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039-460-013
w DA L, Dick 149-69B* 1050-68B - 833-70P*# 140-69P* 983-68E 157-69E* - 10 7-68P T9_77-1 ., s1s Durham -Dayton Rd. 730! w. of Durham -Nelson Rd., Durham CONTR: Nystr & Sons, P.O. Box 381, Durham ( addition)- (*swimming ool - CONTR: Holidayols 1170 E. Lassen Ave., Chico) *��_ (**pool heater- 6 CONTR:Holiday Pools) , 39-46-13 2711=91E' SCROGGINS, Michael 2475 Durham Dayton Hwy, Durham cont: Jeffords Electric ('underground elec/sfr) 039-46=0-013 93-1173 P SCROGGINS, MICHAEL 2475 DURHAM DAYTON HWY, DURHAM CONTR: VANDYKE PLUMBING GAS LINE/SF 039-460-013 TPERMIT#98-0026° LIGHTY, Teresa 2475 Durham Dayton Hwy, Durham' .Cont: Ely Roofing Reroof/SF ! ` :�/� G ,//--�1, 039-460-013 99-1895 YOUNG, JIM & NORMA F �E 2475 DURHAM DAYTON HWY, DURH CONTR: JUDSON INSTALL VINYL SIDING 039-460-013 00-2204FI E YOUNG, JIM_ & NORMA 2475 DURHAM DAYTON RD. D g Iho CONTR: OWNER 2ENEWAL OF 99-1956 OF CONVERSIO 039-460-013 0471317 YOUNG, JAMES 2475 DURHAM DAYTON H NA E� DURHAM Cont: OWNER ELECTRIC SERVICE C/O10 , 039 = (0- 0 039-460-013 99-1956 YOUNG, JIM & NORMA 2475 DURHAM DAYTON 14WY., C CONTR: GARY LEX CLOSE IN GARAGE FOR GAME R g-llioco II tiI u 6. � � � �� ___-__. � ` �_ _ i� t 6 NOTES i; RESIDEN'�',��` 039-460-013 - PERMIT NO. _ YOUNG, .JIM & NORMA 2475 DURHAM DAYTON HWY., DURHAM CONTR: GARY LEX j` CLOSE' IN GARAGE FOR. GAME ROOM SPECIAL CONDITIONS SRA FLOOD CERTIFICATE REQ. FIRE SPRINKLERS REQ. SPECIAL INSPECTION ITEMS VERIFY USE PERMIT -CONDITIONS SUB -STANDARD HOUSING LETTER JOB FINALED (Date) Signature 0 CHECKED BY ./= OK 0 = Not OK = Noj.Applicab4 . MOBILE HOMES = Not ReaQy Date MOBILE HOME UTILITIES (Plans) OK except #'s Zoning Requirements -Setbacks -Easements 1. Zoning Requirements -Setbacks -Easements 3. 2. Soils; Special MH Support Sketch Wood Awn.; Posts-Beams-Rftrs.-Connectors Shthg.-Frg-Bracing 3. Sewer; Location Jest- Fall -C/O -Concrete 6. 4. Water; Location -Test -Easement Needed (Sketch) Electric 5. Electricity; Location- Clearances-Grnd-/ /Amp -Concrete 9. 6. Gas; Location -Test -Wrap; / /" L'ft. / P Nat. or / /"L"ft./ /'LPG Roof; Shthg-Roofing 7. Well Clearance 6 Disconnect 12. 8. Utility Clearance Elec.; Enclosures; Conduit Entries -Terminals -Listed 7. Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater t 8. Date Card B-1 Date Card B-1 Date Card B-1' Date Card B-1 Date MOBILE HOME INSTALLATION (Plans) OK except #'s 11. 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 r 6. Water; MH Test -Regulator -Connector 7. Water and Sewer Connected -C/O to Grade -HD Approval 8. Gas and Electricity Tagged 9. Tie Downs -Type -Installation Cert. 10. Exits; Insp.-Sketch 11. Cert. of Occupancy 12. Permanent Foundation Onlv: License Decal Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 MISCELLANEOUS Date DECKS, COVERS, CARPORTS GARAGES (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Footings; Soils -Size -Depth -Spacing -Connectors -Steel 3. Decks; Girders and/or Joists -Decking -Bracing -Stairs -Rails . 4. Wood Awn.; Posts-Beams-Rftrs.-Connectors Shthg.-Frg-Bracing 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Carports; Windows -Doors 7. Electric 8. Frmg.; Sills -Anchors- Studs- Rftrs-Trusses 9. Siding; Nailing -Veneer -Stucco -Mesh 10. Roof; Shthg-Roofing 11. Ext.; Steps -Doors -Landings 12. Braced Wall Panels Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date FINAL (Plans) OK except #'s T 1. Setbacks -Easements 2. Soils; Compaction -Structure Stability 3. Pool Structure; Steel -Connections -Thickness Dead Men -Lining 4. Elec.; Receptacles and Lighting, Distance-GFI 5. Elec.; Pool Lighting; 15 Volts-GFI 6. Elec.; Enclosures; Conduit Entries -Terminals -Listed 7. Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater t 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 11. Light Niche Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 r 1 ./= OK 0 = Not OK = Not Applicable =Not Ready RESIDENTIAL (.4 Date FRAMING (Continued) Underfloor (Plans) OK except #'s 46. 1. Zoning -Setbacks -Easements -Flood -Slope 47. 2. Ftg., Main; Soils-Elec. Grnd.-/ /" Ftg. Depth 48. 3. Ftg., Garage; Soils-Steel-Elec. Grnd.-/ /" Ftg. Depth 49. 4. Ftg., Porches & Decks; Soils -Steel-/ /" Ftg. Depth 50. 5. Stemwalls, Main; Steel-Blockouts-Wrapped 51. 6. Stemwalls, Garage; Steel- Blockouts-Wrapped 52. 6a. Hold Downs and Special Anchors 53. 7. Slab, Steel -Wrapped 54. 8. Piers -Fireplace Ftg.-Steel 55. 9. D.W.V.; Fall -Fitting -Test -2 Way C/O -Sewer Test 56. 10. UF, Gas Pipe; Size Anchors - Yard Gas Piping; Size Test 57. 11. Water Pipe; Test -Anchors -Regulator -Service Test 58. 12. Electric Underground 59. 13. Plenums & Ducts; Clearance -Material -Support -Ins. 60. 14. Girders -Sills -Anchor Bolts-Joists-Vents-Crippies 61. 15. Access & Ventilation 62. 16. Insulation Date Date Card B-1 Date Card B-1 Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Card B-1 Date Card B-1 Date FINAL (Plans) OK except #'s PLUMBING (Permit) OK except #'s 63. 17. Water Htr.; Vent -Access -Combustion Air Baffle 64. 18. Water Pipe; Test & Anchor -Nail Protection 65. 19. D.W.V.; Test Fittings & Anchor -Nail Protection 66. 20. Shower Pan; Test, First Floor -Tub Access 67. 21. Test Tub & Shower, Second Floor -Tub Access 68. 22. Gas Pipe; Sixe & Anchors 69. Stairs & Rails Date Fireplace or Stove, Clearance -Hearth Card B-1 Date Card B-1 Date Elec. Outlets at Wood Panel, Int. & Ext. Card B-1 Date Card B-1 Date Kit. Fixt. & Appliance; Ground -Air Gap -Cooking Clearance ELECTRICAL (Permit) OK except #'s 73. 23. Fixture & Transformer Clearance -Ins. Protection 74. 24. Elec. Receptacles Spacing -Lights & Switches at Doors 75. 25. Size Boxes & No. of Conductors Stapled 76. 26. Romex Installed Close to Edge of Studs & C.J. 77. 27. Equip. Ground made up w/Mech Fasteners -Bond Gas & Water 78. 28. 2 Appliance Circuits in Kitchen & Conductor Size GFI 79. 29. Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / / ga Cu or AI 80. 30. Range Circle / / ga Cu or AI -Oven Circ. / / ga Cu or At Insulated Neutral ❑ Yes O No 81. 31. Service -Riser Conductors & Ground Main Disconnect 32. Equip. Clearances Panels-Motors-Mech. Equip. 82. 33. Clothes Closet Light -Shower Light -Spa Light 83. 34. Smoke Detector 84. A.C. Unit Disconnect, Electrical -Plumbing Date Vents Above Roof, Plbg-Appliance-Fireplace-Clearance to Openings Card B-1 Date Card B-1 Date Water Well, Disconnect, Electrical, Plumbing Card B-1 Date Card B-1 Date Exterior Elec. Trim, G.F.I. Receptacle -Underground MECHANICAL (Permit) OK except #'s 88. 35. A.C. Ducts Insulation & Support 89. 36. Vent Fan, Exhaust above insulation 90. 37. Condensate Drain & Overflow, Size & Grade 91. 38. Furnace -Vent Access -Comb. Air -Return Air Vent 115 outlet 92. 39. Attic Access & Platform if Furnace in Attic 93. Energy Compliance Certificate -Other Certificates 94. Address Posted Date Card B-1 Date Card B-1 Date Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 FRAMING (Permit) OK except #'s 40. Sits Proper Materials & Anchors 41. Walls Studs -Nailing Spacing & Braces -Plates -Sound 42. Bearing Walls over Girders & Floor Nailing 43. Draft Stop in Walls (rat proof) 44. Fire Stops, Furred Ceilings -Stairs -Chasers -Tubs 45. Headers & Beams -Size & Bearing jingle & Duplex) c. Date FRAMING (Continued) 46. Hangers -Post Caps -Anchors -Connectors 47. Cling. Joist-Rttr. Ties-Purlin-Roll Brac.-Truss-Shting.-Rfng. 48. Fireplace Ties or Type A Flue -Fireplace Throat Clearance 49. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 50. Bdrm. Windows or Exiting Doors -Sill Ht. & Dimensions 51. Garage Fire Protection Framing 52. Property Line Firewall & Openings 53. Ext. Doors -One 3' -Check Garage 3rd Story, 2 Exits 54. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 55. Plywood on Roof Overhang -Attic Vents -Ratter Outriggers 56. Siding -Nailing Veneer 57. Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access 58. Glazing Area -Glass Protection -Skylights -Plastic 59. Shear Walls; Nailing -Bolts 60. Brace Interior/Exterior Wall Panels 61. Insulation -Walls -Ceilings 62. Infiltration -Walls -Windows Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date FINAL (Plans) OK except #'s 63. Ext. Steps -Door & Sidelight Protection -Landings 64. Smoke Detector 65. Furnace Vents -clearance -Comb, Air -Connector - In Garage; Above Floor-Ducts-Mech. Protection 66. Bedroom Exiting 67. G.F.I. & Bath Fixtures & Tub Access -Spa 68. Elec. Trim & Subpanel, Breaker Sizes & Labels 69. Stairs & Rails 70. Fireplace or Stove, Clearance -Hearth 71. Elec. Outlets at Wood Panel, Int. & Ext. 72. Kit. Fixt. & Appliance; Ground -Air Gap -Cooking Clearance 73. Elec. Outlets & Receptacles at Kit. Counter 74. Garage Fire Door; Swing -Landing -Closure 75. A.C. Duct in Garage -Damper 76. Wtr. Htr.; Vents -Clearance -Comb. Air Connector-P.R.V. in Garage; Above Floor-Mech. Protection 77. Plb., Elec. & Mech. Equip. Listed for Location 78. Elec. Receptacles in Garage (F.F.I.)-Romex Protection 79. Insulation -Foam -Looked in Attic 80. Guard Rails & Deck Construction -Post Caps 81. Fdn. VBents & Crawl Hole Door Drainage & Wood -Earth Clearance Looked under Floor O Yes 82. Following Instld./Drive .J Yes No/Walks ❑ Yes Q No/Planters 0 Yes 7 No 83. Stucco Brown -Finish 84. A.C. Unit Disconnect, Electrical -Plumbing 85. Vents Above Roof, Plbg-Appliance-Fireplace-Clearance to Openings 86. Water Well, Disconnect, Electrical, Plumbing 87. Exterior Elec. Trim, G.F.I. Receptacle -Underground 88. Ventilation Throughout House 89. Glass Protection 90. Corrections from Previous Inspections 91. Gas Test -Meters Tagged, Gas -Electric 92. Water & Sewer Connected -C/O to Grade -HD Approval 93. Energy Compliance Certificate -Other Certificates 94. Address Posted 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: .�M.- ,,.�.-•�[-•; Zj -�.;� Ys_r.�;,.s»�tY'.--w-:�F'«�(t4..a-'.�t�v'r>�..w� i...�..r'�"-�---"Kr,�^rtw+.s��....'4 :'-i .�,,.�-.-�.�% .-s.,^Y'� .r . _� v..-�... s `COUNTY OF BUTTE DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive • Oroville, California 95965 • Telephonel(530) 538-7541 PERMIT NO. (Rev.12/96) APPLICATION AND PERMIT--�"''� Ash SSOR PARCEL NUMBER 039-460-013 ZONING BUILDING PERMIT OWNER JIM & NORMA YOUNG 3�",��°—I"11594 SO. FT. OCC. BUILDING VALUATION OWNER'S MAIuNG ADDRESS 2475 DURHAM DAYTON HWY., DUR$AM 95927 CONTRACTOR'S NAME GARY LEX TE 34!$21270 CONTRACTORS MAILING ADDRIS�O61 CHNTERVILLE ROAD, CHICO 95928 CONSTRUCTION LENDER Fireplace LENDER'S MAILING ADDRESS Total Valuation $ 8T60.7 ARCHITECT OR ENGINEER LICENSE NO. —Filing Fee $ 20.00 Permit Fee $ 70.20 ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ BUILDINGADDRESS �' 2475 DURHAM DAYTON HW,, DURHAM CA 95927 Energy Plan Checking Fee $ 4 $ PERMIT FEE $ 271 �20 LOT NO. SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMIT Filing Fee 20.00 USEOFSTRUCTURE GAn. ROOM SF ❑ Duplex ❑ Mobilehome ❑ Other SPECIFY Each Trap 7.00 Solar or heat pump water heater 23.00 Water piping 15.00 Each gas water heater or vent 15.00 . TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑ Describe Work: CLOSE IN GARAGE FOR GAME ROOM Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home ISI GI W @20.00 PERMIT FEE $ ELECTRICAL PERMIT Fling Fee 20.00 Main Service zoos oA v ss 23.00 LICENSED CONTRACTOR'S DECLARATION 1 hereby affirm under penalty of perjury that I am,licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3X& the Business and Professions Code, and my license is in ull force and effect.POWER License Class Lic. No. ..7 7 tom"/ 45S OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: ❑ I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. ❑ 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 -- a 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 grid policy number are: Carrier Main Service 200A TO 1I00A 46.00 NEW CONST. DWELLING OCCUP. SO OR ADDNS. ( a ACC. BLDS. 3.5QFT. 15.45 Zr RE°S,DT. MULTBRANCI.OUTLETU. 97,50 APPARATUS d SINGLE OUTLET CIR. OUTLETEx. Occup. OUTLET OR FIXTURES g 20 @'; o Ex. Occup. OUTLEEpTSAPP .=.°EA. 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wirina 23.00 PERMIT FEE $ 355.455 MECHANICAL PERMIT Fling Fee 1 20.00 Heating Cooling Hood 6.50 Ventilation 1�"FC 2 9.50 19.00 PERMIT FEE $ 1 Policy Number (The above sections need not be completed 4 the permit is for work of a valuation lo one hundred dollars ($100) or less.) - goo 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 oto workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall a fort vrith comply with those provisions. X Date % j Signature of Applicant - ET Owner 10Co� ❑ 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 $ 46.00 Occ CONST. TYPE TOTAL FEE $ 34 1,45S HAZ, .- p FEESi IMP j VV i{i1 FLOOD .O cOF PARCEL' / PD HD ISSUE This permit is hereby Issued under the applicable provisions of the Butte County Code and/or Resolutions to do work indicated above for which fees have been paid. �} /y f /� �[ �`,;� Date Y!/ / /I BY /17l �j / PERMIT EXPIRES ON / / ,% 00 t ate ReceiptNo. 1•-!311.31 k .d0 WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT M .. .:-'re '•._: 4. �K`...^✓...+v `9�,•�,^+^-C!^' i� •M'YFrY "j-'-i.s!i�-'+. v:.i awl ii+:.v:�.,:-�.:...�:�.+.'i COUNTY OF BUTTE - DEPARTMENT OF'DEVELOPMENT SERVICES:- BUILDING. DIVISION 7 County. Center:Drive Oroville, California 95965 • Telephone (530) 538-7541 PERMIT NO. (Rev. 12/96) APPLICATION -AND PERMIT"'r ASSESSOR PARCEL NUMBER ^+ C1� -; (77)1 � ZONING BUILDINGPERMIT ` � OWNER • (JCj TELEPHONE SO. FT. OCC. BUILDING VALUATION . OWNERS OMC DRESS Dk..K-�L.� %l31 -b(v 11 47 9t 1 T CONTRACTOR'S NAME q h TELEPHONE CONTRACTORS MAILING ADDRESS CONSTRUCTION LENDER Fireplace LENDER'S MAILING ADDRESS Total Valuation $ ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00 Permit Fee $ �✓ ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ BUILDING ADDRESS Energy Plan Checking Fee $ $ -i-1• .1/d.1 L14" PERMIT FEE $ LAT NO. SUBDNIS IONS 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 gas water heater or vent 15.00 ' TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑ Describe Work: .Q V_A t C/" 1015 6!:� rV Citni.,k).P 1�.(-•-a^ 1 Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home S G W @20.00 PERMIT FEE S I ELECTRICAL PERMIT Fling Fee 20.00 Main Service A OR LESS 23.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect. License Class Lic. No. OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. , 0 1 am exempt under Sec. Business and Professions Code for this reason Main Service TO 46.00so DWE200ALLING CCU000A NEW CONST. DWELLING OCCUP. 3.5QF°: BBLDS. OR oNST. ( MULACC. UTLET NON-RESID. @7.50 POWER APUTLETPARATUS 8 SIN GLE OCIR. 20 @ 1.00 Ex. Occup. ourLEr OR FocruREs BAL @ .50 Ex. Occup. OFlxs R pOEA 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE _ WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ 1 have and will maintain workers' compensation Insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE $ Policy Number (The above sections need not be completed if the permit is for work of a valuation r�of one hundred dollars ($100) or less.) I certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to. workers' laws of California, and agree that if I should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall forthwith comply with those provisions. tof X y'il:iv_ \ l+t n.. Date P • 1--L '0J SignatTre of`,:pplidant %',Owner ❑ Contractor ❑ Agent An OSHA per i is requir for excavations over 60" deep and demolition or construction of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ Occ i2 -5 eco ^�TVPE TOTAL FEE $ HAZp, PEEg' IMP ,.., FLOOD cOP PARCEL PD HAD IV,compensation This permit is hereby issued under the applicable provisions the Butte County Code and/or Resolutions to do work indicated above for which fees have been paid. Byrfi�tt',la Date PERMIT EXPIRES ON (Da te Receipt No. SOA ,3 (% /7 —/ WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT 039-460-013 00-2204 YOUNG, JIM & NORMA 2475 DURHAM DAYTON RD. DURHAM CONTR: OWNER RENEWAL OF 99-1956 OF CONVERSION II_ COUNTY'OFBUTTE -DEPARTMENT OFD' EVELOPMENTSERVICES-BUILDINGDIVISION 7 County Center Drive - Oroville,`Califorriia 95965 - Telephone (916) 538-7541 PERMIT NO. (Rev.12/96) APPLI.CATION AND PERMIT ASSESSOR PARCEL NUMBER*,h v ZONINQ BUILDING PERMIT OWNERa f ) TELEPHONE SO. FT. OCC. BUILDING VALUATION OWNER'S IUNG ADDRESS _Y~ -CONTRACTOR NAME \ i i, he y TELEPHONE ' {t .r CONTRACTORS MAILING PDDRESS J, CONSTRUCTION LENDER LENDER'S MAIUNG ADDRESS , Fireplace,,. Total Valuation $ / " j . , �, �(• ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00 Permit Fee $ , Q U ARCHITECT OR ENGINEERS MAILING ADDRESS _ •+ Plan Checking Fee $ BuaDI GADDRESS - 25 Darfiagn. %14a Energy Plan Checking Fee $ -Y 'NAME $ PERMIT FEE LOT NO. SUBDNISION' ;' 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 gas water heater or vent 15.00 TYPE OF WORK ` .� New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑ d f n�_o_t ' `� Describe Work: h. `v��14tit Gas orping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home S G W @20.00 PERMIT FEE $ ELECTRICAL PERMIT Filing Fee 20.00 - 600V 0' UE9 Main Service 20.AORLESS 23.00 + LICENSED CONTRACTOR'S DECLARATION ..p I he under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing %0h;Section 7000) of Division 3 of the Business and Professions Code, and my license is in';JU1/l'force and effect. License Class l � (� 1�Y t i ! Lic. No. I' I `• . r' . (. `f OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: - } - ❑ I, as owner of the property, or my employees with wages as their sole compensation,, will do the work, and the structure is not intended or offered for sale. ❑ I, as owner of the property, am exclusively contracting with licensed contractors • ' to construct the project. ❑ 1 am exempt under Sec. Business -and Professions Code for this, reason Main Service ( zooA TO I000A 46.00 NEW CONST. DWELLING OCCUP. OR ADDNS. ( a ACC. BLDS. SO 3.SQ�; NEW CONST. -. MULTI.OUTLET NON-RESID. BRANCH cI c TS @7.50 POWER APPARATUS 8 SINGLE OUTLET CIR. Ex. OCCU OUTLET OR FIXTURES P• p @ 1'00 BAL @ sa Ex. Occup. ouTEiE s AEESSIooFRa 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE $ c� WORKERS' COMPENSATION DECLARATION 1 hereby affirm Und...er, penalty of perjury one of the following declarations: ❑ 1 have and wlll:Irmaintain 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 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 'I I kxi ll,,,, I a'. Policy Number r11. (The above sections need not be completed if the permit, is for work of a valuation of one hundred dollars ($100) or less.) s% s` ❑ 1 certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to workers' compensation laws of California, an� agree that if I should become subject to the workers' compensation provis��i of section 3700 of the Labor Code, I shall forthwitcomply ith those ro islons. / X•/r 4 _ Date; "j Si nature of Appi ant - ❑'Owner ❑ Contractor ❑ Agents" r `1- An OSHA permi is required for excavations over 5'0" deep and demolition or construction ures over 3 stories in height. ;.i± MECHANICAL PERMIT Filing Fee 20.00 Heating'` Cooling Hood 6.50 Ventilation PERMIT FEE S Mobile Home Installation Fee $ Energy Inspection Fee $ OCC CONST. TYPE TOTAL FEE $ HAZ. D. FEES IMP FL000 COF PARCEL PD HD ISSUE This permit is hereby issued under of the Butte County Code and/or indicated above for which fees have By , PERMIT EXPIRES ON do the applicable provisions Resolutions to do work been paid. y Date p kel Dete tReceiptNo. D.S.-B.D. CANARY- SSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT 039-460-013 >� 99-1895 YOUNG, AM & NORMA 2475 DURHAM DAYTON HWY, DURHAM CONTR: JUDSON INSTALL VINYL SIDING . C I CKA �5icle J u►cka , t+ BUTTE COUNTY PERMIT NO. DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT BP041317 24 HOUR INSPECTION #: (530) 538-7636 (OROVILLE) (530) 891-2834 (CHICO) OFFICE #: (530) 538-7541 FAM (530)538-2140 WEBSITE: www.buttecounty.net%dds V LICENSED CONTRACTORS 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 Issued Date: 05/10/2004 APN: 039-460-013-000 the Business and Professions Code, and my license is in full force and effect. License Class: License Number: Site Address: 2475 DURHAM DAYTON HWY DUR Date: Contractor: Map Index: OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Description: ELE SER CHANGE Contractors' State License Law for the following reason (Sec. 7031.5 Business and Professions Code: Any city or county which requires a permit to construct, alter, improve, demolish, or repair any structure, prior Owner: YOUNG JAMES A & NORMA J to its issuance, also requires the applicant for such permit to file a P O BOX 412 signed statement that he or she is licensed pursuant to the provisions of the Contractor's State License Law (Chapter 9 commencing with Section DURHAM, CA 7000) of Division 3 of the Business and Professions Code) or that he or 95938 she is exempt therefrom and the basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars ($500).): ❑ I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale (Sec. 7044, Business and Professions Code: The Contractors' State License Law does not apply to an Applicant: YOUNG JAMES A & NORMA J owner of property who builds or improves thereon, and who does P O BOX 412 such work himself or herself or through his or her own employees, DURHAM, CA provided that such improvements are not intended or offered for sale. If however, the building or improvements are sold within one 95938 year of completion, the owner -builder will have the burden of proving that he or she did not build or improve for the purpose of sale.). Mrl I, as owner of the properly, am exclusively contracting with licensed contractors to construct the project (Sec. 7044, Business and Professions Code. The Contractors' State License Law does not apply to an owner of property who builds or improves thereon, Contractor: and who contracts for such projects with a contractor(s) licensed r I pursuant to the Contractors' State License Law.). o. ❑ 1 am Exempt under Article 3 of the Business and Professions Code CD C -D rn (n N u, I Date: Owner: a) I • n I �Icense #: WORKERS' COMPENSATION DECLARATION I hereby affirm under penalty of perjury one of the following declarations: p 13I1 have and will maintain a certificate of consent to self -insure for 11 workers' compensation, as provided for by Section 3700 of the n Labor Code, for the performance of the work for which this permit Architect: R1 I is issued. n ❑ I have and will maintain workers' compensation insurance, as Engineer: 0 I required by Section 3700 the Labor Code, for the performance of 0 the work for which this permit is issued. My workers' compensation p 0 I insurance carrier and policy number are: °' ) CD CD Carrier: Total Square Ft: 0 S. F. �c f Policy #: Valuation: $0.00 I' I U I certify that in the performance of the work for which this permit is Census Code: l issued, I shall not employ any person in any manner so as to become subject to the workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. Date: { Applicant: `� 1 WARNING: Failure to secure workers' compensation coverage is unlawful, and shall subject an employer to criminal penalties and one hundred thousand dollars ($100,000), in addition to the cost of compensation, damages as provided for in Section 3706 of the Labor f code, interest, and attorney's fees. r CONSTRUCTION LENDING AGENCY This permit is hereby issued under the applicable provision of the 8i tte C my Cods anrVor I hereby affirm that there is a construction lending agency for the Resoluti s o do work indi ated ab v� for hich fees have been paid. performance of the work for which this permit is issued (Sec 3097 Civ.) Name: By: //Date: EXPIRES U� Address: PERMIT ON: V Da e ❑ I hereby certify that the use of this facility shall comply with Sections 25505, 25533, and 25534 of the California Health and Safety Code, which regulate the storage, handling and use of hazardous materials. ❑ Notification in accordance with Section 19827.5 of California Health & Safety Code is not applicable to the scheduled construction of this project. ❑ Attached are copies of the required E.P.A. notification forms. I hereby certify that I have read this application, that the above information is correct, and that I am the owner or the duly authorized agent of the owner. I agree to comply with all county and state laws relating to building construction. I acknowledge it is unlawful to alter the substance of any official form or document of Butte County. I hereby authorize representatiivves) of Butte County to enter upon the above mentioned property for inspection purp�ees. '! 3 / Print Name: • Signature: l I OkA Date: 4,dwner 0 Contractor 0 Agent for Owner ❑ Agent for Contractor BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILdING PERMIT 24 HOUR INSPECTION #:11530) 538-7636 (OROVILLE) (530) 891-2834 (CHICO) OFFICE M (530) 538-7541 FAM (530)538-2140 WEBSITE: www.buttecounty.net\dds PERMIT NO. BP041317 LICENSED CONTRACTORS DECLARATION I hereby affirm under penalty of perjury that I am licensed under 1 provisions of Chapter 9 (commencing with Section 7000) of Division 3 of Issued Date: 05/10/2004 APN: 039-460-013-000 the Business and Professions Code, and my license is in full force and effect. License Class: License Number: Site Address: 2475 DURHAM DAYTON HWY DUR Date: Contractor: Map Index: OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Description: ELE SER CHANGE Contractors' State License Law for the following reason (Sec. 7031.5 Business and Professions Code: Any city or county which requires a permit to construct, alter, improve, demolish, or repair any structure, prior Owner: YOUNG JAMES A & NORMA J to its issuance, also requires the applicant for such permit to file a P O BOX 412 signed statement that he or she is licensed pursuant to the provisions of the Contractor's State License Law (Chapter 9 commencing with Section DURHAM, CA 7000) of Division 3 of the Business and Professions Code) or that he or 95938 she is exempt therefrom arid the basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars ($500).): ❑ 1, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale (Sec. 7044, Business and Professions Code: The Contractors' State License Law does not apply to an Applicant: YOUNG JAMES A & NORMA J owner of property who builds or improves thereon, and who does P O BOX 412 such work himself or herself or through his or her own employees, DURHAM, CA provided that such improvements are not intended or offered for sale. If however, the building or improvements are sold within one 95938 year of completion, the owner -builder will have the burden of proving that he or she did not build or improve for the purpose of sale.). -*'I, Ml as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec. 7044, Business and Professions Code. The Contractors' State License Law does not apply to an owner of property who builds or improves thereon, Contractor: and who contracts for such projects with a contractor(s) licensed pursuant to the Contractors' State License Law.). O I am Exempt under Article 3 of the Business and Professions Code Date: Owner: License #: WORKERS' COMPENSATION DECLARATION I hereby affirm under penalty of perjury one of the following declarations: ❑ I have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by Section 3700 of the Labor Code, for the performance of the work for which this permit Architect: is issued. ❑ 1 have and will maintain workers' compensation insurance, as Engineer: required by Section 3700 the Labor Code, for the performance of the work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Cartier: Total Square Ft: 0 S. F. Policy#: Valuation: $0.00 0/1 certify that in the performance of the work for which this permit is Census Code: issued, 1 shall not employ any person in any manner so as to become subject to the workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. Date: � 1 vu Applicant: WARNING: Failure to secure workers' compensation coverage is unlawful, and shall subject an employer to criminal penalties and one hundred thousand dollars ($100,000), in addition to the cost of compensation, damages as provided for in Section 3706 of the Labor code, interest, and attorney's fees. `CONSTRUCTION LENDING'AGENCY - - - This pe it is hereby issued under the applicable provisions of the Butte County Code anrior I hereby affirm that there is a construction lending agency for the Resoluti s o do work indi ated ab v for hich fees have been paid. 1 performance of the work for which this permit is issued (Sec 3097 Civ.) 0 Name: BY:/Dla�t-e: EXPIRES S Address: PERMIT ON: V W (Date) ❑ 1 hereby certify that the use of this facility shall comply with Sections 25505, 25533, and 25534 of the California Health and Safety Code, which regulate the storage, handling and use of hazardous materials. Cl Notification in accordance with Section 19827.5 of California Health & Safety Code is not applicable to the scheduled construction of this project. ❑ Attached are copies of the required E.P.A. notification forms. I hereby certify that I have read this application, that the above information is correct, and that I am the owner or the duly authorized agent of the owner. 1 agree to comply with all county and state laws relating to building construction. I acknowledge it is unlawful to alter the substance of any official form or document of Butte County. I hereby authorize representatives of Butte County to enter upon t e above mentioned property for inspection pues. A t i `J, ✓ o y uq Print Name: -- Signature: 1 lo — Date: 1�.6wner ❑ Contractor ❑ Agent for Owner ❑ Agent for Contractor BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT APPLICATION 24 HOUR INSPECTION #: (53,1, 538-7636 (OROVILLE) (530) 891-2834 (CHICO) OFFICE #: (530) 538.7541 PERMIT NO. 0 X1.3` � DATE: APN: ^ _ ZONING: NEAREST CROSS STREET: TRACTILOT#: SITE ADDRESS: _ w CITY, ZIP: OWNER NAME: PHONE//: 0s�j STREET ADDRESS: FAX: CITY, ZIP: E-MAIL: APPLICANT NAME: PHONE STREET ADDRESS: FAX: CITY, ZIP: E-MAIL: CONTRACTOR NAME: PHONE: STREET ADDRESS: FAX: CITY, ZIP: W / � L � E-MAIL: r LICENSE NUMBER LICENSE TYPE ARCHITECT/ENGINEER NAME: PHONE STREET ADDRESS: FAX: CITY, ZIP: LICENSE NUMBER E-MAIL; DESCRIPTION OR SCOPE OF WORK: El Structure Built without permits El Proposed Change of Occupancy (note previous use) EXPIRATION OF APPLICATION Applications for which a permit has not been issued will expire one year after the date of application. In order to renew action on an application after expiration, a new application, plans and fees will be required. REQUEST FOR REFUNDS Refunds can only be made upon written request by the person who paid the fee. The request must be made prior to the expiration *of the permit and no construction work has been done. Filing fees, plan check fees for work plan checked and other department costs are not refundable. For office use only: Notes: Application Received by-*-�, Date: !;-h% / ��i Receipt number:j Amount Received: S �� B. C. Building Permit 01-23-04 pg 2 COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-7541�d P IT N (Rev. 12/96) APPLICATION AND PERMIT C,- ASSESSORPARCELNU BEP f (4 (OI (OC)_ ZONING BUILDING PERMIT OWNER TELEPHONE SO. FT. OCC. BUILDING VALUATION .OWNERS1601 + ADDRESS 5 9 CONTRACTOR'S NAME TELEPHONE CONTRACTORS MAILING ADDRESS CONSTRUCTION LENDER Fireplace LENDERS MAIUNG ADDRESS Total Valuation $ ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00 Permit Fee $ r O ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ SUILDINGADDRESS Energy Plan Checking Fee $ LAIVahil PERMIT FEE $ LAT NO. SUBDNIS IONS NAME PARCEL MAP PLUMBING PERMIT Filing Feel 20.00 USEOFSTRUCTURE SF J�( Duplex ❑ Mobilehome ❑ Other ' ` SPECIFY Each Trap 7.00 Solar or heat pump water heater 23.00 Water piping 15.00 Each gas water heater or vent 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑ Describe Work: p-( c1 "l j Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home I S I G I W (–W20.00 PERMIT FEE $ ELECTRICAL PERMIT Fling Fee 20.00 800VOR LESS Main Service A OR LESS 23.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect.b 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: I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason TO Main Service TG 46.00 NEW CONST. DWELLOCCUP. EL CU OR ADDNS. ( 6 ACC. EMS. SO 3.5¢FT. NON-ROSID. MULTI -OUTLET 97.50 AP= U SPOINGLE OLRLET CSI R. Ex. OCCU OUTLET OR FIXTURES 20 Q 1.00 BAL Q .50 Ex. Occup. DUXnFrs PREESSIO) EA 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wirina 23.00 PERMIT FEE $ WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ I have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ 1 have and will maintain workers' compensation Insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permitis issued. My workers' compensation insurance carrier and policy number are: Carrier Policy Number (The above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) that in the performance of the work for which this permit is issued, I shallTOTAL employ any person in any manner so as to become subject to workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall forthw' cc ply with those provisions. hN)V,Date I��V f! Signa re of ppl nt - Owner ❑Contractor ❑Agent '`�--- An OSHA per i is ' quir for excavations over 5'0" deep and demolition or construction of structures over 3 stories in height. MECHANICAL PERMIT Fling Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE $ Mobile Home Installation Fee $ Energy Inspection Fee $ FEE $not n5JY1P�Icertify IMP FLOOD CDF — PARCEL — PD _ HD U Fl This permit is hereby issued under the applicable provisions of the Butte County Code and/or Resolutions to do work indicabove for which fees have been paid. at ByAfi C Date PERMIT EXPIRES ON / —/J - Date Receipt No. . ou WHITE-D.D.S.-B.O. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DI ISION 7 County Center Drive Oroville, California 95965 • Telephone (530) 538-7541 P IT (Rev. 12/96) r APPLICATION AND PERMIT ASSESSOR PARCEL NUMBER 039-460-013 ZONING BUILDING PERMIT OWNER JIM & NORMA YOUNG '11275594 SO. FT. OCC. BUILDING VALUATION . OWNERS MAILING ADDRESS 2475 DURHAM DAYTON HWY . , DURHAM 95927 CONTRACTOR'S NAME GARY LEX ' go -1270 CONTRACTORS MAILING ADDFIS3061 CENTERVILLE ROAD, CHICO 95928 CONSTRUCTION LENDER [Fireplace LENDER'S MAILING ADDRESS Total Valuation $ ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 108,00 20.00 Permit Fee $ 70.20 ARCHITECT OR ENGINEERS MAILING ADDRESS Plan CheckingFee $ 2,1 QQ BUILDING ADDRESS 2475 DURHAM DAYTON HWY. , DURHAM CA 95927 Energy Plan Checking Fee $ $ PERMIT FEE S221-20 LOT NO. SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMIT Filing Fee 20.00 USEOFSTRUCTURE GAME ROOM SF ❑ Duplex ❑ Mobilehome ❑ Other SPECIFY Each Trap 7.00 Solar or heat pump water heater 23.00 Water piping 15.00 Each gas water heater or vent 15.00. TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑ Describe Work: CLOSE IN GARAGE FOR GAME ROOM Gas piping stem 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home ISI GI W1 @20.00 PERMIT FEE $ ELECTRICAL PERMIT Filing Fee 1 20.00 Main Service p A OR LESS 1 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 i II force and effect. p License Class LIC. NO. �l i 5/ J OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: ❑ I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason Main Service 2oOA TO 1000A 46.00NEW CONST. DW EwNG OCCUP. OR ADDNS. ( a ACC. BLDS. SO `3.50FT. 15.45 pOE51U T. MULTI.OUTLET 97.50 FowER APPARATus i SINGLE OUTLET CIR. E7(, Occup. OUTLET OR FIXTURES BAIL @ l.w Ex. Occup. D,n,EF°,s A6.) oma 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 :d PERMIT FEE S 35..45 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 MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling Hood 6.50 Ventilation 2 .50 1 .00 PERMIT FEE S Policy Number (The 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 if I should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall fo ith comply with those provisions. _��� / X Date (9—do—'79 Signature of A ica Owner 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 $ nn occ CONST. TYPE r T TAL FEE $ 1 54 J45 HAZ. / D. FEES M FLOOD s CDF PARC PD H ISSUE This permit is hereby issued under of the Butte County Code and/or indicated above for which fees have By PERMIT EXPIRES ON the applicable provisions Resolutions to do work been paid. latter / T G ✓ ®0 Date ReceiptNo. �L �y/3/$341.65 WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION ` 7 County Center Drive • Oroville, California 95985 • Telephone (530) 538-7541 PERWT i (Rev.1z/90) APPLICATION AND PERMIT As M004 PAM& K%# , sots" BUILDING PERMIT O1M M /O� V(5�rVa �s y SO. FT. OCC. BUILDING VALUATION TVJPWN coco►mue,oa, MNYO Aooaas - 1 SAGI GEnl7'� ► �C..[,,E " K ® G���a � � SSS R UMOM VAalpo Aooaessy —1vtogaum I %-,. U — Total Valuation S MC/w14Cr °" 0�� txOfNea MO Fiffnal Fee S AncKrEaT ON ems w7Aooaess Permit Fee i fes/ Plan ChWJdng Fee $ eULONGADOMS �/ En Plan CheckingFee i 75 Ci L UP-1 , S (; aPERMIT FEE :FWAW ' wr PWYSING PERMIT Each TVw Main Suvlce ( Zm— iia ;as Main SerAce 20M To IOWA Ex. Occuo. ( ouncr oil rKnrm 20.0 10.00 7.00 23.00 15.00 15.00 15.00 15.00 020.00 ng Fee 20.00 . 23.00 48.00 3.5tn_ Mobile Hone Facilities 1 20.00 Misc. Wiring23.00 PERMIT FEE : S. MECHANICAL PERMIT Flilng Fes 1 20.00 Heatin 0.50 Ventilation r GR011 � f GG a �V Mobile Home Installation Fee ti Energy Inspection Fee I i 467,_ OCC comm TYPE TOTAL FEE s q 5 'COU71 O. Ind I IMP I AMD I C0/ I PAACEL Ik1, NO FA L4 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 I PERMIT EXPIRES ON SF O Duplex O USEOFSTRUCTURE Moblshome O Other G�''''I� IZOO�'Y1 Solar or haat pump Water pkft we/sr heater Each gas water healer or vent TYPE OF WORK , // Gas 1 - 5 outlets New O Addillm m O Reodel LCL MW O tals/tlionO• Odw O Building sewer Describe Work: /A) �'�tf�C�•rL, Mobile Home I S I G W ��'LO��� �� (-' ��� ✓� PERMIT FEE _ Main Suvlce ( Zm— iia ;as Main SerAce 20M To IOWA Ex. Occuo. ( ouncr oil rKnrm 20.0 10.00 7.00 23.00 15.00 15.00 15.00 15.00 020.00 ng Fee 20.00 . 23.00 48.00 3.5tn_ Mobile Hone Facilities 1 20.00 Misc. Wiring23.00 PERMIT FEE : S. MECHANICAL PERMIT Flilng Fes 1 20.00 Heatin 0.50 Ventilation r GR011 � f GG a �V Mobile Home Installation Fee ti Energy Inspection Fee I i 467,_ OCC comm TYPE TOTAL FEE s q 5 'COU71 O. Ind I IMP I AMD I C0/ I PAACEL Ik1, NO FA L4 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 I PERMIT EXPIRES ON COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE (530) 538-7541 PERMIT APPLICATION DATA SHEET OWNER: JIM /0046"A YO 1/,Jq ASSFSSOR PARCRI. MTTMRPP- 3 %- 'q4 - 1 3 Proposed BuildingjJse: CA $A y,( 6,0,�y, Building Inspector: Date: 8 - 73 -' -`i At time of permit(application, I was advised the following data must be submitted prior to permit processing and/or issuance: --- Date Received By ❑ 1. All iiems have been submitted .-------------------------------------------------------------------------------=- 02. Plot plans, 3/4 sets, signed by the preparer of plans. ------------------------------------------------------------ 03. Complete plans, 3/4 sets, signed by the preparer of plans. ------------------------------------------------- 04. Engineered plans, 3/4 sets, with wet signature on `plans. All engineering must be shown on plans. -------- ❑ 5. Engineered truss details and layout in duplicate (required prior to plan review) No faxes! ------------------ 116. Energy Design Compliance and supporting documentation ❑ 7. Statement of Intent for Non -Heated and A/C Buildings. --------------------------------------------------------- El 8. Hazardous Material Form. ------------------------------------------------------------------------------------------ ❑9. Manufactured Home data and installation instructions including Tie Down Specifications ------------------- 0 10. Fees of $ -------------------------------------------------------------------------------------- X11. Impact fees as shown on the attached schedule. -----------------------------------------------. ❑ 12. California Department of Forestry plan approval/fees. ---------------------------------------- ❑ 13. Flood elevation certificate. --------- -- �/L--------------------------------------- _.----= -' W,4. Sanitation and plot plan approval Health Department. =------ y----------------- ❑ 15. City of Chico plumbing permit.------------------------------------------------------------------ ❑ 16. Plot plan and business license approval fro the City of Biggs. --------------------------------------- ❑ 17. Planning approval for (A) Use: O (B) Parking: ------------------. ❑ 18. Contact Land Development about ❑ Improvements, ❑ Drainage, ❑ Legal Parcel. ---------------- ❑ 19' Encroachment Permit for driveway (construction approval prior to occupancy). --------------------- 020. Pre -inspection for t required. Request to Building Inspector on ❑21. Contractor's license information. (Number, Name Style, Classification). ----------------------------- C1 22. Workers' Compensation carrier and policy number. ---------------------------------------------------- 023. Owner-Builder --------------------------------------------------- ❑23.Owner-Builder Verification (Given to owner ❑, Mailed to owner ❑). 024. Letter of signature authorization. ------------------------------------------ 025. Recorded copy of Agricultural Acknowledgment Statement. --- ------- 0 26. Letter of intent on building use. ------------------------------------ ------- ❑27. Manufactured Home utility clearance. ------------------------------------- 028. Existing violations and/or expired pemrits- ----------------------- ------- ❑29. 0433 A, ❑Grant Deed, ❑ M.H. Title, ❑ Check to H.C.D $ 030. Other: n you issue the ernut, process as follows ❑ Mail to owner, ❑ it to contractor. ,KTelephone 3 y 92-70 and hold for pickup at UR 0 /7 $ 771 Applicant: _ Copy of Haz-Mat form sent ❑ Health Department, ❑ Fire Department, ❑ Air Copy of plans sent ❑ Health Department, ❑ Fire Department, ❑ Other: ❑ Deliver with inspector. Date: 9 DaK By: Date: By: 1. Index permit application for the above items numbered: ❑ Plan Check List 2. Additional items required: Contractor, designer, owner, was advised of the above required data by ❑ phone, ❑ mail, ❑ Building Division counter, by Date: Contractor, designer, owner, was advised of the above required data by ❑ phone, ❑ mail, ❑ Building Division counter, by Date: Contractor, designer, owner, was advised of the above required data by ❑ phone, ❑ mail, ❑ Building Division counter, by Date: Contractor, designer, owner, was advised of the above required data by ❑ phone, ❑ mail, ❑ Building Division counter, by Date: Plans reviewed by: Date: Plans approved by: Date: Sets of plans on hold in ❑ Plan Cabinet, ❑ A.P. folder. Note transfer by: Date: _ (Date) Plot Plan Attached USE ONLY t � Floor Plan Attache Fent to B.D. TO: Building Department FROM: Environmental Health SUBJECT: Sanitation Clearance . V n 3 9 - *&0 - ®13 Owner Location AP# Plan Approved for: Sewage Disposal -f Water Supply: Public Private Well Clearance for -odvm+ ng. Other6phyeAla'� do igeA -/v g�-�a, �- a6 t Hold final for: Final clearance O.K. for: NOTE: /1E/fS 93 -31- 99 Environmental Health Specialist Date 8/96 BUTTE COUNTY PARK FACILITY FEE PAYMENT CERTIFICATION FORM DURHAM RECREATION AND PARK DISTRICT Assessor Parcel Number (s): (9 — Z46on --- n Property Owner (s): (. M hoc) AJ C' Project Location/Address: �� 641P�,I_J 42� Subdivison Name: Assessable Square Footage: Z08 Type of Residential Development (check one): New Development eAfteration*/Addftion ❑ Mobile Home (s) ❑ Non -Residential to Residential Comments: ! Building Division Representative Date Durham Recreation and Park District (DRPD) certifies that ,Applicant Name W75 X1 Street Address City Applicant Phone Number Zip Code 0 has complied with the requirements of the Butte County Board of Supervisors Resolution No. 93 - 114 by payment for D ;�' square feet at $ 1.04 per square foot for a total payment or $ DRPD Representative PAID BY CHECK No.: BANK No.: PAID BY CASH: RECEIPT No.: z/6 Date' ,-W _194 9 �_ DISTRIBUTION: WHITE - APPLICANT PINK - DRPD YELLOW : BUTTE CO. BUILDING DIVISION BUTTE COUNTY SCHOOLS IMPACT FEE CERTIFICATION FORM (One form per Building) School District �L( 5_JJ Building Department No. i A.P. Number J%" 4&0 �y13 Jurisdiction: City County Property Owner (f �0� 71 P" Property Location/Address Subdivision Lot No. ..................................................................... :..................................... : 9 Residential Development d� Sq. Footage No of Living Mobile Home Addition/ 'Supplemental to (Group R) Units Installation Conversion Permit # '(No foundation inspection); Commercial/Industrial O New Addition Building Department moor vans revrewea Dy acnoor Ulstrlct rersonneil District' Identification No. OA)l % f �l/� Id, 1 *ii OA / F1 School District certifies that -7-L/7,5-- J-)lrie#0-7r 0,0 y r&,*J /-fw y Sq. Footage (Including Exterior Roofed Areas) Date \z77/7-7 XIO ( -17 0-1— (Applicant) (Street Address) 't (Phone Number) d7U� C g Sc/3 S' (City) (State) (Zip Code) has complied with the requirements of Resolution No. 96 —LI by payment of $ representing '7 V o square feet. J�AB 2926 S FULL MITIGATION b 57-1 School District Representative Date Paid by Check # Remarks: ,�go r-7— UNDe7e soy t Notice: You may protest the imposition of the fees identified above by submitting a written protest to the District, in compliance with Government Code Section 66020(a), within 90 days from the date fees are paid. Failure to submit a timely written protest will prohibit you from challenging the imposition of the fees in any court action. If, subsequent to the School District Representative signing this Butte County Schools Impact Fee Certification Form, the School District is notified by the applicable Local Planning Agency,that this project is being reviewed under the California Environmental Quality Act (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) feeform.x1s.(10/981dmm r S�pi�C q57 - - .... Ll Dv2��rn c.4.95CI17 4 Y. - +� U� 14A ..------ - ,` -- �- -- --� �-- ---�- _ - - '474.) 11-4 of ---�j_ —. .__ �_• _-.----- --. i I I- � r S�pi�C q57 - - .... Ll Dv2��rn c.4.95CI17 4 Y. - +� U� 14A ..------ - ,` -- �- -- --� �-- ---�- _ - - '474.) 11-4 of ---�j_ —. .__ �_• _-.----- --. g xtr 7 /A/& j ;Vl-t'A,. L. :) qo OlrL, Y& �ll 4 --Apr-"- Ild Hl -,,40M Tic-' wr& w t IT66 517-tF? 039-%0_01, r -3 6LOA)6A a,-4-76 DUWl 0,4*W put, A 0— COUNTY OF BUTTE DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 COUNTY CENTER DRIVE, OROVILLE CA 95965 TELEPHONE (916) 538-7541 SCHEDULE OF FEES DUE OWNER �tm A.P. # 35 VO- 1-3 PROPOSED BUILDING USE G /al& C e, Gr1%' T -o DATE 4?' L 9 1. BUILDING PERMIT FEES -- Balance Due ................ $ -- Additional Fees Due ........... $ -- Additional Fees Due ........... $ y /-- Revised Plan Checking Fee ....... j�$ v 2. SCHOOL DISTRICT FEES d L) Al �^ � (paid at District Office) e-1 e? , / Tg e""J 9? ,+c rk.) 3. SHERIFF FEES (paid at Building Division) Residential ........ x $360.00 = $ Units Commercial (sq.ft.)... x $0.03 = $ Sq.Ft. 4. URBAN AREA FEES (paid at Building Division) Residential (per unit) . x - = $ #Units Amt. Commercial (sq.ft.) .. x =$ Sq.Ft. Amt. _Z5. RECREATION DISTRICT FEES (paid at District Office) pJ�y/fo1 � 6. THERMALITO DRAINAGE DISTRICT FEES $510.00 (paid at Building Division) 7. SRA FIRE INSPECTION AND PLAN CHECK $89.00 (paid at Building Division) 8. WATER TENDER FEES (Battalion # ) $200.00 (paid at Building Division) 9. CSA 87 'TRAFFIC FEE $2500.00 (paid at Building Division) 10. OTHER RECEIPT # DATE REC ,q_ 17.4S r At time of permit application, I was advised the above fees are required to be paid prior to issuance of the building permit. These fees may be chanduring the plan checking process. APPLICANT DATE Pursuant to Government Code S ' n 66020, you are hereby notified that items 2,3,4,5,6,8,9, and 10 above may have been imposed on your project. You have 90 days from the date of approval of the project or from the imposition of the above mentioned items during which you may protest. The requirements for a protest are specified in Government Code Section 66020(a). Original -Building Div. 2nd Copy - Applicant 3rd Copy - Owner (Rev. 2/97) Environmenta► riewil, p AUG 2 3 1999 �t Chic®, California n.-. A P i 'CVE:J Butte County _.E-nykonmental Health -31 _ 9� --- Date Signature r - - GA' A AG ,4P. o3q 013 .Dv2nl �rn c.4.9 5 9.2 7 may. )EP��� V y v(~::`�1 t r Y :^ems,.,. �A„ .t3. .,,ye X. -'y ...4 ynr , :A 1..,. )J"',�, iK : t` �j�;� .Co" - •� ?, � e r1 � � Y - .r J,.' " ,' Fr_ ':]�: wr`l' �S- ��.� �i'��t*y#+'.i•'�eA.*. F�. ".7�'` k 'fa ,��.l�, �'�4"% 'ir �� ,.:y�`{- !!r• ' Lam, 1 1 •r 'r„J f .ra^ �r !- s%+an k .Yr"{RZ',_.• •' �' 1i�``. •_. '"'-" �;�'a+i,,. s? '{ ...y`. �N.. 1.'a+. S t F'tiy .7}��. -i� r•f l rt'f :?` jw .l G•'� + :,f i - '7f1 ,. y44} ` 1,� ,.i'r► �1 ' r` i-'%7 P . 2 - Y 1.•� Yio-:,'�S•�' f^ L}.{ F,�3n }''�• >•'^� ... .. .y ..�.•t. 5'' j., �t''}-;l,wy, {�r . M; 4x +.r.� r.i�r „� r - r -.a �r 1sn,'x "`it ri�•yk �,-..x r.i].•� !�7 �.`^��h Z" - ;R�J�. -'�-R• "'j "r t -'-i `-" f'` �Yi `�a' `,1 d+!�r,'�1r: `� 'J tia._. t r T .1�„ c tit,.. _•ih'• .�.wf :N+4ti�-;-' x' -,Pt ;,+ar C.°. `S. " ,, _ a s< ". •'we`d r•a' i i4A;jy�yj,�. ..< <i1 ` y7,a.E�. y�.>.,� -''�.•�r ! iy" r .�1. ' '.f `' t;�4A1 +.. ,rf•1tflyF _ ,et. i• ,•.T i �.," i1 /1 h+ j1 vry •Y =�;; '�`1 'y �• .• C)�.nT' k�,1 �^ rt t f * ` t - de } „fie T -J• •�` �!► •Yr y� -' :•'b `�•'r- _}- ' sN'.!1•�r, 4^! ' W'`� ,j •', i>4•' 'iv • r 'r'h 1 ,f( yam: - . '1r ,lir +r ,l,i!'• ly;y''{�p�• n•l r..:; :'li. !`•{..f t I )i C ~d -L' f ! "hy moi, A... �. / .. _ 'f" r Ff •t•if �: 1,'..F J.� A. %�} � 3riP 3 „i- ,.} y-� - ' 1 f � '• x J t �� �9. Y i4'; T 14 1'lr .�YY• �W ` SrrF� r4'- f I, Ra ,Ij !.. ". �,.f'. • �y ! x .rt -f/'..' r ..f Citi .•4' r ,,. t �_t < �, _�-_ - .�F �,�, t - i6 •. ."-��^---' S i y ---' ., f� � N � •• ^/�I—/—�/I t r �=.• -. .rte 1 �/ - SupE�'"' ago •"' " . . — •.,...-�-.' .... AtIPA 14 • Er ,� = ::� Vit.;.. . - 30 � - - _ ,�• ,; .;,�. _.,:, � � ; ; ... >, ; � . �j. A« I' - l//lam/ii�}`• •'�'�'f 4 �H p ` •i AUM chbo1 canfo„Ilii �.APPROVEDAR oNgip. GYM--- Environmental Health. ., .. t1A7±�61A0 459x7 Si9natur,e it NNG TYE ell — • - ' __ - - - ` %..— L — - I k �' 1,5,01 r�.o•�uG� s -TV 5TA -L L C1674 14)6. ; 0Krs ay'' R V 0 44"r Ja, r i 4�4m � i2oorr� f F �N57At4- • �� �1 �ov4L x� {�: / y� uEj/41' — Toe- .iwr6 1. 'S 7-)U 2 ?two' Dc. r S F s ` bd Silt ? 4/0 039•�4ao- �. 1 '- .i....✓.......lile..r..:-.1.u....u.:,i..u.r.r:...e..•r.:.-r.a.-u.e..�.u.�...r..:iu..F............✓..-�....,. �....'v... '.....u.......w..... - .. '�J...:.......:..`...—.:.,. CERTIFICATE OF COMPLIANCE: RESIDENTIAL (Page 1 of 2) CF -IR . THEYo_cAwC,- ACo i' a #�J. " Project Title -- 2q J S DURHAM DAYronJ H W Y Project Address MA93-Y 530 S94 $466 Documentation Author Telephone PACT -AGE (Fop- A1>viT10WS Afoosr I I Compliance Method (Package or Computer) -- - -Climate Zone Building Permit # Plan Check / Date- Field ate Field Check / Date ` Enforcement Agency Use Only GENERAL INFORMATION Total Conditioned Floor Area 40b ft2 Average Ceiling Height: F ft Conditioned Slab Floor Area 408 ft2 .Building Type: Single Family ✓ Addition (check one or more) Multi -Family Existing -Plus -Addition Front Orientation: _ North South / East / West / All Orientations (input front orientation in degrees from True North and circle one) Number of Stories I Number of Dwelling Units: Floor Construction Type: Slab aised Floor (circle one or both) BUILDING SHELL INSULATION Component Type Frame Type Cavity Sheathing wd = wood Insulation Insulation stl = steel R -Value R -Value Total R- Value' Assembly Location/Comments U -Value (attic, garage, typical, etc.) Wall yJ 00 0 13 -TYPI CAL— Wall . 7S Standard -/A *J O Roof WOOD 70 AMC Roof Left E Floor Standard k A N O Floor Standard Slab Edge Rear FENESTRATION Shndint7 Df -vices Fenestration #/Type/Pos. Orien- tation Area (ft') _ Fenestration Fenestration Interior U -Value SHGC Shading Att.2 Exterior Shading Att.. Overhangs /Fins Front N 2 . 7S Standard -/A *J O Front Standard Left E 12 Standard k A N O Left Standard Rear Standard Rear Standard Right Standard Right Standard Skylight Standard Skylight - Standard ski A- P P t For prescriptive compliance, Total R -Value and Assembly U -Value are not required for a wood -framed wall that meets cavity R -value insulation requirement for the Prescriptive Package. 2 For prescriptive compliance, there are no credits for any interior shading except the default or "Standard" drapery. These default interior shadine devices (draperies) need not be installed for compliance purposes. July 1, 1999 CERTIFICATE OF COMPLIANCE: RESIDENTIAL •THE`You I.I Ci Project Title E 2 of 2) CF -1W_ , ... . 2L ANG 9 4 Date HVAC SYSTEMS Name: M A RLTY F. V N N E LL. S Title/Firm: Note: Input hydropic or combined hydronic data under Water Heating Systems, except Design Heating Load. Heating Equipment Minimum Distribution Type and _ 3O R9d 8 466 Type (furnace, heat Efficienc Y " ' ` Location s . Duct or pump, etc.) CXIS r I N G (AFUE or HSPF ducts, attic, etc. Piping Thermostat R -Value Type N —!A am C 4.2 N/A Cooling Equipment Minimum Type (air conditioner, Efficiency heat pump, evap. cooling) (SEER) r=XiSTtNG N/A WATER HEATING SYSTEMS Water Heater Distribution _EX IS -n N G Duct -- Location - Duct Thermostat (attic, etc.) R -Value Type A -TTI r4.2 Energy' Rated' Tank Factor or Number Input (kW Capacity Recovery in System or RhArl Heat Pump Configuration (split or package) Iv/A Heat Pump Configuration (split.or package) External Tank Standby' Insulation L For small gas storage water heaters (rated inputs of less than or equal to 75,000 Btu/hr), electric resistance, and heat pump water heaters, list Energy Factor. For large gas storage water heaters (rated input of greater than 75,000 Btu/hr), list Rated Input, Recovery Efficiency and Standby Loss. For instantaneous gas water heaters, list rated input and recovery efficiencies. r r,a 111lj :S and MODELING ASSUMPTIONS Add extra Including Thermal Mass (thermal mass type, covering, thickness, and description) COMPLIANCE STATEMENT This certificate of compliance lists the building features and performance specifications needed to comply with Title 24, Parts I and 6 of the California Code of Regulations, and the administrative regulations to implement them. This certificate has been signed by the individual with overall design responsibility. When this certificate of compliance is submitted for a single building plan to be built in multiple orientations, any shading feature that is varied is indicated in the Special Features / Remarks section. _ Designer or Owner (per Business and Professions Code) Name: �, AR1I LE)c Title/Firm:Ger.,TRe rem Address:—1_3bt,1 GEt�r>rEitVILLE P_ 401A - Telephone: 3.4 S q ? Lic. #: SI -4 Q cs (signat re) (date) Enforcement Agency Name: Title: Agency: Telephone: (signature / stamp) (date) Documentation Author Name: M A RLTY F. V N N E LL. S Title/Firm: r- C5 Address: (90} M&,I jC. eaJC InVE Sel ire " Telephone: crl� 9 s426 5 _ 3O R9d 8 466 (signature) 2 Z A vim, j 17 (date) BUTTE COUN 1 r BUILDING DEPARTMEt,o APPR0V__Ff., July 1, 1999 I 11L: MANDATORY MEASURES CHECKLIST: RESIDENTIAL (Page I of 2) MF -1R ... ...•.. .M' 1��'• rl.r ...�. ie.r r.k�^.+i..te 1'.d i A'ixn,..H .:�1Y'•.-ti.y.w.l V -a: nt,.xw •.,. ,,. • al ....:....s 1.1 �t,.i• .. >µ .e. Note: Lowrise residential buildings subject to the Standards must coain these measures regardless of the compliance approach used. Items marked with an asterisk (*) may be superseded by more stringent compliance requirements listed on the Certificate of Compliance. When this checklist is incorporated into the permit documents, the features noted shall be considered by all parties as minimum component performance specifications for the mandatory measures whether they are shown elsewhere in the documents or on this checklist only. Instructions: Check or initial applicable boxes when completed or enter N/A if not applicable. DESCRIPTION DESIGNER ENFORCEMENT Building Envelope Measures: ' §150(a): Minimum R-19 ceiling insulation. § 150(b): Loose fill insulation manufacturer's labeled R -Value. Vol ' §150(c): Minimum R-13 wall insulatioe in wood framed walls or equivalent U -value in metal frame walls = does not apply to exterior mass walls Vol, ' §150(d): Minimum R-13 raised floor insulation in framed floors. N�A §150(1): Slab edge insulation -water absorption rate no greater than 0.3%, water vapor transmission rate no greater than 2.0 perm/inch. N/ A §1 18: Insulation specified or installed meets insulation quality standards. Indicate type and form. ✓ §116-17: Fenestration Products, Exterior Doors, and Infiltration/Exfiltration Controls L Doors and windows between conditioned and unconditioned spaces designed to limit air leakage. N/A 2. Fenestration products (except field-fabricated)have label with certified U -value, certified Solar Heat Gai 77 § 110-§ 113: HVAC equipment, water heaters, showerheads and faucets certified by the Commission. Coefficient (SHGC), and infiltration certification. 3. Exterior doors and windows weatherstripped; all joints and penetrations caulked and sealed. re § 150(g): Vapor barriers mandatory in Climate Zones 14 and 16 only. §150(h): Heating and/or cooling loads calculated in accordance with ASHRAE, SMACNA or ACCA. N q § 150(f): Special infiltration barrier installed to comply with § 151 meets Commission quality standards. N A §150(e): Installation of Fireplaces, Decorative Gas Appliances and Gas Logs. 1. Masonry and factory -built fireplaces have: A a. Closeable metal or glass door §1500): Pipe and tank insulation b. Outside air intake with damper and control c. Flue damper and control 2. No continuous burning gas pilot lights allowed. NSA lace Conditioning, Water Heating and Plumbing System Measures: N/A 77 § 110-§ 113: HVAC equipment, water heaters, showerheads and faucets certified by the Commission. AJ A §150(h): Heating and/or cooling loads calculated in accordance with ASHRAE, SMACNA or ACCA. §150(i): Setback thermostat on all applicable heating and/or cooling systems. MA A §1500): Pipe and tank insulation 1. Storage gas water heaters rated with an Energy Factor less than 0.58 must be externally wrapped with - insulation having an installed thermaE resistance of R-12 or greater. _ 2. First 5 feet of pipes closest to water heater tank, non -recirculating systems, insulated (R4 or greater) 3. Back-up tanks for solar system, unfired storage tanks, or other indirect hot water tanks have R-12 external insulation or R-16 combined internal/external insulation. 4. All buried or`exposed piping insulated in recirculating sections of hot water systems. 5. Cooling system piping below 55° F insulated. 6. Piping insulated between heating source and indirect hot water tank. t, /. _ July 1, 1999 MANDATORY MEASURES CHECKLIST: RESIDENTIAL (Page 2 oI`2) MF -1R — +° = •*Note: -Lowrise'residential buildings subject to the Standards must contain these ineasures•regardless`bf the compliance approach used: Items marked with an asterisk (•) may be superseded by more stringent compliance requirements listed on the Certificate of - Compliance. When this checklist is incorporated into the permit documents, the features noted shall be considered by all parties as minimum component performance specifications for the mandatory measures whether they are shown elsewhere in the documents or on this checklist only. Instructions: Check or initial. applicable boxes when completed or enter N/A if not applicable. DESCRIPTION DESIGNER ENFORCEMENT. Space Conditioning, Water Heating and Plumbing System Measures: (continued) ' § 150(m): Ducts and Fans I. All ducts and plenums constructed, installed, insulated, fastened, and sealed to comply with the 1CBO'199 UMC sections 601 and 603; ducts insulated to a minimum installed R-4.2 or ducts enclosed entirely within conditioned space. Openings shaU,be sealed with mastic, tape, aerosol sealant or other duct closure systerr-- - that meets the applicable requireffMns ofUL181, UL181A, or UL181B and other applicable specified tests for longevity given in § I50(m).. 2. Exhaust fan systems have back draft or automatic dampers. 3. Gravity ventilating systems serving conditioned space have either automatic or readily accessible, manual o erated dampers. § 114: Pool and Spa Heating Systems and Equipment. 1. System is certified with 78%thermal efficiency, on-off switch, weatherproof operating instructions, no electric resistance heating and no pilot light. 2. System is installed with: a. At least 36" of pipe between filter and heater for future solar heating. b. Cover for outdoor pools or outdoor spas. N�q 3. Pool system has directional inlets and a circulation pump time switch. § 115: Gas fired central furnaces, pool heaters, spa heaters or household cooking appliances have no N/A continuously burning pilot light. (Exception: Non -electrical cooking appliances with pilot < 150 Btu/hr Lighting Measures: § 150(k)l.: Luminaires for general lighting in kitchens shall have lamps with an efficacy of 40 lumens/watt or N/A greater for general lighting in kitchens. This general lighting shall be controlled by a switch on a readily accessible lighting control panel at an entrance to the kitchen. §1 50(k)2.: Rooms with a shower oiB'athtub must either have at least one luminaire with lamps with an efficac of 40 lumens/watt or greater switched at the entrance to the room or one of the alternatives to this require me t N A allowed in § I50(k)2.; and recessed ceiling fixtures are IC insulation cover approved.. July 1, 1999 COUNTY OF BUTTE- DEPARTMENT OF DEVELOPMENT SERVICES- BUILDING DIVISION 7 County Center Drive - Oroville, California 95965 - Telephone (916) 538-7541*7 �e (Rev. 12'/96) APPLICATION AND PERMIT vJ J`- ASSESSOR PARCEL NUMBER_ l /`J/'f ZONING BUILDINGPERMIT OWNER +. ELEPHONE 5 34 SO. FT. OCC. BUILDING VALUATION WNERS MAILING AD RESS CMR'S NAME , in TELEPHONE ' CONTRACTOR'S MAILING ADDRESS Ii 5u 's f�a'r Cr- d Q L42 - CONSTRUCTION LENDER Fireplace LENDER'S MAILING ADDRESS ' Total Valuation $ / . R ARCHITECT OR ENGINEER LICENSE NO. Fee $ 20.00 —Filing Permit Fee $ e 0 C) ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ BUI 01 GADDRESS `1' .7`� lir "7 Energy Plan Checking Fee $ $ PERMIT FEE $ . 476,N LAT NO. - SUBDIS ION NAME PARCEL MAP PLUMBING PERMIT Filing 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 gas water heater or vent 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑ Describe Work: T us4a11c+iarx of yL(Yltd � T Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Home ISI GI W1 920.00 —Mobile PERMIT FEE Y ELECTRICAL PERMIT Filing Fee 20.00 Main Service zoos oa mss 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.1 1 License Class �� f D L4 1 Lic. No. YP gg D () OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: ❑ I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason Main Service ( 200A TO I000A 46.00 NEW CONST. DWELLING .OLOS. OR AODNS. ( g Acc, gLOS. s0 3.5QFT: NON-RESND? .= gNCNE COS.I C'.UT.IT. @7.50 POWER APPARATUS 8 SINGLE OUTLET CIR. Ex. Occup. OUTLET OR FIXTURES j 20 Bn� p I:ao Ex. Occup. OUTLEEDTS REWSID.OEA 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE $ WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. I 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 i surance carrier and policy number are: Carrier Clore vtdori No m, ]al TSS. CO - MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE S Policy Number W r S CI - q 1 I IO (The above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) ❑ 1 certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to workers' compensation laws of California, a agree that if I should become subject to the workers' compensation provisi of section 3700 of the Labor Code, I shall forthwith c mply ith ose isions. X� Date__ an Owner ❑Contractor ❑ Agent Si ature of7iis An OSHA perquired 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 $ Od HAZ. D. FEES IMP FLOOD CDF I PARCEL PO HD ISSUE This permit is hereby issued under of the Butte County Code and/or indicated above for which fees have By PERMIT EXPIRES ON MY) the applicable provisions Resolutions to do work been paid. Date JP /1 -7 60 Date Receipt No. 73 % / • WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT . -w.v. .. •:paa„ �., ... .. _ .._ .� .�.. .�.. ..... .,rte. ,?. .. r_ 4.r--. .�.. t 1.l i -13 � f t Na COUNTY OF BUTTE'- DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING DIVISIO 7 .County Center Drive - Oroville, California 95965 - Telephone (916) 538-7541 PEFZMIT NO. APPLICATION AND PERMIT g -R �' ASSESSOR PARCEL NUMBER. ! 039-460-013 ZONING ^ BUILIANGPERMIT OWNER l'ereaa Lzgnty TELEPHONE 477-7649 SQ. FT. OCC. BUILDING VALUATION IUU Ll LU OWNER'S MAILING ADDRESS 13539 Barelli Rd Nevada i0ity CA 95959 CONTRACTOR'S NAME 61y hooting Inc TELEPHONE 343-7663 CONTRACTOR'S MAILING ADDRESS 13191 i:011tractorB Ur Chico CA 95973 Fireplace CONSTRUCTION LENDER UNI(NOWN Total Valuation $ Fling Fee $ 20.00 LENDER'S MAILING ADDRESS Permit Fee f--:) -4. J ARCHITECT OR ENGINEER .. LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEERS MAILING ADDRESS Penalty $ BUILDINGADDRESS 2475 Durham Dayton dw – Chico PERMITFEE $ PLUMBINGPERMIT Filing Fee 20.00 Cfl P. �.Ie � -.:J'�if�.�o AI F.. .�M i:+a V LOT NO. WY SUBDIVISION'S NAME d PARCEL MAP Solar or heat pump water heater 23.00 Water piping 15.00 USEOFSTRUCTURE SF O;%Duplex ❑ Mobilehome ❑ Other !! SPECIFY Each gas water heater or vent 15.00 Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑, Describe Work: K/K roofing w/25 yr arch – 37 9qS — Mobile Home S GI W1 @20.00 PERMITFEE $ Contractor ELECTRICAL PERMIT Filinq Fee 20.'00 . Main Service OOOV OR LESS ( 200A OR LESS ) 23.00 Main Service ( 200A TO 1000A ) 46.00 LICENSED CONTRACTOR'S DECLARATION f'hereby affirm under penalty of perjury that I am licensed under provisions of Chapter ,- • wd 9 j(commencing with Section 7000) of Division 3 of the Business and Professions Code, a and'my^license is in full forge and effect. License Class �' – L N !, L – 3 y Lic. No. 603810- OWNER -BUILDER DECLARATION(OUTLETS 1 hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: ❑ I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project.PERMITFEE ❑`' l am exempt'undfer Sec. ' - _i - Business and Pfofessions'Code for this- reason NEW CONST. DWELLING OCCUR OR ADON ( a ACC. S. ) SO. 3.51t FT. S NEW CONST. MULTI -OUTLET NON•RESID. ( BRANCH CIRCUITS ) (–W7.50 POWER APPARATUS (a SINGLE OUTLET CIR. ) Ex. Occup. ( OUTLET OR FIXTURES ) 20 @ 1.00 aAL SO Ex. Occup.FIXED APPLNS. OR (RESID) EA) 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 $ Contractor - WORKERS' COMPENSATION DECLARATION I hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. 1 have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier lie? -lull lila% MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMITFEE $ Contractor Policy Number WL UJ O Z.� (The above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or•less.) ❑ 1 certify that in the performance of the work,for which this permit is issued, I shall not employ any person in any manner so as to become subject to workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall forthwith comply with those provisions. �+*y---- � 1 – 5 – 9 X _r l.•L_! rp.��U_e:tC�_ Date Signature of,Applicant - ❑ Owner: -0 Contractor ❑ Agent An O�HA 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 $ Occ CONST. TYPE TOTAL FEE $ 74.00 HAZ. 1 D. FEES I IMPFLOOD I CDF I PARCEL PD HD ISSu This permit is hereby issued under the applicable of the Butte County Code and/or Resolutions indicated above for which fees have been y I �.. ' ',(- ! PERMITEXPIRESON i 1 �r ( provisions to do work P aid. ✓ Date I �6 t%, e) i l�C1C' Receipt No. t � WHITE.6D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT 3 COUNTY OF BUTTE- DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING DIVISIO 7 County Center Drive - Oroville, California 95965 -Telephone (916) 538-7541PERMT NO. APPLICATION AND PERMIT gORL - ASSESSOR PARCEL NUMBER 039-460-013 ZONING BUI NG PERMIT OWNERTELEPHONE Teresa Li ht 477-7849 SO, Fr, OCC. BUILDING VALUATION 3700 2220 OWNERS MAILING ADDRESS 13539 Barelli Rd Nevada City CA 95959 CONTRACTOR'S NAME Ely Hoofing Inc TELEPHONE 343-7663 CONTRACTORS MAILING ADDRESS 13291 Contractors Dr Chico CA 95973 Fireplace CONSTRUCTION LENDER UNMOWN Total Valuation $ Filing Fee $ 20.00 LENDER'S MAILING ADDRESS Permit Fee $ 54.00 ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEERS MAILING ADDRESS Penalty $ BUILDING ADDRESS 2475 Durham –ChicoPLUMBING PERMITFEE $ PERMIT Filing Fee 20.00 Each Trap 7.00 LOT NO. SUBDIVISIONS NAME PARCEL MAP Solar Or heat pump water heater 23.00 Water piping 15.00 USEOFSTRUCTURE SF Q; Duplex ❑ Mobilehome ❑ Other SPECIFY Each gas water heater or vent 15.00 Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other 01 Describe Work: R/R roofing w/25 yr arch - 37 sqs — .. Mobile Home S G W @20.00 PERMITFEE g Contractor ELECTRICAL PERMIT Filin Fee 20:00 { -�rMain Service`( :OV, OR p ?1200A'OR LESS i� ,�' } x 3=.15Q i tti 3 00' Main Service 200A TO:1000A i, 1 46.00 l �. , 'L, i- '<.d �� .''--•� i- i i- i4. -,- r �' •' '-, ,' - • LICENSED 'CONTRACTOR'S D ECLARATIOW-V I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect. License Class C -1 , C - 3 9 Lic. No. 607386 OWNER -BUILDER DECLARATION 1 hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: ❑ I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. ❑ 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 NEW.CONST. . .. DWELLING OCCUP. SO. OR ADDNS.• = ( a ACC. BLDS. ' )' 3.5Q FT. NEW CONST. MULTI -OUTLET NON-RESID. ( BRANCH CIRCUITS ) @7.50 ( POWER APPARATUS ) 8 SINGLE OUTLET CIA. Ex. Occup. ( OUTLET OR FIXTURES) 20 Qa 1.00 BAL 30 Ex. Occup. (ouTLEEDrs RES D.) EA) 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc.- Wiring 23.00 PERMITFEE _ Contractor 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. M I 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 Legion Ins MECHANICAL PERMIT Filing Fee 20.00 9 Heating Coding Hood 6.50 Ventilation PERMITFEE $ Contractor Policy Number W C 1 0 5 2 6 1 2 3 (The above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) ❑ I certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall forthwith comply with tho rovisions. nn II ee��o X G�GC•.c��CJ Date 1-5-98 Signature o Applicant - ❑ Owner 10 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 $ occ ICONST. TYPE TOTAL FEE $ 74.00 HAL. I D. FEES IMP I FLOOD I CDF PARCEL I PD HD U 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. Y Delte Ih,0 PERMITEXPIRESON (afeJ Receipt No. Q��aq� WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT {� . ,.,,, ,:4. � a��+^ ecor : �h. rl '.�"-'{'A pry;'itCiRs, x c r�`Kt�, �T��t 1 � �°�.'�i�.�•a�� �7-"},:a.���;?;. ;�l' r- ,. ,-. ., . �.c,'S'�'l;��i;!�'^5 � ; ..ri"i 43..t'' �':�".�"�.� 1 .r It' t � � COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 - Telephone: 916.538-7541 APPLICATION AND PERMIT PERMIT NO. ASSESSOR PARCEL NUMBER 039-460-013 ZONING R-1 +• BUILDING PERMIT OWNER Michael Scrogins TELEPHONE 893-1131 ' SO. FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS P.O. Box 786, Durham 95938 CONTRACTOR'SNAME Van Dyke Plumbing TELEPHONE 342-3458 CONTRACTOR'S MAILING ADDRESS 1260 E. 9th St., Chico 95926 Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation Is Filing Fee $ 15.00 LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER LICENSE ND. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS Permit fee $ PLUMBING PERMIT Filing Fee 15.00 2475 Durham Davton Rd.. Durham Each Trap 1 5.00 Solar or heat pump water heater 20.00 LOT NO.SUBDIVISION NAME PARCEL MAP Water piping 7.00 Each qas water heater or vent 7.00 USE OF STRUCTURE SF ® Duplex[] Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets 5.00 �• Building sewer 15.00 Mobile Home S I G I W @ 15.00 TYPE OF WORK New Addition L -i RemodelEl Utilities ❑ InstallationC Other N. Describe work: Gag Piping Interior Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 15.00 Main service 600V OR LESS 200A OR LESS 18.50 Main service 200ATO1000AI 37.50 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. 7 License .Jo. 7T y-< 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 NEW CONST. ( DWELLING OCCUPM OR ADDNS. ACC. BLDGS. I 3.64sq.ft. NEW CONSTR. MULTI -OUTLET NON.RESID BRANCH CIRC ITS @ 5.00 //POWER APPARATUS h (SINGLE OUTLET CIR. Ex. Occup( OR FIXTURES zo 76d \ Ex. Occup. our OUTLETS RESID )RE A,/ I 3.00 Temporary service 15.00 Mobile Home Facilities 15.00 Misc. Wiring 9 15.00 Permit Fee $ Contractor — WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. Ej I have placed on file with the County of Butte Building Department I—I 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. 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 all liabilities, judgments, cost�'and expenses which may in any way accrue against said' County/in' consegdencejof/the granting of this permit. Iii / Date 11. �2 e —-" Signature of Applicant — Owner ❑ Contractor © Agent ❑ An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ OCC CONST TYPE TOTAL FEE$20-00 HAz I DFEES I IMP I FLOOD I CDF I PARCEL I PD HD ISSUE This permit is hereby issued under the applicable provi- sions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. OIRE,C-TOR'OF`PUBLIC WORKS By ^ � ' �Gisi: ��t� ' _ --' Date 44 PERMIT EXPIRES Date _Ar e 140516 Receipt No. WNITE-D.P.W.. YELLOW -ASSESSOR. PINK -INSPECTOR. GOLDENROD -APPLICANT / COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS / 7 County Center Drive - Oroville, California 95965 - Telephone: 916.'538-7541 APPLICATION AND PERMIT C[7-71---�_ j ASSESSOR PARCEL NUMBER 039-460-013 ZONING R-1 BUILDING PERMIT OWNER Michael Scro ins TELEPHONE 893-1131 SQ. FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS P.O. Box 786, Durham 95938 CONTRACTOR'S NAME Van Dyke Plumbing TELEFHONE 342-3458 CONTRACTOR'S MAILING ADDRESS 1260 E. 9th St., Chico 95926 Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation Is Filing Fee $ 15.00 LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS Permit fee $ PLUMBING PERMIT Filing Fee 15.00 2475 Durhan� Dayton d. Durham Each Trap 5.00 Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP Water piping 7.00 Each qas water heater or vent 7.00 USE OF STRUCTURE SFF1 Duplex[] Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets 5.00 5.77 Building sewer 15.00 Mobile Home S G W @ 15.00 TYPE OF WORK New i j Addition E Remodel ❑ Utilities ❑ Installation❑ Other ® Describe work: Gas Piping Interior Permit Fee $ 20. QO Contractor ELECTRICAL PERMIT Filing Fee 15.00 Main service 600V OR LESS 18.50 200A OR LESS Main service 20CATO1000A) 37.50 CONTRACTORS LICENSE LAW I decI re under penalty of perjury (check one): I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and JnjLlicense is in full fore and effect. License .Jo. Classification Lf I, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONST. ( DWELLING OCCUP.&\ 3.6d sq.f[. OR ADDNS. ACC. BLDGS. // NEW C0N5TF MULTI -OUTLET @ 5.00 NON•RESID BRANCH CIRC ITS POWER APPARATUS & (SINGLE OUTLET CIR. Ex. Occup(OUTLETS OR FIXTURES 20 764 AL 0 4F;44 Ex. OCCUp. OUTLETS (RESID )LNS.REA.) I 3.00 Temporary service 15.00 Mobile Home Facilities 15.00 Misc. Wiring g 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 places 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: It 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 1 15.00 Heating Coolin g 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 enses which may in any way accrue all liabilities, judgments, co�ne against said County i consethe granting of this permit. _ Date Signature of Applic nt — Ow Contractor, Agent ' ++++'"�–""'\ An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ DCC CONST TYPE TOTAL FEE $ 20.00 HAz DFEES IMP FLOOD CDF PARCEL PD HD ISSUE This permit ishereby issued under the applicable provi- sions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. BLIC WORKS By D to PERMIT EXPIRES Dae 2 9 140578 Receipt No. WHITE-D.P.W.. YELLOW -ASSESSOR, PINK -INSPECTOR. GOLDENROD -APPLICANT COUNTY OF BUTTE - DEPARTMENT OF PUBLiC WORKS 7 County'Center Drive- Oroville. California 95965 - Telephone. 916.'538-7541 APPLICATION AND PERMIT PERMIT NO. ASSESSOR PARCEL NUMBER C�35--_1/G -D/3 ZONING '( BUILDING PERMIT OWNER Q /' of rL TELE 59,3 PHONE SO, FT. OCC. BUILDING VALUATION OWNER'SMAILING ADDRESS PO (4 784; CONT ACTOR'S NAME J! ,1�6.;� TELEPHONE CONTRACTOR' AILING ADDRESS 266 15 41 C tGa 902 Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation Is Filing Fee $ 15.00 LENDER'S. MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS h,4 A, ani Permit fee $ PLUMBING PERMIT Filing Fee 15.00 Each Trap 1 5.00 Solar or heat pump water heater 1 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP Water piping 7.00 Each qas water heater or vent 7.00 (� USE OF STRUCTURE SF L Duplex❑ Mobilehome❑ Other (((--- SPECIFY Gas piping system 1 - 5 outlets 5.00 6-00 Building sewer 15.00 Mobile HomeS G W @ 15.00 TYPE OF WORK New:— Addition;_ Remodel L✓ Utilities ❑ Installation❑ Other �. Describe work: 6W5 Permit Fee $ �O • ®o Contractor ELECTRICAL PERMIT Filing Fee 15.00 Main service 200A OR LESS 18.50 Main service 200A TO IOOOA) 37.50 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 .Jo. Classification LJ 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. 70441 1 am exempt under Sec. , Business and Professions Code for this reason DWELLING OCCUP.EI NEW OR ACDNS. CONST. ( ACC. SLOGS . � 3.60 sq.ft. NEW CC'NSTFL ULTI.OUTLET NON.RES.0 BRANCH CIRCUITS @ 5•00 POWER APPARATUS e (SINGLE OUTLET CIR. Ex. Occup(OUTLETS OR FIXTURES 20 @ 76d Ex. Occup. OUTLETS PIRESID IREA.� j 3.00 Temporary service 15.00 Mobile Home Facilities 15.00 Misc. Iyirin 9 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 � MECHANICAL PERMIT Filing Fee 15.00 Heating Cooling g LHood 6.50 I 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 an y accrue against said County in consequence of the granting of this permit X Date 9w 13 r— Signature of Applicant — Owner 0' Contractor 1_i Agent ❑ An OSHA ion of struc urestover _stories in height. excavations over 5'0" deep and demolition or construct- Mobile Home Installation Fee $ Energy Inspection Fee $ OCC CONST TYPE TOTAL FEE SQom_ HAz OFEES IMP FFLOWCOF PARCEL PO HO SSUE i This permit is hereby issued under the sions of the Butte County Code and/or work indicated above for which fees DIRECTOR OF PUBLIC By PERMIT EXPIRES Date applicable provi- i resolutions to do I have been paid. i WORKS i Date j Receipt No. J`7 �7� WHITE-O.P.W.. YELLOW -ASSESSOR, PINK -INSPECTOR. GOLDENROD -APPLICANT COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT NO. County Center Drive - 0roville, Callfornla 95965 - Telephone: 916/538-7541 APPLICATION AND PERMIT ASSESSOR PARCEL NUMBER 39-460-013 ZONING BUILDING PERMIT OWN.HR Michael Sco ins TELEPHONE S0. FT. OCC. BUILDING VALUATION I OWNER'S MAILING ADDRESS P.O. Box 786 rham 9W.38 CONTRACTOR'S NAME - +„ J � TELEPHONE CONT ACT R'S MAILING ADDRESS — Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation is Filing Fee $ 10.00# LENDER'S MAILING ADDRESS ,'= Permit Fee $ ' ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS i Penalty $ BUILDING ADDRESS Permit fee PLUMBING PERMIT Filing Fee 10.00 GIJ� a u ��/3b tach Trap _. 2.00 Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME PARCEL''MAP Water piping 5.00 Each qas water heater or vent 5.00 USE OF STRUCTURE SF ® Duplex❑ Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home S I G I W 0.00ea TYPE OF WORK i New Addition❑ Remodel❑ Utilities Installation❑ Ott her Describe work: DUUD Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 600V OR LESS 10.00 10 100 AMP OR LESS . Main service EA. AOD'L 100 AMP 1 2.50 2.50 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. Classification. E] 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) ❑ I am exempt under Sec. , Business and Professions Code for this reason « t. NEW CONST. / DWELLING OCCUP.d / , OR ADDNS. C ACC. BLDGS. /z¢sgft NEW NON-RESIO CONSTR. BRANCH CIRCUITS 2.50 ea (POWER APPARATUS e (SINGLE OUTLET CIR. Ex. Occu Occup(OUTLETS OR FIXTURES .200030 zAL@30 Ex. OCCUp. OUTLETS P(RESID )FIXED APLNS. REAJ 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring1 15.00 . Permit Fee Contractor 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. MECHANICAL PERMIT FiIingFee 10.00 Heating Cooling Hood 3.00 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 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 ag in said warty ' consequence of the granting of this permit. X ,. X Q SDate Signature of Applicant — Owner Lff lContractor ❑ Agent An OSHA permit is required for exc vat ons 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 TOTAL FEE $ - HAz can PARK SCHL FEF 7F PAR PD ) HD. ISSUE This permit is hereby issued under the applicable provi- sions of the Butte County. Code and/or resolutions to do work indi'c ed above for which fees have been paid. IRE OR 'F PUB0C,WORKS BY J Date PERMIT EXPIRES Date Receipt No. 96 / +� _ WHITE-D.P.W., YELLOW -ASSESSOR. PINK -INSPECTOR. GOLDENROD -APPLICANT *0- , .�-•��av 'a..��l-.-r � _ .- t... ..,d. � �'iSi'": c; lei .l�.i. F:.. COUNTY OF BUTTE . ' ' DEPARTMENT OF PUBLIC WORKS 196 Memorial Way, Chico - Phone: 891-2751 7 County Center Drive, OroviIle - Phone: 538-7541 747 Elliott Road, Paradise- Phone: 872-6307 CORRECTION NOTICE S 9-o GG 1 OMEIR PERMIT NO. A routine inspection indicates that the following, violations of County Ordinance exist at the above address and shouldf�tbe corrected. Please notify this office wtueo oonectioo of work is completed.lif you have any question pertaining to this usiatter, or Deed additional' explanation, please contact this office immediately. L- I- fZ 1krf:"tc' erflct�L C'aa%tntt A'r p� tSS — rn \rj se to . o a 5; V- 2\I I C G 2 age Int T -M nt x� ®ate � - ? -C1 Inspector /�...�,�.h-►^� _ COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 - Telephone: 916/538-7541 APPLICATION AND PERMIT PERMIT NO. ASSESSOR PARCEL NUMBER 39-460-013 ZON1NG BUILDING PERMIT OWNER Michael Sco ins TEL^PHONE $Q, FT. OCC. BUILDING VALUATI OWNER'S MAILING A.DDR ESS P.O. Box 786 rham 95938 - CONTRACTOR'S NAM E--) JIB o�S n— - G TELEPHONE CON ACT R'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ LENDER'S MAILING ADDRESS Filing Fee $ 10.00 Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS Permit fee $ PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 Solar or heat pump water heater 20.00 LOT NO.SUBDI VISION NAME 77[PARCEL MAP Water piping 5.00 Each qas water heater or vent 5.00 USE OF STRUCTURE SF ❑X Duplex❑ Mobilehome❑ Other SPECIFYMobile Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Home S G W 0-00 e4 TYPE OF WORK, New ❑ Addition ❑ Remodel [:1Utilities ® Installation❑ Other ❑ Describe work: D1111D Permit Fee $rj Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 100 AMP OR00V OR LESS1 10.00 10,00 Main service EA. ADD'L 100 AMP 1 2.50 2,50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): El 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. Classification. EJ I, as the owner, or my employees with wages as their sole compen- sation;'will do the work,and the structure is not intended or offered for sale. (Sec. 7044) I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONST. ( DWELLING OCCUP.N) , OR ACDNS, C ACC. BLDGS. / h2Sq ft NEW CONSTR. U TI.OUTLET NON.RESID BRANCH CIRC ITS 2.50 ea POWER APPARATUS e (SINGLE OUTLET C)R. ) O Ex. CcU OUTLETS OR FIXTURES EP(200501BALI 30 FIXED APPLNS. Ex. Occup. OUTLETS ((RESID.)REA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. byirin g 1 15.00 0 Permit Fee WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ 1 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 FiIingFee 10.00 Heating Cooling g Hood 3,00 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 ag in t sai ount 'n c asequence of the granting of this permit. AW „ %� date ontractor ❑ Agent Signature of Applicant — Owner7q--( An OSHA permit is required for e— vns over 5'0" deep and demolition or construct- on of structures over 3 stories in height.7,640 Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST TYPE - aS,00 TOTAL FEE $ "Az. CUA-1PARK SCHL FLD CDF PAR PD i HD. ISSUE This permit is hereby issued unoer the applicable provi- sions of the Butte County. Code and/or resolutions to do work in ' ed above for which fees have been paid. DIRE F PUB C ORKS i- eceipt No. By Date FITC-D.P.W., YELLOW-AS8C940R, PINK -INSPECTOR, GOLDENROD -APPLICANT PERMIT EXPIRES Date ' iT�`r��`4Zw;s+ys%^irr+"V✓'�-'i•'l�`[l7Ylr�,;•-��:.t- • YE COUNTY OF BUTTE - DEPARTMENT OF"PUBL' IC WORKS - BUILDING DIVISION M 7 COUNTY CENTER DRIVE - OROVILLE•,CALIFORNIA 95965 - TELEPHONE:;916/538-7541 PERMIT 061UT16N DATA SHEETY Permit No. _ OWNER/G �l9� �X'a GG�/V S' A. P No. Proposed Building; Use Building Inspector Date 9� At time of permit application, I was advised the following data must be submitted prior to permit processing and/or issuance: ' DATE RECEIVED APPROVED -All 2. items have been submitted . ................. . ,. . Plot plans'in duplicate/triplicate, signed by preparer of,plans........ 3. Complete -plans in duplicate/triplicate, signed by prepa'rer. of plans . . 4. C6mplet`e4engineered plans and calcs, with wet sig.na .ure on plans . . 5. Hazardous Material Form ........................ 11f..: •:........... . 6. Energy Design Compliance and supporting documentation ......... • 7. Statement of Intent for Non -Heated and AC -Buildings .............. 8. Engineered truss details and layout in duplicate (required prior to plan check) ,.' 9. Mobilehome installation data including manufacturer's installation instructions....................................................... 10. Fees of $ - 11. Chico Urban Area fees paid ....................................... 12. Park fees paid .................................................... 13:%j School District fees paid. 141Sanitation approval from Health Department %15. City of Chico plumbing permit ...................................... 16. Plot plan and business license approval from City of (see City for other requirements) 17. Planning approval for (A) Use: (B) Parking: ...... 18. Improvements may be required. Contact Land Development Section DPW 19. Driveway permit (construction approval required prior to occupancy) ' 20. request Pre -Inspection for � required Pre -Ins pec. q est to � Building Inspector (Date).: 21. Contractor's license information (No., Name Style, Classifications .. 22. Certificate of Workmans Compensation Insurance :................ . ' 23. Owner -Builder Verification (Given to owner ❑, Mail to owner ❑) ..... 24. Recorded copy of Agricultural Acknowledgment Statement ......... 25. Letter of signature authorization 27.' t 4'' FWhen you issue the permit, process as follows:Mail to,owner. _ Telephone and hold for pickup at office. Other �' `^v.. . Applicant V\-ACXjA Mail to contractor. _Deliver w/inspector. 5/2/17 s Copy of Hdz-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 sub, i.t.ted prior to permit issuance: (Circle new -item -not -checked above). 1. Index permit for above items No. 2. Additional items required: 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 —mal l—counter by date Plans checked by Date Plans approved by Date Sets of plans on hold in File cabinet AP folder Copy—DPW