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030-410-028
-4 x y • V A..: o 3Y4 $ UP F-; v V t 'Y - ZIP-( Kv. 4 tA..... - 30-41-28 Oro 1231 Contractors, 14th St., Inc. Thermalito O'er' .T�.��''Qc Permit #3168-79B,P,E,M(new single family) w. 30-41-28 MICHAEL SHIELDS 1-2-2-T '14--t—h---S-t--,-0rov1 Ile P6rmit#3448-82B(install "0" clearance fiteplace)SF /(✓� •�$ JIl/(4�� --030 � 41=0- 028. '3:-':336'0'-B,'E--, M SHIELDS,. ' S 4' 21 .GATE:',�'.,. 14TH L ST;".OROVILLE CONY. -RAGE TO DRY GA LAU�N., 77 -4 x y • V A..: o 3Y4 $ UP F-; v V t 'Y - ZIP-( Kv. 4 tA..... - NOTES RESIDENTIAL. ✓� PERMIT NO. _ 030-410-028 02-2276 MIKE SHIELDS 1221 14TH ST. OROVILLE CONTR: CHRIS CARTER DET. GARAGE ;i. l 1 0 JOB FINALED (Date) t Signature SPECIAL CONDITIONS CHECKED BY SRA FLOOD CERTIFICATE REQ. FIRE SPRINKLERS REQ. SPECIAL INSPECTION. ITEMS VERIFY USE PERMIT CONDITIONS SUB -STANDARD HOUSING LETTER J=OK 0 = Not OK . = NotReaadyable MOBILE HOMES - Date MOBILE HOME UTILITIES (Plans) OK except #'s ing Requirements -Setbacks -Easements ' -Footings; Soils-Size-Depth=Spacing-Connectors-Steel - Decks, Girders and/or Joists -Decking -Bracing -Stairs -Rails Wood Awn.;.Posts-Beams=Rftrs-Connectors Shthg-Frg-Bracing 1. Zoning Requirements -Setbacks -Easements Alum. Awn.; Columns -.Connections -Splice -Decal -Enclosures 2. Soils; Special MH;Support Sketch Carports; Windows -Doors 3. Sewer; Location -Test -Fall -C/O -Concrete Electric . - 4: Water; Location -Test -Easement Needed (Sketch) Frmg.; Sills-Anchors-Studs-Rftrs-Trusses. 5. • Electricity; Location=Clearances-Grnd-/ /Amp -Concrete - Siding; Nailing -Veneer -Stucco -Mesh' 6. Gas; Location -Test -Wrap;-/ • . /" L 'fit.: " / . /' Nat. or / /" L "ft./ P, LPG Roof; Shthg-Roofing- 7. Well Clearance &Disconnect Ext.; Steps -Doors -Landings 8. Utility Clearance.," Braced Wall Panels 4. Elec.; Receptacles and Lighting, Distance-GFI Date Card B-1 Date Card B-1 Date - Card B-1 Date Card B-1 Date MOBILE HOME INSTALLATION (Plans).OK except #'s 7:- 1. Zoning Requirements -Setbacks -Easements _ 2. Footings; Size -Spacing -Marriage Line • -3. Gas; MH Test -Demand -Valve -Connector 9.1 Health Department Approval . 4. Electricity; MH Test -Crossovers -Breakers -Clearances 10. 5. Drain; MH Test -Fall -Flex Connector f .6. Water; MH Test -Regulator -Connector .. Light Niche 7. Water and Sewer Connected -C/O to ,Grade -HD Approval' 12. 8. -Gas and Electricity Tagged 9. Tie Downs -Type -Installation Cert.. 10. Exits; Insp.-Sketch 11. Cert. of Occupancy Date Card B-1 . Date Card B-1 .Date -Card-B-1 : •Date Card B-1 Date Card B-1 Date Card B-1 p Date PERMANENT END SYSTEM (ONLY) 1. Zoning Requirements -Setbacks -Easements. 2: Footings; Size -Spacing -Marriage Line r 3. Blocking 4. Gas; MH.Test=Demand-Valve 5. Electricity; MH Test . 6. Water; .MH Test 7. Water and Sewer Connected _ 8:' Gas and Electricity Tagged - 9. Exits 10. License Decals- ecals •11.. 11..Verify #'s with Office - Date Card B-1 Date,. .- Card B-1 j Date Card B-1.- Date -Card B-1 f J '. � - MISCELLANEOUS Date DECKS�,COVERS, CARPORTS, GARAGES (Plans) OK except#'s _2, 3. (/ 4. y ing Requirements -Setbacks -Easements ' -Footings; Soils-Size-Depth=Spacing-Connectors-Steel - Decks, Girders and/or Joists -Decking -Bracing -Stairs -Rails Wood Awn.;.Posts-Beams=Rftrs-Connectors Shthg-Frg-Bracing 5i. 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 -Panel boards- Ins. to Main Conduit 9.1 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 r r J=OK 0 = Not OK - = Not Applicable . = Not Ready RESIDENTIAL (Single & Duplex) Date UNDERFLOOR (Plans) OK except #'s 1. Zoning -Setbacks -Easements -Flood -Slope 2. Ftg., Main; Soils-Elec. Grnd.-/ /' Ftg. Depth 3. Ftg., Garage; Soils-Steel-Elec. Grnd.-/ /' Ftg. Depth 4. Ftg., Porches & Decks; Soils -Steel-/ /" Ftg. Depth 5. Stemwalls, Main; Steel-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 r' Date FRAMING (Continued) 47. Hangers -Post Caps -Anchors -Connectors Date Cling. Joist-Rftr. Ties-Purlin-Roll Brac.-Truss-Shting.-Rtng. Card B-1 Date Card B-1 Date 50. Card B-1 Date Card B-1 Date PLUMBING (Permit) OK except #'s 52. 17. Water Htr; Vent -Access -Combustion Air Baffle Property Line Firewall & Openings 18. Water Pipe; Test & Anchor -Nail Protection 55. 19. D.W.V.; Test Fittings & Anchor -Nail Protection 56. 20. Shower Pan; Test, First Floor -Tub Access Siding -Nailing Veneer 21. Test Tub & Shower, Second Floor -Tub Access 59. 22. Gas Pipe; Sixe & Anchors Shear Walls; Nailing -Bolts 23. Fire Sprinkler; Test Elec. Trim & Subpanel, Breaker Sizes & Labels 70. Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date ELECTRICAL (Permit) OK except #'s 73. 24. Fixture & Transformer Clearance -Ins. Protection 74. 25. Elec. Receptacles Spacing -Lights & Switches at Doors 75. 26. Size Boxes & No. of Conductors Stapled 76. 27. Romex Installed Close to Edge of Studs & C.J. 77. 28. Equip. Ground made up w/Mech Fasteners -Bond Gas & Water 78. 29. 2 Appliance Circuits in Kitchen & Conductor Size GFI 79. 30. Subfeed Wire Size/ /ga. Cu or AI-A.C. Wire Size/ /ga Cu or Al 80. 31. Range Circle/ /ga Cu or AI -Oven Circ. / /ga Cu or At Insulated Neutral ❑ Yes ❑ No 81. 32. Service -Riser Conductors & Ground Main Disconnect 82. 33. Equip. Clearances Panels-Motors-Mech. Equip. 34. Clothes Closet Light -Shower Light -Spa Light 83. 35. Smoke Detector 84. Stucco Brown -Finish Date A.C. Unit Disconnect, Electrical -Plumbing Card B-1 Date Card B-1 Date Vents Above Roof, Plbg-Appliance-Fireplace-Clearance to Openings 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. Furnace -Vent Access -Comb. Ait-Return Air Vent 115 Outlet 40. Attic Access & Platform if Furnace in Attic Date 93. Card B-1 Date Card B-1 Date 94. Card B-1 Date Card B-1 Date FRAMING (Permit) OK except #'s Address Posted 41. Sills Proper Materials & Anchors Fire Sprinkler 42. Walls Studs -Nailing Spacing & Braces -Plates -Sound Card B-1 Date Card B-1 43. Bearing Walls over Girders & Floor Nailing Card B-1 Date Card B-1 44. Draft Stop in Walls (rat proof) Card B-1 Date Card B-1 45. Fire Stops, Furred Ceilings -Stairs -Chasers -Tubs 46. Headers & Beams -Size & Bearing r' Date FRAMING (Continued) 47. Hangers -Post Caps -Anchors -Connectors 48. Cling. 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 3' -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-Underflr. 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 -Meth. 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-Mech. 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 ❑ Yes _ 83. Following Instld./Drive ❑ Yes ❑ No/Walks ❑ Yes ❑ No/Planters Cl Yes ❑ 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: COUNTY OF BUTTE ` BUILDING DIVISION g� DEPARTMENT _OF DEVELOPMENT SERVICES 411 Maln Street • Chico,_CA • (5 30) 891-2751 TCounty Centel Drive • Oroville CA •;(530) 538-7541 rt rtCORRECTION NOTICE z-zz7� OWNER F PERMIT NO. A routine inspection indicates that the following violations of butte county Ordinances exist at the above address and-should,be corrected..: Please; notice .this office. when correction- of work is completed:' If you; have anY questions. pertaining to: this matter_ or need additional explanatfoh please c� jjact this oIIice immediately C, y ti 1] 77 F - y r 'vg ` /= /� K _Date Inspector ax - . n REV 10/92 7 COUNTY OF BUTTE g ` BUILDING DIVISION-: DEPARTMENT OF DEVELOPMENT SERVICES 411 MainStreet • Chico, CA • (530) '89i -Ml,. g: 7 County Center • Oroville, CA � (530) 538=7541 i CORRECTION NOTICE f 7 d Z�.�-z 4;t • OWNER PERMIT NO. A routine inspection indicates that the following violations of butte. county Ordinances exist at the '• - above address and should be corrected. Please notice this office. when .correction_ of work is completed. If you have any questions pertaining to this matter; or need additional explanation,. r please co tact this office immediately. Lk r..:� . LT( >, - Zrf.. i ` Date 2 �• Inspector REV 10/92 COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-754 PIER T NO. (Rev.12/96) , APPLICATIONAND-PERMIT T ASSESSOR PARDEL•NUMBER - 030-410-028' ZONING A -R BUILDING PERMIT OWNER I Shields Mike TELEPHONE SO. FT. OCC. BUILDING VALUATION 484 1J 8712-00 . OWNER'S MAIUNG ADDRESS 1221 14th Street Q�oyille 95965 CONTRACTOR'S NAME Chris Carter TELEPHONE 589-2343 CONTRACTOR'S MAIUNG ADDRESS 26 49 Cas1te Creek Drive Oroville CA 95966 CONSTRUCTION LENDER Fireplace LENDER'S MAILING ADDRESS Total Valuation $ 8712.00 ARCHITECT OR ENGINEER UCENSE NO. Filing Fee $ 20.00 Permit Fee $108.00 ARCHITECT OR ENGWEER S MnJUNG ADDRESS Plan Checking Fee $ 70.20 sUILDINGADDRESS 12211 14th Strept 0-roville Energy Plan Checking Fee $ $ PERMIT FEE $198.20 LOT NO. SUBDIMIONS NAME PARCEL MAP PLUMBING PERMIT Filing Fee 20.00 Each Tr 7.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome ❑ Other SPECIFY Solar or heat pump water heater 23.00 Water piping 15.00 Each gas water heater or vent 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Ufilities ❑ Installation ❑ Other ❑ Describe work: garage (detached) 22x22 Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home I S I G IW (920.00 PERMIT FEE $ ELECTRICAL PERMIT Filing Fee 20.00 Main Service = oR L'Ess 23.00 LICENSED CONTRACTOR'S DECLARATION 1 hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is In UII b e and effect. J(/y��/ / License Class I No. V! OlJ OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that 1 am exempt from the Contractors License Law for the following reason: ❑ I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. ❑ 1, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ I am exempt under Sec. Business and Professions Code for this reason WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is Issued. 1 have and will maintain workers' compensation Insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is Issued. My workers' compensation insura a carrier and policy number are: Carrier �'%-4 Policy Numb -6F e— (o' �i (The above sections need not be completed if the permit Is for work of a valuation of one hundred dollars ($100) or less.) ❑ 1 certify that in the performance of the work for which this permit is issued, I shall not employ any person In any manner so as to become subject to workers' compensation laws al-ifornia, and agree that if I should -become subject to the workerscompefrptron provisions of section 0 o the Labor Code, I shall forthwith c with se provisions. X Date SkjrioFrf Applicant - ❑ Owner Contractor ❑ Agent An 09 -HA permit is required for excavations over 60" deep and demolition or construction of structures over 3 stories i height. Main Service 2 To 46.00 NEW CONST. DWELLING DOC P. SG EL OC OR AooNs. ( a ACC. BLD$. 3.5¢Fr: 6.95 NON-RESIO. MULTFOUTLET @7.50 PSO APPARATUS 8 6INGLE CUTLET CIR ourLEroRFTxruREs Ex. Occu BAIL ®' a Ex. Occup. ounFEDrsCRRE'�sID.oEE 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE $ 3-0.95 MECHANICAL PERMIT Fling Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE $ Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST. PE T FEE IiA2 D FE IMP FLOOD C%1-1 PAR PO D ISSU This permit is hereby Issued under the applicable of the Butte County Code and/or Resolutions indicated above for which fees have been By ate PERMIT EXPIRES ON / 2- provisions to do work paid. R /� e Receipt No. - WHITE-D.D.S.-B.D. CANA Y -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT - •��:..r. t.... -4^.v .r ...v n.T rt•:v. . '� v.r . . rte, ��� Vr�+i:.-. _ ,.i yie�, !�,y " c�( k' -N �. Yt.; 11• �ij.-.,%ht h ��n,,��� 1. � X✓�'.'•,../`3�1�€i�y�i� V U�'tl"'v'"ri,.�., r�cFi��"kak-r�r. �v�= 't.:..iy7-_ K i� COUNTY OF BUTTE -DEPARTMENT, OF DEVELOP MEN.T,SERVICES-BUILDING DIVISION 7 County Center Drive, Oroville, CA 95965 Phone (530)538-7541 Fax (530)538-2140 PERMIT APPLICATION DATA SHEET OWNER: �'�'�.'� ASSESSOR PARCEL NUMBER C ` ell Proposed Building Use:w Counter Technician: A Date: Items required in order t apply for a permit. All boxes MUST be checkedQ9 marked NA in order to apply. y� /1PIot plans, 3 or 4 sets, signedAy the preparer of the plans. 0—complete plans, 3 or 4 sets, signed by the preparer of the plans. 3. Engineered plans, 3. or 4 sets, with wet signature on plans AND 2 sets of stamped and signed calculations. ngineered truss details and layouts in duplicate. No faxes! 105. Energy compliance design and supporting documentation in duplicate. E]6. Manufactured homes: (A) Data sheets and installation instructions, (B) Marriage lime information, (C) Floor Plan, (D) Tie down or foundation plans, all in duplicate. �r ❑ 7.. Metal buildings: (A) Metal Building Plans, (B) Foundation plans and calculations in!�,iplicate, (C) Elevation views in triplicate. (D) Floor plans in triplicate. All of these must be stamped and wet -signed by the engineer. Items required for initial plan review. If checked items have not been received, plan review cannot proceed. The permit will be indexed and returned to the plan review line-up when required items are received. Date Received By •`,' 8. Flood Elevation Certificate, wet -stamped and signed, in duplicate ................................ ❑ .9. Plot plan and business license approval from the City of Biggs .................................... 0. etter of intent for non-residential buildings......................................................:.. etached Accessory Building Form filled out by the owner ..................................... ❑ 12. Hazardous Material Form............................................................................... ' ❑ 13. Other Remaining items needed to issue the permit. (May require additional plan review upon receipt of the following items.) ❑ 14. Fees as shown on the attached Schedule of Fees Due Sheet ....................................... �,%Len'of Intent for Non -heated and A/C Buildings................................n and plot plan approval from the Environmental Health Department in ❑ 7. City of Chico Plumbing permit....................................................................: 8. California Department of Forestry plan approval ❑ paid. Sent_ by: ...................... IA 19. Planning approval for (A) Use: (> K (B)Parking: (C) Parcel Check: D 2 ❑ 20. Contact Land Development about ❑ Improvements, ❑ Drainage .............................. ❑ 21. Encroachment Permit for driveway from the Public Works Dept. (construction approval prior to occupancy). ❑ 22. Pre -Inspection for required ................ ❑ 23. Contractor's license information. (Number, Name Style, Classification) ....................... ❑ 24. Worker's Compensation Carrier and Policy Number ..............:..................' a:;......... ❑ 25. Owner -Builder Verification (❑ Given to owner, ❑ Mailed to owner) .................... ' ❑ 26. Letter of Signature authorization.................................................................... ❑ 27. Recorded copy of Agricultural Acknowledgment Statement .............................,........ ❑ 28. Manufacturedhome utility clearance............................................................... ❑ 29. Existing violations and/or expired permits..................................................'....... ❑ 30: ❑ Grant Deed, ❑ M.H. Title/Statement of Facts, ❑ Letter from Legal Owner, ❑ Check to H.C.D. $ ❑ 31. Other: When issued Telephone I have been informed of th0a-bove items and Applicant: hold for pickup. 11 uirements for obtaining a building permit. Date: 1. Index perapplication for the above items numbered: Plan CheckLetter 2. Additionaf items required bagdesigner, owner, was advised cf the above data by phone, 1Y mail, ❑ counter, by Date: Z Contractor, designer, owner, was advised of the above data by ❑ phone, ❑ mail, ❑ cor, b Date: Plans reviewed by: , Date: Plans approved by: • 7C • Date: Structural reviewed by: i ..Date: Structural approved by: , Date Note transfer by: Date: r. ,• ¢ a 4 1. Index perapplication for the above items numbered: Plan CheckLetter 2. Additionaf items required bagdesigner, owner, was advised cf the above data by phone, 1Y mail, ❑ counter, by Date: Z Contractor, designer, owner, was advised of the above data by ❑ phone, ❑ mail, ❑ cor, b Date: Plans reviewed by: , Date: Plans approved by: • 7C • Date: Structural reviewed by: i ..Date: Structural approved by: , Date Note transfer by: Date: r. ,• ¢ a OT Department of Development Services ° ,'.. Building -Division ° o .::..��_� ° 7 County Center Drive Oroville, CA 95965 ° ° (530) 538-7541 (530) 538 2140 FAX DETACHED ACCESSORY, BUILDING OWNER'S STATEMENT OF USE Plan review will not be started until this form is completed, signed by the property owner, and returned to -the Butte County Building Division. Attached Accessory Buildings and Additions will;be checked for -residential use -Exception: Garages and Carports. Owner: 5_� / %12 5 Phone:. Mailing Address /if Site Address: 2 Z� �/ S �7 /-,<fx % O -Assessor's Parcel Number: G 2a Zone: Please answer questions, 1-16, and explain any yes answers for questions 2-14 in the space provided on page 2 of this form. GENERAL, INFORMATION: ' I -`Is there aprimary dwelling on the property? Yes-EfNo ❑ - 2 Is the stricture already built, under construction, or under notice of code violation? Yes C] No 3: Will;items produced in this building be offered for sale? Yes ❑ No 4. Will the public have access to this building? Yes ❑ No 5. Will any :advertising, on ouoff site, be associated with the use of this building? Yes ❑ -No E�> SITE CONDITIONS; 6: "Is the structure foundation within 5' of septic tank or 10' of leach lines? Yes 0,'No.43:�' 7. Is any portion of the structure located closer than 20' to your front property line? Yes ❑ No 3. Do you -plan to add a driveway or modify existing access`to a county maintained road? . Yes ❑ No 9. Will the proposed structure encroach within any recorded easement? Yes ❑ No [: CONSTRUCTION FEATURES: 10: Will this building have insulated floor, walls, or ceiling? Yes ❑ Nogj . . I L Will this building be heated or cooled? Yes ❑ . No 12. Will this building have a water closet/toilet?. Yes ❑ ,No' 13. Will thus building'have a sink? Yes ❑ . No 14: Will this building have a water heater? Yes ❑ No 15. What type of floor covering will the building have? 16. What type of'« -all covering;will-tt a building have? OVER .. 1 sof 2 _ T PROPOSED USE: (check only one boa) 1. ❑ Residential Storage Shed — I will be storing in this building and it will not be used for any other purpose (no bathroom and no heating or cooling). 2 rivate Garage — "A building or a portion of a building not more that 1,000 square feet (3,000 by exception) in area in which only motor vehicles used by tenants of the building or buildings on the premises are stored or kept." - A earaae door is required. 3. ❑ Residential Carport — A covered structure intended for parking of vehicles. Two or more sides must be entirely open. 4. ❑ Residential Occupancy Structures meant to be occupied, as opposed to a storage shed, garage, or carport. If you checked #4, please check the uses below which best fit this building. ❑ GuestHouse ❑ Pool House ❑ Studio Apartment ❑ In-law quarters ❑ Recreation Room ❑ Game Room ❑ Study ❑ Library ❑ Bonus Room ❑ Playroom ❑ Den ❑ Studio ❑ Artist Studio ❑ Hobby Room ❑ Craft Room ❑ Sewing Room ❑ Canning Kitchen ❑ Music Room ❑ Family Room ❑ Sun Room ❑ Private Office ❑ Workshop' ❑ Home Occupancy 2 ❑ Other— Use = 1. Describe type ol` lVoekshop :. Nfin Abe approved by the Butte County Planning Division. Explanations: This area'is for explanation of any "yes" answers on questions 2-14. Please indicate the question number before the explanation. c Additional Information: Plan review will not be started until this form is completed and received. A Plans Examiner will contact the owner with specific requirements per the use indicated. I hearby affirm under penalty of perjury that the above information is true and correct. I understand that any changes to the use, or character of use, of this building will require permits from the permitting authority. I understand that Real Estate Disclosure laws require disclosure of this information if or when the property is offered for sale. O,,ner's Name: Please Print 3� Owner's Signature: ___Date: 11— 3,O --o2 2 of 2 V=OK O = Not OK ` ... = Not Reaady ble MOBILE HOMES MISCELLANEOUS Date/Initials MOBILE HOME UTILITIES (Plana) OK except #'s Date/Initial DECKS, COVERS, CARPORTS GARAGE Plana OK except #'a 1. Zoning Requirements -Setbacks -Easements Zoning Requirements -Setbacks -Easements Z Soils; Special MH Support Sketch3/'Footings; Soils -Size -Depth -Spacing -Connectors -Steel 3. Sewer; Location -Test -Fell -C/O Concrete ' Decks; Griders and/or Joists -Decking -Bracing -Stairs -Rails 4: Water; Location -Test -Easement Needed (Sketch) r0Y Wood Awn.; Posts-Beams-Rftra: Connectors 5. Electricity; Location-Clearences-Grnd-/ /Amp -Concrete "1 Shthg: Rfg.-Bracing . 8. Gas; Location -Test -Wrap: / P'l-1t. - : S.Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures / /"Net. or/ P'L"ft./.P'LPG _,,Carports; Windows -Doors 7.. Well .Clearance & Disconnect 7. gJe ctric & Utility Clearance rmg; SIIa-Anchors-Studs-Rftrs-Trusses Siding; Nailing -Veneer -Stucco -Mesh . Roof; Shthg-Roofing Ext.; Steps -D.00 Landings Date/initials. MOBILE HOME INSTALLATION (Plana) OK except #'a 1. Zoning Requirements -Setbacks Easements -kt!i Z Footings; Size -Spacing -Marriage Une 3.. Gas; MH Test-Demand-Valve—Connector Date/Initials POOLS (Plana) OK except #'a 4. Electricity; MH Teat -Crossovers -Breakers -Clearances 1. Setbacks -Easements 5. Drain; MH Test -Fall -Flex Connector 2. Soils; Compaction -Structure Stability 8. Water; MH Test -Regulator -Connector 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 Ughting, Distances-GFI 9. Exits; Insp.-Sketch 5. Elec.; Pool Lighting; 15 volts-GFI 10. Cert. of Occupancy 8. Elec.; Enclosures; Conduit Entries-Terminala-Usted 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 V=OK O = Not OK " -=Not Applicable RESIDENTIAL (Single & Duplex) = Not Ready Date/Initials UNDERFLOOR (Plans) OK except #'a 1. Zoning -Setbacks -Easements -Flood -Slope 2. Ftg., Mein; Soils-Elec. Grnd. / P 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.; Fell -Fitting -Test -2 Way C/O -Sewer Test 10. UF. Gas Pipe; Size -Anchors - yard gas piping: size -teat 11. Water Pipe; Teat -Anchor -Regulator -Service Test 12. Electric; Underground 13. Plenums & Ducts; Clea rance-Materlal-Support-Ins. 14. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples 15. Access & Ventilation 16. Insulation Date/Initials PLUMBING (Permit) OK except #'a 16. Water Htr.; Vent -Access -Combustion Air -Baffle 17. Water Pipe; Test & Anchor -Nall Protection 18. D.W.V.; Test -Fittings & Anchor -Nall Protection 19. Shower Pan; Teat, First Floor-Tub'Access 20. Test Tub & Shower, Second Floor -Tub Access 21. Gas Pipe; Size & Anchors Date/Initials ELECTRICAL (Permit) OK except #'a 22 Fixture & Transformer Clearance -Ina. 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/Meth. Fastners-Bond Gas & Water 27. 2 Appliance Circuts in Kitchen & Conductor Size/GFI 28. Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / / ga. Cu or Al 29. Range Circ. / / ga. Cu or AI -Oven Circ. / / ga. Cu or Al. Insulated Neutral ❑ Yes ❑ No 30. Service -Riser Conductors & Ground -Mein Disconnect 31. Equip. Clearances Panels-Motore-Mach. Equip. 32. Clothes Closet Light -Shower Light -Spa Light 33. Smoke Detector Date/Initials MECHANICAL (Permit) OK except #'a 34. A.C. Ducts Insulation & Support 35. Vent Fan; Exhaust above insulation 36. Condensate Drain & Overflow; Size & Grade 37. Furnance-Vent; Access -Comb. Air -Return Air Vent -115 outlet 38. Attic Access & Platform if Furnance in Attic Date/Initials FRAMING (Plans) OK except #'a 39. Sils, Proper Material & Anchors 40. Wells Studs -Nailing, Spacing & Bracing -Plates -Sound 41. Bearing Walls over Girders & Floor Nailing 42. Draft Stop in Walls (rat proof) 43. Fire Stops; Furred Ceilings -Stairs -Chases -Tub 44. Headers & Beam -Size & Bearing Date/Initials FRAMING (Continued) 45. Hangers -Post Caps -Anchors -Connectors 46. Cing. Joist-Rftr. ties-Purlin=roof Brac-Truss-Shthng.-Rfng. 47. Fireplace Ties or Type A Flue -Fireplace Throat clearance 48. Attic Access; Size & Romex Protection -Draft Stop -Ina. Baffles 49. Bdrm. Windows or Exiting Doom -Sill Hgt. & Dimensions 50. Garage Fire Protection Framing 51. Property Line Firewall & Openings 52. Ext. Doors -One T -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 Wells; Nailing -Bolts 59. Insulation -Wells -Ceilings 60. Infiltration -Walls -Windows Date/Initials FINAL (Plans) OK except #'a 61. Ext. Steps -Door & Sidelight Protection -Landings moke Detector I 63. Furnace; Vents -Clearance -Comb. Air -Connector - In arage; Above Floor -Ducts -Meth. Protection Broom Exiting 65. G.F.I. & Bath Fixtures & Tub Access -Spa 66. Elec. Trim & Subpanel; Breaker Sizes & Labels 67. Stairs & Rails 68. Fireplace or Stove; Clearances -Hearth 69. Elec. Outlets at Wood Panel; Int. & Ext. 70. KIt.Fixt. & Appliance; Gmd.-Air Gap -Cooking Clearance 71. Elec. Outlets & Receptacles at Kit. Counter 72. Garage Fire Door, Swing -Landing -Closer 73. A.C. Duct in Garage -Damper 74. Wtr. Htr.; Vents -Clearance -Comb. Air-Connector-P.R.V. In Garage; Above Floor -Mach. Protection 7 1ec. & Mach. Equip. Listed for Location 76. 51ec. Receptacles in Garage; (G.F.I.)-Romex Protection &?f Insulation -Foam -Looked in Attic ❑ Yes 78. Guard Rails & Deck Construction -Post Caps 79. Fdn. Vents & Crawl Hole Door-Dralna e & Wood -Earth Clearance Looked under Floor Yea 80. Following instld.; Drive ❑ No; Walks Yes ❑ No; Planters ❑ Yes LWNo V ,4--9tucao-Brown-Finish 82-A.G-tintt7i5ieconnect, Electrical, Plumbing 83. Vents Above Roof; Pibg.-Appliance-Fireplace.-Clearance to Openings 84. Water Well; Disconnect, Electrical, Plumbing r 85. Ex!Qrr or Elec. Trim; G.F.I. Receptacle -Underground L88-Vientilation Throughout House 87. Glass Protection 88. Corrections from Previous Inspections 89. Gas Test -Meters Tagged; Gas -Electric 90. Water & Sewer Connected -C/O to Grade -HD Approval Energy Compliance Certificate -Other Certificates Comnwnts at Final: COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive - Oroville, California 95965 - Telephone (916) 538-7541 PER"�TINO. APPLICATION'ANPERMIT Cts- � -1 ASSESSOR PARCEL NUMBER - 030-41-0-028 ZONING AR BUILDING PERMIT r V OWNER GAIL SA9.DS TELEPHONE SQ. FT. OCC. BUILDING VALUATION _534–R349.. — OWNER'S MAILING ADDRESS 1221 14TH ST OROVILTE 95965 240 0 20 4800.00 CONTRACTOR'S NAME OWNER TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER, uNXNOWN Total Valuation Is Filing Fee $ 20,00 LENDERS MAILING ADDRESS Permit Fee $ 79 00 ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ 46 Energy Plan Checking Fee $ 120 ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS 1221 14T14 ST OROVTT-I-,E 9.5965 PERMIT FEE $ PLUMBING PERMIT Filing Fee 20.00 Each Trap 7,00 Solar or heat pump water heater 23.00 Water piping 15,00 LOT NO. SUBDIVISION'S NAME PARCEL MAP Each gas water heater or vent 15.00 USE OF STRUCTURE SF q Duplex ❑ Mobilehome ❑ Other SPECIFY Gas piping system 1 5 outlets 15.00 Building sewer 15.00 Mobile Home S G I W ` 20'00 TYPE OF WORK New ❑ Addition O Remodel ❑ Utilities 1:1Installation C3Other Describework: CONVERT GARAGE TO BDR.M & LAUNDRY PERMIT FEE g Contractor ELECTRICAL PERMIT Filing Fee 20.00 Main Service ( BOOVOR"' ) 200A OR LESS 23.00 Main Service ( 200A TO IOOOA ) 46.00 NEW"CONSOR ADDNS.T ( D a, ACCGBLDS. ) 3.50 F°: 8.40 CONTRACTORS LICENSE LAW( I declare under penalty of perjury (check one) ❑ I am a licensed under provisions of Chapter 9, Division 3 of the Business and Professions Code and my license is in full force and effect. No. Classification I, as the owner, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. (Seo 7044) ❑ I, as the owner, am exclusively contracting with licensed contractors. (Sec 7044) ❑ I am exempt under Sec. Business and Professions Code forthis reason NEW CONST. MULTI -OUTLET -NON RESID. ( BRANCH CIRCUITS ) @7.50 POWER APPARATUS ) a SINGLE OUTLET CIR. Ex. Occup. ( OUTLET OR FIXTURES ) B20 @ I.00 Ex. Occup.FIXED APPINS. OR (OUTLETS IRESID.) EA. ) 5.00License Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 28.00 WORKER'S COMPENSATION INSURANCE 1 declare under penalty of perjury (check one): ❑ This permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Dept. of Development Services, Building Division a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -insure. I shall not employ any person in any manner so as to become subject to the Worker's Compensation laws of California. Notice to Applicant: If after making this statement, should you become subject to the Worker's Compensation provisions of the Labor Code, you must forthwith comply with such provisions or this permit will be revoked. PERMIT FEE $ 28.40 Contractor' MECHANICAL PERMIT Filing Fee . 20.00 Heating Cooling DUCT 15.00 Hood 6.50 Ventilation PERMIT FEE $ 35.00 Contractor I certify that I have read this application and state that the above information is correct. 1 agree to comply to all Butte County Ordinances and California State Laws relating to building construction, and hereby authorize representatives of the County of Butte to ental upon the above mentioned property for inspection purposes. 1 also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue against said County i consequence of he granting of this permit. r Date Signature of pplicant Owner O 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 $ 46.00 c c' n TOTAL FEE $ 27 1.20 f I HA O. FEES IMP I FIOOD CDF PARCEL PD HD , ISSU `. This permit is hereby issued under the applicable provisions of the Butt County Code and/or Resolutions to do work indicate b ve for which fees have been paid. I CTOR F BLIC WORKS By Date/o_/� / /� PERMITEXPIRESON _ /o /q�+4 (Date) / J Receipt No. 153212 WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT "�-�''.COUNTYOF�BUTTE.� DEPARTMENT OF DEVELOPMENT SERVICES `_ 4469 Humboldt RoadChico CA (9161 89,1 2751: 7. County Centel Dnv Orb ille CA kj9�16) 538 754;1 747-'Elliott Road Faradise,._CA 191,618 -640T CORRECTION 'MT, r t OWNER ,_' - J PERMIT NO A routme.mspection indicates that the following violations of Butte County Ordinances exist at the above address and should 6e:corrected :Please notrfy tFiie-office when correction of work ` _ :• :. is corr;pleted, If.you have any' ns pertaining to this matter or need additional explanation, please; ct.this office'immediately., -' r: ' t r } C zv ti- _Date 3 Inspectoru 1. 7• kN Y W Y 4 <<^ rte, ENERGY INSTALLATIQN CERTIFICATE Building Owner <ict, I ~.\"K i �n�S —. Building Location Building Permit r-6. 1, DESCRIPTION OF INSULATION ' ROOF . .. Material Brand •Name ;.,. Thickness (inches)' - ...: Thermal .Resistance' , (R Value). EXTERIOR WALL Material �i�f�aG5 Brand, Name -Co . J ,✓ Thickness (inches) .: 7 Thermal-Resi.stance(R,Value)'IZ°- CEILING' ' Batt or Blanket `. Type Brand Name �G1,f - Cei�!✓��i ' . Thickness (inches) /Z '. Thermal Resistance(R'Value) .. Loose Fill T e YP Brand Name , Minimum Thickness(Inches) Area'covered(ft.2) `Number of Bags Wt. per bag, lb: Thermal Resistance(R Value) ' FLOOR, ELEVATED a :Material.. Brand Name Thickness(inches) Thermal Resistance(R Value) FLOOR, _SLAB 4 Material Brand Name Thickness (inches): Thermal. Resistance(R Value) Width(inches) FOUNDATION WALL' Material >' Brand Name. Thickness -(inches) Thermal Resistance(R Value) I. hereby certify that. the above insula tion was installed in the .above building",:. -- ': -2s consistent' -with- approved building depart-ment -plans--and attachments -and- con-° - forms.with.requirements of Chapter 2-53 of State. of California Energy -'Requirement . �{ FIRM ''NAME /OWNER STATE .CONTRACTOR'S LICENSE,, NO SIGNATURE .OFNSTALLATION,:APPLICATOR:.. DATE:. I.hereby-certify the required features,.devices,-and equipment, ab:shown on. the approved -Building Department"plans..•and,attachments.have been installed'and.conform to. -the appl - ance standards ,and Chapter 2-53 of the --State of .California Energy Lequirements. -CONTRACTOR'S BUILDING CONTRACTOR/OWNER'( Please- Print) STATE LICENSE NO. - (FIRM NAME) SIGNATURE OF BUILDING_'CONTRACTOR/OWNER: DATE HVAC FIRM NAME/OWNER (Please, Print) STATE CONTRACTOR'S LICENSE,NO. 'SIGNATURE OF HVAC-CONTRACTOR/OWNER` DATE THIS'CERTIFICATE MUST BE ON`FILE WITH THE BUILDING DEPARTMENT.,PRIOR :TO FINAL_INSPECTION APPROVAL AND A DOPY, SHALL BE POSTED WITHIN THE. BUILDING: SEPTEMBER'.1988 vw @tb,ry1{.y+t,J• '. y , .�,e; ._ti •.e a T 'Y k t. 1K.+..i (. b �,...t�"7.�1�;»�(�'t�1�''ti'�§'�t''4�4'9'`�C7.+.=�`Nild�t; "•9 COUNTYOF BUTTE - DEPARTMENT OF DEVE OPMENTSERVICES -BUILDING DIVISION �. 7COUNTY, CENTER DRIVE -OROVILLE,CALIFORNIA95965' TELEPHONE(916)538-7541 PERMIT APPLICATION bATAySHEET OWNER"/ Proposed Building Use� Building Inspector Date a O-�-3 �At time of permit application; I was advised the following data must be submitted prior to permit processing and/or issuance: �Y A DATE RECEIVED' By ' 1 All items have been submitted. : ; :: ................... !Plot plans, 3/4 sets, signed by preparer:of plans '.zr . 6mplete plans, 3/4 sets, signed by preparer of plans 4. Engineered plans and calcs, 3/4 sets; with wet signatu 5. Hazardous' Material Forma ... ... ... .. . .. 6. Energy Design Compliance and supporting documentation . ................... 7. Statement of Intent for Non -Heated and A/C Buildings........ i ....... ..... . 8. Engineered truss`details and layout in duplicate (required prior to plan check). 9. 'Mobilehome data and manufacturer's installation instructions, 2 sets. ... . Fees of $ . . : Impact.fees as shown on attached schedule. �G .aLy..... 12. California Department of Forestry plan approval/fees. ' . :..... ............ . 13. 'Flood elevation letter (100 year flood y ifornia Engineer : .::........:.....: . 14. Sanitation and plot plan approval Health Department. . ..........:.!' 15. Cit of Chico plumbingpermit. .. ' ................................... 16. Plot plan and business license approval from City of Biggs/Gridley. . r ' 17. -Planning approval for (A) Use: (B) .Parking: t:_ ........ r F 48: Contact Land.Development.about (A);Improvements (B) Drairiage� 19.�Drivewayfpermit (construction approval required prior to:occupancy)..:...' ..'. r a Pre Ine� on:repue+.► I"Slr20.;,Pre-inspection for required. .: W Bugmg lospedo�'�. (Date) Contractor_;s license information. (No., Name. Style, Classification). Certificateoof+Workmans Compensation Insurance. _ :.. ...... ..... . ~' ie.,* lee 23. ,.Owner -Builder Verificationr(Given to owner , Mail to owner ).:..:... � 24. Recorded;copyiof Agricultural Acknowledgement Statement. . . ,x 25.1 letter of signature authorizatiorn, :.. ... ..........`........:......... . 26. Copy of. recorded deed of parcel creation and.60 right of way to a public road. . . 27. Letter of intent on building use. ... ............. ................. . 1. 28. Mobilehome utility clearance. .........................:.:.:. . ... . 29. Documentation of legal access. . . "30. Documentation of 50% subdivision developed or (A) Road improvements completed and (B) Parcel meets zoning area and frontage requirements... :.:. . 31. Existing violations/expired permits. :...: ......... 32. ' Plan check list. .. _ 33. 34. When you slue the permit, process as follows: Mail -to owns{ Mail to contractor. elephone 3 nd hold for pickup at h' LC CJ office. Deliver with inspector. Other Parcel Creation ' 'Acreage Applicant GC�Cf/ Date =/0// / Copy of Haz-Mat form sent Health Dept. . Fire�Dept '� Air Pollution Date Copy of plans sent Health Dept. Fire Dept.'' . Other "� Date By. The following data must be submitted prior to permit issuance: (Circle new item not checked above). 1. Index permit'for above items No. 2. Additional items required: Contractor, designer, owner, was advised of above required data by _ phone _ mail Counter by _ Date Contractor, designer, owner, was advised of above required data by _ phone _ mail Co rater by Date Plans checked by Date Plans approved by Date Sets of plans, on hold in File cabinet AP folder . Copy - Department of Public Works L ..• .,'.._ _. ._ _• � ._ - .-- ,��\�T._ - _ It -q ._ -- ti :�` �. _._. ice. l � i � �..�1 CJrU � / l`� � i Zz1 � �t rJ� 5T _ _ .. _ ADDITIONS TO RESIDENTIAL BUILDINGS ENERGY SHEET 'PACKAGE COMPLIANCE'S % Owner ASL/(�� f�.'(N�� Climate Zone Permit f 3 Floor Area Tn ' The following data showing mandatoryand required features 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. Climate Zones 11 and 16* Component <=100 sgft 101-499 500-999% >=1000 sqft Ceiling R-19 R -38' R-38 R-38 Ins. — Wall Ins.- R-13,. R -13y' R-13 R-19, 21 Floor Ins. R-13. R-19 R-19 R-19 Slab Edge NR I NR', R-7 NR, R-7 ' NR, R-7 " Ins. Glass (U) .75 ,75 .65. .60 .b5.,..60 Max—Glass 50 sq.ft. 16% + 16% + 16% Removed J -Removed Shading NR .66 .66 .66 Coeff(SSN) Shading NR :40, .66 - :40, .'66 .401 .66 Coeff(W&E) -*- Thermal NR 5% Raised 5% Raised 5% Raised Mass 20% Slab 20% Slab 20% Slab Heat, Elect• Not Allowed- Not'Al.lowed Not.Allowed Not Allowed Resistance Heat,. Gas AFUE 78%- AFUE 78% AFUE 78$ AFUE 78% Heat Pump HSPF 6.8 HSPF 6.8 -. HSPF 6.8 HSPF 6.8 Split- Sys. Heat Pump ', HSPF 6.6 HSPF 6.6, HSPF 6.6 HSPF 6.6 Package Cooling - SEER 10.0 SEER 10.0" SEER 10.0 SEER 10.0 Split Sys. Cooling - SEER 9.7. SEER 9.7 SEER 9.7 SEER 9.7 Package Increased # Allowed w/ Al Lowed w/ Allowed w/ Allowed w/ of Wtr Htrs calculation calculation calculation. calculation * One entry/column =-req both•zones,.2nd.entry = req zone 16.' SPECIAL FEATURES/REMARKS.. S q, 7 LOOSE FILL. INSULATION (-Density) INFILTRATION CONTROL (Weatherstrip doors, certified windows caulking) f VAPOR BARRIER (Zone 16) NV DUCTS PER UNIFORM MECHANICAL CODE - Ch. 10. LIGHTING KITCHEN b BATH,NOT LESS THAN 40 LUMEN'S eTl� DESIGN COMPLIANCE STATEMENT: The above building, de 99 eels the requirements of Title 29, P its-` 1 and 6 of ,the California code. of Reauiataons. �/ 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.u: - <" 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 thero osed wo P P 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 Berson 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,iridicated: Name Address Phone Type. of Work Signed Property Owner Social Security Number Date //Tf 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. C. -�"3168-79B,P,E,MPERMIT NO. T. r • PERMIT EXPIRES OWNER Oro' Contractors • ` CONTR. owner 30-41-28'. LOCATION (A.P. ) J M 1231 14th St, Thermalito :t 11 • 4, t ,.t. • - 1;•;i' • _ rk" r. Temp. Power Pole Called PG&E Temp. Elec. Serv. Called PG&E ' Temp. Gas Serv. Called PG&E JOB FINALED (Date • (Si nature) ' COUNTY OF.. BUTTE - DEPARTMENT OF.PUBLICVORKS 4= BUILDING INSPECT16N.RECORD BUILDING BUILDING (Cont'd) PLUMBING Setback Firewall 27 2 Soll'PI in Forms Parapets list Floor Main Bldg. Restroom Finish 2nd Floor Footings - S' Windows 3rd Floor StemwaI I - Siding To out " Slab _ tS Roof Sheathing Water Piping Piers Roofing , Sewer Garage Fdn. Vents - Fixtures {•, Footings — .Garage Vents `---- Water Htr. ~ Stemwa l l Insulation Heaters Slab Prov. for ph sically Appliance- Carport. liances handicapped %— Car tConformance of ex. Gas PI in &Test e� Footings structure — Tem . Gas Slab Final — — 7 Sanitation Patio FIREPLACE Final r ! Footings Footing ELECTRICAL , - Masonry Walls ThroatRou h % 9 6-e' —m Relnf. Steel Final Fixtures Bond Beam FIRE SPRINKLE RS Motors Framing —Ilk Test Water Htr. Stucco Final Subpanels Mesh.- MECHANICAL -Grd. Fault 1-!Rt. Scratch Heating 7 Service' Brown Cool in Temp. Finish -Ducts Underground Interior Lath Ventilation Permanent _ Door Closer Final --- -- Final MOBILEHOME UTILITIES - - - - - - - - - - - - - - Elec. Service Elec. Pedestal Water Piping Sewer Gas Piping MOBILEHOME INSTAL I------------ Sup pport flet. Continuity Water Piping Drainage Gas Piping' DATE REMARKS OR CORRECTIONS A®-%,r\ 'S Zt 01<4D 120.c S27V'AF- &wr-X . f,v Zai X � Q lay CL �. 8 a7� RIL oeagc, ss� �--ixrjjt,5 T RPh` Us 64tZ- 7kiO IF (NOTE: An entry must be made on this form each time you visit the job site.) FOA- �� 77an a FOfl-- A-1eX&aA`L- . N t0405 L5 I ZED mak) e/L /d?b o -d- X92 mac. G « ✓ �c��a �.�aP�K '� - � p � ��✓W�?-2 VAC .- • V ' � � 1 �� �r COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS ic7 County Center'Drive OroviIle- California 95965 , Tel ephon`e: 534;.4541. 1 APPLICATION AND. PERMIT " / -7 authorize representatives of the�Gounty of t3utte to enter upon tne.. This permiY•is hereby issued under the applicable provisions of above-mentioned property for inspection purposes. the Butte County Code and/or resolutions to'do.work .indicated above for which fees have been paid. X Date v tV,RECT PUBLICVORKS Signature of'Peimitee or Agent By Date" v Receipt No. �� /• /. White-D.P.W. -Yellow-Assessor Pink -Inspector =Goldenrod -Applicant B Ildlll9 permit expires Date P . BUILDING Owner SO,: FT'. rOGC.. BUILDING VALUATION Mailing Address 3 ?iU Telephone -No. Contractor,;1:A:F Mailing Address �D= ireplace Total Valuation Telephone No :Permit; Fee �( Building'Address /Z,3 Plan Checking Fee &%or Penalty :Permit Fee '2. -- PLUMBING No. @ FEE PERMIT FILING -FEE' $3.00. ,,^O ; Each Trap 1.50 Ze 00 - Repair drainage or vent.pipin,g 1.50 A. P. N0.� 8.Panning Zoning .Water,: piping" 1.50 Sp' Each gas water heater or vent- 1.50 0 F s WbG� '•S I gy _ FireDept. FireZone Use Permit Gas. piping system 1 .-5 outlets -1.50 G5 EQA . Parking Pians Parcel Declaration,; Parcel p, ,60' R/W '. improv ents Each additional outlet .30': Buildind sewer. 5.00` �_ 13g'.Flans Recd Farce royal, Plans royal Lawn•sprinkler system 2.00. NEW ADDITI.ON.❑ UTILITIES ❑ OTHER❑ Permit Fee $ 7T 5 o 7 f5? ELECTRICALNo.• .@ FEE ' -00v PERMIT FILING FEE 1$3.00 00 - OR.LE55 Main*service . X00 OROR LESS 5•� Single Family Duplex ❑ Mobil Home ❑ .. Others -0 Main service .EA. _noD L loo AMP 2.50 - _ - Main service OVER eoov. 25.00 100 AMP OR LESS' " Main service EA..ADD'L 100 AMP 1.00 NEW CONS. DWELING O C P ) 20sgft OR ADDNST (ACC.I-'BLDGS.r- -- CONTRACTORS LICENSE LAW I am licensed under the provisions -of Chapter 9, Div. 3, of the State:of California Business' &;Professions Code under the name . of: - style NEW CONSTR.UL.TI- U NON.RESID BRANCH C.IRCUI-TS) 2.50ea - ' - . NEW ,CONSTR.- (POWER APPARATUS & NON.RESID. 1 SINGLE OUTLET:CIR. '... Ex. Occuo(OUTLETS OR FIXTIiRES gA@Aj - FI'XED APPLNS. OR - Ex. OCcup•(OUTLETS (RESID.)"EA) 2.00 Temporary service 10.00 Mobile Home Facilities ib.00 ' / License No. 7---77 7 Classifi.dation _ Misc. Wiring - - 6.25 03 -Lam exempt.from the Contractors'License Laws of the State of California. - Permit Fee •$ Z, j $ 3Z LT MECHANICAL No. @. FEE WORKMEN'S COMPENSATION INSURANCE. I am aware of the provisions of Section3700 of the California Labor.• . Code which requires every employer to be insured` against liability. for Workmen's Compensation. ❑I have placed on file with the County of Butte a certificate of:. Workmen's. Compensation Insurance. '©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 the Workmen's Compensation Laws'of'. California. PERMIT FILiNG,FEE. Heating g D'Ciw Z �r Cooling Ventilation Hood 2.00' �.D D Permit Fee $ .' (v.CaU $ ^` I certify that I have read this'application and state that the above information is correct. I agree to -comply to all County Ordinances' and State Laws relating. to building construction,. and hereby Land' Development Fee $ ;Z5 TOTAL' PERMIT FEE D authorize representatives of the�Gounty of t3utte to enter upon tne.. This permiY•is hereby issued under the applicable provisions of above-mentioned property for inspection purposes. the Butte County Code and/or resolutions to'do.work .indicated above for which fees have been paid. X Date v tV,RECT PUBLICVORKS Signature of'Peimitee or Agent By Date" v Receipt No. �� /• /. White-D.P.W. -Yellow-Assessor Pink -Inspector =Goldenrod -Applicant B Ildlll9 permit expires Date - ye• .. r` J - ;f. �� tit .1 .1.. ?4 •( �� Sly AL ojl r � y fl - .-. {_YY Nj .�� b i dt k �. ; ' µ ri., yob � 7 •l _. } •'k :-•. + axay ra R ,•-v Fes: r p �. �; .f _. 4 _ a, ✓ t r F�� � � 1 r � S t t i? 7 � t � .,+, 51E,.. c _• r � �F 1>ti� ' +�, i �• i.� ,k. ...t yr t�C•tt } - '� C j 1 Si•.• a s i a-c-'�L�it�' 'AR" , ,r o-'! t { •t t` r, _ r �. i�'t rr"'� +. i a 7 } '� 9' .. � { f r � 1 ,f 9 a- tl•;� . �r .(t k. WIN r t r � I �; ! t r �:•r 1 r.. r ''..G L f t.s. 1 } � .- �. COP ` t r .}i4 s} K i4 rs7" i s t} R f R f '1r ; ti 1 P• V r 0 Y Or t tq•H'� r 13 Elton, + t$r �. _ } 1„y1 ^t. t.,'v, K Y d1 t s i ri.. y.-_ ; .,..,'S x=* r rs p r Y o3'fk1i. i ', 1 itY r. • It F •. tI,i•is+' xita�r t Z xfti f �' fi x, at;i q.�t ,�.' r3 <' F '�'�`C`-4J.- t �•%{ 1 ••F: :.4 rt }•rr. z .d .P.r.>< ,.s {r{� :.,f .4trr z?dz'�r' q„ :. ':r `rF t-t'e- .+k r+'( 3. ,• .i t r� }� •�., +fs l :rte t o r�'i.�Y1` �. ry Y�1 :.Y >��,+V�f 0.410701- r.'r,e ...^'. G x•.. .L y.. .tY- + �, s j T J..^• rK .. r.' _ 1.- �` t ROOM 1 .'• r �� 4 `• .t }; 1 `r rn t �q ;. i,� )yt i � Ii 33�` „f. I' f. , r r0 VAN, Tywoor' Qq P1 IJ efr i n >I .y �':.•f t? sy'1, r��e`}a;Y'S� � it?,� .�,� .� J -.4y '4� r 5.. �.tl l „t' r�i•:; }it%�+<Cv� ��.. ��* rf� �t, �,N cs ,y,. � 1 r- r �, �- a �i5.y+ d•t�..'�J 1t� t r.�._ t '+ y �. a ...e _ ,+....., 'fit}, i r r-�.. ^ -w -1+. w• s� n.• - :t a d" •� ��4 \ -:1�, �'3.""'d ) ,, s �`.._., t ot t, Lot r - i} .1 �S+'?'.T ,t)I e; �f r�.i'.'r ��'' `�i - r?° t` +1 7� ,� < .�? r. r, { .':� l t eft• . `° f %00 7o The Bldg. Setback shall be 5 ft, from the ' side property line and So ft. from the # x ocenterline of the road, permitting a maxi- mum of a 2 ft. eave overhang but entirely 42x�o , out of all easements.--.. a, wI + N See- Master Plan on file 'for buildir - MOTE:—All Materials & Workmanship_ _ _ -_• plans. - - - `cAccordance-with Recognized Good '--Pracfices"=arc] "Ir- of a quality prescribed for the Specified- use in=fhe QRo-:00ot -�Uniform Building, Plumbing & Mechanical Codes"id the National Electrical Code. z This set of plans and specifications MUST bei kept on the job at all. timos and it-.-is u�tic�wful Po�� make any charges or .c�IterrtiQns on same wi+hout' written ermifrom the Department of P,ubl' Septic system, and location of build=. " , :, Works, County af: Butte.' t P; ing drain stub-out to ' be as per - ` tri r� Butte County Health Dept. Re �. gyirements. s Ids '.h"M BUTTE COUNTY R , BUILDING DEPARTMENT ' X APPROVED ani �• , y.� THERMALITO IRRIGATION DISTRICT 410 GRAND 'AVENUE OROVILLE, CALIFORNIA 95965 TELEPHONE 533-0740 �.� • - t�-..moi 1500 E. i CSA 26 SEWER SERVICE APPLICATION AND CONNECTION PERMIT Service Address: ./,7 3 Owner's Name::.',-;^. r r 'r Date: U Address: A-` _, --< Acct. No: 2 /3 3 7 r,: A. P. No.: ✓:'> ,r Phone: = % '' No. Units: a/1" Applicant/Agent: Agents Proof: Address: Fees: Phone: Application $ Arrearage Preliminary Review By: Date: CSA 26 Remarks: SC -OR 1st mo. S.C. Other C:5 - C:5I' 7 9 v5�'7n 0--L Total Fees a Collected By: Date: Field Review BY: � %7c s'Gn�. �- ,Date: �- % — 7 f - Remarks: 7 5P MONTHLY SERVICE CHARGES WILL -COMMENCE AUTOMATICALLY UPON: ❑ Date of TID approval of completed bu,ild,ing'sewer ('early connection). ❑ 30 days after date above; or on date -'Of D.P.W.`approvaI 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 - TID, YELLOW - APPLICANT, PINK DPW, GOLDENROD - DPW to TID -�' Permit#3448-82 } "Michael Shields s r1 r :y COUNTY OF BUTTE-- DEPARTMENT OF PUBLIC WORKS W _ PERMIT NO. 7 County Center Drive - Oroville, California 95965 - Telephone 916/534-4541 - APPLICATION AND PERMIT ASSESSOR PAS+]}RCEL NUMBER ONIN�"ti BUILDING PERMIT OWNER /V/CP/1 fi.- ,t141CGD S TELEPHONE _ SQ. FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS I? Z / 1,00- S7, CONTRACTOR'S NAME ` TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace ' ��/Cj{j , oc3 CONSTRUCTION LENDER UNKNOWN Total Valuation $ ev Filing Fee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER LICENSE No. Plan Checking Fee $ Penalty $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Permit fee $ 0 BUILDING ADDRESS/ Z//-4 �/ - 127/ PLUMBING PERMIT Filin Fee 10.00 9 Each Trap 2.00 Solar Water Heater 20.00 Water piping 5.00 LOT NO. SUBDIVISION NAME PARCEL MAP Each qas water heater or vent 5.00 Gas piping system 1 - 5 outlets 5.00 USE OF STRUCTURE SF ©/Duplex ❑ Mobi lehome ❑ Other SPECIFY Building sewer 5.00 Mobile Home S G W 10.00 e TYPE OF WORK New ❑ Addition❑s/Remodel ❑ Utillities ❑ Install tion❑ fOt�er E} --Contractor Describe work: 11)571-q1,4_©" �G�f��`'�- Permit Fee $ ELECTRICAL PERMIT Filing Fee 10.00 Main service io°°V OR o AMP ORLESS10.00 Main service EA. ADD'L too AMP 2.50 NEW CONST. DWELLING OCCUP.& OR ADDNS. ( ACC. BLDGS. t 2/20sgft CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): ❑ I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in full force and effect. License No. Classification I, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONSTR LTI-OUTLET 2.50 ea NON -REBID BRANCH CIRC ITS NEW CONSTR ! POWER APPARATUS &) NON.RESID, \SINGLE OUTLET CIR. Ex. OUcup(OUTLETS OR FIXTURES eq ®g 0Q FIXED APP LNS. OR Ex. Occup. OUTLETS (RESID.) EAJ 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 Permit Fee $ Contractor MECHANICAL PERMIT Filing Fee. 10.00 WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. ❑" I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. Heating Cooling Hood 3.00 Ventilation Permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the Countyot Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue[ against said County in consequence.of the granting of this permit. r' X �� `%t ..L y !r % • -� : 1. c•C� r`a L= Dated �1}� � lam_ Signature of Applicant — Owner � Contractor ❑ Agent ❑ An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over in height. Mobile Home Installation Fee $ TOTAL PERMIT FEE $ OCCUP. GROUP I TYPE OF CONST. -I PARCEL PD HD ISSUE This -permit is herebyissued under gy, sions A the�Butte 9ounty.Code and/or work � ated abpve for which f •- REt;TOR OF PUBLIC By � PERMIT EXPIRES Date the applicable provi- resolutions to do fees have been paid. WORKS Date � 2 ? //? •�� �3ystories Receipt NO. No. "./ �� 3 � WHITE-D.P.W., YELLOW-ASS[SSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT COUNTY OF, BUTTE DEPARTMENT OF PUBLIC WORKS 196 Memorial Way, Chico — Phone: 891-2751 7 County Center Drive, Orovi Ile — Phone 534 ;4-e41 Skyway and Elliott Road, Paradise — Phone: 872-2961, Ext: 57 CORRECTION 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, matter, or need additional explanation, please contact this office .immediately. _5,V4re Poo � IY-)57 4i L0L 162.4 x--114 �Cdr Inspector �— Date ��-4 COUNTY'QF BU :'TE 'DEPARTMENT OF PUBLIC ;WORKS PERMiT' 7 County Center Drive-.OrovilleCalifornla,95965 `Telephone 916/534-4541 " .. >APPLICATION,ANQ PERMIT 'ASSESSOR P9�CEL.N��pBE • . - G` BUILDING, PERMIT +ZON,1 °�I` NSW SO FT.' OCC. BUILDING VALUATION-_ f /h(r/•S MAI�I / �DR�/�/" .• . CONTRACTOR'S NAM �• - - .TELE -PHONE - �• -• CONTRACTOR'S MAILING_ ADDRES - ,- - 4 t Fireplace CONSTRUCTION LEN DE •' ;.� UNKNOWN r • :T,otai,.Valuation $• '- ' p p� • �� ' Flling Fee- $ _ 10'00 LENDER'S MAILING ADDRESS Permit Fee . $ ARCHITECT OR ENGIN LICENSE NO. Plan: Checking Fee'' .$ Penalty ' $ ARCHITECT OR ENGIN ER'S MAILING ADDRESS - - Permit fee $ • off. BUILDING ADDRESS ,/ r� - ' , ZZ �'- -:.-PLUMBING PERMIT ' Filing Fee- 10.00 - Eacli'Trap' 2.00 So�lar;Water Heater,, 20.00 ��X/(/l�✓'.. Water.piping ., 5.00 LOT NO. SUBDIVISION. NAME PARCEL MAP, 'Eacfgas,water.:heater or vent 5.00 ' Gas piping -system 1 - 5 outlets 5.00 , USE OF STRUCTURE SF [e Duplex❑ ;Mobilehome❑, Other - SPEC.I FY Building sewer 5.00' Mobile Home` S G. W 10.00e ,a TYPE OF WORK New❑ Addition❑�% emodel❑ Utif,ities❑ Inst I tion❑/'tt r Describe work:, �NS�LC� ��`"" • �/ //!�' <✓� L— I "Permit Fee $ Contractor ELECTRICAL PERMIT.-.: Filing Fee' ` 10.00• ESS 00V OR L ,. Main service 100 AMP LOR ESSLESS' 1 _ 10.00, - - Main service SEA. ADD'L 700 AMP 2:50 .- NEW CONST. ( DWELLI.NG OCCUP.&\ OR ADDNS. ACC: BLDGS. 11 2Y2¢Sq ft CONTRACTORS LICENSE LAW _ declare under penalty of :perjury (check one): t• ' ,❑ I am licensed under provisions of Chapt. 9, D'iv.•3 of .the Business and Professions Code and m license is in full- force and: effect. y License No. Classification [� I, as•"the owner, or my employees' with wages as their solve compen- sation, will do the work,and the structure is not intended or offered for'sale. (Sec. 7044)' ❑ I,..as the owner, am -exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ ,I -am' -exempt under Sec. , Business -and Professions Code for this reason NEW C.°NST1 UL'TI-OUTLET ; 2.5Oea NON=RESID BRANCH CIRC TS NEW CONSTR.•(POWER APPARATUS &1 NON-RESID. SING LE'OUTLET CIR.- / 20®50t Ex. Occup(OUTLETS OR FIXTURES eAL®'30 .FIXED APPLNS, OR .1 \ Ex. ,Occ6p.:.OUT LETS (RESID.) EA.) 2.00 Temporary service : ' 10.00 Mobile Home.Facilities 15.00 Misc. Wiring 15.00 Permi Fee $ _ Contractor MECHANICAL PERMIT FilingFee 10.00 WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury .(check one): ,The permit is for $100.00 (valuation) or less. ; I, have placed .'on file with the County of .Butte Building Department a Certificate of,Workmen's Compensation' Insurance or,a Certificate. of Consent to Self-Ins'ure.. �I shall not employ any person in any manner so as to become subject to the W. C. Iaws,of,California. Notice to Applicant: if after making this statement,should•you become.subj'ect to the W. C. provisions of the'Labor Code, you must forthwith comply with such. provisions or this permit shall be deemed revoked. Heating Cooling 'Hood' 3.00 ' Ventilation Perrnit Fee • Contractor I. certify that I have read Phis application and state that the above information is correct. I agree to'comply to all Count y,Ordinances and State Laws.'relating. to building construction, and hereby authorize representatives of, the Courity.ot Butte to enter upori.the above-mentioned property for, inspection purposes. I also agree to save; indemnify and keep harmless the.Courity of Butte against` al ,liabilities,- juQments, costs; and.expenses which may in,any way accrue against said' linty in consequence f the granting of this permit. . X,�!1 _� Date Signature of Applicant— Owner u 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 Instaltation Fee' $,; ., r ' TOTAL PERMIT. FEE OCCUP. GROUP TYPE of, CONST. PARCEL PD HD SSUE 'This rmit is'nereb issued under sio s.• the utte ounty. Code and/or w k • to ab ve ,for which �OH'OF PUBLIC By .PERMIT EXPIRES Date��r the applicable provi= resolutions to do ,fees. have been paid. 'WORKS' Date �� - �, a? Receipt No. WHITE-D.P.W., 7ELLOW-A55E530 R,.P INK -INSPECTOR, GOLDENROD -APPLICANT - y r �7 . 3 �, .-w Jr ,Yt. �, �l1 i o-qF 1 �. } �,� � �'� ', �� ti ,cj„� 3s s I�r .r s t l • e �� � �� � �" �!.� s��' Ar:J", r ! �+.}•�ti�„i� a� ��� ,�.r`�^ '' n,"' �',�lir, ,r f��. �n I � '' - T a rig ,� .,...y Il. > _ } �r� i7""• �3Z h 1 r �' �5 Y1, t. C"Zi 0 - J h J t {.fi ^i 5 5 r•t �r�t v , I .� 5 �t I�✓ .3 '� �' .� ,i�1 � -) a �" 777 14, A.. 6 5 � r. '.5 _ � - .. '... •� rte', -'r i� .•� 1 v � ',� ' - . ' � . S•' r t .,� ..'^. .Alf ',F J i. 7 ♦ c�n n �, '� 1� 1 _.F�' *' _b�x i +-.S�"{J ", t�H j. .1 .fit: Y" F _. • r � ♦ t. � . � S. � � f ` r 3 a v >? -. r'�." r �5 ,�.. 1 � 1 )t ,�� 1 f. "�+ � '.p;, t5t; - < , � tM••,.-r � �i`.S:' 'ti r `� ;�'�, 'Th'# „c y� 5••. � � "i Gj J Y �1� .f t v r':t •` ,6A .S'- � `+� 4` J �J t, i" ve. _}'1r Y5 t �\ 1� •• i p • •. J ' 'tl �r y fF ', I` � �r r - -F 1. ..l . � ,� }� t � � t . . • - t ,. .:v s r '' !' w.* } 1 L r � A L � 4 b �t, '.Y y � � 1, t a.,t• � k ,. 'r' 1, �5 1 1 i '-� '1.. r- .> t .• �? j"r" � .1 � v r iE 'L Z + ,, , i ''. 1a r � ', .- r» r , � r 1. . , 5 y r . by � ' , n .3 t -' ,F l• t, 1 _ xl + F wr a 1 �5, 5 J5 i ri 1, � t > >' •� � t � �,1;E r?�„i �hd� j'�r"; � ,.1rr: r rr•;+K. i-'a�t ifF r > 1 r l' - t ,r 5` . •! x ., Y -:' i� ,s , ti f, F �. . x 1 '� .+, y ...� Y r". �>�. f, A .t„ r( f 7 i f., t t. . �%�Z •x�,- r N .11. ! �, hr _'� ,t t.-�t:''t t+ 7."a � 11 x.' ., - r � ' - .r �, , �d�' • iy: - •�'. :;.] i�, 4 NtM159, ,,h;Yr iq _ •'> r4.+ ..; n. ..1+,.<)5) t}±. A ..t' y - P w � , .� 4 - 5 .ff [... v 1 • 'r ' i •• tit. t', { , BUTTE COUNTY SCHOOLS IMPACT., FEE CERTIFICATION FORM (One Form -Per, Building) . School District G� /d... Building Department No. A.P. Number�G� (%� / Jurisdiction, City ounty Property Owner Property Location /Address ! I Zfi 7-11' 5 Subdivison Lot No. Residential Development 0: 0. � Sq. Footage l No. of Living MMI Addition (Group R) Units ,Commercial/Industrial Sq. Footage - New Addition . (Including Exterior Roofed Areas) J ne { itding Departmey(Re'presebtative .=h Date District Identification No. 94 0 0 5 kQ VUJ�J; !Y (,f�K! ITS- . School District certifies that �L (Applicant) , IL (Stre dy�d�r�Aes//s) (Phone Number) OA.1 (City) (State) has complied with the, requirements of Resolution No. �� ' 90. ` (Zip Code) by payment of $ representing square feet. /L �s 3 School District Representative Date Paid by Check NumberRemarks: .(� G��JU �V Bank Number Paid' by Cash If, bsequent tot School District R "`esentative.signi this Butte Co Schools Imp a ee Cert' tion Form the o 11 District'is` n ` ed by the applic Local Plann Agency that thi roject is being r� i wed under the lifornia Environ tat Quality Act ( A). this,proje ay be subject additional scho es to full mi ' . to its impact on school district's hoots. '`. White (applicant), Yellow (buildin department), k:(school district fe fo .wkl (4/92)