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Home My WebLink About041-420-0480 41-42-x. 48 heodore P. Fashing NW/end ofAdellLane, app.1100'W.of Clark Rd.; Parcel #4, Oroville--•- Permit #6 3-79B,P E,M new sing a familyy. ; n , �� 041-42-0-048 998-2188 FASHING, THEOD6RE P. \ 3801 ADELL LN. ORO LE OWNER ADDITION OF UTILITY R Olde 041-42-0-048 #918424K7' FASHING, THEODORE 3 801 ADSL_ L LN. ORO LE OWNER GAS HEATER 'Bag - -3'301 AAetl Lo. � Orov� 4. )�1J41io �g0K5�43-. - -- - - - -T4. • i i • } 8 �i,'." `t BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT 24 HOUR INSPECTION (IVR): (530) 538-4365 OFFICE: (530) 538-7541 FAX#: (530) 538-2140 ONLINE PERMIT/RENEWAL PAYMENTS: www.buttecounty.net\dds PROJECT INFORMATION Site Address: 3801 ADELL LN Owner: Permit No: B08-1906 APN: 041-420-048 FASHING THEODORE P &, Issued Date: 11/12/2008 By TMP Permit type: MISCELLANEOUS 1090 HONEY RUN RD Subtype: Room Addn-First Stry CHICO, CA 95928 Expiration Date: 11/12/2009 Description: ADDITION TO SF 288 SQ.FT. (530) 891-4088 Occupancy: Zoning: AR -2-'i Contractor Applicant: Square Footage: FASHING THEODORE P &, Building Garage Remdl/Addn 1090 HONEY RUN RD 288 CHICO, CA 95928 Other Porch/Patio Total (530)891-4088 288 FEE INFORMATION DBEH Building Review Fee $78.90 DBSMIP Residential $1.37 DBF Room Addition - First Stor $288.75 DBFIRE Fire Inspection (SRA) $214.00 DBFIRE SRA Fire Plan Review (S $107.00 DBMSC Room Add -1st Story 250sf $433.13 DBOMSC FEMA Flood Zone Review $118.98 DBOMSC Fire Safe Standards Rev $118.98 DBSMIP Residential $0.50 Total Charged: $1,361.61 Fees Paid: $1,361.61 Balance Due: $0.00 Receipt No: B9098 LICENSED CONTRACTOR'S DECLARATION OWNER / BUILDER DECLARATION Contractor (Name) State Contractors License No. / Class / Expires I HEREBY AFFIRM UNDER PENALTY OF PERJURY that I am exempt from the Contractor's License Law for the following reason (Sec. 7031.5), Business and Professions Code: Any city or county that requires a permit to construct, alter, improve, demolish, or repair any structure prior to its issuance, also requires the applicant for such permit to file a signed statement that he or she is licensed 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 pursuant to the provisions of the Contractor's License Law [Chapter 9 (commencing with Section 7000) is in full force and effect. of Division 3 of the Business and Professions Code) or that he or she is exempt therefrom and the X basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil of not more than five hundred dollars 11/12/2008 penalty [$500]; Please check one of the following: Contractors Signature Date ❑ I, AS OWNER OF THE PROPERTY, OR MY EMPLOYEES WITH WAGES AS THEIR SOLE COMPENSATION, WILL DO THE WORK AND THE STRUCTURE IS NOT INTENDED OR OFFERED FOR SALE (Sec. 7044, Business and Professions Code: The Contractors License Law does not apply to an owner of the property, who builds or improves thereon, and who does WORKERS' COMPENSATION DECLARATION I HEREBY AFFIRM UNDER PENALTY OF PERJURY one of the following declarations: HAVE AND the work himself or herself or through his or her own employees, provided that such improvements ❑I WILL MAINTAIN A CERTIFICATE OF CONSENT TO SELF -INSURE FOR are not intended or offered for sale. If, however, the building or improvement is sold within one WORKERS' COMPENSATION, as provided for by Section 3700 of the Labor Code, for the year of completion, the owner -builder will have the burden of proof that he or she did not build or performance of the work for which this permit is issued. improve for the purpose of sale.). ❑ I HAVE AND WILL MAINTAIN WORKER'S COMPENSATION INSURANCE, as required by I, AS OWNER OF THE PROPERTY, AM EXCLUSIVELY CONTRACTING WITH LICENSED CONTRACTORS TO CONSTRUCT THE PROJECT (Sec. 7044, Business and Professions Code: Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. The Contractors License Law dows not apply to an owner of the property who builds or improves My Workers' Compensation insurance carrier and policy number are; thereon, and who contracts for the projects with a contractor(s) licensed pursuant to the Contractors License Law.). Carrier: Policy Number: Exp. Date: (This section need not be completed if the permitis oris or onehundred dollars ($100) or less.) ❑ 1 AM EXEMPT under Section B. & P.C. for this reason: 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 Workers' Compensation Laws of California, and agree that if I should become subject to the workers'X 11/12/2008 compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those Owner's Signature Date provisions. X 11/12/2008 I hereby certify that I have read this application and state that the above information is correct. I agree to comply with all City and County ordinances, rules, regulations, and State laws relating to building Signature Date WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, construction, and with any and all conditions of permit. I agree to defend, indemnify, and hold harmless Butte County, its officers, agents and employees from any and all claims and liability for personal AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE injury, including death, and property damage caused by, arising out of, or in any way connected with HUNDRED THOUSAND DOLLARS ($100,000), IN ADDITION TO THE COST OF COMPENSATION, the issuance of this permit. I hereby acknowledge that issuance of this permit does not authorize the DAMAGES AS PROVIDED FOR INSECTION 3706 OF THE LABOR CODE, INTEREST AND use or occupancy of any sidewalk, street, or subsidewalk. I hereby authorize representatives of Butte ATTORNEY'S FEES. County to enter the above mentioned property for inspection purposes. I hereby certify that I am the propertyo er or am author act on the property owners behalf. 11/12/2008 CONSTRUCTION LENDING AGENCY 1 HEREBY AFFIRM UNDER PENALTY OF PERJURY that there is a construction lending agency for Nam of Permittee [SIGN] PrintJ Date the performance of the work for which this permit is issued. (3097 civ. code) Owner E] Contractor OR; E]Agent for Owner 11 Agent for Contractor FILE COPY Lenders Address City State Zip BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT APPLICATION* OFFICE #: (530) 538-7541 FAX #: (530) 538-2140 A FEE WILL BE REQUIRED AT TIME OFAPPLICATION Website: www.buttecounty.netldds PLEASE PRINT CLEARLY PERMIT NO. pog-19e� "When filed, this application and all supporting material becomes subject to the California Public Records Act. All public information related to this application is* subject to public inspection and will be posted on the County's website for electronic access. OWNER INFORMATION Last Name � 11 First me Mailing Address City V. t l Sta Zi�S Phone a ( Fax E-mail ARCHITECT/ENGINEER CONTRACTOR Name City w Address Zip��gZ6 City Fax State Zip Phone Fax E-mail Lic. # Class ARCHITECT/ENGINEER Name / nn Address -Stat City w Zip��gZ6 Phone / 7 Fax E-mail State License Number APPLICANT INFORMATION Name Address City/ebI shat Zip�� G l Phone �l , � � Fax E-mail APPLICANT SIGNATURE X — Vii, PROJECT LOCATION AP# 2 �_ Property Address 3 C City 9�:Z, V L 1 WORKER'S COMPENSATION Policy Number Carrier IIf hiring anyone other than licensed contractors, a certificate of worker's compensation must be shown at the time of permit issuance. LENDING AGENCY Name Address DESCRIPTION OR SCOPE OF WORK. c�Ci[- Fc d t,i Sq FT- Living 2,q g' Garage Open Cov Ef Structure Built without Permits 0 Proposed Change of Occupancy (Note previous use): For office use only: - Zoning / Flood Zone SRA No Occ. Type Const. D)IhAm 01114,d Butte County Department of Development Services TIM SNELLINGS, DIRECTOR I PETE CALARCO, ASSISTANT DIRECTOR 7 County Center Drive Oroville, CA 95965 (530) 538-7601 Telephone (530) 538-2140 Fax www.buttecounty.net/dds **PERMIT APPLICATION DATA SHEET** Reference Number: B08-1906 Location: 3801 ADELL LN Parcel Number: 041-420-048 Owner Name: FASHING THEODORE P &, Description: ADDITION TO SF 288 SOFT. Date: 09/17/2008 By: TMP Sub Type: Room Addn-First Str Phone: (530) 891-4088 The above permit application has the following Clearances required prior to permit issuance. Please contact each department indicated below regarding specific requirements pertaining to your permit application. Yes No SEWER DISTRICTS ❑ Thermalito Irrigation District, 410 Grand Avenue, Oroville CA 95965 - (530) 533-0740 ❑ [:] LOAPUD, 1960 Elgin Street, Oroville CA 95966 - (530) 533-2000 ❑ ❑ City of Chico, PO Box 3420, 411 Main Street, Chico CA 95927 - (530) 879-6700 PARKS & RECREATION DISTRICTS Chico Area Recreation District, 545 Vallombrosa, Chico CA 95926 - (530) 895-4711 ❑ Durham Park & Recreation District, 9447 Midway, Durham CA 95938 - (530) 345-1921 Feather River Recreaction & Park District, 1200 Myers Street, Oroville CA 95966 - (530) 533-2011 ❑ ❑ Paradise Parks & Recreation, 6626 Skyway, Paradise CA 95969 - (530) 872-6393 SCHOOL DISTRICTS E:] ❑ Biggs Unified School District, 300 B Street, Biggs CA 95917 - (530) 868-1281 Chico Unified School District, 1163 East 7th Street, Chico CA 95926 - (530) 891-3006 Durham Unified School District, 4920 Putney Drive, Durham CA 95938 - (530) 895-46 Gridley School District, 429 Magnolia, Gridley CA 95948 - (530) 846-4723 Marysville School District, 1919 B Street, Marysville CA 95901 - (530) 741-6000 Oroville Elementary School District, 2795 Yard Street, Oroville CA 95966 - (530) 532 Oroville Union High, 2211 Washington Ave, Oroville CA 95966 - (530) 538-2300 Ext: Paradise Unified School District, 6696 Clark Road, Paradise CA 95969 - (530) 872-64 OTHER "When filed, this application and all supporting material becomes subject to the California Public Records Act. All public information related to this application is subject to public inspection and will be posted on the County's website for electronic access. Signature of Applicant: �CloLi�—� Date: 09/17/2008 FILE 75 City of Biggs Planning Department, 3016 Sixth Street Biggs CA 95917 - (530) 868-5447 ❑ ❑ Other: ❑ -3000 105 00 "When filed, this application and all supporting material becomes subject to the California Public Records Act. All public information related to this application is subject to public inspection and will be posted on the County's website for electronic access. Signature of Applicant: �CloLi�—� Date: 09/17/2008 FILE Recorded copy of Agricultural Acknowledgment Statement- See Attached Instructions City of Biggs Planning Department, 3016 Sixth Street Biggs CA 95917 - (530) 868-5447 ❑ ❑ Other: ❑ Other: "When filed, this application and all supporting material becomes subject to the California Public Records Act. All public information related to this application is subject to public inspection and will be posted on the County's website for electronic access. Signature of Applicant: �CloLi�—� Date: 09/17/2008 FILE Butte County Department of Development Services TIM SNELLINGS, DIRECTOR I PETE CALARCO, ASSISTANT DIRECTOR 7 County Center Drive Oroville, CA 95965 (530) 538-7601 Telephone (530) 538-2140 Fax www.buttecounty.net/dds NOTICE TO BUILDERS" Before your building permit can be issued, your plans must be checked for compliance with the California Building Codes. In addition, your plans are routed to other regulatory entities including but not limited to Planning, Public Works, Environmental Health, and the California Department of Forestry for their clearances and approvals. There are some things you can do to expedite your permit: 0 Make sure your application is complete. 0 Be responsive to requests from County departments for any additional materials or requirements. The Building Division places its highest priority on processing building permits as quickly as possible and each day that passes without a complete application adds to processing time. Every permit issued by the Building Official shall expire and become null and void if the work authorized by such permit is not started or completed within one year from the date of issuance of such permit. A permit may be renewed (for a fee) prior to expiration an indefinite number of times, provided construction progress has been documented by the Building Division during each year during scheduled inspections. No changes may be made in the original plans and specifications for such work. In order to reinstate action on a permit after expiration, the permittee shall pay a new full permit fee and additional plan checking and documentation may be required. Upon completion of work covered by this permit, please contact this office for final inspection. As a reminder to you, it is illegal to occupy this building or any portion of the building for which this permit is issued without a final inspection. EXPIRATION OF PERMIT APPLICATION AND REFUND POLICY" Application for which a permit has not been issued will expire one year after date of application. Refunds may only be made upon written request by the person who originally paid the fees. Refunds for permit applications, if the permit has not issued, but not after 180 days from the date of fee payment. Fees paid at the time of application are for Plan Check and administration. The Plan Check portion of fees is refundable only if the permit is cancelled or withdrawn before any plan checking is done. Building Division costs will be deducted prior to authorizing a refund and a charge to process the refund application will be assessed. Refunds on permits (issued) may be requested prior to the expiration of the permit, provided no work has been done pursuant to the permit. An Inspection may be required (and deducted from any refund amount) to determine no work was done. Fee/refund information can be read on-line at http://municipalcodes.lexisnexis.com/codes/butteco/ "When filed, this application and all supporting material becomes subject to the California Public Records Act. All public information related to this application is subject to public inspection and will be posted on the County's website for electronic access. Reference Number: B08-1906 Location: 3801 ADELL LN Parcel Number: 041-420-048 Owner Name: FASHING THEODORE P &, Description: ADDITION TO SF 288 SQ.FT. Date: 09/17/2008 Phone: (530) 891-4088 Signature of Applicant:' -r Date: 09/17/2008 FILE Butte County Department of Public Works J. MICHAEL CRUMP, DIRECTOR LAND DEVELOPMENT DIVISION Storm Water Managment Program 7 County Center Drive Oroville, CA 95965 (530) 538-7266 Telephone (530)538-7171 Fax www.buttecounty.net/dds `� $ 1.1c National Pollutant Discharge Elimination System (NPDES) Phase II Construction Storm Water Permit and Storm Water Pollution Prevention Plan (SWPPP) Acknowledgment [LESS THAN 1 ACRE 1 Reference Number: B08-1906 Location: 3801 ADELL LN Parcel Number: 041-420-048 Owner Name: FASHING THEODORE P &, Description: ADDITION TO SF 288 SQ.FT. Date: 09/17/2008 By: TMP Sub Type: Room Addn-First Str Phone: 1(530)891-4088 By signing below, I the project owner/owners' agent, certify that this project WILL NOT DISTURB 1 acre or more of land and that I therefore, do not need to apply for a Construction Storm Water Permit from the State of California Regional Water Quality Control Board. Phased projects that contain multiple site buildouts of less than one acre but when combined with subsequent phases total more than one acre of disturbed soil will require a Construction Storm Water Permit from the state of California Regional Water Quality Board. I am aware that submitting false and/or inaccurate information or failure to apply for a Construction Storm Water Permit from the State of California Regional Water Quality Control Board for this project that disturbes one acre or more of land may result in revocation of grading and/or other permits or other santions provided by law. Signed: FILE Date: 09/17/2008 California Department_ of Forestry and Fire Protection Butte County Fire Department Fire Prevention Bureau 176 Nelson Avenue, Oroville CA 95965 (530) 538-7888 Office, (530) 538-2105 Fax Reference Number: B08-1906 Location: 3801 ADELL LN Parcel Number: 041-420-048 Owner Name: FASHING THEODORE P &, Description: ADDITION TO SF 288 SQ.FT. Date: 09/17/2008 By: TMP Sub Type: Room Addn-First Str, Phone: (530) 891-4088 To meet the requirements of Government Code section 51182 and Public Resource Code 4291, Butte County requires a pre -construction inspection to pro -actively provide the below building and site requirements to the property owner. Your property is located within the State Responsibility Area (SRA) of Butte County. SRA is required to meet the below requirements: ✓ Public Resources Code 4290 ✓ Public Resources Code 4291 ✓ California Building Code, Chapter 7A ✓ Butte County Improvement Standards Requirements prior to scheduling the pre -inspection: ✓ Full plan submittal to Butte County Development Services -Building Division ✓ Driveway and building pad must be identified on site ✓ Structure location must be staked out on the building site All development within the Requests for inspections shall be made a minimum of 72 hours in advance by calling the Fire Prevention Bureau's 24 hour inspection line at (530) 538-6226, (When the recording comes on, enter the extension number). For the pre -inspections, the property owner or authorized agent is required to meet the inspector at the construction site with two hard copies of the site plan. I have read and understand the above pre -inspection requirements. 09/17/2008 Date Redd 5/7/07 Signature All of the Fire Safe Requirements are posted on the Butte County Fire Department website at http://buttefire.org/Firel)revention/prott)lan/i)rotplan.html FILE Butte County Department of Development Services TIM SNELLINGS, DIRECTOR I PETE CALARCO, ASSISTANT DIRECTOR 7 County Center Drive Oroville, CA 95965 (530) 538-7601 Telephone (530) 538-2140 Fax www.buttecounty.net/dds OWNER -BUILDER INFORMATION An application for a building permit has been submitted in your name listing yourself as the builder of the 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 work, with the exception of various trades that you plan to subcontract, you should be aware of the following information for your benefit and protection: ° If you employ or otherwise engage any persons other than your immediate family, and the work (including materials and other costs) is $500 or more for the entire project and such persons are not licensed as contractors or subcontractors, then you may be an employer. ° If you are an employer, you must register with the state and federal government 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. There may be financial risks to you if you do not carry out these obligations, and these risks are especially serious with respect to workers' compensation insurance. ° For more specific information about your obligations under federal law, contact 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 thier own employees, without a license contractor or subcontractor, only under limited conditions. A frequent practice of unlicensed persons professing to be contractor is to secure an "owner -builder" 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 contacting the Contractors' State License Board's automated telephone information system at 1-800-321 -CLS13(2752) or by accessing thier website at www.CSLB.ca.gov. PLEASE COMPLETE AND RETURN THE ENCLOSED OWNER -BUILDER VERIFICATION FORM SO THAT WE CAN CONFIRM THAT YOU ARE AWARE OF THESE MATTERS. THE BUILDING PERMIT WILL NOT BE ISSUED UNTILL THE VERIFICATION IS RETURNED. OWNER BUILDER VERIFICATION PLEASE COMPLETE THIS FORM AS REQUIRED BY THE STATE OF CALIFORNIA (SENATE BILL NO. 831 EFFECTIVE JULY 1, 1980). NO BUILDING PERMIT WILL BE ISSUED UNTIL THIS VERIFICATION IS RECEIVED. 1. I PERSONALLY PLAN TO PROVIDE THE MAJOR LABOR AND MATERIALS FOR CONSTRUCTION OF THE PROPOSED PROPERTY IMPROVEMENT. (YES 0� 2. I (D/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 Cl PHONE CONTRACTORS LICENSE NO 4. 1 PLAN TO PROVIDE PORTIONS OF THE WORK, BUT I HAVE HIRED THE FOLLOWING PERSON TO COORDINATE, SUPERVISE, AND PROVIDE THE MAJOR WORK: NAME ADDRESS CITY PHONE CONTRACTORS LICENSE NO 5. I WILL PROVIDE SOME OF THE WORK BUT I HAVE CONTRACTED (HIRED) THE FOLLOWING PERSONS TO PROVIDE THE WORK INDICATED: NAME ADDRESS PHONE TYPE OF WORK Description: ADDITION TO SF 288 SQ.FT. Reference Number: B08-1906 Applicant Name: FASHING THEODORE P &, Owner's Name: FASHING THEODORE P &, AP # : 041-420-048 Signature of Property Owner: Q e Date: 9 '7 --,9 S" Department of Development Services Building Division 7 County Center Drive Oroville, CA 95965 (530) 538-7541 (530) 538-2140 FAX. FLOOD PLAIN DECLARATION I declare the actual value of the proposed construction work under building permit application number: ,;;,Og 1,ro (z. at the location of 3 g ( •A HCl L„J , ©,ee)vel& �. Assessor's Parcel Number: for the construction of an addition for _1�i ,� -�«fW does not equal or exceed the definition of "Substantial Improvement*" I am aware the building site is in a flood plain area, even though I am not required to comply with the flood plain management criteria. Property Owner: yk ye!�A I A b Address: ox,0✓< 1::::� Phone Number: I - oO Signature: Date: y — 1-7- 6 * Substantial improvement is defined as follows: Any repair, reconstruction, or improvement of a structure, the cost equals or exceeds 50% of the market value of the structure either, (a) before improvement or repair is started or (b) if the structure has been damaged, and is being restored, before damage occurred. Note: If improvement percentage equals or exceeds 40%, an appraisal is required on the existing building. Submit appraisal documents prepared by a certified appraiser. A new improvement percentage will be calculated. If improvement percentage exceeds 50%, a substantial improvement exists. BUTTE Y COUNTY SEP 17 2008 DEVELOPMENT. SERVICES BUTTE COUNTY SCHOOL FEE CERTIFICATION FORM (One form per Building) School District: Durham Unified School District Building Permit Number: B08-1906 Tax Rate Area No: Assessor's Parcel Number (s): 041-420-048 Jurisdiction: County Property Owner (s): FASHING THEODORE P Project Location/Address: 3801 ADELL LN BUTTE VALLEY Type of Development Residential Development: No Yes No Sq. Footage: 288 No of Living Mobile Home Addition/ -Supplemental to Units Installation onversion Permit # Cr.. mo - existing g -(No Foundation Inspection) sq. ft. Net total sq. ft. Deed Restricted Sq. Footage: 0 Attach signed copy of Deed Restriction and Notice of Limited se as iv- ocument Commercial/Industrial: =New Q Addition Sq. Footage: (Including Uenor Roofed Area7s Projec Description: DDITION TO SF 288 SQ.FT. ` l 10/22/2008 Building Department Representative Date District Indentification No. �03 �? I Dui ham 01 I i td School District certifies that —T-1v1Ec:J o re_ �. !'Qsl'1 I Yl (Payor) �UI A t Address) L_ayu (City) has complied with the requirements of Resolution No. representing square feet. ve Paid by Check # Remarks: CA 59�S (State) (Zip Code) by payment of $ (Phone Number) AB 2926 $ FULL MITIGATION $ U D� Date Notice: You may protest the imposition of the fees identified above by sumitting a written protest to the District, in compliance with Government Code Section 66020(a), within 90 days from the date fees are paid. Failure to submit a timely written protest will prohibit you from challenging the imposition of the fees in any court action. subsequent o the School Districtepresen a ive signing this Butte County Schools Impact—Fee Certification Form, the c o0 District is notified by the applicable Local Planning Agency that this project is being reviewed under the California Environmental Quality Act (CEQA), this project may be subject to additional school fees to fully mitigate its impact on the school district's schools. White (School District) Yellow (Building Department) Pink (Applicant) DDS—School Fee Form rev'd 3.10.08 mo County of Butte DEPARTMENT OF PUBLIC WORKS 695 Oleander Ave., Chico — 343-4211, Ext. 70 7 County Center Dr., Oroville — 534-4541 Skyway and Elliott Rd., Paradise — 877-3435 CORRECTION NOTICE .. r� . a Aiding or Property Address ' A routine inspection indicates that the following violations of County Ordinance exist at the above address and should be corrected. Please notify this office when correction of work is completed. If you have any question pertaining to this matter, or need additional explanation, • please contact this office immediatelv.. s A...., r.7 ............................./�.... " ,d! Inspe,.6tor Do Not Remove This Tog (400-4) n 041-42-0-048 #98-2188 RESIDENTIAL FASHING, THEODORE P. t 3801 ADELL LN. OROVILLE OWNER < ` ',,ADDITION OF UTILITY ROOM PERMIT NO. lSPERMIT EXPIRES LOWNER CONTR. ASSESSOR PARCEL LOCATION h OFFICE COPY ;+ Address GAS ` Meter By Date ELECTRIC Meter By v � Date < ( CHECKED s SRA BY FLOOD CERTIFICATE REQ. ' FIRE SPRINKLERS REQ. r SPECIAL INSPECTION ITEMS VERIFY Temp. Power Pole Called PG&E ' Temp. Elec. Service F, -Celled PG&E 1 Temp. Gas Service Called PG&E JOB FINAL (Date) ' SignatureLz 1, 1 =No 0 = Not OK RESIDENTIAL - = Not Applicable . = Not Ready Date UNDERFLOOR (Plans) OK except #'s Zo 'ngSetbacks-Easments-FloodSlope Ftg., Main; Soils-Elec. Gmd.-/ tg. Depth 3. Ftg. Garage; Soils-Steel-Elec. Gmd/ P Ftg. Depth Date ELECTRICAL (Permit) OK except #'s Fix rte& Transformer Clearance -Ins. Protection Ejpc-RqceptacIes Spacing -Lights & Switches at Doors Sized s & No. of Conductors Stapled omex Installed Close to Edge of Studs & C.J. 27. Equip. Ground a up w/Mech Fastners-Bead-Gas-&-Water" 2&-2-Appliance-l'irrvt h-Kttctren Cb'fidactor5ize GA 29. Subfeed Wire Size / / ga C r AI-A.C. Wire Size / /ga Cu or AI 30. Range Circ. a Cu or AI Insulated Neutral 0 Yes 0 No on uc ors roun - in Disconect quip. Clearances Panels -Motors -Meth. Epuip. ose 'ght-Shower Light -Spa Light 34. Smoke Detector Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date MECHANIP9L-(Perm1J-OK except #'s 35: -A -C. ucts Insulation & Support 36. yensu ation 37._Con ve ow Si�P� r.a.n� 38.-EuraaRee*VehT ccess-Comb. Air-Retum Air Vent 115 outlet Date Card B-1 Date Card B-1 Date Card B-1 Date Cana B-1 Date FRAMING (Plans) OK except #'s Sits'Isroper Materials & Anchors t4f. WBflrs Stud&,Nailing Spacing & Braces -Plates -Sound 6W' B5WKg Walls over Girders & Floor Nailing i . Draft Stod in Walls (rat proofl LOQ Headers & Beams -Size & Bearing (Single & Duplex) Date FRAMING (Continued) 5F,_- ngers-Post Ca s-AndorsMonnectors Cling ftr. Ties-Purlin-roff Brac.- 4&__Fltepla�rType.A F1 Fireplace Throat clearance s, iii&-Romex-ProtecUon-Draft Stop -Ins. Baffles 50-DeefsSill Hgt. & Dimensions e ire rotectfWr rarffirq__ j,52!Ex rs-One 3 -Check Garage 3rd Story, 2 Exits (yl!Staiw Vidth-Headroom-Rise-Run-Landing-Fire Protection .LALe yl wood on Roof Overhang -Attic Vents -Rafter Outriggers t-%- Sidina-Nailing Veneer 57esh-Drip Screed -Fd. Vents-Underflr. Access 159!Shear Walls; Nailing -Bolts 60. ri iS` Insu rt dings _ 'Z� Gi C;AInfiltration-WallsWindows Date Card B-1 .Date- Card B-1 Da Card B-1 Date Card B-1 ate FINAL (Plans) OK except #'s Ext Steps -Door & Sidelight Protection -Landings X64 Smoke Detector 65. Furnace; Vents -Clearance -Comb, Air-Conector- In Garage; Above Floor -Ducts -Meth. Protection ---66:-Bedroom Exiting .I. & Bath Fixtures & Tub Access -Spa 68. Elec. Trim & Subpanel, Breaker Sizes & Labels --69-Staiis & Rails x-.-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 & Recepticales at Kit. Counter 74. Garage Fire Door; Swing -Landing -Closure 75: A C,.BC'ct in Garage -Damper Wtr. Htr.; Vents -Clearance -Comb. Air Connector-P.R.V. In Garage; Above Floor -Meth. Protection 771 Plb., Elec. & Mech. Equip. Listed for Location SIB-Nec�iece�tades in Garage (G.FI.)-Romex Protection ? 79. Insulation-Foam-Lookedin Attic _,W_ -Guard-rails & Deck Construction -Post Caps 81. Fdn. VBents & Crawl Hole Door Drainage & Wood -Earth Clearance Looked under Floor 0 Yes 8 Following Instld./Drive 0 Yes 0 No/Walks 0 Yes 0 No/Planters 0 Yes 0 No 83. Stucco Brown -Finish -84:-A.C. Unit Disconnect, Electrical -Plumbing _05 -Vents Above Roof, Plbg-Appliance-Fireplace-Clearance to Openings 86. Wer-Well,-Disrronnect, Electrical, Plumbing tenor Elec. Trim, G.F.I. Receptacle -Underground 88. Ventila 'on'Throught House _89. lass Protection 90. Corrections from Previous Inspections __94-Gis Test -Meters Tagged, Gas -Electric 92. at -& Sewer Connected -C/0 to Grade -HD Approval nergy Compliance Certificate -Other Certificates n CZ Q A Date ' rd B- ate Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Comments at Final: 4. Ftg. Porches & Decks; SoilsSteel-/ P 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. Pie replace Ftg.-Steel 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. Pie ums & Ducts; Clearance -Material -Support -Ins. 4.44* -Anchor Bolts-Joists-Vents-Crippies 15. Access & Ventilation 16. Insulation Date Card B-1 44- Date Card B-1 Date a Date Card B-1 Date Card B-1 PLUMBING (Permit) OK except #'s 1 alter Htr; Vent -Access -Combustion Air Baffle W er Pipe; Test & Anchor -Nail Protection D.W.V.; Test Fittings & Anchor -Nail Protection 20. Shower Pan; Test, First Floor -Tub Access 21. Test TuS -&Shower, Second Floor -Tub Access 22 -Ga -Pipe; Sure 8 A ichors Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date ELECTRICAL (Permit) OK except #'s Fix rte& Transformer Clearance -Ins. Protection Ejpc-RqceptacIes Spacing -Lights & Switches at Doors Sized s & No. of Conductors Stapled omex Installed Close to Edge of Studs & C.J. 27. Equip. Ground a up w/Mech Fastners-Bead-Gas-&-Water" 2&-2-Appliance-l'irrvt h-Kttctren Cb'fidactor5ize GA 29. Subfeed Wire Size / / ga C r AI-A.C. Wire Size / /ga Cu or AI 30. Range Circ. a Cu or AI Insulated Neutral 0 Yes 0 No on uc ors roun - in Disconect quip. Clearances Panels -Motors -Meth. Epuip. ose 'ght-Shower Light -Spa Light 34. Smoke Detector Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date MECHANIP9L-(Perm1J-OK except #'s 35: -A -C. ucts Insulation & Support 36. yensu ation 37._Con ve ow Si�P� r.a.n� 38.-EuraaRee*VehT ccess-Comb. Air-Retum Air Vent 115 outlet Date Card B-1 Date Card B-1 Date Card B-1 Date Cana B-1 Date FRAMING (Plans) OK except #'s Sits'Isroper Materials & Anchors t4f. WBflrs Stud&,Nailing Spacing & Braces -Plates -Sound 6W' B5WKg Walls over Girders & Floor Nailing i . Draft Stod in Walls (rat proofl LOQ Headers & Beams -Size & Bearing (Single & Duplex) Date FRAMING (Continued) 5F,_- ngers-Post Ca s-AndorsMonnectors Cling ftr. Ties-Purlin-roff Brac.- 4&__Fltepla�rType.A F1 Fireplace Throat clearance s, iii&-Romex-ProtecUon-Draft Stop -Ins. Baffles 50-DeefsSill Hgt. & Dimensions e ire rotectfWr rarffirq__ j,52!Ex rs-One 3 -Check Garage 3rd Story, 2 Exits (yl!Staiw Vidth-Headroom-Rise-Run-Landing-Fire Protection .LALe yl wood on Roof Overhang -Attic Vents -Rafter Outriggers t-%- Sidina-Nailing Veneer 57esh-Drip Screed -Fd. Vents-Underflr. Access 159!Shear Walls; Nailing -Bolts 60. ri iS` Insu rt dings _ 'Z� Gi C;AInfiltration-WallsWindows Date Card B-1 .Date- Card B-1 Da Card B-1 Date Card B-1 ate FINAL (Plans) OK except #'s Ext Steps -Door & Sidelight Protection -Landings X64 Smoke Detector 65. Furnace; Vents -Clearance -Comb, Air-Conector- In Garage; Above Floor -Ducts -Meth. Protection ---66:-Bedroom Exiting .I. & Bath Fixtures & Tub Access -Spa 68. Elec. Trim & Subpanel, Breaker Sizes & Labels --69-Staiis & Rails x-.-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 & Recepticales at Kit. Counter 74. Garage Fire Door; Swing -Landing -Closure 75: A C,.BC'ct in Garage -Damper Wtr. Htr.; Vents -Clearance -Comb. Air Connector-P.R.V. In Garage; Above Floor -Meth. Protection 771 Plb., Elec. & Mech. Equip. Listed for Location SIB-Nec�iece�tades in Garage (G.FI.)-Romex Protection ? 79. Insulation-Foam-Lookedin Attic _,W_ -Guard-rails & Deck Construction -Post Caps 81. Fdn. VBents & Crawl Hole Door Drainage & Wood -Earth Clearance Looked under Floor 0 Yes 8 Following Instld./Drive 0 Yes 0 No/Walks 0 Yes 0 No/Planters 0 Yes 0 No 83. Stucco Brown -Finish -84:-A.C. Unit Disconnect, Electrical -Plumbing _05 -Vents Above Roof, Plbg-Appliance-Fireplace-Clearance to Openings 86. Wer-Well,-Disrronnect, Electrical, Plumbing tenor Elec. Trim, G.F.I. Receptacle -Underground 88. Ventila 'on'Throught House _89. lass Protection 90. Corrections from Previous Inspections __94-Gis Test -Meters Tagged, Gas -Electric 92. at -& Sewer Connected -C/0 to Grade -HD Approval nergy Compliance Certificate -Other Certificates n CZ Q A Date ' rd B- ate 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 ReaMOBILE HOMES Date MOBILE HOME UTILITIES (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements 1. Zoning Requirements - Setbacks - Easements 2. Footings; Soils-Size-OepthSpacing-Connectors-Steel 2. Soils; Special MH Support Sketch 3. Decks; Girders and/or Joists -Decking -Bracing -Stairs -Rails 3. Sewer; Location-Test-Fall-Ci"oncrete 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-Test4Mrap; / /1 -'ft. / /Nat. or/ /"Lt./ /LPG 7. Electric 7. Well Clearance & Disconnect 8. Frrng.; Sils-AnchorsStuds-Rttrs-Trusses 8. Utility Clearance 9. Siding; Nailing VeneerShxx*-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 - I 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 -GA 7. Water and Sewer Connected -C/0 to Grade -HD Approval S. 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/8 -Circulating Equip. -Heater 10. Exits; Insp.-Sketch 8. Elec.; Grounding; Equip. w/5 Circulating Equip. -Pool Lghtgq. Boxes-Enclosures-Panelboards-Ins. to Main in Conduit 11. Cert of Occupancy 9. Health Department Approval 12. Permanent Foundation Only: License Decal 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-OepthSpacing-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. Frrng.; Sils-AnchorsStuds-Rttrs-Trusses 9. Siding; Nailing VeneerShxx*-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 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 -GA S. Elec.; Pool Lighting; 15 Volts-GFI 6. Elec.; Enclosures; Conduit Entries -Terminals -Listed 7. Elec.; Bonding; Metal w/8 -Circulating Equip. -Heater 8. Elec.; Grounding; Equip. w/5 Circulating Equip. -Pool Lghtgq. 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 Insulation Certificate C=, (1_ 4 BUILDING OWNER: BUILDING LOCATION: Description of Installation ROOF Material Thickness (inches) BUILDING PERMIT #: Brand Name Thermal Resistance (R -Value) CEILING 0;yt1i 1 �� Batt or Blanket Type J Brand Name Thicltness ('inches) c r Thermal Resistance_(R-Value) Loose Fill Type Brand Name Contractor's minimum installed weight/h lb Minimum thickness inches Manufacturer's installed weight per square foot to acheive Thermal Resistance (R -Value) �EXTERIOR-WALL Brand Name Material Thickness (inches) Thermal Resistance (R -Value) RAISED FLOORS Material Stand Name Thickness (inches) Thermal Resistance (R -Value) SLAB FLOOR Material Thickness (inches) Width (inches) FOUNDATION WALL Brand Name . Thermal Resistance (R -Value) Material Brand Name Thickness (inches) '^';ertnal Resistance (R -Value) e rom Declaration I hereby certify that the above insulation was installed in the building at the above location in conformance with the current Building Energy Efficiency Standards for new residential buildings contained in Title 24 of the California Administrative Code. Gene al Contractor (Builder) License Number Sign and Title Date Sub -Contractor (Insulation Installer) License Number Signature and Title Date THIS CERTIFICATE MUST .BE PROVIDED TED WITHIN BU'IILDINGHE DEPARTMENT PRIOR TO FINAL INSPECTION APPROVAL AND A COPY SHALL BE PO JANUARY 1993 COUNTY OF BUTTE r. 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 f 'Q_ 5,4A", R / 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 Date �� Inspector �/ REV 10/92 PLAN REVISION Please complete the following information in order to process your submittal. If this form is not complete, correct and legible, it may cause a delay in processing. Owner's Name: Received By: _ (� / / Date: e A.P. #: e �( � Permit #: 6, Time: ContactPhoneNumber: Purpose of submittal: ❑ Permit Application Data Item ❑ Engineering ❑ Plan Revision 2-1 �equesteduilding Inspector or Correction Notice - Inspector's Name: ❑ Requested By Plan's Examiner - Examiner's Name: ❑ Other: If you are revising a plan which has already been issued, submit two(2) drawings reflecting the revisions for plan review. If engineering is involved in this revision, the engineer must put his requirements on these drawings and stamp and sign the drawings. Include two -(2) sets of wet signed engineering. Revised drawings must clearly show When Approved, Process as Follows: ❑ Mail to Owner at this address: ❑ Mail to Contractor at this address: ❑ Call Deliver with next inspection. and hold for pickup at the ❑ Chico Office ❑ Oroville Office Revised Plan Check Fee: 46.00 Receipt #: ❑ Additional Fees Not Required Additional fees may be due based upon complexity and time involved to process this submittal. Additional Fees: Receipt #: 2,S //_3! / ~ COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISIO 7 County Center Drive • Oroville, California, 95965. • Telephone (530) 538-754PER NO. (Rev. 12/96) APPLICATION AND PERMIT ��4�' ASSESSORPARCELNUMBER 041-420--048 ZONING AP -.,21 BICDINGPERMIT OWNER FAST4TrTC; . Theodore P. TELEPHONE 891 A083SO ' FT.OCC. BUILDING VALUATION .OWNERS MAIUNG AD)RESS 3801 Ad.ell Lane. nroville. CA Q5965 CONTRACTOR'S NAME planer TELEPHONE CONTRACTORS MAILING ADDRESS CONSTRUCTION LENDER LENDER'S MAILING ADDRESS Fireplace Total Valuation $ ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00 Permit Fee $ ARCHITECT OR ENGINEERS MAIUNG ADDRESS Plan Checking Fee $ BUILDINGADDRESS 3801 Axtell Lane. Oroville Energy Plan Checking Fee $ $ PERMIT FEE $ LOT NO. 3UBDN610N'SNAME PARCEL MAP PLUMBING PERMIT Fling Fee 20.00 USEOFSTRUCTURE SF:1`116 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 Worlci'ac Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home I S I G I W @20.00 PERMIT FEE $ ELECTRICAL PERMIT Fling Fee 20.00 600VMain Service 200A OR IESS 23.00 LICENSED CONTRACTOR'S DECLARATION IOR hereby affirm ander 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 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 constr-ict the project. ❑ 1 am exerript 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 tF a Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier Main Service zooA To 1000A 46.00 NEw CONST. DW ,E JNG OCCUP. 3.5¢so ADDNS.S. ( ACCO NEW CONST. M UTLET NON•RESID. c @7.50 POWER APPARATUS a SINGLE OUTIET CIR. Ex. Occup. OUTLET OR FIXTURES 20 Q 1'00 BAL @ .50 11 A Ex. Occu . ouri RES1SID,O� 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE $ MECHANICAL PERMIT Fling Fee 20.00 Heating Ga.: Feater. 15.00 Cooling Hood 6.50 Ventilation PERMIT FEP $ 35.00 Policy Nimber (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 forthw' ply wi those provisions. �� f1�� X �� Date y Signature of Applicant - ❑ Owner ❑ ntractor ❑ Agent An OSHA permit is required for excavatio s ver 60" deep and demolition or construction of structures over 3 stories in height.k7l�01,4a Mobile Home Installation Fee $ Energy Inspection Fee $ Occ CONST. TYPE TOTAL FEE $ HAZ. D. FEES IMP I FLOOD FFFFT;Z;7 PD is This permit is hereby issued under the applicable provisions of the Butte County Code and/or Resolutions to do work indicated above for wh' h fees have been paid. G PERMIT EXPIRES ON pet �� Receipt No. a51 WHITE-D.D.S.-B.G. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT OWNER -BUILDER VERIFICATION Attention Property Owner: An "owner -builder" building permit has been applied for in your name and bearing your signaam Please complete and return this information at your earliest opportunity to avoid unnecessary de]siy` in processing and issuing your building permit. No building permit will be issued until d& verification is received. 1. I personally plan to provide the major labor and materials for construction of the proposed property improvement: YES NO D 2. I HAVE JK HAVE NOT 13 signed an application for a building permit for thero P posed 3. I have contracted with the following person (firm) to provide the proposed consfivction:: `� �. ADDRESS: CITY• PHONE: CONTRACTOR'S LICENSE NO. ' 4. I plan to provide portions of this work, but I .have hired the following person to coo`rdiaatie; S.0 and provide the major work: NAME: ADDRESS: CITY: - d" PHONE: CONTRACTOR'S LICENSE NO. - 5. I will provide some of the work but I have contracted (hired) the following persons to pravide the work indicated: NAME ADDRESS PHONE TYPE OF WORK` SIGNED: PROPERTYOWNER:' SOCIAL SECURITY NUMBER: U DATE:. a - - - NOTE: -This Owner Builder Verification is required by.Se—dion 148.I1 awn 79U2 lbs California Health and Safety Code. This verification must be -completed Md returned to our office before we are permitted to issue the permit. � i • OWNER BUILDER INFORMATION 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 parry 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 work, with the exception of various trades that you plan to subcontract, you should be aware of the following information for your benefit andprotection: ♦ If you employ or otherwise engage any persons other than your immediate family, and the work"( including materials and other costs) is 5300 or more for the entire project, and such persons are not licensed as eontraetors�or subcontractors, then you may be an employer. ♦ 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 contri'butio'ns;•°;;`' ♦ There may be financial risks for you if you do not c out these obligations" and these risks are �es'� ecia' '}` y Y y �Y with respect to workers compensation insurance.. P ..� f ♦ 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 perforin their work personally or through their own employees, without a licensed contractor or subcontractor, only under Iitnited conditions. ::.. A frequent practice of unlicensed persons professing to be contractors is to secure an "owner builder" 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 contraclprs 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. i rely, Mic el C. Vi ira, C.B.O. M ger, Building Inspection NOTE: This Owner-Builder.Information is required by Section 198.10 of the California Health and Safety Code. OVER FDO 'COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive • Oroville, California 95965. - Telephone (530) 538-7541 PERIO T NO. (Rev. 12/96) APPLICATION AND PERMIT x-21 i ASSESSOR PARCEL NUMBER 041-42-0-048 ZON' �� Z BUILDING PERMIT OWNER FASHING, THEODORE P. WOZ088 SO. FT. OCC. BUILDING VALUATION 132 7,128 OwJMr1Mr_�ssLN. OROVILLE CA 95965 cVMM'S {.Jg1,4F DER TELEPHONE CONTRACTORS MAILING ADDRESS CONSTRUCTION LENDER LENDER'S MAIUNG ADDRESS Fireplace 1126 Total Valuation $ + ARCHITECT OR ENGINEER LICENSE NO. -Filing Fee $ 20.00 Permit Fee $ ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ 6-4.35 BUILDING ADDRESS380 1 ADELL LP). Energy Plan Checking Fee $ 23.00 OROVILLE CA 95965 $ PERMIT FEE $ 206.35 LOT NO. SUBDIVISION'S NAME PARCEL MAP PLUMBING PERMIT Filing Fee 20.00 USEOFSTRUCTURE SF Cg Duplex ❑ Mobilehome ❑ Other SPECIFY Each Trap 21 7.00 14.00 Solar or heat pump water heater 23.00 Water piping 15.00 15.00 Each gas water heater or vent 15.001, 00 TYPE OF WORK New ❑ Addition IV Remodel ❑ Utilities ❑ Installation ❑ Other ❑ Describe Work: ADDITON OF UTILITY ROOM Gas piping system 1 - 5 outlets 15.00 M. 00 Building sewer 15.00 Mobile Home I S I G I W @20.00 PERMIT FEE S ELECTRICAL PERMIT Fling Fee 20.00 Main Service A 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. 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: I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason Main Service zooA To +000A 46.00 NEW CONST. DW EWNG OCCUP. O AD NS. _ ( SO 3.5¢FT: • 0 Mu�i�i ou�TLSS. NON-RESID. C 97.50 POWER APPARATUS b SINGLE OUTLET CIR. Ex. Occup. OUTLET OR FIXTURES 20 Q +.00 BAL @ .50 Ex. Occup.DFlxur�is RLIS ) E 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE = 24.60 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.) X 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 fort ith comp) fth se provisions. j f X Date Signature of Applicant - Owner ontractor ❑ Agent An OSHA permit is required for excavations over 5'0" deep and demoliti or constructionof structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ 46.00 OCC CONST. TYPE TOTAL EE $ MAZ. D. FEES IMP D CD PARCEL PD H ISSUE This permit is hereby issued under of the Butte County Code and/or � ind'Xbowhich fees have B" � PERMIT EXPIRES ON the applicable provisions Resolutions to do work been paid. Date Date Receipt No. 250625/340.95 --- WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR I POLDENROO-APPLICANT FA 'COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION No. 7 County Center Drive • Oroville, California 95965' • Telephone (530) 538-7541 qg_ (Rev. 12/96) APPLICATION AND PERMIT J,Pff ASSESSOR PARCEL NUMBER o4y ZONING -O BUILDING PERMIT OWN 7' t TELEP"ON✓ �i SO FT OCC. BUILDING VALUATION ^ NEAS MI11UN0 ADDij€S - L--) TL '� U CONTRACTORS NAME LEPHONE /��ti CONIRACTOR9 MALINO ADDRESS CONSTRUCTION LENDER LENDER'S MOYUNG A D�S� Fireplace - A26Total Valuation S Z ARCH,R �F�fiINEER LICENSE NO. (� j',�� Filing Fee S 20.00 ARCHITECT OR ENOWEEA9 MAILING ADDRESS Permit Fee $ n'rj Plan Checking Fee S BUq.DWO I �t ��1 S /L. n. Q , 1i[j 1` ` Energy Plan Checking Fee JET V "��--" t� S PERMIT FEE S10 LAT No. 9UBDNIS PNS NAME PARCEL MAP PLUMBING PERMIT Fling Fee 20.00 Each Tr 7.00 USEOFSTRUCTURE Solar or heat pump water heater 1 23.00 SF,* Duplex ❑ Mobilehome O Other Water piping 15.00 r sPECFr Each as water heater or vent 15.00 TYPE OF WORK Gas piping system 1 - 5 outlets 15.00 New ❑ Addition A Remodel ❑ Utilities 13 sfagation O .Other O Building sewer 15.00 Describe Work: Mobile Home S G W (g?20.00 PERMIT FEE ELECTRICAL PERMIT Lling ee 20.00 LESS MOA Main Service OR LESS 23.00 TO CTI000A 6:00 LICENSED CONTRACTOR'S DECLARATION Main Service DWELLING - NEW corsT. Dwairx;t occvP. I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter °R A°D113 A • BUD 3.5¢sFro. 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, ppµRg1D. MULTL OUTLET @7.50 and my license is in full force and effect POWER APPARATUS 8 SIM OUTLET CR License Class No. ®,:50 UILc. OWNER -BUILDER DECLARATION Ex Occup. OUTLET OR FIXTMES BAL 1 hereby affirm under penalty of perjury that I am exempt from the Contractors License Ex. Occu U LN .OR 5.00 _ Law for the following reason: Temporary Service 23.00 ❑ I, as owner of the property, or my employees with wages as their sole compensation, Mobile Home Facilities 20.00 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 Misc. Wiring 23.00 to construct the project ❑ 1 am exempt under Sec. , Business and Professions Code for this PERMIT FEE reason WORKERS' COMPENSATION DECLARATION MECHANICAL PERMIT Fling Fee 20.00 1 hereby affirm under penalty of perjury one of the following declarations: Heating ❑ 1 have and will maintain a certificate of consent to self -insure for workers' Cooling compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. Hood 6.50 ❑ 1 have and will maintain workers' compensation insurance, as required by Section Ventilation 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 PERMIT FEt S Policy Number Mobile Home Installation Fee S (The above sections need not be completed if the permit is for work of a valuation Energy Inspection Fee S C of one hundred dollars ($100) or less.) OCC CONST. TYPE ❑ 1 certify that in the performance of the work for which this permit is Issued, I shall TOTAL FEE; not employ any person In any manner so as to become subject to workers' RAZ. D FEES IMP FLOOD COP pAR6EL PD HD ISSUE compensation laws of California, and agree that if I should become subject to the I I I I workers' compensation provisions of section 3700 of the Labor Code, I shall forthwith comply with those provisions. This permit is hereby Issued under the applicable provisions of the Butte County Code and/or Resolutions to do work X Date indicated above for which fees have been paid. Signature of Applicant - ❑ Owner ❑ Contractor ❑ Agent An OSHA permit is required for excavations over 50' deep and demolition or construction of structures over 3 stories in heigh By Date Receipt No. .3 0' S 5 PERMIT EXPIRES ON WHITE-D.D.S.-B.D. CANARY -A ESSOR PINK -INSPECTOR GOLDENROD•APPLICANT /paTe� \ L TO: Building Department FROM: Environmental Health SUBJECT: Sanitation Clearance Owner -H 4,pj ( / Location Plan Approved for: Sewage Disposal Wat Sup Clearance for dwelling. Other y ,� Hold final for: Final clearance O.K. for: NOTE: Environmental Health Specialist 8/96 E.H. USE'ONLY� Plot Plan Attached Floor Plan Attached Sent to B.D. / AP# Public Private Well c5 - Date ... ..� � �,� .. -"�� `..>.. , 1+.•.� t ,-'x.:t.'--st.,t\` "u''r - �.. � y-� n� i^'Zi,.e^.-__ � .. h7Jt.:►..rrY`iti'a"��Siy'�r'�(4lrstf�>rE"i''"t''S_ .� _. COUNTY OF BUTTE DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE (916) 538-7541 PERMIT APPLICATION DATA SHEET OWNER: -� �U ��d SESSORPARCEL qr--Vw --0ac Proposed Building Use: v B ding Inspector: ' 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 All items have been submitted -------------------------------------------------------------------------------------- El 2. Plot plans, 3/4 sets, signed by the preparer of plans. ------------------------------------------------------------ ❑ 3 . implete plans, 3/4 sets, signed by the preparer of plans. ----------------------------------------------------- I , 4. Engineered 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.------------------------------------------------------------------------------------------ ❑Z�142ti Fees anufactured Ho a to and mstallat'oginstructions including Tie Down Specifications.------------------ of$ - I----------- ---------------------------------------------------------- in *411 fees as shown on the attached schedule. --- - -- ---------------------Z-----------------------------� — r� California Department of Forestry plan approv fees - -- - -- ------ q4�❑ 13 . Flood elevation certificate. ---------------------------------------------------------------------------------------- 0 44 Sanitation and plot plan approval Health Department. ------------------------------------------- ❑ 15. City of Chico plumbing permit. ----------------------------------------------------------------------------------- 0 16. Plot plan and business license approval from the City of Biggs. ---------------------------------------------- 1117. --------------------------------------------- ❑17. Planning approval for (A) Use: (B) Parking:-------=------------------- 1118. -----------------❑18. Contact Land Development about ❑ Improvements, ❑ Drainage, ❑ Legai. Parcel. ------- .*v ------------- 0 -----`------------- ❑ 1.9. Encroachment Permit for driveway (construction approval prior to occu an -------------- ---- cY)"------- ❑20. Pre -inspection for required Rgque4to Building Inspector on (Date) ❑21. Contractor's license information. (Number, Name Style, Classification). ----- ----------------- =------------- ❑22. Workers1Compensation carrier and policy number. --------------------------------- ------- =------------------ ❑23.Owner-Builder Verification (Given to owner ❑, Mailed to owner 0) - -------------------------------------- ❑ 24. Letter of signature authorization. --- t' - --------------------------------------------------------------- ❑25. Recorded{copy of Agricultural Acknowledgment Statement. -------------------------------------------------- ❑ 26. Letter of intent on building use. ----------------------------------------------------------------------------------- {' ❑27. ManufacturedH eutility clearance. ------------ =-------------------------------------------------------------- ❑28. Existing violations and/or expired permits. ---------------------------------------------------------------------- ❑29._1433 A, ❑Grant Deed, ❑ M.H. Title, ❑ Check to H.C.D $ .--------------- 030.-Other: -------------- ❑30.-Other: ------ When you issu ,the permit, proce follows 11 Mail to owner, ❑Mail to contractor. i Telephon and hold for pickup at �'� ;ro with inspector. Applica� � Date: � �" Copy of Haz-Mat form sent ❑ Health Department, ❑ Fire Department, ❑ Air ollut Qn Date: By: Copy of plans sent ❑ Health Department, ❑ Fire DepZX_ : Date: By: 1. Index pennit:application for the above items number ❑ Plan Check List 2. Additional items required:, /L�, ►' Contractor, designer, owner, was advised of the above required.data by ❑ phbne, ❑ mail, ❑ Building Di Sion 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, oer, w� of the above data by 13 phone, ❑ mail, ❑ B " g Divisi0 er, by Date: Plans reviewed by: Date: �{8 Plans approved by: Date: - Sets of plans An 0-27 ❑ Plan Cabinet, ❑ A.P. folder. Note transfer by: Date: Yellow Copy - Department of Development Services, Building Division. COUNTY OF BUTTE DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 COUNTY CENTER DRIVE, OROVILLE CA 95965 TELEPHONE (916) 538-7541 SCHEDULE OF FEES DUE OWNER PROPOSED :BUILDING USE 1. BUILDING PERMIT FEES -- Balance Due ................ $ -- Additional Fees Due ........... $ -- Additional Fees Due ........... $ -- R? ised Plan Checking Fee ....... $ JY1' 1 f(: >+/2. SCHOOL DISTRICT FEES � ('M2P�11JvI f ; (paid at District Office) 3. SHERIFF FEES (paid at Building Division) Residential ........ x $360.00 = $ Units Commercial (sq.ft.)... x $0.03 = $ Sq.Ft. 4. URBAN AREA FEES (paid at Building Division) Residential (per unit) . x = $, #Units Amt. Commercial (sq.ft.) .. x =$- Sq.Ft. Amt. 5. RECREATION DISTRICT FEES (paid at District Office) 6. THERMALITO DRAINAGE DISTRICT FEES $510.00 (paid at Building Division) _SRA FIRE INSPECTION) AND PLAN CHECK $89-.00- (paid at Building Division) 8. WATER TENDER FEES (Battalion # ) $200.00 (paid at Building Division) 9. CSA 87 TRAFFIC FEE $2500.00 (paid at Building Division) 10. OTHER A.P. # 6 DATE 7,7 —�7P' RECEIPT # . DATE REC At time of permit application, I was advised the above fees are required to be paid prior to issuance of the building permit. These fees may be changed during the plan checking process. APPLICANT DATE Pursuant to Government Code Section 66020, you are hereby notified that items 2,3,4,5,6,8,9, and 10 above may have been imposed on your project. You have 90 days from the date of approval of the project or from the imposition of the above mentioned items during which you may protest. The -equirements for a protest are specified in Government Code Section 66020(a). Original-Buildi-ig Div. 2nd Copy - Applicant 3rd Copy - Owner (Rev. 2/97) tii p1:,. a 'd"��' W i i •. l { ` ....,r.� ,,...x;r. •, a��' , ` , n , r � , � t i ��'� tiS � J.t� � � � � ` r COUNTY OF BUTTk:�O * DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 COUNTY CENTER DRIVE, OROVILLE CA 95965 TELEPHONE (916) 538-7541 SCHEDULE OF FEES DiJE<�� OWNER/`t` �� t J /U/^� A.P. # PROPOSED BUILDING USE DATE "7 3 RECEIPT # DATE REC J� 1. BUILDING PERMIT FEES ` -- Balance Due ................ $, -- Additional Fees Due ........... $ -- Additional Fees Due ........... $ V Wised Plan Checking Fee ....... $ HOOLDIST CT F Ek)id at District Office) 3. SHERIFF FEES (paid at Building Division) Residential ........ x $360.00 = $ Units G Commercial (sq.ft.).. . Sq.Ft. x $0.03 = $ 4. URBAN AREA FEES (paid at Building Division) Residential (per unit) . x - = $, #Units Amt. Commercial (sq.ft.) .. x =$ Sq. Ft. Amt. 5. RECREATION DISTRICT FEES (paid at District Office) 6. THERMALITO DRAINAGE DISTRICT FEES $510.00 (paid at Building Division) RA FIRE INSPECTION' AND PLAN CHECK $89.00 (paid at Building Division) 8. WATER TENDER FEES (Battalion # ) ! $200.00 (paid at Building Division) 9. CSA 87 TRAFFIC FEE $2500.00 (paid at Building Division) 0 ,�. 71� "'� �"'•'1 fir,.. a •. /!/ 10. OTHER At time of permit application, I was advised the above fees are required to be paid prior to issuance of the building permit. These fees may be changed during the plan checking process. x APPLICANT �. f - ice' DATE Pursuant to Government Code Section 66020, you are hereby notified that items 2,3,4,5,6,8,9, and 10 above may have been imposed on your project. You have 90 days from the date of approval of the project or from the imposition of the above mentioned items during which you may protest. The requirements for a protest are specified in Government Code Section 66020(a). r / C- ' Original -Building Div. 2nd Copy - Applicant 3rd Copy - Owner (Rev. 2/97) OWNER -BUILDER VERIFICATION L__J . inr_ Attention Property Owner: An "owner -builder" building permit has been applied for in your name and bearing'your signafte, Please complete and return this information at your earliest opportunity to avoid unnecessary delay, in processing and issuing your building permit. No building permit will be issued until this. verification is received. _ 1. I personally plan, to provide the major labor and materials for construction of the proposed property improvement : YES 14 NO D 2. I HAVE'O HAVE NOT 13 signed an application for a building permit for the proposed 3. I have contracted with the following Person firm) to provide the proposed constiuctioni". ' NA ...,.. ADDRESS: CITY: PHONE: CONTRACTOR'S LICENSE NO. 4. I plan to provide portions of this work, but I have hired the following person to coordinate; supervise, and provide the major work: NAAZE: PHONE: CONTRACTOR'S LICENSE NO. 5. I will provide some of the work but I have contracted (hired) the following persons to provide the work indicated: NAME ADDRESS PHONE TYPE OF WORK SIGNED: PROPERTYOWNER: SOCIAL SECURITY NUMBER: DATE: 9 NOTE: This Owner -Builder Verification is required by Section 19831 and 19832 of the• California Health and Safety Code. This verification must be completed =d returned to our office before we are permitted to issue the permit. • ; OWNER BUILDER INFORMATION - Dear Property Owner: An application for a building permit has been submitted in your name listing yourself as the builder of property:; . improvements specified.cSlfi' For your protection. you should be aware that as "owner -builder" you are the responsible parry offecord on such A a permit. Building permits are not required to be sighed by property, owners unless they are personally performing i6ic" 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 our own work, with the exception of various trades that you plan to subeon P_`�..•' Y P Y P� Y P tract, you should �� be aware of the following information for your benefit and protection: ♦ if you employ or otherwise engage any persons other than your immediate family, and the work (including and other costs) is 5300 or more for the entire project, and such persons are not licensed as conn subcontractors, then you may be an employer. ♦ If you are an employer, you must register with the State and Federal Governments as an employer an, subject to several obligations including state. and. federal income tax..withholding, federal social s workers compensation insurance, disability insurance costs, and unemployment c'p'npensation contecut e'but ♦ There may be financial risks for you if you do not carry out these obligations, and these risks are especio with respect to worker's compensation insurance. ' .1. i ♦ For more specific information about your obligations under Federal Law, contract the Internal Revenue Service; an , d, 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 per fotm Ith.ir work personally or through their own employees, without a licensed contractor or subcontractor, only undei'limited conditions. A frequent practice of unlicensed persons professing to be contractors is to secure an `owner builder" building permit, erroneously implying that the property owner is providing his or her own labor and material personally: Builduig permits are not required to be signed by property owners unless they are performing their own work personally:' Information about licensed contractprs 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" bn 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. r rely, Mic el C. Vi ira, C.B.O. M ger, Building Inspection NOTE. This Owner-Builder.tnformadon is required by Section 19830 of the Callfornla Health and Safety Coda OVER A BUTTE COUNTY SCHOOLS IMPACT FEE CERTIFICATION FORM (One form per Building) •, School District �2 Building Department No. A.P. Number e)qj - qzo - o q Jurisdiction: City County Property Owner -eodo re, f-10 5W r) 0/ V Property Location/Address N Ad-Q.Q. L -r) Subdivision Lot No. Residential Development FT1 Sq. Footage 3 Zi No of Living Mobile Home Addition (Group R) Units Installation Commercial/industrial Sq. Footage Addit'k9n (including Exterior -- ' Roofed Areas) Q-xLP/nZ4 �-'i Building Department RepresentatiVV � I Date (Floor Plans ravtLewdd by School District Personnel) L District Identification No. — `717 -3 JJ), on 1)/rE/D School District certifies that 7WezbbI26'- -7 (Applicant) 13901 Adel) LN (Street Address) (Phone Number) X 0/�?- DW L LE A � S7 �6.5r (City) (State) (Zip Code) has complied with the requirements of Resolution No. — L/ by payment of $ representing square feet. �B 2926 $ VULL MITIGATION $ School District Representative Date Paid by Check # Remarks: J1',Nodce: You may protest the Imposition of the fees identified above by submitting a written protest to the District, in compliance with Government Code Section 66020(a), within 90 days from the date fees are paid. Failure to submit a timely written protest will prohibit you from challenging the Imposition of the fees In any court action. If, subsequent to the School District Representative signing this Butte County Schools Impact Fee Certification Form, the School District is notified by the applicable Local Planning Agency that this project Is being reviewed under the California Environmental Quality Act ICEGA), this project may be subject to additional school fees to fully mitigate its impact on the school district's schools. , Yellow (building department), feeform.xis (2/97)dmm a PRCO—ECT PROCESSING RF ORD APPLICANT: T �'IYCZShi OWNER: PERMIT: A. P. #: ow, 4too -o WORK DESCRIPTION: DATE DES ON OF STEP /o 2� 8 ✓ - T �� u-- Point System Summary: Climate Zone 11 - P -2R -9 Project Title Date BUILDING DATA Conditioned Floor Area ✓ 3 2 Number of Stories oNc i Slab/Raised Floor EO Check all applicable Unit Type condition(s): Single Family Detached (SFD) Addition Alone [ j Single Family Attached (SFA) (J Existing Building (J Multi -Family (MF) [J Existing -Plus -Addition SCORE CARD Measures 1. Ceiling Insulation 12 - 3r or R -value [381 1.1 -value [0.028] 2. Wall Insulation iz - / % or R -value (191 U-vajue (0.065] 3. Raised Floor Insulatlon 12 - / or R -value (191 U -value (0.037] 4. Slab Edge Insulation or R -value (0] F2 factor (0.75) 5. Infiltration Any Ducts in Unconditioned Space? ( Y / N) [YJ 6. Fenestration Heat Loss a.6,2 o.Cor-71 Type LI -value (0.65] Total %. Fenes. (161, 7. Fenestration Heat Gain % Fenestration SCshade open, Eff. % Fenes. Shade Eff. Ratio North x.58 x0,177 East %, Ski x South x West -8- x = Skylight -6 x Overhangs? (D N ) 8. Interior Thermal Mass 9. ExteriorWallMass 10. Heating System 11. Cool Ing System X12. Water Heating System 1 G7� M Heater Type ISG501 System 2 Heater Type [Nonel Form Revised January 1992 —9_ Fenestration % Exp. Slab [201 Area % North 10-60. ?, 58 East T/o,_ao 7, 5 South -p-- x , 8/ _ West -p Skylight Total 1. Ceiling Insulation 12 - 3r or R -value [381 1.1 -value [0.028] 2. Wall Insulation iz - / % or R -value (191 U-vajue (0.065] 3. Raised Floor Insulatlon 12 - / or R -value (191 U -value (0.037] 4. Slab Edge Insulation or R -value (0] F2 factor (0.75) 5. Infiltration Any Ducts in Unconditioned Space? ( Y / N) [YJ 6. Fenestration Heat Loss a.6,2 o.Cor-71 Type LI -value (0.65] Total %. Fenes. (161, 7. Fenestration Heat Gain % Fenestration SCshade open, Eff. % Fenes. Shade Eff. Ratio North x.58 x0,177 East %, Ski x South x West -8- x = Skylight -6 x Overhangs? (D N ) 8. Interior Thermal Mass 9. ExteriorWallMass 10. Heating System 11. Cool Ing System X12. Water Heating System 1 G7� M Heater Type ISG501 System 2 Heater Type [Nonel Form Revised January 1992 —9_ or % Exp. Slab [201 _ Int. Mass/CFA 4�- EXL Wall Mass 92 x B% AFUE or HSPF Duct Etfic. (1 story: 1780/6 or 6.81 0.83; 2+ story: 0.881 /a.5, x , 8/ _ SEER [10.01 Duct Effic. (1 story: 0.81: 2+ story: 0.871 ?B,Z Effective AFUE or HSPF e,SD Effective SEER Point Scores Zonal Control Adjustment (01 Zonal Control Adjustment [01 , 5 3 .. ,r. - /2 67-0 Energy Factor Ext. !ns. R -value Auxiliary Input Distribution (0.531 (121 [Nonel [STD] Energy Factor Ext. Ins. R -value Auxiliary Input Distribution Point Total: Point Goal': -Ed- Sum 1-6 Sum 7-9 � S -7'- M Certificate of Compliance: Residential (Page 1 of 2) CF -1 R �? 5 err✓C� ,� 6 r Q Project Title Address 0 Documentation Author Telephone Compliance Method (Package, Pant System 'r Computer) Climate Zone GENERAL INFORMATION Total Conditioned Floor Area: Building Type: �( (check one or more) Front Orientation: Number of Dwelling Units: Floor Construction Type: i ';� s�- fe Single Family >4- Addition Multi -Family Existing -Plus -Addition North / East / South / West / All Orientations (Input orientation in degrees and circle one.) Slab Raisedr (circle one or both) BUILDING SHELL INSULATION Construction Component Insulation Assembly Location/Comments Type R -Value U -Value (attic, to garage, typical etc.) Wall .............. _2 / Wall......... . Roof ............. Roof ............. , Floor ............: Floor ............. Slab Edge .. FENESTRATION Shading Devices f:14 -- Date <, Building Permit # Plan Check/ Date Feld Check/ Date Enforcement Agency Use Only Fenestration Area Fenestration Interior . Exterior Overhang Framing Type Orientation (sf) U -Value (roller blind, etc.) - (shadescreen, etc.) (yes/no) (metal/wood/vinyl) Front..... (,E-) 149,00 Front..... ( ) I I Left ....... (5) - Left ....... ( ) Rear ..... Rear ..... ( ) �-- Right..... Right..... ( ) Skylight Skylight ....... THERMAL MASS Type/Covering (slab/exoosed, tile, etc. A/ Revised January 1992 Area Thickness Location/Descriotion (kitchen, bath, etc. Certificate of Compliance: Residential (Page 2 of 2) C1=-1 R Project Title Date; , ( HVAC SYSTEMS Note: Input hydronic or combined hydropic data under Water Heating Systems, except Design Heating Load. Distribution Heating Equipment Minimum Type and Duct or Type (furnace, heat Efficiency Location Piping Thermostat pump, etc.) nJA Cooling Equipment Type (air conditioner,. heat pump, evao. cooling; Minimum Efficiency (SEER) WATER HEATING SYSTEMS (ducts/attic, etc.) Duct Location (attic, etc.) R -Value Duct Thermostat R -Value Tvoe Configuration. (split or Packa 4z 4 Energy External Rated' Tank Factor or Tank Water Heater Distribution Number Input (kW Capacity Recovery Standby' Insulation Type Type in Svstem or Btu/hr) (gallons) Efficiency Loss (%) R -Value T i. For small gas storage (rated input 5 75,000 Btwhr), electric resistance and heat pump water heaters, list Energy Factor. For large gas storage water heaters (rated input a 75.000 Btu/hr), list Rated Input, Recovery Efficiency and Standby Loss. For instantaneous gas water heaters, list Rated Input and Recovery Efficiency. SPECIAL FEATURES/REMARKS (Add extra sheets if necessary) COMPLIANCE STATEMENT This certificate of compliance lists the building features and performance specifications needed to comply with Title 24, Parts 1 and 6, of I Califomia Code of Regulations, and the administrative regulations to implement them. This certificate has been signed by the individual with overall design responsibility. When this certificate of compliance is submitted for a single building plan to be built in multiple orientations, any shading feature that is varied is indicated in the Special Features/Remarks section. Designer or Owner (per Business 3 Professions Code) Documentation Author Name: Name: �• �i9^/Or9l� Title/Firm:. Title/Firm: ✓ L. Address: Address: Telephone Lic. x: (signaturel Enforcement Agency Name: Tide: Agency: Telephone: (signature/stamp) Revised January 1992 Telephone: (date) (signature) Mandatory Measures Checklist: Residential MF -1 R NOTE: Lowrise residential buildings subject to the.Standards must contain these measures regafdle of the cgmpliance . approach used. Items marked with an asterisk (') may be superseded by more stringent com liance requirements listed on the Certificate of Compliance. When this checklist is incorporated into the permit documents, the features noted shall be considered by all parties as binding minimum component performance specifications for the ' mandatory measures whether they are shown elsewhere in the documents or on this checklist only. DESCRIPTION Building Envelope Measures * §150(a): Minimum. R-19 ceiling insulation. DESIGNER I ENFORCEMENT §150(b): Loose fill insulation manufacturer's labeled R -Value. * §150(c): Minimum R-13 wall insulation in framed walls (does not apply to exterior mass walls). * §150(d): Minimum R-1-1 raised floor insulation in framed floor's; minimum R-8 in concrete raised floors. §150(1): Slab edge insulation - water absorption rate no greater than 0.3%, water vapor transmission rate no. greater than 2.0 penrvinch. A/� §118: Insulation specified or installed meets California Energy Commission quality standards. Indicate type and form. L?_� §116.17: Fenestration Products, Exterior Doors and Infiltration/Exfiltration Controls a. Doors and windows between conditioned and unconditioned spaces designed to limit air leakage. b. Manufactured fenestration products have label with certified U -value, and infiltration certification.-� c. Exterior doors and windows weatherstripped; all joints and penetrations caulked and sealed. §150(8): Vapor barriers mandatory in Climate Zones 14 and 16 only. §150(f): Special infiltration barrier installed to comply with §151 meets Commission quality standards. ---- §150(e): Installation of Fireplaces, Decorative Gas Appliances and Gas Logs 1. Masonry and factory -built fireplaces have: a. Closeable metal or glass door b. Outside air intake with damper and control c. Flue damper and control 2. No continuous burning gas pilots allowed. Space Conditioning, Water Beating and Plumbing System Measures §110 -13: HVAC equipment, water heaters, showerheads and faucets certified by the Commission. §150(i): Setback thermostat on all applicable heating systems. �. §1500): Pipe and Tank Insulation 1. Indirect hot water tanks (e.g., unfired storage tanks or backup solar hot water tanks) have insulation blanket (R-12 or greater) or combined interior/exterior insulation (R-16 or greater). 2. First 5 feet of pipes closest to water heater tank, non -recirculating systems, insulated (R-4 or greater). fir` 3. All buried or exposed piping insulated in recirculating sections of hot water system. 4• Cooling system piping below 55°F insulated. 5. Piping insulated between heating source and indirect hot water tank. * §150(m): Ducts and Fans 1. Ducts constructed, installed and sealed to comply with UMC Sections 1002 and 1004; ducts insulated to a minimum installed value of R-4.2 or ducts enclosed entirely within conditioned space. 2. Exhaust fan systems have backdraft or automatic dampers E 3. Gravity ventilating systems serving conditioned space have either automatic or readily accessible, manually operated dampers.. §114: Pool and Spa Heating Systems and Equipment 1. System is certified with 78% thermal efficiency, on-off switch, weatherproof operating instructions; 4e9_ no electric resistance heating and no pilot light. 2. System is installed with: a. At least 36' pipe between filter and heater for future solar heating. b. Cover for outdoor pools or outdoor spa. 3. Pool system has directional inlets and a circulation pump time switch. §115: Gas-fired central furnace, pool heater, spa heater or household cooking, appliance have no continuously buring pilot light. (Exception: Non -electrical cooping appliance with pilot < 150 Btu/hr.) \ /� r Lighting Measures / §150(k): 40 lumensiwatt or greater for general lighting in kitchens and rooms with water closets; and recessed ceiling fixtures IC (insulation cover) approved, Revised January 1992 j.-1..ranJa11&A550C1,at(55 construction planning 5439 black olive drive paradi5e, ca 95969 Butte County Building Division 7 County Center Drive Oroville, CA 95965 Re: Permit Application T. Fashing 3801 Adell Lane Oroville, CA 95965 john randaII (9:16) 877-5912 OctoberI19, 1998 Permit No. 98-2188 APN - 041-420-048 Attn: Martha Whitney Dear Martha, Listed below are the plan corrections as addressed in your plan correction letter.. of October 2, 1998. School fees by owner.. SRA fees by owner. /3. Floor plan extended to show adjoining rooms. QEnergy calcs. Revised energy calcs attached. If there are any questions, please feel free to contact me at your. convenience. J nNerely, Randall Date: October 2, 1998 Permit Applicant: Theodore Fashing Permit Number: 3801 Adell Lane . Assessor Parcel #: Oroville, CA 95965 98-2188 041-420-048 The above referenced building plans were received by this office. Provide additional information and/or make revisions to plans, specifications and calculations as follows: 1. Enclosed is your school fee form. Pay fees at school district office and return yellow copy to Building Department. 2. SRA (Fire Department) plan check is required for this property. Fees are $89.00 payable when your permit is ready to issue. 3. Provide a floor plan of rooms next to addition fully dimensioned and showing all window sizes. As you are removing existing window area. Exiting room must be checked for required light and ventilation. 4. Energy calcs: 4.1 Original permit shows heat pump and solar water heater at electric back up installed. These calcs show furnace AC and gas water heater. Please clarify. 4.2 A AFUE of 92 requires manufactures specifications be submitted for plan check 4.3 Where did you obtain duct efficiency of .85? Site Table from Energy manual ? 4.4 Points for heating and cooling do not correspond with Tables in Manual. 4.5 Shade Elf Ratio is for metal windows with light roller shades. Enclosed is one set of energy calcs with areas. Additionally one set of calcs submitted must be we -signed (original signature). Submit 2 sets of revised calcs. If you wish to discuss any requirements, you may contact me at (530) 538-7541 between 1:00 P.M. and 4.00 P.M., Monday through Friday. Martha Whitney PLAN REVISION Please complete the following information in order to process your submittal. If this form is not complete, correct and legible, it may cause a delay in processing. Owner's Name: Received By:VDate-/—o � l A.P. #: U Permit #: l" l� aY Time: �d ContactPhoneNumber: Purpose of submittal: ❑ Permit Application Data Item ❑ Engineering ❑ Plan Revision ❑ Requested by Building Inspector or Correction Notice - Inspector's Name: By Plan's Examiner - Examiner's Name: Other: If you are revising a plan which has already been issued, submit two(2) drawings reflecting the revisions for plan review. If engineering is involved in this revision, the engineer must put his requirements on these drawings and stamp and sign the drawings. Include two (2) sets of wet signed engineering. Revised drawings must clean show how When Approved, Process as Follows: ❑ Mail to Owner at this address: ❑ Mail to Contractor at this address: ❑ Call ❑ Deliver with next inspection. and hold for pickup at the ❑ Chico Office ❑ Oroville Office Revised Plan Check Fee: ❑ $46.00 Receipt #: ❑ Additional Fees Not Required Additional fees may be due based upon complexity and time involved to process this submittal. Additional Fees: Receipt #: Fl Date. October 2, 1998 Permit Applicant: Theodore Fashing 3801 Adell Lane Oroville, CA 95965 • LAND OF NATURAL WEALTH AND BEAUTY BUILDING DIVISION DEPARTMENT OF DEVELOPMENT SERVICES 7 COUNTY CENTER DRIVE • OROVILLE, CALIFORNIA 95965-3397 TELEPHONE: (530) 538-7541 FAX: (530)538-2140 With reference to the above subject, attached is: [X] Plan Check List [ ] Red Marked Calculations [ ] Red Marked Plans [ ] Other Permit Number : 98-2188 Assessor Parcel #: 041-420-048 Action Required: [X] Comply with Plan Check List [ ] Resubmit Plans with Revisions As Required [ ] Return All Original Materials and Revised Plans to the Building Department [ J Other Should you have any questions, please contact this office at the address or phone number listed above. Sincerely, Martha Whitney • Date. October 2, 1998 I Permit Applicant: Theodore Fashing Permit Number : 98-2188 3801 Adell Lane Assessor Parcel #: 041-420-048 Oroville, CA 95965 The above referenced building plans were received by this office Provide additional information and/or make revisions to plans, specifications and calculations as follows: 1. Enclosed is your school fee form. Pay fees at school district'office and return yellow copy to Building Department: 2. SRA (Fire Department) plan check is required for this property. Fees are $89.00 payable when your permit is ready to issue. 3. ii Provide a floor plan of rooms next to addition fully dimensioned and showing all window sizes. As you are removing existing window area. Exiting room must, be checked for required light and ventilation. I 4. Energy calcs: 4.1 Original permit shows heat pump and solar water heater at electric back up installed. These calcs show furnace AC and gas water heater. Please clarify. i 4.2 A AFUE of 92 requires manufactures specifications be submitted for plan check. 4.3 Where did you obtain duct efficiency of .85? Site Table from Energy manual ? 4.4 Points for heating and cooling do not correspond with Tables in Manual. 4.5 Shade Fff Ratio is for metal windows with light roller shades. I Enclosed is one set of energy calcs with areas. Additionally one set of calcs submitted must be we -signed (original signature). Submit 2 sets of revised calcs. If you wish to discuss any requirements, you may contact me at (530) 538-7541 between 1:00 P.M. and 4.00 P.M., Monday through Friday. Martha Whitney SINGLE FAMILY, DUPLEX AND MISCELLANEOUS ONLY OWNER: Theodore,. h i BUILDINGPERMITNUMBER: 7 P- 2�g� PLAN CHECKER: A. P. NUMBER: �`400 'C7 7Q GENERAL: Zoning requirements: (side yards and number of permitted living units). Valuation. - ,�! Plans signed by designer. Proper description of work on application. ff Existing violations on property. Items on data sheet, (Impact Fees, Environmental Health, Developer Fees, etc.). Recorded notice of violation. PLOT PLAN: Complete parcel size and dimensions. Setbacks, side yards, easements, etc. Other buildings or structures. Grading, fills and/or drainage. 5. Flood hazard. -6. Special conditions on creation map (Noise, S.R.A., Fire Sprinklers, Water Tender, Trees, etc.). a' F.A.U. & F.A.S. road setback. Building or utilities across lot lines (Record form). FLOOR PLAN: Complete to scale plan with dimensions. J Required windows for light and ventilation (Section 1203).`Qp(/ X- Required windows for second exit (Section 310.4). Skylights (Section 2409 & 2603.7). Glazing in Hazardous Locations (Section 2406). Required room sizes, ceiling heights (Section 310.6). G.F.C.I. in baths, garage, kitchen, wet bar and exterior outlets (N.E.C. 210). Lights, switches, receptacles, and exterior receptacles for maintenance of mechanical equipment. Location of water heaters, heating and cooling equipment, other electrical or gas equipment. Garage firewall, door size and closer (Section 302.4). Minimum of one TO" exterior door (Section 1004.6). Fireplace and wood stove location, alcoves and clearance. Smoke detectors (Section 310.9.1). X� Plumbing fixtures, water closet clearances and shower size. STRUCTURAL DETAII;S: 1. Conventional Construction - Unusually Shaped Buildings (Section 2326.5.4). 2. Standard bracing or engineered d Section 2326.11.3). XClerestory requiring balloon framing and/or engineering. ,4! Three story building requiring engineered calculations, and plans. Foundation plan complete enough to construct buildin. Floor construction details complete enough to construct building. /Y Elevations and wall construction details complete enough to construct building. �8! Roof construction details complete enough to construct building. Rafter ties or bearing ridge beam. Fireplace construction details and calc. if necessary. Garage door and/or porch header sizes. Stud heights. Adobe soils - special foundation design. ,K' Retaining walls requiring design. Special Inspection requirements. Header size. June 1997 3.2 MISCELLANEOUS ITEMS TO LO OUT FOR: V� Stairway details: landings, rise and run, head clearance, handrails (Section 1006). Guardrail details (Section 509). Brick or stone veneer (Section 1403). . Exterior plaster - weep screeds (Section 2506). Ae Proper roof pitch for roof covering (Section 1501). , Roof covering type - (fire hazard). Foam insulation - protection.' .8� 36" halls and stairways. Living area over garage - complete 1 -hour separation required on garage side including supporting walls and posts. .W" Two exits on three - story dwellings (Section 1003). Underfloor access and ventilation (Section 2317.7). XL. Attic access and ventilation (Section 1505). ,1-3' Combustion air for fuel burning appliances - L.P.G. requirements. Noise requirements on duplexes. 06.' Energy design. Flashing at all exterior openings. C.D.F. responsible area requirements. Automatic Fire Sprinkler Systems (Section 310.10) 119. For Inspection Jacket: �lood Hazard/Elevation Certificate RA Requirements Special Inspection Requirements Automatic Fire Sprinklers June 1997 3.2 6263-79B P E M PERMIT N0. � > > PERMIT EXPIRES OWNER Theodore P. Fashing owner CON TR. 41-41-7.& 41-42-1 port. LOCATION (A.P. ) VEnd of Ad_ - pp.1100'Wof Clark Rd., Parcel # '_ r Y _ r 1 jV nj i r- Temp. Power Pole 1 Called PG&'E �z g \mp. EIec�Serv. Called PG&E Temps Serv. Called PG&E ALED (Date) (Signature) I . 6 � - COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS BUILDING INSPECTION RECORD B IL ING BUILDING (Cont'd) PLUMBING Setback Firewall Soil Piping Forms Parapets 1st Floor / ? Main Bldg. Restroom Finish I 2nd Floor Footin s Windows 3rd Floor Stemwall Siding 16-21 Pu— To out Slab Roof Sheathing - (p- Water Piping Piers G Roofing Sewer Gara aFdn. Vents Fixtures Footings Stemwa I I % Garage Vents Insulation Water Htr. Heaters Slab Carport Footings Slab Prov. for ph sically handicapped Conformance of ex. 1 structure Final Appliances Gas PI in & Test Tem . Gas J Sanitation Patio FIREPLACE Final Footings Masonry Walls Footing Throat LE TRICAL Rou h Reinf. Steel Final 1 Fixtures Bond Beam t r FIRE SPRINKLERS Motors Framing Test Water Htr. Stucco Final Subpanels Mesh MECHANICAL Grd. Fault Prot. Scratch Heating Service , Brown Cooling 8 f Temp. Pole Finish DuctsUnderground Innlerlor Lath Ventilation on/Permanent .IV Do,or Closer Final Final MOBILEHOME UTILITIES ------------------ Elec. Service Elec. Pedestal W.ker Piping Sewer Gas Piping M 1 EHOME INSTALLATION - - - - - - - - - - - - - - Support Elec. Continuity Water Piping Drainage Gas Piping DATE REMARKS OR CORRECTIONS 75 d w 07/ (NOTE: An entry must be made on this form each time you visit the job site.) J ENERGY CONSERVATION STANDARDS CONSTRUCTION COMPLIANCE CERTIFICATE THIS IS TO CERTIFY THAT ENERGY CONSERVATION REQUIREMENTS HAVE BEEN INSTALLED IN CONFORMANCE WITH CURRENT ENERGY CONSERVATION REGULATIONS' AT lr,0 X l 7 9-" a. O +'8v -v �.. (location) BU ILD ING PERMIT NO. A P . NO. THE FOLLOWING HAVE BEEN INSTALLED AS PER APPROVED PLANS: (Check each item or write N/A if not applicable) INSULAT ION : Slab Edge. N At Fdn. Walls Floors Walls Ceiling/Roof Ducts Circulating Pipes ✓ APPROVED HEATER ✓ APPROVED WTR.HTR. GLAZ ING : Single Glazed Special (Insulated) ✓ CERT. & LABELED WDS. & SLIDING DRS. WEATHERSTRIPPED DRS. BACK DAMPERED FANS INTERMITTENT IGNITION DEVICES A—" CERT . APPLIANCES ✓ I DECLARE THAT ALL REQUIRED.ITEMS AS NOTED ABOVE HAVE BEEN INSTALLED IN ACCORDANCE WITH THE ENERGY CONSERVATION REQUIREMENTS AND AGREE TO THE COMPLETENESS OF THIS CERTIFICATE AS SU TED. , Insulation Applicator Name - / h�c..o Signature of '� (,e Iseprint) Insulation Applicator J�— State Cobtractors Lice eN General Contractor/Owner Name rfi . lease print) Signature of 94 General Contractor/Owner Date — State Xontractors License No. THIS CERTIFICATE -MUST BE ON FILE WITH THE BU ILD ING DEPARTMENT PRIOR TO REQUESTING FINAL INSPECTION AND SHALL BE POSTED IN A CONSPICUOUS LOCATION WITHIN THE DWELLING. COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS } 7 County Center Drive - Oroville, California 35965 Telephone: 534-4541 APPLICATION AND PERMIT autnonze representatives or the county or tsutte to enter upon ine above -m ntioned proper,,,for inspection purposes. Date Signature of Permitee or Agent Receipt No. 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 OE PUBLIC WORKS By Date Building permit expires Date _ 7 — �-6 BUILDING Owner �— zo SQ. FT. OCC. BUILDING ALUATION Mailing AddressTL SA Telephone No. - %G To Clslir ©� Contractor 1\J Mailing Address Fireplace �� 7C>0 ,®a Total Valuation °o Telephone No. Permit Fee Building Address �-- G9 w-.1- Plan Checking Fee &/or Penalty Permit Fee 00 c ®C 4 OO f'j L✓ c9 PLUMBING No.1 @ FEE L PERMIT FILING FEE $3.00 BG Each Trap 1.50 ax>o yj-rtes(, 1'eD•vi, �,1,ur Repair drainage or vent piping 1.50 y/ gl-0,7 Y/ -�o� -®) �� ! Z �� 3 A. P. No. oning & PI ning ater piping 1.50 Each gas water heater or vent 1.50 F We on Fire Dept. Fir Zone Use Permit Gas piping system 1 - 5 outlets 1.50 EQA Parking Plans Parcel Declaration Q 60' R/W Improvements Each additional outlet .30 Building sewer 5.00 Bldg. ns Recd Parcel proval Plans App" al Lawn sprinkler system 2.00 NEW f4 ADDITION ❑ UTILITIES ❑ OTHER ❑ Permit Fee $ J� $ ELECTRICAL No.1 @ FEE PERMIT FILING FEE $3.00 Main service 600v OR LESS 100 AMP OR LESS 5.00 Single Family Duplex ❑ Mobil Home ❑ Others ❑ Main service EA. ADD'L 100 AMP 2.50 Main service OVER 6 00V25.00 100 AMP OR LESS Main service EA. ADD'L 100 AMP 1.00 NEW CONST. // O ff��O� CUP. Y OR ADDNS. l A ISG 22 sq ft �D 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: NEW CONSTR. / UTL T NON.1 BRANCANCHH CIRCUITS) 2.50ea NEW CONSTR. /POWER APPARATUS 9 NON-RESID. `SINGLE OUTLET CIR. Ex. OCCUP(OUTLETS OR FIXTIIRES) 5 L 250 , FIXED APPLNS. OR Ex. Occup.(OUTLETS (RESID.) EA) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 License No. Classification Misc. Wiring 6.25 joL 45G -W, U. 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. 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 the Workmen's Compensation Laws of California. PERMIT FILING FEE $3.00 8Z� Heating Ov�-�Z �pp� jZ ; Q Cooling k ` Ventilation Hood 2.00 ,(�D Permit Fee $ $ 17 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 Land Development Fee $ TOTAL PERMIT FEE autnonze representatives or the county or tsutte to enter upon ine above -m ntioned proper,,,for inspection purposes. Date Signature of Permitee or Agent Receipt No. 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 OE PUBLIC WORKS By Date Building permit expires Date _ 7 — �-6 OWNER A. .GENERAL I Zoning requirements Valuation. Signature by R.C.E. RESIDENTIAL PLAN CHECKING GUIDE (S.F., DUPLEX, & MISC. ONLY) - ,Bldg.. Permit # A.P. # -G3 (sideyards a'nd parking). or Architect (if required). B. PLOT PLAN Complete parcel size and dimensions. Setbacks, sideyards, easements, etc. Other buildings or structures. Grading, fills,- drainage. C FLO-OR PLAN Complete to scale plan with dimensions. �2! Required windows for light and ventilation (Sec. 1405). X:100 Required windows for second exit (Sec. 1404). Allowable glazing for energy requirements (20% max. per.State law). Human impact glass (Sec. 5406). Required room sizes, ceiling heights (Sec. 1407). r7/.' G.F.C.I.'s in baths and exterior outlets �ight fixtures, switches, receptacles,f and exterior receptacles �for ham in ne an`ce mechanical` equipment;-'' Locatjions.of water heater, heating & cooling equipment:, other electrical or gas equipment, and plumbing -f i' :� Garage firewall, door size, and closer -(Sec. 503(d)(4)). old! 1 - 3'0" exterior exit door (Sec. 3303d). DFireplace location.. �s�Smoke detectors (Sec. 1413). D. STRUCTURAL DETAILS ,I�. Foundation plan complete enough to construct building. Floor construction details complete enough to construct building. 3Elevations.and wall construction details complete enough to construct ,4-0'0' Roof construction details complete enough to construct building. '}5*!Fireplace construction details and calcs if over one-story in height. Sufficient data and details to satisfy energy insulation requirements building. (State law). E. MISCELLANEOUS ITEMS TO LOOK OUT FOR - CCX plywood on exposed locations and overhangs. ,24.00'*Stairway details (Sec. 3305). Guardrail details (Sec. 1716). rick or stone veneer (Chapter 30). � . Exterior plaster - weep screeds (Sec. 4706 & 4708). f. Proper roof.pitch for roof covering (Chapter 32). i7Rafter ties or bearing ridge beam. �8!� Garage door or porch header sizes. 9. Adequate bracing. ,l5 Living area over garage - complete 1 -hour separation required including supporting walls and posts, etc. Two (2) exits on three-story dwellings (Sec. 3302). J - PERMIT APPLICATION WORK SHEET . Petmit No. � -7: OWNER ` A. P. No. Zoning Use Proposed Approved Not approved Permit fee based upon: 1. Complete contract price. 2. Partial contract price (explain). 3. DPW Valuation (show): At time of permit application, the applicant was advised the following data or information must be submitted prior to permit processing and/or isuan e: Date received 1. All items have been submitted. - -- -- n 2. Plot plans in duplicate/tripli te. _ 3. Complete plans in duplicate/triplicate. ---------------- 4. Complete engineered plans and calcs- ----------------=- - 5. Fees.of $ --------------------- 6. Letter of signature authorization. ---------------------- 7. Sanitation approval. ------------------------------------ 8. Planning approval for -- 9. Workmen's Compensation Insurance Certificate. ------------ 10. Contractors license information. -------------- ---------- 11. Parcel declaration, recorded copy. ---------------------- 12. Access declaration. --------------------------- -------- '13. Aunt Minnie information. ---------------- ---------------- 14. Deed of access, recorded copy -------------------------- 15. Deed of parcel creation, recorded copy- ------------------ 16. Parcel map, recording data. ----------------------------- 17. ,Pre -inspection request for -- 18. Improvements - plans required & DPW approval. ----------- 1 Other ------ - By Date Bldg. Inspector During plan checking process, the following data or information must be submitted prior to permit issuance: . 1. Index permit for items above and in addition the following: 2. Applicant advised by Telephone Mail Other 3. Plans checked by 4. Plans approved by, Date D a t i penrit is issued, process as Loilows: 1. Mail to owner. 2. Mail to contractor. 3. Deliver with inspection. 1� ��. Telephone g and hold for pickup @ offi.ce. e 5. Other Before permit issuance, all of the following items must be signed or marked NA: 1. Zoning use 2. Legal parcel 3. Envir.Health - Date Plans Sent A. Sanitation B. Restaurant C. Other 4. Public Works - Date Notice Sent A. Street Imp. B. Drainage C. Permits & Fees D. Other. 5. Planning A. Use Permit B. Variance C. Other 6. Other Agencies - Date Plans Sent A. Fire Dept. B. Other iv -- --� 4 a� g I I , > N N �z $ ISI ------- I I—' D L J4 ' J p N ♦ yl U U' - 42 All M01 N ° 6xe I♦ � r a IE �y 1 "♦ (6 77 spa Ip •x �; mroo z) ° Jim 0 a O o ' °o < �. " HiQ yrNp \\` •• s a M lot 0- a- -1917 77 �F a ' Li (e) 2640 >H o b= 3 n g , t .3 N I _ �Q nu 6066 sec . a k 0�-fie♦0 a (o sox SH C 7 gl T—I F€ " n , 110 �iCZ a1 00 00 40W S.M. W _ Q 16. YMTS o � a I a I 1 ° I I b�p L" I i u I I ° g RESIDENCIAL ADDITION u v = FOR: TED AND PEGGY FASHING GREGORY A. P E I T Z e i a Z 3801 ADELL LANE ARCHITECT BUTTE COUNTY, 95965 383 Rio LindoAve. Chico, CA. 95926 (530) 894-5719 0 RESIDENCIAL ADDITION o FOR: TED AND PEGGY FASHING GREGORY A. PEITZ 8 N o a 3801 ADELL LANE ARCHITECT Z BUTTE COUNTY, 95965 383 Rio Lindo Ave. Chico, CA. 95926 (530) 8945719 iv I IF >6 e ig I Ri IV L�Jll Li ILI u r x O N a U U r u- R �79yp f� a�v i§6 y r l O - 1121 — Aga a � r a �i1111� �7t TOO oZld>? 9 IT �Z i�QQA_v Ip • �y8a rUi�,� GOle T 7 1I�b o T p p �d � � o • u •7 D O 3t =Z g So y y �zyQ l � `D• P� + 'u T F a nur 2640 � y ® L'? 2 - N a A 0 ww" SIM FF� I I I � I 'jx ' bo o 00 T t aZ a- F s fti 00 1b* VENTS = O y N D, Q � ;\ oy r gig 5 d O � y a rm N I I 1 I I �+ N N b FP RESIDENCIAL ADDITION GREGORY A. PEITZ L J I I I I I I a 9 b RESIDENCIAL ADDITION GREGORY A. PEITZ 9 0 ZN FOR: TED AND PEGGY FASHING F n 3801 ADELL LANE ARCHITECT BUTTE COUNTY, 95965 383RioLindoAve. Chico,CA. 95926 (530)8945719 P.T. SILL m/)$ ' m x 12' A.B. O 6' O.G. AND 12' MAX. FROM ENDS N/ 5'x5'x.22q' PLATE WA51¢RS. TYP. x� - A.P.N. • 041-420-046-000 12.624 AC I SITE PLAN FINISH FaRADE ov F _ NAT. &RADE — 04 TOP 4 BOTTOM ,I i I — STORY FOOTING Z - NG WE5T BRAN ' CLEAR GREEK SEE FOUNDATION PLANFRFOR IT22 AMINGSIZES(E) DRIVEWAY 4x4 POST J O v I PRECAST Clow- ONG.w'5O. 16,50. (E) SEPTIC SYSTEM I PIER FOOTING I EXISTING I RESIDENCE PROPOSE ADDITIONiv f N Hn I"1 � W°D L e' al^ U� w a axe OU C7 per 0 e 'ahh V � Z O r NV) LID r -I d CO z a pwi., W z u7 z d F-IdO W QFC � W Q No. C212B3 REN. 7/09 FASHING ADDITION NAK -06-12'15 2 two — 94 'I iD J' j j cl I C-�, �vd 96" 4,01 r -,p RA X1 4�� 16 AC 14 , jr, ""Pt i, TE T 41 "1 21 ;11'1-,� F -11-C �Rl Pt i CU19 Tr m