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Home My WebLink About030-350-02430-35-4 WILLIAM RUFF' .�/ 0 ,576. 14th St Oroville '/' / y� Don George Roofing, Oro 375-81B (reroof/SF ) 030-350-024' PERMIT#977_1996 JACOBSEN, Douglas & Joan _ 1576 14th St:, Oroville New Pri Det Garage /S o �l�v,�� . =ZZ -9 030-350-024 PERMIT# 97-2645 JACOBSEN, DOUGLES AND JOAN a' 157 1'4TH.STREET, OROVILLE_ ` UP(RADE ELEC MAIN SERVICE PANEL/SF 030-35-0-024 99-0489 BPEM JACOBSEN, Douglas & Joan - 1576 14th ST, Oroville (add bed ro &tchen)SF 030-350-024 02-1.616 JACOBSEN, DOUGLAS & JOAN ` IN 1576 14T" ST-1-OROVILLE OPEN DECK Z ( cam iso (-c�� u� l �� 030-350-02 030-350-024 02-1616 JACOBSEN, DOUGLAS & JOAN T" St Ij 6V ,157614 Ok6VILLE 0 p �R OPEN DECK (e=l— - IV) COUNTY OF BUTTE -DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING DIVISION • 7 County Center Drive • Oroville, California '95965 • Telephone (530) 538-7541 ERMIT'NO. (Rev. 12/96) APPLICATION AND PERMIT °� ASSESSOR PARCEL NUMBER UJU-350-024 ZONING A -R BUILDING PERMIT OWNER ,^t AUBSEN, DOUGLAS 0 JOAN TELEPHONE 534-3.690 SO. FT. OCC. BUILDING VALUATION 368 OD!!S11 2576.00 OWNERS MAKING ADDRESS 1576 14th ST., OROVILLE CA 95965 CONTRACTOR'S NAME TELEPHONE CONTRACTORS MAIUNG ADDRESS CONSTRUCTION LENDER Fireplace LENDER'S MAIUNG ADDRESS Total Valuation $W6.00 ARCHITECT OR ENGINEER LICENSE NO. Filin Fee $ 20.00 Permit Fee $ ARCHITECT OR ENGINEERS MAIUNG ADDRESS Plan Checking Fee $ 35-10 BUILDING ADDRESS 1576 14th, OROVITLE Energy Plan Checking Fee $ PERMIT FEE S .1111111118 LOT NO. SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMIT Fling Fee 20.00 Each Trap 7.00 USEOFSTRUCTURE SF)O 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 b Remodel ❑ Utilities ❑ Installation O Other ❑ Describe Work: OPEN DECK Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home S G W @20.00 PERMIT FEE S ELECTRICAL PERMIT Fling Fee 20.00 600V OR LESS Main Service 2o.AORLESS 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.POWER License Class _. Lic., fJO.' 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. ❑ 1, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason Main Service TO 46.00So CCU000A NEW CONST. DWEWNG OCCUP. SO DWE200ALLING OR ADDNS. ( d ACC. BUDS. 3.50 FT. NEW NONRESID MULTI.OUTLET @7,50 APPARATUS b SINGLE OUTLEr C IR. Ex. Occu oun>=roRFocruREs BAL ° '.50 Ex. Occup. .,"TeEDA Oa 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. ❑ 1 have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier Policy Number (The above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) 0 1 certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall forthwith comply with those provisions. X ! � , � 11 .-,! -. 1 ,Date / t �i /' '\ \Signature o�Applicant - pyOwner ❑ Contractor ❑ Agent An OSHA permit is required for excavations over 60" deep and demolition or construction��(� of structures over 3 stories in height. MECHANICAL PERMIT Fling Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE $ Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST. TYPE TOTAL FEE $ 09. 0 M HAz D ESP FL CDF pARC PD HD UE 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. /7 //02. By ��/��(((///�� / Date PERMIT EXPIRES ON Date ReceiptNo. J:)4V0/ *lU9.1U WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT I 0 COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-7541 ERMIT NO. (Rev. 12/96) APPLICATION AND PERMIT 01R_6 ASSESSOR PARCEL NU!fb -350-024 ZONING A -R BUILDING PERMIT OWNER .• JA�OBSEN DOUGLAS & JOAN TELEPHONE 534-3690 SO. FT. OCC. BUILDING VALUATION 368 open 2576.00 .OWNER'S MAILING ADDRESS 1576 14th ST., OROVILLE CA 95965 CONTRACTOR'S NAME TELEPHONE CONTRACTOR'S MAILING ADDRESS CONSTRUCTION LENDER Fireplace LENDER'S MAIUNG ADDRESS Total Valuation $ 2536.00 ARCHITECT OR ENGINEER s LICENSE NO. Filing Fee $ 20.00 Permit Fee $ 54.00 ARCHITECT OR ENGINEERS MAILING ADDRESS - Plan Checking Fee $ 19-10 BUILDINGADDRESS 15 Energy Plan Checking Fee $ $ PERMIT FEE $ LOT NO. SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMIT Fling Fee 20.00 Each Trap 7.00 USEOFSTRUCTURE SF?C7 Duplex ❑ Mobilehome ❑ Other SPECIFY - Solar or heat um water heater 23.00 Water piping 15.00 Each as water heater or vent 15.00 TYPE OF WORK New ❑ Addition 13 Remodel ❑ Utilities ❑ Installation ❑ Other ❑ Describe Work: OPEN DECK Gas piping stem 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home I S I G I W @20.00 PERMIT FEE S ELECTRICAL PERMIT Fling Fee 20.00 R LESS Main Service ZD.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.POWER License Class LIC. No. OWNER -BUILDER DECLARATION 1 hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: J& 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 Mein Service 200A TO 1000A 46.00 NEW CONST. DWELLING SCUP. OR ADDNS. ( a ACC. eros. SO 3.50FT: NON-RESID. MULTI -OUTLET @7.50 APPARATUS a SINGLE OUTLET CIR. EX. OCCU OunET OR FIXTURES�0 @ 1:00 Ex. Occup. OunFIXFTSA PR91.oEE 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE S WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ 1 have and will maintain workers' compensation Insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier Policy Number (The above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) I certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to workers'�,Z compensation laws of California, and agree that f I should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall fort"h comply with tho r isions. ate — / G} - O '`— J�na ure of pplicant - ner ❑ Contractor ❑ Agent An OSHA p rmit is requ)*r6d for excavations over 60" deep and demolition or construction of structures over 3 946ries in height. MECHANICAL PERMIT Fling Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE $ Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST. TYPE TOTAL FEE $ FES COF PARC u This permit is hereby issued under the applicable provisions of the Butte County Code and/or Resolutions to do work indicated above for which fees have been paid. By Da)e ?� l PERMIT EXPIRES ON �o �G / 0✓ pale ReceiptNo. 354087 $109.10 WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT ic�i .,iv-_w�.sre.T,;�w w►.P ".- �.......y��,�F�..�,`.1�•�e. �i,.. fir. � . .',y � iil0�� ,.""'-�y`,�Y"� `�tiia�bi�^ • j, -.ter,'. �` j.•C.r ..I�a;,�f. ic•, 1. .� . ! . d✓. "`'COUNTY OF BUTTE -DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING DIVISION 7 County Center Drive, Oroville, CA 95965 Phone (530)538-7541 Fax (530)538-2140 -' PERMIT APPLICATION DATA SHEET hh T OWNER: �� ASSESSOR PARCEL NUMBER D6o sv `v�� Proposed Building Use: Pp ' ' S Counter Technician: qWk, Date: I,teems required in order to apply fora permit. All boxes MUST be checked OR marked NA -in order to Apply. Plot plans, 3 or 4 sets, signed by: -the preparer of the plans. C7 2. Complete plans, 3 or 4 sets, signed by the preparer of the plans. tfn. Engineered plans, 3 or 4 sets, with wet signature on plans AND 2 sets of stamped and signed calculations. TIn. Engineered truss details and layouts in duplicate. No faxes! Imo. Energy compliance design and supporting documentation in duplicate. B-6. Manufactured homes: (A) Data sheets and installation instructions, (B) Marriage line information, (C) Floor Plan, (D) Tie down or foundation plans, all in duplicate. ER -4.. Metal buildings: (A) Metal Building Plans, (B) Foundation plans and calculations in triplicate, (C) Elevation views in triplicate. (D) Floor plans- triplicate. All of these must be stamped and wet -signed by the engineer. Items required for initial plan review. If checked items have not been received, plan review cannot proceed. The permit will be indexed and returned to the plan review line-up when required items are received. Date Received By ❑ 8. Flood Elevation Certificate, wet -stamped and signed, in duplicate ................................ ❑ 9. Plot plan and business license approval from the City of Biggs .................................... ❑ 10. Letter of intent for non-residential buildings......................................................... ❑ 11. Detached Accessory Building Form filled out by the owner ..................................... ❑ 12. Hazardous Material Form............................................................................... ❑ 13. Other Remaining items needed to issue the permit. (May require additional plan review upon receipt of the following items.) ❑ 14. Fees as shown on the attached Schedule of Fees Due Sheet ....................................... 15. Statement of Intent for Non -heated and A/C Buildings .................................. // .... 16. Sanitation and plot plan approval from the Environmental Health Department ❑ 17. City of Chico Plumbing permit........................................................................ ❑ 18. California Department of Forestry plan approval ❑ paid. Sent by: ...................... ❑ 19. Planning approval for (A) Use: 0)< (B)Parking: (C) Parcel Check: ❑ 20. Contact Land Development about ❑ Improvements, ❑ Drainage ............................... ❑ 21. Encroachment Permit for driveway from the Public Works Dept. (construction approval prior to occupancy). ❑ 22. Pre -Inspection for; required ................ ❑ 23. Contractor's license information. (Number, Name Style, Classification): ..................... ❑ 24. Worker's Compensation Carrier and Policy Number ..............:.............................. r ❑ 25. Owner -Builder Verification (❑ Given to owner, ❑ Mailed to owner) ..................... ❑ 26. Letter of Signature authorization.................................................................... ❑ 27. Recorded copy of Agricultural Acknowledgment Statement .................................... ❑ 28. Manufactured home utility' clearance..........:. ❑ 29. Existing violations and/or expired permits......................................................... ❑ 30. ❑ Grant Deed, ❑ M.H. Title/Statement of Facts, ❑ Letter from Legal Owner, ❑ Check to H.C.D. $ ❑ 31. Other: When issued Telephone and hold for pickup. I have been inform ofthea 'o i an requirements for obtaining a building permit. Applicant: llate: 1. Index permit application for the above items numbered: Plan Check Letter 2. Additional 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 d a by ❑ phone, ❑ mail, ❑ counter, by Date: Plans reviewed by: 2,3 Date: 41 WD'L Plans approved by: g6 -Date: 6ZO Structural reviewed by: Date: Structural approved by: Date: Note transfer by: Date: Yellow: Building Division OWNED -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 unnry delay in processing and issuing your, building permit. No building permit will be issued until this verification is received. �J I personally plan to provide the major labor and materials for construction of the proposed �J property improvement . YES M" NO ❑ 2� I HAVE O'�" 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: 0 ADDRESS: CITY: PHONE: CONTRACTOR'S LICENSE NO. I plan to provide portions of this work, supervise, and provide the major work: NAME: ADDRESS: PHOrE: but I have hired the following person to coordinate, CITY: CONTRACTOR'S LICENSE NO. 5. I will provide some of the work but I have contracted (hired) the following persons to provide the work indicated: NAME ADDRESS PHONE TYPE OF WORK SIGNED: PROPERTYOWNER: DATE: — — U -%. - f NOTE: This Owner -Builder Verification is required by Section 198.31 and 19832 of die California health and Safety Code. This verification must be -completed ded returned to our office before we are permitted to issue the permit. OVER �- OWNER BUILDER INFORMATION I Dear Property 0—ner: An application for a building permit has been submitted in your name listing yourself as the builder of property improvements specified. For your protection, you should be aware that as "owner -builder" you are the responsible parry of record on such a permit. Building permits are not required to be signed by property owners unless they are personally performing their own work. If your work is being performed by someone other than yourself, you may protect yourself from possible liability if that person applies for the proper permit in his or her name. Contractors are required by law to be licensed and bonded by the State of California and to have a business license from the city or county. They are also required by law to put their license number on all permits for which they apply. If you plan to do your own work, with the exception of various trades that you plan to subcontract, you should be aware of the following information for your benefit and protection: �` ♦ If you employ or otherwise engage any persons other than your immediate family, and the work (including materials and other costs) is 5300 or more for the entire project, and such persons are not licensed as contractors or subcontractors. then you may be an employer. ♦ If you are an employer, you must register with the State and Federal Governments as an employer and you are subject to several obligations including state and federal income tax withholding, federal social security taxes, workers compensation insurance, disability insurance costs, and unemployment compensation contributions. ♦ There may be financial risks for you if you do not carry out these obligations, and these risks are especially serious with respect to worker's compensation insurance. ♦ For more specific information about your obligations under Federal Law, contract the Internal Revenue Service (and, if you wish, the U.S. Small Business Administration). For more specific information about your obligations under State Law, contact the Department of Benefit Payments and the Division of Industrial Accidents. If the structure is intended for sale, property owners who are not licensed contractors are allowed to perform their work personally or through their own employees, without a licensed contactor or subcontractor, only under limited conditions. A frequent practice of unlicensed persons professing to be contractors is to secure an "owner builder" building permit, erroneously implying that the property owner is providing his or her own labor and material personally. Building permits are not required to be signed by property owners unless they are performing their own work personally. Information about licensed contractors may be obtained by contracting the Contractors State License Board in your community or at 1020 N Street, Sacramento, CA. 95814. Please complete the "Owner Builder Verification" on the reverse side of this form so that we can confirm that you are aware of these masers. The building permit will not be issued until the verification is returned. I rely, Mic el C. Vi iia, C.B.O. NI ger, Building Inspection NOTE: This Owner -Builder Information is required by Section 19830 of the California Health and Safety Code- OVER oda OVER Y NOTES RESIDENTIAL PERMIT; 030-35-0-024 99-0489 BPEM JACOBSEN, Douglas & Joan 1576 14th ST, Oroville (add bedroom & kitchen)SF I e SPECIAL CONDITIONS CHECKED BY SRA FLOOD CERTIFICATE REQ. FIRE SPRINKLERS REQ. SPECIAL INSPECTION ITEMS VERIFY USE PERMIT CONDITIONS SUB -STANDARD HOUSING LETTER OFFICE COPY Address I 1 GAS Meter By Da ELECTRIC Meter By Date J JOB FINALED (Date) Signature i SPECIAL CONDITIONS CHECKED BY SRA FLOOD CERTIFICATE REQ. FIRE SPRINKLERS REQ. SPECIAL INSPECTION ITEMS VERIFY USE PERMIT CONDITIONS SUB -STANDARD HOUSING LETTER OFFICE COPY Address I 1 GAS Meter By Da ELECTRIC Meter By Date J JOB FINALED (Date) Signature ,COUNTY OF BUTTE BUILDING DIVISION DEPARTMENT OF DEVELOPMENT SERVICES 411 Main Street • Chico, CA • (530) 891-2751 7 County Center Drive • Oroville, CA • (530) 538-7541 "CORRECTION NOTICE t O NER FERMI NO.. =� A routirie inspection indicates that the following violations of butte county Ordinances exist at the above address and should be corrected. Please notice this office when correction of work is completed. If you have any questions pertainin o this matter, or need additional explanation, please contact this office immediately. ® /� 7' yi x ti •t: v1 E a? Y Date / 7 d Inspector -Jg — REV 16/92 COUNTY OF BUTTE BUILDING DIVISION DEPARTMENT OF DEVELOPMENT SERVICES 411 Main Street • Chico, CA • (530) 891-2751 7 County Center Drive • Oroville, CA • (530) 538-7541 CORRECTION NOTICE OWNER 0 yU PERMIT NO. A routine inspection indicates that the following violations of butte county Ordinances exist at the above address and should be corrected. Please notice this office when correction of work is completed. If you have any questions pertaining to this matter, or need additional explanation, please co tact this office immediately. Date J Inspector REV 10/9"2 FROM : LAUGHLIN & SPENCE PHONE NO. 530 671 0822 Aug. 04 1999 08:17AM P3 •° a L,�.UG-�LIN and SPEN(M PROSECT / CIVIL ENGINEERS and SURVEYORS8y �_J'` Gd DATE ' ► RhM trif.OAK 8011UVARD 63016-1.1008 wUt3n Cirv. Gw 95401 tLt (Siti)0'.I•Jbi: J06 No. � � 14:277� SHEET._OF�_ 03/27/00 09:47 SACRA/ ENTO INSULATION -) 5329514 NO. 241 D02 CERTIFICATION OF INSULATION ADDRESSOR TRACT" '.: •::: = ", '''SACRAkIENTO grSULATiON CONTRAC?ORS LOT n ❑ P.O. BOX BCM, WEST SACPM NTO. CA 95691 UC. M2Q0 ❑ 1308 MELODY ROAM MARYSVILLE, CA 95801 Ur-- $202088 ❑ P.O. SPX 0061. FRESNO. CA 93793 -MSI LIC. 1 `4 �"�♦ ❑ P.O.00X 1631, RENO, NV S9508 LIC. $10676 ❑ 3328 A PONDEROSA WAY. LAS VEGAS, NV 89116 LIC. 010675 1 OATHtN6ULATI-OW 0MP66T t D { SQUARE FEET) ( SQUARE FEET) I SQUARE FEET) TYPE OF IN9L1t,AT PR IN$UL ATIOIi - ., TYPE OF INSULATION MAT AIAL .'.: MATERIAL • MATERIAL FIBERGLASS FIBERGLASS FIBERGLASS FORM FOAM FORM BATTS BAT" FOAM d BLOW MAN Eq'EPRODUCT I.D. MANUFACTURH TI ROOUC I.P• YANUF AEA'6 T I.D. '•NIA' FA REIt'.:'•:.`:••�MANUFACTURER OCF OCF BCI= eAas a LUE APPLIED R - V4UE ' �APPL)EA `• :.;`'.':.:: R:'e.KAI:UE;;: AW!4tF.D' ;MIN• INSTA -'.INSTALLEDR-VT"ICKNESS ..._. INSt1►LI.ED....�.... TN�CKNESS•:::::: ,:.INSTALI;.Eq'. 'TM)CKNB66 35% R3 A eVA'. t- `(y :.:.; KN :W.ALLS IF.:R+VALU.E 'O. R Tm" LL$,ABOVL FOAM YAL MANU UAER FIBERGLASS BATTS Ocr MATERIAL N P W R GRACE S 18 O CEO • ' . . M I.AT'+>( iI :.:. ' . ¢.:I , . :: $?.., ; .. ,; 'K1 ....... N , S, A MATERIAL STANDARDS. AND.REGULAT.!, * TOR MANAGER n DATE SIC .303 VJ LDER COPV -1 S; Oci I S 014 MiTAJUJIMPH 10 HOITAOSITH30". =5 .*U !MV -3.) A0,OTW4AqAR',lJQ Ta�tjW,Q@ XCC,Oo .0 ti TCqj MR,!Nl zl0,V8yRA,'Y1,O.A op . YfjojEft`,j N,)p .311 tae-umovm uf'oo,4n� , rZaag-"p, O.q ,JEli OV" 'P'l "Do ?'a ";U dr t06 Vii, BAD -24V 2 -Ai YAW AEOR3'0004 A &�xc UAIr",M911 UMON3214 e- Wr Y Aff, BETTAB Tnk 5 WV, �� t � � .off~` � � c� �� '.�� 1 �'�� i -5;JAV-F .0 117 'M3Z�W-1 )1, -T 301ARD a w A •tmW' No -fi:r J Wil i AIMI -"j 3 e,; TB JAIRVAM 1p— T.7 -4-'r Aft a L IM -041) ✓ = OK 07 `Not OK = Not Applicable MOBILE HOMES = Not Ready Date MOBILE HOME UTILITIES (Plans) OK except tt's 1. Zoning Requirements -Setbacks -Easements 2. Soils; Special MH Support Sketch 3. Sewer; Location -Test -Fall -C/O -Concrete 4. Water; Location -Test -Easement Needed (Sketch) 5. Electricity; Location-Clearances-Grnd-/ /Amp -Concrete 6. Gas; Location -Test -Wrap;-/ /" L'ft. / P Nat. or / /"L"ft./ PLPG MISCELLANEOUS Date 7. Well Clearance & Disconnect 1. 8. Utility Clearance 2. Footings; Soils -Size -Depth -Spacing -Connectors -Steel 3. Decks; Girders and/or Joists -Decking -Bracing -Stairs -Rails Date Wood Awn.; Posts- Bea ms- Rftrs.-Con nectors Shthg.-Frg-Bracing Card B-1 Date Card B-1 Date Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 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 -Connector 7. Water and Sewer Connected -C/O to Grade -HD Approval Date 8. Gas and Electricity Tagged Date 9. Tie Downs -Type -Installation Cert. Date 10. Exits; Insp.-Sketch 11. Cert. of Occupancy 12. Permanent Foundation Only; License Decal 3. Pool Structure; Steel -Connections -Thickness Dead Men -Lining Date 4. Card B-1 Date Card B-1 Date 5. Card B-1 Date Card B-1 MISCELLANEOUS Date DECKS, COVERS, CARPORTS GARAGES (Plans) OK except It'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- Bea ms- Rftrs.-Con nectors 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 FINAL (Plans) OK except k'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 -Terminals -Listed 7. Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater 8. Elec.; Grounding; Equip. w/5' Circulating Equip. -Pool Lghtg. Boxes- Enclosure s- Pane lboards-Ins. to Main in Conduit 9. Health Department Approval 10. Plumb.; Cir. Test -Water Supply Test 11. Light Niche Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 /= OK PLUMBING (Permit) OK except #'s 0 = Not OK 18. Water Pipe; Test & Anchor -Nail Protection - = Not Applicable 19. D.W.V.; Test Fittings & Anchor -Nail Protection RESIDENTIAL (%c =Not Ready 21. Test Tub & Shower, Second Floor -Tub Access Date 22. Gas Pipe; Sixe & Anchors Xnderfloor (Plans) OK except #'s CY Z 'ng -Setbacks -Easements -Flood -Slope Date Card B-1 Date Card B-1 Ftg., Main; Soils-Elec. Grnd.g tg. Depth ELECTRICAL (Permit) OK except #'s 3. Ftg., Garage; Soils-Steel-Elec. Grnd.-/ P Ftg. Depth 4. Ftg., Porches & Decks; Soils -Steel-/ /" Ftg. Depth Size Bqxes & No. of Conductors Stapled 5. Stemwalls, Main; Steel-Blockouts-Wrapped 6. Stemwalls, Garage; Steel- Blockouts-Wrapped 2 ppliance Circuits in Kitchen & Conductor Size GFI 6a. Hold Downs and Special Anchors 7. Slab, S el -Wrapped 31. Service -Riser Conductors & Ground Main Disconnect 8. Pi -Fireplace Ftg.-Steel . Clothes Closet Light -Shower Light -Spa Light W.V.; Fall -Fitting -Test -2 Way C/O -Sewer Test Detector 10. UF, Gas Pipe; Size Anchors - Yard Gas Piping; Size Test Date Card B-1 Date Card B-1 i MECHANICAL (Permit) OK except #'s 11. Water Pipe; Test -Anchors -Regulator -Service Test 12. Electric Underground 37. Condensate Drain & Overflow, Size & Grade 13. Plenums & Ducts; Clearance -Material -Support -Ins. 14. Girders -Sills -Anchor Bolts-Joists-Vents-Crippies 15. Access & Ventilation Date 16. sulation Card B-1 Date Card B-1 Date A 1 FRAMING (Permit) OK except #'s Date 0. Sits Proper Materials & Anchors '440-' alls Studs -Nailing Spacing & Braces -Plates -Sound Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date PLUMBING (Permit) OK except #'s 17. Water Htr.; Vent -Access -Combustion Air Baffle 18. Water Pipe; Test & Anchor -Nail Protection 19. D.W.V.; Test Fittings & Anchor -Nail Protection 20. Shower Pan; Test, First Floor -Tub Access 21. Test Tub & Shower, Second Floor -Tub Access 22. Gas Pipe; Sixe & Anchors Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date ELECTRICAL (Permit) OK except #'s 23. Fixture & Transformer Clearance -Ins. Protection Elec. Receptacles Spacing -Lights & Switches at Doors Size Bqxes & No. of Conductors Stapled 2 omex Installed Close to Edge of Studs & C.J. quip. Ground made up w/Mech Fasteners -Bond Gas & Water 2 ppliance Circuits in Kitchen & Conductor Size GFI 29. Subfeed Wire Size/ / ga. Cu or AI-A.C. Wire Size / / ga Cu or AI 30. Range Circle/ / ga Cu or AI -Oven Circ. / / ga Cu or Al Insulated Neutral ❑ Yes C) No 31. Service -Riser Conductors & Ground Main Disconnect 32. E u'p-e'tearances Panels-Motors-Mech. Equip. . Clothes Closet Light -Shower Light -Spa Light -moke Detector Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date MECHANICAL (Permit) OK except #'s 35. A.C. Ducts Insulation & Support 36. Vent Fan, Exhaust above insulation 37. Condensate Drain & Overflow, Size & Grade 38. Furnace -Vent Access -Comb. Air -Return Air Vent 115 outlet 39. Attic Access & Platform if Furnace in Attic Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date A 1 FRAMING (Permit) OK except #'s 0. Sits Proper Materials & Anchors '440-' alls Studs -Nailing Spacing & Braces -Plates -Sound 41 Bearing Walls over Girders & Floor Nailing 3.; Draft Stop in Walls (rat proof) 4. Fire Stops, Furred Ceilings -Stairs -Chasers -Tubs ,-4e Headers & Beams -Size & Bearino jingle & Duplex) Date FRAMING (Continued) 6 Hangers -Post Caps -Anchors -Connectors 7. Cling. Joist-Rftr. Ties-Purlin-Roll Brac.-Truss-Shting.-Ring. earance 9.Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles Bdrm. Windows or Exiting Doors -Sill Ht. & Dimensions '51. Garage Fire Protection Framing 52. Property Line Firewall & Openings Ext. Doors -One 3' -Check Garage 3rd Story, 2 Exits 54 Stairs•; Widfft H rtdirtg FirE PiiSt�tfort�- �Plywood on Roof Overhang -Attic Vents -Rafter Outriggers Siding -Nailing Veneer 57. Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access 58. gJazing Area -Glass Protection -Skylights -Plastic ea alts; Nailing -Bolts (i 0. ce Interior/Exterior Wall Panels Insulation -Walls -Ceilings 62. Infiltration -Walls -Windows oe Date - Card B-1 J Date Card B-1 Date Card B-1 Date Card B-1 Date FINAL (Plans) OK except #'s Ext._Steps-Door & Sidelight Protection -Landings L9411-mokg Detector urnace Vents -clearance -Comb, Air -Connector - In Garage; Above Floor-Ducts-Mech. Protection ,t 6 edroom Exiting 1§7--G,F.+.-& Bath Fixtures & Tub-Aeeess Spa .& ec. Trim & Subpanel, Breaker Sizes & Labels • &-Ztairs & Rails... Clearance -Hearth L.kEl.c. Outlets at Wood Panel, Int. & Ext. 7 Fixt. & Appliance; Ground -Air Gap -Cooking Clearance _ 3. c. Outlets & Receptacles at Kit. Counter arage Fire Door; Swing -Landing -Closure 75. A.C. Duct in Garage --Damper tr. Htr.; Vents- a e -Comb. Air Connector-P.R.V. ,j Garage; Above Floor-Mech. Protection 7. Plb., Elec. & Mech. Equip. Listed for Location e (F.F.I.)-Romer. Protection Insulation -Foam -Looked in Attic ar ai s struction-Post Caps Fdn. VBents & Crawl Hole Door Drainage & Wood -Earth Clearance Looked under Floor ❑ Yes 82. Following Instld./Drive J Yes ] NoMalks J Yes J No/Planters:1 Yes J No A.C. U it Disconnect, Electrical -Plumbing ents Above Roof, Plbg-Appliance-Fireplace-Clearance to Openings Electrical, Plumbing xterior Elec. Trim, G.F.I. Receptacle -Underground Ventilation Throughout House L.139-�aass Protection 90. Corrections from Previous Inspections 91-@es�est Tagged, Gas -Electric 92. Wat ewer Connected -C/O to Grade -HD Approval Energy Compliance Certificate -Other Certificates 94. Address Posted Dates Card B-1 Date Card B-1 Dat Card B-1 Date Card B-1 Date Card B -T Date Card B-1 Comments at Final: \1 COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive • Oroville, California 95965 • Telephone (530) 5P54 PERMIT NO. (Rev. 12/96), ON AND PERMIT ey�, ASSESSOR PARCEL NUMBER 030-35-0-024 ZONING BUILDING PERMIT OWNER DOUGLAS AND JOAN JACOBSON- TELEPHONE SO. FT. OCC. BUILDING VALUATION 471 R 25 434.00 . OWNERS MAIUNG ADDRESS 1576 14TH ST, DROVELF rA 95965 84 C 19092.00 CONTRACTOR'S NAME TELEPHONE CONTRACTORS MAILING ADDRESS CONSTRUCTION LENDER Fireplace LENDER'S MAILING ADDRESS Total Valuation $ 26 526.00 ARcHLAUlzriL11V AND SPENCER LICENSE NO. 281 52815 5 Filing Fee $ 20.00 Permit Fee $ 265.00 ARCHITECT OR ENGINEERS MAILING ADDRESS 100A LIVE DAY RIVE), YURA CITY- Plan Checking Fee $ 172.025 BUILDING ADDRESS 1576 IILT14 ST ORDITILIR Energy Plan Checking Fee $ 23.00 -1 PERMIT FEE $ 80.25 LOT NO. 16 SUBDNS IO�RA PARCEL MAP PLUMBING PERMIT Fling Fee 20.00 USEOFSTRUCTURE SF 0 Duplex ❑ Mobilehome ❑ Other SPECIFY Each Trap 7.00 28.00 Solar or heat pump water heater 23.00 Water piping 15.00 15.00 Each gas water heater or vent 15.00 TYPE OF WORK New ❑ Addition 0 Remodel ❑ Utilities ❑ Installation ❑ Other ❑ Describe Work: ADD BEDROOM AND KITCHEN Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home ISI GI W1 @20.00 PERMIT FEE $ ELECTRICAL PERMIT Fling Fee 20.00 Main Service 200A 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. License Class Lic. No. OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: ❑ 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. lii?"11, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ 1 have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier Main Service zooA To I000A 46.00 NEW CONST. DWELLING OCCUP. SO OR ADONS. ( 8 ACC. S.3.5¢FT. NO" N.pESID. T. BRANCH IRCUITS MULTI -OUTLET @7,50 POWER APPARATUS 8 SINGLE OUTLET CIR. Ex. Occup OUTLET ORFocruREs SAL @':50 Ex. Occup. ouTiEis R o °& 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE _ 11A AR MECHANICAL PERMIT Fling Fee 20.00 Heating 1500 Cooling Hood 6.50 6.50 Ventilation PERMIT FEE $ 41 Policy Number (rhe above sections need not be completed N 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 fo with comply with those provisions. 7 X Date /) 7 fig Signatur of Applicant Owner O'Contractor ❑ Agent An OSHA permit is re fired for excavations over 5' "deep and demolition or construction of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ Occ CONST. TYPE TOTAL FEE $ 686 73 HAZ. I D. PEES IMP FLOOD CDP I PA�R;K I PD JAD 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. 3�Z Ely D to p PERMIT EXPIRES ON j � / �� Date ReceiptNo. 259564 252.25 PC WHITE-D.D.S.-B.D. CANARY -ASSESSOR K-INSPECTO GOLDENROD -APPLICANT COUNTY,OF BUTTE DEPARTMENT OF DEVEf&PMENT SERVICES - BUILDING DIVISION 7 -COUNTY CENTER DRIVE - ORO'VILLE, CALIFORNIA 95965 - TELEPHONE (916 07541 -7541 PERMIT APPLICATION DATA SHEET t' OWNER: ®tom 19+e ASSESSOR PARCEL ER: d 3 O r a Z 'Proposed Biiildin se: �y,L,.,_'� Building Inspector: Date: At time of permit application, I was advised the following data must bei witted prior to permit processing and/or issuance: r' Date Received By SP4 All items have been submitted .-------------------------------------------------------------=- =`(- --------------- ❑2. Plot plans, 3/4 sets, signed by the preparer of plans. ------------------------------------------------------------ ❑ 3. Complete plans, 3 11 /4 sets, signed by the preparer of plans. ----------------------------------------------------- 04. Engineered plans, 3/4 sets, with wet signature on plans. All engineering must be shown on plans. -------- ❑ 5. Engineered truss details and layout in duplicate (required prior to plan review) No faxes! ------------------ ! 1 ❑ 6. Energy Design Compliance and supporting documentation. ❑ 7. Statement of Intent for Non -Heated and A/C Buildings. --------------------------------------------------------- Cl 8. Hazardous Material Form. ------------ ed Home data and installation instructions including Tie Down Specifications.------------------ ' ,e fManufactur eesof $------------------------------------------------------------------------------------- Impact fees as shown on the attached schedule. ----5'- ---� L� ---------------------------- 12. California Department of Forestry plan approval/fees. --------------------------------------------------------- 3. Flood elevation certificate. ---------------------------------------------------------------------------------------- Sanitation and plot plan approval �D Health Department. ------------------- 4 ------ ---------------- ❑ 5. City of Chico plumbing permit.----------------------------------------------------------------------------------- ❑ 16. Plot plan and business license approval firm the City of Biggs. 17. Planning approval for (A) Use: (B) Parking: ❑ 18. Contact Land Development about ❑ Improvements, ❑ Drainage, ❑ Legal Parcel. ❑ 1.9. Encroachment Permit for driveway (construction approval prior to occupancy). --- ❑20. Pre -inspection for required Request to Building Inspector on ❑21. Contractor's license information. (Number, Name Style, Classification). -------------------- 1122. Workers' Compensation carrier and policy number. ----------------------------------------- E123. Owner -Builder Verification (Given to owner ❑, Mailed to owner EI) - ---------------------- 024. Letter of signature authorization. ----------------------------------------------------------------- ❑ 25. Recorded copy of Agricultural Acknowledgment Statement. ---------------------------------- 026. Letter of intent on building use. ------------------------------------------------------------------- ❑27. Manufactured Home utility clearance. ------------------------------------------------------------ ❑ 28. Existing violations and/or expired permits. ------------------------------------------------------ ❑29. 0433 A, ❑Grant Deed, ❑ M.H. Title, ❑ Check to H.C.D $ 030. Other: When you issue the p Muit process as follows 11 Mail to owner, ❑Mail El Telephone 53 6 �y and hold for pickup at d t 6ontractor. joffice. ❑ Applicant: _UC Copy of Haz-Mat form sent ❑ Health Department, ❑ Fire Department, ❑ Air Poll Copy of plans sent ❑ Health Department, ❑ Fire Department, ❑ Other: with inspector. (Date) By: 1. Index permit application for the above items numbered: ❑ Plan Check List 2. Additional items required: Ale Contractor, designer, owner, was advised of the above'required data by ❑ phone, ❑ mail, ❑ Building Division counter, by Date: Contractor, designer, owner, was advised of the above required data by ❑ phone, F❑ mail, ❑ Building Division counter, by Date- Contractor, designer, owner, was advised of the above required data by ❑ phone, ❑ mail, ❑ Building Di ision counter, by - Date: Contractor, designer, owner, was advised of the above required data by ❑ phone, ❑ mail, ❑ Buil ' vision counter, by Dat : Plans reviewed by: Date: Plans approved by: Date: Sets of plans on hold in ❑ Plan Cabinet, ❑ A.P. folder. Note transfer by: Date: Yellow Copy - Department of Development Services, -Building Division. �r-�-�. .ry.a-E�i�^ !-+'''�.y�s�a ^�Y3ti'' t-.'[i''Vr"""'`�'fr-�'��M„�f�.cJ��"� � xT3� �'""�-+1Z FJ'QL r :t.',-_. i-..• COUNTY OF BUTTE DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 COUNTY CENTER DRIVE, OROVILLE CA 95965 TELEPHONE (916) 538-7541 SCHEDULE OF FEES DUE OWNER PROPOSED BUILDING USE 1. BUELDING PERMIT FEES / -- Balance Due ................. $ �-f 3 /' • "70- -- Additional Fees Due ........... $ -- Additional Fees Due ........... $ ,Revised Plan Checking Fee ........ $ .OK2. SCHOOL DISTRICT FEES (paid at District Office) 3. SHERIFF FEES (paid at Building Division) Residential ........ x $360.00 = $ Units Commercial (sq.ft.)... x $0.03 = $ Sq.Ft. 4. URBAN AREA FEES (paid at Building Division) Residential (per unit) . x = $ #Units Amt. Commercial (sq.ft..) .. x =$ Sq.Ft. Amt. 5. RECREATION DISTRICT FEES (paid at District Office) .6. THERMALITO DRAINAGE DISTRICT FEES $510.00 (paid at Building Division) 7. SRA FIRE INSPECTION+ AND PLAN CHECK $89.00 (paid at Building Division) 8. WATER TENDER FEES (Battalion 4 ) $200.00 (paid at Building Division) 9. CSA 87 TRAFFIC FEE $2500.00 (paid at Building Division) 10. OTHER A. P. aG3Q— ?SW D 14 DATE 3 (%'F� RECEIPT # DATE REC At time of permit application, I was advised the above fees are required to be paid prior to issuance of the building permit. These fees may be changed during the plan checking process. APPLICANT /� - f DATE 3 — / 7 — Of Pursuant to Government Code Section -660 you are hereby notified that items 2,3,4,5,6,8,9, and 10 above may have been imposed 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 Div. 2nd Copy - Applicant 3rd Copy - Owner (Rev. 2/97) —:-1I'h.,!''iV�'].3}'.-t:vW'!''+cF'r..++.:.:.;,ik"Lhi:;,,jG`:,�'`•..f,.i:<''_T''•� "y:;r`s'i�f+i •ttv�^..tr_ttiKw`'v. tii COUNTY OF BUTTE DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING DIVISION 7 COUNTY CENTER DRIVE, OROVILLE CA 95965 TELEPHONE (916) 538-7541 SCHEDULE OF RECEIPT OF FEES OWNER PROPOSED BUILDING USE /1. BUILDING PERMIT FEES f -- Balance Due ................ $ 3 °t • 'ILI C- -- Additional Fees Due ........... $ -- Additional. Fees Due ........... $ -- Revised Plan Checking Fee ....... $ ii Ce2.SCHOOL DISTRICT FEES ®lZ �— t (paid at District Office) ;� 3. SHERIFF FEES (paid at Building Division) Residential ........ x $360.00 = $ Units Commercial (sq.ft.)... 11 x $0.03 = $ Sq.Ft. ` II. 4. URBAN AREA FEES (paid at Building Division) Residential (per unit) . x = $ #Units Amt. Commercial (sq.ft.) .. x =$_ Sq_Ft. Amt. 5. RECREATION DISTRICT FEES (paid at District Office) 6. THERMALITO DRAINAGE DISTRICT FEES $510.00 (paid at Building Division) i 7. SRA FIRE INSPECTION AND PLAN CHECK $89.00 (paid at Building Division) 8. WATER TENDER FEES (Battalion # ) $200.00 (paid at Building Division) 9. CSA 87 TRAFFIC FEE $2500.00 (paid at Building Division) 10. OTHER A:P. #-(3'3 Q — 75 DATE 3 , i7 RECEIPT # DATE REC Uf`tI,r . [sem' s•�. At time of permit application, I was advised the above fees are required to be paid prior to issuance of the building permit. These fees may be changed during tti: plan checking process. APPLICANT _ DATE Pursuant to Government Code Section 6602.0, you are hereby notified that items 2,3,4,5,6,8,9, and 10 above may have been imposed 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 ar specified in Government Code Section 66020(a). Original -Building Div. 2nd Copy - Applicara Ss.3rq Copy,, Owner r _. ' (Rev. 2/97) . ,e•F hp kiln' 4 i # . 2 BUTTE COUNTY SCHOOLS IMPACT FEE CERTIFICATION FORM (One form per Building) School District �� .�I �XJ / / �� Building Department No. A.P. Number 36, 3, Zq Jurisdiction: � City County Property Owner Property Location/Address Subdivision Lot No. .................................................................................................................. Residential Development EZI€ Sq. Footage 47/ No of Living Mobile Home Addition/ *Supplemental to (Group R) Units Installation Conversion Permit # '(No foundation inspection); CommerciaUlndustrial /J New Addition Building Department Plans reviewed by School District Sq. Footage ' (Including Exterior Roofed Areas) Dafe District Identification No. 990096- C, 0096C, VXi l Un f .drool District certifies that /cz:�0 (Applicant) (Street Address) Icity) has complied with the requirements of Resolution No. 1'7 / square feet. School District Representative (Phone (zip code) by payment of $ !�;r IFAiB2926 �. S FULL MITIGATION _ Date Notice: You may protest the imposition of the fees identified above by submitting a written protest to the District, in compliance with Government Code Section 660201a), 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 this Butte County Schools Impact Fee Certification Form, the School District is notified by the applicable Local Planning Agency that this project is being reviewed under the California Environmental Quality Act ICEQA)., this project may be subject to additional school fees to fully mitigate its impact on the school district's schools. White (applicant). Yellow (building department), Pink (school district) feeform.xis (10/98)dmm RESIDENTIAL X030-350-024 PERMIT#97-1996 JACOBSEN, Douglas & Joan 1576 14th St., Oroville PERMIT N. New Pri Det Garage/Shop PERMIT Ek,..,-.; OWNER ' CONTR. ASSESSOR PARCEL .4 LOCATION i r u k H Temp. Power Pole I Called PG&E_ ,Temp. Elec. Service ! Called PG&E Temp. Gas Service i Called PG&E qZz JOB FINALED (Date) Signature k ' COUNTY OF BUTTE BUILDING DIVISION DEPARTMENT OF DEVELOPMENT SERVICES -r 411 Main Street • Chico, CA • (530) 891-2751 k4� 7 County Center Drive • Oroville, CA • (530) 538-7541 ' CORRECTION NOTICE 6.5 e.-./ 7 7-1?9z ^`l OWNER PERMIT NO. F{' A routine inspection indicates that,the following violations of,butte county Ordinances exist at the above address and "should be co'hected. Please notice this office when correction of work is completed. If you have any questions pertaining to this matter, or need additional explanation, please contact this office immediately. tea. 1 „. Pro o -j .0-` ¢c e ,gig F- A 117 r9 e� 7s AL --n ez. rl r I An.i P 4— /Q ,n r iF •/%l 1. i D a �% GtJ Li / t� p' COUNTY OF BUTTE BUILDING DIVISION DEPARTMENT OF DEVELOPMENT SERVICES 411 Main Street, Chico, CA - (916) 891-2751 7 County Center Drive, Oroville, CA - (916) 538-7541 CORRECTION NOTICE J aC-0 .s22-/�F9� OWNER PERMIT NO. A routine inspection indicates that the following violations of Butte"County Ordinances exist at the above address and should be corrected. Please notify this office when correction of work is completed. If you have any questions pertaining to this matter, or need additional explanation, please contact this office immediately. Date 1 I q Inspector s f REV 10/9 V=OK - 0 = Not OK Not '=NotRepady MOBILE HOMES Date MOBILE HOME UTILITIES (Plans) OK except #'s Card B-1 fZ,� Date Card B-1 1. Zoning Requirements - Setbacks - Easements POOLS (Plans) OK except #'s 2. Soils; Special MH Support Sketch 1. Setbacks -Easements 3. Sewer, Location-Test-Fall-C/O-Concrete 2. Soils; Compaction -Structure Stability 4. Water, Location-Test-Easement Needed (Sketch) 3. Pool Structure; Steel -Connections -Thickness Dead Men -Lining 5. Electricity; Location•Clearances-Gmd-/ /Amp-Concrete 6. Gas; Location -Test -Wrap; / PL'ft / /Nat or/ PLIL/ /LPG 7. Well Clearance & Disconnect 8. Utility Clearance Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date MOBILE HOME INSTALLATION (Plans) OK except #'s 1. Zoning Requirements- Setbacks Easements 2. Footings; Size -Spacing -Marriage Line 3. Gas; MH Test-DemarKWale-Connector 4. Electricity; MH Test -Crossovers -Breakers -Clearances 5. Drain; MH Test -Fall -Flex Connector 6. Water; MH Test -Regulator -Connector 7. Water and Sewer Connected -C/O to Grade -HD Approval 8. Gas and Electricity Tagged 9. Tie Downs -Type -Installation Cert. 10. Exits; Insp.-Sketch 11. Cert of Occupancy 12. Permanent Foundation Only: License Decal Date Card B-1 Date Card B-1 Date Card 8-1 Date Card B-1 MISCELLANEOUS Date DECKS, COVERS, CARPORTS, GARAGES (Plans) OK except #'s Zoning Requirements -Setbacks -Easements 2. Footings; SoilsSize-Dep"pacing-ConnectorsSteel 3. Decks; Girders and/or Joists -Decking -Bracing -Stairs -Rails 4. Wood Awn.; Posts-Beams-Rftrs.-Connectors Shthg.-Rfg.-Bracing 5. Alum. !X.; Columns -Connections -Splice -Decal -Enclosures 6. LAW&Windows-Doors a) 1- a l goof; Shthg-Roofing 1-11 /raced Wall Panels Date Card B-1 D&te Card B-1 Date Card B-1 fZ,� 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 S. Elec.; Pool Lighting; 15 Volts-GFI 6. Elec.; Enclosures; Conduit Entries -Terminals -Listed 7. Elec.; Bonding; Metal w/6 -Circulating Equip. -Heater 8. Elec.; Grounding; Equip, w/5 Circulating Equip. -Pool Lghtg. Boxes-Enclosures-Panelboards-Ins. to Main in Conduit 9. Health Department Approval 10. Plumb.; Cir. Test -Water Supply Test 11. Light Niche Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 =No O = Not OK RESIDENTIAL (Single & Duplex) - = Not Applicable Not Ready Date UNDERFLOOR (Plans) OK except it's 1. ZoningSetbacks-Easments-FloodSlope 2. Ftg., Main; Soils-Elec. Gmd. / t Ftg. Depth 3. Ftg. Garage; Soils-Steel-Elec. Gmd/ /` Ftg. Depth 4. Ftg. Porches & Decks; Soils -Steel-/ P Ftg. Depth 5. Stemwalls, Main; Steel-Blockouts-Wrapped 6. Stemwalls, Garage; Steel-Blockouts-Wrapped 6a. Hold Downs and Special Anchors . 7. Slab, Steel -Wrapped 8. Pier replace Ftg.-Steel 9. D.W.V.; Fall -Fitting -Test -2 Way C/0 -Sewer Test - 10. UF. Gas Pipe; Sive Anchors - Yard Gas Piping; Size Test 11. Water Pipe; Test -Anchors -Regulator -Service Test 12. Electric Underground 13. P'ienums & Ducts; Clearance -Material -Support -Ins. 14. Girders -Sills -Anchor Bolts.loistsAfents-Crippies 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 r1t's 17. Water Htr.; Vent -Access -Combustion Air Baffle 18. Water Pipe; Test & Anchor -Nail Protection 19. D.W.V.; Test Fittings & Anchor -Nail Protection 20. Shower Pan; Test, First Floor -Tub Access 21. Test Tub & Shower, Second Floor -Tub Access 22. Gas Pipe; Sae & Anchors Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date ELECTRICAL (Permit) OK except #s 23. Fixture & Transformer Clearance -Ins. Protection 24. Elec. Receptacles Spacing -Lights & Switches at Doors 25. Size Boxes & No. of Conductors Stapled 26. Romex Installed Close to Edge of Studs & C.J. 27. Equip. Ground made up w/Mech Fastners-Bond Gas & Water 28. 2 Appliance Circuts in Kitchen & Conductor Size GFI 29. Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / / ga Cu or AI 30. Range Circ. / / ga Cu or AI -Oven Circ. / / ga Cu or AI Insulated Neutral 0 Yes 0 No 31. Service -Riser Conductors & Ground -Main Disconect 32. Equip. Clearances Panels-Motors-Mech. Epuip. 33. Clothes Closet Light -Shower Light -Spa, Light 34. Smoke Detector Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date MECHANICAL (Permit) OK except ft 35. A.C. Ducts Insulation & Support 36. Vent Fan, Exhaust above insulation 37. Condensate Drain & Overflow, Size & Grade 38. Fumance-Vent Access -Comb. Air -Return Air Vent 115 outlet 39. Attic Access & Platform if Furnace in Attic Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date FRAMING (Plans) OK except ft 40. Sits Proper Materials & Anchors 41. Walls Studs -Nailing Spacing & Braces -Plates -Sound 42. Bearing Walls over Girders & Floor Nailing 43. Draft Stop in Walls (rat proof) 44. Fire Stops, Furred Ceilings -Stairs -Chasers -Tubs 45. Headers & Beams -Size & Bearing Date FRAMING (Continued) 46. Hangers -Post Caps -Anchors -Connectors 47. Cling. Joist-Rttr. Ties-Purlin-roff Brac: TrussShting.-Ring. 48. Fireplace Ties or Type A Flue -Fireplace Throat clearance 49. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 50. Bdrm. Windows or Exiting Doors -Sill HgL & Dimensions 51. Garage Fire Protection Framing 52. Property Line Firewall & Openings 53. Ext Doors -One 3 -Check Garage 3rd Story, 2 Exits 54. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 55. Plywood on Roof Overhang -Attic Vents -Rafter Outriggers 56. Siding -Nailing Veneer 57. Stucco Mesh -Drip Screed -Fd. Vents-Underfir. Access 58. Glazing Area -Class Protection -Skylights -Plastic 59. Shear Walls; Nailing -Bolts 60. Brace Interior / Exterior Wall Panels 61. Insulation -Walls -Ceilings 62. Infiltration-WallsWindows Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date FINAL (Plans) OK except #Is 63. Ext Steps -Door & Sidelight Protection -Landings 64. Smoke Detector 65. Furnace; Vents -Clearance -Comb, Air-Conector- In Garage; Above Floor-Ducts-Mech. Protection 66. Bedroom Exiting 67. G.F.I. & Bath Fixtures & Tub Access -Spa 68. Elec. Trim & Subpanel, Breaker Sizes & Labels 69. Stairs & Rails 70. Fireplace or Stove, Clearance -Hearth 71. Elec. Outlets at Wood Panel, Int. & Ext. 72. Kit Fat. & Appliance; Ground. -Air Gap -Cooking Clearance 73. Elec. Outlets & Recepticales at Kit. Counter 74. Garage Fire Door; Swing -Landing -Closure 75. A.C. Duct in Garage -Damper 76. Wtr. Htr.; Vents -Clearance -Comb. Air Connector-P.R.V. In Garage; Above Floor-Mech. Protection 77. Plb., Elec. & Mech. Equip. Listed for Location 78. Elec. Receptacles in Garage (G.FI.)-Romex Protection 79. Insulation -Foam -Looked in Attic 80. Guard rails & Deck Construction -Post Caps 81. Fdn. VBents & Crawl Hole Door Drainage & Wood -Earth Clearance Looked under Floor 0 Yes 82. Following Instld./Drive 0 Yes 0 No/Walks 0 Yes 0 No/Planters 0 Yes 0 No 83. Stucco Brown -Finish 84. A.C. Unit Disconnect, Electrical -Plumbing 85. Vents Above Roof, Plbg-Appliance-Fireplace-Clearance to Openings 86. Water Well, Disconnect, Electrical, Plumbing 87. Exterior Elec. Trim, G.F.I. Receptacle -Underground 88. Ventilation Throught House 89. Glass Protection 90. Corrections from Previous Inspections 91. Gas Test -Meters Tagged, Gas -Electric 92. Water & Sewer Connected -C/O to Grade -HD Approval 93. 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: COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 -County Center Drive - Oroville, California 95965 -Telephone (916) 538-754 7 J�� NO. (Rev.12/96) APPLICATION AND PERMIT ASSUtfJUR°3024 Z°"AR BUILDING PERMIT OWN E DOUGLAS AND JOAN JACOBSEN TELEPHONE 534-3690 SQ. FT. OCC. BUILDING VALUATION °WNETOIrG A14yh ST, OROVILLE 9504 COM O&Tnn ME TELEPHONE ' CONTRACTOR'S MAILING ADDRESS CONSTRUCTION LENDER Fireplace LENDER'S MAULING ADDRESS Total Valuation $ ARCHITECT OR ENGINEER LICENSE NO. —Filing Fee $ 20.00 Permit Fee $ 117.00 ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ 76.05 BUILDING ADDRESS 1576 14TH ST, OROVILLE Energy Plan Checking Fee $ $ PERMIT FEE $ 213.05 LOT NO. SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMIT Filing Fee 20.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome ❑ Other PRI DET GARAGE/SHOP SPECIFY Each Trap 7.00 Solar or heat pump water heater 23• Water piping 5.0 Each as water heater or vent 15.00 TYPE OF WORK New Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑ Describe Work: Gas piping system 1 - 5 out[ 15.00 Building sewer 15.00 Mobile Home G I W 1 @20.00 PERMIT FEE 3 ELECTRICAL PERMIT Fling Fee 20.00 800 Main Service 200AO'R 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.P License Class LIC. No. OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors License aw for the following reason: pit 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 200A To 1000A 46.00NEW CONST. DWELLING OCCUP. OR ADDNS. ( g ACC. BUDS. SO 3.5Q1T: (- NON-RESDT ANCNEW CONS.I CIRCOUTLUTITS @7.50 OWERAPPARATUS & SINGLE OUTLET CIR. Ex. Occup. OUTLET OR FIXTURES x0 p I.00 SAL @ .50 Ex. Occup. ours RES D.PPLNS °EA 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE _ WORKERS' COMPENSATION DECLARATION I hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ 1 have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier MECHANICAL PERMIT Filing Fee 2o.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE $ Policy Number (The above sections need not be completed 6 the permit is for work of a valuation of one hundred dollars ($100) or less.) 19 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 work ' compensation provisions of section 3700 of the Labor Code, I shall fo h comply with those provisions. Date �' =Is'— 177 gnatur of Applicant ❑ Owner ❑ Contractor ❑ Agent LAn,OSH permit is r uired for excavations over 5'0" deep and demolition or construction-qstructures over stories in height. Mobile Home Installation Fee $ Energy Inspectio Fee $ oc co T. P TOTAL F $ 251.50 HA2• D. FEES IMP I IT CDF PARCEL PO '' HD ISSU This permit is hereby issued under of the Butte County Code and/or indicated above for which fees have By PERMIT EXPIRES ON 1 the applicable provisions Resolutions to do work been paid. Date /� �� i D to Receipt No. 224570- WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT "yi'`irh *��''"'iY"ctZi��'j�.'�+ ,-. ,+�`r",.�'''+ rr +a+K' � ' ' %,wi' 77�"'�•��'�t:`re+'��'i`�•=:'`�2�4.F'htYt�"iv...F�"lig'�+F,��¢�.s.'1$'"K+4��.;`s..;yy;�:.iGr;�;;�e�rAti..�C f COUNTY OF UU_ E .DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING . i.., 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE (916) 538-7541 PERMIT APPLICATION DATA SHEET r , R OWNER: ASSESSOR PARCEL NUMBER: _ ��- Proposed Building Use: Building Inspector. Date: — O At time of permit applica on, I_Aw advised the following data must be submitted prior to permit proess' g and/or issuance: Date Received By ❑ 1. All items have been submitted .------------------------------. ❑2. Plot plans, 3/4 sets, signed by the preparer of plans. ------ 03. Complete plans, 3/4 sets, signed by the preparer of plans. 04. Engineered plans, 3/4 sets, with wet signature on plans. All engineering must be shown on plans.-------- bA`'Engineered truss details and layout in duplicate (required prior plan review) No faxes! ------------------ 0 6. Energy Design Compliance and supporting documentation. ------ ----------------------------------------------- ❑ 7. Statement of Intent for Non -Heated and A/C Buildings.-----------=------------------------------------------- 118. Hazardous Material Form.------------------------------------------------------------------------------------------ ❑9. Manufactured Home data and installation instructions including Tie Down Specifications ------------------- 0 10. Fees of $ ---- -------------------------------------------------------------------------------- ❑ 11. Impact fees as shown on the attached schedule., V --------------------------------------------------------------- ❑ 12. California Department of•Forestry plan approval/fees. --------------------------------------------------------- q 13. Flood elevation certificate. =------:---------------------------------: --------------------------------------------- t,AL44. Sanitation and plot plan approval7rL_T'_'>_ - Health Department. ------------------------------------------- ❑ 15. City of Chico plumbing permit.----------------------------------------------------------------------------------- ;_. 9 9-7 2Z/ ❑ 16. Plot plan and business license approval from the City of Biggs. ---------------------------------------------- ' ❑ 17. Planning approval for (A) Use: (B) Parking: -------------------------- _ ❑ 18. Contact Land Development about ❑ Improvements, ❑ Drainage, ❑ Legal Parcel.----------------------- 1:119. ----------------------❑19. Encroachment Permit for driveway (construction approval prior to occupancy). ---------------------------- ❑ 20. Pre -inspection for required Request to Building Inspector on .i 021. Contractor's license information. (Number, Name Style, Classification). ------------------------------------ ❑22. Workers' Compensation carrier and policy number. ------------------------------------------------------- E123. Owner-Builder ------------------------------------------------=----❑23.Owner-Builder Verification (Given to owner ❑, Mailed to owner EI) - -------------------------------� ----- ❑ 24. Letter of signature authorization.-------------------------------------------------------------------------t ------- ❑25. Recorded copy of Agricultural Acknowledgment Statement.--------- E126. -------- ❑26. Letter of intent on building use. ------------------------------------------ ❑ 27. Manufactured Home utility clearance. ----------------------------------- ❑28. Existing violations and/or expired permits. ----------------------------- 029. 0433 A, ❑Grant Deed, ❑ M.H. Title, ❑ Check to H.C.D $ E130. Other: i When you issue the permit, process as follows 11 Mail to owner, ❑Mail to Telephone S 34 — NOL?Q and hold for pickup a ,,t ��y t ------------------------ ------------------------ �= =------------ ❑ Deliv"ith inspector. (Date) Applicant: �� Date: 9 ' r• S Copy of Haz-Mat form sent ❑ Health Department, ❑ Fire Department, ❑ Air Po tion ate: By: Copy of plans sent ❑ Health Department, ❑ Fire Department, ❑ Other: Date: By: 1. Index permit application for the above items numbered: ❑ Plan Check List 2. Additional items required: Contractor, designer, owner, was advised of the above required data by ❑ phone, ❑ mail, ❑ Building Division counter, by Date: Contractor, designer, owner, was advised of the above required data by ❑ phone, ❑ mail, ❑ Building Division counter, by Date: Contractor, designer, owner, was advised of the above required data by ❑ phone, ❑ mail, ❑ Building Division counter, by Date: Contractor; designer, owner, was advised of the above required data by ❑ phone, ❑ mail, ❑ Building D � ision counter, by Date: Plans reviewed by: Date: Plans approved by: Date: Sets of plans on hold in ❑ Plan Cabinet, ❑ A.P. folder. Note transfer by: 9 Yellow Copy - Department of Development Services, Building Division. 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. I personally plan to provide the major labor and materials for construction of the proposed property improvement: YES Z-' NO ❑ 02 I HAVE V 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 SI NED: PROPERTYOWNER: SOCIAL SECURITY I DATE: !!% - 1'-5-- 5-7 � - NOTE. This Owner -Builder Verification is required by Section 19831 and 19832 of the California Health and Safety Code. This verification must be completed and returned to our office before we are permitted to issue the permit. OVER - '$a. B.- I OWNER BUILDER INFORMATION I Dear Property Owner: An application for a building permit has been submitted in your name listing yourself as the builder of property improvements specified. For your protection, you should be aware that as "owner-buildee' you are the responsible parry of record on such a permit. Building permits are not required to be signed by property owners unless they are personally performing their own work. If your work is being performed by someone other than yourself, you may protect yourself from possible liability if that person applies for the proper permit in his or her name. Contractors are required by law to be licensed and bonded by the State of California and to have a business license from the city or county. They are also required by law to put their license number on all permits for which they apply. If you plan to do your own work, with the exception of various trades that you plan to subcontract, you should be aware of the following information for your benefit and protection: ♦ If you employ or otherwise engage any persons other than your immediate family, and the work (including materials and other costs) is $300 or more for the entire project, and such persons are not licensed as contractors or subcontractors, then you may be an employer. ♦ If you are an employer, you must register with the State and Federal Governments as an employer and you are subject to several obligations including state and federal income tax withholding, federal social security taxes, workers compensation insurance, disability insurance costs, and unemployment compensation contributions. ♦ There may be financial risks for you if you do not carry out these obligations, and these risks are especially serious with respect to worker's compensation insurance. ♦ For more specific information about your obligations under Federal Law, contract the Internal Revenue Service (and, if you wish, the U.S. Small Business Administration). For more specific information about your obligations under State Law, contact the Department of Benefit Payments and the Division of Industrial Accidents. If the structure is intended for sale, property owners who are not licensed contractors are allowed to perform their work personally or through their own employees, without a licensed contractor or subcontractor, only under limited conditions. A frequent practice of unlicensed persons professing to be contractors is to secure an "owner builder" building permit, erroneously implying that the property owner is providing his or her own labor and material personally. Building permits are not required to be signed by property owners unless they are performing their own work personally. Information about licensed contractprs may be obtained by contracting the Contractors State License Board in your community or at 1020 N Street, Sacramento, CA. 95814. Please complete the "Owner Builder Verification" on the reverse side of this form so that we can confirm that you are aware of these matters. The building permit will not be issued until the verification is returned. i rely, Mic el C. Vi ira, C.B.O. M ger, Building Inspection NOTE. This Owner-Builder.Information is required by Section 19830 of the California Health and Safety Code- OVER ode OVER (Rev. 12/96) C0.l;1N.TY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive - Oroville, California 95965 - Telephone (916) 538-7541 APPLICATION AND PERMIT PERMIT NO. ASSESSOR PARCEL NUMBER D -S r+1� ZONING BUILDING PERMIT OWNER I S � TELEPHONE SO, Fr, OCC. BUILDING VALUATION OWNER'S MAILING AD ES . r CONfRACT(O�RRS��NA E 1 ! VLI �/ TELEPHONE COT4TRACTOAS MAILING ADDRESS CONSTRUCTION LENDER LENDER'S MAILING ADDRESS Fireplace Total Valuation $ ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00 ARCHITECT OR ENGINEERS MAILING ADDRESS Permit Fee $ I Plan Checkin Fee $ , Q '�—] BUILDINGADDRESS Energy Plan Checking Fee S ( PERMIT FEE S LOT NO. SUBDIVISIONS NE PARCtL MAP PLUMBING PERMIT Filing Fee( 20.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome ❑ Other Each Trap 7.00 Solar or heat um water heater 23.00 Water piping 15.00 Each gas water heater or vent 15.00 TYPE OF WORK NewgAddition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑ Describe Work: Gas piping system 1 - 5 outlets 15.00 Buildin sewer 15.00 Mobile Home I S I G I W @20.00 PERMIT FEE S ELECTRICAL PERMIT I Fling Feel 20.00 1100V OR LESS Main Service .0. OR LESS 23.00 LICENSED CONTRACTOR'S DECLARATION 1 hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect. License Class Lic. No. 120 DECLARATION I herebyaffirm under penalty of perjury that I am exempt from the Contractors License P nY P 1 ry P Law for the following reason: ❑ I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ Iram exempt under Sec. Business and Professions Code for this Main Service 200A TO 1000A 46.00NEW CONST. DWELLING OCCUP, OR ADONS. ( & ACO. BUDS. SO 3.5dFT. �Sp No RESIO ANCHOU CIRCUITS T @7,50 POWER APPARATUS 8 SINGLE OUTLET CIR. Ex. OCCu oLmEr OR FDrruREs BAL .50 Ex. Occup. FixED APPLNS. OR OUTLETS PLNS f' 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE _ �• WORKERS' COMPENSATION DECLARATION I hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ 1 have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier MECHANICAL PERMIT Fling Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FES $ Policy Number (The above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) ❑ I certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall forthwith comply with those provisions. X Date Signature of Applicant - ❑ Owner ❑ Contractor ❑ Agent An OSHA permit is required for excavations over 5'0" deep and demolition or construction of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST r� TOTAL FEE $ % L Z. D. FEES IMP FLAOD COF I PARCEL PD HD ISSUE This permit is hereby issued under of the Butte County Code and/or indicated above for which fees have , By PERMIT EXPIRES ON the applicable provisions Resolutions to do work been paid. Date Date Receipt No. WHITE-D.D.S.-B.O. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT .ar.�.:41..-�,.l �,w. .}. .. >:. 1a 7--T- 030-350- 24 ..- T-030-350-024 'PERMIT# 97-2645 JACOBSEN, DOUGLES'AND JOAN 157014TH STREET, OROVILLE UPGRADE ELEC MAIW SERVICE PANEL/SF _ d kfi i / a r - I iy ti v - i4 Li 1 _ x pFp%CE COP el l Address Date - GAS 1� Meter BY Date Meter BY . I .r COUNTY OF BUTTE- DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION '/ 7 County Center Drive - Oroville, California 95965 - Telephone (916) 538-7541 PERMIT NO. (Rev. 12/96) APPLICATION AND PERMIT ' ASSESSOR PARCEL NUMBER 30-35-2t+ } ZONING AR Il BUILDING PERMIT OWNER DOUGI_ES & JOAN ACOBSEN � TELEPHONE 534-3690 SO. FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS 157 14TH ST OROVILLE 5965 CONTRACTOR'S NAMEq OWNER I TELEPHONE ' CONTRACTORS MAILING ADDRESS CONSTRUCTION LENDER Fireplace LENDER'S MAILING ADDRESS - Total Valuation $ ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00 Permit Fee $ ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checkin' Fee $ BUILDING ADDRESS Energy Plan Checking Fee $ $ i PERMIT FEE $ LOT NO. SUBDIVISION'S NAME PARCEL MAP PLUMBING PERMIT Firing Fee 20.00 USEOFSTRUCTURE SF p; 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 0 Other ❑ Describe Work: TM ('DAT)R VJ /?CT MSJM SSV- Rk- I In k ?W M Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home S G W @20.00 PERMIT FEE $ I ELECTRICAL PERMIT Filing Fee 20.00 Main Service zo A oA mss 23.00 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.( License Class LIC. NO. OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: e1, as owner of the property, or my employees with wages as their sole compensation, will do the work, and thwstructure is not intended or offered for sale. ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason _ WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ 1 have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier Main Service 200A To 1000A 46.00 NEW CONST. DWELLING OCCUP. OR ADDNS. ( a ACC. BLDS. SO 3.50". NEW NON-RESrIDT ANC S.I C�L� @7.50 POWER APPARATUS 8 SINGLE OUTLET CIR. s EX. OCCU OUTLET OR FIXTURE 2O BA' 50 Ex. Occup. ourEiFrs REo.OEA 5.00 Temporary Service 23.00 Mobile Homo Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE $ 43.OU MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE $ Policy Number (The above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) 0-11, 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 forth. 'th comply with those provisions. /� X ��x /��"�__ —Date /— / 7� �Z— Signature Appli a t wner ❑ Contractor ❑ Agent An OSHA permit Is,requlred 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 $ 43.00 HAZ. D. FEE IMP I FLOOD I COF 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. �} By IL Date PERMIT EXPIRES ON 7 — 91 Date Receipt No. 231435 ' 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 (916) 538-7541 PERMIT NO. (Rev.1 :P6) APPLICATION AND PERMIT 9:�' Q(J2`JS ASSESSOR PARCEL NUMBER 30-35-24 AR ZONING BUILDING PERMIT OWNER UGLES & JOAN JACOBSEN TELEPHONE 534-3690 SO. FT. OCC. BUILDING VALUATION OWNERS MAILING ADDRESS 7 4TH ST OROVILLE 95965 CONTRACTOR'S NAME OWNER TELEPHONE CONTRACTOR'S MAILING ADDRESS CONSTRUCTION LENDER Fireplace LENDER'S MAIUNG ADDRESS Total Valuation $ ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00 Permit Fee $ ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ BUILDING ADDRESS Energy Plan Checking Fee $ $ PERMIT FEE $ LOT NO. SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMIT Filing Fee 20.00 USEOFSTRUCTURE SF Cg Duplex ❑ Mobilehome ❑ Other SPECIFY Each Trap 7.00 Solar or heat pump water heater 23.00 Water piping 15.00 Each as water heater or vent 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation Other ❑ Describe Work: UP GRAPE FTECT MAIN SERV P\T AET T(1 200 AMP Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home I S I G I W @20.00 PERMIT FEE S ELECTRICAL PERMIT Filing Fee 20.00 Main Service zoo. oa 5s 23.00 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. License Class LIC. No. OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: 2'*'1, 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 46.00so WEE200A CCU000A NEW CONST. DWELLING OCCUP. OR ADDNS. ( a ACC. Bins. SO 3.5QFT: NON-RESNEW IID. XULCT.11OUTLET IRCUITS 97.50 POWER APPARATUS d SINGLE OUTLET CIR. Ex. Occup. OUTLET ORFIXTURES BAS@ .50 Ex. Occup. OUTLETS RESID.) Ep 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wirin ' 23.00 +� PERMIT FEE S 43.00 WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificeAe of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ 1 have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier Policy Number (The above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) 1111111 certify that in the performance of the work for which this permit is issued, I shall not employ any person In any marner 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 forthygith comply with those provisiors. -- X Date 1 ��_ Signature Applic Owner ❑ Contractor ❑ Agent An OSH permit i equired for excavations over 5'0" deep and demolition or construction of structures ov r 3 stories in height. MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE $ Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST. TYPE TOTAL FEE $ 43.00 HAZ. D. FEE IMP FLOOD COF PARCEL PO 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. n By i2 Date��7� 1^7 PERMIT ON /� / — 7 9 S Date Recei tNo. p 231435 � WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT 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 0'� NO ❑ 2. I HAVE ❑ HAVE NOT 0"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: PROPERTYOWNER: SOCIAL SECURITY NUMBER. DATE: NOTE. This Owner -Builder Verification is required by Section 19831 and 19832 of the California Health and Safety Code..This verification must be completed and returned to our office before we are permitted to issue the permit. OVER OWNER BUILDER INFORMATION Dear Property Owner: O.B.- I An application for a building permit has been submitted in your name listing yourself as the builder of property improvements specified. For your protection, you should be aware that as "owner -builder" you are the responsible party of record on such a permit. Building permits are not required to be signed by property owners unless they are personally performing their own work. If your work is being performed by someone other than yourself, you may protect yourself from possible liability if that person applies for the proper permit in his or her name. Contractors are required by law to be licensed and bonded by the State of California and to have a business license from the city or county. They are also required by law to put their license number on all permits for which they apply. If you plan to do your own work, with the exception of various trades that you plan to subcontract, you should be aware of the following information for your benefit and protection: ♦ If you employ or otherwise engage any persons other than your immediate family, and the work (including materials and other costs) is $300 or more for the entire project, and such persons are not licensed as contractors or subcontractors, then you may be an employer. ♦ If you are an employer, you must register with the State and Federal Governments as an employer and you are subject to several obligations including state and federal income tax withholding, federal social security taxes, workers compensation insurance, disability insurance costs, and unemployment compensation contributions. ♦ There may be financial risks for you if you do not carry out these obligations, and these risks are especially serious with respect to worker's compensation insurance. ♦ For more specific information about your obligations under Federal Law, contract the Internal Revenue Service (and, if you wish, the U.S. Small Business Administration). For more specific information about your obligations under State Law, contact the Department of Benefit Payments and the Division of Industrial Accidents. If the structure is intended for sale, property owners who are not licensed contractors are allowed to perform their work personally or through their own employees, without a licensed contractor or subcontractor, only under limited conditions. A frequent practice of unlicensed persons professing to be contractors is to secure an "owner builder" building permit, erroneously implying that the property owner is providing his or her own labor and material personally. Building permits are not required to be signed by property owners unless they are performing their own work personally. Information about licensed contractors may be obtained by contracting the Contractors State License Board in your community or at 1020 N Street, Sacramento, CA. 95814. Please complete the "Owner Builder Verification" on the reverse side of this form so that we can confirm that you are aware of these matters. The building permit will not be issued until the verification is returned. rely, ' &1 Mic el C. Vi ira, C.B.O. Ma ger, Building Inspection NOTE. This Owner -Builder Information is required by Section 19830 of die California Health and Safety Code. OVER •a — ;PEFIMIT NO. 375—&1B . r PERMIT EXPIRES_ 2/3X82 OWNER __.WILLIAM -RUFF — --- _ CONTR.--Don-George Roofing, 'Oroville— ASSESSOR PARCEL. -.-3.0.-3.5-24___ 1 LOCATION _ 1576- 14th St,—Orovlle a } F Temp. Power Pole_ 1 Called PG&E r Temp. Elec. Service Called PG&E { Temp. Gas Service _ Called PG& E — JOB FINALE�Date) _—a_=/ 0 .—� Signature a V = OK O = Not OK - = Not Applicable MOBILEHOMES MISCELLANEOUS = Not Ready r.n Date MOBILEHOME UTILITIES (Plans) OK except p's 1. Zoning Requirements-Setbacks-Easerrents Date DECKS, COVERS, CARPORTS, ETC. (Plans) OK except N's 1. Zoning Requirements -Setbacks -Easements 2. Soils; Special MH Support -Sketch 3. Sewer; Location -Test -Fall -C/0 -Concrete 2. Footings; Size -Depth -Spacing -Connectors 3. Decks; Girders and/or Joists -Decking -Bracing -Stairs -Rails 4. Water; Location -Test -Easement Needed (Sketch) 4. Wood Awn.; Posts-Beams-Rftrs.-Connec.-Shthg.-Rfg.-Bracing 5. Electricity; Location-Clearances-Grnd.-/ / Amp -Concrete 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Gas; Location -Test -Wrap:/ /"L"ft./ /"Nat. or/ /"L"ft./ /"LPG 6. Carports; Windows -Doors 7. Utility Clearance 7. Elec. - - Card -BI Date Card -BI Date Card -BI Date Card -BI ' Date Card -BI Date Date Card -B I Date MOBILEHOME INSTALLATION (Plans) OK except .H's 1. Zoning Requirements-Setbacks-Easerrents Card -BI Date Date Card -BI Date POOLS (Plans) OK except #'s 1. Setbacks -Easements 2. Footings; Size -Spacing -Marriage Line 3. Gas; MH Test -Demand -Valve -Connector 4. Electricity; MH Test -Crossovers -Breakers -Clearances 2. Soils; Compaclion-Structure Stability 3. Pool Structure; Steel -Connections -Thickness -Dead Men -Lining 4• Elec.; Receptacles and Lighting; Distances-GFI 5. Drain; MH Test -Fall -Flex Connector 5. Elec.; Pool Lighting; 15 volts-GFI 6. Water; MH Test -Regulator -Connector 6. Elec.; Enclosures; Conduit Entries -Terminals -Listed 7. Water and Sewer Connected -C/0 to Grade -HD Approval 7, Elec.; Bondinc; Metal w/5' -Circulating Equipment -Heater 8. Gas and Electricity Tagged 8. Elec.; Grounding; Equip.w/5'-Circulating Equip. -Pool Lghtg. . Boxes -Enclosures -Panel boards -Ins. to Main in Conduit 9. Exits; Insp.-Sketch 10. Cert. of Occupancy 9. Health Department Approval 10. Plumb; Cir. Test -Water Supply Test Card B-1 Date Card -BI Date Card -BI Date Card -BI Date Card B-1 Date Card -BI Date Card -BI Date Card -BI Date J = OK 0 = Not OK = Not Applicable = Not Ready RESIDENTIAL (Single and Duplex) :{E• , c - , Date UNDERFLOOR (Plans) OK exceptp's Jate FRAMING (Contia,,uo) _1. Zoning requirements- Seib,-ks- Easements -- 2. Fig-, Main, Soils -Steel-El.c. Grnd.- Fig. Depth --- 3. Ftg., Garage Sous- S,,ei F ,. ,'Ilan 4. Fla. Por- n, d 1' ate; 5. Stenwall, r n , , t' „uts Wr tLjcr • 51+b 6. Stemwalls, idiage, Steel • 3•rckouts-Wrapped_-_Slab 7. Piers -Fireplace Fig. -Steel 8. D.W.V.: Fall -Fittings -Test -2 way C_/0 -Sevier Test 9, Gas Pipe; Size -Anchors 10. Water Pipe; Test -Anchors -Regulator -Service Test 11. Electric; Underground 12. Plenums & Ducts; Clearance_ -Material -Support -Ins. 13. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples Card -BI Date Card -BI Date Card -BI Date Caro 61 Dale Date PLUMBING (Permit) OK except ti's 14. 15. 16. Water Ht.; Vent -Access -Combustion Air _ Water Pipe; Test & Anchors -Nail Protection D.W.V.; Test-Fttngs & Anchors -Nail Protection 17. Shower Pan; Test, First Floor -Tub Access 18. Test Tub & Shower, 2nd Floor -Tub Access 19. Gas Pipe; Size & Anchors Date Card -BI Date Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Date ELECTRICAL (Permit) OK except N's 20. Fixture & Transformer Clearance -Ins. Protection 21. Elec. Receptacles Spacing -Lights & Switches at Doors 22. Size Boxes & No. of Conductors -Stapled 23. Romex Installed Close to Edge of Studs & C.J. _ 24. Equip. Ground made up w/Mech. Fasteners -Bond Gas & Water 25. 2 Appliance Circuits in Kitchen &Conductor S_iz 26. Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size , ga. Cu or At 27. Range Circ. / / ga. Cu or AI -Oven Circ. / / ga. Cu or All Insulated Neutral Yes L]No 28. Service -Riser -Conductors & Ground -Main Disconnect 29. Equip. Clearances; Panels-Motors-Mech. Equip. _ 30. Clothes Closet Light -Shower Light Date FRAMING(Plans) OK except N's 36. Sills; Proper Material & Anchors _ Card B-1 Walls; Studs -Nailing, Spacing & Bracing -Plates -Sound Date Card -BI Date Card B -I 39. Date Card -BI Date Date MECHANICAL (Permit) OK except N's 41. 31. A.C. Ducts; Insulation & Support Hangers -Post Caps -Anchors -Connectors 32. 33. Vent Fan; Exhaust above Insulation Condensate Drain & Overflow; Size & Grade 44. 34. 35. Furnace -Vent; Access -Comb. Air -Return Air Vent -115V outlet Attic Access & Platform if Furnace in Attic _Date Card -BI Date Card -Bi Odle Card -BI Date Card -BI Date Card -BI Date Card -BI Date Date FRAMING(Plans) OK except N's 36. Sills; Proper Material & Anchors _ 37. Walls; Studs -Nailing, Spacing & Bracing -Plates -Sound _ 38. - Bearing Walls over Girders & Floor Nailing 39. _ Draft Stop in Walls (rat proof) 40. Fire Stops; Fdrred,Ceilings-Stairs-Chases-Tub- 41. Header & Beam -Size & Bearing _ 42. Hangers -Post Caps -Anchors -Connectors 43. Cing. Joist-Rftr. Ties-Purlin-Roof Brac.-Truss-Shthnp.-Rfng. 44. Fireplace Ties or Type A Flue -Fireplace Throat 46. Bdrm. Windows or Exiting Doors -Sill 47. Garaae Fire Protection Framino & Dimensions 48. Property Line Firewall & Openings 49. Ext. Doors -One 3'-Che.ck Garage -3rd story, 2 exits 50. Stairs, Width - Headroom -Rise - Run Landing -Fire Protect,un P1,. ood on R J.. rhar,t A V • iTs-Rafter Outriggers r:jin�• . ure. Undorti, AL 54. Glazmq Area-Uru_ _t, "Jo t% ,r.c - - - - 55. ..:.w Shear Walis Nailing Buts Card -BI Date Cal 6Date Card -BI Card o Dat, _Date Card -BI Date Card -Bi Odle Date FINAL (Plans) OK except q's - - 56. Ext. Steps -Door & Sidelight Protection_ Landings 57. Smoke D4',Ctor- 58. Furnace vents -Clearance -L on,b. Air -Connector- _ in Garage Abuve Floor-Ducts-Mech, Protection 59, Bedroom E ..• q:r 60. G F.I & B..cn riot, --- 61. 11e4. Tr- ell - 62. Stairs & Re is 63, Fireplace or Stove; Glearances-Hearth 64. Elec. Outlets at Wood Panel; Int. & Ext. 65. Kit. Fix, -t.- &_Appliance; Grnd.-Air Gap -Cooking Clearance _ 66. Elec. Outlets & Receptacles at Kit. Counter _ 67. Garage File Door Swing-Landing-Closer _ Duct mGarage-Damper 69. Wtr. Htr.: Vents -Clearance -Comb. Art-Connecter-P.H V. - In Garage, Above Floor -Meth. Protection 70. Plb., Elec. & Mech. Equip. Listed for Location 71. Elec. Receptacles in Garage, (G.F.I.)-Romex Protec. 72. iivu.+tjon Fvd tuok-j Av c Yes - --- _ 73. _Guard Raik & D_ectc Construuian-Post Caps _ 74. Fan. Vent;, & t. ,,e, Hole Door -Drainage & Wood -Earth Clearance Looked under F ioor Yes _ 75. Following inbild., Drive Yes No YJalk Yes No: _ Planters I Yes -No 76. Stucco; Brown -Finish _ _ _ 77. A.C. Unit: Disconnect-Clinct Bikr. & Cond. Size -115V Outlet 78. Vents Above Roof; Plbg.-Appliance--Firepl. urear.,nce to 79. Water Well; Disconnect, Electrical, Plumbing 80. Exterior Elec. Trim; G. .1. Receptacle-Und, 81. Ventilation throughout House 82. Class Protection _ 83. Gorreciwns from Previous lw re. tion:. 84. Gas Test -Meters Tagged i, ;i,. it . 85. Water _& Sewer Connected -C r °. i HO Al:,rroval 86. Energy Compliance Ceitificat Oth.r Cortitic.:les Card -61 Date Card -BI _ Date Card -BI - Date Card -BI _ Date _ Card -BI Date Card -BI Date Comments it Final: _ /D _--e - - ne (NOTE: Anentry must be made each time you visit jobsite) COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 - Telephone 916/534-4 1 APPLICATION AND PERMIT r PERMIT NO. ASSESSOR PARCEL NUMBER a_ ZONING BUILDING PERMIT OWaER TELEPHONE SQ. FT. OCC. BUILDING VALUATION OWNER'S M(LING ADD � 551'- (, C Nt$-IZACTOR'S N �.J\ _, TEL- PHONE CONTRACTOR'S MAILING ADIQ,%ES . 99�. Fireplace CONSTRUCTION LENDER Q UNKNOWN Total Valuation $ Filing Fee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee $ , ARCHITECT OR ENGINEERLICENSE NO. Plan Checking Fee ,$ Penalty $ ARCHITECT OR ENGINEER'S MAILING ADDRESS - Permit fee $ 20160 BUILDING ADDRESS �S"t— :76 197t� PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 Repair drainage or vent piping 5.00 Water piping LOT NO. SUBDIVISION NAME PARCEL MAP Each Sias Water heater or vent 5.00 Gas piping system 1 - 5 outlets USE OF STRUCTURE SF LJ Duplex❑ Mobilehome❑ • Other SPECIFY Building sewer Lawn sprinkler system 5.00 TYPE OF WORK New [-I Addition Remodel❑ Klities2, Installation[]Oth r Describe work: — ts3ELECTRICAL Permit Fee $ Contractor PERMIT Filing Fee 10.00 Main service 600V OR LESS 100 AMP OR LESS 5.00 Main service EA. ADD'L 100 AMP 2.50 NEW CONST. ( DWELLING OCCUP.b) OR ADDNS. \ ACC, BLOGS. 2¢ sq ft 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. ��T U 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 NEWi.RESID P- BRANCH TLCIT Ts 2.50 ea NEW.CON( POWER APPARATUS DI NON.RESI D. SINGLE OUTLET CIR. EX. Occup OUTLETS OR FIXTURES BAL2i 00 FIXED APPLNS. OR EX. QCCUp.(OUTLE TS (RESID,) EA. 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 7.50 Permit Fee $ Contractor MECHANICAL PERMIT FiIingFee 10.00 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. Heating Cooling Hood 3.00 Ventilation permit Fee S 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. 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 s id ounty in co equence of the granting of this permit. X Date o� _ 3 _ (P/ Signature of plicant - Owner ❑ Contractor ❑ Agent An OSHA rmit is required for excavations over 5'0" deep and demolition or construct- ion of st ctures over 3 stories in height. Mobile Home Installation Fee $ TOTAL PERMIT FEE $ occuP. CROUP I TYPE OF CONST. 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. ✓ER6 TO F PUBLIC WORKS BY D� �}a�yte^/ PERMIT EXPIRES Dat _ a 3- Receipt No. 4 � 2-- WHITE-O.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR. GOLDENROD -APPLICANT