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029-250-041
NOTES RESIDENTIAL PERMIT NO. 029-250-041 � � 0�-2272 FELKINS, JENNY r 1240 LINDALE, RICHVALLE• ' Cont: MARK STEWARD ` ADD -GARAGE , x. k SPECIAL CONDITIONS ..CHECKED BY SRA .. FLOOD CERTIFICATE REQ. ._ 1 FIRE SPRINKLERS REQ... - SPECIAL INSPECTION ITEMS , L ;•' VERIFY' USE PERMIT•CONDITIONS "'•- SUB -STANDARD HOUSING LETTER • y OFFICE COPY x 1 Address GAS D ate _____� Meter BY ELECTRIC Datea,7_� y x Meter BY N w - i `QOB , FINALED (Date) Irt' SlonatUre ,¢ J=OK 0= Not % - = Not Ready nie . =Not Ready MOBILE HOMES Date MOBILE HOME UTILITIES (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Sols; Special MH Support Sketch 3. Sewer, Location -Test -Fall -C/O -Concrete 4. Water, Location -Test -Easement Needed (Sketch) S. Electricity; Location-Clearances-Gmd-/ /Amp -Concrete 6. Gas; Location -Test -Wrap;-/ /" L'ft. / PNat or/ /"LW PLPG 7. Well Clearance & Disconnect 8. Utility Clearance Date Cana B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date MOBILE HOME INSTALLATION (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Footings; Size -Spacing -Marriage Line 3. Gas; MH Test -Demand -Valve -Connector 4. Electricity; MH Test -Crossovers -Breakers -Clearances 5. Drain; MH Test -Fall -Flex Connector 6. Water, MH Test-Regulator-Connectoe 7. Water and Sewer Connected -C/O to Grade -HD Approval S. Gas and Electricity Tagged 9. Tie Downs -Type -Installation Cert 10. Exits; Insp.-Sketch 11. Cert of Occupancy Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date PERMANENT END SYSTEM (ONLY) 1. Zoning Requirements -Setbacks -Easements 2. Footings; Size -Spacing -Marriage Line 3. Blocking 4. Gas; MH Test -Demand -Valve 5. Electricity-, MH Test 6. Water, MH Test 7. Water and Sewer Connected 8. Gas and Electricity Tagged 9. Exits 10. License Decals 11. Verify #'s with Office Date Card B-1 Date Card B-1 Date Card B-1 Date Cana B-1 MISCELLANEOUS Date DECKS, COVERS, CARPORTS, GARAGES (Plans) OK except g's 1. Zoning Requirements -Setbacks -Easements 2. Footings; Soils -Size -Depth -Spacing -Connectors -Steel 3. Decks, Girders and/or Joists -Decking -Bracing -Stairs -Rails 4. Wood Awn.; Posts-Beams-Rftrs-Connectors Shthg-Frg-Bracing 5. Alum. Awn.; Columns-Connections-Splice-Decal,Enclosures 6. Carports; Windows -Doors 7. Electric 8. Frmg.; Sills-Anchors-Studs-Rftrs-Trusses 9. Siding, Nailing -Veneer -Stucco -Mesh 10. Roof; Shthg-Roofing 11. Ext; Steps -Doors -Landings 12. Braced Wall Panels Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date POOLS (Plans) OK except #'s 1. Setbacks -Easements 2. Soils; Compaction -Structure Stability 3. Pool Structure; Steel -Connections -Thickness Dead Men -Lining 4. Elec.; Receptacles and Lighting, Distance-GFI 5. Elec.; Pool Lighting.- 15 Volts-GFI 6. Elec.; Enclosures; Conduit Entries-Termina)s-Listed 7. Elea; Bonding; Metal w/5' -Circulating Equip. -Heater 8. Elea; Grounding; Equip. w/5' Circulating Equip. -Pool Lghtg. Boxes-Enclosures-Panelboards-Ins. to Main Conduit 9. Health Department Approval 10. Plumb.; Cir. Test -Water Supply Test 11. Light Niche 12. Enclosure; Fencing -Alarms Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 = OK = Not OK = Not Appr=hte = Nat Ready RESIDENTIAL (Single & Duplex) late UNDERFLOOR (Plansl OK except #'s P./Ftg!Main; Soils-Elec. Gmd: //; /r Ftg. Depth tg., Garage; Soils-Steel-Elec. Gmd.-//ar Ftg. Depth 4. Ftg_, Po Pies &Decks; Soils -Steel-/ P Ftg. Depth 5. Ste ails, Main; Steel-Blockouts-Wrapped 35,'Pepp. Receptacles Spacing -Lights & Switches at Doors e Boxes & No. of Conductors Stapled mex Installed Close to Edge of Studs & C.J. Ile E4quio. Ground made up w/Mech Fasteners -Bond Gas & Water 29. YAppliance Circuits in Kitchen onductor Size GFI Subfeed Wire Size/ /ga. Cu o AC. Wire Size/ /ga Cu or AI 31. Range Circle/ /ga Cu or AI -Oven Circ. / /ga Cu or AI Insulated Neutral 0 Yes 0 No 32. Service -Riser Conductors & Ground Main Disconnect 33. Equip. Clearances Panels -Motors -Meeh. Equip.. 34. Clothes Closet Light -Shower Light -Spa Light 35. Smoke Detector Z A FG Date!Zr30 Card B-1 g- ( Date Card B-1 Date Card B-1 Date Card B-1 Date MEC ICAL (Permit) OK except #'s Z5XC. Ducts Insulation & Support . Vent Fan, Exhaust above insulation 38. Condensate Drain & Overflow, Size & Grade 39. Furnace -Vent Access -Comb. Ait-Return Air Vent 115 Outlet 40. Attic Access & Platform ff Furnace in Attic Date ( L ,'1 (i t Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date FRA ING (Permit) OK except #'s ills Proper Materials & Anchors WIIs Studs -Nailing Spacing & Brac s -Plates -Sound 43. earing Walls over Girders & Floo ailing 44. raft Stop in Walls (rat proof) ire Stops, Furred Ceilings t ' -Chasers-Tubs ~` ,..';_"..,Headers.& Beams -Size & Bearing Date FRAMING (Continued) W. Fjangers-Post Caps -Anchors -Connectors 4111"Cling. Joist-Rftr. Ties-Purlin-Roll Brac.-Truss-Shting.-Rtng, 49. Fireplace Ties or Type AFlue-Fireplace Throat Clearance' 50. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles rm. Windows or Exiting Doors -Sill HL & Dimensions .Garage Fire Protection Framing -RC Channel �mperty Line Frewall & Openings 5*. E5 t. Doors -One 3' -Check Garage 3rd Story, 2 Exits Sk"Stairs; Width -Headroom -Rise -Run -Landing -Fre Protection Plywood on Roof Overhang -Attic Vents -Rafter Outriggers 57<`Siding-Naifing Veneer 58. Stucco Mesh -Drip Screed -Fd. Vents-Underflc Access S,lazing Area -Glass Protection -Skylights -Plastic Shear Walls; Nailing -Botts 61. Brace Interior/Exterior Wall Panels 62. Insulation -Walls -Ceilings 63. Infiltration -Walls -Windows Date!? ,�0 r Card B-1' ) , Date Card B-1 Date I L4(E)Card B4Z , k • Date Card B-1 Date FIN ns) OK except #'s _ Steps -Door & Sidelight Protection -Landings Smoke Detector 66. Furnace Vents -clearance -Comb, Air-Connector- IpGarage; Above Floor -Ducts -Meth. Protection B_Wrbom Exiting fXl& Bath Fixtures & Tub Access -Spa . Trim ubpanel, Breaker Sizes & Labels Stair RW . Fireplace or Stove, Clearance -Hearth Elec. Outlets at Wood Panel, Int & Ext. 73. Kit. Fixt. & Appliance; Ground -Air -Gap -Cooking Clearance 74. . Outlets & Receptacles at Kit. Counter QS arage Fire Door, Swing -landing -Closure 76. A.C. Duct in Garage -Damper 77. Wtr. ; Vents -Clearance -Comb. Air Connector-P.R.V. Garage; Above Floor -Meth. Protection PX.- Elec. & Mech. Equip. Listed for Location Elec. Receptacles in Garage (FFI.)-Romex Protection 80. Insulation -Foam -Looked in Attic 81. Guard Rails & Deck Construction -Post Caps • 82. Fdn. VBents & Crawl Hole Door Drainage & Wood -Earth Clearance Looked under Floor 0 Yes 83. Following ImildJDrive 0 Yes 0 No/Walks 0 Yes O No/Planters 0 Yes O No 84. S cco Brown -Finish 8. Unit Disconnect, Electrical -Plumbing Vents Above Roof, Plbg-Appliance-Fireplace-Clearance to Openings 87. Wer Well, Disconnect, Electrical, Plumbing . Frior Elec. Trim, G.F.I. Receptacle -Underground 6-j.'Y:Laation Throughout House I Protection 9 Corrections from Previous Inspections 92. Test -Meters Tagged, Gas -Electric RV -.ter & Sewer Connected -C/O to Grade -HD Approval rgy Compliance Certificate -Other Certificates Address Posted 96. Fre Sprinkler Date ., r0 Card B-1 , 2 r 1 Date Card B-1 Date 0(-1 B-1 �Date Card B-1 Date Card B-1 Date Card B-1 Comments at Final: SC Hold Downs and Special Anchors 7. Slab, Steel -Wrapped 8. Piers -Fireplace Ftg.-Steel 9. D.W.V.; Fall-Frtting-Test-2 Way C/O -Sewer Test 10. UF, Gas Pipe; Size Anchors -Yard Gas Piping; Size Test 11. Water Pipe; Test -Anchors -Regulator -Service Test 12. Electric Underground 13. Plenums & Ducts; Clearance -Material -Support -Ins. 14. Girders -Sills -Anchor Bolts-Joists-Vents-Crippies 15. Access & Ventilation 16. Insulation Date _ _ Cana B-1 Date Card B-1 Date Card B -t Date Card B-1 Date PLU ` G (Per -mit) OK except #'s 1 ter Htr.; Vent -Access -Combustion Air Baffle ater Pipe-, Test & Anchor -Nail Protection D.W.V.; Test Fittings & Anchor -Nail Protection 20. Shower Pan; Test, First Floor -Tub Access 21. est Tub & Shower Second Floor -Tub Access Gas Pipe; Sixe & Anchors 23. Fre Sprinkler, Test Date(? , '. Cana 8- r Date Card B-1 Date Cana B-1 Date Card B-1 Date ELE RICAL (Permit) OK except #'s W. Fixture & Transformer Clearance -Ins. Protection 35,'Pepp. Receptacles Spacing -Lights & Switches at Doors e Boxes & No. of Conductors Stapled mex Installed Close to Edge of Studs & C.J. Ile E4quio. Ground made up w/Mech Fasteners -Bond Gas & Water 29. YAppliance Circuits in Kitchen onductor Size GFI Subfeed Wire Size/ /ga. Cu o AC. Wire Size/ /ga Cu or AI 31. Range Circle/ /ga Cu or AI -Oven Circ. / /ga Cu or AI Insulated Neutral 0 Yes 0 No 32. Service -Riser Conductors & Ground Main Disconnect 33. Equip. Clearances Panels -Motors -Meeh. Equip.. 34. Clothes Closet Light -Shower Light -Spa Light 35. Smoke Detector Z A FG Date!Zr30 Card B-1 g- ( Date Card B-1 Date Card B-1 Date Card B-1 Date MEC ICAL (Permit) OK except #'s Z5XC. Ducts Insulation & Support . Vent Fan, Exhaust above insulation 38. Condensate Drain & Overflow, Size & Grade 39. Furnace -Vent Access -Comb. Ait-Return Air Vent 115 Outlet 40. Attic Access & Platform ff Furnace in Attic Date ( L ,'1 (i t Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date FRA ING (Permit) OK except #'s ills Proper Materials & Anchors WIIs Studs -Nailing Spacing & Brac s -Plates -Sound 43. earing Walls over Girders & Floo ailing 44. raft Stop in Walls (rat proof) ire Stops, Furred Ceilings t ' -Chasers-Tubs ~` ,..';_"..,Headers.& Beams -Size & Bearing Date FRAMING (Continued) W. Fjangers-Post Caps -Anchors -Connectors 4111"Cling. Joist-Rftr. Ties-Purlin-Roll Brac.-Truss-Shting.-Rtng, 49. Fireplace Ties or Type AFlue-Fireplace Throat Clearance' 50. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles rm. Windows or Exiting Doors -Sill HL & Dimensions .Garage Fire Protection Framing -RC Channel �mperty Line Frewall & Openings 5*. E5 t. Doors -One 3' -Check Garage 3rd Story, 2 Exits Sk"Stairs; Width -Headroom -Rise -Run -Landing -Fre Protection Plywood on Roof Overhang -Attic Vents -Rafter Outriggers 57<`Siding-Naifing Veneer 58. Stucco Mesh -Drip Screed -Fd. Vents-Underflc Access S,lazing Area -Glass Protection -Skylights -Plastic Shear Walls; Nailing -Botts 61. Brace Interior/Exterior Wall Panels 62. Insulation -Walls -Ceilings 63. Infiltration -Walls -Windows Date!? ,�0 r Card B-1' ) , Date Card B-1 Date I L4(E)Card B4Z , k • Date Card B-1 Date FIN ns) OK except #'s _ Steps -Door & Sidelight Protection -Landings Smoke Detector 66. Furnace Vents -clearance -Comb, Air-Connector- IpGarage; Above Floor -Ducts -Meth. Protection B_Wrbom Exiting fXl& Bath Fixtures & Tub Access -Spa . Trim ubpanel, Breaker Sizes & Labels Stair RW . Fireplace or Stove, Clearance -Hearth Elec. Outlets at Wood Panel, Int & Ext. 73. Kit. Fixt. & Appliance; Ground -Air -Gap -Cooking Clearance 74. . Outlets & Receptacles at Kit. Counter QS arage Fire Door, Swing -landing -Closure 76. A.C. Duct in Garage -Damper 77. Wtr. ; Vents -Clearance -Comb. Air Connector-P.R.V. Garage; Above Floor -Meth. Protection PX.- Elec. & Mech. Equip. Listed for Location Elec. Receptacles in Garage (FFI.)-Romex Protection 80. Insulation -Foam -Looked in Attic 81. Guard Rails & Deck Construction -Post Caps • 82. Fdn. VBents & Crawl Hole Door Drainage & Wood -Earth Clearance Looked under Floor 0 Yes 83. Following ImildJDrive 0 Yes 0 No/Walks 0 Yes O No/Planters 0 Yes O No 84. S cco Brown -Finish 8. Unit Disconnect, Electrical -Plumbing Vents Above Roof, Plbg-Appliance-Fireplace-Clearance to Openings 87. Wer Well, Disconnect, Electrical, Plumbing . Frior Elec. Trim, G.F.I. Receptacle -Underground 6-j.'Y:Laation Throughout House I Protection 9 Corrections from Previous Inspections 92. Test -Meters Tagged, Gas -Electric RV -.ter & Sewer Connected -C/O to Grade -HD Approval rgy Compliance Certificate -Other Certificates Address Posted 96. Fre Sprinkler Date ., r0 Card B-1 , 2 r 1 Date Card B-1 Date 0(-1 B-1 �Date Card B-1 Date Card B-1 Date Card B-1 Comments at Final: INSULATION CERTIFICATE Job Number: 7121 Mark Steward Construction.::::" Contractor/Owner Name Butte :; ...... County Subdivision Name DESCRIPTION OF INSTALLATION 1. ROOF ................................................................. Material: Thickness (inches): 2. CEILING 1146 Lindel Ave.,Richvale CA Job Address (street, city, state) Brand Name: Thermal Resistance (R -Value) Lot Number Batt or Blanket Type:.,;;;: Fiberglass „ Brand Name: Knauf Thickness (inches). 12 Thermal Resistance (R -Value): 38 Loose Fill Type. .. Brand Name: Minimum Installed Weight/ft .. lb Minimum Thickness. inches Manufacturer's installed weight per square foot to achieve Thermal Resistance (R -Value): . 3. EXTERIOR WALL Frame Type: A. Cavity Insulation Material: Fiberglass Thickness (inches): B. Exterior Foam Sheathing Material: Thickness (inches): 4. RAISED FLOOR Material: Fiberglass Thickness (inches): - 61/4 5. SLAB FLOOR/PERIMETER Material: Thickness (inches)::! Perimeter Insulation Depth Inches: 6. FOUNDATION WALL Material:.............................................................. Thickness (inches): Brand Name: Knauf Thermal Resistance (R -Value): 13 Brand Name: Thermal Resistance (R -Value) Brand Name "-Knauf Thermal Resistance (R -Value): 19 Brand Name:. Thermal Resistance (R -Value):. . ........................................... Brand Name: Thermal Resistance (R -Value). - ... DECLARATION I hereby certify that the above insulation was installed in the building at the above location in conformance with the current Energy Efficiency Standards for residential buildings (Title 24, Part 6, California Code of Regulations) as indicated on the Certificate of Compliance, where applicable. // G' Chico Insulation . Item Number's Signature and Date Installing Subcontractor (Co. Name) or General Contractor (Co. Name) or Owner Item Number's Signature and Date Installing Subcontractor (Co. Name) or e General Contractor (Co. Name) or Owner BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT 24 HOUR INSPECTION At. '(530) 538-7636 (OROVILLE) (530) 891-2834 (CHICO) OFFICE #: (530) 538-7541 PERMIT NO. BP052272 R !' Rllillllnn VPfmlf 111-lh-114 no i LICENSED CONTRACTORS DECLARATION I hereby affirm under penalty of perjury that I am licensed under Issued Date: 10/13/2005 APN: 029-250-041-000 provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect. (� ?" N b Site Address: 1240 LINDALE AVE RIC License Class : �— License Map Index: Date: 6 Contract Description: ADD SF(829)ADD GAR(267) OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors' State License Law for the following reason (Sec. 7031.5 Owner: FELKINS MICHAEL R &JENNIFER M Business and Professions Code: Any city or county which requires a permit to construct, alter, improve, demolish, or repair any structure, prior to its issuance, also requires the applicant for such permit to file a signed statement that he or she Is licensed pursuant to the provisions of 1240 LINDALE AVE the Contractor's State License Law (Chapter 9 commencing with Section RICHVALE, CA 7000) of Division 3 of the Business and Professions Code) or that he or 95974 she is exempt therefrom and the basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars ($500).): ❑ I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale (Sec. 7044, Business and Professions Code: The Contractors' State License Law does not apply to an Applicant: STEWARD CONSTRUCTION, MARK owner of property who builds or improves thereon, and who does such work himself or herself or through his or her own employees, provided that such improvements are not intended or offered for sale. If however, the building or improvements are sold within one P O BOX 1060 year of completion, the owner -builder will have the burden of BIGGS, CA 95917 proving that he or she did not build or improve for the purpose of sale.). 530-868-1075 ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec. 7044, Business and Professions Code. The Contractors' State License Law does not apply to an owner of property who builds or improves thereon, and who contracts for such projects with a contractor(s) licensed Contractor: STEWARD CONSTRUCTION, MARK pursuant to the Contractors' State License Law.). ❑ 1 am Exempt under Article 3 of the Business and Professions Code P O BOX 1060 Date: Owner: BIGGS, CA 95917530-868-1075 WORKERS' COMPENSATION DECLARATION I hereby affirm under penalty of perjury one of the following declarations: ❑ I have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by Section 3700 of the License #: 496738 Labor Code, for the performance of the work for which this permit is issued. I have and will maintain workers' compensation insurance, as required by Section 3700 the Labor Code, for the performance of Architect: the work for which this permit is issued. My workers' compensation Engineer: insurance carrier and policy number are: Carrier: Sfkre- - if Policy #: Total Square Ft: 1096 S.F. ❑ I certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to Valuation: $60,293.00 become subject to the workers' compensation laws of California, Census Code: and agree that if I should become subject to the workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with t ose provisions. Date: V ApplicaNA WARNING: Failure to secure workers' compensation coverage is unlawful, and shall subject an employer to criminal penalties and one hundred thousand dollars ($100,000), in addition to the cost of damages as provided for in Section 3706 of the Labor Icompensation, code, interest, and attorney's fees. 1 CONSTRUCTION LENDING AGENCY This permit i ereb d-doef-pt6 applicable provisions of the Butte County Code and/or I hereby affirm that there is a construction lending agency for the the for which this is issued (Sec 3097 Civ.) Resoluti s to d k 1 ated ov r which fees have been paid. performance of work permit BY:Date: Name: /� ! r� i ^ 10 6 PERMIT EXPIRES ON: / //_/ Address: Date) ❑ 1 hereby certify that the use of this facility shall comply with Sections 25505, 25533, and 25534 of the California Health and Safety Code, which regulate the storage, . . handling and use of hazardous materials. ❑ Notification in accordance with Section 19827.5 of California Health & Safety Code is not applicable to the scheduled construction of this project. ❑ Attached are copies of the required E.P.A. notification forms. I hereby certify that I have read this application, that the above information is correct, and that I am the owner or the y rized ag I o ner. I agree to comply with all county and state laws relating to building construction. I acknowledge it is unlawful to alter the substance of any ficial f r docum of Butt County. I hereby authorize representatives of Butte County to enterupon the above mentioned property for inspection purpose . / Print Name: I'" 1t'�l��L �1vX14-�' Signature: Date: ❑ Owner -) Contractor ❑ Agent for Owner ❑ Agent for Contractor R !' Rllillllnn VPfmlf 111-lh-114 no i BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT APPLICATION AND SUBMITTAL REQUIREMENTS 24 HOUR INSPECTION#: OROVILLE: (530) 538-7636 • CHICO: (530) 891-2834 OFFICE #: (530) 538-7541 A FEE WILL BE REQUIRED AT TIME OFAPPLICA TION Website: www.buttecounty.net/dds "PLEASE PRINT CLEARLY`;` 'ilia ' �i�L'�► For office use only: OWNER INFORMATION Last Name aL—ZL(�� Addres First Name Address .� O � b'�..r✓ City I\ .�1i /X l� State CA Zip Phone �! 0 Fax E-mail 'ilia ' �i�L'�► For office use only: CONTRACTOR Name V_ Addres City No State Zi �-7 PhoneFax Zip J Email Fax Lic. #q% Class 'ilia ' �i�L'�► For office use only: ARCHITECT/ENGINEER Name �L C� Address Address City No State Zip Phone Zip Fax E-mail Fax State License Number 'ilia ' �i�L'�► For office use only: APPLICANT INFORMATION Name �L C� Cross ttreet Address two I No City Type Const. State/ /L `� Zip Phorse " O-7 Fax E-mail 'ilia ' �i�L'�► For office use only: Zoning Propert Addre s � � M Flood Zone Cross ttreet SRA I Yes No Occ. Type Const. Subdivision Name Map Book I Page I Lot # Planner Date Approved: OVER FOR SUBMITTAL REQUIREMENTS PERMIT NO. ens BP :. BIN #AIV PROJECT LOCATION AP# C�2 -256' C Propert Addre s � � M City'�C� Cross ttreet WORKER'S COMPENSATION Policy Number Carrier If hiring anyone other than license contractors, a certificate of worker's compensation must be shown at the time of permit issuance. LENDING AGENCY Name y Address Description or Scope of Work: i nom 4-6nik: Sq FT- Living ea- Garage W-2 Open Cov ❑ Structure Built without Permits ❑ Proposed Change of Occupancy (Note. previous use): EXPIRATION OF APPLICATION Applications for which a permit has not been issued will expire one year after the date of application. In order to renew action on an application after expiration, a new application, plans and fee will be REQUEST FOR REFUNDS Refunds can only be made upon written request by the person who paid the fee. The request must be made prior to the expiration of the permit and no construction work has been done. Filing fees, plan check fees for work plan checked and other department costs are not refundable. Received 'y: Amount: l ~ Bldg SRA Sheriff t/ SMIP Dat `a� � � 44 Other Total K:\FORMS\BUILDING FORMS\BldgApplSubRgmts.doc Page 1 of 2 REV 8-12-05 SUBMITTAL & PERMIT REQUIREMENTS The following drawings and specifications must be submitted to the Building Division in order to apply for a permit. INCOMPLETE SUBMITTALS WILL NOT BE ACCEPTED. ALL PLANS MUST BE LEGIBLE AND IN INK. ❑ 1. Site plans, 3 or 4 sets, signed by the preparer of the plans. No graph paper! ❑ 2. Complete plans, 3 or 4 sets, signed by the preparer of the plans (No graph paper!) OR Engineered plans, 3 or 4 sets, with wet signature on plans AND 2 sets of stamped and signed calculations. ❑ 3. Engineered truss details and layouts in duplicate (if required). No faxes! ❑ 4. Energy compliance design and supporting documentation in duplicate. ❑ 5. Statement of Intent for Non -heated and A/C for Non -Residential Buildings. ❑ 6. Manufactured homes: (A) Installation manual, (B) Marriage line info, (C) Floor Plan, (D) Tie down or fnd plans, all in duplicate ❑ 7. Metal bldgs: (A) Metal Bldg Plans, (B) Fnd plans and calcs in triplicate, (C) Elevations in triplicate. (D) Floor plans in triplicate. All of these must be stamped and wet -signed by the engineer. ❑ 8. Flood Elevation Certificate, wet -stamped and signed, in duplicate (if required). ❑ 9. Site plan and business license approval from the City of Biggs. ❑ 10. Letter of intent for non-residential buildings. ❑ 11. Building Permit Application Without Required Clearances Form ❑ 12. Hazardous Material Form (for Commercial Buildings only). Remaining items needed to issue the permit. Additional items may be required after Plan Check and Planning review (May require additional plan review upon receipt of the following items.) ❑ 1. Agricultural Buffer clearance and site plan approval from the Ag Commissioner's office (if required). ❑ 2. Impact Fees. ❑ 3. California Department of Forestry plan approval (if required). ❑ 4. NPDES Form. ❑ 5. Encroachment Permit for driveway from the Public Works Dept. (construction approval prior to occupancy). ❑ 6. Contractor's license information. (Number, Name Style,. Classification). ❑ 7. Worker's Compensation Carrier and Policy Number. ❑ 8. Owner -Builder Verification (if required). ❑ 9. Letter of Signature authorization (if required). ❑ 10. Recorded copy of Agricultural Acknowledgment Statement. ❑ 11. ❑ Legal description from current recorded grant deed, ❑ Copy of M.H. Title, Title transfer, or MCO. ❑ 12. Sanitation and site plan approval from the Environmental Health Department. If you have questions or would like additional information regarding this process, please contact a Permit Assistant at (530) 538-7541. EXPIRATION OF APPLICATION Appli:ations for which a permit has not been issued will expire one year after date of application. In order to renew action on an application after expiration, a new application, plans and fees will be required. REQUEST FOR FEE REFUNDS Refuids can only be made upon written request by the person who paid the fee. The request must be made within two years from the date of fee payment on permits not issued, and two years from the date of permit issuance for permits issued; however, on issued permits refunds can only be made if no construction work has been done. Filing fees, plan check fees for work plan checked and other department costs are not refundable. OVER FOR BUILDING PERMIT APPLICATION KAFORMS\BUILDING F0RMS\B1dgApp1SubRgmts.doc Page 2 of 2 REV 8-12-05 COUNTY OF BUTTE -DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING DIVIS16N 7 County Center Drive, Oroville, CA 95965 Phone (530)538-7541 Fax (530)538-2140 PERMIT APPLICATION DATA SHEET OWINER: �1_� ASSESSOR�PARCEL NUMBER 00.9- - C) / Proposed Building Use: '� 1 �--- Permit Technician:�_�Dat�e: Items required in order to apply for a permit. All boxes MUST be checked OR marked NA in oror to apply. _f9 1. Site plans, 3 or 4 sets, signed by the preparer of the plans. -J-. 2. Complete plans, 3 or 4 sets, signed by the preparer of the plans. ❑ 3. Engineered plans, 3 or 4 sets, with wet signature on plans AND 2 sets of stamped and signed calculations. ;6 4. Engineered truss details and layouts in duplicate. No faxes! O 5. Letter from Engineer or Architect for truss design review. 6. Energy compliance design and supporting documentation in duplicate. ❑ 7. Statement of Intent for Non -heated and AIC for Non -Residential Buildings. ❑ 8. Manufactured homes: (A) Installation manual, including marriage line info, (C) Floor Plan, (D) Tie down or fnd plans, all in duplicate. ❑ . 9. Metal bidgs: (A) Metal Bldg Plans, (B) Fnd plans and calcs in triplicate, (C) Elevations in triplicate. (D) Floor plans in triplicate. All of these must be stamped and wet -signed by the engineer. ❑ 10. Flood Elevation Certificate, wet -stamped and signed, in duplicate. ❑ 11. Letter of intent for non-residential buildings 12. Hazardous Material Form 13. Acknowledgement of building permit application without required clearances. ❑ 14. Other maining items needed to issue the permit. (May require additional plan review upon receipt of the following items.) 15. Sanitation and site plan approval from the Environmental Health Department in ❑ Chico ❑ Oroville, as applicable ❑ 16. Fire Sprinklers............................................................................................ .1j 17. - Agricultural Buffer clr and site plan apr from the Ag Commissioner Sent by ❑ 18. Soils Report and/or Engineered Foundation required ........................................... rJ 19. Erosion Control Plan Required........................................................................ fr20. Fees as shown on the attached Schedule of Fees Due Sheet .............................. . ❑ 21. City of Chico Plumbing permit.' ...................................................................... 0 22. Site plan and business license approval from the City of Biggs .............................. ❑ 23. California Department of Forestry plan approval ❑ paid. Sent by: �- ' 24. Planning approval for (A) Use:-L-(B)Parking: (C) Parcel Check:..... OS ❑ 25. Contact Land Development about _ Improvements, _ Drainage ........................ 26. NPDES Form...........,..........................................................................:....... .. ❑ 27. Encroachment Permit for driveway from the Public Works Dept ........................... ❑ 28. Contractor's license information. (Number, Name Style, Classification) ................... ❑ 29. Worker's Compensation Carrier and Policy Number .......................................... ❑ 30. Owner -Builder Verification (_ Given to owner, _Mailed to owner) ..................... ❑ 31. Letter of Signature authorization.................................................................... ❑ 32. Recorded copy of Agricultural Acknowledgment Statement ................................. ❑ 33. Existing violations and/or expired permits......................................................... ❑ 34. Deed Restriction.......................................................................................... ❑ 35. ❑ Legal description, ❑ M.H. Title, title search, registration or MCO ......................... ❑ 36. Other: ❑ 37. Other: Wher. issued Telephone �- �U and hold for pickup. I hav been infor ed of tK above ornsand- uirements for obtaining a building permit. Applican . Date: 1. Index permit applic pion for the above items numbered: Plan Check Lett4r 2. Adcitional items required Contractor, designer, owner, was advised of the above data by ❑ phone, ❑ mail, ❑ counter, by Date: Contractor, designer, owner, was advised of the above data by ❑ phone, ❑ mail, ❑ counter, by Date: Contractor, designer, owner, was advised of the above data by ❑ phone, ❑ mail, ❑ counter, by Date: Plans reviewed by: Date: Plans approved by: --r V9 Date: Structural reviewed by: Date: Structural approvedby: j� Date: Note tansfer by: Date: Yellow: Building Division BUTTE COUNTY OUNTY SCHOOLS IMPACT.FEE CERTIFICATION FORM (One form per Building) School District Building Department No. 6A,� s zz�z A.P. Number OVI _7W r q Jurisdiction: -City Property Owner. Property Location/Address L/O /A/P..-Ttj�F_ 1C"kv!2 I e Subdivision Lot No. ................... ....... Residential Development 0 Q Q Sq. Footage No of Livings Mobile Home *Supplemental to Ad ition/ (Group. R) Units Installation Conversion Permit # •(14.1bundation inspection) ............................... 7--**-*-'-- .... * ... ***** ............ Deed Restricted Sq. Footage (Attach a signed copy of Deed Restriction and Notice of Limited Use Facility document), Commercial/industrial Q Q Sq. Footage New Addition (including Exterior Roofed Areas) Building —armeAt Representative Date District Identification No. School District certifies ttibi (Applicant) I _z L (Street Address) (Phone Number) (State) (Zip Code) - has Complied with the I requirements of Resolution No. d by payment of $ 43b N representing square feet. 'An 2926 $ IVULL MITIGATION $ ho Date Paid by Check # 7Remarks: Nodce: You may protest the Imposition of the fees Identified above by submitting a written protest to the District. In compliance wlth4, Government Code Section 66020(a), within 90 days from the date fees are paid. Failure to submit a timely written protest will prohibit you from challenging the Imposition of the fees In any court action. - If, subsequent to the School District Representative signing thIsButte County Schools Irninict Fee Certification Form, the School District Is notified by the applicable Local Planning Agency that this project Is being reviewed under the California Environmental Quality Act (CEQA), this project may be subject to additional school fees to fully n0tigate its Irnpect an the ad" districts'schools. White (school district), Yellow (building department), Pink (applicant) I feeformAs (31W)ftrn COUNTY OF BUTTE DEPARTMENT OF DEVELOPMENT SERVICES — BUILDING DIVISION 7 COUNTY CENTER DRIVE, OROVILLE; CA 95965 PHONE (530)538-7541, FAX (530)538-2140 SCHEDULE OF RECEIPT OF FEES jA Website: www.buttecounty.net/dds OWNER L � PROPROSED BUILDING USE " Off_ DATE �� �� 9— RECEIPT # DATE REC. 1. BUILDING PERMIT FEES --- Balance Due ..................... $ yao Z /O --- FEMA Flood elevation review ... $ --- Additional plan checking Fee.... $ SCHOOL DISTRICT FEES to 14`3�—D5- (paid at School District Office) (form availabte a er Plan Check) 3. SHERIFF FEES (paid at Building Division) Commercial (sq. ftg.)..... X $0.03 = $ Sq.Ftg. 4. RECREATION DISTRICT FEES (paid at Recreation District Office) (form available after Plan Check) 5. RESIDENTIAL DEVELOPMENT IMPACT FEES COUNTY WIDE (per dwelling) $ CHICO URBAN AREA (per dwelling) $ EL MEDIO FIRE DISTRICT (per dwelling) $ NORTH CHICO SPECIFIC PLAN (per dwelling) Zoning 6. SRA FIRE INSPECTION AND PLAN CHECK FEE $204.98 (paid at Building Division) 7, WATER TENDER FEES BATTALION 4 $200.00 (paid at Building Division) 8. SMIP b' 6/2:) 9. DRAINAGE FEE 10. OTHER 11. OTHER At time of permit application, I was is the hbove fees are required to be paid prior to issuance of the permit. These fees may be change= ch king cess. APPLICANT DATE ,0kJ/9_ Pursuant to Government Code Section 66020, you are hereby notified that items, 2, 3, 4, 5, 6, 8, 9, and 10 above may have been impos d on your project. You have 90 days from the date of approval of the project or from the imposition of the above mentioned items during which you may protest. The requirements for a protest are specified in Government Code Section 66020(a). Original -Building Division Yellow -Applicant Pink -Owner (rev. 7/05) Department e- n 1 1 n f ' Michael Crump, Director of Public .oJ 6 U 'Ylorks LAND DEVELOPMENT DIVISION Storm Water Management Program 7 County Center Drive Oroville. CA 95965 (530) 538-7266 (FAX) 538-7171 National Pollutant Discharge Elimination System (NPDES) Phase 11 Construction Storm Water Permit and Storm Water Pollution Prevention Plan (SWPPP) Acknowledgement BLESS THAN 1 ACR Project Description: Project Location andlorParcelNumber: By signing below, L the project ownerlowner's agent, certify that this project WII�L NOT DISTURB 1 acre or more of land and that L therefore, do not need to apply for a Construction Storm Water Permit frcn the State • of California Regional Water Quality Control Board. Phased projects that. contain build -outs of less than one acre but when combined with subsequent phases total more multiple site than one acre disturbed soil will require a Construction Storm Water Permit from the State of California Regional Water Quality Control Board. F I am. aware that submitting false and/or inaccurate information or failure to apply for a Construction Storm Water Permit from the State of California Regional Water Quality Control Board for a project that disturbs one acre or more of land may result in revocation of grading and/or other permits or otber sanctions provided by law. Signed: Title: Date: Lf <zL•� T�rJ�7o;J L 029-25-0-041' 98-1233 B` FELKINS, Michael '1240 Lindale-'Avenue, Richvale (reroof/somp)SF Dbubld J.Rfg,. 4—%p = 9/ t L 029-25-0-041' 98-1233 B` FELKINS, Michael '1240 Lindale-'Avenue, Richvale (reroof/somp)SF Dbubld J.Rfg,. 4—%p = 9/ COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-7541 PERMIT NO. (Rev. 12/96) APPLICATION AND PERMIT ASSESSOR PARCEL NUMBER 29-25-41 (�.�•*;S, ZONING BUILDING PERMIT OWNER pfl7 Kam , TE "O_E5240 f. SQ. FT. OCC. BUILDING VALUATION C 0 V OWNERS MAILING ADDRESS 1240 1240 LiNDALL AVE.,LRICHVALE CONTRACTOR'S NAME t TELEPHONE 877-2791 CONTRACTORS MAILING ADDRESS PARAWSR, CA 95969 CONSTRUCr10N LENDER Fireplace LENDER'S MAILING ADDRESS Total Valuation $ 122 ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00 Permit Fee $ 45.00 ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ BUILDING ADDRESS Energy Plan Checking Fee $ $ PERMIT FEE $ G5 LOT NO. SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMIT Filing Fee 20.00 Each Trap 7.00 USEOFSTRUCTURE SF 1 Duplex ❑ Mobilehome ❑ Other SPECIFY Solar or heat pump water heater 23.00 Water piping 15.00 Each gas water heater or vent 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other O Describe Work: R$ ROOF W/CW 44 Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home I S I G I W 920.00 PERMIT FEE $ ELECTRICAL PERMIT Filing Fee 20.00 a000 R UE Main Service A OR LESS 23.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect.r License Class ('. Xi* Lic. No. S (1w IV oc OWNER-BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: ❑ I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. 1 have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' comp nsatiQn insurance c mer and policy number are: Carrier �l fi �jll.I,►7 Policy Numberr"' ? a --a 9 3 (The above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) ❑ I certify that in the performance of the work for which this permit is issued, I shallTOTAL not employ any person in any manner so as to become subject to workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall forthwith comply with those provisions. ( `�-�f,{]r' � ,.I Date ���i� X �� Signature' of Applicant - ❑ Owner Q Contractor ❑ Agent An OSHA permit is required for excavations over 60" deep and demolition or construction of strGctures over 3 stories in height. Main Service 200A TO 1000A 46.00 NEW CONST. DWELLING OCCUP. SO OR ADDNS. ( a ACC. BLDS. 3.50FT. NEW CONS ..ESDT MULTI.OUTLET 97.50 POWER APPARATUS a SINGLE OUTLET CIR. 20 @ 1.00 Ex. Occup. OUTLET OR FDRURES SAL @ .50 LIIS Ex. Occup. oLmEEDTs A ID.oEk 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE S MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE $ Mobile Home Installation Fee I $ Energy Inspection Fee $ occ CONST. TYPE FEE $ 65.00 HAz.D. FEES IMP I FLOOD I CDF PARCEL PD I HD I 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. n :� By L, pjtlr /0rr-�0 \ Date - PERMIT EXPIRESON !7 c I Date ReceiptNo. 31337 WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-75PE MIT NO. (Rev. 12/96) APPLICATION AND PERMIT 9a,_-z2,��s ASSESSOR PARCEL NUMBER 29-25-41 ZONING BUILDINGPERMIT OWNER FELKINS, MICHAEL TE}�,tL 5240 �j�j SO. FT. OCC. BUILDING VALUATION 1920 AI . OWNERS KUNG ADDRESS 1240 L•INDALE AVE., RICHVALE CONTRACTOR'S NAME DOURTE .1 T TELEPHONE 877-2791 CONTRACTORS MAILING ADDRESS 1729 BILLIE RQAD- PARADISE, CA 95969 CONSTRUCTION LENDER Fireplace LENDERS MAILING ADDRESS Total Valuation $ 192 ARCHITECT OR ENGINEER LICENSE NO. $ 20.00 —FilingFee Permit Fee $ 45.00 ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ BUILDING ADDRESS Energy Plan Checking Fee $ $ PERMIT FEE $ 05.00 LAT NO. SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMIT Fling Fee 20.00 USEOFSTRUCTURE SF TI Duplex ❑ Mobilehome ❑ Other SPECIFY Each Trap 7.00 Solar or heat pump water heater 23.00 Water piping 15.00 Each gas water heater or vent 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other Describe Work: RE ROOF W/COMP Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home I S I G I W @20.00 +k PERMIT FEE $ ELECTRICAL PERMIT Fling Fee 20.00 Main Service q OR LER UESS 23.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and nd effect. �i License Class �'— 3 1 Lic. No. Sr'o�o �a OWNER -BUILDER DECLARATION 1 hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: ❑ I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason Main Service TO lOooA 46.00 NEW CONST. DwEwNG occuP. VI ( ADDNS.AiT�i 3.5QF°; MUOR NEW CONST. o�Sr NON•RESID. 97.50 POWER APPARATUS 8NGLE OUTLET CIR. EX. Occup. OUTLET OR FIXTURES .00 BAL @ I. 0 Ex. Occup. OFlx�s R D OFRq 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 ' PERMIT FEE _ WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. 91 1 have and will maintain workers' compensation Insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' comp}sati�n ins an csrrier and policy number are: Carrier ��'' L� MECHANICAL PERMIT Fling Fee 20.00 Heating Cooling` Hood 6.50 Ventilation ' PERMIT FES $ -1 Policy Number -q 3 (The above sections need not be completed If the permit is for work of a valuation of one hundred dollars ($100) or less.) ❑ 1 certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall f h ith comply with provisions. X Date ��Jy Signet of Applicant - ❑ Owner ,q Contractor ❑ Agefit An O A permit is required for excavations over 60" deep and demolition or construction of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST. TYPE TOTAL FEE $ 65.00 HAZ. I D. FEES IMP I FLOOD CDF PARCEL PD HD SSUE 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 N 1p-- /5; - 5F5, Date Receipt No. 31337 WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT . 4� PERMIT NO, - PERMIT EXPIRES —OWNER Jerry Tucker CONTR. Owner 29-25-35 LOCATION (A.P. ) N/S Indale Ave., app.200'W.of.Park Way, Richvale j i t i _.x -4 .vM T sE s 1; Temp. Power Pole— Called ole Called PG&E rr Temp. Elea Serv. Called PG&E Temp. Gas Se v'. a Called PG&E JOB FINALED `�� / % ,Z Oona nem I — FIRE SPRINKLERS I Motors Mesh COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS BUILDING INSPECTION.RECORD Grd. Fault Prot. Scratch BUILDING BUILDING (Cont'd) Service PLUMBING Setback i/ oL Firewall 2 9 -7 Soil Piping, Ducts Forms Parapets 1st Floor )� Main Bldg. + Restroom Finish rc.: ;t': *_ ;.. 2nd Floor MOBILEHOME UTILITIES - - - - - - - - - - - - Footings Windows 3rd Floor Sewer Stemwal i Sidina To out Elec. Continuity Slab Roof Sheathing Water PI in Piers i( 7 Roofing Sewer Garage Fdn. Vents Fixtures Footings Stemwall Garage Vents Insulation Water Htr. Heaters + Slab Carport Footings Prov. for phsically handica ed Conformance of ex. structure Appliances Gas Piping & Test Temp. Gas Slab Final - -- Sanitation Patio FIREPLACE Final Footings Footino I ELECT ICA Masonry Walls Throat Rough Relnf. Steel Final ✓ I Fixtures Oona nem I — FIRE SPRINKLERS I Motors Mesh MECHANICAL Grd. Fault Prot. Scratch Heating Service Brown Cooling Temp. Pole Finish Ducts Under round Interior Lath Ventilation Permanent Door+Closer 02,-g-717 Final -C Final — - MOBILEHOME UTILITIES - - - - - - - - - - - - Elec_ Service Elec. Pedestal Water Piping Sewer Gas Piping MOBILEHOME INSTALLATION - - - - - - - - - - - - - - Support Elec. Continuity Water Piping Drainage in Gas Piping 9 DATE REMARKS OR CORRECTIONS I PA r 01Y V /P� l g (NO n tr must a made on this form each time you visit the job site.) v/� 1 i SS r7. - 6161 C T S)IMOM allInd do '143c, jjAns jo klmnoo THIS IS TO CERTIFY THAT INSULATION HAS BEEN INSTALLED IN C04-FOPYANCE WitlTli THE CURRENT ENERGY REGULATIONS. CALIFORNIA ADMINISTRATIVE CODE, TITLE 25. STATE OF CALIFORNIA. IN THE BUILDING LOCATED AT: I rz� Uielf, reet Lpt Number Tract No t-5:�19 - 78 ) rL) (cP &L— 7�) EXTERIOR WAL Manufacturer cg� C Thickness/Type r-1— R Value CEILINGS Batts: Manufacturer Thickness R Value Blown: Manufacturer Thickness No. Bags Wt./Bagy(T Sq. Ft. Covered ( (4—to R Valu FLOORS Manufacturer Thtckness/Type R Value SLAB ON GRADE Manufacturer Thickm ess/Type R Value Width of Insulation— Inches FOUNDATION WALtS Manufacturer Thickness/Type R value GENERAL CONTRACTOR 0 C -A ) V� ex-- LICENSE NUMBER' iBY TITLE DATE IN4SUT ON CONTRAQ0fjj ran T. TN,';IJLAT ONLICENSE NUMBER 212461- -(J) qra=�4 DATE COUNTY OF BUTTE — ` DEPARTMENT OF PUBLIC WOR S < 7 County Center Drive - Oroville, California 95965 Telephone: 534-4541 APPLICATION AND PERMIT 0\:3 authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. X ZI�Idly" Date - Signature of Permitee or Agent Receipt No. White-D.P.W. - Yellow -Assessor - Pink -Inspector - Goldenrod -Applicant This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DIRECTOR OF RABLIC WORKS /.' Building permit expires Date BUILDING Owner S0. FT. OCC. BUILDING VALUATION 00 32000 Mailing Address V3 Gj ��E���� �� V8 Z/J 2� 0 il / (�K�flW CA qs�% � j� T I pn���7 J[ 9 evV 3 Contractor Mailing Address Fireplace I C1( 00 Total Valuation Telephone No. Permit Fee ,00 Building Address Plan Checking Fee&/or Penalty Permit Fee / , Ob b � A S LIN bIR L6 u too A PLUMBING No. @ FEE N of ARK AJA-7. PERMIT FILING FEE $3.00 QQ Each Trap 1.5062 Qah%g Verification Onitl lclt o Lz Repair drainage or vent piping 1.50 fj �V Z V �� A. P. No. L �- Zoning & Planning -water piping 1.50 isU Each gas water heater or vent 1.50 5� FS Fire Dept. Fire Zone Use Permit Gas piping system 1 - 5 outlets 1.50 /, 5'0 _!QA Parking Parcel Plans Declaration Parcel Map 60' R/W Improvements Each additional outlet .30 Building sewer 5.00 .00 Bldg. P ns Recd �x/arc royal Plans Approval Lawn sprinkler system 2.00 NEW 2"' ADDITION ❑ UTILITIES ❑ OTHER ❑ Permit Fee $ 90 ELECTRICAL No. @ FEE , PERMIT FILING FEE $3.00 3000 i Main service 600V OR LESS 100 AMP OR LESS 5.00 Single Family ©Duplex ❑ Mobil Home ❑ Others ❑ Main service EA. ADD'L 100 AMP 2.50 Main service OVER 25.00 100 AMPP OR LESS O EA. ADD'L 100 AMP 1.00 Main serviceNEW CONST. / OR ADDNS. C ACCLBLDG-ZA DWELING4) 2¢sgft ,(D CONTRACTORS LICENSE LAW I am licensed under the provisions of Chapter 9, Div. 3, of the State of California Business & Professions Code under the name st le of: Y NEW ES,., ULTI.OUTL T NON-RESIBRANCH CIRCUITS) 2.50ea NEW CONST R. POWER APPARATUS 6 NON-RESID. SINGLE OUTLET CIR. Ex. OCCUD(OUTLETS OR FIXTIIRFS I5 L25 Ex. Occu FIXED APPLNS. OR p• OUTLETS (RESID.) EA) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 License No. Classification Misc. Wiring 6.25 I am exempt from the Contractors License Laws of the State of California. Permit Fee $ , MECHANICAL No. @ FEE WORKMEN'S COMPENSATION INSURANCE I am aware of the provisions of Section3700 of the California Labor Code which requires every employer to be insured against liability for Workmen's Compensation. 1 have placed on file with the County of Butte a certificate of Workmen's Compensation Insurance. Icertify that in the performance of the work for which this permit is issued I shall not employ any person in any manner so as to become subject to the Workmen's Compensation Laws of California. PERMIT FILING FEE $3.00 rb�i Heating 50 M p Cooling 3 yz ,SO Ventilation Hood 2.00 y00 Permit Fee $ 26, go $ A, D 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 Land Development Fee Isa,ov TOTAL PERMIT FEE $2 SS authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. X ZI�Idly" Date - Signature of Permitee or Agent Receipt No. White-D.P.W. - Yellow -Assessor - Pink -Inspector - Goldenrod -Applicant This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DIRECTOR OF RABLIC WORKS /.' Building permit expires Date RESIDENTIAL PLAN CHECKING GUIDE (S.F. , DUPLEX, & MISC. ONLY) Bldg. Permit # 65/7- OWNER 5/}%-OWNER N�/EeeY /4iCA:E _ A.P. 29- 25- 35' A. GENERAL 4-! Zoning requirements (sideyards and parking). ,e Valuation. 1*:a-t-u-re by R.C.E. or Architect (if required) . B. PLOTPLAN Complete parcel size and dimensions. Re." Setbackq, sideyards, easements, etc. 3r --8th uildings or structures. 4 Grading, fills, drainage. C. FLOOR PLAN Complete to scale plan with dimensions. 2 -""Required windows for light and ventilation (Sec. 1405). Required windows for second exit (Sec. 1404). Allowable glazing for energy requirements (20% max. per.State law). Human impact glass (Sec. 5406). J: Required room sizes, ceiling heights (Sec. 1407). V*' G.F,C.I.'s in baths and exterior outlets (Sec. 210-8). Light fixtures, switches, receptacles, and exterior receptacles for maintenance of mechanical equipment. 8/. Locations of water heater, heating & cooling equipment, other electrical or gas equipment, and plumbing fixtures. / 118" Garage firewall, door size, and closer (Sec. 503(d)(4)). ]�! 1 - 3'0" exterior exit door (Sec. 3303d). b� Fireplace location. $�! Smoke detectors (Sec. 1413). 7 D. STRUCTURAL DETAILS Foundation plan complete enough to construct building. Floor construction details complete enough to construct building. $� Elevations and wall construction details'complete enough to construct building. Roof construction details complete enough to construct building..- TQ.USSC—S e construction details and calcs if -over one-story in height. lW: Sufficient data and details to satisfy energy insulation requirements (State law). E. MISCELLANEOUS ITEMS TO LOOK OUT FOR Ll/ CCX plywood on exposed locations and overhangs. 2. Sta#Tway -details (Sec. 3305) . 3.r ra __ a ails (Sec. 1716). 4. veneer (Chapter 30). 5.. - weep screeds (Sec.'4706 & 4708). Proper roof pitch for roof covering (Chapter 32). ties or bearing ridge beam. Q.' Garage door or porch header sizes. Adequate .bracing. area over garage - complete 1 -hour separation required including supporting walls and posts, etc. three-story dwellings (Sec. 3302). 0 '( ,��flj .V:m I 4 1, �I ! I •` I � 1 , I � '� " J rl �I � V I II' ' I I .. �:�j I • Oil 9090 V01.1, Wo., Hat?', ofL. 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