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Home My WebLink About042-770-0310 -10 khrty �' AtkTriM..� 1 I a: J. � r 0\ .j 9 REST ENTIAL PERMIT#95-1704' JONES, Larry 794 Churchill'Dr., Chico �. New Carport t i F 2' JOB FINALED (Date) Signature J=OK O=Not OK Not = Not Readyable MOBILE HOMES Date MOBILE HOME UTILITIES (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Soils; Special MH Support Sketch 3. Sgwer; 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, QOLVERS4GRPORTS, ARAGES, (Plans)OK except #'s oning Requiremen s- etbacks-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. AI . Awn.; Columns -Connections -Splice -Decal -Enclosures Carports; Windows -Doors 7. Electric $4 Frmg; Sils-Anchors-Studs-Rftrs-Trusses 9. Sidi_W; Nailing -Veneer -Stucco -Mesh 1 oof; 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 d Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 J=OK O=Not OK - = Not Applicable Not Ready RESIDENTIAL (Single & Duplex) = Date UNDERFLOOR (Plans) OK except ft's 1. Zoning -Setbacks -Easements -Flood -Slope 2. Ftg., Main; Soils-Elec. Grnd.-/ /" Ftg. Depth 3. Ftg., Garage; Soils-Steel-Elec. Grnd.-/ P' 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 -Anchor -Regulator -Service Test 12. Electric; Underground 13. Pienums & Ducts; Clearance -Material -Support -Ins. 14. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples 15. Access & Ventilation 16. Insulation Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date PLUMBING (Permit),OK except N's 16. Water Htr.: Vent -Access -Combustion Air -Baffle ------- ----------------------- --------- ---- -------------- 17. Water Pipe: Test & Anchor -Nail Protection 18. D.W.V.: Test -Fittings & Anchor -Nail Protection --------------------------------- 19. Shower Pan: Test, First Floor -Tub Access 20. Test Tub & Shower. Second Floor -Tub Access ------------- ----- ----------------------- 21. Gas Pipe: Size & Anchors Date Card B-1 -- - Date ------------------------------ Date Card B-1 Date Card B-1 ---------------------- Card B-1 Date '•+°ELECTRICAL (Permit) OK except ft's 22. Fixture & Transformer Clearance -Ins. Protection - - ---------------- ----- --------------------- 23. Elec. Receptacles Spacing -Lights & Switches at Doors ------------------------------------------------------------ -�24. Size Boxes & No. of Conductors -Stapled -------------------------------------------------------------- 25. Romex Installed Close to Edge of Studs & C.J. ------------- ------------------------------------------------ 26. Equip. Ground made up w!Mech. Fastners-Bond Gas & Water ------------- ----------------------------------------------------------------- 27. 2 Appliance Circuts in Kitchen & Conductor Size!GFI ----- ---------------------------------'---------------- 28. Subfeed Wire Size ! ga. Cu or AI-A.C. Wire Size ga. Cu or Al -------------------- - ---------------------------- 29. Range Circ ! ga. Cu or AI -Oven Circ. / ! ga. Cu or Al. Insulated Neutral ❑ Yes ❑ No -------------------------------------------------- 30. ------------------------------ 30. Service -Riser Conductors & Ground -Main Disconnect --------- - ----------------------------------- - 31 -.-Equip Clearances Panels-Motors-Mech. -Equip . 32. Clothes Closet Light -Shower Light -Spa Light ------------ -- -- - - - -- - - --- - -- ------ - --- - 33. Smoke Detector -------------------------- ------ -- ----------------------------------------------- Date Card B-1 Date - Card B-1 ----------------------------------------------------------- ---------- - --------------------------- -- -_ ----------- Date Card B-1 Date Card B-1 Date MECHANICAL (Permit) OK except n's 34. A.C. Ducts Insulation & Support ------------- ------------------------------------------- 35. Vent Fan Exhaust above insulation --------------------------------------------------- 36. ------------------------------------ 36. Condensate Drain & Overflow. Size & Grade - -- ----- - - ------ -------------------------- --- - - - - - -- - - --- - -- 37. Furnance-Vent: Access -Comb. Air -Return Air Vent -115 outlet ----------- ----------..-.------------------------------------ - - - 38. Attic Access & Platform if Furnance in Attic ----------------------------------------------------------------------------------- ------------------------------- - -- - --- --- - ---------------------- -- ------ --- - Date Card B-1 Date Card B-1 ---------------------------------------------------------------------------------- Date Card B-1 Date Card B-1 Date FRAMING (Plans) OK except 4's 39. Sils. Proper Material & Anchors - -_......._..---------------------------------- ---- - --- 40. Walls Studs -Nailing. Spacing & Bracing-Plates-Souny ------------------------------------- 41. Bearing Bearing Walls over Girders & Floor Nailing ---------- ------------------- ------------- 42. Draft Stop in Walls (rat proof) 43. Fire Stops: Furred Ceilings -Stairs -Chases -Tub -------------------------------- - 44. Headers & Beam -Size & Bearing Date FRAMING (Continued) 45. Hangers -Post Caps -Anchors -Connectors 46. Cing. Joist-Rftr. ties-Purlin-roof Brac-Truss-Shthng.-Rfng. 47. Fireplace Ties or Type A Flue -Fireplace Throat clearance 48. Attic Access: Size & Romex Protection -Draft Stop -Ins. Baffles 49. Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions 50. Garage Fire Protection Framing _51. -Property Line Firewall & Openings 52. Ext. Doors -One 3' -Check Garage -3rd Story, 2 Exits 53. Stairs: Width -Headroom -Rise-Run-Lanc)rrig-Fire Protection 54. plywood on Roof Overhang -Attic Vents -Rafter Outriggers 55. -Siding -Nailing Veneer 56. Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access 57. Glazing Area -Glass Protection -Skylights -Plastic 58. Shear Walls: Nailing -Bolts 59. Insulation -Walls -Ceilings 60. Infiltration -Walls -Windows ------------------------------- Date -----------------------------Date Card B-1 Date Card B-1 ----------------------------------- --- Date Card B-1 Date Card B-1 Date FINAL (Plans) OK except ff's 61.- Ext. Steps -Door & Sidelight Protection -Landings ----------------------- --- 62. Smoke Detector -------------------------- ------ 63. Furnace: Vents -Clearance -Comb. Air -Connector - In Garage: Above Floor -Ducts -Meth. Protection --------- ---------------------- 64. Bedroom Exiting - --------------------- 65. G.F.I. & Bath Fixtures & Tub Access -Spa ------------ 66. Elec. Trim & Subpanel; Breaker Sizes & Labels -------------- --------------------- 67. Stairs & Rails 68. Fireplace or Stove: Clearances -Hearth i ------------------------------------------ 69. Elec. Outlets at Wood Panel: Int. & Ext. - --------------------------- 70. Kit.Fixt. & Appliance, Grnd.-Air Gap -Cooking Clearance ----------------------------- -- 71. Elec. Outlets & Receptacles at Kit. Counter ------------------------------ ------ 72. Garage Fire Door: Swing -Landing -Closer 73. A.C. Duct in Garage -Damper 74. Wtr. Htr.: Vents -Clearance -Comb. Air-Connector-P.R.V. In Garage: Above Floor -Meth. Protection ------------ --------------------- 75. Plb.. Elec. & Mech. Equip. Listed for Location ----------------------------------- 76. Elec. Receptacles in Garage. (G.F.I.)-Romex Protection 7-,-.- Insulation -Foam -Looked in Attic ❑ Yes ------------------------------------------------- 78. Guard Rails & Deck Construction -Post Caps - --------------------------------------------- 79. Fdn. Vents & Crawl Hole Door -Drainage & Wood -Earth Clearance Looked under Floor ❑ Yes --------------------------------------- ------------- -- 80. Followinginstld.: Drive ❑ Yes ❑ No: Walks ❑ Yes ❑ No; Planters ❑ -Yes-0 No 81. Stucco_Brown_Finish 82. A.C. Unit: Disconnect Electrical, Plumbing - ---- ---------------------------- 83. Vents Above Roof: Plbg.-Appliance-Fireplace.-Clearance to Openings 84. Water Well: Disconnect, Electrical, Plumbing ----------------------------- ------------- ----------------- 85. Exterior Elec. Trim: G.F.I. Receptacle -Underground 86. Ventilation Throughout House - - - - - - - ----------------- --------------------------------- 87. Glass Protection _ - - - - - - - - - - --- --- ------------------------------ ------------ 8d. Corrections from Previous Inspections 89. Gas Test -Meters Tagged: Gas -Electric --- -- -------- ---------------------------------- 90. Water & Sewer Connected -C/O to Grade -HD Approval - - - - - - - - - - - . -- -- --------------------- ------ 91. Energy Compliance Certificate -Other Certificates ------ ------------- - ---------------- ------------ --- Date Card B-1 Date Card B-1 - - --- ---- - ---------------------- --------- Date Card B-1 Date Card B-1 - - - --- ---- -------------------- --- --- Date Card B-1 Date Card B-1 Comments at Final: i, COUNTY OF BUTTE . `�• ,,,. BUILDING DIVISION-- ...... a�PARTMENT OF DEVELOPMENT SER ICES -'411 Main Street* Chico, CA • (530) 891-2751 7 County Center Drive • Oroville, CA • (530) 538-7541 CORRECTION NOTICE �oN�S ss� �7Uy 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. l +C Q �o c/ e- /)tr i -% /j 6 Date 1/17— Inspector REV 1642 f s10/\/ OWNER COUNTY OF BUTTE BUILDING DIVISION DEPARTMENT OF DEVELOPMENT SERVICES 1469 Humboldt Road, Chico, CA - (916) 891-2751 7 County Center Drive, Oroville, CA - (916) 538-7541 747 Elliott Road, Paradise, CA - (916) 872-6307 CORRECTION NOTICE � l76 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. ,¢' Sr u,�(� > V� L t S L.o4 a �3 - f z `t IIJ t- A Date �2� eq� Inspector REV 10/92 i COUNTY OF BUTTE - BUILDING DIVISION -- DEPARTMENT OF DEVELOPMENT SERVICES 1469 Humboldt Road, Chico, CA - (916) 891-2751 7 County Center Drive, Oroville, CA - (916) 538-7541 747 Elliott Road, Paradise, CA - (916) 872-6307 CORRECTION, NOTICE �J--/ 7�q 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. ri) 12 Date ire Inspector 6 REV 10/92 COUNTY OF BUTTE BUILDING DIVISION DEPARTMENT OF DEVELOPMENT SERVICES 1469 Humboldt Road, Chico, CA - (916) 891-2751 7 County Center Drive, Oroville, CA - (916) 538-7541 747 Elliott Road, Paradise, CA - (916) 872-6307 CORRECTION NOTICE tills is 19,01 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. 11.4) u 10 it <Zl P11v� lac tiv"Y,ca /4/ S,-'lo/ti/ Date I E ZZ '� �� Inspector REV 10/92 COUNTY OF BUTTE -.DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING DIVISION County Center ' 7 'Drive - Oroville, California 95965 - Telephone (916) 538-7541 C PERMIT N0, APPLICATION AND PERMIT I ASSESSOR PARCEL NUMBER ZONING BUILDING PERMIT OWNER TARRY JONES TELEIP[HONE 893.1364 SQ. FT. OCC. BUILDING VALUATION 400 5, 200 OWNERS MAIUNG ADDRESS 794 )R. CHICO 95973 CONTRACTOR'S NAME TELEPHONE CONTRACTORS MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation -$ Filing Fee $ 20.00 LENDER'S MAILING ADDRESS Permit Fee $ 81.00 ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ 52.65 Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAIUNG ADDRESS Penalty $ BUILDING ADDRESS 794 CHURCHILL DR, CHICO PERMITFEE $ 153.65 PLUMBING PERMIT Filing Fee 20.00 Each Trap 7.00 LOT NO. SUBDIVISION'S NAME PARCEL MAP Solar or heat pump water heater 23.00 Water piping 15.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome ❑ Other SPECIFY Each gas water heater or vent 15.00 Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑ Describe Work: CARPORT — Mobile Home S I G W 1 20.00 PERMITFEE $ Contractor ELECTRICAL PERMIT Filina Fee 20:00 Main Service EOOV OR LESS ( 200A OR LESS ) 23.00 ' Main Service ( 200A TO I000A 46.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect. License Class Lic: No. 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 ownerof the property, ormy 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 P reason NEW CONST. DWELLING OCCUR S•r [�(p OR ACDNS. ( 8 ACC. BLDS. ) 3.5¢ FT.O. 1 .11L NEW CONST. / MULTI.OUTLET , NON-RESID. C BRANCH CIRCUITS ) 97.50 POWER APPARATUS \ (a SINGLE OUTLET CIR. / Ex. Occup. ( OUTLET OR FIXTURES20 ® 1.00 ) BAL Q .SO Ex. Occup. FIXEDAPP S D.) Ea) 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMITFEE $ 34.7,12" �� Contractor WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ 1 have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier MECHANICAL PERMIT Filing Fee 20.00 9 Heating Cooling Hood 6.50 Ventilation PERMITFEE S Contractor Policy Number (The above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) I certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall forthw .'complywith h6 provisions. X --`1Date' Aopindicated Signature of A , ica - wrier ❑ Contractor ❑ gyrnt An OSHA per is re uire or excavations over 60",deep and demolition or construction of structures over 3 stories in height. Mobile Home Installation Fee is Energy Inspection Fee Is OCC CONST. TYPE s!1 TOTAL FEE $ 1F7. I HAZ. 0. FEES IMP FLOOD COF PARCEL PO HD ,ISSUE This permit is hereby issued under the applicable provisions of the Butte County Code and/or Resolutions to do work above for which fees have been paid. BY Date PERMITEXPIRESON z//.r I I(Date) ReceiptNo. €- ' WHITE-D.D.S.-B.D! CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT 24 HOUR INSPECTION #: (530) 538-7636 (OROVILLE) (530) 891-2834 (CHICO) OFFICE #: (530) 538-7541 PERMIT NO. BP061062 B. C. Building Permit 01-16-04 pg 1 LICENSED CONTRACTORS DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of Issued Date: 05/30/2006 APN: 042-770-031-000 the Business and Professions Code, and my license is In full force and effect License Class License Number: : Site Address: 794 CHURCHILL DR CHI Map Index: Date: Contractor: Description: ADDITION DINING RM (280) SCREEN RM OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the (319) Contractors' State License Law for the following reason (Sec. 7031.5 Business and Professions Code: Any city or county which requires a permit to construct, alter, improve, demolish, or repair any structure, prior to its issuance, also requires the applicant for such permit to file a Owner: JONES LARRY L & JUDY I signed statement that he or she is licensed pursuant to the provisions of 794 CHURCHILL DR the Contractor's State License Law (Chapter 9 commencing with Section CHICO, CA 7000) of Division 3 of the Business and Professions Code) or that he or she is exempt therefrom and the basis for the alleged exemption. Any 95926 violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars ($500).): ❑ I, as owner of the properly, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale (Sec. 7044, Business and Professions Code: The Contractors' State License Law does not apply to an Applicant: JONES LARRY L 8t JUDY I pp owner of property who builds or improves thereon, and who does such work himself or herself or through his or her own employees, 794 CHURCHILL DR provided that such improvements are not intended or offered for CHICO, CA sale. If however, the building or improvements are sold within one year of completion, the owner -builder will have the burden of 95926 proving that he or she did not build or improve for the purpose of sale.). Pd I, as owner of the property, am exclusively contracting with licensed. contractors to construct the project (Sec. 7044, Business and Professions Code. The Contractors' Stale License Law does not apply to an owner of property who builds or improves thereon, and who contracts for such projects with a contractor(s) licensed Contractor: HENNING CONSTRUCTION pursuant to the Contractors' State License Law.). 79 FAIRWAY DR ❑ I am Exempt under Artic heusin s and Professions Code CHICO, CA Date L downer! 95928 530-894-3651 _ WORKERk_gOMPENSATIgN,dECLARATION I hereby affirm under penalty of perjury one of the following declarations: License #: 661299 ❑ 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. Architect: ❑ I have and will maintain workers' compensation insurance, as Engineer: required by Section 3700 the Labor Code, for the performance of the work for which this permit is issued. My workers' compensation j insurance carrier and policy number are: Carrier: Total Square Ft: 599 S.F. Policy #: ,certify Valuation: $38,935.00 &-,, that in the performance of the work for which this permit is Census Code: issued, I shall not employ any person in any manner so as to become subject to the workers' compensation laws of California, and agree that if I should become subject to the workers' UI compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. # Date: Loo, 5 - <6— C) Applicant: - W' RNIN F��"ilur to secure workers' compensation coverage Is un a—` wful and sfia' subject an employer to criminal penalties and one �T hundred thousand dollars ($100,000), in addition to the cost of j compensation, damages as provided for in Section 3706 of the Labor interest, fees. S"3O �QCD code, and attorney's CONSTRUCTION LENDING AGENCY This permit is hereby issued under the applicable provisions of the Butte County Code and/or I hereby affirm that there is a construction lending agency for the Resolutionto do work indicate above for which fees have been paid. performance of the work for which this permit is issued (Sec 3097 Civ.) ' By Date: Name: �' - Q11 PERMIT EXPIRES ON: 7 Address: Date ❑ 1 hereby certify that the use of this facility shall comply with Sections 25505, 25533, and 25534 of the California Health and Safety Code, which regulate the storage, handling and use of hazardous materials. Cl Notification in accordance with Section 19827.5 of California Health & Safety Code is not applicable to the scheduled construction of this project. ❑ Attached are copies of the required E.P.A. notification forms. I hereby certify that I have read this application, that the above information is correct, and that I am the owner or the -d thorized agent of the owner. I agree to comply with all county and state laws relating to building construction. I acknowledge it is unlawful to alter the s ce of any official fo m or document of Butte County. I hereby authorize representatives of Butte County to enter upon the above mentioned property for inspectio purpo s. Print Name:/U^�% `Vl/ Signature: /tea /D 6 Dale: /Downer ❑ Contractor ❑ Agent for Owner ❑ Agent for Contractor B. C. Building Permit 01-16-04 pg 1 BUTTE COUNTY `D6ARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT APPLICATION AND SUBMITTAL REQUIREMENTSI, 24 HOUR INSPECTION#: OROVILLE: (530) 538-7636 • CHICO: (530) 891-2834 OFFICE #: (530) 538-7541 A FEE WILL BE REQUIRED AT TIME OFAPPLICA TION Website: www.buttecounty.net/dds / / "PLEASE PRINT CLEARLY* oa. . 3Y OWNER INFORMATION Last Name Tp We!�1 `/% Address First Name 1 `,�/� Address /)/ (, G/ G•�i/�GL City � ICO State?, ,, ZV:r9173 Phone 3_ .L zel Fax E-mail Subdivision Name ONTRACTOR Name Address City C:I�-, Zip G�p Phone 3� y�l J ( Fax E-mail � Lic. � Clas ARCHITECT/ENGINEER Name_ Ad/ss �. City C C:I�-, Z�lS9�%3 Phone��s ✓✓ Fax E-mail State License Number APPLICANT INFORMATION Name T._D y -7-� Addres",y, �/�iPG�fl _ J)� << City Sjate�, Zipqsv59 Phone Fax E-mail For office use o NO. Zoning -BP Flood Zone I YSRA WORKER'S COMPENSATION Yes Occ. Type Const Subdivision Name LENDING AGENCY Map Book Page Lot # Planner Date Approved: OVER FOR SUBMITTAL REQUIREMENTS KAFORMS\BUILDING FORMS\BldgApplSubRgmts.doc PERMIT NO. Property Address -BP ria WORKER'S COMPENSATION Policy Number PROJECT LOCATION API Property Address City Cps§ Street WORKER'S COMPENSATION Policy Number Carrier If hiring anyone other than license contractors, a certificate of worker's compensation must be shown at the time of permit issuance. LENDING AGENCY Name Address Page 1 of 3 Description or Scope of Work: t Sq FT- Living Garage Open Cov ❑ Structure Built without Permits ❑ Proposed Change of Occupancy (Note previous use): EXPIRATION OF APPLICATION Applications for which a permit has not been issued will expire one year after the date of application. In order to renew action on an application after expiration, a new application, plans and fee will be required. REQUEST FOR REFUNDS Refunds can only be made upon written request by the person who paid the fee. The request must be made prior to the expiration of the permit and no construction work has been done. Filing fees, plan check fees for work plan checked and other departmentcosts are not refundable. Amount: l" Bldg SRA Receipt #: Sheriff SMIP Date Other 61 ' Total REV 8-12-05 SUBMITTAL &'PERMIT REQUIREMENTS The following drawings and specifications must be submitted to the Building.Division in order to apply for a Permit. INCOMPLETE SUBMITTALS WILL NOT BE ACCEPTED. ALL PLANS MUST BE LEGIBLE AND IN INK. ❑ 1. Site plans, 3 or 4 sets, signed by the preparer of the plans. No graph paper! ❑ 2. Complete plans, 3 or 4 sets, signed by the preparer of the.plans (No graph�paperl) OR Engineered plans, 3 or 4'sets, with wet signature on plans AND 2 sets of stamped and signed calculations. ❑ 3. Engineered truss details and layouts in duplicate (if required). No faxes! ❑ 4. Energy compliance design and supporting documentation in duplicate. ❑ 5. Statement of Intent for Non -heated and AIC for Non -Residential Buildings. ❑ 6. Manufactured homes: (A) Installation manual,, (B) Marriage line info, (C) Floor Plan, (D)Tie down or fnd plans, all in duplicate ❑ 7. Metal bldgs: (A) Metal Bldg Plans, (B) Fnd plans and calcs in triplicate, (C) Elevations in triplicate..(D)'Flobr plans in triplicate. All of these must be stamped and wet -signed by the engineer. ❑ 8. Flood Elevation Certificate, wet -stamped and signed, in duplicate (if required). ❑ 9. Site plan and business license approval from the City of Biggs. ❑ 10. Letter of intent for non-residential buildings. ❑ 11. Building Permit Application Without Required .Clearances Form ❑ 12. Hazardous Material Form (for.Commercial Buildings only). Remaining items needed to issue the permit. Additional items may be required after Plan Check and Planning review (May require additional plan review upon receipt of the following items.) ❑ 1. Agricultural Buffer clearance and site plan approval from the Ag Commissioner's office (if required). ❑ 2. Impact Fees. ❑ 3. California Department of Forestry plan approval (if required). ❑ 4. NPDES Form... ❑ 5. Encroachment Permit for driveway from the Public Works Dept; (construction approval prior.to occupancy)., ❑ 6. Contractor's'license'information. (Number; Name Style, Classification). ^ , ❑ 7. Worker's Compensation Carrier and Policy Number. ❑ 8. Owner -Builder Verification (if required). ❑ 9. Letter of Signature authorization (if required). ❑ 10. Recorded copy of Agricultural Acknowledgment Statement. ❑ 11. ❑ Legal description from current recorded grant deed, ❑ Copy of M.H. Title, Title transfer, or MCO. ❑ 12. Sanitation and site plan approval from the Environmental Health Department. If you have questions or would like additional information regarding this process, please contact a Permit Assistant at (530) 538-7541. EXPIRATION OF APPLICATION Applications for which a permit has not been issued will expire one year after date of application. In order to renew action on an application after expiration, a new application, plans and fees will be required. REQUEST FOR FEE REFUNDS Refunds can only be made upon written request by the person who paid the fee. The request must be made within two years from the date of fee payment on permits not issued, and two years from the date of permit issuance for permits issued; however, on issued permits refunds can only be made if no construction work has been done. Filing fees, plan check fees -for work plan checked and other department costs are not refundable. OVER FOR BUILDING PERMIT APPLICATION KAFORMSWILDING F0RMS\B1dgApp1SubRgmts.doc Page 2 of 3 - REV 8-12-05 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 OWNER: ASSESSOR PARCEL NUMBER649"116-6_-5) Proposed Building Use: � t� � �,. Permit Technician: Date: Items required in order to apply for a permit. All boxes MUST be checked OR marked NA in ord`i o apply. 1. Site plans, 3 or 4 sets, signed by the preparer of the plans. ❑ 2. Complete plans, 3 or 4 sets, signed by the preparer of the plans. 3. Engineered plans, 3 or 4 sets, with wet signature on plans AND 2 sets of stamped and signed calculations. ❑ 4. Engineered truss details and layouts in duplicate. No faxesl ❑ 5. Letter from Engineer or Architect for truss design review. �p 6. Energy compliance design and supporting documentation in duplicate. ❑ 7. Statement of Intent for Non -heated and A/C for Non -Residential Buildings. ❑ 8. Manufactured homes: (A) Installation manual, including marriage line info, (C) Floor Plan, (D) Tie down or fnd plans, all in duplicate. ❑ 9. Metal bldgs: (A) Metal Bldg Plans, (B) Fnd plans and calcs in triplicate, (C) Elevations in triplicate. (D) Floor plans in triplicate. All of these must be stamped and wet -signed by the engineer. ❑ 10. Flood Elevation Certificate, wet -stamped and signed, in duplicate. ❑ 11. Hazardous Material Form ,p 12. Acknowledgement of building permit application without required clearances. ❑ 13. Other Re;TFire 'rns needed to issue the permit. (May require additional plan review upon receipt of the following items.) Sanitation and site plan approval from the Environmental Health Department in ❑ Chico ❑ Oroville, as applicable ❑ Sprinklers............................................................................................ ❑ 16. Agricultural Buffer clr and site plan apr from the Ag Commissioner Sent by ❑ 17. Soils Report and/or Engineered Foundation required ........................................... 1 � Erosion Control Plan Required..................................................................... ate 19 ees.as shown on the attached Schedule of Fees Due Sheet .............................. ❑ 20. City of Chico Plumbing permit........................................................................ ❑ 21. Site plan and business license approval from the City of Biggs .............................. ❑ 22 -California Department of Forestry plan approval ❑ paid. Sent by: ............. tanning approval for (A) Use: (B) Parking: (C) Parcel Check :............ a Contact Land Development about _ Improvements, _ Drainage ........................ ❑ 25. Fire Marshall Review (commercial projects only). Sent by: ...................... :kI 26. NPDES Form: ............................................................................................ p/A 27. Encroachment Permit for driveway from the Public Works Dept ........................... 1% ❑ 28. Contractor's license information. (Number, Name Style, Classification) ................... ❑ 29. Worker's Compensation Carrier and Policy Number .......................................... ❑ 30. Owner -Builder Verification ( _ Given to owner, _Mailed to owner) ..................... ❑ 31. Letter of Signature authorization.................................................................... ❑ 32. Recorded copy of Agricultural Acknowledgment Statement ................................. ❑ 33. Existing violations and/or expired permits......................................................... ❑ 34. Deed Restriction.......................................................................................... ❑ 35. ❑ Legal description, ❑ M.H. Title, title search, registration or MCO ......................... ❑ 36. Other: ❑ 37. Other: When issued Telephone D13. 1 '-Y-e and hold for pickup. I have been informed of the above items and requirements for obtaining a building permit. Applicant- Date: _ :�2 02 D e 1. Index permit application for the above items numbered: Plan Check Letter 2. Additional items required Contractor, designeCownerivas advised of the above data by phone, ❑ mail, ❑ counter, by Date: Contractor, designer, owner, was advised of the above data by ❑ phone, ❑ mail, ❑ counter, by Date: Contractor, designer, owner, was advised of the above data by ❑ phone, ❑ mail, ❑ counter y Date: Plans reviewed by: Date: Plans approved by: Date: Structural reviewed by: Date: ructural approved by: Date: Note transfer by: Date: Yellow: Building Division K/Building/Plan Check/Data Sheets/data sheet page 2 9.27.05 f . Plot Plan Attached V1199 � Floor Plan AttadW Sent to BD/DS I TO: Building Division — Development Services FROM: Environmental Health SUBJECT: Sanitation Clearance -794 C`i c�r�/�� /�tOr . 4 -7 71 --G3 j Owner Location AP# Plan Approved for: Sewage Disposal: Water Supply: Public Clearance for-dtroe4ag- Other Hold final for: Final clearance O.K. for: NOTE: Private Well �< L L Environmental Health Specialist Date Building Clearance 9/2005 BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 COUNTY CENTER DRIVE, OROVILLE, CA 95965 www.buttecounty.net/dds PHONE (530) 538-7541 FAX 538-2140 RECEIPT OF FEES SCHEDULE - RESIDENTIAL Owner JONES, JUDY APN No: 042-770-031 Permit Type: Subtype: App Date: 5/8/2006 Permit No: BP 06-1062 Permit Desc: 1 BUILDING PERMIT FEES ESTIMATED AT APPLICATION $852.35 Plan Check portion of Permit Fee $340.94 $511.41 2 FEMA RYes Flood Elevation Review $109.98 0 3 SRA* Yes Fire Plan Check - Non -Refundable $95.00 0 (State Responsibility Area) Building Inspection $109.98 0 - $20a.98 NON-REFUNDABLE portion of fees due at application $340.94 FEES DUE AND PAYABLE AT TIME OF PERMIT APPLICATION $340.94 FEES (BELOW) DUE PRIOR TO ISSUANCE OF PERMIT $515.30 4 Balance of Building Permit Fees (from No. 1 above) of SR -1, SR -3, SR-1/PD 8801.091 7395.041 8486.40 $511.41 5 SMIP* - Strong Motion Instrumentation Program (Enter amount from permit system) $3.89 6 Additional Plan Check Fees (NON-REFUNDABLE) DRAINAGE FEES* CHICO STORM DRAINAGE MASTER PLAN 7 Other*: 771 Comanche Creek $8,341 New Construction, vacant land, on 1 acre or less - Enter 1 or less acre value 7a Other*: 773 Big Chico Creek $6,776 774 Lindo Channel $8,267 8 IMPACT FEES - RESIDENTIAL* Per Dwelling Per Dwelling Per Dwelling Applications After 04/15/06 a SFD MFD MH County 4249.11 3183.54 3238.72 Chico Urban Area 6146.23 4538.82 5648.44 EI Medio Fire District 3249.97 2385.76 2422.68 North Chico Specific Plan Balance of Building Permit Fee RECEIP�"Trr DATE Tech/Asst 9 10 10a 11 11a of SR -1, SR -3, SR-1/PD 8801.091 7395.041 8486.40 RECEIPT DATE Tech/Asst RECEIPT DATE Tech/Asst �c R-1 8897.09 7491.04 8582.40 °c R-2 8390.091 6984.041 8075.40 R-3 7604.091 6198.041 7289.40 Processing Fee is automatically added to impact fee total 0 $100.00 WATER TENDER FEE (Not collected when Impact Fees Applicable) Enter Bat.# $200.00 DRAINAGE FEES* CHICO STORM DRAINAGE MASTER PLAN 770 Butte Creek $7,997 771 Comanche Creek $8,341 New Construction, vacant land, on 1 acre or less - Enter 1 or less acre value 772 Little Chico Creek $9,088 773 Big Chico Creek $6,776 774 Lindo Channel $8,267 775 SUDAD Ditch $7,211 776 Mud -Sycamore Creek $6,275 777 PV Ditch $8,893 More than 1 acre, existing buildings - fees to be assessed by Public Works Fee Determination Sheet Needed - Enter amount determined by PW THERMALITO DRAINAGE AREA $684 Maximum Per each new living unit on existing lots where full drainage fees have not been paid Temporary Dwelling 1 $136 At time of building permit $136 annual renewal fee for first 4 renewals. Not to exceed $684. PROOF OF PAYMENT OF FEES (BELOW) MUST BE RECEIVED PRIOR TO ISSUANCE OF PERMIT. Forms will be prepared after plan check is completed for applicant to take to respective district office. 12 SCHOOL DISTRICT FEES* 12a RECREATION DISTRICT FEES- t`J S / q 5/2),& Gw Y -1 At the time of permit application, I was advised the above fees are required to be paid prior to issuance of the permit. These fees may be changed during the plan checking process. Applicant: _ Date: �� Q Purs � to Governmenfcode SRen-66020(a). on 6602 ; you are hereby notified those Items followed by an "• may have been imposed on your prof ct. You have 90 days from the date of approval of the p6ct ovfrom the im`postion of the above referenced items during which you may protest. The requirements for a protest are spec�d-in-Goverment Code SeK:/Building/Forms/Schedule of Receipt Fees Residential 041506 O�9psrMENr Dc A�� T T<c !f� O I; C G < \� cCUN1�I A�eCfC WOP�S Department C o u n t 1. J. Michael Crump, Director of. Public o f B u t Works . LAND DEVELOPMENT DIVISION Storm Water Management Program 7 County Center Drive Oroville, CA 95965 (530)538-7266 (FAX) 538-7171 a National Pollutant Discharge Elimination System (NPDES) Phase II Construction Storm Water Permit and Storm Water Pollution Prevention Plan (SWPPP) Acknowledgement [LESS THAN 1 ACRE1 Project Description: M Project Location and/or Parcel Number: (f>' I --� Q - V By signing below, I, the project owner/owner's agent, certify that this project WILL NOT DISTURB 1 acre or more of land and that I; therefore, do not need to apply for a Construction Storm Water Permit from the State of California Regional Water Quality Control Board. Phased projects that contain multiple site build -outs of less than one acre but when combined with subsequent phases total more than one acre of disturbed soil will require a Construction Storm Water Permit from the State of California Regional Water Quality Control Board. I am aware that submitting false and/or inaccurate information or failure to apply for a Construction Storm Water Permit from the State of California Regional Water Quality Control Board for a project that disturbs one acre or more of land may result in revocation of grading and/or other permits or other sanctions provided by law. Signed: Title: Date: Less than 1 Acre NPDES & SWPPP Compliance Certification Butte County Storm Water Management Program Revised 5/24/04 Butte CountyDepa-trnent of -Development ServlceS °usr�° 7 County Center Drive Oroville, CA 95965 �G (530) 538-7601 Telephone y (530) 538-7785 Facsimile BUILDING PERMIT APPLICATION WITHOUT REQUIRED CLEARANCES I request and authorize the Building Division to process this building permit application through the plans examination process WITHOUT first obtaining all necessary, related permits and clearances from other regulatory entities, including but not limited to, Planning, Environmental Health, Land Development, County Fire, and Agriculture. I hereby acknowledge: 0 1 need to submit applications for septic and/or well to Butte County Environmental Health immediately. 0 1 am required to bring the approved Environmental Health site plan and approved sanitation clearance to the Building Division as soon as clearance is obtained 0 1 am responsible for notifying Development Services, in writing, to stop processing of the application and to arrange for disposition of plans. The Building Division will process the application through the plans examination process, as submitted, without input from other regulatory entities that could prohibit issuance of the building permit or require submission of amended building plans to the Building Division. Once the plans examination process begins, there will be no refund of plans examination fees. Any changes requiring submission of amended plans to the Building Division will incur additional fees. Within one year from the date of application for a building permit, all other required permits and clearances from other entities must be obtained for the permit to be issued. Failure to obtain these permits/clearances will void the application. Typically other required permits/clearances include, but are not limited to, verification the parcel was legally created, adherence to. all mitigations and conditions imposed on the parcel at time of creation, as well as zoning requirements, legal access, and applicable set -backs and environmental issues (fire, agriculture buffer zones, and habitat/species). Please print: Applicant Name: CCD 1/ Building site address: //_� 7 C-�162 L L 7-'� Permit No.: 6P- I()(PD I have read, understood and accept the terms and conditions as expressed herein as indicated by my submission of the-ahpve-referenced building permit application and my signature below: IGNA DATE 4 BUTTE COUNTY SCHOOLS IMPACTTEE CERTIFICATION FORM (One form per Building)' School District A.P. Number Jurisdiction: city Property Owner C"\ Building Department No. Property Loation/Address Subdivision Lot No. Residential 6evelopment t r! 1 No�of Living Mobile Home ition/ Units Installation Commercial/lhdustCommercial/IndustrialNew (,dihg Department Represeniativ�e(,, R County 0 .... . ........................... ........................................ ::Sq. Footage Add *Supplemental to (Group. R) Conversion Permit # *(No foundabori inspecbon) ............................... ........................................................ Deed Restricted Sq. Footage (Attach a signed copy of Deed Restriction and Notice of Limited Use Facility document) District Identification No. IV /—Ir School District certifies that (Street Address) (City) (State) has complied with the requirements of Resolution No. representing .square feet. �AB 2926 HFULL MIM (Applicant) (Phone Number)— (Zip Code) by payment of $ AI ON $ bcnooi uisinct Paid by Check # �\ 1 19 - Remarks: ro� N04=� You may proteef the Imposition of the fen Identifled above by submitting a written pratest.to the District, In compliance with Government Code Section 66020(a), within 90 days from the date fan are paid. Failure to subsubmita timely w, Otto protest will prohibit you fromfromchallenging On Imposition of the few In any corer action. H, subsequent to the School District Representative stgning Oft Butte County Schools ImpactImpactFee C*Mcmdon Fornt, On School Ms&kt is notified by the applicable Local Planning Agency that this Project Is ban reviewed under the C&Hfmft Envirownertkal Oueft i Ad (CEQA), this Prolect may be "ad to additional school fen to ftft ndtlaste Its knDed an the school distrWs'schools. White (school district), Yellow (building department), Pink (applicant), feeformids (3;05Wnm Sq. Footage Addition (Including Exterior 6 Roofed Areas) Date District Identification No. IV /—Ir School District certifies that (Street Address) (City) (State) has complied with the requirements of Resolution No. representing .square feet. �AB 2926 HFULL MIM (Applicant) (Phone Number)— (Zip Code) by payment of $ AI ON $ bcnooi uisinct Paid by Check # �\ 1 19 - Remarks: ro� N04=� You may proteef the Imposition of the fen Identifled above by submitting a written pratest.to the District, In compliance with Government Code Section 66020(a), within 90 days from the date fan are paid. Failure to subsubmita timely w, Otto protest will prohibit you fromfromchallenging On Imposition of the few In any corer action. H, subsequent to the School District Representative stgning Oft Butte County Schools ImpactImpactFee C*Mcmdon Fornt, On School Ms&kt is notified by the applicable Local Planning Agency that this Project Is ban reviewed under the C&Hfmft Envirownertkal Oueft i Ad (CEQA), this Prolect may be "ad to additional school fen to ftft ndtlaste Its knDed an the school distrWs'schools. White (school district), Yellow (building department), Pink (applicant), feeformids (3;05Wnm r ,{ pRMIT No. 5389-77B,E; PERMIT EXPIRES OWNER Larry Jones CONTR. McGuire & Son,Chico LOCATION (A.P. 42-34-34 n/s Churchill Dr. app. 1200' W. of Cussick, Chico Temp. Power Pole Called PG&E Temp. Elec. Serv. Called PG&E Temp. Gas Serv. Called PG&E JOB 7 FINALED ~ (Date) Signature) COUNTY OF BUTTE, — DEPARTMENT OF PUBLIC WORKS BUILDING INSPECTION.RECORD BUILDING Setback Fore Main Bldg. Footings Stemwall �1 S l ab Piers-- Gara e Footings Stemwa I I Slab Carport Footings Slab Patio Footings Masonry Walls Relnf. Steel Bond Beam Framino //--2 .5,_ %i BUILDING (Cont'd) PLUMBING Firewall!qSoil Piping Parapets 1st Floor Restroom Finish 2nd Floor Windows ?sem 3rd Floor Sidi To out Roof Sheathing Water Piping Roofing W= W 2�'.� Sewer Fdn. Vents Fixtures Garage Vents Water Htr. Insulation Heaters Prov. for physically handica ed Conformance of ex. structure Appliances "T'Gas Piping &Test Temo. Gas Finale �% Sanitation FIREPLACE Final Final ' I I Fixtun F RE SPRINKLERS I Motors ELECTRICAL Stucco Final Subpanels Mesh Z CHANICAL Grd. Fault Prot. Scratch Heating Service Brown �' %✓ -% Cooling Temp. Pole Finish k_ -J_0 --vir Ducts Under round Interior Lath —20-.7 Ventilation Permanent Door Closer Final Final MOBILEHOME UTILITIES ------------------ Elec. Service Elec. Pedestal Water Piping Sewer Gas Piping XQL6E U a K L INSTALLATI QN - - - - - - - - - - - - - - Support Elec. Continuity _Water Piping Drainage Gas Piping DATE REMARKS OR CORRECTIONS (NOTE: An entry must be made on this form each time you visit the job site.) f i • ,jam •F4 � f COUNTY OF BUTTE- - DEPARTMENT OF PUBLIC WORKS M 7 County Center Drive — Oroville, California 95965 V -�7 Telephone: 531-4541 iJ APPLICATION AND PERMIT A ert BUILDING Owner SQ. FT. OCC. BUILDING VALUATION ;-ea d Mailing Address Telephone No. Fireplace Contractor Total Valuation (� Mailing Address Permit Fee Plan Checking Fee&/or Penalty Telephone No. Permit Fee $ Building Address /✓ C �C �`� Z PLUMBING No. @ FEE PERMIT FILING FEE $3.00 4 gJ Each Trap 1.50 rr Repair drainage or vent piping 1.50 Water piping 1.50 Each gas water heater or vent 1.50 A. P. Z—� ,.� Zoning & Planning Gas piping system 1 - 5 outlets 1.50 Each additional outlet .30 F C. S n' ion rFireDept. FireZone Use Permit Building sewer 5.00 EQA Parking Plans Parcel Declaration Parcel Ma P 60' R/W Im provements Lawn sprinkler system 2.00 Bld Plans Recd Parcel Approvol Plan pproval Permit Fee $ $ NEW ❑ ADDITION ❑ UTILITIES ❑ OTHER ELECTRICAL No.1 @ FEE PERMIT FILING FEE J$3.00 pd r ` ' C-47/ G it / Main service 600V OR LESS 100 AMP OR LESS 5.00 Main service EA. ADD'L 100 AMP 2.50 Single Family Duplex ❑ Mobil Home ❑ Others ❑ Main service R 600V 0O OEAMP OR LESS 25.00 100 Main service EA. ADD'L 100 AMP 1.00 NEW CONS. DWELING OR ADDNST ( ACCLBLDGO. &) 20sgft ' NEW CONSTR. (MULTI-OUTLFT NON•RESID. BRANCH CIRCUITS) 2.50ea NEW CONSTR. POWER APPARATUS & NON.RESI D. (SINGLE OUTLET CIR. CONTRACTORS LICENSE LAW I am licensed under the provisions of Chapter 9, Div. 3, of the State of California Business & Professions Code under the name style of: �t so /V p(OUTLETS OR FIXTURES) @ Ex. OccuBAL@1 FIXED APPLNS. OR Ex. Occup. (OUTLETS (RESID.) EA) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 License No. SS ` Classification 771-7 Misc. Wiring 6.25 ❑ I am exempt from the Contractors License Laws of the State of California. Permit Fee $ d $ L WORKMEN'S COMPENSATION INSURANCE 1 am aware of the provisions of Section3700 of the California Labor Code which requires every employer to be insured against liability for Workmen's Compensation. Ahaveplaced on file with the County of Butte a certificate of Workmen's Compensation Insurance. I certify that in the performance of the work for which this permit is issued I shall not em P to an employ y person in any manner so as to become subject to the Workmen's Compensation Laws of California. MECHANICAL No. @ FEE PERMIT FILING FEE $3.00 Heating Cooling Ventilation Hood 2.00 Permit Fee $ $ I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building' construction, and hereby authorize re resentatives of the County of Butte to enter upon the above -me I ned ro f TOTAL PERMIT FEE This permit is hereby issued under the applicable provisions of p y or inspe ion purposes. X i�vw�j Dat t Signature of Permiteee-or Agent / Receipt No. 1,4- I " White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DIRECTOR QF RUBLIC WORKS By Date �- Bu" ing permit expires Date 7T 477, �*'- . .... Butte count LAND OF NATURAL WEALTH AND BEAUTY BUILDING DIVISION DEPARTMENT OF DEVELOPMENT SERVICES " - 7 COUNTY CENTER DRIVE • OROVILLE, CALIFORNIA 95965-3397 TELEPHONE: (530) 538-7541 October 11, 2000 FAX: (530) 538-2140 RE: Special Inspection # 00-16 A.P. # 042-340-034 Judy Jones 794 Churchill Drive Chico, CA. 95973 Dear Mrs. Jones, With reference to the above subject and your request for inspection of the single family dwelling at 1281 East Avenue, to be moved to 794 Churchill Drive, the inspection was made October 10, 2000. The dwelling was constructed prior to permit requirements, so we did not perform any inspections during construction. We therefore made a reasonable visual inspection, without going on the roof, under the building, or in the attic, and found the building appears to be in fair condition, considering the age. The following items must be addressed in order to start the permit process: 1. Provide Environmental Health Department Clearance. 2. Provide plot plan of parcel building is to be relocated to. 3. Provide floor, roof framing and floor framing plans of existing building. 4. Provide foundation plan for new location. 5. Provide proposed floor plan. 6. Final permit # 95-1704 (carport ). 7. Comply with any items identified during plan check. 8. Contact City of Chico regarding any permits that may be required for demolition or moving of the building. Electrical will be required to be upgraded to the 1996 National Electrical Code standards. Dry rot will also need to be repaired as encountered. Please submit complete plans in triplicate to this office including plot plans, foundation plans, floor plans and structural details, apply for the required permits,. and pay the appropriate fees. This permit must be obtained prior to any work being done. Should you have any questions concerning this matter, please contact David Wasney or Scott Rutherford of this office at the address or phone number listed above. Sincerely, Davits Wasney Building Inspector III .. .. �'►,.., .. • .- �.ti,rev';""r'1��r..fsm/`irk.�"1.:r1:`��^�f1*�.�:�Y'`""�L'C1�r'"'"'}d`i��+""`'��...Nt�ar�„a-,�•...J.1:..i..'!''7�.,"',ti..'' .a COUNTY OF BUTTE -DEPARTMENT OF DEVELOPMENT SERVICES --BU. ILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILLE; CALIFORNIA 95965 - TELEPHONE (530) 538-7541 PERMIT APPLICATION DATA SHEET1-vo 6,i OWNER: 0 w _ ASSESSOR PARCEL - . (�-- - Proposed Building Use:�t//:' P] „ �,�i Building Inspector: Date: At time of permit application, I` was advisedthe of Mowing data must be submitted prior to pe proc swing and/or issuance: Date Received By ❑ 1. All items have been submitted .------------------------------------------------------------------------------------- ❑2. Plot plans, 3/4 sets, signed by the preparer of plans. ------=--------------;-------------------------------------- ❑ 3. Complete plans, 3/4 sets, signed by the preparer of plans. ----------------------------------------------------- ❑4. 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. ---------------------------------------------------- ❑ 7. Statement of Intent for Non -Heated and A/C Buildings. ---------------------------------------------------------- ❑ 8. Hazardous Material Form. ------------------------------------------------------------------------------------------ ❑9. Manufactured Home data and installation instructions including Tie Down Specifications ------------------- 0 10. Fees of $ ------------------------------------------------------------------------------------- ❑ 11. Impact fees as shown on the attached schedule. ----------------------------------------------------------------- ❑ 12. California Department of Forestry plan approval/fees.--------------------------------------------------------- ❑ 13. Flood elevation certificate. ---------------------------------------------------------------------------------------- ❑ 14. Sanitation and plot plan approval Health Department. -------------------------------------------- ❑ 15. City of Chico plumbing permit. ----------------------------------------------------------------------------------- ❑ 16. Plot plan and business license approval from the City of Biggs. -------- =I------------------------------------ ❑ 17,'Planning approval for (A) Use: (B) Parking: :�' -------------------------- 1118. Contact Land Development about ❑ Improvements, ❑ Drainage, ❑ Legal Parcel. ----------------------- 1119. ---------------------- ❑19. Encroachment Permit for driveway (construction approval prior to occupancy). ---------------------------- 120. Pre -inspection for required. Request to Building Inspector on ❑21. Contractor's license information. (Number, Name Style, Classification). ------------------------------------ El 22. Workers' Compensation carrier and policy number. --------------------='-------------------------------------- El 23. Owner -Builder Verification (Given to owner ❑, Mailed to owner 10) .____________________________________ I ❑24. Letter of signature authorization.! --------------------------- ---------------------------------------------------- 112 5. Recorded co of Agricultural Acknowledgment PY )� Statement. -------------------------------------------------- 026. Letter of intent on building use. ------------- ❑27. Manufactured Home utility clearance. ----- 028. Existing violations and/or expired permits. (Date) 029. 0433 A, ❑Grant Deed, ❑ M.H. Title, ❑ Check to H.C.D $ .---------- --- 030. --❑30. Other: W7hu issue the permip process as follows ❑ Mail to owner, []Mail/k- 3 a� e hone and hold for pickup at " eliver ector.,s-APPhDate: 1 2`I Z�UUCopy of Haz-Mat form sent ❑ Health Department, ❑ Fire Department,Pollution Date: By: Copy of plans sent ❑ Health Department, 13 Fire Department, ❑ Other: Date: By: 1. Index permit application for the above items numbered: ❑ Plan Check List 2. Additional items required: .. Contractor, designer, owner, was advised of the above required data by ❑ phone', ❑ mail, ❑ Building Division counter, byDate: Contractor, designer, owner, was advised of the above required data by C1phone, ❑ 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, desigrier;.owner, was advised of the above required data by ❑ phone, 11mail, ❑ Building Division counter, by Date: Plans reviewed by` `:' Date: Plans approved by: Date: Sets of plans on hold in ❑ Plan Cabinet, ❑ A.P. folder. Note transfer by: Date: VP1Inix? r n- - T1P..o.+.. -f .,filo..el ... e . r__... __ ` .•..�.-.•��"r...t''�t�--•i,,.�.rv.�:P+``�::.•j�,r'b�`'''.+�.1`yjL..47�Y"4+�'vv�ill�..itiV.,i�::�l�^�`-i.•..•w-�.��..Y.•'�+..+'Y��^vil�.�4..^...r�•'.. •�,t.�,=�...r' :.-SM ' al'•ww. J COUNTY -'OF -BUTTE - DEPARTMENT OF PUBLIC WORKS .7 County Center,Drive, Oroville, California 95965 Telephone: 538-7541 Owner J v Mailing Address APPLICATION FOR SPECIAL INSPECTION ?Z Cti i✓G A.P. No. Tele div �� re s• No. Applicant '"�/�'/�� Telephone No. Mailing Address . K r Building Location A� leis I hereby request a special inspection.of the following building: 1.. Dwelling (if only*a' portion, specify) \ QUA %7 _ t 2. Apartment House (if only•a portion, specify) Q3. Commercial (specify.present occupancy) Q 4. Other (specify) I am requesting a special inspection for the purpose of: I?ri. Moving the building. 0 2. Financing (specify'agency) 0 3. Change of occupancy to 0 4. Other (specify) Case No. I hereby certify - that I will obtain the necessar`y.permits and make any necessary correc- tions, alterations, or repairs required by the County of Butte, as a result of this inspec- tion „fto comply with building and housing code requirements. I also certify that prior to the use or occupancy of this building, I will complete the above required corrections, alterations, or repairs, or, if the building is presently occupied, I will complete the above required corrections, alterations, or repairs within 30 days. I certify tha I ave read this application and state the above information is correct and hereby t /,"have r resentatives of the County of Butte to enter upon the above- mentior insp �n purposes. Date Signature of Owne - Fee Paid $ /K__� Receipt.No. lst-DPW/2nd-Inspector/3rd-Applicant '1. Complaint -Date (] Ocher -Date BUTTE COUNTY DEPARTMENT OF PUBLIC WORKS SPECIAL INSPECTION REPORT Owner, Address: `z9`i ell Tenant: ZONING A. P. # Date of Inspect/ion Inspector Building Location: /LQ% 6fG4t5'c- Si- Atr_ f Type of Inspection requested: 1. Housing 2. Financing 3. Change of Occupancy to f� 4. Work W/0 Permit. / / 5. Other (specify) Present use of building A. Sanitation (Housing) 1. Water closet: 2. Lavatory: 3. Bathtub or shower: 4. Kitchen sink: - 5. Hot -and cold water to fixtures: 6. Heating facilities: 7. Natural light and ventilation: 3. Room and space requirements: 9. Bedroom window or door for second exit: 10. Infestation of insects, vermin, or rodents: 11. Connection to -sewage -disposal: 12. Connection to water supply: 13. Rubbish and garbage facilities: 14. Stairs:(Rise, Run, headroom, 1HR, Tolerances,Handrails) 15. Comments: B. Structural 1. Piers and footings: 2. Floor construction: 3. Wall construction: 4. Ceiling and roof construction: 6. 0 C. Electrical 1. Service and ground: 2. Receptacles: 3. Fusing: 4. Comments: __ D. Plumbing 1. Fixtures connected and vented: 2. Gas water heater: 3. Gas heating vents: - 4. Comments: E. Other 1. Maintenance and repair: 2. Fire hazards: 3. Safety hazards: 4. Weather protection: 5. Underfloor and attic ventilation: 6. Energy:. r 7. Comments: F. Commercial Buildings 1. Roof covering: 2. Distance to property lines: 3. Physically handicapped: 4. Restroom floors and walls: 5. Exits: _.. 6. Improvements: 7. Zoning: 8. Comments: G. Field Problems or Violations 1. Problem or violation (give complete description): 2. What action taken (give complete description): 3. What actionrecommended: A. Information only - file. B. Hold ,for; ten., days, then write letter. =] C. Write letter. / / D. Other: 5�5�� it ri, * V5,------- -Ilk Larry L. & Judy I. Jones 794 Churchill Drive Chico, CA 95973 RE: Building Code Violation 794 Churchill Drive, Chico Dear Mr. and Mrs. Jones: butte �'0 LAND OF NATURAL WEALTH AND BEAUTY BUILDING DIVISION DEPARTMENT OF DEVELOPMENT SERVICES . 7 COUNTY CENTER DRIVE • OROVILLE, CALIFORNIA 95965-3397 TELEPHONE: (530) 538-7541 FAX: (530)538-2140 December 3, 1998 A.P. #: 042-34-0-034 This is a courtesy notice to notify you that you are in violation of the Butte County Code, as follows, at the above referenced location: Failure to obtain approval of prevoius corrections and failure to obtain final inspection prior to use and permit expiration for construction of carport. Since permits and inspections are required for the above work, apply for the required permits to make corrections and complete project and pay the appropriate fees. All work must stop until these permits are issued and you are authorized by our field inspector to proceed. This field authorization cannot be made until the existing work is inspected and approved. It is the County's goal to obtain voluntary compliance with the Butte County Code. However, you should be advised that Butte County has an active Code Enforcement Program which provides an effective means of enforcement if voluntary compliance is not obtained. Enforcement may be pursued through the issuance of citations, fines and the recording of a Notice of Violation including a description of the action necessary to abate the violation. You have thirty 30 days to voluntarily comply with the above directions or to present an acceptable plan for abatement or corrective actions to be taken by you. Should you have questions concerning this matter, please contact Michael Vieira or Scott Rutherford in this office at the address or telephone number listed above. MCV:dms cc: Assessor. Yours very truly, gnC V Michael C. Vieira, C.B.O. Manager, Building Inspection COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION -- -• 7 County Center Drive - Oroville, California 95965 - Telephone (916) 538-7541 RMIT N APPLICATION AND PERMIT ��'_/Z A f ASSESSOR PARCEL NUMBER 042-340-034 ZONING R1 BUILDING PERMIT OWNER L LARRY JONES TELEPHONE 893-1364 SQ. FT. OCC. BUILDING VALUATION 400 5 200 OWNERS MAILING ADDRESS 794 CHURCHILL DR, CHICO 99973 CONTRACTOR'S NAME TELEPHONE CONTRACTORS MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation is Filing Fee $ 20.00 LENDER'S MAILING ADDRESS Permit Fee $ 81.00 ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ 2.65 Energy Plan Checking Fee $ ARCHITECT OR ENGINEERS MAILING ADDRESS Penalty $ BUILDINGADDRESS 794 CHURCHILL DR, CHICO PERMITFEE S 15 PLUMBINGPERMIT Filing Fee 20.00 Each Trap 7.00 LOT NO. SUBDIVISION'S NAME PARCEL MAP Solar or heat pump water heater 23.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome ❑ Other SPECIFY Water piping 15.00 Each gas water heater or vent 15.00 Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑ Describe Work: CARPORT Mobile Home I S I GI W 1 @20.00 PERMITFEE g Contractor ELECTRICAL PERMIT Filing Fee 20.'00 Main Servicea OR LESS ( 200A OR LESS / 23.00 Main Service ( 200A TO 1000A ) 46.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect. License Class Lic. No. OWNER -BUILDER DECLARATION 1 hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: ❑ I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. 1, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ I am exempt under Sec. Business and Professions Code for this reason NEW CONST. DWELLING OCCUP. OR ADDNS. a ACC. BLDS. ( ) s0 . 14.00 3.5Q FT. NEW CONST. MULTI.OUTLET NON-RESID. ( BRANCH CIRCUITS ) @7.50 ( POWER APPARATUS 8 SINGLE OUTLET CIR. Ex. Occup. (OUTLET OR FIXTURES ) 20 @ 1.00 BAL .50 Ex. Occup. (FIXEDPLNS. j RR.A OUTLETS 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMITFEE $ 34.00 Contractor WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ 1 have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier MECHANICAL PERMIT Fling Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMITFEE S Contractor Policy Number (The above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) I certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to workers' compensation laws of California, and agree that if I should become subject to the workers' compensation p ovisions of section 3700 of the Labor Code, I shall forthw- comply with,1h6 provisions. - X Date Signature §of4,V)Aic_a�?%wrier ❑ Contractor ❑ Ag nt An OSHA permr is require or excavations over 60" deep and demolition or construction of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ OCC CONST. TYPE I TOTAL FEE $ 187/65 HAZ. D. FEES IMP `— FLOOD CDF PARCEL PD HO ISSUE This permit is hereby issued under the of the Butte County Code and/or indicated above for which fees have BYAlrzw�_D PERMITEXPIRESON14vik applicable provisions Resolutions to do work been paid. e ! 7 (D e) Receipt No. 80 5–L? ' WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT ._ .. ,. ,.. -,.. .,.r... w:sv+..,.' ;t=r't�r.,:..�.s,..., ur.. ,.'�-..::.r•_.ti.. ..f.;y r, g , � i. . . "T�t .'� �1 �: �i�3'��,�Y`,--- •`"`�'�.rX'�'rr�r::a�ku4ld'R:`> Lerw;�<�,:: .. -,.. ;a. .v f�'?� i • r� inn S `� j t r � - .�.+�.. _ ... \��\•+�\1\ ifJ 4 1 _ _Y l s 1 w 'a..\\• —�\ \ .. �� " i fad' •a '_i _ 19�j�a��'+C�":'*'+5:-.:,+.�,� j' � �F`l,drt« ..�, �'��:(�.'��i/,:`'�'. ^�i�y' �:�A��'�'i�1N,+t,,,'•y�:�exj,«'rV�, t:tsl;i."� ,`:2`+fT'yts'-+«�'' COUN" BUTTE - DEPARTME.N-T_OEDEVELOP_MEN_T_SERVICES -BUILDING DIVISIO 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA95965 -TELEPHONE (916)5, 3 -754�1> L PERMIT APPLICATION DATA SHEET OWNER L..cNc�G[ .�o,je,5 Y A. P. No. f?2- -3Y.- % Proposed Building Use Building Inspector i:f Date 2� S- 4 ' 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 . ........................................ lot plans, 3/4 sets, signed by preparer of plans. . `3 Complete plans, 3/4 sets, signed by preparer of plans . ..................... . 4. Engineered plans and calcs, 3/4 sets, with wet signature on plans . ............. 5. Hazardous Material Form . ............................................ ' 6. Energy Design Compliance and supporting documentation . .................. 7. Statement of Intent for Non -Heated and A/C Buildings . ...................... 8. Engineered truss details and layout in duplicate (required prior to plan check). ... . I 9. Mobilehome data and manufacturer's installation instructions, 2 sets. 10. Fees of $......................................... 11. Impact fees as shown on attached schedule. ............................. . 12. California Department of Forestry plan approval/fees. ....................... . Flood elevation letter (100 year flood) by California Engineer ................... Sanitation and plot plan approval GN16,1�1 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). ... Preanspection request 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 (Giveri 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 the permit, process as follows: V Mail to owner Telephone and hold for pickup at Other Parcel Creation - 4' Acreage Applicant _ Mail to contractor. _ office. Deliver with inspector. Date /090 Copy of Haz-Mat form sent Health Dept. Fire Dept. Air Pollution DatL/ 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, designer, ne as'advise of above required data by phone _ mail Counter by Date Contractor, designer, owner, was advised of above required data by _ phone _ mail Counter by _ Date Plans checked by I a50,us Date 4L_JL,3 Plans approved by G 13B aA -5 Date T-(a.a� Sets of plans on hold in File cabinet AP folder Copy - Department of Public Works Y E.H. USE ONLY Pkt Plea /�Cet bed • F10" PIM Attach Scat to B.D. / TO: Building Department FROM: Environmental Health SUBJECT: Sanitation Clearance O(vner Location AP# Plan Approved for: Sewage Disposal Water Supply: Public Private Well Clearance for bedroom mobile home.. Other 20 � SC 2-0, Cry- fq4- Hold final for: Final clearance O.K. for: NOTE: Environm tal Health pecialist Date 8/92 .,ifa�rw,M'c^_?.•l:vrA4,ir;". .. , i"F.�.-:.;: ,`Y"'•x+�^t;,e'�.ixh"_:'tir•e��,-v.S:�;"�+Y:^vi��,Y..%a+t`rsy�,', Y.i410 921:1 IR :�Z:esi;x�'�P�.'rz,;;r gnibElla :OT COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive - Oroville, California 95965 - Telephone (916) 538-7541 APPLICATION AND PERMIT PERMIT NO. ASSESSOR PARCEL NUMBER T _ y ' 3 �/ I / ZONING BUILDING PERMIT OWNER L/JR�/1 TELEPHONE '`l SO. FT. OCC. BUILDING VALUATION J-/ 00 2 � a /�/o��/ ( � �/ /yJ(��5-J3 OWNF�'S �A1�1 AD I��/ L/461- lu - E`til O C(�' !: / '2,9 CONTRACTOR'S NAME J.��tN�l.✓�.1 TELEPHONE CONTRACTORS MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ Filing Fee $ 20.00 LENDER'S MAIUNG ADDRESS Permit Fee $ _ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ r Energy Plan Checking Fee $ ARCHITECT OR ENGINEERS MAILING ADDRESS Penalty $ BUILDING ADDRESS �./ C kJv2 G Hi (-L PERMITFEE S PLUMBINGPERMIT Fling Fee 20.00 Each Trap 7.00 LOT NO. SUBDNIS IONS NAME PARCEL MAP Solar or heat pump water heater 23.00 Water piping 15.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome ❑ Other SPECIFY Each gas water heater or vent 15.00 Gas piping'system 1 - 5 outlets 15.00 Building sewer 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑ �h�r Describe Work: �--- �" Mobile Home IS I GI W1 @20.00 PERMITFEE S Contractor ELECTRICAL PERMIT Filina Fee 20.00 Main Service OOOV OR LESS ( zooA OR IEss ) 23.00 Main Service ( 200A TO 1000A ) 46.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect. License Class Lic. No. 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 NEW CONST. �J DWELLING OCCUP. OR ADONS. Y�� ( 8 ACC. ) ¢ SO. / 3.5Fr. NEW CONST. / MULTI-OUTLEUTLE T NON-RESID. \ BRANCH CIRCUITS ) @7.50 ( P APPARATUS ) 8 SINGLE ONGLUTLET CIR. EX. Occup. ( OUTLET OR FIXTURES ) 20 @ I•00 BAIL Q .so Ex. Occup. (oFXXEEDTS IR SE S. OR ) 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMITFEE $ 3 — Contractor WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ 1 have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier Policy Number (rhe 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 forthwith comply with those provisions. X Date Signature of Applicant - ❑ Owner ❑ Contractor ❑ Agent An OSHA permit is required for excavations over 50" deep and demolition or construction of structures over 3 stories in height. MECHANICAL PERMIT Filing Fee 20.00 9 Heating Cooling Hood 6.50 Ventilation PERMITFEE S Contractor Mobile Home Installation Fee $ Energy Inspection Fee $ OCC CONST. TYPE TOTAL FEE $ HAZ. I D. FEES I IMP I FLOOD I CDF PARCEL PO HD ISSUE This permit is hereby issued under the of the Butte County Code and/or indicated above for which fees have By PERMITEXPIRESON applicable provisions Resolutions to do work been paid. Date (Date) Receipt No. WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT I This set of plans and specif kept on the job at all tkaft ar, Make arky atianges or alterstii written p obsion '0 87 wo W107 M§' -11..2-3y , /Vow it is S an rn JIM: All Meatei-.U& C) . a Acoar"nee & Workmanship Shall -.1% - — —_ I . -- with O"e4 Good Practices and )T be of a quality Prescribed for the Specified use In the Uniform Build rful Ing, Plumbing & MechMechanicalto 4 i without Codes and the Natio a1 Electrical Code. of Public ALL STRUCTURES AND EQUIPMENT INCWDNG. OVERHANGS SHALL BEE �AR OF ALL EASEMENTS:: A SET BACK OF 5 r. FROM THE SIDE ANIJ 1-5 Fr. FROM THE R& F1 PROPERTY LINES AN®' 5o FT. FROM THE ROA) CENTERLINE SHALL BF.' CLEAR OF STRUCTURES i ND EQUIPMENT EXCEPT' FOR A 2 FF AVE�-OVERHA 46. )"SN AX&A. 001�00 r o APPROVE6 Butte CoW4 Environmental Health Date ---------- tie t. V ��' •� 'i i /� 1i� 11614 17-7 U L. ii eve % Gas P.4 + COUNTY DEPARTMENT Ar P R 0 V. F n, 9 5- 00y - FILE COI'� iAa ci 7 BUTTE COUNTY BUILDING DEP ARTRlEN APPROQED _lD Cr .0 > I Lu ci 7 BUTTE COUNTY BUILDING DEP ARTRlEN APPROQED r o � v N W 43 R 9 BUTTE COUNTY BUILDING D PARTMIE T APPROeEo Q ne X BUTTE COUNTY BUILDING D PARTMIE T APPROeEo 111. fq.ID NTIAL ' .�d 42-34-34 1606-91B,P,E,M - 1Vv �,ppro-�c� . l • ��' . JONES, Judy & Larry 794 Churchill Dr, Chico i cont: Jay Allspaugh ; (addition/sf) t� • '4 • �;w �� 4Z�'`U. p, Cyt^ �""� I �' 10 P �„ �� ,,�, M • irFP r D i Y � • f D r � V OFFICE COPY Address ?7 % C� k U I+G 4 I b/ q; Milt, 1 9 2 s A ELECTRIC p Meter By Date .f T7 g / Address ` ►o GQ IA-- akeb GAS lJy�t ct 4 Meter By ' c l L '+Date IC ' M i r JOB FINALED (Date) :j Signature 1� J=OK O = Not OK =-Not Readyable MOBILE HOMES Date MOBILE HOME UTILITIES (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Soils; Special MH Support Sketch 3. Sewer; Location -Test -Fall -C/O Concrete 4. Water; Location -Test -Easement Needed (Sketch) 5. Electricity; Location-Clearences-Grnd-/ /Amp -Concrete 6. Gas; Location -Test -Wrap: / /" L" ft. / /"Nat. or/ /"L"ft.//"LPG 7. Well Clearance & Disconnect 8. Utility Clearance Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date MOBILE HOME INSTALLATION (Plans) OK except #'s 1. Zoning Requirements -Setbacks Easements 2. Footings; Size -Spacing -Marriage Line 3. Gas; MH Test -Demand -Valve -Connector 4. Electricity; MH Test -Crossovers -Breakers -Clearances 5. Drain; MH Test -Fall -Flex Connector 6. Water; MH Test -Regulator -Connector 7. Water and Sewer Connected -C/O to Grade -HD Approval 8. Gas and Electricity Tagged 9. Exits; Insp.-Sketch 10. Cert. of Occupancy Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 0 N i., MISCELLANEOUS"' Date . DECKS, COVERS, CARPORTS, GARAGES, (Plans)OK except,#mss 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-Beams-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 J 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 J N N` J=OK O= Not OK i = Not Applicable =Not Iaeaoy DUNDRESIDENTIAL (Single & Duplex) ate ERFLOOR (Plans) OK except it's " 0 -Setbacks Easements Flood Slope Dates ING ( ominued) , r211FFry., Main; Soils-Elec. GQ:id.=/" " Ftg. Depth _gers-Po aps-Anchors-Connectors 'Ftg., Garage;Soils-Steel-Elea Grnd.-/ /" Ftg. Depth _ Cing. J ' t- f, ties-Pu rlin-roof Brac-Truss-Shthng.-Rfng. �". g., Porches & Decks; Soils-Steel-/ /Ftg. Depth --_ r e Ties or Type A Flue-Fireplace Throat clearance 5. Stemwalls, Main; Steel-Blockouts-Wrapped -is Acce s`, Size & Romex Protection-Draft Stop-Ins. Baffles 6. Stemwalls, Garage; Steel-Blockouts-Wrapped ______ _. Bdrm. rndows or Exiting Doors-Sill Hgt. & Dimensions 7. Hol owns and Special Anchors g ire Protection Framing ------- teel-Wrapped _ Pr_erty Line Firewall & Openings Pi -Fireplace Ftg.-Steel _----- xt. Door One 3'-Check Garage-3rd Story, 2 Exits D.W.V all-Fitting-Test-2 Way C/O-Sewer Test Sta Width-He Broom-Rise-Run-Landing-Fire Protection 10. U. Gas ipe; Size-Anchors - yard gas piping: size-test -_________—___Plywood o oof Overhang-Attic Vents-Rafter Outriggers Well Pi e; Test-Anchor-Regulator-Service Test _ i _ailing Veneer 12. c c; derground ----------------- - cc Mesh-Drip Screed-Fd. Ve Ut nsn derflr. Access P' nu &Ducts; Clearance-Material-Support-Ins.-________---- Glazin rea-Glass Protection-Skylights-Plastic ire Sills-Anchor Bolts-Joists-Vents-Cripples-_________-____ __r Walls; Nailing-Bolts 15. Access & Ventilation f)-_--_----__ _ Insulation _Walls-Ceilings 16. Insulation 60. Infiltration-Walls-Windows Date a (A 1Card B-1 �Tt Date l ------ - Date -2-S,-11 %� / Card B-1 ----------------____-- Car -1 Date Date Card B-1 __ _---- --_— ------ PLU ING Permit) OK except q's ` Date��9_9! Card Date 0)7 - 4)7 ®` Card B-1 ------- H r.; Vent-Access-Combusti affie Dat�J �0- 1 Card B-1 -- -' _____________ ��-��T �L Date Card B 1 Wat Pipe; Te_ & Ancho - ail• _ tection ---- Date FINAL (Plans) OK except q s ---------=-- _ _ ___--- 18. D V_ Fittings & Anchor ail P ction -.---------- Ext. Steps-Door & Sidelight Protection-Landings _-__— 9 hoover Pan; Test, First Floor-Tub Access 6moke Detector ----- -- �j / " /�� ------ - -- - _ a-L-'`- 63. Furnace; Vents-Clearance-Comb. Air-Connector- ----- ___--i� 0. -st Tub & Shower, Second Floor-Tub Access -- In Garage: Above Floor-Ducts-Mech. Protection Gas Pipe: Size &Anchors -----'------- _ _ ---------------------------------------------. _..------------ -- 6--- edroom Exiting------------- _ ------ -- � --------------------- --- Date �-------------------------------------------- 65 G.F.I. & Bath Fixtures & Tub Access-Spa —--� ` j Card g 1-- n_� _Date ------= ->� Card B-1 is. � "/. - Card R-1 --- ---------- 6q,-Elec. Trim & Subpanel: Breaker Sizes &Labels ------------- - i�-- Date Card B-1 - ------------------- Date ELEC CAL (Permit) OK except #'s--------------67_9'&gs & Rails -------------------------- ----- , . __-___ Fl re &Transformer Clearance-Ins. r tio-------_._6e -Fmeplace or Stove: Clearances-Hearth ; ---- -- -- -- --------- _ EI --- -' ----- -----______ __- 6J_-€1ec. Outlets at Wood Panel _.Int. & Ext_ -- - ___-_-_-____ eceptacl-- Spacing-Lights_& Switches at Doors - - -- ---- t. & Appliance; Grnd.-Air Gap-Cooking oxes & No. -- of Conductors-Stapled_-- -- -- - - -- t F x ___ _ 9______-__-_----------------- __.____.-71..j_ Outlets & Receptacles at Kit Counter g Clearance omex Installed Close to Ed e of Studs & C.J. ---------------- -__-___- Equip. Ground made 'up w/Mech. Fastners-Bond Gas & Water-------------page Fire Door: Swing-Landing-Closer --- -------------------- ----------------------------------------------------------- ppliance CirCutg iR_Kitchen & Conductor Size/GFl 73._2. C. Duct in Garage-Damper ------------- - - - ---- --------------------- - -- ---- ------- --------- -r Subfeed Wire Size i --- --- - 4-'Mr. Htr.: Vents-Clearance-Comb. Air-Connector-P.R.V. 7 ya. Cu ori? A.C. Wire Size! Cu or� __-___-- - Garage Above Floor-Mech. Protection ga. r2�F1_Ran irc. ! r---------------- ___ 7�Ib.. Elec. &Mech. Equip. Listed for Location ga. Cu or AI-Oven Circ. / / ga. Cu or Al. -- ' - _ ---------------------- sulated Neutral ❑ Yes ❑ NO 76-�.1ac_ Receptacles in Garage; (G. F.I.)-Romex Protection�— Z S�1 Servi e_Ris_{ Conductors & Ground-Main Disconnect 4Y1��--_____ 7'. nsulation-Foam-Looked in Attic ❑ Yes ------------------------------- _____ 31.E ip earances Panels-Motors-Mech. Equip. _______ ward Rails_ &_ Deck _Construct ion- Post Caps -- ----------Light --------------------------------------------- thes Closet Light-Shower Light-Spa Light ------------ 7.B' Fdn. Vents &Crawl Hole Door-Drainage &Wood-Earth Smoke Detector---------------------------Clearance Looked under Floor ❑ Yes ----- -------------------------------------------------- -------------------------------------------------- _--------.---______ ied Following instld.: Drive ❑ Yes ❑ No; Walks ❑ Yes ❑ Planters ❑ es ❑ No No; %�9-------Card --�--- -- ------------------------------------------- --------------- -Date----------- ----- )"� �� Date Card B-1 - -- -- -- aY Stucco: 8_ n-Finish ----------------------- Date - ---Data---------- ---------------------------_L3"� Card B-1 - _ Date Card B-1 __ _ d2-A-C Unit: Disconnect. Electrical, Plumbing Date MECHANICAL (Permit) Ok except N _ - ------------------------------ B�Vents Above Roof. Plb A liance-Fireplace.-Clearance to 3 A.C. Ducts Insulation &Support g._ PP ----- ----- -------------------------------------------------------------- -- - __ _._. -- -- Openings - v - _____ - -- --- ----- -------------- ------------- .Vent Fan; Exhaust above insulation - - ---' '--- ---- -_--__..____--_ 84^_'_a_ er Well; Disconnect, Electrical, Plumbing -.Condensate Drain & Overflow: Size & Grade __ --- Plumb ---- Trim; G.F.I. Receptacle-Underground 37. Furnance-Vent: Access-Comb. Air-Return Air Vent-115 outlet _ --- -------------- ---- ------ ------------------------------------------------- _ _ csf!Ventilation Throughout House - --- _____ 38. Attic Access & Platform if Furnance in Attic _ ---- ------------------------- _ dj! Glass Protecti n --------------------------------------------------- ------------------------------------- --------------- Date --------- - -- - --- -- ----- - 8a! Correction rom Previous Ins ections --- -- — fiJ. Gas T Meters Ta ----_ ------ ---------- --- - -------------------------------------------------- -- DateCard_- _._.. - - s T - eters-Tagged— s-Ele B-1 __ 96� ter & Sewer Connected-C/O to Grade-HD Approval ----- =-�� Date ---- Card B-1--------- - Date -- ------------------------- PP Ca'GPlans) B-1------------ Date------- Card B-1 Energy Compliance -Certificate - -Other Certificates ate FRA OK except q's --- ----- -_ Proper Material & Anchors Dat -g --------- - - - - 5�� _. Card B_1 �� - Date --- -- Card B-1 ----- s Studs-Nailing, Spacing & gracing-Plates-Sound Date - -------- Card B-1 -------- - -- - - ----------- ----------------------------------------- -- _ Date ---- - - ---- --- ----- -- Card B-1 Bearing Walls over Girders -& - Floor Nailing Date------------ Card B-1 Date — 42. Dr Stop in Walls (rat proof) ---------- ----- - Card 8-1 --------- _ Comments at Final: --------------------------------------------- dStops FurreCeilings-Stairs-Chases-Tub -------------- — eaders & Beam-Size & gearing ---- - - KF COUNTY OF BUTTE ' DEPARTMENT OF PUBLIC WORKS ' 1469 Humboldt Road, Chico, CA - (916) 891-2751 7 County Center Drive, Or`oville, CA - (916) 538-7541 747 Elliott Road, Paradise, CA - (916) "872-6307 CORRECTION NOTICE 4ze- 53 OWNER PERMIT NO. A routine inspection indicates that the following violations of Butte County Ordinances east 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 additionalexplanatiorr, please contact this office immediately. F 1Pr U `Ie e. -r eA 4 D rvv e N4 � • e i. 19 j M1 0 e t• - Date '�;L Inspector REV i1/9 _�.,, COUNTY OF BUTTE DEPARTMENT OF. PUBLIC WORKS 196 Memorial Way, Chico — Phone: 891-2751 / 7 County Center Drive, Orovi Ile — Phone: 538-7541 747 Elliott Road, Paradise— Phone: 872-6307 CORRECTION NOTICE � � ►-� s__ /Gds- �/ �, . OWNER PERMIT NO. rJQ4. wSIP A routine inspection indicates that the following violations of County Ordinance exist at the above address and should be corrected. Please notify this office when c rection of work is completed. If you have any question pertaining to this ;matt,e,1,, or need additional explanation, please contact this office immediately. Date ? /1— F/ Inspector /P—1 �� a�r.+ri--til.-4- '.r--"--�y�,.-ti.:1-S`; � �:i''r-.•�^'�T7?r-�...s.� ..a,..rs.,"',h ' COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS -� 196 Memorial Way, Chico — Phone: 891-2751 3 7 County Center Drive, Orovi Ile — Phone: 538-7541, 747 Elliott Road, Paradise— Phone: 872-6307 e1 CORRECTION NOTICE OWNER 646 -F PERMIT NO A routine inspection indicates tb5t the following violations of County Ordinance exist at the above address and should be corrected. Please notify this office when correction of work is completed. If you have any question pertaining to this tter, r need additional explanation, please contact this office immediately. J S ��+ 5 -�a � i �+rtl t ` —rLo � tc � a •mac l/ cK ��i,cco r on� Q rotr�a� i Date -7 .� "/ Inspector COUNTY OF BUTTE 1 DEPARTMENT OF.PUBLIC WORKS 196 Memorial Way, Chico — Phone: 891-2751 7 County Center Drive, Oroville — Phone: 538-7541 7 747 Elliott Road, Paradise — Phone: 872-6307 CORRECTION NOTICE OWN ER PERMIT NO. Z` A routine inspection indica s that the following violations of County Ordinance exist at the above address and should be corrected. Please notify this office when correction of work is completed. If you have any question pertaining to this _ atter, or need additional explanation, please contact this office immediately. i �C. Cdr' C K if{ totid.0- 6-'y4er of %%/4C� "e'(cH,�( 6 �a-6 C�r�i-Gni Gi "f Z -('r+.., D � s•F�, cC o � i�r i c� r �O 2 K a ,. C C 4-((C" n C-/, vk-t - Q (l K S/lv ( 0', Fe "n Ge i .. ♦ >a C? Date — (( Inspector _)!!, of l•—� COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 196 Memorial Way, Chico -Phone: 891-2751 7 County Center Drive, Orovi Ile — Phone: 538-7541 747 Elliott Road, Paradise— Phone: 872-6307 CORRECTION NOTICE OWNER.."' PERMIT I A routine inspection indicates that the following violations of County Ordinance exist at the above address and should be corrected. Please notify this office ixa— en c Yrection of work is completed. If you have any question pertaining to this ed additional explanation, please contact this office immediately. �r t,.hof --r4 or- i%OLfP.' 41* d --oa+-d Cj �CLtrayGC -74') � ) 11 e -t" S ✓ 6 nt n 6 U v\dCr Ftooc- G44 Aa -el, '( ✓l O LA ICU r V IO O 1 4/-e C Date } �/ Inspector Owner:, ••" j l Permit No. lDO 0 rQ I (DUPLICATE) ENERGY CERT IF ICAT ION Churchill Dr., Chico, Ca. LOCATION A.P. No. DESCRIPTION OF INSULATION ROOF Material Thickness(inches) EXTERIOR WALL Material r hL-3f- C/a 56 73 -4 -rt -5 Thickness(inches) CEILING Batt or Blanket Type Thickness(inches) Loose Fill Type FIBERGLASS Minimum ThicknesW nches) 16" Area covered(ft. ) 624 FLOOR, ELEVATED Material Thickness (i thes) FLOOR, SLAB Material Thickness(inches) Width(inches) FOUNDATION WALL Material Thickness(inches) Brand Name Thermal Resistance (R Value) Brand Name /6/) ell oasnl'n9 Thermal Resistance(R-Value)-- , Brand Name Thermal Resistance(R Value) Brand Name OWENS-CORNING Number of Bags 12 Wt..per bag 35 lb. Thermal Resistance(R Value) R38 Brand Name h10 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 in conformance with the State of California Energy RequLrements. LOERKE INSULATION CO., INC. 499150 F RM NAME/ WNER STATE CONTRACTOR'S LICENSE N0. ` April 8, 1992 SI TURF OF INSTAVIATION APPLICATOR DATE r. I hereby certify the above insulation and all required items as shown on the Building Department approved plans and attachments have been installed as required by the State of California Energy Requirements. All equipment, devices and materials are of the quality prescribed or are, specifically approved by the State of California. FIRM /OWNE (P1 ase pr t) STATE CONTRACTOR'S LICENSE NO. SI TU OF Or. 'RAL NTRACT 0 R i DATE %( f 1 i 1 f THIS CERTIFICATE MUST BE ON FILE WITH THE BUILDING DEPARTMENT PRIOR TO FINAL INSPECTION APPROVAL AND A COPY SHALL BE POSTED WITHIN THE BUILDING. l January 1984 f COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, CaliforAle 95965 - Telephone: 916/538-7541 APPLICATION AND PERMIT PERMIT N0. ASSESSOR PARCEL NUMBER 42-34-34 ZONING sp, I BUILDING PERMIT OWNER Judy & Larry Jones TELEPHONE 93-1364 S0. FT. OCC.1 BUILDING VALUATION Est. 2,000.00 OWNER'S MAILING ADDRESS . 794 Churchill Dr., Chico 95926 475 R 24,225.00 CONTRACTOR'S NAME Jay C. Allspaugh TELEPHONE 894-2082 CONTRACTOR'S MAILING ADDRESS 4 Mione Way, Chico 95926 Fireplace CONSTRUCTION LENDER None UNKNOWN Total Valuation $26.225.00 Filing Fee $ -.0.00 LENDER'S MAILING ADDRESS Perm, c E $ 1779.50 CT OR L N ARCHI��v ;EEP, LICENSE NO. T Plan Che:;�Fee 8Ing $ .75 Energy Plan Checking Fee $ 15.00 ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS Permit fee $ 294.25 PLUMBING PERMIT Filing Fee 10.00 794 Churchill Dr., Chico Each Trap 5 1 2.00 10.00 Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP Water piping 1 5.00 5.00 Each qas water heater or vent 5.00 USE OF STRUCTURE SF] Duplex❑ Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 5.00 Mobile Home S I G I W 10.00 Pa, TYPE OF WORK New F1 Addition® Remodel❑ Utilities Installation❑ Other] Describe work: Add Bedroom, Bath & Remodel _ Permit Fee $30,00 ' Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 6001 OR LESS 100 AMP OR LESS 10.00 10-00 Main service EA. ADD'L 100 AMP 2.50 CONTRACTORS LICENSE LAW 1 declare under penalty of perjury (check one): ®' 1 am licensed under provisions of Chapt. 9, Div. 3 of the Buslne$$ and Professions Code_ and my license is in full rce. and effect. License No. � D `� Classification. F1 1, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ 1 am exempt under Sec. , Business and Professions Code for this reason NEW CONST. / DWELLING OCCUP.& OR ACDNS. (ACC. BLDGS. �' , h2sga It 11.85 NW CONSTR ULTI.OUTLET E NON-RESID BRANCH CIRCUITS 2.50 ea POWER APPARATUS 6 (SINGLE OUTLET CIR. Ex. Occup(OUTLETS OR FIXTURES eL0 2ALO30 FIXED APLNS. EX. OCCup. OUTLETS P(RESID )REA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 Permit Fee $ Contractor Y 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. 2I 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. MECHANICAL PERMIT FiIingFee 10.00 Heating Cooling Hood 3.00 Ventilation permit Fee $16.00 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 st said Count in consequence of the ranting of this permit. X Date Sig,at re of pplircant - 9ner ❑ ontrector ('Agent ❑ An HA permit is required for excavations v r 5'0" deep and demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $30.00 occ CONST TYPE - TRIAL E 04.60 HAz. can PARK sc F c PA P I H ISSUE This permit is hereby issued unaer the applicable provi- sions of the Butte County.Code and/or resolutions to do work indicated above for which fees have been aid. p IDIE :rBLIC WORKS }l.D��,at�e�/�� 7 PER IT EXPIRES ate ✓' t� Receipt No. 88921 o �. 2-_��0 /� WHITE-D.P.W.. YELLOW -ASSESSOR. PINK-INSPE OR. GOLDENROD -APPLICANT ' COUNTY OF BUTTE - DEPARTMENT--01"PIUBLIC WORKS - BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE: 916/538-7541 < v PERMIT APPLICATION DATA SHEET } Permit No. OWNER `l J A. P. No., 3el _ 3. Proposed Building Use O /2 1k)Building, Inspector Date At time of permit application, I was advised the following data must be submitted prior to permit processing and/or issuance: DATE RECEIVED APPROVED 1. All items have been submitted . ................................ �f.. . 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 _4rfees paid .................................................... �13. G U44 School Distract fees paid .............. 2) Sanitation approval from �/f / �. L� Health Department W 31 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) ,2O: -Pre Inspection for required Pre-Inspec. request 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 Acknowledgment Statement ......... 25. Letter of signature authorization ................................... 26. 27. WiAlephoneW�?69Z__ issue thmit, process as follows: Mai -.to owner. Mail to contractor. and hold for pickup atC�L_office. Deliver w/inspectc►: Other _ R .1 Applica t� (' date 5 �// Copy of Hdz-Mat form sent Health Dept. FX 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 itemnot checked above). 1. Index permit for above items No. - 2. o. 2. Additional items required: P 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 —mai l—+counter by date Plans checked by Sets DWI'( Copy—DPW Plans approved by ::> tin A�PfAM-4- Date TO Buildina Department FROM: Environmental Health SUBJECT: Sanitation Clearance —' Owner Location AP# Plan Approved for: Sewaqe Disposal Water Supply Hold final for: Water Supply Final clearance O.K. for: Water Supply Clearance for bedroom mobile home. Other A JA r (� NOTE *** - _ ate Sanitarian COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT NO. 7 County Center Drive - Oroville, CallJarnla 95965 - Telephone: 916/538-7541 APPLICATION AND PERMIT ASSESSOR PARCEL NUMBER r /] ZJ ZONING BUILDING PERMIT /V/AI TELEPHONE S0.FT. OCC. BUILDING VALUATION �J/,0 LOWNER''3? I G A R /C "' `'C..JACTOR'S NAI• TEL PHTOR'S �ICVGV MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ a Filing Fee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ , Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUI DI G AD RES CH Permit fee $ PLUMBING PERMIT FilingFee 10.00 Each Trap CJ 2.00 Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP Water piping , 5.00 Each qas water heater or vent 5.00 USE OF STRUCTURE SF Duplex❑ Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home S I G I W i 0.00ea TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Ins al I tion ❑ Other Describe work: Permit Fee $ 0Q r Contractor ELECTRICAL PERMIT Filing Fee 10.00 001 OR LESS Main service 100 AMP OR LESS 10.00 t0 Main service EA. ADD'L 100 AMP 2.50 , CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): ❑ I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license Is In full force and effect. License No. 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 OCCU1.61) OR ADDNS. 1 ACC. BLDGS. , /20sq ft f K1 NEW CONSTR U T1.OUTLET NON-RESID BRANCH CIRCUITS) 2.SOea (POWER APPARATUS 6 SINGLE OUTLET CIR. / Ex. Occup\OUTLETS OR FIXTURES 8AL030 ALe3o FIXED APLNS Ex. Occup. OUTLETS IPRESID )REA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 Permit Fee $ Contractor WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ 1 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. MECHANICAL PERMIT Filing Fee 10.00 Heating APU 6__ Cooling Hood 3.00 �r Ventilation permit Fee $ Q 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 OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST TYPE TOTAL FEE $ �� •y. �o HAL. CUA-1PARK SCHL FLo CDF PAR PD I HO. ISSUE This permit is hereby issued unaer 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. WNITE-O.'.W.. YELLOW-ASS(»OR. PINK -INSPECTOR. GOLDENROD -APPLICANT �raa+kl.?.>i�y�w°'T£K�j�a�"Yf�•::1_'a�",+;+'7�+.,+�d�.y��,,.�`�>::p�,}!�"..,tel��,,,,�r,w--rv.r-.�,+,^.r'1n+^•_�'!:•wrM-79PT",6'"4'�4e�'M`^Jv+r^"r,�yrrrx�'q�'ti�'iw-17�Y r."ylt1,.{'w�`,�r....... .,.m-•r.:,r..-Y t BUTTE COUNTY SCHOOLS DEVELOPMENT FEE CERTIFICATION FORM (One Form per Building), ti A.P. Number �Zf Building Department No. School District C -(/t" City County Ef� Jurisdiction 71 1 Property Owner \),UaW 4- Project Location/Address yr7v Subdivision Lot Number Residential Development: -7� Sq. Footage47-r- # of Living MHI Addition r (Group R) Units Commercial/Industrial: New { Buil 'ng Department Representative Sq. Footage Addition (Including Exterior Roofed Areas) D at e (Floor Plan's reviewed by School District Personnel) District Id No. School District certifies that pplicant 894' a08O"4 Phone Number W I %c-)IIv wu (Street Address) (No (City) (City) (State.) (ZipCode) has complied with the requirements of Resolution No. by the payment of $ representing ~J5 square feet. School District Representative bate PAID BY CHECK NO. 074 BANK NO PAID BY CASH REMARKS: white -applicant, yellow -building department, pink -school district SCHOOL.FEE (8/88) HEATING. VEnIIATING. AIR CONDTTIONING SYSTEM (A) Heating Central Gas Furnace (brand and model number) SE Btu/hr (heating capacity) Beat Pump (brand and model number) ACOP Btu/hr (heating capacity at 47"F) Active Solar type (liquid or air) Callectgr brand and ft model number solar fraction collector area collector orientation collector tilt rated y -intercept raced slope Other (describe) (B) Cooling Electric Air Conditioner (brand and model number) Btu/hr (cooling capacity at 95°F) Electric Heat Pump (seasonal EER) EER *1 ❑13 *1 ❑ Other ❑ (describe) HEATING. VEnIIATING. AIR CONDTTIONING SYSTEM (A) Heating Central Gas Furnace (brand and model number) SE Btu/hr (heating capacity) Beat Pump (brand and model number) ACOP Btu/hr (heating capacity at 47"F) Active Solar type (liquid or air) Callectgr brand and ft model number solar fraction collector area collector orientation collector tilt rated y -intercept raced slope Other (describe) (B) Cooling Electric Air Conditioner (brand and model number) Btu/hr (cooling capacity at 95°F) Electric Heat Pump (seasonal EER) EER Btu/hr *1 ❑ Other ❑ (describe) HEATING. VEnIIATING. AIR CONDTTIONING SYSTEM (A) Heating Central Gas Furnace (brand and model number) SE Btu/hr (heating capacity) Beat Pump (brand and model number) ACOP Btu/hr (heating capacity at 47"F) Active Solar type (liquid or air) Callectgr brand and ft model number solar fraction collector area collector orientation collector tilt rated y -intercept raced slope Other (describe) (B) Cooling Electric Air Conditioner (brand and model number) Btu/hr (cooling capacity at 95°F) Electric Heat Pump (seasonal EER) EER *1 Submit documentation of sizing heating and cooling equipment by Manual J, sizing charts (form #4) or other approved methods, section 2-5352(g), and fill out the following: Heating: Winter design temperature °, elevation ', heating load BTU elevation factor x heating load - maximum outlet capacity gas furnace BTU Cooling: Summer design temperature ", cooling load BTU *2 Submit T.I.P.S.E. chart'or other approved system (form 1)5) to document sizing of solar panels. ® DESIGN COMPLIANCE STATEMENT: The above building design meets the requirements of Title 24, Part 2, Chapter 2-53 of the California Administration Code. SI 0 aUILDLIG DESI . R OR APP CANT Btu/hr (cooling capacity at 95°F) ❑ Other _ (describe) DOMESTIC WATER SYSTEM ❑ •(A) Gas Only Gallons (brand and model number) (tank size) ❑ Heat Pump w/Electric Backup _. (brand and model number) Gallons (tank size) 2 13* Active Solar (collector brand and model number) (rated y -intercept) (rated slope•)=' --.;(solar fraction) ft (backup heater type, brand and model number) (collector area) (collector orientation) (collector tilt) ❑ Location of Solar Panels ❑ Other (Describe) *1 Submit documentation of sizing heating and cooling equipment by Manual J, sizing charts (form #4) or other approved methods, section 2-5352(g), and fill out the following: Heating: Winter design temperature °, elevation ', heating load BTU elevation factor x heating load - maximum outlet capacity gas furnace BTU Cooling: Summer design temperature ", cooling load BTU *2 Submit T.I.P.S.E. chart'or other approved system (form 1)5) to document sizing of solar panels. ® DESIGN COMPLIANCE STATEMENT: The above building design meets the requirements of Title 24, Part 2, Chapter 2-53 of the California Administration Code. SI 0 aUILDLIG DESI . R OR APP CANT FO R N T' .ADDITIONS. TO RESIDENTIAL BUILDINGS: ENERGY SHEET PACKAGE "A" (Addfiions) Owner Climate Zone Permit # Floor. Area., 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 ZONE 16 APPLIES TO NEW AREA CEILING R-30 R-38 WALL R-11 R-19 FLOOR R-11 R-19 SLAB R-7 R-7 GLAZING U-.65 (Dual) U-.65 (Dual) SHADING SOUTH - OPTIMUM OVERHANG -- or .36 Shading Coefficient WEST - .36 Shading Coefficient LOOSE FILL INSULATION (Density) INFILTRATION CONTROL (Weatherstrip doors, certified windows, caulking) VAPOR BARRIER (Zone 16) DUCTS PER UNIFORM MECHANICAL CODE - Ch. 10 LIGHTING KITCHEN & BATH NOT LESS THAN 25 LUMENS/WATT MAXIMUM GLAZING 16% OF AREA PLUS 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 _ 7 "a"00, Yvi�� 1167-87B,P,E PERMIT NO. PERMIT EXPIRES- OWNER XPIRES OWNER LARRY & JUDY JONES CONTR. BONITA POOLS ASSESSOR PARCEL 42-34-34 LOCATION 794 Churchill, Chico i Temp. Power Pole Called PG&E Temp. Elec. Service t Called P( Temp. Gas Sei Cal led PG JOB FINALE( t Signature t t•,,: .e �' �=OK 0 Not OK c Not Applicable MOBILEHOMES MISCELLANEOUS = Not Ready Date MOBILEHOME UTILITIES (Plans) OK except #'s 1. Zoning Requirements—Setbacks—Easements 2. Soils; Special MH Support—Sketch 3. Sewer; Location—Test—Fell-C/0—Concrete Date DECKS, COVERS, CARPORTS, ETC. (Plans) OK except #'s 1. Zoning Requirements—Setbacks—Easements 2. Footings; Size—Depth—Spacing—Conneclors 3. Decks; Girders and/or Joists—Decking—Bracing—Stairs—Rails 4. Water;, Location—Test—Easement Needed (Sketch) _ 4. Wood Awn:; Posts—Beams—Rftrs.—Connec.—Shthg.—Rfg.—Bracing 5. Electricity; Location—Clearances—Grnd.—/ / Amp—Concrete 5. Alum. Awn.; Columns—Connections—Splice—Decal—Enclosures 6. Gas; Location-Test—Wrap:/ /"L"ft./ P'Nat.or/ /"L"ft./ /"LPG 7. Utility Clearance 6. Carports; Windows—Doors 7. Elec. Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Date Card -BI Date MOBILEHOME INSTALLATION (Plans) OK except #'s Card -BI Date Date Card -BI Date POOLS ans) OK except #'s 1. Zoning Requirements—Setbacks—Easements etba s—Easements 2. Footings; Size-Spacing—Marriage Line 3. Gas; MH Test—Demand—Valve—Connector I410c, its: Compaction—Structure Stability I Str e; Steel—Connections—Thickness—Dead Men—Lining 4. Electricity; MH Test—Crossovers—Breakers—Clearances 4 c.; Receptacles and Lighting; Distances—GFI 5. Drain; MH Test—Fall—Flex Connector 6. Water; MH Test—Regulator-Connector 5. .; Pool 'ghting; 15 volts—GFI �- 6. ; Enclosures: Conduit Entries—Terminals—Listed 7. Water and Sewer Connected—C/0 to Grade—HD Approval g; Metal w/5'—Circulating Equipment—Heater 8. Gas and Electricity Tagged lec.: Grounding; Equip. w/5'—Circulating Equip.—Pool Lghtg. Boxes—Enc losures—Panelboards—Ins. to Main in Conduit 9. Exits; Insp.—Sketch 10. Cert. of Occupancy 9. Health Department Approval umb; Cir. Test—Water Supply Test Card B-1 Date Card -BI Date Card -BI Date Card -BI Date Card B-1 Date Card -BI Date Card -BI Date Card -BI Date t121� J � OK 0 = Not OK - = Not Applicable K = Not Ready RESIDENTIAL (Single and Duplex. Date UNDERFLOOR(Plans)-OK exce t p's' Date FRAMING (Continued) 1. Zoning requirements-Setbacks-Easements48. Property Line Firewall & Openings 2. Fig., Main; Soils-Steel-Elec. Grnd.- Fig. Depth 49. Ext. Doors -One 3' -Check Garage -3rd story, 2 exits' - 3. Fig., Garage; Soils -Steel- / /:' Ftg. Depth 50, Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 4. Fig., Porches & Decks; Soils -Steel --L /" Fig. Depth 51, Plywood on Root Overhang -Attic Vents -Rafter Outriggers Stemwalls, Main; Steel -8 lockout s -Wrapped -Slab 52. Siding -Nailing -Veneer - 6. Stemwalls, Garage; Steel-Blockout8-Wrapped-Slab 53. Stucco Mesh -Drip Screed-Fdn. Vents-Underflr, Access ---- 7. Piers -Fireplace Fig. -Steel - 54. Glazing Area -Glass Protection -Skylights -Plastic - 8. D.W.V.: Fall -Fittings -Test -2 way C/O -Sewer Test 55. Shear Walls; Nailing -Bolts 9. Gas Pipe; Size -Anchors -10. Water Pipe: Test -Anchors -Regulator -Service Test 11. Electric: Underground - 12. Plenums & Ducts; Clearance -Material -Support -Ins. 13. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples-•, Card -BI Date Card -BI Date Card -81 Date Card -BI Date _ Card -BI Date Card -81 Date 1P. Card -BI Date Card -81 - Date Date FINAL (Plans) OK except #'a Card -BI Date Card -BI Date - ` • 56. Ext. Steps -Door & Sidelight Protection -Landings Date - PLUMBING (Permit) OK except #'s 57. Smoke Detector 14. Water Ht.: Vent -Access -Combust fon Air 15. Water Pipe: Test & Anchors -Nail Protection'' _ i'; 58. Furnace; Vents -Clearance -Comb. Air -Connector- A In Garage; Above Floor -Ducts -Meth. Protection 59. Bedroom Exiting' 16. O W.V_. Test-Fttngs &_Anchors -Nail Protection 17. Shower Pan: Test, First Floor -Tub Access 60. G.F.I. 8 Bath Fixtures 8 Tub Access 18. Test Tub & Shower, 2nd Floor -Tub Access 61. 62. Elec. Trim & Subpanel; Breaker Sizes -Labels Stairs & Rails 19. Gas Pipe: Size & Anchors 63. Fireplace or Stove: Clearances -Hearth 64. Elec. Outlets at Wood Panel; Int. & Ext. Card -BI _ Date Card -BI Date 65. Kit. Fixt. & Appliance; Grnd.-Air Gap -Cooking Clearance 66. Elec. Outlets &Receptacles atKlt. Counter _ Card -BI Oate Card -BI Date 67. Garage Fire Door; Swing -Landing -Closer Date ELECTRICAL (Permit) OK except Ws 68. A.C. Duct in Garage -Damper -- - 20. Fixture & Transformer Clearance -Ins. Protection 21. Elec. Receptacles Spacing-L_ighis &Switches at Doors _ 22. Size Boxes & No. of Conductors=StapledY - V 23. *Romex Installed_ ClosetoEdge of Studs & C.J. 24. _Equip. Ground made up w/Mech. Fasteners -Bond Gas & water 25: 2 Appliance Circuits in Kitchen & Conductor Size r - - -- 26. Subfeed 6Viie Size / ga. Cu or AI-A.C. Wire Size /_/ ga. Cu or AI 27. Range Circ. / i ga. Cu or AI -Oven Circ. / / ga. Cu or A[, Insulated Neutral .Yes , ']No _� •----.---_.--_ - 28. Service -Riser Conductors & Ground -Main_ Disconnect - -_ -. 29. Equip. Clearances PanelsNMotors�htech Equip. _-- _- 30. Clothes Closes Light -Shower Light .�•` -- - 69. Wit. Htr.: Vents -Clearance -Comb. Air-Connector-P.R.V.- In Garage: Above Floor -Meth. Protection 70. Plb., Elec. & Mech. Equip. Listed for Location 71. - Elec. Receptacles in Garage: (G.F.I.)-Romex Protec. 72. - Insulation -Foam -Looked in Attic ❑Yes 73. Guard Rails &Deck Construction -Post Caps 74. Fdn. Vents 8 Crawl Hole Door -Drainage &Wood -Earth Clearance Looked under Floor ❑ Yes 75, 76. Following rnstld,: Drive Yes No; Walks 9 ri [- ❑ ❑Yes ❑ No: Planters LYas 0_ No Stucco; Brown -Finish 77, 78• A.C. Unit; Disconnect-Cirnces-Brkr. & Cond. Size -115V Outlet Vents Above Roof: Plbg.-Appliance-Firepl.-Clearance to Opngs. 79. Water Well; Disconnect, Electrical, Plumbing _ Card B -I Card 8-I -- - --. - -- --- Dale Card -BI _ _Date -- -1! --_- Date Card -BI Date _80. Exterior Elec. Trim: G.F.I. Receptacle -Underground. 81. Ventilation throughout House 82. Glass Protection _ Date MECHANICAL (Pern•iq OK except p's 83. Corrections from Previous Inspections 84. Gas Test -Meters Tagged: Gas -Electric' 31. A.C. Ducts: Insulation_& Support. - --- -- -_ 85. & Sewer Connected -C/O to Grade -HD Approval 32. Vent Fan; Exhaust above Insulation,,`-,. _ 86. _Water Energy Compliance Certificate -Other Certificates 33. Condensate Drain & Overflow:'Size & Grade -7 34. Furnace -Vent: Access -Comb. Air -Return Air Vent -115V outlet - ""-'-"-'- - --- - ---- 35. Attic Access & Platform if Furnace in Attic --_--_- - -' -- ----- Card -BI Cara -BI Date Card -BI - Date _ Date Card -BI Date Card -61 Date Card -BI Date Card -BI _. Date Card -BI Date Card -BI Date Card -BI Date Dale FRAMING (Plans) OK except o's " Comments at Final: 36. Sills; Proper Material & Anchors 37. Walls: Studs -Nailing, Spacing & Bracing-Plales=Sound 38. Bear rmg Walls over Girders & Floor Nailing - ------- 39. Draft Stop in Walls (rat proof) -- --- - - - _ 40. Fire Slops: Furred Ceilinss_Slairs-Chases-Ttit) 41 Header & Beam -Size & Bearing 42. Hangers -Post Caps -Anchors -Connectors 43. Cing. Juisl-Rlh. Ties-Pkiihn-Root Bric.-Truss-Shthng.-Ring• 44. Fneplacfe T ies or Type A Flue -Fireplace Throat ------ - - - - --_..--- 45. Attic ACLe55 Size & Romer Protection -Dial) Slop -Ins. Baffles__ 46. Bdrm. Wimlows or E+uirig Doors -Sill ligt. & Dimensions ;,r.r.t Ore Pnri..cuon Fram,a:} -----•-- ....----....-...._------.•_--- COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California'9596-3 - Telephone 916/534-4541 APPLICATION ASD PERMIT PERMIT NO. 7-197 1010.2 , /_ .: ASSESSOR PARCEL NUMBER -ell— 3 ZO I BUILDING PER OWNER JU..,e.$ LEPHONE 8V 3-�36y^� SQ. FT. OCC. BUILDING VALUATION —.< -1.3 (IO OWNER'S G ADDRESS CONTR CTOR'S NAME �..3 TELEPHONE 3 CONTRCTOR'S MAILING ADDRESS n [j< S r "IS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ U / U O 1 00 Filing Fee $ 10,00 LENDER'S MAILING ADDRESS Permit Fee $ y 1-0 ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee ,$ VJ Energy Plan Checking Fee $ c ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS • Permit fee $ 5-0 PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP Water piping 5.00 —50 0 Each qas water heater or vein 5.00 USE OF STRUCTURE SF [:1Duplex❑ Mobilehome❑ Other D, I t'uo� SPECIFY Gas piping system 1 - 5 outs 5.00 Building sewer 5.00 Mobile Home S G 10.00ea TYPE OF WORK NewAdditionRemod I ❑ Utilities ❑ ❑ E]Ub InstallationOther Describe work: �� .� _ Permit Fee $ . Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 600V OR LESS 100 AMP OR LESS 10.00 Main service EA. ADD'L 100 AMP 2.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): I/�Y I am licensed under provisions of Chapt. 9, Div. 3 of the BUsinesS A and Professions Code and my license is in full fob and effect. License No. /�� Classification �� EJ 1, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ 1,a th(Sece owner, am exclusively contracting with licensed contract- 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONST. DWELLING OCCUP.tr , DR ACDNS. ACC. BLDGS. /:¢sgft NEW CONRES DMULTI-OUTLETCI2.50 ea NO N.R ESID BRANCH CIRC ITS POWER APPARATUS tr SINGLE OUTLET CIR. EX. OCCU OUTLETS OR FIXTURES 200506 p� DALO 30 EX. OCCUp. OUTLETS P(RESID )RE A.1 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 ee Wiring f 15.00 Uv Permit Fee $ 00 WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. Contractor MECHANICAL PERMIT Filing Fee 10.00 Heating Cooling g Hood 3.00 Ventilation Permit Fee = Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the Countyot Butte to enter upon the above-mentioned property for inspection purposes. 1 also agree to save, indemnify and keep harmless the County of Butte against all liabil' ies, judgments, costs, and expenses which may in any wa accrue against ifaidAount n consequence of the granting of this�11 %� Date Signature of Applicant - Owner 9 PP ❑ Contractor Agent ❑ An OSHA permit is required for excavations over 5' " deep and demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ TOTAL PERMIT FEE $ Ap91 D OCCUP. CONST.TYPc FLo D PPL I Iss E This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which DIRECTOR PUBLIC By PE EXPIRES Date the applicable provi- resolutions to do fees have been aid. p WORKS Date -4L- Y .y Receipt No. . 712 & -7 WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT .. -. � .- .—.-r ...-.. ,� � . -. .ti.un �,.- iticxtisr-shts.,o. wn WQsv;,.�.YT•'►�,i :�Y'� R_� S..%1%A`7> :.«v .Y. -a' i.-Li.t"4,-" �*: COUNTY OF BUTTE - DEPARTj4E,NT,OF-OU,BLIC WORKS -BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILLE,_CALIfORNIA 95965 - TELEPHONE: 916/534-4541 PERMIT APPLICATION DATA SHEET ' . Permit No. + OWNER s X'` ;-�-_• A. P. No. Proposed Building Use �� ►/��/ Buildingl'nspector Date* -3 At time of permit application, I was advised the following, data must be submitted prior to permit processing andJor 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. Plans with Energy Design Compliance Statement. . . . . . 6. CUSD "Fees Paid" Stamp on Floor Plan . . . . . . . . 7 Statement of Intent for Non -Heated and AC Buildings. 8. Fees of $ . . . . . . . . —A� 9. --Letter of signature authorization. Z".Sanitation approval from Health Dept. - 11. Planning approval for (A) Use: (B) Parking: 12. Certificate of Workmen's Compensation Insurance. . . . . . ` 13. Contractor's License Information (no., name style, classif.) . 14. Owner -Builder Verification (Given to owner[], Mail to owner ❑ ), —15. Improvements may be required. , . . . . . • 16. Mobilehome Installation Data. . . . . . . . . . 17. Pre -Inspection for Pre-Inspec. request to (Date) Required, Building Inspector 18. Recorded copy of Agricultural Acknowledgment Statement. 19. Driveway Permit. 20. Plot plan approval from city of 21. 22. When you issue the permit, process as follows: Mail to owner, ail to contractor. Telephone and hold for pickup at—off ice, Deliver w/inspector. Other Applicant t Date 7� 7 Copy of plans sent Health Dept., Fire Dept., - Other Date The following data must be submitted prior to permit issuance: (Circle new item not checked above), 1. Index permit for above items No. 2. Additional items required: Contractor, designer, owner, was advised of above required data by_phone_—mail—counter by date Contractor, designer, owner, was advised of above required data by—phone —ma ll—counter bye. date Plans checked ,w Copy—DPW Date Plans approved by `A Knate Sets of plans on hold in File cabinet AP folder r f — Flours: 10:00 a.m. - 3:00 p.m. 1 TO: Building Department FROM: Environmental Health, Chico V, SUBJECT: Sanitation Clearance Owner Location CGItCO AP# Plan approved for: sewage disposal water supply Hold final for: water supply Final clearance 0-K, for: water supply Clearance•for bedroom mobile home. Other Note*** Sanitarian r D te� 777 ,..—i+.•..—..,,v:.�wn.+..[+4...+.,ww +�w�.� i+xw�w �hrirs!^,.�.."n'M^°` ""' >. Q r .. ... ,. ,. .. _.. ::,,, . ,. x• r-> � � it .,, w I I �. __ , ; , ... ,' ,..:, r w r , ... ,. , , , .. v.. taa .. �,_;.... ... ,,.,. ... �`^.., ,..... .. ,, -sa. rd_ .. •.:. *,.. .. _. :, -, _.. ..�.. t }.:. k..E.,._.._�.,F:.»w..«.' ,.,a ren ,w, _....n...a.....,....s...,,.-.r3a.,ax.... Y .........%,4 „:z ._..... .. ,...m::,,._.. ,_ , r„ l