HomeMy WebLinkAbout039-360-050039-36 0-050 < ' ti 92� 3575. BPEM=
MILES, Norman" & 'Betty -
11.44 Orchard `Way:; CHico'/
addition/sf •"` na `
J♦
CODY, Daniel 353-68B
313768E -_
39-36-50
J -L44 Orchard Way, Chico
(convert car ort .to living area)
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1
r 50
b� -moo -ill �fi
Tim
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�ES DE TIAL
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039-36-0-050 92-3
MILES, Norman & Betty
1144 Orchard Way, CHico
addition/sf la�1��93
OFFICE COPY
i !!
Address 1
(J u
I l -I
GAS
_ 1
^
Meter By
Date k
ELECTRIC.
Date U
+ Meter By
1
JOB FINALED (Date)
_ Signaturer
c, .
Insulation Certificate
! C
z ^
BUILDING OWNER: Ale y At cgvl Iles BUILDING PERMIT #: ��-Z — 3 S 7 S —
BUILDING LOCATION:
Description of Installation
ROOF
Material
Thickness (inches)
CEILING
Brand Name _
Thermal Resistance (R -Value) ,
Batt or Blanket Type Brand Name
Thickness (inches) Thermal Resistance (R -Value) 20
Loose Fill Type Brand Name
Contractor's minimum installed weight/ft lb Minimum thickness inches
Manufacturer's installed weight per square foot to acheive Thermal Resistance (R -Value)
EXTERIOR WALL .
Material Brand Name
Thickness (inches) - ,"j % Thermal Resistance (R -Value) /
RAISED FLOOR
Material
Thickness (inches) /¢,F
SLAB FLOOR
Material
Thickness (inches)
Width (inches)
FOUNDATION WALL
Material
Thickness (inches)
Declaration
Brand Name (^a r, i (h 7 O c� e `r f
Thermal Resistance (R -Value) /P – / y
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 Administrative Code.
General Contractor (Builder)
Signature and it e 0 -
Sub -Contractor (Insulation Installer)
License Number
Date
License Number
Signature and Title 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
J=OK
O = Not OK
Not
= Not Readyable yMOBILE HOMES
Date MOBILE HOME UTILITIES (Plans) OK except #'s
1. Zoning Requirements -Setbacks -Easements
2. Soils; Special MH Support Sketch
3. Sewer; Location -Test -Fall -C/O Concrete
4. Water; Location -Test -Easement Needed (Sketch]
5. Electricity; Location-Clearences-Grnd-/ /Amp -Concrete
6. Gas; Location -Test -Wrap: / /"L"ft.
/ /"Nat. or/ /"L"ft./ /"LPG
7. Well Clearance & Disconnect
8. Utility Clearance
Date Card B-1 Date Card B-1
Date card B-1 Date Card B-1
Date MOBILE HOME INSTALLATION (Plans) OK except #'s.
1. Zoning Requirements -Setbacks Easements
2. Footings; Size -Spacing -Marriage Line
3. Gas; MH Test -Demand -Valve -Connector
4. Electricity; MH Test -Crossovers -Breakers -Clearances
5. Drain; MH Test -Fall -Flex Connector
6. Water; MH Test -Regulator -Connector
7. Water and Sewer Connected -C/O to Grade -HD Approval
8. Gas and Electricity Tagged
9. Exits; Insp.-Sketch
10. Cert. of Occupancy
Date Card B-1 Date Card B-1
Date Card B-1 Date Card B-1
y
MISCELLANEOUS
Date DECKS, COVERS, CARPORTS, GARAGES, (Plans)OK except #'s
1. Zoning Requirements -Setbacks -Easements
2. Footings; Soils -Size -Depth -Spacing -Connectors -Steel
3. Decks; Griders and/or Joists -Decking -Bracing -Stairs -Rails
4. Wood Awn.; Posts- Bea ms- RItrs.-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
r
OK
Not OK
- = Not Applicable
Not Ready RESIDENTIAL (Single
' =
Date UND FLOOR (Plans) OK except q's . Date
n i ng -Setbacks -Easements -Flood -Slope
Ftg., Main; Soils-Elec. Grnd.-T?Z' Ftg. Depth
& Duplex)
FRAMING (Continued)
45. Hangers -Post Caps -Anchors -Connectors
46' Cing. Joist-Rftr. ties-Purlin-roof Brac-Truss-Shthng.-Rfng.
3. Ftg., Garage; Soils-Steel-Elec. Grnd.-/ P' Ftg. Depth -
4. Ftg., Porches & Decks; Soils -Steel-/ /Ftg. Depth ---"
5. Stemwalls, Main; Steel -Bloc kouts-Wra pped
6. Stemwalls, Garage; Steel-Blockouts-Wrapped
6a. Hold Downs and Special Anchors
7. Slab; Steel -Wrapped
8. P' -Fireplace Ftg.-Steel
D.W.V.; Fall -Fitting`? - Way C/O -Sewer Test
1Q--LLE-Gas Pipe; Size -Anchors - yard gas piping: size -test
1t.r-WarM Pipe; Test -Anchor -Regulator -Service Test
12'--EIMTric; Underground
1.3. nums & Ducts; Clearance -Material -Support -Ins.
Girders -Sills -Anchor Bolts -Joists -Vents -Cripples
15. Access & Ventilation
16. Insulation
Date Card B-1 t�� Date 12.E Ricard B-1 GG
Date 1A, -`A .�and B-1•(?,(; Date Card B-1
Date PLUMBING (Permit),OK except ft's
Water Htr. ent- ccess Co bustion Air Baffle
------ - - -- -----------------------
Water Pipe; Test & Anchor -Nail Protection
-------------------------------------
Test -Fitting & Anchor -Nail Protection
�h- --
ower Pan; T�irst Floor -Tub Access
---------------------------------
4Q--T-est Tub & Shower, Second Floor -Tub Access
----------------------------------------------------- -
1. Gas Pipe: Size & Anchors
--------------------------------------------- ----------------------------
Date ZCard B-1 Date a Card B-1
Date JL y �j,3 Card B-1 Date Card B-1
Date ELECTRICAL (Permit) OK except k's
_------ 22. Fixture & Transformer Clearance_Ins. Protection
------------------
a,9!-lec_Receptacles Spacing -Lights & Switches at Doors
------------ -
$A!Size Boxes & No. of Conductors -Stapled
--------- --------------------------------------------------------
�Ro nstalled Close to e of Studs & C.J.
-------- ---- - ----- ----- -----------------------------
quip (Ground mad p wrMnrh Fastne Bond & W er
Pr4 2 Appliance Circuts in Kitchen & Conductor Size/GFI
----------- - -- - --------------------------------------------------------
2'd--!�ubfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / / ga.
Cu or At
-------------------------------------------------- ----
2377ahge Circ. / / ga. Cu or AI -Oven Circ. / / ga. Cu or Al.
Insulated Neutral ❑ Yes ❑ No
----------- -----------------------------------------------------------------
38jService-Riser Conductors & Ground -Main Disconnect
30✓ uip Clearances Panels-Motors-Mech. Equip.
othes Closet Light -Shower Light -Spa Light
Smoke Detector
--------------------------------------------------------------------------------
Date—Card B-1 Date Card B-1
--------- Z ------- ------ -----------------------------------
Date ] J ><3 Card B-1 a.W Date Card B-1
Date MECHANICAL (Permit) OK except a's
34. A.C. D is Insulation & Support
-
--------------- -- --------------------- ----------------------------------
35. Vent Fan: haust abov sulation
---------------------------- ---- ----------------------------------- ---
36. Condensate D Overflow: Size & Grade
37. Furnanc ent: Acce b. Air -Return Air Vent -115 outlet
--- - ----- - - ---- ----- -------------- -------------------------------------
38.Access & Platform if Furnance in Attic
------------------------------------ -------------------------------------------
Date Card B1------------Date-------------Card 8_1
------------------------------ ---- -
Date Card B-1 Date Card B-1
Date FRAMING (Plans) OK except 4's
3XSils. Proper Material & Anchors
-------------- - - -- -------------
- - - - - - - - -
------ - - -- --- --- - -- -- ------------- ---- ----- --------
Walls Studs -Nailing. Spacing & Bracing -Plates -Sound
-------------- -------------------------------------- ---------------------------
Bearing Walls over Girders & Floor Nailing
------------------- ---- - -- - ----- -- - - --- --
Draft Stop in Walls (rat proof)
-------------- ---------- -----------------------------------------
Fire Stops: Furred Ceilings -Stairs -Chases -Tub
------------ ------------ ------------------------------------------
,/4. Headers & Beam -Size & Bearing
4 -7 --Fireplace Ties or Type A Flue -Fireplace Throat clearance
4U.7 -Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles
,tg. Bdrm. Windows or Exiting•Doors-Sill Hgt. & Dimensions
a Fire Protection Framing
Property Line Firewall & Openings
Ext. Doors -One 3' -Check Garage -3rd Story, 2 Exits
537_517irs; Width -Headroom -Rise -Run -Landing -Fire Protection
----- --- 5(_ Iywood on Roof Overhang -Attic Vents -Rafter Outriggers
58'Siding-Nailing Veneer
_ 5b Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access
57�lazing Area -Glass Protection -Skylights -Plastic
--- --- - 5 ar Walls; Nailing -Bolts
Insulation -Wall ei' gs /f r5
-- - ----- 60. filtration -Walls -Windows —
-------------- --
•--------------5Tlgp —
------------------
-Date _Lj _L4r� Card B_1-_G(:S:- Date -- Card B-1
Date A-C)e_ Card B-1 (s%r Date Card B-1
Date FINAL (Plans) OK except ti's
Ex eps Door & Sidelight Protection -Landings
moke Detector
62-{Zirnace: Vents -Clearance -Comb. Air -Connector -
In Garage; Above Floor -Ducts -Meeh. Protection
-" - 6q!Bedroom Exiting
----------------------------------
65/G.F.I. & Bath Fixtures & Tub Access -Spa
& Subpanel: Breaker Sizes & Labels
67-9tairs & Rails
- - 68x-Frrr-eplace or Stove_ Clearances -Hearth
69.`"Etec. Outlets at Wood Panel; Int. & Ext.
-
-------------- ------ -----
70--K+t-Fixt. & Appliance; Grnd.-Air Gap -Cooking Clearance
------------------------------ -------------- --
71-'E•1e6. Outlets & Receptacles at Kit. Counter
72r -Garage Fire Door: Swing -Landing -Closer
-
73.-A-U_-Dact in Ga -Damper
--------
lr.Clearance m onnector
In Garage: Above Floor-Mech. Protection
-------- --------------------
7&."Nb.. Elec. & Mech. Equip. Listed for Location
----------------------------------------
76 -.Ela -c. Receptacles in Garage: (G.F.I.)-Romex Protection
------------------------------------------
7i!lnsulation - Foam- Looked in Attic_ ❑ Yes
-----
- -8. Gu Rails & Deck Construction -Post Caps
---------- - ------------- --- -
Fdn. Vents & - wl rainage & Wood -Earth
Clearance Looki:d under Floor ❑ Yes
--------------------------------------- -------
8&.-Following instld.: Drive ❑ Yes ❑ No: Walks ❑ Yes ❑ No;
Planters ❑ Yes ❑ No
o
8r-3tvcco: Brown -Finish
_-------------------
- 8*-7r.C. Unit: Disconnect. Electrical, Plumbing
a2!V'ents Above Roof; Plbg -Appliance-Fireplace.-Clearance to
84 --Water Well: Disconnect, Electrical, Plumbing
86,. Exterior Elec. Trim; G.F.I. Receptacle -Underground
iSr� Ventilation Throughout House
.. - -..._ ------------ 1 ass Protection
- --.- --------------------- - ----------------
M.'Corrections
--- -------------------------------M.'Corrections fro revious Inspections
----
--- - ---------
-----------
---
as T eters Tagged; Gas Electric
ater & Sewer Connected -C/O to Grade -HD Approval
61 ---
Energy Compliance Certificate -Other Certificates
Date °43
Card B-1 Date Card B-1 -
--------
- � -------- �GJ-�----------- ---
- —
Date Card B-1 / Date Card B-1
Date Card B-1 Date Card B-1
Comments at Final_
COUNTY OF BUTTE
BUILDING DIVISION .
DEPARTMENT OF DEVELOPMENT SERVICES ,
1469 Humboldt Road, Chico, CA - (916) 891-2751
7 County Center Drive, Oroville, CA - (916) 538-7541
747 Elliott Road, Paradise, CA - (916) 872-6307
CORRECTION NOTICE
�'k Il �'- S 9 Z-3175
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.
M I N. '-Vy P 2 y F 614, vi ,
cL W A C 57b L t nl
corrQ���4c���►Vj 16,
-rJ r'' 2G C° DM rL r Aj i c FZtZ r I I cA
Date (�- / J - 93 Inspector
REV 10/92
" COUNTY OF BUTTE f
BUILDING DIVISION
DEPARTMENT OF DEVELOPMENT SERVICES
1469 Humboldt Road, Chico, CA - (916) 891-2751
7 County Center Drive, Oroville, CA - (916) 538-7541
747 Elliott Road, Paradise, CA - (916) 872-6307
CORRECTION NOTICE
lylik5
OWNER PERMIT NO.
A rause kupection indicates that the following violations of Butte County Ordinances exist at
the Wkm address and should be corrected. Please notify this office when correction of work
iacom4&-te4L Ifyou have any questions pertaining to this matter, or need additional explanation,
please this �Iofficeimmediately.
pimmediately. r � YJQ O % l'Y�v �'/J Ft f o u9/c3d�.C.
9
% C417 L
� j S e ( 0-<C— Co -i d) i,13 /It, "q/ -
i
Date ��/�� � � Inspector
CSL
R£V 1aW
y,... COUNTY OF BUTTE
DEPARTMENT OF PUBLIC WORKS
1469 Humboldt Road, Chico, CA - (916) 891-2751
7 County Center Drive, Oroville, CA - (916) 538-7541
• 747 Elliott Road, Paradise, CA - (916) 872-6307
CORRECTION NOTICE
I`n 5 `1 z - 3 5 -7-,,,-
OWNER PERMIT NO -
A routine inspection indicates that the following violations of Butte County Ordinances eldstat
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.
Z S—yJ�1�
1 n/ S o P 'R� rlD n3,1 TK 11 rn z" n �- e c, A, (9 A R A/
T" r- (2 Mi tJ A T- FL C ont4j j tyi3
Date' 1z 253 GIS Inspector
REV 11/91
1-'` �a.�.s �r^iaz'�eliia+h.-v-.i.}�*.�.✓'r�'�'+r'...;..t'�yC"ci`-"r�bvf.."4."r=+��-:�yi�
7
COUNTY OF BUTTE
DEPARTMENT OF PUBLIC WORKS
1469 Humboldt Road, Chico, CA - (916) 891-2751
7 County Center Drive, Oroville, CA - (916) 538-7541
747 Elliott Road, Paradise, CA - (916) 872-6307
CORRECTION NOTICE
_M I Lt s z -35-75-
OWNER PERMIT NO.
A routine inspection indicates that the following violations of Butte County Ordinances exiaut
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.
< OC D.WaI,
- INS�-AIL C L1iAIJGtA-r 01,rSI�N1t
A(KVtA
Date I { - ($- °I Z Inspector
REV 11!81
COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS
7 County Center Drive - Oroville, California 95965 - Telephone: 916/538-7541
APPLICATION'AWPERMIT.
PERMIT NO.
ASSESSOR PARCEL NUMBER
039-360-050
ZONING '
SR 1
BUILDING PERMIT
OWNER
NORMAN & BETH MILES
TELEPHONE
891-0430
SO. FT. OCC. BUILDING VALUATION
OWNER'SADDRESS
1144 ORCHARD WAY CHICO 95928
252 R
13,608
EST
3
CONTRACTOR'S NAME
TELEPHONE
,
CONTRACTOR'S MAILING ADDRESS
Fireplace
CONSTRUCTION LENDER
UNKNOWN
Total Valuation $ 13,908
LENDER'S MAILING ADDRESS
Filing Fee
$ 15.00
Permit Fee
$ 127.50
ARCHITECT OR ENGINEER
LICENSE NO.
Plan Checking Fee
$ 63.75
ARCHITECT OR ENGINEER'S MAILING ADDRESS -
Energy Plan Checking Fee
$ 20.00
Penalty
$
BUILDING ADDRESS
1144 ORCHARD WAY CHICO 95928
Permit fee
$ 226.25
PLUMBING PERMIT
FilingFee 15.00
Each Trap
3 5.00
Solar or heat pump water heater
20.00
LOT NO.
SUBDIVISION NAME
PARCEL MAP
Water piping
7.00 7
.00
Each qas water heater or vent
7.00
USE OF STRUCTURE
SFP Duplex❑ Mobilehome❑ Other
SPECIFY
Gas piping system 1 - 5 outlets
5.00
Building sewer
15.00
Mob le Home Is G W
015.00
TYPE OF WORK
New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑
Describe work: BDRM & BATH EXTEND & SKYLIGHT
,
Permit Fee
$ 64-00
Contractor
ELECTRICAL PERMIT
FilingFee 15.00
Main service 200AORLESS
18.50 18.50
CONTRACTORS LICENSE LAW
1 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. Classification
as the owner, or my employees with wages as their sole compen-
sation, will do the work,and the structure is not intended or offered.
for sale. (Sec. 7044)
❑ I, as the owner, am exclusively contracting with licensed contract
ors. (Sec. 7044)
❑ I am exempt under Sec. Business and Professions. Code
for this reason
Main service 200A To 1000A,
37.50
NEW CONST. ( DWELLING OCCUP.&�
OR ADDNS. l ACC, BLDGS.
3.6Q sq.ft. $,$O
NEWCONSTR ULTI-OUTLET
NO N.R ESID BRANCH CIRC ITS
5•00
(POWER APPARATUS a�
SINGLE OUTLET CIR.
Ex. OCCUp(OUTLETS OR FIXTURES
20 @ 750
A
FIXED APLNS.I,
EX. Occup. OUTLETS IPRESID )REAJ
I 3.00
Temporary service
1 15.00
Mobile Home Facilities
15.00
Misc. Wiring
g
15.00
Permit Fee
$ 42.30
WORKMEN'S COMPENSATION INSURANCE
I declare under penalty of perjury (check one):
❑ The permit is for $100.00 (valuation) or less.
❑ I have placed on file with the County of Butte Building Department
a Certificate of Workmen's Compensation Insurance or a Certificate
of Consent to Self -Insure.
I shall not employ any person in any manner so as to become subject
to the W. C. laws of California.
Notice to Applicant: If after making this statement, should you become subject
to the W. C. provisions of the Labor Code, you must forthwith comply with such
provisions or this permit shall be deemed revoked.
Contractor
MECHANICAL PERMIT
FilingFee 15.00
Heating
Cooling
Hood
6.50
Ventilation
4.50
perm it Fee
$ 19-50
Contractor
I certify that I have read this application and state that the above information
is correct. I agree to comply to all County Ordinances and State Laws relating
to building construction, and hereby authorize representatives of the Countyot
Butte to enter upon the above-mentioned property for inspection purposes.
I also agree to save, indemnify and keep harmless the County of Butte against
all liabilities, judgments, costs, and expenses which may in any way accrue
against said County in consequence of the granting of this permit.
Xa "v Date % 1
signature of Applicant — OwnerContractor ❑ Agent
I� ❑
An OSHA permit is required for excavations over S'0" p and demolition or construct-
ion of structures over 3 stories in height.
Mobile Home Installation Fee S
Energy Inspection Fee S 40.00
occ
CONST TYPE
TOTAL FEES 392.05
HAz
.�
I D;E
IMP
--
FLOOD._
CDF
PARCEL
PD
HD
ISSU
This permit is hereby issued under the
sions of the Butte County Code and/or
work indicated above for which fees
ECTOR OF PUBLIC
BY
PER E PIRES Date
applicable provi-
resolutions to do
have been aid.
p
WORKS
Date/,� fC - L
d;, _/ �.•-F -3
/i
Receipt No.
WHITE-D.P.W., YELLOW -ASSESSOR, PINK -I PECTOR, GOLDENROD -APPLICANT
COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS
7 County Center Drive - Oroville, California 95965 - Telephone: 916/538-7541
APPLICATION AND PERMIT
PERMJI T NO.
2Z - -S 7 J-
ASS,CSSOR PARCEL NUMBER
ZONIN
�j-
BUILDING PERMIT
O WNE
T.E EPHO6577--1 E
r•�//
SO. FT. OCC. BUILDING VALUATION
OWN 'S AI ING /�/�D E55// ��/q
V v / 2 !�
?j
:dd
CONTRACTOR'S NAME
TE E HONE
CONTRACTOR'S MAILING ADDRESS
Fireplace
CONSTRUCTION LENDER
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
$ a0,0
Penalty
$
BUILOIN;G,Dleizss
Permit fee
$
Q
PLUMBING PERMIT
Filing Fee 15.00'.
Each Trap
5.00
Solar or heat pump water heater
20.00
LOT NO.
SUBDIVISION NAME
PARCEL MAP
Water piping
7.00 :04;1
Each qas water heater or vent
7.00 ,Qd
USE OF STRUCTURE
SFX Duplex❑ Mobilehome❑ Other
SPECIFY
Gas piping system 1 - 5 outlets
5.00
Building sewer
15.00 ,Qv.
Mobile Home S I G I W
@ 15.00
TYPE OF WORK
Ne AdditioR odel❑ Utiliitt�ies❑ Installation❑ Other ❑
Describe work: /c W J7�_�_
Permit Fee
$ O
Contractor
ELECTRICAL PERMIT
Filing Fee 15.00
Main service 200V OR LESS
00A OR LESS
18.50
CONTRACTORS LICENSE LAW
I declare under penalty of
p y perjury Iur y (check one):
I am licensed under provisions of Chapt. 9, Div. 3 of the Business/POWER
and Professions Code and my license is in full force and effect.
License No. Classification
I, as the owner, or my employees with wages as their sole compen-
sation, will do the work,and the structure is not intended or offered
for sale. (Sec. 7044)
I, as the owner, am exclusively contracting with licensed contract-
ors. (Sec. 7044)
❑ I am exempt under Sec. , Business and Professions Code
for this reason
Main service 200A TO 1000AI
NEW CONST. (DWELLING OCCUP.&l
OR AODNS. ACC. BLDGS.
_37.50
3.6asq.ft.
NEW CONSTR. ULTI-OUTLET
NON-RESID BRANCH CIRC ITS
@ 5.00
APPARATUS a�
\SINGLE OUTLET CIR.
EX. Occup(
p OUTLETS OR FIXTURES
20 76d
FIXED
APLNS.Ex. Occup. OUTLETS 1PRESID,IREA.�
I 3.00
Temporary service
15.00
Mobile Home Facilities
1 15.00
Misc. Wiring
15.00
Permit Fee
$ �—_--
WORKMEN'S COMPENSATION INSURANCE
I declare under penalty of perjury (check one):
❑ The permit is for $100.00 (valuation) or less.
❑ I have placed on file with the County of Butte Building Department
a Certificate of Workmen's Compensation Insurance or a Certificate
of Consent to Self -Insure.
I shall not employ any person in any manner so as to become subject
to the W. C. laws of California.
Notice to Applicant: If after making this statement, should you become subject
to the W. C. provisions of the Labor Code, you must forthwith comply with such
provisions or this permit shall be deemed revoked.
Contractor
—,-Z 'Z, C7
,
MECHANICAL PERMIT
FiIingFee 15.00
Heating
Cooling
Hood
6.50
Ventilation
Permit Fee
$
Contractor
I certify that I have read this application and state that the above information
is correct. I agree to comply to all County Ordinances and State Laws relating
to building construction, and hereby authorize representatives of the CountyOt
Butte to enter upon the above-mentioned property for inspection purposes.
I also agree to save, indemnify and keep harmless the County of Butte against
all liabilities, judgments, costs, and expenses which may in any way accrue
against said County in consequence of the granting of this permit.
X-T � ���� Date /4/ �%�17�
Si nature of A licant - owner
9 P ❑ Contractor ❑ Agent ❑
An OSHA permit is required for excavations over 5'0" de nd demolition or construct-
ion of structures over 3 stories in eight.
Mobile Home Installation Fee S
Energy Inspection Fee gZO $
, ` 3
`°�" �T�fPE
�V
TOTAL FE
HAz
1 DFEE
IMP
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FLgo9
(/
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PARC L
_
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IssuE
This permit is hereby issued under the
P y
cions of the Butte County Code and/or
work indicated above for which fees
DIRECTOR OF PUBLIC
By
PERMIT EXPIRES Date
applicable rovi-
PP P
resolutions to do
have been paid.
WORKS
Date
2
Receipt No. 7-3Za
WHITE-D.P.W.. YELLOW -ASSESSOR, PINK -INSPECTOR, GOLD N OD -APPLICANT
OWNER
�. .��%'��FV��iillt•�r '�•'i?�?l,yl7�''R;'�:E � '._^�"_.`1-+'.-^ .:. � . �'r�aF i�r,:!.n. +y,:r'
Y OF BUTTE - DEPARTMENT OF PUBLIC WORKS - BUILDING DIVISION
¢i
COUNTY CENTER DRIVE - OROVILLE,,CALIFORNIA 95965 - TELEPHONE (916) 538-7541
Proposed Building Use
PERMIT APPLICATION DATA SHEET
Date
RN
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 . ........................................ T
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). ....
. Mobilehomdat ufac=t�urreer�ostallation instructions, 2 sets. ........... J� I6 ga
Fees of $
11. Impact fees as shown on attached schedule . ............................. .
12. California Department of Forestry plan approval/fees. ........................
lood elevation letter (100 year flo ) y Calif rnia Engineer. .
14. Sanitation and plot plan approval f 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 Fre-�naing Insion* ecue-ts - `j)
required. . . to Building Inspector (UD, )
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 `Y'y
and (B) Parcel meets zoning area and frontage requirements . ...............
31. Existing violations/expired permits.
32. Plan check list . ...................................................... 1� �
33.
34.
When you issue the permit, process as follows: Mail to owner. Mail to contractor.
Telephone and hold for pickup at office. Deliver with inspector.
Other
Parcel Creation
Acreage _ Applicant �ji1 �'�'P Date A/&/r
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 permit issuance: (Circle new item not checked abov,�.
1. Index permit for above items No.
2. Additional items required:
Contractor, design owes advised of above required data by _ p one _ mail_ Counter by _ ate /0-/iS--c/N2--
Contractor, designer, owner, was advised of,above required data by _ phone _ mail Counter by Date
Plans checked by r. r _ ?Date Plans approved by Date la- fS"-9 Z
3 Sets of plans on holdli n �` File cabinet SAP folder 01? f ,
Copy - Department of Public Works
F.m. USE ONLY
�.,..♦ �'-,,. Plot Pkui Attached t�
• .�'. .' .• .
Fluor Pian Attached
Sent to Ii. U. �Q �i�� pd�' ��✓
TO: Building Department (J
FROM: Environmental Health
SUBJECT: Sanitation Clearance
Owner Location AP//
Plan Approved for: Sewage Disposal Water Supply: Public Private Well
Clearance for bedroom mobile home. Other_A I� a�O�iYv�
Hold final for:
Final clearance O.K. for:
NOTE:
Envi onmental Health Specialist
8/92
In -�1 l�
- Date
COUNTY OF BUTTE - DEPARZMENT'OF PUBLIC WORKS - BUILDING DIVISION
7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE (916)5387541
)WNER A. P. NO. - 3 66f
IMPOSED BUILDING USE �� Oh o DATE 2�
REC. : DATE REC
1. School Distric Fees
(paid at District Office)
2. Sheriff Fees
(paid at Building Department)
Residential ......... X =$
unit amt.
Commercial(per sq.ft.) R =$
sq.ft. amt.
3. Urban Area Fees
(paid at Building Department
Residential (per unit) % _$
� units amt.
Commerical(per sq.ft.) % _$
sq.ft. amt.
Nl�- 4. Recreation District Fees
(paid at District Office) „ . „ .....................
5. Drainage District Fees
(Contact Land Development) .........................
6. Other
7. Other
�t time of permit application, I was advised the above fees are required, to be paid pr
:o issuance of the permit.
APPLICANT DATE o % �i
{"`�1�+%°5t.'vgsrsnrrt"i��"°yF�+,yr'iti'�`�#�: ,yr` w., r,�.n—•.`.,'+xq�:
BUTTE COUNTY SCHOOLS IMPACT FEE CERTIFICATION FORM
(One Form Per Building)
School District �?r7S E DAL 9 Building Department No.
A.P. Number Q 3Ct -36'0 - Jurisdiction 0 City ® County
Property Owner ht)J? h-) I-))\) d�B F T EV MiIES
Property Location/Address / N� K IAC,1-I A k 1 11 J A \l
Subdivison Lot No.
Residential Development Sq. Footage c_Cl_
No. of Living MHI A dition (Group R)
Units
Commercial/Industrial
0 Sq. Footage
New Addition
(Floor Plans reviewed by School District Personnel)
District Identification No. - Ili (q_
(Including Exterior
Roofed Areas)
/40 Ag A�-.-
Date
0,fU t<; C) School District certifies that o�
(Applicant)
(Street Address)
W
(Phone Number)
(City) (State) (Zip Code) y
has complied with the requirements of Resolution No. _ y�/-�a by payment of $
representing C�2 square feet.
School District Representative
Paid by Check Number U
Bank Number
Paid by Cash
/0/,/ 2z �
Date
Remarks:
,."4 400
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 may be subject to
additional school fees to fully mitigate its impact on the school district's schools.
White (applicant), Yellow (building department), Pink (school district) feeformmkl (4/92)
COUNTY OF BUTTE - Deoartmenc of Public Works
7 County Center Drive, Oroville, CA 95965 Phone: 916-5,38-7541
OWNER -BUILDER VERIFICATION
Attention Property Owner:
An "owner-builder".building,permit has been applied for in your name and bearing
your signature.
Please complete and return this information at your earliest opportunity to avoid
unnecessary delay in processing and issuing your building permit. No building permit
will be issued until this verification is.received.
1. I personally plan to provide the major labor and materials for construction of
the proposed property improvement (yes or no) V-eS
2. I ave/have not) h a t/ -c 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 /'/0�1�w�a. �%✓1
Social Security Number --
Date
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.
run i -s /
ADDITIONS M RES IDENTIAI.-BUILDINGS ENMGY SHEET
PACKAGE ."A" (Additions)
Owner i L r Climate Zone (�
Permit # 92 -35 75"Floor Area Z5 Z
The following data showing mandatory and required features of Package "A" shall
be.installed for additions to dwellings. Additions'to dwellings include room
additions, converting garages and patios to living areas, house moves that add
footage and attic conversions, and any space that is existing non -conditioned
space that is converted to conditioned space. Remodeling of existing conditioned
space is not included.
APPLIES TO NEW AREA
CEILING
WALL
FLOOR
SLAB
GLAZING
SHADING
,.... /. R-30
R-11
R-11
R-7
U-.65 (Dual)
0
ZONE 16
R-38
R-19
R-19
R-7
U-.65 (Dual)
SOUTH - OPTIMUM OVERHANG
or .36 Shading Coefficient
WEST - .36 Shading Coefficient
LOOSE FILL INSULATION (Density).
'INFILTRATION CONTROL (Weatherstrip.doors, certified windows, caulking)
VAPOR BARRIER (Zone 16)
DUCTS PER UNIFORM MECHANICAL CODE - Ch. 10
LIGHTING KITCHEN & BATH NOT LESS THAN 25 LUMENS/WATT
MAXIMUM GLAZING 167 OF AREA PLUS REMOVED GLAZING 4s
NEW HEATING,.VENTILATING, AIR CONDITIONING AND HOT WATER SYSTEMS IN
CONJUNCTION WITH AN ADDITION SHALL BE INSGTftj OWN ON BACK
OF THIS SHEET.
OTHER GUILDINC DEPARTMRNT
ADDQnVrn
12/85
*1 HnnNG, VrIMMIATING, AIR CANC}TTIONING SYSTZM
(A) Heating '
Q Central Gas Furnace %
(brand and model number) SE
Btu/hr
(heating capacity)
❑ Heat Pump "
(brand and model number) ACOP
Btu/hr
(heating capacity ac 47'7)
Q
Active Solas
type (liquid or air) Collaccir brand and
ft
model number solar fraction collector area collector
Orientation collector tilt raced y-intercapc
raced slope
Q Other
(describe)
*1 (B) Cooling
Q Electric Air Conditioner
(brand and model number) (seasonal EER)
Btu/hr
(cooling capacity at 9517)
Q Electric Heac Pump
- EER
Btu/hr
(cooling capacity at 9507)
Q Other
(describe)
DOMESTIC STATER SYSTEM
❑ (A) Gas Only ' Callous
(brand and model number) (tank size)
Q Heac Pump w/Electr:fe Backup
(brand and model number)
Gallons
(tank size)
Q Active Solar
(collector brand and model number)
(rated y-intarcape) (rated slope) (solar fraction) 2
fc
(backup heater type, brand and model number) (collector area)
(collector orientation) (collector tilt)
G Lacacion of Solar Panels
❑ Other
(Describe)
*1 Submit documentation of sizing heating and cooling equipment by Manual J, sizing
charts (form #4) or ocher approved mechods, section 2-5352(g), and fill ouc the
following:
Heating: Winter design temperature ', elevation ', heating load BTU
elevation factor x heating load maximum outlet capacity gas furnace
BTU
Cooling: Summar, design tempesacure cooling load BTU
< *Z Submit T.I.P.S.E. chart'or ocher approved system (form i5) to document sizing of
solar panels.
M DESIGN COMPLIANCE STATM4EM: The above building design meets the requiremencs of
Title 24, Past 2, Chapter 2-53 of the Califormia Adminiscracioa Code.
SIGNATURCEC OF BITILD11UG DESIGNER OR APPLICANT '
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NOS: All Materials & Wbrkmansbip Shall Be In
AeOOrdance with Recotfdzed Good Practices and
Of a QualiW Prescribed for the 3pecffted us(,
in ta'I@ Uniform Building, Plumbing & Me "WOA1
Codes and the National Electrical Code.
RIGHT ELEVATION _..
BUTTE COUNTT
BUILDING DEPARTT" IENi
A PPR®VFD 9 X
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246
a
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zoo
AMP
PANEL
REPLACE
I.10ITH �J*X IX- BEAM a�4
Tp
OPT.
2 pl:x Kf L I wi T
VINYL
105fall smoke defector oar code.
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Sw
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41
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7% k
SHO,
ZI AIR FOR HENTIER &/OR W. H,
a. \A4P.
GFT- \^/,C, TO WE I-1. GAL.
FLOu'R. FIX.
WALL TO Zrx 72" -FfN. 14EIGHT
MOVE EX;!,T%*W
W k 0 "To 'Ex D
r<\ASTIFR CSR.
I
EX\S. WALL
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136;JTTF- COUATT
BUILDING DEPARTMENT
A D p R C , D
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EX -%s. JOIST 2:'Y. v
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WALL l NSULA'TkOR R II
FLOOR ,N%W.ATkON: Rkct
IN ADZIrioN ONLY
o PT.
5KYLIGHT
V' PLYWOOD or O.S,Pj,
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1:'* 4;' R A, F T E R
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'Underoor access and.,
Sec. 2818, UBC.
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' -
i
Provide 1/s" x� 10" anchor bolflS b
_
X2 a
S;fit Pla
F DF
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Q 6' O.C. max. and within
o
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A
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ALL E 7 IhgQPC, \j r\(- (OlRlD,
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equipment shall be as stm"
A dw Of all easements.
Si. all,
QDT-T-50"
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BUILDING DF-PARTMR, I
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equipment shall be as stm"
A dw Of all easements.
Si. all,
QDT-T-50"
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DR. W
BUILDING DF-PARTMR, I
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