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030-360-008
VOORHEES, S. John 30 30-36-8 _ JOHN RICM:OBUANO S% �` , Fr I = 1216 18th. St., oville 18th Street, No. Biggs Ave. 3C7 `3� Permit #2159-76P bldg. sew Inst) Thermalito { ^30-36-08 2085-91B �� t DUNN, Terry .& Susan 1216 18th St, Oroville M(new detached garage) 30-36-08 Permit#2890-91B,E - '1 (cony existing garage�to living/s 0' 30-36 -08 00-0561 nF ? DtTNN, Susan n , 1216(8\�t, Oro HVAC/ Ser chnge f I L 030-360-008 US Room Addn-First Stry I ADDITION 161 SQ.FT L & SUSAN, t 19 0 3 4 1 6 t CWD BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT 24 HOUR INSPECTION #:(530) 538-7636 (OROVILLE) (530) 891-2834 (CHICO) OFFICE #:(530) 538-7541 FAX#: (530) 538-2140 WEBSITE: www.buttecounty.net\dds PROJECT INFORMATION Site Address: 1216 18TH ST Owner: permit No: B07-1699 APN: 030-360-008 DUNN TERRY L & SUSAN Issued Date: 09/07/2007 By AAM Permit type: MISCELLANEOUS 1216 18TH STREET Subtype: Room Addn-First Stry OROVILLE, CA 95965 Expiration Date: 09/06/2008 Description: MASTER BATH ADDITION 161 SQ. (530) 534-9791 Occupancy: Zoning: A -R Contractor Applicant: Square Footage: TERRY DUNN JR. Building Garage Remdl/Addn 3 LA FORET CT 161 OROVILLE, CA 95966 Other Porch/Patio Total (530)589-2455 161 FEE INFORMATION DBF Room Addition - First Stor $186.77 DBMSC Room Add -1st Story 250sf $280.15 DBSMIP Residential $0.50 PW DRAINAGE $0.00 Total Charged: $467.42 Fees Paid: $467.42 Balance Due: $0.00 Receipt No: B4146 LICENSED CONTRACTOR'S DECLARATION OWNER / BUILDER DECLARATION 'Contractor (Name) State Contractors License No. / Class / Expires I HEREBY AFFIRM UNDER PENALTY OF PERJURY that I am exempt from the Contractor's License Law for the following reason (Sec. 7031.5), Business and Professions Code: Any city or county that requires a permit to construct, alter, improve, demolish, or repair any structure prior to its issuance, also requires the applicant for such permit to file a signed statement that he or she is licensed 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 pursuant to the provisions of the Contractor's License Law [Chapter 9 (commencing with Section 7000) s in full force and effect. of Division 3 of the Business and Professions Code] or that he or she is exempt therefrom and the X basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil than five hundred 09/07/2007 penalty of not more dollars [$500]; check one of the following: Contractors Signature Date ......PI���nnnpppse ]y] I, AS OWNER OF THE PROPERTY, OR MY EMPLOYEES WITH WAGES AS THEIR SOLE L/p] COMPENSATION, WILL DO THE WORK, AND THE STRUCTURE IS NOT INTENDED OR OFFERED FOR SALE (Sec. 7044, Business and Professions Code: The Contractor's License WORKERS' COMPENSATION DECLARATION I HEREBY AFFIRM UNDER PENALTY OF PERJURY one of the following declarations: Law does not apply to an owner of the property, who builds or improves thereon, and who does I HAVE AND WILL MAINTAIN A CERTIFICATE OF CONSENT TO SELF -INSURE FOR the work himself or herself or through his or her own employees, provided that such improvements are not intended or offered for sale. If, however, the building or improvement is sold within one WORKERS' COMPENSATION, as provided for by Section 3700 of the Labor Code, for the year of completion, the owner -builder will have the burden of proof that he or she did not build or performance of the work for which this permit is issued. improve for the purpose of sale.). ❑ I HAVE AND WILL MAINTAIN WORKER'S COMPENSATION INSURANCE, as required by Section 3700 the Labor E11, AS OWNER OF THE PROPERTY, AM EXCLUSIVELY CONTRACTING WITH LICENSED CONTRACTORS TO CONSTRUCT THE PROJECT (Sec. 7044, Business and Provessions Code: of Code, for the performance of the work for which this permit is issued. My Workers' Compensation insurance carrier and policy number are; ` The Contractors License Law dows not apply to an owner of the property who builds or improves \11 thereon, and who contracts for the projects with a contractor(s) licensed pursuant to the Contractor's License Law.). Carrier: Policy Number: Exp. Date: (This section need not be completed if the permit is or one hundred dollars($100) or less.) ❑ I AM EXEMPT under Section B. 8 P.C. for this reason: /// CERTIFY THAT IN THE PERFORMANCE OF THE WORK FOR WHICH THIS PERMIT IS r ISSUED, I shall not employ any person in any manner so as to become subject to the Workers' Compensation laws of California, and agree that if I should become subject to the workers' / 09/07/2007 compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those 6wnersSignature provisions. Date 09/07/2007 I hereby certify that I have read this application and state that the above information is correct. I agree to comply with all City and County ordinances, rules, regulations, and State laws relating to building —Tignatuff Date WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, construction, and with any and all conditions of permit. I agree to defend, indemnify, and hold harmless Butte County, its officers, agents and employees from any and all claims and liability for AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($100,000), IN ADDITION TO THE COST OF COMPENSATION, personal injury, including death, and property damage caused by, arising out of, or in any way connected with DAMAGES AS PROVIDED FOR INSECTION 3706 OF THE LABOR CODE, INTEREST AND the issuance of this permit. I hereby acknowledge that issuance of this permit does not authorize the use or occupancy of any sidewalk, street, or subsidewalk. I hereby authorize representatives of Butte ATTORNEY'S FEES. County to enter the above mentioned property for inspection purposes. I hereby certify that I am the property owner or am aut orize t on the property owner's behalf. CONSTRUCTION LENDING AGENCY 09/07/2007 I HEREBY AFFIRM UNDER PENALTY OF PERJURY that there is a construction lending agency for Name Of ermi a [SIGN] Print Date the performance of the work for which this permit is issued. (3097 civ. code) Owner 1:1 Contractor OR Agent for Owner ❑Agent for Contractor FILE COPY Lenders Address City State zip BUT'T'EQOUNTY DEVELOPMENT FEE CER'T'IFICATION FORM( <EATHER RIVER RECREATION AND PARK DISTRICT (FRRPD) ❑ CHICO AREA RECREATION AND PARK DISTRICT (CARD) ❑ PARADISE RECREATION AND PARK DISTRICT (PRPD) 0 DURHAM RECREATION AND PARK DISTRICT (DRPD) Assessor Parcel Number (s) Property Owner (s) Project Location /Address _ Subdivision Name (n�i'�iCJ 1l Building Permit Numbergo 2- q r/ Assessable Sq. Ftge Type of Residential Development (check one) New Development Single Family -Detached Single Family -Attached ; Alteratio ddition(s Non -Residential to Residential Multi -Family Dwelling Mobile home Mobile home replacement verified by Assessor Department Demo Permit (date issued ) verified by Building Department Comments: ❑ FRRPD 0 CARD ❑ PRPD ❑ DRPD certifies that: Applicant Name Phone Number Mailing Address City State Zip Has complied with requirements of the Butte County Board of Supervisors Resolution No. by Payment of: Remarks: Paid by Check No: Dwelling Units @ $ Square Feet @ $ Paid by Cash: per unit for a total of $ _ per sq foot for a total of $ Receipt No: and Park District Representative I Date ;:=;d:..i .u- .- z y.,r.,�,.,,���,�,�.�,3Fawyrr�i�.'�,'rl"`Titint'4;�1::'�'R;{ir^.'�`v".-y...e�-.�;.t}'f5'�q�'1`'.;+P-r----c:.a-vim.-1;.:,M��.R,_:,-•.^-�r�-. BUTTE COUNTY SCHOOLS IMPACT FEE CERTIFICATION FORM (One form per Building) School District f/ f (� I N% 11A Building Department No. Tax Rate Area No. A.P. Number{� "�tiii� ��� Jurisdiction: = City ©County Property Owner Property Location, Subdivision Residential Development 0 No of Living Units Commercial/Industrial Lot No. :................................................................................................... 1 Sq. Footage 11 Mobile Home( (A dition/ 'Supplemental to (Group R) Installation Conversion Permit # Cr. Demo - ( ) :.................................................................................................. *(No foundation inspection) i existing sq. ft. see attached Net total sq. ft. Deed Restricted Sq. Footage (Attach a signed copy of Deed Restriction and Notice of Limited Use Facility document) Sq. Footage Addition (Including Exterior Roofed Areas) District Identification No. 08 00 2 2 0►, School District certifies that Or C (Street Address) (City) (State) has complied with the requirements of Resolution No. / (� representing square feet. School District Represent tive 9= r7-(-) 9 Date YY� SNS--,vn (Payor) b, IV\ ;, (Zip Code) (Phone Number) by payment of $ B 2926 $ i FULL MITIGATION ` $ Date Paid by Check # f Remarks: I A, R, S—D-D L� y . 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 66020(a), within 90 days from the date fees are paid. Failure to submit a timely written protest will prohibit you from challenging the imposition of the fees in any court action. H, 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 (CEQA), this project may be subject to additional school fees to fully mitigate its impact on the school district's schools. White (school district), Yellow (building department), Pink (applicant) feeforrn.xls (12/06)dmm Butte County Department of Development Services TIM SNELLINGS, DIRECTOR I PETE CALARCO, ASSISTANT DIRECTOR 7 County Center Drive Oroville, CA 95965 (530) 538-7601 Telephone (530) 538-2140 Fax www.buttecounty.net/dds PERMIT APPLICATION DATA SHEET Reference Number: B07-1699 Date: 08/07/2007 Location: 1216 18TH ST By: TMP Parcel Number: 030-360-008 Sub Type: Room Addn-First Str Owner Name: DUNN TERRY L & SUSAN, Phone: (530) 534-9791 Description: MASTER BATH ADDITION 161 SQ.FT. The above permit application has the following Clearances required prior to permit issuance. Please contact each department indicated below regarding specific requirements pertaining to your permit application. Yes No ❑ ❑ ❑ ❑ WMEW DRAINAGE DISTRICTS Thermalito Irrigation District, 410 Grand Avenue, Oroville CA 95965 - (530) 533-0740 LOAPUD, 1960 Elgin Street, Oroville CA 95966 - (530) 533-2000 City of Chico, 545 Vallombrosa, Chico CA 95926 - (530) 895-4711 PARKS & RECREATION DISTRICTS Chico Area Recreation District, 545 Vallombrosa, Chico CA 95926 - (530) 895-4711 Durham Park & Recreation District, 9447 Midway, Durham CA 95938 - (530) 345-1921 Feather River Recreaction & Park District, 1200 Myers Street, Oroville CA 95966 - (530) 533-2011 Paradise Parks & Recreation, 6626 Skyway, Paradise CA 95969 - (530) 872-6393 SCHOOL DISTRICTS Biggs Unified School District, 300 B Street, Biggs CA 95917 - (530) 868-1281 Chico Unified School District, 1163 East 7th Street, Chico CA 95926 - (530) 891-3006 Durham Unified School District, 4920 Putney Drive, Durham CA 95938 - (530) 895-4675 Gridley School District, 429 Magnolia, Gridley CA 95948 - (530) 846-4723 Marysville School District, 1919 B Street, Marysville CA 95901 - (530) 741-6000 Oroville Elementary School District, 2795 Yard Street, Oroville CA 95966 - (530) 532-3000 Oroville Union High, 2211 Washington Ave, Oroville CA 95966 - (530) 538-2300 Ext: 105 Paradise Unified School District, 6696 Clark Road, Paradise CA 95969 - (530) 872-6400 OTHER Recorded copy of Agricultural Acknowledgment Statement- See Attached Instructions City of Big&s Planning Department, 3016 Sixth Street Biggs CA 95917 - (530) 868-5447 Other: Other: Other: Signature of Property Owner: FILE Butte County Department of Development Services TIM SNELLINGS, DIRECTOR I PETE CALARCO, ASSISTANT DIRECTOR 7 County Center Drive Oroville, CA 95965 (530) 538-7601 Telephone (530) 538-2140 Fax www.buttecounty.net/dds OWNER -BUILDER INFORMATION An application for a building permit has been submitted in your name listing yourself as the builder of the 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 $500 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 government 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 to you if you do not carry out these obligations, and these risks are especially serious with respect to workers' compensation insurance. ° For more specific information about your obligations under federal law, contact 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 thier own employees, without a license contractor or subcontractor, only under limited conditions. A frequent practice of unlicensed persons professing to be contractor 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 contacting the Contractors' State License Board's automated telephone information system at 1-800-321 -CLSB (2752) or by accessing thier website at www.CSLB.ca.gov. PLEASE COMPLETE AND RETURN THE ENCLOSED OWNER -BUILDER VERIFICATION FORM SO THAT WE CAN CONFIRM THAT YOU ARE AWARE OF THESE MATTERS. THE BUILDING PERMIT WILL NOT BE ISSUED UNTILL THE VERIFICATION IS RETURNED. OWNER BUILDER VERIFICATION PLEASE COMPLETE THIS FORM AS REQUIRED BY THE STATE OF CALIFORNIA (SENATE BILL NO. 831 EFFECTIVE JULY 1, 1980). 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 OR NO) 2. I (HAVE/HAVE NOT) SIGNED AN APPLICATION FOR A BUILDING PERMIT FOR THE PROPOSED WORK. 3. I HAVE CONTRACTED WITH THE FOLLOWING PERSON (FIRM) TO PROVIDE THE PROPOSED CONSTRUCTION: ADDRESS CITY PHONE CONTRACTORS LICENSE NO I PLAN TO PROVIDE PORTIONS OF THE WORK, BUT I HAVE HIRED THE FOLLOWING PERSON TO COORDINATE, SUPERVISE, AND PROVIDE THE MAJOR WORK: NAME ADDRESS CITY PHONE CONTRACTORS LICENSE NO 5. I WILL PROVIDE SOME OF THE WORK BUT I HAVE CONTRACTED (HIRED) THE FOLLOWING PERSONS TO PROVIDE THE WORK INDICATED: NAME ADDRESS PHONE TYPE OF WORK -- erng 94,- n ti S r, 3 LA Fore."T C+(s3o�zq V2bB Clcncra l CvN�sEnJcfi� BUTTE Description: MASTER BATH ADDITION 161 SQ.FT. COUNTY Reference Number: B07-1699 Applicant Name: TERRY DUNN JR. Owner's Name: DUNN TERRY L & SUSAN AP h Signature of Property Owner: Date: 030-360-008 g-22.01 AUG 2 21007 DEVELOPMENT SERVICES Butte County Department of Development Services TIM SNELLINGS, DIRECTOR I PETE CALARCO, ASSISTANT DIRECTOR 7 County Center Drive Oroville, CA 95965 (530) 538-7601 Telephone (530) 538-2140 Fax www.buttecounty.net/dds NOTICE TO BUILDERS Before your building permit can be issued, your plans must be checked for compliance with the California Building Codes. In addition, your plans are routed to other regulatory entities including but not limited to Planning, Public Works, Environmental Health, and the California Department of Forestry for their clearances and approvals. There are some things you can do to expedite your permit: 0 Make sure your application is complete. 0 Be responsive to requests from County departments for any additional materials or requirements. The Building Division places its highest priority on processing building permits as quickly as possible and each day that passes without a complete application adds to processing time. Every permit issued by the Building Official shall expire and become null and void if the work authorized by such permit is not started or completed within one year from the date of issuance of such permit. A permit may be renewed (for a fee) prior to expiration an indefinite number of times, provided construction progress has been documented by the Building Division during each year during scheduled inspections. No changes may be made in the original plans and specifications for such work. In order to reinstate action on a permit after expiration, the permittee shall pay a new full permit fee and additional plan checking and documentation may be required. Upon completion of work covered by this permit, please contact this office for final inspection. As a reminder to you, it is illegal to occupy this building or any portion of the building for which this permit is issued without a final inspection. EXPIRATION OF PERMIT APPLICATION AND REFUND POLICY Application for which a permit has not been issued will expire one year after date of application. Refunds may only be made upon written request by the person who originally paid the fees. Refunds for permit applications (not yet issued) must be requested within two years from the date of fee payment. Fees paid at the time of application are for Plan Check and administration. The Plan Check portion of fees is refundable only if the permit is cancelled or withdrawn before any plan checking is done. Building Division costs will be deducted prior to authorizing a refund and a charge of $54.99 to process the refund application will be assessed. Refunds on permits (issued) may be requested prior to the expiration of the permit, provided no work has been done pursuant to the permit. An Inspection may be required (and deducted from any refund amount) to determine no work was done. Fee/refund information can be read on-line at http:Hmunicipalcodes.lexisnexis.com/codes/butteco/ Reference Number: B07-1699 Date: 08/07/2007 Location: 1216 18TH ST Parcel Number: 030-360-008 Owner Name: DUNN TERRY L & SUSAN, Phone: (530) 534-9791 Description: MASTER BAT IT N 161 SQ. T Signature of Property Owner: c-- Vv / }� Date: 08/07/2007 ILE Butte County Department of Public Works J. MICHAEL CRUMP, DIRECTOR LAND DEVELOPMENT DIVISION Storm Water Managment Program 7 County Center Drive Oroville, CA 95965 (530) 538-7266 Telephone (530) 538-7171 Fax www.buttecounty.net/dds O d O O' 0 oc National Pollutant Discharge Elimination System (NPDES) Phase II Construction Storm Water Permit and Storm Water Pollution Prevention Plan (SWPPP) Acknowledgment [LESS THAN 1 ACRE 1 Reference Number: B07-1699 Date: 08/07/2007 Location: 1216 18TH ST By: TMP Parcel Number: 030-360-008 Sub Type: Room Addn-First Str Owner Name: DUNN TERRY L & SUSAN, Phone: (530) 534-9791 Description: MASTER BATH ADDITION 161 SQ.FT. By signing below, I the project owner/owners' agent, certify that this project WILL NOT DISTURB 1 acre or more of land and that I therefore, do not need to apply for a Construction Storm Water Permit from the State of California Regional Water Quality Control Board. Phased projects that contain multiple site buildouts of less than one acre but when combined with subsequent phases total more than one acre of disturbed soil will require a Construction Storm Water Permit from the state of California Regional Water Quality Board. I am aware that submitting false and/or inaccurate information or failure to apply for a Construction Storm Water Permit from the State of California ional Water Quality Control Board for this project that disturbes one acre or more of land may result in revoca on Pf grading and/or other permits or other santions provided by law. Signed: Title FILE Date: 08/07/2007 BUTTE COUNTY FEE SUMMARY 7 County Center Drive Oroville, CA 95965 Permit Number: B07-1699 Job Address: 121618TH ST Contractor: Department of Development Services Phone (530) 538-7541 Fax (530) 538-2140 Printed: 08/07/2007 3:51 pm Fee Description Account Number Fee Amount Paid Date Pmt Amt PW DRAINAGE Thermalito Drainage (by unit) 1800-0-280-1011822 $0.00 DBMSC Room Add -1st Story 250sf 0010-440001-4210500-1010 $280.15 08/07/2007 $280.15 DBF Room Addition - First Stor 0010440001-4210500-1010 $186.77 08/07/2007 $186.77 DBSMIP Residential 1001-0-280-1011298 $0.50 08/07/2007 $0.50 467.42 $467.42 Printed By: Tammie Powell Balance Due: $0.00 At the time of per p lica on, I as advised the'above fees are required prior to issuance of the permit. These s cha a du ing the plan checking process. Signature: Date: 08/07/2007 Pursuant to Government code Section 66020, y are hereby notified those items listed above may have been imposed on your project. You have 90 days from the date of approval of the project or fro the impostion of the above referenced items during which you may request a protest. The requirments for a protest are specified in Government Cod ection 66020(a). BUTTE COUNTY o�vYTFo DEPARTMENT OF DEVELOPMENT SERVICES ° ° BUILDING PERMIT APPLICATION. o. o OFFICE #: (530) 538-7541 FAX #: (530) 538-2140 c f o A FEE WILL BE REQUIRED AT TWE OFAPPLICATION .rl Website: w. tw.buttecounty.net/dds �U**PLEASE PRINT CLEARLY** OWNER INFORMATION Last Name VN1J Address First Name OSS Mailing Address 1L1� 1 � 'b'I • City State e -A Zip Phone 53 4 9"l�t Fax E-mail Fax CONTRACTOR Name Address City State Zip Phone Fax E-mail Lic. # Class APPLICANT INFORMATION ARCHITECT/ENGINEER Name City ©1V11.LL Address Zig��� City Fax State Zip Phone Fax E-mail State License Number APPLICANT INFORMATION Name' Address 1,4(ckT L7. City ©1V11.LL States,,_ Zig��� Phone OL2 Sy� ¢s Fax E-mail Sr PERMIT NO. 164?6- � PROJECT LOCATION API n 3 _ 7(o p _. CVV Property Address 12.110 Iraz.t s �. City BIN #1 0 WORKER'S COMPENSATION Policy Number Carrier If hiring anyone other than license contractors, a certificate of worker's compensation must be shown at the time of permit issuance. LENDING AGENCY Name Address DESCRIPTION OR SCOPE OF WORK: 'tit_ I ►-� � :� L �`� tlC1i� �I Sq FT- Living l0 Garage Open Cov ❑ Structure Built without Permits ❑ Proposed Change of Occupancy (Note previous use): For office use only: Zoning Flood Zone SRA Yes I.CNo Occ. Type Const u RESIDENTIAL 30-36-08 - 2890-91B,E • DUNN, Terry & Susan 1216 18th ST, Oroville (Conv exist ,garage to living/sf) a. t JOB FINALE Signature J=OK O=Not OK = Not Applicable Not Ready RESIDENTIAL. (Single ' = Date .-, UNDERFLOOR (Plans) OK except N's 1. Zoning -Setbacks -Easements -Flood -Slope 2. Ftg., Main; Soils-Elec. Grnd.-/ /" Ftg. Depth 3. Ftg., Garage; Soils-Steel-Elec. Grnd.-/ /" Ftg. Depth 4. Ftg., Porches & Decks; Soils -Steel-/ /Ftg. Depth 5. Stemwalls, Main; Steel-Blockouts-Wrapped 6. Stemwalls, Garage; Steel-Blockouts-Wrapped 6a. Hold Downs and Special Anchors 7. Slab; Steel -Wrapped 8. Piers -Fireplace Ftg.-Steel 9. D.W.V.; Fall -Fitting -Test -2 Way C/O -Sewer Test 10. UF. Gas Pipe; Size -Anchors - yard gas piping: size -test 11. Water Pipe; Test -Anchor -Regulator -Service Test 12. Electric; Underground 13. Pienums & Ducts; Clearance -Material -Support -Ins. 14. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples 15. Access & Ventilation 16. Insulation Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date PLUMBING (Permit),OK except N's 1E. Water Htr.: Vent -Access -Combustion - e Air --------------- ----- ------------------------- 17. Water Pipe: Test & Anchor -Nail ection -------- ------ --- - 18. D.W.V.: Test -Fittings & A<67cr-Nail Protection------- --- - --19. Shower Pan: a First Floor -Tub Access -- - - 20. Test Shower, Second Floor -Tub Access ------------------------- ------------------- as Pipe: Size & Anchors Date - - Card B_1 ---- Date- - Card B1 - -------- Date Card B-1 Date Card B-1 Date ELECTRICAL (Permit) OK except h's 22. Fixture & Transformer Clearance -Ins. Protection 2 Elec. Receptacles Spacing_Lights & Switches at Doors ----- 24. Size Boxes & No. of Conductors -Stapled f 25 Romex Installed Close to Edge of Studs & C.J. ------- --------------------------------------------------------------- _ 26. Equip. Ground made up w!Mech. Fastners-Bond Gas & Water ------------------------------------------- 27. 2 Appliance Circuts in Kitchen & Conductor Size!GFI ------ -- =-- -- ------------------------------------------------------------- 28. ----------------- --- - 28. Subfeed Wire Size ! ga. Cu or AI-A.C. Wire Size ga. _ Cu or Al 29 Range Circ / ga Cu or AI -Oven Circ. / / ga. Cu or Al. Insulated Neutral ❑ Yes❑No - - - 30.Service_- Service -Riser & Ground -Main Disconnect - -- ---- - -------------------------- - 31 Equip Clearances Panels Motors Mech. Equip 32. Clothes Closet Light -Shower Light -Spa Light --- - -- -- -----------------------------•-------------------------------- 33.. Smoke Detector --- ----------`-- - --- -� - - - ---------------------------------- - -- -- -- -- - -- - -- ------- ---- - - -- -- --- Date Card B- Date Card B-1 Date Card B-1 Date Card B-1 Date MECHANICAL (Permit) OK except n's 34. A.C. Ducts Insulation & Support -------------- --------------------------------------------------------------- - 35. Vent Fan: Exhaust a nsulation 36. Conden�at n & Overflow Size & Grade 37. Fy nce-Vent: Access -Comb. Air -Return Air Vent -115 outlet ----------- -- --------------------- ------------------------------------ �Jcs. Attic Access & Platform if Furnance in Attic ---------------------------------------------------- -- ------ - - --- - - Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date FRAMING (Plans) OK except ft's 39. Sils. Proper Material & Anchors - -- - -- ---------------------------------------- --- ---- - 40--------------------------------------- Walls Studs -Nailing. Spacing & Bracing -Plates -Sound - - - ' --------------------------- 41. Bearing Walls over Girders & Floor Nailing -- ----- ----- - Draft Stop in Walls (rat proof) ------------------------------------------------------------------------------- - 43 Fire Stops: Furred Ceilings -Stairs -Chases -Tub ------------------------- 4. Headers & Beam -Size & Bearing & Duplex) Date FRAMING (Continued) 45 ngers-Post Caps -Anchors -Connectors - (467_0ng. Joist-Rftr. ties-Purlin-root Brac-Truss-Shthng.-Ring. _-4.7-f4Fe,p4eece Ties or Type A Flue -Fireplace Throat clearance __A& --Attic Access; Size &Romex Protection -Draft Stop -Ins. Baffles : A -49-8dr'in Windows or Exiting Doors -Sill Hgt. & Dimensions _ - 50--Garag Protection Framing 51. Property -Line-Firewall & Openings L�2-Ez(. Doors -One 3' -Check Garage -3rd Story, 2 Exits dth-Headroom-Rise-Run-Landing- Fire Protection ------- --= 54. plywood on Roof Overhang -Attic Vents -Rafter Outriggers ------------------------ 55: Siding -Nailing Veneer -56:-SCucco Mesh -Drip Screed -Fd. Vents-Underflr. Access -------��57_G azing Area -Glass Protection -Skylights -Plastic - 58. Shear Walls; Nailing -Bolts -$ nsulation-Walls-Ceilings Infiltration -Walls -Windows ----------------- Date Card B- Date rt^o Card B-1 Dat Card D-1 Date Card D-1 i�___ Date F AL (Plans) OK except N's { 61. Ext. Ste s -Door & Sidelight Protection -Landings ----- --- ------ Smoke Detector 63. Fur ents-Clearance-Comb. Air -Connector - In Garage: Above Floor -Ducts -Meth. Protection ------------------------------------- - 64 Bedroom EJb.ng ----�rr--e Bath Fixtures & Tub Access -Spa 6. Elec. Trim & Subpanel: Breaker Sizes & Labels ---- - ------ �s & R_ails �6r3-Flace or Stove: Clearances -Hearth - - ____."_EIec. Outlets at Wood Panel: Int. & Ext. ----------------------------- -- _7-0�Kit Fixt & Appliance; Grnd_Air Gap -Cooking Clearance _-2-1-Elec. Outlets & Receptacles at Kit. Counter ------------ - ------ re Door: Swing-Landing-Closer ---------------- -A�-B�1Ct"in Garage -Damper ------- ----------------------------------------- 7a wtr Hir _Vents -Clearance -Comb. Air-Connector-P.R.V. . In Garage: Above Floor-Mech. Protection ec. & Mech. Equip. Listed for Location - ------ 76. I Receptacles in Garage; (G.F.I.)-Romex Protection Insulation -Foam -Looked in Attic ❑ Yes _ 7i} Guard Rails & Deck Construction -Post Caps �Z9_.F44n% Vents & Crawl Hole Door -Drainage & Wood -Earth e=-'' Clearance Looked under Floor ❑ Yes - - - - - - -- ------------------------------------- wtn-'g_instld.: Drive ❑ Yes ❑ No: Walks ❑ Yes ❑ No; �- Planters _❑ Yes ❑ No -------------------- 1Stu . cco_Brown-Finish - C. Unit: Disconnect. Electrical, Plumbing ----------------- -- --- �ents Above Roof: Plbg.-Appliance-Fireplace.-Clearance to Openin s Water Well; Disconnect, Electrical, Plumbing er Elec. Trim; G.F.I. Receptacle -Underground n Throughout House -- ------ ------ ,ass -------- -- ass Protection ------ ..:--------------- --------------------- --------------- _ec ions from Previous Inspections -------------------------------------------- as Test -Meters Tagged; Gas -Electric _ - --der & Sewer Connected -C/O to Grade -HD Approval -- 1. Energy Compliance Certificate -_Oth_er Certificates Date "4 � B-� Date Card 13-1 Date Card B-1 Date Card B-1 - ---------------------------------------- - Date Card B-1 Date Card B-1 Comments at Final: J=OK O=Not OK Not = t Ready MOBILE I N MOBILE HOMES Date MOBILE HOME UTILITIES (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Soils; Special MH Support Sketch 3. Sewer; Location -Test -Fall -C/O Concrete 4. Water; Location -Test -Easement Needed (Sketch) 5. Electricity; Location-Clearences-Grnd-/ /Amp -Concrete 6. Gas; Location -Test -Wrap: / P L" ft. / /"Nat. or/ /" L"ft./ /"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 -Demand -Valve -Connector 4. Electricity; MH Test -Crossovers -Breakers -Clearances 5. Drain; MH Test -Fall -Flex Connector 6. Water; MH Test -Regulator -Connector 7. Water and Sewer Connected -C/O to Grade -HD Approval 8. Gas and Electricity Tagged 9. Exits; Insp.-Sketch 10. Cert. of Occupancy Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 N M n MISCELLANEOUS Date DECKS, COVERS, CARPORTS, GARAGES, (Plans)OK excerlt #'s 1. Zoning Requirements -Setbacks -Easements 2. Footings; Soils -Size -Depth -Spacing -Connectors -Steel 3. Decks; Griders and/or Joists -Decking -Bracing -Stairs -Rails 4. Wood Awn.; Posts-Beams-Rftrs.-Connectors Shthg.-Rfg.-Bracing 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Carports; Windows -Doors 7. Electric 8. Frmg; Sils-Anchors-Studs-Rftrs-Trusses 9. Siding; Nailing -Veneer -Stucco -Mesh 10. Roof; Shthg-Roofing 11. Ext.; Steps -Doors -Landings Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date POOLS (Plans) OK except #'s 1. Setbacks -Easements 2. Soils; Compaction -Structure Stability 3. Pool Structure; Steel -Connections -Thickness Dead Men -Lining 4. Elec.; Receptacles and Lighting, Distances-GFI 5. Elec.; Pool Lighting; 15 volts-GFI 6. Elec.; Enclosures; Conduit Entries -Terminals -Listed 7. Elec.; Bonding; Metal w/5' -Circulating Equip. -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 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 COUNTY OF, BUTTE DEPARTMENT OF PUBLIC WORKS 196 Memorial Way, Chico — Phone: 891-2751 ; 7 County Center Drive, Oroville — Phone: 538-7541 747 Elliott Road, Paradise - Phone: 872-6307. CORRECTION NOTICE .Doha OWNER PERMIT NO. A routine inspection indicates that the following violations of. County Ordinance `. exist at the above address and should be corrected. Please notify this office when correction of work is completed. If you have any question pertaining to this matter, or need additional explanation, please contact this office immediately. f i !a t COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS j .1 196 Memorial Way, Chico — Phone: 891-2751 7 County Center Drive, Oroville — Phone: 538-7541 � 747 Elliott Road, Paradise— Phone: 872-6307 CORRECTION NOTICE N A routine inspection indicates that -the o owing violations of County Ordinance te:ist at the above address and should be corrected. Please notify this office uben correction of work is completed. If you have any question pertaining to this ®atter, or need additional explanation, please contact this office immediately. '. (Date4O Inspector L. owner: fu /'j Permit No. /5 `7 1/ 4 LOCAT ENERGY C-ERTIF ICAT ION DESCRIPTION OF INSULATION ROOF and all required items Material Building Department approved plans and Thickness(inches) installed as required by the State of California Energy EXTERIOR WALL Material and materials are Thickness (irteiies) �EILING specifically approved Batt or Blanket Type ,^ k1 s Thickness(inches) Loose Fill Type Minimum Thicknes$(Inches) Area covered(ft.ZZ) a print) FLOOR, ELEVATED C_KNSE N0. Material Thickness(inches) FLOOR, SLAB RACTOR 0 Material Thickness(inches) W idth(inches) FOUNDATION WALL Material Thickness(inches) ",SIO -- e. A. P. No. Brand Name Thermal Resistance (R Value) Brand Name Thermal Resistance(R Value)_ ' Brand Name /l'/ Thermal Resstance(R Value) Brand Name Number of Bags Wt. per bag lb. Thermal Resistance(R Value) Brand Name Thermal Resistance(R Value) Brand Name Thermal Resistance(R Value) Brand Name Thermal Resistance(R Value) I hereby certify that the above insulation was installed in the above building in conformance with the State of California Energy, Requirements. NAME/O R STATE CONTRAC OR'S LICENSE N0. SIGNA 6e INSTAL TION APPLICATOR DATE I hereby certify -the above insulation and all required items as shown on the Building Department approved plans and attachments have been installed as required by the State of California Energy Requirements. All equipment, devices. and materials are of the quality prescribed or are specifically approved by the State of California. NAME/OWNER (Ple a print) STATE CONT C OR'S C_KNSE N0. �S"GNAt0REa OF GENERAL RACTOR 0 DATA THIS CERTIFICATE MUST BE ON FILE WITH THE BUILDING DEPARTMENT PRIOR TO FINAL INSPECTION APPROVAL AND A COPY SHALL BE POSTED WITHIN THE BUILDING. January 1984 COUNTY OF BUTTE - DEPARTMENT LIC WORKS PERMIT NO. v 7 County Center Drive - Orovllle, California 96465 - Telephone: 916/538.7541 —Z,- e n /� APPLICATION AND PERMIT �.-�-Y/ ASSESSOR PARCEL NUMBER 30-36-08 ZONING BUILDING PERMIT OWNER TERRY & SUSAN DUNN TELEPHONE 534-9791 SO. FT. OCC. BUILDING VALUATION 396 MR 7920 OWNER'S MAILING ADDRESS STREET OROVILLE CONTRACTOR S NAM16 E OWNER TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER ��ONE UNKNOWN Total Valuation $ 7,920 Flling Fee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee $ 68.50 ARCHITECT OR ENGINEER NONE LICENSE NO. Plan Checking Fee $ 34.25 Ener Plan Checking Fee Energy g $ 15.00 ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS1216 18th STREET OROVILLE Permit tee $ 127.75 PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 Solar or heat pump water heater 20.00 LOT NO. =ION NAME PARCEL MAP Water piping 5.00 Each qas water heater or vent 5.00 USE OF STRUCTURE SF [ Duplex❑ Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets Building sewer 5.00 Mobile Home S G W 45.00 0.00 ea TYPE OF WORK New ❑ Addition ❑ Remodel E Utilities ❑ Installation[] Other ❑ Describe work: CONVERT F.XTRTTNG GARAGE TO FAMILY RnnM_ Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 100v OR LESS 100 AMP OR LESS 10.00 Main service EA. ADD'L 100 AMP 2.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): ❑ I am licensed under provisions of Chapt. 9, Div. 3 of the BUslnesS and Professions Code and my license is in full force and effect.SINGLE License No. Classification, I, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ontract- ors.(Sec. 7044) ors. ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONST. DWELLING OCCUP.N OR ACDNS. ACC. BLDGS. , /zQsgft NEW CONSTRESID, BRANCH NON•R ESID BRANCH CIRC ITS 2,50 ea POWER APPARATUS e OUTLET CIR. Ex. OCcup(OUTLETS OR FIXTURES 200500 e ALO 300 FIXED . OR EX. Occup. OUTLETS TS (RES(REST D.) EA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. �yirin 9 15.00 Permit Fee $ WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. Contractor MECHANICAL PERMIT FiIingFee 10.00 Heating Coolin g Hood 3.00 Ventilation permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. 1 also agree to save, indemnify and keep harmless the County of Butte againstHAz. all liabilities, judgments, costs, and expenses which may in any way accrue against said County in co sequence of the granting of this permit. Date v � gnature of Appli nt — Owner Contractor ❑ Agent ❑ An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ 30,00 occ CONST TYPE TOTAL FEE $ 177.65 CuA PARK S H FLD CDF PAR^ ✓ PD i HD. ISSUE. This permit is hereby issued unoer the applicable provi- sions of the Butte County. Code and/or resolutions to do work indicated abo a for which fees have been paid. (�"Nl=RLIC WORKpS By Date PER IT EXPIRES Date Receipt No. 97399 177.65 `WHITE-D.P.W.. YELLOW -ASSESSOR. PINK -INSPECTOR. GOLDENROD -APPLICANT L.. �. ., ._ ,V.» �..Y,q..,*.:yck"-,r�Fi;.'77C•.,c^:: +� .7,�`'�y-T>,""kx'+'`vC'��'w?'� �`�+ rtf� ^y, ,� COUNTY OF BUTTE - DEPARTMENT..^OF PWB°LIC"WORKS -BUILDING DIVISION 7 COUNfy CENTER DRIVE - OROVILLE,'CALIFORNIA 95965 - TELEPHONE: 916/538-7541 PERMIT APPLICATION DATA SHEET, Permit' No,.^' OWNER U 1'1 k11 I `N r�' 30'- - A. P. ,No. Proposed Building seS•�-orf/t•° c��;,r Building Inspector Date16 At time of'permit application, I was advised the following data must be submitted prior to permit processing and/or issuance: DATE RECEIVED APPROVED 1. All items have been submitted . ........................ .......... 2. Plot plans in duplicate/triplicate, signed by preparer of plans ........ 3. Complete plans in duplicate/triplicate, signed by preparer. of plans . . 4. Complete engineered plans and calcs, with wet signature on plans .. 5. Hazardous Material Form ........................................... 6. Energy Design Compliance and supporting documentation .......... 7. Statement of Intent for Non -Heated and AC Buildings ............... 8. Engineered truss details and layout in duplicate (required prior to plan check) -r-� 9. Mobilehome installation data including manufacturer's installation instructions...'.................................................. 10. Fees of $ 11. Chico Urban Area fees paid ....................................... 12. Pn r k fop-, laid Si fiRool District fees Sanitation approv from Health Department City of Chico plumbing permit ..................................... 16. Plot plan and business license approval from City of (see City for other requirements) 17. Planning approval for (A) Use: (B) Parking: .... 18. Improvements may be required. Contact Land Development Section DPW 19. Driveway permit (construction approval required prior to occupancy) 20. Pre -Inspection for required Pre-Inspec. request to Building Inspector (Date) 21. Contractor's license information (No., Name Style, Classifications ... 22. Certificate of Workmans Compensation Insurance .................. 23. Owner -Builder Verification (Given to owner 0, Mail to owner 0) ..... 24. Recorded copy of Agricultural Acknowledgment Statement ......... 25. Letter of signature authorization ................................... 26. 27. ' When you issue the permit, process as follows: Mail to owner. Mail to contractor. _ Telephone534 979 ( and hold for pickup at 01ZO office. Deliver w/inspector. Other Applicant_ AA �ttil..t. Date Copy of Haz-Mat form sent Health Dept. Fire Dept. Air Pollution Date Copy of plans sent Health Dept. Fire Dept. Other Date By The following data must be submitted prior to permit issuance: (Circle new item not checked above). 1. Index permit for above items No. - 2. Additional items required: r Contractor, designer, owner, was advised of above required data by_phone---jnail—counter by ..date Contractor, designer, owner, was advised of above required data by—phone—mall—counter by date Plans checked by 6W —Date -6U1,91 Plans approved by PXA/ Date 81Z8 9l Sets of plans on hold in Copy—DPW File cabinet AP folder COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 - Telephone: 916.538-7541 APPLICATION AND PERMIT � 2v PERMIT NO. ASSESSOR PARCEL NUMBER ZONING BUILDING PERMIT OWNER asci �� TELEPHONE -Q 979 I SQ. FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS to S , t((e gSycs- 79 15 I CONTRACTO SNAME TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER VNKNOWN Total Valuation $ 2 Q LENDER'S MAILING ADDRESS Filing Fee ,Q, 10.00 Permit Fee $(So ARCHITECT OR ENGINEER n &T)^e—Ener LICENSE NO. Plan Checking Fee $ ZS' ARCHITECT OR ENGINEER'S MAILING ADDRESS Plan Checking Energy g Fee $ S� Penalty $ BUILDING ADDRESS 1 G rGfif r/� 1 0 ►1 l Permit fee $ 2 75 PLUMBING PERMIT Filing Fee 10.00 Each Trap 2,00 Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP Water piping 5.00 Each qas water heater or vent 5,00 USE OF STRUCTURE Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 SF9 Duplex❑ Mobilehome❑ Other Mobile Home I S I G JW I h0-00ea SPECIFY TYPE OF WORK Remodel ! Utilities ❑ Installation❑ Other ❑ New ❑ AdditionF,�Ll-ey+ Permit Fee $ Describe work: IDC15t/A2 ai4'>!k c 'I -o ���i �c�avc� Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service eooV OR LESS 100 AMP OR LESS 10.00 Main service EA. ADO'L 100 AMP 2.50 CONTRACTORS LICENSE LAW NEW CONST. / DWELLING OCCUP.&) OR AODNS. ` l hesclft 0 90 I declare under penalty of perjury (check one): ACC. BLDGS. NEW CONSTR ULT' -OUTLET _SID 12.50 eat ❑ 1 am licensed under provisions of Chapt. 9, Div. 3 of the Business NoN.R BRANCH CIRC ITS POWER APPARATUS &) and Professions Code and my license is in full force and effect. SINGLE OUTLET CIR. ) 1 License No. Classification. EX. OCCUP( OUTLETS OR FIXTURES 209SOt IeAL.13oQI ❑ I, as the owner, or my employees with wages as their sole compen- FIXED APLNS. Ex. OCcuo. OUTLETS PIRESID IKEA.) I 2.00 sation, will do the work,and the structure is not intended or offered Temporary service 10.00 for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- Mobile Home Facilities 15.00 ors. (Sec. 7044) Misc. Wiring 15.00 ❑ I am exempt under Sec. Business and Professions Code for this reason Permit Fee Contractor WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): MECHANICAL PERMIT Filing Fee 10.00 ❑ The permit is for 5100.00 (valuation) or less. Heating ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. Cooling 9 ❑ I shall not employ any person in any manner so as to become subject Hood 3,00 to the W. C. laws of California. Ventilation 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 permit Fee $ Provisions or this permit shall be deemed revoked. Contractor I certify that I have read this application and state that the above information Mobile Home Installation Fee $ is correct. I agree to comply to all County Ordinances and State Laws relating Energy Inspection Fee $ n 0-0 to building construction, and hereby authorize representatives of the Countyot occ Butte to enter upon the above-mentioned property for inspection purposes. CONST TYPE I also agree to save, indemnify and keep harmless the County of Butte against TOTAL FEE S 17 all liabilities, judgments, costs, and expenses which may in any way accrue HASUA I PARK SCHL FLD cDF 1 f PAR PD .10•;ISSU- i i - against said County in consequence of the granting of this permit. I i XThis Oate permit is hereby issued unser the applicable provl- sions of the Butte County Code and/or resolutions to do Signature of Applicant — Owner C1 Contractor ❑ Agent ❑ work indicated above for which fees have been paid. An OSHA permit is required for excavations over 5'0" deep and demolition or construct. DIRECTOR OF PUBLIC WORKS ;on of structures over 3 stories in height. Receipt No. q ?,_3A h 17 P •6-'� By Date WHITE-D.P.W., YELLOW- Saf33OP, PINK•INSPECTOR, COLOENROO-APPLICANT PERMIT EXPIRES Date '��+�t�+4'=�.ns�vr�T�i�'�a+fer��j'�e'�,*�:.'rroa+r<iFrr�'I'�sr�i>-r,,�,.r+�v �r'�ar'=Fi�y�+�'A"'�"�'^rel''J��M."�i'�,4i•�tiC�`Fl;�:�t'S"si4bu"r�+°'`'�yi+:✓'3�►?ghCA4:r^-v�� BUTTE COUNTY SCHOOLS DEVELOPMENT PEE'CERTIFICATION FOR ©� �•. 3 4PO- 00? (One Form ppr. Building) A.P. Number- 4 - 08 'Building Department\No. School District,- Uhler City County M Jurisdiction' Property Owner I�rr'v DO n VY Project Location/Address r (� (O4 ,Sf. �17SU! Subdivision Residential Development: Commercial/Industrial: # of Living MHI Units I a New Lot Number ' Sq. Footage 3'76 'Addition ( Group R) nn *6mveX�' t5tln� (J+�U'Eyc fb P wllq Kt� Sq. Footage Addition.(Including Exterior Roofed Areas) -/6-7( /Buildingepartmen/lpresentative, Date (Floor Plans reviewed by School District Personnel) District Id No -920 29" O lAN X L 1 /1 MA,(hv '�:Cll/� _-,School District certifies that cant Name V- 7 V one Number (Street Address)!" :(City) (State) (Zip Code) t has complied with the requirements of Resolution No. -J(),5 by e payment 71qof representing representingsquare feet. �IO C - (YA d4Y� fib, 9� ool District Repre tative Date PAID BY CHECK NO. \ BANK NO PAID BY CASH white -applicant, yellow -building department, pink -school district SCHOOL.FEE (8/88) t� Of N L-Ao Ilk 4L"4vf P5, ................. -7-. - --' --- )b ---�jl 3 , —1 Ile, �Q Of N L-Ao Ilk 4L"4vf P5, ................. -7-. - --' --- )b ---�jl 3 IL �Q CL it CJ 3 3; 4% (AiZ4 30.360 It FORM 7 ADDITIONS TO RESIDENTIAL BUILDINGS ENERGY SHEET PACKAGE "A" (Additions) Owner �I�i�` 0U Climate Zone Permit # Floor Area W 2890 -916' The following data showing mandatory and required features of Package "A" shall be installed for additions to dwellings. Additions to dwellings include room additions, converting garages and patios to living areas, house moves that add footage and attic conversions, and any space that is existing non -conditioned space that is converted to conditioned space. Remodeling of existing conditioned space is not included. ZONE 11 APPLIES TO NEW AREA ZONE 16 CEILIN '' R=30 R-38 WALL R-.11 R-19 FLOOR R-11 R -19 - SLAB R-7 R-7 GLAZINGT' U--65_(Dual) U-.65 (Dual) SHADING SOUTH - OPTIMUM -OVERHANG or .36 Shading Coefficient WEST - .36 Shading Coefficient LOOSE FILL INSULATION (Density) 0 INFILTRATION CONTROL (Weatherstrip. -doors, certified windows, caulking) VAPOR BARRIER (Zone 16) DUCTS PER UNIFORM MECHANICAL CODE - Ch. 10 LIGHTING KITCHEN & BATH NOT LESS THAN 25 LUMENS/WATT MAXIMUM GLAZING 16% OF AREA PLUS REMOVED GLAZING NEW HEATING, VENTILATING, AIR CONDITIONING AND HOT WATER SYSTEMS IN CONJUNCTION WITH AN ADDITION SHALL BE INSTALLED AS SHOWN ON BACK OF THIS SHEET. OTHER 12/85 " *1 > HEATING. VENTILATING. AIR CONDITIONING SYSTEM__ (A) Heating ❑ Central Gas Furnace % (brand end model number) SE Btu/hr (heating capacity) ❑ Heat Pump (brand and model number) ACOP Btu/hr (heating capacity at 47°F) ❑ Active Solar type (liquid or air) Collector brand and ft2 model number solar fraction collector area collector orientation collector tilt rated y -intercept rated slope ❑ Other (describe) *1 (B) Cooling ❑ Electric Air Conditioner (brand and model number) (seasonal EER) Btu/hr (cooling capacity at 95°F) ❑ Electric Heat Pump ' . EER Btu/hr (cooling capacity at 95°F) ❑ Other (describe) DOMESTIC WATER SYSTEM ❑ • (A) Gas Only Gallons (brand and model number) (tank size) ❑ Heat Pump w/Electric Backup (brand and model number) Gallons 2 (tank size) (3* Active Solar (collector brand and model number) (rated y -intercept) (rated slope) (solar fraction) ft (backup heater type, brand and model number) (collector area) (collector orientation) (collector tilt) ❑ Location of Solar Panels ❑ Other (Describe) *1 Submit documentation of sizing heating and cooling equipment by Manual J, sizing charts (form #4) or other approved methods, section 2-5352(8), and fill out the following: . Heating: Winter design temperature elevation ', heating load BTU elevation factor x heating load maximum outlet capacity gas furnace BTU Cooling: Summer design temperature ', cooling load BTU *2 Submit T.I.P.S.E. chart'or other approved system (form #5) to document sizing of solar panels. ® DESIGN COMPLIANCE STATEMENT: The above building design meets the requirements of Title 24, Part 2, Chapter 2-53 of the California Administration Code. SIGNATURE OF BU BG DESIGNER OR APPLICANT `RE-U-EN7U-A- ' 30-36-08 2085-91B ` DU00, Terry & 3uaab . 1216 18tb 3t, Otoville ` (now detached garage) � ' 7 ` | � ' JOB FINALE Signature J=OK ` ?' O = Not OK = Not Readyable MOBILE HOMES MISCELLANEOUS Date MOBILE HOME UTILITIES (Plans) OK except #'s y Date DECKS, S;OfERS, CARPORT$ RAGES Plans)OK except #'s 1. Zoning Requirements-Setbacks-Easements t oningjaequirements-Setbac s asements 2. Soils; Special MH Support Sketch wings; Soils-Size-Depth-Spacing-Connectors-Steel 3. Sewer; Location-Test-Fall-C/O Concrete 3. Decks; Griders and/or Joists-Decking-Bracing-Stairs-Rails 4. Water; Location-Test-Easement Needed (Sketch) 4. Wood Awn.; Posts- Bea ms- Rftrs.-Connectors 5. Electricity; Location-Clearences-Grnd-/ /Amp-Concrete Shthg.-Rfg.-Bracing 6. Gas; Location-Test-Wrap: / /"L"ft. 5. Alum. Awn.; Columns-Connections-Splice-Decal-Enclosures / /"Nat. or/ P L" ft./ /"LPG 6. Carports; Windows-Doors 7. Well Clearance & Disconnect 7. Electric 8. Utility ClearanceI Frmg; Sit s-Anchors- Studs- Rftrs-Trusses ing; Nailing-Veneer-Stucco-Mesh Roof; Shthg-Roofing Date Card B-1 Date Card B-1 tet.; Steps-Doors-Landings Date Card B-1 Date Card 6-1 I Date MOBILE HOME INSTALLATION (Plans) OK except #'s i 1. Zoning Requirements-Setbacks Easements Dat - and B-149-A Date Card B-1 2. Footings; Size-Spacing-Marriage Line Date Card B-1QSC;;;'Date Card B-1 3. Gas; MH Test-Demand-Valve-Connector Date POOLS (Plans) OK except #'s 4. Electricity; MH Test-Crossovers-Breakers-Clearances 1. Setbacks-Easements 5. Drain; MH Test-Fall-Flex Connector 2. Soils; Compaction-Structure Stability 6. Water; MH Test-Regulator-Connector I 3. Pool Structure; Steel-Connections-Thickness 7. Water and Sewer Connected-C/O to Grade-HD Approval Dead Men -Lining 8. Gas and Electricity Tagged 4. Elec.; Receptacles and Lighting, Distances-GFI 9. Exits; Insp.-Sketch 5. Elec.; Pool Lighting; 15 volts-GFI 10. Cert. of Occupancy 6. Elec.; Enclosures; Conduit Entries-Terminals-Listed 7. Elec.; Bonding; Metal w/5'-Circulating Equip.-Heater 8. Elec.; Grounding; Equip. w/5' Circulating Equip.-Pool Lghtg. Date Card B-1 Date Card B-1 Boxes-Enclosures-Panel boards-Ins. to Main in Conduit Date Card B-1 Date Card B-1 9. Health Department Approval 10. Plumb.; Cir. Test-Water Supply Test Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 *J=OK O = Not OK Not Applicable Not Ready RESIDENTIAL (; ' = Date UNDERFLOOR (Plans) OK except N's 1. Zoning -Setbacks -Easements -Flood -Slope 2. Fig., Main; Soils-Elec. Grnd.-/ /" Fig. Depth 3. Fig., Garage; Soils-Steel-Elec. Grnd.-/ /" Fig. Depth 4. Fig., Porches & Decks; Soils -Steel-/ /Ftg. Depth 5. Stemwalls, Main; Steel -Bloc kouts-Wrapped 6. Stemwalls, Garage; Steel-Blockouts-Wrapped 6a. Hold Downs and Special Anchors 7. Slab; Steel -Wrapped 8. Piers -Fireplace Ftg.-Steel 9. D.W.V.; Fall -Fitting -Test -2 Way C/O -Sewer Test 10. UF. Gas Pipe; Size -Anchors - yard gas piping: size -test 11. Water Pipe; Test -Anchor -Regulator -Service Test 12. Electric; Underground 13. Pienums & Ducts; Clearance -Material -Support -Ins. 14. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples 15. Access & Ventilation 16. Insulation Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date PLUMBING (Permit),OK except N's 16. Water Htr.: Vent -Access -Combustion Air -Baffle -------------------- ----------------------------- 17. Water Pipe; Test & Anchor -Nail Protection 18. D.W.V.: Test -Fittings & Anchor -Nail Protection ------------------------- ----------------- -- ----19. Shower Pan; Test. First Floor -Tub Access ---- - - --------- 20. Test Tub & Shower, Second Floor -Tub Access -------------------------------------------- 21. Gas Pipe: Size & Anchors Date Card B-1 Date Card B-1 -------------- -------- --------------------- ------------------------ Date Card B-1 Date Card B-1 Date ELECTRICAL (Permit) OK except N's 22. Fixture & Transformer Clearance -Ins. Protection -------------------- ------------------------------------------------- 23. Elec. Receptacles Spacing -Lights & Switches at Doors ---------------------------------------------------------------------------- 24. Size Boxes & No. of Conductors -Stapled ------ -------------------------- -- ----------- -------------- 25. Romex Installed Close to Edge of Studs & C.J. ---------------------------------------------------------- 26. Equip Ground made up w!Mech. Fastners-Bond Gas & Water ---------------------------------------------------------------------- 27. 2 Appliance Circuts in Kitchen & Conductor Size!GFI ----------- ----------------------------------------------------- 28. Subfeed Wire Sizer ga. Cu or AI-A.C. Wire Size r ! ga. Cu or At ----------------------- -------------- ------------------------------ 29. Range Circ / / ga. Cu or AI -Oven Circ. / ! ga. Cu or Al. Insulated Neutral ❑ Yes ❑ No ------ ----------- ------------------------------------------------- 30. Service -Riser Conductors & Ground -Main Disconnect -------------------------------------------------- ----------------------------- 31. Equip Clearances Panels-Motors-Mech. Equip. ----------------------------------------------------- --------------- 32. - -Closet- Clothes Closet- - Light -Shower Light -Sp - a -Light -- ------------------------- ----------------------------- -- 33. Smoke Detector ---------------------------------------------------------------------------------- Date Card B-1Date Card B-1 - ---------------------------------- ----------------------------------------------- Date --------------------------------------------- Date Card B-1 Date Card B-1 Date MECHANICAL (Permit) OK except N's 34. -.A. -C.- Ducts Insulation & Support ----------------------------------------------------------------- 35. Vent Fan: Exhaust above insulation ------------------------------------------------------------------------------- 36. Condensate Drain & Overflow: Size & Grade ----- - . --------------------------------- ---- --- --..._ 37. Furnance-Vent: Access -Comb. Air -Return Air Vent -115 outlet -------------- - - - - ----- ------ ------------------- ------------------- - 38 Attic Access & Platform if Furnance in Attic ------------------------------------------- ------------------------------------ Date Card B-1 Date Card B -t Date Card B-1 Date Card B-1 Date FRAMING (Plans) OK except N's 39. Sils. Proper Material & Anchors --- ---------- ------------------------------------------- - ------------ 40. Walls Studs -Nailing, Spacing & Bracing -Plates -Sound ----- ------ --------------------------------------------- 41. Bearing Walls over Girders & Floor Nailing - ------------------------------------------------------- ---------- 42. Draft -Stop -in--Walls--(rat-proof)-- ----------------------------------------------------- 43. Fire Stops: Furred Ceilings -Stairs -Chases -Tub -- --- -- - - -- -- -- -- ---------------------- ---- ----------------- 44. Headers & Beam -Size & Bearing P'ingle & Duplex) Date FRAMING (Continued) 45. Hangers -Post Caps -Anchors -Connectors 46. Cing. Joist-Rftr. ties-Purlin-roof Brac-Truss-Shthng.-Ring. 47. Fireplace Ties or Type A Flue -Fireplace Throat clearance 48. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 49. Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions 50. Garage Fire Protection Framing 51. Property Line Firewall & Openings 52. Ext. Doors -One 3' -Check Garage -3rd Story, 2 Exits 53. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection ---------------------- 54. plywood on Roof Overhang -Attic Vents -Rafter Outriggers 55. Siding -Nailing Veneer 56. Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access --------------------- - _ 57. Glazing Area -Glass Protection -Skylights -Plastic 58. Shear Walls; Nailing -Bolts 59. Insulation -Walls -Ceilings 60. Infiltration -Walls -Windows Date Card B-1 Date Card B-1 ------------------------------ -- Date Card B-1 Date Card B-1 Date FINAL (Plans) OK except N's 61. Ext. Steps -Door & Sidelight Protection -Landings 62. Smoke Detector ------------ 63. Furnace; Vents -Clearance -Comb. Air -Connector - In Garage; Above Floor -Ducts -Meeh. Protection -------------- 64. Bedroom Exiting ---------------- 65. G.F.I. & Bath Fixtures & Tub Access -Spa 66. Elec. Trim & Subpanel; Breaker Sizes & Labels ----------------------- 67. Stags & Rails 68. Fireplace or Stove: Clbarances-Hearth -------------- --- 69. Elec. Outlets at Wood Panel; Int. & Ext. 70. Kit.Fixt. & Appliance; Grnd.-Air Gap -Cooking Clearance ------------------------------------- _71:_-Elec. Outlets & Receptacles at Kit. Counter 72. Garage Fire Door: Swing -Landing -Closer ------------ ------------------------ - 73.-A.C. Duct in Garage -Damper -------------------------------------- - - 74. Wtr. Htr.; Vents -Clearance -Comb. Air-Connector-P.R.V. . In Garage: Above Floor -Meeh. Protection ---------------------------------------- 75. Plb.. Elec. & Mech. Equip. Listed for Location 76. Elec. Receptacles in Garage: (G.F.I.)-Romex Protection 7;'. Insulation -Foam -Looked in Attic ❑ Yes 78. Guard Rails & Deck Construction -Post Caps 79. Fdn Vents & Crawl Hole Door -Drainage & Wood -Earth Clearance Looked under Floor ❑ Yes 80. Following insild.: Drive ❑ Yes ❑ No; Walks ❑ Yes ❑ No; Planters ❑ Yes ❑ No _ 81. Stucco Brown -Finish 82. A.C. Unit: Disconnect. Electrical, Plumbing ------ ------------------------------- 83. Vents Above Roof; Plbg.-Appliance-Fireplace.-Clearance to Openings - - - - - - -- - - -- ----------------------------- ---- 84. Water Well: Disconnect, Electrical, Plumbing - - - - - - - - - - - 85. Exterior - - -- Elec. Trim; -G.F.I. Receptacle -Underground ------------------------------- - 86. Ventilation Throughout House -- --- -------------- ------- Glass Protection ------------------------- ------- --------- 88 Corrections from Previous Inspections ----------------------------------------------� 89. Gas Test -Meters Tagged; Gas -Electric ------------------------------- -- ------ -------------- 90. Water & Sewer Connected -C/O to Grade -HDA Approval 91. Energy Compliance Certificate -Other Certificates -- --- ----------------------- Date Card B-1 ------ ---- ---- ------- ------- Date Card B -t Date Card B-1 Comments at Final: Date Card B-1 _ Date Card B-1 Date Card B-1 f COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT NO. 7 County Center Drive - Oroville, Callfornla 85865 - Telephone: 816/538.7541 APPLICATION'ANY PERMIT�- ASSESSOR PARCEL NUMBER 30-36-08 ZONING AR BUILDING PERMIT OWNER TERRY & SUSAN DUNN TELE534-9791 ONE so. FT. OCC. BUILDING VALUATION 480 M 8640 OWNER'S MAILING ADDRESS 1216 18TH ST OROVILLE 95965 CONTRACTOR'S NAME _T OWNER ELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION ONE ENDER UNKNOWN Total Valuation $ Filing Fee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee $ 74.50 ARCHITECT OR ENGINEER NONE LICENSE NO. Plan Checking Fee $ 37.25 Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS 1216 18TH ST OROVILLE Permit fee $ 121.75 PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP Water piping 5.00 Each qas water heater or vent 5.00 USE OF STRUCTURE SF ❑ Duplex❑ Mobilehome❑ Other PVT. DET. GARAGE SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home S I G I W 10.00ea TYPE OF WORK New n Addition ❑ Remodel ❑ Utilities ❑ Installation❑ Other ❑ Describe work: _ Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 600V OR LESS 10.00 100 AMP OR LESS Main service EA. ADD'L 100 AMP 2.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): ❑ I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in full force and effect. License No, Classification. 1, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ontract- ors.(Sec. 7044) ors. ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONST. / DWELLING OCCUP.& , OR ACDNS. ACO. BLDGs. ) /z¢sgft NEW CONSTRESID. RANCH TLET NON•R ESID BRANCH CIRC ITS 2.50 ea CIRCUITS) POWER APPARATUS 6 SINGLE OUTLET CIR. zo®50a Ex. Occup OUTLETS OR FIXTURES eAL030 FIXED APPLNS. OR EX. OCCUp. OUTLETS (RESIC.) EA.1 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring g 15.00 Permit Fee $ WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. lkI shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed.revoked. Contractor MECHANICAL PERMIT Filing Fee 10.00 Heating Cooling g Hood 3.00 Ventilation Pelt Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the Countyot Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue against said County inseq nce of the granting of this permit. X Date _ Signature of Applic — Owner Contractor ❑ Agent ❑ An OSHA permit is required fore avations over 5'0" deep and demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ OGG CONST TYPE TOTAL F E HAz. cuA PARK SCHL F c P P I Hp. I s This permit is hereby issued unoer the applicable provi- sions of the Butte County. Code and/or resolutions to do work indicated abo7P for which fees have been paid. DIIAEC04OR - BLIC WORKS �� _0 By '�`" Date PE MIT EXPIRES ate "` Receipt No. 94100 WHITE-D.P.W.. YELLOW-ASSE330R. PINK -INSPECTOR. GOLD ENROD-APPL I CANT COUNTY OF BUTTE - DEPARTMENT'OFfPUB;LIG},WORKS - BUILDING DIVISION 7 COUNTY CENTER DRIVE - ORMILNE IFORNIA 95965 -TELEPHONE: 916/538-7541 I i PERMIT APRL CATION DATA'SHEET OWNER Proposed Building Use Permit No.— A. o. A. P. No - Building Inspector Date At time of permit application; I was advised the following data must be submitted prior to permit processing and/or issuance: �,. DATE RECEIVED APPROVED 1. All items have been submitted . .............. Plot plans in plicate riplicate, signed ey preparer of plans ........ 3. Complete plans IM n�uplicate/triplicate, signed by preparer. of plans . . 4. Complete engineered plans and calcs; with wet signature on plans .. 5. Hazardous Material Form .............. .......................... 6. Energy Design Compliance and supporting documentation ......... 7. Statement of Intent for Non -Heated and AC Buildings .............. 8. Engineered truss details and layout in duplicate (required prior to plan check) 9. Mobilehome installation data including manufacturer's installation instructions....................................................... 10. Fees of $ ........................ 11. Chico Urban Area fees paid ....................................... 12. Park fees paid .................................................... 13. School District fees paid .............. 14. Sanitation approval from Health Department 15. City of Chico plumbing permit ..................................... 16. Plot plan and business license approval from City of (see City for other requirements) 17. Planning approval for (A) Use: (B) Parking: ...... 18. Improvements may be required. Contact Land Development Section DPW 19. Driveway permit (construction approval required prior to occupancy) E 20. Pre -Inspection for required Pre-inspec. request to Building Inspector (Date) 21. Contractor's license information (No., Name Style, Classifications ... 22. Certificate of Workmans Compensation Insurance .................. 23. Owner -Builder Merification (Given to owner ❑, Mail to owner o) ..... i 24: Recorded copy of Agricultural Acknowledgment Statement ......... 25. Letter of signature authorization ................................... 26. 27. When you issue the permit, process as follows: Mail o owner. Mail to contractor. Telephone and hold for pickup at office. Deliver w/inspector. Other-�,t Applicant , , Date - �-F �7 Copy of Haz-Mat form sent Health Dept. Fire Dept. Air Pollution Date Copy of plans sent Health Dept. Fire Dept. Other Date By. The following data must be submitted prior to permit issuance: (Circle new item not checked above). 4 1. Index permit for above items No. Ir 2. Additional items required:^ r fi in4,pn�(,60q plain 01_,9.a4alX 112�ir�01 Contractor, designer,owne was advised of above required data byJCphone�naiI—counter by�/ .date Contractor, designer, o er, was advised of above required data by—phone —ma ll__�counter by date Plans checked by Sets of plans on hold in Copy—DPW Date Plans approved by File cabinet AP folder Date TO: Building Department FROM: Encroachment Permit Section RE: Driveway Clearance 30 - AP # location • owner p,has been issued for the above property. Driveway permit %lD �� date �i si ature COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 - Telephone: 916/538-7541 APPLICATION AND PERMIT PERMIT NO. ASS 50 RDPARCEL NUMBERZONIN — 0 ^ 062 BUILDING PERMIT owN_ err `� ccs Yl TELEPHONE �-9i� SQ. FT. OCC. BUILDING VALUATION ow2g,s((//MOA LING AODRESS4 ` / ✓� •h/ n CO)Jr,RACTOR'S NAME Vt(7 VL P f TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CON$TJ:UCTION LENDER r_— UNKNOWN Total Valuation $ LENDER'S MAILING ADDRESS ARCHIT CT OR ENGINEER LICENSE NO.Plan Filing Fee $ _ 10.00 Permit Fee Checking Fee $ — $ ARCHITECT OR ENGINEER'S MAILING ADDRESS " Energy Plan Checking Fee $ Penalty $ BUILDING AD RESS / N Vf Permit fee $ a ' PLUMBING PERMIT Filing Fee 10.00 Each Trap 2,00 Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP Water piping 55,00 Each qas water heater or vent 5,00 USE OF STRUCTUFX SF ❑ Duplex ❑ Mobilehome❑ Other t r` 6L SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home I S I G JW 1 10.00 ea TYPE OF WORK New'U Addition ❑ Remodel ❑ Utilities ❑ Installation❑ Other ❑ Describe work: Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 100 AMP ORV OR LESLESS 10.00 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check One): ❑ I am licensed under provisions of Chapt. 9, Div. 3 of the Business---"--` and Professions Code and my license is in full force and effect. License No. Classification. ❑ I, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason Main service EA. ADD -L 100 AMP 2.50 NEW CONST. DWELLING OCCUP.&) OR ADONS. ACC. BLDGS. / , 205q ft NEW CON5TR ULTI.OUT LET NO N•R ESID BRANCH CIRC ITS 2.50 ea POWER APPARATUS &) -SINGLE OUTLET CIR. Ex. Occu p(OUTLETS OR FIXTURES 20@50C .SALO 30 FIXED APPLNS. OR EX. DCCUp. OUTLETS (RESID.) EA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. IYirin g 15.00 Permit Fee $ WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ i have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent,to Self -Insure. ❑ I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. Contractor MECHANICAL PERMIT FilingFee 10.00 Heating Cooling g - Hood 3,00 Ventilation Permit Fee $ Contractor I certify that I have read this application and state that the above information 1s 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 said County in consequence of the granting of this permit. X Date Signature of Applicant — Owner ❑ Contractor ❑ Agent ❑ An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structuresover3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ EFIAZ: CONST TYPE E TOTAL FEE $ /pLl, CUA PARK scHL FLD PAR PO I HO. ISSUE This permit is hereby issued unser the applicable provi- sions of the Butte County. Code and/or resolutions to do work indicated above for which fees have been paid. DIRECTOR OF PUBLIC WORKS By Date PERMIT EXPIRES Date Receipt No. 7AI 0 WHITE-D.P.W.. YELLOW-A33E33OR. PINK -INSPECTOR. GOLDENROD -APPLICANT COUNTY OF BUTTE --Department of Public Works 7 County Center Drive, Oroville, CA 95965 Phone: 916-538-7541 OWNER -BUILDER VERIFICATION Attention Property Owner: An 'owner -builder" building permit has been applied for in your name and bearing your signature. Please complete and return this information at your earliest opportunity to avoid unnecessary delay in processing and issuing your building permit. No building permit will be issued until this verification is received. 1. I personally plan to provide the major labor and materials for construction of the proposed property improvement (yes or no) 2. I (have/have not) signed an application for a building permit for the proposed work. 3. I have contracted with the following person (firm) to provide the proposed construction: Name n�G Address City Phone Contractors License No. 4. I plan to provide portions of this work, but I have hired the following person to coordinate, supervise, and provide the major work: Name ' &_ Address City Phone Contractors License No. 5. I will provide some of the work but I have contracted (hired) the following persons to provide the work indicated: Name vyk Address . Phone Type of Work Signed: Property Owner ��t_� Social Security Number _ Date 13�� -- NOTE: This Owner -Builder Verification is sent to you as required by Sections 19831 and 19832 of the California Health and Safety Code. This verification must be completed and returned to our office before we are per- mitted to issue the permit. COUNTY OF BUTTE -Department of Public Works 7 County Center Drive, Oroville, CA 95965 Phone: 916-538-7541 OWNER -BUILDER VERIFICATION Attention Property Owner: An 'owner -builder" building permit has been applied for in your name and bearing your signature. 11 Please complete and return this information at your earliest opportunity to avoid unnecessary delay in processing and issuing your building permit. No building permit will be issued until this verification is received. 1. I personally plan to provide the major labor and materials for construction of the proposed property improvement (yes or no). 2 2. I (have/have not) signed an application for a building permit for the proposed work. 3. I have contracted with the following person (firm) to provide the proposed construction:. Name Address City Phone Contractors License No. ` 4. )I plan to provide portions of this work, but I have hired the following person to coordinate, supervise, and provide the major work: Name Address City Phone Contractors License No. 5. I will provide some of the work but I have contracted (hired) the following persons to provide the work indicated: Name Address . Phone Type of Work Signed: Property Owner Social Security Number ' Date �93 - i n rQ NOTE: This Owner -Builder Verification is sent to you as required by Sections 19831 and 19832 of the California Health and Safety Code. This verification must be completed and returned to our office before we are per- mitted to issue the permit. k J KERMIT NO. 2159-76P PERMIT EXPIRES 4/30/77 OWNER JOHN RICIOBUANO CONTR. OWn" er ' LOCATION,(A.P. 30-36-8 ) & 1216 18th. St., Oroville a Temp. Power Pole f Called PG&E 3 Temp. Elec. Serv. Call PG&E Tem .Gas Serv. Called PG&E JOB FINALED (Date) I (Signature) THERMALITO IRRIGATION DISTRICT 410 GRAND AVENUE OROVILLE. CALIFORNIA 95965 TELEPHONE 533-0740 N° 345 CSA 26 SEWER SERVICE APPLICATION AND CONNECTION PERMIT Service Address: Owner's Name: Address: —Si - Date: 43 )7 6 Acct. No: i3 111A A.P. No.: OS Phone: y 9611 No. Units: Applicant/Agent: Agents Proof: Ij !� Address: Fees: Phone: Application $ Preliminary Review By: Wa' Date: ,• L-? '7 G Arrearage CSA 26 - Remarks: SC -OR 1 st mo. S.C. Other Total Fees Collected By: Field Review By: Date: a Date: Remarks: MONTHLY SERVICE CHARGES WILL COMMENCE AUTOMATICALLY UPON: [% Date of TID approval of completed building sewer (early connection). ❑ 30 days after date above, or on date of D.P.W. approval of completed building sewer, which ever comes first ("existing construction", prior to Mar. 5, 1974). ❑ 180 days after date above, or on date of D.P.W. approval of completed building sewer, which ever comes first ("new construction", after Mar. 5, 1974). DISTRIBUTION: WHITE - TIO, YELLOW - APPLICANT, PINK - DPW, GOLDENROD - DPW to TIO COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS BUILDING INSPECTION RECQRD BUILDING I BUILDING (Cont'd) �— Setback Forms Main Bldg. Footings Stemwal I Slab Piers - Garage Footings Stemwa I I Slab Carport Footings Slab Patio Footi nas PLUMBING Firewall Soil Piping Parapets 1st Floor Restroom Finish 2nd Floor Windows 3rd Floor Sidin g To out Roof Sheathing Water Piping Roofing Sewer Fdn. Vents Fixtures Garage Vents Insulation Water Htr. Heaters Prov. for phsically handica e. Conformance of ex. structure Appliances Gas Piping & Test Temp. Gas Final Sanitation FIREPLACE Final Bond Beam I FIRE SPRINKLERS I Motors ELECTRICAL Stucco Final Subpanels Mesh MECHANICAL Grd. Fault Prot. Scratch Heating Service Brown Cooling Temp. Pole Finish Ducts Underground Interior Lath Ventilation Permanent Door Closer Final Final DATE REMARKS OR CORRECTIONS .�%x/70 104-c 1911tr b e IV5 1-c- 7/ Av(1 C 3 6CX At leffA - W Aid (NOTE: An entry must be made on this form each time you visit the job site.) COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS 7 County Center Drive — Uroville, California 95965 Telephone: p5p4-4541 APPLICATION AND PERMIT ouu Grize represemaLivCS UI7npec'tioripurposes. "Ouniy or butte to enter upon the above -m ioned property fo Date e Signature of Permitee or Agent Receipt No. Z 46 --> Z- 8 White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DIRECTOR OF PUBLIC WORKS By / `� Date q, 36 t—? permit expires Date q- 3&,7 % e. BUILDING Owner SQ. FT. OCC. BUILDING VALUATION Mailing Address` I' 5Z I ne . s-Telephoo J Fireplace Contractor Total Valuation Mailing Address Permit Fee Plan Checking Fee&/or Penalty Telephone No. Permit Fee $ Building Address Z (� T� . PLUMBING No. @ FEE PERMIT FILING FEE J$3.00 Each Trap 1.50 Repair drainage or vent piping 1.50 Water piping 1.50 Each gas water heater or vent 1.50 A. P. No. p ` 3 -- Q Z oning & Planning Gas piping system 1 - 5 outlets 1.50 Each additional outlet .30 F S ' Fire Dept. Fire Zone Use Pennit Building sewer 5.00 j •p EQA Parking Plans Parcel Declaration Parcel Ma P 60' R/W Improvements provements Lawn sprinkler system 2.00 f3� Parcel Approval Plans Approval Permit Fee $ NEW ❑ ADDITION ❑ UTILITIES ❑ OTHER 5d ELECTRICAL No.1 @ FEE PERMIT FILING FEE J$3.00 Main service 100V OR LESS 100 AMP OR LESS 5•00 Main service EA. ADD'L 100 AMP 2.50 Single Family ® Duplex ❑ Mobil Home ❑ Others ❑ Main service OVER 600V t00 AMP OR LESS 25.00 Main service EA. ADD'L 100 AMP 1.00 NEW CONS. DWELING OR ADDNST ( ACCLBLDGS.CCUP. &) 2¢sgft NEW CONSTR MULTI -OUTLET NON.RESID. BRANCH CIRCUITS) 2.50ea NEW CONSTR. POWER APPARATUS & NON-RESID. (SINGLE OUTLET CIR. CONTRACTORS LICENSE LAW I am licensed under the provisions of Chapter 9, Div. 3, of the State of California Business & Professions Code under the name style of: Ex. OCCUp(OUTLETS OR FIXTURES) 50 BA0� 09 Ex. QCCU // FIXED APPLNS. OR P• l OUTLETS IRESID.) EA) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 License No. Classification Misc. Wiring 6.25 am exempt from the Contractors License Laws of the State of California. Permit Fee $ $ WORKMEN'S COMPENSATION INSURANCE 1 am aware of the provisions of Section3700 of the California Labor Code which requires every employer to be insured against liability for Workmen's Compensation. ❑ I have placed on file with the County of Butte a certificate of Workmen's Compensation Insurance. I certify that in the performance of the work for which this permit is issued I shall not employ any person in any manner o as to become subject to the Workmen's Compensation Laws of California. MECHANICAL No.1 @ FEEPERMIT FILING FEE J$3.00 Heating Cooling Ventilation Hood 2.00 Permit Fee $ $ 1 certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby TOTAL PERMIT FEE $ ouu Grize represemaLivCS UI7npec'tioripurposes. "Ouniy or butte to enter upon the above -m ioned property fo Date e Signature of Permitee or Agent Receipt No. Z 46 --> Z- 8 White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DIRECTOR OF PUBLIC WORKS By / `� Date q, 36 t—? permit expires Date q- 3&,7 % e. PRE -INSPECTION REPORT OWNER:. -fhb, _bU*,i..f LOCATION: /2-1 CONTRACTOR: �tf3�C PRE-INSPETION FOR: \I'J%p. �[:�:►cyl .i DATE TO INSPECTOR: Building Description: Electric: Gas: DATE: A.P. #J3o- 36,0 -wk- ZONING: PERMIT HLSTORY:r) NONE ( ) AS FOLLOWS: BUILDING INSPECT'OR'S REPORT i Commercial/Usage: Residential/# of Units: Currently Occupied AbandonedNacant Yes . No Condition of Electric ' Natural_. Propane Obvious Problems: Sanitation: Plumbing Working Well Working Obvious SewageProblems Comments: ACTION RECOMMENDED: ISSUE: Inspector: 1 z Electric currently On Off None Currently On Off Potable Water HOLD FOR I j Date Sketch buildings on reverse and indicate location on property. ar (Rev. 12/96) COUNTY OF BUTTE - DEPARTMENT OF DEVELOP( NT ERVICES - BUILDING DIVISION 7 County Center Drive - Oroville, California 9 , 65, Telephone (530) 538-7541 APPLICATION AN PE; MIT PERMIT NO. ASSESSOR PARCELNUMSER 030-360-008 ZONING I BUILDINGPERMIT OWNER SUSAN D1JNN TELEPHONE $q, FT. OCC. BUILDING VALUATION OWNERS MAILING ADDRESS 1916 18TH- ST, OROVITIF CA 95969 CONTRACTOR'S NAME FOX co TELEPHONE CONTRACTORS MAILING ADDRESS CONSTRUCTION LENDER NONF LENDER'S MAILING ADDRESS Fireplace Total Valuation $ ARCHITECT OR ENGINEER • LICENSE NO. Filing Fee $ 20.00 Permit Fee $ ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ BUILDING ADDRESS 18TH STI OROVILLF Energy Plan Checking Fee1916 $ PERMIT FEE $ LAT NO. SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMIT Filing Fee 20.00 USEOFSTRUCTURE SF jp 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 EX Describe Work: HVAC/ELE SER CH Gas piping system 1 - 5 outlets 15.00 15.00 Building sewer 15.00 Mobile Home IS I G I W 920.00 PERMIT FEE $ 35.00 ELECTRICAL PERMIT Filing Fee 20.00 Main Service z�o.Goa.aa 23.00 23.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that 1 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. � c> 5 31n.� OWNER -BUILDER DECLARATION.50 I hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: ❑ I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. . ❑ 1 am exempt under Sec. Business and Professions Code for this reason Main Service 200A TO 1000A 46.00NEW CONST. DWELLING occUP. OR ADDNS. 8 ACC. BLAS. so 3.5¢FT. Ho R °� o. MULTI -OUTLET H CIRCUITS @7,50 7.50 POWER APPARATUS & SINGLE OUn-ET CIR. EX. OCCu OUTLET OR FIXTURES g2' @ "00 Ex. Occup. OuxT rsRES 6.) E 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring23.00 PRE INSP 23.00 PERMIT FEE $ 73.50 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'—Cooling 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 performanceof work for which this permit is issued. My workers' compensation insuranAp ca C �ler and policy number are: Carrier 5*T Cly Policy Number N N (The above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) 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 C Date 3 -Zi -00 Signature of Applicant-- ❑ Owner ❑ Contractor a -Agent An OSHA permit is required for excavations over 60" deep and demolition or construction of structures over 3 stories in height. MECHANICAL PERMIT Filing Fee 20.00 Heating Hood 6.50 Ventilation PERMIT FEt $ Mobile Home Installation Fee Is Energy Inspection Fee Is Occ CONST. TYPE 108.50 HAZ.D. FEES IMP I FLOOD CDF PARCEL Po HD sSUE 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 para Receipt No. 286229 WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT u .+ ,"�"a �'.�.1{���}r•.,a.r. z.;��. ��sv.-l' , •f �iY.4i,v*�:�c� �.-4-\ tAl 30-360-00 00-0561 �. DUNN, Susan 1216 18'h St, Oro HVAC/ Ele Ser chnge -Z ---vl COUNTY OF BUTTE - DEPARTMENT OF�DEVELOPMENT SERVICES - BUILDING DI ISION ' 7 County Center Drive • Oroville, Calif6rnia 95965 • Telephone (530) 538-7 41 PERMIT t*O. (Rev. 12/96) APPLICATION AND PERMIT ASSES„„SORPARCEL NUMBER n30 "— ZONING BUILDING PERMIT OWNER rT1 � n �R1 TELEPHONE SD. FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS 1216 lArl, ST, n V, rA Q CONTRACTOR'S NAME FOX rn TELEPHONE _7 - CONTRACTORS MAKING ADDRESS T ry , OROVILLE, CA 05966 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 Checking Fee $ BUILDING ADDRESS (1 � 1 T - Energy Plan Checking Fee $ PERMIT FEE $ LOT NO. SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMIT Filing Fee 20.00 USEOFSTRUCTURE SF 0 Duplex ❑ Mobilehome ❑ Other SPECIFY Each Trap 7.00 Solar or heat pump water heater 23.00 Water piping 15.00 Each gas water heater or vent 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other S Describe Work: MVAC/FLr, SER (tT Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home I S I G I W Ca20.00 PERMIT FEE $ ELECTRICAL PERMIT Fling Feel 20.00 000' OL R ESS Main Service "0A OR LESS 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,NON and my license is in full force and effect.-, License Class Lic. No. CJ �L) OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: ❑ I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason Main Service 200A TO I000A 46.00 NEW CONST. DWELLING OCCUP.SO OR ADDNS. ( a ACC. BLDS. 3.5¢FT. REOS,O MULTI -OUTLET 97,50 7.50 POWER APPARATUS 8 SINGIE OUTLET CIR. Ex. Occup. OUTLET OR FIXTURES 20 @ 1.00 BAS @ .so Ex. Occup. oFlilnFrs .=.) EA 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PRI? INSP 123.00 PERMIT FEE $ 73.50 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 t lE"C 1 LI A A Policy Number) to A) Z —_ (The above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) ❑ 1 certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to workers' compensation laws of California, and agree that 9 1 should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall forthwith comply with those provisions. X ��`" l Date 3 _z�-UO Signature of Applicant - ❑ Owner ❑ Contractor G -Agent An OSHA permit is required for excavations over 60" deep and demolition or construction of structures over 3 stories in height. III MECHANICAL PERMIT Fling Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEt $ Mobile Home Installation Fee $ Energy Inspection Fee $ 1 occ CONST. TYPE 108.50 TOTAL FEE $ HAZ. I D. FEES IMP I FLOOD CDF PARCEL I PD I HD I ISSUE This permit is hereby issued under the applicable provisions of the Butte County Code and/or Resolutions to do work indicated above for which fees have been paid. i By+ _ & Date PERMIT EXPIRES ON 372 /(_ pg/a Receipt No. LLSOLLy WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT I COUNTY OF BUTTE - DEPARTMENT OF DEVELOPIe9ENT SERVICES - BUILDING DI SION r - 7 County Center Drive - Oroville, Californib 95965 - Telephone (530) 538- 41 ER IT NO. (Rev. 12/96) APPLICATION AND PERMIT ' ASSESSOR PARCEL NUMBER 030 - ZONING BUILDING PERMIT OWNER SUSAN DUNN TELEPHONE SO. FT. OCC. BUILDING VALUATION .OWNER'S MAILING ADDRESS 1216 IRTH_ ST, OROVITLE CA 99969 CONTRACTOR'S NAME FOX CO TELEPHONE 533-2730 CONTRACTORS MAILING ADDRESS CONSTRUCTION LENDER NONF LENDER'S MAILING ADDRESS Fireplace Total Valuation $ ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00 Permit Fee $ ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ BUILDING ADDRESS 1916 18TH ST, OR011111F Energy Plan Checking Fee $ $ PERMIT FEE $ LOT NO. SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMIT Fling Feel 20.00 USEOFSTRUCTURE SF JP 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: HVAC/ELE SER CH Gas piping system 1 - 5 outlets 15.00 15.00 Building sewer 15.00 Mobile Home I S I G I W @20.00 PERMIT FEE S 35.00 ELECTRICAL PERMIT Fling Fee 20.00 600V OR U1 Main Service 20.AORlESS 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. :3, C) Scos OWNER -BUILDER DECLARATION 1 hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: ❑ I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason TO Main Service To 46.00 NEW CONST. DWELL EL OCCUCUP. S° OR ADDNS. ( & ACC. BLOB. 3.5¢x, TpµRESIDT MULTI._rffC, 97,50 7.50 aPsNG °P A. 00 EX. Occup. OUTLET OR FIXTURES a20 I 0 Ex. Occup. ° AaIO°Ea 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PRE INSP 23.00 PERMIT FEE $ 73 , 50 WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and willmaintain 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. ❑ I 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 insurange carrier and policy number are: Carrier 5�T r Hlrl� MECHANICAL PERMIT Fling Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE $ Policy Number UI Z LA ri (The above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) ❑ 1 certify that in the performance of the work for which this permit is issued. I shall not employ any person in any manner so as to become subject to workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall forthwith comply with those provisions. X U Date ��z-���� 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. TYPE 108.50 TOTAL FEE $ HAZ. D. FEES I IMP I FLOOD I CDF PARCEL I PD I HD ISSUE This permit is hereby issued under the applicable provisions of the Butte County Code and/or Resolutions to do work indica abo for tkch fees have been paid. /Q/� r� B �w D to PERMIT EXPIRES ON '72- I Date Receipt No. 286229 WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION r 7 County Center Drive • Oroville, California 95965 I Telephone (530) 538-7541 PERMIT NO. (Rev. 12/9,_6) APPLICATION AND PERMIT ASSESSOR PAACELNUMM ( l.. �6 � _ ZONING BUILDINGPERMIT OWNERR �` s 3 TE`FrN'°"E SO. FT. OCC. BUILDING VALUATION OWNER'S MATING ADDRESS Z1 ca CONTRACTOR•` NAME TELEPHONE 533 2?3 CONTRACTOR'S MAILING ADDRESS 399 5 ©L w CONSTRUCTION LENDER LENDER'S MAILING ADDRESS - Fireplace Total Valuation b ARCHITECT OR ENGINEER LICENSE NO. Ffling Fee b 20.00 ARCHITECT OR ENGINEERS MAILING ADDRESS Permit Fee b Plan Checking Fee b BUILDING ADD s� Energy Plan Checking Fee b b PERMIT FEE $ LOT NO. SUBDNISIONSNAME PARCEL MAP PLUMBING PERMIT Fling Fee 20.00 USEOFSTRUCTURE SF Q Duplex ❑ Mobilehome ❑ Other SPEcWV Each Trap 1 7.00 Solar or heat pump water heater 23.00 Water piping 15.00 Each gas water heater or vent 5.00 TYPE OF WORK / New ❑ Addition 13 Remodel ❑ Utilities ❑ /installation "❑3Other M_ f Describe Work: /J ��(%( CrV C �G Gas piping stem 1 - 5 outlets 15.00 Buildingsewer 15.00 Mobile Home I S I G I W Q20.00 PERMIT FEE S ELECTRICAL PERMIT Fling Fee 20.00 Main Service wo.LE:s 23.00 • • U?, GHAL 1 Main Service 200A TO 1000A 46.00 NEW CONST. OWELLM OCCUP. 3.5¢x: OR ADONS. 6 ACC. SLDS. NtW Com I. MULTFOVTIET �G 7.50 N j'a NON.RESID. POWER APPAUS 8 SINGLE O RATCIR OVTLET OR FDCTURES 20 ® 1.00 EX. OCCU ML 50 Ex. OCCU uTIETSAPPILNS ES 0 )R EA 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 r PERMIT FEE S MECHANICAL PERMIT Fling Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEt S Mobile Home Installation Fee b Energy Inspection Fee b oco CONST. TYPE TOTAL FEES D r I D. FEES IMP I FL000 I COF PARCEL I PO HD 6SUE This permit is hereby Issued under the applicable provisions of the Butte County Code and/or Resolutions to do work Indicated above for which fees have been paid. By Date PERMIT EXPIRES ON (Date) COUNTY OF BUTTE -DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE (530) 538-7541 PERMIT APPLICA TION DA TA SHEET OWNEiy ASSESSOR PARC UMBER: 0,)0 3e p Proposed�ufldimnguse: Building Inspector: Date: !, - Zf trD At time of permit application, 14as advised the following data must be submitted prior to permit processing and/or issuance: Date Received By ❑ 1. All iiems have been submitted -------------------------------------------------------------------------------------- E12. Plot plans, 3/4 sets, signed by the preparer of plans. ------------------------------------------------------------ ❑ 3. Complete plans, 3/4 sets, signed by the preparer of plans. ----------------------------------------------------- 114. 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! ------------------ 116. ----------------- ❑6. Energy Design Compliance and supporting documentation. ---------------------------------------------------- 117. --------------------------------------------------- ❑7. Statement of Intent for Non -Heated and A/C Buildings. --------------------------------------------------------- 118. -------------------------------------------------------- ❑8. Hazardous Material Form. ------------------------------------------------------------------------------------------ ❑9. Manufactured Home data and installation instructions including Tie Down Specifications .------------------ ❑ 10. Fees of $------------------------------------------------------------------------------------- ❑ 11. Impact fees as shown on the attached schedule. --------------------- ❑ 12. California Department of Forestry plan approval/fees.------------- ❑ 13. Flood elevation certificate. --------------------------------------------- ❑ 14. Sanitation and plot plan approval Health Department. ❑ 15. City of Chico plumbing permit. --------------------------------------- ❑ 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. ----------------------- ❑ I �ricroachment Permit for driveway (construction approval prior to occupancy). ---------------------------- Pre-inspection for required. Request to Building Inspector on &kt,L' � g(Date ❑21. Contractor's license information. (Number, Name Style, Classification). ------------------------------------- 022. Workers' Compensation carrier and policy number. ----------------------------------------------------------- ❑23.Owner-Builder Verification (Given to owner ❑, Mailed to owner 0) - -------------------------------------- 024. Letter of signature authorization. -------------------------------------------------------------------------------- ❑ 25. Recorded copy of Agricultural Acknowledgment Statement. -------------------------------------------------- ❑26. 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. -------------- ❑30. Other: ------- When you issue the permit process as follows ❑ Mail to owner, ❑MafllAkcontractor. '❑, Telephone S�� and hold for pickup at <:! � `'�J office. ❑ Deliver with inspector. Applicant: Date: Copy of Haz-Mat form sent ❑ Health Department, ❑ Fire Department, ❑ Air Pollution Copy of plans sent ❑ Health Department, ❑ Fire Department, ❑ Other: Date: By: Date: By: 1. Index pen -nit 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 Division counter, by Date: Plans reviewed by: Date: Plans approved by: Date: Sets of plans on hold in ❑ Plan Cabinet, c A.P. folder. Note transfer by: Date: Yellow Copy - Department of Development Services, Building Division. 1L t'iotht 7i( �� Ij�_I` i 7 Bo+Z a1" fW t'�� I I�WTWM---••�;• I �� FEET— N f �ila l'� lfl •� " l°'- *wFiixo' 6t /Yf#IW4 VPK45 T -(f (— E+ISry iZfo�lp 0 -If J1tw -- fP - '--- �W16i I 1 tj� Ht� P.714rY �ii4f �,, IL1 si. 4caoaa vJpw. rip J %wa=uy nyts fJ+o Aro ago-Sl.o-oaG t=ari Ott rqp{ 5° Y- CO -0 sHh11. -rfk • 9'/i° F11uA8V. N! '7itl Ate. E.41D11.nti' ��ai T 111 ��''1L�'(iti' I T 111 T1f'. APG. — — W►� X16✓. BAST j3LE'VpT10J N(-1L� F -ITT 7�u �evi I�'•L GYSry I I I -t I 13 F NaTE a Lo } I I Usp n 16 vv lanr_ 1 . 1 — 114r — i Ia w �t;�� � -� �e ►�1Tytte1�� t CFlA➢ED `A�OwS DG�OTIY rJe�J d•+w rorJsr. (>z•IS) e. ea�wn �- Ptd = 6XS*y NJI� = 1451 94 ff Tomi ' I,G 12 / NOTE: THE 2001 CBC, CPC, CMC, 2004 CEC, & 2005 CA. ENERGY CODE ARE APPLICABLE TO THIS PROJECT. PROVIDE GFI FOR ALL NEW BATH PLUGS. NEW BATHROOM WILL HAVE 20 AMP DEDICATED OUTLET CIRCUIT. PROVIDE SMOKE DETECTORS IN ALL EXISTING BEDROOMS AND HALLWAYS ADJACENT TO BEDROOMS AS INDICATED ON FLOOR PLAN. BATTERY OPERATION OK FOR RETRO FIT. ALL NEW OR REPLACED LIGHTING WILL COMPLY WITH 2005 CA. ENERGY CODE. PROVIDE APPROVED EARTHQUAKE STRAPPING FOR EXISTING WATER HEATER. NEW SHOWER VALVES SHALL COMPLY WITH CPC 420.0. ABREVIATIONS: UNO= UNLESS NOTED OTHERWISE. TYP=TYPICAL. PL=PLATE LINE MFG= MANUFACTURE. E- EXISTING. N- NEW. CLR=MINIMUM CLEARANCE. EN= EDGE NAIL. PW=PLY WOOD. APE= AS PER EXISTING. SB-- SOLID BLOCKING. FF= FINISH FLOOR. EG= EXISTING GRADE. ACyjtIllef"A. c..1 sLr6. SdSryr)I�Ipi+Js� ALM V11, C4,4' V-19 12EJts>; To 19.30 VI -4 MIL Q.aWJ 41110J,. 1zgt4 llW'2- No I�IS/1J.no M;'lt1*0 NAG P�) '�-w TP41' k X);rzao ATM Ufm-1 Tb 6 tvJ. bM-n&J LATERAL BRACING: 1 DENOTES 3/8" MIN. APA PLYWD APPLIED OVER 2X4 FRAMING 18'Oc. (518" TI -11 PW OK) NAILING = Bela GALV. 8'EDGE NAILING. 12"ce FIELD. W BLOCK ALL PEDGES FOR EDGE NAILING. L= BRACED PANEL LENGTH. (MIN. - 4'.) 4 DENOTES" GYP. BD. OVER 2X FRAMING 16"0c. NAILING - 5d 7"oe. L- BRACED PANEL LENGTH. (MIN = 8'. 4' IF APPLIED BOTH SIDES). i on 1% vvpqw-7 T -j L Tiv I1 sr� 2� n 151 'Loo vv.fol W A -r# 0 NOTE: THE 2001 CBC, CPC, CMC, 2004 CE APPLICABLE TO THIS PROJECT. PROVIDE GFI FOR ALL NEW BATH PLUGS. NEW BATHROOM WILL HAVE 20 AMP DEDICA PROVIDE SMOKE DETECTORS IN ALL EXISTII BEDROOMS AS INDICATED ON FLOOR PLAN.