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033-160-013
--------- o �263 CANYON HIGHLANDs, OROVILLEELE-SER CH/SF,033-160-013 Fh5MIT#96-20kTrHERRINGTON-, Cynthia263 Ca�yon Highla�n& ArAo4vi_f e4 Rebuild Der*,Res�ucco,Sheetrock/SFF033-160-013", PERMIT#97-1680 ' ^ ` ^ _i ;e_3 r_,,�ro16 F ` Temp. Power Pole Called PG OFFICE COPY Temp. Elec. S i Address Called PGI G Date Meter By Temp. Gas Sen. ELECTRIC14 Dat Meter By — Called PG&_ JOB FINALED (Date) Signature r, RESIDENTIAL 6 033-160-013 PERMIT#97-1680 HERRINGTON, Cynthia I 1 263 Canyon Highlands, PERMIT NO., Oroville _ Connect douse to Garage & Remode i. PERMIT EXP. OWNER t CONTR. r� ASSESSOR PARCEL <� LOCATION - a . - b Temp. Power Pole Called PG OFFICE COPY Temp. Elec. S i Address Called PGI G Date Meter By Temp. Gas Sen. ELECTRIC14 Dat Meter By — Called PG&_ JOB FINALED (Date) Signature r, ✓ = OK 0 = Not OK - = Not Applicable = Not Ready RESIDENTIAL (Single & Duplex) Date --' UNDERFLOOR (Plans) OK except #'s G; t,2.1 Ftg., Main; Soils-Elec. G d. / Ftg. Depth 3. Ftg. Garage; Soils-Steel-Elec. Gmd/ P Ftg. Depth 4. F . Porches & Decks; SoilsSteel-/ P Ftg. Depth temwalls, 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 (ID3 D.W.V.; Fal ittin -Test-2 Way C/0 -Sewer Test F Gas Pipe; Size Anchors - Yard Gas Piping; Size Test j..,Water Pipe; Test -Anchors -Regulator -Service Test V. Electric Underground 13. PiVums & Ducts; Clearance -Material -Support -Ins. GirdersSills-Anchor Bolts -Joists Vents-Crippies 15. Access & Ventilation 16. Insulation Date Date Card B-1 Date Card B-1 Card B-1 Date Card B-1 Date PLUMBING (Permit) OK except #'s 17. Water Htr; Vent -Access -Combustion Air Baffle )1 Water Pipe; Test & Anchor -Nail Protection WV.; Test Fittings & Anchor -Nail Protection 2 Shower Pan; Test, First Floor -Tub Access 21. Test Tub & Shower, Second Floor -Tub Access 22. Gas Pipe; Sae & Anchors Date Dates Card B-1 Date Card B-1 Card B-1 Date Card B-1 Date ELECTRICAL (Permit) OK except #'s 23. Fixture & Transformer Clearance -Ins. Protection Receptacles Spacing -Lights & Switches at Doors Size Boxes & No. of Conductors Stapled Romex Installed Close to Edge of Studs & C.J. 27. quip. Ground made up w/Mech Fastners-Bond Gas & Water 2 Appliance Circuts in Kitchen & Conductor Size GA 29. Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / / ga Cu or AI 30. Range Circ. / / ga Cu or AI -Oven Circ. / / ga Cu or Al Insulated Neutral 0 Yes 0 No 31. Service -Riser Conductors & Ground -Main Disconect 32. Equip. Clearances Panels -Motors -Meth. Epuip. 33. Clothes Closet Light -Shower Light -Spa Light 34. Smoke Detector Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date MECHANICAL (Permit) OK except #a A.C. Ducts Insulation & Support 36. Vent Fan, Exhaust above insulation 37. Condensate Drain & Overflow, Size & Grade 38. Fumance-Vent Access -Comb. Air -Return Air Vent 115 outlet 1,39'Attic Access & Platform if Furnace in Attic Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date FRAMING (Plans) OK except #'s Sits Pr per Materials & Anchors 1. Studs -Nailing Spacing & Braces -Plates -Sound A��,Arejrllng Walls over Girders & Floor Nailing It Stop in Walls (rat proof) = rre Stops, Furred Ceilings -Stairs -Chasers -Tubs Headers & Beams -Size & Bearing Date /FRAMING (Continued) Hangers -Post Caps -Anchors -Connectors (*?'iCling. Joist-Rftr. Ties-Purlin-roll Brac.-Truss-Shtlng: Rfng. ce ies urs A"F ue-Fireplace Th or at clearance Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions Garage Fire Protection Framing 5P-Pf5-perty Gne Firewall & Openings a%'E t. Doors-Oht 3 check Garage 3rd Story, 2 Exits 54 -Stairs; Width= adroom-Rise-Run-Landing-Fire Protection Plywood Roof Overhang -Attic Vents -Rafter Outriggers 56. X.4 -Nailing Veneer 29!cco Mesh -Drip Screed -Fd. Vents-Underflr. Access Glazing Area -Glass Protection -Skylights -Plastic 59. Shear Walls; Nailing -Bolts 60. Bra nor / Exterior Wall Panels Insulation-,At.'II s-Cei I i ng s 62. Infiltration -Walls -Windows Date Card B -t f Date_,Z7 Card B -t Date Car -1 Date Card B-1 Date INAL (Plans) OK except #'s W. Ext Steps -Door & Sidelight Protection -Landings j IESmoke Detector mace; Vents -Clearance -Comb, Air-Conector- In rage; Above Floor -Ducts -Meth. Protection edioom Exiting F.I. & Bath Fixtures & Tub Access -Spa ec. Trim &,%6bpanel, Breaker Sizes & Labels eq. stsrrpt� 7e -Hearth Outlets at Wood Panel, Int. !_!_14 at. & Appliance; Ground a coking Clearance ec. 006ts & Rece ticales at Kit. Counter e Fire Door; n-Landin -Closure uct in mper 7 . tr; V leara omb. Air C for -P. . In Garage; Floor -Meth. Protection 77. & Mech. Equip. Listed for Location 34�lec. Receptacles in Garage G.F.I. -Romex Protection 72 -Foam -Looked in Attic ar on -Post Caps r?)K-.VBents & Crawl Hole Door Drainage & Wood -Earth CIF.gLance Looked under Floor 0 Yes fieOng Instld./Drive 0 Yes 0 No/Walks 0 Yes 0 No/Planters 0 Yes 0 No 80"Stucco Brown -Finish 84-. Llnit.D onnect, Electrical -Plumbing 0�,4&nts Above Roof, Plbg-Appliance-Fireplace-Clearance to Openings t� Well, Disconnect, Electrical, Plumbing tenor Elec. Trim, G.F.I. Receptacle -Underground 4,Wn'ti0on Throught House ass Protec' h 90. Co'tic from Previous Inspections 52 as st- eters Tagged, Gas -Electric St -Water & Sewer Connected -C/O to Grade -HD Approval t;e_ rgy Compliance Certificate -Other Certificates Date and B-1 kW Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Comments at Final: V=OK O = Not OK • = tteadApplicable NoMOBILE HOMES Date MOBILE HOME UTILITIES (Plans) OK except #'s Card B-1 Date Card B-1 1. Zoning Requirements - Setbacks - Easements POOLS (Plans) OK except #'s 2. Soils; Special MH Support Sketch 1. Setbacks -Easements 3. Sewer, Location -Test -Fall -00 -Concrete 2. Soils; CompactlonStructure Stability 4. Water, Location -Test -Easement Needed (Sketchy 3. Pod Stricture; Steel -Connections -Thickness Dead Men -Lining 5. Electricity; Location-Clearances-Gmd-/ /Amp4Concrete 4. Elec.; Receptacles and Lighting, Distance-GFI 6. Gas; Location -Test -Wrap; / JUL / /Nat or/ I'L tL/ /LPG 5. Elec.; Pod Lighting; 15 Volts-GFI 7. Well Clearance & Disconnect 6. Elec.; Enclosures; Conduit Entries-Terminals-Usted 8. Utility Clearance 7. Elec.; Bonding; Metal w/5' -Circulating Equip.+leater 8. Eke.; Grounding; Equip. w/S• Circulating Equip. -Pool LBhtg. Boxes-Encosures-Panelboards4ns. to Main in Conduit 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; Sia--Spacing-Marriage Line Card B-1 Date Card B-1 3. Gas; MH TesVDemarKWalve-Connector CardB-1 Date Card B-1 4. Electricity; MH Test -Crossovers -Breakers -Clearances 5. Drain; MH Test -Fall -Flex Connector 6. Water; MH Test -Regulator -Connector 7. Water and Sewer Connected -C/O to Grade -HD Approval 8. Gas and Electricity Tagged 9. Tie Downs -Type -Installation Cert. 10. Exits; Insp.-Sketch 11. Cert of Occupancy 12. Permanent Foundation Only: License Decal Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 lIAISCELLANEOUS - _Date DECKS, COVERS, CARPORTS; GAR ES (Plans) OK except, #'s 1: Zoning RequiiementsSefbacks-Easements 2. Footings; SoilsSize-0epfbSpacuy.Connecwrs-Steel 3. Decks; Girders and/or joists-Decking-BracingStairs-Rails 4. Wood.Awn.;Posts-Beamo4fts.-Connectors Shthg.-Rfg.-Bracing . 5. Alum. Awn.; Columns-ConnectionsSplic D l -Enclosures 6. Carports; Windows -Doors 7. Electric 8., Fnng.; Sils-AnchorsStuds-Rftrs-Tfusses 9. Skiing; Nailing-VeneerStuxo-Mesh 10. Roof; Shthg-Roofing 11. Ext; Steps -Doors -Lendings 12. Braced Wall, Panels Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date POOLS (Plans) OK except #'s 1. Setbacks -Easements 2. Soils; CompactlonStructure Stability 3. Pod Stricture; Steel -Connections -Thickness Dead Men -Lining 4. Elec.; Receptacles and Lighting, Distance-GFI 5. Elec.; Pod Lighting; 15 Volts-GFI 6. Elec.; Enclosures; Conduit Entries-Terminals-Usted 7. Elec.; Bonding; Metal w/5' -Circulating Equip.+leater 8. Eke.; Grounding; Equip. w/S• Circulating Equip. -Pool LBhtg. Boxes-Encosures-Panelboards4ns. 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 CardB-1 Date Card B-1 LOERKE INSULATION CO.,. INC. INSULATION;,CERTIFICATE 263 Canyon Highlands Dr. Oroville Number and StreetCity County DESCRIPTION OF INSTALLATION 1. ROOF Material Thickness (inches 2. CEILING Batt or Blanket Type Fiberglass Batts Subdivision Lot Number Brand Name Thermal Resistance (R -Value) Brand Name Schuller Int. Thickness (inches) 13" Thermal Resistance (R -Value) Loose Fill Type Fiberglass Brand Name Schuller Int. Contractor/s min. installed weight/ft sq. fib. Minimum Thickness 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 R38 inches. Brand Name Schuller Int Thermal Resistance (R -Value) R13 Brand Name Schuller Int Thermal Resistance (R -Value) Brand Name Thermal Resistance (R -Value) Brand Name Thickness (inches) - Thermal Resistance (R -Valu DECLARATION I hereby certify that the above insulation was installed in the building at the above location in conformance with the current Energy Efcienc Standards for residential buildings (Title 24,Part 6, California Code of Regulations) as indicated on the Certificate of compliance, where applicable. C.L.#499150 LOERKE INSULATION CO., INC. tem #s Signature, Datenstal ing Subcontractor Co. Name)Or General Contractor (Co. Name) Or Owner t�#s Signature, Date Installing Subcontractor Co. ame Or General Contractor (Co.Name) Or Owner Item #s Signature, Date Installing Subcont � ctor_ (Co. Name) ) Or General Contractor Co. Name Or Owner S:+i` t��:qy ash=;psi;. T•-i+,.+.rr'�.�.r-Haa.-tir�r.:xc�u i�.�y�-,a, a+.f-4�4�"' COUNTY OF BUTTE _ BUILDING DIVISION DEPARTMENT OF DEVELOPMENT SERVICES 411 Main Street, Chico, CA - (916) 891-2751 7 County Center Drive, Oroville, CA - (916) 538-7541 CORRECTION NOTICE Ale I r; 97 - ` 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 notify this office when correction of work ie completed. If you have any questions pertaining to this matter, or need additional explanation, please contact this office immediately. r: i �Ir e yr ;slti cva� 61e� . rte. • eti Jog l'wG 10W&-5 -A'ble,s —ts— �ti � _ 1i �• � 7`-r`�i7� � J S 04� 7C4?ort 1116WReW 704 OWN64 r` Date I 3 1 Cj 7 InspectorKvc)e),11 f5, REV 1 -`-�-..--,,.r+ci-^r-r"-;�.f�-.`�^_'�"-�7:k-.r'�.rw�-,'a �...'4 � �, -��-,r::-..-.._t...:,a•�._:ti..-sii.=r�":"..b-,7,t1�. COUNTY OF BUTTE BURLDING DIVISION t DEPARTMENT OF DEVELOPMENT SERVICES _ 411 Main Street, Chico, CA - (916) 891-2751 3 7 County Center Drive, Oroville, CA - (916) 538-7541 CORRECTION NOTICE tl- r � (�- u �� ��aa `.73-1 OWNER J PERMIT NO. A routine inspection indicates that the following violations of Butte County Ordinances exist at .w 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, yip,-leetease tac/t this office immediately. 1n 01 _ V A 11 n 14 Date Inspector 2W REV 10192 S $ COUNTY. -OF BUTTE - DEPARTMENT OFTHWELOPMENT SERVICES - 7County Center Drive - OroAlle, Catiit rnia 95965 - Telephone APPLICATION AND PERMIT BUILDING DIVISION (916).538-75419&_/2 916) .538-75419&_ /2R71/o• ASSESSOR PARCEL NUMBER ZONING BUILDING PERMIT I OWNER TELEPHONE SO. FT. ' OCaC. ,\ BUILDING VALUATION - OWNERS MAILING ADDRESS 263 CANYON HTGEIANDS-- OROVIUY, 95966 CONTRACTOR'S NAME TELEPHONE CMM CONTRACTORS MAILING ADDRESS Fireplace CONSTRUCTION LENDER •..... UNIHNOWN Total Valuation $ Ening Fee $ 20.00 LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER UCE E NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEERS MAILING ADDRESS Penalty $ BUILDINGADDRESS PERMITFEE $ ORMITI& 95966 PLUMBING PERMIT Filing Fee 20.00 Each Trap 7.00 LOT NO. SUBDIVISION'S NAME MAP Solar Or heat pump water heater 23.00 Water piping 15.00 USEOFSTRUCTURE ! SF CX Duplex ❑ Mobilehome ❑ Other JSPECIFY Each gas water heater or vent 15.00 kGas piping system 1 - 5 outlets 15.00 Building sewer 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation Describe Work: INSTALL M W X00 W MAIPANEL & SUB PANEL REWM 2 BEIM & BAVI Mobile Home S G W @20.00 PERMITFEE $ Contractor ELECTRICAL PERMIT Filing Fee 20.'00 Main ServiceOOeV OR LESS ( 200A OR LESS 23.00 00 Main Service ( 200A TO 1000A ) 46.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisio of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Prof. sions Code, and my license is in full force and effect. License Class Lic. No. OWNER -BUILDER DECLARATION I I hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: i X 1, as owner of the property, or my employees with wages as their sole c mpensation, 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 OCCUP. OR ( 8 ACC. BUDS. ) SO. 3.5{t FT. CNS. NEW CONST. MULTI -OUTLET NON-RESID. ( BRANCH CIRCUITS ) 97.50 ( d POWER APPARATUS ) SINGLE OUTLET CHR. Ex. Occup. (OUTLET OR FIXTURES ) BAL Q H 50 Ex. Occup. ( OUTLETS R D.)EA) 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 IJ*UU PRE 1NSFM'TION 23.00 PERMITFEE $ 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 Fee 20.00 9 Heating Cooling Hood 6.50 Ventilation PERMITFEE $ 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.) 1 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 those provisions. X _,.i Date / - (Q Signature of Applicant - ® Owner ❑ Contractor ❑ Agent An OSHA permit is required for excavations over 50" deep and demolition or construction of structures over 3 stories in height. Mobile Home Installation Fee Is Energy Inspection Fee Is OCC CONST. TYPE TOTAL FEE $ 89.00 HAZ. I D. FEES I IMP I FLOOD I COF PARCEL I PO HO ISSUE This permit is hereby issued under the applicable provisions of the Butte County Code and/or Resolutions to do work indicated above for w h fees ha been paid. /� (� By v % Date PERMITEXPIRESON I (Date) Receipt No. 206029 WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT G COUNTY OF BUTTE- DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive - Oroville, California 95965 - Telephone (916) 538-7541/ E� NO. (Rev. 12/96) APPLICATION AND PERMIT ASSESSOR PARCEL NUMBER 33-160-013 ZONING AR -1 BUILDING PERMIT OWNER CYNTHIA HERRINGTON TELEPHONE 532-1 SO. FT OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS 263 CANYON HIGHLANDS OROVILLE R REMODEL 6,000.00 CONTRACTOR'S NAME OWNER TELEPHONE ' CONTRACTORS MAILING ADDRESS CONSTRUCTION LENDER LENDER'S MAILING ADDRESS Fireplace Total Valuation $ ARCHITECT OR ENGINEER LICENSE NO. —Filing Fee $ 20.0 Permit Fee $ ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee . $ BUILDING ADDRESS 263 CANYON HIGHLNDS Energy Plan Checking Fee $ 23.00 OROVILLE $ PERMIT FEE $ LOT NO. SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMIT Fling Fee 20.00 USEOFSTRUCTURE SF CK Duplex ❑ Mobilehome ❑ Other SPECIFY Each Trap 51 7-0035.00 Solar or heat pump water heater 23.00 Water piping 15.00 15.00 Each as water heater or vent 15.00 TYPE OF WORK New ❑ Addition C}( Remodel C.X Utilities ❑ Installation ❑ Other ❑ Describe Work: CONNECT HOUSE TO GARAGE, REMODEL PORTION REWIRE REMAINDER OF HOUSE (LIV.RM) Gas piping system t - 5 outlets 15.0019-00 Building sewer 15.00 Mobile Home IS I GI W1 @20.00 PERMIT FEE S RE:96-1970 ELECTRICAL PERMIT Fling Fee 20.00 Main Service %.A oA mss 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.PSINGL 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: ,d" 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 zoOA TO IOooA 46.00 NEW CONST. DWELLING OCCUP. OR ADDNS. ( 8 ACC. BFT; SO NO R SNDT MULCTI.00LTrLE7 97.50 8 OUTOWERE APPARATLETUCIR.S Ex. Occup. ourLEr OR FocruREs BAL .so Ex. Occup. OUTLEEDTs RS D.OEA 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wirina 23.00 PERMIT FEES 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 1 should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall forthwith comply with those provisions. X _____ Date Fj-1I=9� Signatu of Applicant - �0 ner ❑ Contractor ❑ Agent An OSHA permit is required for excavations over 5'0" deep and demolition or construction of structures over 3 stories in height. MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling Hood 6.50 Ventilation 4 50 9 Q0 PERMIT FEE $ 44 00 Mobile Home Installation Fee $ Energy Inspecti n Fee $ CO . PE TOTAL FEE $ �`�'I HAZ. D. FES IMP �_ FLO o� CDF ARCEL .i HD �-17 ISSUE This permit is hereby issued under the applicable of the .Butte Coun Code and/or Resolutions indi to b ve for wh*ch fees have been ,��/� /" " ate.. PERMIT EXPIRES ON provisions to do work paid. 2Q 13 -77 ate Receipt No. 2Z 2-2 r 77a 1 WHITE-O.D.S.-B.D. CAN -ASSESSOR PINK -INSPECT R GOLDENR O -AP ICANT �' � Y'`�ca``�"'"� j•`` f`(`Y+LwiY�{�'i7`+'R'Jp- i.1i �H}4-�^',.. �i'.. N atety`1rt'S_.'1'.��'" S' ��J'.w.-sar.('�j�„�`r^'�K�l:/v�+'..l�r—'-� COUNTY OF BUTTE_- DEPARTMENT O,F )PELOPMENT SERVICES - BUILDING DIVISION 7 COUNTY CENTER DRIVE - ORO.VIL E, CALIFORNIA -95965 -TELEPHONE (916) 538-7541.' 1. PERMIT APPLICATION DATA SHEET OWNER: 0 „ !- i c L ASSESSOR PARCEL NUMBER: O Proposed Building Use: — Building Inspector: Date: At time of permit application, I was advised the following data most be submitted prior to permit pAcesfing and/or issuance: Date Received By 111. All items have been subirfitted --------------------------------------------------------------------------------------- ;K�. Plot plans, 3/4 sets, signed by the preparer of plans. ------------------------------------------------------------- 0 3. Complete plans, 3/4 sets, signed by the preparer of plans ------'-y=----------------------------------------- ❑4. Engineered plans, 3/4 sets, with wet signature on plans All engineering must be shown on plans. -------- 05. Engineered truss details and layout in duplicate (required prior to.plan review) No faxes! ----------------- �/. Energy Design Compliance and supporting documentation.---------------------------------------------------- 7. Statement of Intent for Non -Heated and A/C Buildings. -------------------------------------------------------- ❑ 8. Hazardous Material Form.---------------------------------------------------------------------------------------- ❑ 9tllCaliforrua Manufactured Home data and installation' c incl ees of $-------- _ _Jmpact fees as shown on the attached schedule. ------------ Department of Forestry plan approval/fees. ---- Tie Down Specifications ------------------- 0 13. Flood elevation certificate. ---------------------------------``----------- ❑ 14. Sanitation and plot plan approval Health Department. O 1.5 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: r ❑ 18. Contact Land Development about ❑ Improvements, ❑ Drainage, ❑ Legal Parcel. ----------------- ❑ 19.. Encroachment Permit for driveway (construction approval prior to occupancy). --------------------- 020. Pre -inspection for required Request to Building Inspector on ❑21. Contractor's license information. (Number, Name Style, Classification). ----------------------------- 022. Workers' Compensation carrier and policy number. --------------------- 023. Owner -Builder Verification (Given to owner ❑, Mailed to owner ❑). . 024. Letter of signature authorization. ------------------------------ ` ❑ 25. Recorded copy of Agricultural Acknowledgment Statement. 9 026. Letter of intent on building use. -------------------------------- 027. Manufactured Home utility clearance. ❑28. Existing violations and/or expired permits. ---------------------------------------------------------------------- 029. 13433 A, ❑Grant Deed, ❑ M.H. Title, ❑ Check to H.C.D $ .------------------ E130. --------------- ❑30. Other: V (Date) When you issue the permit, process as follows ❑ Mail to owner, ❑Mail to contractor. P&lephone S3 2- 9 2 and hold for pickup at 0/^o 1 office. ❑ Deliver with inspector. Applicant: (�- f .ir � Date: Copy of Haz-Mat form sent ❑ Health Department, ❑ Fire Departgient, ❑ Air Pollution Date: By: Copy of plans sent ❑ Health Department, ❑ Fire Departme a Date: By: 1. Index permit application for the above items numbered: ❑ Plan Check 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 Divp ion counter, by Date: Plans reviewed by: Date: Plans approved by: Date: Sets of plans on holdin ❑ PlanCabinet, ❑ A.P. folder. Note transfer by: Date: Yellow Copy - Department of Development Services, Building Division. List Fi,�„_,�."y'.�p�„y�„"-","'�'•�"�'"7�,�''EVP1.'�'d�'D�"'�:nq'I"t4'"°'�'"a`.r`,7p,i�°'g'" "�Y"'� ....��Po'�'s�+.'���it`��'i��t'UG"A�1:iii"�o'!G'+�.::.+1f{ia''w::..:�,: COUNTY OF BUTTE DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING DIVISION. . 7 COUNTY CENTER DRIVE, OROVILLE CA 95965 TELEPHONE (916) 538-7541 SCHEDULE OF FEES DUE OWNER r A. P., # PROPOSED BUILDING USE j'7"��Ih<y �� DATE REC # DATE REC L'BUILDING PERMIT FEES -- Balance Due ................ -- Additional Fees Due ........... $ -- Additional Fees Due ........... $ -- Revised Plan Checking Fee ....... $ CHOOL DISTRICT FEES 3` (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 (paid at Building Division) Residential (per unit) . x = $ i #Units Amt. 2. P; Commercial (sq.ft.) .. x =$ Sq. Ft. Amt. 5. RECREATION DISTRICT FEES (paid at District Office) 6. THERMALITO DRAINAGE DISTRICT FEES $425.00 (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 planchecking process. APPLICANT Original -Owner Copy -Building Div. DATE (Rev. 12/96) OWNER -BUILDER VERIFICATION Attention Property Owner: An "owner -builder" building permit has been applied for in your name and bearing your signature. Please complete and return this information at your earliest opportunity to avoid unnecessary delay in processing and issuing your building permit. No building permit will be issued until this verification is received. 1. I personally plan to provide the major labor and materials for construction of the proposed property improvement: YES 324' NO ❑ 2. I HAVE Nr HAVE NOT ❑ signed an. application for a building permit for the proposed work. 3. I have contracted with the following person (firm) to provide the proposed construction: NAME: ADDRESS: CITY: PHONE: CONTRACTOR'S LICENSE NO. 4. I plan to provide portions of this work, but I have hired the following person to coordinate, supervise, and provide the major work: NAME: ADDRESS: CITY:. PHONE: CONTRACTOR'S LICENSE NO. 5. 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: PROPERTYOWNER:Z"J"—A,,�. ,,,E 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. �@J_: OWNER BUILDER INFORMATION I 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 properry 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: ♦ If you employ or otherwise engage any persons other than your immediate family. and the work (including materials and other costs) is 5300 -i: more -for the entire project, and such persons are not licensed .as contractors or subcontractors, then you may be an employer. ♦ If you are an employer, you must register with the State and Federal Governments as an employer and you are subject to several obligations including state and federal income tax withholding, federal social security taxes, workers compensation insurance, disability insurance costs, and unemployment compensation contributions. ♦ There may be financial risks for you if you do not cavy out these obligations, and these risks are especially serious with respect to worker's compensation insurance. ♦ 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 "owner builder" 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. r rely, Mic el C. Vi ira, C.B.O. M ger, Building Inspection NOTE: This Owner -Builder Information is required by Section 19830 of the California Health and Safety Code- OVER ode OVER (Rev. 12/96) COUNTY OF BUTTE- DEPARTMENT OF.DEVELOPMENT SERVICES -BUILDING DIVISION 7 County Center Drive - Oroville, California 95965 - Telephone (916) 538-7541 PERMIT NO. APPLICATION AND PERMIT ASSESSOR PARCEL NUMBER F V O `� ZONING _/ //,, BUILDING PERMIT OWNER�L I 4 14 T edri o TELEPHONE 3 - SO. FT. OCC. BUILDING VALUATION OWNER'S qUNG ADDRESS 2— t ,( V CONTRACTOR'S NAME TELEPHONE ' CONTRACTORS MAILING ADDRESS CONSTRUCTION LENDER LENDER'S MAILING ADDRESS Fireplace Total Valuation $ / `) ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00 Permit Fee $ 2 r dt, ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ BUILDING ADDRESS t Energy Plan Checking Fee $ 2-3, cOO PERMIT FEE S LOTNO. SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMIT Fling Fee 20.00 USEOFSTRUCTURE SF iKuplex ❑ Mobilehome ❑ Other SPECIFY Each Trap 7.00 p Solar or heat pump water heater 23.00 Water piping 15.00 .!�;Oa Each gas water heater or vent 15.00 (s, c9v TYPE OF WORK New ❑ Addition Remodel kUtifities ❑ Installation ❑ Other ❑ Describe Work: L,dt Gas piping system 1 - 5 outlets 15.00 l , o6 —Building sewer 15.00 Mobile Home S G W Q20.00 PERMIT FEE $ 0131 rI L _ z) ELECTRICAL PERMIT Fling Fee 20.00 Main Service xaLo1.ss 23.00 LICENSED CONTRACTOR'S DECLARATION 1 hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect.P 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 Main Service 20CA TO +000A 46.00 NEW CONST. DWELLING OCCUR OR ADONS. ( y ACC. B Ds. SO 3.5¢FT; No q..MULTMOUTLET 97,50 OWER APPARATUS 8 SINGLE OUTLET CSR. Ex. Occu OUTLET OR FIXTURES 20 ® 1.00 13L 0 •50 Ex. Occup. GFIXUT TS (RR�ID°E. 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 2-3,4,e PERMIT FEE = U 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.) ❑ 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 those provisions. X Date Signature of Applicant - ❑ Owner ❑ Contractor ❑ Agent 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 Heating010 Cooling Hood 6.50 Ventilation 0 `�D PERMIT FEI: S .� d Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST. TYPE TOTAL FEE $ g t p HAZ. D. FEES IMP I FLOOD I COF I PARCEL PD HD ISSUE This permit is hereby issued under the applicable provisions ode and/or Resolutions to do work of the Bu�ab indicated ich been paid. �fo By D PERMIT EXP ES ON Data ReceiptNo.`Z2�'�1 Z - WHITE-D.O.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT COUNTY OF BUTTE -DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE (916) 538-7541 PERMITAPPLICATIONDATA SHEET OWNER: C A6 ASSESSOR PARCEL NUMBER: O.3 -- 0 Proposed Building Use: — Building Inspector: Date: At time of permit application, I was advised the following data must be submitted prior to permit p e sing and/or issuance: ❑ 1. All items have been submitted. A. Plot plans, 3/4 sets, signed by the preparer of plans. 03. Complete plans, 3/4 sets, signed by the preparer of plans. 114. 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! tEnergy Design Compliance and supporting documentation. T Statement of Intent for Non -Heated and A/C Buildings. ❑ 8. Hazardous Material Form. 09. Manufactured Home data and installation instructions including Tie Down Specifications. 0. Fees of $ 2,!21' , E d . k, aPAJ. Impact fees as shown on the attached schedule. ❑ 12. California Department of Forestry plan approval/fees. ❑ 13. Flood elevation certificate ❑ 14. Sanitation and plot plan approval Health Department. ❑ 13. City of Chico plumbing permit. ❑ 16. Plot plan and business license approval from the City of Biggs. 1117. Planning approval for (A) Use: (B) Parking: ❑ 18. Contact Land Development about ❑ Improvements -0 -Dirainage, ❑ Legal Parcel. 1119. Encroachment Permit for driveway (construction approval prior to occupancy). 1120. Pre -inspection for required. 112 1. Contractor's license information. (Number, Name Style, Classification). E] 22. Workers' Compensation carrier and policy number. 1123. Owner -Builder Verification (Given to owner 1:1, Mailed to owner ❑). 1124. Letter of signature authorization. 025. Recorded copy of Agricultural Acknowledgment Statement. 026. Letter of intent on building use. 027. Manufactured Home utility clearance. 028. Existing violations and/or expired permits. 029. 0433 A, C1 Grant Deed, ❑ M.H. Title, ❑ Check to H.C.D ❑ 3 0. Other: When you issue the permit, process as follows ❑ Mail to owner, ❑Mail to contractor. )Kelephone,� 7 2— /�3 9 2 and hold for pickup at office. ❑ Deliver with inspector. Applicant: 2" �- Date: EXPIRATIOI�I OF APPL CATION Applications for which a permit has not been issued, will expire by limitation one year after date of application. In order to renew action on an application after expiration, a new application, plans and fees will be required. FEE REFUNDS Refunds can only be made upon written request by the person who paid the fee. The request must be made within two years from the date of fee payment on permits not issued, and two years from the date of permit issuance for permits issued; however, on issued permits refunds can only be made if no construction work has been done. Filing fees, plan checking fees for work plan checked and other department costs are not refundable. Original - Applicant I r • 1 BUTTE,COU CHOOLS IMPA'd F ERTIFICATION FORM (One form per Bu2d 1 School District. �'' '•${ .-- Buil i Department No. V L!�a,,.. 9 P A.P. Number 01-3-1,(0 — 1/:3 Jurisdiction: City ULS4 County Property Owner L' ,. {-I P r - i, i Property Location/Address Subdivision Lot No., Residential Development No of Living Mobile Home Additioh Units Installation Commercial/Industrial Building Sq. Footage Sq. Footage New Addition (Floor Plans reviewed by School District Personnel) ate S. Z -S' (Group R)' (mciuoing txtenor Roofed Areas) District identification` No. J• . School District certifies that (Applicant) • O2� (Street Address) V (Phone Number) co 9f NO 1�1 (City) (State) (Zip Code) has complied with'the requirements of Resolution No. (J��— 96 — /,4- by payment of $ i representing G�O,�? j square feet. Representative Paid by Check # 1FBW2i92T6 $ ULL MITIGATION $ J/3 /9:7 Date Remarks: # 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.xls (2/97)dmm [ RESIDENTIAL PLAN CHECKING GUIDE SINGLE FAMILY, DUPLEX AND MISCELLANEOUS ONLY OWNER: BUILDINGP ER. PLAN CHECKER: A. P. NUMBER: _ CTFNFR AT k Zoning requirements: (side yards and number of permitted living units). Valuation. Plans signed by designer. Proper description of work on application. Existing violations on property. i6. Items on data sheet, (Impact Fees, Environmental Health, Developer Fees, etc.). Recorded notice of violation. Complete parcel size and dimensions. Setbacks, side yards, easements, etc. Other buildings or structures. Grading, fills and/or drainage. Flood hazard. Special conditions on creation map (Noise, S.RA., Fire Sprinklers, Water Tender, Trees, etc.). F.A.U. dt F.A.S. road setback. Building or utilities across lot lines (Record form). 11. Complete to scale plan with dimensions. 52! Required windows for light and ventilation (Section 1203). 8� Required windows for second exit (Section 310.4). -4-�— Skylights (Section 2409 & 2603.7). Glazing in Hazardous Locations (Section 2406). -6!-Required room sizes, ceiling heights (Section 310.6). baths, garage, kitchen, wet bar and exterior outlets (N.E.C. 210). 18---� Lights, switches, receptacles, and exterior receptacles for maintenance of mechanical equipment. --9---Location of water heaters, heating and cooling equipment, other electrical or gas equipment. garage firewall, door size and closer (Section 302.4). 1—Minimum of one TO" exterior door (Section 1004.6). Fireplace and wood stove location, alcoves and clearance. X13 Smoke detectors (Section 310.9.1). rl . Plumbing fixtures, water closet clearances and shower size. TR DETAILS i . Conventional Construction - Unusually Shaped Buildings (Section 2326.5.4). Standard bracing or engineered design (Section 2326.11.3). -3! Clerestory requiring balloon framing and/or engineering. -4:� Three story building requiring engineered calculations and plans. -5-^ Foundation plan complete enough to construct building. c&.--- Floor construction details complete enough to construct building. U! Elevations and wall construction details complete enough to construct building. L&-' Roof construction details complete enough to construct building. L,9--- Rafter ties or bearing ridge beam. -49- Fireplace construction details and talc, if necessary. -+I-- Garage door and/or porch header sizes. AL2: Stud heights. J3-.- Adobe soils - special foundation design. j4•.- Retaining walls requiring design. X15: Special Inspection requirements. _1.6- Header size. -1't-- Sheetrock nailing inspection required? '� July 1996 3,2 II S"UANEOUS IMMS TOLOOK OUT FOR* Stairway details: landings, rise and run, head clearance, }iandrails (Section 1006). Guardrail details (Section 509). Brick or stone veneer (Section 1403). Exterior plaster - weep screeds (Section 2506). Proper roof pitch for roof covering (Section 1501). Roof covering type - (fire hazard). Foam insulation - protection. 36" halls and stairways. Living area over garage - complete 1 -hour separation required on garage side including supporting walls and posts. Two exits on three - story dwellings (Section 1003). Underfloor access and ventilation (Section 2317.7). Attic access and ventilation (Section 1505). Combustion air for fuel burning appliances - L.P.G. requirements. Noise requirements on duplexes. Energy design. offing at all exterior openings. C.D.F.- responsible area requirements. July= uly 1996 3.3 Certificate of Compliance: Residential Project tone (Page 1 jb,02)"CF- 13, Field Check/ Date -umpiance memos tracKage, roini byslem or Computer) Climate Zone Enforcement Agencyll.lseOnly, GENERAL INIFORMATION Total Conditioned Floor Area- 4A9_14 f t 2 Building Type: 07 ily V��Addition (chepk one or more) Multi -F Existing -Plus -Addition Front Orientation: _Y7 North/ South West / All Orientations (Input onentation in degrees and circle one.) Number of Dwelling Units: Floor Construction Type: Slab aised loor (circle one or both) BUILDING SHELL INSULATION Construction Component Insulation Assembly Location/Comments Type R -Value U -Value (attic, to ars e, typical, etc.) Wall .............. Wall .............. Roof .............. Roof ............. Floor ............. Floor ............. Slab Edge.... FENESTRATION Shading Devices Fenestration Area Fenestration Interior Exterior .Orientation (sf) U -Value (roller blind, etc.) (shadescreen, etc.) Front..... Front..... Left ....... (6) Left ....... !( Rear..... (W) .Rear-....: Right..... Right..... Skylight ....... Skylight ........ M A „,O r 1114 _. THERMAL Overhang;Er A(AM"i as I ype/c e g Area Thickness sed, 9, etc. (sf) (inches) Location/Description (kitchen, bath, etc. po A7 "Al2 Revised December 1992 0 Certificate of Compliance: Residential (Page 2 of 2) CF -1 R HVAC SYSTEMS Note: Input hydronic or combined hydronic data under Water Heating Systems, except Design Heating Load. Distribution Heating Equipment Minimum Type and Duct or Heat Pump Type (furnace, heat Efficiency Location Piping Thermostat Configuration ump etc) a ,(AFUEIHSPF) (ducts/attic, etc.) R -Value Type (split or package) r_ -.0 _r/ _ 4%-i -. � Cooling Equipment Type (air conditioner, heat pump, evap. cooli Minimum Duct Efficiency Location /SFFR) (attic. etc. WATER HEATING SYSTEMS Water -Heater Tvnp Distribution Duct R -Value Thermostat Type Configuration (split or package) Energy' aExternal Rated' Tank Factor or .Tank Number Input (kW Capacity Recovery Standb9f Insulation in Svstem or Btu/hr) (gallons) Efficiency boss (%)--' R -Value 12 1. For small gas storage (rated input 5 75,000 Btu/hr), electric resistance and heat pump water heaters, list Energy Factor. For large gas storage water heaters (rated input Z 75,000 Btu/hr), list Rated Input, Recovery Efficiency and Standby Loss. For instantaneous gas water heaters, list Rated Input and Recovery Efficiency. SPECIAL FEATURES/REMARKS (Add extra sheets if necessary) AP7-6- COMPLIANCE STATEMENT This certificate of compliance lists the building features and performance specifications needed to comply with Title 24, Parts 1 and 6, of the California Code of Regulations, and the administrative regulations to implement them. This certificate has been signed by the . individual with overall design responsibility. When this certificate of compliance is submitted for a single building plan to be built in multiple orientations, any shading feature that is varied is indicated in the Special Features/Remarks section. Designer or Owner (per Business a Professions code) Documentati % Au hor Name: Name: Title/Firm: Title/Firm: Address: Address: Telephone: Telephone: 97 Lic. u: A (signature) Enforcement Agency Name: Title: Agency: Telephone: (date) (signalur ') J c 'c (signature/stamp) (date) 13—I—A nnromhnr 1992 7, (date) 1 Mandatory Measures Checklist: Residential MF -1R NO1'E: Lowrise residential buildings subject to the Standards must contain these measures regardless of the compliance approach used. Items the features noted shall marked with an asterisk (*) may be superseded by more stringent compliance requirements listed on the Certificate of Compliance. When this checklist is incorporated into the permit documents. be considered by all parties as binding minimum component performance specifications for the mandatory measures whether they are shown elsewhere in the documents or on this checklist only. DESCRIPTION DESIGNER ENFORCEMENT Building Envelope Measures * §2-5352(a): Minimum ceiling insulation R-19 weighted average. §2-5352(b): Loose fill insulation manufacturer's labeled R -Value. * §2-5352(c): Minimum wall insulation in framed walls R-11 weighted average (does not apply to ✓ exterior mass walls). §2-5352(k): Slab edge insulation - water absorption rate no greater than 0.3%. water vapor transmission rate no greater than 2.0 pernm/mch. §2-5311: Insulation specified or installed meets California Energy Commission (CEC) quality Vol, standards. Indicate type and form. §2-5352(f): Vapor barriers mandatory in Climate Zones 14 and 16 only. §2-5317: Infiltration/Exfiltration Controls a. Doors and windows between conditioned and unconditioned spaces designed to limit air leakage. b. Doors and windows certified. c. Doors and windows weatherstripped; all joints and penetrations caulked and sealed. §2-5352(e): Special infiltration barrier installed to comply with §2-5351 meets CEC quality standards. §2-5352(d): Installation of Fireplaces 1. Masonry and factory -built fireplaces have: a. Tight fitting, closeable metal or glass door b. Outside air intake with damper and control c. Flue damper and control 2. No continuous burning gas pilots allowed HVAC and Plumbing System Measures §2-5352(8) and 2-5303: Space conditioning equipment sizing: attach calculations. §2-5352(h) and 2-5315: Setback thermostat on all applicable heating systems. * §2-5316(a): Ducts constructed, installed and insulated per Chapter 10.1976 UMC. §2-5316(b): Exhaust systems have damper controls. §2-5314(c): Gas-fired space heating equipment has intermittent ignition devices. §2-5314: HVAC equipment. water heaters, showerheads and faucets certified by the CEC. §2-5352(i): Water heater insulation blanket (R-12 or greater) or combined interior/exterior insulation (R-16 or greater); first 5 feet of pipes closest totank insulated (R-3 or greater). §2-5312(Exception 1): Pipe insulation on steam and steam condensate return & recirculating piping. §2-5318(d): Swimming Pool Heating 1. System has: a. On/off switch on heater. b. Weatherproof instruction plate on heater. c. Plumbed to allow for solar. 2.75 percent thermal efficiency. .3. Pool cover. 4. Time clock. 5. Directional water inlet. Lighting and Appliance Measures §2-5352(): Lighting - 25 lumens/watt or greater for general lighting in kitchens and bathrooms. §2-5314(C): Gas firm appliance~ equipped with intermiii.erlt devices. - §2-5314(a): Refrigerators, refrigerator -freezers, freezers and fluorescent lamp ballasts certified : . by the CEC. Indicate make and model number. Form Revised December 1987 COUNTY OF BUTTE- DEPARTMENT OF-15EVELOPMENT SERVICES -BUILDING DIVISION 7 .County Center Drive - Oroville, California 95965 - Telephone (916) 538-7541 P RMI O. APPLICATION AND PERMIT !2 7 - ASSESSOR PARCEL NUMBER 33-16-013 ZONING BUILDING PERMIT OWNER CYNTFITA nD TELEPHONE 934-9238 SO. FT. OCC. BUILDING VALUATION OWNERS MAILING ADDRESS 263 CANYON HIGHLANDS 0R0VTJ,T.F9 95966 CONTRACTOR'S NAME TELEPHONE QWNFR CONTRACTORS MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ Fling Fee $ 20.00 LENDER'S MAIUNG ADDRESS Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEERS MAIUNG ADDRESS Penalty $ BUILOINGADDRESS • T 263 CANYONDS PERMITFEE $ PLUMBING PERMIT Filing Fee 20.00 ELL, Each Trap 7.00 LOT NO. SUBDNIS102NS NAME PARCEL MAP Solar or heat pump water heater 23.00 Water piping 15.00 USEOFSTRUCTURE SF EK Duplex ❑ Mobilehome ❑ Other SPECIFY 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 C Other ❑ Describe Work: INSTALL NEW 200 AMP MAIN ELEC SERV PANEL & SUB PANEL REWIRE 2 EEDRM & BATAS Mobile Home I S I G W J @20.00 PERMITFEE $ Contractor ELECTRICAL PERMIT Filina Fee 20:00 Main ServiceOOOV OR LESS ( zooA OR LESS ) 23.00 Main Service ( 200A TO IaooA ) 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: X kr 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 ADONS. ( 8 ACC. ) SO. 3.5{t FT. UTLE NEW CONST. MULTI -OUTLET NON-RESID. ( BRANCH CIRCUITS ) 97.50 POWER APPARATUS ( a SINGLE OUTLET CIR. / Ex. Occup. (OUTLET OR FIXTURES) BAL @x:50 EX. Occup. FIXED APPUNS. 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 23.00 PRE INSPECTION 2.00 PERMITFEE $ Contractor 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 MECHANICAL PERMIT Filing Fee 20.00 g Heating Cooling Hood 6.50 Ventilation PERMITFEE $ Contractor Policy Number (rhe above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) �,9 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 those provisions. Date —8_a Signatur of Applicant - R OO er ❑ Contractor ❑ Agent An OSHA permit is required for excavations over 5'0" deep and demolition or construction of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee Is occ CONST. TYPE TOTAL FEE $ 89.00 HAZ. I D. FEES I IMP I FLOOD I COF PARCEL I PD HD ISSUE This permit is hereby issued under the of the Butte County Code and/or indicate ove for w - fees ha B PERMITEXPIRESON applicable provisions Resolutions to do work n paid. /� y Date ` (Date) Receipt No. 206019 WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT yn�,�,..� x.��.^.-ti'"q'`"i, ,..., .x •-.., ��. - �..*.'ti «� J - COUNTY OF BUTTE - DEPARTMENT 0VftV/ELOPMENTSERVICES - BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE (916) 538-7541 V PERMIT APPLICATION DATA SHEET OWNER C �. t �n 1 A4 2.rr % Aa + D n/ A. P. No. 3 3 `" Proposed Building Use 61.ee- f wA,, 5-'/ v%- -e Building Inspector Ad, Date At time of permiNpplication, I was advised the following data must be submitted prior to permit processing and/or issuance: DATE RECEIVED BY 1. All items have been submitted . ....................................... . 2. Plot plans, 3/4 sets, signed by preparer of plans . .......................... 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 . ............................................ 6. Energy Design Compliance and supporting documentation . .................. -Heated 7. Statement of�lntent for Non 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 $ .......................................... 11. Impact fees as shown on attached schedule . ............................. . 12.F California'Department of Forestry plan approval/fees. k ....................... 13. 'Flood elevation letter (1001year flood) by California Engineer . ................. . 14. Sanitation and plot plan approval f R ..; Heall:04bepartment. ` 15. City of Chico plumbing pefmit. .......... * ............................. . 16. Plot plan and business license approval from City of Biggs/Gridley. .............. 17. Planning approval for (A) Ose: (B) Parking: ....... ¢ 18. Contact Land Development about (A) Improvements (B) Drainage. ......... . 19. Driveway permit (coLat�Ntj n��appr �ael f�gp`r�ed prig�oeo�cupancy). ...Pre4�spec �eq�e Pre for c�/'' P 20. -inspection = required. .. to Building lnsped%r ate 21. Contractor's license information. (No., Name Style, Classification) . .............. 22. Certificate of Workmans Compensation Insurance . ........................... 23. Owner -Builder Verification (Given to owner , Mail to owner. ............ a 24. Recorded copy of Agricultural Acknowledgement Statement . .................. j_° 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 . ...................................... 32. Plan check list . ..................................................... 33. 34. Wh�ou issue the p ess as follows: Mail to owner., Mail to contractor. A +� Z GKO u (ice Telephon and hold for pickup at office. Deliver with inspector. Other Parcel Creation g Acreage Applicant Date Copy of Haz-Mat form sent Health Dept. Fire Dept. Air Pollution Date Copy of plans sent Health Dept. Fire Dept. Other Date By The following data must be submitted prior to permit issuance: (Circle new item not checked above). 1. Index permit for above items No. 2. Additional items required: Contractor, designer, owner, was advised of above required data by _ phone _ mail Counter by _ Date Contractor, designer, owner, was advised of above required data by _ phone _ mail Counter by _ Date Plans checked by Date Plans approved by Date Sets of plans on hold in File cabinet AP folder Copy - Department of Public Works 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. I personally plan to provide the- major labor and materials for construction of the proposed property improvement: YES[X] NO[ ]. �S 2: I HAVE f ] HAVE NOT[,.,/] signed an application for a .building permit for the proposed work. 3. I have contracted with the following person (firm) to provide the .proposed construction: NAME: ADDRESS: CITY: PHONE: CONTRACTOR'S LICENSE NO. 4. I plan to provide portions of this work, but I have hired the following person to coordinate, supervise, and provide the major work: NAME: ADDRESS: CITY: PHONE: CONTRACTOR'S LICENSE NO. 5. 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:�u. o n., — 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 liabilityif 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 $300 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 employer, you must register with the State and Federal Governments as an employer and you are subject to several obligations including state and federal income tax 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. Sincerel - 4 .r.:fs;` 8 ✓f i1 `t%I. EC.//V lr ,SLC C-, Michael C. Vieiia, C.B.O. Manager, Building Inspection NOTE: This Owner -Builder Information is required by Section 19830 of the California Health and Safety Code. OVER ::::.......:..:............. j1 DATE: OWNER:(_ �— Q A 3 �' 1 3 LOCATION: Lk)�� 1 ZONING: 1 CONTRACTOR PRE -INSPECTION FOR DATE TO INSPECTOR: PERMTr HISTORY: [ ]NONE [ FOLLOWS: F E OF OCCUPANCY: TYP - BUMDING INSFECTOW S REPORT Building Description: [ ] , Commercial/Usage: [ Residential/9 of Units: Mobile Home: Yes[ ] No[ ] Currently Occupied. ^ [ ] Abandoned/Vacant. ?, Yes [ ] No F l ,ctric is currently : [ ] On Condition of electrical? Natural( ] Propane[ ] None[ ] durrently On[ Obvious problems: ion: Plumbing working Yes[ ] No[ ] '` Well: Yes[ ] No[ ] . Potable water: Yes[ J No[ ] ` Obvious Sewage Problems: ction Recommended: [ ]Issue [ ]Hold for: r: �fA COUNTY OF BUTTE- DEPARTMENT -CF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive - Oroville, California- 95965 - Telephone (916) 538-7541. PERMIT NC. -- APPLICATION AND PERMIT ASSESSOR PARCEL NUMBER ZONING BUILDING PERMIT OWNER . / TELEPHONE SO. FT. OCC. BUILDING VALUATION OWNERS WJuNG ADDRESS 24-. ., _ ^� il; .t COMRACTORS NAME TELEF"ON C% COMRACTORS MAILING ADDRESS • Fireplace CONSTRUCTLONLENDER UNMOWN Total Valuation $ Fling Fee $ 20.00 LE►oER's MAILING AooaEss _ Permit Fee $ ARCWTECT OR ENOWEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ AROWTECT OR ENGINEERMAILINGMANG ADDRESS Penalty $ BuaaNGADDRESS •, r l 26 i G( /�-�` S PERMITFEE $ PLUMBINGPERMIT Filing Fee 20.00 J � - Cr Z) L1 C Each -Trap 7.00 LOT No. SUBOIYISIONS NAME PARCEL MAP 1 Solar or heat pump water heater 23.00 Water piping 15.00 USEOFSTRUCTURE SF CLYDuplex _❑ Mobilehome O Other SPECIFY 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 O Remodel ❑ Utilities ❑ Installation E7 Other ❑ Describe Work: 11'e L I-'- L �yY? << r". V �' C' f" :i �,' i ' i /%t2.� • ,- / Mobile Home I S I GI W I @20.00 PERMITFEE s Contractor ELECTRICAL PERMIT Filing Fee 20.00 Main Service e00v OR LESS ( 200A OR LESS J - 23.00 C' - Main Service ( 200A TO 1000A J 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 I hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: O 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. O 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 reasonMECHANICAL WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ I 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.) ❑ 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 those provisions. X _____ Date Signature of Applicant - O Owner O Contractor O Agent An OSHA permit is required for excavations over 5'0' deep and demolition or construction of structures over 3 stories in height. NEW CONST. DWELLING OCCUP. OR N ( a etas. J 50. 3.5¢ FT. TI- ounET CONST. MULn- NON-RESIO. ( BRANCH CIRCUITS J @7.50 POWER APPARA 'CI ( a SINGLE OUTLET CIA. ) Ex. Occup. (OUTLET OR FIXTURES) 2O ^ 1•00 9A0 @ .30 E(, OCCV FIXED APPLNS. OR p ( OUTLETS (RESIO.) ENI J 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 •�•J. J'CN 11 PERMITFEE Contractor PERMIT Fling Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMITFEE S Contractor Mobile Home Installation Fee $ Energy Inspection Fee $ occco NS T. TYPE TOTAL FEE $ tl ` H D FEES I IMP I FLOOD I COF I PARCEL I PD No I ISSUE This permit is hereby issued under tyle of the Butte County Code and/or indicated above for which fees have By PERMITEXPIRESON applicable provisions Resolutions to do work been paid. Date (DaTel RecelptNo. ��� �' WHITED 0 S •B 0 CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT �y Y - �l..T-{sr `).. Y` +.++ .--i; �.-:X.A •j .,-sem... efM•->'.:.- a a .�('n Y+. �' tlF'•"G�"ac �_ ..,Y f ( �F - lz� 'J�• � Y 4 �l r __._„RESIDENTIAL x'033-160-013 PERMIT#96-2004 HERRINGTON;` Cynthia s 263 Canyon Highlands, Oroville Rebuild Deck,Restucco,Sheetrock/SF; ti JOB FINALED (Date)— Signature V=OK O = Not OK Not Not Ready MOBILE HOMES Date MOBILE HOME UTILITIES (Plans) OK except #'s 1. Zoning Requirements - Setbacks - Easements 2. Soils; Special MH Support Sketch 3. Sewer, Location -Test -Fall -C/O -Concrete 4. Water Location -Test -Easement Needed (Sketch) S. Electricity; Location-Clearances-Gmd-/ /Amp -Concrete 6. Gas; Location -Test -Wrap; / JUL / /Nat. or/ /'L°tL/ /LPG 7. Well Clearance & Disconnect 8. Utility Clearance 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 )eman WAKAL Connector 4. Electricity; MH Test -Crossovers -Breakers -Clearances 5. Drain; MH Test -Fall -Flex Connector 6. Water; MH Test -Regulator -Connector 7. Water and Sewer Connected -C/O to Grade -HD Approval 8. Gas and Electricity Tagged 9. Tie Downs -Type -Installation Cert. 10. Exits; Insp.-Sketch 11. Cert of Occupancy Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 MISCELLANEOUS Date DECKS, COVERS, CARPORTS, GARAGES (Plans)OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Footings; SoilsSize-DepthSpacing-Connectors-Steel .3. Decks; Girders and/or Joists-Decking-BiacingStairs-Rails 4. Wood Awn.; Posts-Beams-Rttrs.-Connectors Shthg.-Rfg: Bracing 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Carports; Windows -Doors 7. Electric 8. Frmg.; Sils-AnchorsStuds-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/S-Circulating Equip. -Heater 8. Elec.; Grounding; Equip. w/8 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 o = OK RESIDENTIAL (Single & Duplex) - = Not Applicahle Not Ready Date UNDERFLOOR (Plans) OK except #'s 1. ZoningSetbacks-Easments-FloodSlope 2. Ftg., Main; Soils-Elec. Gmd -/ /° Fig. Depth 3. Ftg. Garage; Soils-Steel-Elec. Gmd/ N Fig. Depth 4. Fig. Porches & Decks; SoilsSteel-/ P Fig. Depth S. Stemwalls, Main; Steel-Blockouts-Wrapped 6. Stemwalls, Garage; Steel-Blockouts-Wrapped 6a. Hold Downs and Special Anchors 7. Slab, Steel -Wrapped 8. Piers -Fireplace Ftg.-Steel 9. D.W.V.; Fall -Fitting -Test -2 Way C/O -Sewer Test 10. UF. Gas Pipe; Size Anchors - Yard Gas Piping; Size Test 11. Water Pipe; Test -Anchors -Regulator -Service Test 12. Electric Underground 13. Pienums & Ducts; Clearance-Mater.alSupport-Ins. 14. Girders -Sills -Anchor Bolts-Joists-Vents-Crippies 15. Access & Ventilation 16. Insulation Date Card B-1 Date Card B-1 Date Card B-1 Date Card E-1 Date PLUMBING (Permit) OK except #'s 17. Water Htr.; Vent -Access -Combustion Air Baffle 18. Water Pipe; Test & Anchor -Nail Protection 19. D.W.V.; Test Fittings & Anchor -Nail Protection 20. Shower Pan; Test, First Floor -Tub Access 21. Test Tub & Shower, Second Floor -Tub Access 22. Gas Pipe; Sixe & Anchors Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date ELECTRICAL (Permit) OK except #'s 23. Fixture & Transformer Clearance -Ins. Protection 24. Elec. Receptacles Spacing -Lights & Switches at Doors 25. Size Boxes & No. of Conductors Stapled 26. Romex Installed Close to Edge of Studs & C.J. 27. Equip. Ground made up w/Mech Fastners-Bond Gas & Water 28. 2 Appliance Circuits in Kitchen & Conductor Size GFI 29. Subfeed Wire Size / / ga. Cu or M-A.C. Wire Size / / ga Cu or Al 30. Range Circ. / / ga Cu or AI -Oven Circ. / / ga Cu or AI Insulated Neutral Q Yes Q No 31. Service -Riser Conductors & Ground -Main Disconect 32. Equip. Clearances Panels -Motors -Meth. Epuip. 33. Clothes Closet Light -Shower Light -Spa Light 34. Smoke Detector 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. Fumance-Vent Access -Comb. Air-Retum Air Vent 115 outlet 39. Attic Access & Platform if Furnace in Attic Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date FRAMING (Plans) OK except #'s 40. Sits Proper Materials & Anchors 41. Walls Studs -Nailing Spacing & Braces -Plates -Sound 42. Bearing Walls over Girders & Floor Nailing 43. Draft Stop in Walls (rat proof) 44. Fire Stops, Furred Ceilings -Stairs -Chasers -Tubs 45. Headers & Beams -Size & Bearing Date FRAMING (Continued) 46. Hangers -Post Caps -Anchors -Connectors 47. Cling. Joist-Rftr. Ties-Purlin-roll Brac.-TrussShting: Rfng. 48. Fireplace Ties or Type A Flue -Fireplace Throat clearance 49. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 50. Bdrm. Windows or Exiting Doors -Sill Hgt & Dimensions 51. Garage Fire Protection Framing 52. Property Line Firewall & Openings 53. Ext. Doors -One 3 -Check Garage 3rd Story, 2 Exits 64. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 55. Plywood on Roof Overhang -Attic Vents -Rafter Outriggers 56. Siding -Nailing Veneer 57. Stucco Mesh -D ip Screed -Fd. Vents-Underflr. Access 58. Glazing Area -Glass Protection -Skylights -Plastic 59. Shear Walls; Nailing -Bolts 60. Brace Wall Panels 61. Insulation -Walls -Ceilings 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 63. Ext Steps -Door & Sidelight Protection -Landings 64. Smoke Detector 65. Furnace; Vents -Clearance -Comb, Air-Conector- In Garage; Above Floor -Ducts -Meth. Protection 66. Bedroom Exiting 67. G.F.I. & Bath Fixtures & Tub Access -Spa 68. Elec. 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 & Recepticales 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 -Meth. Protection 77. Plb., Elec. & Mech. Equip. Listed for Location 78. Elec. Receptacles in Garage (G.F.I.)-Romex Protection 79. Insulation -Foam -Looked in Attic 80. Guard rails & Deck Construction -Post Caps 81. Fdn. VBents & Crawl Hole Door Drainage & Wood -Earth Clearance Looked under Floor p Yes 82. Following Instid./Drive 0 Yes 0 No/Walks 0 Yes Q No/Planters Q Yes Q No 83. Stucco Brown -Finish 84. A.C. Unit Disconnect, Electrical -Plumbing 85. Vents Above Roof, Plbg-Appliance-Fireplace-Clearance to Openings 86. Water Well, Disconnect, Electrical, Plumbing 87. Exterior Elec. Trim, G.F.I. Receptacle -Underground 88. Ventilation Throught 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 93. 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: J 5 3 2- l q 2 (cu"�T pt�) 1//7k6 COUNTY OF BUTTE -DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING DIVISION 7 County Center Drive - Orovill6, California 95965 - Telephone (916) 538-7541 PERMIT NO. APPLICATION AND PERMIT ASSESSOR PARCEL NUMBER 033-160-013 ZONING ARI BUILDINGPERMIT OWNER CYNTHIA HERRINGTON T5 O 9238 SO. FT. OCC. BUILDING VALUATIO 0 1400.00 OWNER'S MAILING ADDRESS 263 CANYON HIGHLANDS OR OVILLE, 95966 600.00 CONTRACTOR'S NAME OGINER TELEPHONE CONTRACTORS MAILING ADDRESS Fireplace CONSTRUCTION LENDER NONE UNMOWN Total Valuation Is Fling Fee $ 20.00 LENDERS MAILING ADDRESS Permit Fee $ S. ARCHITECT OR ENGINEER ALONE LICENSE NO. Plan CheckingFee $ �� Energy Plan Checking Fee $ ARCHITECT OR ENGINEERS MAIUNG ADDRESS Penalty $ BUILDING ADDRESS 263 CANYON HIGHLANDS PERMITFEE $ 15 PLUMBING PERMIT Fling Fee 20.00 OROVILLE, 95966 Each Trap 7.00 ZoD LOT NO. SUBDIVISION'S NAME PARCEL MAP Solar or heat pump water heater 23.00 Water piping 15.00 USE OF STRUCTURE SF ❑� Duplex ❑ Mobilehome ❑ Other SPECIFY Each gas water heater or vent 15.00 Gaspipings stem 1 - 5 outlets 15.00 y Building sewer 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other CX Describe Work: REBUILD DECK (IOX20) , RESTUCCO (DONE — BY PREVIOUS OWNER) & SHEETROCK. Mobile Home I S I GI W 1 920.00 PERMITFEE $ �,0p Contractor ELECTRICAL PERMIT Filinq Fee 20:00 i 1"" e00v OR LESS Main Service zooA OR IFss ) 23.00 Main Service ( 200A To 1000A ) 46.00 I 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 IL 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 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 NEW CONST. DWELLING OCCU P. SD. OR ( s ACC.) 3.5¢ Fr. NEW CONADOST. MULTI-OUUTLETLE T NON-RESID. ( BRANCH CIRCUITS ) @7.50 POWER APPARATUS (a SINGLE OUTLET CIR. ) Ex. Occup.( OUTLET OR FIXTURES ) 20 Q 1.00 SAL Ex. Occup. ( OFIXED UTLETS(D.)EA) RES .50 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMITFEE $ Contractor MECHANICAL PERMIT Filing Fee 20.00 9 Heating Cooling Hood 6.50 Ventilation PERMITFEE $ 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.) 1 certify that in the performance of the work for which this permit is issued, I shallTOTAL 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 �' 4L�L �Date _01'.311, Signature ' f Applicant - Y� O,Wner ❑ Contractor ❑ Agent An OSHA permit is required for excavations over 5'0" deep and demolition or construction of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee Is OCC CONST. TYPE FEE $ 4;I� HA2. 1 D. FEES I IMP 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 h f indicated above for whicees have been paid. Byt J Dat l � 9 PERMITEXPIRESON Co (ate) Receipt No. Q3 �a S` S,� WHITE-D.D.S.-B.D. CANARY-ASSESSO PINK-INSJrECTOR GO ENROD-AP CANT COUNTY OF BUTTE - DEPARTMENTOF DFV/ELOPMENTSERVICES -BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE (916) 538-7541 PERMIT APPLICATION DATA SHEET OWNER r i t© r/1 P No..(DCk3 led rQ� Proposed Building Use n �c- Building Inspector (..a'� Date 10 At time of rmit application, I was advised the following data must be submitted prior to permit processing and/or issuance: DATE RECEIVED BY 1, All items av been submitted......................................... Plot plan �4 sets, signed by preparer of plans . .......................... . 9-2- 96 e-_� 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 . ............................................ 6. Energy Design Compliance and supporting documentation . ................... 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. ........... Fees of $ 4 S 3 fl .......................................... 11. Impact fees as shown on attached schedule . ............................. . 12. California Department of Forestry plan approval/fees. ......................... . 13. Flood elevation letter (100 year flood) by California Engineer. ..........:...... . 14. 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. Pre -inspection for P�anspec1Ins `�q"� p required. .. to B��ia��y Inspector (Date) 21. Contractor's license information. (No., Name Style, Classification) . ............. . 22. Certificate of Workmans Compensation Insurance . .......................... 23. Owner -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 . ..................................... . 32. Plan check list . ..................................................... 33. 34. When you issue the permit, process as follows: Mail to owner. Mail to contractor. Telephone and hold for pickup at office. Deliver with inspector. Other Parcel Creation Acreage Applicant Date Copy of Haz-Mat form sent Health Dept. Fire Dept. Air Pollution Date Copy of plans sent Health Dept. Fire Dept. Other Date By The following data must be submitted prior to permit issuance: (Circle new item not checked above). 1. Index permit for above items No. 2. Additional items required: Contractor, designer, owner, was advised of above required data by _ phone _ mail Counter by _ Date Contractor, designer, owner, was advised of above required data by _ phone _ mail Counter by _ Date Plans checked by Date Plans approved by Date Sets of plans on hold in File cabinet AP folder Copy - Department of Public Works 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. I personally plan to provide the major labor and materials for construction of the proposed property improvement: YES[)d NO[ ]. 2. I HAVE[] HAVE NOT[ ] signed. an application for a .building permit for the proposed work. 3. I have contracted with the following person (firm) to provide the zronosed construction: NAME: ADDRESS: CITY: PHONE: CONTRACTOR'S LICENSE NO. 4. I plan to provide portions of this work, but I have hired the following person to coordinate, supervise, and provide the major work: NAME: ADDRESS: CITY: PHONE: CONTRACTOR'S LICENSE NO. 5. 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: mlw tE - 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 $300 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 employer, you must register with the State and Federal Governments as an employer and you are subject to several obligations including state and federal income tax 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. Sinc?re, 41 Michael C. Vieiia, C.B.O. Manager, Building Inspection NOTE: This O%Nmer-Builder Information is required by Section 19830 of the California Health and Safety Code. OVER COUNTY OF BUTTE BUILDING DIVISION DEPARTMENT OF DEVELOPMENT SERVICES 1469�Humboldt Road, Chico, CA - (916) 891-2751 7 CountyCenter Drive, Oroville, CA - (916) 538-7541 747 Eliiott Road, Paradise, CA - (916) 872-6307 CORRECTION NOTICE 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>o`ffice immediately. G a PAI f!/MHG9NOS N Cam s p `CJ `tis' 0 om V p ts; � "o NNN ti tp ®D �lWtotd -l2:6'9 i G a PAI f!/MHG9NOS N Cam s p `CJ `tis' 0 om V p ts; � "o NNN ti tp ®D �lWtotd -l2:6'9 I A NIq an 1Z I A NIq an 1 -. .. � � _ -••^_ ti.. � ". � yr .,.- ...-. � --.� ;; 4 _i _ � � w� . � _ r �.v �� _ .n..� �� �.. v.�, v.,.\„ �N-•i�. "y...�-.-�_...� �.--- � _ c Pe mit#2661-86B Roma Hobbie 263 CAnyom Highlands br,Oro COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT NO. 7 County Center Drive - Oroville, California 95965 - Telephone 916/534-4541 APPLICA 10N AND PERMIT ASSESSO PARCEL NUMBER 2 ARCS ZONING BUILDING PERMIT- ' OWNER'S Mrs. Roma Robbie TELEPHONE 53" _125 SQ. FT. OCC. BUILDING VALUATION ! / ( / / OWNER'S MAILING ADDRESS 263 Canvonhiahlands Dr. Oroville ` CONTRACTOR'S NAME - TELEPHONE George Roofing 511 343 CONTRACTOR'S MAILING ADDRESS 3923 Olive Hw . oroville Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ Filing Fee $ 10,00 LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER LICENSE No. Plan Checking Fee ,$ ... Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS 63 Canvon Hiahlands Dr. Oroville Permit fee $ PLUMBING PERMIT Filing Fee 10.00 - Each Trap 2.00 Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP Water piping !. 5.00 Each gas water heater or vent 5.00 USE OF STRUCTURE SF;Q Duplex❑ Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home S I G I W 10.00 ea TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Uti ties ❑ Installation[] Other ® Describe work: ROOfinq p _ Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 600V OR LESS 10.00 100 AMP OR LESS Main service EA. ADD'L 100 AMP 2.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (Check One): ® 1 am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license Is In full force and effect. 452265 C-39 License No. Classification ❑ I, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONST, / DWELLING OCCUP.N) '/z¢sgft OR ADDNS. ACC. BLDGS. l NEW CONSTR. MULTI -OUTLET 2,50 ea NON-RESID BRANCH CIRCUITS POWER APPARATUS tr (SINGLE OUTLET CIR. Ex. Occup(OUTLETS OR FIXTURES 20e50t eALe3o FIXED Ex. OCCUp. OUTLETS PIRESID.IREA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Iyirin 15.00 g Permit Fee $ Contractor ` MECHANICAL PERMIT Filing Fee 10.00 WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. 0 I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. ❑ I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. Heating Cooling Hood 3.00 Ventilation Permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the Countyot Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, cost -s, and expenses which may in any way accrue against said County in consequence of the granting of this permit. `-.2_1?F Signature of Applicant — Owner g pp ❑ 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 11/7 OCCUP. CONST.TYPC I I FLOOD PARCEL PD ND I ISSUE This permit is hereby issued under the applicable provi- sions of the Butte County Code and/or resolutions to do work in ted above fpr which fees have been aid. f p DIR OF PUBLI`C'WORKS / l B Date411 PERMIT EXPIRES Date Receipt No. !_ WHITE-D.P.W.. YELLOW-A33E330R, PINK -INSPECTOR, GOLDENROD-APPLI CANT COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 - Telephone 916/534-4541 APPLICATION AND PERMIT PERMIT NO. ASSESSO P=R�ELL'NUMR /6 z°"'� BUILDING PERMIT OWNS - Mrs. Roma Hobbie TELEPHONE 533-1125 SQ. FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS 263 Can on Hi hlands Dr. Oroville CONTRACTOR NAME TELEPHONE Geor eRoofin 533-6393 CONTRA TORS MAILING ODRESS 3923 Olive Hwy. Oroville Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation Is Filing Fee $ 10,00 LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEERS MAILING ADDRESS Penalty $ DR BUILDING ADDRESS 263 Canyon Highlands Dr. Oroville Permit fee $ PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP Water piping 5.00 Each qas water heater or vent 5.00 USE OF STRUCTURE SFf] Duplex❑ Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home I S I G JW I 1 .00 ea TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Uti ties ❑ Installation ❑ Other Q Describe work: Roofing 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): ® I am licensed under provisions of Chapt. 9, Div. 3 of the Business/POWER and Professions Code and my license is in full force and effect. License No. 452266 Classification C-39EX, ❑ I, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ontract- ors.(Sec. 7044) ors. ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONST. DWELLING OCCUP.Ed\/zQsgft OR ADDNS. ACC. BLOGS. NEw CONST -R U TI -OUTLET 2,50 ea NON -R ESI D. BRANCH CIRC ITS APPARATUS e) (SINGLE OUTLET CIR. OCCUp(OUTLETS OR FIXTURES e AL*30 \ Ex. Occup. OUTLETS FIXED P(RESID,)REA.) 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 penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. Q 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 becomesubject 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 Cooling Hood 3.00 Ventilation permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liab'li es, judgment ,cos a expenses which may in any way accrue agains s 'd County in nseq nc of the granting of this permit. P X . Date 9-2-86 Signature of Applicant — Owner ❑ Contractor ❑ Agent Is 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 F -EE' $ oCCUP, CONST.TYPE FLOOD PARCEL PD ND ISSUE This permit is hereby issued under sions of the Butte County Code and/or work indi ed above f r which DIR OF PU B PER EXPIRES Date the applicable provi- resolutions to do fees have been paid. I WORKS Dat27— e 7707 Receipt No. WHITE-D.P.W.• YELLOW -ASSESSOR. PINK -INSPECTOR. GOLDENROD -APPLICANT OFprOUNry X986 a lb _ _'m I • �7 �,� 3 0._ .fie 5 �,. � n =T ` mma f os G�Gp.�O