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HomeMy WebLinkAbout041-400-048THWHIT AP 4 0-48 0 WL vo��� ' OMA ' Building code violation 30 day w s d. C r Dates 1•!al. /—, C. Sch - i ( erR't# 105-75B(New ) 1 41-40-48 Perm't ��17 i- 97-76B,P;�E M(new singlet,-- family) 7� act•. � 7 4 -40-48 �Permit #1988- 7B ( o�3r o laundry & famir'y�room/SF) 041-400-048 U/�'PERM 5_ BERNARD; Pai Sao 3561 Cl F Cont Ru ,a0v Add Ca RecptRm'4& Deck/S 041-400-048 00-2163 BARROS, PAULA 3561 CLARK RD. OROVILLE CONTR: COLLAR, RUSS DETACHED GARAGE C1, jW //11g1pp 041-400-048 00-2538 BARROS,PAULA 3561 CLARK RD OROVILLE k CONTR:OWNER GUNITE SWIMNIING POOL a Ali I i fr January 21, 2003 Paula J. Barros 3561 Clark Rd. Oroville, CA. 95966 L A N D O F N A T U R A L W E A L T H A N D B E A U T Y RE: Building Code Violation Location: 3561 Clark Rd., Oroville,'CA. A.P. # 041=400-048 Dear Ms. Barros: BUILDING DIVISION DEPARTMENT OF DEVELOPMENT SERVICES 7 COUNTY CENTER DRIVE • OROVILLE, CALIFORNIA 95965-3397 TELEPHONE: (530) 538-7541 FAX: (530) 538-2140 This is a courtesy notice to notify you that you are in violation of the Butte County Code, as follows, at the above -referenced location. Failure to final permit for a gunnite swimming pool, building permit #00-2538. It is the County's goal to obtain voluntary compliance with the Butte County Code. However, you should be advised that Butte County has an active Code Enforcement Program which provides an effective means of enforcement if voluntary compliance is not obtained. Enforcement may be pursued through the issuance of citations, fines and the recording of a Notice of Violation including a description of the action necessary to abate the violation. You have thirty 30 days to voluntarily comply with the above directions or to present an acceptable plan for abatement or corrective actions to be taken by you. Should you have any questions concerning this matter, please contact Scott Rutherford or Michael Vieira in this office at the address or telephone number listed above. Sincerely, Scott Rutherford Chief Building Inspector SR: 1 j cc: Assessor >, COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-7541 PERMIT NO. (Rev. 12/96) APPLICATION AND PERMIT to-" at"� ASSESSOR PARCEL NUMBER 041-400-048 ZONING AR -2 1/2 BUILDING PERMIT OWNER BARROS PAULA4- TELEPHONE SO. FT. OCC. BUILDING VALUATION RESS OWNERI�1ylU KIi ADCLARK RD OROVILLE CA 95966 CONTRACTOR'S NAME owner TELEPHONE CONTRACTORS MAKING ADDRESS CONSTRUCTION LENDER Fireplace LENDER'S MAILING ADDRESS Total Valuation $ 20,000.00 ARCHITECT OR ENGINEER LICENSE NO. Filen Fee $ 20.00 Permit Fee $ 207.0 ARCHITECT OR ENGINEER'S MAILING ADDRESS Plan Checking Fee $ BUILDING ADDRESS S Energy Plan Checking Fee $ $ PERMIT FEE S 361.55 LOT NO. SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMIT Filing Fee 20.00 Each Trap 7.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome ❑ Other SPECIFY Solar or heat pump water heater 23.00 Water piping 15.00 Each gas water heater or vent 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑ Describe Work: GUMITE SWINMI\TG POOL 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 Filing Fee 20.00 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, and my license is in full force and effect.FOWER License Class Lic. No. OWNER -BUILDER DECLARATION hereby affirm under penalty of perjury that I am exempt from the Contractors License Law,for the following reason: j 1, 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. ❑ 1, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason Main Service TO 46.00 CCU000A NEW CONST. DWELLING OCCUP. W: OR ADDNS. ( 8 ACC. S. SO 3.50FT. NEW REOSID. MULTI.OUTLET, CIRCUITS @7.50 APPARATUS 8 SINGLE OUTLET CI R. Ex. Occup. OUTLET OR FIXTURES 20 ';so BAS p FIXI Ex. Occup. OUTLETS RES OR 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 POM 30.00 PERMIT FEE $ 50.00 WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ 1 have and will maintain workers' compensation Insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE $ Policy Number (The above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) I certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to 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 forth ith comply With those rovisions. / y� hh (V 7 Date / �_yQ X _ .1�^ Signature of Applicant KOvVner ❑ Contractor ❑ Agent An OSHA permit is requ red for excavations over 60" deep and demolition or construction of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ Occ CONST. TYPE TOTAL FEE $ 411.55 HAZ. D. FEES I �OO D 'F CEL j�° HD ISS This permit is hereby issued under of of the Butte County Code and/or indicated above for which fees have 1 By / g PERMIT EXPIRES ON I the applicable provisions Resolutions to do work been paid. ,r ZI-21d , I(Date) Receipt No. 30�4R07 /$411.55 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 RMIT NO. Annl V^A'rl^kl AAMDCORA1T (Hev.12)95) I1rrL.�VM��V���■�v■-■■■•■■■ A■■EBSORPARCELNUMSER77 Ji `. —0 i BUILDING PERMIT VAWA nU SO. FT. OCC. BUILDING VALUATION owNeRs MAaua 621 (R �+ l CONTRACTOR'■ "ME 1 TG8►10(Mae COMRACTOR7 MAIM ADORES■ CONSTRUCI MM UDC01 FFiirelaceation LENDER'S MNuw ADOAESs E ARCMITECT OR ENGINEER LICEME NO.nee S 20.00 Permit Fee E ��-- AACWTECT OR 04MEERe Mwrp ADOMS Plan Checkin Fee $ S SUIDwOADDRESS Energy Plan Checking Fee S b PERMIT FEE _ IDT No. SUBDIVISIONS NAME PARCEL "P PLUMBING PERMIT Fling Fee 20.00i�l Each Trn 7.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome ❑ Other 9°EC`~ 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 ❑ Installationr❑ Other ❑ Describe Work: CJW �� /i'/✓ Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home S G W @20.00 PERMIT FEE _ ELECTRICAL PERMIT Filing Fee 20.00 Main Service pw on Lss 23.00 *PERMIT FEE PAID $ .SRA $ SHERIFF $ OTHER $ $ $ AMOUNT RECEIVED $ *RECEIPT NUMBER _� � �,'� * TO BE PUT INTO COMPUTER Mein Service 2coA TO somA 48.00 NEW CONST. pWELLNOOCCUP. 3S�FT. OR ADONS. a ACC. S. . ONS MULTI. NOMRESIO. OUTLET @ 7.50 POWFA APPAAATU9 a SINGLE OUTLET CIR. ®�.0O OUTLET OR FIXTURES SA EX. OCCU eAL.so Ex. Occup. M. PLM o.°E.1 1 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wi ' 23.00 PERMIT FEE PERMIT Fling Fee 20.00 Heating eating Cooling Hood a.so Ventilation PERMIT FEE $ Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST. TYPEE TOTAL FEE EL NA= 0. FEES ' FLOOD DF PD 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. By Date PERMIT EXPIRES ON COUNPY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE (530) 538-7541 PERMIT APPLICATION DATA SHEET OWNER:9ASSESSOR PARCEL ER: /^i / "� ©'"�Q "t - Proposed Building Use: Building Inspector: ate: :Zen /� Q At time of permit application, I was advised the following data must be submitted prior to permit prooc 'easing and/or issuance: Date Received By ❑ 1. A14 iiems have been submitted.------------------------------------------------------------------------------------- lot plans, 3/4 sets, signed by the preparer of plans. ------------------------------------------------------------ ❑3. Complete plans, 3/4 sets, signed by the preparer of plans. -------------------------------------------= ------ Engmeered plans, 3/4 sets, with wet signature on plans. All engineering must be shown on plans. -------- ❑ 5. Engineered truss details and layout in duplicate (required prior to plan review) No faxes! ------------------ ❑ 6. Energy Design Compliance and supporting documentation. ---------------------------------------------------- ❑ 7. Statement of Intent for Non -Heated and A/C Buildings. --------------------------------------------------------- ❑ 8. Hazardous Material Form. ------------------------------------------------------------------------------------------ ❑9. Manufactured Home data and installation instructions including Tie Down Specifications .-----------.------ ❑ 10. Fees of $ ------------------------------------------------------------------------------------- ❑ 11. Impact fees as shown on the attached schedule. ----------------------------------------------------------------- ❑ 12. California Department of Forestry plan approval/fees. --------------------------------------------------------- ❑ 1% v 14. Flood elevation certificate. ----------------------------- Sanitation and plot plan approval��� Health Department. ------------------------------------------- % ' ❑ 15. City of Chico plumbing permit. ----------------------------------------------------------------------------------- ❑ 16. Plot plan and business license approval from the City of Biggs. ---------------------------------------------- ❑ 17. Planning approval for (A) Use: (B) Parking: -------------------------- 1118. ------------------------- ❑18. Contact Land Development about ❑ Improvements, ❑ Drainage, ❑ Legal Parcel. ----------------------- ❑ 19. Encroachment Permit for driveway (construction approval prior to occupancy). ---------------------------- ❑20. Pre -inspection for required. Request to Building Inspector on (Date) 021.`Contractor's license information. (Number, Name Style, Classification). ------------------------------------ El 22. Workers' Compensation carrier and policy number. ----------------------------------------------------------- 023. Owner -Builder Verification (Given to owner ❑, Mailed to owner 0) - -------------------------------------- ❑24. Letter of signature authorization. -------------------------------------------------------------------------------- ❑25. Recorded copy of Agricultural Acknowledgment Statement. -------------------------------------------------- ❑ 26. Letter of intent on building use. ----------------------------------------------------------------------------------- ❑27. Manufactured Home utility clearance. --------------------------------------------------------------------------- ❑28. Existing violations and/or expired permits. ---------------------------------------------------------------------- ❑29. ❑433 A, ❑Grant Deed, ❑ M.H. Title, ❑ Check to H.C.D $ . --------------- ❑30. Other: Whg ou issue the t, root ss as follows ❑ Mail to owner, 0MA* to contractor. Telephone 1, and hold for pickup aroffice. 11 Deliver with inspector. Copy of Haz-Mat form sent ❑ Health Department, ❑ Fire Copy of plans sent ❑ Health Department, ❑ Fire Departrr Applicant: ,M0_jA—Q Air Pollution Date: Date: By: Date: By: 1. Index permit application for the above items numbered: %(%` ❑ Plan Check List 2. Additional items required: Contractor, designer, owner, was advised of the above required data by ❑ phone, ❑ mail, ❑ Building Division counter, by Date: Contractor, designer, owner, was advised of the above required data by'❑ phone, ❑ mail, ❑ Building Division counter, by Date: Contractor, designer, owner, was advised of the above required data by ❑ phone, ❑ mail, ❑ Building Division counter, by Date: Contractor, designer, owner, was advised of the above required data by ❑ phone, ❑ mail, ❑ Building Dr'� ion counter, by Date: Plans reviewed by: Date: Plans approved by: O,c'3, Date: /D' — Sets of plans on hold in ❑ Plan Cabinet, ❑ A.P. folder. Note transfer by: Date: VPllnw �r� 1 �� E.H. USE ONLY / o Plot Plan Attached �_ V Floor Plan Att chid x Sent to B.D. — ! TO: Building Department FROM: Environmental Health SUBJECT: Sanitation Clearance RL," '-k P, S 3 s NO a- K- /-d �/ -Ivo I(jI Owner Location AP# Plan Approved for: Sewage Disposa'l� Water Supply: Public Private Well Clearance for dwelling. Other (.S� X �� L Hold final for: Final clearance O.K. for: NOTE: (? �,Iz_ Environment Health Specialist 8/96 Date 396' w'.?Kf•1� e� po 57e -h G� �3AK4&5j Plt-A 3s'G / Gme.tc 40 �P�o��•�bo•oy8 l64, Tyt Butte County i environmental Health } —0 ID c+ o ti a Q APPROVED C Butte County (1 Z .pvironmental ealth i, �`- W Dat Signature i R" Pry JJA e 11 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. A 1. I ,personally plan to provide the major labor and materials for construction of the proposed pro erty improvement : YES NO[ J. 2. I HAVE[ HAVE NOT[ ] signed an application for a building permit for the proposed work. 3. I have contracted with the following person (firm) to provide the proposed construction: NAME. ADDRESS:' CITY: PHONE: CONTRACTOR'S LICENSE NO. 4. I plan to provide portions of this work, but I have hired the following person • fo coordinate, supervise, and provide the major work: NAME: ADDRESS: CITY: PHONE: CONTRACTOR'S LICENSE NO. 5. I will provide some of the work but I have contracted (lured) the following persons to provide the work indicated: NAME ADDRESS PHONE TYPE OF WORK SIGNED: PROPERTY OWNER: �=� �- C, r :�`�-4 Ell ER: DATE: / —17 0 /J' NOTE: This owner -Builder Verification is required by Section 19831 and 19832 of the California Health and Safety Code. This verification must be completed and returned to our office before . we are permitted to issue the permit. OVER Dear Property Owner: An application for a building permit has been submitted in your name listing yourself as the builder of property improvements specified. For your protection, you should be aware that as "owner -builder" you are 'the responsible party of record on such a permit. Building permits are not required to be signed by property owners unless they are personally performing their own work. If your work is being performed by someone other than yourself, you may protect yourself from possible liability if that person applies for the proper permit in his or her name. - Contractors are required by law to be licensed and bonded by the State of California and to have a business license from the city or county. They are also required by law to put their license number on all permits for which they apply. If you plan to do your own wor the exception of various trades that you plan to subcontract, you should be aware of the folla*on for urbenefit and protection: 0 If you employ or othey perso other than your immediate family, and the work (including materials and other cmo for the entire project, and such persons are not licensed as contractors or subcontan employer. 0 If you are an employer, you must register with the State and Federal Governments as an employer and you are subject to several obligations including state and federal income tax withholding, federal social security taxes, workers compensation insurance, disability insurance costs, and unemployment compensation contributions. 0 There may be financial risks for you if you do not carry out these obligations, and these risks are especially serious with respect to worker's compensation insurance. 0 For more specific information about your obligations under Federal Law, contract the Internal Revenue Service (and, if you wish, the U.S. Small Business Administration). For more specific information about your obligations under State Law, contact the Department of Benefit Payments and the Division of Industrial Accidents. If the structure is intended for sale, property owners who are not licensed contractors are allowed to perform their work personally or through their own employees, without a licensed contractor or subcontractor, only under limited conditions. A frequent practice of unlicensed persons professing to be contractors is to secure an-"ownerbuilder" building permit, erroneously implying that the property owner is providing his or her own labor and material personally. Building permits are not required to be signed by property owners unless they are performing their own work personally. Information about licensed contractors may be obtained by contracting the Contractors State License Board in your community or at 1020 N Street, Sacramento, CA. 95814. Please complete the "Owner Builder Verification" on the reverse side of this form so that we can confirm that you are aware of these matters. The building permit will not be issued until the verification is returned. Sinc');rel , Micha4l C. Vieira, C.B.O. . Manager, Building Inspection NOTE: This Owner -Builder Information.is required by Section 19830 of the California Health and Safety Code. OVER � z`lxZ4� po� 3Slo/ 6me-4<- �P�o���b�•o�18 yt t a ROP ' i "1110%OLSAII 916 tuttqF "A 2 FT; 3 . L I P�L CA W Butte County ,�miiranmental Health " e th(s g1ttached . .,,;,� � , N�ssi ronStruc�l4l1 uirements .1 _---�-._Page i Rib 13UTTE 0" DING DEPARTMEK' LA � 5. 130 J�. � • .�,_• ' - 3 Y oc�12 S to sbo -,war ,3 _ I I t .. _ E .7. . r . O r � t. _+ I..r _ T..-.=.—•—�-�a-- 1 � _ k _ ...�.. . ,`.• _ . _.. _ .. � _ ' � �� - L �i _•� . _ _ _ 14 r -r -r i-•- r �` �.�..�-4 �_F .j .•--fi l_...1.._.r.�_}..}. � , ' i -l�j. �(.�`Yv��':Vv•-.. . .. _ - �-_ _� _. .. 7-4 GO E S4 1OF Oh 803 Tt CP ',. 1 •� (...y. ) t .� ��' } - �-A�rN.". ..-.-�r.-;- ter_-.... y... �.�;... .... _.. _........ ... _. .. � � _ 5Qu /ooNJE N i +. t- 4 r t}4 t- s ' t 1 Pod'a _ DRAWN:. DATE: SHEET NO. C AA % �-A�H N�AN --; .- ASSOCIATE'S CHECKED: , JOB NO. _& ` r - &CO."' ', I - (818) 342.4138 �. _ . �. ?-'o 0 t OF N � s b - `..(...1...7 1.F' -i 1 I f t i..,- BACH MAN & ASSOCIATES OCTOBER 11, 2000 COUNTY OF BUTTE DEPARTMENT OF BUILDING 7 COUNTY CENTER DRIVE OROVILLE, CA 95965 RE: PAULA BARROS APN: 041-400-048 BLDG. PERMIT # 00-2163 ATTN: MIKE VIERRA Dear Mike: I have looked at this pool off of Clark Road. The pool was evidently built in the 1985 season. The pool appears to be in good shape. The rebar in the pool cannot be ascertained by visual inspection. I have told the owner that she needs to contact Jim Daughtery at Holiday Pools to check on the bonding of the pool equipment. I f I can answer any questions, please let me know. Very truly yours, C. W.BACHMAN RCE #16803 CURRENT ADDRESS oQ�4f S �IO�,9! 13647 Garner Lane Chico, CA 95973\N. A�� exp, c�� e � -� v, s3a E3 U N . 6803 2 m i� � lF OF C MV. ENGINEERING SURVEYING PLANNING DESIGNING 3012 The Esplanade, Chico, California 95926 Telephone: (916) 342-4136 r NOTES.`, RESIDENTIAL fi PERMIT NO. j 041:400-048 00-2538 BARROS,PAULA 3561 CLARK RD OROVILLE CONTR: OWNER GUNITE SWIMMING POOL r , SPECIAL CONDITIONS CHECKED BY SRA FLOOD CERTIFICATE REQ. FIRE SPRINKLERS REQ. SPECIAL INSPECTION ITEMS VERIFY USE PERMIT CONDITIONS SUB -STANDARD HOUSING LETTER d� U JOB FINALED (Date) Signature ✓ = OK 0 = Not OK = Not Applicable = Not Ready RESIDENTIAL (Single & Duplex) Date FRAMING (Permit) OK except #'s Underfloor (Plans) OK except #'s Sits Proper Materials & Anchors 1. Zoning -Setbacks -Easements -Flood -Slope 42. 2. Ftg., Main; Soils-Elec. Grnd.-/ /" Ftg. Depth Draft Stop in Walls (rat proof) 3. Ftg., Garage; Soils-Steel-Elec. Grnd.-/ /" Ftg. Depth 45. 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/0 -Sewer Test 10. UF, Gas Pipe; Size Anchors - Yard Gas Piping; Size Test 11. Water Pipe; Test -Anchors -Regulator -Service Test 12. Electric Underground 13. Plenums & Ducts; Clearance -Material -Support -Ins. 14. Girders -Sills -Anchor Bolts-Joists-Vents-Crippies 15. Access & Ventilation 16. Insulation Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date PLUMBING (Permit) OK except #'s 17. Water Htr.; Vent -Access -Combustion Air Baffle 18. Water Pipe; Test & Anchor -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 69. Stairs & Rails Date 70. Card B-1 Date Card B-1 Date 71. Card B-1 Date Card B-1 Date 72. ELECTRICAL (Permit) OK except #'s 23. Fixture & Transformer Clearance -Ins. Protection 24. Elec. Receptacles Spacing -Lights & Switches at Doors 25. Size Boxes & No. of Conductors Stapled 26. Romex Installed Close to Edge of Studs & C.J. 27. Equip. Ground made up w/Mech Fasteners -Bond Gas & Water 28. 2 Appliance Circuits in Kitchen & Conductor Size GFI 29. Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / / ga Cu or AI 30. Range Circle / / ga Cu or AI -Oven Circ. / / ga Cu or At Insulated Neutral O Yes O No 31. Service -Riser Conductors & Ground Main Disconnect 32. Equip. Clearances Panels-Motors-Mech. Equip. 33. Clothes Closet Light -Shower Light -Spa Light 34. Smoke Detector 84. A.C. Unit Disconnect, Electrical -Plumbing Date 85. Card B-1 Date Card B-1 Date 86. Card B-1 Date Card B-1 Date 87. MECHANICAL (Permit) OK except #'s 35. A.C. Ducts Insulation & Support 36. Vent Fan, Exhaust above insulation 37. Condensate Drain & Overflow, Size & Grade 38. Furnace -Vent Access -Comb. Air -Return Air Vent 115 outlet 39. Attic Access & Platform if Furnace in Attic 93. Energy Compliance Certificate -Other Certificates 94. Address Posted Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date FRAMING (Permit) OK except #'s 40. Sits Proper Materials & Anchors 41. Walls Studs -Nailing Spacing & Braces -Plates -Sound 42. Bearing Walls over Girders & Floor Nailing 43. Draft Stop in Walls (rat proof) 44. Fire Stops, Furred Ceilings -Stairs -Chasers -Tubs 45. Headers & Beams -Size & Bearing Date FRAMING (Continued) 46. Hangers -Post Caps -Anchors -Connectors 47. Cling. Joist-Rffr. Ties- Purlin-Roll Brac.-Truss-Shting.-Rfng. 48. Fireplace Ties or Type A Flue -Fireplace Throat Clearance 49. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 50. Bdrm. Windows or Exiting Doors -Sill Ht. & Dimensions 51. Garage Fire Protection Framing 52. Property Line Firewall & Openings 53. Ext. Doors -One 3' -Check Garage 3rd Story, 2 Exits 54. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 55. Plywood on Roof Overhang -Attic Vents -Rafter Outriggers 56. Siding -Nailing Veneer 57. Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access 58. Glazing Area -Glass Protection -Skylights -Plastic 59. Shear Walls; Nailing -Bolts 60. Brace Interior/Exterior Wall Panels 61. Insulation -Walls -Ceilings 62. Infiltration -Walls -Windows Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date FINAL (Plans) OK except #'s 63. Ext. Steps -Door & Sidelight Protection -Landings 64. Smoke Detector 65. Furnace Vents -clearance -Comb, Air -Connector - In Garage; Above Floor-Ducts-Mech. Protection 66. Bedroom Exiting 67. G.F.I. & Bath Fixtures & Tub Access -Spa 68. Elec. Trim & Subpanel, Breaker Sizes & Labels 69. Stairs & Rails 70. Fireplace or Stove, Clearance -Hearth 71. Elec. Outlets at Wood Panel, Int. & Ext. 72. Kit. Fixt. & Appliance; Ground -Air Gap -Cooking Clearance 73. Elec. Outlets & Receptacles at Kit. Counter 74. Garage Fire Door; Swing -Landing -Closure 75. A.C. Duct in Garage -Damper 76. Wtr. Htr.; Vents -Clearance -Comb. Air Connector-P.R.V. in Garage; Above Floor-Mech. Protection 77. Plb., Elec. & Mech. Equip. Listed for Location 78. Elec. Receptacles in Garage (F.F.I.)-Romer. Protection 79. Insulation -Foam -Looked in Attic 80. Guard Rails & Deck Construction -Post Caps 81. Fdn. VBents & Crawl Hole Door Drainage & Wood -Earth Clearance Looked under Floor ❑ Yes 82. Following Insild./Drive J Yes ] NoMalks �) Yes J No/Planters,:) Yes J No 83. Stucco Brown -Finish 84. A.C. Unit Disconnect, Electrical -Plumbing 85. Vents Above Roof, Plbg-Appliance-Fireplace-Clearance to Openings 86. Water Well, Disconnect, Electrical, Plumbing 87. Exterior Elec. Trim, G.F.I. Receptacle -Underground 88. Ventilation Throughout House 89. Glass Protection 90. Corrections from Previous Inspections 91. Gas Test -Meters Tagged, Gas -Electric 92. Water & Sewer Connected -C/O to Grade -HD Approval 93. Energy Compliance Certificate -Other Certificates 94. Address Posted Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Comments at Final: V= OK 0 = Not OK = Not Applicable Not Ready MOBILE HOMES Date MOBILE HOME UTILITIES (Plans) OK except #'s Zoning Requirements -Setbacks -Easements 1. Zoning Requirements -Setbacks -Easements Footings; Soils -Size -Depth -Spacing -Connectors -Steel 2. Soils; Special MH Support Sketch Decks; Girders and/or Joists -Decking -Bracing -Stairs -Rails 3. Sewer; Location -Test -Fall -C/O -Concrete Wood Awn.; Posts-Beams-Rftrs.-Connectors Shthg.-Frg-Bracing 4. Water; Location -Test -Easement Needed (Sketch) Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 5. Electricity; Location-Clearances-Grnd-/ /Amp -Concrete Carports; Windows -Doors 6. Gas; Location -Test -Wrap;-/ /" L'ft. / P Nat. or / /'L"ft./ /'LPG Electric 7. Well Clearance & Disconnect Frmg.; Sills-Anchors-Studs-Rftrs-Trusses 8. Utility Clearance Siding; Nailing -Veneer -Stucco -Mesh 10. Roof; Shthg-Roofing 11. 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 1. 4. Electricity; MH Test -Crossovers -Breakers -Clearances 2. 5. Drain; MH Test -Fall -Flex Connector 3. 6. Water; MH Test -Regulator -Connector 4. 7. Water and Sewer Connected -C/O to Grade -HD Approval 5. B. Gas and Electricity Tagged 6. 9. Tie Downs -Type -Installation Cert. 7. 10. Exits; Insp.-Sketch 8. 11. Cert. of Occupancy 9. 12. Permanent Foundation Only; License Decal 10. Plumb.; Cir. Test -Water Supply Test Date Light Niche Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date MISCELLANEOUS Date DECKS, COVERS, CARPORTS GARAGES (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Footings; Soils -Size -Depth -Spacing -Connectors -Steel 3. Decks; Girders and/or Joists -Decking -Bracing -Stairs -Rails 4. Wood Awn.; Posts-Beams-Rftrs.-Connectors Shthg.-Frg-Bracing 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Carports; Windows -Doors 7. Electric 8. Frmg.; Sills-Anchors-Studs-Rftrs-Trusses 9. Siding; Nailing -Veneer -Stucco -Mesh 10. Roof; Shthg-Roofing 11. Ext.; Steps -Doors -Landings 12. Braced Wall Panels Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date FINAL (Plans) OK except #'s 1. Setbacks -Easements 2. Soils; Compaction -Structure Stability 3. Pool Structure; Steel -Connections -Thickness Dead Men -Lining 4. Elec.; Receptacles and Lighting, Distance-GFI 5. Elec.; Pool Lighting; 15 Volts-GFI 6. Elec.; Enclosures; Conduit Entries -Terminals -Listed 7. Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater 8. Elec.; Grounding; Equip. w/5' Circulating Equip. -Pool Lghtg. Boxes- Enclosures- Panelboards-Ins. to Main in Conduit 9. Health Department Approval 10. Plumb.; Cir. Test -Water Supply Test 11. Light Niche Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive - Oroville, California 95965 - Telephone (530) 538-7541 M PER NNO.� (Rev 1` 9_) APPLICATION AND PERMIT A�a ASSESSOR PARCEL NUMBER 041-400-048 ZONING AR -2 1/2 BUILDING PERMIT OWNER BARROSPALTIA�� TELEPHONE 894-8756 SQ. FT. OCC. BUILDING VALUATION ► 1 . OWNEF�'S�MIIJNG /��� �+ �+� (��� ADDRESS OK [til ORMUE -' E Ch 957176 CONTRACTOR'S NAME OWMr TELEPHONE CONTRACTORS MAILING ADDRESS CONSTRUCTION LENDER Fireplace LENDER'S MAILING ADDRESS Total Valuation is t • ARCHITECT OR ENGINEER UCENSE NO. Filing Fee $ 20.00 Permit Fee $ 207 00 ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ t BUILDING ADDRESS— 8 Energy Plan Checking Fee $ PERMIT FEE $ LOT NO. SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMIT Fling Fee 20.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome ❑ Other sPEclw 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: GUNM SW*11I`G POOL Gas piping stem 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home I S I G I W 920.00 PERMIT FEE $ ELECTRICAL PERMIT Fling Fee 20.00 800R LE 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.PSING License Class LIC. NO. OWNER -BUILDER.. DECLARATION 1 hereby affirm under penalty of perjury that I am exempt from the Contractors license Laws 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 WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ 1 have and will maintain workers' compensation Insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier Policy Number (The above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) O [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 thoseprovisions. l ice! f -J 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. Main Service TG 46.00 NEW CONST. DWEWNG OCCUCUP. SO- EE OR ADDNS. ( i ACC. BLDS. 3.50FT. INIOP}gEOSID' MULTLOUTLET . 97,50 8 E OUTLET OWERLAPPARATUCIR.S Ex. Occup. OUTLET OR FIXTURES SAL @':50 Ex. Occup. DPIUTE,E Aa DRQ 5.00 Tem orar Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 IOIX 30.0* PERMIT FEE $ 50.00reason MECHANICAL PERMIT Fling Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE $ Mobile Home Installation Fee $ Energy Inspection Fee $ Occ CONST. TYPE TOTAL FEE $ 41.1-55 HAZ. D. FEES IMP A D 2F r�EL A �pp HD U ISSUE 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. ' �~ / ; By /� ,+ i�t t1 Date (�/ �i�Cf� PERMIT EXPIRES ON / ate / Receipt No. IMA07I�►�a.jS WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT �--x-'----v�.-�•---.T-._'.�"fe+sr[.s}M'S'e ,..'-...----->-s: -'�,,.-,tom ��,-_..r-..�^.r,., Ott COUNTY OF EJTTE 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 ER S.3 C69 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. S t. •S. ry `1 4, Date Q Z Inspector REV 10/92 y NOTES 4 RESIDENTIAL PERMIT NO. 041-400-048 00-2163 BARROS, PAULA 3561 CLARK RD. OROVILLE CONTR: COLLAR, RUSS DETACHED GARAGE SPECIAL CONDITIONS CHECKED BY SRA FLOOD CERTIFICATE REQ. FIRE SPRINKLERS REQ. SPECIAL INSPECTION ITEMS VERIFY USE PERMIT CONDITIONS SUB -STANDARD HOUSING LETTER 4 JOB FINALED (Date) ��l/60 Signature - f / ' � t r i 5 }r i t r f r i r t 4 RESIDENTIAL PERMIT NO. 041-400-048 00-2163 BARROS, PAULA 3561 CLARK RD. OROVILLE CONTR: COLLAR, RUSS DETACHED GARAGE SPECIAL CONDITIONS CHECKED BY SRA FLOOD CERTIFICATE REQ. FIRE SPRINKLERS REQ. SPECIAL INSPECTION ITEMS VERIFY USE PERMIT CONDITIONS SUB -STANDARD HOUSING LETTER 4 JOB FINALED (Date) ��l/60 Signature J = OK 0 = Not OK - = Not Applicable =Not Ready Date RESIDENTIAL (; Date Underfloor (Plans) OK except #'s Hangers -Post Caps -Anchors -Connectors 1. Zoning -Setbacks -Easements -Flood -Slope Cling. Joist-Rftr. Ties-Purlin-Roll Brac.-Truss-Shting.-Rfng. 2. Ftg., Main; Soils-Elec. Grnd.-/ /" Ftg. Depth Fireplace Ties or Type A Flue -Fireplace Throat Clearance 3. Ftg., Garage; Soils-Steel-Elec. Grnd.-/ /" Ftg. Depth Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 4. Ftg., Porches & Decks; Soils -Steel-/ /" Ftg. Depth Bdrm. Windows or Exiting Doors -Sill Ht. & Dimensions 5. Stemwalls, Main; Steel-Blockouts-Wrapped Garage Fire Protection Framing 6. Stemwalls, Garage; Steel- Blockouts-Wrap ped Property Line Firewall & Openings 6a. Hold Downs and Special Anchors Ext. Doors -One 3' -Check Garage 3rd Story, 2 Exits 7. Slab, Steel -Wrapped Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 8. Piers -Fireplace Ftg.-Steel Plywood on Roof Overhang -Attic Vents -Rafter Outriggers 9. D.W.V.; Fall -Fitting -Test -2 Way C/O -Sewer Test Siding -Nailing Veneer 10. UF, Gas Pipe; Size Anchors - Yard Gas Piping; Size Test Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access 11. Water Pipe; Test -Anchors -Regulator -Service Test Glazing Area -Glass Protection -Skylights -Plastic 12. Electric Underground Shear Walls; Nailing -Bolts 13. Plenums & Ducts; Clearance -Material -Support -Ins. Brace Interior/Exterior Wall Panels 14. Girders -Sills -Anchor Bolts-Joists-Vents-Crippies Insulation -Walls -Ceilings 15. Access & Ventilation Infiltration -Walls -Windows 16. Insulation Date Date Date Card B-1 Date Card B-1 Date Date Card B-1 Date Card B-1 Date PLUMBING (Permit) OK except #'s Ext. Steps -Door & Sidelight Protection -Landings 17. Water Htr.; Vent -Access -Combustion Air Baffle Smoke Detector 18. Water Pipe; Test & Anchor -Nail Protection Furnace Vents -clearance -Comb, Air -Connector - In Garage; Above Floor-Ducts-Mech. Protection 19. D.W.V.; Test Fittings & Anchor -Nail Protection Bedroom Exiting 20. Shower Pan; Test, First Floor -Tub Access G.F.I. & Bath Fixtures & Tub Access -Spa 21. Test Tub & Shower, Second Floor -Tub Access Elec. Trim & Subpanel, Breaker Sizes & Labels 22. Gas Pipe; Sixe & Anchors Stairs & Rails 70. Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date ELECTRICAL (Permit) OK except #'s _ Elec. Outlets & Receptacles at Kit. Counter 23. Fixture & Transformer Clearance -Ins. Protection Garage Fire Door; Swing -Landing -Closure 24. Elec. Receptacles Spacing -Lights & Switches at Doors A.C. Duct in Garage -Damper 25. Size Boxes & No. of Conductors Stapled Wtr. Htr.; Vents -Clearance -Comb. Air Connector-P.R.V. in Garage; Above Floor-Mech. Protection 26. Romex Installed Close to Edge of Studs & C.J. Plb., Elec. & Mech. Equip. Listed for Location 27. Equip. Ground made up w/Mech Fasteners -Bond Gas & Water Elec. Receptacles in Garage (F.F.I.)-Romex Protection 28. 2 Appliance Circuits in Kitchen & Conductor Size GFI Insulation -Foam -Looked in Attic .29. Subfeed Wire Size / / ga. Cu or M-A.C. Wire Size / / ga Cu or At Guard Rails & Deck Construction -Post Caps 30. Range Circle / / ga Cu or Al -Oven Circ. / / ga Cu or At Insulated Neutral O Yes O No Fdn. VBents & Crawl Hole Door Drainage & Wood -Earth 31. Service -Riser Conductors & Ground Main Disconnect Clearance Looked under Floor O Yes 32. Equip. Clearances Panels-Motors-Mech. Equip. Following Instld./Drive J Yes J NoMalks J Yes :1 No/Planters ] Yes J No 33. Clothes Closet Light -Shower Light -Spa Light Stucco Brown -Finish 34. Smoke Detector A.C. Unit Disconnect, Electrical -Plumbing 85. Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date MECHANICAL (Permit) OK except #'s Ventilation Throughout House 35. A.C. Ducts Insulation & Support Glass Protection 36. Vent Fan, Exhaust above insulation Corrections from Previous Inspections 37. Condensate Drain & Overflow, Size & Grade Gas Test -Meters Tagged, Gas -Electric 38. Furnace -Vent Access -Comb. Air -Return Air Vent 115 outlet Water & Sewer Connected -C/O to Grade -HD Approval 39. Attic Access & Platform if Furnace in Attic Energy Compliance Certificate -Other Certificates 94. Address Posted Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date FRAMING (Permit) OK except #'s Date 40. Sits Proper Materials & Anchors Comments at Final: 41. Walls Studs -Nailing Spacing & Braces -Plates -Sound 42. Bearing Walls over Girders & Floor Nailing 43. Draft Stop in Walls (rat proof) 44. Fire Stops, Furred Ceilings -Stairs -Chasers -Tubs 45. Headers & Beams -Size & Bearing single & Duplex) .. ' Date FRAMING (Continued) 46. Hangers -Post Caps -Anchors -Connectors 47. Cling. Joist-Rftr. Ties-Purlin-Roll Brac.-Truss-Shting.-Rfng. 48. Fireplace Ties or Type A Flue -Fireplace Throat Clearance 49. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 50. Bdrm. Windows or Exiting Doors -Sill Ht. & Dimensions 51. Garage Fire Protection Framing 52. Property Line Firewall & Openings 53. Ext. Doors -One 3' -Check Garage 3rd Story, 2 Exits 54. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 55. Plywood on Roof Overhang -Attic Vents -Rafter Outriggers 56. Siding -Nailing Veneer 57. Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access 58. Glazing Area -Glass Protection -Skylights -Plastic 59. Shear Walls; Nailing -Bolts 60. Brace Interior/Exterior Wall Panels 61. Insulation -Walls -Ceilings 62. Infiltration -Walls -Windows Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date FINAL (Plans) OK except #'s 63. Ext. Steps -Door & Sidelight Protection -Landings 64. Smoke Detector 65. Furnace Vents -clearance -Comb, Air -Connector - In Garage; Above Floor-Ducts-Mech. Protection 66. Bedroom Exiting 67. G.F.I. & Bath Fixtures & Tub Access -Spa 68. Elec. Trim & Subpanel, Breaker Sizes & Labels 69. Stairs & Rails 70. Fireplace or Stove, Clearance -Hearth 71. Elec. Outlets at Wood Panel, Int. & Ext. 72. Kit. Fixt. & Appliance; Ground -Air Gap -Cooking Clearance 73. _ Elec. Outlets & Receptacles at Kit. Counter 74. Garage Fire Door; Swing -Landing -Closure 75. A.C. Duct in Garage -Damper 76. Wtr. Htr.; Vents -Clearance -Comb. Air Connector-P.R.V. in Garage; Above Floor-Mech. Protection 77. Plb., Elec. & Mech. Equip. Listed for Location 78. Elec. Receptacles in Garage (F.F.I.)-Romex Protection 79. Insulation -Foam -Looked in Attic 80. Guard Rails & Deck Construction -Post Caps 81. Fdn. VBents & Crawl Hole Door Drainage & Wood -Earth Clearance Looked under Floor O Yes 82. Following Instld./Drive J Yes J NoMalks J Yes :1 No/Planters ] Yes J No 83. Stucco Brown -Finish 84. A.C. Unit Disconnect, Electrical -Plumbing 85. Vents Above Roof, Plbg-Appliance-Fireplace-Clearance to Openings 86. Water Well, Disconnect, Electrical, Plumbing 87. Exterior Elec. Trim, G.F.I. Receptacle -Underground 88. Ventilation Throughout House 89. Glass Protection 90. Corrections from Previous Inspections 91. Gas Test -Meters Tagged, Gas -Electric 92. Water & Sewer Connected -C/O to Grade -HD Approval 93. Energy Compliance Certificate -Other Certificates 94. Address Posted Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Comments at Final: V=OK 0 = Not OK , - = Not Applicable MOBILE HOMES = Not Ready Date MOBILE HOME UTILITIES (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Soils; Special MH Support Sketch MISCELLANEOUS Date DECKS, COV 3. Sewer; Location -Test -Fall -C/O -Concrete ning Requirements -Setbacks -Easements 4. Water; Location -Test -Easement Needed (Sketch) 3. 5. Electricity; Location-Clearances-Grnd-/ /Amp -Concrete Wood Awn.; Post s- Beams- Rftrs.-Connectors Shthg.-Frg-Bracing 6. Gas; Location -Test -Wrap;-/ /" L'ft. / P Nat. or / /"L"ft./ /'LPG 6. 7. Well Clearance & Disconnect ectric 8. Utility Clearance 4. iding; Nailing -Veneer -Stucco -Mesh thg-Roofing Elec.; Pool Lighting; 15 Volts-GFI Ext.; Ste -Doors-Landings Date ced Wall Panels Card B-1 Date Card B-1 Date Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater 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 Date 6. Water; MH Test -Regulator -Connector Date 7. Water and Sewer Connected -C/O to Grade -HD Approval 8. Gas and Electricity Tagged 9. Tie Downs -Type -Installation Can. 10. Exits; Insp.-Sketch 11. Cen. of Occupancy 12. Permanent Foundation Only; License Decal Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 MISCELLANEOUS Date DECKS, COV S,,CARPORTS GARAGES (Plans) OK except #'s 1. ning Requirements -Setbacks -Easements Gtr', Card B-1 Date Card B-1 Footings; Soils -Size -Depth -Spacing -Connectors -Steel 3. Decks; Girders and/or Joists -Decking -Bracing -Stairs -Rails 4. Wood Awn.; Post s- Beams- Rftrs.-Connectors Shthg.-Frg-Bracing 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Carpons,.Windows-Doors ectric Pool Structure; Steel -Connections -Thickness Dead Men -Lining rmg.; 5ills•Anchors-Studs-Rftrs-Trusses 4. iding; Nailing -Veneer -Stucco -Mesh thg-Roofing Elec.; Pool Lighting; 15 Volts-GFI Ext.; Ste -Doors-Landings 1 ced Wall Panels Date Card B-1 Date Card B-1 Date Gtr', Card B-1 Date Card B-1 Date FINAL (Plans) OK except #'s 1. Setbacks -Easements 2. Soils; Compaction -Structure Stability 3. Pool Structure; Steel -Connections -Thickness Dead Men -Lining 4. Elec.; Receptacles and Lighting, Distance-GFI 5. Elec.; Pool Lighting; 15 Volts-GFI 6. Elec.; Enclosures; Conduit Entries -Terminals -Listed 7. Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater 8. Elec.; Grounding; Equip. w/5' Circulating Equip. -Pool Lghtg. Boxes- Enclosure s-Panelboards-Ins. to Main in Conduit 9. Health Department Approval 10. Plumb.; Cir. Test -Water Supply Test 11. Light Niche Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 COUNTY OF BUTTE BUILDING DIVISION DEPARTMENT OF DEVELOPMENT SERVICES 411 Main Street • Chico, CA • (530) 891-2751 t - •'•7 County Center Drive - Oroville, CA • (530) 538-7541 �CORRECTION NOTICE pa r+: OWNER. •, ; PERMIT NO. `y A routine inspection indicates that the following violations of butte county Ordinances exist at the ;2- 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, ;r please contact this office immediately. 41 N s 1'k f. 3`r.. k� 1� y - l� V ;; Date Inspector .. REV 1 /92 { .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 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. r t I I� f Date AZ>el Inspector REV 10/ '4Yia } } w .A.COUNTY OF BUTTE .� BUILDING DIVISION L - DEPARTMENT OF DEVELOPMENT SERVICES 411 Main Street • Chico, CA • (530) 891-2751 7 County Center Drive • Oroville, CA 1,(530) 538-7541 CORRECTION NOTICE r 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 cgpda'ct this office immediately. 12- A Z "?i r L _ ;� ` f.. x, fr 0 Date ' Inspector REV 10/92 COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION t 7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-7541 PERMIT NO. (Rev. 12/96) APPLICATION AND PERMIT on -�,? ASSESSOR PARCEL NUMBER 041-400-048 ZONING AR -21' BUILDING PERMIT OWNER BARROS PAULA TELEPHONE 894-0426 SO. FT. OCC. BUILDING VALUATION n 5.76 OWNERS MAILING ADDRESS 3561 CLARK RD. OROVILLE 95966 CONTRACTOR'S NAME RUSS COLLAR TELEPHONE 521-7877 CONTRACTORS 5u WILLOWS ?SPRINGS CHICO 95928 CONSTRUCTION LENDER Fireplace LENDER'S MAIUNG ADDRESS Total Valuation $ 10,368.00 ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00 Permit Fee $ ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ BUILDING ADDRESS SAlt4r Energy Plan Checking Fee $ $ PERMIT FEE $ 227.90 LOT NO. SUBDIVISION'S NAME PARCEL MAP PLUMBING PERMIT Filing Fee 20.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome ❑ Other SPECIFY 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: DET. GARAGE Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home ISI GI W1 1 @20.00 PERMIT FEE $ ELECTRICAL PERMIT Filing Fee 20.00 V OR LE 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, and my license is in fy.11 force and effect. J/ -�) �J License Class Lic. No. iW`/7✓S !/ 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. ❑ 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 c rrier and policy number are: Carrier 5'FV /�_ TIiT'e Main Service 200A TO 1000A 46.00 NEW CONST. DWEWNG OCCUP. OR ADDNS. ( a ACC. BLOB. SO 3.50FT. 20.15 NEW CONST. MULTI -OUTLET NON RESID. ANCH CIRCUITS @7.50 POWER APPARATUS a SINGLE OUTLET CSI R. Ex. Occup. OUTLET ORFIXTURES 20 @'.0° BAL @ .50 Ex. Occup. OUTLETS RES D.OP.A 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE $ 40.15 MECHANICAL PERMIT Fling Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE $ Policy Number r>76, — Y4 41X (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 pro ' 'ons of section 3700 of the Labor Code, I shall forthwit omply it os visions. X _ _ Date _ Signature ol Applicant - ❑ Owner Contractor ❑ Agent An OSHA permit is required for excav ions over 60" deep and demolition or construction of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST. TYPE TOTAL FEE $ 268.05 HAZ. I D. FEES IMP FLOOD CD PARCEL X PO ' HD ISSU This permit is hereby issued under of the Butte County Code and/or indicated above for which fees have By PERMIT EXPIRES ON the applicable provisions Resolutions to do work been paid. D to D D� pg�e Receipt No. Q 2 '33 / /$268.05 WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION • 7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-7541 PERMIT NO Rev. 12/96) APPLICATION AND PERMIT ASSESSOR PARCEL NUM ` 60 ,\0C[ zo G BUILDINGPERMIT OWNER © T ".°N /10 SO. FT. OCC. BUILDING VALUATION ; OWNERS MAI r ADD SS L� / © ✓! 1/ 3 ' CONTMCTOR'S NAM S� C Jv`� (/T TE QN 77 I CONT ORS NO DRES✓$ W J CONSTRUCTION LENDER s-1 LENDER'S MAILING ADDRESS Fireplace f Total Valuation $ f ARCHITECT OR ENGINEER uCENSE NO. Filing Fee $ 20.00 1 Permit Fee $ ARCHITECT OR ENGWEER S MAILING ADDRESS Plan Checking Fee $ Q BUILDING ADDRESS Energy Plan Checking Fee $ $ PERMIT FEE $ d, LOT NO. SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMIT Fling Fee 20.00 SF ❑ Duplex ❑ USEOFSTRUCTURE Mobilehome ❑ Other svEelFr Each Trap 7.00 Solar or heat pump water heater 23.00 Water piping 15.00 Each gas water heater or vent 15.00 New ❑ Addition Describe Work: TYPE OF WORK am od ❑ Ublities ❑ Installation ❑ Other ❑Buildin Gas piping system 1 - 5 outlets 15.00 sewer 15.00 Mobile Home I S I G I W 020.00 PERMIT FEE $ ELECTRICAL PERMIT Fling Fee 20.00 Main Service 2�o°wv o L�Ess 23.00 ReceiptNo. rpt /moi � RECEIPT #3 1--11-6- SRA $ C90 SHERRIF $_ O ' /j1� TOTAL $ �J Main Service 200A TO 1000A 46.00 NEW CONST. OR ADDNS. 11=1,G BLos. OCCSUP. 3.50,'r'=115 ( a Acc.. N ICO 0. MULTI.NTC, 97.50 P,0WGLE APPARATUS b OUTLET C10. OUTLET OR FDRURES 200 1'00 Ex. OCCU eAl @ .S0 ED APP Ex. Occup. OP"IUTIETS Ra °EA 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 { J PERMIT FEE $ MECHANICAL PERMIT Fling Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEt $ Mobile Home Installation Fee $ Energy Inspection Fee $ occ coNsr. TYPE TOTAL FEE $ S �z. o. FEES oo coF PARC PD HD ISSUE y 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. By Date PERMIT EXPIRES ON ate WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT E.H.-ILM NlY Plot Plan Attached Floor Plan Attached Sent to B.O. /gyp TO: Building Department FROM: Environmental Health SUBJECT: Sanitation Clearance Pj -�00 -0 LA> - Owner Location AP# Plan Approved for: Sewage Disposal t/- Water Supply: Public Private Well Clearance for dwelling. Other goc&q,st Hold final for: Final clearance0,.(K�. for: (VOTE: M o [3- v�C� kVX S cn Q Environmental • 8/96 Ith Svebalist LI s DCA G Date f -''��+NY.`�!`�h�'.a�`�SKsk'I'✓'��iy.c"F'�,/'*�tj.�} �:Rim'►+'+*y'"IW���"^i+t'i:�r;«-�„t+-��-�.^w...x� . COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE (530) 538-7541 PERMIT APPLICATION DATA SHEET OWNER: © ASSESSOR PARC ER: Proposed B ding Use:' Building Inspector: Date: — O C9 At time of permit application, I was advised the following data must be submitted prior to permit processing and/or issuance: Date Received By ❑ 1"..Mitems have been submitted.------------------------------------------------------------------------------------- &lot 3/4 plans, sets, signed by the preparer of plans. ------------------------------------------------------------ omplete plans, 3/4 sets, signed by the preparer of plans. -- ='-.------------------------------------- ❑4. Engineered plans, 3/4 sets, with wet signature on plans. All engineering must be shown on plans.-------- �Engineered truss details and layout in duplicate (required prior to plan review) No faxes! ------------------ El 6. Energy Design Compliance and supporting documentation. ---------------------------------------------------- --------------------------------------------------- 117. ❑7. Statement of Intent for Non -Heated and A/C Buildings. --------------------------------------------------------- 118. Hazardous Material Form. ------------------------------------------------------------------------------------------ ❑9. Manufactured Home data and installation instructions including Tie Down Specifications .------------------ ❑ 10. Fees of $ ------------------------------------------------------------------------------------- ❑ 11. Impact fees as shown on the attached schedule. ------------ - - - - - - - . California Department of Forestry plan approval/fees. � �-4-----_-__ ood elevation certificate. ---------------------------------------------------------------------------------------- Sanitation and plot plan approval04?) Health Department. ------------------------------------------- ` J ❑ 15. City of Chico plumbing permit. ----------------------------------------------------------------------------------- ❑ 16. Plot plan and business license approval from the City of Biggs.---------------------------------------------- ---------------------------------------------❑17. 1117.Planning approval for (A) Use: (B) Parking: -------------------------- ❑ 18. Contact Land Development about ❑ Improvements, ❑ Drainage, ❑ Legal Parcel. ----------------------- ❑ 19. Encroachment Permit for driveway (construction approval prior to occupancy). ---------------------------- 1120. Pre -inspection for required. Request to Building Inspector on ❑21. Contractor's license information. (Number, Name Style, Classification). 022: Workers' Compensation carrier and policy number. ----------------------- ❑23. Owner -Builder Verification (Given to owner ❑, Mailed to owner ❑). - 024. Letter of signature authorization. -------------------------------------------- (6ate) ❑2 ,. Recorded copy of Agricultural Acknowledgment Statement. -------------------------------------------------- tter of intent on building use. --�£- --- ec ____1`_".01- �'L�---------------------------- l� Manufactured Home utility clearance. --------------------------------------------------------------------------- sting violations and/or expired permits. 4k1 --- eL"4t-------(Ea 1 ------ --------------------�/ 29. 0433 A, ❑Grant Deed, ❑ M.H. Title, ❑ Check to H.C.D $ .--------------- 030. -------------- ❑30. Other: Wh ] y, issue t, o ss as follows El Mail to owner, ❑Ma'il/to contractor. Telephone �"'� � 7 and hold for pickup at G / / Gf� office. ❑ Deliver ith inspector. GQnR �� o-wv� I o- 1 I- 6 0 Applicant: S� 6bate: Copy of Haz-Mat form sent ❑ Health Department, ❑ Fire Department, ❑ Air Pollution Date: By: Copy of plans sent ❑ Health Department, ❑ Fire Department, ❑ Other: Date. By: 1. Index permit application for the above items numbered: ,Plan Check List 2. Additional items required: 1. ontract designer, owner, was advised of the above required data by ❑ phone, mail, ❑ Building Division counter, by j!Z) Date: -q -,-!!Is Contractor, designer, owner, was advised of the above required data by ❑ phone, ❑ mail, ❑ Building Division counter, by Date: Contractor, designer, owner, was advised of the above required data by ❑ phone, ❑ mail, ❑ Building Division counter, by Date: Contractor, designer, owner, was advised of the above required data by ❑ phone, ❑ mail, ❑ Building Division counter, by Date: Plans reviewed by: Date: Plans approved by: nj I Date: Sets of plans on hold in Plan Cabinet, 0 A.P. folder. Note transfer by: Date: September 21, 2000 Russ Collar 4425 Willow Springs Chico, CA. 95928 Paula Barros Department of Development Services P P Building Division 7 County Center Drive Oroville, CA 95965 (530) 538-7541 (530) 538-2140 FAX Assessor Parcel Number: 041-400-048 Building Permit Number: 00-2163 This office reviewed building plans for the permit application referenced above. The plan examiner's comments are listed in PART - I below. Please respond in writing to each comment in PART - I by completing and returning the enclosed PLAN REVIEW RESPONSE FORM. Indicate which detail, specification, or calculation shows the requested information. Additional response information is included on the response form. Your complete and clear response will expedite the re -check and approval of this project. PART — I Provide additional information and/or make revisions to plans, specifications and calculations as follows: 1. Plans and specifications shall be drawn to scale upon substantial paper or cloth and shall be of sufficient clarity to indicate the location, nature and extent of the work proposed and show in detail that it will conform to the provisions of this code and all relevant laws, ordinances, rules and regulations. (Uniform Building Code section 106.3.3). The building plans submitted with this application are not clear enough to microfilm. 2. Provide verification that the existing swimming pool was installed with a building permit. 3. The enclosed "Owner's Statement of Use — Detached Accessory Building" form will need to be completed and returned prior to the issuance of the building permit. 4. Plan review will continue upon receipt of the above items. Additional comments may be generated from your response above where plan documents were incomplete, inconsistent, or not adequate to depict code compliance. 5. Review of the building plans by the Butte County Building Division engineer has not been completed at this time. Any additional comments from the engineer will be addresses in separate correspondence. PART - 11 The items identified below must be submitted prior to permit issuance. These items were noted at time of permit application on the PERMIT APPLICATION DATA SHEET. 1 of 2 E 0 Sanitation and plot plan approval is required from the Butte County Environmental Health Department. If you wish to discuss any requirements in PART - I, you may contact me. at (530) 538-7541 between the hours of 1:00 p.m. and 4:00 p.m., Monday through Friday. The attached checklist must accompany corrected items. Sincerely, Glenn Gibbons Plans Examiner 2 of 2 - 9 COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES OWNER'S STATEMENT OF USE - DETACHED ACCESSORY BUILDING PN: uj ONE: BUILDING PMT. # OWNER: T2ANLAL4C P,'Olj PHONE: Rgq -Oq 2,6 MAI SITE ADDRESS: t�oY a PROPOSED USE: l�t�%b�rti2� PLEASE ANSWER QUESTIONS 1-20. PLEASE EXPLAIN YES ANSWERS (2-18) IN THE SPACE PROVIDED ON THE REVERSE OF THIS FORM. (PLEASE PRECEDE EACH COMMENT WITH RELATED QUESTION #) GENERAL INFORMATION: 1. Is there a primary dwelling on the property? Yes: __.U/No: 2. Is the structure already built, under construction, or under notice of code violation? Yes: No: 3. Will items produced in this building be offered for sale? Yes: No: 4. .Will the public have access to this building? Yes: No: �. 5. Will any advertising, on or off site, be associated with the use of this building? Yes: No: 6. Will this building be occupied at any time as a sleeping quarters? Yes: No: 7. Will this building be occupied at any time as an eating area? Yes: No: 8. Will this building be occupied at any time as a cooking area? Yes: No: 9. Will this building be occupied at any time as a living area? Yes: No: SITE CONDITIONS: / 10. Is the structure foundation within 5' of septic tank or 10' of leach fines? Yes: No: (/ 11. Is any portion of the proposed structure located closer than 20' to your front property line? Yes: No: 12. Do you plan to add a driveway or modify existing access to a county maintained road? Yes: No: _31 13. Will the proposed structure encroach within any recorded easement? Yes: No. CONSTRUCTION FEATURES: 14. Will this building have insulated floor, walls, or ceiling? Yes: No: VT 15. Will this building be heated or cooled? Yes: No: V 16. Will this building have a water closetttoilet? Yes: No: 17. Will this building have a sink? Yes: No: 18. Will this building have a water heater? Yes: No. , 19. What type of floor covering will the building have? A10 20. What type of wall covering will the building have?y/�r��� ADDITIONAL INFORMATION: 1,V I hearby affirm under penalty of perjury the above infromation is true and correct. I understand that any changes to the use, or character of use, of this building will require permits from the pemutting authority. I understand that Real Estate Disclosure laws require disclosure of this information if or when offered for sale. OWNER'S SIG DATE OWNER'S SIGNATURE DATE FOR DEPARTMENTAL USE REVIEWED BY: DATE: COMMENTS: COUNTY OF BUTTE- DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING DIVISION 7 County Center Drive - Oroville, California 95965 - Telephone (916) 538-7541 �)S__ �ERMIT NO. APPLICATION AND PERMIT ASS RP ER +�- + ZONING AR4.gT3 BUILDING PERMIT � �� PF�tNPI2D TELEPHONE SQ. FT. OCC. BUILDING VALUATION 624 R -B 1,872. OW 1 NG ADDRESS LARK RD., OROVI=, CA 95965 912 3 51,984. CONTRACTOR'S NAME ,RUSS COLLAR TELEPHONE 894-3955 980 . 0 80 14O O 32 C 416' CO TORS MAILING ADDRESS 2+25 [JILLOW SPRINGS RD., CHICO Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ 55.252. Fling Fee $ 20.00 LENDER'S MAILING ADDRESS Permit Fee $ 441.50 ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ 286.98 Energy Plan Checking Fee $ 23.00 ARCHITECT OR ENGINEERS MAILING ADDRESS Penalty $ BUILDINGADDRESS 3561 Clark Rd., Oroville PERMITFEE $ 771.48 PLUMBING PERMIT Filing Fee 20.00 Each Trap 7.00 7.00 LOT NO. SUBDIVISIONS NAME PARCEL MAP Solar Or heat pump water heater 23.00 Water piping 15.00 15.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome ❑ Other MIROPRACTIC OFTICF SPECIFY Each gas water heater or vent 15.00 Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other 1L'�i Describe Work: CONY LIVIILTG TO OFTICR & ADD PORCET i & deck - Mobile Home S G W 920.00 PERMITFEE $ 42.00 Contractor ELECTRICAL PERMIT Filino Fee 20:00 Main Service000v OR LESS ( 200A OR LESS ) 23.00 Main Service ( 200A TO 1000A ) 46.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect. License Class Lic. No. OWNER -BUILDER DECLARATION 1 hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: ❑ 1, 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 NEW CONST. DWELLING OCCUP. SO. OR ( a ) 3.5Q Fr. LTI-ACCUTLEBUDS CNSS. NEW CONST. MULTI -OUTLET NON-RESID. ( BRANCH CIRCUITS ) 97.50 30.90 (a SINGLE OUTLETWER T CSIR. ) 00 Ex. Occup. (OUTLET OR FO(TURES) 20 @ 1.00 8AL .50 Ex. Occup. I FIXEDPLNS OR ) 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMITFEE $ 50.90 Contractor WORKERS' COMPENSATION DECLARATION I hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit 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' compensation insurance carrier and policy number are: Carrier MECHANICAL PERMIT Filing Fee 20.00 9 Heating 20.00 Cooling 20.00 Hood 6.50 Ventilation 4.5 PERMITFEE $ 64.50 Contractor Policy Number (The above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) ❑ 1 certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to workers'z. 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. Mobile Home Installation Fee is Energy Inspection Fee Is 46. OCC co OTAL FEE $ 974.88 D. FEES I P FLOOD CDF PARCEL PD HD UE This permit y issued under the applicable provisions of the Butte County Code and/or Resolutions to do work indicated above for which fees have been paid. By Date PERMITEXPIRESON (Date) Receipt No. 190284/341.00// WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK-INSPECTO.R GOLDENROD -APPLICANT `�c,Q,o✓rvi 'RtY,F` rs?Y"r Iy�- •j,:. ,-�T•.�.t`rtis'ti rv^.tYr Y�ir 7f •.-f..y�..(",..F '•:r-s:•rt•y�f`t�7'it-•��- 'i ►'li- =�'`�1 •-,..•..r..f"•r•x. .�n F` ��.�-r" t •' . t R "'-COUNTY OF BUTTE- DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING DIVISION 7 County Center Drive Orovill4, California 95965 - Telephone (916) 538-7541 ERMIT NO. APPLICATION AND PERMIT Ass$sQRPA CEL BER ,- 1 ZO�� BUILDING PERMIT OWN1 - ~ TELEPHONE SO. FT. BUILDING VALUATION pOCpC1.. 624 R -B 1,872. OWN MAILING ADDRESS i5b1 c"7,Axx RD., OROVILLE, CA 95965 912 B, 51,984. CONTRACTOR'S NAME *0"; Z{JSS COLLAR TELEPHONE 894-3955 140 O 980. 86 32 C 416. 32 co RACTORS MAILING ADDRESS CM WUJ-ai SPRINGS RD., CH1CO Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ 55,252. Filing Fee $ is 20.00 LENDER'S MAILING ADDRESS Permit Fee $ 441.50 ,ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ 286.98 Energy Plan Checking Fee $ f 23.00 ARCHITECT OR ENGINEERS HARING ADDRESS Penalty # $ BUILDING ADDRES!_., 3561 Clark Rd., Oroville PERMITFEE $ 771.48 PLUMBING PERMIT Filing Fee 20.00 1^1 Each Trap 7.00 7.00 LOT NO. SUBDIVISION'S NAME PARCEL MAP Solar or heat pump water -heater 23.00 Water piping 15.00 15.00 USE OF STRUCTURE SF ❑ Duplex ❑ • Mobilehome ❑ Other CHRIMPRACPIC OWICE SPECIFY Each gas water heater or vent 15.00 Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other.= Describe Work: CONY LIVING ^10 OMCE & ADD PORCHES & deck - Mobile Home ISI GI W1 @20.00 PERMITFEE g 42,00 Contractor ELECTRICAL PERMIT Filinq Fee 20:00 Main Service ( 200A ORLEss ) 23.00 Main Service ( 200A TO Io00A ) 46.00 f LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect. License Class Lic. No. OWNER -BUILDER DECLARATION 1 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 astheir 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 NEW CONST. DWELLING OCCUR OR ( & ACC. BLDS. ) SO. 3.50 FT. CNS. NEW CONST.MULTI-OUTLET NON-RESID. ( BRANCH CIRCUITS ) @7.50 30.90 POWER APPARATUS 1 ( 8. SINGLE OUTLET CIR. / Ex. Occup. (OUTLET OR FUTURES ) 20 @ L.50 BAL .50 Ex. Occup. (OFIXEDrs (PLNS..OR ) 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMITFEE $ 50.90 Contractor - WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ 1 have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier MECHANICAL PERMIT Filing Fee 20.00 9 Heating 20.00 Cooling 20.00 Hood 6.50 Ventilation 4.550 PERMITFEE $ 64.50 Contractor Policy Number (The above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) ❑ 1 certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall forthwith 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. Mobile Home Installation Fee Is Energy Inspection Fee Is 46. occ coy OTAL FEE $ 974-88 Z. I D. FEES VP P FLOOD CDF PARCEL PD, HD V/ SUE This permi y issued under the applicable provisions of the Butte County Code and/Or Resolutions to do work indicated above for which fees have been paid. By Date PERMITEXPIRESON (Date) Receipt No. 190284/341.00// 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 (916) 538-754195'- -PERMIT NO. -s APPLICATION AND PERMIT 3 -- ASSE�,S�RPAR--CELNUA�BER ar >T) •(�� (�1 z�i3 BUILDING PERMIT ow ER TELEPHONE SQ. FT. OCC: BUILDING VALUATION 2• ®S3 624 R-f� 1472. OWN 'S MAILING ADDRESS 3 6I CI. tK P11., (xMUX, CA 95965 912 B 51,%A. N MTM` NAME iHJw7al .i1 k TELEPHONE £'9G-3955 140 0 %0. YqC�,/ 32 r A16. CONTRACTORS MAIUNG ADDRESS 4425 WTUM SPitL'US i:i.., foam Fireplace CONSTRUCTION LENDER UNXNOWN Total Valuation $ 55.252. Filing Fee $ 20.00 LENDER'S MAIUNG ADDRESS Permit Fee $ 441.50 ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ 286.98 Energy Plan Checking Fee $ 23.00 ARCHITECT OR ENGINEERS MAILING ADDRESS Penalty $ BUILDING ADDRESSr. 3501 CLI& IAC{., Clroville PERMITFEE $ 772.48 PLUMBINGPERMIT Filing Fee 20.00 Each Trap 7.00 7.00 IAT NO. SUBDIVISIONS NAME PARCEL MAP Solar or heat pump water heater 23.00 Water piping 15.00 15.E USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome ❑ Other c"F.nCH'RA MIC SPECIFY Each gas water heater or vent 15.00 Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other "I7. NPERMITFEE Describe Work: rYMV LIVi WI 10 OrFICE & ADD PORME5 & dmk - Mobile Home I S I GI W 1 920.00 $ 42.00 Contractor ELECTRICAL PERMIT Filina Fee 20.00 Main Service000V OR LESS ( 200A OR LESS ) 23.00 Main Service ( 200A TO I000A ) 46.00 ._ LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect. License Class Lic. No. OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Coltractors 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 NEW CONST. DWELLING OCCUP. So. OR NS. ( a ACC. ) 3.50 FT. CONST. MULTI-OUUTLETLE NEW CT NON-RESID. ( BRANCH CIRCUITS ) 97.50 30.90 POWER APPARATUS ( d SINGLE OUTLET CIR. / Ex. Occup. ( OUTLET OR FIXTURES ) 20 @ 100 SAL 0 .50 Ex. Occup. (OUTLETSFIXAPPLIN D.OR 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMITFEE $ 50.90 Contractor WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ 1 have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier MECHANICAL PERMIT Filing Fee 20.00 9 Heating 20.00 Cooling 20.00 Hood 6.50 Ventilation 4.50 PERMITFEE $ (114.50 Contractor Policy Number (The above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) ❑ 1 certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall forthwith 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. Mobile Home Installation Fee $ Energy Inspection Fee $ 46.01[ occ CONST P TOTAL FEE $ 974.88 H Z. D. FEES I` P FLOOD CDF PARCEL PD HD ISSUE ✓ This permi� 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. BY Date PERMITEXPIRESON I (Date) Receipt No. 1'xr..a4/ 341.(>0 WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT -COUNTYOFBUTTE-DEPARTMENT OF DEVELOPMENT SERVICES-BUILDINGDIVISION 7 County Center Drive - Oroville, California 95965 - Telephone (916) 538-7541 -PERMIT NO. APPLICATION AND PERMIT gS-1l AS SuE$r'SMRPM1AR�CuNIJM�BER i-``�.KK��llllfF�a� ZO, tt9 BUILDING PERMIT Y TELEPHOI ONNE SO. FT. OCC. BUILDING VALUATION 624 R-8 1,F72. OWNEWSPAI IAADtDRESS Of�QNIt,t�, CA 95965 j ,Y 912 B 51484. coNTfLgCfDRS SIAM±a TELEPHONE 894-3955 240 0'0T . 416. coN4RE WI1W VLUNGSM).,CRCO Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ 55.2g2. Filing Fee $ 20.00 LENDER'S MAIUNG ADDRESS Permit Fee $ 441.50 ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ 2W.98 Energy Plan Checking Fee $ 23.t�1 ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS -3561 C+ rk Rd., �Ille 1 j� PERMITFEE $ 777. 6 PLUMBING PERMIT Filing Fee 20.00 Each Trap 7.00 7.()0 LOT NO. SUBDI'VISION'S NAME PARCEL MAP Solar or heat pump water heater 23,00 Water piping 15.00 15.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome ❑ Other CH&Vt4 crLIC WICE SPECIFY Each gas water heater or vent 15.00 Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other°O Describe Work: QIOV IMIG M OFMCE 6 AIS POFOM 6 clock - Mobile Home IS I GI W1 @20.00 PERMITFEE $ .lU Contractor ELECTRICAL PERMIT Filina Fee 20.00 Main ServiceEIIV OR LESS ( 200A OR LESS ) 23.00 Main Service ( 200A TO 1000A ) 46.00 LICENSED CONTRACTOR'S DECLARATION 1 hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect. License Class Lic. No. OWNER -BUILDER DECLARATION 1 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. ❑ 1, 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 NEW CONST. DWELLING OCCUR SO. OR AooNs. ( a ACC. BLDS. ) 3.52 Fr. NEW CONST. MULTI.OUTLET 3()- 0 NON-RESID. ( BRANCH CIRCUITS ) 97.50 IV/ 77��1/ POER APPARATUS (a SINWGLE PPA -Er CIR. ) Ex. Occup. ( OUTLET OR FIXTURES) 20 @ 1.00 SAL @ .SO Ex. Occup. (OUFIXED APPLNS. TLETS (RESOD.) 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMITFEE $ 50. 711 Contractor WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ 1 have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier MECHANICAL PERMIT Filing Fee 20.00 9 Heating 20.nn Cooling 20.0) Hood 6.50 Ventilation 4.50 PERMITFEE $ 64.50 Contractor Policy Number (The above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) ❑ I certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to 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, 1 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. Mobile Home Installation Fee $ Energy Inspection Fee $ 46.!J( occ co; ` �. 974.t',.�3 TOTAL FEE $ HAZ. D. FEES IMP FLOOD CD PARC0. PO 11 ISSUE >f 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. By Date PERMITEXPIRESON Y;j+• . (Dare) Receipt No. 19Ci A/341.(XU/ 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 (916) 538-754 PERMIT NO, APPLICATION AND PERMIT ' ASSESSORPARCELNUMBER rO, r(� I J_ Z NG113 BUILDINGPERMIT OWNER � -Bernard TELEPHONE SO. FT. I OCC. BUILDING VALUATION 1,972,00 OWNERS MAUNG ADDRESSz vi ICe ON. z s� 8 CONTRACT ' S NAyME [?6 ry !E XV O , 00 O CONTRALTO 5 1{,)NG ADDRESS �� !/�/l Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ 252 • 00 Filing Fee $ 20.00 LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ 62-28 Energy Plan Checking Fee $ 23. 00 ARCHITECT OR ENGINEERS MAIUNG ADDRESS Penalty $ BUILDING ADDRESS PERMITFEE $ , PLUMBINGPERMIT Filing Fee 20.00 Each Trap 7.00 7. OD LOT NO. SUBDIVISION'S NAME PARCEL MAP Solar or heat pump water heater 23.00 Water piping 15.00 ' L5 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome A Other _h 11012 ��iG �T9'ILe "–`% sPECIFv Each gas water heater or vent 15.00 Gas piping system 1 - 5 outlets t— 15.00 Building sewer 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑ /Iwa yel k z /LiJ /1.1 n1 r Describe Work: ( G GU CJ /y ((�(� Mobile Home S G W I @20.00 PERMITFEE g Z Op Contractor ELECTRICAL PERMIT Filing Fee 20_00 { (Main Service coo v OR LESS 200A OR LESS / 23.00 Main Service ( 200A TO I000A ) 46.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect. License Class Lic. No.Ex. OWNER -BUILDER DECLARATION f 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 NEW CONST. DWELLING OCCUR OR ( 8 ACC. BLDS. ) SD. 3.S¢ FT. CNS. NEW CONST.MULTI-OUTLET NON-RESIO. ( BRANCH CIRCUITS ) @7.50 130-96 POWER APPARATUS (8 SINGLE OUTLET LIR. ) Ex. Occup. (OUTLET OR FIXTURES ) 0d 20 © I. BAL .0050 Occu FIXEDAPPLNS. OR p' (OUTLETS (REBID.) EA. ) 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMITFEE S Contractor WORKERS' COMPENSATION DECLARATION I hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit 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' compensation insurance carrier and policy number are: Carrier MECHANICAL PERMIT Filing Fee 20.00 Heating 00 CoolingO Hood , 6.50 Ventilation PERMITFEE $ Contractor Policy Number (The above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) ❑ 1 certify that in the performance of the work for which this permit is issued. I shall not employ any person in any manner sq 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 ❑ Contr_actor ❑ Agent An OSHA permit is required for excavations over 50" deep and demolition or construction of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee Is ocC CONST. TYPE Q TOTAL FEE $ - I 4 HAz D. FEES I IMP i FLOOD I i COF I PARCEL I PD I HD ISSUE This permit is hereby issued under the of the Butte County Code and/or indicated above for which fees have BY PERMITEXPIRESON applicable provisions Resolutions to do work been paid. Date (Date) Receipt No. WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK-IN'iPECTOR GOLDENROD -APPLICANT A 1 "I COUNTY OF BUTTE- DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive - Oroville, California 95965 - Telephone (916) 538-7541 PERMIT NO. APPLICATION AND PERMIT 9S -5) % ASSESSOR PARCEL NUMBER 041-400-048 ZONING ARMH3 BUILDING PERMIT OWNER PAULA BERNARD TELEPHONE SO. FT. OCC. BUILDING VALUATION OWNERS MAILING ADDRESS 3561 CLARK RD. OROVILLE CA 95965 #923 R462-9 AXX8 ' 84 0 588. CONTRACTOR'S NAME RUSS COLLAR TELEPHONE 894-3955 3�Z' {*tel - `� 1 CONTRACTORS MAILING ADDRESS 4425 WILLOWC Fireplace 'l. 1+104 CONSTRUCTION LENDER UNMOWN Total Valuation $ Filing Fee $ 20,00 LENDER'S MAILING ADDRESS Permit Fee $ 08.00 ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee 3s2.65.20 Energy Plan Checking Fee $ : 23.00 ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS 1561 CLARK RD OROVIT.I.E. PERMITFEE .3 - PLUMBING PERMIT Filing Fee 20.00 Each Trap 7.00 7.00 LOT NO. SUBDIVISIONS NAME PARCEL MAP Solar or heat pump water heater 23.00 USE OF STRUCTURE SF X:K Duplex ❑ Mobilehome ❑ Other SPECIFY Water piping / 15.00 15.00 Each gas water heater or vent 15.00 Gas I in system 1- 5 outlets piping Y 15.00 Building sewer 15.00 TYPE OF WORK New ❑ Addition R Remodel ❑ Utilities ❑ Installation ❑ Other ❑ Describe Work: nGAME ROOM, ADD TO RECPT ROOM & NEW DECK (3-2-, �kL � Mobile Home IS I GI W @20.00 PERMITFEE $ 42.00 Contractor ELECTRICAL PERMIT Filina Fee 20:00 Main Service 000V OR LESS ( 200A OR LESS ) 23.00 Main Service ( 200A TO 1000A ) 46.00 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 fu rce and effect. ^ License Class Lic. No. !/0_3 7 V OWNER -BUILDER DECLARATION 1 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. ❑ 1, 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 NEW CONST. DWELLING OCCUP. OR ADDNS. ( & ACC. BIDS. ) SO. 3.5Q FT. NEW CONST. ( MULTI -OUTLET ) NON•RESID. BRANCH CIRCUITS 97.50 3O • 90 ( POWER APPARATUS ) 8 SINGLE OUTLET CIR. Ex. Occup. ( OUTLET OR FDCTURES ) 20 Q 1.00 a4L SO Ex. Occup. oUTIE S RESID.OR A ( ) 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMITFEE $ 50.90 Contractor WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. 1 have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers'w ag'an instoance carrier and policy number are:44.50 Carrier Policy Number (The above section!TnegcTnot Be COT Moleted 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' compens tion provisions of section 3700 of the Labor Code, I shall f with comply ith th a provisions. �j X - Date �� / 5 Signatur of Ap icant - ❑ Owner Contractor ❑ Ag t 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 120.00 Cooling Hood 6.50 Ventilation 4.50 PERMITFEE $ Contractor Mobile Home Installation Fee Is Energy Inspection Fee 46.00 Is occ CONST. TYPE TOTAL FEE $ 919.40 HA 0. FEES IMP I FLOOD COF PARCEL PD HO ISSUE This permit is here y issued under the of the Butte County Code and/or indicated above for which fees have BY PERMITEXPIRESON applicable provisions Resolutions to do work been paid. Date (Date) Receipt No. /. WHITE-D.D.S.-B. CANA-ASSESSO PINK-INSOPECTOR GOLDENROD -APPLICANT 4. „ XOUNTY OF BUTTE- DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive - Oroville, California 95965 - Telephone (916) 538-7541 PERMIT NO. 6 ', APPLICATION AND PERMIT �-3 ASSESSOR PARCEL NUMBER 041-400-048 ZONING iH3 BUILDING PERMIT OWNER PAULA BERNARD TELEPHONE SO. FT. OCC. BUILDING VALUATION OWNERS MAILING ADDRESS 3 61 CLARK RD., OROVILLL CA 95965 77���QQ I L\ 'i d.�Li &M 47628 84 0 588. CONTRACTOR'S NAME RUSS COLLAR TELEPHONE 894-3955 ;o1J CONTRACTORS MAILING ADDRESS 4425 WILLOW Cg CO Fireplace _ L4� CONSTRUCTION LENDER UNKNOWN Total Valuation $ 46-216. ' LENDER'S MAILING ADDRESB Filing Fee $ 20.00 Permit Fee $.., ' 408.00 ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ 265.20 Energy Plan Checking Fee $ 23.00 ARCHITECT OR ENGINEERS MAILING ADDRESS Penalty $ BUILDING ADDRESS ! • 3561 JGLAft RD., OROVILLE PERMITFEE S -,-,'7-16i-20 _ a PLUMBINGPERMIT Filing Fee 20.00 Each Trap 7.00 7.00 LOT NO. 4 SUBDIVISIONS NAME PARCEL MAP Solar Or heat pump water heater 23.00 ,r j USEOFSTRUCTURE SF:M, Duplex ❑ Mobilehome ❑ Other 1`- SPECIFY Water piping 15.00 15.00 Each gas water heater or vent 15.00 Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 TYPE OF WORK New ❑ Addition R Remodel ❑ Utilities ❑ Installation ❑ Other ❑ Describe Work: GAME �M, ADD TO RECPT ROOM & NEW DECK y>'}`�,( l; a(. �� A �'/• f '� i Mobile Home IS I GI W1 @20.00 PERMITFEE 4 42.00 Contractor ELECTRICAL PERMIT Filin Fee 20:00 t Main Service ( zoon OR mss ) 23.00 Main Service ( 200A TO 1000A ) 46.00 _ LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencingwith Section 7000 of Division 3 of the Business and Professions Code, ) and my license is in fuV rce and effect. ^^ License Class Lic. No. 03 I V OWNER -BUILDER DECLARATION 1 hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: ❑ 1, 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. ❑ 1, 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 NEW CONST. DWELLING OCCUR OR ADONS. ( 8 ACC. BLDS. ) s0. 3.52 FT. NEW CONST. ( MULTI -OUTLET ) NON-RESID. BRANCH CIRCUITS @7.50 30.90 POWER APPARATUS 8 SINGLE OUTLET CIR.) Ex. Occup. (OUTLET OR FORURES) 20 Q 1.00 BAL SO EX. Occup. OUTLETS (RESID.) FIXED APPLNS. ( ) 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMITFEE $ 50.90 Contractor WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will mairttain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. 1 have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers',,o p nsa ' ins nce carrier and policy number are: Carrier h Policy Number (The above sections ne notBe complete 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 subidatito the workers' compens tion provisions of section 3700 of the Labor Code, I shall f with comply Inth a provisions. A It Xl(A Date �_/ Signatur of App icant - ❑ Owner Contractor ❑ Ag t ' An OSHA permit is required for excava Ions over 60" deep and demolition or construction of structures gyer 3 stories in height.By r. •"` ,e .,Y d ,i � Vii'.-: MECHANICAL PERMIT Filing Fee 20.00 Heating 20.00 Cooling Hood 6.50 Ventilation 4.50 PERMITFEE i (F Contractor Mobile Home Installation Fee $ Energy Inspection Fee $ Occ CONST. TYPE TOTAL FEE $ 919.4 HA2 1 D. FEES IMP FLOOD COF PARCEL b PDQ HD �,_ This permit is hebey 'r issued under the of the Butte County Code and/or indicated above for which fees have PERMITEXPIRESON applicable provisions Resolutions to do work been paid. Date (Date) Receipt No. , /,b� WHITE-D.D.S.-B. CANARY -ASSESSOR/ PINK -I ECTOR GOLDENROD -APPLICANT v `COUNTY OF BUTTE- DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING DIVISION � 7 County Center Drive - Oroville, California 95965 - Telephone (916) 538-7541 PERMIT NO. APPLICATION AND PERMIT 51 % ASSESSOR PARCEL NUMBER 041-400-048 ZONING A `'IH3 BUILDING PERMIT OWNER PAULA BERNARD TELEPHONE SO. FT. OCC. BUILDING VALUATION OWNERS MAILING ADDRESS 3561 CLARK RD., OROVILLE CA 95965 $$� I r R7tSH 47 2 84 0 CONTRACTOR'S NAME ' RUSS COLLAR TELEPHONE 894-3955 ` 1 I CONTAACTORS MAWNG ADDRESS 4 � SP ? D CHICO Fireplace (, CONSTRUCTION LENDER ti UNMOWN Total Valuation $ 48216. LENDER'S MAILING ADDRESS Filing Fee $ 20.00 Permit Fee $ 408.00 ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ 2 Energy Plan Checking Fee $ 23.00 ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ I BUILDINGADDRESS 3561 CLARK RD., OROVILLE PERMITFEE $ 716.20', PLUMBING PERMIT Filing Fee 20.00 Each Trap 7.00 7;00 LOT NO. SUBDIVISION'S NAME PARCEL MAP Solar or heat pump water heater 23.00 USEOFSTRUCTURE SF XJ. Duplex ❑ Mobilehome ❑ Other SPECIFY Water piping 15.00 15.00 Each gas water heater or vent 15.00 Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 TYPE OF WORK New ❑ Addition <ai Remodel ❑ Ulilities ❑ Installation ❑ Other ❑ Describe Work: GAME ROOM. ADD TO RECPT ROOM & NEW DECK ,1'`t Mobile Home S G W 920.00 PERMITFEE S 52.00 Contractor ELECTRICAL PERMIT Filin Fee 20.'00 - Main ServiceEOOV OR LES ( zooA oR LEssS ) 23.00 Main Service ( 200A TO 1000A ) 46.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencin with Section 7000 of Division 3 of the Business and Professions Code, g ) and my license is in fu(4.f rce and effect. License Class Lic. No. OWNER -BUILDER D CLARATION 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 NEW CONST. DWELLING OCCUR OR NS. ( a ACC. ) SO. 3.50 FT. NEW CCONST. MULTI.OUTLETLE T NON-RESID. ( BRANCH CIRCUITS ) 97.50 30.90 POWER APPARATUS (a SINGLE OUTLET CIR. ) Ex. Occup. (OUTLET OR FIXTURES ) BAL Q 1.00 Ex. Occup.FIXED ((ESI.OR (OUTLETS (RESID.) EA) 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMITFEE $ 50.90 Contractor WORKERS' COMPENSATION DECLARATION I hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. 5 1 have and will maintain workers' compensation insurance, as required by Section /K 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' o p nsa ' n ins nce carrier and policy number are: Carrier n Policy Number (The above sections ne notBe complete 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 subjectito the workers' compensation provisions of section 3700 of the Labor Code, I shall ith comply 1th tho a provisions. X Date I- Z71 4?5' Signatur of Applicant -__E1 Owner Contractor ❑ Agefft ` An OSHA permit is required for excavations over 5'0" deep and demolition or construction of structures over 3 stories in height. ' + MECHANICAL PERMIT Filing Fee 20.00 Heating 20. 00 Cooling Hood 6.50 Ventilation (+• 50 PERMITFEE $ (�4 � j0 Contractor Mobile Home Installation Fee $ 1 Energy Inspection Fee $ OCC CONST. TYPE TOTAL FEE $ 919.40 HAZ. D. FEES IMP FLOOD COF PARCEL PDQ HD ISSUE This permit is hereby issued under the of the Butte County Code and/or indicated above for which fees have By PERMITEXPIRESON applicable provisions Resolutions to do work been paid. Date (Date) Receipt No. /,.?� `, WHITE-D.D.S.-B. .' CANA -ASSESSOR PINK -I ECTOR GOLDENROD -APPLICANT 4k COUNTY OF BUTTE- DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive - Oroville, California 95965 - Telephone (916) 538-7541 _ PERMIT NO. APPLICATION AND PERMIT " ASSESSOR PARCEL NUMBER ZONIIW CIM BUILDING PERMIT OWNER PAULA BERNARD TQU`HONE SO. FT. OCC. BUILDING VALUATION OWNERS MAILING ADDRESS 3561 CLARK RD., OROVILLE CA 95965 882 R AM 47 28 84 D 583. CONTRACTOR'S NAME RUSS COLLAR TELEPHONE 894-3955 CONTRACTORSMALWES RRCI4425 Fireplace CONSTRUCTION LENDER UN -OWN Total Valuation is • LENDER'S MAILING ADDRESS Fling Fee $ 20,00 Permit Fee $ 00 ARCHITECT OR ENGINEEFq LICENSE NO. Plan Checking Fee $ 205.20 Plan Checking Fee $ .00 (. ECT OR ENGINEERS MAILING ADDRESS - ARCHITECT Penalty $ BUILDINGADDRESS 3561 CLARK RD.. OROVT= PERMITFEE $ % .204 PLUMBINGPERMIT Filing Fee 1 20.00 Each Trap 7.00 7. LAT NO. SUBDIVISION'S NAME PARCEL MAP Solar or heat pump water heater 23.00 USEOFSTRUCTURE SF,tK Duplex ❑ Mobilehome ❑ Other SPECIFY Water piping 15.00—T5.W Each gas water heater or vent 15.00 Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 TYPE OF WORK New ❑ Addition U Remodel ❑ Utilities ❑ Installation ❑ Other ❑ Describe Work: GAR ROM, ADA TO RBCPT ROAM & NU DECK _ Mobile Home IS I GI W @20.00 PERMITFEE $ Contractor ELECTRICAL PERMIT Filina Fee 20.00 Main Service "OV OR LESS ( 20.A OR LESS ) 23.00 Main Service ( 200A To 1000A ) 46.00 - 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 fujlrf rce and effect. � License Class ! 103 t / (�i �i Lic. No. 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. ❑ I am exempt under Sec. Business and Professions Code for this reason NEW CONST. DWELLING OCCUR SO. OR ADDNS. ( a ACC. BLOB. ) 3.5Q F7. NEW CONST. MULTI -OUTLET NON-RESID. ( BRANCH CIRCUITS ) @7.50 30.90 ( POWER APPARATUS ) a SINGLE OUTLET CIS. Ex. Occup. (OUTLET OR FIXTURES) BAL a +:50 Ex. Occup. ouTLEEDTS R S D.PPLNS.OEA ( ) 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMITFEE $ 50.90 Contractor 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. TV I have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' o p nsa - n ins ance carrier and policy number are: Carrier (A�'f Policy Number (The above sections ne not Be co m-oletecr 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, 1 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 ! with comply with tho a provisions. +} X Date (_ Signatur of Applicant - Owner Contra� ❑ Ageffit An OSHA permit is required for excava ions over 50" deep and demolition or construction of structures over 3 stories in height. MECHANICAL PERMIT Fling Fee 20.00 Heating 20.00 Cooling Hood 6.50 Ventilation 4.50 PERMITFEE S 44. 50 Contractor Mobile Home Installation Fee $ Energy Inspection Fee $ OCC CONST. TYPE TOTAL FEE $ 91I—E HA2. D. FEES IMP FLOOD COFPARCEL P 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. By Date PERMITEXPIRESON (Date) Receipt No. "'+ ~ % /,t I WHITE-D.D.S.'-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT 1'�r�-rRir."'.,'7,�"''}?��•r�,•,•'�1"�11r'7e°i9�lSr."'�F8'�iE�' fi:i"'°'y�'� .":JoP'ria/sGt;'r7'n;:���t•-��...-•...-;,,:��`....n.,.:. GOUNTYOF BUTTE - DEPARTMENTOF DEVELOPMENT SERVICES - BUILDING DIVISION 7COUNTYCENTER DRIVE - OROVILLE, CALIFORNiAA95965 -TELEPHONE (916) 538-7541 PERMIT APPLICATION DATA SHEET OWNER I �''� l ReX,114-ocp . P® No. D T 1 YUd 'Ct-I� Proposed Building Use Building Inspector Vfp-' Date �-7 At time of permit application, I was advised the following data must be submitted prior to permit processing and/or issuance: DATE RECEIVED BY 1. All items have been submitted . ....................................... . 2. Plot plans, 3/4 sets, signed by preparer of plans, ......................... . 3. Complete plans, 3/4 sets, signed by preparer of plans . ..................... . 4. Engineered plans and calcs, 3/4 sets, with wet signature on plans . ............. 5. Hazardous Material Form. ................... 6. Energy Design Compliance and supporting documentation . .................. -� 7. Statement of Intent for Non -Heated and A/C Buildings . ...................... 8. Engineered truss details and layout in duplicate (required prior to plan check). .... 9. Mobilehome at ufacturer's installation instructions, 2 sets. p� Fees of $ r' (Q.J?.. �.o ....... . 11. Impact fees as shown on attached schedule. ..&os ....... 2. California Department of Forestry plan approval /f3. Flood elevation letter (100 year figodd,),py,� lyfgrner. ................ . . Sanitation and plot plan approva //G Health Department . ............ s G 15. City of Chico plumbing permit. . 16. Plot plan and business license approval from City of Biggs/Gridley. .. . Gffc✓.Ic a (� Sg 17. Planning approval for (A) Use: oK- (B) Parking: 18. Contact Land Development about . (A) Improvements (B) Drainage. .......... . 19. Driveway permit (construction approval required prior to occupancy). .. . . 20. Pre -inspection for PR�"�e�O" �QO� p required. . to Building Inspector (Date) 21. Contractor's license information. (No., Name Style, Classification) . .............. 22. Certificate of Workmans Compensation Insurance . .......................... 23. Owner -Builder Verification (Given to owner , Mail to owner ) ............ 24. Recorded copy of Agricultural Acknowledgement Statement . .................. 25. Letter of signature authorization . ........................................ 26. Copy of recorded deed of parcel creation and 60 right of way to a public road. .... . 27. Letter of intent on building use . ......................................... 28. Mobilehome utility clearance . .......................................... 29. Documentation of legal access . ..................... :.................. 30. Documentation of 50% subdivision developed or (A) Road improvements completed and (B) Parcel meets zoning area and frontage requirements . ............... 31. Existing violations/expired permits . ...................................... 32. PI checklist. .......�......................................... 33. 34. When you you issue thecQcess-as follows: Mail to owner. Mail to contractor. c/ Telephone and hold for pickup at office. Deliver with inspector. Other Parcel Creation Acreage Applicant Date Copy of Haz-Mat form sent Health Dept. Fire Dept. Air Pollution Date �. Copy of plans sent Health Dept. Fire Dept. Other Date By ; The following data must be submitted prior to permit issuance: (Circle new item not checked above). 1. Index permit for above items No. 2. Additional items required: 1).1✓r►iA 14110A M j1 41rnAl ¢ ✓Y1 A^110 I, 1) VA i D n P V 1AAo,AI Contractor, designer, owner, was advised cif above required data 4V _ phone_ mail Contractor, designer, owner, was advised of above required data by _ phone _ mail Plans checked by Date Plans approved by Sets of plans on hold in File -cabinet AP folder Copy - Department of Public Works unter by J-Ubate unter by _ Date Date TO: FROM: SUBJECT: Building Department Environmental Health Sanitation Clearance USB ONL Plat Plm At ubed Plow Plan Aua&W Sect to B.D. TTA &,a)2 aQ2 U la Qr) _C/Q 2(4 Owner Location Plan Approved for: Sewage Disposal Water Supply: Public _ Clearance for bile-llorne: Other ,o ►/1 In ►rri n r-& r. o -1j()-u� APAP _ Private Well' � ft.Ci -�/r� ✓�-� bio /' ('�VYI ,� ! � � rP /Yi° c ��,� Lp a",ai� c � v�� /lr ,noir, c Hold final for: Y 101*71r-) a kn. Final clearance O.K. for: NOTE: P-L� rwAovl /Mjy). Environmental Health Specialist R/92 COUNTY OF BUTTE DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 F-QUNTY CENTER DRIVE, OROVELLE CA 95965 TELEPHONE (916) 538-7541 PROPOSED BUILDING USE 5 .� 1 SCHOOL DISTRICT FEES, (paid at District Office) REC. A.P. #DVi-� DATE �Z # DATE REC 2. SHERIFF FEES (paid at Building Division) Residential...... x =$ unit amt. Commercial (sq.ft.). x . =$ 3. URBAN AREA FEES (paid at Building Division) Residential (per unit). x =$ #units amt. Commercial (sq.ft.).. x =$ _ 4. sq.ft. amt. RECREATION DISTRICT FEES (paid at District Office) 5. THERMALITO DRAINAGE DISTRICT FEES / $400.00 (paid at Building Division) (� 6 SRA FIRE INSPECTION AND PLAN CHECK $89.00 (paid at Building Division) 7. WATER TENDER FEES (BATTALION # ) $200.00 (paid at Building Division) Q CSA 87 TRAFFIC FEE $2500.00 (paid at Building Division) I- �011"fl At time of permit application, I was advised the above fees are required to be paid prior to issuance of the permit. „ , APPLICANT DATE Z ,'L7 r 'J COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 .County Center Drive - Oroville, California 95965 - Telephone (916) 538-7541 PERMIT NO. APPLICATION AND PERMIT 95- 3137 ASSESSOR PARCEL NUMBER ®CC(_ ZONIN(G BUILDING PERMIT OWNER TElEY110NE SO. FT. OCC. BUILDING VALUATION OWNERS ADDRESSI G n I�svt.1� CONTRACTO !/ COMRACTO UN�Gp �A-DDggEESS �� ZC� �JtHoc-i Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ 64 Vz:pl( Filing Fee $ 20.00 LENDER'S MAILING ADDRESS Permit Fee $ c7ljoyz, ARCHITECT OR ENGINEER LICENSE No. Plan Checking Fee $ Y p Energy Plan Checking Fee $ C.r-S ARCHITECT OR ENGINEERS MAILING ADDRESS Penalty $ BUILDINGADDRESS PERMITFEE S v PLUMBING PERMIT Fling Fee 20.00 Each Trap 7.00 � LOT No. SUBDNLSpNS NAME PARCEL MAP Solar or heat pump water heater 23.00 Water piping 15.00 �oQ� USEOFSTRUCTURE SF uplex ❑ Mobilehome ❑ Other SPECIFY Each gas water heater or vent 15.00 Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 TYPE OF WORK New ❑ Addition ''Remodel ❑ Utilities ❑ Installation ❑ Other ❑ Describe Work: C.�v'`L-O, jiwt/� %C�� dw O�� LL% -!f//-1' /V�_-J G Mobile Home ISI GI W1 @20.00 PERMITFEE S �� Contractor ELECTRICAL PERMIT Filina Fee 20.00 Main Service600V OR LESS ( 200A OR LESS ) 23.00 Main Service ( 200A TO I000A ) 46.00 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 m license is in full force and effect. Y License Class Lic. No. OWNER -BUILDER 'DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: ❑ 1, 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. ❑ 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 Policy Number (The above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) ❑ 1 certify that in the performance of the work for which this permit is issued. I shall not employ any person in any manner so as to become subject to workers' compensation laws of California, and agree that H 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" eep and demolition or construction of structures over 3 stories in height. 3� NEW CONST. DWELLING OCCUR S. �t /_°.\ OR ADDNS. ( a ACC. BLDS. ) 3.5¢ SFT. V f TV NEW CONST. MULTI.OUTLET NON-RESID. ( BRANCH CIRCUITS ) @7.50 ( POWER APPARATUS SINGLE OUTLET aR. a ) EX. OCCUp. ( OUTLET OR FIXTURES ) 20 O I•00 SAL SO Ex. Occup. OUXTLEM (RESI�OEA ( � 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMITFEE $ Contractor MECHANICAL PERMIT Filing g Fee 20.00 Heating Cooling Hood 6.50 Ventilation cs PERMITFEE S Contractor Mobile Home installation Fee $ Energy Inspection Fee $ C Occ CONST. TYPE TOTAL FEE $ HAZ. O. FEES IMP FLOOD CDF PARCEL PD I I ISSUE This permit is hereby issued under the of the Butte County Code and/or indicated above for which fees have BY PERMITEXPIRESON I applicable provisions Resolutions to do work been paid. Date (Date) Receipt No. 2-9 WHITE-D.D S -B.D CANARY -ASS S R PINK -INSPECTOR GOLDENROD -APPLICANT COUNTY OF BUTTE DEPARTMENT'OF DEVELOPMENT SERVICES BUILDING DIVISION NOTICE Post this job card in a safe conspicuous place. Do not remove until all required Inspections are made and building is approved for occupancy. Plans must be available on the job site. 041-400.-048 PERMIT#95-3137 .BERNARD; Paula ¢`r356T'CTark-Rd , Orovi-lle - - COCont 7.Russ; Collar ,Add GameRm,RecptRm &,De Int',ck'/SF �,,.► x�;,, tX1l��"PS PERMITTEE MUST CALL FOR INSPECTIONS Water Service Pool Final Plumbing Final Electrical Final Mechanical Final Buildina•or M.H. Final DO NOT OCCUPY UNTIL ALL THE ABOVE IS SIGNED AND THE BUILDING OR MOBILE HOME IS APPROVED FOR OCCUPANCY Addresse: : :::>::>::::::>::>::»:>::;:::::::..:........:....::.niormati on::..:::24::Nrins Oroville 7 County Center Dr. 538-7541 538-7636 Chico 1469 Humboldt Rd. 891-2751 891-2834 Paradise 747 Elliott Rd. 872-6307 872-6307 Revised 7/94 CIO' tteont i .. '•N- w A�iD BEAUT Bu1LDING DIVISION DEPARTMENT OF DEVELOPMENT SERVICES 7 COUNTY CENTER ORIVE • OROValt CALIFORNIA 95965-9.197 TELEPHONE (916) 59&7541 FAX: (916) 538.2140 Dear Property owner: We have issued a permit to construct a new building, an addition, • or to- do remodeling on your property. This letter is to inform you we have approved the building plans submitted for conformance with code requirements. We will only inspect the construction for conformance with code requirements. It is your responsibility to see that the building conforms to your plans and expectations. Should you have any questions concerning this letter or any other matter pertaining to the construction, please do not hesitate to contact this office. Yours very truly, Michael C.' Vieira, C.B.O. MCV:ahb Manager, Building Inspection COUNTY OF BUTTE BUILDING DIVISION DEPARTMENT OF DEVELOPMENT SERVICES 7 COUNTY CENTER DRIVE OROVILLE, CALIFORNIA 95965-3397 m Paula Bernard 3561 Clark Rd. Oroville, CA 95965 041-400-048 PERMIT#95-3137 BERNARD, Paula 3561 Clark Rd., Oroville Cont; Russ Collar Add GameRm,RecptRm & Deck/SF - 041-400-048 PERMIT#95-3137 � BERNARD, Paula 3561 Clark Rd., Oroville Cont; Russ Collar ` Add GameRm,RecptRm & Deck/SF RE: Attached Building Permit lcowzt BUILDING DIVISION DEPARTMENT OF DEVELOPMENT SERVICES 7 COUNTY CENTER ORIVE • OROVILLE. CALIFORNIA 95965-9.197 TELEPHONE: (916) 538-7541 FAX: (916) 538.2140 Dear Permittee: Attached is your building permit along with the approved set of plans and a job card. Please post the job card on the job site in a conspicuous location for the inspector to sign during the various phases of construction, and also have the approved set of plans on the site at all times. Inspections will not be made if the job card and approved plans are not on the job at. the time of inspection. Please review the approved set of plans before construction and make note of any corrections made in red. If any of these notes or corrections are not clear to you, please contact this office - do not proceed with the work without making the correction. The job card must be signed by the inspector before proceeding with each item listed. Should he not sign the card, a white correction notice will list the corrections to be made and a call back inspection must be made before going any further. Please allow 24 hours for inspection service. As a reminder to you, it is illegal to occupy this building or portion of building for which this permit is issued without approval from this office. On certain occasions a temporary occupancy will be permitted. Please do not confuse gas or electrical service to the building as an occupancy clearance. Before occupancy, all of the "final items" listed on the job card must be signed by the inspector or special permission given. Your permit expires one year from date of issuance. If the work has started, but is not completed and finaled by the expiration date, a renewal permit is required. If the renewal application has not been made within 30 days of the original permit expiration date, or if the work has not commenced, a new permit application and fees will be required. upon cozipetion of the wo k covered by this permit, please contact this office for inal inspection. Should you have any questions concerning this letter or any other matter pertaining to building construction, please do not hesitate to contact this office. 1 Michael C. Vieira, C.B.O. MCV•ahb Manager, Building Inspection Attachments i RESIDENTIAL G�A f 041-400-048 PERMIT#95-3137 BERNARD, Paula 3561 Clark Rd., Oroville Cont; Russ Collar Add GameRm,RecptRm & Deck/SF JOB FINALED (Date) Signature V=OK 0 = I'Jot OK ' •=NotRealdy MOBILE HOMES Date MOBILE HOME UTILITIES (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements 1. Zoning Requirements - Setbacks - Easements 2. Footings; Soils -Size -Dept iSpacing-Connectors-Steel 2. Soils; Special MH Support Sketch 3. Decks; Girders and/or Joists -Decking -Bracing -Stairs -Rails 3. Sewer, Location-Test-Fall-C/0-Concrete . 4. Wood Awn.; Posts-Beams-Rftrs.-Connectors Shthg: Rfg: Bracing 4. Water, Location-Test-Easement Needed (Sketch) 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 5. Electricity; Location-Clearances-Gmd-/ /Amp-Concrete 6. Carports; Windows -Doors 6. Gas; Location-Test-Wrap; / NL'ft. / /Nat. or/ PL"ft./ /LPG 7. Electric 7. Well Clearance & Disconnect 8. Frmg.; Sils-AnchorsStuds-Rftrs-Trusses 8. Utility Clearance 9. Siding; Nailing Veneer -Stucco -Mesh 10. Roof; Shthg-Roofing Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date MOBILE HOME INSTALLATION (Plans) OK except #'s Card B-1 Date Card B-1 1. Zoning Requirements- Setbacks Easements Card B-1 Date Card B-1 2. Footings; Size-Spacing-Marriage Line POOLS (Plans) OK except #'s 3. Gas; MH Test-Demand Valve-Connector 1. Setbacks -Easements 4. Electricity; MH Test-Crossovers-Breakers-Clearances 2. Soils; Compaction -Structure Stability 5. Drain; MH Test-Fall-Flex Connector 3. Pool Structure; Steel -Connections -Thickness Dead Men -Lining 6. Water; MH Test-Regulator-Connector 4. Elec.; Receptacles and Lighting, Distance-GFI 7. Water and Sewer Connected-C/0 to Grade-HD Approval 5. Elec.; Pool Lighting; 15 Volts-GFI 8. Gas and Electricity Tagged 6. Elec.; Enclosures; Conduit Entries -Terminals -Listed 9. Tie Downs-Type-Installation Cert. 7. Elec.; Bonding; Metal w/6 -Circulating Equip. -Heater 10. Exits; Insp.-Sketch 8. Elec.; Grounding; Equip. w/5' Circulating Equip. -Pool Lghtg. Boxes-Enclosures-Panelboards-Ins. to Main in Conduit 11. Cert of Occupancy 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 MISCELLANEOUS Date DECKS, COVERS, CARPORTS, GARAGES (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Footings; Soils -Size -Dept iSpacing-Connectors-Steel 3. Decks; Girders and/or Joists -Decking -Bracing -Stairs -Rails 4. Wood Awn.; Posts-Beams-Rftrs.-Connectors Shthg: Rfg: Bracing 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Carports; Windows -Doors 7. Electric 8. Frmg.; Sils-AnchorsStuds-Rftrs-Trusses 9. Siding; Nailing Veneer -Stucco -Mesh 10. Roof; Shthg-Roofing 11. Ext.; Steps -Doors -Landings Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date POOLS (Plans) OK except #'s 1. Setbacks -Easements 2. Soils; Compaction -Structure Stability 3. Pool Structure; Steel -Connections -Thickness Dead Men -Lining 4. Elec.; Receptacles and Lighting, Distance-GFI 5. Elec.; Pool Lighting; 15 Volts-GFI 6. Elec.; Enclosures; Conduit Entries -Terminals -Listed 7. Elec.; Bonding; Metal w/6 -Circulating Equip. -Heater 8. Elec.; Grounding; Equip. w/5' Circulating Equip. -Pool Lghtg. Boxes-Enclosures-Panelboards-Ins. to Main in Conduit 9. Health Department Approval 10. Plumb.; Cir. Test -Water Supply Test Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 J=OK O = Not OK - Not Applicable Not Ready RESIDENTIAL (Single & Duplex) ' = Date UNDERFLOOR (Plans) OK except #'s Date FRAMING (Continued) 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 -Bloc kouts-Wrapped 6a. Hold Downs and Special Anchors 7. Slab; Steel -Wrapped 8. Piers -Fireplace Ftg.-Steel 9. D.W.V.; Fall -Fitting -Test -2 Way C/O -Sewer Test 10. UF. Gas Pipe; Size -Anchors - yard gas piping: size -test 11. Water Pipe; Test -Anchor -Regulator -Service Test 12. Electric; Underground 13. Pienums & Ducts; Clearance -Material -Support -Ins. 14. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples 15. Access & Ventilation 16. Insulation Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date PLUMBING (Permit),OK except a's 16. _Water Htr.: Vent -Access -Combustion Air -Baffle 17. Water Pipe: Test & Anchor -Nail Protection ------------ ------- 18. D.W.V : Test -Fittings & Anchor -Nail Protection ------------------------------------------------ --- - -- --- 19. Shower Pan: Test. First Floor -Tub Access 20. Test Tub & Shower. Second Floor -Tub Access -------------------------- --------------------------------- 21. Gas Pipe: Size & Anchors --------------------------------------------------------------------------------- Date Card B-1 Date Card B-1 -------------------- ----- ------------- ----------------- ------ Date Card B-1 Date Card B-1 Date ELECTRICAL (Permit) OK except n's 22. Fixture & Transformer Clearance -Ins. Protection -------------------------------------------------------------------------------- 23. ------------------------------------------ ---------- 23. Elec. Receptacles Spacing -Lights & Switches at Doors 24. Size Boxes & No. of Conductors -Stapled ------------------------------------------ -------------....._.-..... 25. Romex Installed Close to Edge of Studs & C.J. -------...-------------`------------------- ---------------- ------------------------ 26. Equip. Ground made up wrMech. Fastners-Bond Gas & Water --------- ----------------------------------- - ------- ...... 27. 2 Appliance Circuts in Kitchen & Conductor Size,GFI ------------------------------------------........... .. 28. Subfeed Wire Size ga. Cu or AI-A.C. Wire Size ga. Cu or At -------------------------------------------- --- -- -...... .. 29. Range Circ / , ga. Cu or AI -Oven Circ. ga. Cu or Al. Insulated Neutral ❑ Yes ❑ No ------------------------------ -------._...--- 30. Service -Riser Conductors & Ground -Main Disconnect - ----------------------------------------------------..... _ ........... ....... .. 31 Equip_ Clearances Panels_Motors_Mech. Equip. ---.. .. _ ._. ....... ....... .. 32. Clothes Closet Light -Shower Light -Spa Light -------- -------------.-_.---_ . ..__- ............ ... 33. Smoke Detector ------------------------------ -- - ------ ------........ ....... ... ........... .. Date Card B-1 Date Card B-1 ---------.... -_. _. .. Date Card B-1 Date Card B-1 Date MECHANICAL,(Permit) OK except ti's 34. A.C. Ducts Insulation & Support -----------------...__.....--------- - - ....................... ... ... ....... .. 35. Vent Fan: Exhaust above insulation ------------------------ ------.... _ ... 11- ............. ... ... ...... 36. Condensate Dram & Overflow: Size & Grade ----------- - ............. ....................... ..... . 37. Furnance-Vent: Access -Comb. Air -Return Air Vent -115 outlet ------- ............ ... ..---.._. ... ... .. 38 Attic Access & Platform if Furnance in Attic ... ........... ........ ------------- --------- _ . -- Date Card B-1 Date Card B -t -- -- ....... ....... ....... . ..... Date Card B-1 Date Card B-1 Date FRAMING (Plans) OK except ft's 39. Sils. Proper Material & Anchors --- - - --- ... ... ... ... .. ..... ... ... ... .. 40. Walls Studs -Nailing. Spacing & Bracing- Plates -Sound .... ....... ... ... ...... .. 41. Bearing Walls over Girders & Floor Nailing ... ............................... ... ... .. 42. Draft Stop in Walls (rat proof) ... .......... _ 43. Fire Stops: Furred Ceilings -Stairs -Chases -Tub --- - ---------- -- - --------- .. .- - --............ .. ..I .... . .. ... ... .. 44. Headers & Beam -Size & Bearing 45. Hangers -Post Caps -Anchors -Connectors 46. Cing. Joist-Rftr. ties- Purlin-roof Brac-Truss-Shthng.-Rfng. 47. Fireplace Ties or Type A Flue -Fireplace Throat clearance 48. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 49. Bdrm. Windows or Exiting Doors -Sill Hgt: &'Dimensions -------------------------- - 50. Garage Fire Protection Framing ---------------------------------- 51. Property Line Firewall & Openings 52. Ext. Doors -One 3' -Check Garage -3rd Story, 2 Exits ---- ------------------ ------------------- 53. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection ----------------- 54. plywood on Roof Overhang -Attic Vents -Rafter Outriggers - ----------------- 55. Siding -Nailing Veneer --------------------------------- - ___ 56. Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access ______ 57. Glazing Area -Glass Protection - Skylights- Plastic 58. Shear Walls: Nailing -Bolts ------------------------- 59. Insulation -Walls -Ceilings ------------------------- - 60. Infiltration -Walls -Windows ----------------- ------------------------------------------------ -- Date_ Card B-1 Date _ Card B-1 Date Card B-1 Date Card'13-1 Date FINAL (Plans) OK except n's 61. Ext. Steps -Door & Sidelight Protection -Landings ------------= - -- 62. Smoke Detector -------------------------------------------- 63. Furnace: Vents -Clearance -Comb. Air -Connector - In Garage: Above Floor -Ducts -Meth. Protection ------------------------------ 64. Bedroom Exiting .... - - - - ----- ------------------ 65. G.F.I. & Bath Fixtures & Tub Access -Spa ----_.... --- - - - -- -------- 66. Elec. Trim & Sub anel: Breaker Sizes & Labels ..-- ---------------------------- 67. Stags & Rails ...---....._..- - ------------------------------ 68. Fireplace or Stove: Clearances -Hearth= ----------------------------------- - 69. Elec. Outlets at Wood Panel: Int. & Ext. ..... .. --------------------------------------- 70. Kit.Fixt. & Appliance: Grnd.-Air Gap -Cooking Clearance ...... ....--------------------------------------- -- 71. Elec. Outlets & Receptacles at Kit. Counter ...... ... .... -. - - -------------------------- 72. Garage Fire Door: Swing -Landing -Closer 73. A.C. Duct in Garage -Damper ----........_....---------------------------- ------ 74. Wtr. Htr.: Vents -Clearance -Comb. Air-Connector-P.R.V. In Garage: Above Floor -Meth. Protection ---- - - - --- ---------------------------- 75. Plb.. Elec. & Mech. Equip. Listed for Location ......---------- - ---------------------- --------------- 76. Elec. Receptacles in Garage: (G.F.I.)-Romex Protection .... -------- -------------------------- 7, Insulation -Foam -Looked in Attic ❑ Yes .....- ---------------------------------------------- 78. Guard Rails & Deck Construction -Post Caps ...... _ _... -- ----------- ------------------------ -- 79. Fdn. Vents & Crawl Hole Door -Drainage & Wood -Earth Clearance Looked under Floor- ❑ Yes- - .. ... ...----------- -- 80. Following instld.: Drive ❑ Yes ❑ No: Walks ❑ Yes ❑ No: Planters ❑ Yes ❑ No ..------...---- ---------------------------------- 81 Stucco: Brown -Finish ------------------------------ --------- 82. A.C. Unit: Disconnect. Electrical, Plumbing - ---------------------------------- 83. Vents Above Roof: Plbg.-Appliance-Fireplace.-Clearance to Openings 84. Water Well: Disconnect. Electrical. Plumbing ----- - ....----------------------- --------- ----- 85 Exterior Elec. Trim: G.F.I. Receptacle -Underground ....... ..... - ----- -------------------------------- 86 Ventilation Throughout House -- ------------------------------------- 87 Glass Protection ------------------ ----------- 88. Corrections from Previous Inspections 89 Gas Test -Meters Tagged: Gas -Electric .._-...------------------------------------- 90. Water & Sewer Connected -C/O to Grade -HD Approval - --- -------------------------------------------- 91. Energy Compliance Certificate -Other Certificates -- ------------------------------ 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: _s came HOME OCCUPATION PERM SIDE t i AP# Y OO 0YA Phone # Address of Parcel �-� Z elemlc RI 6eovj-�Ll C lSq(oS Standards of Permit Issuance: A. Employment and work on home occupations shall be limited to members of the family residing on the premises and shall be conducted entirely within their dwelling and auxiliary buildings, except for agricultural uses. B. On -premises advertising for home occupations shall be limited to one (1) unlighted sign with not more than three (3) square feet of display area, and such sign shall not be located in any required yard. C. All equipment, materials and wastes connected with the home occupation shall be contained within a building, except for agricultural products. tandards in the FR zones: In exception to the above standards, the following shall apply to all FR 1. ones within the County: P t A. ' Home occupations are considered to be accessory to the residential use and are permitted only when the proprietor resides on the premises. B. Not more than one (1) employee or assistant may be engaged for work or service on the premises in connection with such uses. C. Advertising displays shall be limited to one (1) unlighted sign with not more than six (6) square feet of display area. Such sign shall not be located in any required yard. Use Permit Requirement. _ In cases where home occupations are objectionable or become objectionable, because of noise, odor, smoke, dust, bright light, vibration, pollution, traffic congestion, unsafe access or the handling of explosives or dangerous materials, a Use Permit shall be required. FOR OFFICE USE ONLY The requested use for this parcel is described on the reverse. Oarcel is zoned i� 2M ' 3 _ Approved by (Planner) OA Date of issuance/approval A0 is)- Cl6S� MARL- i2i Clear Creek Chiropractic Clinic • 3561 Lower Clark Rd. • Oroville, CA 95965 (916) 342-9666 C] .1 rA "The doctor of the future zoill give no medicine but will interest he- palklits in the care of the human frarne in the cause It11d the prevention of disease." Thomas Edison ■ Clear Creek Chiropractic Clinic 3561 Lower Clark Rd. • Oroville, CA 95965 (916) 342-9666 • "The Doctor of the future will give no medicine but will interest her patients in the care of the human frame in the cause and the prevention of disease." Thomas Edison !PROJECT NAME (� `JECT ADDRESS PRINCIPAL DESIGNER - ENVELOPE R v '.'% C., o �-.1. Va eL DOCUMENTATION AUTHOR P" S s ti e, TELEPHONE TELEPHONE X4s.--7Z.So DATE Z- 'Z�o WENEFIAL INFORMATION- - •DATE DATEOF PLANS BUILDING CONDITIONED FLOOR AREA` CLIMATE ZONE 3 I BUILDING TYPE 1A NONRESIDENTIAL HIGH RISE RESIDENTIAL HOTEL/MOTEL QUEST ROOM PHASE OF CONSTRUCTION El NEW CONSTRUCTION ADDITION 0 ALTERATION � UNCONDITIONED (File Affidavit) METHOD OF ENVELOPE COMPONENT OVERALL ENVELOPE 0 PERFORMANCE COMPLIANCE STATEMENT -UP COMPUANCE This Certificate of Compliance lists the building features and performance specifications needed to comply with Title 24, Parts 1 and 6 of the California Code of Regulations. This certificate applies only to building envelope requirements. The Principal Envelope Designer hereby certifies that the proposed building design represented in this set of construction documents is consistent with the other compliance forms and worksheets, with the specifications, and with any other calculations submitted with this permit application. The proposed building has been designed to meet the envelope requirements contained in sections 110, 116 through 118, and 143 or 149 of Title 24, Part 6, Chapter 1. i ..;ase check one: F] I hereby affirm that I am eligible under the provisions of Division 3 of the Business and Professions Code to sign this document as the person responsible for its preparation; and that I am a civil engineer or architect. (� I affirm that I am eligible under the exemption to Division 3 of the Business and Professions Code by Section 5537.2 of the Business and Professions Code to sign this document as the person responsible for its preparation; and that I am licensed contractor preparing documents for work that I have contracted to perform. Q. I affirm that I am eligible under the exemption to Division 3 of the Business and Professions Code by Section of the Code to sign this document as the person responsible for its preparation; and for the following reason: PRINCIPAL ENVELOPE DESIGNER - NAME ---]SIGNATU LIC. NO. DATE q '3.t -70 •• .MANDATORY Indicate location on plans of Note Block for Mandatory Measures S �,� T` f -V INsTnUcTIoNs to APPLICANT For detailed instructions on the use of this and all Energy Efficiency Standards compliance forms, please refer to the Nonresidential, anual published by the California Energy Commission. -NV-1: Required on plans for all submittals. Part 2 may be incorporated In schedules on plans. ENV -2: Used for all submittals: choose appropriate version depending on method of envelope compliance. ENV -3: Optional. Use if default U -values are not used. Choose appropriate version for assembly U -value to be calculated. NonrosldenbW Compliance Form December 1991 1 PROJECTNAMEDATE A u Tz- 72-- --j- o- 9(a I 0P.AQUE SURPACLS ..................... ASSEMBLY NAME INSULATION R -VALUE CONSTRUCTION TYPE LOCATION/COMMENTS: OTE Ta (eg. Wall -1, Floor -1) (eg. R-19, R-22, etc.) (eg. Block, Wood, Metal) (eg. Suspended Ceiling, Demising, etc.) ............. P-11 W 0, .................... 4. r .................... ............ ..................... . ..................... YLIGFIT NAME I I NO. OF I I U -VALUE Ift-Skv-D- PANES FRAME TYPE SKYLIGHT MATERIAL (eg. Glass, Plastic, etc.) 1111 U 11!7:113 MMD�!�� .. ......... ... ... ........... .. ... ; .... . ..• ... .. ... ..... ............. ... ................ ............................... .............................. ....... ......................... ..................... ............................... .............. ................ ............................... ............................... ............................... ............................... ............................... ............................... ............................... . .............. ............................... '-, .... I .. .................. .. .................. .............................. ............................................ ..... .... Nonresidential Complance Form July 1995 PROJECT NAME /3 DATE REI Z- �p DISPLAY PER- b'72 !GFROSS EWALL b, 72, IMETER (DP o'72- WA X Y.� T -A- DP X 6 0,72, GREATER OF If the PROPOSED WINDOW AREA Is eater than tieMAXIMUM S , Z MAXIMUM ALLOWABLE ALLOWABLE WINDOW AREA WINDOW AREA. then go to another PROPOSED method. Z7 WINDOW AREA ASSEMBLY NAME (eg. Wall -1, Fri) VVN Li, I (T,4p�l WINDOW NAME (eg. Window- 1, Window -2) iN h rj 0 n1' h I k,v kj w en ka ATRIUM HEIGHT N A FT fIF < 557IF > ST ALLOWED % -.05 ALLOWED % -.1 X1 = M ALLOWED % OR. ROOF AREA ALLOW. SKY. AREA It the ACTUAL SKYUGHT AREA Is greater than the ALLOWED SKYLIGHT AREA, then N go to another method. ACTUAL SKY. AREA TYPE HEAT INSULATION R -VALUE' eg. Roof, Wall, Frame) CAPACITY PROPOSED MIN. ALLOWED - MA -13 0-4 ie 0 For each assembly type, meet the minimum Insulation R -value or the maximum assembly U -value. _ U -VALUE PROP. ALLOW. b'72 0.77- .7z. b, 72, 00 '7 o'72- 0.72- 20- 0- L- 0,72, SKYLIGHT NAME GLA23NO # OF U -VALUE (eg. Sky -1, Sky -2) TRANSLUCENT TRANSPARENT PANES PROPOSED ALLOWED r r ❑ r ❑• ❑ ❑ Nonresidendal Compliance Form ALLOW. RSHO SHADING COEFFICIENT PROPOSED ALLOWED December i"t PROPOSED IS M31 E 3 SKYLIGHT NAME GLA23NO # OF U -VALUE (eg. Sky -1, Sky -2) TRANSLUCENT TRANSPARENT PANES PROPOSED ALLOWED r r ❑ r ❑• ❑ ❑ Nonresidendal Compliance Form ALLOW. RSHO SHADING COEFFICIENT PROPOSED ALLOWED December i"t PROJECT NAME DATE 6 PROJECT ADDRESS :::.:::..::::::::: ........................................... PRINCIPAL DESIGNER - LIGHTING TELEPHONE DOCUMENTATION AUTHOR TELEPHONE € p!t kV4�Y!... Z n�y.;�" GIENIE.AO. MATION DATE OF PLANS BUILDINGC0 12 NED FLOOR AREA LUR—DING _ / 3 (..0 TYPE NONRESIDENTIAL ElHIGH RISE RESIDENTIAL HOTEL/MOTEL GUEST ROOM PHASE OF CONSTRUCTION( -1 NEEW CONSTRUCTION �1LAJDDITION nALTERATION UNCONDITIONED (File Affidavft) METHOD OF LIGHTING U COMPLETE BUILDING AREA CATEGORY TAILORED PERFORMANCE COMPLIANCEEl This Certificate of Compliance lists the building features and performance specifications needed to comply with Title 24, Parts 1 and 6 of the California Code of Regulations. This certificate applies only to building lighting requirements. The documentation preparer hereby certifies that the documentation, is accurate and complete. DOCUMENTATION AUTHOR SIGNATURE DATE L. L..14 a-- -- z-- Z.o- 54 The Principal lighting Designer hereby certifies that the proposed building design repreresented In this set of construcliolt documents Is consistent with the other compliance forms and worksheets, with the speciticalions, and with any other calculations submitted with this permit application. The proposed building has been designed to meet the lighting requirements contained in sections 110, 119, 130 through 132, and 146 or 149. Please check one: [� I hereby affirm that I am eligible under the provisions of Division 3 of the Business and Professions Code to sign fills document as the person responsible for its preparation; and that I am a civil engineer, electrical engineer or architect. I affirm that I am eligible under the exemption to Division 3 of the Business and Professions Code by Section 5537.2 of the Business and Professions Code to sign this document as the person responsible for its preparation; and that I am a licensed contractor preparing documents for work that I have contracted to perforin. F1 I affirm that I am eligible under the exemption to Division 3 of the Business and Professions Code by Section of the Code to sign this document as the person responsible for Its preparation; and for (lie following reason: PRINCIPAL LIGHTING DESIGNER - NAMESIGNATURE LIC. NO. DATE R- VQ S Lo %—'. a r>~ 4.0-31-70 _ Ito — 111M S �.T► , Indicate location on plans of Note Block for Mandatory Measures1101-1 il R111 14 If [7910 FS to Wil 11 P11 For detailed Instructions on the use of this and all Energy Efriciency,Standards compliance forms, please refer to the Nonresidential Manual published by the California Energy Commission. LTG -1: Required on plans for all submittals. Part 2 may be incorporated In schedules on plans. LTG -2: Required for all submittals. LTG -3: Optional. Use only if lighting control credits are taken. LTG -4: Optional. Use only if Tailored Method Is used. Parts 2 and 3 used only if applicable. Nonresidential Complfance Form jury !nya PROJECT NAME DATE Iri tJ L P. p-." A n._ (tel 1 -2- , '2.0. - INSTALLF-D LIGHTING SCHEDULE TYPE NO. OF LAMPS FIELD I F H 900 ❑❑❑ ❑❑❑ a❑❑ DDD Cl❑❑ LUMINAIRE NAME .FIELD 3 b Z - Tv Ab El 0 0 El El El El El El El El 0 El El El El El El 0 El El El El El El G I(.r, MouNT r i �.. ( l F Provide Supporting Documentatlon A �Cis hMANDATORY AUTOMATIC CONTROLSIT C - CONTROL LOCATION CONTROL (eg. Type -1, Type -2, etc.) LAMPS TYPE NO. OF LAMPS WATTSMMP I F H 900 ❑❑❑ ❑❑❑ a❑❑ DDD Cl❑❑ (Room N) IDENTIFICATION .FIELD 3 b ' BALLASTS TYPE NOTE T(' (Room N) IDENTIFICATION .FIELD CONTROLS FOR CREDIT NOTE T(' (Room N) IDENTIFICATION .FIELD CONTROL TYPE (Auto Time Switch, Exterior, etc.) v Swtrc� ?j W p JyJ lZ- G t Y SPACE CONTROLLED N �\ CONTROL LOCATION CONTROL CONTROL TYPE LUMINAIRES CONTROLLED NOTE TO (Room N or Dwg. N) IDENTIFICATION (Occupant, Daylight, Dimming, etc.) TYPE NOF LUMIN. FIELD.: PROJECT NAME DATE %—%4- M 0,r,, -PA I *;I_ -Z-.O LUMINAIRE NAME DESCRIPTION 1— C c7 i tv b 1*7o v,--, r I #-, e- A. 7- - o wAtrr j,,, -A v, NUMBER OF LUMINAIRES 4L If not using the CEC Default value, please provide supporting documentation. ALLOWEbLIGHTIN0, I :OWM (00696 Ofib Mbthd WATTS PER LUMINAIRE (Including Ballast) CEC DEFAULT ETIN9- DO F] El 00 El E] El 11 El El 0 El El El -7S-- SUBTOTAL FROM THIS PAGE PLUS SUBTOTAL FROM CONTINUATION PAGE LESS CONTROL CREDIT WATTS (FROM LTG -3) ADJUSTED ACTUAL WATTS dr TOTAL WATTS 3 BUILDING CATEGORY (From Table 2-53M) WATTS COMPLETE ALLOWED PER SF BLDG. AREA WATTS /1 6-- / S-3 4a — a 3 o 4 - AREA CATEGORY (From Table 2-53N WATTS AREA ALLOWED PER SF (SF) WATTS TOTALS AREA WATTS TAILORMOR-PERFORMANOL METHOD.....' 0 TAILORED 0 PERFORMANCE TOTAL ALLOWED WATTS (From LTG -4 or from computer run.) Nonresidential Compliance Form December 1991 This Certificate of Compliance lists the building features and performance specifications needed to comply with Title 24, Parts 1 and 6 of the California Code of Regulations. This certificate applies only to building mechanical requirements. The Principal Mechanical Designer hereby certifies that the proposed building design represented in this set of construction documents is consistent with the other compliance forms and worksheets, with the specifications, and with any other calculations submitted with this permit application. The proposed building has been designed to meet the mechanical ronuirements container: in sections 110 through 115, 120 through 124, 140 through 142, 144 and 145. IPiease check one: 1 hereby affirm that I am eligible under the'provisions of Division 3 of the Business and Professions Code to sign this document as the person responsible for its preparation; and that I am a civil engineer, mechanical engineer, or architect. I affirm that I am eligible under the exemption to Division 3 of the Business and Professions Code by Section 5537.2 of the Business and Professions Code to sign this document as the person responsible for its preparation; and that I am a licensed contractor preparing documents for work that I have contracted to perform. F] I affirm that 1 am eligible under the exemption to Division 3 of the Business and Professions Code by Section of the Code to sign this document as the person responsible for its preparation; and for the following reason: PRINCIPAL MECHANICAL DESIGNER - NAME SIGNATURE LIC. NO. DATE S S c o' -- .-,- A'- 1 4 c-43 Z r Z -o - e Indicate location on plans of Note Block for Mandatory. Measures I . SKR T- -Ti- Z For detailed instructions on the use of this and all Energy Efficiency Standards compliance forms, please refer to the Nonresidential Manual published by the California Energy Commission. MECH-1: Required on plans for all submittals. Parts 2 & 3 may be incorporated in schedules on plans. MECH-2: Required for all submittals; choose appropriate version depending on method of mechanical compliance. MECH-3 and MECH-4: Required for all submittals. (Nonresidential Compliance Form December 19911 tN GENERAL JINPOSIVIATION DATE OF PLANS BUILDING CONDITIONED FLOOR AREA BUILDING TYPE NONRESIDENTIAL HIGH RISE RESIDENTIAL HOTEUMOTEL GUEST ROOM PHASE OF CONSTRUCTION NEW CONSTRUCTION P91 ADDITION El ALTERATION METHOD OF MECHANICAL COMPLIANCE PRESCRIPTIVE ❑ PERFORMANCE PROOF OF ENVELOPE COMPLIANCE EJ PREVIOUS ENVELOPE PERMIT El ENVELOPE COMPLIANCE ATTACHED This Certificate of Compliance lists the building features and performance specifications needed to comply with Title 24, Parts 1 and 6 of the California Code of Regulations. This certificate applies only to building mechanical requirements. The Principal Mechanical Designer hereby certifies that the proposed building design represented in this set of construction documents is consistent with the other compliance forms and worksheets, with the specifications, and with any other calculations submitted with this permit application. The proposed building has been designed to meet the mechanical ronuirements container: in sections 110 through 115, 120 through 124, 140 through 142, 144 and 145. IPiease check one: 1 hereby affirm that I am eligible under the'provisions of Division 3 of the Business and Professions Code to sign this document as the person responsible for its preparation; and that I am a civil engineer, mechanical engineer, or architect. I affirm that I am eligible under the exemption to Division 3 of the Business and Professions Code by Section 5537.2 of the Business and Professions Code to sign this document as the person responsible for its preparation; and that I am a licensed contractor preparing documents for work that I have contracted to perform. F] I affirm that 1 am eligible under the exemption to Division 3 of the Business and Professions Code by Section of the Code to sign this document as the person responsible for its preparation; and for the following reason: PRINCIPAL MECHANICAL DESIGNER - NAME SIGNATURE LIC. NO. DATE S S c o' -- .-,- A'- 1 4 c-43 Z r Z -o - e Indicate location on plans of Note Block for Mandatory. Measures I . SKR T- -Ti- Z For detailed instructions on the use of this and all Energy Efficiency Standards compliance forms, please refer to the Nonresidential Manual published by the California Energy Commission. MECH-1: Required on plans for all submittals. Parts 2 & 3 may be incorporated in schedules on plans. MECH-2: Required for all submittals; choose appropriate version depending on method of mechanical compliance. MECH-3 and MECH-4: Required for all submittals. (Nonresidential Compliance Form December 19911 tN PROJECT NAME DATE 6 PA u 8 r� ra R. h 'z,— zr C3 SYSTEM NAME I TIME CONTROL SETBACK CONTROL ISOLATION ZONES HEAT PUMP THERMOSTAT? ELECTRIC HEAT? FAN CONTROL VAV MINIMUM POSITION CONTROL? SIMULTANEOUS HEAT/COOL? HEAT AND COOL SUPPLY RESET? VENTILATION OUTDOOR DAMPER CONTROL? ECONOMIZER TYPE DESIGN AIR CFM (MECHA, COLUMN H) HEATING EQUIP. TYPE HIGH EFFIC.7 MAKE AND MODEL NUMBE ,,, r `z COOLING EQUIP. TYPE I HIGH EFFIC.? MAKE AND MODEL NUMBER 9F1 yNt!5 MECHANICAL SYSTEMS VA C 1 11 11 - CODE TABLES: Enter code from table below Into columns above. HEAT PUMP THERMOSTAT? Y: Yes N: No ELECTRIC HEAT? VAV MINIMUM POSITION CONTROL? SIMULTANEOUS HEAT/COOL? HEAT AND COOL SUPPLY RESET? HIGH EFFICIENCY? TIME CONTROL SETBACK CTRL ISOLATION ZONES FAN CONTROL S: Prog. Switch H: Heating Enter number of I: Inlet Vanes O: Occupancy Sensor C: Cooling Isolation Zones. P: Variable Pitch M: Manual Timer B: Both N: Not Required V: VFD D: Demand Control O: Other C: Curve VENTILATION OUTDOOR DAMPER ECONOMIZER O.A. CFM B: Air Balance A: Auto A: Air Enter Outdoor Air C: Outside Air Cert. G: Gravity W: Water CFM. M: Out. Air Measure N: Not Required Note: This shall be no D: Demand Control less than Column G on N: Natural MECH4. ...................................................................................................................................................... ...................................................................................................................................................... ...................................................................................................................................................... ...................................................................................................................................................... ...................................................................................................................................................... ...................................................................................................................................................... ...................................................................................................................................................... ...................................................................................................................................................... ...................................................................................................................................................... ...................................................................................................................................................... ::::::::::::::::::::::::::::::::::::::::.............................................................................. Nonresldentlsl Compience Form PROJECT NAME SYSTEM NAME DUCT TYPE (Supply Retum, etc.) DUCT LOCATION (Roof, Plenum, etc.) I S A 1 SYSTEM NAME N DATE DUCT TAPE ALLOWED? DUCT INSULATION Y N R -VALUE ❑ ❑ Z ❑ ❑ ❑ ❑ El ❑❑ ❑❑ ❑❑ El Fl ❑❑ El El El 1-1 ❑❑ ❑a El El INSULATION PIPE TYPE REQUIRED (Supply, Return, etc.) Y N ❑a 0 E El 0 E El El El El El El PROJECT NAME SYSTEM NAME NOTE: Provide one copy of this form for each mechanical system when using the Prescriptive Approach. 11. DESIGN CONDITIONS: OUTDOOR, DRY BULB TEMPERATURE - OUTDOOR, WET BULB TEMPERATURE ' - INDOOR, DRY BULB TEMPERATURE 2. SIZING: VENTILATION LOAD ENVELOPE LOAD LIGHTING -PEOPLE MISC. EQUIPMENT OTHER OTHER 3. SELECTION: A. SAFETY/WARMUP FACTOR fZ. TOTAL CFM (From MECH-4 DATE FLOOR AREA COOLING HEATING /0'z Z� S b� ,'77 2/ 7/ Z / Z!f B. MAXIMUM ADJUSTED LOAD (Totals from above X Safety/Warmup Factor) C. INSTALLED EQUIPMENT CAPACITY IF LINE 3-C IS GREATER THAN LINE 3-8, EXPLAIN FAN DESCRIPTION a © o DESIGN EFFICIENCY RAKE HP MOTOR DRIVE NOTE: Irxiude only len systems exceeding 25 HP (see §144). Total Fan System Power Demand may not exceed 0.8 Wetts/CFM for constant volume systems or 1.25 WattsJCFM for VAV systems. NonresidentW Compliance Form i, -z / 0 KBtu / Hr KgW/ Hr N1 WATTS / SF a 0 OF PEOPLE (From MECHA) '12-77 PEAK WATTS c o/r'c-r. r�Ah en- WATTS / SF 0,?0 (Supply F o.� (Describe) c -u S S (Describe) TOTALS B. MAXIMUM ADJUSTED LOAD (Totals from above X Safety/Warmup Factor) C. INSTALLED EQUIPMENT CAPACITY IF LINE 3-C IS GREATER THAN LINE 3-8, EXPLAIN FAN DESCRIPTION a © o DESIGN EFFICIENCY RAKE HP MOTOR DRIVE NOTE: Irxiude only len systems exceeding 25 HP (see §144). Total Fan System Power Demand may not exceed 0.8 Wetts/CFM for constant volume systems or 1.25 WattsJCFM for VAV systems. NonresidentW Compliance Form i, -z / 0 KBtu / Hr KgW/ Hr N1 ® a NUMBER PEAK WATTS CFM OF FANS B x E x 746 / (C x D) (Supply F TOTALS TOTAL FAN SYSTEM POWER DEMAND WATTS / CFM Col. F / Col. G December 1991 'ROJECT NAME DATE SYSTEM MAKE AND NAME MODEL NO. Fla c- 1 R cJ?cotx DESIGN OUTPUT I (BTU / HR) WE DESIGN CFM /7co SYSTEM MAKE AND DESIGN OUTPUT NAME MODEL NO. (BTU / HR) /III N ?"7 3 L IAV e6o ��% 000 RATED EFFICIENCY UNITS ALLOWED PROPOSED RATED EFFICIENCY UNITS ALLOWED PROPOSED Al=ot I O,%A O,BCS I ECONOMIZER Nonresidential Compliance Form 1991 PROJECT NAME DATE SYSTEM NAME 1.1 b�1 V pry - (NOTE: Provide one copy of this form for each mechanical system. .MECHANICAL VENTILATION n a a a a a o AREA BASIS COND. AREA SF CFM PER SF MIN. CFM BXC S A if 3 Zn /33 � z /00 7-2,-4- o, /T- OCCUPANCY BASIS NO. OF PEOPLE MIN. CFM E X 15 3 Zn /00 VAV MINIMUM CFM LARGEST DESIGN MIN. MIN. CFM CFM TOTALS (FOR MECI4-2) I v �� � - D C Minimum Ventilation Rate per Section 2-5321, Tabla 2•53F. Ea:] e-,> I E Based on Expected Number of Occupants or at least 50% of Chapter 33 UBC Occupant Density. H Must be greater than or equal to G, or use Transfer Alr. If zone reheat or re000i Is used, 1 must be less than or equal to 14 X 0.3, or less than or equal to B X 0.4, or less than or equal to 300 CFM, whichever Is larger. Must be less dm or equal to I Of applicable), but no less than G, unless Transfer Air (K) Is used. W( Must be greater than or equal to (G - 14), and, for VAV, greater than or equal to (G - J). NonreskienOa/ Compliance Fomr December 199 I PROJECT NAME DATE `JECT ADDRESS PRINCIPAL DESIGNER - ENVELOPE TELEPHONE iQ_%, r ,-, G o va 0— DOCUMENTATION AUTHOR P" s 's TELEPHONE X43 -7Z So UNEHAL INMAMATION' DATE OF PLANS BUILDING ONDITIONED FLOOR AREA CLIMATE ZONE 13UILDING TYPE B4 NONRESIDENTIAL 1:1 HIGH RISE RESIDENTIAL HOTEL/MOTEL GUEST ROOM PHASE OF CONSTRUCTION EJ NEW CONSTRUCTION [jt ADDITION 0 ALTERATION UNCONDITIONED (File Affidavit) METHOD OF ENVELOPE COMPONENT OVERALL ENVELOPE PERFORMANCE COMPLIANCE This Certificate of Compliance lists the building features and performance specifications needed to comply with Title 24, Parts 1 and 6 of the California Code of Regulations. This certificate applies only to building envelope requirements. The Principal Envelope Designer hereby certifies that the proposed building design represented in this set of construction documents Is consistent with the other compliance forms and worksheets, with the specifications, and with any other calculations submitted with this permit application. The proposed building has been designed to meet the envelope requirements contained in sections 110, 116 through 118, and 143 or 149 of Title 24, Part 6, Chapter 1. ..;ase check one: I hereby affirm that I am eligible under the provisions of Division 3 of the Business and Professions Code to sign this document as the person responsible for its preparation; and that I am a civil engineer or architect. (� I affirm that 1 am eligible under the a::emption to Division 3 of the Business and Professions Code by Section 5537.2 of the Business and Professions Code to sign this document as the person responsible for its preparation; and that I am licensed contractor preparing documents for work that I have contracted to perform. Q I affirm that I am eligible under the exemption to Division 3 of the Business and Professions Code by Section. of the Code to sign this document as the person responsible for its preparation; and for the following reason: • PRINCIPAL ENVELOPE DESIGNER - NAME (SIGNATURE LIC. NO. DATE �J S �• L o �. vw-r�- pci2 �' 4-o-5 -7 0 Indicate location on plans of Note Block for Mandatory Measures y �,� T" - For detailed instructions on the use of this and all Energy Efficiency Standards compliance forms, please refer to the Nonresidential anual published by the California Energy Commission. -NV-1: Required on plans for all submittals. Part 2 may be Incorporated in schedules on plans. ENV -2: Used for all submittals; choose appropriate version depending on method of envelope compliance. ENV -3: Optional. Use If default U -values are not used. Choose appropriate version for assembly U -value to be calculated. NonresldentW Compliance Form _ - I December 1991 ?OJECT NAME DATE P. A u L- ru., t -J AAp-lCS 1 '2-- - 9 (b ASSEMBLY NAME INSULATION R -VALUE CONSTRUCTION TYPE (eg. Wall -1, Floor -1) (eg. R-19, R-22, etc.) (eg. Block, Wood, Metal) w $3 lvm rdy ............ ... WINDOW NAME NO. or U -VALUE FRAME TYPE EXTERIOR OVERHANG GLAZING TYPE (eg. Window -1) PANES (eg. Metal, Wood, etc.) SHADE ? CREDIT ? (eg. Clear, Tinted) .. . ..... ... it r vjc>6 L- rAL, Tie, .......... .. .. ... ............ ................ .. SKYLIGHT NAME NO. or U -VALUE FRAME TYPE SKYLIGHT MATERIAL GLAZING TYPE ...... ...... PANES (eg. Glass, Plastic, etc.) (eg. Clear, etc.) .......... . ......... . . ......................... . ......... 0 ................................ ... .. . .. ... .. . . .............. ........ ............... .... ................... ....................... ...... ............................. ......................... ....... .............. ....... :: ........................ .............................. ................................................. .... . ........ ............................................ - ............................ Nonresidenffal Complance Form ........................ . ..................................... JOY 19951 PROJECT NAME DATE 14 %'A V L, #4 'Z — 7, 0 — G 4. GROSS WALL AREA Il DISPLAY PER - ❑r (GWA) ❑ IMETER (DP GWAXOA DPX6 GREATER OF It the PROPOSED WINDOW AREA is eater than t)eMAXIMUM S / Z MAXIMUM ALLOWABLE ALLOWABLE WINDOW AREA WINDOW AREA, then go to another PROPOSED method. WINDOW -AREA WINDOW NAME (eg. Window -1, Window -2) hl h kin t,%isj W t /.+ O n•.0 2. A.J . 1.....i SKYLIGHT NAME (bg. Sky -1, Sky -2) Nonmsldentlal Compliance Form ATRIUM HEIGHT NIA FT fIF < 55' IF > 55' ALLOWED % -.05 ALLOWED %- A t�_ X = M ALLOWED % OR. ROOF AREA ALLOY( SKY. AREA 11 the ACTUAL SKYUGHT AREA Is greater than the ALLOWED SKYLIGHT AREA, then E- A/IA-go to another method. ACTUAf SKY. AREA TYPE HEAT INSULATION R -VALUE' Root, Wall, Frame) CAPACITY PROPOSED MIN. ALLOWED ww-��.-4 rot each assembly type, meet tlhe minimum Insulation R -value or the maximum assembly U -value. in J GLAZING TRANSLUCENTI TRANSPARENT ❑ Il r r ❑r D ❑ A OF PANES N OF PANES U -VALUE PROPOSED ALLOWED ALLOW. RSHG SHADING COEFFICIENT PROPOSED ALLOWED December iggt PROJECT NAME DATE PROJECT ADDRESS....:.:............:::.::::::::::: ............................................. PRINCIPAL DESIGNER - LIGI (TING TELEPHONE ...... `B `R�`� .................................... DOCUMENTATION AUTHOR TELEPHONE �.tji�ki� byJOljll!'�? �lr .. .- .:..:.......................SS 1ai..t..i...i.i�-j Z �. a iy...2..... UMLIRALINr MATION DATE OF PIANS BUILDING CONDITIONED FLOOR AREA BUILDING TYPENONRESID�L HIGH RISE RESIDENTIAL HOTEL/MOTEL GUEST ROOM l_ ) PHASE OF CONSTRUCTION L I NEW CONSTRUCTION Ig ADDITION ALTERATION UNCONDITIONED (Flle Afflde0l) METHOD OF LIGHTING COMPLETE BUILDING n AREA CATEGORY /-AUD/ IALInC 11 i—i TAILORED r-1PERFORMANCE This Cerlificale of Compliance lists the building features and performance specifications needed to comply with Title 24,. Parts 1 and 6 of the California Code of Regulations. This certificate applies only to building lighting requirements. The documentation preparer hereby certifies that the documentation is accurate and complete. DOCUMENTATION AUTHOR SIGNATURE DATE V L. IA n_ �y Z,. Z0-54 The Principal Lighting Designer hereby certifies that the proposed building design repreresented in this set of coltstructlon documents Is consistent with the other compliance forms and worksheets, with the specifications, and with any other calculations submitted with this permit application. The proposed building has been designed to meet the lighting requirements contained in sections 110, 119, 130 through 132, and 146 or 149. Please check one: [] I hereby affirm that I am eligible under the provisions of Division 3 of the Business and Professions Code to sign this document as the person responsible for Its preparation; and that I am a civil engineer, electrical engineer or architect. I affirm that I am eligible under the exemption to Division 3 of the Business and Professions Code by Section 5537.2 of the Business and Professions Code to sign this document as the person responsible for its preparation; and that I am a licensed contractor preparing documents for work that I have contracted to perforin. F1 I affirm that I am eligible under the exemption to Division 3 of the Business and Professions Code by Section of the Code to sign this document as the person responsible for Its preparation; and for the following reason: PRINCIPAL LIGHTING DESIGNER -NAME SIGNATURE LIC. NO. DATEC 7fwtAt'A1Rl7l�t.�rw C-O.a �l rx- _ , 4.0-31-70 ZQ� 1L Indicate location on plans of Note Block for Mandatory Measures S �� For detailed Instructions on the use of this and all Energy Efficlency,,Standards compliance forms, please refer to the Nonresidential Manual published by the California Energy Commission. LTG -1: Required on plans for all submittals. Part 2 may be incorporated In schedules on plans. LTG -2: Required for all submiltats. LTG -3: Optional. Use only If lighting control credits are taken. LTG -4: Optional. Use only if Tailored Method Is used. Parts 2 and 3 used only If applicable. Foim July 19951 1 PROJECT NAME DATE A(= -I4 —2.0-..0. INSTALLED LIGHTING SCHEDULE TYPE NO. OF LAMPS NOTE TO :•.MELD;.: I F H ❑ ❑ DDD ❑❑❑ DDD DDD ❑❑❑ LUMINAIRE NAME (eg. Type -1, Type -2, etc.) NOTE* I -7 FIELD P 't uoR El El El El El El El El El El El El El El El ElEl El El ElEl t✓ IC,, MOvvT i� r=�+►� �a c.ah z Provide Supporting Documentation LAMPS TYPE NO. OF LAMPS WATTSMMP I F H ❑ ❑ DDD ❑❑❑ DDD DDD ❑❑❑ NOTE* I -7 FIELD P 't ' BALLASTS TYPE NO. LUMINAIRE DDD ❑DD ❑❑❑ ❑❑❑ - -- NOTE* (Room N) IDENTIFICATION FIELD P 't MANDATORY ,CONTROLS CONTROL LOCATION CONTROL NOTE* (Room N) IDENTIFICATION FIELD P 't z CONTROL TYPE (Auto Time Switch, Exterior, SPACE CONTROLLED oa r • -• •• CAENT CONTROL LOCATION CONTROL CONTROL TYPE LUMINAIRES CONTROLLED NOTE TO (Room N or Dwg. N) IDENTIFICATION (Occupant, Daylight, Dimming, etc.) TYPE N OF LUMIN. FIELD PROJECT NAME DATE MA -72-0 -qp LUMINAIRE NAME DESCRIPTION C N b tne2L,,ar i&,e-A-oo, Z /4,1^06 --AOj O wArr 1N -A0, NUMBER OF LUMINAIRES Z If not using the CEC Default value, please provide supporting documentation. WATTS PER LUMINAIRE (Including Ballast) CEC DEFAULT Y N• -7 5 ❑ ❑ �❑ ❑ LJ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ALLOWED PER SF BLDG. AREA WATTS a 4- TOTAL WATTS Soo `L4o 3-7 SUBTOTAL FROM THIS PAGED PLUS SUBTOTAL FROM CONTINUATION PAGE LESS CONTROL CREDIT WATTS (FROM LTG -3) 4,=J ADJUSTED ACTUAL WATTS , de bLLbUVLb LltaHtlNG town Pbbsb ohb Metht1d),. A._,-,: - e c 0 M F'4,<. ETlr I 8U L I DN C METHOD BUILDING CATEGORY (From Table 2-53M) WATTS COMPLETE ALLOWED PER SF BLDG. AREA WATTS a 4- I I WATTS This Certificate of Compliance lists the building features and performance specifications needed to comply with Title 24, Parts 1 and 6 of the California Code of Regulations. This certificate applies only to building mechanical requirements. The Principal Mechanical Designer hereby certifies that the proposed building design represented in this set of construction documents is consistent with the other compliance forms and worksheets, with the specifications, and with any other calculations submitted with this permit application. The proposed building has been designed to meet the mechanical r—+uirements container: it sections 110 through 115, 120 through 124, 140 through 142, 144 and 145. Please check one: I hereby affirm that I am eligible under the provisions of Division 3 of the Business and Professions Code to sign this document as the person responsible for its preparation; and that I am a civil engineer, mechanical engineer, or architect. (� I affirm that I am eligible under the exemption to Division 3 of the Business and Professions Code by Section 5537.2 of the Business and Professions Code to sign this document as the person responsible for its preparation; and that I am a licensed contractor preparing documents for work that I have contracted to perform. F] I affirm that I am eligible under the exemption to Division 3 of the Business and Professions Code by Section of the Code to sign this document as the person responsible for its preparation; and for the following reason: PRINCIPAL MECHANICAL DESIGNER - NAME SIGNATURELIC. NO. DATE MECHANICAL MANDATORY Indicate location on plans of Note Block for Mandatory. Measures i- 41- Z Ll For detailed instructions on the use of this and all Energy Efficiency, Standards compliance forms, please refer to the Nonresidential Manual published by the California Energy Commission. MECH-1: Required on plans for all submittals. Parts 2 & 3 may be incorporated in schedules on plans. MECH-2: Required for all submittals; choose appropriate version depending on method of mechanical compliance. MECH-3 and MECH4: Required for all submittals. Nonresidential Compliance Fomt Decornbw 19911 GENERAL O. , DATE OF PLANS BUILDING CONDITIONED FLOOR AREA BUILDING TYPE NONRESIDENTIAL HIGH RISE RESIDENTIAL HOTEL/MOTEL GUEST ROOM PHASE OF CONSTRUCTION NEW CONSTRUCTION P91 ADDITION ALTERATION METHOD OF MECHANICAL COMPLIANCE PRESCRIPTIVEPERFORMANCE PROOF OF ENVELOPE COMPLIANCE F] PREVIOUS ENVELOPE PERMIT ENVELOPE COMPLIANCE ATTACHED This Certificate of Compliance lists the building features and performance specifications needed to comply with Title 24, Parts 1 and 6 of the California Code of Regulations. This certificate applies only to building mechanical requirements. The Principal Mechanical Designer hereby certifies that the proposed building design represented in this set of construction documents is consistent with the other compliance forms and worksheets, with the specifications, and with any other calculations submitted with this permit application. The proposed building has been designed to meet the mechanical r—+uirements container: it sections 110 through 115, 120 through 124, 140 through 142, 144 and 145. Please check one: I hereby affirm that I am eligible under the provisions of Division 3 of the Business and Professions Code to sign this document as the person responsible for its preparation; and that I am a civil engineer, mechanical engineer, or architect. (� I affirm that I am eligible under the exemption to Division 3 of the Business and Professions Code by Section 5537.2 of the Business and Professions Code to sign this document as the person responsible for its preparation; and that I am a licensed contractor preparing documents for work that I have contracted to perform. F] I affirm that I am eligible under the exemption to Division 3 of the Business and Professions Code by Section of the Code to sign this document as the person responsible for its preparation; and for the following reason: PRINCIPAL MECHANICAL DESIGNER - NAME SIGNATURELIC. NO. DATE MECHANICAL MANDATORY Indicate location on plans of Note Block for Mandatory. Measures i- 41- Z Ll For detailed instructions on the use of this and all Energy Efficiency, Standards compliance forms, please refer to the Nonresidential Manual published by the California Energy Commission. MECH-1: Required on plans for all submittals. Parts 2 & 3 may be incorporated in schedules on plans. MECH-2: Required for all submittals; choose appropriate version depending on method of mechanical compliance. MECH-3 and MECH4: Required for all submittals. Nonresidential Compliance Fomt Decornbw 19911 PROJECT NAME DATE 6 A I-' %— cs- �..81Z ra.J a (L.fa 'Z-- Z- Ci SYSTEM NAME TIME CONTROL SETBACK CONTROL ISOLATION ZONES HEAT PUMP THERMOSTAT? ELECTRIC HEAT? FAN CONTROL VAV MINIMUM POSITION CONTROL? SIMULTANEOUS NEAT/COOL? HEAT AND COOL SUPPLY RESET? VENTILATION OUTDOOR DAMPER CONTROL? ECONOMIZER TYPE DESIGN AIR CFM (MECH-4, COLUMN H) HEATING EQUIP. TYPE HIGH EFFIC.? MAKE AND MODEL NUMBE ' ,, COOLING EQUIP. TYPE I HIGH EFFIC.? MAKE AND MODEL NUMBER 914 yN,,5 MECHANICAL SYSTEMS VA 1 11 11 CODE TABLES: Enter code from table below Into columns above. HEAT PUMP THERMOSTAT? Y: Yes N: No ELECTRIC HEAT? VAV MINIMUM POSITION CONTROL? SIMULTANEOUS HEAT/COOL? HEAT AND COOL SUPPLY RESET? HIGH EFFICIENCY? TIME CONTROL SETBACK CTRL ISOLATION ZONES FAN CONTROL S: Prog. Switch H: Healing Enter number of I: Inlet Vanes 0: Occupancy Sensor C: Cooling Isolation Zones. P: Variable Pitch M: Manual Timer B: Both N: Not Required V: VFD D: Demand Control O: Other C: Curve VENTILATION OUTDOOR DAMPER ECONOMIZER OA CFM 8: Air Balance A: Auto A: Air Enter Outdoor Air C: Outside Air Cert. G: Gravity W: Water CFM. M: Out. Air Measure N: Not Required Note: This shall be no D: Demand Control loss than Column G on N: Natural MECH4. t /4 e:- 00 0 El 00 El 0 00 00 00 00 00 00 00 00 00 PROJECT NAME SYSTEM NAME NOTE: Provide one copy of this form for each mechanical system when using the Prescriptive Approach, 1. DESIGN CONDITIONS: OUTDOOR, DRY BULB TEMPERATURE OUTDOOR, WET BULB TEMPERATURE ' INDOOR, DRY BULB TEMPERATURE 2. SIZING: VENTILATION LOAD ENVELOPE LOAD LIGHTING -PEOPLE MISC. EQUIPMENT OTHER OTHER DATE FLOOR AREA COOLING HEATING /0 -Z Z,06 s I I tog ✓Z. TOTAL CFM (From MECH-4) .Z 7_ -•7 7 -2-1, 7 1 Z_zk 3. SELECTION: A. SAFETY/WARMUP FACTOR B. MAXIMUM ADJUSTED LOAD (Totals from above X Safety/Warmup Factor) C. INSTALLED EQUIPMENT CAPACITY IF LINE 3-C IS GREATER THAN LINE 3-13, EXPLAIN 0 FAN DESCRIPTION 0 KBtu / Hr K / Hr . L -B] © CI D n NOTE:,Indude only fan systems exceeding 25 HP (see §144). Total Fen System Power pemand may not exceed 0.8 Watls1CFM for constant volume systems or 1.25 WattslCFM for VAV systems. NonresidentW Compliance Form TOTALS TOTAL FAN SYSTEM POWER DEMAND WATTS / CFM Col. F / Col. G December 1981 WATTS / SF k OF PEOPLE (From MECH-4) c rrsrk t AFF ert— WATTS / SF �. O (Describe) (Describe) TOTALS 3. SELECTION: A. SAFETY/WARMUP FACTOR B. MAXIMUM ADJUSTED LOAD (Totals from above X Safety/Warmup Factor) C. INSTALLED EQUIPMENT CAPACITY IF LINE 3-C IS GREATER THAN LINE 3-13, EXPLAIN 0 FAN DESCRIPTION 0 KBtu / Hr K / Hr . L -B] © CI D n NOTE:,Indude only fan systems exceeding 25 HP (see §144). Total Fen System Power pemand may not exceed 0.8 Watls1CFM for constant volume systems or 1.25 WattslCFM for VAV systems. NonresidentW Compliance Form TOTALS TOTAL FAN SYSTEM POWER DEMAND WATTS / CFM Col. F / Col. G December 1981 ----] PROJECT NAME DATE SYSTEM MAKE AND NAME MODEL NO. '11cJ►o0 DESIGN OUTPUT (BTU / HR) DESIGN CFM C ECONOMIZER HEATING. EOUIPMENT,,- SYSTEM NAME MAKE AND MODEL NO. DESIGN OUTPUT (BTU / HR) RATED EFFICIENCY UNITS ALLOWED PROPOSED /I fa V C I N L, uqo �!�! 000 f-�,�, 0, be) NonrosidenW Compliance Fam Ueoarrb.r 1991 PROJECT NAME SYSTEM NAME VA V Ae-r-- NOTE: Provide one copy of this form for each mechanical system. MECHANICAL VEWILATION © FF1 © ❑H AREA BASIS COND. AREA SF CFM PER SF MIN. CFM BXC /33 no z yz o.� �4- - 71,4. 7z4- e, IT /08 TOTALS (FOR MECH-2) DATE C Minimum Ventilation Rate per Section 2-5321, Table 2-53F. << E Based on Expected Number of Occupants or at least 500% of Chapter 33 UBC Occupant Density. H Must be greater than or equal to G, or use Transfer Alt. If zone reheat or re000l Is used, I must be less than or equal to H X 0.3, or less than or equal to B X 0.4, or less than or equal to 300 CFM, whichever Is larger. J Must be less than or equal to I (f applicable), but no less than G, unless Transfer Air (K) is used. K Must be greater than or equal to (G - H), and, for VAV, greater than or equal to (G - J). Nonresidential Compliance Form December 1991 Normos d rrMlEnow!Standards r Compllerco MOO 24, Part S. Ch f) Envelope /lawWO/y Usesures r ... - O Installed fnsukGny A/sfalsl shsl hove Dean cagled by lire mandadurr b oonnly w th f/w Camomb Ow* Sferdeds Aor hruLfiq n &WW O All Insulating MaluWe ahalbe hdapd O Building Lighting Shuloa The l MNV Whllnp *"-ad system oondW it an aulomallc Wne n*k with a =no lar each floor or On b uldbg Is separately motored and Isss Vim 5.000 square Inst; axww bw an Muod requtamort O Ovetrlde far Belding Lighting Shutoff The sutarwllo Cv dit alm-an eysum b Provided wlih a manual, aoceseM owetds Equipment and systems Elflclsnoy O .-My appliance for which there Is a CaYlomla slandi rd established In the Appliance ENldancy Standards may be Installed only U the manufacturer hes cerWled to the Comnilsslon. as apedQad in V%m reoulations, that the appllatnos complies with Um applicable - -- standard for that appliance. Included are room air cordllloners, central air eb-05-96 07:37A RUSS COLLAR 916 898-9383 P.01 E��/-"_ 0 Permit Applicant: BERNARD, PAULA Permit Number: 95-3137____ Assessor Parcel Number: 041-400-048 Date: _ 1/25/96 The above referenced building plans were reviewed by this office. Provide additional information and/or make revisions to plans, specifications and calculations as follows: VALUATION AND FEES WERE FIGURED INCORRECTLY FOR OCCUPANCY. VALUATION/ l FEES WILL BE BASED ON B2/R3. 2. PROVIDE FULL 1 HOUR OCCUPANCY SEPARATION, BO'T'H HORIZONTAL AND VERTICAL BETWEEN THE TWO OCCUPANCIES. PROVIDE CONSTRUCTION DETAILS OF ASSEMBLIES AND CALL OUT SPECIFIC ASSEMBLY TO BE USED FROM EITHER UBC (91) OR GYPSUM ASSOCIATION. FIRE DAMPERS IF B2/R3 SHARE HEATING/COOLING FACTLITIES. PROVIDE FULL 1 HOUR FIRE ASSEMBLY INCLUDING FRAME FOR DOOR BETWEEN RE- SIDENCE AND CLINIC. ELIMINATE SPIRAL STAIRWAY. 3. ENERGY CALCS MUST BE RESUBMITTED. CALCS CURRENTLY STATE THEY ARE FOR EXISTING HOUSE AND ADDITION @ 1506 SQUARE FEET, THIS ADDITION ONLY. IF FOR HOUSE AND ADDITION, USE CORRECT SQUARE FOOTAGE AND ALL OTHER ELEMENTS. IF ADDITION ONLY CHANGE THESE CALCS. ALSO AS A MIXED OCCUPANCY BLDG, YOU DO NOT HAVE TO RUN SEPARATE CALCUTATIONS FOR EACH OCCUPANCY (90% IS ONE OCCUPANCY), BUT YOU DO NEED TO PROVIDE MANDATORY MEASURES FOR EACH OCCU- PANCY. PROVIDE MANDATORY MEASURES NOTE FOR B2 OCCUPANCY WITH ENERGY CAL- CULATIONS. PLANS SHOULD REFLECT MANDATORY MEASURES. 4. THIS BUILDING MUST CONFORM TO HANDICAP ACCESSIBLE REQUIREMENTS. HANDICAP RESTROOM FACILITIES AND ACCESS TO THOSE FACILITIES, ACCESS TO BUILDING (1/2" MAX @ THRESHOLD) NO STEPS AND PARKING SPACE REQUIREMENTS. A COPY OF THESE REQUIREMENTS WILL BE ATTACHED TO PLANS BUT BE AWARE FRONT PORCH, RESTROOM AND ACCESS TO RESTROOM MANUVERING SPACE AT ENTRANCE DO NOT COMPLY. HANDICAP ACCESSIBLE PARKING MUST BE PROVIDED WITH THE PROVISION THAT IT DOES NOT HAVE TO BE EXCLUSIVE TO HANDICAP ONLY. 5. RESUBMIT FOR APPROVAL TO HEALTH DEPT (2 COPIES OF PLOT PIAN AND FLOOR PLAN) IDENTIFYING RESIDENTIAL AND CLINIC AREAS. r 6. PROVIDE WINDOW SIZES ON WEST/EAST WALLS UPPER STORY. 7. PROVIDE ROOFING MATERIAL. SHEATHING IS CALLED OUT BUT NOT EXTERTOR MATERIAL. COMP 30 YR 8. DOES THIS FACILITY PROVIDE X-RAY SERVICES TO IT'S CLIENTS. NO X-RAY. 9. REGARDING BRACING ON PLANS: LET -IN BRACING ON SECOND STORY CANNOT BE MORE THAN 60' FROM THE HORIZONTAL AND STUCCO IS TO BE APPLIED PER TABLE 47-I UBC r IT 11' IS 't0 BE USED FOR BRACING PER SEC.2517(G) 3G IN CONFORMANCE WITH If you wish to discuss any requirements, you may contact me at (916) 538-75.41 between 1:00 P.M. and 4:00 P.M. Monday through Thursday. �. „COUNTY'OFBUTTE — DEPARTMENT OF PUBLIC WORKS �FIf i �� 7 County Center Drive — Oroville, California 95965 / � ._ Tele0hone: 534-4541 / APPLICATION AND PERMIT �/ authorize representativesofthe County of Butte to enter upon the above-mentioned property for inspection purposes. X �i�� Date LJ Signature of Permiitteeee/orr Agent Receipt No.&o 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 BLIC WORKS _ r By ^ Dates' Z�7,Z S = L ilding permit expires Date — 7 BUILDING Owner Y SQ. FT. OCC. BUILDING VALUATION Q.C9tj Mailing AddressX ae-A- `� f'I� Y Tele hone No. Fireplace Contractor Total Valuation Mailing Address Permit Fee Plan Checking Fee &/orPenalty �11 Telephone No. Permit Fee $ Oi Building Address PLUMBING No.1 @ FEE PERMIT FILING FEE J$3.00 3,Q -o / Each Trap 1.50 Ste.Repair 00 drainage or vent piping 1.50 piping 1.50 , IWater OV Each gas water heater or vent 1.50 A. P. No / ` L Q Zoning & Planning Gas piping system 1 - 5 outlets 1.50 Each additional outlet .30 Fee W. �piia�+efr Fire Dept. Fire Zone Use Permit Building sewer 5.00 EQA Parking Plans Parcel Declara Parcel Ma p 60' R/W Im p rovemen s Lawn sprinkler system 2.00 p Bldg. Plans Recd -Lf Parcel ApprbeGf Plans Approval Permit Fee $ $ ii NEW ❑ ADDITION UTILITIES ❑ OTHER ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 ga `✓ri le to Z'Main service 100v OR LESS 5.00 100 AMP OR LESS Main service EA. ADD'L 100 AMP 2.50 Main service OVER e O 25.00 100 AMP OR LESS Single Family Du lex ❑ Mobil Home ❑ Others ❑ Main service EA. ADD'L 100 AMP 1.00 NEW CONST. ( DWELLING OCCUP. a) 20sq ft OR ADDNS. ACC. BLDGS. NEW CONSTR. MULTI -OUTLET NON.RESID. ( BRANCH CIRCUITS) 2.50ea SSE' fp NEW CONSTR. (POWER APPARATUS .&) NON-RESID. 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 style of: Ex. Occup(OUTLETS OR FIXTURES) @2r-100 Ex. Occup. ( OUT ETS (RESID )KEA) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 6.25 License No. Classification s I am exempt from the Contractors License Laws of the State of California. Permit Fee $ $ MECHANICAL No. @ FEE WORKMEN'S COMPENSATION INSURANCE I am aware of the provisions of Section3700 of the California Labor Code which requires every employer to be insured against liability for Workmen's Compensation. ❑I have placed on file with the County of Butte a certificate of Workmen's Compensation Insurance. /'®I certify that in the performance of the work for which this permit is issued I shall not employ any person in any manner so as to become subject to the Workmen's Compensation Laws of California. PERMIT FILING FEE $3.00 3eOt Heating Cooling Ventilation 13 r, 3 19-0 Hood 2.00 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 buildino construction, and hereby TOTAL PERMIT FEEd. r% authorize representativesofthe County of Butte to enter upon the above-mentioned property for inspection purposes. X �i�� Date LJ Signature of Permiitteeee/orr Agent Receipt No.&o 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 BLIC WORKS _ r By ^ Dates' Z�7,Z S = L ilding permit expires Date — 7 cov Z4 Ci 1-s 00, .0. January 17, 1977 Tomas L. White Route 1, Box 176 A-1 Croville, Calif ornia.95965 Dear Mr. 11hitC, This .letter is to inform ,you that, using the travel'trailer on your property as a residence is a violation of the AR-ME13 Zoning Qrdir-ance covering t'ntat area.. You will have 90 days from ,receipt of tads letter to stop using the travel trailer as a residence-, It nay be stored on the property, but not Occupied. 1f :you don't -comply -'ith th 'above request., I' urill be forced to bring this i;tatter. to the attention of_the Butte County Counsel for possible legal action. Thank you, Robert L. Ferguson Zoning Investigator' RLFbys cc: Planning director < �r�, �Rr�aa�, 3ci C my, Counsel �;.- •-r ' , till is Works Building Deft I 1 _ • ,r f, :1t1 f 4th i.; J r COUNTY Or- BUTTE 07 4 y` r IF,-Biu JAN x:1977 PIS RM ' 16 yTf� �r • 1 / t Decemb or. 10, 1976 i . Thomas L. I ite RE: Assessor Parcel #41-44-48 Rt. 1, Box 176-A-1 Greville, CA.:'95965 Dear ter, White. This office tae recently advised by our field inspector that you have maned into the dwelling Which you are constructing under Permit #1797-76 and that you have a travel trailer parked on the property in which acme friends are living. The arch's$'presently zoned such that tVo'(2) living units an the property are not permitted Would you please discontinue tha:mo'bile living on the property so that it will not be necessary for this office to refer the matter to proper authorities for appropriate action. Should you have toy questions concerning this matter, please contact me. Yours very truly, Clay Castleberry Director of public Works J'F. Glander JFG:dd Assistant Director cc. Planning Department Paradise Building Inspector 0 FILE NO. BUTTE COUNTY Public Works Dept. (For Action 1, 2, 3) (For Information) Director i Dep. Dir. Sec. Rd. 8 Br. Mtce. Shop Equip. 6 Yards Ref. Disp. Bldgs. & Grds. Bldg. Insp. Admin. D 8. C/Traffic Const. Rd. Des. Br. Des. Sur. 8 Loc. Mapping Drng./Permits Sub. Checking Right of Way BUTTE COUNTY Public Works Dept. (For Action 1, 2, 3) (For Information) Director i Dep. Dir. Sec. Rd. 8 Br. Mtce. Shop Equip. 6 Yards Ref. Disp. Bldgs. & Grds. Bldg. Insp. Admin. D 8. C/Traffic Const. Rd. Des. Br. Des. Sur. 8 Loc. Mapping Drng./Permits Sub. Checking Right of Way i ti J COUNTY OF BUTTE — ..DEPA,,,RTMENT OF PUBLIC WORKS 7 County Center Drive - , Oroville, California 95965 /��_�� Telephone: 534-4541 j APPLICATION AND PERMITOL • BUILDIN Owner °'t' inn A f L Vq H rFE SQ. FT. OCC. BUILDING VALUATION 0 1 SQ Mai I i ng Address RT 13 o x -7 G A _ I AZ4. Z Z 4 C16 (D /� v t wE ^i C•� 4a Tele hone No. r7-4 b Fireplace 7 SO Contractor Total Valuation Mai l i ng Address Permit Fee pp Plan Checking Fee &/or Penalty Telephone No. Permit Fee $ Building Address LA Q.V �� 10Oo t1�, r, PLUMBING No. FEE PERMIT FILING FEE � $3.. 00 00 ©F C.L-EA e, Each Trap R 1.50 SD Repair drainage or vent piping 1.50 Water piping 1.50 Each gas water heater or vent 1.50 A. P. No. 4)1 •- 4Gas Zoning 8 Planning piping system 1 - 5 outlets 1.50 Each additional outlet .30 Fs S�t EQA Parking Parcel Plans Declaratio Fire Dept. Fire Zone Use Permit Building sewer 5.00 ,CpO arcel Ma 60' R/W Improvements P Lawn sprinkler system 2.00 Bldg. ns Recd Parcel Approval Plans A roval Permit Fee $ .Q $ Z3 10 NEW El ADDITION ❑ UTILITIES ❑ OTHER ❑ ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 -2_,®O Main service 100 AMP ORSLESS 5.00 Main service EA. ADD'L too AMP 2.50 Main service OVER 60 100 AMP oR LESS 25.00 Single Family VN Duplex ❑ Mobil Home ❑ Others ❑ Main service/ EA. ADD'L too AMP 1.00 NEW CONST.DWELING OR ADDNS. \ ACCLBLDGS.CCUP. &) 20.sgft NEW CONSTRMULTI-O 1 NON-RESID. ( BRANCH I s) 2.50ea NEW CONSTR (POWER APPARATUS & NON-RESID. 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 style of: Ex. Occup(OUTLETS OR FIXTURES)@001 BAL�1 Ex. QCCU 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 a( I am exempt from the Contractors License Laws of the State of California. Permit Fee $ 4Z , 5 $ S WORKMEN'S COMPENSATION INSURANCE I am aware of the provisions of Section3700 of the California Labor Code which requires every employer to be insured against liability for Workmen's Compensation. ❑ I have placed on file with the County of Butte a certificate of Workmen's Compensation Insurance. IVI I certify that in the performance of the work for which this xXV 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 1100 Heating 1 DO OCA gfu 4,00 Cooling Lj -oo Ventilation Hood 2.00 Permit Fee $ 11,00 $ ' 10C 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 $ I R� •-,.,r,wcnwuvca UI enc %.Uuniy U1 ouuc LU CIIICI UPUII ule above-mentioned property for inspection purposes. XDate �_4 (, j , 1_ /-,, — rma Signature of Peiteeorr Agent Receipt No. 14S-73-3 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 permit expires Date COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS E; T BUILDING INSPECTION RECORD BUILDING BUILDING (Cont'd) PLUMBING . Setback Firewall Soil Piping Forms Parapets 1st Floor Main Bldg. Restroom Finish 2nd Floor Footings Windows 3rd Floor Stemwall Siding To out Slab Roof Sheathing Water Piping Piers Roofing Sewer Garage Fdn. Vents Fixtures Footings Garage Vents Water Htr. Stemwa I I Insulation Heaters Slab Prov. for physically Appliances handica ed Carport Conformance of ex. Gas Piping &Test Footings structure Temp. Gas Slab Final Sanitation Patio FIREPLACE Final Footin s Footing ELECTRICAL Masonry Walls Throat Rough Relnf. Steel Final Fixtures Bond Beam FIRE SPRINKLERS Motors Framing Test Water Htr. Stucco Final Subpanels Mesh MECHANICAL Grd. Fault Prot. Scratch Heating Service Brown Cooling Temp. Pole Finish Ducts Underground Interior Lath Ventilation Permanent Door Closer Final Final MOBILEHOME UTILITIES ------------------ Elec. Service Elec. Pedestal Water Piping Sewer Gas Piping MOBILEHOME INSTALLATION - - - - - - - - - - - - - - Support Elec. Continuity Water Piping Drainage Gas Piping DATE REMARKS OR CORRECTIONS )e� '-7q (NOTE: An entry must be made on this form each time you visit the job site.) PERMIT NO 1988-77B,P,M 0 PER/MIT EXPIRES OWNER / Thomas White i' CONTR. owner LOCATION (A.P. 41-40-48 W/S Clark Rd.,1000'N.of Clear Creek School,Oro., s -,a 3f77 Temp. Power Pole Called PG&E Temp. Elec. Serv. Called PG&E Temp. Gas Serv. Called PG&E JOB FINALLD (Date) (Signature) 'Z7 r -PERMIT NO. 1797-76B,P,E,M PERMIT EXPIRES�,�//� OWNER Thomas L. White 'CONTR. owner LOCATION (A.P. 41-48 y W/S Clark R.., app. 1000' N. of Clear Creek School, .. •r ti � QGi 1-S '� 1. ' d. . ;ry Y010 i - A. ,r Temp. Power Pole r Called PG&E Temp. Elec. Serv. Called PG&E Temp..Gas Serv. Called PG&E JOB FINALED (Date) (Signature) COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS BUILDING INSPECTION RECORD BUILDING BUILDING (Cont'd) PLUMBING Setback Firewall Soil Piping Forms Parapets 1st Floor — Main Bldg. Restroom Finish 2nd Floorr7—/& & Aei?—' Footings Windows _ 3rd Floor Stemwal I SidingTo out — (o ' %ro Slab Roof SheathingWater Piping Piers Roofing 6 Sewer Garage Fdn. Vents Fixtures Footings IL Garage Vents Water Htr. �3 Stemwall Slab Prov. for physically handicapped Heaters Appliances 31::) % Carport Footings Conformance of ex. structure Gas Pipin6 & Test , Temp. Gas �---- Slab Final Sanitation Patio FIREPLACE Final Footings Footing ELECTRICAL Masonry Walls Throaty —7 Rough e (o Reinf. Steel Final % 7 Fixtures Bond Bea --AF SPRINKLERS Motors Framin (o Test Water Htr. Stucco Final Subpanels Mesh MECHANICAL Grd. Fault Orot. 7 Scratch r%— Gi Heatin'g Service %. Brown Cooling Temp. Pole Finish Ducts Ci, Underground Interio Lath Ventila ion Permanent Door J -.loser Final Final DATE p )REMARKS OR CORRECTIONS l y � -�- ��n �-a�(.t,� -- - ✓�...�-�• "',gyros• �s �s�-- 7 l �� 12 f WVL fy (NOTE: An entry must be made on this form a ch time you visit the job it Hyl 4 C I December 10, 1976 Thomas L. White RE: Assessor Parcel ,#41-40-48 Rt 1, Box 176-A-1 Oroville, CA. 95965 Dear Mr. White: This office was recently advised by our field inspector that you have moved into the dwelling which you are constructing under Permit #1797-76 and that you have a travel trailer parked on the property in which some friends are living. The area is presently zoned such that two (2) living units on the property are not permitted. + Would you please discontinue the mobile living on the property sothat it will not be necessary for this office to refer the matter to proper authorities for appropriate action. Should you.have any questions concerning this matter, please contact me. Yours very truly, Clay Castleberry Director of Public Works Original signad by I F. Clan aer J.P.• Glander JFG:dd Assistant Director cc: Planning DeparpM a a seBuilding Inspector v H CERTIFICATIONS As required by the State regulations, -both the builder and the insulation applicator must sign a.card certifying that the;proper "R" values for all insulation locations have been installed. An example, of a certification card, which is furnished by the builder or insulation applicator is shown in Fig. 13. W THIS IS TO CERTIFY THAT 1NSU6ATION HAS BEEN INSTALLED IN CONFOI.V= WITH THE CURRENT ENERGY REGULATIONS. CALIFORNIA ACHINIE C E. TLE S. STATE Of CALIFORNIA. IN THE BUILDINE LOCATED AT: r[at Number rac EXTERIOR WALLS Manufacturer Tnlekness/Type J �j� R Value, I P CEILINGS Batts: Manufacturer' < Tliiekness R Value . Blmm: Manufacturer Thickness.. No. Bags Wt./Bag... Sq. Ft. Covered R Value FLOORS k • Manufacturer Thickness/Type R Value SLAB ON RADE Manufacturer Thickness/Type R Value Width of Insulation Inches FOUNDATION WALLS Manufacturer Thickness/Type R Value GENERAL CONTRACTOR �2 (I 4jt L� . LICENSE NUNBER By TITLE DATE INSULA ON CONTRACTOR 1r-- LICENSE HUMBER BY% TLE M GA9 N E R DATE LZ Fig. 13 8-14 .r� � ^sem_ .� 'ti, ...��� �+. '.+ri^, --'L..P=. r� .-�;%• - --... t , _ . v � � », .��,..v� ti,,�� �..�y.. �. _ t•t,�.. ... � - ._ �._•-_ COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS - ., _ ', J� 7 County Center Drive Oroville, California 95965 �// Telephone: 534-4541 ` APPLICATION AND PERMIT ...r.a..,.... a..uvw 11— v 11LY u1 ­­— —LUI uNvn uic above-mentioned property for inspection purposes. X /�iGpate� -''s Signature of Permitee or Agent Receipt No.�4?--� 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 By d�� �n-�.-�'C....- Date 7'! R- 76� Building permit expires Date 7- / F- ;V, BUILDING ' 1. . Owner SQ. FT. OCC. BUILDING VALUATION Mailing Address / 7 ` Telephone No. Fireplace Contractor ,t.t,-.,,-y , 2 Total Valuation Mailing Address Permit Fee 44,�" Plan Checking Fee &/or Penalty Telephone No. Permit Fee $ /�,(yr�� /�1� ll Building Address Hj �4-1 / j C.�A�t'ft' �'n . �.' � "� PLUMBING No. @ FEE PERMIT FILING FEE $3.00 leG?r "V �� �'.c f '/rN (r,'F�k S�'.S/�c,C Each Trap 1.50 Repair drainage or vent piping 1.50 Water piping 1.50 Each gas water heater or vent 1.50 A. P. No.Gas Zoning & Planning piping system 1 - 5 outlets 1.50 Each additional outlet .30 Fee W.C. _S nit�ttbn Fire Dept. Fire Zone Use Permit Building sewer 5.00 EQA..Plla^ns Parking Parcel- Declaration n''�� arcel Map 60' R/W Improv ents Lawn sprinkler system 2.00 90_� ,Plans Recd ParceLKpproval Plans pproval Permit Fee $ $ NEW Q ADDITION ❑ UTILITIES ❑ OTHER ❑ ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 Main service incl. 1 meter Additional meters, each 1.00 Sub -panel (12 or less) (more than 12) Single Family 0 Duplex ❑ Mobil Home ❑ Others ❑ Range, Cook -top or Oven 1.00 Water Heater or Space Heater 1.00 Light fixtures b d2 10 Receps., switches & fix outlets 120025 CONTRACTORS LICENSE LAW I am licensed under the provisions of Chapter 9, Div. 3, of the State of California Business & Professions Code under the name style of: Hood, Ex. Fan or F.A. Furn. Motor 1.00 Evap. cooler, gar.disp.or D.W. 1.00 Air conditioner or heat pump Water pump Mobil Home Facilities 5.00 Temp. Power Pole 5.00 License No. Classification Misc. wiring 1" [&,I am exempt from the Contractors License Laws of the State of California. Permit Fee $ $ WORKMEN'S COMPENSATION INSURANCE 1 am aware of the provisions of Section3700 of the California Labor Code which requires every employer to be insured against liability for Workmen's Compensation. ❑I have placed on file with the County of Butte a certificate of Workmen's Compensation Insurance. ®I certify that in the performance of the work for which this permit ,is issued I shall not employ any person in any manner so as to become subject to the Workmen's Compensation Laws of California. MECHANICAL No. @ FEE PERMIT FILING FEE $3.00 Heating Cooling Ventilation Hood 2.00 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 77� 1%1 ...r.a..,.... a..uvw 11— v 11LY u1 ­­— —LUI uNvn uic above-mentioned property for inspection purposes. X /�iGpate� -''s Signature of Permitee or Agent Receipt No.�4?--� 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 By d�� �n-�.-�'C....- Date 7'! R- 76� Building permit expires Date 7- / F- ;V, r PERMIT NO. 3105-753 P E M MH UTIL. PERMIT NO. PERMIT EXPIRES 2—If-76 OWNER Thomas White CONTR. LOCATION (A.P. 41-40-48 ) ` !/s Clark Rd., 10001 N. of Clear Creek School, pw• &a. ' r -3. s t { Fi Temp. Power Pole Called PG&E Temp. Elec. Serv. Called PG&E Temp. Gas Serv. Called PG&E JOB FINALED (Date) (Signature) Setback Forms Main Bldg. Footings Stemwal I Slab Piers Garage Footings Stemwa l l Slab Carport Footings Slab Patio Footings Masonry Walls Reinf. Steel Bond Beam Framing Stucco Mesh Scratch Brown Finish Interior Lath Door Closer COUNTY OF.BUTTE - DEPARTMENT OF PUBLIC WORKS BUILDING INSPECTION RECORD BUILDING I BUILDING (Cont'd) 11 Firewall Parapets Restroom Finish Windows Siding Roof Sheathing Roofing Fdn. Vents Garage Vents Prov. for physically handicapped Conformance of ex. structure Final - FIREPLACE Footina Final MECHANICAL Heating, Cooling Ducts Ventilation Final DATE REMARKS OR CORRECTIONS PLUMBING Soil Piping 1st Floor 2nd Floor 3rd Floor Topout Water Piping Sewer Fixtures Water Htr. Heaters Appliances Gas Piping & Test Temp. Gas Sanitation Final Motors Subpanels Grd. Fault Pri Service Temp. Pole Undergrouni Permanent Final ELECTRICAL CLAIMANT: JtButote O.ROVILLE, CALIFORNIA GENERAL CLAIM Thomas L. White ADDRESS: Rt. 1, Box 176- A-1 CITY & STATE: Oroville, CA. 95965 IMPORTANT: DATE OF CLAIM: April 16, 1976 SEE INSTRUCTIONS ON REVERSE SIDE SUBMIT CLAIM TO DEPARTMENT RECEIVING GOODS OR SERVICES r DATE I DESCRIPTION OF CLAIM (DESCRIBE FULLY TO AVOID DELAY) AMOUNT Owner decided not to build residence. Permit- #3105-75B—Raceipt- 11'133762, AP -41=40-4 Building permit fee ----- $124.00 Retain 113 of fee ------- 41.33 Amount of refund due ------------ $82.67 $82 67 i I I i i TOTAL $82,.67 I, the undersigned, declare under penalty of perjury that the services or articles claimed have been performed or delixered, and that this claim is true and correct as stated. Dated this day of , � n 19 / at r�. c4 /1e ,Calif. Signature of Claimant I, the undersigned, hereby certify that, to the best of my knowledge, the services or articles specified above have been performed or de- livered and that there is a Budget Appropriation ❑ or Specific Board Approval F-1 (Check one) for the same. Dated this . ........... day of , �,�� 19 at Oroville , Calif. Department Head or Authorized Deputy i Dept. Exp. Code ............................................ Code ................................................PAYABLE FROM............................................................................................ FUND DO NOT WRITE BELOW THIS LINE - AUDITOR'S USE ONLY' VENDOR CODE DEPT. & SUB. PROD• SUB. OBJ. CLAIM NO. INVOICE NO. INVOICE DATE DISC . GROSS -T AMOUNT ENCUMB. SUB -DIST. I fi V/ ,` COUNTY OF BUTTE — DEPARTMENT OF PUBLIC W a RKS 7 County Center Drive - • Oroville, California 95965 Telephone: 534-4541 APPLICATION"AND PERMIT authorize representatives of the County of Butte to enter upon the above -me ti ed property for inspection urposes. Date �Z Signature of Permitee or Agent Receipt No. /-3,3 -0— 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 F PUBLIC WORKS By Date�_y ilding permit expires Date 7-17,2-9 A BUILDING A, Owner SQ. FT. OCC. BUILDING�VALUATION 17 ZZ- -9-- Mailing Address 17, O Telephone No. ��-9 u Fireplace Contractor Total Valuation p Mailing Address Permit Fee Plan Checking Fee &/or Penalty Telephone No. Permit Fee / v J Building Address ��� Df e'/�y /e , OX PLUMBING No. @ FEE PERMIT FILING FEE $3.00 i Each Trap 1.50 Repair drainage or vent piping 1.50 Water piping 1.50 .� Each gas water heater or vent 1.50 —7Q Zoning 8 Planning Gas piping system 1 - 5 outlets 1.50 $ Each additional outlet .30 Building sewer 5.00 F S it n Fire Dept. FFiireZone Use Permit EQA Parking Par Declaration arceT a P 60' R/W Im r p ov ents Lawn sprinkler system 2.00 Permit Fee $ ,�Planns Plans f�ec'd ef ParcetidCpproval Plans pproval NEW tg ADDITION ❑ UTILITIES ❑ OTHER ❑ ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 Main service incl. 1 meter Additional meters, each 1.00 Sub -panel (12 or less) (more than 12) - Single Family ® Duplex ❑ Mobil Home ❑ Others ❑ Range, Cook -top or Oven 1.00 Water Heater or Space Heater 1.00 Light fixtures 60(90 02 10 Receps., switches & fix outlets 20 5 CONTRACTORS LICENSE LAW I am licensed under the provisions of Chapter 9, Div. 3, of the State of California Business & Professions Code under the name style of: Hood, Ex. Fan or F.A. Furn. Motor 1.00 Evap. cooler, gar. disp. or D.W. 1.00 Air conditioner or heat pump Water pump Mobil Home Facilities 5.00 Temp. Power Pole 5.00 License No. Classification Misc. wiring k'ELI am exempt from the Contractors License Laws of the State of California. Permit Fee $ is WORKMEN'S COMPENSATION INSURANCE I am aware of the provisions of Section3700 of the California Labor Code which requires every employer to be insured against liability for Workmen's Compensation. ❑I have placed on file with the County of Butte a certificate of Workmen's Compensation Insurance. I certify that in the performance of .the work for which this permit ,is issued I shall not employ any person in any manner so as to become subject to the Workmen's Compensation Laws of California. MECHANICAL No.1 @ 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 TOTAL PERMIT FEE $ authorize representatives of the County of Butte to enter upon the above -me ti ed property for inspection urposes. Date �Z Signature of Permitee or Agent Receipt No. /-3,3 -0— 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 F PUBLIC WORKS By Date�_y ilding permit expires Date 7-17,2-9 A COUNTY OF BUTTE - DEPARTKI. T 0-r F PUBLIC WORKS 7 County Center Drive, Oroville, California 95965 PHONE: 916-534-4541 DATE -7 _�p RE: -31 L) With reference to the above subject: / Attached is: Application for permit Building Plans Engr. Calcs. OTHER Typical Plan Sheet Mobile Home Sheet List of Codes Enforced TV We need the following information: Permit application signed and completed where indicated with all copies returned. Fees of $ Certificate of Workmen's Compensation Insurance. Contractors License Law information. Letter authorizing signature of Complete plans, in duplicate, including plot & floor plans and complete structural details. T Plot plans in duplicate. Structural details in duplicate. Complete plans, in duplicate, prepared by registered civil engineer or architect. Engr. calcs. Two (2) sets of plans in accordance with changes marked in red. Sanitation approval. from Butte County Health Dept. 695 Oleander Ave., Chic.n. 7 -County Center Dr., Oroville. Skyway & Elliott Rd.,Paradise Planning approval, i.e., use permit, variance, rezoning, etc., from Butte County Planning Dept., 7 County Center Dr., Oroville. Improvement Plans. Parcel declaration recording data. Verification of access or right of way by deed. Verification of legally created parcel by deed. Deed for right of way. Parcel map recorded. OTHER .As soon as we receive the above data, we will process your application, or, should you have any questions concerning the above, please contact this office. JFG:dd Yours very truly, Clay Castleberry Director of Public Works J.F. Glander Assistant Director I r This sof d661 ac specWc«4icns M091 6e kept at, the job of ail fimes and it is iuilawfuf to hake a c c+nges r"" ar praVpni an same with *Mien &-missidn from the Depti tment of Pii%+tiri Works, dai4 a Lai,{ ` MOTE:—,SII Materials Workmanship Shall Be in Accordance with Recognized Good Practices and •of a quality prescribed for the Specified use in the Uniform BuUting, Plumbing & Mechanical Codes and -the National Electrical Code. i e r. rtj7 t _t i' rw H r 1 t wrV! rYd 'y �a r s t a I t Fy it Y yrY 9 \i 4 G1/�� �yF�ltac.� . 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