HomeMy WebLinkAbout039-360-040039-360-040 PERMIT#9,7-0050
WYATT, Terry 6-0--J
1248 Orchard Way, Ch co 23 ,
Add Bedroom/SF
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039-360-040 PERMIT#97-0050
I WYATT, Terry
1248 Orchard Way, Chico
Add Bedroom/SF
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JOB FINALE
Signature
V=OK -
0 = Not OK
Not
'=Not Realidyyble MOBILE HOMES -
Date
MOBILE HOME UTILITIES (Plans) OK except #'s
1. Zoning Requirements -Setbacks -Easements
1. Zoning Requirements - Setbacks - Easements
2. Footings; Soils-Size-DepthSpacing-Connectors-Steel
2. Soils; Special MH Support Sketch
3. Decks; Girders and/or Joists -Decking -Bracing -Stairs -Rails
3. Sewer; Location-Test-Fall�/O-Concrete '
4. Wood Awn.; Pasts-Beams-Rftrs.-Connectors
Shthg.-Rfg.-Bracing
4. Water, Location -Test -Easement Needed (Sketch)
5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures
5. Electricity; Location-Clearances-Gmd-/ /Amp -Concrete
6. Carports; Windows -Doors
6. Gas; Location -Test -Wrap; / /'L'ft. .. J
/ /Nat. or/ P'LWt./ /LPG f
7. Electric
7. Well Clearance & Disconnect t j
8. Frmg.; Sils-AnchorsStuds-Rttrs-Trusses
8. Utility Clearance + Ir
9. Siding; Nailing -Veneer -Stucco -Mesh
r
10. Roof; Shthg-Roofing
Date
Card B-1 Date Card B-1
Date
Card B-1 Date jt Card B-1
Date
MOBILE HOME INSTALLATION (Plans) OK except #'s' "1
Card B-1 Date Card B-1
1. Zoning Requirements- Setbacks Easements '
Card B-1 Date Card B-1
2. Footings; Size -Spacing -Marriage Line
POOLS (Plans) OK except #'s
3. Gas; MH Test -Demand -Valve -Connector
1. Setbacks -Easements
4. Electricity; MH Test -Crossovers -Breakers -Clearances
2. Soils; Compaction -Structure Stability
5. Drain; MH Test -Fall -Flex Connector
3. Pool Structure; Steel -Connections -Thickness
Dead Men -Lining
6. Water; MH Test -Regulator -Connector
4. Elec.; Receptacles and Lighting, Distance-GFI
7. Water and Sewer Connected -C/O to Grade -HD Approval
5. Elec.; Pool Lighting; 15 Volts-GFI
8. Gas and Electricity Tagged
6. Elec.; Enclosures; Conduit Entries -Terminals -Listed
9. Tie Downs -Type -Installation Cert.
7. Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater
10. Exits; Insp.-Sketch
8. Elec.; Grounding; Equip. w/5' Circulating Equip. -Pool Lghtg.
Boxes-Enclosures-Panelboards-Ins. to Main in Conduit
11. Cert of Occupancy r
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
Date
01 -
MISCELLANEOUS
Date
DECKS, COVERS, CARPORTS, GARAGES (Plans) OK except #'s
1. Zoning Requirements -Setbacks -Easements
2. Footings; Soils-Size-DepthSpacing-Connectors-Steel
3. Decks; Girders and/or Joists -Decking -Bracing -Stairs -Rails
4. Wood Awn.; Pasts-Beams-Rftrs.-Connectors
Shthg.-Rfg.-Bracing
5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures
6. Carports; Windows -Doors
7. Electric
8. Frmg.; Sils-AnchorsStuds-Rttrs-Trusses
9. Siding; Nailing -Veneer -Stucco -Mesh
10. Roof; Shthg-Roofing
11. Ext.; Steps -Doors -Landings
Date
Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1
Date
POOLS (Plans) OK except #'s
1. Setbacks -Easements
2. Soils; Compaction -Structure Stability
3. Pool Structure; Steel -Connections -Thickness
Dead Men -Lining
4. Elec.; Receptacles and Lighting, Distance-GFI
5. Elec.; Pool Lighting; 15 Volts-GFI
6. Elec.; Enclosures; Conduit Entries -Terminals -Listed
7. Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater
8. Elec.; Grounding; Equip. w/5' Circulating Equip. -Pool Lghtg.
Boxes-Enclosures-Panelboards-Ins. to Main in Conduit
9. Health Department Approval
10. Plumb.; Cir. Test -Water Supply Test
Date
Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1
✓ = OK
O = Not OK
Not.Applicable
= Not Ready
Date UNDERFLOOR (Plans) OK except #'s
1. Zoning-Setbacks-Easments-FloodSlope
RESIDENTIAL (Single & Duplex)
Date
2.
Ftg., Main; Soils-Elec. Gmd.-/ PFtg. Depth
FRAMING (Plans) OK except #'s
3.
Ftg. Garage; Soils-Steel-Elec. Grnd/ P' Ftg. Depth
41.
4.
Fig. Porches & Decks; Soils -Steel-/ P Ftg. Depth
Bearing Walls over Girders & Floor Nailing
5.
Stemwalls, Main; Steel-BlockoutsaNrapped
44.
6.
Stemwalls, Garage; Steel-Blockouts-Wrapped
Headers & Beams -Size & Bearing
6a.
Hold Downs and Special Anchors
7.
Slab, Steel -Wrapped
8.
Piers -Fireplace Ftg.-Steel
9.
D.W.V.; Fall -Fitting -Test -2 Way C/O -Sewer Test
10.
UF. Gas Pipe; Size Anchors - Yard Gas Piping; Size Test
11.
Water Pipe; Test -Anchors -Regulator -Service Test
12.
Electric Underground
13.
Pienums & Ducts; Clearance -Material -Support -Ins.
14.
Girders -Sills -Anchor Bolts -Joists Vents-Crippies
15.
Access & Ventilation
16.
' Insulation
Date
Card B-1 Date Card B-1
Date
Card B-1 Date Card E-1
Date
PLUMBING (Permit) OK except #'s
17. Water Htc; Vent -Access -Combustion Air Baffle
18.
Water Pipe; Test & Anchor -Nail Protection
19.
D.W.V.; Test Fittings & Anchor -Nail Protection
20.
Shower Pan; Test, First Floor -Tub Access
21.
Test Tub & Shower, Second Floor -Tub Access
22.
Gas Pipe; Sixe & Anchors
Date
Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1
Date
ELECTRICAL (Permit) OK except #'s
23.
Fixture & Transformer Clearance -Ins. Protection
24.
Elec. Receptacles Spacing -Lights & Switches at Doors
25.
Size Boxes & No. of Conductors Stapled
26.
Romex Installed Close to Edge of Studs & C.J.
27.
Equip. Ground made up w/Mech Fastners-Bond Gas & Water
28.
2 Appliance Circuts in Kitchen & Conductor Size GFI
29.
Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / / ga Cu or Al
30.
Ran6e Circ. / / ga Cu or AI -Oven Circ. / / ga Cu or All
Insulated Neutral 0 Yes 0 No
31.
Service -Riser Conductors & Ground -Main Disconect
32.
Equip. Clearances Panels-Motors-Mech. 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.
Furnance-Vent Access -Comb. Air -Return Air Vent 115 outlet
39.
Attic Access & Platform if Furnace in Attic
Date
Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1
Date
FRAMING (Plans) OK except #'s
40.
Sits Proper Materials & Anchors
41.
Walls Studs -Nailing Spacing & Braces -Plates -Sound
42.
Bearing Walls over Girders & Floor Nailing
43.
Draft Stop in Walls (rat proof)
44.
Fire Stops, Furred Ceilings -Stairs -Chasers -Tubs
45.
Headers & Beams -Size & Bearing
Date FRAMING (Continued)
46. Hangers -Post Caps -Anchors -Connectors
47. Cling. Joist-Rftr. Ties-Purlin-roff Brac.-Truss-Shting: Rfng.
48. Fireplace Ties or Type A Flue -Fireplace Throat clearance
49. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles
50. Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions
51. Garage Fire Protection Framing
A 52. Property Line Firewall & Openings
xt. Doors -One 3 -Check Garage 3rd Story, 2 Exits
54. rs; Width -Headroom -Rise -Run -Landing -Fire Protection
P d on Roof Overhang -Attic Vents -Rafter Outriggers
56. Si g -Nailing Veneer
1 57. tucco Mesh -Drip Screed -Fd. Vents-Underflr, Access
58. lazing Area -Glass Protection -Skylights -Plastic
Shear Walls; Nailing -Bolts
race Wall Panels
61. Ins ion -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
e@,.)Ext S5ps-Door & Sidelight Protection -Landings
6 oke Detector
v -6T -Furnace; Vents -Clearance -Comb, Air-Conector-
In Garage; Above Floor-Ducts-Mech. Protection
6. Becl o iting
.I. & Bath Fixtures & Tub Access -Spa
-t �Iec. Trim & Subpanel, Breaker Sizes & Labels
c.1irl tairs & Rails
ireplac tove, Clearance -Hearth
7 Outlets at Wood Panel, Int. & Ext.
Fixt. & Appliance; Ground. -Air Gap -Cooking Clearance
1401-.Elec. Outlets & Recepticales at Kit. Counter
Garage Fire Door; Swing -Landing -Closure
{=7d A.C. Duct in Garage -Damper
�i Ntr. Htr; Vents -Clearance -Comb. Air Connector-P.R.V.
In e; Above Floor-Mech. Protection
Ib., Elec. & Mech. Equip. Listed for Location
ec. Receptacles in Garage (G.F.I.)-Ramex Protection
\&>ysUfation-Foam-looked in Attic G--
uard rails & Deck Construction -Post Caps
1 Fdn. VBents & Crawl Hole Door Drainage & Wood -Earth
Clearance Looked under Floor p Yes
6-tff7Foll�ing Instld./Drive Q Yes 0 NoM/alks Q Yes 0 No/Planters 0 Yes 0 No
94--A.C. Unit Disconnect, Electrical -Plumbing
8 Vents Above Roof, Plbg-Appliance-Fireplace-Clearance to Openings
Z;5 Water Well, Disconnect, Electrical, Plumbing
7 Ext ' r Elec. Trim, G.F.I. Receptacle -Underground
entilation Throught House
8 . lass Protection
Corrections from Previous Inspections
-94- Gas Test -Meters Tagged, Gas -Electric
a er & Sewer Connected -C/O to Grade -HD Approval
9 Energy Compliance Certificate -Other Certificates
Date .Card B-1 Date Card B-1
Date Card B-1 Date Card B-1
Date Card B-1 Date Card B-1
Comments at Final:
COUNTY OF BUTTE
BUILDING DIVISION
DEPARTMENT OF DEVELOPMENT SERVICES
1469 Humboldt Road, Chico, CA - (916) 891-2751
7 County Center Drive, Oroville, CA - (916) 538-7541
747 Elliott Road, Paradise, CA - (916) 872-6307
CORRECTION NOTICE
OWNER PERMIT NO.
A routine inspection indicates that the following violations of Butte County Ordinances exist at
the above address and should be corrected. Please notify this office when correction of work
is completed. If you have any questions pertaining to this matter, or need additional explanation,
please contact this office immediately.
,471,e<,6504e' Vbv-,,6,�v- -
Dzte.e� -2n -01 rl inspector
REV 10/92
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
4'.. 747 Elliott Road, Paradise, CA - (916) 872-6307
CORRECTION NOTICE
OWNER PERMIT NO.
A routine inspection indicates that the following violations of Butte County Ordinances exist at
the above address and should be corrected. Please notify this office when correction of work
is completed. If you have any questions pertaining to this matter, or need additional explanation,
please contact this office immediately.
i
M�v
installation Certificate: Residential CF -SR
BUILDING OWNER: BUILDING PERMIT #:
BUILDING LOCATION:
An installation certificate is required to be posted at the building site prior to the issuance of the occupancy permiL This form
may be used to meet these requirements. All appliance categories listed below are the actual equipment installed. Note that
the efficiency and type of the appliance installed must be equivalent or better than the appliance specified on the Certificate of
Compliance (CF -1 R). This certificate (or its equivalent) shall be prepared and signed by the person(s) assuming overall
responsibility for the appliance installation.
I, the undersigned, verify that the equipment listed in the category above my signature is the actual equipment installed and
that the equipment meets or exceeds the requirements of the Appliance Efficiency Standards. In addition. I have verified that
the equipment is equivalent to or more efficient than the equipment specified on the Certificate of Compliance submitted.to
demonstrate compliance with the Energy Efficiency Standards for residential buildings:"
HVAC SYSTEMS
Note: Hydronic boiler information is entered here. Other hydmnic or combined hydmnic equipment is fisted under
Water Heating Systems.
Heating Equip. CEC Cartlfled Actual Distribution Duct or "' Heating Load Heating
Type (furnace, Manut. Make & Efflclency Type and -- Plping - Before Over— Equipment
heat sumo. etc.) Model Number (AFUE. etc.) Location R -Value ,-4 Sizing (8tuh) Caoaclty (8tuh)
.r.
CEC Certified :: _ j
-
Cooling Equip. Compressor Unit' Actual Distribution -Duct or.
Type (air cond., Manuf. Make & Efflclency Type and Piping
heat punto. etc.) Model Number (SEER) Location R=Value
The building design heat loss and design heat gain rate have been determined using a method specified in Section '150(h) of
the Energy Efficiency Standards, and are two of the criteria used for equipment sizing and selection. t,:. -. • .
Signature Date HVAC Subcntractor (Co. Name) or Genera! Contractor or Owner
: ,
WATER HEATING SYSTEMS- .Mfr ''� &��
Energyt. Extemal
.._._ _
Water Heating CEC Cartified Rated'Tank Factor or - .,. Tank .
'- u=
System Type Manuf. Make & Input Capacity t�" Insulation
Y YP tty Recovery— ry w.._.- Standb Y
(storage pas. etc.) Model Number or Stuh) (gallons) Efficiency Loss (9'.) R -Value
1. For small gas storage (rated input:s 75.000 Sw/hr), electric resistants and heat pump water heaters; liit Energy Factor. '
For targe gas storage water heaters (rated input >7S.000 Stu/hr), Jist Rated Input. Recovery Efficiency ind Standby lass.
For instantaneous gas water heaters. list Rated Input and Recovery Efficiency.
For instantaneous electric water heaters. list Rated Input.
FAUCETS & SHOWER HEADS _
All faucets and showerheads installed are listed in the Gimmission's Directory of Candied Faucets and Showe.rheads,
pursuant to Title 24. Part 6. Subchapter 2. Sec:ton 111.
Signature 6 dte Plumoing Subcontractor (Co. Name) or General Contractor or Owner
THIS CERTIFICATr'mUST BE PROVIDED TO THE r ILDI?iG DEPARTMENT PRIOR TO FINAL INSPECTION
APPROVAL AMD A COPY SHALL BE POSTED WITHIN THE BUILDING.
JANUARY 1993
1
Insulation Certificate
BUILDING OWNER: BUILDING PERMIT #:
BUILDING LOCATION:
Description of Installation
ROOF
Material �� - .... �-.v• Brand Name �--.._,�: <•�:� �_��•.,•,:a� �:� .. �• ... .
Thiclrness (inches) "`' Thermal Resistance (R -Value), of" »•
CEILING 7.1_ . `
Batt or Blanket Type LIJ4-1-�4z'71sezBrand Name
Thickness ('inches) Thermal Resistance (R -Value) !
Loose Fill Type_ ' ' Brand Name
+_ Contractor's minimum int ed weighdh ib .� . Minimum thickness . inches;
Manufacturer's installed weight per square foot to acheive Thermal Resistance (R=Value) _"
EXTERIOR WALL-
_..._ Material _ Brand Name -
Thickness (inches) Thermal Resistance (R -Value)
RAISED FLOOR _ _ �.
Material Brand Name
Thickness (inches) --� Thermal Rcsisrance (R -Value)
' --.;......._. - �. ..;....._._._ . _ _, �..-..._...._. •.,. ,_......... _ ._.,.__ � ,.. M?,`
SLAB FLOOR
b=
Matersai .314' .. ti:: "':Q'' .. "? Brand Name,'*!! ;7
Thickness (inches) m Thenrtal Resistance (R -Value)
Width (inches)
FOUNDATION WALL t 1 _
Material Brand Name q,
Thickness (inches) "'_ Thermal Resistance (R-Value).:^^:3 .
Declaration
I hereby certify that the above insulation was installed in the building at the above location in conformance with .-- - the current Building Energy Efficiency Standards for new lesidential buildings contained -in Title 24 of the,. _
California Administrative Cede. , :: - :. rr: �► a �;,
• .t~:. , c.i::i��t-...r: ~.. ...•-�:6h.:sf.t•srns�r,�aiBs�,ey•; :• •� , • -
.. .. .:r.i� l�3i .�rl3xG,-4 •ttSyrtit %u rtr-+t-,'.L+'t�rE1,r• ..
Genesi Contractor (Buiiaer) license Number
Signatureand Thle ,. i. Date
Sub-Contrsctor(ksuiacton taller) Lxc=cNumoer
41
Signature and Title- _, = • Date
r� THIS CERTIFICATE MUST BE PROVIDED TO HE BUILDING DEPARTMENT. PRIOR TO FINAL INSPECTION
APPROVAL AND A COPY SHALL BE POSTED WrMN THE BUILDING.'
j&PARY 1993
51
a
• �,, COUNTY OF BUTTE- DEPARTMENT OF (DEVELOPMENT SERVICES -BUILDING DIVISION
7 County Center Drive - Oroville, California -95965 - Telephone (916) 538-754 j' � RMIT No.
APPLICATION AND PERMIT `��!`_
ASSESSOR PARCEL NUMBER
019-360-040
$ONING
.
BUILDING PERMIT
OWNER
TELEPHONE
-8977
FT. OCC. BUILDING VALUATION
GSGO.
66O R XXX1}4
35,640
OWNERS MAILING ADDRESS
1948 ORCHARD WAY, CHICO
343 C
4,459
CONTRACTOR'S NAME
TELEPHONE
CONTRACTORS MAILING ADDRESS
Fireplace
CONSTRUCTION LENDER
UNMOWN
Total Valuation Is
40,099
Filing Fee $
20.00
LENDER'S MAILING ADDRESS
Permit Fee $
356.00
ARCHITECT OR ENGINEER
LICENSE NO.
Plan Checking Fee $
231.40
Energy Plan Checking Fee $
23.00
ARCHITECT OR ENGINEERS MAILING ADDRESS
Penalty $
BUILDING ADDRESS
124,9 ORCHARD WAY, CHICO
PERMITFEE $
630.40
PLUMBINGPERMIT Fling Fee
20.00
Each Trap 1 7.00
7.001
LOT NO.
SUBDIVISIONS NAME
PARCEL MAP
Solar or heat pump water heater
23.00
USEOFSTRUCTURE
SF)p Duplex ❑ Mobilehome ❑ Other
SPECIFY
Water piping
15.00
15.00
Each gas water heater or vent 15.00
Gas piping system 1 - 5 outlets 15.00
15.00
Building sewer
15.00
15.00
TYPE OF WORK 00,
New ❑ Addition EX Remodel ❑ Unites ❑ Installation O Other ❑
Describe Work: BEDROOM ADDITION
-
Mobile Home I S I G1 W 1
920.00
PERMITFEE S
72.00
Contractor
ELECTRICAL PERMIT Filina Fee
20.'00
Main ServiceEOOV OR LESS
( 200A OR LESS )
23.00
Main Service ( 200A TO I000A )
46.00
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter
9 (commencing with Section 7000) of Division 3 of the Business and Professions Code,
and my license is in full force and effect.Ex.
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:
�1 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
NEW CONST. DWELLING OCCUP,
OR ADDNS. ( & ACC. BLDS. )
O.
3.50 SFT.
23. lO
NEW CONST. MULTI -OUTLET
NON-RESID. ( BRANCH CIRCUITS ) 97.50
( 8 SINGPOWER APPARATUS )
LE OUTLET CIR.
Occup. ( OUTLET OR FIXTURES ) 2L 0 Q 1.00
BASO
Ex. Occup. (OFIXED UTLE APPLN D.OR ) 5.00
Temporary Service 23.00
Mobile Home Facilities 20.00
Misc. Wiring 23.00
PERMITFEE $
43. 1
Contractor
WORKERS' COMPENSATION DECLARATION
I hereby affirm under penalty of perjury one of the following declarations:
❑ 1 have and will maintain a certificate of consent to self -insure for workers'
compensation, as provided for by section 3700 of the Labor Code, for the
performance of the work for which this permit is issued.
❑ 1 have and will maintain workers' compensation insurance, as required by Section
3700 of the Labor Code, for the performance of work for which this permit is issued.
My workers' compensation insurance carrier and policy number are:
Carrier
MECHANICAL PERMIT Filing Fee
20.00
Heating
15.0
Cooling
15.0
Hood 6.50
Xxx
Ventilation
5
PERMITFEE $
54.5
Contractor
Policy Number
(The above sections need not be completed if the permit is for work of a valuation
of one hundred dollars ($100) or less.)
I certify that in the performance of the work for which this permit is issued, I shall
not employ any person in any manner so as to become subject to workers'
compensation laws of California, and agree that if I should become subject to the
workers' compensation provisions of section 3700 of the Labor Code, I shall
forthwith with those provisions.
X _z _ (/V ______ Date �`�
Signat of/Applicant Owner O Contractor ❑ Agent
An OS mit is required for excavations over 60" deep and demolition or construction
of structures over 3 stories in height.
Mobile Home Installation Fee $
Energy Inspection Fee $ 46.0
Occ
CONST. TYPE
I TOTAL FEE $ 846.0
HA2. FEE IMP FLOOD
_ -
CDF
PARCEL PD HD UFy
_ ✓/
This permit is h ere157 issued under the applicable provisions
of the Butte County Code and/or Resolutions to
indicated
indicated above for which fees have been paid.
By A Date
PERMITEXPIRESON 3-2& !�
(Date)
do work
ReceiptNo.20QS20
WHITE•D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT
.'"+'�P'.,.�,�r>'1`r�►�!;v4x�;t++s+Er1%r%»u�i�'-a�%c�rN.k+,�"'..�„'"",..;w+�:,;�!ttrri�i�^�'Mn+�i.�e-� s�rtotArras.,,::s -��•:.., Y
000NTYOF BUTTE - DEPARTMENTOF DEVELOPMENT SERVICES -BUILDING DIVISION
{
7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA95965 -TELEPHONE (916) 538-7541
PERMIT APPLICATION DATA SHEET V/
OWNER T`C li� P, 4/ W yA T-7- A. P. No.
Proposed Building Use _ S- F- bwfa (W Building Inspector 67l 6901 5 Date /-(-?-'77
At time of permit application, I was advised the following data must be submitted prior to permit processing and/or issuance:
1,® 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 . .............
_ R - �iazardous Material Form. .
Energy Design Compliance and supporting documentation . .................. Z-26 -!J1
7. Statement of Intent for Non -Heated and A/C Buildings . ......................
8. Engineered truss details and layout in duplicate (required prior to plan check). ....
9. Mobilehome data and manufacturer's installation instructions, 2 sets. ...........
1 Fees of $ . ........... ��,,¢¢ ��-�--
Impact fees as shown on attached schedule.. *��o-...t�(,pQ. l' .......... —-
2. California Department of Forestry plan approval/fees. ....................... .
1 ood elevation letter (100 year floo�� by California Engineer ...................
Sanitation and plot plan approval i t �0 Health Department . ............
City of Chico plumbing permit........
.......................... .......
16. Plot plan and business license approval from City of Biggs/Gridley. .............
17. Planning approval for (A) Use: (B) Parking: . ........
18. Contact Land Development.a bout (A) Improvements (B) Drainage. .......... .
19. Driveway permit (construction approval required prior to occupancy). .. . .
st
20. Pre -inspection for to Buil Building
Insfo; actor
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 owner , Mail to owner ............
24. Recorded copy of Agricultural Acknowledgement Statement . ..................
25. Letter of signature authorization. ....... ...............................
26. Copy of recorded deed of parcel creation and 60 right of way to a public road. .....
27. Letter of intent on building use . .........................................
28. Mobilehome utility clearance . ...........................................
29. Documentation of legal access . ..................... .
30. Documentation of 50% subdivision developed or (A) Road improvements completed
and (B) Parcel meets zoning area and frontage requirements . ...............
31. Existing violations/expired permits . ......................................
32. Plan check list . .....................................................
33.
34.
Wheg-you issue the permit,rocess as follows: Mail to owner. Mail to contractor.
✓ Telephone 3q -S- 8277 and hold for pickup at C 14 I C O office. Deliver with inspector.
Other
Parcel Creation �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 prior to permit issuance: (Circle new item not checked above).
1. Index permit for above items No.
2. Additional items required:
Contractor, designer owne was advised of above required data by � phone _ mail „Counter by Date
Contractor, designer, owner, was advised of above required data by _ phone _ mail` Counter by _ Date
Plans checked by ��\ 0,%Ade. Date Plans approved by,aw S Date I -31o.7
Sets of plans on hold in File cabinet_ AP folder
Copy - Department of Public Works
TO: Building Department
FROM: Environmental Health
SUBJECT: Sanitation Clearance
E.H. USE ONLY
Pk* PI.. AU.&.d
Flwr Pkn Amxted 110'
Scnt to B.D.
A�' rfc6a L-a�d
'Owner Location AP#
Plan Approved for: Sewage Disposal Water Supply: Public Private Well
Clearance for bedroom mobile home. Other
Hold final for:
Final clearance O.K. for:,
NOTE:
-7
Erkiionmental Health Specialist Date
8/92
Attention Property Owner.
An "owner -budder" budding 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 budding permit No budding permit will
be issued urrtd this verification is received. .
• . 1. I personally plan to provide the major labor and materials for construction of the
proposed r perty improvement : YESV] . NO[ ].
2. I HAK HAVE NOT[ ' ] signed an application for a budding permit for the
:. proposed work-
3.
ork3. I have contracted with the following person (firm) to provide the proposed
construction:
ADDRESS: CITY:
PHONE: CONTRACTOR'S LICENSE NO.
4. I plan to provide portions of this work, but I have hired the following person to
coordinate, supervise, and provide the major work:
NAME: -
ADDRESS: CITY:
PHONE: CONTRACTOR'S LICENSE NO.
5. I will provide some of the work but I have contracted (hired) the following persons to
provide•the work indicated:
NAME ADDRESS PHONE TYPE OF WORK
..., is
SIGNED:
PROPERTY OWNER:
SOCIAL SECURIT7�
Y NUMBED `
��
DATE: / ? `" 1? —7
NOTE: - This owner -Builder Verification is required by Section 19831 and
19832 of the California Health and Safety Code.
This verification must be completed and returned to our office before
we are permitted to issue the permit.
OVER
Dear Property Owner -
An application for a building permit has been submitted in your name listing yourself as the builder of
property improvements specified
For your protection, you should be aware that as "owner -builder' you are the responsible 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:
0 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 projectv and such persons are not licensed as
contractors or subcontractors, then you may be an employer.
0 If you are an employer. you must register with the State and Federal Governments as an employer and you are
subject to several obligations including state and federal income tax withholding, federal social security taxes,
workers compensation insurance disability insurance costs, and unemployment compensation contributions.
0 There may be financial risks for you if you do not carry out these obligations, and these risks are especially
serious with respect to worker's compensation insurance.
0 For more specific information about your obligations under Federal Law, contract • the Internal Revenue
Service (and, if you wish, the U.S. Small Business Administration). For more specific information about your
obligations under State Law, contact the Department of Benefit Payments and the Division of Industrial
Accidents.
If the structure is intended for sale, property owners who are not licensed contractors are allowed to
perform their work personally or through their own employees, without a licensed contractor or subcontractor, only
under limited conditions.
A frequent practice of unlicensed persons professing to be contractors is to secure an "ownerbuilder"
building permit. erroneously implying that the property owner is providing his or her own labor and material
personally. Building permits are not required to be signed by property owners unless they are performing their own
work personally.
Information about licensed contractors may be obtained by contracting the Contractors State License
Board in your community or at 1020 N Street. Sacramento, CA. 95814.
Please complete the "Owner Builder Verification" on the reverse side of this form so that we can confirm
that you are aware of these matters. The building permit will not be issued until the verification is returned
Sinc'erel
Michail C. Vieira, C.B.O.
Manager, Building Inspection
NOTE: This Owner -Builder Information is required by Section 19830 of the California Health and Safety Code.
OVER
r .9. T°r.
COUNTY OF BUTTE -DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING DIVISION
7 County Center Drive Oroville, California 95965 - Telephone (916) 538-7541
APPLICATION AND PERMIT
PERMIT NO.
ASSESSOR PARCEL NUMBEI��.? o�D
zONING,5 /
BUILDING PERMIT
OWNETELEPHONE
/.z r -r (JC/
3 y5- 8 F_7
SO. FT. OCC. BUILDING VALUATION
s D
OWNER'S MAIUNO.SS�n � i^
CONTRACTOR'S NAME
TELEPHONE
CONTRACTORS MAIUNG ADDRESS
Fireplace
CONSTRUCTION LENDER
UNKNOWN
Total Valuation $ U
T
Q OV
Filing Fee
$ 20.00
LENDER'S MAIUNG ADDRESS
Permit Fee
$ - op
ARCHITECT OR ENGINEER
LICENSE NO.
Plan Checking Fee
$ `31-�0
Energy Plan Checking Fee
$ , DO
ARCHITECT OR ENGINEERS MAILING ADDRESS
Penalty
$
BUILDING ADDRESS /�
PERMITFEE
$ 6 30 -If 0
PLUMBINGPERMIT
Filing Fee 1 20.00
Each Trap
7.00 -7_ ao
LOT NO. SUBDIVISIONS NAME
PARCEL MAP
Solar or heat pump water heater
23.00
Water piping
15.00
USE OF STRUCTURE
SF 0( Duplex ❑ Mobilehome ❑ Other -
SPECIFY
Each gas water heater or vent
15.00
Gas piping system 1 - 5 outlets
15.00 j Jo
Building sewer
15.00
TYPE OF WORK
New AdditionY Remodel ❑ Utilities 0 Installation O Other ❑
Describe Work: JCC t� (ZOOM /1 l� 1 (Or✓
Mobile Home ISI GI W1
^Oi
920.00
PERMITFEE
s 72- a0
Contractor
ELECTRICAL PERMIT
Filinq Fee 20.00
Main Serviceeoev OR LESS
( 20 A OR LESS )
23.00
Main Service ( 200A TO 1000A )
46.00
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter
9 (commencing with Section 7000) of Division 3 of the Business and Professions Code,
and my license is in full force and effect.
License Class Lic. No.
OWNER -BUILDER DECLARATION
I hereby affirm under penalty of perjury that 1 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.
O I, as owner of the property, am exclusively contracting with licensed contractors
to construct the project.
O 1 am exempt under Sec. Business and Professions Code for this
reason
NEW CONST. DWELLING OCCUR
OR ADDNS. ( S ACC. BLDS. )
SO. )
3.5¢ FT. �3- 1
NEW CONST. MULTI -OUTLET
NON-RESIO. ( BRANCH CIRCUITS )
97.50
( POWER APPARATUS )
8 SINGLE OUTLET CIR.
Ex. Occup. ( OUTLET OR FIXTURES )
20 @ 1.00
B4L 50
EX. Occup. ( OUTLETS RES D.)EA )
5.00
Temporary Service
23.00
Mobile Home Facilities
20.00
Misc. Wiring
23.00
PERMITFEE
s C)
Contractor
WORKERS' COMPENSATION DECLARATION
I hereby affirm under penalty of perjury one of the following declarations:
❑ 1 have and will maintain a certificate of consent to self -insure for workers'
compensation, as provided for by section 3700 of the Labor Code, for the
performance of the work for which this permit is issued.
❑ 1 have and will maintain workers' compensation insurance, as required by Section
3700 of the Labor Code, for the performance of work for which this permit is issued.
My workers' compensation insurance carrier and policy number are:
Carrier
MECHANICAL PERMIT
Filing
9 Fee 20.00
Heating
( -
Cooling
— JD
Hood
6.50
Ventilation
/ t(- 50 L�- o
PERMITFEE
$ 5q-60
Contractor
Policy Number
(The above sections need not be completed if the permit is for work of a valuation
of one hundred dollars ($100) or less.)
❑ 1 certify that in the performance of the work for which this permit is issued, I shallTOTAL
not employ any person in any manner so as to become subject to workers'
compensation laws of California, and agree that if I should become subject to the
workers' compensation provisions of section 3700 of the Labor Code, I shall
forthwith comply with those provisions.
X Date
Signature of Applicant - O Owner' O Contractor O Agent
An OSHA permit is required for excavations over 60" deep and demolition or construction
of structures over 3 stories in height.
Mobile Home Installation Fee
$
Energy Inspection Fee $ q6, 00
OCC
CONST. TYPE
FEE $ 8 Z16- 00
HAz. I D. FEES I IMP I FLOOD
COF PARCEL I PD I HD I ISSUE
This permit is hereby issued under
of the Butte County Code and/or
indicated above for which fees have
By
PERMITEXPIRESON
the applicable provisions
Resolutions to do work
been paid.
Date
(Date)
ReceiptNo. a 9 E&O
WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT
�e-Nli,VAMoOV-4funwj _t{ r '^.'.K•'• ®r.14. ---t. p -\-,W lf,n
BUTTE COUNTYsSCHOOLS IMPACT FEE CERTIFICATION FORM
(One Form Per Building) !
f
School District 'Q , 1 Building Department No.
A.P. Number Jurisdiction: City F-5"-] County
Property Owner
t ,� ,
Property Loca'tion/Address ;L w
od, WA
ell
Sq. Footage', ,�0
(Group,R)
Sq." Footage
(Including Exterior
Roofed Areas)
r /1- 7
Building Department Representative Date
(Floor Plans reviewed by School District Personnel)
District Identification No.
Witc) 4-t,
Utl School District certifies that
(2.
(Street
OVI\ cv
�4
, •4r
(A icant) F'
(Phone Number)
(City) (State) :(Zip Code)
has complied with the requirements of Resolution No. V by payment of $ I2
r.:presenting square feet. AB 2926 $
FULL MITIGATION $ ,,.•
Representative
Date
r
Paid by Check #
Remarks: '- m & 4 ILA ` 3)0 i
Bank Number -
Paid: by Cash _..�.�- t
+R.Certification'Fomi,.the School District is no by the applicable Local Planning Agency that this project
is being reviewed under the California Environmental Quality Act (CEQA),.this project may be subject to
s'additional school fees to fully mitigate its impact on the school district's schools.
r White (applicant), Yellow (building department), Pink (school district) feeform.wkl (11/94)dmm
y
1/2 BATH ;
32 21
fAT(o CoJET .t. �.)-
kht"j. ex S 'RAFrF-Rs
C Z d. C . 11J�o�l
ASD 4x�K �r az ��a��e 16
x _ 5 P/��/
3�� l
24.5 �l�J
Obi PATIO
6 Stor. 6
it>
6.5 18
3 �ovj
wI &O%Q
DINING AREA
29
F
A
M
I
L
Y
.,jy G1az1n4
Firet Fl,
t� i�(5' wiucQou>
1122
M -+f b's� A
f S 6JIN�W
T
i
C
e
8 Provide 1 bedroom wind(
open dimt9nsions of 24"
0.7 sq. fto area, and 4
ght. o
M
Sat ;orf a
KITCHEN
BATH BEDROOM
LIVING ROOM . 1 BEDROOM
. 5 - - -15 — ; .— 19
WCP ;d
-3,
`
iij
15
.�
doo �
3 eoA, $i"ccc,
with mlmmurr.
gh, 20" wide,
maximum sill
,pxq- ff
WI�4,
8
1
A,,i1Zy door_
BUTTE COUNTY
'ILDNG DEPARTMENT
A P P O
rILE COPY
� ? -0050
F-LECTRICkAElbHANICAL, AND PLUMBING
CONSTRUCTION -
WITH CURRENT ( NOT PLAN SEDITION
SHALL
OF NEC, UMC AND. UPC.
NOTE: All Materials & workmanship Shall Be In
Accordance with Recognized Good actives and
of a quality Prescribed for the Shed use
in the Unifomn B , Mechanical
Codes and the Naoral Eleetricai Code.1
03
�l�,
This set of plains &;c i speciScations MM be
kept on the job at all times and it is unlawful to
make any changes or alterations on same without
written permission from the Department of Public
Works, County of Butte.
fed o ice
1
0�Iy i
APPROVED
Butte County
Env roivn:ental Health
Date
--F --- .�
Signature
BUTTE COUNTY
BUILD M1 DE'PARTMENT
----••-•------- 4:5--------•----
PATIO
6.5
6 Stor. 6
QAISe4 .41(o4Y .
22
,a
2.5`\ /;2.5 15 '
1.5 � WCP is
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BUTTE :COUNTY
SUI D P T IT
`' APPRD� ED
r
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BUILORM DEPARTMEW
APPR..-QED
to.--
------==--- .._ a ------
BUTTE COUNT
c���
GeeY A P P 0
t-
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BUTTE COUNT
c���
GeeY A P P 0
v
ALL STRUCTURES AND EQUIPMENT INCLUDING f
OVERHANGS SHALL BE CLEAR OF ALL EASEMENTS. i:
A SET BACK OF t FT. FROM THE SIDE -AND
Fr. FROM THE REAR PRPPERTY LINES AND
FT. FROM THE ROAD CENTERLINE SHALL BE
UgR— OF STRUCTURES AND EQUIPMENT EXCEPT
FOR A 2 Fr. EAVE OVERHANG.
............. . .... .. .
jb'S'a �
t'Al 9
&
r �� I sTir �� < <
e- GY!
BUTTE COU NT
U5
BUILDNG DPAR
TME�
g APPRO' E01
qb
^'Feb -18-97 08:22A BUTTE COUNTY 916 538-2140 P.02
A00ITICt1S TO RESIDENTIAL hUILgINC3 ENERC7 SHEET
PACMAGE COMPLIANC=
Owner _ �2�;1 L►r N,A- Cl imace mane
Permit I Floor Area 46(1
The following data showing maridatacy and required featuras shall
be installed for additions to dwellings. Additions to dwellings
include room additlons, converting garages and patios to living
areas, house moves that add eeotal* and attic conversions. and any
space that is existing non -conditioned space t'sat is convected to
conditioned apace. Remodeliaq at existing conditioned space is sot
included.
Climate zones 11 and 16»
Component
<e100 agtt"
141.499
500-999
�s1000 sgft
Cailinq
lh 19
R•38
R-38
R-38
S ns .
Stall Ins. j
R•13
R -1J
'R=13
R -I9, 21
Floor Ins.
R-13
R•19
R=19
R-19
Slab Edq•
NR
NR. R-7
NR, R•7
NR, R-7
Ins.
Class (U)
.75
-.7S
.63, .60
.63, .60
Max. Class
50' sq. ft.
163 +
16%
16%
Removed
Removed
shaa;ng
NR
.66
.6d
Coe=t(9SN)
.66
Shading
Caeg:(StbE)
NR
.40, .66
.40, .66
.40, .60
Thermal
NR
53 Raised
S76 Raised
53 Raised
Bass
208 Slab
203 Slab
208 Slab
Heat, Elect l
Not Allowed
Not Allowed
Not Allowed
Net Allowed
Resistance
Heat, Cas
AFIIE 788
AFUE 788
AFUE 783
AFUE 783
Heat Pump
Split sya.
FISP? 6.9
HSPF 6.8
HSIPF 6.8
HBPF 6.8
Heat Fumy
Package
H52P 6.6
RSPF 6.6
HSPF 6.6
HSPF 6,fi
Coaling
Split Sys.
S=R 10.0
SEER 10.0
SEER 10.0
SEER 10.0
cooling • {
Package
SMR 9. 7
SEER 9.7
Sig 9.1
SEER 9.7
Inc. -eased $1
of wtr Htrs
Allowed w/
Cal 4414
Allowed w/
calculation
Allowed w/
Allowed w/
calculation
calculation
* One ' y/aoluma ■ req
both :ones, 2nd entry s req tont 16.
SPECIAL, 8'EATURES/REMARK3
LOOSE FILL INSULATION (Density)
INFILTRATION CONTROL (Weatherstrip doors, certitied�wir�d ,co
cauLkSARRIER Oona 16)
VAPOR ® ® P 813! 16-F
VAPOR BA
DUCTS PSR UNIFOR.Y MECHANICAL CODE - ch. IO APPROVED
LIGHTING KITCHEN s HATH NOT LEss THAN 40 LUMENS/WATT
0ESIC:1 COMPLIANCT STATZM£NT: The above buildinq design me -4t:3 the
requirements Oc % Zl a 24. Party I and 6 0c
Requlations. the California Coda of
om
2,":,*.'R'. 021 0 1
VA
lNr-),,,2`SA>024 I Ap.,;.; C -;?2
MW t"w-
f
44,
wv�
IS
O"F"�!.0
Mh
;00 0
r lb`rl*'�017 33+00 ANN" Itj'4 05AU
MLA
1/1 1 .., . I
I r
1/1 1 .., . I
<Nx�. 212'11>023
',-3 i ld I'.' T 0