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Home My WebLink About041-430-032syr•=--- � •- Oliver A. Jackson�Rf E/S Clark Rd.,app.1000'S.of Clear .r i!;y 03 Creek Cemetery Rd., Oroville ...,. Permit #1955-77B,E(stucco & elec. serv.change/SF) �/g '�' . 14 IQ 41-43®8�;. 041-430-032 .; 93`-209 oad, OrovilleF�%�64- JACKSON., OLIVER 4 � Contr: Ronald L. McGuire, Chicnm ORO.VILLE r �* Permit#2084-84B;E,M(add family/SF) SAG-RICULTURAL -EXEMPTION PERMIT HAY,WO69 TOOLS, TRACTOR 3 % C Car 'tet CW5 1 BUILDING DIVISION COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE: (916) 538-7541 AGRICULTURAL BUILDING EXEMPTION PERMIT PERMIT NO. '.V Agricultural building is defined as follows: Agricultural building is a structure designed and constructed to house farm implements, hay, grain, poultry, livestock, or other horticultural products. This structure shall not be a place of human habitation or a place of employment where agricultural products are processed, treated, or packaged, nor shall it be a place used by the public. ASSESSOR PARCEL NO. otil�-l3 D3 ZONING A /Y OWNER PHONE NO. 5�.3 DZL OWNER'S ADDRESS C//+/-/< LOCATION OF BUILDING USE OF BUILDING - C1� SIZE OF STRUCTURE Ly X l ` qL� SO. FT. TYPE OF CONSTRUCTION: WOOD FRAME STEEL CONCRETE OTHER (Specify) TYPE OF SIDING 0 0 ROOF COVERI I G -7— FLOOR TYPE 1 r—cp /i/(6i ESTIMATE OF CONSTRUCTION $ AG Buildings shall comply with the building front, side, and rear yard requirements of the applicable County Ordinances as follows: � � � FRONT SIDES v REAR �O AG Buildings shall be a minimum of five (5) feet from any septic tank or leach fields. AG Buildings less than 1000 sq. ft. in floor area shall be located a minimum of 6 feet from a residence, 10 feet from a mobilehome, and 23 feet from a commercial building. AG Buildings greater than 1000 sq. ft. in floor area shall be located a minimum of 23 feet from a residence and a mobilehome, and 40 feet from a commercial building. AG Buildings must comply with Flood Zone requirements. Finish floor elevation must be at or above elevation USGS Datum. I declare under penalty of perjury that the building will be used as stated above and the purposed use confirms with the AG Building definition. If any change in use or occupancy of the building is made, I will contact the Building Division and obtain any necessary permits, inspections, and approvals to comply with the requirements in effect at that time and before occupancy. Date 2 Signature of Owner Permit Fee The above described AG Building is exem from a building perynit. , Receipt No. 1J-5 3 8 FLOOD PARC P.D ROO, F) G In F- 1�� 1/ Manager Building Division By— 4442A:101 White — DPW, Yellow — Assessor, Pink — B. I., Goldenrod — Applicant Date �� COUNTYOF BUTTE - DEPARTMENTOF DEVELOP9N SERVICES -BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 -TELEPHONE (916) 538-7541 PERMIT APPLICATION DATASHEETV� OWNER A. P. No.(� Proposed Building We �- ��C�/U B Building Inspector, �� Date At time of permit application, I was advised the following data must be submitted prior to permit processing and/or issuance: DATE RECEIVED BY - 1. All items have been submitted.......................................... 2. Plot plans, 3/4 sets, signed by preparer of plans. .......................... 3, Complete plans, 3/4 sets, signed by preparer of plans. ...................... .4. Engineered plans and calcs, 3/4 sets, with wet signature on plans. .............. 5. Hazardous Material Form. ...................................... 6. Energy Design Compliance and supporting documentation . .................. 7. Statement of Intent for Non-Heated and A/C Buildings. ...................... 8. Engineered truss details and layout in duplicate (required prior to plan check). . . 9. Mobilehome data and manufacturer's installation instructions, 2 sets. ........... 10. Fees of $......................................... 11. Impact fees as shown on attached schedule. ....... 12. California Department of Forestry plan approval/fees......................... 13. Flood elevation letter (100 year flood) by California Engineer................... x 14. Sanitation and plot plan approval Health Department . ........... *115. City of Chico plumbing permit......................................... . 16. Plot plan and business license approval from City of Biggs/Gridley. ............. 17. Planning approval for (A) Use: (B) Parking: . ........ 18. Contact Land Development about (A) Improvements (B) Drainage. .......... . 19. Driveway permit (construction approval required prior to occupancy). .... .... 20. Pre-inspection for P` ln,ec'°n'°4u� required. . to Building lnapedor (Date) 21. Contractor's license information. (No., Name Style, Classification). .............. 22. Certificate of Workmans Compensation Insurance. .......................... 23. Owner-Builder Verification (Given to owner , Mail to owner ............ 24. Recorded copy of Agricultural Acknowledgement Statement. .................. 25. Letter of signature authorization......................................... 26. Copy of recorded deed of parcel creation and 60 right of way to a public road. ..... " 27. Letter of intent on building use.......................................... 28. Mobilehome utility clearance. .................. 29. Documentation of legal access . .....................:........... ...... . 30. Documentation of 50% subdivision developed or (A) Road improvements completed and (B) Parcel meets zoning area and frontage requirements. .......i. 31. Existing violations/expired permits. ............................... ....... 32. Plan check list . .................................................... . 33. 34. When you is�su. he permit, process as follo`fivs: )(Mail to owner. ? Mail to contractor. and hold for ( at _�� office. Deliver with inspector. Parcel Creation Acreace Applicant Date Copy of Haz Mat form sent Health Dept. Fire Dept. Air Pollution Date Copy of plans /sent Health Dept. Fire Dept. Other Date By The following data must be submitted prior to permit issuance: (Circle new item not checked above). 1. Index permit for above items No. 2. Adcitional items required: Contractor, designer, owner, was advised of above required data by _ phone _ mail Counter by - Date Contractor, designer, owner, was advised of above required data by _ phone _ mail Counter by _ Date Plans checked by Date Plans approved by Date Sets of plans on hold in File cabinet AP folder Copy - Department of Public Works t AND WHEN RECORDED MAIL TO: BUTTE COUNTY BUILDING DIVISION 7 COUNTY CENTER DRIVE OROVILLE; CA 95965 2fb03-063208 Recorded Official Records CountyBUTTE f CANDACE J. GRUBBS Recorder ROSEMARY DICKSON Assistant 11:32AN 11 -Sep -2003 REC FEE 10.00 CONFORM 1.00 COPIES 2.50 Travis Page 1 of 2 AGRICULTURAL STATEMENT OF ACKNOWLEDGMENT FOR RESIDENTIAL DEVELOPMENT Section 26-8 of the Butte County Code required this acknowledgment to be recorded prior to issuance of a building permit. The property described herein is adjacent to land or included within an area zoned for agricultural purposes, and residents of this property may be subject to inconveniences or discomfort from the use of agricultural chemicals, including, but not limited to herbicides, pesticides, and fertilizers; and from the pursuit of agricultural operations including, but not limited to cultivation, plowing, spraying, pruning, and harvesting which occasionally generate dust, smoke, noise, and odor. Butte County has established agricultural purposes and residents within said zones and on adjacent property should be prepared to accept such inconvenience or discomfort from normal, necessary farm operations. All that real property situate in the County of Butte, State of California, described as follows: Date c PROPERTY OWNERS: M State of California ) County of /3,-f4 ) On e 3-03 before me, 0%, - personally appeared 1*a yII / S. G a c �. xi,� s sem. J r- , personally known to me (or proved to me on the basis of satisfactory evidence) to be the person(s) whose name(g) is/a*e subscribed to the',within instrument and acknowledged to me that he/she/they executed the same in his/her/their authorized capacity(ies), and that by his/trer/thei�signature(s) on the instrument, the person(spor the entity upon behalf of which the person(s) acted, executed the instrument. WITNESS my hand and official seal. ` o Signatur Seal: JAMES LAMAR KINSER COMM.#1377185 NOTARY PUBLIC - CALIFORNN BUTTE COUNN A.P. # b �J j - q 3o -03Z_ Comm. Upites Sept 28, 2006 X All that real property situated in Section 22, Township 22 North, Range 3 East, M.D.B.& M., Butte County, California, and being a portion of Parcell, as shown on that certain Parcel Map, filed in the Office of the Recorder of the Countj; of Butte, State of California, in Book 53 of Maps, at Page(s) 10 and more particularly described as follows: Beginning the Northwest corner of said Parcel 1, thence South 730 52' 26" East, a distance of 20.00 feet; thence South thence 75° 47' 59" East a distance of 423.51 feet; thence South 54° 36' 16" West a distance of 377.28 feet; thence South 33° 10' 19" West a distance of 250.00 feet; thence South 56° 49' 41 " East a distance of 130.00 feet; South 330 10' 19" West a distance of 252.11 feet; thence North 190 02' 00" East a distance of 133.22 feet to'the beginning. of a 10040.00 foot tangent .curve, concave to the West; thence Northerly, along said curve, through a central angle of 020 42' 55" an arc distance of 475.80 feet to the point of beginning. 4 1 t PERMIT NO. 2084-84B,E,M PERMIT EXPIRES OWNER OLIVER A. JACKSON CONTR.. Ronald'L. McGuire, Chico ASSESSOR PARCEL 41-43-28 LOCATION 3002 Clark Rd; Oroville �i ,..: �F Temp. Power Pole I Called PG&E 4 : Temp. Elec. Service Called"PG&E Temp. Gas Service * Cal led PG&E JOB FINALED (Date) " Signature it PERMIT NO. 2084-84B,E,M PERMIT EXPIRES OWNER OLIVER A. JACKSON CONTR.. Ronald'L. McGuire, Chico ASSESSOR PARCEL 41-43-28 LOCATION 3002 Clark Rd; Oroville �i ,..: �F Temp. Power Pole I Called PG&E 4 : Temp. Elec. Service Called"PG&E Temp. Gas Service * Cal led PG&E JOB FINALED (Date) " Signature A ''P J =OK t 0 = Not OK - = Not Applicable RESIDENTIAL (Single and Duplex) * = Not Ready Date UND, LOOR Plans OK except #'s Date FRAMING Continued Oe -Zoning requirements -Setbacks -Easements Property Line Firewall & Openings Main; Soils-Steel-Elec. Grnd.- / /" Ftg. Depth /604 Ext. Doors -One 3' -Check Garage -3rd story, 2 exits 3. Ftg., Garage; Soils -Steel- / /" Ftg. Depth width -Headroom -Rise -Run -Landing -Fire Protection 4. Ftg., Porches & Decks; Soils -Steel- / /" Ftg. Depth�I* Itywood on Roof Overhang -Attic Vents -Rafter Outriggers emwalls, Main; Steel-Blockouts-Wrapped-Slab 2. Siding -Nailing -Veneer 6. Stemwalls, Garage; Steel-Blockouts-Wrapped-Slab P3 ucco Mesh -Drip Screed-Fdn. Vents-Underflr. Access Ae"Piers- Ftg.-Steel . Glazing Area -Glass Protection -Skylights -Plastic 55. Shear Walls; Nailing -Bolts 8. D.W.V.: Fall -Fittings -Test -2 way C/O -Sewer Test 9. Gas Pipe; Size -Anchors 10. Water Pipe; Test -Anchors -Regulator -Service Test 11. Electric; Underground 12. Plenums & Ducts; Clearanc -Material-Support-Ins. irders-Sills-Anch s -Joists -V -Cripples Card -BI Date and -BI Date Card -BI Date Card -BI Date Card -BI Date If Card -BI Date Card -B Dat -1 Card -BI Date Date FINAL, (Plans) OK except #'s Card -B Dat Card -BI Date tUMBING Date (Permit) OK except s Ext. S -Door & Sidelight Protection -Landings e Detector 14. Water Ht.; Vent -Access- ombustion Air Z8 urnace; Vents -Clearance -Comb. Air -Connector - In Garage; Above Floor-Ducts-Mech. Protection 15. Water Pipe; Test & An ors -Nail Protection 16. D.W.V.; Test-Fttng & Anchors -Nail Protection &13eltedroom Exiting 17. Shower Pan; Test irst Floor -Tub Access--� & Bath Fixtures & Tub Access 18. Test Tub & Shq er, 2nd Floor -Tub Access 61. Elec. Trim & Subpanel; Breaker Sizes -Labels 19. Gas Pipe; SiiA & Anchors ¢1.--Sta & Rails -3—ElmWace or Stove; Clearances -Hearth lec. Outlets at Wood Panel; Int. & Ext. Card -BI Date Card -BI Date --K+t�F•ixt & Appliance; Grnd.-Air Gap -Cooking Clearance Card -BI Date Card -BI Date 66. Elec. Outlets & Receptacles at Kit. Counter Date ELECTRICAL Permit OK except #'s ai Aarage Fire Door; Swing -Landing -Closer --C$-L- .. Duct in Garage -Damper 20. F' ture & Transformer Clearance -Ins. Protection qtr.; Vents -Clearance -Comb. Air-Connector-P.R.V.- In Garage; Above Floor-Mech. Protection I ReceptaclewIt s Spacing -Lights & Switches at Doors S•ze Boxes & No. of Conductors -Stapled Plb., Elec. & Mech. Equip. Listed for Location R mex Installed Close to Edge of Studs & C.J. -Receptacles in Garage; (G.F.I.)-Romex Protec. Equip. Ground made up w/Mech. Fasteners -Bond Gas & Water Z iasulation-Foam-Looked in Attic ❑Yes !22:2 pfiance Circuits in Kitchen & Conductor Size -Rails & Deck Construction -Post Caps ubfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / / ga. Cu or AI n. Vents &Crawl Hole Door -Drainage &Wood -Earth Clearance Looked under Floor ❑ Yes t24Rertg6-CFrc. / / ga. Cu or AI -Oven Circ. / / ga. Cu or At, Insulated Neutral ❑Yes ❑No 7�FtTfiowing instld.: Drive ❑Yes E) No; Walks El Yes E] No: Planters ❑Yes ❑No Wiser Conductors & Ground -Main Disconnect Eco; Brown -Finish -29—Equtp7.ea antes; Panels-Motors-Mech. Equip. , A .C. Unit; Disconnect-Clrnces-Brkr. & Cond. Size -115V Outlet -30-G'+othes-Gtoset Light -Shower Light encs ove Roof; Plbg.-Appliance-Firepl.-Clearance to Opngs. �9-1NaT¢t^Well; Disconnect, Electrical, Plumbing 80. Exterior Elec. Trim; G.F.I. Receptacle -Underground Card B -I Date Card -BI Date 81. Ve tilation throughout House Card B-1 Date Card -BI Date 2 ass Protection DateE H ermit) OK except #'s Corrections from Previous Inspections t- Tagged; Gas -Electric _ Insulation & Support er wer Connected -C/O to Grade -HD Approval 32. Vent Fan; Exhaust above Insulation 33. Condensate Drain & Overflow; Size & Grade ergy Compliance Certificate -Other Certificates 34. Furnace -Vent; Access -Comb. Air -Return Air Vent -115V outlet 35. Attic Access & Platform if Furnace in Attic Card -BI Date and -BI Date Card -BI r Date Card -BI Date Card -BI Date Card -BI Date Card -BI MDate I Card -BI Date Card -BI Date Card -BI Date Date FRAMING(Plans) OK except #'s Comments at Final: aV Sills; Proper Material & Anchors Its; Studs -Nailing, Spacing & Bracing -Plates -Sound 01597 Baring Walls over Girders & Floor Nailing Draft Stop in Walls (rat proof) s; Furred Ceilings -Stairs -Chases -Tub Header & Beam -Size & Bearing angers -Post Caps -Anchors -Connectors Joist-Rftr. Ties-Purlin- Roof_Brac. T S_ht g.-Rfn_g_. M-9 e Ties or Type A Flue -Fireplace Throat 45 Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles rm. Windows or Exiting Doors -Sill Hgt. & Dimensions 10?-Geragg'Fire Protection Framing (NOTE: An entry must be made each time you vi sit job site) = OK Not QK_ = Not Applicable MOBILEHOMES MISCELLANEOUS = Not Ready Date MOBILEHOME UTILITIES (Plans) OK except N's 1. Zoning Requirements -Setbacks -Easements 2. Soils; Special MH Support -Sketch Date DECKS, COVERS, CARPORTS, ETC. (Plans) OK except N's 1. Zoning Requirements -Setbacks -.Easements 2. Footings; Size -Depth -Spacing -Connectors 3. Sewer; Location -Test -Fall -C/0 -Concrete 3. Decks; Girders and/or Joists -Decking -Bracing -Stairs -Rails 4. Water; Location -Test -Easement Needed (Sketch) 4. Wood Awn.; Posts-Beams-Rftrs.-Connec.-Shthg.-Rfg.-Bracing 5. Electricity; Location-Clearances-Grnd.-/ / Amp -Concrete 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Gas; Location -Test -Wrap:/ /"L"ft./ /"Nat.or/ /"L"ft./ /"LPG 6. Carports; Windows -Doors 7. Utility Clearance 7. Elec. Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Date Card -BI Date MOBILEHOME INSTALLATION (Plans) OK except q's 1. Zoning Requirements -Setbacks -Easements Card -BI Date Date Card -BI Date POOLS (Plans) OK except N's 1. Setbacks -Easements 2. Footings; Size -Spacing -Marriage Line 2. Soils; Compaction -Structure Stability 3. Gas; MH Test -Demand -Valve -Connector 4. Electricity; MH Test -Crossovers -Breakers -Clearances 5. Drain; MH Test -Fall -Flex Connector 3. Pool Structure; Steel -Connections -Thickness -Dead Men -Lining 4. Elec.; Receptacles and Lighting; Distances-GFI 5. Elec.; Pool Lighting; 15 volts-GFI 6. Water; MH Test -Regulator -Connector 6. Elec.; Enclosures; Conduit Entries -Terminals -Listed 7. Water and Sewer Connected -C/0 to Grade -HD Approval 7. Elec.; Bonding; Metal w/5' -Circulating Equipment -Heater 8. Gas and Electricity Tagged 8. Elec.; Grounding; Equip. w/5' -Circulating Equip. -Pool Lghtg. Boxes -Enclosures -Panel boards -Ins. to Main in Conduit 9. Exits; Insp.-Sketch 10. Cert. of Occupancy 9. Health Department Approval 10. Plumb; Cir. Test -Water Supply Test Card -BI Date Card -BI Date Card B -I Date Card -BI Date Card B -I Date Card -BI Date Card -BI Date Card -BI Date }�. Y CE, D IFI CA 60N LOCATION ROOF: (Material DESCRIPTION OF INSTALLATION- Brand NSTALLATION.Brand Name Thickness (inches) EXTERIOR WALL Material -F,66 641, Thickness (inches) ' eS CEILING _ batt r Blanket Type i Thickness (inches) Thermal Resistance (R Value) Brand Name Thermal Resis-ance (R Value) 0 Brand %ame n Thermal Resistant: (R Value) /C — '10 Loose Fill Type grand Name Minimum Thickness (inches) w Number of bags Weight per bag Ib Area Covered (ft 21 Thermal Resistance (R Value) FLOOR,ELEVATEED Material jd Brand Name Thiciness finches) Thermal Resistance (R Value) If FLOOR,SLAB ' Material grand Name Thickness (inches) Thermal Resistance (R Value) Width (inches) of FOUNDATION WALL I Material Brand tame Thickness.(inches) Thermal Resistance (R Value) I hereby certify that the above insulation was installed in the above building in conformance with the State of California Energy Requirements. IM NAME/OWNER STATE CONTRACTOR'S LICENSE NO. lle4��a Z' SIGNATURE O, INSTALLATION APPLICATOR DATE I hereby certify the above insulation and all required items as shown on the � approved plans have been installed as required by.the State of California Energy Requirements. All equipment, devices and materials are of the quality prescribed or are specifically approved by the State of California:, FI&M :L, /0r R STATE CONTRACTOR'S,LICENSE NO. SIGNATURE OF GENERAL CONTRACTOR/OTAMR i" DATE ; THIS CERTIFICATE MUST BE ON FILE WITH THE BUILDING DEPARTMENT PRIOR TO FINAL INSPECTION APPROVAL AND SHALL BE POSTED WITHIN THE BUILDING. . COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 196 Memorial Way, Chico — Phone: 891-2751 7 County Center Drive, Oroville -- Phone: 534-4541 Skyway and Elliott Road, Paradise— Phone: 872-2961, Ext. 57 CORRECTION NOTICE A routine inspection indicates that the following violations of County Ordinance exist at the above address and should be corrected. Please notify this office when correction of work is completed. If you have any question pertaining to this matter, or need additional explanation, please contact this office immediately. Inspector- Date ly I COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS' 196 Memorial Way, Chico — Phone: 891-2751 7 County Center Drive, Oroville — Phone: 534A541 Skyway and Elliott Road, Paradise — Phone: 872-2961, Ext. 57 CORRECTION NOTICE _ -I- Are, si)4) of3 fir; OWNER PERMIT NO. A routine inspection indicates that the following violations of County Ordinance exist at the above address and should be corrected. Please notify this office when correction of work is completed. If you have any question pertaining to this (natter, or need additional explanation, please contact this off ice,. immediately. j.l Inspector (�-ill Date —✓ JCOUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, Calif6rnia,95965 - Telephone. 916/534-4541 APPLICATI6N -ANO PERMIT PERMIT N0. ASSESSOR PA.RCE NUM ER —Tj?- 241 ZONING A1ZMA-3 BUILDING PERMIT OWNER n /� �� / CRL1 V E A • V4eesgA TELEPHONE SQJ FT.OCC.1 BUILDING VALUATION Y O OWNER'S MAILING ADDRESS CO TRACTOR SAME /�` ML //°/�•LC.�J TE PHONE 3 =S � c� TR�� oR's nn AI LING AD�� /�� G�� Fireplace CONLSSTRUCTION�LENDER `�'�vv`� UNKNOWN Total Valuation $ 0-0 Filing Fee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee $ /QQ. Qv ARCHITECT OR ENGINEER LICENSE NO. Plan Checking $ 0.04 AF�e/e� ''�'tY +�� $ / ARCHITECT OR ENGINEER'S MAILING ADDRESS 0 Pefmit fee $ UL BUjLD Si AD 5 �. S 14�/0 LG7�c- GLK- M C� PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 Solar Water Heater 20.00 VILLo Water piping 5.00 LOT NO. SUBDIVISION NAME PARCEL MAP Each qas water heater or vent 5.00 Gas piping system 1 - 5 outlets 5.00 USE OF STRUCTURE SF Duplex❑ Mobilehome❑ Other SPECIFY Building sewer 5.00 Mobile Home S I G I W I 10.00 e TYPE OF WORK New ❑ Addition Q -Remodel [-]Utilities [:1Installation❑ Other ❑ Describe work: r�4,111,1 — Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 1100V OR LESS 100 AMP OR LESS 10.00 Main service EA. ADD'L 100 tfmp 2.50 NEW CONST. ( DWELLING SO O) 2��Y0Sq ft / -Q� OR ADDNS. ACC. BLDGS CONTRACTORS LICENSE LAW Id CI under penalty of perjury (check One): I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Profess' i C de�my license is in full orce and effect. License No. Classification ❑ I, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONSTR U TI-OUTL T 2,50 ea NON-RESID BRANCH CIRCUITS) NEW CONST FLNON-RESID. SINGLE OUTLET CIRPOWER APPARATUS .& ( . Ex. Occup(o OR FIXTURES BAL®3O SALO30 FIXED FIXED APPLNS. OR EX. Occup. OUTLETS (RESID,) EA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 Permit Fee $ 0.0 Contractor MECHANICAL PERMIT Filing Fee 10.00 WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. I shall not employ any person in any manner so as to become subject tOthe W. C. laws of California. N tice o Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. Heating gX L) GtCTJ T, p -c) Cooling Hood 3.00 Ventilation permit Fee $ c� Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the Countyot Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all Iiab9' 'es, judgments, costs, a expenses which may in any way accrue again s d County c nsequ f the r ranting of this permit. X Dat Signature of Applicant — Owner ❑ Contractor Agent ❑ An OSHA permit is required for excavations over 'Q' deep and demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee $ / 90,0-0 TOTAL PERMIT FEE $ OCCUP. GROUP I TYPE OF CONST.PARCEL PD I XISSUE ✓ This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which DIRECT OF PUBLIC i By P IT EXPIRES Date the applicable provi- resolutions to do fees have been paid. WORKS Date —2 -� 7— F_ �+� Receipt No. WHITE-D.P.W., YELLOW-ASSQSSOR. PINK -INSPECTOR, GOLDENROD -APPLICANT COUNTY OF BUTTE - DEPARTMENt br 4413 IC WORKS - BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILLE, C+aL'fFOiNIA'95965 —TELEPHONE: 916/534-4541 r PERMIT APPLICATION DATA SHEET I Permit No. OWNER t�L/V�E�� Q ,,%f�CIL°SG , / A. P. No. Proposed Building Use 4�� Permit Fee Based Upon: Complete Contract Price "DPW Valuation 1 Other (Explain) Building Inspector. Date / r At time of permit application, I was advised the following data must be submitted prior to permit processing and/or issuance: DATE RECEIVED APPROVED 1. All items have been submitted. . . . . . . . . . . . 2. Plot plans in duplicate./triplicate. . . . . . . . . . 3. Complete plans in duplicate. /triplicate. . . . . . . . . 4. Complete engineered plans and calcs. . . . . . . . . . 5. Plans with Energy Design Compliance Statement. . . . . . 6. State Energy Forms No. 7 Statement of Intent for Non -Heated and AC Buildings. 8. Fees of $ . . . . . . . . 9. Letter of signature authorization. _ :Z14 8. Sanitation approval from Q /LL2 . Health Dept. , SCW 11. Planning approval for (A) Use: (B) Parking: 12. Certificate of Workmen's Compensation Insurance. . . . . 13. Contractor's License Information (no., name style, classif.) 14. Owner -Builder Verification (Given to owner❑, Mail to owner ❑ ) 15. Improvements may be required. . , . . . . . . . . . 16. Mobilehome Installation Data. . . . . •Pre-Inspec. request to (Dote) . . 17. Pre -Inspection for Required. Building Inspector 18. Other / 1 When you issue the permit, process as follows: Mail to owner. Mail to contractor." Telephone and hold for pickup at office. Deliver w/inspector. "Other Applicant J+ `fi!i. 6 C ///-,V-5.4 , Date L, Copy of plans sent Health Dept., Fire Dept., Other Date During the plan checking process, the following data must be submitted prior'to permit issuance: (For required items not checked above at time of application, circle item.) 1. Index permit for above Items No. 2. Additional items required: (Contractor, Designer, Owner) was advised of above required data by Telephone Mail Plans checked by. Plans approved by Other Copy—DPW By Date Date Date Other 62` "Itii` ..., .. ._., w. 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L1`1 /JrfM" _,�}(��Y/' �/..�+.+.v M..urw.r..eeosaaa�..rsvw.r++..+aaw.-...+e...a.w.•..a •r r—. ...... ......moo..+. v........rw.-n,o,. —,E.x •........ �. \X/'V.�. .. �} � h. m. �j..�.w�..�....�+�*•ra.e+..nr..a..wa+a..+� ..r . •swa.••+v...•., a..ess..era..,..o«..:.._.. «..._.swrs••,•....+•�• - ..s..r.-. _ .............+.sr+cra .. ,r,..w.r,....ro.a:so-_......s�rw.c+•.w.+.r.,•ora.:�..nxmr..vo•�.a;...a.��s• �cws.sraaaswc+�re...+w...s..�.xw..•..-e-,.-� �...,.v..ws.r.v«++••..,..+...wr.•.n� ' INSTALLED 5001( ENERGY SHEET FORM FOR. ADDITIONS TO RESIDENTIAL BUILDINGS PERMIT NO. 020 � PACKAGE 'nA" (Additions) NAME c SQUARE FOOTAGE JOB ADDRESS Existing Residence t7,) 0 TYPE OF WORK K2 New Addition New Total The following information sheet, showing mandatory features and required features of Package "A" must be completed and attached to all plans for additions. to dwellings. Additions to dwellings include room add itions ,. convert ing garages and patios to living areas, house moves that add footage -and attic conversions, and any space that is ex- isting non -conditioned space that is converted to conditioned space. Remodeling of existing conditioned space is not included. ZONE 11* ZONE 12 ZONE 16 APPLIES TO NEW AREA CEILING R-30 R-30 R-38 WALL R-11 R-11 R-19 FLOOR R-11, R-11 R-19 R-11 R- 7 GLAZING 65 .65 .65 SHADING SOUTH - OPTIMUM OVERHANG or .36 S.C. WEST - .36 S. C. •I�✓A-F�—fix 1 LOOSE FILL INSULATION (Density) INFILTRATION CONTROL (Weatherstrip doors, certified windows, caulking) VAPOR BARRIER (Zone 16) DUCTS PER UMC - Ch. 10 LIGHTING KITCHEN & BATH NOT LESS THAN 25 LUMENS/WATT MAXIMUM GLAZING 16% OF AREA PLUS REMOVED GLAZING oL`_/ Z 7SA, -F�� NEW HVAC AND.HOT.WATER IN CONJUNCTION WITH AN ADDITION SHALL COMPLY AND FILL OUT DATA ON BACK OF THIS SHEET 7/83 *1 HEATING, VENTILATING, AIR CONDITIONING SYSTEM (A) Heating ❑ Central Gas Furnace (brand and model number) SE Btu/hr (heating capacity) ❑ Heat Pump (brand and model number) ACOP Btu/hr (heating capacity at 47°F) ❑ Active Solar type (liquid or air) Collector brand and ft2 model number solar fraction collector area collector orientation collector tilt rated y -intercept rated slope ❑ Other _� ,r �1 Cl J C (de cribe) *1 (B) Cooling ❑ Electric Air Conditioner (brand and model number) (seasonal EER) Btu/hr (cooling capacity at 95°F) ❑ Electric Heat Pump EER Btu/hr (cooling capacity at 95°F) ❑ Other •Y.. J -e c t I (describe) STIC WATER SYSTEM ❑ ) Gas 061y Gallons (brand and model number) (tank size) ❑ Heat Pump w/Electric Backup (brand and model number) Gallons 2 (tank size) [3* Active Solar (collector brand and model number) (rated y -intercept) (rated slope) (solar fraction) ft (backup heater type, brand and model number) (collector area) (collector orientation) (collector tilt) ❑ Location of Solar Panels ❑ Other (Describe) *1 Submit documentation of sizing heating and cooling equipment by Manual J, sizing charts (form #4) or other approved methods, section 2-5352(g), and fill out the following: Heating: Winter design temperature °, elevation ', heating load BTU elevation factor x heating load = maximum outlet capacity gas furnace BTU Cooling: Summer design temperature °, cooling load BTU *2 Submit T.I,P.S.E. chart or other approved system (form #5) to document sizing of solar panels. ® DESIGN.COMPLIANCE STATEMENT: The above building design meets the requirements of Title 24, Part 2, Chapter 2-53 of the California Admihistration Code. SIGNATURE OF BUILDING DESIGNER OR APPLICANT lop"`. 1955-77B E .PERMIT N0. , ' PERMIT EXPIRES OWNER Oliver A. Jackson CONTR. owner LOCATION (A. -P. 41-43-28 ) SIS Clark Rd. app.1000',E.of Clear Cr.Cemetery Rd. Oroville pc�n • s r Temp. Power Pole Called PG&E I 3p-Elec. Serv. z Called PG&E Temp. Gas Serv. Called PG&E c roe L 16 FINALED (Date) (Signature t s Stucco COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS. BUILDING INSPECTION RECORD panels BUILDING A BUILDING (Cont'd) PLUMBING Setback Firewall Soil Piping Forms Parapets 1st Floor ` Main Bldg. Restroom Finish 2nd Floor Footings Windows 3rd Floor Stemwall Siding To out Slab Roof Sheathing Water Piping Piers Roofing Sewer Garage Fdn. Vents Fixtures Footings Stemwa I I Garage Vents Insulation Water Htr. Heaters Slab Carport po Footin s Footings Prov. for phsicall handica ed Conformance of et - structure Appliances Gas Piping & Tes Temp. Gas Slab Final 1 Sanitation Patio FIREPLACE final Footings Footing ELrECTRICAL Masonry Walls Throat Rough Relnf. Steel Final Fixtures Bond Beam FIRE SPRINKLERS Motors Stucco Final ISub panels Mesh.6� MECHANICAL Grd. Fault Prot. r. Scratch Heating Service Brown Cooling Temp. Pole Finish % Ducts Underground Interior Lath Ventilation I Permanent Door Closer I mmw�MOBILEHOME Final rZ I Final UTILITIES ---- Elec. Service Elec. Pedestal Water Piping Sewer Gas Piping MOBILEWOME INSTALLATION - - - - - - - - - - - - - - Support Elec. Continuity Water Piping Drainage Gas Piping DATE REMARKS OR CORRECTIONS (NOTE: An entry must be made on this form each time you visit the job site.) I COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS 7 County Center Drive — Orovi lie, California 95965 TeIephoned1534-4541 APPLICATION AND PERMIT ass 77 authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. X Date Signatureof Per ' e 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 PUBLIC WORKS By Date q— 7,7 — -7 % (Y`�7 ding permit expires Date '� BUILDING ff Owner eark sni SQ. FT. OCC. BUILDING VALUATION Mailing Address RoyG �� T�ele hor^eFl� Fireplace Contractor 14 0o I Total Valuation Mailing Address Permit Fee Plan Checking Fee &/or Penalty Tlephone No. e Permit Fee $ $ Building Address ��kit k I PLUMBING No.1 @ FEE PERMIT FILING FEE $3.00 Each Trap 1.50 'ekV ` Repair drainage or vent piping 1.50 Water piping 1.50 O(�( Each gas water heater or vent 1.50 o� A. P. N .'' rS Zoning & Planning Gas piping system 1 - 5 outlets 1.50 Each additional outlet .30 Fees W.C. Ire Dept. Fire Zone Use Permit Building sewer 5.00 EQA Parking Plans Parcel Declaration Parcel Ma P 60' R/W Im rovements P Lawn sprinkler system 2.00 Parcel Approval Plans Approval Permit Fee $ $ NEW ❑ ADDITI N ❑ UTILITIES ❑ OTHER R ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 C J C O 71411&1,106, — Main service 600V OR LESS 500 (� 100 AMP OR LESS . r G• ter' Main service EA. ADD -L 100 AMP 2.50 Single Family Dup ex ❑ Mobil Home ❑ Others ❑ Main service OVER BOON 100 AMP OR LESS 25.00 Main service EA. ADO'L 100 AMP 1.00 NEW OR A.D.S. ( ACCLBLDGS.LING CCUP. &� 20sgft NEW CONSTR. MULTI -OUTLET NON- (MULTI-OUTLET BRANCH CIRCUITS) 2.50ea NEW CONSTPOWER APPARATUS & NON- R. RESID. (SINGLE OUTLET CIR. CONTRACTORS LICENSE LAW I am licensed under the provisions of Chapter 9, Div. 3, of the State of California Business & Professions Code under the name style of: Ex. Occup(OUTLETS OR FIXTURES) @251C04 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 I am exempt from the Contractors License Laws of the State of California. Permit Fee $ d $ MECHANICAL No. @ FEE WORKMEN'S COMPENSATION INSURANCE 1 am aware of the provisions of Section3700 of the California Labor Code which requires every employer to be insured against liability for Workmen's Compensation. ❑I have placed on file with the County of Butte a certificate of orkmen's Compensation Insurance. I" certify that in the performance of the work for which this permit is issued I shall not employ any person in any manner so as to become subject to the Workmen's Compensation Laws of California. PERMIT FILING FEE $3.00 Heating Cooling Ventilation Hood 2.00 Permit Fee $ $ I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby TOTAL PERMIT FEE $, O ,SC authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. X Date Signatureof Per ' e 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 PUBLIC WORKS By Date q— 7,7 — -7 % (Y`�7 ding permit expires Date '� Iiiiii(i Foolooll 111 1-111hilli-i—ki'l Filli I. II III iiiii'lill 11111111