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040-280-055
A . P . 40-28-!-- 0-28-`7"BUD" "BUD"FULTZ 1308 Goodspeed Street, Durham ,. I Permit 2439-72B /'"-(detachedgarage) e 40-28-55 - Permit #63-79B'-E,M(conv.garageto rumpusXoom &,ut'lit ropm/SF)/ - 40-28-55 'Yvenne Fultz i 9098J� odspeed Avenue, Durham Permit # 2120-82P(solar w/h system) Servamatic Solar Ch'ico " - �'' 40-28-55 exi -.89B(conv patio & rerobf 40-28-55 Permit#2904-89B,(shop/cgarage Sat )q X 040-280-055 O.-1678 FULTZ, FRANCIS & HELEN "9098 GOODSPEED ST, -DURHAM ` Cont: NINE BROTHERS VINYL i i R VINYL SIDING � � i _. � - i � BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT 24 HOUR INSPECTION M (530) 538-7636 (OROVILLE) (530) 891-2834 (CHICO) OFFICE M (530) 538-7541 FAM (530)538-2140 WEBSITE: www.buttecounty.netldds 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 the Business and Professions Code, and my license is in full force and effect. / License �L Class. 1 License Number: Date: c- Z ""Contractor: i7 1r7 r 8 go T H F lZ OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the 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 signed statement that'he or she is licensed pursuant to.thep. !dvisions ofi 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' she is exempt therefrom and the basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars ($500).): ❑ I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not .,,,intended or offered .for,§ale; (Sec;,,Z044,-Business, aod,l?rotessions . 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, provided that such improvements, are not intended or offered for sale. If however, the building or improvements are sold within one year of completion, the owner -builder will have the burden of proving that he -or she -did not build°or improve for the purpose of sale.). ❑-..1;•-•as,,owner ,of..the,:.property.am.exclusiveiy:contracting..with. licensed confractois to,corfstiuct 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.). ❑ 1 am Exempt under Article 3 of the Business and Professions'Code Date: Owner: WORKERS' COMPENSATION DECLARATION I hereby affirm under penalty of perjury one of the following declarations: ❑ I have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. _ ❑ I 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 insurance carrievand policynumberare: Carrier: % x 1 r / F C/ H� Policy #:A L j l D ^ �7 ❑ I certify that in the performance of the work for whichthispermit is issued, I shall not employ any person in any manner so as to become subject to the workers` compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. Date: Applicant: 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 I hereby affirm that there is a construction lending agency for the performance of the work for which this permit is issued (Sec 3097 Civ.) Address: PERMIT NO. BPO51678 Issued Date: 06/27/2005 APN: 040-280-055-000 Site Address: 9098 GOODSPEED ST DUR Map Index: Description: VINYL SIDING (2000) Owner: FULTZ FRANCIS A & HELEN Y.T,RU.ST, ....... ,... FULTZ FRANCIS A & HELEN Y TR - 9098 GOODSPEED STREET - DURHAM,. CA.95938 Applicant: NINE BROTHERS VINYCSIDING 30 ARDEA PLACE SACRAMENTO,CA 95835 916-743-3165 Contractor: NINE BROTHERS VINYL SIDING 30 ARDEA PLACE SACRAMENTO,CA 95835 916-743-3165 License #: 847142 Architect: Engineer: Total Square Ft: 0 S. F. Valuation: $0.00 Census Code: This permit isyiereby issued under the applicable Resolutions t do work indicated above for which e. - By: ON: visions of the Butte County Code anwor is have been paid. Date: ❑ 1 hereby certify that the use of this facility shall comply with Sections 25505, 25533, and 25534 of the California Health and Safety Code, which regulate the storage, handling and use of hazardous materials. ❑ 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 r this app' that the r ation is correct, and that I am the owner or the duly authorized agent of the owner. I agree to comply with all county and state laws r ati to b g strut ' n. n edge it is unlawful to alter the substance of any official form or document of Butte County. I hereby authorize representativ of He o nter o e mentioned property for inspection purposes. �t Print Name: Signature:—Te /re r r �1 1 a M 1 h 214SHC HOK. , Date:—rt--)/,- Contractor ate: .- Owner Contractor ❑ Agent for Owner 0 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 #: (530) 538-7541 A FEE WILL BE REQUIRED AT TIME OFAPPLICA TION Website: www.buttecounty.net/dds **PLEASE PRINT CLEARLY** OWNER Last Name U / (>� First Name yL v Address 9 � 9 City State G Zip 3 PPhone 5 3 O g' _ j t Fax _ E-mail .-- CONTRACTOR Nameh.�hi= d� �INFdZ 1%I►'�` S� Address 30 e 11 P JA ` / City Sot c 2'4 m C,1 t' , State � ZipPhone9 5 Phone gt6 7,1-2 5z52 Fax 116 l9-�2 E-mail Lic. # 7—fz Class p_ APPLICANT NAME ARCHITECT/ENGINEER Name City scx C _ Address ZipPhone9 5 City Fax gt,6 � ( 9 - 12 0 State Zip Phone Type Const. Fax E-mail Map Book State License Number APPLICANT NAME Name T Te n I" a %')') l V\ Z 4SHC fz' or_ Address 3 0 F A h 114 G_ City scx C _ State �.I4 ZipPhone9 5 5 75 2 -,5'1S Fax gt,6 � ( 9 - 12 0 E-mair E -mai For office use onl AP# oo 40 . O nSS" Zoning City \ A lJ/7 Flood Zone WORKER'S COMPENSATION SRA Yes No Occ. Name Type Const. Subdivision Name Map Book Page Lot # Planner Date Approved: OVER FOR SUBMITTAL REQUIREMENTS K:\FORMS\BUILDING FORMS\BldgApplSubRgmts.doc rJ PERMIT NO. '05 it, BIN # LOCATION AP# oo 40 . O nSS" Property Address o g Goy s e � City \ A lJ/7 Cross of h w, WORKER'S COMPENSATION Policy Number Carrier 0( , [ F CJ If hiring anyone other than license contractors, a certificate of worker's compensation must be shown at the time of permit issuance. LENDING AGENCY Name Address Page 1 of 2 Description or Scope of Work: r Sq. Footage ❑ Structure Built with ut 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 by: I Amount: RA Receipt #: 43 1 -;o,04_ Date: e, :-- .:-- Other � 5 a '2(0— Total REV 2-24-05 ,/t7 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 faxes! ❑ 4. Energy compliance design and supporting documentation in duplicate. ❑ 5. Statement of Intent for Non -heated and A/C for Non -Residential Buildings. ❑ 6. Manufactured homes: (A) 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). 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, ❑ 12. Sanitation and site plan approval from the Environmental Health Department. If you have questions or would like additional information regarding this process, please contact a Permit Assistant at (530)538.7541. 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 request 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 KAFORMS\BUILDING F0RMS\B1dgApp1SubRgmts.doc Page 2 of 2 REV 2-24-05 PERMIT NO. 2904-89B PERMIT EXPIRES OWNER F. A. FULTZ CONTR. owner ASSESSOR PARCEL 40-28-55 LOCATION 9098 Goodspeed, Durham t t '25-1 U LO e K 00 T cam. cj o - Lo cK6wf - Temp. Power Pole Called PG&E Temp. Elec. Se Called PG! Temp. Gas Ser Called PG! JOB FINALED Signature " = OK 0 = 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-Clearances-Grnd.-/ / Amp -Concrete 6. Gas; Location -Test -Wrap: / PV ft. / /"Nat. or/ PV ft./ /"LPG 7. Utility Clearance Card -131 Date Card -B1 Date Card -131 Date Card -B1 Date Date MOBILEHOME 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 Card -131 Date Card -B1 Date Card -131 Date Card -131 Date Date MISCELLANEOUS OK exceat #'s ,i!ZonjAg Requirements -Setbacks -Easements !� .,fXbtings; Soils -Size -Depth -Spacing -Connectors -Steel r3 -Decks; Girders and/or Joists-Decking-Bracing-Stairs-Rails ---4-Wood Awn.; Posts-Beams-Rftrs.-Connec.- Shthg.-Rfg.-Bracing -5-Alam. Awn.; Columns -Connections -Splice -Decal -Enclosures -"arports; Windows -Doors 7. rmg; Sills-Anchors-Studs-Rftrs-Trusses ung; Nailing -Veneer -Stucco_ -_Mesh R f; Shthg-Roofing UKExt.; Steps -Doors -Landings Card -B1 GIG Date i 0-tq.010Card-B ate //-A? ^ C7 Card -131 a(„ Dateta.PS.AtCard-B1 Date 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 Card -131 Date Card -131 Date Card -131 Date Card -131 Date = UK 0 = Not - =Not Applicable RESIDENTIAL (Single and Duplex) = Not Ready Date UNDERFLOOR (Plans) OK except #'s Date FRAMING (Continued) 1. Zoning -Setbacks; -Easements -Flood -Slope 45. Hangers -Post Caps -Anchors -Connectors 2. Ftg., Main; Soils-Steel-Elec. Grnd.-/ /" Ftg. Depth 46. Cing. Joist-Rftr. Ties-Purlin-Roof Brac.-Truss-Shthng.-Rfng. 3. Ftg., Garage; Soils -Steel-/ P' Ftg. Depth 47. Fireplace Ties or Type A Flue -Fireplace Throat Clearance 4. Ftg., Porches & Decks; Soils -Steel-/ /"Ftg. Depth 48. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 5. Stemwalls, Main; Steel-Blockouts-Wrapped 49. Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions 6. Stemwalls, Garage; Steel-Blockouts-Wrapped 50. Garage Fire Protection Framing 7. Slab; Steel -Wrapped 51. Property Line Firewall & Openings 8. Piers -Fireplace Ftg.-Steel 52. Ext. Doors -One 3' -Check Garage -3rd story, 2 exits 9. D.W.V.; Fall -Fittings -Test -2 way C/0 -Sewer Test 53. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 10. Gas Pipe; Size -Anchors 54. Plywood on Roof Overhang -Attic Vents -Rafter Outriggers 11. Water Pipe; Test -Anchors -Regulator -Service Test 55. Siding -Nailing Veneer 12. Electric; Underground 56. Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access 13. Plenums & Ducts; Clearance- Mated al -Su pprt-Ins. 57. Glazing Area -Glass Protection -Skylights -Plastic 14. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples 58. Shear Walls; Nailing -Bolts 15. Insulation 59. Insulation-Walls-Clg. 60. Infiltration-Walls-Wndws Card -B1 Date Card -131 Date Card -81 Date Card -81 Date Date PLUMBING (Permit) OK except #'s 16. Water Ht. Vent -Access -Combustion Air -Baffle 17. Water Pipe; Test & Anchors -Nail Protection 18. D.W.V.; Test-Fttngs & Anchors -Nail Protection 19. Shower Pan; Test, First Floor -Tub Access 20. Test Tub & Shower, 2nd Floor -Tub Access 21. Gas Pipe; Size & Anchors Card -131 Date Card -131 Date Card -131 Date Card -131 Date 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. Romex Installed Close to Edge of Studs & C.J. 26. Equip. Ground made up w/Mech. Fasteners -Bond Gas & Water 27. 2 Appliance Circuts in Kitchen & Conductor Size/G.F.I. 28. Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / /ga. Cu or Al 29. Range Circ. / / ga. Cu or AI -Oven Circ. / / ga. Cu or Al. Insulated Neutral Yes No 30. Service -Riser Conductors & Ground -Main Disconnect 31. Equip. Clearances Panels-Motors-Mech. Equip. 32. Clothes Closet Liaht-Shower Liaht-SDa Liaht Card -131 Date Card -B1 Date Card -B1 Date Card -131 Date 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. Furnace -Vent; Access -Comb. Air -Return Air Vent -115 outlet 38. Attic Access & Platform if Furnace in Attic Card -61 Date Card -B1 Date Card -131 Date Card -61 Date Date FRAMING (Plans) OK except #'s 39. Sills, 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. Header & Beam -Size & Bearing Card -131 Date Card -131 Date Card -131 Date Card -131 Date 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-Mech. 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 Protec. 77. Insulation -Foam -Looked in Attic ❑ 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 ❑ Yes ❑ No; Walks ❑ Yes ❑ No; Planters ❑ Yes ❑ No 81. Stucco; Brown -Finish 82. A.C. Unit; Disconnect, Electrical, Plumbing 83. Vents Above Roof; Plbg.-Appliance-Firepl.-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 Inpections 89. Gas Test -Meters Tagged; Gas -Electric 90. Water & Sewer Connected -C/O to Grade -HD Approval 91. Energy Compliance Certificate -Other Certificates 92. Roofing Certificate Card -B1 Date Card -131 Date Card -B1 Date Card -131 Date Card -131 Date Card -81 Date Comments at Final: (NOTE: An entry must be made each time you visit iob site) 1 COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - OrpviJle, California 95965 - Telephone: 916/538-7541 APPLICATION..ANO. PERMIT ASSESS P A Rilpt, NU BE r BUILDING PERMIT OW �r S0. FT. OCC. BUILDING VALUATION O NE 'S AILING ORES n `IS'9 ,6T A OR'S NAME TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CO S RUCTION LENDER UNKNOWN Total Valuation $ LENDER'S MAILING ADDRESS Filing Fee $ 10.00 Permit Fee $ ARQI-91p TECT OR ENGINEER LICENSE NO. Plan Checking Fee ARCHITECT OR ENGINEER'S MAILING ADDRESS Energy Plan Checking Fee $ Penalty $ ^ BUILDING ADDRE7 $r9�0 98— (jar Permit fee $ 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❑ OtherCqeera 41C!: SFIEC FY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home I S I G 1W 1 —110-00 e TYPE OF WORK New ❑ Additionp< Remodel Utilitie Installation❑ Other ❑ Describe work: raa P Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 100 AMP ORLESS10.00 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): ❑I am licensed under P provisions of Cha t. 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) 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 EA. ADD'L 100 AMP 2.50 oR ADDNST ACCLBLDGOCCU 'h0sgft NEW CONSTR.ULTI.OUTLET NON-RESID BRANCH CIRC ITS 2.50 ea (POWER APPARATUS R) (SINGLE OUTLET CIR. Ex. OCCU OUTLETS OR FIXTURES P 20050t ALO 30 Ex. Dccu FIXED APPLNS. OR P. OUTLETS IRESID.I EA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 Permit Fee Contractor $ WORKMEN'S COMPENSATION INSURANCE 1 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. 1 shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. MECHANICAL PERMIT Filing Fee 10.00 Heating Cooling Hood g 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 liab' ' I dgme costs, enses which may in any way accrue agai �e�lty nsequen o the ranting of this permit. X // aaa��� ?� �� �� Date _ d' Signature of A plicant – 0ner Contractor ❑ Agent ❑ OSHA permit is required for excavations over S'0" deep and demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST TYPE TOTAL FEE $ HAz CUA — PARK -- SCHL -- FL PAR PD H Issu This permit is hereby issued under sions of the Butte County. Code and/or work indicated above for which fees EAn D OR F PUBLIC BY PER IT EXPIRES Date the applicable provi- resolutions to do / have beeApaid,.,-o WORKS Date v Receipt No.tSM; WHITE-D.P.W., YELLOW -ASSESSOR. PINK -INSPECTOR, GOLDENROD -APPLICANT Y OWNER IJ COUNTY OF BUTTE - DEPARTMENT,.OF PUBLIC WORKS - BUILDING DIVISION 7,,,.COLINTY CENTER DRIVE - 04't0�/ICLE, CALIFORNIA 95965 -TELEPHONE: 916/538-7541 k , PERMIT APPL•ICA r IOW--DATA'SHEET� •-- Permit No. !J ��? r.• A'. P. No. wl, ••• -• Building I i a � � • • •- • iii -r �. iRN At time of permit application, I was advised the following data must be submitted prior to permit processing and/or issuance: DATE RECEIVED APPROVED 1. All items have been submitted......:.. ?" .......................... 2. Plot plans in duplicate/triplicate, 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 .................................................... 3.o� 14. olDistrict fees paid .............. ,, Sanitation approval from r C_ Health Department "- .� OK loe 15. City of Chico plumbing permit ..................................... 16. Plot plan and business license approval from City of (see QIty for other requirements) • 17. 4r. p ` 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) f`^ 20. Pre -Inspection for required ... Pre -Ins ec. request to 21. Building Inspector Contractor's license information (No., Name Style, Classifications ...9 (oat)` ,> , 22. Certificate of Workmans Compensation Insurance .................. 23. Owner -Builder Verification (Given to owner ❑, Mail to owner ❑) ..... h 24. Recorded copy of Agricultural Acknowledgment Statement ......... 25. Letter of signature authorization ................................... 27. When you issue the permit, process as follows: Mail to owner. Mail to contractor. Telephone and hold for pickup at office. Deliver w/inspector. Other Applicant Date Copy of plans sent Health Dept., Fire Dept.,-. Other Date The following data must be submitted prior to permit issuan e; (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_mall_counter by date �t ' Plans checked by Date Plans approved bylZI Date Sets of plans on hold in . File cabinet AP folder Copy—DPW �t �. om- TO Building Department FROM: Environmental Health SUBJECT: Sanitation Clearance A- 9 Owner Location. Plan Approved for: Sewaqe Disposal Hold final for: Final clearance O.K. for: Clearance for _ bedroom mobile home. Other Water Supply Water Supply Water Supply M Diate Sanitarial� COUNTY OF BUTTE—Department of Public Works 7 County Center Drivel,, 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. 1. I personally plan to provide the major labor and materials for construction of the proposed property improvement (yes or no) i,,�. 2. 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 City Phone Contractors License No. 4. ,I plan to provide portions of this work, but I have hired the following person to coordinate, supervise, and provide the major work: Name Address City Phone Contractors License No. 5. I will provide some of the work but I have contracted (hired) the following persons to provide the work indicated: Name Address . Phone Type of Work Signed: Property Owner Social Securit umber 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. t 3 , 1 1526-89B PERMIT NO. PERMIT EXPIRES F. A. FULTZ OWNER owner CONTR. 40-28-55 ASSESSOR PARCEL LOCATION 9098 Goodspeed, Durham Temp. Power Pole Called PG&E_ Temp. Elec. Service Called PG&E Temp. Gas Service Called PG&E ` JOB FINALED (Date) Signature /J r .t . Temp. Power Pole Called PG&E_ Temp. Elec. Service Called PG&E Temp. Gas Service Called PG&E ` JOB FINALED (Date) Signature /J - _,OK 0 = Not OK uq = Not Readyable MOBILE HOMES MISCELLANEOUS Date MOBILE HOME UTILITIES (Plans) OK except #'s Date DE ,COVERS, CARPORTS,GARAGES, (Plans)OK except #'s 1. Zoning Requirements -Setbacks -Easements ning Requirements -Setbacks -Easements 2. Soils; Special MH Support -Sketch . Footings; Soils -Size -Depth -Spacing -Connectors -Steel 3. Sewer; Location -Test -Fall -C/O -Concrete 3. Decks; Girders and/or Joists -Decking -Bracing -Stairs -Rails 4. Water; Location -Test -Easement Needed (Sketch) 4. Wood Awn.; Posts- Beam s-Rftrs.-Connec.- Shthg.-Rfg.-Bracing 5. Electricity; Location-Clearances-Grnd.-/ / Amp -Concrete 6. Gas; Location -Test -Wrap: / P'l-It. / /"Nat. or/ /"L"ft./ /"LPG 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Carports; Windows -Doors 7. Utility Clearance 7. Elec. Frmg; Sills-Anchors-Studs-Rftrs-Trusses 9. Siding; Nailing -Veneer -Stucco -Mesh Card -B1 Date Card -B1 Date V, Roof; Shthg-Roofing Card -B1 Date Card -B1 Date 14 -Ext.; Steps -Doors -Landings Date MOBILEHOME INSTALLATION (Plans) OK except #'s I 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 I 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 Card -B1 Date Card -B1 Date Card -B1 Date Card -B1 Date Card -B1 Date Card -B1 Date Card -B1 ms's- Date _Z q(pard-B1 Date 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.;Ground ing; 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 Card -B1 Date Card -B1 Date I Card -B1 Date Card -B1 Date = UK • _ 0 = NotOK RESIDENTIAL (Single and Duplex) `y - =Not Applicable � = Not Ready Ei 03MAJ 33; ' Date-,7-,-,.UNDERFL'OOR:(Plans)'IQK except #'s Date FRAMING (Continued) Zoning-Setbacks;;Easements-Flood-Slope 45. Hangers -Post Caps -Anchors -Connectors Ftg.-Main; Soils-Steel-Elec. Grnd.-/ /': Ftg. Depth 46. Cing. Joist-Rftr. Ties -Purl in -Roof Brac.-Truss-Shthng.-Rfng. " Zilr��,_,;,,_.. 1-.Ftg. Garage; Soils -Steel-/ /" Ftg. Depth 47. Fireplace Ties or Type A Flue -Fireplace Throat Clearance -' "-- --'- 4:aF,tg ,-Porches & Decks; Soils -Steel-/ /"Ftg. Depth 48. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 5. Stemwalls, Main; Steel-Blockouts-Wrapped 49. Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions _ 2.giueo13n3-Is33C6.,Stemwalls, Garage; Steel- Blockouts-Wrapped 50. Garage Fire Protection Framing 7. Slab; Steel -Wrapped 51. Property Line Firewall & Openings i 8. Piers -Fireplace Ftg.-Steel 52. Ext. Doors -One 3' -Check Garage -3rd story, 2 exits 9. D.W.V.; Fall -Fittings -Test -2 way C/0 -Sewer Test 53. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 10. Gas Pipe; Size -Anchors 54. Plywood on Roof Overhang -Attic Vents -Rafter Outriggers 11. Water Pipe; Test -Anchors -Regulator -Service Test 55. Siding -Nailing Veneer 12. Electric; Underground 56. Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access 13. Plenums & Ducts; Clearance-Material-Supprt-Ins. 57. Glazing Area -Glass Protection -Skylights -Plastic 14. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples 58. Shear Walls; Nailing -Bolts 15. Insulation 59.Insulation-Walls-Clg. 60. Infiltration-Walls-Wndws Card -B1 Date Card -131 Date Card -B1 Date Card -131 Date Date PLUMBING (Permit) OK except #'s 16. Water Ht. Vent -Access -Combustion Air -Baffle 17. Water Pipe; Test & Anchors -Nail Protection 18. D.W.V.; Test-Fttngs & Anchors -Nail Protection 19. Shower Pan; Test, First Floor -Tub Access 20. Test Tub & Shower, 2nd Floor -Tub Access 21. Gas Pipe: Size & Anchors Card -B1 Date Card -131 Date I Card -131 Date Card -B1 Date 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. Romex Installed Close to Edge of Studs & C.J. 26. Equip. Ground made up w/Mech. Fasteners -Bond Gas & Water 27. 2 Appliance Circuts in Kitchen & Conductor Size/G.F.I. 28. Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / /ga. Cu or Al 29. Range Circ. / / ga. Cu or AI -Oven Circ. / / ga. Cu or Al. Insulated Neutral Yes No 30. Service -Riser Conductors & Ground -Main Disconnect 31. Equip. Clearances Panels-Motors-Mech. Equip. 32. Clothes Closet Light -Shower Liqht-Spa Light Card -61 Date Card -81 Date I Card -131 Date Card -131 Date 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. Furnace -Vent; Access -Comb. Air -Return Air Vent -115 outlet 38. Attic Access & Platform if Furnace in Attic Card -81 Date Card -B1 Date Card -131 Date Card -131 Date Date FRAMING (Plans) OK except #'s 39. Sills, 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. Header & Beam -Size & Bearing Card -131 Date Card -131 Date Card -81 Date Card -131 Date 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 -Mach. 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 Protec. 77. Insulation -Foam -Looked in Attic ❑ 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 ❑ Yes ❑ No; Walks ❑ Yes ❑ No Planters ❑ Yes ❑ No 81. Stucco; Brown -Finish 82. A.C. Unit; Disconnect, Electrical, Plumbing 83. Vents Above Roof; Plbg.-Appliance-Firepl.-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 Inpections 89. Gas Test -Meters Tagged; Gas -Electric 90. Water & Sewer Connected -C/0 to Grade -HD Approval 91. Energy Compliance Certificate -Other Certificates 92. Roofing Certificate Card -B1 Date Card -131 Date Card -B1 Date Card -131 Date Card -131 Date Card -61 Date Comments at Final: (NOTE: An entry must be made each time you visit job site) ,j;*- COUNTY OF BUTTE - IiEFiiTMF_NT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 - Telephone: 916/538-7541 APPLICATION AND PERMIT PERMIT NO. j597� ASSESSOR PA .E-L.NYBER �� 1//G ZONING BUILDING PERMIT OWNER � nJ - r rUL_T_7 jC.i y / SQ. FT. OCC. BUILDING VALUAT N D.39 *1111R7/ `.��DJ!-��/ V ®vr CONTRACTOR:S NAM TELEPHONE .t `{ CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation is LENDER'S MAILING ADDRESS Filing Fee $ 10.00 Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee q 5&1.Jp $ 2.2 Z Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS Permit fee PLUMBING PERMIT Filing Fee 10.00 �(Z 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 S AUCTURRF SF ❑ Duplex❑ Mobilehome[—s Other /'i ft I �i�Tr a SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home I S I G 1W 0.00ea TYPE OF WORK Newg�' Addition Remodel❑ Utilities [:J Instal lation❑ Other❑ Describe work: vJ 1— 0 A Z IU , SfYC-i4 /f�4 Oofqp Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 00V OR Main service 100 AMP ORSLESS 10.00 Main service EA. AOD'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. icense No. Classification as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ ossa (Sete owner, am exclusively contracting with licensed contract- ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONST. DWELLING OCCUP.EI OR ADONS. ACC. SLOGS. , /2 Osq ft NEW CONSTR MULTI -OUTLET 2,50 eBusinessNON.RESID BRANCH RANC CIRC ITS POWER APPARATUS IN SINGLE OUTLET CIR. Ex. Occu o 0050a p UTLETS OR FIXTURES e2ALm 30 FIXED APLNS. Ex. Occup. OUTLETS P(RESID )REA.1 2.00 Temporary service 10.00 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 Roc,onsent 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 FiIirig 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. 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 again u onseqpence of the granting of this permit. 1 � X Date Signature of pplicant - caner ❑ Contractor ❑ Agent ❑ An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 storie in height. Mobile Home Installation Fee $ Energy Inspection Fee $ TOTAL PERMIT FEE $ oCCUP. CONST.TYPC JSCN00LJ:LOOD �--� ARCELJ,1PD ID Is u This permit is hereby issued under work sions MpDat BY PER T EXPIR S Date the applicable provi- /or resolutions to do ees have been paid. C WORKS J (o� . J r Receipt No. WNIYL-D. P. W., YlLLO W -Ale [, eO R, PINK-INe LCTOR, GOLDENROD -APPLICANT _,a 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. 1. I personally plan to provide the major labor and aerials for construction of the proposed property improvement (yes or no) AE :L- 2. 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 City Phone Contractors License No. 4. I plan to provide portions of this work, but I have hired the following person to coordinate, supervise, and provide the major work: Name Address City Phone Contractors License No. 5. I will provide .some of the work but I have contracted (hired) the following persons to provide the work indicated Name Address Phone Type of Work Signed: Property Owner Social Security umber � 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 - BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE: 916/538-7541 PERMIT APPLICATION DATA SHEET Permit No�, OWNER ��t�` A. P. No. 4/0 – 7 S� — � 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: DATE RECEIVED APPROVED All items have been submitted . .................................... 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. Energy Design Compliance and supporting documentation ......... 6. Statement of Intent for Non -Heated and AC Buildings .............. 7. Engineered truss details and layout in duplicate (required prior to plan check) 8. Mobilehome installation data including manufacturer's installation instructions....................................................... 9. Fees of $ .......................... 10. Chico Urban Area fees paid ........................................ 11. Park fees paid ..................................................... 12. School District fees paid ................. 13. Sanitation approval from Health Department ... 14. City of Chico plumbing permit ...................................... 15. Plot plan and business license approval from City of (see City for other requirements) 16. Planning approval for (A) Use: (B) Parking: 17. Improvements may be required. 18. Driveway permit (construction approval required prior to occupancy) ... 19. Pre -Inspection for required ..... Pre-Insrequest to • Buildingg Innspector (Date) 20. Contractor's license information (No., Name Style, Classification) ....... , 21. Certificate of Workmans Compensation Insurance .................... 22. Owner -Builder Verification (Given to owner o, Mail to owner ❑) ........ 23. Recorded copy of Agricultural Acknowledgment Statement ............ y 24. Letter of signature authorization ..................................... 25. 26. When you ' sue the permit, process as follows: Mail t wrier. Mail to contractor. Telephone and hold for pickup at office. Deliver w/inspector. Other Copy of plans sent Health Dept., Fire Dept., Other Date 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---nail—counter by Contractor, designer, owner, was advised of above required data by_phone_mall_counWf by Plans checked by Copy—DPW Date Plans approved by Sets of plans on hold in File cabinet AP folder date date Date TO Building Department FROM" Environmental Health SUBJECT: Sabitation Clearance, LIA ager f7 rLf- Cho Location Flan. Ann'raved for: Sewage Disposal Water Supply Hold final for: Final clearance O.K.-for: Clearance. for Sanitarian Water Supply Water Supply Other Date ---- ---------------- 3- ZIP 'PERMIT NO. 63.-79B„E,M J PERMIT EXPIRES 1/3/80 r OWNER F A FTTT-17 CONTR. owner LOCATION (A.P. 40-2B-55 1308 Goodspeed St., Durham tr Temp. Power Pole Called PG&E Temp. ec. Serv. C Iled PG&E Te p. Gas Serv. Called PG&E JOB FINALEI Framing a /!X COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS Y BUILDING INSPECTION RECORD _ Water Htr. BUILDING BUILDING (Cont'd) PLUMBING Setback Firewall Soil Piping Forms Parapets 1st Floor Main Bldg. Restroom Finish 2nd Floor Footings Windows 3rd Floor Stemwall Siding To out Slab Roof Sheathing Water Piping Piers Roofing Sewer Garage Fdn. Vents Fixtures Footings Stemwa I I Garage Vents Insulation • Water Htr. Heaters Slab Carport p Footin s Pigy_tor-pa'y�'''' handica ed Confo�r ance-of-ex: -" structure ' Appliances Gas Piping & Test Temp. Gas Slab Final Sanitation Patio FIR PL C Final Footings Footina ELECTRICAL Masonry Walls Throat Rough �- Reinf. Steel Final Fixtures Bond Beam FIRE SPRINKLERS Motors Framing a /!X JTest Water Htr. Stucco Final A Subpanels Mesh ME4bHANICAL Grd. Fault Prot. - Scratch Heating Service Brown Cooling or Temp. Pole Finish Ducts Underground Interior Lath Ventliatid Permanent Door Closer Final Final 1 MOBILEHOME UTILI IES Elec. Service Elec. Pedestal Water Piping Sewer Gas Piping M 1 EHOME INSTALLATION- - - - - - - - - - - - - - Support Elec. Continuity Water Piping Drainage Gas Piping DATE REMARKS OR CORRECTIONS (NOTE: An entry must be made on this form each time you,visit the job site.) 0 RESIDENTIAL ENERGY CONSERVATION STANDARDS CONSTRUCTION COMPLIANCE CERTIFICATE THIS IS TO CERTIFY THAT ENERGY CONSERVATION REQUIREMENTS HAVE BEEN INSTALLED IN CONFORMANCE WITH CURRENT ENERGY CONSERVATION REGULATIONS AT /-30 '�5 !J»' :5;r-> D F' (location) BUILDING PERMIT NO. /2 �5 � A:P. N0. THE FOLLOWING HAVE BEEN INSTALLED AS PER APPROVED PLANS: (Check each item or write N/A if not applicable) INSULATION: Slab Edge. ---- -- Fdn. Walls — Floors -- Walls Ceiling/Roof Ducts Circulating Pipes-- '- APPROVED HEATER APPROVED WTR.HTR. 00 GLAZING: Single Glazed Special (Insulated) CERT. & LABELED WDS. & SLIDING DRS. WEATHERSTRIPPED DRS. L. - BACK DAMPERED FANS - INTERMITTENT 'IGNITION DEVICES------- - CERT. APPLIANCES I DECLARE THAT ALL REQUIRED ITEMS AS NOTED ABOVE HAVE BEEN INSTALLED IN ACCORDANCE WITH THE ENERGY CONSERVATION REQUIREMENTS AND AGREE TO THE COMPLETENESS OF THIS CERTIFICATE AS SUBMITTED. Insulation Applicator Name i c E; A 7`� Signature of (please print) - Insulation Applicator State Contractors License No: General Contractorr6;Wer ame A, ) GW Z-% 2. e Signature of General Contractor er as print) OwnDate l at Contractors 'License No. THIS CERTIFICATE MUST BE ON FILE -WITH THE BUILDING DEPARTMENT PRIOR TO REQUESTING FINAL INSPECTION AND SHALL BE POSTED -IN A CONSPICUOUS LOCATION WITHIN THE DWELLING. COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS 7 County Center Drive — Oroville, California 95965 ` Tel ephone: 534-4541 ` APPLICATION AND PERMIT 0/ il, _� -1,`2y, authorize representatives of the County oT t3utte to enter upon the above-mentioned property for inspection purposes. X Date .01 Signature of Permi,30 rAgent Receipt No. White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above fo ich fees have been paid. DIR CT OF PUBLIC WORKS BY Date A/1 Building permit expires Date /AAM BUILDING Owner _.. SO. FT. OCC. BUILDING VALUATION Mailing Address Pv elep one No. Contractor Of e 49Y Mailing Address Fireplace Total Valuation Telephone No. Permit Fee Building Address 069 Plan Checking Fee &/or Penalty Permit Fee PLUMBING No. @ FEE PERMIT FILING FEE $3.00 Each Trap 1.50 {v Repair drainage or vent piping 1.50 A. P. No. — ��— Zoning 8 Planning Water piping 1.50 Each gas water heater or vent 1.50 F 4artitatiarf I Fire Dept. Fire Zone Use Permit Gas piping system 1 - 5 outlets 1.50 EQA Parking Plans Parcel Declaration Parcel Map 60' R/W Improvements Each additional outlet .30 Building sewer 5.00 ������ Bldg. anF�ec'd Parcel Approval Plans Approval Lawn sprinkler system 2.00 NEW ❑ ADDITION ❑ UTILITIES ❑ OTHERLVOV Permit Fee $ $ ELECTRICAL No.1 @ I FEE ` PERMIT FILING FEE $3.00 Main service 600V OR LESS 10o AMP 5.00 Single Family Duplex Mobil Home 9 Y P ❑ ❑ Others ❑ IL 00 ALES Main service EA. ADD'L 100 AMP 2.50 Main service OVER 600v 25.00 too AMP OR LESS Main service EA. ADD'L 100 AMP 1.00 NEW CONST. DWELLING OC OR ADDNS. ACC. BLDGS. 20sq ft CONTRACTORS LICENSE LAW I am licensed under the provisions of Chapter 9, Div. 3, of the State of California Business & Professions Code under the name st le of: Y NEW CONSTR TL T NON-RESID BRANCH CIRCUITS) 2.50ea BRANCH CIRCUITS) NEW CONSTR. POWER APPARATUS & NON.RESID. SINGLE OUTLET CIR. Ex. OCCUD(OUTLETS OR FIXT11RES 6A�1� � Ex. OCCU FIXED APPLNS. OR P• OUTLETS (RESID.) EA) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 License No. Classification Misc. Wiring 6.25 ® I am exempt from the Contractors License Laws of the State of California. Permit Fee $ $ WORKMEN'S COMPENSATION INSURANCE I am aware of the provisions of Section3700 of the California Labor Code which requires every employer to be insured against liability for Workmen's Compensation. ❑I have placed on file with the County of Butte a certificate of Workmen's Compensation Insurance. 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 the Workmen's Compensation Laws of California. MECHANICAL No.1 @ FEE PERMIT FILING FEE J$3.00 , Heating Cooling Ventilation Hood 2.00 Permit Fee $ $ _ 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 Land Development Fee $ TOTAL PERMIT FEE $ authorize representatives of the County oT t3utte to enter upon the above-mentioned property for inspection purposes. X Date .01 Signature of Permi,30 rAgent Receipt No. White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above fo ich fees have been paid. DIR CT OF PUBLIC WORKS BY Date A/1 Building permit expires Date /AAM COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 - Telephone 916/534=4541 APPLICATION AN0 PERMIT PERMIT NO.� ASSESSOR PARCEL NUMBER ZONING BUILDING PMMIT OWNER 1 /— TELEPHONE SQ. FT. OCC. BUILDING VALUATION OWNERS MAILING ADDRESS CONTRACTOR'S NAME TELEPHONE CONTRACTOR'S MAILING ADDRESS //I 111•14 f , 0/ r, Fireplace CONSTRUCTION LENDER - 'r/'nA."Filin UNKNOWN Total Valuation $ g Fee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER - X14A! S LICENSE NO. Plan Checking Fee $ Penalty $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Permit fee $ BUILDING ADDRESS (��9��-� PLUMBING PERMIT Filing Fee 10.00 /, j �7 Sr /7 /�i ��.r I / Each Trap 2.00 Repair drainage or vent piping 5.00 Water piping LOT NO.SUBDIVISION NAME PARCEL MAP Each qas water heater or vent 5,00 Gas piping system 1 - 5 outlets USE OF STRUCTURE SF®f Lawn Duplex❑ Mobilehome❑ Other SPECIFY Building sewer sprinkler system 5.00 (r, ..�' C � r i I G OU TYPE OF WORK New Addition--R-emodel❑ Utilities InstallationOther[ Describe work:-z;� < 1Gtl �� re GJ� ❑ S�/�y.�.. / Penult Fee/ $ ?Q. IOU Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 100 AMS P ORLESS 5.00 Main service EA. ADD'L 100 AMP 2.50 NEW CONST. ODWELING R ADDNS. �ACCLBLDGS.CCUP.y) 20sgft 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. _ r r �/ License No. !U '� Classification \ t - L.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 contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONSTR TI.OUTLET 2.50 ea NO N.RESID BRANCH CIRC ITS NEW CONSTR, /POWER APPARATUS 8) NON-RESID. \SINGLE OUTLET CIR, Ex. Occup OUTLETS OR FIXTURES 500250 IXED APF NS. OR EX. OCCUp.�pUT LETS (RESID) EA. 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 7.50 Permit Fee $ Contractor MECHANICAL PERMIT Filing Fee 10.00 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. Heating Cooling Hood 3.00 Ventilation Permit Fee S Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. 1 also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue against,"said County in consequence of the granting of this permit: / X ✓ ._ -.±: �// , / i `''' L Date `"'� Signature of Applicant — Owner ❑ Contractor ❑ Agent I An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee $ TOTAL PERMIT FEE $ occu P. GROUP I TYPE OF CONST. PARCEL PD I HD I ISSUE This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which DIRECTOR OF PUBLIC / By I�lJij PERMIT EXPIRES--Daie- the applicable provi- resolutions to do fees have been paid. WORKS 7Date? Receipt No. f?<�.�.� WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 - Telephone 916/534-4541 APPLICATION: SND PERMIT PERMIT NO. 0 ASSESSOR PARCEt. NUMBER ef�o — �� ZONI G �� BUILDING P OWNER CiA G 7 TELEPHONE SQ. FT. OCC. BUILDING VALUATION OWNEFR/S MAILING ADDRESS NT RA CTOR'S NAME TELEPHONE 7/ CONTRACTOR'S MAILING ADDRES �/ j1 Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ Filing Fee $ 10.00 LE DER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER IfIVAI 5:' LICENSE NO. Plan Checking Fee $ Penalty $ ARCHITECT O ENGINEER'S MAILING ADDRESS Permit fee $ BUILDING ADDRESS 4 l2 ' PLUMBING PERMIT Filing Fee 10.00 / A 1149A Z Each Trap 2.00 Repair drainage or vent piping 5.00 Water piping LOT NO. SUBDIVISION NAMEPARCEL MAP Each qas water heater or vent 5.00 Gas piping system 1 - 5 outlets USE OF STRUCTURE SF Duplex❑ Mobilehome❑ Other SPECIFY Building sewer Lawn sprinkler system 5.00 /' a �O TYPE OF WORK New❑ Additionp Remodel ❑ UtilitiesUtilitiesEl Installation❑ Other Describe work: D G Permit Fe $ 210, p0 Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 600V OR LESS 100 AMP OR LESS 5.00 Main service EA. ADD'L 100 AMP 2.50 NEW CONST. l ( DWELLING OCCUP.51) OR ADDNS. ACC. BLDGS. 2¢ Sqft CONTRACTORS LICENSE LAW I dbtare under penalty of perjury (check one): I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Profession Co eI n my license is in f 11 force effect. Q 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) ❑ 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 NEW CONSTR. -OUTLET 2.50 ea N.N.RESID BRANCH CIRC ITS NEW CONSTR. ( POWER APPARATUS 61 NON.RESID. SINGLE OUTLET CIR. / 50@250 Ex. Occup(OUTLETS OR FIXTURES ggL�1 Ex. Occup.(OUTLETS FIXED P(RESID )R EA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring _ 7.50 Permit Fee $ Contractor MECHANICAL PERMIT Filing Fee 10.00 WORKMEN'S COMPENSATION INSURANCE I eclare 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. Heating Cooling Hood 3.00 Ventilation Permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the County of Butte to ente upon the above-mentioned property for inspection purposes. ve, indemnify and keep harmless the County of Butte against 1 als/sZd all lments, costs, and expenses which may in any way accrue agait in quence of the granting of this permi . X 1 L Signature of Applicant — Owner g pp Contractor ❑ Agent An OSHA permit is required for excavations over 5'0" deep and demolition or construct -CTO ion of structures over 3 stories in height. Mobile Home Installation Fee $ TOTAL PERMIT FEE $ OCCUP. GROUP TYPE OF CONST. PARCEL PD MD 199UE This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which OF PUBLIC BY :2 PERMIT EXPIRE the applicable provi- Date resolutions to do fees have been aid. p WORKS Date — Receipt No. WHITE-D.P.W., YELLOW -ASSESSOR. PINK -INSPECTOR. GOLDENROD -APPLICANT PERMIT NUMBER _ g 2439-72B P i v . E t i PERMIT UPIRES ti � po `OWNER F. "Bud" Fultz TCONTR owner- LOCATION (A.P. 40-28-55 1308 Goodspeed.Street, Durham �Y . c } DATE REMARKS OR CORRECTIONS {� r COUNTY OF BUTTE Departmeno of-Ps►blic Works BUILDING INSPECTION RECORD Zoningz Setback Forms Foundation Piers & Girders Fireplace Rgh. Plumbing=----`' Bond Beam Lath & Plaster Rein. Steel Gas Piping & Test Found. Vents Framing Plmg. Topout Rough Elec. Wtr. Htr. _ Furnace Kitchen Vent Firewall — ~ Garage Vents Sanitation & Water ELECTRIC GAS '.' BUILDING Temporary Temporary Cert. of Occup. Final Final Final :� '—'l!�= DATE REMARKS OR CORRECTIONS {� r Owner �— s— Mailing Address Contractor Mai I i ng Address Building Address /3 rA I }. 7 O COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WOR -Sa 7 County Center Drive -, Orovi'le, California 95965 d Telephone: 533-1230, Ext. 259 APPLICATION AND PERMIT BUILDING Z SQ. FT. OCC. BUILDING VALUATION A. P. No. ^— S^5^ Zoning Fire Zone Fire Dept. Sanitation �' Planning Plans v I Fees ✓ I W. C. R/W I Encroachment NEW Eg ADDITION ❑ OTHER ❑ USE OF STRUCTURE Single Family ❑ Duplex ❑ Others ❑ 'CONTRACTORS LICENSE LAW I am licensed under the provisions of Chapter 9, Div. 3, of the State of California Business & Professions Code under, the name style of: License No. Classification ® I am exempt from the Contractors License Laws of the State of California. WORKMEN'S COMPENSATION INSURANCE I am aware of the provisions of Section3700 of the California Labor Code which requires every employer to be insured against liability for Workmen's Compensation. ❑ I have placed on file with the County of Butte a certificate of Workmen's Compensation Insurance. ®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 the Workmen's Compensation Laws of California. I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. 1 X_�A& Date Si nature of ermit r Agent Receipt No. �� q White-D.P.W. — Pink -Inspector — Goldenrod -Assessor — Yellow -Applicant Fireplace Total Valuation Permit Fee Plan Checking Fee &/or Penalty Permit Fee $ a PLUMBING No.1 @ FEE PERMIT FILING FEE $2.00 Each Trap 1.50 Repair drainage or vent piping 1.50 Water piping 1.50 Each gas water heater or vent 1.50 Gas piping system 1 - 5 outlets 1.50 Each additional outlet .50 Building sewer 5.00 Lawn sprinkler system 2.00 Permit Fee $ ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 Main service incl. 1 meter Additional meters, each 1.00 Sub -panel (12 or less) (more than 12) Range, dryer or water heater 1.00 Oven, Cook -top or space heater 1.00 Light fixtures bal (d Receps., switches & fix outlets Hood, Ex. FanorF.A. Furn. Motor _E 1.00 Evap. cooler, gar. disp. or D.W. 1.00 Air conditioner or heat pump Water pump Misc. wiring Permit Fee $ MECHANICAL No. @ I FEE PERMIT FILING FEE $3.00 Heating Coolin Ventilation 0 Permit Fee $ $ ntatetruFee tPfor Str ng Motion smenation rogram $0.07/$1000 Evaluation $ A TOTAL PERMIT FEE $ 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 0 PUBLIC WORKS BY Date Building Permit Expires Date 1'77—O —73 r�� s$t � �d itri�a#ia�asMOST on the job of all times and it is unlovdO eke any d�anges or alterations on same withc - Written permission from the Department 01 Pubs" works, COurAv of Butte' 'a 1A A setback of 5 ft. from the - ♦ - N .. property lines and a setback of 50ft. from the road - K centerline shall be clear of structures or equipment except ty for a 2 ft. eave-overhang. Or �. 10 gum CMI . 4PR�� 121 �� GXy3//H� ex eJC/S//Jlr� �/4GS�Jdo ,2o Xao 4.0 a 4 a ug 6os%wifL, COh L'Ye/G Slab G nP 1 nYV Avic�iar: Ale, j • cum COUNTY �►� DEPA.RTMENI AUP. P �9 a G wS/ih4. dw e-I/A;ij NOTE:=A't Accorr' l.'YA W / -S'4r t - ;21,Y IJS .2Y r. 60C az. , "C ax oZXlo �D�s�j�tR.�yeys ac?s Co~ f4iJ+j1d'1 f1i o? !-.u' a es /�� �•S C ,v% r 1-2 Nall A e,., . Cc -Q t oal _• . AVC ,j /a Y` sT�yRY�I e?J�li v�ac/E• SIAYpsoi rials It Workma s -hip S.N,), Recognized Goo Pra • i - Xd;, U �,�•C ibed for the Spe ;ifie.. , ;,• , lumbing & Mech jical Lodes and SfX� AJ ical Code. � �',r►•►/asoh �•Pa�y r �e6 �a� eetGast ` tx to t-4 sPte;^y 154rs Jeri Cr`— p©5r Tn r cH-o S � rd+ BEP Ya k ��srH60r� cs/. VVFD AI New !2 �1 f N x qty -5�e,ef/y - t� C��G1i 6o is �...:��+ i�a�tw�'<vG;•c�,.;;::�:� ��"-"`, .- � >:�+ , cam. •;c N •fitt`' �-y Sk / _ 4' Jwj got* ;0-04940 bob naDgPa se. +o \i ns -G 1o; r o{ - -` - - �y �\ga - - � �CJSONG s Q - _ x 30 cow: ),, P Y-, /Tar SCnle 4 .�4tb ss ,s131 Ilp tivrli fell jcC ,5'ee V fG l 1 Ske r /�V' T -a faxTPris,r 16� /!ex j t7o(/yIG/Ct �/ate/ - �jP rip -In -1 Sruel Wo `eX/S�hr yaraf� r. Cale / "= / -rrr c.,L VeeJ �l.4 GO IK( Ao ol a4e� �� y L2 Ile 7'0 Teo QIley 17a e - /'i f� w -/-ti 1./ N d C- (y Ua e /) l rte`' S /Wt/ ILO /g' Vw e'- Z' e7la., Yy ON - ") , Ptzo-"d , -"'Y� a L,o) id 1 I x L V