HomeMy WebLinkAbout040-340-005CARNES, W. U., 45-72B�
• - 31-72E
26-72P.
Lot 19, Ranchos Robledos Sub., 217-s-7 Fa- seo.ti"
Companeros, CY ico `
CONTR: Everett Gordon, 1520 Neai Dow, Chico
(new single family),�;G
v
�.
0 s " .05
4 t ;F:j 92'-2189B';E� ,'-1 -...
'4-3_ ��.t
40(
-DANIELSON;�Ja `ry &,.Janicex
_543' Paseo Compane s,' Chico
cont* : Carpe"r & Brag
additio/sf
n ' ,#�+�f*,�'.*
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1DANIELSON;1Jariice
ice .
.James
'4 5435 Paseo. Compa' ros Chicoq-%o
T*^ contr:. Carpe B`ragdon s'
ducts/sf'�
s
..�. �n7kr— 2-3187B
x040 34=0 005.- r L''�� r.
.DANIELSON,t. ames '=JariiC�
om 'Ch1C0 s
`543 'Paseo Companeros, 7 I'
�� 1 I
contr :' 4 'Counties,
repair
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o
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DANIELSON, James & Janice
543 Paseo `'Comp.aneros;,' Chico F
contr 4 Counties'
repair tile 'roof/sf
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r P COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORkS
7 County Center Drive - Oroville, California 95965 - Telephone -9 16,538-7541
-- « �-- APPLICATION AND PERMIT
PERMIT NO
ASSESSOR ARCEL NUMMER
040340005 O- •QI.S'
ZONIN
BUILDING PERMIT
OWNER
Janes Danielson
TELEPHONE
895-11744
SO. FT. OCC. BUILDING VALUATION
�y� (��
t�rle X $175.00'- $ W.00
OWNER'S MAILING ADDRESS
543 Paseo C eros Chao
Roof repair with tile.
CONTRACTOR'S NAME
Four Counties RoofingC
TELEPHONE
1343-1416
CONTRACTOR'S MAILING ADDRESS
463 Crusader Court Mco 95926
Fireplace '
CONSTRUCTION LENDER
UNKNOWN
-
Total Valuation $1 tr>pCt,00 ,
Filing Fee $ 15.00
LENDER'S MAILING ADDRESS
Permit Fee $ .50
ARCHITECT OR ENGINEER
LICENSE NO.
Plan Checking Fee $
Energy Plan Checking Fee $
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Penalty $
BUILDING ADDRESS
543 Paseo q2Ln1Laneros, Chico
Permit fee $ 43.50
PLUMBING PERMIT Filing Fee 15.00
Each Trap 5.00
Solar or heat pump water heater 20.00
LOT NO.
SUBDIVISION NAME
PARCEL MAP
Water piping 7.00
Each qas water heater or vent 7.00
USE OF STRUCTURE
SF XXDuplex❑ Mobilehome❑ Other
SPECI FY
Gas piping system 1 - 5 outlets 5.00
Building sewer 15.00
Mobile Home I S I G I W 615.00
TYPE OF WORK
New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation❑ Other ❑
Describe work: Roof rep@ir with tile. _
Permit Fee $
Contractor
ELECTRICAL PERMIT Filing Fee 15.00
Main service 600V OR LESS 18.50
200A OR LESS _
Main service 200A TO 1000AI 37.50
CONTRACTORS LICENSE LAW
I declare under penalty of perjury (Check One):
® I am licensed under provisions of Chapt. 9, Div. 3 of the Business
and Professions Code and my license is in full force and effect.
License ;do. 489246 Classification C-39
El 1, as the owner, or my employees with wages as their sole compen-
sation, will do the work,and the structure is not intended or offered
for sale. (Sec. 7044)
❑ I, as the owner, am exclusively contracting with licensed contract-
ors. (Sec. 7044)
❑ I am exempt under Sec. , Business and Professions Code
for this reason
NEW CONST. ( DWELLING OCCUP.9 3.6d sq.ft.
OR ADDNS. ACC. BLDGS. //
NEW CONST Ft ULT' -OUTLET /� 5 00
NON-RESID BRANCH CIRC ITS l:
POWER APPARATUS &)
(SINGLE OUTLET CIR. )
Ex. Occup(OUTLETS OR FIXTURES 20 76d
FIXED APLNS.
Ex. OCCUp. OUTLETS P(RESID )REA.) I 3.00
Temporary service 15.00
Mobile Home Facilities 15.00
Misc. Wiring 15.00
Permit Fee $
—
WORKMEN'S COMPENSATION INSURANCE
I declare under penalty of perjury (check one):
❑ The permit is for $100.00 (valuation) or less.
I have placed on file with the County of Butte Building Department
a Certificate of Workmen's Compensation Insurance or a Certificate
of Consent to Self -Insure.
❑ I shall not employ any person in any manner so as to become subject
to the W. C. laws of California.
Notice to Applicant: If after making this statement, should you become subject
to the W. C. provisions of the Labor Code, you must forthwith comply with such
provisions or this permit shall be deemed revoked.
Contractor
MECHANICAL PERMIT Filing Fee 15.00
Heating
Cooling
g
Hood 6.50
Ventilation
permit Fee $
Contractor
I certify that I have read this application and state that the above information
is correct. I agree to comply to all County Ordinances and State Laws relating
to building construction, and hereby authorize representatives of the Countyot
Butte to enter upon the above-mentioned property for inspection purposes.
I also agree to save, indemnify and keep harmless the County of Butte against
all liabilities, judgments, costs, and expenses which may in any way accrue
against said -County in consequence of tthhe ranting of this pernliit..
X ;'! lG1. y� f�i/%i� (1( '` {�_ pate �l 7 /IA--
Signature pp Contractor❑ Agent ❑
An OSHA permit is required for excavations over S'l)" deep and demolition or construct-
ion of structures over 3 stories in h
Mobile Home Installation Fee $
Ener Inspection Fee $
9Y P
occ
CONST TYPE
TOTAL FEE $ 43.50
HAz
I DFEES I
IMP
I FL D
I CDF
PARCEL
I PD
HD
ISSUE
This permit is hereby issued under the applicable provi-
sions of the Butte Cour). Code and/or resolutions to do
work indicayabpve f r which fees have been paid.
�
4eight. ,,f 6C� `QF PUBLIC WORKS
By /'I ';" i ' Date
PERMIT EXPIRES Date e7- 1,v - '* 3
Receipt No. 1229 !h7
WHITE-D.P.W.. YELLOW -ASSESSOR, PINK -INSPECTOR. GOLDENROD -APPLICANT
Four Counties Roofing Company
#3 Crusader Court
Chico, CA 95926
/ couroY CFNTER DRIVE .. OROVILLE. CALIFOnNIA 95965.339/
TELEPHONE: 1916) 5367541 i
FAX: (916) 53.9-2140
August 26, 1993
RE: Building Permit #92-3187 (Roof Re -
Expiration Date 9/14/93 pair with
A.P. #040-340-005 Tile)
Dear Sirs: Owner: James Danielson @
543 Paseo Companeros, Chico
With reference to the above subject, our records indicate that your building
permit expires on the above date and your permit falls into the category marked
below:
I .
Permit work started, but not completed. Permit may be renewed for 2 the
original building permit fee (plus a $W.00 filing fee). 'The renewal
permit will extend the building permit for an additional year from the
original expiration date. Should you not renew your permit within 30
days of the expiration date, all work must cease until a new building
permit has been issued. For your convenience, we are enclosing a renewal
application form and owner -builder form to be completed and signed by
you where indicated and returned to this office together with the fee
shown. Please return all copies of the application form. i
r
EENo inspections have been made on permit work. Inspections are required
to verify code compliance. We are unable to renew a permit where the
work has not been started and inspected prior to-permitI expiration.
After expiration of your permit, no work may be started until'a new permit
has been issued.
If our records are in error or should you have any questions concerning this
matter, please contact the Chico office.
Thank you for your prompt attention concerning this matter.
Yours very'truly,
JFG:hla
cc: Building Inspector
Attachments: ❑ Renewal Application
[Owner -Builder Information
❑ Owner -Builder Verification
Chico - 1469 Humboldt Rd/891-2751 Pa
j' J.F. Glander
Manager, Building Inspection
adise - 745 Elliott Rd/872-6307
COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS
7 County Center Drive - Oroville, California 95965 - Telephone: 916/538-7541
APPLICATION AND PERMIT
�PERMIT� 9.
ASSESSOR PARCEL NUMBER
040340005 4OO- j D-DOJr
ZONIN
BUILDING PERMIT
OWNER
Janes Danielson
TELEPHONE
895-0744
SQ. FT. OCC. BUILDING VALUATION
g squarex 1 5.00 = 1 400.00
OWNER'S MAILING ADDRESS
543 Paseo Com aneros Chico
Roof repair with tile.
CONTRACTOR'S NAME
Four Counties Roofing Conan
TELEPHONE
343-1416
CONTRACTOR'S MAILING ADDRESS
#3 Crusader Court Chico 95926
Fireplace
CONSTRUCTION LENDER
UNKNOWN
Total Valuation 1 $1,400. J0
LENDER'S MAILING ADDRESS
Filing Fee $ 15,00
Permit Fee $ 28.50 -
ARCHITECT OR ENGINEER
LICENSE NO.
Plan Checking Fee
il'. FPUT
Energy Plan Checking Fee $
Penalty $U 0 1441
`
ARCHITECT OR ENGINEER'S MAILING ADDRESS
BUILDING ADDRESS
543 Paseo Com aneros Chico
Permit fee $ 43.50
PLUMBING PERMIT Filing Fee 15.00
Each Trap 1 5.00
Solar or heat pump water heater 1 20.00
LOT NO.
SUBDIVISION NAME
PARCEL MAP
Water piping 7.00
Each qas water heater or vent 7.00
Cyt USE OF STRUCTURE
SF9 Duplex❑ Mobilehome❑ Other
SPECIFY
Gas piping system 1 - 5 outlets 5.00
Building sewer 15.00
Mobile Home I S I G JW I @ 15.00
TYPE OF WORK
New❑ Addition EJ Remodel❑ Utilities❑ Installation❑ Other ❑
Describe work: Roof repair with tile. _
Permit Fee $
Contractor
ELECTRICAL PERMIT Filing Fee 15.00
Main service 200V OR ESS
0A OR LESS 18.50
CONTRACTORS LICENSE LAW
I declare under penalty of perjury (check one):
Ni I am licensed under provisions of Chapt. 9, Div. 3 of the Business
and Professions Code and my license is In full force and effect.
License ;do. 489246 Classification C-39
ElI, as the owner, or my employees with wages as their sole compen-
sation, will do the work,and the structure is not intended or offered
for sale. (Sec. 7044)
❑ I, as the owner, am exclusively contracting with licensed contra
ors. (Sec. 7044)
❑ I am exempt under Sec. , Business and Professions Code
for this reason
Main service 200ATO1000A, 37.50
DWELLING OCCUP..9 3.64 sq.f[.
NEW CONST. (OR ADDNS. ACC• BLDGS. //
NEW CONSTF ULT I -OUTLET
NON-RESID BRANCH CIRCUITS @ 5.00
POWER APPARATUS R.
SINGLE OUTLET CIR.
EX. OCcup�OUTLETS OR FIXTURgS 20 76
Ex. Occup. OUTLETS ED APPLNS (RESID )RE0 I 3.00
Temporary service 15.00
Mobile Home Facilities 15.00ct-
Misc. Wiring
g 15.00
_E I
Permit Fee $
—
WORKMEN'S COMPENSATION INSURANCE
I declare under penalty of perjury (check one):
❑ The permit is for $100.00 (valuation) or less.
® I have placed on file with the County of Butte Building Department
a Certificate of Workmen's Compensation Insurance or a Certificate
of Consent to Self -Insure.
I shall not employ any person in any manner so as to become subject
to the W. C. laws of California.
Notice to Applicant: If after making this statement, should you become subject
to the W. C. provisions of the Labor Code, you must forthwith comply with such
provisions or this permit shall be deemed revoked.
Contractor
MECHANICAL PERMIT Filing Fee 15.00
Heating
Cooling
g
Hood 6.50
Ventilation
Permit Fee $
Contractor
I certify that I have read this application and state that the above information
is correct. I agree to comply to all County Ordinances and State Laws relating
to building construction, and hereby authorize representatives of the County of
Butte to enter upon the above-mentioned property for inspection purposes.
I also agree to save, indemnify and keep harmless the County of Butte against
all liabilities, judgments, costs, and expenses which may in any way accrue
against said.County inConsequence of the ranting of this p iit. /
X ( .� �T � T_ Date ClA / f 2—
Si nature of Applicant — Owner
9 PP ❑ Contractor ❑ Agent
An OSHA permit is required for excavations over 5'0" deep and demolition or construct-
ion of structures over 3 stories in height.
Mobile Home Installation Fee $
Ener Inspection Fee $
Energy P
occ
CONST TYPE
TOTAL FEE $ 43.50
HAz
I DFEES I
IMP J
FL OD
COF
I PARCEL
PD
HD
ISSUE I
This permit is hereby issued under the applicable provi-
sions of the Butte Cou Code and/or resolutions to do
work indica ab f r which fees have been paid.
R � PUBIC WORKS
BY Date `7-/9_Vy
PERMIT EXPIRES Date !?--- /y— -
Receipt No. l.�
WHITE-O.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT
c ;
R SI E TIAL
34-05 2-2i89B,E
40-34-05 ce
DANIELSON,James & `aniChico
S43 Paseo Companeros,
contr: Carper & Bragdon
addition/sf
' s
N
3'
t
ij
u•
c4
Q
6
if
i
JOB FINALE
Signature
COUNTY OF BUTTE
DEPARTMENT OF PUBLIC WORKS
1469 Humboldt Road, Chico, CA - (916) 891-2751
7 County Center Drive, Oroville, CA - (916) 538-7541
747 Elliott Road, Paradise, CA - (916) 872-6307
CORRECTION NOTICE
�t9z ---eloc
oW PERMIT
A routine inspection indicates that the following violations of Butte County Ordinances exist at
the above address and should be corrected. Please notify this office when correction of work
fae
ed. If you have any questions pertaining to this matter, or need additional explanation,
tact this office immediately. �j �^
Z7 P, X , (Q � / V -'� / 3 4 '1 i -PS
1
Date Inspector ,��d►c
REVS 11/91
:ik'sii ^I1fr• }O.'PM[••J4".fYM'r'MRN[�A'M+�P#0.4Y4''YMMI'�'lM1�M+MR.WMze►14.•'e�L•kTN f_:}yr1.1•YeJY.,.N"'£r •r.. ...;. .N•tw..Yri.r..•. T. .... .. ..-. .»... r... .....-...-.:.v}.r.+'9++ek*wrca7v.yWK.'MMMMN�Ff19
• .Y fir. +... 1•
.' -Janice rennit No. 92-2-It.. I3 -
Daniel:sor.�-James,&
�:, rye r : �. _------ ., . ___ -- • .w _ _
tkt! `EN>rRiCiY'• CBR,TIF3.CA1''10N
t. k
Ca. 40-34-05 _
.543 • Paseo Cam ener, A. P. No
y . LOCATION
UESCRIrfION'OF.INSULATION
ROOF; i-
grand Name
laterY sl `' • '
' Tl►ickc�es�;(ii�ciees) . Theraisl Reeietance (R q'f�lu®)
t EXTERIOR WALL -
fla:RGLASS BATTS - Broad Name
14aCerial 3 „. 1Y�ermal Raslstanae(R Value)
Tit lckne6s (ielclies)
t CEILING j,.".' Brand Nome - — --- f
a'@tC of F.l'gnlii-1 '1'YP® -
TlilclSnees ; istcl�ea) 'L;iieKmsl Reeietac�ce(R l+:a'lue) .
Loose F1iL 'W
e `' FIBERGLASS Wraaid Name QbL C.o-U1Lvt�'
mikkimum 114cknes§(Inche40012 3/42 N TI ermal Realstance(RNvalue)oir aR30�-35 ib.
Arae coverod(kt..) '
FLOOKEL.EVATEDOWENS-CORNIGN '
''+�MateKialr>'` 1' FIBERGLASS BAITS Brand Ngme --
�nf Thermal Resistance(R Value)
ckR19
' �'neAs(inchee) 16I I
" .FI 00$i.AB Yk L
E1;, , --
1
�le;rgrisl Thermal Resistapce(R V+IIu®)^
' T1��;cZ<ne�tl.('i•nclie�)-, ... -------
4 1��7 [ 7+}liar ►J q� l,'.f p.� None' ,.
' 8 Qi..ie4lyCib Qti{V 1� .f . • t. I, + aY,`ffand Yf.: 7 r �� I+ 7r-•�' iY ire--�•„ev,n.^C"°'�.+e.•-!'� '
' a����a(('�s(..�;p�ppppx�■..f.`,;,.�-�1',p- /3 `s' ,•�,-r"".-*�„f ,`,'1'�l�l' ��Y YC��A � ��l�A� ,. „�.
t�} it�l)ts1W. to the ;Abvvq Wilding
x lrershi�. ¢irk 1y �!►sK tbs `obpvp' �•00ylp ,AF aq . 0 �! t.
i`wik0a tha �I40 g Rqsiiy Rsqui>r+v►eta.
.Y. - fr x� tt. t Tt '� �•�fr•1 ^ 49915 "
F�,• L0� E. IMSi�ATYON GO. INC"
,. T�1'Si� �ANTItA Tod d .i. UM ho.
is
August 31, 1992
A
`
�
PLI ATOR � � -PATe x
R C TUR1Ki OF, INgTAI.1:A ' N: �,
sai��tntA on tl�A
I tis 1�y Fer•ttfi the, abovn;Miuslelatwn 40.411 required itema s@ sham^
' ,:.i Q�.s►g'1►ei' jant: approveJ' Rlano apd a�feLeve been fnRt�ilsd ac
t,�,! l,, a by la State of Ce�liforala' $p0rED� Requirements.
�.
+Iu f .
f t w.
�, ;a`, cievtc®s eiad caatee
A1?k�t+q iwla,BR9 oR th® qual�,ky` preeortV.-Od or fire
` I eats. e oP''Cali�Rornirl.
gOF-tacallyf approved by. the ta • '
B•-1 306451 _
CarperBr'agdon''
` "'y am._--_♦♦-��-pp OWNSp r3J (Pleas, piint)f 13TNro- COW WTORQ S 'l.-100 4•
r ' F]�R!! •NlfcsF,, > +t • 1 C _ :i , t k 8-3 I /'2 •v .1
Ifffr AICJ TOii OWNER DATE
• `TtIIC 'C�Ei1�I�'ICi1'l'E QST
BE: ON FILE, WITII Tllx BUILDING DEPARTMENT PRIOR TO FINAL
QN Qi'I;Si�JAi,
AND A COPY .SHALL' pE ;POI�TEp WITpIN TIIL' pU :1.A`LG`i0
' ,� , Jgnuary' 19��1
J=OK '
O=Not OK
= Not Applicable
' =Not Ready MOBILE HOMES
Date
MOBILE HOME UTILITIES (Plans) OK except #'s
N,,,
1. Zoning Requirements -Setbacks -Easements `
N„_
_ 2. Soils; Special MH Support Sketch
3. Sewer; Location -Test -Fall -C/O Concrete
4. Water; Location -Test -Easement Needed (Sketch)
5. Electricity; Location -Clea rences-Grnd-/ /Amp -Concrete
6. Gas; Location -Test -Wrap: / /"L"ft.
/ /"Nat. or/ /" L"ft./ /"LPG
7. Well Clearance & Disconnect
8. Utility Clearance
Date
Card B-1 Date Card'B-1
Date
Card B-1 Date Card 8-1
Date
MOBILE HOME INSTALLATION (Plans) OK except #'s
1. Zoning Requirements -Setbacks Easements
2. Footings; Size -Spacing -Marriage Line
3. Gas; MH Test -Demand -Valve -Connector
4. Electricity; MH Test -Crossovers -Breakers -Clearances
5. Drain; MH Test -Fall -Flex Connector F
6. Water; MH Test -Regulator -Connector
7. Water and Sewer Connected -C/O to Grade -HD Approval
8. Gas and Electricity Tagged
9. Exits; Insp.-Sketch
10. Cert. of Occuoancv
Date Card B-1 Date Card B-1
Date Card B-1 Date Card B-1
a -
1
MISCELLANEOUS
Date DECKS, COVERS, CARPORTS, GARAGES, (Plans)OK except #'s
1. Zoning Requirements -Setbacks -Easements
2. Footings; Soils -Size -Depth -Spacing -Connectors -Steel
3. Decks; Griders and/or Joists -Decking -Bracing -Stairs -Rails
4. Wood Awn.; Posts- Bea ms- Rftrs.-Connectors ;y
Shthg.-Rfg.-Bracing
5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures
_ 6. Carports; Windows -Doors
7. Electric
` 8. Frmg; Sils-Anchors-Studs-Rftrs-Trusses
9. Siding; Nailing -Veneer -Stucco -Mesh
10. Roof; Shthg-Roofing
11. Ext.; Steps -Doors -Landings
Date Card B-1 Date Card,13-1
Date Card B-1 Date Card B-1
Date POOLS (Plans) OK except #'s
1. Setbacks -Easements _.t • �
2. Soils; Compaction -Structure Stability,
3. Pool Structure; Steel -Connections -Thickness
Dead Men -Lining
4. Elec.; Receptacles and Lighting, Distances-GFI
5. Elec.; Pool Lighting; 15 volts-GFI
6. Elec.; Enclosures; Conduit Entries -Terminals -Listed
7. Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater
8. Elec.; Grounding; Equip. w/5' Circulating Equip. -Pool Lghtg.
_ Boxes -Enclosures -Panel boards -Ins. to Main in Conduit
9. Health Department Approval
10. Plumb.; Cir. Test -Water Supply Test
Date Card B-1 Date Card B-1
Date Card B-1 Date . Card B-1
9.
D.W.V.; Fall -Fitting -Test -2 Way No -Sewer Test
10.
UF. Gas Pipe; Size -Anchors -yard 3<ping: size -test
11.
Water Pipe; Test -Anchor -Regulator -Service Tes
12.
ctric; Underground
1
enums & Ducts; Clearance -Material -Support -Ins.
1
irders-Sills-Anchor Bolts -Joists -Vents -Cripples
V, = OK
r
16.
)
D = Not OK
Card B-1 W. /eA-Date Card B-1
DatSR-y-f Z
Card B-1 Date Card B-1
Not Applicable
= RESIDENTIAL (Single
& Duplex)
Not Ready
Date UN
RFLOOR (Plans) OK except If's
Date
FRAMING (Continued)
Hing -Setbacks -Easements -Flood -Slope
_45o, Hangers- Post Caps -Anchors -Connectors
Ftg., Main; Soils-Elec. Grnd.-/ /" Ftg. Depth
46. Cing. Joist-Rftr. ties-Purlin-roof Brac-Truss-Shthn .- ng.
3.
Ftg., Garage; Soils-Steel-Elec. Grnd.-/ /" Ftg. Depth
.. 1 -Fir place Ties or Type A Flue -Fireplace Throat clearance
4.
g., Porches & Decks; Soils -Steel-/ /Ftg.
ttic Access; Size &Romex Protection -Draft Stop -Ins. ai es
Stemwalls, Main; Steel -Bloc kouts- pped
Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions
6. Stemwalls, Garage; Steel -Block ts-Wrapped
y
----------
--
� ° Garage Fire Protection Framing
6a.
Hold Downs and Special Anc ors
ell___
-___
----
14 Property Line Firewall & Openings
7.
Slab; Steel -Wrapped Lit
--52. Ext. Doors -One 3' -Check Garage -3rd Story, 2 Exits
8.
Piers -Fireplace Ftg.-Steel
-- ---------------'--------------
�-CA Stairs& Width -Head room-Rise-Run-Landin -Fire Protection
9.
D.W.V.; Fall -Fitting -Test -2 Way No -Sewer Test
10.
UF. Gas Pipe; Size -Anchors -yard 3<ping: size -test
11.
Water Pipe; Test -Anchor -Regulator -Service Tes
12.
ctric; Underground
1
enums & Ducts; Clearance -Material -Support -Ins.
1
irders-Sills-Anchor Bolts -Joists -Vents -Cripples
Access & Ventilation
16.
Insulation
Date _Z9-
Card B-1 W. /eA-Date Card B-1
DatSR-y-f Z
Card B-1 Date Card B-1
Date PLUMBING (Permit),OK except h's
/16. Water Htr.: Vent -Access -Combustion Air -Baffle
/ 17. Water Pipe; Test & Anchor -Nail Protection
18. O.W.V.: Test -Fittings & Anchor -Nail Protection--
--- Shower Pan; Test. First Floor -Tub Access-
- - 20. Test Tub & Shower, Second Floor -Tub Access - - - -----------
21. -
21. Gas Pipe: Size & Anchors
D/e------- af----Card B---------------- Date ----- ---Card B-1-----------
Date Card B-1 Date Card B-1
Date ELECTRICAL (Permit) OK except h's
-- - 22. fixture &Transformer Clearance -Ins. Protection
ec. Receptacles Spacing -Lights & Switches at Doors
---- ------------------------- sectio -------------------
------------- -- - - -
-------------------------------------------- ----- ----
_- - ize Boxes &N -o. -of Conductors -Stapled
_- mex Installed Close to Edge Studs & C.J.
--S q - - made up w!- -- ----------------------------------
Eq-- Ground made up w! ch. Fastn----Bond Gas & Water
----------- -------------------------- -
2 Appliance Circuts in Kitchen & Conductor Size!GFI
- ------------------- ____ ---'-------------------------
2&-Subfeed Wire Size ! / ga. Cu or AI-A.C. Wire Size / / ga.
Cu or AI
-21. Range Circ. / / ga. Cu or AI -Oven Circ. / / ga. Cu or Al.
Insulated Neutral ❑ Yes ❑ No
-
----------------=------------------------------------------------------------
--89. Service -Riser Conductors & Ground -Main Disconnect
-------------- ------------ ----------------------- -----------------------------
.34-Equ' Clearances Panels-Motors-Mech. Equip.
------------- - --- -- - -- ----- - -- - -
- ----- -- --- -- - -- - - ----------------------
"S. othes Closet Light -Shower Light -Spa Light
------- ------------------------------------------------------------------
moke Detector
-------------------------------------------------------------------I----------------
Date 9 -13-fit,- Card B-101LL_-Date Card B-1
----- ---- - - ----------------------------------------
Date Card B-1 Date Card B-1
Date MECHANICAL (Permit) OK except h's
4. A.C. Ducts Insulation & Support
----------------------------------------- -------------
35. Vent Fan Exhaust above insulation
._-_____ -36. Condensate Drain & Overflow: Size & Grade -
37. Furnance-Vent: Access -Comb Air -Return Air Vent -115 outlet
--- - ---- - - --- -------------------------------------- -------
38. Attic Access & Platform if Furnance in Attic
----------------------- ------------------------------------------------
------
----------------------------
--- --- -------------- -- - - ------------------------
-------------------------
Date Card B_1 Date Card -B-1
Date Card B-1 Date Card B-1
Date FRAMING (Plans) OK except h's
Sits. Proper Material & Anchors
------- --------- - - - --- -- - - --
Walls Studs -Nailing. Spacing & Bracing -Plates -Sound
------------- ------------------------------------------------------------------
gJ1/8ring Walls over Girders & Floor Nailing
------ -- -------------------------------------------------------------
raft Stop in Walls (rat proof)
--------------------------------- - -------------- - --------------------------------
--'".-Fire
-----------------------------------------------------------------------------
--'tS-Fire Stops: Furred Ceilings -Stairs -Chases -Tub
Headers & Beam -Size & Bearing
---------------- 9
-----
- ly od on Roof Overhang -Attic Vents -Rafter Outriggers
ng -Nailing Veneer
Wi�s-tucco Mesh -Drip Screed -Fd. Vents-Underflr. Access
yf! Lazing Area -Glass Pr tec
S ar Walls: Nai
01 Insulation -Walls -Ceilings
60. Infiltration -Walls -Windows
- 13 - IL/cill s
---------------------- -
Date 3 Card B-1",Date Card B-1
Date g (N'9L Card B-1 A,&_Date Card B-1
Date FINAL (Plans) OK except ft's
Steps -Door & Sidelight Protection -Landings
62 -Smoke Detector
6.3. Furnace; Vents -Clearance -Comb. Air -Connector -
In Garage: Above Floor -Ducts -Meth. Protection
----------- - - -
--------- --
4. BedBed-room Exiting
- G.F.I.& Bath Fixtures & Tub Access -Spa
Elec. Trim & Subpanel: Breaker Sizes & Labels
------------------------
&
--------- - & Rails
------------------------------------------ -
ace or Stove: Clearances -Hearth
--- - --- -- - --- - - ---- ----------------------
____&9.-Ef_c`. Outlets at Wood Panel: Int. & Ext.
---Kit.Fixt & Appliance; Grnd.-Air Gap -Cooking Clearance
a-1-eter-�flets & Receptacles at Kit. Counter ----------- ..�- -g-------------
�L. Gara a Fire Door: Swing -Landing -Closer
�uct in Garage -Damper
74. Wtr. Htr.: Vents -Clearance -Comb. Air-Connector-P.R.V.
n arage: Above Floor -Meth. Protection
--------------------------------------- -
=-76. PH3 Eec._,& Mech. Equip. Listed for Location
-------------- ---------- - p -------- -
ece tacles in Garage: (G.F.I.) -Romex Protection
7.. Insulation -Foam -Looked in -Attic ❑ Yes
-----------------------=----------- - -
Guard Rails Deck Construction -Post Caps
--- -------------------5_---------Constr c -
--'A79. . ents & Crawl Hole Door -Drainage & Wood -Earth
------Clearance Looked under Floor ❑ Yes
owin instl rive ❑ Yes ' ❑ No; Walks ❑ Yes ❑ No;
Planters es ❑ No
-----------------------
Stucco: B wn-Finish
isconnect. Electrical, Plumbing
..................
--
__ 3- - ents Above Roof: Plbg.-Appliance-Fireplace.-Clearance to
Openings
-�8�"Vlr2t r-
Well: Disconnect, Electrical, Plumbing
85. Exterior-Elec. Trim: G.F.I. Receptacle -Underground -- -
-- ------ -- - - -
Ventilation Throughout House
- - - - - -- ----------------
ass Protection
------------------------------------------
treetions from Previous Inspections
-----------------------------------------------------------
89. Gs -Test -Meters Tagged: Gas -Electric
-- a er ewer Connected -C/O to Grade -HD Approval
-
nergy Compliance Certificate -Other Certificates
--------------------------------------------- ------
Date , iV and 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 PUBLIC WORKS PERMIT NO.
7 County Center Drive - Oroville, California 95965 - Telephone: 918/538.7541
APPLICATION AND PERMIT
ASSESSOR PARC9L NUMBER •
040-340-005
ZONING
AR
BUILDING PERMIT
OWNER
James & Janice Danielson
TELEPHONE
895-0744
SO. FT. OCC. BUI'_DING VALUAT 0
p
138 7,452.00
OWNER'S MAILING ADDRESS
543 Paseo Com aneros, CHico 95926
CONTRACTOR'S NAME
Carper & Bra don
TELEPHONE
345-1221
CONTRACTOR'S MAILING ADDRESS
403 W. 17th St., Chico 95928
Fireplace
CONSTRUCTION LENDER
UNKNOWN
Total Valuation $ 7,452.00
LENDER'S MAILING ADDRESS
Filing Fee
$ 15.00
Permit Fee
$ 82.50
ARCHITECT OR ENGINEER
GPeitz
LICENSE NO.
C21283
Plan Checking Fee
$ 41.25
Ener Plan Checking Fee
Energy g
20.00
ARCHITECT
CT OR ENGINEER'S MAILING ADDRESS
1907 E. Mangrove Ave. CHico
Penalty
$
BUILDING ADDRESS
Permit fee
$158.75
PLUMBING PERMIT
Filing Fee 15.00
543 Paseo Com an ros Chico
Each Trap
1 5.00
Solar or heat pump water heater
1 20.00
LOT N
SUBDIVISION NAME
PAAR EL MAP
Water piping
1 7.00
Each qas water heater or vent
7.00
USE OF STRUCTURE
SF [2 Duplex❑ Mobilehome❑ Other
SPECIFY
Gas piping system 1 - 5 outletE
5.00
Building sewer
15.00
Mobile Home S G W
@ 15.00
TYPE OF WORK
New ❑ Addition ® Remodel ❑ Utilities ❑ Installation❑ Other ❑
Describe work: Add Area to Bedroom
'�
Permit Fee
$
Contractor
ELECTRICAL PERMIr
Filing Fee 15.00
Main service 200A OR LESS
18.50
Main service 200A TO IOOOAI
37.50
CONTRACTORS LICENSE LAW
I declare nder penalty of perjury (check one):
I am licensed under provisions of Chapt. 9, Div. 3 of the Business
and Professions Code and my license is in full force and effect.
License .do. 3o b �.GI Classification 5—/
FlI, as the owner, or my employees with wages as their sole compen-
sation, will do the work,and the structure is not intended or offered
for sale. (Sec. 7044)
❑ I, as the owner, am exclusively contracting with licensed contract-
ors. (Sec. 7044)
❑ 1 am exempt under Sec. , Business and Professions Code
for this reason
NEW CONST.( DWELLING OCCLP.&)
OR ACDNS. ACC. SLOGS. //
X 3.6asq.ft. 4.80
NEW CONSTR ULT' -OUTLET
NO N.R ESID BRANCH CIRC 'TS
@ 5.00
l:
/POWER APPARATUS 6
(POWER
OUTLET CR.81
Ex. Occup(OUTLETS OR FIXTJRES
20 76
FIXED
EX. OCCup. OUTLETS (RESID 4EA.)
I .3.00
Temporary service
15.00
Mobile Home Facilities
15.00
Misc. Wiring
'15.00
Et
I
Permit Fee
$19.80
—
WORKMEN'S COMPENSATION INSURANCE
I declare under penalty of perjury (check one):
❑ The permit is for $100.00 (valuation) or less.
1 l have placed on file with the County of Butte Building Department
I� a Certificate of Workmen's Compensation Insurance or a Certificate
of Consent to Self -Insure.
❑ I shall not employ any person in any manner so as to become subject
to the W. C. laws of California.
Notice to Applicant: If after making this statement, should you become subject
to the W. C. provisions of the Labor Code, you must forthwith comply with such
provisions or this permit shall be deemed revoked.
Contractor
MECHANICAL PERMIT
FiIingFee 15.00
Heating
Cooling
g
Hood
6.50
Ventilation
permit Fee
$
Contractor
I certify that I have read this application and state that the above information
is correct. I agree to comply to all County Ordinances and State Laws relating
to building construction, and hereby authorize representatives of the Countyot
Butte to enter upon the above-mentioned property for inspection purposes.
I also agree to save, indemnify and keep harmless the County of Butte against
all liabilities, judgments, costs, and expenses which may in any way accrue
ag ai�dn n cons uence of the granting of this�fpermit.X Date (O —23'�Z
Signature of Applicant — OWne Contractor � Agent ❑
An OSHA permit is required for excavations over 5'0" deep and demolition or construct-
ion of structures over 3 stories in height.
Mobile Home Installation Fee $
Energy Inspection Fee S40.00
occ
CONST TYPE
TOTAL FEE $218.55
HAz DFEES IMP
FLcPcoF PARC
PD HD
Issu
This permit is hereby issued under the
sions of the Butte County Code and/or
Work Indic dab a for v7hich fees
R OR OF 'UBLIC
B
PE IT XPIRES Date 7— %—!t_
applicable provi-
resolutions to do
have been paid.
WORKS
Date?
Receipt No. 116956
WNITE-D.P.W., YELLOW-ASSl930R, PINK -INSPECTOR, GOLDENROD -APPLICANT
A;6 ' t: -..r �..n . ; In. r r „%'i'�"'Pl''q�r d1` •'{jwnr'4j7lNirs r" i,Yi`�) y,L'"' •..r
r
COUNTY OF BUTTE - QEPARTMENT OF PUBLIC WORKS - BUILDING DIVISION:
7 COUNTY CENTER DRIVE= ",,ORgNILLE, CALIFORNIA 95965 - TELEPHONE (916) 538-7541
OWNER )AM
1
Proposed Building Use_
PERMIT APPLICATION DATA SHEET
6, Z)t4Al/
A.,f�. No. � - � -P��
_ Building Inspector Cate a c
IF
At time of permit application, I was advised the following data must be submitted prior to permit processing and/or issuance:
GTE RECEIVED BY
1. All items have been submitted . ........................................
2. Plot plans, 3/4 sets, signed by preparer of plans. .
3. Complere,,plans, 3/4 sets, signed by preparer of plans . ......................
4. Engineered plans and calcs, 3/4 sets, with wet signature on plans ..............
5. Hazardous Material Form . ............................................
6. Energy Design Compliance and supporting documentation . ..................
7. Statement of Intent for Non -Heated and A/C Buildings . ......................
8. Engineered truss details and layout in duplicate (required prior to plan check). ....
9. Mobilehome data.and manufacturer's installation instructions, 2 sets. ...........
1 .F-ees of $ . ............ .
11. Impact fees as shown on attached schedule.4. s?!�!.?....
12. California Department of Forestry plan approval/fees. ........................
13. Food elevation letter (100 year floc) y I' ornia Engineer. ............... .
Sanitation and plot plan approval ( , Health Department . .....:...... ,
15. City of Chico plumbing permit .......................................
.
16. Plot plan and business license approval from City of Biggs/Gridley. ............
17. Planning approval for (A) Use: (B) Parking: . ........
18. Contact Land Development about (A) Improvements (B) Drainage. .......... .
19. Driveway permit (construction approval required prior to occupancy). .. nsrearef20. Pre -inspection for required. . . reuidpingclonsnpe=r ---
(Date)
21. Contractor's license information. (No., Name Style, Classification) . .............
22. Certificate of Workmans Compensation Insurance . ..........................
23. Owner -Builder Verification (Given to owner , Mail to owner _) ............
24. Recorded copy of Agricultural Acknowledgement Statement . ..................
25. Letter of signature authorization . ........................................
26. Copy of recorded deed of parcel creation and 60 right of way to a public road. .... .
27. Letter of intent on building use..................................I....... .
28. Mobilehome utility clearance ...................
.
29. Documentation of legal access. ._
30. Documentation of 50% subdivision developed or (A) Road improvements completed
and (B) Parcel meets zoning area and frontage requirements . ...............
31. Existing violations/expired permits . ......................................
32. Plan check list... Q ........... .
33. -64009� .. ...Si: S.vf,a
34.
When you issue the permit, process as follows: Mail to owner. (.�' Mail to contractor -
Telephone and hold for pickup at office. Deliver with inspector.
Other
Parcel Creation
Acreage Applicant?;�P��� L Date
Copy of Haz-Mat form sent Health Dept. Fire Dept. Air Pollut on Date
Copy of plans sent Health Dept. Fire Dept. Other Date By
The following data must be submitted ri r to peri�( suance: (Circle new item not checked above).
1. Index permit for above items No.�'C
2. Additional items required:
ContraWor, designer, owner, was advised of above required data by phone _ mail Counter bl�ate-
Contractor, designer, gW^er, was advised of above required data by _ phone _ m�iL Coun r by _ Date
Plans checked by �Gt�t�I Date%L�7i Plans approved by Date Z
Sets of plans on hold File cabinet AP folder
Copy - Department of Public Works
TO Buildinc Department
FROM: Environmental Health
SUBJECT: Sanitation Clearance
-
Owner Location U AP#
Plan Approved for: Sewage Disposal Water Supply
Hold final for: Water Supply
Final clearance O.R. for: Water Supply
Clearance for bedroom mobile home. Other �
NOTE * * *
LIL Date
Sanitarian
COUNTY OF BUTTE - DEPART OF PUBLIC WORKS - BUILDING DMSION
7 -COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE (916)5387541
OWNER '¢}"/V I (�l��D/'�/ A'. P. NO.
PROPOSED BUILDING USE /4DATE 7/
j EC. DATE REC
1.-. School Distric Fees
( paid at District Office)
2. Sheriff Fees- -
(paid at Building Department)
Residential.... X _$
unit amt.
Commercial(per sq.ft.) X =$
sq.ft. amt.
3. Urban Area Fees
(paid at Building Department ,
Residential (per unit) X
# units amt.
Commerical(per sq.ft.)
El
sq.ft. amt.
Recreation District Fees
(paid at District Office)
5. Drainage District Fees
(Contact Land Development)
6. Other
7. Other
At time of permit application, I was advised the above fees are required to be paid prior
to issuance of the permit. I
APPLICANT
DATE
0
� .•.,:.-� ry yir`�r`Y tr.rfi'.-+t.w �:N'�.tC�4t.� � V .aw'� i ,.. o r<w,+�-yltiy� .v'�+�f[ '•-'�"' ."'i�.`r��"1".:e'w�—".. J'tii"r... �, )J�-r a ,$
SJ
BUTTE COUNTY SCHOOLS IMPACT FEE CERTIFICATION FORM
(One Form Per Building)
School Districts — _ _ _ ° -- Building Department No.
A.P. Number O,fO --3, 4O 005-00Qurisdiction �_ J City County
Property Owner JAS
Property Location/Address � 3 �Q S �' O _ ca rl ct,. er Q s .
Subdivison
Residential Development
No. of Living MHI
Units
Commercial/Industrial 0
New
ilding Departm t Representative
Lot No.
Footage
Addition (Group R)
0 Sq. Footage
Addition (Including:FXterior
Roofed Areas)
Date
(Floor Plans reviewed by School District Personnel)
District Identification No,
School District certifies that _
---. -- (Appli nt)
(Street Address) (Phone Number)
(city) —------------------- z�2g
(State) (Zip )
has complied with the requirements of Resolution No. -4
representing _�_square feet.
School Districtepresent tive
by payment of $
Paid by Check Number __ _ _ _ Remarks: _
Bank Number
Paid by Cash
�3
Date
If, subsequent to the School District Representative signing this Butte County Schools Impact Fee
Certification Form, the School District is notified by the applicable Local Planning Agency that this project
is being reviewed under the California Environmental Quality Act (CEQA), this project, may be subject to
additional school fees to fully mitigate its impact on the school district's schools.
White (applicant), Yellow (building department), Pink (school district) feeformmkf (4/92)
COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT NO.
7 County Center Drive - Oroviller California 95965 - Telephone: 916.`536-7541
APPLICATION AND PERMIT
ASSESSOR PARCEL NUMBER --
ZONI
BUILDING PERMIT
wN
o6,,i,e- ISo
SQ. FT/ OCC. BUI_DING VALUATION
OWNER'S AILING DORESS S ��
� ctse o
CC].hbTWT/'O R,$NAME ��� �
TELEPHONE
COy TRACTOR' MAI ING ADDRESS // /'
"C� 3 Pr (7 S't'. ��"► �LKcv.
Fireplace
CONSTRUCTION LENDER
UNKNOWN
Total Valuation Is
LENDER'S MAILING ADDRESS
•
Filing Fee ,$ 15.00
Permit Fee $
AR HITECT OR E INEER
�y2t? G�t-�2
LICENSE No.
Zl Z8
Plan Checking Fee $
ARIFiy.; OCT OR ENNaINEER'S MAILING ADDRES
([i,CLjj fes- �%.4s�G2a ✓L".,.t�
Energy g Fee O
Ener Plan Checking $
Penalty $
BUILDING ADDRE
Q "1
Permit fee $
PLUMBING PERMIT Filing Fee 15.00
Each Trap I 5.0
Solar or heat pump water heater 1,26,00
LOT NO.
SUBDIVISION NAME
PARCEL MAP
Water piping 7.00
Each qas water heater or ven 7.00
USE OF STRUCTURE
SF M Duplex❑ Mobilehome[] Other
SPECI FY
Gas piping system 1 - 5 lets 5.00
Building sewer 15.00
Mobile Home S I G IW @ 15.00
TYPE OF WORK
New ❑ Addition RemodelE]
�1 Un Uti[l�J'ties� Installation Other ❑
Describe work:y0 14-k /T Z 1629,9
Permit Fee $
Contractor
ELECTRICAL PERMIT Filing Fee 15.00
Main service 200A OOR LESS 18.50
Main service 200ATO1000AI 37.50
CONTRACTORS LICENSE LAW
I declare under penalty of perjury (check One):
El I am licensed under provisions of Chapt. 9, Div. 3 of the Business
and Professigis�Code and my license is in full ,forcr and effect.
License No. � T ��t Classification /jam
❑ 1, as the owner, or my employees with wages as their sole compen-
sation, will do the work,and the structure is not intended or offered
for sale. (Sec. 7044)
❑ I, as the owner, am exclusively contracting with licensed contract-
ors. (Sec. 7044)
❑ I am exempt under Sec. , Business and Professions Code
for this reason
NEW CONST. / DWELLING OCCUP.p� 3.6Qaq.ft.
OR ADDNS. l ACC. BLDGS. /
NEW CONSTR U TI.OUTLET @ 5.00
NON-RESID BRANCH CIRCITS)
POWER APPARATUS S
SINGLE OUTLET CIR. )
EX. OCcup�OUTLETS OR FIX.TUP.ES 20 76d
FIXED APPLNS, OR
Ex. Occup. OUTLETS IRESID.1 EA.) I 3.00
Temporary service 15.00
Mobile Home Facilities 15.00
Misc. Wiring '15.00
Permit Fee $
WORKMEN'S COMPENSATION INSURANCE
I declare under penalty of perjury (check one):
❑ The permit is for $100.00 (valuation) or less.
} I have placed on file with the County of Butte Building Department
/zj--a Certificate of Workmen's Compensation Insurance or a Certificate
of Consent to Self -Insure.
1 shall not employ any person in any manner so as to become subject
to the W. C. laws of California.
Notice to Applicant: If after making this statement, should you becomebject
to the W. C. provisions of the Labor Code, you must forthwith comply with such
provisions or this permit shall be deemed revoked.
Contractor t
MECHANICAL PERMIT Fili ee 15.00
Heating
Cooling
g
Hood 6.50
Ventilation
Penult F $
Contractor
I certify that I have read this application and state that the above information
is correct. I agree to comply to all County Ordinances and State Laws relating
to building construction, and hereby authorize representatives of the Countyot
Butte to enter upon the above-mentioned property for inspection purposes.
I also agree to save, indemnify and keep harmless the County of Butte against
all liabilities, judgments, costs, and expenses which may in any way accrue
against said County in consequence of the granting of this perm 't.
X Date
Signature of Applicant — Owner❑ Contractor ❑ Agent
An OSHA permit is required for excavations over 5'0" deep and demolition or construct-
ion of structures over 3 stories in height.
Mobile Home Installation Fee $
Energy Inspection Fee $
occ
CONST TYPE
TOTAL FEE $
HAz
DFEES
IMP
I F D
CDF
PARCEL
PD
HD
ISSUE
This.permit is hereby issued under the applicable provi-
sions of the Butte County Code and/or resolutions to do
Work indicated above for whidh fees have been paid.
DIRECTOR OF PUELIC WORKS
By Date
PERMIT EXPIRES Date
Receipt No. I ffa
WHITE-D.P.W., TEL OW-ASSES50R, PINK -INSPECTOR, GOLDENROD -APPLICANT
i
Certificate of Compliance: Residential
(Page 1'of2) CF -1R
Date
Project Address
Building Permit Y
Docum tation Author / Telephone
C � � l Checked By / Date
Compliance Method (Package, Point System or Computer) Climate Zone Enforcement Agency Use Only
GENERAL INFORMATION
Total Conditioned Floor Area: — - h2
Building Type: ->< Single Family Hotel/Motel
(check one or more) Multi -Family (less than 4 stories) ZAddition
Multi -Family (4 or more stories) Exi;.ting-Plus-Addidon
Front Entry Orientation:. North / Eas ou West / All Orientations (circle one or more)
Number of Dwelling Units:
Floor Construction Type: Sla�Sed Flo circle one or both)
Infiltration Control: tanda ight (circle one)
BUILDING SHELL INSULATION
Component Insulation Location/Comments
Type R -Value (attic, to garage, typical, etc.)
Wall ..............
Wall ..............
Roof .............
Roof .............
Floor .............
Floor .............
Slab Edge.....
GLAZING
Glazing Area Glass Type
Orientation (Sf) (single, double)
Front....
Front.... ( )
Left......
Left...... ( ))
Rear.....
Rear..... ( )
Right.... ()'
Right.... ( )
Skylight.......
Skylight.......
Shading Devices
Interior Exterior
(roller blind, etc.) (shadescreen, etc.)
�� r/rozD—v�, - 410,4/6�-
�umw
Overhang Framing Type
"I -P7
THERMAL MASS
Type/Covering Area Thickness
(slab/exposed, tile. etc.) (SO (inches) Location/Description (kitchen, bath etc.)
Certificate of Compliance: Residential
lltle
HVAC SYSTEMS
(Page 20 f 2) CF JR
Date I.
Minimum Duct
Type (furnace, air Efficiency Location Duct Output Manufacturer / Model #
conditioner, heat pump) (SE, SEER,HSPF) (attic, etc.) R -Value (Bttlh) (or approved equal)
Maximum Furnace Heating Output: Btuh
HOT WATER SYSTEMS Tank Manufacturer/Model #
System Type (storage gas, etc.) Capacity (or approved equal) Special FCature(s)
SPECIAL FEATURES/REMARKS (Add extra sheets if necessary)
COMPLIANCE STATEMENT
This certificate of compliance lists the building features and performance specifications needed to comply with
Title 24, Chapter 2-53 and Title 20, Chapter 2, Subchapter 4, Article 1 of the California Administrative code. This
certificate has been signed by the individual with overall design responsibility and the building owner, who shall
retain a copy of it and transmit the certificate to any subsequent purchaser of the building. When this certificate of
compliance is submitted for a single building plan to be built in multiple orientations, all building conservation
features which vary are indicated in the Special Features/Remarks section.
Designer
Name:�,-��, Pe; Z
Title/Firm:�—
Address: / IZ) 7 E -'no ,t��0 ,,
Chtc.o 97-rc,
Telephone:
Lic. #: C Z./ Z Ss
(signature) (date)
Documentation Author
Name: 5 a P-Jq P
Title
/Firm:
Address:
Telephone:
(signa e) (date)
Form Revised March 1988
KBuildingO I er `
Name: (
Title/Firm: 4
Address:
Telephone:
(signature) (date)
Enforcement Agency
Name:
Agency:
Telephone:
(signature or stamp) (date)
mandatory Measures Checklist: Residential
MF -1R
NOTE: Lowrise residential buildings subject to the Standards must contain these measures reRxrdless cf ihr- cornpli:.rrce
approach used. Items marked wiLh an asterisk (•) may be superseded by more stringent compliance requirements listed
on the Certificate of Compliance. When this checklist is incorporated into the permit documents, the features noted shall
be considered by all parties as binding minimum component performance specifications for the mandatory measures
whether they are shown elsewhere in the documents or on this checklist only.
DESCRIMON
Building Envelope Measures
DESIGNER I ENFORCEMENT
• §2-5352(x): Minimum ceiling insulation R-19 weighted average.
§2-5352(b): Loose fill insulation manufacturer's labeled R -Value.
• §2-5352(c): Minimum wall insulation in framed walls R-11 weighted average (does not apply to
exterior mass walls). asp
§2-5352(k): Slab edge insulation - water absorption rate no greater than 0.3%, water vapor
transmission rate no greater than 2.0 perm/inch.
§2-5311: Insulation specified or installed mecca California Energy Commission (CEC) quality
standards. Indicate type and form.
§2-5352(f): Vapor barriers mandatory in Climate Zones 14 and 16 only.
§2-5317: Infiltration/ExfUtradon Controls
a. Doors and windows between conditioned and unconditioned spaces designed to limit air
leakage.
b. Doors and windows certified.
c. Doors and windows weatherstripped; all joints and penetrations caulked and sealed
§2-5352(e): Special infiltration barrier installed to comply with §2-5351 meets CEC quality
standards.
§2-5352(d): Installation of Fireplaces
1. Masonry and factory -built fireplaces have:
a. Tight fitting, closeable metal or glass door
b. Outside air intake with damper and control
c. Flue damper and control
2. No continuous burning gas pilots allowed
HVAC and Plumbing System Measures
§2-5352(8) and 2-5303: Space conditioning equipment sizing: attach calculations.
§2-5352(h) and 2-5315: Setback thermostat on all applicable heating systems.
• §2-5316(a): Ducts constructed, installed and insulated per Chapter 10, 1976 UMC.
§2-5316(b): Exhaust systems have damper controls.
§2-5314(c): Gas-fired space heating equipment has intermittent ignition devices.
§2-5314: HVAC equipment water heaters, showerheads and faucets certified by the CEC.
§2-5352(i): Water heater insulation blanket (R-12 or greater) or combined interior/exterior
insulation (R-16 or greater); first 5 feet of pipes closest to tank insulated (R-3 or greater).
§2-5312(Exception I): Pipe insulation on'steam and steam condensate return & recirculating
Piping -
§2 -5318(d): Swimming Pool Heating
1. System has:
a. On/off switch on heater.
b. Weatherproof instruction plate on heater.
c. Plumbed to allow for solar.
2. 75 percent thermal efficiency.
3. Pool cover.
4. Time clock -
5. Directional water inlet.
Lighting and Appliance Measures .
§2-53520: Lighting - 25 lumens/wau or greatu for general lighting in kitchens and bathrooms.
§2-5314(c): Gas fired appliances equipped with intermittent ignition devices.
§2-5314(a): Refrigerators, refrigerator -freezers, frozen and fluorescent lamp ballasts certified
by the CEC. Indicate make and model number.
F— Revised D==ber 1987
FLOOD PLAIN DECLARATION
I declare the actual value of the proposed construction work under build-
ing permit application at fj�/T GOr/�s7`
A. P. # 3V-00 S for 7-7O Al IV &�-:;DleO40,Ae does
F
not equal or exceed the definition of "Substantial Improvement."#
I am aware the building site is in a flood -plain area,,j,-,ven though I
a
am not required to comply with the floo pln management triterla. 1
'PROPERTY OWNER"
ADDRESS � `,. 543 /-'G-s e o
PHONE NO. 5 q S- o,7 4 `4
✓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 may be'required to substantiate costs.
BUTTECOUNTY
BUILDING,
E D
;
/ COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS
v 7 County Center Drive - Oroville, California 95965 - Telephone: 916/538-7541
- APPLICATION AND PERMIT
ERMIT NO.
ASSESSOR' P ARCEL NUMBER
040-340-005
ZONING
AR
BUILDING PERMIT
OWNER
James & Janice Danielson
TELEPHONE
895-0744
SO. FT. OCC. BUI_DING VALUATION
OWNER'S MAILING ADDRESS
543 Paseo Companeros, Chico 95926
CONTRACTOR'S NAME
Carper & Bragdon
TELEPHONE
345-0744
CONTRACTOR'S MAILING ADDRESS
403 W. 17th St., Chico 95928
Fireplace
CONSTRUCTION LENDER
UNKNOWN
Total Valuation $
LENDER'S MAILING ADDRESS
Filing Fee $ 15.00
Permit Fee $
ARCHITECT OR ENGINEER
LICENSE NO.
Plan Checking Fee $
Energy Plan Checking Fee $
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Penalty $
BUILDING ADDRESS
Permit fee $
PLUMBING PERMIT FiIingFee 15.00
543 Paseo Com aneros Chico
Each Trap 1 5.00
Solar or heat pump water heater 1 20.00
LOT NO.
SUBDIVISION NAME
PARCEL MAP
Water piping 1 7.00
Each pas water heater or vent 7.00
USE OF STRUCTURE
SF ® Duplex❑ Mobilehome❑ Other
SPECIFY
Gas piping system 1 - 5 outlets 5.00
Building sewer 15.00
Mobile Home I S I G JW= @ 15.00
TYPE OF WORK
New❑ Addition E] Remodel[] Utilities❑ Installation❑ Other®
Describe work:_ Add 2 Ducts
_ RE* B.P. #92-2189
Permit Fee $
Contractor
ELECTRICAL PERMIT Filing Fee 15.00
Main service 200AORLESS 18.50
Main service 200ATO1000A) 37.50
CONTRACTORS LICENSE LAW
I declar under penalty of perjury (check one):
I am licensed under provisions of Chapt. 9, Div. 3 of the Business
and Professions Code and my license is in full force and effect.
License No. Classification
I, as the owner, or my employees with wages as their sole compen-
sation, will do the work,and the structure is not intended or offered
for sale. (Sec. 7044)
❑ I, as the owner, am exclusively contracting with licensed contract-
ors. (Sec. 7044)
❑ I am exempt under Sec. , Business and Professions Code
for this reason
NEW CONST.
NS. (DWELLING occuF.&\ 3.6asq.ft.
OR ADDACC. BLDGS. I
NEW CONSTR. MULTI -OUTLET
NON-RESID BRANCH CI RCU ITS @ 5.00
POWER APPARATUS e
(SINGLE OUTLET CIFL
Ex. Occup(OUTLETS OR FIXTURES 20 76
FIXED APLNS.❑
Ex. OCCup. OUTLETS P(RESID,)REA.1 I 3.00
Temporary service 15.00
Mobile Home Facilities 15.00
Misc. Iyirin g '15.00
Permit Fee $
—
WORKMEN'S COMPENSATION INSURANCE
I declare under penalty of perjury (check one):
❑ The permit is for $100.00 (valuation) or less.
&I"I have placed on file with the County of Butte Building Department
a Certificate of Workmen's Compensation Insurance or a Certificate
of Consent to Self -Insure.
❑ I shall not employ any person in any manner so as to become subject
to the W. C. laws of California.
Notice to Applicant: If after making this statement, should you become subject
to the W. C. provisions of the Labor Code, you must forthwith comply with such
provisions or this permit shall be deemed revoked.
Contractor
MECHANICAL PERMIT Filing Fee 15.00
Heating
Duct 119.00 9.00
Cooling
g
Hood 6.50
Ventilation
- -
Permit Fee $24.00
Contractor
I certify that I have read this application and state that the above information
is correct. I agree to comply to all County Ordinances and State Laws relating
to building construction, and hereby authorize representatives of the Countyot
Butte to enter upon the above-mentioned property for inspection purposes.
I also agree to save, indemnify and keep harmless the County of Butte against
all liabilities, judgments, costs, and expenses which may in any way accrue
a n .t aid ounty ' c9 sequence of the granting of this per it.
X Date 30 c/ Z
signoture of Applicant - 0 ner ❑ Coniroctor ® Agent ❑
An OSHA permit is required for excavations over 5'0" deep and demolition or construct-
ion of structures over 3 stories in height.
Mobile Home Installation Fee S
Energy Inspection Fee $
occ
CONST TYPE
TOTAL -FEE $
HAz
I DFEES I
IMP
I FLOOD
I CDF
I PARCEL
I PD
HD
IssuE
This permit is hereby issued udder the applicable provi-
sions of the Butte County Code and/or resolutions to do
e ov whish fees have been aid.
work indicatp i
OF PU:3LIC WORKS
By � Date7"30-9
PERM I XPIRES Date
Receipt No. 117661
WHITE-D.P.W.. YELLOW -ASSESSOR, PINK -INSPECTOR. GOLDENROD -APPLICANT
... ,ti ... .:rv{�.�,:.-�:iiL-a, ��..M.17�"'��t't�'�"'*.'rR�rrr['�t^4*•.C"'r/'�v�.y.yf'cz7f1�'h-'A'Sr.���?,''v �•�'trwA''Y'�t+�.' crv`...�'\.:ti11�,vn-..F,�....t . - .• _
UM -YY OF BUTTE -DEPARTMENT OF PUBLIC WORKS - BUILDING DIVISION
7 COUNTY CENTER DRIVE - IOROVILLE, CALIFORNIA 95965 - TELEPHONE (916) 538-7541
O
PERMIT APPLACATION DATA SHEET
At time o
1.
2.
3.
4.
5.
6.
7.
8.
9.
10.
11.
12.
13.
14.
15.
16.
17.
18.
19.
20.
21.
22.
23.
24.
25.
26.
27.
28.
29.
30.
31.
32.
33.
34.
application, I was advised the following data must be submitted prior to
All items have been submitted . .................................
processing and/or issuance:
DATE RECEIVED BY
Plot plans, 3/4 sets, signed by preparer of plans . ..........................
Complete plans, 3/4 sets, signed by preparer of plans . ......................
Engineered plans and calcs, 3/4 sets, with wet signature on plans . .............
Hazardous Material Form . ............................................
Energy Design Compliance and supporting documentation . ..................
Statement of Intent for Non -Heated and A/C Buildings . ......................
Engineered truss details and layout in duplicate (required prior to plan check). ....
Mobilehome data and manufacturer's installation instructions, 2 sets. ...........
Feesof $ ..........................................
Impact fees as shown on attached schedule . ..............................
California Department of Forestry plan approval/fees. ........................
Flood_ elevation letter (100 year flood) by California Engineer . ................. .
Sanitation and plot plan approval Health Department . .............
City of Chico plumbing permit. ......................................... `
Plot plan and business license approval from City of Biggs/Gridley. .............
Planning approval for (A) Use: (B) Parking: . ........
Contact Land Development about (A) Improvements (B) Drainage. .......... .
Driveway permit (construction approval required prior to occupancy). .. . ... .
Pre -Inspection requess
Pre -inspection for required. .. to Building Inspector (Date)
Contractor's license information. (No., Name Style, Classification) . ..............
Certificate of Workmans Compensation Insurance . ..........................
Owner -Builder Verification (Given to owner , Mail to owner ) ............
Recorded copy of Agricultural Acknowledgement Statement . ................. .
Letter of signature authorization . ....................................... .
Copy of recorded deed of parcel creation and 60 right of way to a public road. .... .
Letter of intent on building use . .........................................
Mobilehome utility clearance . ..........................................
Documentation of legal access . ........................................
Documentation of 50% subdivision developed or (A) Road improvements completed
and (B) Parcel meets zoning area and frontage requirements. ...............
Existing violations/expired permits . ......................................
...............
Plan check list . .....................................................
When you issue the permit, process as follows: Mail to owner. Mail to contractor.
Telephone and hold for pickup at office. Deliver with inspector.
Other
Parcel Creation
Acreage Applicant Date
Copy of Haz-Mat form sent Health Dept. Fire Dept. Air Po (on Date
Copy of plans sent Health Dept. Fire Dept. Other Date By
The following data must be submitted prior to permit issuance: (Circle new item not checked above).
1. Index permit for above items No.
2. Additional items required:
Contractor, designer, owner, was advised of above required data by _ phone _ mail Counter by _ Date
Contractor, designer, owner, was advised of above required data by _ phone _ mail Counter by_ Date
Plans checked by Date Plans approved by Date
Sets of plans on hold in File cabinet AP folder
Copy - Department of Public Works
COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT NO.
7 County Center Drive - Oroville, California 95965 - Telephone: 916.'538-7541
APPLICATION AND PERMIT
ASSESSOR 'PtARCE L NUMBER —O0�
`"'1 `�,"---_\�`�./_
ZONIfyG�
BUILDING PERMIT
OWNER
m�S
TELEPHONE ','I
� -0-7
S0. FT. OCC. BUaLDING
VALUATION
OWNER'S MAI LIN ADDRESS
1'(0
CONTRACTOR'S E
v'
TELEPHONE
S -0-74
CONTRA T2OR'S MA`I LIK�ING AD RES
J �J -Fh I co acJRlB
Fireplace
CONSTRUCTION LENDER
UNKNOWN
Total Valuation $
Filing Fee
$ 15.00
LENDER'S MAILING ADDRESS
Permit Fee
$
ARCHITECT OR ENGINEER
LICENSE NO.
Plan Checking Fee
$
Energy Plan Checking Fee
$
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Penalty
$
BUILDING ADDRESS
Permit fee
$
PLUMBING PERMIT
Filing Fee 115.00
115— Cclm�1. ���5 GV��c�
Each Trap
5.001
Solar or heat pump water heatee
20.00
LOT NO.
SUBDIVISION NAME P4RCEL MAP
Water piping
7.00
Each qas water heater or vent
7.00
USE OF STRUCTURE
SF ❑ Duplex❑ Mobilehome❑ Other
SPECIFY
Gas piping system 1 - 5 outlets
5.00
Building sewer
15.00
Mobile Home S I G I W
@ 15.00
TYPE OF WORK
New ❑ Addition ❑ Remodel((❑ Utilities ❑ Installation❑ Other ❑
Describe work: Q
ZLQj9
Permit Fee
$
Contractor
ELECTRICAL PERMIT
Filing Fee 15.00
Main service 600VORLESS
200A OR LESS
18.50
Main service 20CA TO 1000A,
37.50
CONTRACTORS LICENSE LAW
I declare under penalty of perjury (check one):
EJNON.RESID
I am licensed under provisions of Chapt. 9, Div. 3 of the Business
and Professions Code and my license is in full force and effect.
License .Jo. Classification
17I, as the owner, or my employees with wages as their sole compen-
sation, will do the work,and the structure is not intended or offered
for sale. (Sec. 7044)
❑ 1, as the owner, am exclusively contracting with licensed contract-
ors. (Sec. 7044)
❑ I am exempt under Sec. , Business and Professions Code
for this reason
NEW CONST. DWELLING OCCU=.a
OR AODNS. ( ACC. BLDGS.
3.66sy.ft.
. NEW CONSTR.ULTI-OUTLET
BRANCH CIRC ITS
@ 5•00
POWER APPARATUS 6
(SINGLE OUTLET CrR. )
Ex. Occup( OUTLETS OR FIXTURES
20 76d
Ex. Occup. OUTLETS I ESID IBE A.)
3.00
Temporary service
15.00
Mobile Home Facilities
15.00
Misc. Wiring
9
15.00
Permit Fee
$
—
WORKMEN'S COMPENSATION INSURANCE
I declare under penalty of perjury (check one):
❑ The permit is for $100.00 (valuation) or less.
❑ I have placed on file with the County of Butte Building Department
a Certificate of Workmen's Compensation Insurance or a Certificate
of Consent to Self -Insure.
❑ I shall not employ any person in any manner so as to become subject
to the W. C. laws of California.
Notice to Applicant: If after making this statement, should you become subject
to the W. C. provisions of the Labor Code, you must forthwith comply with such
provisions or this permit shall be deemed revoked.
Contractor
MECHANICAL PERMIT
Filing Fee 15.00
Heating
Coolin g
Hood
6.50
Ventilation
Permit Fee
$
Contractor
I certify that I have read this application and state that the above information
is correct. I agree to comply to all County Ordinances and State Laws relating
to building construction, and hereby authorize representatives of the Countyot
Butte to enter upon the above-mentioned property for inspection purposes.
I also agree to save, indemnify and keep harmless the County of Butte against
all liabilities, judgments, costs, and expenses which may in any way accrue
against said County in consequence of the granting of this permit.
X Date
Si nature of Applicant — OWner
g pp ❑ Contractor ❑ Agent ❑
An OSHA
ion of structurestover r39stories inehe excavations over 5't1" deep and demolition or construct-
Mobile Home Installation Fee $
Energy Inspection Fee $
OCC
CONST TYPE
TOTAL FEE $ U
HAz
1 11 FEES I
IMP
I FLOC
I COF
PA CEL
FO
I HD
I ISSUE
This permit is hereby issued ander the
sions of the Butte County Code and/or
work indicated above for which fees
DIRECTOR OF PJBLIC
By
PERMIT EXPIRES Date
applicable provi-
resolutions to do
have been paid.
WORKS
Date
Receipt No.
WNITE-D.P.W.. YELLOW -ASSESSOR. PINK -INSPECTOR. GOLDENROD -APPLICANT