HomeMy WebLinkAbout047-440-062047-440-062 PERMIT#96-0409
COLE, Gregory'
4239 Tuliyani'Dr_ Chico
New Single Family
047-440-062 PERMIT#98-0389
WOOD, Dennis
4239 Tuliyani Dr., Chico
New Pri Det Garage
I
L
RESIDENTIAL, "
047-440-062 PERMIT#98-0389
PERMIT NO. WOOD, Dennis
4239 Tuliyani Dr., Chico
.PERMIT EXPIR New Pri_ Det Garage-
:OWNER
arage_'OWNER
� CONTR.
1JASSESSOR PARCEL
RLOCATION
'L
A'
a=
F
r
E+Temp. Power Pole
Called PG&E_
Temp. Elec. Servic
i
} Called PG&E
t
Temp. Gas Service
v
t Called PG&E
( JOB FINALED (Date)
i Signature (8-S
i
V=OK
O = Not OKNot '
'=Not Ready MOBILE HOMES
Date MOBILE HOME UTILITIES (Plans) OK except #'s
1. Zoning Requirements - Setbacks - Easements
2. Soils; Special MH Support Sketch
3. Sewer; Location -Test -Fall -C/O -Concrete
4. Water, Location -Test -Easement Needed (Sketch)
S. Electricity; Location-Clearances-Gmd-/ /Amp -C n to
6. Gas; Location -Test -Wrap; / /'LYL
/ /Nat or/ /L'fL/ /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; Sba-Spacing-Marriage Line
3. Gas; MH Test DemardValve-Connector
4. Electricity; MH Test -Crossovers -Breakers -Clearances
5. Drain; MH Test -Fall -Flex Connector
6. Water; MH Test -Regulator -Connector
7. Water and Sewer Connected -C/O to Grade -HD Approval
8. Gas and Electricity Tagged
9. Tie Downs -Type -Installation Cert.
10. Exits; Insp.-Sketch
11. Cert of Occupancy
12. Permanent Foundation Only: License Decal
Date Card B-1 Date Card B-1
Date Card B-1 Date Card B-1
MISCEL
Date DECKS, COVERS, CAR OR GARAGES ns OK except #'s
ing RequirementsSetbacks-Easements
Footings; SoilsSize-Dep"pacing-Connectors-Steel
3. Decks; Girders and/or Jdsts-Decking-BracingStairs-Rails
4. Wood Awn.; Posts-Beams-Rftrs.-Connectors
Shthg.-Rfg.-Bracing
5. Alum. Awn.; Columns-Connections-Splice•Decal-Enclosures
6. Ca endows -Doors
tris
9 g.; Sits -An S s -R sses
9. Siding; Nailing Veneers esh .�
W,Xoof, ShAge
oofing
S Doors Lendings
1 clad Wall Panels
Date Q 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. Pod Structure; Steel -Connections -Thickness
Dead Men-Uning
4. Elec.; Receptacles and Lighting, Distance-GFI
5. Elec.; Pod Lighting; 15 Volts-GFI
6. Elec.; Enclosures; Conduit Entries -Terminals -Listed
7. Elec.; Bonding; Metal wX-Circulating Equip. -Heater
8. Elec.; Grounding; Equip. w/3 Circulating Equip. -Pod Lghtq.
Boxes-Enclosures-Panelboards-Ins. to Main in Conduit
9. Health Department Approval
10. Plumb.; Cir. Test -Water Supply Test
11. Light Niche
Date Card B-1 Date Card B-1
Date -Card B-1 Date Card B-1
✓ = OK
O = Not OK
- = Not Applicable
= Not Ready
Date UNDERFLOOR (Plans) OK except #'s
1. ZoningSetbacks-Easments-FloodSlope
2. Ftg., Main; Soils-Elec. Gmd.-/ P Ftg. Depth
3. Ftg. Garage; Soils-Steel-Elec. Gmd/ p Ftg. Depth
4. Ftg. Porches & Decks; SoilsSteel-/ /" Ftg. Depth
5. Stemwalls, Main; Steel-Blockouts-Wrapped
6. Stemwalls, Garage; Steel -Blackouts -Wrapped
6a. Hold Downs and Special Anchors
7. Slab, Steel -Wrapped
8. Piers -Fireplace Ftg.-Steel
9. D.W.V.; FalWitting-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. Pienums & 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 B-1 Date Card B-1
Date PLUMBING (Permit) OK except #'s
17. Water Htr; Vent -Access -Combustion Air Baffle
18. Water Pipe; Test & Anchor -Nail Protection
19. D.W.V.; Test Fittings & Anchor -Nail Protection
20. Shower Pan; Test, First Floor -Tub Access
21. Test Tub & Shower, Second Floor -Tub Access
22. Gas Pipe; Sixe & Anchors
Date Card B-1 Date Card B-1
Date Card B-1 Date Card B-1
Date ELECTRICAL (Permit) OK except #s
23. Fixture & Transformer Clearance -Ins. Protection
24. Elec. Receptacles Spacing -Lights & Switches at Doors
25. Size Boxes & No. of Conductors Stapled
26. Romex Installed Close to Edge of Studs & C.J.
27. Equip. Ground made up w/Mech Fastners-Bond Gas & Water
28. 2 Appliance Circuts in Kitchen & Conductor Size GFI
29. Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / / ga Cu or AI
30. Range Circ. / / ga Cu or AI -Oven Circ. / / ga Cu or AI
Insulated Neutral 0 Yes 0 No
31. Service -Riser Conductors & Ground -Main Disconect
32. Equip. Clearances Panels -Motors -Meth. Epuip.
33. Clothes Closet UghtShower Light -Spa Light
34. Smoke Detector
Date Card B-1 Date Card B-1
Date Card B-1 Date Card B-1
Date MECHANICAL (Permit) OK except #'s
35. A.C. Ducts Insulation & Support
36. Vent Fan, Exhaust above insulation
37. Condensate Drain & Overflow, Size & Grade
38. Fumance-Vent Access -Comb. Air -Return Air Vent 115 outlet
39. Attic Access & Platform if Furnace in Attic
RESIDENTIAL (Single & Duplex)
Date Card B-1 Date Card B-1
Date Card B-1 Date Card B-1
Date FRAMING (Plants) OK except #'s
40. Sits Proper Materials & Anchors
41. Walls Studs -Nailing Spacing & Braces -Plates -Sound
42. Bearing Walls over Girders & Floor Nailing
43. Draft Stop in Walls (rat proof)
44. Fire Stops, Furred Ceilings -Stairs -Chasers -Tubs
45. Headers & Beams -Size & Bearing
Date FRAMING (Continued)
46. Hangers -Post Caps -Anchors -Connectors
47. Cling. Joist-Rftr. Ties-Purtin-roff Brac.-TrussShting: Rfng.
48. Fireplace Ties or Type A Flue -Fireplace Throat clearance
49. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles
50. Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions
51. Garage Fire Protection Framing
52. Property Line Firewall & Openings
53. Ext. Doors -One 3 -Check Garage 3rd Story, 2 Exits
54. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection
55. Plywood on Roof Overhang -Attic Vents -Rafter Outriggers
56. Siding -Nailing Veneer
57. Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access
58. Glazing Area -Glass Protection -Skylights -Plastic
59. Shear Walls; Nailing -Bolts
60. Brace Interior / Exterior Wall Panels
61. Insulation -Walls -Ceilings
62. Infiltration -Walls -Windows
Date Card B-1 Date Card B-1
Date Card B-1 Date Card B-1
Date FINAL (Plans) OK except #'s
63. Ext Steps -Door & Sidelight Protection -Landings
64. Smoke Detector
65. Furnace; Vents -Clearance -Comb, Air-Conector
In Garage; Above Floor -Ducts -Meth. Protection
66. Bedroom Exiting
67. G.F.I. & Bath Fixtures & Tub Access -Spa
68. Elec. Trim & Subpanel, Breaker Sizes & Labels
69. Stairs & Rails
70. Fireplace or Stove, Clearance -Hearth
71. Elec. Outlets at Wood Panel, Int. & Ext.
72. Kit. Fixt. & Appliance; Ground. -Air Gap -Cooking Clearance
73. Elec. Outlets & Recepticales at Kit. Counter
74. Garage Fire Door; Swing -Landing -Closure
75. A.C. Duct in Garage -Damper
76. Wtr. Htr; Vents -Clearance -Comb. Air Connector-P.R.V.
In Garage; Above Floor -Meeh. Protection
77. Plb., Elec. & Mech. Equip. Listed for Location
78. Elec. Receptacles in Garage (G.F.I.)-Romex Protection
79. Insulation -Foam -Looked in Attic
80. Guard rails & Deck Construction -Post Caps
81. Fdn. VBents & Crawl Hole Door Drainage & Wood -Earth
Clearance Looked under Floor 0 Yes
82. Following Instld./Drive 0 Yes 0 No/Walks 0 Yes 0 No/Planters 0 Yes 0 No
83. Stucco Brown -Finish
84. A.C. Unit Disconnect, Electrical -Plumbing
85. Vents Above Roof, Plbg-Appliance-Fireplace-Clearance to Openings
86. Water Well, Disconnect, Electrical, Plumbing
87. Exterior Elec. Trim, G.F.I. Receptacle -Underground
88. Ventilation Throught House
89. Glass Protection
90. Corrections from Previous Inspections
91. Gas Test -Meters Tagged, Gas -Electric
92. Water & Sewer Connected -C/0 to Grade -HD Approval
93. 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:
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COUNTY OF BUTTE i
BUILDING DIVISION
DEPARTMENT OF DEVELOPMENT SERVICES
411 Main Street • Chico, CA • (530) 891-2751 ”
! 7 County Center Drive • Oroville, CA • (530) 538-7541
CORRECTION NOTICE
lvvv 0 96 - 63807'
"OWNER PERMIT NO.
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.
Rake re'V-L
s _
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1� / _G
,Date P,Inspector. I
,REV 10/92 -t,
COUNTY OF BUTTE
r BUILDING DIVISION J
T 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
jA•
OWNER PERMIT NO.
A routine inspection indicates that the following violations of Butte Couety_Ordinances exis
p' the above address and should be corrected. Please notify this office when correction of work
rs ..
is completed. If you have any questions pertaining to this matter, or peed additional explanation,
please contact this office immediately.
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Date Inspector
REV 10/92
• r
AV
COUNTY OF BUTTE
�BUILDING DIVISION
DEPARTMENT OF DEVELOPMENT SERVICES
411 Main Street • Chico, CA • (530) 891-2751
7 County Center Drive • Oroville, CA • (530) 538-7541
CORRECTION NOTICE
OWNER PERMIT NO.
A routine inspection indicates that the following violations of butte county Ordinances exist at the
above 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.
3
r�
Date )
REV 10/92
�_4
COUNTY OF BUTTE- DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION
7 County Center Drive - Oroville, California 95965 - Telephone (916) 538-7541 PE I NO.
(Rev. 12/96) APPLICATION AND PERMIT
ASSESSOR PARCEL NUMBER '
n47-440-069
ZONING
SR I
BUILDING PERMIT
OWNER
DENNTS 1400DOWNERS
TELEPHONE
3�—IiO)
SD. FT. OCC. BUILDING VALUATION
MAILING ADDRESS
4239 T1111YAN! DR CHICO
4
CONTRACTOR'S NAME
OWNER
TELEPHONE
"
CONTRACTORS MAILING ADDRESS
CONSTRUCTION LENDER
LENDER'S MAILING ADDRESS
Fireplace
Total Valuation $
ARCHITECT OR ENGINEER
LICENSE NO.
—Filing Fee $
20.00
Permit Fee $
153.00
ARCHITECT OR ENGINEERS MAILING ADDRESS
Plan Checking Fee $
99.45
BUILDING ADDRESS
4239 TULIYANI DR., CHICO
Energy Plan Checking Fee $
$
PERMIT FEE $
272.45
LOT NO.
SUBDIVISIONS NAME
PARCEL MAP
PLUMBING PERMIT
Filing Fee 20.00
USEOFSTRUCTURE
SF ❑ Duplex ❑ Mobilehome ❑ Other PRI DET GARAGE
SPECIFY
Each Trap
7.00
Solar or heat pumpwater heater
23.00
Water piping
15.00
Each gas water heater or vent
15.00
TYPE OF WORK
New 1XXAddition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑
Describe Work:
Gas piping system 1- 5 outlets
15.001
Building sewer
15.00
Mobile Home S I G I W
920.00
PERMIT FEE $
ELECTRICAL PERMIT
Filing Fee 20.00
Main Service loon O I LE S
23.00
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm under penalty of perjury that 1 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.
❑ 1, 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
Main Service ( To
46.00so
CCU000A
NEW CONST. DWELLING OCCUP.
DWE200ALLING
OR ADONS. ( & ACC. BIDS.
SO
3.5¢x:
NEW
NON-RESNDT ANCI UTCErs
97.50
PowER APPARATus
8 SINGLE OUTLET CIR.
Ex. Occup. OUTLET OR FIXTURES
B20 O 1.00
Ex. Occup. ouTrs RESIDOEA
5.00
Temporary Service
23.00
Mobile Home Facilities
20.00
Misc. Wiring'23.00
PERMIT FEE $
WORKERS' COMPENSATION DECLARATION
1 hereby affirm under penalty of perjury one of the following declarations:
❑ 1 have and will maintain a certificate of consent to self -insure for workers'
compensation, as provided for by section 3700 of the Labor Code, for the
performance of the work for which this permit is issued.
❑ 1 have and will maintain workers' compensation insurance, as required by Section
3700 of the Labor Code, for the performance of work for which this permit is issued.
My workers' compensation insurance carrier and policy number are:
Carrier
Policy Number
(The above sections need not be completed if the permit is for work of a valuation
of one hundred dollars ($100) or less.)
/ I certify that in the performance of the work for which this permit is issued, I shall
/ 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 — y—) ty�
Datey—)
Signature of Applicant - Owner [I Contractor ❑Agent
An OSHA permit is required for excavations over 5'0" deep and demolition or construction
of structures over 3 stories in height.
MECHANICAL PERMIT Filing Fee 20.00
Heating
Cooling
Hood 6.50
Ventilation
PERMIT FEE $
Mobile Home Installation Fee $
Energy Inspection Fee $
occ
coNsr. TYPE
TOTAL FEE $ —315,45
HAZ. FESS I
FL
Co
P c'-
E
This permit is hereby issued under the applicable provisions
the Butte County Code and/or Resolutions to do work
indicated above for which fe have been paid.
By Dat
PERMIT EXPIRES ON ! l`T
(Date)
Receipt No. 231663
WHITE-D.D.S.-B.D. CANARY -ASSESSOR RINK -INSPECTOR GOLDENROD -APPLICANT
4
TO: Building Department
FROM: Environmental Health
SUBJECT: Sanitation Clearance
E.H. USE ONLY
Plot Plea Att.W
Poor Pled Attached
Seat to B.D. /
A,� on� '7 T(4
Owner Location AP#
Plan Approved for: Sewage Disposal Water Supply: Public Private Well
Clearance for bedroom mobile home. Other
Hold final for:
Final clearance O.K. for:
ir#nmeniat'Health Specialist
8/92
srK: t' i��'�a"��i7�$7�iF'`t;'AYY��•s6i�1b"d.rywLw...'...,.„..„;y ..�
w.
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COUNTYOF BUTTE - DEPARTMENTOF DEVELOPMENToSERVICES -BUILDING DIVISION
7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA95965 -TELEPHONE (916) 538-7541
PERMIT APPLICATION DATA SHEET
OWNER C�%'ll/V� LId� .� No. T
/ Z -
Proposed Building Use Building Inspector Date
At time of permit application, I was advised the following data must#be submitted prior to permit processing and/or issuance:
p1 DATE RECEIVED BY
1. All items have been submitted. .......... . ............. .
2. Plot 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). ... .
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. ...........v�li. .
--t3. Flood elevation letter (100 year flo �y�y California Engineer . ................. .
14. Sanitation and plot plan approvalE-04G4' Health Department . ............
15. 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 reque-ts -
20. Pre -inspection for required. . to Building Inspector J::(Date)
21. Contractor's license information. (No., Name Style, Classification) . ..............
22. Certificate of Workmans Compensation Insurance . ......................... .
23. Owner -Builder Verification (Given to owner , Mail to owner _)............
24. Recorded copy of Agricultural Acknowledgement Statement . ..................
25. Letter of signature authorization . ........................................
26. Copy of recorded deed of parcel creation and 60 right of way to a public road. .... .
27. Letter of intent on building use . ........................................ .
28. Mobilehome utility clearance . ..........................................
.......................
29. Documentation of legal access . ...................... :..................
30. Documentation of 50% subdivision developed or (A) Road improvements completed
and (B) Parcel meets zoning area and frontage requirements . .............. .
31. Existing violations/expired permits . ......................................
32. Plan check list . .....................................................
33.
34.
When you issue the permit, process as follows: Mail to owner. Mail to contractor.
Telephone and hold for pickup at office. Deliver with inspector.
Other r r
Parcel Creation ,� <✓ 3�,1 t� 8'
Acreage Applicant "_ Date �•
Copy of Haz-Mat form sent Health Dept. Fire Dept. Air Pollution Date
Copy of plans sent Health Dept.,,,,, Fire Dept. Other Date By
The following data must be submitted 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 -mail ,7C nter by _ Date
Plans checked by Date Plans approved by ��1/ Dat 4&6
IL
Sets of plans on hold in File cabinet AP folder
Copy - Department of Public Works
COUNTY OF BUTTE- DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING DIVISION
7 County Center Drive - Oroville, California 05965.- Telephone (916) 538-7541 PERMIT NC
(Rev. 12/96) APPLICATION AND PERMIT
ASSESSOR PARCEL NUMBER / r�J� Q
_-Y-11 ,•(/,/ U—�/V/
1-1
ZOMNO
BUILDING PERMIT
OWNER ��
TELEPHONE
SO. FT. OCC. BUILDING VALUATION
OWNERS MAI H �RESS �, J
vl C
CONTRACTOR' E
L
TELEPHONE
CONTRACTORS MALING ADDRESS
CONSTRUCTION LENDER
Fireplace
LENDER'S MAILING ADDRESS
Total Valuation
6-e7
ARCHITECT OR ENGINEER
LICENSE NO.
Filing Fee a
20,00
Permit Fee $
, Cyz�,
ARCHITECT OR ENGINEERS MAILING ADDRESS
Plan Checking Fee $
BUILDING ADDRESS `
N
Energy Plan Checking Fee b
$
i
Loe
PERMIT FEE =
X
LOT NO.
SUBOMENON'SNAME
PARCEL MAP
PLUMBING PERMIT
Filing Fee 20.00
Each Trap
7.00
USEOFSTRUCTURE
A5r
SF 64&10uplax ❑ Mobilehome ❑ Other
SPECIFY
Solar or heat pump water heater
23.00
Water piping
15.00
Each gas water heater or vent
15.00
TYPE OF WORK
New k Addition O Remodel O Utilities O Installation O Other
Describe Work:
Gas piping system 1 - 5 outlets
15.00
Building sewer
15.00
Mobile Home S G W
@20.00
PERMIT FEE _
ELECTRICAL PERMIT
Filing Fee 20.00
M
Main Service zoo. oa mss
23.00
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter
9 (commencing with Section 7000) of Division 3 of the Business and Professions Code,
and my license is in full force and effect.
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.
O I, as owner of the property, am exclusively contracting with licensed contractors
toconstruct the project.
O 1 am exempt under Sec. Business and Professions Code for this
reason
WORKERS' COMPENSATION DECLARATION
1 hereby affirm under penalty of perjury one of the following declarations:
❑ 1 have and will maintain a certificate of consent to self -insure for workers'
compensation, as provided for by section 3700 of the Labor Code, for the
performance of the work for which this permit is issued.
O 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:
Currier
Policy Number
(The above sections need not be completed if the permit is for work of a valuation
of one hundred dollars ($100) or less.)
❑ 1 certify that in the performance of the work for which this permit is Issued, I shall
not employ any person in any manner so as to become subject to workers'
compensation laws of California, and agree that if I should become subject to the
workers' compensation provisions of section 3700 of the Labor Code, I shall
forthwith comply with those provisions.
X Date
Signature of Applicant - O Owner O Contractor O Agent
An OSHA permit is required for excavations over 60" deep and demolition or construction
of structures over 3 stories in leight.
Main Service 200A TO 1000A
46.00
NEW CONST. owELlu+G so
OR ADDNS. a Acc. Bins. occuP. 3.,,so
NON REOSID. T. MULTPOUTLET 07,50
PSIWEEIE F T Ic R.
N.20
0 1.00
Ex. Occup. OUTLET OR FIXTURES eAl ,S0
Ex. OccupoPuTEitTs AEa.1 OR 5.00
Temporary Service 23.00
i
Mobile Home Facilities 20.00
Misc. Wiring 23.00,;!5—
3.00a —to
I
PERMIT FEE _ _03—
MECHANICAL PERMIT Fling Pee 20.00
Heating
Cooling
Hood 8.50
Ventilation
i
±
PERMIT FES i
Mobile Home Installation Fee $
Energy Inspection Fee $
OCC.
CONST. TYPE
TOTAL FEES
HAZ.
D. FEES IMP
Ft 000
1 CDP
PARCEL
FO
HD
bSUE
This permit is hereby issued under the applicable provisions
of the Butte County Code and/or Resolutions to do work
indicated above for which fees have been paid.
By Date _
PERMIT EXPIRES ON
pato
ReceiptNo. 023
WHITE-D.O.S.-B.D. CANARY/ASSESSOR PINK -INSPECTOR GOLOENROO•APPLICANT
,
RESIDENTIAL ,
l
047-440-062 PERMIT#96-0409
COLE, Gregory
4239 Tuliyani Dr., Chico
New Single Family
1
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Address
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JOB FINALED (Date) l _
Signature
V=OK ,�
O = Not OK
N& Apica
'=Not Readyb!e 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-Gmd-/ /Amp-Concrete
6. Gas; Location-Test-Wrap; / P'L'ft.
/ /Nat. or/ /°L"ft./ /LPG t
7. Well Clearance & Disconnect
8. Utility Clearance x•
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 lnstallation Cert.
10. Exits; Insp.-Sketch
11. Cert of Occupancy
Date
Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1
MISCELLANEOUS
Date DECKS, COVERS, CARPORTS, GARAGES (Plans) OK except #'s
1. Zoning Requirements -Setbacks -Easements
2. Footings; Soils-Size-DepthSpacing-Connectors-Steel
3. Decks; Girders and/or Joists-Decking-BracingStairs-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-AnchorsStuds-Rttrs-Trusses
9. Siding; Nailing -Veneer -Stucco -Mesh
10. Roof; Shthg-Roofing
11. Ext.; Steps -Doors -Landings
Date Card B-1 Date Card B-1
Date Card B-1 Date Card B-1
Date POOLS (Plans) OK except #'s
1. Setbacks -Easements '
2. Soils; Compaction -Structure Stability
3. Pool Structure; Steel -Connections -Thickness
Dead Men -Lining
4. Elec.; Receptacles and Lighting, Distance-GFI
5. Elec.; Pool Lighting; 15 Volts-GFI
6. Elec.; Enclosures; Conduit Entries -Terminals -Listed
7. Elec.; Bonding; Metal w/6 -Circulating Equip. -Heater
8. Elec.; Grounding; Equip. w/5 Circulating Equip. -Pool Lghtg.
Boxes-Enclosures-Panelboards-Ins. to Main in Conduit
9. Health Department Approval
10. Plumb.; Cir. Test -Water Supply Test
Date Card B-1 Date Card B-1
Date Card B-1 Date Card B-1
J=OK
O=Not OK
= Not Applicable
= Not Ready
Date UNDE OR
RESIDENTIAL (Single & D
/} IYZoning-Setbacks sements-F od-Slope
141111-, 2. Ftg., M ' oils-Elec. G -fif' Ftg. Depth (f/=g/C-Q//(
( '7,11,"'
2 ('
3. Ftg., Garage; Is-Steel-Elec. Grnd.-/ /" Ftg. Depth
tg Porc Decks; Soils -Steel-/ /Ftg. Depth
e a -s ain; Steel-Blockouts-Wrapped
emwalls, Garage; Steel-Blockouts-Wrapped
"old Downs and Special Anchors
lab; Steel -Wrapped
8. Piers -Fireplace Ftg.-Steel
9. D. - itting-Te - 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 it/ 1 Card B-1 (,j Date (,j Date Card B-1
Date Card B-1 Date Card B-1
Date PLUM NG (Permit) OK except a's
r Htr.: Vent -Access -Combustion Air -Baffle
---------- -------------------------------------------------------
ater Pipe: Test & Anchor -Nail Protection
D Test -Fittings _& Anchor -Nail Protection
--- ---- — - - - ---------------------------
D--.-.:
---- ----- -
wer Pan Test, First Floor -Tub Access
est Tub & Shower. Second Floor -Tub Access
------------ -------------------------------------------------------------
1. Gas Pipe: Size Anchors
--------------------- -----
------ --------- -- - -------- Date-------------- - -------------------
Date$� V Card B- Date Card B-1
----------------- -- -- --
-------------------------------------------
Date'7Z Card B- Date Card B-1
Date ELE RICAL (Permit) OK except #'s
- ixture & Transformer Clearance -Ins. Protection
--------------------------------------------_ -----------------------
Elec. Receptacles Spacing -Lights & Switches at Doors
-------------- Size Boxes & No. of Conductors -Stapled ..........-
--- -- - - -
- - 2 me Installed Close to Edge of Studs & C.J.
Z;- ------------_------------- ------------- ---_ --------._....
.. E Ground made up wrMech. Fastners-Bond Gas & Water
- Appliance Circuts in Kitchen & Conductor S ze,GFI
-- ---- -
'-S
'S' -feed -Wire -Size
-------- - - - ---...... .
S feed- Wire- Size ya. Cu o> A A.C. Wire Size_. ga.
u or At
---------------------------------- - - - ------------ --
Range Circ ven Circ. a. Cu
nsulated Neutral Yes No
___ Service -Riser Conductors & Ground -Main Disconnect
Equip Clearances --Panels-Motors-Mech. Equip.
---- - --- - --- - - ..._._.__. ._..._.
lothes Closet Light -Shower Light -Spa Light
--------------- --------........................
Smoke Detector
Date.�W Date Card B-1
Date rd B-1 Date Card B-1
Date ME ANICAL.(Permit) OK except a's
A.
--- -C. Ducts Insulation &Support
- ......................
6 Veril Fan: Exhaust above insulation
den, ate Drain & Overflow: Size & Grade
F/dance-Vent: Access -Comb. Air -Return Air Vent -115 outlet
-la--Att c Access &Platform if Furnance in Attic
Date 42 Card B-1 Date Card B -t
Data - . ... .
Date Card B-1 Date Card B-1
Date FRAMING (Plans) OK except a's
91 Proper Material & Anchors
15 Studs Nailing. Spacing & Brac ng -Plates -Sound
Wa 1s over Girders &Floor Nailing
r t in Walls (rat proof)
Fir tops: Furred Ceilings- Sta irs-Chases-Tub
-----------------... .._ ..._._. _.
eaders & Beam -Size & Bearing
ex)
Date AMING (Continued)
angers -Post Caps -Anchors -Connectors
------------ - ------ -
ng. Joist-Rftr. ties- Purlin-roof Brac-Truss-Shthng.-Rfng.
--------- --- ------
--- . fireplace Ties or Type A Flue -Fireplace Throat clearance
- - A
Ili Access; Size & Romex Protection -Draft Stop -Ins. Baffles
rm. Windows or Exiting Doors -Sill Hgt. & Dimensions
-------------t
- —
arage Fire Protection Framing
Property Line Firewall & Openings
----------- ---71----------------- -
,a�iExt. Doors -One 3• -Check Garage -3rd Story, 2 Exits
----------- Lairs: Width -Headroom -Rise -Run -Landing -Fire Protection
plywood on Roof Overhang -Attic Vents -Rafter Outriggers
i ing-Nailing Veneer
to o Mesh -Drip Screed -Fd. Vents-Underflr. Access
----------- azing Area -Glass Protectioan- ?^ ghts-Plastic
Sh alls; Nailing -Bolts — ✓YJ
Insulation -Walls -Ceilings ------
60. Infiltration_Walls_Windows-- -- -
- - --------------------------------------------
Date Card B-1 Date Card B-1
- - - - ---- ---B---------------
-ar--
Date -1 Date Card B-1
Date FI (Plans) OK except p's
61 Ext. Steps -Door & Sidelight Protection -Landings
- - X62. S oke Detector
Furnace: Verits-Clearance-Comb. Air -Connector-
----- ----------------
arage: Above Floor-Ducts-Mech_Protection
-
room Exiting -
F.. & Bath Fixtures & Tub Access -Spa
e Trim & S ibpanel Breaker Sizes & Labels
rs &Rails
/F�r lace or Stove: Clearances -Hearth
B(7 _c. Outlets at Wood Panel Int. & Ext.
it Fiat & Appliance Grnd.-Air Gap -Cooking Clearance
.i -------------------------------- --
EI v Outlets & Receptacles at Kit. Counter
72. rage Fire Door: Swing -Landing -Closer
��In_
C. Duct in Garage -Damper
tr. Htr.: Vents -Clearance -Comb Air-Connector-P.R.V.
Garage: Above Floor -Meth. Protection ---
75. P .. Elec. & Mech Equip. Listed for Location-----
7V
ocation7 c. Receptacles in Garage: (G.F.1.)-Romex Protection
7,,,/Insulation-Foam-Looked. in Attic _ 0 Yes-
78. Guard Rads & Deck Construction -Post Caps__ -
99' F n. Vents _&_,C, r,a-w-,l Hole Door -Drainage &Wood -Earth .
CI ance Looked under Floo 0 Yes
- -------
ollowing inslldi. Drive s 0 No: Walks es No:
P nters / 0 Yes 0 No
-
...--------- -----------------------------
-----------
cco-'Brown-Finish
.. ... . .... ---------------------
A C. nit: Disconnect. Electrical, Plumbing
... . . .-- ----...--------------------------------------
3. V is Above Roof: Plbg.-Appliance-Fireplace.-Clearance to
penmgs
------------------.._..--------------------- ----D-
ater Well: Disconnect. Electrical. Plumbing
fxtenor Elec. Trim: G F.I ReceptacleUnderground . . .....-_...--- _-
--------en dation Throughout House
... ....._..--- ---------------------------------
ass Protection
C recuons from Previous Inspections
W �g� 89' as Test -Meters Tagged: Gas -Electric v�-__-_---- --- -
666 Water & Sewer Connected -C/O to Grade -HD Approval
--------------- -----------------------
91 Energy Compliance Certificate -Other Certificates _ _ _
Date Card B-1 Date Card B-1
---- -__------
Date J Card B-1 Date Card B-1
Date Card B-1 Date Card B-1
Comments. at Final:
"GREGORY -A. PEITZ-
ARCHITECT
1907 MANGROVE AVENUE, SUITE 'E'. CHICO, CA 95926.'(916) 994-5719
To 6,t.t�c.. Co - 8-ar t—
e-7co-
ce .5 t"�
`77
Ica \6 e- t9 vi
'-e 7
c)C- ARo,,,
NO. C 21283 "1
E.M.
}
COUNTY OF BUTTE- DEPARTMENT OFAEVELOPMENT SERVICES -BUILDING DIVISION
7 .County Center Drive - Oroville, California 95965 - Telephone (916) 538-7541 PERMIT NO.
APPLICATION AND PERMIT
ASSESSOR PARCEL NUMBER
047-440-062
ZONING
SR1
BUILDING PERMIT
OWNER
TELEPHONE
893-0881
SQ. FT. OCC. BUILDING VALUATION
2463.34 R 133,002.36
OWNERS MAILING ADDRESS
a 3
909.85 U 16,377.30
CONTRACTOR'S NAME
(',R'F.(', COLE
TELEPHONE
368.5 C 4709.50
CONTRACTORS MAILING ADDRESS
Fireplace A 1,500.00
CONSTRUCTION LENDER
UNMOWN
Total Valuation $ 155 688.16
Filing Fee $ 20.00
LENDER'S MAILING ADDRESS
Permit Fee $ 835.50
ARCHITECT OR ENGINEER
LICENSE NO.
Plan Checking Fee $ 543.07
Energy Plan Checking Fee $ 23.00
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Penalty $
BUILDING ADDRESS
4239 TULIYANI DR, CHICO
PERMITFEE $ 1421.57
PLUMBINGPERMIT Filing Fee 20.00
Each Trap 10 7.00 70.00
LOTH
j�
SUBD ISH�TALLEY ESTATES
PARCEL MAP
Solar or heat pump water heater 23.00
Water piping 15.00 15.00
USEOFSTRUCTURE
SF ❑ Duplex ❑ Mobilehome ❑ Other
SPECIFY
Each gas water heater or vent 15.00 15.00
Gas piping system 1 - 5 outlets 15-00 15.00
Building sewer 15.00 15.00
TYPE OF WORK
New x Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑
Describe Work: 4 BEDROOM
-
Mobile Home I S I G W 1 @20.00
PERMITFEE $ 150.00
Contractor
ELECTRICAL PERMIT Filinq Fee 20:00
Main Service800v OR LESS
( 200A OR LESS ) 23.00 2-3.00
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
aw f the following reason:
I, as owner of the property, or my employees with wages as their sole compensation,
will do the work, and the structure is not intended or offered for sale.
❑ I, as owner of the property, am exclusively contracting with licensed contractors
to construct the project.
❑ 1 am exempt under Sec. Business and Professions Code for this
reason
NEW CONST. DWELLING OCCUR \ SO.
OR ADDNS. ( a ACC. BUDS. / 3.50 FT. 113
NEW CONST. MULTI -OUTLET
NON-RESID. ( BRANCH CIRCUITS ) 97.50
( POWER APPARATUS )
8 SINGLE OUTLET CIA.
Ex. Occup. ( OUTLET OR FIXTURES ) BAIL @ 1.00
.SO
EX. Occup. FIXED APPLNS.
S DJOR 5.00
Temporary Service 23.00
Mobile Home Facilities 20.00
Misc. Wiring 23.00
PERMITFEE ; 161 _n6
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 4 TON 20,00
Cooling 4 TON 20.00
Hood 6.50 6,50
Ventilation
PERMITFEE $
Contractor
Policy Number
(The above sections need not be completed if the permit is for work of a valuation
one hundred dollars ($100) or less.)
1 certify that in the performance of the work for which this permit is issued, I shall
of employ any person in any manner so as to become subject to workers'
ompe at4aaia. and agree that if I should become subject to the
worke ' c'ions of section 3700 of the Labor Code, I shall
forth th covisions.
/
X Date �/,6 -_
Sig ature of pper Contractor ❑Agent
An OSHA permit iavations r 60" deep and demolition or construction
of structures over 3 stories in height.
Mobile Home Installation Fee $
Energy Inspection Fee $
46.00
OCC
CONST. TYPE
TOTAL FEE $ 186.3
HAZ. D. FEE P FLOOD
--
CDF PARC PD HD UE
This permit is hereby issued under the applicable provisions
of the Butte County Code and/or Resolutions to do work
indicated above for which fees have been paid.
By at 2ci
PERMITEXPIRESON
(ate)
Receipt No. 191_1_0_3-623.07�� '� l.S�� b - /-}0, (5 (i,
WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT
COUNTY OF BUTTE
rz. BUILDING DIVISION
DEPARTMENT OF DEVELGPMENT SERVICES
1469 Humboldt Road, Chico, CA - (916);891-27,51
r:•`' 7 County Center Drive,,Oroville, CA - (916) 538-7541
747 Elliott Road, Paradise, CA - (916) 872-6307
} a . ^ - .. .. .. t
nq( ,
CORRECTION NOTICE
•2 • I
-4601
it, OWNER PERMIT NO.
y. 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 an pertaining P
P Y y questions ertainin to this matter, or need additional explanation,
please contact this office immediately.
:fes.
.t.
F!
=i
+'
Da-te464W Inspector
" f. ,REV 10/92
ttwtaer :
LOERKE INSULATION 8918560 P.02
hermit' lap. ---
E N E R G Y G L R T I r I G A x x O N
AXION
DESCRItYrION OF INSU1111JON
ROOF
Material
Thickness (incites)
EXTERIOR WALT.
material FTBT1ZGLASS BAM
Thickoess(inches) aa�
CEILING
Batt or Blanket Type FIBERGUSS 13ATTS
viickness(inches) at _
Loose Fill Type FIBERGLASS
Mitti.munt Thickness (Incites) '
Area covered(f:t. )_W 112C) -_
FLOUR, ELEVATED
Material
Thickness (inches)
FLOOR, Sl.AB
Material
Thickness(inches)
Widtla(i.tiches)
FOUNDATION WALL,
Material
Til ickne A s ( inches)
A. r. Ido.
Brand Name
Thermal Resistance (R Value)
i raand Name SCHULT_MP INT.
Thermal Resistauce(I0,
Drand Name SCI-Fn.LER INT.
Thermal Resistance(R Value) 3Ci
Br ►nd N wie, SCH LUER TNT. _
Number of Eads WL', per bag 27 lb.
Thennal Resisl-ancc(R Va.tue) '
Brand Name
Thermal Resistance(R Value)
Brand Name _
Thermal Itesistance(R Value)
Brand Name
Thermal Resistance(R Value)��
I hereby certify that the above insula tion was installed in the above building
in conformance with the State of California Energy Roqulretnents.
I.ocrke I_nuttl� ion Co. Inc. 499150
FIRM NAmr,/OWNirlt STATE CONTRACTOR'S LICE"NSC NO.
SIGNATURE OF INSZALIA ION AFPLYCA.I'OR DAT'
I hereby certify the above insulation and all required items as Shown on the
Building; Oepar.tnacnt approved plans and :attaaclainents have been l.nstal.l.c:d as
re(iati.red by Lite State of California Eliergy Requirements,
All equipment, devices and materials are of the quality litescr -ibed or are
specifically approved by tine Statc of California.
lII�; Pd.
/OWNER ease print) _T STATE CO`n'P,ACTOR'S 1.•ICE11SL' P;O.
c z or ,r:.��;12AL CONIRACTOi. ucrNrsR ►ATE
Tills CFRT.IFIClAT1: 1tl)ST 13F 01.1 FILE WITII T11E BUTT.I)ING bi: PAKr,•1FM'1: PKIOR TO FINla.L
WESTERN -WOODS
,A-_ ,_
:. ;�'
..
13
8:30 Nb.011 P.03
l
APAAg; 3 `/h
Certificate of Conformance
Certificate 39547
THE UNDERSIGNED MANUFACTURER HEREBY CERTIFIES that the structural wood products
Identified below and marked with a collective mark of American Wood Syatema (AWS) were
manufactured in accordance with the specifications Indicated below,
ANSI Standard A190.1-1992, for Structural Glued Laminated Timber
F.i
Fl Proof loaded end Joi.rlts
WESTI.P.RN WOODS ---
Job NAmo ._.—... •_
CHICO. CA
.lob Locauon -
Customor'A Ordor No. —. 24281 04--08•-96
— _ Mfgr'a Ordor No_ C7-3767
— - Gregory Cole Construction
L-18 Is•hi Valley Est 4239 Tuliyani Drive, Chico, CA
]tb Co t Teehnic:al Diroctt�r
Slgnaturg_..' • '
W:illatnette Ind. VauBrtn, Oregon— -
Company - .—. _ Addrem 0408 90
IT IS HEREBY CEHTIFIED that the structural glued laminated timber production of the above-
narned manufacturer which carries a collective mark of American Wood Systems (AWS) is subject
to regular audit by American Wood Systems, such audit consisting of the inspection with
reasonable frequency of the manufacturing process, with adequate sampling to verily the quality of
glulam construction and the adequacy of glue bond.
NAV 00d1t��r
wQ` �gpaRQ��
O�y4 �'•••.........�'�
r
by '41
Thomas G. Williamson
Executive Vice president
AMP.nI(;AN WOOL) SY61 EMS - A RFLAtrn COhPORAYION Or IPPA
WESTERN -WOODS TEL:916-343-5821 Jul 12,96 8:30 No.011 P.05
.NVILLA11MPTE INbUST'MES, INC; { '
MOINF. RED WOOF) PRODUCLS PLEASE REMIT TO.,
' nn ADDntss sl(owN 13ELOW
TELEP14oNE (541) 744-41355 • rAK (541) 744 -?684
CUSI'(1111P ORIGINAL ?:
— WEBTERt4 WDODv'OM - I'
'1' f I
U.. NC�.�' SALESMAN]yo—nj�—o I- I.� ,
L. ITIAI.ORIV0. DAIE51111+pCf:! INVnI(;L' oATF INVOICE NO.
RI`1. EIRUS , 5'61 Q1+-D(I-��6 01� . _
— — � 09 •96 57-113767-01 _=
WC_S1'ERII WUOpB {CNIC0)
SHIP rnG� i cls � -.
P . U , 13OX 4.1.02 TO
CA 7579)7
'.R�lJt L_
IF�11_ I
NOPE,
5
III ()f?K
GRr1U1 % IND
Fi JIM --13. 5
(3RADL••► nItC11
Li.1_-9667
3.
7 :!�i;
416-9
;B6-10.52,600
136-19 . 5
f5G••2I
116-22 5
GE,- 21i
x!3•••1!.
113--13�F
t(3 - 15,
0-19,5
--•—
LAMINATED BEANE!
QUA"' W1D1'FI 1)EPTH L.GTH FTC
WR1.1P L.0A[) L'RI"{CIEtis swsrrlll OU()
2.14 3 1/2. 13 1/2 !b- 9'
z' -• 5y1
WRAP= 11qDV. CpMrCfiE S-SpRN 2.750
2 3 1/8 7 1/2 60- 0 426
2 3 1/8 y 60- ��l.q
r—
,�; n � l , zr:1_c�%
16 1/2 613- 0 936
60- 0 1,020
/ 0 `--- -- ---_�_
0 G38
4 5 1/8 y 60- U 1,1,5321109111
�'I 5 1/0 1.0 1/2 60•- 0 1.781(.
?. 5 1/8 19 1/2 60- 0 1 , fi1;8
2 1/0 21 60- 0 1,786
2 5 1/8 22 1/2 60- 0 1,914
1 5 1/E1 'L4 60- 0 1,020
6 3/4 10 1/2 60-• 0 59.5
1 G 3/4 1'L 60- 0 680
1 6 3/4 13 1/.2 60-• 0 76r
1 63/4 15 60•- 0 1150
1 6 3/4 19 1/2 60- U 1,105
—.. —�—
-
IJGIGHl'
4,4tie
794
2,770
1.4514
1 , 51) el
3,036
1.,81a
3.036 -- '
3, 252
1,731+
999
1.147.
11285
1,428^--
1,115li
T -C' —UN "r—T I q I 11: n
WESTERII-WOODS TEL:916-343-5821 Jul 12,96 8:30 No.011 P.02
'f
APA �-A '/'/4 1-/24
- Etil %_7 x6
Certificate of Conformance
Certificate-
39991
THE UNDERSIGNED MANUFACTURER HERESY CEPTIFISS that.1he structural wood products
identified below and marked with a collective mark of American Wood Systems (AWS) were
manufactured in accordance with the specifications Indicated below.
ANSI Standard Al 90.1-1992, for Structural Glued Laminated Timber
Ll
Prot)f loaded' ertd I o 3 n•t 's
W11"SIMIRN WOODS
Job Nama _.. __.. .
Job Looatlon .•,•—• C MCO, CA
customor'sordorNo_ —74823 05 •15•-965'T--4263
-- — _ onto-... - — --.. . _ Mr9r's Ardor No.. —. .._.
—Grego_y Cole Construction` -- — — — — --- r- —
_ L-18 Ishi Valley Est --- -4239 Tuliyani Drive, Chico, CAAt
—
Slgnatura ` z Technical Dir. ectox'
-- —. _ lido
comp anW!A.lun .tete Ind- Vaughn, Oregon — O�i•�l�i �JG
r y --• — •— —. — Address
—_. .—..... — _ Data—.
IT IS HEREBY CERTIFIED that the structural glued laminated timber production of the above-
named manufacturer which carries a collective mark of American Wood Systems (AWS) is subject
to regular audit by American Wood Systems, such audit consisting of the irlspectlon with
reasonable frequency of the manufacturing process, with adequate sampling to verity the quality of "
glulQm construction and the adequacy of glue bond.
V1 0O'D
Q" I
..mow
P;
a
%e t"
,t���gsHIN��O��`�e�
by
Thomas G. Williamson
Executive Vice president
AMERICAN WOOD SY.-MMR . A ftt=1-AMn COf 1PORAVION or: APA
WESTERN -WOODS
TEL:916-343-5821 Jul 12.96 8:32 No.011 P.06
Willamette 'Industries, Inc.
F_nglneered Wood Products
(541) 926-7771
FAX (5 11) 924.5290
ir'nro.No. �SA:ILUISMAN _""_ 1:011PLETE
,IOb NO. LM/V L. INTI JJ L U' NLX OhYF DIafP!•�D I
NVOIC6 01/11 E
W1:5.1'['hN WUgDS
SNIP
BOX 4402 TO
CHICO, I;rl V5927
VLF..ASr-: IICMIT 1•0;
ADDfICSFi SHOWN QELOW
CUSTOMEf. ORir,lNnL
LP
INVOICE No.
P(1Gr 1
OF, 2
1LU.'1k7L'Ci-Q—SJj _1{ b �t-2 3 NOTE.-
—,— — — --- ---•� r I rz 1 ]11 �.— d J 4 zI 5
Lr)r11NraTto
11 Fs�.rlrrs `"—' ---
f)(;I� [70`•)19 IdIDTH DEPTH LGTH F7'G WCIt;H1'
12nOf_= (111L'll WRrini 1111)V, Cf1118ER1 9 -SPAN 1.875
B4-1;?..i;0 6 3 1/8 12 r
_50- 0 1,704
CA-1.5,!i-•Iip 10 3 1/0 13 1/2 50•- 0 .3 0 2.646
4,96
16-9 -!50 4 51/l3 9 r0. 0 1 , 27G
10...1 y J..r,O 2, 168
1 6 3/4 19 1/2 50•• 0 92Z
rj 548
INUU• LFlM_ B_(:R= S Sf RN_ 2,750
60;0 -
3 , 113q
9',950
4 S 1/8 7 1/2 QO- p_ 1,276
G••q 1, Ibp
/1• 5 1/8 9 b0_ 0 1,532
1/2 60-• 0 2,294
�
6-- 16. 5 (S'04
10 fi 1/0 16 1/2 60.. 0 7,020
4 5 1/9 19 1/2 60- 0 31316
-`'.(5315
Z 6 3/4 1; 60- 0 1,700
1 6 3/4 19 1/2 60- 0 1,10`
DFv nriL'(I WRAP1 INOV. CAMBER; �_c 1,t356
-13 F;...66 1 6 $//{ 13 1 /7_ SPIN 3, 250
66-� 0 842 _
1,[F13
l:El't'TIf ICR1'C
61
ATT11CHED
PRODUCT 7.01'0LS . >a
30,009
RECEIVED,
49,67•!5
•
A,
' MAY 17 199r,..
' .
P.O. BOX 4402
Chico, CAS5Q27
(916) 343-5821
Y151
SE FAX 343-3851
INVOICE NO.
D24134
SOLD
OOOO27
romSHIP'TO:'
MOSS LU'lBER CO., INC TO: C.P.U.
P.O. BOX 99145O
REDDING, CA ' 96099-145O
nours ' CAR NO.
W. ORDER NO. �OUR R F TERMS % DAYS
11 10
YO R
3-1/8 X 10-1/2 2400dA
F -V4 STD CMBR
14"1 DEAP'l-l-b
. 14 Bd Ft �
3-1/8 X 13-1/2 F` -V4 STD CUBR
Y
21 BEAMS @
- 75 Bd Ft @ .
SubTotals 89
>p 0?;, M-- 'usl m
�m wu �� ��
~ �� � � �
w � ��
� ��
��� ��
'"��Z jq�n~ ~�
g1»m. -°�
-� I've.
'
(20 ) Sales Tax $ 0.00
Total DUE
You may DEDUCT $ ' 4.67 cash DISCOUNT if Paid by 05/Q�/96
r
K"
WESTERN WOODS, INC. DISTRIBUTION DIVISION
275 SIKORSKY AVE. CHICO,CA 95928
(916) 343-5821
----------------------------------------------
(j
DATE
CUSTOMER ID#
SOLD TO: SHIP TO:
Moss
SHIPPED VIA:
TRAILER NO.:
CUSTOMER ORDER #
WWDD ORDER #: z3(L_ D
BILL OF LADING BILL OF LADING BILL OF LADING BILL
--------------------------------------------------------------------
TOTAL
SALES TAX
NET INVOICE
DESCRIPTION
avBo Fl/G/, /,+m
DISC.
N
I CERTIFY THAT I RECE VED T E MATERIAL LISTED IN GOOD CONDITION.
SIGNED X DATE REC. qj
DRIVER X DATE REC. 7 ��y
MOSS LUMBER 'CO.
#4 VALLEY COURT.
CHICO,..CA 95926
916-.895-0745
QVC�� 1 QD36%10-k
P'O RECE I iP'T 04/25/96 '13:28 ' 01
VENDOR WESTERN
WOODS INC.
PURCHASE ORDER: 2360:x`'°"
S- 2
FSO PDX
4402
P- 9
CHICO,
CA 95927
REFERENCE: +iCOLE L18'
W- 17
RECEIVED : 047/25/96
R- 1
TERMS
VEND#:
10550
CUST NO. 1507-1.,.016------ --
-----------------------------------------------------------=---
GREGORY COLE CONSTRUCTION*
LO
---------------------
ITEM CATALOG
CITY
----------------------------------------
----------=-----
DESCRIPTION UNITS COST
AMOUNT
GREGORY COLE CONSTRUCTION*
2
ACCT:15071.016
0:4215697-02
3
12101000 GLULAN
14.
GLUE LAMS
14
4,
3 1/8 X 10 1/2
1/14'
5
12101000 GLIA
75
GLUE LAMS
75
5
3 1/8.X 13 1/2
3/18' 1/21'
TOTAL 89
#-+�-VALLEY-�DURTO. , INC.
CHICO, CA 95926 '
916-895-0745
NCI_ 4c --:Ll 15Ea97
ORDER
04/24/96
13:45 01
SOLD
TO:
GREGORY COLE CONSTRUCTIONS
130 DONALD DR.
SHIP ----(L_18
ISHI VALLEY EST,
S— 2
CHICO,
TO:
4239 TULIYANI
�CHICO,CA�.COLE`''
DRIVE
P— 9
CA
95926
A-41
MISC:
CART
W-17
C-80
OUR
FSO: 23602
p— 8
CUST#:
15071.0168
-TERMS:
1% 10TH
---------------------------------------------=----------------------------------
916-893-0881
RID#:309209.000
L#
--------------------------------------------------------------------------------
QTY LOADED
DESCRIPTION
ITEM 1#
UNITS
LOC
1
14
GLUE LAMS
12101000
14 EA
Y3
2
3 1/8 X 10 1/2 1/14'
3
75
GLUE LAMS
12101000
75 EA
Y3
4
3 1/8 X 13 1/2 3/18'
1/21'
TOTAL UNITS:
89.00
COUNTY OF BUTTE -DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION
7 County Center Drive - Oroville, Califorpia 95965 - Telephone (916) 538-75.11 PERMIT NC
APPt1CAT14NAND PERMIT 9�"
ASSESSOR PARCEL NUN
I ZONI /.j
///�
BUILDING PERMIT
oWN/ c LZ
-�/
m9 NE
SO. F i • I OCC. I BUILDING VALUATION
OWNERS NO .LODRES
G Fi't� C/4 �'/ �3
II I
�-
,d�ECONT
OR'3 NE O ��
Tt7.3
R-9 E Of! U
I/COMRACTOR'S
NG .LOORESS
/4
Fireplace
CONSTRUCTION !p
UNIWOWN
Total Valuation S
r
PER'S MAIL. JESS
"+'cI/ cTORE 0 to uC
LC
Fling Fee
f S 20.00
Permit Fee
Plan Checking Fee
I S i S-0
I $ r
ARCWMCT OR ENGINEER'S www ADDRESS
Energy Plan Checking Fee
Penalty
I S
BUILDING ADDRESS
A4236 TULIYA"I
PERMITTEE I S Z 1,
,
PLUMBING PERMIT
I Fling Fee 20.00
Each Trap
7.00 I d,v6
LDTIw. I 9UaONBION'S1MN ILA-/ 65rAT� PARCEL MAP
G
Solar or heat pump water heater
I I _23.001
USEOFSTRUCTURE
SFXuplex ❑ Mobilehome ❑ Other
SPECIFY
Water piping
I t 5.00 i .
Each gas water heater or vent
I L, -K'1,;5. 0 0 I 1 C-
Gas piping system t - 5 outlets
I :00
Building sewer
15.00
TYPE OF WORK
NewXAddition C!Remodel ❑ Utilities E3 Installation C3 Other C3I
Describe Work: $ 'Bf•bIZoOM i�F-51 AC� •
try
Mobile Home I S I GI W I ( I %a20.001
I I
PERMITTEE I S
Contractor
ELECTRICAL PERMIT
I Filing Fee I 20.00
Main Service ( 600V"'s' )
200A OR LESS
I 2 3. 00 I j
Main Service ( 20" TO 1000A )
I 46.00 I
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 II force and effect. 2
License Class Lic. No. ::Jy71 %
OWNEA-BUILDER 'DECLARATION
I hereby affirm under penalty of perjury that I am exempt from the Contractors License
LX�w f a following reason:
I, as owner of the property, army employees with wages as their sole compensation, c
will do the work, and the structure is not intended or offered for sale. -
❑ I, as owner of the property, am exclusively contracting with licensed contractors
to construct the project.
❑ 1 am exempt under Sec. Business and Professions Code for this
reason
WORKERS' COMPENSATION DECLARATION
I hereby affirm under penalty of perjury one of the following declarations:
C3 I have and will maintain a certificate of consent to self -insure for workers'
compensation, as provided for by section 3700 of the Labor Code, for the
performance of the work for which this permit is issued.
❑ I have and will maintain workers' compensation insurance, as required by Section
3700 of the Labor Code, for the performance of work for which this permit is issued.
My workers' compensation insurance carrier and polity number are:
Carrier
Policy Number —
(The above sections neea not be completed if the permit is for work of a valuation
of one hundred dollars (5100) 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'
compen tion laws of Califor Ia. and agree that if I should become subiect to the
workers' compensanon o Isions of sec:Ion 3700 of the Labor Coge. 1 shall
fortnwl comply with th se r dons.
�/��p
X __ Date Lo/�1 ___
me ontrac:or G Agen't'
Sign Lure of p a7ed
An OSHA per Is requr excavations over 5'0" deep and demolition or construc:Ion
of structures over 3 stories In height. �p3o�
NEW CONST OwELLING OCCUP SO.
2N PC—ON ( a LTI- eLos. ) I 3.Se FT. II �O�s I
NEW CONS 7. NUlil•OUTLET
NON•aFslo. ( eR.wcN clacurrs ) I I @7.50 I
POWER LPPAHA US
(.
SINGLE OUTLET da
Ex. Occup. (OUTLET OR FOrTUa ES ) I I SAL fet ' so I
Ex. OCCU FIXED •PPLNS OR
p ( ourLM IRESIO.) EA ) I I 5.00 I
Temporary Service I I 23.00
Mobile Home Facilities I I 20.00 I I
Misc. Wiring I 23.00 I I
I I I
PERMITFEE S. Q�
Contractor
MECHANICAL PERMIT I Fling Fee ; 20.00 '
Heating fW —
Cooling
Hood I 6.50 1(, rrtl
Ventilation I I R
PERMITTEE S
T Ls
Contractor
Mobile Home Installation Fee I S
Energy Inspection Fee I S r
Occ I coNsr rvPE
I
TOTAL FEE S iI
I I A. I 0 FEES; I FLOoo I COF I P PO�1_i
This permit Is hereby Issued under tete
of the Butte County Code and/or
Indicated above for which fees have
By
PERMITEXPIRESON
appiicaole provisions
Resolutions to do work
been paid.
Date I
I
:r7wn, '
Receipt No Z
w—rr B (' Ca FJ ANy.aS'FSSO ��N ..v: - .')� GG ENR�rl.aco�-,CaNr
TO: Building Department
FROM: Environmental Health
SUBJECT: Sanitation Clearance
R.H. USUNLY
Plot Plan Attached
Floor Plan Auachod /
Seatto B.D. /
G%,----, a 3 vl, n -/7 0 -
Owner,/ Location AP#
Plan Approved for: Sewage Disposal Water Supply: Public Private Well
Clearance for bedroom Md& home. Other
Hold final for:
Final clearance O. K, for:
Environmental
8/92
Specialist
'u,y��r:r{�-*.t..�,Kr �Y�`�W:f'a Y'}�s���'y'r�h`.'L'�' �v ylikidff"iitr�+;�f"jl�.,,��"��`�'�L�'�%'Y"1,Ld'tV.iivvT.;�'�i�N�+iij►■t�Y'i:'.��Y���' %�i'�-�i'�:=� �"4�47�:r.+
COUNTYOF BUTTE - DEPARTIVIENTOF BEVELOPMENT SERVICES -BUILDING DIVISION
7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE (916) 538-7541
PERMIT APPLICATION DATA SHEET
OWNER 4'0 CO�� No, �Y / `UYU -r��0
Proposed Building Use Building Inspector Date Z L
At time of permit application, I was advised the following data must be submitted prior to permit processing and/or issuance:
DATE RECEIVED BY
1. All items have been submitted . ....................................... .
2. Plot plans, 3/4 sets, signed by preparer of plans ...........
.
3. Complete plans, 3/4 sets, signed by preparer of plans . ............ .
]Engineered plans and calcs, 3/4 sets, with wet signature on plans. �oky A.t )ad
'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). ....
Mobileho e n manufacturer's installation instructions, 2 sets. .
Fees of $/ 34 l� .................... lJ'
Impact fees as shown on attached schedule. ..... .
isc,L4 California Department of Forestry plan approval/ ees.��� f......... .
�13. Flood elevation letter (100 year fl ogd),b�California ngineer. ............:::
14. Sanitation and plot plan approval //''ffJl o Health Department.
15. City of Chico plumbing permit. .................................:...... .
16. Plot plan and business license approval from City of Biggs/Gridley. ..... i.';...... .
17. Planning approval for (A) Use: (B) Parking:
18. Contact Land Development.about (A) Improvements (B) Drainage.
6. Driveway permit (construction approval required prior to occupancy). a7,6 !* 4y ... 3 --- -
20. Pre -inspection for to Bussing Ins reque
required. . to Building lnspeaor (Date)
21. Contractor's license information. (No., Name Style, Classification) . ..............
22. Certificate of Workmans Compensation Insurance . ..........................
Owner -Builder Verification (Given to owner , Mail to owner ............
6 Recorded copy of Agricultural Acknowledgement Statement. ...................
. 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 . .......................................... w`
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 er it,�_p,�socess as follows: Mail to owner. /I Ma' to contractor.
y Telephone -OWI and hold for pickup at / ce. Deliver with inspector.
Other
Parcel Creation
Acreage Applicant ✓ D;e �a L ,r
Copy of Haz-Mat form sent Health Dept. Fire Dept! )r Pollution Date
Copy of plans sent Health Dept. Fire Dept. Other Date By
The following data must be submitted prior to per it iss an e: (C*rcle new item not checked above).
1. Index permit for above items No.
2. Additional items required:
Contractor, designe wne was advised of above required data by phone _ mail Counter by Date
Contractor, designer, owner, was advised of above required data by _ phone _ mail Counter by _ Date
Plans checked by ) 8 a 0&15 Date 3.21-9Cz Plans approved by b 13 o,.r s Date)13
Sets of plans on hold in 3 File cabinet AP folder
Copy - Department of Public Works
COUNTY OF BUTTE
DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION
7 COUNTY CENTER DRIVE, OROVILLE CA 95965 TELEPHONE (916) 538-7541
PROPOSED BUILDING USE
n' SCHOOL DISTRICT FEES C9 r c-�
(paid at District Office)
2. SHERIFF FEES (paid at Building Division)
Residential...... _x R6 =$
unit amt.
Commercial (sq.ft.). x =$
3.
t
5.
7.
URBAN AREA FEES
(paid at Building Division)
Residential (per unit). x =$
#units amt.
Commercial (sq.ft.).. x =$
sq.ft. amt.
A. P. # 60 `7 0 -60
DATE Z -F
REC. # DATE REC
RECREATION DISTRICT FEES
(paid at District Office) G
THERMALITO DRAINAGE DISTRICT FEES
$400.00 (paid at Building Division)
SRA FIRE INSPECTION AND PLAN CHECK
$89:00 (paid at Building Division)
WATER TENDER FEES
(BATTALION # )
$200.00 (paid at Building Division)
CSA 87 TRAFFIC FEE
$2500.00 (paid at Building Division)
9. OTHER
At time of permit application, I was advised the above fees are required to be paid prior to issuance of the
permit.
APPLICANT DATE
O.B.- I
p}}}}}::•}X.+•}:i}i:4}}:^::^:•}}}}:4}}}i}:•is4•'}vl:}}ii?i}:�}Y:>.:!^;S•}}:GY}}:iS'i:i Q: ;:i? ::{;:i':;tiilii:;:iii::;i:;:};i.i;ii?:i;?iLi:>:ii:{::4:L�iiii
v i'rii:ji�i}iii:;:;ii:Si'{:i:';j ..\ ..r.....v ...n.lvn. :..... ..v :+v.v •.. .v .
3ry,:
:•v. is •: }iYi:•: •: i
•: •. .} viS•Y
is }:•
.S4'•
VE.��` �• •' ~r.}:` iii•.':; •'','r
Attention Property Owner:
An "owner -builder" building permit has been applied for in your name and bearing your
signature.
Please complete and return this information at your earliest opportunity to avoid
unnecessary delay in processing and issuing your building permit. No building permit will
be issued until this verification is received.
1. I personally plan to provide the major labor and materials for construction of the
proposed property improvement: YE4i4 NO[ J.
2.. I HAVE HAVE NOT[ J 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: CITY:
PHONE: CONTRACTOR'S LICENSE NO.
4. I plan to provide portions of this work, but I have hired the, following person to
coordinate, supervise, and provide the major work:
NAME:
ADDRESS: CITY:
PHONE: 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
SOCIAL SECURITY NUMBER: / �/}-
DATE: 19- 5,
NOTE: This owner -Builder Verification is required by Section 19831 and
19832 of the California Health and Safety Code.
This verification must be completed and returned to our office before
we are permitted to issue the permit.
OVER
Dear Property Owner:
An application for a building permit has been submitted in your name listing yourself as the builder of
property improvements specified
For your protection, you should be aware that as "owner -builder" you are the responsible party of record
on such a permit. Building permits are not required to be signed by property owners unless they are personally
performing their own work. If your work is being performed by someone other than yourself, you may 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 you plan to subcontract, you
should be aware of the following information for your benefit and protection:
0 If you employ or otherwise engage any persons other than your immediate family, and the work (including
materials and other costs) is $300 or more for the entire project, and such persons are not licensed as
contractors or subcontractors, then you may be an employer.
0 If you are an employer, you must register with the State and Federal Governments as an employer and you are
subject to several obligations including state and federal income tax withholding, federal social security taxes,
workers compensation insurance, disability insurance costs, and unemployment compensation contributions.
0 There may be financial risks for you if you do not carry out these obligations, and these risks are especially
serious with respect to worker's compensation insurance.
0 For more specific information about your obligations under Federal Law, contract- the Internal Revenue,
Service (and, if you wish, the U.S. Small Business Administration). For more specific information about your,
obligations under State Law, contact the Department of Benefit. Payments and the Division of Industrial
Accidents.
If the structure is intended for sale, property owners who are not licensed contractors are allowed to
perform their work personally or through their own employees, without a licensed contractor or subcontractor, only
under limited conditions.
A frequent practice of unlicensed persons professing to be contractors is to secure an "ownerbuilder"
building permit, erroneously implying that the property owner is providing his or her own labor and material
personally. Building permits are not required to be signed by property owners unless they are performing their own
work personally.
Information about licensed contractors may be obtained by' contracting the Contractors State License
Board in your community or at 1020 N Street, Sacramento, CA. 95814.
Please complete the "Owner Builder Verification" on the reverse side of this form so that we can confirm
that you are aware of these matters. The building permit will not be issued until the verification is returned.
S*n1c rel
.a
Michail C. Vieira, C.B.O.
Manager, Building Inspection
NOTE: This Owner -Builder Information is required by Section 19830 of the California Health and Safety Code.
OVER
!
And when recorded mail to:
Building Division
#7 County Center Drive
Oroville, Ca. 95965
iF'g5
9
ro
W®"( C�QID�� EN
,!'MAR 2 81996
AGRICULTURAL STATEMENT OF ACKNOWLEDGMENT
FOR RESIDENTIAL DEVELOPMENT
Section 26-8 of the Butte County Code requires this acknowledgment to be recorded prior to issuance of a building permit. The
property described herein is adjacent to land or included within an area zoned for agricultural purposes, and residents of this
property may be subject to inconveniences or discomfort from the use of agricultural chemicals, including, but not limited to
herbicides, pesticides, and fertilizers; and from the pursuit of agricultural operations including, but not limited to cultivation.
plowing, spraying, pruning, and harvesting which occasionally generate dust, smoke, noise, and odor. Butte County has established
agricultural purposes and residents within said zones and on adjacent propertyshould be prepared to accept such inconvenience or
discomfort from normal, necessary farm operations. � 1 •,s
All that real property situate in the County of Butte. State of California, described as follows:
Date:
PROPERTY OWNERS:
State of California )
County of 50 t �e- )
On 3 " before me, ✓�-�-
personally appeared ill) S L + [-l� ,(r/ e a 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/she/they executed the same in his/her/their authorized capacity(ies), and
that by his/her/their signature(s) o t instrument, the person(s) or the entity upon behalf of which the person(s) acted,
executed the " s rument.
WITNESS N h• nd and official s al. ••�,,,, OFFICIALSEAL
r : 10307s4
DEE PALMER
u NOTARY PUBUC-CAUFORNIA 0
Si nature '
i. O . ; • COUNTYOFBUTTE —�
My Comm. Expires June 22,1998
:,.P.# yqD 0
ORDER NO. BU -152451 DP
DESCRIPTION:
ALL THAT CERTAIN REAL PROPERTY SITUATE IN THE STATE OF CALIFORNIA,
COUNTY OF BUTTE, DESCRIBED AS FOLLOWS:
PARCEL I:
LOT 18, AS SHOWN ON THAT CERTAIN MAP ENTITLED, "ISHI VALLEY ESTATES
SUBDIVISION", WHICH MAP WAS RECORDED IN THE OFFICE OF THE RECORDER
OF THE COUNTY OF BUTTE, STATE OF CALIFORNIA, ON FEBRUARY 10, 1994,
IN BOOK 130 OF MAPS, AT PAGE(S) 82, 83 AND 84.
RESERVING FROM LOT 18, AN EASEMENT FOR FIRE PROTECTION, WELL AND
APPURTENANCES KNOWN AS PARCEL "B" AS SHOWN ON SAID MAP.
THIS DEED IS MADE AND ACCEPTED UPON THE COVENANTS, CONDITIONS AND
RESTRICTIONS AS SET FORTH IN THAT CERTAIN DECLARATION OF
RESTRICTIONS RECORDED MARCH 7, 1994, UNDER BUTTE COUNTY RECORDER'S
SERIAL NO. 94-09891, AMENDMENT RECORDED MARCH 14, 1995, --UNDER BUTTE
COUNTY RECORDER'S SERIAL NO. 95-08010, BUTTE COUNTY, CALIFORNIA;
ALL OF WHICH ARE INCORPORATED HEREIN BY REFERENCE THERETO WITH THE
SAME FORCE AND EFFECT AS THOUGH FULLY SET FORTH HEREIN AT LENGTH
AND GRANTEES BY ACCEPTANCE OF THIS DEED APPROVE, ADOPT, RATIFY AND
AGREE TO THE TERMS OF SAID DECLARATION.
PARCEL II:
AN EASEMENT FOR THE CONSTRUCTION, OPERATION AND MAINTENANCE OF AN
ENTRY SIGN FOR A RESIDENTIAL SUBDIVISION TOGETHER WITH ALL RIGHTS
APPURTENANT- THERETO FOR LANDSCAPING, LANDSCAPE IRRIGATION AND
LIGHTING, SAID EASEMENT BEING MORE PARTICULARLY DESCRIBED AS
FOLLOWS:
ALL THAT PORTION OF PARCEL 1, AS SHOWN ON THAT CERTAIN MAP
ENTITLED, "RECORD OF SURVEY FOR CHARLES AND DORIS TURNQUIST", WHICH
MAP WAS RECORDED IN THE OFFICE OF THE RECORDER OF THE COUNTY OF
BUTTE, STATE OF CALIFORNIA, IN BOOK 120 OF MAPS, AT PAGE(S) 50,
DESCRIBED AS FOLLOWS:
COMMENCING AT THE NORTHWEST CORNER OF SAID PARCEL 1; THENCE SOUTH
00 DEG. 04' 44" WEST ALONG THE WESTERLY LINE OF SAID PARCEL 1,.A
DISTANCE OF 30.00 FEET; THENCE LEAVING SAID WESTERLY LINE, NORTH 89
DEG. 33' 00" EAST, A DISTANCE OF 169.91 FEET TO THE BEGINNING OF A
TANGENT CURVE TO THE RIGHT ALSO BEING THE TRUE POINT OF BEGINNING;
THENCE ALONG SAID CURVE HAVING A RADIUS OF 20.00 FEET, THROUGH A
CENTRAL ANGLE OF 90 DEG. 31' 44", AN ARC LENGTH OF 31.60 FEET TO A
POINT ON THE WESTERLY RIGHT OF WAY LINE OF GARNER LANE, SAID POINT
HAVING A TANGENT BEARING OF SOUTH 00 DEG. 04' 44" WEST; THENCE
LEAVING SAID RIGHT OF WAY LINE, NORTH 89 DEG. 55' 16" WEST, A
CONTINUED
PAGE 5
14,
PARCEL II: -CONTINUED
ORDER NO. BU -152451 DP
DISTANCE OF 10.00 FEET TO A POINT ON A CURVE TO THE LEFT HAVING A
TANGENT BEARING OF NORTH 00 DEG. 04' 44" EAST; THENCE ALONG SAID
CURVE HAVING A RADIUS OF 10.00 FEET, THROUGH A CENTRAL ANGLE OF 90
DEG. 31' 4411, AN ARC LENGTH OF 15.80 FEET TO A POINT HAVING A
TANGENT BEARING OF SOUTH 89 DEG. 33' 00" WEST; THENCE NORTH 00 DEG.
27' 00" WEST, A DISTANCE OF 10.00 FEET TO THE TRUE POINT OF
BEGINNING.
PARCEL III:
AN EASEMENT FOR STORM DRAINAGE FACILITIES OVER LOT 11, KNOWN AS
PARCEL "C", AS SHOWN ON THAT CERTAIN MAP ENTITLED, "ISHI VALLEY
ESTATES SUBDIVISION", WHICH MAP WAS RECORDED IN THE OFFICE OF THE
RECORDER OF THE COUNTY OF BUTTE, STATE OF CALIFORNIA, ON FEBRUARY
10, 1994, IN BOOK 130 OF MAPS, AT PAGE(S) 82, 83 AND 84.
PAGE 6
BUTTS COUNTY PARRS DEVELOPMENT FEE CERTIFICATION FORM
CHICO AREA RECREATION AND PARR DISTRICT .
Assessor Parcel Number(s) 0(-1-7 - `'7 L-7,`0 G
Property Owner
Project Location/Address (/*., Z
Subdivision Lot Number(s)
Residential Development: (check one)
,_,-New Development Alteration/Addition Mobilehome(s)
Total Number of Dwelling Units
Comment:
building De a-rtment Representative / Da e
_Non -Residential
to Residential
_• _ Chico.Area Recreation and'Park District(CARD) certifies that,
(A plant dame) (Phone Number)
1Ao. -T_)no6, Irl 'Dr, '
(Street Address)
-(City) (State) (Zip Code)
has complied with the requirements of Butte Co. Resolution No. 90-140 by
payment for , dwelling units @ $1.189 for 'total -payment of,-'$
`CARD Re1P°resentative Date
PAID BY CHECK NO. . REMARKS:
BANK NO. q6 4 2,(j2l 17 LJ
PAID BY CASH _4- 4
RECEIPT NO.
Distribution: White --Applicant
Pink --CARD
park.fee (form revised 11/90)
Yellow --Butte Co. Building Dept.
Goldenrod --City of Chico Building Dept.
C, r9C . 2,5,8 C -01B#67251 1 }}��
N:.1., ..1�'.0
/ 7�`d 8� k �ily .i,`• ..�.:"' �y� zt wY' „ !k ! �':1 iT . rt " ,,yl.r(tj
BUTTE COUNTY: HOOL,�SJMPACT FEE CERTIFICATION FORM
(One Forir� Per Building)
I
School.District bG o _ � Building Department No.
A.P. Number Ny7-1(
06
—d6 Z Jurisdiction: ' 0 City """County
Property Owner_-
Property Location/Address -1/ L 3 S 7—U-
SubdivisonLot No.
r
Residential Development F Sq. Footage
No. of Living MHI Addition (Group R)
Units
Commercial/Industrial
g Depa Went
LSI 0
New Addition
(Floor Plans reviewed by School District Personnel)
Sq. Footage
(Including Exterior
Roofed Areas)
Dat
District Identification No. %3
(! School District certifies that
r. (! plicant)
(Street Address) (Phone Number)
(city)
has complied with the requirements of Resolution No
representing a%y(a3 square feet.
School District Representative
Paid by Check # , Remarks:
Bank Number
Paid by Cash
(State) (Zip Code) `
by payment of $ 'ya?36136
AB 2926 $
FULL MITIGATION $
-3 a5
Date
If, subsequent to the School District Representative signing this Butte County Schools Impact Fee
Certification Form, the School District is notified by the applicable Local Planning Agency that this project
is being reviewed under the California Environmental Quality Act (CEQA), this project may be subject to
additional school fees to fully mitigate its impact on the school district's schools. .
White (applicant), Yellow (building department), Pink (school district) M _ feeform.wk, (11/94)dmm
K SF
GREGORY A. PEITZ
ARCHITECT
1907 Mangrove, Suite E, Chico, CA 95926 (916) 894-5719
Structural Calculations for ...:
cr,,Q ARO,
y 4'.'
. ?, 4
No. C
.?128.3
REN.'
OF
'C
TA "ON T
APPEW'v ED
LOAD SUMMARY
*Use normal force method
*Exposure B
*Basic wind speed: 75 mph
P = Ce Cq qs I
Walls
P =
.62
*
1.3
*
14.5
*
1.0 =
.0117.
ksf
<
15
ft.
P =
.67
*
1.3
*
14.5
*
1.0 =
.0126
ksf
@
20
ft.
P =
.72
*
1.3
*
14.5
*
1.0 =
.0136
ksf
Q
25
ft.
P =
.76
*
1.3
*
14.5
*
1.0 =
.0143
ksf
@
30
ft.
Roofs 2:12
to
less than
9:12
P =
.62
*
1.0
*
14.5
*
1.0 =
.009
ksf
<
15
ft.
P =...67
* .
1 .0
*
14.5
*'1.0
=
.010
ksf
@
20
ft.
P =
.72
*
1.0
*
14.5
*
1.0 =
.011
ksf
@
25
ft.
P =
.76
*
1.0
*
14.5
*
1.0 =
.011
ksf
@
30
ft.
Roofs 9:12
to
12:12
P =
.62
*
1.1
*'14.5
*
1.0 =
.010
ksf
<
15
ft'.
P =
.67
*
1.1
*
14.5
*
1.0 =
.011
ksf
@
20
ft.
P =
.72
*
1.1
*
14.5
*
1.0 =
.012
ksf
@
25
ft.
P =
.76
*
1.1
*
14.5
*
1.0 =
.012
ksf
@
30
ft.
B COU NT
. nap
D
22-141 50 SHEE,rs
22-142 100 SHEETS
AMPAO 22-144 200 SHEETS
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BUTTE COUNTY
BUILD111IG DEPAR nn !ENT
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,
RESIDENTIAL PLAN CHECKING GUIDE
SINGLE FAMILY, DUPLEX AND MISCELLANEOUS ONLY
OWNER: Guc de`s Co L BUELDINGPERMITNUMBER: %
PLAN
CHECKER: G, s Q ol! S A.P. NUMBER: 06,
GENERAL:
Zoning requirements: (side yards and number of permitted living units).
Valuation.
Plans by designer. l
signed - N
rI/
Proper description of work on application.
>�
Existing violations on property.
Items on data sheet, (Impact Fees, Environmental Health, Developer Fees, etc.).
/
Recorded notice of violation.
PLOT PLAN:
Complete parcel size and dimensions.
Ly./
Setbacks, side yards, easements, etc.
Other buildings or structures.
i
Grading, fills and/or drainage.
Flood hazard.
J�
Special conditions on creation map (Noise, S.R.A., Fire Sprinklers, Water Tender, Trees, etc.).
F.A.U. & F.A.S. road setback.
Building or utilities across lot lines (Record form).
FLOOR PLAN:
Complete to scale plan with dimensions.
Required windows for light and ventilation (Section 1203).
for 310.4).
Required windows second exit (Section
41'*�/
Skylights (Section 2409 & 2603.7).
Glazing in Hazardous Locations (Section 2406).
�5.
Required room sizes, ceiling heights (Section 310.6).
G.F.C.I. in baths, garage, kitchen, wet bar and exterior outlets (N.E.C. 210).
2",'
Lights, switches, receptacles, and exterior receptacles for maintenance of mechanical equipment.
Location of water heaters, heating and cooling equipment, other electrical or gas equipment.
Garage firewall, door size and closer (Section 302.4).
4'1.
Minimum of one TO" exterior door (Section 1004.6).
Fireplace and wood stove location, alcoves and clearance.
Smoke detectors (Section 310.9.1).
Plumbing fixtures, water closet clearances and shower size.
STRUCTURAL DETAILS:
Conventional Construction - Unusually Shaped Buildings (Section 2326.5.4).
QV
Standard bracing or engineered design (Section 2326.11.3).
3./
Clerestory requiring balloon framing and/or engineering.
Three story building requiring engineered calculations and plans.
�i
Foundation plan complete enough to construct building.
gam/
Floor construction details complete enough to construct building.
Elevations and wall construction details complete enough to construct building.
8'
Roof construction details complete enough to construct building.
9-"'
Rafter ties or bearing ridge beam.
Fireplace construction details and cale. if necessary.
)X/
Garage door and/or porch header sizes.
XZ /
Stud heights.
Adobe soils secial f esi
Retaining walls requiring design.
Special Inspection requirements.
JANUARY 1996 3.2
MISCELLANEOUS ITEMS TO LOOK OUT FOR:
Stairway details: landings, rise and run, head clearance, handrails (Section 1006).
Guardrail details (Section 509).
Brick or stone veneer (Section 1403).
�! Exterior plaster - weep screeds (Section 2506).
;P" oper, roof pitch for roof covering (Section 1501).
Roof covering type - (fire hazard). -
Foam insulation, -,protection: :
36° halls and stairways. ' ' , `
Living area over garage - complete 1 -hour separation required on garage side including supporting walls and posts.
Two exits on three - story dwellings (Section 1003).
Underfloor access and ventilation (Section 2317.7).
1,2' Attic access and ventilation (Section 4 505)-.-, - , ".t � " ' . '.. -
13/ Comaustion air for fuel burning appliances - L.P.G. requirements.
1,4� Noise requirements on duplexes.
Energy design.
Flashing at all exterior openings.
ly C.D.F. responsible area requirements.
JANUARY 1996
3.3
yM
LAND DEVELOPMENT
BUILDING / ENVIRONMENTAL HEALTH - PERMIT CLEARANCE Building Permit No.OWNERS
NAME: role, NUMBER: L� ( ` Q(4 r�—
PRINT LAST NAM FIRST
COUNTY ZONING
DESIGNATION: S R / FLOOD ZONE: X FLOOD MAP: `> Q
APPROVED:
DEED INFORMATION:
DATE OF CREATION:
LEGAL ACCESS PROVIDED:
CONDITIONALLY APPROVED: RESOLVE PROBLEMS PRIOR TO APPROVAL:
PARCEL CREATION BY DEEDS OR MAP X
YES NO
COMPLIES WITH COUNTY STANDARDS FOR DEED CREATION
COMMENTS/CONDITIONS:
DEED REFERENCE:
LEGAL ACCESS REQUIRED:
YES
YES NO
.rsA& 61,4<eNy c�rr3r '
MAP INFORMATION:
DATE OF RECORDING a-2110 9.f LOT 18 BOOK /_70 PAGE 8 zl #.
-COMPLIANCE WITH'OLD SUBDIVISION LOT ORDINANCE REQUIRED?. (MAP RECORDED PRIOR TO -BOOK 171OF MAPS AT
,PAGE 23): YES i4 NO . IF YES, MARK APPROPRIATE ITEM(S) BELOW:
A. Construct road to B. Meet parcel size required by zone. C. Meet current E.H.D. requirements.
CHECK SPECIAL CONDITIONS WHICH APPLY TO MAP: ALL FEES TO BE PAID TO THE BU/LD/NG DIVISION UNLESS OTHERWISE NOTED.
1. Maintain a 50 ft. building setback from centerline of road.
_ 2. Maintain a ft.building setback from right-of-way/centerline of
3. Maintain a 100 ft. leachfield setback from all existing wells.
X 4. Maintain a loo ft. leachfield setback from /q4 c /0/241r'05 *V WYL 4-
5. Pay water tender fees in the amount of $ to Battalion Number of the Butte County Fire Department.
_ 6. Meet the Fire Safe Regulations of Butte County'and P.R.C. 4290.
7. Connect to a public water supply.
8. Connect to a public sewer system.
_ 9. Automatic fire suppression sprinkler systems shall be installed in all residential structures in accordance with the National
Fire Protection Association Standard for the installation of sprinkler systems in one and two family dwellings and mobile
homes, NFPA Standard 13D, unless a pressurized community water system, with hydrants that meet Fire Department
specifications, serves the parcel.
_ 10. Pay T.D.D. (Thermalito Drainage District) fee in the amount of $
_ 11. Meet the requirements of the Department of Fish and Game for the preservation of oak trees. (See phone number below)
12. Obtain approval from the Department of Fish and Game for vegetation removal. Contact Fish & Game at 916-355-7010.
_ 13. A traffic mitigation fee for each new or additional living unit shall be paid. Pay the amount of $ as stated
in the Oroville Area Traffic Mitigation Fee Agreement. Payment to be made to the Planning Division.
14. All new residential buildings shall be constructed to comply with the requirements of the Uniform Building Code for seismic
safety. Mobile homes shall be constructed on a permanent foundation system which complies with the Seismic Zone 3
requirements of the Uniform Building Code.
_ 15. Deer Mitigation fees are to be paid, if such fees have been adopted by the Butte County Board of Supervisors.
X 16. Pay school impact mitigation fees.
X 17. A development impact fee for sheriff facilities shall be paid pursuant to the provisions of Chapter 3, Article II of the Butte
County Code.
_ 18. Wood stoves and fireplace inserts shall be EPA approved and designed to meet the emission requirements of the California
Clean Air Act of 1988 as amended.
19. If any cultural resources are encountered during ground disturbing activities, all work shall cease in the area of the find
pending examination of the site by a professional archaeologist. This person would then be able to assess the site
significance and suggest appropriate mitigation measures.
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