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Home My WebLink About039-360-045q5 039-36-0-045 -.. "`.;. 92-4431 E 34 4 NELSON,, Gene 1292 Orchard Way, CHico contr: Durham Electric elec sery/sf 7' X039-36-0-045 93-57139E M NELSON, Gene 160 1272 Orchard Way, CHico• i \ conv storage bldg'to living area 039-36-0-045 CONTR ROBERT HILL PERMIT#94-1497-B,PgE(NEW.POOL) 039-360-045 02-3108 NELSON, GENE . 1272 ORCHARD WAY, CHICO GARAGE J P .. 9 � �:* � -- - �I UtYAK 1 MtIV 1 ur utvCLurivirm 1 ornvu%,ro 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965-3397 TELEPHONE: (916) 538-7541 FAX: (916) 538-2140 JANUARY 27,-1994 GENE NELSON ORCHARD WAY RE: Building Permit # 93-0057 1272 1272CA 95928 Expiration Date: 2-2-94 CHICO A.P. # 039-360-045 DEAR MR. NELSON: With reference to the above subject, our records indicate that your building permit expires on the above date and your permit falls into the category marked below: [XX] Permit work started, but not completed. Permit may be renewed for 1/2 the original building permit fee (plus a $20.00 filing fee). The renewal permit will extend the building permit for an additional year from the original expiration date. Should you not renew your permit within 30 days of the expiration date, all work must cease until a new building permit has been issued. For your convenience, we are enclosing a renewal application form 'and owner -builder form to be completed and signed by you where indicated and returned to this office together with the fee shown. Please return all copies of the application form. [ ] No inspections have been made on permit work. Inspections are required to verify code compliance. We are unable to renew a permit where the work has not been started and inspected prior to permit expiration. After expiration of your permit, no work may be started until a new permit has been issued. If our records are in error or should you have any questions concerning this matter, please contact the OROVILLE office. Thank you for your prompt attention concerning this matter. Yours very truly, Michael C. Vieira, C.B.O. MCV:ahb Manager, Building Inspection Attachments Chico Office - 1469 Humboldt Rd/891-2751 Paradise Office - 747 Elliott Rd/872-6307 ENTIAL 3 -._- 93-5r7'B ,E 09-36-0-045 = NELSON,.Gene " 1272 Orchard qday, CHico conv storage bldg to -living area unpcc, • „ '4q 31 t T • 'h N J , t 1 a 1 k JOB FINALED (Date Signature J=OK O = Not OK Nbt = Not Readyable MOBILE HOMES Date MOBILE HOME UTILITIES (Plans) OK except #'s DECKS, COVERS, CARPORTS, GARAGES, (Plans)OK except #'s 1. Zoning Requirements-Setbacks-Easements 1. Zoning Requirements -Setbacks -Easements 2. Soils; Special MH Support Sketch 2. Footings; Soils -Size -Depth -Spacing -Connectors -Steel 3. Sewer; Location-Test-Fall-C/O Concrete 3. Decks; Griders and/or Joists -Decking -Bracing -Stairs -Rails 4. Water; Location-Test-Easement Needed (Sketch) 4. Wood Awn.; Posts-Beams-Rftrs.-Connectors Shthg.-Rfg.-Bracing 5. Electricity; Location-Clearences-Grnd-/ /Amp-Concrete 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Gas; Location-Test-Wrap: / /" L" ft. / /"Nat. or/ /"L"ft./ /"LPG 6. Carports; Windows -Doors 7. Well Clearance & Disconnect 7. Electric 8. Utility Clearance 8. Frmg; Sils-Anchors-Studs-Rftrs-Trusses 9. Siding; Nailing -Veneer -Stucco -Mesh 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- Card B-1 Date Card B-1 2. Footings; Size-Spacing-Marriage Line N i Card B-1 Date Card B-1 3. Gas; MH Test-Demand-Valve-Connector POOLS (Plans) OK except #'s 4. Electricity; MH Test-Crossovers-Breakers-Clearances 1. Setbacks -Easements 5. Drain;'MH Test-Fall-Flex Connector.;, f ._ 2. Soils; Compaction -Structure Stability 6. Water; MH Test-Regulator-Connector 3. Pool Structure; Steel -Connections -Thickness Dead Men -Lining 7. Water and Sewer Connected-C/O to Grade-HD Approval 4. Elec.; Receptacles and Lighting, Distances-GFI 8. Gas and Electricity Tagged 5. Elec.; Pool Lighting; 15 volts-GFI 9. Exits; Insp.-Sketch 6. Elec.; Enclosures; Conduit Entries -Terminals -Listed 10. Cert. of Occupancy 7. Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater 8. Elec.; Grounding; Equip. w/5' Circulating Equip. -Pool Lghtg. _ Date Card B-1 Date Card B-1 Date Card B-1 Date Card 13-1 s t. 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-Beams-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-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 y ^V % � =4rK VK O = Not OK -=Not Applicable Not Ready RESIDENTIAL ' =_ Date RFLOOR (Plans) OK except N's 1. Zor jpg-g-etbacks-Easements-Flood-Slope g., Main; Soils-Elec. Grnd.-/ /" Ftg. Depth 3. Ftg., Garage; Soils-Steel-Elec. Grnd.-/ /" Ftg. Depth 4. Ftg., Porches & Decks; Soils -Steel-/ /Ftg. Depth 5. Stemwalls, Main; Steel-Blockouts-Wrapped I 6. Stemwalls, Garage; Steel- Blockouts-Wrapped 6a. Hold Downs and Special Anchors 7. Slab; Steel -Wrapped 8. Piers -Fireplace Ftg.-Steel 9. D.W.V.; Fall -Fitting -Test -2 Way C/O -Sewer Test 10. UF. Gas Pipe; Size -Anchors - yard gas piping: size -test 11. Water Pipe; Test -Anchor -Regulator -Service Test 12. Electric; Underground 13. Pienums & Ducts; Clearance -Material -Support -Ins. 14. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples 15. Access'& Ventilation 16. Insulation Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date PLUMBING (Permit),OK except 4's 16. Water Htr.: Vent -Access -Combustion Air -Baffle 17. Water Pipe; Test & Anchor -Nail Protection 18. D.W.V.: Test -Fittings & Anchor -Nail Protection --------------------- --------------------- 19. Shower Pan: Test. First Floor -Tub Access 20. Test Tub & Shower. Second Floor -Tub Access 21. Gas Pipe: Size & Anchors Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date ELECTRICAL (Permit) OK except a's 22. Fixture & Transformer Clearance - Ins. Protection ------ ---------------------------------------------------- 3. Elec Receptacles Spacing -Lights & Switches at Doors --------- ------------------------------------------------------------------ -24-Size Boxes & No. of Conductors -Stapled -----_- ✓' 25. - R nstalled Close to Edge of Studs & C.J. - ------ -------------------------------- -- ----------------- Equip_Ground made-up- w/Meth.Fastners-Bond Gas & Water 27. 2 Appliance Circuts in Kitchen & Conductor Size/GFI --------------------------------------------------- 28. Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / / ga. ------------------Cu or -Al ----------- - -------------- - ----------------------------- 29. rAI------- 29. Range Circ. / / ga. Cu or AI -Oven Circ. / / ga. Cu or Al. Insulated Neutral ❑ Yes ❑ No ------------------------------------------------- 30. Service -Riser Conductors & Ground -Main Disconnect -------------- -- -- - - --- ------------------------------------------------ 31. Equip. -Clearances -Panels-Motors-Mech. Equip --- - Clothes Closet Light -Shower Light -Spa Light - ------ - ----------- - -- - ------- -- ---------------------------------- Smoke - -- ------ 33 Smoke Detector ----------------------------------------------------------------- ---------------------------------------------------------------- --------------- Date Card B -t Date Card -B-1 ---------------- _B- - -------------------------- --`---------- Date Card B-1 Date Card B-1 Date MECHANICAL (Permit) OK except n's 34. A.C. Ducts Insulation & Support ------------- --------- ----------------------------------------------------------- 35. Vent Fan: Exhaust above insulation --------------------------- 36. ----------------36. Condensate Drain & Overflow: Size & Grade -------------------------------------------------- -------- ----- 37. Furnance-Vent: Access -Comb. Air -Return Air Vent -115 outlet --------------------------------------------------------------------- 38 Attic Access & Platform if Furnance in Attic ---------------------------------------------------------- -- - - --- --- - Date Card -B-1 Date Card -B-1 -------------------------------- -- -------------------------------- Date Card B-1 Date Card B -t Date FRAMING (Plans) OK except tr's Sits. Proper Material & Anchors IIs Studs -Nailing. Spacing & Bracing -Plates -Sound / --- --------------------------------- 40 41. ng Walls over Girders & Floor Nailing -- -- ---- --------------------------------------------------------- 2. D to- in Walls (rat proof) - ---- -- ---------------- re Stops; Furred Ceilings -Stairs -Chases -Tub 44. Headers & Beam -Size & Bearing Single & Duplex) L 1 Date RAMING (Continued) t 45. Han Post Caps -Anchors -Connectors 6. Cing. Joist-Rftr. ties-Purlin=roof Brac-Truss-Shthng.-Ring. 47. Fireplace Ties or Type A Flue -Fireplace Throat clearance 48. At ' Access; Size & Romex Protection -Draft Stop -Ins. Baffles Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions ara a Fire Protection Framing ro ype Line Firewall & Openings xt�Doors-One 3 =Check Garage -3rd Story, 2 Exits --------Com`=='-=_.-_�--_---- StaicE- Width -Headroom -Rise -Run -Landing -Fire Protection plywood on Roof Overhang -Attic Vents -Rafter Outriggers ---------------- S' g -Nailing Veneer_ ------- - -- co Mesh_Drip Screed -Fd. Vents-Underflr. Access ( 13 r Glazing Area -Glass Protection -Skylights- Plastic -- _ear Walls; Nailing -Bolls L11 Waattry-CeiLns Itr ion -Wafts -Windows Date C d B-1 .ate 'J.Zg Card B-1 6 Datand B -1,G Date Card B-1 DateF L (P _S) OK except 4's _ Steps -Door &Sidelight Protection -Landings moke Detector ------------- --------------- nace: Vents -Clearance -Comb. Air -Connector - In Garage: Above Floor -Ducts -Meth. Protection ------------------ --------------- - 'ft-13'Udroom Exiting - - ---- 7_& Bath Fixtures & Tub Access -Spa 'ate Elec. Trim & Subpanel; Breaker Sizes &Labels ---------- ------------------- W�04airs & Rails _ X88. Fireplace or Stove: Clearances -Hearth -------------- - --------------------- -69•-Elec. Outlets at Wood Panel: Int. & Ext. ?b-K'it.Fixt & Appliance: Grnd.-Air Gap -Cooking Clearance 71. Elec. Outlets & Receptacles at Kit. Counter 72-15israge Fire Door: Swing -Landing -Closer ------------------------------ 73'-7�-C.Duct inGarage_Damper -- -- - - -7*-Ntr. Htr.: Vents -Clearance -Comb. Air-Connector-P.R.V. In Garage: Above Floor -Meth. Protection ----------------- -------------------- Plb__Elec. -&-Mech.-Equip. Listed for Location -96-&ec. Receptacles in Garage: (G.F.I.)-Romex Protection 7sulation- Foam- Looked- in Attic ❑ Yes _Za -Gu. rd Rails & Deck Construction -Post Caps ------------------ - - - - -- n Vents & Crawl Hole Door -Drainage & Wood -Earth Clearance Looked under Floor ❑ Yes 817/ro-Ilowing instld.; Drive ❑ Yes ❑ No: Walks ❑ Yes ❑ No; Planters ❑ Yes 13No - ^��tucco. Brown -Finish - ' -t-.-7-A-C. Unit: Disconnect, Electrical, Plumbing j3. enents Above Roof; Plbg.-Appliance-Fireplace.-Clearance to Openings -.BA-Water Well: Disconnect, Electrical, Plumbing 196 xterior Elec. Trim: G.F.I. Receptacle -Underground 1-41�itilation Throughout House _ ___ . ss Protection d. Corrections from Previous Inspections - -- - -- asTest-Meters Tagged: Gas -Electric_ _ ter &Sewer Connected -C/O to Grade -HD Approval - Energy Compliance Certificate -Other Certificates Date �� Card B-1 St Date Card B-1 Date--- (�j Card B-1 ��Date Card B-1 Date Card B-1 Date Card B-1 Comments at Final: COUNTY OF BUTTE BUILDING DIVISION 13113PARMENT OF DEVELOPIYIENTSERVICE�' 1469 Humboldt Road, CWco, CA - (916) 891-2751 7 Cmardy Center Drive, Oroville, CA - (916) 538-754-1 747 Ellion Road, Paradise, CA - (916) 872-6307. CORRECTION NOTICE GWARR PERMIT NO. A So iiiaspecilimiiimlicafts thatthefollowing violations of Butte County Ordinan6es exist at z 112115 adldiiiimiiis md should be conected. Please notify Iftis office when correction of work Mwest—p-ta—vitd. -ft., -need' additional explanatio . n, conems Aiis'offwe knmedindy- /9 7 Dine I" COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 1/ 7. Coun;� Center Drive - Oroviller••California 95965 - Telephone: 916/538-7541 APPLICATION AND PERMIT PERMIT NO. ASSESSOR PARCEL NUMBER 039,-360-045 ZONING !fit M— / BUILDING PERMIT OWNER Gene Nelson TELEPHONE 345-4337 SQ. FT. OCC. BUILDING VA ION OWNER'S MAILING ADDRESS 1272 Orchard Way, Chico 95926 400 13,600-00 CONTRACTOR'SNAME Owner TELEPHONE CONTRACTOR'S MAILING ADDRESS CONSTRUCTION LENDER UNKNOWN Fireplace 1,500.00 Total Valuation $ 1 100.00 LENDER'S MAILING ADDRESS - Filing Fee $ 155.00 Permit Fee $ 142.50 ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ 71.25 ARCHITECT OR ENGINEER'S MAILING ADDRESS Energy Plan Checking Fee $ 20.00 L Penalty $ BUILDING ADDRESS Permit fee 1272 Orchard Wa Chico PLUMBING PERMIT Filing Fee 15.00 Each Trap 5.00 Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME Stanley Park PARCEL MAP Water piping 7.00 Each qas water heater or vent 7.00 USE OF STRUCTURE SFK] Duplex❑ Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 15.00 Mobile Home S I G I W @ 15.00 TYPE OF WORK New ❑ Addition El Remodel ❑ Utilities ❑ Installation❑ Other ❑ Describe work: Conversion of Storage Building to Living Area Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 15.00 Main service LESS 200AORLESS 18.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in full force and effect. cense 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) F1 I am exempt under Sec. , Business and Professions Code for this reason Main service 200A TO 1000AI. 37.50 NEW CONST. (DWELLING OCCUP.N\ X 3.6Qsq.ft. 14.00 OR ADDNS. ACC. BLOGS. / NEW CONSTFL UTI.OUT LET @ 5.00 NON.RESID BRANCH CIRC ITS (POWER APPARATUS e\ SINGLE OUTLET CIR. / / EX. OCCU 120@76, p\OUTLETS OR FIXTURES FIXED APPLNS. OR Ex. Occup. OUTLETS IRESID.I EA.) 3.00 Temporary service 15.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 Permit Fee $ 29.00 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 �f Consent to Self -Insure. 01-110 shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such Provisions or this permit shall be deemed revoked. Contractor MECHANICAL PERMIT Filing Fee 15.00 Heating Cooling Hood 6.50 Ventilation Permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the Countyot Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against liabilities, judgme s, costs, and expenses which may in any way accrue against id County ' c asequence of the granting of this Perm t. X Date Signature of Applic t — Owner Contractor ElAgent ❑ An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee Energy Inspection Fee OCC CONST TYPE A40.00 TOTAL FEEall HAz DFEES IMP FLOOD CDF Iss This permit is hereby issued under the applicable provi- sions of the Butte Count ode and/or resolutions to do r which fees have been paid. work indiC �FC IF PUBLIC WORKS By Date� z -y3 PEA&VftkolI• ES Date a -� 2, K Receipt No. ,302 f� -3 o Z� �^ /SJ WHITE-D.P.W., YELLOW -ASSESSOR. PINK -INSPECT GOLDENROD -APPLICANT 0 x --y. C.n..-,r`�ti.,,,-.,-,,.,�k�,.r.��m-•1,,p,.nxurti:-.:+�.l�az�-;►^� ':�'w.,r:xi'h.`.�..�,.T.rl..^m�,..r'�.r-�-e..�.,...,..r..,,,, .. 7 � COUNTYOF BUTTE - DEPARTMENT OH)EVELOPMENT SERVICES - BUILDING DIVISION 7COUNTY CENTER .DRIVE - OROVILLEtCALIFORNIA95965 -TELEPHONE (916) 538-7541 / PERMIT APPLICATION DATASHEET OWNER A. P. No. 35- J 6 Proposed Building Use Building Inspector. L_ _ Date At time of permit application, I was advised the following data must be submitted prior to permit processing and/or issuance: DATE RECEIVED BY 1. All items have been submitted . ..................... ................ . 2. Plot plans, 3/4 sets, signed by preparer of plans! .......................... 3. Complete plans, 3/4 sets, signed by preparer of plans . ...................... .4. Engineered plans and calcs, 3/4 sets, with wet signature on plans . ............. 5. Hazardous Material Form . ....... .................................... . 6. Energy Design Compliance and supporting documentation . .................. 7. Statement of Intent for Non -Heated and A/C Buildings . ...................... 8. Engineered truss details and layout in duplicate (required prior to plan check). .... T 9. Mobilehome data and manufacturer's install1ign instructio , 2 sets. 1Q Fees of $ /,S� �PJ1.� (r... j M` rC�'e ................. - 1. Impact fees as shown on attached schedule. ..............................-11��- 12. California Department of Forestry plan approval/fees........................ . 13 Flood elevation letter (100 year flood) by California Engineer . ............... . ,� 14. Sanitation and plot plan approval Z 46" """ Health Department . ............ 15. City of Chico plumbing permit . ........................................ . 16. Plot plan and business license approval from City of Biggs/Gridley. ............. _. 17. Planning approval for (A) Use: (B) Parking: . ........ 18. Contact Land Development about (A) Improvements (B) Drainage. 19. Driveway permit (construction approval required prior to occupancy). .. ; ! 20. Pre -inspection for required. ..' B.,e �9 �; r6 uest ctor (Date) 21. Contractor's license information. (No., Name Style, Classification) . .............. l 22. Certificate of Workmans Compensation Insurance . .......................... :I f 23. Owner -Builder Verification (Given to owner , Mail to owner _ )............. 24. Recorded copy of Agricultural Acknowledgement Statement . .................. 25. Letter of signature authorization . ........................................ / s 26. Copy of recorded deed of parcel creation and 60 right of way to a public road. ..... t k 27. Letter of intent on building use . .......................................... .l! 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. ...:........... A 31. Existing violations/expired permits . ................ p .......... `........... t f 321 Plan heck list. .......... ; When issue the permit, process as follows: Mail to owner. Mail to contractor. ! Telephone 't y5-z/33?and hold for pickup at/'f� office. Deliver with -inspector. , Other Parcel`Creation Acreage Applicant Date Copy of Haz-Mat form sent Health Dept. Fire Dept. Air Pollution Date Copy of plans sent Health Dept. Fire Dept. Other Date By The following data must be submitted ri to p 1. Index permit for above items No. 2. Additional items required: t A £ ance: (�le new item not checked above). Contractor, designer, oar, was advised of above required data by L/6_Rone _ mail Contractor, designer, owner, was advised of above required data by _ phone _ mail Plans checked byDate , Plans approved by Sets of plans on hold iii File cabind't AP folder h% Copy - Department of Public Works t h / `t Counter b}(� Date �Z Counter by _ Date Date, rd �vo-7£ s E.H. USE ONLY Hot I'lan Alladied 11(jor Plan AILIchcd--c;;7� scm 1" D.D. V TO: BUilding Department FROM: Environmental Health SUBJECT: Sanitation Clearance Owner Location AP# Plan Approved for: Sewalge Disposal Water 'SLIpply: PLIWIC Private Well Clearance for bedroom moblic home. Otlie[Ca)WA Gerp_Zj -Ic6 h-14 Iq rDTI� Hold final for: Final clearance O.K. f0r: NOTE:- Envik/nmental Health Specialist Date 8/92 Insulation Certificate BUILDING OWNER: BUILDING LOCATION: Description of Installation ROOF Material Thickness (inches) CEILING BUILDING PERMIT #: YC�f Brand Name Thermal Resistance (R -Value) Batt or Blanket Type in (-o vC Brand Name e engvG Thickness (inches) _ " y '%A Thermal Resistance (R -Value) Loose Fill Type Brand Name Contractor's minimum installed weight/ft Ib Minimum thickness inches Manufacturer's installed weight per square foot to acheive Thermal Resistance (R -Value) EXTERIOR WALL Material Thickness (inches) RAISED FLOOR Material Thickness (inches) SLAB FLOOR Material Thickness (inches) Width (inches) FOUNDATION WALL Material Thickness (inches) Declaration Brand Name in Led Thermal Resistance (R -Value) Brand Name 27 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 building at the above location in conformance with the current Building Energy Efficiency Standards for new residential buildings contained in Title 24 of the California Administmye Code. ;M�L General Contractor (Builder) License Number Signature and Title Sub -Contractor (Insulation Installer) Signature and Title Date License Number Date THIS CERTIFICATE MUST -BE PROVIDED TO THE BUILDING DEPARTMENT PRIOR TO FINAL INSPECTION APPROVAL AND A COPY SHALL BE POSTED WITHIN THE BUILDING. JANUARY'1993 COUN'T'Y OF BUTTE - DEPARMIENT OF PU$LIC WORKS - BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE (916)5387541 A. P. N0. 7 f_ POSED BU=NG USE /� �v, DATE REC. DATE REC 1. School Distric Fees G� (paid at District Office) 2. She_--iff Fees ....... (paid at Building Department) Residential ......... x =$ unit amt. Commercial(per sq.ft.) x =$ sq.ft. amt. 3. Urban Area Fees (paid at Building Department Residential (per unit) x =$ � units amt. Commerical(per sq.ft.) x =$ sq.ft. amt. j 4. Recreation District Fees ' (paid at District Of=ice) .......................... 5. Drainage District Fees (Contact Land Development) ......................... 6. Other 7. Other l -- )Y j3 time of permit application, I was advised the above '.fees are required to be paid pr'_c- issuance of the permit. _ MICANT DATE 1 / .' 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. t� 1. I personally plan to provide the major labor and materials for construction of the proposed property improvement (yes or no) S 2. I (have/have not) l A✓e signed an application for a building permit for the proposed work. 3. I have contracted with the following person (firm) to provide the proposed construction: Name Address City Phone Contractors License No. 4. :°I plan to provide portions of this work, but I 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 Security Number Date / Z7 I5.3 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. «�.r.ry ri,.�e--'^.�V�''e�•��/Iy��,f `.�'k1.}r..,�.`.�ry.-°^`—"'n-•M"`Mya�': t Iii Sr:+ A� ;3F' � y.. � :�� , c+.«,.�....,T,4 w -i., BUTTE COUNTY SCHOOLS IMPACT FEE CERTIFICATION FORM ryr. (One Form Per Building) ' School District Building Department No. ' A.P. Number Jurisdiction City County Property Owner C��„v✓� /1i� �./ Property Location/Address Subdivison P�-✓/��' �,? /��-- Lot No. Residential DevelopmentSq. Footage c� No. oe g MHI A dition (Group R) Units Commercial/Industrial 0 Sq. Footage New Addition (Including Exterior Roofed Areas) Build nig partment Representative Date (Floor Plans reviewed by School District Personnel) ,District Identification No. School District certifies that I(Applicant) - (Street Address) (Phone Number) (City) (State) (Zip Code) has complied with the requirements of Resolution No.�� -9 by payment of $ Coln' A— �/ representing 7Q(O square feet. School District Paid by Check Number Bank Number Paid by Cash . AU 4 i� 3 Date :1L� w -17-04M 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 (CEQA), this project maybe 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.wkl (4/92) RESIDENTIAL PLANCHECKING GUIDE (S.F.,'DUPLEX & MISC. ONLY) OWNER �I�iC1S / V /�� o n.% GENERAL oning requirements: (sideyards Valuation. 3!�P1ans signed by designer. 8/91 Bldg. Permit # �J_ G of -7 A. P. # I 7 9'— _; �„ S _ Plan Checker and number of permitted living units): Proper description of work on application. Existing violations on property. Items on data sheet. (W.C., fees, Health, Developer Fees, License law, etc). PLOT PLAN St�omplete parcel size and dimensions. T etbacks, sideyards, easements, etc. ther buildings or structures. p c mb- ustible, and foundations). ,Building or utilities across lot lines`(Record form). FLOOR PLAN 1! Complete to scale plan with dimensions. equired windows for light and ventilation (Sec. 1205). Required windows for second exit (Sec. 1204). rte. 4 uman impact glass (Sec. 5406). Required room sizes, ceiling heights (Sec. 1207). s in baths, garage, kitchen, and exterior outlets (Article 210-8). Light fixtures, switches, receptacles, and exterior receptacles for main- tenance of mechanical equipment. eater, heitin.g_a�nd=coal-i-ag_e.qui-pmerrt o--o-the-r—e-l-ec-t-rical ' ox--gas-eq-u- Amen -t-. ' 3'0" exterior exit door (sec. 3304 M. 1kFireplace and�.60d"stove location, alcoves, and clearance. Smoke detectors (Sec. 1210). STRUCTURAL DETAILS +l_.__�Standard bracing or engineered design (Table 25V) e .. Foundation plan complete enough to construct building. $.l -or construction details complete enough to construct building. Elevations and wall construction details complete enough to construct building Roof construction details complete enough to construct building. eader sizes 1*!5tud heights. 1'•��•�•il �n•g—at8�, � C ^ des s i x rs=-�ssr� � � r y f'r` RESIDENTIAL PLAN CHECKING GUIDE MISCELLANEOUS ITEMS TO LOOK OUT FOR — Stai4�3ca*-.detai.7.s4--landi.n,gs-, --T—J han&-ai-ls ?--Guamr-ai:l--de-tads-( Sec .--.174--&-33()6(j-)� 3—.—Br.:.ck-QX--stone—v-eneer (Gha-Ater--30� �-i-/-,Ext,eri:orr—pnlastr eweep-ser-eels-(Sec-. 4706). GUi (( Vi. roper roof pitch for roof convering (Chapter 32). Roof covering type -), Foam insulation - protection. UW4-ddingu� pe t g-� ra �1 s�-acrd e exidwellings antes - s. ois , ergy design. . Flashing at all exterior openings. 0 5�� G-ra 8/91 6 Ale- r f5ot;z bass, 61, f9 4/)6,45 C ll�.1 To y,",10 ADDITIONS TO RESIDENTIAL BUILDINGS ENERGY SHEET PACKAGE COMPLIANCE Owner exl Fi�JoA/ l' Climate Zone Permit # ��ds Floor Area 7 d� The following data showing mandatory and required features 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. Climate_Zones ll and 16* Component <=100.sgft 101-499 500-999 >=1000 sqf.t Ceiling R-19 9738 R-38 R-38 Ins. Wall Ins.' R-13 R� T3� R-13 R-19, 21 Floor -Ins. R-13 R-19 R-19 R-19 Slab Edge NR NR, R-7 NR, R-7 NR, R-7 Ins. Glass (U) .75 : '(73 .65, .60 .65, .60 Max. Glass 50 sq.ft. 16% +') 16% + 16% Removed Removed Shading NR ',.66j .66 .66 Coeff(S&N) Shading NR 440 .66 .40, .66 .40, .66 Coeff(W&E) Thermal NR 5% Raised 5% Raised 5% Raised Mass 20% Slab 20% Slab 20% Slab Heat, Elect Not Allowed Not Allowed Not Allowed Not Allowed Resistance Heat, Gas AFUE 78% AFUE 78% AFUE 78% AFUE 78% Heat Pump HSPF 6.8 HSPF 6.8 HSPF 6.8 HSPF 6.8 Split Sys. Heat Pump HSPF 6.6 HSPF 6.6 HSPF 6.6 HSPF 6.6 Package Cooling - SEER 10.0 SEER 10.0 SEER 10.0 SEER 10.0 Split Sys. Cooling - SEER 9.7 SEER 9.7 SEER 9.7 SEER 9.7 Package Increased # Allowed w/ Allowed w/ Allowed w/ Allowed w/ of Wtr Htrs calculation calculation calculation calculation. * One entry/column = req both zones, 2nd entry = req zone 16. SPECIAL FEATURES/ REMARKS L y D ES7 % L LOOSE FILL INSULATION (Density) g� and eY7 INFILTRATION CONTROL (Weatherstrip doors;dc' e windows caulking) ®1�,OUNTY VAPOR BARRIER (Zone 16) BUIL®I1VG DEPARTIVAIENT DUCTS PER UNIFORM MECHANICAL CODE - Ck10P P LIGHTING KITCHEN & BATH NOT LESS THAN 40 LUMENS/WATT DESIGN COMPLIANCE STATEMENT: The above building design meets the requirements of Title 24, Parts 1 and 6 of the California Code of Regulations. (Jan 93) SIGNATURE O BUILDING DESIGNER OR APPLICANT OM X39-36-0-045,, 92-4431 E Y fF" 3 NELSON, Gene _ E 1292 Orchard"Way, CHico contr: Durham,Electric elec sery/sf I w. �--f2sg3 fwollt-tth•fil 1*e--��t w coir v ILD It vte d '. c� ✓tc�C . �Hc��eal 0� OFFICE,COPY 2 2- OR Address �� - LG ss Date By +' CTRIC_ pat r By q•� COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT NO. 7 County Center Drive - Oroville, California 95965 - Telephone: 916/538-7541 APPLICATIONAND PFRMIT ASSESSOR PARCEL NUMBER m ZONING R-1 SR -1, BUILDING PERMIT OWNER 11-01n4ft. N TELEPHONE SO. FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS 1772 Orchard WAy. Ch co 95928 CONTRACTOR'SNAME h - F TELEPHONE 34"301 CONTRACTOR'S MAILING ADDRESS lin C Qrsm (2 St., Chico 95928 Fireplace CONSTRUCTION LE t R UNKNOWN Total Valuation is LENDER'S MAILING ADDRESS♦Filing ,%T� Sal G� 9�p Fee $ 15.00 Permit Fee $ ARCHITECT OR ENGINEER Wit %,\-- N�tk �ADDRESS LICENSE NO. Plan Checking Fee $ ARCHITECT O ENGINEER'S MAILING "11\� N1 91� 1• \ �tt,p. n Energy Plan Checking Fee $ Penalty $ BUILDING ADDRESS \ Permit fee $ `- y �. 1272 Qrchart! �Y, Chico t PLUMBING PERMIT Filing Fee 15.00 Each Trap 5.00 Solar or heat pump water heater 20.00 LOT NO.SUBDIVISION 50 NAME Stanley Park PARCEL MAP Water piping 7.00 Each qas water heater or vent 7.00 USE OF STRUCTURE SFq 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 ❑ Utilities ❑ Installation[] Other] Describe work: Electric Service Change Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 15.00 Main service 200A OR LESS 1 18.50 18.50 CONTRACTORS LICENSE LAWNEW 1 declare under penalty of perjury p y p J y (Check One): I am licensed under provisions of Chapt. 9, Div. 3 of the BUslnesS and Professions Code and my license is in full force and effect. License No.r 4 75LD`> Classification El I, as the owner, or my employees with wages as their sole Compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I"am exempt under Sec. Business and Professions Code for this reason Main service 200ATO1000A) 37.50 CONST. DWELLING OCCUP.Iy\ OR ADDNS. ACC. BLDGS. II 3.64 sq.ft. NEW CONSTR. ULTI-OUTLET NON-RESID BRANCH CIRCLI ITS @ 5.00 /POWER APPARATUS e 1SINGLE OUTLET CIR. I Ex. OCCUp(OUTLETS OR FIXTURES 20 @ 76 FIXED APPLNS. OR EX. DCCUp. OUTLETS (RESID.) EA.) 3.00 Temporary service 15.00 Mobile Home Facilities 15.00 Misc. Wiring 1 15.00 �5. Pre—Inavection 1 20. 20.QQ Permit Fee $ 68.50 WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. A&aoo('have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. ❑ 1 shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. Contractor MECHANICAL PERMIT Filing Fee 15.00 Heating Cooling Hood 6.50 Ventilation Permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the Countyot Butte to enter upon the above-mentioned property, for inspection purposes. I also agree to sav-/indemnify and ep harmless the County of Butte against all liabilities, Judgment`s, c..o ts, d penses which may in any way accrue against;sa(d eArnty in,cfi the granting of this permit. X " " Date �� y �a Signature of A(plicant — Owner ❑ Contractor Agent ❑ An OSHA permit is required for excavations over SO" deep and demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee S Energy Inspection Fee $ OCC CONST TYPE TOTAL FEE $ 68.50 HA2 I DFEES I IMP I FLOOD I CDF PARCEL I PD HD ISSUE This permit is hereby issued under the sions of the Butte County Code and/or work indicated above for which fees iDIRECTOR OF PUBLIC By /' !' PERM)T'EXPIRES Date applicable provi- resolutions to do have been paid. WORKS _ Date 1-YZ- 11;.3 Receipt No. 13 O 2 t7 WHITE-D.P.W.. YELLOW -A88 C89OR, PINK -INSPECTOR. (.OLD EN RO D -APPLICANT COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT Egµl`�� 7 County Center Drive - Or grille, California 95965 - Telephone: 916/538-7541. S`[ r APF�'t �ATIO_N AND PERMIT ASSESSOR PARCEL NUMBER 019-360-049 ZONING SR -1 BUILDING PERMIT OWNER TELEPHONE SQ, FT. OCC.1 BUILDING VALUATION OWNER'S MAILING ADDRESS 1272 Chico 95928 CONTRACTOR'S NAME TELEPHONE 345-2301 CONTRACTOR'S MAILING ADDRESS Chico1 In 5928 ' Fireplace CONSTRUCTION LE ER UNKNOWN Total Valuation $ LENDER'S MAILING ADDRESS Filing Fee $ 15.00 Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Energy Plan Checking Fee $ Penalty $ BUILDING ADDRESS Permit fee $ 2 Orchard Way, Chico PLUMBING PERMIT Filing Fee 15.00 Each Trap 5.00 Solar or heat pump water heater 20.00 LOT NO. 50 SUBDIVISION NAME Stanley Park PARCEL MAP Water piping 7.00 Each qas water heater or vent 7.00 USE OF STRUCTURE SFq Duplex❑ Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 15.00 Mobile Home S I G I W @ 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation❑ Other] Describe work: Electric Service Change Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 15.00 Main service 200AORLESS 1 18.50 18.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in full force and effect. License No. 4a175 v Classification iQ 1, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ 1 am exempt under Sec. , Business and Professions Code for this reason Main service 200A TO IOOOA) 37.50 NEW CONST. ( DWELLING OCCUP.BI) OR AODNS. ACC. BLDGS. 3.6d sq.ft. NEW CONSTR ULTI-OUTLET NON-RESID BRANCH CIRCUITS) @ 5.00 (POWER APPARATUS e) SINGLE OUTLET CIR. Ex. OCcup(OUTLETS OR FIXTURES 20 76 FIXED APPLNS. OR EX. Occup. OUTLETS (RESID.) EA.) 3.00 Temporary service 15.00 Mobile Home Facilities 15.00 Misc. Wiring 1 -15.001 15.00 ction 1 20.0 20.00 Permit Fee $ 68.50 WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. 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 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 const On, and hereby authorize representatives of the Countyot Butte to ente pon th above-mentioned property for inspection purposes. I also agr to sav Ind fy and ep harmless the County of Butte against all liabi ties, j ' me s, c is penses which may in any way accrue against aid my i the granting of this permit. X Date /,Z,_) —__29'-49oZ Signature of A plicant — Owner ❑ Controctor Agent ❑ An OSHA permit is required for excavations over 5 0" deep and demolition or construct- ion of structures ove'r 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ OCC CONST TYPE TOTAL FEE $ 68.50 HA z DFEES IMP FLOOD CDF PARCEL PD HD ISSUE This permit is hereby issued under the sions of the Butte County Code and/or Work indicated above for which fees DI T R OF PUBLIC By PERMEX IBES Date applicable provi- resolutions to do have been paid. WORKS Date Date l-iZ— q3 f � Z — g Receipt No. 13 O Z 0Q> WHITE-O.P.W., YELLOW-A58C$90R, PINK -INSPECTOR, GOLDENROD -APPLICANT •4.,w ^-v,�,,,,•l�.r '^'t.�'1 .n,��v::.�V��`�.�(r-vvr'�..�t�+l'.ri..�.e.-.I�.,++�,�+y'yy,n�• ��(+�.�if.�,.•i. ,y Q� �,�{. 1 ' �. .`,� � r.. .,. COUNTYOF BUTTE - DEPARTMENTOF DEVELOPMENT SERVICES -BUILDING DIVISION 7 COUNTY CENTER DRIVE - OF O %LLE, aALIFORNIA 95965 - TELEPHONE (916) 538-7541 PERMIT APPLICATION DATA SHEET OWNER ,�/� / t'U`�jN + -�� A. P. No. 3 5 - 3 i - Proposed Building Use -CCr i c, Sef✓- CA -Building Inspector C Date 2 fy S' At time of permit application, I was advised the following data must be submitted prior to permit processing and/or issuance: DATE RECEIVED BY i 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 . ........................................... . 6. Energy Design Compliance and supporting documentation . .................. 7. Statement of Intent for Non -Heated and A/C Buildings . ...................... 8. Engineered truss details and layout in duplicate (required prior to plan check). ... . 9. Mobilehome data and manufacturer's installation instructions, 2 sets. ........... 10. Fees of $......................................... 11. Impact fees as shown on attached schedule. ............................. . 12. California Department of Forestry plan approval/fees. ....................... . < 13. Flood elevation letter (100 year flood) by California Engineer ................... 14. Sanitation and plot plan approval Health Department . ............ 15. City of Chico plumbing permit . ......................................... 16. Plot plan and business license approval from City of Biggs/Gridley. ............. 17. Planning approval for (A) Use: (B) Parking: . ........ 18. Contact Land Development about (A) Improvements (B) Drainage. .......... . 19. Driveway permit (construction approval required prior to occupancy). ...P��A�ecdo; rey6� !/ 20. Pre -inspection for ele C_ /'R i -r- - required. .. to Building Inspedor (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. When you issue the permit, process as follows: Mail to owner. it to contractor. Telephone and hold for pickup at (c Deliver with inspector. Other Parcel Creation _ Acreage . Applicant Date Copy of Haz-Mat form sent Health Dept. Fire Dept. Air Pollution Date Copy of plans sent Health Dept. Fire Dept. Other, Date By The following data must be submitted prior to permit issuance: (Circle new item not checked above). 1. Index permit for above items No. 2. Additional items required: quired: Contractor, designer, owner, 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 Date Plans approved by Date Sets of plans on hold in File cabinet AP folder Copy-eDepartment of Public Works PRE -INSPECTION "l21Zsf � OWNER • G env DATE-- LOCATION: IL 7 z- C7 n c A 7 A. P. 3 CONTRACTOR: J��/a, ele C 0-4 ZONING s2 - PRE -INSPECTION FOR: G d''et i, C- ?-/ Szno J Z_ -c- DATE TO INSPECTOR IZ 2 5J 5- 2 - PERMIT HISTORY: NONE F-1 AS FOLLOWS: TYPE OF OCCUPANCY FIELD - INFORMATION BUILDING USAGE: TENNANT: [EOCCUPIED E3-' HAS ELECTRIC [2 -COOLED PERSON •X21;• 1 S rr�atircd F:?ucS GAS ZHAS SANITATION FACILITIES CONTACTED `��-•�'J �'"' I =,,j .. .0 LJ I 'p 5 L_j ,4 e__�L . on- r4 pyofog e r / „ r. ,�:,� c �,�.�a A ,,j ACTION RECOMMENDED: r7 ISSUE lZr- HOLD FOR PIS/ ell - OTHER: ; OTHER: BY DATE / L L.-:Ezi v R�S DENTIAL 039-360-045 PERMIT#94-1497 �NELSON, GENE . 1272 ORCHARD WAY, CHICO ► CONT: ROBERT HILL & ASSOCIATES NEW POOL & SPA l l " r y. r � s OFFICE COPY�tr� i Address GAS Meter By Date ELECTRIC i Meter By ate I -4 019 JOB FINALED (Date) L Signature J=OK d=Not OK Not Applicable M Not Ready OBILE 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: / P L" ft. / /"Nat. or/ /"L"ft./ /"LPG 7. Well Clearance & Disconnect 8. Utility Clearance Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date MOBILE HOME INSTALLATION (Plans) OK except #'s 1. Zoning Requirements -Setbacks Easements 2. Footings; Size -Spacing -Marriage Line 3. Gas; MH Test -Demand -Valve -Connector 4. Electricity; MH Test -Crossovers -Breakers -Clearances 5. Drain; MH Test -Fall -Flex Connector 6. Water; MH Test -Regulator -Connector 7. Water and Sewer Connected -C/O to Grade -HD Approval 8. Gas and Electricity Tagged 9. Exits; Insp.-Sketch 10. Cert. of Occupancy Date Card B-1Date Card B-1 Date Card B-1 Date Card B-1 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-Beams-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 'S. 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 A proval 10 lumb.; Cir. Test -W er Sup ly Te4t . 2 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 J=OK O=Not OK + = Not Applicable Not Ready RESIDENTIAL (Single & Duplex)- + ' = Date UNDERFLOOR (Plans) OK except k's Date FRAMING (Continued) 1. Zoning -Setbacks -Easements -Flood -Slope .. 45. Hangers -Post Caps -Anchors -Connectors 2 Ft M' S '1 EII/ /" F D ------------- g., ain, of s- ec. rn .- Lg. epth 3. Ftg., Garage; Soils-Steel-Elec. Grnd.-/ /" Ftg. Depth 4. Ftg., Porches & Decks; Soils -Steel-/ /Ftg. Depth 5. Stemwalls, Main; Steel -Bloc kouts-Wrapped 6. Stemwalls, Garage; Steel-Blockouts-Wrapped 6a. Hold Downs and Special Anchors 7. Slab; Steel -Wrapped 8. Piers -Fireplace Ftg.-Steel 9. D.W.V.; fall -Fitting -Test -2 Way C/O -Sewer Test 10. UF. Gas Pipe; Size -Anchors - yard gas piping: size -test 11. Water Pipe; Test -Anchor -Regulator -Service Test 12. Electric; Underground 13. Pienums & Ducts; Clearance -Material -Support -Ins. 14. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples 15. Access & Ventilation 16. Insulation Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date PLUMBING (Permiq,OK except #'s 16. Water Htr.: Vent -Access -Combustion Air -Baffle 17. Water Pipe; Test & Anchor -Nail Protection 18. D.W.V.; Test -Fittings & Anchor -Nail Protection ------------------ ---------------- -- 19. Shower Pan; Test. First Floor -Tub Access ---------------- ----------------------------- 20.--Test-Tub --& Shower. Second Floor -Tub Access -------------------------------- -------------- 21. Gas Pipe: Size & Anchors ------------ Date - ------Card B_t- ----- ---Date ----- - ---Card-B-1---------- Date Card B-1 Date Card B-1 Date ELECTRICAL (Permit) OK except tr's 22. Fixture & Transformer Clearance -Ins. Protection --------- - - - ----------------------------- 23. Etec. Receptacles Spacing -Lights & Switches at Doors - ------------------------------------------------------------- 24. Size Boxes & No. of Conductors -Stapled ------ ------------------------------------------------------------ 25. Romex Installed Close to Edge of Studs & C.J. ----------------------- ------------------------------------------------ 26. Equip_Ground made up w/Mech. Fastners-Bond Gas & Water 27. 2 Appliance Circuts in Kitchen & Conductor Size/GFI - ------------- -------------------------------------------------- - 28. Subfeed Wire Sizer ga. Cu or AI-A.C. Wire Size ! ! ga. Cu or At ------------------ ------------------------------- -------------------------- ---- 29. Range Circ. ! / ga. Cu or AI -Oven Circ. / ! ga. Cu or Al. Insulated Neutral ❑ Yes ❑ No ----------- -------------------------------------- -------------- 30.- Service -Riser Conductors & Ground -Main Disconnect - ------------------------------------------ 31. Equip Clearances Panels-Motors-Mech. Equip. ---------- --------------------------------------------------------- 32. Clothes Closet Light -Shower Light -Spa Light ---------- ------------------------------------•--------------------- 33. Smoke Detector ---------------------------------------------------------------------------------- Date Card -6- 1 Date Card B-1 Date Card B-1 Date Card B-1 Date MECHANICAL (Permit) OK except a's 34. A.C. Ducts Insulation & Support -------- --------------------------------------------------------------- 35. Vent Fan:_ Exhaust above insulation---------------, ---------- --------------------------------------------- 36. Condensate Drain & Overflow: Size & Grade ------------------------------------- ----------- 37. Furnance-Vent: Access -Comb. Air -Return Air Vent -115 outlet -- - - - ------------------------------------------ 33 Attic Access & Platform if Furnance in Attic ----------------------------------------- ------------------------------------- Date Card B-1 Date Card -B-1 Date Card -13--1 Date Card B-1 Date FRAMING (Plans) OK except 4'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 46. Cing. Joist-Rftr. ties-Purlin-roof Brac-Truss-Shthng.-Rfng. 47. Fireplace Ties or Type A Flue -Fireplace Throat clearance 48. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 49. Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions 50. Garage Fire Protection Framing 51. Property Line Firewall & Openings Ext. Doors -One 3' -Check Garage -3rd Story, 2 Exits 53. _Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection _ 54. plywood on Roof Overhang -Attic Vents -Rafter Outriggers ____________ 55. Siding -Nailing Veneer 56. Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access 57. Glazing Area -Glass Protection -Skylights -Plastic 58. Shear Walls; Nailing -Bolts 59. Insulation -Walls -Ceilings 60. Infiltration -Walls -Windows - -- - ------ --------------------- Date Card B-1 Date Card B-1 -------------------------------- -- Date Card B-1 Date Card B-1 Date FINAL (Plans) OK except tt's _ 61. Ext. Steps -Door & Sidelight Protection -Landings 62. Smoke Detector 63. Furnace: Vents -Clearance -Comb. Air -Connector - In Garage: Above Floor -Ducts -Meeh. Protection -------------- 64. Bedroom Exiting ------------------------ _______ 65._-G. F. 1. & Bath Fixtures & Tub Access -Spa 66. Elec. Trim & S_u_b_p_anel; Breaker Sizes & Labels - ------------ ------------- 67. Stairs &Rails - 68. Fireplace or Stove: Cli arances-Hearth 69. Elec. Outlets at Wood Panel: Int. & Ext. 70. Kit.Fixt. & Appliance: Grnd.-Air Gap -Cooking Gap-CookingClearance 71. Elec. Outlets & Receptacles at Kit. Counter ------------- - --------------- ------ 72. Garage Fire Door: Swing -Landing -Closer •------------------------------------- - 73. A.C. Duct in Garage -Damper ------------------------------ 74. ------•---------------------74. Wtr. Htr.: Vents -Clearance -Comb. Air-Connector-P.R.V. In Garage: Above Floor-Mech. Protection - --- ------------ ---------------------- 75. Plb.. Elec. & Mech. Equip. Listed for Location --------------------------------- 76. Elec. Receptacles in Garage: (G.F.I.)-Romex Protection --------------------------------------------- 7;. Insulation -Foam -Looked in Attic ❑ Yes 78. Guard - Rails & Deck Construction -Post Caps ---------------------------------------- 79. Fdn. Vents & Crawl Hole Door -Drainage & Wood -Earth Clearance Looked under Floor ❑ Yes ------- -------------------------------------------- 80. Following instld.: Drive ❑ Yes ❑ No: Walks ❑ Yes ❑ No: Planters ❑ Yes ❑ No 81. Stucco: Brown -Finish ------ 82. A.C. Unit: Disconnect. Electrical, Plumbing 83. Vents Above Roof: Plbg.-Appliance-Fireplace.-Clearance to Openings _ 84. Water Well: Disconnect, Electrical, Plumbing ----- ------- ------------ ------------------ -- 85. --E-xterior--Elec.- Trim: G.F.I. Receptacle -Underground -------------- -------------------- 86. Ventilation Throughout House - ----------------------------------- 87. Glass Protection 88 Corrections from Previous Inspections - - -------------- -------------------------- ---------- 89. Gas Test -Meters Tagged: Gas -Electric ----------------------------- ----------------------------- 90. Water & Sewer Connected -C/O to Grade -HD Approval ------------ ---------------------------------------- 91. Energy Compliance Certificate -Other Certificates ------------------------------------------- --- - Date Card B-1 Date Card B-1 - ------------------------------------------- --- - Date Card B-1 Date Card B-1 ------------------------------------ ----- Date Card B-1 Date Card B-1 Comments at Final: _ COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive - Oroville, California 95965 - Telephone (916) 538-754 JPMIT NO. APPLICATION AND PERMIT - ASSESSOR PARCEL NUMBER ZONING , BUILDING PERMIT OWNER GENE SON TELEPHONE SQ. FT. OCC. BUILDING VALUATION NEI - OWNER'S MAILING ADDRESS CONT EST 13,600 CONTRACTOR'S NAME TELEPHONE CONTRACTOR'S MAILING ADDRESS 199 E SHASTA AVE CUTICID 99996 Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ LENDER'S MAILING ADDRESS Filing Fee $ 20.00 Permit Fee $ 153.00 ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ 23.00 Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS 1272 ORCHARD WAY CHICO PERMIT FEE $ 196.00 PLUMBING PERMIT Filing Fee 20.00 Each Trap 7,00 Solar or heat pump water heater 23.00 Water piping 15,00 15.00 LOT NO. SUBDIVISION'S NAME PARCEL MAP Each gas water heater or vent 15.00 USE OF STRUCTURE SF ElDuplex ❑ Mobilehome O Other SWIMMING POOL SPECIFY Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home S G W @20.00 TYPE OF WORK New 6 Addition O Remodel ❑ Utilities O Installation 1:1Other ❑ Describework: POOL & SPA FROM MSTR-92961 51 1�'� PERMIT FEE $ 30.00 Contractor ELECTRICAL PERMIT Filing Fee 20.00 Main Service ( "'ORLESS ) 200A OR LESS 23.00 Main Service ( 200A TO IOOOA ) 46.00 NEW CONST. DWELLING OCCUP. OR ADDNS. ( & ACC. BLDS. ) SO. 3.50 FT. CONTRACTORS LICENSE LAW I decle under penalty of perjury (check one) I am a licensed under provisions of Chapter 9, Division 3 of the Business and Professions Code and my license is in full force and effect. License No. 377404 Classification �— G73 1:31, as the owner, or my employees with wages as their sole compensation, 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 contractors. (Sec 7044) ❑ 1 am exempt under Sec. Business and Professions Code forthis reason NEW CONST. MULTI -OUTLET .NON-RESID. ( BRANCH CIRCUITS ) @7.50 ( POWER APPARATUS ) BSINGLE OUTLET CIR. Ex. Occup. ( OUTLET OR FIXTURES ) B20 @ 1.00 Ex. Occup.FIXED APPLNS. OR (OUTLETSIRESID.IEA. ) 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 POOL FLECTRICAL 130.00 WORKER'S COMPENSATION INSURANCE 1 declare under penalty of perjury (check one): ❑ This permit is for $100.00 (valuation) or less. ave placed on file with the County of Butte Dept. of Development Services, Building Division 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 Worker's Compensation laws of California. Notice to Applicant: If after making this statement, should you become subject to the Worker's Compensation provisions of the Labor Code, you must forthwith comply with such provisions or this permit will be revoked. PERMIT FEE $ 50.00 Contractor MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all Butte County Ordinances and California State Laws relating to building construction, and hereby authorize representatives of the County of Butte to enter upon the above mentioned property for inspection purposes. 1 also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue against said County in consequence of the granting of this permit. X Date --31 _G 4 Signature of Applicant - ❑ Owner ❑ Contractor ❑ Agent An OSHA permit is required for excavations over 5"0" deep and demolition or construction of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ 0 CONST. TYPET TAL FEE $ ' 270 HA - D;J IMP -�- I FLoo CDF ARCEL _ D ISS 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. /J p By Date �✓J•G l PERMIT EX SON �j • VJ1J� (Date) Receipt No. 162880 WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT z A COUNTY OF BUTTE BUILDING DIVISION DEPARTMENT OF DEVELOPMENT SERVICES 1469 Humboldt Road, Chico, CA - (916) 891,-2751 7 County Center Drive, Oroville, CA - (916), 5-3'9t'�541 747 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. 5�-e- Le� w�"" -1,'\ - 7 - - i — i"z � i I \ Date 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) 53-8-7541 747 Elliott Road, Paradise, CA - (91-6) 872-6307 CORRECTION NOTICE ER PERMIT NO. Araufminspection indicates thatthe following violations of Butte County Ordinances exist at* the above address and should be corrected. Please notify this office- when correction of work'z-�,- is completed. If you have any questions pertaining to this matter, or need additional explanation, please ci ta this office immediately. _G ///,Z 61-u t 0 22 May 1995 0 Robert T. Hill & Associates 199 East Shasta Avenue Chico, CA 95926 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965-3397 TELEPHONE: (916) 538-7541 FAX: (916) 538-2140 RE: Pool Barrier Requirements Westphal 4111 Goldfinch, Chico #94-1368 MacTavish 3307 Kennedy, Chico #94-2386 Will 9494 Jones, Durham #94-1913 Dear Mr. Hill, The State of California; Housing and Community Development Department adopted emergency regulations which mandated residential single family pool barriers on February 1, 1994. They failed to gain permanent approval from the California Building Standards Commission (CBSC) after an extension to the emergency regulation had been granted. The emergency regulations dissolved on September 29, 1994. Generally, building permits must comply with those regulations in effect at time of application, and regulations which were mandated by emergency methods usually are approved and become law prior to their sunset date. The situation with pool barriers is unique regarding the reversal of regulatory requirements. In light of HCD's failure to gain approval from CBSC and sunset of the pool barrier requirements, I find it unsatisfactory to impose regulations which are more restrictive than regulations currently in effect by state mandate. Therefore, on those pools referenced above, the pool barrier regulations will not be required. Sincerely, Micliael C. V eira, C.B.O. Manager, Building Inspection Robert T. HiCC & ASSOCIATES • CONSULTANTS • DESIGNERS • CONTRACTORS • CRAFTSMEN March 30, 1995 Mike Vieira County Of Butte Department Of Development Services Building Division 7 County Center Drive Oroville, CA 95966 Dear Mr. Vieira, 199 E. Shasta Ave. Chico, Calif. 95926 (916) 891-4280 COUNTY OF BUTTS BUILDING DEPT APR 0 5 1931 Robert T. Hill & Associates has been involved in the pool industry in Butte County for the last 15 years. We feel that the emergency fence alarm code requirement that was temporarily installed in 1994 should be rescinded since prior to that time this was.not in effect and is presently not in effect. We have numerous clients waiting for finals. We have had inspections with no corrections other than the fact that they received their permits during this period when the emergency code enforcement was being required and have not complied with the placement of the alarms at each door accessible to the pool area. . My argument is simple, why should these individuals be subject and in fact required to do something that is not required now or before. My clients, as well as other pool builder's clients, would respect a decision immediately and are inclined to agree with the concept of self responsibility as opposed to government control for safety on their private property. Please address this and allow us to final our projects and make a decision which would treat these citizens equally during the state's period of indecision regarding pool security. Sincerely, Robert T. Hill Robert T. Hill & Associates Regarding: Denis & Carlla Westphal 4111 Goldfinch, Chico #94-1368 John & Debbie MacTavish 3307 Kennedy, Chico #94-2386 Gene Nelson 1272 Orchard Way, Chico #94-1497 Greg & Marji Will 9494 Jones, Durham #94-1913 General Pool & Solar Contractors • Lic. #377409 �1','r'.,iwaf�'rf'tt:'►SKrii¢y��'/►iiw+ij3YA:4Y'j'[�`i'1ih�"i."'+a`lr.strv�(:SN"��wy�1"'ka.r.�� rN��Ti1"A`iT'.+i`9srl�i �S�,:'r+'wmd�+�r.�"'ST.f/P'�i'N�'.cvrrJii[��`n=l�+Y�tW�;.r.�'�'n•'f •:�y.�., ._ COUNTYOF BUTTE -DEPARTMENT OF.DEVELOPMENT SERVICES - BUILDING DIVISION I , 7 COUNTY CENTER DRIVE - MOVI LE, CALIFORNIA 95965 -TELEPHONE (916) 538-7541 P R ITAPPLI,6p►ION DATA SHEET .: ill Propose At time of permit application, I was advised the following data must be submitted prior to permit processing and/or issuance: DATE RECEIVED BY 1 •. All items have been submitted......................................... 2. Plot plans, 34ets;`S"Igned by preparer of plans . .......................... 3. Complete plans,, 3/4 sets, signed by preparer of plans . ...................... 4. Engineered plans and,tcalcs, 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 . ...................... 8. Engineered truss details and layout in duplicate (required prior to plan check). .... 9. Mobilehome data and manufacturer's installation instructions, 2 sets. ........... 10. Fees of $ ......................................... . 11. Impact fees as shown on attached schedule . .............................. 12. California Department of Forestry plan approval/fees. ....................... . lood elevation letter (100 year flo , by California Engineer. . . Sanitation and plot plan approva Ze-W Health Department . ............ 6 /74 '�- . 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: ....... . `s 18. Contact Land Development about (A) Improvements (B) Drainage. .......... . "19. Driveway permit (construction approval required prior to occupancy). Preanspection reqat 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 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. Whe Du issue the permit, process as follows: Mail o wner. Mail to contractor. E> Telephone W_ ��O and hold for pickup at � ".1z office. Deliver with inspector. Other Parcel Creation Acreage Applicant Date Copy of Haz-Mat form sent Health Dept. Fire Dept. Air Pollution Date Copy of plans sent Health Dept. Fire Dept Other Date By The following data must be submitted prior to 1. Index permit for above items No. 2. Additional items required: (Circle new item not checked above). k Contractor, designer, owner, was advised of above required data by_phone _mail Counte by _Date Contractor, designer, owner, was advised of above required data by _ phone _ mail ourder by _ Date Plans checked by Date Plans approved by Dat Sets of plans on hold in File cabinet AP folder Copy - Department of Public Works 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 NUMBEfl_I r/�3.L4� zGNWG •per/ /, BUILDING PERMIT OWNER gIXX�� ' o. TELEPHONE SQ. FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS 12-72_026 W AIR -D UJAY CONTRAC R'S NAME O064ZT 14I LL -7 qS`_:, TE EPHONE - 280 CONTRACTOR'S MAILING ADDRESS I <{ EST :s -4j 5-rA (j E Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ LENDER'S MAILING ADDRESS Filing Fee $ 20.00 Permit Fee $ C—,7--.7ARCHITECT ENGINEE MA1\4 LICENSE NO. Plan Checking Fee $ Y C�' _14 ARCHITECT OR ENGINEER'S MAILING ADDRESS Energy Plan Checking Fee $ Penalty $ BUILDING ADDRESS t2�2 0 el—,44f42—D WA V PERMIT FEE $ . '::):5'7- 2ZP • PLUMBING PERMIT Filing Fee 20.00 Each Trap 7.00 Solar or heat pump water heater 23.00 LOT NO. SUBDIVISION'S NAME PARCEL MAP Water piping 15.00 Each gas water heater or vent 15.00 USE OF STRUCTURE /)coL_ SF ❑ Duplex ❑ Mobilehome ❑ Other t� sPECIFr Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home S G W @20.00 TYPE OF WORK New O Addition ❑ Remodel C1Utilities ❑ Installation ❑ Other ❑ DescrieWork: �.� S PitsOµ2 PERMIT FEE $ Q Contractor ELECTRICAL PERMIT Filing Fee 20.00 _// Main ServiceBOOV Ofl LESS 200A OR LESS ) 23.00 (! Main Service ( 200A TO 1000A ) 46.00 NEW CONS[. DWELLING OCCUP. On ADDNS. ( 6 ACC. EILDS. ) So. 3.51' FT. NEW ONST. MULTI -OUTLET .NON-RFSID._ ( BRANCH CIRCUITS ) @7.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one) W l am a licensed under provisions of Chapter 9, Division 3 of the Business and Professions o a��d my license is in full force nd effect. License No.Q% �{ Classification — G S3 ❑ 1, as the owner, or my employees with wages as their sole compensation, 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 contractors. (Sec 7044) O 1 am exempt under Sec. Business and Professions Code for this reason ( POWERAPPARATUS ) & SINGLE OUTLET CIR. Ex. Occup. ( OUTLET OR FIXTURES ) B20 @ 1.000 Ex. Occup.FIXED APPLNS.OR ( OUTLETS IflE51D.1 EA. ) 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 �o p� WORKER'S COMPENSATION INSURANCE I declare un er penalty of perjury (check one): ❑ T -permit is for $100.00 (valuation) or less. have placed on file with the County of Butte Dept. of Development Services, Building Division a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -insure. ❑ 1 shall not employ any person in any manner so as to become subject to the Worker's Compensation laws of California. Notice to Applicant: If after making this statement, should you become subject to the Worker's Compensation provisions of the Labor Code, you must forthwith comply with such provisions or this permit will be revoked. PERMIT FEE $ 5-0 Qui Contractor MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE $ Contractor I certify that I have read this application and state that the above information is correct. 1 agree to comply to all Butte County Ordinances and California State Laws relating to building construction, and hereby authorize representatives of the County of Butte to enter upon the above mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue against said County i consequence ofthe granting of this permit. X -dt.ci/ Dater.7'3� —tel Signature of Applicant -❑ Owner ❑ Contractor ❑ Agent An OSHA permit is required for excavations over 5"0" deep and demolition or construction of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ Occ CONST. TYPE TOTAL FEE $ HAZ• 1 O. FEES I IMP FL000 CDF PARCEL PO Ho 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. By Date PERMIT EXPIRES ON fDarel Receipt No. / 6,2AI O WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR. GOLD ENROD•APPLICANT T F.H. IISr ONLY I'lot Plan Altadwd Floor flan Attached Sent to B.D. 1? 4.4 -TO: Building Department FROM. 'Environmental. Health SUBJECT: Sei,tAtion Clearance Ct Owner Location A P# Plan -Approved - for-ge Disposal, Sewal-, Water Supply:'—PLrbrlic Private Well Clearance for bedroom- mobile jiome. '(5tlie Final clearance O.K. for: NOTE: EnvironmIntal Health Specialist 8/92 +-+- -4--1---- 1 .-4---: - 4-1- .4- Date Hol Him Alla0ml 111foor Him Aujiulivd TO: BUilding Departniont FROM: Environmental Health SUBJECT: Sanitatimi Clearance n -2 C AP# Owner Location Plan 'Approved for: Sewage Disposal Water Supply: I'Llblic Private Well Clearance for bedroom mobile home. oihc�� Final clearance O.K. for: NOTE: Envilonniental. Health Specialist =A .Is -))-9q Date BARRIERS FOR SWUANIING POOLS, SPAS, AND HOT TUBS Effective Date: 1 Feb.1994 "these provisions apply to Qe design and constr uctiomof barriers for swimming pools located on the premises of single and two family dwellings. DEFINITIONS . Aboveground/on-ground pool. See definition for swimming pool. Barrier is a fence, wall. building wall or combination thereof, which completely surrounds the swimming pool and obstructs access to the swimming pool. Grade is the underlying surface such as earth or a walking surface. Hot tub. See definition for swimming pool. brs-ground pool. See definition for swimming pool. Spa, non portable. See definition for swimming pool. Spa, portable, is a nonpermanent structure intended for recreational bathing, in which all the controls, water -heating and water -circulating equipment are an integral part of the product and which is cord connected (not permanently electrically wired). Swimming pool is any structure intended for swimming or recreational bathing that contains water over 24 inches deep. This includes in -ground, aboveground and on -ground swimming pools, hot tubs and spas. Swhommg pool, indoor, is a swimming pool which is totally contained within a residential structure and surrounded on all four sides by walls of said structure. Swimming pool. outdoor, is any swimming pool which is not an indoor pool. REQUIREMENTS Outdoor Swimming pool: An outdoor swimming pool, including an in -ground, aboveground or on -ground pool, hot tub or spa shall be provided with a barrier which shall comply with the following: 1. The top of the barrier shall be at least 48 inches above grade measured on the side of the barrier which faces away from the swimming pool. The maximum vertical clearance between grade and the bottom of the barrier shall be 2 inches measured on the side of the barrier which faces away from the swimming pool. (See figure "A") Where the top of the pool structure is above grade, such as in an aboveground pool, the barrier may be at ground level, such as the pool structure, or mounted on top of the pool structure. (See figure "B') Where the barrier is mounted on top of the pool structure, the maximum vertical clearance between the top of the pool structure and the bottom of the barrier shall be 4 inches. (See figure "C'7. 2. Openings in the barrier shall not allow passage of a 4 -inch -diameter sphere. 3. Solid barriers which do not have openings, such as masonry or stone walls, shall not contain indentations or protrusions except for tooled masonry joints. 4. Where the barrier is composed of horizontal and vertical members and the distance between tops of the horizontal members is less than 45 inches, the horizontal members shall be located on the swimming pool side of the fence. Spacing between vertical members shall not exceed 1-3/4 inches in width. Where there are decorative cutouts within vertical members, spacing within the cutouts shall not exceed 1-3/4 inches in width. (See fig. "D'7. 5. Where the barrier is composed of horizontal and vertical members and the distance between the tops of horizontal members is 45 inches or more, spacing between vertical members shall not exceed 4 inches. Where there are decorative cutouts within vertical members, spacing within the cutouts shall not exceed 3/4 inches in width. (See figure 'T") 6. Maximum mesh size for chain link fences shall be 1-1/4 inch square unless the fence is provided with slats fastened at the top or the bottom which reduce the opening to no more than 1-3/4 inches. The wire shall be not less than 9 gauge. 7. Where the barrier is composed of diagonal members, such as lattice fence, the maximum opening formed by the diagonal members shall be no more Wan 1-3/4 inches. S. Access gates shall comply with the requirements of items l through 7 and shall be equipped to accommodate a locking device. Pedestrian -access gates shall open outward away from the pool and shall be self-closing and have a self -latching device. Gates other than pedestrian gates shall have a self -latching device. Where the release mechanism of the self -latching device is located less than 54 inches from the bottom of the gate, (1) the release mechanism shall be located on the pool side at least 3 inches below the top of the gate and (2) the gate and barrier shall have no opening greater than 1/2 inch within 18 inches of the release mechanism. (See figure 'T') 9. Where a wall of a dwelling serves as part of the barrier, doors with direct access to the pool through that wall shall be equipped with an alarm which produces an audible warning when the door and its screen, if present, are opened. The alarm shall sound continuously for a minimum of 30 seconds immediately after the door is opened, and be capable of being heard throughout the house during normal household activities. The alarm shall automatically reset under all conditions. The alarm system shall be equipped with a manual means. such as a touchpad or switch, to temporarily deactivate the alarm for a single opening. Such deactivation shall last for no more than 15 seconds. The deactivating switch shall be located at least 54 inches above the threshold of the door. Other means of protection, such as self-closing doors with self -latching devices approved by the building official, shall be acceptable so long as the degree of protection afforded is not less than the protection afforded by the alarm system described above. 10. Where an aboveground pool structure is used as a barrier or where the barrier is mounted on the top of the pool structure, and the means of access is a ladder or steps, then (1) the ladder or steps shall be capable of being secured, locked or removed to prevent access or (2) the ladder or steps shall be surrounded by a barrier which meets the requirements of I through 9. When the ladder or steps are seared, locked, or removed, any opening created shall not allow the passage of a 4 inch diameter sphere. Indoor Swimming pool. Doors with direct access to an indoor swimming pool shall comply with number 9 above. �poetmepflm 4W 'Min. Barrier This side. ax. - --------------- ----------- Grade level I, x IN GROUND POOL: Figure "A" Barrier - Ing 41 open M: Malin W Grade level Grade level Figure "C" Figure "B" ABOVE GROUND POOL I Horizontal Members Vertical Members If less than 4S* between members, Majdatum spacing = 13/4 -7 install members on pool side. T-1 Lmthm 4P jr L . . . . . . . . . . . . . . . .......... -Z ...... . . . . . . Figure '1011 Horizontal Members Vertical Members If more than 45' between member_- members may be installed either side more X. - tua Maidmunt spacing = 4* -7 lx. INX . . . . . . . . . . . . . . ....... :{•:?}} .... Figure "E" For gates other than pedestrian No opening greater than access gates, where Latch is less I/Z inch within 18 iUCbC3 than 54" from bottom of gatm of release mechanism. Install latch on pool side. 3" Min. Figure "P' 11. '31 TO: Building Department FROM: Environmental Health SUBJECT: Sanitation Clearance F.H. USI N LY Hot Nutt Alucho Floor Pbn Anached ScIlt to 11.1). 6-'- f V Owner Location AP# Plan Approved for: Sewage Disposal Water Supply: PLiblic Private Well Clearance for bedroom mobile home. Other Hold final for:. Final clearance O.K. for: NOTE: --- 1A -- (-0 U-- :4- Environrnrntal Health Specialist 8/92 .Is <7L-/ Date COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-7541 PERMIT No. (Ret.112/96) APPLICATION AND PERMIT 02-3108 ASSESSOR PARCEL NUMBER 039-360-045 7]337 BUILDING PERMIT OWNER Nelson. Gene E SO. FT. OCC. BUILDING VALUATION 800 U 392400.00 .OWNER'S MAILING ADDRESS %R 1272 Orchard Way Chico 95926 60 cov. 780.00 CONTRACTOR'S NAME Omer TELEPHONE CONTRACTORS MAILING ADDRESS CONSTRUCTION LENDER Fireplace LENDER'S MAILING ADDRESS Total Valuation $ 33.180.00 ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00 Permit Fee $ ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ 202.00 BUILDING ADDRESS Energy Plan Checking Fee $ PERMIT FEE $ 532.50 LOT NO. SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMIT Fling Fee 20.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome ❑ Other SPECIFY Each Trap 7.00 Solar or heat pump water heater 23.00 Water piping 15.00 Each as water heater or vent 15.00 yy TYPE OF WORK New Addition ❑ Remodel ❑ Utilities ❑ installatiori ❑ Other ❑ Describe Work: Grape Gas piping stem 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home IS I GI W @20.00 PERMIT FEE $ ELECTRICAL PERMIT Fling Fee 20.00 600V OR LE:: Main Service A0.. I 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.a 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, or my employees with wages as their sole compensation, mill do the work, and the structure is not intended or offered for sale. 0' I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ 1 have and will maintain workers' compensation Insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier Mein Service 200A TO 1000A 46.00 NEW CONST. DW:LUNG OCCUP. OR ADDNS. ( Acc. sin S. SO 63.00 3.5,sFF O T. NON -ID. BIM uLTI.OUTLET 97,50 PSINGCIR. OWERLE APPARATUS OUTLET EX. OCCU OUTLET OR FDTTURES B20 O 1.00 Ex. Occup. oFUTLEEDTSA RRPPD .DEA 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE t 83.00 MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE $ Policy Number he above sections need not be completed if the permit is for work of a valuation 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 f I should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall forthwith comply pith those provisions. X Date f/ Signature of Applic nt - RrOwner ❑ Contractor ❑ Agent An OSHA permit is required for excavations over 60" deep and demolition or construction of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ D c T. PE TOTAL FE $ $ - 615.50 HAZ. D. FEES IMP PAR PD x HD SUE This permit is hereby issued under the of the Butte County Code and/or indicated above for wh' h fees have B PERMIT EXPIRES ON applicable provisions Resolutions to do work been paid. Date ll % Data ReceiptNo. 3641313 $615.50 WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT '�'."`•�.:r,..c «rrwy.y i'�"a7'Y•"°r�,�r-�''"in'-.sw-'�i_^e'-•-•--�--�/.�--..q...eryr.-w�-..rneR"'�w.-^�^'rose-. -'-.r�r�'9rr ' COUNTY OF BUTTE -DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING DIVISION 7 County Center Drive, Oroville, CA 95965 Phone (530)538-7541 Fax (530)538-2140 71T APPLICATION DATA SHEET OWNER:--��I /�� (/ ASSESSOR PARCEL NUMBER / �'r -7 ✓, Proposed Building Use: Counter Technician:�2-/ Date:` 7 Items required in order to apply for a permit. All boxes MUST be checked OR marked NA in ord r topply. 1V2. -Plot plans, 3 or 4 sets, signedty the preparer of the plans. Complete plans, 3 or 4 sets, signed by the preparer of the plans. ❑ 3. Engineered plans, 3 or 4 sets, with wet signature on plans AND 2 sets of stamped and signed calculations. ( Engineered truss details and layouts in duplicate. No faxes! ❑ 5. Energy compliance design and supporting documentation in duplicate. ❑ 6. Manufactured homes: (A) Data sheets and installation instructions, (B) Marriage line information, (C) Floor Plan, (D) Tie down or foundation plans, all in duplicate. ❑ 7.. Metal buildings: (A) Metal Building Plans, (B) Foundation plans and calculations in triplicate, (C) Elevation views in triplicate. (D) Floor plans in triplicate. All of these must be stamped and wet -signed by the engineer. ' Items required for initial plan review. If checked items have not been received, plan review cannot proceed. The.permit will be indexed and returned to the plan review line-up when required items are received. Date Received By ❑ 8. Flood Elevation Certificate, wet -stamped and signed, in duplicate ................................ ` ❑ 9. Plot plan and business license approval from the City of Biggs .................................... "" �' "� ❑ 10. Letter of intent for non-residential buildings........... 34 'Detached Accessory Building Form filled out by the owner...* Hazardous Material Form........' ............. r....................:.................................... ❑ -13. Other+ Remaining items needed to issue the permit. (May require additional plan review upon receipt of the following i(ems.) ' � 1. ❑ 14. Fees as shown on the attached Schedule of Fees Due Sheet ....................................... k- 0.1 5. -❑15. tatement of Intent for Non -heated and A/C Buildings ............................................. Sanitation and plot plan approval from the Environmental Health Department in 17. City of Chico Plumbing permit......................................................................... ❑ 18. California Department of Forestry plan approval ❑ paid. Sent by: _ ......................11 ❑ 19. Planning approval for (A) Use: (B)Parking: (C) Parcel Check: / ❑ 20. Contact Land Development about ❑ Improvements, ❑ Drainage.......... ..''.................!. ❑ 21. Encroachment Permit for driveway from the Public Works Dept. (construction approval prior to occupancy). ❑ 22. Pre -Inspection for required ................ ❑ 23. Contractor's license information. (Number, Name Style, Classification) ...................... ❑ 24. Worker's Compensation Carrier and Policy Number ..............:.............................. ❑ 25. Owner -Builder Verification (❑ Given to owner, ❑ Mailed to owner) ..................... ❑ 26. Letter of Signature authorization......................................:............................. ❑ 27. Recorded copy of Agricultural Acknowledgment Statement .................................... ❑ 28. Manufactured home utility clearance............................................................... ❑ 29. Existing violations and/or expired permits......................................................... ❑ 30. ❑ Grant Deed, ❑ M.H. Title/Statement of Facts, ❑ Letter from Legal Owner, ❑ Check to H.C.D. $ ❑ 31. Other: When issued Telephone and hold for pickup. I have been informed of the above items and requirements for obtaining a building permit. Applicant: Date: 1. Index permit application for the above items numbered: Plan Check Letter ;fit 2. Additional items required �❑ ; f t'q•. Contractor, designer, owner, was advised cf the above data by phone, ❑ mail, . ❑ counter, by Date: ."r Contractor, designer, owner, was advised of the above, data by Plans reviewed by: Date: ?;?; ❑ phone, ❑ mail, Plans approved by: b counter, by Date: Date: Structural reviewed by: Date: °.a':'S:'d'`,- Structural approved by: Date: Note transfer by: Date:, Yellow Building Division E.H. USE ONLY Plot Plan Attochod Roar Plan Atuchad San% Ila TO: Building Department FROM: Environmental Health SUBJECT: Sanitation Clearance 3,6o Owner Location AP#. Plan Approved for: 'Sewage Disposal Water Supply: Public Private Well Clearance for — dwelling. Other Final clearaimeOX NOTE: I V0 P � /, /� � z 2 Environmental Health Specialist 8/96 Date J Department of Development Services Building Division 7 County Center Drive Oroville, CA 95965 (530) 538-7541 (530) 538-2140 FAX DETACHED ACCESSORY BUILDING OWNER'S STATEMENT OF USE Plan review will not be started until this form is completed, signed by the property owner, and returned to the Butte County Building Division. Attached Accessory Buildings and Additions will be checked for residential use. Exception: Garages and Carports. Phone: 133 % Mailing Address ./27 Site Address: _ymz— Assessor's Parcel Number: ' 3 % — �5 G — 1,5- Zone: Please answer questions 1-16, and explain any.yes answers for questions 2-14 in the space provided on page 2 of this form. GENERAL INFORMATION: 1. Is there a primary dwelling on the property? Yes ff No ❑ 2. Is the structure already built, under construction, or under notice of code violation? Yes ❑ No 3. 4. Will items produced in this building be offered for sale? Will the have building? Yes ❑ No [�]' 5. public access to this Will be Yes ❑ No�,/ any advertising, on or off site, associated with the use of this building? Yes ❑ No ld" SITE CONDITIONS: 6. Is the foundation 5' leach lines? 7. structure within of septic tank or 10' of Is any portion of the structure located closer than 20' to your front property line? Yes ❑ Yes ❑ No 0/ No 8. bo you plan to add a driveway or modify existing access to a county maintained road? Yes ❑ No [� 9. Will the proposed structure encroach within any recorded easement? Yes ❑ No 0� CONSTRUCTION FEATURES: 10. Will this building have insulated floor, walls, or ceiling? Yes ❑ No 11: Will this building be heated or cooled? Yes (:)No a 12. Will this building have a water closet/toilet? Yes ❑ No 0- 13. Will this building have a sink? _ ` Yes ❑ No [' 14. Will this building have a water heater? Yes ❑ No ❑ — 15. What type of floor covering will the building have? 16. What type of wall covering will the building have? OVER 1 of 2 L PROPOSED USE: (check only one box) I . ❑ Residential Storage Shed — I will be storing in this building and it will not used for any other purpose (no bathroom and no heating or cooling). 2. Private Garage — "A building or a portion of a building not more that 1,000 square feet (3,000 by exception) in area in which only motor vehicles used by tenants of the building or buildings on the premises are stored or kept." A garage door is required. 3. ❑ Residential Carport — A covered structure intended for parking of vehicles. Two or more sides must be entirely oven. 4. ❑ Residential Occupancy — Structures meant to be occupied, as opposed to a storage shed garage, or carport. If you checked ##4, please check the uses below which best fit this building. ❑ GuestHouse ❑ Pool House ❑ Studio Apartment ❑ In-law quarters ❑ Recreation Room ❑ Game Room ❑ Study ❑ Library ❑ Bonus Room ❑ Playroom ❑ Den ❑ Studio ❑ Artist Studio ❑ Hobby Room ❑ Craft Room ❑ Sewing Room ❑ Canning Kitchen ❑ Music Room ❑ Family Room ❑ Sun Room ❑ Private Office ❑ Workshop 1 ❑ Home Occupancy Z ❑ Other — Use = Dewnbe type of Workshop '.. Must be approved by the Butte County Planing Division. Explanations: This area is for explanation of any "yes" answers on questions 2-14. Please indicate the question number before the explanation. Additional Information: Plan review will not be started until this form is completed and received. A Plans Examiner will contact the owner with specific requirements per the use indicated. I hearby affirm under penalty of perjury that the above information is true and correct. I understand that any changes to the use, or character of use, of this building will require permits from the permitting authority. I understand that Real Estate Disclosure laws require disclosure of this information if or when the property is offered for sale. 0-wner's Name: Please Print A; Owner's Signature: NJZ.Xl Date: i -2- 2 ; 2 of 2 OWNER -BUILDER VERIFICATION -I Attention Property Owner: An "owner -builder" building permit has been applied for in your name and bearing your st�pste. Please complete and return ties information at your earliest opportunity to avoid UM.- gd�y in processing and issuing your building permit. No building permit will be issued ung Ws verification is received. 1. I personally plan to provide theajor labor and materials for construction of the proposed property imp ement : YES NO 0 2. I HAVE C�' WAVE NOT 0 signed as application for a building permit for the wa& 8n aPP proposed I have contracted with the following person (firm) to provide the proposed eonsbvct�: NAME: ADDRESS: PHONE: CON-MACTOR'S LICENSE NO. 4. I plan to provide portions of this work, but I have hired the following person to cootdina*, supervise, and provide the major work: ' NZALN fE • ' ADDRESS: CITY: PHOr7E: 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: '2 L SOCIAL SECURITYNU1�Ip R: DATE: :2_ AWE: This Owner -Builder Verification is required by Section 19831 and 198.14f&e California Health and Safety Code. This verification trust be eoxydekd and returned to our office before we are permitted to issue the permit OVER i. OWNER BUILDER INFORIMATION 1 CC -17 ?70CV-7i An application for a building permit has been submitted in your name listing yourself as the builder ofproperty improvements specified For your protection. you should be aware that as "owner -builder" you are the responsible party of recur onsach a permit. Building permits are not required to be signed by property owners unless they are personally P 15eir 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. Ifyou plan to do your own work, with the exception of various trades that you plan to subcontract„ you ihould 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 mawrials and other toss) is 5300 or more for the entire project, and such persons are not licensed as contractor= or subcoraactors. 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 S, to several obligations including *state and federal income tax withholding, federal social security taxes. workers compensation insurance, disability insurance costs, and unemployment compensation eoatributions. ♦ There may to Fnancial 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 scecitic information about your obligations under Federal Law, contract the Internal Revenue Service (and, if You wish, d:e U.S. Small Business Administration). For more specific information about your obligations under Save Law, ccr,:act the Department of Benefit Payments and the Division of Industrial AccidenIts . If the snot ore is intended for We. 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, erroncously 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 er ac 1020 N Street, Sacramento, CA. 95814. Please complete the "Owner Builder Verification" on the reverse side of this farm so that we can confirm that you are aware of these matters. The building permit will not be issued until the verification is returned. d. rely. AC SCG__ Niie el C. Vi ira, C.B.O. ht ger, Building Inspection NOTE: Tits Owner -Builder lnformarion is required by Section 19810 of the California Health and Safay Code: OVER P22S 3 voE cQl I JCO D-5cK rl'. ea E "I 11, ol 1 lEf LLL -i- �; _ WE LL ON�Y or —4 S7 0 p 9 rt Slat W V,'P D ,�* 9 c K i� 1 i S X ARAB - — 01 c� I I 1 1 ul j — ._ . .-- -,- — —_i — - - E . en - - - �----{--- -- � — --- — 1 _ o -- - -- - - - PTS — — -- —E — IAJFr- �NE -- — - -- --- --' - 4 ]CrFXI If"Ki --I WE LL ONLY — I VV I ,0 lid x s u " !r Z� �s i 4 t Y y c1 ..1. � I STOGKDRAFTING FORM NO. 10132 - ------------ . t I i • '� l 2Sfi o`" 1 � 1 1 ` 11 ., \ll T j p ; ; �� t( � 32 x 1 `, 1777/ i