HomeMy WebLinkAbout040-280-03040-28=30 3104-91B
HISLOP, Mike
9136 Goodspeed, Durham /
(covered area/sf)-_
040-'28-0-030 �92-3776
HIS9136 G, Mike
9136 Goodspeed, Durham �
1st renewal/91-3104,
v 040-28-0-030 93-3467 B
2ND RENEWAL/91-3104
040-280-030 PERMIT#94-3142
HISLOP, MIKE & KATHRYN
9136 GOODSPEED, DURHAM
COMPLETE'BP#91-3104-
,,.040-28Q;030�,,._.w _-_#,PERMIT#96-0182
HISLOP,.Mike,& Kathryn'. "
9136 Goodspeed,.Durham
':Complete BP#9,1-3104
04o-iso=030" �o2-128 INALED
.HISLOP, MIKE & KATHRYN.
9136 GOODSPEED, DU HAA
REPAIR DRY ROT, RELOCAT GAS
LINE & ELECTRIC CIRCUIT
040-250-030 04-
HISLOP FAMILY TRUST
9136 GOODSPEED SR, DURHAM
Cont: OWNER
MISC REPAIRS
91- . :..:
PERMJT.�NEWAL
. 6,A E.
' r
EXPIRES:
BALANCE OF FEES SHEET
DATE:
j I
PERMIT #:
CIO b • �?rD Uy?
ASSESSOR PARCEL #:
v
OWNER'S NAME:
I
FEES (Amount and Purpose):
41
BALANCE OF FEES:
$
ADDITIONAL FEES:
$
REVISED PLAN CHECK:
$
SHERIFF FEE (commercial only):
$
SRA:
$
COPY FEES ($1 or more)
$
DRAINAGE
$ BASIN
BC RESIDENTIAL IMPACT
County Wide • Chico Urban
EI Medio North Chico Specific _
$
WATER TENDER FEES
$ BATTALION #
FEMA
$
SMIP
$
OTHER
$
RECEIPT NUMBER(S)-
,
:y
BUTTE COUNTY
DEPARTMENT OF DEVELOPMENT SERVICES
BUILDING PERMIT
24 HOUR INSPECTION #: (530) 538-7636 (OROVILLE) (530) 891-2834 (CHICO)
OFFICE #: (530) 538-7541 FAM (530)538-2140
WEBSITE: www.buttecounty.netWds
PERMIT NO.
BP042692
LICENSED CONTRACTORS DECLARATION
I hereby affirm under penalty of perjury that I am licensed under
provisions of Chapter 9 (commencing with Section 7000) of Division 3 of
Issued Date: 09/13/2004 APN: 040-280-030-000
the Business and Professions Code, and my license is in full force and
effect.
License Class: License Number:
Site Address: 9136 GOODSPEED ST DUR
Date: Contractor.
Map Index:
Description: MISC FRMG,ELE SER CH,WTR LINE,DEMO
OWNER43UILDERDECLARATION
I hereby affirm under penalty of perjury that I am exempt from the
GAR ROOF
Contractors' State License Law for the following reason (Sec. 7031.5
Business and Professions Code: Any city or county which requires a
permit to construct, alter, improve, demolish, or repair any structure, prior
to its issuance, also requires the applicant for such permit to file a
Owner: HISLOP FAMILY LIVING TRUST
signed statement that he or she is licensed pursuant to the provisions of
HISLOP MICHAEL E & KATHRYN L
the Contractor's State License Law (Chapter 9 commencing with Section
7000) of Division 3 of the Business and Professions Code) or that he or
TRUSTEES
she is exempt therefrom and the basis for the alleged exemption. Any
9136 GOODSPEED ST
violation of Section 7031.5 by any applicant for a permit subjects the
DURHAM, CA 95938-9635
applicant to a civil penalty of not more than five hundred dollars ($500).):
I, as owner of the property, or my employees with wages as their
sole compensation, will do the work, and the structure is not
intended or offered for sale (Sec. 7044, Business and Professions
Code: The Contractors' State License Law does not apply to an
owner of property who builds or improves thereon, and who does
such work himself or herself or through his or her own employees,
Applicant: HISLOP FAMILY LIVING TRUST
provided that such improvements are not intended or offered for
HISLOP E &KATHRYN L
sale. If however, the building or improvements are sold within one
.MICHAEL
year of completion, the owner -builder will have the burden of
TRUSTEES
proving that he or she did not build or improve for the purpose of
9136 GOODSPEED ST
sale.).
DURHAM, CA 95938-9635
❑ I, as owner of the property, am exclusively contracting with
licensed contractors to construct the project (Sec. 7044, Business
and Professions Code. The Contractors' State License Law does
not apply to an owner of property who builds or improves thereon,
and who contracts for such projects with a contractor(s) licensed
pursuant to the Contractors' State License Law.).
❑ I am Exempt under Article 3 of the Busin s and Professions Cod
Contractor:
ry�-r
Date: 9 �3 ner��'®�
WORKERS' COMPENSATION DECLARATION
I hereby affirm under penalty of perjury one of the following declarations:
❑ 1 have and will maintain a certificate of consent to self -insure for
workers' compensation, as provided for by Section 3700 of the
License #':
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 the Labor Code, for the performance of
the work for which this permit is issued. My workers' compensation
Architect:
insurance carrier and policy number are:
Engineer:
Carrier:
Policy #:
I certify that in the performance of the work for which this permit is
Total Square Ft: 0 S. F.
issued, I shall not employ any person in any manner so as to
Valuation' $0.00
become subject to the workers' compensation laws of California,'
and agree that if I should become subject to the workers'
compensation provisions of Section 3700 of the Labor Code, I shall
forthwith comply with those provisions.
Census Code' _
40S7
<9// Flo �
1//
Date:
J O
WARNING: Failure to secure workers' compensation coverage is
unlawful, and shall subject an employer to criminal penalties and one
hundred thousand dollars ($100,000), in addition to the cost of
compensation, damages as provided for in Section 3706 of the Labor
code, interest, and attorney's fees.
CONSTRUCTION LENDING AGENCY
This permit is hereby issued under the applicable provisions of the Butte County Coda anrUOr
I hereby affirm that there is a construction lending agency for the
Resoluti o do work ind' ted ab for hich fees have been paid.
performance of the work for which this permit is issued (Sec 3097 Civ.)
Name:
B Date:
PERMIT EXPIRES ON:
Address:
ate
❑ I hereby certify that the use of this facility shall comply with Sections 25505, 25533, and 25534 of the California Health and Safety Code, which regulate the storage,
handling and use of hazardous materials.
❑ Notification in accordance with Section 19827.5 of California Health & Safety Code is not applicable to the scheduled construction of this project.
❑ Attached are copies of the required E.P.A. notification forms.
I hereby certify that I have read this application, that the above information is cored, and that I am the owner or the duly authorized agent of the owner. I agree to comply with
all county and state laws relating to building construction. I acknowledge it is unlawful to alter the substance of any official form or document of Butte County. I hereby
authorize representatives of Butte County to enter upon the above mentioned property for inspection purposes.
Print Name: !fir C Ai/d P / f-- , Z l �,6� Signature:
c.7 %
Date: // 1,FJ e�
❑ Owner ❑' Contractor 0 Agent for Owner ❑ Agent for Contractor
BUTTE COUNTY
DEPARTMENT OF DEVELOPMENT SERVICES
BUILDING PERMIT APPLICATION
AND SUBMITTAL REQUIREMENTS
• 24 HOUR INSPECTION#: OROVILLE: (530) 538-7636 - CHICO: (530) 891-2834
OFFICE M (530) 538-7541
A FEE WILL BE REO UIRED AT TIME OF APPLICATION
"PLEASE PRINT CLEARLY"
OWNER
Last Name Ab J /O 4
irst Name Ae
Address c� �.�6 • ado S
City Out ,�c
State
Zip 9:.0,78
Phone 3�� _��--� c,
Fax
//
E-mail `j1y� y�`io7lireQiI•
APPLICANT SIGNATURE
X
For office use only:
CONTRACTOR
Name
D w h er
Address,,,,�,�P
SRA
City
No
State
Zip
Phone
Map Book
Fax
E-mail
Planner
Lic. #
Class
APPLICANT SIGNATURE
X
For office use only:
ARCHITECT/ENGINEER
Name
D w h er
Address
SRA
City
No
State
Trp
Phone
Map Book
Fax -
E-mail
Planner
State License Number
APPLICANT SIGNATURE
X
For office use only:
APPLICANT NAME
Name
ccv y Pr
Address
SRA
City
No
State
Trp
Phone
Map Book
Fax
E-mail
Planner
APPLICANT SIGNATURE
X
For office use only:
Zoning
Property Address
9/36 �ooc% enc/ J'�
Flood Zone
Cross Street
SRA
I Yes
No
Occ.
Type Const
Subdivision Name
Map Book
Page
Lot #
Planner
Date Approved:
�1
V
PERMIT �a
NO.
GIN
BIN #
LOCATION
AP#0�0-28�—D3v
Property Address
9/36 �ooc% enc/ J'�
city
Ov�%i�•,.
Cross Street
WORKER'S COMPENSATION
Policy Number
Carrier
If hiring anyone other than license contractors, a certificate of worker's
compensation must he shown at the time of permit issuance.
LENDING AGENCY
Name
Address
OVER FOR SUBMITTAL REQUIREMENTS .
K:\FORMS\BUILDING F0RMS1BIdgApp1SubRgmts.doc Page 1 0
Description or Scope of Work:
?�.N'a ✓fie E'Xi �^ f 'Yi7'-r-4er. sss �.rc+'O cal
A�. 0%
E'X�>t e%Pc�ri'c ricP
.Fa�rF991!egC � C � o � •r► �c �' ct rr. b- t c.: -c u, 'rj-.
❑ Structure Built without Permits
❑ Proposed Change of Occupancy
(Note previous use):
EXPIRATION OF APPLICATION
Applications for which a permit has not been issued will expire one
year after the date of application. In order to renew action on an
application after expiration, a new application, plans and fee will be
required.
REQUEST FOR REFUNDS
Refunds can only be made upon written request by the person who
paid the fee. The request must be made prior to the expiration of the
permit and no construction work has been done. Filing fees, plan
check fees for work plan checked and other department costs are not
refundable.
Received b . Amount 9$Idg
SRA
Receipt P (v�� I Sheriff
SMIP
Date:q/t. Other
Total
f 2 REV -27-04
SUBMITTAL & PERMIT REQUIREMENTS
The following drawings and specifications must be submitted to the Building Division in order to apply for a
permit. -INCOMPLETE SUBMITTALS WILL NOT BE ACCEPTED. ALL PLANS MUST BE LEGIBLE AND IN INK
❑ 1. Site plans, 3 or 4 sets, signed by the preparer of the plans. No graph paper!
❑ 2. Complete plans, 3 or 4 sets, signed by the preparer of the plans (No graph paper!) OR
Engineered plans, 3 or 4 sets, with wet signature on plans AND 2 sets of stamped and signed calculations.
❑ 3. Engineered truss details and layouts in duplicate (if required). No faxesl
❑ 4. Energy compliance design and supporting documentation in duplicate. (Note: Not required for additions to
mobile or modular homes.)
❑ 5. Statement of Intent for Non -heated and A/C for Non -Residential Buildings.
❑ 6. Manufactured homes: (A) Data sheets and installation inst, (B) Marriage line info, (C) Floor Plan, (D) Tie down
or fnd plans, all in duplicate.
❑ 7. Metal bldgs: (A) Metal Bldg Plans, (B) Fnd plans and calcs in triplicate, (C) Elevations in triplicate. (D) Floor
plans in triplicate. All of these must be stamped and wet -signed by the engineer.
❑ 8. Flood Elevation Certificate, wet -stamped and signed, in duplicate (if required).
❑ 9. Site plan and business license approval from the City of Biggs.
❑ 10. Letter of intent for non-residential buildings.
❑ 11. Detached Accessory Building Form filled out by the owner (if required).
❑ 12. Hazardous Material Form (for Commercial Buildings only). —
❑ 13. Sanitation and site plan approval from the Environmental Health Department.
Remaining items needed to issue the permit. Additional items may be required after Plan Check and Planning
review (May require additional plan review upon receipt of the following items.)
❑ 1. Agricultural Buffer clearance and site plan approval from the Ag Commissioner's office (if required).
❑ 2. Impact Fees.
❑ 3. California Department of Forestry plan approval (if required).
❑ 4. NPDES Form.
❑ 5. Encroachment Permit for driveway from the Public Works Dept. (construction approval prior to occupancy).
❑ 6. Contractor's license information. (Number, Name Style, Classification).
❑ 7. Worker's Compensation Carrier and Policy Number.
❑ 8. Owner -Builder Verification (if required).
❑ 9. Letter of Signature authorization (if required). -
❑ 10. Recorded copy of Agricultural Acknowledgment Statement.
❑ 11. ❑ Grant Deed, ❑ M.H. Title/Statement of Facts, ❑ Letter from Legal Owner (for 433A's).
If you have questions or would like additional information regarding this process, contact a Permit
Application Assistant at (530)538-7541. r
EXPIRATION OF APPLICATION
Applications for which a permit has not been issued will expire one year after date of application. In order to renew action
on an application after expiration, a new application, plans and fees will be required.
REQUEST FOR FEE REFUNDS
Refunds can only be made upon written requesf by the person who paid the fee. The request must be made within two
years from the date of fee payment on permits not issued, and two years from the date of permit issuance for permits
issued; however, on issued permits refunds can only be made if no construction work has been done. Filing fees, plan
check fees for work plan checked and other department costs are not refundable.
OVER FOR BUILDING PERMIT APPLICATION
KAFORMSSUILDING F0RMS\BIdgApp1SubRgmts.doc Page 2 of 2 REV 7-27-04
O.B.- 1
OWNER-BUMDER VERIFICATION
Attention Property Owner.
An "owner buildee' building pemlit has been applied for in your name and bearing your signature.
Please complete and retum this infommation 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.
I I personally plan to provide the major labor and materials for construction of the proposed
P
roperty improvement : YESK NO 13I HAVE'► HAVE NOT ❑ signed an application for a building pemlit for the proposed work.
3. I have contracted with the following person (fum) to provide the proposed construction:
NAME
ADDRESS: CITY..
PHONE: CONTRACTOR'S LICENSE NO.
4. I plan to provide portions of this work, but I have bired the following person to coordinate,
supervise, and provide the major world
NAME:
ADDRESS: CITY:
PHONE: CONTRACTOR'S LICENSE NO.
' � I�v�]]�pravade some-ofihs-war-l�butiiav-e�oa#r-acted�e�oR-persons-�-provi��
the work indicated:
NAMM
ADDRESS
1 ' •,T • OF WORK
TP�
ROPERTYOWNER ATE: 911,F1Z)-<
NOTE: TUS Owner -Builder Yery7ca ion is requ&ed by Section 19831 and I9832 of the
Cali, f omnia HeaUh and Safety Code. YUS ve Ykation must be completed and
returned to our of xl a before we are perwifted to isrue, the nernit
OWNER BUILDER IlNFORMATTON
Dear Property Owaer.
OB._I
roAna Plicatim far a bmldmg Pmak has been. submitted in yam name listispeoffied.ng yourself as See bmlder of properiY
For yourproteatlon, You should be aware Slat as -owner-bmldee Yon are the responsble party ofrecord on such
a PamiL Budding Pmcnift are not requnpd to fie signed by proPertY owners unless th are
own worm If your work is being p by someone other thaw PAY perfotmtng S�ers
liability if that person applies for the Y�sel� you mayprotect Yourself from possible
PmPerpennit in his or her name.
liseCcnhzam are requaed by law to be licensed and banded by Ste State of California and to have a business
city or cotmiy. They are also required by law to put their license number on all permits for which they.
apply.
Ifyon plan to do your own wodq with the mon of various trades that yon plan to mbconfract; you should
be aware of the following iafam�on for your benefit and, protection:
a If you employ or o6emm engage My persons other thanYa hnmediate ,
and other costs) is $300 or more far tie entire Y, and the warg ( clading materials
svb�, then you may be an arch persons are not licensed as cow or
♦ If you are an employer, you must re&ter wig. the State and Federal Go
snbjul to sevei-A obi ��g state and Mad h== as an employer and yon are
wods comp% m� tag j & mal social sea�ty taxes,
a There may be fnmacial d�bifity costs, and mployayensatioa cow,
with respect to wodxes � Hca out these obligations, and d=e risks are especially sanious
♦ Formme specific mon about your obligations under Federal Law
ifYau wish, the U.S. Small Business ' • ,pct Sze Internal Revenue Service (and,
on
State Law w== the D )- For rare sP"-Mc man about your obligations under
apartment afBenefit Payments and the Division ofhxhmt<ia1 Accidents.
If fire 9ftUCt= is intended for sale, pMpMly owners who are not wodlir aced
c-onditioaLY frro &* own emPkS', whhoui a licensedconftwtor or subm&actor, only tinder limited
A frequent practice of ualiceased P== Pwg to be yrs is to secQre an
p=in% =onwmly impbing � the PvPmtY owner is providing his ar h= own labor and owner onall ui
Ider" building
pa mics are not required to be byperty owners S
mon about iimased Obtains � �Y are Pig Sieh � woe personally.
commnnity or at 1020 N S vA S by �e � State License Board in y=
PIease fete . 04.95814.
comp "Owner Sunder Y�caboe on fire reverse side of oris foam so that we can confam brat you
are aware of these ZnHM s. Ile building permit will not be issued uaizl the pedfighon is rem
i
0rE.- 2 1 OWILPT-BQT& 7 AfpTrflQ{OP1 LSreq uhrd by Secdor2 19830 ofthe CaWoTaia Heai* =d Safety Code
&-%,TrV'-RV%
NOTES RcSIDENTIAL
i' 040-280-030 �v02-1280
PERMIT NO: HISLOP, MIKE & KATHRYN
9136 GOODSPEED, DURHAM
REPAIR DRY ROT, RELOCATE GAS
LINE & ELECTRIC CIRCUIT
11 SPECIAL CONDITIONS 11
CHECKED
BY
SRA
FLOOD CERTIFICATE REQ.
FIRE SPRINKLERS REQ.
SPECIAL INSPECTION ITEMS
VERIFY
USE PERMIT CONDITIONS
SUB -STANDARD HOUSING LETTER
OFFICE COPY
Address
1 GAS
Meter By �Dat
t ELECTRIC
1 Meter By Date
JOB FINALED (Date
Signature
"
7
.
I
I
4
r
h
f
i
f
11 SPECIAL CONDITIONS 11
CHECKED
BY
SRA
FLOOD CERTIFICATE REQ.
FIRE SPRINKLERS REQ.
SPECIAL INSPECTION ITEMS
VERIFY
USE PERMIT CONDITIONS
SUB -STANDARD HOUSING LETTER
OFFICE COPY
Address
1 GAS
Meter By �Dat
t ELECTRIC
1 Meter By Date
JOB FINALED (Date
Signature
✓ = OK �;,
0 = Not OK
- = Not Applicable MOBILE HOMES
-i Not Ready
Date
MOBILE HOME UTILITIES (Plans) OK except #'s
1.
Zoning Requirements -Setbacks -Easements
2.
Soils; Special MH Support Sketch
i
3.
Sewer; Location -Test -Fall -C/O -Concrete
4.
Water; Location -Test -Easement Needed (Sketch)
5.
Electricity; Location-Clearances-Grnd-/ /Amp -Concrete
6.
Gas; Location -Test -Wrap;-/ /" L'ft.
/ P Nat. or / /"L"ft./ /'LPG
7.
Well Clearance & Discohnect
r
8.
Utility Clearance
9.
Siding; Nailing -Veneer -Stucco -Mesh
bate
10.
Card B-1 Date Card B-1
Date
11.
Card B-1 Date Card B-1
Date
MOBILE HOME INSTALLATION (Plans) OK except #'s
Braced Wall Panels
1.
Zoning Requirements -Setbacks -Easements
2.
Footings; Size -Spacing -Marriage Line
Card B-1 Date Card B-1
3.
Gas; MH Test -Demand -Valve -Connector
Card B-1 Date Card B-1
4.
Electricity; MH Test -Crossovers -Breakers -Clearances
FINAL (Plans) OK except #'s
5.
Drain; MH Test -Fall -Flex Connector
Setbacks -Easements
6.
Water; MH Test -Regulator -Connector
Soils; Compaction -Structure Stability
7.
Water and Sewer Connected -C/O to Grade -HD Approval
Pool Structure; Steel -Connections -Thickness
Dead Men -Lining
8.
Gas and Electricity Tagged
Elec.; Receptacles and Lighting, Distance-GFI
9.
Tie Downs -Type -Installation Cert.
Elec.; Pool Lighting; 15 Volts-GFI
10.
Exits; Insp.-Sketch
Elec.; Enclosures; Conduit Entries -Terminals -Listed
11.
Cert. of Occupancy
Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater
12.
Permanent Foundation Only; License Decal
Date Card B-1 Date Card B-1
Date Card B-1 Date Card B-1
MISCELLANEOUS
Date
DECKS, COVERS, CARPORTS GARAGES (Plans) OK except #'s
1.
Zoning Requirements -Setbacks -Easements
2.
Footings; Soils -Size -Depth -Spacing -Connectors -Steel
i
3.
Decks; Girders and/or Joists -Decking -Bracing -Stairs -Rails
4.
Wood Awn.; Posts- Bea ms- Rftrs.-Connectors
Shthg.-Frg-Bracing
5.
Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures
6.
Carports; Windows -Doors
7.
Electric
t'
8.
Frm9: Sills-Anchors-Studs-Rftrs-Trusses
9.
Siding; Nailing -Veneer -Stucco -Mesh
10.
Roof; Shthg-Roofing
11.
Ext.; Steps -Doors -Landings
12.
Braced Wall Panels
Date
Card B-1 Date Card B-1
t Date
Card B-1 Date Card B-1
Date
FINAL (Plans) OK except #'s
1.
Setbacks -Easements
2.
Soils; Compaction -Structure Stability
3.
Pool Structure; Steel -Connections -Thickness
Dead Men -Lining
4.
Elec.; Receptacles and Lighting, Distance-GFI
5.
Elec.; Pool Lighting; 15 Volts-GFI
6.
Elec.; Enclosures; Conduit Entries -Terminals -Listed
7.
Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater
8.
Elec.; Grounding; Equip. w/5' Circulating Equip. -Pool Lghtg.
Boxes- Enclosures- Panelboards-Ins. to Main in Conduit
9.
Health Department Approval
10.
Plumb.; Cir. Test -Water Supply Test
11.
Light Niche
Date
Card B-1 • Date Card B-1
Date
Card B-1 Date Card B-1
✓ = OK
0 = Not OK
- = Not Applicable
= Not Ready
RESIDENTIAL (%c
Date
FRAMING (Continued)
Underfloor (Plans) OK except #'s
46.
1.
Zoning -Setbacks -Easements -Flood -Slope
47.
2.
Ftg., Main; Soils-Elec. Grnd.-/ /" Fig. Depth
48.
3.
Ftg., Garage; Soils-Steel-Elec. Grnd.-/ /" Ftg. Depth
49.
4.
Ftg., Porches & Decks; Soils -Steel-/ /" Ftg. Depth
50.
5.
Stemwalls, Main; Steel-Blockouts-Wrapped
51.
6.
Stemwalls, Garage; Steel-Blockouts-Wrapped
52.
6a.
Hold Downs and Special Anchors
53.
7.
Slab, Steel -Wrapped
54.
8.
Piers -Fireplace Ftg.-Steel
55.
9.
D.W.V.; Fall -Fitting -Test -2 Way C/O -Sewer Test
56.
10.
UF, Gas Pipe; Size Anchors - Yard Gas Piping; Size Test
57.
11.
Water Pipe; Test -Anchors -Regulator -Service Test
58.
12.
Electric Underground
59.
13.
Plenums & Ducts; Clearance -Material -Support -Ins.
60.
14.
Girders -Sills -Anchor Bolts-Joists-Vents-Crippies
61.
15.
Access & Ventilation
62.
16.
Insulation
Date
Date
Card B-1 Date Card B-1
Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1
Card B-1 Date Card B-1
Date
FINAL (Plans) OK except #'s
PLUMBING (Permit) OK except #'s
63.
17.
Water Htr.; Vent -Access -Combustion Air Baffle
64.
18.
Water Pipe; Test & Anchor -Nail Protection
65.
19.
D.W.V.; Test Fittings & Anchor -Nail Protection
66.
20.
Shower Pan; Test, First Floor -Tub Access
67.
21.
Test Tub & Shower, Second Floor -Tub Access
68.
22.
Gas Pipe; Sixe & Anchors
69.
Stairs & Rails
Date
Fireplace or Stove, Clearance -Hearth
Card B-1 Date Card B-1
Date
Elec. Outlets at Wood Panel, Int. & Ext.
Card B-1 Date Card B-1
Date
Kit. Fixt. & Appliance; Ground -Air Gap -Cooking Clearance
ELECTRICAL (Permit) OK except #'s
73.
23.
Fixture & Transformer Clearance -Ins. Protection
74.
24.
Elec. Receptacles Spacing -Lights & Switches at Doors
75.
25.
Size Boxes & No. of Conductors Stapled
76.
26.
Romex Installed Close to Edge of Studs & C.J.
77.
27.
Equip. Ground made up w/Mech Fasteners -Bond Gas & Water
78.
28.
2 Appliance Circuits in Kitchen & Conductor Size GFI
79.
29.
Subfeed Wire Size / / ga. Cu or M-A.C. Wire Size / / ga Cu or AI
80.
30.
Range Circle / / ga Cu or AI -Oven Circ. / / ga Cu or Al
Insulated Neutral p Yes O No
81.
31.
Service -Riser Conductors & Ground Main Disconnect
32.
Equip. Clearances Panels-Motors-Mech. Equip.
82.
33.
Clothes Closet Light -Shower Light -Spa Light
83.
34.
Smoke Detector
84.
A.C. Unit Disconnect, Electrical -Plumbing
Date
Vents Above Roof, Plbg-Appliance-Fireplace-Clearance to Openings .
Card B-1 Date Card B-1
Date
Water Well, Disconnect, Electrical, Plumbing
Card B-1 Date Card B-1
Date
Exterior Elec. Trim, G.F.I. Receptacle -Underground
MECHANICAL (Permit) OK except #'s
88.
35.
A.C. Ducts Insulation & Support
89.
36.
Vent Fan, Exhaust above insulation
90.
37.
Condensate Drain & Overflow, Size & Grade
91.
38.
Furnace -Vent Access -Comb. Air -Return Air Vent 115 outlet
92.
39.
Attic Access & Platform if Furnace in Attic
93.
Energy Compliance Certificate -Other Certificates
94.
Address Posted
Date
Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1
Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1
FRAMING (Permit) OK except #'s
40.
Sits Proper Materials & Anchors
41.
Walls Studs -Nailing Spacing & Braces -Plates -Sound
42.
Bearing Walls over Girders & Floor Nailing
43.
Draft Stop in Walls (rat proof)
44.
Fire Stops, Furred Ceilings -Stairs -Chasers -Tubs
45.
Headers & Beams -Size & Bearing
jingle & Duplex)
Date
FRAMING (Continued)
46.
Hangers -Post Caps -Anchors -Connectors
47.
Cling. Joist-Rttr. Ties-Purlin-Roll Brac.-Truss-Shting.-Rfng.
48.
Fireplace Ties or Type A Flue -Fireplace Throat Clearance
49.
Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles
50.
Bdrm. Windows or Exiting Doors -Sill Ht. & Dimensions
51.
Garage Fire Protection Framing
52.
Property Line Firewall & Openings
53.
Ext. Doors -One 3' -Check Garage 3rd Story, 2 Exits
54.
Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection
55.
Plywood on Roof Overhang -Attic Vents -Rafter Outriggers
56.
Siding -Nailing Veneer
57.
Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access
58.
Glazing Area -Glass Protection -Skylights -Plastic
59.
Shear Walls; Nailing -Bolts
60.
Brace Interior/Exterior Wall Panels
61.
Insulation -Walls -Ceilings
62.
Infiltration -Walls -Windows
Date
Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1
Date
FINAL (Plans) OK except #'s
63.
Ext. Steps -Door & Sidelight Protection -Landings
64.
Smoke Detector
65.
Furnace Vents -clearance -Comb, Air -Connector -
In Garage; Above Floor-Ducts-Mech. Protection
66.
Bedroom Exiting
67.
G.F.I. & Bath Fixtures & Tub -Spa
68.
-Access
Elec. Trim & Subpanel, Breaker Sizes & Labels
69.
Stairs & Rails
70.
Fireplace or Stove, Clearance -Hearth
71.
Elec. Outlets at Wood Panel, Int. & Ext.
72.
Kit. Fixt. & Appliance; Ground -Air Gap -Cooking Clearance
73.
Elec. Outlets & Receptacles at Kit. Counter
74.
Garage Fire Door; Swing -Landing -Closure
75.
A.C. Duct in Garage -Damper
76.
Wtr. Htr.; Vents -Clearance -Comb. Air Connector-P.R.V.
in Garage; Above Floor-Mech. Protection
77.
Plb., Elec. & Mech. Equip. Listed for Location
78.
Elec. Receptacles in Garage (F.F.I.)-Romer. Protection
79.
Insulation -Foam -Looked in Attic
80.
Guard Rails & Deck Construction -Post Caps
81.
Fdn. VBents & Crawl Hole Door Drainage & Wood -Earth
Clearance Looked under Floor ❑ Yes
82.
Following Instld./Drive ] Yes ❑ No/Walks J Yes :1 No/Planters J Yes D No
83.
Stucco Brown -Finish
84.
A.C. Unit Disconnect, Electrical -Plumbing
85.
Vents Above Roof, Plbg-Appliance-Fireplace-Clearance to Openings .
86.
Water Well, Disconnect, Electrical, Plumbing
87.
Exterior Elec. Trim, G.F.I. Receptacle -Underground
88.
Ventilation Throughout House
89.
Glass Protection
90.
Corrections from Previous Inspections
91.
Gas Test -Meters Tagged, Gas -Electric
92.
Water & Sewer Connected -C/O to Grade -HD Approval
93.
Energy Compliance Certificate -Other Certificates
94.
Address Posted
Date
Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1
Comments at Final:
t..... — s.. _..a.--+� �...
COUNTY OF BUTTE
BUILDING DIVISION
DEPARTMENT OF DEVELOPMENT SERVICES
411 Main Street • Chico, CA-- (530) 891-2751
7 County Center Drive • Oroville, CA • (530) 538-7541
CORRECTION, NOTICE
OWNER PERMIT NO.
A routine inspection indicates that the following violations of butte county Ordinances exist at the
above address and should be corrected. Please notice this office when correction of -work is
completed. If you have any questions pertaining to this matter, or need additional explanation,
• please con ac this office immediately.
,` L
A 1 N H CST i v r S
Y ` ✓1 f17%/1 e c ✓`C� r
/ � r
11A o tt
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r
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Date < gW 03 Inspector
REV 10/92
COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION
7 County Center Drive Oroville, California 95965 • Telephone (530) 538-75��_ f� IT NO.
(Rev. 12/96) APPLICATION AND PERMIT (�
ASSESSOR PARCEL NUMBER _
040-280-030
ZONING
BUILDING PERMIT
OWNER
TELEPHONE
SO. FT. OCC. BUILDING VALUATION
. OWNER'S MAILING ADDRESSEST
SPEED, DURPAN, CA 95938
CONTRACTOR'S NAME TELEPHONE
CONTRACTORS MAILING ADDRESS
CONSTRUCTION LENDER
Fireplace
LENDER'S MAILING ADDRESS
-
Total Valuation is
ARCHITECT OR ENGINEER
LICENSE NO.
Filing Fee $
20.00
Permit Fee $
15-00
ARCHITECT OR ENGINEERS MAIUNG ADDRESS
Plan Checking Fee $
BUILDING ADDRESS
Energy Plan Checking Fee $
$
PERMIT FEE
LAT NO.
SUBDIVISIONS NAME
PARCEL MAP
PLUMBING PERMIT
Fling Fee 20.00
USEOFSTRUCTURE
SFS Duplex ❑ Mobilehome ❑ Other
SPECIFY
Each Trap
7.00
-
Solar or heat um water heater
23.00
Water piping
15.00
Each as water heater or vent
15.00
TYPE OF WORK
New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other XK
Describe Work: REPAIR DRY R(m, REIQCA27— GAS LINEg &
RELOCATE ONE ET.EMIC CTRCHIT
Gas piping system 1 - 5 outlets
15.00
15
Building sewer
15.00
Mobile Home I S I G W
920.00
PERMIT FEE $
ELECTRICAL PERMIT
Fling Fee 20.00
Main Service ZaoA OR LESS
23.00
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter
9 (commencing with Section 7000) of Division 3 of the Business and Professions Code,
and my license is in full force and effect.POWER
License Class Lic. No.
OWNER -BUILDER DECLARATION
hereby affirm under penalty of perjury that I am exempt from the Contractors License
aw for the following reason:
PV 1, as owner of the property, or my employees with wages as their sole compensation,
will do the work, and the structure is not intended or offered for sale.
❑ I, as owner of the property, am exclusively contracting with licensed contractors
to construct the project.
❑ 1 am exempt under Sec. Business and Professions Code for this
reason
Main Service 200A TO 1000A
46.00
NEW CONST. DWELLING OCCUP.
OR ADDNS. 8 ACC. BLAS.
SO
�:
3.5QNEW
CONST
NON -RES D. MULTI.OUTLET
97,50
APPARATUS
8 SINGLE OunET C'R.
EX. Occup. OUTLET OR FIXTURES
BAL.00o p 1.w
OR
Ex. Occup. GF»L�E�°A R=.1Ek
5.00
Tem Temporary Service
23.00
Mobile Home Facilities
20.00
Misc. Wiring
23.00
PERMIT FEE S
WORKERS' COMPENSATION DECLARATION
I hereby affirm under penalty of perjury one of the following declarations:
❑ 1 have and will maintain a certificate of consent to self -insure for workers'
compensation, as provided for by section 3700 of the Labor Code, for the
performance of the work for which this permit is issued.
❑ 1 have and will maintain workers' compensation insurance, as required by Section
3700 of the Labor Code, for the performance of work for which this permit is issued.
My workers' compensation insurance carrier and policy number are:
Carrier
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 certify that in the performance of the work for which this permit is issued, I shall
not employ any person in any manner so as to become subject to workers'
compensation laws of California, and agree that if I should become subject to the
workers' compensation provisions of section 3700 of the Labor Code, I shall
forthwith comply with those provisions.
Xil/ f Date S�i�%�
nature of ApplicanT - ❑ Owner ❑ Contrctor ❑ Agent
An OSHA permit is required for excavations over 60" 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
TOTAL FEE $ 95.00
FEES IMP
I FLOOD
I CDF
PARCEL
I pD
I HD
ISSU
This permit is hereby issued under the applicable provisions
of the Butte County Code and/or Resolutions to do work
indicated above for which fees have been paid.
B4u�"Date
PERMIT EXPIRES ON
ale 11 2
Receipt NUU
o. 353$/,
WHITE 8.5. CANAR�'•A SESSOR -INSPECTOR GOLDENROO•APPLICANT
O`VNER-BUILDER VERIFICATION
Attention Property Owner:
An "owner -builder" building permit has been applied for in your name and bearing your signature.
Please complete and return this information at your earliest opportunity to avoid unnecessary delay
in processing and issuing your building permit. No building permit will be issued until this
verification is received.
I personally plan to provide the major labor and materials for construction of the proposed
property improvement: YESX NO ❑
22. I HAVE HAVE NOT ❑ signed an application for a building permit for the proposed work.
3. I have contracted with the_ following person (firm) to provide the proposed construction:
NAME:
ADDRESS:
PHONE:
CITY:
CONTRACTOR'S LICENSE NO.
4. I plan to provide portions of this work, but I have hired the following person to coordinate,
supervise, and provide the major work:
NA�titE:
ADDRESS: CITY:
PHOrT: CONTRACTOR'S LICENSE NO.
5. I will provide some of the work but I have contracted (hired) the following persons to provide
the work indicated:
NAME ADDRESS PHONE TYPE OF WORK
S GNED:
PROPERTYOWIYER:i���
O
DATE:
NOTE: This Owner -Builder Verification is required. by Section 19831 and 19832 of the
California Health and Safety Code. This verification must be completed std
returned to our office before we are permitted to issue the permit
OVER
OWNER BUILDER INFORMATION
Dear Property Owner:
An application for a building permit has been submitted in your name listing yourself as the builder of property
improvements specified.
For your protection, you should be aware that as "owner -builder" you are the responsible parry of record on such
a permit. Building permits are not required to be signed by property, owners unless they are personally performing their
own work. If your work is being performed by someone other than yourself, you may protect yourself from possible
liability if that person applies for the proper permit in his or her name.
Contractors are required by law to be licensed and bonded by the State of California and to have a business
license from the city or county. They are also required by law to put their license number on all permits for which they
apply.
If you plan to do your own work, with the exception of various trades that you plan to subcontract, you should
be aware of the following information for your benefit and protection:
♦ If you employ or otherwise engage any persons other than your immediate family, and the work (including materials
and other costs) is $300 or more for the entire project, and such persons are not licensed as contractors or
subcontractors. then you may be an employer.
♦ If you are an emplover, you must register with the State and Federal Governments as an employer and you are
subject to several obligations including state and federal income tax withholding, federal social security taxes,
workers compensation insurance, disability insurance costs, and unemployment compensation contributions.
♦ There may be financial risks for you if you do not carry out these obligations, and these risks are especially serious
with respect to worker's compensation insurance.
♦ For more specific information about your obligations under Federal Law, contract the Internal Revenue Service (and,
if you wish, the U.S. Small Business Administration). For more specific information about your obligations under
State Law, contact the Department of Benefit Payments and the Division of Industrial Accidents.
If the structure is intended for sale, property owners who are not licensed contractors are allowed to perform their
work personally or through their own employees, without a licensed contractor or subcontractor, only under limited
conditions.
A frequent practice of unlicensed persons professing to be contractors is to secure an "owner builder" building
permit, erroneously implying that the property owner is providing his or her own labor and material personally. Building
permits are not required to be signed by property owners unless they are performing their own work personally.
Information about licensed contractors may be obtained by contracting the Contractors State License Board in your
community or at 1020 N Street, Sacramento, CA. 95814.
Please complete the "Owner Builder Verification" on the reverse side of this form so that we can confirm that you
are aware of these matters. The building permit will not be issued until the verification is returned.
r rely,
Ntic el C. Vi Ira, C.B.O.
ht ger, Building Inspection
NOTE: rhis Owner -Builder Information is required by Section 198.10 of the California Health mrd Safety Coda
OVER
J
COUNTY OF BUTTE- DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING DIVISI
7 County Center Drive - Oroville, California 95965 - Telephone (916) 538-754 PERMIT NO.
_ r - APPLICATION AND PERMIT _Q
ASSESSOR PARCEL NUMBER ... —0 � o
ZONING
BUILD GPERMIT
OWNER L ACe A— N /4`
'
SQ. FT. OCC. BUILDING VALUATION
OWNERS MAILING ADDRESS C� Idj% . F
z [ 3cP
6nd
CONTRACTOR'S NAME � h
TELEPHONE
CONTRACTORS MAILING ADDRESS
Fireplace
CONSTRUCTION LENDER
UNKNOWN
Total Valuation $
Fling Fee $
20,00
LENDER'S MAILING ADDRESS
Permit Fee $
ARCHITECT OR ENGINEER
LICENSE NO.
Plan Checking Fee $
Energy Plan Checking Fee $
ARCHITECT OR ENGINEERS MAILING ADDRESS
Penalty $
BUILDING ADDRESS /a , L
PERMITFEE $
I
PLUMBING PERMIT
Filing Fee 20.00
Each Trap
7.00
LAT NO.
SUBDIVISION'S NAME
PARCEL MAP
Solar or heat pump water heater
23.00
Water piping
15.00
USEOFSTRUCTURE
SF ❑ Duplex ❑ Mobilehome ❑ Other
SPECIFY
Each gas water heater or vent
15.00
Gas piping system 1 - 5 outlets
15.00
Building sewer
15.00
TYPE OF WORK
New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑
Describe Work: P I T T-6 —Lu-�q
�
1A,PyAL'7'Z % �yj ! 1 f — �/�
Mobile Home IS I GI W1
@20.00
PERMITFEE S
Contractor
ELECTRIC AL PERMIT
Filinq Fee 20:00
Main Service a OR LESS
( 200A OR LESS )
23.00
Main Service ( 200A TO 1000A )
46.00
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter
9 (commencing with Section 7000) of Division 3 of the Business and Professions Code,
and my license is in full force and effect.
License Class Lic. No.
OWNER -BUILDER DECLARATION
I hereby affirm under penalty of perjury that I am exempt from the Contractors License
Law for the following reason:
i I, as owner of the property, or my employees with wages aslheir 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
NEW CONST. DWELLING OCCUR
OR ACDNS. ( & ACC. BLAS. )
SO.
3.50 FT.
NEW CONST. MULTI -OUTLET
NON-RESID. ( BRANCH CIRCUITS )
97.50
POWER APPARATUS
(a SINGLE OUTLET CIR. )
Ex. Occup. ( OUTLET OR FIXTURES)
209 1.00
BAL Q .SO
Ex. Occup. (OUTLETSIXAPPLN o.OR ) 5.00
Temporary Service
23.00
Mobile Home Facilities
20.00
Misc. Wiring
23.00
PERMITFEE. $
Contractor
WORKERS' COMPENSATION DECLARATION
1 hereby affirm under penalty of perjury one of the following declarations:
❑ 1 have and will maintain a certificate of consent to self -insure for workers'
compensation, as provided for by section 3700 of the Labor Code, for the
performance of the work for which this permit is issued.
❑ 1 have and will maintain workers' compensation insurance, as required by Section
3700 of the Labor Code, for the performance of work for which this permit is issued.
My workers' compensation insurance carrier and policy number are:
Carrier
MECHANICAL PERMIT
Filing Fee 20.00
9
Heating
Cooling
Hood
6.50
Ventilation
PERMITFEE $
Contractor
Policy Number
(The above sections need not be completed if the permit is for work of a valuation
of one hundred dollars ($100) or less.)
I certify that in the performance of the work for which this permit is issued, I shall
not employ any person in any manner so as to become subject to workers'
compensation laws of California, and agree that if I should become subject to the
workers' compensation provisions of section 3700 of the Labor Code, I shall
forthwith comply with those provisions.
XJ�_— Date i�o
Signature of Applicant Owner ❑ Contractor ❑ Agent
An OSHA permit is required for excavations over 50" deep and demolition or construction
of structures over 3 stories in height.
Mobile Home Installation Fee Is
Energy Inspection Fee Is
OCC
CONST. TYPE
TOTAL FEE $ 3S�ad
HAZ.
I D. FEES
I IMP
I FLOOD
CDF PARCEL
PD HD
SSUE
This permit is hereby issued under the applicable provisions
of the Butte County Code and/or Resolutions to do work
indicated above for which fees have been paid.
By Date L
PERMITEXPIRESON
(if -to
Receipt No. %GJ [� ✓
WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT
r
RESIDENTIAL
40 28-30 w _
s HISLOP, Mike
' 136 Goodspeed, Durham
,L
s (covered area/sf)
�n
♦F•
V f
l
�y .a
+r
f'
I
f
3
r
F
l
M1 JOB FINALED (Date
r Signature
a. 4
RESIDENTIAL
40 28-30 w _
s HISLOP, Mike
' 136 Goodspeed, Durham
,L
s (covered area/sf)
�n
♦F•
V f
l
�y .a
+r
f'
I
f
3
r
F
l
M1 JOB FINALED (Date
r Signature
4 O
O = Not OK
= Not Readyable MOBILE -HOMES -
Date
MOBILE HOME UTILITIES (Plans) OK except #'s
1. Zoning Requirements -Setbacks -Easements
2. Soils; Special MH Support Sketch
3. Sewer; Location -Test -Fall -C/O Concrete
4. Water; Location -Test -Easement Needed (Sketch)
5. Electricity; Location-Clearences-Grnd-/ /Amp -Concrete
6. Gas; Location -Test -Wrap: / /" L -ft.
/ /"Nat. or/ /"L"ft./ /"LPG
7. Well Clearance & Disconnect
8. Utility Clearance -
Date
Card 6-1 Date Card B-1
Date
Card B-1 Date Card B-1
Date
MOBILE HOME INSTALLATION (Plans) OK except #'s
1. Zoning Requirements -Setbacks Easements
2. Footings; Size -Spacing -Marriage Line
3. Gas; MH Test -Demand -Valve -Connector
4. Electricity; MH Test -Crossovers -Breakers -Clearances
5. Drain; MH Test -Fall -Flex Connector
6. Water; MH Test -Regulator -Connector
7. Water and Sewer Connected -C/O to Grade -HD Approval
8. Gas and Electricity Tagged
9. Exits; Insp.-Sketch
10. Cert. of Occupancy
Date
Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1
MISCELLANEOUS
Date
a oning Requirements -Setbacks -Easements
Ze0footings; Soils -Size -Depth -Spacing -Connectors -Steel P ��t2
3. Decks; Griders and/or Joists -Decking -Bracing -Stairs -Rails
4. Wood Awn.; Posts- Bea ms- Rftrs.-Connectors
Shthg.-Rfg.-Bracing
5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures
6. Carports; Windows -Doors
7. Electric Zy
8. Frmg; SiIs-Anchors-Studs-Rftrs-Trusses
9. Siding; Nailing -Veneer -Stucco -Mesh
10. Roof; Shthg-Roofing
11. Ext.; Steps -Doors -Landings
Date Jk,§k'gj Card B-1 GCS Date Card B-1
Date'.Z �J_%j Card B-1 IgV4rfLc Date Card B-1
Date POOLS (Plans) OK except #'s
1. Setbacks -Easements
2. Soils; Compaction -Structure Stability
3. Pool Structure; Steel -Connections -Thickness
Dead Men -Lining
4. Elec.; Receptacles and Lighting, Distances-GFI
5. Elec.; Pool Lighting; 15 volts-GFI
6. Elec.;Enclosures; Conduit Entries -Terminals -Listed
7. Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater
8. Elec.; Grounding; Equip. w/5' Circulating Equip. -Pool Lghtg.
_ Boxes -Enclosures -Panel boards -Ins. to Main in Conduit
9. Health Department Approval
10. Plumb.; Cir. Test -Water Supply Test
Date Card B-1 Date Card B-1
Date Card B-1 Date Card B-1
9/- 4/C, ro 1'04, i- lalaekc
P*- rte.
J=OK
O=Not OK
= Not Applicable
Not Ready RESIDENTIAL (;
=
Date UNDER': BOOP Gans) OK -except #'s
�. j .. Zonir,Setbacks-Easements-Flo_ od-Slope
Q,,rig., Main: Soils-Elec. Grnd.-/ /" Ftg. Depth
3. Ftg., Garage; Soils-Steel-Elec. Grnd.-/ /" Ftg. Depth
4. Ftg., Porches & Decks; Soils -Steel-/ /Ftg. Depth
5. Stemwalls, Main; Steel-Blockouts-Wrapped
6. Stemw-fls, Garage; Steel-Blockouts-Wrapped
6a: H.JdDowns and Special Anchors
Vc Slab; Steel -Wrapped
8. Piers -Fireplace Ftg.-Steel
9. D.W.V.; fall -Fitting -Test -2 Way C/O -Sewer Test
10. UF. Gas Pipe; Size -Anchors - yard gas piping: size -test
11. Water Pipe; Test -Anchor -Regulator -Service Test
12. Electric; Underground
13. Pienums & DuctsClearance- Mate ria l -Support -Ins.
14. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples
15. Access & Ventilation
16. Insulation
Date Card B-1 Date Card B-1
Date Card B-1 Date Card B-1
Date PLUMBING (Permit),OK except #'s
-16. Water Htr.: Vent -Access -Combustion Air -Baffle
---------------- ----------------------------
17. Water Pipe: Test & Anchor -Nail Protection
18. D.W.V.; Test -Fittings & Anchor -Nail Protection
19. Shower Pan; Test. First Floor -Tub Access -
------------- - ------------------------
20. Test Tub & Shower, Second Floor -Tub Access
21. Gas Pipe: Size & Anchors
----------------------------------------------------------------- -
Date Card B-1 Date Card B-1
Date T Card B-1 Date Card B-1
Date ELECTRICAL (Permit) OK except #'s
22. Fixture & Transformer Clearance -Ins. Protection
--------------- - --
- 23. Elec. Receptacles -Spacing-Lights & Switches at -Doors
24. Size Boxes & No. of Conductors-Stapled
--------------------------------------------------------------
25.
- - ------ ----
25. Romex Installed Close to Edge of Studs & C.J.
--------------
Equip. Ground made up w/Mech. Fastners-Bond Gas & Water
----------------------------------------------------- - ---------------------------
27. 2 Appliance Circuts in Kitchen & Conductor Size/GFI
------------------------------------------------ -------------
28. Subfeed Wire Size / ga. Cu or AI-A.C. Wire Size ! ! ga.
Cu or At
----------------------------------- - ---------------- - ----------------------------
29. Range Circ / / ga. Cu or AI -Oven Circ. / / ga. Cu or Al.
Insulated Neutral 0 Yes O No
- ------------------------------------------------
30. Service -Riser Conductors & Ground -Main Disconnect
---------------------------------------------------------------------------------
31 Equip. -Clearances Panels-Motors-Mech. Equip.
32. Clothes Closet Light -Shower Light -Spa Light
33. Smoke Detector
----------------------------------------------------------------------- ---
Date Card B-1 Date Card B-1
--------------------------- --------------------------------------------------------
Date Card B-1 Date Card B-1
Date MECHANICAL (Permit) OK except #'s
34. -,A. -C.- Ducts Insulation & Support
------------ ----------------------------------------------------------------
35. Vent Fan: Exhaust above insulation
--------- ----- - ----------- - --- ------------------------ ----------
36. Condensate Drain & Overflow: Size & Grade
--------- ---------- - --------- - --- -- ......
37. Furnance-Vent: Access -Comb. Air -Return Air Vent -115 outlet
------------------------------------------------------------
38. Attic Access & Platform if Furnance in Attic
------------------------------- ----------------- ----------------
Date Card B-1 Date Card B-1
- ---------------------------------------------------------------------------------
Date Card B-1 Date Card B-1
Date FRAMING (Plans) OK except #'s
39. Sils. Proper Material & Anchors
- -- - - ----------------------------------------------------
40. Walls Studs -Nailing. Spacing & Bracing -Plates -Sound
----------------------------------------- -----------------------------------------
41. Bearing Walls over Girders & Floor Nailing
-- -------- •-----------------------------------------------------------------
42. Draft Stop in Walls (rat proof)
-.-- --------------------------------------------------------
43. Fire Stops: Furred Ceilings -Stairs -Chases -Tub
------------------------------
44.
-----------------------------44. Headers & Beam -Size & Bearing
'ingle & Duplex)
Date FRAMING (Continued)
45. Hangers -Post Caps -Anchors -Connectors
46. Cing. Joist-Rftr. ties-Purlin-roof Brac-Truss-Shthng.-Ring.
47. Fireplace Ties or Type A Flue -Fireplace Throat clearance
48. Attic Access: Size & Romex Protection -Draft Stop -Ins. Baffles
49. Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions
50. Garage Fire Protection Framing
-51. Property Line Firewall & Openings
52. Ext. Doors -One 3' -Check Garage -3rd Story, 2 Exits
53. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection
54. plywood on Roof Overhang -Attic Vents -Rafter Outriggers
---------------- ----
55. Siding -Nailing Veneer
56. Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access
-------------
57. Glazing Area -Glass Protection -Skylights -Plastic
58. Shear Walls: Nailing -Bolts
59. Insulation -Walls -Ceilings
60. Infiltration -Walls -Windows
--------=------------------ -
Date ------ ----Card B-1 Date Card B-1
Date Card B-1 Date Card B-1
Date FINAL (Plans) OK except #'s
61. Ext. Steps -Door & Sidelight Protection -Landings
62. Smoke Detector
-------------------- --
63, Furnace: Vents -Clearance -Comb. Air -Connector -
In Garage: Above Floor -Ducts -Meth. Protection
----------------------
64. Bedroom Exiting
65 G F.I & Bath Fixtures & Tub Access -Spa
-------------------------------
66. Elec. Trim & Subpanel: Breaker Sizes & Labels
------------ -------------
67. Stairs & Rails
-------------------- ----------------- -
68. Fireplace or Stove: Clearances -Hearth
69. Elec. Outlets at Wood Panel: Int. & Ext.
70. Kit Fixt_
--------------& Appliance: Grnd.-Air Gap -Cooking Clearance
-- -
71.- Elec.-Outlets & Receptacles at Kit. Counter
------------------------ -----
72. Garage Fire Door; Swing -Landing -Closer
------------- 73.-A.C. Duct in Garage -Damper
----------------------------- -
74. Wtr. Htr.: Vents -Clearance -Comb. Air-Connector-P.R.V.
In Garage: Above Floor-Mech. Protection
--------------------------------------
75. Plb.. Elec. & Mech. Equip. Listed for Location
------------------------
76. Elec. Receptacles in Garage: (G.F.I.)-Romex Protection
- -------------------------------------
7;. Insulation -Foam -Looked in Attic O Yes
-------------
78.-Guard-Rails & Deck Construction -Post Caps
79 Fdn Vents & Crawl Hole Door -Drainage & Wood -Earth
Clearance Looked under Floor ❑ Yes
80. Following instld.: Drive 0 Yes ❑ No: Walks ❑ Yes 0 No;
Planters -El Yes 0 No
------------------------------------- ---
81. Stucco: Brown -Finish
---------- -------------------------- --
82. A.C. Unit: Disconnect. Electrical, Plumbing
- - - -- - --------------------------- --- ----
83. Vents Above Roof: Plb9- A Pp fiance-Firep lace. -Clearance to
Openings
84. Water Well; Disconnect, Electrical, Plumbing
--------------- ----------------------------- -
85. Exterior Elec. Trim: G.F.I. Receptacle -Underground
86. Ventilation Throughout House
-- - - - ---------------------
-------------------------
87. Glass Protection
------ ------------------------------------------
88. Corrections from Previous Inspections
. - ... - --------------------------------------
89. Gas -Test -Meters -Tagged: Gas -Electric
90. Water & Sewer Connected -C/O to Grade -HD Approval -------------------
91. Energy Compliance Certificate -Other Certificates
-- ------------------- -- ------------- - --- -
Date Card B-1 Date Card B-1
------------------------------------------------- ---------
Date Card B-1 Date Card B-1
Date Card B-1 Date Card B-1
Comments at Final:
- COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DI $ION
7 County Center Drive - Oroville, CaliforNit 95965 - Telephone (916) 538- 41 PERMIT No.
APPLICATION AND PERMIT
ASSESSOR PARCEL NUMBER
040-280-030
ZONING
SRI
BUILDING PERMIT
OWNER
T
TELEPHONE
345-8569
SQ, FT. OCC. BUILDING VALUATION
OWNER'S MAILING ADDRESS
EST. 500
CONTRACTOR'S NAME
OWNFR
TELEPHONE
CONTRACTOR'S MAILING ADDRESS
Fireplace
CONSTRUCTION LENDER
UNKNOWN
Total Valuation $
LENDER'S MAILING ADDRESS
Filing Fee $ 20,00
Permit Fee $ 15.00
ARCHITECT OR ENGINEER
LICENSE NO.
Plan Checking Fee $
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Energy Plan Checking Fee $
Penalty $
BUILDING ADDRESS L
9136 GOODSPELD DURHAM
PERMIT FEE $
35.00
PLUMBING PERMIT Filing Fee 20.00
Each Trap 7.00
Solar or heat pump water heater 23.00
LOT NO.
SUBDIVISION'S NAME
PARCEL MAP
Water piping 15.00
Each gas water heater or vent 15.00
USE OF STRUCTURE
SF CX Duplex ❑ Mobilehome ❑ Other
SPECIFY
Gas piping system 1 - 5 outlets 15.00
Building sewer 15.00
Mobile Home S G W @20.00
TYPE OF WORK
New EIAddition ElRemodel ElUtilities ❑ Installation ❑ OtherX❑
Describe Work:_ PERMIT TO COMPLETE WORK STARTED UNDER
PERMIT FEE $
Contractor
ELECTRICAL PERMIT Filing Fee 20.00
PFRMTT#A1-1104
Main Service8001 OR LESS
( 200AORLESS 1 23.00
Main Service ( 200A TO 1000A ) 46.00
NEW CONST. DWELLING OCC Ug0
P.
OR ADONS. ( & ACC. BLDS. ) 3.50 FT.-
CONTRACTORS LICENSE LAW
I declare under penalty of perjury (check one)
❑ I am a licensed under provisions of Chapter 9, Division 3 of the Business and
Professions Code and my license is in full force and effect.
License No. Classification
I, as the owner, or my employees with wages as their sole compensation, will do
the work, and the structure is not intended or offered for sale. (Sec 7044)
❑ I, as the owner, am exclusively contracting with licensed contractors. (Sec 7044)
❑ I am exempt under Sec. Business and Professions Code
forthis reason
NEW CONST. MULTI -OUTLET
-NON-RESID. ( BRANCH CIRCUITS ) @7.50
( POW ER APPARATUS )
& SINGLE OUTLET CIR.
@ 1.50
Ex. Occup. ( OUTLET OR FIXTURES ) BAL.
Ex. Occup.FIXED APPWS. Ofl
( OUTLETS IRESID.1 EA. 1 5.00
Temporary Service 23.00
Mobile Home Facilities 20.00
Misc. Wiring
23.00
WORKER'S COMPENSATION INSURANCE
1 declare under penalty of perjury (check one):
❑ This permit is for $100.00 (valuation) or less.
❑ I have placed on file with the County of Butte Dept. of Development Services,
Building Division a Certificate of Workmen's Compensation Insurance or a
Certificate of Consent to Self -insure.
I shall not employ any person in any manner so as to become subject to the Worker's
Compensation laws of California.
Notice to Applicant: If after making this statement, should you become subject to the
Worker's Compensation provisions of the Labor Code, you must forthwith comply with
such provisions or this permit will be revoked.
PERMIT FEE $
Contractor
MECHANICAL PERMIT Filing Fee 20.00
Heating
Cooling
Hood 6.50
Ventilation
PERMIT FEE $
Contractor
I certify that I have read this application and state that the above information is correct.
1 agree to comply to all Butte County Ordinances and California State Laws relating to
building construction, and hereby authorize representatives of the County of Butte to
enter upon the above mentioned property for inspection purposes.
1 also agree to save, indemnify and keep harmless the County of Butte against all
liabilities, judgments, costs, and expenses which may in any way accrue against said
County in consequence of the granting of this permit.
X ^ Date �� iB -�
Signature of Applicant Owner ❑ Cont ctor ❑ Agent
An OSHA permit is required for excavations over 5"0" deep and demolition or
construction ofstructures over 3 stories in height.
Mobile Home Installation Fee $
Energy Inspection Fee $
OCC
CONST. TYPE
TOTAL FEE $ 35.00
HAZ.
I D. FEES
I IMP
I FLOOD
I CDF
PARCEL PD
HD
ISSUE
This permit is hereby issued under the applicable provisions
of the Butte County Code and/or Resolutions to do work
indicated above for which fees have been paid.
,�/ ^
By V /`O✓ /7j-
PERMIT EXPIR N 4P'90" H15 -
(Dare)
Receipt No. _/70 9 /6,
WHITE-O.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT
COUNTY OF BUTTE
Department of DeXgLgpment Services
Building Division
Oroville: 7 County Center Dr., Oroville CA 95965 Ph: 916-538-7541
Chico: 1469 Humboldt Rd., Chico CA 95928 Ph: 916-891-2751
OWNER -BUILDER VERIFICATION
Attention Property Owner:
An "owner -builder" building permit has been applied for in your name and bearing your signature.
Please complete and return this information at your earliest opportunity to avoid unnecessary delay in processing and
issuing your building permit. No building permit will be issued until this verification is received.
1. I personally plan to provide the major labor and materials for construction of the proposed property improvement
(yes or no) Y<-7-
2. I (have/have not) k o, v e, signed an application for a building permit for the proposed work.
3. I have contracted with the following person (firm) to provide the proposed construction:
Name
Address City
Phone Contractor's License No.
4. I plan to provide portions of this work, but I have hired the following person to coordinate, supervise, and
provide the major work:
Name
Address City
Phone Contractor's License No.
5. I will provide some of the work but I have contracted (hired) the following persons to provide the work indicated:
Name IAddress Phone Type of Work
Signed:. `
Property Owner
Social Security Number
Date 111,Z1 /9
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 permitted to issue the
permit.
JCOUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION
7 County Center Drive - Oroville, CQornia 95965 - Telephone (916) 538-7541 �PERMIT NO.
APPLIdATION -AND PERMIT
1_�
ASSESSOR PARCEL NUMBER
040-280-030
ZONING
SR -1
BUILDING PERMIT
OWNER
Mike Hislop
TELEPHONE
345-8569.
SO. FT. OCC. BUILDING VALILIATI N
OWNER'S MAILING ADDRESS
136 Goodspeed Durham
CONTRACTOR'S NAME TELEPHONE
Owner
CONTRACTOR'S MAILING ADDRESS
Fireplace
CONSTRUCTION LENDER
UNKNOWN
Total Valuation is
LENDER'S MAILING ADDRESS
Filing Fee
$ 20,00
Permit Fee @ 1 F e
$ 52.25
ARCHITECT OR ENGINEER
LICENSE NO.
Plan Checking Fee
$
Energy Plan Checking Fee
$
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Penalty
$
BUILDING ADDRESS
PERMIT FEE
$ 72.25
9136 Goodspeed St. Durham
PLUMBING PERMIT
Filing Fee 20.00
Each Trap
1 7.00
Solar or heat pump water heater
23.00
Water piping
15,00
LOT NO.SUBDIVISION'S
NAME
PARCEL MAP
Each gas water heater or vent
15.00
USE OF STRUCTURE
SF O Duplex O Mobilehome O Other Covered Area
SPECIFY
Gas piping system 1 5 outlets
15.00
Building sewer
15.00
Mobile Home S G W
@20.00
TYPE OF WORK
New O Addition O Remodel ❑ Utilities ❑ Installation O Other
Describe Work: 2nd Renewal of B.P. #3104-91
PERMIT FEE
$
Contractor
ELECTRICAL PERMIT
Filing Fee 20.00
(14t Renewal was TI -P- X92-3776
Main Service s00voRLESs
( 200A0RLESS )
23.00
Main Service ( 200A To IOOOA )
46.00
_
NEW CONST. DWELLING OCCUP.
OR ADDNS. ( a ACC. BLOS. )
SO,
3.5C FT.
CONTRACTORS LICENSE LAW
I declare under pen Ity perjury (check one)
❑ I am a licensed underro er 9, Division 3 of the Business
p on ness an
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 compensation, will do
the work, and the structure is not intended or offered for sale. (Sec 7044)
❑ I, as the owner, am exclusively contracting with licensed contractors. (Sec 7044)
O I am exerr under Sec. Business and Professions Code
forthis retloge
NEW CONST. MULTI -OUTLET
•NON-RESID. ( BRANCH CIRCUITS )
@7.50
( POWERAPPARATUS )
B SINGLE OUTLET CIR.
Ex. Occup. ( OUTLET OR FIXTURES )
20 @ 1.00
BAL. .50
Ex. Occup. FIXED APPLNS. OR
(OUTLETS IRESID.1 EA. )
5.00
Temporary Service
23.00
Mobile Home Facilities
20.00
Misc. Wiring
23.00
WORKER'S COMPENSATION INSURANCE
1 declare under4ehalty of perjury (check one):
O This permit is for $100.0 va ua i8R1-r'wTs.
0 1 have placed on file with the County of Butte Dept. of Development Services,
Building Division a Certificate of Workmen's Compensation Insurance or a
YaCertificate of Consent to Self -insure.
I shall not employ any person in any manner so as to become subject to the Worker's
Compensation laws of California.
Notice to Applicant: If after making this statement, should you become subject to the
Worker's Compensation provisions of the Labor Code, you must forthwith comply with
such provisions or this permit will be revoked.
PERMIT FEE
S
Contractor
MECHANICAL PERMIT
Filing Fee 20.00
Heating
Cooling
Hood
6.50
Ventilation
PERMIT FEE
$
Contractor
I certify that I have read this application and state that the above information is correct.
I agree to comply to all Butte County Ordinances and California State Laws relating to
building construction, and hereby authorize representatives of the County of Butte to
enter upon the above mentioned property for inspection purposes.
1 also agree to save, indemnify and keep harmless the County of Butte against all
liabilities, judgments, costs, and expenses which may in any way accrue against said
County in consequence of the granting of this permit. e
X Date �����v ���
Signature of Applicant - Owner O Contractor ❑ Agent
An OSHA permit is required for excavations over 0 deep and demolition or
construction of structures over 3 stories in height.
Mobile Home Installation Fee $
Energy Inspection Fee $
ocC
CONST. TYPE
TOTAL FEE $ 72.25
"AZ.
I D. FEES
I IMP
F100D
CDF
PARCEL
I PD
Ho
ISSUE
This permit is hereby issued under the applicable provisions
of the Butte County Code and/or Resolutions to do work
indicated above for which fees have been paid.
`DIRECTOR OF PUBLIC WORKS
BY �W Date
PERMIT EXPIRES ON 1 /23/94
(Date)
�O
Receipt
WHITE•D.D..-.D.S.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT
y/ COUNTYOF BUTTE - DEPARTMENT FV, ELOPM ENT SERVICES -BUILDING DIVISION
. T.
7 COUNTY CENTER DRIVE - OROVILL�,CALIFORNIA95965 -TELEPHONE (916) 538-7541
PERMITAPPLICATION DATA SHEET Af
f 4 ,...
OWNER //r'!/ /L kaH_�10_ y y A. P. No.
Proposed Building Use L,k /0,/' Building Inspector 'N- Date/6 Z - S-.
At time of pe it 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 required. .. o spud 9 og r6dj�- (Date)
21. Contractor's license information. (No., Name Style, Classification) . ..............
22. Certificate of Workmans Compensation Insurance . ..........................
23. Owner -Builder Verification (Given to owner , Mail to owner _) ............
24. Recorded copy of Agricultural Acknowledgement Statement . ..................
25. Letter of signature authorization . ........................................
26. Copy of recorded deed of parcel creation and 60 right of way to a public road. ..... "
27. Letter of intent on building use . .........................................
28. Mobilehome utility clearance . ..........................................
29. Documentation of legal access . .....................
30. Documentation of 50% subdivision developed or (A) Road improvements completed
and (B) Parcel meets zoning area and frontage requirements . ...............
31. Existing violations/expired permits . ......................................
32. Plan check list . .....................................................
33.
.34.
When you issue the permit, process as follows: ail to owner. Mail to contractor.
Telephone and hold for pickup at office. Deliver with inspector.
Other
Parcel Creation
Acreage Applicant Date
Copy of Haz-Matform 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 _ 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
i
v
COUNTY OF BUTTE ecD p rtment of Public Works
7 County Center Drive, Oroville, CA 95965 Phone: 916-538-7541
OWNER -BUILDER VERIFICATION
Attention Property Owner:
An 'owner -builder" building permit has been applied for in your name and bearing
your signature.
r
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) e g-
2.
2. I (have/have not) A a V e signed an application for a building.permit
for the proposed work. '
3. I have contracted with the following person (firm) to provide the proposed
construction:
Name /(/o,
Address City
Phone Contractors' License No.
4. I plan to provide portions of this work, but I have hired the following person
to coordinate, supervise, and provide the major work:
Name /►�v h C
Address City
Phone Contractors License No.
5. I will provide some of the work but I have contracted (hired) the following
persons to provide the work indicated:
Name Address Phone Type of Work
/✓o •7 •e
Signed:
Property Owner 51w
Social Security Number
Date
NOTE: This Owner -Builder Verification is sent to you as required by Sections 19831 and
19832 of the California Health and Safety Code.
This verification must be completed and returned to our office before we are per-
mitted to issue the permit.
COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS
7 County Center Drive - Oroville, California 95965 - Telephone: 916/538-7541
APPLICATION AND PERMIT
PERMIT NO. r
ASSESSOR PARCEL NUMBER
040-280-030
ZONING
RSR -1
BUILDING PERMIT
OWNER
P
TELEPHONE
345-8569
SQ. FT. OCC. BUILDING VALUATION
OWNER'S MAILING ADDRESS
9136 SPEED DURHAM 95938
1ST RENEWAL
CONTRACTOR'S NAME
QWNFR
TELEPHONE
CONTRACTOR'S MAILING ADDRESS
Fireplace
CONSTRUCTION LENDER
VNKNOWN
Total Valuation $
LENDER'S MAILING ADDRESS
ARCHITECT OR ENGINEER LICENSE NO.
Filing Fee $ 155.00
Permit Fee $ 52.25
Plan Checking Fee $
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Energy Plan Checking Fee $
Penalty $
BUILDING ADDRESS
DURHAM
Permit fee $ 7.
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 COVERED AREA
SPECIFY
Gas piping system 1 - 5 outlets 5.00
Building sewer 15.00
Mobile Home I S I. G JW I @ 15.00
TYPE OF WORK
New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation❑ Other ❑
Describe work: 1ST RENEWAL OF B.P. #3104-91
Permit Fee $
Contractor
ELECTRICAL PERMIT Filing Fee 15.00
Main service LES
200A OR LESS 18.50
CONTRACTORS LICENSE LAW
I declare under penalty of perjury (check one):
El 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)
ElI, as the owner, am exclusively contracting with licensed contract -
ors. (Sec. 7044)
❑ I am exempt under Sec. , Business and Professions Code
for this reason
Main service 200A TO 1000A) 37.50
NEW CONST. DWELLING oCCUPM 3.64sq.ft.
OR ADDNS. ACC, BLOGS.
NEW CONSTR. U TI.OUTLET
NO N•RESID BRANCH CIRC ITS @ 5.00
(POWER APPARATUS k)
SINGLE OUTLET CIR.
20 76
Ex. OCCUp(OUTLETS OR FIXTURES dAL. 4F
FIXED APPLNS. OR
EX. OCCUp. OUTLETS IRESI D.) 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.
10 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 ��—►
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 S
Energy Inspection Fee $
OCC
CONST TYPE
TOTAL FEE $ 67.25
HAz
1 DFEES I
IMP
I FLOOD
I CDF
I PARCEL
I PD
HD
IssUE
This permit is hereby issued under the applicable provi-
sions of the Butte C unty Code and/or resolutions to do
Work ' icat a e for hi fees have been paid.
0 OF UBLIC WORKS
By Date
PERMIT EXPIR Date - --r%'�
Receipt No. 126192
WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT
COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS
7 County Center Drive - Orovllle, California 95885 - Telephone: 918.'538-7541
APPLICATION AND PERMIT
PERMIT NO.
A35932A PAACKL NUMSCA
040-280-030
ZQNII44_
K F SR -1
BUILDING PERMIT
O WN CPR
Mike Hislop
L[PHONE
345-8569
SO. FT. OCC. BUILDING VALUATION
OWNER'S MAILING A00RE33 895-4875
9136 Goodspeed, Durham 95938
1ST Renewal
CONTRACTOR•3 NAME
Owner
TELEPHONE
I
CONTRACTOR'S MAILING AOORESS
Fireplace
CONSTRUCTION LENDER
UNKNOWN
Total Valuation $
Filing Fee
5 15.00
LENOER•3 MAILING ADDRESS -
Permit Fee T—Fee
$52.25. i
ARCHITECT OR ENGINEER -
LICENSE NO.
Plan Checking Fee
$
Energy Plan Checking Fee
$
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Penalty
S
SUILOING AOORESS . _
Permit fee
$67.25
PLUMBING PERMIT
Filing Fee 15.00
9136 Goodspeed, Durham
Each Trap
Solar or heat pump water heater
5.001
20.00
_
LOT NO. SUBOIVISION NAME PARCEL MAP
Water piping
7.00 ,
Each aas water heater or vent
7.00
USE OF STRUCTURE
SF ❑ Duplex❑ Mobilehome❑ Other Covered Area
SPECIFY
Gas piping system 1 - 5 outlets
5.00
Building sewer
15.001
Mobile Home S I G W
@ 15.00
TYPE OF WORK
New ❑ Addition CJ Remodel [] Utilities ❑ Installation❑ Other ®
• Describe work: 1st Renewal of B.P. #3104-91
Permit Fee
$
Contractor
ELECTRICAL PERMIT
Filing Fee 15.00 ;
ONTRACTORS LICENSE LAW
I declare under pens t of perjury (check one):
❑ 1 am licensed under provisions of Ca0t. 9. Div. 3 of the Business
and Professions Code and my license is in full force and effect.
License No. Classification
9 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 his reason
—
WORKMEN'S COMPENSATION INSURANCE
declare un r enaity of perjury (check ones-
❑. The permit is for $100.00'('75 uat or less.
r— 1 have placed on file with the County of Butte Building Department
u 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 subjectHood6.50
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.
Main service 200A OR LESS
18.50
Main* service 200A To IOOOA,
37.501
NEW CONST. OWELLING OCCUP.b\
OR ADONS. ACC. EILOGS. I
36osafti
NEW CONSTR. 'CULT i.OUTLcT
V ON.R ESID 9RANCH t:1RC 'ITS
1@ 5.001
POWER APPARATUS a
(SINGLE OUTLET CIR. )
Ex. OCCUO(OUTLET S OR FIXTURES
p,027754
F'XE7 APP LNS. OR
Ex. Occup. OUTLETS IRESIO.) EA.)
1 3.001
Temporary service
1 15.00
Mobile Home Facilities
15.00
Misc. Wiring
g
15.00
Permit Fee
$
Contractor
MECHANICAL PERMIT
FiIingFee 15.00
Heating
1
Cooling
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.
l 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 inconsequence of thanting of this permit.
Mobile Home Installation Fee S
Energy Inspection Fee $
OCC CONST TYPE
TOTAL FEE $67.25
i nAZ 0FEES IMP I FLOOD COi I PARCEL
i 1
PO MO ISSUE
C.— ��� ' Date /a/.? X19 -e
nature of Applicant OwnerX ContractorI C Agent G
An OSHA permit is required otexcaWrlo� 961 6'a" 05510-VVIV 03MISI.Mon or construct.
;on of structures over 3 stories in he,ght.
Receipt No.
«-, tC•O. P. W., t'CL LOw•�ee[3laMl, oI
This permit is hereby issued under the applicable provi-
sions of the Butte County Code and/or resolutions to do
work indicted above for which fees have been paid.
DIRECTOR OF PUBLIC WORKS
By _ Date
PERMIT EXPIRES Gate 74-73
1� COUNTY OF BUTTE - Deoartmenc of Public Works
7 County Cencer.Drive, Oroville, CA 95965 Phone: 916-5-18-7541
.1
OWNER -BUILDER VERIFICATION
Attention Property Owner:
An "owner -builder" building permit has been applied for in your name and bearing
your signature.'
Please complete and return this information at your earliest opportunity to avoid
unnecessary delay in processing and issuing your building permit. No building permit
will be issued until this verification is received.
1. I.,personally plan to provide the major labor and materials for construction of
the proposed property improvement (yes or no)
2. I (have/have not) ct signed an application for a building permit
for the proposed work.
3. I have contracted with the following person (firm) to provide the proposed
construction:
Name A/c e
Address City
Phone Contractors License No.
4. I plan to provide portions of this work, but I have hired the following person
to coordinate, supervise, and provide the major work:
Name
Address City
Phone Contractors License No.
5. I will provide some of the work but I have contracted (hired) the following
persons to provide the work indicated:
Name Address Phone Type of Work
Signed:
Property Owners
Social Security NumberDate
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.
a
F COUNTY OF BUTTE - DEPARTMENT OF PUI5LIC WORKS PERMIT I0.
7 County Center Drive - Orovllle, Callfornla 06965--T®lephone: 916/538-7541
APPLICATION -AND PERMIT
.. NUMOMR
40-28-30
_TW"
ZONING
SR. I
BUILDING PERMI
19 111
MIKE345-8569
QP
TZLEPHZITT-1SO.
FT. OCC. BUILDING VALUATION
ri,nm
OWN '• M N DDR DE
136 GOODSPEED c"3�5-9$"1S
CON N
OWNERE
TELEPHONE
CONTRACTOR'S MAILING ADDRESS
Fireplace
CONSTRUCTION LENDER
UNKNOWN
Total Valuation Is
Filing Fee
$ 10.00
LENDER'S MAILING ADDRESS
Permit Fee
$104.90
ARCHITECT OR ENGINEER
LICENSE NO.
Plan Checking Fee
,b'
59-95
Energy Plan Checking Fee
$
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Penalty
$
BUILDING ADDRESS
9136 GOODSPEED DURHAM
Permit fee
$ 166-99
PLUMBING PERMIT
Filing Fee 10.00
Each Trap
2.00
Solar or heat pump water heater
20.00
LOT NO.
SUBDIVISION NAME
PARCEL MAP
Water piping,
5.00
Each qas water heater or vent
5.00
USE OF STRUCTURE
SF ® Duplex❑ Mobilehome❑ Other
SPECIFY
Gas piping system 1 - 5 outlets
5.00
Building sewer
5.00
Mobile Home S G W
O,OOea
TYPE OF WORK
New ❑ Addition g Remodel ❑ Utilities ❑ Installation❑ Other ❑
Describe work: COVERED AREA
Permit Fee
$
Contractor
ELECTRICAL PERMIT
Filing Fee 10.00
Main service 100 OR LESS
100 OROR LESS
10.00
Main service EA. ADD'L 100 AMP
2.50
CONTRACTORS LICENSE LAW
I declare under penalty of perjury—(check one):
❑ I am licensed under provisions of Chapt. 9, Div. 3 of the Business
and Professions Code and my license is in full force and effect.
License No. Classification.
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.&
OR ADDNS. ACC. SLOGS.
, /ztsgft
NEW CONSTFL U TI -OUTLET
—NON R ESID BRANCH CIRC ITS
2.50 ea
IPOWER APPARATUS IN
1-INGLE OUTLET CIR.
Ex. OCcup(OUTLETS OR FIXTURES
200
9ALO330
FIXED APPLNS. OR
Ex. OCCUp. OUTLETS (RESID.) EA.�
1 2.00
Temporary service
10.00
Mobile Home Facilities
15.00
Misc. Wiring
g
15.00
Permit Fee
$
WORKMEN'S COMPENSATION INSURANCE
I declare under penalty of perjury (check one):
❑ The permit is for $100.00 (valuation) or less.
Zvi I have placed on file with the County of Butte Building Department
�l 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 10.00
Heating
Cooling
g
Hood
3.00
Ventilation
permit Fee
$
Contractor
I certify that I have read this application and state that the above information
is correct. I agree to comply to all County Ordinances and State Laws relating
to building construction, and hereby authorize representatives of the County of
Butte to enter upon the above-mentioned property for inspection purposes.
I also agree to save, indemnify and keep harmless the County of Butte against
all liabilities, judgments, costs, and expenses which may in any way accrue
against said County in consequenceof the granting of this permit.
X��� �N �� Date
Signature of Applicant — Owner contractor Q Agent Elwork
An OSHA permit is required For excavations over 5'0" deep and demolition or construct -DI
ion of, structures over 3 stories in height.
Mobile Home Installation Fee $
Energy Inspection Fee $
occ
CONST TYPE
TOTAL FEE $ 1 6.25
E
HAz.
_
CUAPARK
_
FLo
P
i HD•
ISSUE
This permit is hereby issued unaer the
sions of the Butte County. Code and/or
indicated abov91for which fees
C R OF UB IC
By
PERMIT EXPIRES to �"
applicable provi-
resolutions to do
have been paid.
WORKS
Zate
Receipt No. A7199
WNITC-D.P.W., YELLOW-A3e(390R, PINK-IN9PCCTOR, GOLDENROD -APPLICANT
0
COUNTY OF BUTTE - DEPARTMEN'T4.OF Pr BUNORKS - BUILDING DIVISION
7 COUNTY CENTER DRIVE - OROVII-4E,4i:IFORNIA 95965 - TELEPHONE: 916/538-7541
0")
PERMIT APPLICAtION DATA SHEET
Permit No.�a
OWNER ��K �� A. P o. ~ z 3�
Proposed Building Use CDV1 &?K�/Building,lnspecto Date 3 ��
At time of permit application, I was advised the following data must be submitted prior to permit processing and/or issuance:
DATE RECEIVED APPROVED
All items have been sub —�
2. Plot plans in duplicate ' at igned 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' Sch of District fees paid ..............
14. Sanitation approval from moi%/ C D 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, Classifications ...
22. Certificate of Workmans Compensation Insurance ..................
23. Owner -Builder Verification (Given to owner ❑, Mail to owner 0). .. ..
24. Recorded copy of Agricultural Acknowledgment Statement .........
25. Letter of signature authorization ...................................
26.
27.
When y u issue the ermi , rocess s follows: Mail to�iweer. Mail to contractor.
When
nd hold for pickup at GTS /office. Deliver w/inspector.
Other
A p p I i c a n t s i��i�/V/' /�U 9�
.Date
Copy of Haz-Mat for �n s�77Healt�hh Dept. Fire Dept. Air Pollution Date
Copy of plans sent// �er�I�r eO.4 -A .4�ept. Other Date By
The following data-ffw&t-b&_&ubxajjjed prior to permit issuance: (Circle ne ed above).
1. Index permit for above items No.
2. Additional items required: `
e
Contractor, designer, owner, was advised of above required data by_phone--jnaiI—counter by .date
Contractor, designer, owner, was advised of above required data by—phone —ma iI—counter by date
Plans checked by f"r1i Date 4/4 .191 Plans approved by 61A) Date v
Setsrof plans on hold in File cabinet AP folder
Copy—DPW
COUNTY OF BUTTE - Department of Public Works
7 County Center Drive, Oroville, CA 95965 Phone: 916-538-7541
OWNER -BUILDER VERIFICATION
Attention Property Owner:
An•"owner-builder" building permit has been applied for in your name and bearing
your signature.
Please complete and return this information at your earliest opportunity to avoid
unnecessary delay in processing and issuing your building permit. No building permit
will be issued until this verification is received.
AI personally plan to provide the major labor and materials for construction of
the proposed property improvement (yes or no)
/ 2. I (have/have not) A a vS= signed an application for a building permit
for the proposed work.
3. I have contracted with the following person (firm) to provide the proposed
construction:
Name
Address City
Phone Contractors License No.
4. ,I plan -to provide portions of this work, but I have hired the following person
to coordinate, supervise, and provide the major work:
Name
Address City
Phone Contractors License No.
5. -I will provide some of the work but I have contracted (hired) the following
persons to.provide the"work indicated:
Name Address . Phone Type of Work
/Signed: ,e�
Property Owner L .
Social Security Number _: -
Date S%l--v/tel/
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.
COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT NO.
7 County Center Drive - Oroville, California 95965 - Telephone: 916/538-7541
APPLICATION AND PERMIT
ASSES30 PARCEL NUMBER
— 2-5' -' 3 a
ZONING
BUILDING PERMIT
OWNER
TELEP ONE.
�l� IE_
SQ. FT. OCC. BUILDING VALUATION
O/ :• OLING ADO 0 D S
(/R'4��(/E�_
CONTRACT,O
TELEPHONE
I
CONTRACTOR'S/MAILING ADDRESS
Fireplace
CONSTRUCTION LENDER
UNKNOWN
Total Valuation 5
Filing Fee
10.00
LENDER'S MAILING ADDRESS
Permit Fee
$
ARCHITECT OR ENGINEER
LICENSE NO.
Plan Checking Fee
$ 4 ra
•J
Energy Plan Checking Fee
$
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Penalty
$
BUILDI 7 A DJ SS -
�j SD
Permit fee
$ a
PERMIT
Filing Fee 10.00
Ile—PLUMBING
Each Trap
2.00
Solar or heat pump water heater
20.00
LOT NO.
SUBDIVISION NAME PARCEL MAP
Water piping
5.00
Each qas water heater or vent
5.00
USE OF STRUCTURE
SFXDuplex❑ Mobilehome❑ Other
SPECIFY
Gas piping system 1 - 5 outlets
5.00
Building sewer
5.00
Mobile Home S G W
O.00ea
TYPE OF WORK
New ❑. Addition lel Remodel ❑ Utilities ❑ Installation❑ Other ❑
Describe work: _/ (�fO Ile C-"--
7�%%2 ��
�
Permit Fee
$
Contractor
ELECTRICAL PERMIT
Filing Fee 10.00
Main service 600V OR LESS
100 AMP OR LESS
10.00
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.
❑ t, as the owner, or my employees with wages as their sole compen-
sation, will do the work,and the structure is not intended or offered
for sale. (Sec. 7044)
❑ I, as the owner, am exclusively contracting with licensed contract-
ors. (Sec. 7044)
❑ 1 am exempt under Sec. Business and Professions Code
for this reason
Main service EA. ADO -L. 100 AMP
2.50
NEW CONST.( DWELLING OCCUP.N
OR ADDNS. \ACC. BLDGS.
, hlCsgft I
NEW CONSTR ULTI.OUTLET
NON.RESID BRANCH CIRC ITS
2.50 ea I
(POWER APPARATUS &)
\ SINGLE OUTLET CIR.
I I I
Ex. OCCUp� OUTLETS OR FIXTURES
209!0t I
SAL33CC
FrIXEEX. Occup. OUTLETS PRESIO 1APLNS.REA.�
Temporary service
2.00
10.00 i
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
Filing Fee 10.00
Heating
Cooling
g
Hood
3.00
Ventilation
pem►It 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 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
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 FEES
HA z CUA I PARK CHI I =�o coF BAR Po �o•,.ss =_
I I
This permit is hereby issued unser
sions or the Butte County Code and/or
work indicated above for which fees
DIRECTOR OF PUBLIC
By
PERMIT EXPIRES Date
the applicable prove -
resolutions to do
have been paid.
WORKS
Date
i
Receipt No. %v�
�
NNITE-O.P.W.. TELL IOW- ASeEOSOR, PINI! -INSPECTOR, 'GOLDENROD -APPLICANT j
C�%
TO.. Buildina'Department
FROM: Environmental Health
SUBJECT: Sanitation Clearance
Owner Location AP#
Plan Approved for: Sewage Disposal Water Supply
Hold final for: Water Supply
Final clearance O.R. for: Water Supply
Clearance for _ bedroom mobile home. Other. J
NOTE ***
Sani rian Date
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— o��2g3xcG�x�►�.1� — 2��0 �
-P7
X1 09+
IN'
UCM
02
Aug 91 10:59 am
NICHOLS,
MELBURG, & ROSSETTO AIA
EDWARD'S RESIDENCE
BEAM A (MASTER BEDROOM)
***
MEMBER CONNECTIVITY DATA ***
Member
Lower•Greater
Section
Material Lower Greater Attribute
Length
Number
Joint
Joint
Number
Number End Type End Type Type
(ft)
1
1
2
1
1 1 1 1
4.6232
2
2
3
1
1 1 1 1
8.7321
3
3
4
1
1 1 1 1
8.7321
4
4
5
1
1 1 1 1
3.5948
Notes:
1. Member End
Types:
1=fixed
(rigid connection) 0=pinned (pinned
connection).
2. Attribute
Type 0
indicates
that the member has been deleted.
P -FRAME Input Data Str No. 01
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