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033-010-050
r � � -fit ,t� � �}! . �+�� � : {r,- �.. µ-�� ..�, f ; ��„�£,,., •, r�rfi z e fk',i8t 033-010-050 PERMIT#96-0383 FAULKNER, Tyler —]l 45 Long Bar Rd., Oroville'/' Cont: TML Inc. Y Conv Cov Area to Sitting & Remodel/SF 033-01-0-050 00-1179 FAULKNER, TYLER I/ int 45 LONG BAR CT„ ORO 1LLE CONT: FOUR SEASONS ROOFING REROOF 6—/.3-0/ 033-010-050 01-2066 FAULKNER, TYLER & TAMI 45 LONG BAR CT. OROVIItE L, CONT: ROBIN THEVEOS --`yJ�y "Ui COV PORCH 2 LIV SPACE, REMOD KYfC11EN l a NOTES r r .t s r y i �tt C 1 x RESIDENTIAL 033-010-050 01-2066 FAULKNER, TYLER & TAMI 45 LONG BAR CT. OROVILLE CONT: ROBIN THEVEOS . COV PORCH 2 LN SPACE, REMOD KITCHEN SPECIAL CONDITIONS CHECKED BY SRA FLOOD CERTIFICATE REQ. FIRE SPRINKLERS REQ. SPECIAL INSPECTION ITEMS VERIFY , USE PERMIT CONDITIONS SUB -STANDARD HOUSING LETTER JOB FINALED (Date) 7 o ZL 0Z— Signature .CCGLtNTY 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 CPO eD 40 033S02�S4�ZON BUILDING PERMIT OWNER MUM. YM & 'AMI TELEPHONE 533 -OW SO. FT. OCC. BUILDING VALUATION C • OWNERS MAIUNG'ADDRESS 45 LONG .lam -moi,. =MLL CA 95 _ , fy CONTRACTOR'S NAME - IN Mms TELEPHONE 533-43716 -' n 4068().00 -�� CONTRACTORS MAIUNG ADDRESS 7M . 0MV1T12 QXMY CWB RD. OWVIUE,, CA 95 CONSTRUCTION LENDER - LENDER'S MAIUNG ADDRESS Fireplace Total Valuation $ c a7 ARCHITECT OR ENGINEER _ LICENSE NO. Filing Fee � � � 20.00 Permit Fee $ A c ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ BUILDING ADDRESS t CT. ONNTUY, CA 95-W Energy Plan Checking Fee $ .� g!a. v $ PERMIT FEE $ nen na LOT NO. SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMIT 'F1t1KJFirel 20.00 USEOFSTRUCTURE SF IT Duplex ❑ Mobilehome ❑ Other SPECIFY Each Trap 4 7.00 rv� Solar or heat pump water heater 23.00 Water piping 15.00 M Each as water heater or vent 15.00 j TYPE OF WORK New ❑ Addition Da Remodel 11 Utilities ❑ Installation ❑ Other ❑ Describe Work: b%NW CNEM/SCIMM PORCH TO L MNG SP AM REMMM KIIXXV Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 5.8121 bile Home IS I G W @20.00', PERMIT FEE $ ELECTRICAL PERMIT I Filing Fee 20.00 800VOR LE Main Service 20.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' ## ' ,�1`` I hereby affirm under penalty of perjury that I am exempt tr�om the Co4r cto s License Law for the following reason:, 13I, 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. .'k:+✓ P I, as owner of the property, am exclusively contracting with licensed' contractors to construct the project. T %_ .r �' ❑ 1 am exempt under Sec. Business and Professions Code for this reason / WE 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 permitis issued. My workers' compensation insurance carrier and policy number are: Carrier Mein Service 200A TO 1000A 46.00NEW CONST. DWELLING OCCUR s0 OR ADDNS. ( a ACC. BLDS. 3.5¢FT; NEW CONST. MULTI -OUTLET =R.,.. @7.50 POWER APPARATUS a SINGLE OUTLET CIR. 20 Q 1.00 Ex. Occu OURET SAL •50 "LNS.OR f:+ FIXED APPLNS. ,OR R Ex. (Occu GUTLErs RES1D- EA 5.00 ,m " T orar Service 1 23.00 Mobile Home Facilities 20.00 Misc. Wiring23.00 23.00 PERMIT FEE : 43.00 MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling Hood 6.50 Ventilation EXTENDMDUCT1. no PERMIT FEt $ 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 fo with comply with those provisions. t ,` X r -� i 1E'1LP�/ar ,- ,,/iflA#J � 1 Date ?� 0 1 Signatare'rof Applicant,, ©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 $ Energy Inspection Fee $ 46.00 occ CONST. TYPE TOTAL FEE $1011.98 HAz. D. FEES IMP X FLOOD X COF PARCEL Po k HD ISSUE x This permit is hereby issued under the applicable provisions of the Butte County Code and/or Resolutions to do work indicated above for which fees have been paid. /��i� �J } �► By ,jii�" 4 C/ Date PERMIT EXPIRES ON -/ 0-3/0 7 r to Receipt No. Q .��.��[�� %,3-F� .�.) /�,l„ f� . �. lt 0 Y WHITE-D.D.S.-B.D. CANARY -ASSESSOR %r PINK -INSPECTOR GOLDENROD -APPLICANT J = OK 0 = Not OK - = Not Applicable = 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. / /'Nat. or / /"L"ft./ PLPG Electric 7. Well Clearance & Disconnect Frmg.; Sills-Anchors-Studs-Rhrs-Trusses 8. Utility Clearance Siding; Nailing -Veneer -Stucco -Mesh 10. Roof; Shthg-Roofing 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-Rhrs-Trusses 9. Siding; Nailing -Veneer -Stucco -Mesh 10. Roof; Shthg-Roofing 11. Ext.; Steps -Doors -Landings 12. Braced Wall Panels Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date 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 ✓ = OK 0 = Not OK - = Not Applicable = Not Ready ELECTRICAL (Permit) OK except #'s RESIDENTIAL (E. Date Guard Rail deck Construction -Post Caps Underfloor (Plans) OK except #'s 12�Size 1. Zoning -Setbacks -Easements -Flood -Slope Installed Close to Edge of Studs & C.J. 2. Ftg., Main; Soils-Elec. Grnd.-/ /" Ftg. Depth sh 3. Ftg., Garage; Soils-Steel-Elec. Grnd.-/ r' Ftg. Depth Subteed Wire Size / L__ / ga. Cu or g.C. Wire Size / / ga Cu or At 4. Ftg., Porches & Decks; Soils -Steel-/ r' Ftg. Depth 3 5. Stemwalls, Main; Steel- Blockouts-Wrapped 33.oset 6. Stemwalls, Garage; Steel-Blockouts-Wrapped Smoke Detector 6a. Hold Downs and Special Anchors Date 7. Slab, Steel -Wrapped Card B-1 Date Card B-1 8. Piers -Fireplace Ftg.-Steel 35. 9. D.W.V.; Fall -Fitting -Test -2 Way C/O -Sewer Test Vent Fan, Exhaust above insulation 10. UF, Gas Pipe; Size Anchors - Yard Gas Piping; Size Test 38. 11. Water Pipe; Test -Anchors -Regulator -Service Test Attic Access & Platform if Furnace in Attic 12. Electric Underground moke Detector 13. Plenums & Ducts; Clearance -Material -Support -Ins. Card B-1 Date Card B-1 14. Girders -Sills -Anchor Bolts -Joists- Vent s-Crippies Date 15. Access & Ventilation Sills Proper Materials & Anchors 16. Insulation Bearing Walls over Girders & Floor Nailing 3. Date 4 Card B-1 Date Card B-1 Date Headers & Beams -Size & Bearinq Card B-1 Date Card B-1 Date PLUMBING (Permit) OK except #'s l 17. Water Htr.; Vent -Access -Combustion Air Baffle Water Pipe; Test & Anchor -Nail Protection �.W.V.; Test Fittings & Anchor -Nail Protection Shower Pan; Test, First Floor -Tub Access 21. Test Tub & Shower, Second Floor -Tub Access 22. Gas Pipe; Sixe & Anchors Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date ELECTRICAL (Permit) OK except #'s 7f-Elec. Receptacles in Garage (F.F.I.)-Romex Protection Q?�nsulation- Foam- Looked in Attic Fixture Transformer Clearance -Ins. Protection Guard Rail deck Construction -Post Caps Elec. Receptacles Spacing -Lights & Switches at Doors 12�Size Boxes & No. of Conductors Stapled 12nomex Installed Close to Edge of Studs & C.J. Following Instld./Drive J Yes J NoMalks D Yes J No/Planters J Yes J No Equip. Ground made up w/Mech Fasteners -Bond Gas & Water sh 2 Appliance Circuits in Kitchen & Conductor Size GFI 29. Subteed Wire Size / L__ / ga. Cu or g.C. Wire Size / / ga Cu or At 30. Range Circle/ / ga Cu or AI -Oven Circ. / / ga Cu or At Insulated Neutral ❑ Yes O No 3 - iser Conductors & Ground Main Disconnect 32._gpnTCleerwmes Panels-Motors-Mech. Equip. 33.oset Light -Shower Light -Spa Light 5 rip creed -Fd. Vents-Underflr. Access Smoke Detector lazing Area -Glass Protection -Skylights -Plastic Corrections from Previous Inspections Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date MECHANICAL (Permit) OK except #'s 35. A.C. Ducts Insulation & Support 36. Vent Fan, Exhaust above insulation 37. Condensate Drain & Overflow, Size & Grade 38. Furnace -Vent Access -Comb. Air -Return Air Vent 115 outlet 39. Attic Access & Platform if Furnace in Attic Ext. s -Door & Sidelight Protection -Landings moke Detector Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date FRAMING (Permit) OK except #'s ZW"Elec. Trim & Subpanel, Breaker Sizes & Labels Sills Proper Materials & Anchors ,41,11�alls Studs -Nailing Spacing & Braces -Plates -Sound Bearing Walls over Girders & Floor Nailing 3. Draft Stop in Walls (rat proof) 4 ire Stops, Furred Ceilings -Stairs -Chasers -Tubs Headers & Beams -Size & Bearinq jingle & Duplex) Date FRAMING (Continued) 7f-Elec. Receptacles in Garage (F.F.I.)-Romex Protection Q?�nsulation- Foam- Looked in Attic H gers-Post Caps -Anchors -Connectors Guard Rail deck Construction -Post Caps Cling. Joist-Rftr. Ties-Purlin-Rolf Brac.-Truss-Shting.-Rfng. ra Hole Door Drainage & Wood -Earth pe A Flue -Fireplace Throat Clearance Clearance Looked under Floor ❑ Yes L%. -11 -tic Access; Size & Romex Protection -Draft Stop -Ins. Baffles Following Instld./Drive J Yes J NoMalks D Yes J No/Planters J Yes J No �. Windows or Exiting Doors -Sill Ht. & Dimensions sh Garage Fire Protection Framing ect, Electrical -Plumbing 5�. Property Line Firewall & Openings xt. Doors -One 3' -Check Garage 3rd Story, 2 Exits Vents Above Roof, Plbg-Appliance-Fireplace-Clea rance to Openings Tea Protection Wate ct, Electrical, Plumbing �o d on Roof Overhang -Attic Vents -Rafter Outriggers xterior Elec. Trim, G.F.I. Receptacle -Underground ding -Nailing Veneer tilation Throughout House 5 rip creed -Fd. Vents-Underflr. Access ass Protection lazing Area -Glass Protection -Skylights -Plastic Corrections from Previous Inspections 59. -Bolts e e agged, Gas -Electric 60. Brace Interior/Exterior Wall anels ater & Sewer Connected -C/O to Grade -HD Approval 61. Insulatio -Wal Ceiling k_? Energy Compliance Certificate -Other Certificates o 62. Infiltration -Walls -Windows Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date FINAL (Plans) OK except #'s Ext. s -Door & Sidelight Protection -Landings moke Detector 65. Furnace Vents -clearance -Comb, A' - - onnector- In Garage; Above Flo r•Du Mech. Protection m Tg G.F.I. & Bath Fixtures & Tub Access -Spa ZW"Elec. Trim & Subpanel, Breaker Sizes & Labels 70, arance-Hearth lec. Outlets at Wood Panel, Int. & Ext. . Fixt. & Appliance; Ground -Air Gap -Cooking Clearance lec. Outlets & Receptacles at Kit. Counter arage Fire Door; Swing -Landing -Closure 7 e -Damper -!116. Mir, earance-Comb. Air Connector-P.R.V. in Garage; Above Floor-Mech. Protection P7.__FJb--,-Efec. & Mech. Equip. Listed for Location 7f-Elec. Receptacles in Garage (F.F.I.)-Romex Protection Q?�nsulation- Foam- Looked in Attic 80 Guard Rail deck Construction -Post Caps 81s ra Hole Door Drainage & Wood -Earth Clearance Looked under Floor ❑ Yes 82. Following Instld./Drive J Yes J NoMalks D Yes J No/Planters J Yes J No sh 64. ect, Electrical -Plumbing Vents Above Roof, Plbg-Appliance-Fireplace-Clea rance to Openings Wate ct, Electrical, Plumbing xterior Elec. Trim, G.F.I. Receptacle -Underground tilation Throughout House 8 ass Protection Corrections from Previous Inspections �. e e agged, Gas -Electric ater & Sewer Connected -C/O to Grade -HD Approval Energy Compliance Certificate -Other Certificates Q^�Qsted Date V ID 2_.gad B-1 Date Card B-1 Date . 02 Card 13-1 i Date Card B-1 Date Card B-1 Date Card B-1 Comments at Final: COUNTY OF BUTTE BUILDING DIVISION DEPARTMENT OF DEVELOPMENT SERVICES 411 Main Street * Chico, CA * (530) 891-2751 7 County Cdnter Drive - Oroville, CA * (530) 538-7541 -CORRECTION NOTICE .V4 OWNER PERMIT NO. • A routine inspection indicates that the following violations of butte county Ordinances exist at the ov address and should be corrected. Please notice this office when correction of work is co pleted. If you have any questions pertaining to thii'matter, 6r,need additional explanation, ease this office immediately. .se 4!& Z.1001 7�' z am Date Inspector REV 102 � 'y;�Y. ar - r-;..'Cyn^YG'.?��;�•^tx:fr���'-�'-=y`„4t; ";4r � ;�+"x.-rf. ::'`its^�� :!"a.�^'�-G`'�'.:+r�; .-: „��" _ COUNTY OF 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 above address and should be corrected. Please notice this office when correction of work is t completed. If you have any questions pertaining to this matter, or need additional explanation, please contact -this office immediately. Al a r.: u, c w.� k s: ti ; Date/� Z� Inspector A". REV 10/92 LOERKE INSULATION CO., INC. INSULATION CERTIFICATE 45 Long Bar Court Oroville Number and Street. itv Butte County Subdivision Lot Num er DESCRIPTION OF INSTALLATION 1. ROOF Material Thickness (inches) 2. CEILING "_-- Batt or Blanket Type Fiberglass Batts Thickness (inches) 3.5/10.25 Brand Name Thermal Resistance (R - Brand Name Johns Manville Thermal Resistance (R -Value) R15/R30 Loose Fill Type Fiberglass Brand Name Johns Manville Contractor/s min. installed weight/ft sq. fib. Minimum Thickness inches. Manufacturer's installed weight per square foot to achieve Thermal Resistance (R Value) 3. EXTERIOR WALL Material Fiberglass Batts Thickness (inches) , 3.5 4. RAISED FLOOR Material Fiberglass Batts Thickness (inches) 5. SLAB FLOOR / PERIMETER Material Thickness Perimeter Insulation Depth (inches) 6. FOUNDATION WALL Material Thickness (inches) DECLARATION Brand Name Johns Manville Thermal Resistance (R -Value) R13 Brand Name Johns Manville 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 building at the. above location in conformance with the current Energy Efficiency Standards for residential buildings (Title 24, Part 6, California Code of Regulations) as indicated on the Certificate of compliance, where applicable. C.L.#499150 firl PH h vii LOERKE INSULATION CO., INC. Item Sig ure, Installing Subcontractor Co.Name) r General Contractor (Co. Name) Or Owner Item s Signature, Date Item #s Signature, Date nsta ing u contractor (Co.o. / amOr General Contractor (Co. Name) Or wner Installing Subcontractor Co. Name) Or General Contractor (Co.Name) Or Owner • � . P �. � � �. ` i i � f t3 � �� :3. 1 t .� COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING DIVISION 7 County Center Drive Oroville, California 95965 • Telephone (530) 538-7 1 PERMIT NO. (Rev. 12/96) APPLICATION ANn PERMIT ASSESSOR PARCEL NUMBER )35r e C/ V zorxNG BUILDING PERMIT T "TILER FADLKNER TELEPHONE 533-0448 SQ. FT. OCC. BUILDING VALUATION OWNERS MAILING ADDRESS 45 LONG BAR CTI OROVILLE CA 95966 CONTRACTOR'S NAME FOUR SEASONS ROOFING TELEPHONE 89500418 CONTRACTOR'S MAILING ADDRESS 4950 COHASSET RD., STE. 10 CHICO CA 9 973 CONSTRUCTION LENDER Fireplace LENDER'S MAIUNG ADDRESS Total Valuation $ ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00 Permit Fee $ ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ BUILDING ADDRESS 45 LONG BAR CT OROVILEE Energy Plan Checking Fee $ $ PERMIT FEE . $ 63,00 LOT NO. SUIi$DNIS IONS NAME '- n PARCEL MA - r PLUMING PERMIT Filing Fee 1 20.00 USEOFSTRUCTURE SF IN Duplex ❑ Mobilehome ❑ Other SPECIFY Each Trap 7.00 Solar or heat pump water heater 23.00 Water piping 15.00 Each as water heater or vent 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation O Other ❑ Describe Work: REROOF W/ COMP 53.75 SO Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home S G W : @ 20.00 PERMIT FEE t ELECTRICAL PERMIT Fling Fee 20.00 600OR UE Main Service p A VOR LESS 23.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect.POWER License Class C— 3 9 Lic. No. 659073 OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors license Law for the following reason: ❑ I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason Main Service 200A TO ISA 46.00 NEW CONST. DWELLING OCCUR OR ADDNS. ( 6 ACC. BLDS. SO 3.5¢FT. T. NON gEOSID. MULTI. cUT L, 97.50 APPARATUS a SINGLE OUTLET CIR. EX. Occup. OUTLET OR FIXTURES Ex. Occup. OUxUTLEEDTB RD D� 5.00 J"$erary Service 23.00_ Mobile Home Ncilities 20.00 Misc. Wiring 23.00 . - PERMIfT FEE Y 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 workerg_ggdr2Pgnsa_tioOr�jQsurance carrier and policy number are: Carrier V ILEA !V VA Policy Number WC3 0983676 (The above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) ❑ 1 certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall fg�thwith comply with those provisions. / X Date 5,/ 2 3 0 0 Signature o ican Applt - 11113 Wrier 11ontract6r gent An OSHA permit is required for excavations over 5'0" deep and demolition or construction of structures over 3 stories in height. MECHANICAL PERMIT Fling Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEI= $ Mobile Home Installation Fee $ Energy Inspection Fee $ Occ CONST. TYPE 83.00 TOTAL FEE $ HAZ. D FEES IMP FLOOD CDF PARCEL PD HD ISSUE This permit is hereby issued under of the Butte County Code and/or indicated above for which fees have r4Dal-6Z- PERMIT EXPIRES ON the applicable provisions Resolutions to do work been paid. Det' ReceiptNo. _ WHITE -D. o.s7BT_'cAWAY-AS31ESSOINKJNSPECTORGOLDENROD-APPLICANT r '-w COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive • Oroville,.",al fo-mia 95965 o Telephone (530) 538- 41 �L� 0_ ,P 710. (Rev. 12/96) APPLICATION AND PERMIT [7 ASSESSOR PARCELNUMBER /JJ D (� /I� �- O� ZONING BUILDING PERMIT ""LER FAULKNER NE T5 3 3 -0448 SO. FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS 45 LONG BAR CT, OROVILLE, CA 95966 REROOF 3,225.00 CONTRACTOR'S NAME FOUR SEASONS ROOFING TELEPHONE 895-0418 CONTRACTORS MAILING ADDRESS 4950 COHASSET RD., STE. 10 CHICO CA 95973 CONSTRUCTION LENDER LENDER'S MAILING ADDRESS Fireplace Total Valuation $ ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00 Permit Fee $ ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ BUILDING ADDRESS 45 LONG BAR CT OROVILEE Energy Pian Checking Fee $ $ PERMIT FEE 5 63.00 LOT NO. SUBDNISIONS NAME PARCEL MAP PLUMBING PERMIT Filing Fee 20.00 USEOFSTRUCTURE SF M Duplex ❑ Mobilehome ❑ Other SPECIFY Each Trap 1 7.00 Solar or heat pump water heater 23.00 Water piping 15.00 Each as water heater or vent 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑ Describe Work: REROOF W/ COMP 93_7S SQ Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home I S I G W @20.00 PERMIT FEE S ELECTRICAL PERMIT Fling Fee 20.00 0VR LE Main Service q OR LESS 23.00 LICENSED CONTRACTOR'S DECLARATION 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.P License Class C-39 Lic. No. 659073 OWNER -BUILDER DECLARATION 1 hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: ❑ 1, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason Main Service 200A TO tOooA 46.00 I NEW CONST. DWELLING OCCUP. 3.5¢so ( ORNEW cDo� MULTIC-0u�rLS. NON•RESIO. @7.50 OWERAPPARATUS 8 SINGLE OUTLET CIR. Ex. OCCu OUTLET OR FIXTURES 20 Q 1.00 BAL @ .50 Ex. Occup. DLFiIrXEiEis qa D.1EA. 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE _ 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 VILLA NOVA Policy Number WC 3 0983676 (The above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) ❑ 1 certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall hwith comply with those Irovisions X _ Date 3 / 0 0 Signature of Applicant - ❑ 1caner ❑Contractor Agent An OSHA permit is required for excavations over 60" deep and demolition or construction of structures over 3 stories in height. MECHANICAL PERMIT Fling Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FES $ Mobile Home Installation Fee $ Energy Inspection Fee$ occ CONST. TYPE TOTAL FEE $ 83.00 HAZ. I D. FEES I IMP I FLOOD I CDF PARCEL I PD HD ISSU This permit is hereby issued under the applicable provisions of the Butte County Code and/or Resolutions to do work indicated above for w ich fees have been paid. PERMIT EXPIRES ON Date �— Receipt No. WHITE-D.D.S.-B.D. CA RY-ASS SSOR INK -INSPECTOR GOLDENROD -APPLICANT II COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION - 7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-7541PERMIT NO. (Rev. 12/96) APPLICATION AND PERMIT &--ao o ASSESSOR PARCEL NUMBER 033-010-050 ZONING AR 5 BUILDING PERMIT OWNER FAULKNER TYLER & TAMI TELEPHONE 533-0448 SO. FT. OCC. BUILDING VALUATION . OWNER'S MAILING ADDRESS 45 LONG BAR Cr. OROVILLE CA 95966 000 87.0 -3 3 1 .gin CONTRACTOR'S NAME ROBIN THEVEOS TELEPHONE 533-0716 CONTRACTORS MAILING ADDRESS 7090-OROVIT-LE COUNTRY CLUB RD. OROVIUE, CA 95966 CONSTRUCTION LENDER LENDER'S MAIUNG ADDRESS Fireplace Total Valuation $ ARCHITECT OR ENGINEER LICENSE NO. Filing Fee 20.00 Permit Fee $ ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ BUILDING ADDRESS 45 T nNG RAR (7- DIRQV Energy Plan Checking Fee $ 310. 38 $ . PERMIT FEE $ LOT NO. SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMIT 14 a 20.00 USEOFSTRUCTURE SF f Duplex ❑ Mobilehome ❑ Other 'SPECIFY Each Trap 7.00 Solar or heat pump water heater 23.00 Water piping 15.00 Each as water heater or vent 15.00 TYPE OF WORK New ❑ Addition EX Remodel gJ Utilities ❑ Installation ❑ Other ❑ Describe Work: CONVERT COVERED/SCREENED PORCH TO LIVING SP AND REMODEL KITCHEN Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Q obile Home I S I G I W PERMIT FEE $ ELECTRICAL PERMIT Fling Fee 20.00 Main Service 2�o.OR UEss 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.POWER 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. s I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ Iram exempt under Sec. Business and Professions Code for this Main Service TO 46.00so CCU000A NEW CONST. DWEWNG OCCUP. DWE200ALLING ( & AM. SWWS. 3 5QS0. FT. NEW CONST. 20 7-S @7.50 APPARATUS 8 SINGLE OUTLET CIR. Ex. Occu ounFT OR FIXTURES 20 � ' °° BAL 9 ,50 Ex. Occup.. OUTLEETS (RREESID.oEA 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 23, 00 PERMIT FEE $ 43. 0 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 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 compensa on provisions of section 3700 of the Labor Code, I shall fo with comply wi those pro sions. X I . Date Sig of App Owner ❑ Contractor ❑ Agent' An OSHA permit is required for excavations over 60" deep and demolition or construction of structures over 3 stories in height. MECHANICAL PERMIT Fling Fee 20.00 Heating Cooling Hood 6.50 Ventilation EX=F'D DI Ja 15 00 PERMIT FEIE $ Mobile Home Installation Fee $ Energy Inspection Fee $ Occ CONST. TYPE TOTAL FEE $ 101 AZ. HA2. II D. FEES IMP — FLOOD COF PARCEL PD HD ISSUE This permit is hereby issued under the applicable of the Butte County Code and/or Resolutions indicated above for which fees have been ByAingwiR"/bate1 PERMIT EXPIRES ON provisions to do work paid. 3 l 2 to Receipt No.0 og WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT 01 COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-75 1 PERMIT NO. (Rev.12/96) APPLICATION AND PERMIT -,— ASSESSOR PARCEL NUMBER _ SO ZONING 0_ J BUILDING PERMIT OWNER�f 4 1 �; L_ n �1 ��`/ jFl�� SO. FT. OCC. BUILDING VALUATION �- ivtF -D O .OWNER'S U AD jf\ �c��111� �'�yJ� CONTRACTOR'S NAME nb�n e 1�1 h TE HONE p © O Q CONTRACTORS MAILING SS� I �• p q; 11 A� ,[wI i �IIJ CONSTRUCTION LENDER Ciro � Fireplace LENDER'S MAILING ADDRESS Total Valuation $ ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $` 20.00 Permit Fee $ 41 .-50 ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ O BUILDINGADDRESS ,1 �4nk &AEnergy Plan Checking Fee $a 3 PERMIT FEE S 0 IAT NO. SUBDNISIOWS NAME PARCEL MAP PLUMBING PERMIT Fling Fee 20.00 USEOFSTRUCTURE SF Y,( Duplex ❑ Mobilehome ❑ Other SPECIFY Each Trap 7.00 vis+ Solar or heat pump water heater 23.00 Water piping 15.00 f Each as water heater or vent 15.00 TYPE OF WORK New ❑ Addition A Remodel Utilities ❑ installation ❑ Other ❑ Describe Work: Lro V�r.1) c o r ` ¢ ! �� �e .�/r 0- �� O Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home S G W Q20.00 PERMIT FEE S e► -D ELECTRICAL PERMIT Fling Fee 20.00 E< , • LICENSED CONTRACTOR'S DECI RATION 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: ❑ 1, 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. 4-441 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.P� My workers' compensation insurance carrier and policy number are: Carrier 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 I not employ any person in any manner so as to become subject to workers'HAZ. compensation laws of California, and agree that if I should become subject to the workers' compensati n provisions of section 3700 of the Labor Code, I shall fortwith comply wit those provisl ns. -77 X �_ Date/1 D I _ Signature of Applicant - Owner ❑ Contractor ❑ Agen4 An OSHA permit is required for excavations over 60" deep and demolition or construction of structures over 3 stories in height. it 3C� eoov oR LEss Main Service zooA oR LEss 23.00 Main Service 200A TO 1000A 46.00 NEW CONST. DWELLING OCCUP. SO OR ADDNS. ( a ACC. BLDS. 3.5¢FT, T. NON -RID. MULTI -OUTLET 97.50 aPSINOWGLE OUTLET CIR.ER APPARATUS 2O � ' 00 Ex. Occu OUTLET OR FocruREs s„L O .w Ex. Occup.oFlxunFrs A� ) EA. 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 1,&V PERMIT FEE $ , Is— MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling Hood 6.50 Ventilation a„® PERMIT FEI= $ 2) Mobile Home Installation Fee $ Energy Inspection Fee $ 41�j`� 077 occ CONST. TYPE TO AL FEE $ D IV D. FEES FLOOD c P CEL ISS This permit is hereby issued under of the Butte County Code and/or indicated above for which fees have By PERMIT EXPIRES ON the applicable provisions Resolutions to do work been paid. Date Date Receipt No. WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT IP'r,::-�..+ �V""-s--'-+^.... �.r�,'s�: ..7i' -^t'•-,,,. .-r4. � ' ,�,.�;:t s,�.:i;�t;is�i� �,rt+�-�_:i�.rr��.,+:,<.rw-+rt�^:..q...7�-ytti'l,s,r`.:_a`.: ri:{+n-�i�,T:�,.f"q:..2^K''i,.an��'��r^,�.�,�«.ricF-- BUTTE. COUNTY SCHOOL'S IMPACT FEE CERTIFICATION FORM (One form per Building) G�tJ t 1 3 `P a /t/ /t0 f�(" Building Department No. School District oy A.P. Number 3.3- 010 —Q 5o Jurisdiction: City County r . r" Property Owner f: M 1 •P r a - �irt.M�l i1 F rA , , / L— P Property Location/Address' Subdivision Residential Development No of Living Mobile Home Units Installation Com merciaVl ndustrial New Addition Department 59i 4 Lot No. ................................................................:....._� ........................, S. q Footage 5 Addition/ 'Supplemental to (Group R) Conversion Permit # '(No foundation inspection)' .................................................................................................................. Sq. Footage (Including Exterior Roofed Areas) C1 Date ` — moor runs reviewed, Dy bcnooi uistnct r•ersonnel) District Identification No. School District certifies that ( (Applicant) (Street Address) (City) has complied with the requirements of Resolution No. representing Q%s �? square feet. 1 School Paid by Check if . n Remarks: (Phone Number) (State) (Zip Code) 9 06 y4 by payment of $ AB 2926 $ FULL MITIGATION $ Date 0 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(x), 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.xls (10/98)dmm STATE OF CALIFORNIA—THE RESOURCES AGENCY GRAY DAVIS, Govemor CALIFORNIA ENERGY COMMISSION 1516 NINTH STREET SACRAMENTO, CA 958143512 June 1, 2001 Use of CALRES2 Version 2001 Beta 1.39 for Determining Compliance with the 2001 AB 970 Energy Efficiency Standards for Residential Buildings Dear CALRES User, Enclosed is a copy of CALRES2 Version 2001 Beta 1.39. This program is a Beta test version of the new CALRES2 that is being finalized for use with the 2001 AB 970 Energy Efficiency Standards that become effective June 1, 2001. The enclosed Beta version may be used, until further notice, to determine compliance with the 2001 AB 970 Energy Efficiency Standards. copy ofthis Cetfer should"be provid"edTti5 building departments along with other. compliance - documentation-for>any buitdings for which:.#his program was usedto!determine compliance. Building officials may call the`Ca`Iifomia Energy Commission at (800) 772-3-3-0-0 if they have any questions concerning the use of this program for determining compliance. This Beta test version of CALRES2 may be used for determining compliance with the 2001 Efficiency Standards except for buildings that use any of the features described below: • Non -ducted heating or cooling systems in combination with ducted systems. For example wall heaters in combination with a central ducted cooling system. • More than one conditioned zone or unconditioned zone. • Direct or indirect evaporative cooling. • Basements. • High mass buildings. The Commission will release a final approved version of CALRES2 once the program incorporates the features described above and has completed testing of this Beta version. When the final approved version of CALRES2 is released, all previous versions of CALRES, including this Beta version, will be decertified. The Commission will publish a public notice of the approval of the final version of CALRES2 and the decertification of other versions. „....�„��.,.-+Y....-�.-......,,./7-•-...-.'�-'".-.,..t'..N..'-sr.1.a�"�t.!`�`-i„r�i.'nF* �:*`•.'K',r _ '+.ri,,,-i�,'S.�”5-�^-e�.rrs4.�•.i-:.n"-=1r+.G.�,.�,_,,,�,.,�..,..,r.�,.�;1.,.r..-. ` COlI'F BUTTE -DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING DIVISION A-� �/ )COUNTY CENTER DRIVE-,OROVILLE, CALIFORNIA 95965 - TELEPHONE (530) 5,38-7541 - PERMIT APPLICATION DATA SHEET OWNER: /f./- Awi rA441 t 6 -1 -ASSESSOR PARCEL NUMB 65 Proposed lding Use:Building Inspector: 2u 6 At time of permit applic tion, I was advised the following data must be submitted prior to permit processin and/or issuance: Date Received By ❑ 1. All items have been submitted .----------------------------- f a ❑2. Plot plans, 3/4 sets, signed ,by. the _preparer of plans. ----------------------------------------------- ------------- 3?�Complete plans, 3/4 sets, signed. by the preparer of plans. ----------------------------------------------------- 04: Engineered plans, 3/4. sets, with wet signature on plans. All engineering must be shown on plans. -------- ❑ 5. Engineered truss details and layout in duplicate (required prior to plan review) No faxes! ------------------ 06. Energy Design Compliance and supporting documentation. ---------------------------------------------------- ❑ 7. Statement of Intent for Non -Heated and A/C Buildings. ----=---------------------------------------------------- ! ❑ g.t lu a ,Hzardous Material Form..i-- ❑ 9. Manufactured Home data and cm 1 4 i instructions including Tie Down Specifications.------------------ ❑ 10. fees of $ ------------------------------------------------------------------------------------- �. Impact fees as shown on the attached schedule. ----------------------------------------------------------------- ❑ 12. California Department of Forestry plan ipproval/fees- -----= --------------------------------------------------- ❑ 1y3! lood elevation certificate. --------------------------= ---- --------------------------------------------------= anitation and lot lana approval our ( --------------------------- P P PP -------- ealth 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: -• ❑ 1$: Contact Land Development about ❑ Improvements, ❑ Draina�`begal Parcel. ❑ 19. Encroachment Permit for driveway (construction approval prior to occupancy). ---• ❑ 20. Pre -inspection for ❑21. Contractor's license information. (Number, Name 022. Workers' Compensation carrier and policy number. s E123. Owner -Budder Verification (Given to owner ❑, M; 024. Letter of signature authorization. required. Request to Building Inspector on Classification). ------- --------------------- to owner ❑). wol ❑25. Recorded copy of Agricultural Acknowledgment Statement. ❑26. Letter of intent on buildingmse.------------ 027. Manufactured Home utility'clearancje. ----- ❑28. Existing violations and/or expired permits. ❑29. ❑433 A, ❑Grant Deed, ❑ M.H. Title, ❑ Check to H.C.D $ 030. Other: `(Date) Wou issue the ermit, process as follows El Mail to owner, ❑Mail to contractor. �nhorie S U y and hold for pickup at ©��v office. ❑ eliver with inspector. Appli . 41u V 1w !'�' � � Date: Copy of Haz-Mat form sent ❑ Health Department, 11Fire Department, '❑tion ate: , By: / Copy of plans sent ❑ Health Department, ❑ Fire Department, ❑ Other: Date: Index permit application for the above items numbered: 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 g the abovuired data by o phone, ❑ mail, ❑ Buil ' D' . sion counter, by Datqt Plans reviewed by: / t--' ;Cb`ate Plans approved by: Date: 6 Sets of plans,on hold in ❑1Cabiilet o A.P. folder. Note transfer by: Date: Yellow Copy - Department of Development Services, Building Division. E.M. USE ONLY Plot Plan Attached Floor Plan Attached Sent to 8.0. / TO: Building Department FROM: �,, Environmental Health SUBJECT: Sanitation Clearance Owner Location AP# Plan Approved for: Sewage Disposal) Weser Supply: Publi� Private Well Clearance for dwelling. , Other Hold final for: Final clearance O.K. for: NOTE: r't Ny)� ), 9::2 /. HS Environmental Health Specialist 8/96 Date COUNTY OF BUTTE DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE (530) 538-7541 j t 1_ SCHEDULE OF FEES DUE 1� 1-P� OWNER PROPOS D BUILDING USE 1. BUILDING PERMIT FEES --Balance Due ........................................................ $ --Additional Fees Due ............................................. $ --Additional Fees Due ............................................ $. --Revised Plan Checking Fee ................................. $ 2. SCHOOL DISTRICT FEES (paid at District Office) 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. # 3 -3 --d 0 -6.5-0 DATE b" RECEIPT # DATE REC. Commercial (Sq. ft.) ............. x = $ Sq. ft. Amt. 5. RECREATION DISTRICT FEES 6. THERMALITO DRAINAGE DISTRICT FEES $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 durir g the plan checking process. APPLICANT,-t,,,,,A �w f DATE I l 1 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) r, a J� • • RESIDENTIAL' a A 033-010-050 PERMIT#96=0383 FAULKNER, Tyler. `+ r 45 Long Bar Rd., Oroville :i Cont: TML Inc. 3Yi9%97 Conv Cov Area to Sitting:& Remodel/SF 1 r: �t kFr �t Rh avo-r 2 fv� y'w4y rD�fi� JOB FINALED (Date) .J -- Signature V=OK O = Not OK =Not Applicable MOBILE HOMES = Not Ready Date MOBILE HOME UTILITIES (Plans) OK except #'s 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 1. Zoning Requirements - Setbacks - Easements 6. Carports; Windows -Doors 2. Soils; Special MH Support Sketch 7. Electric 3. Sewer; Location -Test -Fall -C/O -Concrete 8. Frmg.; Sils-Anchors-Studs-Rftrs-Trusses 4. Water, Location -Test -Easement Needed (Sketch) 9. Siding; Nailing -Veneer -Stucco -Mesh 5. Electricity; Location-Clearances-Gmd-/ /Amp -Concrete 10. Roof; Shthg-Roofing 6. Gas; Location -Test -Wrap; / ft:ft. / /Nat. or/ /"L"ft./ /LPG 11. Ext.; Steps -Doors -Landings 7. Well Clearance & Disconnect 8. Utility Clearance Date Card B-1 Date Card B-1 Date Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date MOBILE HOME INSTALLATION (Plans) OK except #'s 2. Soils; Compaction -Structure Stability 1. Zoning Requirements -Setbacks Easements 3. Pool Structure; Steel -Connections -Thickness Dead Men -Lining 2. Footings; Size -Spacing -Marriage Line 4. Elec.; Receptacles and Lighting, Distance-GFI 3. Gas; MH Test -Demand Valve -Connector 5. Elec.; Pool Lighting; 15 Volts-GFI 4. Electricity; MH Test -Crossovers -Breakers -Clearances 6. Elec.; Enclosures; Conduit Entries -Terminals -Listed 5. Drain; MH Test -Fall -Flex Connector 7. Elec.; Bonding; Metal w/6 -Circulating Equip. -Heater 6. Water; MH Test -Regulator -Connector 8. Elec.; Grounding; Equip. w/5' Circulating Equip. -Pool Lghtg. Boxes-Enclosures-Panelboards-Ins. to Main in Conduit 7. Water and Sewer Connected -C/O to Grade -HD Approval 9. Health Department Approval 8. Gas and Electricity Tagged 10. Plumb.; Cir. Test -Water Supply Test 9. Tie Downs -Type -Installation Cert. 10. Exits; Insp.-Sketch 11. Cert of Occupancy Date Card B-1 Date Card B-1 Date Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 s�. MISCELLANEOUS Ps Date DECKS, COVERS, CARPORTS, GARAGES (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Footings; SoilsSize-DepthSPacing-ConnectorsSteel 3. Decks; Girders and/or Joists -Decking -Bracing -Stairs -Rails 4. Wood Awn.; Posts-Beams-Rftrs.-Connectors Shthg: Rfg: Bracing 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Carports; Windows -Doors 7. Electric 8. Frmg.; Sils-Anchors-Studs-Rftrs-Trusses 9. Siding; Nailing -Veneer -Stucco -Mesh 10. Roof; Shthg-Roofing 11. Ext.; Steps -Doors -Landings Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date POOLS (Plans) OK except #'s 1. Setbacks -Easements 2. Soils; Compaction -Structure Stability 3. Pool Structure; Steel -Connections -Thickness Dead Men -Lining 4. Elec.; Receptacles and Lighting, Distance-GFI 5. Elec.; Pool Lighting; 15 Volts-GFI 6. Elec.; Enclosures; Conduit Entries -Terminals -Listed 7. Elec.; Bonding; Metal w/6 -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 PK = Not Applicable Not Rea y RESIDENT[AL (.Single '= Date UIN10>1411FLOOR (Plans) OK except ti's Zoning -Setbacks -Easements -Flood -Slope tg., Main; Soils-Elec. Grnd.-P-/" Ftg. Depth 3. Ftg., Garage; Soils-Steel-Elec. Grnd.-/ /" Ftg. Depth 4. Ftg., Porches & Decks; Soils -Steel-/ /Ftg. Depth 5. Stemwalls, Main; Steel-Blockouts-Wrapped 6. Stemwalls, Garage; Steel -Bloc kouts-Wrapped 6a. Hold Downs and Special Anchors 7. Slab; Steel -Wrapped 8. Piers- 'replace Ftg.-Steel .V.; Fall -Fitting -Test -2 Way C/O -Sewer Test 10. Uf,4P,-as Pipe; Size -Anchors - yard gas piping: size -test *."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 f , Card B� Date Card B-1 Date Card B-1 Date Card B-1 Date PLUMB (Permit) OK exce s Ve--nt-A s - -Combustion Air-Baft;e ---------------------- -- ------ ,owfr Pipe: Test & Anchor -Nail Protection - ---W.V : Test -Fittings &Anchor -Nail Protection _ Shewer Pan;Test. First Floor -Tub Access Test Tub & Shower. Second Floor -Tub Access --------------------------------------------------------------- pe: izenchors ------ ----------------------------------------------------------------------- Date Ae� _ Card -B-1 ��j - ---Date ------- --- - Card B_ 1 Date Card B-1 Date Card B-1 Date ELECTRICAL (Permit) OK except ft's xt a &Transformer Clearance_Ins. Protection - --- eceptacles Spacing -Lights & Switches at Doors - iz xes & No. of Conductors -Stapled o nstaned Close to Edge of Studs & C J. _ Equip. Ground made up w/Mech. Fastners-Bond Gas & Water --------------------------------------------------------- ------- -------- ------- -- s in Kitchen & Conductor S ze,GFI ----------- ---- -- - -- --------------- ----- -- --- ---- -- - - -- - - - - - -- - - -.. . 2E�ize r r ga. Cu or AI -A.0 Wire Size • / ga. Cu or Al ----------------------------------------- 29. a irc. 9 9 a. Cu or At -Oven Circ. a. Cu or Al. Insulated Neutral ❑ Yes ❑ No ----------- ---------- ----- --------------------- ------------- & Ground -Main Disconnect -- --- - - -- ---- 3f. Equip. Clearances Panels-Motors-Mech. Equip. a3 Clothes Closet Light -Shower Light -Spa Light --------- - - 33 ,oke Detector Date ��� B-1 ate Card B-1 - -- - G------. _-------- D- -.. _.. Card..... . Date Card B-1 Date Card B-1 Date MECHANICAL (Permit) OK except n's 34. A.C. Ducts Insulation & Support ---- ............... ................ . . 35. Vent Fan: Exhaust above insulation ----- -... ...--. .. ....._..... .. .. 36. Condensate Drain & Overflow. Size & Grade 37 Furnance-Vent: Access -Comb. Air -Return Air Vent -115 outlet ------ ...__. ---- 38 Attic Access & Platform if Furnance in Attic Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date FRAMI sans) OK except ft's Proper. Material & Anchors Walls Studs -Nailing. Spacing & Bracing- Plates -Sound . .. . .. ... .. -. . ....... ... ... ing 42 Dra -Stop in Walls (rat proof) re Stops. Furred Ceilings -Stairs -Chases -Tub Heades &Beam -Size &Bearing r, & Duplex) Date FRAMING (Continued) Hangers -Post Caps -Anchors -Connectors _ e>fj? j j�Cing. Joist_Rftr. ties-Purlin-roof Brac-Truss-Shthng.-Ring. �1 fl 4 e� Flue -Fireplace Throat clearance Lcess: Size & Romex Protection -Draft Stop -Ins. Baffles drm. Windows or Exiting Doors -Sill Hgt. & Dimensions -------------------- — 607. rag roe ion Framing 51. FrUPUT1Y rewall & Openings ----------------------------------- - Check Garage -3rd Story, 2 Exits ------------------------ ------------------ t - ea roo -Rise-Run-Landing-Fire Protection 5 ywoo on o verhang=Attic Vents -Rafter Outriggers - --- 5: Siding -Nailing Veneer --- --------------------- — - 5 es_- rip Screed -Fd. Vents-Underflr. Access ---------lazing Area -Glass Protection=Skylights-Plastic ear Walls: Nailing -Bolts ------- ---------- - 59.- Insulation -Walls -Ceilings- --------------------------- — 60. Infiltration -Walls -Windows --------------- Date j - - , Card B-1 Date Card B-1 ---�-------- - ---------- Date Card B-1 Date Card B-1 Date FINA (Plans) OK except fr's 1. Ex es -Door & Sidelight Protection -Landings Smoke Detector ---- — 63. FLTBrP Vvntc-[ ,Pa•� ^^ ^^ Air -Connector - I age: Above Floor -Ducts -Meeh. Protection 6115'9 4. Bed xitin G.F.I. & Bath Fixtures & Tub Access -Spa ...-- -_. .. - - ------------------------- eaker Sizes & Labels 66. F ve: earances-Hearth — lec. Outlets at Wood Panel: Int. & Ext. -- - - HCl K t Flvt >z npranrn nand. -Air Gap -Cooking Clearance 71 Fiac Outlets a•Pptacles at Kit. Counter -- -- - _ oor Swing-Landing_Closer __ -- 73. in arage-Damper — ---------------------- --- --------------------------- Wtr Htr.: Vaot-6lesrance-Comb. Air-Connector-P.R.V. In G age: Above Floor -Meth. Protection -------- - ---------------------------- Elec. & Mech. Equip. Listed for Location ------------- ------------------------------------------ eceptacles in Garage: (G.F.I.)-Romex Protection --- ---------------------------------------- 7- -------------------------------------7 ed in Attic ❑ Yes ----------------------------------- Deck Construction -Post Caps . ... ...... - - --------_..----------------------------------- 7j=,�dn Vent, x r.aA hole Door -Drainage & Wood -Earth Clearance Looked under Floor ❑ Yes ------------ 80. Following instld.: Drive ❑ Yes ❑ No: Walks ❑ Yes ❑ an ers es No --------------------------------------- ------- Al StuG�0' Brown -Finish m-01SCD7seci Electrical. Plumbing 63. ents Above Roof: Plbg Appliance -Fireplace. -Clearance to ' Openings .. . ----- -.----- - ------------------------ *4--OkHer-Welt: Disconnect. Electrical. Plumbing xtenor Elec. Trim. G.F.I. Receptacle -Underground - - - -------------------------- -en I, I a t i o n ------------------------ enidation Throughout House - --------------- 87 lass Protection ,4&,-Qo+-r tro> .ram- Previous Inspections �a� Tagged: Gas -Electric ------------------------- 99--We+ei-&-Sewer Connected -C/O to Grade -HD Approval - -- --------------------- e Certificate -Other Certificates No: -- -- - - — ------------------- Date �y Card B-1 Date Card 8:1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Comments at Final: COUNTY OF BUTTE BUILDING DIVISION 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 0 383 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. 4,1� COUNTY OF BUTTE- DEPARTMENT OIF•D6ELOPf4ENT SERVICES -BUILDING DIVISION 7 .County Center Drive - Oroville, California 95965 - Telephone (916) 538-754 PERMIT NO. APPLICATION AND PERMIT La -n�8 ASSESSOR PARCEL NUMBER NZH 033-010-050 ZONING AR5 BUILDING PERMIT OWNER TYLER FAUL•KNER TELEPHONE SO. FT. OCC. BUILDING VALUATION 49 C-R 2,646.00 OWNERS MAIUNG ADDRESS 45 LONG BAR RD OROVILLE, 95966 CONT 26,000.00 CONTRACTOR'S NAME m1 _II'IC. TE89 -1529 5 CONTRACTORS "UNG ADDRESS2944HERITAGE RD OROVILLE Fireplace CONSTRUCTION LENDER UNMOWN Total Valuation $ 28, 646.00 Filing Fee $ 20.00 LENDER'S MAILING ADDRESS Permit Fee $ 278.00 ARCHITECT OR ENGINEER UCENSE NO. Plan Checking Fee $ 180.70 Energy Plan Checking Fee $ 23.00 ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDINGADDRESS 4S LONG BAR RD PERMITFEE $ 501.70 PLUMBING PERMIT Filing Fee 20.00 OROVILLE Each Trap 41 7.00 28.00 LAT NO. SUBDIVISION'S NAME PARCEL MAP Solar Or heat pump water heater 23.00 Water piping 15.00 15.00 USEOFSTRUCTURE SF 15 Duplex ❑ Mobilehome ❑ Other SPECIFY Each gas water heater or vent 15.00 Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 15.00 TYPE OF WORK New ❑ Addition CY Remodel ❑ Utilities ❑ Installation ❑ Other NJ Describe Work: CONV COV AREA TO SITTING ROOM & ADD BAY WINDOW TO BAT;: & RaIODEL BEDR�INI Mobile Home SG W @20.00 PERMITFEE $ 78.00 Contractor ELECTRICAL PERMIT Filina Fee 20:00 Main Service EOOV OR LESS ( 2ooA OR LESS ) 23.00 Main Service ( 200A TO 1000A ) 46.00 LICENSED CONTRACTOR'S DECLARATION I( 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 ig full force and effect. Q License Class Lic. No. 33� /� / 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 NEW CONST. DWELLING OCCUR ( ) OR NS. 8 ACC. BLAS. 3.5¢ FT. SO. • 70 NEW CONST. MULTI.OUTLET C NON-RESID. ( BRANCH CIRCUITS ) @7.50 S ( POWER APPARATUS ) 8 SINGLE OUTLET UCIR Ex. Occup. ( OUTLET OR FIXTURES ) 20 Q 1.00 a4L SO Ex. Occup. ( A) 5.00 OUITLETSPR SEID.)E Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMITFEE $ 21.70 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. �i I have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. MY workers' coensation insurance carrier and policy number are: S / 7; Carrier ��,�� Policy Number 7,z - / •Z V�`/'!7� (The above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) ❑ 1 certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall forthwith comply with thosepr9yisions. X Date �slt��f�-- S' ature o Applicant - Owner ❑ Contractor ❑ Agent A OSHA permit is required for excavations over 5'0' de p and pd�emolition or cons ruction of structures over 3 stories in height. *(1681 9/. s MECHANICAL PERMIT Filing 9 Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMITFEE $ Contractor Mobile Home Installation Fee $ Energy Inspection Fee $ OCC CONST. TYPE TOTAL FEE $ 647.40 HAZ. D. FEE IMP FLOO - CDF PARCE PD HD SU i This permit is hereby issued under the applicable provisions of the Butte Count Code and/or Resolutions to do work indicat above for which fees have been paid. ,O' S �9- 9.6 BY /W ` Date a q PERMITEXPIRESON (Date) Receipt No. 194703 4i Qs b ft,Cy�,Q� WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOL ROD•AP iiVS �� l tOUNTYOF BUTTE - DEPARTMENT OP'DEVgL PMENT.SERVICES•- BUILDING DIVISION S 7 COUNTY.C,ENTER DRIVE - OROVILLE, eA`LIFORNIA95965 -TELEPHONE (916)538-7541 < PERMIT APPLICATION DATA SHEET 'OWNER P_(Do. D Proposed Building Use Civ '(; _ I✓�Q ►^'"'Building Inspector Date ' 09196 At time of permit application, I was advised the following data,must be submitted prior to permit processing and/or issuance: DATE RECENED - 1. All items have be"kt submitted! ........... 2. 3. Plot plans, 3/4 sets,`slgned by preparer of plans. ........... Complete plans, 3/4 sets, signed by preparer of plans. . Engineered and calcs, 3/4 sets, with wet'signature 4. plans on plans . ............. 5. Hazardous Material Form . .......................... 6. Energy Design Compliance and supporting documentation. .................. \1 7. Statement of Intent for Non -Heated and A/C Buildings . ...................... �t 8. Engineered truss details and layout in duplicate (required prior to plan check). .... i g 1 Mobilehom,dat an manufacturer's installation instructions, 2 sets. . Fees of $ 7 0 C� ....... . Impact fees as shown on attached schedule . ........... . 12. California Department of Forestry plan approval/fees....................... . 13. Flood elevation letter (100 year flood) by SS(���� 91lifornia Engineer . ................. . ahitation 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: - "Y 18. Contact Land Development about (A) Improvements (B) Drainage. ......... . • 19 Driveway permit (construction approval required prior to occup anc ) y Pre4I-ection request Pre -inspection for required . .. to Budding inspector (Date) 21. Contractor's license information. (No., Name Style, Classification) .. ............. . 22. Certificate of Workmans Compensation Insurance.. .............. ....... . 23. Oiwner-Builder Verification�(Given to owner ,Mail to owner _). :......... . 24. Recorded copy of Agricultural Acknowledgement Statement . ................. . 25. Letter of signature authorization . .......... :............................. 26. Copy of recorded deed of parcel creation and 60 right of way to a public road. ..... 27. Letter of intent on building use . ............... •......................... . 28. Mobilehome utility clearance . .......................................... 29. Documentation of legal access . ..................... :.................. 30. Documentation of 50% subdivision developed or (A) Road improvements completed and (B) Parcel meets zoning area and frontage requirements. ........... 31. Existing violations/expired permits . ...................................... Plan check list. .. II.�£.... I�1.�1c y. , i"epi.NEGS........................ . 1�1sCF,� SX�S� 1��.(C, FLootL Pt.Anl I�iJD ExrE2to2 £tfcJA7^tc.Js 34. a Whe ou issue the cess as follows: Mail to owner. Mail to contractor. Tele hon and hold for pickup at pr U L) r 1 office. Deliver with inspector. Other Parcel Creation Acr"edge Applican Date'z Copy of Haz-Mat form_ sent Health Dept. Fire Dept. Air Pollution Date Copy of plans sent Health Dept. Fire Dept. Other Date By The following data must be submitted prior to 1. Index permit for above items No. 2. Additional items required: le new item not checked above). Contractor designer, owner, was advised of above required data by ?pphone _ mail Counter by _Q Date Contract- designer, owner, was advised of above required data by � phone _ mail Counter by (Z -r Date 3 /3-9rA Plans checked by (_1 1 RG bnh Date iPla s�-4 —vel by G i 4 a a v, s Date 3-15-iG Sets of plans on hold in File cabinet AP.)fo1de�r) Copy - Department of Public Works // )4p E.H. USE ONLY L Plot Plan Anwhad Poor Plan Aftchof Sent to s.n. 3� i TO: .Building Department FROM: Environmental Health SUBJECT: . Sanitation Clearance Ll 6INr G C, Owner ation APIs Plan Approved for: Sewage Disposal Water Su ply: Public ✓ Private Well— Clearance for bedroom mobile home. Other �� oL (A✓ �`� 46 W Hold final for: ' Final clearance O: -K. for: NOTE: Environmental Health Specialist Date 8/92 .r O OC] Q OFES N Nrn z ql CIVI\. F OF CAUEO`� r CAL, MECHANICAL, AND PLUMBING o ? N ( NOT PLAN CHECKEDOF ) � .I)UCTK, -- -- { YNR' � to 0 Workmanship � I � AocorrianceP $ Be 1Ti _ a of a Quality Pres -A--v Recognized Good Pr � in the Uniform Bing use Codes and the Nae. tiO " EleatMcal �Meahanical This set of plans an sPeoifioWOM AMOT be kept on the fob at all es and it is unlawft to �''•Q u maw any o$anges or a1 atione on same WUZWt6 written permission Prom thA DePartraent atpWWO Works. County of Butte. Q-� 0 Kl�- V/7-\KG�, Ov i ►. , GDS ��&T E COUNT A r*F 03;17 -610 - 0!50. 1EPARTMENT . APPROVED'�": �z FILE P� 1 tm W S m _7 _ n � L M.9 v In -� 1 tm S m _7 _ n � L BUTTE COUNTY SCHOOLS IMPACT FEE CERTIFICATION FORM (One Form Per Building) RA - School District (-)rp t�+� v, Building Department No. A.P. Number. 0--050 Jurisdiction: City Property Owner., -V I2 r Property Location/Address Lim G; Subdivison Residential Development 0 No. of Living MHI Units Commefcial/Industrial Representative t -!!!J County 'lea Addition 0 0 New Addition Footage (Group ) Sq. Footage (Including Exterior Roofed Areas) Baa Date ={ (Floor Plans reviewed by School District Personnel) District Identification No. �lo -a S -OA- e r . 2yr�i School District certifies that —" ` (Applicant) (Street Address) J (Phone Number) .�(City) � J •, has complied with the requirements of representing �{ School 1, C01 I I, 5 - (State) (Zip Code) olution No. by payment of $ N fare feet. As 2926 $ t FULL MITIGATION $ Date Paid by Check # Remarks: yc� J-�r Bank Number Paid by Cash *� 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) feeformmkl (11/94)dmm rF