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038-190-029
38-19-29 KEN S ILLIMAN y 8934 Stanford Lane, Durham Contr; Filer & Son, Paradise Permit#1030-85B,P,E,M(add family room, bath, laundry & screened porch & re- pairs in existing house)SF 038-19-0-029 - 92-4276'B,E SILLIMAN, Ken '8934 Stanford Ln, Durham. contr: Russell Smith garage VII t I I I 3 y . ' � a SIDENTIAL —0-3 8- SILLIMAN, Ken 92-4276 B,g 8934 Stanford Ln, Durham contr:.Russell Smith garage 4 S T ' e- w%T. js �- r x i e a r y� r 4 r X0-/7 JOB FINALEID (Date) Signature J=OK O = Not OK N Applicable MOBILE HOMES MISCELLANEOUS 071e� Date MOBILE HOME UTILITIES (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Soils; Special MH Support Sketch 3. Sewer; Location -Test -Fall -C/O Concrete 4. Water; Location -Test -Easement Needed (Sketch) 5. Electricity; Location-Clearences-Grnd-/ /Amp -Concrete 6. Gas; Location -Test -Wrap: / /"L"ft. / /"Nat. or/ /" L"ft./ /"LPG 7. Well Clearance & Disconnect 8. Utility Clearance Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date MOBILE HOME INSTALLATION (Plans) OK except #'s 1. Zoning Requirements -Setbacks Easements 2. Footings; Size -Spacing -Marriage Line 3. Gas; MH Test-Demand-Valve—Connector 4. Electricity; MH Test -Crossovers -Breakers -Clearances 5. Drain; MH Test -Fall -Flex Connector 6. Water; MH Test -Regulator -Connector 7. Water and Sewer Connected -C/O to Grade -HD Approval 8. Gas and Electricity Tagged 9. Exits; Insp.-Sketch 10. Cert. of Occupancy Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date DE S, COVERS, CARPORTS, GARAGES, (Plans)OK except #'s Zoning Requirements -Setbacks -Easements ootings; Soils -Size -Depth -Spacing -Connectors -Steel 3 --Becks; Griders and/or Joists -Decking -Bracing -Stairs -Rails /rWood Awn.; Poste"ams-Rftrs.-Connectors Shthg.-Rfg.-Bracing 5. -Al m. Awn.; Columns -Connections -Splice -Decal -Enclosures 6-1 'Arports; Windows -Doors ectric rmg; Sils Anchors-Studs-Rftrs-Trusses —,;:m 1� 8^Siding; Nailing -Veneer -Stucco -Mesh WnRoof; Shthg- oofing ExtS Doors -Landings Date Card B-1 Date 4 ,7,5; Card B-1 r C, Date .Ci 4� Card B-1 (,,r Date A77 L Card B-1 ems' Date POOLS (Plans) OK except #'s 1. Setbacks -Easements 2. Soils; Compaction -Structure Stability 3. Pool Structure; Steel -Connections -Thickness Dead Men -Lining 4. Elec.; Receptacles and Lighting, Distances-GFI 5. Elec.; Pool Lighting; 15 volts-GFI 6. Elec.; Enclosures; Conduit Entries -Terminals -Listed 7. Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater 8. Elec.; Grounding; Equip. w/5' Circulating Equip. -Pool Lghtg. _ Boxes -Enclosures -Panel boards -Ins. to Main in Conduit 9. Health Department Approval 10. Plumb.; Cir. Test -Water Supply Test Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 � �Q Sv�•3 t-��i� Wt2iZS /3a AM e M A I nl J=OK O = Not OK Not = Not Ready RESIDENTIAL RESIDENTIAL (; Date UNDERFLOOR (Plans) OK except if's i 1. Zoning -Setbacks -Easements -Flood -Slope 2. Ftg., Main; Soils-Elec. Grnd.-/ /" Ftg. Depth 3. Ftg., Garage; Soils-Steel-Elec. Grnd.-/ /" Ftg. Depth 4. Ftg., Porches & Decks; Soils -Steel-/ /Ftg. Depth. 5. Stemwalls, Main; Steel -Bloc kouts-Wrapped 6. Stemwalls, Garage; Steel-Blockouts-Wrapped . 6a. Hold Downs and Special Anchors 7. Slab; Steel -Wrapped , 8. Piers -Fireplace Ftg.-Steel 9. D.W.V.; Fall -Fitting -Test -2 Way C/O -Sewer Test 10. UF. Gas Pipe; Size -Anchors - yard gas piping: size-tgst 11. Water Pipe; Test -Anchor -Regulator -Service Test 12. Electric; Underground 13. Pienums & Ducts; Clearance -Material -Support -Ins. 14. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples 15. Access & Ventilation 16. Insulation Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date PLUMBING (Permit),OK except h's 16. Water Htr.: Vent -Access -Combustion Air -Baffle ---------- ---- ---------------------------- 17.' Water Pipe; Test & Anchor -Nail Protection 18. D.W.V.: Test -Fittings & Anchor -Nail Protection ----------- -- -------------- 19. Shower Pan; Test. First Floor -Tub Access 20 Test Tub & Shower. Second Floor -Tub Access - ------------------------- ----------- -- -- 21. Gas Pipe: Size & Anchors ---------- --------------------------------------------------- - Date Card B-1 Date Card B-1 ----------- ----------- ----------------------------------------------- Date Card B-1 Date Card B-1 Date ELECTRICAL (Permit) OK except ft's 22. Fixture & Transformer Clearance -Ins. Protection - ---------------------------- 23. Elec. Receptacles Spacing -Lights & Switches at Doors --- --------------------------------------------- 24. Size Boxes & No. of Conductors-Stapled ------------------------------------------------------------- 25. Romex Installed Close to Edge of Studs & C.J. ------ - - ------------------------------------------------ 26. Equip Ground made-up- w/Mech.Fastners-Bond Gas & Water ---------- -------------------------------------------------------------- 27. 2 Appliance Circuts in Kitchen & Conductor Size/GFI -------------------------------------------------------- 28. Subfeed Wire Size / r ga. Cu or AI-A.C. Wire Size / / ga. Cu or AI ------------------ - ---------------------------------------------------- ---- 29. Range Circ. / i ga. Cu or AI -Oven Circ. / / ga. Cu or Al. Insulated Neutral ❑ Yes ❑ No --- ------ --------------------------------------- - - --- -- - 30. Service -Riser Conductors & Ground -Main Disconnect ------------- --------------------------------------------- 31. Equip Clearances Panels-Motors-Mech. Equip. 32. Clothes Closet Light -Shower Light -Spa Light ---------- - ----------------------------------------------------------------- 33. Smoke Detector --------------------------------------------------------------------------------- Date Card -B-1 Date Card -B-1- -------------------------------------------------------------------------------- Date Card B-1 Date Card B-1 Date MECHANICAL (Permit) OK except h's ________ 34. -A. -C. -Ducts Insu-lation & -Support- ---------------------------------- ----------------- 35. Vent -Fan:-Exhaust above insulation 36. Conden=ate Drain & Overflow: Size & Grade ____________ 37. Furnance-Vent: Access -Comb. Air -Return -Air Vent -115 outlet 38 -.-Attic Access & Platform if Furnance in Attic ------------------------------------------ ------------------------- ----------- Date Card B-1 Dale Card B-1 - ---------------- ---------------------------------------------- ---------------- Date Card B-1 Date Card B-1 Date FRAMING (Plans) OK except h's 39. Sils. Proper Material & Anchors ------- ------- ------------------------------------------------------------------- 40. Walls Studs -Nailing. Spacing & Bracing -Plates -Sound ---------- - ------------------------------------------------------- 41. Bearing Walls over Girders & Floor Nailing - - -------------------------------------- ---------- -------------- -------------- 42. Draft Stop in Walls (rat proof) 43. Fire Stops: Furred Ceilings -Stairs -Chases -Tub ---------------------------------------------------------------------------- 44. Headers & Beam -Size & Bearing NO=u jingle & Duplex) Date FRAMING (Continued) 45. Hangers -Post Caps -Anchors -Connectors 46. Ong. Joist-Rftr. ties-Purlin-roof Brac-Truss-Shthng.-Rfng. 47. Fireplace Ties or Type A Flue -Fireplace Throat clearance 48. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 49. Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions Garage Fire Protection Framing 51. Property Line Firewall & Openings -52.-Ext. Doors -One 3' -Check Garage -3rd Story, 2 Exits - 53. Stairs: Width -Headroom -Rise -Run -Landing -Fire Protection 54. plywood on Roof Overhang -Attic Vents -Rafter Outriggers ----------------- - - ____________ 55. Siding -Nailing Veneer' ------------ 56.- Stucco Mesh -Drip Screed -Fd. Vents-Underfir. Access ------ - _ 57. Glazing Area -Glass Protection -Skylights -Plastic 58. Shear Walls: Nailing -Bolts 59. Insulation -Walls -Ceilings 60. Infiltration -Walls -Windows ---------------- ---- ---------------------- Date _ __ Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date FINAL (Plans) OK except If's 61. Ext. Steps -Door & Sidelight Protection -Landings ____________ 62. Smoke Detector 63. Furnace; Vents -Clearance -Comb. Air -Connector - In Garage: Above Floor-Ducts-Mech. Protection 64. Bedroom Exiting ----------------- ----- -- ............. 65. -- 65. G.F.I & Bath Fixtures -& Tub Access -Spa 66. Elec. Trim & Subpanel; Breaker Sizes & Labels ------------------- ---------------- 67.- Stairs & Ra -------------------------ils--------- - 68. Fireplace or Stove: Clearances -Hearth -------------- ------------------------ 69. Elec. Outlets at Wood Panel: Int. & Ext. 70. Kit.Fixt & Appliance: Grnd.-Air Gap -Cooking Clearance -- ----- --- - - -71.---Outlets Outlets & Receptacles at Kit. Counter --------------------- -- 72. -Garage -Fire Door; Swing -Landing -Closer -- ----- 73. A.C. Duct in Garage -Damper - - - 74. Wtr. Htr.: Vents -Clearance -Comb Air-Connector-P.R.V. In Garage: Above Floor-Mech. Protection 75. Plb.. Elec. & M_ech._Equip. Listed for Location 76. Elec. Receptacles in Garage: (G.F.I.)-Romex Protection ---------------------------------- --- 7;. Insulation -Foam -Looked in Attic ❑ Yes 78. Guard Rails & Deck -Co nst ruct ion -Post Caps 79. Fdn Vents & Crawl Hole Door -Drainage & Wood -Earth Clearance Looked under Floor ❑ Yes 80. Following instld.: Drive ❑ Yes ❑ No: Walks ❑ Yes ❑ No; Planters --O-Yes--O No 81. Stucco: Brown -Finish - -- - -- --------------------------- --- Unit: Disconnect. Electrical, Plumbing 83. Vents Above Roof: Plbg -Appliance-Fireplace.-Clearance to Openings - - - - -- --- --------------------------- --- 84. Water Well: Disconnect, Electrical, Plumbing ------------------------------------ --- --- 85. Exterior Elec. Trim: G.F.I. Receptacle -Underground 86. Ventilation Throughout House - - -- - -------------- 87. Glass Protection 88. Corrections from Previous Inspections - 89. Gas Test -Meters Tagged: Gas -Electric _____ 90. Water & Sewer Connected -C/O to Grade -HD Approval 91. Energy Compliance Certificate -Other Certificates -- ------------------------------ - ------ -- Date- Card B-1 Date Card B-1 ----------------------------------------- --- Date _ ------------ Card_B-1 _ Date_ Card B-1 Date Card B-1 Date Card B-1 Comments at Final: :,;} COUNTY OF BUTTE BUILDING DIVISION DEPARTMENT OF DEVELOPMENT SERVICES 1469 Humboldt Road, Chico, CA - (916)'891-2751 . 7 County Center Drive, Oroville, CA - (9 i8) 538-7541 747 Elliott Road, Paradise, CA - (916) 872-6307 CORRECTION NOTICE SI LCIAnArJ 9pZ•yaro 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 comple d. If you have any questions pertaining to this matter, or need additional explanation, please ontact this office immediately. i �c. :5 w.% `7 y` .F X .%t Date (r- 1193 Inspector REV 10192 I w? Li A Date inspector 7 .54 REV 10/92 COUNTY OF BUTTE, BUILDING DIVISION DEPARTMENT OF DEVELOPMENTSERVICES, A 1469 Humboldt Road, Chico, CA - (91 6) 891--2751 7 County Center Drive, Oroville, CA - (916) 538-7541 747 Elliott Road, Paradise, CA - (916) 872-6307 CORRECTION NOTICE OWNER PERMIT NO. A routine inspection indicates that the following violations of Butte County Ordinances exist at the above address and should be corrected. Please 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. NA'\ -N tz C I w? Li A Date inspector 7 .54 REV 10/92 .....�.�:r•-•e�=:P�-�'b"^c��"'g��y�._X�. K:'_ r t -.I.... •;`. may►. 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 s, LUr j\t1 q2-92-7�71 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 cow4deted.lfyou have any questions pertaining to this matter, or need additional explanation, please contact this office immediately. 1C. C,IAR ?Ael11_ N 0 Wn Ai.j T7ifQt- o, S \' 2 PA i E C 9 JvnL�s 15 ljan.. r J 9 -(AT (LA L<, � rzll r =+ 0 F KA,j F_t_ Nor A Qf (7-J,ra 1, (-")P- /0 ry R(?2s 2.�i✓IId- 9 14fAhlZ06A, Rr ST.AtRS 15) o AA P( K r rL- S r Ai 2 S 3%2� ,p p - 2za -ivy .1 - ��►�te,o( Date 3- 1`i -q3 Inspector REV 10192 t&a r ri I 41M OUNTY OF BUTTE - DE�AR�TIV?ENT OF PUBLIC WORKS IT NO. i `NO- /7Coun1,Center Drive - Oroville, California 95965 - Telephone: 916/538-7541 W. ' APPLICATION AND PERMIT-' / ASSESSORPARCEL NUMV _i —190-029V/ ZONING A-5 BUILDING PERMIT OWNER - TELEPHONE 343-3023 SQ, FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS - rd Lane Durham 95938 f f 448.00 CONTRACTOR'S NAME TELEPHONE 893-0339 CONTRACTOR'S MAILING ADDRESS Chico 95928 Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ 20 448.00 LENDER'S MAILING ADDRESS - ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 15.00 Permit Fee $ 180.00 Plan Checking Fee $ 90.00 ARCHITECT OR ENGINEER'S MAILING ADDRESS Energy Plan Checking Fee $ Penalty $ BUILDING ADDRESS Permit fee $285.00 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 Garage SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 15.00 Mobile Home S G W @ 15.00 TYPE OF WORK New D Addition ❑ Remodel ❑ Utilities ❑ Installation❑ Other ❑ Describe work: New Garage Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 15.00 Main service 200AORLESS 1 18.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury ,_,q p y p l y (check one): I//� `�' 1 am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code a d my license is in full force and effect. Q License No. S Classification- B ow I, as the owner, or my employees with wages as their sole compen- kation, will do the work,and the structure is not intended or offered r sale. (Sec. 7044) ❑ I, a the owner, am exclusively contracting with licensed contract- or's`. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason Main service 200A TO 1oo0A, 1 37.50 NEW CONST. ( DWELLING OCCUP.y\ 3.(Qsq.ft. OR ADONIS. ACC. BLDGS. II NEW CONSTR. ULTI.OUTLET NON.RESID BRANCH CIRC ITS @ 5.00 POWER APPARATUS .&) SINGLE OUTLET CIR. 20 76 EX, OCCUp(O OR FIXTURES FIXED A EX. Occup. OUTLETS (RESID )REA.) 3.00 Temporary service 15.00 Mobile Home Facilities 15.00 Misc. Wiring -15.00 Permit Fee $ 55.00 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 ;K 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 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, cost , and expenses which may in any way accrue against s ounty in conse nce of the granting of this permit. X �jJ-� Date /� �/' s `2� $ignature 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 F $ 340.00 HAz DFEES IMP FLOOD RCEL PD HD ISS E 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. IRECTOR OF PUBLIC WORKS By Datel�7 9 PE IT EXPIRES Date Z- fa ,_ 9 k ipt No. 3 7 Cq / - -D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT v . �- r'�• .. N COUNTYOF BUTTE -DEPARTMENT OF` 5 ' ELOPMENTSERVICES -BUILDING DIVISION 7 C UNTYCENTER DRIVE - OROVILLE, CALIFORMA 95965 -TELEPHONE (916) 538-7541 E PERMIT APPLICATION DATA SHEET OWNER ���.J Si' / �/l�j.�.✓ Y A. P. No. 3 g A!Fo Proposed Building Use 4d-A±:�2 Building Inspector C Date At time of permit application, I was advised the following data must be submitted prior to permit processing and/or issuance: DATE RECEIVED BY 1. All items have been submitted . ........................................ 2. Plot plans, 3/4 sets, signed by preparer of plans . .......................... 3_ Complete plans, 3/4 sets, signed by preparer of plans . ...................... A. Engineered plans and calcs, 3/4 sets, with wet signature on plans . .............. 5. Hazardous Material Form . ......... ........ ........................ . 6. Energy Design Compliance and supporting documentation . .................. 7. Statement of Intent for Non -Heated and A/C Buildings . ...................... 8. Engineered truss details and layout in duplicate (required prior to plan check). .... 9. Mobilehome data and manufacturer's installation instructions, 2 sets. ........... 10. Fees of $........................................ . Al Impact fees as shown on attached schedule . .............................. 2. California Department of Forestry plan approval/fees. ....Wj6.. �.! 3. Flood elevation letter (100 year flood) by California Engineer.!.p... / 4. Sanitation and plot plan approval 66// c�0 Health Department. 15. City of Chico plumbing permit . ................... .................. 16. Plot plan and business license approval from City of Biggs/Gridley. ............. 17. Planning approval for (A) Use: (B) Parking: 18. Contact Land Development about (A) Improvements (B) Drainage. ......... . 19. Driveway permit (construction approval required prior to occupancy). .. . 20. Pre -inspection for required. .. to Building �spea0� (Date) ontractor's license information. (No., Name Style, Classification) . .............. 22. Certificate of Workmans Compensation Insurance . .......................... 23. Owner -Builder Verification (Given to owner , Mail to owner )............ 24. Recorded copy of Agricultural Acknowledgement Statement . .................. • 25. Letter of signature authorization . ........................................ 26. Copy of recorded deed of parcel creation and 60 right of way to a public road. ..... 27. Letter of intent on building use . .......................................... 28. Mobilehome utility clearance . .......................................... 29. Documentation of legal access . ..................... 1 .................. 30. Documentation of 50% subdivision developed or (A) Road improvements completed and (B) Parcel meets zoning area and frontage requirements . ............... 31. Existing violations/expired permits . ...................................... 32. Plan check list . ...................................................... 33. .34. When you issue the permit, process as follows: Mail to owner. Mail to contractor. Telephone and hold for pickup at office. Deliver with inspector. Other Parcel Creation Acreage Applicant � - Date Copy of Haz-Mat form sent Health Dept. Fire Dept. Air Pollution Date Copy of plans sent Health Dept. Fire Dept. Other Date By The following data must be submitted prior to permit issuance: (Circle new item not checked above). 1. Index permit for above items No. 2. Additional items required: Contractor, designer, owner, was advised of above required data by jhone -mail Counter by _ Date Contractor, designer, owner, was advised of above required data by - phone _ mail C unter by Date Plans checked by Date Plans approved by Date Z Sets of plans on hold in File cabinet AP folder Copy - Department of Public Works • TO: Buildincy Department FROM: Environmental Health SUBJECT: Sanitation Clearance li,ll. 11.1_ Phil I'I:w AuunceJ Floor flim Alm^nced-- Owner Location APS/ Plan Approved for: Sewage Disposal Water S upply: Public � Private Well_ Clearance for bedroom mobile home. Other 14-�r �nnnY C,+�G� Sf) GinC� "Ic,` Hold final for: hinal clearance O.K. tor: NOTE En ronmental Health Specialist 8/92 Date ' December 24,1992 We Kenneth C' Silliman and Vera C. 8iIlimanare going to use the area over the garage as a storage area. We OO NOT have any plans of using that area as a living space now or in the future' ` | | Sincerely � . ' Kenneth C. C' SiIliman . Vera C. SiIIiman ' ' | ^ . a s - L -17/0 /41 COUNTY OF BUTTE - DEPARTMENT OF PUBLIC -'WORKS 7 County Center Drive - Orovilie;-Caiifornia 95965 - Telephone: 916!538-7541 APPLICATION AND PERMIT PERMIT NO. Z.;:- SSOR RaRCE ,NWMBER 0-2-9/ OWNE L,—_. A4. -f S�// fir zON NG 2 BUILDING PERMIT HONE Y3 P3023� SO. FT. OCC. BUILDING VALUATION OWNER'S MQI L�t/rOR E55 �Jt1Q /r CV"Cl S !•/•`/ Kms/ / CON ACT'/CQO,R'S NAME J Sig r TEL PHONE r$ O X39 CONTRACTOR'S MAILINy ADDRESS /7 26Z(a - CI -11 C,. � � �f �f'2 Q Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ 2 p Y'-Icg LENDER'S MAILING ADDRESSg Fee Filin $ 15.00 Permit Fee $ �3d ARCHITECT OR ENGINEER LICENSE No. Plan Checking Fee $ p ARCHITECT OR ENGINEER'S MAILING ADDRESS Energy Plan Checking Fee $ Penalty $ BUILDING ADDRESS Permit fee $ PLUMBING PERMIT Filing Fee 15.00 Each Trap 5.00 ��) ,(� J/2"4 �_ Solar or heat pump water he r 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP Water piping 7.00 Each qas water heat Or vent 7.00 USE OF STRUCTURE + SFE] Duplex❑ Mobilehome❑ Other_. `�_af Gas piping syste - 5 outlets 5.00 Building sew e 15.00 Mobile Ho S G W @ 15.00 TYPE OF WORK New /Addition [I Remodel❑ Utilities ❑ Installation ❑ Other ❑ Describe work: Permit Oiiia $ Contractor ELECTRICAL PERMIT' Filing Fee 15.00 Main service 200AORLOR ESS 18.50 CONTRACTORS LICENSE LAW I declare under enact of penalty perjury lur y (check one): F1I 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 ElFIXED 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 Main service 200A TO IOOOA1 P-501 NEW CONST.( DWELLING OCCUP.ai, 3.64 sq.ft. 7 Q OR ACDNS. ACG. BLDGS. NEW CONSTR. MULTI -OUTLET NON-RESIO BRANCH CRC ITS) @ 5.00 /POWER APPARATUS e� (SINGLE OUTLET CIR. Ex. OCCup(OUTLETS OR FIXTURES 20 7611 APPLNS. OR \ EX. Occup. OUTLETS IRESIO.I EA./ I 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�Permlt provisions or this permit shall be deemed revoked. Contractor MECHANICAL PERMIT Filing Fee 15.00 Heating Cooling Hood Z, 6.50 Ventilation F $ Contra or 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, c s, and expenses which may in any way accrue against s ounty in �con quen the granting of this permit. X , Date Z Signet re 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 $ 3L1�-- HAz OFEES IMP FLOOD CDF PARCEL PD Ho ISSUE This Permit is hereby issued under the rovi- 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. ' � Ov q3 WNITC-D.P.W.. YELLOW- ASS C79OR, PINx-IN9PCCTOR, GOLDENROD -APPLICANT I PERMIT NO. __ �19330--85B, P, E PERMIT EXPIRES .",OWNER KEN S ILLIMAN CONTR. Filer & Son, Paradise ASSESSOR PARCEL 38-19-29 F LOCATION 8934 Stanford-Lane,,-Durham OFFICE COPY Y Address GAS Meter By Date I i ELECTRIC Meter By — Date _. t; s>; P RD, r rAddrssS'- GAS g"yr » pDDate }ELECTFi�CJ%u,1JT�'451�'��aA �t 2 4�Meter By' t` Temp. Power Pole # Called PG&E / 3 Temp. Elec. Service + Called PG&E / t, i 7 Temp. Gas Service Called PG&E > JOB FINALED (Date) Signature — COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 196 Memorial Way, Chico — Phone: 891-2751 7 County Center Drive, OroviIIe — Phone: 5344541 Skyway and Elliott Road, Paradise — Phone: 872-2961, Ext. 57 CORRECTION NOTICE A routine inspection indicates that the following violations of County Ordinance exist at the above address and should be corrected. Please notify ,this office 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 Date T _. • 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 CORRECTION NOTICE 16 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 Date�� COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS - 196 Memorial Way, Chico — Phone: 891-2751 7 County Center Drive, Oroville — Phone: 5344541 Skyway and Elliott Road, Paradise — Phone: 872-2961, Ext. 57 CORRECTION NOTICE OWNER PFQhAIT nin 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 ,,[ Date COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS. • 196 Memorial Way, Chico — Phone: 891=2751 7 County Center Drive, Orovi Ile — Phone: 534-4541 Skyway and Elliott Road, Paradise — Phone: 872-2961, Ext. 57 CORRECTION NOTICE lw,,,� 3o -Sc' PERMIT NO. 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_/'tel%W Date ./( J OK 0 = Not OK = Not Applicable * = Not Ready MOBILEHOMES' IF MISCELLANEOUS Date MOBILEHOME UTILITIES (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Soils; Special MH Support -Sketch Date DECKS, COVERS, CARPORTS, ETC. (Plans) OK except #'s 1. Zoning Requirements -Setbacks -.Easements 2, Footings; Size -Depth -Spacing -Connectors 3. Sewer; Location -Test -Fall -C/0 -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 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Gas; Location -Test -Wrap:/ /"L"ft./ /"Nat.or/ /"L"ft./ /"LPG 6. Carports; Windows -Doors 7. Utility Clearance 7. Elec. Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Date Card -BI Date MOBILEHOME INSTALLATION (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements Card -BI Date Date Card -BI Date POOLS (Plans) OK except #'s 1. Setbacks -Easements 2. Footings; Size -Spacing -Marriage Line 2. Soils; Compaction -Structure Stability 3. Gas; MH Test -Demand -Valve -Connector 4. Electricity; MH Test -Crossovers -Breakers -Clearances 3. Pool Structure; Steel -Connections -Thickness -Dead Men -Lining 4. Elec.; Receptacles and Lighting; Distances-GFI 5. Drain; MH Test -Fall -Flex Connector 5. Elec.; Pool Lighting; 15 volts-GFI 6. Water; MH Test -Regulator -Connector 6. Elec.; Enclosures; Conduit Entries -Terminals -Listed 7. Water and Sewer Connected -C/0 to Grade -HD. Approval 7. Elec.; Bonding; Metal w/5' -Circulating Equipment -Heater 8. Gas and Electricity Tagged 9. Exits; Insp.-Sketch 8. Elec.; Grounding; Equip. w/5' -Circulating Equip. -Pool Lghtg. Boxes -Enclosures -Panel boards -Ins. to Main in Conduit 10. Cert. of Occupancy 9. Health Department Approval 10. Plumb; Cir. Test -Water Supply Test Card B -I Date Card -BI Date Card -BI Date Card -BI Date Card B -I Date Card -BI Date Card -BI Date Card -BI Date ,r .E J L OK - O = Not OK Not Applicable RESIDENTIAL (Singie and Duplex) = Not.Ready Date 14DERFLOOR Plans OK exce t#'s Date FRARaING Continued oning requirements-Setbac s Easements roperty Line Firewall &Openings tg., Main; Soils -Steel -EI - / /" Ftg. Depth xt. Doors -One 3' -Check Garage -3rd story, 2 exits - -9-Fig., Garage; Soils -Steel- / /" Ftg. Depth lairs; Width -Headroom -Rise -Run -Landing -Fire Protection Porches & Decks; Soils -Steel- / /" Ftg. Depth 11. flywood on Roof Overhang -Attic Vents -Rafter Outriggers 6 temwalls, Main; Steel-Blockouts-Wrapped-Slab W Siding-Nailing-Veneer -6-4ftmwalls, Garage; Steel-Blockouts-Wrapped-Slab -Drip Screed-Fdn. Vents-Underflr. Access j�S Steel 514.,eGlazing Area -Glass Protection -S lights -P is .W.V.: Fall -Fittings -Test -2 way C/0 -Sewer Test W. Shear Walls; Nailing -Bolts 9. Gas Pipe; Size -Anchors _a, AA4U1V9Cr0_ AWN Q11 -n% -Vater Pipe; Test -Anchors -Regulator -Service Test 11. Electric; Underground .SS. -.Plenums & Ducts; Clearance -Material -Support -Ins. irders-Sills-Anchor olts-Joists-Vents-Cripples Card -BI Date Card -BI Date ,L, Card -BI Date S' Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Date FIN (Plans) OK except p's Card -BI Date Card -BI Date Date PL BING (Permi 10K, except q's t. Steps -Door & Sidelight Protection -Landings W. Smoke Detector 1 ter Ht t ccess-Comb tion Ai +6e-" Mnace; Vents -Clearance -Comb. Air-Connector- In Garage; Above Floor-Ducts-Mech. Protection ater PipexadjA Anchor ail echo W.V.; Test-Fttngs & Anchors -Nail ProtectionX59 Broom Exiting 4--6howerPan; Test, First Floor -Tub Access ,v G.F.I. & Bath Fixtures & Tub Access 18. Test Tub & Shower, 2nd Floor -Tub Access 61. Elec. Trim & Subpanel; Breaker Sizes -Labels Gas Pipe; Size & Anchors -92-TMirs & Rails fireplace or Stove; Clearances -Hearth &4-'Elec. Outlets at Wood Panel; Int. & Ext. Card -BI g Date Card -BI Date 65. Kit. Fixt. & Appliance; Grnd.-Air Gap -Cooking Clearance Card -BI Date Card -BI Date --667-T_'fec. Outlets & Receptacles at Kit. Counter Date E CTRICAL Permit OK except fit's G age Fire Door; Swing -Landing -Closer --68' C. Duct in Garage -Damper Fixture & Transformer Clearance -Ins. Protection Wtr. Htr.; Vents -Clearance -Comb. Air-Connector-P.R.V.- garage; Above Floor-Mech. Protection lec. Receptacles Spacing -Lights Switches at Doors L�p!Plb., Elec. & Mech. Equip. Listed for Location ize Boxes & No. of Conductors-,Sfapled lec. Receptacles in Garage; (G.F.I.)-Romex Protec. Romex Installed Close to d e f Studs & C.J 0166 #sipEquip. Ground made up h Fasteners and Gas & Water nsu let ion- Foam- Looked in Attic ❑Yes and Rails & Deck Construction -Post Caps Circuits in Kitchen & Conductor ize ga. Cu or AI-A.C. Wire Size / / ga. Cu or Al Fdn. Vents & Crawl Hole Door -Drainage & Wood -Earth Clearance Looked under Floor ❑ Yes / / a. u or AI -Oven Circ. / / ga. Cu or A[, /_Insulated Neutral es ❑No _15. -Following instld.: Drive ❑ Yes E] No; Walks E) Yes ❑ No; Planters ❑Yes ❑No !d Service -Riser Conductors & Ground -Main Disconnect �Z6!Stucco; Brown -Finish V. Equip. Clearances; Panels-Motors-Mech. Equip. C. Unit; Disconnect-Clrnces-Brkr. & Cond. Size -115V Outlet 89._C1nt1>oe Closet Light -Shower Light Vents Above Roof; Plbg.-Appliance-Firepl.-Clearance to Opn s. .-U.-Water Well; Disconnect, Electrical, Plumbing A0 Exterior Elec. Trim; G.F.I. Receptacle -Underground Card B-IZ Date � Card BI Date entilation throughout House Card B -I Date Card -BI Date 4 lass Protection Date MECHANICAL (Permit) OK except k's orrections from Previous Inspections S 8 Gas Test -Meters Tagged; Gas -Electric 31. A.C. Ducts; Insulation & Support ter & Sewer Connected -C/0 to Grade -HD Approval 32. Vent Fan; Exhaust above Insulation 33. Condensate Drain & Overflow; Size & Grade nergy 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 FR ING Plans OK except q's ills; Proper Material & Anchors Comments at Final: 3 alts; Studs -Nailing, Spacing & Bracing -Plates -Sound 39. Baring Walls over Girders & Floor Nailing Draft Stop in Walls (rat proof) 49. Fire Stops; Furred Ceilings -Stairs -Chases -Tub 41. Bader & Beam -Size & Bearing N�Zangers-Post Caps -Anchors -Connectors Ing. Joist-Rftr. Ties-Purlin-Roof Brac.-Truss-Shthn.Q.-_,Rfnp. _ Ve Fireplace Ties or Type A Flue -Fireplace Throat Attic Access; Size & Romex Protection -Draft Stop ns Baffles . Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions 4L_Garage-F!?e Protection Framing (NOTE:Anentrymust be made each time youvisit jobsite) Owner:— - o �, E N E R G Y Q. E R T I F I C A T 1 0 N 8934'Stanfor'd Lane, Durham, CA LOCATION A.1'. No. DESCRI1,1TION!01-- INSULATION' ROOF Mnterial NIA Brand Name Thickness(inches)_ Thenyvil Re,,;j..qt:jIjjc.e (It Value) EXTERIOR WALL -Material Fjbprglaa Batts Brand Naine CertainTeed Thickness(inches) _9? 11 Thermal Resistance(R Value) -R-11 CEILING Batt or Blanket Type_ Brand Name Thickness(inches). Thermal Resistance(R VaWe)_ Lo;se Fill Type InsulSafe III Brand Name CertainTeed Minimum ThicknesWilches) 1 Number of Bagsj Wt.* per bag 25 lb. Area covered(ft. ) 1840 Thermal Resist-ancc-(R Va.l.i.,e) R-30 FLOOR, ELEVATED Material. Fiberglas Batts Brand Name CertainTeed 'Eli ickness (triches) , 6 rhermal FLOOR, SLAB Material -EZA -Brand Name Thickness(iIiches)_ Thermal Res I Value) Width(inches- FOUNDATION WALL Material N/A j --Brand Name Thickness(iri ches), Thermal Resistance(It Value) I hereby certify that the above insula tion I was installed in the above building , in c fo nce with the State k-C�Rff�lia Energy Requirements. S In.5u-J-2rf ion Co. Inc. #378407 STATE CON'TRACTOR'S LICENSE No. 8/22/85 GI OF INSTALLATION APPLICATOR DATE I hereby certify the above i"r3ulation and ;III required it.-cills as shown on the Building Department approved plans and att,'IC11111CT1ts have bt2oll installed as requi-red by the State of (;,Ij.-.LFornia Energy Requirements. All equipment, devices nrid mrit.(�rials are of thc qu:ilit.y prescribed or are specifically appro'ved by 01(! Sr,"te of Call.Cornia. .7— ------- :-- FIRM pri -nc) SIATE COWRAC'Ilol,'� ;S LICENSR NO. --3� mss_ S ��Vl RG OF Ch' DATE THIS CERTIFICATE MUST BE ON FILE WITH THE BUILDING DEPARTMENT rRIOR TO FINAL INSPECTION APPROVAL AND A COPY SHALL BE POSTED W1111IN THE BUILDING . I January 1984 COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT NO. 7 County Center Drive - Oro01'le, California 95965 -Telephone 916/534-4541 APPLICATION AND PERMIT ASSESSOR PARCEL�UMa R_ '� — �Cj�//(( ZONA G go " BUILDING PERMIT OWNER env TE PHONE SQ. FT. OCC. BUILDING VALUATION OWNE S MAILING ADDRESS n �� D `CONT ACTOR'S NAME TELEPHONE - CONTRACTOR' MAILING ADDRS �/1 , l9,/ OX / ES/JR'i,S Fireplace fl000 CONSTRUCTION LENDER suer UNKNOWN Total Valuation $ Filing Fee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee $ , ARCHIT T OR ENGINEER LICENSE NO. Plan Checking Fee $(� ✓ $ /a1 ARCHIT CT OR ENGINEER'S MAILING ADDRESS Permit feeyr $ Q, BUILDING ADDRESS PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 ,dQ Solar Water Heater 20.00 Water piping 5.00 LOT NO. SUBDIVISION NAME PARCEL MAP Each qas water heater or vent 5.00 S Gas piping system 1 - 5 outlets 5.00 LS USE OF STRUCTURE SFX Duplex❑ Mobilehome❑ Other SPECI FV Building sewer 5.00 S�0 In Mobile Home S I G I W 1 1 110-00e TYPE OF WORK New ❑ Addition Remodel ❑ Utilities ❑ Installation [I Other ❑ Describe work: i P � SC ©r0, Permit Fee $ Contractor ELECTRICAL PERMIT Filin Fee 10.00 OR Main service 600 AMP LOR ESS 10.00 vtl� IL ' Y^ ` Main service EA. ADD -L too AMP 2.50 OR ADDNST ACCLBLDGS.0 21/20Sq ft / CONTRACTORS LICENSE LAW V 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 m license is in full force and effect. y License No.���66 Classification � f ❑ 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 CONSTR ULTI-OUTLET 2,50 ea NON.RESID BRANCH CIRCUITS NEW CONSTR /POWER APPARATUS IN NON-RESID. %SINGLE OUTLET CIR. 20Q50Q Ex. Occup(o TS OR FIXTURES BAL®30 FIXED Ex. Occup. our OUTLETS P(RESID )REA.1 2.00 • Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 Permit Fee $ Contractor MECHANICAL P RMIT FiIingFee 10.00 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. Heating Cooling Hood 3.00 Ventilation Permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the Countyot Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabilitie judgments, sts, and expenses which may in any way accrue agai st s ount i� co a en of the granting of this permit. X Date y'IZ �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 $ Enetq V K.9 4 L4 C- ® VIAQ� TOTAL P RMIT F E $ 3 Q OCCUP. GROUP I TYPE OF CONST. I PARCE PD ND SSUE This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which DIREC O OF PUBLIC By PEROT EXPIRES Date' the applicable provi- resolutions to do fees have been paid. WORKS `Date �( C Receipt No. r� WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT COUNTY OF BUTTE - DEPARTM-.NT-QF PUBLIC WORKS - BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILLE,4GALfFQRNIA 95965 - TELEPHONE: 916/534-454'1 f r PERMIT APPLICATION DATA SHEET t Permit No. —` o OWNER �C VI ;'I M tl V) a _ A. P. No. (� 0 Proposed Building Use 1-) 0 Permit Fee Based Upon: Complete Contract Price DPW Valuation Other (Explain) Building Inspector /tel �n-/�r D Date_ e -,4/1 S- At time of permit application, I was advised the following data must be submitted prior to permit processing and:/or issuance: DATE RECEIVED APPROVED 1. All items have been submitted. . . . . . . . . . . . 2.. Plot plans in duplicate./triplicate. . . . . . . . . . . 3. Complete plans in duplicate. /triplicate. . . . . . . . 4. Complete engineered plans and calcs. . . . . . . . . . 5. Plans with Energy Design Compliance Statement. . . . 6. State Energy Forms No. , 7 Statement of Intent for Non -Heated and AC Buildings. 8. Fees of $ ; , , , , , , , Letter of signature authorizat�n, / anitation approval from . r Health Dept.. 11. Planning approval for (A) Use: (B) Parking: 12. Certificate of Workmen's Compensation Insurance. 13. Contractor's License Information (no., name style, classif.) 14. Owner -Builder Verification (Given to owner, Mail to owner ❑ ) 15. Improvements may be required. . . . . . . . . . 16. Mobilehome Installation Data. . . . . . . • 17. Pre -Inspection for Pre-Inspec. request to Required. Building Inspector (Date) 18. Recorded copy of Agricultural Acknowledgment Statement. 19. Other When you issue the permit, process as follows: Mail to owner. Mail to contractor. Telephone and hold for pickup at office. Deliver w. /inspector. Other Applicant Date Copy of plans sent Health Dept., Fire Dept., Other Date During the plan checking process, the following data must be submitted prior to permit issuance. (For required items not checked above at time pf_application, circle .item.) 1. Index permit for above Items No. _ 2. Additional items required: (Contractor, Designer, Owner) was advised of above required data by Telephone Mail Other By AAA Date '43" Plans checked by Plans approved b, Other: Copy—DPW �r nnto TO: Building Department FROM: Environmental Health, Chico SUBJECT: Sanitation Clearance Kew S; ll, �� -- FUq s,�i [,,�. M -1 9 - Z� Owner Location AP# Plan approved for: sewage disposal water supply Hold final for: water supply Final clearance O.K. for: water supply Clearance for bedroom mobile home. Other Note*** Sanitarian Date FORM '7 ENERGY SHEET FOR ADDITIONS TO RESIDENTIAL BUILDINGS PERMIT NO. ��3a —S� PACKAGE "A" (Additions) NAME SQUARE FOOTAGE JOB ADDRESS '/ANF'uLD t pJ tac/0existing Residence^--- — TYPE OF. WORK - C 9;� CLO two. New Addition New Total 1 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,.converting 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 R-30 R-30 R-38 •WALL R-11 R-11 R-19 ✓FLOOR .. R-11, R-11 R-19 SLAB R- 7 R-11 R- 7 ,--'GLAZING ..65 .65 .65 SHADING _,SOUTH' OPTIMUM OVERHANG or .36 S.C. /WEST - .36 S.C. ,/GOOSE FILL INSULATION (Density) INFILTRATION CONTROL(Weatherstrip,doors, certified windows, caulking) VAPOR BARRIER (Zone 16) DUCTS PER UMC - Ch. 10 . ✓LIGHTING KITCHEN & BATH NOT LESS THAN 25 LUMENS/WATT i ✓�AXIr1UM GLAZING 16% OF AREA PLUS REMOVED GLAZIN W oofl S?bzo& TJ1,14 A_ jcbn�, Ct4g#t, oS l..+0►� ,A�W HVAC AND HOT WATER IN CONJUNCTION WITH AN ADDITION SHALL COMPLY AND FILL OUT DATA ON BACK OF THIS SHEET 7/83 HEATING VENTILATING, AIR CONDITIONING 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 orientation collector tilt rated y -intercept rated slope Other (describe) (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) 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) *l 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. NATURE OF BUILDING DESIGNER OR APPLICANT *11313 HEATING VENTILATING, AIR CONDITIONING 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 orientation collector tilt rated y -intercept rated slope Other (describe) (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) 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) *l 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. NATURE OF BUILDING DESIGNER OR APPLICANT COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville. California 95955 - Telephone 916/534-4541 APPLICATION AND PERMIT ASSESSOR PARCEL NUMBER ' ZONING BUILDING PERMIT N S TELEPHONE SO. FT. OCC. BUILDING VALUATION OWNER'S MAILING ADD SS CONTRACT R'S NAM TELEPHONE CONTRACTOR'S MAILING ADDRESS , - en,Fireplace CONS RUCTION L D UNKNOWN Total Valuation Is LENDER'S MAILING ADDRESS Filing Fee $ 10.00 Permit Fee - $ �.� ARCHITECT OR ENGINEER LICENSE No. Plan Check)ng F e $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Energy Plan Checking Fee $ 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 5 .00 Each qas water heater or vent 5,00 USE OF STRUCTURE'' ���"" SF [:1Duplex[]Mobilehome❑ Other ,�f� s E l Fv Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home S G W 10.00 ea TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation[] Other Describe work: I /_ 1¢' - Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service ESS BOoo AMP V OR ORSLESS 10.00 CONTRACTORS LICENSE LAW I declare under p of perjury (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 El1, 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) ❑ 1 am exempt under Sec. , Business and Professions Code for this reason Main service EA. ADD'L 100 AMP 2.50 NEW CONST. DWELLING occuP.s OR AODNs. ACC. BLDGS. 2/z¢sgft NE'N CONSTR. ULTI-OUTLET NON-RESID BRANCH CIRC ITS 2.50 ea (POWER APPARATUS e' %SINGLE OUTLET CIR. Ex. OCCUP(OUTLETS OR FIXTURES 20L9 933002 EA FIXED APPLNS. OR Ex. Occup. OUTLETS IRESIO.1 EA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 Permit Fee $ WZKWORKMENIS COMPENSATION INSURANCE I declare and enalty 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. ❑ 1 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 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. alI also agree to save, indemnify and keep harmless the County of Butte against l liabilities, judgments, costs, and expenses which may in any way accrue against said County in consequence of the granting of this permit. - Date Signature of Applicant — Owner El Contractor ❑ Agent ❑ An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structur*s over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ TOTAL PERMIT FEE $ OCCUP. CONST.TYP[ FLOoo PARCEL PO HO 990E This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which DIRECTOR OF PUBLIC By PERMIT EXPIRES r)AtO the applicable provi- resolutions to do fees have 'been paid. WORKS Date Receipt No.. _ WNITC•a.'.W., YELLOW-AIeKlOSOR, Ilii K-111$MQCY7R, OOL� p[H