HomeMy WebLinkAbout030-462-016fp.Aw
FAILURE TO FINAL SINGLE FAMILY,
11/10/93
ps'
a � .
-;E 30-462�. 16
,MICHAEL -SHELT-A. CAREY,
10
1980' Teh�.,om'p Avenue, Orovplle
'Contr:'C."rey.Const
Permit#1279-816.B,P,E,M(new single family
030-74:62-'016 A
-PERMIT 9 5-`1103
L'L
RNIGAN'-'STEVEN',.,.
ro
1980 ehama-'Av(e� i:OFO
pen,'D�c�/S
Add, 0 F
0 30'-462-016,- '01-2131
CAMPBELL JAMES
I
1980 TEHAMA AVE, 01�OVILLE
GAME ROOMi.• �-�A(,�
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SPECIAL CONDITIONS
CHECKED
BY
-----SRA
--__FLOOD CERTIFICATE RE�� -_---_-
_-_-FIRE SPR |NNLERGREQ.
'
SPECIAL INSPECTION ITEMS
. . -�-----'
VERIFY `
'
--
USE PERMIT CONDITIONS
GUB-STANOARDHOUSING LETTER
.
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(bate),,-
Signitm
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1� COUNTY OF BUTTE -DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING DIVISION
7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-7541 PERMIT NO.
(Rev. 12/96) APPLICATION AND PERMIT 01-7.131
ASSESSOR PARCEL NUMBER
030-462-016
ZONING
AR -
BUILDING PERMIT
OWNER
JABS & TAMMY CAMPBELL
TELEPHONE
534-4149
SO. FT. OCC. BUILDING VALUATION
4144 26,136.00
. OWNERS MAILING ADDRESS
1980 TEHAMA AV$ OROVIUE 95%5
CONTRACTORS NAME
7,�
WER
TELEPHONE
CONTRACTORS MAILING ADDRESS
CONSTRUCTION LENDER
LENDER'S MAILING ADDRESS
Fireplace 26
36
QQ
Total Valuation $ M
ARCHITECT OR ENGINEER
LICENSE NO.
Flirt Fee $
20.00
Permit Fee $
c tz rvy
ARCHITECT OR ENGINEERS MAILING ADDRESS
Plan Checking Fee $
r
BUILDING ADDRESS
1980 TEHAMA AVE OROVIME
Energy Plan Checking Fee $
°i •
$
PERMIT FEE S
yLsdf) 7r
LOT NO.
SUBDIVISIONS NAME
PARCEL MAP
PLUMBING PERMIT
Filing Fee 20.00
USEOFSTRUCTURE
SF ❑I Duplex ❑ Mobilehome ❑ Other
SPECIFY
Each Trap
7.00 ,�
Solar or heat um water heater
23.00 `".r(
Water piping
15.00 i WO
Each gas water heater or vent
15.00 V
TYPE OF WORK
New, ❑ Addition O( Remodel ❑ Utilities ❑ Installation ❑ Other ❑
Describe Work: CAME RMI
Gas piping system 1 - 5 outlets
15.00
Building sewer
15.00 `K•
Mobile Home I S I G W
(920.00
PERMIT FEE
ELECTRICAL PERMIT
Fling Fee 20.00
600VOR LE
Main Service za.A OR LESS
23.00
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm under penalty of perjury that I am jicensed under provisions of Chapter
9 (commencing with Section 7000) of Division 3 o th Business and Professions Code,
and my license is in full force and effect.
License Class Lic. No.
OWNER -BUILDER DECLARATION
hereby affirm under penalty of perjury that I am exempt from the Contractors License
Law for the following reason:
❑ I, as owner of the property, or my employees with wages as their sole compensation,
will do the work, and the structure is not intended or offered for sale.
I, as owner of the property, am exclusively contracting with licensed contractors
� to construct the project.
❑ 1 am exempt under Sec. Business and Professions Code for this
reason
WORKERS' COMPENSATION DECLARATION
1 hereby affirm under penalty of perjury one of the following declarations:
❑ 1 have and will maintain a certificate of consent to self -insure for workers'
compensation, as provided for by section 3700 of the Labor Code, for the
performance of the work for which this permit is issued.
❑ 1 have and will maintain workers' compensation Insurance, as, required by Section
3700 of the Labor Code, for the performance of work for which this`permit is issued.
My workers' compensation insurance carrier and-policy''numberearn:,'
Main Service 46.00
WEE200A NG CCU000A
NEW CONST. DWELLING OCCUP. SO
OR ADONS. ( a Acc. BLDS. 3.5Q�;
NEW CONST. MULTI.OUTLET
NOI}RESID• (C71 7.50
POWER APPARATUS
8 SINGLE OUTLET CIR.
20 1.00
Ex. Occup. OUTLET OR FIXTURES BAL .50
FIXI
Ex. Occup..OUTLETS R6�SID.OEA 5.00
Temporary Service 23.00
Mobile Home Facilities 20.00
Misc. Wiring23.00
PERMIT FEE $-�y•�->
MECHANICAL PERMIT Fling Fee 20.00
Heating 1-,•00
Cooling
Hood 6.50
Ventilation
PERMIT FES $ 19J_4Carrier
Policy Number
(The above sections need not be completed if the permit is for work of a valuation
of one hundred dollars ($100) or less.)
I certify that in the performance of the work for which this permit is issued, I shall
not employ any person in any manner so as to become subject to workers'
compensation laws of California, and agree that if I should become subject to the
workers' compensation provisions of section 3700 of the Labor Code, I shall
forthwith comply with those provisions.
// /� e
X . /_ �'-/a',_>Y -,C Datr^- i�l _
Signature of Applicant -Owner�❑ Contractor ❑ Agent
An OSHA'Permit is required for excavations over 5'0" deep and demolition or construction,yt
of structures over 3 stories in height.
Mobile Home Installation Fee $
Energy Inspection Fee $ 46.00
occ
CONST. TYPE
TOTAL FEE $ 7O6.2u
HAZ.
D. FEES
IMP
D
COF+
d
PARCEL PD HD`
L,J
ISSUE
y+
This permit is hereby issued under the applicable provisions
of the Butte County Code and/or Resolutions to do work
indicated above for which fees have been paid.
.�....-•..
, + / ;•
By �'( u r f Dated y
a J
PERMIT EXPIRES ON ',. Ei
DWe
Receipt No. .r y �� n%�e ""
WHITE-D.D.S.-B.D. CANARFI'-ASSESSOR — PINK -INSPECTOR GOLDENROD -APPLICANT
/,=OK
0 = Not OK
= NotAp-4icable ,
= Not Ready
MOBILE HOMES
Date
MOBILE HOME UTILITIES (Plans) OK except #'s
Zoning Requirements -Setbacks -Easements
1.
Zoning Requirements -Setbacks -Easements
Footings; Soils -Size -Depth -Spacing -Connectors -Steel
2.
Soils; Special MH Support Sketch
Decks; Girders and/or Joists -Decking -Bracing -Stairs -Rails
3.
Sewer; Location -Test -Fall -C/O -Concrete
Wood Awn.; Posts- Bea ms- Rftrs.-Connectors
Shthg.-Frg-Bracing
4.
Water; Location -Test -Easement Needed (Sketch)
Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures
5.
Electricity; Location-Clearances-Grnd-/ /Amp -Concrete
Carports; Windows -Doors
6.
Gas; Location -Test -Wrap;-/ /" L'ft.
/ P Nat. or / /"L"ft./ /'LPG
Electric
7.
Well Clearance & Discorinect
Frmg.; Sills-Anchors-Studs-Rftrs-Trusses
8.
Utility Clearance
Siding; Nailing -Veneer -Stucco -Mesh
10.
Roof; Shthg-Rooting
11.
Date
Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1
Date
MOBILE HOME INSTALLATION (Plans) OK except #'s
1.
Zoning Requirements -Setbacks -Easements
2.
Footings; Size -Spacing -Marriage Line
3.
Gas; MH Test -Demand -Valve -Connector
1.
4.
Electricity; MH Test -Crossovers -Breakers -Clearances
2.
5.
Drain; MH Test -Fall -Flex Connector
3.
6.
Water; MH Test -Regulator -Connector
4.
7.
Water and Sewer Connected -C/O to Grade -HD Approval
5.
8.
Gas and Electricity Tagged
6.
9.
Tie Downs -Type -Installation Cert.
7.
10.
Exits; Insp.-Sketch
8.
11.
Cert. of Occupancy
9.
12.
Permanent Foundation Only; License Decal
Date Card B-1 Date Card B-1
Date Card B-1 Date Card B-1
MISCELLANEOUS
Date
DECKS, COVERS, CARPORTS GARAGES (Plans) OK except #'s
1.
Zoning Requirements -Setbacks -Easements
2.
Footings; Soils -Size -Depth -Spacing -Connectors -Steel
3.
Decks; Girders and/or Joists -Decking -Bracing -Stairs -Rails
4.
Wood Awn.; Posts- Bea ms- Rftrs.-Connectors
Shthg.-Frg-Bracing
5.
Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures
6.
Carports; Windows -Doors
7.
Electric
8.
Frmg.; Sills-Anchors-Studs-Rftrs-Trusses
9.
Siding; Nailing -Veneer -Stucco -Mesh
10.
Roof; Shthg-Rooting
11.
Ext.; Steps -Doors -Landings
12.
Braced Wall Panels
Date
Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1
Date
FINAL (Plans) OK except #'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- Panelboards-Ins. to Main in Conduit
9.
Health Department Approval
10.
Plumb.; Cir. Test -Water Supply Test
11.
Light Niche
Date
Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1
ppp/P//PP-
,at OK
'Not Applicable RESIDENTIAL (Single & Duplex)
= Not Ready
Date
ELECTRICAL (Permit) OK except #'s
erfloor (Plans) OK except #'s
Fixture & Transformer Clearance -Ins. Protection
Date
Z g -Setbacks- Ease ments-Flood-Slope
?,yi3i'ze Boxes & No. of Conductors Stapled
MECHANICAL (Permit) OK except #'s
Fig., Main; Soils-Elec. Grnd.-/ tg. Depth
35. A.C. Ducts Insulation & Support
3.
4.
Fig., Garage; Soils-Steel-Elec. Grnd.-/ /" Fig. Depth
Fig., Porches & Decks; Soils -Steel-/ /" Fig. Depth
p ian ucui s in Kitchen & Conductor Size GFI
5.
Stemwalls, Main; Steel-Blockouts-Wrapped
30.
6.
Stemwalls, Garage; Steel-Blockouts-Wrapped
Service -Riser Conductors & Grou4 Main Disconne
6a.
Hold Downs and Special Anchors
Card B-1 Date Card B-1
7.
Slab, Steel -Wrapped
8.
Pi rs-Fireplace Ftg.-Steel
Walls Studs -Nailing Spacing & Braces -Plates -Sound
67.
D.W.V.; Fall -Fitting -Test -2 Way C/O -Sewer Test
10.
UF, Gas Pipe; Size Anchors - Yard Gas Piping; Size Test
4 uepops, Furred Ceilings -Stairs -Chasers -Tubs
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
75.
A.C. Duct in Garage -Damper
Date
76.
Card B-1 Date Card B-1
Date
77.
Card B-1 Date Card B-1
Date
78.
PLUMBING (Permit) OK except #'s
Water Htr.;Vent-Access-Combustion Air Baffle
18.
20.
21.
Water Pipe; Test & Anchor -Nail Protection
D.W.V.; Test Fittings & Anchor -Nail Protection
Shower Pan; Test, First Floor -Tub Access
Test Tub & Shower, Second Floor -Tub Access
22.
Gas Pipe; Sixe & Anchors
Clearance Looked under Floor O Yes
Date
82.
Card B-1 Date Card B-1
Date
83.
Card B-1 Date Card B-1
Date
ELECTRICAL (Permit) OK except #'s
23.
Fixture & Transformer Clearance -Ins. Protection
Date
ec. Receptacles Spacing -Lights & Switches at Doors
?,yi3i'ze Boxes & No. of Conductors Stapled
MECHANICAL (Permit) OK except #'s
omex Installed Close to Edge of Studs & C.J.
35. A.C. Ducts Insulation & Support
quip. Ground made up w/Mech Fasteners -Bond Gas & Water
6. Vent Fan, Exhaust above insulation
7. Condensate PmMl Overflow, Size & Grade
urn c ent cress -Comb. Air -Return Air Vent 115 outlet
p ian ucui s in Kitchen & Conductor Size GFI
39. Attic Access & Platform if Furnace in Attic
ubfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / / ga Cu or AI
30.
Range Circle / / ga Cu or AI -Oven Circ. / / ga Cu or At
Insulated Neutral I] Yes ❑ N
31.
Service -Riser Conductors & Grou4 Main Disconne
32.
33.
34.
Equip. Clearances Panels-Motors-Mech. Equip.
Clothes Closet Light -Shower Light -Spa Light
Smoke Detector
Date FRAMING (Continued)
Hangers -Post Caps -Anchors -Connectors
ing. Joist-Rfir. Ties- Purl in- Roff Brac.-Truss-Shting.-Rfng.
irep ace ies or Type A Flue -Fireplace Throat Clearance
CW Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles
50 or Exiting Doors -Sill Ht. & Dimensions
_64-9arage1`1rg'Protection Framing
e y me Firewall & Openings
83/t<xt. Doors -One 3' -Check Garage 3rd Story, 2 Exits
Lairs th-Headroom- Rise- Run- Landing- Fire Protection
5 ywood on Roof Overhang -Attic Vents -Rafter Outriggers
iding-Nailing Veneer
S;. 61deca-Mus*Qrip Screed -Fd. Vents-Underflr. Access
Glazing Area -Glass Protection -Skylights -Plastic
59. Shear Walls; Nailing -Bolts
60. Brace Interior/Exterior Wall Panels
61. Insulation-Walls-Ceilinas
62.
Date
Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1
Date
MECHANICAL (Permit) OK except #'s
Card B-1 Date Caid B-1
35. A.C. Ducts Insulation & Support
f -
6. Vent Fan, Exhaust above insulation
7. Condensate PmMl Overflow, Size & Grade
urn c ent cress -Comb. Air -Return Air Vent 115 outlet
c
39. Attic Access & Platform if Furnace in Attic
FINAL (Plans) OK except #'s
Ext. Steps -Door & Sidelight Protection -Landings
Date
Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1
Date
FRAMING (Permit) OK except #'s
its Proper Materials & Anchors
Bedroom Exiting
Walls Studs -Nailing Spacing & Braces -Plates -Sound
67.
. Bea_og Walls over Girders & Floor Nailing
raft Stop in Walls (rat proof)
lec. Trim & Subpanel, Breaker Sizes & Labels
4 uepops, Furred Ceilings -Stairs -Chasers -Tubs
69.
4 eaders & Beams -Size & Bearina
Date FRAMING (Continued)
Hangers -Post Caps -Anchors -Connectors
ing. Joist-Rfir. Ties- Purl in- Roff Brac.-Truss-Shting.-Rfng.
irep ace ies or Type A Flue -Fireplace Throat Clearance
CW Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles
50 or Exiting Doors -Sill Ht. & Dimensions
_64-9arage1`1rg'Protection Framing
e y me Firewall & Openings
83/t<xt. Doors -One 3' -Check Garage 3rd Story, 2 Exits
Lairs th-Headroom- Rise- Run- Landing- Fire Protection
5 ywood on Roof Overhang -Attic Vents -Rafter Outriggers
iding-Nailing Veneer
S;. 61deca-Mus*Qrip Screed -Fd. Vents-Underflr. Access
Glazing Area -Glass Protection -Skylights -Plastic
59. Shear Walls; Nailing -Bolts
60. Brace Interior/Exterior Wall Panels
61. Insulation-Walls-Ceilinas
62.
Infiltration -Walls -Windows
Date
Card B-1 Date Caid B-1
Date
Card B-1 Date Card B-1
Date
FINAL (Plans) OK except #'s
Ext. Steps -Door & Sidelight Protection -Landings
Smoke Detector
65.
Furnace Vents -clearance -Comb, Air -Connector -
In Garage; Above Floor-Ducts-Mech. Protection
.66.
Bedroom Exiting
67.
G.F.I. & Bath Fixtures & Tub Access -Spa
lec. Trim & Subpanel, Breaker Sizes & Labels
69.
Stairs & Rails
70.
Fireplace or Stove, Clearance -Hearth
71.
Elec. Outlets at Wood Panel, Int. & Ext.
72.
Kit. Fixt. & Appliance; Ground -Air Gap -Cooking Clearance
73.
Elec. Outlets & Receptacles at Kit. Counter
74.
Garage Fire Door; Swing -Landing -Closure
75.
A.C. Duct in Garage -Damper
76.
Wtr. Htr.; Vents -Clearance -Comb. Air Connector-P.R.V.
in Garage; Above Floor-Mech. Protection
77.
Plb., Elec. & Mech. Equip. Listed for Location
78.
Elec. R ceptacles in Garage (F.F.I.)-Romex Protection
nsulation- Foam- Looked in Attic
80.
Guard Rails & Deck Construction -Post Caps
dn. VBents & Crawl Hole Door Drainage & Wood -Earth
Clearance Looked under Floor O Yes
82.
Following Instld./Drive J Yes ] NoMalks es 7 No/Planters ❑ Yes '] No
83.
Stucco Brown -Finish
84.
A.C. Unit isconnect, Electrical -Plumbing
ents Above Roof, Plbg-Appliance-Fireplace-Clearance to Openings
86.
Water Well, Disconnect, Electrical, Plumbing
87.
Exterior Elec. Trim, G.F.I. Receptacle -Underground
J3& -ventilation Throughout House
89.
Glass Protection
90.
Corrections from Previous Inspections
91.
Gas Test -Meters Tagged, Gas -Electric
92.
Water & Sewer Connected -C/O to Grade -HD Approval
9
nergy Compliance Certificate -Other Certificates
94
dress Posted
Date
Date
Card B-1 Date Card B-1
Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1
Comments at Final:
F
A . t
h
F
A . t
4
t
Insulation Certificate
BUILDING OWNER - BUILDING PERMIT # : ®/ `-LJ j%
J '
BUILDING LOCATION:
Description of Installation
f
ROOF
Material
Thickness (inches)
CEILING
Brand Name
Thermal Resistance (R -Value)
Bau or Blanket Type Brand Name
Thickness (inches) 'Thermal Resistance, (R -Value)
Loose Fill Type Brand Name
Contractor's minimum installed weightfl lb Minimum thickness inches
Manufacnzer's installed weight per square foot to acheive Thermal Resistance (R -Value)
EXTERIOR -WALL
Material
Thickness (inches)
RAISED FLOOR
Material
Thickness (inches)
SLAB FLOOR
Material
Thickness (inches)
Width (inches)
FOUNDATION WALL
Material
Thickness (inches)
Declaration
Brand Name
Thermal Resistance (R -Value)
Brand Name
Thermal Resistance (R -Value)
Brand Name
Thermal Resistance (R -Value)
Brand Name
Wrmal Resistance (R -Value)
I hereby certify that the above insulation was installed in the building at the above location in conformance with
the current Building Energy Efficiency Standards for new residential buildings contained in Title 24 of the
California Administrative Code.
7tanl_s 10-a. i -
G pct Builder] License Number
Signature and Title r Date
() Q) — .
Sub -Contractor (Insulation Installer) License Number
Signature and Title Date
THIS CERTIFICATE MUST -BE PROVIDED TO THE BUILDING DEPARTMENT PRIOR TO FINAL INSPECTION
APPROVAL AND A COPY SHALL BE POSTED WITHIN THE BUILDING.
JANUARY 1993
COUNTY OF BUTTE
BUILDING DIVISION {
DEPARTMENT OF DEVELOPMENT SERVICES"
411 Main Street • Chico, CA • (530) 891-2751:
7 County Center Drive • Oroville, CA • (530) 538-7541
CORRECTION NOTICE
OWNER PERMIT NO.
A routine inspection indicates that the following violations of butte county Ordinances exist at the r
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, =3
pleas ontact this office immediately.
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Y /"r DV
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♦v:
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COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION
7'County Center Drive • Oroville, California 95965 • Telephone (530) 538-7541 PERMIT NO.
(Rev. 12/96) APPLICATION AND PERMIT 01 –21 31
ASSESSOR PARCEL NUMBER
030-462-016
ZONING
AR _
BUILDINGPERMIT
OWNER
JAMES & TAMMY CAMPBELL
TELEPHONE
534-4149
SO. FT. OCC. BUILDING VALUATION
484 ig 26,136.00
. OWNER'S MAILING ADDRESS
1980 TEHAMA AVE OROVILLE 95965
CONTRACTOR'S NAME
OWNER
TELEPHONE
CONTRACTOR'S MAILING ADDRESS '
CONSTRUCTION LENDER
Fireplace
LENDER'S MAILING ADDRESS
Total Valuation $
ARCHITECT OR ENGINEER
UCENSE NO.
Fee $
20.00
—Filing
Permit Fee $
265.00
ARCHITECT OR ENGINEERS MAILING ADDRESS
Plan Checkin Fee $
BUILDING ADDRESS
1980 TEHAMA AV OROVILLE
Energy Plan Checking Fee $
21 00
$
PERMIT FdEE
LOT NO.
SUBDIVISION'S NAME
PARCEL MAP
PLUMBING PERMIT
Rling ee 20.00
USEOFSTRUCTURE
SF Ift Duplex ❑ Mobilehome ❑ Other
SPECIFY
Each Trap
7.00 nn nf,
Solar or heat pump water heater
23.00
Water piping
15.00
Each gas water heater or vent
15.00 CZ (Nn
TYPE OF WORK
New ❑ Addition CX Remodel ❑ Utilities ❑ Installation ❑ Other ❑
Describe Work: GAME ROOM
Gas piping system t - 5 outlets
15.00
Building sewer
15.00
Mobile Home ISI GI W
(20.00 15. 00
PERMIT FEE $
108.00
ELECTRICAL PERMIT
Filing Fee 20.00
LES
Main Service zo.A OR LESS
23.00
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter
9 (commencing with Section 7000) of Division 3 of the Business and Professions Code,
and my license is in full force and effect.
License Class Lic. No.
OWNER -BUILDER DECLARATION
I hereby affirm under penalty of perjury that I am exempt from the Contractors License
Law for the following reason:
❑ I, as owner of the property, or my employees with wages as their sole compensation,
will do the work, and the structure is not intended or offered for sale.
I, as owner of the property, am exclusively contracting with licensed contractors
to construct the project.
❑ 1 am exempt under Sec. Business and Professions Code for this
reason
WORKERS' COMPENSATION DECLARATION
I hereby affirm under penalty of perjury one of the following declarations:
❑ 1 have and will maintain a certificate of consent to self -insure for workers'
compensation, as provided for by section 3700 of the Labor Code, for the
performance of the work for which this permit is issued.
❑ 1 have and will maintain workers' compensation Insurance, as required by Section
3700 of the Labor Code, for the performance of work for which this permit is issued.
My workers' compensation insurance carrier and policy number are:
Carrier
Main Service YOGA TO 1000A
46.00
NEW CONST. DWEWNG OCCUP. SO
OR ADDNS. ( a ADC. BWS. 3.5¢FT:
Noµq�,pT MULTI.OUTLETC. (7,50
POWER APPARATUS
8 SINGLE 011REr CIR.
.00
EX. OCCU OUTLET OR FDRURES SAL @ x.50
Ex. Occup.. D„ri�-°rs .=.GEa
5.00
Temporary Service
23.00
Mobile Home Facilities 20.00
Misc. Wiring 23.00
PERMIT FEE $ 39.65
MECHANICAL PERMIT Filing Fee 20.00
Heating 1
15.00
Cooling
Hood 6.50
Ventilation
PERMIT FEL: $
Policy Number
(The above sections need not be completed If the permit is for work of a valuation
of one hundred dollars ($100) or less.)
I certify that in the performance of the work for which this permit is issued, I shall
not employ any person in any manner so as to become subject to workers'
compensation laws of California, and agree that if I should become subject to the
workers' compensation provisions of section 3700 of the Labor Code, I shall
forthwith comply with those provisions.
An
X - Date )K O°-(1 `sof
Signature 3Applicant - Owner ❑ Contractor ❑ Agent
An OSHA permit is required for excavations over 60" deep and demolition or construction
of structures over 3 stories in height.
Mobile Home Installation Fee $
-25120
Energy Inspection Fee $
OCC
CONST. TYPE
TOTAL FEE $
_
HAZ.
D. FEES IMP
_
O
C
P
PD
This permit is hereby issued under the applicable provisions
of the Butte County Code and/or Resolutions to do work
indicated above for which fees have been paid.
f
By i JDate/
p
PERMIT EXPIRES ON a 3� Z
ata
Receipt No.=97
WHITE-D.D.S.-B.D. CANA-ASSESSO PINK -INSPECTOR GOLDENROD -APPLICANT
COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION
7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-7541
aEri.l2resl APPLICATION AND PERMIT PE IT No.
ASSESSOR lARCtlNUMBER zo--14
BUILDING P
OWN"_
JJ
ow�+ 7
coHrR�cTORs
9
wM nw,cnon ueoEn
LENDER'S WAJW ADDRESS
ARCHITECT on ENMWM
ARCWMCT OR COMMAS MAJUNg ADDRESS
auao.+oADOREaa�
IDT No. ausonrwus►wrE
USEOFSTRUCTURE
3F O Duplex ❑ Mobllehome O Other
TYPE OF WORK
New O Addition ❑ R at O Utilities
/�0 Inre
describe Work: �% ATP(/ /( 1
*PERMIT FEE PAID
SRA
SHERIFF
OTHER
AMOVNT RECEIVEb
f
Total Valuation is
Filing Fee
Permit Fee
Plan Checking Fee
Energy Plan Checking Fee
PERMIT FE
PLUMBING PERMIT
Each Trap
Solar or heat pump water heater
Water piping
Each gas water heater or vent
Gas piping system t - 5 outlets
Buildin sewer
Mobile Home I S I G I W
s
S
s
TION
20.00
-nmg Fee 20.00
7.00
23.00
15.00
15.00
5.00
1
15.00
@20.00
-
PERMIT FEE
s
ELECTRICAL PERMIT
Filing Fee 20.00
Main Service
- - -
OOR BLESS
23.00
Main Service
200A TO I000A
48.00
NEW CON4T,
ADa+s.
awE31SJ 3 OOCUP.
a ACC. SLDS.
NEW
NOKRES10.
MULTFOVTLET
ta�7.50
POWER APPARATUS
A SWOLE O CIR
Ex. OCCU
OURET OR FORURES
200 1.00
I
SAL 00
Ex. OCCUOUTLETS
`P°17e' oR
I
ESID. EA
5.00
I Temporary Service
i
23.00
Mobile Home Facilities
20.00
Misc. Wiring23.00
"RECEIP'T' NUMBER
* TO 8E PVT INTO COMPUTER
PERMIT FEE I $ O10 *moi ,
MECH N19AL PERMIT _ Fling Feel 20.00
I Hood 8.50
r
PERMIT FEE s
!h4obile Nome Installation Fes s
gy Inspection Fee s
CONST. TYPE TOTAL FEE
FEES WP COF rear No s
This permit is hereby Issuedunder the applicable provisions
Of the Butte County Code and/or Resolutions to do work
indicated above for which fees have been paid.
By Date
PERMIT EXPIRES ON
iia w� �uur:"..,.,. .. + ... ::ti; peri-a.;;� . $�,:.a.T .r, pis,....: - 4e" y.. :•srt: �w.3.t t'�'�f 7#''k:� �,{',�F-L " .
LA
COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION
7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE (530) 538-7541
PE"IT"PLICA TION DATA SHEET
OWNER. 1 ASSESSOR PAR ER:
Proposed Building Use: uil
Bding Inspecto : Date: /
At time of permit applica 'on, I was advised the following data m st b submitted prior to permit processing and/or issuance:
Date Received By
havebeen submitted --------------------------------------------------------------------------------------
plans, 3/4 sets, signed by the preparer of plans. ------
,plete plans, 3/4 sets, signed by the preparer of plans.
Engineered plans, 3/4 sets, with wet signature on plans. All engineering must be shown on plans.
truss details and layout in duplicate (required prior to plan review) No faxes!
Design Compliance and supporting documentation.
❑ 7. Statement of Intent for Non -Heated and A/C Buildings.
❑ 8. Hazardous Material Form. ---------------------------------
❑ 9. Manufactured Home d and installation instructions including Tie Down Specifications. ------#-
2.
-
�10. Fees of $ �-------------------------------------------------------------------------1. Impact fees as shown on the attached schedule.----------------------------------------------------- California Department of Forestry plan approval/fees---------------
Flood elevation certificate. -------- - --- -------------------------
Sanitation and plot plan approval . Health Department
❑ 15. City of Chico plumbing permit. =---------------------------------------
❑ 16. Plot plan and business license approval from the City of Biggs. ---
❑ 17. Planning approval for (A) Use: (B) Parking:
❑ 18. Contact Land Development about ❑ Improvements, ❑ Drainage, ❑ Legal Parcel. -----------------
❑ 19. Encroachment Permit for driveway (construction approval prior to occupancy). ---------------------
❑ 20. Pre -inspection for required Request to Building Inspector on
❑21. Contractor's license information. (Number, Name Style, Classification). •-----------------------------
❑ 22. Workers' Compensation carrier and policy number.-----------------------------------------------------
E123.
----------------------------------------;----------.
❑23. Owner -Builder Verification (Given to owner ❑, Mailed to owner ❑)-----------
024. ---------
❑24. Letter of signature authorization. ------------------------------
025.
-----------------------------
❑25. Recorded copy of Agricultural Acknowledgment Statement.
❑ 26. Letter of intent on building use. -------------
027. Manufactured Home utility clearance. -----
028. Existing violations and/or expired permits.
1129. 0433 A, []Grant Deed, ❑ M.H. Title, ❑ Check to H.
0. Other: Z E7Z��f� OV IAA 'i±,vrf- —/
en you iss
elephone
follows ❑ Mail to owner11 to contractor.
_ and hold for pickup atG j office. ❑ Deliver with inspector.
(Date)
Applicant: _ 7 0 Q Date: O_ _6;2O "01
Copy of Haz-Mat form sent ❑ Health Department, ❑ Fire Department, ❑ Airoution Ybate: By:
Copy of plans sent ❑ Health Department, ❑ Fire Department, ❑ Other: Date: By:
1. Index permit application for the above items numbered: ❑ Plan Check List
2. Additional items required:
Contractor, designer, owner, was advised of the above required data by ❑ phone, ❑ mail, ❑ Building Division counter, by Date:
Contractor, designer, owner, was advised of the above required data by ❑ phone, ❑ mail, ❑ Building Division counter, by Date:
Contractor, designer, owner, was advised of the above required data by ❑ phone, ❑ mail, ❑ Building Division counter, by Date:
Contractor, designer, owner, was advised of the above required data by ❑ phone, ❑ mail, ❑ Building IDii ision counter, by Dae:
Plans reviewed by: Date: Plans approved by: :`y Date:
Sets of plans on hold in 0 Plan Cabinet, 0 A.P. folder. Note transfer by: Date:
.-1�. `.0 1r'..^--�uy�ti. �—. ,,.,,<ti.•".,^-�.��.,,,. vr.�...,.i.ra^{-•��+^.�y„-��t. wa'✓�.,..��.Rr..... .. -.—vY ..� t. . ..._ .�. ti _._. __ _. .
School D
A.P. Nun
Property
Property
Subdivision
, I BUTTE COUNTY SCHOOLS IMPACT FEE CERTIFICATION FORM
Lot No.
Residential Development
.............................................................................................................
No of Living
Mobile Home
Adm' - ditioN Supplemental to
Units
Installation
Conversion Permit #
'(No foundation inspection)
Com rcial/Industrial
,"")New ,
Addition
(Floor Plans revie 'd by School District Personnel)
District Identification No. 020023
�— �P�n It n I'?chool District certifies that
I^—.- . h ,, J n
has complied with the requirements of Resolution No.
representing square feet.
i v
Paid by Check # Remarks:
i Sq. Footage
( roup R)
Sq. Footage
(Including Exterior
Roofed Areas)
DeU
(Phone
(State) ' (Zip Code)
1 t by payment of $
J�AAB 2926
FULL MITIGA;FON s
Date /
Notice: You may protest the imposition of the fees identified above by submitting a written protest to the District, in compliance with
Government Code Section 66020(a), within 90 days from the date fees.are paid. Failure to submit a timely written protest will prohibit
you from challenging the imposition of the fees in any court action.
If, subsequent to the School District Representative signing this Butte County Schools Impact Fee Certification Form, the School District is
notified by the applicable Local Planning Agency that this project is being reviewed under the California Environmental Quality Act (CEQA),
this project may be subject to additional school fees to fully mitigate its impact on the school district's schools.
White (applicant), Yellow (building department), Pink (school district) feeform.xis (10/98)dmm
THERMALITO WATER BILLING SYSTEM
1: r
TRANSACTION HISTORY FOR 701960A 08/28/01
TAMMY CAMPBELL
1980 TEHAMA AVENUE
OROVILLE CA 95965
R 1 1 7 30240 2444
Date
Ref.
Description
Bcde
Amount
- Usage
Balance
04/01/01
Meter bill
B
16.00
2
16.00
04/01/01
Flat Charge
S
13.00
0
29.00
05/01/01
Meter bill
B
16.92
7
45.92
05/01/01
Flat Charge
S
13.00
0
58.92
05/08/01
2970
Payment
B
-16.00
0
42.92
05/08/01
2970
Payment
S
-13.00
0
29.92
05/25/01
3003
Payment
B
-16.92
0
13.00
05/25/01
3003
Payment
S
-13.00
0
0.00
06/01/01
Meter bill
B
21.52
17
21.52
06/01/01
Flat Charge
S
13.00
0
34.52
07/01/01
Meter bill
B
23.36
21
57.88
07/.01/01
Flat Charge
S
13.75
0
71.63
07/09/01
3065
Payment
B
-21.52
0
50.11
07/09/01
3065
Payment
S
-13.00
0
37.11
COUNTY OF BUTTE
/ DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION
/ 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE (530) 538-7541
OF FEES DUE
OWNER
PROPOSED BUILDING USE " LA0 e JUVIA
d
1. BUILDING PERMIT FEES
--Balance Due ........................................................ $
--Additional Fees Due ............................................ $
--Additional Fees Due ............................................ $
--Revised Plan Checking Fee ........ .......:...............
2. SCHOOL DISTRICTES
(paid at District Offic _ - / UAW
3. SHERIFF FEES (paid at Building Division) '
Residential .................................... x $360.00 = $ ` !
Units
Commercial (sq. ft.) ...................... x $0.03 = $
Sq. ft.
4. URBAN AREA FEES
Residential ............................ x = $
# Units Amt.
A.P. # a ���
DATE U ���
RECEIPT # DATE REC.
U/
Commercial (Sq. ft.) ............. —x—=$
Sq. ft. Amt.
5. RECREATION DISTRICT FEES
6. THERMALITO DRAINAGE DISTRICT FEES
K$510.00 (paid at Building Division)
7. SRA FIRE INSPECTION AND PLAN CHECK
$89.00 (paid at Building Division)
8. WATER TENDER FEES (Battalion # )
$200.00 (paid at Building Division)
9. CSA 87 TRAFFIC FEE
$2500.00 (paid at Building Division)
10. OTHER
At time of permit application, I was advised the above fees are required to be paid prior to issuance of the building permit. These fees
may be changed during the plan checking process.
APPLICANT -R io � ✓— DATE 4?_,;2 A?— 01
Pursuant to Government Code Section 66020, you are hereby notified that items 2, 3, 4, 5, 6, 7, 8, 9, and 10 above may have been
imposed on your project. You have 90 days from the date of approval of the project or from the imposition of the above mentioned
items during which you may protest. The requirements for a protest are specified in Government Code Section 66020(a).
Original - Building Div. 2nd Copy - Applicant 3rd Copy - Owner (Rev. 6/00)
1 quo -Thoma ATe-
RESIDENTIAL
030-462-016 PERMIT#95-1103
JERNIGAN, STEVE
1980 Tehama Ave., Oroville
Add Open Deck/SF
` O
JOB FINALED (D'•�) —
Signature
J=OK
O'= Not'OK
= Not Readyable MOBILE HOMES
Date
MOBILE HOME UTILITIES (Plans) OK except#'s
Z ' g Requirements -Setbacks -Easements
1. Zoning Requirements -Setbacks -Easements
J5e_FocjAgs, Soils -Size -Depth -Spacing -Connectors -Steel
2. Soils; Special MH Support Sketch
ecks; Griders and/or Joists -Decking -Bracing -Stairs -Rails
3. Sewer; Location -Test -Fall -C/O Concrete
4. Wood Awn.; Posts-Beams-Rftrs.-Connectors
Shthg.-Rfg.-Bracing
4. Water; Location -Test -Easement Needed (Sketch)
5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures
5. Electricity; Location-Clearences-Grnd-/ /Amp -Concrete
6. Carports; Windows -Doors
6. Gas; Location -Test -Wrap: / /" L" ft.
/ /"Nat. or/ /"L"ft./ /"LPG
7. Electric
7. Well Clearance & Disconnect
8. Frmg; Sils-Anchors-Studs-Rftrs-Trusses
8. Utility Clearance
9. Siding; Nailing -Veneer -Stucco -Mesh
10. Roq,�hthg-Roofing
Date
Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1
Date
MOBILE HOME INSTALLATION (Plans) OK except #'s
/% Card B-1 Date Card B-1
1. Zoning Requirements -Setbacks Easements
Card B- Date Card B-1
2. Footings; Size -Spacing -Marriage Line
POOLS (Plans) OK except #'s
3. Gas; MH Test -Demand -Valve -Connector
1. Setbacks -Easements
4. Electricity; MH Test -Crossovers -Breakers -Clearances
2. Soils; Compaction -Structure Stability
5. Drain; MH Test -Fall -Flex Connector
3. Pool Structure; Steel -Connections -Thickness
Dead Men -Lining
6. Water; MH Test -Regulator -Connector
4. Elec.; Receptacles and Lighting, Distances-GFI
7. Water and Sewer Connected -C/O to Grade -HD Approval
5. Elec.; Pool Lighting; 15 volts-GFI
8. Gas and Electricity Tagged
6. Elec.;Enclosures; Conduit Entries -Terminals -Listed
9. Exits; Insp.-Sketch
7. Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater
10. Cert. of Occupancy
8. Elec.; Grounding; Equip. w/5' Circulating Equip. -Pool Lghtg.
Boxes- Enclosures-Panelboards-Ins. to Main in Conduit
Date
Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1
MISCELLANEOUS
Date
DECW, COVERS, CARPORTS, GARAGES, (Plans)OK except #'s
Z ' g Requirements -Setbacks -Easements
J5e_FocjAgs, Soils -Size -Depth -Spacing -Connectors -Steel
ecks; Griders and/or Joists -Decking -Bracing -Stairs -Rails
4. Wood Awn.; Posts-Beams-Rftrs.-Connectors
Shthg.-Rfg.-Bracing
5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures
6. Carports; Windows -Doors
7. Electric
8. Frmg; Sils-Anchors-Studs-Rftrs-Trusses
9. Siding; Nailing -Veneer -Stucco -Mesh
10. Roq,�hthg-Roofing
Ext.; Steps -Doors -Landings
Date
/% Card B-1 Date Card B-1
Date/
Card B- Date Card B-1
Date
POOLS (Plans) OK except #'s
1. Setbacks -Easements
2. Soils; Compaction -Structure Stability
3. Pool Structure; Steel -Connections -Thickness
Dead Men -Lining
4. Elec.; Receptacles and Lighting, Distances-GFI
5. Elec.; Pool Lighting; 15 volts-GFI
6. Elec.;Enclosures; Conduit Entries -Terminals -Listed
7. Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater
8. Elec.; Grounding; Equip. w/5' Circulating Equip. -Pool Lghtg.
Boxes- Enclosures-Panelboards-Ins. to Main in Conduit
9. Health Department Approval
10. Plumb.; Cir. Test -Water Supply Test
Date
Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1
J=OK
O = Not OK
= Not Applicable
Not Ready RESIDENTIAL (SiVigle & Duplex)
=
Date UNDERFLOOR (Plans) OK except N's
1. Zoning -Setbacks -Easements -Flood -Slope
2. Ftg., Main; Soils-Elec. Grnd.-/ /" Ftg. Depth
3. Ftg., Garage; Soils-Steel-Elec. Grnd.-/ /" Ftg. Depth
4. Ftg., Porches & Decks; Soils -Steel-/ /Ftg. Depth
5. Stemwalls, Main; Steel-BloCkouts-wrapped
6. Stemwalls, Garage; Steel-Blockouts-Wrapped
6a. Hold Downs and Special Anchors
7. Slab; Steel -Wrapped
8. Piers -Fireplace Ftg.-Steel
9. D.W.V.; Fall -Fitting -Test -2 Way C/O -Sewer Test
10. UF. Gas Pipe; Size -Anchors - yard gas piping: size -test
11. Water Pipe; Test -Anchor -Regulator -Service Test
12. Electric; Underground
13. Pienums & Ducts; Clearance -Material -Support -Ins.
14. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples
15. Access & Ventilation -
16. Insulation
Date Card B-1 Date Card B-1
Date Card B-1 Date Card B-1
Date PLUMBING (Permit),OK except 4's
16. Water Htr.; Vent -Access -Combustion Air -Baffle
17. Water Pipe: Test & Anchor -Nail Protection
18. D.W.V.: Test -Fittings & Anchor -Nail Protection
--------------- - -------------
19. Shower Pan: Test, First Floor -Tub Access --- -
20. Test Tub & Shower. Second Floor -Tub Access
---------------------- ---------------
21. Gas Pipe: Size & Anchors
-----------------------------------------------------------------
Date Card B-1 Date Card B-1
---------------------- ...-------------------------------- -
Date Card B-1 Date Card B-1
Date ELECTRICAL (Permit) OK except if's
22. Fixture & Transformer Clearance -Ins. Protection
------------ ----------- ------------- ------------- -------------------
23. Efec. Receptacfes 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.
--------------------------- ---------------------
28. Subfeed Wire Size ga. Cu or AI-A.C. Wire Size ! ! ga.
Cu or At
---------------------------------------------------------------------- --
29. Range Circ. / / ga. Cu or AI -Oven Circ. / / ga. Cu or Al.
Insulated Neutral ❑ Yes ❑ No
------------------ ----------------------------------------------------------------
30.
------------ - - --- - - -
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 P's
34. A.C. Ducts Insulation & Support
-----------------------------------------------
35. Vent Fan Exhaust above insulation
-------------------------------------------------- -----------
36. Condensate Drain & Overflow: Size & Grade
--------------------------------------------------
37.
-----------------------.-.-.-----.----
37. Furnance-Vent: Access -Comb. Air -Return Air Vent -115 outlet
----------- -----------------------------------------------------------------
38. Attic -Access-&- P -1a tfo-rm if Furnance in Attic
-----------------------
-------------------------------------- ------ -------------------------- ------------ -
Date Card B-1 Date Card B-1
----------------- . ...-------------------- ------------------------------------------
Date
--------------------- ------------------ -
Date Card B-1 Date Card B-1
Date FRAMING (Plans) OK except a's
39. Sils. Proper Material & Anchors
- ------_--------------------------------------------------------
40. Walls Studs -Nailing. Spacing & Bracing -Plates -Sound
---------------------------------------------------
41. Bearing Walls over Girders & Floor Nailing
-- - -- - - - -
------------------------------------------- -------------------
42. Draft Stop in Walls (rat proof)
-------------------------------------------------------------------
-------------- 43.. Fire --Stops: Furred Ceilings -Stairs -Chases -Tub
--- - ---- ---------- -------------------------------- -------
44. Headers & Beam -Size & Bearing
Date 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 -Ins. Baffles
49. Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions
_ 50. Garage Fire Protection Framing
51. Property Line Firewall & Openings
52. Ext. Doors -One 3' -Check Garage -3rd Story, 2 Exits
53. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection
54. plywood on Roof Overhang -Attic Vents -Rafter Outriggers
---55.-Siding-Nailing Veneer
56. Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access
57. Glazing Area -Glass Protection -Skylights -Plastic
58. Shear Walls; Nailing -Bolts
59. Insulation -Walls -Ceilings
60. Infiltration -Walls -Windows
------------------------
-------- - -
Date - Card B-1 Date Card B-1
----------------------------- ---
Date Card B-1 Date Card B-1
Date FINAL (Plans) OK except u's
61. Ext. Steps -Door & Sidelight Protection -Landings
62 Smoke Detector
---------------------
63. Furnace: Vents -Clearance -Comb. 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-
------ ------ 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: (G.F.I.)-Romex Protection
--------------------------------------------
77. Insulation -Foam -Looked in Attic ❑ Yes
----------------------
78. Guard Rails & Deck Construction -Post Caps
---------------------------------------- --
79. Fdn. Vents & Crawl Hole Door -Drainage & Wood -Earth
Clearance Looked under Floor ❑ Yes
---------------------
80.
--------------------80. Following instld.: Drive ❑ Yes ❑ No: Walks ❑ Yes ❑ No;
Planters ❑ Yes ❑ No
-------- ----
81. Stucco_Brown_Finish
-- _
82. A.C. Unit: Disconnect. Electrical, Plumbing
------------------------
83. Vents Above Roof: Plbg.-Appliance-Fireplace.-Clearance to
Openings
-------------------- -------------
84. Water Well: Disconnect, Electrical, Plumbing
85. Exterior Elec. Trim: G F.I Receptacle -Underground
--- -- - - -- - - - -- -------------------------- --- -
86. Ventilation Throughout House
-------_..-.------------------------------ -
87. Glass Protection
----------------
88.
------------88. Corrections from Previous Inspections
---- -----------------------------------------------
89. Gas Test -Meters Tagged: Gas -Electric
---------------------------------- -------------------
90. Water & Sewer Connected -C/O to Grade -HD Approval
--------------------
91.
---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:
COUNTY OF BUTTE- DEPARTMENT OF DEVELC;PMENT SERVICES - BUILDING DIVISION
7 County Center Drive - Oroville, California X95965 - Telephone (916) 538-7541 PERMIT NO.
APPLICATION AND PERMIT () gs-- lle�) �J
ASSESSOR PARCEL NUMBER 30-462-016
ZONING AR
BUILDING PERMIT
OWNER STEVE JERNIGAN
534ONE
SO. Fr. OCC. BUILDING VALUATION
OWNERS MAILING ADDRESS 1T9T80 TEHAPIA AVE OROVILLE
297
2079.00
CONTRACTORS NAME OWNER
TELEPHONE
CONTRACTORS MAILING ADDRESS
Fireplace
CONSTRUCTION LENDER
UNKNOWN
Total Valuation Is
2,079.00
LENDER'S MAILING ADDRESS
Filing Fee
$ 20.00
Permit Fee
$
ARCHITECT OR ENGINEER
LICENSE NO.
Plan Checking Fee
$
Energy Plan Checking Fee
$ '
ARCHITECT OR ENGINEERS MAILING ADDRESS
Penalty
$
BUILDINGADDRESS 1980 TEHAMA
PERMITFEE
S 109.10
OROVILLE, CA 95965
PLUMBINGPERMIT
Fling Fee 20.00
Each Trap
7.00
LOT NOS
UBDN5IONS NAME
P C -EL MAP
L
Solar or heat pump water heater
23.00
USEOFSTRUCTURE
SF �7 Duplex ❑ Mobilehome ❑ Other
SPECIFY
Water piping
15.00
Each gas water heater or vent
15.00
Gas piping system 1 - 5 outlets
15.00
Building sewer
15.00
TYPE OF WORK
New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑
Describe Work: OPEN DECK
Mobile Home I S I GI W 1
@20.00
PERMITFEE
$
Contractor
ELECTRICAL PERMIT
Filina Fee 20:00
Main Service 000V OR LESS
( zooA OR LESS )
23.00
Main Service ( 200A TO 1000A )
46.00
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter
9 (commencing with Section 7000) of Division 3 of the Business and Professions Code,
and my license is in full force and effect.
License Class Lic. No.
OWNER -BUILDER DECLARATION
1 hereby affirm under penalty of perjury that I am exempt from the Contractors License
Law, for the following reason:
I, as owner of the property, or my employees with wages as their sole compensation,
will do the work, and the structure is not intended or offered for sale.
❑ I, as owner of the property, am exclusively contracting with licensed contractors
to construct the project.
❑ 1 am exempt under Sec. Business and Professions Code for this
reason
NEW CONST. DWELLING OCCURSO.
OR ADDNS. ( a ACC. BLDS. )
3.50 FT.
NEW CONST. ( MULTI.OUTLET
NON -RES ID. \ BRANCH CIRCUITS )
97.50
( POWER APPARATUS )
8 SINGLE OUTLET US
Ex. Occup. (OUTLET OR FIXTURES)
200 I.5
BAL .00 0
Ex. Occup. (oFIXED PLNS. OR 5.00
Temporary Service
23.00
Mobile Home Facilities
20.00
Misc. Wiring
23.00
PERMITFEE
s
Contractor
WORKERS' COMPENSATION DECLARATION
1 hereby affirm under penalty of perjury one of the following declarations:
❑ 1 have and will maintain a certificate of consent to self -insure for workers'
compensation, as provided for by section 3700 of the Labor Code, for the
performance of the work for which this permit is issued.
❑ 1 have and will maintain workers' compensation insurance, as required by Section
3700 of the Labor Code, for the performance of work for which this permit is issued.
My workers' compensation insurance carrier and policy number are:
Carrier
MECHANICAL PERMIT
Filing
9 Fee 20.00
Heating
Cooling
Hood
6.50
Ventilation
PERMITFEE
Y
Contractor
Policy Number
(The above sections need not be completed if the permit is for work of a valuation
of one hundred dollars ($100) or less.)
I certify that in the performance of the work for which this permit is issued, I shall
not employ any person in any manner so as to become subject to workers'
compensation laws of California, and agree that if I should become subject to the
workers' compensation provisions of section 3700 of the Labor Code, I shall
forthwith comply with those provisions.
X _ Date J ods / S
Signature of Applic t - ner ❑ Contractor ❑ Agent
An OSHA permit is required for excavations over 60" deep and demolition or constructionate
of structures over 3 stories in height.
Mobile Home Installation Fee
$
Energy Inspection Fee Is
OCC
CONST. TYPE
I
TOTAL FEE $ 109.10
HAZ.
I D. FEES
I IMPFLOOD
CDF PARCEL PD HD SU
This permit is hereby issued under the
of the Butte County Code and/or
indicated above for which fees have
BY
PERMITEXPIRESON
applicable provisions
Resolutions to do work
been paid.
4te)
Receipt No. 176221
WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT
g COUNTY OF BUTTE -
BUILDING DIVISION,;
DEPARTMENT OF DEVELOPMOTTFSERVICES
1469 Humboldt Road, Chico, CA - (916) 891-2751
7 County Center Drive, Oroville, CA - (91'..6) 538-7541
747 Elliott Road, Paradise, CA - (916) 1872-6307
CORRECTION NOTICE
UVVNtK PERMIT NO.
A routine inspection indicates that the following violations of Butte County Ordinances exist at -
the above address and should be corrected. Please notify this office when correction of work
is completed. If you have any questions pertaining to this matter, or need additional explanation,
please contact this office immediately.
�✓ D (/ i GY e ci f�JrOyrcpt�4G�
i dt, t Z)e_e r.
Date Z _ Inspector �L
REV 10/9
COUNTY OF BUTTE
BUILDING DIVISION
DEPARTMENT OF DEVELOPMENT SERVICES
1469 Humboldt Road, Chico, CA - (916) 891-2751
t 7 County Center Drive, Oroville, CA - (916) 538-754,1
747 Elliott Road, Paradise, CA -(916) 872-6307
CORRECTION NOTICE
jp�y'vt4qna wt 03
OW91ER PERMIT NO.
A routine inspection indicates that the following violations of Butte County Ordinances exist at
the above address and should be corrected. Please notify this office when correction of work
is completed. If you have any questions pertaining to this matter,.or need additional explanation,
please contact this office immediately.
Date
REV 1
Inspector , !�
• r � `� . -" . n'44Y�Tr,,.,-�,,.Ir_Y.,.-,J�('S,r:1w'���. =y "'i"�Ty,-�a.�Irr•�•n`w� . y ten. �-v..�..}:�,�•t�. ,�r,•�;.;:� R a . r _• r ,
COUNTYOF BUTTE - DEPARTMENTOF DE -y hh PMENTSERVICES -BUILDING DIVIS N
7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA95965 - TELEPF qNE (916) 538-7541
PERMIT APPLICATIQN DATA SHEET
OWNER _ _ (✓ - , A. r- No. CS �� `
Proposed Building Use f �'.-Building Inspector Dat
r7 -
At time of permit application ,r.l wa s a dpi d the following data must be submitted prior to permit processing and/or issuance:
f DATE RECEIVED
BY
1.
All items have been. submitted . ............ ........................
2.
Plot plans, 3/4 sets,/signed by preparer.of..plan..:.:._..._................... .
3.
Complete plans, 3/4 sets, signed by preparer of plans . ......................
4.
Engineered plans and calcs, 3/4 sets, with wet�signature on plans-,., .
5.
Hazardous Material Form . ...........: �......... f
6.
Energy DesLign Compliance and supporting dumentation. ..................
7.
Statement of Intent for Non -Heated and A/C Buildings . ......................
8.
Engineered truss details and layout in duplicate, (required prior to plan check). ....
9.
Mobilehome data and manufacturer's installation instructions, 2 sets. ...........
10.
Fees of $ . ........... _4 ............................. .
11.
Impact fees as shown on attached schedule. .r- ........................... .
12.
California Department of Forestry plan approval/fees. ....................... .
13.
4.
Flood elevation letter (100 year flood) by California Engineer. ..................
Sanitation and plot plan approval ~._;;Health Department . ............
15.
City of Chico plumbing permit . ......................................... .
16.
Plot plan and business license approval from City of Biggs/Gridley. .............
17.
Planning approval for (A) Use: '(B) Parking: . ........
18.
Contact Land Development about (A) Improvements (B) Drainage ........
19.
Driveway permit (construction approval required: prior to occupancy). ..•.. .
20.
Preanspection requeis
Pre -inspection for required. . to Building Inspector
(Date)
' 21.
Contractor's license information. (No., Name S�y.le, Classification). -f .............
22.
Certificate of Workmans Compensation Insurance ...................... .
23.
Owner -Builder Verification (Given to owner ,Mail to owner _). ...........
24.
_ Recorded copy of Agricultural Acknowledgement Statement . ................. .
25.
Lett6r of signature authorization. .........:41 .............
`" ' 26.
Copy of recorded deed of parcel creation and 60 right of way to a public road. .....
dY I
t 27.
Letter of intent on building use . ............�, ..... ,...... '...................
28.
Mobilehome utility clearance. ...........:1 ............................
s
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..........................YR ............................ .
{
33.
34.
S
h.
When you issue the permit, pr cess as follows: Mail to owner. . Mail to contractor.`
Telephone and hold for pickup at /rl� office. Deliver with inspector.
Other r1
Parcel Creation
Acreage Applicant , -�- �� Date S -
Copy of Haz-Mat form sent Health Dept. Fire Dept. Air Pollution Date
Copy of plans sent Health Dept. Fire Dept. I ; 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 Counter by _ Date
Plans checked by G1 Q B or►S Date d• 1 -SS Plans approved by G% I1A oes S Date a; - / -9S
Sets of plans on hold in File cabinet AP folder
Copy - Department of Public Works
Attention Property Owner:
An "owner -builder" building permit has been applied for in your name and bearing your
signature.
Please complete and return this information at your earliest opportunity to avoid
unnecessary delay in processing and issuing your building permit. No building permit will
be issued until this verification is received.
1.
2.
3.
4.
5.
I personally plan to provide the major labor and materials for construction of the
proposed property improvement: YESPA
I HAVE[54 HAVE NOT[ J signed
proposed work.
I have contracted with the following
construction:
NO[ ].
an ipplication for a building permit for the
person (firm) to' provide the proposed
NAME:
ADDRESS: CITY:
PHONE: CONTRACTOR'S LICENSE NO. -
I plan to provide portions of this work, but I have hired the following person to
coordinate, supervise, and provide the major work:
NAME: _
ADDRESS: CITY:
PHONE: CONTRACTOR'S LICENSE NO.
I will provide some of the work but I have contracted (hired) the following persons to
provide the work indicated:
NAME ADDRESS PHONE TYPE OF WORK
SIGNED:
PROPERTY OWNER:
SOCIAL SECURITY NUMBER: -- -
DATE:
NOTE: This owner -Builder Verification is required by Section 19831 and
19832 of the California Health and Safety Code..
This verification must be completed and returned to our office before
we are permitted to issue the permit.
OVER
Dear Property Owner:
An application for a building permit has been submitted in your name listing yourself as the builder of
property improvements specified
For your protection, you should be aware that as "owner -builder" you are the responsible party of record
on such a permit Building permits are not required to be signed by property owners unless they are personally
performing their own work If your work is being performed by someone other than yourself, you may protect
yourself from possible liability if that person applies for the proper permit in his or her name.
Contractors are required by law to be licensed and bonded by the State of California and to have a
business license from the city or county. They are also required by law to put their license number on all permits
for which they apply.
If you plan to do your own work, with the exception of various trades that you plan to subcontract, you
should be aware of the following information for your benefit and protection:
0 If you employ or otherwise engage any persons other than your immediate family, and the work (including
materials and other costs) is 5300 or more for the entire project, and such persons are not licensed as
contractors or subcontractors. then you may be an employer.
0 If you are an emplover, you must register with the State and Federal Governments as an employer and you are
subject to several obligations including state and federal income tar withholding, federal social security taxes,
workers compensation insurance, disability insurance costs, and unemployment compensation contributions.
0 There may be financial risks for you if you do not carry out these obligations, and these risks are especially
serious with respect to worker's compensation insurance.
0 For more specific information about your obligations under Federal Law, contract the Internal Revenue
Service (and. if you wish, the U.S. Small Business Administration). For more specific information about your
obligations under State Law, contact the Department of Benefit Payments and the Division of Industrial
Accidents.
If the structure is intended for sale, property owners who are not licensed contractors are allowed to
perform their work personally or through their own employees, without a licensed contractor or subcontractor, only
under limited conditions.
A frequent practice of unlicensed persons professing to be contractors is to secure an "ownerbuilder"
building permit. erroneously implying that the property owner is providing his or her own labor and material
personally. Building permits are not required to be signed by property owners unless they are performing their own
work personally.
Information about licensed contractors may be obtained by contracting the Contractors State License
Board in your community or at 1020 N Street, Sacramento. CA. 95814.
Please complete the "Owner Builder Verification" on the reverse side of this form so that we can confirm
that you are aware of these matters. The building permit will not be issued until the verification is returned.
Sincerely,
Michael C. Vieira, C.B.O.
Manager. Building Inspection
NOTE: This Owner -Builder Information is required by Section 19330 of the California Hcalth and Safety Code.
OVER
NOTE:—Alt Materials & Workmanship
.Accordance with Recognised Good Practices and
of a quality prescribed for the Specified use in tho
Uniform Building, Plumbing & Mechanical Codes and
LL, N
e ational Eiectncol Code. ALL STRUCTURES AND EQU
IPMENT lNCLLFUJIM
OVERHANGS SHALL BE CLEAR OF ALL EASEMENTS.
A SET BACK OF S FT. FROM TME SIDE AND:
q S FT. FROM THE REAR PROPERTY LINIES• A40
50 FT. PROM THE ROAD dENTERUNE SHALL SE
Ct R OF STRUCTURES AND XQUIPMENT EXCEPT
s his ser o* plans and speciticntions Mt)SI r•
xept on the job at aN times and it is unlawful v;
make any changes or alterations on some withou•
written permission from the Department of Pul+t%.-
Works. County of Butte.
BUTTE CC)UIdTY
BUiL[NNt; MARYAqEW
APPROVED
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FAN
Steven D. & Susan C. Jernigan
1980 Tehama Avenue
Oroville, CA 95965
RE: Building Code Violations
1980 Tehama Avenue, Oroville
Dear Mr. and Mrs. Jernigan:
utte Count,
1. .�. ',.I J vr, iN J .: A W 1E A L T H , IBJ D B F A , i
BUILDING DIVISION
DEPARTMENT OF DEVELOPMENT SERVICES
7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965-3397
TELEPHONE: (916) 538-7541
FAX: (916) 538-2140
May 23, 1995
A.P.#030-46-2-016
This is a formal warning notice. Pursuant to Butte County Code (BCC)
Section 41-2, we sent you a courtesy notice dated December 27, 1993 notifying
you that you are in violation of the BCC at the above -referenced location.
As of this date, the following violations still exist:
Failure to obtain approval of previous corrections and failure to obtain
inspection prior to occupancy and permit expiration for construction
of single family residence in violation of the 1982 Uniform Building
Code as adopted by Section 26-1 of the Butte County Code as follows:
(a) Section 301(a) Permits Required
(b) Section 305(a) Inspections Required
(c) Section 305(d) Inspection Approval Required before Use or Occupancy
The above violation shall be corrected or abated by you applying for a permit
to complete the work and paying the appropriate fees. After permit issuance
and field authorization to proceed, the corrections must be completed and
approved by this office within the permit specified time.
Failure to obtain permits, inspections and approvals from this office
for construction of a deck for single family residence in violation
of the 1982 Uniform Building Code as adopted by Section 26-1 of the
Butte County Code as follows:
(a) Section 301(a) Permits Required
(b) Section 305(a) Inspections Required
(c) Section 305(d) Inspection Approval Required before Use or Occupancy
The above violation(s) shall be corrected or abated by you by submitting
three (3) complete sets of plot plans, applying for the required permits,
and paying the appropriate fees, including penalties. After permit issuance
and field authorization to proceed, the work must be completed and approved
by this office within the permit specified time.
Letter to Steven D.
A.P. #030-46-2-016
Page 2
May 23, 1995
& Susan C. Jernigan RE: Code Violations
This is your final warning. Unless you contact this office and make the
proper arrangements to correct or abate the violation(s) voluntarily, within
ten (10). days from the date of this letter, enforcement shall be pursued
through the issuance of a citation (ordering you to appear in court) for
said violation(s) and for failing to comply with this warning letter.
Upon conviction of said violation(s) or of failing to comply with this
letter, the court shall impose penalties (fines) and a Notice of Violation
shall be recorded in accordance with Butte County Code Section 41-7. The
Notice of Violation shall include a description of the premises the violation
concerns, a description of the violation, the date of your conviction and
the action necessary to correct or abate the violation(s).
Should you have any questions concerning this matter, please contact Scott
Rutherford or Michael Vieira in this office at the address or telephone
number listed above.
MCV:dms
Sincerely,
kaj)xiv�
Mi0hael C. Vieira, C.B.O.
Manager, Building Inspection
1
2
3
4
8
PROOF OF SERVICE BY MAIL
I am. over the age of 18 and nqt a party' to. this cause. I am a _
resident of and employed in the county where the mailing occured. M
► g Y.
business -address is Building Division
Department of Development Services
- 7 County Center Drive
Oroville, CA 95965
I served the foregoing SECOND NOTICE VIOLATION LETTER
__.(030-46-2-016)
I
I
?
8
9
by enclosing a true copy in a sealed envelope and depositing
said envelope
'I
in the United States mail with postage
fully prepaid on 23rd.
of May
10
19 95 and addressed as follows:
I1
12
Steven D. & Susan C. Jernigan
13
1980 Tehama Avenue
Oroville, CA 95965
14
i
15
16
I declare under penalty of perjury under the laws
of the State j
17
of Calififornia that the foregoing
is true and correct and
that this !
declaration was executed on
5/23/95
18
i
at Oroville
California.
19
20
i
i
21i
Donna Sperling
22
Office Assistant III
23
24
23
28
VIOLATION CHECK LIST
030=46-2-016. Address 1980 Tehama Avenue,-.Oroville
Owner teven susari C' Jernigan _
..Owner's.Address same
Owner's Phone No. Supervisoral District_.. +
Tenant's Name Phone No.
Type of Violation in Detail with Code Section Priority No. 3
Faillre to final single family
Specific Plot Plan with C/V Noted _yes no Penalties Required
12/27/93
-1st. Notice Sent 2nd. Notice Sent - 5
ate (Date)
Comments and/or Determination
29 DEcF-�W8�2
9.3 - M<M 'Ib JCE&6Lq,41 — AIE P6'-&17-
Z4
OR ftC iMi?-;� 7�E�4ocrs� pe-Uc..
J�3Tl 9 - d Zfet �G to �uy — d�U-1 �uirJ </ c
Disposition
For Citation Citation
Date (Date)
Department Recommendation to Court.
Court Action
Notice -of Violation Recorded
. .(Date)
Steven D. & Susan C. Jernigan
1980 Tehama Avenue
Orovi.11e, CA 95965
RE: Building Code Violation
1980 Tehama Avenue, Oroville
Dear Mr. and Mrs. Jernigan:
December 27, 1993
• A.P. x`030-46-2-016
This is a courtesy notice to notify you that there is a code violation
existing on your property, created by a previous owner. The violations
are as follows:
Failure to obtain approval of previous corrections and failure to obtain
inspection prior to occupancy and permit expiration for construction
of single family residence and failure to obtain permit for construction
of deck.
Permits and inspections are required to correct the above noted violation(s).
Even though you did not create this violation(s), you as the current owner
of record are required to resolve any violation(s) or correct any hazards.
Please contact this office to discuss the .appropriate correction of this
code violation.
It is the County's goal to obtain voluntary compliance with the Butte County
Code. However, you should be advised that Buttte County has an active Code
Enforcement Program which provides an effective means of enforcement if
voluntary compliance is not obtained. Enforcement may be pursued through
the issuance of citations, fines and the recording. of a Notice of Violation
including a description of the action necessary to abate the violation.
You have thirty. (30) days to voluntarily comply with the above directions
or to present an acceptable plan for abatement or corrective actions to
be taken by you. Should you have any questions concerning this matter,
please contact Michael Vieira or Scott Rutherford of this office at the
address or telephone number listed above.
Yours very truly,
MCV:dms *1114ihael aC.Vie2ir�a, C.B.O.
Manager, Building Inspection
cc: Assessor
i April 28, 1987
Michael & Shelia Carey RE: Building Permit No. 1279-86
2160 4th St. ##113 Expiration Date 5/30/87
Oroville, CA 95965 (A.P. No.. 30-462-16)
Dear Mr. & Mrs. Carey: r
With reference to the above subject, our records indicate that your Building
Permit will expire on the above date. Building permits are valid for one
year and should.construction be started but not completed by the expiration
date of the permit, the permit shall be renewed for t,- the original Building
Permit Fee (plus a $10.00 "Filing Fee"). 'The renewal permit will extend the
Building Permit for an additional year from the original expiration date.
Should you not renew your permit in a timely manner, it cannot be renewed
and all work must cease until a new .building permit is issued.
If your construction is completed or should you have any questions concerning
this matter, please contact the Oroville office.
For your convenience, we are enclosing a renewal application form and owner -
builder form to be completed and signed by you where indicated and returned
to this office together with the fee shown. Please return all copies of the
application form.
Thank you,£or your prompt attention concerning this matter.
a
JFG:aam
Attachments: Permit Application.
Owner7Builder Information
Owner -Builder Verification
cc: Building Inspector - Oroville/538-7541
Yours very truly,
William Cheff
Director of Public Works
4
J.F. Glandes
Chief Building Inspector
Chico - 196 Memorial Way/891-2751 Paradise - 747 Elliot Rd./872-6307
PERMIT NO 1279-86B,P,E,M
PERMIT EXPIRES
AV
OWNER MICHAEL'& SHELIA CAREY
CONTR. Carey Construction
ASSESSOR PARCEL 30-462-16
LOCATION 1980 Tehama Avenue, oroville
/6- 3 - � C- f ; 0,r V-0
OFFICE COPY
Signature C., &e6
6r
Address
GAS
GAS
t By
Date
ELECTRIC
Meter By
Date
Temp. Powe.1
7
IOFFICE
COPY
Called F
Add
Temp. Elec.
A--
GA
Called P1
Met! By"
Date
Temp. Gas Si
ELECTRIC.
Meter By a Datwk-41"
!
Cal led p�
P-7
JOB FINALED (Date)
Signature C., &e6
6r
Owner: Permit
ENERGY CERT IF ICAT ION
LOCATION A.P. No.
DESCRIPTION OF INSULATION
ROOF r'
Material -Brand Name
Thickness(inches) Thermal Resistance (R Value)
EXTERIOR WALL
Material 'Brand Name
Thickness(inches) A Thermal Resistance(R Value)
CEILING
Batt or Blanket Type .a'.,3 TT
Thickness(inches)
Loose Fill Type
Minimum Thickness(Inches)
Area covered(ft.2)
FLOOR, ELEVATED
Material
Thickness(inches)
FLOOR, SLAB
Material C o
Thickness(inches)
Width(inches)
FOUNDATION WALL
Material
Thickness(inches)
Brand Name GL/l— fA / A-1
Thermal Resistance(R Value) --?C)
;Brand Name
,Number of Bags Wt. per bag lb.
. Thermal Resistance(R Value)
'Brand Name
Thermal Resistance(R Value)
'Brand Name
Thermal Resistance(R Value)
Brand Name
Thermal Resistance(R Value)
I hereby certify that the above insulation was installed in the above building
in conformance with the State of California Energy Requirements.
FIRM NAME/OWNER STATE CONTRACTORS L CENSE NO.
SIGNATURE OF INSTALLATI PLICATOR/bATEK
I hereby certify the above insulation and all required items as shown on the
Building Department approved plans and attachments have been installed as
required by the State of California Energy Requirements.
All equipment, devices and materials are of the quality prescribed or are
specifically approved by the State of California.
FIRM NAME/OWNER (Please print) STATE CONTRACTORS LICENSE NO.
S GNATURE OF GES.. CONT R OWNER DATE
THIS CERTIFICATE MUST BE ON FILE WITH THE BUILDING DEPARTMENT PRIOR TO FINAL
INSPECTION APPROVAL AND A COPY SHALL BE POSTED WITHIN THE BUILDING.
January 1984
V c OK
0 - Not OK
- = Not Applicable MOBILEHOMES
= Not Ready
MISCELLANEOUS
Date
MOBILEHOME UTILITIES (Plans) OK except it's
1. Zoning Requirements -Setbacks -Easements
Date
DECKS, COVERS, CARPORTS, ETC. (Plans) OK except #'s
1. Zoning Requirements -Setbacks -Easements
1
2. Soils; Special MH Support -Sketch
3. Sewer; Location -Test -Fall -C/0 -Concrete
t
2. Footings; Size -Depth -Spacing -Connectors
3. Decks; Girders and/or Joists -Decking -Bracing -Stairs -Rails
4. Water; Location -Test -Easement Needed (Sketch)
4, Wood Awn.; Posts-Beams-Rftrs.-Connec.-Shthg.-Rfg.-Bracing
5. Electricity; Location-Clearances-Grnd.-/ / Amp -Concrete
5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures
6. Gas; Location -Test -Wrap:/ /"L"ft./ /"Nat.or/ . /"L"ft./ /"LPG
6. Carports; Windows -Doors
7. Utility Clearance
_
7. Elec.
Card -BI
Date Card -BI Date
Card -BI
Date Card -BI Date
Card -BI
Date
Date Card -BI Date
MOBILEHOME INSTALLATION (Plans) OK except N's y
1. Zoning Requirements -Setbacks -Easements
Card -BI
Date
Date Card -BI Date
POOLS (Plans) OK except k's
1. Setbacks -Easements
2. Footings; Size -Spacing -Marriage Line
2. Soils; Compaction -Structure Stability
3. Gas; MH Test -Demand -Valve -Connector
3. Pool Structure; Steel -Connections -Thickness -Dead Men -Lining
4. Electricity; MH.Test-Crossovers-Breakers-Clearances
4. Elec.; Receptacles and Lighting; Distances-GFI
5. Drain; MH Test -Fall -Flex Connector
5. Elec.; Pool Lighting; 15 volts-GFI
6. Water; MH Test -Regulator -Connector
6. Elec.; Enclosures; Conduit Entries -Terminals -Listed
7. Water and Sewer Connected -C/0 to Grade -HD Approval
7. Elec.; Bonding; Metal w/5' -Circulating Equipment -Heater
8. Gas and Electricity Tagged
8. Elec.; Grounding; Equip. w/5' -Circulating Equip. -Pool Lghig.
Boxes -Enclosures -Panel boards -Ins. to Main in Conduit
9. Exits; Insp.-Sketch
10. Cert. of Occupancy
9. Health Department Approval ,
'
10. Plumb; Cir. Test -Water Supply Test
Card B-1
Card B -I
Date Card -BI Date
Date Card -BI Date
Card -BI
Card -BI
Date Card -BI I Date,), �
Date Card -B1 Date
y t f
1
'
1
t
y t f
V = OK
0 = Nut OK"`
- = Not Applicable
* = Not Ready
Date UND OOR Plans OK except N's
t-L20ng requirements -Setbacks -Easements
Ftg�lain;
Soils -Steel -Ell) Ftg. D
301VIg., Garage; Soils -Steel- / /" Ftg. Depth
4. �,*, Porches & Decks; Soils -Steel- / /" Ftg. De
*'Stemwalls, Main; Steel-Blockouts-Wrapped-Slab
emwalls, Garage; Steel-Blockouts-Wrapped-Slab
7. P' rs-Fireplace Ftg.-Steel
BID.W.V.: Fall -Fittings -Test -2 way C/0 -Sewer Test
9. Gas Pipe; Size -Anchors
10. Water Pipe; Test -Anchors -Regulator -Service Test
11. Electric; Underground
12. Plenums & Ducts; Clearance -Material -Support -Ins.
13. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples
RESIDENTIAL (Single and Duplex)
11 Date FRAW14G (Continued)
Card -BI Date (� �� Card -BI Date
Card -BI Date( -% Card -BI Date
Date PL(Permit) excepLLPs
ter Ht.:. -Comb on Air
_ ater P' Anchors -NO -1 Protectio
ttnQ,- A rs-N rotection'
17. 9First Floor -Tub Access
18. Test, Tub & Shower, 2nd Floor -Tub Access
1%o -,Gas Pipe; Size & Anchors
Card -BI
Card -BI
Date
50.
srty Line Firewall & Openings
Doors -One 3'-Che6k Garage -3rd story, 2 exits
ise-Run-Landing-Fire Pr
,wood on Roof Overhang -Attic Vents -Rafter Outrh
5? -Siding -Nailing -Veneer
53. ed-Fdn. Vents-Underflr. Access
azing Area Glass Protection -Skylights -Plastic
Shear Walls; Nailing -Bolts
1--- I I _ f,Ial
e Card -BI Date
Card -BI Date
fa Card -BI Date
Ve'(Plans) OK except N's
7Ext. Steps -Door & Sidelight Protection -Land
Smoke Detector
Furnace; vents -clearance -Comb. Air -Connector -
In Garage; Above Floor-Ducts-Mech. Protection_
Bedroom Exiting
G.F.I. & Bath Fixtures & Tub Access
Elep. Trim & Subpanel; Breaker Sizes -Labels
=1153Ti2TTs
L-63. Fireplace or Stove; Clearances -Hearth
6 od Panel; Int. & Ext.
LI Date Card -BI Date 5• Kit. Fixt. & A liance; Grnd.-Air Ga-Cookin Clearance
I Date rd BlDate Elec. Outlets &Receptacles at Kit. Counter
7. Garage Fire Door; Swing -Landing -Closer
Date
ELE ICAL Permit OK except q's
68.
e-amper
35. Ailic 4eeese-&Platform if Furnace in Attic
Fre_& Transformer Clearance -Ins. Protection
'
9.
Wtr. Htr.; Vents -Clearance -Comb. Air-Connector-P.R.V.-
G age; Above Floor-Mech. Protection
-
_
t.5 E Receptacles Spacing -Lights & Switches at Doors
0.
b., Elec. & Mech. Equip. Listed foyL�ocation
Si__
ze Boxes & No. of Conductors
_
-Stapled
2�anstalled Close to Edge of Studs & C.J.
L-Iolf.
Elec. Receptacles in Garage; ( .I.)-Romex Protec.
p. Ground made up w/Mech. Fasteners -Bond Gas & Water
345 : Studs -Nailing, Spacing & Bracing -Plates -Sound
Bear'ng Walls over Girders &_Floor Nailing
2.
Insulation -Foam -Looked in Attic E] Yes
2 Appliance Circuits in Kitchen & Conductor Size
rat op in Walls (ratproof)_
7g,
Guard Rails & Deck Construction -Post Caps
e Stops: Furred Ceilings -Stairs -Chases -Tub
Flea Beam -Size &Bearing
/
26. ire ze i_ga. Cu or AI-A.C. Wire Size / / ga. Cu or At
- -
Fdn. Vents & Crawl Hole Door -Drainage & Wood -Earth Clearance
Looked under Floor ❑ Yes
gers-Post Caps -Anchors -Connectors
27. Rcrtge.6ire-44 ga. Cu or AI -Oven Circ. / / ga. Cu or At,
'_'Yes
75.
Following instld.: Drive es alks ❑ Yes [
I lated Neutral ]No
2 Service Condu
Planters El Yes o
-
. -Riser rs & GrdY<-Main Dis ct
4 B . Windows or Exiting Doors -Sill Hgl. & Dimensions
76.
n-Fi '
4 arage Fire Protection Framing
29._x^ ';i;+IPAY: Pane ls=Motors-Mech. Equip.
7,
A.C. Unit; Disconnect-Clrnces-Brkr. & Cond. Size -115V Outlet
30. Light -Shower Light
78.
Vents Above Roof; Plbg.-Appliance-Firepl.-Clearance to Opngs
- -
ell; Disconnect, Electrical, Plumbing
Card B
- ---- - ---.
Datelb _ and BIDate
rte.
xterior Ele im; G.F.I. Receptacle -Underground
Card B-
l Date Card -BI Date
1._Ventilation
throughout House
2.
Glass Protection
Cgrrections from Previous Inspections _
Date
MECHANICAL (Permit) OK except q's
Gas Test -Meters Tagfff,Gas-Elect 'c k��-r-
31. prtXZ-D6LR5"Vasulation & Support _ -
85.
W ter & Sewer Connected -C/O to Grade -HD Approval
32. Vent Fan: Exhaust above Insulation - - _
5.
Energy Compliance Certificate -Other Certificates
33. Co o-Bsa+m&_Ov flow; Size Grade
- urnoz
T` ent A _s_Comb. _-Recur nt-115V outlet
-.- e -
35. Ailic 4eeese-&Platform if Furnace in Attic
Card -BI Date( '" Card -BI _ Date
l� "_
Card -BI Date Card -BI Date
_
Card -BI Date - Card -BI Date
Card -BI Date Card -BI Date
Card -BI Date Card -BI Date
Date F ING(Plans) OK except p's
Comments at Final:
_6. Si;W; Proper Material & Ancho_rs _
345 : Studs -Nailing, Spacing & Bracing -Plates -Sound
Bear'ng Walls over Girders &_Floor Nailing
rat op in Walls (ratproof)_
e Stops: Furred Ceilings -Stairs -Chases -Tub
Flea Beam -Size &Bearing
- -
gers-Post Caps -Anchors -Connectors
4 g. Joist-Rfir. Ties-Purlin-Roof Brac. Truss Shthrig -Rfnq.
F1 lace Ties or Type A Flue -Fireplace Throa
Ais Access: Size & Romex Protection -Draft Stop -Ins. Baffles
4 B . Windows or Exiting Doors -Sill Hgl. & Dimensions
4 arage Fire Protection Framing
(NOTE: An entry must be made each time youvisit jobsite)
COUNTY OF BUTTE - DEPARTMENT 01
7 County Center Drive - Oroville, California 95965 -
APPLICATION -AD PERI
r'
PUBLIC WORKS PERMIT NO
Telephone 916/534-454
IIT
ASSESSQ,R PARCEL NU BER
VIS -- l
ONIN
BUILDING PERMIT
OWNER
PICANE-f- SWIR A4 e406r
TEL ONE
533 -'12
SO. FT. qp C. BUILDING VALU ION
OWNER'S
9/60 A � AD DRESS
#//3, v2Vv1u_C1 C4 gX9(,�
CONTRA_CTOR'S NAME������0�
TELEPHONE
CONTRACTOR'S MAILING ADDRESS
Fireplace
Q
CONSTRUCOTION LENDER
UNKNOWN
Total Valuation $
Filing Fee
$ 10.00
LENDER'S MAILING ADDRESS
Permit Fee
$
A RCHIiGT OR ENGINEER
/T
LICENSE NO.
Plan Checking Fee
,$'
Energy Plan Checking Fee
$
OR
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Penalty
$
BUILDING ADDRESS /9807-6'11A VMA �C
Permit fee
$
PLUMBING PERMIT
Filing Fee 10.00
Each Trap
41 2.00 Ig pp
Q4zp(//44C
Solar or heat pump water heater
20.00
LOT NO.SUBDIVISION
NAME
PARCEL MAP
Water piping
5.00
Each pas water heater or vent
5.00
USE OF STRUCTURE
SFO Duplex❑ Mobilehome❑ Other SPECIFY
Gas piping system 1 - 5 outlets
5.00
Building sewer
5.00
Mobile Home I S FGTWT-
10.00 ea
TYPE OF WORK
New Addition❑ RedelUtilities❑ Installation❑ Other❑
Describe work: J—�/ fC) YJ`
Permit Fee
$
Contractor
ELECTRICAL PERMIT
Filing Fee 10.00
Main service 600V OR LESS
100 AMP OR LESS
00
10.D. •
Main service EA. ADD'L 100 AMP
2.50
CONTRACTORS LICENSE LAW
I declare under penalty of perjury (check one):
F -1I am licensed under provisions of Chapt. 9, Div. 3 of the Business
and Professions Code and my license is in full force and effect.
License No. Classification
❑ 1, as the owner, or my employees with wages as their sole compen-
sation, will do the work,and the structure is not intended or offered
for sale. (Sec. 7044)
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
NEW CONST. DWELLING OCCu ,/22sgft
New CONSTR.� AUL
q�12.50ea
I I OUTLET
NON.RESID BRANCH CIRC ITS
POWER APPARATUS &)
-SINGLE OUTLET CIR.
Ex. p(OUT LE TS OR FIXTURES e20050C
OCcu / 30t 11
FIXED APPLNS. OR
Ex. Occup. OUTLETS (RESID.) EA.1 2.00
Temporary service 10.00 /0,0
Mobile Home Facilities 15.00
Misc. Wiring 15.00
Permit Fee $ 91
Contractor
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.
MECHANICAL PERMIJ Filing Fee 10.00
Heating r
Cooling
Hood 3.00
Ventilation
Permit Fee $
Contractor
1 certify that I have read this application and state that the above information
is correct. I agree to comply to all County Ordinances and State Laws relating
to building construction, and hereby authorize representatives of the Countyot
Butte to enter 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 ai Cou ty in couen of the granting of this perm't.
X C . nse Date
Signature of Applicant — Owner❑ Con a tar ❑ Agent
An OSHA permit is required for excavations over 5'0" deep and demolition or construct-
ion of structures over 3``stories in height.
Mobile Home Installation Fee $
Energy Inspection Fee $
TOTAL PERMIT FEE $
OCCUP.
t3
CON ST.TYP
I FLOOD
PA;CEJ
PD
H s
This permit is hereby issued under
sions of the Butte County Code and/or
work indicated above for which
DIRECTOR OF PU
Ta
By
PERMIT EXPIRES Date
the applicable provi-
resolutions to do
fees have been paid.
IC WORKS
Date
� f
Receipt No. `,J�
WHITE-O.P.W., YELLOW -ASSESSOR VPINK-INSPECTOR. GOLDENROD -APPLICANT
COUNTY OF BUTTE
DEPARTMENT OF PUBLIC WORKS
196 Memorial Way, Chico — Phone: 891-2751
7 County Center Drivel, Oroville — Phone: 534-4541
Skyway and Elliott'Road, Paradise -- Phone: 872-2961, Ext. 57
CORRECTION NOTICE
A routine inspection indicates that the following violations of County Ordinance
exi t at the above address and should be corrected. Please notify this office
whecorrection of work is completed. If you have any question pertaining to this
matter, or need additional explanation, please contact this office immediately.
Inspector ` j ..
COUNTY OF BUTTE
•
DEPARTMENT OF PUBLIC WORKS
196 Memorial Way, Chico — Phone: 891-2751
7 County Center Drive, Oroville — Phone: 5344541
Skyway and Elliott Road,. Paradise -- Phone: 872-2961, Ext. 57
CORRECTION NOTICE
A routine inspection indicates that the following violations of County Ordinance
exist at the above address and should be corrected. Please notify this office
Inspector_- Date .
COUNTY OF BUTTE
BUILDING DIVISION
DEPARTMENT OF DEVELOPMENT SERVICES
1469 Humboldt Road, Chico, CA - (916) 891-2751
7 County Center Drive, Oroville, CA-- (916) 538-7541
747 Elliott Road, Paradise, CA - (916) 872-6307
CORRECTION NOTICE
�? 2r -
OWNER / ! ��O ,., � PERMIT NO.
A routine inspection indicates that the following violations of Butte County Ordinances exist at
the above address and should be corrected. Please notify this office when correction of work
is completed. If you have any questions pertaining to this matter, or need additional explanation,
please contact this office immediately.
1,2
12
,et,
Date j/ J v Inspector
REV 10/92
COUNTY OF BUTTE , 7
DEPARTMENT OF PUBLIC WORKS
196 Memorial Way, Chico— Phone: 891-2751`'
7 County Center Drive, Orovi Ile — Phone: 538-7541
747 Elliott Road, Paradise — Phone: 872-6307
CORRECTION NOTICE
OWN
A routine inspection indicate4,&t the following violations of County Ordinance
exist at the above address and should be corrected. PI ase notify this office
when correction of work is completed. If y u have any Sf estlon pertaining to this
matter, or need additional explanatio , ease cont�c/tthis office immediately.
i
r
Inspector
COUNTY OF BUTTE - DEPARTMENT OF -PUBLIC WORKS - BUILDING D`1VISION
7 COUNTY CENTER DRIVE - OROVILL_E, CA12�I1=,,ORNIA 95965 - TELEPHONE: 916/534-4641
PERMIT APPLICATION DATA SHEET
Permit No. `
01
OWNER 4C_ l—a' ��' A. P. No. � 4 WO
Proposed Building Use y(
' Permit Fee Based Upon: Complete Contract Price DPW Valuation
Other
Building Inspector Date
At time of permit application, I was advised the following data must be submitted prior to permit processing
and/or issuance: DATE RECEIVED APPROVED
1. All items have been submitted. . . . . . . . . . . .
2, Plot plans in duplicate/triplicate. . . . . . . . . . .
3. Complete plans in duplicate/triplicate. . . . . . . . .
4. Complete engineered plans and calcs. . . . . . . . .
5. Plans with Energy Design Compliance Statement. . . . . .
6. CUSD "Fees Paid'' Stamp on Floor Plan . . . . . . . .
7 Statement of Intent for Non -Heated and AC Buildings.
8. Fees of $ . . . i. . . . .
L tt �o„s� n t p,�tation appr va roHealth Dept.
lanning approval for (A) Use: (B) Parking:
12. rtificate of Workmen's Compensation Insurance. . . . . .
13. Contractor's License Information (no., name style, classif.)
14. Owner -Builder Verification (Given to owner❑, Mail. to owner ❑ )
15. Improvements may be required. . . . . . . . . . .
16. Mob•ijehome Installation Data. . . . . . ..
• Pre-Inspec. request to (pate)
Pre -Inspection for Required. Building Inspector
Recordt f I Acknowl d ment State ent . '�-t-6- ,
9. Other bA1�YAV onstructiion approval required prior occ anc t'
When ou issue the permit, process as follows: Mail/two owner. ail to con ac .or.,
Telephone Sb�.c� �9 and hold for pickup at ��'d office. Deliver w/inspector.
Other
Applican �. Date 1-5-111S af0
Copy of plans sent Health Dept., Fire Dept., Other Date
During the plan checking process, the following data must be submitted prior to permit issuance:
(For required items not checked above at imj of application, circle item.)
1. Index permit for above Items No.
2. Additional items required:
(Contractor, Designer, Owner) was advised of above required data by Telephone Mail Other
By !r.:.j . Date _ _57
Plans checked by Date
Plans approved by . Date r'
Other:
Copy—DPW
TO: Building.Department
FROM: Driveway Permit Section
RE: Driveway Clearance
owner
Driveway permit
number
st gnature.
location
�1,4 z -/d
AP# /
has been issued`for the above property.
d a t.�K
?_ RESIDENTIAL ENERGY PLAN CHECK/.INSPECTION SUMMARY®R,-1
;Owner All Ci4,/ W- redly" ` M Climate Zone Permit No..
Floolk Area
Compliance patki: Package ❑ A ❑ B ❑ C ❑ Point System []Budget M other
MIN R -VALUE DESCRIPTION
REQ'D
INSTALLED ITEMS (1) INSULATION:
Q Roof /Ceiling —3n
Wall AQ—/q
❑. S a Floor Perimeter
❑ sed Floor
(2) INFILTRATION•
❑ (A) A vapor barrier is required in climate zones, 1, 14 & 16.
9 .(B) All manufactured windows and sliding glass doors shall meet the
1972 ANSI Air Infiltration Standards and shall be certified and
labeled.
�. (C) All swinging doors and windows leading to unconditioned areas
shall be fully weatherstripped.
Tight - the above standard features plus:
❑
(D)
Continuous infiltration barrier
❑
(E)
Electrical outlet plate gasket
❑
(F)
Air-to-air heat exchanger.
(3,) GLAZING:
(A)
Location
Area Glazing %Floo Area
Single Double Triple
Q
Total Bldg ,2Q3. % �� 8_
Q.
North 74?
East O t�
South J51! ,?
Q
West
❑
Skylights
(B)
Shading
Shading_
Coefficient Description
❑
East '
❑
South
❑
West
❑
Skylights
(C)
South Overhand
Length of projection _eft. Description
❑
(D)
Moveable insulation: Area ftz
Description
(E)
Thermal mass
❑
Type - Area
Ft.2 HC= R=
MC= Location
❑,
Type - Area
Ft. HC= R=
MC= Location
❑
Type - Area
Ft.2 HC= R=
MC= Location
❑
Type - Area
Ft.Z HC= R=
MC= Location
❑
Type - Area
Ft. .HC= R=
MC= Location
❑
Type - Area
Ft.Z HC= R=
MC= Location
7/83
1
- . FORM
(4) MASONRY AND FACTORY -BUILT FIREPLACES'shall be equipped'.with tight
fitting,closeable metal or'glass doors 'covering the entire opening
of the firebox; a combusion air intake equipped with a readily
accessible, openable, and tight fitting damper to draw'air from the
outside of the building; and a tight fitting flue damper with a
readily accessible control.
*1(5) HEATING. VENTILATING; AIR CONDITIONING SYSTEM
(A)..'. --Heating
0 Central Gas Furnace %
(brand and model number) SE
Btu/hr
(heating capacity)
❑ Heat Pump.
(brand and model number) ACOP
Btu/hr
(heating capacity at 47°F)
❑ Active Solar
type.(liquid or air) Collector, brand and
ft2
model number solar fraction collector area collector
orientation collector.tilt rated y -intercept
rated slope
Other
(describe)
*1 (B) Cooling
❑ Electric Air Conditioner
(brand and model number) (seasonal EER)
Btu/hr
(cooling capacity at 95°F)
❑` Electric Heat Pump
EER
Btu/hr
(cooling 'capacity at 95°F)
Other
(describe)
❑ (C) A TWO-STAGE THERMOSTAT, which .controls the supplementary heat on
its second stage, shall be required for heat pumps.
Q (D) AN AUTOMATIC SETBACK shall be provided for all thermostats, except
those controlling heat pumps.
Q (E) AN INTERMITTENT IGNITION DEVICE shall be provided for all gas-fired
fan type central furnaces, gas-fired fan type•wall furnaces and
gas cooking appliances.
Q (F) BACKDRAFT DAMPERS shall be provided for all fan systems exhausting
air to the outside .
Q (G) DUCT CONSTRUCTION & INSULATION. All transverse duct,'plenum, and,
fitting joints shall be sealed with pressure sensitive tape or
mastic to prevent air loss and shall be insulated to conform to
the provisions of Section 1005 of the. UMC, 1976 Edition.
7/83 2
FORM 1
(6) DOMESTIC WATER SYSTEM
® -(H)- Gas Only Gallons
(brand and model number) (tank size)
❑ Heat Pump w/Electric Backup
(brand and model number)
Gallons
2 (tank size)
® * Active Solar
(collector brand and model number)
(rated y -intercept) (rated slope) (solar fraction)
ft2
:(backup heater type, brand and model number) (collector area)
(collector orientation) (collector tilt)
❑. Location of Solar Panels
❑ Other
(Describe)
:(B) TANK INSULATION. Storage type water heaters and storage -and
backup tanks for solar systems shall be externally wrapped with
R-12 insulation or greater.
E (C) PIPE INSULATION. The five feet of pipe closest to the water
heater and outside conditioned.space shall be insulated with a
minimum of R-3. Steam.and steam conditioned space shall be
insulated with a minimum of R-3. Steam and steam condensation
return piping and recirculating hot water piping outside the
building envelope shall be insulated in accordance with
T20 -1408(d).
® (D) FLOW RESTRICTORS shall be provided for showerheads and faucets
as outlined in the new appliance efficiency standards and shall
be certified to the. Energy Commission.
(7) LIGHTING
(A) Lamps used in luminaries for general lighting in kitchens -and
bahhrooms shall have an efficacy of not less,than 25 lumens per
watt (usually florescent).
*1 Submit documentation of sizing heating and cooling equipment by Manual J, sizing
charts (form A) or other approved methods, section 2-5352(g), and -fill out the .
following.
Heating: Winter design temperature,20 °, elevation _ I, heating load ZIA a BTU
elevation factor' Z-0 x heating load maximum outlet capacity gas furnace
5.3. gAJ BTU
Cooling: Summer design temperature !VT °, cooling load .30 TU
(USE ONLY AS A SIZING GUIDE, COOLING MAY BE INADEQUATE) '
*2 Submit T.I.P.S.E. chart or other approved system (form #5) to document sizing of
solar panels.
®. DESIGN COMPLIANCE STATEMENT: The above building design meets the requirements of
Title 24, Part 2, Chapter 2-53 of the California Administration Code.
7/83G OF BUILDING DE R OR APPLICANT
3
DIRECTORS
A. Floyd Matlock
Division 1
Charles G. Allen
Division 2
Vurden L. Tolman
Division 3
Elden J. Brown
Division 4
Ernest L. Reynolds
Division 5
TH ERMALITO .IRRIGATION
A Public Agency
410 Grand Avenue
Oroville, California 95965
(916) 533-0740
Mr. & Mrs Mike Carey
1980 Tehama Street
Oroville, CA 95965
Dear Mr. & Mrs Carey:
DISTRICT
May 15, 1986
RE: A. P. # 30-462-16
James O. Schmidt
Manager/Secretary
John Jeffrey Carter
Legal Counsel
This letter is to confirm that Thermalito Irrigation District
is approved by the Department of Health., State of California,
to supply domestic water to users within the.District and that
ample water for normal use and fire protection.is available
along with sewer service upon extension of the main sewer line
approximately 60' to the above stated parcel, upon completion
of financial arrangements.
Very truly yours,
Floyd McElhaney, Foreman
THERMALITO IRRIGATION DISTRICT
FM : lh �4�
Your juture economy depends on your most valuable naowae — WATER.
Organized 1922
RESIDENTIAL PLAN CHECKING GUIDE
(S.F'., DUPLEX & MISC. ONLY)
-
Bldg. Permit # 2/ _
A.P. # ,q� r 6 Z - 166
iyr,
GENERAL.
7/85
AO. Zoning requirements: (sideyards and number of permitted living units) .;_
2. Valuation.
Plans signed by designer.
4. Energy Design and Compliance.
,*5—. Existing violations on property.
PLOT PLAN
1
Complete parcel size and'dimensions.
Setbacks, sideyards, easements, etc.
Other buildings or structures.
.,4. Grading, fills, drainage.
Flood hazard.
#46"j Special conditions on creation map or compliance document.
FLOOR PLAN
Complete to scale plan with dimensions.
Required windows for light and ventilation (Sec. 1205).
.3! Required windows for second -exit (Sec. 1204).
"Skylights (Chapter 34 & Sec. 5207).
0�Iuman impact glass (Sec. 5406).
.:;�Required room sizes, ceiling heights (Sec. 1207).
G.F.C.I.'s in baths, garage and exterior outlets (Article 210-8).
, . Light fixtures, switches, receptacles, and exterior receptacles for maintenance of
mechanical equipment.
,.91– Locations of water heater, heating and cooling equipment, other electrical or gas
equipment, and plumbing fixtures.
,k< Garage firewall, door size, and closer (Sec. 503(d)(3)).
1 - 3'0" exterior exit door (Sec. 3304(e)).
Fireplace and wood stove location.
Smoke detectors (Sec. 1210).
STRUCTURAL DETAILS
Foundation plan complete enough -to construct building.
�
Fireplace construction details and calcs if necessary.
Sufficient data and details to satisfy energy requirements (State Law) (Form 1).
MISCELLANEOUS ITEMS TO LOOK OUT FOR
Sxposure I,plywood on exposed locations and overhangs.
tairway details: landings, rise and run, head clearance, handrails (Sec. 3306).
Guardrail details (Sec. 1711 & 3306(j)).,
Brick or stone veneer (Chapter 30).
terior plaster - weep screeds (Sec. 4706).
roper roof pitch for roof covering (Chapter 32).
Rafter ties or bearing ridge beam.
RESIDENTIAL PLAN CHECKING GUIDE (CONT'D) 7/85
41
MISCELLANEOUS ITEMS TO LOOK OUT FOR (CONT'D)
Garage door or porch header sizes.
Adequate bracing.
Living area over garage - complete 1 -hour separation required on garage side
including supporting walls and posts, etc.
Two exits on three-story dwellings (Sec. 3303 & see Mezannines 1716).
Attic access and ventilation (Sec. 3205).
,,1a—` Underfloor access and ventilation (Sec. 2516). SCS-
Wood stoves, clearances, alcoves & 1 -hour shafts.
;.5! -"Combustion air for fuel burning appliances.
d1E . Noise requirements on duplexes.
Adobe soils - special foundation design.
is-- Retaining walls requiring design.
Unusual shape, size or split level house requiring lateral design.
Return to.DPW AGRICULTURAL STATEMENT OF ACKNOWLEDGEMENT 6 .. 1 6 2 3 9
FOR RESIDENTIAL DEVELOPMENT .
RECORDED IN OFFICIAL. RECORD;
Section 26-8.1 of the Butte County Code requires this acknowledgement OF BUTTE COUNTY. CALIFORM16
be recorded prior to issuance of a building permit. ATTHEREQUESTOF
The property described herein is adjacent to land or included
within an area zoned for .agricultural purposes, and residents of this 1986 RAY 22 -PH 4�- 04
property may be subject to inconveniences or discomfort arising from
the use of agricultural chemicals, including, but not limited to herbEL�l N�&UERdes 1
and fertilizers; and from the pursuit of agricultural operations inclCA R&ffiU& Ut� -=
to cultivation, plowing, spraying, pruning, and harvesting which occasionally generate dust, E smoke, noise, and odor. Butte County has established agricultural zones which have asa
priority use for productive agricultural purposes, and residents within said zones and on
adjacent property should be prepared to accept such inconvenience or disconform from normal, P.,
necessary farm operations.
All that real property situate in the County of Butte, State of California, described
as follows: 03,0———p/(,-®
t -of 3J q s s 400 1 0/1 - tiAcz4 o_er4•rcn Pczr`c.�a(rnctp 3-�P a por4I-c)r) 0-. �o-fs
(o an� S/ cqp wqs
ca rr G -�-'
54 Cal,�arn,�
Doaes
Date: PROPERTY OWNERS:
State of ) On this the day of 192, before
SS. me, the undersigned'Notary Public, p sonally appeared
County of
c OFFICIAL SEAL / / Personally known to me. Proved to me, on the basis
DOROTHY A. WISE , of satisfactory evidence.
Notary Public-Calltomla
BUTTE COUNTY to be the person (s). whose name (s) subscribed to
the within instrument and acknowledged that
�. My Comm. Exp. Aug. t}, 1888
executed the same for the purposes therein contai ed.
IN WITNESS WHEREOF, I hereunto set my hand and official seal.
otary ublic
Present A.P. No.
END of DOC IAMEN r' .,
THERMALITO ,IRRIGATION DISTRICT
410'GRAND AVENUE W
OROVILLE, CALIFORNIA 95965
TELEPHONE 533-0740
CSA 26 SEWER SERVICE APPLICATION AND CONNECTION PERMIT
Service Address: 19%30 '.7cl=am^ 5��oot
Owner's Name: t!`so co } .5helia Corny
Date: 5/30/65
Address:
Acct. No:
A.P. No.: 30 662
16
Phone: a39�I279
No. Units: 1
Applicant/Agent:
Agents Proof:
Address:
Fees:
Phone:
Application $
?0 ` GD
Arrearage
Preliminary Review By:Date:
CSA 26
550 00
Remarks:
SC -ORS
0
BE ADVICr7: Tom'" L-MY1. K%1!7. '4TS i' tip,1
mo. S.C.
C-01 i 0:__ -ollS un.C"L O%i' 1;:.- COi` I CT4"7 TO 7117.
Other
i U"L i'i,. l Uu :+►. L liL"� t. y: t iJi: I :i1.�J : ..+.L _I 1 V
iut>
60 C:
PNI 111, a1 ;"1.,Tr• T. !r 1111m AX,11 M7Ar Tit^ --.v-x.
7 '�..,�� ! `: `.?r !�" GC_`:i :L`i'd i Y..
Total Fees
ASID (�0
Collected By: 1?
'
Date: r
Field Review By: Date:
Remarks:
' r
MONTHLY SERVICE CHARGES WILL COMMENCE AUTOMATICALLY UPON:
❑ Date of TID approval of completed building sewer (early connection).
❑ 30 days after date above, or on date of D.P.W. approval of completed
building sewer, which ever comes
first ("existing construction", prior to Mar. 5, 1974).
❑ 180 days after date above, or on date of D.P.W. approval of completed building sewer, which ever comes
first ("new construction", after Mar. 5, 1974).
DISTRIBUTION: WHITE - TID, YELLOW - APPLICANT, PINK - DPW, GOLDENROD - DPW to TID
COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS
7 County Center Drive - Oroville, California 95965 - Telephone: 916/538-7541
APPLICATION AND PERMIT
.ASSESSOR PARCEL NUMBER
30-462-16
ZONING
BUILDING PERMIT
OWNER
MICHAEL & SHELIA CAREY
TELEPHONE
533-1279
SO. FT. OCC. BUILDING VALUATION
OWNER'S MAILING ADDRESS
2160 4th St. #113 Oroville
CONTRACTOR'S NAME
Carey Construction
TELEPHONE
lst renewal permit
CONTRACTOR'S MAILING ADDRESS
Fireplace
CONSTRUCTION LENDER
NONE
UNKNOWN
Total Valuation Is
FilingFee
$ 10.00
LENDER'S MAILING ADDRESS
Permit Fee @ 1 FEE
$ 183.50
ARCHITECT OR ENGINEER
NONE
LICENSE NO.
Plan Checking Fee
$
Energy Plan Checking Fee
$
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Penalty
$
BUILDING ADDRESS 1980 Tehama Ave.
Permit fee
$ 193.50
PLUMBING PERMIT
Filing Fee 10.00
Each Trap
2.00
Oroville
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 P Duplex❑ Mobilehome❑ Other
SPECIFY
Gas piping system 1 - 5 outlets
5.00
Building sewer
5.00
Mobile Home I S G JW 1
10.00 ea
TYPE OF WORK
New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation❑ Other ❑
Describe work:
1st renewal of permit #1279-86
Permit Fee
$
Contractor
ELECTRICAL PERMIT
Filing Fee 10.00
Main service 600V OR LESS
100 AMP OR LESS
10.00
Main service EA. ADD'L 100 AMP
2.50
CONTRACTORS LICENSE LAW
I declare under penalty of perjury (check one):
EJI am licensed under provisions of Chapt. 9, Div. 3 of the Busines$
and Professions Code and my license is in full force and effect.SINGLE
License No. Classification
❑ 1, as the owner, or my employees with wages as their sole compen•
sation, will do the work,and the structure is not intended or offered
for sale. (Sec. 7044)
❑ I, as the owner, am exclusively contracting with licensed contract-
ors. (Sec. 7044)
❑ I am exempt under Sec. , Business and Professions Code
for threason
NEW CONST. DWELLING OCCUP.y ,
New CONSTR.� AMULTI-OUTLET , h¢sgit
NON.RESID BRANCH CIRC ITS 2.50 ea
POWER APPARATUS e
OUTLET CIR. I
Ex. Occup( OUTLETS OR FIXTURES e200800
ALP 30
FIXED PR
Ex. Occup. OUTLETS IRESID.IEA.) 2.00
Temporary service 10.00
Mobile Home Facilities 15.00
Misc. Wiring 15.00
Permit Fee $
Contractor
WORKMEN'S COMPENSATION INSURANCE
I declare under p nalty of perjury (check one):
❑ The permit is for $100.00 (valuation) or less.
❑ 1 have placed on file with the County of Butte Building Department
a Certificate of Workmen's Compensation IPsurance 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
Filing Fee 10.00
Heating
Coolin g
Hood
3.00
Ventilation
Permit Fee
$
Contractor
I certify that I have read this application and state that the above information
is correct. I agree to comply to all County Ordinances and State Laws relating
to building construction, and hereby authorize representatives of the Countyot
Butte to enter upon the above-mentioned property for inspection purposes.
1 also agree to save, indemnify and keep harmless the County of Butte against
ilities, judgments, costs, and expenses which may in any way accrue
agsaid County in consequence of the granting of this permit.
Li:
X Date
Signature of Applicant — Owner El Contractor ❑ Agent ❑
An OSHA permit is required for excavations over 5'0" deep and demolition or construct-
ion of structures over 3 stories in height.
Mobile Home Installation Fee $
Energy Inspection Fee $
TOTAL PERMIT FEE $ 193.50
OCCOP.
CONST.TYPL
I I
FLOOD
PARCEL
PD
I NO
I ISSUE
This permit is hereby issued under the applicable provi-
sions of the Butte County Code and/or resolutions to do
work indicated above for which fees have been paid.
DIRECTOR OF PUBLIC WORKS
By Date
PERMIT EXPIRES Date 5-30-88
Receipt No.
WMIT[•O.P. W., YELLOW-A9e LD3OR, PINR•IN9P[CTOR, GOLDENROD -APPLICANT
THERMALITO IRRIGATION DISTRICT
410 GRAND AVENUE
OROVILLE. CALIFORNIA 95965
TELEPHONE 533-0740
Nov 0`` CIFA:
CSA 26 SEWER SERVICE APPLICATION AND CONNECTION PERMITWfxe
�s
Service Address: 1930 T�'•�>ra nv^.
Owner's Name: 'i: -e an -i ;^1 i : Car- v
Date: 1114 /86
Address: 216" — 4t;-, St. "113/
Acct. No: � f/�i�•i'
A. P. No.: 30 -4C2 -16
Phone:
No. Units: 1
Applicant/Agent:
Agents Proof:
Address:
Fees:
Phone:
Application $ 20 • 1
Arrearage
Preliminary Review By: Date:
CSA 26 550 1 i
Remarks: Cleanout ; .uv;t '-- Woo -5',t Lip tc orad , a t
SC -0R 900 � 0
..1-0+ e -t , lin' 0uf aP1 ava' 1r, —J.11 ,o
1st mo. S.C.
ilic .F,)lc at <�im^ of r_ra 1nR.ctirn tc� �;• :tem ire, ��aid
�)rptlier
r' or to F i n i li zatior , f7p%pr --in t^ je ent, rlded
r,ct -It'- r -air tr hr: done h-, TTn ,t t.hr
Total Fees147f�`i
-i. r .c,6 -rici r,F $6??.0n
Collected By:�--
T ; _
-< r)'7r1 0'1 �
Date: -t
10.10 vncroachmei•t rern,.t �
—,%
Field Review By:Date:
-%
Remarks:
MONTHLY SERVICE CHARGES WILL COMMENCE AUTOMATICALLY
UPON:
Date of TID approval of completed building sewer (early connection).
❑ 30 days after date above, or on date of D.P.W. approval of completed building sewer, which ever comes
first ("existing construction", prior to Mar. 5, 1974).
❑ 180 days after date above, or on date of D.P.W. approval of completed building
sewer, which ever comes
first ("new construction", after Mar. 5, 1974).
DISTRIBUTION: WHITE - TID, YELLOW - APPLICANT, PINK - DPW, GOLDENROD - DPW to TID