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HomeMy WebLinkAbout028-460-016•,1 COMPLAINT TO: INSPECT.,OR .; i v may. . .. .�.,� - 'L �� 4 • / .+.ti� _... _. � _ ,.r�� _� 8 17-131 / 28-,{10-31 91-90A,;�_ ^ JACK SMITH 9� .I ' O 3 -v ,406 - D L (� 1329 Swedes Flat Rd, Oroville FORD, Joseph Permit#2535-86B,P,E,M(new single fsmily) 1329 Swedes Flat Rd, Bangor 7t - -- - -.--� - Ag Exem tion Permit_ _ 2�-- horse barnPermit#255-8 poole for well & �j �r-o" D `(n , futur - - of dev) t� l�J 28=' Permit#2261-90P, E (ele; for well) s l 028-17--8--131 92-01,p8 TERM I NEL , AUGUST I NE1<P;l CONTR: OWNER 1329 SWEDES FLAT RD, BANGOR 'MH UT I L -- - - I So 93-3294 P,E i TERMINAL; AUGUSTINE�" "--'•" t 1329 SWEDES FLAT'RD;"-BANGOR MHU/REPLACES.,92-198' -:_y r ELEC CSO" we It� GAS 3 �^,',i� COMPACTION TEST �� Z9 SUPPORT STRU,CT RE`1 Q I 028 = i4 1i4 �� ERMIT#94-2649 TERMINAL, AUGUSTIN 1329 SWEDES FLAT RD., OROVILLE MOBILEHOME INSTALLATION. ff�ll 6 01 y4 e-- - 28-1-7--i-31 91-90A JACK SMITH�� 18-17-131 1329 Swedes Flat Rd, Oroville FORD, Joseph Permit#2535-86B,P,E,M(new single family), 1329 Swedes Flat Rd, Bangor 4 Ag Exem tion Permit 28 horse barn) Permit#255-8 power pole for well & { (_O` O `(n future -of d��Q �ev) (� l `fes 28-i!� _ J Permit#2261-90P,E 9 d (eles for well) 028-!7 --8-+31 TERMINEL, AUGUSTINE 92.,Oa1,p 8 CONTR : OWNER t*f 1329 SWEDES FLAT RD, BANGOR MH UTIL 028-1�--�1If-60-01 f0 93-3294 P,E TERMINAL, AUGUSTINE 1329 SWEDES FLAT RD, BANGOR - MHU/REPLACES 92-198 �3 ELEC -200 00 ' GAS COMPACTION TEST REQS SUPPORT STRUCT REQ 028-�79 -4 1.,(f0()-0jVERMIT#94-2649 TERMINAL, AUGUSTINE 1329 SWEDES FLAT RD., OROVILLE MOBILEHOME INSTALLATION. T. 18N. R. 5E. M. D. B. &M. 72-33 72-39 72-33 34135 N89'J9'16� 3536 3 2 2 1 O7 10.30Ac z 4 34 O 33 Z } O8 10.30Ac h a 33.254c 124Rs70 39.41Ac 39.14Ac In O5.15Ac Q5.15Ac y = 112 121PM35 0y7 O 8.00Ac 10.30Ac 124a94 ----- -------------------- 45 N T N a 32 2 35 J m 40.00Ac 40.00Ac 39.024c 40.31Ac 0.66A ;a 3 3.00Ac 13 P14 15 t6 0 Ai _ 1=.23 1202.79 J�rLDEs ¢ 7 ,2 3W. 3v.1 497.91 780.37 2 ROAD �l d' ZPU64 } 1 29 \ S.00Ac 28 6.94Ac 2z 6.94Ac 45 O 17 5.02Ac s.O1kc 36 � �5 4 41 18 3 31 g 118.25Ac u 1 19 S 30 O 40.00Ac 2O i�2 J h 11.57Ac IO.OtAc t 15.15Ac V 79P1J87� 21 r p` 68Pxl13 78.23Ac 250.0ma 20.92 791.n 360.00 897.14 m 13.77.99 491.70 768.22 472w 1; 391.W TWJO im 20 10.35Ac 2q = 10.02A 1+ 2 4 5.0OAc 27 4 37 1 �' 3 40 _ 21 =10. O L 2_ 39 m ' 110RS81 1038 c 4 25 23.22Ac 71 11.02AN 22 J .A S.00Ac i c z w m 4 94PR161 w 26 1 4 4 10 94FlV.87 9.00A% + u--- --- 3 2 13r9.S7 m 23 ues3r 55PN28 y isi 99aAC 7u.v-.3ean03 Lu.a7 __2 •1 10 11 589'58'461Y -- -------- l 112 ---- OBERi OR STONEY OAKS BLVD. 17 28-46 6 r=aoo• Butte County Assessor's Map Book 28, Page 46 NOTE These parcels am for assessment pwposes only and may not cambfute legal parcels. CREATED SY DB CREATED ON 1-12-2000 REVISED BY DB REVISED ON 1-12-2000 EFFECTIVE 00-01 ROLL Previaw Book 28, Portion W P e 17 lad The Butte Coun Assessors Offnx • I BUTTE COUNTY DEVELOPMENT SERVICES COARLAINT DORM This information is not available to the public!!!M! NOT COPY FOR THE,PIIRLIC OR THE FIELD INSPECTOR) f The following information is required for Housing Complaints and the Complainant I ST BE the person living at the complaint address! Complainant: �"" V �� Mc_ c,t 1 p Address: ' �U ���-T '2 Ir Phone Number: ` d )�• Jr ; . • . The above information is not available to the public!!!!!!! Q, - ;j..- , , lir '83616 tv l 3 2-- J-e,,,5 � r- � Fo2g-X60- C) 16 RESIDENTIAL 028-17-0-131 92-0198 e" TERMINEL, AUGUSTINE CONTR: OWNER 1329 SWEDES FLAT RD, BANGOR MH UTIL FOFFICE COPY 'Address GASDate Z Meter By ELECT Meter JOB FINALE Signature J=OK O = Not OK =Not Applicable ' = Not Ready MOBILE HOMES y' r MISCELLANEOUS Date MOW HOME UTILITIES Plans OK except #'s Date DECKS, COVERS, CARPORTS, GARAGES, (Plans)OK except #'s k14. Zoning Requirements -Setbacks -Easements i s�Special MH Support Sketch 1. Zoning Requirements -Setbacks -Easements 2. Footings; Soils -Size -Depth -Spacing -Connectors -Steel G ewer; Location -Test -Fall -C/O Concrete 3. Decks; Griders and/or Joists -Decking -Bracing -Stairs -Rails ter; Location-Tes asement Needed (Sketch) 4. Wood Awn.; Posts-Beams-Rftrs.-Connectors Shthg.-Rfg.-Bracing ! 5. EI tricity; on-Clearences-Grnd-/ /Amp -Concrete Gas Location -Test -Wrap: / /"L"ft. / Nat. or/ /"L"ft./ /"LPG 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Carports; Windows -Doors 7. Well Clearance & Disconnect 7. Electric 8. Utility Clearance 8. Frmg; Sils-Anchors-Studs-Rftrs-Trusses 9. Siding; Nailing -Veneer -Stucco -Mesh 10. Roof; Shthg-Roofing Dat -= Card B-1Cs+ fete Card B-1 11. Ext.; Steps -Doors -Landings Date Card B-1 Date Card B-1 Date MOBILE HOME INSTALLATION (Plans) OK except #'s ' 1. Zoning Requirements -Setbacks Easements Date Card B-1 Date Card B-1 2. Footings; Size -Spacing -Marriage Line Date Card B-1 Date Card B-1 3. Gas; MH Test -Demand -Valve -Connector Date POOLS (Plans) OK except #'s 4. Electricity; MH Test -Crossovers -Breakers -Clearances 1. Setbacks -Easements 5. Drain; MH Test -Fall -flex Connector 2. Soils; Compaction -Structure Stability 6. Water; MH Test -Regulator -Connector 3. Pool Structure; Steel -Connections -Thickness Dead Men -Lining 7. Water and Sewer Connected -C/O to Grade -HD Approval 8. Gas and Electricity Tagged 4. Elec.; Receptacles and Lighting, Distances-GFI 9. Exits; Insp.-Sketch 5. Elec.; Pool Lighting; 15 volts-GFI 10. Cert. of Occupancy 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. Date Card B-1 Date Card B-1 Boxes -Enclosures -Panel boards -Ins. to Main in Conduit Date Card B-1 Date Card B-1 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 M ✓=OK O=Not OK = Not Applicable Not Ready RESIDENTIAL (Single ,& Duplex)- ' = Date UNDERFLOOR (Plans) OK except #'s 1. Zoning-Setbacks-Easements-Flood=Slope 2. Ftg., Main; Soils-Elec. Grnd.-/ /" Ftg. Depth 3. Ftg., Garage; Soils-Steel-Elec. Grnd.-/ /" Ftg. Depth 4. Ftg., Porches & Decks; Soils -Steel-/ /Ftg. Depth 5. Stemwalls, Main; Steel -Bloc kouts-Wrapped - I 6. Stemwalls, Garage; Steel-Blockouts-Wrapped 6a. Hold Downs and Special Anchors 7. Slab; Steel -Wrapped 8. Piers -Fireplace Ftg.-Steel 9. O.W.V.; fall -Fitting -Test -2 Way C/O -Sewer Test 10. UF. Gas Pipe; Size -Anchors - yard gas piping: size -test 11. Water Pipe; Test -Anchor -Regulator -Service Test 12. Electric; Underground 13. Pienums & Ducts; Clearance -Material -Support -Ins. 14. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples 15. Access & Ventilation 16. Insulation Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date PLUMBING (Permit) OK except #'s 16. Water Htr.: Vent -Access -Combustion Air -Baffle -------------- - --------------------------- - -- 17. Water Pipe: Test & Anchor -Nail Protection 18. D.W.V.; Test -Fittings & Anchor -Nail Protection ---------------- ----- ---------------- --- - 19. Shower Pan: Test. First Floor -Tub Access 20. Test Tub & Shower. Second Floor -Tub Access 21. Gas Pipe: Size & Anchors Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date ELECTRICAL (Permit) OK except #'s 22. Fixture & Transformer Clearance -Ins. Protection -------- ---- ---- ------ ------------------------------------------------ 23. E-lec. Receptacles Spacing -Lights & Switches at Doors ---------- ------------------------------------------------------------ 24. Size Boxes & No. of Conductors-Stapted =----------- ---------------------------------------------------------------- 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 SizerGFI ------ ------------------------------- -------------------------------------------- 28. Subfeed Wire Size ga. Cu or AI-A.C. Wire Size / ! ga. Cu or At -------------------------------------- - ------------------------------------ ---- 29. Range Circ. ! r ga. Cu or AI -Oven Circ. / / ga. Cu or Al. Insulated' Neutral O Yes O No 30. --Service- Riser Conductors & Ground -Main Disconnect --------------------------------------------- _ 31 Equip Clearances Panels-Motors-Mech. Equip. ---------------------------------------- - -- - ---- - 32. Clothes -Closet--Light-Shower - Lght-Spa -Light -- -------- - - - -------- - -- -i--------------- ------------ - --- - - - -- 33. Smoke Detector -------------------------------------------x�-------------------------------- 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. 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 Card B-1 Date Card B-1 ---- -------------- ---------------------------------------------- ----------Date Card B-1 Date Card B-1 Date 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 Walls (rat proof) -------------- 43.. Fire -Stops, Furred Ceilings -Stairs -Chases -Tub -------------------------------------------------------- 44. Headers & Beam -Size & Bearing Date • FRAMING (Continued) ._ 45. Hangers -Post Caps -Anchors -Connectors r 46. Cing. Joist-Rftr. ties-Purlih=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 -0664 -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.'Ve6ts-Underflr. Access .u• 57. Glazing Area -Glass Protection -Skylights -Plastic 58. Shear Walls; Nailing -Bolts 59. Insulation -Walls -Ceilings 60. Infiltration -Walls -Windows ---------------- ------------------------- Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date FINAL (Plans) OK except #'s 61. Ext. Steps -Door & Sidelight Protection -Landings 62. Smoke Detector 63 Furnace; Vents -Clearance -Comb. Air -Connector - In Garage; Above Floor -Ducts -Meeh. 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 - 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. Hir.; Vents -Clearance -Comb. Air-Connector-P.R.V. In Garage: Above Floor-Mech. Protection ---------------------------------- - 75. Plb.. Elec. & Mech. Equip. Listed for Location 76. Elec. Receptaoles in Garage; (G.F.I.)-Romex Protection --------- - - -- 7 Insulation -Foam -Looked in Attic 13 Yes ------------- --------------------------------------- 78. - Guard Rails & Deck Const ruction- Post Caps ------------------------- 79. Fdn. Vents & Crawl Hole Door -Drainage & Wood -Earth Clearance Looked under Floor C1 Yes 80. Following instld.: Drive 0 Yes 0 No; Walks C1 Yes ❑ No; Planters 0 Yes ❑ No 81. Stucco: Brown -Finish ------------------------- 82. A.C. Unit: Disconnect, Electrical, Plumbing .. --- - ---- -- ---------------------- - -pP -- p --- 83. Vents Above Roof: Plb9 A liance-Fire lace. -Clearance to Openings 84. Water Well: Disconnect, Electrical, Plumbing- 85. Exterior Elec. Trim: G.F.I. Receptacle -Underground 86. Ventilation Throughout House --------------------------------- 87. Glass Protection .-.-..- ...-.------------------------------------------------ 88. Corrections from Previous Inspections ------------------------------- 89. Gas Test -Meters Tagged: Gas -Electric -------------------------- --------------- 90. Water & Sewer Connected -C/O to Grade -HD Approval --------------- ------------ ---- 91. Energy -Compliance -Certificate -Other Certificates ------------------------------------------- -- Date Card B-1 Date Card B-1 --------------------------------------------- - - Date Card B-1 Date Card B-1 - -- --- -- -- --- ------ ---------------------- Date Card B-1 Date Card B-1 Comments at Final: MOBILEHOME IRISTALLATION ACCEPTANCE COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS — 7 COUNTY CENTER DRIVE OROVILLE, CALIFORNIA 95965 — TELEPHONE: (916) 538-75`41 Address or location of mobilehome �� PERMIT NO/ ✓ WLr`1GS( p" t�lT Owner's name Owner's address C• Insignia or hud number / / �7 9 7 / G Manufacturer's name u C?Z 04L'- Serial nu b r of V.I.N. Gam-- Year of manufacture 79 _ 91Z .7 �i (Official Approving stallotion) . (Date) IF THE MOBILEHOME IS MOVED OR RELOCATED, THE MOBILEHOME INSTALLATION ACCEPTANCE SHALL BECOME INVALID. THIS FORM SHALL NOT BE USED WHEN THE MOBILEHOME IS INSTALLED ON A FOUNDATION SYSTEM. 513B White - Owner, Yellow - Installer, Pink - D.P.W. Al I! COUNTY OF BUTTE - DEPARTMENT OF'rDEVfLOPMENT SERVICES - BUILDING DTVI N 7 County Center Drive - Oroville, California' 95965 - Telephone (916) 538-75 `r ; i P�� T No. APPLICATION AND PERMIT `-/ ASSESSOR PARCEL NUMBER 028-170-131 ZONING MR ILDING PERMIT OWNER TELEPHONE SO, FT, OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS CONTRACTOR'S NAME (9U/*! TELEPHO E 1V. CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ LENDER'S MAILING ADDRESS Filing Fee $ 20,00 Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ 23.00 ARCHITECT OR ENGINEER'S MAILING ADDRESS Energy Plan Checking Fee $ Penalty $ BUILDING ADDRESS 1329 SWEDES FLAT RD PERMIT FEE $ OROVILLE 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 SF ElDuplex ❑ Mobilehome & Other 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 ❑ Remodel ❑ Utilities 1:1Installation Other EJContractor Describe Work: REPLACE #92-199 PERMIT FEE $ ELECTRICAL PERMIT Filing Fee 20.00 Main Service ( BOOV OR LESS ) 200. OR LESS 23.00 Main Service ( 200A TO 1000A ) 46.00 NEW CONST. DWELLING OCC P. OR ADDNS. ( & ACC. BLDS. ) S0. 3.501 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. �Jcense No. Classification lT , 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) ❑ 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 ) 20 @ 1.00 BAL. 1@ .50 Ex. Occu FIXED APPLNS. OR p' (OUTLETS IRESID.1 EA. ) 5.�� 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. Ifr I 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. 1 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 alee to save, indemnify and keep harmless the County of Butte against all liab' as, j dgments, costs, and expenses which may in any way accrue against said Cmy in onse ence of th granting of eFmit. Q Gl L X Date LZ�7 T Signature opplicant - ❑ Owner 13Co actor ❑ Agent ry An OSHAbArmit 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 $ 100.00 OCC CONST. TYPE TOTAL FEE $ IAI nn HAZ. I D. FEES I IMP I FLOOD I 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 indica d ove for whic as h e been paid. B Date n' PERMIT EXP RES ON (Dare) Receipt 168728 WHITE-D.D.S.-B.D. S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT COUNTY OF BUTTE - DEPARTMENT.OF•PUBLIC WORKS - BUILDING DIVISION - 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 -,TELEPHONE: 916/536-7541 •--------- `-- - `- -`- --PERMIT APPLICATION DATA SHEET�- �. •Permit•No - -- -;; 0 NEER-'=_ ' P. • o. _ 10 1 ,P oposed Building Use`Building ;Inspector --� Date i' �At_time of permit application, -I was advised the following data must be submitted prior to permit processing and/or issuance:. .r.}. 'ja}�'7TM?�:C�•J _....•-" -' _ .....^ w...._ .- _.r -_-r--.— ..c.+ `. ^�• ".� � � ',r-.. Ss _ DATE RECEIVED ._...-_—APPROVED ._._ ^1. All items have been submitted. ................ v' _^' �2. Plot plans in-duplicate/triplicate,-signed by pi�eparer "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 '.' .... I =v"ngineered truss details and layout in duplicate (required prior to plan check) 9. Mobilehome installation data including manufacturer's installation -_- instructions .........................................::... :.. 30 C7-- -10. __10. Fees of $ - :.::: - 11. Chico Urban Area fees paid ................... - - __ ... " - r- L 12 Park fees paid ...........::.:..............:::...........:... 13. School District fees paid ..... ~�..`:. . Sanitation approval from _ Health Department - 15. City of Chico plumbing per - :... • ... • • .............. . 16. Plot plan and business license approval from City of - - (see City for other requirements) 17. Planning approval for (A) Use: (B) Parking:- 18. arking: 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) ,A 2y Contractor's license information (No., Name Style, Classifications ... 22. Certificate of Workmans Compensation Insurance .................. 23. Owner -Builder Verification (Given to owner o, Mail to owner ❑) ..... 24. Recorded copy of Agricultural Acknowledgment Statement ......... 9*26. Leettterotsignat e authorization �...... • • .. • • you issue the permit, process as follows: Mail to owner. Mail to contractor. Telephone and hold for pickup at office. ---Deliver w/inspector. Other __j _ Copy of Hez-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 pe it issuance: (Circle new item not checked above),d k54 - 1. Index permit for above items No. 2. Additional items required: Contractor, designer, owner, was advised of above required data by_phone_mall—counter by .date Contractor, designer, owner, was advised of above required data by—phone —mal l—counter by date Plans checked by '(3413 Date_ Plans approved by AJ Date 2 Sets of plans on hold in File cabinet AP folder Copy—DPW COUNTY OF BUTTE Department of Development Services -Buildini 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) )(e s 2. I ave 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 Propt Socia 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 permitted to issue the permit. COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive - Oroville, Califorriia 95965 - Telephone (916) 538-7541 PERMIT No. APPLICATION AND PERMIT ASSESSOR PARCEL NUMBER D _ zONING ,//, BUILDING PERMIT OWNER l/c/���/ //J TELEPHONE gQ, FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS LLE6Z-E—/V /�T G, - t/ // vfG CONTRACTOR'S NA/V,U/ / j TELEPHONE CONTRACTOR'S MAILING ADDDRREE/SS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ LENDER'S MAILING ADDRESS Fling Fee $ 20,00 Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Q d Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS / , / G(/ PERMIT FEE $ 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 SF ❑ Duplex O Mobilehome �Other // \\ 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 O Remodel O Utilities O Installation Other O rte' 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 IOOOA ) 46.00 NEW CONST. DWELLINGOCCUP. OR ADONS. ( & ACC. BLOS. ) s0 3.5C FT. CONTRACTORS LICENSE LAW 1 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. License No. Classification O 1, 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 1 am exempt under Sec. Business and Professions Code forthis reason NEW CONST. MULTI -OUTLET •NON.RESID. ( BRANCH CIRCUITS ) @7.50 ( POWER APPARATUS ) & SINGLE OUTLET C.IR. Ex. Occup. ( OUTLET OR FIXTURES ) 2001.00 BAL. 50 Ex. Occup.FIXEDAPPLNS. OR (OUTLETS 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. ❑ 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. O I 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 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 cl nsequence of the granting of this permit. X Date ba lqa Signature of Applicant - O Owner ❑ Contractor 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 cONSr. TYPE TOTAL FEE $ Q HAZ• I D. FEES I IMP I FLOOD CDF I PARCEL PO HO 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 rDe tel Receipt No. WHITE-D.D.S.•B.D. CA ARY•ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT I BUTTE COUNTY SCHOOLS DEVE P•MENTFEE CERTIFICATION FORM ' (One Form per Building) A.P. Number ��� %~%''�3� Building Department.No. School 'Di strict DSO G/,c/ City D .County 15< Jurisdiction • Property Owner Al/60 AJ F, L - Project Location/Address / 3Z c'%0AZ,. Subdivision Lot Number Residential Development t.. ,1. .. : e, `ro: � •., � `S Footage # of Living MHI Addition (Group R) Units ,,:r Commerc}ial/Industrial.' yaR a Sq Footage _ New Addition (Including Exterior .Roofed Areas) a3 /9'Q Build;Vh4 Department Representative D to (Floor Plans reviewed by School District Te-rsonnel) y District Id No. 930 5 2 3• School 61sitrict;,certifdes: that , ••f —t Mi• — •— `has complied with the requirements of Resolution No. by the payment of $ representing !square feet. School District Representative Date PAID BY CHECK NO. REMARKS;, '.. •s. ,. Z. � >. ;�i.. �.. w�'. �.A .: � .. ...e....,:s:, .. a��{ der •'" T7 •, 'b' �v 1 BANK NO • � ' s� ' • � '` < •� PAID BY CASH white --applicant, yellow -building department, pink -school district SCHOOL.FEE (8/88) BUTTE COUNTY DEPARTMENT OF PUBLIC WORKS 7 County Center Drive, Oroville, CA PHONE: 538-7541. MOBILEHOME INSTALLATION SHEET 1. Owner's Name: ' UGVA/ � lc/zM' ""UE'Z .>X 2. Installer's Name: 3. Is the site currently under permit? (If yes, furnish permit number Is the site an existing site? Yes F1 No Yes F-1 _) OR No ,-Ej/ (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 E(,_� No F-1 (If no, clarify 5. What is the mobilehome electrical rating? --------------- Amps 6. What is the mobilehome site service rating? ------------- I/ Oct Amps 7. What is the mobilehome site circuit breaker rating? ----- Amps 8. Is there any other electric load to be served by the ET mobilehome site service? -------------------------------- Yes No (If yes, identify the load and size: (Load) (Amps) �r 9. What is the mobilehome site gas pipe size? -------------- � (in.) 10. What is the type of gas service? ------------------- Natural F] 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 'f t. on LPG.) FI LIE COPY MOBILEHOME SUPPORT DATA %� �NU If other than single wide, 1Y7 Mobilehome Mfr. V ��&0°` furnish Setup Model No. Year Width—/O (ft.) Box Length 5 G (ft.) Tagalong or Expando Size . x ft. On all mobilehomes manufactured after October 7, 1973, furnish manufacturer's installation manual and structural setup sheets (if not on file with the County of Butte). FOOTINGS (check one) 1. Wood -pressure treated or foundation grade. a 2. Other (specify) SUPPORTS (check one) 1. Concrete block. 2.' Other (specify) Pier Footing Sizes and Locations SINGLE -WIDE MULTI -WIDE Line 1 _ Line 2 MMain Beams Line 2- Lin Main Beams Tag or Triple .� Line 1 Line 1 Piers: Line 1 Openings: Size -Min. ------------ Size -Min. ------------------ Spacing-Max - ----------------- Spacing-Max- --------- ,_ Each Side of Openings �_ " With Width Over ►r From Enda-Max.------- _ Line 2"Piers :y p2 Line 3 Piers: (Under Bearing Wall Only) Size -Min.------------ �2"x24„ �Z�X30� Size -Min.- 'x 11 Spacing -Max---------- 5 ,_ 4 Spacing -Max---------------- I O n From Ends -Max.------- '_ '� ��-� From Ends -Max .------------- � Line 3 Roof Loads: Size -Min------------- „x „ „x „ „ „x „ „x „ nx „ ,y� „ k n Location (From Front) Line 4 Piers: Size-Min------------- Spacing-Max---------- , From Ends -Max .------- Line 5 Roof Loads: Size -Min. - ----- ---- Location (From Front) �' 1 Line 5 Piers: (Under Bearing Walls Only) Size -Min ------------------- 'k 11 Spacing -Max.--------------- ,_ „ From Ends -Max .------------- Pfto� (A) plans and sl kn► c i +hr. i16 CIT a rr^. -ten„ ��r•aq-- or , er N.Wf;�.1 m'?,,r,vNati ttd tl'�M.P�atbrr-��il Fle coflons MAST b i it is unlawful toi ++en perrnissi 00 the Department of Pu"tie- or s, Butte. � PGS 3 5'.4cv Avg:.. 100 FT Td su��LJ ` l� a b,A(o 5 P el oX 5� for � r _ X16 1.5 f r n i Z I<- 20 -W.&- LEI r - F; !Mrx:;marYSllt�3:ft811`iOK•' d cc ad fraC?ic 3t . d for -the Sp ,d. ii umbir►d &;1.IA.t ewb 1c4ir Location of structures equipment shall be as shown & clear of alleasements: 10' sioE t eEn2 SET 8ncrs W BUILT "ING DEPARTMENT Pei APPROVED l APPR l s� P ►I'AJ6 13w Z/G/92 (R) - � �_ - L�► 3972 �R� l� iLe cop { rNc �5,w. 500 SQ. FT. MINIMUM J FOR MOBILES MW O qz-lqg rn� t q2- 19 BUTTE COUNTY W BUILT "ING DEPARTMENT Pei APPROVED l APPR l s� P ►I'AJ6 13w Z/G/92 (R) - � �_ - L�► 3972 �R� l� iLe cop { rNc �5,w. tr—n7IJILI:' 3(j et'+ 'Moirs- 4 . — COUNTY OF BUTTE BUILDING DIVISION s DEPARTMENT OF DJEVELOPMENT SERVICES 1469 Humboldt Road, Chico, CA - (916) 891-2751 —Yr 7 County Center Drive, Oroville, CA - (916) 538-7541 747 Elliott Road, Paradise, CA - (916) 872-6307 •CORRECTION NOTICE OWNER PERMIT NO. A routine inspection indicates that the following violations of Butte County Ordinances exist at the above addre and should be corrected. Please notify this office when correction of work is completed you have any questions pertaining to this matter, or need additional explanation, please c ct this office immediately. i rr COUNTY OF BUTTE BUILDING DIVISION DEPARTMENT OF DPVELOPMENT 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 Z - 019, PERMIT NO. A roud ne inspection indicates that the following violations of Butte County Ordinances exist at the abwe address and should be corrected. Please notify this office when correction of work in completed. Hyou have any questions pertaining to this matter, or need additional explanation, Pkv contact office immediately. c lU� ��j2fi• i T /�/�p n �� G� ?7-1 r Date 2 " l�'' Inspector REV 10192 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 CARR CTION NOTICE O PERMIT NO. f A routine inspection indica t at the following violations of Butte County Ordinances exist at the above address s ouId be corrected. Please notify this office when correction of work is completed. ItKu have any questions pertaining to this matter, or need additional explanation, please contaof this office immediately. 22 7D Ceillh�le-_ i'�+ yam.•+r W -AMM REV 10192 �I 028-17-0-131 Y 92-0199 TERMINEL, AUGUSTINE CONTR : ERN I ES MH�-I` y_ 1329 SWEDES FLAT FAD; BANGOR 10 ', MHI COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT NO. 7 County Center Drive - Oroville, Cali fornla 95965 - Telephone: 916/538-7541 APPLICATION AND PERMIT ASSESSOR PARCEL NUMBER 28-17-131 ZONING M R BUILDING PERMIT OWNER AUGUSTINE TERMINEL TELEPHONE 421-3969 SQ. FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS 5871 VALLEY GLEN WAY SACRAMENTO 95823 CONTRACTOR'S NAME TELEPHONE 2051 CONTRACTOR'S MA ING AODR ESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation Is Filing Fee $ 15.00 LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ 20.00 Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS 1329 SWEEDS FLAT ROAD BANGOR Permit fee $ 15-00 PLUMBING PERMIT FilingFee 15.00 Each Trap 5.00 Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP Water piping 7.00 Each pas water heater or vent 7.00 USE OF STRUCTURE SF ❑ Duplex❑ Mobilehome® Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 15.00 Mobile Home S FGTW @ 15.00 TYPE OF WORK New❑ Addition ED Remodel❑ Utilit' ❑ Insta lationt=;rr�i Othe Describe work: Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 15.00 Main service 600VORLESS 200A OR LESS j$,50 Main service 200ATO1000A) CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): ❑ I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in full force and effect. License No. Classification (� I, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONST. DWELLING OCCUP.� OR ACDNS. (ACC. _37.50 3.64sq.ft. NEW CONSTR MULTI -OUTLET LET NON.RESID BRANCH CIRCUITS) @ 5.00 POWER APPARATUS (SINGLE OUTLET cItrR. ) Ex. Occup(OUTLETS OR FIXTURESFIXED 20 76 ALNS Ex. OCCUp. OUTLETS PIRESID IKEA.) I 3.00 Temporary service 15.00 Mobile Home Facilities 15.00 Misc. Wiring g 15.00 Permit Fee $ — WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. Contractor MECHANICAL PERMIT FilingFee 15.00 Heating Cooling g Hood 6.50 Ventilation Permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the Countyot Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue again d County in consequence of the ranting of this permit. X � �4-�cG /99z, Date Signature of pplicant — Owner Y ontractor ❑ 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 $ 7o -nn Energy Inspection Fee $ 105.00 occ CONST TYPE TOTAL FEE $ FiAz DFEES IMP FLOOD CDF PARCEL PD HD ISSUE This permit is hereby issued under the sions of the Butte County Code and/or work indicated above for which fees DIRECTOR OF PUBLIC By EXPIRES Date applicable provi- resolutions to do have been paid. WORKS DatePERMIT Receipt No.109539 WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR. GOLDENROD -APPLICANT T1 COUNTY OF,BUTTE - DEPARTMENT RTMENT 01= PUBLIC WORKS 7 County Center Drive-OrovIIIer'Call for'61a 6985 - Telephone: 916/538-7541 APPLICATION AND PERMIT fr ASSESSOR PARCEL NUMBER 28-17-131 ZONING 14 M R BUILDING PERMIT OWNER . AUGUSTINE TERMtNEI.I TE PHONE 4Y1-3969 .' . SO. FT. OCC. BUILDING VALUATION /a OWNER'S MAILING ADDRESS 1. / `5871 VALLEY GLEN WAYS 'SACRAMEM 9_% 30 CONTRACTOR'S NAME TEL PHONE }Y CONTRACTOR'S MA -ING ADDRESS �, r CONSTRUCTION LENDER r '-' UNKNOWN � t� Fireplace 'f Total Valuation $ LENDER'S MAILING ADDRESS • Filing Fee $ 15.00 Permit Fee $ ARCHITECT OR ENGINEER LICENSE.tJO, Plan Checking Fee ,$ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS 1329 SWEEDS FLAT ROAD BANGOR Permit fee *y $ PLUMBING PERMIT Filing Fee 15.00 Each Trap1 5.00 Solar or heat pump water heater 20.00 LOT NO.. SUBDIVISION NAME PARCEL MAP Water jpj:ng 7.00 Eac Qpasr.w r.heater or vent 7.00 USE OF STRUCTURE` / JUV it SF ❑ Duplex❑ MobilehomeFN Otheryam-' I „�r� -_SPECIF,v "Gas#pipi g1system 1- 5 outlets 1 5.00 Building sewer 15.00 Imobilg'Home S G W @ 15.00 TYPE OF WORK t New ❑ Addition ElRemodel [:1Utilit' [:]Insta lation Othe Describe work: MH 1 2 REIM, j V 7! Permit Fee $ ContractorVV ELECTRICAL PERMIT Filing Fee 15.00. Main service 600V OR LESS 200A OR LESS 18.50 Main service 200A TO IOOOA) 37.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): . "❑ I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in full force and effect. License No. Classification ryEX. LrJ I, as the owner, or my employees with wages as their sole compen- 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 OCCUPM I OR ADDNS. ACC. BLDGS.NEW 3.64 sq.ft. CONST NON.RESID R BRANCH CIRCUITS @ 5.00 POWER APPARATUS e (SINGLE OUTLET CIR. Ex. Occup(OUTLETS OR FIXTURES 20 76 ;r-;, OCCUp. OUTLETS PESIFIXED D )REA.) (R I 3.00 Temporary service 15.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 Permit Fee $ — WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. LRT"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 FiIingFee 15.00 Heating Cooling g Hood 6.50 Ventilation permit Fee $ Contractor I certify' that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize,representatives of the Countyot Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue again id County in consequence of the ranting of this permitt..� X Date P��1-�L �i9� Signature of pplicant — Owner X ontractor ❑ Agent ❑ An OSHA ion of structures toverr3gstoriesoineheight1Ons over 5'q" deep and demolition or construct- Mobile Home Installation Fee $ 70.00 Ener Inspection Fee $ 9Y P 105.00 occ CONST TYPE TOTAL FEE $ HAz DFEES IMP FLOOD C0F PARCEL PD HD ISSUE + This permit is hereby issued under the sions of the Butte County Code and/or work indicated above for which fees DIRECTOR OF PUBLIC By PERMIT EXPIRES Date applicable provi resolutions to do have been paid. WORKS Date Receipt No.109539 WMITE-D.P.W.. YELLOW -ASSESSOR. PINK -INSPECTOR, GOLDENROD -APPLICANT r, ; - COUNTY OF BUTTE -'DEPARTMENF`PUBLIC WORKS 7 County Center Drive - OrovIIIer ,61lforhl"5965 - Telephone: 916/538.7541 APPLICATION AND PERMIT If ASSESSOR PARCEL NUMBER 28-.17-131 ZONING . MR BUILDING PERMIT OWNER AUGU ME TM09IiVE;. TELEPHONE 411-3969, - SO. FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS ,5871 VALLEY GLEN JAY SACRAMENTO 9S$23M, CONTRACTOR'S NAMETELEPHO E - 4 CONTRACTOR'S MArLING AD -DRESS CONSTRUCTION LENDER UNKNOWN Fireplace Total Valuation Is L'4 -- Filing Fee $ 15.00 LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER LICENSE -ND.. Plan Checking Fee ,$' .00 Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS 1329 SWEEDS FIAT ROAM BANGOR Permit fee •4 $ �� PLUMBING PERMIT Filing Fee 15.00 Each Trap ° 5.00 Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP i ,' Water pigj.ng,,,- 7.00 Each!'gas1water heater or vent 7.00 USE OF STRUCTURE i ,{It,/ t.-. SF ❑ Duplex❑ MobilehomerA Other SPECIFY ;t Gas'piping'system 1 - 5 outlets 5.00 Building sewer 15.00 Mobile'Home I S I G I W @ 15.00 TYPE OF WORK ' f r New❑ Addition❑ Remodel❑ Utilit/i❑ Installation` Other Describe work: / jT r Permit Fee $ " Contractor .tet- ELECTRICAL PERMIT Filing Fee 15.00, Main service 600VORLESS 200A OR LESS j$,5O CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): `❑ I am licensed under provisions of Chapt. 9, Div. 3 of the BuslnesSPOWER and Professions Code and my license is in full force and effect. License No. Classification I, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason Main service 200A TO 1000AI 37.50 NEW CONST./ DWELLING OCCUP.E\ OR ADDNS. 1 ACC. BLDGS. II 3.6Q sq.ft. NEW CONSTR. OLTI-OUTLET NON-RESID BRANCH CIRC ITS @ 5.00 APPARATUS e (SINGLE OUTLET CIR. ' EX. Occup( OUTLETS OR FIXTURESFIXED 20 76d APLNS. Ex. OCCUp. OUTLETS (PRESID,)REA.� I 3.00 Temporary service 15.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 Permit Fee $ — WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate . of Consent to Self -Insure. t/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 FiIingFee 15.00 Heating Cooling g Hood 6.50 Ventilation permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the Countyot Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue again -nid County in consequence of the granting of this permit. X Date 1L*,AQ Signature Applicant — Owner ® ontractor ❑ Agent ❑ An OSHA permit is required for excavations over 5'0" deep and demolition or construct - ion of structures over 3 stories in height. Mobile Home Installation Fee S 70.00 Energy Inspection Fee $ 105100 DCC CONST TYPE TOTAL FEE $ HAz 11 FEES I IMP I FLOOD I CDF PARCEL I PD I HD ISSUE This permit is hereby issued under the sions of the Butte County Code and/or work indicated above for which fees DIRECTOR OF PUBLIC By PERMIT EXPIRES Date applicable provi- resolutions to do have been paid. WORKS Date Receipt N,109539 WHITE-D.P. W., YELLOW -ASSESSOR, PINK -INSPECTOR. GOLDENROD -APPLICANT I COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drivei• Orovllle, Calllfornle„V5965 = Telephone: 916!538.7541 APPLICATION AND PERMIT 5399B5399BOR PARCKL NUMBER 28._17-132 _WW ZONING M R BUILDING PERMIT N_ER AUGUS7M TEI? am TELEPHONE 421-390 SO. FT. OCC. BUILDING VALUATION MAILING ADDRESS 5872 VA= GL1AY 11AY SACPAMSN"1C7f 95823. CONTRACTOR'SNAME TELEPHO E CONTRACTOR'S MAr ING A ESS Fireplace CONSTRUCTION LEN ER UNKNOWN Total Valuation $ t. Filing Fee $ 15.00 LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ 20.00 Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS 1329 SMS MCI ROAD R Permit fee $ PLUMBING PERMIT FilingFee 15.00 Each Trap , 5.00 Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP Water piping 7.00 Each qas'water heater or vent 7.00 USE OF STRUCTURE Gas pipirig system 1 - 5 outlets 5.00 Building sewer 15.00 SF ❑ Duplex❑ Mobilehome[A Other Mobile Home S I G I W @ 15.00 SPECIFY TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utiliti ❑ Installations Other Permit Fee $ Describe work: !� t i Cij Contractor - ELECTRICAL PERMIT FilingFee 15.00 Main service 600v OR LESS 200A OR LESS 18.50 Main service 200A TO IOOOAI 37.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): ' ❑ I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in full force and effect.SINGLE License No. Classification NEW CONST. DWELLING OCCUP.tr\ NEW CONSTOR ACDNS. ACC. BLDGS. I NON -RES D R BRANCH CIRCTITS POWER APPARATUS tr OUTLET CIR. Ex. OCcup(OUTLETS OR FIXTURES 3.64sq.ft. @ 5.00 20 76 I, as the owner, or my employees with wages as their sole compen- FIXED APPLNS. Ex. DCCUp. OUTLETS ((RESID )RFA.) I 3.00 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) Temporary service Mobile Home Facilities Misc. Wiring 15.00 15.00 '15.00 ❑ I am exempt under Sec. , Business and Professions Code for this reason Permit Fee $ — WORKMEN'S COMPENSATION INSURANCE Contractor I declare under penalty of perjury (check one): MECHANICAL PERMIT FilingFee 15.00 ❑ The permit is for $100.00 (valuation) or less. Heating ❑ 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. Cooling g ®/I shall not employ any person in any manner so as to become subject Hood 6.50 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. 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 again Id County in consequence/off the granting of this permit. Mobile Home Installation Fee S 70.00 Energy Inspection Fee $ 105100 occ CONST TYPE TOTAL FEE $ HAz 1 1) FEES I IMP I FLOOD I CDF PARCEL I PD I HD ISSUE I X "��` t ` ` "ti'~r ++F�'f -� Date ��A,L /�`17.�.� This permit is hereby issued under the applicable provi- Signature of Applicant — OwnerAgent ❑ '® ontroctor ❑ An over 5'0” deep and demolition or construct- ion oofSHA structures over3storiesinheight. is sions of the Butte County Code and/or resolutions to do work indicated above for which fees have beenaid. DIRECTOR OF PUBLIC WORKS p Receipt No. 109yN 109y By PERMIT EXPIRES Date Date WHITE-D.P.W., YELLOW-ASSFSSOR, PINK -INSPECTOR. GOLDENROD -APPLICANT COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS - BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE: 916/538-7541 PERMIT APPLICATION DATA SHEET Permit No. OWNER �U�C/ �iV 7_L---1f1V / AV c5- Z_— P. o. a �— - Proposed Building Use �l l Bui Iding Inspector Date o�3 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 .............. § ..-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. Sanitation approval from 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 Inspector (Date) *-- 2, Contractor's license information (No., Name Style, Classification) ... 22. Certificate of Workmans Compensation Insurance .................. 23. Owner -Builder Verification (Given to 'owner ❑, Mail to owner ❑) ..... 24. Recorded copy of Agricultural Acknowledgment Statement ......... 25. L�tosignatyreauthorization ............ 27 Lee V2 you issue the permit, process as follows: Mail to owner. Mail to contractor. - Telephone and hold for pickup at office. Other Deliver w/inspector. 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 pe it issuance: (Circle new item not checked above). 1. Index permit for above items No. IV 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 —mal l—counter by date Plans checked by `*, IA Date ?[k 9a Plans approved by rAJ Date 2 Sets of plans on hold in Copy—DPW File cabinet AP folder COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 - Telephone: 916 '538-7541 APPLICATION AND PERMIT PERMIT NO. BUILDING PERMIT SO. FT. I OCC. I BUILDING VALUATION ES MA L1%G ADpR E55 CO HAH �NAMt rr rle4,r,5 �a TELGYHONE 18.5200A service 200ATO IDDOA, 37.5NEW CONST. ( DWELLING OCCUP.6:\ ACDNS. ACC. BLCGS./NEW 3.66sq.OR CONSTR ULT I.OUTLETNON.RESID BRANCH CIRC 'ITS CONTRACTOR'S MAIING ADDRESS I /5/z) a (POWER APPARATUS 6 SINGLE OUTLET CIR. gS�jp Fireplace 20 @ 760 AL_ CO) 41io FIXED APLNS. Ex. Occup. OUT ETSPIRESID IREA.) CONSTRUCTION LENDER Temporary service NKNOWN Total Valuation $ 15.00 Misc. Wiring Filing Fee $ 15.00 LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $d f O Energy Plan Checking Fee E. $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS r Permit fee $ f% PLUMBING PERMIT Filing Fee 15.00 i i yly0� Each Trap 1 5.00 Solar or heat pump water heater 1 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP Water piping 7.00 Each qas water heater or vent 7.00 USE OF STRUCTURE SF. I Duplex[] Mobilehomel>(f Other �� SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 15.00 Mobile Home I S 1 G JW I i @ 15.00 TYPE OF WORK ,�� New ❑ Addition ❑ model ❑ Utili,' s Installatiop�il Other ❑ Permit Fee Describe work:�— Contractor CONTRACTORS LICENSE LAW I declare underenalt p y of perjury (check one): ❑ 1 am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in full force and effect. License No. Classification ❑ I, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) I ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) F -1I am exempt under Sec. , Business and Professions Code for this reason 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. I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the Countyot Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue against said County in consequence of the granting of this permit. X Date Signature of Applicant — Owner ❑ Contractor ❑ Agent ❑ An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories in height. Receipt No. WH,TE-D.P.W.. TELL E ELECTRICAL PERMIT Filing FeeM15.00Main service 600V OR LESS OR LESSMain 18.5200A service 200ATO IDDOA, 37.5NEW CONST. ( DWELLING OCCUP.6:\ ACDNS. ACC. BLCGS./NEW 3.66sq.OR CONSTR ULT I.OUTLETNON.RESID BRANCH CIRC 'ITS @ 5.0 (POWER APPARATUS 6 SINGLE OUTLET CIR. Ex. Occup(OUTLETS OR FIXTURES 20 @ 760 AL_ CO) 41io FIXED APLNS. Ex. Occup. OUT ETSPIRESID IREA.) I 3.00 Temporary service 15.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 Permit Fee $ Contractor MECHANICAL PERMIT Filing Fee 15.00 Heating Cool ing Hood Ventilation Penult Fee Contractor 6.50 Mobile Home Installation Fee $ c) Energy Inspection Fee $ Z� a DCC CONST TYPE TOTAL FEE $ HAZ 10 FEES I IMP I FLOOD I CDF I PARCEL PD HD ISSUE This permit is hereby issued under the applicable provi- sions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DIRECTOR OF PUBLIC WORKS By Date PERMIT EXPIRES Date V=OK O = Not OK - = Not Applicable Not Ready MOBILE HOMES ' = Date/Initials MO HOME UTILITIES Plans OK except #'a I i Requirements -Setbacks -Easements oils; Special MH Support Sketch 3_ r; Loc gion-Test-Fall-C/O Concrete , V 4. Water,'Cocation-Teat-Easement Needed (Sketch)' /" L"ft. Clea f Date/Initials MOBILE NOME INSTALLATION (Plans) OK except #'a 1. Zoning Requirements -Setbacks Easements 2 Footings; Size -Spacing -Marriage Line 3.. Gas; MH Test-Demand-Valve—Connector 4. Electricity; MH Teat -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 0 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 Joista-Decking-Bracing-Stairs-Rails 4. Wood Awn.; Posta-Beams-Rftra.-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 -Landing§ Date/Initials POOLS (Plans) 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 4' 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. Fig., Main; Soils-Elec. Grnd.-/ P' Fig. Depth 3. Fig., Garage; Soils-Steel-Elec. Grnd.-/ /" Fig. Depth 4. Ftg., Porches & Decks; Soils -Steel-/ /Fig. 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/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. Plenums & Ducts; Clearance -Material -Support -Ins. 14. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples 15. Access & Ventilation 16. Insulation Date/Initials PLUMBING (Permit) OK except #'s 16. Water Htr.; Vent -Access -Combustion Air -Baffle 17. Water Pipe; Test & Anchor -Nail Protection 18. D.W.V.; Test -Fittings & Anchor -Nail Protection 19. Shower Pan; Test, First Floor -Tub Access 20. Test Tub & Shower, Second Floor -Tub Access 21. Gas Pipe; Size & Anchors Date/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/Mach. 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 Al 29. Range Circ. / / ga. Cu or AI -Oven Circ. / / ga. Cu or Al. Insulated Neutral ❑ Yes ❑ No 30. Service -Riser Conductors & Ground -Main Disconnect 31. Equip. Clearances Panels -Motors -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 Wells over Girders & Floor Nailing 42. Draft Stop in Walls (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. Cing. Joist-Rftr. ties- Purl in' --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 -Lending -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 -Wells -Ceilings 60. Infiltration -Walls -Windows Date/Initials FINAL (Plans) OK except #'s 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 -Mach. 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 -Drainage & Wood -Earth Clearance Looked under Floor ❑ Yes 80. Following instld.; Drive ❑ Yes ❑ No; Walks ❑ Yes ❑ No; Planters ❑ Yes ❑ No 81. Stucco; Brown -Finish 82. A.C. Unit; Disconnect, Electrical, Plumbing 83. Vents Above Roof; Pibg: 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: AP OWNER 6 fJ . / f ll I;V *' , PERMIT "t (z?3 —,J 2 MH UTIL.CLEARA CE DATE SirdJ `g INSPECTOR ELECTRIC GAS Support Struc. Compactic Test Rea. _Service Other Pipe YES NO YES NC. _Size Load � T e Length UJz _Size l - 1 COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive - Oroville, California 95965 - Telephone (916) 538-7541 PERMIT NO APPLICATION AND PERMIT q_3 -3z� ASSESSOR PARCEL NUMBER 028_170-131 BUILDING PERMIT OWNER Augustine Terminal °N �+�-3969 SQ. FT. OCC. BUILDING VALUA TION OWNER'S MAILING ADDRESS 5871 Valley Glen Way, Sacramento 93823 CONTRACTOR'S NAME Owner TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation is Filing Fee $ 20.00 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 $ 1329 Swedes Flat Rd. BAn or 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 SFO Duplex O Mobilehome MOther SPECIFY Gas piping system 1 5 outlets 15.00 Building sewer 15.00 Mobile Home S G I W 1 1 @20.00 20.00 TYPE OF WORK New O Addition O Remodel O Utilities ))Installation ❑ Other O Describe Work: Rpplqrp Expired Utility ty Gas/Electric PERMIT FEE $ 40. 00 Contractor ELECTRICAL PERMIT Filing Fee 20.00 Y G 7 Main Service ( V A OR LESS ) 200 200OR LESS 23.00 Main Service ( 200A TO 1000A ) 46.00 NEW CONST. DWELLING OCCUP. OR ADDNS. ( & ACC. BLDS. ) SO. 3.50 FT. NEW CONST. MULTI.OUTLET •NON-RESID. ( BRANCH CIRCUITS ) @7.50 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. License No. Classification 1, 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) ❑ I, as the owner, am exclusively contracting with licensed contractors. (Sec 7044) O 1 am exempt under Sec. Business and Professions Code forthis reason ( POWER APPARATUS ) & SINGLE OUTLET CIR. Ex. Occup. ( OUTLET OR FIXTURES ) BAL. @ 1. 1:0550 Ex. Occu FIXED APPLNS. OR p' ( OUTLETS (RESID.) EA. ) 1 5.00 5.00 Temporary Service 23.00 Mobile Home Facilities 1 20.00 1 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 Certificate of Consent to Self -insure. 71' I 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 $ 45.00 Contractor MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling Hood ELE650 Ventilation PERMIT FEE S 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 agree to save, indemnify and keep harmless the County of Butte against all liabilities • ments, costs, and expenses which may in any way accrue against said Coun(in co equ nce of th granting of th ermit. X Date Ovpo Signature ofAp licant - Owner ❑ Con for C1 Agent ' An OSHA permit is required for excava ons 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 $ 85.00 HAZ. I D. FEES IMP I FLOOD I COF I PARCEL I 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. DIRECT R OF PUBLIC WORKS v By Date l b Z PERMIT EXPIRES ON [De re" Receipt No. 148967 WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT "'7L'''�%i�.: ax:::�,,,:rT+,•i+"y�,rti,�,'�iCi��TT"'+r��'c�'�YN�r'i'"�iwr"�i�.�'1'�..1`it+nt�'' "�' !; r "'Mgr.....-f^"�'k.r «^r.. r -4- COUNTYOF BUTTE-`DEPARTMENTOF DEVE-LOPMENTISERVICES -BUILDING DIVISION J 1 g yft 7 COUNTY CENTER DRIVE - OROVILLE, CAI` IVORNIA 95965 -TELEPHONE (916) 538-7541 r PERMIT APPLICATION DATA SHEET Proposed Building Use Building Inspector 31' N At time of permit ap ication, 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. ......... t .............................. 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 flood) by California Engineer . .................. 14. Sanitation and plot plan approval Health Department . ............ 15. City of Chico plumbing permit . ................... .................... 16. Plot plan and business license approval from City of Biggs/Gridley. ............. 17. Planning approval for (A) Use: (B) Parking: ......... 18. Contact Land Development about (A) Improvements (B) Drainage. .......... . 19. Driveway permit (construction approval required prior to occupancy). .. . . 20. Pre-inspeci:ion for I required. .. a n;la g Inspector (Date) 21. Contractor's license information. (No., Name Style, Classification) . .............. 22. Certificate of Workmans Compensation Insurance. ...:t ....................... 23. Owner -Builder Verification (Given to owner , Mail to owner _ )............ 24. Recorded copy of Agricultural Acknowledgement Statement . ................... 25. Letter of signature authorization . ....................................... . 26. Copy of recorded deed of parcel creation and 60 right of way to a public road. .... . 27. Letter of intent on building use . .......................................: . 28. Mobilehome utility clearance . ..................:...................... . 29. Documentation of legal access . ..................... 30. Documentation of 50% subdivision developed or (A) Road improvements completed and (B) Parcel meets zoning area and frontage requirements . ............... 31. Existing violations/expired permits . ..........................:. ........... 32. Plan check list . .................................... ................. 33. .34. When you issue the permit, process as follows: ail to owner. Mail to contractor. Telephone and hold for pickup at office. Deliver with inspector. Other A Parcel Creation� / Acreage Applica Date /� Copy of Haz-Mat form sent Health Dept; Fire Dept. Wir 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: 1 Contractor, designer, owner, was advised of above required data by _ phone _ mail Counter by _ Date Contractor, designer, owner, was advised of above required data by _ phone _ mail, Counter by _ Date Plans checked by Date Plans approved by Date Sets of plans on hold in File cabinet AP folder Copy - Department of Public Works COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive - Oroville, California 95965 - Telephone (916) 538-7541 PERMIT NO. APPLICATION AND PERMIT ASSESSOR PARCEL NUMBER _�_6_/3/ ZDNI_/,7NG A /?-,BUILDING PERMIT TELEPHONE SQ. FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDRESSV K/ a 511 7Z CONTR R'NAM TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ Filing Fee $ 20.00 LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER ucENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDR 3�� /��� L n (� (/ PERMIT FEE S �6Q 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 O Mobilehoma Other SPECIFY Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home G W @20.00 TYPE OF WORK New ❑ Addition ❑ Remodel El UtidlitiieesA (Installation ❑ Other O Describe Work: i �/ I C-�(/ PERMIT FEE g Contractor ELECTRICAL PERMIT Fling Fee 20.00 Main Service 101 OR LESS ( 200A OR LESS ) 23.00 Main Service ( 200A TO 1000A ) 46.00 NEW CONST. DWELLING OCCUP. OR ADONS. ( 6 ACC. BLDS. ) 3.5C FTSO., CONTRACTORS LICENSE LAW declare under penalty of perjury (check one) O 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. License No. Classification ❑ 1, 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 ) 6 SINGLE OUTLET CIR. Ex. Occup. ( OUTLET OR FIXTURES ) 20 �1 1.00 BAL. .so Ex. Occu FIXED APPS. OR P• (OWUTLETS IRESID.1 EA. ) r 5.0000 Temporary Service 23.00 Mobile Home Facilities 20.00 0,60 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 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 Certificate of Consent to Self -insure. ❑ I 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 agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue agains said County in consequence of the granting of this permit. a X Date !/ Signature of Applicant - O Owner O Contractor 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 $ ? 0 HAZ. O. FEES IMP FLOOD COF PARCEL PD HO 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. DIRECTOR OF PUBLIC WORKS By Date PERMIT EXPIRES ON lOerel Receipt No. / O WHITE-D.D.S.-.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT COUNTY OF BUTTE - Department, of Public Works 7 County Center Drive, Oro-lille, CA 95965 Phone: 916-538-7541 OWNER -BUILDER VERIFICATION Attention Property Owner: An 'owner -builder" building permit has been applied for in your name and bearing your signature. Please complete and return this information at your earliest opportunity to avoid unnecessary delay in processing and issuing your building permit. No building permit will be issued until this verification is received. 1. I personally plan to provide the major labor and materials for construction of the proposed property improvement (yes or no) tf 2. I (have/have not) E 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. ' 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. �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 Securit Date z NOTE: This Owner -Builder Verification is sent to you as required by Sections 19831 and 19832 of the California Health and Safety Code. This verification must be completed and returned to our office before we are -per- mitted to issue the permit. COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 - Telephone: 916/538.7541 APPLICATION AND PERMIT / PERMIT NO. 92r-198 ASSESSOR PARCEL NUMBER 28-17-131 ZONING MR BUILDING PERMIT OWNER Aupaustine Terminel TELEPHONE •• SO. FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS 5871 Valle Glen Way, Sacramento 5823 CONTRACTOR'S NAME owner TELEPHONE t CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ Filing Fee $ fi5`'69— LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ 20. 00 Energy Plan Checking Fee $ ' ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS 1329 Swedes Flat Rd Bangor Permit fee $ 20.00 PLUMBING PERMIT Filing Fee 15.00 Each Trap 5.00 Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAMEPARCEL MAP Water piping 7.00 Each qas water heater or vent 7.00 USE OF STRUCTURE SF ❑ Duplex❑ Mobilehomepg Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 15.00 Mobile Home I S I G I W @ 15.00 45.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities © Installation[] Other ❑ Describe work: mhu 2 bdrm Permit Fee $ 60.00 Contractor ELECTRICAL PERMIT Filing Fee 15.00 Main service 600V OR LESS 18.50 200A OR LESS Main service 200ATO1000A) 37.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): ❑ I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in full force.and effect. License No. 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 OCCUP.Ik\ 3.6Q sq.ft. OR ADDNS. t ACC. BLDGS. I/ NON•RESID R BRANCH CIRCUITS @ 5•00 POWER APPARATUS e (SINGLE OUTLET CIR. Ex. Occup(OUTLETS OR FIXTURES 120@76 FIXED APPLNS. OR EX. Occup. OUTLETS (RESID.) EA.� I 3.00 Temporary service 15.00 Mobile Home Facilities 15.00 Misc. Wiring g15.00 Permit Fee $ 48 — WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. Contractor MECHANICAL PERMIT FiIingFee 15.00 Heating Cooling g Hood 6.50 Ventilation permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the Countyot Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liab' es, judgments, costs, and expenses which may in any way accrue agai sai Co my in co sequence of the granting of this permit. q X Date llc/ Signature of pplicant — Owner ontractor ❑ Agent ❑ An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST TYPE TOTAL FEE $ 128.50 HAz DFEES IMP FLOOD -- CCF PARCE PD HD Issu This permit is hereby issued under the applicable provi- Bions of the Butte County Code and/or resolutions to do work indicated abov r which fees have been paid. E OF PUBLIC WORKS By j�%D G Date - Z—PL PERMIT EXPI . ES Date l— / Z _9 Receipt No. 109539 WHITE-D.P.W., YELLOW -ASSESSOR. PINK -INSPECTOR, GOLDENROD -APPLICANT • Return to DPW AGRICULTURAL STATEMENT OF ACKNOWLEDGEMENT .-----,FOR RESIDENTIAL DEVELOPMENT Section 26-8.1 of the Butte County' Code requires this acknowledgement be recorded prior to issuance of a building;'permit The property described herein is adjacentry to land or included within an area zoned G �� 0941 for agricultural purposes, and residents I of this property may be subject to incon- Recorded veniences or discomfort arising from the Official Records I use of agricultural chemicals, including, County of but not limited to herbicides, pesticides,, Butte I and fertilizers; and from the pursuit Candace J. Grubbs I of agricultural operations including, Recorder but not limited to cultivation, plowing, 11:14am 12 -Jun -92 spraying, pruning, and harvesting which occasionally generate dust, smoke, noise, and odor. tural zones which have as a priority use for productive within said zones and on adjacent property should be or discomfort from normal, necessary farm operations. 92-26094 Rec Fee 5.00 Cash 5.00 PUBL XX 1 Butte County has established agricul- agricultural purposes, and residents prepared to accept such inconvenience All that real .:property- situate in the County of Butte, State of California, described as follows: THE LAND REFERED TO IS SITUATED IN COUNTY OF BUTTE, STATE OF CALIFORNIA, DESCRIBED AS FOLLOWS: parcel 3, as shown.on that certain parcel map of a portion of section 2, TOWNSHIP 18 NORTH, RANGE 5 EAST, M.D.B:& M., WHICH PARCEL MAP WAS FILED IN THE OFFICE OF THE RECORDER OF THE COUNTx,OF BUTTE, STATE OF CALIFORNIA, APRIL 29, 1981 IN BOOK 82 OF PARCEL, MAPS, AT PAGE 64. BUTTE COUNTY TAX PARCEL N0. 0:28--17-0-131-0O. Date: ,g41 / /ffIL PROPERTY OVNERS 2 State of County of -pc, pM ) Present •A.P. No. On this the c v before me the 0 ' day of � urrP _�, 19�., , SS. undersigned Notary Public, personally appeared � ct G c� S ! ��I p I 2 rZ in � •;l e �.� J '� !-1Nc' . Personally known to me. ffProved to me on the basis of satisfactory evidence. to be the person(s) whose name(s) Age subscribed to the within instrument and acknowledged that JLev 1011c D OF DOCUMENT h. l COUNTY OF BUTTE - DEPARTMENT.OF PUBLIC WORKS - BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILLE, CALIFO,Rt4lA 95965 - TELEPHONE: 916/538-7541 sd PERMIT APPLICAT.ION'DATA SHEET Permit No. OWNER � i�� %�N C�/� moi. fN � v A. P. �3 E — Proposed Building Use m14 Building Inspector Date 3 Af time of permit application, I was advised the following data must be submitted prior to permit processing and/or issuance: DATE RECEIVED APPROVED 6 1: All items have been submitted . .............................:::::: : 2. Plot plans in duplicate/ ri lic signed by preparer of plans. f—'�©'Qf Z 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 .................................................... . 13Schoo istrict fees paid ............ . —��14. Sanitation approval from Heal�Department 1 3O-`tZ 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: 'r 18 provements may be required. Contact Land Development Section DPW. 9. Driveway permit (construction approval required prior to occupancy) f 20. Pre -Inspection for required ... Pre-Inspec. request to i Building Inspector (Date) 21. Contractors license information (No., Name Style, Classifications .. . 22. Certificate of Workmans Compensation Insurance .................. ner-Builder Verification (Given to owner o, Mail to owner ❑) ..... _4_J&Rw ecorded'copy of Agricultural Acknowledgment Statement ......... 25. Letter of signature authorization ................................... 26. ' 27. 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 _ Date �- Copy of Haz-Mat form sent Health Dept. - Fire Dept. _Air Pollution Date Copy of plans sent _Health Dept. Fire Dept. Other Date By The following data must be submitted ri ermit issuance: (Circle new item not checked above). 1. Index permit for above items No. 2. Additional items required: Contractor, designer was advised of above required data by ✓phone_mail_counter byAL/ .date �(s�9l owne Contractor, designer, owner, was advised of above required data by—phone —mal l—counter by date Plans checked b, Sets of plans on hold in Copy—DPW Date Z 97, Plans approved by OV3 Date d File cabinet AP folder TO: Building Department FROM: Encroachment Permit Section RE: Driveway Clearance ��• �fT�%,e Tv�i,:ze/ 5 e el ���f lfd( owner location - AP # Driveway permit ! Z-Vd7 -22--r-has been issued for the above property. 1661 #10 N b/'� s i atureUa�QN,0�7O, date COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT NO. 7 County Center Drive - Oroville, California 95965 - Telephone. 916 '538-7541 APPLICATION AND PERMIT C� l ASSES RCEL NUMBER Z.ONI i � i -- l BUILDING PERMIT OWNERT L PHONE SO. FT. OCC. BUILDING VALUATION 1,1C OWNER'S MAILI G A RESS Wy iCONT ACTO 'S-N/i �j ! I TELEPHONE I CONTRACTOR'S MAILING ADDRESS Filing Fee 15.00 Fireplace 18.50 r - Main service 200A TO 1000AI CONSTRUCTION LENDER NEW CONST.( DWELLING OCCUP.&) OR ADDNS. 1 ACC. BLDGS. II UNKNOWN Total Valuation $ @ 5.00 POWER APPARATUS &) (POWER OUTLET CIR. Filing Fee $ .00 LENDER'S MAILING ADDRESS I 3.00 1. Permit Fee $ Mobile Home Facilities ARCHITECT OR ENGINEER Misc. Wiring LICENSE NO. Plan Checking Fee $ Q Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS I Filing Fee 15.00 Penalty $ BUILDING ADDRESS Permit fee $APV d� PLUMBING PERMIT Filing Fee 15.00 60 Each Trap 1 5.00 Solar or heat pump water heater 20.00 i LOT NO. SUBDIVISION NAME PARCEL MAP Water piping 7.00 Each pas water heater or vent 7.00 USE OF STRUCTURE SF I: I Duplex❑ Mobilehomel�Q Other T� SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 15.00 Mobile Home kvl, 15.00 0 � TYPE OF WORKS New _; Addition �/f Remodel C Uti lities��J( Describe A iklyrl"A(LL] (/�/�t2J Installation C Other ❑ _ Permit Fee $ Q r Contractor CONTRACTORS LICENSE LAW I 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 ;Jo. 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) Fi I am exempt under Sec. , Business and Professions Code for this reason 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. I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the Countyot Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue against said County in consequence of the granting of this permit. X Date Signature of Applicant — Owner ❑ Contractor 0 Agent ❑ An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories in height. Receipt No. &Q Is- -� WHITE-D.P.W.. YELLOW -ASSESSOR, PINK -INSPECTOR. GOLDENROD -APPLICANT ELECTRICAL PERMIT Filing Fee 15.00 Main service 600VORLESS 200A OR LESS 18.50 r - Main service 200A TO 1000AI 37.50 NEW CONST.( DWELLING OCCUP.&) OR ADDNS. 1 ACC. BLDGS. II 3.60 sq.ft. NEW CONSTRULTI.OUTLET NON.RESID, BRANCH CIRC 'ITS @ 5.00 POWER APPARATUS &) (POWER OUTLET CIR. Ex. Occup(OUTLETS OR FIXTURES 20 760 FIXED APPLNS. OR Ex. Occup. OUTLETS IRESID.I EA.) I 3.00 1. Temporary service 15.00 Mobile Home Facilities 15.001 1e, 0 O Misc. Wiring 15.00 Permit Fee $ Contractor MECHANICAL PER Filing Fee 15.00 Heatina Cooling Hood 6.50 Ventilation Permit Fee $ Contractor Mobile Home Installation Fee S Energy Inspection Fee $ OCC , CONST TYPE TOTAL FEE $ HAZ I DFEES I IMP I FLOOD I CDF I PARCEL I PD I HD I ISSUE This permit is hereby issued under the applicable provi- sions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DIRECTOR OF PUBLIC WORKS By Date PERMIT EXPIRES Date COUNTY OF BUTTE - Department of Public Works 7 County Center Drive, Oroville, CA 95965 Phone: 916-538-7541 OWNER -BUILDER VERIFICATION Attention Property Owner: An 'owner -builder" building permit has been applied for in your name and bearing your signature. b 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) ES 2. I (f tavjeXhMVe=z:UUt) signed an application for a building permit fore 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 Signed: Property Owner Social Security Number - Date 43`.� /Y9� 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. 4Return to DPW AGRICULTURAL STATEMENT OF ACKNOWLEDGEMENT FOR RESIDENTIAL DEVELOPMENT Section 26-8.1 of. the Butte County Code requires this acknowledgement be recorded NOT COMPARED WITH prior to issuance of a building . permit .va .4 2 1992 ORIGINAL DOCUMENT JU The property described herein is adjacent to land or included within an area zoned for agricultural purposes, and residents of this property may be subject to incon- veniences or discomfort arising from the use of agricultural chemicals, including, but not limited to herbicides, pesticides, and fertilizers; and from the pursuit of agricultural operations including, but not limited to cultivation, plowing, spraying, pruning, and harvesting which occasionally generate dust, smoke, noise, and odor. tural zones which have as a priority use for productive within said zones and on adjacent property should be or discomfort from normal, necessary farm operations. 92-026p94 Butte County has established agricul- agricultural purposes, and residents prepared to accept such inconvenience All that real property. situate in the County of Butte, State of California, described as follows: THE LAND REFERED TO IS SITUATED IN COUNTY OF BUTTE, STATE OF CALIFORNIA, DESCRIBED AS FOLLOWS: parcel 3, as shown on that certain parcel map of a portion of section 2, TOWNSHIP 18 NORTH, RANGE 5 EAST, M.D.B.& M., WHICH PARCEL MAP WAS FILED IN THE OFFICE OF THE RECORDER OF THE COUNTY OF BUTTE, STATE OF CALIFORNIA, APRIL 29, 1981 IN BOOK 82 OF PARCEL MAPS, AT PAGE 64. BUTTE COUNTY TAX PARCEL NO. 028-17-0-131-0. Date: .Z4J,AA-f /ff;-, State of S S . County ofpcRoMe✓T6 ) Present A.P. No. PROPERTY OWNERS On this the 0 day of 7.3 uyP • _, 19 before me, the undersigned Notary Public, personally appeared ci G us �e�Add 1Z /n l Ne Personally known to me. RTProved to me on the basis of satisfactory evidence. to be the persons) whose name(s) A 2e subscribed to the within instrument and acknowledged that e executed the same for the purposes therein contained.- IN*-'tII-TNESS TO- FROM: SUBJECT: .Building Department Environmental Health Sanitation Clearance �J Owner Location Ap# Plan Approved for: Sewage Disposal ._�/_ Water'Supply� Hold final for:. Water Supply _ Final clearance O.K. for: Water Supply Clearance for bedroom mobile home. Other NOTE •** Sanitarian Date V4 N PG4— 3 5.a se, goo fr-r: L`E F- � 56, a j66Aj�_ 1► 5 �1p�5� j► 2 --- - ---- -------- �66, W6 '— SEgn.atu Sit *A, L rAt l !(i.IG►' (R) f G cc �-- 16 MI) Ilya ®� :IAN 19 92 APPROVED Butte County Environmental) Health Date --- - ---- -------- �66, W6 '— SEgn.atu Sit *A, L rAt l !(i.IG►' (R) f G cc �-- 16 MI) Ilya ®� :IAN 19 92 COUNTY OF BUTTE - Department of Public Works 7 County Center Drive, Oroville, CA 95965 Phone: 916-538-7541 OWNER -BUILDER VERIFICATION Attention Property Owner: An 'owner -builder" building permit has been applied for in your name and bearing your signature. y 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. Ihave contracted with the followingPerson (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 OwnerC�_,�✓ Social Security Number Date NOTE: This Owner -Builder Verification is sent to you as required by Sections 19831 and 19832 of the California Health and Safety Code. This verification must be completed and returned to our office before we are per- mitted to issue the permit. COUNTY OF BUTTE - Department of Public Works 7 County Center Drive, Oroville, CA 95965 Phone: 916-538-7541 OWNER -BUILDER VERIFICATION Attention Property Owner: _ An 'owner -builder" building permit has been applied for in your name and bearing your signature. 1 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. I (have/have not) _ signed an application for a building permit for the proposed work. 3. 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 Signed: Property Owner , C.Z, / Social Security Number Date J4 -714:A/ If 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. CLAIMANT: o f eounf*, OROVILLE, CALIFORNIA GENERAL CLAIM Jack Smith ADDRESS: 1329 Swedes Flat Rd. CITY & STATE: Oroville, CA 95965 IMPORTANT: October 3, 1986 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. #2535-86B,P, Receipt #63331, dated 8/25/86, A.P. #28-17-131). ,M, _ Building permit fees paid -------------------- $442.00 Retain filing fee--------------$ 10.00 Retain plan checking fee ------- $139.00 Retain energy plan checking fee$ 15.00 Amount retained ---------------------------- $164.00 Refund due ---------------------------------------------- $278.00 Plumbing permit fees paid--------------------$ 50.00 Retain filing fee---------------------------- 10.00 Refund due ---------------------------------------------- $ 40.00 Electrical permit fees paid ------------------ $ 73.20 --tee Retain filing i ing ee---------------------------- -----------------ZZ--------- $ 10.00 Refund Refund due ---------------------------------------------- $ 63.20 _ Mechanical permit fees paid ------------------ $ 13.00 Retain filing fee---------------------------- 10.00 Refund due ---------------------------------------------- $ 3.00 Refund energy inspection fee ---------------------------- $ 30.00 TOTAL REFUND DUE ---------------------------------------- $414.20 TOTAL $414.20 1, the undersigned, declare under penalty of perjury that the services or articles claimed have been claim is true and correct as stated. Dated this ....... `�. 3? .......... day of .... .... 19..Y, et C ( Calif. , ed or delivep d, and that this .cure of laim ant 1, the undersigned, hereby certify that, to the best of my knowledge, the services or articles s`p'eclfied abovei have been performed or de- livered and that there is a Budget Appropriation❑ or Specific Hoard ApprovelO (Check on e) ," as Dated this .............3rd...,.,........ day of October 19 86 at Oroville. , Calif. ` .... ....... ........ ...... ....' .......................... ......„....... _..... ep."Ment Head or Authorized Deputy Dept. Exp. / Code ............................................ Code ................................................PAYABLE FROM................tZ.......................................................... ..... FUND DO NOT WRITE BELOW THIS LINE - AUDITOR'S USE nNl v DEPT. & SUB. PROJ. SUB. OBJ. CLAIM NO. INV. NO. INV. DATE ENCUMB. GROSS AMT. k� COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 - Telephone 916/534-4541 APPLIeATIDN AND PERMIT PERMIT NO. e �y & ASSE$SQ A_CE�. NUMBER J` ZO C BUILDING PERMIT OWNER r TELEPHONE SO. FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS �/) / NTRACTT^lOR'S NAME TELEPHONE O CONTRACTOR'S MAILING ADDRESS Fireplace f 1000 CONSTRUCTION LENDER UNKNOWN Total Valuation $ Filing Fee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee A ECT O TR ENGINEER - 10 LICENSE No. Plan Checking Fee ' Energy Plan Checking Fee $ s ARCHITECT UIR ENGINEER'S MAILING ADDRESSZEbL Penalty $ BUILDING ADDRESS Permit fee $ , dD PLUMBING PERMIT Filing Fee 10.00 Each Trap 5 2.00 D - Solar. or+t�p-w r h ater 20.00 00. dD LOT NO. 3"6 SUBDIVISION NAME PARC ELMAP Water piping 5.005. Each cias water heater or vent 5.00 USE OF STRUCTURE SF [M Duplex❑ Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5 -OOT S Mobile Home S I G W 0.00ea TYPE OF WORK New x Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑ Describe work: / Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 100V DR LESS 100 AMP OR LESS 10.00 /6), 0 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. O `�rA CCUP.01 43. OR ADONS. A C wee / /20sgft NEW CONSTR MULTI -OUTLET 2.50 ea NON.RESID BRANCH CIRC ITS POWER APPARATUS 6 SINGLE OUTLET CIR. Ex. Occup( OR FIXTURES 209500 BALO 30 FIXED APPLNS. OR EX. Occup. OUTLETS (RESID.) EAJ 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Iyirin g 15.00 Permit Fee $ WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. I shall not employ any person in any manner so as to become subject 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 such113.6-0 provisions or this permit shall be deemed revoked. Contractor MECHANICAL PERMIT Filing Fee 10.00 Heating Cooling Hood 3.00 5. 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 a ee to save, indem and keep harmless the County of Butte against all liab' ties, judgments, co s, and expenses which may in any way accrue -agains id Coun in c s quence of t e granting of this permit. Sign re of Applicant — Owner Contractor ❑ Agent An SHA 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 $ .6 V TOTAL PERMIT FEE $Pu 3 . coN9 TrPc PLoo PAR CE Pu, fv/ ND ISSUE This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which DIRECTOR OF PUBLIC By PERMIT EXPIRES Date the applicable provi- resolutions to do fees have been paid. WORKS Date Receipt No. 43331 WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT VC reVC7-10 c� cod AE G ?4L SPS 0 } COUNTY OF BUTTE - DEPARTMENT OFe PUBLIC WORKS - BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVII LE,�ILIFORNIA 95965 - TELEPHONE: 916/534-4541 PERMIT APPLICATION DATA SHEET -------- OWNER a- 54; Permit No. A. P. No. Proposed Building Use n LtAj S f` Permit Fee Based Upon: Complete Contract Price DPW Valuation Other (E�,plain) Building Inspector At time of permit application, I was advis d 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. 0 Complete engineered plus and cam. . 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. l8. Fees of $ (/ o S,-(9 0 . . . . . . . . 9- Letter of signature authorization. . . . . . . . D -.—Sanitation approval from Health Dept. . . vy 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 ownerE]) 15. Improvements may be required. . . . . . . . . . . . 16. Mobilehome Installation Data. . . . . . . . . •Pre-Inspec. request to 1'7 1 Pre -Inspection for Required- (D,ote> p q Building Inspector Recorded copy of Agriculturalknowledgment Statement . 19. Othe� r A ✓ oA I �Jn you Issue the permit, process as follows: _ Mail to owner. Mail to contractor. �{ Telephone and hold for pickup at ofiic Deliver w/inspector. Other 719 le y Applicant Date c –, 6 — F.4 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,,Qor) was advised of above required data ��'I,,,_;_,/ Telephone t Plans checked by. Plans approved by Other Copy—DPW By Date Date _Mail Other Date JP6 it To: -)-gilding Departm=ent. From: `-'nvironmental i1c.-ilth Subject: L 57ation Clear,arce c O�mer Loc tion Plan Approved for: ":ewago (Jispo!-,al Hold final for: APY v:ater -upply supply IFW Final clearance O.K. for: wziter supply CC,/) k) -S Clearance fhr bedrom, mobLI. hoi ;e Of leer IVO 17 SanitarianD, az at( TO: Building Department {° FROM: Encroachment Permit Section RE: Driveway Clearance owner location AP Driveway permit Signa re has been issued for the above property. date TO: Building Department FROM: Encroachment Permit Section RE: Driveway Clearance /-329 Sw elef /K11fd ' .4,V / 7-1-31 owner location AP # Driveway permit %U� O -'G has been issued for the above property. - 1-5" 8� date . 1 M COUNTY OF BUM - 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) T l� 2. Ihav /have not) signed an application for a building permit for a 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 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.' ,go y / v� �� � =S' � yi�'X � Po e /� - Mami 4d— COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive, Oroville, CA 95965 PHONE: 916-534-4541 Jack Smith 1329 Swedes Flat Road Oroville, CA 95965 With reference to the above subject: 1_L Attached is: DATE 9/10/86 RE: Building Permit Application #2535-86 A. P. # Application for permit Mobilehome Utilities Installation Sheet Building Plans _ Mobilehome Installation Information Sheet Engr. Calcs 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 $ 4 payable to Butte County Treasurer. Certificate -of Workmen -'s• Camliensat-io-n-Insurance-or-ch'ec•k--exemption statement. Contractor's'vLicense Law information or check exemption statement. Complete plans in including plot plans. Plot plans in Structural details in X Complete plans and calcs�in dlipliratP by registered engineer or architect. Energy design 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 Skyway & Elliott Rd., Paradise Planning approval from Butte County Planning Department, 7 County Center Drive, Oroville, for Completed Owner -Builder Verification form. Recorded copy of deed showing _ Recorded copy of agricultural acknowledgement statement. LX[ OTHER (1) Provide engineer ' designed plans and calca for garage macnnrg wnl i Q and footings. slope -construction.- Should you have any questions concerning the above, please contact this office. t JMV/aj 1. (Plans on file cabinet) Yours very truly, William Cheff Director of Public Works C j .F. Glander Chief Building Inspector RESIDENTIAL ENERGY PLAN CHECK/INSPECTION SUMMARY Owner JASlI(- S'Mlr# Climate Zone Permit No. 25V5-810 Floor Area J4 Compliance path: Package ❑ A ❑ B ❑ C C�Point System ❑ Budget [►Other MIN R -VALUE DESCRIPTION 1461613 REQ'D INSTALLED ITEMS (1) INSULATION: [� Roof/Ceiling 30.00 [� Wall /9.0a ❑ Slab Floor Perimeter [� Raised Floor /f.00 (2) INFILTRATION: ❑ (A) A vapor barrier is required in climate zones, 1, 14 & 16. [� (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 Qll- Total Bldg 8(0.00 170767 ✓ ®, North 644.00 7.4,,/ ✓ ❑ East 2___ South 22.00 2.55 ✓ ❑ West ❑ Skylights (B) Shading Shading Coefficient Description Q� East [� South !06.00 ❑ West ❑ Skylights Q-- (C) South Overhang Length of projection 2� ft. Description E 4 V ❑ (D) Moveable insulation: Area ftz Description (E) Thermal mass ❑ Type - Area Ft.2 HC= R= MC= Location ❑ Type - Area Ft.Z 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. HC- R= MC= Location 7/83 7/83 Radd ❑ (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. Al Jul C *1(5) HEATING, VENTILATING, AIR CONDITIONING SYSTEM (A) Heating Central Gas Furnace (brand and model number) Btu/hr (heating capacity) Heat Pump _ (brand and model number) Btu/hr (heating capacity at 47°F) Active Solar model number `orientation type (liquid or air) solar fraction collector tilt rated slope [� Other W00,6 ,a(/"Mb *1 [01 13 o� SE ACOP Collector brand and ft2 collector area collector rated y -intercept SAOvE �V EY,� (desc ibe) 7. 134 V6 A6004A6 � (B) Cooling Electric Air Conditioner (brand and model number) (seasonal EER) Btu/hr (cooling capacity at 95°F) 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. 21— (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. 6 (6) DOMESTIC WATER SYSTEM (A) Gas Only Gallons '(brand and model number) (tank size) ❑ Heat Pump w/Electric Backup (brand and model number) Gallons 2 (tank size) ❑ * 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 L9", Other /NS7,440,4 /EOUS &Ge_7i2IL (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. Q� (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 T2O-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(g), and fill out the following: Heating: Winter design temperature 30 °, elevation ', heating load BTU elevation factor x heating load = maximum outlet c pacity gas furnace BTU i(/4 WIN W" SWAIIA!y Cooling: Summer design temperature /off' °, cooling load BTU kle (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 AdministraEion Code. i 7/83 SIGNATURE 3 UILDING'DESIGNER OR APPLICANT 4 '13 (6) DOMESTIC WATER SYSTEM (A) Gas Only Gallons '(brand and model number) (tank size) ❑ Heat Pump w/Electric Backup (brand and model number) Gallons 2 (tank size) ❑ * 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 L9", Other /NS7,440,4 /EOUS &Ge_7i2IL (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. Q� (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 T2O-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(g), and fill out the following: Heating: Winter design temperature 30 °, elevation ', heating load BTU elevation factor x heating load = maximum outlet c pacity gas furnace BTU i(/4 WIN W" SWAIIA!y Cooling: Summer design temperature /off' °, cooling load BTU kle (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 AdministraEion Code. i 7/83 SIGNATURE 3 UILDING'DESIGNER OR APPLICANT / ZONE 11 OWNER JACK 5"/7-* . _ POINTS PERMIT NO.-2535ASSIGNED ACTUAL _ A 1. SLAB - INSULATION cV� 2. RAISED FLOOR - R-19 L 3. CEILING - R-30- 4. WALL - R-19 5. NORTH GLAZING 6. EAST GLAZING 7. SOUTH GLAZING S. WEST GLAZING 9. SKYLIGHT 1/,04P 410. 00 9.00 - 2.4-3.6% %:4-1 - 2.5-3.6% 10.00 - 1.6-3.6% 0SS- 2.9-3.6% 0.00 10. SHADING (Exclude Overhang) 0-1.3% 0 0 0 g 01/ O ft/ p EAST - .66 .(o�o SOUTH - .19-.42 I -3 WEST - .13-.36 I 16 - 19 1 -5 SKYLIGHT - .37-.57 I 0! 11. HORIZONTAL SOUTH OVERHANG 2' 12. :IOVABLE INSULATION - NONE 13. INFILTRATION (Standard=0)(Tight=+12) V 14. THERMAL MASS SF 15. GAS FURNACE (SE) 71-76% 16. HEAT PUlfP (EER) 7.5-7.9% 17. DUAL PACK (SE, SEER) 8,0-8.3/71-76% WOOD STOVE/4"6'50'"o *4 ac S 10144 1 WATER (HEATER 0 ATTIC e 'fo t3 OTHER TOTAL POINTS = 'f ho Table 3-1. Slab F I Jncula- 1 R -Value of Insvlstion I tlun I I Derch, I (.thea I 0-2 1 3-4 ! 5-6 1 7+ 1 0- 11 1 -5 I -5 I -5 I -5 1 1 12 - 15 I -5 I -3 I -2 I -1 ! I 16 - 19 1 -5 I -2 I -1 I 0! ? r; 20 + i -5 i -1 i 0 i +1 7/7/83 Table 3-3a. Ceiling Insulation R -Value of Insulation I Points 19 I -4 22 I -2 30 I 0 38 I +2 49 I +4 1 1.4- 2.2 I I Area i e 3-4a. Wall Insulation Points I R -Value of Insulation I Points I 11 I -7 19 1 0 24 ! +2 30 1 +3 Table 3-5. North-Facinq Glazin¢ Pts I I Glazing Type ! I Total I ! I 2 ofSngl, Dbl, Trpl, I Floor 1 11 - 1 U- l U- I Azea ) 0.66 ! 0.42- ! 0.41 1 1 1.10 i 0.65 ( down ! T ----O--7 a4 +4 +4 I 0.1- 1.2 ! +4 ! +4 ! +4 ! 1 1.3- 2.3 ! +1 I +2 1 +2 ! ! 2.4- 3.6 I -2 I 0 ! +1 I 3.7- 4.8 ! -4 I -2 I -1 I 4.9- 6.1 I -7 ! -4 ! -3 I 1 6.2- 7.3 I -9 ! -6 I -5 I I 7.4- 8.2 1 -12 ! n ! -7 ! I 8.3- 9.7 1 -14 I -10 I -8 I 9.8-10.8 I -17 ! -12 I -10 I 110.9-12.0 I -19 I -14 ! -12 I 112.1-13.2 I -22 ! -16 I -13 I ( 13.3-14.5 I -24 I -18 I -15 I 14.6-15.3 i -27 i -20 i -17 Table 3-6. East -Fac Glazing Type I bngl, I ubl, I Trpl,l (U - I (U - I (U - I 1.10) 1 0.65).1 0.41)1 oints Iooint-a Ioointsl Table 3-1. South-Facin Glazin Pte Table 3-10. Shading Coefficient Points T- I Glazing Type ! I SC by I I Total I ! 1 Orien- I Z Floor Area 1 Z of I Sngl, I Dbl.Trpl, I tation I I Floor I (U - I (U - I (U - I I I Area 11.10) ! 0.65) 10.41)1 II ointsmi I nts I mints( I East 1 1 3.2 1 o +! +3 + 3 1 1 0-3.1 I to i 6.4 up I up to 1.5 1 +2 ! +2 I +2 I I 1 I 6.3 ! I 1.6- 3.6 I -1 1 cz0 I T Y -5-2I -4 I -2 I -2 I I I 5.3- 6.5 I -6 1 -4 I -3 I I 0 -.19 I 0 I +1 ! +2 I 6.6- 7.7 ! -9 I -6 I -5 I I .20-.36 i 0 I 0 I ♦1 I 7.8- 8.9 I -ll i -8 I -7 ! I .37-.66 I 0 I 0 I 0 1 9.0-10.0 1 -13 ! -10 .I -9 .! 1 .67-.82 I 0 I 0 ! -1 110.1-11.5 I -17 I -13 I -11 ! ( .83 up ! 0 I -1 I -2 111.6-13.0 1 -21 I =16 I -14 I I I I I i 13.1-14.5 I -25 i -19 I -16 I 14.6-16.0 I -28 I -22 I -19 1 I South 1 '0 i 3.2 1 6.4 19.0 19.6 I I I I I I I `to to. I' to to I up I 1\3. 16.3 17.9 19.5 I Table 3-8. West-Facin Clazin Pts. ! I I Glazing Type 1 1 0 -.18 1 0 1 +1 ! +2 ! +2 I +3 I Total ! I .19-.42 I I 0 1 0 I 0 1 0 I x of I Sn81, , DblTr 1,1 I .43 .66 I I -1 I -2 I -2 ,i -3 P I .67 up 1 0 1 -2 I -4 1 -4 I -6 I Floor I (U - I (U - I (U - I I Area 1 1.10) 1 0.65) 10.41)1 I oiI .1 1 1.6 I 3.2 16.4 19.0 I nts I mints I mints ( We et o B +6 +6 I to I to 1 to I to I up I up to 1.3 I +5 I +6 I +6 ! ( 1.5 13.1 16.3 17.9 ! 1 1.4- 2.2 I +3 I +4 ! +5 I I I I I I 1 2.1- 2.8 i 0 1 +2I +3 I I 2.9- 3.6 I -3 I 0 1 +1 ! 0-.12 I 0 1 +1 I +3 I +6 ! +7 I 3.7- 4.2 I -5 i -2 I 0! .13-.36 i 0 1 0 1 0 1 0 1 0 I 4.3- 5.0 I -8 I -4 I -2 ! .37-.57 I 0 1 -1 I -3 I -6 1 -7 1 5.1- 5.6 1 -10 I -6 I -4 .58-.82 I -1 1 -3 I -6 1 -12 1 -15 I 5.7- 6.2 I -13 I -8 i -6 I .82 up I. -2 1 -4 I -8 I -16 I -70 i 6.3- 6.9 I -15.1 -10 I -7 ! I I I I I I 7.0-'7.6 I -18 I -12 ! -9 I I 7.7- 8.2 1 •-20 I -14 ! -11 1 Skylight 1 .8 11.6 I toto t I o 1 8.3- 8.8 I -22 I -16 I -13 I I to 1 tto I to3.I o 1 5.2 I 8.9- 9.5 I -25 ,I -18 I -15 I .7 I 1 9.6-10.1 ( -21 -20 1 -16 1�-T--l�- I ' 110.2-11.0 I -29 I -23 I -17 ( 0-.12 1 0 1 +1 I +3 I +6 1 +7 ! 11.1-11.8 I -35 I -26 I -21 I .137.36 1 0! 0 1 0 1 0 1 0 111.9-12.7 i -38 I -29 1 -24' ! •37-•57 1 0 1 -1 I -3 I -6 1 112.8-13.5 I -42 I -32 I -27 ( .58-.82 I -1 i -3 I -6 I -12 I i 13.6-14.3 1 -46 ! -35 ! -29 ! .83 up i -2 i -4 i -8 i -16 1 -20 114.4-15.2 i -50 I -38 I -32 ! 1 I ( I I Table 3-11. Horizontal South Table 3-9. Skyllpht Points I I Glazing Type I I Total I I I Z of I Sngl, Dbl. Trpl, I Floor I U- l u- I U- I Area 10.66- 10.42- ! 0.41 I I 11.10 10.65 I down I 4 7+ 4 ---I Total i up to 1.3 I -1 I Z -of I Table 3-2. Raised Floor Points I Floor I T 1 1.4- 2.2 I I Area i I R -Value of I -1 1 I I I Insulation I Points 1 T C -I ! ! 1 -4 I I I up to 1.31 -2 I 0 1.4- 2.4 I I below 3 i -12 I I 2.5- 3.6 I I 3- 4 ! -8 I 1 3.7- 4.6 I I 5- 7 I -6 1 I 4.7- 5.5 I I 8- 12 I -4' I 1 5.7- 6.7 I I 13 - 18 I r2 1 1 6.8- 7.7 I I •19+ I 0 I I 7.8- 8.7 I I I I -6 I I 8.8- 9.7 I I 5.1- 5.6 ( -16 ! 9.8-11.2 I -10 -13 111.3-12.7 I -7 I I 5.7- 6.2 1 112.8-14.0 I I -14 ! -12 14.1-15.3 I -10 I -8 1 1 6.3- 6.9 I -21 1 -16 I -13 Glazing Type I bngl, I ubl, I Trpl,l (U - I (U - I (U - I 1.10) 1 0.65).1 0.41)1 oints Iooint-a Ioointsl Table 3-1. South-Facin Glazin Pte Table 3-10. Shading Coefficient Points T- I Glazing Type ! I SC by I I Total I ! 1 Orien- I Z Floor Area 1 Z of I Sngl, I Dbl.Trpl, I tation I I Floor I (U - I (U - I (U - I I I Area 11.10) ! 0.65) 10.41)1 II ointsmi I nts I mints( I East 1 1 3.2 1 o +! +3 + 3 1 1 0-3.1 I to i 6.4 up I up to 1.5 1 +2 ! +2 I +2 I I 1 I 6.3 ! I 1.6- 3.6 I -1 1 cz0 I T Y -5-2I -4 I -2 I -2 I I I 5.3- 6.5 I -6 1 -4 I -3 I I 0 -.19 I 0 I +1 ! +2 I 6.6- 7.7 ! -9 I -6 I -5 I I .20-.36 i 0 I 0 I ♦1 I 7.8- 8.9 I -ll i -8 I -7 ! I .37-.66 I 0 I 0 I 0 1 9.0-10.0 1 -13 ! -10 .I -9 .! 1 .67-.82 I 0 I 0 ! -1 110.1-11.5 I -17 I -13 I -11 ! ( .83 up ! 0 I -1 I -2 111.6-13.0 1 -21 I =16 I -14 I I I I I i 13.1-14.5 I -25 i -19 I -16 I 14.6-16.0 I -28 I -22 I -19 1 I South 1 '0 i 3.2 1 6.4 19.0 19.6 I I I I I I I `to to. I' to to I up I 1\3. 16.3 17.9 19.5 I Table 3-8. West-Facin Clazin Pts. ! I I Glazing Type 1 1 0 -.18 1 0 1 +1 ! +2 ! +2 I +3 I Total ! I .19-.42 I I 0 1 0 I 0 1 0 I x of I Sn81, , DblTr 1,1 I .43 .66 I I -1 I -2 I -2 ,i -3 P I .67 up 1 0 1 -2 I -4 1 -4 I -6 I Floor I (U - I (U - I (U - I I Area 1 1.10) 1 0.65) 10.41)1 I oiI .1 1 1.6 I 3.2 16.4 19.0 I nts I mints I mints ( We et o B +6 +6 I to I to 1 to I to I up I up to 1.3 I +5 I +6 I +6 ! ( 1.5 13.1 16.3 17.9 ! 1 1.4- 2.2 I +3 I +4 ! +5 I I I I I I 1 2.1- 2.8 i 0 1 +2I +3 I I 2.9- 3.6 I -3 I 0 1 +1 ! 0-.12 I 0 1 +1 I +3 I +6 ! +7 I 3.7- 4.2 I -5 i -2 I 0! .13-.36 i 0 1 0 1 0 1 0 1 0 I 4.3- 5.0 I -8 I -4 I -2 ! .37-.57 I 0 1 -1 I -3 I -6 1 -7 1 5.1- 5.6 1 -10 I -6 I -4 .58-.82 I -1 1 -3 I -6 1 -12 1 -15 I 5.7- 6.2 I -13 I -8 i -6 I .82 up I. -2 1 -4 I -8 I -16 I -70 i 6.3- 6.9 I -15.1 -10 I -7 ! I I I I I I 7.0-'7.6 I -18 I -12 ! -9 I I 7.7- 8.2 1 •-20 I -14 ! -11 1 Skylight 1 .8 11.6 I toto t I o 1 8.3- 8.8 I -22 I -16 I -13 I I to 1 tto I to3.I o 1 5.2 I 8.9- 9.5 I -25 ,I -18 I -15 I .7 I 1 9.6-10.1 ( -21 -20 1 -16 1�-T--l�- I ' 110.2-11.0 I -29 I -23 I -17 ( 0-.12 1 0 1 +1 I +3 I +6 1 +7 ! 11.1-11.8 I -35 I -26 I -21 I .137.36 1 0! 0 1 0 1 0 1 0 111.9-12.7 i -38 I -29 1 -24' ! •37-•57 1 0 1 -1 I -3 I -6 1 112.8-13.5 I -42 I -32 I -27 ( .58-.82 I -1 i -3 I -6 I -12 I i 13.6-14.3 1 -46 ! -35 ! -29 ! .83 up i -2 i -4 i -8 i -16 1 -20 114.4-15.2 i -50 I -38 I -32 ! 1 I ( I I Table 3-11. Horizontal South Table 3-9. Skyllpht Points I I Glazing Type I I Total I I I Z of I Sngl, Dbl. Trpl, I Floor I U- l u- I U- I Area 10.66- 10.42- ! 0.41 I I 11.10 10.65 I down I 4 7+ 4 t4 -T i up to 1.3 I -1 I 0 1 0 +3 I I +4 I 1 1.4- 2.2 I -3 ! -2 1 -1 +1 1 +2 I +2 1 I 2.3- 2.8 I -6 1 -4 I -3 -2 I 0 1 0 1 I 2.9- 3.6 I -9 I -6 I -5 -5 1 -2 I -1 I I 3.7- 4.2 i -11 I -8 I -6 -8 i -4 ! -3 I I 4.3- 5.0 I -14 ! -10 I -8 -10 I -6 I -5 I I 5.1- 5.6 ( -16 1 -12 I -10 -13 1 -8 I -7 I I 5.7- 6.2 1 -19 I -14 ! -12 -15 I -10 I -8 1 1 6.3- 6.9 I -21 1 -16 I -13 -1.7 1 -12 i -10 1 1 7.0- 7.6 I -24 I -18 I -15 -21 I -15 ! -13 1 1 7.7- 8.2 I -26 1 -20 I -17 -25 I -18 I -15 1 I 8.3- 8.8 I -28 I -22 I -19 -28 I -21 I -18 1 ( 8.9- 9.5 I -31 1 -24 I -21 -32 I -24 I -20 1 1 9.6-10.1 I -33 I -26 I -22 ----I --- 4--A- --- -I - -- Overhang. Potnts I South Gla:ing I Length Out I Area, Z of Floor I from Wall ( I I ft r" I 1 0-6.3 i 6.4 up I I I I I 0 - 0.5 -2 10.6 - 1.0 I -2 I -3 1 11.1 - 1.9 I -1 I -2 I 2.0 up I 0 I 0 I Table 3-12. Movable Insulation Points Moveable Insulation'l ! I Area, Z of Floor I Points II ! I I 0 - 5.5 I 0 ! I 5.6 - 11.5 I +2 I 1 11.6 - 17.5 i +4 ! I 17.6 - 23.5 I +6 ! I _23.6+ I +8 ! Table 13. Infiltration Control Fer.rt,res Points r--- -- ! Control Features I Points I T- I I ( Standard I 0 I 1 I f 11.9 air changes per hr I I T' - I Tight I +12 I I I I 1 0.6 air changes per hr i I I Table 3-15. Cas Furnace Without Refrigeration Cooling Points T-- I Eeat Pumo I Seasonal Efficiency I Points 1 i (SE), 1 I � I I I I 71-76 I 0 I I 77 - 82 I +2 I I 83 - 88 I +4 I I 89 - 94 1 +6 . 1 I 95 up I I I +8 I I I +6 I 8.4 Table 3-16. Eeat Pumo Points T- i 15 - 23 i +4 I Energy Efficiency I Ports I I Ratio (EER) I I I 7.5 - '•.9 I +3 I I S.0 - 8.3 I +6 I 8.4 - 8.7 ( +9 I 1 8.8 - 9.1 I +12 I I 9.2 - 9.6 I +13 I I 9.7 - 10.2 I +18 I I 10.3 - 10.8 ( +21 I I 10.9 - 11.5 I +24 I 1 11.5 - 12.3 I +27 I I 12.4 - I 13.2 I +30 I I I +7 +10 +14 Table 3-17. Gas Furnace With Refrleeration Cooling Points IRefrigeracionl Gas Furnace I I Cooling I SE % I I171 -177 -i83 -189-f95 I 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 +41 +51 +81+10 1 I 8.8 - 9.2 1 +41 +51 +81+101+12 1 1 9.3 - 9.7 1 +51 +81+101+121+14 1 1 9.8 - 10.3 1 +31~101+121+141+16 1 1 10.4 - 10.9 I+1GI+L2i+1:I+165+18 I 111.0 - 11.5 1+121+141+161+-181+-c0 1 I I I I 1 I 7/7/83 ZONE 11 TABLE 3-14 (ADAPTED) INTERIOR THERMAL MASS POINTS MASS _ DWELLING ARFA SQUARE FOOT I AREA 1,000 ( 1,500 I 2,000 I 2,500 I 3,000 I 3,500 { 4,000 I 4,500 5,000 1 SQ. FT. I A 8 C D A B C D A 8 C 0 A B C D A B C D I A 8 C. - D . A B C D I A 6 v G :� .. B -c-F-1 so 2 2 2 2 2 2 2 0 j 2 2 2 0 1 0 0 0 0 0 0 0 0 0 0 0 0. 0 0 0 0 0 C 0 CtI� 0 0 0 0 1 100. 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 01 0 0 0 0 11 150 6 6 6 4 4 4 4 2 2 '2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 0 2 ? 2 of 2 2 2 D j 200 8 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 i j 259 10 10 8 6 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 2 1 2 1 300 12 12 10 6 8 8 6 4 6 6 6 4 6 6 4 2 4 4 / 2 4 0 ? 2 2 2 2 2 2 2 2 ?' 2. 7 2 2 350 14 14 12 8 10 10 8 6 6 6 6 4 6 6 6 2 6 4 4 1 4 4 4 2 4 4 2 2 4 4 2 7 C 2 2 2 2 400 14 14 12 8 10 10 8 6 8 8 6 4 6 6 4 4 6• 6 4 2 4 4 4 2 4 4 4 2I 4 4 2 2I 4 4 2 2 509 18 18 16 10 12 12 10 6 10 10 8 6 A -8 6 4 6 6 6 4 6 6 6 2 6 6 4 ZZ 4 4 4 2 4 4 4 j 603 22 20 18 12 14 14 12 8 12 12 10 G 10 10 8 6 8 8 6 4 8 G 6 4 6 6 6 4 I 6 5 4 2 16 6 4 2 1 700 24 24 20 14 18 16 14 10 14 )4 12 0 10 10 10 6 10 10 8 6 8 86 4 8 6. 6 4 6 F 01 6 6 ! 230 26 24 22 16 20 16 16 10 14 14 72 0 12 10 10 6 10 10 a 6 10 8 8 4 I ^ 6 6 5 5 ;14 8 6 6 4I G 6 G 903 28 28 24 16 12 20 18 12 16 15 14 10 14 14 12 8 12 12 10 6 10 10 3 6 13 8 '8 4 8 8 S 4� S 8 6 r. i 1,000 30 70 25 18 i?? 20 '20 14 l8 I8 16 10 14 14 12 8 12 13 6 12 10 10 6 10 ),;OU .32 31 28 20 I24 24 22 14 20 20 18 10 16 16 14 8 14 12 8 12 12 70 6 10 10 10 6 119 10 8 C !•3 e e 1,200 34 32 30 22 26 26 22 16 22 20 18 12 18 18 14 10 1,142 14 14 12 8 14 12 12 8 12 10 6 1J 10 B FI 10 1n 8 6 i 1.J00 34 34 32 22 28 26 24 16 22 22 20 12 18 IS 1£ 10 14 14 14 8 14 12 12 6 1.12 12 12 1J 6 �12 i0 10 G� 10 !0 F. 1,00 34 34 32 24 28 28 26 18 24 24 2n 14 20 20 18 12 18 16 14 10 14 14 12 8 14 14 12 8 I12 1' :G 6I 10 13 13 i 1,500 136 34 34 24 30 30 26 18 24 24 22 14 I22 20 18 12 18 18 16 10 16 16 14 8 IC 14 12 E I1? 1: to 7,1 ;2 17 1: 6 j 2.000 34 34 32 22 30 30 26 18 26 26 22 16 22 22 20 14 I20 20 18 12 18 18 16 10 110 16 j, r, 14 14 12 B I 2,500 ( 34 34 30 22 I30 30 26 18 26 26 24 16 ?4 24 22. 14 22 22 I8 :2 I20 20 i8 ! e I is 3.000 34 32 30 22 30 30 26 18 28 :6 24 16 I24 24 22 14 I22 22 20 14 :7 :3 12 3,500 I 32 32 30 20 30 30 26^ ld �2d 28 24 16 26 24 .. i2 iii ±3 :4 20 1•i ' 1,090 32 32 30 20 I30 30 26 18 70 28 24 if 5Z-5 ' If 4,509 132 32 28 2U 130 30 e6 iE' j itl 2-- ;£ 5.00 = �. --- - - 12 T? 1i 23 j iJu. 76 Id 1 A) 1. 3'4' Concrete Slab: N.C•8.93; R-.29; Factor -7.3 2. 3 3/4" Thick Common Brick: 1107.125; R-.13; Factor -7.3 • a) 1. 511' Concrete Slab: HC -14.106; ?-.458; Factor -7.1 d StOVO C) 1. B" Solid Filled Block: HC -20.63; R-1.93; Factor -6.1 WOO4)33 poinfs-(no back up) ' 2. 81 Solid Filled Block With Both Sides Exposed To conditioned Air. Casablanca fan + l.point NOTE:Use all square footage directly exposed to conditioned air for Thermal'Mass Area: HC -10.164; R-.96�; Factor -6.1 0) 1" Thick Concrete/Ti.le: MC -2.55; R-.083; Factor�-3.7 Table 3-19. Zonally Controlled Electric Resistance Space Heating Points ' II Points for this measure will ( Table 3-211. Solar Water HeatinZ With Cas Backup Points , be completed after the CEC ) I has approved an Alternative I Component Package for Resistance 'I 1 Beat. Table 3-18. Active Solar Space Heatlnq with Gas Points Net Solar Fraction I Points I (NSF), Z I I I 0-6 I 0 1 I 7 - 14 I +2 i i 15 - 23 i +4 I I 24 - 30 I +6 I I 31 - 39 I +8 I I 40 - 47 1 : +10 I I 48 - 55 I +12 I I 56 - 63 I +14 I I 64 - 71 I +18 I I 72 up I +20 I M.ultifamll (per unitpoints) Floor Area Net Solar Fraction (NSF), Z perunit, 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 2X00 and u 0' +1 +2 +4 +5 +6 +7 +9 All pothers (pe build ng points) 800-899 900-999 0 0 +5 +4 +10 +9 +14 +13 +19 +17 +24 +11 +29 +34 +26 +30 1,000--1,199 0 +4 •1.7 +11 +15 +-19 +22 +26 1,20r,i,499 0 +3 +6 +9 +12 +15 +18 +21 1,500-1,999 0 +2 +5 +7 +9 +12 +14 +le 2,000-_,999 +2 +3 +5 17 +8 +10 +11 3,000 ar.d uo -0 0 +i +3 +4 +5 +7 +S +10 ) Table 3-21. Other Water Heatlnq Pts. T -I I System Type ( Points I ) I I I Cam Only I 0 I I I I Heat Pimp ( 0 I t I Solar with Electric 1 i ( Resistance Backup I tieecing the Require- I 1 I Bente An Part 2 ( 0 I I 1 1 I Eleecrtc Resistance I I I On ly i -40 ) I �• __ I 1 RESIDENTIAL ENERGY PLAN CHECK/INSPECTION SUMMARY FORM Owner JACl4. SM1TK Climate Zone Permit No. 2535.8 Floolk Area SG¢ k' Compliance path: Package 11A ❑ B 11C Point System ❑Budget i2rother MIN R -VALUE DESCRIPTION REQ'.D INSTALLED ITEMS (1) INSULATION: [� Roof/Ceiling 30.00 [�! Wall ❑ Slab Floor Perimeter [� Raised Floor /.9.00 (2) INFILTRATION• ❑ (A) A vapor barrier is required in climate zones, 1, 14 & 16. Gal", (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. Ft.2 '- (3) GLAZING: MC= (A) Location Area Glazing %Floor Area Single Double Triple Q� - Area Total Bldg 86.00 9 95 ✓ R= North 40.00 7.4/ ✓ ❑ East (tom Type South 22• ao :2.55 ✓ ❑ HC= West ❑ Location Skylights (B) Shading Type - Area Shading HC= R= Coefficient Description Location [� East [� Type South (06.00 - Area ❑ HC= West ❑ Location, a Skylights Q� (C) South Overhang Type - Area Length of projection .0 ft. Description Off 4VE ❑ (D) Moveable insulation: Area ftz 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 I . . ' ❑ Type - Area Ft.7 HC= R= MC= Location ❑ Type ; - Area -Ft.2 HC= R= MC= Location, a ❑ Type - Area Ft.z HC= R= MC= Location 7/83 FOR M t ❑ (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, VENTILATING; AIR-CONDITIONING SYSTEM (A)."'Heating ❑ 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 slope [�Other W0016 ,8!/i2� IAI 97VVE �✓ EGd G , 1314SE ,(ONALO y (desc ibe) *1 (B) Cooling ' ❑ Electric Air Conditioner (brand and model number) (seasonal EER) Btu/hr (cooling capacity at 95°F) ❑ 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 °, elevation ', heating load BTU elevation factor x7 heating load = maximum outlet c pacity gas furnace BTU ,(A WIN WCOD RUk41144 S To Va Cooling: Summer design temperature /� °, cooling load 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 CalifgX nia Administraf ion Code. 7/83 SIGOATURE OF (BUILDING I)ESIGNER OR APPLICANT M FORK 1 (6) DOMESTIC WATER SYSTEM ❑ -(,A); Gas Only Gallons (brand and model number) (tank size),' ❑ 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 [H� Other /41S7,4A1h4A1J501(T ECELTi2/L (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. 0� (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 °, elevation ', heating load BTU elevation factor x7 heating load = maximum outlet c pacity gas furnace BTU ,(A WIN WCOD RUk41144 S To Va Cooling: Summer design temperature /� °, cooling load 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 CalifgX nia Administraf ion Code. 7/83 SIGOATURE OF (BUILDING I)ESIGNER OR APPLICANT M COUNTY OF BUTTE - DEPART ?NT OF PUBLIC WORKS 7 County Center Driv?, Oroville, CA 95965 PHONE: 916-534-45+1 DATE 9/10/86 Jack Smith 1329 Swedes Flat Road RE: Building Permit Application #2535-86 Oroville, CA 95965 A.P. # With reference to the above subject: Attached is: Application for permit Mobilehome Utilities Installation Sheet Building Plans _ Mobilehome Installation Information Sheet Engr. Calcs Typical Plan Sheet Owner -Builder Verification Form List of Codes Enforced OTHER 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 exemption statement. Contractor's License Law information or check exemption statement. Complete plans in including plot plans. Plot plans in 7 - Structural details in —_ Complete plans and calcs in JUp14Cate by registered engineer or architect. Energy design 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. Skyway & Elliott Rd., Paradise Planning approval from Butte County Planning Department, 7 County Center Drive, Oroville, for Completed Owner -Builder Verification form. Recorded copy of deed showing Recorded copy of agricultural acknowledgement statement. /- l OTHER (1) Provide engineer designed plans and ca7cs for garaRp maAnnry 'igsalla slope construction. Should you have any questions concerning the above, please contact this office. Yours very truly, William Cheff Director of Public Works r" ),.F. Glander J�aj ief Building Inspector (Plans on file cabinet) Return to DPW. AGRICULTURAL - STATEMENT, OF ACKNOWLEDGEMENT RECORDED IN OFFICIAL RECORDS or BUTTE COUNTY,CA0F6RW' FOR RESIDENTIAL DEVELOPMENT AT THE REQUEST 01' Section 26-8.1 of the Butte County Code requires this acknowledgement. be recordedprior to issuance of a building permit. -T'-- 86-29967 1986 SEP -8 AM la 36 The property described herein is adjacent to land or included ELEANOR M.BECKER within an area zoned for agricultural purposes, and residents of this CLERK -RECORDER FEE property may be subject to inconveniences or discomfort arising from the use'of agricultural chemicals, including•,•but n6t limited to herbicides, 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 situate in the County of Butte, State of California, described as follows: ohe following Jescribed ml property in the unincorporated County of But" , Stets of Celiforale t Parcel 3, as shown on that certain Parcel Map being a portion of the Northeast quarter of the Southwest quarter of Section 2, Township 18 North, Range S East, H.D.B. 6 M., filed in the office of the Recorder, County of Butte, State of Californir., on April 29, 1981 in Book 82 of Parcel Maps, at page 64. Date: P ERTY OWNERS: State of CQ SS. County of Y1'I E RGF ) I OFFICIAL SEAL LEST�ER L ABBOTT �e m NOTARY PUBLIC - CALIFORNIA MERCED COUNTY My comm. expires SEP 1& 1989 On this me, the theQ day of S �Emfcy 19, before undersigned Notary Public, personally appeared L/ Personally known to me. 11 roved to me on the basis of satisfactory evidence. to be the persons) whose names) subscribed.to the within instrument and acknowledged that executed the same for the purposes therein contained. IN WITNESS WHEREOF, I hereunto set my hand and official seal. Notary Public Present A.P. No. da -17-1 255-87P,E JACK SMITH 1329 Swedes Flat Rd. Oroville F t • i. 255-87P,E JACK SMITH 1329 Swedes Flat Rd. Oroville F t 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 TELEPHONE SQ. FT. OCC. BUILDING VALUATION - OWNER'S MAILING ADDRESS CONTRACTOR'S NAME TELEPHONE CONTRACTOR'S MAILING ADDRESS 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 ADDRESS -• r Permit fee $ PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 r-' Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP Water piping 5.00 Each qas water heater or vent 5.00 USE OF STRUCTURE SF ❑ Duplex❑ Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home S I G I W 0.00ea TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation[] Other ❑ Describe work: _ Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 600V OR LESS 100 AMP OR LESS 10.00 Main service EA. ADO'L 100 AMP 2.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): ❑ I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in full force and effect. License No. Classification El1, 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 ) h¢sgft New CONSTR. MULTI -OUTLET NON.RESID BRANCH CIRC ITS 2.50 ea POWER APPARATUS 6 (SINGLE OUTLET CIR. EX. OCCUp(OUTLETS OR FIXTURES 20®501 eALaso Ex. Occup. OUTLETS IPRESID.)REA.� 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 g % Permit Fee $ — WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. ❑ I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. —Contractor MECHANICAL PERMIT Filing Fee 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 County of Butte to enter upon the above-mentioned property for inspection purposes. 1 also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue against said County in consequence of the granting of this permit. X Date Signature of Applicant — Owner ❑ Contractor ❑ Agent ❑ An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ TOTAL PERMIT FEE $ Occup. CONST,TYPEJ I JF1.00OJP.RCELJ PD ND IssuE This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which DIRECTOR OF PUBLIC By PERMIT EXPIRES Date the applicable provi- resolutions to do fees have been paid. WORKS Date Receipt No. WNI•TE-D.P.W.. YELLOW -ASSESSOR, PINK -INSPECTOR. GOLDENROD -APPLICANT COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville,'CalifoOia 95965 - Telephone 916/534-4541 APPLICATION AND PERMIT i PERMIT N� ASSESSOR ARCEL NUMBER ZONING BUILDING PERMIT OWNER 5 TELEPHONE SQ. FT. OCC. BUILDING VALUATION OWNER'S MAILING /ADDRESS a CONTRACTOR'S NAME TELEPHONE CONTRACTOR'S MAILING ADDRESS 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 DRESS EDS F::T Permit fee $ PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 Solar or heat pump water heater 20.00 LO NO. SUBDIVISION NAME PARCEL MAP `CO Water piping 5.00 �, 60 Each qas water heater or vent 5.00 USE OF STRUCTURE SF ❑ Duplex❑ Mobilehome❑ Other P�Le,,E 100e—'d— SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 500 Mobile Home S G W TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation❑ Other ❑ Describe work: !0*0ea Permit Fee $ GAJ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 6001 OR LESS 100 AMP OR LESS 10.00 p� Main service EA. ADD'L 100 AMP 2.50 clko 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.EI , OR ADDNS. ACC. BLDGS. /Z 2sq ft NEW CONSTRESID, U TI.OUTLET 2.50 ea NON.R ESID BRANCH CIRC ITS POWER APPARATUS 6 (SINGLE OUTLET CIR. I Ex. OCCUp(OUTLETS OR FIXTURES 2008011 eALo 30 FIXED APPLNS. Ex. QCCUp. OUTLETS (RESID )REA.1 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. �Virin 15.00 9 /PG 11VSX7 Permit Fee $ WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. Contractor MECHANICAL PERMIT FiIingFee 10.00 Heating Cooling g Hood 3,00 Ventilation Permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the Countyot Butte to enter upon the above-mentioned property for inspection purposes. I also ee to save, ind nify nd keep harmless the County of Butte against all I' biH ies, judgm cost and expenses which may in any way accrue agai st id County con ence of the granting of this permit. X./_�C� _�i7 Date nore of Applicant I Owner ❑ Contractor Agent ❑ PnS A permit is required for excavations over 5'0" deep and demolition or construct- tructures over_ 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ TOTAL PERMIT FEE OCCUP. CONST.TYPc FLOOD PARCEL PD NO Issu This permit is hereby issued under sions the Butte County Code and/or work in icated bove for which II CT10R OF PUBLIC By PERMIT EXPIRES Date the applicable provi- resolutions to do fees have been paid. WORKS Date 2 FEi3 Receipt No. P �1 �� WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT ,em.:M ,1,. .-,N ,r. }. ;�.r.•. sem„--u.+.-... ,.t"3„'+r."".�r+.,'�': .f.y.,.�+?.;' _rr.,. ..$ r �. y,`x,.y� .. ,i ., f%'i, i."a`'' �r !V_4 'IF; COUNTY OF BUTTE - DEPARTMENT .OF. ;PUBLIC WORKS - BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROV.ILLE,p CALIFORNIA 95965 - TELEPHONE: 9116245141 PERMIT APPLf6ATION DATA SHEET Permit No. OWNER Proposed Building Use. A. P. No. 22 — / 7 — /.3 % Building Inspector Date / —029 itr 7 At time of permit application, I was advised the following data must be submitted prior to permit processing andJor issuance: DATE RECEIVED APPROVED 1. 2. 3. 4. 5. 6. 7 8. 9. 10. 11. 12. 13. 14. 15. 16. 17. 18. 19. 20. ((V—';a-t. 22. All items have been submitted. . . . . . . . . . . . Plot plans in duplicate./triplicate, signed by preparer of plans. . Complete plans in duplicate./triplicate, signed by preparer of plans. Complete engineered plans and calcs, with wet signature on plans. Plans with Energy Design Compliance Statement. . . . . . CUSD "Fees Paid" Stamp on Floor Plan . . . , . . . . . Statement of Intent for Non -Heated and AC Buildings. Fees of $ . . . . , . . . Letter of signature authorization. . . . . . Sanitation approval from Health Dept. Planning approval for (A) Use: (B) Parking: Certificate of Workmen's Compensation Insurance. . . . . . Contractor's License Information (no., name style, classif.) Owner -Builder Verification (Given to owner[], Mail to owner ❑ ), Improvements may be required. . . . . . . . . . . .. Mobilehome Installation Data. . . . . . . . . . Pre-Inspec. request to (Date) Pre -Inspection for Required. Building Inspector Recorded copy of Agricultural Acknowledgment Statement. Driveway Permit. 1P19t,glan approval from city of _ + -z F'T s 8-s V When you issue the permit, process as follows: -,Mail to owner, Telephone and hold for pickup at office, Other Applicant Mai I to contractor. —Deliver w/inspector. Copy of plans sent Health Dept., Fir(2�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: 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 —mal l—counter by date Plans checked by Date Plans approved by Date Sets of plans on hold in File cabinet AP folder Copy—DPW — Flours: 10:00 a.m. - 3:00 p.m. 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) �,� Z/ signed an application fora 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 Signed: Property Owner Social Security Nu er Date / 7 NOTE: This Owner -Builder Verification is sent to you as required by Sections 19831 and 19.832.of the California Health and Safety Code: This verification must be completed and returned to our office.before.we are per- mitted to issue the permit. COUNTY OF BUTTE ,,-�RTMENT OF PUBLIC WORKS 7 County Center Drive - Orovilie, Cali,kornia 95965 - Telephone 916/534-4541 APPLICATION AND PERMIT PERMIT NO. ASSESSOR ARCEL NUMBER - j 7-/3/ ZONING BUILDING PERMIT ow+ J ') / r TELEPHONE S0. FT. OCC. BUILDING VALUATION OWNER'S MAI ING ADDRESS 'az­l'l/e_s rLIf_ CONTRACTOR'S NAMEPHONE c L, TELE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN C Total Valuation $ LENDER'S MAILING ADDRESS Filing Fee $ 10.00 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 s �. Each Trap 2,00 �• LcL�f� 5e Solar or heat pump water heater 20.00 OT_,N O. SU D VI I N NAME 1AZ` PARCEL MAP ,� Water piping 5.00 A5 C. ) Each qas water heater or vent 5.00 S OF STRUCTURE SF ❑ Duplex❑ Mobileho Other flGL�c`/� /��.(` SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home S G W O.00ea TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation❑ Other ❑ Describe work: j %7,n�Y7- _ _ Permit Fee a 6e) Contractor ELECTRICAL PERMIT Filing,Fee 10.00 Main service SS 1000V OR 0 AMP OR LESS 10.00 p� CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): ❑ I am licensed under provisions of Chapt. 9, Div. 3 of the Business/POWER and Professions Code and my license is in full force and effect. License No. Classification ❑D I, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) I, as the owner, am exclusively contracting with licensed contract - ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code(-- for this reason Main service EA. ADD'L 100 AMP 2.50 NEW CONST. DWELLING OCCUP.5i, oDNS. ( ACC. BLDGS. /20SQ ft NER W CADON ST R. U TI.OUTLET NON.RESID BRANCH CIRC ITS 2.SOea APPARATUS e� SINGLE OUTLET CIR. Ex. Occup(OUTLETS OR FIXTURES eLa 2ALS 30 APNS Ex. Occup. ourLETS (PRESID )REA.) 1 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 Permit Fee $ t 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 becofne subject to the W. C. taws of California. I Notice to Applicant: If after making this statement, should you becojne subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. I Contractor 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. 'nd keep harmless the County of Butte against I also ee to save, ind niFe� all I' bil ies, judgm coand expenses which may in any �ay accrue agai st id County con ce of the granting of this permit.G X Date -1 — � / � in to of Applicant — Owner ❑ Contractor Agent ❑ SHA permit is required for excavations over 5'0" deep and demolition or construct• f structures over 3 stories in height. Mobile Home installation Fee $ Energy Inspection Fee $ TOTAL PERMIT FEE $ 5! OCCUP. CON9T.TTPE vLooD PARCEL PDt ND IseuE This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which DIRECTOR OF PUBLIC By PERMIT EXPIRES Date the applicable provi- resolutions to do fees have been paid. WORKS Date Receipt No. % WNITE•D.P.W.. TELLOW•ASSESS;R. PIN"tASPECTOR. GOLDENROD -APPLICANT i / COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 COUNTY CENTER DRIVE - ORGWLLE} CALIFORNIA 95965 - TELEPHONE: (916) 538-7541 AGRICULTURAL BUILDING EXEMPTION PERMIT PERMIT NO. 9!-110 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. ASS OR PIA CEL NO. ZONING OWNE r- PHONE N0. 0 rJ OW R' DRU EAS)` V-a � I '� [ LOCATION OF BU r ANG rt '/a AO IQ ©� G1o'S USE 9FIBUILDING SIZE OF STRUCTURE 'Ql 'C�- - X _ �On SO. FT.1 TYPE OF CONSTRUCTION: WOOD FRAME -K -STEEL -CONCRETE OTHER (Specify) TYPE Of �IQING Vl/0© ROOF COV ING FLOOR PIZ,) PE tC ©W1rLC f`e ESTIMATED COST OF CONSTRUCTION 00 $ AG Buildings shall comply with the building front, side, and rear yard requirements of the applicable County Ordinances as folloyus:� r O FRONT .5D" SIDES 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 3 / .Jd Signature of Owner Permit Fee - $25.00 The above described AG Building is exempt from a building permit. Receipt No. 6 q% FLOOD I PARCEL P.D. OOFING ISSUE r Director of Public Works By Date White - DPW, Yellow - Assessor, Pink - B. I., Goldenrod - Applicant COUNTY OF BUTTE - DEPARTMENT.OF-PUBLIC WORKS - BUILDING DIVISION 7 COUNTY CENTER DRIVE-- ORb�IL.� LE; CALIFORNIA 95965 -TELEPHONE: 916/538-7541 PERMIT APPLICATION DATA SHEET Permit No. iF OWNER V F ©IrCt ` A. P. No. Proposed Building Use C Building Inspector 26Date 2Z T At ti7AII ermit application, I was advised the following data must be submitted prior to permit processing and/or issuance: DATE RECEIVED APPROVED 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 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 Inspector (Date) 21. Contractor's license information (No., Name Style, Classifications ... 22. Certificate of Workmans Compensation Insurance .................. 23. Owner -Builder Verification (Given to owner ❑, Mail to owner ❑) ..... j 24. Recorded copy of Agricultural Acknowledgment Statement ......... 25. Letter of signature authorization ................................... 26. 27. When you issue the permit, process as follows: Mail to owner. Mail to contractor. Telephone and hold for pi Ik p at office. Deliver w/inspector. Other Applicant 7i,•�d% .Date ;71 -?l 94'� 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---naiI—counter by ..date Contractor, designer, owner, was advised of above required data by —phone _maII—counter by date Plans checked by Date Plans approved by Date Sets of plans on hold in File cabinet AP folder Copy—DPW .�, is OFFICE COPY Address l_ BOJ, GAS Meter By Date E By Cr�� —� qL Meterter By Date (� COUNTY OF BUTTE. -'DEPARTMENT OF PUBLIC WORKS 7 County,Center Drive - Oroviller California 95965 - Telephone: 916/538-7541 APPLICATION -AND -PERMIT PERMIT NO. ASSESSO,kR PARCEL NUMBER !$tX=11 v '.28-17-131 ZONING MR BUILDING PERMIT OWNER - ,lose h Ford TELEPHONE SO. FT. OCL`, BUILDING VALUATION OWNER'S MAILING ADDRESS P.O. Box 2414 Ucaville 95696 _ CONTRACTOR'S NAME- -- unknown TELEPHONE'• S CONTRACTOR'S MAILING ADDRESS .. Fireplace CONSTRUCTION LENDER none - UNKNOWN Total Valuation Is Filing Fee - $ - 10.00 LENDER'S MAILING ADDRESS - Permit Fee $ ARCHITECT OR ENGINEER none LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS PIinafty $ BUILDING ADDRESS 1329 Swedes Flat Rd. " Permit fee $ PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 Bangor 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 well SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home S I G I W i10.00e TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities;® Installation Other ❑ Describe work: electric for well 4 G.. --f ckie ISH,.►.," �T 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): ❑ 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- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONST. DWELLING OCCUP.B; OR ADONS. ( ACC. SLOGS. 2h0SgIt NEW CONSTR. MULTI -OUTLET NON.RESIO BRANCH CIRC ITS 2,50 ea ' POWER APPARATUS a (SINGLE OUTLET CIR. ) Ex. Occup( OR FIXTURES 20®50¢ 6AL® 30 FIXED APP LNS. OR Ex: Occup. OUTLETS (RESID.) EA. 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring `� 15.00 pre insp.= Permit Fee $ 37 56i f i Contractor WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. ® I shall not employ any person in any manner so as to become subject to the W. C. laws of California., Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. MECHANICAL PERMIT Filing Fee 10.00 Heating Cooling Hood 3.00 Ventilation Permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. 1 also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue against said County in consequence of the granting of this permit. 1 A X_ �.!t�ii.�A/r Date �/ 3 / �G Sigtur of Applicant — Owner Contractor ❑ Agent T An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories in height: Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST TYPE TOTAL FEE $ 52.50 HAz CUA PARK SCHL ILD PA PD HD ISSUE This permit is nereby issued under sions of the Butte County Code and/or work indicated above rfor which fees ECTOR OF PUBLIC BY PERT EXPIRES Date the applicable provi- resolutions to do have been paid. WORKS Date ,a �L ! ,y- �, Receipt No. 69962 WHITE-D.P.W.. YELLOW -ASSESSOR, PINK -INSPECTOR. GOLDENROD -APPLICANT COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT NO. 7 County Center Drive - Oroville, California 95965 - Telephone: 916/538-7541 s APPOCATIUN AND PERMIT A � ' ASSESSO{i PARCEL NUMBER OXXX&XXX 28-17-131 ZONING MR BUILDING PERMIT OWNER Joseph Ford TELEPHONE SO. FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS P.O. Box 2414 VAcaville 95696 CONTRACTOR'S NAME unknown TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER none UNKNOWN Total Valuation Is Filing Fee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER none LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS 1329 Swedes Flat Rd. Permit fee $ PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 Bangor 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 well SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home JSFG W 10.00e TYPE OF WORK New Addition [I Remodel❑ Utilities Installation❑ Other ❑ Describe work: Plprtrir for wP11 ��-�- ����r,w+i� Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service e00V OR LESS 100 AMP OR LESS 10.00 Main service EA. ADO'L 100 AMP 2.50 CONTRACTORS LICENSE LAW ' I declare under penalty of perjury (check one): ❑ I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in full force and effect. No. Classification [JJ 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 OCCUPM OR ADONS. ACC. BLDGS. yzotsgft NEW CONSTR ULT' -OUTLET NON-RESID BRANCH CIRC ITS 2,50 ea POWER APPARATUS &) (SINGLE OUTLET CIR. Ex. Occup(OUTLETS OR FIXTURES 200506 8AL®30 FIXED APLNSLicense Ex. Occup. OUTLETS PRESID IRE A.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 insp 15 nn _Pre Permit Fee $ 37 50 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 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 County of Butte to enter upon the above-mentioned property for inspection purposes. 1 also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrueJ again t said County in consequence of the granting of this permit. X zmd Date Si atur of Applicant — Owner 0 Contractor ❑ Agent An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST TYPE TOTAL FEE $ 52.50 HAz CUA PARK SCHL 11-11 PAR PD Ho IssuE This permit is nereby issued under sions or the Butte County Code and/or work indicated above for which fees D ECTOR OF PUBLIC By PERdT EXPIRES Date the applicable provi- resolutions to do have been paid. WORKS Date 7 / O — ¢,a �1r9, � Receipt No. 69962 WHITE-O.P.W.. YELLOW -ASSESSOR, PINK -INSPECTOR. GOLDENROD -APPLICANT COUNTY OF BUTTE -'DEPARTMENT, OF PUBLIC WORKS - BUILDING DIVISION 7 COUNTY CENTER DRIVE - Oi30.a110} Ew;CA'QFORNIA 95965 - TELEPHONE: 916/538-7541 PERMIT APPLICATION DATA SHEET% - Permit No. / OWNER L70se 10..-O w' . A. P. o. I " Al Proposed Building Use h- C ;i Cr klBuilding Inspector Date Z96 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, p ns . . 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 iristructions....................................................... 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 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 (constrution pproval required prior to occupancy) 20. Pre -Inspection for 15 �� C r C,- required Pre-Inspec. request to(Date)Inspector (Date) 21. Contractor's license information (No., Name Style, Classifications ... — 22. Certificate of Workmans Compensation Insurance .................. ' 23. Owner -Builder Verification (Given to owner ❑, Mail to owner ❑) ..... 24. Recorded copy of Agricultural Acknowledgment Statement ......... 25. Letter of signature authorization ................................... 26. 27. When you issue the permit, process as follows: Mail to owner. Mail to contractor. Telephone Y and hold for pickup at office. Deliver w/inspector. Other Applicant O:Le� 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---mai I counter by ..date Contractor, designer, owner, was advised of above required data by—phone —mal l—counter by date Plans checked by Copy—DPW Date Plans approved by Sets of plans on hold in File cabinet AP folder r Date COUNTY OF BUTTE -DEPARTMENT OF PUBLIC WORKS PERMIT NO. 7 County Center Drive - Orovil?e, California 95965 - Telephone: 916/538-7541 APPLICATION AND PERMIT ASS}:R PAROL NUMBE ZONIN BUILDING PERMIT OWN Q \ TELEPHONE SO. FT. OCC. BUILDING VALUATION OWNP S MAI LI G6DOR ESSac CTR ACIOR'S NAME ow ✓i TELEPHONE CONT ACTOR'S MAILING ADDRESS Fireplace CONSTR wTION LENDER CON:V UNKNOWN C Total Valuation 5 Filing Fee $ Q" LENDER'SMAILING ADDRESS Permit Fee ; ARCHIT,E,iCT ORENGINEER 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 Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME PA EL MAP Water piping 5.00 Each qas water heater or vent 5.00 USE OF STRUCTURE/ SF [I 'Duplex[] Mobilehom Other C�Z SPECIE Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home 10.00e TYPE OF WORK New❑ Addition ❑ Remodel❑ Utilities Installation❑ Other ❑ Describe work: Permit Fee ;7 Contractor ELECTRICAL PERMIT Filing Fee 10.00 �ji'' C, C-+ ,^ ` I Y Main service 6o0V OR LESS 100 AMP OR LESS 10.00 Main service EA. ADO'L 100 AMP 2.50 a CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): ❑ 1 am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in full force and effect. License No. Classification ❑ I, as the owner, or my employees with wages as their sole compen- 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 ADONS. C ACC. SLOGS. f , �z¢sgft NEW CONSTR. MULTI -OUTLET NON-RESID BRANCH CIRC ITS 2.50 ea (POWER /POWER APPARATUS e OUTLET CIR. EX. Occup( OUTLETS OR FIXTURES 20030¢eAL030 FIXED APLNS. EX. Occup. OUTLETS P(RESI D,)RE A.) 2.00 Temporary service 10.00 I I s h 15.00 Misc. Wiring 9 15.00 Permit Fee ; WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. ❑ I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. Contractor MECHANICAL PERMIT Filing Fee 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. %� Date Signature of Applicant — Owner ❑ Contractor ❑ Agent ❑ An OSHA permit is required for excavations over 5'0" deep and demolition or construct. ion of structures over 3 stories inheight. Mobile Home Installation Fee ; Energy Inspection Fee $ occ CONST TYPE TOTAL FEE $ HAz I CUAJ PARK I SCHL I FLD I PAR PD I HO ISSUE Th;s permit is hereby issued under sions of the Butte County Code and/or work indicated above for which fees DIRECTOR OF PUBLIC BY the applicable provi- resolutions to do have been paid. WORKS Date eceipt No. FR COUNTY OV BUTTE a 11epaYtment of Public Works 7 County Center Drive, Oroville, CA 95965 Phone: 916-538_7541 OWNER -BUILDER VERIFICATION Attention Property Owner: An 'owner -builder" building permit has been applied for M 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.4, O . x 2. I (have/have not) 24-- 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 V 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: ,VPrope ner Social Security Nu. er - Date NOTE: This Owner -Builder Verification is sent to you as required by Sections 19831 and 19832 of the'Cal.ifornia Health and Safety Code. This verification must be completed and returnee to our office before we are per- mitted to issue the permit.