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HomeMy WebLinkAbout040-580-034June ancock E/S LotI d-,app.700'N.of Oro -Durham Hwy, lot 88, Du�iam 'emit #4414 7aZB,P,E,M(new single Permit ##1314-79B (l"st , renc, 4414-77) SF', v Permit#4253-80B( d ren ew�i -- .. 44 77)SP,� Pew- it #4338-80B "-"-4-2-. ,(ne'w'-open `open deck/SF) NEW OG NER DAV_TT SEDTr_4 >1765 -Almond View Ct, -Durham-, .ff. Contr: Ron Drews T Permt #987-HB,E(remodel/SF) T 40-58-34 2287-90B,P,E,M HICKS, . Peggy 1765 Almond View Ct�,; ''Durham` � p (addition%Gf)_ _ 040-580-034 00-0281 NICKS, STANLEY MOORE 1765 ALMOND VIEW CT., DURHAM CONTR: CRANE ROOFING RE ROOF 040-S6V-034 BLA1<E, GREG .1765 AT-MO.ND V]L'W C71 , Cont: B0WFN:P001;S POOL .%MASTER 97-505" R 1 EN IAL f 40-58-34 2287-90B,P,E,M + 1 HICKS, Peggy i 1765 Almond View Ct, Durham (addition/sf) LO r a • 1 , Yw. r r {0-15-'j6 -GP's —•4e-o—az-L— JOB FINALE Signature J=OK O=Not OK - = Not Applicable 1 = Not Ready MOBILE HOMES Date MOBILE HOME UTILITIES (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements 2: Soils; Special MH Support Sketch 3. Sewer; Location -Test -Fall -C/O Concrete 4. Water; Location -Test -Easement Needed (Sketch) 5. Electricity; Location-Clearences-Grnd-/ /Amp -Concrete 6. Gas; Location -Test -Wrap: / /" L" ft. / /"Nat. or/ /"L"ft./ /"LPG 7. Utility Clearance ss . 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 N 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: Coonectors 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-hoofing 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 2. Soils; Compaction -Structure Stability 3. Pool Structure; Steel -Connections -Thickness Dead Men -Lining 4. Elec.; Receptacles and Lighting, Distances-GFI 5. Elec.; Pool Lighting; 15 volts-GFI 6. Elec.; Enclosures; Conduit Entries -Terminals -Listed 7. Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater '8. Elec.; Grounding; Equip. w/5' Circulating Equip. -Pool Lghtg. Boxes- Enclosures-Pane Iboards- Ins. to Main in Conduit 9. Health Department Approval 10. Plumb.; Cir. Test -Water Supply Test Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 J=OK O=Not OK = Not Applicabtb = Not Ready RESIDENTIAL (Single'& Duplex) Date UNDERFLOOR (Plans) OK except #'s zo -Set cks-Easements-Flood-Slgpt' , Main; Soils-Elec. Grnd.- " Ftg. Depth tg., Garage; Soils-Steel-Elec. Grnd.-/JZ/" Ftg. Depth 4. Ftg., Porches & Decks; Soils -Steel-/ /Ftg. Depth 5!5[emwalls, Main; Steel -Bloc kouts-Wrapped 6. Stemwalls, Garage; Steel-Blockouts-Wrapped 6a. Hold Downs and Special Anchors 7. Slab; Steel -Wrapped 8. Pie -Fireplace Ftg.-Steel W.V.; Fall -Fitting -Test -2 Way C/O -Sewer Test -aA►9asPipe; Size -Anchors ater Pipe; Test -Anchor -Regulator -Service Test -72-e4ectric; Underground ms & Ducts; Clearance -Material -Support -Ins. irders-Sills-Anchor Bolts -Joists -Vents -Cripples 15. Insulation Date _ j p ,si o Card B-1 Date Card B-1 Date /j -90 Card B- Date Card B-1 Date PLUMBING Permit OK except #'s ater Htr.; Vent -Access -Combustion Air -Baffle ater Pipe; Test & Anchor -Nail Protection . D.W.V.; Test -Fittings & Anchor -Nail Protection 1,9 S tower Pan; Test, First Floor -Tub Access 2e. -Test Tub & Shower, Second Floor -Tub Access 2 -15as Pipe; Size & Anchors Date 11.C6 Card B. � Date Card B-1 Date Card B-1 Date Card B-1 Date ELECTRICAL (Permit) OK except #'s xture & Transformer Clearance -Ins. Protection . Elec. Receptacles Spacing -Lights & Switches at Doors ize Boxes & No. of Conductors -Stapled a5elhomex Installed Close to Edge of Studs & C.J. 2@ -Equip. Ground made up w/Mech. Fastners-Bond Gas & Water 23..2-otppliance Circuts in Kitchen & Conductor Size/GFI Subfeed Wire Size /$/ ga. Cu o .C. Wire Size h0' ga. Ei or At P@r-Raftge Circ. / / ga. Cu or AI -Oven Circ. / / ga. Cu or Al. Insulated Neutral 0 Yes No 39!-9ETJice-Riser Conductors & Ground -Main Disconnect uip. Clearances Panels-Motors-Mech. Equip. 3 lothes Closet Light -Shower Light -Spa Light ef Smoke Detector Date 1a-1-9jp Card B-1 GG Date Card B-1 Date Card B-1 Date Card B-1 Date MECHANICAL Permit OK except #'s V.-A.C. Ducts Insulation & Support 3'!r e1r t Fan; Exhaust above insulation 3 . Condensate Drain & Overflow; Size & Grade 3 . F rnance-Vent; Access -Comb. Air -Return Air Vent -115 outlet 3 . Attic Access & Platform if Furnance in Attic Date Np-k-C ,5 Card B-1 CSG Date Card B-1 Date Card B-1 Date Card B-1 Date FRAMING (Plans) OK except #'s 3 . Sils, Proper Material & Anchors 4(f Walls Studs -Nailing, Spacing & Bracing -Plates -Sound 41. Bearing Walls over Girders & Floor Nailing 4 . Draft Stop in Walls (rat proof) 4 . Fire Stops; Furred Ceilings -Stairs -Chases -Tub 41f Headers & Beam -Size & Bearing Date FRAMING (Continued) angers -Post Caps -Anchors -Connectors Ing. Joist-Rftr. ties-Purlin-roof Brac-Truss-Shthng.-Rfng. 4*- MIace Ties or Type A Flue -Fireplace Throat clearance 48/ilttic Access; Size & Romex Protection -Draft Stop -Ins. Baffles AW bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions 5p,arage Fire Protection Framing 5%,-froperty Line Firewall & Openings 52,,6 . Doors -One T -Check Garage -3rd Story, 2 Exits 5 irs; Width -Headroom -Rise -Run -Landing -Fire Protection 5 Wod on Roof Overhang -Attic Vents -Rafter Outriggers _ iding-Nailing Veneer 5 ..-3tt]oco Mesh -Drip Screed -Fd. Vents-Underflr. Access 54ellazing Area -Glass Protection -Skylights -Plastic. hear Walls; Nailing -Bolts Insu n -Wall eiJW 6 Inf,iltr ion -W -Wi dows Date f(),( A0 Card B-1 6G Date Card B-1 Date Ifla-0)l Card B-1 (-'TC, Date Card B-1 Date FIN Plans OK except #'s . E t. Steps -Door & Sidelight Protection -Landings Smoke Detector . Furnace; Vents -Clearance -Comb. Air -Connector - In Garage; Above Floor-Ducts-Mech. Protection edroom Exiting G.F.I. & Bath Fixtures & Tub Access -Spa 66!.:I1ec. Trim & Subpanel; Breaker Sizes & Labels Oe Stairs & Rails 68 --Fireplace or Stove; Clearances -Hearth 69:--E1ec. Outlets at Wood Panel; Int. & Ext. 7(1,144,Fixt. & Appliance; Grnd.-Air Gap -Cooking Clearance 71-,_l : Outlets & Receptacles at Kit. Counter -49'..- Garage Fire Door; Swing -Landing -Closer Duct in Garage -Damper V4tr. Htr.; Vents -Clearance -Comb. Air-Connector-P.R.V. In Garage; Above Floor-Mech. Protection 7 ., Elec. & Mech. Equip. Listed for Location Elec. Receptacles in Garage; (G.F.I.)-Romex Protection I ulation-Foam-Looked in Attic 0 Yes 78/Guard Rails & Deck Construction -Post Caps 7�9- n. Vents & Crawl Hole Door -Drainage & Wood -Earth earance Looked under Floor 0 Yes Following instld.; Drive 0 Yes 0 No; Walks 0 Yes 0 No; Planters 0 Yes 0 No 81' -Stucco; Brown -Finish C. Unit; Disconnect, Electrical, Plumbing 44'ents Above Roof; Plbg.-Appliance-Fireplace.-Clearance to Openings 84, -Water Well; Disconnect, Electrical, Plumbing 8 . Exterior Elec. Trim; G.F.I. Receptacle -Underground 8 . Ventilation Throughout House 8 lass Protection W Corrections from Previous Inspections Gas T -Meters Tagged; Gas -Electric ater & Sewer Connected -C/O to Grade -HD Approval Energy Compliance Certificate -Other Certificates Date H _ �ti- Card B-1 rT Date Card B-1 Date 11.- . q,�Card B-1 CG Date Card B-1 Date ,t Card B-1 Date Card B-1 Comments at Final: (NOTE: An entry must be made each time you visit job site) I u . .� 9� �� �� --- -. '/ - P72:JV rra,►w• 4 QC.4 � � COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT NO. 7 County Center Drive - Oroville, California 95965 - Telephone 916/534-4541 APPLICATION AND PERMIT ASSESSOR PARCEL NUMBER,I _ S Cli• ZONING BUILDING PERMIT OWNER TELEPHONE SQ. FT. OCC, BUILDING VALUATION OWNER'S MAILING, ADDRESS CONTRACTOR'S NAME r (_; ( ) \\ 1 c .0 .. TELEPHONE CONTRACTOR'S MAILING ADDRESS A Fireplace CONSTRUCTION LENDER i,i _R UNKNOWN Total Valuation $ FilingFee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee $ /,, ARCHITECT OR ENGINEER tV , .A— LICENSE NO. Plan Checking Fee $ 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 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 Building sewer 5.00 Mobile Home S I G W 10.00 ea TYPE OF WORK New ❑ Addition ❑ Remodel Q Utilities ❑ Installation❑ Other ❑ Describe work: h Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 ;.t ,J ..4 Main service 600V OR LESS 100 AMP OR LESS 10.00 Main service EA. ADR'L 100 AMP 2.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (Check One): F -1I am licensed under provisions of Chapt. 9, Div. 3 of the Busines 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. DWEL'L,+NG OCCUP.& ,iosgft / OR ADDNS. ACC. BLDGS. NEW CONSTR. MULTI -OUTLET 2,50 ea NON-RESID BRANCH CIRC ITS POWER APPARATUS e SINGLE OUTLET CIR. Ex. Occup(OUTLETS OR FIXTURES eAL@t AL00 3 K Ex. Occup. OUTLETS (RESID )EA./ 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 Permit Fee $ Contractor WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. JKI 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 FiIingFee 10.00 Heating Cooling Hood 3.00 Ventilation permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the Countyot Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue against said County.in consequencefof the granting of this permit. X�C/ ��,,� , —��..� Date Signature of Applicant — Owner© Contractor ❑ Agent ❑ An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ TOTAL PERMIT FEE $ occu P. CONS1.1YPEJ T7LOODIPARCELI P11 I ND I 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 A Date S'r r PERMIT EXPIRES Date Y - Receipt No. _CCa -2"� � WIIITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT COUNTY, OF BUTTE �� - • DEPARTMENT -OF PUBLIC WORKS 196 Memorial Way, Chico — Phone: 891-2751 7 County Center Drive, Oroville — Phone: 534-4541 Skyway and Elliott Road, Paradise — Phone: 872-2961, Ext. 57 CORRECTION NOTICE. , 0 i d "1-' 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 additional explanation, please con act this office immediately. _ D A V---4 AJ 9 i'IA-o Y r L,11 �='Ul - Inspector Date COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 - Telephone 916/534-4541 APPLICATION AND PERMIT PERMIT NO. ASSESSOR PARCEL NUMBER co ZONING BUILDING PERMIT OWNER ^'� t V 1 1 ' o"3 TELEPHONE V ,SQA FT. OCC. BUILDING VALUATION OWNER'S MArLING ADDRESS U-) CONTRAC Ovl w.5 TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ (000.00 Filing Fee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee $ � ARCHITECT O�R ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS Permit fee PLUMBING PERMIT FIIingFee 10.00 Each Trap 2.00 lir 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 Building sewer 5.00 Mobile Home I S W G 10.00ea TYPE OF WORK New ❑ Addition ❑ Remodel(k Utilities ❑ Installation❑1 Other ❑ Describe work:__ r� ji� j�nrJ bP ►rJcp CV t/ W4 mr^oyt,., Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 6OOV OR LESS Main service 100 AMP OR LESS 10.00 Main service EA 'L 100AMP 2.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): ❑NON.RESID I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in full force and effect. License No. Classification 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. D -L SLOGS. G OCCUP.� t NEW CNiOrSTIL ULTI.OUTLET .500 BRANCH CIRC ITS 2.50 ea POWER APPARATUS Q (SINGLE OUTLET CIR. I Ex. Occup(OUTLETS OR FIXTURES 20060Q DAL@ 30 FIXED Ex. OCCup. OUTLETS P(RESID )NSREA.I 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 Permit Fee $ , fp WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. ( I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. Contractor MECHANICAL PERMIT Filing Fee 10.00 Heating Cooling g Hood 3,00 Ventilation Permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indem ' y and keep harmless the County of Butte against al�ilities, Ii'udgm nts, sts, aexpenses which may in any way accrue agn co quenc of the granting of this permit. — Date Signature of Applicant — O ne Contractor ❑ Agent ❑ An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ TOTAL PERMIT FEE $ 37%p OCCUP, CONST.TYPC FLOOD PARCEL P11 ND s9UE 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.' LIC WORKS elf�j 1Y BY IRE/�/ ate � �' PERMIT EXPIRES Date Receipt No._C'01 WNITE-O.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR. GOLDENROD -APPLICANT NOTES RESIDENTIAL t PERMIT NO. '040-580:034 04=1.430 BLAKE. GREG s 1.765 ALMOND VIEW CT, DURHAM Col.l.t: BOWEN POOLS POOL 'N.TASTER 97-508 f t, SPECIAL CONDITIONS ' CHECKED Yi BY t. SRA FLOOD CERTIFICATE REQ. • � 73 FIRE SPRINKLERS REQ. SPECIAL INSPECTION ITEMS VERIFY ' < USE PERMIT CONDITIONS I SUB -STANDARD HOUSING LETTER a f C JOB FINALED Signature J=OK 0 = Not OK . = otReadyable 1. Zoning Requirements -Setbacks -Easements ' MOBILE HOMES Date i MOBILE HOME UTILITIES (Plans) OK except #'s Decks, Girders and/or Joists -Decking -Bracing -Stairs -Rails 1. Zoning Requirements -Setbacks -Easements 5. 2. Soils; Special MH Support Sketch Carports; Windows -Doors 3. Sewer; Location -Test -Fall -C/0 -Concrete 8. 4. Water; Location -Test -Easement Needed (Sketch) Siding; Nailing -Veneer -Stucco -Mesh 5. Electricity; Location-Clearances-Grnd-/ /Amp -Concrete 11. 6. Gas; Location -Test -Wrap;-/ /" L 'ft. / P Nat. or/ /" L "ft./ P LPG Braced Wall Panels 7. Well Clearance & Disconnect 8. Utility Clearance Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date MOBILE HOME INSTALLATION (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Footings; Size -Spacing -Marriage Line 3. Gas; MH Test -Demand -Valve -Connector 4. Electricity; MH Test -Crossovers -Breakers -Clearances 5. Drain; MH Test -Fall -Flex Connector - 6. Water; MH Test -Regulator -Connector 7. Water and Sewer Connected -C/O to Grade -HD Approval 8. Gas and Electricity Tagged 9. Tie Downs -Type -Installation Cert. 10. Exits; Insp.-Sketch 11. Cert. of Occupancy Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date PERMANENT END SYSTEM (ONLY) 1. Zoning Requirements -Setbacks -Easements 2. Footings; Size -Spacing -Marriage Line 3. Blocking 4. Gas; MH Test -Demand -Valve 5. Electricity; MH Test 6. Water; MH Test 7. Water and Sewer Connected 8. Gas and Electricity Tagged 9. Exits 10. License Decals 11. Verify #'s with Office Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 I MISCELLANEOUS Date DECKS, COVERS, CARPORTS, GARAGES (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Footings; Soils -Size -Depth -Spacing -Connectors -Steel 3. Decks, Girders and/or Joists -Decking -Bracing -Stairs -Rails 4. Wood Awn.; Posts- Beams-Rftrs-Connectors Shthg-Frg-Bracing 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Carports; Windows -Doors 7. Electric 8. Frmg.; Sills-Anchors-Studs-Rftrs-Trusses 9. Siding; Nailing -Veneer -Stucco -Mesh 10. Roof; Shthg-Roofing 11. Ext.; Steps -Doors -Landings 12. Braced Wall Panels Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date POO P s) OK except #'s 4-.,'SptlSacasements S ; Compaction -Structure Stability a -fool Stcture; Steel -Connections -Thickness Dto"e_nkKing le a acles and Lighting, Distance-GFI le o fighting; 15 Volts-GFI le nclosures; Conduit Entries -Terminals -Listed 7 c.; Bonding; Metal w/5' -Circulating Equip. -Heater Elec.; Grounding; Equip. w/5' Circulating Equip. -Pool Lghtg. Boxes-Enclosures-Panelboards-Ins. to Main Conduit q\1.1J J=OK 0 = Not OK = Not Applicable . = Not Ready RESIDENTIAL (Single & Duplex) Date UNDERFLOOR (Plans) OK except #'s 1. Zoning -Setbacks -Easements -Flood -Slope 2. Ftg., Main; Soils-Elec. Grnd.-/ /" Ftg. Depth 3. Ftg., Garage; Soils-Steel-Elec. Grnd.-/ /" Ftg. Depth 4. Ftg., Porches & Decks; Soils -Steel-/ /" Ftg. Depth 5. Stemwalls, Main; Steel-Blockouts-Wrapped 6. Stemwalls, Garage; Steel-Blockouts-Wrapped 6a. Hold Downs and Special Anchors 7. Slab, Steel -Wrapped 8. Piers -Fireplace Ftg.-Steel 9. D.W.V.; Fall -Fitting -Test -2 Way C/O -Sewer Test 10. UF, Gas Pipe; Size Anchors -Yard Gas Piping; Size Test 11. Water Pipe; Test -Anchors -Regulator -Service Test 12. Electric Underground 13. Plenums & Ducts; Clearance -Material -Support -Ins. 14. Girders -Sills -Anchor Bolts-Joists-Vents-Crippies 15. Access & Ventilation 16. Insulation Date Card B-1 Date Card B-1 Date FRAMING (Continued) Card B-1 Date Card B-1 Date PLUMBING (Permit) OK except #'s 17. Water Htr.; Vent -Access -Combustion Air Baffle 18. Water Pipe; Test & Anchor -Nail Protection 19. D.W.V.; Test Fittings & Anchor -Nail Protection 20. Shower Pan; Test, First Floor -Tub Access 21. Test Tub & Shower, Second Floor -Tub Access 22. Gas Pipe; Sixe & Anchors 23. Fire Sprinkler; Test 55. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection Date 56. Card B-1 Date Card B-1 Date 57. Card B-1 Date Card B-1 Date ELECTRICAL (Permit) OK except #'s Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access 24. Fixture & Transformer Clearance -Ins. Protection Glazing Area -Glass Protection -Skylights -Plastic 25. Elec. Receptacles Spacing -Lights & Switches at Doors Shear Walls; Nailing -Bolts 26. Size Boxes & No. of Conductors Stapled Brace Interior/Exterior Wall Panels 27. Romex Installed Close to Edge of Studs & C.J. Insulation -Walls -Ceilings 28. Equip. Ground made up w/Mech Fasteners -Bond Gas & Water 63. 29. 2 Appliance Circuits in Kitchen & Conductor Size GFI 30. Subfeed Wire Size/ /ga. Cu or AI-A.C. Wire Size/ /ga Cu or Al 31. Range Circle/ /ga Cu or AI -Oven Circ. / /ga Cu or Al Insulated Neutral 0 Yes O No FINAL (Plans) OK except #'s 32. Service -Riser Conductors & Ground Main Disconnect Ext. Steps -Door & Sidelight Protection -Landings 33. Equip. Clearances Panels-Motors-Mech. Equip. Smoke Detector 34. Clothes Closet Light -Shower Light -Spa Light Furnace Vents -clearance -Comb, Air -Connector - In Garage; Above Floor-Ducts-Mech. Protection 35. Smoke Detector Bedroom Exiting 68. Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date MECHANICAL (Permit) OK except #'s 71. 36. A.C. Ducts Insulation & Support 72. 37. Vent Fan, Exhaust above insulation 73. 38. Condensate Drain & Overflow, Size & Grade 74. 39. Furnace -Vent Access -Comb. Ait-Return Air Vent 115 Outlet 75. 40. Attic Access & Platform if Furnace in Attic Date A.C. Duct in Garage -Damper Card B-1 Date Card B-1 Date Wtr. Htr.; Vents -Clearance -Comb. Air Connector-P.R.V. in Garage; Above Floor-Mech. Protection Card B-1 Date Card B-1 Date FRAMING (Permit) OK except #'s 41. Sills Proper Materials & Anchors 42. Walls Studs -Nailing Spacing & Braces -Plates -Sound 43. Bearing Walls over Girders & Floor Nailing 44. Draft Stop in Walls (rat proof) 45. Fire Stops, Furred Ceilings -Stairs -Chasers -Tubs _ 46. Headers & Beams -Size & Bearing Date FRAMING (Continued) 47. Hangers -Post Caps -Anchors -Connectors 48. Cling. Joist-Rftr. Ties-Purlin-Roll Brac.-Truss-Shting.-Rtng. 49. Fireplace Ties or Type A Flue -Fireplace Throat Clearance 50. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 51. Bdrm. Windows or Exiting Doors -Sill Ht. & Dimensions 52. Garage Fire Protection Framing -RC Channel 53. Property Line Firewall & Openings 54. Ext. Doors -One 3' -Check Garage 3rd Story, 2 Exits 55. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 56. Plywood on Roof Overhang -Attic Vents -Rafter Outriggers 57. Siding -Nailing Veneer 58. Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access 59. Glazing Area -Glass Protection -Skylights -Plastic 60. Shear Walls; Nailing -Bolts 61. Brace Interior/Exterior Wall Panels 62. Insulation -Walls -Ceilings 63. Infiltration -Walls -Windows Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date FINAL (Plans) OK except #'s 64. Ext. Steps -Door & Sidelight Protection -Landings 65. Smoke Detector 66. Furnace Vents -clearance -Comb, Air -Connector - In Garage; Above Floor-Ducts-Mech. Protection 67. Bedroom Exiting 68. G.F.I. & Bath Fixtures & Tub Access -Spa 69. Elec. Trim & Subpanel, Breaker Sizes & Labels 70. Stairs & Rails 71. Fireplace or Stove, Clearance -Hearth 72. Elec. Outlets at Wood Panel, Int. & Ext. 73. Kit. Fixt. & Appliance; Ground -Air -Gap -Cooking Clearance 74. Elec. Outlets & Receptacles at Kit. Counter 75. Garage Fire Door; Swing -Landing -Closure 76. A.C. Duct in Garage -Damper 77. Wtr. Htr.; Vents -Clearance -Comb. Air Connector-P.R.V. in Garage; Above Floor-Mech. Protection 78. Plb.; Elec. & Mech. Equip. Listed for Location 79. Elec. Receptacles in Garage (F.F.I.)-Romex Protection 80. Insulation -Foam -Looked in Attic 81. Guard Rails & Deck Construction -Post Caps 82. Fdn. VBents & Crawl Hole Door Drainage & Wood -Earth Clearance Looked under Floor Cl Yes _ 83. Following Instld./Drive 0 Yes 0 No/Walks 0 Yes 0 No/Planters 0 Yes 0 No 84. Stucco Brown -Finish 85. A.C. Unit Disconnect, Electrical -Plumbing 86. Vents Above Roof, Pibg-Appliance-Fireplace-Clearance to Openings 87. Water Well, Disconnect, Electrical, Plumbing 88. Exterior Elec. Trim, G.F.I. Receptacle -Underground 89. Ventilation Throughout House 90. Glass Protection 91. Corrections from Previous Inspections 92. Gas Test -Meters Tagged, Gas -Electric 93. Water & Sewer Connected -C/O to Grade -HD Approval 94. Energy Compliance Certificate -Other Certificates 95. Address Posted 96. Fire Sprinkler Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Comments at Final: BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT 24 HOUR INSPECTION #: (530) 538-7636 (OROVILLE) (530) 891-2834 (CHICO) OFFICE #: (530) 538-7541 FAX#: (530)538-2140 WEBSITE: www.buttecounty.net\dds PERMIT NO. BP041430 LICENSED CONTRACTORS DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of Issued Date: 06/02/2004 APN- 040-580-034-000 ' the Business and Professions Code, and my license is in full force and effect. License Class C 5 License Number: 7 Zlp V : _-:I- Site Address: 1765 ALMOND VIEW CT DUR Date: ")-- '/S" O% Contractor. Map Index: Description: POOL MASTER 97-508 OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors' State License Law for the following reason (Sec. 7031.5 Business and Professions Code: Any city or county which requires a permit to construct, alter, improve. demolish, or repair any structure, prior Owner: BLAKE GREGORY & STACEY to its issuance, also requires the applicant for such_ permit to file a 1765 ALMOND VIEW CT signed statement that he or she is licensed pursuant to the provisions of .the Contractor's State License Law (Chapter 9 commencing with Section DURHAM, CA 7000) of Division 3 of the Business and Professions Code) or that he or 95938-9636. she is exempt therefrom and the basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars ($500).): ❑ I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale (Sec. 7044, Business and Professions Code: The Contractors' State License Law does not apply to an Applicant: BLAKE GREGORY &STACEY pp owner of property who builds or improves thereon, and who does such work himself or herself or through his or her own employees, provided that such improvements are not intended or offered for sale. If however, the building or improvements are sold within one year of completion, the owner -builder will have the burden of proving that he or she did not build or improve for the purpose of sale.). ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec. 7044, Business and Professions Code. The Contractors' State License Law does not apply to an owner of property who builds or improves thereon, Contractor: BOWEN, ROBERT and who contracts for such projects with a contractor(s) licensed BOWEN POOLS pursuant to the Contractors' State License Law.). 905 FILBERT AVE ❑ 1 am Exempt under Article 3 of the Business and Professions Code CHICO, CA 95926 530-345-2503 Date: Owner: License #: 357298 WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ I have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by Section 3700 of the Labor Code, for the performance of the work for which this permit Architect: is issued. I have and will maintain workers' compensation insurance, as u Engineer: required by Section 3700 the Labor Code, for the performance of the work for which this permit is issued. My workers' compensation insurance carrier and policy number are: TA- �Tr F 'J$,J ) Carrier: Total Square Ft: 0 S. F. (o 6, SO Z_d Policy #: ' a0 Valuation: $0.00 ❑ I certify that in the performance of the work for which this permit is Census Code: issued. I shall not employ any person in any manner so as to + become subject to the workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. / 0 Date: Is-- • ilD-7a �- Applicant: WARNING: Failure to secure workers' compensation coverage is ; unlawful, and shall subject an employer to criminal penalties and one hundred thousand dollars ($100,000), in addition to the cost of compensation, damages as provided for in Section 3706 of the Labor code, interest, and attorney's fees. CONSTRUCTION LENDING AGENCY This permit is hereby issued under the applicable provisions of the Bntte County Code and/or I hereby affirm that there is a construction lending agency for the Resoluti n 20 qiQ work indicated above for w ' h fees have been paid. performance of the work for which this permit is issued (Sec 3097 Civ.) r Name: BY Date: Address: PERMIT EXPIRES ON: (JS - ate ❑ 1 hereby certify that the use of this facility shall comply with Sections 25505, 25533, and 25534 of the California Health and Safety Code, which regulate the storage, handling and use of hazardous materials. ❑ Notification in accordance with Section 19827.5 of California Health & Safety Code•is not applicable to the scheduled construction of this project. ❑ Attached are copies of the required E.P.A. notification forms. I hereby certify that I have read this application, that the above information is correct, and that I am the owner or the duly authorized agent of the owner. I agree to comply with all county and state laws relating to building construction. I acknowledge it is unlawful to alter the substance of any official form or document of Butte County. I hereby authorize representatives of Butte County to enter upon the above mentioned property for inspection purposes KC �o L Print Name: B a^�� -J Signature: Date: 13 Owner contractor ❑ Agent for Owner ❑ Agent for Contractor .,:... _. .y'=•�1s.A7'�•-��-'• SKY`^w"'.".yl;,'''�"-'�!:. L`�r•'S'.:v�,.-:". ��.y.v-�.^+ai�rx'+"`"-i''K-�'4+r4.�r`►�1r`'+2� COUNTY OF BUTTE BUILDING DIVISION DEPARTMENT OF DEVELOPMENT SERVICES 411 Main Street - Chico, CA - (530) 891-2751 7 County Center Drive - Oroville, CA - (530) 538-7541 CORRECTION NOTICE yg 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 notice 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. �T .1�. G�lL�1LJ�►�i���� ILI BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT 24 HOUR INSPECTION #: (530) 538-7636 (OROVILLE) (530) 891-2834 (CHICO) OFFICE #: (530) 538-7541 FAM (530)538-2140 WEBSITE: www.buttecounty.netWds PERMIT NO. BP041430 LICENSED CONTRACTORS DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of Issued Date: 06/02/2004 APN: 040-580-034-000 the Business and Professions Code, and my license is in full force and effect. License Class -3 C- License Number: : Site Address: 1765 ALMOND VIEW CT DUR Date: Contractor: ��'��� c7� Map Index: Description: POOL MASTER 97-508 OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors' State License Law for the following reason (Sec. 7031.5 Business and Professions Code: Any city or county which requires a permit to construct, alter, improve, demolish, or repair any structure, prior Owner: BLAKE GREGORY & STACEY to its issuance, also requires the applicant for such permit to file a 1765 ALMOND VIEW CT signed statement that he or she is licensed pursuant to the provisions of the Contractor's Slate License Law (Chapter 9 commencing with Section DURHAM, CA 7000) of Division 3 of the Business and Professions Code) or that he or 95938-9636 she is exempt therefrom and the basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars ($500).): ❑ I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale (Sec. 7044, Business and Professions Code: The Contractors' State License Law does not apply to an Applicant: BLAKE GREGORY &STACEY owner of property who builds or improves thereon, and who does such work himself or herself or through his or her own employees, provided that such improvements are not intended or offered for sale. If however, the building or improvements are sold within one year of completion, the owner -builder will have the burden of proving that he or she did not build or improve for the purpose of sale.). ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec. 7044, Business and Professions Code. The Contractors' State License Law does not apply to an owner of property who builds or improves thereon, Contractor: BOWEN, ROBERT and who contracts for such projects with a contractor(s) licensed BOWEN POOLS pursuant to the Contractors' State License Law.). 905 FILBERT AVE ❑ I am Exempt under Article 3 of the Business and Professions Code CHICO, CA 95926 530-345-2503 Date: Owner: License #: 357298 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 Architect: is issued. I have and will maintain workers' compensation insurance, as Engineer: required by Section 3700 the Labor Code, for the performance of the work for which this permit is issued. My workers' compensation insurance carder and policy number are: ra,�- 77^ FJ,-J�o Cartier: of / Total Square Ft: 0 S. F. L� c^ I �� �J �dl�� Policy #:_ / Valuation: $0.00 ❑ 1 certify that in the performance of the work for wh'ch this permit is Census Code: issued, I shall not employ any person in any manner so as to become subject to the workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. o,5--77/1 S' / Date: /; 4Qc�/� , - Applicant: WARNING: Failure to secure workers' compensation coverage is unlawful, and shall subject an employer to criminal penalties and one hundred thousand dollars ($100,000), in addition to the cost of compensation, damages as provided for in Section 3706 of the Labor code, interest, and attorney's fees. - CONSTRUCTION LENDING AGENCY This permit is hereby issued under the applicable provisions of the Butte County Coda enrVer I hereby affirm that there is a construction lending agency for the Resoluti n 4o qQ work indicated above f w ' h fees have been paid. performance of the work for which this permit is issued (Sec 3097 Civ.) Name: By Date: PERMIT EXPIRES ON: ate Address: ❑ I hereby certify that the use of this facility shall comply with Sections 25505, 25533, and 25534 of the California Health and Safety Code, which regulate the storage, handling and use of hazardous materials. ❑ Notification in accordance with Section 19827.5 of California Health & Safety Code is not applicable to the scheduled construction of this project. ❑ Attached are copies of the required E.P.A. notification forms. I hereby certify that I have read this application, that the above information is correct, and that I am the owner or the duly authorized agent of the owner. I agree to comply with all county and state laws relating to building construction. I acknowledge it is unlawful to alter the substance of any official form or document of Butte County. I hereby authorize representatives of Butte County to enter upon the above menticned property for inspection purpos L�,J Print Name: B i^�- tea✓o � Signature: Date: V J ❑ Owner contractor ❑ Agent for Owner 0 Agent for Contractor ri BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT APPLICATION AND SUBMITTAL REQUIREMENTS 24 HOUR INSPECTION#: OROVILLE: (530) 538-7636 • CHICO: (530) 891-2834 OFFICE #: (530) 538-7541 A FEE WILL BE REQUIRED AT TIME OF APPLICATION OWNER Name 12£ c LA /cam Address City State—,- I, Zig'/?,3 e Phone _ 7 c� S,;? Fax E-mail CONTRACTOR Name Name Address City / G Zip State Zip 7Z6 Phone 3� _ ZS p3 Zip Fax E-mail Fax Lic. #3� 729 CssS 3 APPLICANT NAME ARCHITECT/ENGINEER Name City Address Zip City Fax State Zip Phone Type Const. Fax E-mail Map Book State License Number APPLICANT NAME Name Address City State. Zip Phone Fax E-mail 4v APPLICANT SIGNATURE w For office use only: Zoning I A—JC) Flood Zone I AE I SRA I Yes No Occ. Type Const. Subdivision Name Map Book Page Lot # Planner _Dateprove�� OVER FOR SUBMITTAL REQUIREMENTS Fi Q PERMIT NO. 0 ('t'E�' BP BIN # LOCATION / AN v L/d s _ 02 `�' Property Address 176--" ,41—M64iz (//FGJ C Cross Street DUk,7%4/vi 9EF 1-07 7- WORKER'S C MPENSATION Policy Number 16 (,/,T17s6 _ 20 o 3 Carrier i4-rF,= If hiring anyone other than license contractors, a certificate of worker's compensation must be shown at the time of permit issuance. LENDING AGENCY Name �/z Address K:\FORMS\BUILDING FORMS\BldgApplSubRgmts.doc Page 1 of 2 Description or Scope of Work: Sq. Footage ❑ Structure Built without Permits ❑ Proposed Change of Occupancy (Note previous use): EXPIRATION OF APPLICATION Applications for which a permit has not been issued will expire one year after the date of application. In order to renew action on an application after expiration, a new application, plans and fee will be REQUEST FOR REFUNDS Refunds can only be made upon written request by the person who paid the fee. The request must be made prior to the expiration of the permit and no construction work has been done. Filing fees, plan check fees for work plan checked and other department costs are not refundable. Received by: f `" Amount: 4 4-47• 4-2-- Bldg SRA Receipt #: 4d571 I Sheriff SMTP Date: Other 5�Iq�o¢ 47.42 Total REV 4-30-04 SUBMITTAL REQUIREMENTS The following drawings and specifications must be submitted to the Building Division in order to apply fora permit. INCOMPLETE SUBMITTALS WILL NOT BE ACCEPTED. ALL PLANS MUST BE LEGIBLE AND IN INK. Residential, New, Remodels, Additions, and Accessory Structures: ❑ 1. 3 Site Plans, signed by the preparer. NO GRAPH PAPER! ❑ 2. 3 Complete sets of plans, signed by the preparer. NO GRAPH PAPER! ❑ 3. 3 Engineered plans (if required) with wet signature on plans AND 2 sets of stamped and signed calculations. ❑ 4. 2 Engineered truss details and layouts (if required) (NO FAXES!). ❑ 5. Letter from Engineer or Architect for truss design review. ❑ 6. 2 Energy compliance design and supporting documentation: (Note: Not required for additions to mobile or modular homes.) ❑ 7. 2 Flood Elevation Certificate, wet -stamped and signed (if required). ❑ 8. Detached Accessory Building Form, filled out by the property owner (if required). ❑ 9. Sanitation and site plan approval from the Environmental Health Department. ❑ 10. Metal Buildings: (A) Metal Bldg Plans, (B) Fnd plans and calcs in triplicate, (C) Elevations in triplicate, (D) Floor plans in triplicate, All of these must be stamped and wet-sigirgr ed by the engineer. Mobile, Manufactured, or Modular Homes: ❑ 1. 3 Site Plans, signed by the preparer. NO GRAPH PAPER! ❑ 2. 2 Data sheets and installation instruction manual. ❑ 3. 2 Marriage line information. ❑ 4. 2 Floor plans. ❑ T5. -'2 Engineered Tie -Downs or Foundation plans. ❑ 6. Sanitation and site plan approval from the Environmental Health Department. ❑ 7. ` 2 Flood Elevation Certificate, wet -stamped and signed (if required). Commercial, New, Additions and Remodels: ❑ 1. 4 Site Plans, signed by the preparer. NO GRAPHPAPER! ❑ 2. 4 Engineered plans with wet signature on plans AND 2 sets of stamped and signed calculations, with code analysis. ❑ 3. 2 Engineered truss details and layouts (if required) (NO FAXES!). ❑ 4. Letter from Engineer or Architect for truss design review. o 5. 2 Energy compliance design and supporting documentation (if required). ❑ 6. 2 Flood Elevation Certificate, wet -stamped and signed (if required). ❑ 7. Statement of Intent for Non -heated and A/C (if required). ❑ 8. Metal Buildings: (A) Metal Bldg Plans, (B) Fnd plans and calcs in triplicate, (C) Elevations in triplicate, (D) Floor plans in triplicate, All of these must be stamped and wet -signed by the engineer. ❑ 9. Letter of intent. ❑ 10. Hazardous Material Form. ❑ 11. Sanitation and site plan approval from the Environmental Health Department. , If you have questions or would like additional information regarding this process, contact a Permit Application Assistant at (530) 538-7541. OVER FOR BUILDING PERMIT APPLICATION KAFORMS\BUILDING F0RMS\B1dgApp1SubRgmts.doc Page 2 of 2 REV 4-30-04 COUNTY OF BUTTE -DEPARTMENT OFrDEVELOPMENT SERVICES -BUILDING DIVISION 7 County Center Drive, Oroville, CA 95965 Phone (530)538-7541 Fax (530)538-2140 PERMIT APPLICATION DATA SHEET cwE,.1 t 44 580. 03 4 OWNER: ASSESSOR PARCEL NUMBER gem, t ' b 4 - Proposed Building Use: ounterecncan: ate: Items required in order to apply for a permit. All boxes MUST be checked OR marked NA in order to apply. 1. Site plan, or 4 sets, signed by the preparer of the plans. . O 2. Complete p ans, 3 or 4 sets, signed by the preparer of.the plans. ❑ 3. Engineered plans, 3 or 4 sets, with wet signature on plans AND 2 sets of stamped and.signed calculations. ❑ 4. Engineered truss details and layouts in duplicate. No faxes! ❑ 5. Letter from Engineer or Architect for truss design review. ❑ 6. Energy compliance design and supporting documentation in duplicate. ❑ 7. Statement of Intent for Non -heated and A/C for Non -Residential Buildings. ❑ 8. Manufactured homes: (A) Data sheets and installation inst, (B) Marriage line info, (C) Floor Plan, (D) Tie down or fnd plans, all in duplicate. ❑ 9. Metal bldgs: (A) Metal Bldg Plans, (B) Fnd plans and calcs in triplicate, (C) Elevations in triplicate. (D) Floor plans in triplicate. All of these must be stamped and wet -signed by the engineer. ❑ 10. Flood Elevation Certificate, wet -stamped and signed, in duplicate ❑ 11. Site plan and business license approval from the City of Biggs ❑ 12. Letter of intent for non-residential buildings ❑ 13. Detached Accessory Building Form filled out by the owner ❑ 14. Hazardous Material Form • 6 15. Sanitation and site plan approval from the Environmental Health Department in 2,Chico ❑ Oroville, as applicable. ❑ 16. Other ' Remaining items needed to issue the permit. (May require additional plan review upon receipt of the following items.) ❑ 17. Fire Sprinklers............................................................................................ ❑ 18. Agricultural Buffer clr and site plan apr from the Ag Commissioner Sent by ❑ 19. Soils Report and/or Engineered Foundation required ........................................... ........ ❑ 20. Erosion Control Plan Required ................................. '....................................... ........ ❑ 21. Fees as shown on the attached Schedule of Fees Due Sheet .............................. ❑ 22. City of Chico Plumbing permit........................................................................ ❑ 23. California Department of Forest plan approval ❑ paid. Sent by: ............. ❑ 24. Planning approval (A) UsdQt� (B)Parking: (C) Parcel Check: ❑ 25. Contact Land Development about _ Improvements, _ Drainage ......................... ❑ 26. NPDES Form..........................................................."""........11...11............. ❑ 27. Encroachment Permit for,driveway from the Public Works Dept ........................... ❑ .28. Pre -Inspection for required....... ❑ 29. Contractor's license information. (Number, Name Style, Classification) ................... ❑ 30. Worker's Compensation Carrier and Policy Number .......................................... ❑ 31. Owner -Builder Verification (_ Given to owner, _Mailed to owner) ..................... ' ❑ 32. Letter of Signature authorization......................................:............................. ❑ 33. Recorded copy of Agricultural Acknowledgment Statement...' ............................. ❑ 34. Manufactured home utility clearance............................................................... ❑ 35. Existing violations and/or expired permits. .................:...................................... ❑ 36. Deed Restriction......................................................................................... ❑ 37. ❑ Grant Deed, ❑ M.H. Title/Statement of Facts, ❑ Letter from Legal Owner, ❑ Check to H.C.D. $ ❑ 38. ,Other: ❑ 39. Other: When issued Telephone 3 4-5 • Vt 503 . and hold for pickup. I have been informed of the above items and requirements for obtaining a building permit. Applicant: / �&,, -�- ft, �5r`z Date: 1-1 1. Index permit application for the above items numbered: Plan Check Letter 2. Additional items required Contractor, designer, owner, was advised of the above data by ❑ phone, ❑ mail, ❑ counter, by Date: Contractor, designer, owner, was advised of the above data by ❑ phone, ❑ mail, ❑ counter, by ate: Plans reviewed by: : 3 Date: Plans approved by: Date Structural reviewed by: Date: Structural approved by: Date: Note transfer by: Date: Yellow: Building Division E.H. USE ONLY Rat Flan AttacMdLlk"-- Floor Flan Attackad Alb Sam to B.D. TO: Building Department FROM: Environmental Health SUBJECT: Sanitation Clearance 1262 Owner Owner Location AP# Plan Approved for: Sewage Disposal ✓ Nater Supply: Public Private Well — Clearance for dwelling. Other Hold final for: Final clearance O.K. for: NOTE: Environmental Health Specialist Date 8/96 File No. BUTTE COUNTY (For Action 1, 2, 3) Public Works Dept. (For Information ✓) Director Dep. Dir, Sec. Rd. & Br. Mtce. Shop & Yards Bldg. Insp. Admin. D&C / Traffic Const. Rd. Des. Br. Des. Sur. & Loc. Transp. R/W Mapping Land Dev. Ref. Disp. Drng. / S. 1. Sub. & Pcl. Maps Permits Carl Morton, Treasurer -Tax Collector ATTN: Dick Everett Department of Public Works "Payment Stopped" Check for June Hancock ($50.00) April 17, 1979 With reference to the above subject and your credit deposit #09018 dated 4/13/79 (copy attached), we received a call from Tri -Counties Bank in Durham on April 16, 1979, stating they had stopped payment on the wrong check and to re -deposit this check in the amount of $50.00 for June Hancock. Would you please handle accordingly. Clay Castleberry Director of Public Works J.F. Glander JFG:dd Chief Building Inspector Attachment (,/V 0 3 ......... -. 4 067 0, AUDITOR'S CERTIFICATE AND TREASURER'S RECEIPT r/ Treasurer OROVILLE, CALIF. t N9 09018 04-13-79 19 / DESCRIPTION/PURPOSE FUND TITLE FUND CODE SUB -FUND CODE- REVENUE CODE AMOUNT To Cr dit the Treasurer & charge the PINK, MIRE. l GOLDENROD, FIiE positor with checks not honored by AIJ4tTOWdR DEPUTY the banks r Public Works,Dep85449Ck305�'June Hancock' Bldg & Subdv F-140 .2106 (50000). Pill NOTE: THIS IS A CREDIT DEPOSIT111 AA C ff Vy- V 4a�- r- qv J _5_22, - JUNE M. HANCOCK 135 3 0 53 4-7 APRIL L. HANCOCK P.O. BOX 222 895-3471 DURHAM, CALIF. 959:,8 ; 0 b= ,..49-1?1s1 90-3504 I 0 Q e °• �•J - p• y� V O •► o[rouc�Iv (f) TR OUNTIES BANK - DURHAM OFFICE o * ? _ THE MIDWAY DURHAM, CA. 95938 i3 8 "YOB'. IMAP ` ®1: 12 11, 3 SO4 Si: 0 30 SIII 88111 20 • 11 ?11' II'000000 SOOO"I' f. COPY DISTRIBUTION— Approved b �• WHITE, TREASURER GREEN, AUDITOR AUDITOR -CONTROLLER • CANARY, DEPOWTOR PINK, MIRE. l GOLDENROD, FIiE By AIJ4tTOWdR DEPUTY Received by: TREASURER By TREASURER O(i DEPUTY 6 ✓ Note to the Depositor: The check is returned to you attached to a copy of the credit deposit. This action is taken under provisions of Government Code Secs, 253C3.3/•6 ..... For info on t`he accounting >✓rocedure,_you nay call ..Barbara= of the Auditor's office at �F I�"._ 40 TO AWDITOR, . from , Deputy Treasurer Date Z/ /X—= _ Please issue a credit deposit: To credit the Treasurer and c` -3rge the Depositor With checks not 1 1)onored...by the bank: �nositor Dep. C 7" Bv Fund P,ame Fund # Sub r' Rev. Code Amount i Pal: II iy 6'�IK� .� �i i� r� ✓ r' c 1 TN:r\'L. � �f� �1�;..t �' r:'� �K i 7-1 � _ l , A V j 1 vzsr -c "JUNE M. HANCOCK(� f --pZ/ APRIL L. HANCOCK ,�, Re 2/06 • P.O. BOX 222 895-3471 " . , DURHAMCALIF9598 1. Ala (bTR1-0VW®UNTIES BANK t - DURHAM OFFICE �* THE MIDWAY DURHAM, CA. 95938 as-�•Zc 12 113 50 4 5 1:0 30 5111 88--- 20 Ol: w[ e✓ $544 3053 `1-7 90-3504 ,fg. Zt? 1211 WNT STOPPED :r- v v 1'000000 5000.1' ! �� ALICIA EO LA a -� (�� �Y,� 870 LINDO LANE 343.8535 � r '' •� •�•• � ` -' � -' CHICO CA 95926- 9 7�6ks 11.35 r q- I-1210 PAY TO YEtOER �f= tae 1 /�'/ n / 77 n•4 BANKOFAMER kill NORTH VALLEY PLAZA BRANCH 801 EAST AVE:, CHICO, CA. 95926 i 0 1: 12 1000 3 581:0 1 i 3..10 ? 5 3 411' 60 1 ?op .1,00000 i 7 30 ?.11 C Gwna 1� Nrrw.n 85 (1 5 142 �1c:sa �0 2-eo�>`cai� �C00000soo� L Iif) r I< 7 i -fUrG,� i ,_•, r��.,.��l���OQjlslg� �Y� PERMIT N0. 4338-80B C/ PERMIT EXPIRES T OWNER June Hancock owner CONTR. 40-15-42 ASSESSOR PARCEL LOCATION E/S Lott Rd., app.700'N.of Oro • D rham Hwy, lot 88, Durham Temp. Power Pole i Called PG&E t Temp. Elec. Service Called PG&E Temp. Gas Service JCalled PG&E OB FINALED (Date) �— c� r Signatu V = OK 0 = Not OK - = Not Applicable RESIDENTIAL (Single and Duplex) = Not Ready � P Date UNDERFLOOR Plans OK except #'s Date FRAMING (Continued) 1. Zoning requirements -Setbacks -Easements 48. Property Line Firewall & Openings 2. 3. Ftg., Main; Soils-Steel-Elec. Grnd.- / . /" Ftg. Depth Ftg., Garage; Soils -Steel- / /" Ftg. Depth 49. 50. Ext. Doors -One 3' -Check Garage -3rd story, 2 exits Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 4. Ftg., Porches & Decks; Soils -Steel- / /" Ftg. Depth 51. Plywood on Roof Overhang -Attic Vents -Rafter Outriggers 5. Stemwalls, Main; Steel-Blockouts-Wrapped-Slab 52. Siding -Nailing -Veneer 6. Stemwalls, Garage; Steel-Blockouts-Wrapped-Slab 53. Stucco Mesh -Drip Screed-Fdn. Vents-Underflr. Access 7. Piers -Fireplace Ftg.-Steel 8. D.W.V.: Fall -Fittings -Test -2 way C/O -Sewer Test 54. 55. Glazing Area -Glass Protection -Skylights -Plastic Shear Walls; Nailing -Bolts 9. Gas Pipe; Size -Anchors 10. Water Pipe; Test -Anchors -Regulator -Service Test 11. Electric; Underground 12. Plenums & Ducts; Clearance -Material -Support -Ins. 13. 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 Card -BI Date Date Card -BI Date FINAL (Plans) OK except q's Card -BI Date Card -BI Date Date PLUMBING (Permit) OK except q's 56. Ext. Steps -Door & Sidelight Protection -Landings 57. 58. Smoke Detector Furnace; Vents -Clearance -Comb. Air -Connector - In Garage; Above Floor-Ducts-Mech. Protection 14. Water Ht.; Vent -Access -Combustion Air 15. Water Pipe; Test & Anchors -Nail Protection 16. D.W.V.; Test-Fttngs & Anchors -Nail Protection 59. Bedroom Exiting 17. Shower Pan; Test, First Floor -Tub Access 60. G.F.I. & Bath Fixtures & Tub Access 18. Test Tub & Shower, 2nd Floor -Tub Access 61. Elec. Trim & Subpanel; Breaker Sizes -Labels 19. Gas Pipe; Size & Anchors 62. Stairs & Rails 63. Fireplace or Stove; Clearances -Hearth 64. Elec. Outlets at Wood Panel; Int. & Ext. Card -BI Date Card -BI Date 65. Kit. Fixt. & Appliance; Grnd.-Air Gap -Cooking Clearance Card -BI Date Card -BI Date 66. 67. Elec. Outlets & Receptacles at Kit. Counter Garage Fire Door; Swing -Landing -Closer Date ELECTRICAL Permit OK except q's 68. A.C. Duct in Garage -Damper 20. Fixture &Transformer Clearance -Ins. Protection 69. Wtr. Htr.; Vents -Clearance -Comb. Air-Connector-P.R.V.- In Garage -,Above Floor-Mech. Protection 21. Elec. Receptacles Spacing -Lights &Switches at Doors 70. Plb., Elec. & Mech. Equip. Listed for Location 22. Size Boxes & No. of Conductors -Stapled 71. Elec. Receptacles in Garage; (G.F.I.)-Romex Protec. 23. Romex Installed Close to Edge of Studs & C.J. 72. Insulation -Foam -Looked in Attic ❑Yes 24. Equip. Ground made up w/Mech. Fasteners -Bond Gas & Water 73. Guard Rails & Deck Construction -Post Caps 25. 2 Appliance Circuits in Kitchen &Conductor Size 74. Fdn. Vents & Crawl Hole Door -Drainage & Wood -Earth Clearance Looked under Floor ❑ Yes 26. Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / / ga. Cu or Al 27. Range Circ. / / ga. Cu or AI -Oven Circ. / / ga. Cu or At, Insulated Neutral ❑Yes ❑No 75. Following instld.: Drive ❑ Yes ❑ No; Walks ❑ Yes ❑ No: Planters ❑Yes ❑No 28. Service -Riser Conductors & Ground -Main Disconnect 76. Stucco; Brown -Finish 29. Equip. Clearances; Panels-Motors-Mech. Equip. 77. A.C. Unit;.Disconnect-Clrnces-Brkr. & Cond. Size -115V Outlet 30. Clothes Closet Light -Shower Light 78. Vents Above Roof; Plbg.-Appliance-Firepl.-Clearance to Opngs. _-_ Card B -I _ __ ___ Date _ Card -BI Date 79. Water Well; Disconnect, Electrical, Plumbing 80. Exterior Elec. Trim; G.F.I. Receptacle -Underground 81. Ventilation throughout House Card B-1 Date Card -BI Date 82. Glass Protection Date MECHANICAL (Permit) OK except N's 83. 84. 85. _ Corrections from Previous Inspections Gas Test -Meters Tagged; Gas -Electric Water & Sewer Connected -C/O to Grade -HD Approval _ 31, 32. 33. A.C. Ducts: Insulation & Support Vent Fan; Exhaust above Insulation Condensate Drain & Overflow; Size & Grade 86. Energy Cofiipliance Certificate -Other Certificates -- Card -BI Card -BI 34, 35. Furnace -Vent: Access -Comb. Air -Return Air Vent -115V outlet Attic Access & Platform if Furnace in Attic --- --- -- -- - Date Card -BI Date Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Comments at Ficial: Date FRAMING(Plans) 36. 37. 38. 39. OK except N's Sills; Proper Material & Anchors _ Walls: Studs -Nailing, Spacing & Bracing -Plates -Sound Bearing Walls over Girders & Floor Nailing Draft Stop in Walls (rat proof) 40. Fire Stops: Furred Ceilings -Stairs -Chases -Tub 41. 42. 43. 44. Header & Beam -Size & Bearing Hangers -Post Caps -Anchors -Connectors __ Cing. Joist-Rftr. Ties-Purlin-Roof Brac.-Truss-Shihng.-Rfnq. Fireplace Ties or Type A Flue -Fireplace Throat 45. Attic Access: Size & Ro_mex Protection -Draft Stop -Ins. Baffles 46. Bdrm Windows or Exiting Doors -Sill Hgt. & Dimensions 47. Garage Fire Protection Framing (NOTE:Anentrymust be made each time youvisit jobsite) V �4 J = OK 0 = Not OK — = Not Applicable - Not Ready MOBILEHOMES MISCELLANEOUS Date MOBILEHOME UTILITIES (Plans) OK except N's Date DECKS, COVERS, CARPORTS, ETC. fP s) OK except q's 1. Zoning Requirements—Setbacks—Easements oning Requirements—Setbacks—Easements 2. Soils; Special MH Support—Sketch _ Ar-,P"otings ye—D&oh—Spa&Wg—Connectors 3. Sewer; Location—Test—Fall-C/0—Concrete _ 3�D ; Girders and/or Joists—Decking—Bracing—Stairs—Rails 4. Water; Location—Test—Easement Needed (Sketch) ams—Rftrs.—Con nec.—Shthg.—Rfg.—Bracing 5. Electricity; Location—Clearances—Grnd.-/ / Amp—Concrete 5. tions—splice—Decal—Enclosures 6. Gas; Location—Test—Wrap:/ /"L"ft./ /"Nat. or/ /"L"ft./ /"LPG oors 7. Utility Clearance _ 4"_E4er Card -BI Card -BI Date Card -BI Date Date Card -BI Date CA, cpodBI Dat 2. . Card -BI Date Dat Card -BI Date Date MOBILEHOME INSTALLATION (Plans) OK except N's 1. Zoning Requirements—Setbacks—Easements Date POOLS (PI ns) OK except ft'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/O 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 Lghig. Boxes—Enclosures—Panel boards—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 -I Date Card -BI Date Card -BI Date Card -BI Date Card B -I Date Card -BI Date Card -BI Date Card -BI Date COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS AV County Cenfer Drive - Oroville, California 95965 - Telephone 916/534-4541 APPLICATION AND PERMIT PERMIT NO .�y ASSESSO PARCEL NUMBER �- Z,ONI ' �j -- !,S;7 BUILDING MI 16,6a OWNER '/ E TELEPHO SO. FT. OCC. BUILD NG VALUATION �� 00 OW MAIL I ADDRESS r .. CONTRACTOR'S NAME CP L-+ TELEPHONE CONTRACTOR'S MAILING ADDRESS CONSTRUCTION LENDER 0 C'` UNKNOWN Fireplace Total Valuation $2. 00LENDER'S MAILING ADDRESS Permit Fee $ ;L ,lJc7 ARCHITECT OR ENGINEER �GI✓u LICENSE NO. Plan Checking Fee $ pc' 6 Penalty $ ARCHITECT OR ENGINEER'S MAILING ADDRESS — Permit fee $ C) BUILDING ADDRESS O C� PLUMBING PERMIT Filing Fee 3.00 Al Each Trap 2.00 Repair drainage or vent piping 2.00 Water piping LOT NO. SUBDIVISION NAME PARCEL MAP Each qas water heater or vent 2.00 Gas piping system 1 - 5 outlets USE OF STRUCTURE SAVO Duplex❑ Mobilehome❑ Other C_? SPECIFY Building sewer Lawn sprinkler system 2.00 TYPE OF WORK New [?r Addition ❑ Remodel ❑ Utilities ❑ Installation❑ Other ❑ Describe work: Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 3.00 Main service 100 AMP OROOV OR LESS5.00 Main service EA. ADD'L 100 AMP 2.50 NEW CONST DWELING OR ACDNS. ( ACCLBLOGS.CCUP.&) 20sgft - CONTRACTORS LICENSE LAW I declare under penalty of perjury (check One): F-1 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 License No. Classification Ed 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 CONSTR ULT' -OUTLET 2,50 ea NON -RE ID, BRANCH CIRC ITS NEW -CONSTR. POWER "APPARATUS & NON RESID. (SINGLE OUTLET CIR. Ex. Occup(OUTLETS OR FIXTURES 5O@� BA FIXED APP LNS, OR Ex. Occup. OUTLETS (RESID.I EA.) 1 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 6.25 Permit Fee $ Contractor WORKMEN'S COMPENSATION INSURANCE 1 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 tc 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 FiIIng Fee 3.00 Heating Cooling Hood 2.00 Ventilation permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the Countyot 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 st said County in conseq ace of the granting of this permit. v. aa4v4itI4This Date Sign ure of Applicant'— Owner Contractor ❑ Agent An HA permit is required for excavations over 5'0" deep and demolition or construct- io structures over 3 stories in height. Mobile Home Installation Fee $ Land Development Fee $ TOTAL PERMIT FEE $ 0c)Butte OCCUP. GROUP /,/,J /4— TYPE of CONST, V N PARCEL �/ PD ND ssuE permit is hereby issued under sions of the Butte County Code and/or work indicated above for which DIRECTO PUBLIC gy PE EXPIRES Date the applicable provi- resolutions to do ' fees have been paid. WORKS ry� Date ` Q Receipt No. '� WNITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT ...r�� •swMEt rxc: ' •;,t: r.. . ._ ... _ s .., .. _, _ .� .:,s .z .r .. :.. ^^x R, .rcw ,..yry ..• ..... spa,•• , . -•. v.r. ... ,t 040-580-034 00-0281 HICKS, STANLEY MOORE 1765 ALMOND VIEW CT., DURHAM CONTR: CRANE ROOFING RE ROOF fiQ5 J COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-7541 PERMIT O. (Rev. 12/96) APPLICATION AND PERMIT i ASSESSORPARCEL Ij�I� �y, �\ 3 �� ll/• v ' w ZG BUILDING PERMIT ✓ OWNER fist TELEPHONE SO. FT. OCC. BUILDING VALUATION oo OWNERS MAIUNG ADDRESS CONTRACTOR'S NAI�E-) . 1 (n n TELEPHONE CONTRACTORS MAILING ADDRESS CONSTRUCTION LENDER LENDER'S MAIUNG ADDRESS Fireplace Total Valuation $ .00 ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00 Permit Fee 3-7.') $ ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ SUILDINGADDRESS 7 ""1 nis r rn I ,1 � - Energy Plan Checking Fee $ $ PERMIT FEE $ r LOT NO. SUBDIVISION'S NAME PARCEL MAP i PLUMBING PERMIT Filing Fee 20.00 USEOFSTRUCTURE SF/k Duplex ❑ Mobilehome ❑ Other I SPECIFY f Each Trap 7.00 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: Q.(MJP� U I Q is J Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home I S I G I W @20.00 PERMIT FEE $ ELECTRICAL PERMIT Fling Fee 20.00 600VR LESS Main Service 20.AORLESS 23.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect. i License Class Lic. No. Ci-,� t!6 -& I 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 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. 0-1 have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier j,Yj f/ -.,-,, I/#- ,. Main Service 200A TO IcooA 46.00NEW CONST. DWELLING OCCUR OR ADONS. ( & ACC. BLD S. s0 3.50FT. MU LTI-OUTIET NON•EW gESID. T. 97.50 POWER APPARATUS 8 SINGLE OUTLET CIR. Ex. Occup. p�JTlJ7 GR PIXET ESEFilring Ex. Occup. OPIx�ED s R p OEp Temporary Service Mobile Home Facilities Misc. Wiring PERMIT FEE MECHANICAL PERMIT 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE S Policy Number r (The above sections nee not be co(hpleted 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'HAZ. compensation laws of California, and agree that f I should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall forthwith comply with those provisions. /� X �!t,( ( Date /1 �/) C Signature of Applicant - ❑ Owner ❑ Contractor IM Agent An OSHA permit is required for excavations over 5'0" deep and demolition or construction/! of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ OCC CONST. TYPE TOTAL FEE $ p. PEES IMP ✓ FLOOD CDP PARCEL r PD HD ISSUE This permit is hereby issued under of the Butte County Code and/or indicate above for which fees have O• I By J W, n PERMIT EXPIRES ON r"�' lU the applicable provisions Resolutions to d work been paid. , Date �yC) )w /d V Deto Receipt No. WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT ;COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-7541 P IT NO. (Rev. 12/96) APPLICATION AND PERMIT C ASSESSORPARC0.M -51;0- 03 (� T zG� I BUILDING PERMIT OWNER TELEPHONE SO. Fr, OCC. BUILDING VALUATION .OWNERS MAID ADDR CONTRACTOR 'S NA. TELEPHONE CONTRACTORS MAILING ADDRESS CONSTRUCTION LENDER LENDER'S MAILING ADDRESS - Fireplace Total Valuation $ ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $' 20.00 Permit Fee 0 $ ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ BUILDING ADDRESS Is Energy Plan Checking Fee $ $ PERMIT FEE $ LOT NO. SUBDNIS IONS NAME PARCEL MAP PLUMBING PERMIT Fling Fee 20.00 USEOFSTRUCTURE SFX Duplex ❑ Mobilehome ❑ Other SPECIFY Each Trap 7.00 Solar or heat pump water heater 23.00 Water piping 15.00 Each as water heater or vent 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑ Describe Work:9=nA_C - Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home I S I G I W 920.00 PERMIT FEE S ELECTRICAL PERMIT Fling Fee 20.00 800OR LES Main Service 200A OR LESS 23.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code,NOµIi61oT' and my license IS ' full force and effect.POWER License Class Lic. No. Jn/Qp'�' // 4J 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 200A TO 1000A 46.00 NEW CONST. DWELLING OCCUP. OR ADDNS. ( s ACC. BLOCS. SO 3.5QFT: MULTI -OUTLET @7,50 APPARATUS a SINGLE OUTLET aR. EX. Occup. OUTLET OR FIXTURES .00 BAL O 1. 0 Ex. Occup. ouTEiFis AEEsID.GFR.n 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE S 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 gelormance 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' t�om ensation insurance carrier and policy number are: Carrier V 1/�0,y� Policy Number r- 9 � (The above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) ❑ 1 certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall forthwith comply with those provisions. X Date Signature of Applicant - ❑ Owner ❑ Contractor &-Agent An OSHA permit is required for excavations over 60" deep and demolition or construction of structures over 3 stories in height. MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE $ Mobile Home Installation Fee $ Energy Inspection Fee $ 0 Occ CONST. TYPE TOTAL FEE $ HAz. D FEES MP MOODOF c PARCEL PD HD IssuE This permit is hereby issued under of the Butte County Code and/or indicate bove for which fees have By PERMIT EXPIRES ON the applicable provisions Resolutions to do work been paid. Date - a� Date Receipt No. WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT OWNER: LOCATI( CONTRACTOR: DATE TO INSPECTOR: TYPE OF OCCUPANCY: ilding Description: [ ] Commercial/Usage: _ [ ] Residential/# of Units: [ ] Currently Occupied. [ ] Abandoned/Vacant. [ ] Yes [ ] No Electric is currently : [ ] On Condition of electrical? HISTORY: [ DATE: I io(, A.P.#: A � ZONING: A � o- [4JAS FOLLOWS: S F . , &-,9L / - BUILDING INSPECTOR'S REPORT [ ] Off Mobile Home: Yes[ ] No[ ] Natural[ ] Propane[ ] None[ ] Currently On[ ] Off[ ] Obvious problems: itation: Plumbing working Yes[ ] No[ ] Well: Yes[ ] No[ ] Obvious Sewage Problems: cription of Damaged Areal Potable water: Yes[ ] No[ ] N101.1. YEW 02f Kilo USA- imate valuation of Damaged Area: sector: Date: ti. is& DF/BUTTE COUNTY FIRE INCIDENT LO!gl LOGGED BYJMH RO REESE STATION # 45 MEDICS OFFICER 82108 B WRA N3 AGENCYID BUT DATE 12/29/97 INCIDENT NUMBER 12752 REPORT TIME 21:33 LOCAL FIRE NUMBER 11253 STATE FIRE NUMBER 0 CASE NUMBER 0 LOCATION 11765 ALMOND VIEW CT RP IDON HONE NUMBER 343-1772 COUNTY NOTIFICATIONS 0 EMD ❑ STATE WILDLAND FIRES C STATE STRUCTURE FIRES STATE OTHER FIRE STATE MEDICAL AIDS STATE PSAIOTHER STATE HAZ MAT LOCAL WILDLAND FIRES ❑ LOCAL ACRES 0 LOCAL STRUCTURE:FIRES; RESIDENTIAL? LOCAL OTHER FIRES LOCAL MEDICAL AIDS LOCAL PSAIOTHER: LOCAL HAZ MA INCIDENT NAME ALMOND START TIME: 2115 CAUSE EQUIPMENT LAND USE JDOMESTIC I ACRES: TYPE OF ACRES: DOLLAR DAMAGE1 LOCAL TYPES DAMAGE: JALL OTHER SAVE F 150000 DIAMOND #: 15.o INJURIESIFATALITIES ❑ # CIVILIAN INJURIES: CIVILIAN FATALITIES: FF INJURIES: � FF FATALITIES �0 FC -40 ❑ DATE OF FC40 INC USFS INC # I INC P# SEN JMH STATION 45 INITIALS GWM J is v: . S 5 ...... .. v:. { ..... .:... .. '::..� :•::.:: •. 1 1 "'PERMIT NO. �,P,E,M "d 4 ' PERMIT EXPIRES - OWNER June Hancock %—Y71— Y/ll CONTR. owner 40-15-42 LOCATION (A.P° ) E/S Lott Rd.,app.700'N.of Oro Durham Hwy, lot 88, Durham �?0- 7j' C Ila - "Vo Cuvsw r c r 0144/ 6i�G i 9 -X�io< �0�2iT -- r - 4 1 31 r� Temp. Power Pole Called PG&E TempfElec. Serv.! 2,;7 R Called PG&E Zjr=7Z �f�nGGJ Temp . Gas Serv. s \ Called PG&E FINALED (Date ignature) COI*N, F BUTTE — DEPARTMENT OF PUBLIC WORKS BUILDING INSPECTION RECORD Door Closer — [/ Final �_ Final MOBILEHOMEUTILITIES ----------------- Elec. Service Elec. Pedestal Water Piping Sewer Gas Piping MOBILEHOME INSTALLATION - - - - - - - - - - - - - - Support Elec. Continuity Water Piping Drainage Gas Piping DATE REMARKS OR CORRECTIONS (NOTE: An entry must be made on this form each time you vislt the job site.) r BUILDING BUILDING (Cont'd) PLUMBING Setback •—% Firewall - = Soil Piping r Forms Parapets 1st Floor —2�q--7,' Main Bidg. Restroom Finish 2nd Floor Footings % Windows --/ 3rd Floor Stemwall P Siding To out Slab Roof Sheathing Water Piping X27 7 Piers '" % Roofing / o/ Sewer Garage Fdn. Vents /...-/ — .-7 .2 Fixtures Footin s Stemwa I I Garage Vents Insulation Water Htr. Heaters Slab Carport Footings Prov. for ph sicaliy handlca ed Conformance of ex. structure Appliances G Temp. as �t Slab Final Sanitation �= Patio FIREPLACE Final Footincis Footing -- 2 ELECTRICAL Masonry Walls Throat Rou h Relnf. Steel FinalFixtures Bond Beam FIRE SPRINKLERS Motors Framing Test Water Htr. Stucco Final Sub anels Mesh MECHA\NiCAL Gird. Fault Prot. Scratch HeatingService \ Brown,/ -2— % Cool& Temp. Pole Finish 1ffLW&4 3p'— .Z 7 %..;> Underaround Door Closer — [/ Final �_ Final MOBILEHOMEUTILITIES ----------------- Elec. Service Elec. Pedestal Water Piping Sewer Gas Piping MOBILEHOME INSTALLATION - - - - - - - - - - - - - - Support Elec. Continuity Water Piping Drainage Gas Piping DATE REMARKS OR CORRECTIONS (NOTE: An entry must be made on this form each time you vislt the job site.) THIS IS TO CERTIFY THAT INS04ATION HAS BEEN INSTALLED IN CONFORMANCE WITH THE CURRENT ENERGY REGULATIONS. CALIFORNIA ADMINISTRATIVE CODE, TITLE 25, STATE OF CALIFORNIA. IN THE BUILDING LOCATED AT: Lott Rd 41,0' �-�2, street7 of Number Tract No. EXTERIOR WALLS glass Manufacturer J- m Thickness/Type3 Z"f i b e r R value 1 1 CEILINGS / Batts: Manufacturer `/ .C" ` Thickness R Value Blown: Manufacturer Thickness No. Bags Wt./Bag S4: ft -Covered 'R -Value— ----- FLOORS Manufacturer Thickness/Type R Value SLAB ON GRADE Manufacturer Thickness/Type R Value Width of insulation Inches FOUNDATION WALLS Manufacturer Thickness/Type R Value GE104L CONTRACTOR LICENSE NUMBER BYlE lys_/ice.. DATE a /%8d IN T CONT - R I C HO L SO N I N SU LA T I ONLICENSE NUMBE;r fl 246'1 B TITLE Owner DATE 12/77 COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 - Telephone 916/534-4541 APPLICATION AND PERMIT PE/0 0. ASS FYS$OR PAR.Iq NUMBER ZONING BUILDING PERMIT OW/TN E/�/1') -c T LEPHONE -SQ. FT. OCC. BUILDING VALUATION OW R'S M ING ADDRESS 2:9 C NTRACTOR'S NAME TELEPHONE CONT ACTOR'S MAILING ADDRESS CONSTRUCTION LENDER UNKNOWN Fireplace Total Valuation $ LENDER'S MAILING ADDRESS Permit Fee $ , ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ , Penalty $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Permit fee $ BUILDING ADDRESS O ��V� G>� c9© PLUMBING PERMIT FilingFee Filin Fee 3.00 C3— Trap 2.00 Repair drainage or vent piping 2.00 Water piping LOT NO. SUBDIVISION NAME PARCEL MAP Each'gas water heater or vent 2.00 Gas piping system 1 - 5 outlets USE OF STRUCTURE SF Duplex ❑ Mobi lehome ❑ Other SPECIFY Building sewer Lawn sprinkler system 2.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation❑ . Other, Describe work: 2 e��xI45-gvw c- �� Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 3.00 V OR SLESS Main service 10000 AMP OR 5.00 Main service EA. ADD'[- 100 AMP 2.50 NEW CONST. DWELLING OCCUP.& -NEW ONSTR. A � 2tCsgft 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 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 CCOR U TBI ODUTLET NO N.RESID, BRANCH CIRC ITS 2.50 ea NEW CONSTR. (POWER APPARATUS & NON -RES,D. (SINGLE OUTLET CIR. SO@25S Ex. Occup(o XTs OR FIXTURES BAL@10s FIXEDD APP LNS. OR Ex. Occup.(OUTLETS (RESID.) EA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 6,25 Permit Fee $ Contractor WORKMEN'S COMPENSATION INSURANCE :1 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. XXL 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 FiIingFee 3.00 Heating Cooling Hood 2.00 Ventilation permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the Countyot Butte .to enter upon the above-mentioned property for inspection purposes. 1 also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue a said County in consequence t e granting of t is permit. 1 d Sign re of Applicant — Owner(. Contractor ❑ Agent ❑ A 0 HA permit is required for excavations over 5'0" deep and demolition or construct- io structures over 3 stories in height. Mobile Home Installation Fee $ Land Development Fee $ TOTAL PERMIT FEE , OCCu P. GROUP I TYPE of CONST. PARCEL PD ND I ISSUE This permit is hereby issued under sions of.the Butte County Code and/or work indicate above for whi (RECTOR OF LIC BY PERMIT EXPIRES Date the applicable provi- resolutions to do fees have been paid. WORKS Date -a' Receipt No.�. WHITE-D.P.W.. YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT k COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS 7 County Center Drive — Oroville, California 95965 " Telephone': 534-4541 APPLICATION AND PERMIT aUU1UlI4e ItlIJI=JUIItallV6J UI Intl \,UUIILY UI DUlltl lU allltll UPUII Lila above-mentioned property for inspection purposes. 7 X Date Am3 97% Signatoree off PPeermitee or Agent R eipt No. 1 DO J White-D.P.W. - Yellow -Assessor - Pink -Inspector - Goldenrod -Applicant This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. .DIRECTOR OF PUBLIC WORKS Building permitpire ate 7 `'�y" %5;' BUILDING Owner !/ SO. FT. OCC. BUILDING VALUATION sf Mailing Address Z 7i e ephone No. Contractor r Mailing Address Fireplace Total Valuation Telephone No. Permit Fee 4 ' Building Address 7 Plan Checking Fee&/or Penalty Permit Fee w PLUMBING No.1 @ FEE G PERMIT FILING FEE $3.00 Each Trap 1,50 Repair drainage or vent piping 1.50 A. P. �" ��� Zoning & Planning Water piping 1.50 Each gas water heater or vent 1.50 F es Ca, t��r;=n Fire Dept. Fire Zone Use Permit Gas piping system 1 - 5 outlets 1.50 EQA Parking Plans Parcel Declaration Parcel Map 60RJMI ' Improvements Each additional outlet .30 Building sewer 5.00 Bfdq 4 4eRs-R x -d Parcel Approval Plans Approval Lawn sprinkler system 2.00 NEW ❑ ADDITION ❑ UTILITIES ❑ OTHER permit Fee $ $ — ZZ ELECTRICAL No, @ FEE PERMIT FILING FEE $3.00 Main service 600V OR LESS 100 AMP OR LESS 5.00 Single Family Duplex ❑ Mobil Home ❑ Others ❑ Main service EA. ADD•L 100 AMP 2.50 Main service OVER 600V 25.00 100 AMP OR LESS Main service// EA. ADD'L 100 AMP 1.00 NEW CONS.OR ADDNST \ ACCLBLDGS.DWELING CCUP. S) 20sq ft CONTRACTORS LICENSE LAW 1 am licensed under the provisions of Chapter 9, Div. 3, of the State of California Business & Professions Code under the name style of: MULTI-OUTL NEW CONSTR T NON-RESID BRANCH CIRCUITS) 2.50ea NEW CONSTR. POWER APPARATUS &, NON-RESID" SINGLE OUTLET CIR, Ex. Occuo(OUTLETS OR FIXTURES 5 L� FIXED APPLNS. OR Ex. Occup. OUTLETS (RESID,) EA/ 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 License No. Classification Misc. Wiring 6.25 1 am exempt from the Contractors License Laws of the State of California. Permit Fee $ $ WORKMEN'S COMPENSATION INSURANCE 1 am aware of the provisions of Section3700 of the California Labor Code which requires every employer to be insured against liability for Workmen's Compensation. I have placed on file with the County of Butte a certificate of Workmen's Compensation Insurance. f�71 I certify that in the performance of the work for which this W1 permit is issued I shall not employ any person in any manner so as to become subject to the Workmen's Compensation Laws of California. MECHANICAL No. @ FEE PERMIT FILING FEE $3.00 Heating Cooling Ventilation Hood 2.00 Permit Fee $ $ 1 certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby Land Development Fee $ TOTAL PERMIT FEE $ aUU1UlI4e ItlIJI=JUIItallV6J UI Intl \,UUIILY UI DUlltl lU allltll UPUII Lila above-mentioned property for inspection purposes. 7 X Date Am3 97% Signatoree off PPeermitee or Agent R eipt No. 1 DO J White-D.P.W. - Yellow -Assessor - Pink -Inspector - Goldenrod -Applicant This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. .DIRECTOR OF PUBLIC WORKS Building permitpire ate 7 `'�y" %5;' I COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS 7 County Center Drive — Droville, California 95965 Telephone:' 5J4-4541 APPLICATION AND PERMIT `fy/y�7 out IU1 _t: ICFIICJCIItativub ul me tJounty of tsuite to enter upon ine above-mentioned property for inspection purposes. X/ �r � ," 'ate Signature of Permitee�orr Agent cr Receipt No. 16&k 7 White-D.P.W. — Yellow -Assessor — Pink -Inspector — Golcenrod-Appli cant This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DIRECTOR OF P BLIC WORKS C BY_ Date Building permit expires Date �1_ z�� BUILDING Owner SQ. FT. OCC. BUILDING VALUATION O o 1 00 0 Mailing Address d Y /00tz /G 24& f Tel%or.e of Fireplace �'Q�Q O Contractor Total Valuation ADO Mailing Address Permit Fee 101014 O Plan Checki ng Fee &/or Penalty Telephone No. Permit Fee $ 149 Ol B`O D 0 Building Address�� e 00 PLUMBING No. @ FEE PERMIT FILING FEE $3.00 Q /lit Each Trap 1.50 / Repair drainage or vent piping 1.50 Water piping 1.50 6 00 —nmg S1 ice 'on On( !N Each gas water heater or vent 1.50 A. PWO. 5� — `� Z Z°ni s - Gas piping system 1 - 5 outlets 1.50 Each additional outlet .30 V4/es S ' 'on Fire Dept. FireZone Use Perm,t Building sewer 5.00 EQA Parking Parcel Plans Declaration prcel Ma P 60' R/W Improvements p Lawn sprinkler system 2.00 Idg. Plans Rec'd �arcel Approval Plans App val Permit Fee $ $ NEW J4 ADDITION ❑ UTILITIES ❑ OTHER ❑ ELECTRICAL No. @ FEE f1 PERMIT FILING FEE $3.00 Xwo Main service 6011 OR LESS 5.00 100 AMP OR LESS Main service EA. ADD'L 100 AMP 2.50 Single Family Duplex ❑ Mobil Home ❑ Others ❑ OVER 600V Main service 00 AMP OR LESS 25.00 Main service EA. ADD•L 100 AMP 1.00 NEW CONST. WELLING O & OR ADDNS. DACC. BLDG . Q ) 2¢sgft �0O NEW CONSTR. (MULTI -OU -FLET NON.RESID. BRANCH CIRCUITS) 2.50ea NEW CONSTR. POWER APPARATUS &) NON.RESI D. (SINGLE OUTLET CIR. CONTRACTORS LICENSE LAW I am licensed under the provisions of Chapter 9, Div. 3, of the State of California Business & Professions Code under the name st le of: Y Ex. Occup(OUTLETS OR FIXTURES)r9� BAL�1 Ex. Occu FIXED APPLNS. OR p• OUTLETS (RESID.) EA) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 License No. Classification Misc. Wiring 6.25 I am exempt from the Contractors License Laws of the State of California. Permit Fee $ $ �C WORKMEN'S COMPENSATION INSURANCE 1 am aware of the provisions of Section3700 of the California Labor Code which requires every employer to be insured against liability for Workmen's Compensation. ❑I have placed on file with the County of Butte a certificate of ®/Wekmen's Compensation Insurance. rmicertify that in the performance of the work for which thist is issued pbI shall not employ any person in any manner so as to become subject to the Workmen's Compensation Laws of California. MECHANICAL No. @ FEE PERMIT FILING FEE $3.00 00 Heating B Cooling Ventilation Hood % 2.00 LQ O Permit Fee $ $ 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 TOTAL PERMIT FEE $ out IU1 _t: ICFIICJCIItativub ul me tJounty of tsuite to enter upon ine above-mentioned property for inspection purposes. X/ �r � ," 'ate Signature of Permitee�orr Agent cr Receipt No. 16&k 7 White-D.P.W. — Yellow -Assessor — Pink -Inspector — Golcenrod-Appli cant This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DIRECTOR OF P BLIC WORKS C BY_ Date Building permit expires Date �1_ z�� PERMIT APPLICATION WORK SHEET OWNER C�e Zoning-. Use Proposdd _T Permit fee based upon: t� 3. Permit No. A.P. No. e -/,0-- Approved S-Approved Not approved Complete contract price. Partial contract price (elain).,g0, DPW Valuation (show):_ 7 At time of permit application, the applicant was advised the following data or information must be submitted prior to permit processing and/or issuance: Date Received 1. All items have been submitted. ---------- ------------------ 2. Plot plans in duplicate/triplicate. ------------------------- 3. Complete plans in duplicate/triplicate. --------------------- 4. Complete engineered plans and cales. ------------------------ 5. Fees of $ ------------------------ 6. Letter of signature authorization. -------------------------- �� 7. Sanitation approval. ---------------------------------------- 8. Planning approval for -- 9. Workmen's Compensation Insurance Certificate. --------------- 10. Contractors license information. ---------------------------- 11. Parcel declaration, recorded copy. -------------------------- 12. Access declaration. ----------------------------------------- 13. Aunt Minnie information. ------------------------------------ 14. Deed of access, recorded copy. ------------------------------ 15. Deed of parcel creation, recorded copy. --------------------- 16. Parcel map, recording data. --------------------------------- 17. Pre -inspection request for 18. Improvements - plans required & DPW approval. --------------- 19. Other BY Date Bldg. Inspect r During plan checking process, the following data Before permit issuance, all of the following or information must be subm' d prior to permit items must be signed or marked NA: issuance: 1. Zoning use 1. Index permit for items 2. Legal parcel above and in addition th ollowing: 3. Envir. Health Plans Seat A. Sanitation B. Restaurant C. Other 4. Public Works Plans Sent A. Street Imp. 2. Applicant advised by Telephone B. Drainage Mail C. Permits & Fees h r D. Other 3. Plans checked by Date If 7 5. Planning 4. Plans approved by Date A. Use Permit B. Variance When permit is issued, process as follows: C. Other 1. Mail to owner. 6. Other Agencies Plans Sent 2. Mail to contractor. A. Fire Dept. Deliver with inspection. B. Other 4. Telephone 1 and hold for pickup. a 6t r`Ge) 5. Other s 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 � C V-� zz,9:2 - 070 OWNER PERMIT NO. 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 additional explanation, please contact this office immediately. C a--<ES',CAIC SCV—Rf W(��"�c2 ATJ� (Z ���F.i S in. L kr 11- ".01^ t co 1-t\ i' I p s A F),) ��r- Date I / — 12— '70 Inspector /.1 L>r�—� ..;s.-�i`"w�".-',. �►.TY-`.::..MSyu..:,..,-,.,5 r� . '..c✓FN+'^"�vr'*'c'3ia:f iva'!'S�"�Mc�..'-tr: f`n:X+]r�` ,�S!ar•��Ccr'.,n°w`�� 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 x, �� t cics 228-7-9 0 OWNER PERMIT NO. 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 additional explanation, please contact this officer immediately. Vl�/T C66n Date 1 o- / _gQ Inspector /`I n�� Owner: _,S76ah4- �?`t!@y '' Permit No.. -----2 2F -7-9 F) - j o.22F-7— E N E R G Y C ERTIF ICAT ION 1765 Almond View Co LOCATION .. ROOF Material— Thickness (incites) aterialThickness(incites) DESCRIPTION OF INSUTATION EXTERIOR WALL' - Material Fiberglass Batts Thickness(inches) 3 5/8" CEILING Batt or Blanket Type Thickneso(inches)_ ' Loose Fill Type_ `"it�.ryla�s tjinimmm Thicknesg(-Irclhes) 12 3/4"- Area covered(ft.ZZ) 460 FLOOR, ELEVATED Material_ Thickness(inchee)_ FLOOR, SLAB Material ' Thickness(inches) Width(inches) FOUNDATION WALL Material Thickness(inches) A. P. No. Brand Name Thermal Resistance (R Value)_ Brand Name Owens-Cornina ,- Thermal Resistance(R Value) R1� 3 Brand Name Thermal Resistance(R Value)_! Brand Name Owens-Coriinp Number of Bags 7 Wt. per bag 35 lb. Thermal Resistance(R Value) R3� 0 Brand Name sir Thermal Resietance(R Valub) Brand Name Thermal Reeietance(R Value) Brand Name Thermal Resistance(R Value)T____��„ i hereby certify that tl►e above insulation Was installed in the above build U4 in confortuance with the State of California Energy Requirements. LOLc-'RKE= [NSULATION C!l., INC. 499I50 FIRM NAME/OWNER STATE CONTRACTOR S LICENSE NO, :1810tUTURE OF INSTALI.A.TION APPLICATOR � a November 13, 1990 DATE t I11hereby•certify.the above insulation and all required items as shown on the /tBuilding Department approved plans and attachments have been installed as required by tl►e State of California Energy Requirements. , All equipment, devices and materials are of the quality prescribed or are., speolfically approved by the State of California. & �- �e ��Gs ; -, --- FIRM NAME/ R (Ple p int) STATE CONTRACTORS LICENSE NO. SIGNATURE OF QI?NERAL A TOR OWNER DATE THIS CERTIFICATE-14UST BE ON FILE WITH THE BUILDING DEPARTMENT PRIOR TO FINAL. INSPECTION APPROVAL. AND A COPY SUALL BE POSTED WITHIN THE BUILDING . January 1984 i COUNTY OF BUT - DEPARTMENT OF ISUBLIC;WORKS - BUILDING DIVISION . is i� 7 COUNTY CENTER DRIVE - OROVILL`&dALIFORNIA 95965,' TELEPHONE: 916/538-7541 'S PERMIT APPLICATION DATA SHEET w Permit No. 'OWNER Ti�1/." A. . No. / ' S'�S 2Z �s Proposed Building Use y ONtl 7 / Building Inspector. Date At time of permit application, I was advised the following data must be submitted prior to permit processing and/or issuance: DATE RECEIVED APPROVED 1. All items have been submitted . ..................... .......... 2. Plot plans in duplicate/triplicate, signed by preparer of plans........ 3. Complete plans in duplicate/triplicate, signed by preparer. of plans . . 4. Complete engineered plans and Calc% with wet signature on plans . . 5. Hazardous Material Form .......................................... 6. Energy Design Compliance and supporting documentation ......... Statement of Intent for Non -Heated and AC Buildings ............... 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 ....................................... 1 Park fees paid . ............................................... LJS%� School (strict fees paid .............. 77' � " ,aa Sanitation approval from CA IC- Health Department `7- � 3-�y City of Chico plumbing permit ..................................... 16. Plot plan and business license approval from City of (see City for other requirements) 17. Planning approval for (A) Use: '(B) Parking: 18. Improvements. may be required. Contact Land Development Section DPW 19. Driveway permit (construction approval required prior to occupancy) 20. Pre -Inspection for required Pre-Inspec.request to Building Inspector (Date) 21. Contractor's license information (No., Name Style, Classifications ... 22. Certificate of Workmans Compensation Insurance .................. 23. Owner -Builder Verification (Given to owner o, Mail to owner o) ..... 24. Recorded copy of Agricultural Acknowledgment Statement ......... 25. Letter of signature authorization ................................... 26. 27. When you issue thet, process as follows: Mail t caner. Mail to contractor. ermi Telephone Zand hold for pickup at office. Deliver w. /inspector. Other AppIica ate O 1 Copy of Haz-Mat form sent Health Dept. Fire Dept. air Pollution Date Copy of plans sent Health Dept. Fire Dept. Other Date By. The following data must be submitted o per ,it issuance: (Circle newite not checked above). 1. Index permit for above items No. 2. Additional items required: Contractor, designer, owner, was advised of above required data by-j� one---nail_counter by .date Contractor, designer, owner, was advised of above required data by phone_mall--,counter by date Plans checked by to Plans approved by _Sets of plans on hold/ 39__-�'Oelcabinet AP folder Copy—DPW %� P� Date TO Buildina Department FROM: Environmental Health SUBJECT: Sanitation Clearance �,Yq OA4 L'a Owner Location AP# ! �t Plan Approved for: Sewaae Disposal Water Supply. Hold final for: Water Supply Final clearance O.K. for: Water Supply ,- Clearance for' bedroom mobile home. Other b o ln y. nom NOTE * * * Date Sa tarian COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS DO� 7 County Center Drive - Orovilte, Ca&ifornia 95965 - Telephone: 916/538-7541 APPLICATION AND PERMIT PERMIT NO. ASSESSOR PARCEL NUMBER f oo© Z f BUILDING PERMIT ow Cl r1 c,�s TELEPHONE 891- &q B z. SO. FT. qCAC. I BUILDING VALUATION OWNER'S MAILING ADDRESS 0 lrnaxal Vi'ecJ eou''�+ ✓h C'A R593� s 3 CMTV XJ TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER • UNKNOWN Total Valuation is LENDER'S MAILING ADDRESS Filing Fee $ 10.00 Permit Fee $ 2 d 0`37-- AR HITECT OR ENGIN ERy - LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITEC ENGINEER'S MAILING ADDRESS Penalty $ BUILDIN ADDRESS n ^ Aom U1� n+fit„_ u Il". -'/-1F r H�J` Permit tee $ PLUMBING PERMIT Filing Fee 10.00 Each Trap 2,00 1 Solar or heat pump water heater .20.00 LOT NO. SUBDIVISION NAME - [PARCEL MAP Water piping 5.00 ,00 Each qas water heater or vent 5.00 e Y USE OF STRUCTURE SFJ Duplex❑ Mobilehome❑ Other Gas piping system 1 - 5 outlets 5.00 -0" Building sewer 5.00 0SPECIFY Mobile Home S G W O.00e TYPE OF WORK J, New ❑ Additiong Remodel ❑ Utilities ❑ Installation❑ Other ❑ Describe work:ar%i + nxcsle-- bed `1 _ � n— # CO r1�G�C 7 9t 44—r# !/ v �� Tr Permit Fee $ r0 v Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 100 VAMP OR LESS 10.00 Main service EA. ADD -L too 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.SINGLE 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. 7.044) ❑ I am exempt under Sec. Business and Professions Code for this reason NEW CONST. DWELLING OCCUP.5i OR ACDNS. ACC. BLDGS. ,/x¢sgft , / NEW RESID, RATI.OUTLC. _NON .RESID BRANCH CIRFT C ITS 2.50 ea POWER APPARATUS &) OUTLET CIR. Ex. Occup( OUTLETS OR FIXTURES 5ALO 30 LNS Ex. Occup. OUTD TS APP(RESID )REA.) 1 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring g 15.00 Permit Fee $ ' WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): - ❑ The permit is for $100.00 (valuation) or less. ❑ I 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. r-1I 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 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 Hood Ventilation pertnit Feeto Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue against said County in consequence of the granting of this permit. X Date Signature of Applicant — Owner ❑ Contractor ❑ Agent ❑ An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ Q occ CONST TYPE TOTAL FEE $ % ' HAZ CUA PARK SCHI FLD PAR PD Ho ISSUE This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which fees DIRECTOR OF PUBLIC BY PERMIT EXPIRES Date the applicable provi- resolutions to,do have beenLpaid. WORKS Date Receipt: No. W-TLo.P.'N.. YELLOW-A—R—P. PINK-1—P—CIP -1 COUNTY OF BUTTE - Department of Public Works 7 County Center Drive, Orovil.le, CA 95965 Phone: 916-538-7541 OWNER -BUILDER VERIFICATION Attention Property Owner: An 'owner -builder" building permit has been applied for in your name and bearing your signature. Please complete and return this information at your earliest opportunity to avoid unnecessary delay in processing and issuing your building permit. No building permit will be issued until this verification is received. �1. I personally plan to provide the major labor and materials for construction of the proposed property improvement (yes or no) 42 I have/have not) for the proposed work. signed an application for a building permit 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 OwnerAftm, Social Security Num r Date NOTE: This Owner -Builder Verification is sent to you as required by Sections 19831 and 19832 of the California Health and Safety Code. This verification must be completed and returned to our office before we are per- mitted to issue the permit. FORM 7 ADDITIONS TO RESIDENTIAL BUILDINGS ENERGY SHEET PACKAGE `.'A" :(Additions) Owner `S /AN �=Igs Climate Zone ! / Permit # Floor Area 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.' ZONE 11 ZONE 16 APPLIES TO NEW AREA -CEILING ®R -11 R-38 WALL R-19 FLOOR R-19 SLAB R-7 R-7 GLAZING U-.65 (Dual) U-.65 (Dual) SHADING SOUTH - OPTIMUM•OVERHANG or .36 Shading Coefficient WEST - .36 Shading Coefficient LOOSE FILL INSULATION (Density) INFILTRATION CONTROL (Weatherstrip doors, certified windows, caulking) VAPOR BARRIER (Zone 16) - 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�..;""� •R,rr'' • .,,,'�, .M.F^.� .: y''rr.:.. �'i K, 12/85 *l, HEATING, VENTIIATING, AIR CONDITIONING SYSTEM (A) Heating ❑ Central Gas Furnace 7 (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 ❑ • (B) Gas Only Gallons (brand and model number) (tank size) ❑ Heat Pump w/Electric Backup (brand and model number) Gallons 2 (tank size) (3* Active Solar (collector brand and model number) (rated y -intercept) (rated slope) (solar fraction) ft (backup heater type, brand and model number) (collector area) (collector orientation) (collector tilt) ❑ Location of Solar Panels ❑ Other (Describe) *1 Submit documentation of sizing heating and cooling equipment by Manual J, sizing charts (form #4) or other approved methods, section 2-5352(g), and fill out the following: Heating: Winter design temperature °, elevation ', heating load BTU elevation factor x heating load maximum outlet capacity gas furnace BTU Cooling: Summer design temperature °, cooling load BTU *2 Submit T.I,P..S.E. chart'or other approved system (form #5) to document sizing of solar panels. ® DESIGN COMPLIANCE STATEMENT: The above building design meets the requirements of Title 24, Part 2, Chapter 2-53 of the California Administration Code. 4SA ;ff—OF I NG D SIGNER OR APPLICANT BUTTE CYUNTY SCHOOLS DEVt]OPMENT FEE CERTIFICATION FORM (One Formkper Building) A.P. Number0y0 -S�"' 0 J4/ Building Department No. School District D� City n Countyf!9 Jurisdiction Property Owner ST -A N /G s Project Location/Address 176<` ALLMoAJD V1r VJ GI�-T IDW HAW Subdivision Lot Number (� - Residential Development: Sq. ,Footag # of-, Living MH Addition[ V) r (c oup R Commercial/Industrial: Units :VVV a �S q .Qvw g i _x New Addition (_In,Cludr ung E.kterkro Roofed Ar � 4!s) s�[t'� BuilVng Department Representative Daae ******************************************************************* (Floor Plans .revi ewed by School District Personnel) District Id No. �hUr/12m School District c�ertgi yes that (Applicant.Name) - (Pho.•e;rNumber) / %65 �7/moria% ..V�.e•w•5-C'-rt. ' .,� �� 4� '�-.. ( Street Address)- -brha rn - �T99 (city) ( State) w`r/' (Zip Code) has complied with "the requirements of Resolution No �7 S by -the payment of $ 9'/ epresen.ting square feet. 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COR. OF LOT 88 I M Y CONMISSION EYPIRES LINE AGREES WITH OLD FENCE LINE 148803454"E 92294' (R-2, N 88047'E 9230) 'IN 86039'154"E 10001 40043'19"w S 0043'14'E 10 Od IO,Od\ 01' 'E 0S W COR OF LOT 88, FD 3/4" 1 P TAGGED L 5 2621 qI'0 86 a) cmi-0-20BUILDING SETBACK LINE7. N 8 8" 3954 `E Ck A. uj Mi 0 4,617 N E COR OF LOT 88, SET MON 0?' EAST OF EXISTING 8"X 8" WOOD POST PARCEL 2 - 3 84 ACRES N88039'54"E 58881' PARCEL 3 3 84 ACRES INTERSECTION OF S LNE OF PARCEL 3 AND SLY LINE OF i -CT, 88 0 Lo 92,5 Lo F — j Nµ E - $,T 2) irlt 4.) TP RA, PE 5: ,ml I � PA PA 11 103-04' 7y 220.49' APPROXIMATE co I�.LOCATION WELL!! ul 0 PA R� CqEE L 1 -1.00 ACRE r 0 FR LEACH FREE 110 to SETBACK AREA z ro 01' 'E 0S W COR OF LOT 88, FD 3/4" 1 P TAGGED L 5 2621 qI'0 86 a) cmi-0-20BUILDING SETBACK LINE7. N 8 8" 3954 `E Ck A. uj Mi 0 4,617 N E COR OF LOT 88, SET MON 0?' EAST OF EXISTING 8"X 8" WOOD POST PARCEL 2 - 3 84 ACRES N88039'54"E 58881' PARCEL 3 3 84 ACRES INTERSECTION OF S LNE OF PARCEL 3 AND SLY LINE OF i -CT, 88 0 Lo 92,5 Lo F — j Nµ E - $,T 2) irlt 4.) TP RA, PE 5: ,ml I � PA PA LU Z Z 0 of LL 0 PLAN OF LOWER FIREPLACE E SUPPORT —A pax Im At 7 I ir I FIRE BRICKS Ix BRICKS: 4- R El N F0 R fe I= IN RODS & SCRE < fir; r -5 ANGLE -- BARS 0H ININ E Y $j PP r- T --A V- 1 R I' < Uj Z ZI cc < N T , NOTE: if lower fireplace is smelter than Upper, rr9 r N=K"._ increase foundation and overall masonry to T accommodate. C j5 77T , �kj l 177 k Z I t v r, KIGHT FINISH ED 0 MASONRY 'WIDTH 01 IDTH 01 U. LL I OVER 2Q PT Cr OF DOME WALL LL MASONRY r P E NI DJG F4111i! SIZE 1 FLUE SIZE swa warm Air outlets through #7 for cool air inlets only. (See W` A i 7 #110 OUTL E SUPPORT —A pax Im At 7 I ir I FIRE BRICKS Ix BRICKS: 4- R El N F0 R fe I= IN RODS & SCRE < fir; r -5 ANGLE -- BARS 0H ININ E Y $j PP r- T --A V- 1 R I' < Uj Z ZI cc < N T , NOTE: if lower fireplace is smelter than Upper, rr9 r N=K"._ increase foundation and overall masonry to T accommodate. C j5 77T , �kj l 177 k Z I t v r, KIGHT FINISH ED HEIGHT 4# REAR ASO TO TOP MASONRY MASONRY 'WIDTH 01 IDTH 01 12 `r^ 10 FT. I OVER 2Q PT I T OPENING OF DOME WALL WALL MASONRY r P E NI DJG F4111i! SIZE 1 FLUE SIZE swa warm Air outlets through #7 for cool air inlets only. (See "K" #110 "T" "W'i 0 0 f 11. 0 D 25 813"X93i" 29 th 4/4 5$ 30 33 36 41 i 9XIe." or 13xla qXj_ 0, 13x17 13%17 9XI3 17 or 17x1: I I x I 3 25 50 29 1ja :J 4 58 SPECIFICATION FOR GRILLES el 114 541/1 34 3W 4 61 541/2 "A c4G 2 29 BAFFLE M. –4— AIR INTAK K FIRE BRICKS DIMENSIONS IN INCHES . 4 581/2 so 47 17x2l 17xI7 or 13x.111 a," Wtuli tc Ail, % '- "' i'i -'-- 60 32 1 1 41 ZA 100 59 21x21 17x21 of —�rLyb DclwndrAff Sh*4'.L-- AIR GRILLES and uREG"11SI -ER STANDARD INSTALLATION Each Heatform requires tr.,?,Ayo cool air inlets CAST ALUMNI A GRILLES and one front or two side warm eir outlet No, 238 0.0, 6%5C - .;A For Cool Air Inlets or grilles. FAN GRILLES are availoblv for #2 D. 7 L a'1: I swa warm Air outlets through #7 for cool air inlets only. (See ;=A--- l No. 2 grill "Specifications" below.) LD, 5111711i" No. 25 0 . 5'P,`a*'x321,'2" 813"X93i" No. 26 0,0. 57xp-X�64'2' 1 0, No, 27 0,1). 57/o"X4795" 1,0. 5"x -o No. 28 O,D. 57/s*'x63;,V' 1,D, 5"0244' No. 4 SPECIFICATION FOR GRILLES 0.0.53/41' x 14 1/o to use with each size Model "A" Heatform, 5"%13V4" NIL ) E L "A" Air Intakes Frew Outinis im0=1 No. 5 O.D.S 3,t "xl 14�" Heotlorm No 31 Nos, 2 or 4 Nos. 23A or 24 Tlv4"x'O�it' 1-10allorm No. 311 Nos, 4 or 5 Nos. 234 or 25 No. 7 Heritlorm No. 37 Nas� 4 or 5 Nos. 23B or 25 0,D, 80AVx16" Heatform No. 42 Nos. 4 orb Nos. 23C or 26 1. D, 7 a/4 -X 15' Healform No. 48 No. 5 Fan Grilles Nos. 23C or 26 Heatform No. 00 No. 5 Fan Grilles No. 27 Huatfotm No, 72 No. 7 Fan Grilles No, 28 "T V, No. 23A 0,0. No, 238 0.0, 6%5C - No. 23C O.D. 8�*'041/2" D. 7 L a'1: No, 23b 0.0. VX3434- X4 No. 2d 0.0, 57v"x244 LD, 5111711i" No. 25 0 . 5'P,`a*'x321,'2" 1, U. 5 *'x t No. 26 0,0. 57xp-X�64'2' 1 0, No, 27 0,1). 57/o"X4795" 1,0. 5"x -o No. 28 O,D. 57/s*'x63;,V' 1,D, 5"0244' FIRIEPLACES PIASTRUCTIONS FOR BUILMNG MODEL A HEIRCMWL BUILD -COMM'ON MASONRY WITHIN 3" OF DESIRED FIREBOX HEIGHT, Lay one course of firebrick in the bottom of the firebox upon which the Heatform stands. Spread mortar over the outside metal lining. Apply insulation using double: thickness at corners. Thi, insulation is necessary to prevent expansion from cracking masonry. WHERE BUILDING ORDINANCE PERJVI;ITS a"4" masonry walil is sufficient for Heatforms No. 31, 34, 37, and 42. For Nos. 48, F) 0, and 72, an 8" rear wall should be used, "'Build masonry around Heatform following the sloping Contour of the bakak to within 6" of the damper; then form downdraft as shown on section drawing. The curved shelf prevents rainwaer and ashes frorry contacting and rusting the metal, DO NOT ALLOW FLUE LIN I N�G TO REST UPON H EATFO R i Start lining two or more brick courses above dome. Use angle irons to support masonry above Heatform, KEEP DAMPER OPEN DURING CONSTRUCTION OF CHI'Mi and be sure it opens and closes freely before, leaving the job., AIR INLETS SHOULD BE PLACED AT FLOOR LEVEL. If hearth is raised, it should be 15'r, to 18" above floor, to allow inlets in raised portion of hearth. Connecting ducts to Heatform should be the same air passage area as the inlet grille. E W STEP BY SEIP INSTALLATION DriFSTLRUC_ Y "y , 7-17- TIONS A.N'D 14 = 1SCALE WORKING A JLIJ 6 DRAWINGS AVAILABLE FOR ALL S=S„ — to ON REQUEST M0 REPO RLT 2031 W xt" r, I _." I - �RONT � i� 11 0 61 AIR OUTLEI ` ; ow IF AIR INLETS OR OUTLETS 41 ARE FORMED OF MASONRY brick or stone should not exceed �z 11/4" in thickness and shou-I'd be W L9 spaced 11/2" apart, ta for the inlets A j,it and 11/2" apart for the ourtets, to assure proper circulation of 0 0W sage ca J air tpacity hrough the Heatform. Be 7 0 sure that the Combined air pa El i e -o .1 r-_1 4 cnforms to mini- - VIEW L mum air inlet caac *Las FRONT CUTAWAY py per specification chart below, See 'T X", illustration on page 3 -for proper 7T, -0 PAP' cl, spacing of masonry in air inlets WALL K4" 90ILERPLAT� (all MoJclz) I 6" k- and outlets, J"NT IN, 7 W C H r —7 6"4 RATIO OF FLUE AREA oA�SEN ENT I TO FMISHED r. F LU, 13 FIREPLACE OPENING p K A 15' Height' W' PLAN 'a L MODEL A 0% A ZO' Heighf*' I A I R* A I AT• 251 Height* 8% S ZO INLET, W_ 44. 12 *Height from Ha,4rih to Top of Chininky, If the masonry used cry front and rear Walls is thicker than 4" If those flue 11nincil Oro increase "IC dimension accordingly, not available, substiluts t. Using Inlets "M", Increase "T" dimension $1%r" minimum, SIX04 *fill Qqubl Ildf Arazl. olmoogloryIn Inches SPECIFICATIONS FOR HEArFoRM 1710.4LP:LACES — MODEL A olmonsione Iriltichaz id411 Front squato Inch Capacity 0.0, Aoar 0001 Unlit HaI,ghl Height to Ppight. 16 and Ra., i i�, Minimum Flinish0d Top Unit rool UJIlt Wit 411 Header Uh t r1olshad Hai ht To ry opol Mason Side Air, Ma�onrf 000ningr, Dome AAirUnr rapticltY mlin, MIn, DII Cap, Width Facing He1qht Width Opening Net top onta, Wall Alf Inlet Intel Width Width Width out%W6 Flue Cutlet 0 H L T W Liner Oimen�,ont No'l Cu, Ft Alt Inlet J, 4300 60 60 20 22 3A 205/4 58 381X2 �p 41 604 axi2 65 15 i 90-7 or 806 31 00 -9 1h � 20 25 al f/4 90,114 58 41 1h 2b 41 so 291/9 6X14 ft 12 I�! 34 5000 70 70 33 18 0x17 or 616 37 5751) 10 70 24 2 33 24 1h 62 45v� 29 AS SA i/A 34, 604 8XI 6 2 1 1J.. j I tar 12A 16 62 Y14 �I _4 _V _. _1 i�, P — 51 1_ 29 5 34 SO— _49 2� 241/1 �4 �6660_ 47 _41 26 OxIl or i�,Y,1$ 48 0 11 36 -74_ _601/i 'M3, I 1 x20 00 8500 120 26 g8 00 27 78 70J/4 02 491h 581vi 4 1'44 8x!5 8XI 100 69 44 2IX2! 0 120 '141 �f 1 1, 12ix2i or "0�20 72 9500 1,60 150 98 0 67 27 78 823/4 32 49th u i,� 4 6A axi 12 71 5� r 2OX20 PLAc!5 COOL AISINLETS. 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