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043-540-004
FPermit#2973-8'B, �-oy , Chico ' e w 71-8B,P,E,M(new single -family) 'moi new gargLge) Contr:iles Valley Ele Peit1k3203-84E(temp power pole/271-84) 043-540-004 51054 f LOCUM,DEAN 40 CHATTSWOOD CT, C6FZ"/ LES`. Cont: OWNER REFERBISHHOME 1200S i f P C i f I " I " LT( NOTES RESIDENTIAL PERMIT NO. ,43-540-004 - - - 05-1054 SLOCUM, DEAN 40 CHATTSWOOD CT, CHICO ; Cont: OWNER REFERBISH HOME 1200SQ FT> t t S ,- v SPECIAL CONDITIONS _ CHECKED y BY SRA FLOOD CERTIFICATE REQ. FIRE SPRINKLERS REQ. t� SPECIAL INSPECTION ITEMS �. VERIFY USE PERMIT CONDITIONS SUB -STANDARD HOUSING LETTER i 4 JOB FINALED (Dat I Signature Map of 40 Chattswood Ct Chico, CA by MapQuest FEZ * 40 Chattswood Ct Chico, CA 95926-7783, US �1AVTE© All rights reserved. Use Subject to License/Copyright Page 1 of 1 This map is informational only. No representation is made or warranty given as to its content. User assumes all risk of use. MapQuest and its suppliers assume no responsibility for any loss or delay resulting from such' use. http://www.mapquest.comlmaps/map. adp?searchtype=address&country=US&addtohistory... 5/23/2005 .P COUNTY OF BUTTE BUILDING DIVISION ;yF DEPARTMENT OF DEVELOPMENT SERVICES 1.5 7 County Center Drive - Oroville, CA - (530) 538-7541 44 CORRECTION NOTICE WA OWNER PERMIT NO. A routine inspection indicates that the following violations of Butte County Ordinances exist at r P the above addre and should be corrected. Please call for re -inspection when correction of ,Y work is com'pWted. If you have any questions pertaining to this matter, or need additional ; explanatio , please contact the Building Inspector asnnindicated Phone # Cbelow. '1 'In In A tt _ 1 / �icr Lam. 27, /,_�p 1,"Z-7�lt tl-- z Z- - /�Px (,7 1A i!//Z f %/G -t l \ Date _ `� Inspector REV 4/05 Phone # FOR RE -INSPECTION CALL: 538-7636 OR 891-2834 ' PN+ Zr i COUNTY OF BUTTE BUILDING DIVISION DEPARTMENT OF DEVELOPMENT SERVICES 7 County Center Drive • Oroville, CA • (530) 538=7541 CORRECTION NOTICE OWNER PERMIT NO. A routine inspection indicates that the following violations of Butte County Ordinances exist at the above address and should be corrected. Please call for re -inspection when correction of work is completed. If you ve an uestions pertaining to this matter, or need additional explanation, please conta h B d' g Inspector as.indicated below. r _. l - s- `k Date 7 R l G � Inspector - P { REV 4/05 Phone # �� ✓ t FOR RE -INSPECTION CALL: 538-7636 OR 891-2834 BUTTE C UNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT 24 HOUR INSPECTION #: (530) 538-7636 (OROVILLE) (530) 891-2834 (CHICO) OFFICE #: (530) 538-7541 PERMITNO. BP051054- PERMITS BECOME NULL AND VOID 1 YEAR FROM THE DATE OF ISSUANCE, OR IF WORK IS DONE IN VIOLATION OF ANY COUNTY OR STATE LAWS. LICENSED CONTRACTORS DECLARATION I hereby affirm under penalty of perjury that I am licensed under Issued Date: 04/25/2005 APN: 043-540-004-000 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. Site Address: 40 CHATTSWOOD CT CHI 4 License Class : License Number: . Map Index: Date: Contractor: - Description: REFURBISH HOME- GUTTED ALL BUT OWNER -BUILDER DECLARATION FRAMING AND SIDING (1200) I hereby affirm under penalty of perjury that I am exempt from the Contractors' State License Law for the following reason (Sec. 7031.5 Business and Professions Code: Any city or county which requires a permit to construct, alter, improve, demolish, or repair any structure, prior Owner: SLOCUM, DEAN AND CATHY to its issuance, also requires the applicant for such permit to file a 4564 COUNTY RD E signed statement that he or she is licensed pursuant to the provisions of CA the Contractor's State License Law (Chapter 9 commencing with Section ORLAND, 7000) of Division 3 of the Business and Professions Code) or that he or 95963 she is exempt therefrom and.the basis for the alleged exemption. Any 530-865-5869 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).): AI, as owner of the property, or my employees.with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale (Sec. 7044, Business and Professions Code: The Contractors' State License Law does not apply to an Applicant: SLOCUM, DEAN AND CATHY pp owner of property who builds or improves thereon, and who does 4564 COUNTY RD E such work himself or herself or through his or her own employees, ORLAND, CA provided that such improvements are not intended or offered for sale. If however, the building or improvements are sold within one 95963 year of completion, the owner -builder will have the burden of 530-865-5869 proving that he or she did not build or improve for the purpose of sale.). ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec. 7044, Business and Professions Code. The Contractors' State License Law does not apply to an owner of property who builds or improves thereon, Contractor: and who contracts for such projects with a contractor(s) licensed pursuant to the Contractors' State License Law.). ❑ I am Exempt under Article 3 of the Business Professions Code Date:J- b� Owner A, �!•t=� License #: WORKERS' COMPENSATION DECLARATION I hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by Section 3700 of the Labor Code, for the performance of the work for which this permit Architect: is issued. ❑ 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 insurance carrier and policy number are: Carrier: Total Square Ft: 0 S. F. Policy#: Valuation: $0.00 ,r.N I certify that in the performance of the work for which this permit is Census Code: issued, I shall not employ any person in any manner so as to become subject to the workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. Date: Applicant: WARNING: Failure to secure workers' compensation coverage is unlawful, and shall subject an employer to criminal penalties and one hundred thousand dollars ($100,000), in addition to the cost of compensation, damages as eed'for in Section 3706 of the Labor code, interest, and attorney's fees. fes 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 Res I ions do wor indicated above for which fees have been paid. performance of the work for which this permit is issued (Sec 3097 Civ.) Name: Bim' -. Date: Address: PERMIT EXPI E ON: (Date) ❑ 1 hereby certify that the use of this facility shall comply with Sections 25505, 25533, and 25534 of the California Health and Safety Code, which regulate the storage, handling and use of hazardous materials. ❑ Notification in accordance with Section 19827.5 of California Health & Safety Code is not applicable to the scheduled construction of this project. ❑ Attached are copies of the required E.P.A. notification forms. I hereby certify that I have read this application, that the above information is correct, and that I am the owner or the duly authorized agent of the owner. I agree to comply with all county and state laws relating to building construction. I acknowledge it is unlawful to alter the substance of any official form or document of Butte County. I hereby authorize representatives of Butte County to enter upon the above mentioned property for ins pectionavrposes. �'J S� a', Print Name: ►! l D c L>,4 . Signatu, Date: S�:) CL� L r\0 - Owner ❑ Contractor ❑ Agent for Owner ❑ Agent for Contractor J=OK 0 = Not OK = Not Readyahle 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-Clearances-Grnd-/ /Amp -Concrete 6. Gas; Location -Test -Wrap;-/ /" L'ft. / /'.Nat. or/ /" L "ftJ P LPG 7. Well Clearance & Disconnect 8. Utilitv Clearance Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date MOBILE HOME INSTALLATION (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Footings; Size -Spacing -Marriage Line 3. Gas; MH Test -Demand -Valve -Connector 4. Electricity; MH Test -Crossovers -Breakers -Clearances 5. Drain; MH Test -Fall -Flex Connector 6. Water; MH Test -Regulator -Connector 7. Water and Sewer Connected -C/O to Grade -HD Approval 8. Gas and Electricity Tagged 9. Tie Downs -Type -Installation Cert. 10. Exits; Insp.-Sketch 11. Cert. of Occupancy MISCELLANEOUS Date DECKS, COVERS, CARPORTS, GARAGES (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Footings; Soils -Size -Depth -Spacing -Connectors -Steel 3. Decks, Girders and/or Joists -Decking -Bracing -Stairs -Rails 4. Wood Awn.; Posts-Beams-Rftrs-Connectors Shthg-Frg-Bracing 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Carports; Windows -Doors 7. Electric 8. Frmg.; Sills-Anchors-Studs-Rftrs-Trusses 9. Siding; Nailing -Veneer -Stucco -Mesh 10. Roof; Shthg-Roofing 11. Ext.; Steps -Doors -Landings 12. Braced Wall Panels Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date POOLS (Plans) OK except #'s 1. Setbacks -Easements 2. Soils; Compaction -Structure Stability 3. Pool Structure; Steel -Connections -Thickness Dead Men -Lining 4. Elec.; Receptacles and Lighting, Distance-GFI 5. Elec.; Pool Lighting; 15 Volts-GFI 6. Elec.; Enclosures; Conduit Entries -Terminals -Listed 7. Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater 8. Elec.; Grounding; Equip. w/5' Circulating Equip. -Pool Lghtg. Boxes-Enclosures-Panelboards-Ins. to Main Conduit 9. Health Department Approval 10. Plumb.; Cir. Test -Water Supply Test 11. Light Niche 12. Enclosure; Fencing -Alarms Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date PERMANENT END SYSTEM (ONLY) - 1. Zoning Requirements -Setbacks -Easements 2. Footings; Size -Spacing -Marriage Line 3. Blocking 4. Gas; MH Test -Demand -Valve 5. Electricity; MH Test 6. Water; MH Test 7. Water and Sewer Connected 8. Gas and Electricity Tagged 9. Exits 10. License Decals 11. Verify #'s with Office Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 MISCELLANEOUS Date DECKS, COVERS, CARPORTS, GARAGES (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Footings; Soils -Size -Depth -Spacing -Connectors -Steel 3. Decks, Girders and/or Joists -Decking -Bracing -Stairs -Rails 4. Wood Awn.; Posts-Beams-Rftrs-Connectors Shthg-Frg-Bracing 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Carports; Windows -Doors 7. Electric 8. Frmg.; Sills-Anchors-Studs-Rftrs-Trusses 9. Siding; Nailing -Veneer -Stucco -Mesh 10. Roof; Shthg-Roofing 11. Ext.; Steps -Doors -Landings 12. Braced Wall Panels Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date POOLS (Plans) OK except #'s 1. Setbacks -Easements 2. Soils; Compaction -Structure Stability 3. Pool Structure; Steel -Connections -Thickness Dead Men -Lining 4. Elec.; Receptacles and Lighting, Distance-GFI 5. Elec.; Pool Lighting; 15 Volts-GFI 6. Elec.; Enclosures; Conduit Entries -Terminals -Listed 7. Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater 8. Elec.; Grounding; Equip. w/5' Circulating Equip. -Pool Lghtg. Boxes-Enclosures-Panelboards-Ins. to Main Conduit 9. Health Department Approval 10. Plumb.; Cir. Test -Water Supply Test 11. Light Niche 12. Enclosure; Fencing -Alarms Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 J=OK 0 = Not OK = Not Applicable . = Not Ready RESIDENTIAL (Single & Duplex) Date UNDERFLOOR (Plans) OK except #'s 1. Zoning -Setbacks -Easements -Flood -Slope 2. Ftg., Main; Soils-Elec. Grnd.-/ /' Ftg. Depth 3. Ftg., Garage; Soils-Steel-Elec. Grnd.-/ /' Fig. Depth 4. Ftg., Porches & Decks; Soils -Steel-/ /' Ftg. Depth 5. Stemwalls, Main; Steel- B lockouts -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/0 -Sewer Test 10. UF, Gas Pipe; Size Anchors -Yard Gas Piping; Size Test 11. Water Pipe; Test -Anchors -Regulator -Service Test 12. Electric Underground 13. Plenums & Ducts; Clearance -Material -Support -Ins. 14. Girders -Sills -Anchor Bolts-Joists-Vents-Crippies 15. Access & Ventilation 16. Insulation Date Card B-1 Date Card B-1 Date Card Date Card B-1 Date PLU ING (Permit) OK except #'s 1 Water Htr.; Vent -Access -Combustion Air Baffle 18. Water Pipe; Test & Anchor -Nail Protection 19. D.W.V.; Test Fittings & Anchor -Nail Protection 20. Sho r Pan; Test, First Floor -Tub Access . T Tub & Shower, Second Floor -Tub Access Gas Pipe; Sixe & Anchors 23. Fire Sprinkler; Test Date Card B-1 Date Card B-1 Date Card B -k Date Card B-1 Date ELECT CAL (Permit) OK except #'s �.une & Transformer Clearance -Ins. Protection 257 EI a eptacles Spacing -Lights & Switches at Doors e xes & No. of Conductors Stapled R ex Installed Close to Edge of Studs & C.J. quip. Ground made up w/Mech Fasteners -Bond Gas & Water 29. 2 Appliance Circuits in Kitchen & Conductor Size GFI 30. Subfeed Wire Size/ /ga. Cu or AI-A.C. Wire Size/ /ga Cu or All 31. Range Circle/ /ga Cu or AI -Oven Circ. / /ga Cu or AI Insulated Neutral 0 Yes 0 No 32. Sery -Riser Conductors & Ground Main Disconnect 33. . Clearances Panels-Motors-Mech. Equip. othes Closet Light -Shower Light -Spa Light Smoke Detector Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date MEC 1 L (Permit) OK except #'s A . D cts Insulation & Support 37�VeXFan, Exhaust above insulation CJPIIC'on nsate Drain & Overflow, Size & Grade 39. F rnnce-Vent Access -Comb. Ait-Return Air Vent 115 Outlet Attic Access & Platform if Furnace in Attic Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date FRAM (Permit) OK exc t #'s 441"Sills Proper MateriaX& Anchors 42. Walls Studs-Nai' g Spacing & Braces -Plates -Sound 43. Bearing Wal over Girders & Floor Nailing 44. Draft St in Walls (rat proof) 45. Fire ops, Furred Ceilings -Stairs -Chasers -Tubs 46. Vaders & Beams -Size & Bearing Date FRAMING (Continued) 47. Hangers -Post Caps -An ors -Connectors 48. Cling. Joist-Rftr. Ties- P rlin-Roll Brac.-Truss-Shting.-Rtng. 49. Fireplace Ties or Type/A Flue -Fireplace Throat Clearance 50. Attic Access; Size & omex Protection -Draft Stop -Ins. Baffles 51. Bdrm. Windows or xiting Doors -Sill Ht. & Dimensions 52. Garage Fire Prot tion Framing -RC Channel 53. Property Line F ewall & Openings 54. Ext. Doors -O a 3' -Check Garage 3rd Story, 2 Exits 55. Stairs; Wi -Headroom-Rise-Run-Landing-Fire Protection 56. Plywoo n Roof Overhang -Attic Vents -Rafter Outriggers 57. SidinqAailing Veneer 58. Stu o Mesh Drip Screed -Fd. Vents-Underflr. Access 59. G16zing Area -Glass Protection -Skylights -Plastic 60. hear Walls; Nailing -Bolts Ry Brace Interior/Exterior Wall Panels 63. Infiltration -W - indows Date,5.,PL Card B-1 ate Card B-1 Date - - Card B-1 Date Card B-1 Date FINAL (Plans) OK except #'s BY. ST�*e Detector urnace Vents -clearance -Comb, Air-Connector- I5_Garage; Above Floor-Ducts-Mech. Protection bedroom Exiting G.F.I. & Bath Fixtures & Tub Access -Spa 69. Elec. Trim & Subpanel, Breaker Sizes & Labels 70. Stairs & Rails 71. Fireplace or Stove, Clearance -Hearth 72. Ejoe. Outlets at Wood Panel, Int. & Ext. K' . ixt. & Appliance; Ground -Air -Gap -Cooking Clearance 7 lec. Outlets & Receptacles at Kit. Counter 75. Garage Fire Door; Swing -Landing -Closure 76. Duct in Garage -Damper 7.4'Wtr. Htr.; Vents -Clearance -Comb. Air Connector-P.R.V. in Garage; Above Floor-Mech. Protection 78. Plb.; Elec. & Mech. Equip. Listed for Location 79. E eceptacles in Garage (F.F.I.)-Romex Protection ag-Insulation-Foam-Looked in Attic 81. Guard Rails & Deck Construction -Post Caps 82. Fdn. VBents & Crawl Hole Door Drainage & Wood -Earth _ Clearance Looked under Floor 0 Yes 83. Following InstldJDrive 0 Yes O No/Walks 0 Yes 0 WIDIanters 0 Yes D No 84. Stucco Brown -Finish 85. A,,G Gnit Disconnect, Electrical -Plumbing 8 . Vents Above Roof, Plbg-Appliance-Fireplace-Clearance to Openings 87. Water Well, Disconnect, Electrical, Plumbing 88. Exterior Elec. Trim, G.F.I. Receptacle -Underground 89. Ventilation Throughout House 90. Glass Protection 91. Corrections from Previous Inspections 92. Gas Test -Meters Tagged, Gas -Electric 93. Water & Sewer Connected -C/O to Grade -HD Approval 94. Energy Compliance Certificate -Other Certificates 95. Address Posted 96. Fire Sprinkler 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: 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. BP05105,4 PERMITS BECOME NULL AND VOID 1 YEAR FROM THE DATE OF ISSUANCE, OR IF WORK IS DONE IN VIOLATION OF ANY COUNTY OR STATE LAWS. LICENSED CONTRACTORS DECLARATION I hereby affirm under penalty of perjury that I am licensed under Issued Date: 04/25/2005 APN: 043-540-004-000 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. Site Address•. 40 CHATTSWOOD CT CHI License Class : License Number: Map Index: Date: Contractor: Description: REFURBISH HOME- GUTTED ALL BUT OWNER -BUILDER DECLARATION FRAMING AND SIDING (1200) I hereby affirm under penalty of perjury that I am exempt from the Contractors' State License Law for the following reason (Sec. 7031.5 Business and Professions Code: Any city or county which requires a permit to construct, alter, improve, demolish, or repair any structure, prior Owner: SLOCUM, DEAN AND CATHY to its issuance, also requires the applicant for such permit to file a 4564 COUNTY RD E signed statement that he or she is licensed pursuant to the provisions of the Contractor's State License Law (Chapter 9 commencing with Section ORLAND, CA 7000) of Division 3 of the Business and Professions Code) or that he or 95963 she is exempt therefrom and.the basis for the alleged exemption. Any 530-865-5869 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 property, or my employees.with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale (Sec. 7044, Business and Professions Code: The Contractors' State License Law does not apply to an Applicant: SLOCUM, DEAN AND CATHY pp owner of property who builds or improves thereon, and who does 4564 COUNTY RD E such work himself or herself or through his or her own employees, ORLAND, CA provided that such improvements are not intended or offered for sale. If however, the building or improvements are sold within one 95963 year of completion, the owner -builder will have the burden of 530-865-5869 proving that he or she did not build or improve for the purpose of sale.). ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec. 7044, Business and Professions Code. The Contractors' State License Law does Contractor: not apply to an owner of property who builds or improves thereon, and who contracts for such projects with a contractor(s) licensed pursuant to the Contractors' State License Law.). ❑ 1 am Exempt under Article 3 of the Business p1d Professions Code Date:�-ZOwner.SLZ License #: WORKERS' COMPENSATION DECLARATION I hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by Section 3700 of the Labor Code, for the performance of the work for which this permit Architect: issued. ❑ 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 insurance carrier and policy number are: Carrier: Total Square Ft: 0 S. F. Policy #: Valuation: $0.00, I certify that in the performance of the work for which this permit is Census Code: issued, I shall not employ any person in any manner so as to become subject to the workers' compensation laws of California, 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. - �//S�� Date: ,,�JJ Applicant: rC.L'.f/1� WARNING: Failure to secure workers' compensation coverage is unlawful, and shall subject an employer to criminal penalties and one hundred thousand dollars ($100,000), in addition to the cost of compensation, damages as provided for in Section 3706 of the Labor code, interest, and attorney's fees. CONSTRUCTION LENDING AGENCY This permit 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 performance of the work for which this permit is issued (Sec 3097 Civ.) Resions ;dowondicated above for which fees have been paid. /\ �S� S Name: B P. `� TT Date: Address: PERMIT EXPt E ON: Date ❑ 1 hereby certify that the use of this facility shall comply with Sections 25505, 25533, and 25534 of the California Health and Safety Code, which regulate the storage, handling and use of hazardous materials. ❑ Notification in accordance with Section 19827.5 of California Health & Safety Code is not applicable to the scheduled construction of this project. ❑ Attached are copies of the required E.P.A. notification forms. I hereby certify that I have read this application, that the above information is correct, and that I am the owner or the duly authorized agent of the owner. I agree to comply with all county and state laws relating to building construction. I acknowledge it is unlawful to alter the substance of any official form or document of Butte County. I hereby authorize representatives of Butte County to enter upon the above mentioned property for inspection rposes. Print Name: De-exl �IDC,U Signatu Date: �1 y EL-) c,� (SCS �L Owner ❑ Contractor ❑ Agent for Owner ❑ Agent for Contractor BUTTE COUNTY DEPARTMENT OF DEVELOPMENT' SERVICES BUILDING PERMIT APPLICATION AND SUBMITTAL REQUIREMENTS 24 HOUR INSPECTION#: OROVILLE: (530) 538-7636 • CHICO: (530) 891-2834 OFFICE #: (530) 538-7541 A FEE WILL BE REQUIRED AT TIME OFAPPLICA TION Website: www.buftecounty.net/dds **PLEASE PRINT CLEARLY** OWNER Last gorpe Glk Firs 1a(! Addres y&`t Co 98 e Citi-) r l &r-,8 Stat Zip q,)—ci b-3 Pho-neey3, c� Fax E-mail APPLICANT SIGNATURE X �z�, I &—,_ For office use only: CONTRACTOR Name Flood Zone Address SRA City I No State Zip Phone Map Book Fax E-mail Planner Lic. # Class APPLICANT SIGNATURE X �z�, I &—,_ For office use only: ARCHITECT/ENGINEER Name Flood Zone Address SRA City I No State Zip Phone Map Book Fax E-mail Planner State License Number APPLICANT SIGNATURE X �z�, I &—,_ For office use only: APPLICANT NAME Name Flood Zone Address `' SRA C, I No Stat A State Zi Ppen -- Skbq Map Book Fax E-mail Planner APPLICANT SIGNATURE X �z�, I &—,_ For office use only: Zoning Proe0 Address (� i�,a'1"�s wvo62J"I Flood Zone Cross, Street SRA I Yes I No Occ. Type Const. Subdivision Name Map Book Page Lot # Planner Date Approved: OVER FOR SUBMITTAL REQUIREMENTS K:\FORMS\BUILDING FORMS\BldgApplSubRgmts.doc PERMIT NO. 05_10S� BP BIN # LOCATION AP# 3S__L1 Proe0 Address (� i�,a'1"�s wvo62J"I Citv Ifo Cross, 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 2 Description or Scope of Work: roveS�,eet�oc,1� c..�l�o nsv��.tr 6�A *,c4 Sq. Motage Z,p i) 5 ❑ 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 REQUEST FOR REFUNDS Refunds can only be made upon written request by the person who paid the fee. The request must be made prior to the expiration of the permit and no construction work has been done. Filing fees, plan check fees for work plan checked and other department costs are not refundable. Received by: Amount: Bldg SRA iRecei #: Sheriff SMIP Date Other A, rDtP, 701 Total REV 2-24-05 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 paper!) 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 A/C for Non -Residential Buildings. ❑ 6. Manufactured homes: (A) installation inst, (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) Floor 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. O 10. Letter of intent for non-residential buildings. ❑ 11. Detached Accessory Building Form filled out by the owner (if required). ❑ 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. ❑ Grant Deed, ❑ M.H. Title/Statement of Facts. ❑ 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 KAFORMS\BUILDING F0RMS\B1dgApp1SubRgmts.doc Page 2 of 2 REV 2-24-05 . ; ,4r>. �i' 3".'.rr.C'.:c.:t3^:;:;;ir'x,..'T,?�tt MILM ........ ..:rte, Attention Property Owner: An "owner -builder" building permit has been applied for in your name and bearing your signature. Please complete and return this information at your earliest opportunity to avoid unnecessary delay in processing and issuing your building permit. No building permit will.be issued until this verification is received. 1. I personally plan to provide the major labor and material for construction of this proposed property improvement: YES�F�q NO [ ]. 2. I HAVFetzz. ] HAVE NOT[ ] signed an application for a building permit for the proposed work. 3. I have contracted with the following person (firm) to provide the proposed construction: NAME: ADDRESS: PHONE: CONTRACTOR'S LICENSE NO:' 4. I plan to provide portions of the work, but I have hired the following person to coordinate, supervise, and provide the major work: NAME: _ ADDRESS: PHONE: CONTRACTOR'S LICENSE NO: 5. I will provide some of the work but I have contracted (hired) the following persons to provide the work indicated: NAME ADDRESS PHONE TYPE OF WORK SIGNED: PROPERTY 0 DATE: NOTE: This Owner -Builder verification is required by Section 19831' and 19832 of the California Health and Safety Code. This verification must be completed and returned to our office before we are permitted to issue the permit. Rev'd 11/4/2004 Butte County Department of Development Services ADMINISTRATION * BUILDING * GIS * PLANNING . 7 County Center Drive Oroville, CA 95965 (530) 538-7541 Telephone (530) 538-2140 Facsimile MEAME "—�cs+w `___ r rr SiQ+b�✓... r...rr�.:r�'v i�_zT.d Dear Property Owner: An application for a building permit has been submitted in your name listing yourself as the builder of the property improvements specified. For your protection you should be aware that as "owner -builder" you are the responsible parry of record on such a permit. Building permits are not required to be signed by property owners unless they are personally performing their own work. If your work is being performed by someone other than yourself, you may protect yourself from possible liability if that person applies for the proper permit in his or her name. Contractors are required by law to be licensed and bonded by the State of California and to have a business license from the city or county. They are also required by law to put their license number on all permits for which they apply. If you plan to do your own work, with the exception of various trades that your plan to subcontract, you should be aware of the following information for your benefit and protection: o If you employ or otherwise engage any persons other than your immediate family, and the work (including materials and other costs) is $200 or more for the entire project and such persons are not licensed as contractors or subcontractors, then you may be an employer. o If you are an employer, you must register with the state and federal government as an employer and you are subject to several obligations including state and federal income tax withholding, federal social security taxes, workers' compensation insurance, disability insurance costs, and unemployment compensation contributions. o There may be financial risks for you if you do not carry out these obligations, and these risks are especially serious with respect to workers' compensation insurance. o For more specific information about your obligations under federal law, contact the Internal Revenue Service (and, if you wish, the U.S. Small Business Administration). For more specific information about your obligations under state law, contact the Department of Benefit Payments and the Division of Industrial Accidents. If the structure is intended for sale, property owners who are not licensed contractors are allowed to perform their work personally or through their own employees, without a licensed contractor or subcontractor, only under limited conditions. A frequent practice of unlicensed persons professing to be contractors is to secure an "owner -builder" building pen -nit, erroneously implying that the property owner is providing his or her own labor and material personally. Building permits are not required to be signed by property owners unless they are performing their own work personally. Information about licensed contractors may be obtained by contacting the Contractors' State License Board in your community or at 1020 N Street, Sacramento, California 95814. Please complete and return the enclosed owner -builder verification from so that we can confirm that you are aware of these matters. The building permit will not be issued until the verification is returned. 0� MicYpel C. Vieir4 C.B.O. M ager, Building Inspection NOTE: This Owner -Builder Information is required by Section 19830 of the California Health and Safety Code. - RECORDING REQUESTED BY North State Title Company Escrow No. 05400211 Order No. AND WHEN RECORDED MAIL TO Dean Slocum and Cathy Slocum 4564 County Road E Orland, CA 95963 The undersigned grantor(s) declare(s): ��fJ YJJ�tiJ YJG �B .L Recorded Official Records CoBBUUTT Of TE CANDACE J. 6RUBBS Recorder ROSEMARY DICKSON Assistant 09:00AM 14 -Apr -2005 SPACE ABOVE THIS LINE FOR RECORDER'S USE INDIVIDUAL GRANT DEED Documentary transfer tax is $110.00. City Transfer Tax is $. 21 computed on full value of property conveyed, or 13 computed on full value less value of liens and encumbrances remaining at time of sale. 0 Unincorporated area: 0 Cityof , and FOR A VALUABLE CONSIDERATION, receipt of which is hereby acknowledged. Helen V. Pates, A Widow hereby GRANT(S) to Dean Slocum and Cathy Slocum, Husband and Wife as Joint Tenants the following described real property in the County of Butte, State of California: See Schedule C attached hereto for legal description Dated: April 11, 2005 STATE OF CALIFORNIA COUNTY OF Giam (,fust *— } SS. On April -6—, 2005 before me, the undersigned Notary Public personally appeared Helen V. Pates personally known to me (or proved to me on the basis of satisfactory evidence) to be the person(s) whose name(s) is/are subscribed to the within instrument and acknowledged to me that he/shelthey executed the same in his/her/their authorized capacity(ies), and that by his/her/their signature(s) on the instrument the person(s), or the entity upon behalf of which the person(s) acted, executed the instrument WITNESS my hand and official seal. -t4�� Helen V. Pates OfANE 0. H4Ff W.- COiC(JU111381107 - sNotary ilc CBUNTY -+ 1 • , My Comm Exp. Opt 22, 2008 r REC FEE 13.00 TAX 110.00 Jason Page 1 of 3 Signature /-V P"/'K/ MAIL TAX STATEMENTS T0: SAME AS ABOVE NAME ADDRESS CITY, STATE & ZIP SOS Vislon Form SOD04CA Rev. 05110196 ti ti^ q) - RECORDING REQUESTED BY North State Title Company Escrow No. 05400211 Order No. AND WHEN RECORDED MAIL TO Dean Slocum and Cathy Slocum 4564 County Road E Orland, CA 95963 The undersigned grantor(s) declare(s): ��fJ YJJ�tiJ YJG �B .L Recorded Official Records CoBBUUTT Of TE CANDACE J. 6RUBBS Recorder ROSEMARY DICKSON Assistant 09:00AM 14 -Apr -2005 SPACE ABOVE THIS LINE FOR RECORDER'S USE INDIVIDUAL GRANT DEED Documentary transfer tax is $110.00. City Transfer Tax is $. 21 computed on full value of property conveyed, or 13 computed on full value less value of liens and encumbrances remaining at time of sale. 0 Unincorporated area: 0 Cityof , and FOR A VALUABLE CONSIDERATION, receipt of which is hereby acknowledged. Helen V. Pates, A Widow hereby GRANT(S) to Dean Slocum and Cathy Slocum, Husband and Wife as Joint Tenants the following described real property in the County of Butte, State of California: See Schedule C attached hereto for legal description Dated: April 11, 2005 STATE OF CALIFORNIA COUNTY OF Giam (,fust *— } SS. On April -6—, 2005 before me, the undersigned Notary Public personally appeared Helen V. Pates personally known to me (or proved to me on the basis of satisfactory evidence) to be the person(s) whose name(s) is/are subscribed to the within instrument and acknowledged to me that he/shelthey executed the same in his/her/their authorized capacity(ies), and that by his/her/their signature(s) on the instrument the person(s), or the entity upon behalf of which the person(s) acted, executed the instrument WITNESS my hand and official seal. -t4�� Helen V. Pates OfANE 0. H4Ff W.- COiC(JU111381107 - sNotary ilc CBUNTY -+ 1 • , My Comm Exp. Opt 22, 2008 r REC FEE 13.00 TAX 110.00 Jason Page 1 of 3 Signature /-V P"/'K/ MAIL TAX STATEMENTS T0: SAME AS ABOVE NAME ADDRESS CITY, STATE & ZIP SOS Vislon Form SOD04CA Rev. 05110196 SCHEDULE C ORDERNO.: 00221887-005 -MF THE LAND REFERRED TO HEREIN IS DESCRIBED AS FOLLOWS: ALL THAT CERTAIN REAL PROPERTY SITUATE IN THE COUNTY OF BUTTE, STATE OF CALIFORNIA, DESCRIBED AS FOLLOWS: PARCEL I: LOT 4, AS SHOWN ON THAT CERTAIN MAP ENTITLED, "HOLLYBROOK SUBDIVISION PHASE NO. 1, A PLANNED UNIT DEVELOPMENT", WHICH MAP WAS FILED IN THE OFFICE OF THE RECORDER OF THE COUNTY OF BUTTE, STATE OF CALIFORNIA, ON AUGUST 31,1984, IN BOOK 95 OF MAPS, AT PAGE(S) 51, 52 AND 53. CERTIFICATES OF CORRECTION RECORDED NOVEMBER 611984, IN BOOK 3004, PAGE 543, OFFICIAL RECORDS AND DECEMBER 13,1984, IN BOOK 3014, PAGE 479, OFFICIAL RECORDS. PARCEL II: THE RESTRICTED COMMON AREA NUMBER RC 4, AS SHOWN ON THAT CERTAIN MAP ENTITLED, "HOLLYBROOK SUBDIVISION PHASE NO. 1, A PLANNED UNIT DEVELOPMENT", WHICH MAP WAS FILED IN THE OFFICE OF THE RECORDER OF THE COUNTY OF BUTTE, STATE OF CALIFORNIA, ON AUGUST 31,1984, IN BOOK 95 OI,' MAPS, AT PAGE(S) 51,52 AND 53. CERTIFICATES OF CORRECTION RECORDED NOVEMBER 6,1984, IN BOOK 3004, PAGE 543, OFFICIAL RECORDS AND DECEMBER 13,1984, IN BOOK 3014, PAGE 479, OFFICIAL RECORDS. AP NO. 043-540-004 PARCEL III: A NON-EXCLUSIVE EASEMENT FOR INGRESS AND EGRESS, BOTH PEDESTRIAN AND VEHICULAR USE, SUPPORT AND ENJOYMENT THROUGH, OVER, UNDER, ACROSS AND ON THE COMMON AREA, LOTS A, B AND C, AS SHOWN ON THAT CERTAIN MAP ENTITLED, "HOLLYBROOK SUBDIVISION PHASE NO. 1, A PLANNED UNIT DEVELOPMENT", WHICH MAP WAS FILED IN THE OFFICE OF THE RECORDER OF THE COUNTY OF BUTTE, STATE OF CALIFORNIA, ON AUGUST 31,1984, IN BOOK 95 OF MAPS, AT PAGE(S) 51., 52 AND 53. CERTIFICATES OF CORRECTION RECORDED NOVEMBER 6,1984, IN BOOK 3004, PAGE .543, OFFICIAL RECORDS AND DECEMBER 13,1984, IN BOOK 3014, PAGE 479, OFFICIAL RECORDS. PRELIM SCHEDULE C (CONTINUED) PARCEL IV: ORDER NO.: 00221887-005 - MF' NON-EXCLUSIVE EASEMENTS FOR INGRESS AND EGRESS, BOTH .PEDESTRIAN AND VEHICULAR USE, SUPPORT AND ENJOYMENT THROUGH, OVER, UNDER, ACROSS AND ON THE COMMON AREAS OF ALL PROPERTY TO BE ANNEXED AS SET FORTH IN THE COVENANTS, CONDITIONS AND RESTRICTIONS RECORDED FEBRUARY 20, 1985, UNDER BUTTE COUNTY RECORDER'S SERIAL NO. 85-4836. mum r`tw:PrY�� .I 271-84B,P,E,M 'PERMIT NO. PERMIT EXPIRES b t SHASTAN y, OWNER 1r F CONTR. owner ASSESSOR PARCEL 43-26-38 & 43-29-72 LOCATION Lot #4 Waterford II, Chico r oto c tiQ s a,�od i . C I ELECTRICZ3& Meter By Address���—7!WGIf I Y Temp GAS Meter Da42 s ELECTRIC Meter By a,e i Temp—. F OFFICE COPY TemAddress 3 l GAS Meter By. DateQ /a r r ELECTRIC i Meter By t JOB Date Signature COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 196 Memorial Way, Chico — Phone: 891-2751 7 County Center Drive, Oroville — Phone: 534-4541 Skyway and Elliott Road, Paradise -- Phone: 872-2961, Ext. 57 CORRECTION NOTICE 1WA R 0=-- nim 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 corr cIt of work is completed. If you have any question pertaining to this matt ml; ne additional explanation, please contact this office immediately. U J /IDSf ��.(/(l u CilCDy�C✓ /�G 7 %��G /l/1!�!t X �✓f U/A/� l�i lGLI it u Inspector i� Date —_. - COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 196 Memorial Way, Chico — Phone: 891-2751, 7 County Center Drive, Oroville — Phone: 53411541 Skyway and Elliott Road, Paradise — Phone: 872-2961. Ext. 57 CORRECTION NOTICE IT NO. A routine inspection indicates that the following violations of County Ordinance exist at the above address and should be corrected. Please notify this office when correc ' n -of work is completed. If you have any question pertaining to this matter r need additional explanation, please contact this office immediately. go ,wi2B lio�u w "-d h1U-V' Ca • co-�y.G�+tir. Inspector—.-- Date COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 196 Memorial Way, Chico — Phone: 891-2751 7 County Center Drive, Orovi Ile — Phone: 534-4541 Skyway and Elliott Road, Paradise -- Phone: 872-2961, Ext. 57 CORRFCT ON NOTICE �9 VI A routine inspection indicates that the following violations of County Ordinance exist at the above address and should be corrected. Please notify this office when correction of work is completed. If you have any question pertaining to this matter, or need additional explanation, please contact this office immediately. Inspector__ _ Date_ ��. J = OK 0 Not OK - Notalicable Re Not Ready RESIDENTIAL, (Single and Duplex) � = Date UN ERFLOOR Plans OK except H's Date RAMING Continued Vy Zoning requirements—Setbacks—Eas ent . . Property Line Firewall & Openings Ftg., Main; Soils-Steel-Elec. Grnd.- / IS/- Ftg. Depth be-ERt. Doors -One 3' -Check Garage-3td story, 2 exits Ftg., Garage; Soils -Steel- / /" Ftg. Depth, sn stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 4. Ftg., Porches & Decks; Soils -Steel- / /" Ftg;,Depth lywood on Roof Overhang -Attic Vents -Rafter Outriggers _ 5. Stemwalls, Main; Steel-Blockouts-Wrapped-S4d 6 52. Siding -Nailing -Veneer 6. Stemwalls, Garage; Steel -B lockouts -Wrapped -S lab Z 53. Stucco Mesh -Drip Screed-Fdn. Vents-Underflr. Access _ 7 Piers -Fireplace Ftg.-Ste 54. Glazing Area -Glass Protection -Skylights -Plastic _ 0 . D.W.V.: Fall -Fittings Test -2 way a Test ^555hear Walls; Nailing -Bolts Gas Pipe; Size -Anchors ' or-Ser�es I Electric; Underground 12 Plenums & Ducts; Clearance -Material -Support -Ins. - U. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples Card -BI• Dat / Card -BI Date �l Card BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date 9 Card -BI Date Date FINAL lans) OK except.H's Card -BI Date ' Card -BI Date Date PLUjIiIB'ING (Permit) OK except k's 5 xt Steps -Door & Sidelight Protection -Landings m_oke Detector ter Ht.; Vent -Access -Combustion Air —YS. 5 mace; Vents -C ante -Com ir-Conneeta_ I - ton r-- Water Pipe; lest & Anchors -Nail Protection 16. D. t-Fttngs & Anchors -Nail Protection 5 , e room Exiting 1�/S�iower Pan; Test, First Floor -Tub Access ve_ll,F.I. & Bath Fixtures &3+4-Aezess — 16. Et Tub & Shower, 2nd Floor -Tub Access 6f,' c. Trim &,SebpHlteT Brea es-lfibeidi' i9!Gas Pipe; Size & Anchors r ails —____7673;)7pireplace or Stove; Clearances -Hearth ec. Outlets at Wood Panel; Int. & Ext. Card -BI Card -BI DateiL_Fixt. & Appliance;&Luds--Ai okia9-64enance Card -BI -,..%Date Date Card -B1 Date lec. Outlets & Receptacles at Kit. Counter Date ELE 7RICAL Permit OK except N's' 6; SeF4 er per _ Fixture & Transformer Clearance -Ins. Protection �� - 2Y. E ec. Receptacles Spacing -Lights &Switches at Doors746.� tr. Htr.; �Cle a -Co ir-Conte-fZ.R-I In on Plb., Elec. &Mech. Equip. Listed for Location _ S' a Boxes & No. of Conductors -Stapled 7 eceptacles in Garage; (GL5vt'r�om c. mex Installed Close to Edge of Studs & C.J. uip. Ground made up w/Mech. Fasteners -Bond Gas & Water 7 nsulation-Ream-Looked in Attic Lawev-_ Appliance Circuits in Kitchen &Conductor Size s -- - _ bfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / / ga. Cu or AI -Drainage od-Earth Clearance L Yes ange Circ. / / ga. Cu or AI -Oven Circ. / / ga. Cu or A[, Insulated Neutral ❑Yes E3 No 7�eFtoWing instld.: Drive E] No: Walks �•-L2❑ No; Planters El Yes C4tc6— _- 71ervice-Riser Conductors & Ground -Main Disconnect 7 h. iquip. Clearances; Panels-Motors-Mech. Equip. 7J_ -A.15. Unit; Dis est -C es-Brk nd. Size-11941"tTutTet _-_ 30lClothes Closet Light -Shower Light — s Above Roof;. g. -A nce Cle�ance 4 'Cpngs. ------ - ---- -- - --b i ng xte ' Elec. Trim; G.F.I. Receptacle -Underground Card B -I Card B I Date �� _ Card -BI _ Date Date Card -BI Date entilation throughout House 82. Glass P otee Date MEC ANICAL (Permit) OK except q's Previous Inspections {: a; as t -Meters Tagged; s -Electric - A.C. Ducts: Insulation & Support ewer t'd�mtl Ffed-C/GaO t de -HCS -AV irmml Energy Compliance Certificate -Other Certificates _nt Fait; Exhaust above Insulation -,Condensate Drain Overilow; Size & Grade _ --_ _33 _& �4!Furnace-Vent; Access -comb. Air -Return Air Vent -115V outlet 3L. -Attic Access & Platform if Furnace in Attic . Card-BIDate Card -BI `- _Ia' .------- -- — Card -BI Date Date Card -BI Date Card -BI Datef_-- Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Date FRAMING(Plans) OK except q's -^ Comments at Final Proper Material & Anchors _ _ , /Sills; _ 37alls;.Stu_ds-Nailing, Spacing & Bracing -Plates -Sound _Valls-,, Walls over Girders & Floor Nailing raft Stop in Walls (rat proof) - - _[mire Stops; Furred Ceilings -Stairs -Chases -Tub �<q Header & Beam -Size & Bearing ( —an- -'---Post- Caps-Anchors-ConnectorsL / (� Cing. Joist-Rftr. Ties-Purlin-Roof Brac. -Shthnq.-Ring. -14- Fireplace Ties or Type A Flue -Fireplace Throat _ /6& -"'Attic Access Size & Romex Protection -Draft Stop -Ins. Baffles 66�drm. Windows or Exiting Doors -Sill H_gt. & Dimensions Garage Fire Protection Framing (NOTE: An entry must be made each time you visit jobsite) ft OK . = Not OK = Not Applicable MOBILEHOMES MISCELLANEOUS = Not Ready Date MOBILEHOME UTILITIES (Plans) OK except N's 1. Zoning Requirements -Setbacks -Easements Date DECKS, COVERS, CARPORTS, ETC. (Plans) OK except N's 1. Zoning Requirements -Setbacks -Easements 2. Soils; Special MH Support -Sketch 2. Footings; Size -Depth -Spacing -Connectors 3. Sewer; Location -Test -Fall -C/0 -Concrete 3. Decks; Girders and/or Joists -Decking -Bracing -Stairs -Rails 4. Water; Location -Test -Easement Needed (Sketch) 4. Wood Awn.; Posts-Beams-Rftrs.-Connec.-Shthg.-Rig.-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 6. Carports; Windows -Doors 7. Utility Clearance 7. Elec. Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Date MOBILEHOME INSTALLATION (Plans) OK except N's 1. Zoning Requirements -Setbacks -Easements Date POOLS (Plans) OK except k's 1. Setbacks -Easements 2. Footings; Size -Spacing -Marriage Line 3. Gas; MH Test -Demand -Valve -Connector 4. Electricity; MH Test -Crossovers -Breakers -Clearances 2. Soils; Compaction -Structure Stability 3. Pool Structure; Steel -Connections -Thickness -Dead Men -Lining 4. Elec.; Receptacles and Lighting; Distances-GFI 5. Drain; MH Test -Fall -Flex Connector 5. Elec.; Pool Lighting; 15 volts-GFI 6. Water; MH Test -Regulator -Connector 6. Elec.; Enclosures; Conduit Entries -Terminals -Listed 7. Water and Sewer Connected -C/0 to Grade -HD Approval 7. Elec.; Bonding; Metal w/5' -Circulating Equipment -Heater 8. Gas and Electricity Tagged B. Elec.; Grounding; Equip. w/5' -Circulating Equip. -Pool Lghtg. Boxes -Enclosures -Panel boards -Ins. to Main in Condui[ 9. Exits; Insp.-Sketch 10. Cert. of Occupancy 9. Health Department Approval 10. Plumb; Cir. Test -Water Supply Test Card B -I Date Card -BI Date Card -BI Date Card -BI Date Card B -I Date Card -BI Date Card -BI Date Card -BI Date Owner: cSt�/��S%�il� LSD. , //��'• Permit No. 2-71-94 ENERGY CERTIFICATION Hollybrook subd. Lot 4 0"13-,-)9-7Q LOCATION A.P. No. DESCRIPTION OF INSULATION ROOF Material Thickness(inches) EXTERIOR WALL Material Fiberglass Thickness(inches) 3 5/8" CEILING Batt or Blanket Type Thickness(inches) Loose Fill Type Fiberglass Minimum Thickness (Inches) 13 3/4" Area covered(ft.2) _ 1333 FLOOR, ELEVATED Material Thickness(inches) FLOOR, SLAB Material Thickness(inches) Width(inches) FOUNDATION WALL Material Thickness(inches) Brand Name Thermal Resistance (R Value) Brand Name Owens-Corning . Thermal Resistance(R Value) R-13 Brand Name Thermal Resistance(R Value) Brand Name Owens-Corning Number of Bags 42 Wt. per bag 25 lb. Thermal Resistance(R Value) R30 Brand Name Thermal Resistance(R Value) Brand Name Thermal Resistance(R Value) Brand Name Thermal Resistance(R Value) I hereby certify that the above insulation was installed in the above building in conformance with the State of California Energy Requirements. Loerke Insulation 432518 FIRM NAME/OWNER STATE CONTRACTOR'S LICENSE NO. SIGNAT URE OF INSTALLATION APPLICATOR February 12, 1985 DATE 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. FNAME/0 R (Please print) STATE CONTRACTOR'S LICENSE NO. /7,4 4L;(. &I .,? /V- ` SIGNA OF (39MRAL CONTRACTORIOW DATE THIS CERTIFICATE MUST BE ON FILE WITH THE BUILDING DEPARTMENT PRIOR TO FINAL INSPECTION APPROVAL AND A COPY SHALL BE POSTED WITHIN THE BUILDING. January 1984 COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS � 7 County Center Drive - Orovillei California 95965 - Telephone 916/534-4541 APPLICATION AND "PERMIT PERMIT NO. -ASSESS R PARCEL NUMBER .,Z.�-- 22 '%�-r:' _ ZONING , BUILDING PERMIT O WNE Z _ I TELEPHONE SO. FT. OCC. BUILDING VALUATION OWNE--N ADDRESS ' r / v _GONT,RACTOR S N ME -- -+- -EL PHONE CTOR•MALINGCO ADDRESS ' Fireplace O'N RUCTI'ON LENDER r UNKNOWN Total Valuation Is Filing Fee $ 10.00 LEN ER•S MAILING ADDRESS I Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Penalty $ ARCHITECT t 'OR ENGINEER'S MAILING ADDRESS I Permit fee $ BUILDING ADDRESS • C PLUMBING PERMIT Filin Fee 10.00 g Each Trap 2.00 Solar Water Heater 20.00 Water piping 5.00 LOT NO. SUBQIVISIO NA 1 c? l'� • PARCEL MAP Each qas water heater or vent 5.00 Gas piping system 1 - 5 outlets 5.00 USE OF STRUCTWIE SF ❑ Duplex F1 Mobilehome ❑ Other j SPECIFY Building sewer 5.00 Mobile Home S G W 10.00 e TYPE OF WORK New Addition RemoI❑ Utilities❑ Installation[] - Other Describe work: (�zzo/c66'1—)Ake ,r/' — • Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service OOOV OR LESS 100 AMP OR LESS 10.00 ' - Main service EA. ADD•L 100 AMP 2.50 NEW CONST, DWELLING OCCUP.& OR ADDNS. ( ACC. SLOGS. ZIh¢$gft _ CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): r� I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in full force;'and' effect. ll�)q/ �� �_/� License No. �"i�-f iO Classification 401.I, as the owner, or my employees with wages as their sole compen- Cvsation, will do the work,and the structure is not intended.or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with Iicensed.contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEWT -Resin R BRANCH MULTI-OUTLETITS 2.50 ea NEWCONSTR POWER APPARATUS .&) NON RES D. (SINGLE OUTLET CIR. Ex. Occup(OUTLETS OR FIXTURES ZOQ$OC BAL®30 FIXED APPLES, OR EX. Occup. OUTLETS (RESID.) EA.) 2.00 Temporary service 10.00 d 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. 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. MECHANICAL PERMIT FiIingFee 10.00 Heating Cooling Hood 3.00 Ventilation permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to 61.1 County Otdiriances and State Laws.relating to building construction, and hereby authorize representatives of the Countyot Butte to enter upon the above-hieiifioiied ptoperty for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments; ed§fs; and ezpenees which may in any way accrue against said Count• - E onsc34t,eflee 6.f the f3'renting of this permit. � x�!`�� / ZJDate �� J Signature a( APPIiEafll — OwtieF❑ Contractor ❑ Agent (V5a An OSHA periall i! F$,giiiF6J FoF eitcovations over 5'0" deep and demolition or construct- ion of structuFa� 3�df 3 stiiiifss In height. Receipt No. _ VINItE-D.P:W.; AS9C!:` YCLLDW-SSOR, PINK-INGOLDENROD•APPI.IL-41 ^- - Mobile Home Installation Fee $ TOTAL PERMIT FEE' $ OCCUP. GROUP I TYPE OF CONST. PARCEL PD ND I ISSUE This permit is hereby issued under the applicable provi- sions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. CIRIFCTOR OF PUBLIC WORKS BY Dat/ PERMIT EtCPTFtES�� _.._- l/� �•S j� r` - ;�s ` OFFICE COPY ` Address---^'' ~'— — ' u* , Meter ELECTRIC Meter By ' | 2 ' PERMIT NO. 973-84B,E PERMIT EXPIRES SHASTAN OWNER -owner CONTR.. v ASSESSOR PARCEL 43-26-03 & 43-29-72 LOCATION Lot #4, Waterford II, Chico � 9 Temp. Power Pole Called PG&E _. Temp. Elec. Service a Called PG&E Temp. Gas Service Cal led PG&E JOB FINALED (Date) �17 J� Signature J = OK �0 = Not OK - = Not Applicable MOBILEHOMES * = Not Ready MISCELLANEOUS Date MOBILEHOME UTILITIES (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements Date DECKS, COVERS, CARPORTS, ETC. (Plans) OK except p's 1. Zoning Requirements -Setbacks -.Easements 2. Soils; Special MH Support -Sketch 2. Footings; Size -Depth -Spacing -Connectors 3. Sewer; Location -Test -Fall -C/0 -Concrete 3. Decks; Girders and/or Joists -Decking -Bracing -Stairs -Rails 4. Water; Location -Test -Easement Needed (Sketch) 4. Wood Awn.; Posts- Beams- Rftrs.-Con nec.-Shthg.-Rfg.-Bracing 5. Electricity; Location-Clearances-Grnd.-/ / Amp -Concrete 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Gas; Location -Test -Wrap:/ /"L"ft./ /"Nat.or/ /"L"ft./ /"LPG 6. Carports; Windows -Doors 7. Utility Clearance 7. Elec. 1 Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Date Card -BI Date MOBILEHOME INSTALLATION (Plans) OK except N's 1. Zoning Requirements -Setbacks -Easements Card -BI Date Date Card -BI Date POOLS (Plans) OK except N's 1. Setbacks -Easements 2. Footings; Size -Spacing -Marriage Line 2. Soils; Compaction -Structure Stability 3. Gas; MH Test -Demand -Valve -Connector 4. Electricity; MH Test -Crossovers -Breakers -Clearances 3. Pool Structure; Steel -Connections -Thickness -Dead Men -Lining 4. Elec.; Receptacles and Lighting; Distances-GFI 5. Drain; MH Test -Fall -Flex Connector 5. Elec.; Pool Lighting; 15 volts-GFI 6. Water; MH Test -Regulator -Connector 6. Elec.; Enclosures; Conduit Entries -Terminals -Listed 7. Water and Sewer Connected -C/0 to Grade -HD Approval 7. Elec.; Bonding; Metal w/5' -Circulating Equipment -Heater 8. Gas and Electricity Tagged 8. Elec.; Grounding; Equip. w/5' -Circulating Equip. -Pool Lghtg. Boxes -Enclosures -Panel boards -Ins. to Main in Conduit 9. Exits; Insp.-Sketch 10. Cert. of Occupancy 9. Health Department Approval 10. Plumb; Cir. Test -Water Supply Test Card B -I Date Card -BI Date Card -BI Date Card -BI Date Card B-1 Date Card -BI Date Card -BI Date Card -BI Date J = OK 0 = Not OK Gci, - = Not Applicable RESIDENTIAL .(Single and Duplex) * = Not Ready Date UN RFLOOR Plans OK exce t#'s Date FRAMING (Continued) Zoning requirements -Setbacks -Easements it all & Openi 2• Ftg., Main; Soils-Steel-Elec. Grnd.- / /•' Ftg. Depth . Ext. Doors -One 3'-C rage- , 2 exits Ftg., Garage; Soils -Steel- / /" Ftg. Depth s^ °W'- dth-'Aua„room-Rise-Run-Landing-Fire Protection Ftg., Porches & Decks; Soils -Steel- / /" Ftg. Depth 51::. y 666 -en -Roof Overhang- ents-RaLtW-Qntrlggers 5. IStemwalls, Main; Steel-Blockouts-Wrapped-Slab5 ing- g -VE e 6. IStemwalls, Garage; Steel-Blockouts-Wrapped-Slab 59. Stuccu MeS11--Dri'"creed-Fdri. Vents-Underflr. Access 7. jPiiers-Fireplace Ftg.-Steel 5 azing Area -Glass Protection -Skylights -Plastic 8. D.W.V.: Fall -Fittings -Test -2 way C/0 -Sewer Test IIs; Nailing -Bolts 9. lGas Pipe; Size -Anchors 0. I Water Pipe; Test -Anchors -Regulator -Service Test un 2.1 Plenums & Ducts; Clearance -Material -Support -Ins. 3.' Girders -Sills -Anchor Bolts -Joists -Vents -Cripples Card -BI Dat )�;:;Card-BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date ' Card -BI Zif, Date Card -BI Date I Date FINAL (Plans) OK except q's 5 xt. Steps -Door & Sidelight Protection -Landings Card -BI Date Date Card -BI Date PLUMBING (Permit) OK except q'so e elector 14. Water Ht.; Vent- ccess-Combustion Air 5 - earance-Comb. Air -Connector - In Garage; Above Floor-Ducts-Mech. Protection 15. Water Pipe; Test & chors-Nail Protection 16. D.W.V.; Test-Fttngs Anchors -Nail Protection xi ing 17. Shower Pan; Test, F' st Floor -Tub Access 60 fixtures & Tub Access 18. Test Tub & Show , 2nd Floor -Tub Access ec. &Subpaae1; 19. Gas Pipe; Size Anchors 62r --G+9"- *-Ra11s Q^��^� ^-Move; Clearances -Hearth Card -BI Date Card -BI Date 6 ec. Outlets at Wood Panel; Int. & Ext. 6 lance; Grnd.-Air Gap -Cooking Clearance Card -BI Date Date Card -BI Date ELECTRICAL Permit OK except q's & Receptacles at Kit. Counter 6;, -Landing -Closer 68 ge-Damper ixtur & Transformer - ion earance-Comb. Air-Connector-P.R.V.- In ve F188F Mech. Protection e eceptacles Spacing -Lights &Switches at Doors E$eC!#keFrEquip. Listed for Location U. -Mize Boxes & No. of Conductors -Stapled X6-'Elec. Receptacles in Garage; (C_F-.F RoMux'PFotec. ttic E] Yes 2 omex Installed Close to Edge of Studs & C.J. p w/Mech. Fasteners -Bond Gas & Water nstructIon-Post Caps .25 0 Appliance Uccuits in Kitchen &Conductor Size ?A. gFchi. vents ole Door- Drainage-*itVrtoT-Earth Clearance Loo Yes 06 Subjeed e / / ga. Cu or AI-A.C. Wire Size / / ga. Cu or At t--.4 ga. Cu or AI -Oven Circ. / / ga. Cu or Al, Insulated Neutral ❑Yes El No ollowing instld.: Drive s ❑ No; Walks es ❑ No; Planters El Yes 1Fdo' 2 . ery - ductors & Ground -Main Disconnect 2 quip. ; Panels-Motors-Mech. Equip, ect-Clrnces-Brkr. & Cond. Size -115V Outlet 3 -Shower Light f; Plbg.-Appliance-Firepl.-Clearance to Opngs. 7 onnect, Electrical, Plumbing x erior Elec. Trim; G.F.I. Receptacle n -W-44, Card B -I Date _� L�Card-BI Date ughout House Card B -I Date Date Card -BI Date MECHANICAL (P pit) OK except N's_ ass ro ction Sl 8 Previous Inspections rs Tagged; Gas -Electric 31. A.C. Ducts; In Iation & Support onnected-C/O to Grade -HD Approval Certificates 32. Vent Fan; 51daust above InsulationEnGFOY-Gemp+isaf�GeCertificate-Other 33. Conden4gfe Drain & Overflow; Size & Grade 34. Furnac -Vent; Access -Comb. Air -Return Air Vent -115V outlet 35. Attic Ac ess & Platform if Furnace in Attic Card -BI Date "Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI' Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Date FRAMINans OK except N's Comments at Final: 3 i •Proper Material &Anchors Walls; Studs -Nailing, Spacing & Bracing -Plates -Sound 38. tied, nq-ft s over Girders & Floor Nailing raft Stop in Walls (rat proof) urred Ceilings -Stairs -Chases -Tub ead & Beam -size & Bearing 4 . angers -Post Caps -Anchors -Connectors p.-R4ag:- 7rep a r Type A Flue -Fireplace Throat is ccess; Size & Romex Protection -Draft Stop -Ins. Baffles in s or Exiting Doors -Sill Hgt. & Dimensions ction Framing (NOTE: An entry must be made each time youvisit jobsite) JCOUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 - Telephone 916/534-4541 APPLICATION AND PERMIT PERMIT N0. ASSESSPR PARCEL NUMBER — ZONING BUILDING PERMIT OWNE TELEPHONE SQ. FT. OCC. BUILDING VALUATIO OWNER' M ILIN ADDRESS v Tr TELEPHONE --c CO CTOR' MAILING/ADDRESS X ;F Fireplace CYN SrRUCTION LENDER "dr- UNKNOWN Total Valuation $ Filing Fee $ 10.00 LEN ER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER O.Z/r, LICENSE NO. I Plan Checking Fee $ Penalty $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Permit fee $ BUILDING ADDRESS S� `/ PLUMBING PERMIT Filing Fee 10.00 " IGS Each Trap 2.00 Solar Water Heater 20.00 Water piping 5.00 LOT NO. SUB IVISIOy NA PARCEL MAP Each qas water heater or vent 5.00 Gas piping system 1 - 5 outlets 5.00 USE OF STRUCT�L�iE SF ❑ Duplex ❑ Mobi lehome ❑ Other r d 6 SPECIFY Building sewer 5.00 Mobile Home S I G W 10.00 e TYPE OF WORK New ❑ Addition Remo I ❑ Utilities ❑ Installation ❑ Other Describe work: Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 600V OR LESS 100 AMP OR LESS 10.00 7 ' hill,Main service EA, ADD'L 100 AMP 2.50 NEW CONST. DWELLING OCCUP.& OR ADDNS. ACC. BLDGS. 1 220sq ft CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and m license is in full force and effect. (�'y/ y License No. 4—/ r &52 Classification C —/C I, as the owner, or my employees with wages as their sole compen- e/Mation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONSTR ULTI-OUTLET 2,50 ea .0.-RESBRANCH CIRC ITS NEW CONSTR. IPOWER APPARATUS & NON-RESID. %SINGLE OUTLET CIR. Ex. Occup(O OR FIXTURES BAL030 zAL&30 A FIXED APP LNS. OR FIXED EX. QCCUp. OUTLETS (RESID,) EA.) 2.00 Temporary service 10.00 () Mobile Home Facilities 15.00 Misc. Wiring 15.00 Permit Fee $ 210, Contractor MECHANICAL PERMIT Filing Fee 10.00 WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. ❑ I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. Heating Cooling Hood 3.00 Ventilation permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue against �� said, Count o consequence of the granting of this permit. %� (wvl� Date �� �^ Signature of Applicant — Owner ❑ Contractor ❑ Agent ion of structures over 3 stories in height. An OSHA permit is required for excavations over 5'0" deep and demolition or construct-DIR7; Mobile Home Installation Fee $ TOTAL PERMIT FEE $ OCCUP. GROUP I TYPE OF CONST. PARCEL PD HD ISSUE This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which TOR OF PUBLIC � By PERMIT E the applicable provi- resolutions to do fees have been paid. WORKS >> _ Dat/,J--S 4`V �� �(i S Receipt No. WHITED. P. W., YELLOW-ASSF:SSO R, PINK -INSPECTOR, GOLDENROD -APPLICANT COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 - Telephone 916/534-4541 APPLICATION AND PERMIT PER%IT NO .r, ASSESSOR PARCEL NUM ERJ ZONING r J BUILDING PERMI OWNER - Z TTEL7,0PHONE SQ. FT. OCC. BUILDING VALUATION OWN MAI IN DRESS FI t / CONT ACTOR'S NAME TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace I"At, 1 CONSTRUCTION LENDER UNKNOWN Total Valuation Is 33 Filing Fee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee $ &Lapl 00 ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee ,$' 11 O D (- ` $ CZ7 ARCHITECT OR ENGINEER'S MAILING ADDRESS Permit fee $ (' ` BUILDING ADDRESS O �^ Ll PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 Solar Water Heater 20.00 Water piping 5.00 coo LOT N . SUBDIVISIONE &Ay T, PARCEL MAP Each qas water heater or vent 5,00 S Gas piping system 1 - 5 outlets 5.00 ^ —,// USE OF STRUCTURE SF L� Duplex ❑ Mobi lehome ❑ Other SPECIFY Building sewer 5.00 5; 00 Mobile Home S G W 10.00 e TYPE OF WORK New �ddition ❑1 jRemodell Utilities ❑ Installa ' n❑ Other ❑ Describe work: `I' (4-A (1 7D �1� tm L°d _ Permit Fee $ r Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service soov OR LESS 100 AMP OR LESS 10.00 JeN Main service EA. ADD'L 100 AMP 2.50 NEW CONST. DWELLING OCCUP.& OR ADDNS. ( ACC. BLDGS. 2/20sgft CONTRACTORS L CENSE LAW I declare under penalty of perjury (check one): ElNON I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professio sod _and my license is in full force and effect. License No. Classification ff j�1{ ❑ I, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONSTR ULTI.OUTLET 2.50 ea NON.RESID BRANCH CIRC ITS. NEW .CONSTR ( POWER APPARATUS .&') &') R ESID, SINGLE OUTLET CIR 20e50a Ex. Occup(OUTLETS OR FIXTURES BAL®30 FIXED EX. OCCUp. PLNS R OUTLETS (RESID•1EA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 Permit Fee $ c ti Contractor MECHANICAL PERMIT FiIingFee 10.00 WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. ❑ I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. Heating 0 Cooling -)—� , I� Hood 3.00 Ventilation 3 A� permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the Countyot Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabilit s, judgments, co , and expenses which may in any. way accrue against sai County in c se u nde of the granting of this permit. X Date tl Ig fur of pplicant — Owner ❑ Contractor ❑ Agent rirPSH 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 $ w0, P TOTAL PEMAH FEE $ OCCUP. GROUP I TYPE OF CONST. /J `Jj/ PZ PD l;5 This permit is hereby issued under sions of the Butte County Code and/or work indicated above for hich DI OR 0 UBLIC .� By PERMIT EXPIRES Date the applicable provi- resolutions to do fees have been aid. P WORKS D Receipt No. WHITE-O.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT COUNTY OF BUTTE - DEPARTMENT OF`PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 - Telephone 916/534-4541 APPLICATION AND PERMIT PERMIT NO. ASSESSOR PARCEL NUMBER_� ZON NG r _ .5 BUILDING PERMI OWNER TELEPHO E SO. FT. OCC. BUILDING VALUATION qQC1 NESS ER's I G ADDR 7t , CONTRACTOR'S NAME TELEPITONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ Filing Fee $ 10.00, LENDER'S MAILING ADDRESS Permit Fee $ q01 ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Penalty $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Permit fee $ 70, OD BUILDING ADDRESS PLUMBING PERMIT FiIingFee 10.00 CN/,e 0 Each Trap 2.00 Solar Water Heater 20.00 Water piping 5.00 LO O. I SUBDIVISION AMEr JrPARCEL MAP Each qas water heater or vent 5.00 Gas piping system 1 - 5 outlets 5.00 USE OF STRUCTURE SF ❑ Duplex ❑ Mobi lehome ❑ Other SPECIFY Building sewer 5.00 Mobile Home 110.00 e TYPE OF WORK New VAddition❑ Re odel❑ Utilities❑ Installation❑ Other F1 Describe work: Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 100 0Dv OR LESS 1AMP OR LESS 10.00 Main service EA. ADD'L 100 AMP 2.50 NEW CONST. / DWELLINGP 1 OR ADDNS. 1 ACC. BLDG I •ZI�ZQSgf1 0.(90 (/ 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 ode and my license is in full force and effect. License No. Classification'" F-1 1, as the owner; emp oyees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONSTR. ULTI.OUTLET NON.RESID BRANCH CIRCUITS) 2,50 ea NEW CONST R. POWER APPARATUS & NON-RESID. SINGLE OUTLET CIR. TS OR FIXTURES Ex. OCCUP. 20050a BAL®30 FIXED Ex. OCCUp. OUTLETS P(RESID )REA./ 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 Permit Fee $ Contractor MECHANICAL PERMIT Filing Fee 10.00 WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. ❑ I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. Heating Cooling Hood 3.00 Ventilation permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the 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 Putte against all liabiliti s, judgments, costs, and expenses which may in an w y accrue again sal County in nse u ncE of the granting of this permit. XDate Signature of Applicant — Owner❑ COntractor ❑ Agenl An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories in hei ht. Mobile Home Installation Fee $ TOTAL PERMIT FEE $ OCCUP. GROUP I TYPE OF CONST. I gARCELI PD I H I ISSUE This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which DIRECTOR OF UBLIC l �/ By PERMIT EXPIRES Date the applicable provi- resolutions to do fees have been paid. WORKS Dae r "" Receipt NO. / WNITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT RESIDENTIAL PLAN CHECKING GUIDE (S.F., DUPLEX, & MISC. ONLY) A. GENERAL 1. Zoning requirements (sideyards and parking). Valuation. 3. Signature by R.C.E. or Architect (if B. PLOT PLAN 1. Complete parcel size and dimensions. 2. Setbackq, sideyards, easements, etc. 3.. Other buildings or structures. 4. Grading, fills, drainage. Bldg. Permit # o7%� A.P. # y3-�C- 7z from required) . r/ LC`r to Ga ty C. FLOOR PLAN Complete to scale plan with dimensions. ,20 Required windows for light and ventilation (Sec. 1405). Required windows for second exit (Sec. 1404). Allowable glazing for energy requirements (20% max. per.State law). Human impact glass (Sec. 5406). Required room sizes, ceiling heights (Sec. 1407). G.F.C.I.'s in baths and exterior outlets (Sec. 210-8). tooMi Light fixtures, switches, receptacles, and exterior receptacles for maintenance of Qmechanical equipment. tel•„0 Locations of water heater, heating & cooling equipment, other electrical or gas equipment, and plumbing fixtures. Garage firewall, door size, and closer (Sec. 503(d)(4)). 1 - 3'0” exterior exit door (Sec. 3303d). Fireplace location. Smoke detectors (Sec. 1413). D. STRUCTURAL DETAILS �!! Foundation plan complete enough to construct building. Floor construction details complete enough to construct building. Elevations and wall construction details complete enough to construct building. Roof construction details complete enough to construct building. Fireplace construction details and calcs if over one-story in height. Sufficient data and details to satisfy energy insulation requirements (State law). E. MISCELLANEOUS ITEMS TO LOOK OUT FOR .Je.*1 CCX plywood on exposed locations and overhangs. Stairway details (Sec. 3305). Guardrail details (Sec. 1716). rick or stone veneer (Chapter 30). Exterior plaster - weep screeds (Sec. 4706 & 4708). Proper roof pitch for roof covering (Chapter 32). Rafter.ties or bearing ridge beam. Garage door or porch header sizes. �► Adequate bracing. Living area over garage - complete 1 -hour separation required including supporting walls and posts, etc. A. Two (2) -exits on three-story dwellings (Sec. 3302). ti �-. W COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 - Telephone 916/534-4541 APPLICATION AND PERMIT PERMIT N0. 3 - ASSESSOR PARCEL NUMBER --26- ZONING BUILDING PERMIT OWNER TELEPHONE ,SQ. FT. OCC, BUILDING VALUATION � OW 'S MAIL G ADDRESS 1 3 t� CONTRA QR'SN M TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ Filing Fee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee $ 20 ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee ,$ ' Penalty $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Permit fee $ R BUILDING ADDRESS PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 Solar Water Heater 20.00 Water piping 5.00 Sbo LOT O. SUBDIVISION NAME PARCEL MAP Each qas water heater or vent 5.00 Gas piping system 1 - 5 outlets 5.00 j^, ao USE OF STRUCTURE SF C!� Duplex ❑ Mobi lehome ❑ Other SPECIFY Building sewer 5.00 Art 0711 Mobile Home S I G I W 10-00e TYPE OF WORK New [Addition ❑ Remodel ❑ Uti sties ❑ Inst lation ❑ I Other ❑ Describe work: _�f �. Y1�� A4-Iar� 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 NEW CONSOR ADDNST ( ACCELLIQTt �4iP.&� •Z1�Z QSgft , 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) ❑ 1 am exempt under Sec. , Business and Professions Code for this reason NEW CON5TIRU TI.OUTLET 2.50 ea NON.RE SID, BRANCH CIRC ITS NEWNON.RESID. SINGLE OUTLET CIR. CONSTR POWER APPARATUS IN' ( zo®soe Ex. Occ Up(OUTLETS OR FIXTURES BAL030 FIXED APPLNS. OR Ex. Occup. OUTLETS (RESID.) EA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 Permit Fee $ Contractor MECHANICAL PERMIT Filing Fee 10.00 WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. ❑ I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such or this permit shall be deemed revoked. Heating 180 Cooling Hood 3.00 3, Ventilation 3, permit Fee $ p 34,op 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 s r' s in height. Mobile Home Installation Fee $ TOTAL PER T FEE $ OCCUP. GROUP I TYPE OF CONST. PARCEL PD HD ISSUE This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which DIRECTOR OF PUBLIC By PERMIT EXPIRES Date the applicable provi- resolutions to do fees have been paid. WORKS Date Receipt No.-/ WHITE-D.P.W.. YELLOW -ASSESSOR. PINK -INSPECTOR, GOLDENROD -APPLICANT