HomeMy WebLinkAbout041-540-016�
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SIS Pentz Rd. approx. 112 mi. E. of
SIS P�
FClark Rd., Paradise
(CERTIFICATE OF COMPLIANCE.)
41-12-38
Dr. Phil & Angie Horning
codr: H 4t H Const., Forest Ranch
41-12-38
Permit #3926-81R,E( garage &
041-540-016 05-3204
HORNING, PHILIP
(WOODROSE, CHICOCont: ALLADIN ROOFING
|4445
RE ROOF
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BUTTE COUNTY
DEPARTMENT OF DEVELOPMENT. SERVICES
BUILDING PERMIT APPLICATION
AND SUBMITTAL REQUIREMENTS
24 HOUR INSPECTION#: OROVILLE: (530) 538-7636 • CHICO: (530) 891-2834
OFFICE #: (530) 538-7541
A FEE WILL BE REQUIRED AT TIME OF APPLICATION
"PLEASE PRINT CLEARLY* x
PERMIT
(N� O.
VS . 3
BP
BIN 9
APPLICANT NAME
CONTRACTOR
Name yt
ln/� a—
Address
Zip
City n ,� ��� r
CJsvr-
State
State �
Zip
_
Phone
E-mail
Fax
rE-ail
Planner -'S4
Lic. �YYi2
Class
APPLICANT NAME
ARCHITECT/ENGINEER
Name
City
Address
Zip
City
State
Zip
Phone
Fax
E-mail
State License Number
APPLICANT NAME
Name
a�
Address
City
State
Zip
Phone
Fax
0cc.
APPLICANT SIGNATURE
X 721�" i
For office use only:
Zoning
Flood Zone
SRA
I Yes
No
0cc.
Type Const.
Subdivision iName Map
k At
Book
Page
Lot #
Planner -'S4
Date Approved:
OVER FOR SUBMITTAL RV-UUIKtmtN 15
LENDING AGENCY
Name
Address
Description or Scope of Work: I
T -&O -r d 9 QP QooT i , ). - & (?OL"'' ),
Sq. Footage 'S1947
❑ Structure Built without Permits
❑ Proposed Change of Occupancy
(Note previous use):
EXPIRATION OF APPLICATION
Applications for which a permit has not been issued will expire one
year after the date of application. In order to renew action on an
application after expiration, a new application, plans and fee will be
required.
REQUEST FOR REFUNDS
Refunds can only be made upon written request by the person who
paid the fee. The request must be made prior to the expiration of the
permit and no construction work has been done. Filing fees, plan
check fees for work plan checked and other department costs are not
refundable.
Received by: Amount: a Bldg
lr-� SRA
Receipt #: Sheriff
SMIP
I l
j l\ �er,
Date: � CJ
Total
SUBMITTAL REQUIREMENTS
The following drawings and specifications must be submitted to the Building Division in order to apply
fora permit. INCOMPLETE SUBMITTALS WILL NOT BEA CCEPTED. ALL PLANS MUST BE
LEGIBLE AND IN INK.
Residential, New, Remodels, Additions, and Accessory Structures:
❑ 1. 3 Site Plans, signed by the preparer. NO GRAPHPAPER!
❑ 2. 3 Complete sets of plans, signed by the preparer. NO GRAPH PAPER!
OR 3 Sets Engineered plans (if required) with wet signature on plans AND 2 sets of stamped and signed
calculations.
❑ 3. 2 Engineered truss details and layouts (if required) (NO FAXES!).
❑ 4. Letter from Engineer or Architect for truss design review.
❑ 5. 2 Energy compliance design and supporting documentation. (Note: Not required for additions to
mobile or modular homes.)
❑ 6. 2 Flood Elevation Certificate, wet -stamped and signed (if required).
❑ 7. Detached Accessory Building Form, filled out by the property owner (if required).
❑ 8. Sanitation and site plan approval from the Environmental Health Department.
❑ 9. Metal Buildings: (A) Metal Bldg Plans, (B) Fnd plans and calcs in triplicate, (C) Elevations in
triplicate, (D) Floor plans in triplicate, All of these must be stamped and wet -signed by the engineer.
Mobile, Manufactured, or Modular Homes:
❑ 1. 3 Site Plans, signed by the preparer. NO GRAPHPAPER!
❑ 2. 2 Data sheets and installation instruction manual.
❑ 3. 2 Marriage line information.
❑ 4. 2 Floor plans.
❑ 5. 2 Engineered Tie Downs or Foundation plans.
❑ 6. Sanitation and site plan approval from the Environmental Health Department.
❑ 7. 2 Flood Elevation Certificate, wet_stamped and signed (if required).
Commercial, New, Additions and Remodels:
❑ 1. 4 Site Plans, signed by the preparer. NO GRAPH PAPER!
❑ 2. 4 Engineered plans with wet signature on plans AND 2 sets of stamped and signed calculations,
with code analysis.
❑ 3. 2 Engineered truss details and layouts (if required) (NO FAXES!).
❑ 4. Letter from Engineer or Architect for truss design review.
❑ 5. 2 Energy compliance design and supporting documentation (if required).
❑ 6. 2 Flood Elevation Certificate, wet -stamped and signed (if required).
❑ 7. Statement of Intent for Non -heated and A/C (if required).
❑ 8. Metal Buildings: (A) Metal Bldg Plans, (B) Fnd plans and calcs in triplicate, (C) Elevations in
triplicate, (D) Floor plans in triplicate, All of these must be stamped and wet -signed by the engineer.
❑ 9. Letter of intent.
❑ 10. Hazardous Material Form.
❑ 11. Sanitation and site plan approval from the Environmental Health Department.
If you have questions or would like additional information regarding this process, contact a Permit
Application Assistant at (530) 538-7541.
OVER FOR BUILDING PERMIT APPLICATION
KAFORMSWILDING F0RMS\B1dgApp1SubRgmts.doc Page 2 of 2 REV 6-16-04
BUTTE COUNTY
DEPARTMENT OF DEVELOPMENT SERVICES
BUILDING PERMIT
24 HOUR INSPECTION #: (530) 538-7636 (OROVILLE) (530) 891-2834 (CHICO)
OFFICE #: (530) 538-7541
PERMIT NO.
BP053204
PERMITS BECOME NULL AND VOID 1 YEAR FROM THE DATE OF ISSUANCE, OR IF WORK IS DONE IN VIOLATION OF ANY COUNTY OR STATE LAWS.
LICENSED CONTRACTORS DECLARATION
I hereby affirm under penalty of perjury that I am licensed under
provisions of Chapter 9 (commencing with Section 7000) of Division 3 of
Issued Date: 12/05/2005 APN: 041-540-016-000
the Business and Professions Code, and my license is in full force and
effect.
�-� �
License Class : License Number: ?
Site Address: 4445 WOODROSE LN CHI
Date: / 2--}'!i Contractor: �,� d
Map Index:
Description: REROOF W/COMP (58)
OWNER -BUILDER DECLARATION
1 hereby affirm under penalty of perjury that I am exempt from the
Contractors' State License Law for the following reason (Sec. 7031.5
Business and Professions Code: Any city or county which requires a
Owner: HORNING, PHILIP AND ANGELA NICK
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 pursuant to the provisions of
4445 WOODROSE DR
the Contractor's State License Law (Chapter 9 commencing with Section
7000) of Division 3 of the Business and Professions Code) or that he or
OROVILLE, CA
she is exempt therefrom and .the basis for the alleged exemption. Any
95965
violation of Section 7031.5 by any applicant for a permit subjects the
530-894-7366
applicant to a civil penalty of not more than five hundred dollars ($500).):
❑ 1, as owner of the property, or my employees with wages as their
sole compensation, will do the work, and the structure is not
intended or offered for sale (Sec. 7044, Business and Professions
Code: The Contractors' Slate License Law does not apply to an
Applicant: ALLADIN ROOFING
owner of property who builds or improves thereon, and who does
Pp
such work himself or herself or through his or her own employees,
provided that such improvements are not intended or offered for
P O BOX 4262
sale. If however, the building or improvements are sold within one
year of completion, the owner -builder will have the burden of
OROVILLE, CA 95965
proving that he or she did not build or improve for the purpose of
(530) 533-2934
sale.).
❑ I, as owner of the property, am exclusively contracting with
licensed contractors to construct the project (Sec. 7044, Business
and Professions Code. The Contractors' State License Law does
not apply to an owner of property who builds or improves thereon,
and who contracts for such projects with a contractor(s) licensed
Contractor: ALLADIN ROOFING
pursuant to the Contractors' State License Law.).
❑ 1 am Exempt under Article 3 of the Business and Professions Code
P O BOX 4262
OROVILLE, CA 95965
Date: owner:
(530) 533-2934
WORKERS' COMPENSATION DECLARATION
I hereby affirm under penalty of perjury one of the following declarations:
License #: 532834
❑ 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 wJilch this permit
.s issued.
I have and will maintain workers' compensation insurance, as
Architect:
required by Section 3700 the Labor Code, for the performance of
Engineer:
the work for which this permit is issued. My workers' compensation
insurance carrier and policy number are:
Carrier:
Policy#: -7
Total Square Ft: 0 S. F.
Valuation: $0.00
❑ 1 certify that in the performance of the work for which this permit is
Census Code:
Issued, I shall not employ any person in any manner so as to
become subject to the workers' compensation laws of California,
and agree that if I should become subject to the workers'
compensation provisions of Section 3700 of the Labor Code, I shall
forthwith comply with those provisions.
Z [JS
Date: Q
Applicant:
WARNING: Failure to secure workers' compensation coverage is
unlawful, and shall subject an employer to criminal penalties and one
hundred thousand dollars ($100,000), in addition to the cost of
compensation, damages as provided for in Section 3706 of the Labor
code, interest, and attorney's tees.
U
CONSTRUCTION LENDING AGENCY
This per ' by issued under the applicable provisions of the Butte County Code and/or
I hereby affirm that there is a construction lending agency for the
ResoI ' worki9dicaatted�above for which fees have been paid.
`' I S' 05 .
performance of the work for which this permit is issued (Sec 3097 Civ.)
By. V' — Date:
Name:
O
Address:
PERMIT EXPIR 0
Ili Date
❑ 1 hereby certify that the use of this facility shall comply with Sections 25505, 25533, and 25534 of the California Health and Safety Code, which regulate the storage,
handling and use of hazardous materials.
❑ Notification in accordance with Section 19827.5 of California Health & Safety Code is not applicable to the scheduled construction of this project.
❑ Attached are copies of the required E.P.A. notification forms.
I hereby certify that I have read this application, that the above information is correct, and that I am the owner or the duly authorized agent of the owner. I agree to comply with
all.county and state laws relating to building construction. I acknowledge it is unlawful to alter the substance of any official form or document of Butte County. I hereby
authorize representatives of Butte Count Ytoe_nter upon the above mentioned property for inspection purposes.
Print Name: �� ��(( a �' Signature:
Date:
(?Owner 0 tractor 0 Agent for Owner ❑ Agent for Contractor
W
PERMIT NO.
3446-81 > >[
PERMIT EXPIRES
OWNER 'Dr.
Phil & Angie Horning
CONTR.
H & H Const., Forest Ranch
41-12-38
t
ASSESSOR PARCEL
NIS Woodrose Dr. @ end, lot 16, Oro.
s'
LOCATION
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4
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Temp. Power Pole
Called PG&E
,4
Temp. Elec. Service
Called PG&E
Temp. Gas Service
j
Inc
s'
Called PG&E
'
JOB FINALED (Date)
Signature
1
t.
V = OK . r
0 = Not OK
- = Not Applicable MOBILEHOMES MISCELLANEOUS
Not Ready
Date
MOBILEHOME UTILITIES (Plans) OK except N's
1. Zoning Requirements -Setbacks -Easements
2. So4s; 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/O -Concrete
3. Decks; Girders and/or Joists -Decking -Bracing -Stairs -Rails
4. Water; Location -Test -Easement Needed (Sketch) ,'
4. Wood Awn.; Posts-Beams-Rftrs.-Connec.-Shing.-Rig.-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 N's
1. Zoning Requirements -Setbacks -Easements
2. Footings; Size -Spacing -Marriage Line
Card -BI
Date
Date Card -BI Date
POOLS (Plans) OK except N's
1. Setbacks -Easements • . N . ' 1
2. Soils; Compaction -Structure Stability
3. Gas; MH Test -Demand -Valve -Connector
3. Pool Structure; Steel -Connections -Thickness -Dead Men -Lining
4. Electricity; MH Test -Crossovers -Breakers -Clearances
4. Elec.; Receptacles and Lighting; Distances-GFI
5. Drain; MH Test -Fall -Flex Connector
5. Elec.; Pool Lighting; 15 volts-GFI
6. Water; MH Test -Regulator -Connector
6. Elec.; Enclosures; Conduit Entries -Terminals -Listed
7. Water and Sewer Connected -C/0 to Grade -HD Approval
8. Gas and Electricity Tagged
7. Elec.; Bonding; Metal w/5' -Circulating Equipment -Heater
8. Elec.; Grounding; Equip. w/5' -Circulating Equip. -Pool Lghig.
Boxes -Enc losures- Pane lboards-Ins. to Main in Conduit
9. Exits; Insp.-Sketch
10. Cert. of Occupancy
9. Health Department Approval
10. Plumb; Cir. Test -Water Supply Test
Card B-1
Date Card -BI Date
Card -BI
Date Card -BI Date
Card B -I
Date Card -BI Date
Card -BI
Date Card -BI Date
i
i
At
OK
l�
J = � J
C�= Not OK
- = Not Appli ble RESIDENTIA1 (Sinphe and Duplex)
SIF = Not Re y
Date NDE FLOOR Plans OK except#'s
Date FRAM Continued
. Zoni g requirements -Setbacks -Easements,
r rty Line Firewall & Openings
2 g., M ; Soils -Steel- Iec. Grnd.-� /" Ftg. Depth
xt. Doors -One 3' -Check Garage -3rd story, 2 exits
3 g. Garage; Soils -Steel- / tg. Depth
Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection
g., ofches & Decks; Soils -Steel- / /" Ftg. Depth
Ply" on Roof Overhang -Attic Vents -Rafter Outriggers
em I , Main; Steel-Blockouts-Wrapped-Slab
5
ing-Nailing-Veneer
m a s rage; Steel -Blockouts=Wrapped- bZZW
Stu o Mesh -Drip Screed-Fdn. Vents-Underflr. Access ,
iers rr g.-Steel[A.--,Glazing
Area -Glass Protection -Skylights -Plastic
8. V.: Fall -Fittings -Test -2 way C/O -Sewer Test
-7561 & ear Walls; Nailing -Bolts
s Pipe; Size -Anchors
10 er Pipe; Test -Anchors -Regulator -Service Test
11. EI tric; Underground
1 IqAumv & Ducts;arance-MalTrial-40ppor
1 irders-Sills-Anchor Bolts -Joists -Vents -Cripples
Card -BI
Date// 2 i% Card -BI Date
-- , C
Card -BI
Date Card -BI Date
f- ps. PPF
Card -131
Card -BI
Date Card -BI Date
Date
(plans) OK except N's
Card -BI ate9.2,,7_5Z6ard-BI Date /0-1$-
Date PLUMBING (Permit) OK except q's
IgaMK.
V. Steps -Door & Sidelight Protection Landings
5VSnpKe
Detector
`fid --_Yater Ht.; Vent -Access -Combustion Air
5ce;
Vents -Clearance-Conb. Air -Connector -
ur ar e; Above Floor-Ducts-Mech. Protection
W ter Pipe; Test & Anchors -Nail Protection
V.; Test-Fttngs & Anchors -Nail Protection
B m Exiting
Shower Pan; Test, First Floor -Tub Access
6
.I. & Bath Fixtures & Tub Access
r .1.9- fest Tub & Shower, 2nd Floor -Tub Access
61.
E ec. 346 & Subpanel; Breaker Sizes -Labels
49.Gas Pipe; Size & Anchors
63.4WIf6plape
' s & Rails
or Stove; Clearances -Hearth
Card -BI Date Card -BI Date
64,ptjo
Outlets at Wood Panel; Int. & Ext.
65•
r ixt. & Appliance; Grnd.-Air Ga -Cook_ Clearance
Card -BI Date Card -BI Date
lec. Outlets & Receptacles at Kit
Date ELECTRICAL Permit OK except q's
7.
Gara a Fire Door; Swing -Land_ -CI
.
A .0 uct in Garage -Damper
fixture & Transformer Clearance -Ins. Protection
69..
Htr., Vents -Clearance -Comb. Air-Connector-P.R.V.-
In ge; Above Floor-Mech. Protection
c. Receptacles Spacing -Lights & Switches at Doors
70
Elec. & Mech. Equip. Listed for Location
ize Boxes & No. of Conductors -Stapled
Romex Installed Close to Edge of Studs & C.J.
71
ec._Receptacles in Garage; (G.F.I.)-Rom x rot C.
Equip. Ground made up w/Mech. Fasteners -Bond Gas & Water
72,
!pLSIIoaE&awr-L-aoked in Attic
@a!2 Appliance Circuits in Kitchen & Conductor Size
73.
G d Rails & Deck Construc'
c26.-Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / / ga. Cu or At
7
dn. Vents &Crawl F" Doo D n Wood -Earth Clearance
Looked under Flodr-❑ Yes
ange Circ. / / ga. Cu or AI -Oven Circ. / / ga. Cu or Al,
Insulated Neutral ❑Yes ❑No
75.
Following instld.: Drive Yes o; Walks ❑Yes
Planters ❑>ds o
2o a rvice-Riser Conductors & Ground -Main Disconnect
76.
S o; B fish �r
ces Panels-Motors-Mech. Equip.
77, : . nit; D' onnect-Clrnces-Brkr. & Cond-. Size -115V Outlet
(:&klothesfooset LigJILShoht
78.
Vent ove Roof; Plbg.-Appliance-Firepl.-Clearance to Opngs.
79.
Disconnect, Electrical, Plumbing
80.
erior Elec. Trim; G.F.I. Receptacle -Underground
Card B -I L.,, Date 11 L Card -BI Date
81
nt' ion throughout House
Card B-1 Date Card -BI Date
ss Protection
Date MECHANICAL (Permit) OK except q's
83KCorTctions
from Previous Inspections
84.
s Test -Meters Tagged; Gas -Electric
31. A.C. Ducts; Insulation & Support
akfifflater
.
& Sewer Connected -C/O -o Grade -HD Approval
Energy Compliance Certificate -Other Certificates
Vent Fan; Exhaust above Insulation
_ E�9s-,2o2densate Drain & Overflow; Size & Grade
'3d -Furnace -Vent; Access -Comb. Air -Return Air Vent -115V outlet
-e&.--•Rttic Access & Platform if Furnace in Attic
Card-BIDate
Card -BI 1Z
and -BI Date
1 Dat and BI Date
Card -BI V Date vL Card -BI Date
-..-
Card-BI Date Card -BI Date
Card -BI
ate -- C rd -BI Date
Date FRA (Plans) OK except q's
Co
ents-pt Final:
Si Proper Material &Anchors
_ W s; Studs -Nailing, Spacing & Bracing -Plates -Sound
ring Walls over Girders & Floor Nailing
6DlD ft Stop in Walls (rat proof)
tt_ 14
Loe'Lwe Stops; Furred Ceilings -Stairs -Chases -Tub
Jr- _H er & Beam -Size & Bearing
�HDKers-Post Caps -Anchors -Connectors
Ing. Joist-_Rfir. Ties-Purlin-Roof Brac.-Truss-Shthng.-Rfnq.
_replace Ties or Type A Flue -Fireplace Throat
ttic_ Access; Size & Romex Protection -Draft Stop -Ins. Baffles
_ _ . dr indows or Exiting Doors -Sill Hgt. & Dimensions
arage Fire Protection Framing
(NOTE:Anentrymust be made each time youvisit jobsite)
RESIDENTIAL
ENERGY CONSERVATION STANDARDS
e
CONSTRUCTION COMPLIANCE CERTIFICATE
THIS IS TO CERTIFY THAT ENERGY CONSERVATION REQUIREMENTS HAVE BEEN
INSTALLED IN,CONFORMANCE WITH CURRENT ENERGY CONSERVATION REGULATIONS
AT L—��T 1. l,� UO o o L, �+-
(location)
BUILDING PERMIT NO.,T IVB
A.P. NO . �-i l - tZ- 38
THE,FOLLOWING HAVE BEEN INSTALLED AS PER APPROVED.PLANS:
(Check each item or write_N/A if not applicable)
INSULAT ION : G_LAZ ING :
Slab Edge A/14 Single Glazed f}.
Fdn. Walls /VA Special (Insulated) y r,25 ,rte
Floors CERT. & LABELED WDS.
Walls - t R & SLIDING DRS. VGS 1
Ceiling/Roof WEATHERSTRIPPED DRS.
Ducts R.- &BACK DAMPERED FANS bf
Circulating Pipes y-cs INTERMITTENT IGNITION DfVICES S
APPROVED HEATER yE3 CERT. APPLIANCES
APPROVED WTR.HTR. y s
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. SUBMITTED.
Insulation Applicator Name
Signature of
(please print)
Insulation Applicator �1
�2 �
State.Contr ac3rs�'iS
\� License No.
General Contractor/Owner Name`
Signature of
(please print)
� n � /
General Contractor/OwneDate 3
State Contractors
License No. P-24?
THIS CERTIFICATE MUST BE.ON FILE WITH THE BUILDING DEPARTMENT PRIOR TO
REQUESTING FINAL INSPECTION AND SHALL BE POSTED IN A CONSPICUOUS•LOCATION
WITHIN THE DWELLING.
�. COUNTY OF BUTTE
DEPARTMENT OF PUBLIC WORKS
196 Memorial Way, Chico — Phone: 891-2751
4
7 County Center Drive, Orovi Ile — Phone: 534-4541
Skyway and Elliott Road, Paradise — Phone: 872-2961, Ext. 57
CORRE_CTION/nNOTACE
BUILDING OR PROP
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.
z
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
BUILDING OOPERTY ADDRESS
"A f/
A routine inspection indicates that the following violations of County,.Ordinance
exist at the. above address and should be -corrected. Please notify _Ws 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.
t
Inspector ' // �i Date
't
0
COUNTY OF BUTTE - DEPOTMENT OF PUBLIC WORKS P R T140.
7 County Center Drive - Oroville, California 95965 - Telephone 916534 4
APPLICATION AND PERMIT , M d / I
ASSESSORP RCEL NUMBE
t�%—
ZONI
A5
BUILDING PERMITffi Yd
OWNER
2)iP 1014 n� 6el � aR J� , f
/VCP-
TEL PHO E
g47 AIf
o
SO. FT. OCC. BUILDING VALUATION
-57Z
OWNEJi $ MA/'I�LI VOO ADDRESS c—GPR%rVE 111UL
`/J/'R�///'C�?T-J (Sf/(�N/f fAj.
70.00
C'/'T/
1 1� a1 0 V
TELEPHONE
O
O
CO TRACTOR'SMAILING ADDRESS p�� 1� ,,/�
.ro. 0'k /Z� �/ l�Tr ( 0 —
CONSTRUCTION LEND R -� UNKNOWN
_
Fireplace
0001 L71�
rotal Valuation $
Filing Fee
$ 10.00
LENDER'S MAILING ADDRESS
Permit Fee
$30E--
0e)7—
0 (JARCHITECT
ARCHITECTOR ENGINEER
LICENSE NO.
Plan Chec�kkiinng�/Feee]�
$ .5 , 0
%%
�^�'•�—"� -
$
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Permit fee ,
$ _ p
BUIL ING ADDRESS
fid/ S G�DOD,emS� D t/ - �nP?5.
PLUMBING PERMIT
Filing Fee 10.00
Each Trap
2.00 .00
Repair drainage or vent piping
5.00
0�<L
Water piping
6.00
LOT NO.
SUBDIVISION NAME
PARCEL MAP
MAP
1.:57-7 0
Each qas water heater or vent
5,00
Gas piping system 1 - 5 outlets
,, DuUSE OF STRUCTURE
SF Ly' plex❑ Mobilehome❑ Other
SPECIFY
Building sewer
-5,00
Lawn sprinkler system
5.00
TYPE OF WORK
New Addition❑ Remodel❑ Utilities❑ Installation❑ Other ❑
Describe work:
Permit Fee
$ 00
Contractor
ELECTRICAL PERMIT
Filing Fee 10.00
Main service 600V OR LESS
100 AMP OR LESS
5.00 00
Main service EA. ADD'L 100 AMP
2.50 2,50
NEW CONST. ( DWELLING S.
ADDNS. ACC. BLOG
20 S ft �^� -70OR
Q ,
CONTRACTORS LICENSE LAW
I declare under penalty of perjury (check One):
❑ I am licensed under provisions of Chapt. 9, Div. 3 of the Business
and Professions Code and my license is in full force and effect.
License No. Classification
I, as the owner, or my employees with wages as their sole compen-
sation, will do the work,and the structure is not intended or offered
for sale. (Sec. 7044)
1 as the owner, am exclusively contracting with licensed contract-
ors. (Sec. 7044)
F]I am exempt under Sec. , Business and Professions Code
for this reason
NEW CONSTR I -OUTLET 2.SOea
NON.RESID BRANCH CIRCUITS)
NEW CONSTR POWER APPARATUS d
NON-RESID.SINGLE OUTLET CIR, /
sD @ 250
Ex. Occup(OUTLETS OR FIXTURES BAL@?Ot
FIXED APPLNS, OR f
Ex. Occup.(OUTLETS (RESID.) EA. 2.00
Temporary service 10.00
Mobile Home Facilities 15.00
Misc. Wiring 7.50
Permit Fee $ ,
Contractor
MECHANICAL PERMIT
FiIirig 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
to the W. C. laws of California.
Notice to Applicant: If after making this statement, should you become subject
to the W. C. provisions of the Labor Code, you must forthwith comply with such
provisions or this permit shall be deemed revoked.
Heating / 0 p0
r ?>41141-0
Cooling
S`v
Hood
3.00 S,OD
Ventilation
Permit Fee
S '� ,Qd
Contractor
I certify that I have read -this application and state that the above information
is correct. I agree to comply to all County Ordinances and State Laws relating
to building construction, and hereby authorize representatives of the County of
Butte to enter upon the above-mentioned property for inspection purposes.
I also agree to save, indemnify and keep harmless the County of Butte against
all liabilities, judgments, costs, and expenses which may in any way accrue
against aid County in con ence of the granting of this permi
X Date
SignaturefA plicant - OWnerX Co tr ctor ❑ Agent ❑
An OSHA it is required for excavations er 5'0"deep and de olition or co struct-
ion of strues over 3 stories in height.
Mobile Home Installation Fee $
TOTAL PERMIT FEE 6&Q,`W
Occu P. OROMP
Zr,3
TYPE OF CONST.
N r"
PARC P HD
59
This permit is hereby issued under
sions of the Butte County Code and/or
work indicated above for which
DIRECT A OF PUBLIC
By
PE T EXPIRES Date
the applicable provi-
resolutions to do
fees have been paid.
WORKS
Date 17-1 IF-
Receipt No. �v 5fs53/ /5� � d
WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -AP &CANT
-.+- --- - �-�-,..-• wi+'..--,ranw.^'---,..e-+--�lr"�R�'rM'a7•-•---.-..p..-"„,'s .�-,.--..,.,ter...;• _t -'e.v-.r.-ti.r•.�.f;-f'�`�"%i�ca;,.
COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS - BUILDING DIVISION
.y .. -,. 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEP'HONE: 916/534-4541
PERMIT APPLICATION DATA SHEET
, /'� p Permit No.
OWNER �%�. AAJ61,e m/il l /l Ne;
V• w� A. P. No.
Proposed Building UEe
Permit Fee Based AJ' on- Complete Contract Price -_ -- DPW Valuation
Other (Explain)
Building Inspector J Date
At time of permit application, I was advised the following data must be submitted prior to permit processing
and/or issuance: — at/PA RECEIVED APPRO=VEDA
I�1, All items -iave been submitted. . . . . . . . . . .
2�Plot plans i uplicat0triplicateI . . . . . . . .
3. c I
Complete plans in duplicate.
/triplicate.
Complete engineered plans and c . . . . + . . . . 8
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 $ . . . . .
' Letter of -signature authorization.-
1' 0. Sanitation approval from Health Dept.. . .
11. Planning approval for (A) Use: (B) Parking:
12. Certificate of Workmen's Compensation Insurance. . . + .
-___13License Information (no., name style.classif.)
Owner -Builder Verification (Given to owner, Mail to owner ❑
15. Improvements may be required. . . . . . . . . . + .
16. Mobilehome Installation Data. . . . . . . .
,Pre-Inspec, request to
17.. -Pre -Inspection for Required. Building Inspector (pate)
Other _ g6P c4 ep ab 144, 19 6e-...
When you issue the p_erm4-t pprocVs's as-to-H-ow.s.:_ _ ® Mail to owner%v Mail to contractor.
Tel•eohone and hold for pick~-- af44ce, Deliver w/inspector.
Othe'r
Applicant! 7ili(.Q-t G(. TV7 }'j U1� Date % /�
Copy of plans sent Health Dept., —,Fire Dept., 's0'ther `,, 1 Date'
During the plan checking process, the following data must be submitted prior to permit issuance:
(For required items not checked above at ' e of application, circle item.)
1. Index permit for above Items No.
2. Additional items required:,—
(Contractor,
equired:,_
(Contractor, Designer, Owner) was advised of above required data by Telephone Mail Other
By
Plans checked by Date
Plans approved by Date
Other:
/A .%x'11 `, fA.i'"',r. ^•� e / •—
Copy -DPW / //
t: 1�1 ".p
Sip - 0+ 1 i�d .�. %Sem
��X.r.#pyro-tci .4n S-elPeDisposal
Ho id f il yy \
�1
F:4...C7.al 0 c K r for,. Water ),upp ly � �d•.v
1.t.1{,}arsol E fox a ...�...� bet � I.lCJ%}m w�� j�i'•�s��".' i�.n• vy�,� �'
of,.,,..�.,�•.�.,:��a..�,,,.<,.z•�,.v �•,�•.�,�•x.yr�.�ra.aa=.,�,.,.
N, m
SCJ t
1 H
RESIDENTIAL PLAN CHECKING GUIDE
(S.F., DUPLEX, & MISC.. ONLY)
r ® ®® Bldg. P rmit
OWNER �� ®, iQ,I �!'he:� A. P. #CIA
..
—�-�—
A . GE RAL
zoning requirements (sideyards and parking).
Valuation.
Signature by R.C.E. or Architect (if required).
B. PJ401 PLAN
Complete parcel size and dimensions.
Setbabkq, sideyards, easements, etc.
Other buildings or structures.
Grading, fills, drainage.
C.. FLOOR PLAN
Complete to scale plan with dimensions.
2® Required windows for light and ventilation (Sec. 1405).
3� Required windows for second exit (Sec. 1404).
Allowable glazing for energy requirements (20% max. per,State law).
Human impact glass (Sec. 5406).
kof� Required room sizes, ceiling heights (Sec. 1407).
G.F.C.I.'s in baths and exterior outlets (Sec. 210-8).
Light fixtures, switches, receptacles, and exterior receptacles for maintenance of
_/mechanical equipment.
i� Locations of water heater, heating & cooling equipment, other electrical or gas
equipment, and plumbing fixtures.
W' Garage firewall, door size, and closer (Sec. 503(d)(4)).
1k 1 - 3'0" exterior exit door (Sec. 3303d).
12! Fireplace location.
W. Smoke detectors (Sec. 1413).
D. STRUCTURAL DETAILS
Foundation plan complete enough to construct building.
V,'Floor construction details complete enough to construct building.
3�Elevations and wall construction details complete enough to construct building.
4. Roof construction details complete enough to construct building.
5�F ireplace construction details and calcs if over one-story in height.
Sufficient data and details to satisfy energy insulation requirements (State law).
E. MISCELLANEOUS ITEMS TO LOOK OUT FOR
CCX plywood on exposed locations and overhangs.
Stairway details (Sec. 3305).
3or" Guardrail details (Sec. 1716).
IV' Brick or stone veneer (Chapter 30).
5xterior plaster - weep screeds (Sec. 4706 & 4708).
6. Proper roof pitch for roof covering (Chapter 32).
7Z Rafter ties or bearing ridge beam.
Garage door or porch header sizes.
Adequate bracing.
@� Living area over garage - complete 1 -hour separation required including supporting
walls and posts, etc.
Two (2) exits on three-story dwellings (Sec. 3302).
Return to DPW
.r:•i i Gr 'Sdt 3ifa
AGRICULTURAL STATEMENT OF ACKNOWLEDGEMENT BUTTE
FOR RESIDENTIAL DEVELOPMENT
qvv,, r V--'�
t (QHS
Section 26-8.1 of the Butte County Code requires this acknowledgement ��' + I9 -'
be recorded prior to issuance of a building permit. CARt�.A Nt.G
The property described herein is adjacent to land or included CLERK -RECORDER ' "
EEE
within an area zoned for agricultural purposes, and residents of
this property may be subject to inconveniences or discomfort arising
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 occa-
sionally generate dust, smoke, noise, and odor. Butte County has established agricul-
tural zones which have as a priority use for productive 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:
r .y ./." .' �. +V .ate' �.e✓ {}
DESCRIPTION f
Being a portion of Section 26, •Township 21 North Range 3 Sant,
M.D.$. & M., more particularly doseribed as follo6at
Lot 16, as shown on that certain Record of Survey Map recorded.in `
the office of the Recorder of the -County of Butte. State of California,
on December 19, 1974, in Book 54 of Haps, at pages 75 and 76.
RESERVING THEREFROM a non-exclusive easement for road and public `
utility purposes over the Northerly and Southerly 30 feet of the
above described property.
TOGETHER WITH a non-exclusive easement for road and public utility
purposes 60 feet in width as shown on said Record of Survey Map.
Date: ,! ` PROPERTY OWNERS:
/'iv af
State of ) On this the day of , 19,T/ ,
SS. before me, the undersigned ota Public, personally
County of ) appeared I
m
0
1 0
neuneuemu�uup�F FeleC 1 A Le1SEAL A's known t me to be the person(s) whose name(s) t4
W J. GOLLING subscri ed to the within instrument and acknowledged
NOTARY PUBLIC — CALIFORNIA= that executed the same for the purposes
?`.. COUNTY OF BUTTE a therein contained.
Comm. Exp. Aug. 19, 1984 o IN WITNESS WHEREOF, I hereu o t my hand and official ro
c,
seal.
mee�Qeoeeeaosreeemeeae�e�aueumteue®oeeeeoe�0000® -*+
Present A.P. NO.
tary Public
E�1n Of DOCUME:�IT
U
COUNTY OF BUTTE
DEPARTMENT OF PUBLIC WORKS
7 County Center Drive
Oroville, CA 95965-
534-4266
January 17, 1977
Hay ?:right . Re:' AP 4112-3$
Rt. S, Fox 104
Chico, CA 95926
Enclosed please find a copy of the Certificate of Compliance issued
by the Butte County Board of Supervisors , which was
recorded on January 4 1277 , in Book 2133 ,
Page 229 , in the Office of the Butte County
Recorder.
Should you have any questions regarding this matter, please contact
this office.
Very truly yours,.
Clay Castleberry
Director of Public Works
McLaren Parker
Assistant Director
MP/db
Enc.
r,,
$TURNL TO:
lanni.ng. Dent.
212-14
CERTIFICATE OF COMPLIANCE
Issued to- May Wright
Rt. 5 Box 104
Ch_co, CA 95926
OFFICIAL RECORDS
'UTTE COUNTY -CALIF
OR c�Uri' }ES
•
TY OF BUTT
JAH 4 833 AH 19W
L1,`_ ;L=L_;_R
FEE
This. Certificate of Compliance is hereby issued by the County
of Butte to certiLy that the land division which created the parcel of
?-onerty id=_ntified belo�q complies :pith applicable provisions of t=`e
Subdivision Map Act and of Chapter 20 of the Butte County Code..
1. Property location:. south. side of, Per_tz Rd., approx. 1�.
miles east of Clark. Rd., Parad_se
2. Assessor's Parcel Number: AP 41-12'3.8
Descrintion: All that certain property located in the County
of Butte, State of California, more, parti.cul.arly
described as follows:
A portion of Lot 2, as shown or. -that certain Record of Survey flap of a
portion of Sec 26 & 35, .T21N,; R3E, MDB&,4, which map was . recorded in the
Office of the.Recorder of the County of Butte on January 25, 1971, in Book
37 of Maps, at page 70, and more particularly described as follows:
Feg_nn_ng at the NE corner of said hot 2' and running thence S 00 00'
10" E, along the .east line of said Lot 2, a dis tarce of 139 5.70 _ f t .
to a point in the centerline of a 60.00 ft. road reservation:; thence
along said centerline .N_890 59' 30" W, 341.31 ft; S 00 00' 10" W,
1015.57 ft. to the southerly line of sa-d Lot 2; thence, along said.
southerly lire 'S 670 09' 07' E, 370.38 ft. to 'ths scutheast corner
of- Sec 26; thence iv 0o 00' 10" W', 1159.32 ft. along the east 1_ne of
zid Lot 2 to the =rue pont of begirn;rq
Issuance of this certificate is conditional upon thel follow-
ing conditions which. hava been imbosed pursuant :to Butte. County Code
Chapter 20-48 and Govornmont Codo, S-ction 66499.35 .(b)•,
-to protect. the public. health and public safety.
m
0
0
- R
i1Z -
W
County 0-- Butte
Board of Superv_sors ^'
LIDBy
7,1z S//g-3 c
PERMIT NO. 2690-82B
PERMIT EXPIRES—
OWNER
XPIRES OWNER Phil Horning
CONTR. Al Vial
ASSESSOR PARCEL
LOCATION NIS Woodrose Dr, Oroville
Temp. Power Pole
Called PG& E I -,U-,F.2
Temp. Elec. Service
Called PG&E—
Temp. Gas Sei
Cal led PG
JOB FINALE[
Signature
J = OK
0 = Not OK ;• !
- = Not Applicable MOBILEHOMES MISCELLANEOUS
* = Not Ready
Date
MOBILEHOME UTILITIES (Plans) OK except P'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 Card -BI Date
Card -BI
Date Card -BI Date
Date
MOBILEHOME INSTALLATION (Plans) OK except q's
1. Zoning Requirements -Setbacks -Easements
Date
POOLS (Plans) OK except #'s
1. Setbacks -Easements
2. Footings; Size -Spacing -Marriage Line
2. Soils; Compaction -Structure Stability
3. Gas; MH Test -Demand -Valve -Connector
3. Pool Structure; Steel -Connections -Thickness -Dead Men -Lining
4. Electricity; MH Test -Crossovers -Breakers -Clearances
5. Drain; MH Test -Fall -Flex Connector
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
B. Gas and Electricity Tagged
8. Elec.; Grounding; Equip. w/5' -Circulating Equip. -Pool Lghtg.
Boxes -Enc losures- Pane lboards-Ins. to Main in Conduit
9. Exits; Insp.-Sketch
10. Cert. of Occupancy
9. Health Department Approval
10. Plumb; Cir. Test -Water Supply Test
Card B-1
Date Card -BI Date
Card -BI
Date Card -BI Date
Card B -I
Date Card -BI Date
Card -BI
Date Card -BI Date
= OK
= Not OK
= Not Applicable
= Not Ready RESIDENTIAL (Single and Duplex)
Date
UNDERFLOOR (Plans) OK except #'s
Date
FRAMING (Continued)
1. Zoning requirements -Setbacks -Easements
48.
Property Line Firewall & Openings
2.
Ftg., Main; Soils-Steel-Elec. Grnd.- / /'' Ftg. Depth
49.
Ext. Doors -One 3' -Check Garage -3rd story, 2 exits
3.
Ftg., Garage; Soils -Steel- / /" Ftg. Depth
50.
Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection
4.
Ftg., Porches & Decks; Soils -Steel- / /" Ftg. Depth
51.
Plywood on Roof Overhang -Attic Vents -Rafter Outriggers
5. Stemwalls, Main; Steel-Blockouts-Wrapped-Slab
52.
Siding -Nailing -Veneer
6. Stemwalls, Garage; Steel-Blockouts-Wrapped-Slab
53.
Stucco Mesh -Drip Screed-Fdn. Vents-Underflr. Access
7.
8.
Piers -Fireplace Ftg.-Steel
D.W.V.: Fall -Fittings -Test -2 way C/O -Sewer Test
54.
Glazing Area -Glass Protection -Skylights -Plastic
55.
Shear Walls; Nailing -Bolts
9.
Gas Pipe; Size -Anchors
10.
Water Pipe; Test -Anchors -Regulator -Service Test
11.
Electric; Underground
12.
Plenums & Ducts; Clearance -Material -Support -Ins.
13.
Girders -Sills -Anchor Bolts -Joists -Vents -Cripples
Card -BI
Date Card -BI Date
Card -BI
Date Card -BI Date
Card -BI
Date Card -BI Date
Card -BI
Date Card -BI Date
Date
FINAL (Plans) OK except N's
56. Ext. Steps -Door & Sidelight Protection -Landings
Card -BI
Date
Date Card -BI Date
PLUMBING (Permit) OK except p's
57.
Smoke Detector
14.
Water Ht.; Vent -Access -Combustion Air
58.
Furnace; Vents -Clearance -Comb. Air -Connector -
In Garage; Above Floor-Ducts-Mech. Protection
15. Water Pipe; Test & Anchors -Nail Protection
16.
D.W.V.; Test-Fttngs & Anchors -Nail Protection
59.
Bedroom Exiting
17.
Shower Pan; Test, First Floor -Tub Access
60.
G.F.I. & Bath Fixtures & Tub Access
18.
Test Tub & Shower, 2nd Floor -Tub Access
61.
Elec. Trim & Subpanel; Breaker Sizes -Labels
19.
Gas Pipe; Size & Anchors
62.
Stairs & Rails
63.
Fireplace or Stove; Clearances -Hearth
Card -BI
Date Card -BI Date
64.
Elec. Outlets at Wood Panel; Int. & Ext.
65.
Kit. Fixt. & Appliance; Grnd.-Air Gap -Cooking Clearance
Card -BI
Date Card -BI Date
66.
Elec. Outlets & Receptacles a. Kit. Counter
Date
ELECTRICAL Permit OK except q's
67.
Garage Fire Door; Swing -Landing -Closer
68.
A.C. Duct in Garage -Damper
20.
Fixture & Transformer Clearance -Ins. Protection
69.
Wtr. Htr.; Vents -Clearance -Comb. Air-Connector-P.R.V.-
In Garage; Above Floor-Mech. Protection
21.
Elec. Receptacles Spacing -Lights &Switches at Doors
70.
Plb., Elec. & Mech. Equip. Listed for Location
22.
23.
Size Boxes & No. of Conductors -Stapled
Romex Installed Close to Edge of Studs & C.J.
71.
Elec. Receptacles in Garage; (G.F.I.)-Romex Protec.
24.
Equip. Ground made up w/Mech. Fasteners -Bond Gas & Water
72.
Insulation -Foam -Looked in Attic E] Yes
73.
Guard Rails & Deck Construction -Post Caps
25.
2 Appliance Circuits in Kitchen & Conductor Size
74.
Fdn. Vents & Crawl Hole Door -Drainage & Wood -Earth Clearance
Looked under Floor ❑ Yes
26. Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / / ga. Cu or At
27.
Range Circ. / / ga. Cu or AI -Oven Circ. / / ga. Cu or Al,
Insulated Neutral ❑Yes 0 N
75.
Following instld.: Drive ❑ Yes []No; Walks [:)Yes ❑ No;
Planters ❑Yes ❑No
28.
Service -Riser Conductors & Ground -Main Disconnect
76.
Stucco; Brown -Finish
29.
Equip. Clearances; Panels-Motors-Mech. Equip.
77.
A.C. Unit; Disconnect-Clrnces-Brkr. & Cond. Size -115V Outlet
30.
Clothes Closet Light -Shower Light
78.
Vents Above Roof; Plbg.-Appliance-Firepl.-Clearance to Opngs.
79.
Water Well; Disconnect, Electrical, Plumbing
80.
Exterior Elec. Trim; G.F.I. Receptacle -Underground
Card B -I
Date Card -BI Date
81.
82.
Ventilation throughout House
Glass Protection
Card B -I
Date
Date Card -BI Date
MECHANICAL (Permit) OK except q's
31. A.C. Ducts; Insulation & Support
83.
Corrections from Previous Inspections
84.
Gas Test -Meters Tagged; Gas -Electric
85.
86.
Water & Sewer Connected -C/O to Grade -HD Approval
Energy Compliance Certificate -Other Certificates
32. Vent Fan; Exhaust above Insulation
_
33.
Condensate Drain & Overflow; Size & Grade
34. Furnace -Vent; Access -Comb. Air -Return Air Vent -115V outlet
35.
Attic Access & Platform if Furnace in Attic
-
--
Card -131
Date Card -BI Date
Card -BI
-
Date - - Card -BI Date
Card -BI
Date Card -BI Date
Card -BI
Date Card -BI Date
Card -BI
Date Card -BI Date
Comments at Final:
Date
FRAMING(Plans)
36.
OK except q's
Sills; Proper Material & Anchors
37.
Walls; Studs -Nailing, Spacing & Bracing -Plates -Sound
_
38.
Bearing Walls over Girders & Floor Nailing
39.
Draft Stop in Walls (rat proof)
40.
Fire Stops; Furred Ceilings -Stairs -Chases -Tub
_
---41.-Header
42.
43.
44.
& Beam -Size & Bearing
Hangers -Post Caps -Anchors -Connectors
Cing. Joist-14ftr. Ties-Purlin-Roof Brac.-Truss-Shthnq.-Ring.
Fireplace Ties or Type A Flue -Fireplace Throat
_
45.
Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles
_
46.
Windows or Exiting Doors -Sill Hgt. & Dimensions
47.
_Bdrm.
Garage Fire Protection Framing
(NOTE: An entry must be made each time you visit jobsite)
J COUNTY OF BUTTE - DEPARTMF.NT OF PUBLIC WORKSPE MIT NO.
7 County Center D.�ive _Z&oville, C3riifornia 95965 - Telephone 916/534-454
APPLICATION AND PERMIT
ASSESSOR PARCEL NUMBER ZONING
�.
UILDING PERMIT
rE
OPQL
SQOCC. BUILDING VALUATION
�
`AV LING
OJER
C 0XLC TO R'S ,AM El//4�_
TELEPHONE
CONTRACTOR'S MAILING ADDRESS
Fireplace
CONSTRUCTION LENDER
UNKNOWN
Total Valuation $
Filing Fee
$ 0,00
LENDER'S MAILING ADD SS
Permit Fee
$
ARCHITECT OR ENGINEER
LICENSE NO.
Plan Checking Fee
,$
$ /J`V V
ARCHITECT OR ENGINEERRIPSWIfLZING ADDRESS
Permit fee
$
BUI 115 ADQ R��� ^ Sc Pel v�
V/V/ F/�pV'tga D�
PLUMBING PERMIT
Filing Fee 10.00
Each Trap
2.00
Repair drainage or vent piping
5.00
/
Water piping
LOT NO.
SUBDIVISION NAME
PARCEL MAP
7
Each Qas water heater or vent
5.00
Gas piping system 1 - 5 outlets
- USE OF STRUCTURE
SF I, -S' Duplex❑ Mobilehome❑ Other
SPECIFY
Building sewer
Lawn sprinkler system
5.00
TYPE OF WORK
New ❑ Addition Remodel ❑ Uti* 1f �s nst atio EDOther
Describework:_ /�/�•/ Ky���
Permit Fee
$
Contractor
ELECTRICAL PERMIT
Filing Fee 10.00
Main service 6101 OR LESS
Mai 100 AMP OR LESS
5.00
Main service EA. ADD'L 100 AMP
2.5'50
NEW CONSDWELING O
OR ADDNST ( ACCLBLDGS.CCUP Ei)
20 sq ft
CONTRACTORS LICENSE LAW
I declare under penalty of perjury (check one):
❑ I am licensed under provisions of Chapt. 9, Div. 3 of the Business
and Professions Code and my license is in full force and effect.
License No. Classification
❑ I, as the owner, or my employees with wages as their sole compen-
sation, will do the work,and the structure is not intended or offered
for sale. (Sec. 7044)
I, as the owner, am exclusively contracting with licensed contract-
ors. (Sec. 7044)
❑ I am exempt under Sec. , Business and Professions Code
for this reason
NEW CONSTR(TI*LET
NON.R ESID BRANCH CIRC ITS
2.50ea
NEw -CONID, SINGLE OUTLET CIR. STR (POWER APPARATUS e
NON RES1
/
Ex. Occup(OUTLETS OR FIXTURES B ,
FIXED APPLNS, OR
EX. OCcup.(OUTLETS (RESID.) EA. 2.00
Temporary service 10.00
Mobile Home Facilities 15.00
Misc. Wiring 7.50
Permit Fee $
Contractor
MECHANICAL PERMIT
FiIingFee 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.
1 shall not employ any person in any manner so as to become subject
to the W. C. laws of California.
Notice to Applicant: If after making this statement, should you become subject
to the W. C. provisions of the Labor Code, you must forthwith comply with such
provisions or this permit shall be deemed revoked.
Heating
Cooling
Hood
3.00
Ventilation
Permit Fee
3
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 I'-iities, judgments, cos s, and expenses which may in any way accrue
ag st said Cou y in conse ence of the granting of this permit.
_ 2
Date
Slgnat re of Applicant — Owner Co ❑ Agent ❑
An 0 HA ermit is required for excavation o r 5'0" deep and demolition or construct-
ion of stru ures over 3 stories in height.
Mobile Home Installation Fee $
TOTAL PERMIT FEE $ ,
/q
OCCOP. GROUP
I TYPE OF CONST.
I PARCEL
PD
I HD
17SSU-E
00,00000
This permit is hereby issued under
sions of the Butte County Code and/or
work indicated above for which
DIRECTO"F PUBLIC
,
By
PEDPT EXPIRES Date
the applicable provi-
resolutions to do
fees have been paid.
WORKS
Dat�3— F�
�l
g'�
Receipt No. �� �—
WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT
M
PERMIT NO. 3926-81B E ...�-"�_
PERMIT EXPIRES
OWNER Dr. Phil & Angie'Horning
CONTR. H & H Const, Forest Ranch
ASSESSOR PARCEL 41-12-38
LOCATION S/S Durham Pentz Rd,app.12 mi.E.of
J04—
Clark Rd . , 7 �
t
Do
Temp. Power Pole
Called PG&E
' Temp. Elec. Service
Called PG&E
Temp. Gas Service
Called PG&E
JOB FINALED (Date)
Signature
J = OK
0 = Not OK
—="NotApplicable MOBILEHOMES
= Not Ready
MISCELLANEOUS
Date
MOBILEHOME UTILITIES (Plans) OK except k's
1. Zoning Requirements—Setbacks—Easements
Date
DECKS, COVERS, CARPORTS, cTC. (Plans) 6�, lAcept k
1. Zoning Requirements—Setbacks—Easements
2, Soils; Special MH Support—Sketch
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
6. Gas; LocatiorrTest—Wrap: / /"L"iL/ /"Nat. or/ P'L" ft./ /" LPG
5. Alum. Awn.; Columns—Connections—Splice—Decal—Enc.,,s..res _
6. Carports; Windows—Doors". y
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 k's
1, Zoning Requirements—Setbacks—Easements
Card -BI
Date
Date Card -BI Date
POOLS (Plans) OK except k's
1. Setbacks—Easements
2. Footings; Size—Spacing—Marriage Line
2. Soils; Compaction—Structure Stability
3. Gas; MH Test—Demand—Valve—Connector
3. Pool Structure; Steel—Connections—Thickness—Dead Men—Lining
4. Electricity; MH Test—Crossovers—Breakers—Clearances
4, Elec.; Receptacles and Lighting; Distances—GFI
5. Drain; MH Test—Fall—Flex Connector
5. Elec.; Pool Lighting; 15 volts—GFI
6. Water; MH Test—Regulator—Connector
6. Elec.; Enclosures; Conduit Entries—Terminals—Listed
7. Water and Sewer Connected—C/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 Lghig.
Boxes—Enclosures—Panel boards—Ins. to Main in Conduit
9. Exits; Insp.—Sketch
10. Cert. of Occupancy
9. Health Department Approval
10, Plumb; Cir. Test—Water Supply Test
Card B-1
Date Card -BI Date
Card -BI
Date Card -BI Date
Card B -I
Date Card -BI Date
Card -BI
Date Card -BI Date
J = OK 451y
0 = Not OK
�
Nio�Applcable RESIDENTIAL,(Single and Duplex)
Ready
Date UNDERF R (Plans) OK exceptt('s
a
1. o 'ng requirements -Setbacks -E
tg., Main; Soils -Steel /'' Ftg. Dept
3. Ftg., Garage; Soils -Steel- / /" Ftg. Depth
4. Ftg., Porches & Decks; Soils -Steel- / /" Ftg. Depth
5. Stemwalls, Main; Steel -B lockouts -Wrapped -S lab
6. Stemwalls, Garage; Steel -B lockouts -Wrapped -S lab
7. Piers -Fireplace Ftg.-Steel
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; Clearance -Material -Support -Ins.
13. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples
Card -BI ate Card -BI Date
Card -BI Date `Card -BI Date
Date
FRAMING (Continued)
48.
Property Line Firewall & Openings
Fireplace or Stove; Clearances -Hearth
49.
Ext. Doors -One 3' -Check Ga -age -3rd story, 2 exits
Card -BI Date
50.
Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection
Elec. Outlets at Wood Panel; Int. & Ext.
51.
Plywood on Roof Overhang -Attic Vents -Rafter Outriggers
Date Card -BI Date
52.
Siding -Nailing -Veneer
Kit. Fixt. & Appliance; Grnd.-Air Gap -Cooking Clearance
53.
Stucco Mesh -Drip Screed-Fdn. Vents-Underflr. Access
Date Card -BI Date
54.
Glazing Area -Glass Protection -Skylights -Plastic
Elec. Outlets & Receptacles at Kit. Counter
55.
Shear Walls; Nailing -Bolts
67,
Garage Fire Door; Swing -Landing -Closer
Date
ELECTRICAL Permit OK except k's
68.
A.C. Duct in Garage -Damper
20.
Fixture & Transformer Clearance -Ins. Protection
Card -BI
69.
Date Card -BI Date
Card -BI
Date Card -BI Date
Card -BI
Date Card -BI Date
Date
FINAL (Plans) OK except k's
Elec. Receptacles Spacing -Lights & Switches at Doors
56.
Ext. Steps -Door & Sidelight Protection -Landings
Date PLUMBING (Permit) OK except q's 57. Smoke Detector
_ 14. Water Ht.; Vent -Access -Combustion Air 58. Furnace; Vents -Clearance -Comb. Air -Connector -
15. Water Pipe; Test & Anchors -Nail Protection In Garage; Above Floor-Ducts-Mech. Protection_
16. D.W.V.; Test-Fttngs & Anchors -Nail Protection 59. Bedroom Exiting
17. Shower Pan; Test, First Floor -Tub Access 60. G.F.I. & Bath Fixtures & Tub Access
18. Test Tub & Shower, 2nd Floor -Tub Access 61. Elec. Trim & S
19. Gas Pipe; Size & Anchors 62. Stairs & Rails
Breaker Sizes -Labels
35.
Attic Access & Platform if Furnace in Attic
63.
Fireplace or Stove; Clearances -Hearth
Card -BI _
Card -BI
---------- - ------
Date _ _ Card -BI Date
Date Card -61 Date
Card -BI Date
Card -BI Date
64.
Elec. Outlets at Wood Panel; Int. & Ext.
Card -BI
36.
_ 37.
38.
3_9.
Date Card -BI Date
65.
Kit. Fixt. & Appliance; Grnd.-Air Gap -Cooking Clearance
Card -BI
_
40.
41.
42.
43.
44.
45.
46.
47.
Date Card -BI Date
_
66.
Elec. Outlets & Receptacles at Kit. Counter
67,
Garage Fire Door; Swing -Landing -Closer
Date
ELECTRICAL Permit OK except k's
68.
A.C. Duct in Garage -Damper
20.
Fixture & Transformer Clearance -Ins. Protection
69.
Wtr. Htr.; Vents -Clearance -Comb. Air-Connector-P.R.V.-
In Garage; Above Floor-Mech. Protection
21.
Elec. Receptacles Spacing -Lights & Switches at Doors
70.
Plb., Elec. & Mech. Equip. Listed Location
22.
Size Boxes & No. of Conductors -Stapled
-for
23.
Romex Installed Close to Edge of Studs & C.J.
71.
Elec. Receptacles in Garage; (G.F.I.)-Romex Protec.
72.
Insulation -Foam -Looked in Attic ❑Yes
24.
Equip. Ground made up w/Mech. Fasteners -Bond Gas & Water
73.
Guard Rails & Deck Construction -Post Caps
25.
2 Appliance Circuits in Kitchen & Conductor Size
26.
Subfeed Wire Size / / Cu or AI-A.C. Wire Size / / Cu or At
74.
Fdn. Vents & Crawl Hole Door -Drainage & Wood -Earth Clearance
-
ga. ga.
Looked under Floor ❑ Yes '
27.
Range Circ. / / ga. Cu or AI -Oven Circ. / / ga. Cu or At,
75.
Following instld.: Drive ❑ Yes ❑ No; Walks ❑ Yes E),No;
Insulated Neutral ❑Yes ❑No
Planters Dyes ❑No
28.
Service -Riser Conductors & Ground -Main Disconnect
76.
Stucco; Brown -Finish
29.
Equip. Clearances; Panels-Motors-Mech. Equip.
77,
A.C. Unit; Disconnect-Clrnces-Brkr. & Cond. Size -115V Outlet
30.
Clothes Closet Light -Shower Light
78.
Vents Above Roof; Plbg.-Appliance-Firepl.-Clearance to Opngs.
79.
Water Well; Disconnect, Electrical, Plumbing
80.
Exterior Elec. Trim; G.F.I. Receptacle -Underground
Card B-1
Date Card -BI Date
81.
Ventilation throughout House
Card B -I
Date Card -BI Date
82.
Glass Protection
83.
_
Corrections from Previous Inspections
Date
MECHANICAL (Permit) OK except N's
84.
Gas Test -Meters Tagged; Gas -Electric
31.
A.C. Ducts; Insulation & Support
85.
Water & Sewer Connected -C/O to Grade -HD Approval
-_
32.
Vent Fan; Exhaust above Insulation
86.
Energy Compliance Certificate -Other Certificates
_ �33.
Condensate Drain & Overflow; Size & Grade
i
_
34.
Furnace -Vent; Access -Comb. Air -Return Air Vent -115V outlet
t
35.
Attic Access & Platform if Furnace in Attic
Card -BI _
Card -BI
---------- - ------
Date _ _ Card -BI Date
Date Card -61 Date
Card -BI Date
Card -BI Date
Card -BI Date
Date FRAMING(Plans) OK except p's
Comments at Final:
36.
_ 37.
38.
3_9.
Sills; Proper Material & Anchors
Walls; Studs -Nailing, Spacing & Bracing -Plates -Sound
Bearing Walls over Girders & Floor Nailing _
Draft Stop in Walls (rat proof)
_
40.
41.
42.
43.
44.
45.
46.
47.
Fire Stops; Furred Ceilings -Stairs -Chases -Tub
Header & Beam -Size & Bearing
Hangers -Post Caps -Anchors -Connectors
Cing. Joist-Rftr. Ties- PUrlln-Roof Brac.-Truss-Shthng.-Rfng.
Fireplace Ties or Type A Flue -Fireplace Throat
Attic Access; Size & Rom_ex Protection -Draft Stop -Ins. Baffles
Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions
Garage Fire Protection Framing
_
(NOTE:Anentrymust be made each time youvisit jobsite)
Card -BI Date
Card -BI Date
Card -BI Date
COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKSPERMIT NO.
7 County Center Drive - Oroville, California 95965 - Telephone 916/534-45 4
41
APPLICATi0N~AND PERMIT
ASSE SOR PARCEL NUMBER
/-I 2 - 309
ZONING
.S'L° 6�
BUILDING PERMIT
OWNER ,,
TELEPHONE
SQ. FT. OCC.1 BUILDING VALUATION
�s J0
OWNER'S MAILI G ADD SS
4 - (.Utoa �v r ,• r Go .
CONTRA TOg•S N MI-
JAL _ C Oct
TELEPHONE
C 0 NT 9AXTOR' MAILING ADDRESS
. G<ax �� `�i�C-'C Kdcc[s ��
Fireplace
CONSTRUCTION LENDER
�
�
UNKNOWN
/
Total Valuation $ p d
Filing Fee
$ 10.00
LENDER'S MAILING ADDRESS
^--
Permit Fee
$ oc
ARCHITECT OR ENGINEER
LICENSE NO.
Plan Checking Fee
$ , QO
Penalty
$
ARCHITECT OR ENGINEER'S MAILING ADD SS
s
Permit fee
$ Q Qp
BUILDING ADDRESS �. S _�r
PLUMBING PERMIT
Filing Fee 10.00
la c1 /;
Each Trap
2.00
Repair drainage or vent piping
5.00
Water piping
LOT NO.
SUBDIVISION NAMEPARCEL
MAP
Each qas water heater or vent
5.00
Gas piping system 1 - 5 outlets
USE OFATRVCTURE
SF-E:1Duplex❑ Mobilehome❑ (Other' �a/oG� S ''a!5 o
S,PECI FY '
Building sewer
Lawn sprinkler system
5.00
TYPE OF WORK
New E& Addition ❑ Remodel ❑ Utilities ❑ Installation❑ Other ❑
Describe work:
Permit Fee
$
Contractor
ELECTRICAL PERMIT
Filing Fee 10.00
Main service 600V OR LESS
100 AMP OR LESS
5.00
Main service EA. ADD'L 100 AMP
2.50
NEW CONST.D UP.y
OR ADDNS.
CONTRACTORS LICENSE LAW
1 declare under penalty of perjury (check one):
❑ 1 am licensed under provisions of Chapt. 9, Div. 3 of the Business
and Professions Code and my license is in full force and effect.
License No. Classification
I, as the owner, or my employees with wages as their sole compen-
sation, will do the work,and the structure is not intended or offered
for sale. (Sec. 7044)
❑ I, as the owner, am exclusively contracting with licensed contract-
ors. (Sec. 7044)
❑ I am exempt under Sec. , Business and Professions Code
for this reason
NEW CONSTR -OU LET 2,50 ea
NON.RESID BRANCH CIRC TS
NEW CONSTR. ( POWER APPARATUS 61
NON-RESID. SINGLE OUTLET CIR. /
SO @ 25¢
Ex. OCCUp OUTLETS OR FIXTURES BALE10C
Ex. UTLETS FIXED APP(RESID )REA. 2.00
DCCUp.�O
Temporary service 10.00
Mobile Home Facilities 15.00
Misc. Wiring 7.50
Permit Fee $ DO
Contractor
MECHANICAL PERMIT
FiIirig 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,
j I shall not employ any person in any manner so as to become subject
{� to the W. C. laws of California.
Notice to Applicant: If after making this statement, should you become subject
to the W. C. provisions of the Labor Code, you must forthwith Comply with such
provisions or this permit shall be deemed revoked.
Heating
Cooling
Hood
3.00
Ventilation
Permit Fee
S
Contractor
1 certify that I have read this application and state that the above information
is correct. I agree to comply to all County Ordinances and State Laws relating
to building construction, and hereby authorize representatives of the County of
Butte to enter upon the above-mentioned property for inspection purposes.
I also agree to save, indemnify and keep harmless the County of Butte against
all liabilities, judgments, costs, and expenses which may in any way accrue
against aid County in cogence of the granting of this permit.
X DateSF6N
Signature of plicant — Owner Cont for ❑ Agent ❑
An OSHA permit is required for excavations over 5'0" deep and demolition or construct-
ion of structures over 3 stories in height.
Mobile Home Installation Fee $
TOTAL PERMIT FEE $ c!
OCcUP. ROUP
,,
TYPE OF CONST.
�'-,
PARCEL
PD
HD
ISSUE
'phis permit is hereby issued under
sions of the Butte County Code and/or
work indicated above for which
DIRECTO PUBLIC
By
PEof EXPIRES Date
the applicable pro vi-
resolutions to do
fees have been paid.
WORKS
Date l-�/ T�
14 ��—
Receipt No. L(73S
WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT
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