HomeMy WebLinkAbout042-770-027OF
4Z J�4-2-L' • 3344-91P
. MORLOCK, Mark 1
795 Churchill Dr, Chico
cont: M.D. Plbg �� 1
(gas line & water hea
ter/sf) I/
92-2592B,X,
MORLOCK, Mark
'..
795 Churchill DR -- =CHico � C
siding, ,,porch, addition/sf,
z.
00-1862
MORLOCK, MARK
795 CHURCHILL DR., CHICO
CONTR: TOM NIX
REMODEL KITCHEN
7i% 03 PiL' sf ,
MORLOCK, MARK, HI O��O
795 CHURCHILL DR, C
CONT: TOM NIX
ADDITION AND BATH REMODEL
i
I
13
a
r
NOTES t`, RESIDENTIAL
PERMIT L.042_34.942 03-0187 A
MORLOCK, MARKrz> ��
�-- I 795 CHURCHILL".DR, CHICO
t CONT:TOM NIX.
e ✓ �� �, l� ( h ADDITION AND BATH REMODEL
SPECIAL CONDITIONS
CHECKED
BY
SRA
FLOOD CERTIFICATE REQ.
FIRE SPRINKLERS REQ.
SPECIAL INSPECTION ITEMS
VERIFY
USE PERMIT CONDITIONS
SUB -STANDARD HOUSING LETTER
r
ca
JOB FINALED (Date) Q A4,
rt
Signature
J=OK ' , L '
0 = Not OK >
. = NotReadyahle MOBILE HOMES
Date MOBILE HOME UTILITIES (Plans) OK except #'s
1. Zoning Requirements -Setbacks -Easements
2. Soils; Special MH Support Sketch
Date Card B-1 Date Card B-1
Date Card B-1 Date Card B-1
MISCELLANEOUS
Date DECKS, COVERS, CARPORTS, GARAGES (Plans) OK except #'s
1. Zoning Requirements -Setbacks -Easements
2. Footings; Soils-Size-Depth_Spacing-Connectors-Steel
3. Decks, Girders and/or Joists -Decking -Bracing -Stairs -Rails
4. Wood Awn.; Posts- Beams- Rftrs-Connectors
Shthg-Frg-Bracing
5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures
6. Carports; Windows -Doors
7. Electric
8. Frmg.; Sills-Anchors-Studs-Rftrs-Trusses
9. Siding; Nailing -Veneer -Stucco -Mesh
10. Roof; Shthg-Roofing
11. Ext.; Steps -Doors -Landings
12. Braced Wall Panels
Date Card B-1 Date Card B-1
Date Card B-1 Date Card B-1
Date POOLS (Plans) OK except #'s
1. Setbacks -Easements
2. Soils; Compaction -Structure Stability
3. Pool Structure; Steel -Connections -Thickness
Dead Men -Lining
4. Elec.; Receptacles and Lighting, Distance-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- Panel boards -Ins. to Main Conduit
9. Health Department Approval
10. Plumb.; Cir. Test -Water Supply Test
11. Light Niche
12. Enclosure; Fencing -Alarms
Date Card B-1 Date Card B-1
Date Card B-1 Date Card B-1
3. Sewer; Location -Test -Fall -C/0 -Concrete
4. Water; Location -Test -Easement Needed (Sketch)
5. Electricity; Location-Clearances-Grnd-/ /Amp -Concrete
6. Gas; Location -Test -Wrap;-/ /" L 'ft.
/ P Nat. or / . /" L "ft./ P 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. 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
Date
PERMANENT END SYSTEM (ONLY)
1. Zoning Requirements -Setbacks -Easements
2. Footings; Size -Spacing -Marriage Line '
3. Blocking
4. Gas; MH Test -Demand -Valve
5. Electricity; MH Test
6. Water; MH Test
7. Water and Sewer Connected
8. Gas and Electricity Tagged
9. Exits
10. License Decals
11. Verify #'s with Office
Date Card B-1 Date Card B-1
Date Card B-1 Date Card B-1
MISCELLANEOUS
Date DECKS, COVERS, CARPORTS, GARAGES (Plans) OK except #'s
1. Zoning Requirements -Setbacks -Easements
2. Footings; Soils-Size-Depth_Spacing-Connectors-Steel
3. Decks, Girders and/or Joists -Decking -Bracing -Stairs -Rails
4. Wood Awn.; Posts- Beams- Rftrs-Connectors
Shthg-Frg-Bracing
5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures
6. Carports; Windows -Doors
7. Electric
8. Frmg.; Sills-Anchors-Studs-Rftrs-Trusses
9. Siding; Nailing -Veneer -Stucco -Mesh
10. Roof; Shthg-Roofing
11. Ext.; Steps -Doors -Landings
12. Braced Wall Panels
Date Card B-1 Date Card B-1
Date Card B-1 Date Card B-1
Date POOLS (Plans) OK except #'s
1. Setbacks -Easements
2. Soils; Compaction -Structure Stability
3. Pool Structure; Steel -Connections -Thickness
Dead Men -Lining
4. Elec.; Receptacles and Lighting, Distance-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- Panel boards -Ins. to Main Conduit
9. Health Department Approval
10. Plumb.; Cir. Test -Water Supply Test
11. Light Niche
12. Enclosure; Fencing -Alarms
Date Card B-1 Date Card B-1
Date Card B-1 Date Card B-1
J=OK
0 = Not OK
- = Not Applicable
. = Not Ready
RESIDENTIAL (Single & Duplex)
Date UNDERFLOOR (Plans) OK except #'s
1.
Zoning -Setbacks -Easements -Flood -Slope
2.
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-Blockouts-Wrapped
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 -Anchors -Regulator -Service Test
12.
Electric Underground
13. Plenums & Ducts; Clearance -Material -Support -Ins.
14.
Girders -Sills -Anchor Bolts-Joists-Vents-Crippies
15.
Access & Ventilation
42. Walls Studs -Nailing Spacing & Braces -Plates -Sound
43. Bearing Walls over Girders & Floor Nailing
44. Draft Stop in Walls (rat proof)
45. Fire Stops, Furred Ceilings -Stairs -Chasers -Tubs
46. Headers & Beams -Size & Bearing
Date FRAMING (Continued)
16. Insulation
Hangers -Post Caps -Anchors -Connectors
48.
Date
Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1
Date
PLUMBING (Permit) OK except #'s
Bdrm. Windows or Exiting Doors -Sill Ht. & Dimensions
17. Water Htr.; Vent -Access -Combustion Air Baffle
Garage Fire Protection Framing -RC Channel
18. Water Pipe; Test & Anchor -Nail Protection
Property Line Firewall & Openings
19. D .V.; Test Fittings & Anchor -Nail Protection
i 0
` Shower Pan; Test, First Floor -Tub Access
Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection
21. Test Tub & Shower, Second Floor -Tub Access
Plywood on Roof Overhang -Attic Vents -Rafter Outriggers
22. Gas Pipe; Sixe & Anchors
96.
Date , D 1
23. Fire Sprinkler; Test
Date
Card B-1 V Date Card B-1
Date
Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1
Date
ELECTRICAL (Permit) OK except #'s
-
24. Fixture & Transformer Clearance -Ins. Protection
25. Elec. Receptacles Spacing -Lights & Switches at Doors
26. Size Boxes & No. of Conductors Stapled
27. Romex Installed Close to Edge of Studs & C.J.
28. Equip. Ground made up w/Mech Fasteners -Bond Gas & Water
29. 2 Appliance Circuits in Kitchen & Conductor Size GFI
30. Subfeed Wire Size/ /ga. Cu or AI-A.C. Wire Size/ /ga Cu or AI
31. Range Circle/ /ga Cu or AI -Oven Circ. / /ga Cu or Al
Insulated Neutral 0 Yes O No
32. Service -Riser Conductors & Ground Main Disconnect
33. Equip. Clearances Panels-Motors-Mech. Equip.
34. Clothes Closet Light -Shower Light -Spa Light
35. Smoke Detector
Date
Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1
Date
MECHANICAL (Permit) OK except #'s
36. A.C. Ducts Insulation & Support
37. Vent Fan, Exhaust above insulation
38. Condensate Drain & Overflow, Size & Grade
39. Furnace -Vent Access -Comb. Ait-Return Air Vent 115 Outlet
40. Attic Access & Platform if Furnace in Attic
Date
Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1
Date
FRAMING (Permit) OK except #'s
41. Sills Proper Materials & Anchors
42. Walls Studs -Nailing Spacing & Braces -Plates -Sound
43. Bearing Walls over Girders & Floor Nailing
44. Draft Stop in Walls (rat proof)
45. Fire Stops, Furred Ceilings -Stairs -Chasers -Tubs
46. Headers & Beams -Size & Bearing
Date FRAMING (Continued)
47.
Hangers -Post Caps -Anchors -Connectors
48.
Cling. Joist-Rftr. Ties-Purlin-Roll Brac.-Truss-Shting.-Rtng.
49.
Fireplace Ties or Type A Flue -Fireplace Throat Clearance
50.
Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles
51.
Bdrm. Windows or Exiting Doors -Sill Ht. & Dimensions
52.
Garage Fire Protection Framing -RC Channel
53.
Property Line Firewall & Openings
54.
Ext. Doors -One 3' -Check Garage 3rd Story, 2 Exits
55.
Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection
56.
Plywood on Roof Overhang -Attic Vents -Rafter Outriggers
Veneer
Mesh -Drip Screed -Fd. Vents-Underflr. Access
59. Glazing Area -Glass Protection -Skylights -Plastic
60. Shear Walls; Nailing -Bolts
61. Brace Interior/Exterior Wall Panels
62. Insulation -Walls -Ceilings
63. Infiltration -Walls -Windows
Date Card B-1 Date Card B-1
Date Card B-1 Date Card B-1
Date FINAL (PI (s) OK except #'s
64. Pe Steps -Door & Sidelight Protection -Landings
Smoke Detector
66. Furnace Vents -clearance -Comb, Air -Connector -
In Gar ge; Above Floor-Ducts-Mech. Protection
67. Bedfoom Exiting
69,0'G.F.I. & Bath Fixtures & Tub Access -Spa
69. Elec. Trim & Subpanel, Breaker Sizes & Labels
70. Stairs & Rails
71. Fireplace or Stove, Clearance -Hearth
72. Elec. Outlets at Wood Panel, Int. & Ext.
73. Kit. Fixt. & Appliance; Ground -Air -Gap -Cooking Clearance
74. Elec. Outlets & Receptacles at Kit. Counter
75. Garage Fire Door; Swing -Landing -Closure
76. A.C. Duct in Garage -Damper
77. Wtr. Htr.; Vents -Clearance -Comb. Air Connector-P.R.V.
in Garage; Above Floor-Mech. Protection
78. Plb.; Elec. & Mech. Equip. Listed for Location
79. Elec. Receptacles in Garage (F.F.I.)-Romex Protection
80. Insulation -Foam -Looked in Attic
81. Guard Rails & Deck Construction -Post Caps
82. Fdn. VBents & Crawl Hole Door Drainage & Wood -Earth
_ Clearance Looked under Floor 0 Yes
83. Following Instld./Drive D Yes O No/Walks 0 Yes O No/Planters O Yes O No
84. Stucco Brown -Finish
85.
A.C. Unit Disconnect, Electrical -Plumbing
86.
Vents Above Roof, Plbg-Appliance-Fireplace-Clearance to Openings
87.
Water Well, Disconnect, Electrical, Plumbing
88.
Exterior Elec. Trim, G.F.I. Receptacle -Underground
89.
Ventilation Throughout House
90.
Glass Protection .
91.
Corrections from Previous Inspections
92.
Gas Test -Meters Tagged, Gas -Electric
93.
Water & Sewer Connected -C/O to Grade -HD Approval
94.
Energy Compliance Certificate -Other Certificates
95.
Address Posted
96.
Date , D 1
Fire Sprinkler
Card B-1 Date Card B-1
Date
Card B-1 V Date Card B-1
Date
Card B-1 Date Card B-1
Comments at Final:
COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION
7 County Center Drive - Oroville, California 95965 - Telephone (530) 538-7541 PERMIT No.
(Rev'12/96) APPLICATION AND PERMIT 03-0187
ASSESSOR PARCEL WUMBER—'J
�L/r
4 �. ./)� 7
ZONING
-1
BUILDING PERMIT
OWNER TELEPHONE
Mark 116oc -
OWNERS MAILING ADDRESS
795 Churchill DriveVal
SO. FT. OCC. BUILDING VALUATION
2 648.00
MO. 00
CONTRACTOR'S NAME
Tom Nix 345-6178
TELEPHONE
CONTRACTORS MAILING ADDRESS
720 Cnurchill Drive
CONSTRUCTION LENDER
Fireplace
LENDER'S MAILING ADDRESS
Total Valuation 1$5W.00
ARCHITECT OR ENGINEER
LICENSE NO.
Filing Fee
$ 20.00
Permit Fee
$ 31.00
ARCHITECT OR ENGINEERS MAILING ADDRESS
Plan Checking Fee
$ 56.25
BUIL G DRESS ���
Churchill Drive Ch' CA
Energy Plan Checking Fee
$ 23100
$
PERMIT FEE
$ 176.65
LOT NO.
SUBDIVISIONS NAME
PARCEL MAP
PLUMBING PERMIT
Filing Fee 20.00
Each Trap
61 7-0042.00
USEOFSTRUCTURE
SF ❑ Duplex ❑ Mobilehome ❑ Other
SPECIFY
Solar or heat pump water heater
23.00
Water piping
15.00 15.00
Each gas water heater or vent
15.00
TYPE OF WORK
New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑
Describe Work: bath remodel X2 w/ addition of 12z I
Gas piping system 1 - 5 outlets
15.00
Building sewer
15.00
Mobile Home I S I G W
@20.00
PERMIT.FEE
$
ELECTRICAL PERMIT
Fling Fee 20.00
Main Service A OR LESS
23.00
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter
9 (commencing with Section 7000) of Division 3 of the Business and Professions Code,
and my license IS In fUI _force and effect. �G
5
License Class Lic. No. � 6� �
OWNER -BUILDER DECLARATION
I hereby affirm under penalty of perjury that I am exempt from the Contractors license
Law for the following reason:
❑ 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.
❑ 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
I 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 permitis issued.
My workers' compen ation insurance carrier and Policy number are:
Carrier ��� F(l�t/ p
Policy Number r'J '* `tea
(The above sections need not be completed H the permit is for work of a valuation
of one hundred dollars ($100) or less.)
❑ 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
for�IT�iu'Ith comply wkh those provisions.
X Date
Signature of Applicant - ❑ r wrier ❑ Contractor ❑ Agent
An OSHA permit is required for excavations over 60" deep and demolition or construction
of structures over 3 stories in height.
Main Service To ,000A
46. 00
W:I200A
NEW CONST. DWELLING OCCUP. SO
so
OR ADONS. ( a ACC. BLDS. 3.5QFT:
NON-RESI�T CUTLET
ur @7.50
POWER APPARATUS
d SINGLE OUTLET CIR.
zo Q ,.00
Ex. Occup. OUTLET OR FIXTURES BAL so
FIXED APPLNS. OR .,. 5.00
Ex. Occup. ounETs RESIO. EA.
Temporary Service 23.00
Mobile Home Facilities 20.00
Misc. Wiring 23.00
PERMIT FEE $ 97 5
MECHANICAL PERMIT Fling Fee 20.00
Heating
Cooling
Hood 6.50
Ventilation
PERMIT FEE $
Mobile Home Installation Fee $
Energy Inspection Fee 1$46.00
Rocc
coNTmPE TOTAL FEE $ 327.15
HA
IMP'
.�
FL000
C
P
ISS
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 ',' '.' F r" Date
PERMIT EXPIRES ON
Dale
Receipt No.
WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT
Sofer, Amira
From: Mark Morlock <mmorlock321@gmail.com>
Sent: Wednesday, October 14, 2015 9:24 AM
To: Sofer, Amira
Subject: R -Values
Hello Amira,
Here are the R -values you requested relating to the bathroom remodel of our home:
Floor: R19
Walls: R13
Ceiling: R30
Please let me know if anything more is required.
Best wishes,
Mark Morlock
COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION
' 7 County Center Drive - Oroville, California 95965 - Telephone (530) 538-7541 PERMIT NO.
(Rev. 12/96)' APPLICATION AND PERMIT 03-0187
ASSESSOR PARCEL IJUMBER7
_ _��
rwt
ZONING
BUILDING PERMIT
OWNER f
Mark Morlock 343-18062
TELEPHONE
SO. FT. OCC. BUILDING VALUATION
/ 8.00
OWNERS MAILING ADDRESS
795 Churchill
CONTRACTOR'S NAME
Tom Nix 345-6178
TELEPHONE
CONTRACTORS MAILING ADDRESS
Churchill720
CONSTRUCTION LENDER
Fireplace
LENDER'S MAILING ADDRESS
Total Valuation 1$5648.00
ARCHITECT OR ENGINEER
LICENSE NO.
Filing Fee $ 20.00
Permit Fee $ 81.00
ARCHITECT OR ENGINEERS MAILING ADDRESS
Plan Checking Fee $ 96-25
BUILDING ADDRESS
795 Churchill Drive Chico CA
Energy Plan Checking Fee $ 23,0
$
PERMIT FEE $ 176-65
LOT NO.
SUBDN610NS NAME
PARCEL MAP
PLUMBING PERMIT Fling Fee 20.00
Each Trap C, 1 7.0042.00
USEOFSTRUCTURE
SF ❑ Duplex ❑ Mobilehome ❑ Other
SPECIFY
Solar or heat pump water heater 23.00
Water piping 1 15.00 1 9_00
Each gas water heater or vent 15.00
TYPE OF WORK
New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑
Describe work: bath remodel X2 w/ addition of 12sf
Gas piping system 1 - 5 outlets 15.00
Building sewer 15.00
Mobile Home ISI GI W1 @20.00
PERMIT FEE $77 00
ELECTRICAL PERMIT Fling Fee 20.00
Main Service o.A oa 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,IjpI}R61DT
and my license is in fuljJorce and effect.�/ w `�
License Class Lic. No. !///C!G/.J
OWNER -BUILDER DECLARATION
I hereby affirm under penalty of perjury that I am exempt from the Contractors License
Law for the following reason:
❑ I, as owner of the property, or my employees with wages as their sole compensation,
will do the work, and the structure is not intended or offered for sale.
❑ I, as owner of the property, am exclusively contracting with licensed contractors
to construct the project.
❑ 1 am exempt under Sec. Business and Professions Code for this
reason
WORKERS' COMPENSATION DECLARATION
I 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 permitis issued.
My workers' compengption insurance carr' and olicy number are:
Carrier (J
Policy Number
(The above sections neea not be coffipligted if the permit is for work of a valuation
of one hundred dollars ($100) or less.)
❑ 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
for vl h comply with those provisions.
c
X IVW Date
Signature of Applicant - ❑ wner ❑ Contractor ❑ Agent
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. DWELUNG OCCUP. SO
OR ADONS. ( 6 ACC. BLDS. 3.5QFT.
mu LT'OOUTLETu ITS @7,50
POWER APPARATUS
a SINGLE OUTLET CIR.
.00
EX. Occup. OUTLET OR FIXTURES BAL @ 1.30
Ex. Occup. oin>Frs Ao OR... 5.00
Temporary Service 23.00
Mobile Home Facilities 20.00
Misc. Wirina 23.00
PERMIT FEE $
MECHANICAL PERMIT I ing ee 20.00
Heating
Cooling
Hood 6.50
Ventilation
PERMIT FEE S
Mobile Home Installation Fee $
Energy Inspection Fee $
oc
R,3 c
c'O TMPE OTAL FEE $ 327.15
HA
IMP
FLO
CD
P
ISS YC
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 ? ate
PERMIT EXPIRES ON J o
I r (Dale)
Receipt No. 17 JF.2'J
WHITE-D.D.S.-B.D. CANARY -A ESSOR PINK -INSPECTOR GOLDENROD -APPLICANT
i
COUNTY OF BUTTE -DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING DIVISION
7 County Center Drive, Oroville, CA 95965 Phone (530)538-7541 Fax (530)538-2140
PERMIT APPLICATION DATA SHEET -7-70 02�
OWNER: 4SF.4SSbR PARCEL NUMBERQ_g o
Proposed Building Use: Counter Technician: l(3 Date: 2 -63
Items required in ord o apply for a peIrmit. All boxes MUST be checked OR marked NA in order to apply.
t
1. lot plans, or 4 setssigned by the preparer of the plans.
CSL. Complete plans, 3 r 4 sets, signed by the preparer of the plans.
tA 3. Engineered plans, 3 or 4 sets, with wet signature on plans AND 2 sets of stamped and signed calculations.
APNH. Engineered truss details and layouts in duplicate. No faxes!
IVR0. Energy compliance design and supporting documentation in duplicate.
14 6. Manufactured homes: (A) Data sheets and installation instructions, (B) Marriage line information, (C) Floor Plan, (D) Tie down or
foundation plans, all in duplicate.
C� ,7. Metal buildings: (A) Metal Building Plans, (B) Foundation plans and calculations in triplicate, (C) Elevation views in triplicate.
P (D) Floor plans in triplicate. All of these must be stamped and wet -signed by the engineer.
Items required for initial plan review. If checked items have not been received, plan review cannot proceed. The permit will be
indexed and returned to the plan review line-up when required items are received.
Date Received By
❑ 8. Flood Elevation Certificate, wet -stamped and signed, in duplicate ................................
❑ 9. Plot plan and business license approval from the City of Biggs ....................................
❑ 10. Letter of intent for non-residential buildings.........................................................
❑ 11. Detached Accessory Building Form filled out by the owner .....................................
❑ 12. Hazardous Material Form...............................................................................
❑ 13. Other .
m i ing items needed to issue the permit. (May requ re ition� plan r i eceipt of the fol wing 'tem .
-� d
Fees as shown on the attached Schedule of Fees Due Sheet . ................................. !�
1 tatement of Intent for Non -heated and A/C Buildings .............................................
6. Sanitation and plot plan approval from the Environmental Health Department in t
❑ 17. City of Chico Plumbing permit.........................................................................
❑ 18. California Department of Forestry plan approval ❑ paid. Sent by: ......................
❑ 19. Planning approval for (A) Use: OP-)<,_(B)Parking: (C) Parcel Check:
❑ 20. Contact Land Development about ❑ Improvements, ❑ Drainage ............................... r
❑ 21. Encroachment Permit for driveway from the Public Works Dept. (construction appr5alyrior to occupancy).
❑ 22. Pre -Inspection for required ......1........
❑ 23. Contractor's license information. (Number, Name Style, Classification) ................ .
❑ 24. Worker's Compensation Carrier and Policy Number ..............:..............................
❑ 25. Owner -Builder Verification (❑ Given to owner, ❑ Mailed to owner) .....................
❑ 26. Letter of Signature authorization.................................................................... _
❑ 27. Recorded copy of Agricultural Acknowledgment Statement ....................................
❑ 28. Manufactured home utility clearance ................................................... —1: ........
❑ 29. Existing violations and/or expired permits.............................................--!.........rL'i
❑ 30. ❑ Grant Deed, ❑ M.H. Title/Statement of Facts, ❑ Letter from Legal Owner, E5Qhe�ck t. J-1._ .DAt !)V 1
❑ 31. Other:
When issued Telephone and hold for pickup.
I have been inform�d-of the above items and requirements for obtaining a building permit.
-)(A ant: C/Date:
1. Index permit application for the above items numbered: / Plan Check Letter
2. Additional items required
Contractor, designer, owner, was advised of the above data by ❑ phone, ❑ mair, ❑ counter, by Date:
Contractor, designer, owner, was advised of the above data by ❑ phone, ❑ mail, ❑ counter, b,.—y.�Date:
Plans reviewed by: Date: Plans approved by: ate:
Structural reviewed by: Date: Structural approved by: ti Date:
Note transfer by: Date:
Yellow: Building Division
Ale E.H. USE ONLY
Piot Plea Attached
mar- t S.2 Man.c:)
S.2 to B.D. /
TO: Building Department
FROM: Environmental Health
SUBJECT: Sanitation Clearance
Aloy 16 o :79.5 770-0z7
Owner Location AP#
Plan Approved for: Sewage Disposal---/ Water Supply: Public Private Well '
Clearance for _dwelling: Other 6�f�rn �-✓�h
Hold final for:
Final clearance O.K. for:
NOTE:
11-63
Environmental Health Specialist Date
8/96
Feb 01 02 08:13a P • 1 '' . .
' COUNTY OF BUTTE - DEPARTMENT'OF DEVELOPMENT SERVICES - BUILDING DIVISION
7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-7541 PER I NO.
(Rev. 12/96) C>112 `7rj- p2APPLICATION AND PERMIT 3' d
ASSESSORPAIICELNUMBER ✓ 4 _��
ZOMNJ• _ 1
BUII�INGPERMIT
-OWNER ,^!�/jj•_/G7TELPJO=,E•Y\�D/1
/ �/Uv)/L -__._.._
/✓•
S0. FT. OCC. BUILDING VALUATION
OWNERS ORESS �'i` �j /3O
!-C_��_ //_p_
0' —_
CONTRACTOR'S NAy�,�/C'TEUSHS
/
6/
CONTRACTORS MAI �R�6S � G� �
.___
CONSTRUCTION LENDER
/v
Fireplace
LENDER'S MAILING AOORESS
��
-
Total Valuation $ 1
-
ARCHITECT OR ENGINEER
LICENSE NO.
Filing Fee $ 20.00
Permit Fee $ W iso
ARCHITECT OR ENGINEERS MAl1NG ADDRESS /I
Plan Checkina Fee $
BUILDING ADDRESS /�
Energy Plan Checking Fee
-
PERMIT FEE T
LOT NO. SUMVIS10N'S NAME
PARCEL MAP
PLUMBING PERMIT Filing Fee 20.00
USEOFSTRUCTURE I 1 `Z
SFX Duplex ❑ Mobilehome O Other
sPeclTr
Each Trap 7.00 .N
Solar or heat pump water heater 23.00
Water piping 15.00 6D
Each gas water heater or vent 15.00
TYPE OF WORK
New 13 Addition ❑ Remodel O Utilities 13 installation C3 Other O
Describe Work: �� X 'cam uJI �
r
Gas piping system 1 - 5 outlets 15.00
Buildingsewer 15.00
Mobile Home S G W Q20.00
-
PERMIT FEE $
ELECTRICAL PERMIT I Fling Fee 20.00
Main Service 8001 OR L�Ess 23.00
�L�17� %`, 03217 L�
•
*PEPJKIT FEE PAID $ SS . (
Sm;
SHERIFF
pp ; /�'
w R ; �/
AAkbVW REcEMb ; 5g , 5
"R6CEIrT i�i � -3(oq 5-/ o
* To m �. wro co
Main Service 200A TO 1000A 48.00
ORD N. DWE311N0 oCCUP. 3.5Q s0.
OR ADONS, 8 ACC. BIDS, FT,
NFW GONST. MULT1.OUTLET (J•
NON.RESID. 10�7.50I
POWER APPARATUS —_
6 SINGLE OUTLET CIR
_
Ex. Occup. OUTLET OR wrruREs 20 ® 1'00
BAL 0 .50
Ex. Occup. FUCED APPLNS. OR
olmtTc Eslo. eA 5.00
Temporary Service 23.00
Mobile Home Facilities 20.00
Misc, Wiring 23.00
-�-
_
PERMIT FEE $ � , 15C)15C)O
MECHANICAL PERMIT Fling Fee 20.00
Heating_
Cooling
Hood 6.50
Ventilation
PERMIT FET: S /
Mobile Home Installation Fee $ `>
Energy Inspection Fee $ ! ��
NAZ. D. FE F1-� CUE r
j2c3 1 UNPE TO AL FEE WI'r
This permit is hereby issued under the applicable p'rovisron's
of the Butte County Code and/or Resolutions to do work
Indicated above for which fees have been-paid. -'
By Date
PERMIT EXPIRES ON
ere -
Receipt No.
WHITE-D.O.S.-B.D. CANARY-ASSESSOR PINK-INSPECTOR GOLDEN ROD•APPL [CANT
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19n AD
LfACK , U E6
Environmental Health
MAR 0 6 2003
Chico, California
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Environmental Health
MAR 0 6 2003
Chico, California -
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NOTES. RESIDENTIAL
�^ 042-34-0-042 _ — 00-1862
PERMIT NO.. .MORLOCK, MARK
d f e1) 795 CHURCHILL DR., CHICO
CONTR. TOM NIX
REMODEL KITCHEN
4
U '
7�
i
i
t -
JOB FINALED (Date)rd2,, 3 D
Signaturej�-
H
SPECIAL CONDITIONS
CHECKED
BY
SRA
FLOOD CERTIFICATE REQ.
FIRE SPRINKLERS REQ.
i
SPECIAL INSPECTION ITEMS
r
VERIFY
USE PERMIT CONDITIONS
k
SUB -STANDARD HOUSING LETTER
JOB FINALED (Date)rd2,, 3 D
Signaturej�-
H
J = OK
0 = Not OK
- = Not Applicable
* = Not Ready
MOBILE HOMES
Date
MOBILE HOME UTILITIES (Plans) OK except #'s
Zoning Requirements -Setbacks -Easements
1.
Zoning Requirements -Setbacks -Easements
3.
2.
Soils; Special MH Support Sketch
Electricity; MH Test -Crossovers -Breakers -Clearances
3.
Sewer; Location -Test -Fall -C/O -Concrete
6.
4.
Water; Location -Test -Easement Needed (Sketch)
Water and Sewer Connected -C/O to Grade -HD Approval
5.
Electricity; Location-Clearances-Grnd-/ /Amp -Concrete
9.
6.
Gas; Location -Test -Wrap;-/ /" L'N.
/ P Nat. or / /"L"ft./ PLPG
Exits; Insp.-Sketch
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.
Tie Downs -Type -Installation Cert.
10.
Exits; Insp.-Sketch
11.
Cert. of Occupancy
12.
Permanent Foundation Only; License Decal
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 ti's
1.
Zoning Requirements -Setbacks -Easements
2.
Footings; Soils -Size -Depth -Spacing -Connectors -Steel
3.
Decks; Girders and/or Joists -Decking -Bracing -Stairs -Rails
4.
Wood Awn.; Posts- Beams- Rttrs.-Connectors
Shthg.-Frg-Bracing
5.
Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures
6.
Carports; Windows -Doors
7.
Electric
8.
Frmg.; Sills-Anchors-Studs-Rftrs-Trusses
9.
Siding; Nailing -Veneer -Stucco -Mesh
10.
Roof; Shthg-Roofing
11.
Ext.; Steps -Doors -Landings
12.
Braced Wall Panels
Date
Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1
Date
FINAL (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
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
11.
Light Niche
Date
Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1
✓ = OK
0 = Not OK
- = Not Applicable =Not Ready
RESIDENTIAL (:
Date
Un erfloor (Plans) OK except #'s
61WIinq.
ng•Setbacks- Ease ments-Flood-Slope
Fig., Main; Soils-Elec. Grnd.-/l2,/" Ftg. Depth
Ft oils•Steel•Elec. Grnd.•/ /" Ftg. Depth
4. Soils -Steel-/ r Ftg. Depth
izx! I'S -49.
emwalls, Main; Steel-Blockouts-Wrapped
6. St walls, Garage; Steel-Blockouts-Wrapped
51k
old Downs and Special Anchors
7. SI , Steel -Wrapped
t -f -!.E Fireplace Ftg.-Steel
SO=
W.V.; Fall -Fitting -Test -2 Way C/0 -Sewer Test
10. UF, Gas Pipe; Size Anchors -Yard Gas Piping; Size Test
56.
Water Pipe; Test•Anchors- Reg ulator-Service Test
57.
12. Ele tric Underground
lenums &"Ducts; Clearance -Material -Support -Ins.
66
er
Gird-SiWa-A or Bolts-Joists-Vents-Crippies
60.
15. A ss & Ventilation
61.
16. Insulation
Infiltration -Walls -W indows
Date C✓/ Card Bd Date 9ard B-1
Dat ;9 pv
Ca B-1 ff& Date Card B-1
Dat
PLUMBING (Permit OK except '
i
W r Htr.; VfxrAoa4ss&ombu5WAir B Nle
1 . Water Pipe; Test & Anchor -Nail Protection
D.W.V.; Test Fittings & Anchor -Nail Protection
2B-SitrW@TTr5 Test, First Floor -Tub Access
21. Test Tub & Shower, Second Floor -Tub Access
22-,5a5"Prre-, Sixe & Anchors
Date / b /Q p V Card B-1 Date Card B-1
Date Card B-1 Date Card B-1
Date ELECTRICAL (Permit) OK except #'s
23. Fixt4re & Transformer Clearance -Ins. Protection
I . Receptacles Spacing -Lights & Switches at Doors
Size Boxes & No. of Conductors Stapled
0
omex Installed Close to Edge of Studs & C.J.
Equip. Ground made up w/Mech Fasteners -Bond Gas & Water
2 . 2 Appliance Circuits in Kitchen & Conductor Size GFI
29--S tM'Wire Size / / ga. Cu or AI-A.C. Wire Size / / ga Cu or AI
3T"Range-erole / / ga Cu or Al -Oven Circ. / / ga Cu or Al
Insulated Neutral ❑ Yes O No
31. Service -Riser Conductors & Ground Main Disconnect
32. Equip. Clearances Panels-Motors-Mech. Equip.
33Closet Light -Shower Light -Spa Light
34. Smoke Detector
Date P 0 Card B-1 /C Date Card B-1
Date Card B-1 Date Card B-1
Date MECHANICAL (Permit) OK except #'s
35. A.C. Ducts Insulation & Support
Vent Fan, Exhaust above insulation
37. Co ate Drain & Overflow, Size & Grade
38. Furnace -Vent Acces - mb. Air -Return Air Vent 115 outlet
39. Attic Access & Platform if Furnace in Attic
Date Card B-1 Date Card B-1
Date Card B-1 Date Card B-1
Date MING (Permit) OK except #'s
4 ds Proper Materials & Anchors
gv!1N Studs -Nailing Spacing & Braces -Plates -Sound
4 ring Walls over Girders & Floor Nailing
. Draft Stop in Walls (rat proof)
re Stops, Furred Ceilings -Stairs -Chasers -Tubs
4, eaders & Beams -Size & Bearino
jingle & Duplex
Date
RAMING (Continued)
gers-Post Caps -Anchors -Connectors
61WIinq.
Joist-Rftr. Ties- Purlin-Roll Brac.-Truss-Shting.-Rfng.
ueplace Ties or Type A Flue -Fireplace Throat Clearance
izx! I'S -49.
Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles
indows or• xiting Doors -Sill Ht. & Dimensions
51k
Garage Fire Prote tion Framing
y ine Fi ewall & Openings
xt. Doors -One 3' -Check Garage 3rd Story, 2 Exits
SO=
St2 t th-Headroom-Rise-Run-Landing-Fire Protection
lywood on F4016verhangis encs- afterealrlgglers
56.
Siding -Nailing Veneer
57.
Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access
lazing Area -Glass Protection -Skylights -Plastic
59.
Shear Walls; Nailing -Bolts
60.
Brace Interior/ E rior Wall Panels
61.
Irn2ulation- s -Ceilings
Infiltration -Walls -W indows
Date /V/; p Card B-1 g6 Date Card B-1
Date 11 10 9 Car B- Date, Card B-1
Date INAL (Plans) OK except #'s
Steps -Door & Sidelight Protection -Landings
moke Detector
Air -Connector -
In Garage; Above Floor-Ducts-Mech. Protection
xi m
Bath Fixtures & Tub Access -Spa
68. Elec. Trim & Subpanel, Breaker Sizes & Labels
69-�tatrs-&'Re+Fs
v , Clearance -Hearth
Iec..Outlets at Wood Panel, Int. & Ext.
xt. &Appliance; Ground -Air Gap -Cooking Clearance
7 Elec. Outlets & Receptacles at Kit. Counter
7 ar Door; Swing -Landing -Closure
75 -*e-906 in Garage -Damper
r. tr.; Vents-Clearan a -Comb. Air Connector-P.R.V.
in age; Above Floor-Mech. Protection
Ib., Elec. & Mech. Equip. Listed for Location
78�I9_Receptacles in Garage (F.F.I.)-Romex Protection
7 nsulation-Foam-Looked in Attic
eck Construction -Post Caps
Fdn. VBents & Crawl Hole Door Drainage & Wood -Earth
Clearance Looked under Floor ❑ Yes
82-feflewmgtnsffd!/Drive 0 Yes O No/Walks Q Yes p No/Planters O Yes 0 No
3. St is
8m connect, Electrical -Plumbing
ens a Roof, Plbg-Appliance-Fireplace-Clearance to Openings
nect, Electrical, Plumbing
Exterior Elec. Trim, G.F.I. Receptacle -Underground
entilation Throughout House
otection
orrections from Previous Inspections
ers Tagged, Gas -Electric
O--Weferewer Connected -C/0 to Grade -HD Approval
orgy Compliance Certificate -Other Certificates
ress Posted
Date 01 Card B-1 �J 1s Date Card B•1
DateTT Card B-1 Date Card B-1
Date Card B-1 Date Card B-1
Comments at Final:
COUNTY OF BUTTE
BUILDING DIVISION
DEPARTMENT OF DEVELOPMENT SERVICES
411 Main Street • Chico, CA • (530) 891-2751
7 County Center Drive • Oroville, CA • (530) 538-7541
CORRECTION NOTICE
OWNER PERMIT NO.
A routine inspection indicates that the following violations of butte county Ordinances exist at the
above a5ldress and should be corrected. Please notice this office when correction of work is
completfid. If you have any questions pertaining to this matter, or need additional explanation,
please ontact this office immediately.
lU A/D , i '00�K 51*4rOA- --e /f- /'/$
v
//o, o %
Date D % Inspector-
REV
nspector REV 1042
COUNTY OF BUTTE
BUILDING DIVISION
DEPARTMENT OF DEVELOPMENT SERVICES
411 Main Street • Chico, CA • (530) 891-2751
7 County Center Drive • Oroville, CA • (530) 538-7541
CORRECTION NOTICE
Noe&e/4-- oa-i,V,)z
OWNER PERMIT NO.
A routine inspection indicates that the following violations of butte county Ordinances exist at the
above address and should be corrected. Please notice this office when correction of work is
completed. If you have any questions pertaining to this, matter, or need additional explanation,
please contact this off' a immediately.
'La % i.vl / d4
/2 /
Date l i
REV 10P
Inspector
COUNTY OF BUTTE
BUILDING DIVISION
DEPARTMENT OF DEVELOPMENT SERVICES
411 Main Street - Chico, CA - (530) 891-2751
7 County Center Drive - Oroville, CA - (530) 538-7541
CORRECTION NOTICE
• v„
12
OWNER PERMIT NO.�=
A routine inspection indicates that the following violations of butte county Ordinances exist at the
above address and should be corrected. Please notice this office when correction of work is
'a
completed. If you have any questions pertaining to this matter, or need additional explanation,
please contact this office immediately.
y
. x
i�
`t"
.
Lf
Date O� Inspectori
REV 10/92
K55e
�:-�:-�-Xis"�':..-:�'i'i"wt=i"�';J`:.:-"''`y'�'—'t:----�.�..�•�,'a�-i+t::�,itr�;,r^-..=`. �-,.. '..'...�-...,.
t COUNTY OF BUTTE
BUILDING DIVISION
DEPARTMENT OF DEVELOPMENT SERVICES
411 Main Street • Chico, CA • (530) 891-2751
7 County Center Drive • Oroville, CA • (530) 538-7541
r
5
CORRECTION NOTICE {
A
OWNER PERMIT NO.
A routine inspection indicates that the following violations of butte county Ordinances exist at the
above address and should be corrected:, Please notice this office when correction of work is °
completed. If you have any questions pertaining to this matter, or need additional explanation, ;
please contact this office immediately. \j
11'/ ilf alit' /4i rl S h?."Z ., 1--60 Ti�6
0'f i�Dt//117f" L1111AW &1X',1
Building Owner h
Building Location
ROOF
ENERGY INSTALLATION CERTIFICATE
Building Permit # 0 0 -1,?X ti
DESCRIPTION OF INSULATION
Material Brand Name
Thickness(inches) Thermal Resistance (R Value)
EXTERIOR WALL
Material FI Ea"e �L a
Thickness(inches)
CEILING
Batt or Blanket Type Lan
Thickness(inches) 11)
Loose Fill Type
Minimum Thickness (Inches)
Area covered(ft.2)
FLOOR, ELEVATED
i
Material
Thickness(inches)
FLOOR, SLAB
Material
Thickness(inches)
Width(inches)
FOUNDATION WALL
Material
Thickness(inches)
Brand Name Oty jW S r CE R d ] Iy
Thermal Resistance(R Value)
Brand Name 0WA5WS - e0/W1AJ
Thermal Resistance(R Value) .3
Brand Name .
Number of Bags Wt. per bag lb.
Thermal Resistance(R Value)
Brand Name Cze>gWs _CO2/i)it1�
Thermal Resistance(R Value) 1'q
Brand Name
Thermal Resistance(R Value)
Brand Name
Thermal Resistance(R Value)
I hereby certify that the above insulation was installed in the above building,
1s consistent with- approved building depart-ment--plans--and attachments and- con-
form�ith� equir� k is of Chapter 2-53 of State of Z rnia Energy Requiremen
72� /AI %
FIRM NA=JOWINER STATE CONTRACTOR'S LICENSE NO.
Zoo
SIGNATURE OF INSTALLATION APPLICATOR DATE
I hereby certify the required features, devices, and equipment, ats shown on the approved
Building Department plans and attachments have been installed and.conform to the appli-
ance standards and Chapter 2-53 of the State of California Energy .equirements.
-�rv-m J /L/o- Cy'sm7;-"53(2L5`/
BUILDING CONTRACTOR/OWNER (Please Print) STATE CONTRACTOR'S LICENSE NO.
Rri NAME)
QZA�e-! L"7 .2 23 Z
SIGNATURE OF BUIL NG TRACTOR/OWNER DAT
HVAC FIRM NAME/OWNER (Please Print) STATE CONTRACTOR'S LICENSE NO.
SIGNATURE OF HVAC CONTRACTOR/OWNER 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.
SEPTEMBER 1988
�.1
COIWWTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION
TCounty Center Drive • Oroville, California 95965 • Telephone (530) 538-7541 P RMIT No.
(Rev.12/96) APPLICATION AND PERMIT ez - a
ASSESSOR PARCEL NUMBER 042-34-0-042
ZONING SR 1
BUILDINGPERMIT
OWNiR
MARK MORLOCK
TELEPHONE
343-1806
SO. FT. OCC. BUILDING VALUATION
5 23
OWNER'S MAILING ADDRESS
795 CHURCHILL DRIVE, CHICO 95973
CONTRACTOR'S NAME
TOM NIX
TELEPHONE
345-6178
CONTRACTORS MAIUNG ADDS 0. BOX 4679, CHICO 95927
CONSTRUCTION LENDER
Fireplace
LENDER'S MAIUNG ADDRESS
Total Valuation $ 2 ,
ARCHITECT OR ENGINEER
LICENSE NO.
Filing Fee
$ 20.00
Permit Fee
$
ARCHITECT OR ENGINEERS MAILING ADDRESS
Plan CheckingFee
$ 172.25
BUILDING ADDRESS 795 CHURCHILL DRIVE, CHICO
Energy Plan Checking Fee
$
PERMIT FEE
$ 480.25
LOT NO.
SUBDIVISION'S NAME
PARCEL MAP
PLUMBING PERMIT
Fling Fee 20.00
USEOFSTRUCTURE
SF (I Duplex ❑ Mobilehome ❑ Other
SPECIFY
Each Trap
2 7.0o14.00
Solar or heat pump water heater
23.00
Water piping
15.00 15.00
Each as water heater or vent
15.00
TYPE OF WORK
New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑
115 SQ FT REMODEL KITCHEN OPEN ONE WALL
Describe Work: _
BETWEEN KITCHEN AND DINING ROOM
Gas piping system 1 - 5 outlets
15.00 `'JM;=%
Building sewer
1 15.00 I
Mobile Home I S I G I W
@20.00
PERMIT FEE
$
ELECTRICAL PERMIT
Fling Fee 20.00
800VOR LESS
Main Service zo.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 invi i force and effect. �•`
License Class Lic. No. J 's' ?_6 S 1
OWNER -BUILDER DECLARATION
I hereby affirm under penalty of perjury that I am exempt from the Contractors License
Law for the following reason:
❑ I, as owner of the property, or my employees with wages as their sole compensation,
will do the work, and the structure is not intended or offered for sale.
❑ I, as owner of the property, am exclusively contracting with licensed contractors
to construct the project.
❑ 1 am exempt under Sec. Business and Professions Code for this
reason
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.
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
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.)
❑ 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
fo comply with those provisions.
X Date '' 7
Signature of Applicant/- 5 Ownerontractor ❑ Agent
An OSHA permit is required for excava Ions over 60" deep and demolition or construction
of structures over 3 stories in height.
Main Service 200A To ,000A
46.00
NEW CONST. DWEWNG OCCUP. SO
OR ADDNS. DW:UJBLos. 3.5¢FT: 4.03
NOON-gSSID MULTI -OUTLET 97.50
POWER APPARATUS
8 SINGLE OUTLET CIR.
20 O I'50
Ex. Occup. OUTLET OR FDRURES sAl @ .so
Ex. Occup. DUTLEEDTSA PM.OEA 5.00
Temporary Service 23.00
Mobile Home Facilities
20.00
Misc. Wiring 23.00 23.0
PERMIT FEE $ 47.03
MECHANICAL PERMIT Filing Fee 20.00
Heating
Cooling
Hood 6.50 6-50
Ventilation
PERMIT FEt $
Mobile Home Installation Fee $
Energy Inspection Fee $ 46.00
Occ
CONST. TYPE
TOTAL FEE $ 665
HAZ.
D. FEES IMP
._
ROOD
_
COF
PARCEL
0o
HD SUE
This permit is hereby issued under
of the Butte County Code and/or
indicated above for which fees have
By
PERMIT EXPIRES ON
the applicable provisions
Resolutions to do work
been paid.
/ w
Date I
l of
Det,
ReceiptNo. Z 5-6-,z s
WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK- SPECTOR GOLDEN R D- PPLICANT
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COUNTr OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION
`7 .County Center Drive 0 Oroville, California 95965 • Telephone (530) 538.754 _ ERrwT No.
(Rev.IZ96) APPLICATION AND PERMIT - 0 /9
BUILDING PERMIT
_ SO. FT. OCC. B"41UILDING VALUAT16N
S (O S 3
S
dA, ffi!;co 59 3
.11,.Gvms r...d.m.a, . _
3S-10138.
m
OOJiTIKIC�1p1 uuoel :;.
f ARCW"= 011040OW
AACMT(CT 011 DIMM-1 1uaM AO01lis
su"00AMPass —7- q
'
LOT NO. sueamo nlwwe PAMCL fur
USEOFSTRUCTURE
SF A Duplex O Mobilehome O Other
"WWI
TYPE OF WORK
New O Addition jk Remodel O I.X ees O Installation O Other O
Describe Work: I I rJ 1� �'t 1 >
C9w2 Qr�t
411 + r1, /"
RECEIPT#
30Z7-16
PERMIT FEE S Z 'SS -Z 5 363.145
SRA $
U�
�^
SHR $
S
S
CSA 87 $
Misc. Wiring
CUA $
TUA $
_
REC $
OTHER:
TOTAL S 3 0 3- L4 5 -
Fire lace
Total Valuation is
Filing Fee
=
20.00
Permit Fee
t a
Plan Checking Fee
Energy Plan Checking Fee
S
S
5 -
Z3.(b
Misc. Wiring
s
PERMIT FEE
_
PLUMBING PERMIT
Filing Fee 20.00
Each Trap
7.00 14 ilU
Solar or heat pump water heater
23.00
Water piping
15.00
Each gas water heater or vent
15.00
Ges piping system 1 - 5 outlets
15.00
Building sewer
1 S.00 �j
Mobile Home I S I G I W
@20.00
a00 PERMIT FEE
ELECTRICAL PERMIT
Main Service =0op11 11eses9s
300A
Main .Service 200A TO 1000A
ng Fee 20.00
23.00 O
46.00
3.5CF
07.501
Ex. Occup. ounzr ON nrnmesZ
low�'w
Ml .SO
EX. 0 c c u p. fDtEO 'Mn,
ovTleTso.
5.00
Temporary Service
23.00
Mobile Home Facilities
20.00
Misc. Wiring
23.00 Z3,55
0 3 PERMIT FEE _
MECHANICAL PERMIT Fling Fee 20.00
Heating
Cooling
Hood 8.50 P 50
PERMIT FEE f _ 0
Mobile Home Installation Fee =
Energy Inspection foe = 00
«` CONST. TYPE TOT L FEE $
NAz 0. rF.es P a000 I COf IAnc no w ssue
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.
665-a `b
By Date �—
PERMIT EXPIRES ON
TO: Building Deportment
FROM: Environmental Health
SUBJECT: Sanitation Clearance
E.H. USE ONLY
Plot Plan Attached
Floor Plan Attac a S.
.,
+ Sent to B.D.
795 C144rc1>'// 42 —340—o4z
Owner Location AP#
Plan Approved for: Sewage Disposal . Water Supply: Public Private Well
Clearance for dwelling. Other 1,c,-neckl f-?a.,� cs7Cf�`i-e,
If
Hold final for:
Final clearance O.K. for:
NOTE:
c , & lol, J� / zr-22-
Environmental Health Specialist
8/96
Date
i`titlw-�.�...�J17--•"`.*'4�v Y*� 7."ri4ilr�'/�`�.C�'""-k'"f
COUNTY,OF BUTTE -DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING DIVISION
7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE (530) 538-7541
PERMIT APPLICATION DATA SHEET
OWNER: Mm11 ASSESSOR PARCEL /NU�M�BER: 014 2- 3(40- C>( -l2
Proposed Building Use: ��
Building Inspector: Q (? _jb.Ae Date: 1; • -7-4 nem
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 --------------------------------------------------------------------------------------
El 2. Plot plans, 3/4 sets, signed by the preparer of plans. ------------------------------------------------------------
❑ 3. Complete plans, 3/4 sets, signed by the preparer of plans. -----------------------------------------------------
04. Engineered plans, 3/4 sets, with wet signature on plans. All engineering must be shown on plans. --------
❑ 5. Engineered truss details and layout in duplicate (required prior to plan review) No faxes! ------------------
116. Energy Design Compliance and supporting documentation. ----,'1----------------------------------------------
❑ 7. Statement of Intent for Non -Heated and A/C Buildings. ---------------------------------------------------------
❑ 8. Hazardous Material Form.------------------------------------------------------------------------------------------
❑ 9: ufactured Home data and insta tion instructionsu
Fees of $ ----- - ----- =--- ----
Impact fees as shown on the attached schedule. ---�-ti
❑ 12. California Department of Forestry plan approval/fees.
Tie Down Specifications.------------------
❑ 3 od elevation certificate. ---------------------------------------------
Sanitation and plot plan approval JN� Health Department.
1115. City of Chico plumbing permit. ---------------------------------------
❑ 16. Plot plan and business license approval from the City of Biggs. ---
1117.
--
❑17. Planning approval for (A) Use: (B) Parking:
❑ 18. Contact Land Development about ❑ Improvements, ❑ Drainage, ❑ Legal Parcel.
❑ 19. Encroachment Permit for driveway (construction approval prior to occupancy). ---------------------
X,E0120.e-inspection for required Request to Building Inspector on
ontractor's license information. (Number, Name Style, Classification). -----------------------------
orkers' Compensation carrier and policy number. ----------------------------------------- -----------.
023. Owner -Builder Verification (Given to owner ❑, Mailed to owner 0) - -------------------------------
024. Letter of signature authorization. -------------------------------
❑25. Recorded copy of Agricultural Acknowledgment Statement.
❑ 26. Letter of intent on building use. ----------------------------------
0 27.
--------------------------------•❑27. Manufactured Home utility clearance. --------------------------
1128. Existing violations and/or expired permits. --------------------.
❑29. 0433 A, ❑Grant Deed, ] M.H. Title, ❑ Check to H.C.D $
030. Other:
W=eihone
'u issue the permit, process as follows ❑ Mail to owner, ❑ ail to contractor.
U 3 L/ 5 - G 1 � 8 and hold for pickup at CK,(,CO zt5ffice. ❑
Applicant: C
Copy of Haz-Mat form sent ❑Health Department, ❑Fire Department, ❑ Air follution 6 ate:
Copy of plans sent ❑ Health Department, ❑ Fire Department, ❑ Oker: i t_ Date:
(Date)
r with inspector.
1. Index permit application for the above items numbered: It A Plan Check List
2. Additional items required:
ontrac os, 'gner, owner, was advised of the above required data by ❑ phone, mail, ❑ Building Division counter, by Date:
ttwactor, designer, owner, was advised of the above required data by ❑ phone, ❑ mail, ❑ Building Division counter, by Date:
Contractor, designer, owner, was advised of the above required data by ❑ phone, ❑ mail, ❑ Building Division counter, by Date:
Contractor, designer, owner, was advised of the above required data by ❑ phone, ❑ mail, ❑ Building Division counter, by Date:
Plans reviewed by: Date: .1. Plans approved by: Date:
- L Sets of plans on hold in wPlan Cabinet, o,A.P. folder. Note transfer by: Date:
Vett..... f'...... Tl,.-....-a�__a
'ROOUCER '
',indo, Hdrna & Abbott
:icense #OB010.94
?.0. Box 8110
,hico GA 95927
Phone:530-895-1010 Fax:530-895-3165
4SURED
Tom J Nix Custom Homes
720 Churchill Drive
Chico CA 95926
RAr:FS
THIS CERTIFICATE 15 ISSUED A5 A MAI fhK Ut INI-UKMAIIUM
ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE
HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR
ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW.
INSURERS AFFORDING COVERAGE
INSURER A: Legion Insurance
INSURER B:
INSURER C:
INSURER D:
INSURER E:
THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING
ANY REQUIREMENT. TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR
MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES CESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH
POLICIES, AGGREGATE LIMITS SHOWN t*y HAVE REEN R€goXg SY PAIP CLAIMS.
TSRTYPE OF INSURANCE i POLICY NUMBER
DATE MMlDDIYY
DATE MMIOWN
LIMITS
GENERAL UABILITY
i COMMERCIAL GENERAL LIABILITY I
-� CLAIMS MADE ❑ OCCUR i
r-
• I
GEN'L AGGREGATE LIMIT APPLIES PER: !
POLICY PRO -
ECT LOC
JI I
EACH OCCURRENCE ! $
FIRE DAMAGE (Any one fire) S
MED EXP (Any ane person) $
PERSONAL & ACV INJURY ' S
GENERAL AGGREGATE S
PRODUCTS - COMP/OP AGG S
AUTOMOBILE LIABILITY
! ANY AUTO
ALL OWNED AUTOS
(SCHEDULED AUTOS
HIRED AUTOS
NON -OWNED AUTOS
I
COMBINED SINGLE LIMB i 3
(Ea accident) 1
BODILY INJURY $
(Per perscn)
BODILY INJURY S
(Per amceM)
PROPERTY DAMAG€ 15
(Per acc cent) j
GARAGE LIABILITY
ANY AUTO
--�
)
I
I
I`
i
AUTO ONLY - EA ACCIDENT 1i
OTHER THAN EAACC IS
AUTO ONLY: AGG � S
EXCESS LIABILITY
f� OCCURCLAIMS MADE
DEDUCTIBLE
r I RETENTION S
I
I
EACH OCCURRENCE Is
AGGREGATE i S
S
S
Is
1 WORKERS COMPENSATION AND
A EMPLOYERS' LIABILITY
WC21501096
04/01/00
04/01/01
TORY LIMITS • I ERS
E.L. EACH ACCIDENT j$1000000-
1000000E.L.
E.L. DISEASE - EA EMPLOYEE' S 1000000
E.L DISEASE • POLICY LIMIT I E 1000000
OTHER---- ------ -- - ----
---- ------ - - -
..
DESCRIPTION OF OPERATIONSILOCATIONSNEHICLESIEXCLUSIONS ADDED BY ENDORSEMENTISPECIAL PROVISIONS
License #: 542851
,CERTIFICATE HOLDER I N I ADDITIONAL INSURED; INSURER LETTER: _ CANCELLATION
CONLICZ SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION
DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 10 DAYS WRITTEN
CONTRACTORS STATE LICENSE NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT. BUT FAILURE TO DO SO SHALL
P. P . 0. BOX 26000 -IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER ITS AGENTS OR
O.
SACRAMENTO CA 95826 REPRESENT
Mark
ACORD 25-S (7/97)
CACQRD CORPORATION
,K.�r-�dL .+�:.Jti:'k w _... �.--...�.�;...z"v-.. t��r„-+i;_i�.��"W.mrr ,,, ....+w^-�- •-•r.��,. « r�r'--•-r «ih •..-. .+....,���•-..,�....ax+.,l r• . v s , s. .. -
r
` BUTTE COUNTY SCHOOLS
IMPACT FEE CERTIFICATION FORM
(One form per Building)
School District
building Department No.
A.P. Number ��a'3yb'(!� Jurisdiction:
City County
Property Owner ��, W
Property Location/Address -4 q
dA ,.
Subdivision
, 'Lot -No`
.................................................................:.........:......................................
:
Residential Development
� Sq. Footage ' 1
No of Living Mobile Home
A6ditioN 'Supplemental to (Group R)
Units Installation
Conversion Permit #
i...................................................................................................................
'(No foundation inspection):
Commercial/Industrial O
Sq. Footage
New Addition
(Including Exterior
"
-
Roofed Areas)
Building Department Representative
Date
(Floor Plans reviewed by School District Personnel)
District Identification No.
0 JA M School District certifies that
(Street Address)
' (City)
has complied with the requirements of Resolution No.
representing Com: square feet.
School District Representative
(State)
O 6 o
(Applicant)
(Phone Number)
(Zip Code)
r . _.
In
by payment of $
AB 2926 $
FULL MITIGATION $
V-3 i Le o
Date
Paid by Check # (� Remarks:
r
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(x), 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.xis (10/98)dmm
i
August 29, 2000
Tom Nix
P.O. Box 4679
Chico, CA. 95927
Mark Morlock
r�Department of Develo tent Services
Building Division
7 County Center Drive
Oroville, CA 95965
(530) 538-7541 (530) 538-2140 FAX
Assessor Parcel Number: 042-340-042
Building Permit Number: 00-1862
This office reviewed building plans for the permit application referenced above. The items
identified below must be submitted prior to permit issuance. These items were noted at time of
permit application on the PERMIT. APPLICATION DATA SHEET. Your complete and clear
response will expedite the re -check and approval of this project.
# 400.03
1. Pay Balance of Building Permit fees in the amount of $
2. Complete and return the Butte County School Impact fee certification form.
3. Sanitation and plot plan approval is required from the Butte County Environmental Health
Department.
4. Complete Contractors insurance declarations on building permit.
If you wish to discuss any requirements, you may contact me at (530) 538-7541 between the
hours of 1:00 p.m. and 4:00 p.m., Monday through Friday.
Sincerely,
Glenn Gibbons
Plans Examiner
1 of 1
COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS
7 County Center Drive - Oroville, California 95965 - Telephone: 916.'538-7541
APPLICATION AND -PERMIT
PERMIT
NO
W
ASSESSOR PARCEL NUMBER
042-340-042
ZONING
SR -1
'
BUILDING PERMIT
OWNER
Mark Morlock
TELEPHONE
343-1806
SO.FT. OCC. BUILDING VALUATION
92 R 4,968.06
OWNER'S MAILING ADDRESS 4 / l0'p�
795 Churchill Dr., Chico 95926 CJIO T V
24 C 312.00
CONTRACTOR'S NAME
Owner
TELEPHONE
Est. 1,000.00
CONTRACTOR'S MAILING ADDRESS
Fireplace
CONSTRUCTION LENDER
UNKNOWN
Total Valuation 1$6,280.00
Filing Fee
$ 15.00
LENDER'S MAILING ADDRESS
Permit Fee
$ 75.00
ARCHITECT OR ENGINEER
LICENSE No.
Pian Checking Fee
$ 37.50
Energy Plan Checking Fee
$ 20.00
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Penalty
$
BUILDING ADDRESS
Permit fee
7.50
$147.50
PLUMBING PERMIT
Filing Fee 15.00
795 Churchill Dr., Chico
Each Trap
5.00
Solar or heat pump water heater
20.00
LOT NO.
SUBDIVISION NAME
PARCEL MAP
Water piping
7.00
Each qas water heater or vent
7.00
USE OF STRUCTURE
SFK1 Duplex❑ Mobilehome❑ Other
SPECIFY
Gas piping system 1 - 5 outlets
5.00
Building sewer
15.00
Mobile Home S G W
@ 15.00
TYPE OF WORK
New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation❑ Other ®
Describe work: Porch & Office Addition
Replace Patial Siding
Permit Fee
$
Contractor
ELECTRICAL PERMIT
FiIingFee 15.00
Main service 600VORLESS
200A OR LESS
j$.5O
Main service 200A TO IOOOA)
37.50
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 .Jo. 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 OCCUPM
OR ADDNS. ACC. BLDGS. /
X 3.64 sq.ft. 3.20
11
NEW CONSTR. MULTI -CUTLET
NON -RES, BRANCH CIRC ITS
@ 5.00
POWER APPARATUS 9
(SINGLE OUTLET c,R. )
Ex. Occup(oUTLETS OR FIXTURES
20 76d
FIXED APLNS. OR
Ex. OCCUp. OUTLETS P(RESID ) EA.)
I 3.00
Temporary service
15.00
Mobile Home Facilities
15.00
Misc. Wiring
9
1 15.00 15.00
Permit Fee
$ 33.20
-
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 Certificateof 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
FiIingFee 15.00
Heating :-
-
Cooling -
-
Hood
6.50
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 County of
Butte to enter upon the above-mentioned property for inspection purposes.
I also agree to save, indemnify and keep harmless the County of Butte against,
all liabilities, judgments, costs, and expenses which may in any way accrue
said Cou i nseq ence of the granting of this permit.
X Date 70(7 3�97i
Signature of Ap /cant - 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 $
i
Ener Inspection Fee $
9Y P 40.00
occ
CONST TYPE
r- -
TOTAL FEE $229.7 '
,..Q
HAz
I DFEES I
IMP
I FLOOD
I CDF
PARCEL
PD
HD�,�'+
c�against
This permit is hereby issued under the
sions of the Butte County Code and/or
work indica,Wd a ov or which fees
OF PUBLIC
By,4
PMMft EXPIRES Date 9
applicable provi-
resolutions to do
have been paid.
WORKS
Date
Receipt No. 117691
WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT I
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COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS - BUILDING DIVISION
7.000NTY CENTER DRIVE - OROVILLE, JFIFORNIA 95965 - TELEPHONE (916) 538-7541
S
OWNER
Proposed Building Use
PERMIT APPLICATION DATA SHEET
6)12 L o C--lG-
Building Inspector
No.D
Date 7 0;1
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. Pfot plans, 3/4 sets, signed by preparer of plans. .... ..... .
cL Complete plans, 3/4 sets, signed by preparer of plans.Rc-bF.. FtZA.1tZ ....... .
4. Engineered plans and calcs, 3/4 sets, with wet signature on plans. ....... . .... .
5. Hazardous Material Form . ............................................
6. Energy Design Compliance and supporting documentation . ..................
7. Statement of Intent for Non -Heated and A/C Buildings . ......................
8. Engineered truss details and layout in duplicate (required prior to plan check). ... .
-9-1 Mobilehome data and manufacturer's installation instructions, 2 sets. ...........
'Fees of OV- (C ..........................................
'Il. Impact fees as shown on attached schedule . ..............................
12. California Department of Forestry plan approval/fees. ....................... .
11 Flood elevation letter (100 year flood) by California Engineer. . .
14. Sanitation and plot plan approva<- H a Health 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). .. Pre-In..spection . ..req .
�
u-
20. Pre -inspection for required. . to Building Inspector (Date)
21. Contractor's license information. (No., Name Style, Classification) . ..............
22. Certificate of Workmans Compensation Insurance . ......................... .
23. Owner -Builder Verification (Given to owner , Mail to owner_). .......... .
24. Recorded copy of Agricultural Acknowledgement Statement . ................. .
25. Letter of signature authorization . ........................................
26. Copy of recorded deed of parcel creation and 60 right of way to a public road. .... .
27. Letter of intent on building use . ........................................ .
28. Mobilehome utility clearance . ..........................................
29. Documentation of legal access . ........................................
30. Documentation of 50% subdivision developed or (A) Road improvements completed
and (B) Parcel meets zoning area and frontage requirements . ...............
31. Existing violations/expired permits . ......................................
32. Plan check list . .....................................................
33.
34.
When you issue thepermit, process as follows: MSA to oner. Mail to contractor.
X Telephone 3Y 3-ld'O6 and hold for pickup at 1-. office. Deliver with inspector.
Other
Parcel Creation,,,..... 3
Acreage Applicant r Date
Copy of Haz-Mat form sent Health Dept. Fire Dept. Air Pollution Date
Copy of plans sent Health Dept. Fire Dept. Other Date By
The following data must be submitted
1. Index permit for above items No.
2. Additional items required:
issuance: (Circle new item not checked above).
Contractor, designe , owne ,was advised of above required data by _,phone _ mail Counter by _ Date
Contractor, designer, ner, was advised of above required data by _ phone -mail Counter by _ Date
Plans checked by Date 1_ Plans approved by Date
Sets of plans on hold in File cabinet AP folder
Copy - Department of Public Works
i
ENERGY INSTALLATION CERTIFICATE
Building Owner 0QL 0y"� Building Permit #
Building Location C 0 ✓2.c,vt i-� -
DESCRIPTION OF INSULATION
ROOF
Material
Thickness(inches)
EXTERIOR WALL
Material - " �--
Thickness(inches) yo
CAazz G
B or Blanket Type
Thickness(inches)
Loose Fill Type
Minimum Thickness(Inches)
Area covered(ft. )
FLOOR, ELEVATED
Material
Thickness(inches)
FLOOR, SLAB
Material
Thickness(inches)
Width (inches)
FOUNDATION WALL
Material
Thickness(inches)
Brand Name
Thermal Resistance (R Value)
Brand Name
Thermal Resistance(R Value)
Brand Name
Thermal
Resistance(R Value)
Brand Name .
Number of Bags Wt. per bag lb.
Thermal Resistance(R Value)
Brand Name _
Thermal Resistance(R Value)
Brand Name
Thermal Resistance(R Value)
Brand Name
Thermal Resistance(R Value)
I hereby certify that the above insulation was installed in the above building,
1s consistent with- approved building department.--plans--and at-tachments -and- con-\
forms with requirements of Chapter 2-53 of State of California Energy Requiremen
FIRM NAME/OWNER STATE CONTRACTOR'S LICENSE NO.
SIGNATURE OF INSTALLATION APPLICATOR
DATE
I hereby certify the required features, devices, and equipment, a5 shown on the approved
Building Department plans and attachments have been installed and conform to the appli-
ance standards and Chapter 2-53 of the State of California Energy Lequirements.
BUILDING CONTRACTOR/OWNER (Please Print)
(FIRM NAME)
C
STGNATU OF BUILDING CONTRACTOR/ NER
HVAC FIRM NAME/OWNER (Please Print)
SIGNATURE OF HVAC CONTRACTOR/OWNER
STATE CONTRACTOR'S LICENSE NO.
DATE
STATE CONTRACTOR'S LICENSE NO.
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.
SEPTEMBER 1988
BUTTE COUNTY SCHOOLS IMPACT FEE CERTIFICATION FORM
(One Form Per Building)
School District G- (JS Building DepartmentNo.
A.P. Number (2 LZ-3-�/U�V�Jurisdiction City County
Property Owner %y {2 /e-` OG2 L O'CAC-
Property Location/Address —% /7" (/ /2 •% �� �-- IL �� G.74 / C 4)
Subdivison
Residential Development 0 0
No. of Living MHI
Units
Commercial/Industrial 0
New
ilding DepartmeM Representative
District Identification No.
_Lot No.
Sq. Footage
y
Addition (Group R)
0 Sq. Footage
Addition (Including Exterior
Roofed Areas)
(Floor Plans reviewed by School District Personnel)
7 3AF Z --
Da
a6 A � C) 1;� School District certifies that
(Applicant)
9�
(L
(Street Address) _ (Phone Number)
�s 2a (:�2
(City) (State) (Zip Code)
has complied with the requirements of Resolution No. �7 �� ' �a by payment of $C
representing % square feet.
School District Representative
Paid by Check Number
Bank Number
Paid by Cash
JJ A
J
Date
Remarks: 6 -,t -b Z`,r7/j7 .1 -16-116
If, subsequent to the School District Representative signing this Butte County Schools Impact Fee
Certification Form, the School District tis 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) s feeform.wkl (4/92)
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 -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 (yes or no)
2. I (have/have not). signed an application for a building permit
for the proposed work.
3. I have contracted with the following person (firm) to provide the proposed
construction:
Name
Address
Phone 'Contractors License No.
City
4. I 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. 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:
Property Owner
Social.Security Number
Date -7 -5
NOTE: This Owner -Builder Verification is sent to you as required by Sections 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.
Certificate of Compliance: Residential (Paged of 2) Lr'-tx
Date
Project Title
`C5 Lhu�ln 1 -Dr ��re�
Project Address ^ 4>10 l�
• �� ^ DuilJuig f'cmiit tl
Documcnlati n Aul ur ` cicphonc
• 1 � Checked 8y / Date
e tClimate 'Lone Enforcement Agency Use Only
Corn lance Method (P ckage• Point Sy m or Computer)
GENERAL INFORMATION
Total Conditioned Floor Arca: b ft2
Building Type:. Single Family Hotcl/Motel
Multi-Fami] less than : stories) Addition
(check one or more) y ( Existin Plus .Addition
Multi -Family (4 or more stories) b
Front I'.I111'V Orientation: North East / South/ West / All Orientations (circle one or more)
Number of Dwelling, Unils'.
—
t
�� • �/
Floor Construction Type:
Slab wised Floo (circle one or both)
�,ht
�(0
Infiltration Control:
Ztandard (circle onc)
BUILDING SHELL INSULATION
�• �allo+ueci
Component Iri'sulatton
Location/Comments
t _
TN,p,, R -Value
(attic, to garage, typical, etc.) r
Wall .:............ • [
—�
�[
��•C
Wall ..............
Roof .............
alb
Roof .............
Floor .............
Fl
0.
1
-
oor.............
Slab Ed�c..... __
GLAZING 1 t
Glazinn --;Arca Glass Tv
pc
Orientation (s n, (single. double)
Front....
Front.... ( )
Left...... (jq •
Left...... ( )
Rear ..... ( )
Rear..... (1)
Right.... (w
Right.... ( )
Skvlit=ht.......
Skylight
kb
Siadin`a Dcvices
Interior Exterior
(roller blind, etc.) (shadcscrccn, etc.)
Y�
Ovcrhang, Framing T\ PC
(ves/no) (metal/wood.)-
THERMAL MASS
Typc/Covcrino Arca Thickness + '
(slab/exposed, tile, etc.) (S f) (inches) L.ocalion/DescrlDiion (kitchen, bath, etc.)
j
p , Q ry
Vt
j
C : kircate of Compliance: Residenfial
(Page 2 of 2) CF -1R
Date �� Z
Project Title
11VAC,SYSTEMS.
Minimum.
'Type (furnace, air Efficiency
conditioner, heat pump) (SE, SEER,t�
Duct
Location Duct Output Manufacturer / Model #
(ause. ctc.) R=Value (Ruth) (or approwcd equal)
Maximum Furnace Heating Output: __ Btuh
HOT NATER SYSTEMS
tem Tvoe (
Tank Manufacturer/tvtodcl #
Capacity (or approved equal)
SPECIAL FEATURES/REMARKS (Add extra sheets if necessary)
al Featurc(s
COMPLIANCE STATEMENT
This certificate of compliance lists the building features and performance specifications needed to comply with
Title 24, Chapter 2-53 and Title 20, Chapter 2, Subchapter 4, Article 1 of the California Administrative code. This
certificate has been signed by the individual with overall design responsibility and the building owner, who shall
retain a copy of it and transmit the certificate to any subsequent purchaser of the building. `Vhen this certificate of
compliance is submitted for a single building plan to be built in multiple orientations, all building conserti anon
features which vary are indicated in the Special Features/Remarks section.
Designer
Name: 7►' at Y' lOJ'iuG.IL
Titic/Firrrt:
Address: -?qJ rf/�U�G/tZ/GG
S j�L 6
Telephone: ti( 33 —,L
Lic. N:
v a' -A Z
(signature) i (dart)
Documentation Author
Namc: rt-mol'ei hems ✓\"
Titic/Firm:
Address: 7iZ L J ' S
Telephone: s "1012--8 Z"eO7iIERh �n
—aQV--&—A
(signature) (dart)
Form Revised March 1988
.Building Owner
Name: G r•-�L 0 Gk.
TitleiFirni:
Address: _�� / J'
Telephone: ?yI
7 lZ/9Z
(signature) (date)
Enforcement Agency
Namc:
Agency:
Telephone:
(signature or stamp)
(date)
It
Point System Summary: Climate Zone
'Date..
Projectl•iue -
BUILDING DATA
Conditioned Floor Arca' Number of Stories
Slab/tcatsed Floor
Check all applicable Unit Type condition(s):
(] Single Family Detached (SFD) [ ] Addition Alone
[ J Single Family Attached (SFA) (] Existing Building
[ ] Multi -Family (MF) [ J Existing -Plus -Addition
North
East
South
West
Skylight
Total
Glass Area %Glass
SCORE -CARD
Point Scores
AReasures
1. Ceiling Insulation
or
R•value
U -value
2. «VallInsulation
or
R -value
U -value
3. Raised Floor Insulation
or
R -value
U•valuc
4. Slab Edge Insulation
or
R -value
n factor
S. Infiltration
Standard
0
6. Glass Heat Loss
U -value
90 Taal Glass sum 1-6
Type
7. Shading (Shade Open) p
-
% Glass
SC
Eff. %Glass
a. North
X
b. East
X
c. South
X
d. Nest
X
C. Skylight
X
S. Shading (Shade Closed)
Shading
90 Glass
SC
Eff. r;'o Glass
a. North
X
b. East
X
c. South
X.
—
d. West
X
=
c. Skylight
X
9. Interior Thermal Nlass
Interior .%lass/CF•A
10. Exterior Nall Mass
Sum 7-10
Elterlor Will sass
11. bleating System
X
Zonal Control? ( Y / N)
SE or IlSPF
Duct I:fficicncy
Effccuvc S1? or
flsPl:
12. Cooling S1'stem
X
Zonal Control? ( Y/ N)
SEER
Duct Efficiency
Effective SHR
13. Nater bleating
Tyr-
Credit
Point Total:
Furm Revised %larch 19SS
Ab
Certificate of Compliance: Residential
1'ruJcctTitic _ r-) �v�� 1,bi
Project Address.
maW.,cumcnlati n At ^
cc Method Q' ckagc, Point SyWrn or Computer)
(Page 1 of 2)
- vale
tph��
Buddutg Pemtit 0
Checked By / Date
Climate Zone Enforcement Agency Use Only
GENERAL INFORMATION
Total Conditioned Floor Area: ft2
Building Type: Single Family Hotcl/Motel
(check one or more) Multi -Family (less than 4 stories) _X_ Addition
Multi -Family (4 or more stories) Existing-PI'us-Addition
Front I ntly Oricniatitm: Nonh Cast / South / West / All Orientations (circle one or more)
Number of I)wcllin�, Units:
Floor Constriction Type: Slabwised Floo (circle one or both)
Infiltration Control:andard ght (circle one) 1 2
BUILDING SHELL INSULATION
Component Insulation Location/Comments
Typc R--VV,alu�e/� (attic, to garage, typical, etc.)
Wall .............. GV�
Wall ..............
Roof ............. !25-
2 of
Roof .............
Floor ............. 4
Floor .............
16
Slab Edoc..... _
GLAZING
Glazing .-.Arca
Oncntation (sn
Front.... VVI
Front.... ( )
Left...... (63}.
Left...... ( )
Rear..:.. ( )
Rear..... (�)
Right.... (W
Right.... ( )
Sl:vlituht.......
Skyli-ht
kb
Glass Tvpc
(single, double)
Shading Dcvices
Interior Exterior
(roller blind, etc.) (shadescreen, etc.)
Yom.
r �
52 ted
Overhang Framing Type
(ycs/no) (metal/wood)
THERMAL MASS
Type/Covering Arca Thickness
(slab/exposed, tile, etc.) (sf) (inches) Location%Descrintion (kitchen. hath, etc.)
,cate of Compliance: Residential
HVAC SYSTENIS .
Minimum
Type (fumncc,'air Efficiency
conditioner, heat hump) (SE, SEER.1
Duct
Location Duct Output
(attic, etc.) R -Value (131u11)
Maximum Furnace Heating Output: Btuh
HOT WATER SYSTEMS Tank Manufacturer/lvlodel #
System Tvoe (storage gas, ets-)� Capacity (or approved equal)
SPECIAL FEATURES/REMARKS (Add extra sheets if necessary)
(Page 2 of 2) CF -1R,
Zc) q z
Date
Manufacturer/Model #
(or ap)rovcd c(111,11)
ial Featurc(s
COMPLIANCE STATEMENT
This certificate of compliance Iists the building features and performance specifications needed to comply with
hapter 4, Article 1 of the California Administrative code. This
Title 24, Chapter 2-53 and Title 20, Chapter 2, Subc
certificate has been signed by the individual with overall design responsibili,,v and the building owner, who shall
retain a copy of it and transmit the certificate to any subsequent purchaser of the building. When this certificate of
compliance is submitted for a single building plan to be built in multiple orientations, all building consen•auon
features which vary are indicated in the Special FcaturesRemartis section.
Designer
Name: �✓L ��'� C./'l�C.rL
Titic/Fir mn:
Address: "7 rf !' C &Zl4d IY2 G� ►)%a t'iJ
S1`71, 6
Tcicphonc: ; 5/ 3 —/
Lic. k:
ZZ/5Z
(signa:urc) (daft)
Documentation Author
Name: r%lsk0 ►I e, rler '& ✓\
--r
Tidc/Firm:
Address: Zz. W ' S
Telephone: 3 -10 tZ 8Z-!oZ
(signature) (date)
Form Revised March 1988
.Building Owner
1
Name:
T--
Title/Firm:
Address: %SJ
Tcicphonc:—
�
(signature) (date)
Enforcement Agency
Name:
Agency:
Tcicphonc:
(signature or stamp)
(date)
�
{
'
t_� � y
� � i
it.
,.,2.._.. _..
'
� r
.. y....
'
f, ..
t
� � i
..
,.,2.._.. _..
Point System Summary: Climate Zone P"2R
Date
Project Title -�
IIUILDING DATA
Conditioned Floor Area' Number of Stories
Jlao/naisc d Floor
Check all applicable Unit Type condition(s):
[) Single Family Detached (SFD) (] Addition Alone
(] Single Family Attached (SFA) [ ] Existing Buildinog
(j
Multi-Family(MF) [ ] Existing -Plus -Addition
SCORE CARD Measures
Glass Area p/o Glass
North
East
South
West
Skylight
Total
1. Ceiling Insulationor
R -value
U -value
2. «'all Insulation
or
R -value
U -value
3. Raised Floor Insulation
or
R -value
U -value
4. Slab Edge Insulation
or
R -value
F2 factor
S. InCltration
Standard
6. Glass Heat Loss
-rte
U -value
9, Total Glass
7. Shading (Shade Open)
SC
Eff.1-7o Glass
% Glass
a. North
X
b. East
X
c. South
X
d. West
X
c. Skylight
X
—
S: Shading (Shade Closed)
t7o Glass
SC
Eff. rig Glass
a. North
X
b. East
X
c. South
X.
d. `best
X
c. Skylight
X
9. Interior Thernt:ll Mass
Lntcrior Mass/ern
10. Exterior W311 Mass
Exterior Wall Mass
11. Heatin-SNstem
Zonal Control? ( Y / N)
X
Effcctivc SE, or
HSPF
Duct i:f ficicncy
SE or I ISPF
12. Cooling System
SEER
X
Effcctivc SESit
Duct l fficicncy
Zonal Control?
13. Nater Heating
'ryTX
credit
Furm Revised March 19SS
Point Scores
0
Point Total:
Sum 1-6
Sum •10
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L.. ori s � e.- .
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FOR M 7
ADDITIONS TO RESIDENTIAL BUILDINGS ENERGY SHEET
PACKAGE "A" (Additions)
Owner m I n ch Climate Zone fl `
Permit # q1- Z 59 Z Floor Area '1Z
The following data showing mandatory and required features of Package "A" shall
be installed for additions to dwellings. Additions to dwellings include room
additions, converting garages and patios to living areas, house moves that add
footage and attic conversions, and any space that is existing non -conditioned
space that is converted to conditioned space. Remodeling of existing conditioned
space is not included.
ZONE 11
APPLIESITO NEW AREA
CEILING R;3.0-
FL.00.R
SLAB -
R-7
HAZING. U-=.,9_5_(Dua ly)
SHADING
SOUTH - OPTIMUM OVERHANG
or ..36 Shading'Coefficient
WEST - .36 Shading Coefficient
LOOSE FILL INSULATION (Density) -
ZONE 16
R-38
R-19
R-19
R-7
U-.65 (Dual)
INFILTRATION CONTROL (Weatherstrip doors, certified windows, caulking)
4
VAPOR BARRIER (Zone 16)
DUCTS PER UNIFORM MECHANICAL CODE - Ch. 10
LIGHTING KITCHEN & BATH NOT LESS THAN 25 LUMENS/WATT
MAXIMUM GLAZI�16% OF AREA PLVS_REMOVED_GLAZING
NEW HEATING, VENTILATING,AIR•CONDITIONING AND HOT WATER -SYSTEMS IN
CONJUNCTION WITH AN ADDITION SHALL BE INSTALLED AS*SHOWN ON BACK
OF THIS SHEET.
OTHER
12/85
*1 HEATING VENTILATING, AIR 'CONDITIONING SYSTEM
(A) Heating
❑ Central Gas Furnace
(brand and model -number) SE
Btu/,hr,.
(heating capacity)
❑ Heat Pump
(brand and model number) ACOP
Btu/hr
(heating capacicy;at 47°F)
❑ Active Solar
type (liquid or air) Collectir brand and
ft
model'aumber solar fraction collector area collector
oriencition collector tilt raced y-intereepc
raced slope
❑ Other
(describe)
*1 (B) Cooling
Q Electric Air Conditioner
(brand and model number) (seasonal EER)
_ Btu/hr
(cooling capacity at 9507)
❑ Electric Heat Pump
EER
Btu/hr
(cooling capacicy ac 95°F)
❑ Other
(describe)
DOMESTIC STATER SYSTEM
❑ (A) Gas Only Gallons
(brand and model number) (tank size)
❑ Heat Pump v/ElectzicBackup
(brand and model number)
Gallons
(tank ° size)
❑ *Z Active Solar
(collector brand and model number)
(raced y -intercept) (raced slope) (solar fraction)
ft2
(backup heater type, -brand and model number) (collector area)
(collector orientation) (collector tilt)
Location of Solar Panels
❑ Other
(Describe)
*1 Submit documentation of sizing heating and cooling equipment by Manual J, sizing
charts (form #4) or other approved methods, section 2-535Z(g), and fill out the
following:
Heating: Wincer design temperature °, elevation ', heating load 3TU
elevation factor x heating load - maximum outlet capacity gas furnace
BTU
Cooling: Summer design temperature °, cooling load BTU
*Z 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, Chapcer 2-53 of the California Adminiscration Code:
�SIGIUIATU F BUILDING DESIG21ER OR APPLICANT
.-.J�%�'W`''.�., '.lL:.r=1- Fi^iF�-?'tsi�"iii?w+�jiy":aM*'a�''tky"1'�1Y-�G7�fM'-�j��'%'�'�`t:r�r+�4..r4.+•rtr'C�r''�"i}'�M,:�,v�"'4f-r`i•••d�'+^�f'�W�%+`�a,.�'?Srr+^,+�.�i':cx"j,:iJ+'�c'S°rnP�ti�`tt*'`"•}p'�r1r�,....c= `�-- +wr,�s.
42-34-42 - 3344-91P o
' MORLOCK, Mark
795 Churchill Dr, Chico
cont: M.D. Plbg•
(gas line & water heater/sf)
r
` t
t
i�1 r
• f f 1
OFFICE COPY
Address ( 5
GAS Date,
Meter By�
ie
By •
r—.-z-.z.33s.�6r✓J-tIT'i"I'kf�. !� ! �i�".,�.�►, �°",'�{��45�<�!}: �+..13�*"�k,.a=^`��•X'�°�sP•��tiy''r^-+^>f
". COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT NO
Z County Center Drive - Orovlller Celljprnle,5 5965 - Telephone: 916/5384541,
` APPLICATIONAND PERMIT
ASSESSOR PARCEL NUMBER
42-34-042
ZONING
�_�
BUILDING PERMIT
OWNER
Mark Morelock
TELEPHONE-
343-'1006 �.,
SO: FT. OCC. BUILDING VALUATION
OWNER'S MAILING ADDRESS
795 Churchill Dr., Chico 95926
CONTRACTOR'S NAME
M. D. Plumbing
TELEPHONE
3457456
Y- EAG
CONTRACTOR'S MAILING ADDRESS
P.O. Box 7661 Chico 95927
Fireplace
CONSTRUCTION LENDER
UNKNOWN
Total Valuation Is
LENDER'S MAILING ADDRESS
Filing Fee $ 15,00
Permit Fee $
ARCHITECT OR ENGINEER
LICENSE NO.
Plan Checking Fee $
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Energy Plan Checking Fee $
Penalty $
BUILDING ADDRESS
Permit fee $
PLUMBING PERMIT Filing Fee 15.00
795 Churchill Dr.. Chico
Each Trap 5.00
Solar or heat pump water heater 20.00
LOT NO.
SUBDIVISION NAME
PARCEL MAP
Water piping 1 7.00 7.00
Each qas water heater or vent 7.00 7*00
USE OF STRUCTURE
SF[A Duplex❑ Mobilehome❑ Other
SPECIFY
Gas piping system 1 - 5 outlets { .1 5.00 j.00
Building sewer 15.00 ) �i
Mobile Home I S FG FW r @ 15.00
TYPE OF WORK
New❑ Addition❑ Remodel❑ Utilities[] Installation❑ Other®
Describe work: Gan & New Water Heater
Permit Fee $34.00
Contractor
ELECTRICAL PERMIT Filing Fee 15.00
•
Main service soot/ OR LESS j$,50
200A OR LESS
Main service 200A TO IOOOA) 37.50
CONTRACTORS LICENSE LAW
I declare under penalty of perjury (check one):
{ 1 am licensed under provisions of Chapt. 9, Div. 3 of the Business
and Professions Code a d my license is in full force and effect.
License .JO. 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)
�:> - -•. r
❑ 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 r �'� "' '� t�-:j'1
NEW CONST. DWELLING OCCUP.& 3.64sq.ft.
OR ADDN5. ACC. BLDGS.
NEW CONSTR ULTI.OUT LET
NON.RESID BRANCH CIRC ITS I @ 5.00
POWER APPARATUS &)
SINGLE OUTLET CIR.
Ex. Occu zo 76
p�OUTLETS OR FIXTURES
Ex- OCCUp. OUTLETS (RESID )FIXED APPLNS.REAJ I 3.00
Temporary service 15.00
Mobile Home Facilities 15.00
Misc. Wiring '15.00
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 shal[,be deemed revoked.
Contractor '
MECHANICAL PERMIT FiIingFee 15.00
Heating
Cooling
Hood 6.50
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 also agree to save, indemnnify and keep harmless the County of Butte against
all liabilities, judgments,/5oets, and expenses which may in any way accrue
�agingt said ounty in c fis�uenc'ef the granting of this ppermit. p
X ���+� ate / ""� 7` 1�
Signature of Applicant — Owner ❑ Contractor, gent
An OSHA �"
permit is required for excovotions`ver 5 0" aep and demolition or construct-
ion of structures over 3 stories in height.
Mobile Home Installation Fee $
Ener Inspection Fee $
Energy P
occ
CONST TYPE
-
TOTAL FEE $34.00
HAz
11 FEES
IMP
FLOOD
CDF
PARCEL
PD
HD
ISS
This permit is hereby issued under the applicable provi-
sions of-thetButte County Code and/or resolutions to do
workOnd+cated above for whieh fees have been paid.
M'^ X+
DIREC�T'OR OF PUBLIC WORKS
rtio'RA'" Date �� C
PERMIT EXPIRES Date
✓ °L F
Recei t No. 101019►9
p
WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT
»
COUNTY OF BUTTE r
DEPARTMENT OF PUBLIC WORKS
196 Memorial Way, Chico — P,hone: 841-2751
7 County Center Drive, Orovi Ile — Phone: 538-7541
i 74-7 Elliott Road, Paradise — Phone: 87276307
�r
,
CORRECTION NOTICE
e-11- l e c_k
OWNER PERMIT NO.
A routine inspection indicates that the following violations of County Ordinance
exist at tt% 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, pleasi,contact this office immediately.
Piri
1: ♦ v
:er vr► , r, &:
w-
Date � � ''I�i� O d // , nspector�i li, —,
COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS
7 County Center Drive - Oroville, California 95965 - Telephone: 916,'538-7541
APPLICAtION AND PERMIT
PERMIT
� � T/
ASSESSOR PARCEL NUMBER
42-34-042
ZONING
11
BUILDING PERMIT
OWNER
Mark Morelock
TELEPHONE
343-1006
SQ. FT. OCC. BUILDING VALUATION
OWNER'S MAILING ADDRESS
795 Churchill Dr., Chico 95926
CONTRACTOR'S NAME
M. D. Plumbing
TELEPHONE
345-7456
CONTRACTOR'S MAILING ADDRESS
Fireplace
P.O. Box 7661, Chico 95927
CONSTRUCTION LENDER
UNKNOWN
Total Valuation Is
Filing Fee
$ 15.00
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 15.00
95 Churchill Dr., Chico
Each Trap
5.00
Solar or heat pump water heater
20.00
LOT NO.
SUBDIVISION NAME
PARCEL MAP
Water piping
1 7.00 7.00
Each pas water heater or vent
1 7.00 7.00
USE OF STRUCTURE
Gas piping system 1 - 5 outlets
I 1 5-001 5.00
Building sewer
15.00
SF ® Duplex❑ Mobilehome❑ Other
Mobile Home I S G W
@ 15.00
SPECIFY
TYPE OF WORK
New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation❑ Other FLI
Permit Fee
$ 34.00
Describe work: (;ag R Naw Wat-Pr Haatar _
Contractor
ELECTRICAL PERMIT
Filing Fee 15.00
Main service 600VORLESS
200A OR LESS
j$,50
Main service 200A To 1000A1
37.50
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 d my license is in full _found effect.
.J
License o. a Classification (��
NEW CONST. ( DWELLING OCCUP.!>:\
OR ADDNS. ACC. BLDGS. /
NEW CONSTR MULTI -OUTLET
NON.RESID BRANCH CIRC ITS
POWER APPARATUS 6
(SINGLE OUTLET CIR. )
Ex. URES
Occup(OUTLETS OR FIXT
3.6Q sq.ft.
@ 5 00
20 76
❑ I, as the owner, or my employees with wages as their sole compen-
FIXED APPLNS. OR
Ex. Occup. OUTLETS IRESID.I EA.1
I 3.00
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)
Temporary service
Mobile Home Facilities
Misc. Wiring
g
15.00
15.00
15.00
❑ I am exempt under Sec. , Business and Professions Code
for this reason
Permit Fee
$
—
WORKMEN'S COMPENSATION INSURANCE
Contractor
I declare under penalty of perjury (check one):
MECHANICAL PERMIT
Filing Fee 15.00
❑ The permit is for $100.00 (valuation) or less.
I have placed on file with the County of Butte Building Department
Heating
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
6.50
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.
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 also agree to save, indemfy and keep harmless the County of Butte against
all liabilities, judgments, ts, and expenses which may in any way accrue
a aidounty in c s uence f the granting of this permit.
Mobile Home Installation Fee S
Ener Inspection Fee $
9Y P
occ CONST TYPE
TOTAL FEE $34.00
HA2 1 11 FEES IMP FLOOD I CDF I PARCEL PD HD IS
%
XffWAate /'� / ��
signature of Applicant — Owner ❑ Contractor gent
An OSHA permit is required for excavations over 5 ep and demolition or construct-
ion of structures over 3 stories in height.
Receipt No. 101019
This permit is hereby issued under the applicable provi-
sions o he Butte County Code and/or resolutions to do
s have been paid.
wo in cated ab WPWORKS
D R
Date 96) 1,:2 1
XPIRES Date
WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT
e
.:.ya �, r _�-e ,,. .. ,. , .�. r.. - --. r. •� mob' 'r ,
COUNTY OF BUTTE - DEPARTMENT OF OUBLIC WORKS - BUILDING DIVISION
* 7 COUNTY CENTER DRIVE - ORO E, r6RNIA 95965- TELEPHONE: 916/538-7541 s
PERMIT APPLICATION DATA SHEET
�C�Q Permit No.
OWNER No. —L '�7
Proposed Building Use Building Inspector ' Date 7
At timepf permit appli ation, 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. Complete plans in duplicate/triplicate, signed by preparer of plans ..
4. Complete engineered plans and calcs; with wet signature on plans ..
5. Hazardous Material Form ..........................................
6. Energy Design Compliance and supporting documentation .........
7. Statement of Intent for Non -Heated and AC Buildings ..............
8. Engineered truss details and layout in duplicate (required prior to plan check)
9. Mobilehome installation data including manufacturer's installation
instructions.......................................................
10. Fees of $ ........................
11. Chico Urban Area fees paid .......................................
12. Park fees paid ....................................................
13. School District fees paid ..............
14. Sanitation approval from Health Department
15. City of Chico plumbing permit .....................................
16. Plot plan and business license approval from City of
(see City for other requirements)
17. Planning approval for (A) Use: (B) Parking: ......
18. Improvements may be required. Contact Land Development Section DPW
19. Driveway permit (construction approval required prior to occupancy)
20. Pre -Inspection for required Pre-inspec. request to
Building Inspector (Date)
Contractor's license information (No., Name Style, Classification) ... -4--
��
Certificate of Workmans Compensation Insurance .................
23. Owner -Builder Verification (Given to owner ❑, Mail to owner ❑) .....
::i�j�24 'Recorded copy of Agricultural Acknowledgment Statement .........
G5 Letter of signature authorization ...................................
26.
27.
When you sue the permit, process as follows: Mail t o ner.
Telephone � C� (/nd hMd fnr nickiin at(` � nffira
Mail to contractor.
rlolivor ,n, /inor.ni.f...
Copy of Hdz-Mat form sent —'Health Dept. Fire Dept. Air Pollution Date
Copy of plans sent Health Dept. Fire Dept. Other Date By
The following data must be submitted prior to permit issuance: (Circle new item not checked above).
1. Index permit for above items No.
2. Additional items reouired:
Contractor, designer, owner, was advised of above required data by_phone_-nail ',counter by .date
Contractor, designer, owner, was advised of above required data by_phone_mall_counter by date
Plans checked by Date Plans approved by \ Date
Sets of plans on hold in
Copy—DPW
File cabinet AP folder
COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT NO.
7 County Center Drive - Orovllle, Callfornia 95965 - Telephone: 916.'538-7541
APPLICATIQN AND PERMIT
ASSESSOR P L NU R
ZONING
BUILDING PERMIT
OWN,4pe
TELEPHN.
S0. FT. OCC. BUILDING VALUATION
OWNER 5 AI NG A.QDRESS
U
CONT TOR'S N j TE ON
CO A OR' MAILI!/NSGAOD SS
Fireplace
CONSTRUCTION LENDER UNKNOWN
Total Valuation $
LENDER'S MAILING ADDRESS
Filing Fee $ 15,00
Permit Fee $
ARCHITECT OR ENGINEER
LICENSE NO.
Plan Checking Fee $
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Energy Plan Checking Fee $
Penalty $
BUILD= U
('
Permit fee $
PLUMBING PERMIT Filing Fee 15.00
Each Trap 1 5.00
Solar or heat pump water heater 1 20.00
LOT NO.
SUBDIVISION NAME
PARCEL MAP
Water piping 1 7.001 7,a0
Each qas water heater or vent 7.00
USE OF STRUCTURE
SF Duplex❑ Mobilehome❑ Other
SPECIFY
Gas piping system J - 5 outlets 5.00
Building sewer 1 15.00
Mobile Home I S I G JW 1 15.00
TYPE OF WORK
New j Addition ❑ Remodel E. Utilities ❑ .InstalIation01 Other ❑
Describe work: 7
Permit Fee $
Contractor
ELECTRICAL PERMIT Filing Fee 15.00
Main service 200V OR LESS
00A OR LESS 18.50
CONTRACTORS LICENSE LAW
I declare under penalty of perjury (check one):
J 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 Ao. 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
Main service 20CATO t00oAI 37.50
NEW CONST./ DWELLING OCCUP.9 3.64 sq.tt.
OR ADDNS. 1 ACC. BLDGS. I
NECONSTR. ULTI.OUTLET @ 5.00
NON.RESID. BRANCH CIRC ITS
POWER APPARATUS e
(SINGLE OUTLET CIR. )
Ex. Occup(OUTLETS OR FIXTURES 20 CcD 76d
A
Ex. Occup. OUTLETS II ESID IKEA.) I 3.00
Temporary service 15.00
Mobile Home Facilities 15.00
Misc. Wiring 15.00
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 15.00
Heating
Cooling
Hood 6.50 -
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 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 Date
Signature of Applicant — Owner❑ Contractor ❑ Agent ❑
An OSHApermit is required for excavations over S'0" deep and demolition or construct-
ion of structures over 3 stories in height.
Mobile Home Installation Fee S
Energy Inspection Fee $
occ CONST TYPE
I TOTAL FEE $
HAz
DFEES I IMP
I FLOOD
I COF
PARCELI
PO
I HO ISSUE
This permit is hereby issued under the applicable provi-
sions of the Butte County Code and/or resolutions to do
work indicated above for which fees have been paid.
DIRECTOR OF PUBLIC WORKS
BY Date
PERMIT EXPIRES Date
/
Receipt No. !
WHITE-D.P.W.. YELLOW-ASSESSOR/PINK-INSPECTOR_ enI ncu on n.�oRi r�ut
�Y
TO Buildina Department
FROM: Environmental Health
SUBJECT: Sanitation Clearance
5-1, Z 6 /! Ite & 7%� C%�1�/ r/I `� , 91: 4/Z - 3 y - 05/2
Owner Location /C� AP#i
Plan Approved for: Sewaqe Disposal Water Supply
Hold final for: 343 lg6Water Supply
Final clearance O.R. for: Water Supply
Clearance for Other
�rLy rcA
NOTE * * *
_ 9'/D- 9�
Sanitar an Date
w ID
O
uj
cr w
2 , s
rem—
W V
LAz'
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ti
w ID
O
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W V
LAz'
Mark Morlock
795 Churchill Dr.
Chico, CA 95926
Dear Mr. Morlock:
J CuUNlY CENTER DRIVE - OROVILLF. CALIFORNIA 959G'';-3397
TELEPHONL: 19161 536-7541
FAX: 1916i 538-2140
August 26, 1993
RE: Building Permit #92-2592
Expiration Date 9/15/93
A.P. #042=340-042
With reference to the above subject, our records indicate that your building
permit expires on the above date and your permit falls into the category marked
below:
® Permit work started, but not completed. Permit may be renewed for 2 the
original building permit fee (plus a $20.00 filing fee). The renewal
permit will extend the building permit for an additional year from the
original expiration date. Should you not renew your permit within 30
days of the expiration date, all work must cease until a new building
permit has been issued. For your convenience, we are enclosing a renewal
application form and owner -builder form to be completed and signed by
you where indicated and returned to this office together with the fee
shown. Please return all copies of the application form.
No inspections have been made on permit work. Inspections are required
to verify code compliance. We are unable to renew a permit where the
work has not been started and inspected prior -to permit expiration.
After expiration of your permit, no work may be started- until a new permit
has been issued.
If our records are in error or should you have any questions concerning this
matter, please contact the Chico _ office.
Thank you for your prompt attention concerning this matter.
Yours very'truly,
JFG:hla j J.F. Glander
cc: Building Inspector Manager, Building Inspection
Attachments: [—XlRenewal Application
[E Owner -Builder Information
Owner -Builder Verification
Chico - 1469 Humboldt Rd/891-2751 Paradise - 745 Elliott Rd/872-6307
-e
RESIDE T AL
042-340-042 92-25.92B,E
MORLOCK, Mark
795 Churchill DR, CHico
siding, porch, addition/sf
JOB FINALED (Date) �.
0011,
Signature
. Ye
�3
�s
J=OK
O = Not OK
=NotReadya- MOBILE- HOMES
Date MOBILE HOME UTILITIES (Plans) OK except #'s
1. Zoning Requirements -Setbacks -Easements
2. Soils; Special MH Support Sketch ' ' ` ! 'k
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, COVERS, CARPORTS, GARAGES, (Plans)OK except #'s
1. Zoning Requirements -Setbacks -Easements
2. Footings; Soils -Size -Depth -Spacing -Connectors -Steel
3. Decks; Griders and/or Joists -Decking -Bracing -Stairs -Rails
4. Wood Awn.; Posts- Bea ms- Rftrs.-Connectors
Shthg.-Rfg.-Bracing
5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures
6. Carports; Windows -Doors
7. Electric
8. Frmg; Sils-Anchors-Studs-Rftrs-Trusses
9. Siding; Nailing -Veneer -Stucco -Mesh
10. Roof; Shthg-Roofing
11. Ext.; Steps -Doors -Landings
Date 'Card'B-1 Date Card B-1
Date Card B-1 Date Card B-1
Date POOLS (Plans) OK except #'s
1. Setbacks -Easements
2. Soils; Compaction -Structure Stability
3. Pool Structure; Steel -Connections -Thickness
Dead Men -Lining
4. Elec.; Receptacles and Lighting, 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 -Panel boards -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
t-7 OK �►
O ='' o'.^K
Not plicable
Not Ready RESIDENTIAL. (Single
' ='
Date UNDE LOOR (Plans) OK except ft's
le0fioning-Setbacks-Easements-Flood-Slope
-�� %.-FTg-, Main; Soils-Elec. Grnd.-/IL/'-Ftg. Depth
3. Ftg., Garage; Soils-Steel-Elec. Grnd.-/ /" Ftg. Depth
' ] g., Porches & Decks; Soils -Steel-/ /Ftg. Depth
5. Stemwalls, Main; Steel-Blockouts-Wrapped
6. Stemwalls, Garage; Steel- Blockouts-Wrapped
6a. Hold Downs and Special Anchors
7. Slab; Steel -Wrapped
8. 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. Pums & Du ; Clearan a -Mat -Su rt -Ins.
1 . irders-S -Ancho Its/J'o' C'Wpies
15. Access & Ventilation
16. Insulation oq on
Dat - ` and B-1 Date t f���i �1_Card 13-1 C
Date9-o901- ZCard B-1 0/S Date Card B-1
Date PLUMBING (Permit),OK except ti's
ater Htr.: Vent -Access -Combustion Air -Baffle
-----------
-- ---------------------------
17. Water ' e: Test & Anchor -Nail Protection
----- - -------------------------------
18. D.W.V.: Test- ' 'ngs & Anchor -Nail Protection
19. Shower Pan: Test,
20. Test Tub & Shower. S
21. Gas Pipe: Size & Anchors
oor_Tub Access
Tub Access
----------------- ----------- - -------- --------------------------------------
Date Card B-1 Date Card B-1
----------------- -------- ------------- ----1------------------
Date Card B-1 Date Card B-1
Date ELECTRICAL (Permit) OK except ti's
22. Fi ure & Transformer Clearance -Ins. Protection
I Receptacles Spacing -Lights & Switches at Doors
---- ------------------ ------ ---- --------------------
----------- --- --- - - --
S Boxes & No. of Conductors -Stapled
=----- - --------------------- - - --- ------------------- ---
2 Romex Installed Close to Edge of Studs & C.J.
6. quip. Ground made up w/Meth. Fastners -Bon d Gas & Water
------------
27�--£--------------C---------in--Kitchen--------&------Conductor Size/GFI
----------------------------
----- -- ----
moire Sizer ga. Cu or AI-A.C. Wire Size ! ! ga.
Cu or At
--------- ------------------------ ----------------------------------------- ----
2Ly Ra` noe Circ. ! / ga. Cu or AI -Oven Circ. / / ga. Cu or Al.
Insulated Neutral ❑ Yes ❑ No
----------------------------- ---------------------- -------------------------------
3b-Bervrr'F'ser Conductors & Ground -Main Disconnect
-
----------------------------------------------
-;4--E4uip Clearances Panels -Motors -Meth. Equip.
---------- -- --2
-----------------------
32. Clothes Closet Light -Shower Light -Spa Light
---------- ------------------------------------------
3'1 ----- Detector FX i $fL �_
--------etecto------ -- ----------------------- ---
---------- ----- - --- - ---- ----- - ---- ------ - -- ---------------- ------ --- ---- - ---- ---
Date167-1-gZ Card B- I_ Date Card 8-1
--------------------- - ---- ----------------------------------------------
Date Card B-1 Date Card B-1
Date MECHANICAL (Permit) OK except o's
34. C. Ducts Insulation & --Sup-port
---- ------------ ------------------------------
------------- 35.
- ---- --- -- - ------- --
35. Ven : Exhaust above insulation
36. Condensat rain & Overflow: Size & Grade
37. Furnance-Vent: ss Comb. Air -Return Air Vent -115 outlet
---
------ - .-----------V.e --- - -C?T- -----------------------------
38. Attic Access & Platform urnance in Attic
Dat--------------Card--------- -- - ---------------------- -- --- - --------------
Date ---------------
1----Date---------------ard -
--
----------------
Date Card B-1 Date Card B-1
Date FRA G (Plans) OK except ti's
3 . Sils. Proper Material & Ach
------ ----- - - - - --------------------
'� Is
ds Na..__ g. Spa: -ng & Br n -P e Sound
U-- --- -------------------------- --------------------
Bearing Walls over Girders &Floor Nailing
---------- -- - - - -- - - - - --- -- -- -
42. Dr t Sto in Walls rat roof
b - - --- ----- -- -------------------------- --------------------------
ire ops: -Furred Ceilings -Stairs -Chases -Tub
------------------- --- - - -----------------------
4jp<aders & Beam -Size & Bearing
& Duplex)
Date FRAMING (Continued)
_ 4 . angers -Post Caps -Anchors -Connectors
4 -Ing. Joist- R ies-Purlin-roof Brac-Truss-S g.- g.
A Flue -Fireplace Throat clearance
Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles
r xiting Doors -Sill Hgt. & Dimensions
5A-6araga Eice-Protection Framing
all & Openings
------------------------------ -
oors- a 3' -Check Garage -3rd Story, 2 Exits
------------------------ -----------
_ 5 room
-Rise-Run-L9nding-Fire Protech
54. 1 od on Olte� verhan At _ en Rafter p riggers
5 iding-Nailing Veneer
L 56. Stucc d. Ve s- Mesh -Drip Scree nderflr. Access
5t,, -razing Area -Glass Protection -Skylights -Plastic
58. Shear Walls: Nailing -Bolts
---- 59. Ins ion -Walls -Ceilings
--lf 6 nfiItration-Walls-yVindows-
-------------------------------
Dateja-/Card B_1 jltj���- Date/O.7-9L hard B-1Lp
Date Card B-1 C(„ Date `Card B-1
T
Date FINAL (Plans) OK except ti's -
62. Smoke Detector / I- rte✓
-63'--Furnace: Vents -Clearance -Comb. Air -Connector -
In Garage: Above Floor-Ducts-Mech. Protection
----- edroom Exiting
-- ------------
65. G.F.1. & Bath Fixtures & Tub Access -Spa
t� Elec. Trim & Subpanel; Breaker Sizes & Labels
------------- ------------------
-67�-Stairs & Rails
-68. Fireplace or Stove: Clearances -Hearth
-
---...---- / ----O--utlets-----at---Wood-------Panel: Int. &--Ext.
-
GJ. El---
'- Kit.Fixt & Appliance; Grnd.-Air Gap -Cooking Clearance
Elec. Outlets & Receptacles at Kit. Counter
1 -7 -2 -.-Garage Fire Door: Swing -Landing -Closer
------------------------------------
1-a3-A.C.
----------------------------------1-a3-A C. Duct in Garage -Damper - -
-Tir-Wtr. Htr.: Vents -Clearance -Comb. Air-Connector-P.R.V.
In Garage: Above Floor -Meth. Protection
Plb. Elec. & Mech_Equip. Listed for Location
-98'-Elec. Receptacles in Garage: (G.F.I.)-Romex Protection
-----------------------------------------------
Y5` -hr elation -Foam -Looked in Attic ❑ Yes
"73 1'vard Rails & Deck -Const ruct ion -Post Caps
70/Fdn. Vents & Crawl Hole Door -Drainage & Wood -Earth
Clearance Looked under Floor ❑ Yes
801 -following instld.: Drive ❑ Yes ❑ No; Walks ❑ Yes ❑ No;
Planters ❑ Yes ❑ No
- -------------------------------- ----
-b+Stueco: Brown -Finish
- - ------
.a2_.A,.0 Unit: Disconnect. Electrical, Plumbing
- - - -- - ---- ------------------------------------- --
33-VZTf1s Above Roof: Plbg.-Appliance-Fireplace.-Clearance to
Openings
810.,Water Well; Disconnect Electrical, Plumbing
45 Z-Merior Elec. Trim; G.F.I. Receptacle -Underground
-- -- -- - - - - -------- ----------------------------------- -
ent lation Throughout House
-Si--61ass Protection
-..... .....-- ----- -------------------------------
8". g6rrections from Previous Inspections
------ ------------------------------------------------ --
8 Test -Meters Tagged: Gas -Electric
9D -Water & Sewer Connected -C/O to Grade -HD Approval
91. Frnergy Compliance Certificate -Other Certificates
---- - ---- W- -------------------------------- ------
DateCard
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: -
s s
COUNTY OF BUTTE
DEPARTMENT OF PUBLIC WORKS
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
Nor, 592--sz_
OWNER PERMIT NO.
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 atty questions pertaining to this matter, or need additional explanation,
please contact this office-46ihediately.
0 1 % oQ b (dG/< �ofLi Sia/r
6 i H 141`i o,—e I -CA T Vff <
PL r 0 5 --I.
_ in - -- I^ - I - -
Inspector
z
COUNTY OF BUTTE
DEPARTMENT OF PUBLIC WORKS
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
Dr -I 592 -9L
OWNER PERMIT NO.
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.
K(`XA,o og/, J ' e
r` pro u.' �-c 50or r+ey % Sp
Date Z Inspector
REV 11/91
7�57
PLANNING71v,4NUR.VN�i t4lA'24PROVAL
Ue
Paring: Larviswming:
sw Date,
/*Vvl JOAJ
Other--
'5T7A) ( n5
Signature:
I j I
LAACA
ITQ
Department ®f Development Services
Building Division
7 County Center Drive
Oroville, CA 95965
(530) 538-7541 (530) 538-2140 FAX
ADDITIONS TO RESIDENTIAL BUILDINGS
ENERGY COMPLIANCE PACKAGE
CLIMATE ZONE 11
'OwnerPermit Number lT
Address L&'D CLA (d� Floor Area
The following data showing mandatory and required features shall be installed for additions to dwellings. Additions shall not include
conversion of non -conditioned space to conditioned space. Remodeling of existing conditioned space is not included.
COMPONENT
<=100SQ.FT
101-499SQ.FT
500-999SQ.FT
1000>SQ.FT
Ceiling Insulation
,R-19
R-38
R-38
R-38
.Wall Insulation
R-13
R-13
R-13
R-19
Floor Insulation
R-19
R-19
R-19
R-19
Radiant Barrier
Required
Required
Required
Required
Glass U -factor
fi75 ;
.75
.65
.65
Max.area of glass
50 sq.ft Y
16% plus removed
16% plus removed
16%
Solar heat gain
NSEW:
.40
.40
.40
.40
Heat, Electric
resistance
Not allowed
Not allowed
Not allowed
Not allowed
Heat, Gas
AFUE 78%
AFUE 78%
AFUE 78%
AFUE 78%
Heat Pump -Split
HSPF 6.8
HSPF 6.8
HSPF 6.8
HSPF 6.8
Heat Pump Package
HSPF 6.6
HSPF 6.6
HSPF 6.6
HSPF 6.6
Cooling - Split
SEER 10
SEER 10
SEER 10
SEER 10
Cooling Package
SEER 9.7
SEER 9.7
SEER 9.7
SEER 9.7
Thermostatic
expansion valve*
Required on new
split AIC systems
Required on new
split AIC systems
Required on new
split AIC systems
Required on new
split A/C systems
Duct Insulation
Duct Sealing*
R-4.2
Required
R-4.2
Required
R-4.2
Required
R-4.2
Required
Additional water
heater:
Any which meets
budget
Any which meets
budget
Any which meets
budget
Any which meets
budget
* AS AN ALTERNATIVE, GLAZING WITH A MAXIMUM 0.40 U -FACTOR AND A MAXIMUM 0.35 SOLAR HEAT GAIN COEFFICIENT, AND A
11.0 SEER SPACE COOLING SYSTEM CAN BE SUBSTITUTED FOR DUCT SEALING AND THERMOSTIC EXPANSION VALVE. SEALED DUCTS
AND THERMOSTATIC VALVE REQUIRES SPECIAL INSPECTION BY A HERS RATER.
PROVIDE INFILTRATION CONTROL - WEATHERSTRIP DOORS, CERTIFIED WINDOWS, CAULKING.
LIGHTING KITCHEN AND BATH NOT LESS THAN 40 LUMENSAINATT
DUCTS TO MEET REQUIREMENTS OF UNIFORM MECHANICAL CODE -CHAPTER 6.
DESIGN COMPLIANCE STATEMENT: THE ABOVE BUILDING DESIGN MEETS THE REQUIREMENTS OF TITLE 24, PARTS 1 AND 6 OF
THE CALIFORNIA CODE OF REGULATIONS.
V'A
PROPERTY OWNER OR CONTRATOR (6/1/01