HomeMy WebLinkAbout040-213-0171� I
=,,
'i
r
? 0 3 - 1 91-411.4
LYMAN,-WILLIAM
CONTR: DURHAM ELEC
9415-9417,M1DWAY,. 'DURHAM
2 UNDRGR E.LEC'-'SRV/SF
040-21-3-@p 92-2994 BPEM
LYMAN, Bill
9417 Midway; Durham
c6ntr: Jim Dippel/j� / �, /
new veterinary init
040-21-*3-�1-7 92-4252B
LYMAN, Bill
9417 Midway, Durham
demo sf 3
040-21-3-017 #98-1910
LYMAN, BILL
9417 MIDWAY, CHICO
ERIC Popp
REPLACE CARPORT BEAM
USE PERMIT
A.P. 7-gr040-213-0*
WILLIAM N. LYMAN 44�
0
0
EM
-MZ
a
Y�a
R`t-�>�..''"�`yti,�>'bu+f1...�i7kiF�N`,r�l�'i,.�w'�a(,��� r.:., y . •--r - a- r^•S;-rt,: �;v: +; -.�., ti.. s,`x ,
p
r�.040-21-3-017
#98-1910
LYMAN, BILL
f 9417 MIDWAY, CHICO
4 ERIC POPP
REPLACE CARPORT BEAM
COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION -tet
7 County Center Drive • Oroville, alifornia ;95965 • Telephone (530) 538-7541 PERM NO.
(Rev. 12/96) & A APPLICATION AND PERMIT �'~ t-,ilo
ASSESSOR PARCEL NUMBER �./1 7 1 ` 0
VV ` V
ZONING
BUILDING PERMIT
OWNER
TELEPHONE
SO. FT. OCC. BUILDINGVALUATION
OWNERS MAILING ADDRESS
CONTRACTOR
RIs NAME
TELEPHONE
CONTRACT S MAILING ADDRE S
CONSTRUCTION LE DER
a
LENDER'S MAILING ADDRESS
"
Fireplace
Total Valuation $
p0 Q
ARCHITECT OR ENGINEER
LICENSE NO.
LICENSE
Filing Fee
$ 20.00
Permit Fee
$
ARCHITECT OR ENGIN 5 MAILING ADDR s
l
Plan Checking Fee
$ ,'St
BUILDING ADDRESS-
1 ct
Energy Plan Checking Fee
$
$
- PERMIT FEE
$ / .3/ rdz
LAT NO.
SUBDIVISIONS NAME
PARCEL MAP
PLUMBING PERMIT
Filing Fee 20.00
USEOFSTRUCTURE
SF ❑ Duplex ❑ Mobilehome ❑ Other C 7"//1 v
SPECIFY
Each Trap7.00
Solar or heat um water heater
23.00
Water piping
15.00
Each gas water heater or vent
15.00
TYPE OF WORK
/
New ❑ Addition ❑ Remodel L❑ Utilities [3Installation ❑ Other 10-
Describe Work: /t (� $ I A G i- - '� +� ' `~' 4L.4., tea:
g G 10
Gas piping stem 1 - 5 outlets
15.00
Building sewer
15.00
Mobile HomeI S I GI W
@20.00
PERMIT FEE
$
r i
ELECTRICAL PERMIT
Fling Fee 20.00
800VOR UES
Main Service 2o.A OR LESS
23.00
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm under penally 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 ull force and effect. ` /
License Class LIC. NO. 1 j
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
Main Service WELL TO
46.00
NEW CONST. DWELLING OCCUCCUP.
OR ADDNS. ( a AAc. BLEs.
SO
3.5QFT:
==T. 0, MULTLOUTLET
97.50
POWER APPARATUS
8 SINGLE OUTLET CIR.
EX. OCCU OUTLET OR FIXTURES
BAL Q I.50
Ex. Occup. ..E' A a=ID.GEa
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
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 whic 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 ``�� `a Date
Signature of Applicantt- ❑IIIO ner ❑ Contract6r+l ❑ Agent,
An OSHA permit is required 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 $
OCC CONST. TYPE 00
j TOTAL FEE $ %�'�
AD PARe
uE
This permit is hereby issued under the
of the Butte County Code and/or
indicated above for which fees have
By!
PERMIT EXPIRES ON
applicable provisions
Resolutions to do work
been paid.
Date Z
L 5<
Date
Receipt No. ��'l 7t�ib
WHITE-D.D.S..-B DD CANARY -ASSESSOR . PINK -INSPECTOR GOLDENROD -APPLICANT
a
IL
BUILDER'S CHOICE
Rob Coburn
Outside Sales
z_
1100 E. 20th Street
P.O. Box 689, 95927
Chico, CA 95928
Phone 916/342-6335
Mobile 916/521-4734
Fax 916/343-1158
APAJ9Vff%7
Certificate of Conformance
Certificate 050914
THE UNDERSIGNED MANUFACTURER HEREBY CERTIFIES that the structural wood products
Identified below and marked with a collective mark of Engineered Wood Systems (EWS) were man-
ufactured in accordance with the specifications Indicated below.
ANSI Standard A190.1-1992, for Structural Glued Laminated Timber
Job Name _ WESTERN BUYERS INC.
Job Location �1 ELK GROVE, CALIFORNIA
Customer's order No. WB=23591 Data 7/30/96 Mlgr's order No. 09-04489
DOUGLAS FIR/LARCH, EXTERIOR GLUE, 240OF-V4; ARCHITECTURAL APPEARANCE,
i
INDIVIDUAL WRAP, ENDS & SIDES SEALED, 2000' RADIUS CAMBER.
Signature C�'P Title QUALITY CONTROL *SUPERVISOR
Company BOISE CASCADE CORP. Address?° P. 0. BOX 50 Date </ /fz
BOISE, IDAHO 83728
,IT IS HEREBY CERTIFIED that the structural glued laminated timber production of the above-named
manufacturer which carries a collective mark of Engineered Wood Systems (EWS) is subject to regular
audit by Engineered Wood Systems, such audit consisting of the inspection with reasonable frequency
of the manufacturing process, with adequate sampling to verify the quality of glulam construction and
the adequacy of glue bond.
by '
Thomas G. Williamson
Executive Vice President
I
ENGINEERED WOOD SYSTEMS - A RELATED COIIPORAIION OF APA
COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION
7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-7541 CERMIT NO.
(Rev. 12/96) APPLICATION AND PERMIT Q�?' IQ 6
ASSESSOR PARCEL NUMBER �10 _ L0., O
ZONING
BUILDING PERMIT
OWNER
Rai- L-luvwIdim-
TELEPHONE
SO. FT. OCC. BUILDING VALUATION
OWNER'S NG ADDRESS
�/sr
0 'V
CONTRACTC R'S NAME
TELEPHONE
CONTRACTC S MAILING ADDRE S `
slact t)
CONSTRUCTION LEND
V.�
LENDER'S tMUNG ADDRESS
Fireplace
Total Valuation $
CV0 0
ARCHITECT OR ENGINEER
LICENSE NO.
Filing Fee
$ 20•00
Permit Fee
$ 1
ARCHITECT R ENGIN 5 MAID ADDR s411 AAjge
Plan Checking Fee
$
BUILDING ADDRES 11 yll 16 W
Energy Plan Checking Fee
$
$
PERMIT FEE
$ J Q,
LAT NO.
SUBDIVISIONS NAME
PARCEL MAP
PLUMBING PERMIT
Fling Fee 20.00
USEOFSTRUCTURE
SF [3 Duplex ❑ Mobilehome ❑ Other C_d"�A 23 64-11,
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 -,I, Utilities ❑ Installation ❑ Other _
Describe Work: nG%$%Eta •� ( .
R" ho e'
Gas piping system t - 5 outlets
15.00
Building sewer
15.00
Mobile Home I S I G I W
@20.00
PERMIT FEE
S
ELECTRICAL PERMIT
Fling Fee 20.00
800OR UES
Main Service zoOVA OR LESS
23.00
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter
9 (commencing with Section 7000) of Division 3 of the Business and Professions Code,
and my license is in N force and effect.
License Class Lic. No. J�1 t �/$ (�
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.
❑ 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
Main Service tow TO lOooA
46.00
NEW CONST. DWELLING OCS.
OR ADDNS. ( 8 ACC. BLOS.
SO
3.5¢FT_
NEW R61pT. MULTI.OUTLEf
97,50
POWER APPARATUS
8 SINGLE OUfLEr CI R.
DR
EX. Occup. OUTLET OR FURES
Q 1
B2' O
.50
Ex. Occup. ounce NS OR., E
5.00
Temporary Service
23.00
Mobile Home Facilities
20.00
Misc. Wirina
23.00
PERMIT FEE
S
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.)
1 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 ith those provisions.
X Date Z
Signature of Applican - ner ❑Contractor ❑ Agent
An OSHA permit is required for excavations over 60" deep and, demolition or construction
of structures over 3 stories in height. a
MECHANICAL PERMIT
Fling Fee 20.00
Heating
Cooling
Hood 6.50
Ventilation
PERMIT FEt $
Mobile Home Installation Fee $
Energy Inspection Fee $
Occ CONST. TYPE a
TOTAL FEE $
uE
This permit is hereby issued under the
of the Butte County Code and/or
indicated above for which fees have
By
PERMIT EXPIRES ON
applicable provisions
Resolutions to do work
been paid.
Date
Z �L
Date
Receipt No.
WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT
COUNTY OF BUTTE DEPARTMENT OF D,&V EOPMENT SERVICES - BUILDING DIVISION
7 COUNTY CENTER DRIVE - ORO VILLE CALIFORNIA 95965 TELEPHONE (916) 538-7541�; ` 4
PERMIT APPLICATION DATA SHEET
OWNER: L ASSESSOR PARCEL NUMBER: 4/0
Proposed Building Use. Com 9' Building Inspector: L Date:
At time of permit application, I was advised tife following data must be submitted prior to permit processing and/or issuance:
Date Received By
All items have been submitted--------------------------------------------------------------------------------------
LJ2. Plot plans, 3/4 sets, signed by the preparer of plans.------------------------------------------------------------
❑ 1 Complete plans, 3/4 sets, signed by the preparer of plans. ------------------------------ ---------------
❑4.: 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! ---------
06. Energy Design Compliance and supporting documentation. -------------------------------------------
❑ 7. Statement of Intent for Non -Heated and A/C Buildings. ------------------------------------------------
❑ 8. Hazardous Material Form. ---------------------------------------------------------------------------------
❑ 9. Manufactured Home data and installation instructions including Tie Down Specifications ----------
0 10. Fees of $----------------------------------------------------------------------------
❑ 11. Impact fees as shown on the attached schedule. -------
❑ 12. California Department of Forestry plan approval/fees.
1113. Flood elevation certificate. ---------------------------------------------
❑ 14. Sanitation and plot plan approval Health Department.
❑ 15. City of - Chick plumbbg. permit.1---------------------------=----------
�'.
1:116. Plot plan and business license approval from tho City of Biggs. ---
❑ 17. Planning approval for (A) Use: (B) Parking:
❑ 18. Contact Land Development about ❑ Improvements, ❑ Drainage, ❑ Legal Parcel. -----------------
❑ 1.9. Encroachment Permtrfor driveway (construction approval prior to occupancy). ---------------------
020. Pre -inspection for r Request to Building Inspector on
021. Contractor's license information. (Number, Name Style, Classification). ---------------------- -------------
022. Workers' Compensation carrier and policy number. -----------------------------------------------------------
023. Owner -Builder Verification (Given to owner ❑, Mailed to owner 0) - ------------------- -------------------
❑24. Letter of signature authorization. --------------------------------------------------------------------------------
❑ 25. Recorded copy of Agricultural Acknowledgment Statement. --------------------------------------------------
❑ 26. Letter of intent on building use. -----------------------------------------------------------------------------------
❑27. Manufactured Home utility clearance. ---------------------------------------------------------------------------
❑28. Existing violations and/or expired permits. ----------------------------------------------------------------------
❑29. 0433 A, ❑Grant Deed, ❑ M.H. Title, ❑ Check to H.C.D $ .---------------
030.
--------------
❑30. Other: -------
When you issue the permit, process as follows ❑ Mail to owner, ❑Mail to contractor.
11 Telephone and hold for pickup at office. ❑ Deliver with inspector.
Applicant:
Copy of Haz-Mat form sent ❑ Health Department, ❑ Fire Department, ❑ Air Pollution
Copy of plans sent ❑ Health Department, ❑ Fire Department, ❑ Other:
Date: •
Date: By:.
Date: By:.
(Date)
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 da by ❑phone, ❑ mail, ❑ Buil g DI ''sion counter, by Date:
Plans reviewed by: 71v � Date: 2 Plans approved by: G�{ (� C s Date:
Sets of plans on hold in ❑ P an Cabinet, ❑ A.P. fo der. Note transfer by: Date:
Yellow Copy - Department of Development Services, Building Division.
CONSTRUCTION CO.. ARCHITECT'
Lic #511846
18 Pistachio Drive 383 Rio Lindo Ave.
Chico, CA 95928 Chico, CA 95926
(5 0) 94.5719
1� u rz4� VG'" --644 r4c
L Luymav,
Ell 0A
,R 41-7 m
;i061 pie
r l s c la,%�1 �ZR�d `E �j • 117
:54)u x O'�za CF., U ems.L.Q3.
q 'I ti , `f "-.7. Y
�—
ti
rt(i o
11-01 0 tz
111
CONSTRUCTIONCO. ARCHITECT
Lic #511846 383 Rio Lindo Ave.
18 Pistachio Drive Chico, CA 95926
Chico, CA 95928 (5 0) 94-571I 657r 9 /�
et 167,
-ji,r ( ( fVou., ►ci�
0'1z' F, U LZ.
=
-IW, Z 3 GIS
XIII -01"C7 Ft -002 p(_!k'I
N
BUTTE COUNT
BUILDING DEPAHYW
4PPRQVE
fIZy�
MASONRY WALLS N E S W
1st Lift
2nd Lift
3rd Lift
4th Lift
5th Lift
6th Lift
FIRE WALLS 0 CUDancy, Area Propert
Gypsum Board 1st Layer 2nd Layer
Walls
Ceilings
A
(IC ,MERCIAL
f040-21-3-014 9 922 94 BPEEM��
LYMAN, Bill
9417 Midway, Durham
contr: Jim Dippel
new veterinary clinic —Y�%�
•
OFFICE COPY I
Address v ` L `-!' "
j ��vEYf • �' � o �
GAS
Meter By Date�"'� !
ELECTRIC
Meter By
OFFICE COPY
Address `"
lecu
GAS
Meter Bye,
ELECTRIC Q�
Meter By Datev-Y:
JOB FINALED (Date) l
Signature
CERTIFICATE OF OCCUPANCY ISSUED (Date)
Signature. __
V=OK
O=Not OK
= Not Applicable
= Not Ready
I
COMMERCIAL
Date , FRAMING (Continued)
.-46 Mangers -Post Caps -Anchors -Connectors
*.�of Shthing-Nailing-Diap.Chord Splice
-48rFirewal l-Doors-Area-Occp.-Prop.
is Access; Size & Romex Protection -Draft Stop -Ins. Baffles
"50 -Glu -Lam cert. -Placement -Support
^5T.'SteeLjkuildi ngs-Pu rl i n -Girders
9:115,erty Line Firewall & Openings
58 --Ext. Doors -Handicap Access
Date UNDERFLOOR Plans OK except #'s
Zoning -Setbacks -Easements -Flood -Slope -Soil Report
%2-ftig., Main; Soils-Ufer Gro .-Ftg. Depth '
3. Hold Downs -Bolts -Straps -Embedment -Hair Pins
4. Concrete -PSI -Cert -SP. insp.-Loc.
5. Stemwalls, Main; Steel-Blockouts-Wrapped
6. R inf. Steel -Grade -Placement
Slab; Steel -Wrapped -Wire Mash
8. iers-Steel
D.W.V.; Fall -Fitting- t-2 Way C/O -Sewer Test
10. Gas Pipe; Size -Anchors
11. Water Pipe; Test -Anchor -Regulator -Service Test
12. Electric; Underground, Underslab
13. Pienums & Ducts; Clearance -Material -Support -Ins.
14. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples
15. Masonry -Rebar -Lifts
Date 2 A� Card B-1 �j C� Date Card B-1
Date Card B-1 Date Card B-1
Date PLUMBING (Permit) OK except #'s
16 Water r.; Vent -Access -Combustion Air -Baffle
1 ater_Eipe; Test & Anchor -Nail Protection
Size & Anchpirs - firewall Penetrations
Date -% -4.--r3 Card B-1 y/xi,_.V Date Card B-1
Date Card B-1 Date Card B-1
Date ELECT L (Permit) OK except #'s
i2,1fixture & Transformer Clearance -Ins. Protection
Three Phase -Equip. Bond
No. of Cond
lb5rR'ojaex Installed Close to Edge of Studs & C.J.
2$. -Equip. Ground made up w/Mech. Fastners-Bond QAs_&1V40,_�
-44-Wiring-90°-Protected-Color Coded
-P8-Gubfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / / ga.
Cu or Al
-x-28. Fire Resistive-Fixture-Conduit-G.F.I.-Susp. Ceiling
-3e."5er ce-Riser Conductors & Ground -Main Disconnect
Equip. Clearances Panels-Motors-Mech. Equip.
.-32"Fire Wall Penetrations
Date Card B-1 Date Card B-1
Date Card B-1 Date Card B-1
Date MECHA CAL Permit OK except #'s
:Ci__ cts Insulation & Support
*'Tent Fan; Exhaust above insulation
--95.. Condensate Drain & Overflow; Size & Grade
--00. urnance-Vent; Access -Comb. Air -Return Air Vent -115 outlet
IT. Attic Access & Platform if Furnance in Attic
-30.-H.V.A.C.-Ventilation-Roof Access
-28-6moke & Fire Dampers
Date- Card B-1 DateCard B-1
Date Card By- Date Card B-1
Date FRAMIJ§6-(Plans) OK except #'s
A4/51ils_R-Poper Material & Anchors -Hold Downs
nd
4218 g Walls over Girders & Floor Nailing
Dr top in Walls (rat proof)
441 -Stops; Furred Ceilings -Stairs -Chases
s-64:'-6tairs; Width -Headroom -Rise -Run -Landing -Fire Protection
plywood on Roof Overhang -Attic Vents -Rafter Outriggers
-5e-Sidinq_Wailinq Veneer
5R.tucco Mesh -Drip Screed -Fd. Vents-Underflr. Access
(5s: Glazing Area -Glass Protection -Skylights -Plastic -Fire Port.
5 ails -Plywood-Nailing-Conn to Roof
62. Corridors -Openings -Fire Protection-Fram
Date -2 Card B-1 Date Card B-1
Date Card B-1 Date Card B-1
Date FINAL&Vs) OK except #'s
fj>ps-Door &Sidelight Protection -Landings
84' -Exits -Size -N umber -Placemen t
65. Furnace; Vents -Clearance -Comb. Air -Connector -
In Garage; Above Floor-Ducts-Mech. Protection
-16'67'Sprin klers-Placement-Test
-6i. Suspended Ceiling-Seismic-Wires-Elec-Light & Mech.
68. Elec. Trim & Subpanel; Breaker Sizes & Labels
r- tairs & Rails
70. Handicap -Do evers-Fin. Floor
71. Eleot.0dtiets at Wood Panel; Int. & Ext.
712!`Vtr. Htr.; Vents -Clearance -Comb. Air-Connector-P.R.V.
Ab .Floor-Mech. Protection
Ib., Elec. & Mech. Equip. Listed for Location
---? - sulation-Foam-Looked in Attic 0 Yes
75. Guard Rails & Deck Construction -Post Caps
76. Fdn. Vents & Crawl Hole Door -Drainage & Wood -Earth
Clearance Looked under Floor ❑ Yes
7 Brown -Finish
Y$.kC. Unit; Disconnect, Electrical, Plumbing
7 pts Above Roof; Plbg.-Appliance-Fireplace.-Clearance to
Openings
-eo:'Water Well; Disconnect, Electrical, Plumbing
:!!1 zt rior Elec. Trim; G.F.I. Receptacle -Underground
Off Sit --arking-Handicap
ass Protection
-8"orr tions from Previous Inspections
a - eters Tagged; Gas -Electric
86. Water &Sewer Connected -C/O to Grade -HD Approval
87. Energy Compliance Certificate -Other Certificates
--SB-Roofing Certificate -Fire Rating
Date 7 211 S y Card B-1 G5 Date Card B-1
Date `(/4 y�l� d� Card B-1 L'.e1� Date Card B-1
Date Card B-1 Date Card B-1
Comments at Final:
& Beam -Size & Bearing -Support Fix. Certificate of Occupancy
(NOTE: An entry must be made each time you visit the job site)
COUNTY OF BUTTE
DEPARTMENT OF PUBLIC WORKS y- . 7 COUNTY CENTER DRIVE
OROVILLE, CALIFORNIA - 538-7541
CERTIFICATE OF OCCUPANCY
This building has been constructed and completed in accordance with
the requirements of the Uniform Building Code under permit number
99-999for the following:
Use Classification CO; 't VETERIT!ARY CL 'Tr,
Address or Location 9417 YJDC!AY DURHA ;,CA 95933
Group
D-2 occupancy: Type Y'; construction.
It is hereby certified for the occupancy described above and may be
occupied.
Director of Public Works
Date 10/11/94 by �4%�r ��✓ ,
POST IN A CONSPICUOUS PLACE
(Over)
NOTICE
A new Certificate of Occupancy is required if the use or occupancy
of this building changes.
This Certificate of Occupancy shall be posted In a conspicuous place
and is not to be removed by other than the Building Inspector.
I
COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS
7 County Center Drive - Oroville, California 95965 - Telephone: 916/538-7541
APPLICATION AND PERMIT
PERMIT NO.
q9
ASSESSOR PARCEL NUMBER
040-213-014
ZONING
C 2-
BUILDING PERMIT
OWNER
BILL LYMAN
TELEPHONE
891-5707
SQ. FT. OCC. BUILDING VALUATION
OWNER'S MAILING ADDRESS
P.O. BOX 623 DURHAM 95938
2400 @ 72 172
800
126 C 1
638
CONTRACTOR'S NAME RIPPEL 4q'4S11, CAA'
JIM C/ C�L/r
TELEPHONE
CONTRACTOR'S MAILING ADDRESS
PARADISE
Fireplace
CONSTRUCTION LENDER
UNKNOWN
Total Valuation Is 174.438
LENDER'S MAILING ADDRESS
Filing Fee
$ 15.00
Permit Fee
$ 860.00
ARCHITECT OR ENGINEER
ED HOILAND
LICENSE NO.
13892
Plan Checking Fee
$ 430.00
ARCHITECT OR ENGINEER'S MAILING ADDRESS
1280 A E. 9TH STREET CHICO 95928
Energy Plan Checking Fee
$
Penalty
$
BUILDING ADDRESS
9417 MIDWAY DURHAM 95938
Permit fee
$ 1 305.00
PLUMBING PERMIT
Filing Fee 15.00
Each Trap
La 5.00 65-00
Solar or heat pump water heater
20.00
LOT NO.SUBDIVISION
NAME
PARCEL MAP
79-35
Water piping
7.00
7-00
Each pas water heater or vent
7.00
USE OF STRUCTURE
SF ❑ Duplex[] Mobilehome❑ Other COMM VETERINARY CLINM
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[y Addition[] Remodel❑ Utilities❑ Installation❑ Other❑
Describe work:
Permit Fee
$ 114-00
Contractor
ELECTRICAL PERMIT
Filing Fee 15.00
Main service ZOOA OR LESS
18.501 18.50
CONTRACTORS LICENSE LAW
I declare under penalty of perjury (check one):
❑ I am licensed under provisions of Chapt. 9, Div. 3 of the Business
and Professions Code and my license is in full force and effect.
License No. 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)
I, as the owner, am exclusively contracting with licensed contract-
ors. (Sec. 7044)
❑ I am exempt under Sec. , Business and Professions Code
for this reason
Main service 200A TO 1000AI
37.50
NEW CONST. / DWELLING OCCUR.&)
OR ADDNS. ACC. BLDGS.
1
3.r.4sq.ft.
0.00
NEW CONSTR ULTI.OUTLET
NO N•R ESID BRANCH CIRC ITS
@ 5.00
POWER APPARATUS 11
(SINGLE OUTLET cIR. )
Ex. Occup(OUTLETS OR FIXTURESFIXED
20 76
APLNS.
Ex. OCCup. OU LETS PRESID,)REA.1
I .3.00
Temporary service
15.00
Mobile Home Facilities
15.00
Misc. Wiring
g
'15.00
Permit Fee
$ 103.50
•
WORKMEN'S COMPENSATION INSURANCE
I declare under penalty of perjury (check one):
❑ The permit is for $100.00 (valuation) or less.
F-1 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 I shall not employ any person in any manner so as to become subject
�I 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
FiIirig Fee 15.00
Heating SPTITT
21 c). nn 18,00-
Cooling
Hood
6.50
Ventilation
22.50
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.
1 also agree to save, indemnify and keep harmless the County of Butte against
all liabilities, judgments, costs, and expenses which may in any way accrue
against saiid/Count i,. e7quence of the granting of this permit. n
X Date 2 Z��
Signature of Appll ant - owner ❑ Contractor ElAgent ❑
An OSHA permit is required for excavations over 5'0" deep and demolition or construct-
ion of structures over 3 stories in height.
Mobile Home Installation Fee $
Energy Inspection Fee $
oc
C TY E
TO -TA L FEE 1 , 603 �.,5 0
HA
DFE
IM
FLo
PAR
P
HD�'I
s
This permit is hereby issued under the
sions of the Butte County Code and/or
work Indic ed for which fees
R OF PUBLIC
By
PE MIT EXPIRES Date 2 -
applicable provi-
resolutions to do j
have been paid.
WORKS
Date,2-9- 3
-
' F�
Receipt No. � 3 (/
WHITE-D.P.W., FELLOW -ASSESSOR. PINK -INSPECTOR, GO NROD-APPLICANT
COUNTY OF BUTTE
BUILDING DIVISION
DEPARTMENT Of"17EVELOPMENT SERVICES
1469 Humboldt Road, Chico, CA - (916) 891-2751
7 County Center Drive, Oroville, CA - (916) 538-7541
747 Elliott Road, Paradise, CA - (916) 872-6307
CORRECTION NOTICE
OWN R PERMIT NO
A routine inspection indicates that the following violations of Butte County Ordinances exist at
the above address and should be corrected. Please notify this office when correction of work
is completed. If you have any questions pertaining to this matter, or need additional explanation,
please contact this office immediately.
Date 2' �' Inspector
REV 10/92
COUNTY OF BUTTE
BUILDING DIVISION
DEPARTMENT OF DEVELOPMENT SERVICES
1469 Humboldt Road, Chico, CA - (916) 891-2751
7 County Center Drive, Oroville, CA - (916) 538-7541
747 Elliott Road, Paradise, CA - (916) 872-6307
J CORRECTION NOTICE
OWNER
4? .= Z 77 If
PERMIT NO.
A routine inspection indicates that the following violations of Butte County Ordinances exist at
the above address and should be corrected. Please notify this office when correction of work
is completed. If you have any questions pertaining to this matter, or need additional explanation,
please contact this office immediately.
REV 10/92
r
REV 10/92
?R�i=,f;,,;�; �-"�7—�f'r-�-"•-rr-ne,. Y�.3 .: �.:�s•,w.-.pr.e.grr.:-��'.
COUNTY OF BUTTE
DEPARTMENT OF PUBLIC WORKS
1469 Humboldt Road, Chico, CA - (916).891-2751
7 County Center Drive, Oroville, CA - (916) 538-7541
747 Elliott Road, Paradise, CA - (916) 872-6307
CORRECTION NOTICE '
PERMIT NO.
A routine inspection indicates that the following violations of Butte County Ordinances exist at
the above address and should be corrected. Please notify this office when correction of work i
is completed. If you have any questions pertaining to this matter, or need additional explanation,
please contact this office immediately.
` ([ AuM— 4- k F �k
Date q —1✓Inspector
REV 11/91
OwNar
r
R -jig R4Y 'A
Vet Clinic, Durham, CA
LOCATION
R
K
`"1'.1 0- A T t 0'"
A.P. Nu.
- ueaGRiPT1Aq Al ZNANMT�AII
1latarlpl: illsrlN: itatlat�i�h N Yalu,). _
'1'b 1pkn�a a (�1►cbaa)
RY'fBIt1A11 HAI•!.
Ilq wit Flskf�4-ASS BAT TS
'MOW ua1►a(lncbaY) 6°il
wroM N4044-
111wtp►a1 R4*jVt411a*(R Value) R19
call -TNG IraW Naso
gaff ur placket 'type Tllarwill Rarlat�►►ce(R VM1•,.) _--
'1'1►lckneaa(lucbtlY) ( ':NS. •
l.00Ya 1� llt 'l'ypa fOf Ct-ASS trans Naa1a
N111t+w TI►tck►►eY�Yncl►eY) 12_ 3___ �4..'_ Iiu+"I+ir pt Ra`a 3 Ht. par 4�K alb.
Area coverea(tt.) 2325 71►aT�sl R•at�t+lnca(!1 Y111ua) R30____._
V1.00Rt BI.1r1fATRA
ltat•rtal
'fb t�kl�ae• � t1�c1►YY)
V 1.AQft o HIAA
Natartal
'rbt�kueYY(lucbeY) .
Nl�ltl►(lucheq)
t►QUt1pA'l' l Wi HAI.1.
t{►►c a1c t a 1 .
'fill Fktied e(lucl�ea) .
TII�1 aaalMtapca(R value) _--
Ilraa4 Nt►a
111a►�al R`YlatYpae(lt Vt11ua) ' __
NrapA Nava ----
7110"Ot RoYIYKauaa(R VNlua)___T________
Y 1►acaby carttry that tl1e ebpva #06041 tpa Vq* lwatait*4 to tho rPyva I+u41►!a`�u
t►► cul►futwY►wa With 9:110 Urate of Ga.I4tarN44 Rn�r�l► Rayu<<}wagta.
< : T1Skl�D---•--I�----�"" 499150
YAH xtuea sTATR GAN'rnACTWt 8 LTcett9R tt�.
August 31, 1993
r.. .PATS -.---- —
�Ulip AF iNs 'AI• A1'
VA •iCAT
3
fil
ll
Y I�arat►y. cartttY tl�a «bovY tu�lulgtlp aRtt+a�pta�114vat4Yaa $11loo�ull►a
gd«9
qu/ t�ltt►fi nap«+�tN�ent Ppprovad plana p
calttof#1A R
►ayulrad by tl►e �t«ta pt n$rolr Rpgwtrpwauta,,,
All ayutpwant.
davli:eY «�►d w«taasAla ATa of 010 quality, prosartbad or «ro
apapttic«lly appcAvad by the AWO pt RNlltornta. .
piaN tMt�/�ti pleeaa prlat) dTATR RANfRAu"1'A� ti 1.1Gi?tId)r N�. _
n►iAew ARtIR Ql/1'RA4T� �� pATli
4
William Lyman'
P.O. Box 623
Durham, CA 95938
Dear Mr. Lyman;
.. ........
6,atte Co,
LAiV D C F i\1ATU RAL V\1FALTH AMID ? U T Y
-2 BUILDING DIVISION
DEPARTMENT OF DEVELOPMENT SERVICES
7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965-3397
TELEPHONE: (9161 538-7541
FAX: (916) 538-2140
July 9, 1992
RE: Special Inspection #92-31.
A.P. #040-213-014
With reference to the above subject and your. request for inspection of the
proposed relocation of the building. located at 9417 Midway, the inspection
as made on June 17, 1991.
A reasonable visual inspection was made without -going on the roof, under the
building, or in the''attic and found the following items which must be done
or resolved:
1. Obtain Health Department approval for water supply and sewage disposal
at proposed site.
2. Comply with items 1,3,4,5,6,7_.and 8 of special inspection letter
#23-91 of June 24, 1991 (copy attached).
3. Comply with plan check .comments that may be determined at time of
plan review.
This inspection by the County of Butte does not act as a guarantee or warranty
as to the internal soundness of said addition, conversion, etc.
It is now in order for you to submit complete plans in triplicate with calcula-
tions to this office including plot plans, floor plans and structural details,
apply for the required permits, and pay the appropriate fees.
Should you have any questions concerning this matter, please contact Dave Purvis
of this -office at (916)538-7541.
DP:hla
Yours very truly;
J.F. Glander
Manager, Building Inspection
cc: Assessor
Building Inspector.
Health Department
Tim Lodge, Rt 1 Box 316-5, Glenn, CA 95943
0¢0-2/3- 0 rk
August 4, 1993
-A i7g- -Z qL74
Ed Hoiland, A.I.A. Architect
1280A East 9th Street
Chico, CA 95928
( 916) 343 4008
Butte County Building Department
7 County Center Drive
Oroville, CA 95965
Re: Durham Veterinary Clinic (under construction)
The Midway
Durham, CA
A.P. No. 040-213-014
Field Inspector,
Request for door width revision: at the rear of the building, in room
No. 18, DOG WARD, there is a "animal isolation" room, 5'x 6', in the
s -w corner of the room, which shows a 36" door. Construction has shown
that this door would be better at a 30" width. The owner and the
contractor have asked me to get your approval of this door width change.
Ed Hoiland
c.c. Dr. Lyman and James Dipple
4- 23o,",1 z9oz)A IS��i�0
Z04 D p1e= Z- /"55'
7�i Al /0 /6i2 (W 8G S&—c. 330 �(.
c%�/f g/Sl9,3
�: �., ,.r.. •*�;..,7'�'��y�'Y..T..r••�;=; ,..,r, rr . ,..¢,"��"�-A- I' "i,�'";��t,,Pv+Y ,�f RYA,,. r�.�._.,;,�r���•�`•,+�iyti., ., ;y,.,.ti .r ,.. .
V ' Y �r►�
I
COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS - BUILDING DIVISION
7 COUNTY CENTER DRIVE - OROVILLE, CALIFF&SVtA 95965 - TELEPHONE (916) 538-7541
OWNER/ ` �
Proposed Building Use
PERMIT APPLICATION DATA SHEET
Building Inspector
A. P. No
Qyv- V
Date �' `✓ AZ
At time of permit application, I was advised the following data must be submitted prior to permit processing and/or issuance:
' DATE RECEIVED BY
1. All items have been submitted . ........................................
2. Plot plans, 3/4 sets, signed by preparer of plans . ..........................
3. Complete plans, 3/4 sets, signed by preparer of plans . ......................
4. Engineered plans and calcs, 3/4 sets, with wet signature on plans . .............
5. Hazardous Material Form . ............................................
6. Energy Design Compliance and supporting documentation . ..................
7. Statement of Intent for Non -Heated and A/C Buildings . ......................
8. Engineered truss details and layout in duplicate (required prior to plan check). ....
,9. Mobilehome datand-manufacturer's installation instructions, 2 sets. ...........
10. Fees of $ 1 vols ....... ....................................
11. Impact fees as shown on attached schedule. r
12. California Department of Forestry plan approval/fees. ..........'. ............ .
13. Flood elevation letter (100 year flood) by California Engineer. .... `....... .
14. Sanitation and plot plan approval t C o Health Department. ..... .... 9�� _
15. City of Chico plumbing permit . .........................................
�6. Plot plan and business license approva from City of Biggs/Gridle .
0 1 Planning approval for (A) Use: �. (B) Parkin 1-�T 9i�s
Contact Land Development about QN Improvements Drainage.(N56.0Sf�RN 0,'929441-
19. Driveway permit (construction approval required prior to occupancy). ..... ... .
Pre -Inspection requeR
20. Pre -inspection for F required. .. to Building inspector te)
AVY 21. Contractor's license information. .e Style, Classification .
22. Certificate of Workmans Compensation Insurance . ..........................
23. Owner -Builder Verification (Given to owner , Mail to owner ) ............
24. Recorded copy of Agricultural Acknowledgement Statement . ..................
25. Letter of signature authorization . ....................................... .
26. Copy of recorded deed of parcel creation and 60 right of way to a public road. .... .
27. Letter of intent on building use . ........................................ .
28. Mobilehome utility clearance . ......................................... .
29. Documentation of legal access . ....................................... .
30. Documentation of 50% subdivision developed or (A) Road improvements completed
_ and (B) Parcel meets zoning area and frontage requirements . ...............
31. Existing violations/expired permits . ......................................
A 32. Plan check list. .
'*33:
Wheryyou issue the permit, process as follows: Mail to owner. Mail to contractor.
(/ Telephone 891-X'107 and hold for pickup at oil office. Deliver with inspector.
� Other
/!tet Parcel Creation ,/J �ZY�91-
�Acreage Applicant i'( Date
Copy of Haz-Mat form sent Health Dept. Fire Dept. Alr-Po-llutiofi Date 0 r I -t
Copy of plans sent Health Dept. I/Fire Dept. Other. Date 9 15 42 By
The following data must be submitted prior t er s ( ircle
1. Index permit for above items No.
2. Additional items required:
above).
Contractor, designer, owner, was advised of above required data by ho a -h 1. mail Counter by _ Date t/
Contractor, designer, owner, was advised of above required data by ph mail Counter by _Date
Plans checked by Date Plans approved by : � - Date
Sets of plans on hold in File cabinet AP folder
Copy - Department of Public Works
1
COUNTY OF BUTTE - DEPARTMENT'OF PUBLIC WORKS - BUILDING DIVISION
7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE (916)5387541
;WNER �/6 A. P. NO.
?ROPOSED BUILDING USE jle -�eV cly fi y DATE
REC. # DATE REC
1. School Distric Fees +lRM
(paid at District Office) 7
2. Sheriff Fees
(paid at Building Department)
Residential ......... X=$ s3 �
unit amt.
Commercial( per sq. ft.) 3 X ?- O® _$ �i-
sq.ft. amt.
3. Urban Area Fees
(paid at Building Department
Residential (per unit) X =$
T units amt.
Commerical(per sq . f t. )��-� s l
sq.ft. amt.
4. Recreation District Fees
(paid at District Office)
5. Drainage District Fees
(Contact Land Development) .........................
6. Other
7. Other
zt time of permit application, I was advised the above fees are required to be paid prior--
:o
rio-:o issuance of the permit.
kPPLICANT C'�/ G'/' DATE
BUTTE COUNTY ENVIRONMENTAL HEALTH DEPARTMENT
HAZARDOUS MATERIALS AND EMMISSIONS QUESTIONNAIRE
(A Building Permit cannot be approved without this completed form.)
BUILDING PERMIT NUMBER
Firm Name DURHAM VETERINARY CLINIC
Address PO Box 623 , Durham CIA -
Nature of Business Veterinary Clinic
APN 0 40 -V3 e o/+
Contact Person William N. Lyman, D.V.M. Phone # 916-891=5707
1. D es y r bus'ness or that of your tennants hapole, store, or transport h ardous materials?
NOTE: Hazardous materials are defined as any material that, because of its quantity, concentration, or
physical or chemical characteristics, poses a significant present or potential hazard to human
health and safety or to the evironment if released into the the workplace or the environment.
"Hazardous Materials" include, but are not limited to, hazardous chemicals, hazardous waste,
paints, oils, lubricants, fuels, flammables, combustibles, corrosives, gases, and any material which
a handler or the administering agency has a reasonable basis for believing to be injurious to the
health and safety of persons or harmful to the environment if released.
2. Do you or will your future tenants handle store, or transport 55 gallons, 500 pounds, or 200 cubic feet (at
standard temperature 4 pressure), or formulation containing hazardous material?
9 NO ❑ YES
If you answered YES to 1 or 2, contact the Butte County Environinemtal Health Department (916-538-7281) for
a review of the project.
3. Is the business/facility/operation to be located within 1000 feet or the outer boundry of a school or
school site?
❑ NO IR YES
IF YES, name of school. Durham School District
4. Does the business/facility/operation have the potential to emit any air pollutants; e.g., dust, soot, odors,
fumes, vapors, or other volatile compounds?
@ NO ❑ YES
IF YES, contact the Butte County Air Pollution Control District (916-891-2882) for permit requirements.
Owner or Authorized Company Representative
(Signature) (Date)
BCEHD BCAPCD
The applicant has met or is meeting the applicable requirements of Section 25505,
25533, and 25534 of the Health and Safety Code and the requirements for a permit
from the Butte County Air Pollution Control District.
0 1:1 The Above Regulations Do Not Apply To This Facility.
BCEHD Signature Date
BCAPCD Signature Date
WHITE- Building Dept 0 YELLOW- Env. Health 0 PINK - APCD 0 GOLDENROD -Fire Dept.
Inter -Depart",'. em®randum
UNC'
To: Land Development Section, DPW
FROM: Building Division, DPW
SUBJEct: Improvements and Storm Drainage Clearance
DAT E:
We have recently received an' application to construct a 1/11 (iirlVlaQ U G��►�!�
(use)
by
(owner and/or dontractor).
at
4-5
(location)
A.T. No. �'�i���[.`f._ Permit Appin. No.
and he has been advised to.contact your section regarding requirements.
Would you please 'advise, by signiing'this memo, when you have cleared the improve -
meets and storm'drainage facilities for this project so we may issue the required
permit.
.F. Glander
JFG:dd Chief Building'Inspector
Improvements and drainage plans approved for construction.
Improvements and drainage not required for.construction.
e
Other
(specify)
(signature)
(date)
'Onnwwdojan®a our,
?661 9 a gpV
3june
t...—r.. -» ... � 1yCs•r w ...v . .. .. ,.. .y,�.,,+'h,.� T.C—'�.—"�y`Y+i+✓'."'Y+•'.*�ay a'°.^.xsFyr.""�`+"s""`�"b...3.
Nd
" '.
BUTTE COUNTY SCHOOLS IMPACT FEE CERTIFICATION FORM
" rt (One Form Per Building)
�. w
School District Vu e/'/,441 Building Department No.
A.P. Number �yU ` Z' if 3-. 61y Jurisdiction City ls� County
Property Owner
Property Locatic
Subdivison
Residential Development
Commercial/Industrial'
0
No. of Living MHI
Units
gew
Building Department Representative'
4m
Peer -Rafts -r er's
District Identification No.
yll 7 InI C/GAJ
(Street Address)
Lot No.
Sq. Footage
Addition
0 Sq. Footage
Addition
Date
(Group R)
ZSzG
(Including Exterior
Roofed Areas)
School District certifies that AW z yln a /7
(Applicant)
(Phone Number)
0wrh0 7 7
(City) (State) (Zip Code)
has complied with the requirements of Resolution No. _5�? -/ by payment of $ 6S(�.'10
representing 62&�-v;i-6 square feet.
District Representative
Paid by Check NumberRemarks:
Bank Number
Paid by Cash
4.
Date
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) feeformmkt (4/92)
ARCHITECT, A.I.A.
ED HOILAND
1280A E. 9th STREET
CHICO, CALIFORNIA 95928 ,
(916) 343-4008
TO 13U Uty T i T2� 2e
WE ARE SENDING YOU ❑ Attached ❑ Under separate cover via_
❑ Shop drawings ' XPrints ❑ Plans
❑ Copy of letter ❑ Change order ❑
LEUTEM o[FTURSEDUMIL
DATES, "tY
JOB NO.
ATTENTION
^ �/�
RE: V ' ` V�� PA
6t_te../ FLAN s i
2
he following items:
❑ Samples ❑ Specifications
COPIES
DATE
IJ"O'
DESCRIPTION
2
u S CALc.S PK)b ,
2.
�' `- `
2 S �-►-5 GSR T- � GC>Y''� � �-i � hl C�
THESE ARE TRANSMITTED as checked below:
For approval ❑ Approved as submitted
❑ For your use ❑ Approved as noted
❑ As requested ❑ Returned for corrections
❑ For review and comment ❑
❑ FOR BIDS DUE 19
REMARKS
❑ Resubmit copies for approval
❑ Submit copies for distribution
❑ Return corrected prints
❑ PRINTS RETURNED AFTER LOAN TO US
COPY TO
SIGNED:
PRODUCT 240.2nra e� Inc� Work Mm 01411. If enclosures are not as noted, kindly notify us at once.
MULTIPLE FAMILY AND COMMERCIAL PLAN CHECKING GUIDE
OWNER 9166 C M41i
Bldg. Permit # X12- X994
A.P. # d 4 -
A. GENERAL
zoning requirements (sideyards, parking, special conditions, Planning approval).
,,2! Valuatio IvEE,OS 1,01''eov. 8 VR1vWf6e- &Ifxlr fYpl�ead6
nature by R.C.E., Architect or Building Designer.
Improvements and drainage -- Land Dev., DPW; City of Chico; City of Biggs.
/5! Complete plot plan with dimensions, easements, other buildings, and other per-
tinent data.
See previous permits and plans in file for expired permits, change of use,
violations, etc.
,7! Flood hazard. NST !y Can'I��lTE/�
B. OCCUPANCY REQUIREMENTS v -
1. Building use vC77021 +9` CLINIC- .'
Occupancy Class $ Z Type of Construction N
Building floor area 2 SOD sq. ft. Occupant Load
4. Total allowable floor area sq. ft.
Basic allowable floor area i76aD sq. ft.
Basis for increase N fi
Compliance with occupancy group requirements (Chapters 6-12).
Occupancy separations (Sec. 503).
Area separations (Sec. 505).
Firewalls due to location on property (Sec. 504). NEEps TWO f %-ere W,4LLS
Maximum height requirements (Sec. 507).
Attic separations (Sec. 3205).
Ventilation and special hazards requirements (Chapter 6=12).
Fire extinguishing systems, 20 sq. ft. opening/50 linear ft. (Chapter 38).
_,3!• Fire alarm systems (09 Sections of Chapters 6-12).
,14,1 Mechanical code requirements. (Grease hood w/fire sprinkler system - Chap. -20)".
Environmental Health Review - (a) Restaurant Act, (b) Commercial Pool,(c) H Occupancies
- Smoke detection system.
Fire Dept. Plan Review and/or Fire Marshal Plan Approval.
X38:' Electrical Code Requirements (Pools or hazardous occ.) (Art. 680 & 500's).
Physically handicapped requirements (State Law).
Wholesale Food Manufacturing (Plans to state,DHS,FDB).
C. TYPE OF CONSTRUCTION REQUIREMENTS
Fire retardant roof coverings (Sec. 3202).
Parapet walls (Sec. 1709).
Toilet room floors and walls (Sec. 510).
Physically handicapped (per State Law). (A)OMD)
Guardrails (Sec. 1711).
Detailed types of construction requirements
Proper roof pitch for roof covering (Chapter
Attic .•access •arid ventilation. (Sec.. 3205) • .
Roof drainage (Sec. 3207). �`
Skylights (Chapters 34 & 52).
Stages and platforms (Chapter 39).
(Chapters 17-22).
32).
Interior wall and ceiling finish (Chapter 42).
Fire resistive requirements (Chapter 43). FlX6: 4��66S'
MULTIPLE FAMILY AND COMMERCIAL PLAN CHECKING GUIDE (CONT'D)
C. "TYPE OF.CONSTRUCTION REQUIREMENTS (CONT'D)
14' Wall -and ceiling coverings (Chapter 47).
Glass and glazing (Chapter 54). Human Impact (Sec. 5406).
Foam plastics (Sec. 1712).
D. STAIRS, EXITS, AND OCCUPANT LOADS
General Exit Requirements (Sec. 3301 & 02) (Post occ. load, etc.).
/y Number of exits, width and locations (Sec, 3303).
Doors (Sec, 3304).
f+! Corridors and exterior exit balconies (Sec. 3305).
Stairways, rise and run, width, winders, -and:,,co�nstruttion,' (Sec. 3306).
,6-t Horizontal exit (Sec. 3308).
Exit and smokeproof enclosures (Sec. 3309).
,8! Exit signs and illumination (Sec. 331-3,-,&,,14).,
X Aisle$ and seating (Sec. 3315 & 16).
Exits for occupancy groups A-E (Sec. 3317 - 3321).
E. ENGINEERING REGULATIONS, DESIGN, QUALITY, MATERIALS, AND DETAILED REQUIREMENTS
Complete plans sufficient to show how building'•is proposed to be constructed
and to verify conformance with Chapters 23-29. Plans must include plot plan,
floor plan, foundation plan, elevations, and complete structural details.
Energy design, calcs, and necessary details (State Law) & compliance statement.
on plans.
Ven6er (Chapter 30).
�4!
Chimneys and.fireplaces (Chapter 37).
,,45% Plastics (Chapter 52).
,_61 Excavation and grading (Chapter 70).
Continuous or Special Inspection (Sec. 306).
,A'. Factory or other certification.
Soils or compaction data.
Noise regulations.
1 Footing reinf. Min. Two #4 bars (cont.).
11 Engineering Calc(s) should include:
(A) Roof - Ceiling.
(b) Floor - Ceiling, Trusses
(c) Foundation.
(d) Walls -- Large openings? (consider lateral).
(6) Lateral:
(1) Roof Diaphram.
(2) Shear Walls.
(3) Anchorage & Tie -Downs.
(4) Connections thru-out., `
(f) Retaining Walls.
1 Complete building material specifications.
re-rL ss6C,56r"VOY
6112 flIn --Dre
o¢D- V3 - 0/-z�
_* q2-2qq,f
COUNTY OF BUTTE
BUILDING DEPT
AUG 0 5 jBgj
August 4, 1993
Ed Hoiland, A.I.A. Architect
1280A East 9th Street
Chico, CA 95928
( 916) 343 4008
Butte County Building Department
7 County Center Drive
Oroville, CA 95965
Re: Durham Veterinary Clinic (under construction)
The Midway
Dir ham , CA
WAP-PMNo,. 0_40�2.13�011�4�
Field Inspector,
Request for door width revision: at the rear of the building, in room
No. 18, DOG WARD, there is a "animal isolation" room, 51x 6, in the
s -w corner of the room, which shows a 36" door. Construction has shown
that this door would be -better at a 30" width. The owner and the
contractor have asked me to get your approval of this door width change.
Ed Hoiland
c.c. Dr. Lyman and James Dipple
30 If 00012 i.S
)�70 SZ /9 R Cron, al/ 1;41' 00.e,01019�( T
C o.te-erS s V1.10 -Al C d r
4 9 C S6C. .33o4-,
2/3 -off¢
11/l17 — Cor/G Go�v'r/Z • c'
345--4800
X92-2ff,,�L
,Ow)zH,-fm ver HOSP.
1sc6v � .45°T1c -r-m* - I � Pr"
15
1 sok- /�,O • GZ??ti M/g
3.s 7-6 ¢. o /
t,*/v
3//61fe3
S'u1TAaI,�J
C'�7wt f%A�T' 7b 4c-
rle
J
Spar 2.
C E R T I F I C A T E O F C O M P L I A N C E (Part 1 of 2) Performance Requirements C F- 1 B
Project Title: Durham Veterinary Clinic For Enforcement Agency Use Only
Firm: Ed Hoiland/Architect
Project Location: Midway
City/Town: Durham, California 95938 Building Permit Number: �Z Z G�G�L1_
Documentation Author: Donna Wallace Plan Checked By: % Date:
Telephone: (916) 893-4982 Field Checked By: Date:
Date: 05/20/92 Approved By: Date:
PRINCIPAL DESIGNER. The proposed building will be in
substantial compliance with the California Building Energy
Efficiency Standards provided it is built according to the
plans and specifications and provided future improvements
are completed according to the requirements indicated on
-this Certificate of Compliance. The plans and specifications
have been prepared to include all significant energy conser-
vation features required for compliance with the Standards.
Building areas that are unconditioned and/or not subject
to the standards are indicated on the plans.
Plans dated:
Specs -dat
Signature Date -
Name/Title: 0. Ed Hoiland/Architect
Company:
Address: 1280A E. 9th Street
City/State/Zip: Chico, California 95928
Telephone: (916) 343-4008
Cal License No.:
OWNER. The energy conservation features and performance
specifications indicated on this document and on the plans
and specifications shall apply to future alterations, unless
compliance is demonstrated anew and a new Certificate of
Compliance is submitted. A copy of this Certificate will be
retained and transmitted to future tenants, subsequent
owners or others with responsibility for making improvements
or modifications to the building. If this certificate is
Lost, a new Certificate may be required before a permit is
issued for alterations. Unconditioned areas are indicated
on the plans and, if these areas are conditioned in the
future, they must be made to comply with the applicable
ene�tandards in effect.
r
Signatu Date
Name/Title:
Company:
Address:
City/State/Zip:
ENFORCEMENT AGENCY. The proposed building and future
alterations will comply with the California Building Energy
Standards, provided future alterations meet the requirements
indicated on this Certificate and all applicable mandatory
measures, as long as the building occupancy type remains
unchanged.
-------
Signatur.e Date
Name/Title: BUTTE
Agency: BU.l 1 E COUNTY
Address: BUILDING DEPARTMENT
City/State/Zip: APPROVED
ENERGY ANALYST. The energy performance analysis summarized
below was performed using an approved CEC calculation method,
with CEC approved fixed and restricted engineering inputs for
the applicable climate zone and occupancy type, and using an
appropriate representation of building zoning and physical
configuration. All significant energy conservation features
are listed below, or on an attached supplement.
Signature Date
Name/Title: Donna Wallace
Company:
Address: 399 E. 9th Avenue
City/State/Zip: Chico, California 95926
Telephone: (916) 893-4982
GENERAL Reference
1
Unconditioned or Multi -tenant shell?..
No
Page
2
CEC Occupancy Type..........
Dwgs.
Low -Rise Office
Option
3
UBC Occupancy Group/Division
Page 3
B-2
h-F-sf/Btu
4
Climate Zone ................
Page 3
11
9
5
Conditioned Floor Area......
Page 3
2400
sf
6
Unconditioned Floor Area....
Page 3
0
sf
7
Budget Table (fr. Stds.)....
188 ed.
2-53R
0.91
8
All. Energy Budget (WS -1A)..
WS -1A
217.1
Kbtu/sf-yr
9
Calc. Method CEC Code/Date..
Page 3
CPO -02
Average
10
Multiplier ..................
Page 3
1.027
11
Calculated Energy Use.......
Page 4
165.1
Kbtu/sf-yr
ENVELOPE REQUIREMENTS
12
Average
Roof/Ceiling Rt.....
Page
9
26.00
h-F-sf/Btu
13
Average
Exterior Floor Rt...
Page
10
N/A
h-F-sf/Btu
14
Average
Opaque Wall Rt......
Page
9
12.24
h-F-sf/Btu
15
Glazing
Area in Wall........
Page
10
249
sf
16
Average
SC (Wall Glazing)...
Page
10
0.91
31
17
Glazing
Area in Roof........
Page
9
0
sf
18
Average
SC (Roof Glazing)...
Page
9
0
LIGHTING REQUIREMENTS
19
Allowed
Whole Building LPD..
Page
3
2.10
watts/sf
20
Allowed
Common Areas LPD....
Page
3
N/A
watts/sf
21
Allowed
Tenant Space LPD....
Page
3
N/A
watts/sf
22
Package
Lighting Reduction..
Page
3
0.00
watts/sf
23
Lighting Controls Required?.
Page
3
No
(Y/N)
MECHANICAL REQUIREMENTS
24
System Type .................
Page 3 Gas
Heat/Elect. Cool
25
Unit Fan Power ..............
Page 3
0.75
watts/cfm
26
Rated Cooling Efficiency....
Page 3
8.2
EER
27
Rated Cooling Capacity......
Page 3
71.3
KBtuH
28
Rated Heating Efficiency....
Page 3
0.71
SE
29
Rated Heating Capacity......
Page 3
93.0
KBtuH
30
Economizer Cooling?.........
Page 3
No
(Y/N)
31
CF -1X Attached? .........................
Yes
(Y/N)
Page I of 1 (O
C E R T I F I C A T E O F C O M P L I A N C E (Part 2 of 2) Performance Requirements C F- 1 B
Project Title: Durham Veterinary Clinic For Enforcement Agency Use Only
Documentation Author: Donna Wallace
Telephone: (916) 893-4982
Firm: Ed Hoiland/Architect
Date: 05/20/92 Plan Checked By: Date:
Cond. Floor Area: 2400 -
CEC Occ. Type: Low -Rise Office Option
Note. More than one Part 2 may be submitted, but all must reference the same Part 1. The person responsible for the design
compliance for each major building system acknowledges the following compliance statement by signing the appropriate space
below.
Compliance Statement.
The proposed building improvements substantially comply with the requirements indicated on the Certificate of Compliance for
this building, dated 05/20/92 . The plans and specifications include the significant energy conservation features and the
compliance documentation is consistent with the plans and specifications.
ENVELOPE
Allowed Proposed
Allowed
Proposed
1 Roof/Ceiling Rt.....
26.00
26.00
2 Exterior Floor Rt...
N/A
N/A
3 Opaque Wall Rt......
12.24
12.24
4 Wall Glazing Area...
249
249
5 Average SC (Wall)...
0.91
0.91
6 Roof Glazing Area...
0
0
7 Average SC (Roof)...
0
0
Other Requirements: See Page 7.
Extent of Improvements: New Building
h-F-sf/Btu
h-F-sf/Btu Plans dated: Specs dated-
h-F-sf/Btu �� �•
sf Qs_ --- -�'�X----r-'_Z-4?
Signature Date
sf Name/Title: 0. Ed Hoiland/Architect
Company:
Address: 1280A E. 9th Street
City/State/Zip: Chico, California 95928
Telephone: (916) 343-4008 Cal. Lic. No.:
Enforcement Agency: Date:
LIGHTING
8 Basis of allowed LPD............ SCM Analysis
Other Requirements: See Page 7.
MECHANICAL
Allowed Proposed
9
LPD .................
2.10
watts/sf
10
Lighting Reduction..
0.00
watts/sf
11
Adjusted LPD........
2.10 2.00
watts/sf
12
Lighting Control Credits?....... No
(Y/N)
Other Requirements: See Page 7.
MECHANICAL
Allowed
Proposed
13 Unit Fan Power......
0.75
0.70
watts/cfm
14 Rated Cooling Eff...
8.20
8.5/9.5*
EER/SEER
15 Rated Cooling Cap...
71.3
71.3
KBtuH
16 Rated Heating Eff...
0.71
0.718*
SE
17 Rated Heating Cap...
93.0
93.0
KBtuH
18 Economizer cooling?.
Not Reqd.
No
(Y/N)
19 Simul. heat/cool?...
No
No
(Y/N)
Other Requirements: See
Pages 7 and 8.
* Minimum efficiencies listed. See
Pages 7 and 8 for
complete list of efficiencies.
Extent of Improvements:
Plans dated: Specs dated:
---------------------------------------------------------------
Signature Date
Name/Title:
Company:
Address:
City/State/Zip:
Telephone: Cal. Lic. No.:
Enforcement Agency: Date:
Extent of Improvements:
Plans dated: Specs dated:
Signature Date
Name/Title:
Company:
Address:
City/State/Zip:
Telephone: Cal. Lic. No.:
Enforcement Agency: Date:
Page Z of I G
CERTIFICATE OF COMPLIANCE - 31A PERFORMANCE REQUIREMENTS CF -1X
Project Title: DURHAM VET CLINIC Date: 05-20-1992
Architect/Engineer: ED HOILAND Time: 08:54
Project Location: MIDWAY
City/Town: DURHAM
Author/Firm: DONNA WALLACE Telephone # (916) 893-4982
RUNCODE: 05-20-1992-WQ
-------------------------------------------------------------7-------------
PAGE 1 OF 1
12
Total Zones
Zone
13
1
#1
---------------------------------------------------------------------------
GENERAL
Avg Opaque Wall R .....
.1
Multi -tenant ?..........
N
2
CEC Occ Type ...........
OFFICE
3
UBC OCC ...............
B-2
4
Climate Zone ...........
11
5
Cond Floor Area (SQFT)
2400
5A Cond Perimeter (FT) ..
230
6
Uncond Floor Area (SQFT)
- O -
7
Budget Table ..........
****************************************
8
All. Eng Budget .......
<See CF -1B, Part I & SCM Budget Summary>
9
Calc. Method ..........
CPO -02
10
Multiplier .............
1.027
11
Calc Eng Use (KBTU/SQFT)
165.09
ENVELOPE REQUIREMENTS
Modeled Zone LPD .......
12
Avg Roof R ............
26.00
13
Avg Ext Floor R .......
0.00
14
Avg Opaque Wall R .....
12.24
15
Wall Glaze Area (SQFT).
249
16
Avg SC (Wall Glaze) ....
0.91
16A SideFins/Overhangs ...
NO
17
Roof Glaze Area (SQFT)..
0
18
Avg SC (Roof Glaze) ....
0.00
LIGHTING REQUIREMENTS
.19
Modeled Zone LPD .......
2.1
20
Common area LPD.........
N/A
21
Tenant Space LPD. ...
N/A
22
Package Light Reduction.
N/"&,
23
Light Controls Required?
NO
MECHANICAL REQUIREMENTS
24 System Type * .......... GF/AC/EW
25 Unit Fan Power (W/SQFT). 0.75
26 Rated Cooling EER....... 8.20
27 Rated Cooling Capacity . 71300
28 Rated Heating EFF .... 0.71
29 Rated Heating Capacity.. cj3,00 O
30 Economizer Cooling ..... NO
*
GF = Gas Furnace, ER = Electric Resistance, HP_= Heat Pump, OF = Oil Furnace
AC = Air Conditioning, EC = Evaporative Cooler
GW = Gas Water Heater, EW =.Electric Water Heater
Pages 3 0f I%
**** SCM ENERGY ANALYSIS MODEL VERSION 3.1A **** DATE: 05-20-1992
*** 2ND GENERATION NONRESIDENTIAL ENERGY STANDARDS *** TIME: 08:54
****************************************************** PAGE• 1
CLIMATE ZONE : 11 ASHRAE SDT 102
RUN TYPE : COMPLIANCE
TOTAL ZONES 1 RUNCODE: 05-20-1992-WQ
ANNUAL SITE ENERGY REQUIREMENTS (MBTU'S)
Zone 1 BUILDING
SITE HEATING
12.0
12.0
SITE COOLING
27.7
27.7
SITE LIGHTING
56.3
56.3
SITE RECEPTACLE
13.4
13.4
SITE FAN
28.0
28.0
SITE HOT WATER
1.1
1.1
ANNUAL
SOURCE ENERGY USE ESTIMATE (KBTU/SQ.FT.)
Zone 1
BUILDING
SOURCE HEATING
5.0
5.0
SOURCE COOLING
34:7
34.7
SOURCE LIGHTING
70.4
70.4
SOURCE RECEPTACLE
16.8
16.8
SOURCE FAN
35.0
35.0
SOURCE HOT WATER
1.4
1.4
Cond. Area Perim. = 10.43 Allowed Energy Budget 217.1
BUILDING ANNUAL SOURCE ENERGY USE ESTIMATE IS 165.1 KBTU/SQ.FT.
( NOTE: 1 KWH = 10.239 KBTUS OF SOURCE ENERGY )
-----------------------
ZONE# ZONE FILE OCCUPANCY TYPE WATTS/SF DAYLIGHTING
1 C:\SCM\DURHAM\VET OFFICE 2.10 -
Paoe 4 0T IG
E N E R G Y B U D G E T S W O R K S H E E T W S - 1 A
Project Title: Durham Veterinary Clinic For Enforcement Agency Use Only
Documentation Author: Donna Wallace
Firm: Ed Hoiland/Architect
Date: 05/20/92 Plan Checked By: Date:
S U M M A R Y D A T A
SECOND GENERATION STANDARDS OCCUPANCY TYPES
1 Conditioned Floor Area......................................................................... 2400 sf
•2 Total Allowed Energy Use [MMBtu are Btu x 10^6]........ ... 520.9 MMBtu/yr
.....................................
3 Energy Budget (Line 2 x 1000/Line 1)[kBtu = Btu x 10^31 ........................................ 217.1 kBtu/yr-sf
'FIRST GENERATION STANDARDS OCCUPANCY TYPES
4 Conditioned Floor Area......................................................................... N/A sf
-5 Total Allowed Energy Use [MMBtu are Btu x 10^6] ................................................ N/A MMBtu/yr
6 Energy Budget (Line 5 x 1000/Line 4)[kBtu = Btu x 10^3] ........................................ N/A kBtu/yr-sf
S E C O N D G E N E R A T I O N N 0 N R E S 1 D E N T I A L S T A N D A R D S
A B C D E F G H 1 J K L
--------------------------------------------------------------------------------------------------------------------------------
Conditioned Cond. Cond. Energy Lighting Adjustment Adjusted Allowed
Floor Area Perimeter Area to Budget ----------------------------- Energy Energy
:Occupancy Description/ -------------------- by Perim. [k8tu/ Allowed Pkg. A (H - 1) Budget (K x C)/
Type Floor Number Per Total Per Story Ratio (yr-sf)] LPD LPD Rqt. x 38.0 (G + J) 1000
Occupancy Story (D/E) (WS -5C) MMBtu/yr
--------------------------------------------------------------------------------------------------------------------------------
L-R Office First Floor 2400 2400 230.00 10.43 222 1.37 1.50 -4.94 217.1 520.9
Option
--------------------------------------------------------------------------------------------------------------------------------
Total 2400 Total Allowed Energy 520.9
F I R S T G E N E R A T 1 0 N N O N R E S I D E N T I A L S T A N D A R D S
A B C D E
---------------------------------------------------------
Cond. Energy Allowed
Occupancy Description/ Floor Budget Energy
Type Floor Number Area (kBtu/sf) CxD/1000
----------------------------------------------------------
---------------------------------------------------------
Total Total
Page 5 of (&
M A N D A T O R Y M E A S U R E S C H E C K L I S T M F- 1
Project Title: Durham Veterinary Clinic For Enforcement Agency Use Only
Documentation Author: Donna Wallace
Firm: Ed Hoiland/Architect
Date: 05/20/92 Plan Checked By: Date:
--------------------------------------------------------------------------
----------------------------------------------
This Checklist is applicable to both First and Second Generation Nonresidential Standards Compliance.
Reference
in Const.
Documents
E N V E L O P E M E A S U R E S
Page 7
I ] Certified insulation materials per 2-5311(a)... Note #1
I ] Insulation installed to meet flame spread and
smoke density requirements of 2-5311(b)........ Note #2
I ] Urea formaldehyde foam insulation is installed
per 2-5311(c) .................................. N/A
I ] Retrofit insulation specified as per 2-5313.... N/A
I ] Air infiltration is minimized by specification
of tested manufactured doors and windows and
proper sealing and weatherstripping as per Notes
2-5317 ......................................... #3 & #4
L I G H T I N G S Y S T E M M E A S U R E S
I I Certified luminaires/ballasts per 2-5314(b).... Note #5
I ] Independent control w/enclosed areas Dwg.
per2-5319(a) .................................. Sht. 6
I ] Manual switching readily available per 2-5319(b) Dug.
Sht. 6
I I Reduction of lighting load to at least one half
per 2-5319(c). Occupancy sensors or programmable Dwg.
timers meeting CEC criteria may substitute..... Sht. 6
I ] Separate switching of daylight areas per Dwg.
2-5319(d) ...................................... Sht. 6
I ] Separate switching of display & valance lighting
in retail and wholesale stores per 2-5319(h)... N/A
I ] Automatic control of display lighting in retail
and wholesale stores per 2-5319(h) ............. N/A
I ] Tandem lighting of one- and three -lamp
Luminaires per 2-5319(1) ....................... N/A
D A Y L I G H T I N G A N D L U M E N
MA I N T E N A N C E CONTROLS (when applicable)
I ] Uniform illumination reduction to one-half
per 2-5319(e)1 ................................. N/A
I ] Flicker free operation and no premature lamp
failure per 2-5319(e)2 ......................... N/A
I ] Time delays to prevent undesirable cycling
per 2-5319(e)3 ................................. N/A
I ] Step switching devices with separation between
on/off settings per 2-5319(e)4 ................. N/A
Reference
in Const.
Documents
I ] Photocell sensors with a diffusing cover and
no opaque cover per 2-5319(e)5 ................. N/A
[ ] Manufacturer's instructions provided for
installation and calibration per 2-5319(e)6.... N/A
I ] Proper installation of controls including sensor
location, certification of initial calibration
and control of luminaires only within daylit
area per 2-5319(e)8 ............................ N/A
I ] Visible or audible malfunction alarms per
2-5319(g) ...................................... N/A
O C C U P A N C Y S E N S I N G D E V I C E S
(when applicable)
I ] Visible or audible malfunction alarms per
2-5319(g) ...................................... N/A
I ] Limits on emissions per exceptions to 2-5319(e) N/A
H V A C & P L U M B I N G S Y S T E M M E A S U R E S
I I Piping insulated as required by 2-5312......... Note #6
I ] Certified HVAC equipment per 2-5314(a)......... Note #7
I ] Certified plumbing equipment per 2-5314(a)..._. Page 8
Note #8
I ] Heating and cooling equipment efficiency per
2-5314(b) ...................................... Note #7
I ] Pilotless ignition of gas appliances per
2-5314(c) ...................................... Note #9
I ] Automatic controls for off -hours per 2-5315(a)l Note #10
I ] Thermostat set point requirements per 2-5315(a) Note #11
I ] Sequential control of heating and cooling
per 2-5315(b)3 ................................. N/A
I ] Automatic exhaust fan dampers per 2-5316(b).... N/A
I ] Thermostat controls for each zone per 2-5315(b) Note #12
I ] Ventilation provided per 2-5316 and 2-5343..... Notes
#13 & #14
I I Ventilation and recirculation air quantities
per 1403(b)3 ................................... Note #15
I ] Heaters for domestic hot water and/or pools
per 2-5318 ..................................... Note #16
I ] Power Consumption in Fans ...................... N/A
Page / of IG
PROJECT TITLE: Durham Veterinary Clinic
DOCUMENTATION AUTHOR: Donna Wallace
FIRM: Ed Hoiland/Architect
TITLE 24 MANDATORY ENERGY REQUIREMENTS:
ENVELOPE MEASURES:
1. Building insulation must be certified by the manufacturer to meet
the California Quality Standards for Insulating Material if the
insulation is in the following form:
Aluminum foil
Cellular glass in board form
Cellulose fiber, either loose fill or sprayed
Mineral aggregate in board form
Mineral fiber in board, loose fill or blanket form
Perlite, loose fill
Polystyrene in board, molded, or extruded form
Polyurethane in board form or field applied
Polyisocyanurate in board form or field applied
Urea formaldehyde foam field applied
Vermiculite loose fill
2. All insulating materials must be installed in compliance with the
flame spread and smoke density requirements of Sections 1712 and
1713 of the 1985 edition of the Uniform Building Code.
3. Doors, windows, exterior joints, and openings in the building
envelope that are observable sources of air leakage shall be
caulked, gasketed, weatherstripped or otherwise sealed.
4. Manufactured doors and windows shall be certified by the
manufacturer to meet minimum infiltration requirements. Labels
from the Architectural Aluminum Manufacturer's Association (AAMA)
or the National Woodwork Manufacturer's Association (NWMA) are
evidence that the state standards are met.
LIGHTING SYSTEM MEASURES:
5. Fluorescent lamp ballasts and luminaires with fluorescent lamp
ballasts must be certified by the manufacturer to comply with the
CEC Appliance Efficiency Standards.
HVAC AND PLUMBING SYSTEM MEASURES:
6. Hot water piping shall be insulated with 1/2 inch thick
insulation.
7. Furnace and air conditioning equipment has been certified by the
manufacturer to comply with the CEC Appliance Efficiency
Standards.
AC -1:
Model Number:
Heating Output:
SE:
Payne 584AN048080
62,000 Btu/Hour
73.0
Page 7 of IG
TITLE 24 MANDATORY ENERGY REQUIREMENTS: (Continued)
AC -1: (continued)
Cooling Output: 47,500 Btu/Hour
EER/SEER: 8.6/9.7
Certification: P400-90-023, page 90 and phone call to CEC
on 2/19/92 by documentation author
AC -2:
Model Number: Payne 584AN024040
Heating Output: 31,000 Btu/Hour
SE: 71.8
Cooling Output: 23,800 Btu/Hour
EER/SEER: 8.5/9.5
Certification: P400-90-023, page 89 and phone call to CEC
on 2/19/92 by documentation author
8. Sinks in bathrooms shall be equipped with outlet devices that
limit flow of hot water to a maximum of .5 GPM, or self-closing
faucets that limit delivery to a maximum of .5 gallons.
Plumbing fittings, including showerheads, lavatory faucets and
sink faucets, must be certified by the manufacturer to comply
with the CEC Appliance Efficiency Standards.
9. Furnaces shall have pilotless ignitions.
10. The HVAC system shall include an automatic device to shut off or
set back the system during off -hours.
11. Thermostatic controls shall be capable of providing adjustable
setpoints in the range from 55 to 85 degrees Fahrenheit.
12. Each zone shall be provided with at least one automatic
temperature control device for the regulation of space
temperature.
13. Required outside air ventilation is 2400 square feet / 150 square
feet per person x 25 cfm per person = 400 cfm (ASHRAE Standard
62-1981). This ventilation air must be supplied to the building
whenever the building is occupied.
14. HVAC ducts shall be constructed, installed, sealed and insulated
in accordance with Chapter 10 of the 1985 Uniform Mechanical
Code.
15. The builder shall provide the building owner, manager, and
original occupants a description of the quantities of outdoor and
recirculated air that the ventilation systems are designed to
provide to each area.
16. Selected water heater(s) shall be certified by by the
manufacturer to comply with the CEC Appliance Efficiency
Standards.
Page S of 1
:SCM - SUMMARY OF ENVELOPE INPUTS (PART 1 OF 2 ) CF-2X
-------------------------------------------------------------------------------
Project Title: DURHAM VET CLINIC Date 05-20-1992
Author/Firm: DONNA WALLACE Time 08:54 Plan Checked By Date
RUNCODE: 05-20-1992-WQ
--------------------------------------------------------------------------------
ROOF
Roof Roof Design Area/ Ceiling
Zone Type Abs. Area R -value R -Value Height
1 ROOF1 0.70 2400 26.00 92.30 9.0
--------------------------=--------------------------------------------------
Totals 2400 92.3
Avg. R-val 26.00
OPAQUE EXTERIOR WALLS AND DOORS
---------------------------------------
Wall Wall Door Heat Wall
Zone Type Area Area Cap.lAbs. R -Value At/Rt
1 EXT WALL 1821 67 2.380.70 12.2 154.24
-----------------------------------------------------------------=-----------
Totals 1821 . 67 154.24
Weighted Average R -Value 12.24
GLAZING IN ROOF
Horizontal Design Modeled
Zone Type Area U -Value SC
1 SKYLITE 0.0 N/A 0.00
-----------------
Total 0
EXTERIOR SURFACE AREA = 2070
Page 9 0J� I%
SCM - SUMMARY OF ENVELOPE INPUTS (PART 2 OF 2 ) CF-2X
-------------------------------------------------------------------------------
Project Title: DURHAM VET CLINIC Date 05-20-1992
Author/Firm: DONNA WALLACE Time 08:54 Plan Checked By Date
RUNCODE: 05-20-1992-WQ
--------------------------------------------------------------------------------
Pcv_ 10 0f t%
FLOOR AREA/SOFFITS
Floor
Design
Area/
Zone Type
Area
R -value
R -Value
1 SLAB
2400
-----------------------------------------------------------------------------
Totals
2400
0
Avg. R-val
N/A
Azimuth= 0
GLAZING IN
WALLS - ArealShading Coefficient(sc)
Zone Glazing
Nisc
----------------
El.sc
SIsc
W1sc
Total
1 WINDOW
----------------------
480.91
930.91
600.91
480.91
249
Totals
48
--------------------------------------
93
60
48
249
GLAZING CHARACTERISTICS
AND WEIGHTED
AVERAGES
Zone
Total
West
Total
Avg.
Area X Area X
Area X
Zone Glazing
U -Value
SC
U -Val.
SC
SC
1 WINDOW
-----------------------------------------------------------------------------
0.75
0.91
187
43.68
226.59
Totals
187
43.68
226.59
.Building Area -Weighted Averages
0.8
0.91
0.91
Pcv_ 10 0f t%
C O N S T R U C T I O N A S S E M B L Y C 0 M P L 1 A N C E F 0 R M C F- 3
Project Title: Durham Veterinary Clinic For Enforcement Agency Use Only
Documentation Author: Donna Wallace
Firm: Ed Hoiland/Architect
Date: 05/20/92 Plan Checked By: Date:
GENERAL INFORMATION
1 Assembly Type and Number........................................................ ROOF -1
2 Framing Type.................................................................... WOOD
3 Framing Size.................................................................... 2 x 6
4 Framing Spacing................................................................. 24 inches
5 Insulation in Cavity............................................................ 30 F-sf-hr/Btu
6 Effective R -Value of Cavity/Framing........ .... 22.87 F-sf-hr/Btu
.................................
1 2 3 4 5
SKETCH OF CONSTRUCTION ASSEMBLY
LIST OF
CONSTRUCTION COMPONENTS
A
B
C
D
E
Wall
Specific
HC
Weight
Heat
Col C x Col D
Description
R -Value
(lb/sf)
(Btu/F-ib)
(Btu/f-sf)
1
COMPOSITION SHINGLES
0.21
2
5/8 IN. PLYWOOD
0.78
3
AIR SPACE
0.80
4
R-30 FIBERGLASS BATTS
22.87
5
5/8 IN. GYPSUM BOARD
0.56
6
7
8
Total R -Value w/o films ...................
25.22
Total
N/A
9
Inside surface air film ...................
0.61
10
Outside surface air film ..................
0.17
11
Total thermal resistance (Rt) .............
26.00
12
U -Value (1/Line 11) .......................
0.04
Page I I of 10
C O N S T R U C T I O N A S S E M B L Y C O M P L I A N C E F 0 R M C F- 3
Project Title: Durham Veterinary Clinic For Enforcement Agency Use Only
Documentation Author: Donna Wallace
Firm: Ed Hoiland/Architect
Date: 05/20/92 Plan Checked By: Date:
GENERAL INFORMATION
1 Assembly Type and Number........................................................ WALL -1
2 Framing Type.................................................................... WOOD
3 Framing Size.................................................................... 2 x 6
4 Framing Spacing................................................................. 16 inches
5 Insulation in Cavity............................................................ 19 F-sf-hr/Btu
6 Effective R -Value of Cavity/Framing....................................... 13.74 F-sf-hr/Btu
1
2
3
SKETCH OF CONSTRUCTION ASSEMBLY
LIST OF
CONSTRUCTION COMPONENTS
A
B
C
D
E
Wall
Specific
HC
Weight
Heat
Col C x Col D
Description
R -Value
(lb/sf)
(Btu/F-ib)
(Btu/f-sf)
1
7/8 IN. CEMENT PLASTER
0.18
8.50
0.20
1.70
2
R-19 FIBERGLASS BATTS
13.74
0.60
0.18
0.13
3
1/2 IN. GYPSUM BOARD
0.45
2.10
0.26
0.55
4
5
6
7
8
Total R -Value w/o films ...................
14.37
Total
2.38
9
Inside surface air film ...................
0.68
10
Outside surface air film ..................
0.17
11
Total thermal resistance (Rt) .............
15.22
12
U -Value (1/Line 11) .......................
0.07
Page 12— of 1 tp
WHOLE BU I LD I N G HVAC WORKSHEET (HVAC Power Indices) WS -4A
Project Title: Durham Veterinary Clinic For Enforcement Agency Use Only
Documentation Author: Donna Wallace
Firm: Ed Hoiland/Architect
Date: 05/20/92 Plan Checked By: Date:
S U M M A R Y D A T A
1 Conditioned Floor Area....................................................................... 2400 sf
2 Total Fan Watts During Peak Cooling Conditions (from Worksheets below) ....................... 1.67 kilowatts
3 Fan Wattage Index (Line 2 x 1000/line 1) ..................................................... 0.70 Watts/sf
4 Total HVAC System Energy During Peak Cooling Conditions (from Worksheets below) .............. N/A kBtu/hr
5 Cooling Power Index (Line 4 x 1000/Line 1) ................................................... N/A Btu/hr-sf
6 Total HVAC System Energy During Peak Heating Conditions (from Worksheets below) .............. N/A kBtu/hr
7 Heating Power Index (Line 6 x 1000/Line 1) ................................................... N/A Btu/hr-sf
F AN E N E R G Y
A B C D E F G H I J
---------------------------------------------------------------------------------------------------------------------------------
Equip. Brake Horsepower Motor x Drive Effic. Conv. Number Peak Kilowatts
Mark Description Cooling Heating Cooling Heating Factor Fans Cooling Heating
---------------------------------------------------------------------------------------------------------------------------------
AC-1 indoor Blower 0.750 0.720 0.746 1 0.777
AC -1 Outdoor Fan 0.333 0.660 0.746 1 0.376
AC -2 Indoor Blower 0.333 0.660 0.746 1 0.376
AC -2 Outdoor Fan 0.100 0.520 0.746 1 0.143
---------------------------------------------------------------------------------------------------------------------------------
Total Kilowatts 1.67 N/A
H E A T I N G A N D 0 0 0 L I N G E 0 U I P M E N T
A B C D E F G H I J
---------------------------------------------------------------------------------------------------------------------------------
Cooling IHeating
------------------------9---------------------------------------
Equip. Design Conv. Source Conv. Source
Mark Description Output Effic. Factor kBtu/hr I Desi n Output Effic. Factor kBtu/hr
---------------------------------------------------------------------------------------------------------------------------------
na All Fans From Above na 10.239 na 10.239
---------------------------------------------------------------------------------------------------------------------------------
Total N/A Total N/A
Page 13 of 1 (0
I N S T A L L E D L I G H T I N G S U M M A R Y C F- 5
Project Title: Durham Veterinary Clinic For Enforcement Agency Use Only
Documentation Author: Donna Wallace
Firm: Ed Hoiland/Architect
Date: 05/20/92 Plan Checked By: Date:
P R O P O S E D A D J U S T E D L P D
1 Total Installed Lighting Watts (from below).........
2 Control Credit Watts(WS-5A)........................................................................
0
Watts
3 Adjusted Watts (Line 1 - Line 2)....................................................................
4792
Watts
4 Conditioned Floor Area (from CF-1)..................................................................
2400
sf
5 Adjusted LPD (Line 3/line 4)........................................................................
2.00
Watts/sf
6 Ex] Allowed Whole Building LPD (from CF -1, Part 1)
Reference in
or
Luminaire
[ ] Allowed Tailored LPD (from Line 5 of WS -5C) .....................................................
2.10
Watts/sf
I N S T A L L E D L I G H T I N G S C H E D U L E
A
------------------------------------------------------------------------------------------------------------------------
B
C
D
E
F
Watts per
Luminaire
Reference in
Luminaire
Reference
Construction
Number of
(incl. ballast)
Total
Code
Documents
luminaire Description
Luminaires
Watts
------------------------------------------------------------------------------------------------------------------------
Non-standard value? X
Drawing Sheet 6
41 Fluorescent w/4 Tubes
21
172
3612
Drawing Sheet 6
4' Fluorescent w/2 Tubes
5
86
430
Drawing Sheet 6
4' Fluorescent w/1 Tube
1
50
50
Drawing Sheet 6
Incandescent
5
100
500
Drawing Sheet 6
Fan w/Light
1
200
200
------------------------------------------------------------------------------------------------------------------------
Page Total 4792
Building Total 4792
Page 14- of 'G
ROOM CAV I TY RAT I O WORKSHEET (RCR>=3.5) WS - 5B
Project Title: Durham Veterinary Clinic For Enforcement Agency Use OnLy
Documentation Author: Donna Wallace
Firm: Ed HoiLand/Architect
Date: 05/20/92 Plan Checked By: Date:
REGULAR SHAPED SPACES
A
-----------------------------------------------------------------------------------------------------------------------------
B
C
D
E
F
IES/CEC
Room
Room Cay. Ratio
Room
Area/Activity
Room
Room
Cavity
5 x H x (L*W)
No.
-----------------------------------------------------------------------------------------------------------------------------
Description
Length (L)
Width (W)
Height (H)
/ (L x W)
2
Exam
9.92
9.17
6.0
6.30
4
Exam
9.92
8.83
6.0
6.42
6
Hatt
10.83
4.00
5.5
9.41
7
Break
9.92
7.42
6.0
7.07
10
Pharmacy
31.25
8.50
6.0
4.49
11
Dark Room
11.58
4.58
6.0
9.14
12
Surgery
11.67
10.58
6.0
5.41
14
Hall
11.67
4.00
5.5
9.23
16
Cat Ward
11.67
9.42
6.0
5.76
18
Dog Ward
24.00
13.75
6.0
3.43
19
Storage
8.50
4.92
5.5
8.82
IRREGULAR SHAPED SPACES
A
-----------------------------------------------------------------------------------------------------------------------------
B
C
D
E
F
. IES/CEC
Room
Room Cay. Ratio
Room
Area/Activity
Room
Room
Cavity
2.5 x H x P
No.
-----------------------------------------------------------------------------------------------------------------------------
Description
Area (A)
Perimeter (P)
Height (H)
/ A
1 & 3
Waiting Room & Reception
403
94.00
6.0
3.50
5
Toilet
69
36.83
6.5
8.67
8
Office
144
51.83
6.5
5.85
9 & 13
Treatment Room & X -Ray
521
107.00
6.0
3.08
Page J of I C
,T A,I L 0 R E D L P D S U M M A R Y A N D W O R K S H E E T W S - 5 C
M
Project Title: Durham Veterinary Clinic For Enforcement Agency Use Only
Documentation Author: Donna Wallace
Firm: Ed Hoiland/Architect
Date: 05/20/92 Plan Checked By: Date:
------------
T A I L O R E D L P D S U M M A R Y
1 Watts for Illuminance Categories: A-E (from below) ............................. 3278 Watts
2 Watts for Illuminance Categories: F-I(WS-5D).................................. 0 Watts
3 Total Allowed Watts (Lines 1 + 2) .............................................. 3278 Watts
4 Conditioned Floor Area ......................................................... 2400 sf
5 Maximum Allowed LPD (Line 3/Line 4) ............................................ 1.37 Watts/sf
ILLUMINANCE CATEGORIES A THROUGH E WORKSHEET
Note: Illuminance Category E may not be used for tasks where visual quality can readily be improved (Sec. 2-5342(d)2.a(1)).
A
-----------------------------------------------------------------------------------------------------------------------------
B
C
D
E
F
G
IES
Room
Allowed Watts
Room
Task/
Ilium.
Cavity
Floor
Allowed
(Col E x
Number
-----------------------------------------------------------------------------------------------------------------------------
Activity
Category
Ratio
Area
LPD
Col F)
1
Waiting Room
C
min.
279
0.6
167
2
Exam/Task
E
6.30
50
3.6
180
Exam/Non-Task
41
1.2
49
3
Reception
D
min.
124
1.2
149
4
Exam/Task
E
6.42
50
3.6
180
Exam/Non-Task
37
1.2
44
5
Toilet
C
8.67
69
1.2
83
6
Hall
B
9.41
43
0.8
34
7
Break
D
7.07
73
1.8
131
8
Office
D
5.85
144
1.5
216
9
Treatment Room/Task
E
min.
214
2.8
599
Treatment Room/Non-Task
215
0.93
200
10
Pharmacy/Task
E
4.49
132
3.6
475
Pharmacy/Non-Task
133
1.2
160
11
Dark Room
A
9.14
53
0.4
21
12
Surgery/Task
E
5.41
61
3.6
220
Surgery/Non-Task
62
1.2
74
13
X -Ray
B
min.
92
0.4
37
14
Hall
B
9.23
47
0.8
38
16
Cat Ward
B
5.76
110
0.5
55
18
Dog Ward
B
min.
329
0.4
132
19
Storage
B
8.82
42
0.8
34
-----------------------------------------------------------------------------------------------------------------------------
The Illuminance Category E tasks listed on this form are Page Total 2400 3278
required for the function of my business and are not
'intermittent' or 'poor quality' tasks per the standards.
Veterinary Clinic
Building Total 2400 3278
---
X
-- - -- ------- -------------------
Tenant gnature Type of Business
Page 1 (0 of ( G
�. ..... utte counts
June 22, 1992
William N. Lyman, D.V.M
P.O. Box 623
Durham, CA 95938
Alw 11"pa3,01 �
Re: Use Permit, AP 040-213-014
Dear Dr. Lyman:
L A N D O F NATURAL WEALTH A N D BEAUTY
Department of Development Services
PLANNING DEPARTMENT
7 COUNTY CENTER DRIVE - OROVILLE. CALIFORNIA 95965-3397
TELEPHONE: (916) 538-7601
Enclosed is your validated Use Permit No. 92-15 to allow a veterinary clinic with indoor
kennels for hospitalized patients only on property zoned C-2 located on the west side of
the Midway, approximately 200 feet north of Dayton -Durham Highway, Durham.
Should you have any questions regarding this matter, please contact this office between
10:00 a.m. and 3:00 p.m.
Sincerely,
B. Kircher
Director of Planning
BAK:lr
Enc.
cc: Department of Public Works (2)
Environmental Health
Department of Forestry
USE PERMIT
BUTTE COUNTY PLANNING COMMISSION June 22, 1992
DATE: (Certified Mail Rec.)
92-15
PERMIT NO.
AP 040-213-014
ASSESSOR'S PARCEL NO.
Pursuant to the provisions of the Zoning Ordinance of the County of Butte and the
special conditions set forth below: William N. Lyman, D.V.M. is hereby granted a Use
Permit in accordance with application filed: January 22, 1992 to allow a veterinary clinic
with indoor kennels for hospitalized patients only.-
1.
nly.-
1. Failure to comply with the conditions. specified herein as the basis for
approval of application and issuance of Permit, constitutes cause for the
revocation of said permit in accordance with the procedures set forth in the
Butte County Zoning Ordinance, including Butte County Code Sec. 24-62.
2. Unless otherwise provided for in a special condition to this use permit, all
conditions must be completed by the Permittee within 12 -months of the
delivery of the countersigned permit to the Permittee.
3. If any use for which a use permit has been granted is not established within
one year of the date of receipt of the countersigned permit by the
Permittee, the permit shall become null and void and reapplication and a
new permit shall be required to establish the use.
4. The terms and conditions of this permit shall run with the land and shall be
binding upon and be to the benefit of the heirs, legal representatives, successors,
and assigns of the Permittee.
SPECIAL CONDITIONS:
1. The use permit is granted for the following listed uses and structures which are
to be located as shown on the approved plot plan labeled (Exhibit "X). Minor
modifications may be approved by the Planning Director. Any substantial revisions
will require either an amendment to this permit or a new use permit.
a. Veterinary clinic and indoor kennels in a one-story 2400 square foot
building and off-street parking lot.
2. This use permit shall automatically expire if the use granted is not established
within one (1) year from the date of receipt of the permit by the permittee, and
reapplication pursuant to section 24-45 shall be required to establish the use
previously granted under the expired permit unless, thirty (30) days prior to the
expiration date, a request for a one (1) year extension is submitted to the
planning commission together with sufficient evidence that time limits for
processing development permits under federal and state regulations require time
limits which exceed one (1) year.
3. At any time the Planning Director finds that one or more grounds exist for
revocation, revocation proceedings may be initiated in accordance with applicable
provisions of the Butte County Code.
4. All grading shall conform to the Butte County Grading Ordinance.
5. Noise levels shall not exceed 65 dB at the property line and the building area
containing the indoor kennels shall be sound attenuated to not exceed 45 dB on
the exterior of the building.
6.1 All outside trash storage and collection areas shall be' enclosed by solid masonry
= - . walls, view obscuring fence or combination of those options, not less than six- (6)
feet in - height. The maximum height of the screening shall be at least one -(1)
foot above the trash receptacle(s) when full.
7. Any on-site lighting shall be shielded from surrounding property and streets.
8. The proposed building should either be painted or constructed of materials of
neutral or earth tone colors. Roofing material shall be a non -glare, nonreflective ..
material.
9. Any roof -mounted equipment shall be architecturally screened from view prior to
final building inspection.
10. Provide landscaping to a depth of ten (10) feet measured from the abutting street
right-of-way line, with openings for walkway or driveway purposes in accordance
with county standards. An additional five (5%) percent of the gross parking lot
area shall be devoted to landscaping and an irrigation system shall be installed
wherever possible. Mature trees shall be considered part of the required
landscaping. Each planter area shall be surrounded with six-inch raised concrete
curbing or equivalent. An irrigation system shall be installed in each separate
planter area.
11. A landscaping and irrigation plan shall be submitted to and approved by the
Planning Director prior to issuance of a building permit. Landscaping shall be
installed prior to final building inspection.
12. The off-street parking lot as shown on Exhibit "A" shall be surfaced with asphalt
concrete paving. Asphalt concrete paving shall have a minimum thickness of 0.14
feet placed over at least six (6) inches of compacted class 3 aggregate base or
cinders. Parking spaces shall be striped to county standards.
13. Building signs shall not exceed a combined size of one (1) square foot in area for
one (1) lineal foot of building frontage. Said signs shall not extend above the
roof line of the building to which they are attached.
14. One ground sign not to exceed fifty square feet in size (twenty-five square feet per
face if double-faced) and forty-two inches in height shall be permitted, except the
sign height may be six feet if located thirty-five feet or more from the center of
the driveway.
15. Provide wastewater and sewage disposal facilities in compliance with the
Environmental Health Department requirements.
16. Install curb, gutter, sidewalk and necessary paving approximately 32 feet from the
centerline of Midway to face of curb.
17. Improvement plans prepared by .a registered engineer shall be submitted to and
approved by the Department of Public Works prior to any construction.
18. Provide a permanent solution for storm drainage.-
19.
rainage.-19. Applicant 'shall comply with all `other applicable State .and local- statutes,
ordinances, and- regulations.
I hereby declare under penalty of perjury that I have read the foregoing
conditions, that they are in fact the conditions which were imposed upon the granting of
this use permit, and that I agree to abide fully by said conditions.
Dated:
Applicant
NOTE: Issuance of this Use Permit does not waive requirement of obtaining Building
and Health Department permits before starting construction, nor does it waive any other
requirements.
Butte County Planning Commission Chairman
CC: Department of Public Works (2)
Health Department
Department of Forestry
William Lyman
P.O. Box 623
Durham, CA 95938
Dear Mr. Lyman;
BEAUTY
7 COUNTY CENTER -DRIVE - OROVILLE, CALIFORNIA 95965-3397
TELEPHONE: (916) 538-7541
FAX: (916) 538-2140
July 9, 1992
RE: Special Inspection #92-31
A.P. #040-213-014
With reference to the above subject and your request for inspection of the
proposed relocation of the building located at 9417 Midway, the inspection
as made on June 17, 1991.
A reasonable visual inspection was made without going on the roof, under the
building, or in the attic and found the following items which must be done
or resolved:
I. Obtain Health Department approval for water supply and sewage disposal
at proposed site.
2. Comply with items 1,3,4,5,6,7 and 8 of special inspection letter
#23-91 of June 24, 1991 (copy attached).
3. Comply with plan check comments that may be determined at time of
plan review.
This inspection by the County of Butte does not act as a guarantee or warranty
as to the internal soundness of said addition, conversion, etc.
It is now in order for you to submit complete plans in triplicate with calcula-
tions to this office including plot plans, floor plans and structural details,
apply for the required permits, and pay the appropriate fees.
Should you have any questions concerning this matter, please contact Dave Purvis
of this office at (916)538-7541.
DP:hla
Yours very truly;
iS �zu ta:di:� is b!y
J.F. Glander
Manager, Building Inspection
cc: Assessor
Building Inspector
Health Department
Tim Lodge, Rt 1 Box 316-5, Glenn, CA 95943
rte,
-
cou"t
-- -��.
LAND OF NATURAL WEALTH AND BE,4UTY -
DEPARTMENT OF PUBLIC WORKS
♦ WILLIAM (Bill) CHEFF, Director f
7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 i
Telephone: (916) 538-7541
June 24 1991 RONALD D. McELROY
f Deputy Director
William Lyman, D.V.M.
9353 Midway
Durham, CA 95938
RE: Special Inspection #23-91:
(A.P. #40-213-14)
Dear Mr. Lyman:
With reference to the above subject and your request for inspection of the.
proposed. conversion from a single family dwelling (R-3) to a pre-school (I-3),
at 9415 Midway, Durham, the inspection was made on June 17, 1991.
The proposed structure .to be converted was constructed without permits and
and inspections .from this office, so we. were not able to perform the required
inspections during construction.
We 'therefore. made a reasonable. visual inspection, without going on the roof,
under .the building,' or in the attic and -found the proposed. conversion. appears
to conform to. the intent of code requirements, except for the following items
which must be done or'resolved:.
(1) Verify water system and sewage disposal system meet Environmental
Health Department requirements..
(2) Provide handicap access and sanitary facilities per State requirements.
(3) Verify light and ventilation in back bedroom.
(4) Provide specific use for each room in structure.
(5) Provide grounded electrical circuits throughout structure per National
Electric Code "89" edition.
(6) Verify structural integrity of masonry fireplace or remove.
(7) Provide smoke detectors throughout area per Uniform Building Code,
Section 3319(d).
(8) Provide approved exterior stairways, including rise, run, handrails
and guardrails per Uniform building code, Section 3306.and 1711.
(9) Provide' Planning Department use permit for pre-school use in a
C-2 zone.
Letter to William Lyman, D.V.M. RE: Special Inspection 23-91 (A.P. #40-213-14)
Page 2
June 24, 1991
This inspection by the County of Butte does not act as a guarantee or warranty
as to the internal soundness of said conversion.
You may at this time, .submit complete plans in duplicate to this office including
plot plans, floor plans and structural details, apply for the required permits
and pay the appropriate fees.
Should you have any questions concerning this matter, please contact Rod Taylor
of this office at (916)538-7541.
Yours very truly,
William Cheff
Director of Public Works
' a, ms's•
JFG:ds J.F. Glander
Manager, Building Inspection
cc: Assessor
Environmental Health Department
Planning Department
Buil:d:ing_Inspec-tor— Chico
_ �+{• � : _..-��k+<'., _ _ _ ! rte'• ,t .
,,.;� .. r a°'� ,a _ wr }�,y� ara A. t-, •� ��a � r - < T'� �t� t,'+:r,, s� tia ,.,sh^ t ,�,:c- .r-•• �i� �.. rte, � r
i
040-21-3-014 92=4252B
LYMAN, Bill
9417 Midway, Durham
demo sf
E
,.:1 ;^� l,�'�'1�Q�,'�a `i''�� c ,� � .e. � .:;F,yl` ;"�"'".',►�" 'i-; F ..�' �� ;r` �G,,;i� a'.. � >� � �K.1�'�'� > ..
COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT NO.
/ 7 County Center Drive - Oroville, California 95965 - Telephone: 916/538-7541 _<V Z's -
--�'' APPLICATION AND PERMIT
ASSESSOR PARCEL NUMBER
.040--21-3-014
ZONING
C2
,
BUILDING PERMIT
OWNER
BILL LYMAN
TELEPHONE
891-5707
,SQA FT. OCC.1 BUILDING VALUATION
OWNER'S MAILING ADDRESS
P ROX fi23 HAM CA 95938
NAME
yCO��
��
4 1
TELEPHONE
.N��NOTRCTOR'S
CONTRACTOR'S MAILING ADDRESS ,
Fireplace
C�TON�}STTRUCTION LENDER
!M [ire
UNKNOWN
Total Valuation $
LENDER'S MAILING ADDRESS
Filing Fee
$ 15,00
Permit Fee
$ 22,50
ARCHITECT OR ENGINEER
LICENSE NO.
Plan Checking Fee
$
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Energy Plan Checking Fee
$
Penalty
$
BUILDING ADDRESS
9417 MIDWAY. DURHAM
Permit fee
$
37,50.
PLUMBING PERMIT
FilingFee 15.00
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
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 ❑ Remodel ❑ Utilities ❑ Installation❑ Other)i❑
Describe work: DEMO (BY BUTTE COUN`T'Y FIRE DEPT)
Permit Fee
$
Contractor
ELECTRICAL PERMIT
FilingFee 15.00
Main service 200A OR LESS
18.50
CONTRACTORS LICENSE LAW
I declare under penalty of perjury (check one):
❑ I am licensed under provisions of Chapt. 9, Div. 3 of the BUSIneSS
and Professions Code and my license is in full force and effect.
License No. Classification
I, as the owner, or my employees with wages as their Sole compen-
sation, will do the work,and the structure is not intended or offered
for sale. (Sec. 7044)
❑ I, as the owner, am exclusively contracting with licensed contract-
ors. (Sec. 7044)
❑ I am exempt under Sec. , Business and Professions Code
for this reason
Main service 200A TO 1000AI
37.50
OCCUP.Sd\
NEW CONST. ( DWELLING OR ADDNS. ACC. BLDGS. I/
3.6Qsq.ft.
CONSTR ULTI-OUTLET
NEW NON-RESID BRANCH CRC,
I RC ITS
@ 5.00
(POWER APPARATUS el
SINGLE OUTLET CIR. /
Ex. Occup(OUTLETS OR FIXTURES
20 76
FIXED APPLNS. OR
EX. Occup. OUTLETS (RESID,) EAJ
.4.00
Temporary service
15.00
Mobile Home Facilities
15.00
Misc. Wiring
15.00
Permit Fee
$
WORKMEN'S COMPENSATION INSURANCE
I declare under penalty of perjury (check one):
❑ The permit is for $100.00 (valuation) or less.
❑ I have placed on file with the County of Butte Building Department
a Certificate of Workmen's Compensation Insurance or a Certificate
of Consent to Self -Insure.
I shall not employ any person in any manner so as to become subject
to the W. C. laws of California.
Notice to Applicant: If after making this statement, should you become subject
to the W. C. provisions of the Labor Code, you must forthwith comply with such
provisions or this permit shall be deemed revoked.
Contractor
MECHANICAL PERMIT
FilingFee 15.00
Heating
Cooling
Hood
6.50
Ventilation
Permit Fee
$
Contractor
I certify that I have read this application and state that the above information
is correct. I agree to comply to all County Ordinances and State Laws relating
to building construction, and hereby authorize representatives of the Countyot
Butte to enter upon the above-mentioned property for inspection purposes.
I also agree to save, indemnify and keep harmless the County of Butte against
all liabilities, judgments, costs, and expenses whichmay in any way accrue
against said County in con quence of the granting of this permit.
X Date 11.
signc ure 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 S
Energy Inspection Fee $
OCC
CONST TYPE
TOTAL FEE $ 37.50
HAz
I DFEES I
IMP
I FLOOD
I CDF
PARCEL
PD
I HD
I ISSUE
This permit is hereby issued under the
sions of the Butte County Code and/or
work indicated above for which fees
DIRECTOR OF PUBLIC
Byi (-
PERMIT EXPIRES Date Z..
applicable provi-
resolutions to do
have been paid.
WORKS
Date/z•a r.9Z
Receipt No. 129992
WHITE-D.P.W.. YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT
:y.
1
K�
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.
040-21-3-014
ZONING
C2
BUILDING PERMIT
OWNER
BILL LYMAN
TELEPHONE
891-5707
SQ. FT. OCC. BUILDING VALUATION
OWNER'S MAILING ADDRESS
P 0 BOX 623 DURHAM CA 95938
FqT
]Ono
CONTRACTOR'S NAME
OWNER
TELEPHONE
CONTRACTOR'S MAILING ADDRESS
Fireplace
CONSTRUCTION LENDER
NONE
UNKNOWN
Total Valuation $
LENDER'S MAILING ADDRESS
Filing Fee
$ 15.00
Permit Fee
$ 22.50
ARCHITECT OR ENGINEER
LICENSE NO.
Plan Checking Fee
$
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Energy Plan Checking Fee
$
Penalty
$
BUILDING ADDRESS
9417 MIDWAY, DURHAM
Permit fee
$
PLUMBING PERMIT
Filing Fee 15.00
Each Trap
Solar or heat pump water heaterLOT
#20.00
NO.
SUBDIVISION NAME
MAP
Water piping
Each qas water heater or ventE17.001USE
OF STRUCTURE
Duplex❑ Mobilehorl Other
SPECIFY
Gas piping system 1 - 5 outletsSFF1
Building sewer
Mobile Home S G W
TYPE OF WORK
New [-I Addition❑ Remodel❑ Utilities Installation❑ Other]
Describe work: DEMO (BY BUTTE COUNTY FIRE DEPT)
Permit Fee
$
Contractor
ELECTRICAL PERMIT
Filing Fee 15.00
Main service 200V OR LESS
00A OR LESS
18.50
CONTRACTORS LICENSE LAW
I declare under penalty of perjury (check one):
I am licensed under provisions Of Cha t. 9, Div. 3 of the Business
p
and Professions Code and my license is in full force and effect.
License No. Classification
I, as the owner, or my employees with wages as their sole compen-
sation, will do the work,and the structure is not intended or offered
for sale. (Sec. 7044)
❑ I, as the owner, am exclusively contracting with licensed contract -
ors. (Sec. 7044)
❑ I am exempt under Sec. , Business and Professions Code
for this reason
Main service 200A TO IOOOA)
37.50
NEW CONST. ( DWELLING OCCUPM
OR ADDNS. ACC. BLDGS.
3.64sq.ft.
NEW CONSTFL ULTI.OUTLET
NON •R ESID BRANCH CIRC ITS
5.00
POWER APPARATUS &)
(SINGLE OUTLET CIR.
Ex. Occup(OUTLETS OR FIXTURES
20 76
LI
FIXED APPLNS. OR
Ex. Occup. OUTLETS (RESID.) EA.)
3.00
Temporary service
15.00
Mobile Home Facilities
15.00
Misc. Wiring
-15.00
Permit Fee
$
WORKMEN'S COMPENSATION INSURANCE
I declare under penalty of perjury (check one):
❑ The permit is for $100.00 (valuation) or less.
❑ I have placed on file with the County of Butte Building Department
a Certificate of Workmen's Compensation Insurance or a Certificate
of Consent to Self -Insure.
I shall not employ any person in any manner so as to become subject
to the W. C. laws of California.
Noti 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 15.00
Heating
Cooling
Hood
6.50
Ventilation
Penult Fee
$
Contractor
I certify that I have read this application and state that the above information
is correct. I agree to comply to all County Ordinances and State Laws relating
to building construction, and hereby authorize representatives of the Countyot
Butte to enter upon the above-mentioned property for inspection purposes.
I also agree to save, indemnify and keep harmless the County of Butte against
all liabilities, judgments, costs, and expenses which may in any way accrue
against said Co my in con quence of the granting of this permit. C�
X Date I Z� 7— 1 �
Signature of Applicant — Owner Contractor ❑ Agent ❑
An OSHA permit is required for exc vations over 5'0" deep and demolition or construct-
of structures over 3 stories in height.
Mobile Home Installation Fee $
Energy Inspection Fee $
occ
CONST TYPE
TOTAL FEE $ 37.50
HAz
1 0FEES I
IMP
I FLOOD
I COF
PARCEL
PD
HD
I ISSUE
i
This permit is hereby issued under the
unty Code and/or
sions oXve
work ifor which fees
R OF PUBLIC
By
P RMIT EXPIRES Date Z_
applicable provi-
resolutions to do
have been paidion
WORKS
Date
r�
Receipt No. 129992
WHITE-O.P.W.. YELLOW-A58(990R, PINK -INSPECTOR, GOLDENROD -APPLICANT
.. �y N-- J .� >r~.-.1 S.r.7',k�"�, � �i �Yk1C.. r....T'�'#'"vr. lye �y`r�` '• �fi'>• '�%+"L'',ti�2: �y ..1'�..:4"�;• ,L,'�,�,�o�i, 1N,.: s,� „�.,H�`;�$�",•,•,r ..,.� _.
\�f
COUNTYO[BUTTE - DEPARTMENTOF DEVELOPMENT SERVICES - BUILDING DIVISION
V
7 COUNTY CENTER DRIVE - OROVI LLE, CALIFORNIA 95965 - TELEPHONE (9 6) 538-7541
PERMIT APPLICATION DATASHEET
OWNER LL- 1--� " A. P. No. 0 O' 2
Proposed Building Use Building Inspector Date / 7Z % ZIZ
At time o�t application, I was advised the following data must be submitted prior to permit processing and/or issuance:
DATE RECEIVED BY
1,
All items have been submitted . ........................................
2.
Plot plans, 3/4 sets, signed by preparer of plans . ..........................
3,
Complete plans, 3/4 sets, signed by preparer of plans . ......................
.4.
Engineered plans and calcs, 3/4 sets, with wet signature on plans . .............
5.
Hazardous Material Form.
6.
Energy Design Compliance and supporting documentation . ..................
7.
Statement of Intent for Non -Heated and A/C Buildings . ......................
8.
Engineered truss details and layout in duplicate (required prior to plan check). ....
9.
Mobilehome data and manufacturer's installation instructions, 2 sets. ...........
10.
Fees of $.........................................
11.
Impact fees as shown on attached schedule. ............................. .
12.
California Department of Forestry plan approval/fees. ....................... .
13.
Flood elevation letter (100 year flood) by California Engineer . ................. .
14.
Sanitation and plot plan approval Health Department . ............
15.
City of Chico plumbing permit . .........................................
16.
Plot plan and business license approval from City of Biggs/Gridley. .............
17.
Planning approval for (A) Use: (B) Parking: . ........
18.
Contact Land Development about (A) Improvements (B) Drainage. .......... .
19.
Driveway permit (construction approval required prior to occupancy). .. .. ...
20.
Pre -inspection for Pre -Inspection request
required. .. to Building Inspector (Date)
21.
22.
23.
Contractor's license information. (No., Name Style, Classific do ). ..............
Certificate of Workmans Compensation Insurance. '%.CCU he- .
Owner -Builder Verification (Given to owner_ -- j Ma I o o`e`'t�,� r .
24.
Recorded copy of Agricultural Acknowledgement Statement. ..J........ ...
25.
Letter of signature authorization . ........................................
26.
Copy of recorded deed of parcel creation and 60 right of way to a public road. .... .
27.
Letter of intent on building use . .........................................
28.
Mobilehome utility clearance . ..................:...................... .
29.
Documentation of legal access . ..................... :..................
30.
Documentation of 50% subdivision developed or (A) Road improvements completed
and (B) Parcel meets zoning area and frontage requirements . ...............
31. Existing violations/expired permits . ......................................
32. Plan checklist ......................................................
33.
34. i
When you issue the permit, process as follows: Mail to owner. Mail to contractor.
Telephone and hold for pickup at office. Deliver with inspector.
Other
Parcel Creation / 7th
t Acreage ApplicanDate
Copy of Haz-Mat form sent Health Dept. Fire Dept.-
ept �' Wir Pollutlon Date
Copy of plans sent Health Dept. Fire Dept. Other Date By
The following data must be submitted prior to permit issuance: (Circle new item not checked above).
1. Index permit for above items No.
2. Additional items required:
Contractor, designer, owner, was advised of above required data by vphone U mail
Contractor, designer, owner, was advised of above required data by _ phone _ mail
Plans checked by Date Plans approved by
Sets of plans on hold in File cabinet AP folder
- Copy - Department of Public Works
Counter bv* -6ate y�
Counter by_ Date
Date
COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT NO.
7 County Center Drive - Oroville, California 95965 - Telephone: 916:538-7541
APPLICATION AND PERMIT
ASSESSOR RCE NU ER
ZONIN '
Z
BUILDING PERMIT
OWN R
l LL ftii�l-
TELEPHONE
a
FT. OCC. BUILDING
VA UATION
OWNER'S MAILING ADDRESS
x 3 H 4w1
C R_CTR'SAj O
ELPMO E
CONTRACTOR'S MAIM/LII—NGG ADDRESS
Fireplace
CONSTRUCTION LENDER
UNKNOWN
C
Total Valuation $
LENDER'S MAILING ADDRESS
ARCHITECT OR ENGINEER LICENSE No.
Filing Fee
$ 15,00
Permit Fee
Plan Checking Fee
$ Z.0
$
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Energy Plan Checking Fee
$
Penalty
$
BUILDING ADDRESS / W
Permit fee
$ 3 71
PLUMBING PERMIT
Filing Fee 15.00
Each Trap
1 5.00
Solar or heat pump water heater
20.00
LOT NO.
SUBDIVISION NAMEPARCEL
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
Mobile Home S G W-
@ 15.00
TYPE OF WORK
New❑ Addition❑ Remodel❑ Utilities❑ Installation❑ OtherA
Describe work: ,Z)65' l 129 -6 y 1�U7� C_i-/
/ACji��i�
Permit Fee
$
Contractor
ELECTRICAL PERMIT
Filing Fee 15.00
Main service 200A OR LESS
18.50
CONTRACTORS LICENSE LAW
I declare under penalty of perjury (check one):
ElNON.R
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
I, as the owner, or my employees with wages as their sole compen-
sation, will do the work,and the structure is not intended or offered
for sale. (Sec. 7044)
❑ I, as the owner, am exclusively contracting with licensed contract-
ors. (Sec. 7044)
❑ I am exempt under Sec. , Business and Professions Code
for this reason
Main service 200A TO 1000A1
37.50
NEW CONST. / DWELLING OCCUP.5i\
OR ADDN5. 1 ACC. BLDGS. /
3.60 sq.ft.
NEW CONST R. UTLET
ESID BRRAANNCCHHCIRC ITS
@ 5.00
POWER APPARATUS &
SINGLE OUTLET CIR. )
(
EX. OCCUp\ OUTLETS OR FIXTURES
20 76d
R
FIXED APPLNS. OR
Ex. Occup. OUTLETS IRESID.1 EA.)
1 3.00
Temporary service
1 15.00
Mobile Home Facilities
15.00
Misc. bVirin 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 placed on file with the County of Butte Building Department
a Certificate of Workmen's Compensation Insurance or a Certificate
of Consent to Self -Insure.
❑ I shall not employ any person in any manner so as to become subject
to the W. C. laws of California.
Notice to Applicant: If after making this statement, should you become subject
to the W. C. provisions of the Labor Code, you must forthwith comply with such
provisions or this permit shall be deemed revoked.
Contractor
MECHANICAL PERMIT
Filing Fee 15.00
Heating
Cooling
Hood
6.50
Ventilation
permit Fee
$
Contractor
I certify that I have read this application and state that the above information
is correct. I agree to comply to all County Ordinances and State Laws relating
to building construction, and hereby authorize representatives of the Countyot
Butte to enter upon the above-mentioned property for inspection purposes.
I also agree to save, indemnify and keep harmless the County of Butte against
all liabilities, judgments, costs, and expenses which may in any way accrue
against said County in consequence of the granting of this permit
X Date /;7
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 $ :j ,
HAz
1 0FEES I
IMP
FLOOD
I CDF
PARCEL I PD HO
ISSUE
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
EXPIRES Date
applicable provi-
resolutions to do
have been paid.
WORKS
DatePERMIT
Receipt No.
WNITC-O.P.W., YELLOW-A3e E330R. PINK -INSPECTOR, COLD ENROD-APPLICANT
hti=
Demolition Permits
Asbestos Notification Statement
Date
LL
AP# L/
Pursuant to section 19827.5 of the California Health and Safety Code, all
demolition permit applicants are required to fill out this form.
"19827.5. A demolition permit shall not be issued by any city, county,
city and county, or state and local agency which is authorized to issue
demolition permits'as to any building or structure except upon the receipt
from the permit applicant of a copy of each written asbestos notification
regarding the building that has been required to be submitted to the United
States Environmental Protection Agency or to a designated state agency, or
both, pursuant'to Part 61 of Title 40 of the Code of Federal Regulations,
or the successor to that part. The permit may be issued without the applicant
submitting a copy of the written notification if the applicant declares that
the notification is not applicable to the scheduled demolition project. The
permitting agency may require the applicant to make the declaration -in writing,
or it may incorporate the applicant's response on the demolition permit appli—
cation."
Attached is a copy of my written asbestos notification to the.United States
Environmental Protection Agency for the demolition project located at
Signature of Applicant
OR
I hereby declare that a written asbestos notification to the United States
Environmental Protection Agency is not applicable to this demolition project.
ig ure of Applicant
2/19/91
MAIL TO
ASBESTOS NOTIFICATION
EPA/NESHAPS Region IX
1235 Mission St. A-3-3
San Francisco, Ca. 94103
DATE:
PROJECT JOB #
(Please see reverse side)
Agor=ios YMS0 Notif3.od:
O TM� i
❑ Cilifoaii As A&&0=C w Board
❑ Cal QSML
❑ Baildim n��rt
ASBESTOS DEMOLITION/RENOVATION
NOTIFICATION
Please cheek on
Renovation
Demolition requiring
10 day notice
Demolition requiring
20 day notice
Revision of Original
(Form on reverse side)
IDE•—PLEASE READ BEFORE IISING THIS
EPA USE ONLY`
DateRec
Pstmrk
School
Del/ND
ADQUTE?
Code#:
Doc#:
FORM
1. OPERATOR: 3. FACILITY NAME -
(Contractor)
ADDRESS STREET ADDRESS
CITY STATECITY STATE
ZIP PHONE( ) COUNTY ZIP
2. OWNER 4. FACILITY DESCRIPTION
ADDRESS
CITY STATFAGE _ SIZE
ZIP PHONE( ) PRIOR USE
5. Project Start Date: Completion Date:
6. Estimate of Friable Asbestos: ON PIPE: Linear Feet
SURFACE OF OTHER COMPONENTS: Square Feet
Nature of Materials:
7. DESCRIBE METHODS OF REMOVAL:
8. PROCEDURES USED TO COMPLY WITH 40 CFR 61.147 a 152:
9. NAME fg LOCATION OF DISPOSAL SITE:
ANY FURTHER PERTINENT INFO CAN BE INCLUDED BY ATTACHING ADDITIONAL SHEETS
QUESTIONS??? FOR FURTHER INFORMATION CALL (415) 556-6415 8am/4pm M -F
- INSTAUCTIONS Fog US ' OF g=rgT0g flF-MCT TTION /=OV7L nTON NC)TT..TCA,T,TQN %-0 �S
RENOVATION: means altering in anyway one or more facility components.
NOTICE MUST BE POSTMARKED'AS EARLY AS POSSIBLEXZMn_:PROJECT
DEMOLITION: means the wrecking or taking out -of load -supporting structural
members of a facility toveth r with any related handling operatioi
10 Day notice for MORE than 160 sq.ft.or 260 linear ft. asbestos
20 Day notice for LESS than 160 sq.ft.or 260 linear ft. asbestos,
includes facilities which contain no asbestos.
FACILITY: means any institutional, commercial -or industrial structure,
installation, or building. Renovations on single family residence
and apartment buildings with 4 units or fewer are exempt from
notification to EPA. -
PROJECT JOB A: Your OWN IN-HOJSE T.D. for a specific jobsite. Optional
but expedites communication -concerning notifications.
LOCAL AGENCY: Most areas in Region 9.have local NESHAP delegated agencies.
In these areas notice must be provided to both EPA and the
local agency.
1. OPERATOR/CONTRACTOR: Full information concerning person doing the work.
2. PROPERTY OWNER: Complete in full.
3. FACILITY NAME: Must have complete address OR directions to the jobsite.
4. FACILITY DESCRIPTION: Current use of building. Project location in the
facility. Other descriptive information as necessary.
5. START AND COMPLETION DATE: Provide month, day and year. Must be revised
if dates change. -(see revision form below)
6. Estimate of amount to be removed (must be in square or linear feet).
Revisiors(see form below) must be made for additional amounts uncovered.
7. Examples of methods: glovebag, scrape, remove in sections, etc.
S. Examples: Adequate wetting prior to and during work, double bag, etc.
DRY REMOVAL MUST RECEIVE PRIOR WRITTEN APPROVAL FROM EPA
OR THE LOCAL DELEGATED AGENCY
IF MORE SPACE IS NEEDED THAN PROVIDED, ADDITIONAL SHEETS SHOULD BE ATTACHED
TO REVISE A NOTIFICATION ALREADY ON FILE WITH EPA, USE FORM PROVIDED BELOW
PROJECT NAME PROJECT JOB g
ORIGINAL NOTIFICATION DATE Revision Notice #1 2 3 4
please circle
This is to advise that the above referenced notification presently on file has
been revised. Please note the revised portion listed.
CRMGES FOR THIS REVISION: PROJECT ( )
CANCELLATION
1. NEW Location
2. NEW Scope of Work
3. ADDITIONAL Quantity of Asbestos
4 --NEW Start Date
5. NEW Completion Date
6. NEW Disposal Site
C1 Jq
.y. . ci
COUNTY OF BUTTE - Department of Public Works
7 County Center Drive,•Oroville, CA 95965 Phone:
916-538-7541
OWNER -BUILDER VERIFICATION CCBUN D 0 DEP�tE
Attention Property Owner: DEC 14 1992'
An 'owner -builder" building permit has been applied for in your name and bearing
your signature.
Please complete and return this information at your earliest opportunity to avoid
unnecessary delay in processing and issuing your building permit. No building permit
will be issued until this verification is received.
1. I personally plan to provide the major labor and materials for construction of
the proposed property improvement (yes or no)
2. I (have/have not) signed an application for a building permit
for the proposed work.
3. I have contracted with the following person
construction:
Name
Address
(firm) to provide -the proposed
Phone Contractors License 4o.
ity
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
Phone Contractors License No.
5. I will provide some of the wor
persons to provide the work id
Name Address
City
/but I have contracted (hired) the following
icated:
Phone
Type of Work
Signed:
Property Owner
Social Security Number
Date I I n / Z
NOTE: This Owner -Builder Verification is sent to you as required by Sections 19831 and
19832 of the California Health and Safety Code.
This verification must be completed and returned to our office before -we are per-
mitted to issue the permit.
f
Signed:
Property Owner
Social Security Number
Date I I n / Z
NOTE: This Owner -Builder Verification is sent to you as required by Sections 19831 and
19832 of the California Health and Safety Code.
This verification must be completed and returned to our office before -we are per-
mitted to issue the permit.
File No.
BUTTE COUNTY (For Action 1, 2 3)
Public Works t, De a
P (For Infor a4.ionY i/ )
Director
Dep. Dir.
Sec.
Rd. & Br. Mt.,
—�
Shop & Yards
Bldg. Insp. Admin.
Design Engr,
Bridge Engr.
Constr. Engr.
Surveys
Mapping
Tran sp.
Land Dev,
Drng. /S.I.
Sub, & Pcl. Maps
Permits
Addr.
1
-oily z
4.
T1 W
5`po fK{t R tit, .0 s d� � � L1 d.rs� cA- l w ttar of c. '+,o W-0-4 P'0"."
-
s COUNTY OF `BUTTE -DEPARTMENT OF PUBLIC WORKS
7 County Center Drive, Oroville, California 95965
Telephone 538-7541
APPLICATION FOR SPECIAL INSPECTION V 7trw t lFfo(t( �EoEi�l.1/J�
Owner�5, / / r.yt/I-IU y A.P. No.
S
Mailing Address / Q G 6•-x «.AJ k_^_� Telephone No. 1 --c-- 7 C -j
Applicant 6-r Telephone No. 3 �3 �7Z�
Mailing Address/T! �c>/y ('> kt• 95/ y3
Buil—ding—Location �/ / ?e_-
/`10�e ,Na •v&Ama w..! dd�ost r WC red.. ow i 2 .Z 3-'1/ r►v. r-evlew
f} ,,atv aova %4
I herebyrequest!=a•special inspection of the following building:
1. Dwelling f only a portion, specify)
0 FK
2. Apartment House (if only a portion, specify)' l
Commer
�,. 3. Commercial (specify _ present occupancy)
4. Other (specify)
J am r questi gra special insp ction for the purpose of:
1. Moving the buirldin p
x� 2. Financing (specify agency) Case No.
0 3. Change of occupancy to
0 14. Other (specify)
I Zheby. c•ertify that I will obtain the necessary permits an makeany necessary correc-
tions .terations, or repairs required by the County of Butte, as a re It of this inspec-
t io to comply with building and housing code requirements. I also c tify that prior
to�the use or occupancy of this building, I will complete the above requ�� ed corrections,
alte<anions, or repairs, or, if the building is presently occupied I -will complete the
above req -reed -corrections, alterations, repairs within 30
� , o
I certify that I have read this application and state the above information is correct
and hereby authorize representatives of the County" -of Butte to enter upon the above-
mentioned property for inspection purposes.
1 Signae of. Owner
Fee Paid .$
1st-bPW/2nd.-Inspector/3;rd-Applicant
Date
Receipt No. m
i
i k
o 0
00
;:.
lit—
' t Cl
000?t
N0
L. 010
. C
l l�
L. 010
141i.11iam Lyman, D.V.14.
9353 Aird-,�.y
Durham, :AiA 9.5938
Dear Hr. Lyman:
June 24, 1991
RE: Special Inspection #23-91
(t1.P. #40-213-14) .
Ni-th reference
to the above subject
and your request
for inspection of the
Proposed conversion
from a single family
dwelling (it -3)
to a pre-school (1-3),
at 9415 Mid:,*ay,
Durham, the inspection.
was made on ,Tune
17, 1991>
The proposed structure to be' converted was constructed without permits and
and inspections from this office, so we were not able -to perform the re uire.l
inspections during construction.
We therefore spade a reasonable visual inspection, without going, on the roof,
under the building, or in the attic and, found the proposed conversion appears.
to conform,, to the intent oY code requirements, except for the following items
vhi-ch crust be done or resolved:
(1) Verify Crater system and sewage disposal system meet Environmental
Het Department requirements.
(2) Provide handicap access and sanitary facilities per State requirements.,
(3) Verify light and ventilation in back bed-roora..
(4) Provide specific use for each room in structure.
(5) Provide 'grounded electrical circuits throughout structure per National
Electric Code "W" edition:.
(6) Verify structural integrity of masonry fireplace or remove.
(7) Provide smoke detectors throughout area per Uni.forra Building Code,
Section 3319(d).
(8) Provide approved exterior stairways, including rise, run, handrails
and guardrails per Uniform building code, Section 3306 and 1711.
(9) Provide Planning Department use permit for pre-school, use in a
C-2 zone. .
YI=N' i
Letter to William Lyman, D.V.M. RE: Special Inspection 23-91 (A.P. #40-213-14)
Page 2
June 24, 1991
This inspection by the County. of Butte does not act as a guarantee or warranty
as to the internal soundness of said conversion.
You may at this time, submit complete plans in duplicate to this office including
plot plans, floor plans and structural details, apply for the required permits
and pay the appropriate fees.
Should you have any questions concerning this matter, please contact Rod Taylor
of.this office at (916)538-7541.
JFG:ds
cc: Assessor,
Environmental Health Department
Planning Department
Building Inspector, Chico
Yours very truly,
William Cheff
Director of Public Works
J.F. Glander
Manager, -Building Inspection
0
_ ten. • r t 1i;Mj
# : a�rx:. lr �T y,�*(-r{-�1ev ,�it4}v ,rr'a .h,r-s .r.�l'.. .i$•«.1rt r,_ �,+1."'_�'V��ii,.Yl�'*"i;�� hy,.;,,•r `"'...�4yr+�y.�i ra.;:..r�,
,
COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 1
7 County Center Drive, Oroville, California 95965
Telephone: 538-7541
APPLICATION FOR SPECIAL INSPECTION
Owner 1 Yr r i f a en I ry r-4 til - A.P. No.
+Mailina'Address cf 3.f7 3 i
Telephone No. <xq i 1 70 -
Applicant r�4A P. it .rte, , �l N P a A (-Ar, r tl Telephone No.
Mailing Address e-1 Oro Ave
Building Location C�. %' L%
I hereby request a special inspection of the following building:
1. Dwelling (if only a portion, specify)
Q 2. Apartment House (if only a portion, specify)
4
0 3. Commercial (specify present occupancy).-
4.
ccupancy)•4. Other (specify)
I am requesting a special inspection for the purpose of:
0 1. Moving the building. ,
Q 2. Flnancing (specify agency) Case No.
3. Change of occupancy t i
_ .. 4. Other .(spe.cify)-.std
I hereby certify that I will obtain the necessary permits and make any necessary correc-
tions, alterations, or repairs required by the County of Butte,, as a result of this inspec-
tion, to comply with building and, housing code requirements. I also certify that prior -
to the use or occupancy of this bilding, I will complete the above required corrections,
alterations, or repairs, or, if the building is presently occupied, I will complete the
above required corrections, -alterations, or repairs within 30 days.
r
i
I certify that I have read this application and state the above information is correct
and hereby authorize repr ntatives of the County of Butte to enter upon the above-
mentioned _r�r . pion purposes.
nature/o1 Owner
Fee Paid $ ,SO. Q 0
lst-DPW/2nd-Inspector/3rd-Applicant
Date 4,e 1-5- 4C[ 1
Receipt No.�,:�`�/ `
r
f4
�l
3
i
Butte Co Head Start Durham
9415 Midway
Durham, CA 95938
Q
foo
/J
0
°
\kV<
y
�a
t> 00
f y
v
V^:
y.
.r �
c
G .G
cQ
I
Butte Co Head Start Durham
9415 Midway
Durham, CA 95938
RIP -A
Q al
cyj Re
A4 * r -
v L
)1 5 mown 'o
y P-/- h,'Z) A
cc
o C
SIC
4rA jr
Yl
j
r(
9 J
!Z5
jc
Butte Co Head.Start Durham; 9415 Midway; Durham, CA 95938
I
c
x
�-f
:-p
4-\
❑ Complaint -Date
�, r Other -Date
BUTTE COUNTY DEPARTMENT OF PUBLIC WORKS
SPECIAL INSPECTION REPORT
ZONING C>
r �
Owner: ` (V t uc a-. L si lM dim A . P . # - Zi 3
Address: 7 /4tow Date of Inspection
G ,n O
Tenant: u`rt `t`Ii ccs 1 -YL` . �2� 1 W &L Inspectori26tUfz__
Ll
Building Location:
Type of Inspection requested: '
1. Housing 2. Financing /_ 3. Change of Occupancy to J_
4. Work W/O Permit /_/ 5. Other (speci y)
Present use of building:
A. Sanitation (Housing)
1. Water closet:
2. Lavatory:
3. Bathtub or shower:
4. Kitchen si6k:
5. Hot and cold water to fixtures:
6. Heating facilities:
7. Natural light and ventilation:
8. Room and space requirements:
9. Bedroom window or door for second exit: 01VA
10. Infestation of insects, vermin, or rodents
11. Connection to sewage disposal:
12. Connection to water supply:
13. Rubbish and garbage facilities:
14. Stairs:(Rise, Run, Headroom, 1HR, Tolerances,Handrails)
15. Comments:
B. Structural
1. Piers and footings:
2. Floor construction:
3. Wall construction:
4. Ceiling and roof con
5. Fireplaces: _
6. Comments:
C. Electrical
1. Service and ground:
2. Receptacles:
3. Fusing:
4. Comments:
j.17 v ALh n _ is (1,0 011
D. Plumbing
1. Fixtures connected and vented:
2. Gas water heater:
3. Gas heating vents:
4. Comments:
PIFIV- --;Ivlo-r `i-Xq
Other
1. Maintenance and repair:
2. Fire hazards:
3.Safety hazards:
4. Weather protection:
5. Underfloor and attic ventilation:
6. Energy:.
7. Comments:
F. Commercial Buildings
1. Roof covering: L
2. Distance to property lines: -ZCD
3. Physically handicapped: xlmetl
4. Restroom floors and walls: V4 .Q�
5. Exits:
6. Improvements:
7. Zoning:
8. Comments:
G. Field Problems or Violations
1. Problem or violation (give complete description):
2. What action taken (give complete description):
3. What action recommended:
/ / A. Information only - file.
B. Hold for ten days, then write letter.
= C. Write letter.
/ / D. Other:
• "� - 3`-1'Fo�� we+Yti• c. .:Y i.�"S�"r it.•�,. x°. Srwi .'_ '� -'�1'j-�' ..
�4 —21-3-014 91
LYMAN —4114
—� WILLIAM
CONTR: DURHAM ELEC
" 9415-9417 MIDWAY, DURHAM
2 UNDRGR ELEC SRV/SF
OFFICE COPY
• Address
i.J
GAS
Meter By
ELECTRIC Date
Meter By
Date
G OFFICE COPY
Address 1 t{ I S M(D wA
GAS
Meter By
ELECTRIC Date
Meter By /
.. �� Date
COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT N0.
7 County Center Drive - Orovllle, Callfornla:95965 - Telephone: 916/538-7541 � V
APPLICATIONANDRERMIT;
ASSESSOR PARCEL NUMBER
ZONING. i
BUILDING PERMIT
OWNER TELEPHONE S
Will L n
OWNER'S MAILING ADDRESS T
()353 Durham 95938.E
�NSO FT. OCC. BUILDING VALUATION
r
CONTRACTOR'S NAME
Durhain Electric
TELEPHONE
345-23b1
-
-
CONTRACTOR'S MAILING ADDRESS
1106 Orange St.. Mico
Fireplace
CONSTRUCTION LENDER
UNKNOWN
Total Valuation Is
LENDER'S MAILING ADDRESS
Filing Fee
$ 15.00
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 15.00
9415 7 Midway. 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
'
SF[X Duplex❑ Mobilehome❑ Other
SPECIFY i
Gas piping system 1 - 5 outlets
5.00
Building sewer
15.00
Mobile Home S G W
@ 15.00
TYPE OF WORK
New ❑ Addition ❑ Remodel ❑ Utilities ® Installation ❑ Other ❑
'Describe work: 2 Electric Meters t0 D.M.D.
Permit Fee
$
Contractor
ELECTRICAL PERMIT
Filing Fee 15.00
OR LE
Main service 200A 00A OR LESS
2
1 18.50 j$• 50
Main service 200A TO t000A)
CONTRACTORS LICENSE LAW
I declare under penalty of perjury (check one):
�F*2 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. Ha7SL �� Classification — t�
❑ 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 c
ors. (Sec. 7044) 1
❑ I am exempt under Sec. , Business and Professions Code
for this reason
NEW CONST. ( DWELLING OCCUP.N)
OR ADONS. ACC. BLDGS. //
_37.50
3.64sq.ft.
NEW CONSTR ULT' -OUTLET
NON-RESID BRANCH CIRC ITS
@ 5.00
POWER APPARATUS h
(SINGLE OUTLET CIR. )
Ex. Occup(OUTLETS OR FIXTURES
2) 76
FIXED APPLNS. R
Ex. Occup. OUT LETS ARESID.IEA.)
3.00
Temporary service
15.00
Mobile Home Facilities
15.00ontract-
Misc. Wiring
1 •15.00 15.00
Permit Fee
$ 48.50
—
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. I
Contractor
MECHANICAL PERMIT
Filing Fee 15.00
Heating
Cooling
g
Hood
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't� above-mentioned property for inspection purposes.
I also agree to'save,;indemnify and keep harmless the County of Butte against
all liabilities, judgmentsCosts, and ep�p__.epses which may In any way accrue
against saiib County in c_onse"
.eq ncof,"t.ife granting of this permit.
X - �" f t� �� Date
Signature pp_ ❑ Contractor � Agent ❑
Si nature of A ly ant - Owner
An OSHA ion's over 5'0" deep and demolition or construct-
ion of structures toverr3gstories in height.
Mobile Home Installation Fee S
Energy Inspection Fee $
Occ
CONST TYPE
TOTAL FEE $ 48.50
HA2
DFEES
IMP
FLDOD
CDF
PARCEL
PD
HD
ISSUE
This permit is hereby issued under the
sions of the Butte County Code and/or
work indicated a for which fees
IT R OF PUBLIC
By
PERMIT EXPIRES Date'---,
applicable provi-
resolutions to do
have been paid.
WORKS
Datel/- T6- t/
Receipt No. 103988
WHITE-D.P.W.. YELLOW-ASSE330R. PINK -INSPECTOR. GOLDENROD -APPLICANT
1
COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS
7 County Center Drive - Orovlller California 95965 - Telephone: 916/538-7541
APPLICA�ThDN-AND PERMIT
P RMIT N0.
wl
ASSESSOR PARCEL NUMBER
4D -9r:) - /
7,9N I'NG
BUILDING PERMIT
OWNER
William L man
TELEPHONE
$Q, FT. OCC. BUILDING VALUATIOM
OWNER'S MAILING ADDRESS
Mid Du ham 95938
CONTRACTOR'S NAM
Di1rham Electric
TELEPHONE
345-2301
CONTRACTOR'S MAILING ADDRESS
1106 Chico
Fireplace
CONSTRUCTION L NDER
UNKNOWN
Total Valuation Is
LENDER'S MAILING ADDRESS
Filing Fee
$ 15.00
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 15.00
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
SF ® Duplex❑ Mobilehome❑ Other
SPECIFY
Gas piping system 1 - 5 outlets
5.00
Building sewer
15.00
Mobile Home I S I G JW=
@ 15.00
TYPE OF WORK
New Addition Remodel❑ Utilities® Installation[] Other❑
Describe work: 2 Electric Meters to D.U.U.D.
Permit Fee
$
Contractor
ELECTRICAL PERMIT
Filing Fee 15.00
Main service 200A OR LESS
1 18.50 18.50
CONTRACTORS LICENSE LAW
I declare under penalty of perjury (Check One):
ISI
17T_F 1 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. �'i�75_�S Classification c----Ic7
❑ 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)
❑ 1, as the owner, am exclusively contracting with licensed contract-
ors. (Sec. 7044)
❑ I am exempt under Sec. , Business and Professions Code
for this reason
Main service 200A TO I000A)
37.50
DWELLING OCCUP.Ii+\
NEW CONST.OR ACDNS. ( ACC. BLDGS. //
3.64 sq.ft.
NEW CONSTR ULTI.OUT LET
NON•RESID BRANCH CIRC ITS
@ 5 00
(POWER APPARATUS S)
SINGLE OUTLET CIR,
Ex. OCCup\OUTLETS OR FIXTURES
20 76
EX. Occup. FIXED APPLNS. OUTLETS IIRESID )REAJ
3.00
Temporary service
15.00
Mobile Home Facilities
15.00
Misc. Wiring
1 15.00 15.00
Permit Fee
$ 48.50
—
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
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 County of
Butte to enter up a above-mentioned property for inspection purposes.
I also agree save, ndem ify and keep harmless the County of Butte against
all Iiabiliti S, ju ent , CO tS, and ses which may In any way accrue
against s 'd Co in ranting of this permit.
X Date –�i�
Signature of Appl' ant — Owner ❑ Contractors Agent ❑
An OSHA for excavations over 5'0" deep and demolition or construct.
ion Of HAstructuresmit is required
Mobile Home Installation Fee S
Energy Inspection Fee $
occ
CONST TYPE
TOTAL FEE $ 48.50
HAZ
1 0FEES I
IMP
I FLOOD
CDF
PApCEL
PD
HD
ISSUE
This
This permit is hereby issued under the
sions of the Butte County Code and/or
work indicated a for which fees
T• R orOF PUBLIC
By
EXPIRES Date
applicable provi-
resolutions to do
have been paid.
WORKS
Dates l6-iPIT
Receipt No. 103988
WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT
+ ` - COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS - BUILDING DIVISION
.o. 7 COUNTY CENTER DRIVE - OROVd2Lt;`CALIFORNIA 95965 - TELEPHONE: 916/538-7541
PERMIT APPMATION DATA SHEET
Permit No.
OWNERA,1/ A. P. No.
Proposed Building Use Building Inspector Date
At time of permit application, I was advised the following data must be submitted prior to permit processing and/or issuance:
_V11. All items have been submitted . .................................... DATE RECEIVED APPROVED
2. Plot plans in duplicate/triplicate, signed by preparer of plans........
3. Complete plans in duplicate/triplicate, signed by preparer of plans ..
4. Complete engineered plans and calcs, with wet signature on plans ..
5. Hazardous Material Form ..........................................
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. School District fees paid ..............
14. Sanitation 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. Pre -Inspection for required Pre-inspec. request to
Building Inspector (Date)
21. Contractor's license information (No., Name Style, Classification) ...
22. Certificate of Workmans Compensation Insurance ..................
23. Owner -Builder Verification (Given to owner ❑, Mail to owner ❑) .....
24. Recorded copy of Agricultural Acknowledgment Statement .........
25. Letter of signature authorization ...................................
26.
27.
When you issue the permit, process as follows: Mail t9,owrm,r,
Mail to contractor.
Telephone and hold for pickup at ffice. Deliver w/inspector.
Other _
Applicant I Date
Copy of Haz-Mat form sent Health Dept. Fire Dept. air Pollution ' Date
Copy of plans sent Health Dept. Fire Dept. Other Date By
The following data must be submitted prior to permit issuance: (Circle new item not checked above).
1. Index permit for above items No.
2. Additional items required:
Contractor, designer, 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
Sets of plans on hold in
Date Plans approved by
File cabinet AP folder
Copy—DPW `
Date
COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT NO.
7 County Center Drive - Oroville, California 95965 - Telephone: 916.'538-7541
APPLICATION AND PERMIT
ASSESS R PARCEL NUMBER
ZONIP[G
I
BUILDING PERMIT
OWNER
TELEPHONE
SO. FT. OCC.1 BUILDING VALUATION
OWNER'S MAILING ADDR S
fur v rc 9 S`93
CO ACTOR'S NAME 1�
�� `
TELEPHONE
�_
CON ACTOR'S MAILING ADDRESS ,
Fireplace
CONSTRUCTION LENDER
UNKNOWN
Total Valuation is
LENDER'S MAILING ADDRESS
Filing Fee
$ 155,00
Permit Fee
$
ARCHITECT OR ENGINEER
LICENSE NO.
Plan Checking Fee
$
Energy Plan Checking Fee
$
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Penalty
$
BUILDING ADDRESS_ r
I t
Permit fee
$
PLUMBING PERMIT
Filing Fee 15.00
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 0'-" Duplex❑ Mobilehome❑ Other
SPECIFY
Gas piping system 1 - 5 outlets
5.00
Building sewer
15.00
Mobile Home S I G I W
@ 15.00
TYPE OF WORK.
New ❑ Addition ❑ Remodel ❑'ties Installation❑ Other ❑
Describe work: x %l, 2262 42D
Permit Fee
$
Contractor
ELECTRICAL PERMIT
Filing Fee 15.00
Main service 200A OR LESS
18.50
Main service 200A TO 1000A1
37.50
CONTRACTORS LICENSE LAW
1 declare under penalty of perjury (check one):
2<1 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. 1;27S �s Classification [-10
❑ 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.EI)
OR AODNS. l ACC. BLDGS.
3.6dsq.ft-
NEW CONSTR- ULTI.OUTLET
NON.RESID BRANCH CIRC ITS
@ 5.00
POWER APPARATLI 6
(SINGLE OUTLET CIR.
Ex. OCCUp(OUTLETS OR FIXTURES
AAO 76d
FIXED
Ex. Occup. OUT LE
Ex. PIRESID ILNS.REA.)
j 3.00
Temporary service
15.00
Mobile Home Facilities
15.00
g
15.00 ,
Permit Fee
$ ZZr__ 1277
—
WORKMEN'S COMPENSATION INSURANCE
I declare under penalty of perjury (check one):
❑ The permit is for $100.00 (valuation) or less.
F,�l 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 1 15.00
Heating
Cooling
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 County or
Butte to enter upon the above-mentioned property for inspection purposes.
I also agree s e, indemnify and keep harmless the County of Butte against
all liabilit s, j gme costs, and a enses which may in any way accrue
against s d C ty �ce c t granting of this permit.
%� Date �� a�-�9/
Signature OFA
g pp 7cont — Owner ❑ Controctor� Agent ❑
An OSHA over 5'0" deep and demolition or construct-
ion of structures toverr39stories in height.
Receipt No.
WHITE-O.P-W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROO-APPLI CANT
Mobile Home Installation Fee S
Energy Inspection Fee $
occ CON ST TYPE TOTAL FEE $ -�
HAz DFEES IMP FLOOD CDF PARCEL PD HD SSUE
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
TO Buildina Department
FROM: Environmental Health
SUBJECT: Sanitation Clearance
-" Owner Location AP#
Plan Approved for: Sewaqe Disposal Water Supply
Hold final for: Water Supply
Final clearance O.R. for:
Clearance for bedroom mobile home.
Water Supply
Other ('>)ni c-
Sanitar'an Date