Loading...
The URL can be used to link to this page
Your browser does not support the video tag.
Home
My WebLink
About
040-300-029
^ ' � � . . / 40-30-29 4312�89B SHARPE, Mel ',10102 Jon&s Avenue, Dur m` HENSLEY., Jeffrey & Cheryl Av 00 nu s 'Ave, Durham. 10102 Jones LF040-30-0-029 93-3697 P,M .HENSLEY,,JEFF &,CHERYL, 10102 JONES AVE,-,bURHAM -GAS LINE & HVAC/SF ,04 / . .NALE Bk�CbNV_ � � / | � / } � � / i Q O M O �I� �:� INTER-DEPARTMENTAL MEMORANDUM "Ur' . r cOUrrrEY TO:: BUILDING DIVISION, OROVILLE MAY 19 FROM: ENVIR. HEALTH, CHICO ",'ILOP1V3�1d1 n �/ r�cs DATE: RELEASE, NV/. HEALTH HOLD ON BUILDING FINAL FOR: OWNER NAME: ,S� SEPTIC: WELL: AP#: o' 4v 3�v ADDRESS/LOCATION: Comments: 493-11ZO &(.e &,?v 4.4ayxl,o,. GL/memos/releasehold t NOTES a y �t r RESIDENTIAL 040-300-029 V 03-1120 PERMIT NO. _ . HENSLEY, SHERYL - r--- 10102 JONES AVE, DURHAM BR CONY. TO CLOSET & ADDITION t SPECIAL CONDITIONS CHECKED BY SRA FLOOD CERTIFICATE REQ. FIRE SPRINKLERS REQ. SPECIAL INSPECTION ITEMS VERIFY USE PERMIT CONDITIONS SUB -STANDARD HOUSING LETTER O/Z��� a JOB FINALED (D e) Signature J=OK , 0 =Not OK . = NotReadyable 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;-/ P' L 'ft. / P Nat. or / P' L "ft./ P LPG ' 7. Well Clearance & Disconnect 8. Utility Clearance Date Card B-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. Tie Downs -Type -Installation Cert. 10. Exits; Insp.-Sketch 11. Cert. of Occupancy Date Card B -t Date Card B-1 Date Card B-1 Date Card B-1 Date PERMANENT END SYSTEM (ONLY) 1. Zoning Requirements -Setbacks -Easements 2. Footings; Size-Spacing=Marriage Line 3. Blocking 4. Gas; MH Test -Demand -Valve 5. Electricity; MH Test 6. Water; MH Test 7. Water and Sewer Connected 8. Gas and Electricity Tagged 9. Exits 10. License Decals 11. Verify #'s with Office Date Card 13-1. Date Card.6-1 Date Card B-1 Date Card B-1 MISCELLANEOUS Date DECKS, COVERS, CARPORTS, GARAGES (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Footings; Soils -Size -Depth -Spacing -Connectors -Steel 3. Decks, Girders and/or Joists -Decking -Bracing -Stairs -Rails 4. Wood Awn.; Posts- Beams- Rftrs-Connectors Shthg-Frg-Bracing 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Carports; Windows -Doors 7. Electric 8. Frmg.; Sills-Anchors-Studs-Rftrs-Trusses 9. Siding; Nailing -Veneer -Stucco -Mesh 10. Roof; Shthg-Roofing 11. Ext.; Steps -Doors -Landings 12. Braced Wall, Panels Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date 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, 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.Conduit 9. Health Department Approval 10. Plumb.; Cir. Test -Water Supply Test 11. Light Niche 12. Enclosure; Fencing -Alarms Date_ Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 a = OK = NotOK Applicable = Not Applicable RESIDENTIAL (Single & Duplex) = Not Ready Date UND L R (Plans) OK except #'s o ' g -Setbacks -Easements -Flood -Slope 2. g., Main; Soils-Elec. Grnd.-/ / Z/" Ftg. Depth 3. Ftg., Garage; Soils-Steel-Elec. trind.4 /" Ftg. Depth 4. Ftg., Porches & Decks; Soils -Steel-/ /" Ftg. Depth 5. Stemwalls, Main; Steel-Blockouts-Wrapped and Special Anchors 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 -Anchors -Regulator -Service Test 12. Electric Underground 13. Plenums & Ducts; Clearance -Material -Support -Ins. 16. Insulation Date"7- f Card B-1 ate Card B-1 Date 4? $ Card B- Date Card B-1 Date PLUMBI G (Permit) OK except #'s 1 ater Htr.; Vent -Access -Combustion Air Baffle 1 q/6ater Pipe; Test & Anchor -Nail Protection 19,D.W.V.; Test Fittings & Anchor -Nail Protection 20. Shower Pan; Test, First Floor -Tub Access 21. Test Tub & Shower, Second Floor -Tub Access Gas Pipe; Sixe & Anchors 23. Fire Sprinkler; Test Date ✓ Li! Card B-1 f^ / Date Card B-1 Date Card B-1 Date Card B-1 Date ELECTRICAL (Permit) OK except #'s 24'07&xture & Transformer Clearance -Ins. Protection 2 Elec. Receptacles Spacing -Lights & Switches at Doors 2,p/Size Boxes & No. of Conductors Stapled omex Installed Close to Edge of Studs & C.J. 28. Equip. Ground made up w/Mech Fasteners -Bond Gas & Water 29. 2 Appliance Circuits in Kitchen & Conductor Size GFI 30. Subfeed Wire Size/ /ga. Cu or AI-A.C. Wire Size/ /ga Cu or AI 31. Range Circle/ /ga Cu or AI -Oven Circ. / /ga Cu or Al Insulated Neutral 0 Yes O No Date FRAWNG (Permit) OK except #'s 41 �, ills Proper Materials & Anchors 4 . alls Studs -Nailing Spacing & Braces -Plates -Sound 4 earing Walls over Girders & Floor Nailing Draft Stop in Walls (rat proof) . Fire Stops, Furred Ceilings -Stairs -Chasers -Tubs Headers & Beams -Size & Bearing Date 32. Service -Riser Conductors & Ground Main Disconnect 4 . Han ers-Post Caps -Anchors -Connectors 33. Equip. Clearances Panels-Motors-Mech. Equip. �i&- replace Ties or Type A Flue -Fireplace Throat Clearance thes Closet Light -Shower Light -Spa Light Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 35 moke Detector l arage Fire Protection Framing -RC Channel Date C D !j Card B-1 Date Card B-1 Date r -4&-,itairs; Width -Headroom -Rise -Run -Landing -Fire Protection Card B-1 Date Card B-1 Date MECHANICAL (Permit) OK except #'s 47. Siding -Nailing Veneer /+CC. Ducts Insulation & Support 59! Glazing Area -Glass Protection -Skylights -Plastic . nt Fan, Exhaust above insulation WOO'Shear Walls; Nailing -B af Condensate Drain & Overflow, Size & Grade Z- 35el!uUrnace-Vent Access -Comb. Ait-Return Air Vent 115 Outlet Card B-1 Date Card B-1 40. Attic Access & Platform if Furnace in Attic Date FINAL aW OK except #'s Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date FRAWNG (Permit) OK except #'s 41 �, ills Proper Materials & Anchors 4 . alls Studs -Nailing Spacing & Braces -Plates -Sound 4 earing Walls over Girders & Floor Nailing Draft Stop in Walls (rat proof) . Fire Stops, Furred Ceilings -Stairs -Chasers -Tubs Headers & Beams -Size & Bearing Date FRA TNG (Continued) 4 . Han ers-Post Caps -Anchors -Connectors Cling. Joist-Rftr. Ties- Purl in -Roll Brac.-Truss-Shting.-Rtng. �i&- replace Ties or Type A Flue -Fireplace Throat Clearance Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 5 Bdrm. Windows or Exiting Doors -Sill Ht. & Dimensions l arage Fire Protection Framing -RC Channel W. Property Line Firewall & Openings Ext. Doors -One 3' -Check Garage 3rd Story, 2 Exits -4&-,itairs; Width -Headroom -Rise -Run -Landing -Fire Protection Plywood on Roof Overhang -Attic Vents -Rafter Outriggers 47. Siding -Nailing Veneer 58. Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access 59! Glazing Area -Glass Protection -Skylights -Plastic WOO'Shear Walls; Nailing -B X61. - Ex r Wall Panels Z- - In `alls-Ceilings 63. Infiltration -Walls-` indows Date QTiP Card B-1 Date Card B-1 Date Card B Date Card B-1 Date FINAL aW OK except #'s Detector 66!Furnac ents-clearance-Comb, Air -Connector - In rage; Above Floor-Ducts-Mech. Protection 68!Gfl!& Bath Fixtures & Tub Access -Spa 6&.-Elec. Trim & Subpanel, Breaker Sizes & Labels 70. Stairs & Rails 71. Fireplace or Stove, Clearance -Hearth 72. Elec. Outlets at Wood Panel, Int. & Ext. 73. Kit. Fixt. & Appliance; Ground -Air -Gap -Cooking Clearance 74. Elec. Outlets & Receptacles at Kit. Counter 75. Garage Fire Door; Swing -Landing -Closure 76. A.C. Duct in Garage -Damper 77. Wtr. Htr.; Vents -Clearance -Comb. Air Connector-P.R.V. in ; Above Floor-Mech. Protection 76-141b.; Elec. & Mech. Equip. Listed for Location 79. Elec. Receptacles in Garage (F.F.I.)-Romex Protection 80r -Insulation- oam-Looked in Attic 81. Gu ails & Deck Construction -Post Caps dn. VBe Crawl Hole Door Drainage & Wood -Earth _ CI 'Looked under Floor O Yes ,8 F w Instld./Drive O Yes 0 No/Walks O Yes O No/Planters 0 Yes O No cco Brown -Finish A.C. Unit Disconnect, Electrical -Plumbing 86. Vents Above Roof, Plbg-Appliance-Fireplace-Clearance to Openings 87. Water II, Disconnect, Electrical, Plumbing 88.E rior Elec. Trim, G.F.I. Receptacle -Underground Ve tion Throughout House Irrf-G';;qq Protection 91. Corrections from Previous Inspections 92. Gas Test- eters Tagged, Gas -Electric 93. W Sewer Connected -C/O to Grade -HD Approval rgy Compliance Certificate -Other Certificates Address Posted 96. Fire Sprinkler Dat?&.,/ard 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: LCERKE INSULATION CO., INC. 01 02 'j-0'.1 Es A.re DESCRIFTION OF INSTALLATION INSULATION CERTIFICATE 1. ROOF Material Brand Name Thickness (ir>ches) Thermal R (R-V")- 2. RValue) 2, CEILING Batt or Blanket Type—fibagbmAlk- 1--2 Brand Nam Johns Manville Thermal Resistance (R -Value) Loose Fill Type Fib lass Brame Name Johns Manville Conbu torls 7min led wetgritlR sq.�____.�b. Minorum Th ink es. Mam daclum installed weight per square toot to achieve Thernud (R Value) 3. EXTERIOR WALL Ttucutsss (indrest� 3.5 4. RAISED FLOOR Material Maas am Twdkness (Inch") -----j2 • S S. SLAB FLOOR / PERIMETER • Material Thi Perimste�r I Depth (t & FOUNDA WALL Maters Thol(am (inches) Brand Now Johns Moodie ThemW Resistance (R Valued �t Brand Now Jghns Manville Thermo{ Resistance (R•Valus) Brand Name Thennel Recstance Resistance (R -Value) the bm Reg3 inS on the row: 'Pan I9 a of tea o ance a p C.1-�•�^= �-� S o • 34 • O'3 LOERKE INSULATION CO., INC. 'ftm—` WPM%, D as nGe mm . n (Co. ame)ro r m3mm Cwt cbor ator ame Or r r 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 i CORRECTION NOTICE - i'{e�s�� OWNER A routine inspection indicates that,the above address and should be correc completed. If you have any questio please contact this office imme ' elf ,j PERMIT NO. y0lations of butte county Ordinances exist at the 4e notice this office when correction of work is g to thi matter, or need additional explanation, �� 10 0 Date Inspector REV 10/92 �lr COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING ISION 7 County Center Drive • Oroville, California, 95965 • Telephone (530) 53 541/S/P 9A� (Rev. 12/96) , APPLICATION AND PERMIT 6 (� ASSESSOR PARCEL NUMBER 040-300-029 A- ZONING A-20 BUKDINGPERMIT OWNER Sheryl TELEPHONE 898-8210 SO. FT. OCC. BUILDING VALUATION OWNERS MAILING ADDRESS ��97 10102 Jones Ave D R- 26 838.00 o al 4,000.00 CONTRACTOR'S NAME TELEPHONE owner _QQM 22 sq 1,320.00 CONTRACTORS MAILING ADDRESS CONSTRUCTION LENDER LENDER'S MAILING ADDRESS Fireplace Total Valuation $32,258.00 ARCHITECT OR ENGINEER LICENSE NO. -Filing Fee $ 20.00 Permit Fee $1304.00 ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $1 BUILDINGADDRESS Energy Plan Checking Fee $ 23,0 $ PERMIT FEE $ 544.60 LOT NO. SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMIT Fling Feel 20.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome ❑ Other SPECIFY Each Trap 5 7-0035.00 Solar or heat um water heater 23.00 Water piping 15.00 15,00 Each gas water heater or vent 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑ Describe Work: convert ex bdrm to closets/add 2 bdrms w/ bath and laundry rm, reroof house 22sQ Gas piping system 1 - 5 outlets 15.00 15. 00 Building sewer 15.00 15.00 Mobile Home I S I G w @20.00 PERMIT FEE $ ELECTRICAL PERMIT .00 Fling Fee 20.00 UE Main Service A OR LESS 23.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000 of Division 3 of the Business and Professions Code, ( g ) and my license is in full force and effect.P 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: XI, 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 ,000A 46.00 NEW CONST. DWELLING OCCUP. OR ADDNS. a ACC. Bins. SO 3.5QFT; 17-39 NEW CONST. MULTI -OUTLET NON-REsl @7.50 OWER APPARATUS 8 SINGLE 001 Er CIR. DR Ex. Occup. OUTLET OR FURES 20 @'.50 BAL Q .SO Ex. Occup. OFlxUS RLNS ORA_ 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE t 37.39 WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ 1 have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier MECHANICAL PERMIT Fling Fee 20.00 Heating 1 115.00 15.00 Cooling 1 15.00 15.00 Hood 6.50 Ventilation PERMIT FEE S 59.00 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 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 com ly with those provisions. Date _ Signature7ofppli6arR - caner ColTtractor ❑Agent An OSHAis required for exca Ions over 60" deep and demolition or construction of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee 1$46.00 occ R3 CONST. TYPE ' OTAL FEE $770.99 HAz. o. Es IMP FLOOD D CDF � I PARC �' PO HD LS This permit is hereby issued under of the Butte CouCode and/or Matveflywhich fees have PERMIT EXPIRES ON the applicable provisions Resolutions to do work been paid. yDa a DLO Da Receipt No. ' WHITE-D.D.S.-B.D. CANARY-ASSESSO PINK -INSPECTOR GOLDENROD-APPLICAJ ' �.".::�,.;�`ra•r:.,Iis-:r'o`c i' .,.hry COUNTY OF BUTTE -DEPARTMENT OF`DEV�COT SERVICES -BUILDING IVISION l 7 County Center Drive, Oroville, CA 9V65?�one (530)538-7541 Fax (530)5 -2140 PERMIT APPLICATION DATA SHEET OWNER: ASSESSOR PARCEUNUMBER 0440'. 306 Proposed Building Use: A ddMet t6 S i F.Counter Technician: Date: It ems required in order to apply for a permit. All boxes MUST be checked OR marked NA in order to apply. : lot plans, 3 or 4 sets, signed by the preparer of the plans. C Complete plans, 3 or 4 sets, signed by the preparer of the plans. 3. Engineered plans, 3 or 4 sets, with wet signature on plans AND 2 sets of stamped and signed calculations. ngineered truss details and layouts in duplicate. No faxes! Energy compliance design and supporting documentation in duplicate. ,{6 Manufactured homes: (A) Data sheets and installation instructions, (B) Marriage line information, (C) Floor Plan, (D) Tie down or ('" fioundation plans, all in duplicate. 011 Metal buildings: (A) Metal Building Plans, ,(B) Foundation plans and calculations in triplicate, (C) Elevation views in tripligite. ��" (D) Floor plans in triplicate. All of these must be stamped and wet -signed by the engineer. Items required for initial plan review. If checked items have not been received, plan review cannot proceed. The permit will be indexed and returned to the plan review line-up when required items are received. ate RecvBy ' � �dey CW'Flood Elevation Certificate, wet -stamped and signed, in duplicate..�.�Q..R....:............ . ❑ 9. Not 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 ..................................... ❑ 12. Hazardous Material Form............................................................................... ❑ 13. Other Rem ing items needed to issue the permit. (May require additional plan review upon receipt of the following items.) 14. Fees as shown on the attached Schedule of Fees Due Sheet ....................................... tatement of Intent for Non -heated and A/C Buildings..................................(�-► ` Sanitation and plot plan approval from the Environmental Health Department in 17. City of Chico Plumbing permit........................................................................ ❑ JZ. California Department of Forestry plan approval ❑ paid. Sent by: ...................... 04 fff 19. Planning approval for (A) Use: 64 B)Parking: V/( - C) Parcel Check"-1,.eA*Wr k7- o3 ❑ 20. Contact Land Development about ❑ Improvements, ❑ Drainage ............................... ❑ 21. Encroachment Permit for driveway from the Public Works Dept. (construction approval prior to occupancy). ❑ 22. Pre -Inspection for required ................ ❑ 23. Contractor's license information. (Number, Name Style, Classification) ...................... ❑ 24. Worker's Compensation Carrier and Policy Number ..............:.............................. ❑ 25. Owner -Builder Verification (❑ Given to owner, ❑ Mailed to owner) ..................... ❑ 26. Letter of Signature authorization.................................................................... ❑ 27. Recorded copy of Agricultural Acknowledgment Statement .................................... ❑ 28. Manufactured home utility clearance............................................................... ❑ 29. Existing violations and/or expired permits......................................................... ❑ 30. ❑ Grant Deed, ❑ M.H. Title/Statement of Facts, ❑ Letter from Legal Owner, ❑ Check to H.C.D. $ 31. Other: on When issued Telephone T ani odd for pickup. I have been informed oft a above items and requirements for o to mg a building permit. AApplicant: ate: 14 j 1. Index permit application for the above items mbered: Plan Check Letter 2. Additional items required Contractor, designer, owner, was advised of the above data by ❑ phone, ❑ mail, ❑ counter, by Date: Contractor, designer, owner, was advised of the above data by ❑ phone, ❑ mail, ❑ counte y Date: Plans reviewed by: Date: 5 •j(9.0 73 Plans approved by: Date: Structural reviewed by: Date: Structural approved by: Date: Note transfer by: Date: Yellow:Building Division E.H. WE ONLY Plot Plan AnecZd Roo: Plan A Aad Sent to B.D. 0- ! TO: Building Department FROM: Environmental Health SUBJECT: Sanitation Clearance za lz�z& OwneK Location AP# Plan Approved for: Sewage Disposal _ Water Supply: Public Private Well Clearance for dwelling. Other ) Ozs o)) a mold final f -or: / CS o Final clearance O.K. for: NOTE: Environmental Health Specialist Date 8/96 COUNTY OF'BUTTE r ` DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE (530) 538-7541 OWNER H SCHEDULE OF FEES DUE ;71. 'BILUDING USE 9 Adid-'h&)i to a4dm, BUILDING PERMIT FEES Balance Due ....................... $ Col - Additional Fees Due ... . ........... . $ Additional Fees Due ................. $ Revised Plan Checking Fee ....... $ 2. SCHOOL DISTRICT FEES CO (paid at District Office) (Available after Plan Check) 3. SHERIFF FEES (paid at Building Division) Residential x $360.00 = $ Units Commercial (sq. ft.) ............... x $0.03 = $ Sq. ft. 4. URBAN AREA FEES (paid at Building Division) Residential ................... -x_=$ # Units Amt. Commercial (sq. ft.) ............ -x-=$ Sq. ft. Amt. —tq\5."RECREATIONAL DISTRICT FEES (paid at District Office) (Available after Plan Check) 6. THERMALITO DRAINAGE DISTRICT FEES $510.00 (paid at Building Division) ' 7. SRA FIRE INSPECTION AND PLAN CHECK $89.00 (paid at Building Division) 8. WATER TENDER FEES (Battalion # ) $200.00 (paid at Building Division) 9. CSA 87 TRAFFIC FEE $2500.00 (paid at Building Division) 10. OTHER DATE RECEIPT # DATE REC. �14A 0") At time,of permit application, I was advised the above fees are required to be paid prior to issuance of the building permit. These fees may be changed during the plan checking process. APPLICANT DATE Pursuant to Government Code Section 66020, you are hereby notified that items 2, 3, 4, 5, 6, 7, 8, 9, and 10 above may have been imposed on your project. You have 90 days from the date of approval of the project or from the imposition of the above mentioned items during which you may protest. The requirements for a protest are specified in Government Code Section 66020(a). Original - Buiding Div. 2nd Copy - Applicant 3rd Copy - Owner (Rev. 6/00) May 16, 2003 Sheryl Hensley 10102 Jones Ave. Durham Ave. Department of Development Services Building Division 7 County Center Drive Oroville, CA 95965 (530) 538-7541 (530) 538-2140 FAX Assessor Parcel Number: 040-300-029 Building Permit Number: 03-1120 Thank you for submitting the plans for your building project. The plans have been reviewed, and the plan examiner's comments are listed below. 1. Enclosed is your school and park 5ellow Ple e to your school and park district offices and pay any fees. Re thy the buil ' department. The only item for correction are the energy ca culaave o Janice Lee and she will speak to the energy consultant. If you wish to discuss any of these requirements, please call (530) 538-7541 between the hours of 1:00 p.m. and 4:00 p.m., Monday through Friday. To discuss non-structural items, ask for Martha. Please refer to your Data Sheet for remaining non -plan check items. (You received this form when you applied for your permit.) The counter staff will answer any questions concerning the Data Sheet. Martha Christy Plans Examiner 1 of 1 pzc_i e� (9 -'�a P J.c�t 7 I o3 , PROJECT PROCESSING RECORD Applicant: / � Owner: �f A.P. #: y �0 --3no —o-23 Permit M Work Description: Date Description of Ste or Status 7V 0L&?,Lk - D BUTTE COUNTY SCHOOLS IMPACT FEE CERTIFICATION FORM (One form per Building) School District Uln-4 / Building Department No. 0 3_ WE " A.P. Number (�`�(1 i`J� J Jurisdiction: �V City .County Property Owner C r Property Location/Address Subdivision JyJ Lot No. ` ............................................................................................................... #q7 Residential Development 0 ER Sq. Footage t No of Living Mobite Homer f; Addftionk �-Supplefnental to f � � (Group R) t Conversion t PerrhB iY ,i,-,��,.«;y _ -y; ,'• t; w S Unds ' Installation? °` '(No foundation inspection); ......................... ....................................................................................... a ' Commercial/Industrial New Addition Building Department Re # , (Floor Plans reviewed by School District Personnel) District Identification No. t� School District certifies that `71 10C -s Vir (Street Address) 2>U,e qi971l (City) has complied with the requirements of Resolution No representing f 7 % a i ; square fees: } . ;;. • S � ( , t• � .i j i t �• I 7 School District Representative C#9 (State) Sq. Footage (Including Exterior i, Roofed Areas) -62 3 b'm (Applicant) (Phone Number) fs1.3 8' (Zip Code) i by payment of $ �---�" y ; A82926;. ( $) �. FULL MITIGATION 1 Date G-2- o3 Paid by Check i1 A)IA Remarks: /�jz— -S G N N=1e— S -ori S4� FT - Notice: You may protest the imposition of the fees identified above by submitting a written protest to the District, in compliance with Government Code Section 66020(a), within 90 days from the date fees are paid. Failure to submit a timely written protest will prohibit you from challenging the imposition of the fees in any court action. . If, subsequent to the School District Representative signing this Butte County Schools Impact Fee Certification Form, the School District is notified by the applicable Local Planning Agency that this project is being reviewed under the California Environmental Quality Act (CEQA), this project may be subject to additional school fees to fully mitigate its impact on the school district's schools. White (applicant), Yellow (building department), Pink (school district) feeform.xls (10198)dmm `L.BUTTE COUNTY PARK FACILITY FE&PAYMENT CERTIFICATION FORM DyR1HAM RECREATION AND PARK DISTRICT Assessor.Parcel Number (s): property Own_ (s): U U V; Project. Location/Address': Subdivison Name: Assessable Square Footage: 497 .-Type of Residential Development -(check one): U[New Development )4,Afteriaion'/Addftion Mobile Home (s) ❑ Non -Residential to Residential 4 4 -,Comments: 0 Building Division RepreseUttive Date Durham urh, Recreation :anri Park District (nppn) cinrfifiac that Applicant Name Applicant Phone Number dress City State Zili'Gode ha§_c'6mp1Ji6d with the're'q6iee mc'e'n' ts''Ofthe Butte C6unty Board of Su'pervisorsi.Resolutio'n No. 93 - 114 by payment for square feet at $ 1.04 per square foot for a total payment Of $ DRPD frepresentative Date "PAID BY CHECK No:: .BANK'No.: PAID BY CASH: RECEIPT No.: Remarks: 'U#JX�. DISTRIBUTION: WHITE - APPLICANT PINK-DRPD YELLOW -BUTTE CO. BUILDING DIVISION ,Jan -21-96 04:17P P.02 FLOOD PLAIN DECLARATION I declare the actual value of the proposed construction work under build- ing permit application at not equal or exceed the definition of "Substantial Improvement."# I am -aware the building site is in a flood -plain arca, even though I am not required to comply with the flood plain management criteria. PROPERTY OWNER ADDRESS�/,�. i " DATE Substantial improvement is defined as follows: Any repair, reconstruc- tion, or improvement of structure, the cost of which equals or exceeds 509 of the market value of the structure either, (a) before the improvement or repair is started, or (b) if the structure has been damaged, and is being restored, before the damage occurred. NOTE: Documentation may be required to substantiate costs. DEPARTMENT OF DEVELOPMENT SERVICES BUILDING DIVISION . 7 County Center Drive, Oroville CA 95965 Phone (530)538-7541 Substantial Improvement Worksheet for Projects within FEMA Floodplain APN: O�O ,300 - 0 z 9 Existing Building: DATE: USE AREA SF -VALUE lA x X TOTAL X q -D x = /` a, 290 X X L X X = X X X X = X X = (Existing Structure Value (ESV): , 2 Z Z, Proposed Addition -Remodel USE AREA SF -VALUE TOTAL X 2&1 F30 X X = X X X X X x C�© _ �Z—�,oc X X = Remodel Contract:, 000• op IImprovements Value (IV): 1 Improvement Percentage = IV = S g ESV q a If improvement percentage equals or exceeds 40 %, an appraisal is required on the existing building. Submit appraisal documents prepared by a certified appraiser. A new Improvement percentage will be calculated. If improvement percentage exceeds 50%, a substantial improvement exists. Dec 17 02 11:38a p.2 � 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 rgajor labor and materials for construction of the proposed property improvement : YES b/ NO 0 2. I HAVE 0 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: CTTY: PHONE: CONTRACTOR'S LICENSE NO. 4. 1 plan to provide portions of this work, but I have hired the following person to coordinate, supervise, and provide the major work: NAME: ADDRESS: CITY: PHONE: CONTRACTOR'S LICENSE NO. 5. I will provide some of the work but I have contracted (hired) the following persons to provide the work indicated: NAME ADDRESS PHONE TYPE OF WORK SIGNED: PROPERTYOWNER: SOCIAL SECURITY NUMBER: O(, DATE: NOTE: This Owner -Builder T/erification is required by Section 19831 and 19832 of the California Health and Safety Code. This verification must be completed and returned to our offrce before we are permitted to issue the permit. OVER Dec 17 02 11:37a p.1 O.B. - l v:; ..,�.;.y:,.�....... �...:.i::i'•:Si?..•:.::v:nv:nY•:i:4\l•:•:p•::{:: xstic: yk•.�nv'::.vs..v::.; ..; ..... vnw.v:• ....�,.... .. q;:••.�.:•:::;%;;:w<.,; .; }., .�!.v...,;;: •;::. ....u....,.,..:.:,,y;:.::.v:.::•s,:?.n,l• ... .,�%•'•yo+,+:1:::kk:•:s:v:::.+:i;^';,'�'>�?b`."'.:i:: "•�`•�.: .: •. .:i?e'�' a< >;:<.c.?i�!Y:2•>::�s>..\r!£y s:k`•'•: `i t•:`k;•:.�k•::` , xk ; \'. . �'�:J SCA �\\�\ �`::�:��:�,;�4$: ?'k�;;o ,...F::.�i.'.��•cr :: ..,i: �•+F.J3••)i�Gti:c S`� � ..\��. mow,,., \+ Z c,. S.� .•:: ,:<•� �•: a.<•: •:..•.�xi :dt:,��.p,,,•:4:J:i •,`:: u, ?�' .;.I:.rSr7;• :. ti , :.'.5 't i � •• .\ �: ,� rS, . \ � .�.\�?:. �`,.: t:•+:,,••�i:•. �.,ajn.•�..•:.. <s•zcsS.k:R,+t :. ti;.:� •�1�1>..,,.s,.,•,�!` ";�5�} r�'��?'•..'•. �.'•::�JyJ ��• � J:T\•; �o, x`: ..s...,k.:..,.�,b:.:s.::.•yxsso.f:.v::.......::::: �:>Sk..c.;;...v,>.,�.� rm.•>::>:.:.,::n.:•:x+ni>:ax.x.xs�x:.:•::,::cs>..,.t„..�f»»:o: ��4na.,:?•:::,•s����rro:,`y��x•a�4a\\ �s aJ1+.�y:\�r��`� `•>.,j��?•� �. Dear Property Owner: An application for a building permit has been submitted in your name listing yourself as the builder of property improvements specified For your protection, you should be aware that as "owner -builder" you are the responsible party of record on such a permit Building permits are not required to be signed by property owners unless they are personally performing their own work. If your work is being performed by someone other than yourself you may protect yourself from possible liability if that person applies for the proper permit in his or her name: • Contractors are required by law to be licensed and bonded by the State of California and to have a business license from the city or county. They are also required by law to put their license number on all permits for which they apply. If you plan to do your own work, with the exception of various trades that you plan to subcontract, you should be aware of the following information for your benefit and protection: 0 If you employ or otherwise engage any persons other than your immediate family, and the work (including materials *and other costs) is $300 or more for the entire project, and such persons are not licensed as contractors or subcontractors, then you may be an employer. 0 If you are an employer, you must register with the State and Federal Governments as an employer and you are subject to several obligations including state and federal income tax withholding, federal social security taxes, workers compensation insurance, disability insurance costs, and unemployment compensation contributions. 0 There may be financial risks for you if you do not carry out these obligations, and these risks are especially serious with respect to worker's compensation insurance. 0 For more specific information about your obligations under Federal Law, contract the Internal Revenue Service (and, if you wish, the U.S. Small Business Administration). For more specific information about your obligations under State Law, contact the Department of Benefit Payments and the Division of Industrial Accidents. ' If the structure is intended for sale, property owners who are not licensed contractors are allowed to perform their work personally or through their own employees, without a licensed contractor or subcontractor, only under limited conditions. A frequent practice of unlicensed persons professing to be contractors is to secure an "ownerbuilder" building permit, erroneously implying that the property owner is providing his or her own labor and material personally. Building permits are not required to be signed by property owners unless they are performing their own work personally. Information about licensed contractors may be obtained by contracting the Contractors State License Board in your community. or at 1020 N Street, Sacramento, CA. 95814. Please complete the "Owner Builder Verification" on the reverse side of this form so that we can confirm that you are aware of these matters. The building permit will not be issued until the verification is returned !iinarel , • : i h1icha 1 C. Vieiia, C.B.O. Manager, Building Inspection' NOTE: This Owner -Builder Information is required by Section 19830 of the California Health and Safety Code. � i , a �.�{r; �r,,,,r-,^^.,*' .i:r�'.�l_I! ���.,�,�k�..{.��'�.�;�;,ivt�;•r`=.}l' .1.s�{r� N�-z. , ...� ,� a'_'tt:�- •ti;. +,�: r ;� , . •040-30-0-029 93-3697 P,M HENSLEY, JEFF &CHERYL 10102 JONES AVE, DURHAM, , GAS LINE & HVAC/SF OFFICE COPY Address 1 �d 2. J,,.c. Atin� GAS Meter By Dater ELECTRIC � . .Meter. By - vim -Date •a 1 OFFICE COPY Address 1 �d 2. J,,.c. Atin� GAS Meter By Dater ELECTRIC � . .Meter. By - vim -Date 1 C. w OFFICE COPY Address 1 �d 2. J,,.c. Atin� GAS Meter By Dater ELECTRIC � . .Meter. By - vim -Date COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION t 7 County Center Drive - Oroville, CAlifornia,95965 - Telephone (916) 538-754 10 0PER IT No. APPLICATION AND PERMIT ASSESSOR PARCEL NUMBER - 40-30-29 ZONING r BUILDING PERMIT OWNER ,11EFF F CIERY1 t! .,1TG TELEPHONE 11L7_ m'I S0. FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS 1010 127,S AVE DURPAIlf CA 054 CONTRACTOR'S NAME OTJNER TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ Filing Fee $ 20.00 LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS join,) Tomrq Ayr. PERMIT FEE $ TITTRTIAM PLUMBING PERMIT Filing Fee 20.00 Each Trap 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 SFO Duplex ❑ Mobilehome ❑ Other A SPECIFY Gas piping system 1 5 outlets 15.00 S. .00 Building sewer 15.00 Mobile Home S G W @20'00 TYPE OF WORK New ❑ Addition CJ Remodel O Utilities o Installation O Other ❑ Describework: NEW GAS SEYVICE TO HVAC UNIT PERMIT FEE g Contractor ELECTRICAL PERMIT Filing Fee 20.00 NEW t!vAc Main Service ( 1111 OR LESS 200A OR LESS ) 23.00 Main Service ( 200A TO 1000A ) 46.00 NEW CONST. DWELLING OCCUP. OR ADDNS. ( &ACC. BLDS. ) SO 3.50 FT. NEW CONST. MULTI -OUTLET -NON-RESID. ( BRANCH CIRCUITS ) @7.50 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 XI, 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 ( POWER APPARATUS ) a SINGLE OUTLET CIR. Ex. Occup. ( OUTLET OR FIXTURES ) B20 @ 1.00 Ex. Occu ER OR p' (OUUTTLETTSS (RESIDID.) EA. ) 5.00 Temporary Service 23,00 Mobile Home Facilities 20,00 Misc. Wiring 28.00 WORKER'S COMPENSATION INSURANCE 1 declare under penalty of perjury (check one): ❑ This permit is for $100.00 (valuation) or less. ❑ 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 Certificate of Consent to Self -insure. _91shall 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 _ 5. Cooling 2.5.00 Hood 6.50 Ventilation PERMIT FEE $ 60.00 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. XDate Signature of Applicant -V Owner ❑ Cotit'ractor ❑ Agent iiindicated An OSHA permit is required for. excavations over 5"0" deep and demolition or construction of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ ocC CONST. TYPE TOTAL FEE $ 95.00 .- HA2. I D. FEES 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 above for which fees have been paid. DIRECTOR OF PUBLIC WORKS By 1/G! '� /jiyl/!',f✓ J Date // / PERMIT EXPIRES ON // /J ,-/ 11 (Date) Receipt No. 15'—S -3 y l 153344 WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive - Oroville, California 95965 - Telephone 1916) 538-754lQ q— 3 / P- I ` No. APPLICATION AND PERMIT- // ,tom '�� ASSESSOR PARCEL NUMBER 40-30-29 ZONING - BUILDING PERMIT Z1' OWNER EF TELEPHONE SQ. FT, OCC. BUILDING VALUATION -3A2--146'1 OWNER'S MAILING ADDRESS / CONTRACTOR'S NAME 7 014NE TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation Is LENDER'S MAILING ADDRESS Filing Fee $ 20,00 Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS 10102 JONES AVE PERMIT FEE $ p PLUMBING PERMIT Filing Fee 20.00 Each Trap 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 Duplex ❑ Mobilehome ❑ Other SPECIFY Gas piping system 1 - 5 outlets 15.00 19,00 Building sewer 15.00 Mobile Home S G I W @20.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities 9 Installation ❑ Other O Describework: NEW GAS SERVICE TO HVAC UNIT PERMIT FEE $ Contractor ELECTRICAL PERMIT Filing Fee 20.00 NEW 'MVAC Main Service ( 2OOA OR LESS ) 23.00 Main Service I 200A TO 1000A ) 46.00 NEW CONST. DWELLING OCCUP. OR ADDNS. ( & ACC. BLDS. ) 3.50 SFTO,. 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 P P Professions Code and my license is in full force and effect. License No. Classification XI, 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) ❑ 1, as the owner, am exclusively contracting with licensed contractors. (Sec 7044) ❑ 1 am exempt under Sec. Business and Professions Code forthis reason NEW CONST. MULTI -OUTLET NON-flEslo. ( BRANCH CIRCUITS ) @7.50 ( POWER APPARATUS ) & SINGLE OUTLET CIR. Ex. Occup. ( OUTLET OR FIXTURES) @1.00 BALL..0 .so Ex. Occup.FIXED APPWS. OR ( OUTLETS (RESID.) EA. ) 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. ❑ 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 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 15.00 Cooling 25.00 Hood 6.50 Ventilation PERMIT FEE $ 60.00 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 Count 'n consequence oJ Pe granting of this permit. — , z2g Date ,11— f(_J-57_3 Signature of Oplicant - owner ❑C tractor El Agent An OSHA ermit is required for ex vations over 5"0" deep and demolition or construction of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ occ 1 CONST. TYPE TOTAL FEE $ 95.00 HAZ. I D. FEES I IMP I FLOOD I COF PARCEL PO I HD I 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. D.IRECTOR OF PUBLIC WORKS By /1��"� / Date �IIM193 1/ i ,/ PERMIT EXPIRES ON /[ 9 y (Da e) Receipt No. L �-3 3 153344 WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT u, COUNTYOF BUTTE - DEPARTMENTORD6ELOPMENTSERVICES -BUILDING DIVISION' 1 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA959W- TELEPHONE (916) 538-7541 PERMIT APPLICATION DATA SHEET OWNER it/r /7 rA.Se ^ 14'o Proposed Building Use - ZOK f� , d�c .Building Inspector Date // /Jr5' At time of 11 ermit 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, 3M sets, signed by preparer of plans . ...................... ' .4. Engineered plans and calcs,.3/4 sets, with wet signature on plans . ..............' 5. Hazardous Material Form. .... ..i ................................ . 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.a bout (A) Improvements (B) Drainage. .......... . 19. Driveway permit (construction approval required prior to occupancy). ...PreaAsl�e«.o;:6quew-- 20. Pre -inspection for required. .. to Building Inspedor (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: /ice Mail to owner. Mail to contractor. Telephone and hold for pickup at office. Deliver with inspector. . Other Parcel Creation Acreage Applicant Date Copy of Haz-Mat form sent Health Dept. Fire Dept. Air Pollution Date l/ 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 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 materials for construction of the proposed property improvement (yes or no)' �. 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'l have hired -the following person to coordinate, supervise, and provide the major work: Name Address City Phone Contractors'License Nd'. 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 Number - Date %.= 3 NOTE: This Owner -Builder Verification is sent to you as required by Sections 19831 and 19832 of the California Realth and Safety Code. This verification must be completed and returned to our office before we are.per- mitted to issue the permit. E 1 NTIAL r 40-30-29 OUTS 1)e2959-91B,E,M HENSLEY, Jeffrey & Cheryl �'.. 10102 Jones Ave, Durham (addition/sf) JOB FINALE Signature J=OK O = Not OK =Not Applicable Not Ready 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: / P L" ft. / /"Nat. or/ /"L"ft./ /"LPG 7. Well Clearance & Disconnect 8. Utility Clearance. Date Card B-1 Date Card'8.1 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 DECKS, COVERS, CARPORTS, GARAGES, (Plans)OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Footings; Soils -Size -Depth -Spacing -Connectors -Steel 3. Decks; Griders and/or Joists -Decking -Bracing -Stairs -Rails 4. Wood Awn.; Posts- Beam s-Rftrs.-Connectors Shthg.-Rfg.-Bracing 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Carports; Windows -Doors 7. Electric 8. Frmg; Sils-Anchors-Studs-Rftrs-Trusses 9. Siding; Nailing -Veneer -Stucco -Mesh 10. Roof; Shthg-Roofing 11. Ext.; Steps -Doors -Landings Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date POOLS (Plans) OK except #'s 1. Setbacks -Easements 1 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-Panelboards-Ins. to Main in Conduit 9. Health Department Approval 10. Plumb.; Cir. Test -Water Supply Test � 6 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 �t Jam= OK - `- O = Not OK = Not Applicable RESIDENTIAL (Single & Duplex) = Not Ready Date UND RFLOOR (Plans) OK except k's Date FRAMING (Continued) Hing -Setbacks -Easements -Flood -Slope Ftg., Main; Soils -Flet. Grnd.-p=(" Ftg. Depth gg!Cing. Joist-Rftr. ties-Purlin-roof Brac-Truss-Shthng.-Rfng. 4q-Fmeplace Ties or Type A Flue -Fireplace Throat clearance rs-Post Caps -Anchors -Connectors 3. Ftg., Garage; Soils-Steel-Elec. Grnd.-/ /" Ftg. Depth 4. Ftg., Porches & Decks; Soils -Steel-/ /Ftg. Depth 5. Stemwalls, Main; Steel-Blockouts-Wrapped 6. Stemwalls, Garage; Steel-Blockouts-Wrapped 6a. Hold Downs and Special Anchors 7. Slab; Steel -Wrapped 8. Piers -Fireplace Ftg.-Steel 9. D.W.V.; Fall -Fitting -Test -2 Way C/0 -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 & Ducts; Clearance -Material -Support -Ins. 14. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples 15. Access & Ventilation 16. Insulation Date _q( Card B-1 j!V;r,� Date Card B-1 Date Card B-1 Date Card B-1 Date PLUMBING (Permit),OK except fr's 16. Water Htr.: Vent -Access -Combustion Air -Baffle ----------- - ------------------------------ -- -- 17. Pipe; Test & Ancho -Nail Protection 18. D.W.V.; Fittin Anchor -Nail Protection -------- ------ --- - ------------------- 19. Shower Panfirst Floor -Tub Access ------------ - ------------------------- 20. Test T & Shower, SItN nd Floor -Tub Access --------- 0. es ------- ---- ----------------- 21. Pipe: Size & Anchors ----------------------------------------------------------------- Dale -- - -Card B_1 - Date Card B-1 - - --------------------------------------- Date Card B-1 Date Card B-1 Date ELECTRICAL (Permit) OK except ft's - Zk."rixture & Transformer Clearance -Ins. Protection let. --- Receptacles Spacing -Lights & Switches at Doors -. Size Boxes & No_ of Conductors -Stapled - ----------------- &W"R-omex Installed Close to Edge of Studs & C.J. - -- ZP,'auip. Ground made up w!Mech. Fastners-Bond Gas & Water ----- 2 . liance Circuts in Kitchen & Conductor Siz-2/GFI --------------------------------------------------------------------------- 2c'-SwWeed Wire Size r / ga. Cu or AI-A.C. Wire Size r / ga. Cu or AI 29"I"e Circ. / r ga. Cu or AI -Oven Circ. / / ga. Cu or Al. Insulated Neutral ❑ Yes ❑ No ------------------------------------------------------------------------------ 39.--6@rvice_Riser Conductors & Ground_Main Disconnect -- 31-"1 gulp Clearances Panels Motors-Mech. Equip - -- hes Closet Light -Shower Light -Spa Light Smoke Detector --------------------------- --------------------------------------- Date -----1_?&0qCardB_�G�---Date----------- Card B- ------- ----- -------------- Date Card B-1 Date Card B-1 Date MECHANICAL (Permit) OK except Ws 34. A.C. Ducts Insulation & Support ---------------- ---------------------------- ---------------- -------------- 35. Ve Exhaust above insulation ------------------------------ 36. Condensate ai verflow: Size & Grade - 37. Furnan enk A ss -Comb Air -Return Air Veit- t 15 -outlet 38. A -Access-&. Platfor - f Furnance in Attic--------------------------------------------- ----------------------------------------- -------------------------------------- Date Card B-1 Date Card B-1 ------------------------------------------------------------------- ---------- Date Card B-1 Date Card B-1 Date FRAMING (Plans) OK except fr's Sils. Proper Material & Anchors ------- ------- -- - ----------------------------------------------------------- 4 Walls Studs -Nailing. Spacing & Bracing -Plates -Sound Bearing Walls over Girders & Floor Nailing -- ---------- - -----__ ___ -- --- -- ------------------------------------------------- Q2. Draft Stop in Walls (rat proof) - -------------------------------------------------------- 4jf Fire Stops; Furred Ceilings -Stairs -Chases -Tub ------------------------------ 4,01. -----------------------------4fi Headers & Beam -Size & Bearing 0 -ftnic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 0.. rm. Windows or Exiting Doors -Sill Hgt. & Dimensions 5&.--Qarage Fire Protection Framing _ Property Line Firewall & Openings Ext. Doors -One 3' -Check Garage -3rd Story, 2 Exits ----------- `- ----------------- 5'3 t irs; Width -Headroom -Rise -Run -Landing -Fire Protection SCK plywood on Roof Overhang -Attic Vents -Rafter Outriggers 5 i i g -Nailing Veneer -------------------- X. Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access -------------------- --- 5-7"Glazing Area -Glass -Protection -Skylights -Plastic ---------------- 5E--6+tear 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 FIN L (Plans) OK except ft's ------------ - EV- Ext. Steps -Door & Sidelight Protection -Landings oke Detector -------------- ------- - 69 G roar a Vamc-Clearance-Comb. Air -Connector - In Garage; Above Floor -Ducts -Meeh. Protection --------------------------------- bearourn Exiting tures & Tub Access -Spa -------------- ec. Trim & Subpanel; Breaker Sizes & Labels --- El ---- ---- - - -------------------------------------- pve. Clearances -Hearth .eT.-V9I7'O[ttlets at Wood Panel: Int. & Ext. -------------- ----- Appliance: Grnd.-Air Gap -Cooking Clearance --- --------- - - �`6atlets-& Receptacles at Kit. Counter - - - -- - ------ or: Swing -Landing -Closer --- - ---- fC"MC1't,, WINe-Damper - Wtr. Htr: Vents -Clearance -Comb Air-Connector-P.R.V. . In Garage; Above Floor -Meth. Protection --------------- -Plb.. Elec. &Mech. Equip. L tsi ed for Location --------------------------------------- -- ec. eceptacles in Garage; (G.F.I.)-Romex Protection - - --- Ifn%ofation-Foam-Looked in Attic ❑ Yes - Y and Rails & Deck -Construction -Post Caps Fd n. V Crawl Hole Door -Drainage & Wood -Earth lea oked under Floor ❑ Yes - - - ------------ - ----- - Following instid. Drive ❑ Yes ❑ No; Walks ❑ Yes ❑ No; lanters ❑ Yes ❑ No - - ------ -------------------------- ,(-- Stucco_B,n_Finish -- --- ct: Electrical, Plumbing Vents Above Roof; Plbg.-Appliance-Fireplace.-Clearance to Openings _ riNeM----------------- -isconnect, Electrical, Plumbing --- terior Elec. Trim; G F.I. Receptacle -Underground-- ntilation Throughout House --------- V - - - - - - - `--- ---------------------- ---- Ss Protection Corrections from Previous Inspections ------ ---------------------- ---------------------------- 81 -9es�iesl'1�fers Tagged: Gas -Electric ------ --------------- ------------------- ewer Connected -C/O to Grade -HD Approval Energy Compliance Certificate -Other Certificates - Date $ 9 Card B-1 Date Card B-1 -- -- - Q- --ard B----SR---------- Date 1 "t Card B_1 �G,- -Date -- Card B-1 Date Card B-1 Date Card B-1 Comments at Final: Owner Permit No. ENERGY CERTIFICATION LOCATIW A.P. NO. DESCRIPTION OF INSULATION ROOF MATERIAL BRAND NAME THICKNESS THERMAL RES. EXTERIOR WALL MATERIAL ERGLASS BRAND-NAME R AINTEED. THICKNESS TT THERMAL RES. CEILING BATT OR BLANKET TYPE-FiberglasBRAND NAME TAINTEED THICKNESS /0 THERMAL RE LOOSE FILLTYPE INSUL-SAFE IIIBRAND NAME CERTAINTEED THICKNESS THERMAL RES. FLOOR,ELEVATED MATERIAL FIBERGLASS BRAND NAME CERTAINTEED THICKNESS THERMAL RES. i FLOOR, SLAB MATERIAL BRAND NAME THICKNESS THERMAL RES. WIDTH FOUNDATION WALL MATERIAL BRAND NAME THICKNESS THERMAL RES. I HEREBY CERTIFY THAT THE ABOVE INSULATION WAS INSTALLED IN THE ABOVE • BUILDING IN CONFORMANCE WITH THE.STATE OF CALIF. ENERGY REQUIREMENTS. HAWKINS INDUSTRIES INC. # 62.2184 FIRM NAME 0 PR STATE CONTR. L CENSE NO. vI hereby erti-t`he q ve insulation and all required items as shown on.the Building Depart. approved plans and attachments have been installed as required by the State of California Energy Requirements. All equipment, devices and materials are of the quality prescribed or are specifically approved by the State of Calif. -------------------------------- ------------------------------- FIRM NAME/OWNER (PLEASE P.RINT) STATE CONTRACTOR'S LICENSE NO.. SIGNATURE OF GENERAL CONTRACTOR/OWNER DATE This certificate must be on file with the BUILDING DEPARTMENT prior to final inspection approval and a copy shall be posted within the building. JANUARY 1984 COUNTY OF BUTTE . . DEPARTMENT OF PUBLIC WORKS , .. . \ 1489 Humboldt Road, Chico, CA- ml$ 891-2751 7County Center Drive,Orvle CA - al$ 538-7541 / 747 Elliott Road, Paradise, CA - al$ 872-6307 ./ CORRECTION NOTICE.43 OWNER 'PERMIT NO >\ Aroutine inspection wdcat _ that �hfollowing violations aette County Ordinances exi #k the above address and should be corrected. P�_enotify this office when correction of work completed. 9 you hneany questions w9 m &sm�ero _k�adi eP� mo please e a« this office immediately. . . <f . . � Oke \\rip d7 . . « RV nm, \� \ ,. COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 1 7 County Center Drive - Oroville, California 55965 - Telephone: 916/538-7541 !" APPLICATION AND PERMIT y` ASSES - R PARCEL NUMBER 4 30-29 ZO 1NG 5 -• BUILDING PERMIT OWNER Jeffrey & Cheryl Hensley TELEPHONE 342-1463 SO. FT. OCC. BUILDING VALUATION 320 R 16 320.00 OWNER'S MAILING ADDRESS 10102 Jones Ave. Durham 95938 CONTRACTOR'S NAME Unknown TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ 16 320.00 Filing Fee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee 122.50 ARCHITECT OR ENGINEER LICENSE No. Plan Checking Fee Q$ $ 61.25 Energy Plan Checking Fee $ 15.00 ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS Permit fee $ 208.75 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[2 Duplex❑ Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home S I G I W O.00ea TYPE OF WORK New ❑ Addition ® Remodel ❑ Utilities ❑ Installation[] Other ❑ Describe work: fAl ily Room _ Permit Fee $ Contractor ELECTRICAL PERMITFiling Fee 10.00 Main service 600V OR LESS 100 AMP OR LESS 10,00 Main service EA. ADD'L 100 AMP 2.50 CONTRACTORS LICENSE LAW 1 declare under penalty of perjury (check one): El am licensed under provisions of Chapt. 9Div. 3 of the Business and Professions Code and my license is in full force and effect. License No. Classification. 1, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure Is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ontract- ors. ors.(Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONST. DWELLING OCCUP.� OR ADDNS. ( ACC. BLDGS. , p X /4sgft .00 8 NEW CONSTR. ULTI.OUTLET NON-RESID BRANCH CIRC ITS 2.SOea POWER APPARATUS e (,SINGLE OUTLET CIR. Ex. Occup(OUTLETS OR FIXTURES 20@50t IsAL 30 FIXED APPLNS. OR Ex. Occup. OUTLETS (RESID,) EAJ 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring g 15.00 Permit Fee $ 18.00 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. Contractor MECHANICAL PERMIT FiIingFee 10.00 Heating Duct 1 .00 6.00 Cooling Hood 3.00 Ventilation permit Fee $ 16.00 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.TOT 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 aid County in con equence of the granting of this permit. j � �% X Date / Signature of 64licant - Owner ntractor ❑ 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 $ 30.00 occ CONST TYPE L FEE $2 2.75 cuA PARK sc F CDF PAg, Po 1 r+ Issu This permit is hereby issued unser the applicable provi- sions of the Butte County. Code and/or resolutions to do work indicated above for which fees have been paid. DIRECTO PUBLIC WORKS By Date PEQWT EXPIRES Date Receipt No. 97218 WHITE-D.P.W.. YELLOW -ASSESSOR, PINK -INSPECTOR. COLD ENROD-APPL I CANT OWNER COUNTY OF BUTTE - DEPARTMENT OF PU�LIC WORKS - BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA' 95965 - TELEPHONE: 916/538-7541 PERMIT APPLISCATIQN-aAT'`A SHEET _ 114 _ ,Permit No. I zl-**' fl/ - Proposed Building Use ADi2 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 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 Oyout 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 ......................................... School District fees paid .............. 4. Sanitation approval from -- i 4 C D Health Department 0 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:�(�3) 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 .................. 44. 11,Owner-Builder Verification (Given to owner , Mail to owner ❑) ..... Recorded copy of Agricultural Acknowledgment Statement ......... Letter of signat a aut orization................................... 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 n Appl icant Date Copy of Haz-Mat form sent Health Dept. Fire Dept. air Pol ution Date Copy of plans sent _Health Dept. Fire Dept. Other Date By The following data -must be -submitted prior t ot_cgerLAnd above). 1. Index permit for above items No. ee%A 771 Additional items required: N Contractor, designer, owner, was advised of above required data by—"'phone_-nailcounter �y_ date Contractor, designer, owner, was advised of above required data by_phone_mall_cp}�terdate Ehecked by Date Sets of plans on hold in,,zF/ile cabinet Copy—DPW Plans approved by AP folder Date TO FROM: BuildinC Department Environmental Health SUBJECT: Sanitation Clearance svner Locition AP# Plan Approved for: Sewage Disposal Water Supply Hold final for: Water Supply Final clearance O.K. for: Water Supply -TorN),j Clearance for bedroom mobile home. Other NOTE San tartan Date COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT NO. 7 County Center Drive - Oroville, California 95965 - Telephone: 916/538-7541 APPLICATION AND PERMIT ASSESSOR PAR EL NUM J • ^ O ZONING - BUILDING PERMIT OWNER L TELEPHONE .S O. FT. OC BUI PING VALUATION OWNER'S MAILING AD RE7SS COiNTRACTOR'S NAME TELEPHONE CONTRACTOR'S MA LING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ Filing Fee $ 10 LENDER'S MAILING ADDRESS Permit Fee $ 77,5 ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee , $ 02 I Energy Plan Checking Fee $ t�V ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS ^ / 'l!/l Permit fee $ PLUMBING PERMIT Filing Fee .00 I Each Trap 2.00 Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP Water piping Z 5,00 Each qas water heater r vent 5.00 USE OF STRUCTURE SF,JV Duplex❑ Mobilehome❑ Other SPECIFY Gas piping syste - 5 outlets 5.00 Building sewe 5.00 Mobile Hom JSTG W 10.00 ea TYPE OF WORK Ne*Additior, Remodel[:]`Ultilitie ❑ InstallationOther E] Describe work: ��•�l� Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 100 AMP OR1 OR LESS10.00 Main service EA. ADO'L too AMP 2.50 CONTRACTORS LICENSE LAW 1 declare under penalty of perjury (check one): ❑ I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in full force and effect. License No. Classification. 1, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I. as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. Business and Professions Code for this reason NEW CONST. DWELLING OCCUP.aJ OR ACDNS. ACC. BLDGS. /z¢sgft NON•R ESID R. BRANCH CIRCTITS 2.50 ea POWER APPARATUS tr SINGLE OUTLET CIR. Ex. OCcup(OUTLETS OR FIXTURES 20080t eALO 30 FIXED APPLNS, OR Ex. Occup. OUTLETS (RESID.) EA.) 1 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 Permit Fee $ Contractor WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self-insure. j I shall not employ any person in any manner so as to become subject 1� 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 FiIirig Fee 10.00 Heating G 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 Countyof Butte to enter upon the above-mentioned property for inspection purposes. 1 also agree to save, indemnify and keep harmless the County of Butte againstryg2 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 �7 — TOTAL FEE $ p< r 7 CUA I PARK SCHL FLD F PAR I PD i HD • ISSUE This permit is hereby issued unser the applicable provi- sions of the Butte County. Code and/or resolutions to do work indicated above for which fees have been paid. DIRECTOR OF PUBLIC WORKS By Date PERMIT EXPIRES Date Receipt No. WHITE-D.P.W., YELLOW-ASBL»OR, PINK -INSPECTOR. GOLDENROD -APPLICANT COUNTY OF BUTTE -.Department of Public Works 7 County Center Drive, Orovillt, CA 95965 OWNER -BUILDER VERIFICATION Phone: 916-538-7541 Attention Property Owner: An 'owner -builder" building permit has been applied for in your name and bearing your signature. S Please complete and return this information at your earliest opportunity to avoid unnecessary delay in processing and issuing your building permit. No building permit will be issued until this verification is received. 1. I personally plan to provide the major labor and materials for construction of the proposed property improvement (yes or no) / 2. I (have/have not) signed an application for a building permit for the proposed work. 3. I have contracted with the following person (firm) to provide the proposed construction: Name Address Phone Contractors License No. City 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. E 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 igned : Property Owner 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. .FORM 7 ADDITIONS TO RESIDENTIAL BUILDINGS ENERGY SHEET PACKAGE "A" (Additions) Owner Climate Zone / Permit # �9 —qL Floor Area 3� The following data showing mandatory and required features of Package "A" shall be installed for additions to dwellings. Additions to dwellings include room additions, converting garages and patios to living areas, house moves that add footage and attic conversions, and any space that is existing non -conditioned space that is converted to conditioned space. Remodeling of existing conditioned space is not included. APPLIES TO NEW AREA CEILING WALL FLOOR SLAB GLAZING SHADING SOUTH - OPTIMUM OVERHANG ZONE 11 R-30 R-11 R-11 R-7 U-.65 (Dual) .or .36 Shading Coefficient WEST - .36 Shading Coefficient LOOSE FILL INSULATION (Density) ZONE 16 R R R U1.6D (Dual) INFILTRATION CONTROL (Weatherstrip__doors, certified windows, caulking) DUCTS PER UNIFORM MECHANICAL CODE - Ch. 10 LIGHTING KITCHEN & BATH NOT LESS THAN 25 LUMENS/WATT MAXIMUM GLAZING 16% OF AREA PLUS REMOVED GLAZING NEW HEATING, VENTILATING, AIR CONDITIONING AND HOT WATER SYSTEMS IN CONJUNCTION WITH AN ADDITION SHALL BE INSTALLED AS SHOWN ON BACK OF THIS SHEET. OTHER ol)N TY ,qG *1 > HEATING. VENTILATING, AIR CONDITIO_NING'SYSTEM" (A) Heating ❑ Central Gas.'Furnace, (brand and model number) SE Btu/hr (heating capacity) ❑ Heat -Pump (brand and model number) ACOP Btu/hr (heating capacity at 47°F) ❑ Active Solar type (liquid or air) Collector brand and ft2 model number solar fraction, collector area collector orientation collector tilt rated y -intercept rated slope , ❑ Other (describe) *1. (B) Cooling ❑ Electric Air Conditioner (brand and model number) (seasonal EER) Btu/hr (cooling.capacity at 95°F) ❑ Electric Heat Pump EER Btu/hr (cooling capacity at 95°F) ❑ Other —., (describe) DOMESTIC WATER SYSTEM ❑ (A) Gas Only Gallons (brand and model number) (tank size) ❑ Heat Pump w/Electric Backup (brand and model number) Gallons (tank size) ❑ *2 Active Solar (collector brand and model number) (rated y -intercept) (rated slope) (solar fraction) ft (backup heater type, brand and model number) (collector area) (collector orientation) (collector tilt) ❑ Location of Solar Panels ❑ Other (Describe) *1 Submit documentation of sizing heating and cooling equipment by Manual J, sizing charts (form #4) or other approved methods, section 2-5352(g), and fill out the following. Heating: Winter design temperature °, elevation ', heating load BTU elevation factor x heating load maximum outlet capacity gas furnace BTU Cooling: Summer 'design temperature ", cooling load BTU *2 Submit T.I.P.S.E. chart'or other approved system (form #5) to document sizing of solar panels. ® DESIGN COMPLIANCE STATEMENT: The above building design meets the requirements of Title 24, Part 2, Chapter 2-53 of the California Administration Code. SIGNATURE0 UILD NG DZSIGNEROR LICANT BUTTE COUNTY SCHOOLS DEVELOPMENT FEE CERTIFICATION FORM (One Form -per Buildipg) ' Building Department No. A.P. Number �""3Q"",, School District �(/`� City [:D County ;F;],,. Jurisdiction Property Owner FP P;::V --Y.L ,�5 Z.- Ire, `� y Project Location/Address D (J 41 1A Subdivision, ,' Lot Number Residential Development: 4 a ��Sq. Footage . # of Living MHI Addition .(Group R) Units a ' Commercial/Industrial O Sq..�;Footage- )New Addition (Including Exterior Roofed Areas). j4' h 2_16?/ B ilding D partme t Representative Dat ******************************************************************* (Floor Plans reviewed by School District Personnel) District Id No. y School District certifies that dolr Je (Applicant Name) (Phone Number) (Street Address (City) ; (State) has complied with the requirements of Resolution No. by the C payment off $ representing ol.District Representative (Zip Code) square feet. Date PAID BY CHECK NO. REMARKS: BANK `NO PAID BY CASH white -applicant, yellow -building department, pink -school district SCHOOL.FEE (8/88) r" .1 COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 - Telephone: 916/538-7541 APPLICATION AND PERMIT PERMIT N0. ASSESSOR PARCEk NUMBER 6- 50 - X ZONING 5 BUILDING PERMIT OWNER TELE H NE ,SQA FT. OCC.1 BUILDING VALUATION snaresCalros lion 560.00 OWNER'S AILING ADDRESS WA6pr, D rho. CA CONTRA , Sierra Roofing Co. T P E CONTRACTOR'S MAILING ADDRESS PO Box Fireplace ONL R CONSTRUUNKNOWN Total Valuation $ LENDER'S MAILING ADDRESS Filing Fee $ 10.00 Permit Fee $ 26.50 ARCHITECT OR ENGINEER LICENSE No. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS 10102 Jones kgmwel Durham, Ca 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 U Duplex❑ Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home S G W MI -000 jI$ TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation❑ Other Describe work: _ Reroof Fbuse & Garage I Permit Fee Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 100 AMP OR00V OR LESS10.00 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 BUS'nes$ and Professions Code and my license is in full force and effect. 299844 C 39 License No. Classification Fl1, 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 contact— ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONST. DWELLINGoCcuP.& OR ADDNS. ( ACC. BLOGS. / /22Sgft NEW CONSTR. ULT'.OUTLET NON.RESID BRANCH CIRCUITS) 2.50 ea POWER APPARATUS e (SINGLE OUTLET CIR. ) Ex. Occup(OUTLETS OR FIXTURES 20050C BALD 30 FIXED Ex. Occup. OUTLETS PRESID IAPLNS.REA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 . 9 15.00 Permit Fee $ WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑I have placed on file with the County of Butte Building Department X 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 Countyot Butte to enter upon the above-mentioned property for inspection purposes. 1 also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue against said County in consequen a of the granting of this permit. X Date 72-21-89sions Signature of Applicant — Owner ❑ C ntractor ❑ Agent ❑ An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST TYPE TOTAL FEE $ 36.50 HAz I CUA PARK I SCHL I FLD I PAR I PD HD IssuE This permit is hereby issued under of the Butte County. Code and/or work indicated above for which fees DIRECTOR OF PUBLIC By PE &IT EXPIRES Date the applicable provi-, resolutions to do have been paid. WORKS Date 17— /Z --t 7— o Receipt NO. WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT FLOOD PLAIN DECLARATION I declare the actual value of the proposed construction work under build- ing permit application 2 c} 3_' - at./®�0), J"Cs Ave . A.P. # forGYyI/L, 4d Jt f/UDi does not equal or exceed the definition of "Substantial Improvement."* I am aware the building site is in a flood -plain area, even though I am not required to comply with the flood plain management criteria. PROPERTY OWNER y_ ADDRESS PHONE NO. I:__- u�- /� DATE *Substantial improvement is defined as follows:. Any repair, reconstruc- tion, or improvement of a structure, the cost of whi'c'h' -equals or exceeds 50% of the market value of the.structure either, (a) before the improvement or repair is started, or (b) if the structure has been damaged, and is being restored, before the damage occurred. NOTE: Documentation may be required to substantiate costs. � A �»� yam, , �t � �� �.• ," ����-{�,rr����;ti+�. 1���� � ! ' r� .�"�. +y1 i ♦. i �,�,7i. tYnyy�t�',}yi��`'!�r�lJ�yl. T. �'� �xl, .. a_. . I a # ':. �''.F.k � t,t'�' �1�f' cr-��{ f.�.i'v.�c�t ��i r 'r.'•� '�� '���.�� "`moi •a` � � �Jl- A�'P (K� �� fJ �'�}s'•�" '"sf ,.< .. � • it ��•J ��f�j�/��y�4t••j y� !Jnr .{. 'i .. I ' 121 i I OIN NJ iTCNEN 1w SuOiivC� Xi /loO3 X/,2 /Z!GriE o�Y O 19 tl or i .. .I u t,�.F .;.y t�,� f � J}r,'��,,.. �, .,. • : � J�X Ia4N��- �}'"X /�"he��DCJ� } t .> >.� +�S'it r •J i�2�;y�'nt`'d ��}ia � S .ay; � i.�" . �( u\ l v,67lz 1�001r 't�(? x �8"o,c,.�rTac�! T►� Z,c i, t��T12. l t,"o�G, Tyr, , ro t�`ftz5 w/ (b) I L04 -- 2 �1 i _ f.� �1�1D,.• � f. t 1, G....) , (.' 41.• O . L . LJ SOLI t� L44 GH 1X1�T.. _ •ft - 3 8 A Ti1G /Z." GYP . 15 O. 's`(t' Z,_D'1G, U TTS -z - ?-- 1 N'SUL,. �TYP, ra W,�.t..•lg. C.L.NGS T7lP. U T I Li -Ty l � `1 -� CZDOM of / .5 - GoA-r 5'f U G.GO 'TYr, tj �InIL�GI1 fa�7,1< 4 •S-rUf�a -P It, "0,4, -rrf it.- 19 I W SLJ L ' i. O' -D" rill . 1'LiZ TYP.. vul �I:Ii�T"h),'Wa.NDI. L1,+NT �+Dr✓ } r 1 I } �I ' ttl_... }Jiy •'jl);r i�df-= i!i �I I""' ; � �..1►j �.IE ..• )►�� } - Z • j�,5'P+-1 �.1�T C.G M�'. SH} htG l.t*.'cj , -ry f TrL • 8 -0" ft'f LU _ 1-17 2 644 C Lahr S T'U u -v_ I' V THIL � oars► ��>� T12ih�1 ._,._. _._ _.._ _ _. � _ _ - - �I2�,�•k . WA.I11S Ga.T'11.1G1 . ex I ST I N N �/ I�1 Q o� Io► " 00 Z Zoo, Lead ;;4m I �Y cn� s o ip ti APPROVED (.Fl GONG. i',hT1c7 E 10, I O 12,� Vit (tq Lr lvlw4v-?oM o Butte County L-x,ST. nm n eelt IWO Al ft, 11 MSTR- ' 'f�-; j ' —�� - I - - - etur C Q , ► liX 1 �vi.►C. �oNv�rT _ Er .�'nfiai fie- t ------------- N < MAY Chico, CA gEMOvE. �S_F_=VG �'N L - 3°2 -- - I (G) L-04-0 u Nr .i.S M'(e ter}L, •T►��ao►.� otInoi� l� 1;� G►Ak'-�Y„� W L.L. �. Li N„ D 1 O 2. J 0 Q �S AYE p�gzOpM >; 20 1-0 1) �. fiiillST �, 1 • Di2Nf.L•L�Y i LX 4 WALLS •ro gE cows 2UC,-rao �' 1 f x 15-x' 1►.1 G 2x 4- W 4L-.L-� .. = AXI sTI V4 e., W,a TO 6G ►oil c:.�3 , P -� ► s O C� • 0 2.`"j 100 - 9i , g 0 0 STOCKBRAFTINO FORM NO. 101.56 RC - DRAWN CHECKED DATE L�- . tj . O SCALE NO TV-):;) JOB NO. SHEET OF f..• SHEETS