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030-410-027
O tm ma v,— ;se a. Al . . . . I . . . . . . •�, ti .. .._ � r - ,. { 4 -OK - o - Not OK =Not. Appric = Not Ready able MOBILE HOMES l 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-Clearances-Gmd-/ /Amp -Concrete . 6. Gas; Location -Test -Wrap -4 %" L'ft: P Nat. or/, /" L W P LPG, 7. Well Clearance is Disconnect 8. Utility Clearance 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 MOBILE HOME INSTALLATION (Plans) OK except #'s Date 1. Zoning Requirements -Setbacks -Easements Date 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-ConnectoP J. Water and Sewer Connected -C/O to Grade-HD'Approyal 8. Gas and Electricity Tagged 9. Tie Downs -Type -Installation Cert. 10. -Exits; Insp.-Sketch 11. Cert of Occupancy 10. Plumb.; Cir. Test -Water Supply Test 11. Light Niche Date Card B-1 Date Card B-1 Date Card B-1. Date Card B-1 Date PERMANENT END SYSTEM (ONLY) " 1. Zoning Requirements -Setbacks -Easements 2. Footings; Size -Spacing -Marriage Line 3. Blocking 4. Gas; MH Test-Demand-Vatve 5. Electricity; MH Test 6. Water, MH Test 7. Water and Sewer Connected 8. Gas and Electricity Tagged 9. Exits 10. License Decals 11. Verify #'s with Office Date Card B-1 Date Card B-1 Date . Card B-1 Date. Card B-1 MISCELLANEOUS Date:- - DECKS, COVERS, CARPORTS,'GARAGES (Plans) OK except #'s " 1. Zoning Requirements -Setbacks -Easements 2. Footings; Soils -Size -Depth -Spacing -Connectors -Steel 3. Decks, Girders and/or Joists -Decking -Bracing -Stairs -Rails 4. Wood Awn.; Posts-Beams-Rftrs-Connectors Shthg-Frg-Bracing 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6..Carports; Windows=Doors' - 7. Electric. 8. Frmg.; Sills-Anchors-Studs:Rftrs-Trusses 9. Siding; Nailing -Veneer -Stucco -Mesh 10. Roof; Shthg-Roofing 11.. Ext.; Steps -Doors -Landings ' 12. Braced Wall Panels Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date POOLS (Plans) OK except #'s . 1. Setbacks -Easements 2.- Soils; Compaction -Structure Stability 3. Pool Structure; Steel -Connections -Thickness Dead Men -Lining 4. Elec.; Receptacles and Lighting, Distance-GFI 5. Elec.; Pool Lighting; 15 Volts-GFI 6. Elec.; Enclosures; Conduit Entries -Terminals -Listed 7. Elec.; Bonding; Metal w/5': -Circulating Equip. -Heater 8. Elec.; Grounding; Equip. w/5' Circulating Equip. -Pool Lghtg..: , Boxes-Enclosures-Paneiboards-Ins. to Main Conduit 9. Health Department Approval 10. Plumb.; Cir. Test -Water Supply Test 11. Light Niche 12. Enclosure; Fencing -Alarms Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 4=OK 0 = Not OK = Not4pficabk RESIDENTIAL Not Ready Date UNDERFLOOR (Plans) OK except #'s 1. Zoning -Setbacks -Easements -Flood -Slope 2. Ftg., Main; Soils-Elec. Gmd.-/ /" Ftg. Depth 3_ Ftg., Garage; Soils-Steel-Elec. Gmd.-/ /" Ftg. Depth 4. Ftg., Porches & Decks; Soils -Steel-/ P Ftg. Depth 5. Stemwalls, Main; Steel-Blockouts-Wrapped 6. Stemwalls, Garage; Steel-Blockouts-Wrapped 6a. Hold Downs and Special Anchors 7. Slab, Steel -Wrapped 8. 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 -Anchors -Regulator -Service Test 12. Electric Underground 13. Plenums & Ducts; Clearance -Material -Support -Ins. 14. Girders -Sills -Anchor Bolts-Joists-Vents-Crippies 15. Access & Ventilation 16. Insulation Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date PLUMBING (Permit) OK except #'s 17. Water Htr.; Vent -Access -Combustion Air Baffle 18. Water Pipe; Test & Anchor -Nail Protection 19. D.W.V.; Test Fittings & Anchor -Nail Protection 20. Shower Pan; Test, First Floor -Tub Access 21. Test Tub & Shower, Second Floor -Tub Access 22. Gas Pipe; Sixe & Anchors 23. Fire Sprinkler; Test Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date ELECTRICAL (Permit) OK except #'s 24. Fixture & Transformer Clearance -Ins. Protection 25. Elec. Receptacles Spacing -Lights & Switches at Doors 26. Size Boxes & No. of Conductors Stapled 27. Romex Installed Close to Edge of Studs & C.J. 28. Equip. Ground made up w/Mech Fasteners -Bond Gas & Water 29. 2 Appliance Circuits in Kitchen & Conductor Size GFI 30. Subfeed Wire Size/ /ga. Cu or AI -AC. Wire Size/ /ga Cu or AI 31. Range Circle/ /ga Cu or AI -Oven Circ. / /ga Cu or AI Insulated Neutral 0 Yes 0 No (Single & Duplex) Date FRAMING (Continued) 47. Hangers -Post Caps -Anchors -Connectors 48. Ging. Joist-Rftr. Ties-Purlin-Roll Brac.-Truss-Shting.-Rtng. 49_ Fireplace Ties or Type A Flue -Fireplace Throat Clearance 50. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 51. Bdrm. Windows or Exiting Doors -Sill Ht. & Dimensions 52. Garage Fire Protection Framing -RC Channel 53. Property Line Firewall & Openings 54. Ext. Doors -One T -Check Garage 3rd Story, 2 Exits 55. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 56. Plywood on Roof Overhang -Attic Vents -Rafter Outriggers 57. Siding -Nailing Veneer 58. Stucco Mesh -Drip Screed -Fd. Vents-Underfir. Access 59. Glazing Area -Glass Protection -Skylights -Plastic 60. Shear Walls; Nailing -Bolts 61. Brace Interior/Exterior Wall Panels 62. Insulation -Walls -Ceilings 63. Infiltration -Walls -Windows Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date FINAL (Plans) OK except #'s 64. Ext. Steps -Door & Sidelight Protection -Landings 65. Smoke Detector 66. Furnace Vents -clearance -Comb, Air -Connector - In Garage; Above Floor-Ducts-Mech. Protection 67. Bedroom Exiting 68. G.F.I. & Bath Fixtures & Tub Access -Spa 69. Elec. Trim & Subpanel, Breaker Sizes & Labels 70. Stairs & Rails 71. Fireplace or Stove, Clearance -Hearth 72. Elec. Outlets at Wood Panel, Int. & Ext. 73. Kit. Fixt. & Appliance; Ground -Air -Gap -Cooking Clearance 74. Elec. Outlets & Receptacles at Kit. Counter 75. Garage Fire Door, Swing -Landing -Closure 76. A.C. Duct in Garage -Damper 77. Wtr. Htr.; Vents -Clearance -Comb. Air Connector-P.R.V. in Garage; Above Floor -Meth. Protection 78. Plb.; Elec. & Mech. Equip. Listed for Location 79. Elec. Receptacles in Garage (F.F.I.)-Romex Protection 80. Insulation -Foam -Looked in Attic 81. Guard Rails & Deck Construction -Post Caps 82. Fdn. VBents & Crawl Hole Door Drainage & Wood -Earth Clearance Looked under Floor 0 Yes 83. Following hstldJDrive D Yes 0 NoAY-As O Yes 0 NoManters 0 Yes D No 84. Stucco Brown -Finish 85. A.C. Unit Disconnect, Electrical -Plumbing 86. Vents Above Roof, Plbg-Appliance-Fireplace-Clearance to Openings 87. Water Well, Disconnect, Electrical, Plumbing 88. Exterior Elec. Trim, G.F.I. Receptacle -Underground 89. Ventilation Throughout House 90. Glass Protection 91. Corrections from Previous Inspections 92. Gas Test -Meters Tagged, Gas -Electric 93. Water & Sewer Connected -C/O to Grade -HD Approval 94. Energy Compliance Certificate -Other Certificates 95. Address Posted 96. Fire Sprinkler Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Comments at Final: 32. Service -Riser Conductors & Ground Main Disconnect 33. Equip. Clearances Panels -Motors -Meth. Equip. 34. Clothes Closet Light -Shower Light -Spa Light 35. Smoke Detector Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date MECHANICAL (Permit) OK except #'s 36. A.C. Ducts Insulation & Support 37. Vent Fan, Exhaust above insulation 38. Condensate Drain & Overflow, Size & Grade 39. Fumace-Vent Access -Comb. Ait-Return Air Vent 115 Outlet 40. Attic Access & Platform if Furnace in Attic Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date FRAMING (Permit) OK except #'s 41. Sills Proper Materials & Anchors 42. Walls Studs -Nailing Spacing & Braces -Plates -Sound 43. Bearing Walls over Girders & Floor Nailing 44. Draft Stop in Walls (rat proof) 45. Fire Stops, Furred Ceilings -Stairs -Chasers -Tubs 46. Headers & Beams -Size & Bearing (Single & Duplex) Date FRAMING (Continued) 47. Hangers -Post Caps -Anchors -Connectors 48. Ging. Joist-Rftr. Ties-Purlin-Roll Brac.-Truss-Shting.-Rtng. 49_ Fireplace Ties or Type A Flue -Fireplace Throat Clearance 50. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 51. Bdrm. Windows or Exiting Doors -Sill Ht. & Dimensions 52. Garage Fire Protection Framing -RC Channel 53. Property Line Firewall & Openings 54. Ext. Doors -One T -Check Garage 3rd Story, 2 Exits 55. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 56. Plywood on Roof Overhang -Attic Vents -Rafter Outriggers 57. Siding -Nailing Veneer 58. Stucco Mesh -Drip Screed -Fd. Vents-Underfir. Access 59. Glazing Area -Glass Protection -Skylights -Plastic 60. Shear Walls; Nailing -Bolts 61. Brace Interior/Exterior Wall Panels 62. Insulation -Walls -Ceilings 63. Infiltration -Walls -Windows Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date FINAL (Plans) OK except #'s 64. Ext. Steps -Door & Sidelight Protection -Landings 65. Smoke Detector 66. Furnace Vents -clearance -Comb, Air -Connector - In Garage; Above Floor-Ducts-Mech. Protection 67. Bedroom Exiting 68. G.F.I. & Bath Fixtures & Tub Access -Spa 69. Elec. Trim & Subpanel, Breaker Sizes & Labels 70. Stairs & Rails 71. Fireplace or Stove, Clearance -Hearth 72. Elec. Outlets at Wood Panel, Int. & Ext. 73. Kit. Fixt. & Appliance; Ground -Air -Gap -Cooking Clearance 74. Elec. Outlets & Receptacles at Kit. Counter 75. Garage Fire Door, Swing -Landing -Closure 76. A.C. Duct in Garage -Damper 77. Wtr. Htr.; Vents -Clearance -Comb. Air Connector-P.R.V. in Garage; Above Floor -Meth. Protection 78. Plb.; Elec. & Mech. Equip. Listed for Location 79. Elec. Receptacles in Garage (F.F.I.)-Romex Protection 80. Insulation -Foam -Looked in Attic 81. Guard Rails & Deck Construction -Post Caps 82. Fdn. VBents & Crawl Hole Door Drainage & Wood -Earth Clearance Looked under Floor 0 Yes 83. Following hstldJDrive D Yes 0 NoAY-As O Yes 0 NoManters 0 Yes D No 84. Stucco Brown -Finish 85. A.C. Unit Disconnect, Electrical -Plumbing 86. Vents Above Roof, Plbg-Appliance-Fireplace-Clearance to Openings 87. Water Well, Disconnect, Electrical, Plumbing 88. Exterior Elec. Trim, G.F.I. Receptacle -Underground 89. Ventilation Throughout House 90. Glass Protection 91. Corrections from Previous Inspections 92. Gas Test -Meters Tagged, Gas -Electric 93. Water & Sewer Connected -C/O to Grade -HD Approval 94. Energy Compliance Certificate -Other Certificates 95. Address Posted 96. Fire Sprinkler Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Comments at Final: BUTTE COUNTY o�VTTFo DEPARTMENT OF DEVELOPMENT SERVICES' BUILDING PERMIT 0 0 24 HOUR INSPECTION•#: (530) 538-7636 (OROVILLE) (530) 891-2834 (CHICO) OFFICE M (530) 538-7541 PERMITS BECOMEtNULL AND. VOID 1 YEAR FROW THE DATE OF ISSUANCE, OR IF WORK IS DONE IN•VIOLATION OR ANY COUNTY OR STATE LAWS. -. LICENSED CONTRACTORS DECLARATION I hereby affirm under ,penalty of perjury that I` am licensed under Issued: Date: 05/04/2005. APN: 030-410-027.-000 provisions of Chapter 9 (commencing with Section 7000) of;0ivision 3 of t the Business and Professions Code; and my license Is n' full force and effect. Site Address: 121714TH ST ORO License Class - - - License Number.. `• Map Index Date: Contractor: - Description*.RE -RbOF COMP 32 SQ'S OWNER -BUILDER DECLARATION I hereby affirm under penalty of -perjury that .1 am exempt from the Contractors' State License Law for the, following -reasons (Sec. 7031:5 Business and Professions Code: Any city, or county which' requires' a Owner: XIONG PANG CHOU& MAI MOUA .permit to construct, alter, improve, demolish, or repair any structure, prior. -to its issuance, also requires the applicant for such permit -to file.a he is licensed, the 1217 ST.- T ,signed statement that or she pursuant -to provisions of . the Contractor's Sfate' License Law•(Chapter 9 commencing with Section the -14TH ., OROVILLE CA ,7000) of Division 3 of the•Business°and Professions Code) or that he or she is exempt therefrom and the basis for the alleged exemption. Any . ' 95965 violation of Section 7031.5 by any applicant for a permit subjects the ' applicant to a civil penalty of not m6re than five hundred dollars ($500):); d. 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 forsale'(Sec: 7044, -Business and Professions: Code: The, Contractors State License Law does not apply t6 an AppllCAnt: XIONG PANG CHOU & MAI MOUA` ` owner of property wh'o-builds or improves thereon, and who does, such work himself or herself or through his or her own employees, provided that. such improvements are not intended or offered for '1217 -14TH ST sale. ;If however; the.building or improvements are sold within one OROVILLE, CA year =of completion,, the owner -builder will have the burden of . 95965 proving that.he or.she did not build or Improve for the purpose of sale.). ❑ I, as,'owner of the' property, am exclusively contracting with _ f licensed contractors to construct the project (Sec: 7044, Business and Professions.Code. The Contractors' State License Law does not apply to an owner of property who builds or improves thereon and who contracts forsuch projects with a dontractor(s) licensed Contractor - pursuantto the'Contractors' State License Law.). ❑ >I am Exempt underArticW3 of the Business and Professions Code �J Owner* Date' i WORKERS' COMPENSATION DECLARATION I hereby'affirm under penalty.of perjury one of the following declarations: 0 1 have and will maintain a certificate of consent to self -insure for License #: 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 Architect: ' required by Section 3700 the Labor Code, for the performance of Engineer: the work for which this permit is issued. My workers' compensation insurance"carrier• and policy number are: Carrier: Total Square Ft: ; 0 S.F. ' Policy#: Ol . I certify that in the -performance of the work for which this permit is ` Valuation: $0.00 "issued, I shall not employ any person in any manner so as to Census Code: become subject to the workers' compensation laws of California, and agree that. if I should become: subject to theworkers' ; compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. Date: oupi �jf�19 xG,d/i� Applicant: w, WARNING: Failure to secure workers' compensation coverage, is unlawful, and shall subject an employer to criminal penalties and one hundred thousand dollars ($100,000), in addition to the cost of . compensation, -damages as provided for in Section 3706 of the Labor code, interest, and attorney's fees. :. :',� PC�-4 S Gv �� CONSTRUCTION LENDING AGENCY', - This permit is h reby Issued under"thea cablepro-v—Woris of'the Butte' County Code`and/or I hereby affirm`thaC there is a construction lending agency for the performance of the work for which {his oermit is issued (Sec 3097'CivJ� Resolu 'ons t o work indicated. above for hick fees have been paid: - ' IS - gy; Date: Name: 1- PERMIT EXPIRES ON: Address: Date ❑ 1 hereby certify that the use of this facility -shall comply with Sections 25505, 25533, and 25534 of the California Health and Safety Code, which regulate the storage, aterials_ handling and use of hazardous materials.- ❑' ' Notification in accordance with Section 19827.5 of California Health ✓. Safety Code is not applicable to the scheduled construction`of this projects C3 ' ❑, Attached are copies of the required E.P.A. notification forms. hereby certify that I have read this application, that the above Information is correct, and that I am the owner or the duly authorized -agent of the owner. I agree to: comply with .'I all county and state laws relating to building construction. I acknowledge it is unlawful to alter the substance of any official form or:document of Butte County. I hereby authorize representatives of.Butte County to enter upon'tlie above mentioned property:for inspection purposes r CA, l Print Name: �'1' /) .' Signature. Date:. `� 0� . Q -Owner ❑ ,Contractor ❑`Agent for Owner 0 Agent for Contractor BUTTE COUNTY PERMIT DEPARTMENT OF DEVELOPMENT. SERVICES NO: ` BUILDING PERMIT APPLICATION- AND SUBMITTAL REQUIREMENTS Qf 24 HOUR INSPECTION#: OROVILLE: (530) 538-7636 • CHICO: (530) 891-2834 BP OFFICE #: (530) 538-7541 A FEE WILL BE REQUIRED AT TIME OF APPLICATION BIN # • Website:, www.buttecounty.net/dds **PLEASE PRINT CLEARLY APPLICANT SIGNATURE Xa°% For office use only: OWNER . Last Nameirst J 1- ' 11 fit Name ' Well, Address City City C`J'ry v�/ - State Stat, Zip Phone. r/D 2 Fax Fax E-mail Lic. # APPLICANT SIGNATURE Xa°% For office use only: CONTRACTOR Name 1- ' 11 fit Address l S� City Yes State Zip Phone ^ �0 Fax E-mail Page Lic. # Class APPLICANT SIGNATURE Xa°% For office use only: ARCHITECT/ENGINEER Name . 1- ' 11 fit Address l S� City Yes State. Zip Phone ^ �0 Fax E-mail Page State License Number APPLICANT SIGNATURE Xa°% For office use only: APPLICANT NAME Name VV 4 1- ' 11 fit Address ' l S� City Yes State Zip Phone3 ^ �0 Fax E-mail' Page APPLICANT SIGNATURE Xa°% For office use only: Zoning 1,40q Flood Zone WORKER'S COMPENSATION SRA Yes Occ. Type Const. Subdivision Name Address Map Book Page Lot # Planner Date Approved: OVER FOR SUBMITTAL REQUIREMENTS K:\FORMS\BUILDING FORMS\BldgApplSubRgmts.doc LOCATION ' . Property Address, ' : �• � •� city Cross Street 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 Page 1 of 2 Description or Scope of Work: - 'S Sq. Tootage . ❑ Structure Built without Permits ❑ .'Proposed Change of Occupancy_ (Note previous use):.. EXPIRATION OF APPLICATION Applications for which a permit has not been issued will expire one year••after,the date 'of application. In order to renew action on an application after expiration; a new application, plans and fee will be required. REQUEST FOR REFUNDS Refunds can only be made upon written request by the person who paid the fee. The -request-must be made prior to the expiration of the permit and no construction work has been done. Filing fees, plan: check fees for workplan checked and other department costs are,not refundable. Received by: _ r`V " Amount:, < �. 5Q Bldg SRA: Receipt #: Sheriff JSMIP . Date Other Sd Total REV 2-24-05 19. SUBMITTAL & PERMIT REQUIREMENTS The following drawings and specifications must be submitted to the Building Division in order to apply for a permit. INCOMPLETE SUBMITTALS WILL NOT BE ACCEPTED. ALL PLANS MUST BE LEGIBLE AND IN INK ❑ 1. Site plans, 3 or 4 sets, signed by the preparer of the plans. No graph paper! ❑ 2. Complete plans, 3 or 4 sets, signed by the preparer of the plans (No graph paper!) OR Engineered plans, 3 or 4 sets, with wet signature on plans'AND 2 sets of stamped and signed calculations. ❑ 3. Engineered truss details and layouts in duplicate (if required). No faxes! ❑ 4. Energy compliance design and supporting documentation in duplicate. ❑ 5. Statement of Intent for Non -heated and A/C for Non -Residential Buildings. ❑ 6. Manufactured homes: (A) installation inst, (B) Marriage line info, (C) Floor Plan, (D) Tie down or fnd plans, all in duplicate. ❑ 7. Metal bldgs: (A) Metal Bldg Plans, (B) Fnd plans and calcs in triplicate, (C) Elevations in triplicate. (D) Floor plans in triplicate. All of these must be stamped and wet -signed by the engineer. ❑ 8. Flood Elevation Certificate, wet -stamped and signed, in duplicate (if required). ❑ 9. Site plan and business license approval from the City of Biggs. ❑ 10. Letter of intent for non-residential buildings. ❑ 11. Detached Accessory Building Form filled out by the owner (if required). ❑ 12. Hazardous'Material Form (for Commercial Buildings only). Remaining items needed to issue the permit. Additional items may be required after Plan Check and Planning review (May require additional plan review upon receipt of the following items.) ❑ 1. Agricultural Buffer clearance and site plan approval from the Ag Commissioner's office (if required). ❑ 2. Impact Fees. ❑ 3. California Department of Forestry plan approval (if required). ❑ 4. NPDES Form. ❑ 5. Encroachment Permit for driveway from the Public Works Dept. (construction approval prior to occupancy). ❑ 6. Contractor's license information. (Number, Name Style, Classification). ❑ 7. Worker's Compensation Carrier and Policy Number. ❑ 8. Owner -Builder Verification (if required). ❑ 9. Letter of Signature authorization (if required). ❑ 10. Recorded copy of Agricultural Acknowledgment Statement. ❑ 11. ❑ Grant Deed, ❑ M.H. Title/Statement of Facts. ❑ 12. Sanitation and site plan approval from the Environmental Health Department. If you have questions or would like additional information regarding this process, please contact a Permit Assistant at (530)538-7541. EXPIRATION OF APPLICATION Applications for which a permit has not been issued will expire one year after date of application. In order to renew action on an application after expiration, a new application, plans and fees will be required. REQUEST FOR FEE REFUNDS Refunds can only be made upon written request by the person who paid the fee. The request must be made within two years from the date of fee payment on permits not issued, and two years from the date of permit issuance for permits issued; however, on issued permits refunds can only be made if no construction work has been done. Filing fees, plan check fees for work plan checked and other department costs are not refundable. OVER FOR BUILDING PERMIT APPLICATION KAFORMS\BUILDING F0RMS\B1dgApp1SubRgmts.doc Page 2 of 2 REV 2-24-05 Ilk, BUTTE COUNTY DEVELOPMENT SERVICES ° Complainant: Address: Phone Number: Other Comments: %te.QbQVer$/1 tl3iAlJ J '.#s.... Pi,'. .. ' _ .'•,y;�w...n."J'�7.'.,ti: `tib ."pi.' COUNTY OF BUTTE BUILDING DIVISION `'_ DEPARTMENT OF DEVELOPMENT SERVICES 411 Main Street, Chico, CA - (916) 891-275 7 County Center Drive, Oroville, CA - (916) 538-7541 -i aA/ �h s CORRECTION NOTICE ytk 5� AA -,d 3o- z1/- Y7 OWNE i rtKMI r NU. M i= A routine inspection indicates,that the following violations of Butte County Ordinances exisfat 3. the above address and should be corrected. Please notify this office when correction of work is completed. If you have any questions pertaining to this matter, or need additional explanation, please contact this office immediately. %I -rLS D//i'c -e— Zfz e- rw.i:Pi�o 2 Csn sin /A Ga at. -J 5' iLL; t' ! �- � pct� �I o r ,6th 4- 116 ge r S � A02 AI- r�s: - is Jc S s% iiyo.vcc- S r� Date ! REV 10192 .--of%-N 4- k _. Permit#3160-87 P Hopkins i 1217 14th St, ORo qS A 3-�� COUNTY.OF BUTTE - DEPARTMENT OF PUBLICMRKS.' +PERMIT NO. `rte.,, 17 OounfyCenter. Drive- Oroville, California 95965 - Telephone 916r5J8.-7541. APPLICATION AND'PERMIT C� ASSESSOR PARCEL NUM BE. ZONIWG J —.'�� c�` !j'•f BUILDING,PERMIT OWNER TELEPHONE SQ. FT. , OCC._ BUILDING„VALUATION OWNER'S MAILING ADOR S _,. C O N TRACTOR'S NAM' TELEPHONE - C ONTRACTOR'S MAI'LNNG.ADDRESS I ~I- •-} ' > I if 41 9 - r- [:/ r`�? ,' /(' Fireplace CONSTRUCTION LENDER UNKNOWN 'Total Valuation $ LENDER'S MAILING ADDRESS Filing Fee $ 10.00. Permit Fee, ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS -� Energy Plan Checking: Fee $ - ' _ Penalty $ BUILDING ADDRESS _ / _ - - Permit }@@ $ 1 PLUMBING PERMIT'Filing Fee 10.00 Each Trap 2.00. f O d t. Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION. NAME - PARCEL,MAP Water piping- 5.00 Each, gas water heater or vent 5.00 . USE OF STRUCTURE Gas piping.system'1' - 5 outlets 5.00 SF Duplex❑ .Mobilehome❑ Other BuiIding'sewer 5.00 SPECIFY Mobile Home I S JGJW O.00ea TYPE OF. WORK New❑ Addition [:1 Utilities-ED, Installation❑ `Other l Permit Fee; -. $ Describe Contractor Main service EA. ADD'L 100 AMP 2.50 ' CONTRACTORS LICENSE LAW NEW CONST. DWELLING OccuP.a\ yxQsgft OR ADDNS. ACC., BLDGS.. declare Under penalty Of penury (check one): - NEW CONSTFL -OU LET. - - 2.50 ea NON- .1 BRANCH IR QUI am licensed under provisions of Chapt. 9, Div. 3 of the:Buslness POWER' APPARATUS e and Professions Code and my license is in full) force and effect. SINGLE OUTLET CIR. 20@License No. C / ] / EX. Occup OUTLETS OR FIXTURES eAL@30 ” �y�(� Classification c -T FIXED APPLNS.'OR ❑ I, as the owner, or my employees with wages. as -their sole compen- Ex. Occup. OUTLETS (RESID.1 EA. 2.00 sation,, will do the work,and the structure is not intended or offered Temporary service 10.00 for sale. (Sec. 7044) Mobile Home Facilities 15.00 ❑ I, as the owner, am exclusively contracting with licensed contract- Misc. Wiring 15.00 ors. (Sec. 7044) ❑ 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 FiIingFee, 10:00 ❑ The permit. is for $100.00 (valuation) or less. Heating �l have placed on file with the County of Butte Building Department a Certificate .of Workmen's Compensation Insurance or a Certificate Cooling of Consent to Self -Insure. ❑ 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 penult Fee $ to the W. C. provisions of the Labor Code, you must forthwith comply, with such 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 $ to building construction, and hereby authorize representatives of the Countyot Butte to enter upon the above-mentioned property for inspection purposes. TOTAL PERMIT FEE $ �� 66- I also agree to save, indemnify and keep harmless the County of Butte against 0C cup. CONST.TY SCHOOL FLOOD PARCEL PD HD rseuE all liabilities-, judgments, costs, and a penses which may in any way accrue against said�County in consequenc of the granting of this permit. X r7/� i�,/`�.��, This permit is.hereby issued under the,'applicable provi- / _ _ Date sions of the Butte .County Code and/or resolutions to do Signature of App' icant — Owner ❑ - Contractor ❑ Agent ❑ work indicated above for Which . fees have been paid. An OSHA i a �� permit. is required for excavations- over 5'0" deep and demolition or construct- DIREC71OR OF PUBLIC WORKS ion of structures over 3 stories in height. A} Receipt No. L7 _ lS By„ _ J#ADIY%�IA//,t� Date��}(/" WHITE-D:P.W.. YELLOW ASSESSOR. PINK -INSPECTOR. GOLDENROD -APPLICANT PERMIT EXPIRES Date /��"� / � ELECTRICAL PERMIT Filing Fee 10.00 Main service eoov OR LESS 100 AMP OR LESS. 10.00. • •( , w : ;: :' r� ' . i t r r � .:: til;, : �. TELE PHO E SQ `FT.. OCC. BUILDING VALUATION �' -O. NER' MAI LI G, /�L�DR - /(( C_ :' r -COUNTY, OF BUTTE D-EP'ARTMENT OF: PUBLIC WOfiKS '' PERMIT' NO. 7,County Center'Dnve - Oroviile, California 95965 ;T.elephone: 916/538 CONSTRUCTION LENDER. - �•, •.LENDER'S UNKNOWN APPLICATI.ONAND PERMIT. .'Fllfng. Fee,'' ' ";- $ - - 1._0.00 ' MAILING ADDRESS - - - 'ASSES ORPARC .NUM E r .) r - ZON r- ' BUILDIPIG PERMIT.'^ .OWN // TELE PHO E SQ `FT.. OCC. BUILDING VALUATION �' -O. NER' MAI LI G, /�L�DR - /(( C_ :' r -C ACTO ',SNAt WV • CO T'RACTO '5'M NGADDRESS , r"�� r p Fireplace �. CONSTRUCTION LENDER. - �•, •.LENDER'S UNKNOWN Total Valuation ., ._ .'Fllfng. Fee,'' ' ";- $ - - 1._0.00 ' MAILING ADDRESS - - - :Permit -Fee $ ARCHITECT - OR ENGLNEE.R _ LICENSE 'NO. Plan ,Checking Fee'' Enerdy,Plc CheCking "Fee; $ ' ARCHITECT -OR -ENGINEER'S MAILING ADDRESS' ' �. Penalty y $ -BUILDING'ADDRE55` 1 •,../-' ".;#� lot / I Permit fee.. ' - y �`- -PLUMBING PER, FflingFee 10.00 Each,Trap:= :200 �Q ✓ / Sol ar or heat ~pump ' water_ heater '20 00 ; .LOT NO. SUBDIVISIQN NAME - r PARCEL MAP .Water piping -- �' '5.00' Each pas water heater or vent USE OF STRUCTURE ,; :' SFc01> Duplex0 Mobilehome❑ -Other SPECIFY Gas piping system,1. -'5 outlets5.00 Bullding sewer 5.00 Mobile Home S G W 0-:00ea TYPE OF'WORK ' z;NewO , ddit"ion❑ Remodel" Utilities Installation❑ .Other'. Describe work: j Permit Fee S` Contractor. ELECTRICAL PERMIT.. Filing Fee 10`00: NMain;seice go0v OR -LESS 10.00 ry 00 'AMP OR LLESS •Main service EA. ADD' -L1100 AMP "' '2.50 CONTRACTORS LAW ' _ I declare nder'penalty of perjury-(Check.•one): " �. l,, am .licensed under, provisfons.of' Chapt. 9, Div.'3 -of the Business - and- Professions C de my license is, lin full. 'force cand effect. �-3 License No. Classification' }. - - = '." I, -as the owner, 'or my employees- with .wages as",their sole compen-. sation, will do-tbe`work,and the structure is not 'intended`or offered for sal e. (Sec.. 7044). n :I, as; the owner, -am ',exclusively contracting; with licensed contract- oes. (Sec. 7044). am exempt .under Sec. ' ; :Buslne`ss ;and Professions Code' for this:"reason _ NEW -CONST. DWELLING OCcuP.e,`,' , OR ADDNS. � ACC. BLDGS,.' �Z�SQft ~ NEW CONSTR. - U LET 'NON-RESID BRANCH IR 5 2.5p,ea - _ - ( POWER. -APPARATUS & ' SINGLE OUTLET CIR. ) : 20 0,50t' Ex. OCCup OUTLET.B OR .FIX.TU.RES '..200,50 XED APPLNS. OR.'-' --Ex. OCQUp. ,OUTLETS (RESID.) EA. � 2.00• ' Te' ary-service 10.00 -Mobile Home Facilities 15.00 - Mfsc Wiring T 15.00 Y, Peimit Fee : S WORKMEN'S -COMPENSATION INSURANCE 1 `declare under penalty of perjury (check one "' _ The permit is for $100.00,'(valuation).6r.less..' �I have placed on file with the County of'BLitte,Building Department a Certificate of Workmen's Compensafion -Insurance or a Certificate of Consent to Self -Insure. .j. 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 youtbecome subject to'the W. C., provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. _ Contractor' MECHANICAL PERMIT , Fi ling Fee 1;0.00 ` Heating Cooling; Hood Ventilation Permit Fee-. _ Contractor read thipplication and state that the above information certify that I have s ,a is,correct.:1 agreeto,compiy'to all County Ordinances and -.State Laws relating to buiidirig construction,, and. hereby authorize'repiesentatives'of the Countyus ' Butte�,to,enter upon the above mentioned property fo�.inspectfon purposes. •. .`I also.aggree to save.. indemnify and keep harmless the Courity of•.Butte against' all ,IiabilIt' judgments; costs; and'e pensee -which may in, any way accrue. against' County incons c o e granting of -this permit; . ,r X - Date .. .:.>. SignatureoF, icantr Owner .Contractor.❑ :'Agent❑" An OSHA ermiY is. required'for;excayatlons overr5'0 'deep and demollhon`or construct ion'of structures over 3 stones.in height . 'Mobile Home Installation Fee $` Energy Inspection, Fee .T, OTAL'PERMIT:FEE $ .` occuP: CONST -TYPE SCHOOL FLOOD PARCEL PD' '-HD ss;r . Thfs..permit is hereby Issued under the:applfceble prowl- ,cions of.the;Butte County Code 'and/or:'resolut ions• to, . *wok .in d above for: uvhicti• fees have been aid.' r a :. ,, Q• . DIR OF. P C: WORKS .By F D - EXPIRES Date - - l • Receipt No. ' WHITE-D.P.W.. YELLOW-AseE330R,IPINK INSPECTOR "OLD ENROD,APPLICANT.,PERMIT u NA A i •:•�.. _ { -r r. 1 , - eF �'• S -�, O a'ta,t ^t` 1 •:C •'3; +t: �, •'r7 tJ .rL , . It t P t t } .L-+ to ' }tt j 4£ ,- �-, w t ' ! t y { 5 _ Ctf,'t 4 . ?' j r. t 5.. AK -!R .+,. talk t Y ,!:$ ' �. `+3'.. �^ i Jl }1 _r C. ,? x ?1, '! ; t r 4 Y f #' ,+ s4*,;, . r i e ,:, i k . 10 0 i ) 4, � fes; , � f - 3 J ^' t I. y c `ra. y 5 _ _ 1 a o -i$ `- , ,4 s• S : ,I d . t .r t r Z v ! i* �, a. w�'L a �qt i �li'l 4>... 4 '^ �{ 4 yy . } !.` '�' .ti _="S t- " -fit? 4 r a,r,... tI.' 1 ,1 Vi1.s+ . 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'} '�(;5. n' �1 i:-•" t ,� '-tt r t33:� a�A r__ t4 ti fi t E • t �, 43`1�11 q' M r,rs.,, r _ � ,.. y �� .Q, 4 ",e' .e lk.p;+ s. or'..i +- !! ., J - r 11, I�, U h L" L w [� . , 1 - - , t . 'moi . j ?. 7 , d`..•,�. t f `r`I.f', i�• '. -x.x .r .1, -:sy � ` q' 11 � - i 1 F,E P ? tits, ;ti 4w rt 1 '�1'atd' , t J ? y, r { �`: '. J -i` _ �,a: = OK =r 4.. `►sem 0 = Not OK L' ' Not Applicable M0BILEHOMES ; MISC'EL'LAN;EOUS -�� = Not Ready Date: MOBILEHOME.UTILITIES (Plans)OKexcept #"S,.`'— 1_ Zoning Requirements -Setbacks= Easements.:' s Date; DECKS;`COVERS; CARPORTS,'ETC'. (Plans) -OK except ils 1� Zoning Requirements-Setbacks=.Easements 2: Soils; Special MH Support=Sketch' 2, Footings; Size -Depth -Spacing -Connectors 3. Sewer; Location -Test -Fall -C/O -Concrete 4 3;, Decks; Girders and/or Joists-Decking=Bracing-Stairs-Rails 4: Water; Location -Test -Easement Needed (Sketch) 5. Electricity; Location-Clearances-Grnd:-L / Amp -Concrete _ 4, Wood Awn.; Posts- ,Beams- Rftrs:=Connec.-Shthg.-Rfg.-Bracing-; 5. Alum. Awn.;'—Columns—Connections—Splice—.-Decal-Enclosu es _ - - 6. Gas; LocatiorrTest-Wrap:/ /"L"ft./ /" Nat. or/: /"L"ft:/ , '/" LPG ,6. Carports; Windows -Doors - 7. Utility Clearance., 7. Elec." Card -B1 Date.,. Card'-B1"Date. Card -BI ; Date Card -Bl-- '' `' Date Card -61 Date. ' Date Card -BI Date MOB11-60MEINSTALLATION (Plans) OR except N's' , ".- _ 1. Zoning Requirements -Setbacks -Easements, Card -BI Date' - : Date Card -BI Date POOLS (Plans) OK except #:s 1. Setbacks -Easements _ 2. Footings; Size -Spacing -Marriage Line 2. Soils; Compaction -Structure Stability, 3., Gas; MH Test -Demand -Valve -Connector _ 4, Electricity;'MH.Test-Crossovers-Breakers-Clearances .. - .3. .Pookstructure; Steel-Connections-Thickness-Dead,Men=:Lining , 4. Elec.; Receptacles and Lighting; Distances-GFI 5:• Drain; MH Test -Fall -Flex Connector. 5. Elec.; Pool Lighting; 15•volts-GF1 6. Water; MH,Test-Regulator-Connector - 7:' Water and Sewer Connected -C/0 to Grade -HD Approval 6. Elec.; Enclosures; Conduit Entries -Terminals -Listed,.' 7, Elec.; Bonding; Metal w/5' -Circulating Equipment -Heater ' 8. Gas.and Electricity Tagged 8. Elec.;.Grounding; Equip. w/5' -Circulating Equip.-Pool,Lghtg.r ,. Boxes- Eric losures-PaneIboards- Ins. to Main in Conduit 9.Exits; Insp.-Sketch 10. Cert. of Occupancy, 9. Health Department Approval 10. Plumb; Cir.'Test-Water Supply Test Card B -I Date Card -BI Date ' ' "" Card -BI Date Card -BI Date Card B -I -• Date Card -BI Date; Card -BI Date Card -BI Date J 01" O = Not OK — = Not Applicable RESIDENTIAL,(Single and Duplex) = Not Ready Date UNDERFLOOR Plans OK except #'s Date FRAMING (Continued) 1. Zoning requirements -Setbacks -Easements +4S -property Line Firewall & Openings 2. Ftg., Main; Soils-Steel-Elec. Grnd.- / /'' Ftg. Depth -4&, -Ext. Doors -One 3' -Check Garage -3rd story, 2 exits 3. Ftg., Garage; Soils -Steel- / /" Ftg. Depth 56 --Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 4. Ftg., Porches & Decks; Soils -Steel- / /'' Ftg. Depth lywood on Roof Overhang -Attic Vents -Rafter Outriggers 5. Stemwalls, Main; Steel-Blockouts-Wrapped-Slab 52. Siding -Nailing -Veneer 6. Stemwalls, Garage; Steel-Blockouts-Wrapped-Slab 7, Piers -Fireplace Ftg.-Steel 01 . tucco Mesh -Drip Screed-Fdn. Vents-Underflr. Access 64rGlazing Area -Glass Protection -Skylights -Plastic p W s Test ^66—Shear Walls; Nailing -Bolts 9. Gas Pipe; Tile -Anchors 10. Water Pipe; Test-Anchors-Regulator-Seryice Test 11. Electric; Underground 12. Plenums & Ducts; Clearance -Material -Support -Ins. 13. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Date FINAL (40r._) OK except #'s 6&.--Txt. Steps -Door & Sidelight Protection -Landings Card -BI Date Date Card -BI Date PLUMBING, (Permit) OK except #'s 14. Water Ht.; Vent -Access -Combustion Air ;67-$me4te-Detector 5 rnac ; Vents -Clearance -Comb. Air -Connector - In Garage; Above Floor-Ducts-Mech. Protection Water Pipe; Test & Anchors -Nail Protection W.V.; Test-Fttngs & Anchors -Nail Protection Exiting i Bath Fixtures &Tub Access JJrG Breaker Sizes -Labels 17. Shower Pan; Test, First Floor -Tub Access 18. Test Tub & Shower, 2nd Floor -Tub AccessQjPeMoCT'15��Subpanel; 19. Gas Pipe; Size & Anchors 42. -a=te -..-&-Rails epe'Fireplace or Stove; Clearances -Hearth Alec. Outlets at Wood Panel; Int. & Ext. Card -BI Date Card -BI Date . Fixt. & Appliance; Grnd.-Air Gap -Cooking Clearance Card -BI Date Date Card -BI Date ELEC RICAL Permit OK except #'s 66"'liffl8c. Outlets & Receptacles at Kit. Counter a. a&age.Fire Door; Swing -Landing -Closer 6D in Garage -Damper . F' ture & Transformer Clearance -Ins. Protection _ 62 m -H4 � t�^�+-=�t -Clearance-Comb. Air-Connector-P.R.V.- In Garage; Above Floor-Mech. Protection VS., Receptacles Spacing -Lights &Switches at Doors . . a,-Rjb., Elec. & Mech. Equip. Listed for Location ? " Size Boxes & No. of Conductors -Stapled tacle Garage; (G. F.I.)-R mex Protec.. •- ex Installed Close to Edge of Studs & C.J. 72. Insulation -Foam -Looked In Attic Z Yes Equip. Ground made up w/Mech. Fasteners -Bond Gas & Water 7 Deck Construction -Post Caps `251"2 Appliance Circuits in Kitchen & Conductor Size Crawl Hole Door -Drainage & Wood -Earth Clearance Floor ❑ Yes -26- Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / / ga. Cu or Al 27 Range Circ. / / ga. Cu or AI -Oven Circ. / / ga. Cu or Al, Insulated Neutral ❑Yes El No 75. Following instld.: Drive s ❑ No; Walks Yes ❑ No; Planters Z�'�es ❑No •-38, Service -Riser Conductors & Ground -Main Disconnect 7-A.Stucco; Brown -Finish 29r Equip. Clearances; Panels-Motors-Mech. Equip. 90. Clothes Closet Light -Shower Light 7 it onnect-Clrnces-Brkr. & Cond. Size -115V Outlet 7 ents Above Roof; Plbg.-Appliance-Firepi.-Clearance to Opn s. 7 onnect, Electrical, Plumbing xterior Elec. Trim; G.F.I. Receptacle -Underground Card B -I Date d -BI Date Ventilation throughout House Card B -I Date and -BI Date Glass Protection Date MECHANI L (P rmit) OK except #'s 31. . Ducts; Insulation & Support _ ablCorrections from Previous Inspections 847n-iest-Meters Tagged; Gas -Electric 8 ewer Connected -C/O to Grade -HD Approval Vent Fan; Exhaust above Insulation Energy Compliance Certificate -Other Certificates _ 33. Condensate Drain & Overflow; Size & Grade 34. Furnace -Vent; Access -Comb. Air -Return Air Vent -115V outlet 35. Attic Access & Platform if Furnace in Attic Card -BI Datj�j ar 81 Date C BI ate rd -BI Date Card -BI Date L Card -BI Date Card -BI Date and -BI Date and -BI Date Card -BI Date Comments at Final: Date FRA ING Plans OK except #'s Sills; Proper Material & Anchors _ 7alls; Studs -Nailing, Spacing & Bracing -Plates -Sound Bearing Walls over Girders & Floor Nailing 39- Draft Stop in Walls (rat proof) -*Rr- Fire Stops; Furred Ceilings -Stairs -Chases -Tub 4 Bader & Beam -Size & Bearing j�kngers—Post Caps-Anchors-Connectors.Joist-Rftr.Ties-Purlin-Roof Brac.-Truss-Shthng.-Rfng. eplace Ties or Type A Flue -Fireplace Throat 4is Access; Size & Romex Protection -Draft Stop -Ins. Baffles Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions _ 4.7r3arage Fire Protection Framing (NOTE: An entry must be made each time you visit job site) COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS ?' 196 Memorial Way, (fhico — Phone: 891--2751 7 County -Center Drive, Oroville — Phone: 534=4541. „ Skyway and Elliott Road,. Paradise — Phone: 872-2961, Ext. 57 -F� CO'RRECTIO NOTICE", BUILDING OR PROPERTY ADDRESS ,�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 a. matter, or.need-additional explanation, please c tact this office immediately. . J. Ni Inspector Date " County of Butte (71ernorya/ .DEPARTMENT OF PUBLIC WORKS 89/975/ Iftly ., Chico — 349 4214, Ext. H 7 County Center Dr., Oroville — 534-4541 Skyway and Elliott Rd., Paradise — 8:77-3430 89p-99Gl-E�r. 57 CORRECTION NOTICE ,r Building or Property Address 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 d additional explanation, please 'contact thi office immediately. ' �::.�:.-T ...`..... .. ... ... _ . r:T............./....................r..... "� ��: ...�.l............t>;...` '::. ....`........r'� �y.`aC rix .. .r�}; r 1 C! u J Date ..... ......... nspector ....�::"'..:�........::.................... Do Not Remove This Tog (400-4) RESIDENTIAL ENERGY CONSERVATION STANDARDS CONSTRUCTION COMPLIANCE CERTIFICATE THIS IS TO. CERTIFY'TyHHAAT ENERGY CONSERVATION REQUIREMENTS HAVE BEEN , INSTALLED IN CONFO�/7 C -WITH CURRE NERGY CONSERVATION REGU4TIONS AT lZ/7. Al S/ ©tO�ii Cel -,f 9156 (location) BUILDING PERMIT NO. %O?o4Z. f?,_ A;P. NO.'3 9— " 2- % THE FOLLOWING HAVE BEEN INSTALLED AS PER APPROVED.PLANS: (Check each item or write N/A if not applicable) INSULATION: GLAZING: Slab Edge Single Glazed fi Fdn. Walls Special (Insulated) Floors CERT. & LABELED WDS. Walls // & SLIDING DRS.. !/ Ceiling/Roof WEATHERSTRIPPED_DRS. C/ Ducts. (/ BACK DAMPERED FANS C/ Circulating Pipes INTERMITTENT IGNITION DEVICES l/ APPROVED HEATER CERT. APPLIANCES APPROVED WTR.HTR. I DECLARE THAT ALL REQUIRED ITEMS.AS-NOTED ABOVE HAVE BEEN INSTALLED IN ACCORDANCE WITH THE ENERGY,CONSERVATION REQUIREMENTS AND AGREE TO THE COMPLETENESS OF THIS CE I/�TE AS SUBMITTED. Insulation Applicator Name 01 ! (please print Signature of Insulation Applicator Stattf.Contractors l License No. General Contractor/Owner Name of 6-1 G/z (please print) Signature of General IContractor/Owne Date z— ate Contractors License, No. THIS CERTIFICATE MUST BE ON FILE WITH THE BUILDING DEPARTMENT PRIOR TO REQUESTING FINAL INSPECTION AND SHALL BE POSTED IN A.CONSPICUOUS LOCATION WITHIN THE DWELLING. t ' r � l " •r A.'•V '.i' a.',' � � - ,,, 4 �.;<..a{ r.t , �� Y "} r J COUNTY 0'F BUT.TE DEPARTMENT OF'.PUBLIC WORKS .` i PERMIT N; 14:45J : 7 bounty, enter Drive'- Oro" 11" California 95965 ,Telephone 916/5 ! : • APPLICATION- AND PERMIT = ASSES OR PARCE-t�=MBER - "ZONING..- - - , BUILDING PERMI .= owN '•<-`-:TELEPHONE. "`SO. F.T. OCC �BIJILDING VALUATION kt 'OWNER'S MAILING A D ESS - - r 5, :, D . ,. 1�-1 4 ` ' ' ` •9CONTRA'CTOR S NAME TELEPHONE .-.� .. _ CONTRACTOR S MAILING,?ADDRESS r a , " Fireplace , :e• �v�,� f ;:CONSTRUCTI;O.N-1END.ER -; 4 y" •+ -•,. i`( - UNKNOWN '•�. �w k �- TOtal' VafUatlOn : ' FII Ing, Fee .$ "1000 o , 1. - •. LENDERS MAILING ADDRESS {-,� w7 , L,. Permit Fee $ �• .F. . •• :ARCHI.TECT60R�,EN GI NEER LICENSE.NO = . Plan -Checking Fe@ - .'_$' � Penalty'. $ ARCHITECT OR ENGINEER'S MALLING�ADDRESS'�-,.� � , Permtt tee - - _ i BUILDING,ADD ESS - ."PLUMBING PERMIT�F'iling,Fee '10.00 Each Trap 2 00 ' 27 Repel d ai age or.vent'piping 00 r r n 5 Waterpiping o�O O ;, LOT NO.' - + �SUBDI:VISION NAME �`,y ?,q `l.l(�. PARCEL -MAP_-' 'Each qa5 Water,he' Or•. Vent ;�5 00_ . t Gas piping system"1 outlets1 USE;OF STRUCTURE x N Building' -sewer Lawn 'sprinkI6r'system' E5� ti ' t - .• SFS Duplex ❑ Moblehome ❑ At her • _ - SPECIFY } r,TYPE OF:,WORK Permit Fee $ - New Additio' Remodel tilities stallat'i Q ❑ . ❑ ❑ . ❑ • Other Coritractor �. ; '.Describe work: , ELECTRICAL PERMIT . Filing Fee x10.00^` ,11� , J y a f _ ,� ..W OV-ORLESS Main service. 60 c5.00 O,AMP OR LESS} '`.. X ';>+•�' - x y - Main service EA:,:ADDIL•400 AMP- '2.50 _ .. NEW. C'ONST.' ('DWE.LLING-2¢ sq ft BLD OR ADDNS. 9 AC - a -,_C.. CONTRACTORS LICENSE LAW °° }4 NEW CON'S0A1---U111-T. -NO N-RESLD• BRC IR . S' 2.50 ea •? L•p, ti -h • "•[- :, b declare under;penaltyof perjury (check one):' r NEW'CONSTR;'/,?OWER APPARATUS 6 ❑ I'',am. licensed undeer provisions of'Chapt.,%,Div 3'• -of the'Business17x.. l\ NON=RESLD, SINGLEOUTLET .CIR. sso®zsa Occup and :Professions}Code and;•'m License is: in ful-Ir:force ;and' effect OUT.L ETS OR, FIXTURES',_" IXTURES BAL 0.1 EX'. OCCup,. OUTLETS (RESID ) EA.' 2'00 , ' s ` Llcense•No. C)'assification as as - 'temporary senrlcex, 10 00 I, the owner,or, my,employees with. wages their sole compen Mob.i,le Home Facilities i 15.00 . e. safion; will 'do the work; and the structure i§ not intended-br offered for'sale. (Sec. 7044)," " Misc.:Wiring.' ; 2.501.]: I, as.the'owner am ,exclusively' contracting. with licens1yed, contract ors. (Sec: 7044) _... = Permit Fee $ 117,60 ❑::: I am•exempt under -Sec: -Business and Professions Code .Contracto r' u . .. `. r.•i�• - r1 jor'this reason ��� „MECHANI ' AL PERMIT FHing Feen 10 00 ' • y WORKMEN S,CO�IIPENSATION INSURANCE Hee Ing •',� r � declare under penalt ,of er'ur (check.one): y + ; E, y p 1" Y r „ -The permit. is for $100.00 '(valuation):or less., ("have—placed on file.•:with.the County of Butte Bui'Iding Department Coollhg . ' i-, a Certificate of Workmen s Compensation- Insurance; or a' Certificate Hood '' '3.06: of Consent to Self. Insure .. , ` Ventilation ' I..shaII-n6t 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' PBrtnit to the W. C. provisions of the Labor.•Code, you must,forthwitn.comply with such. Fee Contractor.; provisions or, this'permit shall be'd4eme,d revoked fi'. 1 ceitif . that•.I have read this,.applfcation,and state'ttiat;th_e above information Mobile Home Installation Fee° 'n. i oris correct. 1--agreeto'comply;to{`,all•County'Ordinances and State: Laws.relating to building construction,, and!hereby authorize representatives,of'the County of Butte .to enter uponihe;above-mentioned. property for inspection purposes.'. T.OTAL,PERMI:T FEE I also agree'tc''save, Indemnify'and'keep harmless the County of Buit,e,against oc uP ,cRouP TYPE OF.,CONST PARCEL PD I ND arssuE ;all liabilities,.. judgments costs an',`{expenses which mayin anyway accrue° against sa aunty In copse encs the granting, of -this permit Thi s,perrriit is h'e�eb Tissued under the applicable' rovi=,, rf • , ;' i ry 3�� X �• " Dete / — t •ions of,the'Butte,Gounfy^Code and/or<resolutions to .do • $ignature, Applicant - OW$eti Contractor Q',,,Agent ❑ < .. work ,'indicated above -foe which fees .have been ;paid.- , A'n OSHA:permit'is required•f6rexcavations over.5'0 ' deep''and demolition or construct- q DIRE OF PUBLIC WORKS . ion of structures overr'3T�sitori in°height By ,. -11 Receipt No. Jv , WHITE-D.P.W.. TELL! - 3 K- sPEcT i'a LD[NROD-APPLICANT _ PE IT:'EXPtRES Date &—/ —`- H: _' 'r:Kl a , ' 2'�a-•.� + I' y tte, �tf ',fes •r � ,? v \ x +l f .. �,^rr +�:`'x '' •� Y _l'L1 - 3. �' t y d I ,x w +� 9 '} '. ` � t - ! �. A "rx i., 1�r I . St+yz ' x 1 z'•t \' t" .� ,� . ti ,11th • [ k . rte,, r, ��'. re µ ry R P �� u I - y"S;x ki _ '* 4la.r t }K Y u�L of •y iN- I-�� 1: f h :'\' AlED: AR, �. l -• - i x _. �r L;,,.� �ww.t , � -" k r` � • r j` ,)''' is j� '*1 • �' I . f.' F i ��. 1 ,� 1 h `4�' j' _ t i.�:l~ I .sem, .- - .. I . - f w� ;�..: Ae T L a 4 - J•1 V 9� .� `may,. '�''` � - ,�-ti; + +(`i..; ' r t ��`l.' li• ty -' :1 '5= r.-L� -' �` M1 SR ��..� {i ; I. ria. .�1. I 14a g'C.2 � •�k Lly .. lr$i ` b'_ - t y r' � '-d'd- 5 �• fl 1%.. �' .�+�..{2� ,i t�... � �;�.a ` Jy�jr¢. ;'� 'r�Y.. + i{�� ,v.I ttt - ,'i'.i� ' r. I �.S•t� l..�LL % G.7 M � .:L-:,/�pf{i t ►♦{}i _ .� ..�.t�`+�H� i� ♦ ..d., {��..� V%; /.. 0.#4` 1a i„s� '�j }� /,I� �bF .'V 1 . ''`+;`; e-1,���� �• �..�y`,�.-i Mlia4. Ci >`,1,...'�F. liC j3'vt �, 'x..s� Ji ::�2 W �.; fS 0 '] r v }. 1 i%y ��..+Y..,}�. V' - jy�'C.�'- .,� < �.w4ti?� � ;i . tYr�;"'Jh' �;rr:-,�-r: - ,. J_` .�y:• ':,5;, ^:f -•,�. : „�ff':.'' cG,�i C%i x3 �, •�'E:� .�'�i`. �i 'aa' iG' r ••. 4 /'�' .• 4�,t Yo. w es. '•r:�-, E. Other 1.- Maintenance -:and repair: 2. ti Fire hazards: 3.� :Safety. hazards *, 4. Weather. protcet-ion: 5-. ` .` 1,14-erfl6or and attic. ventilation: ` 6. Cbm . ent 's s F. Cormnercial Buildings 1. Rcof covering 2. Dist;ar':ce to property lines: 3. Physically hanOdcapped: 4. nest-Qord floors and- :galls`: 5. Exits: h. Improvements: 7. zor_ing:_ 8. Comment: - G. Field Prohlems or Vir,la flior,s 1. Problem ,r violation ;give -cm !kt-a d sc:ription): 2. Whh;tct oii �a'c give camp" ate ;iescri %uon) - 3. %-% A.. i"nfomation Only - fi1•s. B..Hold for tcn (10) days, hien wri<-u letter. write letter. 77D. ""thee