HomeMy WebLinkAbout030-420-032WX
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HOLDEN, John
17.99 Leta Lan
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30-42-32'
-HOLDEN , Nh��
1799,,Leta- 4
(remoa��, SF)
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WILLIAMS, J.D. 3214B
IT
Tri
B. ;,. bulluing rerm i Pq
LICENSED CONTRACTORS DECLARATION
I hereby affinw. under penalty of perjury that I arn licensed,under,
provisibnsol'Chioter 9 (commencing.with Section 7000) of!)Msilon-3 I
.0
Issued Date: 08/25/2005 APN: 0307420 032-000
the Business and Professions Code, and my license is, In full force and.
effect..
License Class: License Number:
Site Address: 1799 LETA LN ORO
Date: Contractor.
Map Index:
Description: 8,new WiridOWS 1 door replaced 'i6tro fit
DECLARATION
A hereby affirm penalty. of perjury -that I am, exempt Irp m the
Contractors' -State License La�v foi-the'followIng'reason (Sec. 7031.5
Business and Professions Code:%:An y city.or county whIch requires a
permit to construct, alter,.Improve, demolish; or repair any structure, prior
W' 'HOLDEN JOHNSON'M'& DELAUNA B, LIVING
0 ner:
to its Issuance, also requires the applicant for such permit to rile a
TRUST.
signed. statement that he or she is licensed pursuant to the provisions of
the Contractor's State License Law (Chapter 9 commencing with Section
HOLDENJOHNSON M IIA DELAUNA..B'
7000) of Division 3 of the Business and. Profes$ions'Code) or that he or,
TRUSTEES
she Is exempt therefrom and the basis for the alleged,exemption., Any
"I 799LETA LN
violation of.Section 7031.5'by any appIlcant for a permit subjects the
11
, applicant to a civil penalt ofnot'more than five hundred dollars -($500).).".
y
-,OROVILLE: CA,05965:
16 1, as owner ol"the property, Qr,my employees -with wages.as,their
sole compensation, . will do the work, and. the structure is not
Intended or offered for sale (Sec. 7044, Business and Professions
Code: -The, Contractors' State License Law does not,apply-to an
owner of -property who builds or improves thereon. and who does.
such work himself or herself or through his or her own employees,
HOLDEN JOHNSONNA. DELAUNA�'B LIVING
provided that such Improvements are not,intended or offered for.
.
:��A plicant: .
sale..*. Ifhowever, -the bui Iiing cir Improvements* are sold within one
. . I .., )., : .
TRUST.
year of completion, the owner -builder will have the burden of
HOLDEN JOHNSON M11 & DELAUNA-13-
proving thafhe or, shb did not build or Improve for the purpose of
sale.),'
TRUSTEES
Q Cas own'6r' o , f the property,- am excJu I sively'contracting with
1799 LETA LN
lice*nsed,contractors to construct the project (Sec. 7044, Business'
OROVILLE, CA 95965
'and Professions Code. The Contractors' State License Law does
not apply. to an owner of properfy -who builds or Improv . es thereon
and who contracts for,such projects' with a contractor(s) license
pursuant to the Contractors' State License Law.).
Q .'IamE mpt under Article 3 oWe Buslne4�- id Professions Code
Contractor:
Dalem7f Own
WORKERS'COMPENSATION DECLARATION
I hereby affirm under penalty of perjury one of the following declarations:
C3, I have and will maintain a certificate of consent to self -I nsure for
workers'. compensation, as provided for by Section 3700 of the
LaborCode, for the performance of theWork for which.this permit,
Is Issued.
I' have and will maintain workers' compensation Insurance, as
-License #:
required by Section 3700 the Labor Code, for the performance of
the Work'for which this Permit is issued. My workers' compensation
%
Insurance carrier and policy number are:
Architect:
Carrier.'
Engineer:
Policy #:
I certify that in the performance of the work for which this.permit Is
issued, I shall not employ any person in any manner so as to
Total Square Ft: S. F.
becorqe subject td the workers' compe ' nation laws of California,
and ' agree that If I should becorne subject to the workers'
Valuation: $0.00
compensation provisions of Section.3700 of the Labor,Code, I shall
.
forthwith comply with those provisions.
Census Code:
043
Date:
Appli
WARNINGe F.ilurd 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
cbrnpensatim as provided for In Section'3706 ofthe Labor
code, Interest, and attorney's fees. -
�:2
CONSTRUCTION LENDING AGENCY
This permit 14 hereb*fssued under the applicable provisions of the Butte County,Code and/or
I hereby affirm that there Is, a construction.lending agency for, the
Is Issu Civ.)
for this ed (Sec 3097.Civ.)
Resol Indicated above for vyhich fees have been p�llid.
performance ofthe work which permit
B Date
Name:
PERMIT E/PIRES KN,�'
Address:
Oete)
- 0 1 hereby certify that the use of this facility shall comply.with Sections 25505, 25533, and 25534 of the California Health and Safety Code, which regulate the storage,
handling and use of hazardous materials.
0 Notification In accordance with Section 19827.5 of California Health & Safety Code is not applicable to' the scheduled construction of -this project. .
(3 Attached are copies or the required E.P.A. notification forms.
I hereby ce this applic . ation, that the above information Is correct, and that I -am the owner or the duly 6uthodzed agent of the owner. I agree to comp!y with
�tify that I"have.read
all county Ell d,st I ate I laWSIelating t6 buildl wful to alter the substance of any official form or d9<DTenl of B.Utte d9ulnty�:d�herq,b,y
ng'construction. I acknowledge it Is unla
iulhoilze n resentatives of Butte County to enter upon the�above mentioned property for inspection purpos
Signa
Print Name
10
Date:
Q A gentfo 0 1, t
.hwneir El. C6niractor r Owner:, 0 Agent for 0 n rac or,
B. ;,. bulluing rerm i Pq
N
Environmental Health
THERMALITO IRRIGATION DISTRIG
410 GRAND AVENUE NIAY o 11992 Vi
OROVILLE, CALIFORNIA 95965
TELEPHONE 533-0740 Oroville, California
CSA 26 SEWER SERVICE APPLICATION AND CONNECTION PERMIT
Service Address:
Date:
Owner's Name: !!Olt
Address: Acct. No: 5 1 �L� L; 6
A.P. No.:
Phone: No. Units: W*
Applicant/Agent:
Agents Proof:
Address:
Fees:
Phone: Application $ 36 L, L:
Arrearage
Preliminary Review By: Date: CSA 26
Remarks: 0"'GX- *0 'in 6 t 4 11 -4 bed r 0-0M & Lath �.,_n larl SC -0 R
�A,: ;iLnq gara4ef Qev-�1101�ment '�dll not, �Iave a
1st Mo. S.C.
cind w.`�1.1 oiula ixi a 1)ek,roo*/bd.tb' only, Cleas out
Other
q'i-o"60 1:46qu_irea iit tropqrty Iiiw'.
':140PEC"Tiov PugposEb tJ14-'y_ Total Fees
Collected By:
Date:
Field Review By: —,Date:
Remarks:
4 44",
0.4.4'Al e7 x c�
r
�2 2— 5;�_.
-MONTHLY SERVICE CHARGES Wl"LLI COMMENCE -AUTOMATICALLY UPON:
El Date of TO approva I -of completed -bui I'd i'ng,.sewe'r'(ear ly- connection).
30 days after'date above, ; or , on . cla'� te of DP'W".�dp')r6val of completed building sewer, which ever comes
T
first ("existing,b.onstrocti,,Qh",�prl6-r,,to',,M�ar,'.�5�1"1,9'�74,),.
F� 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 T.ID
�BUTTE COUNTY
--DEPARTMENT OF DEVELOPMENT SERVICES
BUILDING P E RM IT APPLICATION
- AND SUBMITTAL REQUIREMENTS.., -
24 HbURINSPECTION#:'OROVILLE: (530) 538-7636 - CHICO:'(530) 891'2834
OFFICE 4: (530) 538-7 54.1-
A FEE., WILL BE REQUIRED AT TI9k OFAPPLICATION
ds
Webs,it.e: wwW.b6ttecounty.net/d
PLEASE PRINT CLEARILY*
OWNER,,
Last Nan�e
HP
7i
rTir;TNTamej,
aj
.Address
city
State 'CA
zi
Carribr
Fax
E-mail
CONTRACTOR,—.
.Name
Addiress.
City,'. State
zip
Phone
Fax
Email Lic. # Class
APPLICANTNAME
Name
Address
State
City
_Phone�' Fax
� 3D 6, .5,30
E-mail
SIGNATURE
-For Qffice use, 6nl�:,';
Zo'n�ing Fjo"bd Zone J'SRA 1':,*Y'e's' (Z;)
Occ. Type Const.
Subdivision Name. F."I Map Book 'Lot#
P age
Pi
anner -Date Approved:
OVER FOR SUBMITTAL,REQUIREMENTS
LOCATION
AP#
Property Addre "-'
City
Cross Street
J(P
WORKER'S COMPENSATION
Policy Numb r.
Carribr
If hiring anyone other than license contractors,' a certificate o.f.wo
compensation must be shown':at the time of permit issuance.'
LENDING AGENCY
Name
14� A
Address
-Description or Scope of Wo
Sq. Footage
0 'Structure Built without Permits
El Proposed Change of Occupancy
(Note previous use):
K:\FORMS\l3UILDING,FORMS\B1d �,ppl�ybRqmtS_.doc,,`' PagpI of 2 �REV2-24705
_9.
EXPIRATION OF APPLICATION
Appiications 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 Writteniequest by the �erson who
paid, the fee. The request must be made prior to the expiration of the
pei�mit and no construction. work has been done. Filing fees, plan'
check fees for work plan checked. and. other department costs are not
refundable.
Am u d
Received by- o nt: BI a
Receipt #: Sheriff
Sup
Other
ULU.
Total
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.
R 1 . Site plans, 3 or 4 sets, signed by the preparer of the plans. No graph paper!
R 2. Complete plans, 3 or 4 sets, signe,d by the preiJarer 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,
El 3. Engineered truss details and layouts in duplicate (if required). No faxes!
El 4. Energy compliance design and supporting documentation in duplicate,
0 5. Statement�of I'ntenffot Noh-16eated'an'd A/C for Non -Residential Buildings.
0 6. Manufactured homes: (A) installatilon inst, (B)'Marriage line info, (C) Floor Plan, (D) Tie down or fnd plans, all in
duplicate.
0 7. Meta ' I 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,
El 8. Flood Elevation Certificate, wet -stamped and signed, in duplicate (if required).
El 9. Site plan and business license approval from the City of Biggs.'
11 10. Letter of intent for non-residential buildings.
r_1 11. Detached Accessory Building Form fi ' lied out by the owner (if required).
0 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.)
El 1 .
Agricultural Buffer clearance and site plan approval from the Ag Commissioner's office (if required).
0 2.
Impact Fees.
0 3.
California Department of Forestry plan approval (if required).
0 4.
NPDES Form.
0 5.
Encroachment Permit for driveway from the Public Works Dept. (construction approval prior to occupancy).
0 6.
Contractor's license information. (Number, Name Style, Classification).
El 7.
Workers Compensation Carrier and Policy Number.
El 8.
Owner-builde'r Verifica tion (if required).
El 9.
Letter of Signature authorization (if required).
El 10.
Recorded copy of Agricultural Acknowledgment Statement.
El 11.
El Grant Deed, El M.H. Title/Stat6ment of Facts.
El 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\B1dgApp1SubRqmts.doc Page 2 of 2 REV 2-24-05
RESIDENTIAL,
Not'OK
.,O'=
Not �P�iicable
Read -'."MOBILE, HOMES
-M
ISCELLANEOU
Not y
Date
MOBILE HOME UTIL . ITIES (Plans)- OK except Ws . .
Date
DECKS, COVERS,' CARPORTS,,GARA GES, (Plans)0K except Ws
..........
1. -Zoning Requirements -Setbacks -Easements,
1. Zoning Requirements Setbacks -E merits-
2- Soils;�Special MH Support'Sketch.
..2. Footings; Soil -Si -D pth-Spiacing-Connectors- teel
ze e'
3. Sewer; Location-Test-FaW-C/0 Concrete
3. Debks'. Griders and/or* Joists-D�c - k1ng-Bracih6-StairS7Rails
4. Water; Location -Test -Easement Needed (Sketch)
4—WoodAim.; Posts-Beams-Rftrs.-Coonectors
4.
6. Electricity; Location-Clearences-Gmd-/.' /Amp -Concrete
sShthg.-Rfg.-Bracing..
Gas ;,Location-Test-Wrap'/../"L"ft.,'
Alum:Awn.; Columns-rConnection�-�Splice-Decal7rF�riclosures
P!Nat� or/ /'U'ftJ /"LPG
arports; Windows -Doors
Utility Clearance
T. Electric
8. Frmg;'Sils-Anchors-Sibds-Rftrs--rrU�s6s
9. Siding; Na i
il ngrVenier-Stucco-Mesh
10.. Roof; Shthg-Roofing.-
Date
Card B-1 Date Card B'1.
11. Ext.; Steps -Do ors -Landings
Date
Card B-1 Date Card B-1
Date
'MOBILE HOME INSTALLATION (Plans) OK except Ws,
1. Zoning Requiremerits-Setbacks Easements
Date
Card,1371 Date Card B- I
2. Footings; Size'Spacing-Marriage Line
Date'
Card 6-1 bate Card 13-1
3. Gas; I�H Test-Demand-VaiveL-Connector
Date
POOLS �Plans) OK exce�t Wi
4: Electricity; MH Test-Crossovers�Breakers-Clearan6es
1. Setbacks -Easements
5 r'ain; -Fall-Rex Connector
D MH Test
Z Soils; Compaction -Structure Stability
Water; MH Test-Regu lator-Connector'.
.3. Pool, Structure; Steel-bonnectioris-Ti4ickness.
T'Water"and Sewer'Connected�C/0 to Grad4-111) Approval
Dead Men -Lining,
8. Gas and Electricity Tagged
4. Elec.; Receptacles and Ligking, Distances -GR
9. Exits; Insp.-Sketch
5. Elec.; Pool Lighting; 15volts-GFI
6. Elec.;Enclosures; Conduit Entries-Terminals-Osted
10. Carl. of Occupancy
7. Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater
*8. Elec.; I Grounding; Equip. %4/5' Circulating. Equ ip.-Pool Ldhtg.
Date
Card B-1 Date Card B-1
Boxes-Enclosu res -Pane I boards- Ins. to_Main in C . onduit,
Date
Card B-1 Card
'Date 'B-1
9., Health Department Approval.
10.,Plumb.; Cir. Test-Water*Supplytest
Date
Card B-1 Date, Card B-1
Date,
Date
Card B-1 Card B-1,
t
V = OK
0 =Not OK
NotApplicable
Not Ready RESIDENTIAL
Date UNDERFLOOR (Plans) OK except #'s
1. Zoning -Setbacks -Easements -Flood -Slope
d.
2. Ftg., Main; Soils-Elec:�Gr -/ -P' Fig. Depth
;-��Is-st6�1-diec. Grnd.-/ /" Fig. Depth
A--Frg-,--P-or-c-has& Decks; Soils -Steel-/ /Ftg. Depth
5-�Gtvvfw-aiismain; Steel-Blockouts-Wrapped
fi��ge;. 5,teel-Blockouts-Wrapped
6a-I=LoLd-0Q*m,,s-6nd Special Anchors_
7.--&la45-9tuet--Wra-Med-
���tg.=Steel
L -If. Q,)bPV.; Fall -Fitting -Test -2 Way C/O -Sewer Test
Pipe; Size -Anchors
41T Water Pipe; Test -Anchor Regulator -Service Test
1,'ij Eleetric Unrle �oun
Ducts; Clearance- lvlate�ial-Su ppo rt- Ins:
Girders -Sills -Anchor Bolts-Joigts-Vents-Cripples
15. Insulation
Date)LAWO Card B-1 Date Card B-1
Date Card B-1 Date Card B-1
Date PLUMBING (P6rmitLOK except #'s
W,,Water Htr; V , Odt,-Ad k?s-s-Combustion Air -Baffle
WI -1. Water -Pipe; Test & Anchor -Nail Protection
W.V.;
Protection
19r-64ewe4:-IRan; Test, First Floor -Tub Access
Second Floor -Tub Access
21. Gas Pipe; Size & Anchors
Dat Card B-1 Date Card B-1
Date 3 1 - c�lh Card B-1 Date Card B-1
Date - ELECTRICAL (Permit) OK except #'s
22. Fixture & Transformer Clearance -Ins. Protection
23. Ele-c. Receptacles Spacing -Lights & Switches at Doors
24. Size Bokes4 No: of Conductors -Stapled
25. Romex 'Installed -Close to Edge of Studs & C.J.
26. Equip. Grm�nd-made up w/Mech. Fastners-Bond Gas & Water
27. 2,Appliance Circuts in Kitchen & Conductor Size/GFl
28. Subfeed Wire Size ga. Cu or AI-A.C. Wire Size ga.
Cu'or Ai
29. Range Circ. / /�ga. Cu or Al -Oven Circ. ga. Cu or Al.
Insulated Neutral 0 Yes 0 No
30. Service -Riser Conductors-& Ground -Main Disconnect
31. Equip. Clearances Pane I s- Motors- Mech. Equip.
32. Clothes Closet Light -Shower Light -Spa Light
33. Smoke Detector
Date Card B-1 Date Card B-1
Date Card B-1 Date Card B-1
Date MECHANIdAL (Permit) OK except #'s
34. A.C. Ducts Insulation & Support
35. Vent Fan; Exhaust above insulation
.. 36. Condensate Drain & Overflow; Size & Grade
37. FOrnance-Vent; Access -Comb. Air -Return Air Vent -1 15 outlet
38. Attic Access & Platform if Furnance in Attic
Date Card B-1 Date Card B-1
Date Card B-1 Date Card B-1
Date FRAMING (Plans) OK except #'s
c495. �A, Proper material & Anchors
41[rpalls Studs -Nail ing, Spacing & Bracing- Plates -Sou nd
C417 Bearing Walls over Girders & Floor Nailing
-16 Draft Stop in Walls (rat proof)
43. Fire Stops; Furred Ceilings -Stairs -Chases -Tub
44. Headers�& Beam -Size & Bearing a
Hhgle-& Duplex,)
Date FRAMING (Continued)
45. Hangers -Post Caps-Anchors-Conneciors
46. CIng. Joist-Rftr. ties -Pu rlin -roof Brac-Truss-Shthng.-Rfng.
47. Fireplace Ties or Type'A Flue -Fireplace Throat clearance
48. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles
49. Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions
50. Garage Fire Protection Framing�
51. Property Line Firewall & Openings
52. Ext. Doors -One T -Check Garage -3rd Story, 2 Exits
53. Stairs; Width -Head room -Rise -R u n- Land ing-Fire Protection
54. plywood on Roof Overhang -Attic Vents -Rafter Outriggers
55. Siding -Nailing Veneer
56. Stucco Mesh -Drip Screed -Fd. Vents-Underfir. Access
57. Glazing Area -Glass Protection -Skyl ights-Plastic.
58. Shear Walls; Naifing-Bblts
59. Insulation -Walls -Ceilings
60.. Infiltration -Walls -Windows
Date Card B-1 Date Card B -11', -
Date Card B-1 Date Card B-11�.
Date FINAL (Plans) OK except Vs
,_,&e Exj-Btdps-Door & Sidelight Protection -Landings
Ar'STo
..ke Detector
4---�Furnace; Vents -Clearance -Comb. Air-Connector-
In.Garage; Above FiGor-Ducts-Mech. Protection
;-P-64. Bedroom Exiting
& Bath Fixtures & Tub Access -Spa
_S6-E4ec-TTmr7&-8rrbprarruI,-�Wer Sizes & Labels
6 h
6 t.
79. Ki+- �Gap-Cooking Clearance
7 unter
TR-�e �,reD..r, �Swmg-Lancling-Closer
7�
e �-D a m p�e r
Wtr. Htr.; Vents -Clearance -Comb. Air-Connector-P.R.V.
Ingarage; Above Floor-Mech. Protection
k�Plb Elec. &,Mech. Equip. Listed for Location
7 F.I.)7Romex',Protection
L-71-insufation-Foam-Looked in Attic 91--fas
st Caps
74.-��� 5®r- raina a & Wood -Earth
Clearance Looked under Floor, � Yes 11
80. Following instId.;-Drive-,P-'q& 11 No; Walks Dko'f-es 13 No;
-Planters 0 Yes L-ff No
Stucco; Brown -Finish
Electrical, Plumbing
vents Above Roof; Plbg.-Appliance-Fireplace.-Clearance to
Openings
84 Waleg Wall; nisconnec4,Electrical, Plumbing
115-JExteLilg �Iec. T �'F.I. Receptacle- Underground
n roughout House
L,8,?�Glass Prote tion
from Previous Inspections
89. 15-j� Test -Mete. a ftggi0-Gas-EIectric
.�atei & Sewer Gennected-C/O to Grade -HD Approval
1_7K -9T. Energy compliance Certificate -Other Certificates
Dat(o ��2�0 e Card B-1 gWte Card B -1 -
Date Ca rd 13- 1 Date card B-1
Date Card B-1 Date Card B-1
Comments at Final:
(NOTE: An entry must be made each time you visit job site)
7
coun
. L A N -D' 0 F NATURAL W E A L T H A N D B E A U T Y
DtPARTMENT,OF PUBLIC WORKS
WILLIAM (Bill) CHEFF Director
7 COUNTY CENTER DRIVE OROVILLE, CALIFORNIA 95965
Telephone: (916) 538-7541
November' `19, 1990 RONALD D. McELROY "
Deputy Director
John & DeLauna. Holden
Leta'Ln.
"Oroville, CA 95965
'Building
Permit No. 4257--89
Expirat:ion Date 12-227'90
.(A.P.. No. 31�42-32
With reference -to thd above-;s�ib ect,,.our records indicate that- our Building
J.
'Permit: expires- above dateq -Buildi.ngperIffiits. ar6�.,Valid f or
one year and should cois�ruction be started but,not coffi le-ted:.by the expiration
' , ' P i p
date of the perm'it,*.the- permit.. sh,41 -.be renewed for, 2 the original.Building.
Permit, Fee, (Plu's a $10..00 "Filing Fee").'.. � -The renewal. permit will extend. the
Building Permit for,an additional- year fr1om. the-,priginal .'expiration date2.
Should you not..renew your permitwithin thirty days of the expiration date,
it cannot be renewed and all work -must cease until a new building permit is
issued.
.if your construction is completed or shou,ld you have any questions -concerning
-this Orovill'
matter, please contact'the.. office.
.�For your convenience, -we are 'enclosing a -renewal application formand owner -
builder form to be completed and sigped-by you where indicated and returned
7 -
to this office�together with the fee shown. Please return all �opies of the..,
application.form.
Thank yo,u for your prompt atteIntion conce.rning..rthis, matter.
Yours very -truly
y
William,Che"ff
Directot.-of.Public Works
Glande'r
JFG:aam [Vrief Building Inspector
Attachments: Permit. Application
Owner -Builder 'Information
Owner-Builder.Veri�ic-ati'oift.',
cc: Building Inspector
'ara
Chico 196 Mem'rial.Way/8�1-27,51 di 7 4 5 Ell i o t Rd:./872-6307
0 1 � I , 1.1 ,,
4 -
COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS PERMIT
7 County Center. Drive'- Oroville, California 95965 - Telephone: 916/538-7541.
S 77
APPLICATION -AND PEMIT
ASSESS 0 R PARCEL NUMBER
0 30 — -0 03)— --e
ZONING
1� A -K
BUILDING PERMIT
OWNER
,"IA) Oe 1,41 cl JA 13
TELEPHONE
SQ.FT. OCC. BUILDING VA-CUATION
rz 7
<X 0 c9
OWNER'S MAILING ADDRESS
7 9 f C,4 qr"/ 4 f
CONgACTOR' NAM
Woea_ 9 wp
ITELEPHONE.
CONTRACTOR'S MAILING ADDRESS
Firepla�e
CONSTRUCTION LENDER
UNKNOWN.
Total Valuation $
Filing Fee
$ 10.00
LENDER'S MAILING ADDRESS
Permit Fee
$
ARCHITECT OR ENGINEER
LICENSE NO.
Plan Checking, Fee
$
Energy Plan Checking Fee
$
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Penalty
$
BUILDING ADDRESS
1 -7 '212 I -A.1
Permit fee
$
PLUMBING PERMIT
FilingFee 10.00.
(4
Each Trap
2.00 4,00
Solar or heat pump water heater
20.00
LOT NO.
SUBDIVISION NAME
ARCEL MAP
1P
Water piping
5.00
Each qas water heater orvent
A--5.00 , 5=0
USE OF STRUCTURE
SIP [I?e Duplex 7 MobilehomeF-I 'Other
SPECIFY
Gas piping system,l -: 5 outlets
P'�5.00'1
Building �ewer
5.00
Mobile Home S G W
10.00 e
TYPE.OF WORK
New F AdditionEl Remodel)< UtilLtiesO InstallationEl OtherEl
Describe work:
ef
Permit Fee
$ r 0
Contractor
ELECTRICAL PERMIT
FilingFee 10.00
600V OR LESS
Main service 100 AMP OR LESS,
10.00
Main service EA. ADD -L 1 06 AMP
2.50'
CONTRACTORS LICENSE LAW
I* dec I are under penalty of perjury (check one):
D I am licensed under provisions of Chapt. 9, Div. 3 of the Business
and Professions Code and my license is in full force. and effect.
License No. Classification
1, as the owner, or my employees with wages as their sole compen-
sation, will do the work,and the structure is.not in.tended or offered
for sale. (Sec. 7044)
1, as the owner, am exclusively contracting with licensed contract-
ors. (Sec. 7044)
F� I am exempt under Sec. Business and Professions Code
for this reason
NEW CONST D ELLING OC.
OR ADDNS. ' AYCVC BLDGS. '
21/20sqft
N F;4 MU� _T
E CON5T T'-OUTLF
N.N-RESI., BRANCH CIRCUITS)
2.50 ea
(POWER APPARATUS &)
SINGLE OUTLET CIR.,
Ex. Occup( OUTLETS OR FIXTURES
j.20@50c
AL@30t
FIXED APPLNS. OR
�Ex. Occup. OUTLETS (RESID.) EA.)
2-.00
Temporary service
10.00
Mobile Home -Facilities
15.00
Misc. Wiring
15.00
Permit Fee
$ ,7
Contractor
WORKMEN'S COMPENSATION INSURANCE
I declare under penalty of perjury (check one):
F�- The permit is for $100.00 (v'aluation) or I,ess.
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.
MECHANICAL PERMIT
Fi I ing Fee 10.00
_.H . eating
Cooling
Hood
3.00
Ventilation.
Permit Fee
$
Contractor
I certify that I have read this application and state that the'above information
is corredt. I agree to comply to all County Ordinances and State Laws.relating
to building construction, and hereby authorize representatives of the C6untyot
Butte to*enter upon the above-mentioned property for inspection purposes.
.1 a I Is o agree to save, indemnify a . nd keep harmless the County of Butte against*
all liabilities, judgments, costs, and expenses which may in any way accrue
agkinst said -County in consequence of.the granting of this per
Date 8 ' 9
Signature of Applicant OwnerZ Contractor El Agen1EJJ I
An OSHA permit is required for excavations over 5'0" deep and demolition or construct.
ion of structures over 3 stories in height.
Mobile Home Installation Fee $
Energy Inspection Fee $
'0
CONST
LI/
TOTAL FEE $
-7 5
"//("?/
HAZ,
CUA
PARK
SCHL
PAA � D HD I
01 :4yl
ISSUe
Th;s permit is hereby issued under
si�ns oi-the Butte County Code and/or
'work indicated above for which fees
DIRE TOR OF PUBLIC
By_
PFR..K F �P'IAES Date
the applicable provi-
resolutions to do
have been paid.,
WORKS
2, -1,.-
Date
. A.- - Z?- — .2 cz
Receipt NO.
WHITE-D.P.W.. YELLOW-ASSE390". PINK-114SPECTOR. GOLDENROD-APPLI CANT
tl=
A: Z -
Al
a 7.1
re
Contractor, designer, owner, was advised of above required data by_phone_��_rnail_�co'nter by—,.dat
Contractor, designer, owner, was advised of above required data by—ph6ne —mal I —counter by— date
Plans checked by Date ---Plans approv'ed by Date
Sets of plans on hold in —File cabinet _AP folder,
Copy—DPW
1V
COUNTY OFBUTTE - DE RAR#�&NVOF PUBLIC -WORKS - BUILDING DIVISION 11
CENTE,R.,DRIVE - OlibVIILLEI" -CALIFORNIA-95965 ELEPHONE: 916/538-7541
7 COUNTY 19
PERMIT -APPLICAT16N YATA SHEET
0
Permit No.—
OWNER
p
LLD o.
Pro'osed Building Use Building Inspector Date la-lcp-?
p
At time of permit application, I was advised the following data must be submitted prior to permit processing and/or issuance:
DATE RECEIVED APPROVED
1 .
All items have been submitted . ............. .........................
2.
Plot plans in duplicate/triplicate, signed by preparer of plans ........
3.
Complete plans in duplicate/triplicate, signed. by preparer of plans
4.
Complete engineered plans and calcs, with wet signature on plans
5.
Hazardous Material'Form ................... I .........................
6.
Energy Design Compliance and supporting documentation .........
7.
Statement of Intent for Non -Heated and AC Buildings ..............
8.
Engineered truss details and layout in duplicate (required prior to plan check)
9.
Mobilehome installation data including manufacturer's installation
instructions.......................................................
10.
Fees of $ ........................
11.
Chico Urban Area fees paid ........................................
�J2.
13.
Park fees paid .................................................
el 9=0 School Distrigtfees paid .............
��On'
Sanitation approval from Health Departmen� /a 8:9
15.
City of Chico plumbing permit .....................................
16.
Plot plan and business license approval from City of
(see City for other requirements)
17.
Planning approval for (A) Use:—(B) Parking: . ......
18.
Improvements may be required. Contact Land Development Section DPW
19.
Driveway permit (construction approval required prior to occupancy)
20.
Pre -inspection for required ... Pre-Inspec. request to
Building Inspector (Date)
—21.
Contractor's -license information (No., Name Style, Classification) ...
-22.
Certificate of Workmans Compensation Insurance ..................
23.
Owner -Builder Verification (Given to owner 11, Mail to owner EI) .....
24.
Recorded copy of Agricultural Acknowledgment Statement .........
25.
Letter of signature authorization ....................................
—26.
27.
When
you issue the permit,. process as follows: 2_V Mail to owner. —Mail to contractor.
Telephone and hold for pickup at (VO office. —Deliver w/inspector.
Other
Applica Date 110
Copy of plans sent Health Dept Fire Dept., Other— Date
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_��_rnail_�co'nter by—,.dat
Contractor, designer, owner, was advised of above required data by—ph6ne —mal I —counter by— date
Plans checked by Date ---Plans approv'ed by Date
Sets of plans on hold in —File cabinet _AP folder,
Copy—DPW
Al
2 -IN
COUNTY OF BUTTE Department of Public Works
7 County Center Drive,.'Orovilie,*CA; 95965 Phone:
OWNER -BUILDER VERIFICATION*
Attention Property Owner:
An "owner -builder" building permit-has:been applied for in your name and bearing
your signature.
Please complete and return this informat,ion 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. 1 personally plan to provide the major labor and materials for construction of
the proposed property improvement .(yes or no)
2. 1 (have/have not) signed an application fo r' a bui . lding.permit
for the proposed work.
3. 1. have contracted with the following person (firm) to provide the proposed
construction:
.Name
Address City
Phone Contractors License No.
4'.':,_I'plan' to provide portions of this work, but I have hired the following person
to coordinate, supervise, and provide the major work:
Name
Address City
Phone Contractors License No.
5. J will provide some of the -w ' ork but I have,contracted (hired) the -following
persons to provide the work indicated:
Name, Address .,Phone Type of Work
Signed:
-Property Owner
Social.Security Number
Date'
NOTE
This Owner -Builder Verification is sent tol.y6u as required by Sections 19831,and
19832 of,the.Californ.i.a H6alth'and,Safety Code.
Thi's verification must be completed and.r6turn6d to our office before we aie.per-
mitted to isi.ue the permit.
FORM -71.
ADDITIONS TO RESIDENTIAL BUILDINGS'ENERGY SHEET
-PACKAGE '.A" (Additions)
Owner Climate Zone
Pen -nit s I Floor Area
The following data showing mandatory and -required features of Package '-'A" shall
be installed for additions to,.dw&llings. Additions to dwellings include room,,..
--additions' convertin I g.garages�and patios to-Iiving areas house moves that add
-that is existing non -conditioned
.foota"ge and'attic conversions,.and any space
space that is, converted.. to.'60nditioned space. Remodeling- of existing conditioned
,space,is not included.
ZONE 11 ONE
-.APPLIES TO NEW -AREA
CEILING R-30 3
R 1
WALL R-11
FLOOR R-11 R -
SLAB R-7 R-
0 GLAZING U-.65 (Dual) U- 65 (Dual)
-SHADING
SOUTH OPTIMUM OVERHANG
or ..36 Shading Coefficient
WEST .36 Shading..:Coefficient.'''
LOOSE FILL INSULATION (Density)
INFItTRATION� CONTROL (Wea.therstrip,door's, 'certified windows,'caulking)
VAPOR BARRIER (Zone- 16)
DU.CTS PE.R,UNIFORM MECHANICAL CODE Ch' 10
a LIGHTING -KITCHEN & 9ATH-140T LESS'THAN-25 LUMENS/WATT-
MAXIMUM.!GLAZING 16% OF-AR.EA PLUS.REMOVED GLAZING
NEW.HEATING9 VENTILATING,' AIR- CONDITIONING -AND HOT WATER SYSTEMS. IN
CONJUNCTION WITH -AN ADDITION SHALL BE INSTALLED AS SHOWN ON BACK
OF THIS SHEET.
�OTHER.
12/85
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5/89
RESIDENTIAL.PLAN'CHECKING.GUIDE
(S.K, DUPLEX-*
A,_,MIS,C... ONLY)
Kdg. Permit
-OWNER A. P. 4
GENERAL
Zoning requirements: (sideyards and number of permitted living units).
2.� Valuation.
3. Plans -signed by'designer..*
4... -Energy Design and Compliance.-.
5. Existing violations. on property.
6. Items on data 'sheet.
PLOT -PLAN
1. Complete parcel size and dimensions.
2. Setbacks, sideyards, easements, -etc.
'3. Other -buildings or'structures.
4. Grading, fills,' drainage.
5. Flood hazard.
6. Special conditions on creation map or compliance document.
7. FAU & FAS road setback.
FLOOR.PLAN
I.. Complete to.scale, plan' �dth-Jdimensfo ns.
2. Required windows for lig ht `v`e--n�ilation (Sec. 1,205)_G
3. Required windows for second exit (Sec'..' -'1204)..
4. Skylights (Chapter -34 & Sec. -5207)
5. �uman impact glass (Sec. 5406)..,
6. Required room sizes,,ceiling. heights.(Sec. 1207)..
7. GFCIs in baths, garage, and exterior outlets (Article 210-8),.
8. Light fixtures, switches, receptacles', and exterior -receptacles for maintenance,
f mechanical equipment.
ocations of, water heater, heating and cooling equipment, other electrical or
gas equipment, and plumbing fixtures.
10. Garage firewall, door size, and closer (Sec. 503(.d)(3)).
11. 1 3'0" exterior exit door (Sec. 3304(e)),.
e"�eplace and wood stove location, alcoves, and clearance.
toke detectors (Sec. 1210).
AL DETAILS
1. Foundation plan,c(implete enough.to.construct building.
2. Floor construction details complete enough to construct building.
3. Elevations and wall construction details complete enough to construct building.
4. Roof construction'details compiete.enough to construct building.
5. Fireplace construction details and calcs if necessary.
MISCELLANEOUS ITEMS TO LOOK OUT FOR
1. Stairway details: landings, rise and run, head clearance, handrails (Sec. 3306).
2. Guardrail.details (Sec. 1711 & 3306(j)).
3. Brick or stone veneer (Chapter' 30).
RESIDENTIAL PLAN -CHECKING GUIDE
MISCELLANEOUS ITEMS TO LOOK OUT FOR (CONVD)
4. Exterior plaster - weep screeds (Sec. 4706).
5. Proper roof pitch for roof covering (Chapter 32).
6. Roof covering type - (fire hazard).
Rafter ties or bearing ridge beam.
8. Garage door or porch header sizes.
9. Adequate bracing.
10. Living area over garage - complete 1 -hour separation required on garage side
11.
12.
13.
14.
15.
16.
17.
18.
19.
including supporting walls'and posts, etc.
Two exits on three-story dwellings (Sec. 3303
Attic access and ventilation (Sec. 3205).
Underfloor access and ventilation (Sec. 2516).
Combustion air for fuel burning appliances.
Noise requirements on duplexes.
Adobe soils - special foundation design.
Retaining walls requiring design.
& see Mezannines - 1716).
Unusual shape, size, or split level house requiring lateral design.
Flashing at all exterior openings.
/� �V
ill 0 1. Ij e
5/89
'l HEATING, VENTILATING, AIR CONDITIONING SYSTEM
(A) Heating
13 Central Gas Furnace I (brand and model nu I mber) SE %
Btu/hr
(heating capacity)
13 Heat Pump
(�rand,and model number) 'ACOP
Btu/hr
(heating capacity at 7*
Active Solar type (liquid or air) Collector brand and
ft2
solar fraction - collector area collector
model number
orientation - collector tilt rated y -intercept
rated slope
13 other (describe)
*1 (B) Cooling
Electric Air Conditioner
(brand and model number) (seasonal EER)
Btu/hr
(cooling:capacity at 95*F)
13 Electric Heat Pump EER
Btu/hr
(cooling capacity at 95'F)
other (describe)
DOMESTIC WATER SYSTEM
.(A) Gas Only Gallons
(brand and model number) (tank size)
13 Heat Pump w/ElectricBackup
(brand and model number)
Gallons
*2 (tank size),
Active Solar
(collector brand and model number)
(rated y -intercept) (rated slope) (solar fract ion) 2
ft
(backup heater type, brand and model number) (co llector area) I
(collector orientation) (collector tilt)
E3 Location of Solar Panels
13 other
(Describe)
*1 Submit documentation of sizing heating an I d cooling equipment by Manual Ji,sizing.
-5352(g),,.and fill out the
charts (form #4) or other approved methods, section 2
following:
Heating: Winter design temperature elevation heating load �BTU
elevation factor x heating load - maximum outlet capacity gas furnace
BTU
Cooling: Summer des ign temperature cooling load BTU
*2 Submit T,.I.-P,S.E. chart or other approved system (form #5) to document sizing of
solar panels.
DESIGN COMPLIANCE STATM�ENT: The above building design meets the requirements of
Title 24, Part, 2, Chapter 2-53 of the California Administration Code.
9 -0 5o3ao
-050350.
59.
Date:. December 18, '1989 PROPERTY OWNERS..:
John M. Holden
DeLauna B. Holden
before me,
State of Calif ��..On -this the.'- 20th day of - December p, q
SS..,,..the undersigned Notary Public, personally.appeared.
of Butte
Count
Y. .,.***John M." Holden an&DeLauna B. liolden"*
basis
Personally known to me., 0 Proved to me on the
NINA J. DUNN,.' of satisfactory evidence.
NMARY PUBLIC-CAUFORNIA:r" A
Butte county Ito be the person(s) whose name(s) ARE
HEY
myconmWsionE*mMaM.h3O,l.99Oosubscribed to the within instrument and'acknowledged that Tl
ned. IN' WITNESIS'.
mosemossmannamommmmmmmmimigMexecuted the same for the purposes,therein contai
set -my hand and official seal.
�WHEREOF I -.hereunto'
Present A.P. No.030-042 0 3 2
ublic.
RQLu�*6 DPW AGRICULTIJRAL�STATEMENT OF ACKNOWLEDGEMENT
FOR -RESIDENTIAL DEVELOPMENT
Se( I �tion 26-8.1 .'of the Butte Code
c6r
requires . this. acknowledgement be re ded
t
,prior to issuance of a building permi,
The property described herein is. ad acent�:.
to jand or..'included within an area zoneo,,
'for agricultural purposes,,, and residen ts
4
.of this property may be'�subject to
v6nienc or discomfort -arising; from t e -
es h..
,use of, agricultural :*chemicals9 :including,:-:
but not, limited to herbicideso pesticides,
U
and fertilizers; and -f rom the p rsuiti
' .;
d -
of,. agricultural operations incluung,
but not limited to 'cultivation, plowing,, .
spraying, pruning, and, harvesting—whic,h
occasionally" generate dust, smoke: --noise,,-�and odor .'Butte,.County
has. established, gricul
e.f , or'productive agricultural purposes,'and residen.ts..,,
tural zones which have as a priority us.
within said zones'and "on,:adjacent pfopprty I should be prepared, to
accept su�h inconvenience
or'.disconform'from normal.,, necessary farm pperation-s
t 'in the:'County of� Butte, State of
.All thatv real property, si. ua e�
California, described as
follows:
SEE ATTACHED
N,6 T D, WITH':—
_Qt,�sPARE
ORIGINAL DOCUMENV_:�
Date:. December 18, '1989 PROPERTY OWNERS..:
John M. Holden
DeLauna B. Holden
before me,
State of Calif ��..On -this the.'- 20th day of - December p, q
SS..,,..the undersigned Notary Public, personally.appeared.
of Butte
Count
Y. .,.***John M." Holden an&DeLauna B. liolden"*
basis
Personally known to me., 0 Proved to me on the
NINA J. DUNN,.' of satisfactory evidence.
NMARY PUBLIC-CAUFORNIA:r" A
Butte county Ito be the person(s) whose name(s) ARE
HEY
myconmWsionE*mMaM.h3O,l.99Oosubscribed to the within instrument and'acknowledged that Tl
ned. IN' WITNESIS'.
mosemossmannamommmmmmmmimigMexecuted the same for the purposes,therein contai
set -my hand and official seal.
�WHEREOF I -.hereunto'
Present A.P. No.030-042 0 3 2
ublic.
Recorded at the request of
.................. .................... .............................. . .. ... 4
OfrF
BUTTE' COUNTY7 -j u
',-:RetWn to j
RECORDS R E Q U �'f C, F3
an .............
j" 'I
VR2 AM R.
. ..... . .......
........ . .
CLA
RK, A- NE L S P N
Oroville, Ca. 95965 CLERK -RECORDER
. . . . . . . . . . . . . .. . . . . . . . . .... .. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
J.EE
Change of Cwn6r. 7, 1
12,
Escrow No.� 52 -Q -AQ
480 R & T
Coda)
Scat to:molling
srwt,Dlied dwidow
document.
address ?a
Y.
4kI
.... ... ...... ..
EN hu§:�a ..a6.d,.wife.r ............ E ..................
veal
For value recel
C
RQLM.. A=..,j)j"jW Q
ty IP
GRANT ........ . to..J.QJ1N.-:& x 91111144g. V.0
all that real p�operty situate ln':the ... ..........
. ..................... ............
'W
3te
.......... .......... ;�2 .................. :of�Califorriio,
County
of tc described as'followst
V,
The Easterly 96.0. -feat of the',NoriherW140-0 feet of -the following described parcel of
A. Ij
laLnd
Y.
j
A portion of.Lots 1 and 3 11� Block-110,''Jaocoiding tW;tliat �certain., Map -entitled,'
"THERMALITO,,BUTTE COMY CALA." which,�ap was filed,in..the' office OfLthei Recorder
June -8 `1'887_9�
of the Caunty-of-Butte, State of�'C4ifornia, more!partioularly described
as fo OWa:t
7
BEGINNING 0 said Lot 3, 4,
at a point.on� the Easfline f,' which'point.is Southerly 1,40-73
0
feet from the Northeast' corner- thereof;L - thence Northl 89 58 1, West i A 76 .- 0 feet; thence
North and paxalle]:- with the' East -line- oV-said Lots _11k'��d '3; a distance.'of 340.0 feet 4�,
to a point being South.150.0 fe6t,'parallel with,the�-East line,of said Lot 1, from
the North-line.of-said Block-110—thence'East an h line of
ii,parallel with the�Nort
said Block 110, a distance of 176'.0'feet, -to a point 'on�the East line of said'Lot 1;
thence South along the Fast iineV`Ci'siiid':Lot i' a�id`2, a.,distance of. 0.0- feet to.the
34
point of,beginning..�
J,:,% -4-
AP No. -'-034-42-0-0 2.4
3
t
J,
Send tax,statemen�to.L
L
Dated
!V ..........
John M.'Holden 4 DeLauna B. Holden
'J.
'k
....................... ......... . .................... ....................... ...........
. .......... . ............................ . ... . .......... . .... . . . ....
AL
STATE OF C
P
of. 'Butte
...............................
. ....... . p Notary ftblk.:
a
In and fo, mid and Holdin (i -DaL�aiin B Hal denL�.
.......... . ....................... .
. .... . .............. . ........ .... . .......... . . ....... . ...... ........
-persam.- 6 n" ktb the,.ihi;, lr,��
to me so be tho scribed to t -
C
�1, jwljv'
OFFICIAL SEAL
0
�HONDA N. DILLENBECK
DOCUMENTARY TRANSFER TAX!
NOTARY PUOLIC a CALIFORNIA
0 Computed on: Full Valuf;' c4 -Property Conv'eyed': on"';""' 0 COUNTY OF BUTTE
My C—IL&I- EqH1. A.&- 20, Ift2L
d "I
0 Computed on -full ValU6 jLess Leins an N rn
6f, Sale.
Encumbrances Re
maining Thereon 'at Time
.4
.................................
.............. I ............ ..............
.. ....... .. ..... .
I S;gnature of declamni or,ag�nt � determining Tax - Finn,� In .1 Notary" iuWl. q
9,.r t w,e t,
p f, B. u.,t.t e
EN
61�:
4"
7 1,
34
�y
THERMALITO�'IRRIGATION',DISTRICT
-4 10 GqANID AVENUE
OROV'ILLE,� CA-LIFORNIA 9596,5
TELEPHONE 533-07-40
CSA. .26, SEWER SE RVICE APPLICATION AND CONNECTION PtRMIT
117 9 91 a
Service Address:. Ile t' Lane
i "Holder,
:Owner's Name;
Date:
Address:, Acct No: 0 124 6 0 0
A. P. No.:
Phone: t
No. Uni s:
Applicant/Agehi:.' gents Proof:
Address:
Fees:.
Phone:
�pp!ication. G"
Affearige
Preliminary.Review By7'
Date: CSA 26
Remarks: Owxip-;: Vo ,install a '!�ecirloo'n,�6 -ballk"'.11 in 'a n SC70 R,
Cj I I .1, . ,
cjara e r),Ov J_ 'L. W*i1l,_hot
e ppmn <
st mo.'s. C.,
aaLi' n. a x'
C)illy. t�lp_�as. out
Othe�_-`.
7
q x a,-,' C, at Px op e )J -�Y f_- `0i;Lginal'.
PALY Total: Fees 3C'jCf.)
-Collected By:
Date:
Field Review By: Date:'
Remarks:
MONTHLY SERVICE CHARGE SWILL C6MMENCE. AUTOMAT.ICALLY -UPON:
El' Date of TI D approval of cornpleted'building sewer' (early connection).
30'days after date above:. or on'date'6f D'.P.W: approval of completed building seWee,'which ever comes
Jirst ("existing con�truc.tioh",prior to Mar. 5, 1974):
180 days after, date above,, or on' date of D.P.W. �pprb\ial of completed bui.lding sewer, which ever comes.
("new construction",', after Mar..5, 1974).
D.ISTRIPPTION:. WHITE; - TID� YELLow - APPLICANT_ PINK - DPW' GbLDENROD :'DPW'to TID
OK
d"='Not OK
Not 4plicable
Not!Nady -MOBILE HOMES-`- MISCELLANEOUS'�
Date
MOBILE HOME UTILITIES (Plans) *OK except Ws
1. Zoning, R6quiremeritS-Setbacks-Easoments %
2. Soils; Special MH Support Sketch
Sewer: Location -Test -Fall -C/0 Corvicre to
..-A
Witer; Location -Test -Easement Needed (Sketch),,
%
5. Electricity; Location-Clearences-GmdT/. /Amp- CoriCrete
-6. Gas; Locition-test-Wrap:
/"Nat.or/ P'L"ft.1 �-.LPG
7. Utility Clearance
Date
-Card B-1 Date Card �B A
Date
Card B-1 Date Caid B�l
Date
MOBILE HOME INSTALLATIOk (Plans)'OK except #rs
1. Z6ning Requirements-SetbAcks' Easernients'
2 Footings; Size-Spacing-Mamage une,
,Date
3. Gas; MH Test-Dernand-Vatve-m--Connector
...........
4. Electricity; MH Test-Crossavers-Breakers-Cleirance3
Date
5. brain; MH Test -Fall -Flex Connector..
7
�,6. Water; MH Test -Regulator -Connector
:7.*Waterand Sewer Con nect6�-C/O to iGrade�kf) Approval
4. Gas.and Electricity.Tag6ed_ 7
9. 'Exits: lnsp� -Sketch
I Oc6u ' ncy
10. Cert. o pa
Date
'Card E0 -Date Card. B- 1',
Date,
7
Card B-1 Date Card B-1'
Date
DECK,<__Q0ViRtaARPORTs� r.ARAGES, (Plans)OK except Ws'
ta-Itonmrfteou—iremerits-Setbacks-Eisoments,
2. Footings; Soils-Size-Depth-Spacing-Connectors-SteeI
3. Decks ers and/or Joi5s-Deckinq�Waci ng -Stairs- Rails;,"
L4."Wood Awn., P rrns-Rftrf!�Codnec'tors
�hthg .-Rt§ -Bracing
%
5'. Alurn. Awn.; Columns -Connections -Splice -Decal -Enclosures
6. Carports; Wndows-Doors
7. Electric.
8. Frmg; Sils-Anchor�-Studs-Rftrs-Tr,usses.
9, Siding; Nailing-Veneer7Stucco-Mesh
10 Roof; Shthg-Roofing -
11. E)et.-_S teps-Doors-Landings
,Date
Card B-1 "-',�Oate Card B-1
.bate
Card B-1 Date Card B-1
Date
POOLS (Plans) OK except'$rs
1. Setback s -Easements
2. Soils; Compaction -Structure Stability
3. PGol,Structure; Steel -Connections -Thickness
Dead Men-Uriing
4.. Eiec.; Receptacles and Lighting, Distances-GFI,.
5: Elec.; Pool Lighting; 15 volts-�GFI
�nclosures; Conduit Entries-Terminals-Usted
- 6 Elec.;F
'7. Elec.; Bonding; Metal w/W-Circulating Equip�-Heattir'
Elec.; Grounding; Equip'. w/5' Circulating Equip. -Pool Lghtg..",'
Boxes-.Enclosures'-P&ielboards-Ins. to Main WConduit'
9. Healih Oeimrtment'Approval
10. Plumb.; Cir. Test -Water Supply Test
Date
Card B-1 Date* Card B-1
VDate
Card B-1 Date Card B-1
4 OK
0 Not OK
=Not Applicable
Not Ready RESIDENTIAL o.
Date UNDERFLOOR (Plans) OK except#'s
1. Zoning -Setbacks -Easements -Flood -Slope
2. Ftg., Main; Soils-Elec. Grnd.-/ I" Ftg. bepth
3. Ftg., Garage; Soils -Steel-Elec. Grnd.-/ /" Ftg. Depth
4. Ftg., Porches & Decks; Soils -Steel-/ /Ftg. Depth
5. Sternwalls. Main; Steel-Blockouts-Wrapped
6. Sternwalls. Garage; Steel-Blockouts-Wrapped
6a. Hold Downs:and Special Anchors
7. Slab: Steel -Wrapped
8. Piers -Fireplace Ftg;-St6el
9. D.W.V.; Fall -Fitting -Test -2 Way C/0 -Sewer Test
10. Gas Pipe: Size -Anchors
11. Water Pipe; Test-Anc ho r- Regu lator- Service Test
12 Electric; Underground
13. Pienums & Ducts; Clearance- Material -Su pport- Ins.
i4. Girders -Sills -Anchor' lJolts-Joists-Vents-Cripples,
15. Insulation
Date Card B-1 Date Card B-1
Date Card B-1 Date -Card B-1
Date PLUMBING jPermit) OK except #'s
16. Water Htr.; Vent -Access -Combustion Air -Baffle
17. Water Pipe; Test & Anchor -Nail Protection
18. D.W.V.; Test -Fittings & Anchor -Nail Protection
19. Shower Pan; Test, First Floor -Tub Access
20. Test Tub & Shower, Second Floor -Tub Access
21. Gas Pipe; Size & Anchori
Date Card B-1 Date Card B-1
Date Card B-1 Date Card B-1
Datd ELECTRICAL (Permit) OK except #'s
22 Fixture & Transformer Clearance -Ins. Protection
23. Elec. Receptacles Spacing -Lights & Switches at Doors
24. Size Boxes & No. of Conductors -Stapled
25. Romex Installed Close to Edge of Studs & C.J.
26. Equip. Ground made up w/Mech. Fastners-Bond Gas & Water
27. 2 Appliance Circuts in Kitchen & Conductor Size/GFI
28. Subfeed Wire Size ga. Cu or AI-A.C. Wire Size ga.
Cu or Al
29. Flange Circ. ga. Cu or Al -Oven Circ. ga. Cu or Al.
Insulated Neutral 0 Yes No
30..Service-Riser Conductors & Ground -Main Disconnect
�31..Equip. Clearances Panel s- Motors- Mec h. Equip.
32. Clothes Closet Light -Shower Light -Spa Light
33. Smoke Detector
Date Cara B-1 Date Card B-1
Date Card B-1 Date Card B-1
Date MECHANICAL (Permit) OK except #'s
34. A.C. Du cts Insulation & Support
35. Vent Fan; Exhaust above insulation
36. Condensate Drain & Overflow; Size & Grade
37. F6rnance-Vent: Access -Comb. -Air -Return Air Vent -1 15 outlet
38. Attic Access & Platform if Furnance in Attic
Date Card B-1 Date Card B-1
Date Card B-1 Date Card B-1
Date FRAMING (Plans) OK except #'s
39. Sils. Proper Material & Anchors
40, Wails Studs -Nailing, Spacing & Bracing -Plates -Sound
41. Bearing Wails over Girders & Floor Nailing
42. Draft Stop in Wails (rat Proof)
43. Fire Stops; Furred Ceilings -Stairs -Chases -Tub
44. Headers & Beam -Size & Bearina
(NOTF: An Antry must be mfid
'Urigle & Du'plex)
Date FRAMING (Continued)
45. Hangers -Post Caps -Anchors -Connectors
46. CIng. Joist-Rftr. ties-Purlin -roof Brac-Truss-Shthng.-Rtng.
47. Fireplace Ties or Type A Flue -Fireplace Throat clearance
48. Attic Access: -Size & Romex Protection -Draft Stop -Ins. Baffles
49. Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimenstons
50. Garage Fire Protection Framing
51. Property Line Firewall & Openings
52 Ext. Doors -One T -Check Garage -3rd Story. 2 Exits
53. Stairs; Width -Head room -Rise-Run-Landi ng -Fire Protection
54. plywood on Roof Overhang -Attic Vents -Ratter Outriggers
55. Siding -Nailing Veneer
56. Stucco Mesh -Drip Screed -Fd. Vents-UnderfIr. Access
57. Glazing Area -Glass Protection -Skylights -Plastic.
58..Shear Wails; Nailing -Bolts
59. Insulation -Wails -Ceilings
60. Infiltration -Walls -Windows
Date Card B-1 Date Card B-1
Date, Card B-1 Date Card B-1
Date FINAL (Plans), OK except #'s
61. Ext. Steps -Door & Sidelight Protection -Landings
62 Smoke Detector
6a Furnace; Vents -Clearance -Comb. Air-Conrvector-
In Garage; Above Floor- Ducts-Mech. Protection
64. Bedroom 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.
76. Kit.Fixt. & Appliance; Grnd.-Air Gap -Cooking Clearance
71. Elec. Outlets & Receptacles at Kit. Counter
72. Garage Fire Door; Swing -Landing -Closer
73. A.C. Duct in Garage -Damper
74. Wtr. Htr.; Vents -Clearance -Comb. Air-Conriector-P.R.V.
In Garage: Above Floor-Mech. Protection
75. Plb., Elec. & Mech. Equip. Listed for Location
76. Elec. Receptacles in Garage; (G.F.I.)-Romex Protection
77. Insulation-Foarn-Looked in Attic 0 Yes
78. Guard Rails & Deck Construction -Post Caps
79. Fdn. Vents & Crawl Hole Door-Drainag & Wood -Earth
Clearance Looked under Floor Yes
80. Following instld.: Drive. 0 Yes 0 No: Walks 0 Yes 0 No:
Planters 0 Yes 11 No
81. Stucco: Brown -Finish
82. A.C. Unit: Disconnect, Electrical, Plumbing
83. Vents Above Roof: Plbg.-Appliance-Fireplace.-Clearance to
Openings
84, Water Well; Disconnect, Electrical, Plumbing
85. Exterior Elec: Trim; G.F.I. Receptacle -Underground
86. Ventilation Throughout House
87. Glass Protection
88. Corrections from Previous Inspections
89. Gas Test -Meters Tagged; Gas -Electric
90. Water &:Sewer Connected -C/O to Grade -HO Approval
91. Energy Compliance Certificate -Other Certificates
Date Card B-1 Date Card B-1
Date Card B-1 Date Card B-1
Date Card B-1 Date Card B-1
Comments at Final:
q each time vou visit iob sitel
COUNTY. OF B.UTTE.7.,DEPA.1RTMENT �OF PUBLIC WORKS :PERMIT N
7 County Center Drive - Orov.111le, -California 95965 ! T61'ephone: 916/538-7541
�''APPLICATION MD PERMIT
ASSESSOR PAR,CEL NUMBER
--30-42-32
ZONING
A—R
PER MIT
OWNE�!Z;-
144@11!t, oldp,
TELEPHONE
533-2653
SO. FT. OCC. BUILDING VALUATION
6,000-00'
OWNER'S MAILING ADDRESS
,pe,l Oroville 95961 -
Cor1gya
TELEPHONE
533-3139
,CONTRACT OR 'A j�Lll�IaANNRIESS
19911q A Mi --n. Road
Fireplace
CONSTRUCTIO I'ENDER
N
Total Valuation is
Filing.Fee
$ 10.00
LENDER'S MAILING ADDRESS
'Permit Fee
62.50
ARCHITECT OR ENGINEER
Non
LICENSE NO.
Plan Checking Fee
31.25
Energy Plan Checking Fee
$
ARCHITECT OR ENGINEER'S MAILING ADDFRESS
Penalty
BUILDING ADDRESS
1799 Let� T,Ano, nrnyi I 1
_P ermit fee
$ 1IJ3.75
PLUMBING PERMIT FilingFee '10.00
-7-
Each Trap
2.00
Solar or heat pump water heater
20.00
LOT NO.
SUBDIVISION NAME
PARCEL MAP
Water piping
5.00
Each'qas water heater or vent
5.00
USE OF STRUCTURE
SF U DuplexF-1 MobilehomeF-1 Other
SPECIFY
,Gas piping system 1 5 outlets
5.00,
Building sewer
5.00
7_F0.00
Mobile Home. I S I GJWJ
ea
TYPE OF WORK
NewF� Addition [:1 Remodel D Uti litie�'[:] InstallationD dther Ea
Descri be. work:
existing)
'Permit Fee
Contracto�'
ELECTRICAL PERMIT
Fi I ing Fee 10.001
1100V OR LESS
main service 100 AMP OR LESS
10.00.
Main service EA. -ADD -L 100 AMP
2.50 -
CONTRACTORS LICENSE LAW
I declare under.penalty of perjury (check one):
I' am licensed under provisions of Chapt. 9, Div. 3 of the Busines S
and Professions -Code and my license is in full. force and�effect..
License No. 514 75-0 Classification� 9
1, as the owner, or my employees.with wages as their.'sole compen-
sat ion, wi I I do the work, and the struc,ture, i s not intended or offered
for sale. (Sec. 7044)
I, as theowner, am exclusively contracting with licensed contract-
ors. (Sec. 7044)
F1 I am exempt under Sec.-, Business and Professions Code
for this reason
�NEW CONST DWELLING CCIP..)
.11 A.DNS. ACC, BLDGS.
21/2 Os q ft
—NEW CONSTR. MULT—I-'-5—UTLE T
RE
NO110 _S, RAN CH CIRCUITS)
2.50 e a
POWER APPARATU
SINGLE.OUTLET CIR.89
Ex. Occup(OUTLETS-OR FIXTURES
20@50t
ISAL9 30ti
FIXED APPLNS. OR 11
Ex. Occup. OUT LETS. (RESID.) EAJ
2.00
:Temporary serVice
10.00
"Mobile,kome Facilities
15.00
Misc. Wiring'
15.00
Permit Fee
$
Contractor
WORKMEN'S *COMPENSATION INSURANCE
I declare under penalty of perjury (check one):
F� The permit is for $100-00 (valuation) or less..
F-1 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-frisure.
I shall, not employ any person in any manner so as to become subject
to the W. C. Jaws of California.
Notice to.Applicant: If after making this statement, should you become auuj
to the W. C. -provisions of the Labor Code, you must forthwith comply with su"c'�'
h
provisions or this permit shal I be deemed.revoked.
MECHAN CAL PERMIT
Fi I ing Fee 6.00
-,Heating.
Cooling.
Hood
3.00
Veniiiation
Permit Fee
$
Contractor
I certify that I have read this application and state that -the above information
is correct. I agree to comply to all County Ordinances and State Laws relating
to building construction, and hereby authorize representatives of the County ot
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�
is p
.again�t aid'Cbunty i o equence of the granting of th 6rmit.
�td 1rhc ns
_X Date
Si f Applicant ownerEl Contro'cto r Agent El
Angill-1A 'ermit is required for exc . ovations 'Ydeep and demoilition or cons . t . ru ct
P
ion ctures over 3 stories in height.
Mobile Home Installation - ee
Energy Inspection Fee $
occ
N T TYPE
TOTAL FEE I Q) 'q 7 rq,
HAZ.
?A
_��Rk SCHL
I FLID-]
..c
PAR
Thi� permit is hereby issued under trie
sions of. the. Butte County, Code and/or
work Ind' ated ab ve for which fees
9
R F PUBWC
OR 0
By Z671A Cal
PERMIT EXPIRES
applicable provi-
resolutions to do'.
have been paid.
WORKS
t ?7ql -
Receipt No 88658/103..75
WHITE-D.P.W. YELLOW-A35E3SOR. PIN - K . -INSP . ECTO R.. GOLDEN . ROD . -APPLICANT
tv.
Ji
'-'7 7
oe.Mw av
A
,,COUNTY OF BUTTE DEPARtMENT'bF PUBLIC WORKS 'BUILDING DIVISJON
R
7 COUNTY CENTE 'DRIVE --ORO ILLE� CALIFORNIA 95965 - TELEPHONE: 916/538-7541
PERMIT100LICA, ION DATA --SHEET'
Permit No.
'OWNE
R P. No.
Proposed..Buildihg Use COO /,-!c Building. Insoec'tor Date.
w issue the permit, process
Telephone .5-3
Other
follows: Mail to owner. Mail to contractor.
d hold for pickup at OfcD office. Deliver w/inspector.
Applicant
Date
Copy of Hl* -Mat form sent, Health Dept. ___�Iire Dept. ------Air Pollution Date
Copy of-�la,ns sent -----Health Dept. _____FireDept. '-Other- Date- By
The follow-ing.,data must be sub mitted prior to permit issuance, (Circle new item not checked above).
1. Index permJt:�for above. -items No.
2. Additional items requir�c(:.
Contractor, designer, owner, was advised of above required data by -phone --mai I -counter by -..date
Contractor, designer, owner, was advised of above required data bD -phone -mal WIounter by- date
S q
Plans checked by- Date P;/napproved by Date _�61
Sets of plans on hold in -File cabinet AP folder.
Copy -DPW
At time of permit application, I was advised the followingi'data'miusit be submitted prior to permit processing and/6r-issuance:.
DATE RECEIVED APPROVED
...............
1.
All items have been submitted . ...........
�W2.
3.
Plot plans in duplicateZtriplicate, signed by,pirbparer of p!ans...
I by
Complete injZFgj�ripiicate,
plans signed, preparer. of plans,
4.
Complete engineered plans and 6alcs,'with.w6t signature on plans,,
5.
Hazard ous'Material Form,��'..-.i .......................................
6.
Energy Design Cc im"'plianceand supporting documentation ..........
7.
Statement of X
-Intenf,"icir-Non-Heaf6d and At Buildings .........
8.
Engineered truss details and layout in duplicate (required prior to plan check)
9.
Mobilehome installation data including manufacturer's installation
instructions ...................................... .................
10.
Fees of $ . ..........................
11.
rb
Chico U an Area fees paid .......................................
7.
12.
paid ......... ..............................................
13.
School District fees paid ................
14.
Sanitation approval from Health Department
15�
City of Chico plumbing permit .......................................
16.
Ot PI
P I an and business license approval from City of
(see C.ity for'other requirements)
17.
Planning approval for (A) Use: .(B) Parking: ......
18.
Improvements may be required. Contact. Land. Development Section, DPW
19.
Driveway permit (construction approval required prior to occupancy)
20.
Pre -Inspection for required Pre-Inspec. request to
Building Inspector -(Date) ,
21.
Contractor's license information (No., Name:,Style, Classification) ...
22.
Certificate of Workmans Compensation Insurance . .........
-23.
Owner -Builder. Verification (Given to!6wner. [],'Mail fobwner 0).
24.
Recorded copy of Agricultural Acknowledgment Statement ..........
25.
Letter of signature authorization ...............
26.
.......................
2-7.
w issue the permit, process
Telephone .5-3
Other
follows: Mail to owner. Mail to contractor.
d hold for pickup at OfcD office. Deliver w/inspector.
Applicant
Date
Copy of Hl* -Mat form sent, Health Dept. ___�Iire Dept. ------Air Pollution Date
Copy of-�la,ns sent -----Health Dept. _____FireDept. '-Other- Date- By
The follow-ing.,data must be sub mitted prior to permit issuance, (Circle new item not checked above).
1. Index permJt:�for above. -items No.
2. Additional items requir�c(:.
Contractor, designer, owner, was advised of above required data by -phone --mai I -counter by -..date
Contractor, designer, owner, was advised of above required data bD -phone -mal WIounter by- date
S q
Plans checked by- Date P;/napproved by Date _�61
Sets of plans on hold in -File cabinet AP folder.
Copy -DPW
UBLIC
COUNTY,O,F BUTTE - DEPARTMENT OF -P 'WORKS.— PERMIT NO.
7 County Center Drive'-.0rovi'lle, California 95965 -,Telephone: 916/538-75.41
-7,
APPLICATION -AND PERMIT'
ASSESSOR PARCEL NUMBER
30-, 1Z.
ONING/pr .
.-,BUILDING PERMIT
OWNER ]TELEPHONE
\�Ooet
_3,24:� 53
-SO. FT. OCC. BUILDING VALUATION
OWNER'S MAILING A DORf.SS
9 1�1 I/- 61rX11_ Z1V 096. rA 5
CONTRACTOR'S NAME
)t
ITELEPHONE
CONTRACTOR'S MAILING DDRESS-7
Fireplace-
LEN
UNKNOWN
TCONSTRUCTION
Total Valuation $
Filing Fee
10.00
LENDER'S MAILING ADDRESS,
Permit Fee $
ARCHITECT OR. ENGINEER
IVOAIe
E NO.
P Ian Checking, Fee
Energy, Plan Checking Fee
ARCHITECT OR ENGINEER',S MAILING ADDRESS
Penalty $
.BUILDING ADDRESS
Z Z/V CA
Permit fee $
PLUMBING PERMIT FilingFee 10-00
Each Trap
2.00
Solar or heat -pump water heater
20.00
LOT NO** —PUBDIVISION.
NAME PARCEL MAP
Water piping,
5.'00
Each qas water heater or vent
5.00
USE OF STRUCTURE
SF JK-DupIdx F� Mob i I ehome ET Other
SPECIFY
Gas piping system 1 - 5 outlets
5.00
Building sewer
5.00
Mobile Home I S I G JW
10.00 e�
TYPE OF WOR.K
New Addition Remodel 0-. Utilities Installation Other
Describe work: -7-,41�1
Permit Fee, $
Contractor
ELECTRICAL PERMIT Fi ling Fee, 16.00
Main service 60 OV OR LESS 10.00
_100 AMP OR LESS
Main service E'A.'ADD-L 100 AMP
2.50.
CONTRACTORS OCENSE.LAW
I dec.1 are. under penalty of, perjury (check one)*
1, 1 ' .. .. '
F� I am licensed under provisions of Chapt. 9, Div. 3 of the -Business
and - Professions-- Code 'and -my license is in full force add effect.
License No.' Classification.
1, as the . owner.. 6r my employees with. wages 'as their sole compen-
,sation, will dotbe work,and the structure is not intended or offered
for -sale. (Sec.' 7044)
1, as the owner,. am eiclusively contracting with licensed contract-
ors. (Sec. 7G44)
I am exempt under -Sec -------- Business and Professions Code
for this reason
NEW CONST DWELLING OCCUP.ai)
OR AODNS. ACC. BLDGS.
2/20sq ft
NEW CONSTR. 'AULT'-OUTLET
,.�.R.SID, BRANCH CIR11IT1)
2.50 ea
POWER APPARATUS &I
(SINGLE OUTLET CIR. I
Ex. Occup( OUTLETS OR FIXTURES
2 0050t
ALO 30t
FIXED APPLNS. OR
Ex. OccuP- OUTLETS (RESIO.) EA.)
2.00
Temporary service
10�00
Mobile Home Facilities
15.00
Misc. Wiring
15.00
Permit Fee
$
Contractor
MECHANICAL PERMIT
FilingFee 11 0.00
WORKMEN'S COMPENSATION INSURANCE
I declare under penalty of *perjury (check one)
The permit is for $100.00 (valuation) or I ess.
E] I 'have placed on file with the County of Butte Building Department
a, Certificate of Workmen's Compensation Insurance or, a Cert i f i cate
of Consent to Self -insure.
I shall not''emp.loy ahy,persbri in' any manner so"as to become subject
to the W. It- 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 deemedrevoked.
Heating
.
_-Cooling
Hood
a.00
Ventilatio6'
Permit Fee..
$
Contractor
I certify that I haveread this plication and state that the above information
�_is correct. I agree to comply to all County Ordinances and State Laws relating
-to building construction, and hereby authorize representatives of the County of
B,utt,e to enter upon the above-mentioned property for inspection purposes.
I al so agree to save, indemnify and keep harmless the County.of Butte against
all liabilities, judgments, costs, and expenses which may in any way accrue,
against said County in consequence of the granting of this permit.
X Date
Signature of Applicant — Owner cai,'tr.Ctor 11 Ager t.
1 0.1
An OSHA-permit�is requireil for '40yations-over'5, deep and dernolition.or construct-
-ion of structures over'3 stories in. ight.,
o e ome nstallation Fee
$
- Energy Inspection Fee
occ
CONST TYPE
I . . I � TOTAL FEE s A)3
I,
HAZ.
I CUA
I PARK SCHL
I FLO
CDF
PAR
1. PC),
1) H0.
ISSUE
This permit is hereby issued unaer tne applicable provi-
sions of the Butte County Code and/or resolutions to do
work. indicated above for which fees have' been paid.,
'DIRECTOR OF PUBLIC WORKS
By Date
PkRMIT,EXPI RES- 'Date
Receipt No.
WMITK.-O.P.W.. YELLOW-A38E33OR(PINKINSPCCT(?R. �QOLDENFN)D-APPL [CANT
I k
05 C) 3
036
K
0-= Not OK
- Not Applicaile-
Ready... 'MOBILE.'HOMES
,MISCELLANEOUS
Not
bate
momLE HbME.UTILITIES (Plans) OK except'#'s
Date dEdl*'COVERS, CARPORTS,,GAFtAGES,'(Plans)OK except #'s,
Z6ning,Reqdlirerrients -Easementi,..'
-Setbacks
7 - Z-0-ig.Requieements-Setbacks-Easemcints
'alMH'S6pport-Sketch.'
2, Soils; Specl
'k -r. Footindi; Soils -Size -Depth -S ing-C6nnectors-Ste6l
PaCi
3. , SeWer;1ocition-Test-FalizC/0 Concrete
3--DeckT-extde_rs-and-/b(,Joists'Dbckingf-Brdci�g-St4ir�-R�ils'�-.
W -Easernent Needed
4. ater;,Location-Test
4.-Weed-Avm., Pa9ts-Beams-Ri'trs.-Connec ors
t
-(Sketch)
5. :Electri6ity; L:oc6tlori-Clearenc'es-Grnd-/ /Ainp-Goricrete.'
Shth�.-Pfg.-Bracing
--U6T_
6�� Alu r -Awn;-, umris-C6nnectio'ns-S'plice-b,e6al-t�cids6res
6,6'a's";�L,o�bation-Test-Wrap:t /"L"ft
P'Nat. or'/ /!'L"ft./ /"LPG
-4.-e-port3,Wmd01w D oors'.
'Utility Clearance
-7. Eject66 it jjt.� - -/;J� - 6 c)lc:�,
-Anchors-StudS7Rftrs
;ArF�mg; Sils -Trusses,
iding; Nailing-Ven6er-Stucco-,Mesh.
1.�.�'of,'Shthg-koofing
bate
Card B- 1 Date Card B-1
M11. Ext.; Steps -Doors -Landings
Date
Card B-1 Date 'Card B-1.
Date
Plans) OK except V
MOBILE HOME INSTALLATION 8
1 Zoning Requirements -Setbacks Easements
Date)-,�_-Y!7 Card B- Card B-1:,
2. Fo6tinw Size , Si5acling-mirriage.urve..
Date,11, 1Z4 Card B-1 �Date '-Card B-1-
_�t#,.
3. Gas; MH Test -.Dema . nd-Valve--Co . nn . ector
Date POOLS (Plans) OK* EL.
4. Electricity; 14H Test -Crossovers-Breakers-Cleitrances
1. Setbacks-Eas'ements
5. D . rain; MH Tes . t -Fall -Flex C . onnec toi,
'2. Soils; Cornpaction Siructure Stability
'6.'Water; MH Test-Regulator-Gonnector:
3. Pool Structure'; Steel -Con nections-Thicknes s'
7. Water and Sewer Connected -C/0 to Grade -HD Approval
Dead Me n -Lining
:& Gas and Electrlcitjrtagged'�
4. Elec.; Receptacles and Lighting, Dista.nces-GFI
5. Elec.; Pool Lighting; 15volts-GFI
A Exits; Insp.-Sketch
6. Elec.;Enclosures; Cond6it.Entries-Terminals-Listed
10. Cert. of.Occupancy
7. Elec�; Bonding; Metal w/5' -Circulating -Equip. -.Heater:
_40: -Pool Eghtg.-
8. Elec.; Grounding; Equip. w/5' Cl.rcu,lating �qul
Date
Card B-1. Date Card B-1
Boxes-Enclosu res -Panel boards- lns.,to MainAn, Conduit
Date
Card B-1' Date Card B-1
9. Health Department Approval
10., Plumb.; Cir. Test -Water Supply Test
card 6�1 bate Card -
Date B-1.
Date Card,B-V, . Date Ca rd B, 1
%
4 OK
0 Not OK
Not Applicable
Not Ready RESIDENTIAL (141
Date UNDERFLOOR (Plans) OK except #'s
1. Zoning�S6tbacks-Easements-Flood-Slope
2. Ftg.,,Main; Soils�Elec. Grnd.-/ P' Ftg. Depth.
3. Fig., Garage; Soils-Steel-Elec. Grnd.-/ /-" Ftg. Depth
4. Ftg., Porches & Decks; Soils -Steel-/ /Ftg. Depth.
5. Sternwalls, Main; Steel-Blockouts-Wrapped .
6. Sternwalls, Garage; Steel -Blockouts-Wra p4d_-.�
-6a.,'Hold Downs arid..Special Anchors
-7. SlalS*,, Steel-Wrapp 6d_'�'
8. Pie ri-Fi replace Ftg.-Steel.
9. D.W:V.; Fall-Fitting�Test72 Way C/0 -Sewer Test
10. Gas.Pipe; §ize-Anchors
11. Water Pipe; Test-Ancho r -Regulator -Service Test
12. Electric; Underground
13. Pienums & Ducts: Clearance-Material-Suoport-ing..
14.- Girders -Sills -Anchor Bolts-Joistg'-V&nts-Cripples
15.- Insulation
Date Card B-1 Date Card B-1
Date Card B-1 Date Cdrd B-1
Date PLUMBING (Permit) OK except #'s
16. Water Htr.; Vent-Access-Combustiort Air -Baffle
17. Water'Pipe; Test & Anchbr-Nail. Protection
18. D.W.V.; Test -Fittings & An6hor-Nail Protection
19. Shower Pan; Test, First Floor -Tub Access
20. TestTub & Shower, Second Floor -Tub Access
21. Gas Pipe; Size & Anchors
Date Card B-1 Date Card B-1
Date Card B-1 Date Card B-1
Date ELECTRICAL (Permit),OK except4's
22.- Fi - xture &,Transformer Clearance -ins. Protection
23. Elec. Receptacles Spacing�Lights & Switches at Doors
24. Size Boxes & No. of Conductors -Stapled - .
25. Romex Installed Close to Edge of Studs & C.J.
26. Equip. Ground made up w/Mech. Fastners-Bond Gas & Water
27. 2.Appliance Circuts in Kitchen & Conductor Size/GFI
28. Subfeed Wire Size ga. Cu or AI-A.C. Wire Size ga.
Cu'or Al
29. Range Circ. ga. Cu or Al -Oven Circ. ga. Cu or Al.
Insulated Neutral 11 Yes 0 No
30. Service -Riser Conductors & Ground -Main Disconnect
31. Equip. Clearances Panels-Motors-Mech. Equip.
32. Clothes Closet Light -Shower Light -Spa Light
33. Smoke Detector
Date Card B-1 Date Card B-1
Date . Card B-1 . Date Card B-1
Date MECHANICAL (Permit) OK except #'s
34. A.C. Ducts Insulation & Support
35. Vent Fan; Exhaust above insulatio-n
36.' Condensate Drain & Overflow; Size & Grade
37. F6rnance-Vent; Access -Comb. Air -Return Air Vent -1 15 outlet
38. Attic Access & Platform if Furnance in Attic
Date Card B-1 Date Card B-1
Daie Card B-1 Date Card B-1
Date FRAMING (Plans) OK except #'s
39. Sils, Proper Material & Anchors
40. Walls Studs -Nailing, Spacing & Bracing -Plates -Sound
41. Bearing Walls over Girders & Floor Nailing
42. Draft Stop in Walls (rat proof)
43. Fire Stops; Furred Ceilings -Stairs -Chases -Tub
44. Headers & Beam -Size & Bearinq
(NOTE: An entry must be mad
I . - ;.
ii, "Ingle &.Duplex)
Date FRAMING (Continued) p
45. Hangers -Post Caps -Anchors -Connectors
46. CIng. Joist-Rftr. ties-Purlin-roof Brac-Truss-Shthng.-Rfng.
47.'Fif6bIaib6 TieiVr', , Tjpe A Flue -Fireplace -Throat clearance
48. Attic-'Abbdi!�,'Siz'4 & Romex Protection -Draft Stop -ins. Baffles
49. Bdrm. Windows or Exiting Doors -Sill Hgt.,& Dimensions
50. Garage Fire Protection Framing
51. Property Line.Firewall & Openings
52. Ext. Doors -One 3' -Check Garage -3rd Story, 2 Exits
�3. Stairs; Width -Headroorn -Rise-Run-Landi ng-Fi re Protection
54. plywood on Roof Overhang -Attic Vents�Rafter Outriggers
55. Siding�Nailing Veneer
56. Stucco Mesh -Drip Screed -Fd, Vents-Underfir. Access
57. Glazing Area -Glass Protection -Skylights -Plastic,
56.__ Shei� Walls'; Nailing-Bblts
59. Insulation-Wallst.bdilfrigs
.60. Infiltration -Walls -Windows
Date Card B-1 Date Card B-1
Date Card B�l Date Card B-1
Date FINAL (Plans) OK except Vs
61. Ext. Steps -Door & Sidelight Protection -Landings
62. Smoke Detector
63. Furnace; Vents-Clearance-Gomb. Air -Connector -
In Garage; Above Floor-Ducts-Mech. Protection
64. Bedroom 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; Grnd.-Air Gap -Cooking Clearance
71. Elec. Outlets & Receptacles at Kit. Counter
72. Garage Fire Door; Swing -Landing -Closer
73. A.C. Duct in Garage -Damper
74. Wtr. Htr.; Vents -Clearance -Comb. Air-Connector-P.R.V.
In Garage; Above Floor-Mech. Protection
75. Plb.; Elec. & Mech. Equip. Listed for Location
76. Elec. Receptacles in Garage; jG.F.I.)-Romex Protection
77. lnsbiation-Foam-Looked in Attic 11 Yes
78. Guard Rails & Deck Construction -Post Caps
79. Fdn. Vents & Crawl Hole Door-Draina & Wood -Earth
Clearance Looked under Floor 9 Yes
80. Following instld.; Drive 0 Yes 11 No; Walks 0 Yes 1:1 No;
Planters 0 Yes 11 No
81. Stucco; Brown -Finish
82. A.C. Unit; Disconnect, Electrical, Plumbing
83. Vents Above Roof; Plbg.-Appliance-Fireplar-e.-Clearance to
Openings
84. Water Well; Disconnect, Electrical, Plumbing
85. Exterior Elec. Trim; G.F.I. Receptacle- Linde rg round
86. Ventilation'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
91. Energy Compliance Certificate -Other Certificates
Date Card B-1 Date Card B -1 -
Date Card B-1 Date Card B-1
Date Card B-1 Date Card B-1
Comments at Final:
a each time you visit job site)
9 --
A -
COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS:
PERMIT No.
7 County Center Drive - Oroville,'talif6hia 95965.- telephone: 916/538-7541,
APPLICATION AND PERMIT
ASSESSOR PAFT—CEL NUMBER
05!e — 412--'V - -0 42 -0
ZONIN_�
PUILD114G PERMIT
OWNER
'JiIA-1.0 h/0 C, 0''
TELEP NE
-10S-3,
SQ.FT. OCC. BUILDING vALUATION
OWNER'S MAILING ADDRESS
1791 <e7-7-4 0, rn S
M 'To C, Lt
CONTRACTOR'SNAME
TELEP�iONE
CONTRACTOR'S MAILING ADDRESS
Fireplace
CONSTRUCTION LENDER
^'$A.J6_ .
UNKNOWN
I I
Total Valual
LENDER'S MAILING ADDRESS
ARCHITECT OR ENGINEER E NO.
'Filing Fee
$ 10.00
Permit Fee
Pla n Checking Fee
$ WS70
$ ?
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Energy Plan Checking Fee
$
Penalty
$
BUILDING ADDRESS
1-79f 4f;w I.A)
Permit fee
0,10
PLUMBING PERMIT
FilingFee 10.00.
Each Trap
�; 1 2.00
Solar or heat pump water heater
20-00
LOT NO.
SUBDIVISION NAME
IP
I
ARCEL MAP
.
Water piping
,+-5.00
Each qas water heater or vent .
1 5.00
USE OF STRUCTURE
SF[:] DuplexFj MobilehomeE] Other S71117 A e kV6 I
SPECIFY
Gas piping system 1 - 5 outlets.
5.00
Building sewer
5.00 —5—
Mobi,le Home Is
10.00 ea.
TYPEOF WORK
New K Addition 1:1 R emode 10 Utilities [:1 InstallationO Other 1:1,
Describe work:
Permit Fee
$
Contractor
ELECTRICAL PERMIT
FilingFee 10.00
Main service .610000v OR LESS
AMP OR L'a
6;,4e.00
CONTRACTORS LICENSE LAW
I declare under penalty of perjury (check one):
1 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
0 ,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)
1, as the owner, am exclusively contracting with licensed contract-
ors. (Sec. 7044).
I am exempt under Sec.—, Business and Professions. Code�
for this reason
Main service EA, ADD -L TOO�WPYV$
V50ft
NEW CONST. ( D W ELLING OC
OR ADONS . A CC. BLOGS.
ZsQ
NEW CONSTH �ULTI-OUTLET
NON"RESID.. BRANCH CIRCUITS)
2.50 ea
POWER APPARATUS.&)
(SINGLE OUTLET CIR
Ex. Occup(OUTLETS OR FIXTURES
1.20@50t
AL@ 30C
OCCUP. FIXED APPLNS,DOR
Ex. OUTLE-TS ( R ESI EA.)
1 2.00
Temporary,s&vice
10.00
Mobile Home Facilities
15.00
Misc. Wiring
1�.00
Permit Fee
WORKMEN'S COMPENSATION INSURANCE
I declare under penalty'of perjury (check one):
The permit is for $100.00 (valuation) or less.
I have placed on- file with the County of Butte Building Department
.a Certificate of Workmen's Compensation Insurance or a Certificate,
of Consent to Self -Insure.
I shall not employ any person in any manner so as to become subject
to the.W. C. laws of California. .. I :
Notice to Applicant: If after making this statement, should you become subject.
to the W. C. provisions of the Labor Code, you must forthwith comply with such
provisions or this permit shall be deemed revoked'.
Contractor
MECHANICAL PERMIT
Fi I ing Fee 10.00
Heating
Cooling
Hood
3.00
Venti lation.,
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 Ccunty of
Butte to enter upon the above-mentioned property for inspection purposes.
I also agree to save, indemnify and keep harmless the County of Butte against
all liabilities, judgments, costs, and expenses which may in any way accrue
agal st iid ou in onsequence of the granting of thi
is per[nit./
/ :;-x 10 1
Date 0/0 .
Signature of Applicant Owner)E Contractor E] Agent
An OSHA permit is re
3quired for excavations over 5'0'' deep and demolition or.construct*
ion of structures over stories in height. C�
Mobile Home Instillation Fee $
Energy Inspection Fee
occ
CONST TYPE
TOTAL FEE s 7�,
HAZ
CUA
ARK
I SC L�
F�/ra��fHD
IS
This permit is hereby issued under
sions of the Butte County Code and/or
work indicated above for which fees
DIRECTOR OF PUBLIC
By
PER EXPIRES Date
the applicable provi-
resolutions to do
have been paid.
WORKS
Date lz---L-
Z- — 27,-- 3P�10
Receipt'No. -17-5-5
WHITE-D.P.W.. YELLOW -ASSESSOR, PINK-INsprCTOR, GOLDEN ROD--APPL I CANT
la,
12
f
?IG
'ZI
IZ
A
COUNTY OF BUTTE DEPARTMENT�qf�PUBLIC WORKS BUILDING DIVISION
7 COUNTY CENTER,DRIVE - OROVILLE,.CALIIFQRNIA 95965 - TELEPHONE: 916/538-7541
PERMIT APPLICATION DATA SHEET
Permit No.'
OWN Ek in./^ ic A. -P-.- No. 30- q �2- 3
tw
Proposed Building Use Building, Inspector IALA�_,_)_ Date/-�`
At time of permit application, I was advised the following data must be submitted prior to permit processing and/or issuance:
DATE RECEIVED APPROVED
1 All items have been submitted . .................... ................
Plot plans in duplicate/triplicate, signed by preparer of plans ........ ou a �cl
3. Complete pTa—n-s--i-n--du—plicate/triplica,te, signed by preparer of pl
4. Complete engineered plans and calcs, with wet signature on plans
5. Hazardous Material Form ..........................................
6. Energy Design Compliance and supporting documentation .........
7. Statement of Intent for Non -Heated and AC'Buildings ...............
8. Engineered truss details and layout in duplicate (required prior to plan check)
9. Mobilehome installation data including manufacturer's installation
instructions ........................... : .............................
10. Fees of $ ..: ......................
- 11. Chico Urban Area fees paid ..... ......
-12. Park fees paid .....................................................
13. School QjalgLct-fees paid ...............
__&Djrk_4._ Sanitation approval from Health Department !�yecj
15- City of Chico plumbing permit .....................................
16.. Plot plan and business license approval from City of
(see City for other requirements)
17. Planning approval for (A)'Use:—(B) Parking: . ......
18. Improvements may be required. Contact Land Development Section DPW
19. Driveway permit (construction approval required prior to occupancy)
20. Pre -inspection for required ... Pre-Inspec. request to
Building Inspector (Date)
-21. Contractor's license information (No., Name Style, Classification)
22. Certificate of Workmans Compensation Insurance ..................
23. Owner -Builder Verification (Given to owner cl, Mail to owner 0) .....
_&J�24. Recorded copy of Agricultural Acknowledgment Statement .........
5. Letter of signature authorization ...................................
26.
27.;
When you issue the permit, process as follo�js: :ti?5 Mail 'to owner, —Mail to contractor.
Telephone and hold for pickup at '0 Y'5 office. —Deliver w/inspector.
Other
Irk Applicac. Date 049Aq
Copy of plans sent Health Dept., —Fire Dept., Other Date
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:
7,
Contractor, designer, owner, was advised of above required data by_phonw'.!.. �,.ail counter by—..date'
Contractor, designer, owner, was advised of above required data by —phone _rna I I —counter by— date
Plans checked by Date Plans approved by (Z>7
Date
Sets of plans on hold in —File cabinet —AP.folder
Copy—DPW
COUNTY OF BUTTE Department of Public.Works
7 County Center Dr iYe, Orovillej CA- 95965 Phone: 916-5-38-754i.'.
OWNER -BUILDER VERIFICATION
Attention- Property Owner:
An "owner -builder'.' building permit has been applied for in your name and bearing.'
your signature..
Please complete'and return this information at your,earliest opportunity to avoid
Unnecessary delay'in processing and issuing your building permit. No building permit
will''be issued until'.this' ve'r if ibation is' received..
�1. I personally plan to''provide themajor labor and aterials for construction of
the proposed property improvement (yes or no)
2. 1 (have/have not) signed an application. for a building permit
for the proposed work.
3. 1 have contracted with the following person (firm) to provide the proposed
construction:
Name
Address City
Phone Contractors License No.
4.`�I*plan to,provi,de.portion.s of this work, but.1 have hired,the' following person
to coordinate,'supervise, and provide the majorwork:
Name
Address
City
Phone Contractors License No.
5. 1 will provide some of the work but I have contracted (hired) the following
persons to provide the work indicated:
Name Address Phone Type of Work
NOTE: This Owner -Builder Verification is sent to you as required by Sections 19831,and
19832 of the California Health a.nd!Safety Code.
This verification must be completed alnd,return'ed to-6ur office before we ate per-
mitted to iss"ue',the.permit.
.ReturF.to DPW AGRICULTURAL STATEMENT OF ACKNOWLEDGEMENT
H 5 D 3 8-0,
FOR RESIDENTIAL DEVELOPMENT
%
Section 26-8.1 of the. Butte County Code
requires this acknowledgement -be recorded
p rior to.issuance of -a building permit.
The property described herein is adjacent,
- B9-0503130
Re c Fee 7_00
to land or included within an area zoned,
Check 7.00-,
for 'agricultural purposes, and *residents
Recorded -
of this property may be subject to incon- Off ici I al Records
veniences or discomfort arising from th
County of --
use of agricultural chemicals, including9
Butte'
PARTY SHOWN
but not limited to herbicides, pesticides,
Candacd J. Grubbs
and. fertilizers; and from the' -pursuit.
Recorder
of agricultural operations including,
10:21am 20 -Dec -89
B I G . 2
but not, limited to cultivation, plowing
spraying, pruning, and harvesting whiN
occasionally generate dust, smoke, noise, and odor. Butte County
has established agricul-
tural zones which have as a priority use for productive agricultural
purposes, and residents
within said zones and on adjacent property should be prepared to accept such inconvenience
ordisconform from normal, necessary farm operations.
All, that real property situate in the County of Butte, State of
des cribed, as
follows:
,California.,
SEE ATTACHED.
Date: December 18, 1989
PROPERTY OWNERS:
John M. Holden
1DeLauna,B. Holden
State of Calif On this the 20th I day of December 19 89 before me,
SS. the undersigned Notary Public, personally appeared
County of 'Butte
***John M. Holden and i]beLauna B. Holden******
tjxPersonally known to . me. E] Proved to me on the basis
-NM J. DUNN of satisfactory evidence.
a NMARY PUBLIC-CALIFORMA are
19 Butte County io be the person(s) whose name(s)
MyCamydsWwE)OresMamh3O,l990�ubscribed to the within instrument and acknowledged that they
omeme.momommak6monomemmmmegpxecuted the same for the purposes therein contained. IN. WITNES'S'
WHEREOF, I hereunto set my hand and official seal.
Present A.P. No. 030-042-032
Not Pubj'l i --c
010) 4-4
w 43 S 0
Recorded at thP.rnequest of
.............................
. .......... .................... ..........
FIC:".
BUTTE CO
Return t(A, '1,REq9
Rbs ftr-'777:� C
G
_;v
M27
JAI, 0:
...............
7 ............
0 f
CLARK AL' N E L 5
65., OLERK-R ECC
........................... ........... . ....... . . ................... .. I
Oroville, Ca. 959 IRDE R
49, V�
Escromi No.' 2,552_Q—&Q-.7JL... , 2" , ::", :: 1. / �7,
'31
430 R &�T
C
d. to Ma
Grant, Do ing
0 re53'
dd on docurn
a
For v lue received 3..._�J.1QT4DE -4.s.ba j d, wif a:'-,--
.... . ..................................................
GRANT ........ . to-'..JQM1.�X an jRrty
all that real property sityotp !n e,-
th .................. .......
folloWOI: _k
County of ... ....... Q ..... ..................... . State of Colifornio,'described as.
-The Easterly. 96.0 feet., of%.,the. Northerly -140.0 fg,�t,gf!the, following described parcel of
land. ;4� ��j'
A,portion of Lot 'I and 3 'in Block 1_10i'��iccqrding to.that�certain Map entitled,
"THERMALITO, BUTTE COUNTY, k .,Map 'Aso -dir
-'CAL .,,�.which was�'f iled in the office of,the,, oi e
of the County of.'Butte. State. -of Calif ornia,,. June 80- 1887 more Pa�rtioularly,described
aB follows:
BEGINNING,at a. point. on the East,liniii of"said Lot 3'9,:yh�ch poin
t is Southerly 140.-73
feet from the Northeast'corner-�thereof;,thence,North-'Bg thence
581 W6etO 176.6,jeet
North and parallel withZ tha' line of' said�, �ots; f and ' -a stan9p)-of.- �40.0 feet
3,
150.0 feet',' parallel with the East
::to a point.being South line'.of said'�49t f rom
ic
the Northline of:iia'id"Block 110; thpnc'e`.�.East ''and' parallel with the North, -line of,
said Bloci-116t,'a distance of 176.0 feet to a:point"on the.East line 'of said Lot 4;
thence, South�,4on h Ea 1
g. t e�,, at Lot, 1-anii. 2 f �340. 0 f �Iit �t�tihe' i
a.distance.,o
point of beginning.
AP No,,,034-42-0:-032— r.
0
-4 4,
Send tax statements to
Dated
1914.
OA,
Y1?A4::1,2_,;1,j ....... ...
.7.7.
7 John M� Holden DeLauna B. Holden
0
" wt�.,
..... ........... . .............................. . . ........ ........... . ................ . .......... . .......
.........
STATE OF CALIIbMLA
........... . .....
.............. �of
4!�
NW,
on --- _.q9._.__ b9f.
a Notary
In and for -id, *W' roomily appeared Holden_�znd..MAT,Aiina 13- Holdeiii.
7
...................................................... . .. c. -j
...............
'7 . ....... ... . .... - --------
know,, to rna to be the person t. ...A
bed to� ft within ins�, W A..kd@W to rno that .�A.h*.X. "soijed the
OFFICIAL SEAL
-F 50
�;RHCINDA N. DILLENBECK.:
DOCUMENTARY,TRANSFER. TAX $ ..... MONE
..........
I - 1�1. � - t— --NOTARY PUBLIC - CAUFORNIA v
ori'Full'Vafu� of' Property
0 Computed Convoyed'a;: z1v COUNTY'OF BUTTI! i
my c-40- UPIM AI&Wd 20, IOU
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Encumbrances Remairiing Thereon 4t Time ai*i�l
t 2'.
........................
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Signature omnt or:' determining Tax
of ded
agent Notary Public
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LI -HER SMALL E OF MINIMUM G040C A SPECIE1 FOR TRUSS SPANJ AS NOTED OELOW 404 0. H—Fa G1.fR.L -arts.. k� �n
1cmo siz E I r, F I a t g F a;) nF F HF a �3 pq I — . -- - a - � --
con. OF SS H 400 F 21 1 s, n F I a r, 1 —19- �. ilW Ill- ",— .. k,-, -.W- pal -
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TOP CHORD 13 3s - --o --L3 s A- 5 1 4 2A, 3h* : :z
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7 Y A�. ..-W
BOTTOM CHO ------- 30, a 1.3
L;, 1 .1. 1 1 1h , - - - - - -10 Fl- 5- 3V 16- 25, 1 16 A I
WIES 1AIMBE. 2.4 STANOAAO OR STUD GRA04E HEM FIR. 2.3 02 MEM FIR OR AS NOTED ON OES3GN .0 L"
2%Q 311mOA4U 04 3T09 GRAoE me.M-Flw FOR "ES k-f-PKERS SPA4 TO W A SPACEO 24.0* O.C.
o : 12 Pi rcm, 4/3 CONFIG11RATICIN
LL+nL ON ROOF r 23.n PSF
nL Oki CEILThG a 10.0' PSF *
TOTAL 0FSIGm LOAD = 33.b PSF 9
OFF PANEL Pf)INT !SPLICE (T�) 5 PSF CEILIN,a REOIJCTION 7AgEm,
216 $14.01(4.5.T44 TO 3b* 8' AXIAL STRESS ONLY
LVAO DURATION INCREASE s 1.25
PE AK JOINT UVAIL A t WLACTION= 1006
? x b WQ.0Xb.().T46 3h' a 2 o 4.0, a 2114 R2.4114.5,T2.1i/4 TO .16 A �144111U-y TWIJ33 mEmdER Ff)wCES
2Xb RQ.'0X4.5,T54 SO, 0: 2 : a 4.0, 4
T 1 -2325 6 1 22ub a 1 -434 pr 2 625
-2022 R P 1474
214 WQ.014.5,T44 34' 41 2.0 4.0, 4 PANEL POINI SPLICE (712) T 21,
2%h P4.1!16.0,75b Tn 36' A"
B'
12-- X4 R4.Gi4,5+,T54T,3 36' 6'
2
no
A NO SPLICE
r2 RI.bx3,.np':3I TO 36' A'
RO.AX3.0,711 TO. 30' 0*
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equal rA6
equal 7070'� b
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3 Er -rom CHORD
EU2 UAL PAI%ELS soT
SPANTO 3tl 8"
(312) IJG F I W SPw uC E -P I NE -F I R
PANEL POINT SPLICE
A4.616.0,T56 In 3b' 8* Q;1l4%b.0 0 36- 8- R3.216.n TO 30 F1*
R4.8xb.0,T54 TO W 0' Q2.41(4.5 TO 28- 9- R2.417.5 TO 34' 4*
RQ.0X4.5,T44 TO 24# 0' W2.4Xb.0 TO 27110'
NO SPLICE WO.414.5 in 21, 11
R2.4;:4.5pT2.5/4 TO 3V 9-
R2.4x3.0,T2.5/4 TO 30 0
nOlIG-FIR SPRUCE -PINE -FIR
T3h 70 36' 8" 73h TO 36' 8"
T2.5/h TO 33' b' T2.5/6 TO 311 2,
T2.5/4 70 22' A" T.P.5/4 Tn 21, 1"
OFF PANEL POINT SPLICE (92)
R2.41(b.0,T2.5/b TO' 36' 8'
Symrmuical
512.4)(4.5,T2.5/4 TO 30- 0 -
'About
Centerfine. -.ft- DWJT% INCiCATIE =9 OF ftArg M INC"IS WCAM T
,W&L Co"ftgCy0pjj I g p,— q,.., 20 IS p 'I 9-1-l4 ill 0--W ..
FX1 No— ., . . L"�-- v P'... -ri fir -.ZS- Lumalot: (0.4-F.—Y
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5;3b 33* (24) 1�-� ev P.0. 'A')! —;. -4 —V "S.�. -G- is " W.- Vied Am ~l -- -0 L Z& A
24/79 3PF CjL BY: p�pd*;,—&-ilsbTp,.-- vjrT .4 W."Ocs=�- a S:gnOce Ccrnpany
Wr.: 25-.7 a MS. BY: —,Coo RAII&J? �AR#1409
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