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039-270-072
39-27-72 Roy & Loretta Ledford SE/S Ord Ferry Rd., app.1100'NE o• row St., lot 57, Dayton contr: Wakefield Const., hico Permit#3090-78B,P,E,M(new single family) 10.01 39-27-72 USTY BRINES - •r��' 3891 Ord Ferry Rd, Dayton/ Contr: Harold A. Urness /65 Permit#2019-84B,E(addition/SF) 039-27-0-072 98-1100 BPEM BRINES, Russell 3891 Ord Ferry Rd'; Dayton (conv garage/bedroom)SF- F6Npf L3/z�`98 039=27-072 =- #98-1888 BRINES, RUSELL`' 3891 ORD FERRY,RD. CHIOC ..< . RALPH AVIER ADD COVERED AREA M ' 1� �I s, �� 6 COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive • Orovtille, Catjfornia' 95965 • Telephone (530) 538-7 41 P IT NO. (Rev.12/96) APPLICATIONAND PERMIT ASSESSOR PARCEL NUMBER 7 ZONING BUILDING PERMIT OWNER L-e-rs-3 TELEPHONE 66 SO. FT. "OCC. BUILDING VALUATION 2 �� c spa -� .OWNERS NG ADDRESS U iR>C . -Sag/ e6 CA 9s9 z-7 CONTRACTOR'S NAME A 44 Q(/ JE (L TELEPHONE CONTRACTORS MAILING ADDRESS CONSTRUCTION (ENDER 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 $ BUILDINGADDRESS 3�9/ oeo r<- c.2A, Energy Plan Checking Fee $ C6iCzCo $ PERMIT FEE $ /d6, LAT NO. SUBON610N5 NAME PARCEL MAP PLUMBING PERMIT Filing Fee 20.00 USEOFSTRUCTURE SFCht Duplex ❑ Mobilehome ❑ Other SPECIFY Each Trap 7.00 - Solar or heat um water heater 23.00 Water piping 15.00 Each as water heater or vent 15.00 TYPE OF WORK New ❑ Addition I(& Remodel ❑ Utilities ❑ Installation ❑ Other ❑ Describe Work: AoD Ca/Ra-m A KQ— Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home I S I GI W (9?20.00 PERMIT FEE $ ELECTRICAL PERMIT Filing Fee 20.00 Main Service 20o,, OR LESS 23.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect.8 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. .1, 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 46.00NEW CONST. DWELLING OCCUP. SO OR ADDNS. ( & ACC. BLDS. 3.5¢FT. NON-aESID MULTI.OUTLET 97.50 PSINGE OUTLET CIR. OWERLAPPARATUS 20@'.0° CUTLET Ex. Occu BAL p .50 Ex. Occu . D ,Et°TSA R� D.) E 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 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.) 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 ers' compensation provisions of section 3700 of the Labor Code, I shall forth ith comply with thos pro ions. c/ U f n p Date 1 l'[�7 Signature of Applicant wner ❑ Contractor ❑ Agent An OSHA permit is requi d for excavations over 60" deep and demolition or construction _ of structures over 3 stories in height. '' MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEIE $ Mobile Home Installation Fee $ Energy Inspection Fee $ OCC CONST. TYPE TOTAL FEE $ HAZ. I D. FEES IMP I FLOOD I CDF PARCEL PD 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. ly Date Iz , EXPIRES ON1 2 to ReceiptNo. 77"PERMIT WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT 0 IF2 cnc�4 0 x RI e R 0�� CAg� 00 0 o 0% mem rnM�m M Nz m 116013 0 4- c� CE, rn MQ o m •4 m I i i m f• t I O ' c c° f J �05 00 I w l ° x V iz- Vv 0 , co rn rn J n 1, V Vv 0 , co J n COUNTY OF BUTTE- DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE (916) 538-7541 PERMIT APPLICATION DATA SHEET OWNER: /-�2 bq;� 2 ASSESSOR PARCEL ER: �--Z - %Z Proposed Building Use: Building Inspector: Date: At time of permit application, I was advised the following data must be submitted prior to permit processing and/or issuance: Date Received By ❑ 1. All iiems have been submitted. 112. 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. --------------------------------------------------------- P 8. Hazardous Material Form. ------------------------------------------------------------------------------------------ ❑9. Manufactured Home data and installation instructions including Tie Down Specifications .------------------ ❑ 10. Fees of $ ❑ 11. Impact fees as shown on the attached schedule. ------- ❑ 12. California Department of Forestry plan approval/fees. ❑ 13. Flood elevation certificate. ------- V. Sanitation and plot plan approval ❑ 15. City of Chico plumbing permit. -- 1116. - Health Department. ❑16. Plot plan and business license approval from the City of Biggs. ❑ 17. Planning approval for (A) Use: (B) Parking: ❑ 18. Contact Land DevelopmWt about ❑ Improvements, ❑ Drainage, ❑ Legal Parcel. ❑ 1.9. Encroachment Permit for driveway (construction approval prior to occupancy). --------------------- 1120. Pre -inspection for required Request to Building Inspector on ❑21. Contractor's license information: (Number, Name Style, Classification). ---------------------- ------ E322. Workers' Compensation carrier and policy number. -------------------- 023. Owner -Builder Verification (Given to owner ❑, Mailed to owner ❑). E124. Letter of signature authorization. ------------------------------------------ 0 2 5. ----------------------------------------.❑25. Recorded copy of Agricultural Acknowledgment Statement. ----------- 1126. Letter of intent on building use. -------------------------------------------- ❑27. Manufactured Home utility clearance. ------------------------------------- ❑28. Existing violations and/or expired permits. ------------------------------- 029. 13433 A, ❑Grant Deed, ❑ M.H. Title, ❑ Check to H.C.D $ E130. Other: When you issue the permit, process as follows ❑ Mail to owner, ❑Mail to contractor. ❑ Telephone and hold for pickup at office. ❑ Deliver with inspector. Applicant: Copy of Haz-Mat form sent ❑ Health Department, ❑ Fire Department, ❑ Air Pollution Copy of plans sent ❑ Health Department, ❑ Fire Department, ❑ Other: Date: Date: By: Date: By: 1. Index permit application for the above items numbered: ❑ Plan Check List 2. Additional items required: Contractor, designer, owner, was advised of the above required data by ❑ phone, ❑ mail, ❑ Building Division counter, by Date: Contractor, designer, owner, was advised of the above required data by ❑ phone;. ❑. mail, ❑ Building Division counter, by Date: Contractor, designer, owner, was advised of the above required data by ❑ phone, ❑ mail, ❑ Building Division counter, by Date: Contractor, designer, owner, was advised of the above required data by ❑ phone, ❑ mail, ❑ Buildin ivi ion 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) TO: Building Department FROM: Environmental Health SUBJECT: Sanitation Clearance E.H. USE ONLY Plot Plan Attached Floor Plan Attached e Sent to B.D. -2_4- I&A-Trde 131U. 1?11 3F39 f Orzi R ry De 39 - Z7 - 17 - Owner ZOwner Location AP# Plan Approved for: Sewage Disposal Water Supply: Public Private Well Clearance for --t v filling. �h� _ AdiLtsf- nc)rrk a awplhy .. Hold final for: Final clearance O.K. for: NOTE: Environmental -Health Specialist e� 6 - 24 - 90 Date : APPROVED - Butte County Environmental Health V Date pg,� for- Ai5 Ana Signature10 �..� Cover Porc," o �rGh 4edtoraA 1��.�� /�O4 0 c. � s COUNTY OF BUTTE „�� BUILDING DIVISION DEPARTMENT OF DEVELOPMENT SERVICES 411 Main Street, Chico, CA - (916) 891-2751 7 County Center Drive, Oroville, CA - (916) 538-7541 CORRECTION NOTICE hQZi��ils lI' c5' �/rJy 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. Date ��'� Inspector REV 10/92 I - r V F039-27-0-072 98-1100 BPEM RESIDENTIAL;BRINES, Russell 3891 Ord Ferry Rd, Dayton i(conv garage/bedroom)SF PERMIT NO. PERMIT EXPIRES OWNER CONTR. ASSESSOR PARCEL LOCATION ,.1 t u 1 r CHECKED SRA BY FLOOD CERTIFICATE REQ. FIRE SPRINKLERS REQ. SPECIAL INSPECTION ITEMS VERIFY tTemp. Power Pole Called PG&E �t Temp. Elec. Service ( Called PG&E Temp. Gas Service Called PG&E /_ JOB FINALED (Date) C 2(0-qS' Signature U. �� ✓ = OK 0- 11 Not OK - = Not Applicable = Not Ready Date UNDERFLOOR (Plans) OK except #'s 1. ZoningSetbacks-Easments-FloodSlope 2. Ftg., Main; Soils-Elec. Gmd.-/ P Ftg. Depth RESIDENTIAL (Single & Duplex) 3. Ftg. Garage; Soils-Steel-Elec. Gmd/ N Ftg. Depth 4. Ftg. Porches & Decks; Soils -Steel-/ N Ftg. Depth 5. Stemwalls, Main; Steel-Blockouts•Wrapped 6. Stemwalls, Garage; Steel-Blockouts-Wrapped 6a. Hold Downs and Special Anchors 7. Slab, Steel -Wrapped 8. Piers -Fireplace Ftg.-Steel 9. D.W.V.; Fall -Fitting -Test -2 Way C/0 -Sewer Test 10. UF. Gas Pipe; Size Anchors - Yard Gas Piping; Size Test 11. Water Pipe; Test -Anchors -Regulator -Service Test 12. Electric Underground 13. Pienums & Ducts; Clearance -Material -Support -Ins. 14. Girders -Sills -Anchor Bolts-Joists-Vents-Crippies 15. Access & Ventilation 16. Insulation Date FRAMING (Continued) 46. Hangers -Post Caps -Anchors -Connectors Date Cling. Joist-Rftr. Ties-Purlin-roff Brac.-Truss-Shfing.-Rfng. Card B-1 Date Card B-1 Date 49. Card B-1 Date Card B-1 Date Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions PLUMBING (Permit) OK except #'s Garage Fire Protection Framing 17. Water Htr.; Vent -Access -Combustion Air Baffle Property Line Firewall & Openings 18. Water Pipe; Test & Anchor -Nail Protection 54. 19. D.W.V.; Test Fittings & Anchor -Nail Protection 55. 20. Shower Pan; Test, First Floor -Tub Access - Siding -Nailing Veneer 21. Test Tub & Shower, Second Floor -Tub Access 58. 22. Gas Pipe; Sixe & Anchors Shear Walls; Nailing -Bolts 60. Brace Interior / Exterior Wall Panels 61. Date 62. Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Date ELECTRICAL (Permit) OK except #'s Date 23. Fixture & Transformer Clearance -Ins. Protection Ext Steps -Door & Sidelight Protection -Landings 24. Elec. Receptacles Spacing -Lights & Switches at Doors 65. 25. Size Bo es & No. of Conductors Stapled , Bedroom Exiting 26. Romex kstalled Close to Edge of Studs & C.J. Elec. Trim & Subpanel, Breaker Sizes & Labels 27. Equip. Ground made up w/Mech Fastners-Bond Gas & Water 70. 28. 2 Appliance Circuts in Kitchen & Conductor Size GFI Elec. Outlets at Wood Panel, Int. & Ext. 29. Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / / ga Cu or AI 73. 30. Range Circ. / / ga Cu or AI -Oven Circ. / / ga Cu or AI Insulated Neutral 0 Yes 0 No 74. 31. Service -Riser Conductors & Ground -Main Disconect A.C. DLVtin Garage -Damper 32. Equip. Clearances Panels -Motors -Meth. Epuip. 33. Clothes Closet Light -Shower light -Spa Light 34. Smoke Detector Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date MECHANICAL (Permit) OK except #s 35. A.C. Ducts Insulation & Support 36. Vent Fan, Exhaust above insulation 37. Condensate Drain & Overflow, Size & Grade 38. Fumance-Vent Access -Comb. Air-Retum Air Vent 115 outlet 39. Attic Access & Platform if Fumace in Attic Date Card B-1 Date Cana B-1 Date Card B-1 Date Card B-1 Date FRAMING (Plans) OK except #'s 40. Sits Proper Materials & Anchors 41. Walls Studs -Nailing Spacing & Braces -Plates -Sound 42. Bearing Walls over Girders & Floor Nailing 43. Draft Stop in Walls (rat proof) 44. Fire Stops, Furred Ceilings -Stairs -Chasers -Tubs 45. Headers & Beams -Size & Bearing Date FRAMING (Continued) 46. Hangers -Post Caps -Anchors -Connectors 47. Cling. Joist-Rftr. Ties-Purlin-roff Brac.-Truss-Shfing.-Rfng. 48. Fireplace Ties or Type A Flue -Fireplace Throat clearance 49. Attic Access; Size & Romex Protection -Draft Stop4ns. Baffles 50. Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions 51. Garage Fire Protection Framing 52. Property Line Firewall & Openings 53. Ext. Doors -One 3' -Check Garage 3rd Story, 2 Exits 54. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 55. Plywood on Roof Overhang -Attic Vents -Rafter Outriggers 56. Siding -Nailing Veneer 57. Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access 58. Glazing Area -Glass Protection -Skylights -Plastic 59. Shear Walls; Nailing -Bolts 60. Brace Interior / Exterior Wall Panels 61. Insulation -Walls -Ceilings 62. Infiltration -Walls -Windows Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date FINAL (Plans) OK except #'s 63. Ext Steps -Door & Sidelight Protection -Landings 64. Smoke Detector 65. Furnace; Vents -Clearance -Comb, Air-Conector- In Garage; Above Floor -Ducts -Meth. Protection 66. Bedroom Exiting 67. G.F.I. & Bath Fixtures & Tub Access -Spa 68. Elec. Trim & Subpanel, Breaker Sizes & Labels 69. Stairs & Rails 70. Fireplace or Stove, Clearance -Hearth 71. Elec. Outlets at Wood Panel, Int. & Ext. 72. Kit. Fixt. & Appliance; Ground. -Air Gap -Cooking Clearance 73. Elec. Outlets & Recepticales at Kit. Counter 74. Garage Fire Door; Swin-Landin -Closure 75. A.C. DLVtin Garage -Damper 76. W6. .; Vents -Clearance -Comb. Air Connector-P.R.V. 1p age; Above Floor -Meth. Protection 779KNENech. Equip. Listed for Location 78. NIL ReWbUles in Garaoe (G.171.1-Romex Protection sul -Foam-Looked in Attic uar ails & Deck Construction -Post Caps Fdn. VBents & Crawl Hole Door Drainage & Wood -Earth Clearance Looked under Floor 0 Yes 2. Following Instld./Drive 0 Yes 0 NoAValks 0 Yes 0 No/Planters 0 Yes 0 No 83. Stucco Brown -Finish 84. A.C. Unit Disconnect, Electrical -Plumbing 85. Vents Above Roof, Plbg-Appliance-Fireplace-Clearance to Openings 86. Water Well, Disconnect, Electrical, Plumbing 87. Exterior Elec. Trim, G.F.I. Receptacle -Underground 88. Ventilation Throught House 89. Glass Protection 90. Corrections from Previous Inspections 91. Gas Test -Meters Tagged, Gas -Electric 92. Water & Sewer Connected -C/O to Grade -HD Approval 93. Energy Compliance Certificate -Other Certificates Date Card B-1 ate Card B-1 Date Card B-1 ate Card B-1 Date Card B-1 Date Card B-1 Comments at Final: V=OK O = Not OK Notble = t Applicable NoRMOBILE HOMES Date MOBILE HOME UTILITIES (Plans) OK except #'s Card B-1 Date Card B-1 1. Zoning Requirements - Setbacks - Easements POOLS (Plans) OK except #'s 2. Soils; Special MH Support Sketch 1. Setbacks -Easements 3. Sewer, Location -Test -Fall -C/O -Concrete 2. Soils; Compaction -Structure Stability 4. Water, Location -Test -Easement Needed (Sketch) 3. Pool Structure; Steel -Connections -Thickness Dead Men -Lining 5. Electricity; Location-Clearances-Gmd-/ /Amp -Concrete 4. Elec.; Receptacles and Lighting, Distance-GFI 6. Gas; Location-Test4rap; / /L'ft. / /NaL or/ /L°ft./ /LPG 5. Elec.; Pool Lighting; 15 Volts-GFI 7. Well Clearance & Disconnect 6. Elec.; Enclosures; Conduit Entries -Terminals -listed 8. Utility Clearance 7. Elec.; Bonding; Metal w/5 -Circulating Equip. -Heater 8. Elec.; Grounding; Equip. w/V Circulating Equip. -Pool LBhtg. Boxes-Enclosures-Panelboards-Ins. to Main in Conduit Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date MOBILE HOME INSTALLATION (Plans) OK except #'s 1. Zoning Requirements- Setbacks Easements 2. Footings; Size -Spacing -Marriage Line Card B-1 Date Card B-1 3. Gas; MH Test-Demand-VaMeConnector Card B-1 Date Card B-1 4. Electricity; MH Test -Crossovers -Breakers -Clearances 5. Drain; MH Test -Fall -Flex Connector 6. Water; MH Test -Regulator -Connector 7. Water and Sewer Connected -C/O to Grade -HD Approval 8. Gas and Electricity Tagged 9. Tie Downs -Type -Installation Cert. 10. Exits; Insp.-Sketch 11. Cert of Occupancy 12. Permanent Foundation Only: License Decal Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 MISCELLANEOUS Date DECKS, COVERS, CARPORTS, GARAGES (Plans) OK except #'a 1. Zoning Requirements -Setbacks -Easements 2. Footings; Soils-Size-DepthSpacing-ConnectorsSteel 3. Decks; Girders and/or Joists-Decking-BracingStairs-Rails 4. Wood Awn.; Posts-Beams-Rftrs.-Connectors Shthg.-Rfg.-Bracing 5. Alum. Awn.; Columns-ConnectionsSplice Decal -Enclosures 6. Carports; Windows -Doors 7. Electric 8. Fnng.; Sils-AnchorsStuds-Rftrs-Trusses 9. Siding; Nailing-VeneerStucco-Mesh 10. Roof; Shthg-Roofing 11. Ext.; Steps -Doors -Landings 12. Braced Wall Panels Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date POOLS (Plans) OK except #'s 1. Setbacks -Easements 2. Soils; Compaction -Structure Stability 3. Pool Structure; Steel -Connections -Thickness Dead Men -Lining 4. Elec.; Receptacles and Lighting, Distance-GFI 5. Elec.; Pool Lighting; 15 Volts-GFI 6. Elec.; Enclosures; Conduit Entries -Terminals -listed 7. Elec.; Bonding; Metal w/5 -Circulating Equip. -Heater 8. Elec.; Grounding; Equip. w/V Circulating Equip. -Pool LBhtg. Boxes-Enclosures-Panelboards-Ins. to Main in Conduit 9. Health Department Approval 10. Plumb.; Cir. Test -Water Supply Test 11. Light Niche Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 f� • COUNTY OF BUTTE- DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING DIVISION 7 County Center Drive - Oroville, California 95965 - Telephone (916) 538-7541 ,/,P RMTJNO/ (Rev. 12'/96) APPLICATION AND PERMIT jf ASSESSOR PARCEL NUMBER ZONING BUILDING PERMIT OWNER BRINES, Russell TEi:Sy"NE3966 SO. FT. OCC. BUILDING VALUATION OWNERS MAILING ADDRESSP.O. � • O • Box 3081 r CONTRACTOR'S NAME Owner TELEPHONE CONTRACTORS MAILING ADDRESS CONSTRUCTION LENDER LENDER'SMAILING ADDRESS ' Fireplace Total Valuation $ 5,36U. ARCHITECT OR ENGINEER LICENSE NO. Filen Fee $ 20.00 Permit Fee $ ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ BUILDING ADDRESS 3891 Oro Ferry Road, Dayton CA 95928 Energy Plan Checking Fee $ 23.00 $ PERMIT FEE $ • 65 LOTNO. • SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMIT Filing Fee 20.00 USEOFSTRUCTURE SF )R Duplex ❑ Mobilehome ❑ Other SPECIFY Each Trap 3 1 7.00 21.00 Solar or heatpump water heater 23.00 Water piping 15.00 15.00 Each gas water heater or vent 15.00 TYPE OF WORK New ❑ Addition IX Remodel ❑ Utilities ❑ Installation ❑ Other ❑ Describe Work: TURN EXISTING SINGLE CAR GARAGE INTO A BEDROOI✓1. Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home TTJ G W @20.00 PERMIT FEE $ 56.001 ELECTRICAL PERMIT Filing Fee 20.00 - Main Service oOAORLE S 23.00 LICENSED CONTRACTOR'S DECLARATION 1 hereby affirm under penalty of perjury that I am licensed under provisions of Chapter • 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect. 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. ❑ 1, 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. SO: 9.40 OR ADONS. ( 8 ACC. BLDS. 3.52FT NEW CONST. MULTI-OUTLECUT NON-RESID. @7.50 POWEPPARATUS 8 SINGLER AOUTLET CIR. Ex. Occup. OUTLET OR FIXTURES 20 @''50 BAL @ .SO Ex. Occup. ou7 EDTs RES D.OEA 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE $ 29.40 WORKERS' COMPENSATION DECLARATION I hereby affirm under penalty of perjury one of the following declarations: ❑ I have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ 1 have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier MECHANICAL PERMIT Filing Fee 20.00 Heating diirts 15.00 Cooling Hood 6.50 Ventilation PERMIT FEE $ 39.50 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 Qfo:rthLwithcomply with t provisions. Date �`�G� Signature of Applicant - caner ❑ Contractor ❑Agent An OSHA permit is required for excavati ns over 60" deep and demolition or construction of structures over 3 stories in height. 1 Mobile Home Installation Fee $ Energy Inspection Fee $ 46. OU ccPE 9-3 co r.TOTAL FEE $ 347.55 HAZ. . D. FEES IMP FILD CDF PAR CV/ PO HD This permit is hereby issued under the applicable provisions of the Butte County Code and/or Resolutions to do work indicated above for which fees have been paid. By ate 7 �� PERMIT EXPIRES ON AA la �/ Receipt No. 7 2 WHITE-D.D.S.- CANARY-ASSE S PINK -INSPECTOR GOLDENROD -APPLICANT �.;, - rwil .1 . t � k Plot Plan Attached �J V Floor Plan Attache Sent to B.D. U i l l TO: Building Department , FROM: Environmental Health C h4co SUBJECT: Sanitation Clearance K*5d1vlries 3 (91 Onl 03 7.0- 0 ?) - Owner Location AP# Plan Approved for: Sewage Disposal, Water Supply: Public // Private Well Clearance for dwelling. Other . I�f,14i �f!51 D'� Hold final for: Final clearance O.K. for: NOTE: )/ /41,�j / Environmental Health Specialist - 8/96 A/ft Date F..n,a;:x:'^ra�rw• ' �GOUNTY OF BUTTE- DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE (916) 538-7541 l PERMIT APPLICATION DATA SHEET OWNER: ?a ASSESSOR PARCEL NUMBER: 6 )F—)_744, —6 7z - Proposed z --Proposed Building Use: DIZ4'&.r Building Inspector: Date: At time of permit application, I was advised the following data must be submitted prior to permit processing and/or issuance: ❑ 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! 06. Energy Design Compliance and supporting documentation. • 07. Statement of Intent for Non -Heated and A/C Buildings. 118. Hazardous Material Form. ❑ 9. ufactured Home data and installation instructions including Tie Down Specifications. 210.. Fees of $ 011. Impact fees as shown on the attached schedule.S c- 0 ❑ 12. California Department of Forestry plan approyal/fees. 13. Flood elevation certificate. 4. Sanitation and plot plan approvals#146 Health Department. f4C� C4�Py ❑ 15. City of Chico plumbing peimit. ❑ 16. Plot plan and business license approval from the City of Biggs. ❑ 17., Planning approval for (A) Use: (B) Parking: ❑ 18. Contact Land Development about ❑ Improvements, ❑ Drainage, ❑ Legal Parcel. ❑ 19. Encroachment Permit for driveway (construction approval prior to occupancy). ❑ 20. Pre -inspection for _ _ required.. , r 112 1. Contractor's license information. (Number, Name Style, Classification). ,. El 22. Workers' Compensation carrier and policy number. 023. Owner -Builder Verification (Given to owner ❑, Mailed to owner ❑). ❑24. Letter of signature authorization. 025. Recorded copy of Agricultural Acknowledgment Statement. 1126. Letter of intent on building use. 1127. Manufactured Home utility clearance. ❑28. Existing violations and/or expired permits. 1129. 0433 A, []Grant Deed, ❑ M.H. Title, ❑ Check to H.C.D $ ❑ 3 0. Other: P' 5In you issue the permit, process as follows ❑ Mail to owner, QMto contractor. CTelephone 4 -, 3o ci and hold for pickup at Cl�`'office. ❑Deliver with inspector.' Applican ZDate: EXPIRATION OF APPLICATION Applications for which a permit has not been issued, will expire by limitation one year after date of application. In,, order to renew action on an application after expiration, a new application, plans and fees will be required. FEE REFUNDS Refunds can only be made upon written request by the person who paid the fee. The request must be made within two years from the date of fee payment on permits not issued,and two years fro"the date of permit issuance for permits issued; however, on issued permits refunds can only be made if no construction work has been done. Filing fees, plan checking fees for work plan checked and other department costs are not refundable. Original - Applicant E.H. USE QIYLA Plot Plan Attached Floor Plan Attache nn Sent to B.O. U t ll� TO: Building Department , FROM: Environmental Health C h(C-0 SUBJECT: Sanitation Clearance KV�5& 1. 1 319 7) 0,,,/ 2 Owner Location AP# Plan Approved for: Sewage Disposal Water Supply:: nPublic / Private Well Clearar1ce for dwelling. Other �� 1Pj1� CST t"�'? �`�`� Hold final for: Final clearance O.K. for: NOTE: >Zkd / hh5 l / Environmental Health Specialist Date 8/96 Md I Q1 • �� II r i• 'p � I OWNER -BUILDER VERIFICATION Attention Property Owner: An "owner -builder" building permit has been applied for in your name and bearing your sib• Please complete and return this information at your earliest opportunity to avoid unnecessarydelay 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 im rovement : YES* NO 0 _ 2• I HAVEA_ HAVE NOT O signed an application for a building permit for the proposed wioilG 3. I have contracted with the following person (firm) to provide the proposed construction:.4; -- ADDRESS: CITY: y PHONE: CONTRACTOR'S LICENSE NO. 4. 1 plan to provide portions of this work, but I have hired the following person to coorwnat supervise, and provide the major work: , NAME: :. . ADDRESS:CI'I•Y: 7 PHONE: CONTRACTOR'S LICENSE NO. 5. I will provide some of the work but I have contracted (hired) the following persons to provide the work indicated: NAME. - ADDRESS PHONE TYPE OF WORK SIGNED: PROPERTYOWNER: SOCIAL SECURITY NUMBER: DATE: 14,43 -NOTE: - - 'This Owner -Builder Verification is required by Section 198.31 and 19832 of the California Health and Safety Code. This verification must be completed and returned to our office before we are permitted to issue the permit OVER OWNER BUILDER INFORMATION I Dear Property Owner: An application for a building permit has been submitted in your name listing yourself as the builder of property improvements specified. For your protection, you should be aware that as "owner-buildee, you are the responsible parry 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 5300 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 aboutyour 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 contrac9rs 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. i rely, A' 61--1 Mic el C. Vi ira, C.B.O. M ger, Building Inspection NOTE. This Owner-Builder.lnformation is required by Section 198.10 of the California Health and Safety Code. OVER MFa„r_y's7dlNt.: �. 'iwVr•Y .. -!r^� ...,..�... �. �- 4 �-�-,�-� ��'W � .-fTr-�..;.--v •n,�-..,pew �-..�-�"".�"r"".^"��.`"._ Y_.,.X„�„1,��,,..",�,�.;��,,,,� s BUTTE COUNTY SCHOOLS IMPACT FEE CERTIFICATIOU FORM (One form per Building) School District. tk (Z Ht'} t-+.`_., Building Department No. A.P. Number 76 ; 6%Z. Jurisdiction: + `; City F-71” ounty Property Owner Sr�C r�f L♦ i�► L, t ` Property Location/Address Subdivision Lot No. _ Residential Development Q EE Sq. Footage d L No of Living Mobile Home Addition (Group R) ' e Units Installation Commercial/Industrial Sq. Footage New Addition (Including Exterior Roofed Areas) rill �,Z;LL N Building Departme t Repr s ntative Date (Floor Plans reviewed by School District Personnel) District Identification No. '71 %? %` .`/1) R-ILM- i ON F(�"jj, School District certifies that r90-5Z;6L-1. L7Rf A t' S (Applicant) 3 891 Q eb 1F672.P-Y -61 `{ (Street Address) (Phone Number) i s. (City) (State) (Zip Code) .' has complied with the requirements of Resolution No. by payment of $ representing square feet. B2926 $ MITIGATION $ `7 -13 - y'? School District Representative Date Paid by Check # A)1,4- Remarks: IF&IF5 U -9l UL -M UNR&---- S-60 jS - Notice: You may protest the imposition of the fees identified above by submitting a written protest to the District, in compliance with Government Code Section 66020(a), within 90 days from the date fees are paid. Failure to submit a timely written protest will prohibit you from challenging the imposition of the fees in any court action. If, subsequent to the School District Representative signing this Butte County Schools Impact Fee Certification Form, the School District is notified by the applicable Local Planning Agency that this project is being reviewed under the California Environmental Quality Act ICEQA), this project may be subject to additional school fees to fully mitigate its impact on the school district's schools. White (applicant), Yellow (building department), Pink (school district) feeform.xis (2/97)dmm COUNTY (50 BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive - Oroville, California 95965 - Telephone (916) 538-7541�r] // EMIT NO. (Rev. 12/96) APPLICATION AND PERMIT OO ASSESSOR PARCEL NUMBER >h. -62-70 - o -7a ZONING BUILDING PERMIT OWNER t�U55 SLL 19RI✓) ieS EPHON 346 SO. FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS o CONTRACTOR'S NAME�-wA)e_4 / w/ V /t( 4 �/ U^/C.••- TELEPHONE CONTRACTOR'S MAILING ADDRESS CONSTRUCTION LENDER /Q0/4Je , 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 $ ' BUILDINGRESS o-46 d Ql� Energy Plan Checking Fee $ a JP1 Y• .AJ efl- ' a p� PERMIT FEE S LOT NO. S UBDNtSIOWS NAME PARCEL MAP PLUMBING PERMIT Fling Fee 20.00 USEOFSTRUCTURE Duplex ❑ Mobilehome ❑ Other SPECIFY Each Trap 7.00 7_4 f Solar or heat pump water heater 23.00 Water piping 15.00 /-Y'— Each gas water heater or vent 15.00 TYPE OF WORK New ❑ Addition 1�_ Remodel ❑ Utilities ❑ Installation ❑ Other ❑ Describe Work: 7_0-J ,X197 -PV �!!/�IIS��. �srn 4tl_�.I4&e lh C�42E%�y✓l Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home S G W @20.00 PERMIT FEE $ ELECTRICAL PERMIT Filing Fee 20.00 IF Main Service mon OR LEss 23.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect. License Class LIC. No. OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: ❑ 1, as owner of the property, army employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason Main Service 200A TO I000A 46.00NEW CONST. DWELLING OCCUR OR ADONIS. ( a ACC. BUDS. SO 3.5¢FT. D =.ES,p MULTI -OUTLET @7,50 POWER APPARATUS & SINGLE OUTLET CIR. Ex. Occup. OUTLET OR FIXTURES 20@'.0°FIXTURES BAL O •SO Ex. Occup. DflUTEIETS q� DEA 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE = 02 � L WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ 1 have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier Policy Number (The above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) ❑ 1 certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall forthwith comply with those provisions. X Date Signature of Applicant - ❑ Owner ❑ Contractor ❑ Agent An OSHA permit is required for excavations over 60" deep end demolition or construction of structures over 3 stories in height. MECHANICAL PERMIT Fling Fee 20.00 Heating Cooling Hood 6.50 Ventilation .SQ O PERMIT FEE S Mobile Home Installation Fee $ Energy Inspection Fee I $ . ov . cc .3 CONST. PE V TOTAL FEE $ HAZ. D. FEES IMP FLOOD COF -V PARCEL Po E I This permit is hereby issued under of the Butte County Code and/or indicated above for which fees have By PERMIT EXPIRES ON the applicable provisions Resolutions to do work been paid. Date _ Dele ReceiptNo. WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT APPRovir5 .9 I ' .. .. I ' - Vo Butte County ironmenf Reai4ti � p� ...F"F1 ' �Dfite( ID 411 6ignatu 7 . i VE W170 Llfo{ion, I •4"1 1 Of 0 1 'r't �4` inD ( I �..... /„Ilfj . Iwt L U 4,12 �4 L�mw 4, eML46 C 41-0%., x (E) v/Gt�17 AWE 14 L �F I •{ r f n .-,,,-'r --R• .-•y .,� ��t'1�:i1r'�..-�`A�iRZL�"�'�.`�si'ik+l"rv�fs+*.4.*w,...-�,.i.y�.. �,. •'�Fv..�`�errsy7M.'�...-'�,.v ;�7�'fa.�,..-.y...,f - ` rA14 r 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 ' ��4 d I k ASSESSOR PARCEL NUMBER 9 ZONING BUILDING PERMIT OWNER 7�pT�T S� Russell IJtljl'1laJ TE��Hp=E39b6 JL SQ. FT. OCC. BUILDING VALUATION R T� 5,160. 00 OWNER'S 'MAILING ADDRESS P.O..zBox 3081 CONTRACTOR'S NAME^ er TELEPHONE CONTRACTOR'S MAILING ADDRESS � J CONSTRUCTION LENDER Fireplace LENDER'S MAIUNG ADDRESS Total Valuation $ 5, •au ARCHITECT OR ENGINEER LICENSE NO. Filen Fee $ 20.00 Permit Fee $ ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checkin Fee $ • BUILDINGADDRESS 3891 Oro- erry Road, Dayton CA 95928 Energy Plan Checking Fee $ 23.00 PERMIT FEE $ •65 LOT NO. SUBDIVISION'S NAME PARCEL MAP ^ PLUMBING PERMIT Filing Fee 20.00 USEOFSTRUCTURE SF;L7t Duplex ❑ Mobilehome ❑ Other SPECIFY Each Trap 3 7.00 21.00 Solar or heaf,pump water heater 23.00 Water piping 15.00 15.Q0 Each gas water heater or vent 15.00 TYPE OF WORK New ❑ Addition oR Remodel ❑ Utilities ❑ Installation ❑ Other ❑ Describe Work: TURN EXISTING SINGLE CAR GARAGE INT{} A BEDR00M. Gas piping system 1- 5 outlets 15.00 Building sewer 15.00 Mobile Home. TgIGFW F 920.00 PERMIT FEE S 56.00 ELECTRICAL PERMIT Filing Fee 20.00 Main Service zoos o mss . 23.00 LICENSED CONTRACTOR'S DECLARATION 1 hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and. my license is in full force and effect.POWER License Class LIC. No. OWNER -BUILDER DECLARATION 1 hereby affirm under penalty of perjury that I am exempt from the Contractors License Lawlor the following reason: I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason Main Service ( 200A To 1000A 46.00 NEW CONST. DWELLING OCCUR s0 OR ADDNS. ( a ACC. BLDS.NEW �•SaFr. 9.40 NON-RESrID. BRMLc I-OCUTCL TS QG 7.50 APPARATUS 8 SINGLE OUTLET CIR. Ex. OCCu OUTLET OR FDTTURES zL ®,.DD BAL @ .SO Ex. Occup. oUrLEEDrsAes o)eA 1 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE t 29.(10 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 persoh 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 thos provisions. X� r�4�.�sC�_ •.��_` _ __ Date ��G Signature of Applicant _Owner ❑ Contractor ❑ Agent An OSHA permit is requidi%oor excavations over 60" deep and demolition or construction of structures over 3 stories in height. / ` MECHANICAL PERMIT Filing Fee 20.00 Heating ducts 15.00 Cooling Hood 6.50 Ventilation 4.50 - PERMIT FEE $ 9 Mobile Home Installation Fee 7$77 r Energy Inspection Fee $ U VU cc corr�T.TYPE TOTAL FEE $ 347.55 HA(zv� 0. FEES IMP - FLOOD cOF I PARCEL PD I HD I IssuEO This permit is hereby issued under the applicable provisions of the Butte County Code and/or Resolutions to do work indicated above for which fees have been paid. �° By _s �^ "•" Date PERMIT EXPIRES ON �a1e Receipt No. n i1 Y 5 '"` �_� ?' WHITE-D.D.S.-B:D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD•APPLICANT 0 W R JOB FINALEI Signature 20-19-84B$E PERMIT NO. (01 9 ZS -S PERMIT EXPIRES RUSTY BRINES OWNER CONTR. Harold Urness ASSESSOR PARCEL 30-127772 LOCATION 3891 Ord Ferry Rd, Dayton Temp. Power Pole Called PG&E Temp. Elec. Service Called PG&E Temp. Gas Service Called PG&E JOB FINALEI Signature JOK ' 0 _.Not OK.rt = Ready. �E = Not ReReady Not aI RESIDENTIAL '(Single and Duplex) ` Date UND LOOK Plans OK exce tq's Date FRAMING (Continued) Zgning requirements -Setbacks -Easements 148-1Property Line Firewalls& Openings Ftg., Main; Soils-Steel-Elec. Grnd.- / /" Ftg. Depth X217 Ext. Doors -One 3' -Check Garage -3rd story, 2 enits 2- Fin., Garage; Soils -Steel- / /" Ftg. Depth -.5a-Stairs; Width-Headroom-Rise_sRun- Land ing-Fir+ Protection Porches & Decks; Soils -Steel- / /" Ftg. Depth lywood on Roof Overhang -Attic Vents -Rafter Outriggers -457 Stemwalls, Main; Steel-Blockouts-Wrapped-Slab 52. Siding -Nailing -Veneer s temwalls, Garage; Steel-Blockouts-Wrapped-Slab 53. Stucco Mesh -Drip Screed=Fdn. Vents-Underflr. Access -7--P(ers-Fireplace Ftg.-Steel --8--D'W.V.: Fall -Fittings -Test -2 way C/O -Sewer Test -54:-Glazing Area -Glass Protection -Skylights -Plastic -5@ hear Walls; Nailing -Bolts .-9-159s Pipe; Size -Anchors - -4e--Water Pipe; Test-Anchors-Regulator-Seryice Test Zl Vr..-�Electric; Underground -rZ..'Plenums & Ducts; Clearance -Material -Support -Ins. fig -"Girders -Sills -Anchor Bolts -Joists -Vents -Cripples Card -BI %,_Da - W. Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Date FIN (Plans) OK except N's Card -BI Date Card -BI Date Date PLUMBING (Permit) OK exc pt p's . Vt. Steps -Door & Sidelight Protection -Landings Smoke Detector 14. Water Ht.; Vent- Acces, -Combustion Air urnace; Vents -Clearance -Comb. Air -Connector - In Garage; Above Floor-Ducts-Mech. Protecti-on 15. Water Pipe; Test & Apchors-Nail Protection 16. D.W.V.; Test-Fttngs'& Anchors -Nail Protection r -59: -Bedroom Exiting 17. Shower Pan; Test, irst Floor -Tub Access -&9 -G.F.I. & Bath Fixtures & Tub Access 18. Test Tub & Show r, 2nd Floor -Tub Access=1ec. Trim & Subpanel; Breaker Sizes -Labels • 6i -.-Stairs & Rails 19. Gas Pipe; Size I Anchors _63r�Fireplace or Stove; Clearances -Hearth .-64--Elec. Outlets at Wood Panel; Int. & Ext. Card -BI Date Card -BI Date - 85TRt. Fixt. & Appliance; Grnd.-Air Gap-Cookiig Clearance Card -BI Date Card -BI Date --66. lec. Outlets & Receptacles at Kit. Counter Date ELECTRICAL Permit OK except q's --67-Garage Fire Door; Swing -Landing -Closer -9B--A.C. Duct in Garage -Damper i ure & Transformer Clearance -Ins. Protection - 9r�r. Htr.; Vents -Clearance -Comb. Air-Connector-P.R.V.- In Garage; Above Floor-Mech. Protection lec. Receptacles Spacing -Lights & Switches at Doors 22. Size Boxes & No. of Conductors -Stapled 770,/Plb., Elec. & Mech. Equip. Listed for Locatim -Z*r Elec. Receptacles in Garage; (G.F.I.)-Rome= Protec. 60"Nontx JDsta!led Close to Edge of Studs & C.J. 24. ui w/Mech. Fasten Bond Gas &Water ,� Tnsuletion-Foam-Looked in Attic ❑Yes ,-21--Appliance Circuits in Kitchen &Conductor Size -73 -Guard Rails & Deck Construction -Post Caps -2e:-Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / / ga. Cu or Al •74—'dn. Vents & Crawl Hole Door -Drainage & Nood-Earth Clearance Looked under Floor ❑ Yes -1277 Range Circ. / / ga. Cu or AI -Oven Circ. / / ga. Cu or Al, Insulated Neutral ❑Yes ❑No g. ollowin instld.: Drive 9 ❑Yes ❑ Nc•; Walks ❑Yes ❑ No; Planters El Yes E] No '79'Service-Riser Conductors & Ground -Main Disconnect -167"'b9ucco; Brown -Finish _.99: -Equip. Clearances; Panels-Motors-Mech. Equip. . A.C. Unit; Disconnect-Clrnces-Brkr. & Cord. Size -115V Outlet ,32, -Clothes Closet Light -Shower Light -IS—Vents Above Roof; Plbg.-Appliance-Firepl Clearance to Opngs. -79--Water Well; Disconnect, Electrical, Plumbin3 - xterior Elec. Trim; G.F.I. Receptacle-Uncerground Card B -I Date" •�� 1. f Card -BI Date -et7 Ventilation throughout House Card B -I Date Card -BI Date Glass Protection Date MECHANICAL (Permit) OK except q's X83. -Corrections from Previous Inspections -84-"Gas Test -Meters Tagged; Gas -Electric 31. A.C. ucts; Insulation & Support -05.. - Water & Sewer Connected -C/O to Grade -HD Approval 32. Ve Fan; Exhaust above Insulation -SoEnergy Compliance Certificate -Other Certificates 33. C densate Drain & Overflow; Size & Grade 34. urnace-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 4 Date Card -BI Cate Card -BI Date Card -BI Date Date FRAMING Plans OK except q's Card -BI Date Card -BI Cate Comments at Final: S4; Proper Material & Anchors 37. ails; Studs -Nailing, Spacing & Bracing la ound 3a-,11earing Walls over Girders & Floor Nailing W-braft Stop in Walls (rat proof) Fire Stops; Furred Ceilings -Stairs -Chases -Tub Header & Beam -Size & Bearing Hangers -Post Caps -Anchors -Connectors 4FrCing. Joist-Rftr. Ties-Purlin-Roof Brac.-Truss-Shthng.-Rfn_g_. -44._F-ireplace 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 Qirearage Fire Protection Framing (NOTE: An entry must be made each time youvisit jobsite) J =OK O = Not OK = Not Applicable MOBILEHOMES * = Not Ready MISCELLANEOUS Fm Date MOBILEHOME UTILITIES (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements Date DECKS, COVERS, CARPORTS, ETC. (Plans) OK except #'s 1. Zoning Requirements -Setbacks -.Easements 2. Soils; Special MH Support -Sketch 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.-Con nec.-Shthg.-Rfg.-Bracing 5. Electricity; Location-Clearances-Grnd.-/ / Amp -Concrete 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Gas; LoratiotrTest-Wrap:/ /"L" ft./ /"Nat.or/ /"L"ft./ /"LPG 6. Carports; Windows -Doors 7. Utility Clearance 7. Elec. Card -BI Card -BI Date Date Card -BI Date Date Card -BI Date MOBILEHOME INSTALLATION (Plans) OK except N's 1. Zoning Requirements -Setbacks -Easements Card -BI Card -BI Date Date Card -BI Date Date Card -BI Date POOLS (Plans) OK except N's 1. Setbacks -Easements 2. Footings; Size -Spacing -Marriage Line 3. Gas; MH Test -Demand -Valve -Connector 2. Soils; Compaction -Structure Stability 3. Pool Structure; Steel -Connections -Thickness -Dead Men -Lining 4. Electricity; MH Test -Crossovers -Breakers -Clearances 4. Elec.; Receptacles and Lighting; Distances-GFI 5. Drain; MH Test -Fall -Flex Connector S. 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 8. Gas and Electricity Tagged 7. Elec.; Bonding; Metal w/5' -Circulating Equipment -Heater 8. Elec.; Grounding; Equip. w/5' -Circulating Equip. -Pool Lghtg. Boxes -Enclosures -Panel boards -Ins. to Main in Conduit 9. Exits; Insp.-Sketch 10. Cert. of Occupancy 9. Health Department Approval 10. Plumb; Cir. Test -Water Supply Test Card B -I Date Card -BI Date 1 Card -BI Date Card -BI Date Card B-1 Date Card -BI Date 11 Card -BI Date Card -BI Date COUNTY OF BUTTE 5 DEPARTMENT OF PUBLIC WORKS 1 ' 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 i� 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 jexplanation/please contact this office immediately. k Inspector_— Date COUNTY OF BUTTE - DEPARTI ENT OF PUBLIC WORKS 7 County Center Drive - Oroville,'CaliforrM6'95965 - Telephone 916/534-4541 APPLICATION AICD PERMIT PERMIT NO. (� 22 V/ — O -ASSESSOR PARCEL NUMBER ZON G BUILDING PERMIT IF OWNERTE /`wv�.�o EPHC3�� E — SQ. FT. OCC. BUILDING V4LUAT10 Ov OWNER'S MAILIN DDRESS CONTRAC"ET Q,- EPHONE as CONTR(a T R•S MAI ING ADORgSS (). qCL Fireplace , CONSTRUCTION LENDER UNKNOWN Total Valuation $ .L O.06 Filing Fee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee $ ro 0, ob ARCHIBCT OR ENGI,P{EER, // LICENSE NO. Plan Checking Fee .$' $ ARCHITE E G¢¢IIINEER'S MAILING ADD ESS I Permit fee $ BUILDING ADDRESS O Y, M-11 PLUMBING PERMIT Fi ingFee 10.00 I Each Trap 2.00 Solar Water Heater 20.00 D Water piping 5.00 LOT NO. SUBDIVISION NAME- PA CEL MAP Each qas water heater or vent 5.00 Gas piping system 1 - 5 outlets 5.00 USE OF STRUCTURE SF[V Duplex ❑ Mobi lehome ❑ Other SPECIFY Building sewer 5.00 Mobile Home S G W 10.00 e TYPE OF WORK New❑ Addition Remodel[] Utilities[] Inst laton❑ 0th ❑ Describe work: a ��' P Permit Fee 9 Contractor ELECTRICAL PERMIT FitingFee 10.00 Main service 600V OR LESS 100 AMP OR LESS 10.00 Main service EA. ADD'L 100 AMP 2:50 NEW CONS T. LI .& OR ACDNS ( DWELP . L ACC. ., ' 2hQsgft O CONTRACTORS LICENSE LAW I lave under penalty of perjury (check one): I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code nd my license is in full force and effect. License No. �? 4� Classification �� Z ❑ 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 R. ULT LOUT LET NON•R ESI. BRANCH CC ITS.IR 2.50 ea NEW CONSTR POWER APPARATUS &' NON.RESI D. (SINGLE OUTLET CIR. Ex. Occup(o OR FIXTURES 20050C BAL®30 IXED A Ex. Occup. OUT ETS P(RESID.)LNS REA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc.6Viring 15.00 Permit Fee $ Contractor MECHANICAL PERMIT 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 shal I be deemed revoked. Heating Cooling Hood 3.00 Ventilation permit Fee $ Contractor 1 certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the Countyot Butte to en�uup the above mentioned property for inspection purposes. I also agree, indemnify and keep harmless the County of Butte against liabili gments, costs, and expenses which may in any way accrue aga'ns i id, /iinn'cq uence of the granting of this permit. �/ X ��'` Date - Z4- g Signature of Applicant — Owner Contractor ❑ Age t ❑ An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 in height. Mobile Home Installation Fee $ 3 TOTAL PERMIT E$ I� o i. GROUP TYP OF `c�'NST. IV PAROL r PD, l� HD Is�„Eall r/ This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which DIRE 60ROF PUB'_IC By�Date—zct�'Q�(_ P IT EXPIRES Date the applicable provi- resolutions to do fees have been paid. WORKS 4 t T— Sv estories Receipt No. ���/� WHITE-D.P.W.. YELLOW -ASSESSOR. PINK -INSPECTOR. GOLDENROD -APPLICANT utte L'o 'Q DEPARTMENT OF PUBLIC HEALTH DIVISION OF ENVIRONMENTAL HEALTH 18-B County Center Drive 1469 Humboldt Road, Suite 100 1:1 7 County Center Drive Oroville, CA 95965 Chico, CA 95928 Oroville, CA 95985 TEL (916) 538-7282 TEL: (916) 891-2727 TEL (918) 538-7281 _ FAX (916) 538-2165 FAX: (916) 895-6512 FAX (918) 538-2140 April 17, 1996 Russell Brines 1 P 0 Box 3081 Chico, CA 95927 ; RE: Request for Clearance, 3891 Ord Ferry Rd.; AP•N>039-270-07,2 Dear Mr: Brines, The above indicated request for a clearance has been reviewed. The property falls under the constraints of the Butte County Ordinances 2938 & 2939 "The Old Subdivision Ordinance." This ordinance requires that the parcel be reviewed for more current development standards than were required when the parcel created. It's been determined that the maximum size usage allowed on the lot is a two bedroom dwelling. The requested clearance for the third bedroom cannot be issued. If you have any questions, please contact me at the Chico office listed above between 8 and 9am, Monday through Thursday. Sincerely, Lo F 'eda L. White, R.E.H.S. Division of Environmental Health FLW/dd/bldclear/brines A CLEAN INDOOR AIR ENVIRONMENT FOR A HEALTHIER TOMORROW it To: BUILDING DEP?.R' ENT Frs m: ENV IRC 3EN i P%L 'HZALT:i Re: = :Sewage anc'Vor Wa-er and/or Addition Cle'arance(s) `R; ans are approved for: .ul� final for: .Final Clearance ok for; s s ox j --P -39 - 27- -7 LULAIAUN APS Sewage Disposal Water Supply 2\. Wa-ter Supply Water Supply_X— Ci,`arance is for a bedroom (hone or mobile home). Other - f 'I i w dd--'Ltion(s) will be WA AIL q., - - - �C- " a to ;.an 5& 0 �� �l. Date Wr IT NO. 3090-78B,P,E1$M PERMIT EXPIRES ! Roy & Loretta Le ford .OWNER tCONTR. Wakefield Const., Chico t LOCATION (A.P. 39-27-72 tt SE/S Ord Ferry Rd., app.100'NE of Brown St., lot 57, Dayton I Temp. Power Pole Called PG&E Temp. Elec. Serv- Called PG&E Temp. Gas Serv. Called PG&E JOB FINALED ate II Si ZLL Si ature) t Temp. Power Pole Called PG&E Temp. Elec. Serv- Called PG&E Temp. Gas Serv. Called PG&E JOB FINALED ate II Si ZLL Si ature) COUNTY OF 'BUTTE — D91RARTMENT OF PUBLIC WORKS BUILDING INSPECTION RECORD Slab Patio Footi Rein1 Bond Mesh Scratch Brown . BUILDING (Cont'd) Firewall /r� /�,FJ Restroom Finish Windows Sidi v Roof Sheathings a Roofing FdnFdn. Ven Garage Vents Insulation /G r 3 7 Prov: for physically handicapped Conformance of ex. BUILDIN Setback — ,W— 79r Forms <- — Sanitation Main Bldg. Final Footings /p — 2 O r 2 Stemwal 1 — G 7 >' Slab—"%D„ Piers Fixtures Garage MECHANICAL Footings Water Htr. Ngmb Stemwa I I .. Slab 7 —/0- Y � Slab Patio Footi Rein1 Bond Mesh Scratch Brown . BUILDING (Cont'd) Firewall /r� /�,FJ Restroom Finish Windows Sidi v Roof Sheathings a Roofing FdnFdn. Ven Garage Vents Insulation /G r 3 7 Prov: for physically handicapped Conformance of ex. PLUMBING Soil Piping 1st Floor 6 2nd Floor 3rd Floor TO out y Water Plping — Sewer, Fixtures Appliances FIREPLACE Footing & _ Throat Sanitation Final: Final FIRE SPRINKLERS Test Rou h Final Fixtures MECHANICAL Heating Water Htr. Ngmb Cool Ina .. PLUMBING Soil Piping 1st Floor 6 2nd Floor 3rd Floor TO out y Water Plping — Sewer, Fixtures Appliances Gas Piping & Test Temp. Gas Sanitation Final ELFECTRICAL Rou h Fixtures Motors Water Htr. Ngmb Subpanels Gird. Fault Prot. Service Temp. Pole FinishiQZ���i1���Underground Interior Lath s - ' Door closer .: ,1LEHOME UTILITIES .................. Elec. Service Elec. Pedestal Water Piping Sewer Gas Piping UOZ56EH;_)1V1E INSTALLATION -------------- Support Elec. Continuity Water Piping Drainage Gas Piping DATE REMARKS OR CORRECTIONS I / / / /34�79_) 1 rl �J 1 .� i / I (NOTE: An entry must be made on th' rm eac time you visit the jo sl _� _�`�' i� 7 THIS IS TO CERTIFY THAT INSULATION HAS BEEN INSTALLED IN CONFORMANCE WITH THE CURRENT -- ENERGY REGULATIONS, CALIFORNIA ADMINISTRATIVE CODE, TITLE 25, STATE OF CALIFORNIA, IN THE BUILDING LOCATED AT: L ecl •f Q na( 6,1Cf n �. Street Lot No. Tract No. City EXTERIOR WALLS �dV .............. Thickness/Type ..� /�................ R Value ........ ...................... Manufacturer ..._.�.........1. CEILINGS - Batts: -Manufacturer:.,..:---- :..... .:...... .-Thickness•....= ................................. .R Value .................................... Blown: Manufacturer..:. ......... Thickness ....... � .. No Baggs .... Wt/Ba....... t L� g . Sq. Ft. Covered ....1.I.... G .............. R Value .......................................... FLOORS s� Manufacturer ................................ Thickness/Type................................ R Value ................................ SLAB ON GRADE Manufacturer .... ........................... Thickness/Type........ ....... .:............... R Value ............................... Z Width of Insulation .................. Inches ' FOUNDATION WALLS Manufacturer .................�.�........... Thickness/Ty a ................................ R Value L GENERAL CONTR GTOR � '{.1...Q!.. 1 �?. F1Q.... LICENSE NUMBER .y.7..z.�l....:........ -H-6L ._ .. TITLE : -' `? ............................ DATE J-6/-� -. JMr HOL_SON INS UL. JJ INSU CONTRACT -w tc - v :._p�C�ER.................................................. By/ �/ �.. l•�'ld1sD, .......................... DATE . l X LA a COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS 7 County Center Drive -, Oroyille, California 95965 Telephone: 534-4541 APPLICATION AND PERMIT BUILDING r iv Owner OJIL,Y k 114rd SQ. FT. occ. BUILDING VALUATION L ® 0 t© Mailing Address g00 Telephone No. Contractor I �, s Mailing Address S� Fireplace topo nnyb Total Valuation 1 elephone No. —� Permit Fee Building Address S j _ Q rY Plan Checking Fee&/or Penalty Permit Fee o ;v- AA PLUMBING No. @ FEE .04 PERMIT FILING FEE $3.00 Each TraD 1.50 1 - 97 — B)< o --�' Repair drainage or vent piping 1.50 A Water piping 1.50 t Each gas water heater or vent 1.50 � F+s!�s i ion Fire Dept. Fire Zone Use Permit Gas piping system 1 - 5 outlets 1.50 EQA Parking sans arcel Declaration Parcel P 60' R/W Improvements p ovements Each additional outlet .30 Building sewer 5.00 BI a Parc rovol Plans ppr0vaI Lawn sprinkler system 2.00 NEW ADDITION ❑ UTILITIES ❑ OTHER ❑ p Permit Fee $ ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 _ f' Main service 600V OR LESS 100 AMP LESS 5.00 Single Family Duplex Mobil Home Others ❑ ❑ ❑ *L Main service EA. ADD'L 100 AMP 2,50 Main service OIER 600V 100 AMP OR LESS 25.00 41 Main service// EA. AOD'L 100 AMP 1.00 NEW CONST. OR ADDNS. l ACC. - G DW P y\ 20sgft 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 �• st le of Y � t y- %,t�� NEW CONSTRES'D, /M -OUT LET 1/ NON.RESID 1 BRANCH CIRCUITS/ 12.50ea NEW CONSTR, POWER APPARATUS 6 NON-RESID. SINGLE OUTLET CIR. 254 Ex. OCCUD(OUTLETS OR FIXTIIRES 50@ BAL@1 FIXED APPLNS, OR EX. OCCUp. OUTLETS (REST D.) EA) 2•00 Temporary service 10.00 Mobile Home Facilities 15.00 License No.Classification � Misc. Wiring 6.25 ❑ I am exempt from the Contractors License Laws of the State of California. Permit Fee $ •. X- $ 3 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 liabilityon for Workmen's Compensation. �( I have placed on file with the County of Butte a certificate of yb+ Workmen's Compensation Insurance. ❑I certify that in the performance of the work for which th"is 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 0 Permit Fee $ r, 3.0b $ 3 �Q 1 certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby Land Development Fee TOTAL PERMIT FEE $ S S authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. XY ` e Signature -off Permitee or Agent % Receipt No. / / 76hn -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 F60BLIC WORKS By Bu' tng permit expires Date COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS 7 County Center Drive Oroville, California 95965 Tel ephone: 534-4541 APPLICATION AND PERMIT authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes - 4AA14 q, V`'' Date 1 Signature at Permitee or Ae Receipt No. �3 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 P C WORKS BY ate /, j �O ' Buil ing permit expires Date BUILDING Owner SQ. FT. OCC. BUILDING VALUATION Mailing Address Telephone No. Contractor WaLas &VIS Mailing Address `OW Fireplace Total Valuation �, Telephone No. Permit Fee Building Address Z ®i >r J Q Plan Checking Fee &/orPenalty Permit Fee 'Ala — PLUMBING No. @ FEE PERMIT FILING FEE $3.00 Each Trap 1.50 h Repair drainage or vent piping 1.50 A. P. No. —.2 7 _2. '2 -Zoning 8 Planning Each gas water heater or vent 1.59 F Fire Dept. Fire Zone Use Permit Gas piping system 1 - 5 outlets 1.50 EQA Parking Plans Parcel Declaration Parcel Map 60' R/W Improvements Each additional outlet .30 Building sewer 5.00 Bldg. PI s d Rec Parcel Approval Plans Approval Lawn sprinkler system 2.00 NEW ❑ ADDITION ❑ UTILITIES ❑ OTHER E permit Fee $ $ IL) r ELECTRICAL No. @ FEE 8 PERMIT FILING FEE $3.00 Main service 1000V OR 0 AMP ORSL=SS 5.00 Single Family Duplex ❑ Mobil Home ❑ Others ❑ Main service EA. ADD•L 100 AMP 2.50 Main service OVEReoov 25.00 100 AMP OR LESS Main service EA. ADD'L 100 AMP 1.00 NEW OR ADDNST ( ACCL BLDGS.LING CCUP. 71) 2¢sq ft CONTRACTORS LICENSE LAW I am licensed under the provisions of Chapter 9, Div. 3, of the State of California BusiIvess & Professions Code under the same st le f: Id Gm r) �(i c (� � NEW CO NSTR (OUTLT NO N.RESID `MULTI.BRANCH CIRCUITS) 12.50ea NEW CONSTR. (POWER APPARATUS 9 NON.RESID. SINGLE OUTLET CIR. Ex. OCCUD(OUTLETS OR FIXTIIRES 5 L 12 Ex. QCCU FIXED APP LNS. OR P•�OUTLETS (RESID.) EA) 2.00 . Temporary service 10.00 Mobile Home Facilities 15.00 License No. �'7 Zq Classification!(3- Misc. Wiring 6.25 ❑ I am exempt from the Contractors License Laws of the State of California. Permit Fee $ $ WORKMEN'S COMPENSATION INSURANCE 1 am aware of the provisions of Section3700 of the California Labor Code which requires every employer to be insured against liability forW men's Compensation. I have placed on file with the County of Butte a certificate of Workmen's Compensation Insurance. ElI certify that in the performance of the work for which this permitis 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 +2,00 Hood 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 Land Development Fee $ TOTAL PERMIT FEE $ y I Z authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes - 4AA14 q, V`'' Date 1 Signature at Permitee or Ae Receipt No. �3 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 P C WORKS BY ate /, j �O ' Buil ing permit expires Date RESIDENTIAL PLAN CHECKING GUIDE (S.F., DUPLEX, & MISC. ONLY) 309'0 % Bldg. Permit # t* OWNER C� ��� d V_. :y A. P. 39 7 7-7?— A. -7LA. RAL Zoning requirements (sideyards and parking).i, aluation. ` Signature by R.C.E. or Architect.(if requ.ired). B. PLOT PLAN Complete parcel size and dimensions. a! Setback, sideyards, easements, etc. i�. .4r.' Other buildings or structures. Grading, fills, drainage. C. FLOOR PLAN Complete to scale plan with dimensions. ,ZO' Required windows for light and ventilation (Sec..1405). Required windows for second exit (Sec. 1404). Allowable glazing for energy requirements (20fo max. per State law). Human impact glass (Sec. 5406). Required room sizes, ceiling heights (Sec. 1407). 0*71' G.F.C.I.'s in baths and exterior out (Sec. 210-8). 0,81 Light fixtures, switches, receptacles, and exterior receptacles for maintenance of mechanical equipment. 0,91 Locations of water heater, heating & cooling equipment, other electrical or gas equipment, and plumbing fixtures. Garage firewall, door size, and closer (Sec. 503(d)(4)). 1! 1 - 3'0" exterior exit door (Sec. 3303d). ..Fireplace location. Smoke detectors (Sec. 1413). D. STRUCTURAL DETAILS /10.7- Foundation plan complete enough to construct building. a!' Floorconstruction details complete enough to construct building. Elevations and wall construction details complete enough to construct building. Roof construction details complete enough to construct building. GfCLEV 4 Fireplace construction details.and calcs if over one-story in height..*A04u Sufficient data and details to satisfy energy insulation requirements (State law). E. MISCELLANEOUS ITEMS TO LOOK OUT FOR CCX plywood on exposed locations and overhangs.. Stairway details (Sec. 3305). i;;.Iw, Guardrail details (Sec. 1716). Brick or stone veneer (Chapter 30). Exterior plaster - weep screeds (Sec. 4706-& 4708).. Proper roof pitch for roof covering (Chapter 32). Rafter ties or bearing ridge beam. Garage door or porch header sizes. Adequate bracing. Living ar-ea over garage --complete 1 -hour separation required including supporting walls.and posts, etc. m 1�'Tr,,-.o (2) exits on three-story dwellings (Sec. 3302). 4 FORM 7 �. ENERGY SHEET FOR --�' ADDITIONS TO RESIDENTIAL BUILDINGS + PERMIT NO. 2o�q'8��' PACKAGE "A" (Additions) NAME 1 SQUARE FOOTAGE JOB ADDRESS $891 020 PtIV MO. PAY-rc4 Existing Residence TYPE OF WORK AVD p SCC- Oel�, New Addition 25'� 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 A nclude room add itions ,.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 1 ZONE INSTALLED APPLIES TO NEW AREA CEILING v-30 R_3 1.65 WALL R-11 R- 1 9 R- 19 SLAB R- 7 R 11 7 GLAZING 65 00, . 4 L -14r.. . 65 SHADING SOUTH - OPTIMUM OVERHANG or .36 S.C.- WOiTe P-oLLEV- 3hi��bES 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 SHEET 7/83 *1 HEATING VENTILATING AIR CONDITIONING SYSTEM (A) Heating y - MOT ❑ 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 r (describe) *1 (B) Cooling GX�5���4 ❑ 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 C ISI STIMA . ❑ • (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 2 (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 h ating load = maximum outlet capacity gas furnace BTU Cooling: Summer design temperature 107—.,-, 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 minist ation Code. 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