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HomeMy WebLinkAbout040-390-027F I I DeVRIES, Peter D. 276-69B 248-69P 371-6 0- - t� 220 Estates Dr., Chico (Lot 30) CONTR: Louis Thacker,. t. 1 Bo 362, Durham ( new single family) ' '40-39-27 LOYD MULKEY 220 Estates Dr, Chico ContR: Bel Aire Contr Permit#2088-89B,P,E(interior remodel/SF) 040-390'027"`-'. "" 92-2382 BPEM. MULKEY, Loyd & Jayne 220 Estates.Dr, Chico partial siding,';move'.window,"conv porch to 'living/sf a O°-10 -3Gd �� �. � ia. 11iyy''9. � � � � � T � I.�4 �.� :� RSIDEN IAL 040-390-027 92-2382 BPEM �`... IMULKEY, Loyd & Jayne. I 220 Estates Dr, Chico Y partial siding, move window, conv porch to living/sf 4 , { . i JOB FINALED (Date • -- Signature R J=OK O=Not OK =NotApplitable . MOBILE HOMES = Not Ready Date MOBILE HOME;UTILITIES (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Soils; Special MH Support Sketch 3. Sewer; Location -Test -Fall -C/O Concrete 4. Water; Location -Test -Easement Needed (Sketch) 5. Electricity; Location-Clearences-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 B-1 Date MOBILE HOME INSTALLATION (Plans) OK except #'s 1. Zoning Requirements -Setbacks Easements 2. Footings; Size -Spacing -Marriage Line 3. Gas; MH Test -Demand -Valve -Connector 4. Electricity; MH Test -Crossovers -Breakers -Clearances 5. Drain; MH Test -Fall -Flex Connector 6. Water; MH Test -Regulator -Connector 7. Water and Sewer Connected -C/O to Grade -HD Approval 8. Gas and Electricity Tagged 9. Exits; Insp.-Sketch 10. Cert. of Occupancy Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 MISCELLANEOUS Date DECKS, COVERS, CARPORTS, GARAGES, (Plans)OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Footings; Soils -Size -Depth -Spacing -Connectors -Steel 3. Decks; Griders and/or Joists -Decking -Bracing -Stairs -Rails 4. Wood Awn.; Posts-Beams-Rftrs.-Connectors Shthg.-Rfg.-Bracing 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Carports; Windows -Doors 7. Electric 8. Frmg; Sils-Anchors-Studs-Rftrs-Trusses 9. Siding; Nailing -Veneer -Stucco -Mesh 10. Roof; Shthg-Roofing 11. Ext.; Steps -Doors -Landings Date -Card B-1 Date Card B'1 Date Card B-1 Date Card B-1 Date POOLS (Plans) OK except #'s 1. Setbacks -Easements { r 2. Soils; Compaction -Structure Stability ' 3. Pool Structure; Steel -Connections -Thickness Dead Men -Lining 4. Elec.; Receptacles and Lighting, Distances-GFI w 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 .i Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 j ✓�= OK O=Not OK = Not Applicable RESIDENTIAL (Single = Not Ready Date UND RFLOOR (Plans) OK except #t's Zo .g-Setbacks!Ea3ements-Flood-Slope �eftg., Main; Soils-Elec. iRrM`d /jZ' Ftg. Depth 3. Ftg., Garage; Soils-Steel-Elec. Grnd.-/ /" Ftg. Depth 4. Ftg., Porches & Decks; Soils -Steel-/ /Ftg. Depth ve'Stemwalls, Main; Steel -Bloc kouts-Wra pped 6. Stemwalls. Garage; Steel-Blockouts-Wrapped 6a. Hold Downs and Special Anchors 7. Slab; Steel -Wrapped 8. Piers -Fireplace Ftg.-Steel 9. D.W.V.; Fall -Fitting -Test -2 Way C/O -Sewer Test 10. UF. Gas Pipe; Size -Anchors - yard gas piping: size -test 11. Water Pipe; Test -Anchor -Regulator -Service Test 12. Electric; Underground I + 13. P enums & Du ts; Clearan e- Mate ria l-Support- Ins. Girders -Si -Anchor B ts-,leiatcJlec>'Fs-C*nm4e9-- 15. ccess & Venti)ati 1 . Insulation Date Z Card B-1 Date Card B-1 Date $-7 -17 Card B-1 YA- OL- Date Card B-1 Date PLUMBING (Permit),OK except N's 16. Water Htr.: Vent -Access -Comb Air -Baffle 17. Water Pipe: Test & 18. D.W.V.; Test-Fittinj Protection Anchor -Nail Protection 19. Shower P est. First Floor -Tub Access --- - ------------------------- 20. Te ub & Shower. Second Floor -Tub Access Size & Anchors ------------------------------------------------------- Date Card B-1 Date Card B-1 ---------------------- -------------------------------- Date Card B-1 Date Card B-1 Date ELECTRICAL (Permit) OK except ft's 22. Fixture & Transformer Clearance -Ins. Protection ----------- =----------------------------------------------------- -- 3. Ele Receptacles Spacing Lights & Switches at Doors 4. Si a Boxes & No. of Conductors -Stapled ----- -- -- ---- -- - - - -- - - - ------------ -- - ----- - - ---- --- ---- ------ ---- - ---- Romex Installed Closelo Edge of Studs & C.J. _ 26. Equip. Ground made up w/Mech,_Fastner§-Bond Gas & Water ------------ -- ------------------------------- -------------------------------- 27. 2 Appliance Circuts in Kitchen &ductor Size!GFI --------------------- --------------------------- ------=------------------------ 28. Subfeed Wire Sizer ga. Cu or AI-A.C. Wire Size r / ga. Gu or -AI 29. Range Circ. / ga. Cu or AI -Oven Circ. / / ga. Cu or Al. -nsulated Neutral ❑ Yes- -0 No ----------------------------------------------------- ,aQ_Service-Riser Conductors & Ground -Main Disconnect --------------------------------------------------------------- -------------- 31 fnuip. Clearances Panels-Motors-Mech. Equip. othes Closet Light -Shower Light -Spa Light ---------- --------------Detector ----- ---------------------------------- ---- -- -- ---- - -- D and B-1 , -- -- Date Card B-1 -------- -- --------------------------------------------------- - ---------- Date Card B-1 Date rd B 1 Date MECHANICAL (Permit) OK exceplLn 34. A.C. Ducts Insulation upport -------------------------------- - ---- ---- ----------------------------------- 35. ------------- -- ------------- 35. Vent Fan; Exh above insulation -------------- ------- - - - - ---------------------------- --------...--- 36. Conden a Drain & Overflow: Size & Grade --------------------- -- --------------------- ---------- - - - - - - 37. F ance-Vent: Access -Comb. Air -Return Air Vent -115 outlet ---- - ------ ---- -------------------------------------------------------- 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 #+'s Sits. Proper Material & Anchors 40. IIs Studs -Nailing. Spacing & Bracing -Plates -Sound ---- - - -- -------------------- -------------------------------- - ----------------------- 1. ------------- ---------------- ------------------------------------ 1. Bearing Walls over Girders & Floor Nailing ------------------------------------------- ------- raft Stop in Walls (rat proof) --------------------------------------------------------- ----------------------- ire -Stops: Furred Ceilings -Stairs -Chases -Tub ----- ---------------------------------------------------- eaders & Beam -Size & Bearing & Duplex)- Date FRAMING (Continued) Hangers Post Caps -Anchors -Connectors ng. Joist-Rftr. ties-Purlin-root Brac-Truss-Shthng. -Ring. Fireplace Ties or Type A Flue -Fireplace Throat clearance tic Access; Size & Romex Protection -Draft Stop -Ins. Baffles - 44.-B&Tff-Windows or Exiting Doors -Sill Hgt.4 Dimensions --------------- ---- ^.ege'Fire Protection Framing -----P+epert Line Firewall & Openings xt. Doors -One 3 -Check Garage -3rd Story, 2 Exits :iiairs; Width -Headroom -Rise -Run -Landing -Fire Protection --------------------- - '®r -Roof Overhang -Attic Vents -Rafter Outriggers ailing Veneer �ucco Mesh -Drip Screed -Fd. Vents-Underflr. Access's �J Z lazing Area _Glass Protection -Skylights Plastic VAI SS Walls; Nailing -Bolts ------------ - -I ulation-Walls-Ceilings --30 ------------� _2 filtration -Walls -Windows Da i rd B-1 e _ Card B-1 Date k/ ,e-jXCard 13-199� Date Card B-1 Date FINA (Plans) OK except N's Ext. Steps -Door & Sidelight Protection -Landings ----------------------- ��moke Detector ------------- 89-Farrrace: Vents -Clearance -Comb. Air -Connector- In Garage_ Above Floor-Ducts-Mech. Protection 6*.-Mroom Exiting 65.,,�£r.F. & Bath Fixtures & Tub Access -Spa 6 . Elec. Trim & Subpanel; Breaker Sizes & Labels & Rails ---------_ _ Fireplace or Stove: Clearances Hearth ----------- -- - 64­94ec. Outlets at Wood Panel; Int. & Ext. 7 Fixt & Appliance; Grnd -Air Gap Cooking Clearance tr--Etec. Outlets & Receptacles at Kit. Counter 7 p 72-Ga*age Fire Door: Swing -Landing-Closer ----------------------------- 73'ct in Garage -Damper Vents -Clearance -Comb. Air-Connector-P.R.V. In Garage: Above Floor-Mech. Protection -------------------------------------- - ?5*-PttT-Elec. & Mech. Equip. Listed for Location ------------- -------------- 76--E4eG. Receptacles -in Garage: (G_F.I.)-Romex Protection 7I -Insulation -Foam -Looked in Attic 11 Yes - ---- Ifs. (5 and Rails & Deck Construction -Post Caps 7 Fdn Vents & Crawl Hole Door -Drainage & Wood -Earth Clearance Looked under Floor 0 Yes - - ------------------------------ r30,OFollowing instld.: Drive ❑ Yes 0 No: Walks ❑ Yes ❑ No: Planters O Yes.--C-No _ Stucco r Finish Unit: Disconnect. Electrical, Plumbing ^Vents Above Roof: Plbg.-Appliance-Fireplace.-Clearance to Openings - - -------------------------- ---- dd--Mter Well: Disconnect, Electrical, Plumbing --------- - - 4'Exterior Elec. Trim: G.F.I. Receptacle -Underground - -- -- - - -- - - -- --- --------------------------------------- rq. Ventilation Throughout House - ------- ----- ------------------------ W Glass Protection - - ag'C rrections from Previous Inspections - est Meters Tagged Gas -Electric - 94T Water & Sewer Connected -C/O to Grade -HD Approval- - 1. Energy Compliance Certificate -Other Certificates ------•-------------------------------------- Date G and B-1 Date Card B-1 Date and B-1 Date Card -B-1 Date Card B-1 Date Card B-1 Comments at Final: J� 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 OWNER PERMIT NO. 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 is completed. If you have any questions pertaining to this matter, or need additional explanation, please contact this office immediately. 1((CAT I& T6 F Date _ G ?.R -C-\? Inspector J� REV 11/91 ... COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 1469 Humboldt Road, Chico, CA - (916) 891-2751 7 County Center Drive, Croville, CA - (916) 538-7541 747 Elliott Road, Paradise, CA - (916) 872-6307 A CORRECTION NOTICE kA OWNER PERMIT NO. A 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 is completed. If you have any questions pertaining to this matter, or need additional explanation, pleas contact this office immediately. '91 .4 Date inspector_ REV 11/91 COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 1469 Humboldt Road, Chico, CA - (916) 891-2751 7 County Center Drive, Oroville, CA - (916) 538-7541 y 747 Elliott Road, Paradise, CA - (916) 872-6307 CORRECTION NOTICE OWNER v1 t L/ _ 9z c39 z PERMIT No. 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 world is completed. If you have any questions pertaining to this matter, or need additional explanation,. please contact this office immediately. ; o\/Ih� s\A0 \-1'RA-\, WALL, �\a Ca9-ar" Nor Ir s d l- i nr S I n t t Inl S L, LA 7 144/ A '(- 12Fc1%Ss�r� L lC,l-1 r5 A T F iRr Pwr; 0 Date -ztt •01Z Inspector REV 11/81 h 4 RC1 TIE o v ,D n[v i l/k!1 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 m CORRECTION NOTICE OWNER f PERMIT N0. 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 is completed. If you have any questions pertaining to this matter, or need additional explanation, please contact this office immediately. } � vt � i h 4 RC1 TIE o v ,D n[v i l/k!1 EN INSTALLATION CERTIFICATZ , Building Owner IOU to I/I ke V Building Permit Building Location ES r' �Q S r Cti 1 L0 DESCRIPTION OF INSULATION ROOF Material Brand Name Thic!=ess(incaes Thermal E:{PRIOR WALL Material F. Thickness (inches) 72 CEILING n .y,F Batt or Blanket Type USO 1 Thi6=ess(inches) Loose Fill Type M-inimum Thickness (Inches) Area covered(ft.2)_ an FLOOR, ELIZVATED Material G _ Thickness(inches) FLOOR, SLAB Mater al Thi.c'.mess (inches) Width (inches) FOUNDATION WALL Material Thickness(inches) Resistance (R Value)__ Brand Name Thermal Resistance(R Value) 1-3 Brand Name Thermal Resistance(% Value) Brand Name Nt=ber of Bags Wt. per bag 1b. Thermal Resistance(P. Value)__ Brand Name Thermal Resistance(R Value) Brand Name Thermal Resistance(R Value)__ Brand Name Thermal Resistance(R Value)__ I hereby certi:-y that the above insulation was installed in the above building, 2s consistent with approved building department plans -and attachments -and con--- ro s witjz requirement of Chapter 2-53 of State of California Energy Requirement t/OQ.r�or Len4 Atrl X77 FI'teM riA�`�/OW�ic? S=_7 CONTRACTOR'S LICZ_NSE N0. Aar� 9/3, 9z SIGNATURE OF INST: ION APPLI=OR DATE I hereby certify the required features, devices, and equipment,.ab shown on the approved Building Department plans and attachments have been installed and conform to the appli- ance standards and Chapter 2-53 of the State of California Energy requirements. P BUILDING CONTRACTOR/OWyNER (Please Print) (FIRM NAME) SIGNATURE OF BUILDING CONTRACTOR/OWNER �-1 ig� dower HVRIC HVAC FI. •1 NAME/Ot NER (Please Print) fir/ r77 STATE CONTRACTOR'S LICENSE NO. 9'/30 /?;z DATE STATE CONTRACTOR'S LICENSE NO. SIGNATURE OF HVAC CONTRACTOR/01v'NER DATE THIS CERTIFICATE KUST BE ON FILL WITH THE BUILDING DEPARTMENT PRIOR TO FINAL INSPECTION APPROVAL AND A COPY SMALL BE POSTED tiITHIN THE BUILDING. S EPTDIBER 1988 COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT NO. 7 County Center Drlv; - Orovllle, California 95985 - Telephone. 916.`538.7541 _ Z APPLICATION AND PERMIT ASSESSOR PARCEL NUMBER 040-390-027 ZONING R-1 BUILDING PERMIT OWNER TELEPHONE S0. FT. OCC. BUILDING VALUATIO 5,500.00 OWNER'S MAILING ADDR SS 220 EstatesDr., Chico 95928 Est, 3,500.00 CONTRACTOR'SNAME onstriiction 11 TELEPHONE 894-5849 CONTRACTO 'S MAILING ADDRESS 13821 Garner Lane, 5926 Fireplace I A 1,500.00 CONSTRUCTION LENDER UNKNOWN Total valuation $ 11500.00 Filing Fee $ 15.00 LENDER'S MAILING ADDRESS Permit Fee $ 105.00 ARCHITECT OR ENGINEER LICENSE No. Plan Checking Fee $ 52.50 Energy Plan Checking Fee $ 20.00 ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS Permit fee $ 192.50 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 ® Duplex❑ Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets j 1 5.00 5,00 Building sewer 15.00 Mobile Home S I G W @ 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation❑ Other® Describe work: Convert Porch to Living Room/Partial _ Siding/Move Window Permit Fee $ 20,00 Contractor ELECTRICAL PERMIT Filing Fee 15.00 Main service 600V OR LESS 18.50 200A OR LESS _ Main service 200ATO1000AI 37.50 CONTRACTORS LICENSE LAW 1 declare under penalty of perjury (check one): R"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. Yy1777 Classification ]3 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.( ACC. BLDGS. / A DWELLING OCCUP.&\ OR ACDNS. V 3.64sq.11. (F.35 NEW CONSTR. ULTI.OUTLET NON•RESI D� BRANCH CIRC ITS @ 5.00 POWER APPARATUS &) (SINGLE OUTLET CIR. / Ex. Occup(OUTLETS OR FIXTURES 20 @ 76d FIXED Ex. Occup. OUTLETS PIRESID IKEA.) ( 3.00 Temporary service 15.00 Mobile Home Facilities 15.00 Misc. Wiring g '15.00 Permit Fee $ 19.35 - WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. �l have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. ❑ I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. Contractor MECHANICAL PERMIT FiIingFee 15.00 Heating Duct 1 19.00 9.00 Cooling 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 agains said County in nsequence of the granting of this permit. X - s�/y Date (° % Signature of Applicant - Owner ❑ Contractors Agent ❑ An OSHA permit is required For excavations over 5'0" deep and demolition or construct - ion of structures over 3 stories in h fight. Mobile Home Installation Fee S Energy Inspection Fee $40.00 OCC CONST TYPE TOTAL FEE $295-85 HAz DFEES IMP - I FLOOD CDF FARCE PD HD ISSUE This permit is hereby issued under the applicable provi- Bions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DI TO F PUBLIC WORKS By Dated Zo- T 4l PER EX IRES Date 7--L.,! 3 Receipt No. 1 543 - �() WHITE-D.P.W., YELLOW -ASSESSOR, P NK -INSPECTOR, GOLDENROD -APPLICANT 1�, t y,`o .•..-fifi �r ,r"{, ��i „(-'{wrlrt �-. ?�.ft !r `�Y'iR .'L•,��::,��'�hi t:...�����i•f�'y �r.lfrij /t,',-'yr5�;,,,t'�Jh 4 .. �r- .,.v .COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS - BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 TELEPHONE (916) 538-7541 OWNERX Proposed Building Use PERMIT APPLICATION DATA'SHEET �iCl E /4 UGI_ E y A- PJ No D 1"Ilo - 3Wrd z 7 Tim Date V3. it application, I was advised the following data must be submitted prior to permit processing and/or issuance: DATE RECEIVED BY All items have been submitted . ...........:`............................. Plot plans, 3/4 sets,.signed by preparer of plans . .....................:... . Complete 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 i6structions, 2 sets. 7.toe'��.. . Fees of $ . ................... �.. ! ..-!.......... 1 Impact fees as shown on attached schedule. ....... 12. California Department of Forestry plan approval/fees. ....................... . mood elevation letter (100 yearflood y Ca f rnia Engineer ................... X14. Sanitation and plot plan approve Health Department. .....:... 15. City of Chico plumbing permit. ..................................... 16. Plot plan and business license approval from City of Biggs/Gridley. .........l:.+. 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)., ...t..!.�.,. . re lnspei TO FROM: Buildina Department Environmental Health SUBJECT: Sanitation Clearance " Owner Location AP# Plan Approved for: Sewage Disposal Water Supply Hold final for: Water Supply Final clearance O.K. for: Clearance for bedroom mobile home. NOTE *** j Water Supply Otherrl CG►' l�`2"�►^— / Date San tarian BUTTE COUNTY SCHOOLS. IMPACT FEE CERTIFICATION FORM (One Form Per Building) School District 0!40- -Q,� _ _ _ _ Building Department No. A.P. Number C— s L -D Jurisdiction ( City F�z County Property OwnerU ^^�� me/ Irl Property Location/Address c)oZ _,� - jf % Subdivison Lot No. Residential Development [ - . Footage No. of Living MHi Addition (Group R) Units Commercial/Industrial Sq. Footage New Addition (Including Exterior Roofed Areas) ui ding DepartAerii Repr sentative Dat (Floor Plans reviewed by School District,Personnel) District Identification No. A,C(p School District certifies that 'o, li (Applicant) l.� Rol (Street Address) (Phone Number) (City) (State) (Zip Code) has complied with the requirements of Resolution No. _ 7 % by payment of $ representing _�_ square feet. School District Repres Paid by Check Number _a%� _ _ _ Remarks: Q Bank Number Paid by Cash 117157 ZDate 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) feeformmkl (4/92) COUNTY OF BUTTE - DEPARTMENT OF.PUBLIC WORKS PERMIT NO. 7 County Centax Drive Orovllle, California 95965 - Telephone: 916.'538-7541 APPLICATION AND PERMIT ASSESSORP RCEL N MB R j o i 6 2 ZONING / / BUILDING PERMIT OWNER/ �- I TELEPHONE SO. FT. OCC. BUILDING VALUATION OWNER AILING DR SSU I �7�� r/ / (J•tr G/J (XJ C N gCT,61 f.L MEQ k „� 97- TELEPHO�y� CONTF�ACT '$�M ILING AjTDRE55� � I 9 /f � J/� , (/?/ SS (//tel /v /v [[ !J Fireplace p ` �' / S V l✓ CONSTRUCTION LENDER UNKNOWN Total Valuation $ Filing Fee $ 15.00 LENDER'S MAILING ADDRESS Permit Fee $ , Q ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ I Energy Plan Checking Fee $ Q r Q ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS S ,A Permit fee $ 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 SFDuplex❑ Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets 5.00 C3 10 Building sewer 15.00 Mobile Home S I G I W @ 15.00 TYPE OF WORK New ❑ Addition El. Remodel ❑ Utilities ❑ Installation❑ Other_.,A Describe work: gwkl/e,--r– BQ/LC h - L' 1/1 l 6 Permit Fee $ Q r00 Contractor ELECTRICAL PERMIT Filing Fee 15.00 , !// 64)1U0 O Main service 20OR LESS 18.50 200A0A OR LESS Main service 200A TO 1000AI 37.5�t. 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 L_f 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. DWELLING OCCUP.&) 3.54 sq.f OR AODNS. ACC. BLDGS. // NE w CONSTR MULTI -OUTLET @ 5.00 NON -REST D. BRANCH CIRCUITS) (POWER APPARATUS e \SINGLE OUTLET CIR. / Ex. OCCUp\OUTLETS OR FIXTURES 20 754 EX. Occup. OUTLETS (RES SFIXED APPLN ID 1 EA.� I 3.00 Temporary service 15.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 Permit Fee $ Contractor — WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. ❑ 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. MECHANICAL PERMIT Filing Fee 15.00 Heating V 67 Cooling 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 to enter upon the above-mentioned property for inspection purposes. 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 [IAgent ❑ permit is re sired for excavations over 5'0" deep and demolition or construct- An OSHAa ion of structures over 3 stories in height. Mobile Home Installation Fee S Energy Inspection Fee SButte occ CONST TYPE /I TOTAL FEES;;IO[ HAz 1 DFEES IMP I FLOOD OF I PARCEL I 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 which fees have been paid. DIRECTOR OF PUBLIC WORKS By Date PERMIT EXPIRES Date Receipt No. COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS - BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE (916)5387541 OWNER PROPOSED BUILDING USE 1. School Distric Fees (paid at District Office) 1. 2. Sheriff Fees (paid at Building Department) A. P. NO. DATE REC. # DATE REC Residential .......... X =$ ni ut 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.) X 4 sq.ft. amt. 4. 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. APPLICANT DATE -1171�� FORM 7 ADDITIONS, TO'•RESIDE`iITIAL BUILDINGS ENERGY SHEET' PACKAGE."A" (Additions) Owner `vL w Climate Zone / Permit__ — Floor Area 9 The following data showing mandatory and required features of Package "A" shall be installed for additions to dwellings. Additions to dwellings include room additions, converting garages.and patios to living areas, house moves that add footage and attic conversions, and any space that is existing non -conditioned space that is converted to conditioned space. Remodeling of existing conditioned space is not included. APPLIES TO NEW AREA CEILING WALL FLOOR SLAB GLAZING SHADING SOUTH - OPTIMUM OVERHANG ZONE 11 R-30 R-11 R-11 R-7 U-.65 (Dual) or .36 Shading Coefficient WEST - .36 Shading Coefficient LOOSE FILL INSULATION (Density) ZONE 16 -3 R 9 R 9 R 5 (Dual) INFILTRATION CONTROL (Weatherstrip doors, certified windows, caulking) DUCTS PER'UNIFORM MECHANICAL CODE - Ch. 10 LIGHTING KITCHEN & BATH NOT LESS THAN 25 LUMENS/WATT MAXIMUM GLAZING 16% OF AREA PLUS REMOVED GLAZING NEW HEATING, VENTILATING, -AIR CONDITIONING AND HOT WATER SYSTEMS IN CONJUNCTION WITH AN ADDITION SHALL BE INSTALLED AS'SHOWN ON BACK OF THIS SHEET. OTHER BUTTE COUNTY 12/85 *1 HEATING VENTILATING AIR CONDITIONING SYSTEM (A) Heating ❑ Central Gas Furnace (brand and model number) SE Btu/hr (heating capacity) ❑ Heat Pump (brand,aad model number) ACOP ,Btu/hr (heating capacity at 47°F) ❑ Active Solar type (liquid or air) Collector brand and ft model number solar fraction collector area collector orientation collector tilt raced y -intercept raced slope ❑ Other (describe) `*1 (B) Cooling ❑ Electric Air Conditioner (brand and nodal number) (seasonal EER) Btu/hr (cooling capacity at 95°F) ❑ Electric Heat Pump . EER. Btu/hr (cooling capacity at 95°F) ❑ Other (describe) ❑ ❑ *2 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) 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 documeotatioa 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 °, slavacioa ', heating load BTU elevation factor % heating load maximum outlet capacity gas furnace BTU Cooling: Su®er design temperature cooling load BTU *2 Submit T.I.P.S..E char t'or ocher approved system (form!") to document sizing of solar panels. ® DESIGN COMPLIANCE STATEMENT: The above building design meets the requirements of Title 24, Part 2, Chapcer 2-53 of the California administration Code. 4 �k SIGNATURE OF BUT. LNG DESIGNER OR APPLICANT 7? PERMIT NO. QUO J.}j.Q.* a. f e PERMIT EXPIRES. `ou V �k. - OWNER T-oyn wji.uY U. CONTR. Bel Air ('nn et ASSESSOR PARCEL .40--39-77 • LOCATION 220 Estates Dr, Chico i r' Temp. Power Pole j Called PG&E ` Temp. Elec. Service Called PG&E ' Temp. Gas Service Called PG&E -, JOB FINALED (Date) - F Signature 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 rn OWNER PF T 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, need additional explanation, please contact this office immediately. F, _ n Inspector. JA /Y Date �� ='OK 0 = Not OK - = Not Applicable = Not Ready MOBILE HOMES MISCELLANEOUS Date MOBILE HOME UTILITIES (Plans) OK except #'s Date DECKS,COVERS,CARPORYS,GARAGES, (Plans)OK except #'s 1. Zoning Requirements -Setbacks -Easements 1. Zoning Requirements -Setbacks -Easements 2. Soils; Special MH Support -Sketch 2. Footings; Soils -Size -Depth -Spacing -Connectors -Steel 3. Sewer; Location -Test -Fall -C/O -Concrete 3. Decks; Girders and/or Joists -Decking -Bracing -Stairs -Rails 4. Water; Location -Test -Easement Needed (Sketch) 4. Wood Awn.; Posts-Beams-Rftrs.-Connec.- Shthg.-Rfg.-Bracing 5. Electricity; Location-Clearances-Grnd.-/ / Amp -Concrete 6. Gas; Location -Test -Wrap: / P L" ft. / /"Nat. or/ /"L" ft./ /"LPG 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Carports; Windows -Doors 7. Utility Clearance 7. Elec. 8. Frmg; Sills-Anchors-Studs-Rftrs-Trusses 9. Siding; Nailing -Veneer -Stucco -Mesh Card -81 Date Card -131 Date 10. Roof; Shthg-Roofing Card -131 Date Card -B1 Date 11. Ext.; Steps -Doors -Landings Date' MOBILEHOME INSTALLATION (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements Card -B1 Date Card -B1 Date 2. Footings; Size -Spacing -Marriage Line Card -B1 Date Card -131 Date 3. Gas; MH Test -Demand -Valve -Connector 4. Electricity; MH Test -Crossovers -;Breakers -Clearances Date POOLS (Plans) OK except #'s 5. Drain; MH Test -Fall -Flex Connector 1. Setbacks -Easements 6. Water; MH Test -Regulator -Connector 2. Soils; Compaction -Structure Stability 7. Water and Sewer Connected -C/O to Grade -HD Approval 3. Pool Structure; Steel -Connections -Thickness - Dead Men -Lining 8. Gas and Electricity Tagged 9. Exits; Insp.-Sketch 4. Elec.; Receptacles and, Lighting, Distances-GFI 10. Cert. of Occupancy 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 Card -Bt Date Card -B15 Date Card -131 Date Card -131 Date 9. Health Department Approval 10. Plumb.; Cir. Test -Water Supply Test Card -B1 Date Card -131 Date Card -B1 Date Card -B1 Date 0 = NotRESIDENTIAL (Single and Duplex) - =Not Applicable • = Not Ready . . Date UNDERF4O0R (Plans) OK except #'s - Date FRAMING (Continued) 1. Zoning -Setbacks; -Easements -Flood -Slope 45. Hangers -Post Caps -Anchors -Connectors 2. Ftg., Main; Soils-Steel-Elec. Grnd.-/ /" Ftg. Depth 46. - fng. 3. Ftg., Garage; Soils -Steel-/ /" Ftg. Depth 47. F' e 4. Ftg., Porches & Decks; Soils -Steel-/ /"Ftg. Depth 48. Atti ccess; Size & Romex Protection -Draft Stop -Ins. Baffles 5. Stemwalls, Main; Steel-Blockouts-Wrapped drm. Windows or Exiting Doors -Sill Hgt. & Dineasiens 6. Stem,,Wls, Garage; Steel-Blockouts-Wrapped 50. Garage Fire Protection Framing 7. Slab; Steel -Wrapped 51. Property Line Firewall & Openings 8. Piers -Fireplace Ftg.-Steel 52. Ext. Doors -One 3' -Check Garage -3rd story, 2 exits 9. D.W.V.; Fall -Fittings -Test -2 way C/O -Sewer Test 53. Stairs- Mrith N "ir^ngnMa c"" ' ""'""s """ �ion 10. Gas Pipe; Size -Anchors 54. PI 11. Water Pipe; Test -Anchors -Regulator -Service Test 55. Sidi - 12. Electric; Underground 56.- 13. Plenums & Ducts; Clearance-Material-Supprt-Ins. M Glazing Area -Glass Protection -Skylights -Plastic 14. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples T8. Shear Walls; Nailing -Bolts 15. Insulation 59. I 60. Infiltration -Wal Is-Wndws Card -131 Date Card -131 Date Card -131 Date Card -131 'Date: Card-B11j Date 2- Card -81 Date Card -B1 Date Card -B1 Date Date PLUMBING (Permit) OK except #'s 16. Water Ht. Vent -Access -Combustion -Air -Baffle Date FINAL lans) OK except #'s 17. Water Pipe; Test & Anchors -Nail Protection xt. -Door & Sidelig Protection -L gs 18. D.W.V.; Test-Fttngs & Anchors -Nail Protection 61,86okpaetector 19. Shower Pan; Test, First Floor -Tub Access 6 nnector- In- s- ec . Protection 20. Test Tub & Shower, 2nd Floor -Tub Access 21. Gas Pipe; Size &Anchors oom itin G. ath FWre__s�& Tub Acc p 6._5Wc. Trim & Subpanel; Breaker Sizes -Labels Card -131 Date Card -131 Date 67 St ;ramails,, �� Card -B1 Date Card -B1 Date re or Stove; Cleara es- earth Date ELECTRICAL (Permit) OK except #'s ft-lec. O lets at Wood Panel; Int. & Ext.TL), 22. Flx & Transformer Clearance -Ins. Protection xt. &Appliance; Grnd. -Air -Cooking Ovarance 1 ec. Outlets 4CRiceptacles at Kit. Counts M. er I eceptacles Spacing -Lights & Switches at Doors EA -Size Boxes & No. of Conductors -Stapled 73. r 25. Romex Installed Close to Edge of Studs & C.J. 76,Wfr. Htr.; Vents -Clearance- b. Air -C ctor-P.R.V.- In Gar e; Above Flooech. Protection 26. Equip. Ground made up w/Meth. Fasteners -Bond Gas & Water 27. 2 Appliance Circuts in Kitchen &Conductor Size/G.F.I. 76e4q6., Elec. & Mech. Equip. Listed 4er-tflLafion 28. Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / /ga. Cu or Al 76. EI - ex Protec. 71. I - Attic e3-4ba-� 29. Range Circ. / / ga. Cu or AI -Oven Circ. / / ga. Cu or Al. Insulated Neutral . Yes No 78. G s 30. Service -Riser Conductors & Ground -Main Disconnect 99.F - ood-Earth 31. Equip. Clearances Panels-Motors-Mech. Equip. 10.__fpl4ewing instld.; Drive es ❑ No; Walks❑ No; Planters 11 Yes UAI� 32. CLg"s Closet Light -Shower Light -Spa Light S moke Detector 84. - h Card -81 Date$fL-IR Card -131 Date 82. A: ing Card -B1 Date Card -131 Date ants Above Roof; Plbg.-Appliance-Firepl.-Clearance to Openi Date MECHANICAL (Permit) OK except #'s 84. 9 34. A.C. Ducts Insulation & Support . Exter' lec. Trim; G. .. eceptacle-Underground 35. Vent Fan; Exhaust above insulation .86-Ve-nglatioTl7throughout House 36. Condensate Drain & Overflow; Size & Grade ass c -ti on 37. Furnace -Vent; Access -Comb. Air -Return Air Vent -115 outlet 8 . orrections Previous Inpections 38. Attic Access & Platform if Furnace in Attic 89. Gas T eters Tagged; Gas -Electric LACK im t 1/ O to 0 e ewer Connected -C/O to Grade -HD Approval er - er Certificates Card -61 Date2.2-?q Card -B1 Date 2 ofing Certificate Card -131 Date Card -131 Date Card -131 Date -2 Card -131 Date Card -81 Dateq /S"�q Card -131 Date Date FRAMING (Plans) OK except #'s Card -131 Date Card -B1 Date 39. Sills, Proper Material & Anchors Comments at Final: 40. Walls Studs -Nailing, Spacing & Bracing -Plates -Sound 41• Bearing Walls over Girders & Floor Nailing 42. graft Stop in Walls (rat proof) Fi tops; Furred Ceilings -Stairs -C - ub Bader & Beam -Size & Bearing (NOTE: An entry must be made each time you visit job site) COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Orovil,le California 95965 - Telephone: 916/538-7541 APPLICATION AND PERMIT PERMIT NO.�/ ASSESSOR PARCELNUMBER a - ZONING I ( BUILDING PER IT OWNER'. L� � Mi.I Ice5�� TELEPHONE �s SQ. FT. OCC. BUILDING U TION JV OWNER MAILING ADDRESS 0` s4-4-� ,5 01-- 0-h;�a 5s5XV C NTACTOR'S NAME re-, N f J- aG4- 0 r`-5 TELEPHONE 1,6q)-- 1,14,5 CONTRACTOR'S M ]LING ADDRESS a _. a 1 Fireplace CONSTRUCTION LEN ER UNKNOWN Total Valuation $ �+ Filing Fee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee S ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee ,$ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ . BUILDING ADDRESS Permit fee $ '7S PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 �h 7 L o Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP Water piping 5.00 Each qas water heater or vent / 5.00 USE OF STRUCTURE SF Duplex❑ Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Lv� Building sewer 5.00 Mobile Home S G W 0.00ea TYPE WORK New ❑ Addition ❑ Remodel Utilities E]Installation[]Other ❑ Describe work: zl�-,C'e/"i e) / rnP Penult Fee $s2zd, tv Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 100 AMP LESS 100 10.00 Main service EA. ADD'L too AMP 2.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (Check one): E9 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. DWELLING OCCUP.8d OR AODNS. ACC. BLDGS. /20sq it NEW CONSTR. MULTI -OUTLET 2,50 ea NON.RESID .BRANCH CIRC ITS POWER APPARATUS 61 SINGLE OUTLET CIR. EX. OCCUp 1015011 OUTLETS OR FIXTURES SALO 30 Ex. OCCup. OUTLETS P(RESID.)REA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 �"o,c. /S ::Q1je Pr— o2- i' Penult Fee $ WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. 1 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 10.00 Heating Cooling g Hood / 3.00 3,0`0 Ventilation penult Fee $ ,s-� Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. 1 also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue a st id o ty in consequence of the granting of this permit. Date 4o oe Signature of Applicant — Owner COntractorK Agent ❑ An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 storiesin height. Mobile Home Installation Fee $ Energy Inspection Fee $ TOTAL PERMIT FEE P $ 6 7 oceuP. _ co T.TYPE ISCHOOL FLoO PARCEL PD ND ISsu This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which DIRECTORAF PUBLIC By PER EXPIRES Date the applicable provi- resolutions to do fees have been paid. WORKS Date%7 / —6— `O Receipt No. 41-3 WHITE-D.P.W., YELLOW-ASSE330R, PINK -INSPECTOR, GOLD EN ROD -APPLICANT PAV � J � -,�, �.,. _ t .. �. �•._ i ...• ss .. --..r" .ma�(rt� ` ; _ "�-, - ti . .. ^•.. `ri .. .' r+r-` � ... . i-'• .. �. COUNTY OF BUTTE- DEPARTMENT OF PUffLIC WORKS - BUILDING DIVISION • 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965,-! TELEPHONE: 916/538-7541 PERMIT APPLICA`T 6i"dATA SHEET • Permit No. OWNERT%(Aaln I A l k-_ �� A. P. No. 411)— — -7 Proposed Building Use / Building Inspector IlA Date / —.29-- c-* At time of , e'rmit application, I was advised the following data must be submitted prior to permit processing and/or tr na: o . All items have been submitted . .................: ... DATE RECEIVED A/ ` 1.. .......... 2. Plot plans in duplicate/triplicate, signed by preparer of plans........ 3. Complete plans in duplicate/triplicate, signed by preparer of plans .. 4. Complete engineered plans and calcs, with wet signature on plans .. 5. Energy Design Compliance and supporting documentation ......... ` 6. Statement of Intent for Non -Heated and AC Buildings .............. 7. Engineered truss details and layout in duplicate (required prior to plan check) 8. Mobilehome installation data including manufacturer's installation instructions....................................................... 9. Fees of $ .......................... 10. Chico Urban Area fees paid ........................................ 11. Park fees paid ..................................................... 12. School District fees paid ................. 13. Sanitation approval from • Health Department ... 14. City of Chico plumbing -.permit ...................................... 15. Plot plan and business license approval from City of (see City for other requirements) 16. Planning approval for (A) Use: (B) Parking: 17. Improvements may be required. 18. Driveway permit (construction approval required prior to occupancy) ... 19. Pre -Ins ection for re uired . , • , Pre-Inspec. request to p q • • Building Inspector rpm) 20. Contractor's license information (No., Name Style, Classification) ........ 21. Certificate of Workmans Compensation Insurance .................... 22. Owner -Builder Verification (Given to owner ❑, Mail to owner ❑) ......... 23. Recorded copy of Agricultural Acknowledgment Statement ............ 24. Letter of signature authorization ..................................... . 25. 26. ' When you issue the permit, process as follows: —Mai l to owner. Mail to contract. - I elephone X, 2 / and hold for pickup at C office. Deliver w/inspatin Other ADa1s"—�T� "�� Date+ Copy of plans sent Health Dept., Fire Dept„ Other Date The following data must be submitted prior to permit issuance: (Circle new item not checked above). 1. Index permit for above items No. 2. Additional items required: Contractor, designer, owner, was advised of above required data by—phone---mall—counter by----..; date Contractor, designer, owner, was advised of above required data by—phone —ma ll—counter by date Plans checked by Copy—DPW Date Plans approved by Sets of plans on hold in File cabinet AP folder Date