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040-390-015
/ ~ STARNF,S-, Ted 1214-67B 263 'Pro -Chico Hwy,. (Lot 1, Bl� e Creek Estate;3) Chico T .91 � �40-39-15 1806 Oro-chico Hwy, Chico\ .-84B,E,M(addition/SFj)�l ^ ~ �40-39-15TO— 40 39 15Permit#629-8 B,E(new storage shed) 40-39-15 92-832 BPEM- -STARNES, Ted1806 Oio Chico Hwy, I Durham'04-0783040-390-015 04-07 83V pj UR TIONCont: WESTCOASTPLACE CATV POWER SUPPLY / ~ STARNF,S-, Ted 1214-67B 263 'Pro -Chico Hwy,. (Lot 1, Bl� e Creek Estate;3) Chico T .91 � r- s O^ 255 304. ?3 ORo�<<F�'4a cti100 x N �O LOCATION: E DU03-PO2 APN: 040-390-015 °°°0 x 263 OROVILLE-CHICO HWY n BUTTE COUNTY BUILDING DIVISION Of O APPROVED J .I 1152 ,0,70 off° o� O� v O" P� V O� N. • I`/ . PROJECT: SCALE: NONE EXISTING CATV. °" Comcast communications W* 3 PAD MOUNTED POWER SUPPLY APPROVED REVISION: DU03-PO2 0 COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-7 7R5)T NO. (Rev. 12/96) APPLICATION AND PERMIT ASSESSOR PARCEL NUMBER SEE ATTACIED ZONING BUILDING PERMIT OWNER COMCAST TIONS TELEPHONE SO. FT. OCC. BUILDING VALUATION OWNERS MAIUNG ADDRESS NTO CA 95838 CONTRACTOR'S NAME WESTCOAST ICATIONS VCI TELEPHONE 343-2473 CONTRACTORS MAILING ADDRESS CA 95928 CONSTRUCTION LENDER Fireplace LENDER'S MAILING ADDRESS Total Valuation $ ARCHITECT OR ENGINEER LICENSE NO. —Filing Fee $ 20.00 Permit Fee $ ARCHITECT OR ENGINEERS MAILING ADDRESS 7 DURHAM TIONS SEE ATTACHED Plan Checking Fee $ BUILDING ADDRESS Energy Plan Checking Fee $ $ PERMIT FEE $ LOT NO. SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMIT Filing Fee 20.00 Each Trap 7.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome ❑ Other SPECIFY Solar or heat pump water heater 23.00 Water piping 15.00 Each gas water heater or vent 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑ Describe Work: PLACE CATV P01M SUPPLIES Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home I S I G I W I @20.00 PERMIT FEE $ ELECTRICAL PERMIT Filing Fee 20.00 Main Service ".A OR LESS 23.00 161 0 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. p /_ License Class -C-/01No. 166 �� OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for 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 Main Service TO 46.00so CCU000A NEW CONST. DWEWNG OCCUP. W:0 OR "I,Iss ( 3 5¢S0. FT. NEW T. MUL�Tcol�mES. NON-RESID. B C C @7.50 POWER APPARATus & SINOLE OVTLEr SIR. �(, OCCU OUTLET OR FKTURES 20 00 @ I'50 FUCED APPLNS. OR Ex. Occup. OUTLETS REBID. E0. 5,00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE $ WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ 1 have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' coj�p ation insu ance carrier and policy number ar Carrier �� O� P e � ��S yl.^� 1� P iM k (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 workerl' compensation visions of section 3700 of the Labor Code, I shall forpWith c ply w' If oprovisions. _1Q w � � X Date Signature oTA*li8ant - ❑ Owner 11 Contractor ❑ Agent An OSHA permit is required for excavations over 60" deep and demolition or construction tures over 3 stories in hei MECHANICAL PERMIT Fling Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE $ Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST. TYPE TAL FEE $ 184.00 HAZ D F IMP I FLOOD CDF PARCEL I PD HD ISS 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. �. ZJ a B DateNo. PERMIT EXPIRES ON.D.S.-B.D. Def ANARY-A ESSOR PINK -INSPECTOR GOLDENROD -APPLICANT t JI 4 V v PERMIT NO. 629-87B,E 0 PERMIT EXPIRES - OWNER TED STARNES CONTR. oXxowner ASSESSOR PARCEL 40-39-15 LOCATION 1806 Oro Chico Hwy, Chico � a /S7 1 1. t' z.. r6 Temp. Power Pole Called PG&E Temp. Elec. Service Called PG&E r f Temp. Gas Service f e Called PG&E JI 4 t/mOKI 0 = Not OK - = Not Applicable = Not Ready MOBILEHOMES " MISCELLANEOUS Date MOBILEHOME UTILITIES (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements Date DECKS, COVERS, CARPORTS, ETC (Plans) OK except k's`." 1. Zoning Requirements -Setbacks -Easements 2. Soils; Special MH Support -Sketch _ 2. Footings; Size -Depth -Spacing -Connectors 3. Sewer; Location -Test -Fall -C/0 -Concrete 3. Decks; Girders and/or Joists -Decking -Bracing -Stairs -Rails 4. Water; Location -Test -Easement Needed (Sketch) 4. Wood Awn.; Posts-Beams-Rftrs.-Connec.-Shthg.-Rfg.-Bracing 5. Electricity; Location-Clearances-Grnd.-/ / Amp -Concrete 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Gas; Location -Test -Wrap:/ /"L"ft./ P'Nat.or/ PV'ft./ /"LPG 6. Carports; Windows -Doors 7. Utility Clearance 7. Elec. Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Date Card -BI Date MOBILEHOME INSTALLATION (Plans) OK except N's 1. Zoning Requirements -Setbacks -Easements Card -BI Date Date Card -BI Date POOLS (Plans) OK except #'s 1. Setbacks -Easements 2. Footings; Size -Spacing -Marriage Line 2. Soils; Compaction -Structure Stability 3. Gas; MH Test -Demand -Valve -Connector 3. Pool Structure; Steel -Connections -Thickness -Dead Men -Lining'.,..._,' 4. Electricity; MH Test -Crossovers -Breakers -Clearances 4. Elec.; Receptacles and Lighting; Distances-GFI 5. Drain; MH Test -Fall -Flex Connector 5. Elec.; Pool Lighting; 15.volts-GFI - 6. Water; MH Test -Regulator -Connector 6. Elec.; Enclosures; Conduit Entries -Terminals -Listed 7. Water and Sewer Connected -C/0 to Grade -HD Approval 7. Elec.; Bonding; Metal w/5'-Circulating.Equipment-Heater 8. Gas and Electricity Tagged 8. Elec.; Grounding; Equip.w/5'-Circulating Equip. -Pool Lghtg. Boxes -Enc losures- Pane lboards- Ins. to Main -in Conduit 9. Exits; Insp.-Sketch 10. Cert. of Occupancy 9, Health Department Approval 10. Plumb; Cir. Test -Water Supply Test Card B-1 Date Card -BI Date Card -BI Date Card -81 Date Card B -I Date Card -BI Date Card -BI Date Card -BI Date -• • - wo. 0 = Not OK - = Not Applicable * = Not Ready RESIDENTIAL (Single and Duplex) Date UNDERFLOOR (Plans) OK except #'s 11 Date . FRAMING (Continued) _ Z ning requirements -Setbacks -Easements - tg., Main; Soils-Steel-Eftererndti- / L2:1" Ftg. _ Ftg., Garage; Soils -Steel- / /" Ftg. Depth _ 4. Ftg., Porches &Decks; Soils -Steel- / /" Ftg. [ 5. Memwalls, Main; Steel -B lockouts -Wrapped -Slab Stemwalls, Garage; Steel-Blockouts-Wrapped-Slab _ - treplace F g. -Steel _fngs-Test-2 way C/O -Sewer Test _- ttt asipe; Size -Anchors c}8-laatterPtRe-Test-Anchors- Reg ulator-Service Test nderground 12. Plenums & Ducts; Clearance -Material -Support -Ins. 13. Girders -Sills -Anchor Bolls -Joists -Vents -Cripples Card -BI 1Date /Card -BI Date Card -61 Date 7 Card -BI Date Date PLUMBING (Permit) OK except p's 14. Water Ht.: Vent -Access -Combustion Air 15. Water Pipe; Test & Anchors -Nail Protection 16. D.W.V.: Test-Fttngs & Anchors -Nail Protection 17. Shower Pan: Test, First Floor -Tub Access 18, Test Tub & Shower, 2nd Floor -Tub Access 19., Gas Pipe: Size & Anchors Cgrd-BI Date _ Card -BI Date Card+Bl Date Card -BI Date Date ELECTRICAL (Permit) OK except It's 20. Fixture & Transformer Clearance -Ins, Protection 21. Elec. Receptacles Spacing -Lights_& Switches at Doors 22. Size Boxes & No. of Conductors -Stapled 23. Romex Installed Close to Edge of Studs & C.J. 24. Equip. Ground made up w/Mech. Fasteners -Bond Gas & Water 25. 2 Appliance Circuits in Kitchen & Conductor Size 26. _ Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / / ga. Cu or A 27. Range Circ. / / ga. Cu or AI-Oven Circ. / / ga. Cu or At, Insulated Neutral Yes No 28. _- Service -Riser Conductors & Ground -Main Disconnect_ 29. Equip. Clearances: Panels-Motors-Mech. Equip. 30. Clothes Closet Light -Shower Light Card B -I Date Card -Bi Date Card B -I _ Date Card -BI Date Date MECHANICAL (Pern•n) OK except H's 31. A.C. Ducts. Insulation & Support 32. _ Vent Fan: Exhaust above Insulation 33. _ Condensate Drain & Overflow: Size _& Grade _ 34. Furnace -Vent: Access -Comb. Air -Return Air Vent -115V outlet 35. _ Attie Access & Platform if Furnace in Attic Card -BI Date Card -BI Date Card -BI Dale Card -BI Date Date\ FRAMING(Plans) OK except q's \ Sills; Prooer Material & Anchors Walls: Studs -Nailing, Spacing & Bracing -Plates -Sound �8• _ Bearing Walls over Girders & Floor Nailing _ �9. Draft Stop in Walls (rat proof) -a1TFire Stops: Furred Ceilings -Stairs -Chases -Tull Header & Beam -Size & Bearing `- 42.- Hangers -Post Caps -Anchors -Connectors Cing. Joist-Rfir. Ties-Purlin-Roof Brac.-Truss-Shlhng.-Rfng. -t• Fireplace Ties or Type A Flue -Fireplace Throat -�' Attic Access: Size & Romex Protection -Draft Stop -Ins. Baffles AWB' Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions _'47' Garage Fire Protection Framing 46. Property Line Firewall & t ,49. Ext. Doors -One 3' -Check 2 exits 50. S irs; Width -Headroom -Rise -Run -Landing -Fire Protection - 0j57PIywood on Roof Overhang -Attic Vents -Rafter Outriggers Se. Siding -Nailing -Veneer 53. Stucco Mesh -Drip Screed-Fdn. Vents-Underflr. Access 54. Glazing Area -Glass 55. Shear Walls; Nailing Card -BI Date Card -BI Date Card -BI Date rotect i on -Sky I ights-Plast ic lolls Card -BI Date Card -BI Date Card -BI Date Date FINAL (Plans) OK except N's Ext. Steps -Door & Sidelight Protection -Landings ---57%- Smoke Detector Furnace; Vents -Clearance -Comb. Air -Connector - In Garage; Above Floor-Ducts-Mech. Protection Bedroom Exiting 611 1G.F.I. & Bath Fixtures & Tub Access Elec. Trim & Subpanel; Breaker Sizes -Labels -0Q. Stairs & Rails 63. Fireplace or Stove; Clearances -Hearth Elec. Outlets at Wood Panel; Int. & Ext. -'* Kit. Fixt. & Appliance; Grnd.-Air Gap -Cooking Clearance -'8@n Elec. Outlets & Receptacles at Kit. Counter Garage Fire Door; Swing -Landing -Closer --ft- A.C. Duct in Garage -Damper '--B9--Wtr. Htr.; Vents -Clearance -Comb. Air-Connector-P.R.V.- In Garage; Above Floor-Mech. Protection Plb., Elec. & Mech. Equip. Listed for Location lec. Receptacles in Garage; (G.F.I.)-Romex Protec. ----Z2- Insulation -Foam -Looked in Attic [j Yes -�� Guard Rails & Deck Construction -Post Caps Fdn. Vents & Crawl Hole Door -Drainage & Wood -Earth Clearance Looked under Floor _ Yes -75- Following instld.: Drive Yes ❑ No; Walks ❑ Yes ❑ No; Planters ❑Yes ❑No --96" Stucco; Brown -Finish -7 A.C. Unit; Disconnect-Clrnces-Brkr. & Cond. Size -115V Outlet -�B.�Vents Above Roof; Plbg.-Appliance-Firepl.-Clearance to Opngs. -77: Water Well; Disconnect, Electrical, Plumbing --�6 Exterior Elec. Trim; G.F.I. Receptacle -Underground Ventilation throughout House Glass Protection Corrections from Previous Inspections Gas -est-Meters Tagged; Gas -Electric ,6& Water & Sewer Connected -C/O to Grade -HD Approval &. Energy Compliance Certificate -Other Certificates Card -BI Card -BI Date Card -B y�7aCard-BI Date Card -BI Date Card -BI Date Com: lents at Final: (NOTE Anentrymust be made each time you visit jobsite) 1 COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 196 Memorial Way, Chico — Phone: 891-2751 7 County Center Drive, Orovi Ile — Phone: 538-7541 747 Elliott Road, Paradise— Phone: 872-6307 CORRECTION NOTICE OWNERPERMIT, A routine inspection indicates that the following violations of County Ordinance exist at the above address and should be corrected. Please notify this office when correction of work is completed. If you have any question pertaining to this it , or need additional explanation, please contact this office immediately. Inspector n/ to % Z� — r ,WWI COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 196 Memorial Way, Chico — Phone: 891-2751 7 County Center Drive, Oroville — Phone: 538-7541 747 Elliott Road, Paradise— Phone: 872-6307 CORRECTION NOTICE i� it vr�s Z'q -C9 OWNER A routine inspection indicates that -the following violations of County Ordinance exist at the above address and should be corrected. Please notify this office when correction of work is completed. If you have any question pertaining to this matter, or need a ditional p ation, please contact this office immediately. to ' ems& ol, 1�sr DPA 12 Inspector COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS • 7 County Center Drive - Oroville, California Q5965 - Telephone 916/534-4541 APPLICATION AND PERMIT PERM �NIQ. t i sl i ASSESSOR PA CEL NUMBER ZONING ' _ BUILDING P RMIT OWNER TELP:PHON.9 SO. FT. OCC. BUILDING VALUATION -021 OWNER'S MAILING 1ADD`R ADDRESS ^ ,d1Xf ©D CONTRACTOR'S NAME T LEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER '. UNKNOWN Total Valuation $ J V 00 Filing Fee $ 10,00 LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee - $a' Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS -� / Permit fee $ PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP F>UTTZF Water piping 5.00 Each qas water heater or vent 5.00 USE OF STRUCTURE SF ❑ Duplex❑ MobilehomdA Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home S I G I W 10.00 ea TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation[] Other ❑ Describe work: Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 6001 OR LESS 100 AMP OR LESS 10.00 Main service EA. ADD'L 100 AMP 2.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): ❑ I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in full force and effect. License No. Classification /FIXED 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- ontract- ors.(Sec. 7044) ors. ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONST. ( DWELLING oc , OR ADDNS. t ACC. BLDGS. �2Osgit NEW CONSTRMULTI-OUTLET 2SOea NON-RESID BRANCH CIRCUITS,). " /POWER APPARATUS hl (SINGLE OUTLET CIR. / Ex. Occup( SAL@ 30 p�OUTLETS OR FIXTURES eAL0C. Ex. Occup. OUTLETS P(RESID )KEA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 g Permit Fee $ Contractor WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. Wshall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. MECHANICAL PERMIT Filing Fee 10.00 Heating Cooling Hood 3.00 Ventilation penult 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, Jud Is, costs„ and expenses which may in any way accrue against E ( nseq a 'ce of the granting of this permit. _ / X Datq2 Signature of App icanr — Owner Contractor ❑ Agenr ❑ 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 $ TOTAL PERMIT FEE $ Occup. CONST.T7 I I F VISARCEL ' D HD se This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which DIRECTO F PUBLIC By / PERM EXPIRES Date the applicable provi- resolutions to do fees have been paid. WORKS Date 44 > G Receipt NO. -- / / H WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, ENROD-APPLICANT "s. - :•--ter-- t++S.i•;- _ Ii i r fif'-- r R COUNTY OF BUTTE - DEPARTMENT- OF PUBLIC WORKS - BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILLE, CALIFOFii IA 95965 - TELEPHONE: 916/5344541 PERMIT APPLICA$TIN DATA SHEET Permit No. OWNER 5T/�l�/l�� A. P. No. Proposed Building Use _5M"G& Building Inspector P' Date At time of permit application, I was advised the following data must be submitted prior to permit processing andJor Issuance: DATE RECEIVED APPROVED 1. All items have been submitted. . . . . . . . . . . . 2. Plot plans in duplicate. /triplicate, signed by preparer of plans. , 3. Complete plans in duplicate./triplicate, signed by preparer of plans. 4. Complete engineered plans and calcs, with wet signature on plans. 5. Plans with Energy Design Compliance Statement. . . .. . . 6. CUSD "Fees Paid" Stamp on Floor Plan . . . . . . . . 7 Statement of Intent for Non -Heated and AC Buildings. cieS2:_�. Fees of $ %7. ljo orNa/. , . . . , . . . . 10. Letter of signature authorization. . . . . . . . . . Sanitation approval from Health Dept. a 11. Planning approval for (A) Use:. (B) Parking: 12. Certificate of Workmen's Compensation Insurance. 13. Contractor's License Information (no., name style, classif.) 14. Owner-Builder'Verification (Given to owner❑, Mail to owner ❑ ). _15. Improvements may be required. . . . . . . . . . . . 16. Mobilehome Installation Data. . . . . . . . . . 17. Pre-Inspec.request to (Date) Pre -Inspection for E Required. Building Inspector 18. Recorded copy of Agricultural Acknowledgment Statement. 19. Driveway Permit. 20. Plot plan approval from city of 21. 22. When you issue the permit, process as follows: Mail to owner, —Mail to contractor. Telephone and hold for pickup at—off ice, Deliver w/inspector. Other Applicant Copy of plans sent Health Dept., Fire Dept., Other Date The following data must be submitted priQLjp perm�kissuance: (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 advysed of above required data by—phone —mal l—counter by date Plans checked by iS t Bate_ Sets of plans on hold in*File cabinet Copy—DPW ,LPlans approved by AP folder w — Hours: 10:00 a.m. - 3:00 p.m. TO:. Building Department FROM: Environmental Health, Chico SUBJECT: Sanniittation Clearance Owner Location 7 AP# Plan approved for: sewage disposal water supply Hold final for: Final clearance O.K. for: Clearance for bedroom mobile home. Note*** Sanitarian water supply water supply Other / 'ef— a C9 Date COUNTY OF BUTTE - Department of Public Works e v 7 County Center Drive, Oroville, CA 95965 Phone: 916-534-4541 OWNER -BUILDER VERIFICATION Attention Property Owner: An 'owner -builder" building permit has been applied for in your name and bearing your signature. Please complete and return this information at your earliest opportunity to avoid unnecessary delay in processing and issuing your building permit. No building permit will be issued until this verification is received. 1. I personally plan to provide the major labor and materials for construction of the proposed property improvement (yes or no) 2. I (have/have not) signed an application for a building permit for the proposed wor . 3. I have contracted ith the following person (firm) to provide the proposed construction: Name Address City Phone Contractors License No. 4. I plan to provide portions of this work, but I have hired the following person to coordinate, supervise, and provide the major work: Name Address City Phone Contractors License No. 5. I will provide some of the work but I have contracted (hired) the following persons to provide the work indicated: Name Address Phone Type of Work. Signed: Property Owner Social Security umber Date NOTE: This Owner -Builder Verification is sent to you as required by Sections 19831 and 19832 of the California Health and Safety Code. This verification must be completed and returned to our office before we are per- mitted to issue the permit. '7 J ❑ Complaint-Datef ❑ OtNer-Date BUTTE COUNTY DEPARTMENT OF PUBLIC WORKS ' SPECIAL INSPECTION'REPORT / ZONING OwnerA. P. # --'Io Address: /19,060 r o Chi t4., / Date of Inspection Tenant: Inspector. ,�- Building Location: IYo V 04-0 cLkw Type of Inspection requested: 1. Housing / / 2. Financing / / 3. Change of Occupancy to (4. Work W/0 Permit / / 5. Other (specify) 5-1,,,.1,40 (3(d Present use of building: A. Sanitation (Housin 1. Water closet: 2. Lavatory: B. 3. Bathtub or shower: 4. Kitchen sink: 5. Hot and cold water to fixtures: 6. Heating facilities: 7. Natural light and ventilation: 8. Room and space requirements: 9. Bedroom window or door for second exit: 10. Infestation of insects, vermin, or rodents: 11. Connection to sewage disposal: 12. Connection to water supply: 13. Rubbish and garbage facilities: 14. Stairs:(Rise, Run, Headroom, 1HR, Tolerance�,Handrails) 15. Comments: Structural 1. Piers and footings: 2. Floor construction: 3. Wall construction: 4. Ceiling and roof construction: 5. Fireplaces: 6. Comments: C. Electrical 1. Service and'ground: 2. Receptacles: 3. Fusing: 4. Comments: D. Plumbing 1. Fixtures connected and vented: 2. Gas water heater: 3. Gas heating vents: 4. Comments: E. Other 1. Maintenance and repair: 2. Fire hazards: 3. Safety hazards: _ 4. Weather protection: 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 orviolation (give complete descripti ): QU o otic 4w — Rldd w h a G 9- f,)r I►., P r - 11) t- - - . ✓ „ t- i r' - 2. What Actiod'taken (give completedeseription): Nelty Zool's �e-"*J`1 fk4.Src So L�'^G IA) / rv�0 J t1Lnl r" V4T 4 T �ca & (� LLNt'c�� /%% --;:7 e—(1 0 L l 5 3. at action recommended: e�,r�r4�i,,. g, p�ra, 17 L7 -1'Q GPn17 —1: V u.rt wn. GAG, / A. Information only - file. l "'B. Hold for ten days, then write letter. %% C. Write letter, / /'D. Other: ��� U GZ��e'dG� `��Gy COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive, Oroville, CA 95965 PHONE: DATE 3/27/R7 Ted Starnes ME: Building Permit #629-87 P.O. Box 557 (Storage Shed) Chico, CA 95927-557 A.P. # 40-39-15 With reference to the above subject: Li Attached is: Application for permit Mobilehome Utilities Installation Sheet Building Plans Mobilehome Installation Information Sheet Engr. Calcs Typical Plan Sheet Owner -Builder Verification Form List of Codes Enforced OTHER /X/ We need the following information: Permit application signed and completed where indicated with all copies returned. X Fees of $ 77.00 payable to Butte County Treasurer. (FOR PENALTIES) Certificate of Workmen's Compensation Insurance or check exemption statement. Contractor's License Law information or check exemption statement. Complete plans in including plot plans. Plot plans in Structural details in Complete plans and calcs in by registered engineer or architect. Energy design including Street and drainage improvement plan approval from Land Development Section (DPW). sets of plans in accordance with the changes marked in red. X Sanitation approval from Butte County Health Department at: X 196 Memorial Way, Chico 7 County Center Dr., Oroville Skyway & Elliott Rd., Paradise X Planning approval from Butte County Planning Department, 7 County Center Drive, Oroville, for setback variance or relocate building Completed Owner -Builder Verification form. Recorded copy of deed showing Recorded copy of agricultural acknowledgement statement. OTHER Should you have any questions concerning the above, please contact this office. JFG/aj Yours very truly, William Cheff Director of Public Works .F. Glander Chief Building Inspector FORM 7 ENERGY SHEET „ FOR O 't1.5' ADDITIONS TO RESIDENTIAL BUILDINGS PERMIT NO. PACKAGE It A" (Additions) JOB ADDRESS TYPE OF WOR SQUARE FOOTAGE Existing Residence New Addition New Total The following information -sheet, showing mandatory features and required features of Package "A" must be completed and attached to'al1 plans for additions. to dwellings. Additions to dwel11 ngs I nclude room additions, .converting garages and patios to living areas, house moves that add footage and attic conversions, and any space that is ex- isting non -conditioned space that is converted to conditioned space. Remodeling of existing conditioned space is not included. ZONE 11 ZONE 12 ZONE 16 INSTALLED APPLIES TO NEW AREA jQ CEILING -30 R-30 R-38 'WALL R-11 R-11 R-19 X FLOOR R-11, R-11. R-19 SLAB R- 7 oR-11 ,�� �� R- 7 x GLAZING 65 .65.65 SHADING SOUTH OPTIMUM OVERHANG or .36 S.C. ®� � �4 WEST - .36 S.C. _ p LOOSE FILL INSULATION (Density) ;4INFILTRATION CONTROL (Weatherstrip doors, certified windows, caulking) VAPOR BARRIER (Zone 16) (DUCTS PER UMC - Ch. 10 LIGHTING KITCHEN & BATH NOT LESS THAN 25 LUMENS/WATT A Nsw MAXITNM GLAZING 16% ,OF AREA PLUS REMOVED GLAZING *s Ac &.,t 06 NEW HVAC AND HOT WATER IN CONJUNCTION WITH AN ADDITION SHALL COMPLY AND FILL OUT DATA ON BACK OF THIS SHEET 7/83 *1 HEATING VENTILATING AIR CONDITIONING SYSTEM (A) Heating , ❑ Central Gas Furnace (brand and model number) SE Btu/hr (heating capacity) ❑ Heat Pump (brand and model number) ACOP Btu/hr (heating capacity at 47°F) ❑ Active Solar type (liquid or air) Collector brand and ft2 model number solar fraction collector area collector orientation collector tilt rated y -intercept rated slope ❑ Other (describe) *1 (B) Cooling ❑ Electric Air Conditioner (brand and model number) (seasonal EER) Btu/hr (cooling capacity at 95°F) ❑ Electric Heat Pump • EER Btu/hr (cooling capacity at 95°F) ❑ Other (describe) DOMESTIC WATER SYSTEM ❑ •(A) Gas Only Gallons (brand and model number) (tank size) ❑ Heat Pump w/Electric Backup (brand and model number) Gallons (tank size) (3 Active Active Solar (collector brand and model number) (rated y -intercept) (rated slope) (solar fraction) ft2 (backup heater type, brand and model number) (collector area) (collector orientation) (collector tilt) ❑ Location of Solar Panels ❑ Other (Describe) *1 Submit documentation of sizing heating and cooling equipment by Manual J, sizing charts (form #4) or other approved methods, section 2-5352(g), and fill out the following: Heating: Winter design temperature °, elevation ', heating load BTU elevation factor x heating load = maximum outlet capacity gas furnace BTU Cooling: Summer design temperature °, cooling load BTU *2 Submit T.I,P.S.E. chart or other approved system (form #5) to document sizing of solar panels. ® DESIGN COMPLIANCE STATEMENT: The above building design meets the requirements of Title 24, Part 2, Chapter 2-53 of the California Administration Code. SIGNATURE OF BUILDING DESIGNER OR APPLICANT aAM-4- J Uj PERMIT NO 2558-84B,E,M, PERMIT EXPIRES OWNER TED STARNES CONTR. owner ASSESSOR PARCEL 40-39-15 LOCATION 1806 Oro -Chico Hwy, Chico Temp. Power Pole Called PG&E Temp. Elec. Service Called PG&E Temp. Gas Sei Called PC JOB FINALE[ Signature V = OK 0 = Not Ok = Not Applicable = Not Ready MOBILEHOMES I I MISCELLANEOUS Date MOBILEHOME UTILITIES (Plans) OK except q's 1. Zoning Requirements -Setbacks -Easements Date DECKS, COVERS, CARPORTS, ETC. (Plans) OK except N's 1. Zoning Requirements -Setbacks -.Easements 2. Soils; Special MH Support -Sketch 2. Footings; Size -Depth -Spacing -Connectors 3. Sewer; Location -Test -Fall -C/O -Concrete 3. Decks; Girders and/or Joists -Decking -Bracing -Stairs -Rails 4. Water; Location -Test -Easement Needed (Sketch) 4. Wood Awn.; Posts-Beams-Rftrs.-Connec.-Shthg.-Rfg.-Bracing 5. Electricity; Location-Clearances-Grnd.-/ / Amp -Concrete 6. Gas; Location -Test -Wrap:/ /"L"ft./ /"Nat. or/ /"L"ft./ /"LPG 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Carports; Windows -Doors 7. Utility Clearance 7. Elec. Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Date Card -BI Date MOBILEHOME INSTALLATION (Plans) OK except M's 1. Zoning Requirements -Setbacks -Easements Card -BI Date Date Card -BI Date POOLS (Plans) OK except q's 1. Setbacks -Easements 2. Footings; Size -Spacing -Marriage Line 2. Soils; Compaction -Structure Stability 3. Gas; MH Test -Demand -Valve -Connector 3. Pool Structure; Steel -Connections -Thickness -Dead Men -Lining 4. Electricity; MH Test -Crossovers -Breakers -Clearances 5. Drain; MH Test -Fall -Flex Connector 4. Elec.; Receptacles and Lighting; Distances-GFI 5. Elec.; Pool Lighting; 15 volts-GFI 6. Water; MH Test -Regulator -Connector 6. Elec.; Enclosures; Conduit Entries -Terminals -Listed 7. Water and Sewer Connected -C/0 to Grade -HD Approval 7. Elec.; Bonding; Metal w/5' -Circulating Equipment -Heater 8. Gas and Electricity Tagged 8. Elec.; Grounding; Equip. w/5' -Circulating Equip. -Pool Lghtg. Boxes -Enclosures -Panel boards -Ins. to Main in Conduit 9. Health Department Approval 9. Exits; Insp.-Sketch 10. Cert. of Occupancy '- 10. Plumb; Cir. Test -Water Supply Test Card B -I Date Card -BI Date Car -BI Date Card -BI Date Card B-1 Date Card -BI Date Card -BI Date Card -BI Date t = OK = Not OK = Not Applicable RESIDENTIAL (Single ,and Duplex) _. Not Ready Date UNDERFLOOR P s OK exce t#'s Date FRAMING (Continued) ning requirements -Setbacks -Easements 48. Property Line Firewall & Openings tg., Main; Soils-Steel-Elec. Grnd.- / /" Ftg. Depth 49. Ext. Doors -One 3' -Check Garage -3rd story, 2 exits 3. Ftg., Garage; Soils -Steel- / /" Ftg. Depth 50. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 4. Ftg. orches & Decks; Soils -Steel- / . /•' Ftg. Depth 51. Plywood on Roof Overhang -Attic Vents -Rafter Outriggers temwalls, Main; Steel-Blockouts-Wrapped-Slab 52. Siding- ailing -Veneer 6. Stem s, Garage; Steel-Blockouts-Wrapped-Slab 3. Stu -Drip Screed-Fdn. Vents-Underflr. Access 7. P s -Fireplace Ftg.-Steel -8-lD.W.V.: Fall -Fittings -Test -2 way C/O -Sewer Test 54. Glazing Area -Glass Protection-Skylights-Plastic 55. Shear Walls; Nailing -Bolts as Pipe; Size -Anchors ater Pipe; Test -Anchors -Regulator -Service Test &f' - Electric; Underground Ienums & Ducts; Clearance -Material -Support -Ins. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date BI Date - Card -BI Date Da ll,�Y'(Plans) OK except q's Ext. Steps -Door & Sidelight Protection -Landings k Uelgmoke Detector Card -BI Date Card -BI Date Date PLUMBING (Permit)'OK except q's 14. Water Ht.; Vert -Access-Combustion Air ._59r+Furnace; Vents -Clearance -Comb. Air -Connector - In Garage; Above Floor-Ducts-Mech. Protection 15. Water Pipe; Test & Anchors -Nail Protection 16. D.W.V.; Te t-Fttngs & Anchors -Nail Protection&% -'Bedroom Exiting 17. Shower PA ; Test, First Floor -Tub Access I. & Bath Fixtures & Tub Access 18. Test Tyi & Shower, 2nd Floor -Tub Access ..64' Elec. Trim & Subpanel; Breaker Sizes -Labels 19. Gas Pi e; Size & Anchors _Xh�r-Btairs & Rails -62rFireplace or Stove; Clearances -Hearth Card -BI Date Card -BI Date _AL-Elec. Outlets at Wood Panel; Int. & Ext. 96'.�kit. Fixt. & Appliance; Grnd.-Air Gap -Cooking Clearance Card -BI Date Card -BI Date _&G-*Elec. Outlets & Receptacles at Kit. Counter Date Permit OK exce t q's -69-Garage Fire Door; Swing -Landing -Closer eO-IA.C. Duct in Garage -Dam er ure & Transformer Clearance -Ins. Protection -.69-'Wtr. Htr.; Vents -Clearance -Comb. Air-Connector-P.R.V.- In Garage; Above Floor-Mech. Protection FLEPeRICAL . Receptacles Spacing -Lights & Switches at Doors Elec&Mech. Equip. Listed for Location Boxes & No. of Conductors -Stapled Receptacles in Garage; (G.F.I.)-Romex Protec. be'Romex Installed Close to Edge of Studs & C.J. Q4/Equip. Ground made up w/Mech. Fasteners -Bond Gas & Water Insulation -Foam -Looked in Attic •;R uard Rails & Deck Construction -Post Caps _25.i2 Appliance Circuits in Kitchen & Conductor Size - 26-Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / / ga. Cu or Al - &-*fFdn. Vents & Crawl Hale Q -Drainage & Wood -Earth Clearance Looked under Floor (d'i'es 127 Range Circ. / / ga. Cu or AI -Oven Circ. / / ga. Cu or AI,Zs Insulated Neutral ❑Yes EJ No 00Ilowing instld.: Drive E]Yes ❑ No; Walks ElYes ❑ No; Plant rs Yes ❑No •2f -Service -Riser Conductors & Ground -Main Disconnect 7 co; own -Finish Qja�'77-'A.C. Clearances; Panels-Motors-Mech. Equip. Unit; Disconnect-Clrnces-Brkr. & Cond. Size -115V Outlet 3Q__ -lathep. 30lothes Closet Light -Shower Light =7.6r'�1/ents Above Roof; Plbg.-Appliance-Firepl.-Clearance to Opngs. -?9,.-Water Well; Disconnect, Electrical, Plumbing xterior Elec. Trim; G.F.I. Receptacle -Underground Card B -I ^ Date` I tgard-BI Date LU�Ventilation throughout House Card B -I Date Card -BI Date -4P'1'iass Protection Date MECH NICAL (Permit) OK except q's ..A3. 6orrections from Previous Inspections 04--fts Test -Meters Tagged; Gas -Electric 31. AIC. Ducts; Insulation & Support 45 Weter & Sewer Connected -C/O to Grade -HD Approval 32. nt Fan; Exhaust above Insulation '8BrT12r 1•9y Compliance Certificate -Other Certificates 33. ondensate Drain & Overflow; Size & Grade 34.urnace-Vent; Access -Comb. Air -Return Air Vent -115V outlet 35. Attic Access & Platform if Furnace in Attic Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Date RA NG Plans OK except q's Comments at Final: Sills; Proper Material & Anchors Walls; Studs -Nailing, Spacing & Bracing -Plates -Sound Bearing Walls over Girders & Floor Nailing be-praft Stop in Walls (rat proof) / Fire Stops; Furred Ceilings -Stairs -Chases -Tub Header & Beam -Size & Bearing Hangers -Post Caps -Anchors -Connectors Cing. Joist-Rftr. Ties-Purlin-Roof Brac.-Truss-Shthng.-Rfn_g_.__ •-441-Fireplace Ties or Type A Flue -Fireplace Throat -45. -Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles -4e--Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions Garage Fire Protection Framing (NOTE: An entry must be made each time youvisit jobsite) COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 - Telephone 916/534-4541 APPLICATION AND -PERMIT PERMIT N0. ASSESSOft PARCEL NUMBER ZO G BUILDING PERMIT OWNER TELEPHONE _ S0. FT. OCC. BUILDING VALUA IO yOWNW'S eq 6 MAJJ.�JG ADDRESS `G CONTRACTOR'. NA TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER IF, UNKNOWN Total Valuation $JAI s Q Filing Fee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee $ 190 ARCHITECT OR ENGINEER LICENSE NO. PplannCChecking Fee $ O ' �"�"y $ J ARCHITECT OR ENGINEER'S MAILING ADDRESS Permit fee $ BUILDING ADDRESS PLUMBING PERMIT Filing Fee 10.00 &nawW— Each Trap 2.00 Solar Water Heater 20.00 Water piping 5.00 LOT NO. SUBDIVISION NAME PARCEL MAP Each qas water heater or vent 5.00 Gas piping system 1 - 5 outlets 5.00 USE OF STRUCTURE SFDuplex❑ Mobilehome❑ Other SPECIFY Building sewer 5.00 Mobile Home FS7 G W 10.00e TYPE OF WORK New ❑ Addition Remodel ❑ Utilities ❑ Installation❑ Other ❑ Descri •e work: �X�6��� �x�'.r��'<i — %2 40 Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 00v OR LESS 100 1AMP OR LESS 10.00 Main service EA. ADO'L 100 AMP 2.50 f NEW CONST. OR ADDNS. ( DWELLING & ACC. BLD 21/4sq ft 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 m license is in full force and effect. y License No. Classification PkI, 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 NEWCONSTR.MULTI-OUT LET NON .R ESID BRANCH CIRC ITS 2,50 ea . NEW CONSTR ( POWER APPARATUS &1 Z NON•RESID. SINGLE OUTLET CIR. / 20@50C Ex. Occup(ouTLETs OR FIXTURES BAL030 , FIXED APPLNS. OR Ex. OUTLETS (RESID.) EA.1 2.00 -Occup. Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 Permit Fee $ Contractor MECHANICAL PERMIT Filing Fee 10.00 WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Noticet Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. Heating 5 QU Cooling Hood 3.00 Ventilation permit Fee $ p Contractor 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 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 s d ounty i.n conse uence of the granting of this permit. X Date d L ( Signature of Applicant — Ownerk Contractor ❑ Agent [:]work An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories in height.10 Mobile Home Installation Fee $' r �Q p c TOTAL RMITEE $ S OCCUP. GROUP I TYPE OF CONST.PARCEL r II'" PDk;17 This permit is hereby issued under sions of the Butte County Code and/or indicated above for which DIR R 0 UBLIC By. PERMIT EXPIRES Date the applicable provi- resolutions to do fees have been paid. WORKS Date /7_f7V< 7/1 3 Receipt No. +���</ WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR. GOLDENROD -APPLICANT R S DENTIAL 92-832 BPEM 1 40-39-15 STARNES, Ted Durham 1806 Oro Chico HWY kitchen/sf addition &remodel 7 -PS 1(3- itJ-f%(LfKA-00,V u JOB FINALE Signature COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 1469 Humboldt Road, Chico, CA - (9 16) 891-2751 7 County Center Drive, Oroville, CA - (916) 538-7541 747 Elliott Road, Paradise, CA - (916) 872-6307 CORRECTION NOTICE S� OWNER PERMIT NO.' A routine inspection indicates that the following violations of Butte County Ordinances exist"af the above address and should be corrected. Please notify this office when correction of work' is completed. If you have any questions pertaining to this matter, or need additional explanation; t n, please contact this office immediately. I Ll FC 1/V r (I 14 rz /V 7 77-7= -4N •fit; 0- 9 Inspector A REV 11/91 Permit No.! ENE R G Y "C C.R T IF I.0 A T ION 1806 Oro Chico Hwy. Chico A.P. No. LOCATION DESCRIPTION OF INSULATION ROOF Material Thickness(inches) EXTERIOR WAIL Material FIBERGLASS BATTS Thickness (incites) Brand Name Thermal Resistance (R Value) Brand Name OWE:NS-CORNING Thermal Resistance(R Value) R15 CEILING Brand Name Batt or Blanket Type ___,___ �---__ Thermal Resistance(R Value) Tltickness(incltes) grand Name OWENS_CORNING FIBERGLASS Loose Fill 'type Number of Bags 5 Wt. per bag 35 _lb. Minimum Thicknesj(Inch� 1212 3_'—. Thermal Resistance(R Value) R30 Area covered(ft. ) FLOOR, ELEVATED Material Thickness(inches) FLOOR, SLAB Material Thickness(inches) Width(inches) FOUNDATION WALL Material Thickness(incl.ies) Brand Name Thermal Resistance(R Value) Brand Name Thermal Resistance(R Value) Brand Name Thermal Resistance(R Value) I hereby certify that the above insulation was installed in the above building In conformance with the State of Californ).a Energy aq INSULATION,CO., INC. 499150 STATE CONTRACTORS LICENSE NO. ��L�v 1 - August 20, 1992 2 DATE .AT E OF INSTA ON PLI.CA'POR I hereby certify the above insulation and all required items as shown on the Building Department approved plans and attachments have been installed as required by the State of California Energy Requirements.. All equipment, devices and materials .are o fothe quality prescribed or are specifically approve by the State of F RM LOWNER (Please print) STATE CONTRACTORS LICENSE N0. q 61 619 4—O E NL+SGCH.AAT&U1REOF ERAN1 THIS CERFAPPROVALSANDEAOCOPYFILE SIIALL11BEt1POSTEDBUILDING WITIIINPATlR1�UII.DINGPRIOR TO FINAL INSPECTION January 1984 J= OK 0•= Not 9K = Not Applicable = Not Ready MOBILE HOMES , Date - MOBILE. HOME UTILITIES (Plans) OK except_#`s•' 1. Zoning Requirements -Setbacks -Easements �2:_S61s; Special MH Support Sketch ' 3. Sewer; Location-Test'Fall-C/0 Concrete I 4. Water; Locafion-Test-Easement Needed (Sket6') 5.Electricity; Location-Clearances-Grnd-/ Amp -Concrete 6. Gas; Location-Test=Wrap: / /' L" ft. ` t / /"Nat. or/ 11" ftd T%PG. 7: Well. Clearance, & Disconnect 8. • Utility Clearance Date Card•B-.1 :. _ Date Card B-1 Date Card B-1: Date Card B-1 t 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 S..Drain; MH Test -Fall. -Flex Connector 6.- Water; MH Test -Regulator -Connector 7. Water and Sewer Connected -C/0 to: Grade-HD,Approval 8. Gas. and. Electricity Ta ed 9. Exits; Insp.-Sketch 10. Cert. of.,gccupancy , a Date Card B-1' - '' Date Card B-1 Date Card B-1 Date Card B-1 t MISCELLANEOUS Date DECKS, COVERS CARPORTS,, GARAGES, (Plans)OK except #'s 1. Zoning Requirements-Setliacks-Easements 2 Footings; Soils-Size=Depth=Spacing-Co.nnectors-Steel 3 'Decks; Griders and/or Joists -Decking -Bracing -Stairs -Rails 4. Wood Awn:; Posts-Beams-Ritrs.-Connectors Shthg.-Rfg.-Bracing. 5. Alum. Awn.; Columns-Connections-Splice=Dedal-Enclosures 6. Carports; Windows -Doors 7. Electric 8. Frmg; Sils-Anchors-Studs`-Rftrs-Trusses 9. Siding; Nailing -Veneer -Stucco -Mesh 1`0. Roof;;Shthg-Roofing 11. Ext.; Step's -`Doors -Landings Date Card B-1 Date' Card' B-1 Date Card B-1 Date Card B-1 Date POOLS (Plans) OK except #'s 1`' Setbacks -Easements 2;'Soils' Compaction,Structure Stability 3. Pool Structure; Steel -Connections -Thickness Dead Men -Lining 4. Elec.; Receptacles and Lighting, Distances-GF1 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 Date Card B-1 Date Card B-1 Date Card B-1 Date Card 13=1 I= OK 0 = Not OK = Not Applicable Not Ready RESIDENTIAL (Single = Date UNDERFLOOR (Plans) OK except #'s Date Zoning -Setbacks -Easements -Flood -Slope Ftg., Main; Soils-Elec. -11Q_ Ftg. Depth — �Ja!Cing. Joist-Rftr. ties-Purlin-roof Bra,-Truss-Shthng.-Rfng. 4-P.- lace Ties or Type A Flue -Fireplace Throat clearance & Duplex) FRAMING (Continu ers-Post Caps -Anchors -Connectors 3-rFtg., Garage; Soils-Steel-Elec. Grnd.-/ /" Ftg. Depth 4. Ftg., Porches & Decks; Soils -Steel-/ /Ftg. Depth . Stemwalls, Main; Steel-Blockouts-Wrapped 6. Stemwalls, Garage; Steel-Blockouts-Wrapped 6a. Hold Downs and Special Anchors 7. Slab; Steel -Wrapped iers-Fireplace Ftg.-Steel Vt.W.V.; Fall -Fitting -Test -2 Way C/O -Sewer Test 10. UE. Gas Pipe; Size -Anchors - yard gas piping: size -test Water Pipe; Test -Anchor -Regulator -Service Test 12. lectric; Underground . mums & Ducts; Clearance -Material -Support -Ins. V. t3irders-Sills-Anchor Bolts -Joists -Vents -Cripples & Ventilation 16. Insulation Date ?,Card B-1Date Card B-1 Date iL r3i 'ard B-1 C� Date Card B-1 Date PLUMBING (Permit),OK except #'s Ift-T er Htr.: Vent -Access -Combustion Air -Baffle ---------- --------------------- Water Pipe; Test & Anchor -Nail Protection D.W.V.; Test -Fittings & Anchor -Nail Protection ----------------- — ---------------- 1.Shower Pan; Test. First Floor -Tub Access 217$7M - Tub &----Shower,--Second Floor -Tub Access ------------ - ----------------- 21. Gas Pipe: Size & Anchors ------ ------------------------------------------------------ Date-'�.L�� Card B_1-- Date - Card -B-1 ---------------------------- Date Card B-1 Date Card B-1 Date ELECTRICAL (Permit) OK except #'s ---- - 22. Fixture _& Transformer Clearance -Ins. Protection Elec. Receptacles Spacing -Lights & Switches at Doors --------------------------------------- ---------------------------------- "ize Boxes & No. of Conductors -Stapled ------------ ---------------------------------------------------------- U,.-"R-omex Installed Close to Edge of Studs & C.J. -- ----------------- ---------------------------------- -- 26'--Mip Ground made up w!Mech. Fastners-Bond Gas & Water ----------- --------------------------------------- 2 Appliance Circuts in Kitchen & Conductor Size/GFI ------------------- ----------------------------------- ------------- 2&--Scrlsfeed Wire Size r r ga. Cu or AI-A.C. Wire Size ! / ga Cu or AI -------------- -------------------------------------------------------- 299' --Range Circ. /%6/ gaOr AI -Oven Circ. /16 ga.(Dor Al. Insulated Neutral Yes ❑ No ---------------------------------- ----------------- 3A-&ervice-Riser Conductors & Ground -Main Disconnect -------------- Clearances Panels-Motors-Mech. Equip. 32- 1.thes Closet Light -Shower Light -Spa Light -------------------------------------- 1----------------------------------- ----------- 3�moke Detector gM__q._�-I--------------------------------- -------------------------------------------------------------------------------- Date _ Card B-1 Date Card -B- I Date Card B-1 Date Card B-1 Date MECHANICAL (Permit) OK except #'s .34.-A.C. Ducts Insulation & Support ------------ ------------------------------------------------------------------- 35 -hent Fan: Exhaust above insulation ----------------------------------------- - -- - - - -- - --- - ----------------------- 3&-.Gendensate ------------ - ----------------------------------------------------------- 3&-Genden=ate Drain & Overflow; Size & Grade ---------- --- ---------------- ------------------------------ -- - - --- - ---- - - -- 37r-Furnance-Vent: Access -Comb. Air -Return Air Vent -115 outlet ----------- --------------------------------------------------------------------- 32 -Attic -Access-&- Platform if Furnance in Attic ------------------------------------------------------------------------------ Date .,3 � Card B-1 G Date - Card B_1 --- - -- -'---------------------------- ----- Date Card B-1 Date Card B-1 Date FRAMING (Plans) OK except #'s Sits. Proper Material & Anchors Walls Studs -Nailing. Spacing & Bracing -Plates -Sound --- ----------------------------------- ----- ------ Bearing Walls over Girders & Floor Nailing -------------------------------------------------- ---------------------- 4 Draft Stop in Walls (rat proof) _ __ __ 4 Fire Stops Furred Ceilings -Stairs -Chases -Tub -------------- 5 ----------------- ----------------------------- Ae Headers & Beam -Size & Bearing 4+4-ANic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 469 - ad, m. Windows or Exiting Doors -Sill Hgt. & Dimensions 5*--@arage Fire Protection Framing Property Line Firewall & Openings 5f'Ext. Doors -One 3' -Check Garage -3rd Story, 2 Exits 51-Mirs; Width -Headroom -Rise -Run -Landing -Fire Protection _5Ae-plywood on Roof Overhang -Attic Vents -Rafter Outriggers 55iS ' g -Nailing Veneer 56. Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access SYGlazing Area -Glass Protection -Skylights -Plastic 58-,S ar Walls; Nailing -Bolts 59. Insulation -Walls -Ceilings 60. Infiltration -Walls -Windows ---------------------------- -Date --------------------------Date -7,-3,,o P - Card B_1 Date Card B-1 Date f� Card B-1 Date Card B-1 Date FINAL (Plans) OK except #'s 1�Ext. Steps -Door & Sidelight Protection -Landings b`2. Smoke Detector &3--€urnace; Vents -Clearance -Comb. Air -Connector - In Garage; Above Floor-Ducts-Mech. Protection -------------------- 64-Bedroom Exiting ----------------------------- ---- 65.7(3 1- & Bath Fixtures & Tub Access-Spa 609"Elec_ Trim -& Sub_panel_Breaker Sizes & Labels ---------- - 67`'3tatrs & Rails --------------------- 65. Fire -------------------63"FTrep ace or Stove: Clearances -Hearth --------------- 69. _ Outlets at Wood Panel: Int. & Ext. 7 t.Fixt & Appliance; Grnd.-Air Gap -Cooking Clearance Elec. Outlets & Receptacles at Kit. Counter 72-5arage Fire Door: Swing -Landing -Closer ----------------------------- 7'3"1C"C� Duct in -Garage- Damper 74. Wtr. Htr Vents -Clearance -Comb. Air-Connector-P.R.V. In Garage: Above Floor-Mech. Protection -------------- ------------------ Plb.. Elec. & Mech._Equip. Listed for Location - --- ----- 7�c. Receptacles in Garage; (G.F.I.)-Romex Protection 7 fsulation-Foam-Looked in Attic ❑ Yes ------------------------------------------ -- -- 7Rails & Deck -Const ruction -Post Caps --------------------------------------- 7A"Fdn. Vents & Crawl Hole Door -Drainage & Wood -Earth _ __ _ __ Clearance Looked under Floor ❑ Yes 81 -Following instld. Drive Cl Yes ❑ No; Walks ❑ Yes ❑ No; Planters ❑ es ❑ No ------------------------- ------- -- 8). tucco: Br n-Fi sh /0 -f-Z /* ^� - - 82- A -C -Unit; Disconnect. Electrical, Plumbing 33. Vents Above Roof; Plbg.-Appliance-Fireplace.-Clearance to Openings -- --- -- -------------------------- ------ iid-Water Well: Disconnect, Electrical, Plumbing Exterior Elec. Trim; G.F.I. Receptacle -Underground - - ---�------------------------- - air -Ventilation Throughout House ---------- -------------- ------- Glass Protection - ---- ------------------------------------------ 8'r-corrections from Previous Inspections - -- --------- ------------------------------------- A3 . Gas Test -Meters Tagged; Gas -Electric ------------------------------------------- Water & Sewer Connected -C/O to Grade -HD Approval --- -- - -- - ----- ---- -- Ener9Y Compliance Certificate -Other Certificates -------------------------------------- Date ------ --- -- p� �1`�(Q� ge_Card B-1 (- Date _Card B-1 - ` -F ------------- 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 7 County Center Drive - Orovllle, California 95965 - Telephone: 916/538-7541 APPLICATION AND PERMIT PERMIT NO. 92-832 ASSESSOR PARCEL NUMBER 040-390-015 ZONING R 1 BUILDING PE MIT OWNER TED STARNES TELEPHONE 342-6553 S0. FT. OCC.1 BUILDING VALUATION OWNER'S MAILING ADDRESS P.O. BOX 557 CHICO 95927 CONT EST 700 CONTRACTOR'S NAME OWNER TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation I $ 17,987 Filing Fee $ 15,00 LENDER'S MAILING ADDRESS Permit Fee $ 15p7.50 ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ 78.75 Energy Plan Checking Fee $ 20.00 ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS Permit tee $ 271.25 PLUMBING PERMIT Filing Fee 15.00 Each Trap 5.00 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 [X Duplex❑ Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 15.00 Mobile Home is G W @ 15.00 TYPE OF WORK New ❑ Addition OX Remodel ❑ Utilities ❑ Installation❑ Other ❑ Describe work: FAMILY ROOM AND REMOVE NONE BEARING _ WALL IN KITCHEN Permit Fee $ 42.00 Contractor ELECTRICAL PERMIT Filing Fee 15.00 Main service 600v OR LESS 200A OR LESS 18.50 Main service 200ATO1000AI 37.50 CONTRACTORS LICENSE LAW 1 declare under penalty of perjury (check One): ❑ I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in full force and effect. License No. Classification ❑ 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 or sale. (Sec. 7044) , 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 OCCUPM OF. ACDNS. ACC. BLDGS. / 3.64sq.ft. NEW CONST R. ULTI.OUTLET NON.RESID BRANCH CIRC ITS @ 5.00 POWER APPARATUS h (SINGLE OUTLET CIR. / Ex. OCcup(OUTLETS OR FIXTURES20 @ 76 Ex. Occup. OUTLETS P(RES 10 )RE A.) 3.00 Temporary service 15.00 Mobile Home Facilities 15.00 Misc. Wiring 9 15.00 Permit Fee $ 26-89 — 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 f 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 EXTEND DUCT 9.00 Cooling Hood 6.50 Ventilation pertnit Fee $ 24,QQ 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, a d expenses which may in any way accrue against said ounty in cons quenc the r ng of this per 't. lr_�3 X Date Signature of Applicant — Owner Contractor ❑ Agent An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee S Energy Inspection Fee $ 40.00 -occ CONST TYPE TOTAL F 404.10 HAz DFEE IMP `/ I FI. cD PAR9L P ✓ Iss I This permit is hereby issued under the sions of the Butte Ciaunty Code and/or work indic a or which fees I LIC By PERMIT E„ PIRES Date applicable provi- resolutions to do have been paid. WORKS �/ ate 7 - Receipt No. WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT COUNTY OF BUTTE - DEPARTMENT.OFIPUBLIC WORKS - BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILLE, C'ALI'FORNIA 95965 - TELEPHONE: 916/538-7541 PERMIT APPLICATION DATA SHEET Permit No. OWNER l� J� /�-`V�S A. P. No. Proposed,Building Use.�/�'1�%� /%?"ifJ Building Inspector_ Date �Z At time of permit application, I was advised the following data must be submitted prior to permit processing and/or issuance: DATE RECEIVED APPROVED 1. All items have been submitted . .................................... 2. Plot plans in duplicate/triplicate, signed by preparer of plans........ 3. Complete plans in duplicate/triplicate, signed by preparer of plans .. 4. Complete engineered plans and calcs, with wet signature on plans .. 5. Hazardous Material Form ................................. . 6. Energy Design Compliance and supporting documentation ......... 7. Statement of Intent for Non -Heated and AC Buildings .............. 8. Engineered truss details and layout in duplicate (required prior to plan check) 9. Mobilehome installation data including manufacturer's installation instructions....................................................... 10. Fees of $ ........................ 11. Chico Urban Area fees paid ....................................... 12. Park fees paid .................................................... 1.+/13. a jC! TO Building Department FROM: Epvironmental Health SUBJECT: Sanitation Clearance Oytner Location AP# Plan Approved for: Sevage Disposal Water Supply Hold final for: Water Supply ^incl clearance O.K. for: Water Supply Clearance for bedroom mobile home. other Tamil )/,/ Yt2pm NOTE. Date Sani. arian WORKMEN'S COMPENSATION INSURANCE MECHANICAL PERMIT Filing Fee 15.0( I declare under penalty of perjury (check one): Heating 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 Cooling of Consent to Self -Insure. 6.50 E] I shall not employ any person in any manner so as to become subject Ventilation to the W. C. laws of California. $ Notice to Applicant: If after making this statement, should you become subject Permit Fee to the W. C. provisions of the Labor Code, you must forthwith comply with such Contractor provisions or this permit shall be deemed revoked. I certify that I have read this application and state that the above information Mobile Home Installation Fee. $ is correct. I agree to comply to all County Ordinances and State Laws relating Energy Inspection Fee to building construction, and hereby authorize representatives of the Countyot OCC CONST TYPE TOTAL FEES L Butte to enter upon the above-mentioned property for inspection purposes. ify and keep harmless I also agree to save, indemnmless the County of Butte against MAZ 0FEES IMP FLOOD COF PARCEL Pi all liabilities, judgments, costs, and expenses which may in at y way accrue IL f,VV .Hn 11 1: against said County in consequence of the granting of this perms . This permit is hereby issued under the applicable pro X Date sions of the Butte County Code and/or resolutions to Signature of Applicant — Owner ❑ Contractor ❑ Agent ❑ work indicated above for which fees have been pate Signature demolition or construct. An OSHA permit is r6quired for excavations over 5'0" deep t• DIRECTOR OF PUBLIC WORKS ion of structures over 3 stories in height. By Date e / COUNTY OF BUTTE - DEPART `\E T OF PUBLIC WORKS PERMIT NO. 7 County Center Drive - Orovllle, Cnllfornl \� 85 - Telephone: 916.'538-7541 0 APPLICATION AN � L\RMIT ' ZONIN """��A 700R ARC L NOME— 3W -(.)/s/� BUILDING PERMIT TELEPHONE SO. FT. OCC. BUILDING VALUATION OWNER 3yZ �.55� OWNER'S MAILING ADDRESS ! l• TELEPHONE CON R,ACTOR'S NAr.AE��/_/ CONTRA OR'S MAILING ADDRESS Fireplace UNKNOWN Total Valuation $ r AC: CONSTRUCTION LENDER Filing Fee $ LENDER'S MAILING ADDRESS Permit Fee $ LICENSE NO. Plan Checking Fee $ ARCHITECT OR ENGINEER Energy Plan Checking Fee $ ZD Ur) ARCHITECT OR ENGINEER'S MAILING ADDRESS - Penalty $ $ ^ BUILDING ADDRESS /j� ' . j !` �y r l/ K! Permit fee PLUMBING PERMIT Filing Fee 15.00 ,Q 5.00 QC> 4 Each Trap Solar or heat pump water heater 20.00 7.00 OL ' LOT NO. SUBDIVISION NAME r i ing Each pas water 7.00 Gas piping system 1 - 5 outlets 5.00 USE OF STRUCTURE Building sewer 15.00 Lci SF Duplex❑ Mobilehome❑ Other SPECIFY Mobile Home S G W @ 15.00 TYPE OF WORK C] Permit Fee $ y New J Additio Remodel Utilities Installation[]Other Aj e Contractor escribe work: ' ELECTRICAL PERMIT Filing Fee 1 15.00 &,A✓600V OR LESS Main service 200A OR LESS , $.so Main service 200A TO t000Aw I 37.50 CONTRACTORS LICENSE LAW NEW CONST. (DWELLING oe e.� OR ADDNS . ACC. BLDGS. 3.6asy.rt. t I declare under penalty of perjury (check one): NEW CONST R. • ULTI.OUTLE NO N.PESI D. BRANCH CIRC ITS Q\ @ 5.00 I am licensed under provisions of Chapt. 9, Div. 3 of the Business POWER APPARATUS ( SINGLE OUTLET CIR. / 20 764 and Professions Code and my license is in full force and effect. q Ex. Occup( OUTLETS OR FIXTURES A License ;Jo. Classification FIXED APPLNS. OR EX. OCCUp. OUTLETS IRESID.1 EA. 3.00 I, as the owner, or my employees with wages of their sole compen- the structure is not intended or offered alities 15.00 sation, will do the work,and for (Sec. 7044) MobTemperHome Fatary 15.00 sale. I, as the owner, am exclusively contracting with licensed contract- Misc. Wiring 15.00 ors. (Sec. 7044) under Sec. Business and Professions Code $ ` I am exempt Permit Fee for this reason Contractor WORKMEN'S COMPENSATION INSURANCE MECHANICAL PERMIT Filing Fee 15.0( I declare under penalty of perjury (check one): Heating 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 Cooling of Consent to Self -Insure. 6.50 E] I shall not employ any person in any manner so as to become subject Ventilation to the W. C. laws of California. $ Notice to Applicant: If after making this statement, should you become subject Permit Fee to the W. C. provisions of the Labor Code, you must forthwith comply with such Contractor provisions or this permit shall be deemed revoked. I certify that I have read this application and state that the above information Mobile Home Installation Fee. $ is correct. I agree to comply to all County Ordinances and State Laws relating Energy Inspection Fee to building construction, and hereby authorize representatives of the Countyot OCC CONST TYPE TOTAL FEES L Butte to enter upon the above-mentioned property for inspection purposes. ify and keep harmless I also agree to save, indemnmless the County of Butte against MAZ 0FEES IMP FLOOD COF PARCEL Pi all liabilities, judgments, costs, and expenses which may in at y way accrue IL f,VV .Hn 11 1: against said County in consequence of the granting of this perms . This permit is hereby issued under the applicable pro X Date sions of the Butte County Code and/or resolutions to Signature of Applicant — Owner ❑ Contractor ❑ Agent ❑ work indicated above for which fees have been pate Signature demolition or construct. An OSHA permit is r6quired for excavations over 5'0" deep t• DIRECTOR OF PUBLIC WORKS ion of structures over 3 stories in height. By Date e > COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT NO. • 7 County Center Drive - Orovlllet,Callforgla 95965 - Telephone: 916.'538-7541 APPLICATION AND PERMIT ASSESSOR PARCEL NUMBER ZONING X/ BUILDING PERMIT OWNER S TELEPHONE s� SQ. FT. OCC. BUILDING VALUATION - OWNER'S MAILING ADDRESS C,CSR (!] CON ACTOR'S NAME � / TELEPHONE ffT�� CQO CONTRA TOR'S MAILING ADDi'/RRE`SS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ P7 lq?b�l Filing Fee $ 15.00 LENDER'S MAILING ADDRESS Permit Fee $ 0 ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee 5 Energy Plan Checking Fee $ 2-0.0L2 ARCHITECT OR ENGINEER'S MAILING ADDRESS - Penalty $ BUILDING ADDRESS/ U ///� + � , �� l/{^/ Permit fee $ -7DI . yrj PLUMBING PERMIT Filing Fee 15.00 � J��J � 5 Each Trap 5.005-5.00 Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP Water piping 7.00 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 ,UD Mobile Home S I G I W 615.00 TYPE OF WORK New ❑ Addition' Remodel II Utilities Installation[]Other ❑ Describe work: i ?P E Ale- (,ge,4x N(r Permit Fee $ 6D Contractor ELECTRICAL PERMIT Filing Fee 15.00 Main service 600V OR LESS 200A OR LESS 18.50 Main service 2ocATO1000AI 37.50 CONTRACTORS LICENSE LAW 1 declare under penalty of perjury (check one): ElI 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 oR ADDNST ( DCCLB LDGSC K) 3.60 q.ft. t NEW CONSTR. r ULTI-OUTLE NON -RES, D. BRANCH CIRCUITS 5.00 (POWER APPARATUS &) (SINGLE OUTLET CIR. Ex. OCCup(OUTLETS OR FIXTURES 20 76d A FIXED Ex. Occup. OUTLETS PIRESID ILNS KEA.) 1 3.001. Temporary service 15.00 Mobile Home Facilities 15.00 Misc. Wiring -15.00 Permit Fee $ S Contractor — WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. ❑ 1 shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. MECHANICAL PERMIT Filing Fee 15.00 Heating (� Cooling Hood 6.50 Ventilation Permit Fee $ 2 Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the County or Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue against said County in consequence of the granting of this permit. X Date Signature of Applicant — Owner ❑ Contractor ❑ Agent ❑ An OSHArequiredwork ion of structures tover3 storiesin height. excavations over 5'Q" deep and demolition or construct- Mobile Home Installation Fee $ Ener Inspection Fee $ fy� 9Y p Or.AJ occ CONST TYPE TOTAL FEES L� HAz 1 1) FEES I IMP I FLOOD I COF I PARCEL Pb HD ISSUE This permit is hereby issued under the sions of the Butte County Code and/or indicated above for which fees DIRECTOR OF PUBLIC BY PERMIT EXPIRES Date applicable provi- resolutions to do have been paid. WORKS Date I Receipt No. I 10302 P WHITE-O.P.W.. YELLOW -ASSESSOR. PINK -INSPECTOR, GOLDENROD -APPLICANT COUNTY OF BUTTE - DepartMent of Public Works 7 County Center Drive, Oroville, CA 95965 Phone: N38 6-t538-7541 WO OWNER -BUILDER VERIFICATION go Nak No m Attention Property Owner: An 'owner -builder" building permit has been applied for in your name and bearing your signature. Please complete and return this information at your earliest opportunity to avoid unnecessary delay in processing and issuing your building permit. No building permit will be issued until this verification is received. 1. I personally plan to provide the major labor andmateri is for construction of the proposed property improvement (yes or no) 2. I (have have not) signed an app ication for a building permit for a proposed work. 3. I have contracted with the following person (firm) to provide the proposed construction: Name Address City Phone Contractors License No. 4. I plan to provide portions of this work, but I have hired the following person to coordinate, supervise, and provide the major work: Name ' Address City Phone Contractors License No. 5. I will provide some of the work but I have contracted (hired) the following persons to provide the work indicated: Name Address . Phone Type of Work Signed: Property Owner Social Secur'ty Number Date 9L-, NOTE: This Owner -Builder Verification is sent to you as required by Sections 19831 and 19832 -of the California Health and Safety Code. This verification must be completed and returned to our office before we are per- mitted to issue the permit. BUTTE COUNTY SCHOOLS DEVELOPMENT FEE CERTIFICATION FORM (One Form per Building) A.P. Number (��i ���� �� /_� Building Department No. School District Chll_C+ City D County J�q Jurisdiction Property Owner `�� j j W/Q'f Project Location/Address Subdivision Lot Number Residential Development: a � �� Sq. Footage # of Living MHI Addition (Group R) Units Commercial/Industrial: D Sq. Footage New Addition (Including Exterior Roofed Areas) Z4, 61111 / c B ilding Department Representative Date (Floor Plans reviewed by School District Personnel) District Id No. School District certifies that T 'j e-7-- ._ _ ., _ ( /n-7% ADollicant Name Street ss) hone Number (City) (State) (Zip Code) has complied with the requirements of Resolution No. j(/ & 4V by the ayment of $ representing square feet. School District Representative Dat PAID BY CHECK N0. REMARKS: e� BANK NO PAID BY CASH white -applicant, yellow -building department, pink -school district SCHOOL.FEE (8/88) FLOOD PLAIN DECLARATION I declare the actual value of the proposed construction work under build ing permit application at%� q5 3d A. P. # ��10,:990 -0/25ior i /fA>OM does not equal or exceed the definition of "Substantial Improvement."# I am aware the building site is in a flood -plain area, even though I am not required to comply with the flood plain management criteria. PROPERTY OWNER A444 c 9� � ADDRESS 4ILOre) /�-c✓ �. o6a�e CIO,a,�11 G +► PHONE NO ` 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. r �kr