HomeMy WebLinkAbout040-200-0164
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40-20-16
D. Shaffer
1571 Stanford Lane, lot 46, Durham
contr: Imhoff & Imhoff, Chico * r
Permit #2914-80B,E(add sewing room &
storage
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Stanford Lane;
Contr'\vijer '
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& elroof `
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040-20-.0-016"=99-2168' E'
-WASHBURN, Brian ,. ` • `:. ;j
Ys ,257 Stanford La e;' Du hams
replace_ weatheriead.ei�ec ser)'
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F� M��06704
ED FEDERAL EMERGENCY MANAGEMENT AGENCY O.M.B. No. 3067-0077
NATIONAL FLOOD INSURANCE PROGRAM Expires December 31, 200;
ELEVATION CERTIFICATE
Read the instructions on pages 1- 7.
SECTION A - PROPERTY OWNER INFORMATION ) For Insurance Company Use: )
BUILDING OWNER'S NAME Policy Number
BRIAN & LISA WASHBURN
BUILDING STREET ADDRESS (Including Apt., Unit, Suite, andtor Bldg. No.) OR P.O. ROUTE AND BOX NO. Company NAIC Number
9383 STANFORD LANE
CITY STATE ZIP CODE
DURHAM CA 95938
PROPERTY DESCRIPTION (Lot and Block Numbers, Tax Parcel Number, Legal Description, etc.)
APN #040-M-016
BUILDING USE (e.g., Residential, Non-residential, Addition, Accessory, etc. Use a Comments area, if necessary.)
ATTACHED GARAGE
LATITUDE/LONGITUDE (OPTIONAL) HORIZONTAL DATUM: SOURCE: ❑ GPS (Type):
( #Ifn - #IR - ##.W or ##. ) (@ NAD 1927 ❑ NAD 1983 ❑ USGS Quad Map ❑ Other.
SECTION B - FLOOD INSURANCE RATE MAP (FIRM) INFORMATION
Bt. NFIP COMMUNITY NAME & COMMUNITY NUMBER B2. COUNTY NAME B3. STATE
BUTTE CO.,CA. & INCORP. AREA 060017 BUTTE COUNTY CA
B4. MAP AND PANEL
❑ AS Profile ® FIRM ❑ Community Determined ❑ Other (Describe):
B7. FIRM PANEL
B11. Indicate the elevation datum used for the BFE in B9: ® NGVD 1929 ❑ NAVD 1988 El Mier (Describe):
B9. BASE FLOOD ELEVATION(S)
NUMBER
B5. SUFFIX
B6. FIRM INDEX DATE
EFFECTNBREVISED DATE
B8. FLOOD ZONE(S)
(Zone AO, use depth of flooding)
060017 0520
C
JUNE 8, 1998
accurately represents the building, provide a sketch or photograph.)
AO
Depth 20 ft
B10. Indicate the source of the Base Flood Elevation (BFE) data or base flood depth entered in B9.
❑ AS Profile ® FIRM ❑ Community Determined ❑ Other (Describe):
B11. Indicate the elevation datum used for the BFE in B9: ® NGVD 1929 ❑ NAVD 1988 El Mier (Describe):
NIA
B12. Is the building located in a Coastal Barrier Resources System (CBRS) area or Otherwise Protected Area (OPA)?❑ Yes ® No
• Designation Date NIA
SECTION C • BUILDING ELEVATION INFORMATION (SURVEY REQUIRED)'
C1. Building elevations are based on: ❑ Construction Drawings' ❑ Building Under Construction' ® Finished Construction
`A new Elevation Certificate will be required when consWction of the building is complete.
C2.' Building Diagram Number I (Select the building diagram most similar to the building for which this certificate is being completed - see pages 6 and 7. If no diagram
accurately represents the building, provide a sketch or photograph.)
C3: Elevations — Zones Al -A30, AE, AH, A (with BFE), VE, V1 V30, V (with BFE), AR, ARIA, ARIAE, ARIA1-A30, ARIAH, ARIAO
Complete Items C3. -a4 below according to the building diagram specified in Item C2. State the datum used. ff the datum is different from the datum used for the BFE in
Section B, convert the datum to that used for the BFE. Show field measurements and datum conversion calcuWon. Use the space provided or the Comments area of
Section D or Section G, as appropriate, to document the datum conversion.
Datum NGVD Conversion/Comments
Elevation reference mark used RM 58 Does the elevation reference mark used appear on the FIRM? ❑ Yes ® No
Q�CiF ESS/Ok
o a) Top of bottom floor (including basement or enclosure) 159 .1 fL(m) M
.�
o b) Top of next higher floc 159. 1 ft(m)
: G. l F�
o c) Bottom of lowest horizontal structural member (V zones only) N/A. _ft (m) o o
���� ��( �
y 00 F ; Gi
o d) Attached garage (top of slab) 159.1 ft.(m) w.
W
o e) Lowest elevation of machinery and/or equipment
J4---
the building (Describe in a Comments area) NIA. it(m) E
o f) Lowest adjacent (finished) grade (LAG) 159.1 ft.(m) z' 0,t
27647servicing
G�
o g) Highest adjacent (finished) grade (HAG) 159. 1 ft.(m)
l'9l • C •..:•••• \Q'
F
o h) No. of permanent openings (flood vents) within 1 ft above adjacent grade 00
QF \Fz3�
o ) Total area of all permanent openings (flood vents) in C3.h 2700 sq. in. (sq. cin)
SECTION D - SURVEYOR, ENGINEER, OR ARCHITECT CERTIFICATION
This certification is to be signed and sealed by a land surveyor, engineer, or architect authorized by law to certify elevation information.
I certify that the information in Sections A, 8, and C on this certificate represents my best efforts to interpret the data available.
1 understand that any false statement may be punishable by fine or imprisonment under 18 U. S. Code, Section 1001.
CERTIFIERS NAME ROBERT G. AGEE ,JR. LICENSE NUMBER RCE27647
ADDRESS CITY STATE` ZIP CODE
SIGNATURE DATE 'TELEPHONE
'/ t APRIL 23.2003 877-6253
IMPORTANT: In these spaces, copy the corresponding information from Section AL For Insurance Company use:
BUILDING STREET ADDRESS (Indudng Apt., Unit, Suite, andlor Bldg. No.) OR P.O. ROUTE AND BOX NO. Policy Number
9383 STANFORD LANE
CITY STATE ZIP CODE Comparry NAIC Number
DURHAM CA 95938
SECTION D - SURVEYOR, ENGINEER, OR ARCHITECT CERTIFICATION (CONTINUED)
Copy both sides of this Elevation Certificate for (1) community official, (2) insurance agent1company, and (3) building owner.
COMMENTS
❑ Check here if attachments
SECTION E - BUILDING ELEVATION INFORMATION (SURVEY NOT REQUIRED) FOR ZONE AO AND ZONE A (WITHOUT BFE)
For Zone AO and Zone A (without BFE), complete Items E1 through E5. If the Elevation Certificate is intended for use as supporting information for a LOMA or LOMR-F, Section C
must be completed.
E1. Building Diagram Number 1(Select the buildng diagram most similar to the building for which this certificate is being completed — see pages 6 and 7. If no diagram accurately
represents the building, provide a sketch or photograph.)
E2. The top of the bottom floor (incudiirg basement or enclosure) of the building is ft(m) _in.(cm) ❑ above or ❑ below (check one) the highest adjacent grade. (Use
natural grade, if available).
E3. For Building Diagram 6-8 with openings (seepage 7), the nerd higher floor or elevated floor (elevation b) of the building is _ fQm) _in.(cm) above the highest adjacent grade.
Complete item C3.h and C3.i on front of form.
E4. The top of the platform of machinery andlor equipment servicing the building is_ ft(m) _in.(c m) ❑ above or ❑ below (check one) the highest adjacent grade. (Use natural
grade, if available).
E5. For Zone AO only: If no flood depth number is available, is the top of the bottom floor elevated in accordance with the oommunity's floodplain management ordinance? ❑
Yes ❑ No ❑ Unknown. The local official must certify this information in Section G. N/A
SECTION F - PROPERTY OWNER (OR OWNER'S REPRESENTATIVE) CERTIFICATION
The property owner or owner's authorized representative who completes Sections A, B, C (Items C3.h and C3.i only), and E for Zone A (without a FEMA4ssued or community -
issued BFE) or Zone AO must sign here. The statements in Sadons A, A C, and E are coned to the best of n4, knowledge.
J:ZrrTT�:i�'L,I�iTI►�Id l.�i- � �t;iT: �I:r�; M12 N G1 11NA&IM,M
ADDRESS CITY STATE ZIP CODE
SIGNATURE DATE TELEPHONE
COMMENTS
❑ Check here if attachments
SECTION G - COMMUNITY INFORMATION (OPTIONAL)
The local official who is authorized by law or ordinance to administer the community's floodplain management ordinance can complete Sections A, B, C (or E), and G of this Elevation
Certificate. Complete the applicable item(s) and sign below.
G1. ❑ The information in Section C was taker from other documentation that has been signed and embossed by a licensed surveyor, engineer, or architect who is authorized byte
or local law to certify elevation information. (Indicate the source and date of the elevation data in the Comments area below.)
G2. ❑ A community official completed Section E for a building looted in Zone A (without a FEMA4ssued or communitymissued BFE) or Zone A0.
G3. ❑ The following information Qtems G4 -G9) is provided for community floodplain management purposes.
G4. PERMIT NUMBER k5. DATE PERMIT ISSUED G6. DATE CERTIFICATE OF COMPLIANCEIOCCUPANCY ISSUED
G7. This permit has been iss<red for-[] New Construction ❑ Substantial Improvement
G8. Elevation of as -built lowest floor (including basement) of the building is: ft(m) Datum:
G9. BFE or (in Zone AO) depth of flooding at the building site is: _ _ t(m) Datum:
LOCAL OFFICIAL'S NAME TITLE
COMMUNITY NAME TELEPHONE
SIGNATURE DATE
COMMENTS
� . .. ... ». . - - �' a..nnn � ��i n-�_.-rap':.ii,�.r..rW.eT•^.+i '�i.;ir .�`m�re.�-tat?s,.+•w:RF.xc ��w'�..•nra.i; r�„�.jr..n.* �,rly �t•,;;••,y,._,; �. _,r
040-20-0=016 .+ 99-2168 E
WASHBURN , Br-iari"'
-9257 Stanford Lane, Durh'a'm
(replace iaeatherheadcelec aer')r
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All
OFFICE COPY
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GAS ' a��.• Date
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COUNTY OF -BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION
7 County Center Drive • Oroville; California 95965 • Telephone (530) 538-7541,E ` PERMrr NO.
(Rev. 12/96) APPLICATION AND PERMIT
ASSESSOR /PARCEL NUMBER
ZONING
BUILDING PERMIT /
OWNER
�, � �� , � �* � �1 1:�?�i :�1�1 stir ► "�
TELEPHONE
•?.�l �`--�1�?�,� r
SO. FT. OCC. BUILDING VALUATION,/
. OWNERS MAIUNG ADDRESS
�160Y' rk Ilt I,, In tt t n 0IN /i ` el -3
CONTRACTOR'S NAME—
TELEPHONE
CONTRACTOR'S MAILING ADDRESS 'I ,
1
CONSTRUCTION LENDER I
Fireplace
LENDER'S MAILING ADDRESS
Total Valuation $
ARCHITECT OR ENGINEER
UCE\'SE -_0
Filing Fee $
20.00
Permit Fee $
ARCHITECT OR ENGINEERS MAILING ADDRESS
Plan Checking Fee $
BUILDINGADDRESS
Ener Plan Checking Fee $
1. r 1) K ti, V k r{ A1: A t" (-'r E
PERMIT FEE $
LOT No. i
SUBDIVISIONS NAME -
t �
PARCEL MAP
PLUMBING PERMIT
Fling Fee 20.00
Each Trap
7.00
4. USEOFSTRUCTURE
•
SF `f] Duplex ❑ Mobilehome ❑ Other
r- SPECIFY
Solar or heat pump water heater
23.00
Water piping
15.00
Each as water heater Or.vent
15.00
TYPE OF WORK
New ❑ Addition ❑ Remodel ❑- Utilities ❑ Installation ❑ t Other-
Describe Work: /� f [� %r .t7 r ,�c < �! /l `% 1'Lt.a .J t !" /-!�'Mobile
r_( r J L +�`�.�---
Gas piping stem 1 - 5 outlets
15.00
Buildingsewer
15.00
Home S G W
@20.00
PERMIT FEE $
ELECTRICAL PERMIT
Fling Fee 20.00
Main Service '..A OR LESS
23.00 R CD
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 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.
I ❑ I am exempt under Sec. Business and Professions Code for this
reason
Main Service To aooA
46.00
NEW CONST. DWEWNG UP.
WE
OR ( a ACC. BLDs.
SO
3.5,s
CNS.
N"ONRESlo MULTI -11 OUTLET
@7.50
POWER APPARATUS
8 SINGLE OUTLET CIR.
Ex. Occup. OUTLET OR FDCTUREs
BAL p I.50
FLIED APPLNS. OR
Ex. Occup. ouTLETs RESID. EA
S.00
Temporary Service
23.00
Mobile Home Facilities
20.00
Misc. Wirina
23.00
PERMIT FEE $
44C, C,
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 Fling Fee 20.00
Heating
Cooling
Hood 6.50
Ventilation
PERMIT FEE $
I
Policy Number
(The above sections need not be completed if the permit is for work of a valuation
Ii 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 those provisions.
X h )�i 1(. l•(�lt.,t'i {t t .����''✓ Date �' ,�i' ��
Signature of Applicant - Q/Owner ❑ Contractor ❑ Agent
An OSHA permit is required f r excavations over 60" deep and demolition or construction
of structures over 3 stories in height.
Mobile Home Installation Fee $
Energy Inspection Fee $
occ
corer. TYPE
TOTAL FEE $� F G-
HAZ.
I D. FEES IMP
I FLOOD
CDF
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.
B
PERMIT EXPIRES ONITE-D.D.S.-B.D.' ate
rReceiptNo. -5. [. �t /�%/,
" CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT
COUNTY OF BUTTE
BUILDING DIVISION
DEPARTMENT OF DEVELOPMENT SERVICES
411 Main Street • Chico, CA • (530) 891-2751°x'°"`
7 County Center Drive • Oroville, CA • (530) 538-7541
CORRECTION NOTICE
OWNER PERMIT NO
A routine inspection indicates that the following violations of butte county Ordinances exist at the
above address and should be corrected. Please notice this office when correction of work is
completed. If you ave any questions pertaining to this matter, or need additional explanation,
please contact this office immediately.
11
Date Inspector K imS S � d
REV 1 /92
r
Date Inspector K imS S � d
REV 1 /92
.r
/�/'% lam,.✓
2�5 ya s�
COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION
7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-7541 1 PE MIT
(Rev. 12/96) APPLICATION AND PERMIT i q- .
ASSESSOR PARCEL NUMBER O I
ZONING
BUILDING PERMIT
uor r-_1
SO.
SO. FT. OCC. BUILDING VALUATIO
. OWS_MA�t3 DRESSrA, ✓y-, CA ISG 3 U
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
$
ARCHITECT OR ENGINEERS MAILING ADDRESS
Plan Checking Fee
$
BUILDINGADDRESS q 2s t (,.�
Energy Plan Checking Fee
$
$
t� V�wt'Y1
PERMIT FEE
S
LOT NO.
SUBDNIS IONS NAME
PARCEL MAP
PLUMBING PERMIT
Filing Fee 20.00
USEOFSTRUCTURE
SF Duplex ❑ Mobilehome ❑ Other
/ SPT
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
Describ,,e�JWork: �? 4 QG� 11, �.t��il �lrf/l-�C�
s.(X
Gas piping system 1 - 5 outlets
15.00
Building sewer
15.00
Mobile Home S G W
@20.00
PERMIT FEE
$
ELECTRICAL PERMIT
Fling Fee 20.00
R LES
"OOVMain Service 2o.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
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
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
Main Service zoO- TO
46.00
CCU000A
NEW CONST. DWE111NG OCCUP.
OR ADDNS. ( 6 ACC. S.
SO
3.5¢F:
NON.HESI�. MULTI -OUTLET
97,50
POWER APPARATUS
a SINGLE ourLEr cIR.
EX. Occup. OUTLET OR FIXTURES
20 00
BAL @ 1. 0
Ex. Occup. oDA AEs o.GERn
5.00
Temporary Service
23.00
Mobile Home Facilities
20.00
Misc. Wiring
23.00
PERMIT FEE
t3
'
MECHANICAL PERMIT
Fling 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
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 those provisions.
//,, 1n�-1����� l
X W Date -/
ture of Applicant - Owner ❑ Contractor ❑ Agent
An OSHA permit is require 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 $ LL41vl/
HAZ.
I D. FEES I IMP
I FLOOD
I CDF
PARC0. I
PO
HD
I ISSUE
This permit is hereby issued under
of the Butte County C de and/or
indicated above for w I h fees have
By
PERMIT EXPIRES ON
I
the applicable provisions
Resolutions to do work
been paid.
Date
a
LV 0
pate)
Receipt No.
WHITE-D.D.S.-B.D. CANA Y -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT
(Rev. 12/96)
,COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION
7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-7541
r APPLICATION AND PERMIT
PERMIT NO.
r _ YQ
ASSESSOR PARCEL NUMBER Yo
ZONING
BUILDING PERMIT
OWNER I / T
TELEPHONE
5—
SQ. FT. OCC. BUILDING VALUATION
OWNERS MAILING ADDREE
CO RACTOR'S NAME
TELEPHONE
CO TORS MAILING ADDRESS
CONSTRUCTION LENDER
LENDER'S MAIUNG ADDRESS
Fireplace
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 $
PERMIT FEE $
LOT NO.
SUBDIVISIONS NAME
P EL 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 pi ing15.00
-
Each as water heater or vent 15.00
TYPE OF WORK
New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installatk2q
Describe Work:Mobile
aee
❑ Other
Gas piping system 1 - 5 outlets 15.00
Building sewer 15.00
Home I S I G I W 920.00
PERMIT FEE $
\
ELECTRICAL PERMIT Fling Fee 20.00
Main Service 800.V
. LE:: 23.00 0
a –
•
c
7
I
I
!
I
Main Service 200A TO 1000A 46.00
NEW CONST. OWE1LNo OCCUP. 3.5¢SO.
OR AODNS. ( 8 ACC. BLDS. FT.
NEW MONST. MULTI -OUTLET
NON-RESID. @7.50
POWER APPARATUS "
8 SINGLE OUTLET CIR.
EX. Occup. OUTLET OR FD(TURES 20 O 1 00
SAL p .e0
FUMED APPLMS. OR 5.00
EX. Occup. OUTLETS t. .1 EA
Service 23.00
—Temporary
Mobile Home Facilities 20.00
Misc. Wiring 23.00
PERMIT FEE $
MECHANICAL PERMIT Fling Fee 20.00
Heating
Cooling
Hood 6.50
Ventilation
PERMIT FEt: $
Mobile Home Installation Fee $
Energy Inspection Fee $
OCC
TOTAL FEE $3 m
;iFEES
jCONST.
IMP
I FLOOD
I CDF
PARCEL
I PO
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.
By Date
PERMIT EXPIRES ON
(Date)
Attention Property Owner:
An "owner -builder" •building permit has been applied for in your name and bearing your
signature. »:
Please complete and return this information at your earliest opportunity, to avoid
unnecessary delay in processing and issuing your, building permit. No building - permit will
be issued until this verification is received.
1. I personally plan to provide the major labor and materials -for construction of the
proposed property improvement: YESVJ NO[ ].
2. I HAVE(4 j HAVE NOT[ ] signed an application for a building permit' for the
proposed work.
3. I have contracted with the following person (firm) to "provide the: proposed
construction:
NAME: '
ADDRESS: CITY:
PHONE: CONTRACTOR'S LICENSE NO. = °'
4. I plan to provide portions of this work, but 'I have hired the following person to
coordinate, supervise; and provide the major work: .
NAME:
ADDRESS: CITY:
PHONE: CONTRACTOR'S LICENSE NO.
5. I will provide some of the work but I have contracted (hired) the following. -persons to
provide the work indicated:
NAME ADDRESS PHONE TYPE OF WORK
SIGNED: q
PROPERTY OWNER: W
SOCIAL SECURITY NUMBER:
DATE: 6kab —9 9
NOTE: This owner -Builder Verification is required by Section 19831 and
19832 of the.California Health and Safety Code.
This verification must be completed and returned to our office before
we are permitted to issue the permit.
May 1995 2.26
, w '
O.B.-1
11. F..:.
Dear Property Owner:
An application for a building permit has been submitted in your name listing yourself as the builder of
property improvements specified. _
For your protection, you should be aware that as "owner -builder" you are the responsible party of record
on such a permit. Building permits are not required to be signed by property owners unless they are personally
performing their own work. If your work is being performed by someone other than yourself, you may protect
yourself from possible liability if that person applies for the proper permit in his or her name.
Contractors are required by law to be licensed and bonded by the State of California and to have a
business license from the city or county. They are also required by law to put their license number on all permits
for which they apply.
If you plan to do your own work, with the exception of various trades that you plan to subcontract, you
should be aware of the following information for your benefit and protection:
0 If you employ or otherwise engage any persons other than your immediate family, and the work (including
materials and other costs) is $300 or more for the entire project, and such persons are not licensed as
contractors or subcontractors, then you may be an employer.
0 If you are an employer, you must register with the State and Federal Governments as an employer and you are
subject to several obligations including state and federal income tax withholding, federal social security taxes,
workers compensation insurance, disability insurance costs, and unemployment compensation contributions.
0 There may be financial risks'for you if you do not carryout these obligations, -and these risks are especially
serious with respect to worker's compensation insurance.
0 For more specific information about your obligations under Federal Law, contract the Internal Revenue
Service (and, if you wish, the U.S. Small Business Administration). For more specific information about your
obligations under State Law, contact the Department of Benefit Payments and the Division;of Industrial
Accidents.
If the structure is intended for sale, property owners who are not licensed contractors are allowed to
perform their work personally or through their own employees, without a licensed contractor.or subcontractor, only
under limited conditions.
A frequent practice of unlicensed persons professing to be contractors is to secure an ` ownerbuilder"
building permit, erroneously implying that the property owner is providing his or her own labor and material
personally. Building permits are not required to be signed by property owners unless they are performing their own
work personally.
Information about licensed contractors may be obtained by contracting the Contractors State License
Board in your community or at 1020 N Street, Sacramento, CA. 95814.
Please complete the "Owner Builder Verification" on the reverse side of this form so that we can confirm
that you are aware of these matters. The building permit will not be issued until the verification is returned.
Sincerely,
Michael C. Vieira, C.B.O.
Manager, Building Inspection
NOTE: This Owner -Builder Information is required by Section 19830 of the California Health and Safety Code.
May 1995 2.27
PERMIT NO.f ' 2�1�-80B E `
PERMIT EXPIRES.
`OWNER D. Shaffer 7
4-
CONTR.
-
CONTR. Imhoff & Imhoff', Chiao
-°,LOCATION (A.P. 40-20-15 �.
1571 Stanford Lane, lot 46..-Dutham
110,
,•���' � . f G�'►'yl. � Aj0 �Y- tib r cC
-s
_
Temp. Power Pole
Called PG&E
Temp. Elec. Serv. - r
Called PG&E
Temp. Gas Serv.
i t
Called PG&E z '
JOB
)/I OFINALEDO
a
(Date) r
(Signature)
4
J
ryry
J
Setback
Forms
Main Bldg.
Footings
Sfemwal I
Slab
Piers
Stemwa I I
Slab
Carport
Footings
Slab
Patio
Footinas
COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS
BUILDING INSPECTION RECORD
BUILDING BUILDING (Cont'd) PLUMBING
Firewall
Soil Piping
Parapets
1st Floor
Restroom Finish
2nd Floor
Windows
3rd Floor
Siding
To out
Roof Sheathing
Water Piping
Roofing
Sewer
Fdn. Vents
Fixtures
Garage Vents
Insulation
Water Htr.
Heaters
Prov. for ph sically
handica ed
Conformance of ex.
structure
Appliances
Gas Piping & Test
Temp. Gas
Final
Sanitation
FIREPLACE
Final
Footin
ELECTRICAL
neinr. azeei
Final
Fixtures
Bond Beam
FIRE SPRINKLERS
Motors
Framing
Test
Water Htr.
Stucco
Final
Subpanels
Mesh
MECHANICAL
Grd. Fault Prot.
Scratch
Heatino
Service
Brown
Cooling
Temp. Pole
Finish
Ducts
Underground
Interior Lath
Ventilation
Permanent
Door Closer
Final
Final
MOBILEHOME UTILITIES - - - - - - - - - - - - - - - - - -
Elec_ Service
Elec. Pedestal
Water Piping
Sewer
Gas Piping
OBILEHOME INSTALLATION - - - - - - - - - - - - - -
Support
Elec. Continuity
Water Piping
Drainage
Gas Piping
DA TE
REMARKS OR CORRECTIONS
(NOTE: An entry must be made on this form each time you visit the job site.)
Z...F3a1'1" end int
977 Zoodl.anr2 l��r.ve;sn ua RF"nauihing eCMit No. 2.14-�80 (se�'� g/stor)
� Expired 6/16/8]. .
Chico,, --CL- 3 926 (A.P. No. 40-20-.16 )
With reference.to the above subject, our records indicate that your building permit
has expired.. Building permits are valid for one year and should construction not be
completed at the expiration date of the permit, the permit shall be renewed for 1/2
the original fee.
Kindly contact this office within ten (10) days to renew your permit. Should our
records be in error or should your construction be completed, please advise this
office immediately.
Thank you in advance for your prompt.attention concerning this matter.
Yours very truly,
Clay Castleberry
Director of Public Works
F. G1 nder
JFG:dd Chief Building Inspector
A ttac-nalon to
P.S. For your convenience, we are attaching a renewal application form which may
be completed and signed by you where indicated and returned to this office•
together with the fee shown.
cc: Building Inspecto s•Chico
county
-
•LAND
OF NATURAL WEALTH AND BEAUTY
b"
DEPARTMENT OF PUBLIC WORKS
CLAY CASTLEBERRY, Director
-
7 COUNTY CENTER DRIVE, OROVILLE, CALIFORNIA 95965
Teleohone: (916) 534-4541
H. W. McDONALD
Deputy Director
October 21.9 1981
Z...F3a1'1" end int
977 Zoodl.anr2 l��r.ve;sn ua RF"nauihing eCMit No. 2.14-�80 (se�'� g/stor)
� Expired 6/16/8]. .
Chico,, --CL- 3 926 (A.P. No. 40-20-.16 )
With reference.to the above subject, our records indicate that your building permit
has expired.. Building permits are valid for one year and should construction not be
completed at the expiration date of the permit, the permit shall be renewed for 1/2
the original fee.
Kindly contact this office within ten (10) days to renew your permit. Should our
records be in error or should your construction be completed, please advise this
office immediately.
Thank you in advance for your prompt.attention concerning this matter.
Yours very truly,
Clay Castleberry
Director of Public Works
F. G1 nder
JFG:dd Chief Building Inspector
A ttac-nalon to
P.S. For your convenience, we are attaching a renewal application form which may
be completed and signed by you where indicated and returned to this office•
together with the fee shown.
cc: Building Inspecto s•Chico
P� t
i
Imhoff: & Imhoff '
977 Woodland Ave.
Chico, CA'. .95926 .
Dear Sirs:
WILLIAM (g II) CHEFF
- Director
December 7,1984
Owners. Darwin Shaffer.
RE': Building Pe6i,A NO
Expires / 6/
(A. P. No. )
With reference to the above subject, our records indicate that your Building
Permit will expire on the above date. Building permits are valid for one year
and should construction be started but not completed by the expiration date o°f
the permit, the permit shall be renewed for 1/2 the original Building Permit
Fee (plus a $10.00 "Filing Fee"). The renewal permit will extend the Building
Permit for an additional year from the original expiration date.
Should you not renew your permit in -a timely manner, it cannot be renewed.and"
all work must cease until a new building permit is issued.
If your construction is completed or.should you have any question concerning
this matter, please contact the. 'Ch:iCo office.
For your convenience, we are enclosing a renewal application form and an owner -
builder form to be completed and .signed by you where indicated and returned to
this office together with the fee shown. Please return all copies of the
application form.
Thank you for your prompt attention concerning this matter.
Yours very truly,'
William Cheff
Director, of Public Works
.F. Glander
JFG:aj Chief Building Inspector
Attachments: Permit Application
Owner -Builder Information
Owner -Builder Verification
cc: Building Inspector - Chico
Chico - 196 Memorial Way/891-2751 Paradise - 747 Elliott Rd/872-2961, Ext. 57
Ir®ulli
LAND
OF NATURAL WEALTH AND BEAUTY
DEPARTMENT OF PUBLIC WORKS
7 COUNTY CENTER DRIVE, OROVILLE, CALIFORNIA 95965
Telephone: (916) 534-4541
WILLIAM (g II) CHEFF
- Director
December 7,1984
Owners. Darwin Shaffer.
RE': Building Pe6i,A NO
Expires / 6/
(A. P. No. )
With reference to the above subject, our records indicate that your Building
Permit will expire on the above date. Building permits are valid for one year
and should construction be started but not completed by the expiration date o°f
the permit, the permit shall be renewed for 1/2 the original Building Permit
Fee (plus a $10.00 "Filing Fee"). The renewal permit will extend the Building
Permit for an additional year from the original expiration date.
Should you not renew your permit in -a timely manner, it cannot be renewed.and"
all work must cease until a new building permit is issued.
If your construction is completed or.should you have any question concerning
this matter, please contact the. 'Ch:iCo office.
For your convenience, we are enclosing a renewal application form and an owner -
builder form to be completed and .signed by you where indicated and returned to
this office together with the fee shown. Please return all copies of the
application form.
Thank you for your prompt attention concerning this matter.
Yours very truly,'
William Cheff
Director, of Public Works
.F. Glander
JFG:aj Chief Building Inspector
Attachments: Permit Application
Owner -Builder Information
Owner -Builder Verification
cc: Building Inspector - Chico
Chico - 196 Memorial Way/891-2751 Paradise - 747 Elliott Rd/872-2961, Ext. 57
P_ _
LAND OF NATURAL WEALTH AND BEAUTY
DEPARTMENT OF PUBLIC WORKS
7 COUNTY CENTER DRIVE, OROVILLE, CALIFORNIA 95965
Telephone: (916) 534-4541
March 15, 1984
WILLIAM_(�.ill) CHEFF
Acting Dioector
Imhoff & Imhoff F&pejuilcFjtfig rm rNo.2914-80
977 Woodland Ave. Expires 6Z16/81
Chico, CA 95926 (A.P. No. 40- -16 )
Dear Mr. Imhoff:
With reference to the above subject, our records indicate that your Building
Permit will expire on the above date. Building permits are valid for one year
and should construction be started but not completed by the expiration date of
the permit, the permit shall be renewed for 1/2 the original Building Permit
Fee (plus a $10.00 "Filing Fee"). The renewal permit will extend the Building
Permit for an additional year from the original expiration date.
Should you not renew your permit in a timely manner, it cannot be renewed and
all work must cease until a new building permit is issued.
If your construction is completed or should you have any question concerning
this matter, please contact the Chico office.
For your convenience, we are enclosing a renewal application form and an owner -
builder form to be completed and signed by you where indicated and returned to
this office together with the fee shown. Please return all copies of the
application form.
Thank you for your prompt attention concerning this matter.
Yours very truly,
�Wllam_Chef�fr
Acting Director of Public Works
JFG:aj
Attachments: Permit Application
Owner -Builder Information
Owner -Builder Verification
cc: Building Inspector - Chico
.F. Glander
Chief Building Inspector
Chico - 196 Memorial Way/891-2751 Paradise - 747 Elliott Rd/872-2961, Ext. 57
This sc:" of > '- 1:> Z nd sp ecifica�,io^s MUST b-a r'i � %s�� j.
L .OS1 °�"!:,, �R'.3 .,..:G"5 ii,1 .. !'i !s -unlawful i® - �
., d
Sarre .4ithoul
Vir; ;lt of PUaixa J
APU oxo a^ "'•G'!
,r
%
L
3N. r r SciiJdCiC'
cciire lin Ij
lig}lire?,
• i i . .vim ' � •' ,, �,��M—.
Tr: _f , and
UZU
i.".
' '�1.. - � .. sl.'; :• ,i =,.... .. i i,.., ,., u..::r.. �erea�.r..-_:�.... .,�.� � — i J7
C4.
The minimum STATE RESIDENTIAL ENERGY REQUIREMENTS for +'nis buil4fingao/d/ '6>1
or --------•---------------sq. if .......................... Decrei Day�. �-nd .............. Design Temp. are:
Insulafion:
Slab edge
Fdn. Wa.;:s
Floors - - - - - - -
SL:.
v sq*
CcAing/ii
Wails
7.:Ored
-Circuia'
W eled
Ducts Ta'01&
,v:- - inm rstri r ped
Hfg. &. A.C.- back dampered
Type Gas Piiofs intermittent ignition
BTU Max. All Appliances certified
Wfr. Htt. Typ Other:
!/ = 6A-, -- = N//4
g� RE5.1DENII\L (Singh and Dupl x) _ Lppro* *=Nv- 6
�v i
Data UND�" OOR Plans OK' exept is
Date FRA',!I` (Con;inu=d)
_ _
4rZ ing+.equirerienis-Saibacks-Easem_onts _
4avoProperty Lin- & r)�-ni•� s�- _
T^
tg., Plain; Soils-Steel-Elec. Grrd.- Cj" Ftg. Dspih
_Firewall
3' -Check G3ra e -3rd story, 2 exits
3 _ _ arage; Soils -Steal- �LTFtg. Depth --
s & Decks; Soils -Steel- CJ" Fig. Depth
!emwalls, blain; Steel-8lockouts-Wrapped-Stab
_
( 5 . _ t�th-htea;rocrn-R;33-Run-Larding_ Fire Protection
5 l y v od on Root Overhang -Attic Access -Rafter Outriggar3 _
�- 5 din.; -Nailing -Veneer
_
6r-dstemwafP�iarege; Steel-8lockouts-Wraoped-Slab
Vent3-Urdert1r. Acoria
Pace Fig. -Steel
5Votiazing Area -Glass Protection--S'syli3hts-F13stic
_
ill -Fittings -Test -2 v+ay C/O -Sewer Test
tJ-Bolts
�6-s_ Prpa-Stz--Anchors
t-Anchors-Regulator-Seryice Test
ergrourd
I',__ _
!rESI Date Card BI Ua;a
rd -31 _Daze Card -BI Date
L_!
'ard-31 Date Card -BI Data
ucts; Clearance -Material -Support -fns.
indene -Sills -Anchor Bo:ts-Jo!sts-Vents-Cripples _-
- '-
Ca 1 Date 9 O Card -B1 Date-�--�-1{-
�� Data FINAL (Plans) OK except P's
Card -81 Da; � � p Card -BI Date
Date PLUMBING (P rmit) OK except #'s
14. Water Ht.; ent-Access-Combustion Air
56. Ext. Steps -Door & Sidalight Protacticn-Landings
57. Smo<a Detector
58. Furnace; Vents-Clearancs-Comb. Air-Cer.nector-
In Garage; Above Floor -Ducts -NI -ch. Protection _^
_
15. vla;ar Pipe; est & Anchors -Nail Protection
16. O.W.V.: Test Fttngs & Anchors -Nail Protection
59. Bedroom Exiting
17. Shower Pan; st, First Floor -Tub Access
60. G.F.I. & Bath Fixtures & Tub Access
�61.
18. Test Tuh & Sh eP, 2nd Floor -Tub Access
Elec. Tri Subpangl: Brea Ser Sizes-Lebals
62. Stairs & ail
19. Gas Pipe; Sizenchors
fi3. Fireplace r Am Clearances -Hearth
_
64. Elec. Outl is a Wood Panel; Int. & Ext.
Carel-BI Date Date Card -BI Date
_T 65. Kit. Fixt. A liance: Grrd.-Air Cap -Cooking Clearance
Gard -BI Data Card -BI Data '
66. Elec. Oullek &IRLceptaciss at Kit. Cuur,;v
67. Garage Fi r: Swing -Landing -Closer
ELEC J.P.ICAC (Permit) OK except k's av
_ 69. A.C. M26mr -Damper
_Date
2_ r tura & Transformer Clearance -Ins. Protection
.ce-Com -Conner -P.R.V.
69. 1'ltr. Hitt;V-aF
In Ga gr -b ac . Protection21
70. Pib. EIuip. Listed for Location2
_
eceptacles Spacing -Lights & Switches at Doors&
No. of Conductors -Stapled
71. Ele . Rarage; (G.F.L)-Romex Protac.
Ins latl<ed in Attic ❑Yes73.
�x Installed Close to FEdge of Studs & C.J.
2 Equip. Ground made up w/Meth. Fasteners -Bond Gas & Water
-72.
Gua nstruction-Past Caps
ranee Circuits in Kitchen &Conductor Size
74, Fdn. Vents & Crawl Hale Door-Drairtag3 & Wood -Earth Clearance
Looked under Floor ❑ Yes
Wire Size / / ga. Cu or AI-A.C. Wire Size / / ga. Cu or At
/ ga. Cu or AI -Oven Circ. / / ga. Cu or Al,
Insularo Neutral ❑Yes ❑No
_
75. Following inslid.: Drive El Yes E) No: Walks El Yes ❑ ho;
Planters ❑Yes ❑No; Creating Drug. Problems ❑ Yes Q No
- r Conductors &Ground -Main Disconnect
76. Stucco; Brown -Finish
cos; Panels -Motors -Meth. equip.
77. A.C. Unit; Disconnect-Clrnces-Brkr. & Cond. Size -115V Outlet
Clo;hes o t Light -Shower Light a
78. Vents Above Roof; Plbg.-Applianc:-Fireol.-Clearance to Opngs.
'79. Plater Well; Disconnect, Electrical, Plumbing
80. Exterior Elec. Trim; G.F.I. Rec=_
Receptacle-llnderyround
C I Data p Card -81 Dass
81. Ventilation throughout House
82. Glass Protection
Card 8-I Date Card -BI Date
Date MECHANICAL (permit) OK except X's
83. Corrections from Previous Inspections
84. Gas Test -Meters Tagged; Gas-Elsciric
31. A.C. Ducts; Insulation & Support
85. Water & Sewer Connected -C/O to Grade -HD Approval
32. Vent Fan; E haust above Insulation
85, Energy Compliance Certificate--O:h>_r Certificates
33. Condensate 4rain & Overflow; Size & Grade
_
34. Furnace -Vert; Access -Comb. Air -Return Air Vent -115V outlet
35. Attic Access Platform if Furnish in Attic
-
Card -9 Date Card -BI Data
BI 1'7Data Card -BI Date
C-3rd-Bll I Date Card -BI Data
-
Card -BI Date Card -81 DateGard
Card -81 Date Card -51 Date
Date(Plans) OK except #'s
FRAfdI
Cormants at Final:
l s; Proper Material & Anchors
VI-4itits: Studs -Nailing, Spacing & Bracing -Plates -Sound
r,g ViMls over Girders & Floor Nailing _
3 raft Stop in Walls (rat proof)
_
rrred Geilinc s-Siairs-Chases-Tub
-
4 a er & Beam -Size.& Bearing
_
41. a _r3 -Post Caps -Anchors -Connectors
4 Ing. Joist-Rftr. Ties -Purling -Roof Brac.-Truss-Shthng.-Ring.
-- ce Ties or Type A Flue -Fireplace TiSroa! ----- -
r
-
4 is Access; Size & Rome,( Protection -Draft S!op-In;. Baffels
-
4 Bdrn. 17indows r -Exiting Doors -Sill Hot. & Din ensicn;
--_
�_-ire Protection Framing
-
_
1
+ s
PQUNTY F BUTTE - DEPARTMENT OFJDEVELOPMENT SERVICES- BUILDING DIVISION -
7 County Center Drive • Oroville, 01alifornia 95965 • Telephone (530) 538-7541 PERMIT NO.
(Rev. 12/96) APPLICATION AND PERMIT ,'I q-9 —./::? / �
ASSESSOR PARCEL NUMBER
ZONING
=BUILDINGPERMIT
OWNER F
r � d J.i � ✓� � '�. n. 1�4�/i f. t r
TELEPHONE - r
la 6Jra"71 �^
SO. FT. OCC.}, ',BUILDING VALUATION
ter+ `
r d'
. OWNERS MAILING ADDRESS - *
CONTRACTOR'S NAME
TELEPHONE
CONTRACTORS MAILING,ADDRESS
CONSTRUCTION LENDER
Fireplace
LENDER'S MAIUNG.ADDRESS.` .- ,,, - _; - j
Total Valuation $ p O
ARCHITECT OR ENGINEER.UCy.NSE
ty
NO.
••
Filing Fee $ 20.00
Permit Fee $ , 0-0
ARCHITECT OR ENGINEERS MAILING ADDRESS /
Plan Checking Fee $
BUILDINGADDRESS /
2 4
Energy Plan Checking Fee $
PERMIT FEE $
LAT NO. SUBDNISIONS NAME PARCEL MAP
' USEOFSTRUCTURE
SF I Duplex ❑ Mobilehome 0 Other
SPECIFY
/PLUMBING PERMI,,T,y, , ,.. , Fililig Fee 20.00
Each Trap /7.00
Solar or heat um water heater 23.00° . -
Water piping 15`:00
Each as water Theater or vent 15.00
" TYPE OF WORK
New ❑' Addition ❑ Remodel ❑' Utilities ❑ Installaftion I/Other E3B6ildin
Describe Work: ALIF , J r•' ,m a 41� a % k A, 0
r- a► r �, fi i� /a .f.., D
Gas piping system 1 - 5 outlets 15.00
sewer 15.00
Mobile Home S G W @20.00 T
PERMIT FEE $
-�
ELECTRICAL PERMIT Filing Fee 20.00
600V OR
Main Service ...0 R 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: ,, 4�
—19 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 1000A 46.00
NEW CONST. DWELING OCCUP.so
OR ADDNS. ( 8 ACC. BLAS. ~ 3.5QFT:
NEW CONST. MULTI.OUTLET
NOI4pESID.- C 97.50
POWER APPARATUS
a swGLE ountT OTR.
EO
x. Occup. OUTLET OR FIXTURES BAL @': 0
Ex. Occup. ou�LEEDTS A slD.oEA 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:
❑ 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 c rrier Qnd policy number are:
Carrier 6 �...'.J c.l\� t c\ "7
Policy Number
(The above sections need no a completed if the permit is for work of a valuation
.. �of one hundred do�7 ��Ot les
I certify that in the perfo ance of the �ork 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.
j . !
X'; .(J.1� }l� f, 4) J'kI,Data t,
Signature of Applicant - ❑ Owner ❑ Contractor Q Agent
An OSHA permit is required for excavations over 60" deep and demolition or construction
structures over 3 stories in height.
MECHANICAL" PERMIT Fling Fee 20.00
Heating
Coolingr.
Hood 6.50
Ventilation
PERMIT FEE $
Mobile Home Installation Fee $
Energy Inspection Fee $
Occ
CONST. TYPE
l
TOTAL FEE $ so
HA2.
D. FEES
IMP
FLOOD
CDF
PARCEL
PD
HD
ISSU
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 ,(. 1, i �'rr.L+wdtw�r Date —
PERMIT EXPIRES ON 4fl o n
(Date
rof
Receipt No. ` 5 Ca Wi
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 95965 • Telephone (530) 538-7541 E�PE MIT NO.
(Rev. 12/96) APPLICATION AND PERMIT q9
ASSESSOR PARCEL NUMBER
- 0 e -t 0 U 0 -- 01 (,o
ZONING
_
BUILDING PERMIT
OWNER
TELEPHONE
SO. FT. OCC. BUILDING VALUATION
L>./v 2470 O
OWNERS MAILING ADDRESS
k I., pILA. r' 6LA4A�
� ®:�
CONTRACTOR'S NAME
A)<0-_
TELEPHONE
CONTRACTORS MAILING ADDRESS
CONSTRUCTION LENDER
Fireplace
LENDER'S MAILING ADDRESS
Total Valuation $ O O
ARCHITECT OR ENGINEER
LICENSE NO.
Filing Fee
$ 20.00
Permit Fee
ARCHITECT OR ENGINEERS MAILING ADDRESS
Plan Checking Fee
$ ,
BUILDING ADDRESS
51OLrEnergy
Plan Checking Fee
$
$
L&/
PERMIT FEE
$ ,
LAT NO.
SUBDvGION'S NAME
PARCEL MAP
PLUMBING PERMIT
Filing Fee 20.00
USEOFSTRUCTURE
/
SF � Duplex ❑ Mobilehome ❑ Other
SPECIFY
Each Trap
7.00
Solar or heat um water heater
23.00
Water piping
15.00
Each as water heater or vent
15.00
TYPE OF WORK
New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation 8/Other ❑
Describe Work: f/ -P ul r o o 4-' 5 L% -e-0. -F • ti 4
r� rn r t� W L D ✓r.n A
Gas piping system 1 - 5 outlets
15.00
Building sewer
15.00
Mobile Home I S I G I W
920.00
PERMIT FEE
S
ELECTRICAL PERMIT
Fling Fee 20.00
Main Service POA 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
1 hereby affirm under penalty of perjury that I am exempt from the Contractors License
Law for the following reason:
—Fr I, as owner of the property, or my employees with wages as their sole compensation,
will do the work, and the structure is not intended or offered for sale.
❑ 1, as owner of the property, am exclusively contracting with licensed contractors
to construct the project.
❑ 1 am exempt under Sec. Business and Professions Code for this
reason
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
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.)
0-10,0
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 those provisions.
J' - G
X �/]�� Date �P "T
S n ture of Applicant - ❑ Owner ❑ Contractor ❑ Agent
An OSHA permit is required for excavations over 60" deep and demolition or construction
of structures over 3 stories in height.
Main Service s TO
46.00
CCU000A
NEW CONST. OWEWNG OCCUP. SO
E
OR ADDNS. ( a ACC. S.3.50FT;
NON-REBIDMULTI-OUTLET RANCH CIRCUITS @7.50
POWER APPARATUS
a SINGLE OUTLET CIR.
EX. Occup.OUTLET OR FIXTURES eA0 g 1.00
Ex. Occup. OUT,EE°TSA FIXAEs DEKA 5.00
Temporary Service 23.00
Mobile Home Facilities 20.00
Misc. Wiring 23.00
PERMIT FEE S
MECHANICAL PERMIT Fling Fee 20.00
Heating
Cooling
Hood 6.50
Ventilation
PERMIT FEI= $
Mobile Home Installation Fee $
Energy Inspection Fee $
Occ
CONST. TYPE
TOTAL FEE $ to 3
HAZ.
I D FEES IMP
I FLOOD
CDF
PARCEL
PD
HD
ISSU
This permit is hereby issued under
of the Butte County Code and/or
indicated above for which fees have
By /
PERMIT EXPIRES O L `"'
the applicable provisions
Resolutions to do work
been paid.
Date in ' y - 9 JI
!I - oL 6 d 0
Date
Receipt No. X6 5 D <45
WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT
i
,Ma,Pz.26=99 10:25P
PRIM
OWNER -BUILDER VERIFICATION
.,
Attention Property Owner:
An "owner -builder" building permit has been applied for in your name and bearing
yourdpeft
pL
Please complete and return this information at your earliest opportunity to avoid unnecessW W
in processing and issuing your building permit. No building permit will be isstied oath $is
verification is received. ;..;.,
P.Ol
1. i personally plan to provide the
�or labor and materials for construction of the proposed
property imp ement : YES CrNO C1
2. I HAVE HAVE NOT C3 signed an application for a building permit for the raposed wa,
3. I have contracted with the following person (firm) to provide the proposed eoastivcd ;x
NAiE:� _.....
ADDRESS: CITY: :.;�►,
PHONE: CONTRACTOR'S LICENSE NO.
4. Iplan to provide portions of this :work, but I have hired the following person to coo e; ..
s rvise and provide the major work: .r f..
NAME:
ADDRESS: CITY:
PHONE: CONTRACTOR'S LICENSE NO. '
5. I will provide some of the work but I have contracted (hired) the following persons to prQVWO
the work indicated:
NAME ADDRESS PHONE TYPE OF WORK
SIGNED:
PROPERTYOVINER:
SOCIAL SECURITY NUMBER
DATE: Le -4 —01 cl
NOTE: This Owner -Builder Verification is required by Section 19831 and 19832 of ddk
California Health and Safety Code. This verification must be completed and
returned to our office before we are permitted to issue the permit.
�__ OVER
COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS
7 County Center Drive - Oroville, California 95965 - Telephone 916/534-4541
APPLICATION AND PERMIT
PE MI;;0.
ASSESSOR PARCEL NUMBER
40-20-16
ZONING
BUILDING PERMIT
OWNER
Darwin Shaffer
TELEPHONE
SQ. FT. OCC. BUILDING VALUATION
OWNER'S MAILING ADDRESS
9257 Stanford Ln., Durham
CONTRACTOR'S NAME
Imhoff & Imhoff
TELEPHONE
343-4870
st to
4th Renewals
CONTRACTOR'S MAILING ADDRESS
977 Wqqr1l Rnd Ave
Fireplace
CONSTRUCTION LENDER
none
UNKNOWN
Total Valuation Is
FilingFee
$ 10.00
LENDER'S MAILING ADDRESS
Permit Fee@ 2 FEE x 4
$ 48.00
ARCHITECT OR ENGINEER
none
LICENSE NO.
Plan Checking Fee
$
Penalty
$
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Permit fee
$ 58.00
BUILDING ADDRESS
PLUMBING PERMIT
Filing Fee 10.00
1571 Stanford Ln.
Each Trap
2.00
Solar Water Heater
20.00
Water piping
5.00
LOT NO.SUBDIVISION
NAME
PARCEL MAP
Each qas water heater or vent
5.00
Gas piping system 1 - 5 outlets
5.00
USE OF STRUCTURE
SFF1 Duplex❑ Mobilehome❑ Other Add. storage & Sewwl
SPECIFY
Building sewer
5.00
obile Home S I G I W
10.00e
TYPE OF WORK
New Addition❑ Remodel❑ Utilities❑ Installation❑ Other E]
Describe work: —
1st to 4th Renewals Permit #2914-80
Permit Fee
$
Contractor
ELECTRICAL PERMIT
Filing Fee 10.00
Main service 600V OR LESS
100 AMP OR LESS
10.00
Main service EA. ADD'L 100 AMP
2.50
NEW CONST. / DWELLING OCCUP.&
OR ADDNS. ( ACC. BLDGS.
2thQsq ft
CONTRACTORS LICENSE LAW
I declare under pens of perjury (check one):
F1 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
❑ 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)
❑ 1, as the owner, am exclusively contracting with licensed contract-
ors. (Sec. 7044)
❑ I am exempt under Sec. , Business and Professions Code
for this ason
NEW CONSTR U TI -OUTLET 2.50 ea
NON."ESID BRANCH CIRCUITS)
NEWC ONST R. ( POWER APPARATUS .&)
NON-RESID. \SINGLE OUTLET CIR.
20®sot
Ex. Occup( OR FIXTURES eALO 309
Ex. Occup. OUTLETS FIXED P(RESID )REA.) 2.00
Temporary service 10.00
Mobile Home Facilities 15.00
Misc. Wiring 15.Oo
Permit Fee $
Contractor
WORKMEN'S COMPENSATION INSURANCE
I declare unde p natty 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
Filing Fee 10.00
Heating
Cooling
Hood
3.00
Ventilation
permit Fee
$
Contractor
1 certify that I have read this application and state that the above information
is correct. I agree to comply to all County Ordinances and State Laws relating
to building construction, and hereby authorize representatives of the 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
ainst said County in consequence of the granting of this permit.
X Date
gnature 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 $
TOTAL PERMIT FEE $ 58. 0
OCCUP. GROUP
I TYPE OF CONST.
PARCEL
PD
I HD
I ISSUE
This permit is hereby issued under the applicable provi-
sions of the Butte County Code and/or resolutions to do
work indicated above for which fees have been paid.
DIRECTOR OF PUBLIC WORKS
By Date
PERMIT EXPIRES Date 6/16/85
Receipt No.
WHITE-D.P.W., YELLOW -ASSESSOR. PINK -INSPECTOR. GOLDENROD -APPLICANT
COUNTY OF BUTTE - DEPARTMENT OF PUBLIC V. ,<S PERMIT NO:
7 County Center Drive-'Oroville, California 95965 - Telephone 916i:,Ig4-4541
APPLICATION AND PERMIT
ASSES SOfjLP, AR C: NUI.IBER
�`�/)
ZO " 5-
BUILDING PERMIT
OWNER
TELEPHONE
S0. FT. OCC. BUILDING VALUATION
OWNER'S MAILING ADD SS
b (�Po=r
AC R' AM��_�
TELEPH NE
CONTRACTOR'S MAILING AD R S
q7-1 �Joaj �
Fireplace
C/Q TRUC TION ENDER
YLILENDER'SMAILING
UNKNOWN
Total Valuation $
Filing Fee
$ 10,00
ADDRESS
Permit Fee X
$
ARCHITECT OR ENGINEER
LICENSE No.
Plan Checking Fee
$
Penalty
$
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Permit fee
$
BUILDING ADDRESS
PLUMBING PERMIT
Filing Fee 10.00
157 /te_d / �/ /l
n.
Each Trap
2.00
Solar Water Heater
20.00
Water piping
5.00
LOT O.
SUBDIVISION NAME
PARCEL MAP
Each qas water heater or vent
5.00
Gas piping system 1 - 5 outlets
5.00
USE OF STRUCXL76/
SFZ Duplex❑ Mobilehome❑ Other kid),
SPECIFY
Building sewer
5.00
Mobile Home I S I G JW I
110-00ed.
TYPE OF WORK
New❑ Addition [I Remodel❑ Utilities❑ Installation❑ Other [I
Describe wo k:
� �
Permit Fee
$
Contractor
ELECTRICAL PERMIT
Filing Fee 10.00
Main service 100 VAMOR L
P ORSLESS
10.00
Main service EA. ADD'L 100 AMP
2.50
NEW CONST. ( DWELLING OCCUP.&
OR ADONS. L ACC. BLDGS.
t
2/20sgft
CONTRACTORS LICENSE LAW
I declare under per<y of perjury (check one):
❑ 1 am licensed under provisions of Chapt. 9, Div. 3 of the Bus,ness
and Professions Code and my license is in full force and effect.
License No. Classification
❑ I, as the owner, or my employees with wages as their sole compen-
sation, will do the work,and the structure is not intended or offered
for sale. (Sec. 7044)
❑ I, as the owner, am exclusively contracting with licensed contract-
ors. (Sec. 7044)
❑ I am exempt under Sec. , Business and Professions Code
for t&reason
NEW CONSTR MULTI -OUTLET 2.50 ea
ON -RES BRANCH CIRCUIT S
IRC ITS
NEW CONSTR POWER APPARATUS &')
NON-RES,D. SINGLE OUTLET CIR. /
Ex. OCCu /oX20®50e
P\ Ts OR FIXTURES SALO 300
FIXEEDD APP LNS, OR
Ex. OCCUp. OUTLETS (RESID.) EA.) 2.00
Temporary service 10.00
Mobile Home Facilities 15.00
Misc. Wiring 15.00
Permit Fee $
Contractor
MECHANICAL PERMIT
Filing Fee 10.00
WORKMEN'S COMPENSATION INSURANCE
I declare undbr 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.
Heating
Cooling
Hood
3.00
Ventilation
Permit Fee
$
Contractor
1 certify that I have read this application and state that the above information
is correct. I agree to comply to all County Ordinances and State Laws relating
to building construction, and hereby authorize representatives of the Countyot
Butte to enter upon the above-mentioned property for inspection purposes.
1 also agree to save, indemnify and keep harmless the County of Butte against
all liabilities, judgments, costs, and expenses which may in any way accrue
ainst said County in consequence of the granting of this permit.
Date
Ignature 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
$
—
TOTAL PERMIT FEE $
occuP. GROUP
I TYPE OF CONST.
PARCEL
PD
ND
'SSE
This permit is hereby issued under
sions of the Butte County Code and/or
work indicated above for which
DIRECTOR OF PUBLIC
BY
PERMIT EXPIRES Date
the applicable provi-
resolutions to do
fees have been paid.
WORKS
Date
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 916/534-4541
APPLICATION AND PERMIT
•
V
AS S OR PARCEL NUMBE
A_=15
BUILDING PER I
W
2 ccs
TELEPHONE
SQ. FT. OC BUILDING ALUATION
71!>
OWNER'S MAI LI�ADDR ESS _ _/
N O /'C
CONTRACTOR'S NAME TELEPHONE
CO RACTOR'S MAIII)NG ADDRESS
-0, t✓' l O
CONSTRUCTION ER
UNKNOWN
Fireplace
Total Valuation $
LENDER'S MAILING ADDRESS
Permit Fee
$ a ZZZ
ARCHITECT OR ENGINEER
LICENSE NO.
Plan Checking Fee
$
Penalty
$
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Permit fee
$ Q
BUILDING ADDRESS
PLUMBING PERMIT
Filing Fee 3.00
Each Trap
2.00
Repair drainage or vent piping
2.00
Water piping
LOT NO.
SUBDIVISION NAME
PARCEL MAP
Each gas water heater or vent
2.00
Gas piping system 1 - 5 outlets
USE OF STRUCTURE
SF�K Duplex❑ Mobilehome❑ Other
SPECT FV
Building sewer
Lawn sprinkler system
2.00
TYPE OF WORK
New Addition Remodel[] Utilities❑ InstallationC Other E]
Describe work:_ S a /f!� ��� X _
S%,�6e
y
Permit Fee
$
Contractor
ELECTRICAL PERMIT
Filing Fee 3.00
*1V OR
Main service 100 AMP ORSLESS
5.00
Main service EA. ADD'L 100 AMP
2.50
NEW CONST. ( DWELLIN�UP.l4\
OR ADDNS. ACC. BLL//OO
I 22 sq ft
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 G
License No. Classification/
❑ I, as the owner, or my employees with wages as their sole compen-
sation, will do the work,and the structure is not intended or offered
for sale. (Sec. 7044)
❑ I, as the owner, am exclusively contracting with licensed contract-
ors. (Sec. 7044)
❑ I am exempt under Sec. , Business and Professions Code
for this reason
w --,-;2,.-
NON.RESID R BRANCH CIRCTITS 2.50 ea
NEW CONSTR. / POWER APPARATUS a)
NON.RESID. ,SINGLE OUTLET CIR.
Ex. OCCUp(OUTLETS OR FIXTURES 50@25C
BAL.@10C
EX. OCCU FIXED APPLNS. OR
Occup. (RESID.)EA.) 2.00
Temporary service
10.00
Mobile Home Facilities 15.00
Misc. Wiring 6.25
Permit Fee $ 15-1 Z
Contractor
WORKMEN'S COMPENSATION INSURANCE
1 declare under penalty of perjury (check one):
❑ The permit is for $100.00 (valuation) or less.
Ame 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.
1 shall not employ any person in any manner so as to become subject
to the W. C. laws of California.
Notice to Applicant: If after making this statement, should you become subject
to the W. C. provisions of the Labor Code, you must forthwith comply with such
provisions or this permit shall be deemed revoked.
MECHANICAL PE MIT
Filing Fee 3.00
Heating
Cooling
Hood
2.00
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.
1 also agree to save, indemnify and keep harmless the County of Butte against
sewhich may in any way accrue
again sa' County i onsequ cef this p rmit.
all liab' 1 'es, judgmen , costs an�nKe
X ate ` /
Signature of Ap Iant — Owner ❑ ContrAg ❑
An OSHA permit is required for excavations o ep and demolition or construct-
ion of structures over 3 stories in height.
Mobile Home Installation Fee $
Land Development Fee $
TOTAL PERMIT FEE $
OCCUP. GROUP
Q �3
�1
I TYPE OF CONST,
JZ A)
F)
PARCEL
I PD
I HDA
IssOE
This permit is hereby issued under
sions of the Butte County Code and/or
work indicated above for which
DIREC OF PUBLIC
By
P IT EXPIRES Date
the applicable provi-
resolutions to do
fees have been paid.
WORKS
Date
Receipt NCL. �_w
WHITE-D.P.W., YE LL OW-ASSHSSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT
COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS - BUILDING DIVISION
7 County Center Drive — 0roville, California 95965 — Telephone 534-4541
PERMIT APPLICATION DATA SHEET
OWNER _ l)
✓ ��s0 �'� �
Proposed Building Use-Z,li/yf/�
tom'
Permit No.
A. P. No. -J76- _�20 / r
Permit fee based upon: Complete Contract Price /K DPW Valuation
Other (exp ain)
Building Inspector Date / r� ✓�� ✓�. ��
At time of permit application, `I was advised the following data must be submitted prior to permit processing and/or
issuance:
DATE RECEIVED APPROVED
1.
All items have been submitted.................................................................:.
2.
Plot plans in duplicate/triplicate...............................................................
3.
Complete plans in duplicate/triplicate...................................................
4.
Complete engineered plans and calcs.....................................................
5.
Plans with Energy Design Compliance Statement ............................
6.
State Energy Forms No. .................:..
7.
1$8.)Fees
"Statement of Intent for Non -Heated & AC Buildings ...................
of $..................................................
,9.
10.
Letter of signature authorization...�.1......'..........,....................................
Sanitation approval from "0 0 Health Dept.... U4.tiaQ_
11.
Planning approval for
12.
Certificate of Workmen's Compensation Insurance ........................
13.
Contractors License Information (no., name style,
classification) ...............................
14.
Improvements may be required. Contact Land -
Development Section of Dept. Public Works (see
addressbelow)................................................................................................. ?a
15.
Pre -inspection for required. Pre-inspec. request to
bldg. inspector id' to
16.
Other C
When you issue the permit, process as follows: Mail to own r I ' ¢ ail to contractor.
Telephone and hold for pick-up at ffice. Deliver w/inspection.
Other
- .N , ,
Applicant /.-4_4, "% Date /".
Copy of plans sent Health Dept., Fire Dept., 'Other Date
During the Plan checking process, the following data must be submitted prior to permit issuance:
(For required items not checked above at time of appliqatijon, yrcle item.)
1. Index permit for above Items No.
2. Additional items required: r�4 •d- o.,
(Contractor, Designer, Owner) was advised of above required data by Telephone
Mail
Other
By Date
Plans checked by Date
Plans approved by �.- Date 12-
OTHER:
Cnnv /npw
To: Building Department
from: .Environmental Health
Subject: Sanitation Clearance
Owner Location / AP
Plans approved for,. Sewage Disposal ✓ Water Supply �
Hold final for: Water Supply
Final Clearance O.K. for: 'Water Supply
Clearancer for bedroom mobile home. Other
Clearance for addition of 91Wd ¢-,
Note*'' p
` an ra.an.""
This'set of plans and specifica'fiions MOST
be
L7.2(�
kept on the job at all. times and it is unlawful to p
.M
make any changes or alterations .on same •withoot
written petmisson from the 'Department of Public
Works, Coonty of Suite. / /7 /U• .
A
..l
NOTE:-f=All Materials & Workmanship Shall Be % .
Accordance with Recognized Good Practices and
?of a rualay prescribed for the Specified use in the
Uniform BdUin% Plumbing Mechanical Codes and
' *e. Naflonal Electrical Cole.
R
y�U 0-t,' C4'
�oi�G cod i
W1_
0 A setback of 5 ft. from the
Property lines and a setback
of 50ft. from the road
- -- centerline shall be clear of
structures or equipment except
t
3 for a 2 ft, eave overhang, lei
3
IN N
W
�' ,x s�
-`
� i
nc
Ci
IN N
W
�' ,x s�
-`
� i
Ci
IN N
9�-
-� e q-b)
It
Q
,Qtvno jig
'I nq
The minimum STATE RESIDENTIAL ENERGY REQUIREMENTS for This building &Wdi4'o,
of..--•--•-•---- . sq. ft------------------ ------ Degree Pays, and
............ Design Temp. are:
Insulation:
Slab edge - - - - - - sq. ff.
Fdn- Wallssq, ff.
Floors - - - - - --- -- v sq. ff.
Wails --rval; sq. ft.
Ceiling/Roof R.-
b'—,ler not i,�quired
Circulating pipes iYus, &. Drs. cerf. & la6eled
A
-D U. ":J111.9 Doors er
Ducts Table '10 i'4
weath' ftripped.
Hfg. & A.C.- L!".-tist Fans back dampered
Type Gas Pilots intermittent ignition
BTU Max.,T--' 4 All Appliances* certified
Wfr. Hfr. Typ Other:
I