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042-170-005
42-17-05 2` t l 70 -CO BESSIE CHENEY D 14 �� i,:�•.; � �' 250 W SAcramento Avenue, Chico Y� y, Contr: Wpllys Ele Permit#2411-86E(ele ser ch/SF) 042-1.70-005.t`r PERMIT#95-1657,,,y�� BUSH,. Thomas &' FLYNN, Valentina`, 3180 W Sacramento Ave:,; Chico ��D/$//9 New Det Garage,Ele Ser & Well Circuit 042-170-005 { -`'` PERMIT#97-08007 41 BUSH, Tom. 3180 West Sacramento A Add"Family Room/SF G 042-170-005 -PERMI C4 -r BUSH; Tom 3180 -W Sacramento Ave'." , LED lst Renewal., BP_#97-0800 - s 2/ r FSE NTIAL 042-170-005 PERMIT#97-0800 t BUSH, Tom r 3180 West Sacramento Ave., Chico Add Family Room/SF r ( F 4 E .A r 3� h t Ky• ,l ij JOB FINAIED (Date) / — Signature �i��� V=OK 0 = Not OKNot ' NotRealdyble MOBILE HOMES Date MOBILE HOME UTILITIES (Plans) OK except #'s 1. Zoning Requirements - Setbacks - Easements 2. Soils; Special MH Support Sketch 3. Sewer, Location -Test -Fell -C/O -Concrete 4. Water, Location -Test -Easement Needed (Sketch) 5. Electricity; Location-Clearances-Gmd-/ /Amp -Concrete 6. Gas; Location-Te"rap: / /1 -YL / "t. or/ /'L°fL/ /LPG 7. Well Clearance & Disconnect S. Utility Clearance Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date MOBILE HOME INSTALLATION (Plans) OK except #'s 1. Zoning Requirements- Setbacks Easements 2. Footings; fteSpacing-Marriage Line 3. Gas; MH Test Demard Vahe-Connector 4. Electricity; MH Test-Crosso%ers-Breakers-Clearances S. Drain; MH Test -Fall -Flex Connector 6. Water, MH Test -Regulate -Connector 7. Water and Sewer Connected -C/O to Grade -HD Approval 8. Gas and Electricity Tagged 9. Tie Downs -Type -Installation Cert. 10. Exits; Insp.-Sketch 11. Cert of Occupancy Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 MISCELLANEOUS Date DECKS, COVERS, CARPORTS, GARAGES (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements -- 2. Footings; SoilsSize-DepthSpacing-Connectors-Steel 3. Decks; Girders and/or Joistr Decking-BracingStairs-Rails 4. Wood Awn.; Posts-Beams-Rftra.-Connectors Shthg.-Rfg.-Bracing S. Alum. Awn.; Columns-ConnectionsSplice-Decal Enclosures 6. Carports; Windows -Doors 7. Electric 8. Frmg.; Sils-AnchorsStuds-Rftrs-Trusses 9. Siding; Nailing-VeneerStucco-Mesh 10. Root; Shthg-Roofing 11. Ext.; Steps•Doors-Landings Date Card B-1 Date Card B-1 Date Card B-1 Date Card 0-1 Date POOLS (Plans) OK except #'s 1. Setbacks Easements 2. Soils; Compaction -Structure Stability 3. Pool Structure; Steel -Connections -Thickness Dead Men -Lining 4. Elec.; Receptacles and Lighting, Distance-GFI S. Elec.; Pool Lighting; 15 Volts-GFI 6. Elec.; Enclosures; Conduit Entries-Terminals-Usted 7. Elec.: Bonding; Metal w/5' -Circulating Equip. -Heater 8. Elec.; Grounding; Equip. w/8 Circulating Equip. -Pool LBhtg. Boxes-Enclosures-Panelboardsans. to Main in Conduit 9. Health Department Approval 10. Plumb.; Cir. Test -Water Supply Test Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 0 = Not o OK RESIDENTIAL (Single & Duplex) = Not Applicable = Not Ready Date FLOOR (Plans) OK except #'s ( y 'r 11 jV e.-,Ftg., Main; Soils-Elec. Grnd.-/ P Ftg. Depth 3. Ftg. Garage; Soils-Steel-Elec. Grnd/ PFtg. Depth 4. Ftg. Porches & Decks; Soils -Steel-/ P' Ftg. Depth Brac all Panels 5. Stemwalls, Main; Steel-Blockouts-Wrapped nsula' alls-Ceilings i tration-Walls-Windows 6. Stemwalls, Garage; Steel-Blockouts-Wrapped Card B-1 Date Card B-1 6a. Hold D s and Special Anchors Card B-1 Date Card B-1 Date Steel -Wrapped FINAL (Plans) OK except #'s 8. Piers -Fireplace Ftg.-Steel Ext Steps -Door & Sideli ht Protection -Landings .V.; Fall -Fitting -Test -2 Way C/O -Sewer Test ,,Smoke Detector 10. UF. Gas 'pe; Size Anchors -Yard Gas Piping; Size Test Furnace; Vents -Clearance -Comb, Air-Conector- In Garage; Above Floor-Ducts-Mech. Protection LU-Wa-ter Pipe; Test -Anchors -Regulator -Service Test Bedroom Exiting 12. Electric Underground G:FI. & Bath Fixtures & Tub Access -Spa 13. Pienums & Ducts; Clearance -Material -Support -Ins. E1ec. Trim & Subpanel, Breaker Sizes & Labels 15. 16. irders-Sills-Anchor Bolts-Joists-Vents-Crippies Access & Ventilation Insulation Sirs & Rails 79-"F Date Card B-1 Date Card B-1 Date Card B-1 Date Card E-1 Date Jal-Elec. PLUMBING (Permit) OK except #'s 1�. Water Htr; Vent -Access -Combustion Air Baffle arage Fire Door; Swing -Landing -Closure 18. Water Pipe; Test & Anchor -Nail Protection .C. Duct in Garage -Damper 19. D.W est Fittings &Anchor -Nail Protection . hower Pan; Test, First Floor -Tub Access .-Zp 111 1. 2. Test Tub & Shower, Second Floor -Tub Access Gas Pipe; Sixe & Anchors Date Card B-1 Date Card B-1 Date 8 . Card B-1 Date Card B-1 Date 8 . ELECTRICAL (Permit) OK except #'s 23. Fixture & Transformer Clearance -Ins. Protection 24. Elec. Receptacles Spacing -Lights & Switches at Doors 25. Size Boxes & No. of Conductors Stapled 26. Romex Installed Close to Edge of Studs & C.J. 27. Equip. Ground made up w/Mech Fastners-Bond Gas & Water 28. 2 Appliance Circuts in Kitchen & Conductor Size GFI 29. Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / / ga Cu or Al 30. Ran je Circ. / / ga Cu or AI -Oven Circ. /. / ga Cu or Al Insulated Neutral 0 Yes 0 No 86. 31. 33. Service -Riser Conductors & Ground -Main Disconect Equip. Clearances Panels-Motors-Mech. Epuip. Clothes Closet Light -Shower Light -Spa Light 34. Smoke Detector V ilation Throught House Date Protection Card B-1 Date Card B-1 Date from Previous Inspections Card B-1 Date Card B-1 Date s Test -Meters Tagged, Gas -Electric MECHANICAL (Permit) OK except #'s 9 35. A.C. Ducts Insulation & Support 36, 37. 8. 39. Vent Fan, Exhaust above insulation Condensate Drain & Overflow, Size & Grade Furnance-Vent Access -Comb. Air -Return Air Vent 115 outlet Attic Access & Platform if Furnace in Attic Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Date FRAMING (Plans) OK except #'s Card B-1 Date Card B-1 40. Sits Proper Materials & Anchors 41. Walls Studs -Nailing Spacing & Braces -Plates -Sound 42. Bearing Walls over Girders & Floor Nailing .43. Draft Stop in Walls (rat proof) 44. Fire Stops, Furred Ceilings -Stairs -Chasers -Tubs 45. Headers & Beams -Size & Bearing Date FRAMING (Continued) 46. Hangers-PostCaps-Anchors-Connectors 47. Cling. Joist-Rftr. Ties-Purlin-roff Brac.-Truss-Shting.-Ring. 48. Fireplace Ties or Type A Flue -Fireplace Throat clearance 49. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 50. Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions 51. Garage Fire Protection Framing Property Line Firewall & Openings Doors -One 3 -Check Garage 3rd Story, 2 Exits fairs; Width -Headroom -Rise -Run -Landing -Fire Protection 5 . Plywood on Roof Overhang -Attic Vents -Rafter Outriggers Siding;NaiWg Veneer tucco Mesh -Drip Screed -Fd. Vents-Underflr. Access Glazing Area -Glass Protection -Skylights -Plastic 59. Shear Walls; Nailing -Bolts 60. Brac all Panels 6 nsula' alls-Ceilings i tration-Walls-Windows Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date FINAL (Plans) OK except #'s Ext Steps -Door & Sideli ht Protection -Landings ,,Smoke Detector Furnace; Vents -Clearance -Comb, Air-Conector- In Garage; Above Floor-Ducts-Mech. Protection 6 . Bedroom Exiting 6 . G:FI. & Bath Fixtures & Tub Access -Spa 6 . E1ec. Trim & Subpanel, Breaker Sizes & Labels Sirs & Rails 79-"F feplace or Stove, Clearance -Hearth 71/E)ec. Outlets at Wood Panel, Int. & Ext. 72/kit. Fixt. & Appliance; Ground. -Air Gap -Cooking Clearance Jal-Elec. Outlets & Rece ticales at Kit. Counter 7 arage Fire Door; Swing -Landing -Closure 7 . .C. Duct in Garage -Damper 76. Wtr. Htc; Vents -Clearance -Comb. Air Connector-P.R.V. l' ara e; Above Floor-Mech. Protection . DW, Elec. & Mech. Equip. Listed for Location c. Receptacles in Garage G.F.I. -Romex Protection Insulation -Foam -Looked in Attic 8 . Guard rails & Deck Construction -Post Caps 8 . Fdn. VBents & Crawl Hole Door Drainage & Wood -Earth _015arance Looked under Floor [] Yes 2. F (lowing Instld./Drive 0 Yes 0 NoNValks 0 Yes 0 No/Planters 0 Yes 0 No fiar Stucco Brown -Finish 8 D. Unit Disconnect, Electrical -Plumbing 8 . ents Above Roof, Plbg-Appliance-Fireplace-Clearance to Openings 86. Water Well, Disconnect, Electrical, Plumbing Exterior Elec. Trim, G.F.I. Receptacle -Underground V ilation Throught House fig",'Glass Protection ,/corrections from Previous Inspections 0. s Test -Meters Tagged, Gas -Electric 9 Water & Sewer Connected -C/O to Grade -HD Approval Energy Compliance Certificate -Other Certificates Date Date ,y d Card B-1 Date Card B-1 Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Comments at Final: M4 COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISIO 7 County Center Drive - Oroville, California 95965 - Telephone (916) 538-75t/5;/- 1 d a PERMIT NO. (Rev. 12/96) APPLICATION AND PERMIT ASSESSOR PARCEL NUMBER _ _00 5 ZONING A-10 BUILDING PERMIT OWNER TOM BUSH TELEPHONE 343-8433 SO. FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS 3180 W. SACRAMENTO AVE. CHICO 95972 CONTRACTOR'S NAME TELEPHONE CONTRACTOR'S MAILING ADDRESS CONSTRUCTION LENDER LENDER'S MAILING ADDRESS ' Fireplace Total Valuation $ ARCHITECT OR ENGINEER LICENSE NO. Filen Fee $ 20.00 Permit Fee .$ , 184.50 ARCHITECT OR ENGINEER'S MAILING ADDRESS Plan Checking Fee $ BUILDING ADDRESS 3180 W. SACRAMENTO AVE. Energy Plan Checking Fee $ CHICO $ PERMIT FEE S 204.50 LOT NO. SUBDIVISION'S NAME PARCEL MAP PLUMBING PERMIT Filing Fee 20.00 USEOFSTRUCTURE SF Duplex ❑ Mobilehome ❑ Other sveclFv Each Trap 7.00 Solar or heat pump water heater 23.00 Water piping 15.00 Each gas water heater or vent 15.00 TYPE OF WORK New ❑ Addition M Remodel ❑ Utilities ❑ Installation ❑ Other ❑ Describe Work: RENEWAL BP# 97-0800 Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home I S I G I W 920.00 PERMIT FEE $ ELECTRICAL PERMIT Filing Fee 20.00 0000 R LESS Main Service 20 0A OR LESS 23.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect.POWER License Class Lic.No. OWNER -BUILDER DECLARATION I ereby affirm under penalty of perjury that I am exempt from the Contractors License aw for the following reason: ❑ I, as owner of the property, or my employees with wages as their sole compensation, Will do the work, and the structure is not intended or offered for sale. ^� I, as owner of the property, am exclusively contracting with licensed contractors \ to construct the project. ❑ I am exempt under Sec. Business and Professions Code for this reason Main Service 200A TO 1000A 46.00 NEW CONST. DWELLING OCCUP. OR ADONS. ( 6 ACC. BLDS. SO 3.5¢FT. NEW CONST. MULTI -OUTLET NON-RESID. =OUTLETCIRCUITS @7.50 APPARATUS 8 SINGLE OUTLET CIR. Ex. Occup.OUTLET oRFaTUREs 20 1.00 BAS ,50 Ex. Occup. ouTELETS REESSID.OEA 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE $ WORKERS' COMPENSATION DECLARATION VI h eby affirm under penalty of perjury one of the following declarations: I have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ I have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE $ Policy Number (The above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) I certify that in the performance of the work for which this permit is issued, I shall of employ any person in any manner so as to become subject to workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall rthw�-eempiy-wit"ose-provisions X _ Date ontractorAn OSHA permitisrequired over 60" deep and demolition or construction �excavations of structures over 3 storiesin height. Mobile Home Installation Fee 1$ Energy Inspection Fee $ occ CONST. TYPE TOTAL FEE $ 204- 9n HAZ. D. FEES IMP FLOOD CDF PARCEL I PD HD ISSUE This permit is hereby issued under the applicable provisions- of the Butte County Code and/or Resolutions to do work indicated above for which fees have been paid. , / r/ B / �. GDate . Cc Q PERMIT EXPIRES ON p 2 ReceiptNo. . - ��'/L5 WHITE-D.D.S D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT Y `COUNTY OF BUTTE- DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING ISION • 7 Cownty Center Drive - Oroville, California 95965 - Telephone (916) 5-7541��_QP • (Rev. 12/96) APPLICATION AND PERMIT ASSESSOR PARCEL NUMBER 042-17' -005 ZONING A-10 ILDING PERMIT OWNER I TOM BUSH TELEPHONE 343-8433 SO. FT. OCC. BUILDING VALUATION 723 R 39,042 OWNERS MAIUNd ADDRESS 3180 SACRAMENTO AVENUE HICO 95972 270 C 3,510 CONTRACTOR'S NAME f TELEPHONE ' CONTRACTORS MAILING ADDRESS CONSTRUCTION (ENDER Fireplace LENDER'S MAILING ADDRESS Total Valuation $ 42,552 ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00 Permit Fee $ 369.00 ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ 239.88 BUILDINGADDRESS Energy Plan Checking Fee $ 23.00 $ PERMIT FEE $ 651.88 LOT NO. SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMIT Fling Fee 20.00 USEOFSTRUCTURE SF ❑ XDuplex ❑ Mobilehome ❑ Other SPECIFY Each Trap7.00 28,00 Solar or heat um water heater 23.00 Water piping 15.00 15.00 Each as water heater or vent 15.00 TYPE OF WORK New ❑ Addition ❑ XRemodel ❑ Utilities ❑ Installation ❑ Other ❑ Describe Work: FAMILY ROOM AND COVERED AREA Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 15.00 Mobile Home ISI GI W1 @20.00 PERMIT FEE $ 78.00 ELECTRICAL PERMIT Filing Fee 20.00 Main Service zoos oa '.ss 23.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect.8 License Class Lic. No. OWNER -BUILDER DECLARATION 1 hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: ❑ I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ 1 have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier Policy Number (The above sections need not be completed if the permit is for work of a valuation �% of one hundred dollars ($100) or less.) I certify that in the performance of the work for which this permit is issued, I shall l mot employ any person in any manner so as to become subject to workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall forthwith comply with those provisions. /' X/ l}fLta C• _ Date 'i�L� _ Signature of Applicant - Owner ❑ Contractor ❑ Agent An OSHA permit is required for excavations over 5'0" deep and demolition or construction of structures over 3 stories in height. Main Service 200A TO 1000A 46.00 NEW CONST. DWELLING OCCUP. so OR ADDNS. ( a ACC. BLDS. 3.50FT. 22.65 NEW NON -R S D. MAU,.ILCTI OUET ITS @7.50 PSINGLE OUTLET OWER APPARATUS zo � 1.00 Ex. Occu OUTLET OR FocruREs BAL @ .50 Ex. Occup. ourtEtTS R S I.DR EA 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring23.00 PERMIT FEE $ 42.65 MECHANICAL PERMIT Fling Fee 20.00 Heating DTICT 25.00 Cooling Hood 6.50 Ventilation 4-50 PERMIT FEE $ Mobile Home Installation Fee $ Energy Inspection Fee $ 46-00 o co TTY TOTAL FEE $ 868.00 e HA2. -°- D F IMP c F PAR r HO IS This permit is hereby issued under the applicable provisions of the Butte County Code and/or Resolutions to do work indicated a ove for which fees have been paid. 5'$_ By pateC� fl PERMIT EXPIRES ON 5 _ d / V I (Da te Receipt No. 7 o',_ 7 .S Ov WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT W .ct COUNTYOF BJJTTE - DEPARTMENTOF DEVELOPMENT SERVICES -BUILDING DIVISION I 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 -TELEPHONE (916) 538-7541 OWNER Proposed Building Use PERMIT APPLICATION DATASHEET Building Inspector A. P. No. y'G J %O - D O�— L Date 7 At time of permit application, I was advised the following data must be submitted prior to permit processing and/or issuance: DATE RECEIVED BY 1 All items have been submitted.......................................... Plot plans, 3/4 sets, signed by preparer of plans . .......................... �3. Complete plans, 3/4 sets, signed by preparer of plans . ...................... ;(?(- 4. �y 4, ngineered plans and calcs, 3/4 sets, with wet signature on plans . ............ . azardous Material Form . ................................ Energy Design Compliance and supporting documentation. . S!�S ... Statement of Intent for Non -Heated and A/C Buildings . ............/.......... -+� E gineered truss detailsand layout in duplicate (required prior to plan check). .... obilehome data a , anufacturer's installation instructions, 2 sets. . Fees of $ 2 Z 17 (, . ............... .... ... Impact fees as shown on attached schedule. ...?Gh ?��.� 12. alifornia Department of Forestry plan approval/fees . ........................ �. Flood elevation letter (100 year flood)�y California Engineer ................... 4. Sanitation and plot plan approval f� 6 oHealth Department. .. 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). .. ... . st 20. Pre -inspection for to Building Inspector required. . to Building lnspedor (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. 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. ............... Existing violations/expired permits . ...................................... Plan checklist ...................................................... 33. 34. W e ou issue the t, or cps as follows: Mail to ow jer. Mail to contractor. Telephone n ' 1 -7and hold for pickup at (L q e � office. Deliver with inspector. Other Parcel Creation �_ 1 Acreage Applicant Date Copy of Haz-Mat form sent Health Dept. Fire D Air Pollution Date Copy of plans sent Health Dept. Fire Dept. Other Date By The following data must be submitted prior to 1. Index permit for above items No. 2. Additional items required: new item not checked above). 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 0t 5 �' Date d% Plans approved by �� Date_5____6___e7 Sets of plans on hold in File cabinet . AP folder Copy - Department of Public Works 4 E.H. USE ONLY Plot Plan Attached WX Floor Plan A Chad Yer Sent to B.D. I TO: Building Department FROM: Environmental Health SUBJECT: Sanitation Clearance u.SN, 'I 3186 GU, S;4eRA1I1fi'Avr6 �iZ /70— 065 Owner Location AP# Plan Approved for: Sewage Disposal y Water Supply: Public Private Well Clearance for dwelling. Other Hold final for: Final clearance O.K. for: (VOTE: Environh4ntal ealth Specialist Date 8/96 RESIDENTIAL PLAN CHECKING GUIDE . SINGLE FAMILY, DUPLEX AND MISCELLANEOUS ONLY OWNER: _ ,c, BUIL DINGP ER: --F— � PLAN CHECKER: _ O`S Z A P. NUMBER:d / 76- (hL5 Zoning requirements: (side yards and number of permitted living units). Valuation. Plans signed by designer. Proper description of work on application. Existing violations on property. RRecorded ems on data sheet, (Impact Fees, Environmental Health, Developer Fees, etc.). notice of violation. Complete parcel size and dimensions. Setbacks, side yards, easements, etc. Other buildings or structures. Grading, fills and/or drainage. Flood hazard. Special conditions on creation map (Noise, S.R.A., Fire Sprinklers, Water Tender, Trees, etc.). F.A.U. & F.A.S. road setback. Building or utilities across lot lines (Record form). ' )R PLAN: Complete to scale plan with dimensions. Required windows for light and ventilation (Section 1203). Required windows for second exit (Section 310.4). Skylights (Section 2409 & 2603.7). Glazing in Hazardous Locations (Section 2406). Required room sizes, ceiling heights (Section 310.6). G.F.C.I. in baths, garage, kitchen, wet bar and exterior outlets (N.E.C. 210). Lights, switches, receptacles, and exterior receptacles for maintenance of mechanical equipment. Location of water heaters, heating and cooling equipment, other electrical or gas equipment. Garage firewall, door size and closer (Section 302.4). Minimum of one 3V exterior door (Section 1004.6). Fireplace and wood stove location, alcoves and clearance. Smoke detectors (Section 310.9.1). Plumbing fixtures, water closet clearances and shower size. rCTURAL DETAILS: Conventional Construction - Unusually Shaped Buildings (Section 2326.5.4). Standard bracing or engineered design (Section 2326.11.3). Clerestory requiring balloon framing and/or engineering. Three story building requiring engineered calculations and plans. Foundation plan'complete enough to construct building. Floor construction details complete enough to construct building. Elevations and wall construction details complete enough to construct buil g. Roof construction details complete enough to construct building. ,%t Rafter ties or bearing ridge beam. 00 IiU I U Fireplace construction details and calc. if necessary. Garage door and/or porch header sizes. Stud heights. Adobe soils - special foundation design. Retaining walls requiring design. Special Inspection requirements. Header size. Sheetrock nailing inspection required? ' July 1996 3,2 II a SggLLANF-OUS n -EMS TO LOOK OUT Fogs Stairway details: landings, rise and run, head clearance, handrails (Section 1006). Guardrail details (Section 509). Brick or stone veneer (Section 1403). Exterior plaster - weep screeds (Section 2506). Proper roof pitch for roof covering (Section 1501). Roof covering type - (fire hazard). Foam insulation - protection. 36" halls and stairways. Living area over garage - complete 1 -hour separation required on garage side including supporting walls and posts. Two exits on three - story dwellings (Section 1003). Underfloor access and ventilation (Section 2317.7). Attic access and ventilation (Section 1505). Combustion air for fuel burning appliances - L.P.G. requirements. Noise requirements on duplexes. Energy design. Flashing at all exterior openings. C.D.F. responsible area requirements. yQ - v July 1996 3.3 ..n..r"T""YiK,'Yy�'4 `�.�""*"y„�'x.'tY�rj�'fr,r'x�7",�,"`vT�'':'{T''4'1r' ' �i.;,:�rd"ti"'�i�"`'n+'y�..y+'*va.1.r•"'.f'-n..^.y*....�✓Tr.1�y_.�s^--�..Kl i .r.n �- BUTTE COUNTY SCHOOLS IMPACT FEE CERTIFICATION FORM (One form per Building) r School District . C�%� L -o Building Department No. A.P. Number 71 — O Jurisdiction: City County Property Owner �� �+ ✓ S H Property Location/Address �����"`�"`� 41(— CHI ueo VP' Subdivision Lot No. Residential Development � � Sq. Footage zcs. No of Living Mobile Home Ad<16n (Group R) Units Installation Commercial/Industrial Sq. Footage New Addition (Including Exterior �j Roofed Areas) J3 i ding Department Representative Datd (Floor Plans reviewed by School Uistnct Personnel) District Identification No. 9 / 06?6/ School District certifies that (Street Address) _ i . (City) has complied with the requirements of Resolution No. representing Val 3 _ square feat. School District Representative I (State) (Applicant) 3 3 _0all T33 (Phone Number) (Zip Code) 6-0-9(0 by payment of $ / 3 IFi 2926 $ ULL MITIGATION $ Date Paid by Check # Remarks: Notice: You may protest the imposition of the fees identified above by submitting a written protest to the District, in compliance with Government Code Section 66020(a), within 90 days from the date fees are paid. Failure to submit a timely written protest will prohibit you from challenging the imposition of the fees in any court action. If, subsequent to the School District Representative signing this Butte County Schools Impact Fee Certification Form, the School District is notified by the applicable Local Planning Agency that this project is being reviewed under the California Environmental Quality Act (CEQA), this project may be subject to additional school fees to fully, mitigate its impact on the school district's schools. White (applicant), Yellow (building department), Pink (school district) feeform.xls (2/97)dmm � s rf as � +�1jY t,-i.�...�';. ^tt'~ �v' ) / ;� �'-I i`'� �t•r'">C' � ,,,3�tr At MY,A • ION SACRAMENTOICONT TRACTORS Insulation & Fireplaces ',vw7i���1►���'�-'^,�F,:r�i�r"�*C7'�.}'�t�'�'':ti:" . v. `+.+,'. � °�:a •pT1�. j1 •• r � 0 3243 Industrial Drive - Yuba City, CA 95993 • (530) 671-0200 3851 Morrow Lane #9 - Chico, CA 95928 • (530) 343-5100 ❑ 8924 Airport Rd. • Redding, CA 96002 (530) 221-1916 ' ❑ P. O. Box 854 • West Sacramento, CA 95691 • (916) 371-7591 ❑ 4604 Enterprise Ct. • Diamond Springs,- CA 95619 • (530) 622-6964 TO: --�''� �S JOB NAME & LOCATION STREET ���� !�. SAl -Va ✓ O CITY: ATTN: PHONE: = S 1/ 3 —'t�5 G%-3 3 We propose to supply all equipment, labor and material to: Insulate attic areas over living areas with R',-73 .blown -in fiberglass. insulate -ceiling -areas over living areas with'R-faced batt insulation. // Insulate* exterior walls and knees walls with R-�&4ced batt insulation. -Insulate fleer-areas with R- unlaced batt insulation. Insulate garage ceiling at living areas above with. R- unlaced batt insulation... Insulate-inte=ediate ceilings separating living areas with R- faced batt insulation. Insula® 2 xb te interior walls at - 5�+�.�.,/ vt.� 7%s with,R-/� faced batt insulation. r �1 Seal joints and penetrations in thermal barrier with foam sealant.,, * r ALTERNATE No. 1' ALTERNATE No. 2 ALTERNATE'No. 3 ALTERNATE No. 4 BASE BID:, S-� PRICE FIRM THROUGH: SACRA,WN- OINSULATION CONTRACTORS ACCEPTED: `> Grp By: i O h� S ,� /IrJO ✓-Z„ "I Title: 01 / r Date: THIS BID IS BASED ON CURRENT PRICES, IF NOT ACCEPTED WITHIN 10 DAYS FROM DATE HEREON, THE RIGHT IS RESERVED TO SUBMIT A NEW BID. t The customer agrees to pay SACRAMENTO INSULATION CONTRACTORS in full within 10 days from the date of billing. If not paid within 10 days, interest thereon at the rate of 18% per t annum (11/2% per month) will accrue from the date of billing until paid. In the event it becomes necessary to employ counsel to enforce collection of the balance due, the customer 1 agrees to pay reasonable attorney's fees and costs.. SIC 501- NC -4 California State Contractors License No. 202026 ., Nevada State Contractors License No. 10675 5 v _ CERTIFICATE OF COMPLIANCE: RESIDENTIAL Page 1 CF -1R Project Title.......... TOM BUSH Date.... 04/08/97 Project Address........ TOM BUSH 3180 W. SACRAMENTO ******* ------------------- *v4.50* ; 71 U Documentation Author... JIM PETERSON ******* ; Building Permit # Robert B. Heaton Architect ; Ong- _�5 - (17 2044 Palm Avenue ; Plan Check / Date Chico, CA 95926 916-343-8038 ; Field Check/ Date Climate Zone. .. 11 --------------------- Compliance Method...... MICROPAS4 v4.50 for 1995 Standards by Enercomp, Inc. ------------------------------------------------------------------- MICROPAS4 v4.50 File -BUSH Wth-CTZ11S92 Program -FORM CF -1R User#-MP1902 User -Robert B. Heaton Architec Run -TOM BUSH ---------------------------------------------------------- GENERAL INFORMATION ------------------- C onditioned Floor Area..... 667 sf Building Type .............. Single Family Detached Construction Type ......... Existing Plus Addition Building Front Orientation. Cardinal - N,E,S,W Number of Dwelling Units... 1 Number of Stories.......... 1 Floor Construction Type.... Raised Floor Glazing Percentage......... 21.7 % of floor area Average Glazing U -value.... 0.72 Btu/hr-sf-F BUILDING SHELL INSULATION ------------------------- Component Frame Cavity Sheathing Insul A sembly Type Type R -value R -value R -value U value Location/Comments ------------------------------------------ - ----- ------------------------ Wall Wood R-17.8 R-0 �-_17_.8� 065 Floor Wood R-19 R-0 19__.'. 0.037 Roof Wood R-11 R-27 �RR3-S81 0.025 Door None R-0 R-0 ~R -O- 0.330 Solid Wood FENESTRATION # of Interior Over - Area U- Pan- Shading/ Exterior hang/ Framing Orientation (sf) Value es Description Shading Fins Type ------------------- ----- ----- ------------------------------ ------------- Window Front (N) 12.0 0.720 2 Blinds_.Lt3 None None Metal Window Front (N) 12.0 0.720 2 �rBlinds.Lt) None None Metal Window Front (N) 7.5 0.720 2 tBlinds.Lti None None Metal Door Left (E) 40.0 0.720 2 Blinds.Lt,' None Yes Metal Door Left (E) 40.0 0.720 2 �Blinds.Lt' None Yes Metal Window Back (S) 12.0 0.720 2 blinds.Lt None None Metal Window Back (S) 12.0 0.720 2 Blinds.Lt q1N16A`et0 ne None Metal Window Back (S) 9.0 0.720 2 Blind L None Metal •.w CERTIFICATE OF COMPLIANCE: RESIDENTIAL Page 2 CF -1R ------------------------------------------------------------------------------- ------------------------------------------------------------------------------- Project Title.......... TOM BUSH Date........ 04/08/97 ------------------------------------------------------------------------------- ------------------------------------------------------------------------------- MICROPAS4 v4.50' File -BUSH Wth-CTZ11S92 Program -FORM CF -1R User#-MP1902 User -Robert B. Heaton Architec Run -TOM BUSH ------------------------------------------------------------------------------- HVAC SYSTEMS Minimum Duct Duct Thermostat Equipment Type Efficiency --------------------------- Location R -value Type Furnace 0.800 AFUE ------------- Attic ------- R-4.2 ------------ Setback ACSplit 12.00 SEER Attic R-4.2 Setback WATER HEATING SYSTEMS --------------------- Number Tank in Energy Size Tank Type Heater Type Distribution Type System Factor (gal) ------------ ----------- ------------------- -------------- ------ Storage Gas Standard 1 0.61 EF 40 External Insulation R -value R-12 SPECIAL FEATURES/REMARKS ------------------------ This is a multiple orientation building with no orientation restrictions. This printout is for the front facing North. Calculation for single unit. 7 4 CERTIFICATE OF COMPLIANCE: RESIDENTIAL Page 3 CF -1R ------------------------------ Project Title.......... TOM BUSH Date......04/08/97 ---------- MICROPAS4 v4.50 File -BUSH Wth-CTZ11S92 Program -FORM CF -1R , User#-MP1902 User -Robert B. Heaton Architec Run -TOM BUSH ' ------------------------------------------------------------------------------- COMPLIANCE STATEMENT This certificate of compliance lists the building features and performance specifications needed to comply with Title -24, Parts 1 and 6 of the California Code of Regulations, and the administrative regulations to implement them. This certificate has been signed by the individual with overall design responsibility. When this certificate of compliance is submitted for a single building plan to be built in multiple orientations, any shading feature that is varied is indicated in the Special Features/ Remarks section. DESIGNER or OWNER Name.... SCOTT JACKSON Company. EVERGREEN DEV. Address. BOX 453 FOREST RANCH Phone... (916) 894-5590 License. DOCUMENTATION AUTHOR Name.... JIM PETERSON Company. Robert B. Heaton Architect Address. 2044 Palm Avenue Chico, CA 95926 Phone... 916-343-8038 Signed.. Signed. (date) (date) FORCEMENT AGENCY Name.... Title... Agency.. Phone... Signed.. (date) MANDATORY MEASURES CHECKLIST: RESIDENTIAL Page 1 MF-1R Project Title.......... TOM BUSH Date 04/08/97 Project Address........ TOM BUSH ******* --------------------- 3180 W. SACRAMENTO *v4.50* Documentation Author... JIM PETERSON ******* ; Building Permit # Robert B. Heaton Architect 2044 Palm Avenue ; Plan Check / Date ' Chico, CA 95926 916-343-8038 ; Field Check/ Date Climate Zone........... 11 --------------------- Compliance Method...... MICROPAS4 v4.50 for 1995 Standards by Enercomp, Inc. MICROPAS4 v4.50 File-BUSH Wth-CTZ11S92 Program-FORM MF-1R User#-MP1902 User -Robert B. Heaton Architec Run-TOM BUSH. ' ------------------------------------------------------------------------------ Lowrise residential buildings subject to the Standards must contain these measures regardless of the compliance approach used. Items marked. with an asterisk (*) may be superseded by more stringent compliance requirements listed on the Certificate of Compliance. When this checklist is incorporated into the permit documents, the features noted shall be considered by all parties as binding minimum component performance specifications for the mandatory measures whether they are shown elsewhere in the documents or on this checklist only. BUILDING ENVELOPE MEASURES -------------------------- Design- Enforce- .er ment *150(a): Minimum R-19 ceiling insulation. 150(b): Loose fill insulation manufacturers labeled R -Value. *150(c): Minimum R-13 wall insulation in framed walls (does not apply to exterior mass walls). *150(d): Minimum R-13 raised floor insulation in framed floors;. minimum R-8 in concrete raised floors. 150(1): Slab edge insulation - water absorption rate no greater. than 0.3%, water vapor transmission rate no greater than 2.0 perm/inch. 118: Insulation specified or installed meets CEC quality standards. Indicate type and form. 116-17: Fenestration Products, Exterior Doors and Infiltration/ exfiltration controls a. Doors and windows between conditioned and unconditioned spaces designed to limit air leakage. b. Manufactured fenestration products have label with certified U -value, and infiltration certification. c. Exterior doors and windows weatherstripped; all joints and penetrations caulked and sealed. 150(8): Vapor barriers mandatory in Climate Zones 14 and 16 only. 150(f): Special infiltration barrier installed to comply with Sec. 151 meets CEC quality standards. 150(e): Installation of Fireplaces, Decorative Gas Appliances and gas logs 1. Masonry and factory -built fireplaces have: a. Closeable metal or glass door b. Outside air intake with damper and control c. Flue damper and control 2. No continuous burning gas pilots allowed. MANDATORY MEASURES CHECKLIST: RESIDENTIAL Page 2 MF -1R Project Title.......... TOM BUSH Date 04/08/97 ------------------------------------------------- MICROPAS4 v4.50 File -BUSH Wth-CTZ11S92 Program -FORM MF -1R User#-MP1902 User -Robert B. Heaton Architec Run -TOM BUSH ' ------------------------------------------------------------------------------- SPACE CONDITIONING, WATER HEATING AND PLUMBING SYSTEM MEASURES -------------------------------------------------------------- Design- Enforce- er ment 110-13: HVAC equipment, water heaters, showerheads and faucets certified by the CEC. 150(i): Setback thermostat on all applicable heating systems. 150(j): Pipe and Tank insulation 1. Indirect hot water tanks (e.g., unfired storage tanks or backup solar hot water tanks) have insulation blanket (R-12 or greater) or combined interior/exterior insulation (R-16 or greater). 2. First 5 feet of pipes closest to water heater tank, non - recirculating systems, insulated (R-4 or greater). 3. All buried or exposed piping insulated in recirculating sections of hot water system. 4. Cooling system piping below 55 degrees insulated. 5. Piping insulated between heating source and indirect hot water tank. *150(m): Ducts and Fans 1. Ducts constructed, installed and sealed to comply with UMC sections 1002 and 1004; ducts insulated to a minimum installed value of R-4.2 or ducts enclosed entirely within conditioned space. 2. Exhaust fan systems have backdraft or automatic dampers. 3. Gravity ventilating systems serving conditioned space have either automatic or readily accessible, manually operated dampers. 114: Pool and Spa Heating Systems and Equipment 1. System is certified with 78% thermal efficiency, on-off switch, weatherproof operating instructions, no electric resistance heating and no pilot light. 2. System installed with: a. At least 36 inches pipe between filter and heater for future solar heating. b. Cover for outdoor pools or outdoor spa. 3. Pool system has directional inlets and a circulation pump time switch. N �- 115: Gas-fired central furnace, pool heater, spa heater or household cooking appliance have no continuously burning pilot light (Exception: Non -electrical cooking appliance with pilot < 150 Btu/hr.). LIGHTING MEASURES ----------------- Design- Enforce- er ment general lighting in 150(k): 40 lumens/watt or greater for kitchens and rooms with water closets; and recessed ceiling fixtures IC (insulation cover) approved. COMPUTER METHOD SUMMARY Page 1 C -2R Project Title.......... TOM BUSH Date........ 04/08/97 Project Address........ TOM BUSH ******* --------------------- 3180 W. SACRAMENTO *v4.50* Documentation Author... JIM PETERSON ******* ; Building Permit # Robert B. Heaton Architect 2044 Palm Avenue ; Plan Check / Date Chico, CA 95926 916-343-8038 ; Field Check/ Date Climate Zone........... 11 --------------------- Compliance Method...... MICROPAS4 v4.50 for 1995 Standards by Enercomp, Inc. MICROPAS4 v4.50 File -BUSH Wth-CTZ11S92 Program -FORM C -2R User#-MP1902 User -Robert B. Heaton Architec Run -TOM BUSH ------------------------------------------------------------------------------- ---------------------------- ---------------------------- MICROPAS4 ENERGY USE SUMMARY = Energy Use Standard Proposed Compliance = _ (kBtu/sf-yr) _--------------------------------- Design Design Margin = - - Space Heating.......... 13.04 ---------- 14.31 ---------- -1.27 = - Space Cooling.......... 17.48 12.68 4.80 = - Water Heating.......... _25.84 21.59 4.25 = = North Total 56.36 48.58 7.78 = - Space Heating.......... 13.04 14.48 -1.44 = - Space Cooling.......... 17.48 14.03 3.45 = - Water _ Heating.......... 25.84 21.59 4.25 = = East Total -------- 56.36 -------- 50.10 -------- - 6.26 = - Space Heating.......... 13.04 15.16 -2.12 = - Space Cooling.......... 17.48 14.23 3.25 = = Water Heating.......... 25.84 21.59 4.25 = = South Total 56.36 50.98 5.38 = - Space Heating.......... 13.04 15.42 -2.38 = - Space Cooling.......... 17.48 14.28' 3.20 = - Water Heating.......... 25.84 21.59 4.25 = = West Total 56.36 51.29 5.07 = _ *** Building complies with Computer Performance GENERAL INFORMATION Conditioned Floor Area..... 667 sf Building Type .............. Single Family Detached. Construction Type ......... Existing Plus Addition Building Front Orientation. Cardinal - N,E,S,W Number of Dwelling Units... 1 Number of Building Stories. 1 Weather Data Type.......... FullYear COMPUTER METHOD.SUMMARY Page 2 C -2R ------------------------------------------------------------------------------- ------------------------------------------------------------------------------- Project Title.......... TOM BUSH Date........ 04/08/97 ------------------------------------------------------------------------------- ------------------------------------------------------------------------------- MICROPAS4 v4.50 File -BUSH Wth-CTZ11S92 Program -FORM C -2R User#-MP1902 User -Robert B. Heaton Architec Run -TOM BUSH ------------------------------------------------------------------------------- Floor Construction Type.... Raised Floor Number of Building Zones... 1 Conditioned Volume......... 5336 cf Footprint Area ............. 667 sf Ground Floor Area.......... 667 sf Slab -On -Grade Area......... 0 sf Glazing Percentage......... 21.7 % of floor area Average Glazing U -value.... 0.72 Btu/hr-sf-F Average Ceiling Height..... 8 ft Floor Area Zone Type (sf) ----------------------- HOUSE Residence 667 Area Surface (sf) HOUSE - Existing 1 Wall 209 2 Wall 108 3 Wall .207 3 4 Wall 188 5 Floor 667 6 Roof 667 7 Door 20 # of Area Pan - Surface (sf) es HOUSE - Existing 1 Window 12.0 2 2 Window 12.0 2 3 Window 7.5 2 4 Door 40.0 2 5 Door 40.0 2 6 Window 12.0 2 7 Window 12.0 2 8 Window 9.0 2 BUILDING ZONE INFORMATION 7 ----------------- # of Vent Special Volume Dwell-Cond- Thermostat Height Vent Area (cf ) Units. itioned Type (ft) (sf) --------- ------------------------ ------ --------- 5336 1.00 Yes Setback 2.0 n/a OPAQUE SURFACES --------------- U- Insul Act Solar Form 3 Location/ value R-val ----- ----- Azm Tilt Gains Reference --- ---- ----------------- ---------------- Comments 0.065 17.8 0 90 Yes W.19.2X6.16 0.065 17.8 90 90 Yes W.19.2X6.16 0.065 17.8 180 90 Yes W.19.2X6.16 0.065 17.8 270 90 Yes W.19.2X6.16 0.037 19 n/a 0 No FC.19.2X8.16 0.025 38 n/a 0 No R.38.2X4.24 0.330 0 0 90 Yes None Solid Wood FENESTRATION SURFACES --------------------- Vent SC SC Interior Frame Open U- Act Glass Int Shading/ Type --------- Type ------ value Azm Tlt Only Shade ----- --- --- ---= ---- Description --------------- Metal Slider 0.720 0 90 0.88 0.58 Blinds.Lt Metal Slider 0.720 0 90 0.88 0.58 Blinds.Lt Metal Slider 0.720 0 90 0.88 0.58 Blinds.Lt Metal Slider 0.720 90 90 0.88 0.58 Blinds.Lt Metal Slider 0.720 90 90 0.88 0.58 Blinds.Lt Metal Slider 0.720 180 90 0.88 0.58 Blinds.Lt Metal Slider 0.720 180 90 0.88 0.58 Blinds.Lt Metal Slider 0.720 180 90 0.88 0.58 Blinds.Lt COMPUTER METHOD,SUMMARY Page 3 C -2R Project Title.......... TOM BUSH Date........ 04/08/97 MICROPAS4 v4.50 File -BUSH Wth-CTZ11S92 Program -FORM C -2R , User#-MP1902 User -Robert B. Heaton Architec Run -TOM BUSH ------------------------------------------------------------------------------- OVERHANGS AND SIDE FINS ---Window-- ------Overhang----- ---Left Fin--- ---Right Fin -- Area Left Rght Surface (sf) Hght Wdth Dpth Hght Ext Ext Ext Dpth Hght Ext Dpth Hght ----------- ----- ----- ----- ---- ---- ---- ---- ---- ---- ---- ---- ---- ---- HOUSE - Existing 4 Door 40.0 6.8 6.0 9.5 1.5 0 0 n/a n/a n/a n/a n/a n/a 5 Door 40.0 6.8 6.0 9.5 1.5 0 0 n/a n/a n/a n/a n/a n/a HVAC SYSTEMS ------------ Minimum Duct Duct Duct System Type Efficiency Location R -value Efficiency HOUSE Furnace 0.800 AFUE Attic R-4.2 0.830 ACSplit 12.00 SEER Attic R-4.2 0.810 WATER HEATING SYSTEMS --------------------- Number Tank External in Energy Size Insulation Tank Type Heater Type Distribution Type System Factor (gal) R -value ' 1 Storage Gas Standard 1 0.61 40 R-12 SPECIAL FEATURES/REMARKS This is a multiple orientation building with no orientation restrictions. This printout is for the front facing North. Calculation for single unit. 9— so 24 I 1 39, 6/ s SACRAMENTO „, wssr os -o2 AVE i r, L I NDE 59 PJE 03 _ r /4 64 WEN p CREEK GRAPE `I /v CH�C� AK P . x-58 BI 3 55 - R SANTA - - 31 32 T.22N R I W. T. 2 R I 9_57 l N. M. / W. T. 21 it R. I pa 39-53 NOTE: These maps are for ossessment Purposes only and may not constitute legal parcels. C4 REVISED: 12-91 a , T th SUB T22N. 81E 290 369.69 660 660 660 2254 O o B6 2 AC Q B %46 Ac 10./6Ac /2.73Ac c 37 � o O ' � � P a is. , s .u•. o o N P4 c 10 P1fA 46.05 ID 0 16' 4C / :?M 12/-7 71 M m to 419. 42 "i. 43 6.6 /B9 73 U C . . It � 40.00,4c. 43 `MI6 i �/ 1 i I 54 /0.00,40. 53 t Z -� /6 /0,4c s ,.� r l M i In S0 N C Ttt- 14 k - aP 1 �:1181SV 3 M- (L. fel/ ' I X I.�N _.• �'y}10-; .•�'F'�C i`�.!ri'T!'-'�wxlP„. :�i 2, r' .Tw . X4- ~ /1,73 .,Or' t 1 .Li s ,b f t t }t # r'W.. ... _-ri"A4� •. x � w . _.. .. w `'KAY.irs'+ • - e .;+Rd1`-'"t.3W".• ".tY�"�RNC-iM".4'„�"tM+"9„t,- �-30 ' I X I.�N _.• �'y}10-; .•�'F'�C i`�.!ri'T!'-'�wxlP„. :�i 2, r' .Tw . X4- ~ /1,73 .,Or' t 1 .Li s ,b f c'p OSIDENTIAL 042-170-005 PERMIT#95-1657 BUSH, Thomas & FLYNN, Valentina 3180 W Sacramento Ave., Chico New Det Qarage,Ele Ser & Well Circuit L V OFFICE COPY Address 80 GAS Meter By ---Ua—te—, ELECTRIC Meter By arz Date JOB FINALED (Date Signature J=OK O = Not OK =Not Applicable Not Ready MOBILE HOMES ' = Date MOBILE HOME UTILITIES (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Soils; Special MH Support Sketch 3. Sewer; Location -Test -Fall -C/O Concrete 4. Water; Location -Test -Easement Needed (Sketch) 5. Electricity; Location-Clearences-Grnd-/ /Amp -Concrete 6. Gas; Location -Test -Wrap: / /"L"ft. / /"Nat. or/ /"L"ft./ /"LPG 7. Well Clearance & Disconnect 8. Utility Clearance - Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date MOBILE HOME INSTALLATION (Plans) OK except #'s 1. Zoning Requirements -Setbacks Easements 2. Footings; Size -Spacing -Marriage Line 3. Gas; MH Test -Demand -Valve -Connector 4. Electricity; MH Test -Crossovers -Breakers -Clearances 5. Drain; MH Test -Fall -Flex Connector 6. Water; MH Test -Regulator -Connector 7. Water and Sewer Connected -C/O to Grade -HD Approval 8. Gas and Electricity Tagged 9. Exits; Insp.-Sketch 10. Cert. of Occupancy Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 MISCELLANEOUS - Date DECKS, VERS, CARPORTS, GARAGES, (Plans)OK except #'s ng Requirements -Setbacks -Easements Footings; Soils -Size -Depth -Spacing -Connectors -Steel 3. Decks; Griders and/or 4. Wood Awn.; Posts-Beams-Rftrs.-Connectors -Stairs-Rails \ 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Car�indows-Doors 't-ee-ctric 1i6" Frmg; Sils-Anchors-Studs-Rftrs-Trusses 9. Siding; Nailing -Veneer -Stucco -Mesh a ✓t0: Roof; Shthg-Roofing 11 .Ext.; Steps - Doors -Landings -02 Date/ _)��J;-'Card B- Date fps- Card B-1 0z f Date, Card B-1 Date Card 8-f Date POOLS (Plans) OK except #'s 1. Setbacks -Easements 2. Soils; Compaction -Structure Stability 3. Pool Structure; Steel -Connections -Thickness Dead Men -Lining 4. Elec.; Receptacles and Lighting, Distances-GFI 5. Elec.; Pool Lighting; 15 volts-GFI 6. Elec.;Enclosures; Conduit Entries -Terminals -Listed 7. Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater 8. Elec.; Grounding; Equip. w/5' Circulating Equip. -Pool Lghtg. _ Boxes-Enclosures-Panelboards-Ins. to Main in Conduit 9. Health Department Approval 10. Plumb.; Cir. Test -Water Supply Test Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 6 J=OK O = Not OK = Notcable RESIDENTIAL (; =Nott Ready Date UNDE OOR (Plans) OK except #'s Z "ng -Setbacks -Easements -Flood -Slope Ftg., Main; Soils-Elec. Grnd.-/ /" Ftg. Depth 3. Ftg., Garage; Soils-Steel-Elec. Grnd.-/ /" Ftg. Depth 4. Ftg., Porches & Decks; Soils -Steel-/ /Ftg. Depth 5. Stemwalls, Main; Steel -Bloc kouts-Wra pped 6. Stemwalls, Garage; Steel-Blockouts-Wrapped 6a. Hold Downs and Special Anchors 7. Slab; Steel -Wrapped 8. Piers -Fireplace Ftg.-Steel • 9. D.W.V.; Fall -Fitting -Test -2 Way C/O -Sewer Test 10. UF. Gas Pipe; Size -Anchors - yard gas piping: size -test 11. Water Pipe; Test -Anchor -Regulator -Service Test 12. Electric; Underground 13. Pienums & Ducts; Clearance -Material -Support -Ins. 14. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples 15. Access & Ventilation 16. Insulation Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date PLUMBING (Permit),OK except #'s 16. Water Htr.: Vent -Access -Combustion Air -Baffle --------------------- 17. Water Pipe; Test & Anchor -Nail Protection -------------------- ------- -------- -------------------- --- --- 18. D.W.V.; Test -Fittings & Anchor -Nail Protection ------- ----- - -------------------- - - -19. Shower Pan; Test. First Floor -Tub Access ------------- - ------ ----------------- 20: Test -Tub & Shower. ---- Second Floor -Tub Access --------------------- ------------------ 21. Gas Pipe: Size & Anchors -------------------------------------------------------------------------- - Date Card B-1 Date Card B-1 -------------------------------------------------------------------------- Date Card B-1 Date Card B-1 Date ELECTRICAL (Permit) OK except #'s 22. Fixture & Transformer Clearance -Ins. Protection ------------------------------- 23. Elec. Receptacles Spacing -Lights & Switches at Doors 24. Size Boxes & No. of Conductors -Stapled ---------------------- ---------- 25. -------- 25. Romex Installed Close to Edge of Studs & C.J. ------------------------------------------------- 26. Equip. Ground made up w/Mech. Fastners-Bond Gas & Water ---------------------------------------------------------------- 27. 2 Appliance Circuts in Kitchen & Conductor SizerGFI ------------------------------------------------ ------------------------------- 28. Subfeed Wire Size / I ga. Cu or AI-A.C. Wire Size r / ga. Cu or AI - -------------------------------------------------- 29. Range Circ. / / ga. Cu or AI -Oven Circ. / / ga. Cu or Al. Insulated Neutral ❑ Yes ❑ No --------------------------------------------------------------------------------- 30._-Ser . vice-RiserConductors & Ground -Main Disconnect ------------------- -- 31. Equip. Clearances Panels-Motors-Mech. Equip. ------------------------------------------------------------------------------- -- 32. Clothes Closet Light -Shower Light -Spa Light ------------------------------------------------------------ ---- 9 33. Smoke Detector --------------------------- ----------------------------------------------- ------ Date Card B-1 Date Card B-1 -------------- - ------ ----- ----- --- - - ------------------------------- ------------- Date Card B-1 Date Card B-1 Date MECHANICAL (Permit) OK except #'s 34. A.C. Ducts Insulation & Support -------------- Vent Fan Exhaust above insulation -------------------------- ------------------------- ------ ---- 36. Condensate Drain & Overflow; Size & Grade --------------------------------------------------------- - ------ -- --- --- -- 37. Furnance-Vent: Access -Comb. Air -Return Air Vent -115 outlet -- ---- ------ ----------------------------------------------- 38 Attic Access & Platform if Furnance in Attic ---------- ------------------------------ ------------------------------------- Date ------------------------------------ Date Card B-1 Date Card B-1 -------------------------------------------------------------------- ---11------ Date Card B-1 Date Card B-1 Date FRAMING (Plans) OK except #'s 39. Sils. Proper Material & Anchors ------- -------------------------------------------------------------------------- 40. Walls Studs -Nailing. Spacing & Bracing -Plates -Sound ---------------------------------------------------- -- 41. Bearing Walls over Girders & Floor Nailing -- - - -- - - - - -------------------------------------- ------ 42. Draft Stop in Walls (rat proof) ------------------------------------------------------------------ -------------- 43.. Fire-- Stops: Furred - Ceilings -Stairs -Chases -Tub - -- - --- - - - ---- ----------------------------- ------------------ 44. Headers & Beam -Size & Bearing Y ►ingle & Duplex) Date FRAMING (Continued) 45. Hangers -Post Caps -Anchors -Connectors 46. Cing. Joist-Rftr. ties-Purlin-roof Brac-Truss-Shthng.-Ring. 47. Fireplace Ties or Type A Flue -Fireplace Throat clearance 48. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 49. Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions 50. Garage Fire Protection Framing 51. Property Line Firewall & Openings 52. Ext. Doors -One -3' -Check Garage -3rd Story, 2 Exits 53. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection ----------- --54.--- plywood on Roof Overhang -Attic Vents -Rafter Outriggers -- ----------- ----- 55. Siding -Nailing Veneer --------- -- 56. Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access _ 57. Glazing Area -Glass Protection -Skylights- Plastic 58. Shear Walls; Nailing -Bolts 59. -Insulation -Walls -Ceilings ------------- 60 Infiltration -Walls -Windows Date Date Card B-1 Date Card B-1 Card B-1 Date Card B-1 Date FINAL (Plans) OK except #'s 61. Ext. Steps -Door & Sidelight Protection -Landings ----------------- 62. Smoke Detector ------------------------ 63. Furnace: Vents -Clearance -Comb. Air -Connector - In Garage: Above Floor -Ducts -Meth. Protection ------------ ------------------------ _ _________ 64. Bedroom Exiting___ _ 65. G F.I & Bath Fixtures & Tub Access -Spa 66. Elec. Trim & Subpanel: Breaker Sizes & Labels --- - --- 67. Stairs & Rails ------ ------------------p---------------- - 68. Fireplace or StoveClearances-Hearth - - - - - - - -- - -- - ----------------- - ------- - - - 69. Elec. Outlets at Wood Panel: Int. & Ext. ---------------------------------------- - -- 70. Kit.Fixt. & Appliance; Grnd.-Air Gap -Cooking Clearance 71. Elec. Outlets & Receptacles at Kit. Counter 72. Garage Fire Door Swing -Landing -Closer 73. A.C. Duct in -Garage -Damper --------------------------------------- ------ - 74. Wtr. Htr.: Vents -Clearance -Comb. Air-Connector-P.R.V. In Garage: Above Floor-Mech. Protection ------ ------- ------ ------------------------ - 75. Plb.. Elec. & Mech. Equip. Listed for Location 76. Elec. Receptacles in Garage; (G.F.I.)-Romex Protection ------------------------------------------ 7;. Insulation -Foam -Looked in Attic ❑ Yes --------------------------------- ----- 78. - Guard -Rails & Deck -Const Caps ------------------------------------ -- 79. Fdn. Vents & Crawl Hole Door -Drainage & Wood -Earth Clearance Looked under Floor ❑ Yes - - - -------------------------- --------------- 80. Followinginstld.: Drive ❑ Yes ❑ No; Walks ❑ Yes ❑ No; Planters ❑ Yes ❑ No - - - - - ------------------ ----- 81. Stucco -Brown -Finish ----------- - - ------ 82. A.C. Unit: Disconnect. Electrical, Plumbing ------ --------------------------- --- 83. Vents Above Roof. Plbg.-Appliance-Fireplace.-Clearance to Openings -- - ------------------------------------- 84. Water Well; Disconnect, Electrical, Plumbing - - --- ---------- -------------- -- ----- 85. Exterior Elec. Trim: G.F.I. Receptacle -Underground 86. Ventilation Throughout House -------------- Glass Protection -------- --------------- --------- 88. Corrections from Previous Inspections 89. Gas Test -Meters Tagged: Gas -Electric ------- ----------------------------------------------- 90. Water & Sewer Connected -C/O to Grade -HD Approval 91. Energy Compliance Certificate -Other Certificates ------ ---------- -------•---------------- ------ ----- Date Card B-1 Date Card B-1 ----- ------ ----- ----------------- ------ Date Card B-1 Date Card B-1 - --- ------- ----------------------------------- Date Card B-1 Date Card B-1 Comments at Final: COUNTY OF BUTTE BUILDI%NG DIVISION DEPARTMENT OF DEVELOPMENT SERVICES 1469 Humboldt Road, Chico, CA - (916) 891-2751 7 County Center Drive, Oroville, CA - (916) 538-7541 747 Elliott Road, Paradise, CA - (916) 872-6307 CORRECTION NOTICE OWNER PERMIT A routine inspection indicates that the following violations of Butte County Ordinances exist at the above address and should be corrected. Please notify this office when correction of work is completed. If you have any questions pertaining to this matter, or need additional explanation, please contact this office immediately. 10 61946&�, Gam- o OZ 7-9 Date I(�' l.' _`(a Inspector REV 10/92 COUNTY OF BUTTE- DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING DIVISION 7 County Center Drive - Oroville, CiliforNa' 95965 - Telephone (916) 538-7541 PERMIT NO APPLICATION AND PERMIT 5- - ASSE eORPARCELNUMBER 042-170-005 ZONING A10 BUILDING PERMIT 17 OWNER THOMAS BUSH & VALENTINA FLYNN TELEPHONE 343-84337 SO. FT. OCC. BUILDING VALUATION OWNERS MAILING ADDRESS 3180 W SACRAMENTO AVECHICO 68 13,824 CONTRACTOR'S NAME 01MER TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNIw0WN Total Valuation Is LENDER'S MAILING ADDRESS Filing Fee $ 20.00 Permit Fee $ 153.00 ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ 90-45 Energy Plan Checking Fee $ ARCHITECT OR ENGINEERS MAILING ADDRESS Penalty $ BUILDING ADDRESS 3180 W SACRAMENTO AVE PERMITFEE $ 272.45 PLUMBINGPERMIT Fling Fee 20.00 Each Trap 7.00 LOT NO. SUBDIVISIONS NAME PARCEL MAP Solar Or heat pump water heater 23,00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome ❑ Other GARAGE SPECIFY Water piping 15.00 Each gas water heater or vent 15.00 Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other 00 Describe Work: DETACHED GARAGE & NEW METER & SiiR & WELL CIRCUIT Mobile Home IS I GI W1 920.00 PERMITFEE., $ Contractor ELECTRICAL PERMIT Filinq Fee 20.00 ' Main Service OOOV OR LESS ( 200A OR LESS / 23.00 23. 00. Main Service ( 200A To I000A ) 46.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect.Ex. License Class Lic. No. OWNER -BUILDER DECLARATION 1 hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason NEW CONST. DWELLING OCCUR OR NS. ( & ACC. BLDS. ) $O' r�G 85 3.5¢ FT. LV C NEW CONST. MULTI.OUTLET NON-RESID. ( BRANCH CIRCUITS ) 97.50 ( POWER APPARATOUTLET US ) 8 SINGLE CIR. Occup. ( OUTLET OR FIXTURES) 20 @ L.00 BAL Q .SO Ex. Occup. (OUFIXED APPLNS TLETS (RES D.) R 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 23.00 t+ I PERMITFEE $ 92.85 Contractor WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ 1 have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMITFEE $ Contractor Policy Number (The above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) I certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall forthwith comply with those provisions. Date�1� Signature of Applicant Owner ❑ Contractor ❑ Agent An OSHA permit is required for excavations over 60" deep and demolition or construction of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ Occ CONST. TYPE TOTAL FEE $ 5.30 HAZ. D. FEES IMP FLOOD CDF PARCEL PD ISSUE This permit is hereby issued under the applicable provisions of the Butte County Code and/or Resolutions to do work indicated above for which fees have been paid. By Date /0 _ PERMITEXPIRESON (Date) Receipt No. 139,45— Z ZS,155 WHITE-D.D.S.-B.D. CANARY -ASS S OR PINK -INSPECTOR GOLDENROD -APPLICANT 1j �+'Ya.. r ..- :,. ..,,• J;/��I•,....vq`y�..K /�f `-,l l.r.f .-.vrwv�'1`�.,y�.5'«r. �'.•i--•ly'/}�rr;i:' IYY �a?eT�, r7' l+ir�,.l�.1 v`.,. yf.!•�• .. .. � ., COUNTYOFBUTT(D PARTMENTOFDWVEL,0PMENTSERVICES -BUILDING DIVISION FYI 7 COUNTY CENTER DRIVE - OROVILLE, GAL'.IFORNIA 95965 -TELEPHONE (916) 538-7541 ,F. , PERMITAPPLICATION DATASHEET OWNER V7q A. P./, -No. v0 Proposed Building Use Building Inspector o 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 Comple>e plans, 3/4 sets, signed by preparer,of plans . ...................... E _gineered plans and calci. 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. Epgineered truss details and layout in duplicate (required prior to plan check). .... - 7 9. Mobilehome Wac urer's installation instwctions, 2 sets. ........... 10. Fees of $ da dmc2. %° 2f.gip ........ . 1. Impact fees as shown on attached schedule. .............................. 12. California Department of Forestry plan approval/fees......................... Flood elevation letter (100 year flood) by California Engineer ................... 14. Sanitation and plot plan approvalG�/4/60 Health Department . ........... .Ito 7; 15. City of Chico plumbing permit . .............. ).......... ,................. . 16. Plot plan and business license approval from City oflBiggs/Gridley. ............. 17. Planning approval for (A) Use: / (B) Parking: 18. Contact Land Development about {A) Improvementsj,(B).Drainage ......... 1... �--. 19. Driveway permit (construction',approval required,_prior to occupancy). ... 1.. .�.. . J < f �- ! r i Fre=inspection reque�Es 2Q. Pre -inspection for !i. !".� ., required. Building inspector (Date) 21. Contractor's license info6nation. (Nodi Name Style, Classification). 22. Certificate of,,W6-rkmans Compensation Insurance ...j.. • ./...'................. . 23. Owner- Builder.Verification,(Given to owner '-; Mail to owner �........... . 24. Recorded copy -of Agriculfural Acknowledgement Statement . .................... 25. Letter of signatur6.authorizafion. `%``' 26. Copy of recorded deed of parcel creation and 60 right of way to a public road. ..... 27. Letter of intent onfbuilding use. .. ............r...: " .............: . -28. Mobilehome utility clearance. ....................-:..... t +/29. Documentation of legal access. )... .. .�.. ........ ; ............ /.... . 30. Documentation of 50% -subdivision developed or'(A) Road improvements completed and (B) Parcel meets zoning area and frontage requirements . ............... 31. Existing violation /expired permits . ...................................... 32. Plan checklist ...................................................... 33. 34. i W en ou issue the permit, process as follows: Mail to owner. Mail to contractor. Telephone SV3T V4nd hold for pickup at e-- office. Deliver with inspector. Other Parcel Creation Acreage Applicant �' " Date Copy of Haz-Mat form sent Health Dept. Fire Dept. Air Pollution Date \ Copy of pians sent Health Dept. Fire Dept. Other,' Date By The following data must be submitted prior 1. Index permit for above items No. 2. Additional items required: item not checked above). Contractor, designer, owner, was advised of above required data by _ phone _ mail Counter by _ Date Contractor, designer ner, Wed of above required data by _ phone _ mail Counter by _ Date Plans checked b Date i - Plans approved by Date Sets of plans on hold i File cabinet AP folder o_ ` Copy - Department of Public Works( / DSD 2� G��u�J� '�`'�/�O �e`Ci �itT%'�L� fir✓ r � TO: Building Department 'FROM: Environmental Health SUBJECT: Sanitation Clearance r ah I. c6�~• E.H. USE ONLY Plot Plea AftdW Floor Plea Amnched Seat to B.D. 4o/ 7z�-/w b 2/90 111, Owner Location AP# Plan Approved for: Sewage Disposal Water Supply: Public Private. Well Clearance for bedroom mobile home. Other �ZV Hold final for: Final clearance O.K. for//: NOTE: O I1 MZ1) n Env onme Health 'alist Date 8/92 a_ Yllyt?WR:JINS h-d-xWI A a -Y lat'i - O.B.- 1 Attention Property Owner: An "owner -builder" building permit has been applied for in your name and bearing your signature. Please complete and return this information at your earliest opportunity to avoid unnecessary delay in processing and issuing your building permit. No building permit will be issued until this verification is received. 1. I personally plan to provide the major labor and materials for construction of the proposed property improvement: YESDq NO[ ]. `2. 1 HAVE[xl HAVE NOT[ ] signed an application for a building permit for the proposed wor 3. I have contracted with the following person (firm) to provide the proposed construction: NAME: ADDRESS: QTY' PHONE: CONTRACTOR'S LICENSE NO. 4. I pian to provide portions of this work, but I have hired the following person to coordinate, supervise, and provide the major work: NAIL T: ADDRESS: CTI -Y: PHONE: CONTRACTOR'S LICENSE NO. 5. I will provide some of the work but I have contracted (hired) the following persons to provide the work indicated: NAME ADDRESS PHONE TYPE OF WORK SIGNED: . -� Z,/' PROPERTY OWNER: DATE: `1/1-71'75 NOTE: This owner -Builder Verification is required by Section 19831 and 19832 of the California Health and Safety Code. This verification must be completed and returned to our office before we are permitted to issue the permit. OVER Dear Property Owner: An application fora building permit has been submitted in your name listing yourself as the builder of property improvements specified For your protection, you should be aware that as "owner -builder" you are the responsible party of record on such a permit. Building permits are not required to be signed by property owners unless they are personally performing their own work If your work is being performed by someone other than yourself, you may protea yourself from possible liability if that person applies for the proper permit in his or her name. Contractors are required by law to be licensed and bonded by the State of California and to have a business Iicense from the city or county. They are also required by Iaw to put their license number on all permits for which they apply. If you plan to do your own work, with the exception of various trades that you plan to subcontract, you should be aware of the following information for your benefit and protection: 0 If you employ or otherwise engage any persons other than your immediate family, and the work (including materials and other costs) is S300 or more for the entire project, and such persons are not licensed as contractors or subcontractors, then you may be an employer. 0 If you are an employer, you must register with the State and Federal Governments as an employer and you are subject to several obligations including state and federal income tax withholding, federal social security taxes, workers compensation insurance, disability insurance costs, and unemployment compensation contributions. 0 There may be financial risks for you if you do not carry out these obligations, and these risks are especially serious with respect to worker's compensation insurance. 0 For more specific information about your obligations under Federal Law, contract the Internal Revenue Service (and, if you wish, the U.S. Small Business Administration). For more specific information about your obligations under State Law, contact the Department of Benefit Payments and the Division of Industrial Accidents. If the structure is intended for sale, property owners who are not licensed contractors are allowed to perform their work personally or through their own employees, without a licensed contractor or subcontractor, only under limited conditions. A frequent practice of unlicensed persons professing to be contractors is to secure an "ownerbuilder" building permit, erroneously implying that the property owner is providing his or her own labor and material personally. Building permits are not required to be signed by property owners unless they are performing their own work personally. Information about licensed contractors may be obtained by contracting the Contractors State License Board in your community or at 1020 N Street, Sacramento, CA. 95811. Please complete the "Owner Builder Verification" on the reverse side of this form so that we can confirm that you are aware of these matters. The building permit will not be issued until the verification is returned. Sincer ely, r • / Michael C. Vieira, C.B.O. Manager, Building Inspection NOTE: This Owner -Builder Information is required by Section 19830 of the California Health and Safety Code. O VE R RESIDENTIAL:PLAN_ CHECKING GUIDE 8/91 (S. F., DUPLEX & MISC. ONLY) q / �II II Bldg. Permit # 6� — 16S 7 A. P. # G O .OWNER GENERAL Plan Checker— /I. hecker /I. Zoning requirements: (sideyards and number of permitted living units). Valuation. Plans signed by designer. 1s!'Proper description of work on application. - ,S 1xisting violations on property. Items on data sheet. N.C., fees, Health, Developer Fees, License law, etc). ;7 Recorded notice of violation. PLOT PLAN ,011"Complete parcel size and dimensions. !2 '. Setbacks, sideyards, easements, etc. ,3.' Other buildings or structures. Grading, fills, drainage. Flood hazard. Special conditions on creation map,•(noise, CDF, fire sprinklers, non-comb- ustible, and foundations). �7! FAU & FAS road setback. Building or utilities across lot lines (Record form). FLOOR PLAN ,,.,�+' Complete to scale plan with dimensions.. i Required windows for light and ventilation (Sec. 1205). G3! Required windows for second exit (Sec. 1204).. ! Skylights (Chapter 34 & Sec. 5207). Human impact glass (Sec. 5406). kRequired room sizes, ceiling heights (Sec. 1207). GFCIs in baths, garage, kitchen, and exterior outlets (Article 210-8).Pf Light fixtures, switches, receptacles, and exterior receptacles for main- tenance of mechanical equipment. Tv,-kL /,,9: Locations of water heater, heating and cooling equipment, other electrical or gas equipment. 3 Garage firewall, door size, and closer (Sec. 503(d)(3)). 1 -3'0" exterior exit door (sec. 3304 M. 2. Fireplace and wood stove location, alcoves, and clearance. Smoke detectors (Sec. 1210). Plumbing fixtures, water closet clearances and shower size. A QcTA 4V(L Co?Y o r= STRUCTURAL DETAILS Standard bracing or engineered design (Table 25V) Unusual shape, size, or split level house requiring lateral design. Clerestory requiring balloon framing and/or engineering. Three story building requiring engineered calculations and plans. Foundation plan complete enough to construct building. Floor construction details complete enough to construct building. ,F -I -Elevations and wall construction details complete enough to construct building Roof construction details complete enough to construct building. J Fireplace construction details and calcs if necessary. 14. Rafter ties or bearing ridge beam. k1� Garage door or porch header sizes. Stud heights. L3 -'.Adobe soils - special foundation design. PK -Retaining walls requiring design. 1.S�Snerial TncnPrti nn rpniii rari 8/91 RESIDENTIAL PLAN CHECKING GUIDE MISCELLANEOUS ITEMS TO LOOK OUT FOR �- Stairway details: landings, rise and run, head clearance, handrails (Sec. 3306). Guardrail details (Sec. 1711 & 3306(j). ;3'.- Brick or stone veneer (Chapter 30). ,A-. Exterior plaster - weep screeds (Sec. 4706). Proper roof pitch for roof convering (Chapter 32). Roof covering type - (fire hazard). a! Foam insulation - protection. .8." 36" halls and stairways. f9'." Living area over garage - complete 1 -hour separation required on garage side including supporting walls and posts, etc. X1.6". Two exits on three-story dwellings (sec. 3303 & see Mezannines - 1716). Attic access and ventilation (Sec. 3205). Cnderfloor access and ventilation (Sec. 2516). ombustion air for fuel burning appliances - L.P.G. requirements. Noise requirements on duplexes. . Energy design. Flashing .at all exterior openings. S'�IrWI . OF responsible area requirements. Thomas Bush 3180 W. Sacramento Avenue Chico, CA 95973 counts LAI,, D OF I,4A1 ii PAL WEALTH AIVD E A U 1 Y BUILDING DIVISION DEPARTMENT OF DEVELOPMENT SERVICES 7 COUNTY CENTER DRIVE '- OROVILLE, CALIFORNIA 95965-3397 TELEPHONE: (916) 538-7541 FAX: (916) 538-2140 Re: Detached Garage Date: 8/23/95 A.P. No. 042-170-005 Permit #95-1657 With reference to the above subject, attached is: [x] Plan Check List [x] Red Marked Calculations [x] Red Marked Plans [ ] Other: Action Required: [x] Comply with plancheck list [x] Resubmit plans with revisions as required [x] Resubmit calculations with revisions as required Should you have any questions, don't hesitate to contact me at (916) 538-7541 Monday through Thursday. Sincerely, -George R. Kellogg Plan Check Engine, Permit Applicant: Thomas Bush Date: 8/23/95 Permit #95-1657 The above referenced plans were reviewed by this office. Provide additional information and/or make revisions to plans, specifications, or calculations as follows: truss calculations and details. ,1. Provide another set of the original �2. Provide calculations and details for the drag truss referred to on page 11 of original calculations. o � i CA LC OLA 7- <J -s ;�/V 1u t � �pFESS/O W. ELI Q- 6-30-97 y LL, v No. 1680 Z m Civil. FOF CAL��O PROJECTS DRAWN: DATE: SH]NO � JLC v HMAN & ASSOCIATES BA�E3 CHECKED: JOB NO. IDA 3012 plaTadto Chico. Ca. 342-4136 �S V �� (916) OF--Q- 1JUL 25 1995 a Z 3 AtZr1, 'r 1p( 32( . ✓V/ (�► 2 cZB),oZ1(, 13�� ��2�(n � SSS M•c, - w• w'-' �?�ZCz0-90 -{- 36l'07�(> J ,�36_ El 0 0 Na�� y�WWoo wNNN Xr,=OU ) MwWWW 88 8 < e ;kit -Z- 20 l/ dZ1,zg,:;,4 7r o �c S19 f-ob gkLO r wa. j Lf . Cze -ice h s T� �z� c� V 5�.W like . A, 6 MM ONE Wtis�e,ww WNNNJJ %ARM e b 0 dZS i -� p c l e,r, ,�►-� e w a l l cl-4/z + Z-), 03� ��� �J�a`I-�o.Q, SeiSv►�, _ . 2ZS �.G-7) oZ04 ks� LLmen &,Y- = i 6,6� WNNN>J� 8 4af=u�1�U N sa` �dSS �$8 r v m Ilk _ 1 , 1 I File >M CAPWAL 9:18 PM- 7/23/95 ------------------------------------------------------------------------ Rev 7-22-95 Moment capacity of masonry wall ------------------------------------------------------------------------ Description >>Typical perimeter wall » ----------------------------------Data---------------------------------- Special inspection ?_ :> n Fs > 20.000 ksi f'm > 1.500 ksi ✓ Es > 29000000psi Em > 1125.00Oksi LDF > 1.330 a > 25.118 t/ fb allow. > .333 ksi Masonry unit wt. > .135 kcf ✓� -------------------------------Wall data --------------------------------- Wall height > 8.670 feet `Height to determine Fa> Nominal wall thickness > 8.000 inches Actual wall thickness > 7.625 •inches Max. d > 5.375 inches Fa > .193 ksi Paxial > .518 kips/ft Wall height > 8.670 feet <Height for fa> Pwall > .744 kips/ft P total > 1.262 kips/ft fa > .014 ksi Adjusted, fb > .309 ksi d > 3.810 inches bid"2 > 174.193 in"3 Try no. >' 4 bars at 24 in. o.c. As > .098 in"2 np '> .055 2/jk > 7.8346 i > .906 k > .282 ------------------------------------------------------ Moment capacity > .572 ft -kips ------------ ----------------------------------------- fl I VI Cf _ _.. _vZV'tic KI i IANf7lNt71N � i -� 1 re- Ivi+ - . 4- Ct !'O S-. 2- oV oZ W L,fuww �NNN>1)J NW WWVVV UUUUuJJ QN�NS¢ 666222 _ e i P l ,CDDrt / ,a CT oL't -- - of - Zito �% �n r h < C OAJ ,& 357c t z a .1A -kP-AA CS f -n ,., (,- /—i CaP0.Gl+11 c),6 1/0-"0Ar> oS ItwWcJ-e-A, by I I��II = 3.0 ���Oo�i- C Lohfi-a t5. olS 1I 'In I i -ed, by r,asor,i(y PaavA ack, to t aijc.rK 7 . _ _ _ .•430 . -t,v.J '_._?_- i S �..__._ .�-___..-- - _-- ._ __._ .. _._ _ . _ C o wee (f(07-, � - -fy-L,,s S Wi-a.CA 2AC,1l +Y&AS:S to top File :BOLTMAS 9:27 PM •7/23/95 ( O Description »Bolt in masonry * GENERAL V m > 1.500 ksi Bolt grade > 1 1 * A307 Hes head fy > 50.000 ksi GEOMETRY + Bolt embedment (lb) > 7.500 inches Edge distance (lbe) > 3.810 .inches Min > 6.000 inches For full design value Bolt diameter > .500 inches Head diameter > .750 inches SUMMARY Ap(1) > 194.828 in"2 (6-29) Ap(2) > 45.604 in"2 (6-30) <== Bt(1) > .883 kips (6-27) <== Bt(2). > 1.963 kips (6-28) Bv(1) > 1.450 kips (6-31) Bv(2) > 1.178 kips (6-32) <_= 13.702 500 SHEETS. FILLER S SQUARE 42-381 50 SHEETS EYE ED S SQUARE '• A18U01181 @818114 42-3a2 SHEETS S SQUARE 42-389 42-392 200 EYE.EASE' 100 RECYCLED WHITE SSOUARE 42.399 200 RECYCLED WHITE 5SQUARE - Ye4�U.S.A i C \AJr� w tVl G` S s e'li A- t3 J e.S 1 ! 1 N FIN 4e,( (Y-� l wl HERB oeooco NNNNNN wNti�WW � WNNN�� aoeI wA = 4602-1)+ 3 COTS) o C -4-'r-/' File :MASBMI 9:09 PM •7/23/95 Rev 7-23-95 Masonry lintel Description » Lintel over garage door * * * GENERAL DATA Is special inspection provided ? (y/n)' > a * * * MAT-ERIAL DATA Masonry: Steel: f'm > 1.500 ksi L fy > 40.000 ksi r Em > 1125 ksi. Fs > 20.000 ksi N n > .25.778 Z/ Es > 29000 ksi Masonry unit wt. > .135 kcf * * * GEOMETRY Span > 16.000 feet Support fixity > 1 V 0 * Pinned 1 * Fixed Beam width (b) > 7.625 inches Beam depth (h) > 20.000 inches .%. Depth to reinforcing (d) > 18.000 inches / Depth to reinforcing (d') > 2.000 inches b*d-2 > 2470.500in'2 * * * LOADING * * -* Uniform dead load > .129 kips/ft Uniform live load > .064 kips/ft Beam dead load > .143 kips/ft Total load > .336 kips/ft Action summary: Location: .000 8.000 16.000 M (dl) -5.802 2.901 -5.802 M (11) -1.365 .683 -1.365 M (ti) -7.167 3.584 -7.167 Maximum moment > 7.167 ft -kips ' * * * REIN:F0RCING As > .620 in -2 p > .004517 As' > .400 in -2 p' > .002914 fb > .229 ksi <ok> Fb > .250 ksi fs > 8.003 ksi <ok> I- fs' > 4.770 ksi <ok> SHEAR CHECK V > 2.688 kips <at support> fvm > 20 psi <v=V/bjd> Masonry designed to resist all shear: fv must not exceed > 19 psi Shear steel is required ! ! Shear reinforcement designed to resist all the shear: fv must not exceed > 58 psi <ok> Vertical reinforcing: Bar size used > 4 As > .200 in"2 Minimum stirrup spacing > 9.000 inches Stirrups required at end > 3.902 feet IS 13.782 SOD SHEETS. FILLER S SOUARE 42-381 50 SHEETS EYE-FkSP 5 SQUARE 2% ®Brand 2-309 200 SHEETS EYE-EAS100 SHEETS EYE P 5 SQUARE 42-392 IOD RECYCLED WHITE 5SQUARE ' 42.399 200 RECYCLED WHIIE 5SQUARE M n U. S. A. m 3 �p 8 0 5 pl- oil F S F 4 (? • CONCRETE NOTES 1. Concrete shall have a minimum compressive strength at 28 days and a maximum slump of: Strength.... 2500 psi Slump........ 4" 2. Construction joints shall be prepared to expose clean, solidly embedded aggregate over the entire joint interface. 3. Placement of pipes, conduits, or other embedded items in the concrete shall be in accordance with these Drawings. 4. Contraction joints in slabs, shall be so placed that the maximum dimension and area of any section do not exceed 30 - feet and 600 square feet, respectively. 5. Structural steel shapes, tubes and pipes embedded in con- crete shall have a minimum of 3" concrete cover. 6. Bottoms of all footings shall rest on firm, undisturbed soil. Minimum depth is noted on Drawings. REINFORCING STEEL 1. Reinforcing steel to conform to ASTM A615 and be intermediate grade deformed bars - type N, grade 40. 2. Unless noted, reinforcement bars to be lapped minimum 40 bar diameters. 3. Bends in reinforcement shall be in accordance with ACI 318- 86. 4. All dimensions shown for locations of reinforcing steel are to face of bar and denote clear coverage. Unless specifical- ly noted otherwise, concrete coverage shall be 3" where concrete is placed directly against earth, and 2" where concrete is exposed to earth.but is against forms. Slabs on grade shall have reinforcing at mid -depth unless otherwise noted. 5. Splices in continuous reinforcing shall have a lap of 40 bar diameters minimum in concrete construction except where shown otherwise. Horizontal laps in adjacent bars shall be staggered 5'-0" minimum. Vertical bars shall be one piece full -height.. 1 IC( • MASONRY 1. Masonry units shall be grade N, V m = 1500 psi conforming to the requirements of ASTM -90 and the Uniform Building Code, unless noted otherwise. 2. Mortar shall be type S as designated by the Uniform Building Code. 3. Grout shall. be coarse grout as designated by the Uniform Building Code, and shall develop a minimum compressive strength of 2000 PSI at 28 days. 4. All ,masonry unit cells shall be grout -filled following the procedures set forth in section 2404 of the Uniform Building Code. 5. Blocks shall be laid in running bond unless noted otherwise. 6. Special inspection per UBC Sec. 306 shall not be required for the work on this project. 1 APPROVED Butte County Environmental Health Date 32'J��y �Q���c�gzrd�e Signature Sic i �� yZ- /7- 005- rRu"'U N DATI ONS / FLOOR' PLAN sr-ALEw4,/-= s' 3180 W. 9ACP 4IVLeNTI5 AVE C%I W. CA. R.P. -4 O +Z - 1-70 - oo 5- ow BUSH / FLYNN owNER— BUIL.DFR 3/y40w SPU Y2-/7-0os APPROVED Butte County Environmental Health Date �2'x y' C1ei---- S ignature _ TWWWWW HUM-, ee N N QPIIW�WW uWTSuW=imwSu �538�8� �e."2 I' ` e 73 . , .Z-�yP'c�.( .. ve��-F, a:dJac.�t- rtv op-�►-r,., ys. �h Cl 44.bo, v- ceils aAjo,(R..,t ZD AS V-1311 7--p- -'A L --L .3180 WEST SACK -,%MENTO-AVE. CHICO, CAUFORNIA 95926 I t , s , .� Ti( �1Z ./�+/•Kr I L lood 1. OFF Address GAS Date Meter By ELECTRIC Meter By Date q iy • j�v ivy 11 a -✓'-J -- t COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT NO. 7 County Center Drive - Oroville, California 95965 - Telephone 916/534-45'1 ' J APPLICATION AND PERMIT ASSESSOR PARCEL NUMBER , _ > 5 ZONING "A /. -) BUILDING PERMIT OWNER I'l. TELEPHONE -75Cir- '7:;Y -i SO. FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS CONTRACTOR'S NAME , ! r TELEPHONE -ce CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ Filing Fee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS Permit fee PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 r t Solar or heat pump water heater 20.00 LOT NO.SUBDIVISION NAME PARCEL MAP Water piping 5.00 Each qas water heater or vent 5.00 USE OF STRUCTURE SF ©, Duplex❑ Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home S I G I W 10.00 ea TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Uti lities ❑ Installation❑ Other ❑ Describe work:_ r-'% (.- ,L - r' Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 600V OR LESS Main service 100 AMP OR LESS 10.00 r Main service EA. ADD'L too AMP 2.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): ❑/ I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in full force and effect. ��(/ / t% .� / License No. Classification / ❑ I, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONST. DWELLING OCCUP.pI , ) �2¢sgft NEW CONSTR. MULTI -OUTLET NON.RESID BRANCH CIRC ITS 2.50 ea IPOWER APPARATUS 6 ASINGLE OUTLET CIR. ) ,. r Ex. c6p( OUTLETS OR FIXTURES 5AL@30t 30qt FIXED APLNS. Ex. OCCup. OUTLETS P(RESID )REA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 _ r g �s t ,'< ,J , •. ", �� Permit Fee $ WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. ❑ I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. Contractor MECHANICAL PERMIT Filing Fee 10.00 Heating Cooling g Hood 3.00 Ventilation permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the Countyot Butte to enter upon the above-mentioned property for inspection purposes. 1 also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue against said,County in consequence of the granting of this permit. X ;/�,' :{� ��7� Date Signature of Applicant - Owner Contractor ❑ Agent ❑ An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ TOTAL PERMIT FEE $ tea, u OCCU P. CONST.TYPC IFLOODIPARCELI PO ND ISSUE/ This permit is hereby issued under sio is of the Butte County Code and/or work indicated above for which DIRECTOR OF PUBLIC �- By PERMIT EXPIRES Date the applicable provi- resolutions to do fees have been paid. WORKS Date' 7 Receipt No. 6 X- WNITE•D.r. W., YELLOW-A38C330R, PINK -INSPECTOR. GOLDENROD -APPLICANT r� COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 196 Memorial Way, Chico — Phone: 891-2`751' 7 County Center Drive, Oroville — Phone: 534-4541 Skyway and Elliott Road, Paradise — Phone: 872-2961, Ext. 57 CORRECTION NOTICE OWNER PERMIT NO. A routine inspection indicates that the following violations of County Ordinance exist at the above address and should be corrected. Please notify this office when correction of work is completed. If you have any question pertaining to this matter, or need additional explanation, please contact this office immediately. Inspector �-� !r` Date / �b I ' COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, CaliAornia 95965 - Telephone 916/534-4541 APPLICATION AND PERMIT M PERMIT N0. ASSESSOR PARCEL NUMBER a;t 7 -- a � ZONING A /o BUILDIN PERMIT OWNER , �l 'Ue TELEPHONE -73':r-AJ7'.13 SO. FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS CONTRACTOR'S NAME// AI 61_ec,� ^a C. TELEPHONE �iiJ=J1f43 CONTRACTOR'S MAILING ADDRESS pp C�u,N 6-- Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation Is Filing Fee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS Permit fee $ PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP Water piping 5.00 Each qas water heater or vent 5.00 USE OF STRUCTURE SF!kDuplex❑ Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home S I G W 10.00ea TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation[] Other ❑ Describe work: Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 00V OR Main service 100 AMP ORSLESS 10.00 f� Main service EA. ADD'L 100 AMP 2.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): [ram licensed under provisions of Chapt. 9, Div. 3 of the Business and Profes s Code and my license is in full force nd effect. License No. Classification � _/ ❑ I, as the owner, or my employees with wages as their sole compen- sation, will do .the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONST. DWELLING OCCUP.al , A �:¢sgft New CONSTR. ULTII-OUTLET NON.RESID BRANCH CIRC ITS 2.50 ea POWER APPARATUS SINGLE OUTLETCIR. Bfj�o X. 0 Up(OUTLETS OR FIXTURES 20@50C 1.20 AL@30 FIXED ALNS Ex. Occup. OUTLETSP(RESID,)REA.) 1 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 j$; c�•% C /t5 /Q cx Permit Fee $ Contractor WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. (� I shall not employ any person in any manner so as to become subject H' to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. MECHANICAL PERMIT Filing Fee 10.00 Heating Cooling Hood 3.00 Ventilation permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the Countyot Butte to enter upon the above-mentioned property for inspection purposes. I al ree to save, indemnify and eep harmless the County of Butte against ent c sts d expenses which may in any way accrue again sai in n q of the granting of this pemit� all ;Iia Ilitie VN.,� ! Date i9nature of Applicant — Owner Contractor ❑ Agent ❑ An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ TOTAL PERMIT FEE $ occuP. COHST.TYPE FLOOD PARCEL PD HD Iseu This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which DIRECTOR OF PUBLIC BY PER EXPIRES Date _ the applicable provi- resolutions to do fees have been paid. WORKS Date - 'y y� A'=.D Q Receipt No. 6lqq R7 WHITE-D.P.W.. YELLOW -ASSESSOR. PINK -INSPECTOR. GOLDENROD -APPLICANT COUNTY OF BUTTE - DEPARTMENT OF, PUBLIC WORKS - BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILL�E;FC.A-L!EORNIA 95965 - TELEPHONE: 916f/534-4541 PERMIT APPLICATION DATA SHEET { ` P ;+ N erIII V. OWNER A. P. No. �o? / 7 O S— Proposed Building Use Permit Fee Based Upon: Complete Contract Price DPW Valuation Other (Explain) Building Inspector? i�- Date / At time of permit application, I was advised the following data must be submitted prior to permit processing and/or Issuance: DATE RECEIVED APPROVED 1. All items have been submitted. . . . . . . . . . . . 2.. Plot plans in duplicate/triplicate. . . . . . . . . . . 3. Complete plans in duplicate/triplicate. . . . . . . . . 4. Complete engineered plans and calcs. 5. Plans with Energy Design Compliance Statement. . . . . . 6. CUSD "Fees Paid'' Stamp on Floor Plan . . . . . . . . 7 Statement of Intent for Non -Heated and AC Buildings. 8. Fees of $ . . . . . . . . 9. Letter of signature -authorization. . . . . . . . . . . 10. Sanitation approval from Health Dept. . . 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 Mobi lehome InstallatiogL)ata . . . . . . . . . Pre -Inspection for G lea r c. scram ve 6 ;--ere-Inspen request to �� �j _(pole) C I� Building Inspector Recorded copy of Ag i Itural A kno I,edgment Stat mgnt. Other OW^Q15 cGSSdtres5 W you issue the permit, process as follows: Mail to owner. Mail to contractor. Telephone and hold for pickup at office. Deliver w/inspector. Other Appl' Date 6 lYl_e �� Copy of plans sent Health Dept.,Fire pt., Other v 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. r' 2. Additional items required: (Contractor, Designer, Owner) was advised of above required data by Teleph By Plans checked by_ Plans approved by Other Copy—DPW Date Date Mail Other Date