HomeMy WebLinkAbout042-590-046DAVID & SH
6il Almond Grove 6 CWco
Permit#344-87B,P,E,M(new le family)
42- 9�46
lt#3301- d - --------
.62- 24.346 -
MICHAEL HOGE�
/15
6j'-1 1 -Almorid � Grove- -Ct.,' I t- I I C ico
ontr: Hill
C Const
�ermiit#517-88BqP�E(new swimming pool)
1 042 03-3254
-590-046
CANNON, BEN
611 ALMOND GROVE CT,' CHICO
Cont: BUTTE ROOFING CO-
RE ROOF W/ COMP-.�
Butte County Department of Development Services
NOTES 7 County Center Drive, Oroville. CA 95965
(530) 538-76GI www.bu U t—y (Iqvdds
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RESIDENTIAL
APN: 0 q3 -517 Q 1) q 10 Permit N. 6(o--1,5-7 Z-
Owne . r: Eveper cu
SiteAddress: -76.3 -rnwMS51140 C-OuRT
Contractor CC)
Type of Permit rn Is. UM45,1 &14*
CHECKED BY
SRA
FLOOD CERTIFICATE EQUIRED
FIRE SPRINKLERS REQUIRED
SPECIAL INSPECTION ITEJMS
VERIFY
USE PEkMlT CONDITIONS
SUB -STANDARD HOUSING LETTER
ENCROACHMENT PERMIT
REINSPECTION FEE PAID
ENV HLTH1 CLEARANCE
Iq o (1-- t-- w - �� e 12,,q m4ff-Amo
0 (.::-p r- 4 1 R- r, 11 -re -
DATE JOB FINALEJ?:
SIGNATURE.
BUTTE COUNTY PERMIT'NO.
DEPARTMENT OF DEVELOPMENT SERVICES
BUILDING ' PERMIT BP061572
24 HOUR INSPECTION #:,(530) 538-7636 (OROVILLE) (530) 891-2834 (CHICO)
OFFICEM (530) 538-7641. 7
PERMITS BECOME NULL AND VOID I YEAR FROM THE DATE OF ISSUANCE, OR IF WORK I� DONE IN VIOLAtION OF ANYCbUNTY OR STATE LAWS.
LICENSED CONTRACTORS DECLARATION
I I hereby affirm under -penalty of perjury that I am licensed under
provisions of Chapter 9 (commencing with Section 7000) of Division 3 of
Issued Date: 06/29/2006 APN: 043-590-046-000
the Business and Professions Code. and my license Is in full force and
effect.
License Class License Number:
Site Address: 703 TOWNSEND CT CHI
Date: Contractor:
Map Index:
Description: misc plumbing
OWNER -BUILDER DECLARATION
I hereby affirm under penalty of perjury that I am exempt from the
Contractors' State License Law for the following reason (Sec. 7031.5
Business and Professions Code: Any city or county which requires a
to construct. alter, Improve, demolish, or repair any structure, prior
Owner: EVERT WILLIAM L & SUSAN F
permit
to Its Issuance, also requires the applicant for such permit to file a
239 IDYLLWILD CIRCLE
signed statement that he or she Is licensed pursuant to the provisions of
CHICO, CA
the Contractors State License Law (Chapter 9 commencing with Section
7000) of Division 3 of the Business and Professions Code) or thai he or
95928
she is exempt therefrom and the. basis for the alleged exemption. Any
violation of Section 7031.5 by any applicant for a permit subjects the
applicant to a civil penalty of not more than five hundred dollars ($500).):
1, as owner of the property, or my employees with wages as their
sole compensation, will do the work, and the structure Is not
Intended or offered for sale (Sec. 7044, Business and Professions
Code: The Contractors' State License Law does not apply to an
Applicant: EVERT WILLIAM L & SUSAN F
owner of property who builds or Improves thereon, and who does
239 IDYLLWILD CIRCLE
such work himself or herself or through his or her own employees,
CHICO, CA
provided that such Improvements are not Intended or offered for
95928
sale. If however, the building or Improvements are sold within one
year of completion, the owner -builder will have the burden of
proving that he or she did not build or Improve for the purpose of
sale.).
1, as owner. of the property, am exclusively contracting with
licensed cohlractors to construct the project (Sec. 7044, Business
and Professions Code. The Contractors' State License Law does
not apply to an owner of property who builds or Improves thereon,
Contractor:
and who contracts for such projects with a contractor(s) licens.ed
pursuant to the Contractors' State License Law.).
�e ii,.,ss and �Profe�, of,
I am Yern$it under Article 3 7of h7
Owner:
Date: V 4P
License M
WORKERS' COMPENSATION DECLARATION
hereby affirm under penalty of perjury one of the following declarations:
0 1 have and will maintain a certificate of consent to �elf-lnsure for
workers' compensation. as provided for by Section 3700 or the
Labor Code, for the performance of the work for which this permit
Architect:
is Issued.
0 1 have and will maintain workers' compensation insurance, as
Engineer:
required by Section 3700 the Labor Code, for the performance of
the work for which this permit Is Issued. My workers' compensation
Insurance. carrier and policy number are:
Carrier:
Total Square Ft: 0 S. F
Policy #:
Valuation: $0.00
I certify that in the performance of the work for which this permit Is
Census Code:
Issued, I shall not employ any person In any manner so as to
become subject to the workers' compensation laws of California,
that if I should become subject to the workers'
and agree
compensation provisions of Section 3700 of the Labor Code, I shall
forthwith comply with those provisions.
0(91
Date: o oe
Applicant:
WARNING: Failure to secure workers' compensation coverage is
unlawful, and shall subject an employer to criminal penalties and one
hundred thousand dollars ($100,000). In addition to the cost of
compensation, damages as provided for In Section 3706 of the Labor
code, Interest, and attorney's fees.
CONSTRUCTION LENDING AGENCY
This permit 1§ 9h9r6 y issu, nder tWbpplicab)e provisions of the Butte County Code andlor
Resolu!170 do work In ated ab* for w ch fees have been paid.
V
I hereby affirm that there Is a construction lending agency for the
Is Issued 3097 Civ.)
,1� 6_1kAA--J
performance of the work for which this permit (Sec
By:_ Date:
Name:—
6'.—
PERMIT EXPIRES ON:
Address:
(Date)
0 1 hereby certify that the use of this facility shall comply with Sections 25505, 25533, and 25534 of the California Health and Safety Code, which regulate the storage,
handling and use of hazardous materials.
Cl Notification in accordance with Section 19827.5 of California Health & Safety Code is not applicable to the scheduled construction of this project.
0 Attached are copies of the required E. P.A. ndtification'forms.
I hereby certify that I'have read this application, that the above Information is correct, and that I am the owner or the duly authorized agent of the owner. I agree to comply with
all county and state laws relall . ng to ui ng construction. I ackno ledge It Is unlawful to alter the substance of any official form or document of Butte County. I hereby
authorize representatives Oult ounly to en er e ab e mentioned property for Inspection purposes.
!ives
Print Name: Signature:
Date:
wner 0 Contractor C3 Agent for Owner C3 Agent for Contractor
I— : : —;� n1 I a AA I
D. U. U. Mig
o = OK
0 = Not
MANUFACTURED HOMES t�w I
" PERMANENT FOUNDATION L_j SOFr-SET
1 Zoning-Setbacks-Eisements
2So ' its; Special MH Support Sketch
3 Sewer; Loctn-Test; FaIUCIO-Concrete
4 Wtr-, Loctn-Test-Easeinent Needed -Regulator
5 Elec Loctn-CIrncs-Grnd "Amp -Concrete
6 Yard Gas; Loctn-Test-Wrap . Nat E] or LPEI
Inch Sz Ft Lngth
7 Blckng; Sz-Spacing-Marriage Une
8 Gas; MH Test-Demand-Valve-Crincir
9 Efec MH Cntnty Test-Crossovers-Breakers-Clmcs
10 Drain; MH Test -Fall -Rex Cnnctr
I I Wtr &sewer Connected -CIO to Grade
12 Gas and Electricity Tagged
13 Tie Downs El Foundation El
14 Exits
ISCertofOccupancy
16 HUD Labelfinsignia Numbers Serial Numbers
Drawing
MISCELLANEOUS-
Y-EC-KS-COVERS-CARPORTS-GARAr.ES
I Zonlng-�Setbacks-Easements
2 Figs; Soils-SzZpth-Spacing-Cnnctrs-SteeI
3 Decks. GirdersfJolsts-Ocking-Brcing
Stairs-GuardfHandralls
4 Wood Awn; Posts-Beams-Rftrs-CnnctrsShthg.
Frmg-Brcng
5 Alum Awn; Columns-Cnnctns-Splice-Decal-Encisrs
6 Carports; Wndws-i3aors
7 Electric
8 Frmg; Sills-Anchrs-Studs4Rftrs-Trtisses
9 Siding; Nailing -Veneer -Stucco -Lath
10 Roof, Shthg-Rqqfmg
il E)ft; Steps-Doors-1-andiAgs
12 Braced Wall pnis
1 Setbacks -Easements.
? Soils;CompacHon-Structure Stability
3 Pool Structure; Steel-Cnnctns-Thickness
Dead Men-Uning
4 E ' lec Reptclsti-ting; Distance -GR
5 Elec Pool Lting; 1 S volts-GFI
6 flec.Encli�rs; Conduit Entries-TermInals-listed
7*Elec Banding; Metal wI.T-CrcItng Eqp-Htr
'8 Elec Gmdng; Eqp w1S'CrcItng Eqp-Poal Ightg
Boxes'-Enaisrs-�itiboirds4nsultn-to Main Conduit
9 Health 66itt A'p P*M'
10'Plmb; Cir Te�st-Wtr Supply Test
11 U NIc.he
12 tricisr, Fencing -Alarms
13 Bonding, Diving board or Slide
�QtOK
RESIDENTIAL (Single & Duplex) ----i
UATE JUNDERFLOOR
1 Zoning -Setbacks -Easements -Flood -Slope
2 Ft9 Main; Soils-Elec: Grnd Ftp Dp.!p
3 Ftq Garage; Soi ' Is-Steel-El.ec Grnd Ftg.ppth
4 Ftg Porches/Decks; Soils -Steel Ftg Opth
5 SWmwalis Main; Steel-Blockouts-Wrapped
6 Stemwalls Garage; Steel-Blockouts-Wrapped
6a Hold Downs and Special Anchrs
7 Slab, Steel Wrapped
8 Piers-Frplc Ftg-Steel
9 DWV; Fall -Fitt ing-Test-2-way CIO -Sewer Test
10 UF, Gas Pipe; Sz Anchrs-Sz Tesi:
I I Wtr Pipe; Test-Anchrs-Rgltr-Service Test
12 Elec Undrgmd
13 Plenums & Ducts; Clrnc.-Material-Support4nsultn
14 Girders-Sills-Anchr Bolts-Joists-Vnts-CCipples
IS Ace& Vntitn
16 Insulation
40
DATE JF'RAMI NG
17 Sills Proper Materiali & Anchrs
18 Wills Studs -Nailing Spacing & Braces -Plates -Sound
19 Bearing Walls ovet Girder$ j&_qr Nailing
20 Draft Stop In Walls (iat p: roof)
21 Fire Stops,'IFtimid Ceilings-Sta"-Chasers-Tubs
22 Headers & . B r -hs
2; Han!iirii-P.o�t'Caps-Anchr:�-.Chnctns
24 Ceiling Jolst4tftr Ties-Purlin-Roof Brac-Truss-Shthg
25 Frplc Tied or Typ# A Fluld�FrPlc Throat CIrne
26 Attic Ack-',, Sz: &'R-Anx Oitcln-bi4ft Stop -Ins Baffles
27 Bdrm Wndws or Eriting Doors -Sill Ht & Dimensions
28 Gadage Fire Prtctri FrdmIng-RC ChAnnel
29 Prprty Line Firewall & Olin "
gs
30 Ext Doors;�6ne i -Check Gar'al§e 3rd. Story, 2 Exits
31 Stairs; Width-Hdrm-Rise-Run4-anding+-Ire Prtctn
32 Plywd on Roof Ovrhng-AttIc Vnts4ft dtftrgrs
33 Siding-Nairing yi�neer
34 Stucco Lath -Weep Screed-Fndtn Vnts-Undrfir Ace
35 Glazing Area -Glass Pftctn-SkyLts-Plastic
36 Shear Walls; Nailing-Boft
37 Brace IntiExt Wall pnis
38 Insultn-Walls-Ceilings
39 Infiltration-Walls-Wndws
-P
DATE JELECTRICAL
40 Fxtr & Trnsfrmr CIrnc4ns Prtctn
41 Elec Rcptcls Spacing-Lts & Switches at Doors
42 Sz Boxes & No Of Cndctrs Stapled
43 Romex Installed Close to Edge of Studs & CJ
44 Eqp Grnd made up w/Mech Fstnrs
45 Grndng Electrode Bond Gas & Wtr
46 2 Appinc Circs In KIchn & Cndctr Sz GFI . AL
47 Subfeed Wire Sz 9a CU or [—
AC Wire Sz ga CU or EIAL
48 Range Ckc V CU or El AL
Oven Circ ga Cu or AL
Insulated Neutral F]Yes HNo
49 Service-RIser Cndctrs & Grnd Main Dsr-nnct
50 Eqp Clmr-s pnis-Motors-Mech Eqp
51 Clothes Closet LI-Shwr Lt -Spa Lt
S2 Smoke Detector
uAlt: IPLUMBING
53 Wtr Htr; Vent-Acc-Cmbstn Air Baffle
54 Wtr Pipe; Test & Anchr-Nail Prtctn
55 DWV; Test Fittings & Anchr Nail Pr(ctn
56 Shwr Pan; Test, First fir -Tub Ace
57 Test Tub' & Shwr. 2nd fir - Tub Ace
58 Gas Pipe; Sz & Anchrs
59 Fire Sprinkler; Test
60 Yard Gas Piping
40 -
DATE IMECHAN-ICAL
61 AC Ducts Insulin & Support t
62 Vent Fan, Exhaust abv Insultn
63 Condensate Drain & Ovrflw , Sz & Grade -
64 Furnace -Vent Acc-Comb Air RtnuVent I 15 Outlet
65 Attic Ace & PItfrin if Furnace In attic
DATE
— 66 Ext Steps -Door & SIdeLt Prtctn-Landings
67 Smoke Detector
68 Furnace Vnts-CImc-Comb, Air-Cnnctr
In Garage; abv-flr-Ducts-Mech Prtctn
--69 Bedroom Exiting
70 GFI ' & Bath Fxtrs & Tub Acc-Spa
71 GFI Are Fault
72 Elee Trim & SubpnI, Breaker Szs & Labels
73 Stairs, Guard[Handrails
74 FrpIc or Stove, CIrnc-Hearth
75 See Outlet� at Wood PnI. Int & Ext
76 Ktchn, Fxtr & Appinc; Gmd-Air-Gap-Cooking Clrnc
77 Elec Outlets & Rcptcls at Ktchn Counter
78 Garage Fire Door, Swing -Landing -Closure
79 AC Duct In Garage -Damper.
80 Wtr Htr; Vnts-CIrnc-Com Air Cnnctr-PRV; abv fir
Mech Prtctn; LPG Appince Undr House 3" drain
81 PImb; Elec & Mech Eqp Listed for Loctn
82 Elec Rcptcls in Garage (GFQ Romex Prtctn
83 Insultri-Foam-Looked in Attic
84 Guard Rails & Deck Cnstrctn-Post Caps
85 Fndn Vnts & Crawl Hole Door Dmge & Wood -Earth
86 Clrnc Drnge Planters E:]Yes 0 NO
87 Stucco Brown -Finish
88 AC Unit Dscrinct, Elec-Plmb
89 Vnts abv Roof, PImb.-AppInc-FrpIc-CIrnc to Opngs
90 Wtr Well, Dscnnct, Elec, Plmb
— 91 Ext Elec Trim, GFI Reptcl-Undrgmd
92 VntItn thru House
93 Glass Prtctn
94 Corrections from previous Inspdris
95 Gas Test -Meters Tagged, Gas-Elec
96 Wtr & Sewer Cnnctd-C1O to grade -HD ApprvI
97 Energy Cmpinc Cert -Mer Certs
98 Address Posted
99 Fire Sprinkler
7 -1 ::�-
COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION
. 7 County Center Drive * Oroville, California 95965 * Telephone (530) 538 -75 -Al 3-3 PERMIT NO.
(Rev. 12/96) APPLICATION AND PERMIT —6 �Qs�f
ASSESSOR PARCEL NUMBER _;_9 q�p
ZONING
BUILDINGPERMIT
J1�4 &WZ2 404
TELEPHONE
SQ. Fr. OCC. BUILDING VALUATION
OWNERS S
CO S NAME �E HONE
4?
ATO=NG ADDRESS �7
As;�z
CONSTRUCTION LENDER
Fireplace
LEND!��.UNGI ADDRESS
Total Valuation $
ARCHITECY11 ENGINEER
LICENSE NO.
Filing ee $ 20.00
Permit Fee $
CH CT OR ENGINEERS MAILING ADDRESS
Plan Checking Fee $
BUIkIDINO ADDRESS
Energy Plan Checking Fee $
PERMIT FEE $
LOT NO.
SUBDIVISIONS NAME
PARCEL MAP
PLUMBING PERMIT Filing Fee 20.00
Each Trap 7.00
USEOFSTRUCTURE
SFY Duplex 0 Mobilehome 0 Other
SPECIFY
Solar or heat pump water heater 23.00
Water piping 15.00
Each gas water heater or vent 15.00
TYPE OF WORK
New 0 Addition 0 emodel 0 Utilities 0 Installai C3 OthrX
Describe Work: If -,ow— �A - )21_�
Gas piping system I - 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
600V OR LESS
Main Service .A OR LESS 23.00
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter
9 (commencing with Section 7000) of Division 3 of the Business and Professions Code,
and my license is in U 11 force and effect.
�1_ -5z,;y
License Class IV — Lic. No. azpeN
OWNER -BUILDER DECLARATION
I hereby affirm under penalty of perjury that I am exempt from the Contractors License
Law for the following reason:
0 1, as owner of the property, or my employeeswith wagesastheir sole compensation,
will do the work, and the structure is not intended or offered for sale.
0 1, as owner of the property, am exclusively contracting with licensed contractors
to construct the project.
0 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:
0 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.
XI have and will maintain workers' compensation Insurance, as required by Section
3700 of the Labor Code, for the performance of workforwhich this permitis issued.
My worke satior�insurance c ier an po icy 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.)
0 1 certify that in the performance of the work for which this permit is issued, I shall
not employ any person in any manner so as to become subject to workers'
compensation laws of California, and agree that if I should become subject to the
workers' compensation provisions of section 3700 of the Labor Code, I shall
f rt ith comply ith those provisions.
X rM_4 - K;J-2 ffi-4, D te 1411 --2- 11)-E
igraiuMe' ol - 0 bvi—ner [3 ontractor gent/
S I' ' f App icant
An OSHA permit is required for excavations over 60" deep and demolition or construction
of structures over 3 stories in height.
Main Service 200A TO 1000A 46.00
NEW CONST. DWELLING UP- so
OR ADDNS. 3.50FT.
. ACC. ff
NEW CONS @7.50
NO.RESIDT 5=0CYRTCITS
PO'WE.RAPUARATUS
I. . TLET CIR.
OUTLET OR FD=RES 20 @ 1.00
Ex. Occup. ( 13AL @ .50
( OMED APP - OR,
Ex. Occup. ETS C.n .) E 5.00
Temporary Service 23.00.
Mobile Home Facilities 20.00
Misc. Wiring 23.00
PERMIT FEE
MECHANICAL PERMIT Filing Fee 20.00
Heating
Cooling
Hood 6.50
Ventilation
PERMIT FEP_
Mobile Home Installation Fee $
Energy Inspection Fee $
occ
CONST. TYPE
TOTALFEE$ <ZeD
_�A
-qD.
FEES IMP
I FLOOD
I CDF
PARCEL PO
I HD
I ISP
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.
Date
PERMIT EXPIRES ON
ReceiptNo.
WHITE-D.D.S.-B.D. CANARY-ASSIESSOR PINK -INSPECTOR GOLDEN ROD -APPLICANT
1/1
M
W.
PEIROT NO. 344-87B3.P)EM
PERMIT EXPIRES
OWNER — DAVID & ANNE WELSH
CONTR.— owner
ASSESSOR PARCEL 42-34-146port
LOCATION 611 Almond Grove Ct, lot 6. Chico
OFFICE COPY
0.
Address
GAS
Date- I
Meter By
ELECTRIC Dal
Meter' By
OFFICE COPY
Address A PY. -
JU
GAS ---------------
Meter By A Date
ELECTR JCq
Meter By Dat//2
OFFICE COPY
Temp. Power Pole
AddressjL/��
Called PG&E j—
GAS
Mete D
r BvZ2��
Temp. Elec. Service
ELECTRIC /Date
Called PG&E Meter By Dal
Temp. Gas Servi
CalledPG&E
JOB FINALED (Date) /, /v/v
Signature
I
Owner: Pernat Pbp
LOCATION
ENERGY C ERT IFICAT ION
DESCRIPTION OF INSULATION
A. P. No.
ROOF
Material Brand Name
Thickness(inches Thermal Resistance (R Value)
EXTERIOR WALL
Material e, S -s.
Thickr�e_ss�_inchesY. (A
CEILING
Batt'or Blanket Type_,rzkeC�ks<,
Thickness(inches),
Loose Fill Type
Minimum Thickness (IAches)____LL_
Area covered(ft.2
FLOORP ELEVATED
Material
Thickr�ess(inches� U
FLOOR, SLAB
Material
Thickr�ess(inches),
Width(inches)
FOUNDATION WALL A
Brand -Name
Thermal Resistance(R Value) 11q
Brand Name _'Z&fa
Thermal Resistance(R Value) 30
Brand Name I
Number of Bags_�.5� Wt. per bag .2,��- lb.
Thermal Resistance(R VAlue)_.-ij�
Brand Name
Thermal Resistance(R Value) kS
Brand Name
Thermal Resistance(R Value)
.-a
Material Brand Name
Thickness(inches)' Thermal Resistance(R Value)
I hereby certify that -the above insulation was installed in the above building
in conformance with the State of California Energy Requirements.
Hawkins Insulation Co., Inc. 378407
FIRM NAME/OWNER STATE CONTRACTOR'S LICENSE NO.
SIGNATURE OF INSTALLATION APPLICATOR DATE
I hereby certify the above insulation and all required items as shown on the
Building Department approved plans and attacbments have been installed as
required by the State of California Energy Requirements.,
All equipment, devices and materials are of the quality prescribed or are
specifically approved by the State of California.
12,0 g,
IRM NA
,"OWNER )*ease print)
V-20 FS_ 2> -
STATE CONTRACTOR'S LICENSE NO.
� cj�u .. U'.7 -r4— ./'d -/ t . X1
SIGNATURE OF OENERAL CONTRACTORIOWNER DATE -
THIS CERTIFICATE MUST -BE ON FILE WITH THE BUILDING DEPARTMENT PRIOR TO FINAL
INSPECTION APPROVAL AND'A COPY SHALL BE POSTED WITHIN THE BUILDING.
January 1984
COUNTY OF BUTTE
DEPARTMENT OF PUBLIC WORKS
196 Memorial Way, Chico — Phone: 891-2751
7 County Center Drive, Orovi Ile — Phone: 538-7541
747 Elliott Road, Paradise— Phone: 872-607
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 thl,$,office immediately.
Inspector Da
COUNTY OF BUTTE
DEPARTMENT OF PUBLIC WORKS
196 Memorial Way. Chico — Phone: 891-275-1
7 County Center Drive. Orovi Ile — Phone: 538-7541
747 Elliott Road, Paradise— Phone: 872-6307
CORRECTION NOTICE
e� e -: Z- 5 ,
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.
lee; 7—
e-5 V�
Z, 1
5- 49
4z&ezo
Inspector. A -A Date—//;7ZL21
COUNTY OF BUTTE
DEPARTMENT OF PUBLIC WORKS
196 Memorial Way, Chico — Phone: 891-�751
7 County Center Drive, Orovi Ile — Phone: 538-7541
747 Elliott Road, Paradise— Phone: 872-6307
CORRECTION NOTICE
t Lj �Q N. :3 41 �4 — t2 -
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.
4,,
Inspector Date,
OK
0 = Not OK
- = Not Applicable
* = Not Ready
MOBILEHOMES
MISCELLANEOUS
Da te
MOBILEHOME UTILITIES (Plans) OK except #'s
1. Zoning Req u i rements-Setbacks- Easements
Date
DECKS, COVERS, CARPORTS, ETC. (Plans) OK e;cept #'s
1. Zoning Requ i reinent s-Setbac ks- Easements
2. Soils; Special MH Support -Sketch
2. Footings; Size -Depth -Spacing -Connectors
3. Sewer; Location -Test -Fall -C/0 -Concrete
3. Decks; Girders and/or Joists-Decking�Bracing-Stairs-Rails
4. Water; Location -Test -Easement Needed (Sketch)
4. Wood Awn.: Posts- Beams -R ftrs.-Co'n nec.-Shthg.-R fg.- Brac i ng
5. Electricity; Location-Clearances-Grnd.-/ Amp -Concrete
5. Alum. Awn.; Columns�Connections-Splice-Decal-Enclosures
6. Gas; Location -Test -Wrap: / /"L"ft./ /" Nat. or/ /"L"ft./ LPG
6. Carports; Windows -Doors
7. Utility Clearance
7. Elec.
Card -81
Date Card -Ell Date
Card -81
Date Card -BI Date
Card -Bl
Date
Date Card -Bl Date
MOBILEHOME INSTALLATION (Plans) OK except #'s
I . Zoning Requirements -Setbacks -Easements
Card -Ell
Date
Date Card -Bl Date
-POOLS (Plans) OK except #'s
1. Setbacks -Easements
2. Footings; Size -Spacing -Marriage Line
2. Soils; Compact i on-Struc t ure Stability
3. Gas; MH Test -Demand -Valve -Connector
3. Pool Stru6ture; Stee I -Connect i ons- Th ickness-Dead Men -Lining
4. Electricity; MH Test -Crossovers -Breakers -Clearances
4. Elec.; Receptacles and Lighting; Distances-GF1
5. Drain; MH Test -Fall -Flex Connector
5. Elec.; Pool Lighting; 15 volts-GFI
6. Water; MH Test -Regulator -Connector
7. Water and Sewer Connected -C/O to Grade -HD Approval
6. Elec.; Enclosures: Conduit Entries -Terminals -Listed
7. Elec.; Bonding; Metal w/5' -Circulating Equipment -Heater,
B. Gas and Electricity Tagged
8. Elec.; Grounding; Equip. w/5' -Circulating Equip. -Pool Lghig.
Boxes- Enc losures- Pane I boards- Ins. to Main in Conduit
9. Exits; Insp.-Sketch
10. Cert. of Occupancy
9. Health Department Approval
10. Plumb; Cir. Test -Water Supply Test
Card B-1
Date Card -81 Date
Card -61
Date Card -BI Date
Card B-1
Date Card -BI Date
Card -Bl
Date 'Card -BI Date
0
11
V = OK
0 = Not Ok
Not Applicable RESIDENTIA� (.,Single and Duplex)
Not Ready
Date
vAE1fiFLooR (plans) OK except#'s
Date FRAKG
1fdritinued)
pw g
Z 'll-requirements-Setbacks;aise.—�nts
4aVPparerty
Line Firewall & Openings
F ., Main; Soils-Steel-Elec.(W.- Ftg. Depth
44, -1
Ext. �2rs 3'
-One -Check Garage -3rd story, 2 exits
tg., Garage: Soils -Steel- Ftg. Depth
idth-Headroom-R i se- R un- Land i ng -F ire Protection
4. Ft ., Porches & Decks; Soils-SteelL Fig. Depth
5t,,,1`t`Iywood
on Roof Overhang -Attic Vents -Rafter Outriggers
te walls, Main; Steel-Blockouts-Wrapped-Slab
52.
Siding-Nailing-VeneeL...
ternwalls, Garage; Stee I -B lockouts -Wrapped -S lab
n5&rZ�3
o Mesh-��d!f;�q--Vents-Underflr. Access
rs-Firsepleee Ftg.--6te&I
D.W.V.: Fall -Fitting -Test-2 way C/0 -Sewer Test
ing AreakG lass 44cfe- *-"Sky I ights-P last i c
Qliofr
Walls; Nailing -Bolts
Pipe; Size -Anchors
Water Pipe: Test-Anchors-Regu lator-Sery ice Test
- ___
11. Electric; Underground
- - 1
lenums & Ducts; C learance-Materi at -Support- Ins.
irders-Sills-Anchor Bolts -Joists -Vents -Cripples
Card -BI eV
kaard- ;
Dat�/Z 4;k.&/QC/Card-6I Date
C BI
Date Card -131 Date
Card -BI
Date Card -BI Date
Card -BI
/,,I- Dat Card -61 Date
Date FINAJ,�Mans)
OK except #'s
15arTdF_00� Date Card -BI Date
Date
PLW1rXG (Permit) OK except #'s
K.
qAI�6teps-Door & Sidelight Protection -Landings
16?'_ST2Le
Detector
N' Yfiter HL: Vent- Access -Combust ion Air
:�p
1 W .: Test-Fttngs & Anchors -Nail Protection
ower
i i &/Wa Pi e,,' Test & Anchors -Nail Protection
I �� Pan: Test, F irst F loor-Tub Access
T Tub & Shower, 2nd Floor -Tub Access
�g�Gas Pipe-: Size Anchors
Card -B Date Card -BI Date
Card-B� 4 Date Card -BI Date
V3.__?urnace;
Vent s -C I earance-Comb. Air -Connector -
In Ga�age; Above Floor-Ducts-Mech. Protection
&__�r
om Exiting
& Bath Fixtures & Tub Access
111-'Llec.
Trim & Subpanel; Breaker Sizes -L abels
_4e,.�irs
I
& Rails I
or Stove; C leara nces-H earth-
_4�_�ireplace
14,,-�Iric.
Outlets at Wood Panel; Int. Ext.
Fixt. & Appliance; Grnd.-Air Gap -Cooking Clearance
I
Outlets & Receptacles at Kit. Counter
Date
ELE"R AL (Perrrit) OK except #'s
LP�I-Garage F:i�_-'Door; Swing -Landing -C loser
ra—A-C-0/ct in Garage -Damper
Card 8-:
Ca 'd B-
ture & Transformer Clearance -Ins. Protection
-X" :cep&tacles Spacing -Lights & Switches at Doors
c
'c
'22'�i e No. of Conductors -Stapled
293. Kmex installed Cloge to Edge of Studs &.C.J..
C
2 p. Ground made up w/Mech. Fasteners -Bond Gas & Water
2!�2�-.nce Circuits Kitchen & Conductor Size
i 1 4j� - e_�� __
20��S�eed Wire S ze ga. Cu Wire Size ga. Cu or At
21[ei Range Circ. ga. Cu or Al -Oven Circ. ga. Cu or At,
I ated Neutral Yes 7No
2 Oer <Vtp e C- R ' s Conductors & Ground -Main Dis'connect
learearn es: Panel s-Motors-Mech. Equip.
ulp c
ClothE
30 Clothes Closet Light -Shower Ligh-t-
Date Card -Bi Date
Date Card -BI Date
Vents -C leara nce-Comb. Air-Connector-P.R.V.-
j_UXQrage; Above Floor-Mech. Protection
lb�.Jlec. i Mech. Equip. Listed for Location
ec. Receptacles in Garage; (G.F.I.)-Romex Protec.
!Asu lat i on- Foam- Looked in Attic E] Yes
r ard Rn*Iq & Deck Construct ion -Post Caps
�nn.
Vents & Crawl Hole Door -Drainage & Wood -Earth Clearance
Looked under Floor El Yes
75.
Following instld.: Driye No: Walks E!4VeT-0 No;
Planters EjYes OWT
.77
et
5 Ec o; Brown -Finish
�t.�A
. Unit; Disconnect-Clrnces-Brkr. & Cond. Size -115V Outlet
Oe, Vents
Above Roof; Plbg.-Appliance-Firepi.-Clearance to Opngs.
&��._ater
well; Disconnect, Electrical, Plumbing
ic. Trim; G.F.I. Receptacle -Underground
throughout House
*�Glass
Protection
Date
MECH_Al(!-CAL (Permit) OK except #'s
orrections from Previous Inspections
4.
tt:i,�st-Meters TaggecL-�s-Electric 12?111
Car( J -BI
Caid-BI
u
U/'K. D u ts�xlnasulation & Support
2, a� n : h ust above Insulation
s�
33tj2de,sate Drain & Overflow ' Size & Grade
4531-soafe-Vent: Access -Comb. Air -Return Air Vent -115V outlet
3Z,4'1lic Access & Platform if Furnace in Attic
/;r� Date Card -BI Date
Date Card -BI Date
� �.a!k
& Sewer Connected -C/O to Grade-HI5 4proval f
84.,,E-nergy
Compliance Certificate -other Certificates
A-
Card -B
Card -Bill
Card -BI f
DaW ? Card -BI
W , M I Date
r)atg,/, Card -131 Date
DAvt I Card -BI Date
Date
FRAMfN'-G (Plans) OK except N's
Com:-ients at F i nal:
X . s. Prooer Material & Anchors
37. W 41s. Studs -Nailing, Spacing & Bracing -Plates -Sound
38 Bearing Walls over Girders & Floor Nailing
39 ft Stop in walls (rat proof)
4 ifl'e�_'S�ops* Furred Ceilings -Stairs -Chases -Tub
4% a er & Beam -Size & Bearing
Hanger -Post Caps -Anchors -Connectors
4 C is[-Rftr. Ties-Purlin- Root Brac.-Truss-Shthrip.-Ftfrip.
e place -Ties or Type A Flue -Fireplace Throat
i4 gAiccess. Size & Romex Protect ion -Draft Stop -Ins. Baffles'
4 im. Windows or Exiting Doors -Sill 1. & Dimensions
4�arage Fire Protection Framing /I
G ,
(NOTE Anentrymust be made each time youvisit jobsite)
COUNTY OF BUTTE - QEPARTMENT OF PUBLIC WORKS
N/O
7 County Center Drive - Oroville, California 99965 - Telephone 916/534-4541 7
APPLICATION ANd PERMIT
ASSESSOR PARCt� NUMBER
Zor
BUILDING �P�MIT
V
OWNER
Alvwc 4Q�MIIJ U-�,alsk
TELEPHONE
3,93-000s—
SQ.FT. OCC.1 BUILDING VALUATION
agy,
/J 8,0 00 - c-,,-,
OWNER'S MAILING ADDRESS
173& Beunnek 54,,nnet e -6L,4.6
9 IT60 9 - 0 0
CONTRACTOR'S NAME
0 LA) tl�
ITELEPHONE
29,?o o
-q Iq ofzew
7,2 o 0o
CONTRACTOR'S MAILING ADDRESS
Fireplace I A-
1$
/000. 0 C3
CONSTRUCTION LENDER
U "J k, 11/01/14 777
WN
Total Valuation C> C�
Filing Fee
$ 10.00
—
LENDER'S MAILING ADDRESS
Permit Fee
$ J -/:3,,t5(>
ARCHITECT ENGINEER
Aj I
LICENSE NO.
I ---
Plan Checking Fee
$
Energy Plan Checking Fee
$ oo
ARCHITECT/OR ENGINEER'S MAILING ADDRESS
Penalty
$
BUILDING ADDRESS
Permit fee
$ 7
PLUMBING PERMIT
FilingFee 10.00
Each Trap
2.00
Solar or heat pump water heater
20-00
LOT NO.
SUBDIVISION NAME
PARCEL MAP
Water piping
5.00 S- ot:;p
Each qas water heater or vent
5.00
USE OF STRUCTURE
SFJ9 DuplexF-J MobilehomeF� Other
SPECIFY
Gas piping system 1 - 5 outlets
5.00
Building sewer
5.00 0a
Mobile Home is
10.00 ei�
New TYPE OF WORK
JR. AdditionEl RemodelE] UtilitiesE] InstallationE] Other[_
Describe work: :!!S1 (Mr--%
1 S- C, t'.
Permit Fee
$ 3700
Contractor
ELECTRICAL PERMIT
FilingFee 10.00
600V OR LESS
Main service 100 AMP OR LESS
10.00 /0.(30
Main service EA. ADD -L 100 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.
License No. '410 q 57- Classification
1, 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
DWELLING OCCUP.5d)
A69(6R--(ACC. BLDGS. 1/2 ftq ft 5?,F. Z>5
NEW CONSTR. MULTI -OUTLET
ON,RESI BRANCH CIRCUITS) 1,2.50 ea
(POWER APPARATUS.&)
SINGLE OUTLET CIR
20 0 50C
Ex. Occup -(OUTLETS OR FIXTURES JDAL0 30C
FIXED APPLNS. OR
Ex. Occup. OUTLETS (RESID.) EA.) 2.00
Temporary service 10.00 /0. U C,
Mobile Home Facilities 15.00
Misc. Wiring 15.00
Permit Fee $ AZ 1 15-57'
WORKMEN'S COMPENSATION INSURANCE
I declare under penalty of perjury (check one):
The permit is for $100.00 (valuation) or less.
I have placed on file with the County of Butte Building Department
a Certificate of Workmen's Compensation Insurance or a Certificate
of Consent to Self -Insure.
1 shall not employ any person in any manner so as to become subject
to the W. C. laws of California.
Notice to Applicant: If after making this statement, should you become subject
to the W. C. provisions of the Labor Code, you must forthwith comply with such
provisions or this permit shall be deemed revoked.
Contractor
MECHANICAL PERMIT
FilingFee 10.00
Heating �J /c>
1�2. el 0
Cooling —1
Hood
3.00 13.0-o
Ventilation
Permit Fee
$ 3Z 20
Contractor
I certify that I have read this application and state that the above information
is correct. I agree to comply to all County Ordinances and State Laws relating
to building construction, and hereby authorize representatives of the Countyot
Butte to enter upon the above-mentioned property for inspection purposes.
I also agree to save, indemnify and keep harmless the County of Butte against
all liabil'tieA, Judgments, costs, and expenses which may in any way accrue
against sai ou y in onsequence of the granting of thi
Int c p milt
X Date 10 719
Signature of Applicant - Owner El Contractor X) Agent F1
An OSHA permit is required for excavations over 5'0" deep and lition or construct-
ion of structures over 3 stories in height. 1�emo
Mobile Home Installation Fee $
Energy Inspection Fee 3 C)
—
TOTAL PER IT FEE,,, $ 0 loy C75—
occUP.�
C�NWTYPE�
,0'
1 F;/61
PA�� -I[�M
ISSUE
This permit is hereby issued under
sions of the Butte County Code and/or
work indicated above for which
RECTOR OF PUBLIC
B
IK -
PERMIVXPIRES Date -----3
the applicable provi-
resolutions to do
fees have been paid.
WORKS
Dat e
-, <-- PA
,4�e) —
Receipt No. 776741-010
WHITE-D.P.W.. YELLOW-ASSES�OR, PINK-I.SPEC'TIR. �OLDFNROD- ' 10 PLICANT
COUNTY OF BUTTE - DEPARTMENT.OrF PUBLIC WORKS - BUILDING DIVISION
7 COUNTY CENTER DRIVE OROVILLE, GALJIFORNIA 95965 - TELEPHONE: 916/534-4541
PERMIT APPLICATION DATA SHEET Permit No.
OWNER AN,,-- A A. P. No. -?'y /'YG
Proposed Building Use Building InspectorQ2= -<2
Datea/&/
I
At time of permit application, I was advised the following data must be submitted prior to permit processing
and:/orissuance: DATE RECEIVED APPROVED
1.
All items have been submitted . . . . . . . .. . . . .
2.
Plot plans in duplicate./tripli-cate, signed by preparer of plans. .
3.
Complete plans in duplicate/triplicate, signed by preparer of plans.
4.
Complete engineered plans and calcs, with wet signature on plans.
5.
Plans with Energy Desil6n Compliance Statement . . . . . .
6.
CUSD "Fee's Paid" Stamp on Floor Plan . . . . . . . .
8.
_3�7
Statement of Intent for Non -Heated and AC Buildings.
Fees of $ 7—ye. S_ S_ — . . . .
-A 9.
��O-
Letter of signature authorization . . . . . . . . . . .
Sanitation approval from 4'_' Ir\1C, 0 Health Dept. b1i" 7
_d1l 1.
Planning approval for (A) Use: — (B) Parking:—
lw�i 2.
Certificate of Workmen's Compensation Insurance . . . . . . 2?/�� X-7
13.
Contractor's License Information (no., name style, classif.)
14.
Owner -Builder Verification (Given to ownerEl, Mail to ownerE]),
-15.
Improvements may be required . . . . . . . . . . . .
16.
Mobilehome Installation Data. . . . . . . . . . . .
17.
Pre -Inspection for Pre-Inspec. request to
- Required, Buildin Ins ector
—(Dote)
Recorded copy of Agricultural Acknowledgment Statement.
Driveway Permit.
20. Plot plan approval from city of
—21.
22.
When you issue the permit, process as follows: —Mail to owner, -.,--Mail to contractor.
_��Teleph ' one and hold for pickup aQ_!LaLv_JIeoffice, —Deliver w/inspector.
Other 4mtle 9117 _19 _X (0 1_/
Applicant QAA7Date'
Copy of p I ans sent — Hea I th Dept., — F i re Dept., — Other — Date
The following data must be submitted prior to permi
1. Index permit for above items No.
2. Additional items required:
uanc� (circle njA�,oitem not checked above).
Contractor, designer, owner, was advised of above required data by —phone---jnai I —counter by— date
Contractor, designer, owner, was advised of above required data by—phone—mai[A—Ounter by— date
Plans checked by
Date Plans approved by
__�_Sets of plans on hold kq,.42i_FiIe cabinet _AP folder
Copy—DPW
Date
- Flours: 10:00 a.m. - 3:00 p.m.
TO: Building Department
FROM:- Environmental'Health, Chico
SUBJECT: Sanitation Clearance
A&
Owner Location AP#
.Plan approved,for: sewage disposal water supply
Hold final for:
Final clearance O.K. for:
Clearance for bedroom mobi ther
1� N�om DO
Note***
Sanitarian
water suppl
water supply
Date
COUNTY OF BUTTE - Department of Public Works
7 County Center Drive, Oroville, CA 95965 Phone: 916-538-7541
OWNER-BULDER VERIFICATION
Attention Property Owner:
An'"oWner-builddr" building permit has been applied for in your name and bearing
youi. signature.
Please complete and return this informatio�n at 'your earliest opportunity to avoid
unnecessary delay in processing and'issuing youibuilding permit; No building permit
will be -issued until this verification is received.
1. 1 personally plan to provide the major labor and materials for construction of
the proposed property improvement (yes or no)
2. 1 (have/have not) signed an application for a building permit
for the proposed work.
3. 1 have contract�d with the following person (firm) to provide the propbsed,
construction:
Name -M
I8U':D A
Address �z
City
Phone _3q> , oc)o,�� Contractors License No, 41-205S-2-
4. 1 plan to provide portions of this work, but I have hired the following person
to coordinate, supervise, and provide the major work:
Name
Address City
Phone Contractors License No.
5'. -1 will provide some of the work.but I have contracted (hired) the following
.persons to provide the work indicated:
Name Addr6ss Phone Type of Work
Signed:
Property Owner
Social Security Number --
Date,
NOTE: This Owner -Builder Verification is sent to you as required by Sec t4ons 19831 and
19832 of the California Health and Safety Code.
This verification must be completed and returned to our office before we are per-
mitted to issue the permit.
RECORDED BUTTE QOUNTY
OFFICIAL RECORDS BY
'.,MID VALLEY TITLE CO.
CANDACE J. GRU08S
87- '-G3GS
Return to DPW AGRICULTURAL STATEMENT OF ACKNOWLEDGENENT
FOR RESIDENTIAL DEVELOPNENT
Section 26-8.1 of the Butte County Code requires this acknowledgement
be recorded prior to issuance of a building permit.
The property described herein is adjacent to land or included
within an area zoned for agricultural purposes, and residents of this
property may be subject to inconveniences or discomfort arising from
the use of agricultural chemicals, including, but not limited to herbicides, pesticides,
and fertilizers; and from the pursuit of agricultural operations including, but not limited
to cultivation, plowing, spraying, pruning, and harvesting which occasionally generate dust,
smoke, noise, and odor. Butte County has established agricultural zones which have as a
priority use for productive agricultural purposes, and residents within said zones and on
adjacent property should be prepared to accept such inconvenience or disconform from normal,
necessary farm operations.
All that real property situate in the County of Butte, State of California, described
as follows:
SEE ATTACHED FOR LEGAL DESCRIPTION '
Date: 2-13-87
State of California
Ss.
County of -Butte
0
MARSHA A. V!ER.9A 'a
NOTARY PUE-LIC-CALIFORNIA fog
Butte Counr�
My Commission E50res Dec. 7.1990
IN
movess"92caus 13 scalff a me Sam give
.V'..,Present A.P. No.
NOT COMPAU:D WITH
ORIGINAL
PROPERTY OWNERS:
David -yeish
_aVAkA- e z' �Wi " -
Anne E. Feather -Welsh
On this the 1_3th, day of __ Fehrunrg 19__a7 , before
me, the unders'igned Notary Public, personally appeared
David A. Welsh and Anne E. Feather -Welsh
Personally known to me.
ixProved to me on the basis
of satisfactory evidence.
to be the person(s) whose hame(s) are subscribed to
the within instrument and acknowledged that —they
executed the same for the purposes therein contained.
IN WITNESS WREREOF, I hereunto set my hand and official seal.
Notary Public
DESCRIPTION:
All that certain real property situate in the County of Butte,
State of California, described as follows:
PARCEL I:
Lot 6,. as shown on that certain Map entitled, "STANFORD COURT
SUBDIVISION", which Map was filed in the Office of the Recorder
of the County of Butte, State of California, on January 21, 1987,
in Book 104 of, Maps, at Page 61.
RESERVING THEREFROM a non-exclusive easement for road and public
Utility purposes over Almond Grove Court.
Subject to Covenants, Conditions and. Restrictions, recorded
January 21, 1987, under Butte County Recorder's Serial No. 87-
2453.
PARCEL II:
A non-exclusive easement for road and public utility purposes
over Almond Grove Court, as shown on that certain Map entitled,
"STANFORD COURT SUBDIVISION", which Map was filed in the Office
of the Recorder of the County of Butte, State of California, on
January 21, 1987, in Book 104 of Maps, at Page 61.
FORM I
RESIDENTIAL ENERGY PLAN CHECK/INSPECTION SUMMARY
Da
Ah:n
owner
i') idi
(OdsA Climate Zone Permit No..c>f fe44,
Floor Area
Compliance
path: Package 0 A 0 B 0 C e�oint System' [I Budget []other
MIN
R -VALUE DESCRIPTION
REQ1D
INSTALLED
ITEMS (1)
INSULATION:
Roof/Ceiling A�A e e, -I, Z A.
Wall
13
Slab Floor Perimeter
Raised Floor
(2)
INFILTRATION:
13
.(A) A vapor barrier is required in climate zones, 1, 14 & 16.
(B) All manufactured windows and sliding glass doors shall meet the
1972 ANSI Air Infiltration Standards and shall be certified and
labeled.
(C) All swinging doors and windows ' leading to unconditione'd areas
shall be fully weatherstripped.
BUTTE; COUNTY
Tight - the above standaid features plus:
13.
(D) Continuous infiltration barrier BUILDING DEPARTMEN-1
(E) Electrical outlet plate gasket
13
(F) Air-to-air,heat exchanger
APPROVED
(3)
GLAZING:
(A) Location
Area Glazing Vloor Area Single Double Triple
Total Bldg i/", ,
North q'7 4--40
East
South
West
Skylights
(B) Shading
Shading
Coefficient Desc)Zipti
East Z,
South
West
Skylights
(C) South Overhang
Length of projection ft. Description
(D) Moveable insulation: Area ftz Description
(E) Thermal mass
13
Type - Area Ft.2 HC= R-
MC= Location
13
Type - Area Ft.Z-HC=- R=
MC= Location
13
Type - Area Ft.2 IiC= R=
MC= Location
13
Type - Area Ft.Z HC=. RF
MC= Location
13
Type - Area Ft.2 HC= R; -
MC= Location
0
Type - Area Ft.Z HC= - R=
MC= Location
7/83
MRM. I
[3 (4) MASONRY AND FACTORY -BUILT FIkEPIACES shall be equipped with tight
fitting closeable metal or.glass doors covering the entire -opening
of the firebox; a combusion air intake equipped with a re ' adily
accessible, openab . le, and tight fitting damper to draw'air from the
outside of the building; and a tight fitting flue damper with a
readily accessible control.
LN,
*1(5) HEATING.-VENTIIATING, AIR CONDITIONING SYSTEM
(A). -."Heating
dentral Gas Furnace 71 %
(brand and model number). SE
Btu/hr
(heating capacity)
Heat Pump.
(brand and model number) ACOP
Btu/hr
(heating capacity at 47*F)
Active'Solar I I
model number
.,type (liquid or air)
'solar fraction
Collector brand and
ft2
collector area collector
orientation collector tilt' rated y -intercept
rated slope
-other
0-0 i-t_
(describe)
(B)
Cooling
Electric Air Conditioner
.(brand and model number) (seasonal EER)
Btu/hr,
(cooling capacity 'at 95*F)
13
Electric Heat Pump'
EER
Btu/hr
.(cooling capacity at 95*F)
E3
other
(describe)
13
(C)
A TWO-STAGE THERMOSTAT, which controls the supplementary heat on
its second stage, shall be required for heat pumps.
(D)
AN AUTOMATIC SETBACK shall be provided for.all thermostats, except
those controlling heat pumps.
(E)
AN INTERMITTENT IGNITION DEVICE shall be provided for all gas-fired
fa6 type central fur'naces, gas-fired fan type wall furnaces and
gas cooking appliances.
(F)
BACKDRAFT DAMPERS *shall be provided for all fan systems exhausting
air to the outside.
(G)
DUCT' CONSTRUCTION & INSUIATION.- All transverse duct, plenum, and
fitting joints shall be sealed with pressure sensitive tape or
mastic to prevent air loss and shall be insulated to conform to
the provisions of Section 1005 of the UMC, 1976 Edition.
7/83
13
13
2
(6) DOMESTIC WATER SYSTEM.
- -(A) Gas Only
(brand and model number)
Heat Pump w/ElectricBackup
(brand and model number)
(tank size)
FORK I
Gallons
Gallons
(tank size)
Active Solar
(collector.brand and model number)
(rated y -intercept (rated slope) (solar fraction) 2
ft
!(backup heater type, brand and model number) (collector area)
(collector orientation) (collector tilt)
13 'Location of Solar Panels
13 other
(Describe)
-(B) TANK INSULATION. Storage type water heaters and storage and
backup tanks' for solar systems shall be externally wrapped with
R-12 insulation or greater.
(C) PIPE INSULATION. The five.feet of pipe closest to�the water
heater and outside conditioned.space shall be insulated with a
minimum of R-3. St.eam.and steam conditioned space shall be
insulated with a minimum of R-3. Steam and steam -condensation
return piping and recirculating hot,water piping outside the
building envelope.shall be insulated in accordanpe with
T20 -1408(d).
all" .(D) FLOW RESTRICTORS shall be provided for 8howerheads and faucets
as outlined in the new appliance efficiency standards and shall
be certified to the Energy Commission.
7) LIGHTING
(A) Lamps used in luminaries for general lighting -in-kitchens and
bathrooms shall have an efficacy of not less than 25 lumens per
watt (usually florescent).
Submit documentation'of sizing heating and cooling equipment by Manual'J, sizin g
charts (form #4) or other approved methods, section 2-5352(g), and fill out the
following;
Heating: Winter design temperature Q22 elevation
elevation factor'_j. VZ&,24-t- ', heating load//O?,2,BTU
.L..010 x heating
., load = maximum outlet capacity gas furnace
40 aa -d BTU
0 t1_*1
Cooling: §�mm*e'r* design temperature , . 'cooling load gat�j BTU
*2 (USE ONLY AS A SIZING GUIDE, COOLING MAY BE INADEQUATE)
Submit T.I.P.S.E. chart or other approved system (form #5) to document sizing of'
solar -panels.
DESIGN COMPLIANCE STATEMENT: The above building design meets the requirements of
Title 24, Part 2, Chapter 2-53 of the California Administration Code.
�7/83 ___b_F_ BUILDING DESIGNER OR APPLICANT
SIGNATURE
3
'r
1:� e FORM 2
CONPLIAKE CHECKUST LOT -
For Low-Ris* Resid*Rtidl Buildings A L 4 P 6 e� F -T.
(except hotels and motels) Revised 2/85)
step 1: Enter on the form the values for each measure from your building plan
and specifications sheet.
Step 2: Enter points on this page while working through the point system
Building Shell
Measure
Points
Compliance Goal (see p. 5-2 or p. iii)
2
2150 f t
1.
Total Floor Area . . . . . . . . .
Slab -on -Ground; Perimeter it:.*D;Pt*h* in .
. . . . .
. . . . . . R-
H A
2.
3.
Raised Floor R -Value . . . . . . . . . . . ... . . . .
Ceiling insulation or Construction Assembly . . . .
. . . . . R- 1 -1
. . . . . . R- '-;'7 0' 2
t
c-;) V,'
Attic. Percent of Roof Over Conditioned Space JU %
1�7—f
4.
wall insulation or.Construction Assembly . . . . . .
. . . . . R
62
1000,
Glazing; Total % Floor Area Single Double
Triple
Si..Ikorth-Facing.
2
�>.o 2 14--1 ft2
-C
2
ft 2
ft
02-
6.
7.
ft -
East -Facing 2 c>+f t7 2
Fici ng. % ft I b:d: !t ft
S6u th� - 2
2
4W
8.
West-Fa;ing f t
2
—�ft 2
ft
—ft2
L001
9.
Skylight. % ft
10.
Shading Coef f ic i ent
(exclu'lding,-oveOhang)
a East 9�0 SC
. . . . . .
b. South. .
SC
SCc. West . . . . . . . . . . . * 0
d. North* . . . . . . . ... . . . . . 'C
I A
e. Skylight . . .. . . . . . 0 . . 0 . "
—2-
11.
'Horizontal South Overhang Length . . . . 1, G. =-t
1
12.
Movible'Insulation, %.Floor Area . . . %
*
4:1
13.
Infiltration (indicate Standard, Medium O—r*irt)
1!5
1
.4.
i
Thermal Kass
Exterior Wall Thet*al Mass
Area. Heat Capacity, R -Value . . . . . . .
2
'Ift HC, R
H A
lnterior,Thermal Kass 2
Area, Heat Capacity, R -Value . . . . . . . —ft MC, R
�4 A
HVAC System**
15.
Gas Furnace without Refrigeration. Cooling
16.
(Seasonal Efficiency) . . . . . . . . . . . . . .
Heat Pump (Energy Efficiency Ratio)*** . . . . . .
. . . . . . SE
ER
HA
t-4 A
17.
Gas Furnace with Refrigeration Cooling***
Seasonal Efficiency and Seasonal
-Energy Efficiency Ratio .
- -ILL/, m �LS E k-0 mHSEER
0
18.
Active Solar,(Net Solar Fracii;n:
%NSF
H 4,
19.
Zonally Controlled Electric
(Yes*��
t4A
Resistance , Space Heating . . . . . . . . . . ...
. .
\X/OOL.;,
+
610/
Oomestic Water Heating"
420.
Solar With Gas Backup (Net Solar Fraction, %) . . .
. . . . . . p %NSF
t-4 A-
21.
Other Water Heating (Oescribe type)
A
Point System Compliance Total . . . . . . . . . . . . . . .
t vz-
*North shading earns points only in Climate Zones 8, 9, 10, 12, 13, 14 and 15.
"Attach documentation for efficiencies and. Net Solar Fraction.
***Heat pumps and refrigeration cooling do not earn points in Climate
CLAZING PW T"Em SHM
3-5 ftrth glatLa
a
QUANTrfy SIZIE AM (SQ.Fr.)
(a) 5-1 x
(b) + x
(c) x
(d) —�Z- x 10(0
(e) x
Total North Glazing Mxr.)
(i+b-+c4d+e)
TOTAL
3-7 South Glazing
WEST
NORTH
TOTAL BIDG
CONVERSION TOTAL %
GLAZING
FLOOR AREA
FACTOR KOM GLAZING
(b)
x
100 > > A
SQ.FT.
SQ.FT.
x 100 %
SQ'. FT. SQ. FT.
3-9 Skylights
QUANTITY SIZE AREA (SQ.FT.)
(a) x 2-0-f-0 m I (e
(b) x !Zc :Z
(c) x
Total Skylights (Soxi.)
(a+b-fc)
TOTAL
SKYLIGHT TOTAL BLDG CONVERSION TOTAL %
GLAZING FLOOR AREA FACTOR SKYLIGHT GLAZING
FOR M
3-6 East Glazim
QUANTITY SUE AREA (SQ.FT.)
(a) x
(b) x
(c) x
(d) x
(e) X --t)* O.CTA60H -
Total East Glazing - �7t (SQ.FT.)
(&+b+c4d+e)
TOTAL
EAST TOTAL BLDG
GLAZING FLOOR AREA
x
SQ.FT. SQ. FT.
CONVERSION TOTAL %
FACTOR EAST GLAZING
t
100 %
3-8 West Glazing
QUANTITY SIZE AREA (SQ.FT.-)
(a) I x 2112-0 — = . -4
(b) -2- x r --,o a -,:!:) 0
(c) x F F!- E P -1c H 0
(d) x
(e) x
Total West Glazing (SQ.FT.)
(a+b-+.c+d+e)
TOTAL
3-7 South Glazing
WEST
TOTAL BLDG
QUANTITY . SIZE
AREA (SQ.FT.)
(a)
x �5`5 0 - -
, I
(b)
x (a 0
(c)
x I
(d)
x qc' 6AF-C)E.H -
(e)
x (,p 6 -
4c
Total South Glazing -
(SQ.FT.)
(a+b+c+d-fe)
TOTAL
SOUTH TOTAL BLDG CONVERSION TOTAL %
GLAZING FLOOR AREA FACTOR
SOM GLAZING
x 100 %
SQ'. FT. SQ. FT.
3-9 Skylights
QUANTITY SIZE AREA (SQ.FT.)
(a) x 2-0-f-0 m I (e
(b) x !Zc :Z
(c) x
Total Skylights (Soxi.)
(a+b-fc)
TOTAL
SKYLIGHT TOTAL BLDG CONVERSION TOTAL %
GLAZING FLOOR AREA FACTOR SKYLIGHT GLAZING
FOR M
3-6 East Glazim
QUANTITY SUE AREA (SQ.FT.)
(a) x
(b) x
(c) x
(d) x
(e) X --t)* O.CTA60H -
Total East Glazing - �7t (SQ.FT.)
(&+b+c4d+e)
TOTAL
EAST TOTAL BLDG
GLAZING FLOOR AREA
x
SQ.FT. SQ. FT.
CONVERSION TOTAL %
FACTOR EAST GLAZING
t
100 %
3-8 West Glazing
QUANTITY SIZE AREA (SQ.FT.-)
(a) I x 2112-0 — = . -4
(b) -2- x r --,o a -,:!:) 0
(c) x F F!- E P -1c H 0
(d) x
(e) x
Total West Glazing (SQ.FT.)
(a+b-+.c+d+e)
TOTAL
WEST
TOTAL BLDG
GIAZING
FLOOR AREA
-4/
. 2 q 5c�- X
SQ. FT.
SQ.FT.
CONVERSION TOTAL %
FACTOR WEST GLAZING
100 %
VC r-
11- r
:�- 0 —, 9 50 x 100 %
SQ. FT. SQ. FT.
OWNER
PERMIT NO.
7/83 ';�2 'f2
-.41LO 7r2' 1 -/1 L7.5Zj M A L-
6LA 7- 1 t-4 (;
t,
< 1,
RESIDENTIAL PLARCHEC KING GUIDE
(S.F., DUPLEX & MISC. ONLY)
Bldg. Permit
OWNER A.P. #
GENERAL
,'k' ---"'*Zoning requirements: (sideyards
Valuation.
Plans signed by designer.
Energy Design and Compliance.
��Existing violations on property.
PLOT PLAN
and number of permitted living units).
complete parcel size and dimensions.
Setbacks, sideyards, easements, etc.
Other buildings or structures.
Grading, fills, drainage.
Flood hazard.
Special conditions on creation map or compliance document.
7185
FLOOR PLAN
—.'�Complete to scale plan with dimensions.
��equired windows for light and ventilation* (Sec. 1205).
,Required windows for second exit (Sec. 1204).
,.-Skylights (Chapter 34 & Sec�.,. 5207).
Human impact glass (Sec. 54:06).
.6-11-1- Required room sizes, ceiling heights (Sec. 1207).
L7`." G.F.C.I."s in baths, garage,and exterior outlets (Article 210-8). o
Light fixtures, switches, receptacles, and exterior receptacles for maintenance of
echanical equipment..
,a----'MLocations of water heater, heating.and cool-ing'equipment, other electrical or gas
equipment, and plumbing fixtures.
Jl� Garage firewall, door size, and closer (Sec. 503(d)(3)).
,11 1 3'0" exterior exit door (Sec. 3304(e)).
,,,Fireplace and wood stove location.
_123- Smoke detectors (Sec. 1210).
STRUCTURAL DETAILS
Mndation plan complete enough'.".:to construct building.
Floor construction detailg complete enough,:to construct building.
��levations and wall construction details complete enough to construct.building.
.`Roof construction details complete enough to construct building.
_>K Fireplace construction details and calcs if necessary.
��Sufficient data and details to satisfy energy requirements (State Law) (Form 1).
MISCELLANEOUS ITEMS TO LOOK OUT FOR
Exposure I * plywood on exposed locations and overhangs.
Stairway details: landings, rise and run, head clearance, handrails'(Sec. 3306).
Guardrail details (S�c. 1711 & 3306(j))...
Brick or stone -veneer (Chapter 30).
Exterior plaster weep -screeds (Sec. 4706).
Proper roof -pitch for roof covering (Chapter'32).
-'I< Rafter ties or.bearing ridge beam. 'T;- 1i S -S
RESIDENTIAL PIA19 CHECKING GUIDE (CONT'D) 7/85
MISCELLANEOUS ITEMS TO LOOK OUT FOR (CONT -D)
Garage door or porch header sizes.
Adequate bracing.
Living area over garage - complete 1 -hour separation required on garage side
including supporting walls and posts, etc.
Two exits on three-story dwellings (Sec. 3303 & see Mezannines 1716).
Attic access and ventilation (Sec. 3205).
),3"' Underfloor access and ventilation (Sec. 2516).
Wood stoves, clearances, alcoves & 1 -hour shafts.
Combustion air for fuel burning appliances.
Noise requirements on duplexes.
Adobe soils - special foundation design.
Retaining walls requiring design.
Unusual shape, size or split level house requiring lateral design.
I
Temp. Pour
Called
Temp. Elec
Called
Temp. Gas
Called
JOB FINAL
Sipnatu
= OK
0 = Not OK
- = Not Applicable
= Not Ready MOBILE HOMES
MISCELLANEOUS
Date
MOBILE HOME'UTILITIES (Plans) OK except #'s
Date
DECKS,COVERS,CARPORTS, GARAGES, (Plans)OK except #'s
1. Zoning Requirernerits-Setbacks-Easements
1. Zoning Requirements -Setbacks -Easements
2. Soils; Special MH Support -Sketch
2. Footings; Soils-Size-Depth-Spacing-Connectors-SteeI
3. Sewer; Location -Test -Fall -C/0 -Concrete
3. Decks; Girders and/or Joists-Decki ng-Braci ng-Stai rs- Rai Is
4. Wate - r; Locati o n -Test- Ease m ant Needed (Sketch)
4. Wood Awn.;, Posts-Beams-Rftrs.-Connec.-
Shthg.-Rfg.-Bracing
5. Electricity; Location-Clearances-Grnd.-/ Amp -Concrete
6. Gas; Location -Test -Wrap: / /"L"ft.
/ P'Nat. or/ /"L"ft./ /"LPG
5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures
6. Carports; Windows -Doors
7. Utility.Clearance
7. Elec.
8. Frmg; Sills-Anchors-Studs-Rftrs-Tru�ses
9. Siding; Nailing -Veneer -Stucco -Mesh'
Card -131
Date Card -B1 Date
10. Roof; Shthg-Roofing
Card -131
Date Card -131 Date
11. Ext.; Steps -Doors -Landings
Date
MOSILEHOME INSTALLATION (Plans) OK except #'s
1. Zoning Requirements -Setbacks -Easements
Card -131
Date Card -131 Date
2. Footings; Size -Spacing -Marriage Line
Card -131
Date Card -131 Date
3. Gas; MH Test -Demand -Valve -Connector
4. Electricity; MH Test -Crossovers -Breakers -Clearances
Date
POOLS (Plans) OK except #'s
5. Drain; MH Test -Fall -Flex Connector
1. Setbacks -Easements
6. Water; MH Test -Regulator -Connector
2. Soils; Compaction -Structure Stability
7. WaterAnd Sewer Connected -C/0 to Grade -HD Approval
3. Pool Structure; Steel -Connections -Thickness -
Dead Men -Lining 9
8. Gas and Electricity Tagged
9. Exits; Insp.-Sketch
4. Elec.; Receptacles and Lighting, Dist ances-GFI
10. Cart. of Occupancy
5. Elec.; Pool Lighting; 15 volts-GFI
6. Elec.; Enclosures; Conduit Entries -Terminals -Listed
7. Elec.; Bonding; Metal w/5'-Circulatin-g Equip. -Heater
8. Elec.; Ground i ng; Equip. w/5' -circulating Equip. -Pool Lghtg.
Boxes-Encl6sures-Panelboards-ins. to Main in Conduit
Card -'131 Date Card -1311 Date
Card -131
Date Card -1311 Date
9. Health Department Approval
10. Plumb.; Cir. Test -Water Supply Test#
Card -B1
Date Card -131 Date
Card -B1
Date Card -131 Date
= OK
0 = Not OK
- = Not Applicable RESIDENTIAL (Single and Duplex)
= Not Ready
Date
UNDERFLOOR (Plans) OK except #'s
Date
FRAMING (Continued)
1. Zoning requirements -Setbacks -Easements
44. Hangers -Post Caps -Anchors -Connectors
2. Ftg., Main; Soils-Steel-Elec. Grnd.-/ /" Ftg. Depth
45. Clng. Joist-Rftr. Ties-Purlin-Roof Brac.-Truss-Shthng.-Rfng.
3. Ftg., Garage; Soils -Steel-/ /" Ftg. Depth
46. Fireplace Ties or Type A Flue -Fireplace Throat
4. Ftg., Porches & Decks; Soils -Steel-/ /"Ftg. Depth
47. Attic Access; Size & Romex Protecti on- Draft Stop -ins. Baff les
5. Stemwalls, Main; Steel-Blockouts-Wrapped
48. Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions
6. Stemwalls, Garage; Steel-Blockouts-Wrapped
49. Garage Fire Protection Framing
7. Slab; Steel -Wrapped
50. Property Line Firewall & Openings
8. Piers- Fi replace,,Rg. -Steel
51. Ext. Doors -One X -Check Garage -3rd story, 2 exits
9. D.W.V.; Fal!±�s-Test-2 way C/0 -Sewer Test
52. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection
10. Gas Pipe; Size-A4hors
53. Plywood on Roof Overhang -Attic Vents -Rafter Outriggers
11. Water Pipe;,,T,*t-Anchors-Regulator-Service Test
54. Siding -Nailing Veneer
12. Electric; U 4�srouncl
55. Stucco Mesh -Drip Screed -Fd. Vents-Underfir. Access
13. Plenums)& Duct�; Clearance-Material-Supprt-Ins.
56. Glazing Area -Glass Protectio n-Skyl ig hts- Plastic
14. Girders- 9 --Anchor Bolts -Joists -Vents -Cripples
57. Shear Walls; Nailing -Bolts
15. Insulatio
58. Insulation-Walls-Clg.
59. Infiltration-Walls-Wndws
Card -131
Date Card -B1 Date
Card -131
Date Card -131 Date
Card -131
Date Card -131 Date
Card -B1
Date Card -B1 Date
Date
PLUMBW_d _(Perm�i) OK except #'s
16. Water t ".ent-Access-Combustion Air
Date
FINAL (Plans) OK except #'s
17. WatekPiW,Test & Anchors -Nail Protection
60. Ext. Steps -Door & Sidelight Protecti on- Landings
18. D.W.V.; Test- ttngs & Anchors -Nail Protection
61. Smoke Detector
19. S��a ; Test, First Floor -Tub Access
62. Furnace; Vents -Clearance -Comb. Air -Connector -
In Garage; Above Floor-Ducts-Mech. Protection
20. Test Tub'& Shower, 2nd Floor -Tub Access
21. Gas Pipe; Sizo & Anchors
63. Bedroom Exiting
64. G.F.I. & Bath Fixtures & Tub Access -Spa
65. Elec. Trim & Subpanel; Breaker Sizes -Labels
Card -B1
Date Card -B1 Date
66. Stairs & Rails
Card -B1
DA Card -B1 Date
67. Fireplace or Stove; Clearances -Hearth
\1 I J
68. Elec. Outlets at Wood Panel; Int. & Ext.
Date EL'ECTRI'OL (Permit) OK except #'s
2AFixtu!qK ansformer Clearance -Ins. Protection
69. Kit. Fixt. & Appliance; Grnd. -Air Gap -Cooking Clearance
23. XieqANcotacles Spacing -Lights & Switches at Doors
70. Elec. Outlets & Receptacles at Kit. Counter
94 Siie Box -es A No. of Conductors -Stapled
71. Garage Fire Door; Swing -Landing -Closer
25. Romex Installed Close to Edge of Studs & C.J.
72. A.C. Duct in Garage -Damper
26. Equip. Ground madeupw/Mech. Fasteners -Bond Gas&Water
73. Wtr. Htr.; Vents -Clearance -Comb. Air-Connector-P.R.V.-
In Garage; Above Floor-Mech. Protection
27. 2 Appliance Circuits in Kitchen & Conductor Size
74. Plb., Elec. & Mach. Equip. Listed for Location
28. Subfeed Wire Size ga. Cu or AI-A.C. Wire Size / /ga.
Cu or Al
75. Elec. Receptacles in Garage; (G.F.I.)-Romex Protec.
29. Range Circ. ga. Cu or Al -Oven Circ. ga. Cu or Al.
Insulated Neutral Yes No
76. Insulation -Foam -Looked in Attic 0 Yes
77. Guard Rails & Deck Construction -Post Caps
30. Service -Riser Conductors & Ground -Main Disconnect
78. Fdn. Vents & Crawl Hole Door -Drainage & Wood -Earth
Clearance Looked under Floor 11 Yes
31. Equip. Clearances Panels-Motors-Mech. Equip.
32. Clothes Closet Light -Shower Light -Spa Light
79. Following instid.; Drive 13 Yes 0 No; Walks 0 Yes 0 No;
Planters 0 Yes 0 No
80. Stucco; Brown -Finish
Card -131
Date Card -131 Date
81. A.C. Unit; Disconnect, Electrical, Plumbing
Card -B1
Date Card -131 Date
82. Vents Above Roof; Plbg.-Appliance-Firepi.-Clearance to
Openings.
Date
MECHANICAL (Permit) OK except #'s
83. Water Well; Disconnect, Electrical, Plumbing
33. A.C. Ducts Insulation & Support -
84. Exterior Elec. Trim; G.F.I. Receptacle -Underground
34. Vent Fan; Exhaust above insulation
85. Ventilation throughout House
35. Condensate Drain & Overflow; Size & Grade
86. Glass Protection
36. Furnace -Vent; Access -Comb. Air -Return Air Vent -115 outlet
87. Corrections from Previous Inpections
37. Attic Access & Platform if Furnace in Attic
88. Gas Test -Meters Tagged; Gas -Electric
89. Water & Sewer Connected -C/O to Gracle-HD Approval
90. Energy Compliance Certificate -Other Certificates
Card -131
Date Card -131 Date
Card -131
Date Card -131 Date
Card -B1
Date Card -BI Date
Card -131
Date Card -BI Date
Date FRAMING (Plans) OK except #'s
38. Sills, Proper Material & Anchors
Card -BI
Date Card -B1 Date
39. Walls Studs -Nailing, Spacing & Bracing -Plates -Sound
Comments at Final:
40. Bearing Walls over Girders & Floor Nailing
41. Draft Stop in Walls (rht proof)
42. Fire Stops; Furred Ceilings -Stairs -Chases -Tub
43. Header & Beam -Size & Bearing
(NOTE: An entry must be made each time you visit job site)
COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS E IT NO.
7 County Center Drive - Croville, CalMornia 95965 - Telephone: 916/538-7541 1 �/
(?;.7- er
APPLICATION AND PERMIT kl�
ASS SSOR P EL NUMBER
ZONING
BUILDING PERMIT
OWNER
TIJE Lf-_? H 0 N E
SQ FT. OCC. BUILDING VALUATION
OWNER'S MAILING ADDRESS
XW6 C -A 5e,
laze
CONTIR
e�� F_
TELEPHONE
CONTRACTOR'S MAILING A .... SS
Fireplace
CONSTRUCTION 1,,ENDER
UNKNOWN
Total Valuation $
Filing Fee
$ 10.00
LENDER*S MAILING ADDRESS
Permit Fee
$
ARCHITECT OR ENGINEER
Ad&
LICENSE NO.
Plan Checking Fee
$
Energy Plan Checking Fee
$
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Penalty
$
BUILDING ADDRESS
Permit fee
$ //7c�o
PLUMBING PERMIT
Filing4e 10.00
v
Each Trap
2.00
Solar or heat pump water heater
20-00
L 0 T67
SU DIVISION NAME PARCEL MAP
Ap
Water piping
5.00
Each qas water heater or vent
5.00
USE OF STRUCTURE
SFE1 DuplexFj MobilehomeEJ Other— 71 -1,o -All)
SPECIFY
Gas piping system 1 - 5 outlets
5.00
Building sewer
5.00
Mob -i le Home FSTG1 W 1
10-00 ea
TYPE OF WORK
New El Additiono Remodel [:1 U iIJ -
tL!_UiesO ?Isallation[I OtherO
Describe work:
I
Permit Fee
$
Contractor
ELECTRICAL PERMIT
FilingFee 10.00"
600V OR LESS
Main service 100 AMP OR LESS_
10.00
Main service EA. ADD -L 100 AMP
2.50
CONTRACTORS LICENSE LAW
I declare under penalty of perjury (check one):
ivfi
I am licensed under provisions of Chapt. 9, Div. 3 of the Busines S
and Professions Code and my license is in f�g force and effect.
License No. Classification ZD
1, as the owner, or my employees with wages as their sole compen-
sation, will do the work,and the structure is not intended or offered
for sale. (Sec. 7044)
1, as the owner, am exclusively contracting with licensed k;UIILIC2t;t-
ors. (Sec. 7044)
I am exempt under Sec.—, Business and Professions Code
for this reason
NEW CONST. (DWELLING OCCUP.81)
OR ADDNS. ACC.BLDGS. 21/20sqft
NEW CONSTR. MULTI -OUTLET
NON*RESID. BRANCH CIRCUITS) '2.50 ea I
POWER APPARATUS &I
(SINGLE OUTLET CIR. I
Ex. Occup(OUTLETS OR FIXTUREL 20050t
BALO 30
FIXED APPLNS. OR
Ex. Occup.__OUTLETS (RESIO.) EA.1 2.00
Temporary service 10.00
Mobile -Home Facilities 15.00
Misc. Wiring 15.00
Permit Fee $
Contractor
WORKMEN'S COMPENSATION INSURANCE
I dec:la e under penalty of perjury (check one):
The permit is for $100.00 (valuation) or less.
E] 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.
F-1 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 subjecL
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
Fi I ing Fee 10.00
Heating
Cooling
Hood
3.00
Venti lation
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 andrState Laws relating
to building construction, and hereby authorize representatives of the Countyot
Butte to enter upon the above-mentioned property for inspection purposes� .
I also agree to save, indemnify and keep harmless the County of Butte against
all liabilities, judgments, costs, and expenses which may in any way accrue
ag ' at said nty in cAnsequence of the granting of this permit.
I_
X =(2L L, Date
Signature of Applicant - Owner E] Contractor 0, 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.
I COMST.-T77
J��Fr/OJPARLYL
Is u
This permit is hereby issued under
sions of the Butte County Code and/or
work indicated above for which
DIRE OR OF PUBLIC
B y
P IT/EXPIRES Date
the applicable provi-
resolutions to do
fees have been paid.
WORKS
Date 10- ?-A>
Receipt No. 190QA�Z:5'
WHITZ-O.P.W.. YELLOW -ASSESSOR. PINK -INSPECTOR. GOLDZNROV-APPL I CANT
ki
COUNTY OF BUTTE DEPARTMENT'OF PUBLIC WORKS - BUILDING DIVISION
7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNI.A 95965- TELEPHONE: 916/538-7541
PERMIT APPL'TICAf I A DATA SHEET
OWNER
Proposed Building Use �
Permit No.
A. P. No.
Bui,lding Inspecto Dat,4a�/
At time of permit application, I was advised the following data must be submitted prior to permit processing
and/orissuance: DATE RECEIVED APPROVED
1. All items have been submitted . . . . . . . . . . .
4Z,2. Plot plans irLdup icate/triplicate, iped by pre 'ar r of plans.
p e V/ 97 6��
S. Complete plans in �yTicate/tripllcate, signed by preparer of plans.
4. Complete engineered plans and calcs, with wet signature on plans.
5. Pla Ins with Energy Design Compliance Statement . . . . . .
6. School District "Fees Paid" Stamp on Floor Plan.
7 Statement of Intent for Non -Heated and AC Buildings.
8. Fees of $ . . . . . . . .
9. Letter of signature authorization. A
W, 0. Sanitation approval from Z�� 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.)
Owner -Builder Verification (Given to ownerEl, Mai I to ownerE])
15. Improvements may be required . . . . . . . . . . . .
16. Mobilehome Installation Data. . . . . . . . . . . .
Pre-Inspec. request to (Date)
17. Pre -inspection for-------- -,R.eq u i red . Building In s pector
18. Recorded copy of Agricultural Acknowledgment Statement.
19. Driveway Permit.
20. Plot plan approval from city of
21.
.22.
When you issue t , he-, milt, process s follows: Mail to owner, Mail to contractor.
"--n_)_TeIephone Vand hold for pickup"<_,5;1off ice, —Deliver w/inspector.
.Other
ant
Applic
opy;, of plans sent Health Dept., —Fire Dept., Other Date
The following data must be submitted prior to permip issuance: (fi e new item not checked above).
1. Index permit for above items No.
2. Additional items required:
Contractor, designer, owner, was advised of above required data by—phone---mai I —counter by— date
Contractor, designer, owner, was advised c! above required data by —phone ma i I —counter date
Plans checked by Date Plans approved by— D at
—Sets of plans on hold in—File cabinet _AP folder
Copy—DPW
TO Buildinq Department
FROM: Environmental Health
SUBJECT: Sanitation Clearance
Owner
--- d.1
Location.
Plan Approved for: Sewage Disposial
Water SupplV
Hold final for:
Final clearance O.K. for:
bedroom mobile home.
NOTE
Sanitarian
Water Supply
Water Supply
Other
Date
COUNTY OF BUTTE - Department of Public Works
7 County Center Drive, Oroville, CA 95965 Phone: 916-538-7541
OWNER -BUILDER VERIFICATION
Attention Property Owner:
An'"owner-builddr" b6ilding' 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. 1 personally plan to provide the major labor and materials for construction of
the proposed property improvement (yes\or no) 4-e�
2. 1 ((h ave not) signed an application for a building permit
or:ave
f e proposed work.
I have contracted with the follo;'wing person (firm) to provide the proposed -
construction:
Name
Address City
Phone Contractors License No,
plan to provide portions of this work, but I have hired the following person
to coordinate, supervise, and provide the major work:
Name
Address City
Phone Contractors License No.
I will provide some of the work.but I have contracted (hired) the fo Ilowing
.persons to provide the work indicated:
Name Address . Phone Type of Work
Signed:
Property Owner CL
Social Security Number
Date
NOTE: This Owner -Builder Verification is sent to you as required by Sect4ons 19831 and
19832 of the California Health and Safety Code.
This verification must be completed and returned to our office before we are per-
mitted to issue the permit.
517-88BIP,E
PERMIT NO.
PERMIT EXPIRES
OWNER MICHAEL H'OGER
CONTR. Hill -Const
ASSESSOR PARCE . L 42-34-146
LOCATION 611 �lmond*Grove C*t, �Chico
0
V
. = OK ..
0 = Not OK
- = Not Applicable
* = Not Ready MOBILE HOMES
I
MISCELLANEOUS
Date
MOBILE HOME UTILITIES (Plans) OK except #Is
Date DECKS,COVERS,CARPORTS,GARAGES, (Plans)OK except #Is
1. Zoning Requirements -Setbacks -Easements
1. Zoning Req u i rements-Setbacks- Easements
2. Soils; Special MH Support -Sketch
2. Footings; Soils-Size-Depth-Spacing-Connectors-SteeI
3. Sewer; Location -Test -Fall -C/0 -Concrete.
3. Decks; Girders and/or Joists -Decking -Bracing -Stairs -Rails
4. Water; Location -Test -Easement Needed (Sketch)
4. Wood Awn.; Posts-Beams-Rftrs.-Connec.-
Shthg.-Rfg.-Bracing
5. Electricity; Location-Clearances-GOnd.-/ Amp -Concrete
6. Gas; Location -Test -Wrap: / P11t.
/ P'Nat. or/ P'L'Ift./ P'LPG
S. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures
6. Carports; Windows -Doors
7, Utility -Clearance
7. Elec.
8. Frmg; Sills-Anchors-Studs-Rftrs-Trusses
9. Siding; Nailing -Veneer -Stucco -Mesh
Card -131
Date Card -B1 Date
10. Roof; Shthg-Roofing
Card -Bl
Date Card -131 Date
11. Ext.; Steps -Doors -Landings
Date
MOBILEHOME INSTALLATION (Plans) OK except #Is
1. Zoning Requirements -Setbacks -Easements
Card -1311
Date Card -B1 Date
2. Footings; Size-Spaci ng- Marriage Line
Card -B1
Date Card -131 Date
3. Gas; MH Test -Demand -Valve -Connector
4. Electricity; MH Test-Cros�overs-Breakers-Clearahces
Date
POPtS (Plans) OK except #Is
5. Drain; MH Test -Fall -Flex, Connector
kes.�ac
ks- Easements
6. Water; MH Test -Regulator -Connector
(2oS�A, Compaction -Structure Stability
7. Water and Sewer Connected -C/0 to Grade -HD Approval
LI,*ool
Structure; Steel -Connections -Thickness -
Dead Men -Lining
8. Gas and Electricity Tagged
9. Exits; Insp.-Sketch
-VEIec.;
Receptacles and Lighting, Distances-GF1
10. Cert. of Occupancy
Elec.; Pool Lighting; 15 volts,-GFI
Elec.; Enclosures; Conduit Enl�ieq-Terminals-Listed
:��Iec.;
Bonding; Metal w/5' -Circulating Equip. -Heater
'1�.Elec.;
Grounding; Equip. w/5' -circulating Equip. -Pool Lghtg.
Boxes -Enc I osu res- Panel boards- Ins. to Main in Conduit
Card -1311 Date Card -131 Date
Card -131
Date Card -131 Date.
9. Hpalth Department Approval
Lpo"'Plumb.;
Cir. Test -Water Supply Test
Card -131
Card -131
Date �4]�Xard-1311 Date
Date ' . ' Card -1311 Date
!7
= OK
0 = Not OK
- = Not Applicable RESIDENTIAL (Single and Duplex)
* = Not Ready
Date
UNDERFLOOR (Plans) OK except #'s
pate
FRAMING (Continued)
1. Zoning requirements -Setbacks -Easements
44. Hangers -Post Caps -Anchors -Connectors
2. Ftg., Main; Soils-Steel-Elec. Grnd.-/ /" Ftg. Depth
45. Cing. Joist-Rftr. Ties-Purlin-Roof Brac.-Truss-Shthng.-Rfng.
3. Ftg., Garage; Soils -Steel-/ /" Ftg. Depth
46. Fireplace Ties or Type A Flue -Fireplace Throat
4. Ftg., Porches & Decks; Soils -Steel-/ /"Ftg. Depth
47. Attic Access; Size & Romex Protecti on- Draft Stop -ins. Baffles
5. Stemwalls, Main; Steel-Blockouts-Wrapped
48. Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions
6. Stemwalls, Garage; Steel-Blockouts-Wrapped
49. Garage Fire Protection Framing
7. Slab; Steel -Wrapped
50. Property Line Firewall & Openings
8. Piers -Fireplace Ftg.-Steel
51. Ext. Doors -One T -Check Garage -3rd story, 2 exits
9. D.W.V.; Fall -Fittings -Test -2 way C/0 -Sewer Test
52. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection
10. Gas Pipe; Size -Anchors
53. Plywood on Roof Overhang -Attic Vents -Rafter Outriggers
11. Water Pipe; Test -Anchors -Regulator -Service Test
54. Siding -Nailing Veneer
12. Electric; Underground
55. Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access
13. Plenums & Ducts; Clearance-Material-Supprt-Ins.
56. Glazing Area -Glass Protecti on-Skyl ig hts- Plastic
14. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples
57. Shear Walls; Nailing -Bolts
15. Insulation
58..Insulation-Walls-Clg.
59. Infiltration-Walls-Wndws
Card -131
Date Card -B1 Date
Card -131
Date Cird-131 Date
Card -131
Date Card -131 Date
Card -131
Date Card -131 Date
Date
PLUMBING (Permit) OK except #'s
16. Water Ht. Vent -Access -Combustion Air
Date
FINAL (Plans) OK except #'s
17. Water Pipe; Test & Anchors -Nail Protection
60. Ext. Steps -Door & Sidelight Protection -Landings
18. D.W.V.; Test-Fttngs & Anchors -Nail Protection
61. Smoke Detector
19. Shower Pan; Test, First Floor -Tub Access
62. Furnace; Vents -Clearance -Comb. Air -Connector -
In Garage; Above Floor-Ducts-Mech. Protection
20. Test Tub & Shower, 2nd Floor -Tub Access
21. Gas Pipe; Size & Anchors
63. Bedroom Exiting
64. G.F.I. & Bath Fixtures & Tub Access -Spa
65. Elec. Trim & Subpanel; Breaker Sizes -Labels
Card -B1
Date Card -131 Date
66. Stairs & Rails
Card -B1
Date Card -B1 Date
67. Fireplace or Stove; Clearances -Hearth
Date
ELECTRICAL (Permit) OK except #'s
68. Elec. Outlets at Wood Panel; Int. & Ext.
22. Fixture & Transformer Clearance -ins. Protection
69. Kit. Fixt. & Appliance; Grnd. -Air Gap -Cooking Clearance
23. Elec. Receptacles Spacing -Lights & Switches at Doors
70. Elec. Outlets & Receptacles at Kit. Counter
24. Size Boxes & No. of Conductors -Stapled
71. Garage Fire Door; Swing -Landing -Closer
25. Romex Installed Close to Edge of Studs & C.J.
72. A.C. Duct in Garage -Damper
26. Equip. Ground made up w/Mech. Fasteners -Bond Gas & Water
73. Wtr. Htr.; Vents -Clearance -Comb. Air-Connector-P.R.V.-
In Garage; Above Floor-Mech. Protection
27. 2 Appliance Circuits in Kitchen & Conductor Size
74. Plb., Elec. & Mach. Equip. Listed for Location
28. Subfeed Wire Size ga.. Cu or AI-A.C. Wire Size / /ga.
Cu or Al
75. Elec. Receptacles in Garage; (G.F.I.)-Romex Protec.
29. Range Circ. ga. Cu or Al -Oven Circ. ga. Cu or Al.
Insulated Neutral Yes No
76. Insulation -Foam -Looked in Attic 0 Yes
77. Guard Rails & Deck Construction -Post Caps
30. Service -Riser Conductors & Ground -Main Disconnect
78. Fdn. Vents & Crawl Hole Door -Drainage & Wood -Earth
Clearance Looked under Floor 13 Yes
31. Equip. Clearances Pane I s- Motors- Mach. Equip.
32. Clothes Closet Light -Shower Light -Spa Light
79. Following instid.; Drive 0 Yes 0 No; Walks 0 Yes 0 No;
Planters 0 Yes 0 No
80. Stucco; Brown -Finish
Card -131
Date Card -B1 Date
81. A.C. Unit; Disconnect, Electrical, Plumbing
Card -131
Date Card -B1 Date
82. Vents Above Roof; PI bg. -AppI iance-Fi rep I. -Clearance to
Openings.
Date
MECHANICAL (Permit) OK except #'s
83. Water Well; Disconnect, Electrical, Plumbing
33. A.C. Ducts Insulation & Support
84. Exterior Elec. Trim; G.F.I. Receptacle -Underground
34. Vent Fan; Exhaust above insulation
85. Ventilation throughout House
35. Condensate Drain & Overflow; Size & Grade
86. Glass Protection
36. Furnace -Vent; Access -Comb. Air -Return Air Vent -115 outlet
87. Corrections from Previous Inpections
37. Attic Access & Platform if Furnace in Attic
88. Gas Test -Meters Tagged; Gas -Electric
89. Water & Sewer Connected -C/0 to Grade -HD Approval
90. Energy Compliance Certificate -Other Certificates
Card -B1
Date Card -B1 Date
Card -131
Date Card -131 Date
Card -131
Date Card -B1 Date
Date
FRAMING (Plans) OK except #'s
Card -131
Date Card -B1 Date
38. Sills, Proper Material & Anchors
Card -131
Date Card -B1 Date
39. Walls Studs -Nailing, Spacing & Bracing -Plates -Sound
Comments at Final:
40. Bearing Walls over Girders & Floor Nailing
41. Draft Stop in Walls (rbt proof)
42. Fire Stops; Furred Ceilings -Stairs -Chases -Tub
43. Header & Beam -Size & Bearing
(NOTE: An entry must be made each time you visit job site)
COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS
7 County Center Drive - Oroville, California 95965 - Telephone: 916/538-7541
APPLICATION AND PERMIT
aPERVIT NW
/7 -
ASSESSOR. PARCEL NUMBER
�,/ 2- - - --3 V— /
ZONING
I -- � -
BUILDING PER MIT 7
OWNEX TELEPHONE
4
FT. OCC. BUILDING VALUATI tL
_ 4
0 NER*S MAI ING ADOR SS
611 aZZ,�2
,!:UJ0
CONTFYACTOR-S NAME -7 ELEPHONE
17&Z- e2
CONTRACTOR'S -ADDRESS
'ALING
0 L0,0,
95!2c;��
F7ireplace
CONSTRUCTION LEND�R UNKN'OWN
I
Total Valuation $
&I"XI I/ —
LENDER'S MAILING ADDRESS
Filing Fee
$ 10.00
Permit Fee
$
ARCHITECT OR ENGINEER E N 0.
Plan Checking Fee
L--
$ 2:5<25
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Energy Plan Checking Fee
$
Penalty
$
BUILDING ADDRESS
Permit fee
$ C?745.7
PLUMBING PERMIT
FilingFee 10.00
Each Trap
2.00
Solar or heat pump water heater
20-00
LOT NO SUBDIVISION NAME_ PARCEL MAP
Water piping
5.00 1-67
Each qas water heater or vent
5.00
USE OF STRUCTUP*
Gas piping system I - 5 outlets
5.00
SFO DuplexF] MobilehomeF] Other
Building sewer
5.00
SPECIFY
Mobile Home S I G I W
�0.00 ea'
TYPE OF WORK
I I :�
Newod Addition[] RemodelEJ UtilitiesO InstallationEl OtherE] 11
Permit Fee
$
Describe work:
Contractor
ELECTRICAL PERMIT
Fi I ing Fee 10.00.
main service 1111 OR LESS
00 AMP OR LESS
10.00:
Main service EA. ADD -L 100 AMP
2.50
CONTRACTORS LICENSE LAW
NEW CONST. DWELLING OCCUP.81
(
21/20sqft
I declare under penalty of perjury (check one):
OR-ADDNS. ACC. BLDGS.
-VUET11—
NEW CONSTF;L OUTLE T
2.50 ea
I am licensed under provisions of Chapt. 9, Div. 3 of the Business
NON,RESID, e .1 TS)
�:.��IR C
PZ R7TUS.&)
(SINGLE CIR
I
and Professions Code and my license is in full force and effect.
OUTLET
LicenseNo. 577469 Classification 6- 6 -.63
Ex. Occup( OUTLETS OR FIXTURES
0050C
1.2AL9 309
1, as the owner, or my employees with wages as their sole compen-
OCCUP. FIXED APFLNS. OR I
Ex. OUTLETS (RESIC.) EA.1
2.00
sation, will do the work,and the structure is not intended or offered
Temporary service
10.00
for sale. (Sec. 7044)
Mobile -Home Facilities
15.00
1, as the owner, am exclusively contracting with licensed t;UIILIdGL-
Misc. Wiring
15. 0
Ofl
ors. (Sec. 7044)
I am exempt under Sec.—, Business and Professions Code
I
for this reason
Permit Fee
$ 4� 043
Contractor
WORKMEN'S COMPENSATION INSURANCE
I declare under penalty of perju�y (check one):
MECHANICAL PERMIT
Fi I ing Fee 10.00
F] The permit is for $100.00 (valuation) or less.
Heating
�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.
Cooling
I shall not employ any person in any manner so as to become subject
Hood
3.00
to the W. C. laws of California.
Ventilation
Notice to Applicant: If after making this statement, should you become subject
Permit Fee
$
to the W. C. provisions of the Labor Code, you must forthwith comply with such
provisions or this permit shall be deemed revoked.
Contractor
I certify that I have read this application and state that the above information
Mobile Home installation Fee
$
is correct. I agree to comply to all County Ordinances and State Laws relating
Energy Inspection Fee
$
to building construction, and hereby authorize representatives of the Countyot
Butte to enter upon the above-mentioned property for inspection purposes.
TOTAL PERMIT FEE
$
1 also agree to save, indemnify and keep harmless the County of Butte against
occup.1 CONST.T7P—EJ FLOODI PARCELI PD I MCI J 13ME
all liabilities, judgments, costs, and expenses which may in any way accrue
ISCHOOLI
against said County in consequence of the granting of this permit.
X -a e
This permit is hereby issued under
the applicable provi
Data
sions of the Butte County Code and/or
resolutions to do
Signature of Applicant — Owner El Contractor ga'Agant F�
work indicated above for which
fees have been paid.
An OSHA permit is required for excavations over 5'0" deep and demolition or
IF PUBLIC WORKS
off structures over 3 stories in height.
=DIRECR
tconnstrujct-
Lion
0
B
Date
Ipt No.
�eCe1-7,57-
NITE-D.P.W.. TELLOW-AS89330M. PINK -INSPECTOR. GOLDENROD-APPLI CANT
P IT EXPIRES Date
ZI
N.
COUNTY OF BUTTE DEP�ARtMENT OF. -PUBLIC WORKS - BUILDING DIVISION
7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE: 916/538-7541
PERMIT APPLICATION DATA SHEET
Permit No. -
OWNER A. P. No.
Proposed Building Use Building Inspector a2a<2�2_ Date aZS Zk
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, signed by preparer of plans. .
3. C.omplete-plans--ih d6piica-te./t�i'plicate,-si.gg.��_0__�y preparer of plans.
C.-'P%s 4. Complete engineered plans and calcs, with wet signature on plans.
5. Plans with Energy Design Compliance Stateme—n-7--.. . . .
6. School District "Fees Paid" Stamp on Floor Plan. A
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 ownerEl, Mail to ownerEl)
_._15. Improvements may be required . . . . . . . . . . . .
16. Mobilehome Installation Data. . . . . . . . . . . .
Pre-Inspec. req.c,l 1. (Date)
17. Pre -Inspection for--.----,. Required- B.ildin, 1�, pector
18. Recorded copy of Agricultural Acknowledgment Statement.
19. Driveway Permit.
—20. Plot plan approval from city of
21.
22.
When you issue the permit, process as follows: —Mail to owner, —Mail to contra.ctor.
4tff--::�-T e I e p h o n e !�2,CIO and hold for pickup ak��) of f i ce, —De I i ver w / i ns pector.
Other
Applicant2g4t/ Date
4V,_1 V
7
Copy of plans sent Health Dept., —Fire Dept., — Other Date
The following data must be submitted prior to permit issuance: (Circle new item not checked above).
1. Index permit for above items No.
2. Additional items required:
Contractor, designer, owner, was advised of above required data by—phone--mail—counter by— date
Contractor, designer, owner, was advised c? above required data by —phone _rna i I —counter by— date
Plans checked by Date Plans approved by— Date -34
—Sets of plans on hold in—File cabinet _AP folder
Copy—DPW
e
TO Buildina Department
FROM: Environmental Health
SUBJECT: Sanitation Clearance
AA. q (o
owner U Location. AP#
Plan Approved for: Sewage Disposial Water Supply
Hold final for':
Final clearance O.K. for:
Clearance for bedroom mobile home.
NOTE * * *
Water Supply
Water Supply
other T0051 5 () )Q 0
5an rian Date