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039-270-108
LARRY LAMBERT 39 -2? -108 9468 Perkins Road,j'5ao'y4o 0 8 lPermit#680-83B P E M(new single family) `03927-0-`108.. .. j 92-74258 B,E ADKI S2 Tim &'f --Sandi 9468`' ` Perkins Rd, Dayton, addition/sf 03� - 2-770 - �; 5 RID TIAL • 039-27-0-108 92-4258 B,E ADKINS, Tim & Sandi 9468 Perkins Rd, Dayton addition/sf Z/2- JOB JOB FINALE Signature J=OK O = Not OK Not = of Ready MOBILE MOBILE HOMES Date MOBILE HOME UTILITIES (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements - 2. Soils; Special MH Support Sketch 3. Sewer; Location -Test -Fall -C/O Concrete 4. Water; Location -Test -Easement Needed (Sketch) 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 Dale 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 s -e , J MISCELLANEOUS Date DECKS, COVERS, CARPORTS, GARAGES, (Plans)OK except #'s 1. Zoning Requirements -Setbacks -Easements ` 2. Footings; Soils -Size -Depth -Spacing -Connectors -Steel 3. Decks; Griders and/or Joists -Decking -Bracing -Stairs -Rails 4. Wood Awn.; Posts- Bea ms- Rftrs.-Connectors Shthg.-Rfg.-Bracing 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Carports; Windows -Doors 7. Electric 8. Frmg; Sils-Anchors-Studs-Rftrs-Trusses 9. Siding; Nailing -Veneer -Stucco -Mesh 10. Roof; Shthg-Roofing 11. Ext.; Steps -Doors -Landings Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date POOLS (Plans) OK except #'s 1. Setbacks -Easements 2. Soils; Compaction -Structure Stability 3. Pool Structure; Steel -Connections -Thickness Dead Men -Lining 4. Elec.; Receptacles and Lighting, 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 ✓ = OK �. + O=Not OK -=Not Applicable = Not Ready RESIDENTIAL (Single • Date • UNDEFLOOta (Plans) OK except ft's J49�g-Setbacks-Easements-Flood-Slope 2. g., Main; Soils-Elec. GrW/A" Ftg. Depth 1 Fag. -Garage; Soils-Steel-Elec. Grnd.-/ /" Ftg. Depth -4-Ftg., Porches & Decks; Soils -Steel-/ /Ftg. Depth I temwalls, Main; Steel -Bloc kouts-Wra pped •6:f3tmmalls, Garage; Steel-Blockouts-Wrapped �8.."FT0 owns and Special Anchors ab; Steel-Wrapped -9--Pt6-rs-Fireplace Ftg.-Steel Fall -fitting -Test -2 Way C/O -Sewer Test I -4e-4JF. Gas Pipe; Size -Anchors - yard gas piping: size -test --tt-Water Pipe; Test -Anchor -Regulator -Service Test ^72 -Electric; Underground -f9�--Pienums & Ducts; Clearance -Material -Support -Ins. -44--Girders-Sills-Anchor Bolts -Joists -Vents -Cripples -11I -Access -& Ventilation 16 Insulation Date /� s0 Card B-1' t si.✓ Date Card B-1 Date Card B-1 Date Card B-1 Date PLUMBING (Permit),OK except P's 16. Water Htr.: Vent -Access -Co stion Air -Baffle ---------- -- ------------------------- 17. Water Pipe; Test & A or -Nail Protection ------ 18. D.W.V.; Test -Fit ' s & Anchor -Nail Protection -- 19. Shower P est, First Floor -Tub Access ----- --- --- 20. TestT4 & Shower, Second Floor -Tub Access ' 21. as Pipe: Size & Anchors Date Card B-1 Date Card B-1 ---------------------------------- ---------------------- Date Card B-1 Date Card B-1 Date ELECTRICAL (Permit) OK except 4's - --- — 2 fixture & Transformer Clearance -Ins. -Protection lec. Receptacles Spacing -Lights & Switches at Doors 2 ze Boxes & No. of Conductors -Stapled =------- ----- - - - - ------------- 2 omex Installed Close to Edge of Studs & C.J. Equip. Ground made up w/Meth. Fastners-Bond Gas & Water ----------------------------------------------------------------- ---- . Wince Circuts in Kitchen & Conductor Size/GFI ---------------------------------------------- -3R7tt=ed Wire Size / J ga. Cu or AI-A.C. Wire Size / 1 ga. Cu or AI _24 -IR Tp Circ. / J ga. Cu or AI -Oven Circ. / / ga. Cu or Al. Insulated Neutral ❑ Yes ❑ No --------------- -------------------------------------------------------- �- w4 to -Riser Conductors & Ground -Main Disconnect -- --------------------------------------------- ---------------- --------------- 3iCjulp_Clearances Panels- Motors-Mech. Equip. ---------------------------------------------- --Oe--CStries Closet Light -Shower Light -Spa Light - -------------------------------------------------------- ---------------------------------- ------- - ti. Smoke - Detector ---------- --- --- - - - - - -- ----------------------------------- Date ) 4 S 5 Card 8-1 C `✓ Date Card B-1 --------------- ------------------------------ Date Card B-1 Date Card B-1 Date MEC NICAL (Permit) OK except p's 3 A.C. Ducts Insulation & Support -- ----- --------------------------------------------------- Vent Fan Exhaust above insulation ------ ---------------------------------------------------------- __________--rd"'Coni3ensate Drain & Overflow: Size & Grade -57- Fu�nance-Vent: Access -Comb. Air -Return -Air Vent -115 outlet .-%a-AttfiCAccess & Platform if Furnance in Attic ---------- --------------- ---------------------------------------------- Date r+ Card B-1 Q �/ Date Card B-1 -- - ------------------------------- --------------------- ---------- ---- - Date Card B-1 Date Card B-1 Date FRAMING (Plans) OK except It'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 :10 = tJ & Duplex) Date ` FRAMING (Continued) .GSAdangers-Post Caps -Anchors -Connectors -tng. Jois-Purlin-roof Brac-Truss-Shthng.-Rfng. -4-7-- eplace Ties or Type A Flue -Fireplace Throat clearance ---- . tic � Size & Romex Protection -Draft Stop -Ins. Baffles ,-44..-Bdtm. Windows or Exiting Doors -Sill Hgt. & Dimensions - JF60 Garage Fire Protection Framing 19 ---Property Line Firewall & Openings SQ!Ext. Doors -One 3' -Check Garage -3rd Story, 2 Exits --- ----------------------- -- Width -Headroom -Rise -Run -Landing -Fire Protection ----- --5Y P"ood on Roof Overhang -Attic Vents -Rafter Outriggers _ 5&,.Brding-Nailing Veneer 56. Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access ------- 5P"Tlazing Area -Glass Protection -Skylights -Plastic 58. Shear Walls: Nailing -Bolts q Insulation -Walls -Ceilings 60. Infiltration -Walls -Windows Date `!%Card B-1 C 3 Date Card B-1 Date Card B-1 Date Card B-1 Date FINAL (Plans) OK except N's Steps -Door & Sidelight Protection -Landings -- -- --- Smoke Detector ,Xe8--7urnace: Vents -Clearance -Comb. Air -Connector - In Garage; Above Floor -Ducts -Meth. Protection X64 -Bedroom Exiting Bath Fixtures & Tub Access -Spa Trim & Subpanel; Breaker Sizes & Labels ------------------ c ST' --Stairs & Rails 687-171replace or Stove: Clearances -Hearth -64)- lsc. Outlets at Wood Panel: Int. & Ext. & Appliance; Grnd.-Air Gap -Cooking Clearance -3.1. . Outlets & Receptacles at Kit. Counter----------------------------- ---- arage Fire Door; Swing -Landing -Closer 071-A.C.-Duct in -Garage -Damper ----------- -------------- ----- -- -- .�4.-+Ntr. Htr.: Vents -Clearance -Comb. Air-Connector-P.R.V. -- In Garage_ Above Floor-Mech. Protection -Rt Elec. & Mech. Equip. Listed for Location ---- ------------ - Elec. Receptacles in Garage: (G.F.I.) Romex Protection ------------ ---------------- --- �sulation -Foam-Looked in Attic ❑ Yes ----------------- ------------------- Guard Rails & Deck Construction -Post Caps �n. Vents & Crawl Hole Door -Drainage & Wood -Earth Clearance Looked under Floor ❑ Yes ----------------------------------------------- �lowing instld.: Drive ❑ Yes El Walks ❑ Yes ❑ No; Planters ❑ Yes ❑ No -- ---------- < 6d tucco: Brown -Finish ----------- ---------- --- ---- - - -- 82. A.C. Unit: Disconnect. Electrical, Plumbing --------------------------- - -85. ve, Is Above Roof: Plbg.-Appliance-Fireplace.-Clearance to Openings ,j44 --Water Well: Disconnect, Electrical, Plumbing -a5_.Exterior Elec. Trim: G.F.I. Receptacle -Underground -- -- -------------------- _40-�Fe�tion Throughout House -- - --------------------------------- s Protection orrections from Previous Inspections ..------ ------------------------------- ----- .e3@-tas Test -Meters Tagged; Gas-Electric ------------------------------------------------- ater & Sewer Connected -C/O to Grade -HD Approval may- Compliance -C tificate-Other Certificates Date -- . 2=✓2 Card B-1 _Date _ _-_ _ Card B-1 - Date- 2,.. Card B -t �� Date Card B-1 Date Card B-1 Date Card B-1 Comments at Final COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS — -�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 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, pleRZj.^J t this office immediate y. ff J 4/ A G Gal- � /�� k eS- X - c4, -w�l A" UC, 2.,k -.s / 6 Date I 2 2 �-� Inspector REV 11/91 ' 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 Q 0kll 6 q 2-117 . OWNER PERMIT NO. AToufineinspection 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 rs,coapleted.If you have any questions pertaining to this matter, or need additional explanation, ;please contact this office immediately. L �-7 Date J J Inspector REV IBM COUNTY OF BUTTE - DEPARTMENT OF PU13LIC WORKS 7 County Center Drive - Oroville, California 95965 - Telephone: 916/538-7541 APPLICATION AND PERMIT PERMIT NO. ASSESSOR PARCEL NUMBER 039-270-108 ZONING SR -1 BUILDING PERMIT OWNER Tim & Sandi Adkins TELEPHONE '343-5942 SO. FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS 9468 Perkins Rd., Chico 95928 f CONTRACTOR'S NAME Owner TELEPHONE ^ CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ 16 200.00 LENDER'S MAILING ADDRESS Filing Fee $ 15,00 Permit Fee $ 150.00 ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ 75.00 ARCHITECT OR ENGINEER'S MAILING ADDRESS Energy Plan Checking Fee $ 20.00 Penalty $ BUILDING ADDRESS Permit fee $260.00 Q468 Pprkins Rd.- Dayton PLUMBING PERMIT Filing Fee 15.00 Each Trap 5.00 Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP Water piping 7.00 Each qas water heater or vent 7.00 USE OF STRUCTURE SF ® Duplex❑ Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 15.00 Mobile Home S G W @ 15.00 TYPE OF WORK New ❑ Addition ® Remodel ❑ Uti lities ❑ Installation❑ Other ❑ Describe work: Porch Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 15.00 Main service 200AORLESS 18.50 CONTRACTORS LICENSE LAW I declare under penalty 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. q ' License No. Classification �j 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) ElI, 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 1000A) 37.50 NEW CONST. ( DWELLING OCCUP.&\ OR ADDNS. ACC. BLDGS. / 3.64sq.ft. X 10.50 NEW CONSTR U TI.OUT LET NON.R ESID BRANCH CIRC ITS @ 5.00 (POWER APPARATUS &) SINGLE OUTLET CIR. Ex. Occup(OUTLETS OR FIXTURES 20 @ 76 FIXED APPLNS.OR EX. Occup. OUTLETS IRESI D.) EA.) .3.00 Temporary service 15.00 Mobile Home Facilities 15.00 Misc. Wiring -15.00 Permit Fee $ .50 WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. Contractor MECHANICAL PERMIT Filing Fee 15.00 Heating Cooling Hood 6.50 Ventilation I 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 Iiabilit'es, judgments, costs, and expenses which may in any way accrue against ainst a d County'Qn cc q e ce of the granting of this permit./J Date Signature of Applicant — Owner Contractor ❑ Agent ❑ An OSHA permit is required for a avatlons over 5'0" deep and demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee S Energy Inspection Fee S 40.00 OCCC�jt.1STATYPE V �i�/ TOTAL FEE $ 325.50 HAz DFEES IMP Fro CDF PARC PD HD I This permit is hereby issued under sions of the e C n y Code and/or work indi t or which fees R OF PUBLIC By P EXPIRES Date -�Z the applicable provi- resolutions to do have been paid. WORKS o Date Z�ZZ/ — Z 3 0 © Receipt No. C) WNITC-D.P.W., •ELIOW-A59[830R, PINK -INSPECTOR, GOLDENROD -APPLICANT %'".""`^`'`,,«-imcr'"Y�...y!,--1..-'�r-....j'•'�;,:r�::f,�`^.t"``�q� ` .j,.�.,ti.:.-:,--,Jl.L.Y arr�:t•-{~h �'•r''--j'., COUNTYOF BUTTE - DEPARTMENTOF DEVELOPMENT SERVICES -BUILDING DIVISION 7 COUNTYCENTER DRIVE - OROVILLE, CALIFORNIA95965 -TELEPHONE (916) 538-7541 PERMIT APPLI,Q ION,DATASHEET Proposed Building Use Building Inspector At time of permit application, I was advised the following data must be submitted prior toermit processing and/or issuance: DATE RECEIVED BY 1. All items have been submitted . ........................................ 2. Plot plans, 3/4 sets, signed by preparer of plans . .......................... 3. Complete plans, 3/4 sets, signed by preparer of plans . ...................... .4. Engineered plans and calcs, 3/4 sets, with wet signature on plans . ............. ' 5. Hazardous Material Form. ....... ............................... i 6. Energy Design Compliance and supporting documentation . .................. 7. Statement of Intent for Non -Heated and A/C Buildings . ...................... r 8. Engineered truss details and layout in duplicate (required prior to plan check). . f 9. Mobilehome data and manufacturer's installation instructions, 2 sets. ........... 1pFees of $ .......................................... 11. Impact fees as shown on attached schedule . ..............................� 12. California Department of Forestry plan approval/fees. ....................... . 11. Flood elevation letter (100 year flood) by California Engineer . ............... . 14. Sanitation and plot plan approval �Ht �'J Health Department. -, 15. City of Chico plumbing permit ........................................ . ' f< 16. Plot plan and business license approval from City of Biggs/Gridley. ............. ' I 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). ..... . Preanspedion n:queis-- t 20. Pre -inspection for required. . . to Building Inspector (Date) 21. Contractor's license information. (No., Name Style, Classification) . .............. 22. Certificate of Workmans Compensation. Insurance . .......................... 23. Owner -Builder Verification (Given to do.nt er , Mail to owner _). ......... . 24. Recorded copy of Agricultural Acknowledgement Statement . .................. 25. Letter of signature authorization. ..... . i 26. Copy of recorded deed of parcel creation and 60 right of way to a public road. .... . 27. Letter of intent on building use . ......................................... 28. Mobilehome utility clearance. .......................................... 29. Documentation of legal access . .................................. . 30. Documentation of 50% subdivision developed or (A) Road improvements completed and (B) Parcel meets zoning area and frontage requirements. \ 31. Existing violations/expired permits . ...................................... k i X32. Plan checst. ....... .... .34. When pti, issue the permit, process as follows: ail to owner. Mail to contractor. L-- Telephone S9y�nd hold for pickup /4-0 office. Deliver with inspector. Other . �` Parcel Creation �1/ l(/l.� C� 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 p or to per it ' sus ce (Circle new item not checked above). 1. Index permit for above items _No. 2. Additional items required: AR�'P10i,�;.y Contractor, designer, o er, was advised of above required data byhone _ mail Counter b W Date Contractor, designer, , was advised of above required data by A/">hS ne _ mail Counter b -0 -Las Date Plans checked by �� Date - Plans approved by Date GAY Sets of plans on hold in File cabinet AP folder Copy - Department of Public Works 111ul Him Auuolied _ t r Illoof Him Almclu-d� sol 10 11.1). TO: Building Department 4 FROM: Environmental HealthKk SUBJECT: Sanitation Clearance Go��.�° � Owner Location Plan Approved for: Sows, c Disposal — _ Water Supply: Public Clearance for bedroom mobilc home. Other a:, Q 1�1 Hold final for: Final clearance O.K. for: NOTE: / 4E-nvirme�ntal Health Specialist 8/92 APb Private Well -I-la- DatelZDate COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 - Telephone: 916.'538-7541 APPLICATION AND PERMIT PERMIT NO. ASSESSOR PARCEL NUMBER 05 Q — ZOy-IN �5k—� BUILDING PERMIT FT. OCC. BUILDING VALUATION ower gR -S TELEPHONESO. yq OWNER'S,MAI LI ADD SS qL4S din S Road ICO qtp2st OQ Lc�� CONTRACTOR'STELEPHONE CONTRACTOR'S MAILING ADDRESS CONSTRUCTION LENDER UNKNOWN Fireplace r (� ZO Total Valuation $ 16 Z LENDER'S MAILING ADDRESS Filing Fee $ 15.00 Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ s ARCHITECT OR ENGINEER'S MAILING ADDRESS Energy Plan Checking Fee $ '� Penalty $ BUILDING ADDRESS Permit fee $ (o O (0 1r1 S PLUMBING PERMIT FiI ee 1 15.00 Each Trap 5.00 Solar or heat pump water heate 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP Water piping 7.00 Each qas water heaterZr vent 7.00 USE OF STRUCTURE SFX Duplex❑ Mobilehome❑ Other SPECIFY Gas piping systemv'- 5 outlets 5.00 Building sewer 15.00 Mobile Ho S I G I W @ 15.00 TYPE OF WORK New ❑ Addition Remodel ❑ Utilities ❑ Installation❑ Other ❑ Describe work: D(L Pe Fee $ Contractor ELECTRICAL PERMIT Filing Fee 15.00 Main service 200A OR LESS 18.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): I am licensed under p provisions of Cha t. 9, Div. 3 of the BUslneSs and Professions Code and my license is in full force and effect. License No. Classification I, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) I, as the owner, am exclusively contracting with licensed contract - ors. (Sec. 7044) ❑ 1 am exempt under Sec. , Business and Professions Code for this reason Main service 200A TO 1000AI 37.50 NEW CONST.( DWELLING OCCUP.y\ 3.6Qsq.ft. �, OR ADONS. ACC. BLDGS. NEW CONSTR ULTI.OUTLET @ 5.00 NON.RESID BRANCH CIRCUITS) ( POWER APPARATUS e' SINGLE OUTLET CIR. Ex. Occup(OUTLETS OR FIXTURES 20 76d FIXED APPLNS. OR EX. Occup. OUTLETS IRESID.1 EA.) I 3.00 Temporary service 15.00 Mobile Home Facilities 15.00 Misc. Wiring '15.00 Permit Fee $ Z 57 i5- 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. N I shall not employ any person in any manner so as to�Dcome 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 $ ContractiSr I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the Countyot Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue against saip County in cons eq ace of the granting of this permit. X /1 riIXL Date ` (� �� signature of Applicant — Ownerj� 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 $ 1-10 occ CONS""' TOTAL FEE $ HAz I DFEES IMP I FLOOD I CDF PARCEL PD HD ISSUE This permit is hereby issued under the applicable provi- sions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DIRECTOR OF PUBLIC WORKS By Date PERMIT EXPIRES Date Receipt No. WHIrC-O. r. W., 'IEL LO W-Ag9Cg 90R_ PINK-1—Pre—ten. ..-......- ...... .-.-.- _COUNTY OF BUTTE - Department of Public Works 7 County Center Drive,.Oroville, CA 95965 Phone: 916-538-7541 OWNER -BUILDER VERIFICATION Attention Property Owner: An 'owner-builder".building permit has been applied for in your name and bearing your signature. Please complete and return this information at your earliest opportunity to avoid unnecessary delay in processing and issuing your building permit. No building permit will be issued until this verification is received. 1. I personally plan to provide the m labor and errials for construction of the proposed property improvement((y s�� r no) GU 2. Q(ha/have not) ve— signed an application for a building permit proposed work. 3. I have contracted with the following person (firm) to provide the proposed construction: Name Address City Phone Contractors License No. 4. I plan to provide portions of this work, but I have hired the following person to coordinate, supervise, and provide the major work: Name Address City Phone Contractors License No. 5. I will provide some of the -work but I have contracted (hired) the following persons to provide the work indicated: Name Address . Phone Type of Work Signed: Property Owner Social Sec u ity// Number Date —q NOTE: This Owner -Builder Verification is sent to you as required by Sections 19831 and 19832 of the California Health and Safety Code. This verification must be completed and returned to our office before we are per- mitted to issue the permit. COUNTY OF BUTTE - DEPARMIMT OF PUBLIC WORKS - BUILDING DIVISION 7 CWNT? Cr(TER DRIVE - OROVILLE, CALIrORNIA 95965 - TELEPHONE (916)5387541 A7 /i d k, "J-' SCpOSED BUILDING USE A. P. NO. 1 -27 `!J� DATE _ �2 / -7 SL REC. DATE REC School Distric Fees (paid at District Office) Shez-iff Fees (paid at Building Department) i Residential ......... 1 4 i unit amt. Commercz.al(per sq.ft.) sq.ft. amt. 3. Urban Area Fees (paid at Building Department Residential (per unit) X =$ 7units amt. rr Commerical(per sq.ft.) 1 4 sq.ft. amt. 4. Reiseatiou Distapct Fees (paid at District Of==ce) .......................... S. Drainage Distr-ict Fees (Contact Land Development) 6. Other 7. Other time of permit application, I was advised the above fees are required to be paid Dr --;c7 issuance of the permit. 'PLICANT old -1. ,lam' DATE 4 -� L NTy x r qk` eUICo�Noo��'r1e BUTTE COUNTY SCHOOLS IMPACT FEE CERTIFICATION FORM � s C Z (One Form Per Building) School Districty /Z Building Department No. A.P. Number L491 /046 Jurisdiction 0 CityCounty Property Owner Property Location/Address �/ �7 E� �/1-Gf' �✓ ��c,��:�r Subdivison"° '- k Lot No., F Residential Development ;t,. 0 Sq. Footage O y ` No. of Living' MHI Addition (Group R) Units F Commercial/Industrial 0 0 Sq. Footage t New Addition (Including Exterior Roofed Areas) Building D pa ent Rep resentative• '� ' Date (Flooe Plans reviewed by School District Personnel) District Identification No. y ,c" "''� ` I � (, � �.; �`� .• �/ • .# ;fit. •�_�` • � School District certifies that (Applicant)q, . r y.• q� (StreetAddress)! (Phone Number) GV (City) (State) (Zip Code) Ig 4 has complied with the requirements of Resolution No. 9a- by payment,of representing square feet. ,�--._� School District Rep res ntative Paid by Check Number Remarks: �le— 11d 2r. Bank Number, _ a Paid by Cash ti 3 y, y If, subsequent to the School' District Representative signing this ButtetCountySchools Impact Fee_•, * a, Certification Form, the School District is notified by the applicable Localanning Agency that this project is being reviewed under the California Environmental Quality Actt(CEQA ,,1tthis .project may be subject to _additional school fees to fullv-mitigate its impact on the`school distncfs schools. White (applicant), Yellow (building department), Pink (scqbol district) feeform.wkl (4/92) �• s : Ly i kA 1 ' I I I I I i i -' I � 0'2- �� I I � I •'�' I I � I I I p I i r i I i � I , I I +� • -� I � � I I I I I� �• i I � I � 1 i I i 1 II f , i 1 I ' IN NOT 0 FORM 74, .i ADDITIONS TO RESIDENTIAL BUILDINGS ENERGY SHEET PACKAGE "A" (Additions) , Owner (gd n 1 h.5 _ Climate Zone Permit # �� ' `l�aZ Floor Area ,:d� The following data showing mandatory and required features of Package "A" shall be installed 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 existing non -conditioned space that is converted to conditioned space. Remodeling of existing conditioned space is not included. APPLIES TO .NEW AREA. CEILING WALL FLOOR SLAB a- GLAZING ZUNI; /'*� R-30 SHADING. SOUTH - OPTIMUM OVERHANG 11 -ZONE 16' R-11 R-11 R-7 U-.65 (Dual) or .36 Shading Coefficient R-38 R-19 R-19 R-7 U-.65 (Dual) WEST - .36 Shading Coefficient LOOSE FILL INSULATION (Density) O INFILTRATION CONTROL (Weatherstrip doors, certified windows, caulking) VAPOR BARRIER (Zone 16) 40 -DUCTS PER UNIFORM MECHANICAL CODE - Ch. 10 SLIGHTING KITCHEN & BATH NOT LESS THAN 25 LUMENS/WATT co MAXIMUM GLAZING 16% OF AREA PLUS REMOVED GLAZING NEW HEATING, VENTILATING, AIR CONDITIONING AND HOT WATER SYSTEMS IN CONJUNCTION WITH AN ADDITION SHALL BE INSTALLED AS SHOWN ON BACK OF THIS SHEET. OTHER 12/85 1 Q Q . *1 Q Q Q �� *1 Q Q Q Q *Z Q Q HEATING, VENTILATING, AIR CONDITIONLW SYS_M (A) Heating Central Gas Furnace Z (br4nd and model, number) SE Btu/hr (heating capacity) Heat Pump -- (brand and model number) ACOP ' Btu/hr (heating capacity At 47.7) Active Solar type (liquid or air) Collectgr brand and ft model number solar fraction collector area collector orientation collector tilt raced y—incarcapc raced slope Other (describe) (B) Cooling Electric Air Conditioner (brand and modal aumber) (seasonal EER) Btu/hr (cooling capacity ac 9507) Electric Heat Pump Btu/hs (coaling capacity at 95.7) Othar (describe) DOMESTIC WATER SYSTEM (A) Gas Only Gallons (brand and model number) (tank size) Hast Pump w/Electric Backup (brand and model number) Gallons (tank size) Active Solar (collector brand and modal number) (raced y-incarcepc) (raced slope) (solar fraction) 2 ft (backup heater type, brand and model number) (collactor area) (collector oriancacion) (collactor tilt) Location of Solar Panels Other (Describe) *1 Submit documentation of sizing heating and cooling equipment by Manual J, sizing charts (form #4) or ocher approved methods, section 2-5352(g),�and fill ouc the following: Heating: Wincer design camperature ', elevation ', heating load BTU elevation factor x heating load - maximum outlet capacity gas furnace BTU Cooling: SLiicir design temperature •, cooling load BTU *Z Submit T.Z.P.S.E. chart or other approved syscam (form 05) co document sizing Of solar panels. ® MST= COMPLIANCE STATEMENT: The above building design maecs the requirements of Title 24, Part Z. Chapcar 2-53 of the California Administration Coda. SICYATURE OF BUILDING OESI=1 OR APPLICANT PERMIT NO. — 680-83B,P,E,M PERMIT EXPIRES OWNER LARRY LAMBERT CONTR. owner \ ASSESSOR PARCEL 39-27-108 74co'CATION 9468 Perkins Road, Dayton OFFICE COPY Address�� `� 7-2 u GAS_ Meter By Date ELECTRIC (I i� Meter By v ' Date l. y { Il, .7TT Via::--t.�• , Y, Pit ? 1, Temp. Power Pole �4 Called PG&E Temp Elec. Service A61A9K_/ • it Called PG&E Temp. Gas' Servi ce Cal led PG&E r V JOB FINALED (Date) Signatu i PERMIT NO. — 680-83B,P,E,M PERMIT EXPIRES OWNER LARRY LAMBERT CONTR. owner \ ASSESSOR PARCEL 39-27-108 74co'CATION 9468 Perkins Road, Dayton OFFICE COPY Address�� `� 7-2 u GAS_ Meter By Date ELECTRIC (I i� Meter By v ' Date l. y { Il, .7TT Via::--t.�• , Y, Pit ? 1, Temp. Power Pole �4 Called PG&E Temp Elec. Service A61A9K_/ • it Called PG&E Temp. Gas' Servi ce Cal led PG&E r V JOB FINALED (Date) Signatu OFFICE COPY Address S15, &,ML AM JI A2 GAS M - etbr, By • Rtu '"Date ELECTRIC Meter By Date 7 J = OK 0 = Not OK = Not Applicable = Not Ready l MOBILEHOMES MISCELLANEOUS . Date MOBILEHOME UTILITIES (Plans) OK except N's 1. Zoning Requirements -Setbacks -Easements 2. Soils; Special MH Support -Sketch Date DECKS, COVERS, CARPORTS, ETC. fPlans) OK except N'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 7. Utility Clearance 6. Carports; Windows -Doors 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 H's 1. Zoning Requirements -Setbacks -Easements 2. Footings; Size -Spacing -Marriage Line f Card -BI Date _ Date Card -BI Date _ POOLS (Plans) OK except it's 1. Setbacks -Easements 2. Soils; Compaction -Structure Stability 3. Gas; MH Test -Demand -Valve -Connector 3. Pool Structure; Steel -Connections -Thickness -Dead Men -Lining 4. Electricity; MH Test -Crossovers -Breakers -Clearances 5. Drain; MH Test -Fall -Flex Connector _ 4, Elec.; Receptacles and Lighting; Distances-GFI 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/O 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-1 Date Card -BI Date Card -BI Date Card -BI Date Card B -I Date Card -BI Date Card -BI Date Card -BI Date � t 3 1, J =� OK 0 = Not OK = Not Applicable . = Not Ready RESIDENTIAL (Siegle and Duplex) .. Date. IL4NDERFLOOR Plans OK except #'s Date FRAMING Continued ing requirements—Setbac s—Easements 4 roperty Line Firewall & Openings Ftg., Main; Soils—Steel— rnd.— / /" Ftg. Depth 4r.—Ext. Doors—One 3'—Check Garage -3rd story, 2 exits 3 ., Garage; Soils—Steel— / /" Ftg. Depth • -&&-Mairs; Width—Headroom—Rise—Run—Landing—Fire Protection 4. Ftg., Porches & Decks; Soils—Steel- / /" Ftg. Depth lywood on Roof Overhang—Attic Vents—Rafter Outriggers 5. Stemwalis, Main; Steel—Blockouts—Wrapped—S 52. Siding—Nailing—Veneer 6. Stemwalls, Garage; Steel—Blocko s- rapped—Slab 53. Stucco Mesh—Drip Screed—Fdn. Vents—Underflr. Access 7. P' s—FirepQacfsFtg.—StPP,i/ i''t. -6a. Glazing Area—Glass Protection—Skylights—Plastic W.V.: Fall—Fittings—Test-2 way C/O—Sewer Test hear Walls; Nailing—Bolts 9. Gas Pipe; Size—Anchors 10. Water Pipe; Test—Anchors—Regulator—Service Test 11. Electric; Underground 12. Plenums & Ducts; Clearance—Material—Support—Ins. 13. Girders—Sills—Anchor Bolts—Joists—Vents—CripplesCard-BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI n l Date 14 1131WCard-BI Date Date FINA ' OK except N's Card -BI Date Card -BI Date Date PLUMBING (Permit) OK except q's , Ext. eps— oor & Sidelight Protection—Landings moke Detector w-"-110ater Ht.; Vent—Access—Combustion Air ir—Connector— Vents—Clearance—Comb. Air—Connector— /50_ We; y1e; Above Floor—Ducts—Meth. Protection a— Water Pip ;Test &Anchors—Nail Protection D.W.V.:1Jj ttngs & Anchors—Nail Protection A0,12Sedroom Exiting IrShower Pan; Test, First Floor—Tub Access G.F.I. & Bath Fixtures & Tub Access QS- Test Tub & Shower, 2nd Floor—Tub Access lec. Trim & Subpanel; Breaker Sizes—Labels c0,9va Gas Pipe; Size & Anchors ails -- -- F' lace or Stove; Clearances -Hearth I . Outlets at Wood Panel; Int. & Ext. Card -BI e) Date f ]J 2,1 .i -i Card -BI Date it. Fixt. & Appliance; Grnd.—Air Gap—Cooking Clearance Card -BIS Date Card -BI Date ec. Outlets & Receptacles at Kit. Counter Date ELECTRICAL Permit OK except N's &4 --Garage Fire Door; Swing—Landing—Closer in Garage—Damper _ Fixture &Transformer Clearance—Ins. Protection -- tr. Htr.; Vents—Clearance—Comb. Air—Connector—P.R.V.— In Garage; Above Floor—Meth. Protection Elec. Receptacles Spacing—Lights & Switches at Doors : PIb., Elec. & Mech. Equip. Listed for Location ZaiSize Boxes & No. of Conductors—Stapled 7Receptacles in Garage; (G. F.I.)—Romex Protec. 2 . Romex Installed Close to Edge of Studs & C.J. 2E1/Equip. Ground made up w/Mech. Fasteners—Bond Gas &Water --eck 722.. Insulation—Foam—Looked in Attic P*es1 Construction—Post Caps lance Circuits in Kitchen & Conducts Size —feed Wire Size i / ga. Cu or AI—A.C. Wire Size / / ga. Cu or Al Crawl Hole Door—Drainage & Wood -Earth Clearance Looked under Floor El Yes - Range Circ. / / ga. Cu or AI—Oven Cir Cu or AI, Insulated Neutral ❑Yes ❑No 75. Following ins_ Ild : Drive es No; Walks �Pes E) No; Planters [1-Y s El No 2e!'Service—Riser Conductors & Ground—Main Dis nnect 76. Stucco; Brown—Finish A'Equip. Clearances; Panels—Motors—Mech. Equip. A.C. Unit; Disconnect—Clrnces—Brkr. & Cond. Size -115V Outlet _ -- 39•!Clothes Closet Light—Shower Light — ents Above Roof; Plbg.—Appliance—Firepl.—Clearance to Opngs. -- ----- -- j,B!'Water Well; Disconnect, Electrical, Plumbing —_ 4k-Exterior Elec. Trim; G.F.I. Receptacle—Underground Card B-IDatetDate —Card -BI ' _ ent throughout House Card B -I Date Card -BI Date Glass Protection otection Date ECH NICAL (Perrr,it) OK except q's _ orrections from Previous Inspections 84 GPs T —Meters Ta e , Gas—Electric — A.C. Ducts; Insulation & Support &Sewer a rade—HD Approval -- 52Vent Fan; Exhaust above Insulation g Energy Compliance Certificate—Other-Certificates _ _SZ- Condensate Drain _& Overilow; Size & Grade _ •8# Furnace—Vent; Access -Comb. Air—Return Air Vent -115V outlet Attic Access & Platform if Furnace in Attic Card-BIDate Li I� Card -BI Date --.L . Card -BI Date Card -BI Date Card -81 Date Card -BI Date Card -BI ate Card -BI Date C I Date Card -BI Date DateFRAMING Plans OK except N's Comments at Final: _ IN, s; Proper Material & Anchors _ 4alls; Studs—Nailing, Spacing & Bracing—Plates—Sound 38/Bearing Walls over Girders & Floor Nailing____ __ �91Draf( Stop in Walls (rat proof) —�G�Fire _ Stops; Furred Ceilings—Stairs—Chases—Tub ,eader & Beam -Size & Bearing _ 4� H� g rs—Post Caps—Anchors—Connectors - -- Cing. Joist—Rftr. Ties—Purlin—Roof Brac.—Truss—Shthnq.—Rfnq. 4�4"r"F"ireplace Ties or Type A Flue—Fireplace Throat — _ 4Yr+t1iC Access_: Size & Romex Protection—Draft Stop—Ins. Baffles — 44 ndows or Exiting Doors—Sill Hgt. & Dimensions 40—'—Gat—age Fire Protection Framing 1 (NOTE:Anentrymust be made each time you visit jobsite) COUNTY OF BUTTE QEPARTMENT 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 OWNER 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. l f� f Inspector !� - ���� / '— Date' z Owner: L I'4'h":2 �ei-f2liet;t- Permit No,.-,.,' &'t0 E N E R G %D r' oz LOCATION ROOF f Material Thickness(inches) C'ERT.IF ICAT ION DESCRIPTION OF INSULATION EXTERIOR WALL /;� Material �`I Thickness (inc s) CEILING Batt or Blanket Type Thickness(inches) Loose Fill Type Minimum Thickness(Inches) Area covered(ft.2) FLOOR, ELEVATED Material Thickness(inches)' FLOOR, SLAB Material Thickness(inches)- Width(inches) FOUNDATION WALL Material Thickness(inches) -C>2, -/ 0 A. P. No. Brand Name Thermal Resistance (R Value) Brand Name Thermal Resistance(R ValueV Add Brand Name Thermal Resistance(R Value) Brand Name Number of Bags Wt. per bag lb. Thermal Resistance(R Value) Brand Name Thermal Resistance(R Value) Brand Name Thermal Resistance(R Value) Brand Name Thermal Resistance(R Value) I hereby certify that -the above insulation was installed in the above building in conformance with the State of California Energy Requiriements. 44RRY rJ Lf7�iCiLf'? FIRM NAME/OWNER STONATOWAF INSTALLATION APPLICATOR STATE'CONTRACTOR'S LICENSE NO. DATE I hereby certify the above insulation and all required items as shown on the Building Department approved plans and attachments have been installed as required by the State of California Energy Requirements. All equipment, devices and materials are of the quality prescribed or are specifically approved by the State of California. 1,1 a g )l 02 FIRM NAjf/OWNER (Nease print) STATE CONTRACTOR'S LICENSE NO. S DATE THIS CERTIFICATE MUST BE ON FILE WITH THE BUILDING DEPARTMENT PRIOR TO FINAL INSPECTION APPROVAL AND A COPY SHALL BE POSTED WITHIN THE BUILDING. January 1984 RESIDENTIAL ENERGY CONSERVATION STANDARDS CONSTRUCTION COMPLIANCE CERTIFICATE THIS IS TO CERTIFY THAT ENERGY CONSERVATION REQUIREMENTS HAVE BEEN INSTA LED IN CO ORMANCE WITH CURRENT RGY CONSERVATION REGULATIONS AT - & Z \ ( oca on) BUILDING PERMIT NO.\ _ - A:P. NO.`3 �/''� 7 THE FOLLOWING HAVE BEEN INSTALLED AS PER APPROVED PLANS: (Check each item or write N/A if not applicable) INSULATION: Slab Edge Fdn. Walls-hA Floors 9-1- Walls Ceiling/Roo f Ducts 2,11 rIPF Circulating Pip APPROVED HEATER APPROVED WTR.HTR. GLAZING: Single -Glazed %U �- Special (Insulated) WAL C,6A CERT. & LABELED WDS,U� ` ���� /y5� 4 SLIDING DRS. b WEATHERSTRIPPED DRS. BACK DAMPERED FANS INTERMITTENT IGNITION DEVICES AIA CERT,.; APPLIANCES IV A. I DECLARE THAT ALL REQUIRED ITEMS AS NOTED ABOVE HAVE BEEN INSTALLED IN ACCORDANCE WITH THE ENERGY CONSERVATION REQUIREMENTS AND AGREE TO THE COMPLETENESS OF THIS CERTIFICATE AS SUBMITTED. Insulation Applicator Name J•ARRV J • F -AIX i?[!PT- (please print) Signature of Insulation Applicator State Contractors License No. 5 3 General Contractor/Owner Name AAKfk J: MM g lease print) Signature of General Contractor/Owner V Dated State Contractors 7 License No. Z 5YG�. ) THIS CERTIFICATE MUST BE ON FILE WITH THE BUILDING DEPARTMENT PRIOR TO REQUESTING FINAL INSPECTION AND SHALL BE POSTED IN A CONSPICUOUS LOCATION WITHIN THE DWELLING. I COUNTY OF BUTTE - DEP,P.RTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 - Telephone 916/534-4541 t APPLICATION AND PERMIT PERMIT NO. M ASSESSOR PARCEL NUMBER 3S- Z _ ZONING o BUILDING PERMIT OWNE L2 041t TELEPHONE SO, FT. OCC. BUILDING VALUATION OW ER'S MAILI ADDRESS C) C, CO RACTOR'S NA �P- ITELEPHONE /D O O CONTRACTOYS M LIN DD ESS – - Fireplace Q CONSTRUCTION LENDER UNKNOWN Total Valuation $ U Filing Fee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER X/19 AJ LICENSE No. Plan Checking FeeXftlf &46qd $_ 9 7 Penalty $ ARC ITECT OR ENGINEER'S MAILING ADDRESS Permit fee $ ,I BUILDING A ESS / 3 � r PLUMBING PERMIT Filing Fee 10.00 Each Trap p 2.00 �Qv Solar Water Heater 20.00 Water piping 5.00 5: QV LOT NO.SUBDIVISION NAME PARCEL MAP Each qas water heater or vent 5.00 Gas piping system 1 - 5 outlets 5.00 USE OF STRUCTURE SF �uplex❑ Mobilehome❑ Other SPECIFY Building sewer 5.00 J -10.00e Mobile Home S G W TYPE OF WORK New�ddition ❑ Remodel Utilities ❑ Installation❑ Other ❑ Describe work: /�IQS er �aS"—?,-9 _ Permit Fee $ ,ov Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 600V OR LESS 100 AMP OR LESS 10.00 t00 Main Service EA, ADD'L 100 AMP 2.50 0 NEW CONST. (/ DWELLING & OR ADDNS. l ACC. BLDG . t ZhQSQft CONTRACTORS LICENSE LAW I decla under penalty of perjury (Check one): I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in full force and effect. � License No. -141 Classification ❑ I, as the owner, or my employees with wages astheirsole 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, ULT' -OUTLET NON_RESID BRANCH CIRC ITS 2.50 ea NEW CONSTR. ( POWER APPARATUS &1 NON .RESID, SINGLE OUTLET CIR. / Ex. Occup(OUTLETS OR FIXTURES aA ®300 FIXED APPLNS. OR Ex. OCCUp. OUTLETS (RESID•) EAJ 2.00 Temporary service /(%nVF— 10.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 "' Permit Fee $ , Contractor MECHANICAL PERMIT Filing Fee 10.00' WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. 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. He pp -Ay , Qv W Cooling , QV Hood 3.00 DU 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 Countyof 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 liabil' ies, judgments, osts, and expenses which may in any way accrue/YJ against id Cou in c equ f the nting of this permit. X Date -7��S =�3 Signature of pP P(/ant — Owner ❑ Contractor � Agent ❑ An OSHA p mit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee $ TOTAL PERMIT FEE $ OCCUP. GROUP I TYPE OF CONST. PARCE PD HD ISSUE This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which DIREC OF PU JI. By PERMIT EXPIRES Date the applicable provi- resolutions to do fees have been paid. IC WORKS Date , -7-694 _ 7�/ z Receipt No. J WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT l.I r Return to DPW AGRICULTURAL STATE'MXW OF ACKNOWLEDGEMENT FOR RESIDENTIAL. DFVELOPMENT t` Section 26-8.1 of the Butte County Code requires this acknowledgement 1"A. fj 03 +;.: be recorded prior to issuance of a building permit. JP 11 RK - k[CGftCrt R The property described herein is adjacent to land or included within an area zoned for agricultural purposes, and residents of F^'� this property may be subject to inconveniences or discomfort arising S3~ 891VI Er: from ti:e use of agricultural chemicals, including, but not limited to herbicides, p- sti.cides, and fertilizers; and from the pursuit of agricultural operations including, bot not liinited to cultivation, plowing, spraying, pruning, and harvesting which occa- sionally generate dust, smoke, noise, and odor. Butte County has established agricul- tural zones which have as a priority use for productive agricultural purposes, and residents within said zones and on adjacent property should be prepared to accept such inconvenience or discomfort from normal, necessary farm operations. All that real property situate in the County of Butte, State of California, described as follows: Lot 108, in Block No. 19 of Dayton as the same appears on the Official Map on file in the office of the Recorder of the county of Butte, State of California. Uate: r J r•' - ; � 2r OWhT RG - On this the day of r�/!'L�r l , 19's _ SS. before me, the unde signed Notary Public, personall appeared Aam., Q�60007/'OEIIC807 I III: la! :<an-ut Ing minm;n112PQttP OFFICIAL SEAL E'Y r,r W. J. GOLUNG 21. fir:=;1c NOTARY PUBLIC Ch'tIF00.NIA .y COUN7Y OF EUTTE tF�! Comm. [::p. li; 193.3 known to me to be the person(s) whose name(s) subscri to the within instrument and acknowledged that executed the same for the purposes therein contained. IN WITNESS WHEREOF, I hereun o et my hand and official seal. � 1 Public RESIDENTIAL PLAN CHECKING GUIDE (S.F., DUPLEX, & MIS9. ONLY) Bldg. OWNER A.P. A. GENERAL �� Zoning requirements (sideyards and parking). ,�1. Valuation. : Signature by R.C.E. or Architect (if required). $: PLOT PLAN .k' Complete parcel size and dimensions. Setbacks, sideyards, easements, etc. Other buildings or structures. Grading, fills, drainage. Permit # (/,, iv—OV-3 # =&- 7- io C. FLOOR PLAN Complete to scale plan with dimensions. Required windows for light and ventilation (Sec. 1405).. Required windows for second exit (Sec. 1404). �/✓ Allowable glazing for energy requirements (20% max. per State law). Human impact glass (Sec. 5406). Required room sizes, ceiling heights (Sec. 1407). G.F'.C.I.'s in baths and exterior outlets (Sec. 210-8). Light fixtures, switches, receptacles, and exterior receptacles for maintenance of mechanical equipment. 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 - 3'0" exterior exit door (Sec. 3303d). 12; Fireplace location. Smoke detectors (Sec. 1413). D, STRUCTURAL DETAILS Foundation plan complete enough to construct building. ',,Z- Floor construction details complete enough to construct building. _3: Elevations and wall construction details complete enough to construct Roof construction details complete enough to construct building. Fireplace construction details and calcs if over one-story in height. Sufficient data and details to satisfy energy insulation requirements E. MISCELLANEOUS ITEMS TO LOOK OUT FOR CCX plywood on exposed locations and overhangs. Stairway details (Sec. 3305). Guardrail details (Sec. 1716). $rick or stone veneer (Chapter 30). Exterior plaster - weep screeds (Secy. 4706 & 4708). Proper roof pitch for roof covering (Chapter 32). l7�Rafter ties or bearing ridge beam. , Garage door or porch header sizes. Adequate bracing. building. (State law). Living area over garage.- complete 1=hour separation required including supporting walls and posts; etc. Two (2) exits on three-story dwellings (Sec. 3302).