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040-300-046
v, -A .P . ! 0-30-� 6 S GENE F. CAMP app. 2000' so. of Midw y on e/s Jone Y 61-69B CAMP, Gene . Acre • , Durham � 61-69P Permit 18/4-73B,P,E M / a��% (new single family] I / 0-30-4 � LOT BLOCK SUBDt - A.P. 40-30-46 e�s Jones Ave. 2000' so. of M�12�1% ° ,f GENE F. CAMP (new single family) / TYPE OF app. 2000' so. of dway on' e/s J I PERMIT PERMIT NO. PLAN NO. DATE Ave . , Durham/� / Permit 1081-73B,E / (convert_porch_to_ 'vines 040-300-046 01-0287-- OLOCHWOST, TONY 10082 JONES AVE., DURHAM CONTR: OWNER GUEST HOUSE LiV"} ' 4 --300-046 04-2644 , CRAMER, ARNOLD `- 10082 JONES AVE, DURHAM I Cont: FOUR COUNTIES ROOFIN, . REROOF 040-300-046 06-0307 CRAMER, ARNOLD ' 10082 JONES AVEN, DURHAM Cont: AIR-ART HEATING HVAC C/O I { PERMIT DESIGNATION: B—BUILDING E—ELECTRICAL U—USE PERMIT HM—HOUSE MOVING DEPARTMENT OF P—PLUMBING TV—RADIO-TV ANTENNA V—VARIANCE EP—ENCROACHMENT BUILDING AND SAFETY T—TRAILER S/W—SIDEWALK NOTICE S— SIGN PERMIT D—DEMOLITION 600.1 l-7 INSPECTION RECORD BUILDING APPROVALS 1-W aZ DESIGNATION SIG. Z DNI- UJ 0 n J O Z ZN m rc 2 It �` O Zg - O �� '� pW �g ?a pW I- 'SIL N Y um U j a< <� OLL U w Ir a J IL SIG. DATE SIG. DATE SIG. DATE SIG. DATE SIG. DATE SIG. DATE SIG. DATE SIG. DATE SIG. DATE SIG. DATE SIG. f DATE SIG. DATE M11,1aciefwmai"ril W., fjok PERMIT NUMBER, SIG. DATE SIG. DATE SIG. DATE SIG. DATE SIG. DATE ROUGH -IN' GAS PRESSURE TEST WATER PIPING SEWER LINE APPLIANCES & VENTS FINAL ELECTRICAL APPROVALS PERMIT NUMBER, SIG. DATE SIG. DATE SIG. DATE SIG. DATE SIG. DATE ROUGH -IN FIXTURES & APPLIANCES METERS FINAL MISCELLANEOUS APPROVALS PERMIT NUMBER, DESIGNATION SIG. DATE SIG. DATE SIG. DATE SIG. DATE SIG. DATE ' NOTES RESIDENTIAL .PERMIT NO.CLTI /3AJ'V l(o ()`i—�l CrwnV1 C'XJ �mbO jCogc� TonesAo �.►�r,�m u i 11 SPECIAL CONDITIONS 11 SRA FLOOD CERTIFICATE REQ. FIRE SPRINKLERS REQ. SPECIAL INSPECTION ITEMS VERIFY USE PERMIT CONDITIONS SUB -STANDARD HOUSING LETTER JOB FINALED (Date) b G. Signature �©o / 1 CHECKED BY J=OK 0 = Not OK . = NotReadyabte 7. MOBILE HOMES Date MOBILE HOME UTILITIES (Plans) OK except #'s Utility Clearance 1. Zoning Requirements -Setbacks -Easements Wood Awn.; Posts- Beams- Rftrs-Connectors Shthg-Frg-Bracing 2. Soils; Special MH Support Sketch 6. 3. Sewer; Location -Test -Fall -C/0 -Concrete Card B-1 Date Card B-1 4. Water; Location -Test -Easement Needed (Sketch) Card B-1 Date Card B-1 5. Electricity; Location-Clearances-Grnd-/ /Amp -Concrete Roof; Shthg-Roofing 6. Gas; Location -Test -Wrap;-/ /" L 'ft. / P Nat. or / /" L "ft./ P LPG MISCELLANEOUS Date DECKS, COVERS, CARPORTS, GARAGES (Plans) OK except #'s 7. Well Clearance & Disconnect 2. 8. Utility Clearance 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. Date 7. Card B-1 Date Card B-1 Date Frmg.; Sills-Anchors-Studs-Rftrs-Trusses Card B-1 Date Card B-1 Date MOBILE HOME INSTALLATION (Plans) OK except #'s Roof; Shthg-Roofing 1. Zoning Requirements -Setbacks -Easements 12. 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 Date 11. Cert. of Occupancy Date Card B-1 Date Card B-1 Date Card B-1 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 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, 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 J=OK 0 = Not OK - = Not Applicable . = Not Ready RESIDENTIAL (Single & Duplex) Date UNDERFLOOR (Plans) OK except #'s Insulation -Walls -Ceilings 1. Zoning -Setbacks -Easements -Flood -Slope Infiltration -Walls -Windows 2. Ftg., Main; Soils-Elec. Grnd.-/ /" Ftg. Depth Card B-1 Date Card B-1 3. Ftg., Garage; Soils-Steel-Elec. Grnd.-/ P' Ftg. Depth Card B-1 Date Card B-1 4. Ftg., Porches & Decks; Soils -Steel-/ /" Ftg. Depth 5. Stemwalls, Main; Steel-Blockouts-Wrapped 6. Stemwalls, Garage; Steel- Blockouts-Wraoped 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 -Anchors -Regulator -Service Test 12. Electric Underground 13. Plenums & Ducts; Clearance -Material -Support -Ins. 14. Girders -Sills -Anchor Bolts-Joists-Vents-C,ippies Elec. Outlets & Receptacles at Kit. Counter 15. Access & Ventilation Garage Fire Door; Swing -Landing -Closure 16. Insulation A.C. Duct in Garage -Damper 77. Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date PLUMBING (Permit) OK except #'s 80. 17. Water Htr.; Vent -Access -Combustion Air Baffle 81. Guard Rails & Deck Construction -Post Caps 18. Water Pipe; Test & Anchor -Nail Protection Fdn. VBents & Crawl Hole Door Drainage & Wood -Earth 19. D.W.V.; Test Fittings & Anchor -Nail Protection Clearance Looked under Floor O Yes 20. Shower Pan; Test, First Floor -Tub Access Following Instld./Drive 0 Yes 0 No/Walks 0 Yes 0 No/Planters 0 Yes 0 No 21. Test Tub & Shower, Second Floor -Tub Access Stucco Brown -Finish 22. Gas Pipe; Sixe & Anchors A.C. Unit Disconnect, Electrical -Plumbing 23. Fire Sprinkler; Test Vents Above Roof, Plbg-Appliance-Fireplace-Clearance to Openings 87. Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date ELECTRICAL (Permit) OK except #'s 90. 24. Fixture & Transformer Clearance -Ins. Protection 91. 25. Elec. Receptacles Spacing -Lights & Switches at Doors 92. 26. Size Boxes & No. of Conductors Stapled 93. 27. Romex Installed Close to Edge of Studs & C.J. 94. 28. Equip. Ground made up w/Mech Fasteners -Bond Gas & Water 95. 29. 2 Appliance Circuits in Kitchen & Conductor Size GFI 96. 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 0 No 32. Service -Riser Conductors & Ground Main Disconnect 33. Equip. Clearances Panels-Motors-Mech. Equip. 34. Clothes Closet Light -Shower Light -Spa Light 35. Smoke Detector Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date MECHANICAL (Permit) OK except #'s 36. A.C. Ducts Insulation & Support 37. Vent Fan, Exhaust above insulation 38. Condensate Drain & Overflow, Size & Grade 39. Furnace -Vent Access -Comb. Ait-Return Air Vent 115 Outlet 40. Attic Access & Platform if Furnace in Attic Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date FRAMING (Permit) OK except #'s 41. Sills Proper Materials & Anchors 42. Walls Studs -Nailing Spacing & Braces -Plates -Sound 43. Bearing Walls over Girders & Floor Nailing 44. Draft Stop in Walls (rat proof) 45. Fire Stops, Furred Ceilings -Stairs -Chasers -Tubs 46. Headers & Beams -Size & Bearing Date FRAMING (Continued) 47. Hangers -Post Caps -Anchors -Connectors 48. Cling. Joist-Rftr. Ties- Purlin-Roll Brac.-Truss-Shting.-Rtng. 49. Fireplace Ties or Type A Flue -Fireplace Throat Clearance 50. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 51. Bdrm. Windows or Exiting Doors -Sill Ht. & Dimensions 52. Garage Fire Protection Framing -RC Channel 53. Property Line Firewall & Openings 54. Ext. Doors -One 3' -Check Garage 3rd Story, 2 Exits 55. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 56. Plywood on Roof Overhang -Attic Vents -Rafter Outriggers 57. Siding -Nailing Veneer 58. Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access 59. Glazing Area -Glass Protection -Skylights -Plastic 60. Shear Walls; Nailing -Bolts 61. Brace Interior/Exterior Wall Panels 62. Insulation -Walls -Ceilings 63. Infiltration -Walls -Windows Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date FINAL (Plans) OK except #'s 64. Ext. Steps -Door & Sidelight Protection -Landings 65. Smoke Detector 66. Furnace Vents -clearance -Comb, Air -Connector - In Garage; Above Floor-Ducts-Mech. Protection 67. Bedroom Exiting 68. G.F.I. & Bath Fixtures & Tub Access -Spa 69. 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 Garage; Above Floor-Mech. Protection 78. Plb.; Elec. & Mech. Equip. Listed for Location 79. Elec. Receptacles in Garage (F.F.I.)-Romex Protection 80. Insulation -Foam -Looked in Attic 81. Guard Rails & Deck Construction -Post Caps 82. Fdn. VBents & Crawl Hole Door Drainage & Wood -Earth _ Clearance Looked under Floor O Yes 83. Following Instld./Drive 0 Yes 0 No/Walks 0 Yes 0 No/Planters 0 Yes 0 No 84. Stucco Brown -Finish 85. A.C. Unit Disconnect, Electrical -Plumbing 86. Vents Above Roof, Plbg-Appliance-Fireplace-Clearance to Openings 87. Water Well, Disconnect, Electrical, Plumbing 88. Exterior Elec. Trim, G.F.I. Receptacle -Underground 89. Ventilation Throughout House 90. Glass Protection 91. Corrections from Previous Inspections 92. Gas Test -Meters Tagged, Gas -Electric 93. Water & Sewer Connected -C/0 to Grade -HD Approval 94. Energy Compliance Certificate -Other Certificates 95. Address Posted 96. Fire Sprinkler Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Comments at Final: SPECIAL CONDITIONS. CHECKED BY SRA. FLOOD CERTIFICATE REQ. FIRE SPRINKLERS REQ. SPECIAL INSPECTION ITEMS VERIFY USE PERMIT CONDITIONS. SUB -STANDARD HOUSING LETTER d=OK o = Not OK Not Appricable . = Not Ready 1.®BILE HOMES Date MOBILE HOME UTILITIES (Plans) OK except #s 1.Zoning Requirements -Setbacks -Easements 2. Sols; Special MH Support Sketch 3. Sewer, Location -Test -Fall -C/O -Concrete 4. Water, Location -Test -Easement Needed (Sketch) S. Electricity; Location-Clearances-Gmd-/ /Amp -Concrete 6. Gas; Location=Test-Wrap;-/ -P L'fL' ' . -/ P Nat. or/ , /" L "AJ .P LPG 7. Well Clearance if Disconnect 8. Utility Clearance •- Date Card B-1 Date Card B-1 Date bard B-1 = Date Card B-1 Date M(BILE 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 -Flet Connector 6. Water, MH Test-Regulator-Connedoe 7. Water and Sewer Connected -C/O to Grade -HD Approval B. Gas and Electricity Tagged 9. Tie Downs -Type -Installation Cert 10t Exits; Insp: Sketch 11. Cert of Occupancy MISCELLANEOUS Date DECKS, COVERS, CARPORTS, GARAGES (Plans) OK except Vs Date Card B-1 Date Cant B-1 Date =Card B-1 Date'. - - .Card B-1 Date PERMANENT END SYSTEM (ONLY) 5.• Alum. Awn.; Columns-Connections-Splice-Decal-Endosures 'L Zoning Requirements-Setbacks-Easem;r 7. Electric �. Footings; Size -Spacing -Marriage Line 8. Frmg.; Sills-Anchors-Studs-Rftrs-Trusses Bloc(wg 10. Roof; Shthg-Roofing • - �.- Gas; MH TesVDemand-Valve 11. Ext.' Step -Doors -Landings 5. -Electricity-, MH Test 6. Water, MH To _ .- Card B-1 ; Date Cana B-1 Date :. Water and Sewei Connected _ s_ POOLS (Plans) OK except al's - S. Gas and Electricity Tagged 1. Setbacks -Easements _ 9. Exits- 3. Pool Structure; Steet-Connections-Thickness Dead Men -Lining " 1 1. License Decals - - 11. Verify Ws with Office . 6. Elec.; Enclosures; Conduit Entries -Terminals -Listed 7. Elm; Bonding; Metal w/5'-irculating Equip. -Heater 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 Vs 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-Endosures 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.' Step -Doors -Landings 12. Braced Wall Panels' Date Card B-1 ; Date Cana B-1 Date . Card B-1 Date Card B-1 Date POOLS (Plans) OK except al's - 1. Setbacks -Easements 2. Soils; Compaction -Stricture Stablity 3. Pool Structure; Steet-Connections-Thickness Dead Men -Lining _-4. Elec.; Receptacles and Lighting, Distance-GFI 5. Sec.; Pool Lighting; 15 Volts-GFI . 6. Elec.; Enclosures; Conduit Entries -Terminals -Listed 7. Elm; Bonding; Metal w/5'-irculating 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 I = OK 1 = Not OK = Not Applialde zi Ndt Ready RESIDENTIAL (Single & Duplex) Sate UNDERFLOOR (Plans) OK except #'s 1. Zoning -Setbacks -Easements -Flood -Slope 2. Ftg., Main; Soils-Elec. Gmd./ r Ftg. Depth 3. Ftg., Garage; Sols-Steel-Elec. Gmd. / r Ftg. Depth 4. Ftg., Porches & Decks; Soils -Steel-/ r Ftg. Depth S. 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 -potting -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. 14. Girders -Sills -Anchor Bolts-Joists-Vents-Crippies 15. Access & Ventilation 16. Insulation Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date PLUMBING (Permit) OK except #'s 17. Water Htr.; Vent -Access -Combustion Air Baffle 18. Water Pipe; Test & Anchor -Nal 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 22. Gas Pipe; Sixe & Anchors 23. Fire Sprinkler; Test Date Cana B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date ELECTRICAL (Permit) OK except #'s 24. Fixture & Transformer Clearance -Ins. Protection 25. Elec. Receptacles Spacing -Lights & Switches at Doors 26. Size Boxes & No. of Conductors Stapled 27. Romex 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. Sutifeed Wire Size/ /ga. Cu or AI -AC. Wire Size/ /ga Cu or AI 31. Range Circle/ /ga Cu or AI -Oven Circ. / /ga Cu or AI Insulated Neutral O Yes O No Date 32. Service -Riser Conductors & Ground Main Disconnect 33. Equip. Clearances Panels -Motors -Meth. Equip. 34. Clothes.Closet Light -Shower Light -Spa Lit 35. Smoke Detector 50. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date MECHANICAL (Permit) OK except #'s 36. A.C. Duds Insulation & Support 37. Vent Fan, Exhaust above insulation 38. Condensate Drain & Overflow, Size & Grade 39. Furnace -Vent Access -Comb. Ait-Retum Air Vent 115 Outlet 40. Attic Access & Platform 'rf Furnace in Attic Date Cana B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date FRAMING (Permit) OK except k's 41. Sills Proper Materials & Anchors 42. Walls Studs -Nailing Spacing & Braces -Plates -Sound Date 43. Bearing Walls over Girders & Floor Nailing Date 44. Draft Stop in Walls (rat proof) Date 45. Fire Stops, Furred Ceilings -Stairs -Chasers -Tubs 46. Headers & Beams -Size & Bearing Date FRAMING (Continued) 47. Hangers -Post Caps -Anchors -Connectors 48. Cling. Joist-Rftr. Ties -Pullin -Roll Brac: Truss-Shting: Rtng. 49. Fireplace Ties or Type A Flue -Fireplace Throat Clearance 50. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 51. Bdnn. Windows or Exiting Doors -Sill Ht & Dimensions 52. Garage Fire Protection Framing -RC Channel 53. Property Line Firewall & Openings 54. Ext Doors -One T -Check Garage 3rd Story, 2 Exits 55. Stairs; Width -Headroom -Rise -Run -Landing -Fre Protection 56. Plywood on Roof Overhang -Attic Vents -Rafter Outriggers 57. Siding -Nailing Veneer 58. Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access 59. Glazing Area -Glass Protection -Skylights -Plastic 60. Shear Walls; Nailing -Bolts 61. Brace Interior/Exterior Wall Panels 62. Insulation -Walls -Ceilings 63. I nfiltration-Walls-Windows Date Card B-1 Date . Card B-1 Date Card B-1. Date Card B-1 Date FINAL (Plans) OK except #'s 64. Ext. Steps -Door & Sidelight Protection -Landings 65. Smoke Detector 66. Fumace Vents -clearance -Comb, Air -Connector - In Garage; Above Floor-Ducts-Mech. Protection 67. Bedroom Exiting 68. G.F I. & Bath Fixtures & Tub Access -Spa 69. 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. Dud in Garage -Damper 77. Wtr. HV.; Vents -Clearance -Comb. Air Connector-P.R.V. in Garage; Above Floor -Meth. Protection 78. Plb.; Elec. & Mech. Equip: Listed for Location 79. Elec. Receptacles in Garage (F.FI.)-Romex Protection 80. Insulation -Foam -looked in Attic ) 81. Guam Rails & Deck Construction -Post Caps 82. Fdn. VBents & Crawl Hole Door Drainage & Wood -Earth Clearance Looked under Floor • Cl Yes 83. Following tnstldJDrive D Yes O No/Walks O Yes O No/Planters O Yes 0 No 84. Stucco Brown -Finish 85. A.C. Unit Disconnect, Electrical -Plumbing 86. Vents Above Roof, Plbg-Appriance-Fireplace-Clearance to Openings 87. Water Well, Disconnect, Electrical, Plumbing 88. Exterior Elec. Trim, G.F.I. Receptacle -Underground 89. Ventilation Throughout House 90. Glass Protection 91. Corrections from Previous Inspections 92. Gas Test -Meters Tagged, Gas -Electric 93. Water & Sewer Connected -C/O to Grade -HD Approval 94. Energy Compliance Certificate -Other Certificates 95. Address Posted 96. Fire Sprinkler Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Comments at Final: RVAC SYSTEMS Heating Equipment Type and Capacity fumacp heat pump,boiler, etc. Minimum Efficiency APUE or HSPF) Distribution Type and Location Duct or Piping Thermostat Configuration (duct& attic etc. R -Value or packago_ O i S PA C add U -.(Split fJuc lr\A7[ic- kT ja C Ac. A � �Ob �I Se T A C AC Telephone: g g s_ l g 2 CD Telephone: r.iccnsc �: 3'J � 3 0 2 06 1 (Signature) 4 1 (dntc) Cooling Equipment Type and Capacity (A/C, heat pump, evap. cooling) Minimum Efficiency (SEER or EER Duct Location attic, etc Duct Thermostat Configuration R -Value Type (split or acka e `.I - 7�� PAC kq 12 S E A-[ , t C- �I Se T A C AC Telephone: g g s_ l g 2 CD Telephone: r.iccnsc �: 3'J � 3 0 2 06 1 (Signature) 4 1 (dntc) (si tatute (ll'SiC) COMPLIANCE STATEM)ENT This certificate of compliance lists the building featuros and specifications needed to comply with Title 24, Parts 1 and 6 of the California Code of Regulations, and the administrative regulations to implement them. This certificate has been signed by the individual with overall design responsibility, The undersigned recognizes that compliance using duct design, duct sealing, verification of refrigerant charge and TXVs, insulation installation quality, and building envelope sealing require installer testing and certification and field verification by an approved HF -RS rater. DPSlVtier or Owner InprRrac;na c onA U.,nF~e ;— r„aol Nemo: Cd1v�� w �l2 Namc:------ - - TittelP'itni: AtrZ-A R i 14 TG � A/C Titic/Firm: Address: 140-7 Al-iod 57 Address: CV,,(o CA. �5 q-20 Telephone: g g s_ l g 2 CD Telephone: r.iccnsc �: 3'J � 3 0 2 06 1 (Signature) 4 1 (dntc) (si tatute (ll'SiC) "Compiled from pages 1,2 St 5 of April 2005 CF -1 R form. BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT 24 HOUR INSPECTION M (530) 538-7636 (OROVILLE) (530) 891-2834 (CHICO) OFFICE #: (530) 538-7541 PERMIT NO. BP060307 PERMITS BECOME NULL AND VOID 1 YEAR FROM THE DATE OF ISSUANCE, OR IF WORK IS DONE IN VIOLATION OF ANY COUNTY OR STATE LAWS. LICENSED CONTRACTORS DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of Issued Date: 02/09/2006 APN: 040-300-046-000 . the Business and Professions Code, and my license is in full force and effect. ( C) — Jam' License Class : \ - 1 r. License Number: % 7 �� Site Address: 10082 JONES AVE DUR Date: Contractor: Akf,- Aa i Map Index: Description: REPLACE PACKAGE HVAC p 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 Owner: CRAMER ARNOLD & JERI to its issuance, also requires the applicant for such permit to file a 10082 JONES AVENUE signed statement that he or she is licensed pursuant to the provisions of DURHAM, CA 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 95938 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 sale (Sec. 7044, Bysiness and Professions Code: The Contractors' State License Law does not apply to an Applicant: AIR -ART HEATING & AIR owner of property who builds or improves thereon, and who does such work himself or herself or through his or her own employees, 1407 ALMOND STREET provided that such improvements are not intended or offered for sale. If however, the building or improvements are sold within one CHICO, CA 95928 year of completion, the owner -builder will have the burden of 530-895-1420 proving that he or she did not build or improve for the purpose of airartco@msn.com sale.). ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec. 7044, Business and Professions Code. The Contractors' State License Law does not apply to an owner of property who builds or improves thereon, Contractor: AIR -ART HEATING & AIR and who contracts for such projects with a contractor(s) licensed pursuant to the Contractors' State License Law.). 1407 ALMOND STREET ❑ I am Exempt under Article 3 of the Business and Professions Code CHICO, CA 95928 530-895-1420 Date: Owner. airartco@msn.com License #: 335302 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 Architect: is issued. I have and will maintain workers' compensation insurance, as Engineer; required by Section 3700 the Labor Code, for the performance of the work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier: , IA I L- E0 /vial - � Total Square Ft: 0 S.F. Policy#: 0000 9 7 Valuation: $0.00 ❑ 1 certify that in the performance of the work for which this permit.is Census Code: 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:�o�/4 J� k 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. i CONSTRUCTION LENDING AGENCY This permit is hereby issu under the applicable provisions of the Butte County Code and/or I hereby affirm that there is a construction lending agency for the of the work for which this permit is issued (Sec 3097 Civ.) Resolutions to dodicatedab ve for which fees have been paid.(), �' _ ���" performance Name: B Dater Y PERMIT EXPIRES ON: Address: (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 read this application, that the above information 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 relating to building construction. I acknowledge it is unlawful to alter the substance of any official form or document of Butte County. I hereby authorize representatives of County to enter upon the above mentioned property for inspection purposes. (Butte �- R Signature: 1, tfXa✓ l P(J Print Name: U t l�. \ y '` . - ` Date: a E3 Owner Contractor ❑ Agent for Owner ❑ Agent for Contractor B. C. Building Permit 01-16-04 pg 1 cramer.xls 1.: Job Name Cramer Job Location - 10082 Jones ave. Durham Tester - Chuck Jr. Date - 2/8/06 Fan Flow Calculation #2 #2 Enter The A/C tonnage Design fan flow 400 ® 1600 m Heating output capacity in thousands (54,000 = 54) Enter The Btu/hr Design fan flow 21.7 72 1562.4 OR - Measure actual fan flow with flow hood Measured - Q Fill in green boxes Red is calculated results #2 Selected fan flow CFM - 1600 Pick the highest fan flow from the boxes above and enter it this green box Target leakage A/C @ 15% - 240 at 6% - 96 Target leakage heat @ 15% - 234.36 at 6% - 93.744 Target leakage measured @15% at 6% -0 #4 Enter pretest leakage - 1300 #5 Enter final test leakage - 264 2 r0 #6 Reduction in CFM leakage - 1036 #7 Enter tested leakage flow to OUTSIDE - �J (Optional) Page 1 of 2 J-/ cramer.xis Entire NEW duct system - Pass if leakage is less than or equal to 6% #8 New duct system leakage - 1 16.5 Fail New system is either Pass or Fail Existing duct system - Pass if leakage is less than or equal to 15% #9 Existing duct system leakage - 16.5 Fail Existing system will Pass if any of these options Pass - #9, #10 or #11 Leakage to outside - Pass if leakage is less than or equal to 10% #10 Leakage to outside -0 Pass Pass (Optional) Leakage reduction percentage - Pass if leakage reduction is more than or equal to 60% #11 Leakage reduction percentage - 1 79.692311 Pass NOTES - Page 2 of 2 BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT 24 HOUR INSPECTION #: (530) 538-7636 (OROVILLE) (530) 891-2834 (CHICO) OFFICE #: (530) 538-7541 PERMIT NO. BP060307 PERMITS BECOME NULL AND VOID 1 YEAR FROM THE DATE OF ISSUANCE, OR IF WORK IS DONE IN VIOLATION OF ANY COUNTY OR STATE LAWS. LICENSED CONTRACTORS DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of Issued Date: 02/09/2006 APN: 040-300-046-000 the Business and Professions Code, and my license is in full force and effect. license class: C'� License Number. j35 ���- Site Address: 10082 JONES AVE DUR Date: �.- �'�� Contractor: Aki(- Aa—i Map Index: Description: REPLACE PACKAGE HVAC p 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 Owner: CRAMER ARNOLD & JERI to its issuance, also requires the applicant for such permit to file a 10082 JONES AVENUE signed statement that he or she is licensed pursuant to the provisions of the Contractor's State License Law (Chapter 9 commencing with Section DURHAM, CA 7000) of Division 3 of the Business and Professions Code) or that he or 95938 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 sale (Sec. 7044, Business and Professions Code: The Contractors' State License Law does not apply to an Applicant: AIR -ART HEATING & AIR owner of property who builds or improves thereon, and who does such work himself or herself or through his or her own employees, 1407 ALMOND STREET provided that such improvements are not intended or offered for sale. If however, the building or improvements are sold within one CHICO, CA 95928 year of completion, the owner -builder will have the burden of 530-895-1420 proving that he or she did not build or improve for the purpose of airartco@msn.com sale.). ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec. 7044, Business and Professions Code. The Contractors' State License Law does not apply to an owner of property who builds or improves thereon, Contractor: AIR -ART HEATING & AIR and who contracts for such projects with a contractor(s) licensed pursuant to the Contractors' State License Law.). 1407 ALMOND STREET ❑ 1 am Exempt under Article 3 of the Business and Professions Code CHICO, CA 95928 530-895-1420 Date: Owner: airartco@msn.com License #: 335302 WORKERS' COMPENSATION DECLARATION I hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by Section 3700 of the Labor Code, for the performance of the work for which this permit Architect: is issued. I have and will maintain workers' compensation insurance, as `` Engineer: required by Section 3700 the Labor Code, for the performance of the work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier: 5 IA I L_ VO N Ip - Total Square Ft: 0 S. F. Policy#: "L-1 )� - odo0 9 7 - Valuation: $0.00 ❑ I certify that in the performance of the work for which this permit.is Census Code: 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. 9 - o G 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. l CONSTRUCTION LENDING AGENCY This permit is hereby issu under the.applicable provisions of the Butte County Code and/or I hereby affirm that there is a construction lending agency for the . Resolutions to do dicated-ab ve for which fees have been paid. performance of the work for which this permit is issued (Sec 3097 Civ.) +Q Name: B Date. y' 2 �/ Address: PERMIT EXPIRES ON: Date ❑ I hereby certify that the use of this facility shall comply with Sections 25505, 25533, and 25534 of the California Health and Safety Code, which regulate the storage, handling and use of hazardous materials. ❑ Notification in accordance with Section 19827.5 of California Health & Safety Code is not applicable to the scheduled construction of this project. ❑ Attached are copies of the required E.P.A. notification forms. I hereby certify that I have read this application, that the above information is 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 relating to building construction. I acknowledge it is unlawful to alter the substance of any official form or document of Butte County. I hereby authorize representatives of Butte County to enter upon the above mentioned property for inspection purposes. VC) a R. C Print Name: U e Signature: — Date:- ` o ❑ Owner "Contractor ❑ Agent for Owner ❑ Agent for Contractor B. C. Building Permit 01-16-04 pg 1 BUTTE COUNTY PERMIT DEPARTMENT OF DEVELOPMENT SERVICES NO. BUILDING PERMIT APPLICATION o� ` 6 3U AND. SUBMITTAL REQUIREMENTS 24 HOUR INSPECTION#: OROVILLE: (530) 538-7636 • CHICO: (530) 591-2834 BP: OFFICE H: (530) 538-7541 A FEE 141ILL BE REQUIRED AT TIME OFAPPLICATION BIN N Website: www.b"uttecounty.net/dds 'PLEASE PRINT CLEARLY* OWNER INFORMATION Last NameC'K !� V►'1 'fL first Name 6 Address One S A City 1 C0 Slate CA Zip ISC) PhoneC�N -::] Fax E-mail CONTRACTOR ARCHITECT/ENGINEER Name AtR,- AlLl 0S,- 4 A ( C Address Address �c,10_I 51 I No City C\^1 lcb Zip State CA Zip 959 2 �11 Phone ?q5 -1(-( 20 E-mail Fax 332 - q 5 i ( E-mail Lic. # 335_3UZ Class 1 c k'j APPPL SIGNATURE X h For office use only: ARCHITECT/ENGINEER Name Flood Zone Address SRA City I No State Zip Phone Book Fax E-mail Planner State License Number k'j APPPL SIGNATURE X h For office use only: APPLICANT INFORMATION Name Flood Zone Address SRA City I No State Zip Phone Book Fax E-mail Planner k'j APPPL SIGNATURE X h For office use only: Zoning Flood Zone SRA I Yes I No Occ. Type Const. Subdivision Name Map Book Page Lot # Planner Date Approved: nvt=D MnD cl iQnnrrTAII RFn111R1=MFMTC PROJECTLOCA TION Property (i�U D ss cyu o ilY 1 Cross Street WORKER'S COMPENSATION Policy Number Carrier 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 . Description or Scope of Work: Re Inc�n AClU35�:g VkC_ Ahd� 0007 Sq FT- Living Garage Open Cov ❑ Structure Built without Permits ❑ Proposed Change of Occupancy (Note previous use): EXPIRATION OF APPLICATION Applications for which a permit has not been issued will expire one year after the date of application. In order to renew action on an application after expiration, a new application, plans and fee will be required. REQUEST FOR REFUNDS Refunds can only be made upon written request by the person who paid the fee. The request must be made prior to the expiration of the permit and no construction work has been done. Filing fees, plan check fees for work plan checked and other departinent costs are not refundable. Received by- Amount: Bldg SRA Receipt #: Date: Sheriff SMTP Other Total 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 manual, (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. Building Permit Application Without Required Clearances Form ❑ 12. Hazardous Material Form (for Commercial Buildings only). Remaining items needed to issue the permit. Additional items may be required after Plan Check and Plarining 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. ❑ Legal description from current recorded grant deed, ❑ Copy of M.H. Title, Title transfer, or MCO. ❑ 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 FORMSOdaADDISubRamts.doc Paoe 2 of 2 RFV 8-12-05 z BUTTE COUNTY V' ,, DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT 24 HOUR INSPECTION #: (530) 538-7636 (OROVILLE) (530) 891-2834 (CHICO) OFFICE #: (530) 538-7541 FAX#: (530)538-2140 WEBSITE: www.buttecounty.net\dds LICENSED CONTRACTORS DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of ChFpter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect. License Class: �'- 3 q License Number: Date: `�-o y Contractor. F0c//1 L?04y r A5 /?oo d,a OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors' St�-Ie 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 the provisions of the Contractors 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 sale (Sec. 7044, Business and Professions Code: Tie Contractors' State License Law does not apply to an owner of property who builds or improves thereon, and who does such won 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 :ompletion, the owner -builder will have the burden of proving Ciat he or she did not build or improve for the purpose of sale.). ❑ I, as owner of the property, am exclusively contracting with licensed -contractors to construct the project (Sec. 7044, Business and Prolassions Code. The Contractors' State License Law does not apply to an owner of property who builds or improves thereon, and whc contracts for such projects with a contractor(s) licensed pursuant to the Contractors' State License Law.). ❑ I am Exempt under Article 3 of the Business and Professions Code Date:c�i_ Owner: VIORKERS' COMPENSATION DECLARATION I hereby affra 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. ,. I have and will maintain workers' compensation insurance, as required by Section 3700 the Labor Code, for the performance of the wo* for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier. 51t,4 ,- tl F, ,- J Policy 0: -Z 72 r O OJ s-7 3rD 3 ❑ ' 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 workers' compensation laws of California, and Egree that if I should become subject to the workers' compensation provisions of Section 3700 of the Labor Code, I shall forthw th comply with those provisions. Date: Applicant: PERMIT NO. BP042644 Issued Date: 09/09/2004 APN: 040-300-046-000 Site Address: 10082 JONES AVE DUR Map Index: Description: RE -ROOF (22 SQ) Owner: CRAMER ARNOLD & JERI 10082 JONES AVENUE DURHAM,CA 95938 Applicant: FOUR COUNTIES ROOFING 3 CRUSADER COURT CHICO, CA 95973 (530) 343-1416 Contractor: FOUR COUNTIES ROOFING 3 CRUSADER COURT CHICO, CA 95973 (530) 343-1416 License #: 774554 Architect: Engineer: Total Square Ft: Valuation: Census Code: 0 S. F. $0.00 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 afirm that there is a construction lending agency for the performance of the work for which this permit is issued (Sec 3097 Civ.) Address: This permit is hereby issued under the applicable provisions of the Bum Aesolutions o do work indicated above for which fees have been paid. By: A-- Date PERIT XPIRES ON: anrVor ,1 9-c4 ❑ I hereby certify that the use of this facility shall comply with Sections 25505, 25533, and 25534 of the California Health and Safety Code, which regulate the storage, handling and use of hazardous materials. ❑ Noti ication 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 oertify that I have read this application, that the above information is cored, and that I am the owner or the duly authorized agent of the owner. I agree to comply with all county and state laws relating to building construction. I acknowledge it is unlawful to alter the substance of any official form or document of Butte County. thereby authorize representatives of Butte County to enter upon the above mentioned property for inspection purposes. Print Narse: L f o /1 lig o � Signature Date: 2— 2— 2S!-/ 0 Owner Contractor ❑ Agent for Owner ❑ Agent for Contractor 4 /�U T TFo BUTTESOUNTY DEPARTMENT•OF DEVELOPMENT•SERVICES ° ° BUILDING PERMIT APPLICATION C �•'+ AND SUBMITTAL REQUIREMENTS o -=rte►. - o 24 HOUR INSPE_ CTION#-.OROVILLE: (530) 5387763.6 ! ,CHICO: (530) 891-2834 c0U N'�yOFFICE #: (530) 538-7541 A FEE WILL BE REQUIRED AT TIME OF APPLICA TION APPLICANT NAME OWNER Name n'l a Address NRS 44 City .%v _.0 State Zip Phone S Fax E-mail Map Book APPLICANT NAME CONTRACTOR Name F�� c �fi.,5 oa><' ti Address 3,V. CRu 1s C Y City _.0 State, A Zip Phone Type Const Fax E-mail Map Book Uc. Cla s APPLICANT NAME ARCHITECT/ENGINEER Name City - --- - - — Address Zip City I Yes State Zip Phone Type Const Fax E-mail Map Book State Uoense Number APPLICANT NAME Name _ Address City - --- - - — State —Fax Zip Phone I Yes E-mail APPLICANT SIGNATURE' X For office use only. Zoning Flood Zone SRA I Yes No Occ. Type Const Subdivision Name Map Book Page Lot # Planner Date Approved: OVER FOR SUBMITTAL REQUIREIVIEN I S K:\FORMS\BUILDING FORMS\BldgApplSubRgmts.doc PERMIT NO. BPo4a BIN # t LOCATION AP# Property Address Cross Street WORKER'S COMPENSATION Policy Number Z12 ovo ', Carrier S' • 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 Description or Scope of Work: e c Sq. Footage o2a q 11 Structure Built without Permits 0 - 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 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 r. • refundable. IFF— Page 1 of 2 Received by: Amount: 137.50 Bldg SRA Receipt #: 4 ►21313 Sheriff SMIP • Other Date: 9 •tet -o4 13 • 50 Total REV 4-30-04 RESIDENTIAL 040-300-046 01-0287 HOLOCHWOST, TONY 10082 JONES AVE., DURHAM CONTR: OWNER GUEST HOUSE SPECIAL CONDITIONS CHECKED BY SRA FLOOD CERTIFICATE REQ. FIRE SPRINKLERS REQ. SPECIAL INSPECTION ITEMS VERIFY USE PERMIT CONDITIONS SUB -STANDARD HOUSING LETTER 4 JOB FINALED (Date) Signature /= OK 0 = Not OK - = Not Applicable MOBILE HOMES = Not Ready 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 MISCELLANEOUS Date 4. Water; Location -Test -Easement Needed (Sketch) 1. 5. Electricity; Location-Clearances-Grnd-/ /Amp -Concrete 2. 6. Gas; Location -Test -Wrap;-/ /" L'ft. / P Nat. or / /"L"ft./ PLPG 3. 7. Well Clearance 8 Disconnect 4. 8. Utility Clearance 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Carports; Windows -Doors Date Electric Card B-1 Date Card B-1 Date Frmg.; Sills -Anchors- Studs- Rftrs-Trusses 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 Date 5. Drain; MH Test -Fall -Flex Connector Date 6. Water; MH Test -Regulator -Connector Date 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 Pool Structure; Steel -Connections -Thickness Dead Men -Lining 11. Cert. of Occupancy 4. 12. Permanent Foundation Only; License Decal 5. Elec.; Pool Lighting; 15 Volts-GFI Date Elec.; Enclosures; Conduit Entries -Terminals -Listed Card B-1 Date Card B-1 Date Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater 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 FINAL (Plans) OK except #'s 1. Setbacks -Easements 2. Soils; Compaction -Structure Stability 3. Pool Structure; Steel -Connections -Thickness Dead Men -Lining 4. Elec.; Receptacles and Lighting, Distance-GFI 5. Elec.; Pool Lighting; 15 Volts-GFI 6. Elec.; Enclosures; Conduit Entries -Terminals -Listed 7. Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater 8. Elec.; Grounding; Equip. w/5' Circulating Equip. -Pool Lghtg. Boxes-Enclosures-Panelboards-Ins. to Main in Conduit 9. Health Department Approval 10. Plumb.; Cir. Test -Water Supply Test 11. Light Niche Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 J = OK 0 = Not OK - = Not Applicable = Not Ready Card B-1 Date Card B-1 RESIDENTIAL (E Date Date Underfloor (Plans) OK except #'s 40. 1. Zoning -Setbacks -Easements -Flood -Slope Walls Studs -Nailing Spacing & Braces -Plates -Sound 2. Ftg., Main; Soils-Elec. Grnd.-/ /" Ftg. Depth 43. 3. Ftg., Garage; Soils-Steel-Elec. Grnd.-/ P' Ftg. Depth Fire Stops, Furred Ceilings -Stairs -Chasers= ubs 4. Ftg., Porches & Decks; Soils -Steel-/ P' 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/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. 14. Girders -Sills -Anchor Bolts-Joists-Vents-Crippies 15. Access & Ventilation 16. Insulation Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date 3. PLUMBING (Permit) OK except #'s 17. Water Htr.; Vent -Access -Combustion Air Baffle 18. Water 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 22. Gas Pipe; Sixe & Anchors Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date ELECTRICAL (Permit) OK except #'s 23. Fixture & Transformer Clearance -Ins. Protection 24. Elec. Receptacles Spacing -Lights & Switches at Doors 25. Size Boxes & No. of Conductors Stapled 26. Romex Installed Close to Edge of Studs & C.J. 27. Equip. Ground made up w/Mech Fasteners -Bond Gas & Water 28. 2 Appliance Circuits in Kitchen & Conductor Size GFI 29. Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / / ga Cu or At 30. Range Circle / / ga Cu or AI -Oven Circ. / / ga Cu or At Insulated Neutral Q Yes Q No 31. Service -Riser Conductors & Ground Main Disconnect 32. Equip. Clearances Panels-Motors-Mech. Equip. 33. Clothes Closet Light -Shower Light -Spa Light 34. Smoke Detector Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date MECHANICAL (Permit) OK except #'s 35. A.C. Ducts Insulation & Support 36. Vent Fan, Exhaust above insulation 37. Condensate Drain & Overflow, Size & Grade 38. Furnace -Vent Access -Comb. Air -Return Air Vent 115 outlet 39. Attic Access & Platform if Furnace in Attic Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date FRAMING (Permit) OK except #'s 40. Sills Proper Materials & Anchors 41. Walls Studs -Nailing Spacing & Braces -Plates -Sound 42. Bearing Walls over Girders & Floor Nailing 43. Draft Stop in Walls (rat proof) 44. Fire Stops, Furred Ceilings -Stairs -Chasers= ubs 45. Headers & Beams -Size & Bearing jingle & Duplex) Date FRAMING (Continued) 46. Hangers -Post Caps -Anchors -Connectors 47. Cling. Joist-Rftr. Ties-Purlin-Rolf Brac.-Truss-Shting.-Rfng. 48. Fireplace Ties or Type A Flue -Fireplace Throat Clearance 49. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 50. Bdrm. Windows or Exiting Doors -Sill Ht. & Dimensions 51. Garage Fire Protection Framing 52. Property Line Firewall & Openings 53. Ext. Doors -One T -Check Garage 3rd Story, 2 Exits 54. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 55. Plywood on Roof Overhang -Attic Vents -Rafter Outriggers 56. Siding -Nailing Veneer 57. Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access 58. Glazing Area -Glass Protection -Skylights -Plastic 59. Shear Walls; Nailing -Bolts 60. Brace Interior/Exterior Wall Panels 61. Insulation -Walls -Ceilings 62. Infiltration -Walls -Windows Date Card B-1 Date Card B-1 Date Cv B-1 Date Card B-1 Date NAL (Plans) OK except #'s 3. t teps-Door & Sidelight Protection -Landings m e Detector F nace Vents -clearance -Comb, Air-Connector- /n,Garage; Above Floor-Ducts-Mech. Protection e room Exiting F.I. & Bath Fixtures & Tub Access -Spa wyrlec. Trim & Subpanel, Breaker Sizes & Labels Stairs & Rails place or Stove, Clearance -Hearth *10 VXI_ex. Outlets at Wood Panel, Int. & Ext. it. Fixt. & Appliance; Ground -Air Gap -Cooking Clearance Elec. Outlets & Receptacles at Kit. Counter ___-T4. arage Fire Door; Swing -Landing -Closure 96. Duct in Garage -Damper Wtr. Htr.; Vents -Clearance -Comb. Air Connector-P.R.V. n' Garage; Above Floor-Mech. Protection A., Elec. & Mech. Equip. Listed for Location lec. Receptacles in Garage (F.F.I.)-Romex Protection sulation- Foam- Looked in Attic WrGbard Rails & Deck Construction -Post Caps Pn. VBents & Crawl Hole Door Drainage & Wood -Earth ,elearance Looked unde loor Q Yes lowing Instld./Drive eYes J Nomalks D Yes D No/Planters J Yes D No Kxtuccb Brown -Finish X. /c. -unit Disconnect, Electrical -Plumbing nts Above Roof, Plbg-Appliance-Fireplace-Clearance to Openings ater Well, Disconnect, Electrical, Plumbing xt rior Elec. Trim, G.F.I. Receptacle -Underground r)tilation Throughout House ass Protection Corrections from Previous Inspections .i311' Gas Test -Meters Tagged, Gas -Electric WaW & Sewer Connected -C/O to Grade -HD Approval =$4r ergy Complian .e Certificate -Other Certificates Address Posted Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Comments at Final: COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-754 ERMIT NO. (Rev. 12/96) APPLICATION AND PERMIT k-_ 61�A 7 ASSESSOR PARCEL NUMBER 040-100-046 ZONING A-20 BUILDING PERMIT OWNER - TELEPHONE HIM OCHWST, TONY 345-9322 OWNERS MAILING ADDRESS 10082 jows AyF, DlIR14AM CA 95938 -- S0. FT, OCC. BUILDING VALUATION 8 R 26 136.00 CONTRACTOR'S �N7AMME� OWNER TELEPHONE CONTRACTORS MAILING ADDRESS CONSTRUCTION LENDER Fireplace I A 1,500.00 LENDERS MAILING ADDRESS Total Valuation $ 279636.00 ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00 Permit Fee $271.50 ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $176.45 BUILDING ADDRESS 10082 JONES AVE. D Energy Plan Checking Fee $ 23.00 $ PERMIT FEE $490.95 LOT NO. SUBDIVISION'S NAME PARCEL MAP PLUMBING PERMIT Filing Feel 20.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome ❑ Other SPECIFY Each Trap 4 7.00 Solar or heat pump water heater 23.00 Water piping 15.00 15.00 Each as water heater or vent 15.00 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑ Describe `work": GUEST HOUSE //�� 111 a&( Z Z_0C3J '// S _qy/ /��m'r% Gas piping stem 1 - 5 outlets 15.00 15.00 Building sewer 15.00 15.00 Mobile Home S G W @20.00 PERMIT FEE $ 108.00 ELECTRICAL PERMIT Fling Fee 20.00 I"OR LESS Main Service 20.VA ORLESS 23.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect. License Class Lic. No. OWNER -BUILDER DECLARATION 1 here affirm under penalty of perjury that I am exempt from the Contractors License L or the following reason: I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ I 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 Mein Service 200A TO ,000A 46.00 NEW CONST. DWELLING OCCUP. OR ADDNS. 3,S¢so 6.95 NEW CONST. MULTI -OUTLET NO RESID. @7.50 POWER APPARATUS d SINGLE OUTLET CIR. Ex. Occup. OUTLET ORFIXTURES 20@'.00 BAL o .so OR ED AP, EX. Occup.pFUC�LETS R�Ip, Ea 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wirina 23.00 PERMIT FEE $ 36.95 MECHANICAL PERMIT Fling Fee 20.00 Heating HEAT PUMP 30.00 Cooling Hood 6.50 Ventilation 4.50 PERMIT FEE $ 54.50 Policy Number (The above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) 1 certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall forthwith orn ly wit hose provisions. X Date b' _ Signature of Applicant -1914wner ❑ tractor ❑ Agent An OSHA permit is required for excavations o er 60" deep and demolition or construction of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ D T TOTAL FEE $ j 690.40 Es IMP oD C PARCEL HD This permit is hereby issued under of the Butte County Co a and/or indicated ab ve hi fees have By PERMIT EXPIRES ON the applicable provisions Resolutions to do work been paid. Date to Receipt No. 314613/690.40 WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT ���yr�� 1 �°'����i�„�;G"�;;�f`�—��r"'�rQ�p1�"ifai i+'`{r[i�ic�'2T��iAr"�1'S''�y"h''"{t�,,,,�e'('. �11+1f;.►'`�� . "COUNTY OF BUTTE �O.&AARTMENT OF DEVELOPMENT SERVICES e BUILDING DIVISION A,, 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE (530) 538-7541 PERMIT APPLICATION DATA SHEET OWNER:.f^SL( ASSESSOR PARCEL ER:U-30 �7 Proposed building Use: �GG�S' AvirG 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 By ❑ 1. All iiems have been submitted.----------------------------------------------------------------------- --------------- ❑2. Plot plans, 3/4 sets, signed by the preparer of plans. ------------------------------------------------------------ ❑ 3 . Complete plans, 3/4 sets, signed by the preparer of plans. ----------------------------------------------------- 114. Engineered plans, 3/4 sets, with wet signature on plans. All engineering must be shown on plans. -------- ❑ 5. Engineered truss details and layout in duplicate (required prior to plan review) No faxes! ------------------ ❑ 6. Energy Design Compliance and supporting documentation. ---------------------------------------------------- ❑7. Statement of Intent for Non -Heated and A/C Buildings. ------------------------------------------ 118. Hazardous Material Form.--------------------------------------------------------=-=--'---=------`-: 119. Manufactured Home data and installation instructions including Tie Down Specifications -------------------- 1110. ------------------❑10. Fees of $ ------------------------------------------------------------------------------------- ❑ 11. Impact fees as shown on the attached schedule. -1 ❑ 12: California Department of Forestry plan approval/fees. --------------------------------------------------------- ❑ 1 . Flood elevation certificate. ---------------------------------------------------------------------------------------- Sanitation and plot plan approval 0,1440 Health Department. ------------------------------------------- ❑ 15. City of Chico plumbing permit.----------------------------------------------------------------------------------- ❑ 16. Plot plan and business license approval from the City of Biggs. ❑ 17. Planning approval for (A) Use: (B) Parking: 1:118. Contact Land Development about ❑ Improvements, ❑ Drainage, ❑ Legal Parcel. ----------------------- ❑ 19. Encroachment Permit for driveway (construction approval prior to occupancy). ---------------------------- 020. Pre -inspection for required. Request to Building Inspector on 1--l21. Contractor's license information. (Number, Name Style, Classification). ---------------------------------- 0 22. Workers' Compensation carrier and policy number. ----------------------------------------------------------- - ❑23.Owner-Builder Verification (Given to owner ❑, Mailed to owner 0) - -------------------------------------- 1124. Letter of signature authorization. -------------------------------------------------------------------------------- ❑25. Recorded copy of Agricultural Acknowledgment Statement. -------------------------------------------------- ❑26. Letter of intent on building use. ----------------------------------------------------------------------------------- 027. Manufactured Home utility clearance. ----------------- ------- 7 ----------------------------------------------- ❑28. Existing violations and/or expired permits. ---- ------ ---------------------------------------------------------- ❑29. 0433 A, ❑Grant Deed, ❑ M.H. Title, ❑ Check to H.C.D $ .--------------- E130. -------------- ❑30. Other: ------- When you issue the permit, process as follows ❑ Mail to owner, ❑Mail to contractor. ❑Telephone and hold for pickup at office. ❑ Deliver with inspector. (Date) Applicant: Date: Copy of Haz-Mat form sent ❑ Health Department, ❑ Fire Department, ❑ Air Pol ution Date: By: Copy of plans sent ❑ Health Department, ❑ Fire Department, ❑ Other: Date: By: 1. Index permit application for the above items numbered: W165A ❑ Plan Check 2. Additional items required: Contractor, designer, owner, was advised of the above required data by ❑ phone, ❑ mail, ❑ Building Division counter, by Date: Contractor, designer, owner, was advised of the above required data by ❑ phone, ❑ mail, p Building Division counter, by Date: Contractor, designer, owner, was advised of the above required data by ❑.phone, ❑ mail; o Building Divisio counter, by Date: Contractor, designer, owner, was advised of the above required data by ❑ phone, ❑ mail, o=Building D' isr counter, by ' e: r: Plans reviewed by: Date: Plans approved by:. r: i Date: Sets of plans on hold in ❑ Plan Cabinet, ❑ A.P. folder. Note transfer by' Date: Yellow Copy - Department of Development Services, Building Division. List COUNTY OF BUTTE-, DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE (530) 538-7541 PERMIT APPLICATION DATA SHEET /� c OWNER: j9ASSESSOR PARC cv ER: 0 7 60 �` 0 �`' (0_ Proposed Building Use: 4�,eljBuilding Inspector: Date: At time of permit application, I was adviser d following data must be submitted prior to permiTroc processing and/or issuance: Date Received By 1 ❑2 All items have been submitted .------------------------------------------------------------------------------------ Plot plans, 3/4 sets, signed by the preparer of plans. ------------------------------------------------------------ ❑3. Complete plans, 3/4 sets, signed by the preparer of plans. 04, Engineered plans, 3/4 sets, with wet signature on plans. All engineering must be shown on plans. 5. Engineered truss details and layout in duplicate (required prior to plan review) No faxes! --------- ti, � Energy Design Compliance and supporting documentation. ------------ ❑7. Statement of Intent for Non -Heated and A/C Buildings. ------------------------------------------------ ❑ 8. Hazardous Material Form. E19. Manufactured Home data and installation instructions including Tie Down Specifications. ❑ 10. Fees of $------------------------------------------------------------------- ❑ 11. Impact fees as shown on the attached schedule. ----------------------------------------------------------------- ❑ 12. California Department of Forestry plan approval/fees. --------------------------------------------------------- ❑ 1 . Flood elevation certificate. ---------------------------------------------------------------------------------------- 06- Samtation and plot plan approval Health Department. ------------------------------------------- ❑ 15. City of Chico plumbing permit. ----------------------------------------------------------------------------------- ❑ 16. Plot plan and business license approval from the City of Biggs. ---------------------------------------------- 1117. --------------------------------------------- ❑17. Planning approval for (A) Use: (B) Parking: -------------------------- ❑ 18. Contact Land Development about ❑ Improvements, ❑ Drainage, ❑ Legal Parcel. ----------------------- ❑ 19. Encroachment Permit for driveway (construction approval prior to occupancy). ---------------------------- ❑20. Pre -inspection for required. Request to Building Inspector on - (Date) ❑21. Contractor's license information. (Number, Name Style, Classification). ------------------------------------ 02 Workers' Compensation carrier and policy number.----------------------------------------------------------- Owner -Builder Verification (Given to owner ❑, Mailed to owner EI) - -------------------------------------- ..*� ❑24. Letter of signature authorization.-------------------------------------------------------------------------------- ❑25. Recorded copy of Agricultural Acknowledgment Statement. ---------------------------------- ❑26. Letter of intent on building use. ------------------------------------------------------------------- ❑27. Manufactured Home utility clearance.------------------------------------------------------------ ❑28. Existing violations and/or expired permits. ------------------ : ------------------------------------ 029. -----------:----------------------------------------- ❑29. ❑433 A, ❑Grant Deed, ❑ M.H. Title, ❑ Check to H.C.D $ E130. Other:------- Wlt y u issue the�/enn�it, process as follows ❑ Mail to owner, ai to contractor. (Telephone `7' --� wand hold for pickup at office. ❑Del ver with inspector. Applicant: Ta4UDate: Copy of Haz-Mat form sent ❑ Health Department, 11Fire Department, ❑ Air Pollution Date: By: Copy of plans sent ❑ Health Department, ❑ Fire Department, ❑ Other: Date: By: 1. Index permit application for the above items numbered: ❑ Plan Check List 2. Additional items required: Contractor, designer; owner, was advised of the above required data by ❑ phone, ❑ mail, ❑ Building Division counter, by Date: Contractor, designer, owner, was advised of the above required data by ❑ phone, ❑ mail, ❑ Building Division counter, by Date: Contractor, designer, owner, was advised of the above required data by ❑ phone, ❑ mail, ❑ Building Division counter, by Date: Contractor, designer, owner, was advised of the above required data by ❑ phone, ❑ mail, ❑ Building Division counter, by Date: Plans reviewed by: Date: Plans approved by: Date: Sets of plans on hold in ❑ Plan Cabinet, ❑ A.P. folder. Note transfer by: Date: Yellow Copy - Department of Development Services, Building Division. COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive a Oroviller California 95M • Telephone (530) 538-7541 PERMIT NO. �ge,r.,y96� APPLICATION AND PERMIT Ase0e0aMr�.laA�ew c(O—_`,p0,_p D1M0 `A-02"01 BUILDING PERMIT C,4&00 S T 170"01ac��q S0. FT. OCC. BUILDING VALUATION ooMra%cro" RAs °OwrRaeroom vAL MO ADDAM TnAOMa 0"W& Cn= u"V1 UDGM YAasro AoOMI —Fireplace Total Valuation = AA00= D" OiOMM uc"C "M Filina Fee S 20.00 ,jWW aT OR oaMMs YAarMn ADorr<ss Permit Fee = T77 S"zj Plan Checkin Fee = MaDMADomn Energy Plan Checking Fee = S I PERMIT FEE = 1pT110. eunwearsO M PAMM YAPPLUMBING PERMIT Fling Fee 2. i USEOFSTRUCTURE Each Trap 7.00 Solar or heat pump water heater 23.00 SF Duplex O Mobilshome O Other Water piping 15.00 1wr' Each gas water heater or vent 15.00 TYPE OF WORK �Ad Gas piping systern 1 - S outlets 15.00 New O Remodel O UtlGties O Installation O Other O sewer 15.00 —Building Mobile Home I S I GI W I I §20.00 Describe Work: ro .� PERMIT FEE S ELECTRICAL PERMIT I Filing Poe 20.00 Main Service Zoe a Ln9 23.00 2 Main Service zea► TO 1000A 48.00 NEW Caper. o A AjWACC. occur. 3.54, Olt ADOMs. a AL'P-. eux. R. "°K1lOi0. NLW rum •YOPANCH ULTiOU CUMS 07.50 a . EX. Occup. °unar at mr ma Ex. Occup. rWUM ID.°"CA 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Disc. Wiring 23.00 PERMIT FEE i MECHANICAL PERMIT Filing «P *PERMIT FEE PAID � Heating SRA ' ' $ Cooling SHERIFF $ "O°d a.so � Ventilation OTHER $ PERMIT FEE S Mobile Home Installation Fee S Energy Inspection Fee = °C CONST. Type TOTAL FEES AAAOVNT RECEIVED �L'q `-�' C� "AZ 0. ED "°°° `°' PAS •° p R� This permit Is hereby lamed under the applicable Provisions of the Butte County Code and/or Resolution$ to do work Indicated above for which fees have been paid. *RECEIPT NUMBER * TO BE PUT INTO COMPVTER - By Date _-- PERMIT EXPIRES ON 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 be issued until this verification is received. 1. I personally plan to provide the major lab ' r and materials for construction of the proposed pro improvement: YES[NO[ j. rJZ. I HAVE[V HAVE NOT[ ] signed an application for a budding permit for'the ,:: proposed work. . 3. I have contracted with the following person. (firm) to provide., :the 'proposed construction: NAME: ADDRESS: CITY: PHONE: CONTRACTOR'S LICENSE NO: 4. I plan to provide portions of this work,.. but I have hired the following pdisoW 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: ` l NAME ADDRESS PHONE TYPE OF'W0 SIGNED: PROPERTY OWNER: SOCIAL SECURITY.. NUMBER: - DATE: o9 NOTE: This owner -Builder Verification is required by Section 19831 and 19832 of the California Health *and Safety Code. This verification must be completed and returned to our office before we are permitted to issue the permit. 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 sxvrity taxes, workers compensation insurance, disability insurance costs, and unemployment compensation contnbutions. 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 4 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. PIease 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. i ly, Mic el C. Vi ira, C.B.O. ger, Building Inspection NOTE: This Owner -Builder Information is required by Section 19830 of the California Health and Safety Code. February 12, 2001 Count L A N D O F N AT U RA L W EA L T H A N D B E A U T Y L� BUILDING DIVISION DEPARTMENT OF DEVELOPMENT SERVICES 7 COUNTY CENTER DRIVE • OROVILLE, CALIFORNIA 95965-3397 TELEPHONE: (530) 538-7541 FAX: (530) 538-2140 Tony Holochwost 10082 Jones Avenue Durham, CA. 95938 RE: Special Inspection #'01-02 -A.P. # 040-300-046 Dear Mr. Holochwost, With reference to the above subject and your request for inspection of the addition of a guesthouse to your detached garage, the.inspection was made on February 9. ', 2001. The addition was constructed without permits and inspections from this office, so we were not able to perform the required inspections during construction. We therefore made a reasonable visual inspection, without going on the roof, under the building, or in the attic, and found the work appears to conform to the intent of code requirements, with the exception of the following items which must be completed or resolved: 1. Provide as built plans including plot plan, foundation plan, floor plans, floor and roof framing plans, and applicable cross sections. 2. Expose Type A flue for visual inspection and provide listing and verify proper installation of woodstove. J. Provide verification that the entire structural system is adequate including the foundation and anchorage, floor, wall, and roof systems. 4. Install smoke detectors per section 310.9 9 of the 1998 California Building Code. 5. Verify safety glazing in all doors. 6. Provide verification that the entire electrical system is properly installed including bonding and grounding at the service and receptacles, bonding of interior metal piping, spacing of receptacles, two 20 amp small appliance branch circuits in the kitchen, G.FC.1. protection where required, and wire and breaker size. . 7. Provide a conforming water heater installation' including pressure -temperature - relief valve and discharge line to the .exterior. 8. Provide conforming fire separation wall between garage and living space. 9. Protect wiring in garage to a point 8 feet above floor. 10. Remove kitchen facilities, including electrical to cooking unit, and verify building is 500 square feet or less. 11. Comply with any items identified during plan check. It may be in your best interest to have the building evaluated by a competent engineer or architect to determine structural soundness prior to preparation of building plans for permit application. Inspection by the County of Butte does not act as a guarantee or warranty as to the internal soundness of said addition or structure. It is now in order for you to submit complete plans in triplicate to this office including plot plans, foundation plans, floor plans and structural details, apply for the required permits, and pay the appropriate fees. The permits must be obtained prior to any work being done, and the above listed items completed within thirty (30) days of the date of this letter. Should you have any questions concerning this matter, please contact Scott Rutherford or David Wasney of this office at the address or phone number listed above. Sincerely, David Wasne Building Inspector III Complaint -Date Ocher -Date, Type of Inspection requested: �1. Housing f�[ 2. Financing 3,. Change of Occupancy to 4. Work W/0 Permit. / / 5. Other (specify) Present use of -building: �� 61 A. Sa � tion (Housing) ,/Water closet: Lavatory: --&K. "Bathtub or shower: —4._,,Ritchen sink: -70- Q -MoleM '3.. Hot and cold water to fixtures: 1;r��_eating facilities: Natural light and ventilation: S. Room and space requirements: 9. Bedroom window or door for second exit:L)0 --- jYnfestation of insects, vermin, or rodents: 1, onnection to sewage disposal: },2: Connection to water supply: --1-3. Rubbish and garbage facilities: ,tir; Stairs:(Rise, Run, Headroom, 1HR, Tolerances,Handrails) 15. Comments: -6611611 B. Structural tel? Piers and footings: 2. Floor construction: _ 3.' Wall construction: Zu 4. Ceiling and roof construction: 5. Fireplaces: 6. Comments: llnz,f:_�1i 0M C. Electrical 1. Service and ground: 2. Receptacles: 3. Fusing: 4. Comments: AM -�'�—�- bq� BUTTE COUNTY DEPARTMENT OF PUBLIC WORKS ' "SPECIAL INSPECTION REPORT ZONING Owner: A.P. Address: %�i/� �,,a C )ITI- Date of Inspe do Tenant: ..,Inspector Dd Building Location: Type of Inspection requested: �1. Housing f�[ 2. Financing 3,. Change of Occupancy to 4. Work W/0 Permit. / / 5. Other (specify) Present use of -building: �� 61 A. Sa � tion (Housing) ,/Water closet: Lavatory: --&K. "Bathtub or shower: —4._,,Ritchen sink: -70- Q -MoleM '3.. Hot and cold water to fixtures: 1;r��_eating facilities: Natural light and ventilation: S. Room and space requirements: 9. Bedroom window or door for second exit:L)0 --- jYnfestation of insects, vermin, or rodents: 1, onnection to sewage disposal: },2: Connection to water supply: --1-3. Rubbish and garbage facilities: ,tir; Stairs:(Rise, Run, Headroom, 1HR, Tolerances,Handrails) 15. Comments: -6611611 B. Structural tel? Piers and footings: 2. Floor construction: _ 3.' Wall construction: Zu 4. Ceiling and roof construction: 5. Fireplaces: 6. Comments: llnz,f:_�1i 0M C. Electrical 1. Service and ground: 2. Receptacles: 3. Fusing: 4. Comments: AM -�'�—�- bq� D. Plumbing 1. Fixtures connected and vented: 2. Gas water heater: 3. Gas heating vents: 4. Comments: 9419 id E. Other 1. Maintenance and repair: 2. Fire hazards: 1 1-Z$ Pe2a-t,id L- Ld 3. Safety hazards: 4. Weather protection: L" 5. Underfloor and attic ventilation: 6. Energy:. 7. Comments: F. Commercial Buildings 1. Roof covering: 2. Distance to property lines: 3. Physically handicapped: 4. Restroom floors and walls: 5. Exits: 6. Improvements: 7. Zoning: 8. Comments: G. Field Problems or Violations 1. Problem or violation (give complete description): 2. What action taken (give complete description): 3.' What action recommended: A. Information only - file. B. Hold for ten days, then write letter. 2fr-C. Write letter. / /..D. Other: j R � CD IVID RE FLOOD PLAIN DECLARATION BU SING DIv BIo� BUIL 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."* does 1 am sware the -building site is in a flood -plain area, even though I am no: required to comply with the flood plain management criteria. PROPzRTY OWNER 4 ' ADDRESS PHONE NO. S3 D — c DATE *Substantial improvement is defined as follows: Any repair, reconstruc- tion, or improvement of a structure, the cost of which 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 maybe required to substantiate costs. 608 TO: B U7TE CO LINTY DEPAR TMENT OF P UBLIC HEAL TH DIVISION OF ENVIRONMENTAL HEALTH 1N STREET), CHICO, CA 95927 P.O. BOX 5364.(41 1'1V4A (530) 891-2727, FAX (530) 895-6512 FAX COVER SHEET FROM: A DATE: /c)/ NUMBER OF PAGES(including this one) CO/DEPT: PHONE: C ) FAX #: ( 1 CON04ENTS: GUmemos/faxoover Butte County Depdr..tment of iulilic Health 695 Oleander Ave. .1, - . . - 2430 BIRD STREET, CHICO� CALIFORNIA VitDIVISION OF CIANIT�TION OROVILLE CALIFORNIA 343-4211; EXT. 51 Iv: 533.f230; EXT. 297 APPLICATION FOR FERMIT'TO CONSTRUCT A 'SEWA'GE DISPOSAL SYSTEM Applicant's Name:. • 0... . ........ ...I. ...... Iy it ................................................................. Mailing Address:.... ........./ ........I).Y..D .......... .. ............................................ ........................................... ........... P h n e Name of Owner: ev tr 1. Construction 'site: ............. ................. ................ ...0i...... .. ;1..i.. ............................... (STREET & NUMBER OR DIRECTION & DISTANCE TO NEAREST CROSSROAD) .......... ................... 2. Lot sizez....J.0A .. .............................. ft. x ...... 2_.ao .......................... ft.;.,- ............ 6_- ....................... .acres f I 3. Application for new system for new buildirigl (g,;. -auxiliary or "secondary system E: !45- Repair of or'addition 6brold Sy 'ke New system to replace existingZewag e diip89ai-ficilitiesn' , I 4.. Type of b6ildinglto be served$�-p4oposid'systpm: - r HOME No. Bedrooms? . . ,.,,,,,•,,,,,,,,,,,,,,•, U6. Baths? ............ ................. Garbage GrIer [] Yes Q3.N6 OTHER[:D (Specify)........................................................................... .................... .................................................. ................ ...... ............................... 5. Water supply for premises: Community 0; Private well Other ....................................................... . Water supply for adjoining properties: CommunityE]; •;,Private Well*CR Other. ............................................... ............... .................................................................................................... *If private well,. how many feet from your nearest property line?',:..,X..0 .... ....... T ...... 6. SCALE PLOT PLAN TO BE FURNISHED: Sk'teh to scale on reverse side hereof, or attach scale sketch of 'lot plan of the premises showing: p a) Property lines. b) Location of proposed building and 'driveway. 0•,Location of large trees, rocks, or other obstacles. Location of spring, creek d any, or other body of water. e Show direction and apprqximate-amount of slope. 4 re atta 1, hereby state that th6 infon�atllbn above and on�,_the rever&6'�'idi v�i of of — ched'heieto,i�, rreZeand true e ..S co to theibest of my'knowl edge. -..I lunders"tAnd, that the permit must bio'b6ain"6d before any construction is'l;ikun either I '. - L . 7 ti n I on the building or on the sewage' disposil -system, la-Iid,that a sat'isfa-c,tory'lnspection of the,syste-m, isre"quiired be- fore'theinew building may be'o&iipied or the system Vackfilled orput into,xse. ............................... ...................... Dam ...... ................. . . .............. . ..... ............ 4? . ...... NOKE) Zoning and' access: 0 K0 Cl"i�d by Planning.. ....... ............ ................................................ issued * *1-*--,----** .%, Permit ........ Denied' ................ B .............. .......................... YI! ....................... Date: ... ................................... Remarks: Ot ' Butte Count De irtment Public Y Pv of lea Lth 698 OLEANDER, AVE. p-1 V �'S 0 N- O F ,`S A NITA T 10 N 2430 BIRD STREET CHICO. CALIFORNIA + i , OROVILL$, _CALIFORNIA " FL &4211 a l,r :. LENOX 31290,'"EXT. Z97 ySewageD�sposalerm�, $ . s.� Xj ,issued ....... .............. JR YEAR FROM DATE OIr I33LJANCE+ ^ Permit Issued to To construct a sewage disposal system„for. + IF b i5+' cif 'L' ocated at• ..:�... {r�t.•f ' I .:49?)A.r°�tT,: � SEPTIC' TANKS U• } SYSTEM' REQUIREMENTS septictank t` (Inside measurements) , iIfr ,,' "`; t z�,+ fi I:eachlag Fteld •.iiy Length t. ' 1, th ' ` ' 'Total Len i• �r'�� g •e ,.+ �. f� Width - � ..� A,h.,> t ,�, Trench:»width:;. Li >uda� th,. q p :......... ., •h. ” Minimum No or linesi' x..i.x /ga�S•x T� tyt xl.r.^ •f Y Y ��+ Liquid capacity T t j . RockiunderYt�le i,: inches} r Specia_.Condit bns •.Q � .%L'1.�y ,F r ;kms 1 1 .Ja � 1t �:��� p S, >• n� �p i�, � + •r x 1 i b 1 3 • Yj el• 4p • •A •I'• IYwiMI • . c-� V 5 1. { }t 'n Y R 5'n '1 •.X r 1 jj Additional, leaching field will be required if experience shows1t to be necessary.-:No att of the s stem P y may be located within'50 h. of`the'center line of any County Road. • NOTE: Satisfactory inspection. by the Health Department is required before' backfilling or' putting the system into use. Occupancy of a new building is not permitted until the system is approved. r , Permit Fee $J!" ®'�•"� Penalty Fee $ ; To al Fee $ Issued By:' �' i, Receipt No. Sanitarian r F S31-1162R ,. } ..__.__�..�.,.e.._..,e.�an:S:•.J. �_..5:-'.::: ..,..��•1 '.-u..L.�+e.i.1 :�•t.. ,.. i{"i: .tx..� .h + �. •41 k" n 14.6,r lunge APPRE .._-_.^..r,^..•;—'r a^'•:^n717 7 7 -777 nr5�'.. _ TC ,...� �. ButteCounty�l3eper�rtment:fiof�PubliYc :Heel#h�" 695 OLEANDER AVE. -r" ,�I.1IISION"OF-,.'SANI.TA'TION 2430 BIRD STREET CHICO, CALIFORNIA - - - OROVILLE, CALIFORNIA Fl. 3.4211 LENOX 3.1230, EXT. 297 Septic Tank System Inspection Certificate The Septic Tank System was Installed at ».... "top• pD: FOR,.:_....'AL�� _»- - ------ SEPTIC.TANK* LEACHING FIELD Length ...... »...:« ft. _ } _<` Length _».:.._..Q.U:..__ ft. Width . � G Water Depth _ _.ft... a No. of Lines »»»» ......... ' v• �MateiIal�—� r' r t ' `�e Rock Under Tile __.._«» in. �, t The abtive dililensions-meet`iherliriimum requirements of Cointy'Ordinance'No. 699. Additional leaching area will be required if experience shows it to be necessary.' . f REMARKS: Date:ARIAN f 32-1061R 4 MeSounty Departnient.:_of Public Health,, 695 Oleander Avs. 243�.BIRD STREET CHICO, CALIFORNIA 95926 DIVISION OP SANITATION ,~4'-^ •OROVILLE; CA&FORNK 95965 t h 343.4211: EXT. 51, Ss !.. , ,, ��,• 533'1230a EXT 297.- _ � .zY - - -. a ;::r. � _. f.. .M.:� i �'.., _ .� _.� 1't -F "1;:!-H.. •r r:,{��*;--Y APPLICATION FOR PERMIT TO CONSTRUCT A •SEWA'GE DISPOSAL SYSTEM Applicant's Name: ....................... ........................ l...'..........C....... K ............................................. MailingAddress:........ ...............:........................`..�............................... .... ............ ....:' ... ..................................................a Phone 43 F �..y,... .....: ..,....................... Name of Owner........ ......................... I .. . ..:........... . 1: Con'stru'ction site:..............�� �..,..........................�.......:.... ' 5...............' n:..l�Y r• � (STREET & NUMBER OR DIRECTI N & DISTANCE TO NEAREST CROSSROAD) �• DSS �r12W�t1� 2. Lot size:../.d.p................................. ft. x ..........2L....�.....................ft.; I .........:.:.�„��....................................L =, .:.acr _ 3. -Application for new system for new buildinglT auxiliary,secondary system secondsystem CD; 'r r' j Repair•of or'addition- io old system❑ • New system to rFplace_existing sewage disposal facilities❑ , g�•.�' 4. Type of building to be served by proposed sysc�em:L� _ ",.'_•.+ '�,rA? u� HOME No. Bedrooms?1— ..........................._ _ ❑ No. Baths, .............�-.............. Garbage Grind er❑ Y es2!3.No OTHER ❑ (Specify).......1 C' ..`.. Q .. .. ................ Gt..r...� ...F�.................. .1.e.lJ. ..L..4...........!.1..�........................... ..... . e...: ...� JI 5. Water supply for premises: Community ; Private we.11JZ Other ............................ } :. x a:...,. _ .. _ ... x.. ............ .. ._ _.. .. :�.'; '•: • Vii•+-.. . � ...,! Water supply for adjoining properties: Community❑; Private Wells; - Other • " ...................................................................................................................................................................... 'If private well,: how many feet from your nearest property line? �- ..... h.' 6. SCALE PLOT PLAN TO BE FURNISHED: Sketch to scale on reverse side hereof, or attach scale sketch of plot plan of the premises showing: ` • a) Property lines. • � _ ,� b) Location of proposed building and driveway. ' .+V . . c) Location of large trees, rocks, or other obstacles. d) Location of any well, spring, creek or other body of water'. I >s--•e)•+Show direction and approximate amount of slope. .•1 -.- :Y L� X '^Yw.SC,<. -, Q -.V Idhereby state• that the information above and on the reverse side hereof or attached hereto`is correct and,tnie + to the'best of my knowledge. • I understand that the permit must'be'obtained before any construction is begun eithere, on tlie'building or on the sewage disposal system, and that a 's`at'isfactory inspection of the system is•required,S_ fore the new building may be occupied or the system backfilled, o' Lit into use. - • } ~''* Date:..... Y� .....1.,..,!...,n........� Signed;.. -.....m. t,' ... �:.:..:- .... Zonin d. access: O K NOK Cleared b Plannin t .............. i°:::�!.'.»:•••••• 8 ❑ ❑ Y g.. ........... ......... ... Permit issued ...................................... Denied:................ By: .........................• ............. ... Date: .»:. �...:.... ...j. SS Remarks: �. b' Z? —%d •,. • e �4 •r S4 -164R B40te.Co•unty Depart(h6nt of Publ c Health M.�p� Tt�� 695 OLEANDER AVE. , j 2490 BIRD STREET CNICO. CALIFORNIA;.O F. SAN 1 TAT T I 0 N OROVILLE, CALyPORN1A 3434211'< " . y, , • per _ -533-1230 EXT. 29 ewageD ms �sp�lt Dace a " ��i'• ,i R,. ssu d E2FRM•XEPIRES`OYEA1)Afi-E�-0 PZISS�JAPSCB• •••••••• -`` 'js Permit Issued to: v. � . x ,f , w a tw j 6$ w i� •^; it' it _ 's'� Iii-4 I �.� .1 �^h F ."`=..r^"� ` •vawF `r ,r' q • ,.`t ` ..... t` , rc :'S.yn i s ..+ d. `• ., � o_,�a ,... . ............sa.•• a #2 .S'" (, ; r ,To construct & sewage=dispose system for A:: ,.: t " ............................. L + + , T ocated at: A /�/ . it. r "" F,? i r.�c. i� ' •t ••!=•fie. p.t v -`rs' ti G% , ••, _ F, t'^:,e "� w h+M._,��➢ • . ,• t ..w r f,G` a i y ;'4`� , - � ,t :1�,_ _ .,3:x41 �w �-,,�7� .� yf. t .Y . �7 �. ,,� _:,n• ,,. tl+SEPTIC TANK SYSTEM REQ> EMENTS t t fit. , a > . , ,". M {'��. .- �+�•' Y .. �� S C tonic 3.. ♦ ; t meislittmL-nt� S ' �,r r • a . •�.z v�.....r'"�'.,��' LeBChn Fleld .rs°' 15".,1 ! 8 Sk 1 i�' "Alli h., .••��. s .Af 5 w • •" '-' + t f 1 - aMzh• �� Total Lengch - r�,�... ai 'i { �,b 1's 1 4 "• � ,� p.. ;ta � �'n,e'Y 1ti w. . td , ,y _ � j'# *��•� ir7 � � 3s't �. .i��,,. S : "'T' J _Width • ' •• ,m i` L i,h t.! w.ttl..w..f+.C:Mw'•,'�. S y '•y rr ice., i .inches h:. .•r..w :. ftY Minimum No oflines: .............. Llgiud dept n ,,Nti ;'f `_; gcapk�a�city 'P gals .,. Rock under tele' :.inches`:r .. is ',.t �•%"nu!7n'. f:, - �.. . .:�'.+ i� ••• ,•� Special conditions: ........ ..fit . YA r 'Additional leachlagiheld will be-.ieq ued if eapetience shows It [o';be•necessary, No.;part of the syscem ,,-may,be located within SO. h., of the cet.ntei line of an'y County Road. i, `NOTEc_ Satisfactory inspection'»by the Health Department is required before backfilling of .1` putting the system into use. Occupancy of a new building'is not permitteduntil ;the .. s stem is approved. Permit"Fee 'S Penalty Fee S Total Fee Ste' Building Sewer Fee S Issued By: Receipt No. aoicarian S31 - 1162R •.<<.. ay.� , i A r - rx t -ie..-a' '!e -,, .�;- !'d,3t�1 • .jN t. Jy'v;s 1 } : ;� �e§.; i : c •.�... E +y,l,:t�'...v. �., _ wl00l v;~ �� �` n'. ,rte .,•a t .fix a 's'3' y•• N �, •t? ` n• � r• � �, fi«j, t�J, 1tw ''.r. .. - �4 +i, ��r �! r.t `' Fi �"••"_� �• �• ` ' ••�-9 s� 1 tJr,.� ' � � s' �.- i �.r�i t ; ,�� .,t r S, ry tri, z s •.. ^ ±_ 1 ', " � �• ,, ..n � � rT 't + y .} Y - �' -,}''„` ,., � .7 � �<� . S , •.t t a i r• + �. • .�y i, `, •„e+• � 7�t - 4 r � ti 't 'tA^t, •• �� i �.� t •J t H . � filx'M y r t': x �% w'� , : a L .v CL "'31r�.{ iel."��� �! r �»� � +''+'�iL�Y's '� ..;3* �" � rte..•: ' �_. *, r.�., �. �c ri •s,a� � - ,..ti � .�. .•4.•.-• �'xc y r ��', i. �.... ,- r�r? ,.�...fcs.' ..r. _ ,•.-. .].: .`.+. T;'i= « �..,r.�,1 t�.; .�:. .w •i ry �, .:� y ;• 'y •.ut. e1Ty'V li 1� i.%�J 'r'i i� p.•. ..{'f .l .�2V lL ,�' '.i+, r�•�•, i .2' •� f�•Y � J� I (`. rii 'f . •M1 .P�z7 7 ��' � R � a t•tf.l�� rt j why .J ,'�'y 4 u1�,+ (r ,`. t .r:i'-' f ,� f' . i '. v�n• �. � i-� i �� ,r �� �y.t t ; " ti �j:• .. #' ,� T •{ i v r t� e � S • ' ♦` •ail ., f r� ' t S t♦r''� �' •�1 ' � .rHt'�.. i ,� • a+' , I� to j,T! �{at "R. r M1r}t t � i ''."� i ! .•- J - 4 •Its u 1 �:j�/� •. a . f ,R {: +; � Y '� � r�"� ti! r! a y 1G.� : f` Y r7' L^ ,rt'.a . 1� `� 1 �'ti-�' r f(�� •L `� � y1'1. t w` � � ! � i ,. r .y� •F 'r �.� \ ?' _� •� i Y., .?'. { �.�_yi �j•,.. ,� S' It, ,.2..•. ' � r 'M.'y. e ` t. ,�� A';tr l `"� �.` �. r �y.; � . •r.�y , _L. -r �-�_'�y¢r r Y , rtY',..•f7acJ`'�t1t.' k'�r 'i+ l�'�^� 4 :vt y`T�. a a�.t _.'l• �.<<� r Aa:', +v '.��•, .. r )�. � ..Y 4•�.. �s�i >t. � 'f. f ���,yl��-7 .�i � .1 «+.. .r ! , ', � e ��! ' Yt f ' r . .r � ♦��''r.,r,.^M•� .�?' � 7r<4 /` . r 7�'1 'y',,, , �. :J . �•,+ t: 'r y�'��r .. g,Mb'•'..'.�&r..��ir�'.%.•:�t=t":f;! COUNTY OF BUTTE- DEPARTMENT OF PUBLIC WORKS 7 County Center Drive, Oroville, California 95965 Telephone:'- 538-7541 APPLICATION FOR SPECIAL INSPECTION ,57- 4/-0,!R WIN I �j I wam I Mailing Address- / O Olga �U.jj)-Q Telephone. No. Z51 -X686 Applicant Mailing Adcress v11__1017�t , Building Location 1001PI-e- { Telephone No. I hereby request a special inspection of the following building: Q 1. Dwelling (if.only a .portion, specify) 2-. Apartment House (if only a portion, specify) 0 3. Commercial (specify present occupancy) � 4. Other (specify) I am requesting a special inspection.for the purpose of: 1. Moving the building. 2. Financing (specify agency) Case No. 3. Change of occupancy to 0T4. Other (specify) i I hereby certify that I will obtain the necessary permits and make any necessary correc- tions, alterations, or repairs required by the County of Butte, as a result of this inspec- tion, to comply with building and housing code,trequirements. I also certify that prior to the use or occupancy of this building, I will, complete the above required corrections, alterations, or repairs, or, if the building isl presently occupied, I will complete the above required corrections, alterations;'or repairs within 30 days. It I certify that I have read this application and state the above information is correct . and hereby authorize representatives of the {County of Butte to enter upon the above- ; mentioned property for inspection purposes: Signature of Ownefr .ti Fee Paid $ /00-00 1st-DPW/2nd-Inspector/3rd-Applicant Date Receipt No. '30 9 y Owner «4 COUNTY OF BUTTE - DEPARTMENT,OF PUBLIC WORKS 7 County Center Driie,•Oroville, California 95965 Telephone: 538-7541 f APPLICATION FOR SPECIAL INSPECTION A. P. No el 0,� i �_i() - 36o_0g10 Mailing Address OJZ)'c zulzjlal�l Telephone No. J 7 ��� ac ADnlicant V Mailing Address �•�QJ//� Building Location Telephone No. I hereby request a special inspection of the following building: Dwelling (if only a portion, specify) Apartment House (if only a portion,. specify) Commercial (specify present occupancy) Other (specify) I ot.A_wt K&ua_�_ I am requesting a special inspection for the purpose of: 1. Moving the building. n Financing (specify agency) Case No. .p Change of occupancy to r i A Other (specify) r I hereby certify that I will obtain the necessary permits and make any necessary correc- tions, alterations, or repairs required by the C3unty of Butte, as a result"of this inspec- tion, to comply with building and housing code„requirements. I also certify that prior to the use or occupancy of this building, I will complete the above required corrections, alterations, or repairs, or, if the building is- presently occupied, I will complete the above required corrections, alterations, or repairs within 30 days. I certify that I have read this application ,and state the. above 'information is correct and hereby authorize representatives of the"County of Butte to enter upon the above- mentioned property for inspection purposes. IT. Signature of Owner Fee Paid $ C :Date Receipt No. �D IF 41 lst-DPW/2nd-Inspector/3rd-Applicant PERMIT NUMBER _ B 184--73B;P,E,M ry P E .r PERMIT EXPIRES cR— 1-74 OWNER Gene F. Cam M CONTR: oumer 9 LOCATION (A.P. 40-30-46 y: app. 2000' so.-Of Midway on e/s'Jones Ave., Durham k u .i k, I .i l V 6 COUNTY OF BUTTE Department of Public Works BUILDING INSPECTIQN RECORD j + Zoning _ Setback Z. - 2- ' % 3 Forms Z } -A- - 7 c04 S Foundation Z,��� Piers & Girders ,Z Fireplace' _ Rgh. Plumbing Bond Beam Lath & Plaster f/4 �!<' Rein. Steel Gas Piping & Test Found. Vents — Framing �' - 3 ®� 7-:'� Plmg. Topout Tj Rough Elec. Wtr. Htr. - :U- 24 Furnace Kitchen Vent Firewall Garage Vents------- Sanitation & Water ELECTRIC GAS BUILDING Temporary �2-6 -2-73 Temporary Cert. of Occup. Final % Z X74 Final j - - Final —74 DATE REMARKS OR CORRECTIONS a ..z 3 iP r r 1081-73B,E PERMIT NUMBER - B P E PERMIT EXPIRES 7 —/c" OWNER Gene F. Camp CONTR: owner LOCATION (A.P. 40-30-46 . y p app. 2000' so. of Midway on e/s Jones Ave., Durham .. �4 ` 1 1' 11 1 f\ / F f COUNTY OF BUTTE Department of Public Works BUILDING INSPECTIQN RECORD Zoning 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 DATE REMARKS OR.CORRECTIONS f COUNTY OF BUTTE — DEPARTMENT OF PUBLIC 7 County Center Drive Oroville, California 95965 Telephone: 534-4541 APPLICATION AND PERMIT WORK 0 fj/ _7 authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. x Date >1 IoO017-5- ig nat of , ermitee or AgInt 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 for which fees have been paid. DIRECTOR OF PU LIC WORKS By Date 4 -- Z---7 3—. Building permit expires Date„/.....C.0 BUILDING OwnerG = SQ. FT. OCC. BUILDING VALUATION 7.. L Mailing Address — Telephone No. 2" Contractor G✓ Fireplace Total Valuation Mailing Address Gum Permit Fee Plan Checking Fee&/or Penalty Telephone No. Permit Fee $ $ Building Address O �� r 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 A. P. ®- a —Gas Zoning 8 Planning piping system 1 - 5 outlets 1.50 Each additional outlet .30 Fireds I X21.Sanitation Fire Dept. Fire Zone Use Permit Building sewer 5.00 EQA Parking Parcel Declaration Parcel Ma P 60' R/W Improvements provements Lawn sprinkler system 2.00' ee y�-.--�fPG�l��-ans 46g. Plan 'Rec'd Parcel Approval Plans Approval Permit Fee $ $ NEW ADDITION ❑ UTILITIES ❑ OTHER ❑ ELECTRICAL No.1 @ FEE PERMIT FILING FEE 1 $3.00 e Main service incl. 1 meter d Additional meters, each 1.00 Single Family Duplex ❑ Mobil Home ❑ Others ❑ Sub -panel (12 or less) (more than 12) Range, Cook -top or Oven 1.00 Water Heater or Space Heater' 1.00 Light fixtures k2.1 l(@10R ps.,swit es & fix oitlets0l25 !10 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: y� F �/ ^� / Hood, Ex. Fan or F.A. Furn. Motor 1.00 Evap. cooler, gar. di sp. or D.W. 1.00 Airrconditioner or heat pump Water pump Mobil Home Facilities 5.00 Temp. Power Pole 5.00 License No. Classification �" Misc. wiring ❑ I am exempt from the Contractors License Laws of the State of California. Permit Fee- $ $ WORKMEN'S COMPENSATION INSURANCE 1 am aware of the provisions of Section3700 of the California Labor Code which requires every employer to be insured against liability for Wo en'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 @ FEEPERMIT FILING FEE $3.00 Heating Cooling Ventilatio n Hood 2.00 Permit Fee $ $ 1 certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby TOTAL PERMIT FEE $ 25 authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. x Date >1 IoO017-5- ig nat of , ermitee or AgInt 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 for which fees have been paid. DIRECTOR OF PU LIC WORKS By Date 4 -- Z---7 3—. Building permit expires Date„/.....C.0 COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WOI 7 County Center Drive - Oroville, California 95965 �/ 0 Telephone; 533-1230, Ext. 259 APPLICATION AND PERMIT authorize representatives of the county of Butte to enter upon the above-mentioned property for inspection purposes. XDate g aturejoi ermitee oorr Agen Receipt No. / 0 3 � otA, White-D.P.W. — Pink -Inspector — Goldenrod -Assessor — Yellow -Applicant This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DIRECTOR OF PUBLIC WORKS By Date —247 7 Building Permit Expires Date2__J'7 BUILDING Owner SO. FT. OCC. BUILDING VALIDATION 6 0a Mailing Address a '- O 2 -7 ' Fireplaces ©O Contractor :4 Total Valuation Mailing Address a Permit Fee Plan Checking Fee&/or Penalty Permit Fee $ $ Building Address in Cf t c PLUMBING No. @ FEE PERMIT FILING FEE $2.00 T r t�eJ " Each Trap 1.50 f „5-0 Repair drainage or vent piping 1.50 Water piping 1.50 1,g-0 Each gas water heater or vent 1.50 A. P. No. — V Zoning Gas piping system 1 - 5 outlets 1.50 j,ga Each additional outlet .50 Fire Zone Fire Dept. Sanitation o Planning Building sewer 5.00 Plans 4/ Fees /� W. C. R/W Encroachment Lawn sprinkler system 2.00 NEW RL ADDITION ❑ OTHER ❑ Permit Fee $ $ ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 00 Main service incl. 1 meter Additional meters, each 1.00 USE OF STRUCTURE Single Family Duplex ❑ Others ❑ Sub-panel((12 or less) re than 12) Range, dryor er heater l 1.00 1 X00 Ov Coo -top or space heater 1.00 Light fixtures j20 2T 4 Rec", sw i tkftrs & fixlets V ERE 7-M 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 style of: �- 11 r- t,A M e- od Fa r F.A. Furn. Motor 1.00 1 41 cooler, gar. lisp. or D. . 1.00 J,00 ump Air conditioner or heat pump-3,;- Water pump Misc. wiring License No. / x/b Z t'e Classification ❑ I am exempt from the Contractors License Laws of the State of California. Permit Fee $ $ Taj Fly 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. �Ihave 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. @ FEE PERMIT FILING FEE $3.00 ®V Heating ® &e,,. 100,,0,eL, cr Cooling 'O Ventilation Permit Fee $ $ I certify that I have read this application and state that the above information is ccrrect. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby Insirumentootionir� groo^ion $0.07/$1000 Evaluation $ TOTAL PERMIT FEE -� authorize representatives of the county of Butte to enter upon the above-mentioned property for inspection purposes. XDate g aturejoi ermitee oorr Agen Receipt No. / 0 3 � otA, White-D.P.W. — Pink -Inspector — Goldenrod -Assessor — Yellow -Applicant This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DIRECTOR OF PUBLIC WORKS By Date —247 7 Building Permit Expires Date2__J'7 JEFFRIES LYDON Fax:530-891-3641 Feb 7 '01, 11:40 P.02 3114 - .YT q 4 "rte - wuC-S MY 200' 4. 180' 160' _ - _ -_ --- -_-- - •- _ • -- -- - -__- --�.._ __----_--•-_-------�-- __..- - -_- ---- _ • �._. . _ 11�1,0T - r--1 r- ,-r----T,I-/-._-_ _ r 1 I _ 120 -� •-- - - -- - - _-.. +--�: - • 17 7-1 200 _.. , -100►- �--� , i , } , r La t • 80 •- _ _ - -_ - - -- - - ---= ----- - - ---- - i-1-----.1�-.- __ \ • � •i -.-+L-._�. ._...._.. __ ._ _ - ..._ ._T--.. ... __..._;_� ..--rte...---__r ...-_-__-_T-._-�-:_ PVEID — — y-- ;_=_ :--- .._ ..... Wit.•: _ _..t— �• �' — 80 100' 120' 140' 16C T� F f ZZ SZ �� �2�sS , S�� D�a►c. 2 x I /6''o c- - 1✓13 coA-r S-r�uo