Loading...
HomeMy WebLinkAbout035-226-00235-226-2 MARIE M. WEST /W corner--of--HelmanC-6,: Marysville Rd. , lot Oroville Permit ##6062-75B eplace siding on entire house/SF)j 35-226-2 HANSQ i LINKINGBEARD SW cor Hdljiln & Baggett Mysv R , -rovillel Contr: O.W. C�r� ingbeard yarmit#2621-S5P, E—, i li; -N�fi) ELEC 5 .2004 F GAS V47- SUPPORT STRUCTURE REQ®�I AO - COMPACTION TEST RE %/Vb ,35-226-2port Cont:�O�W Clink,iagbea<`rd Perm-'� #2944-85MH 5'U D ��-� YS 35-226-02 ANSFORD CLINKINGBEARD.- • . 4801 Helman, ORoville PErmit#3351-88B,E(add wasa/Jn Qg)SF 035-22-6-002 I - 92-4325P CLINKINGBEARD, Hansfor3 4805 Baggett Marysville Rd, oville, repair gas.line/mh - '035-22-6-002 CLINKING BEARD, HANSFORD 93-2020 B 4801 BAGGETT RD,OROVILLE •PARTIAL REROOF/SF `. u 035-226-002 PERMIT#98-0048 CLINKINGBEARD, Hansford" 4801 Baggett Maryseille-R Orov 11 Replace ' Gas Line/SF •' a I q �,,. .. .. 035-226-002 03-0293",.,'-` CLINKINGBEARD, HANSFORD x :, 4801 BAGGET MARYSVIL_LE OROVILLE +r �NALED RE-ROOF%0 3 � CN 4 , 035-226':002 t'^s,r a 03,0293'-V CLINKINGBEARD HANSFORD r F .' 4801 BAGGET MARYSVILLE RD n, r N A&ILLE t r: + RE RO 3 COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive • Oroville, California 95965 • Telephone (530) 538- 41 PERMItT NO. (Rev. 12/96) APPLICATION AND PERMIT -P ASSESSOR PARCEL NUMBER 035-226-002 ZONING BUILDING PERMIT OWNER CLINK NGB TELEPHONE 928-R170 SO. FT. OCC. BUILDING VALUATION 3 S AFS 180.00 OWNERS MAILING ADDRESS r 92807 CONTRACTOR'S NAME O 14TR TELEPHONE CONTRACTORS MAILING ADDRESS CONSTRUCTION LENDER Fireplace LENDER'S MAIUNG ADDRESS Total Valuation $ 180.00 ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00 Permit Fee $ 15.00 ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ BUILDINGADDRESS 4801 FAGGET MARYSVILLE ROAD OROVILLE CA 96 Energy Plan Checking Fee $ $ PERMIT FEE $ 35.00 LAT NO. SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMIT Fling Fee 20.00 Each Trap 7.0023.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome ❑ Other SPECIFY Solar or heat um water heater Water piping 15.00 Each gas water heater or vent 15.00 TYPE OF WORK NevXO Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other M. Describe Work: RE ROOF WITH CMIP Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home I S I G W @20.00 PERMIT FEE $ ELECTRICAL PERMIT Fling Fee 20.00 Main Service ".A OR LESS 23.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license ig full lorce and effect. r�, �, Lic. No. License Class 7 I!p 1 8 7 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, 11 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 TO 46.00So CCU000A WEE200A NEW CONST. DWELLING OCCUP. OR ADDNS. ( a ACC. BLAS. SO 3.5QFT: NON pDI.. MULTI -OUTLET 97.50 POWER APPARATUS 8 SgJGLE OUTLET CIR. Ex. Occup. OUTLET OR FIXTURES BAL ° ': o Ex. Occup. oUTLEeDrs AF�sID )ea 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE $ WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ 1 have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE $ 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.) A I certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall forthwith comply with those provisions. , 9 — X �l�I �- Date - � Q Signature of pplicant - 01,Owner VFCOntractor ❑ Agent An OSHA permit is required for excavations over 60" deep and demolition or construction of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ Occ CONST. TYPE TOTAL FEE $ 35.00 HAZ. 1 D. FEES IMP I FLOOD I CDF PARCEL PD HD ISSUE This permit is hereby issued under the applicable provisions in the Butte County Code and/or Resolutions to do work indicated above for which fees have been paid. Date PERMIT EXPIRES ON C ate T Receipt No. 35--196 WHITE-D.D.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 (530) 538-7541 PERMIT NO. 6(Rev. 12/96) APPLICATION AND PERMIT `!0IR 9? ASSESSOR PARCEL NUMBER 035-226-002 ZONING BUILDING PERMIT OWNER CLINKINGBEARD, HANSFORD 714) TELEPHONE 998-8170 SO. FT. OCC. BUILDING VALUATION j j 3 �+ ES 180.00 OWNERS MAILING ADDRESS 5400 EAST WESTRIDGEa 92807 CONTRACTOR'S NAME r Q'AER TELEPHONE CONTRACTORS MAIUNG ADDRESS CONSTRUCTION LENDER Fireplace LENDER'S MAIUNG ADDRESS Total valuation $ 180.00 ARCHITECT OR ENGINEER LICENSE NO. Flin Fee $ 20.00 Permit Fee $ 15.00 ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ BUILDING ADDRESS 4801 BAGGI F MARYSVILLE ROAD OR Energy Plan Checking Fee $ $ PERMIT FEE $ 35,00 LOT NO. SUBDNISIONS NAME PARCEL MAP PLUMBING PERMIT Fling Fee 20.00 Each Trap 7.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome ❑ Other SPECIFY Solar or heat pump water heater 23.00 Water piping 15.00 Each gas water heater or vent 15.00 TYPE OF WORK NevX❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other EX Describe Work: RE ROOF WITH COMP Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home I S I G I W 1@20.00 PERMIT FEE S ELECTRICAL PERMIT Fling Fee 20.00 "OOV OR LESS Main Service 20.AORLESS 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 ' fu1 Orce and effect.- �• LIC. NO. License Class ) J (!X OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ 1 have and will maintain workers' compensation Insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier Policy Number (The above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) I certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall provisions. hwith comply withRa404e_'_�Date X ort • d Vim S gnature of pplicant - A Owner PWontractor ❑ Agent An OSHA permit is required for excavations over 60" deep and demolition or construction of structures over 3 stories in heig t. Main Service zooA TO lOooA 46.00 NEW CONST. DWELLING OCCUP. SO OR ADDNS. ( 8 ACC. BLDS. 3.52 FT. N RESIDT MULTI -OUTLET @7.50 POWER APPARATUS 8 SINGLE OUTLET CIR. Ex. Occup. OUTLET OR FIXTURES BAL 9 I .50 Ex. Occup. OUTLETS PR=.DeA 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE $ MECHANICAL PERMIT Fling Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FET: $ Mobile Home Installation Fee $ Energy Inspection Fee $ Occ CONST. TYPE TOTAL FEE $ 35.00 HAZ. D. FEES IMP I FLOOD CDF PARCEL PO HD ISSUE This permit is hereby issued under the applicable provisions of the Butte County Code and/or Resolutions to do work indicated above for which fees have been paid. Date r PERMIT EXPIRES ON p�/* Receipt No. � WHITE-D.D.S.-B.D. ANARY• SS SSOR PINK -INSPECTOR GOLDENROD -APPLICANT (f -� vr;�A IL - 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. 9personally plan to provide the major labor and materials for construction of the proposed (/'��operty improvement: YES NO ❑ 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 proposed construction: — NAME: ! - ADDRESS: CITY: 4. I plan RrI supervise, NAME: ADDRESS: PHONE: CONTRACTOR'S LI portions of this work, but I have vide the major work: - 5. I will provide some of the work indicated: NAME NO. the following person to coordinate, CITY: CONT TOR'S LICENSE NO. work but I have contrac red) the following persons to provide ADDRESS PHONE TYPE OF WORK SIGNED: PROPERTYOWNER SOCIAL SECURITY DATE: } -3 C� NOTE: Tis 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. O.B.-1 OWNER BUILDER INFORMATION 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: ♦ 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. ♦ 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 carry out these obligations, and these risks are especially serious with respect to worker's compensation insurance. a ♦ 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. 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 " Address GAS. . ' —:—, ' *. . Meter By Date I c 1. Address GAS. . ' —:—, ' *. . Meter By Date I c COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive - Oroville, California 95965 - Telephone (916) 538-7541 PERMIT NO. (Rev. 12/96) APPLICATION AND PERMIT Y8" nnq9! ASSESSOR PARCEL NUMBER ZONING BUILDING PERMIT " OWNER TELEPHONE SO. FT. OCC. BUILDING VALUATION OWNERS MAILING ADDRESS CONTRACTOR'S NAME TELEPHONE CONTRACTORS MAILING ADDRESS CONSTRUCTION LENDER Fireplace LENDER'S MAILING ADDRESS Total Valuation $ ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00 Permit Fee $ ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ BUILDING4D�F�Ss BAGGETT MARYSVILLE ROAD, OROVILLE Li�j� 1 Energy Plan Checking Fee $ $ I PERMIT FEE $ LOT NO. SUBDIVISION'S NAME PARCEJ MAP PLUMBING PERMIT Filing Fee 20.00 USEOFSTRUCTURE 1 SF ❑XDuplex ❑ Mobilehome ❑ Other SPECIFY Each Trap 7.00 Solar or heat pump water heater 23.00 Water piping 15.00 Each as water heater or vent 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other Q~ Describe Work: REPLACE GAS PIPING Gas piping system 1 - 5 outlets 15.00 -00 Building sewer 15.00 Mobile Home ISI GI W @20.00 PERMIT FEE S • ELECTRICAL PERMIT Fling Fee 20.00 OR Main Service OOOV 2oonoRLEssLES9 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.PSINGow License Class LIC. NO. OWNER -BUILDER DECLARATION 1 hereby affirm under penalty of perjury that I am exempt from the Contractors License law for the following reason: ❑ I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. .►,d las owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason Main Service 200A TO 1000A 46.00 NEW CONST. DWELLING OCCUP. OR ADDNS. ( 8 ACC. S. s0 3.52F7. =RI.. MULTI.OU CIRCUITST @7.50 d E OUERLAPPARTLET CIR.ATus OUTLET OR FIXTURES Ex. Occup.BAL 20 Q 1'00 Q .50 Ex. Occup. O,F,IT%E, S REESS,U.OEA 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE S WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: i ❑ 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 Fling Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEt S 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, 1 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 comp y with those provisions. X Date=/;L=574 _ nature of Applicant - Owner ❑ Contractor ❑ Agent An OSHA permit is required for excavations over 60" deep and demolition or construction of structures over 3 stories in height. Mobile Home Installation Fee I $ Energy Inspection Fee $ occ CONST. TYPE TOTAL FEE $ 35.00 HAz. D FEES IMP FLOOD CDF PARCEL PO HD ISSU This permit is hereby issued under the applicable of the Butte County Code and/or Resolutions indicated above for which fees have been / By f �', Lr� Date PERMIT EXPIRES ON /Oafs provisions to do work paid. Receipt No. 231515 WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT COUNTY OF BUTTE -DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING DIVISION 7 County Center Drive - Orovillep.Califgjnia 95965 - Telephone (916) 538-754�g PERMIT NO• (Rev. 12'/96) APPLICATION AND PERMIT U=e ASSESSOR PARCEL NUMBER '- z ZONING BUILDING PERMIT OWNER TELEPHONE SO. FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS 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 $ ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ BUILDIN'496�SS BAGGETT MARYSVILLE ROAD, OROVILLE !{�Ul Ener Plan Checking 9Y g Fee $ PERMIT FEE $ LOT NO. SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMIT Fling Fee 20.00 USEOFSTRUCTURE SF ❑XDuplex ❑ Mobilehome ❑ Other SPECIFY Each Trap 7.00 Solar or heat'pump water heater 23.00 Water piping 15.00 Each as water heater or vent 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other CK Describe Work: REPLACE GAS PIPING Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home ISI GI W1 @20.00 PERMIT FEE $ 5.00 ELECTRICAL PERMIT Fling Fee 20.00 Main Service 0z0oon oa'ss 23.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect. License Class LIC. No. OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors License aw 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. �.1C I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason Main Service 200A TO 1000A 46.00 NEW CONST. DWELLING OCCUP. OR ADDNS. ( & ACC. BUDS. s0 3.5¢x_ NEW COST: NON -R SND. A,ICI OUTCU 97.50 PowER APPARATus 8 SINGLE OUTLET CIR. Ex. Occup. OUTLET OR FDTTURES BA010 zL@ . .50 Ex. Occup. ETApalp,DFRq 5.00 Tem orar Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring23.00 PERMIT FEE _ WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ 1 have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE S Policy Number (The above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) I certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall forthwith comp y with t se provisions. X Date _%�_ ature of Applicant - Owner ❑ Contractor ❑ Agent An OSHA permit is required for excavations over 60" deep and demolition or construction of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ I occ CONST. TYPE TOTAL FEE $ 35.00 HAZ. D. FES IMP I FLOOD I CDF PARCEL I Po I HD ISSU This permit is hereby issued under of the Butte County Code and/or indicated above for which fees have D By PERMIT EXPIRES ON the applicable provisions Resolutions to do work been paid. Date p e ReceiptNo. 231515 WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT �,-' i u-` is £ `'iC -�, .. .-�.�.,;- d' ��. •.:>+.W" °.��i' +. ���`'� w rK;.r .:' -;c -.. .� .� COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 COUNTY CENTER DRIVE - O1tOVILLY,,*,,GAI ORNIA 95965 - TELEPHONE (916) 538-7541 ' '...... PERMY APPLICATION DATA SHEET n" 3S.-- (o OWNER: . � '� ASSESSOR PAR ER: Proposed Bui ding;Use: Building Inspector:;) Date: At. tim' n, I e of.permit applica was ad ' ed the following data must bWbmittei prior to pe it pro easing and/or issuance: Date Received By ❑ 1. All items have been submitted.------------------------------------------------------------------------------------ 02. Plot plans, 3/4 sets, signed by the preparer of plans. ------------------------------------------------------------ 03. Complete plans, 3/4 sets, signed by the preparer of plans. ----------------------------------------------------- 04. Engineered plans, 3/4 sets, with wet signature on plans. All engineering must be shown on plans. -------- ❑ 5. Engineered truss details and layout in duplicate (required prior to plan review) No faxes! ------------------ ❑ 6. Energy Design Compliance and supporting documentation. ---------------------------------------------------- ❑ 7. Statement of Intent for Non -Heated and A/C Buildings. --------------------------------------------------------- ❑ 8. Hazardous Material Form. ------------------------------------------------------------------------------------------ ❑9. Manufactured Home data and installation instructions including Tie Down Specifications .------------------ 9 10. Fees of $ ------------------------------------------------------------------------------------- D 11. 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. ❑ 15. City of Chico plumbing permit. --------------------------------------- 1 ❑ 16. Plot plan and business license approval from the City of Biggs. --- ❑ 17. Planning approval for (A) Use: (B) Parking: -------------------------- 0 18. Contact Land Development about ❑ Improvements, ❑ Drainage, ❑ Legal Parcel. --- ------------------- ❑ 1.9. Encroachment Permit for driveway (construction approval prior to occupancy). ---------------------------- ❑20. Pre -inspection for required Request to Building Inspector on 021. Contractor's license information. (Number, Name Style, Classification). ❑ 22. Workers' Compensation carrier and policy number. ----------------------- ❑2fi: Owner -Builder Verification (Given to owner ❑, Mailed to owner ❑). -• 24. 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. --------------------------------- 0 29. 0433 A, ❑Grant Deed, ❑ M.H. Title, ❑ Check to H.C.D $ E130. Other: When you issue the p t, process as follows ❑ Mail to owner, ❑Mail t ntractor. tTelephone and hold for pickup at " office. 11D liver inspector. Applicant: •�-` Date: Copy of Haz-Mat form sent ❑ Health Department, ❑ Fire Department, ❑ Air Pollution D Copy of plans sent ❑ Health Department, ❑ Fire Department, ❑ Other: Date: By:_ 1. Index permit application for the above items numbered:. ❑ Plan Check List 2. Additional items required: Al 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 Division counter, by Date: Plans reviewed by: Date: Plans approved by: ; Date: Sets of plans on hold in ❑ Plan Cabinet, ❑ A.P. folder. Note transfer by: Date: Yellow Copy - Department of Development Services, Building Division. (Date) JAII.4 L2' _' t ? _ _,^{'I DR IjY ' � i iHLLt P.Fa rdy"` •i �. --- .._.... Z... `^,�G,�,.��/_� i C.r �y-a-.r� -- -- _.- --'--='[rte!-_'i /•7 t' �'7 c� - - - -- -- . ..... T . � � 3���• r � art •r ----- .. ._-__.-__...___ .._-----_ �"'':.r,^�+_C.r„tv.Tc'��6 _L✓..'� ______�i� /___. f/~-F_.-1,0�dr. �. ... v r: ��f!=:.''�r�""F".,�1►�-.s-e�,r��`�`��,�4Y' �,_ _ . , � .. -0@5 # _ • • 0 5 2� 02 1 92-4325P CLINKINGBEARD 4805 Ba `Hansford ggett,Marysville•Rd, Oroville "+ repair gas line/mh . s _ 1 � V'��EZ0ftf '°%� i,y * i�Ri 'rL � t� ' K COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKSZ) PERMIT NO 7 County Center Drive - Oroville, Callfornia 95965 - Telephone: 916/538-7541 C APPLICATION AND PERMIT ASSESSOR PARCEL NUMBER - ZONING 0,35-226-002 BUILDING PERMIT OWNER _ _ HANSFORD CLINRINGBEARD (714) TELEPHONE 998-7801 S0. FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS 5400 E. WESTRIDGE, ANAHEIM HILLS, CA -92708 CO NTRACTO' OL M R'S NAME TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER NONE UNKNOWN Total Valuation Is LENDER'S MAILING ADDRESS Filing Fee $ 15,00 Permit Fee $ ARCHITECT OR ENGINEER NONE LICENSE NO. Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Energy Plan Checking Fee $ Penalty $ BUILDING ADDRESS 4805 BAGGM—MARYSVILLE ROAD, OROVILLE Permit fee a a .. PLUMBING PERMIT Filing Fee 15.00 Each Trap 1 5.00 Solar or heat pump water heater I 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP Water piping 1 7.00 Each qas water heater or vent 7.00 USE OF STRUCTURE Gas piping system 1 - 5 outlets 5.00 SF ❑ Duplex❑ MobilehomeT Other Building sewer 15.00 Mobile Home S W @ 15.00 1S.OQ SPECIFY TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Uti lities [J� Installation[] Other ❑ Permit Fee $ 15.00 Describe work: REPAIR GAS PIPING Contractor ELECTRICAL PERMIT Filing Fee 15.00 Main service 200A OR LE0V OR SS 18.50 Main service 200A TO 1000Ar 37.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): NEW CONST. / DWELLING OCCUPM OR ADDNS, l ACC. BLOGS. // 3.54 sq.ft. ❑ I am licensed under provisions of Chapt. 9, Div. 3 of the BuslnesS NON•RENEWSID CO NSTR BRANCH CIRCUITS @ 5.00 and Professions Code and my license is in full force and effect. (POWER APPARATUS tr1 SINGLE OUTLET cIR. I License No. Classification Ex. Occup(OUTLETS OR FIXTURES 20 76 Q1, as the owner, Or my employees with wages as their sole compen- FIXED APPLNS. OR Ex. Occup. OUTLETS (RESID.1 EA.) 3.00 sation, will do the work,and the structure is not intended or offered Temporary service 15.00 for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- Mobile Home Facilities 15.00 ors. (Sec. 7044) Misc. Wiring -15.00 I ❑ I am exempt under Sec. , Business and Professions Code for this reason —L Permit Fee $ WORKMEN'S COMPENSATION INSURANCE Contractor I declare under penalty of perjury (check one): MECHANICAL PERMIT Filing Fee 1 15.00 ❑ The permit is for $100.00 (valuation) or less. Heating ❑ 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. Cooling I shall not employ any person in any manner so as to become subject Hood 6.50 to the W. C. laws of California. Ventilation 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 Permit Fee $ provisions or this permit shall be deemed revoked. Contractor I certify that I have read this application and state that the above information Mobile Home Installation Fee S is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the Countyot Energy Inspection Fee $ Butte to enter upon the above-mentioned property for inspection purposes. occ CONST TYPE I also agree to save, indemnify and keep harmless the County of Butte against TOTAL FEE $ 30.00 all liabilities, judgments, costs, and expenses which may in any way accrue HAz DFEES IMP FLOOD CDF PARCEL PD D Issu against said County in consequence of the granting of this permit. I I I I X " •°' ''^�j ���' ���'�� Date / - /S = This permit is hereby issued under the applicable provi- Signature of�4Applicant — Own Contractor ❑ Agent ❑ ❑ sions of the,Bytte County Code and/or resolutions to do An OSHA permit is required For excavations over 5'0" deep and demolition or construct- ion of 3 height. �. work indicated abov.for hich fee been paid. la , r� structures over stories in I ECO O UBLIC RKS Receipt � `1 By � XA 12/15/92 No. J(/ PERMLT tkS FIRES Date WNIT!-D.P.W., YELLOW-A59lSSOR, PINK -INSPECTOR. GOLDENROD -APPLICANT �— -- COUNTY OF BUTTE BUILDING DIVISION DEPARTMENT OF DEVELOPMENT SERVICES 1469 Humboldt Road, Chico, CA - (916) 891-2751 7 County Center Drive, Oroville, CA - (916) 538-7541 747 Elliott Road, Paradise, CA - (916) 872-6307 CORRECTION NOTICE C' Q Nil Ca c�.,c� o % A' 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 is completed. If you have any questions pertaining to this matter, or need additional explanation, please contact this office immediately. . i _ _ n - —_ _ — r _ _ — _ .L .04- a4 a L-1 REV t uiaZ Address az-- OFFICE COPY GAS �. Meter By' I�ate— ELECTRIC `t _� Meter By Date pp� Sti l� I\ //u r Address az-- OFFICE COPY GAS �. Meter By' I�ate— ELECTRIC `t _� Meter By Date pp� Sti l� I\ //u COUNTY OF BUTTE - UEAFJ MEN 1 Ur I'IJML-I%, rvvnrNQ 7 County Center Drive - Oroville, alif. nia 95965 - Telephone: 916/538-7541 APPLICAII Ohl ND PERMIT CLINKINGBEARD I Ler. ter.:. (714) 98 801 v IWNER'S MAILIrvG ADDRESS I 5400 E. WESTRIDGE, ANAHEIM HILLS, CA 927(18 :ONTRACTOR'S NAME T OWNER 'ONTRACTOR'S MAILING ADDRESS :ONSTRUCTION LENDER UNKN NONE -ENOER'S MAILING ADDRESS 4RCHITECT OR ENGINEER LICEI NONE ARCHITECT OR ENGINEER'S MAILING ADDRESS NG AODR ROAD, OROVILLE LOT NO. I SUBDIVISION NAME I PARCEL MAP USE OF STRUCTURE SF ❑ Duplex❑ Mobilehome® Other SPECIFY TYPE OF WORK New 17 Addition El Remodel❑ Utilities Installation❑ Other Describe work: REPAIR GAS PIPING _ CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): ❑ I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in full force and effect. License No. Classification I, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure Is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors.. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason — WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. j` 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. I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the Countyot Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue against said County in consequence of the granting of this permit. /r ) n X /�rCtdn�f' CL�cht...f_�I�t��Date,/.", Signature of/Applicant Ow/rEll 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. I Receipt No./ Wil ---J j ELLOW-ASD WHITE-D.P.W.. YE730R• PINK -INSPECTOR, GOLDENROD -APPLICANT 'i...:-ra.-E� :'.Yteyti.�t °a3�::"�.,tt.:.., k',:. � • ... evi•� r,�'.:�.�4d�i f'.�+ x a�•?•...,... Y. :'..�_.., BUILDING PERMIT SO. FT. I OCC. I BUILDING VALUATION Fireplace Total Valuation $ Filing Fee $ 15.00 Permit Fee $ Plan Checking Fee $ Energy Plan Checking Fee $ Penalty $ Permit fee $ PLUMBING PERMIT Filing Fee 15.00 Each Trap 1 5.00 Solar or heat pump water heater 20.00 Water piping 7.00 Each qas water heater or vent 7.00 Gas piping system 1 - 5 outlets 5.00 Building sewer 15.00 Mobile Home S W @ 15.001 i 15.00 I I Permit Fee $ 15.00 Contractor ELECTRICAL PERMIT Filing Fee 15.00 Main service 600VORLESS 200A OR LESS 18.50 Main service 200A TO t000A) 37.50 NEW CONST. ( DWELLING OCCUP.& OR ADDNS. ACC. BLDGS. \ I) 3.54 sq.ft. NEW CONSTR. ULTI'OUTLET NON.RESID BRANCH CIRC ITS @ 5.00 (POWER APPARATUS &I 1 SINGLE OUTLET CIR. Ex. Occup( OUTLETS OR FIXTURES 20 RA dRA FIXED APPLNS. OR EX. OCCUp. OUTLETS (RESID.) EA. 3.00 Temporary service I 15.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 Permit Fee $ Contractor MECHANICAL PERMIT Filing Fee ts.00 Heating Cooling Hood 6.50 ventilation Permit Fee $ Contractor Mobile Home Installation Fee $ Energy Inspection Fee OCC CONST TYPE $ TOTAL FEE $ 30.00 I IHAZ I D FEES I IMP I FLOOD I CDF I PARCEL I PD I HO I ISSUE This permit is hereby issued under the applicable provi- sions of th tte County Code and/or re ILI ions to do work in ca d abo or ich fee .h a been paid. DIREC' PU LIC. �tKIS 12/15/92 By Date. PERf104 IR Date I COUNTY OF BUTTE -DEPARTMENT OF PUBLIC WORKSPERM11�U0__� 7 County Center Drive - Oroville, California 95965 - Telephone: 916/538-7541 APPLICATIDN AND PERMIT ASSESSOR PARCEL NUMBER - 035-226-009 ZONING^ 1 BUILDING PERMIT OWNER HANSFORD CLINKINGBEARD (714) TELEPHONE 998-7801 SO. FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS 5400 E. WESTRIDGE, ANAHEIM HILLS, CA 92708 CONTRACTOR'S NAME TELEPHONE CONTRACTOR'S NTACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER NONE UNKNOWN Total Valuation Is LENDER'S MAILING ADDRESS Filing Fee $ 15.00 Permit Fee $ ARCHITECT OR ENGINEER NONE LICENSE NO. Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Energy Plan Checking Fee $ Penalty $ BUILDING ADDRESS 4805 BAGGETT—MARYSVILLE ROAD, OROVILLE Permit fee $ PLUMBING PERMIT Filing Fee 15.00 Each Trap 5.00 Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP Water piping 7.00 Each qas water heater or vent 7.00 USE OF STRUCTURE SF ❑ Duplex❑ Mobilehome® Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 1 15.00 Mobile Home I S W @ 15.001 15,00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities [:3 Installation❑ Other ❑ Describe work: REPAIR GAS PIPING Permit Fee $ 15.00 Contractor ELECTRICAL PERMIT Filing Fee 15.00 Main service 200AORLESS 18.50 CONTRACTORS LICENSE LAW I declare under enact of perjury penalty p jy (Check One): ❑I am licensed under p prOVISIOnS Of Cha t. 9, Div. 3 of the BUSIneSS and Professions Code and my license is in full force and effect. License No. Classification I, as the owner, or my employees with wages a5 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) ❑ 1 am exempt under Sec. , Business and Professions Code for this reason Main service 200ATO1000AI 37.50 NEW CONST. / DWELLING OCCUP.SJ� OR ADDNS. % ACC. BLDGS. 3.6Q sq.ft. NEW CONSTR U TI -OUTLET NON.RESID BRANCHCIRC ITS @ 5.00 POWER APPARATUS .&) (SINGLE OUTLET CIR. Ex. OCCup(OUTLETS OR FIXTURES 20 76 FIXED APPLNS. OR \ Ex. Occup. OUTLETS (RESID.) EA.) 3.00 Temporary service 15.00 Mobile Home Facilities 15.00 Misc. Wiring -15.00 Permit Fee $ WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. Contractor MECHANICAL PERMIT FiIingFee 15.00 Heating Cooling Hood 6.50 Ventilation permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the Countyot Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue against said County in consequence of the granting of this permit. X Date —/J1 J�.t. ❑ Contractor Agent Signature o Applicant — ow r ❑ ❑ An OSHA permit is required for excavations over 5'0" deep and demolition or construct- of structures over 3 stories in height. Mobile Home Installation Fee S Energy Inspection Fee $ occ CONST TYPE I TOTAL FEE $ 30.00 HAz I DFEES I IMP I FLOOD I COF PARCEL I PD I HD ISSUE i This permit is hereby issued under the te County Code and/or siodnca Woabo r ich fee EC PU LIC BY Date applicable provi- re lutions to do a been paidion KS Date 12/15/92 Receipt No. 3��� 9 WHITE-D.P.W.. YELLOW -ASSESSOR. PINK -INSPECTOR. GOLD ENROD-APPLICANT COUNTY OF BUTTE - DEPARTMENT. OF -PUBLIC WORKS 7 County Center Drive - Oroville, California"95965 - Telephone: 916.'538-7541 APPLICATWN AND PERMIT PERMIT NO. ASSESSOR PARCEL NUMBER © �- o� (o '' 00' L_ ZONING BUILDING PERMIT ' OW R j n LZ Y1 orcl /�/ t VA 1c Y\d TELEPHONE SO. FT. OCC. BUILDING VALUATION OWNER'S MAIL NG AD RE55 / 't00 , (�sfrd vtctG►e m LIS, A 9JA) CONTRACTOR'S NAME 1 TELEPHONE i CONTRACTOR'S MAILING ADDRESS 1 F irep Iace CONSTRUCTION LENDER UNKNOWN Total Valuation $ ! LENDER'S MAILING ADDRESS Filing Fee $ 15.00 Permit Fee $ ARCHITECT OR ENGINEER 1 LICENSE NO. Plan Checking Fee $ I ARCHITECT OR ENGINEER'S MAILING ADDRESS ' Energy Plan Checking Fee $ Penalty $ BU LDING ESS ADDR ds i P Permit fee $ PLUMBING PERMIT Filing Fee 15.00 r6 u Each Trap 5.00 Solar or heat pump water heater 1 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP Water piping 7.00 Each qas water heater or vent 7.00 USE OF STRUCTURE SF12 Duplex[D MobilehomeW Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 15.00 Mobile Home S W @ 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel Utilities E]Installation❑ Other Describe work: A ` fl:p`Y7 q Permit Fee $ 31) Contractor eg ELECTRICAL PERMIT Filing Fee 15.00 I CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): ❑ I am licensed under provisions- of Chapt. 9, Div. 3 of the BUS Ines$ and Professions Code and .my. license Is In full force and effect. License No. Classification ❑ I, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) i ❑ I, as the owner, am exclusively contracting with licensed contract -ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code I for this reason 00V OR LESS Main service 200A OR LESS 18.50 Main service 200A TO 1000AI 37,50 NEW CONST. DWELLING OCCUP.tr OR ADDNS. ACC. BLDGS. 3.6Q sq.tt. NEwCONSTR MULTI -OUTLET NON .R ESI 0. BRANCH CIRC ITS @ 5.00 POWER APPARATUS tr SINGLE OUTLET CIR. / EX. Occup( OUTLETS OR FIXTURES 20 76d Ex. Occup. OUTLETS 1FIXED PR ESID )RE A.� .3.00 Temporary service 15.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 Permit Fee $ WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. ❑ I shall not employ any person in any manner so as to become subjectHood 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. Contractor MECHANICAL PERMIT FiIingFee 15.00 Heating _ Cooling 6.50 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 Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses whichmay in any way accrue ' against said County in consequence of the granting of this permit. I X Date Signature of Applicant — Owner ❑ Contractor ❑ Agent ❑ An OSHA permit is required for excavations over 5'0" deep and demolition or construct - stories in height. Mobile Home Installation Fee S Energy Inspection Fee $ OCC CONST TYPE TOTAL FEE $ " I HAz DFEES IMP I FLOOD CDF PARCEL PO HD ISSUE This permit is hereby issued under the applicable provi- sions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DIRECTOR OF PUBLIC WORKS By Date PERMIT EXPIRES Date Receipt No. n I WHITE-D.P.W.. YELLOW-ASSE330R. PINK -INSPECTOR. GOLDENROD -APPLICANT ' COUNTY' OF� BUTTE='De�arti' ent- of Public Works ' 7 County Center-] rive,•Oroville, CA 95965 Phone: 916-538-7541 OWNER -BUILDER VERIFICATION Attention Property Owner: An 'owner -builder." building permit has been applied for in your name and bearing your signature. Please complete and return this.info.rmatio'n at your earliest opportunity to avoid unnecessary, delay in processing and iss.uing your building permit. No building permit. will:be issued until this verification is received. 1. I personally plan to provide the major labor and materials for construction of . the proposed property improvement (yes or no) 2. I (have/have not) -&�A_A 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 Contractors License No. 4. I plan to provide portions of this work, but I ha-ve hired the.following person to coordinate, supervise, and provide the major work: Name Address City. Phone Contractors License No. 5. I will provide some of the work but I have contracted (hired) the following persons to provide the work indicated: Name Address . Phone Type of Work Signed: Property Owner Social Security Number Date NOTE: This Owner -Builder Verification is sent to you as required by Sections 19831 and 19832 of the California Health and -Safety Code. This verification must be completed and returned to our office before we are per- mitted to issue the permit. U� r 'i . ,p .w _.. ," .•.- .. ,. . i `� _ J c i S,. p .�i Y7�S„..-•?7�''P'3r�td o �D - ' ` C/ , = 035-22-6 002 �' �.•�' ; CLTNKINGBEARD r 93-2020 B' 4801 BAGGETT RDHANSFORD , ,-`.PARTIAL REROOFJS OROVILLE f wt ' r. �.� 74 COUNTY OF BUTTE - DEPAATMI!NT OF PUBLIC WORKS PERMIT NO. ,1y 7 County Center Drive'- Or6ville, California 95965 - Telephone: 916.'538-7541 APPLICATIN AND PERMIT ASSESSOR PARCEL NUMBER 035-226-002 ZONING RN" BUILDING PERMIT / OWNER Hansford Clinkin beard TELEPHONE 533-2598 SQ. FT. OCC. BUILDING VALUATION Sq Com 21.0-00 OWNER'S MAILING ADDRESS3.5 4801 ett Rd. Oarville 95965 CONTRACTOR'S NAME TELEPHONE CONTRACTOR'S MAI ING DDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ 210.00 Filing Fee $ 15.00 LENDER'S MAILING ADDRESS Permit Fee $15.00 ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS Permit fee $30.00 PLUMBING PERMIT Filing Fee 15.00 4801 B62gett Rd.. Each Trap 1 5.00 Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP Water piping 7.00 Each qas water heater or vent 7.00 USE OF STRUCTURE SF EX Duplex❑ Mobilehome❑ Other SPECIFY TYPE OF WORK New! Addition i_ Remodel ❑ Utilities ❑ Installation❑ Other ® Describe work: Partial Reroof with Comp _ Gas piping system 1 - 5 outlets 5.00 Building sewer 15.00 Mobile Home I S I G JW 1 15.00 Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 15.00 Main service 600V OR LESS 200A OR LESS 18.50 Main service 200ATO1000AI _ 37.50 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. License No. 173'1 -IS C� Classification 1? ❑ 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 OCCUPM OR ADDNS. ACC. BLDGS. II 3.60 sq.ft. NEW CONSTR. MULTI -OUTLET NON•RESID BRANCH CIRC ITS @ 5 00 POWER APPARATUS e) SINGLE OUTLET CIR. Ex. Occup( o FIXTURES 20 761 IXE A POR Ex. Occup. OUT ETS IRESID.ILNSOREA.) I 3.00 Temporary service 15.00 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. ❑ 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 J� to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. MECHANICAL PERMIT Filing Fee 15.00 Heating Cooling Hood 6.50 Ventilation permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the Countyot Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue aga,said County in consegju pe of he gran ng of his permit. ns X �_ �"• , �M KAd to cm /;�93 /7 2 Signature of Apolicant — OwnerK Coni.aktor Agent ❑ An OSHA %� / _ on of structures tover 3gstonesoinehc ght ions doer 5 0" deep and demolition or construct- Mobile Home Installation Fee S Energy Inspection Fee S occ CONST TYPE TOTAL FEE $ 30• OO HAz 0FEES IMP FLOOD CDF PARCEL PO HD ISS This permit is hereby issued under the sions oPthe Butte County Code and / t worl�ind' ated ab 4A oP&hich f�he �' DIRE' r' F P B�e. B1� 11Dat PER E PIKES Date applicable provi- o, resolutions to do been paid. $ t 1 .14" 4 ReceiptNo. WHITE-D.P. W.. YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD-APPLI CANT / COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California §5965 - Telephone: 916.'538-7541 APPLICATIOIWAND PERMIT PERMIT NO. qL ASSESSOR PARCEL NUMBER 035-226-002 ZONING RN BUILDING PERMIT OWNER Hansford Clinkin beard TELEPHONE 533-2598 SQ. FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS 4801 Ba ett Rd. Oroville 95965 CONTRACTOR'S ME TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ 210.00 Filing Fee $ 15.00 LENDER'S MAILING ADDRESS Permit Fee $ 15.00 ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS Permit fee $ PLUMBING PERMIT Filing Fee 15.00 4801 o Each Trap 5.00 Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP Water piping 7.00 Each gas water heater or vent 7.00 USE OF STRUCTURE SF ❑k Duplex[] Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 15.00 Mobile Home S I G W @ 1 5.00 TYPE OF WORK New Addition E] Remodel❑ Utilities❑ Installation Ell Other© Describe work: Partial Reroof with Comp _ Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 15.00 Main service 600V OR LESS 200A OR LESS 18.50 Main service 200ATO1000AI 37.50 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 ode and my license Is In full force and effect. License Ao. Ina " Classification ❑ 1, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. ,. Business and Professions Code for this reason NEW CONST. ( DWELLING OCCUPM OR ADDNS. ACC. BLDGS. 3.64 sq.ft. NEW CONSTRULTI.OUT LET NON.RESID BRANCH CIRC ITS @ 5.00 (POWER APPARATUS 141 SINGLE OUTLET CIR. / Ex. Occup(OUTLETS OR FIXTURES 7611 201A _ 450 EX. OCCUp. OUTLETS (PR ESID IRE A.� I 3.00 Temporary service 15.00 Mobile Home Facilities 15.00 Misc. Wiring g '15.00 Permit Fee $ — WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. I shall not employ any person in any manner so as to become subject J� 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. Contractor MECHANICAL PERMIT FiIingFee 15.00 Heating Cooling Hood 6.50 Ventilation Permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the Countyot Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue against said County in concsequ a of he grant ng of is permit. X C • to ?3 �{ Signature of Ap icant — Owner � Cant r for Vl! Agent ❑ !—` An OSHAexcavations ion Of HAstru mit is r Squired for excagvtattions o er 5'0" deep and demolition or Construct- Mobile Home Installation Fee S Ener Inspection Fee $ Energy P occ CONST TYPE I, TOTAL FEE $ 30.00 HAz DFEES IMP FLOOD CDF PARCEL PO HD ISSu This permit is hereby issued under the sions o Butte County CWhich .or Ind' ated ab o DIRE P143438 By PEWEXPI I ES Date applicable provi- utions to do j been paid. to Receipt No. WHITE-D.P.W.. YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT COUNTY OF BUTTE - DEPARTMENT, OF,PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 - Telephone 916 538-7541 / APPLICATION ANq PERMIT PERMIT NO. ASSESSOR PARCEL NUMBER ZONING BUILDING PERMIT OWNER -fL e� TELE HONE SO. FT. OCC. BUILDING VALUATION r OWNER'S MAILING ADORES L/ /12 I CONTRACT R'S NAME S N►� -TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation Is LENDER'S MAILING ADDRESS Filing Fee $ 15,00 Permit Fee $ ' ov ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS n - (JJ� Penult tee $ U I PLUMBING PERMIT Filing Fee 15.00 Each Trap 1 5.00 Solar or heat pump water heater 1 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP Water piping 1 7.00 Each qas water heater or vent 1 7.00 USE OF STRUCTURE SFO�- Duplex❑ Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 15.00 Mobile Home S I G I IN I @ 15.00 TYPE OF WORK New ❑ Addition L Remodel r- Uti ' es Instppallation[ 0 er�- Describe work: 141 / �Q— �.!// y Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 15.00 Main service 200AORLESS 18.50 Main service 20CATO1000A1 37.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): ❑ I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in full force and effect. License No. Classification ❑ I, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. Business and Professions Code for this reason NEW CONST.( DWELLING OCCUP.&) OR AODNS. ACC. SLOGS. 3.6Csq.ft. NEW CONSTR. ULTI.OUTLET NON.RESI0 BRANCH CIRCUIT @ 5.00 POWER APPARATUS 6 (SINGLE OUTLET CIR. Ex. Occup(OUTLETS OR FIXTURES 20 @ 76d 0464 IXED Ex. Occup. OUTLETS PIRESID IREA.� 3.00 Temporary service 15.00 Mobile Home Facilities 15.00 Misc. Wiring g 15.00 Permit Fee $ — WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. ❑ I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. Contractor MECHANICAL PERMIT FiIingFee 15.00 Heating Cooling g Hood 6.50 Ventilation Penult Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the Countyot Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue against said County in consequence of the granting of this permit. X Date Signature of Applicant — Owner ❑ Contractor ❑ Agent ❑ An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee S Energy Inspection Fee $ OCC CONST TYPE TOTAL FEE S3O�� HAz 1 0FEES IMP I FLOOD CDF PARCEL PD I Ho ISSUE This permit is hereby issued under the sions of the Butte County Code and/or Work indicated above for which fees DIRECTOR OF PUBLIC By PERMIT EXPIRES Date applicable provi- resolutions to do have been paid. WORKS Date / /� Receipt No. / yN,3 WMITL•O. P. w., YELLOW-ASSC330R. PINK-INSPCCTOR, GOLDLMR00-APPLICANT PL PERMIT NO. P' E (NH) PERMIT EXPIRES `/ U'L Al(cl � OWNER HANSFORD CLINKINGBEARD CONTR. O.W. Clinkingbeard ASSESSOR PARCEC5-226-2 y LOCATION SW cor Helman & Baggett Mysv Rd,Oro OFFICE COPY w Temp. Power P �s Address Called PG& Temp. Elec. Ser GAS t Meter By 'r.. ELECTRIC Called PG& Meter By ate Temp. Gas Servi a Called PG&E I JOB FINALED (Date) C v Signature J _ OK 0 = Not OK — = Not Applicable MOBILEHOMES = Not Ready + [ MISCELLANEOUS Date MOBIL HOME UTILITIES (Plans) OK except q's Date DECKS, COVERS, CARPORTS, ETC. (Plans) OK except k's on' g Requirements—Setbacks—Easements Special MH Support—Sketch 1. Zoning Requirements—Setbacks—.Easements 2. Footings; Size—Depth—Spacing—Connectors Sewer; Local ion— Test— Fall -C on rete 3. Decks; Girders and/or Joists—Decking—Bracing—Stairs—Rails ater; Location—Test—Easement Needed (Sketch) 4. Wood Awn.; Posts—Beams—Rftrs.—Connec.—Shthg.—Rfg.—Bracing lectricity; Location—Clearances—Grnd.—/ / Amp—Concrete 5. Alum. Awn.; Columns—Connections—Splice—Decal—Enclosures 6. Gas; Location—Test—Wrap:/ /"L"ft./ /"Nat. or/ /"L"ft./ /"LPG 6. Carports; Windows—Doors 7. Utility Clearance 7. Elec. r i Card -BI Date Card -BI Date Card -BI DateCard-BI Date Card -BI. Date Card -BI Date Card -BI Date Card -BI Date Date OBI OME INSTALLATION (Plans,OK except N's Date POOLS (Plans) OK except 11's Z Ing Requirements—Set —Ease nts 1. Setbacks—Easements ootings; S pa 6b�MaWaj-e Ljp 2. Soils; Compaction—Structure Stability Sys; MH Test—Demand—Valve—Connector 3. Pool Structure; Steel—Connections—Thickness—Dead Men—Lining 4_-EKctricity; MH Test—Crosse?efs�—Bre —Clear es 4• Elec.; Receptacles and Lighting; Distances—GFI Dr in; MH Test— F—FW<Connector 5. Elec.; Pool Lighting; 15 volts—GFI a er; MH 1e9—t—Regu r—Connector 6. Elec.; Enclosures; Conduit Entries—Terminals—Listed ter and Sewer Connected—C/O rade—HD proval 7, Elec.; Bonding; Metal w/5'—Circulating Equipment—Heater 8. Ga and Electricity Tagged 8. Elec.; Grounding; Equip.w/5'—Circulating Equip.—Pool Lghtg. Boxes—Enclosures—Panel boards—Ins. to Main in Conduit 9. Health Department Approval E its; Insp.—Sketch 10 -"Cert. of Occupancy 10. Plumb; Cir. Test—Water Supply Test ,Card B-1 Date r _ Card -BI Date Card -BI Date Card -BI Date Card B -I Date Card -BI Date Card -BI Date Card -BI Date V = OK , 0 = Not OK = Not Applicable * = Not Ready RESIDENTIAL (Single and Duplex) Date UNDERFLOOR Plans OK except #'a Date FRAMING (Continued) 1. Zoning requirements -Setbacks -Easements 2. Ftg., Main; Soils-Steel-Elec. Grnd.- / /" Ftg. Depth 48. 49. Property Line Firewall & Openings Ext. Doors -One 3' -Check Garage -3rd story, 2 exits 3. Ftg., Garage; Soils -Steel- / /" Ftg. Depth 50. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 4. Ftg., Porches & Decks; Soils -Steel- / /" Ftg. Depth 51. Plywood on Roof Overhang -Attic Vents -Rafter Outriggers 5. Stemwalls, Main; Steel-Blockouts-Wrapped-Slab 52. Siding -Nailing -Veneer 6. Stemwalls, Garage; Steel -B lockouts -Wrapped -S lab 53. Stucco Mesh -Drip Screed-Fdn. Vents-Underflr. Access 7. Piers -Fireplace Ftg.-Steel 54. Glazing Area -Glass Protection -Skylights -Plastic 8. O.W.V.: Fall -Fittings -Test -2 way C/O -Sewer Test 55. Shear Walls; Nailing -Bolts 9. Gas Pipe; Size -Anchors 10. Water Pipe; Test -Anchors -Regulator -Service Test 11. Electric; Underground 12. Plenums & Ducts; Clearance -Material -Support -Ins. 13. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Date Card -BI Date FINAL (Plans) OK except N's Card -BI Date Card -BI Date Date PLUMBING (Permit) OK except q's 14. Water Ht.; Vent -Access -Combustion Air 15. Water Pipe; Test & Anchors -Nail Protection 56. Ext. Steps -Door & Sidelight Protection -Landings 57. 58. Smoke Detector Furnace; Vents -Clearance -Comb. Air -Connector - In Garage; Above Floor-Ducts-Mech. Protection 16. D.W.V.; Test-Fttngs & Anchors -Nail Protection 59. Bedroom Exiting 17. Shower Pan; Test, First Floor -Tub Access 60. G.F.I. & Bath Fixtures & Tub Access 18. Test Tub & Shower, 2nd Floor -Tub Access 61. Elec. Trim & Subpanel; Breaker Sizes -Labels 19. Gas Pipe; Size & Anchors 62. Stairs & Rails 63. Fireplace or Stove; Clearances -Hearth 64. Elec. Outlets at Wood Panel; Int. & Ext. Card -BI Date Card -BI Date 65. Kit. Fixt. & Appliance; Grnd.-Air Gap -Cooking Clearance Card -BI Date Card -BI Date 66. Elec. Outlets & Receptacles at Kit. Counter Date ELECTRICAL Permit OK except q's 67. Garage Fire Door; Swing -Landing -Closer 68. A.C. Duct in Garage -Damper 20. Fixture & Transformer Clearance -Ins. Protection 69. Wtr. Htr.; Vents -Clearance -Comb. Air-Connector-P.R.V.- In Garage; Above Floor-Mech. Protection 21. Elec. Receptacles Spacing -Lights &Switches at Doors 22. Size Boxes & No. of Conductors -Stapled 70. Plb., Elec. & Mech. Equip. Listed for Location 23. Romex Installed Close to Edge of Studs & C.J. 71. Elec. Receptacles in Garage; (G.F.I.)-Romex Protec. 24. Equip. Ground made up w/Mech. Fasteners -Bond Gas & Water 72. Insulation -Foam -Looked in Attic ❑Yes73. Guard Rails & Deck Construction -Post Caps 25. 2 Appliance Circuits in Kitchen &Conductor Size 26. Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / / ga. Cu or AI 74. 75. Fdn. Vents & Crawl Hole Door -Drainage & Wood -Earth Clearance Looked under Floor ❑ Yes Following instld.: Drive C] Yes ❑ No; Walks ❑Yes ❑ No; Planters El Yes❑No 27. Range Circ. / / ga. Cu or AI -Oven Circ. / / ga. Cu or Al, Insulated Neutral ❑Yes ❑No 28. Service -Riser Conductors & Ground -Main Disconnect 76. Stucco; Brown -Finish 29. Equip. Clearances; Panels-Motors-Mech. Equip. 77. A.C. Unit; Disconnect-Clrnces-Brkr. & Cond. Size -115V Outlet 30. Clothes Closet Light -Shower Light 78. Vents Above Roof; Plbg.-Appliance-Firepl.-Clearance to Opngs. 79. Water Well; Disconnect, Electrical, Plumbing 80. Exterior Elec. Trim; G.F.I. Receptacle -Underground Card B -I Date Card -BI Date 81. 82. Ventilation throughout House Glass Protection Card B-1 Date Date Card -BI Date MECHANICAL (Permit) OK except q's 31. A.C. Ducts; Insulation & Support 83. Corrections from Previous Inspections 84. Gas Test -Meters Tagged; Gas -Electric 85. Water & Sewer Connected -C/O to Grade -HD Approval 32. 33. Vent Fan; Exhaust above Insulation Condensate Drain & Overflow; Size & Grade 86. Energy Compliance Certificate -Other Certificates 34. Furnace -Vent; Access -Comb. Air -Return Air Vent -115V outlet 35. Attic Access & Platform if Furnace in Attic Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Date FRAMING Plans OK except p's Comments at Final: 36. Sills; Proper Material & Anchors 37. Walls; Studs -Nailing, Spacing & Bracing -Plates -Sound 38. 39. 40. Bearing Walls over Girders & Floor Nailing Draft Slop in Walls (rat proof) Fire Stops; Furred Ceilings -Stairs -Chases -Tub 41. Header & Beam -Size & Bearing 42. Hangers -Post Caps -Anchors -Connectors 43. 44. Cing. Joist-Rftr. Ties-Purlin-Roof Brac.-Truss-Sh_thng.-Rfng_._ _ Fireplace Ties or Type A Flue -Fireplace Throat 45. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 46. Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions 47. Garage Fire Protection Framing (NOTE:Anentrymust be made each time youvisit jobsite) i� ZOUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 196 Memorial Way, Chico — Phone: 891-2751 7 County Center Drive, Oroville — Phone: 534-4541 Skyway and Elliott Road, Paradise — Phone: 872-2961; Ext. 57 FIO�RRECTION�NOTICE A routine inspection indic" that the following violations of County Ordinance exist at the above address and should be corrected. Please notify this office when correction of work is completed. If you have any question pertaining to this matter, or Hated addltlonalFexplanation, please contact this office Immediately. 11D 01A r 3 l E s y �`y Inspector___ • Date i U� ;COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 196 Memorial Way, Chico — Phone: 891-2751 7 County Center Drive, Oroville — Phone: 534-4541 Skyway and Elliott Road, Paradise — Phone: 872-2961, Ext. 57 CCIRRECT.ION NOTICE R A routine inspection indicates that the following violations of County Ordinance exist at the above address and should be corrected. Please notify this office when correction of.work is completed. If you have any question pertaining to this matter, or need additional explanation, please contact this office immediately. Inspector V • V utmq Date /V `V Q MOBILEHOME INSTALLATION ACCEPTANCE COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS – 7 COUNTY CENTER DRIVE OROVILLE, CALIFORNIA – 534-4541 PERMIT NO. -2411 r7� Address or location of mobilehome yeI tt ZZ.3m Rc4 r—r3 �Owner's name D. W t 11,% 1<1 ot)1' "O J - Owner's addressb�� P Assse P'b9^ . LOU 61-!1n ® n Insignia or hud number 1I " Manufacturer's name Serial number of V.I.N. x Year of manufacture i U ^,•i0 ing Installation) (Date) IF THE MOBILEHOME IS MOVED OR RELOCATED, THE MOBILEHOME INSTALLATION ACCEPTANCE SHALL BECOME INVALID. THIS FORM SHALL NOT BE USED WHEN THE MOBILEHOME IS INSTALLED ON A FOUNDATION SYSTEM. 5138 White - Owner, Yellow - Installer, Pink - D.P.W. MOBILEHOME INSTALLATION ACCEPTANCE COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS — 7 COUNTY CENTER DRIVE OROVILLE, CALIFORNIA — 534-4541 } PERMIT NO.24a/ ti Address or location of mobilehome 4- &@/3W'A IC <4 Owner's name iss Owner's address 8S"� b=, tQ.�wytass�• e �tr d�'�cJ PA -In o C TY . 'k Insignia or hud number I' Manufacturer's name R MD17 Serial number of V.I.N._03'"9 rl )( J Year of manufacture An , ,al—App}oving Installation) 1, IF THE MOBILEHOME IS MOVED OR RELOCATED, THE MOBILEHOME INSTALLATION ACCEPTANCE SHALL BECOME INVALID. THIS FORM SHALL NOT BE USED WHEN THE li MOBILEHOME IS INSTALLED ON A FOUNDATION -SYSTEM. d 5138 White - Owner, Yellow— Installer, Pink c D.P.W. MOBILEHOME INSTALLATION ACCEPTANCE COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS — 7 COUNTY CENTER DRIVE OROVILLE, CALIFORNIA — 534-4541 PERMIT NO. Address or location of mobilehome<� �= Owner's names Owner's address Insignia or hud number Manufacturer's name i Serial number of V.I.N. Year of manufacture (Official Approving Installation) (Date) IF THE MOBILEHOME IS MOVED OR RELOCATED, THE MOBILEHOME INSTALLATION ACCEPTANCE SHALL BECOME INVALID. THIS FORM SHALL NOT BE USED WHEN THE MOBILEHOME IS INSTALLED ON A FOUNDATION SYSTEM. 513B White - Owner, Yellow - Installer, Pink - D.P.W. lCOUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS - 7 County Center Drive - Oroville, California 95965 - Telephone 916/534-4541 APPLICATION AND PERMIT t PERMIT N0. .n ASSS PARCEL NUMBERZONI 1 b BUILDING PERMIT Ow t Ala s Ir ' TELEPHONE SQ. FT. OCC.1 BUILDING VALUATION OWNE 15J AI ING A ESS ��(fIE:r1 CONT A T R•S NA ` r TEtE HONE CONTRACTOR'S MAILING ADDRET Fireplace CON TRUCTION LENDER UNKNOWN Total Valuation Is Filing Fee $ a-9:8C1� LENDER•SMAILING ADDRESS Permit Fee $ AR ITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITEC`OR ENGINEER'S MAILING ADDRESS Penalty - $ BUILDING AD Ess_, •. /� .. I 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 SEO�F STRUCTURE c�Other SF ❑ Duplex❑ MobilehomeKl lT SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home KdVtJA V bO.00eal. TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities XL Installation[] Other ❑ Describe work: c� 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.SO' CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): ❑ 1 am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license IS In full force and effect. License No. Classification 1, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or .offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and'Professions Code for this reason NEW CONST. DWELLING OCCUP.& , AUC ) hQsgft New CONST R.( TII.OUTLET NON.RES'D BRANCH CIRC ITS 2.50 ea /POWER APPARATUS e� (SINGLE OUTLET CIR, Ex. Occup(OUTLETS OR FIXTURES AL DOC 5 AL030 FIXED APPLNS. OR Ex. Occup. OUTLETS (RESID.) EA.) 1 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 r Misc. INirin 15.00 g Permit Fee $ Contractor WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. MECHANICAL PERMIT FiIingFee 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 liabilities, judgments, costs, and expenses which may in any way accrue against said County in consequ nce of the granting of this permit. X Date 9 ,/�_�S� Signature of Applicant — Owner ❑ Contractor ❑ Agent ❑ An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories in height.? Mobile Home Installation Fee $ Energy Inspection Fee $ TOTAL PERMIT FEE $ occu P. CONST,TYPC F L.Jfol fr PARCEL PD ND `ISSUE This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which DI=TOR,.gF UBLIC By PERMIT EXPIRES Date- the applicable provi- resolutions to do fees have been paid. WORKS q JT wf/� IBJ Dat� Receipt No. , ` WHITE-D.P.W„ YELLOW-ASSCSSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT North Burbank Public Utility District 1960 Elgin Street OROVILLE, CALIFORNIA 95965 ,- DISTRICT APPROVAL AND VERIFICATION OF INSPECTION BUILDING SEWERS Telephone 583-2000 59-85 This verification form must be submitted to the Butte County Department of Public Works - Building Department prior to issuance of a building or occupancy permit, whichever is applicable. Prior to final approval by Butte County of a Building or an Occupancy Permit, a copy of this verification form, signed off by North Burbank Public Utility District, must be submitted to Butte County. Applicant: 0# HANSFORD E..& ERMILA CLINKINGBEARD (0. W. Clinkingbea: Applicant Address: 1857 Genessee Dr.,Laverne, CA 91750 Applicant Phone No.: 533-2598 Property Location (s): Marysville-Baggett Rd. Baggett Tract - Lot 68 A.. P. No.(s): 035-22-6-002-0 Fees Paid: All Fees Paid. Application for service approved: September 12, 1985 North Burbank Public Utility District Inspection (s). made and successful test(s) observed: Location: M Date: North Burbank Public Utility District release to close permit: Date: M VIO st I *.r- i4l, IN J?;2 low lit ru g -i Q V 4M vt 41t r' = E :ate ; �,��y a•E 4 We also need letter authorizing siguature i of O.W. Clinkingbeard. � d w. TE Return ; to DPW AGRICULTURAL STATEMENT OF. ACKNOWLEDGEMENT aT T -E r cc; FOR RESIDENTIAL DEVELOPMENT �sT or M SHOWN Section 26-8.1 of -the Butte County Code requires this acknowledgement P be recorded prior to issuance of a building permit. 1385 SEP 27 FM 3: 21 The property described herein is adjacent to land or included ELEANONI LEU—R '�j� within an area zoned for agricultural purposes, and residents of this CLERK --RECORDER FEE ✓ property may be subject to inconveniences or discomfort arising from 85-2942!) the use of agricultural chemicals, including, but not limited to herbicides, pesticides, and• fertilizers; and from the pursuit of agricultural operations including, but not limited to cultivation, plowing, spraying, pruning, and harvesting which occasionally generate dust, smoke, noise, and `odor. Butte County.has established agricultural zones which have as a priority use for productive agricultural purposes, and residents within said zones and on adjacent property should be prepared'to accept such inconvenience or disconform from normal, necessary farm operations. All that real property situate in the County of Butte, State of California,.described as follows. County of Butte , State of CaBfomis, dcscnbcd as follows: Lot 67 and 68, as shown on map entitled, 'Official Map of the Baggett Tract, near Oroville, Butte Co., Cal.", which map was filed in the office of the Recorder of the County of Butte. State of California, June 14, 1909 iu Map Book 6, at page 85. I EXCEPTING THEREFROM that portion thereof lying Westerly of the Easterly line jof Palermo Avenue as relocated. Said Easterly line of Palermo Avenue is described as beginning at a point on the Northerly line of said Lot 67, distant thereon, South 880 24' West, 95.80 feet from the Northeast corner of said Lot 67; running thence Southerly along said Easterly line of Paaermo Avenue on the arc of a curve to the left, having a radius of -¢65.00 feet, through an angle of -12 -,295 -32"d -&-distance of 101.58 feet (the choid bf lest described curve P bears South 14 00' 46", a distance of 101.19 feet) to a point on Ehe Southeriv lino of said Lot 68, distant thereon, South 880 24' Vaal, a distance of 74.00. �- feet from the Southasat' corner of said Lot 68.— - r ----. Date:090-�,L / 1 �-, w// 10" �111/ / I State of California ) On this the 20 day of September 19 85 , before ) SS. me, the undersigned Notary Public, personally appeared County of . LOS Anc]eles ) cc: OFFICIAL SEAL MARLIN E. HARWARD L/ Personally known to me. JX/ Proved to me on the basis NOTARY PUBLIC -CALIFORNIA of satisfactory evidence. LOS ANGELES COUNTY to be the' erson s whose name s My Commission Expires June 19, 1989 P ( ) ( ) S subscribed to the within instrument and acknowledged that They executed the same for the purposes therein contained. IN WITNESS WHEREOF, I hereunto set my hand and official seal. Notary Public Present A. P. No. / COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT NO. c/ 7 County Center Drive - Oroville. Caiifornia 95965 - Telephone 916/534-454 APPLICATION AND PERMIT�� _ �,- ASSESSOR PARCEL yLIMB R ^ 6 —' `�JBUILDING ZONI PERMIT ` R 0 R y t t TELEP TELEPo H NE SO. FT. OCC. BUILDING VALUATION OWNER' MING ADDRESS /1 Ca • r� fJC r ( 9/ CON ACT S E P to TELEPHONE CONTRACTOR'S MAILING AD SS Fireplace CoN RUCTION LENDER UNKNOWN c Total Valuation $ Filing Fee $ 10,00 LENDER'S MAILING ADDRESS Permit Fee $ ARCH TECT OR ENGINEER LICENSE NO. Plan Checking Fee $ 00L Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDR SS ,/� DI J14 If r? Permit fee $ S PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 r Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP Water piping 5.00 Each qas water heater or vent 5.00 USE OF STRUCTURE SF ❑ Duplex[] Mobilehomeg] Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home JSFG W 10.00 ea' TYPE OF WORK New ❑ Addition❑ Re odel ❑ Uti li 'es ❑ Installation Other ❑ . Describe work: V M d Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 100 AMP OROOV OR LESS10.00 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 and Professions Code and my license is In full force and effect. License No. Classification 1, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ 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.&) yZ�sgft OR ACDNS. l ACC. BLDGS. NEW CONSTFi M ULT'-OUTLET NON.RESID BRANCH CIRCITS 2,50 ea POWER APPARATUS &) SINGLE OUTLET CIR. / Ex, Occup\OUTLETS OR FIXTURES eAL@30Q eALeao FIXED APPLNS. OR Ex. OCCUp. OUTLETS (RESID.) EA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 Permit Fee $ Contractor WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. MECHANICAL PERMIT FiIingFee 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 liabilities, judgments, costs, and expenses which may in any way accrue against said Count in consequence of the granting of this permit. + ter _ p''-- X Date o Signature of Applicant — Ower ❑ Contractor ❑ Agent ❑ An OSHA permit is required f r excavations over 5'.0" deep and demolition or construct- ion of structures over 3 stori in height. Mobile Home Installation Fe $ e TOTAL PERMIT FEE Occup. CONST,TYPIJ FLOG. PARCEL PD I Issu! This permit is hereby` issued under sions of the Butte Count Code and/or work indicated above for which DIRE OR OF PUBLIC By r PER EXPIRES Date the applicable provi- resolutions to do fees have been paid. WORKS Date /'yam✓P� Receipt No. WNIT!-D.P.W.. YELLOW -ASSESSOR. PINK -INSPECTOR. GOLDENROD -APPLICANT M BUTTE COUNTY. DEPARTMENT OF PUBLIC WORKS 7 County Center Drive, Oroville.'CA., PHONE: 534-4541 MOBILEHOME INSTALLATION SHEET �,0.1V t�Ao �A�1. Owner a name :�A r 2. installer's name: Z211d'd� 3. Is the site currently under permit? Yet / / No / /. • (If yes, furnish permit number ) OR Is the site an existing site? Yes / / No 777 r (If yes, furnish two (2) plot plans.) 4., Will the mobilehome be located at least 5 ft. away from septic tank and leaoh fields and clear of all setbacks and easements? Yes / / No ( If no, clarify 5.:< What is the mobilehome electrical rating? ---------------------- yo Amps 6. What is the mobilehome site service rating? --------------------- imps 7,'.,, -,What is the mobilehome site circuit breaker rating? ------------- V Amps 8. Is there any other electric load to .be served by the mobilehome siteservice? -------------------------------------=------------- Yea No (If yes', identify the load and size: (Load) (Amps). �i 9. What is the mobilehome site gas pipe size? ---------------------- (•) 10. What is the type of gas service?------- ------------- Natural LPG 11. What is the gas pipe'length from meter or tank to the mobilehome? "" (ft.) 12. What is the mobilehome gas demand? ------------------------------ (BTU) (This information not required if pipe length less than 6 ft. on natural gas.. or less than 50 ft. on,LPG.) BUTTE COUNTY WILDING DEPARTMENT APPROVED MOB ILEHOME SUPPORT !IATA /� If other than single wide, 4. Mobilehome Mfr. Z?rd,4 1V4 `-0. furnish Setup Model No. Year Fidth XO (ft.) Box Length i'_0 (ft.) Tagalong or Expando Size '' ft. x ft. (SHOW SUPPORT DETAILS BELOW) ► On all mobilehomes manufactured after October 7,► 1973; furnish manufacturer's installation manual, and structural setup sheets (if not on file with the County of Butte). All center supports measured from front of mobilehome unless otherwise specified. Footings (check one) Single 1'. Wood either A A`~C pressure treated or foundation grade. 1.2x34 : (in.) (in.) 2. Other' (specify) Center support locations* Center support footing sizes Supports.(check,one) (in.) 1: Concrete block. .2. Other. (specify) (ft.)(in.) "(in.) (in.) E --Tagalong or Expando,' show support details. (ft.)(in.) .(in.) (in.) �.� x 3 o -- Typical Support" (in. (in.) Footing Size (ft.)(in,). (in.) (in.) Max. Pier Spacing (ft.)(in.) Max. Overhang x (ft.) (in.) (in.) (in.) (ft.)(in..) rL';j0" _TiI,,Jd *If centel0piers are- others than drawn above, draw in -locations, spacing, and dimensions. COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center.Drive, Oroville, CA 95965 Hansford Clinkingbeard 1857 Genessee Dr. Laverne, CA 91750 With reference to the above subject: PHONE: 916-534-4541 DATE 10/21/85 RE:Permit-application 2944-85 A.P. # 35-226-02port Attached is: Application for permit ;:. Mobilehome Utilities Installation Sheet Building Plans Mobilehome Installation Information Sheet Engr. Calcs Typical Plan Sheet X Owner -Builder Verification Form List of Codes Enforced OTHER X/ We need the following information: Permit application signed and completed where indicated with all copies returned. Fees of $ payable to Butte County Treasurer. Certificate of Workmen's Compensation Insurance or check exemption statement. Contractor's License. Law information or check exemption statement. Complete plans in including plot plans. Plot plans,in Structural details in Complete.plans and calcs in by registered engineer or.architect: Energy design including Street and drainage improvement plan approval from Land Development Section (DPW). sets of plans in accordance with the changes marked in red'. Sanitation approval from Butte County Health Department at: 196 Memorial Way, Chico. 7 County Center Dr., Oroville Skyway &Elliott Rd., Paradise Planning approval from Butte County Planning Department, 7 County Center Drive, Oroville, for X Completed Owner -Builder Verification form. Recorded copy of deed showing Recorded copy of agricultural acknowledgement statement. L_1 OTHER Should you have any questions concerning the above, please contact this office. JFG/aj Yours very truly, William Cheff Director of Public Works F. Glander Chief Building Inspector ,PERMIT NO. 6062-75B P E If M 'MH UTIL. PERMIT NO. PERMIT EXPIRES !.OWNER Marie M. West owner 'ACONTR. "LOCATION (A.P. 35-226-2 Corner of Helman and Baggett-Marysville -1 Rd., lot 67, Oroville Temp. Power Pole Called PG&E Temp. Elec. Serv. Called PG&E Temp. Gas CalledofPG&E JOB IOF'INALED (Date) /F (Signature) COUNTY OF BUTTE — DEPARTME`NT OF PUBLIC WORKS BUILDING INSPECTION RECORD BUILDING BUILDING (Cont'd) PLUMBING Setback Firewall Soil Piping Forms Parapets 1st F I00 r Main Bldg. Footings Stemwal l Slab Piers Garage Footings Stemwa I I Slab � Carport Footings Slab Patio Footings Masonry Walls Reinf. Steel Bond Beam Framing Stucco Mesh Scratch Brown Finish Interior Lath Door Closer DATE 4 Restroom Finish-1-1,2nd Floor Windows 3rd Floor Siding To out Roof Sheathing Water Piping Roofing Sewer Fdn. Vents Fixtures Garage Vents Water Htr. Prov. for physical handicap ed Heaters Appliances Conformance fex. - structure In 4fTemp. Gas Piping & Tes Gas Final -Z/Zzz JNZ Sanitation FIREPLACE Final Footing EL CTRICAL Throat Rou h Final Fixtures FI E SP INKLERS Motors Test Water Htr. Final Sub aneIs HANICAL Grd. Fault Prot. Heating Service Cooling A Temp. Pole Ducts Underground/ Ventilation ' Permanent Final Final REMARKS OR CORRECTIONS COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS 7 County Center Drive Oroa,ille, California 95965 /_ 7 - Tel iohone: 634-4541 APPLICATION AND PERMIT i "t--,. vco Vi , — vvun.y Vi 111La W .111C1 UPVll IIIC above-mentioned property for inspection purposes. X ndaL, O/7, W Date 11—.2S-175 ignature of Permitee or Agent Receipt No. /3,Flp White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DIRECTOR OF PUBLIC WORKS By .�/�i�� G'cT Date Building permit expires Date BUILDING Owner SO. FT. OCC. BUILDING VALUATION Mailing Address 1 v I Teleplfone No. Fireplace Contractor Total Valuation Mai I i ng Address Permit Fee Plan Checking Fee &/or Penalty Telephone No. Permit Fee Building Address PLUMBING No.1 @ FEE PERMIT FILING FEE $3.00 d Each Trap 1,50 Repair drainage or vent piping 1.50 Water piping 1.50 Each gas water heater or vent 1.50 A. P. No. — �-- (, a_ Zoning & Planning Gas piping system 1 - 5 outlets 1.50 Each additional outlet .30 F 4.C— SartrarrMd Fire Dept. Fire Zone Use Pen -nit, Building sewer 5.00 EQA Parking Plans Declaration Parcel Map 60' R/W I Improvements Lawn sprinkler system 2.00 Parcel Approvo:l:= Plans Approval Permit Fee $ $ NEW ❑ ADDITION ❑ UTILITIES ❑ OTHER ( ELECTRICAL No. @ FEE PERMIT FILING FEE $3,00 i Main service incl. 1 meter Additional meters, each 1.00 Single Family Duplex ❑ Mobil Home ❑ Others ❑ Sub -panel (12 or less) (more than 12) Range, Cook -top or Oven 1.00 Water Heater or Space Heater 1.00 Light fixtures b % 10 Receps., switches & fix outlets CONTRACTORS LICENSE LAW I am licensed under the provisions of Chapter 9, Div. 3, of the State of California Business & Professions Code under the name style of: Hood, Ex. Fan or F.A. Furn. Motor 1.00 Evap. cooler, gar, disp. or D.W. 1.00 Air conditioner or heat pump Water pump Mobil Home Facilities 5,00 Temp. Power Pole 5.00 License No. Classification Misc. wiring I am exempt from the Contractors License Laws of the State of California. Permit Fee $ is WORKMEN'S COMPENSATION INSURANCE I am aware of the provisions of Section3700 of the California Labor Code which requires every employer to be insured against liability for Workmen's Compensation. ❑I have placed on file with the County of Butte a certificate of Workmen's Compensation Insurance. 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 the Workmen's Compensation Laws of California. MECHANICAL No. @ FEE PERMIT FILING FEE $3.00 Heating Cooling Ventilation Hood 2.00 Permit Fee $ $ 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 TOTAL PERMIT FEE $S "t--,. vco Vi , — vvun.y Vi 111La W .111C1 UPVll IIIC above-mentioned property for inspection purposes. X ndaL, O/7, W Date 11—.2S-175 ignature of Permitee or Agent Receipt No. /3,Flp White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DIRECTOR OF PUBLIC WORKS By .�/�i�� G'cT Date Building permit expires Date AP# OWNER I AA -I �Oet y PERMIT # oZ MH UTIL.CLEARANCE DATE 0 off $S INSPECTOR ELECTRIC GAS Support Struc. Compaction Test Req. service ;ize Other Load .-Type Pipe Size Length YES NO YES NO . F PERMIT NO. �3S1=8R$,E PERMIT EXPIRES OWNER HANRFQRD UINKINGBEARD CONTR. owner ASSESSOR PARCEL 35-226-09 LOCATION 4801 Helman, Oroville S Xy� +I ?1 • 71 jj 1 `r f' Temp. Power Pole Called PG&E Temp. Elec. Servl-V �1LU gg t Called PG&E — Temp. Gas Service Called PG&E — JOB FINALED (Datd) q Signature"' v O' =OK , . 0 = Not OK NotReayable= dMOBILE HOMES MISCELLANEOUS Date MOBILE HOME UTILITIES (Plans) OK except #'s I" I IDA DECKS,COVERS,CARPORTS,GARAGES, (Plans)OK except #'s 1. Zoning Requirements -Setbacks -Easements 'f 1. Zoning Requirements -Setbacks -Easements 2. Soils; Special MH Support -Sketch 2. Footings; Soils -Size -Depth -Spacing -Connectors -Steel 3. Sewer; Location -Test -Fall -C/O -Concrete 3. Decks; Girders and/or Joists -Decking -Bracing -Stairs -Rails 4. Water; Location -Test -Easement Needed (Sketch) 4. Wood Awn.; Posts-Beams-Rftrs.-Connec.- Shthg.-Rfg.-Bracing 5. Electricity; Location-Clearances-Grnd.-/ / Amp -Concrete 6. Gas; Location -Test -Wrap: / /"L"ft. / /"Nat. or/ /"L"ft./ /"LPG 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Carports; Windows -Doors 7. Utility Clearance 7. Elec. 8. Frmg; Sills-Anchors-Studs-Rftrs-Trusses 9. Siding; Nailing -Veneer -Stucco -Mesh Card -131 Date Card -61 Date 10. Roof; Shthg-Roofing Card -131 Date Card -131 Date 11. Ext.; Steps -Doors -Landings Date MOBILEHOME INSTALLATION (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements Card -131 Date Card -131 Date 2. Footings; Size -Spacing -Marriage Line Card -61 Date Card -131 Date 3. Gas; MH Test -Demand -Valve -Connector 4. Electricity; MH Test -Crossovers -Breakers -Clearances Date POOLS (Plans) OK except #'s 5. Drain; MH Test -Fall -Flex Connector 1. Setbacks -Easements 6. Water; MH Test -Regulator -Connector 2. Soils; Compaction -Structure Stability 7. Water and Sewer Connected -C/O to Grade -HD Approval 3. Pool Structure; Steel -Connections -Thickness - Dead Men -Lining 8. Gas and Electricity Tagged 9. Exits; Insp.-Sketch 4. Elec.; Receptacles and Lighting, Distances-GFI 10. Cert. of Occupancy 5. Elec.; Pool Lighting; 15 volts-GFI 6. Elec.; Enclosures; Conduit Entries -Terminals -Listed 7. Elec.; Bonding; Metal .w/5' -Circulating Equip. -Heater 8. Elec.;Grounding; Equip. w/5' -circulating Equip. -Pool Lghtg. Boxes -Enc losures-Panel boards- Ins. to Main in Conduit Card -131 Date Card -131 Date Card -131 Date Card -131 Date 9. Health Department Approval 10. Plumb.; Cir. Test -Water Supply Test Card -131 Date Card -131 Date Card -131 Date Card -131 Date = OK 0 = Not - =Not Applicable RESIDENTIAL (Single and Duplex) = Not Ready Date UN RFLOOR (Plans) OK except #'s • Zo ing-Setbacks;-Easements-Flood-Slope tg., Main; Soils-Steel-Elec. Grnd.-/ " Ftg. Depth 3. Ftg., Garage; Soils -Steel-/ /" Ftg. Depth 4. Ftg., Porches & Decks; Soils -Steel-/ /"Ftg. Depth 5. Stemwalls, Main; Steel-Blockouts-Wrapped 6. Stemwalls, Garage; Steel- Blockouts-Wrapped 7. Slab; Steel -Wrapped 8. Piers -Fireplace Ftg.-Steel 9. D.W.V.; Fall -Fittings -Test -2 way C/O -Sewer Test 10. Gas Pipe; Size -Anchors 11. Water Pipe; Test -Anchors -Regulator -Service Test 12. Electric; Underground 13. Plenums & Ducts; Clearance-Material-Supprt-Ins. 14. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples 15. Insulation Card -131 Date Card -131 Date Card -131 Date Card -131 Date Date PLUMBING (Permit) OK except #'s 16. W Ht. Vent -Access -Combustion Air -Baffle AW-WAtefrnpe; Test & Anchors -Nail Protection W.V.; Test-Fttngs & Anchors -Nail Protection 19. Shower Pan; Test, First Floor -Tub Access 20. Test Tub & Shower, 2nd Floor -Tub Access 21. Gas Pipe; Size & Anchors Card -131 Date Card -131 Date Card -131 Date Card -131 Date Date ELECTRICAL (Permit) &K except #'s 22. F re & Transformer Clearance -Ins. Protection jferqeceptacles Spacing -Lights & Switches at Doors 6 -Boxes & No. of Conductors -Stapled . R e5FInstalled Close to Edge of Studs & C.J. 2 . Equip. Ground made up w/Mech. Fasteners -Bond Gas & Water X27-2 Appliance Circuts in Kitchen & Conductor Size/G.F.I. _28--Sub-f6d Wire Size / / ga. Cu or AI-A.C. Wire Size / /ga. Cu or Al _.29: -Range Circ. / / ga. Cu or AI -Oven Circ. / / ga. Cu or Al. Insulated Neutral Yes No __3e -e -Riser Conductors & Ground -Main Disconnect quip. Clearances Panels-Motors-Mech. Equip. lothes Closet Light -Shower Light -Spa Light V Sm- a Detector Card -131 Date Card -131 Date Card -61 Date Card -131 Date Date MECHANICAL (Permit) OK except #'s 3 . A.C. Ducts Insulation & Support 5. Vent Fan; Exhaust above insulation 6. Condensate Drain & Overflow; Size & Grade 37. Furnace -Vent; Access -Comb. Air -Return Air Vent -115 outlet 8. Attic Access & Platform if Furnace in Attic Card -131 Date Card -131 Date Card -131 Date Card -131 Date Date FRA"G (Plans) OK except #'s Sills, Proper Material & AnchorsP4 42 4C96(e al s tuds-Nailing, Spacing & Bracing -Plates -Sound ing Walls over Girders & Floor Nailing raft Stop in Walls (rat proof) ire Stops; Furred Ceilings -Stairs -Chases -Tub Bader & Beam -Size & Bearing Date FRNG.(Continued) 4,5.' H ers-Post Caps -Anchors -Connectors 46'Clng. Joist-Rftr. Ties -Pu rlin- Roof Brac.-Truss-Shthng.-Rfng. ,47_Mre--p7ffMTies or Type A Flue -Fireplace Throat Clearance ccess; Size & Romex Protection -Draft Stop -Ins. Baffles r49--B&M-Windows or Exiting Doors -Sill Hgt. & Dimensions -be-8argeFi're Protection Framing ne Firewall & Openings xt. Doors -One 3' -Check Garage -3rd story, 2 exits ai ; idth-Headroom-Rise-Run-Landing-Fire Protection -15*�Vlly,w6od on Roof Overhang -Attic Vents -Rafter Outriggers 65 -Nailing Veneer <5 . cco h -Drip Screed -Fd. Vents-Underflr. Access Glazing Area -Glass Protection -Skylights -Plastic .-5r r Walls; Nailing -Bolts Insulation-Walls-Clg. 60. Infiltration-Walls-Wndws Card -131 Date Card -131 Date Card -81 Date Card -131 Date Date FINW(Plans) OK except #'s . Ex Steps -Door & Sidelight Protection -Landings 62,Smoke Detector rnace; Vents -Clearance -Comb. Air -Connector - In Garage; Above Floor-Ducts-Mech. Protection edroom Exiting " Bath Fixtures & Tub Access -Spa EI rim & Subpanel; Breaker Sizes -Labels Stairs & Rails fireplace or Stove; Clearances -Hearth ec. Outlets at Wood Panel; Int. & Ext. i . ixt. & Appliance; Grnd. -Air Gap -Cooking Clearance ec. Outlets & Receptacles at Kit. Counter _Z2 6erage+ire Door; Swing -Landing -Closer _23rA-e D"uct in Garage -Damper 4. Wtr.Htr.; Vents -Clearance -Comb. Air-Connector-P.R.V.- I .arage; Above Floor-Mech. Protection Plb., Elec. & Mech. Equip. Listed for Location lec. Receptacles in Garage; (G.F.I.)-Romex Protec. nsulation-Foam-Looked in Attic ❑ Yes and Rails & Deck Construction -Post Caps 4KFdn. Vents & Crawl Hole Door -Drainage & Wood -Earth Clearance Looked under Floor ❑ Yes 80. Following instld.; Drive -❑ Yes ta-N-0-Walks ❑ Yes Q No:� Planters ❑ Yes ❑ No co; Brown -Finish Gfiit; Disconnect, Electrical, Plumbing AT Vents Above Roof; Plbg.-Appliance-Firepl.-Clearance to Openings. er Well; Disconnect, Electrical, Plumbing Ewtefior Elec. Trim; G.F.I. Receptacle -Underground B61VV&ilation throughout House G Protection rrections from Previous Inpections (�ia$ Test -Meters Tagged; Gas -Electric 036Water & Sewer Connected -C/O to Grade -HD Approval --6'f-:Pn— rdy Compliance Certificate -Other Certificates Roofing Certificate Card -61 Date2 Card -61 Date Card-131'Dae Card -131 Date Card -B1 Date Card -131 Date Comments at Final: (NOTE: An entry must be made each time you visit job site) • COUNTY OF BUTT -_t - DEPARTMENT OF PUBLIC WORKS 7 County -Center Drive - droville, California 95965 - Telephone: 916/538-7541 APPLICATION AND PERMIT )MIT N ASSESS R PARCEL NUMBERO� ZONING BUILDING PERMIT OWN TELEPHONE SO. FT. OCC. BUILDING VALUATION OWNE,R'S MAILI AD R SS r - - COQ OR'S A TEL ON CONT/RAC O 'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ a LENDER'S MAILING ADDRESS' Filing Fee $ 10.00 Permit Fee ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee Energy Plan Checking Fee $ ` ARCHITECT OR ENGINEER'S MAILING ADDRESS ---� Penalty $ BUILDING ADDRESS / 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 55,00 Each qas water heater or vent 5.00 USE OF STRUCTURE SF(V Duplex❑ Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home I S I G W 0.00ea TYPE OF WORK New ❑ Additionf Remod I ❑ Utilities ❑ ns Ilation❑ Other ❑ Describe work: 0 tc j Permlt Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service jp0 AMP ORLESS10.00 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): ElNON.RESID I am licensed under provisions of Chapt. 9, DIV. 3 of the BUSIneS$ and Professions Code and my license is in full force and effect. -License No. Classification 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) [JI, as the owner, am exclusively contracting with licensed contract -Mobile ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason Main service EA. ADD•L too AMP 2.50 oa ADDNST (D W DWELLINGOCCU 1/E2Sgft ' NEW 1_ON5TR U T --OUTLET .BRA CH CIRCTS 2.50 ea ' POWER APPARATUS e (SINGLE OUTLET CIR. 20 EX. OCcU OUTLETS OR FIXTURES 0 P BALALoa0 FIXED APLNS.as Ex. Occup. OUTLETS P(RESID )REA.7 2.00 Temporary service 10.00 Home Facilities 15.00 Misc. Wiring 9 15.00 Permit Fee $ WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. 1 have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation 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. Contractor MECHANICAL PERMIT Filing Fee 10.00 Heating Cooling g Hood 3.00-,. Ventilation permit Fee $ Contractor I certify that Phave 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 or 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 Ili��eilities, judgments, costs, and expenses which may in any way accrueJ aga'rr st said County in consequence of the granting of this permit. _ X Date /d -f _�� Signcfure of Applicant Owner Contractor ❑ Agent ❑ An OSRA permi�: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 $ Q TOTAL PERMIT FEE/�/% , occuP. CONST.TYPc SCHOOL �L . PARCEL PD ND —�' ISSUE This permit is hereby issued under the applicable provi- sions of the Butte County Code and/or resolutions to do work indicated above for which fees have been aid. P DIREC R OF PUBLIC WORKS B Date ��- RMIT EXPIRES Date Receipt No. '` d fYS--- WHITE-D.P.W., YELLOW -ASSESSOR. PINK-INSP OR. `GOLDENROD-AP►LIC NT - COUNTY OF, BUTTE DEPARTMENT 0 IF PU kBLIC WORKS - BUILDING DIVISION 7 COLINfY'_C_CNTER DRIVE - OROVILLE. CA�11`tRNIA 95965 - TELEPHONE: 916/538-7541 PERMIT APPLICAT1-ON DATA SHEET Permit No.— OWNER it 14 -0 La )^L' A. P. No. (1) A/ V ''Building Inspector Date Proposed Building Us, At time of permit application, I was advised the following.data must be submitted prior to permit process i n -g and/or issuance: DATE RECEIVED APPROVED 1, A|| items have . .- --------___- _ ..' �__ . .~- ~� ~.~,__ ~ ,__' , 3, Complete plans uplic /1ripMoate, signed by preparor of plans. ---__ 4. Complete engineered plans and na|ou, with wet signature on-pllans.- 5. Plans with Energy Design Compliance Statemnnt, , . , . . 8. School Oiohio\ ''F000 Paid" Stamp on Floor Plan. Statement of | AC Buildings. . . , , Feuacf , . , . . , . , Q. Letter of signature authorization . ' . . , . . , . , . 10. Sanitation approval from /' k^' Health- Dept. 11, Planning approval for (A) Use: -_----_-(B) Parking:_--__----- ' 12. Certificate ofWorkmen's Compensation Insurance . . . . . ' 3, Contractor's License Information (nn., name style, daaoif.) . AK 4. Owner'Bui|dorVorifioatinn (Given towwner��[� . mail tomwner�^ ) __-_15. Improvements may be requinod. . . . . , . . _ . .' .` ^ ___--18, Mobi|ohnme Installation Data. . . . . ' . . . . . . ' 17. Pre -Inspection for Required. p��/��"= ��"°"`* o"*) ----- ----'---- -- ""' "'"v '""p""'~ -----_18. Recorded copy of Agricultural Acknowledgment Statement. 10. Driveway Pe/mit._----------- _ —20. Plot plan approval from city of - 21. _----_22. �h s follows: Mai| . —Mail to contractor. �unJe[e p and hold for piukup0—e-0offioe.—De |iver w/\napoctor. __---- O'her Applican(�,Z 'el ak ZX JT P— Copy of plans sent Health Dept., —.,F ire Dept., — Other— Date The following data must be submitted o permit issuance: (Circle new item not checked above). 1. Index permit for above items No. V6 - - 001 — &r ZT~~ 1 �, Contractor,uex/nne, owner, was advised o/ above requireduo�o »v�,' oon*--�na/|-Lov vnm, »v date Contractor, designV��,n was advised c� above required Sets of plans on hold in Copy -DPW ` File cabinet _AP folder COUNTY OF BUTTE - Department of Public Works 7 County Center Drive, Oroville, CA. 95965 Phone: 916-538-7541 OWNER -BUILDER INFORMATION Dear Property Owner: An application for a building permit has been submitted in your name listing yourself as the builder of the 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 pro- tect 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 bene- fit and protection: 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. 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 carry 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, contact 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 Depart- ment of Benefit Payments and the Division of Industrial Accidents. If the structure is intended for sale, property owners who are not licensed con- tractors are allowed to perforin 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 contacting the Contrac-� tors State License Board in your community or at 1020 N Street, Sacramento, CA. 95814. Please complete and return the enclosed owner -builder verification 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. JF'G: dd Enclosure Very truly ours, J.F. Glander Chief Building Inspector NOTE: This Owner -Builder, Information is sent to you as required by Section 19830 of the California Health and Safety Code. N J9� We also need letter authorizing signature of O.W. Clinkingbeard. Thank you.------------ COUNTY OF BUTTE - Department of Public Works 7 County Center Drive, Oroville, CA 95965 Phone: 916-538-7541 OWNER -BUILDER VERIFICATION Attention Property Owner: An 'owner -builder" building permit has been applied for in your name and bearing your signature. Please complete and return this information at your earliest opportunity to avoid unnecessary delay in processing and issuing your building permit. No building permit will be issued until this verification is received. 1. I personally plan to provide the major labor and materials for construction of the proposed property improvement (yes or no) 2. I (have/have not) for the proposed work. 3. signed an application for a building permit I have contracted with the following person (firm) to provide the proposed construction: Name Gc/ Address _:�2! Ci y Phone Q -S3 -5�13�' Contractors License No. 4. I plan to provide portions of this work, but I have hired the following person to coordinate, supero se, and provide he ma'Dr work - Name 7z Address �/ �Eity ���a 1 Phone q16- -5-3 �3 - Contractors 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 Social Security umber Date NOTE: This Owner -Builder Verification is sent to you as required by Sections 19831 and 19832 of the California Health and Safety Code. This verification must be completed and returned to -our office before we are per- mitted *to issue the permit. BUTTE COUNTY -SCHOOLS DEVEL&P`MEN'T FEE CERTIFICATION FORM (One Form per,A,Building) A.P. Numbers OoZ Building. Department No. School ,'District /k-, city Q county Q'Jurisdiction Prop ,prty Owner Project Location/Address 4�/ zs o v ..Subdivision Lot Number ,Residential Development: Sq. Footage_-_!5�5 # of Living MHI Addition (Group R) Units Commercial/IndustriAl: 0Sq. Footage New Addition (Including Exterior Roofed Areas) 222 Building Department Representative .`Da/Fe NOA 3 School District certifies that (Applicant Name). (Phone Number') (Street Address) (City) (State) (zip Code) has complied with the requirements of Resolution No. D 4, 2-= by. pa ent, of $ representing o7 square feet. .School Dis/�Wldt Representative Date PAID BY CHECK NO. REMARKS:* BANK NO-- 66L PAID'BY CASH white -applicant, yellow"building department., pink -school district SCHOOL .FEE (5/88) • EME7RGY SHEET FOR ADDITIONS TO RESIDENTIAL BUILDINGS PERMIT N0. 3 J51- - PACKAGE "A" (Additions) FORM '7 NAME 7 J SQUARE FOOTAGE JOB ADDRESS 1 IgE .4 Existing Residence TYPE OF WORK �V1 �'v New Addition,' New Total The following information sheet, showing mandatory features and required features of Package "A" must be completed and attached to all plans for additions. to dwellings. Additions to dwellings - include room additions, .converti'ng garages and patios to living areas, house moves that add footage and attic conversions, and any space that is ex isting non -conditioned space that is converted to conditioned space. Remodeling of existing conditioned space is not included. ZONE 11 ZONE 12 ZONE 16 INSTALLED APPLIES TO NEW AREA CEILING v-30 -30 R-38 WALL R-11 R- 1 R 19 FLOOR R-11 R-11 R- 9 SLAB R- 7• R-11 R - GLAZING >65 .65 .65 SHADING SOUTH -OPTIMUM OVERHANG or ..36 S.C. WEST' - .36 S.C. LOOSE FILL INSULATION (Density) INFILTRATION CONTROL (Weatherstrip doors, certified windows, caulking) DUCTS PER UMC.- Ch. 10 LIGHTING KITCHEN & BATH NOT LESS THAN 25 LUMENS/WATT MAXIMUM GLAZING 16% OF AREA PLUS REMOVED GLAZING NEW HVAC AND HOT WATER IN CONJUNCTION WITH AN ADDITION SHALL COMPLY AND FILL OUT DATA ON BACK OF THIS SHEETy �� 7/83 sr® f 'V E *1 HEATING VENTILATING,•AIR CMITIONING SYSTEM (A) Heating ❑ Central Gas Furnace (brand and model number) SE Btu/hr (heating capacity) ❑ Heat Pump (brand and model number) ACOP Btu/hr " (heating capacity at 47°F) ❑ Active Solar type (liquid or air) Collector brand and ft2 model number solar fraction collector area. collector y orientation collector tilt rated y -intercept rated slope ❑ Other (describe) *1 (B) Cooling ❑ Electric Air Conditioner (brand and model number) (seasonal EER) Btu/hr (cooling capacity at 95°F) ❑ Electric Heat Pump ' EER Btu/hr (cooling capacity at 95°F) ❑ Other (describe) DOMESTIC WATER SYSTEM. ❑ (A) Gas Only Gallons (brand and model number) (tank size) ❑ Heat Pump w/Electric Backup (brand and model number) Gallons (tank size) ❑ *2 Active Solar (collector brand and model number) (rated y -intercept) (rated slope) (solar fraction) ft (backup heater type, brand and model number) (collector area) (collector orientation) (collector tilt) ❑ Location of Solar Panels ❑ Other (Describe) *1 Submit documentation of sizing heating and cooling equipment by Manual J, sizing charts (form #4) or other approved methods, section 2-5352(g), and fill out the following: Heating: Winter design temperature °, elevation ', heating load BTU elevation factor x heating load = maximum outlet capacity gas furnace BTU Cooling: Summer design temperature ', cooling load BTU *2 Submit T.I.P.S.E. chart'or other approved system (form #5) to document sizing of solar panels. ® DESIGN COMPLIANCE STATEMENT: The above building design meets the requirements of Title 24, Part 2, Chapter 2-53 of the California Administration Code. i` a� SIGNATU OF BUILDIN ESIGNER OR APPLICANT Lf .aoacv h4p 0 33 V/ #rl ' V2" x 10"anchor bolts - I .(' 4.C. max., and. if�in mints. .9 of from t� Was • _ � •} .... - - _ .. _ �- - --•. .. - _ _ . . _ property lines and a setback =_ of 50ft. from the road 2," centerline shall be clear of 1 . st1 uctRes or equipment except - '- . cave Overhang - - _ - - - stns �`.v �, •, � s �y1 ;- -.sft<o vw Asto peg T> LLERIN 'r 77 r ar • _ . �Iti 3 • �_ Stogy /#w tea' a''c�c.�t�c� 3: �z. -Ott cess 2X lo 2 "o •� • _ _ _ .._ _ _ F�GT�. _..... _ b ay �✓�s Y. 0 JOS: CSS � t s. _ )6012 _ MAW ilJ GUILDIN4 DEPART. o i W. IQ -62