to occupancy) 20. Pre -Inspection for e�� c--- required ... Pre-Inspec. request Building Inspector ite) 21. Contractor's license information (No., Name Style, Classification) ... 22. Certificate of Workmans Compensation Insurance .................. 23. Owner -Builder Verification (Given to owner 0, Mail to owner 0) ..... —124. Recorded copy of Agricultural Acknowledgment Statement ......... 25. Letter of signature authorization ................................... 26. 27. When you issue the permit, process as follows: Mai I to owner. —Mail to contractor. b!��, Telephone 6�z .2 o3?' and hold for pickup at —office. el.iver w/inspector. Other Applicant, A"ate Copy of Haz-Mat form sent —Health Dept. —Fire Dept. ----Air Pollution Date Copyofplanssent ___HealthDept. ____FireDel5t. —Other— Date By The following data must be submitted prior to permit issuance 1. Index permit for above items No. 2. Con, N, - Contractor, designer, owner, was advised of above required data by—phone —mal I —counter by— date (Circle new item not checked above). I Plans checked Sets of plans on hold in Copy—DPW Date Plans approved by File cabinet _AP folder Date .1 PRE -INSPECTION OWNER: DATE LbCAtfoN':: CONTRACTOR:. 0) ZONING -------------------- ------------- PRE-INSPECTION FOR: /30>c- 16M X_ DATE TO INSPECTOR PERMIT HISTORY: NONE AS FOLLOWS: 5, 2 TYPE OF OCCUPANCY FIELD - INFORMATION BUILDING USAGE: TENNANT: -E:] OCCUPIED HAS ELECTRIC 0- ]HAS GAS UTHAS SANITATION FACILITIES HEATED -COOLED PERSON CONTACTED /11,1 OTHER COMMENTS: LANFL 014s ��d lw,4_��:_ c_o A)d 'Z�Czp_6' ACTION RECOMMENDED: ISSUE HOLD FOR OTHER: PERMIT NO. 141-3-74-11 P E M MH UTIL. PERMIT NO. PERMIT EXPIRES OWNER Richard Giikey t Owner CONTR. LOCATION (A.p 28-31-10 500' off N/W side of LaPorte Rd., 6/10 mi. east of Upham Rd.,Bangor Temp. Power Pole Called PG&E Temp. Elec. Serv. Called PG&E Temp. Gas Serv. Called PG&E JOB FINALED 11-1,-7 72� (D te) (Sign e COUNTY OF B��.TTE — DEPARTMENT OF PUBLIC WOR�S) BUILDING INSPECTION RECORD' BUILDING BUILDING (Cont1d) PLUMBING Setback Firewall Soil Piping Forms Parapets 1st Floor Main Bldg. Restroom Finish 2nd Floor Footings Windows 4--), � 3 - 7/., 3rd Floor Sternwall Siding —16 --!7/— Topout Slab V r Roof SheAthing Water Piping Piers Roofing Sewer Garage Fdn. Vents Fixtures Footings Garage Vents Water Htr. Stemwa I I Slab Prov. for physically handicapped Heaters Appliances - Carport Footings Conformance of ex. structure Gas Piping & Test Temp. Gas Slab Final Sanitation Patio FIREPLACE Final Footings Footing ELECTRICAL Masonry Walls Throat Rough Reinf. Steel Final Fixtures Bond Beam FIRE SPRINKLERS Motors Framing Test Water Htr. Stucco Final Subpanels Mesh MECHANICAL Grd. Fault Prot. Scratch Heating Service Brown Cooling Temp. Pole Finish Ducts Underground Interior Lath Ventilation Permanent Door Closer Final Final DATE REMARKS OR CORRECTIONS COUNTY OF BUTTE DEPARTMENT OF PUBLIC S 7 County Center Drive — Oroville, California 95965 Telephone: 534-4541 APPLICATION AND PERMIT authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. *-ISignature of Permitee or Agent Receipt No. White-D.P.W. — �ellow-As'sessor — Pink -Inspector — Goldenrod-Appli cant This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DIRECTOR PUBLIC WOR By Date 7 ilding permit expires Date ..................... 6 ..... ................... BUILDING Owner SQ. F T. OCC. BUILDING VALUATION Mai I i ng Address T I h �ne No� Fireplace Contractor Total Valuation Mai I ing Address Permit Fee PlanChecking Fee&/orPenalty Telephone No. Permit Fee -11 9 Tii=5 $ 370c) Building*Address,5� 40J S-IdC a/-- PLUMBINt No.1 @ FEE PERMIT FILING FEE $2.00 dJ0 �Zl 0 1 j5*A;5-�' 07 Each Trap 1.50 Repair drainage or vent piping 1.50 Water piping 1.50 Each gas water heater or vent 1.50 A. P. No. Zoning & Planning Gas piping system 1 - 5 outlets 1.50 Each additional outlet .30 FA<J lie -1 S"� I FireDept. Fire Zone Use Permit Building sewer 5.00 EQA Parking Plans Parcel Declaration 1 M I Parce ap 60' R/W I Improvements_ Lawn sprinkler system 2.00 Wdg. FIQMC Ra&rl I Parcel Approval I Plans Approval Permit Fee $ $ NEW ADDITION UTILITIESEJ OTHER ELECTRICAL No.1 @ FEE PERMIT FILING FEE $3.00 A Main service incl. 1 meter Additional meters, each 1.00 Sub -panel (12 or less) (more than 12) Si ngl e Fami I Y Duplex Mobil Home Others Range, Cook -top or Oven 1.00 Water Heater or Space Heater 1.00 Light fixtures 20,125 10 ---- —b. Receps., switches & fix outlets 20025 hm f@ in CONTRACTORS LICENSE LAW I am licensed under the provisions of Chapter 9, Div. 3, of the State of California Business & Professions Code under the name style of: Hood, Ex. Fan or F. A. Furn. Motor 1.00 Evap. cooler, gar. disp. or D.W. 1.00 Air conditioner or heat pump Water pump Mobil Home Facilities 5.00 Temp. Power Pole 5.00 License No. Classification Misc. wiring kPI am exempt from the Contractors License Laws of the State of California. Permit Fee $ WORKMEN'S COMPENSATION INSURANCE 1 am aware of the provisions of Section3700 of the California Labor Code which requires every employer to be insured against liability for Workmen's Compensation. I have placed on file with the County of Butte a certificate of Workmen's Compensation Insurance. I certify that in the performance of the work for which this permit is issued I shall not employ any person in any manner so as to become subject to the Workmen's Compensation Laws of California. MECHANICAL No. @ FEE PERMIT FILING FEE $3.00 Heating Cooling Ventilation Hood 2.00 Permit Fee— $ 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 I TOTAL PERMIT FEE authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. *-ISignature of Permitee or Agent Receipt No. White-D.P.W. — �ellow-As'sessor — Pink -Inspector — Goldenrod-Appli cant This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DIRECTOR PUBLIC WOR By Date 7 ilding permit expires Date ..................... 6 ..... ................... COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WOR S 7 County Center Drive — Oroville, California 95965 Telephone: 534-4541 *,7-1 APPLICATION AND PERMIT C.1� authorize representatives of the County of Liutte to enter upon the above-mentioned property for inspection purposes. te Signature of Permitee or Agent f 0. p tsi� Receipt No. White-D.P.W. — Yellow -Assessor — Pink -inspector — Goldenrod-Appli cant 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. DIRECTORS PUBLIC WORKS By Date 3�_(- 7 5( BuU4ng permit expires Date ................. (--t- 7S ........................... BUILDING Owner SQ. FT. OCC. BUILDING VALUATION MaigWAddress Tel ephon e No. Fireplace Contractor Total Valuation Mai I i nglrddress Permit Fee PlanChecking Fee&/orPenalty elephone No. Permit Fee $ $ Building Ydress ea(_.e, ol PLUMBING No. @ FEE PERMIT FILING FEE $2.00 -Each Trap 1.50 Repair drainage or vent piping 1.50 Water piping 1.50 Z_ I -e Each gas water heater or vent 1.50 A. P. NJ ni g & Planning Gas piping system 1 - 5 outlets 1.50 Each additional outlet .30 y9s-1 ve� Sanitation FireDept.1 FireZone Use Permit Building sewer 5.00 EQA I Parking Parcel Declaration Parcel M ap 1 60' R/W I Improvements Lawn sprinkler system 2.00 §U1,_PJ=-8—'d Pau_el Agero_)Lak P Lq�,. ��l Permit Fee $ NEWEJ ADDITION UTILITIES [J OTHER ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 Main service incl. 1 meter Additional meters, each 1.00 Sub -panel (12 or less) (more than 12) rVI Single Familylaj Duplex Mobil Home Others Range, Cook -top or Oven 1.00 Water Heater or Space Heater 1.00 Light fixtures 20025 1?0110110 E Receps., switches & fix outElets 20- 25 b.QRF�E CONTRACTORS LICENSE LAW I am licensed under the provisions of Chapter 9, Div. 3, of the State of California Business & Professions Code under the name style of: Hood, Ex. Fan or F.A. Furn. Motor 1.00 Evap. cooler, gar. di sp. or D.W. 1.00 Air conditioner or heat pump Water pump Mobil Home Facilities 5.00 Temp. Power Pole 5.00 License No. Classification Misc. wiring A2I am exempt from the Contractors License Laws of the State of California. Permit Fee $ WORKMEN'S COMPENSATION INSURANCE 1 am aware of the provisions of Section3700 of the California Labor Code which requires every employer to be insured against liability for Workmen's Compensation. I have placed on file with the County of Butte a certificate of Workmen's Compensation Insurance. AI certify that in the performance of the work for which this ermit is issued I shall not employ any person in any manner so as to become subject to the Workmen's Compensation Laws of California. MECHANICAL No. @ FEE PERMIT FILING FEE $3.00 Heating Cooling Ventilation Hood 2.00 Permit Fee $ 1 certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby TOTAL PERMIT FEE - authorize representatives of the County of Liutte to enter upon the above-mentioned property for inspection purposes. te Signature of Permitee or Agent f 0. p tsi� Receipt No. White-D.P.W. — Yellow -Assessor — Pink -inspector — Goldenrod-Appli cant 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. DIRECTORS PUBLIC WORKS By Date 3�_(- 7 5( BuU4ng permit expires Date ................. (--t- 7S ........................... RESMENTIAL 28-31-10 3212-91B,P,'E LEWIS, Fred 36 Kimmie LN, Bangor (addition/sf) JOB FINALE Signature V OK 0 Not OK Not Applicable Not Ready MOBILE HOMES Date MOBILE HOME UTILITIES (Plans) OK except.#'s 1. Zoning Requirements -Setbacks -Easements 2. Soils; Special MH Support Sketch 3. Sewer; Location -Test -Fall -C/0 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./ P'LPG 7. Well Clearance & Disconnect 8. Utility Clearance Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date MOBILE HOME INSTALLATION (Plans) OK except #'s 1. Zoning Require ments-Setbac ks Easements 2. Footings; Size- Spacing -Marriage Line 3. Gas; MH Test-Demand-Valve-Co-nnector 4. Electricity; MH Test-Crossove ri- Brea ke rs-C lea ra nces 5. Drain; MH Test -Fall -Flex Connect6r 6. Water; MH Test -Regulator -Connector 7. Water and Sewer Co.nnected-C/0 to Grade -HD Approval 8. Gas and Electricity Tagged 9. Exits; Insp.-Sketch 10. Cert. of Occupancy Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 X MISCELLANEOUS "' - '%- Date DECKS, COVERS, CARPORTS, GARAGES, (Plans)OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Footings; Soils-Size-Depth-Spacing-Connectors-SteeI 3. Decks; Griders and/or Joists -Decking -Bracing -Stairs -Rails 4. Wood Awn.; Posts- Bea ms- R It rs. -Connectors Shthg.-Rfg.-Bracing 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Carports: Windows -Doors 7. Electric 8. Frmg; Sils-Anchors-Studs-Rftrs-Trusses 9. Siding: Nailing -Veneer -Stucco -Mesh 10. Roof; Shthg-Roofing 11. Ext.; Steps -Doors -Landings Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date POOLS (Plans) OK except #'s 1. Setbacks- Easements 2. Soils; Compaction -Structure Stability 3. Pool Structure; Steel -Connections -Thickness Dead Men -Lining 4. Elec.; Receptacles and Lighting, Distances-GFI 5. Elec.; Pool Lighting; 15 volts-GFI 6. -Elec.; Enclosures; Conduit Entries -Terminals -Listed 7. Elec.; Bonding; Metal w/5' -Circulating Equip. -Heat er 8. Elec.; Grounding; Equip. w/5' Circulating Equip. -Pool Lghtg. Boxes -Enclosures -Panel boards- Ins. to Main in Conduit 9. Health Department Approval 10. Plumb.; Cir. Test -Water Supply Test Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 X V OK 0 Not OK Not Applica4le Not Ready Date - UPOEBFLOOR (Plans) OK except If's RESIDENTIAL (Single & Duplex) %,-�,p,,Zoning-Setbacks-Easement�fKd-Slope 2. Ftg., Main; Soils-Elec. Grndl/,-Y-rtg. Depth 3. Ftg., Garage; Soils-Steel-Elec�_Grncl.-/ P' Ftg. Depth 4. Ftg., Porches & Decks; Soils -Steel-/ /Ftg. Depth 5. Stemwalls, Main; Steel -Bloc kouts-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/0 -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; Clea rance-Materia I -Su pport- Ins. 14. Girclers-Sills-Anchor Bolts-ioists-Vents-Cripples 15. Access & Ventilation �11 6. Insulation P Date ")_9 iCard B-1 Date Card B-1 I Card B-1 Date Card B-1 Date PLUMBING (Permit).OK except ft's er Htr.: Vent -Access -Combustion Air -Baffle 1 Water Pipe: Test & Anchor -Nail Protection W.V.: Test -Fittings & Anchor -Nail Protection - ----------------- Shower Pan: Test. First Floo-r-Tub Access Second Floor -Tub Access �--�da`sPi�e; Size & Anchors - - - - 7- - --- - ---- - -------------------- r r Card B-1 Date Date ElLgj�-TAICAL (Permit) OK except #'s L-"-22 F' -K-Transformer Clearance -Ins. Protection - ------ ------------ Elga-R-eceptacles Spacing -Lights & Switches at Doors ,,K'S' Bli s - & No. - of - Conduct - ors -Stapled ---- - ------------- 1 2& x_Zfalled Close to Edge of Studs & C.J - --------------------- uip. Ground made up w/Mech. Fastners-Bond Gas & Water --- - ------------------------- j,__72_Z_.2_App4k-"w_--_Gircuts in Kitchen & Conductor Size!GFI -------- --------- -------- ___ _­ - ------------------------ 28. Subfeed Wire Size ga. Cu or AI-A.C. Wire Size ga. Cu or At �9. Range Circ. ga. Cu or Al -Oven Circ. ga. Cu or Al. -------- Insulated Neutral --------- 0 -Yes - ------ 0 No ------------------- 30. Service -Riser Conductors & Ground -Main Disconnect 7 --------------------- _____�ZL4��eara_nces Panel s- Motors-Mec h. Equip ------------- Light -Shower Light -Spa Light moke Detector ------------------------------ --- ---- - - ----Date Card B-1 Card B-1 ------------ - ------ -------------------------------------------------- Date Card B- I Date Card B-1 Date ME.C+�ICALLP.ermit) OK except 4's L-_34._,a� �.ucts insulation & Support ;1�_ _.� ------------ - ------------------ - -------------------------- 35. Vent Fan, Exhaust above insulation -------------- ---- --------------------------------- 36. Quadaize-ate-Drain & Overflow: Size & Grade ----------- ------------------ ----------------------------------------------- 37. Furna : Access -Comb. Air -Return -Air Vent -1 15 outlet --------------- I -------- I ------------ ------------------------- Attic Access & Platform if Furnance in Attic --------------------------------------------------------------------------------- -------------------------------------------------------------------- I ----------- Date Card B-1 Date Card B-1 Date Date Card B-1 Date _MCMING (Plans) OK except 4's kX Sils. Proper Material & Anchors ------------------------- ---------------------------- 40. s Stuyd5-Nailing. Spacing & Bracing -Plates -Sound ----------- a _B ee a �n n g _ Walls over Girders & Floor Nailing ------------------- - -- - - --- - --- - -------------- Draft n Walls (rat proof) -------- - ----------- ----- - --------- - ------------ 3.k i tops: Furred Ceilings -Stairs -Chases -Tub -------- ------ ------------ --------- - ---- - ------- - - ----- Headers & Beam -Size & Bearing FRAMING (Continued) gers- ost Caps -Anchors -Connectors f2v��. J2i�L-Rftr. ties-Purlin-roof Brac-Truss-Shthng.-Rfng. _-17- �,replace Ties or Type A Flue -Fireplace Throat clearance c Access: Size & Romex Protection -Draft Stop -Ins. Baffles idows or Exiting Doors -Sill Hgt. & Dimensions 60. Gefage-lPtre-Protection Framing .11 Pu4**Pf-Line Firewall & Openings 52._ExL_9eers-One T -Check Garage -3rd Story, 2 Exits 53. _5jajL9LLNidth-Head room -Rise-Run-Landi ng-Fi re Protection 54. plywoo . Roof Overhang -Attic Vents -Rafter Outriggers - a-Dn �`iding-Nailing Veneer lvlgs�h-Drip Screed -Fd. Vents-Underfir. Access --------- _____a -Glass Protection -Skyl ights-Plast ic 8. Shear Walls: Nailing -Bolts 59. Insul ' n -Walls -Ceilings ---------------- nfiltration-Walls-Winclows DatE 'C 0 Date Card B-1 Card B-1 4UZA--� Dalel� __#11, Card B-1 Date' FI6Ab_(P_Ians) OK except #'s Ext. Steps -Door & Sidelight Protection -Landings Detector e: Vents -Clearance -Comb. Air -Connector - Garage: Above Floor- Ducts-Mech. Protection -------------- 1 64. 8 Iroom Exiting ��65 G F I & Bath Fixtures & Tub Access -Spa ------------------------------- , __­6� ...... Trim & Subpanel:.13-re-aker Sizes & Labels 67. Stairs & Rails ------------ ------ - ---- --------- 68. Fireplace or Stove: Clearances -Hearth ------------ . 69. Ell c. 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- Land i ng -Close r ----------------------------- 73. A.C. Duct in Garage -Damper -------------------------- 74. Wtr. Htr.: Vents -Clearance -Comb. Air-Connector-P.R.V. In Garage: Above Floor-Mech. Protection 75. Plb.. Elec. & Mech. Equip. Listed for Location ------------------------------- 76. Elec. Receptacles in Garage: (G.F.I.)-Romex Protection ------------------ - ------------ in_�s. lat ion - Foam- Looked in Attic 0 Yes 78. Guard Rails & Deck Construction -Post Caps ------ -1 --------------- �.dn. Vents & Crawl Hole Door -Drainage & Wood -Earth Clearance Looked under Floor 0 Yes -------------------- 80. Following instld.: Drive 0 Yes 0 No: Walks 1:1 Yes C1 No; Planters 0 Yes 0 No ------------ 1 -------------------------- - - - 81. Stucco: Brown -Finish ------------- -- 82. A.0 Unit: Disconnect, Electrical, Plumbing ---------- ____= ----------- - ---- 83. Vents Above Roof: Plbg.-Appliance-Fireplace.-Clearance to I Openings ----------- j__ ---------- 84. Water Well: Disconnect, Electrical, Plumbing -------------- ----------- ____ 8��erior Elec. Trim: G.F.I. Receptacle- Underground -------- - V -e- n-* t -i I a- t -i -o-n- -T-h" r o u g h o u I H o u s e -------------- ------ _--e-.�ass Protection ------------------- 88. Corrections from Previous Inspections ----------- --------------------- 1 89. Gas Test -Meters Tagged: Gas -Electric -------------------------- 90. Water & Sewer Connected -C/O to Grade -HD Approval 91. Energy Compliance Certificate -Other Certificates -------------------- ol -Date- Date Card B-1 Date Card B-1 Date Card B-1 -------- - ----- Date Card B-1 Date -Card B-1 Comments at Final: COUNTY OF BUTTE DEPARTMEN7 OF PUBLIC WORKS 196 Memoriii0may, Chico — Phone: 891-2751 7 County Center Drive, Orovi Ile — Phone: 538-7541 747 Elliott Road, Paradise — Phone: 872-6307 CORRECTION NOTICE OWN A routine inspection indicates that the following violations of County Ordinance exist at the above address and ho uld b corrected. Please notify this office when correction of work is comp ted�.If u have any question pertaining to this t �d tional exp please contact this office immediately. matter, orpdre 'p �n!�5 f ;pI e IN Dat Inspect COUNTY OF BUTTE DEPART,1�,-NT OF PUBLIC WORKS 196 MemorialA'y, Chico — Phone: 891-2751 7 County Center Drive, Oroville — Phone: 538-7541 747 Elliott Road, Paradise — Phone: 872-6307 CORRECTION NOTICE 77 17 �.- � PERMIT NO. A routine inspection indicates that the following violations of County Ordinance exist at the above address and should be corrected. Please notify this office when correction of work is completed. If you have any question pertaining to this matter, or need additional explanation, please contact this office immediately. C/Q- 7- 7-V/-1:3, FDA- 131ZAWO--, I::--- &�F-7 AtEW40 5,64a"W---� 5CX4,9,e-, CAt4%,;E- ft Date— Inspector A ENERGY INSTALLATION CERTIFICATE Building Owner Building Permit # �2 (a Building Location ROOF Material Thickness(inches) DESCRIPTION OF INSULATION Brand Name Thermal Resistance (R Value) EXTERIOR WALL Material �fi 7LS Brand . Name -Lb 6 Thickness(Lches) Thermal Resistance(R Value) CEILING Batt or Blanket Type '11 Thick-ness(inches). Loose Fill Type Minimum Thickness(Inches) Area covered(ft.2) FLOOR, ELEVATED Material.... Thickness(inches) FLOORV SLAB Material Thickness(inches) Width(inches) FOUNDATION WALL Material Thickness(inches5 Brand Name tj Thermal Resistance(R Value)_ Brand Name . Number of Bags_ Wt. per bag lb. Thermal Resistance(R Value) Brand Name 0-6 � � / ill Thermal Resistance(R Value) Brand N e Thermal Resistance(R Value) Brand Name Thermal Resistance(R Value) I hereby certify that the above insulation was installed in the above building, is.consistent with -approved building department -plans -and-attachments-and-con-.- forms with req r,mT ts o 1hapter 2-53 of State of California Energy Requirement OAS <9 n FIJM NAME/OWNER STATE CONTRACTOR'S LICENSE,NO. OF INSTALLATION APPLICATOR DATE I hereby certify the required features, devices, and equipment, ab shown on the approved Building Department plans and attachments have been installed and conform to the appli'- ance standards and Chapter 2-53 of the State of California Energy equirements. � F J Pa UILDINP,, CONTRACTOR/OWNER (Please Print) NAME) 4Q 9 PU�, IGNAME OF BUILDING CONTRACTOR/OWNER HVAC FIRM NAME/OWNER (Please Print) SIGNATURE: OF HVAC CONTRACTOR/OWNER STATE CONTRACTOR'S LICENSE NO. 121 DATE STATE CONTRACTOR'S LICENSE NO. DATE THIS CERTIFICATE MUST BE ON FILE WITH THE BUILDING DEPARTMENT PRIOR TO FINAL INSPECTION - APPROVAL AND A COPY SHALL BE POSTED WITHIN THE.BUILDING. SEPTEMBER 1988 COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County COnter Drive - Oroville, California 95966 - Telel5hone: 916/538-7541 APPLICATION AND PERMIT PERMIT NO. ASSESSOR PARCEL NUMBER 28-31-10 ZONING A-5 BUILDING PERM,:T:C )7 OWNER Fred T P-wi.-; TELEPHONE A75-2018 SQ.FT. OCC. BUILDING VALUATION R 19,584-00 OWNER'S MAILING ADDRESS Aq& llr,,wn gy! I I P f TELEPHONE CONTRACTOR'S MAILING ADDRESS _T�'�N Fireplace CONSTRUCTION LENDER Total Valuation 1$ Filing Fee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee $140.50 ARCHITECT OR ENGINEER Nr)32P LICENSE NO. I Plan Checking Fee Energy Plan Checking Fee $ 15.00 — ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS Permit fee $235.75 PLUMBING PERMIT Fi I ing Fee 10.00 If; Kir=ip Tqnin, Rnng3r)r Each Trap 2-00 6.00 Solar or heat pump water heater 20-00 LOT NO. SUBDIVISION NAME MAP Water piping , 1 5.00 5.00 Each clas water heater or vent 5.00 USE OF STRUCTURE SF M Duplexn MobilehomeR Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 1 5.00 5,00 Mobile Home S I G 10.00ea TYPE OF WORK New F-1 Addition FN R emode I [] Utilities [:1 InstallationEl Other E] Describe work: Addi finin c)f P.-(JrC)r)M X, Bath I Permit Fee $ 26.00 Contractor ELECTRICAL PERMIT FilingFee 10.00 Main service 6001 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): F-1 1 am licensed under provisions of Chapt. 9, Div. 3 of the Business a Professions Code and my license is in full force and effect. "r,, License No. Classification. .561 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. I DWELLING OCCUP.&) OR ADDNS. % ACC, SLOGS. 21/20sq ft 9.60 NEW CONST11- MULTIOUTLET NON* R.S,.� BRANCH C'RCL" TS) 2.50 ea (POWER APPARATUS.&) SINGLE OUTLET CIR Ex. Occup(OUTLETS OR FIXTURES 20050t 15AL1 30t FIXED APPLNS OR -Ex. Occup. OUTLETS (RESI'D.) EA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 Permit Fee $ 19.60 Contractor WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): n The permit is for $100-00 (valuation) or less. F1 I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate f Consent to Self -insure. I shall not employ any person in any manner so as to become subject too 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 Fi I ing 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 ot Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemni ke:P harmless the County of Butte against all lifpbilities, judgmen S, ysts, n d xpenses.which may in y wa/ accrue I sts' er� �q CY& in CQ.!2g7quce of the granting of this D a t e . W/ P / F/ Signature of Applicant Owner cont'ractor E] t / , / — Agen fn An OSHA permit is required for excovItions over 5'0" deep and demolition or construct- ion of structures over 3 stories in height. Mobile Home installation Fee $ Energy Inspection Fee $ 30.00 c 0 t � S CONS1_J*PE - - TOTAL FEE $ 311.35 HAL TICUA -I PARK S�� Fol cD�4 WE This permit is hereby issued uncier the applicable provi- si�A of the Butte County. Code and/or resolutions to do work indicated abo e for which fees have been paid. E#4 R BLIC WORKS Byfi, -Dole ZbLql PE Z_ -91T EXPIR'EVDate�-Z Receipt No. 100810 WHITE-D.P.W., YELLOW -ASSESSOR. PINK -INSPECTOR. GOLDEN ROD-APPL I CANT COUNTY -OF BUTTE - DEPARTMENT OF PUBLI t dAkKS - BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILL9, CALIFORNIA 95965 - TELEPHONE: 916/538-7541 PERMIT APPLICATION DATA SHEET C)v Permit No. OWNER 17:erl /_ eu) i s — A. P. No. 2 Pj -3 10 Proposed Building.Use J&h7e)1_ omll-,6441, Building Inspector Date 9V At time of permit application, I was advised the following data must be submitted prior to permit processing and/or issuance: DATE RECEIVED APPROVED 1 . All items have been submitted . .. ................................. 2. Plot plans in duplicate/triplicate, signed by preparer of plans ........ 3. Complete plans in duplicate/triplicate, signed by preparer of plans 4. Complete engineered plans and calcs, with wet signature on plans 5. Hazardous Material Form .......................................... 6. Energy Design Compliance and supporting documentation ......... 7. Statement of Intent for Non -Heated and AC Buildings .............. 8. Engineered truss details and layout in duplicate (required prior to plan check) 9. Mobilehome installation data including manufacturer's installation instructions....................................................... 10. Fees of $ ........................ 11. Chico Urban Area fees paid ...... Park pfies paio- 6�hchoql District fees paid ............. C77 22-" 14. Sanitation approval from (t Health Department 15. City of Chico plumbing permit ................ 16. Plot plan and business license approval from City of (see City for other requirements) 17. Planning approval for (A) Use:—(B) Parking: . ...... 18. Improvements may be required. Contact Land Development Section DPW 19. Driveway permit (construction approval required prior to occupancy) 20. Pre -Inspection for required ... Pre-inspec. request to Building Ins ector (Date) 21. Contractor's license information (No., Name Style, Classification) . . . p 22. Certificate of Workmans Compensation Insurance .................. 23. Owner -Builder Verification (Given to owner 0, Mail to owner 0) ..... 24. Recorded copy of Agricultural Acknowledgment Statement .......... 25. Letter of signature authorization ................................... 26. 27. When you issue the permit, process as follows: Mai I to owner. Mai I to contractor. -4eliver w/inspector. Copy of Hlaz-Mat form sent —Health Dept. —Fire Dept. ----Air Pollution Date Copy of plans se.nt —HealthDept. —FireDept. —Other— Date— By The following data mdst be submitted prior to permit issuance: (Circle new item not checked above), 1. Index permit for above ite 0. 2. Additional items req eff& 3 IaA _;Te C�/(- Ze _/ e,, I - W__4 r - H - Contractor, designer 41 4r, advised of above required data by_phone_At��ail unter by&dat 16 --.L Y Contractor, designer: o076�, �was advised of above required data by —phone —ma I I _21-91-111 I by_ at: Plans checked by Date Plans approved by Date Sets of plans on hold in —File cabinet AP folder Copy—DPW TO �,,,,Build:066-Department FROM: Environmental Health SuBJECT: Sanitation Clearance L ------------ AP# owner 0 6 wed �- Plan Approved for: Sewaqe Disposal water Supply Water supply Hold final for: 7inal clearance O.K. for: Water Sup Y Clearance Other r/6 . //I_- oe� c�-D ae� -r—O /�-c c cf -v� A--f-<;� /-� S t<le * NOTS" an Date COUNTY OF BUTTE - DFPART.MENT OF PUBLIC WORKS 7 County Center Drive - OrovIlle, California 95965 - Telephone: 916/538-7541 APPLICATION AND PERMIT PERMIT NO. A33ESSOR PARAL NUMBFR­ "1 -3 / - / 0 ZON BUILDING PERMIT OWNERr— I �-rej Lew (5 TELEPHONE 675-2-036 SO.FT. OCC. BUILDING VALUATION 2� Lf 5_5 Lf 0 ER AILING ADDRESS — PU'M4 70,2 90M i CONTRACTOR'S NAME Cn10QA1R_4_ __7 ELEPHONE, CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER VL_(� KNOWN 7 Total Valuation $ 015- Filing Fee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee $ L/ .373 ARCHITECT OR ENGINEER VIA5MIRI LICENSE NO. I Plan Checking Fee $ -70, -z Y_ Energy Plan Checking Fee $ — ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING AODRE S '176 /Y) Permit fee $ PLUMBING PERMIT Fi I ing Fee 10.00 Each Trap 3 2.00 6.�-o Solar or heat oump water heater 20-00 LOT NO. SUBDIVISION NAME PARCEL MAP Water piping 5.00 S7 Each. as water heater orvent 5.00 USE OF STRUCTURE LS DuplexF� MobilehomeF_� Other SPECI FY Gas piping system 1 - 5 outlets 5.30 Building sewer 5.00 Mob i I e Home S I G I W 10-00ea TYPE OF WORK New Addition R emode 11 [L:] ltilities Instal)ation[] Other J ratw, 4- &-,A Describe work: Oc�dt'fic'rYl NJ Permit Fee $ 6 Contractor ELECTRICAL PERMIT FilingFee 10.00 GOOV OR LESS Main service 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 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. F1 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) El I, as the owner, am exclusively contracting with licensed u0IILICICt- ors. (Sec. 7044) I am exempt under Sec. Business and Professions Code for this reason NEW CONST DWELLING OCCUPM OR AODNS.' ACC.BLOGS. Its V '/2tsq It 12.50 NEW CONSTR. 1AULTI-OUTLET NON.RESID, BRANC IT S) H C'H C� o ea R W ZPF;�R T&) (PO E SINGLE OUTLET CIR. Ex. Occup(OUTLETS OR FIXTURES 20 @ 50t 15AL*30t FIXED APPLNS. OR I Ex. Occup. OUTLETS (RESID.1 EA.1 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 Permit Fee $ WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): F� 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. F'� 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 Wit h such provisions or this permit shall be deemed revoked. Contractor MECHANICAL PERMIT FilingFee 10.00 Heating Cooling Hood 3.00 Ventilation Permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the Countyot Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue against said County in consequence of the granting of this permit. X Date Signature of Applicant — Owner 0 Contractor El Agent An HA Permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories ip height. Mobile Home Installation Fee $ Energy inspection Fee $ 3 0 occ _TAZ CONST TYPE TOTAL FEE $ I CUA I PARK J I SCT HL FLD I CDF P A R HD ISSUE T.h:ls permit is hereby issued unaer sions of the Butte County Code and/or work indicated above for which fees DIRECTOR OF PUBLIC By PERMIT EXPIRES Date tne appilCabie provi- resolutions to do have been paid. WORKS Date Receipt No. T —S / 1 :3.5— /06810 NHITE-O.P.W.. YELLOW-ASSE330R. PINK -INSPECTOR. GOLDENROo-APPLICAMT BUTTE COUNTY SCHOOLS DEVELOPMENT FEE CERTIFICATION FORM .311) (On I e Form per Bui lding) -Tff R 0'5-c�- ooq �. I A.P. NumberaB -3 1- /0 Building Department No. MR- orov School District F-4&2�1 -76� HiGh City County [j�l Jurisdiction Property Owner. Frej L e(A) t Project Location/Addr�ss_ Kimrw�e, Lv),, PonQor Subdivision Lot Number Residential Development: 121 Sq. Footage 381-1 # of Living MHI Addition (Group R) Units Commercial/Industrial: Sq. Footage New Addi ion (Including Exterior Roofe'd Areas) 0-ci Buil/ding Dep menf- Re es-,ze.iftativef '"'Date, (Floor Plans reviewed by School e nnel) District Id No. -920'3 10 AM . A A It A I I I JJ& —School. District certifies that CApplicant Name) (Phone NuffiSer) ffA /Cy" !dress) Katy) (State) (Zip Code) has complied with the requirements of Resolution No. by payment of $ representing square feet. ZACIA r V'0zzd& q—lo— 17/ 1p"bl District Represepfative Date PAID BY CHECK NO.- REMARKS: BANK NO PAID BY CASH white -applicant, yellow -building department, pink -school district SCHOOL.FEE (8/88) ME COUNTY OF BUTTE,- De�artment of Public Works 7 County Center Drive, Oroville, CA 95965 OWNER -BUILDER VERIFICATION Phone- 916 -538 -7541 - Attention Property Owner: An "owner -builder" building permit has been applie d for in your name and bearing your signature. Please complete and return this information at your earliest opp�rtunity to avoid unnecessary delay in processing and issuing your building permit. No building permit will be issued until this verification is received. 1. 1 personally plan to provide the ma3or labor and materials for construction of the proposed property improvement (yes or no) 2. 1 (have/have not) igned an application for a building permit for the proposed work. 3. 1 have contracted with the following person (firm) to provide the proposed construction: Name Address City Phone Contractors License No. 4. 11 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. 1 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 Owne Social Securit Date �71 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. FORM 7 ADDITIONS TO RESIDENTIAL BUILDINGS ENERGY SHEEr PACKAGE "A" (Additions) Owner ej Climate Zone Permit # -2 Floor Area The following data showing mandatory and required features of Package '!A" shall be installed for additions to dwellings. Additions to dwellings include room additions, converting garages and patios to living areas, house moves that add footage and'attic conversions, and any,space that is existing non -conditioned space that is converted to conditioned space. Remodeling of existing conditioned space is not included. ZONE 11 ZONE 16 APPLIES TO NEW AREA CEILING R-30 R-38/ WALL R-11 R-19 FLOOR R-41 R 1 9 SLAB R-7 -7 GLAZING U-.65 (Dual) U-.65 (Dual) SHADING SOUTH - OPTIMUM OVERHANG or .36 Shading*Coefficient WEST - .36 Shading Coefficient LOOSE FILL'INSULATION (Density) INFILTRATION CONTROL (Weatherstrip..doors, certified windows, caulking) VAPOR BARRIER (Zone 16) DUCTS PER UNIFORM MECHANICAL CODE - Ch. 10 LIGHTING KITCHEN & BATH NOT LESS THAN 25 LUMENS/WATT MAXIMUM GLAZING 16% OF AREA PLUS REMOVED GLAZING 'NEW HEATING, VENTILATING, AIR CONDITIONING AND HOT WATER SYSTEMS IN CONJUNCTION WITH AN ADDITION SHALL BE INSTALLED AS SHOWN ON BACK OF THIS � SHEET. OTHER 12/85 HEATING, VENTILATING, AIR CONDITIONING SYSTEM (A) Heat ing 13 Central Gas Furnace % (brand and model number) SE Btulhr (heating capacity) E3 .Heat Pump .(brand and model number) ACOP Btu/hr (heating capacity at 4FF) 13 Active Solar type (liquid or air) Collector brand and . ft2 model number solar fraction collector area collector orientation collector tilt rated y -intercept rated slope C3 other (describe) (B) Cooling C3 Electric Air Conditioner (brand and model number) (seasonal EER) Btu/hr (cooling capacity at 950F) Electric Heat Pump EER Btu/hr (cooling capacity at 95*F) 13 other (describe) DONESTIC WATER SYSTEM 13 .(A) Gas Only Gallons (brand and model number) (tank size) 13 Heat Pump w/ElectricBackup (brand and model number) Gallons (tank size) (3 *2 Active Solar (collector brand and model number) (rated y -intercept) (rated slope) (solar fraction) ft 2 (backup heater type, brand and model number) (collector area) (collector orientation) (collector tilt) C3 Location of Solar Panels -- ---- E3 Other (Describe) 'l Submit documentation of sizing heating and cooling equipment by Manual J, sizing charts (form #4) or other approved methods, section 2-5352(g), and fill out the following; Heating: Winter design.temperature elevation heating load BTU elevation factor x heating load maximum outlet capacity gas furnace BTU Cooling: Su-=*'-e*r' "de'dig"n" 'tie-imperatiure 0,*cooling load BTU ,2 Submit T.I.P.S - E char t'or o t her a pproved system (form #5) to document sizing of solar panels. DESIGN COMPLIANCE STATEMENT: The above building design meets the req ements Title 24, Part 2, Chapter 2-53 of the California AdminpAation Co4f. OR u T s. gma ite J / 0491 NOTE. -;—All Mallerials & Workmcinsliip Shol Atcora'-jnce will -h Recognized Gcod Prc,-+�;c of -a qqc!ify prescri6ed for-Ae Spec,",ffed USE Un.ifort-n Buildiing, Plurking.& - Me-chunic6i Co4 the Naf�-,nal L-lezfric-cd.Code,,. 11 �elback of 5 It. from ti In ten and a seft PrMes 'road of ft. -fi-orn the ceiterline shall be clear s - or equi7innent , tj uctuves fcr a 2 ft. 0,7)VC 0`-'erh" oz AILL &ASO-O"A 0 CZ) APPMOV0 COUNTY OF BUTTE - DEPARTMENT OF,PUBLIC WORKS 7 County Center Drive, Oroville, CA 95965 FRED LEWIS. P.O. BOX 702 BROWNSVILLE CA 95919 With reference to the above,subject: .1 . PHONE: 916-538-7541 DATE 9-24-91 RE: B.P. APPI-.3212-9.1 A.P. # 28-31-10 /Xj Attached is: Application for permit Mobilehome Utilities Installation Sheet Building Plans Mobilehome Installation Information Sheet Engr. Calds y Typical Plan Sheet Owner -Builder Verification Form List of Codes Enforced OTHER /X We need the following information: Permit application signed,and completed where indicated with all copies returned. Fees of-$ payable to Butte County Treasurer. Certificate of Workmen's'Compensation Insurance or,check exempt.ion statement. Contractor's License'Law information -or check exemption,statement. X Complete plans -in dupli�ate including plot plans'.* Plot plans in Structural details in Complete plans and calcs in by'registered engineer or architect. Energy 'Idesign including Street and drainage improvement,plan approval from Land Development Section (DPW). sets of plans -in accordance with the changes marked in red. Sanitation approval from Butte County Health Department at: 196 Memorial Way,'Chico 7 County Center Dr., Oroville Pkyway & Elliott Rd., Paradise Planning approval from Butte County Planning Department, 7-Co4nty Center Drive, Oroville, for Completed Owner-Bui.1der Verification form. Recorded.copy of died showing Recorded copy of agricultu ral acknowledgement statement. x/ OTHER 1. Window area shall be PQual to I Q7. 6f thg-_ rnnm'f I r)nr aren TA Wa 50% opona h J Q for natural lip-ht-aad yentilgtjon rpquirpri b;z qprt-inn 419C)c; TT R Should you have,any questions concerning the above, please contact pnlp MrKpndrirk- of this office. BETWEEN 3 & 5 P.;M. Yours very truly, William Cheff Director of Public Works F. Glander C F f u JFG/aj Chief Building,.Inspector '4�6. 4-7. 'Z AA �ib 10%4 . WAIP; vco AY CN C-1 i'p It A a O�) left