HomeMy WebLinkAbout047-500-014-47750-44.
G Bailey 0 q"7 -,To 0
S/side Songbird, app 3/10 mi. N. of
Keefer Rd, Chico
Permit # 1934-82B,P,E,M(new single famil; C"C V -C, V�C-Q--
contr: Stephhn Burton Chico
-50-14
BILL & KATHY. VAIL 47
4776 Songbird, lot 14, Chico
BILL & AIL
V
4 7 7 p6S 'Y d , t
ir 10
Co tr_ g 0 C
Contr: Serrao Cons
(n w s f t
(new single family)
h
5
3
0
0 4
F
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4 0
7-50-14`:W-�
C �c 0
Contr: Care Free Pools h 5/
rm Chic
j P
FPermiti#287-86BsPIE(new swimm ?
3
ing Poo
047-500-014 PERMIT#95-1008
VAIL, Cathy
4776 Songbird; Chico
Cont; Conrad's P1bg
G s Service & Wtr Htr/SF
�047-500-0 14 02-1019
t BOELMAN!iGISORGE
'ik
'4776 SONG B1 RD�C1-1'1COf,',,,,
OPEN DECK
047-500-014 7- 06-0,58
BOELMAN,GEORGE
4776 SONGBIRD, CHICO
Cont: BAMEN CONS T
ADDITION
(3
-elf
PERMIT NO. 1934-82B,P,E,M
5 PERMIT EXPIRES
OWNER E6L Bailey
CONTR. Steve Burton , Chico
ASSESSOR PARCEL 47-5044
LOCATION N/side Songbird, -app 3/10.mi. N of
Keefer Rd, Chico _
' 1
Temp. Power Pole - G - y —°
Called PG&E
Temp. Elec. Service
Called PG&E
o
Temp. Gas Service
Cal led PG&E
a
JOB FINALED (Date)
Signature
OK
0 = Not OK
- = Not Applicable MOBILEHOMES MISCELLA�NEOI'c"_
= Not Ready
Date
MOBILEHOME UTILITIES (Plans) OK except #'s
1. Zoning Requ irements-Setbacks- Easements
Da te
DECKS, COVERS, CARPORTS, ETC. (Plans) 01, .,xcept
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 -.R ftrs. -Connec.-Sh thg.- R fg.- Brac i ng
5. Electricity; Location-Clearances-Grnd.-/ / Amp -Concrete
5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures
6. Gas; Location -Test -Wrap: / /"L"ft./ /" Nat. or/ /"L"ft./ LPG
6. Carports; Windows -Doors
7. Utility Clearance,
7. Elec.
Card -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 #'s
1 . Zoning Requirements -Setbacks -Easements
Date
POOLS (Plans) OK except #'s
1. Setbac ks- Easements
2. Footings; Size -Spacing -Marriage Line
2. Soils; Compact i on -Structure Stability
3. Gas; MH Test -Demand -Valve -Connector
3. Pool Structure; Steel -Connections -Thickness -Dead Men -Lining
4. Electricity; MH Test -Crossovers -Breakers -Clearances
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/O 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 Lghig.
Boxes -E nc losures- Pane I boards- Ins. to Main in Conduit
9. Exits; Insp.-Sketch
10. Cert. of Occupancy
9. Health Department Approval
10. Plumb; Cir. Test -Water Supply Test
Card B -I
Date Card -BI Date
Card -BI
Date Card -BI Date
Card B -I
Date Card -Ell Date
Card -BI
Date Card -BI Date
V = OK,
0 = NOYOK
- = Not Applicable RESIDENTIAL -(Single and Duplex)
* = Not Ready
Date
UNDERFLOOR (Plans) OK except #'s
Date
FRAMING (Continued)
1.
Zoning requirements -Setbacks -Easements
48.
Property Line Fir6vall & Openings
2.
Fig., Main; Soils-Steel-Elec. Grnd.- / / Ftg. Depth
49.
Ext. Doors -One 3' -Check Garage -3rd story, 2 exits
3.
Ftg., Garage; Soils -Steel- / /" Ftg. Depth
50.
Stairs; Width -Headroom -R ise-Run-Landing-F ire Protection
-
4. Ftg., Porches & Decks; Soils -Steel- / /" Ftg. Depth
5. Stemwalls, Main; Stee I -B lockouts -Wrapped -S lab
51.
52.
Plywood on Roof Overhang -Attic Vents -Rafter Outriggers
Sid ing-Nai I ing-Veneer
6. Stemwalls, Garage; Stee 1-6 lockouts -Wrapped -S lab
53.
Stucco Mesh -Drip Screed-Fdn. Vents-UnderfIr. Access
7.
Piers -Fireplace Ftg.-Steel
54.
Glazing Area -Glass Protecti on -Sky I ights-P last ic
8.
D.W.V.: Fall -Fittings -Test -2 way C/0 -Sewer Test
55.
Shear Walls; Nailing -Bolts
9. Gas Pipe; Size -Anchors
10.
Water Pipe; Test-Anchors-Regu lator-Sery ice Test
-1-1.
Electric; Underground
12.
Plenums & Ducts; C learance-Materi a I -Support- Ins.
13.
Girders -Sills -Anchor Bolts -Joists -Vents -Cripples
Card -BI
Card -BI
Date Card -B I Date
Date Card -BI Date
Card -BI
Date Card -BI Date
Card -131
Date Card -BI Date
Date
FINAL (Plans) OK except #'s
56. Ext. Steps -Door & Sidelight Protect I on -Land i ngs
Card -61
Date
Date Card -BI Date
PLUMBING (Permit) OK except #'s
57.
Smoke Detector
14.
15.
Water Ht.; Vent- Access -Combustion Air
Water Pipe; Test & Anchors -Nail Protection
58.
Furnace; Vents -Clearance -Comb. Air -Connector -
In Garage; Above Floor-Ducts-Mech. Protection
16.
D.W.V.; Test-Fttngs & Anchors -Nail Protection
59.
Bedroom Exiting
17.
Shower Pan; Test, First Floor -Tub Access
60.
G.F.I. & Bath Fixtures & Tub Access
18.
19.
Test Tub & Shower, 2nd Floor -Tub Access
Gas Pipe; Size & Anchors
61.
Elec. Trim & Subpanel; Breaker Sizes -Labels
62.
Stairs & Rails
63.
Fireplace or Stove; Clearances -Hearth
Card -BI
Date Card -BI Date
64.
65.
Elec. Outlets at Wood Panel; Int. & Ext.
Kit. Fixt. & Appliance; Grnd.-Air Gap -Cooking Clearance
Card -BI
Date Card -61 Date
66.
67.
Elec. Outlets & Receptacles at Kit. Counter
G , arage Fire Door; Swing -Landing -Closer
Date
ELECTRICAL (Permit) OK except #'s
68.
A.C. Duct in Garage -Damper
20.
Fixture & Transformer Clearance -Ins. Protection
69.
Wtr. Htr.; Vents -Clearance -Comb. Air-Connector-P.R.V.-
In Garage; Above Floor-Mech. Protection
21.
22.
Elec. Receptacles Spacing -Lights & Switches at Doors
Size Boxes & No. of Conductors -Stapled
70.
Plb., Elec. & Mech. Equip. Listed for Location
23.
Romex Installed Close to Edge - of Studs & C.J.
71.
Elec. Receptacles in Garage; (G.F.I.)-Romex Protec.
24.
Equip. Ground made up w/Mech. Fasteners -Bond Gas & Water
72.
1 nsu lat !on- Foam- Looked in Attic [] Yes
25.
2 Appliance Circuits in Kitchen & Conductor Size
73.
Guard Rails & Deck Construct ion -Post Caps
26.
Subfeed Wire Size ga. Cu or AI-A.C. Wire Size ga. Cu or TI
74.
Fdn. Vents & Crawl Hole Door -Drainage & Wood -Earth Clearance
Looked under Floor 0 Yes
27.
Range Circ. / / ga. Cu or Al -Oven Circ. ga. Cu or Al,
Insulated Neutral C'Yes E]No
75.
Following instld.: Drive El Yes 0 No: Walks []Yes []No;
Planters El Yes EJJ No
28.
Service -Riser Conductors & Ground -Main Disconnect
76.
Stucco; Brown -Finish
29.
Equip. Clearances; Pane I s-Motors-Mec h. Equip.
77.
A.C. Unit; Disconnect-Cirnces-Brkr. & Cond. Size -115V Outlet
30.
Clothes Closet Light -Shower Light
78.
��ents Above Roof; Plbg.-Appliance-Firepl.-Clearance to Opngs.
79.
Water Well; Disconnect, Electrical, Plumbing
80.
Exterior Elec. Trim: G.F.I. Receptacle -Underground
Card B -I
-
Date Card -BI Date
81.
Ventilation throughout House
Card B -I
Date Card -BI Dale
82.
Glass Protection
Date
MECHANICAL (Perrrit) OK except #'s
83.
Corrections from Previous Inspections
84.
Gas Test -Meters Tagged; Gas -Electric
31.
A.C. Ducts: Insulation & Support
85.
Water & Sewer Connected -C/O to Grade -HD Approval
32.
Vent Fan; Exhaust above Insulation
86.
Energy Compliance Certificate -Other Certificates
__33.
Condensate Drain & Overflow; Size & Grade
34.
Furnace -Vent; Access -Comb. Air -Return Air Vent -115V outlet
35.
Attic Access & Platform if Furnace in Attic
Card -61
Ca d -BI
Date Card -Bl Date
Card -BI Date
Card -BI
Card -BI
Date Card -BI Date
Date Card -B I Date
Card -BI
Date Card -BI Date
Date
FRAMING(Plans) OK except #'s
Comments at Final:
36.
Sills; Proper Material & Anchors
37,
38.
39.
walls; Studs -Nailing, Spacing & Bracing -Plates -Sound
Bearing Walls over Girders & Floor Nailing
Draft Stop in Walls (rat proof)
40.
Fire Stops; Furred Ceilings -Stairs -Chases -Tub
41.
42.
43.
Header & Beam -Size & Bearing
Hangers -Post Caps -Anchors -Connectors
CIng. Joist-Rftr. Ties-P�r-ii-n----Fii�oi-E�ra-c.--Tr-uss-Shthnq.-Rfnq.
Fireplace Ties or Type A Flue -Fireplace Throat
45.
4 6.
47.
Attic Access: Size & Romex Protect i on-Dra It Stop -Ins. Baffles
Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions
g-_ __Fr�_t�ecimn__
Gara e Fire Framing
JI
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COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS
nia 95965 - Telephone 916/534-4541
7 County Cente. r Drive - OroVille, Califoe
APPLICATION �ib PERMIT An
ASSESSOR PARCEL NUMBER
ZONING
-5g,
r Fit
BUILDING PERMITIF
OWK R
TELEPHONE
SQ.FT. OCC. BUILDING VALUATION
zrl—g —6o
OWNF_9'�`SMAI LING ADDRESS
Z
Cj>��RACTOR'S NAME
[TELEPHONE
y V,4 0
goCONTRACTOR /Z;7-90.0
[LING ADDRESS
r /
.0102 01- . aegz - ce—e-s: C,--/, �_- 0
_
FireplacEZge
oep P 00
-
E - /n
,rSTRUCT,ION LEND7
cem-, 7k1 kr4_ r -
UNKNOWN
I
Total Valdaiion $ y4y46- z7;?�6,
&c3 13
-
Filing Fee
$ 10.00
-LENDER'S MAIL,4NG ADDR 44
0
Permit Fee 431, ov s _&7�17�
ARCHITECT OR ENGINEER
"445-
NO.
Plan Checking Fee $
Penalty
$
ARCHITECT OR ENGINEER's MAILING ADDRESS
Permit fee i�574, -50 $
BUILDING ADDRESS
,,, j
PLUMBING PERMIT
FilingFee 10.00
-71
Each Trap
2.00-
Repair.drainage or vent piping
5.00
Water piping
'57,C) 0
LOT NO.
B [VISION
'a 1. NK
sulw J Jt
PARCEL MAP
Each q
. as water heater or vent
5.00
Gas piping system 1 5 outlets
USE OF STRUCTURE
SFV?""DuplexF1 MobilehomeF� Other
SPECIFY
Building sewer
o 0
Lawn sprinkler system
5.00
TYPE OF WORK
New P' Addition Rernodel[] Utilities[] Installation[] Other
Describe work:
Permit Fee
$ 09,00
contractor 1J,42g.,1_r 1W1,",6,
ELECTRICAL PERMIT
Ffl i ng Fee 10.00
Main service 600V OR LESS
100 AMP OR LESS,
5-60 '10,490
Main service EA. ADD -L
2-.50 2,5��)
NEW CONST. (DWELL IN
OR ADDNS. ACC. B�:
4Aq ft
0
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 Co e and my license is in full force and e fect.
f
0/40
License No6 �2m - Classification
1, as the owner, or my employees with wages as their sole compen-
sation, will do the work,and the structure is not intended or offered
for sale. (Sec. 7044)
I, as the owner, am exclusively contracting with licensed contract-
ors. (See. 7044)
I am exempt under Sec.—, Business and Professions Code
for this reason
0�
N EW CO N5TK(MUI TI L T , 2.50 ea
NO. -RE SI Do BRANCH CIRCH-Tq1_
NEW CONSTR. (POWER APPARATUS &I
NON.RESID. _SINGLE OUTLET CIR. Jr
50 @ 2150
Ex. OCCUP(OUTLETS OR FIXTURES BAL@110�
Ex. 0 OF Ul APPLINIS OR
ccup. XTELETS (RESI*D.) E
0 A.) 2.00
Temporary service
10.00
Mobile Home Facilities 15.00
Misc. Wiring 7.50
FIfelle
Permit Fee $
Contractor W,�- ;�Wcr
WORKMEN'S COMPENSATION INSURANCE
I declare under penalty of perjury (check one):
F ] 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.
F-] 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.
MECHANICA� PERMIT
Filing Fee 10.00
Heating;7,9/00,w 4-ars.-L160-ar 1,0 0
ZU4 ICV
Cool i ng 2 ;rp., 127 0 C)
Hood 3.00 X 0
Venti lation 4d 1 4. 0 C
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 ot
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 lia"s me%p, costs, and expenses #,hich may in any way accrue
i 60j dg
agai luunty K2cDnsp, ence o 2gr ding of this permit.
Z
pcl:� �_O_,;.Oft_ r1qte
X E�� 01 �_
Signature of Applicant Owner 0 Contractor Fo� Agent
An OSHA permit is required fro t* over 5'0" deep a demolition or construct-
,)neh.c.v. an.
ion of structures over 3,storie eight.
Mobile Home Installation Fee $
TOTAL PERMIT FEE
OCCUP. GROUP
TYF CON ST.
PARC
IS S U
This permit is hereby issued under
sions of the Butte County Code and/or
work indicated above for which
DIRECTOR OF PUBLIC
RVRMIT EXPIRES Date
the applicable provi-
resolutions to do'
fees have been paid.
WORKS
Date 7— J? z__
Receipt NO.- V0
WHITE-D.P.W., YELLOW-ASse�SOR, PIN�-INSPE!21R, GOLD FN R5�-APPL I CANT
P__
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0
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0
Return to DPW I
09:F1C!AL r(EC(7M05,
BUT -1 E COUNITy- uAt
AGRICULTUFAL STATEMENT OF LEDGEMENT
FOR RESIDENTIAL DEVE MENT RF_0)WS RE!`IJE� TE'D 15V
VALLE'iTITLi-Co'�
Section 26-8.1of the Butte County Code requires this�ackfiowledgementJ 13 1148 'A? l-
ot 1 1987
be recorded prior - to issuance of a building permit. ELEANOR M. BE C K ER.
CLEAk-'RECORDER 17
The property described herein is adjacent to land or included A
within an area zoned for agricultural purposes, and residents of EE
this property may be subject to inconveniences or discomfort arising
from the use of agricultural chemicals, including, but not limited to herbicides,
pesticides, and fertilizers; and from the pursuit of agricultural operations including,
but not limited to cultivation, plowing, spraying, pruning, and harvesting which occa-
sionally generate dust, smoke, noise, and odor. Butte County has established agricul-
tural zones which have as a priority use for productive agricultural purposes, and
residents within said zones and on adjacent property should be prepared to accept such
inconvenience or discomfort from normal, necessary farm operations.
All that real property situate in the County of Butte, State of California,
described as follows:
Lot .14, as -shown on, that, certain. Map entitled, "QUA I L RUN.- SURD I V.1S,1GN",-.-*whjCh llap-,
.was
recorded in the Off ice of the Recorder of the County of Butte, 'State of Cal ifornia ,
on August 28, 1980, in Book 72 of Maps, at pages 95, 96, 97, 98, and 99.
Subject to Covenants, Conditions and Restrictions recorded September 2, 1980, in
Book'2546, of Official Records, at page 424.
Date -11:�kl
PROPERTY 9WNERS:
wa
State On this the day of . 2 19 10
SS. before' me, the undersigned Notary Public, personally
C , ounty of appeared -
S
known to me to be the person(s) whose name(s)
subscribed to the within instrument and acknowledged
that executed the'same for the purposes
therein contained.
IN WITNESS WHEREOF,, I hereunto -set my hand and offici I
seal.
Notary Public
Present A.P.
STATE OF CALI
said Statef p< �on Ily- appeared
s su L*
to be the person whose name i bscribe to
sworn, deposed and said: That he resid
�Pn
that he was present and saw
personally known to him to be the same pers
ss.
bef e me, the undersigned, a Notary Public in and for
1. - —persona I ry--R—n4n to me
irXjrum_ent,/,as a witness thereto, who being by me duly'
described
in an4 who executed tol said & instrument, as
ejpart C., t s J d cleliv��d
tha I th sqi sense I 1511selses.
OFFICIAL SEAL :M.
W. J. WILING 3
duly pknowledged in I I, tha
p en of s id affian I
ex—dek4ed the same, a th h th Said affiant, thereupon a2 NOTARY PUBLIC — CALIFORNIA -E
u subs r' ed ame as a witness thereto' COUNTY OF BUTTE
WITNESS my nd an officia sea Comm. Exp. Aug. 19, 1984
Signature =11E 993101911111110116111111 Dun Bissau
N e_,tfyped or Printed) END Qk WGLAM, Ktarial seal)
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LENN GOLDMANN
979 EAST 6TH STREET CHICO, CALIFORNIA 95926 TELEPHONE 916-345-1161
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LENN GOLDMANN
979 EAST 6TH STREET CHICO, CALIFORNIA 95926 TELEPHONE 916-345-1161
vNiF7,o r to W:SP�
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2006-0014903
BUTTE
Recorded I REC FEE 25. 0
COUNTY
Official Records I
Counti of I WGIAD COPY 1.00
APR 2 1 2006 But e I
When recorded return to: DEVELOPARNT CNACE I GRUBBS I
County of Butte SERVICES County Clerk—flecorderl
I
Department of I DD
Development Services 09:41AM 24 -Mar -M I Page I of 7
Building Division
7 County Center Drive
Oroville, CA 95965-3397
Space above for Recorder's Use
(rev.5/04)
Owner Nam e: George D. Boelman and Renee G. Boelman
Building Permit No: 06-0358 (Future unfinished living space)
DEED RESTRICTION AND
NOTICE OF LIMITED USE FACILITY
1. WHEREAS, on this 21th day of February, 2006, George D. Boelman
and Renee G. Boelman
, hereinafter
referred to as owner(s), is the record owner of the following real property:
Assessors Parcel Number 047-500-014
, and as further set forth in Exhibit "A" attached
hereto and hereby incorporated by reference, hereinafter referred to as "the subject
property"; and
11. WHEREAS, the Building Division of the Butte County Department of
Development Services is acting on behalf of the People of Butte County; and
Ill. WHEREAS, the owner applied to the Building Division for a building
permit in order to develop the subject property described above; and
IV. WHEREAS, Building Permit No. 06-0358 was applied for on February 15,
2006 by the owner.in accordance with the provisions of the Butte County Code and the
California Building Code; and
V. WHEREAS, the use allowed by Building Permit No. 06-0358 has been
reviewed and approved for only the limited purposes set forth below; and
J51T
*Z /�o � I
VI. WHEREAS, it*is intended that this Deed Restriction and Notice of Limited
Use Facility shall constitute an enforceable restriction and remain in effect until a
change in use or character of use has been approved by the Butte County Building
Official or a change in law has 'occurred, either of which change allows the uses
otherwise restricted herein to be conducted on the real property described herein.
Under either circumstance allowing such change in use, Owner shall be entitled to
have this Deed *Restriction and Notice of Limited Use Facility rescinded by the
execution of a subsequent document entitled Rescission of Deed Restriction and
Notice of Limited Use Facility by the Director of Development Services; and
VII. WHEREAS, Owner acknowledges that Owner will comply with the limited
use restrictions that were incorporated in reviewing and approving Building Permit No.
0.6-0358 which enabled Owner to undertake the limited use authorized by this permit.
NOW, THEREFORE, with the issuance of Building Permit No. 06-0358 to Owner
by Butte County, Owner hereby affirms Owner's desire to develop a limited use facility,
as set forth below, which establishes restrictions on the use and enjoyment of this
limited use facility. The undersigned Owner, for himself/herself and for.his/her heirs,
assigns, and successors in interest, acknowledges and agrees� to those restrictions.
This limited use facility shall be utilized in compliance with those limitations
prescribed by'the California Building Code occupancy classification assigned by the
building official, except the following uses are not allowed: no living, sleeping,
cooking or eating. Additionally, this space will not be heated or cooled.
If any provision of these restrictions is held to be *invalid or for any reason
becomes unenforceable, no other provision shall be thereby affected or impaired.
This deed restriction and notice of limited use facility shall remain in full force
and effect during the period that this permit, or any modification or amendment thereof,
remains effective, and during the period that the development authorized by this permit,
or any modification of this development, remains in existence in or upon any part of,
and thereby confers benefit upon, the subject property described herein, and to that
extent, this deed restriction and notice of limited use facility is hereby acknowledged
Scott Rutherford,
eruilding . Division
21
and agreed to by Owner to restrict the use and enjoyment of this limited use facility and
shall be binding on Owner and all his/her assigns or successors in interest.
Owner agrees to record this Deed Restriction and Notice of Limited Use Facility
in the Recorder's Office for the County of Butte as soon as possible after the date of
execution. This- document shall be recorded and returned to the Butte County
Department of Development Services, Building Division prior to the issuance of
Building Permit No. 06-0358.
DATE: n4t -'20
Owner Signature:( �-Xp, 4�
Owner Signature:
Scott Rutherford,
ana,er Building Division
-) -'� P-11 ae-" - no C' I M
Print or Type Name of Above
NOTE TO NOTARY PUBLIC: If you are notarizing the signatures of pq;-%crl5s, signing
on behalf of a corporation, partnership, trust, etc., please use th
0;, e
�rect notary jurat
(A*nowledgment) as explained in your Notary'Public Law Bo .
STATE F CALIFORNIA'.
COUNTY O�FE
On f V( a Ica JA
Public, personally
me, ��rcue Notary
I--,' -, personally known to me
(or proved to me on the asis of sati ctory evidence) to be the person(s) whose
rT
name(s) is/are subs5crpb'ed t( P- within �innument and acknowledged to me that
-capacity(ies), and that by
h ths
he/she/they exec�Wd the same in h*s/her/the uthorized
'z'
e on(-,
t
his/her/their s�grfature(s) on the instrument the p n(s), or the entity upon behalf of
which the r)zfson(s) acted. executed th iment.
WIT
. >eSS my hand and official'seal.
Signature
STATE OF CALIFORNIA .
COUNTY OF BUTTE
On I Vavdt
Public, personally appea
(Seal)
SS.
before me,,Ay7i� Ww-�ejr,
Notary
AL99!L',,-k—
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) on the instrument the person(s), or the entity upon behalf of
which the person(s) acted, executed the instrument.
WIT SS m, -, I
h nd and offi,-ia seal
&
i5'iinature—
Scott Rutherford,
M ager, Building Division
4e, TK
AMIt-A ---- W-H-1fr1tlLIJ ---- I
COMM. #1440932
NOTARY PUBUC-MFORNLA
COUNTY OF BUTTE
comm. Expires Sept. 23, 2007
- ---------------- VWWW,.W1
(Seal)
This is to certify that the Deed Restriction set forth above is hereby
acknowledged by the Director of the Department of Development Services and that
Butte County consents to its recordation thereof.
Dated: �2/.'� �6 6
Scott Rutherford
Manager Building Division,
Department of Development Services
STATE OF CALIFORNIA
SS.
COUNTY OF BUTTE
On before me,
Public, personally appeared Se -em
t�H,W'All
Notary
personally known to me
,(GF PFeV9d te Fneon to be the person�q whose
name(s)-is/s'ir-e- subscribed to the within instrument and acknowledged to me that
he/sWtl;� executed the same in his/ber/t4eir authorized capacityo&), and that by
his/bef/tja& signatureke)-on the instrument the personko, or the entity upon behalf of
which the person (&)-acted, executed the instrument.
WMACMUM
WITNESS my hand and official seal. Cwwwaoon # is6mi
"*NY VWft - cawwft
MVCGffW80ftAW6,=4
dnature
, I (Seal)
RECORDING REQUESTED BY
BEDWELL TITLE & ESCROW COMPANY
Order# 2-187072
AND WHEN RECORDED MAIL TO
George D. Boelman
4776 Songbrid
Chico, CA 95973
IL c-31 1� c-.:) — Q5 ia ;—> a r=,, a c_,4
Recorded
Official Records
County Of
BUTTE
CANDACE J. GRUBBS
Recorder
ROSEMARY DICKSON
Assistant
11:51AM 07 -Jul -1999
REC FEE I@. N
TAX 333.85
Fay
Page I of 2
SPACE ABOVE THIS LINE FOR RECORDERtS USE
AP# 047-500-014 Grant Dmd
THIS FORM FURNISHED BY BIDWELL TITLE & ESCROW COMPANY
The undersigned grantor(s) declare(s):
Documentary transfer tax is $ 3 3 3 - 8 5
x ) computed on full value of property conveyed, or
) computed on full value less liens and encumbrances remaining at time of sale.
) Unincorporated area (X ) unincorporated area and
FOR A VALUABLE CONSIDERATION, receipt of which is hereby acknowledged,
CRAIG D. THOMPSON and REBECCA B. THOMPSON, husband and wife
hereby GRANT(S) to
GEORGE D. BOELMAN and RENEE G. BOELMAN, husband and wife as Joint
Tenants
the following described real property in the unincorporated area County of Butte
State of California: SHE ATTACHED SCHEDULE C FOR LEGAL DESCRIPTXON
,a
Craig q Thompson Rebecca B. Thompson
State of C1
County of
M
a Notuy PubUc in aTId for said
F%=MIm- -
SS.
before me,
appeared
personafly known to me (or proved to me on the basis of satisfitctory 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) on die instrument
the person(s) or the entity upon behalf of which the person(s) acted executed the
instrument.
L Aanestad
comm.
IFORNI&I
NOTARY PU:� At
t'n"Krry rij-7 BUTTF-
WITNESS My Comm. E*ms Oct. 1. 1999
Signature (This area for official notarial seal)
MAIL TAX STATENEPM TO Same As Above
Order No. 2-187072
SCHEDULE c /EK, T- A
The land referred to herein is described as follows:
All that certain real property siivate in the County of Butte, State of California,
described as follows:
Lot 14, as shown on that certain Map entitled, "QUAIL RUN SUBDIVISION," which Map was
recorded in the Office of the Recorder of the County of Butte, State of California, on
August 28, 1980 in Book 72 of Maps, at pages 95, 96, 97, 98 and 99.
AP No. 047-500-014
m
14
When recorded return to:
'County of Butte
Department of
Development Services
Building Division
7 County Center Drive
Oroville, CA 95965-3397
COPY of Document Recorded
24 -Mar -2006 2006-0014903
Has not been compared with
original -
BUTTE COUNTY RECORDER
Space above for Recorder's Use
(rev.5/04) . .
Owner Name: Georcle D. Boelman and Renee G. Boelman
Building Permit No:. 06-0358 (Future unfinished living space)
DEED RESTRICTION AND
NOTICE OF LIMITED USE FACILITY
1. WHEREAS, on this 21th day of FebruarV, 2006, George D. Boelman
and'Renee G. Boelman
hereinafter
referred to as owner(s), is the record owner of the following real property:
Assessors Parcel Number 047-500-014
and as further set forth in Exhibit "A" attached
hereto and hereby incorporated by reference, hereinafter referred to as "the subject
property"; and
11. WHEREAS, the Building Division of the Butte County Department of
Development Services is acting on behalf of the People of Butte County; and
Ill. WHEREAS, the owner applied to the Building Division for a building
permit in "Order to develop the subject property described above; and
IV. WHEREAS, Building Permit No. 06-0358 was applied for on February 15,
2006 by the owner in accordance with the provisions of the Butte County Code and the
California Building Code; and
V. WHEREAS, the use allowed by Building Permit No. 06-0358 has been
reviewed and approved for only the limited purposes set forth below; and
4
It,
VI. WHEREAS, it is i.ntended that this Deed Restriction and Notice of Limited
Use Facility shall constitute an enforceable restriction and remain in effect until a
change in use or character of use has been approved by the Butte County Building
Official or a change ' in law has occurred, either of which change allows the uses
otherwise restricted herein to be conducted on the real property described herein.
Under either circumstance allowing such change in use, Owner shall be entitled to
have this Deed Restriction and Notice of Limited Use Facility rescinded by the
execution of a' subsequent document entitled Rescission of Deed Restriction and
Notice of Limited Use Facility by the Director of Development Services; and
VII. WHEREAS, Owner acknowledges that Owner will comply with the limited
.use restrictions that were incorporated in reviewing and approving Building Permit No.
06-0358 which enabled Owner to undertake the limited use authorized by this permit.
NOW, THEREFORE, with the issuance of Building Permit No. 06-0358 to. Owner
by Butte Co unty, Owner hereby affirms Owner's desire to develop a limited use facility,
as set forth below, which establishes restrictions on the use and enjoyment of this
limited use facility. The undersigned Owner, for himself/herself and for his/her heirs,
assigns, and successors in interest, acknowledges and agrees to those restrictions.
This limited use facility shall be utilized in compliance with those limitations
prescribed by the California Building Code occupancy classification assigned by the
building official, except the following uses are not allowed- no living, sleeping,
cooking or eating. Additionally, this space will not be heated or cooled.
If any provision of these restrictions is held to be invalid or for any reason
becomes unenforceable, no other provision shall be thereby affected or impaired.
This deed restriction and notice of limited use facility shall remain in full force
and effect during the period that this permit, or any modification or amendment thereof,
remains effective, and during the period that the development authorized by this permit,
or any modification of this development, remains in existence in or upon any'part of,
and thereby confers benefit upon, the subject property described herein, and to that
extent, this deed restriction and notice of limited use facility is hereby acknowledged
Scott Rutherford,
tn,er,'uilding Division
and agreed to by Owner to restrict the use and enjoyment of this limited use facility and
shall be binding on Owner and all his/her assigns or successors in interest.
Owner agrees to record this Deed Restriction and Notice of Limited Use Facility
in the Recorder's Office for the County of Butte as soon as possible after the date of
execution. This document shall be recorded and returned to the Butte County
Department of Development Services, Building Division prior to the issuance of
Building Permit No. 06-0358.
DATE: 120
Owner Signature:
Owner Signature:
Scott Rutherford,
kanage,r Building Division
Print or Type Name of Above
-4
NOTE TO NOTARY PUBLIC: If you are notarizing the signatures of
on behalf of a corporation, partnership, trust, etc., please use the
3;
(&�nowleclgment) as explained in your Notary Public Law Boo
STATEV.F CALIFORNIA
COLIN "OF TTE
On [ K -a j�214 ;J -
Public, personally appea
ms, signing
notary jurat
me, Notary
personally known to me
(or proved to me on thep.asis of satmqctory evidence) to be the person(s) whose
name(s) is/are subscr* ed to the within iNk-ument and acknowledged to me that
he/she/they exe(�q,�d the same in h i s/h er/th elra uthori zed capaci ty(i es), and that by
u'
(s) on the instrument the pe
his/her/their signature pe,6on,,,,
or the entity upon behalf of
which the ?son(s) acted. executed the instrument.
WITXSS my hand and official seal.
Signature
(Seal)
STATE OF CALIFORNIA
COUNTY OF BUTTE
On
Public, personally app
Ss.
before me, h4q��, 11W,
Notary
1U8:n14<—
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) on the instrument the person(s), or the entity upon behalf of
which the person(s) acted, executed the instrument.
m iseal.
t'ignature
Scott Rutherford,
ag r, Building Division
- - - - - - - - - - - MANY. A R R A A A R A A R A
r;;–�,ARMISA WHITHELD I
COMM. #1440932
NOTARY PUBILIC-MFORNIA
COU"ITY OF BUTTE
ecomm. Eypires So pt. 23, 20
M MMMMMMA
(Seal)
This is to certify that the Deed Restriction set forth above is *hereby
acknowledged by the Director of the Department of Development Services and that
Butte County consents to its recordation thereof.
Dated:
Scott Rutherford
Manager Building Division,
Department of Development Services
STATE OF CALIFORNIA
SS.
COUNTY OF BUTTE
on —beforeme, Notary
Public, personally appeared 15,um 4-::�UTHeP- F:09-0
personally known to me
(QF PF8Y&GI te to be the' personksy whose
name(s4-is/aw subscribed to the within instrument and acknowledged to me that
he/shelthey executed the same in his/beHt4e�r authorized capacity0s&), and that by
his/bertUa& signaturek8l-on the instrument the personko, or the entity upon behalf of
which the person (�&)-acted, executed the instrument.
WITNESS my,hand and official seal.
nature
OMMMLLM
0ow"on 0 156MI
womy mft - Cmwrm t
suft 00MV
MV cm". a""
(Seal)
RECORDING REQUESTED BY 10 10 a 93 CE, 4E3 <3
BIDWELL TITLE & ESCROW COMPANY Recorded I REC FEE 10.00
Official Records I TAX 333.85
Order# 2-187072 County Of I
BUTTE I
CANDACE J. GRUBBS I
Recorder 11
AND WHEN RECORDED MAIL TO ROSEMARY DICKSON I
George D. Boelman Assistant I Fay
4776 Songbrid 11:51AM 07 -Jul -1999 I Page I of 2
Chico, CA 95973
SPACE ABOVE THIS LINE FOR RECORDER'S USE
AP# 047-500-014 Grant Deed
THIS FORM FURNISHED BY BIDWELL TITLE & ESCROW COMPANY
The undersigned grantor(s) declare(s):
Documentary transfer tax is $333.85 '
(x ) computed on full - value of property conveyed, or
) computed on full value less liens and encumbrances remaining at time of.sale.
) Unincorporated area (X ) unincorporated area and
FOR A VALUABLE CONSIDERATION, receipt of which is hereby acknowledged,
CRAIG,D. THOMPSON and REBECCA B. THOMPSON, husband and wife
hereby GRANT(S) to
GEORGE D. BOELMAN and RENEE G. BOELMAN, husband and wife as Joint
- Tenants
the following described real property in the unincorporated area County of Butte
State of California: SHE ATTACHED SCHEDULE C FOR LEGAL DESCRIPTXOX
Da
Craig 1� Thompson Rebecca B. Thompson
State of Califprnla.
County of SS.
On—I \ 7A� before me.
the qnde igned a otary Pub4c in d foi- said Statc ly appeared
personAy 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/herldicir signature(s) on the instrument
the person(s) or the entity upon behalf of which the person(s) acted executed the
instrument.
L Aanestad
comm. * i0_/3(V8
tun) NOTAJ:tY PU:, Jk -'..';JJF0RJ
r-n"KMITV ni: (A
fA
W NF -SS Kk
rr thy Cwm_ E -*ms Oct. 1. IM
Signature (Mis area for official notarial seai)
MAIL TAX STATEMEM TO Same As Above
Order No. 2-187072
SCHEDULE C
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:
Lot 14, as shown on that certain Map entitled, "QUAIL RUN SUBDIVISION, 11 which Map was
recorded in the Office of the Recorder of the County of Butte, State of California, on
August 28, 1980 in Book 72 of Maps, at pages 95, 96, 97, 98 and 99.
AP No. 047-500-014
L I IN E c
35
02
S"
C'l th
CURVE DArA
cS
4 R L
55' Od GG� 30.00' 49,00- vo QUAIL RUN
3o.od 015"
0.0: �0: ; .7, O� -2.18'
cli - 3 W V 57.." SUBDIVISION
0 F
31' 02' 40 40. T S'
110.00' 1 GS.q6'
DR. - SO"FIRD
3 .8, 200.00, ll�Ag* A PORTION OF PARCELS I a 2 8, ALL
OF PARCEL 3 OF THE SUBDIVISION OF
6. 1., oo� ZOO. Do' 15.72'
Go * m.e..
2.. 00' W "40.00, 13'..5' THE KEEFER RANCH IN SECTION 30,
0., 00, 35G.- .26.2., T. 23 N., R. I E., M. D.'B. St M.
Ar A,"
SHE T 2 of a BUTTE COUNTY, CALIFORNIA
se 5
NOTIL I.. Ol 360.00' OWNIPER ANND CS.UBDIVIDER
Z HE
52, �.00' .25..A* STE BURTON
AIL MTAN��3 SHOWN ARE
0 ROUND GIST -CES.
SCA., MCCAIN ASSOCIATES
— A.D L.— — ll� —.o.
SUSOIVISION NO . ........ CONSULTING ENGINEERS - SURVEYORS
SHEET 3 OF 5
AP. AID. 47 -ES-78 5 92
(OUA14 RIJN
SUBDIVISION
0
.4
0--
Eff
ex'E. .0
.3,
14'.
A,
13
iCALE 1` *0'
N. E. coA.
88* 43'24"E 227. 70� (R-21
ON
�.RCEL a
147.85 'D.e5
cl
0.9'Al.
IS.
WILSON L E
o
1.2o
M.c. GRID) NOR, A-.
27 !PS!-.
D. 9SAc.
colvrROL SCHEME
A
<
J
-/0
NOrE
O.G8Ac.
o
1. RCAA!NG$ AID DISTA—S ARE
-e"
o
C—G—ld COOADINAVE5 nNE Z.
0,E
0... A,
I so,: SO,
2. N�L-.IPL� GROLIND D13TANCC By
ID lll;.14P A,
-10 OD',All
5 .9
L I IN E c
35
02
S"
C'l th
CURVE DArA
cS
4 R L
55' Od GG� 30.00' 49,00- vo QUAIL RUN
3o.od 015"
0.0: �0: ; .7, O� -2.18'
cli - 3 W V 57.." SUBDIVISION
0 F
31' 02' 40 40. T S'
110.00' 1 GS.q6'
DR. - SO"FIRD
3 .8, 200.00, ll�Ag* A PORTION OF PARCELS I a 2 8, ALL
OF PARCEL 3 OF THE SUBDIVISION OF
6. 1., oo� ZOO. Do' 15.72'
Go * m.e..
2.. 00' W "40.00, 13'..5' THE KEEFER RANCH IN SECTION 30,
0., 00, 35G.- .26.2., T. 23 N., R. I E., M. D.'B. St M.
Ar A,"
SHE T 2 of a BUTTE COUNTY, CALIFORNIA
se 5
NOTIL I.. Ol 360.00' OWNIPER ANND CS.UBDIVIDER
Z HE
52, �.00' .25..A* STE BURTON
AIL MTAN��3 SHOWN ARE
0 ROUND GIST -CES.
SCA., MCCAIN ASSOCIATES
— A.D L.— — ll� —.o.
SUSOIVISION NO . ........ CONSULTING ENGINEERS - SURVEYORS
SHEET 3 OF 5
AP. AID. 47 -ES-78 5 92
`3
0
East
South -7
West
Skylights
(c) south Overhang
Length of pro.jection _20Lft. Description
C1 (D) Moveable insulation: Area ft-' Description
(E) Thermal mass
Fype
'MC= Location
2 p.=
- Are -a Ft.
Type rea t
11C Location ou --% t e Y—,.
Ir Area
MC=.
Location
Type
HC=
Location
Type
MC=
L.3cation
Ty p e
RESIDENTFIAL ENZER PLAN C11ECK/jNSPFC'f`.0 SUI il%r\Y
0-;;-ner
Lo C: -a z i 0!
Climate Zone -ZL— Permit 7o
J
Floor Area
Compliance
'kage D A El B El C ED point System 0 Budget 0 other
Pac
path:
14IN
R -VALUE DESCRIPTION
REQ'D
INSTALLED
ITEMS
(1)
r/
INSULATION:
Roof/Ceiling
Wall
Slab Floor Perimeter
Raised Floor
_D
(2)
-INFILTRATION:
(A) A vapor barrier is required in climate zones, 1, 14 & 1.6.
(B) All manufactured windows and sliding glass doors shall meet the
1972 ANSI Air Infiltration Stand ards and shall be certified�and
labeled.
(C) All swinging doors and windows leading to unconditioned areas
shall be fully'weatherstripped.
C43UNW
Tight the above standard features plus AVILDING DE
infiltration barrier PARTMEW
(D) Continuous
(E) Electrical outlet plate gasket A
PROVED
(F) Air-to-air heat exchanger
(3)
GLAZING:
(A) Location
Area Glazing %FloorVrea Single Double' Triple
Ig 0 -
Total Bld t 2
North 7,,o
19
East
South
D
West
8,
Skylights zn
(B) Shading
Shading
Coefficient Description
`3
0
East
South -7
West
Skylights
(c) south Overhang
Length of pro.jection _20Lft. Description
C1 (D) Moveable insulation: Area ft-' Description
(E) Thermal mass
Fype
'MC= Location
2 p.=
- Are -a Ft.
Type rea t
11C Location ou --% t e Y—,.
Ir Area
Area Ft.L HC=_
Arca —Ft. HC=—
Are-
MC=.
Location
Type
HC=
Location
Type
MC=
L.3cation
Ty p e
NC=
Lo C: -a z i 0!
Area Ft.L HC=_
Arca —Ft. HC=—
Are-
D
*1
D
El
99
W
(4). MASO AND FACTORY-BUlUT FIREPLACES shall be equippekA with tight
fitting closeable metal or glass doors covering the en tire opening
of the'firebox; a combusion air in.take equipped with a readily
accessible, openable, and tight fitting damper to draw air from the
outside of the building; and a tight 'fitting flue damper with a
readily accessible*control.
(5) HEATING, VENTILATING, AIR CONDITIONING SYSTEM
(A) Heating
Central Gas -Furnace
E
(brand.and model number) SE
Btu/hr
(heating.capacity)
Heat Pump
(brand and modei number) ACOP
Btu/hr
(heating I capacity at 47*F)
Active Solar
model number
orientation
rated slope
other
type (liquid or air)
solar fraction
Collector brand and
ft2
collector area collector
collector tilt rated y -intercept
(describe)
(B) Coolinc'
Electric Air Conditioner
(brand and model number) (seasonal EER.)
Btu/hr
(cooling capacity at 95'F)
Electric Heat Pump 4 re�, L —;'c
EER
_Z ---?' Btu/hr
(cooling capacity*at 95*F)
other
(describe)
(C) A TUO-STAGE THERMOSTAT, which controls the supplementary heat on
its second stage, shall be required for heat pumps.
(D) A14 AUTOMATIC SETBACK'shall be provided for all thermostats, except
those controlling heat pumps.
(E) AN INTER14ITTENT IGNITION DEVICE shall be provided' for all gas-fired
fan type c-entral furnaces, gas-fired . fan type wall furnaces and
gas cooking appliances.
(F) BACRD_Pu%FT DAKPERS shall be provided for all fan'systems exhausting
air to the outside.
DUCT CONSTRUCTION & INSULATION. All transverse duct, plenum, and
fitting joints shall be sealed with pressure sensitive tape or
mastic to prevent air loss and shall be insulated to conform to.
th,:. Dr -,visions of Section 1005 of Oii.: 1976 Edition.
2
I
(6). DOMESTIC WATER SYSTEM
(A) Gas Only Gallons
_�brand and model.number) (tank size)
Heat Pump w/ElectricBackup
(brand and model number)'
Gallons
(tank size)
2
Active Solar.
(collector brand and model number)
(rated y -intercept) (rated slope) (solar fraction) .
2
ft
(backup heater type, brand and model number) (collector area)
(collector orientation) (collector tilt)
Location of Solar Panels
other
(Describe)
(B) TANK INSULATION. Storage -type water heaters and storage and
backup tanks for solar systems shall be externally' wrapped with
R-12 insulation or greater.
(C) PIPE INSULATION. The five leet of pipe closest to the water
heater and outside conditioned space shall be insulated with a
minimum of R-3. Steam and steam conditioned space shall be
insulated with a minimum of R-3. Steam and steam condensation
return piping and recirculating ho ' t.water piping outside the
building envelope shall be insulated -in accordance with
T20 -1408(d).
(D) FLOW RESTRICTORS shall be provided for showerheads and faucets
as outlined in the new appliance efficiency standards and shall
be certified to the Energy Commission.
(7) LIGHTING
(A). Lamps used in luminaries for general lighting in kitchens and
bathrooms shall have an efficacy of not less than 25 iumens per
watt (usually florescent).
Submit documentation of sizing heating and cooling equipment by Manual J, sizing
charts (form V`4) or other approved 'methods, section 2-5352(g), and fill out the
followinS; . I
C)
Winter design temperature elevation,�-_----.,�� heating load(;f.O BTU
2evatian factor lo,60 x heating load maximum outlet capacity gas furnace
ao -a 'BTU*
Summer design temperature cooling load BTU
Heating:
cooling:
Submit T.I.P.S.E. chart or other approved systea; (form, 7'�5) to document sizing of
solar panels.
DESIGN C01'PLIANCE STATEMENT: The above building design meets the requirements of
Title 24, 11'art 2, Chapter 2-53 of the California Administration Code.
-;C DEESI GNER OR- APPL CAI --I
SlGi�ATUK:
3
GLAZING PLAN TAKEOFF SHEET
3-5 North Glazjn_&
I)QUANTITY SIZE
AREA
(SQ.Fr.)
(a) x <
b) x
(c x
(d) x
(e) x
Total North Glazing
,��e
(SQ.FT.)
(a+b+c+d+e)
TOTAL
NORTH TOTAL BLDG CONVERSION
TOTAL
%
3LAZING FLOOR AREA FACTOR
NORTH
GLAZING
x
SQ.FT. SQ.FT.
100 %
7.,o
3-7 South Glazing
QUANTITY SIZE AREA (SQ.FT.)
(a) 0�x
-(b) x
(c) x
(d) x
(e) x
Total South Glazing (SQ.Ff.)
(a+b+c+d+e)
Sily
TOTAJ
SOUTH TOTAL BLDG CONVERSION TOTAL %
,LAZING FLOOR AREA FACTOR SOUTH GLAZING
4� 754 oy
V x 100
SQ.. Ff . SQ.FT.
3-9 SkyliZ�Lts
QUANTITY SIZE AREA (SQ.FT.)
(a) x
(b) x
(c x
Total Skylights (SQ.Fr.)
(a+b+c)
TOTAL
;KYLIGHT TOTAL BLDG CONVERSION TOTAL %
;LAZING FLOOR AREA FACTOR SKYLIGHT GLAZING
x 100 A
SQ. F -r. SQ.FT.
)WNER
'ERMIT NO.
8 3
Z
3-6 East Glazing
QUANTITY SIZE AREA (SQ.FT.)
(a) x
(b) x
(c) x
(d) x
(e) x
Total East Glazing ,,n (SQ -FT-)
(a +b +c +d +e )
TOTAL
EAST TOTAL BLDG
GLAZING FLOOR AREA
x
SQ.FT. SQ.FT.
CONVERSION TOTAL %
FACTOR EAST GLAZING
100 = e��. 4,,- %
3-8 West Glazing
QUANTITY SIZE AREA (SQ.FT.)
(a) x
(b) x
(c) x
(d) x
(e) x
Total West Glazing (SQ.FT.)
(a+b-i-c+d+e) -
TOTAL
I -TEST TOTAL BLDG CONVERSION TOTAL %
GLAZING FLOOR AREA FACTOR WEST GLAZING
X 100 %
SQ.FT. SQ.FT.
VO INTS
PEMIT NO. ASS I r : L D ACTUAL
SIXI - I:inL;L.ATIO:l
2 . PAISED FLOOR R-19
3. CEILII:G - R-30 3p�>
WALL - 11-19
NORT11 GLAZING
EAST GLAZING
7. SOUTH GLAZI':C
* 3. WEST GI.AZI::G
9. SKYLIGHT
2.4-3.6Z
2. 5 - 3. 67.
1.6-3.67.
2.9-3.6% e-�
0-1.3% e-_->
10. SIIAI)I,'.'G (Exclude Overhang)
EAST - .67-.82
SOUTH - 19 4 2
WE S T - .13-.36
SKYLIGHT - .37-.57
11. HORIZONTAL SOUTH OVERIIIANG 2'
12. MOVABLE IUSULAT1311 - NONE
13. INFILTRATION (Standard-0)(Tiq�t-+12)
I to. THERMAL MASS :_F/ S F
15. GAS FURNACE (SE) 71-76%
WW
IL
0 ,
--ce
IA. HEAT PUIrP (EER) 7.5-7.9% +3
17. DUAL PACK ISE, SEEP.) 8.0-8.3/71-76%
11. ACTIVE SOLAR 60� HIN (OONE)
In. ZONALLY CONTROLLED ELECTRIC
:-) - SOI,\R UITII GAS BACKUP (1114)
21
O'NER - INO ELECTRIC I rw)
v2(o ITEIIS SHOURN - ZERO PO1MTS:_4,,gvP
fable 3-1. Slab floor rot
f! nts
&-value of I"141tion
t I., I
Dqrth. I I
0-1 1 34 5-6 7+
it 1 -3 1 -)
0
10 0 +1
It
7/7 7-9 3
Table 3-2. Raised Floor Points
T 7-
R -value of
Insulatioa Points
__7
below 3 -12
3 - A -8
5 7 -6
a 12 _4*
13 18 2
.194. 0
Table 3-3s. Ceiling Insulation
Points
I It -Value of Insulation Points
22 -2
A 0
38- +2
49 +4
Table 3-4s. Wall Insulation Points
R -Value of Insulation.,I Points I
-7
19 0
24 +2
30 +3
Table 3-5-North-l'scing Clazinit Pts
Glazing Type
Total
I of I Sng1 F -5-b-1 _. __F-T-r`p`j-
'T
Floor U - U - U - I
Aie4 0.66 0.42- 0.41
1.10 0.65 do�n
0 4 4 4 4 +4
0.1- 1.2 4.4 +4 +4
1.3- 2.3 +1 +2 +2
2.4- ).6 -2 0 +1
3.7- 4.8 -4 -2 -1
4.9- 6.1 -7 -4 -3
6.2- 7.3 -9 -6 -5
7.4- 8.2 -12 "or 1 -7
8.3- 9.7 -14 -to -8
9.8-10.8 -17 -12 -10
10.9-12.0 -19. -14 -12
12.1-13.2 -22 -16 -13
13.3-14.5 -24 -18 -15
14.6-15.3 -27 -20 1 -t7
Table 3-6.' East-Facinq Clazinx Pts.
I Glazing Type
Total I
Z of I Sn&l. I Dbl. r__T_r_p_jT
Floor 1 (11 - I (U - I (U . I
Area 1 1.10) 1 0.65).1 0.41)1
1po!nts Ipolnts IpoIntsI
4 .1 _T
I up to 1.3 1 +3 _1764-11 1+44
1.4- 2.4 +1 42 +2
2.5- 3.6 -2 0 0
3.7- 4.6 -5 -2 -1
A-7- 5.6 -8 -4 -3
5.7- 6.7 -10 -6 -5
1 6.8- 7.7 -13 -8 -7
1 7.8- 8.7 -15 -10 -8
I II -a- 9.7 -17 -12 1 -10
9-8-11-2 -21 -15 1 -13
11-3-12-7 -25 -18 -1 -15
12-8-14.0 -23 -21 -18
1-14-1-15-3 -32 .1 -24 -20
Table 3-7-
T -.
'South-Faci
i__r__1n3_GIAtIn3 PtTs
'fable .3-10.
Shading Coefficient F(
6.4
Glazing Type
to
SC by
to
to
Total
Z
I
6.3
Orlen�
Floor Area'
+1
of
Sngl, Dbl.
Trpl,
Cation
0
o
0
floor
(U (U - I
(U I
-3
-6
-58--82
-1 1
Area
.1.10) 0.65)
-11
.83 up
-2 1
I
-4
-8 1
I
-
1points JjLaLs _I_po
I n t s
East
1 3.2 1
0
1 + 3 +
0-3.1
t o
6.4
up to I. -S
+2 +2
1
+Z
6.3
1.6- 3.6
.-1 1 0
0
3.7.- 5.2
-4
-2
5.3- 6.5
-6
-3
0 -.19
0
1 +1
6.6- 7.7
-9 -6
-5
.20-..36
0
0
7.8- 8.9
-11 -8 1
-7
.37-.66
0
9-6-10.0-
-13 -10
-9
.67-.82
o
-0
0
10-:1-11. 5
-17
-it
.83 up
0
-1
11.6-13.0
-21 .4
-14
13.1-14.5
-25 1 -19
-16
___T__T
14.6-16.0
-23 1 -22
-19
South
0
3.2 6.4 1
s.r
I
to
to to
to
Table 3-8.J
We3t-FaCinq Clazin
PC
3.1
6.3 7.9
-T-
9.3
1
I
1
I . Glazing Type2L_��
1
o --18
0
+1 +2 1
+2
Total
I
'19 .42
0
6'1 0
0
Z f
I Sn I I D"
.43-.66
0
-1 1 -2
-2
. I I rpL
Floor (U - - M
Area 1-10) 0.63) 0.41)1
oints t'I
,L%n �sj
6
6 p Sl 2- ST
o + �
I up to 1.3 +5 +6
1 1 4- 2.2 +3 +4 +5
2:f- 2.8 0 +2 +3
2.9- 3.6 -3 0 + I
1-?- 4.2 -5 -2 0
-4.3- 5.0 -8 -4 2
5.1- 5.6 -10 -6 A
5.7- 6.2 -13 -8 -6
6.3- 6.9 -15 -10 -7
7.0- 7,6 -18 -12 -9
7.7- 8.2 1 -20 -14 -11
8.3- 8.8 -22 -16 -13
8.9- 9.5 -25 1 -18 -15
9.6-10.1 -27- 1 -20 -16
10.2-11.0 -29 '-23 -17
11.1-tl.8 -35 -26 -21
11.9-12.7 -38 -29 -24'
12.8-13.5 -42 -32 -27
13.6-14.3 -46 -35 -29
14.4-15.2 -50 1 -33 1 -32
I" ble 3-9. 'Skyllht Points
T __7
1 Glazing Type
Total I
I of T -SnCl. I Dbl.-- I I
Floo r U - u . I u
Area 0.66- 0.42- 1 0.41
1.10 0.65 do" I
__T
up to 1.3 0 0
1.4- 2.2 -3 -2- -1
2.3- 2.6 -6 -4 -3
2.9- 3.6 -9 -6 -5
3.7- 4.2 -11 -8 -6
4.3- 5.0 -14 -10 -8
5.1- 5.6 -16 -12 :10
5.7- 6.2 -19 -14 12
6.3- 6.9 -21 -16 -13
7.0- 7.6 -24 -is -15
7.7- 8.2 -26 -20 -17
8.3- 5.8 -28 -22 - 19
8.9- 9.5 -31 -24 -21
9.6-10.1 -33 -26 -22
- J.- _J .- _ -1
1 .67 up 1 0 1 -2 1 -4 1 -,
Weft
.1
1.6
3.2
6.4
to
to
to
to
1.5
3.1
6.3
7.7
0
+1
+3
-6
.13-e36
1 0
0
o
0
-37-.57
0.1
-1
-3
-6
-58--82
-1 1
-3
-6 1
-11
.83 up
-2 1
I
-4
-8 1
I
-16
Skylight .1 1 .8 1.6 3.2
to to to to
.7 1.5 3.1 3.9
0-12 0 +L +3 f6
.13-.36 0 0 o 0
.37-57 0 -1 1-3 -5
-58--62 -1 -3 -6 1 -12
.83 up -2- -4 -8 -16
Table 3-11. Hartzo'nt.1 So.t.,
Overhano. Potn'tF
T_ South Clazing r
Len etis out Area, I of Floor
fr
07twall
0-6.3 6.4 up
0
0.6 1.6 -2 -3 1
1.1 1.9 -1 -2 1
2.0 up 0 0 1
Table 3-12. Mo,able Insulation
Points
Movesibli Insulatioe'l
Area, I of Floor Points
0 3.5
0
5.6 it.$ +2
11.6 17.5 +4
17.6 23.5 +6
>23.6+ +8
06-0358
047-500-014
IN 0 T E S 7, BOELMAN, GEORGE
4776 SONGBIRD, CHICO
(5: 'EkT tln\T(Zlr
C- )r—f
-1
Cont: BAd,-
—CIC
Lot-
ADDITION
r,-r--,3lUt:N I IAL
e
Add ;4,
v
i
APN-. Permit No.
Owner.
Site Address:
Contractor
Type of Permit:
i'�
J4
114k
� -0� . — I
p 1, �?
-5qq,
SPECIAL CONDITIONS
CHECKED BY
SRA
FLOOD CERTIFICATE EQUIRED
FIRE SPRINKLERS REQUIRED
SPECIAL INSPECTION ITEMS
VERIFY
USE PERMIT CONDITIONS
SUB -STANDARD HOUSING LETTER
ENCROACHMENT PERMIT
REINSPECTION FEE PAID
ENV HLTH CLEARANCE
-- 11-40-
R -e e e r
DATE JOB FINALED: Zlla?41111
SIGNATURE:
= OK
= Not OK
f- RESIDENTIAL (Single & Duplex)
DATE JU N DX:RIF L 0 0 R I DATE IP L U M WfN,G
iZgefing-S tbacks-Eas ements-Flood-S lope -
Vtg Main; Soils-Elec Grnd , - .- -_ Ftg Dpth
3 Ftg Garage; Soils-Steel-Elec Grnd Ftg Dpth.
4 Ftg Porches/Decks; Soils -Steel Ftg Dpth�
5 Sternw-alls Main; Steel-Blockouts-Wrapped
6 mwalls Garage; Steel-Blockouts-Wrapped
�Holrd Downs and Special Anchrs
7 Slab, Steel Wrapped
a P, F Ic Ftg-Steel
,,;r rp
V; Fall -Fitting -Test -2 -way CIO -Sewer Test
10 UF Gas Pipe; Sz Anchrs-Sz Test
i�wft- Pipe; T6st-Anchrs-Rgitr-Service Test
12 5aeUndrgrnd
:'Plepums & Ducts; Clrnc-Material-Support4nsultn
.�i,
. 'd -Sills-Anchr BoltsJ oists-Vnts -Cripples
15 Acc & VntItn
16 Insulation
2-- 'a 1% . . ___ e*
DATE IF R A_04 -N G
U -if roper Materia (& Vn
�PT If SKS* , 1�
=U,,Wa Studs -Nailing So= �Baces-Plates-Souncl
j�ear
' gWalls over Girders & fir Nailing
r
top in Walls (rat proof)
5 1 ree .'Furred Ceilings -Stairs -Chasers -Tubs
rs & Beams-Sz & Bearing
a n5s -sF
Per Post Caps-Anchrs-Cnnctns
91-1201ing Joist-Rftr Ties-Purlin-Roof Brac-Truss-Shthg
25 Frplc Ties or Type A Flue�Frplc Throat CIrnc
26 AtUz7�_cc; Sz & Rmx Prtctn-braft Stop4ns Baffles
?,Z,,ddrm Wndws'or Exiting Doors -Sill Ht & Dimensions
28 Garage Fire Prtctn Framing -RC Ctiannel
29 Prpoy-Une Firewall & Opngs
aa.1255 Doors -One T -Check Garage 3rd Story, 2 Exits
31 Stairs; Width-Hdrm-Rise-Run-Landing-Fire Prtctn
J-11,01 OE GZ-<ywd on Roof Ovrhng-Attic Vnts-Rftr Outrgrs
33 Siding -Nailing Veneer
34 Stuc Lath -Weep Screed-Fn�tn� Vnts-UndrfIr Acc.
azing Area -Glass Prtctn-SkyLts-Plastic
36 Shear Walls; Nailing -Bolts
(--ib-01 0 C__W��Ext Wall prils
38 lns��IW-Walls-Ceilings
3,9��jltratlon-Walls-Wndws
41
DATE k JELECTRICAL
40 FxtVTmsfrmr Clmc4ns Prtc:tn
cptcls Spacing-Lts & Switches at Doors
4mex es & No Of Cndctrs Stapled
mex Installed Close to Edge of Studs & CJ
Eqp Grnd made up w/Mech Fstnrs
p r
5 Gqrndng Electrode Bond Gas & Wtr
46 2 Appinc Circs in Ktchn & Cndctr Sz GFI AL
47 Subfeed Wire Sz ga CU or
AC Wire Sz 92 CU or AL
48 Range Circ ga OCU orEJAL
Oven Circ g. EICU or E] AL
Insulated Neutral E] Yes E:]No
e . e -Riser Cndctrs & Grnd Main Dscrinct
p rnr-s pnls-Motors-Mech Eqp
thes Closet Lt-Shwr Lt -Spa Lt
Smoke Detector
E2X,. Vent-Acc-Cmbstn Air Baffle
p _T.�.
X.- t & Anchr-Nail Prtctn
R.,Test Fittings & Anchr Nail Prtctn
Par
Pan; Test First Hr -Tub Acc
57 Test Tub & Shwr, 2nd fIr - Tub-Acc
58 Gas Pipe; Sz & Anchrs
59 Fire Sprinkler; Test
60 Yard Gas Piping
-0-1 , Q e
DATE IM ECH�kAl CAL
fl,&Q-115ucts Insultri & Support
aj'_�an, Exhaust abv Insultn
63 Condensate Drain & OvrfIw, Sz & Grade
64 Furnace -Vent Acc-Comb Air Rtrn/Vent 115 Outlet
65 Attic Acc & Pltfrm if Furnace in attic
bc-
01 0111 0
1 41
& SideLt Prtctn-Landings
Furnace Vnts-Clenc-Comb, Air-Cnnctr
In Garage; abv-flr-Ducts-Mech Prtctn
69 BedYA3dfm Exiting
%9-19'Fl & Fxtrs & Tub Accl -Spa
rc Fault
lec Trim & Subpnl, Breaker S7:s & Labels
St.i
V'
3 Stairs, GuardlHandrails
74 Frplc or Stove, Clrnc-Hearth
75 Elec Outle(ts at Wood Pril, Int & Ext
76 Ktchn, Fxtr & Appinc; Grnd-Air-Gap-Cooking CIrric
_T7 Elec Outlets & Rcptcls at Ktchn Counter
78 Garage Fire Door, Swing -Landing -Closure
79 AC Duct in Garage -Damper
80 Wtr Htr; Vnts-Clmc-Com Air Cnnctr-PRV; abv fIr
Mech Prtctn; LPG Appince Undr House 3" drain
81 PImb; Elec & Mech Eqp Listed for Lodn
82 Elec Rcptcls in Garage (GFQ Romex Mctn
__83 lnsultn-Foam-Looked in Attic
84 Guard Rails & Deck Cnstrctn-Post Caps
— 85 Fndn Vnts & Crawl Hole Door Drnge & Wood -Earth
86 CIrnc Ornge Planters E]Yes E]No
87 Stucco Brown -Finish
88 AC Unit Dscnnct, Elec-PImb
89 Vnts abv Roof, PImb-AppInc-FrpIc-CImc to Opngs
90 Wtr Well, Dscrinct, Elec, Plmb
91 Ext Elec Trim, GFI Rcptcl-Undrgrnd
92 Vntl ru House
ctn
_:Zrresctions from previous Inspctns
95 Gas Test -Meters Tagged, Gas-Elec
96 Wtr & Sewer Cnnctd-C10 to grade -HD ApprvI
-97-En.p,;OCmpincCert-OtherCerts
941Cd-dress Posted
99 Fire Sprinkler
OK
Not OK
MANUFACTURED HOMES
MISCELLANEOUS
DATE Lj PERMANENT FOUNDATION SOFT -SET
1 Zoning -Setbacks -Easements
2 Soils; Special MH Support Sketch
3 Sewer; Loctn-Test; FalUC/0-Concrete
4 Wtr; Loctn-Test-EaSement Needed-Re6ulator
5 Elec Loctn-Clrncs-Grnd __ Amp -Concrete
6 'Yard Gas; Loctn-T6st-1Wrap. Nat 0 or LPf
Inch Sz — Ft Lngth
7 Blckng; Sz-Spacing-Marriage Line
8 Gas; MH Test-Demand-Valve-Cnncti
9 Elec MH Cntnty Test-Crossovers-Breakers-Cirncs
10 Drain; MH Test -Fall -Flex Cnnctr
I I Wtr & Sewer Connected -VO to Grade
12 Gas and Electricity Tagged
13 Tie Downs F-1 Foundation
14 Exits
15 Cert of Occupancy
16 HUD Labellinsignia Numbers Serial Numbers
DATE IDECKS-COVERS-CARPORTS-GARAGES
I Zoning -Setbacks -Easements
2 Ftgs; Soils -Sz-op th-S pacing -C nn ctrs -S tee I
3 Decks, Girders/Joists-Dcking-Brcing
Stairs-Guard/Handrails
4 Wood Awn; Posts-Beams-Rftrs-Cnnctrs-Shthg
Frmg-Brcng
5 Alum Awn; Columns-Cnnctns-Splice-Decal-Encisrs
6 Carports; Wndws-Doors
7 Electric
8 Frmg; Sills-Anchrs-Studs-Rftrs-Trusses
9 Siding; Nailing -Veneer -Stucco -Lath
10 Roof; Shthg-Roofing
11 Ext; Steps -Doors -Landings
12 Braced Wall pnIs
4 -
DATE IPOOLS
I Setbacks -Easements
2 Soils; Compaction -Structure Stability
3 Pool Structure; Steel -Cn nctns -Thickness
Dead Men-Uning
4 Elec Rcptcls/Lting; Distance-GFI
5 Elec Pool Lfing; 15volts-GFI
6 Elec Enclsrs; Conduit Entries -Terminals -Listed
7 Elec Bonding; Metal w15'-CrcItng Eqp-Htr
8 Elec Grndng; Eqp w15' CrcItnq Eqp-Pool Ightg
Bokes-Encisrs-prilboards4risultri to Main Conduit
9 Health Dept Apprv1
10 Pimb; Cir Test-Wtr Supply Test
I I Lt Niche
12 Enclsr; Fencing -Alarms
13 Bonding, Diving board or Slide
Pool Drawing
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.
BP060358
B. C. Building Permit 01-16-04 pg 1
LICENSED CONTRACTORS DECLARATION
I hereby affirm under penalty of perjury that I am licensed under
provisions of Chapter 9 (commencing with Section 7000) of Division 3 of
Issued Date: 03/29/2006 APN: 047-500-014-000
the Business and Professions Code, and my license is in full force and
effect.
Site Address: 4776 SONGBIRD CHI
License Class License Number:
Map Index:
Date: Contractor:
Description: MUTIL-STORY ADDITION (380)
OWNER -BUILDER DECLARATION
I hereby affirm under penalty of perjury that I am exempt from the
Contractors' State License Law for the following reason (Sec. 7031.5
Business and Professions Code: Any city or county which. requires a
Owner: BOELMAN GEORGE D & RENEE G
permit to construct, alter, improve, demolish, or repair any structure, prior
to its issuance, also requires the applicant for such permit to file a
signed statement that he or she is licensed pursuant to the provisions of
4776 SONGBIRD
the Contractor's State License Law (Chapter 9 commencing with Section
CHICO, CA
7000) of Division 3 of the Business and Professions Code) or that he or
she is exempt therefrom and the basis for the alleged exemption. Any
95973
violation of Section 7031.5 by any applicant for a permit subjects the
applicant to a civil penalty of not more than five hundred dollars ($500).):
1, as owner of the property, or my employees with wages as their
sole compensation, will do the work, and the structure is not
intended or offered for sale (Sec. 7044, Business and Professions
Code: The Contractors' State License Law does not apply to an
Applicant: BALKEN CONSTRUCTION
owner of property who builds or improves thereon, and who does
such work himself or herself or through his or her own employees,
provided that such improvements are not intended or offered for
500 ORIENT STREET #160
sale. If however, the building or improvements are sold within one
CHICO, CA 95928
year of completion, the owner -builder will have the burden of
proving that he or she did not build or improve for the purpose of
(530) 624-1100
sale.).
1, 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: BALKEN CONSTRUCTION
and who contracts for such projects with a contractor(s) icensed
pursuant to the Contractors' State License Law.).
500 ORIENT STREET #160
13 la E t derArticle oftheBusine� and VPr felsons Code
67 6Owner:
CHICO, CA 95928
D a t f
WORKERS' COMPENSATION DECLARATION
I hereby affirm under penalty of perjury one of the following declarations:
License #: 575741
0 1 have and will maintain a certificate of consent to self -insure for
workers' compensation, as provided for by Section 3700 of the
Labor Code, for the performance of the work for which this permit
is issued.
Architect:
Q 1 have and will maintain workers' compensation insurance, as
Engineer.
required by Section 3700 the Labor Code, for the performance of
the work for which this permit is issued. My workers' compensation
insurance carrier and policy number are:
Carrier:
Total Square Ft: 380 S.F.
Policy #:
Valuation: $24,700.00
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
6ecome subject to the workers' compensation laws of California,
and agree that if I should become subject to the workers'
compensation provisions of Section 3700 bor Code, I shall
forthwith comply . th those provisions.
Zo
Date:.0
975
Applicant7
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 pervilliis herebCstied un er the a icable provisions of the Butte Oounty Code and/or
I hereby affirm that there is a construction lending agency for the
performance of the work for which this peemit is issued (Sec 3097 Civ.) '
Resoll r 7!1, i n J abov or which fees have been paid.
ons to or dicat d
2
7:�—
By: Date
Name:
Address:
PERMIT EXPIRES ON: (Date) 0-7
0 1 hereby certify that the use of this facility shall comply with Sections 25505, 25523, and 25534 of the California Health and Safety Code, which regulate the storage,
handling and use of hazardous materials.
' of 'his
0 Notification in accordance with Section 19827.5 of California Health & Safety Code is not applicable to the scheduled construction of this proje
0 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 o uly authori963ent of th own 1 agree to comply with
JPr,,e
C
all county and state laws relating to building construction. I acknowledge it is unlawful to alter the substaKncany official form ocument Butt County. I hereby
P s
authorize repreen! ves of B Ile County to ent pon the above me�ed pr perty for inspection pur es.
Print IName, Signature: V,
U
Date:
/gOwner Q Contractor E3 Agent for Owner 0 Agent for Contractor
— -------- J
B. C. Building Permit 01-16-04 pg 1
COUNTY OF BUTTE;- DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION
7 County Center Drive * Ciroville, Ca,lifornia , 95965 * Telephone (530) 538-7541 PER NO.
(Rev. 12/96) APPLICATION AND PERMIT o-icM
ASSESSOR PARCEL NUMBER
047-500-014
ZONING
SR -1
BUILDINGPERMIT
OWNER
BOEIMN GEORGE
TELEPHONE
899-2979
SO. FT. OCC. BUILDING VALUATION
410 0 2870,00
OWNEWS MAILING ADORISS
4776 SONGBIRD, MOO, CA 9597-3
CONTRACTOR'S NAME
owmm
TELEPHONE
CONTRACTORS MAILING ADDRESS
CONSTRUCTION LENDER
Fireplace
LENDER'S MAILING ADDRESS
Total Valuation $2870.0
ARCHITECT OR ENGINEER
LICENSE NU.
Filing Fee
$ 20.00
Permit Fee
$ 94 - 0D
ARCHITECT OR ENGINEERS MAILING ADDRESS
Plan Checking Fee
$35-10
BUILDIN417CS SONGBIRD, CHICO
Energy Plan Checking Fee
$
PERMIT FEE
$Joq_ln
LOT NO.
SUBDIVISIONS NAME
PARCEL MAP
PLUMBING PERMIT
Filing Fee 20.00
USEOFSTRUCTURE
SF 0 Duplex 0 Mobilehome 0 Other
SPECIFY
Each Trap
7.00
Solar or heat pump water heater
23.00
Water piping
15.00
Each gas water heater or vent
15.00.
TYPE OF WORK
New 0 Addition [3 Remodel 0 Utilities 0 Installation 0 Other 0
Describe Work: OPEN DECK 12' X -39'
Gas piping system I - 5 outlets
15.00
Building sewer
15.001
Mobile Home I S I G I W_F_
La20.00J
PERMIT FEE
$
ELECTRICAL PERMIT
Filing Fee 20.00
Main Service '.*' . �' , .0 RR S'
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
tl I To
LS,w for h f llowing reason:
I as owner of the property, or my employees with wages as their sole compensation,
will do the work, and the structure is not intended or offered for sale.
1, as owner of the property, am exclusively contracting with licensed contractors
to construct the project.
I am exempt under Sec. Business and Professions Code for this
reason 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'
) ensation, as provided for by section 3700 of the Labor Code, for the
comp
performance of the work for which this permit is issued.
,ave and will maintain workers' compensation Insurance, as required by Section
0 1 h
3700of the Labor Code, for the performance of work for which this permit is issued.
M wo;kers' compensation insurance carrier and policy number are:
y .
Car ne
Pol .
I cy Number
Whe above sections need not be completed if the permit is for work of a valuation
0
of on hundred dollars ($100) or less.)
n e 0 ar
n a a o s W m'e
hu n
0 r h
nc f
I c I that in the performance of the work for which this permit is issued, I shall
I c t t i e pe 0 a e
a th rf r m
Or 0 t. 4 lifo r c
a
ot e ploy any person in any manner so as to become subject to workers'
e an per 0 n in a n
ot '0 y y
P
compensation laws of CaliforT,ai,oand agsr:ctithat if I should become subject to the
0
.., n, 0
pr "io , If
workers' compen ation 1 n on 3700 of the Labor Code, I shall
'r,
fo rt ith compl thZosprovisions.
-L
0 0 C
5ga_tu(e_ of P Owner 0 Contractor 11 Ageint
IS
An OSHA permit is requir r excavations over 60" deep and demolition or construction
of structures over 3 stories in height.
Main Service 200A TO 1000A
46.00
NEW CONST. Sa,
OR ADDNS. DVT.UNG OCCSUP. 3.50 FT
NEW CONST
NOI+RESID. MULTI- @7.50
OWE.RAP= U
IPSIN. 0 C SIR.
Ex. Occup. OUTLET OR FIXTURES SAL@ .50
FIXED APP . OR
Ex. Occup. 0. E" 5.00 .5.00
Temporary Service 23.00
Mobile Home Facilites 20.00
Misc. Wiring 23.00
PERMIT FEE $25.00
MECHANICAL PERMIT Filing Fee 20.00
Heating
Cooling
Hood 6.50
Ventilation
PERMIT FEIE $
Mobile Home Installation Fee $
Energy Inspection Fee $
occ
CONST. TYPE
TOTALFEE$
1 11L A()
D. FEES IMP
I FLID
COF
P -V
I YJ
HD ASSLV
This permit is hereby issued uncle�the
of the Butte County Code and/or
indicated above for which fees have
By.,
PERMIT EXPIRES ON !;114
I
applicable provisions
Resolutions to do work
been paid.
/Date
No
.D.S.-0=5:33MAR�"ISIP PINK -INSPECTOR GOLDEN ROD-AP7PLICANT
BUTTE COUNTY
DEPARTMENT OF DEVELOPMENT SERVICES
BUILDING PERMIT APPLICATION
AND SUBMITTAL REQUIREMENTS
24 HOUR rNSPECTIONg: OROVILLE: (530) 538-7636 - CHICO: (530) 891-2934
OFFICE #: (530) 538-7541
A FEE WILL BE REQUIRED AT TIME OF APPLICATION
"PLEASE PRINT CLEARLY* "
CONTRACTOR
Name
Name
Addres
Address
3
City
C,�c I
State
el"19
I
Phqn!,,�3a_�, 0
Fax
E-mail
Lic. # -7VI
��j
Cla2
I
1-7,3y,,&aos Rjoc &A,,
IDate Approved:
I
APPLICANT NAME
ARCHITECTIENGINEER
Name
Flood zone
Address
SRA
City
a/--// C 0
State
1 C
Occ. I
Pho,-,?e '?918151
Fax
E-mail
State License Number
APPLICANT NAME
Zoning
Name &"
zo/c
Flood zone
Address
SRA
City
C-
State
C, i47
Occ. I
'
Type Const
Phone
Fax
E-mail
Sac— G/
Lot #
APPLIC"T SIGNA TURE
11-�
For office use 6n'ly: oe=14
Zoning
Flood zone
i A I
SRA
J�YeQj
No
Occ. I
'
Type Const
Subdivision Name Map
Book
I Page
Lot #
IDate Approved:
OVER FOR SUBMITTAL REQUIREMENTS
PERMIT
NO.
BPOGO;%
BIN 9
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
Addre?Y----/
Description or Scope of Work:
Sq. Footage -Z ?0 e'W"
0 Structure Built without Permits
11 Proposed Change of Occupancy
(Note previous use):
EXPIRATION OF APPLICATION
Applications for which a permit has not been issued will expire one
year after the date of application. In order to renew action on an
application after expiration, a new application, plans and fee will be
required.
REQUEST FOR REFUNDS
Refunds can only be made upon written request by the person who
paid the fee. The request must be made prior to the expiration of the
permit and no construction work has been done. Filing fees, plan
check fees for work plan checked and other department costs are not
refundable.
Received by: Amount 851 qj Bldg
grij.
SRA
Receipt #:q 44 0 Sheriff
SMIP
FWA
Date:2— N,-0 I Qq ____Other
v (N6 #qo Total
SUBMITTAL REQUIREMENTS
The following drawings and specifications must be submitted to the Building Division in order to apply
forapermit. INCOMPLETE SUBMITTALS WILL NOT BEACCEPTED. ALLPLANSMUSTBE
LEGIBLE AND IN INK.
Res�dential, New, Remodels, Additions, and Accessory Structures:
'V 1. 3 Site Plans, signed by the preparer. NO GRAPHPAPER!
Z2'. 3 Complete sets of plans, signed by the preparer. NO GRAPHPAPER I
OR 3 Sets Engineered plans'(if required) with wet signature on plans AND 2 sets of stamped and signed
calculations.
0 3. 2 Engineered truss details and layouts (if required) (NO FAXES!).
[3 4. Letter from Engineer or Architect for truss design review.
�0'/ 5. 2 Energy compliance design and supporting documentation. (7Vote: Alot requiiedfor additions to
mobile or modular homes.)
%/6. 2 Flood Elevation Certificate, wet-st ' amped� �and s igned (if required).
11 7. Detached Accessory Building Form, filled out by the property owner (if required).
* 8. Sanitation and site plan approval from the Environmental Health Department.
* 9. Metal Buildings: (A) Metal Bldg Plans, (B) Fnd plans -and cales in triplicate, (C) Elevations in
triplicate, (D) Floor plans in triplicate, All of these must be stamped and wet -signed by the engineer.
Mobile, Manufactured, or Modular Homes:
El 1. 3 Site Plans, signed by the preparer. NO GRAPHPAPER!
Ei 2. 2 Data sheets and installation instruction manual.
ci ' 3. 2 Marriage line information.
o 4. 2 Floor plans.
o 5. 2 Engineered Tie Downs or Foundation plans.
0 6. Sanitation and site plan approval from the Environmental Health Department.
o 7. 2 Flood Elevation Certificate, wet -stamped and signed (if required).
Commercial, New, Additions and Remodels:
0
1 .
4 Site Plans, signed by the preparer. NO GRAPH PAPER!
0
2.
4 Engineered plans with wet signature on plans AND 2 sets of stamped and signed calculations,
with code analysis.
El
3.
2 Engineered truss details and layouts (if required) (NO FAXES!).
o
4.
Letter from Engineer or Architect for truss design review.
Ei
5.
2 Energy compliance design and supporting documentation (if required).
ci
6.
2 Flood Elevation Certificate, wet -stamped and signed (if required).
o
7.
Statement of Intent for Non -heated and A/C (if required).
ci
8.
Metal Buildings: (A) Metal Bldg Plans, (B) Fnd plans and cales in triplicate, (C) Elevations in
triplicate, (D) Floor plans in triplicate, All of these must be sj�j=ed and wet -signed by the engineer.
o
9.
Letter of intent.
0
10.
Hazardous Material Form.
Ei
11.
Sanitation and site plan approval from the Environmental Health Department.
If you have questions or would like additional information regarding this process, contact a Permit
Application Assistant at (530) 538-7541.
OVER FOR BUILDE"4G PERMIT APPLICATION
KAFORMSWILDING F0RMS\B1dgApp1SubRqmts.doc Page 2 of 2 REV 6-16-04
Uft—JUSE ONLY
Plot Plan Attached
Floor Plan Ma&oed
Sent to BD/DS
TO: Building Division -w - Development Services -3
FROM: Environmental Health
SUBJECT: Sanitation Clearance
Owner Location C/ AP#
Plan Approved for: Sewage Disposal: X Water Supply: Public. Private Well
Clearance for -&-Mliing. Other holl.,-n Z Z4W),,-77 ad,041-
Hold final for:
Final clearance O.K. for:
NOTE:
2, Y—,�I
Environmental Health Specialist Date
Building Clearance 9/2005
5-b
COUNTY OF BUTTE -DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING DIVISION
7 County Center Drive, Oroville, CA.95965 Phone (530)538-7541 Fax (530)538-2140
PERMIT APPbCATION DATA SHEET
OVINER: hod rn an ASSESSOR PARCEL NUMBER 097-ri �(Olq
Proposed Building Use: HLIRI-Sloo Pennit Technician: Date: 0 6
Itefins required in order to apply for a permit. All boxes MUST be checked OR marked NA in order to apply.
\16, -Ig 1 . Site plansJ3 or 4 sets, signed by the preparer of the plans.
N6 �IN 2. Complete plans',(Dr 4 sets, signed by the preparer of the plans.
0 3. Engineered plans, 3 or 4 sets, with wet signature on plans AND 2 sets of stamped and signed calculations.
0 4. Engineered truss details and layouts in duplicate. No faxesl
�0 5. Letter from Engineer or Architect for truss design review.
�J 6. Energy compliance design and supporting documentation in duplicate.
0 7. Statement of Intent for Non -heated and A/C for Non -Residential Buildings.
0 8. Manufactured homes: (A) Installation manual, including marriage line info, (C) Floor Plan, (D) Tie down or fnd plans, all in
duplicate.
0 9. Metal bldgs: (A) Metal Bldg Plans, (B) Fnd plans and calcs in triplicate, (C) Elevations in triplicate. (D) Floor plans in triplicate. All of these
must be stamped and wet-si-qned by the engineer.
00 10. Flood Elevation Certificate, wet -stamped and signed, in duplicate.---�PNA-" 60,
\X0, 11. Hazardous Material Form
_'T;_N, 12. Acknowledgement of building permit application without required clearances.
%0�� 13. Other r
lrx�rl PInlo
e aining items' needed to issue the permit. (May require additional plan review upon receipt of the following items.)
/N 14. San.itation and site plan approval from the Environmental Health Department in 0 Chico 0 Oroville, as applicable.
15. Fire Sprinklers ........................ ....... ........................................................
0 16. Agricultural Buffer cIr and site pla'n aprtff6m`41he Ag Commissioner Sent by-..
0 17. Soils Report and/or Engineered Foundation required ...........................................
18. Erosion Control Plan Required ........................................................................
(719�ees as shown on the attached Schedule of Fees Due Sheet ..............................
20. City of Chico Plumbing permit ........................................................................
0 21. Site plan and business license approval from th� Q
)y of Biggs ..............................
22. California Department of Forestry plan approvalTl paid. Vge&-42-A�M ............. �2
23. Planning approval for (A) Use: - (B) Parking: *?UnEf� I
_(C) Parcel Check: ............ IN A
0 24. Contact Land Development about -Improvements, -Drainage ......................
0 25. Fire Marshall Review (commercial projects only). Sent by: . ...................... .
26. NPIDES Form ............................................................... ** ....... * .... * ... -
0 27. Encroachment Permit for driveway from the Public Works Dept ............................
0 28. Contractor's license information. (Number, Name Style, Classification) ...................
El .29. Worker's Compensation Carrier and Policy Number .................................... * ... -
0 30. Owner -Builder Verification ( - Given to owner, -Mailed to owner) ....................
0 31. Letter of Signature authorization ....................................................................
0 32. Recorded copy of Agricultural Acknowledgment Statement .................................
0_/ 33. Existing violations and/or expired permits .........................................................
34. Deed Restriction ..........................................................................................
35. 0 Legal description, 0 M.H. Title, title segrch , registration or MCO .........................
36. Other:6rAQ1 V)+tJ 6Dr! petd KeShjCfi0()
0 37. Other: -
When issued Telephone I GM - 1100 000+rndt)1' and hold for pickup.
I have been informed of the above items and requirements for obtaining a building permit.
Applicant: Date: -1-5
1. Index permit applicatipFrfor the above items numbered: e Plan Check Letter
2. Additional items required I., V___1
/Co_n_tracio'r�designer, owner, was advised of the above data by 9"Rhone, 0 mail, 0 counter, by - Date:A�-2_ -1`2(
'Zo-76mac- ror. desigrivi-65 ��as advised of the above data by 2"phone, 0 mail, 0 counter, b Date:
Contractor, designe'r,-ZWner, was advised of the above data by 0 phone, 0 mail, D countler, b Date: -
Plans reviewed by: -Date: 49 / - I - Plans approved by: Date:- r7
Structural reviewed by: Date!�_/Zz ZdZ_ Structural approved by: Date;4- 4Ag;= Z
Note transfer by- Date: (7gXF f -
Yellow: Building D:��
K/Building/Plan Check/Data Sheets/data sheet page 2 9.27.05
BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION
1 7 COUNTY CENTER DRIVE, OROVILLE, CA 95965
www.buttecounty.net/dds PHONE (530) 538-7541 FAX 538-2140
RECEIPT OF FEES SCHEDULE - RESIDENTIAL
Owner BOELMAN
Application Date 2/15/2006
APN No: 047-500-014
Permit No: BP 060358 Permit Type: MULTI -STORY ADD TO SF
1 BUILDING PERMIT FEES ESTIMATED AT APPLICATION
Plan Check portion of Permit Fee
2 FEMA F
XqYes Flood Elevation Review $109.98
3 SRA* Yes Fire Plan Check - Non -Refundable $95.00
(State Responsibility Area) Building Inspection $109.98
NON-REFUNDABLE portion of fees due at application
$879.84
$351.94 $527.90 Balance of Building Permit Fee
$109.98
$95.00 $204.98
$109.98
$556.92
FEES DUE AND PAYABLE AT TIME OF PERMIT APPLICATION $666.9(
FEES (BELOW) DUE PRIOR TO ISSUANCEOF PERMIT $530.31
5 SMIP* - Strong Motion Instrumentation Program (Enter amount from permit system)
6 Additional Plan Check Fees (NON-REFUNDABLE)
7 1 Other*:
7a Other*:
8 - IIMPACT FEES - RESIDENTIAL* I lPerDwellina I IlDerDweffino I IlDerDwellh
12 SCHOOL DISTRICT FEES*
12a RECREATION DISTRICT FEES*
$2.47
RECEIPT
DATE Tech/Asst
qj4qo�
2/15/06
q q J-7sl
3�-�-66 &o . .
Ktt;tlF I UA I t Tech/Asst
At the time of permit application, I was advised the above fees are required to be paid prior to issuance of the permit. These fees may be changed during the plan
checking process.
Applicant: Date:
Pursuant to Government code S
,ptlion 66020, y u are hereby notified those Items followed by an "" may have been imposed on your project. You have 90 days—
from the date of approval of t4g'porject or from the impostion of the above referenced items during which you may protest. The requirements for a protest are
specified in Goverment Code Section 66020(a). K:/Building/Forms/Schedule of Receipt Fees Residential 121205
0
Bu'tte Co un ty Departrnftll t OfDe velopin en t Services
7 County Center Orive
Oroville, CA 95965
(530) 538-7601 Telephone
ja 0
(530) 538-7785 Facsimile
BUILDING PERMIT APPLICATION WITHOUT REQUIRED CLEARANCES
request and authorize the Building Division to process this building permit application through the plans
examination process WITHOUT first obtai�g all necessary, related permits and clearances from other
regulatory entities, including but not lu'nited to, Planning, Environmental Health, Land Development,
County Fire, and Agriculture.
I hereby acknowledgd:
1 need to submit applications for septic andlor well to Butte County Environmental Health
immediately.
I am required to bring the approved Environmental Health site plan and approved sanitation
clearance to the Building Division as soon as clearance is obtained
e I am responsible for notifying Development Services, in writing, to stop processing of the
application and to arrangefor disposition ofp1ans.
The Building Division will process. the application through the plans examination process, as submitted,
without input from other regulatory entities that could Prohibit issuance of the building permit or reauire
submission of amended buildin2 DlanS to the Building Division. Once the plans examination process
begins, there will be no refund of plans examination fees. Any changes requiring submission of amended
plans to the Building Division will incur additional f6es.
Within one year . ' from the date of application for a building pen -nit, all other required permits and clearances
from other entities must be obtaindd for the permit to be issued. Failure to obtain these permits/clearances
will void the application.
Typically other required permits/clearances include but are not I
Jirriited to, verification the parcel was
legally created, adherence.. to. all rnitigations and conditions imposed on the parcel at time of creation, as well
as zoning requirements, legal access, and applicable set -backs and environmental issues (fire, agriculture
buffer zones, and habitat/species).
Please print:
'Applicant Nafhe: 1"-17--�q /C /C /�r
Building site address: V 2 7,�- 6
APN: _<Q Y-7 -J-4ry - a / "-/
Permit No.: (%-- 'f -7 -5-e
I have read, understood and accept the terms and conditions as expressed herein as indicated by my
submission of the above -referenced building permit application and my signature below: '
----------
SIGNATUREf OF APPLICANT
DATE
Copy to ApplicanVEH[File K-*Fom-Ls/EldgPermitvvithoutClearances 020705
T
4
IUJ 14
Q0
Department
..c o u n t y
ichael Crump. pireetol-
of Public Works
0 f B U t. -t e
LAND DEVELOPMENT DIVLSION
S%Orm Water Management Progr-arn
7 Cdunty Center Drive
Oroville. CA 95 965
(.530) 538-72 6,6
(FAX) 538-7171
National Pollutant Dlschc�rge Elimination System (NPDES) Phase 11
Construction Storm Water Permit and Storm Water P.0illutio. n Prevention
Plan (SWPPP) Acknowledgement rLESS THAN I' ACRE
ProjectDescri tion: 7 1-26
p
Project Location and/or Parcel Number.
By sig�ing below, L the project ownerlowner's ag
... . . 0 ent, certify that this project NOT DISTURB
I acre or more of land and that L therefore, do not nee� to apply for a Construction Storm Water Permit
&op the State 'of California Regional Water Quality. Control Board. Phased projects that contain
Multiple site build -outs of less than one acre but when combined with subsequent phases total more
than one acre of disturbed soil will require a Construction Storm Water Permit from the State of
California Regional Water Quality Control Board --
am aware that submitting false and/or inaccurate information or failure to apply for a Construction
Storm Water Permit from the State of California Regional Water Quality Control Board for a project.
that disturbs one acre or more of land may result in revocation of grading and/or other permits or other
sanctions provided by law.
Signed:
Title:
Date:
BUTTE COUNTY SCHOOLS IMPACT -FEE CERTIFICATION FORM
(One form *per Building)
School District 1) IV Building Departm 0.
A.P. Number 0 Y 7- t5 / (-/Jurisdiction: city County
Property Owner
Property Location/Address 4,f7-76 576W6 1_-�vAQ. 4W, C,#7 60
Subdivision
Lot No.
Residential Development !Sq. Footage
No of. Living Mobile Home Addition/ *Supplemental to (Group. R)
Units Installation Conversion Permit #
.(No foundabon inspecOon)
............................... :*****"*"************'*****'*********'*"* .............
Deed Restricted Sq. Footage
(Attach a signed copy of Deed Restriction and Notice of Limited Use Facility document)
Commercial/industrial ' = =.
N7 Addifion
Building Department Representative
District Identification No. 'N
Schoo I District certifies that
Sq. Footage
Date
(Applicant)
(including Exterior
Roofed Areas)
(Street Address) A V (Phone Number)
(City) (State) (Zip Code)
has complied with the'requirenients of Resolution No. by payment of $
representing
School District Representative
square feet.
Paid by Check # 1VTT Remarks:
1AB, 2926 $
rULL MITIGATION $
Date
4
Modco: You may protest the Imposition of.the fen Identified above by submttdng a wrrden protest to the District, In compliance with
Goverrimient Code Section 66020(a), within 90 days from the date fees are paid. Failure to submit a timely writlen proin wfilprohibit
you from challenging the Imposition of the fen In any court action.
N, 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 revi-we under the California Environmental Quality Act (CE"),
this project may be subject to additional school fe6e to fully mitigate Iti Impact on the school distriers'schools.
White (school district), Yellow (building department),,Pink (applicant) %storm-ift (3M5Wnm
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 have any questions pertaining to this matter, or need additional
explanation, please contact the Building Inspector as indicated below.
0' V), PROU106 COUN-CkI AP?12c)tl*l
(S_ 6) 0 1 FMC -Al I 65ECUA10d
�Cft
PLETE-11-Migle-E-up PAAIC- C
(A V1 (� U 1,16 C_ ( c- COKI f3 (k 0 Tc)R_S'
-T EZ -06L/ C& I L A 16 C (ZCOA/ STA/RS
"14-1 41 jN/&19-(L- 006
ou(06 -T.t-S7 For(- wti-7-CE-9
C0121PILl/ uJIT-H _T_t7( C- nQ dV - FIA -W.- ?4_'
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W
D%at Inspector 44
REV 4/05 Phone# 9 LZ
FOR RE -INSPECTION CALL: 538-7636 OR 891-2834
461
COUNTY OF 6UTtt
BUILDING -.,DIVISION
DEPARTMENT OF DEVELOPMENT SERVICES
"A
7 County Center Drive Oroville, CA (530) 538-7541
CORRECTION NOTICE
(SCr:: L M �A 0 (4)
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 have any questions pertaining to this matter, or need additional
explanation, please contact the Building Inspector as indicated below.
0' V), PROU106 COUN-CkI AP?12c)tl*l
(S_ 6) 0 1 FMC -Al I 65ECUA10d
�Cft
PLETE-11-Migle-E-up PAAIC- C
(A V1 (� U 1,16 C_ ( c- COKI f3 (k 0 Tc)R_S'
-T EZ -06L/ C& I L A 16 C (ZCOA/ STA/RS
"14-1 41 jN/&19-(L- 006
ou(06 -T.t-S7 For(- wti-7-CE-9
C0121PILl/ uJIT-H _T_t7( C- nQ dV - FIA -W.- ?4_'
—/(f—
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W
D%at Inspector 44
REV 4/05 Phone# 9 LZ
FOR RE -INSPECTION CALL: 538-7636 OR 891-2834
461
COUNTY OF BUTTE
BUILDING DIVISION
DEPARTMENT OF DEVELOPMENT SERVICES
7 County Center Drive * Ciroville, CA * (530) 538-7541
CORRECTION NOTICE
OWNER PERMIT NO
A routine
inspection indicates that he 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 have any questions pertaining to this matter, or need additional
explan ion, please contact the Building Inspector as indicated below.
V)o-N V).ey- M'("'l
6tL* 0
T_
X I
v,
'91, .
k 1. 1.
-7 Inspector
Date rZ4
REV 4/05 Phone#
FOR RE -INSPECTION CALL: 538-7636 OR 891-2834
av
COUNTY OF BUTTE
BUILDING DIVISION
DEPARTMENT OF DEVELOPMENT SERVICES
7 County Center Drive 9 Oroville, CA 9 (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 have any questions pertaining to this matter, or need additional
explanation, please contact the Building Inspector as indicated below. A
Date,:'t' < Inspector
REV 4/05 Phone #-5-3"0 —
FOR RE -INSPECTION CALL: 538-7636 OR 891-2834
COUNTY OF BUTTE ... ..... '2:0
BUILDING DIVISION
DEPARTMENT OF DEVELOPMENT SEAVVICES
7 County Center Drive * Oroville, CA * (530) 538-7541
3
CORRECTION NOTICE
0 NER PERMITNO.
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 have any questions pertaining to this matter, or need additional
explanation, please contact the Building Inspector as indicated below.
12, 1-014
z Z_-
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47�Dal:J�o2-5`4�7
Inspector
REV 4/05 Phone #
FOR RE -INSPECTION CALL:. 538-7636 OR 891-2834
COUNTY OF BUTTE ..........
BUILDING WISION
DEPARTMENT OF DEVELOPMENT SERVICES 4. � W1.
7 County Center Drive Oroville, CA (530) 538-7541
CORRECTION NOTICE
K"W 06, 0 :4,
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 y
'9�have any questions pertaining to this matter, or need additiona
11. �
explanation, please c9Xact the Building Inspector as indicated below.
AZ 676-- A?-2AZ
'4ff)W0V112S_ - 11f1W(1&79
z!
Date Inspector
Phone #
REV 4/05
FOR RE -INSPECTION CALL:�,538-7636 OR 891-2834
3
Building Owner L
Building Location
ROOF
Material
Thi=kzess(--'=hes)
Z
:="=IOR WALL
Material A-
Thickness(inzhes)
CrZILING
Batt or Blanket T7pe 1AA V!9� ]�ae_
Thiakness(inches-)_ AW kg"
Loose Fill T7pe
Y-4,r4:m— Miicknetss (Inches)'
Area covered(ft.2)-
FLOOR, ELLTAIM
material
Thickness(inches)
FLOOR, SLAB
Material
Thickness(inches)
Width(inches)
. ENERGY INSTALLATION CERTIFICATE
Building Permit 4
11 3DLQ �15
*ION
DESCRZVT'ON Or INSULAT
FOMMATION WALL
Material
Thickness (inzhes)
Brand N e
The=:al Resistance (R Value)
Brand Name—j�Z�(��
The.==1 Res is tance (R value)
Brand Name-
. Thermal Resistance(R Value) ZZ -W
Brand Name . , 3:�
Numbe-- of Bags Wt. Per bag _Ib.
Thermal Resistance(R Value)_.
Brand
Thermal
Brand Name
Thermal Resistance(R Value).
Brand N e
Thermal Resistance(R Value).
I hereby certify that the above ins7iila tion was installed i= the above building,
-is consistent with. approved building department -Plansr-and attachments- -and- con-
forms Lth f Chapter 2-53 of S of Califor a Energy Requireme
g m tnts o
Zr
.F=X NAMIOWNER
STATE CO=RA=OR,S LICENSE
OF INSTALLATION APPLICAXOR DAZE
I hereby certify The required features, devices, and' equipment, az shown on the approved
Building Depart.ment plans and attachments have been installed and conform to the appli-
ance s . tandards and Chapter 2-53 of the State of California Energy equirements.
V
(20AS )- rwx
BUILDING CONTRACTOR/ OWNER - (Please Pri
(FIRM NAMLE)
SI OF BUILDING CONTRACTOR/ OWNER
RVAC FIRM NAME/OWNER (Please Print)
MGNATURE OF HVAC CONTRACTOR/ OWNER.
STATE CONTRACTOR'S LICENSE NO.
DATE
STATE CONTRACTOR'S LICENSE NO.
DATE
THIS CERTIFICATE MUST BE ON FILE WITH THE BUILDING DEPARTMENT PRIOR TO FINAL INSPECTION
APPROVAL AND A COPY SHALL BE POSTED WITHIN THE BUILDING.
02/09/2007 03:32 FAX 5308961180 BALKEOCONSTRUCTION INC
Butte County Department of Development Services
TIM SNELLINGEi, DIRECTOR I PETE CALARCO, ASSISTANT D RECTOR
7 County Center Drive
Oroville, CA SS9136
(530) 538-7601 Telephone
(630) 638-7785 Facsimile
ymw.bVftecounty.net/dds
IN01
5�wi� S I -T E7
e--" P %/
I
REQUEST TO USE PEX WATER PIPE
Building Division approval required prior to the installation of PEX water pipe
. I
Permit Number: a A.P.N. —Date: n -r 11C_As/dF_
Property Address- �City C_M\e_n Zip
PEX Manufacturer: IManufacturer's Phone Number- CS*o*)
installer's Name: Installer's Phone Number- S2" - p4!:ti
AQ )A.g=, request
Print Name
Owner's Signshire
water pipe at the above address. (oaq -Q&S(o
-76S
C -e-1 I
In -.r, / e) -4L RZ 00�
e
,,.00" Contrao%Qr's Signature Dat License Number
Under Section 301.2 of the California Plumbing Code (Alternative Materials and Methods) the Administrative
Authority may allow the use of PEX tubingfor both hot;'Ind cold potable water distribution,
After careful review of all the information submitted and -additional surveys of other jurisdictions allowing the
use of PEX tubing, we have come to the conclusion th&j PEX tubing is a viable alternative under the following
conditJons and requirements,
1 . All PEX piping must be listed and approved by K;C, IAPMO or other nationally recognized testing
and/or listing agen&y.
2. All PEX piping installations must comply with thcl manufacturer's listing/s and installation instructions -
3. A copy of the installation instructions must be made available to the field inspection staff on site.
4. All PEX piping shall be kept clear of recess light'fixtures, heat conducting flue vents, ducts or other
materials that could cause physical damage.
5. All penetrations in or through fire rated assemblies shall be protected with an approved listed system.
Submit evidence of such listing prior to the installation of all piping. (Including manifold/s installed in the
garage occupancy separation or firewall).
Approved by, Date:
Adminiatrative Authority
Distribution - Building File -:1roperty Owner - Contractor
I
COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS
7 COUNTY CENTER DRIVE - OROVILLE,' PALIXORNIA 95965 - TELEPHONE: (916) 538-7541
AGRICULTURAL BUI'LDING EXEMPTION PERMIT
PERMIT NO.
Agricultural building is defined as follows: Agricultural building is a structure designed and constructed to
house farm implements, hay, grain, poultry, livestock, or other horticulutral products. This structure shall not
be a place of human habitation or a place of employment where agricultural products are processed, treated,
or packaged, nor shall it be a place. used by the public.
ASSESSOR PARCEL NO.
,S
ZONING
OWNER
PHONENO
OWN ER'S AWRESS
LOCATION OF BUILDING
USE OF BUILDING
SIZE OF STRUCTURE
'x -SQ. FT.
TYPE OF CONSTRUCTION-
' n
WOODFRAME- I- CONCRETE -OTHER
(Specify)
TYPE OF SIDING
ROOFCOVERIN
FLOOR TYPE
'9
ESTIMATED COST OF CONSTRUCTION
AG Buildings shall comply with the building front, side, and rear yard requirements of the applicable County
Ordinances as follows -
47
C)
FRONT SIDES
REAR
AG Buildings shall be a minimum of five (5) feet from any septic tank or leach fields.
AG Buildings less than 1000 sq. ft. in floor area shal I be located a minimum of 6 feet from a residence, 10 feet
from a mobilehome, and 23 feet from a commercial building.
AG Buildings greater than 1000 sq. ft. in floorareashall be located a minimum of 23 feet from a residence and
a mobilehome, and 40'feet from a commercial building.
I declare under penalty of perjury that the building will be used as stated above and the proposed use
conforms with the AG Building definition. If any change in use or occupancy of the building is made, I will
contact the Department of Public Works and will obtain any necessary permits, inspections, and approvals to
comply with the requirements in effect at that time and before occupancy.
Date. Signature of Owner #1 ing is Q5:�
Permit Fee - $25.00 The above describe AG Building is pt f m a bL
�m a building permit.
Receipt No. -241o4��o.
I I Fly 1-71 Z 1117G 1. �]
Director of Public Works
By Date /62-) 9 -
White - DPW, Yellow - Assessor, Pink - B. L, Goldenrod - Applicant
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COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION
7 County Centdr Drivd I, Oroviffe, California 95965 - Telephone (530) 538-7541
tlev 1,2/96) APPLICATION AND PERMIT
lor'nES',O A PARCEL NUMBER ZON1 BUILDINGPER r
�) q r, - Stye - 0 /,-/ . I - - .1
qym�_ _T HON SO. FT. occ. BUILDI G VALUATION
OWIIERC
___ 4 - 600mayi
OWNERS "AIUNO WORESS
CHI" qC9 7-3
COtITPLACTOnS NAME ELEPPIONE
A 111-mgz I"
�,SZIORAC OTIS MAIUNO ADDRESS
CONG TAUCTION LENDEA
LF:','DER S MA. -UNG AUORESS Fireplace
Total ValuatIon
UCF-- -10
ACWTECT OR V41NEER
AACHITECT OA ENGINEERS VAIUNG ADDRESS
i1�1—Lolf-,IG ADOA
SUBDNISIO�SNAME
LOT No
L MAP
USEOFSTRUCTURE
So Duplex 0 Mobilehome 0 Other SPECIFY
TYPE OF WORK
r
New 0 Addition 0 Remodel 0 Util6es 0 Installation 0 Othe )10
Describe Work: 15 2V=LW_1 a9A
V
*PEPAIT FEE PA10
SPILA
SH011IFF
OTM
AMOVW RECEIVIEb
1-3 1-4 / o
*pSes" NVANIM
0
TO N FVr Zf-" CO#PVM
Filing Fee
Permit Fee
Plan Checking Fee---[—$
Energy Plan Checking Fee
I s
PERMIT FEE I s
20 C_'
PLUMBING PERMIT
Fi lin -9 Fee 1, 20 G0
Trap 7.
Solar 01�t pump water heater 23.001
Water piping
15.00%
Each gas water heater or_�—e�j
15.001
Gas piping s stem I - 5 outlets
.001,
Building sewer
1 5N 0!
Mobile Home I S I G I W
920.00,
PERMIT FEE I S
ELECTRICAL PERMIT
Filing Fee:
20.00
Main Service '.o,, RR S ss
23.00!
Main Service 200A TO 1000A
NEW CONST. DWELLI NGCffUP.
OR ADDNS. & ACC. S.
NEW CONST. ET
NON-RESID. UITS
@7.50;
_W_ _PAVVS
I IMCILE 0, C.R
Ex. Occup. OUTLET OR FDCTURES
2" 1 0"
BAL SO
FIXED APPUIS OR
..Tu,
; S
Ex. Occup. ( ,
Temporary Sery 1c e
23.00�
Mobile Home Facilities
20.00-
Misc. Wiring
E:7:23 �00
PERMIT FEE
VW,CHANICAL PERMIT
Filing Fee i
2-0 G^j
Heating N"
Cooling
6.50
Hood
Ventilation
PERMIT FEE 1 $
Mobile Home Installabon Fee s
Energy Inspecfion Fee
CONST. TYPE
OCC T 0 T A L F E_,E
HAZ. 10. FEES I IMP I FLOOJ'Y" I CDF
This permirt is hereby issued under the applicable provisions
of the Butte County Code and/or Resolutions to do yio(k
indicated above for which fees have been paid.
By
I I
Receipt No. PERMIT EXPIRES ON
WHITE -D.D.S. -S.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDEN ROD-APPLICAN T I
Date
E.H. USE ONLY
Plot Plan Anschad
0
A 64an A C -ad
003
Sent i�/
TO: Building Department
FROM: Environmental Health
SUBJECT: Sanitation Clearance
501elm CA^11 2276. 47— 5_e:90-014—
Owner LIVcation AP#
Plan Approved for: Sewage Disposal X Water Supply: Public Private Well
Clearance for 4wefli�. Other 0,7d s7g'.,�z Qleek 546!�:
Hold final for:
Final clearance O.K. for:
NOTE:
Environmental Health Specialist
8/96
.4-15`0_2�—
Date
�7
114. kK
COUNTY OF BU
tiEQ ARTMENT OF DE�ELOPMENT'SERVICES-BUILDING DIVISI
7 County Center Drive, Oroville, CA 95965 Phone (530)538-7541 Fax (530)538-214.0
PERMIT APPLICATION DATA SHEET
-.00,
OVVNER: ASSESSOR PARCEL NUMBER
qlly
Proposed Building Use: -A-7 AA.,%,o Counter Technician:%1*7w- Date:
Items required in order to apply for a permit. All boxes MUST be checked OR marked NA in order to apply.
Plot plans, 3 or 4 sets, signed by the preparer of the plans.
-Complete plans, 3 or 4 sets, signed by the preparer of the plans.
0 3. Engineered plans, 3 or 4 sets, with wet signature on plans AND 2 sets of stamped and signed calculations.
04. Engineered truss details and layouts in duplicate. No faxes!
0 5. Energy compliance design and supporting documentation in duplicate.
0,,,6. Manufactured homes: (A) Data sheets and installation instrtibtions, (B) Marriage line information, (C) Floor Plan, (D) Tie down or
foundation plans, all in duplicate.
0.7.. Metal buildings: �(A) Metal Building Plans, (B) Foundation plans and calculations in triplicate, (C) Elevation views in triplicate
(D) Floor plans in triplicate. All of these must be stamped and wet�signed by the,engineer.
Items required for initial plan review. If checked ' items have not been received, plan review cannot proceed. The permit will be
indexed and returned to the plan review line-up wiielri�equired items are received.
Date Received By
0 8. Flood Elevation Certificate, wet -stamped and signed, in duplicate ................................
0 9. Plot plan and business license approval from the City of Biggs ....................................
0 10-. Letter of intent for non-residential buildin s .........................................................
-9
0 11. Detached Accessory Building Form -filled out by the owner .....................................
0 12. Hazardous Material Form ...............................................................................
.0 13. Other ...
Remaining items needed to issue the p�rmit. (May require additional plan review upon receipt of the following items.)
0 14. Fees as shown on the attached Schedule of Fees Due Sheet ........................................
5. Statement of Intent for Non -heated and A/C Buildings ...................................
6. Sanitation and plot plan approval from the Environmental Health Department in 'C! V
.0 17. City of Chico Plumbing permit .........................................................................
0 18. California Department of Forestry plan approval 0 paid. Sent by:
......................
0 19. Planning approval for (A) Use: B)Parking: (C) Parcel Check:
0 20. Contact Land Development about 0 Improvements, 0 Drainage ...............................
El 21. Encroachment Permit for driveway from the Public Works Dept. (construction approval prior to occupancy).
0 22. Pre -Inspection for required ................
0 23. Contractor's license information. (Number, Name Style, Classification) ......................
0 24. Worker's Compensation Carrier and Policy Number ..............................................
0 25. Owner -Builder Verification (0 Given to owner, 0 Mailed to owner) .....................
0 26. Letter of Signature authorization ....................................................................
0 -tT Recorded copy of Agricultural Acknowledgment Statement ....................................
0 Manufactured home utility clearance ...........
0 29. Existing violations and/or expired permits .........................................................
0 30. 0 Grant Deed, 0 M.H. Title/Statement of Facts, 0 Letter from Legal Owner, 0 Check to H.C.D.
0 31. Other: Iq 4
When issued phone a - cy-7 V 0 1�_-U and hold for pickup.
i jr
I have b n ZI �Lw)med of h bov items a requirements for obtaining a b ilding permit.
e:
licant: ot _7
1. Index permit application for the above items numbered:
2. Additional items required
Contractor, designer, owner, was advised of the above data by
Contractor, designer, owner, was advised of the above data by
Plans reviewed by: Date:
Structural reviewed by: Date:
Note transfer by: Date:
Plan Check Letter
• phone, El mail, 0 counter, by Date:
• phone, 0 mail, 0 cyrt , by _Da e:
Plans approved by: ;r Datet5l/51dz:�_
Structural approved by: -Date: '
Yellow: Building Division
-1 ---- m�
OWNER -BUILDER VERIFICATION
Aaention 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.
I personally plan to provide the ma*o,� 11ab r and materials for construction of the proposed
U Xbo
property wi� No
, provernent: YES 0
- I HAVE)E(,,,, HAVE NOT 0 signed an application for a building permit for the proposed WO&
3. 1 have contracted with the following person (f=) to provide the proposed construction:
NAME: ___1
PH
DRESS: CITY:
CONTRACTOR'S LICENSE NO.
4. 1 plan to pih��de portions of this work, but I have hired person to coordinatet
supervise, and the major work:
NAINIE:
ADDRESS: CITY:
P H 0 NNE: OR'S LICENSE NO.
5. 1 will provide some of the work b contracted (hired) the following persons to provide
the work indicated:
NAME "�(DDRESS ONE TYPE OF WORK
SIGNED:
PROPERTYOWNER:
SO,
DA
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.
�9�81
I OWNER BUILDER INFORMATION I
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 thax 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 you plan to subcontract, you should
be aware of the following information for your benefit and protection:
if you empto v or otherwise engage any persons other than your immediate fhmfly. and the work (including materials
and other costs) is S300 or more for the entire project, and such persons are not licensed as contractors or
subcontractors. then you may be an employer.
If you are an employer, you must register with the State and Federal Goverriments as an employer and you are
subject to several obligations including'stare and federal income tax withholding, federal social security taxes,
workers compensation insurance, disability insurance costs, and unemployment compensation contributions.
* 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.
* For more specific information about our obligations under Federal Law, contract the Internal Revenue Service (and,
y :2
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 limiteo
conditions.
A frequent practice of unlicensed persons professing to be contractors is to secure an "owner builder building
permit� erroneously implying that the property owner is providina 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
cornmunity 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.
0
+I rely,
M Mic el C. Vidira, C.B.O.
ic e Vi -B-O
Mge'rC,BAuild�2ng CInspection
NO TE. Tit is 0 w n er- B u ilde r Info rm a I io n is re q u ire d by Se cdo n 19 83 0 of di e Califo rn la Health a n d Safeiy Co de -
OVER
`„✓ice _.- � '
r
GoT
I / /lv itCi. .. / i •
vop
TTG
.rr �p l
6oNL.. I
— .. ---- Environmental Health
APR 1
-t,hjco, C lifomi
14-0 1:f
PERMIT NO. 1388-84B,P,E,M
C -
PERMIT EXPIRES -
OWNER BILL & KATHY VAIL
P, CONTR. Serrao Construction
c(
O,U' �r a ASSESSOR PARCEL_ 47-50-14
t"14
A',
LOCATION 4776 Songbird, Chico -
OFFICE COPY
Addr,essw
Meter Bq Date
Da t 2--
'PGYFICE. copy
Address I G24, 1�
GAS
Meter By
Date-.
ELE
Met D
Ir
Temp. Power Pole
Called PG&E
Temp. Elec. Service
Called PG&E
Temp. Gas Service
CalledPG&E
JOB FINALE[
Signature
I I . .
V =,OK , �j
0 = Not OK
- = UotApplicable
* = Not Ready
MOBILEHOMES
MISCELLANEOUS
Date
MOBILEHOME UTILITIES (Plans) OK except #'s
1. Zoning Requ i rement s-Setbac ks- Easements
Date
DECKS, COVERS, CARPORTS,,ETC. (Plans) OK except #'s
1. Zoning Requirements-Setbacks-.Eisements
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; Locat i on -Test- Easement Needed (Sketch)
4. Wood Awn.; Posts- Beams- R ftrs. -Con nec.-Shthg.- R fg. - Brac i ng
5. Electricity; Location-Clearances-Grnd.-/ Amp -Concrete
5. Alum. Awn.; Column�-Connections-Splice-Decal-Enclosures
6. Gas; Location -Test -Wrap: /"L"ft./ /"Nat.or/ /"L"ft./ LPG
6. Carports; Windows -Doors
7. Utility Clearance
7. Elec.
Card -131
Date Card -BI Date
Card -BI
Dat a Card -BI Date
Card -BI
Date
Date Card -BI Date
MOBILEHOME INSTALLATION (Plans) OK except #'s
1. Zoning Requirements -Setbacks -Easements
-Card-BI___
"bate'
Date Card -BI Date
POOLS (Plans) OK except #'s
1. Setbac ks- Easements
2. Footings; Size -Spacing -Marriage Line
2. Soils; Compact I on -Structure Stability
3. Gas; MH Test- Demand-Va I ve-Connec tor
3. Pool Structure; Steel -Connections -Thickness -Dead Men -Lining
4. Electricity; MH Test -Crossovers- Brea kers-C I eara nces
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- Regu I ator-Con nec tor
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
B. Gas and Electricity Tagged
8. Elec.; Grounding; Equip. w/5' -Circulating Equip. -Pool Lghig,
Boxes- Enc I osures- Pane I boards- Ins. to Main in Conduit
9. Exits; Insp.-Sketch
10. Cert. of Occupancy
9. Health Department Approval
10. Plumb; Cir. Test -Water Supply Test
Card -BI
Date Card -BI Date
Card B -I Date Card -BI Date
Card B -I
Date Card -BI Date
Card -BI
Date Card -BI Date
0 =,Not OK4 I
—,A,L- Not Applicable
I#ot Ready REMA L (SirtgI6 and Duplex)
.00
.A lly�
Date UNDERPLOOR (Plans) OK except#'s Date FRAMING (Continued)
4-'ZSning re5,�rements-Se!J�acks-Ease
gs
0
01"Ftg., MMn; SWs-S��- lec. G
,pC_ Ftg. Depth
�rs-M��ecR-Garage '3Fd
2,-XW., Galefe; Soils&-Sleel- / /" Ftg. Depth
ADe-Mirs; S+d6-He a M ds-R��- ire 2woerflon
�O�o�es & Decks; Soils -Steel- Ftg. Depth
LU-4at7V7o_od on Roof Overhang-P*Z��n -Pefter-ourrtggers
&--Std"MMS, NW5,_ S*16r-B105 �uts-Wrapped-Slab
*09[ekwans, G&I'ge—Steel-Blockouts-Wrapped-Slab
1 1, §2XSiding-Nailing-Veneer
Ju��Stucco Mesh -Drip Screed-Fdn. Vents-UnderfIr. Access
?Z P -
-1 k 54. Glazing Area -Glass Protection -Sky I ights-P last ic
W.V.: ae"-Fau4l�gs±�M ��y /0 �Se r �Tj.
�y V/OiSe%Vr Tia
5be-35-ear Walls; NMMng-,[��
rs
1 er Pipe; 19eY-'Ars-%guId r V1
lectric; Underground I$e / VtJiC' 25 4X_r� 1,e!�
lenuffo*-DUc-*7Meaance--MMi-al-94pport--In&�
ke-_MX_-!�,SJJa4A_ nq4or!BoltVQAd,��
Card -131 66) DM6!��e"�ir_Card-Bl Date
_/_ _/. / a k4on
Card -BI -C�k Dat!�,] 7,,�/'� - ' Card -BI Date
9941 4
Card -BI &� Datgb�X=XV Card -131 Date
Card -131
ate— gJ_%Z?ard-BI ��Date
Date FINAL (Plans) OK except #'s
Card -BI Card -BI Date
Date
PLUMBING (Permit) OK except #'s
C551 Ext. Steps -Door & Sidelight Protection -Landings
I&F-ISmoke Detector
14. '0-1- I'll., V_'- Aer."r. Gemboe44an Air
58.--Furnece-Vem+s-Clearance-Comb. Air-Connector-
In C
gaFage, Above F'oer-Ducts-Mech. Protection
C Z_ ater Pipe; tq%f�lr_Ang)g�i I 2EWsWon
Ukrw� -
Andhws-Nai WZWe(Tion
A%-*'�edrporn Exiting
4USTJQ)J4
-AWM
�125r First FI -Tub&Amess
.&V 22r
4ZLst TU_& SkQ2nd o -Tub kac4se—
On-
W,--TF.I. & Bath Fixtures &_Jub_AeCL!rs_s
�.l . Trim & Sgb�el, Break_ar
4w._Sta_VA,,&Rails
E4��irepjgae-or Stove; 6iWd1;a;:nces-H4;0h--
tz]ZE�-Out I etsiL�O�O 'Panel; Int. & Ext.
Card -BI
Card -BI
05F-Iflt. Fixt. & Appliance�_ � �ookw*,&Warance
Card -BI :]r?LGDate
�DJ7,rLye-Card-Bl Date
66.--ETec. Outlets & Receptacles_,U Kit. Counter
Date
ELEC3:RICAL (Permit) OK except #'s
id::�age Fire Door;
21?.'FiN,sure & Transform!!�a e -Ins. Rxetem—on
§0-."Wtr. Htr.; VeM;LC1�qaFa<ge_CVMtr.-A 'r-GermVMr-
-------- ln_Garage; Abov _Mect&-exatection
4�lec -Receptacles-6-palp-NoLights & Sv4LeAemt4Deers-
izq-Boxes & No. of Conductors -Stapled
-
7jF�07PIb., Elec. & Mech. Equip. Listed for Location
�_Rnsstall d Close to Edge of Studs & C.J.
2!.:7
7A,134ec-ITeceptacles in Garage; (G.F.I.)-Romex Protec.
.
4��2uip. Ground made up w/Mech. Fasteners- BQbd%m & W
7ZL.JPsMat!9j1,- Foam- Looked in Attic n-Y—es
(_2V
2 Appliance Circuits in Kitchen & Conductor Sizw6 C
26. Subfeed Wire Size ga. Cu or AI-A.C. Wire Size / OZ/ ga-evor A]
Q ffdn. e� Crawl daLe-l�®r-Drainage4&AaodEarth Clearance
. Looked under Floor 0 Yes
27. Range Circ. /41!;/ ga. C" OF I -Ove irc. ga. Cu or Al,
Insulated Neutral ZYA& E]No :�'
754_FeHDVi-ng instid.: Drive 0>el- [J No; Walks
Planters F-1 Yes
28. Service -Riser Conductors ; �RC Main&i�nnect
J,�/ S t u c C 0; B pirn - F i pisf A&,Al 4LI-
24;--; IFquip. Clearances; Pane Is-Motors-Mech. Equip.
jjj!::f.C��nit; Djsgon<e ct-CIr4oes--13rkr. &6endSize-115U_QWet
Ze-tro-thes CIoseL6ig1�t_-Showw-ef6fi_t
7&-�ents Above
(1-9.) Water Wei I kTisc6nne2alectri6o, Pluqn�in
4� E�terior Elec. T—rarr, G.E.L_714iceptacle-ltj�n�
Card B_ k*V
Dat CXard-BI Date
6�_Z�
ale -Ventilation throughout House
9 Protection
s'
Card B-r,—o � Date 1// Card -BI Date
Date
-
MECHA N4CAL (Permit) OK except #'s
Vla
r r
C� Tac�i �nfrom Previous Inspections
at-Meters TadgecrQa&.-EIe&rffr�c--
Ve�_A_Q, Ducts; Insulation & Sppo t
M�r Sewer Connected -C/0 -HD Approval
n; E4&ust aificrre- I nsu-Qbon
g
'E -
&_,�Z nergy compliance Certificate -Other Certificates
gW�pdensate
Drain & OvWflow; Size & Grade
M�rnace-\*emt,, qttl!gg]bComt3,-�Returrk6WrVent-1 15X.Qw*Wr
(59!5Attic
Access & Platform if Furnace in Attic
Card -131 Date Card -131 Date
Card -131
Date Card -BI #W Oate16-e_,ky0
4?V2:!3Me
Card -BI Date Card -61 Date
Card -BI
Date Y/,vy'/' Card -BI Date'
fa rd]-�B �l D a t !6:04,S� Card -BI Date
Date
FRAW<G(Plans) OKexceptk:g_
Comments at Final:
6koSills; ProwpAW-erial &Zr&]M
A67--WaLls; Studs-NaAmi-ng, Spacinoe&,Segc-ing-PtMIgs-Sound
__311i.-�eaang
Walls over Girders & Floor Nailing
Z"
�ffaft Stop in Walls (rat f)
ire Stops; Furred-Crilings-��CZ��
4-14-�ader& Bearn-Size&Oearing_
RooPer-rac. -Truss--!94�h9.-0fn".N
p
F; ype A ��e Fireptare-T*oeat1wQV-7kZ1.A
;A ttc i's. Baffles 14F
-ss
r;
W,nd,v,,,,.e )ns
('!NVGarage
Fire Protection Framing
(NOTE: An entry must be made each time you visit job site)
COUNTY OF BUTTE
DEPARTMENT OF PUBLIC WORKS
196 Memorial Way, Chico — Phone: 8911-2�5i'
7 County Center Dri ve, Orovi I I e — Phone: 534-4541
Skyway and Elliott Road, Paradise — Phone: 872-2961, Ext. 57
CORRECTION NOTICE
/JA 6 - Co.
OWNER PERMIT NO.
A routine inspection indicates that the following violation� 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 Sdditional explanation, please contact this office immediately.
t r
7JA
JU I
OF
Inspector Date— q hc�
COUNTY OF BUTTE
DEPARTMENT OF PUBLIC WORKS
196 Memorial Way, Chico — Phone: 891-2751
7 County Center Drive, Oroville — Phone: 5344541
Skyway and Elliott Road, Paradise — Phone: 872-2961, Ext. 57
CORRECTION NOTICE
1
lollirl
OWNER PERMIT NO.
A routine inspection indicates that the following violations of County Ordinance
exist at the above address and should be corrected. Please notify this office
when correction of work is completed. It you have any question pertaining to this
matter o need addiponal ex , p4anation, please contact this office immediately.
all
Ayr rzz g.;- /-'20 r lel.'e
z I C "U A/ F C 't
L -'f- 11 j9j L-01JAIZC
Inspector— �--- Date—/ -,-2s- `�—d-5
-7
5P
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
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. It you have any question pertaining to this
matte/, or need additional explanation, please contact this office immediately.
r
T Z
Zia' - 41
A�'.z'v-�'e
4'3'—'Z r6n. /�Ua 7-
-, - r ' - — .
'el'- " '/ - —e 'f "'&// '0- - - _jC\ / Ab -f' -:r/9-f -e P�* I'-- fj
V *eA,( 6 Pj
In s pec t Date/'0 2—
Dcoli4SOLIDATED ELECTRICAL DISTR
f
O
- J .
1 �•
J•
SERVICE INTEGRITY RELIABILITY
FORM 10608
COUNTY OF BUTTE
An— DEPARTMENT OF PUBLIC WORKS -
AW 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
617-7,1. 4/ 4/
OWNER PERMIT NO.
A routine inspection Indicates that the following violations of County Ordinance
exist at the above address and should be corrected. Please notify this office
when correction of work is completed. If you have any question pertaining to this
niatter, or need additional explanation, please contact this office Immediately.
d 't/ If j�cl;'�'_
7' Gll_"�IL r,
'0 oh /
4'j ZI, A, 444_1�
lnspect� Date— 1'5�—
W. -A
COUNTY OF BUTTE
DEPARTMENT OF PUBLIC WORKS
196
Memorial Way, Chico — Phone: 891 2751 q '7
7 County Center Drive, Oroville — Phone: 534-4541
Skyway and Elliott Road, Paradise— Phone: 872-2961, Ext. 57
CORRECTION NOTICE
OWNER PERMIT NO.
A routine inspection indicates that the following violations of County Ordinance
exist at the above address and should be corrected. Please notify this office
when co!;ection of work is completed. If you have any question pertaining to this
Tatt5;,,'or need additional explanation, please contact this office immediately.
'�2
1 '�-7
-. 4/1 OAli
V
Inspector
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
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. It you have any question pertaining to this
P Aj.'z
Ole
Inspector—.— Date_Z,-7,VV
Own"et: Permit No.
ENERGY C;ERT'IF ICAT ION
4776 Songbird Lane 'j
LOCATION A.P. No�'
DESCRIPTION OF INSULATION
ROOF
Material
Thickness(inches)
EXTERIOR WALL
Material Fiberglass Batts
Thic ss (inches)-' 61,
CEILING
Batt or Blanket TypeFiberglass Batts
Thickness(inches) 91,11
Loose Fill Type Fjhnrglass
Miniimlm Thickness (Inches) 13 3/41,
Area covered(ft.2) 1,616
FLOOR, ELEVATED
Material Fiberglass Batts
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) R19
Brand Name Owens-Corning
Thermal Resistance(R Value) R30
Brand Name Owens-Corning
Number of Bags 38 Wt. per bag 25 lb.
Thermal Resistance(R Value) R30
Brand Name Owens-Corning
Thermal Resistance(R Value) R19
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 Califor�la Energy Requirements.
inFRKF TNSHIATTnN rnMPANY #432518
FIRM NAME/OWNER STATE CONTRACTOR'S LICENSE NO.
May 13, 1985
§fAtCAtION APPLICATOR 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.
-5-&-le
AA
FIRM XANE/OWNER (Please print) STATE CONTRACTOR'S LICENSE NO.
411
STr_NATURE OF (3ENERAL CONTRACTOR/OWNER DATE
THIS CERTIFICATE MUST BE ON FILE WITH THE BUILDING DEPARTMENT PRIOR TO FINAL
INSPECTION APPROVAL AND A COPY SHALL BE POSTED WITHIN THE BUILDING -
January 1984
tv
i,%3TE OF TlMk,
00
Z
A 11 T.IC, Go.
R�_'MA C E
CERTIFICATE -0 F N*F0 N.
HE UNDERS16NED MANUFACTURER HERE8,,Y�CERTIFIE$
7 "1 - ,
that the products identified below and on attached sheets Nos. v ;�, " �_� al�lmarked
with thb Collective Mark of the AMERICAN INSTITUTE,OF TIMBER,CONt'
� TRYCI!1�21'
and.were manufactured in conformance with,applicable provisions of Amer ' idan Natidnb Standard
ANSUAITC A190.1-1983, Structural Glued Laminated Timber, and that -subW-maidufaciure has
. SPRINGF1 i Ilityt6ntrol system,
been at our plant in ELDOR—EC JN which plant,has a 4W � ;_
approved by the Inspection Bureau of the AMERICAN, INSTITUTE OF -TIMBER CONSTRUCTION
and'inspected periodically -by such BureatL
The manufacture of these members complies with the manufacturing and fabricating prbvisions of
Chapter 25 of the Uniform Building Code.
JOB NAME: FH_FR LUMBER SALES -
JOB LOCATION: REDDING, CA
1419-C
CUSTOMER'S ORDER NO. 5343 DATE __5J_1 W-4 MFGR'S ORDER,NO.
4
SIGNATURE W COMPANY- R0qRQR0,1_tHRFR r10WAMY
22ND STREET DATE
5�22A4
TITLE- QUALITY C6N-TROL ADDREW S 77
A I TC HEREB Y CERTIFIES that'tHe said company at its`said�Arfas �ceri4ed by the
ION to use the AITC tolle'cAW �firk in respect
AMERICAN INSTITUTE OF TIMBER CONSTRUCT
r'�ducts which ;omplry -;-j1` appli,-able provisions of said Standard, that*,the,*adeq6'ac�'of��ho,quaWty
of p Lis I - -
control system in effect at said plant is periodically inspected and verified by ihwllnspecti�aii biu'rea'u'of
the AMERICAN INSTITUTE OF TIMBER. CONSTRUCTION, -and.,'thAt, in the judgment, of, AITC,
said company is capable of complying with applicable manufacturing qnd testih bn of said
. "Xi2ti- s
Standard in respect of products manufactuied at said plant. Conformancewith the Stan ard ' 'in resoect
of any specific or particular product is the sole responsibility of the manufabture�;Aldss' guarantee
i -the said Standard
hereunder being that the said company is qualifie'd to produce a product meet, ng
and that its plant is periodically inspected and verified by the . AITC Inspection Esureau:
AITC FORM IBCA
_-, - -i -- -- ..
A"ITC Certificate No. 0 0 8 2'3'
AMERICAW INSTITUTE _0FTII%I3ER.0O3NX,-_RUCTI0N -
C 1983 AMERICAN INSrITUTE OF -hMEIER CONSTRUCTION
COUNTY OF BUTTE - DEPARTMENT.bF PUBLIC WORKS
7 County Center Drive - Oroville, California -95965 - Telephone 916/534-4541
APPLICATION AND'PERMIT
PERMIT
O��
-Is S7
OWNER
TELEPHONE
SQ.FT. OCC.1 BUILDING VALWION
ASSESSOR PARCEL NUMBER
ZON
BUILDING PERMIT
OWNER
TELEPHONE
SQ.FT. OCC.1 BUILDING VALWION
Ole
OWNER'S ILING'ADDRESS
eiii
CONTRgATO M 110T F_L E P H 0 N E
J)A)
r6d
I
CON RACTOR'S A �_ING ADDRESS
V edl 4!!�D
FirepiacfZ
CO "STRUCTION LENDER
62rn� _Q4411,00-3.
UNKNOWN
Total Valuation $
Filing Fee
$ 10.00
LENDER'S MAILING ADDRESS
Permit Fee
$ r?2316Z)
ARCHITECT OR ENGINEER
E NO.
Plan Checking Fee
$ .14916's -C
$
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Permit fee
$'
11ILDIIG A
'4-'776 sox)e_-,AA?2)
PLUMBING PERMIT
Fili,ngFee 10.00
AbA2 4A,,Ph &,eA '15-90 4)
Each Trap
ZL 2.00 ZZ, (5t!>
Solar Water Heater
20.00 ZO, d;o
Of
Water piping
5.00 57W
LOT NO.
UBDIVISION NATVIE
SQL9Pr1L_ jWA ) !9 06
ARCEL MAP
1P
Each qas water heater or vent
5.00
Gas piping system 1 - 5 outlets
5.00 1
USE OF STRUCTURE
SFV DuplexF] Mobi I ehome r_1 Other
SPECIFY
Building sewer
5.00 -
Mobile Home S I G
10-00ei
TYPE OF WORK
Nev�qp Addition [:] Remodel[] Utilities[] Installation[] Other
Describe work:
Permit Fee
$ 71
Contractor
ELECTRICAL PERMIT
FilingFee 10.00
600V OR LESS
Main service 100 AMP OR LESS
10-00 1,Q, 60
Main service EA. ADD -L 100 AMP
2.50
NEW CONST. DWELLING
OR ADDNS. ( ACC. BLDG?.Cc
44W -L
2/20sqft tjO,
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 e ffect.
License No. Classification f?
1, as the owner, or my employees with wages'as their sole compen-
sation, will do the work,and the structure is not intended or offered
for sale. (Sec. 7044)
I, as the owner, am exclusively contracting with licensed contract-
ors. (Sec. 7044)
I am exemRt under Sec.—, Business and Professions Code
for this reason
NEW.C;QN5TR.( MULTI -OUTLET
NON RESID. BRANCH CIRCUITS) 2.50 ea
NEW . CONSTR. (POWER APPARATUS.11)
NON_RESID. SINGLE OUTLET CIR
20@50t
Ex. OCCUP(OUTLEiS OR FIXTURES IBAL@ 300
FIXED APPLNS. OR I
Ex. OCCUP- OUTLETS (RESID.) EAJ 2.00
Temporary service 10.00
Mobile Home Facilities 15.00
Misc. Wiring 15.00
—
1
Permit Fee $ Wi3l/25,
Contractor
WORKMEN'S COMPENSATION INSURANCE
I declare under penalty of perjury (check one):
F-] The permit is for $100.00 (valuation) or less.
have placed on file with the County of Butte Building Department
a Certificate of Workmen's Compensation Insurance or a Certificate
0 f -Consent to Self-Inslure.
El I shal I 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. I
MECHANICAL PERMIT
FilingFee 10.00
Heating 13:6, 27 In
/Z,6r-)
Are�,74-y-
Cooling -2-
57-0A
_!r_+1b,6B
S*,00 1-7_,&0
Hood
3.00 3,ee:;o
Venti lation
a 60 60
Permit Fee
$
Contractor
—
I certify that I have read this application and state that the above information
is correct. I agree to comply to all County Ordinances and State Laws relating
to building construction, and hereby authorize representatives of the Countyot
Butte to enter upon the above-mentioned property for inspection purposes.
I also agree to save, indemnify and keep harmless the County of Butte against
all liabilities, judgments, costs, and expenses which may in any way accrue,
again:s/ts id County i ce of the granting of this permit.
(
X Date
Si re of Applicant — Owner El Contractor E4, -A g e n t
91-1-11 U
An OSHA permit is required for excavations over 5'0" deep and demolition or construct-
ion of structures over 3 stories in height.
Mobile Home Installation Fee $
8 rA A � n- M -G) Oe- -IC. T
mx) 21.01 Ole)
TOTAL PERMIT TEE $ 83�51 Iss,
OCCUP. GROUP
I TYPE OF CONST.
1'1��JPA;Jj�V
"/1
fj7
This permit is hereby issued under
sions of the Butte County Code and/or
work indicated above for which
DIRECTOR OF PUBLIC
By.
Z
PWIT EXPIRES Date
the applicable provi-
resolutions to do
fees have been paid.
WORKS
Dat&
Receipt NO.
WHITE-D.P.W.. YELLOW-ASSFSSOR, PINK -INSPECTOR, GOLDENROD-APPL I CANT
COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS
7 County Center Drive - Oroville. California 95965 - Telephone 916/534-4541
I J, APPLICATION AND PERMIT
PERM)T 40.
'ASSESSOR PARCEL NUMBER
1-4 -7
ZONING
1_�Srcl - _f
BUILDING PERMIT
0 E
TELEPHONE
SQ.FT. OCC.1 BUILDING VALUATION
OWNER'S MAILII-TG ADDRE
C,
C-0 NT R A
6Cd1__1
TELEPHONE
CONTRACTOR'S MAILING ADDRESS
&"arr, Z4,mz, �"h
Fireplace
CONSTRUCTIOR LENDER
ONKNOWN
Total Valuation is
LENDER'S MAILING ADDRESS
ARCHITECT OR ENGINEER L ICIENFE NO.
Filing Fee
$ 10.00
Permit Fee
Plan Checking Fee
$
$
ARCHITECT OR ENGINEER'S MAILING ADDRESS
BUILDING ADDRESS
Penalty
$
Permit fee
$
PLUMBING PERMIT
FilinglPee 10.00
JI/
Each Trap
2.00
Solar Water Heater
20.00
Water piping
5.00
LOT NO.
SUBDIVISION NAME
EL MAP
Each qas water heater or vent
5.00
Gas piping system 1 5 outlets
5.00
USE OF STRUCTURE
SF S Duplex[3 Mobilehome[:] Other
SPECIFY
Building sewer
_T
Mobile Home S TG I W I
10.00e
TYPE OF WORK
NewEl AdditionEl RemodelE] UtilitiesEl InstallationEl Other
Describe work:
Permit Fee
$
Contractor
ELECTRICAL PERMIT
Filing Fee 10.00
Main service 600V OR LESS
100 AMP OR LESS
10.00
Main service EA. ADD -L 100 AMP
2.50
TCONTRACTORS LICENSE LAW
I declare under penalty of perjury (check one):
I am licensed under provisions of Chapt. 9, Div. 3 of the ness
and Professions Code and my license is in full force anodue5flfect.
License No. Classification
El 1, as the owner, or my employees with wages as their sole compen_
sation, will do the work,and the structure is not intended or offered
for sale. (Sec. 7044)
1, as the owner, am exclusively contracting with licensed contract-
ors. (Sec. 7044)
I am exempt under Sec.—, Business and Professions Code
for thi Wes, on
NEW CONST. ( DWELLING OCCUP-.&)
2R A�15D�!�_ ACC.BLDGS.
2/20sq ft
. E W C ST, (MULTI.OUTLE T
N N-RESID, BRANCH CIRCUITS) 2.50 ea
NEW.CON,STP_ (POWER APPARATUS.&)
NON RES D. SINGLE OUTLET CIR
.
Ex. OCCUP(OUTLETS OR FIXTURES 20@50C
Ex. OCCUp. FIXED APPLN"R
OUTLETS (RESID.) EA.1 2.00
Temporary service 10.00
Mobile Home Facilities 15.00
Misc. Wiring 15.00
1 J
Permit Fee
$
Contracto-r
WORKMEN'S COMPENSATION INSURANCE
I dec I are under penalty of perjury (check one):
F-] The permit is for $100.00 .(valuation) or less.
F1 I have placed on file with the County of Butte Building Department
a Certificate of Workmen's Compensation Insurance or a Certificate
of C ' onsent 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 compl y with such
provisions or this permit shall be deemed revoked.
MECHANICAL PERMIT
Filing Fee 10.00
Heating
Cooling
Hood
3.00
Ventilation
Permit Fee
—6-o—ntractor
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 La s relating
to building construction, and hereby authorize representatives of thewCountyot
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
evi inst said County in consequence of the granting of this permit.
Date
V,9..Iu,. of Applicant — Owner [:1 Contractor 0 Agent E:1
An OSHA permit is required for excavations over 5'0" deep and demolition or construct-
ion of structures over 3 stories in height.
Mobile Home Installation Fee $
TOTAL PERMIT FEE $
9
occup. rROUP
I TYPE OF CONST,
PARCEL 'PO
HO
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
.1
the applicable provi-
resolutions to do
fees have been paid.
WORKS
Date
-zo
Receipt No.
WHITE-D.P.W.. YELLOW -ASSESSOR, PINK -INSPECTOR. GOLDENROD-APPL I CANT
IF 047-500-014 PEMIT#95-100'�
VAIL, Cathy
4776 Songbird, Chico
Cont; Conrad -Is Plbg
Gas Service & Wtr Htr/SF
C
(S
t'j
0741
OFFICE COPY
Address
dd r ss
GAS
M M
eter B
E FLECTR I r. Dat
M
Meter By
Date
----------
COUNTY OF BUTTE - DEPARTMENT OF DEVELOIPMEN�T- SERVICES - BUILDING D�[S;ION
7 County Center Drive - Oroville, Califo I rdia"id"9'965 - Telephone (916) 5381/-7 PERMIT NO.
APPLICATION AND PERMIT
ASSESSOR PARCELNUMBER
047—r%002!01 4
ZONIN�
sity �
BUILR1NGPERMIT
OWNER
CAM VAIL
TEUEP� ENE,
SO. FT. OCC. BUILDING VALUATION
OWNER'S MAJUNG ADDRESS
4776 SONGBIRD, CHIC 0 95926
CONTRACTORS NAME
CONRAD'S PUMING
TELEPHONE
893-1124
CONTRACTORS MAIUNG ADDRESS
1 7715, CHICO 95927
Fireplace
CONSTRUCTION LENDER
UNKNOWN
Total Valuation
Filing Fee
20.00
LENDERS MAJUNG ADDRESS
Permit Fee $
ARCHITECT OR ENGINEER
LICENSE NO.
Plan Checking Fee $
Energy Plan Checking Fee $
ARCHITECT OR ENGINEERS MAIUNG ADDRESS
Penalty $
BUILDING ADDRESS
4776 SONGBIRD, WCO
PERMITFEE $
PLUMBINGPERMIT Filing Fee 20.00
Each Trap
7.00
LOT NO.
SUBDIVISIONS NAME
PARC MAP
Solar or heat pump water heater
23.00
LISEOFSTRUCTURE
SF1 Duplex 0 Mobilehome 0 Other
SPECIFY
'Water piping
15.00
Each gas water heater or vent X
15.00 15.00
Gas piping system I - 5 outlets X
15.00 15.00
Building sewer
15.00
TYPE OF WORK
New 0 Addition 0 Remodel 0 Utilibes 0 Installation 0 Other
Describe Work: GAS SERVICE AND WATER HEATER
Mobile Home I S I GI W 1
@20.00
PERMITFEE $ 50.00
Contractor
ELECTRICAL PERMIT Filinq Fee 2 0.'0 0
OR LESS
Main Service .0
2 O'A' OR LESS
23.00
Main Service ( 200A TO 1000A
46.00
LICENSED CONTRACTOR'S DECLARATION
1 hereby affirm under penalty of perjury that I am licensed under provisions of Chapter
9 (commencing with Section 700b�, of Division 3 of the Business and Professions Code,
and my license is i54ull fMce an0effect.
ss F f
License Cla �Lic. No. 4:�t- e- ->!j OZ
OWNER-BPILDER DECLARATION
I hereby affirm under penalty of perprjry that I am exempt from the Contractors License
Law for the following reason:
0 1, asownerof theproperty, or my employeeswith wages as their sole compensation,
will do the work, and the structure is not intended or offered for sale.
0 1, as owner of the property, am exclusively contracting with licensed contractors
to construct the project.
0 1 am exempt under Sec. Business and Professions Code for this
reason
NEW CONST. DWELLING OCCUP.
OR ADDNS. & ACC. BUDS.
so
3.50 Fr.
NEW CONST LTI-OUTLET
NON-RESID. BRMAUNCH CIRCUITS
97.50
&POWER APPA—us
SINGLE OUTLET CIR.
Ex. Occup. ( OUTLET OR FIXTURES
20 @ 1.00
BAL 0 .50
Ex. Occup. ( FIXED APPLNS. OR
OUTLETS (RESID.) EA
5.00
Temporary Service
23.00
Mobile Home Facilities
20.00
Misc. Wiring
23.00
PERMITIFEE $
Contractor
WORKERS' COMPENSATION DECLARATION
1 hereby affirm under penalty of perjury one of the following declarations:
0 1 have and will maintain a certificate of consent to self -insure for workers'
compensation, as provided for by section 3700 of the Labor Code, for the
performance of the work for which this permit is issued.
0 1 have and will maintain workers' compensation insurance, as required by Section
3700 of the Labor Code, for the performance of work for which this permitis issued.
My workers' compensation insurance carrier and policy number are:
Carrier
MECHANICAL PERMIT
Filing Fee 20.00
Heating
Cooling
Hood
6.50
Ventilation
PERMITFEE $
Contractor
Policy Number
(The above sections need not be completed if the permit is for work of a valuation
of one hundred dollars ($100) or less.)
Mell certify that in the performarice 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 thal if I should become subject to the
workers' c ,ppensation provisions of section 3700 of the Labor CC_
_.2o
f rthwitb1compl with ose-provisions.
X Date -:5;
r 0 Agen
/Signat _:5�trac-t—o
An OSHA permit is required for excavations over 60" deep and demolition or construction
of structures over 3 stories in height.
Mobile Home Installation Fee
Energy Inspection Fee is
OCC
CONST. TYPE
TOTAL H= It 50.00
HAZ. I
D. FEES
I IMP
I FLOOD
T�
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.
B o�Z ge 2��Date
II -:re_-p
PERMITEXPIRESON (7// 6
/(Date)
Receipt No.
WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR__ GOLDEN ROD -APPLICANT
COUNTY OF BUTTE - DEPARTMENTOP DEVELOPMENT SERVICES -BUILDING DI SION
7 County Center Drive - Orogville�,Cilifornia,95965 - Telephone (916) 538Z-7 PERMIT NO.
APPLICATION AND PERMIT _/Ma
ASSESSOR PARCEL NUMBER
047-500-014
ZONING
SR1
BUILPiNGPERMIT
OWNER - - - - -
CATHY VAIL
TELEI*40NE
SQ. Fr. OCC. BUILDING VALUATION
OWNER'S MAILING ADDRESS
4776 SONGBIRD, CHIC 0 95926
CONTRACTOR'S NAME
CONRAD'S PLUMBING
TELEP14ONE
1893-1124
CONTRACTOR'S MAIUNG ADDRESS
PO ROX 7715, CHICO 95927
Fireplace
CONSTRUCTION LENDER -
OWN
Total Valuation is
UENDER'S MAJUNG ADDRESS
Filing Fee $
20.00
Permit Fee $
ARCHITECT OR ENGINEER
LICENSE NO.
Plan Checking Fee $
Energy Plan Checking Fee $
ARCHITECT OR ENGINEER'S MAIUNG ADDRESS
Penalty $
BUILDING ADDRESS 4776 SONGBIRD, CHICO
PERMITFEE $
PLUMBINGPERMIT
Filing Fee 20.00
Each Trap
7.00
LOT NO.
SUBDrVtSIONS NAME
PARCEL MAP
Solar or heat pump water heater
23.00
USEOFSTRUCTURE
SF JP Duplex 0 Mobilehome 0 Other
SPECIFY
Water piping
15.00
Each gas water heater or vent X
15.00 15.00
Gas piping system 1 - 5 outlets X
15.00 15.00
Building sewer
15.00
TYPE OF WORK
New 0 Addition 0 Remodel 0 Utilities 0 Installation 0 Other CQ
Describe Work: GAS SERVICE AND WATER HEATER
Mobile Home I S I GI W 1
920.00 1
I
PERMITFEE $
-50.00
Contractor
ELECTRICAL PERMIT
Filina Fee 20'00
a V OR LESS %
Main Service 20000A OR LESS
23.00
Main Service 200A TO 1000A
46.00
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter
9 (commencing with Section 7000) of Division 3 of the Business and Professions Code,
and my lic nse i * 4 11 fo ce and effect.
License CI:Ss 7-f"J%; _ Lic. No. 2,
OWNER -BUILDER DIE-C-CARATION -
1 hereby affirm under penalty of perjury that I am exempt from the Contractors License
Law for the following reason:
0 1, as ownerof theproperty, or my employees with wages as their sole compensation,
will do the work, and the structure is not intended or offered for sale.
0 1, as owner of the property, am exclusively contracting with licensed contractors
to construct the project.
0 1 am exempt under Sec. Business and Professions Code for this
reason
NEW CONST. DWELLING OCCUP.
OR ADDNS. , ACC. BLO ._
so
3.50 Fr.
NEW CONST. MULTI -OUTLET
NON-RESID BRANCH CIRCUITS
-
@7.50
POWER APPARATUS
SINGLE OUTLET CIR.
Ex. Occup. ( OUTLET OR FIXTURES
20 @ 1.00
BAL 0 .50
FIXED APPLNS. OR
Ex. Occup. ( OUTLETS (RESI ) EA
5.00
Temporary Service
23.00
Mobile Home Facilities
20.00
Misc. Wiring
23.00
PERMITFEE $
Contractor
WORKERS' COMPENSATION DECLARATION
1 hereby affirm under penalty of perjury one of the following declarations:
0 1 have and will maintain a certificate of consent to self -insure for workers'
compensation, as provided for by section 3700 of the Labor Code, for the
performance of the work for which this permit is issued.
13 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
Heating
Cooling
Hood
6.50
Ventilation
PERMITFEE $
Contractor
Policy Number
(The above sections need not be completed if the permit is for work of a valuation
of one hundred dollars ($100) or less.)
'Nrl 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' ation provisions of section 3700 of the Labor Code, I shall
forth visions.
V Date
ig ner Wontractor 0 AgenK
An OSHA permit is required for excavations over 60" deep and demolition or construction
of structures over 3 stories in height.
Mobile Home Installation Fee
Energy Inspection Fee Is
Occ
CONST. TYPE
TOTAL FEE $ 50.00
HAZ.
I D. FEES
I IMP
I FLOOD
I CDF PARCEL
PD HD
I ISSUE
This permit is hereby issued under ne applicable provisions
of the Butte County Code and/or Resolutions to do work
indicated above for which fees have been paid.
B _,7 If
IZI
PERMITEXPIRESON
I e) ------- J
ReceiptNo.
WHITE-D.D.S.-B.D.____ CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT
COUNTY OF BUTTE
BUILDING. DIVISION
DEPARTMENT OF DEVELOPMENT SERVICES
1469 Humboldt Road, Chico, CA - (916)'�891-2761
7 County Center Drive, Oroville, CA - (916) 538-7541
747 Elliott Road, Paradise, CA - (916) 872 6307
CORRECTION NOTICE
OWNER PERMIT NO
A routine inspection indicates that the following violations of Butie County Ordinances exist at
the above address and should be corrected. Please notify this office when correction of work
is completed. If you have any questions pertaining to this matter, or need.additional explanition,
please contact this office immediatelv.
—1a Inspector
Date
REV IOJ92
' COUNTY OF BUTTE
DEPARTMENT OF bEVELOPMENT SERVICES
BUILDING DIVISION
AUTHORIZATION
TO CONNECT
Address /�
GAS
Meter By Date
ELE T
Meter By Date
DETACH FOR SERVING UTILITY
AddressV 7C
GAS
Meter By Date-
ELF
ate
E L C� TSI
Meter By � �n„o
OFFICE COPY
Address
GAS
Meter By -Date-:-
ELECTRIC
Meter By Date
r
• � 9 s
2
"PERMIT NO. 87-86B, P, E
PERMIT EXPIRES
i
l OWNER BILL VAIL
CONTR. Ca"re-Free POOlS
ASSESSOR PARCEL 47-50-14
LOCATION 4776 Songbird, Chico
f
i
t
t
t
Temp. Power Pole
Called PG&E
Temp. Elec. Service
Called P(
Temp. Gas Sei
Cal led PC
JOB FINALE[
r
Signature
V '�_--'OK '
0 = Not OK
— = Not Applicable
* = Not Ready
a
MOBILEHOMES
MISCELLANEOUS
Date
MOBILEHOME UTILITIES (Plans) OK except #'s
1. Zoning Requirements—Setbacks—Easements
Date
DECKS, COVERS, CARPORTS, ETC. (Plans) OK except #'s
1. Zoning Requ irements—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)
5. Electricity; Location—Clearances—Grnd.—/ / Amp—Concrete
4. Wood Awn.; Posts—Beams—Rftrs.—Connec.—Shthg.—Rfg.—Br acing
5. Alum. Awn.; Columns—Connections—Splice—Decal—Enclosures
'6. Gas; Location—Test—Wrap: L"ft./ /" Nat. or/ /"L"ft./ LPG
6. Carports; Windows—Doors
7. Utility Clearance
7. Elec.
Card -BI
Date Card -BI Date
Card -BI
Date Card -BI Date
Card -131
Date
Date Card -BI Date
MOBILEHOME INSTALLATION (Plans) OK except #'s
Card -131
Date
Date Card -31 Date
P00IJ (Plans) OK except #'s
1. Zoning Requirements—Setbacks—Easements
4*'.O'S"cks— Easements
2. Footings; Size—Spacing—Marriage Line
t-*"'S'gj;w,-Compaction—Structure Stability
3. Gas; MH Test—Demand—Valve—Connector
&'Pool Structure; Stee I —Connect i ons— T h i ckness—Dead Men—Lining
4. Electricity; MH Test—Crossovers—Breakers—Clearances
lec.; Receptacles and Lighting; Distances—GF1
5. Drain; MH Test—Fall—Flex Connector
Tlec.; Pool Lighting; 15 volts—GFI
6. Water; MH Test— Regu lator— Connector
EVjitiec.; Enclosures; Conduit Entries—Terminals—Listed
7. Water and Sewer Connected—C/0 to Grade—FID Approval
5 Elec.; Bonding; Metal w/5'—Circulating Equipment—Heater
8. Gas and Electricity Tagged
%d. Elec.; Grounding; Equip. w/5'—Circulating Equip.—Pool L6hig.
Xoxes—Enc losures—Panel boards— Ins. to Main in Conduit
9. Exits; Insp.—Sketch
10. Carl. of Occupancy
Health Department Approval '
Plu.mb; Cir. T6,6117—Water Supply Test
4 4
Card B-1
Date Card -Bl Date
Card -BI
SkDate Card -B] Date
Card B-1
Date Card -Bl Date
H Card -Bl
Date Card -BI Date
4 �qlk 4 , - r 0- 1 U��
AV74
0,,
z ir,
V = OK
0 = Not OK
- = Not Applicable RESIDENTIAL-(Sin�le and Duplex)
* = Not Ready
Date
UNDERFLOOR (Plans) OK except #'s
Date
FRAMING (Continued)
1.
Zoning requirements -Setbacks -Easements
48.
Property Line Firewall & Openings
2.
Ftg., Main; Soils-Steel-Elec. Grnd.- / /" Ftg. Depth
49.
Ext. Doors -One 3' -Check Garage -3rd story, 2 exits
3.
Ftg., Garage; Soils -Steel- / /" Ftg. Depth
50.
Stairs; Width -Headroom -R ise-Run-Landing-F ire Protection
4.
Ftg., Porches & Decks; Soils -Steel- / /" Ftg. Depth
51.
Plywood on Roof Overhang -Attic Vents -Rafter Outriggers
5. Stemwalls, Main; Steel -B loc kouts-Wrapped-S lab
52.
Sid ing-Nai I ing-Veneer
6. Stemwalls, Garage; Stee I -B lockouts -Wrapped -S lab
53.
Stucco Mesh -Drip Screed-Fdn. Vents-Underflr. Access
7.
Piers -Fireplace Ftg.-Steel
54.
Glazing Area -Glass Protect i on-Skyl ights-P last ic
8.
D.W.V.: Fall -Fittings -Test -2 way C/0 -Sewer Test
55.
S�ear Walls; Nailing -Bolts
9. Gas Pipe; Size -Anchors
10.
Water Pipe; Test-Anchors-Regulator-Sery ice Test
11.
Electric; Underground
12.
Plenums & Ducts; Clearance -Material -Support -Ins.
13.
Girders -Sills -Anchor Bolts -Joists -Vents -Cripples
Card -BI
Date Card -BI Date
Card -BI
Date Card -BI Date
Card -BI
Date Card -BI Date
Card -BI
Date Card -BI Date
Date
FINAL (Plans) OK except #'s
56. Ext. Steps -Door & Sidelight Protection -Landings
Card -BI
Date
Date Card -BI Date
PLUMBING (Permit) OK except #'s
57.
Smoke Detector
14.
15.
Water Ht.; Vent- Access -Combustion Air
Water Pipe; Test & Anchors -Nail Protection
58.
59.
Furnace; Vents -Clearance -Comb. Air -Connector -
In Garage; Above Floor-Ducts-Mech. Protection
Bedroom Exiting
16. D.W.V.; Test-Fttngs & Anchors -Nail Protection
17.
Shower Pan; Test, First Floor -Tub Access
60.
G.F.I. & Bath Fixtures & Tub Access
18.
Test Tub & Shower, 2nd Floor -Tub Access
61.
Elec. Trim & Subpanel; Breaker Sizes -Labels
19.
Gas Pipe; Size & Anchors
62.
Stairs & Rails
63.
Fireplace or Stove; Clearances -Hearth
Card -BI
Date Card -BI Date
64.
Elec. Outlets at Wood Panel; Int. & Ext.
65.
Kit. Fixt. & Appliance; Grnd.-Air Gap -Cooking Clearance
Card -BI
Card -BI Date
66.
Elec. Outlets & Receptacles at Kit. Counter
Date
-Date
ELECTRICAL (Permit) OK except 4's
67.
Garage Fire Door; Swing -Landing -C loser
68.
A.C. Duct in Garage -Damper
20.
Fixture & Transformer Clearance -Ins. Protection
69.
Wtr. Htr.; Vents -C leara nce-C omb. Air-Connector-P.R.V.-
In Garage; Above Floor-Mech. Protection
21.
Elec. Receptacles Spacing -Lights & Switches at Doors
70.
Plb., Elec. & Mech, Equip. Listed for Location
22.
23.
Size Boxes & No. of Conductors -Stapled
Romex Installed Close to Edge of Studs & C.J.
71.
Elec. Receptacles in Garage; (G.F.I.)-Romex Protec.
24.
Equip. Ground made up w/Mech. Fasteners -Bond Gas & Water
72.
73.
Insulation -Foam -Looked in Attic C] Yes
Guard Rails & Deck Construct ion -Post Caps
25.
2 Appliance Circuits in Kitchen & Conductor Size
74.
Fdn. Vents & Crawl Hole Door -Drainage & Wood -Earth Clearance
Looked under Floor 0 Yes
26. Subfeed Wire Size ga. Cu or AI-A.C. Wire Size ga. Cu or Al
27.
28.
Range Circ. ga. Cu or Al -Oven Circ. ga. Cu or Al,
Insulated Neutral ':]Yes DNo
Service -Riser Conductors & Ground -Main Disconnect
75.
Following instld.: Drive [] Yes []No; Walks E3 Yes [:)No;
Planters OYes E]No
76.
Stucco; Brown -Finish
-29.
Equip. Clearances; Pane Is-Motors-Mech. Equip.
77.
A.C. Unit; Disconnect-Cirnces-Brkr. & Cond. Size -115V Outlet
Card B -I
Card B -I
30.
Clothes Closet Light -Shower Light
Date Card -BI Date
Date Card -BI Date
78.
Vents Above Roof; Plbg. -Appliance-Firepi.-Clearance to Opngs.
79.
Water Well; Disconnect, Electrical, Plumbing
80.
Exterior Elec. Trim: G.F.I. Receptacle -Underground
81.
82.
Ventilation throughout House
Glass Protection
Date
Car ' d - -BI --
Card -81
MECHANICAL (Permit) OK except #'s
31, A.C. Ducts: -insulation & Support
32. Vent Fan: Exhaust above Insulation
33. Condensat-e-Drain & Overflow: Size & Grade
34. Furnace -Vent: Access -Comb. Air -Return Air Vent -115V outlet
35. Attic Access & Platform if Furnace in Attic
Date Card -81 Date
Date GarT-13-1- -Date
83.
Corrections from Previous Inspections
84.
Gas Test -Meters- Tagged; Gas -Electric
85.
Water & Sewer Connected -C/O to Grade -HD Approval
86.
Energy Compliance Certificate -Other Certificates
Card -BI
Date Card -BI Date
Card -81
Card -BI
n3te Card -BI Date
Date Card -BI Date
Date
FRAMING(Plans) OK except #'s
Comments at Final:
36._
37.
38.
39.
40.
Sills; Proper Material_ &_Anchor_s___
Walls: Studs -Nailing, Spacing & Bracing -Plates -Sound
Bearing Walls over Girders & Floor Nailing -
Draft Stop in Walls (rat proof)
Fire Stops: Furred Ceilings-Stairs-Chas�s-Tulb
41.
42.
43.
44.
45 1.
46.
47.
Header & Beam -Size & Bearing
Hangers -Post Caps-Anchors-ConnectorS
Clng. Joist-Rfir. Ties-Purlin- Roof Brac.-Truss-Shthng.-Rfnq-
Fireplace Ties or Type A Flue -Fireplace Throat
-�-Ilic Access: size& -R-omex Protec-tion--Dat-t S -top --Ins. Baffle -S
Bdrm. Windows or Exiting Doors -Sill HgI. & Dimensions
Garage Fire Protection Framing
(NOTE: Anentrymust be made each time youvisit jobsite)
COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS ERMIT NO
7 County Center Drive - Oroville,.Californ4a 95965 - Telephone 916/534-4541
APPLICATION ANIJI PERMIT M_W_�
ASSESSOR PARCEL. NUMBER
,V7 '50 Iq .
ZONIX
:S
BUILDING PERMIT
OWNER
Q I
Id 14
TELEPHONE
-Y-C//- S7 0
SQ.FT. OCC. BUILDING VALUAf ION
ZQ t"o 0 0 a
-
Alt:
OWNER'S M ING ADDRESS
-'Y -2 -7 & 'j,
CONTRACTOR'S NAME
— i;zc�_e Rp C,
TELEPHONE
CONTRACTOR . S MAILING ADDRESS
Fireplace
CONSTRUCTION LENDER
Ale),.,--
OWN
Total Valuation Is
/0, L) 0. 00
Filing Fee
$ 10.00
—
LENDER'S MAILING ADDRESS
Permit Fee
$ SL
ARCHITECT OR ENGINEER
&-CA,V,,%.J
LICENSE NO.
Plan Checking Fee
$ 00
Plan Checking Fee
$
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Penalty
$
BUILDING ADDRESS
Permit fee
$
PLUMBING PERMIT
Filing Fee 10.00
Each Trap
2.00
Solar or heat pump water heater
20-00
LOT NO.
SUBDIVISION NAME JPARCE��.
oam�t, P&I-X)
P
;7d
Water piping
5.00 ssoc)]
-0c)
Each qas water heater or vent
5.00
USE OF STRUCTURE
SFEI DuplexR Mobilehomen Other Oei,N/
SPECIFY
Gas piping system 1 - 5 outlets
5.00
Building sewer
5.00
Mobile Home is
10-00ea
TYPE OF WORK
NewF9 Addition [I Remodel[:] Utilities[] InstallationD Other E��
Describe work: i�!00
I
Permit Fee
$ /S,00
Contractor
ELECTRICAL PERMIT
Fi I i ng Fee 10.00
6OOV OR LESS
Main service 100 AMP OR LESS
10.00
Main service EA. ADD -L 100 AMP
2.50
CONTRACTORS LICENSE LAW
I declare under penalty of perjury (check one):
am licensed under provisions of Chapt. 9, Div. 3 of the Busines S
and Professions Code and my license is in full force and effect.
License No. �2 Classification
El 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)
1, as the owner, am exclusively contracting with licensed LoUill.rdut-
ors. (Sec. 7044)
F1 I am exempt under Sec.—, Business and Professions Code
for this reason
NEW CONST DWELLING OCCUP.ad)
OR ADDNS. ACC.BLDGS 21/2 Osq f t
NEW CONSTR. MULTI-OUTEFT
NON-RESID, BRANCH CIR _U, TS) 2.50 ea I
r
(POWER APPARATUS &
SINGLE OUTLET CIR.
0@50C
Ex. Occup(OUTLETS OR FIXTURES 1.2AL@ 30C
FIXED APPLNS. OR I
Ex. Occup. OUTLETS (RESID.) EAJ 2.00
Temporary service 10.00
Mobile Home Facilities 15.00
Misc. Wiring 15.0
Permit Fee $
WORKMEN'S COMPENSATION INSURANCE
I declare under penalty of perjury (check one): '
F -I The permit is for $100.00 (valuation) or less.
FE� I have placed on file with the County of Butte Building Department
a Certificate of Workmen's Compensation Insurance or a Certificate
of Consent to Self -Insure.
I shall not employ any person in any manner so as to become subject
to the W. C. laws of California.
Notice to Applicant: If after making this statement, should you become subject
to the W. C. provisions of the Labor Code, you must forthwith comply with such
provisions or this permit shall be deemed revoked.
Contractor
MECHANICAL PERMIT
Fi ling Fee 10.00
Heating
Cooling
Hood
3.00
Venti lation
Permit Fee
$
Contractor
I certify that I have read this application and state that the above information
is correct. I agree to comply to all County Ordinances and State Laws relating
to building construction, and hereby authorize representatives of the County ot
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
agaips� sai�d Coun consequpnce of the granting of this permit.
X 6,t�U I Date 9� c) -,?-2(,
Signature of Applicant Owner [:] Contractor R_/1 AgentO
VNk
An OSHA permit is required for excavations over 5'0" deep and demolition or construct-
ion of structures over 3 stories in height.
Mobile Home Installation Fee $
Energy Inspection Fee
—
TOTAL PERMIT FEE $
occup.
I CO.ST.TYPEJ
__1_700_0
OJ';T_R_C_�_LT_PD
No ISSUE,
This permit is hereby issued under
sions of the Butte County Code and/or
work indicated above for which
DIRECTOR F PUBLIC
By
PERMdr`ExP'IRES Date—
the applicable provi-
resolutions to do
fees have been paid.
WORKS
Date L
Receipt No. 5'1p� / 10 —
WHITE-O.P.W., YELLOW-ASSrSSOR. PINK -INSPECTOR. GOLDEN ROD-APPL I CANT
COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS - BUILDING DIVISION
7 COUNTY CENTER DRIVE - OROVILLE,�,CALLFGRNIA 95965 - TELEPHONE: 916/534-4541
PERMIT APPLICATION DATA SHEET
Permit No.
OWNER R�)( A. P. N o. 3' 5—() 0
Proposed Building Use pe) e:)
Permit Fee Based Upon: Complete Contract Phce —DPW Valuation
Other (Explain)
Building Inspector Date 2- Z_ JE"
At time of permit application, I was advised the following data must be submitted prior to permit processing
and/or issuance: DATE RECEIVED APPROVED
1. All items.have been submitted . . . . . . . . . . . .
2—Plot plans in duplicate/triplicate ... . . . .. . . . . .
3. Complete plans in duplicate/tri,plicate. . . . . . . . .
4. Complete engineered plans and calts . . . . . . . . . .
5. Plans with Energy Design Compliance Statement . . . . . .
6. CUSD "Fees Paid" Stamp on Floor Plan . . . . . . . .
7 Statement of Intent for Non -Heated and AC Buildings . . . . .
8. Fees of $ . . . . . . . .
9. Letter of signatur e authorization . . . . . . . . . . .
anitation approval from —Health Dept. . . 1,71, Zia
11. Planning approval for (A) Use: (B) Parking: -
12. Certificate of Workmen's Compensation Insurance . . . . . .
13. Contractor's License Information (no., name style, classif.)
14. Owner -Builder Verification (Given to ownerEl ',Mai I to owner
15. Improvements may be required . . . . . . . . . . . .
16. Mobilehome Installation Data. . . . . . . . . . . .
17. Pre -inspection for Required. Pre-Inspec. request to (Date
Building Inspector
18. Recorded copy of Agricultpral Acknowledgment Statement . . .
19. Other Driveway permit & const. approval required prior_ to occupancy
When you issue the permit, process as follows: Mai I to owner. tool' Mail -to contract0r.
Telephone and hold for pickup at —office. —Deliver w/ins;pector,,
Other
ouv 15,vnk- C -D, F04S Wr 4101PA
ApplicantTO!j�_,r_ DateQ_
Copy of plans sent —Health Dept., —Fire Dept., —Other Date
During the plan checking process, the following data must be submitted prior to permit issuance.
(For required items not checked above at timV of 42W�ication, circle item.)
1. Index permit for above Items No.
2. Additional items required:
.0'
(Contractor, Designer, Owner) was advised of above required data by --Telephohe —Mail Other
By Date
Plans checked by , - / Dat
Plans approved by 6Q08TDate An o20 -PC
Other: F!6� MA/4-0 ID em 8V0M*C9bJIlL_
Copy—Dk
TO: Building Department
FROM:� Environmental Health, Chico
SUBJECT: Sanitation Clearance
VA�L -7 C 7- 56
Owner Location' AP#
Plan approved for: sewage disposal water supply
Hold final for: water supply
Final clearance O.K. for: water supply
Clearance for bedroom mobile home. Other
Note***
Sanitarian
Date
Inter-Departnieni al. Memorandum
TO: Jim Glander, Public Works.Department
FROM: William C. Teie, County Fire Warden
SUBJECT:
Fire Protection Requirements/Quail Run Subdivision/AP# 47-26-78-.892
OATE:
July 15, 1985
The Bank of,America who now'owns Quail.Run Subidivision, has agreed to insta . I-
lation* of 5 swimming pools with fire department drafting connections installed
according to Department of Public 'Works Standard S-29.
Will your department please flag the following Lots, 10, 14, 17, 30 & 39, and
make it a condition of issuance of a permit that swii
mming pools must meet
Department of Public Works Standard S-29.* Butte County Fire Department must
approve plans for the swimming pool connections.
Thank you for your cooperation.
jc
41
31
WILLIAM C * TEIE
County Fire Warden
By &char r
Battalion Chief
A
Elevation Difference
Not To Exceed 10'
nmended
4" INLET x 4 "
National 64004006 Thread
with cap. Ho"
11b 66
15% 15"z 4" Concrete Pod.
Road or All
Weather Access
36" Min.�
�chedule 80 P.V.C. I
.-Bad (Re corn rn ended).
NOTE: - If outlet Is below water
level - install Clow -Richvols
t125A W'inlet x 41/2".
ational Standard Thread.
-COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS
TITLE: SWIMMING POOL CONNECTION STANDARD 'NO. S-29
I F6R FIRE PROTECTION ISCALE: NONE
Inter-DepartmtnM '6Aemorandum
TO: Jim Glander, Public Works Department
FROM:
William C. Teie, County Fire Warden
SUBJECT: Fire Protection Requirements/Quail Run Subdivision/AP#.47-26-78-892
DATE: July 15, 1985
The Bank of America who now owns Quail Run Subidivision, has agreed to instal-
lation of 5 swimming pools with fire department drafting connections installed
according to Department of Public Works Standard S-29.
Will your department please flag the following Lots, 10, 14, 17, 30 & 39, and
make it a condition of ' issuance of a permit that swimming pools must meet
Department of Public Works Standard S-29. Butte County Fire Department must
approve plans for the swimming pool connections.
Thank you for your cooperation.
jc
'c> 31
WILLIAM C. TEIE
County Fire Warden
By, Richard Tiller
Battalion Chief
C��'
Elevation Difference
Not To Exceed 10'
nmended
4" INLET x 4
National Standard Thread
With Cap.
T
V
5 15 4 Concrete Pod.
Rood or All
--L- -� - - '
�eo her'Access
36 Min.—
�chedule 80 RV.C. I
Bad (Recommended).
NOTE:. if outlet is below water
level - install Clow - Richvole
125A W'inlet z 41/2".
ationol Standard Thread.
COUNTY OF' BUTTE DEPARTMENT OF PUBLIC WORKS
TITLE: SWIMMING POOL CONNECTION STANDARD NO. S-29
FOR FIRE PROTECTION SCALE: NONE 1 7
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