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Home My WebLink About056-140-07056 -d 4-70 5= _Lppy W/S Resources Ln, 800' N. of Vilas Cohasset r -56 -!lAn7n Permit#4182-83E(ele for *I'ot dev) k 56-14-70 Permit #193 -84 -BE'_ (n-ew private garage) rtiz-,l 56-;14-70 1 Permi. 2,9864 l. 4� E(ut1,.MH) ELEC I GAS SUPPORT STRUCTURE`K_EQ.,.� COMPACTION TEST RE nJ_ ------- mwo,�-_ 5 6 �-1 4 - 71 --84NH I - y&;- IPermit#2987 Permit#2'033-86B,P,E,M(new single famil}) T696-140-070 06-1688 PPY, PATRICIA RESOURCES LN, COHASSET Cont: OWNER RE ROOF 056-140-070 06-1718 44 RIPPY, PATRICIA li 69 RESOURCES LN, COHASSET Cont: OWNER RE ROOF(GAR) i p 7"- 056-140-070 06718 RIPPY, PATRICIA 69 RESOURCES LN=COHASSET' •. N O TE S Cont: OWNER .RE ROOF(GAR) � •°ours• RESIDENTIAL APN: Permit No. Owner. Site Address: Contractor. ' Type of Permit: SPECIAL CONDITIONS CHECKED BY ❑ SRA Q FLOOD CERTIFICATE EQUIRED Q FIRE SPRINKLERS REQUIRED Q SPECIAL INSPECTION ITEMS . Fl VERIFY 0 USE PERMIT CONDITIONS Q SUBSTANDARD HOUSING LETTER 0 ENCROACHMENT PERMIT 0 REINSPECTION FEE PAID 0 ENV HLTH CLEARANCE 0 DATE JOB FINALED: • (J C� O� ® 0 - - SIGNATURE �: = OK 0 = Not OK MANUFACTURED HOMES , DATE PERMANENT FOUNDATION Lj SOFT -SET 1 ZoningSetbacks-Easements 2 Soils; Special MH Support Sketch 3 Sewer; Loctn Test; Fall/C/0-Concrete 4 Wtr, Loctn-Test-Easeinent Needed -Regulator 5 Elec Loctn-Clrncs-Gmd 'Amp -Concrete 6 Yard Gas; Loctn Test Wrap Nat ❑ or LP❑ Inch Sz Ft Lngth 7 Blckng; SzSpacing-Marriage Line 8 Gas; MH Test-Demand-Valve-Cnnctr 9 Elec MH Cntnty Test-Crossovers-Breakers-Clmcs 10 Drain; MH Test -Fall -Flex Cnnctr, 11 Wtr & Sewer Connected -CIO to Grade 12 Gas and Electricity Tagged 13 Tie Downs ❑ Foundation ❑ 14 Exits 15 Cert of Occupancy d 16 HUD Label/Insignia Numbers Serial Numbers o� da de �a Drawing MISCELLANEOUS- DECKS'COVERS'CARP0RTS'GARAGES 1 ZoningSetbacks-Easements 2 Ftgs; SoilsSz 3pthSpacing-Cnnctrs-Steel 3 Decks, Girders/Jolsts-Dcking-Brcing Stairs-Guard/Handrails 4 Wood Awn; Posts-Beams-Rftrs-CnnctrsShthg. Frmg-Brcng 5 Alum Awn; Columns-CnnctnsSplice4Decal-Enclsrs 6 Carports; Wndws-Doors 7 Electric 8 Frmg; Silts-AnchrsStuds4bas Trusses 9 Siding; Nailing -Veneer -Stucco -.lath 10 Roof, Shthg-Roofing 11 Ext, Steps -Doors -Landings 12 Braced Wail pnls d - 1 Setbacks -Easements 2 Soils; 'CompactionStructure Stability 3 Pool Structure; Steel-Cnnctns-Thickness Dead Men -Lining 4 Elec Rcptcis1Wng; D-istance-GH 5 Elec pool 4ting; 15 volts-GFI 6 Elec.Enclsrs; Conduit Entries Tgrminals-l-isted 7•Elec Bonding; Metal w/5'-CrcItng Egp-Htr 8 Elec Gmdng; Eqp w/5' Crcltng Eqp-Pool Ightg Boxes-Enclsrs-pnlboardsansulfido Main Conduit 9 Health Dept Appi'irl 10 Plmb; Cir Test Wtr Supply Test 11 Lt Niche 12 Endsr, Fencing Alarms 13 Bonding, Diving board or Slide d o = Not OK RESIDENTIAL DATE JUNDERFLOOR 1 Zoning -Setbacks -Easements -Flood -Slope 2 Ftg Main; Soils-Elec Gmd Ftg Dpth 3 Ftg Garage; SoilsSteel-Elec Gmd Ftg Dpth 4 Ftg Porches/Decks; SoilsSteel Fig Dpth 5 Stemwalls Main; Steel-Blockouts-Wrapped 6 Stemwalls Garage; Steel-Blockouts-Wrapped 6a Hold Downs and Special Anchrs 7 Slab, Steel Wrapped 8 Piers-Frplc Ftg-Steel 9 DWV; Fall -Fitting -Test -2 -way CIO -Sewer Test 10 UF, Gas Pipe; Sz Anchrs-Sz Test 11 Wtr Pipe; Test-Anchrs-RgltrService Test 12_ Elec Undrgmd 13 Plenums & Ducts; Clrnc-MaterialSupport4nsuitn 14 GirdersSills-Anchr Bolts-Joists-Vnts-Cripples 15 Ace & Vntltn 16 Insulation DATE JFRAMING 17 Sills Proper Materials & Anchrs 18 Walls Studs -Nailing Spacing & Braces -Plates -Sound 19 Bearing Walls ovet Girders,& fir Nailing 20 Draft Stop In Walls (rat proof) - 21 Fire Stops; Furred CeilingsSta"-Chasers-Tubs >.. 22 Headers & Bearims-S &'Bearing' 23 Hangers-Post'Caps-Anchrs-Cinnctns 24 Ceiling Joist-Rttr Tes-Purlin-Roof Brac TrussShthg 25 Frplc Ties' or Type A Flue-Frplc Throat Clrnc 26 Attic Ace; Sz &Ir •Rinz Pitatn-Draft Stop -Ins Baffles 27 Bdrm Wndws or Exiting DoorsSill (it & Dimensions 28 Garage Fire Prtch6 Framing -RC Chanel 29 Prprty Line Firewall & Opngs' . 30 Ext Doors -One 3' -Check Garage 3rd Story, 2 Exits 31 Stairs; Width-Hdrm-Rise-Run-Landing-Fire Prtctn 32 Plywd on Roof Ovrhng Attic Vnts4U& dutrgrs 33 Siding-Nairmng Veneer 34 Stucco Lath -Weep Screed-Fndtn Vnts-Undrflr Ace 35 Glazing Are PrtetnSkyLts-Plastic . 36 Shear Walls; Nailing -Bolts 37 Brace Int/Ext Wall pnls 38 lnsultn-W ails -Ceilings 39 Infiltration Walls Wndws 41 a' DATE ELECTRICAL 40 Fxtr & Trnsfrmr Cimc-Ins Prtctn 41 Elec Rcptcls Spacing-Lts & Switches at Doors 42 Sz Boxes & No Of Cndctrs Stapled 43 Romex Installed Close to Edge of Studs & CJ 44 Eqp Gmd made up w/Mech Fstnrs 45 Gmdng Electrode Bond Gas & Wtr 46 2 Appinc Cires in Ktchn & Cndctr Sz GFl 47 Subfeed Wire Sz ❑ CU or ❑AL AC Wire Szoa ❑ CU or ❑AL 48 Range Circ o, ❑ CU or DAL Oven Circ Qa ❑ CU or ❑ AL Insulated Neutral ❑Yes 0 N 49 Service -Riser Cndctrs & Gmd Main Dscnnct 50 Eqp Cirncs pnls-Motors-Mech Eqp 51 Clothes Closet LI-Shwr LI -Spa U 52 Smoke Detector Single & Duplex) DATE PLUMBING 53 Wtr Htr; Vent-Acc-Cmbstn Air Baffle 54 Wtr Pipe; Test & Anchr-Nail Prtctn 55 DWV; Test Fittings & Anchr.Nail'PKctn 56 Shwr Pan; Test, First fir -Tub Ace 57 Test Tubi & Shwr, 2nd fir - Tub Ace 58 Gas Pipe; Sz & Anchrs 59 Fire Sprinkler; Test 60 Yard Gas Piping DATE IMECHANICAL 61 AC Ducts Insulin & Support 62 Vent Fan, Exhaust abv Insulin 63 Condensate Drain & Ovrflw, Sz S, Grade 64 Furnace -Vent Acc-Comb Air R&Went 115 Outlet 65 Attic Ace & Pltfrin if Furnace in attic or f' DATE IFINAL 66 Ext Steps -Door & SideLt Prtctn-Landings 67 Smoke Detector 68 Furnace Vnts-Cimc-Comb, Air-Cnnctr In Garage; abv-flr-Ducts-Meth Prtctn 69 Bedroom Exiting 70 GFl A Bath Fxtrs & Tub Ace -Spa 71 GFl Arc Fault 72 Elec Trim & Subpni, Breaker Szs & Labels 73 Stairs, Guard/Handrails 74 Frplc or Stove, Cimc-Hearth 75 Elec Outlets at Wood Pnl, Int & Ext 76 Ktchn, Fxtr & Appinc; Gmd Air -Dap -Cooking Cimc 77 Elec Outlets & Rcptcls ai 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 Pricbr, LPG Appince Undr House 3' drain 81 Pimb; Elec & Mech Eqp Listed for Loctn 82 Elec Rcptcls in Garage (GFl) Romex Prtctn 83 Insults -Foam -Looked in Attic 84 Guard Rails & Deck Cnstrctn-Post Caps 85 Fndn Vnts & Crawl Hole Door Dmge & Wood -Earth 86 Cimc Dmge Planters ❑ Yes ❑ No 87 Stucco Brown -Finish 88 AC Unit Dscnnct, Elec-Pimb 89 Vnts abv Roof, Plmb. Appinc-Frplc-Clmc to Opngs 90 Wtr Well, Dscnnct, Elec, Pimb 91 Ext Elec Trim, GFl Rcptcl-Undrgrnd 92 Vntltn thru House 93 Glass Prtctn 94 Corrections from previous irispctns 95 Gas Test -Meters Tagged, Gas-Elec 96 Wtr & Sewer Cnnctd-C/O to grade -HD Apprvl 97 Energy Cmpinc Cert -Other Certs 98 Address Posted 99 Fire Sprinkler BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT 24 HOUR INSPECTION #: (530) 538-7636 (OROVILLE) (530) 891-2834 (CHICO) OFFICE #: (530) 538-7541 FAX#: (530)538-2140 WEBSITE: www.buttecounty.net\dds PERMIT NO. ;111111.11VA :3 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: 07/18/2006 APN: 056-140-070-000 the Business and Professions Code, and my license is in full force and effect. License Class: License Number. Site Address: 69 RESOURCES LN COH Date: Contractor: Map Index: Description: RE -ROOF OF DETACHED GARAGE (8 SQ) OWr DECLARATION of p I hereby affirm under penalty' of perjury that I am exempt from the penalty' Contractors' State License Law for the following reason (Sec. 7031.5 Business and Professions Cade: Any city or county which requires a Owner: RIPPY PATRICIA ANN* ETAL permit to construct, alter, improve, demolish, or repair any structure, prior to its issuance, also requires the applicant for such permit to file a MCINTYRE TAMMARA LYNN signed statement that he or she is licensed pursuant to the provisions of 69 RESOURCES LN ' the Contractor's State License Law (Chapter 9 commencing with Section 7000) of Division 3 of the Business and Professions Code) or that he or CHICO, CA 95973-8818 she is exempt therefrom and the basis for the alleged exemption. Any 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).): jd I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale (Sec. 7044, Business and Professions Applicant: RIPPY PATRICIA ANN* ETAL Code: The Contractors' State License Law does not apply to an owner of property who builds or improves thereon, and who does MCINTYRE TAMMARA LYNN such work himself or herself or through his or her own employees, 69 RESOURCES LN provided that such improvements are not intended or offered for CHICO, CA 95973-8818 sale. If however, the building or improvements are sold within one year of completion, the owner -builder will have the burden of (530) 345-8829 proving that he or she did not build or improve for the purpose of sale.). ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec. 7044, Business and Professions Code. The Contractors' State License Law does Contractor:. not apply to an owner of property who builds or improves thereon, . and who contracts for such projects with a contractor(s) licensed pursuant to the Contractors' State License Law.). ❑ lam Exempt under Articl "he Business an Professions Code Date: "O-SLOwner: JL!d License #: WORKERS' COMPENSATION DECLARATION N I hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by Section 3700 of the Labor Code, for the performance of the work for which this permit Architect: is issued. Engineer: ❑ 1 have and will maintain workers' compensation insurance, as required by Section 3700 the Labor Code, for the performance of the work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier: Total Square Ft: 0 S. F. Policy #: Valuation: $0.00 Census Code: �y I certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to co become subject to the workers' compensation laws of,California, and agree that if I should become subject to the workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. jjtt 1J� `1 Date: Applicant: WARNING: Failure to secure workers' compensa ion coverage is unlawful, and shall subject an employer to criminal penalties and one hundred thousand dollars ($100,000), in addition to the cost of compensation, damages as provided for in Section 3706 of the Labor code, interest, and attorney's fees. CONSTRUCTION LENDING AGENCY This permit is hereby issued under the applicable provisions of the Butte County Cods+?or(/0r �.. I hereby affirm that there is a construction lending agency for the Resojullps to do work indic@teV abovq for which fees have been paid. performance of the work for which this permit is issued (Sec 3097 Civ.) BY: Date: Name:' C PERMIT EXPIRES ON: `7 Address: Date ❑ 1 hereby certify that the use of this facility shall comply with Sections 25505, 25533, and 25534 of the California Health and Safety Code, which regulate the storage, handling and use of hazardous materials. - ❑ Notification in accordance with Section 19827.5 of California Health 8 Safety Code is not applicable to the scheduled construction of this project. ❑ Attached are copies of the required E.P.A. notification forms. I hereby certify that I have read this application, that the above information is correct, and that I am the owner or the duly authorized agent of the owner. I agree to comply with all county and state laws relating to building construction. I acknowledge it is unlawful to alter the substance of any official form or document of Butte County. I hereby authorize repr Ives of Butte County to enter upon the above mentioned property for insion purpose Print Name: T't;�—� it_� t�T� Slgna Date: �/ }� Owner 0 Contractor ❑ Agent for Owner 0 Agent for Contractor 056-140-070 06-1688 RIPPY, PATRICIA r M, uTrf�a NOTES 69 RESOURCES LN, COHASSET Cont: OWNER IF RE ROOF -- EA f � RESIDENTIAL APN: Permit No. Owner. Site Address: Contractor. Type of Permit: r , I SPECIAL CONDITIONS s CHECKED BY 0 SRA Q FLOOD CERTIFICATE EQUIRED Q FIRE SPRINKLERS REQUIRED 0 SPECIAL INSPECTION ITEMS 0 VERIFY Q USE PERMIT CONDITIONS Q SUBSTANDARD HOUSING LETTER Q ENCROACHMENT PERMIT 0 REINSPECTION FEE PAID Q ENV HLTH CLEARANCE o aayy�lp kc_ No DATE JOE FI I l Ob SIGNATURE: V •=OK n = use MC MANUFACTURED HOMES MISCELLANEOUS" DATE PERMANENT FOUNDATION SOFT -SET. 1 Zoning -Setbacks -Easements 2 Soils; Special MH Support Sketch 3 Sewer; Loctn-Test; Fall/C/O-Concrete 4 Wtr; Loctn-Test-Easement Needed -Regulator 5 Elec Loctn-DIrncs-Grnd Am -Concrete hs 6 Yard Gas; Loc -Test -Wrap Nat or LPE] Inch Sz Ft Lngth 7 Blckng;-SzSpacing-Marriage Llne 8 Gas; MH Test-Demand-Valve-Cnnctr 9 Elec MH Cntnty Test-Crossovers-Breakers-Clmcs 10 Drain; MH Test -Fall -Flex Cnnctr 11 Wtr & Sewer Connected -CIO to Grade 12 Gas and Electricity Tagged 13 Tie Downs 0 Foundation ❑ 14 Exits 15 Cert of Occupancy 16 HUD Labelfinsignia Numbers Serial Numbers - '~—DATE D E C K S'C O V E R S•C A R P O R T S'G A R A G E S 1 ZoningSetbacks-Easements 2 Figs; SoilsSz-0pthSpacing-DnnctrsSteel 3 Decks; Girdem/Joists-Dcking-Brcing - Stairs-Duard/Handrails f 4 Wood Awn; Posts-Beams4b1rs-CnnctrsShthg. Frmg-Brcng 5 Alum Awn; Columns-CnnctnsSplice-Decal-Encisrs 6 Carports; Wndws-Doors 7 Electric 8 Frmg; Sills-AnchrsStuds-Rttrs Trusses 9 Siding; Nailing-VengerStucco-Lath 10 Roof; Shthg-Roofing 11 Ext; Steps -Doors -Landings' 12 Braced Wall pnls ya DATE JPOOLS 1 Setbacks -Easements 2 Soils; Compaction -Structure Stability 3 Pool Structure; Steel-Cnnctns-Thickness Dead Men4Jning 4 Elec Rcptcls/Wng; Distance-GFI 5 lec Pool LU!lg; 15 volts-GFI 6 Elec.Enclsrs; Can Entries Terminals -Listed 7 Elec Bonding; Metal w/5'-DrcItng Egp-Htr 8 Elec Gmdng; Egp'w/5 Crcitng Eqp-Pool Ightg Boxe5-En6lsm4iilboaids4nsultn to Main Conduit 9 Health Dept Apprvl 10 'Pimb; Cir Test-Wtr Supply Test 11 Lt Niche , 12 Enclsr, Fencing Alarms 13 Bonding, Diving board or Slide ' Pool Drawing .. 0 = Nat OK RESIDENTIAL (Single & Duplex) DATE JUNDERFLOOR T DATE IPLUMBING 1 Zoning -Setbacks -Easements -Flood -Slope 2 Ftg Main; Soils-Elec Grnd Ftg Dpth 3 Ftg Garage; Soils-Steel-Elec Grnd " Ftg Dpth 4 Ftg Porches/Decks; Soils -Steel Ftg Dpth 5 Stemwalls Main; Steel-Blockouts Wrapped 6 Stemwalls Garage; Steel -Blackouts Wrapped 6a Hold Downs and Special Anchrs 7 Slab, Steel Wrapped 8 Piers-Frplc Ftg-Steel 9 DWV; Fall -Fitting -Test -2 -way CIO -Sewer Test 10 UF, Gas Pipe; Sz Anchrs-Sz Test 11 Wtr Pipe; Test-Anchrs-RgltrService Test 12. Elec Undrgmd 13 Plenums & Ducts; Clrnc-MaterialSupport4nsultn 14 GirdersSills-Anchr Bolts-Joists-Vnts-Cripples 15 Acc & Vntltn 16 Insulation c' 0`4' DATE FRAMING 17 Sills Proper Materials & Anchrs 18 Walls Studs -Nailing Spacing & Braces -Plates -Sound 19 Bearing Walls over Girders 8 fir Nailing 20 Draft Stop in Walls (rat proof) 21 Fire Stops; Furred CeilingsStairs-Chasers Tubs 22 Headers & Bear*h4* &' Bearing' 23 Hangerd-Post'Caps-Anchrs-Cnnctns 24 Ceiling Joist4 tr Ties-Purlin-Roof Brac TrussShthg 25 Frplc Ties or Type AFlue=Frp c Throat Cimc 26 Attic Acc; Sz &, Riaz Prtctn-Draft Stop -Ins Baffles 27 Bdrm Wndws or Exiting Doors -Sill Fit & Dimensions 28 Garage Fire Prtchi Framing -RC Channel 29 Prprty Line Firewall & Opngs' 30 Ext Doors -One 3' -Check Garage 3rd Story, 2 Exits 31 Stairs; Width-Hdrm-Rise-Run4_anding-Fire Prtctn 32 Plywd on Roof Ovrhng Attic Vnts-Rftr Outrgrs 33 Siding -Nailing Veneer 34 Stucco Lath -Weep Screed-Fndtn Vnts-Undrflr Acc 35 Glazing Area -Glass PrtctnSkyLts-Plastic . 36 Shear Walls; Nailing -Bolts 37 Brace Int/Ext Wall pnis 38 Insultn-W a IIs -Ceilings 39 Infiltration Walls-Wndws d' DATE JELECTRICAL 40 Fxtr & Trnsfrmr Clrnc4ns Prtctn 41 Elec Rcptcis Spacing-Lts & Switches at Doors 42 Sz Boxes & No Of Cndctrs Stapled 43 Romex Installed Close to Edge of Studs & CJ 44 Eqp Grnd made up w/Mech Fstnrs 45 Grndng Electrode Bond Gas & Wtr 46 2 Appinc Cires in Ktchn & Cndctr Sz GFI 47 Subfeed Wire Sz ya [—ICU or ❑AL AC Wire Sz ❑ CU or ❑ AL 48 Range Clic ❑ CU or ❑ AL Oven Circ ya ❑ CU or ❑ AL Insulated Neutral ❑ Yes ❑ No 49 Service -Riser Cndctrs & Grnd Main Dscnnct 50 Eqp Clrncs pnis-Motors-Mech Eqp 51 Clothes Closet LtShwr LI -Spa Lt 52 Smoke Detector a' 0s' rya 53 Wtr Htr; Vent-Acc-Cmbstn Air Baffle 54 Wtr Pipe; Test & Anchr-Nail Prtctn 55 DWV; Test Fittings & Anchr. Nail Prtctn 56 Shwr Pan; Test, First fir -Tub Acc 57 Test Tuti & Shwr, 2nd fir - Tub Acc 58 Gas Pipe; Sz & Anchrs ' 59 Fire Sprinkler; Test 60 Yard Gas.Piping DATE IMECHANICAL 61 AC Ducts Insults & Support 62 Vent Fan, Exhaust abv Insults 63 Condensate Drain & Ovrflw, Sz & Grade 64 Furnace -Vent Acc-Comb Air Rtrn/Vent 115 Outlet 65 Attic Acc & Pltfrm if Furnace In attic NP. FINAL FINAL 66 Ext Steps -Door & SldeLt Prtctn-Landings 67 Smoke Detector 68 Furnace Vnts-Cimc-Comb, Air-Cnnctr In Garage; abv-flr-Ducts-Meth Prtctn 69 Bedroom Exiting 70 GFI & Bath Fxtrs & Tub Acc-Spa 71 GFI Arc Fault 72 Elec Trim & Subpnl, Breaker Szs & Labels 73 Stairs, Guard/Handrails 74 Frplc or Stove, Clrnc-Hearth 75 Elec Outlets at Wood Pnl, Int & Ext 76 Ktchn, Fxtr & Appinc; Gmd-Air-Gap-Cooking Cimc 77 Elec Outlets & Rcptcls at Ktcfin Counter 78 Garage Fire Door Swing -Landing -Closure 79 AC Duct in Garage -Damper. 80 Wtr Htr, Vnts-Cimc-Com Air Cnnctr-PRV; abv flr Mech Prtctn; LPG Appince Undr House 3" drain 81 Plmb; Elec & Mech Eqp Listed for Loctn 82 Elec Rcptcis in Garage (GFI) Romex. Prtctn 83 Insuitn-Foam-Looked in Attic 84 Guard Rails & Deck Cnstrctn-Post Caps 85 Fndn Vnts & Crawl Hole Door Drnge & Wood -Earth 86 Clmc Drnge Planters ❑ Yes ❑ No 87 Stucco Brown -Finish 88 AC Unit Dscnnct, Elec-Plmb 89 Vnts abv Roof, Pimb-Appinc-Frplc-Cimc to Opngs 90 Wtr Well, Dscnnct, Elec, Plmb 91 Ext Elec Trim, GFI Rcptcl-Undrgmd 92 Vntltn thru House 93 Glass Prtctn 94 Corrections from previous Irispctns 95 Gas Test -Meters Tagged, Gas-Elec 96 Wtr & Sewer Cnnctd-C/O to grade -HD Apprvl 97 Energy Cmpinc Cert -Other Certs 98 Address Posted 99 Fire Sprinkler BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT 24 HOUR INSPECTION #: 7636 ( 538-7541E) (530) 891-2834 (CHICO) OFFICE #: 0=12M!Tc RFCOME NULL AND VOID 1 YEAR FROM THE DATE OF ISE LICENSED CONTRACTORS DECLARATION I hereby affirm under 'penally 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 : License Number: Date: Contractor: OWNER -BUILDER DECLARATION I hereby affirm under penally of perjury that I am exempt from the Contractors' State License Law for the following reason (Sec. 7031.5 Business and Professions Code: Any city or county which requires a permit to construct, alter. Improve, demolish, or eepair 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 the Contractor's Slate License Law (Chapter 9 commencing with Section 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 violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars ($500).): I. as owner of the properly, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale (Sec. 7044, Business and Professions Code: The Contractors' Slate License Law does not apply to an owner of property who builds or Improves thereon, and who does such work himselr or herself or through his or her own employees, provided that such Improvements are not Intended or offered for sale. If however, the building or Improvements are sold within one 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 sale.). O I, as owner. of the property, am exclusively contracting with licensed contractors to construct the project (Sec. 7044, Business and Professions Code. The Contractors' State License Law does not apply to an owner of property who builds or Improves thereon., and who contracts for such projects with a contractor(s) licensed pursuant to the Contractors' State License Law.). O I am Exempt under Article �Ihe usiness a�Prsions Code Business Dale: � `1 -z) Owner. WORKERS' COMPENSATION DECLARATION I hereby affirm under penally of perjury one of the following declarations: O 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ I have and will maintain workers compensation insurance, as required by Section 3700 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: Policy ff: 1V I certify that in the performance of the work for which this permit Is issued, I shall not employ any person In any manner so as to become subject to the workers' compensation laws of California, and agree that If I should become subject to the workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. Date: • � c Applicant WARNING: Failure to secure workers' compensat on 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 I hereby affirm that there is a construction lending agency for the performance of the work for which this permit is Issued (Sec 3097 Clv.) Name: t�CKIVII I IVv. BP061688 IF WORK IS DONE IN VIOLATION OF ANY COUNTY OR STATE LAWS. Issued Date: 07/13/2006 APN: 056-140-070-000 Site Address: 69 RESOURCES LN COH Map Index: Description: RE -ROOF (20 SQ) Owner: RIPPY PATRICIA ANN* ETAL MCINTYRE TAMMARA LYNN 69 RESOURCES LN CHICO, CA 95973-8818 Applicant: RIPPY PATRICIA ANN* ETAL MCINTYRE TAMMARA LYNN 69 RESOURCES LN CHICO, CA 9597378818 (530) 345-8829 Contractor: License #: Architect: Engineer: Total Square Ft: Valuation: Census Code: 0 S. F. $0.00 Is hereby Issued under the applicable provisions of the Butte County Code and/or - lo o work In�"d�igal•ed apove for which fees -have been paid. _ rn I . 1�.VI1'I A 0-M Date: - 1 � -0 �o PERMIT EXPIRES ON Address: ❑ I hereby certify that the use of this facility shall comply with Sections 25505, 25533, and 25534 of the California Health and Safety Code, which regulate the storage, handling and use of hazardous materials. ❑ Notification In accordance with Section 19627.5 of California Health & Safety Code is not applicable to the scheduled construction of this project. ❑ Attached are copies of the required E.P.A. notification forms. I hereby certify that I have read this application, that the above Information is correct, and that I am the owner or theoficial form ore document of Butte County. el hereby ply with all county and state laws relet'ing to building construction. I acknowledge It is unlawful to alter the subs I authorize representatives el Butte County to enter upon the above mentioned property for inspect/ purposes. ' �� Signature: Print Name: ii t (�' Dale: O Contractor ❑ Agent for Owner O Agent for Contractor Owner i B. C. Building Permit 01-16.04 pg 1 BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT 24 HOUR INSPECTION #: (530) 538-7636 (OROVILLE) (530) 891-2834 (CHICO) OFFICE #: (530) 538-7541 FAX#: (530)538-2140 WEBSITE: www.buttecounty.netldds PERMIT NO. BP061718 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: 07/18/2006 APN: 056-140-070-000 the Business and Professions Code, and my license is in full force and effect. License Class: License Number: Site Address: 69 RESOURCES LN COH Date: Contractor. Map Index: Description: RE -ROOF OF DETACHED GARAGE 8 SQ p ( ) 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 permit to construct, alter, improve, demolish, or repair any structure, prior Owner: RIPPY PATRICIA ANN" ETAL to its issuance, also requires the applicant for such permit to file a MCINTYRE TAMMARA LYNN signed statement that he or she is licensed pursuant to the provisions of 69 RESOURCES LN the Contractor's State License Law (Chapter 9 commencing with Section 7000) of Division 3 of the Business and Professions Code) or that he or CHICO, CA 95973-8818 she is exempt therefrom and the basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars ($500).): �( I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale (Sec. 7044, Business and Professions Applicant: RIPPY PATRICIA ANN` ETAL Code: The Contractors' State License Law does not apply to an owner of property who builds or improves thereon, and who does MCINTYRE TAMMARA LYNN such work himself or herself or through his or her own employees, 69 RESOURCES LN provided that such improvements are not intended or offered for CHICO, CA 95973-8818 sale. If however, the building or improvements are sold within one year of completion, the owner -builder will have the burden of (530) 345-8829 proving that he or she did not build or improve for the purpose of 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 COntraCtOr:, not apply to an owner of property who builds or improves thereon, . and who contracts for such projects with a contractor(s) licensed pursuant to the Contractors' State License Law.). ❑ I am Exempt under ArticIrZpfthe Business an Professions Code Date: Owner: _!!_ License #: WORKERS' COMPENSATION DECLARATION I hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by Section 3700 of the Labor Code, for the performance of the work for which this permit Architect: is issued. Engineer: ❑ I have and will maintain workers' compensation insurance, as required by Section 3700 the Labor Code, for the performance of the work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier: Total Square Ft: 0 S. F. Policy #: Valuation: $0.00 Census Code: I certify that in the performance of the work for which this permit is issued, 1 shall not employ any person in any manner so as to become subject to the workers' compensation laws of California, I GO to and agree that if I should become subject to the workers' 1 compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. Date: Applicant: WARNING: Failure to secure workers' compens ion coverage is unlawful, and shall subject an employer to criminal penalties and one hundred thousand dollars ($100,000), in addition to the cost of compensation, damages as provided for in Section 3706 of the Labor code, interest, and attorney's fees. CONSTRUCTION LENDING AGENCY This permit is hereby issued under the applicable provisions of the Butte County Cods endlor I hereby affirm that there is a construction lending agency for the Res u ns to do work.indicatey abovq for which fees have been paid. performance of the work for which this permit is issued (Sec 3097 Civ.) Name: Q B,r 1 k 41A 1A h q ^Date: Address: PERMIT EXPIRES ON: Date ❑ 1 hereby certify that the use of this facility shall comply with Sections 25505, 25533, and 25534 of the California Health and Safety Code, which regulate the storage, handling and use of hazardous materials. ❑ Notification in accordance with Section 19827.5 of California Health & Safety Code is not applicable to the scheduled construction of this project. ❑ Attached are copies of the required E.P.A. notification forms. I hereby certify that I have read this application, that the above information is correct, and that I am the owner or the duly authorized agent of the owner. I agree to comply with all county and state laws relating to building construction. I acknowledge it is unlawful to alter the substance of any official form or document of Butte County. I hereby authorize repr ryes of Butte County to enter upon the above mentioned property for ins on purpose Print Name: Signa Date: ` /I }'Owner 0 Contractor ❑ Agent for Owner 0 Agent for Contractor �.r.. BUTTE COUNTY DEPARTMENT OF DEVEILOPMENT SERVICES BUILDING PERMIT APPLICATION AND SUBMITTAL REQUIREMENTS 24 HOUR INSPECTION#: OROVILLE: (530) 538-7636 • CHICO: (530) 891-2834 OFFICE #: (530) 538-7541 A FEE WILL BE REQUIRED AT TIME OFAPPLICA TION Website: www.buttecounty.net/dds "PLEASE PRINT CLEARLY" OWNER INFORMATION Last Name m Address LR City �+ `� l Stat Zip �5 Pho Fax E-mail APPLICANT SIGNATURE X ` For office use only: CONTRACTOR Name SRA Address No City Type Const. State Zip Phone Lot # Fax E-mail Lic. # Class APPLICANT SIGNATURE X ` For office use only: ARCHITECT/ENGINEER Name SRA Address No City Type Const. State F Phone Lot # Fax E-mail State License Number APPLICANT SIGNATURE X ` For office use only: APPLICANT INFORMATION Name SRA Address No City Type Const. State Zip Phone Lot # Fax E-mail APPLICANT SIGNATURE X ` For office use only: Zoning Flood Zone SRA ves No Occ. Type Const. Subdivision Name Map Book Page Lot # Planner Date Approved: OVER FOR SUBMITTAL REQUIREMENTS K:IFORMS\BUILDING FORMS1BldgApplSubRgmts.doc PERMIT NO. BIN # PROJECT LOCATION AP# Q Propert Address (IOU if ,S City Cross Street l WORKER'S COMPENSATION Policy Number Carrier N hiring anyone other than license contractors, a certificate of worker's compensation must be shown at the time of permit issuance. LENDING AGENCY Name Address Page 1 of 2 Description or Scope of Work: orti C6 W4) Sq FT- Living Garage Open Cov ❑ Structure Built without Permits ❑ Proposed Change of Occupancy (Note previous use): EXPIRATION OF APPLICATION Applications for which a permit has not been issued will expire one year after the date of application. In order to renew action on an application after expiration, a new application, plans and fee will be 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.A�. Amount: 1 10% Bldg SRA Receipt #:4EXPS3 Sheriff SMIP Other I 0 Total REV 8-12-05 SUBMITTAL & PERMIT REQUIREMENTS. The following drawings and specifications must be submitted to the Building Division in order to apply for a permit. INCOMPLETE SUBMITTALS WILL NOT BE ACCEPTED. ALL PLANS MUST BE LEGIBLE AND IN INK. ❑ 1. Site plans, 3 or 4 sets, signed by the preparer of the plans. No graph paper! ❑ 2. Complete plans, 3 or 4 sets, signed by the preparer of the plans (No graph paper!) OR Engineered plans, 3 or 4 sets, with wet signature on plans AND 2 sets of stamped and signed calculations. ❑ 3. Engineered truss details and layouts in duplicate (if required). No faxesl ❑ 4. Energy compliance design and supporting documentation in duplicate. ❑ 5. Statement of Intent for Non -heated and A/C for Non -Residential Buildings. ❑ 6. Manufactured homes: (A) Installation manual, (B) Marriage line info, (C) Floor Plan, (D) Tie down or fnd plans, all in duplicate ❑ 7. Metal bldgs: (A) Metal Bldg Plans, (B) Fnd plans and calcs in triplicate, (C) Elevations in triplicate. (D) Floor plans in triplicate. All of these must be stamped and wet -signed by the engineer. ❑ 8. Flood Elevation Certificate, wet -stamped and signed, in duplicate (if required). ❑ 9. Site plan and business license approval from the City of Biggs. ❑ 10. Letter of intent for non-residential buildings. ❑ 11. Building Permit Application Without Required Clearances Form ❑ 12. Hazardous Material Form (for Commercial Buildings only). Remaining items needed to issue the permit. Additional items may be required after Plan Check and Planning review (May require additional plan review upon receipt of the following items.) ❑ 1. Agricultural Buffer clearance and site plan approval from the Ag Commissioner's office (if required). ❑ 2. Impact Fees. ❑ 3. California Department of Forestry plan approval (if required). ❑ 4. NPDES Form. ❑ 5. Encroachment Permit for driveway from the Public Works Dept. (construction approval prior to occupancy). ❑ 6. Contractor's license information. (Number, Name Style, Classification). ❑ 7. Worker's Compensation Carrier and Policy Number. ❑ 8. Owner -Builder Verification (if required). ❑ 9. Letter of Signature authorization (if required). ❑ 10. Recorded copy of Agricultural Acknowledgment Statement. ❑ 11. ❑ Legal description from current recorded grant deed, ❑ Copy of M.H. Title, Title transfer, or MCO. ❑ 12. Sanitation and site plan approval from the Environmental Health Department. If you have questions or would like additional information regarding this process, please contact a Permit Assistant at (530) 538-7541. EXPIRATION OF APPLICATION Applications for which a permit has not been issued will expire one year after date of application. In order to renew action on an application after expiration, a new application, plans and fees will be required. REQUEST FOR FEE REFUNDS Refunds can only be made upon written request by the person who paid the fee. The request must be made within two years from the date of fee payment on permits not issued, and -two years from the date of permit issuance for permits issued; however, on issued permits refunds can only be made if no construction work has been done. Filing fees, plan check fees for work plan checked and other department costs are not refundable. OVER FOR BUILDING PERMIT APPLICATION KAFORMSSUILDING F0RMS1BIdgApp1SubRgmts.doc Page 2 of 2 REV 8-12-05 OWNER -BUILDER VERIFICATION . Attention Property Owner: An "owner -builder" building permit has been applied for in your name and bearing your signature. Please complete and return this information at your earliest opportunity to avoid unnecessary delay in processing and issuing your building permit. No building permit will be issued until this verification is received. 1. I personally plan to provide the major labor and material for construction of this proposed property improvement: YES.[ X ] NO [ ]. , 2. I HAVE [ x ] HAVE NOT [ ] signed an application fora building permit for the proposed Work- 3. ork3. I have -contracted with the following person (firm) to provide the proposed construction: NAME: ADDRESS: PHONE: _ CONTRACTOR'S LICENSE NO: 4. I plan to provide portions of the work, but I have hired the following person to coordinate, supervise, and -provide the major work NAME: _ ADDRESS: PHONE: CONTRACTOR'S LICENSE NO: _ 5. I will provide some of the work but I have contracted (hired) the following persons to provide the work indicated: NAME ADDRESS PHONE. TYPE OF WORK SIGNED: , PROPERTY OWNER DATE: NOTE: This Owner -Builder verification is required by Section 19931 and 19832 of the California Health and Safety Code. .butte County Department of Development Services jjT r ADMINISTRATION `BUILDING `GIS ° PLANNING o �o a � o 7 County Center Drive o � a Oroville, CA 95965 0 (530) 538-7541 Telephone C 0 (530) 538-2140 Facsimile U NT OWNER -]BUILDER INFORMATION Dear Property Owner. An application for a building permit has been submitted in your name listing yourself as the builder of the property improvements specified. For your protectioin you should be aware that as "owner -builder" you are the responsible party of record on such a permit Building permits are not required to be signed by property owners unless they are personally performing their own work. If your work is being performed by someone other than yourself, you may protect yourself from possible liability if that person applies for the proper permit in his or her name. Contractors are required by law to be licensed and bonded by the State of California and to have a business license from the city or county. They are also required by lav to put their license number on all permits for which they apply. If you plan to do'your own work, with the exception of various trades that your plan to subcontract, you should be aware of the following information for your benefit and protection: o If you employ or otherwise engage any persons other than your immediate family, and the work (including materials and other costs) is $200 or more for the entire project and such persons are not licensed as contractors or subcontractors, then you may be an employer. o If you are an employer, you must register with the state and federal government as an employer and you are subject to several obligations including state and federal income tax withholding, federal social security taxes, workers' compensation insurance, disability insurance costs, and unemployment compensation contributions. o There may be financial risks for you if .you do not carry out these obligations, and these risks are especially serious with respect to workers' compensation insurance. o For more specific information about your obligations under federal law, contact the Internal Revenue Service (and, if you wish, the U.S. Small Business Administration). For more specific information about your obligations under state law, contact the Department of Benefit Payments and the Division of Industrial Accidents. If the structure is intended for sale, property owners who are not licensed contractors are allowed to perform their work personally or. through their own employees, without a licensed contractor or subcontractor, only under limited conditions. A frequent practice of unlicensed persons professing to be contractor is to secure an "owner -builder" building permit, erroneously implying that the property owner is providing his or her own labor and material personally. Building permits are not required to be signed by property owners unless they are performing their own work personally. Information about licensed contractors may be obtained by contacting the Contractors' State License Board in your community or at 1020 N Street, Sacramento, California 95814. Please complete and return the enclosed owner -builder verification from so that we can confirm that you are aware of these matters. The building permit will not be issued until the verification is returned. Sincerely, LoWmal-imrsinal -Na AT(1T1?. Tr„e fl�nor_RnilriPr Tnfnrmafinn ie rPnnirati i�v Cr+rfinn 19fYiD of ihP ialifnrnia l�Palth anti CafPfv (ntlP_ J 1 BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT 24 HOUR INSPECTION #: (530) 538-7636 (OROVILLE) (530) 891-2834 (CHICO) OFFICE #: (530) 538-7541 FAX#: (530)538-2140 WEBSITE: www.buttecounty.net\dds PERMIT NO. BP061688 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: 07/13/2006 APN: 056-140-070-000 the Business and Professions Code, and my license is in full force and effect. License Class: License Number: Site Address: 69 RESOURCES LN COH Date: Contractor. Map Index: Description: RE -ROOF (23 SQ) OWNER43UILDER 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 permit to construct, alter, improve, demolish, or repair any structure, prior Owner: RIPPY PATRICIA ANN` ETAL to its issuance, also requires the applicant for such permit to file a MCINTYRE TAMMARA LYNN signed statement that he or she is licensed pursuant to the provisions of 69 RESOURCES LN the Contractor's State License Law (Chapter 9 commencing.with Section 7000) of Division 3 of the Business and Professions Code) or that he or CHICO, CA 95973-8818 she is exempt therefrom and the basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars ($500).): I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale (Sec. 7044, Business and Professions Applicant: RIPPY PATRICIA ANN` ETAL Code: The Contractors' State License Law does not apply to an owner of property who builds or improves thereon, and who does MCINTYRE TAMMARA LYNN such work himself or herself or through his or her own employees, 69 RESOURCES LN provided that such improvements are not intended or offered for CHICO, CA 95973-8818 sale. If however, the building or improvements are sold within one year of completion, the owner -builder will have the burden of (530) 345-8829 proving that he or she did not build or improve for the purpose of 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 Contractor:. not apply to an owner of property who builds or improves thereon, and who contracts for such projects with a contractor(s) licensed pursuant to the Contractors' State License Law.). ❑ lam Exempt under Article 3 e Business and Prof Bions Code 1 � 1-13-26Owner: Date: License #: WORKERS' COMPENSATION DECLARATIO I hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by Section 3700 of the Labor Code, for the performance of the work for which this permit Architect: is issued. Engineer: U. I have and will maintain workers' compensation insurance, as required by Section 3700 the Labor Code, for the performance of the work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier: Total Square Ft: 0 S. F. Policy a: Valuation: $0.00 Census Code: Vf I certify that in the performance of the work for which this permit is issued. I shall not employ any person in any manner so as to6110. 00 6 become subject to the workers' compensation laws of California, I I� and agree that if I should become subject to the workers' L_ . l compensation provisions of Section 3700 of the Labor Code, I shall I " I forthwith comply with those provisions. �- I Date: $ 2-17. � ' t E4 Applicant: 44 WARNING: Failure to secure workers' corn ensation coverage is unlawful, and shall subject an employer to criminal penalties and one hundred thousand dollars ($100,000), in addition to the cost of compensation, damages as provided for in Section 3706 of the Labor code, interest, and attorney's fees. CONSTRUCTION LENDING AGENCY This permit is hereby issued under the applicable provisions of the Butte County Code ?nrUor I hereby affirm that there is a construction lending agency for the Resolutions to do work indi ted bove for which fees have been paid. performance of the work for which this permit is issued (Sec 3097 Civ.) 7-1 Name: BY r 2 Date: l 1 �Q PERMIT EXPIRES ON: / - J- f i q Address: Date ❑ 1 hereby certify that the use of this facility shall comply with Sections 25505, 25533, and 25534 of the California Health and Safety Code, which regulate the storage, handling and use of hazardous materials. ❑ Notification in accordance with Section 19827.5 of California Health 8 Safety Code is not applicable to the scheduled construction of this project. ❑ Attached are copies of the required E.P.A. notification forms. I hereby certify that I have read this application. that the above information is cored, and that I am the owner or the duly authorized agent of the owner. I agree to comply with all county and state laws relating to building construction. I acknowledge it is unlawful to alter the su ny official form or document of Butte County. I hereby authorize representatives of Butte County to enter -upon the above mentioned property for inspe n purposes. - Print Name: �� `t\Se ,__ a D Signature: - Nr6 r Date: ) b U Kowner 0 Contractor 0 Agent for Owner ❑ Agent for Contractor 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. BP061688 PERMITS BECOME NULL AND VOID 1 YEAR FROM THE DATE OF ISSUANCE OR IF WORK IS DONE IN VIOLATION OF ANY COUNTY OR STATE LAWS. _ t LICENSED CONTRACTORS DECLARATION I hereby affirm under penally 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 : License Number: Date: Contractor: 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 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 the Contractor's Slate License Law (Chapter 9 commencing with Section 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 violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars ($500).): I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale (Sec. 7044, Business and Professions Code: The Contractors' State License Law does not apply to an 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 sale. If however, the building or Improvements are sold within one 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 sale.). ❑ I, as owner. of the property, am exclusively contracting with licensed contractors to construct the project (Sec. 7044, Business and Professions Code. The Contractors' State License Law does riot apply to an owner of property who builds or improves thereon, and who contracts for such projects with a contractor(s) licensed pursuant to the Contractors' State License Law.). ❑ 1 am Exempt under Article 3 o the Business and Pr f ssions Code r Date: 2—/3-i!) Owner: a� 6 h aw WORKERS' COMPENSATION DECLARATION " I hereby affirm under penalty of perjury one of the following declarati s: CII have and will maintain a certificate of consent to self -ins a for workers' compensation, as provided for by Section 370 of the Labor Code, for the performance of the work for which Is permit is issued. ❑ 1 have and will maintain workers' compensatio/erformance rance, as required by Section 3700 the Labor Code, for thof the work for which this permit is issued. My work pensation Insurance carrier and policy number are: Carrier: Policy #: 1 certify that in the performance of th work for which this permit Is issued, I shall not employ any p son in any manner so as to become subject to theworkers' ompensation laws of California, and agree that if I should ecome subject to the workers' compensation provisions ZpvIsions. ion 3700 of the Labor Code, I shall forthwith comply with those Date: "13 —f/ WARNING: Failure to secure workers' compensation coverage is unlawful, and shall sub' ct an employer to criminal penalties and one hundred thousand d ars ($100,000), in addition to the cost of compensation, dama es as provided for in Section 3706 of the Labor code, interest, and attorney's fees. Issued Date: 07/13/2006 APN: 056-140-07,0-000 Site Address: 69 RESOURCES LN COH Map Index: Description: RE -ROOF (20 SQ) Owner: RIPPY PATRICIA NN- ETAL MCINTYRE TAARA LYNN 69 RESOURC S LN CHICO, CA 973-8818 Applicant: RIP Y PATRICIA ANN` ETAL INTYRE TAMMARA LYNN 9 RESOURCES LN CHICO, CA 95973-8818 (530) 345-8829 License #: Architect: Engineer: Total Square Ft: Valuation: Census Code: I�0 CP try 5c�1 q � `1-13.0 UPM4�d do Ched - 0 S. F. $0.00 ba, ow Mal CONSTRUCTION LENDING AGENCY - This permit is hereby -issued under -the applicable provisions of the Butte County Code and/or I hereby affirm that there is a construction lending agency for the Reso u 'ons to o work Indi atedTove for which fees have been paid. performance of the work for which this permit Is Issued (Sec 3097 CIv.) By l(II I / ll I I Dater" I "ll l fl Name: n l PERMIT EXPIRES ON: ` Address: � Date ❑ 1 hereby certify that the use of this facility shall comply with Sections 25505, 25533, and 25534 of the California Health and Safety Code, which regulate the storage, handling and use of hazardous materials. ❑ Notification in accordance with Section 19827.5 of California Health & Safety Code is not applicable to the scheduled construction of this project. ❑ Attached are copies of the required E.P.A. notification forms. I hereby certify that I'have read this application, that the above information is correct, and that I am the owner or the duly authorized agent of the owner. I agree to comply with all county and state laws relating to building construction. I acknowledge It Is unlawful to alter the subs official form or document of Butte County. I hereby authorize representatives of Butte County to enter upon the above mentioned property for Inspect/ rf1purposes, I Print Name: �(C� (' L t n j Signature: Dale: Owner ❑ Contractor ❑ Agent for Owner ❑ Agent for Contractor A r Ruilrlin Parmit 01-18-04 Do 1 (O 0 0 0 L BUTTE COUNTY 0 DEPARTMENT OF DEVELOPMENT SERVICES O BUILDING PERMIT APPLICATION 0 AND SUBMITTAL REQUIREMENTS 0 24 HOUR INSPECTION#: OROVILLE: (530) 538-7636 • CHICO: (530) 891-2834 0 OFFICE #: (530) 538-7541 A FEE WILL BE REQUIRED AT TIME OF APPLICA TION Website: www.buttecounty.net/dds "PLEASE PRINT CLEARLY* APPLICANT INFORMATION OWNER INFORMATION - Last Nam.4-,, Address, co -1 irs Na e Iv City C St� 2_3 PhoV, 71 P_ Fax E-mail Fax APPLICANT INFORMATION CONTRACTOR Name b City Address Zip City D S State 71 P_ PhorLe O .� � Fax E-mail Planner Lic. # Class APPLICANT INFORMATION ARCHITECT/ENGINEER Name City Address Zip City Fax State 71 P_ Phone Map Book Fax E-mail Planner State License Number APPLICANT INFORMATION Name Address City State Zip Phone Fax E-mail APPLICANT SIGNATURE For office use only: Zoning AP# 05(0- Flood Zone Property Addr SRA I Yes I No Occ. Type Const. Subdivision Name Map Book Page Lot # Planner Date Approved: OVER FOR SUBMITTAL REQUIREMENTS K:\FORMS\BUILDING FORMS\BldgApplSubRgmts.doc PERMIT NO. BP BIN # Page 1 of 2 n� l Description or Scope of Work: K o i o X9 J Sq FT- Living Garage Open Cov ❑ Structure Built without Permits ❑ Proposed Change of Occupancy (Note previous use): EXPIRATION OF APPLICATION Applications for which a permit has not been issued will expire one year after the date of application. In order to renew action on an application after expiration, anew 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: - A. Receipt #: I W I O Date: `7 r3 v3 Amount: 106 Bldg SRA Sheriff SMIP Other 1110. Total REV 8-12-05 PROJECT LOCA TION AP# 05(0- 190_0M Property Addr City Cross Street— WORKER'S COMPENSATION Policy Number Carrier If hiring anyone other than license contractors, a certificate of worker's compensation must be shown at the time of permit issuance. LENDING AGENCY Name Address Page 1 of 2 n� l Description or Scope of Work: K o i o X9 J Sq FT- Living Garage Open Cov ❑ Structure Built without Permits ❑ Proposed Change of Occupancy (Note previous use): EXPIRATION OF APPLICATION Applications for which a permit has not been issued will expire one year after the date of application. In order to renew action on an application after expiration, anew 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: - A. Receipt #: I W I O Date: `7 r3 v3 Amount: 106 Bldg SRA Sheriff SMIP Other 1110. Total REV 8-12-05 SUBMITTAL & PERMIT REQUIREMENTS. The following drawings and specifications must be submitted to the Building Division in order to apply for a permit. INCOMPLETE SUBMITTALS WILL NOT BE ACCEPTED. ALL PLANS MUST BE LEGIBLE AND IN INK. ❑ 1. Site plans, 3 or 4 sets, signed by the preparer of the plans. No graph paper! ❑ 2. Complete plans, 3 or 4 sets, signed by the preparer of the plans (No graph paper!) OR Engineered plans, 3 or 4 sets, with wet signature on plans AND 2 sets of stamped and signed calculations. ❑ 3. Engineered truss details and layouts in duplicate (if required). No faxes! ❑ 4. Energy compliance design and supporting documentation in duplicate. ❑ 5. Statement of Intent for Non -heated and A/C for Non -Residential Buildings. ❑ 6. Manufactured homes: (A) Installation manual, (B) Marriage line info, (C) Floor Plan, (D) Tie down or fnd plans, all in duplicate ❑ 7. Metal bldgs: (A) Metal Bldg Plans, (B) Fnd plans and calcs in triplicate, (C) Elevations in triplicate. (D) Floor plans in triplicate. All of these must be stamped and wet -signed by the engineer. ❑ 8. Flood Elevation Certificate, wet -stamped and signed, in duplicate (if required). ❑ 9. Site plan and business license approval from the City of Biggs. ❑ 10. Letter of intent for non-residential buildings. ❑ 11. Building Permit Application Without Required Clearances Form ❑ 12. Hazardous Material Form (for Commercial Buildings only). Remaining items needed to issue the permit. Additional items may be required after Plan Check and Planning review (May require additional plan review upon receipt of the following items.) ❑ 1. Agricultural Buffer clearance and site plan approval from the Ag Commissioner's office (if required). ❑ 2. Impact Fees. ❑ 3. California Department of Forestry plan approval (if required). ❑ 4. NPDES Form. ❑ 5. Encroachment Permit for driveway from the Public Works Dept. (construction approval prior to occupancy). ❑ 6. Contractor's license information. (Number, Name Style, Classification). ❑ 7. Worker's Compensation Carrier and Policy Number. ❑ 8. Owner -Builder Verification (if required). ❑ 9. Letter of Signature authorization (if required). ❑ 10. Recorded copy of Agricultural Acknowledgment Statement. ❑ 11. ❑ Legal description from current recorded grant deed, ❑ Copy of M.H. Title, Title transfer, or MCO. ❑ 12. Sanitation and site plan approval from the Environmental Health Department. If you have questions or would like additional information regarding this process, please contact a Permit Assistant at (530) 538-7541. EXPIRATION OF APPLICATION Applications for which a permit has not been issued will expire one year after date of application. In order to renew action on an application after expiration, a new application, plans and fees will be required. REQUEST FOR FEE REFUNDS Refunds can only be made upon written request by the person who paid the fee. The request must be made within two years from the date of fee payment on permits not issued, and two years from the date of permit issuance for permits issued; however, on issued permits refunds can only be made if no construction work has been done. Filing fees, plan check fees for work plan checked and other department costs are not refundable. OVER FOR BUILDING PERMIT APPLICATION KAFORMS\BUILDING F0RMS\B1dgApp1SubRgmts.doc Page 2 of 2 REV 8-12-05 OWNER -BUILDER VERIFICATION Attention Property Owner: An "owner -builder" building permit has been applied for in your name and bearing your signature. Please complete and return this information at your earliest opportunity to avoid unnecessary delay in processing and issuing your building permit. No building permit will be issued until this verification is received. 1. I personally plan to provide the major labor and material for construction of this proposed property improvement: YES .[&] NO[ ]. 2• I HAVE ()] HAVE NOT [ ] signed an application fora building permit for the proposed work- 3. ork3. I have -contracted with the following person (firm) to provide the proposed construction: NAME: _ ADDRESS: PHONE: CONTRACTOR'S LICENSE NO: 4. I plan to provide portions of the work, but I have hired the following person to coordinate, supervise, and- provide the major work NAME: _ ADDRESS: PHONE: CONTRACTOR' S LICENSE NO: 5. I will provide some of the work but I have contracted (hired) the following persons to provide the work indicated: NAME . ADDRESS PHONE. TYPE OF WORK SIGNED: PROPERTY DATE: - CU MOTE: This Owner -Builder verification is required by Section 19931 and 19832 of the California Health and Safety Code. Butte County Department of Development Sea -vices vrr ADMINISTRATION ° BUILDING r GIS ` PLANNING o O p p O O 7 County Center Drive Oroville, CA 95965 0 -` `' r� j a (530) 536-7541 Telephone (530) 538-2140 Facsimile C�U.W� OWNER -]BUILDER INFORMATION Dear Property Owner. An application for a building permit has been submitted in your name listing yourself as the builder of the property improvements specified. For your protection you should .be aware that as "owner -builder" you are the responsible party of record on such a permit. Building permits are not required to be signed by property owners unless they are personally performing their own work. If your work is being performed by someone other than yourself, you may protect yourself from possible liability if that person applies for the proper permit in his or her name. Contractors are required by law to be licensed and bonded by the State of California and to have a business license from the city or county. They are also required by law to put their license number on all permits for which they apply. If you plan to do'your own work, with the exception of various trades that your plan to subcontract, you should be aware of the following information for your benefit and protection: o If you employ or otherwise engage any persons other than your immediate family, and the work ('including materials and other costs) is $200 enti or more for the re project and such persons are nbt licensed as contractors or subcontractors, then you may be an employer. o If you are an employer, you must register with the state and federal government as an employer and you are subject to several obligations including state and federal income tax withholding, federal social security taxes, workers' compensation instance, disability insurance costs, and unemployment compensation contributions. o There may be financial risks for you if .you do not cavy out these obligations, and these risks are especially serious with respect to workers' compensation insluance. o For more specific information about your obligations under federal law, contact the Internal Revenue Service (and, if you wish, the U.S. Small Business A_d inishation). 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 orthrough their own employees, without a licensed contractor or subcontractor, only under limited conditions. A frequent practice of unlicensed persons professing to be contractor is to secure an "owner4hWder" building permit, erroneously implying that the property owner is providing his or her own labor and material personally. Building permits are not required to be signed by property owners unless they are peaforming their own work personally. Information about licensed contractors may be obtained by contacting the Contractors' State License Board in your community or at 1020 N Street, Sacramento, California 95814. Please complete and return the enclosed owner -builder verification from so that we can confirm that you are aware of these matters. The building permit will not be issued until the verification is returned. Sincerely, Scott Rutherford Chief Building Inspector Mn r`7?. Il,:. llmnar_Rniltiar Tnfnrm9finn ;e rnnn;Y-" by G+rtinn i oRi 1 of tho ralifnrn;% Frontfh anti Cnfpfv rntiP_ BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT 24 HOUR INSPECTION #: (530) 538-7636 (OROVILLE) (530) 891-2834 (CHICO) OFFICE M (530) 538-7541 FAM (530)538-2140 WEBSITE: www.buttecounty.net\dds PERMIT NO. BP061688 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: 07/13/2006 APN: 056-140-070-000 the Business and Professions Code, and my license is in full force and effect. License Class: License Number: Site Address: 69 RESOURCES LN COH Date: Contractor. Map Index: Description: RE -ROOF 23 SQ ( ) OWNER43UILDER 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: RIPPY PATRICIA ANN" ETAL permit to construct, alter, improve, demolish, or repair any structure, prior to its Issuance, also requires the applicant for such permit to file a MCINTYRE TAMMARA LYNN signed statement that he or she is licensed pursuant to the provisions of 69 RESOURCES LN the Contractor's State License Law (Chapter 9 commencing.with Section 7000) of Division 3 of the Business and Professions Code) or that he or CHICO, CA 95973-8818 she is exempt therefrom and the basis for the alleged exemption. Any 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).): f 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 Applicant: RIPPY PATRICIA ANN` ETAL Code: The Contractors' State License Law does not apply to an owner of property who builds or improves thereon, and who does MCINTYRE TAMMARA LYNN such work himself or herself or through his or her own employees, 69 RESOURCES LN provided that such improvements are not intended or offered for CI -{ICO, CA 95973-8818 sale. If however, the building or improvements are sold within one year of completion, the owner -builder will have the burden of (530) 345-8829 proving that he or she did not build or improve for the purpose of sale.). ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec. 7044, Business and Professions Code. The Contractors' State License Law does Contractor:. not apply to an owner of property who builds or improves thereon, and who contracts for such projects with a contractor(s) licensed pursuant to the Contractors' State License Law.). ❑ 1 am Exempt under Article 3 e Business and Prof sions Code r _/3 26 Owner: e Date: License #: WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ I have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by Section 3700 of the Labor Code, for the performance of the work for which this permit Architect: is issued. Engineer: ❑ 1 have and will maintain workers' compensation insurance, as required by Section 3700 the Labor Code, for the performance of the work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier: Total Square Ft: 0 S. F. Policy tt: Valuation: $0.00 Census Code: 1 certify that in the performance of the work for which this permit is issued. I shall not employ any person in any manner so as to (�O become subject to the workers' compensation laws of California, �� and agree that if I should become subject to the workers' i compensation provisions of Section 3700 of the Labor Code, I shall C I forthwith comply with those provisions. x-13—OCn Date: 2.—i3 — t $ n �7.pi__� Applicant: .—"Ie 44 / Z40 - WARNING: Failure to secure workers' corn ensation coverage is unlawful, and shall subject an employer to criminal penalties and one hundred thousand dollars ($100,000), in addition to the cost of compensation, damages as provided for in Section 3706 of the Labor code, interest, and attorney's fees. CONSTRUCTION LENDING AGENCY This permit.Is hereby issued under the applicable provisions of the Butte County Coda anrvor I hereby affirm that there is a construction lending agency for the Resolutions to do work indl ted Vbove for which fees have been paid. performance of the work for which this permit is issued (Sec 3097 Civ.) I -Ii G Name: By: Date: fr� ' `l PERMIT EXPIRES ON: / - J � Address: 1 Date O 1 hereby certify that the use of this facility shall comply with Sections 25505, 25533, and 25534 of the California Health and Safety Code, which regulate the storage, handling and use of hazardous materials. O Notification in accordance with Section 19827.5 of California Health 8 Safety Code is not applicable to the scheduled construction of this project. O Attached are copies of the. required E.P.A. notification forms. 1 hereby certify that I have read this application, that the above information is correct, and that I am the owner or the duly authorized agent of the owner. I agree to comply with all county and state laws relating to building construction. I acknowledge it is unlawful to alter the su ny official form or document of Butte County. 1 hereby authorize representatives of Butte County to enter upon the above mentioned property for inspe n purposes. r Print Name: L� \rp1A_2 r Y Signature: -�� Date: Kowner 0 Contractor ❑ Agent for Owner , 0 Agent for Contractor BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT 24 HOUR INSPECTION #: (530) 538-7636 (OROVILLE) (530) 891-2834 (CHICO) OFFICE #: (530) 538-7541 FAX#: (530)538-2140 WEBSITE: www.buttecounty.netldds PERMIT NO. BP061688 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: 07/13/2006 APN: 056-140-070-000 the Business and Professions Code, and my license is in full force and effect. License Class: License Number: Site Address: 69 RESOURCES LN COH Date: Contractor. Map Index: Description: RE -ROOF (23 SQ) OWNER43UILDER 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: RIPPY PATRICIA ANN ETAL permit to construct, alter, improve, demolish, or repair any structure, prior to its issuance, also requires the applicant for such permit to file a MCINTYRE TAMMARA LYNN signed statement that he or she is licensed pursuant to the provisions of 69 RESOURCES LN the Contractors State License Law (Chapter 9 commencing.with Section 7000) of Division 3 of the Business and Professions Code) or that he or CHICO, CA 95973-8818 she is exempt therefrom and the basis for the alleged exemption. Any 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).): f� I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale (Sec. 7044, Business and Professions Applicant: RIPPY PATRICIA ANN' ETAL Code: The Contractors' State License Law does not apply to an owner of property who builds or improves thereon, and who does MCINTYRE TAMMARA LYNN such work himself or herself or through his or. her own employees, 69 RESOURCES LN provided that such improvements are not intended or offered for CHICO CA 95973-8818 sale. If however, the building or improvements are sold within one year of completion, the owner -builder will have the burden of (530) 345-8829 proving that he or she did not build or improve for the purpose of sale.). ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec. 7044, Business and Professions Code. The Contractors' State License Law does Contractor:. not apply to an owner of property who builds or improves thereon, . and who contracts for such projects with a contractor(s) licensed pursuant to the Contractors' State License Law.). ❑ I am Exempt under Article 3 e Business and Prof sions Code I '% I3 Z Owner: e Date: License #: WORKERS' COMPENSATION DECLARATIO I hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by Section 3700 of the Labor Code, for the performance of the work for which this permit Architect: is issued. Engineer: ❑ - I have and will maintain workers' compensation insurance, as required by Section 3700 the Labor Code, for the performance of the work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier: Total Square Ft: 0 S. F. Policy #: Valuation: $0.00 Census Code: I certify that in the performance of the work for which this permit is issued. I shall not employ any person in any manner so as to O� become subject to the workers' compensation laws of California. �� and agree that if I should become subject to the workers'I compensation provisions of Section 3700 of the Labor Code, I shall ` forthwith comply with those provisions. r. /-13-OCA Date: — It -- c y Applicant:44 WARNING: Failure to secure workers' com ensation coverage is unlawful, and shall subject an employer to criminal penalties and one _ 16 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 perrnit.is hereby issued under the applicable provisions of the Butte County Coda anrUQr 1 hereby affirm that there is a construction lending agency for the Resolutions to do work indl ted bove for which fees have been paid. performance of the work for which this permit is issued (Sec 3097 Civ.) (� Name: B Date: 7' 1 1-0 �1J Y PERMIT EXPIRES ON: / - in) n Address: Date ❑ 1 hereby certify that the use of this facility shall comply with Sections 25505, 25533, and 25534 of the California Health and Safety Code, which regulate the storage, handling and use of hazardous materials. ❑ Notification in accordance with Section 19827.5'of California Health & Safety Code is not applicable to the scheduled construction of this project. ❑ Attached are copies of the required E.P.A. notification forms. I hereby certify that I have read this application, that the above information is correct, and that I am the owner or the duly authorized agent of the owner. I agree to comply with all county and state laws relating to building construction. I acknowledge it is unlawful to alter the su ny official form or document of Butte County. I hereby authorize representatives of Butte County to enter upon the above mentioned property for inspe n purposes. � ' r Print Name: �� --fiat=r-Tc—'h r tl 1/ Signature: Date: Kowner ❑ Contractor 13 Agent for Owner 0 Agent for Contractor , ) PERMIT-,NO� 2986 84PE M PERMIT EXPIRES OWNER CON -T -R.— GEORGE RIPPY ASSESSOR PARCEL owner LOCATION 56-14-70 W/S Resources Ln, 700'N Lwr Vilas Rd Cohasset OFFICE.COPY Address GAS Meter ByDate - ELECTRIC Meter By Temp. Power Pole. Called PG&E Temp. Elec. Service Called P4 Temp. Gas Se Called PC JOB FINALEI Signature J—OK 0 Not OK Not Applicable = Not Ready MOBILEHOMES a MISCELLANEOUS I Date � MOB EHOME UTILITIES (Plans) OK except q's . Date DECKS, COVERS, CARPORTS, ETC. (Plans) OK except N's uIrements—Setbacks—Easements 1. Zoning Requirements—Setbacks—.Easements 2. Footings; Size—Depth—Spacing—Connectors o o T / o e 3. Decks; Girders and/or Joists—Decking—Bracing—Stairs—Rails Locasement Need d ( ch) 4,,,,EIectricity; 4. Wood Awn.; Posts—Beams—Rftrs.—Connec.—Shthg.—Rfg.—Bracing Lo ati n—Clearanc ;(CQ/ Amp o 5. Alum. Awn.; Columns—Connections—Splice—Decal—Enclosures catio t Wrap:/ /"L"ft./ /"Nat. or/3"L"ft. "LPG 6. Carports; Windows—Doors tility Clearan a �'� 7. Elec. Card -BI nj Date LC Card -BI Date — �� %Card -BI Date Card -BI Date Card -BI Dates D S Card -BI Date Card -BI Date Card -BI Date Date MOBI ME INSTALLATION (Plans OK except N's Date POOLS (Plans) OK except N's oning Requirements et s—EasemerrM 1. Setbacks—Easements ootings;6' e m Magdage t ine 2. Soils; Compaction—Structure Stability Gas, s D on 3. Pool Structure; Steel—Connections—Thickness-Dead Men—Lining 430 Electricity; es —Bre ers—Cl4araf�es 4, Elec.; Receptacles and Lighting; Distances—GFI Z.-EY—rain; MH—F414—Fl lector 5. Elec.; Pool Lighting; 15 volts—GFI r; MHjjest'R—Contdctet� 6. Elec.; Enclosures; Conduit Entries—Terminals—Listed ater and Sewer Connected—C/ rade—HD Approval 7. Elec.; Bonding; Metal w/5'—Circulating Equipment—Heater 8. as and Elect Tagged 8. Elec.; Grounding; Equip. w/5'—Circulating Equip.—Pool Lghtg. Boxes—Enclosures—Panel boards—Ins. to Main in Conduit Exits; Insp.—Sketch �., Cert. of Occupancy g. Health Department Approval 10. Plumb; Cir. Test—Water Supply Test Card B -I Date Card -BI Date Card -BI Date Card -BI Date Card B -I Date Card -BI Date Card -BI Date Card -BI Date � jftiL•d%t� GD D CL �c�/l �o � oio c %� l G � • , fu !� �� V i Sol �xq t =.0K Not OK Not,Readyable RESIDENTIAL ;Single and Duplex) . Date UNDERFLOOR Plans OK exce t#'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 -Rise -Run -Landing -Fire Protection 4. Ftg., Porches & Decks; Soils -Steel- / /" Ftg. Depth 5. Stemwalls, Main; Steel-Blockouts-Wrapped-Slab 51. 52. Plywood on Roof Overhang -Attic Vents -Rafter Outriggers Siding -Nailing -Veneer 6. Stemwalls, Garage; Steel-Blockouts-Wrapped-Slab 53. Stucco Mesh -Drip Screed-Fdn. Vents-Underflr. Access 7. Piers -Fireplace Ftg.-Steel 8. O.W.V.: Fall -Fittings -Test -2 way C/O -Sewer Test 9. Gas Pipe; Size -Anchors 54. Glazing Area -Glass Protection -Skylights -Plastic 55. Shear Walls; Nailing -Bolts 10. Water Pipe; Test -Anchors -Regulator -Service Test 11. Electric; Underground 12.Plenums & Ducts; Clearance -Material -Support -Ins. 13. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Date Card -BI Date FINAL (Plans) OK except k's Card -BI Date Card -BI Date Date PLUMBING (Permit) OK except q's 56. Ext. Steps -Door & Sidelight Protection -Landings 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. 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 64. Elec. Outlets at Wood Panel; Int. & Ext. Card -BI Date Card -BI Date 65. Kit. Fixt. & Appliance; Grnd.-Air Gap -Cooking Clearance Card -BI Date Date Card -BI Date ELECTRICAL Permit OK except q's 66. Elec. Outlets & Receptacles at Kit. Counter 67. Garage Fire Door; Swing -Landing -Closer 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. Elec. Receptacles Spacing -Lights &Switches at Doors 70. Plb., Elec. &Mech. Equip. Listed for Location 22. Size Boxes & No. of Conductors -Stapled 71. Elec. Receptacles in Garage; (G.F.I.)-Romex Protec. 23. Romex Installed Close to Edge of Studs & C.J. 24. Equip. Ground made up w/Mech. Fasteners -Bond Gas & Water 72. Insulation -Foam -Looked in Attic C] Yes 25. 2 Appliance Circuits in Kitchen &Conductor Size Guard Rails & Deck Construction -Post Caps 26. Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / / ga. Cu or At 74. Fdn. Vents & Crawl Hole Door -Drainage & Wood -Earth Clearance Looked under Floor ❑ Yes 27. Range Circ. / / ga. Cu or AI -Oven Circ. / / ga. Cu or Al, Insulated Neutral ❑Yes ❑No 75. Following instld.: Drive El Yes E] No; Walks El Yes ❑ No; Planters ❑Yes ❑No 28. Service -Riser Conductors & Ground -Main Disconnect 76. Stucco; Brown -Finish 29. 30. Equip. Clearances; Panels-Motors-Mech. Equip. Clothes Closet Light -Shower Light 77. A.C. Unit; Disconnect-Clrnces-Brkr. & Cond. Size -115V Outlet 78. Vents Above Roof; Plbg.-Appliance-Firepl.-Clearance to Opn s. 79. Water Well; Disconnect, Electrical, Plumbing 80. Exterior Elec. Trim; G.F.I. Receptacle -Underground Card B-1 Date Card -BI Date 81. 82, Ventilation throughout House Glass Protection Card B -I Date Date Card -BI Date MECHANICAL (Permit) OK except N's 31. A.C. Ducts; Insulation & Support 83. Corrections from Previous Inspections 84. Gas Test -Meters Tagged; Gas -Electric 85. 86. Water & Sewer Connected -C/O to Grade -HD Approval Energy Compliance Certificate -Other Certificates 32. 33. Vent Fan; Exhaust above Insulation 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 -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Comments at Final: Date FRAMING Plans OK except q's 36. Sills; Proper Material & Anchors 37. Walls; Studs -Nailing, Spacing & Bracing -Plates -Sound 38. Bearing Walls over Girders & Floor Nailing 39. Draft Stop in Walls (rat proof) 40. Fire Stops; Furred Ceilings -Stairs -Chases -Tub 41. Header & Beam -Size & Bearing 42. Hangers -Post Caps -Anchors -Connectors 43. 44. Cing. Joist-Rftr. Ties-Purlin-Roof Brac.-Truss-Sh_thng.-__Rfng._ _ Fireplace Ties or Type A Flue -Fireplace Throat 45. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 46. Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions 47. Garage Fire Protection Framing (NOTE: Anentry must be made each time you visit job site) MOBILEHOMEIN ALLATION ACCEPTANCE COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS — 7 COUNTY CENTER DRIVE OROVILLE, CALIFORNIA — 534=4541 PERMIT N0. Address or location of mobilehome Owner's name Owner's address,2 -- Insignia or hud number Manufacturer's name Serial number of V.I.N.�Year of manufacture � �-t (Official Approving Installation) (Date) IF THE MOBILEHOME IS MOVED OR RELOCATED, THE MOBFLEHOME INSTALLATION ACCEPTANCE SHALL BECOME INVALID. THIS FORM SHALL NOT BE USED WHEN THE MOBILEHOME IS INSTALLED ON A FOUNDATION SYSTEM. 513B White - Owner, Yellow - Installer, Pink - D.P.W. - COUNTY OF BUTTE ` DEPARTMENT OF PUBLIC WORKS , 196 Memorial Way, Chico, --Phone: 891-2751 7 County Center Drive, OroviIIe — Phone: 534-4541 Skyway and Elliott Road, Paradise — Phone: 872-2961, Ext. 57 CORRECTION NOTICE r(� OWNE�R 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 matter, or need additional explanation, please contact this office immediately. Inspec J o ,&f �6 6 // � Date ti COUNTY OF BUTTE r DEPARTMENT OF PUBLIC WORKS s 196 Memorial Way, ChicrPhone: 891-2751 7 County Center Drive, Oroville — Phone: 534-4541 Skyway and Elliott Road, Paradise — Phone: 872-2961, Ext. 57 CORRECTION NOTICE Z S TI" - T 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 matter, o eed additional explanation, please contact this office immediately. G A i -' 17 /t-//-, lgd� Inspector_ G Date r�G O J 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 OWNERi 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 matter, need additional explanation, please contact this/ office immedia ely. f . •a A. Inspector �b^. Date 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 ala` -tq J�j J ERMI' 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 rrection of work is completed. If you have any question pertaining to this Vat,,,1?9rneed additional explanation, please contact this office immediately. � v-•.�i' �;:;'�.11,+r—t/:'i.t yi �;! "..1c./�/,"i ,;v�.+.r?, !c f '�'"�' ; � !" [;�A�-t'� r_ i! w« ®!!'� r� iCl hili � /"In✓t.. I — I InspectorL`"' Date• 4/ IJ COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS • 196 Memorial Way, Chicon Phone: 891-2751 7 County Center Drive, Oroville — Phone: 534-4541 Skyway and Elliott Road, Paradise — Phone: 872-2961, Ext. 57 CORRECTION NOTICE 2 W ,-0y 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 mg4ter, or need additional explanation, please contact this office immediately. H/Zt C A2rV %K f -~-r - -- Inspector_ AITO Date `� ? COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT Nt 7 County Center Drive - Oroville, California 95965 - Telephone 916/534-4541 APPLICATION AND PERMIT ASSES SO PARCEL NUMBER ZO ,}NG .� i V /• .� BUILDING PERMI OWNS TELEPHONE y SO. FT. OCC. BUILDING VA ATION OWNER'S MAIL A RESS C /+ G' CON R'S NAME TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation Is Filing Fee $ •}�Q� LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Penalty $ ARCH CT R NGINEER'S MAILING ADDRESS Permit fee $ S r BUILDING AD?V', `�{� PLUMBING PERMIT Filing Fee 10.00 J 7 Each Trap 2.00 Solar Water Heater 20.00 CWater piping 5.00 LOT NO.SUBDI VISION NAME PARCEL MAP Each qas water heater or vent 5,00 Gas piping system 1- 5 outlets 5.00 USE OF ST CTURE SF ❑ Duplex ❑ Mobi lehome Other SPECIFY Building sewer 5.00 Mobile Home 10.00 e TYPE OF WORK New ❑ [:1[:1Addition Remodel Utilities Installation❑ Other ❑ Describe work: Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 100V OR LESS 100 AMP OR LESS 10.00 Main service EA. ADD'L 100 AMP 2.50 NEW CONST. DWELLING OCCUP.& OR ADDNS. ( ACC. SLOGS. 2/20sgit CONTRACTORS LICENSE LAW I declare under penalty of perjury (check One): ❑ I am licensed under provisions of Chapt. 9, Div. 3 of the Business20@50: and Professions Code and my license is in full force and effect. License No. Classification �] I, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONSTR. ULT' -OUTLET NO N.RESID BRANCH CIRC ITS 2,50 ea NEW CONSTPOWER APPARATUS &) NON- R RES'D. (SINGLE OUTLET CIR. Ex. Occup(o Ts OR FIXTURES SAL@300 FIXXEEDDAPP LNS. OR Ex. Occup. OUTLETS (RESID.) EA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 Permit Fee _ p $ Z Contractor MECHANICAL PERMIT Filing Fee 10.00 WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. Q I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. Heating Cooling Hood 3.00 Ventilation permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the Countyot Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue against said County in consequence of the granting of this permit. o X i1 /Lf Date g 6 Signature of plicant — Owner® Contractor ❑ Agent An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee $ TOTAL PERMIT FEE $ Fe)o v occuP. GROUP I TYPE OF CONST. PARCEL PD o SS This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which DIRECTOROF UBLIC A PERMIT EXPIRES Date the applicable provi- resolutions to do fees have been paid. WORKS Dale ^� Receipt No. WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 - Telephone 916/534-4541 APPLICATION AND PERMIT PERMIT NO. AA ASSESS PARCEL NUMBER ZO ING .r Jtjf� J BUILDING PERMIT OWNER JIELEPHONE c� SQ. FT. OCC. BUILDING VALUATION OWNER'S MAILINGDRESS IWW Ci ✓ CSV CON RACTOR'S NA E T EPHONE NT CTOR'S MAILING ADDRESS COA Fireplace CONSTRUCTION LENDER 11-5>41C UNKNOWN Total Valuation Is Filing Fee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ J c Penalty $ . ARCHITECT OR ENGINEER'S MAILING ADDRESS Permit fee $ BUILDING ADDRESS ZAJ G PLUMBING PERMIT Filin 9 Fee 10.00 Each Trap 2.00 Solar Water Heater 20.00 Water piping 5.00 LOT NO, SUBDIVISION NAME PAR EL MAP Each qas Water heater or vent 5.00 Gas piping system 1 - 5 outlets 5.00 USE OF SJRUCTURE SF ❑ Duplex ❑ Mobi lehome Other SPECIFY Building sewer 5.00 Mobile Home S G W 10.00 e TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation `Other.❑ Describe work: — Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 D Main service R LESS 100 AMP OR LESS 10.00 f� Main service EA. ADD'L 100 AMP 2.50 NEW CONST. (( DWELLING OCCUP.& OR ADDNS. l ACC. BLDGS. t 2hQsgft CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): ElI am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in full force and effect. License No. Classification © I, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONSTR TI -OUTLET 2,50 ea NON.RESID, BRANCH CIRC ITS NEW CONSTR / POWER APPARATUS &) NON-RESID. (SINGLE OUTLET CIR. aD®SOC Ex. OCCUp(OUTLDTS OR FIXTURES 6AL®so FIXED APP LNS, OR Ex. QCCUp. OUTLETS (RESID•) EA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 Permit Fee $ Contractor MECHANICAL PERMIT Filing Fee 10.00 WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. a I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. Heating Cooling Hood 3.00 Ventilation Permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue against id County in consequence of the granting of this permit. X Date Signature of A Kant - Owner® Contractor ❑ Agent An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee $ i p TOTAL PERMIT FEE $ 70, c2 OCCUP. GROUP I TYPE OF CONST. PARCEL PD ND ISSUE This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which DIRECTOR O PUBLIC c By PERMIT EXPIRES Date the applicable provi- resolutions to do fees have been paid. WORKS Date ' �J Receipt No.y11) Z 'S WHITE-D.P.W., YELLO SSESSOR. PINK -INSPECTOR. GOLDENROD -APPLICANT 94--33518 Return to DPW AGRICULTURAL STATEMEN'.0 F ACKNOWLEDGEMENT FOR RESIDENTIAL-DEVELOPMENT OFFICIAL f?EC(?f:D- Section 26-8.1 of the Butte County Code requires this acknowledgement T tiu^lJP+fTY �.CTFI'1c.,. be recorded prior to issuance of a building permit.#�A `FICS�, N SEP 77 111� �1k 19p�' The property described herein is adjacent to land or included SE 4� within an area zoned for -agricultural purposes, and residents of this FLE11h01 property may be subject to inconveniences or discomfort arising from (,I-EfIK - Rt I:UI<i'En the use of agricultural chemicals, including, but not limited to herbicides, pesticide F and fertilizers; and from the pursuit of agricultural operations including, but not limited to cultivation, plowing, spraying, pruning, and harvesting which occasionally generate dust, smoke, noise, and odor. Butte County has established agricultural 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 disconform from normal, necessary farm operations. All that real property situate in the County of Butte, State of California, described as follows: Parcel 3, as shown on the Parcel Map of a port,ion .of the East half of the Northwest quarter of Section 26, Township 24 North, Range 2 East, M.D.B.&M., which Parcel Map was filed in the office of the Recorder of the County of Butte, State of California, May 9, 19'79 in Book 71 of Parcel Maps, at page 5. TOGETI-WR WITH and RESERVING THEREFROM an easement for road and public utility purposes as shown on the map referred to herein. This Deed of Trust is second and junior in lien to that certain Deed of Trust dated April 1, 1980, executed by DENNIS W. SINNOTT, et ux., in favor of NORTHWEST PACIFIC RESOURCES, INC., et al., recorded May 7, 1980 in Book 2512 at page 672, Official Records of Butte County, California. Date: Sept. 19, 1984 State of California County of Butte NOT COMPARED WITH nRIGINAL DOCUMENT PROPS Y OWNERS: on this the 19th day of _ _September 19 8_4 , before SS. me, the undersigned Notary Public, personally appeared Present A.P. No.S1•--Iy,- %fes George E. Rippy Personally known to me. /X/ Proved to me on the basis of satisfactory evidence. to be the person(s) whose names) is subscribed to the within instrument and acknowledged that he executed the same for the purposes therein contained. IN WITNESS WHEREOF, I hereunto set my hand and official seal. • Notary Public SEAL WALTER D. SUMMERSNOTARY nOFFICIAL PUBLIC . CALIFORNIA1 PRINCIPAL OFFICE IN BUTTE COUNTY hAY C[`VMV!CP: CXP;Fci ; OCTOBER 1 1907 11 1 Present A.P. No.S1•--Iy,- %fes George E. Rippy Personally known to me. /X/ Proved to me on the basis of satisfactory evidence. to be the person(s) whose names) is subscribed to the within instrument and acknowledged that he executed the same for the purposes therein contained. IN WITNESS WHEREOF, I hereunto set my hand and official seal. • Notary Public AP # —1,74-7.6 OWNER AV PERMIT 4 MH UTIL.CLEARANCE DATE 5 74 INSPECTOR ELECTRIC 1 GAS. I Support Compaction Struc. Test Re Service Other Pipe -YES 1 NO YES NO Size Load T Size Length dZ(Aw C Lu lG 4 1. owner's name: V Installer's name: S704� Al Is the site currently under permit?; Ye / / No /[ i (If yes, furnish permit number ) OR Is the site an existing site? Yes:/ / No / 2. 3. BUTTE'COUNTY DEPARTMENT OF PUBLIC"WORKS 7 County Center Drive, Oroyille, CA. PHONE: 534-4541 MOBILEHOME INSTALLATION SHEET G a V (If yes, furnish two (2) plot plans.) 4. Will the mobilehome be located at least 5 ft. away from septic tank and leach fields and clear of all setbacks.and easements? Yes No / / ( If no, clarify ) 5. _What is the mobilehome electrical rating? ----------------------- �7� O Amps 6. What is the mobilehome site service rating? --------------------- Amps 7.. What is the mobilehome site circuit breaker rating? --------------0-` Amps 8. Is there any other electric, load to be served by the mobilehome siteservice? ------------------------------------------------ Yes No (If.yes, identify the load and size: (Load) O (Amps) 9. What is the mobilehome site gas pipe size?----------------------Zq 10. What is the type of gas service? --------------- --- Natural /% LPG 11--i What is the gas pipe length from meter or tank to the mobilehome? S (f t.) 12. What is the mobilehome gas demand? =----------------------------- (BTU)' (This information not required if pipe length less than 6 ft. on natural gas . or less than 50 ft. on LPG.) �9 BU TT E COU TY BUILDING DEPARTMENT AP.:PROVF M/ MOBILEHOME SUPPORT DATA If other than single wide, Mobilehome Mfr._ furnish Setup Model No. Year/?7-5 I Width (ft.) Box Length ^S� (ft.) Tagalong or Expando Size ft. x ft. (SHOW SUPPORT DETAILS BELOW) On all mobilehomes manufactured after October 7, 1973; furnish manufacturer's installation manual and structural setup sheets (if not on file with the County of Butte). All center supports measured from front of mobilehome'unless otherwise specified. Z Footings (check one) 4—Pagalong or Expando,' Single 1. Wood either show support details. pressure treated or ._ foundation grade. 3 .ft.)(in:) (in.) ❑2. Other: (specify) Center support /�n Centerlocat (check one) ons* footinSupporta L (in ® 1: Concrete block. 3 , x [].Ii Other,. ( specify) (ft.)(in ) (in/) (in.) Z 4—Pagalong or Expando,' show support details. (in.) (in.) `o -- Typical Support In. (in.) Footing Size L (in.) (in.) in �' C ` -- Max. Pier Spacing Zia '% �, x 2 j C Max. Overhang (ft.) (in.) (in.) Cin.) (ft.)(in., *If center piers are other than drawn above, -draw in --locations, spacing, and dimensions. 2033-86B,P,E,M PERMIT NO. PERMIT EXPIRES OWNER GEORGE RIPPY CONTR. owner ASSESSOR PARCEL 56-14-70 W/S Resource Ln 800'N V AQ •u�. �' (C — R /Lt�" a}. •' . j. LOCATION - Cohasset `a n s Temp. Powgr Pole_ Called PGILE Temp. 'Elea Service, -- Called P(y&E Temp. Gas Serx1ic.e — Called PG&E= . JOB FI'N{ALED ( Date)— 87 _ Signat4f@ _ J=OK 0 = Not OK = Not Applicable MOBILEHOMES = Not Ready MISCELLANEOUS Date MOBILEHOME UTILITIES (Plans) OK except k's 1. Zoning Requirements -Setbacks -Easements Date DECKS, COVERS, CARPORTS, ETC. (PlansTOK except #'*s , 1. Zoning Requirements -Setbacks -Easements _ 2. Soils; Special MH Support -Sketch 2. Footings; Size -Depth -Spacing -Connectors 3. Sewer; Location -Test -Fall -C/0 -Concrete 3. Decks; Girders and/or Joists -Decking -Bracing -Stairs -Rails 4. Water; Location -Test -Easement Needed (Sketch) 4, Wood Awn.; Posts-Beams-Rftrs.-Connec.-Shthg.-Rfg.-Bracing 5. Electricity; Location-Clearances-Grnd.-/ / Amp -Concrete . 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures - 6. Gas; Location -Test -Wrap:/ /"L"ft./ /"Nat. or/ /"L"ft./ /'LPG 6. Carports; Windows -Doors 7. Utility Clearance _ 7. Elec. Card -BI Card -BI Date Date Card -BI Date Date Card -BI Date MOBILEHOME INSTALLATION (Plans) OK except k's 1. Zoning Requirements -Setbacks -Easements Card -BI Card -BI Date Date Card -BI Date Date Card -BI Date POOLS (Plans) OK except N's 1. Setbacks -Easements 2. Footings; Size -Spacing -Marriage Line 2. Soils; Compaction -Structure Stability 3. Gas; MH Test -Demand -Valve -Connector 4. Electricity; MH Test -Crossovers -Breakers -Clearances 3. Pool Structure; Steel -Connections -Thickness -Dead Men -Lining. . 4, Elec.; Receptacles and Lighting; Distances-GFI 5. Drain; MH Test -Fall -Flex Connector 5. Elec.; Pool Lighting; 15 volts-GFI 6. Water; MH Test -Regulator -Connector 6. Elec.; Enclosures; Conduit Entries -Terminals -Listed 7. Water and Sewer Connected -C/0 to Grade -HD Approval 7. Elec.; Bonding; Metal w/5' -Circulating Equipment -Heater 8. Gas and Electricity Tagged 8. Elec.; Grounding; Equip.w/5'-Circulaiing Equip. -.Pool Lghtg. Boxes -Enclosures -Panel boards -Ins. to Main in Conduit 9. Exits; Insp.-Sketch 10. Cert. of Occupancy 9. Health Department Approval 10. Plumb; Cir. Test -Water Supply Test Card B -I Date Card -BI Date Card -BI Date Card -BI Date Card B -I Date Card -BI Daie----- `" Card -BI Date Card -BI Date "I m .. at P T J = OK 0 = Not OK_ - = Not Applicable RESIDENTIAL (Single and Duplex) = Not Ready Date UN RFLOOR Plans OK except N's Date FRAWING Continued - _oning requirements-Setbacks-EasementsL' Ftg., Main; Soils -Steel -EI d.- / : /" Ftg. Depth Firewall & Openings 1. E oors-One 3' -Check Garage -3rd story, 2 s -Steel- / /" Ftg. Depthtairs; Width-Headroom-Rise-Run-Landirtg ire Proteclio — tg., Porches & Decks: Soils -Steel- / /" Fig. Depth /Plywood on Roof Overhang -Attic Vents -Rafter Outriggers— _ temwalls, Main; Steel-Blockouts-Wrapped-Slab . Siding -Nailing -Veneer S temwalls, Garage; Steel = rip Screed-Fdn. Vents-Underflr. Access Pier -Stee lazing a -Glass Protection -Skylights -Plastic _ 'ngs- st way C/O ewer Tes 5 Sh alls; Nailing -Bolts Gas Pipe; Size -Anchors 10. Water Pipe: Test -Anchors -Regulator -Service Test 11. Electric; Underground c 12. Plenums & Ducts; Clearance -Material -Support -Ins. Card -BI Card -BI 13. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples 5 Date B and -BI 5 Date Date Card -BI Date Card -BI Date and -BI Date Card -BI DateCard-BI Date Card -BI Card-BI Date aatelexc Date FI L (Plans) t N's Date PLUMBING ( ermit) OK except N's xt. Steps -Door & Sidelight Protection -Landings oke Detector Card -BI Card -BI 14 Water Ht.: ent Access-Combu_@titin Air 1 Water Pipe: es & Anchors -Nail protection 1 D.W.V.: Test-Fttngs & Anchor = r9tecti n hower Pan: Test, First Floor -TV .. - 1 est Tut) & Shower, 2nd Floor -Tu¢ Aco@ss 1 Gas Pipe: Size & Anchors - - le Date Card -BI Date Date Card -BI Date Furnace; Vents -Clearance -Comb. Air -Connector- I arage; Above Floor-Ducts-Mech. Protection edroom Exiting (VA.F.I. & Bath Fixtures & Tub Ajccess lec. Trim & Subpanel; BreVer Sizes -Labels Stai s & Rails enlace or Stov C W&ancestearth lec. Outlets at Wood Panel; I & xt. it. Fixt. & A fiance; Grnd. A Ga ookin Clearance Elec. Outlets &Receptacles at i .Counter Date - E CTRICAL Permit OK except N's oor; Swing -Landing -Closer ara e -Damper r. Htr.; Vents -Clearance -Comb. Air -Connector In Garage; Above Floor-Mech. Protection Card B -I Card B-1 Fixture & Transformer Clearance=Ins, Protection lec. Receptacles Spacing -Lights, & Switches at Doors / ize Boxes & No. of Conductors-Staplpd Romex Installed Close to Edge Sluds & C.J. quip. Ground made up w/M asteners-Bond G & Water �,,� Appliance Circuits, in Kitchen & ConduFtor Size �,,2 Qb�Subfeed Wire Size / / ga. Cu or AI-A,G. Wire Size / / ga. Cu or Al �"' Range Circ. / / ga. Cu ortOven Cire, / / ga, Cu or At, Insulated Neut l Yes - No -_ inquip. Clearances: Panels -Motors -Meeh, €quip•ervice-Riser Conductors & Ground_Msin Disconnect__ - oset Light -Shower Light _ __ ---_-- Date' Card -Bi Date - Date Card -BI Date Plb., Elec. JL Mach. Equip. Listed for Location p ac es in Garage; (G.F.I.)-Romex Protec. sulationl Foam -Looked in Attic ❑Yes Guard Rails &Deck Construction -Post Caps F n. Vents & Crawl Hole Door -Drainage &Wood -Earth Clearance ooked under Floor ❑Yes Following' instld.: �Driv []Yes � N Walks ❑ Yes o; Plante � ❑Yes NLrI o tuc oBrown-Finish tsconnect-Clrnces-Brkr.Cond. Size -115V Outlet ens Above Roof; Plbg.-Applianc ire learance to Opngs. ter Well; Disconnect, Electrical, Plumbing te.ior Elec. Trim; G.F.I. Receptacle -Underground e ' ation throughout House 6Y.,Erfass Protection _ Date MECHANICAL (Perron) OK except N'S orr St i_qW from Previous Inspections __ Ga i st-Meters Tagged; Gas-Electrjc Card -BI Card -BI ucts. Insulation & Support _ - _ an: Exhaust above Insulation _ ensa ain & Overflow: Size _& Grade - urnace-Vent: Access -Comb. Air -Return Air Vent -115V outlet c Access & Platform if Furnace in Attic Date a/P ✓ Card -BI gate s,4i. -Card-BI Date Card -BI pate Wpfer & Sewer Connected -C/O to Grade -HD Approval nergy Compliance Certificate -Other Certificates - -- _--- - Card -BI Oate Card -BI Date _ Date Card -BI Date Card -BI Date Card -BI Date Date FR MING(Plans) OK except N's Com: tents at Final: - 3V. Sills; Proper Material & Anchors IIs: Studs -Nailing, Spacing & Bracing -Plates -Sound B ring Walls over Girders & Floor Nailing raft Stop in Walls rat proof) 4 Pere Sto_ : Furred Ceilin s fairs-Chases:T1 /Header & Beam- ize , Bearingrs-Post Caps -Anchors onpeclorg_ g. Joist-Rfir. Ties -Pur n-8991 Bra6•h4ql replace Ties or ype ue-Fireplac@ Throat Atuc Access: Size & Romex Protection -Pratt Sto .1p q Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions66%i 6,08 coon Framing - _ - -- - -_- ___-__ ___ _ . — _-- -------- - -- -- -- - - (NOTE Anentry must be made each time you visit jobsile) COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS .196 Memorial Way, Chico — Phone: 891-2751 7 County Center Drive, Oroville — Phone: 538-7541 747 Elliott Road, Paradise— Phone: 872-6307 CORRECTION NOTICE 2U3�- M 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 matte , or need additional explanation, please contact this office immediately. 3 Inspector iiy� Date 6 1 1S �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 )WNE ' PERMIT NO. A routi a inspection indicates that the following violations of County Ordinance exist t the above address and should be corrected.' Please notify this office whe correction of work is completed. If you have any question pertaining to this ma er, or need additional explanation, please contact this office imme8iately. d 1-0 IN ` ice' W , /s r n o i Inspector i� Date�� 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 20;? d' IF"11 PF(]KAIT Kin A routine inspection indicates that the following violations of County Ordinance exist at the above address and should be corrected. Please notify this office 4en rrection of work is completed. If you have any question pertaining to this need additional explanation, please contact this office immediately. 1 - j v Date_ Inspector_ iI J COUNTY OF'BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT NO. 7 County Center Drive - Oroville, California 95965 - Telephone 916/534 -4541 - APPLICATION AND PERMIT ASSESSOR PARCEL NUMBER Sb—1.- 0 ZONING %"m BUILDING PERMI WNE 0" e®r / ,- ' TELEPHONE 3 -1-� SQ. FT. O -CC. BUILDING VALUATION O OWNE 'S AILI G Ap DR ESs &/ A S !/r�^� ,' 1T � L. �� CONTRACTOR'S NAME �_, TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace 0 CONST UCTION LENDER UNKNOWN Total Valuation $ 21'440 Filing Fee $ 10,00 LENDER'S MA LING ADDRESS Permit Fee $ j ARCHITECT OR ENGINEER LICENSE No. Plan Checking Fee $ q Energy Plan Checking Fee $ i ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRES - I ws o Permit fee $ SOMI 2 0 PERMIT Filing Fee 10.00 riPLUMBING Each Trap 2.00 /(p — C� Solar or heat pump water heater 20.00 LOT NO. I SUBDIVISION NAME PARCEL MAP .- Water piping 5.00 -� Each qas water heater or vent 5.00 USE OF STRUCTURE SF Duplex❑ Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets 5.00 .- Building sewer 5.00 Mobile Home S I G I W 10.00 ea TYPE OF WORK NewX Addition ❑ Remodel ❑ Utilities ❑ Installation❑ Other ❑ Describe work: Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service e001 OR LESS 100 AMP OR LESS 10.00 /� Main service EA. ADD'L 100 AMP �f 2.50 pf. CONTRACTORS LICENSE LAW 1 declare under penalty of perjury p y p l y (Check One): E -1I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license Is In full force and effect. License No. Classification 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 exempt under Sec. , Business and Professions Code for this reason NEW CONST. ( DWELLING occ+� b� 2yzOsgft OR ADDNS. 1 ACC. BLDGS NEW CONST R. ULTI.OUTLET NON.RESID BRANCH CIRC ITS 2.50 ea (POWER APPARATUS &) SINGLE OUTLET CIR, I Ex. Occup(OUTLETS OR FIXTURES 20950t DAL@ 30 FIXED APPLNS. OR EX. Occup. OUTLETS (RESIDJEAJ 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 Permit Fee $ Contractor WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. MECHANICAL PERMIT FiIingFee 10.00 Heating kii 10 0 V3 Cooling Hood 3.00 Ventilation permit Fee $ / Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue against s id County in consequence of the granting of this permit. /L oZ X Date Signature of Applicant — Owner Contractor ❑ Agent ❑ An OSHA permit is required for excavations over 5'0' deep and demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ O TOTAL PERMIT FEE $ occup. CONST.TYPE FLoo PARC Po D 39UE This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which PUBLIC BY DrEk PERMIT EXPIRES Date the applicable provi- resolutions to do fees have been paid. WORKS Date a" 0 ro' Receipt No. .S 7 WHITE-O.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR. GOLDENROD -APPLICANT 4 Owner: C� C- C3 e Permit No. T 0 3 3 _ T6 ENERGY CER-TIFICAT ION LOCATION A.P. No. DESCRIPTION OF INSULATION ROOF Material Thickness(inches) EXTERIOR WALL Material C. e- tod �46 Z.z S - a(: Thickness(inches) 'y " CEILING Batt or Blanket Type / 14 Thickness(inches) /0 " Loose Fill Type Minimum Thickness(Inches) Area covered(ft.2) FLOOR, ELEVATED Material Thickness(inches) FLOOR, SLAB Material i Thickness(inches) W idth(inches) FOUNDATION WALL Material Thickness(inches) Brand Name Thermal Resistance (R Value) Brand Name iN l e- e or Thermal Resistance(R Value) 1.3 Brand Name Cc2 r?i'VC�ct -� Thermal Resistance(R Value) 3 Brand Name Number of Bags Wt. per bag lb. Thermal Resistance(R Value) Y f Brand Name Thermal Resistance(R Value) Brand Name' Thermal Resistance(R Value) Brand Name Thermal Resistance(R Value) I hereby certify that the above insulation was installed in the above building in conformance with the State of California Energy Requirements. Geo25e- a;4"o FIRM /OWNER . 14—�= f - SIGNATURPOF IN TION APPLICATOR STATE CONTRACTOR'S LICENSE NO. 97 ,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 ov are specifically approved by the State"of'`California. G e- v /9, e- /- / FIRM NAME/0R (Please print) I 2L=X (2 Z260-49::% SIGNATUREP OF GENET= CONTRACTOR OWNER STATE CONTRACTORS 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. .ianuary 1984 COUNTY OF BUTTE E DEPARTMENT OF PUBLIC WORKS - BUILDING DIVISION 7 COUNTY CENT ERIBRIV6lr"- OROVI LLE, CALIFORNIA 95965 - TELEPHONE: 916/534-4541 l OWNER l.o , N Proposed Building Use - Permit Fee Based Upon: PERMIT APPLICATION DATA SHEET Complete Contract Pric Permit No. A. P. No. y— 7 DPW Valuation Other (Explain) Building Inspector Date At time of permit application, I was advised the following data must be submitted prior to permit processing and/or Issuance: DATE RECEIVED APPROVED 1. All items have been submitted. . . . . . . . . . . . �2., Plot plans in duplicate/triplicate. . r. omplete plans in duplicate/triplicate..l . . . . . . 1 4. Complete engineered plans and calcs. . . . . . . . . . ©� Plans with Energy Design Compliance Statement. . . . 9 . . 6. CUSD "Fees Paid'' Stamp on Floor Plan . . . . 7 Statement of Intent for Non -Heated and AC Buildings. 8. Fees of $ . . . . . . . . 9. Letter of signature authorization. . Sanitation approval from CG►l %0 Health Dept.. 11. Planning approval for (A) Use: (B) Parking: 12. Certificate of Workmen's Compensation Insurance. . . . . . 13. Contractor's License Information (no., name style, classif.) 14. Owner -Builder Verification (Given to owner❑, Mail to owner ❑) — j15. Improvements may be required. . . . . . . . . . . 16. Mobilehome Installation Data. . . . . . . . •. Pre• Inrequest to (Date)17. Pre -Inspection for Required. Building Insp for oRecorded copy of Agricultural Acknowledgment Statement. a� 8 J 9. Other Drivewa permit (const. a roval rectui ed'Prior to occu anc When you issue the permit, process as follows: Mail to owner. Mail to contractor. Telephone and hold for pickup at 6ffice. Deliver w/inspector. Other G Applicant 4 `W�'�5 Dat/_ 2 -Z- 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 time of application; circle item.). 1. Index permit for above Items No. 2. Additional items required: (Contractor, Designer, Owner) was advised of above required data by Telephone Mail Other By Date Plans checked by_ Plans approved by Other Copy—DPW Date Date TO: Building Department FROM: Environmental Health, Chico SUBJECT: Sanitation Clearance l-� Uulnpr Location APP ti Plan approved for: sewage disposal Cj p water supply Hold final for: water supply ,Final clearance O.K. for: water supplyy Clearance for bedroom mobile6meD Other Note* a+, Sanitarian Date COUNTY OF BUTTE - Department of Public•Works 7 County Center Drive, Oroville, CA 95965 Phone: 916-534-4541 OWNER -BUILDER VERIFICATION Attention Property Owner: An 'owner -builder" building.permit has been applied for in your name and bearing your signature. Please complete and return this information at your earliest opportunity to avoid unnecessary delay in processing and issuing your building permit. No building permit will be issued until this verification is received. 1. I personally plan to provide the major labor and materials for construction of the proposed property improvement (yes or no) 2. I (have/have not) Signe& an application for a building permit for the proposed work. . 3. I have contracted,with the following person (firm) to provide the proposed construction: Name Address 1 y Phone Contractors License No. 4. I plan to provide portions of this work, but I have hired the following person to coordinate, supervise, and provide the major work: Name Address f Phone Contractors License No. 5. I will provide some of the work but I have contracted (hired) the following persons to provide the work indicated:. Name Address Phone Type of Work Signed: " Property Owner Social •Security Numb r Date 2 2 NOTE: This Owner -Builder Verification is sent to you as required by Sections 19831 and 19832 of the California Health and Safety Code. . m This verification must be completed and returned to our office before we are per- mitted to issue the permit. lid s4a, so RESIDENTIAL PLAN CHECKING GUIDE 7/85 (S".F., DUPLEX & MISC.. ONLY) 'Bldg.. Permit # 3 OWNER G - i !/ �/ A'. P. # GENERAL Zoning requirements: (sideyards and number of permitted living units). ,2'• valuation. /�,�� - e�2Pi4r;e mcieee 6v 0-C- E8!.,lans signed by designer . j r nergy Design and Compliance. (,t�pd pi/ -Q_ �TS Y1eYsar �Le 21* �f. Existing violations on property. r PLOT PLAN Y� Complete parcel size and dimensions. i2" Setbacks, sideyards, easements, etc. l3! Other buildings or structures. Grading, fills, drainage. ,fes Flood hazard. ,fy.' Special conditions on creation map or.compliance document. FLOOR PLAN Complete to scale plan with dimensions. Required windows for light and ventilation (Sec. 1205). ,3r Required windows for second -exit (Sec. 1204). 14 Skylights (Chapter 34 & Sec. 5207). Human impact glass (Sec. 5406). Requiredroom sizes, ceiling heights (Sec: 1207). G.F.C.I.'s in baths, garage and exterior outlets (Article 210-8). Light fixtures, switches, receptacles, and exterior receptacles for maintenance of chanical equipme cations o Ater heat heating and cooling equipment, other electrical or gas equipment, and plumbing fixtures. A$ Garage firewall, door size, and closer (Sec. 503(d)(3)). ,rke 1 - 3'0" exterior exit door (Sec. 3304(e)). Fireplace and wood stove location. Smoke detectors (Sec. 1210). STRUCTURAL DETAILS Foundation plan complete enough -:to construct building. Floor construction details complete enough -.to construct building. �3'.'� Elevations and wall construction details complete enough to construct building. Roof construction details complete enough to construct building. replace construction details and calcs if necessary. Sufficient data and details to satisfy energy requirements (State Law) (Form 1). MISCELLANEOUS ITEMS TO LOOK OUT FOR Exposure I plywood on exposed locations and overhangs. s2� Stairway details: landings, rise and run, head clearance, handrails (Sec. 3306). ,-3--"Guardrail details (Sec. 1711 & 3306(j)).: Brick or stone veneer (Chapter 30). "P Exterior plaster - weep screeds (Sec. -4706). -Proper roof pitch for roof covering (Chapter 32).. ,� Rafter ties or bearing ridge beam. r RESIDENTIAL PLAN CHECKING GUIDE (CONT'D) 7/85 ' e MISCELLANEOUS ITEMS TO LOOK OUT FOR (CONT'D) Garage door or porch header sizes. Adequate bracing. �A Living area over garage - complete 1 -hour separation required on garage side including supporting walls and posts, etc. Two exits on three-story dwellings (Sec. 3303 & see Mezannines-1716). ,k2`� Attic access and ventilation (Sec:' 3205). Underfloor access and ventilation (Sec. 2516 . Wood stoves, clearances, alcoves -hour shafts / ` Combustion air for fuel burning app i.ances. �/�ler lea.-1-e,v Noise requirements on duplexes. Adobe soils - special foundation design. Retaining walls requiring design. Unusual shape, size or split level house requiring lateral design. ZOE11 OWNER I POINTS PERMIT NO. ASSIGNED ACTUAL _ A 1. SLAB - INSULATION �- �71 2. RAISED FLOOR - R-19 3. CEILING - R-30 4. WALL - R-19� "- 5. NORTH GLAZING - 2.4-3.6% 6. EAST GLAZING - 2.5-3.6! 7. SOUTH GLAZING - 1.6-3.6% 8. WEST GLAZING - 2.9-3.6% 9. SKYLIGHT - 0-1.37 �- 10. SHADING (Exclude Overhang) p� EAST - 66 SOUTH - •'�I�2 WEST .SKYLIGHT 11. HORIZONTAL SOUTH OVERHANG 2' 12. HOVABLE INSULATION - NONE 13. INFILTRATION (Standard=0) Tig t=+12) 14. THERMAL MASS 3 �F 15. GAS FURNACE (SE) 71-76% �- 16. BEAT PUIDP (EER) 7.5-7.9% 17. DUAL PACK (SE, SEER) 8,0-8.3/71-76% WOOD STOVE WATER NEATER ATTIC / OTHER TOTAL POINTS = . Slab Flo- Pnfnra I In=ula- 1 R -Value of Insulation 1 I tion I I I D_rth. 11nches 1 0-2 1 3-4 1 5-6 1 7+ I I 0- 11 I -5 I -5 I -5 I -5 1 I 12 - 15 I -5 I -3 I -2 I -1 I I 15 - 19 1 -5 1 -2 1 -1 1 0 1 I 20 + I -5 I I I -1 I 1 0 I 1 +1 I I I 7/7/83 Table 3-2. Raised Floor Points r I R -Value of I I I Insulation I Points 1 I I I I below 3 1 -12 I I 3-4 I -8 I I 5-7 I -6 I 1 8 - 12 I -4' I 13 - 18 I +2 l9+ i 0 1 Table 3-3a. Ceiling Insulation Table 3-7. South-FacinS Glazing Pts Tablr a 3-10. Shadin Coefficient Polnts y Points I Glazing Type 1 1 SC by I I R -Value of Insulation I Points 1 1• Total I I I Orien- I Z Floor Area I 1 i Z of I Sngl, I Dbl._TTrp1-.T I Cation I I Floor I (U- I (U - I (U - I I I I 19 I -4 1 1 Area 11.10) i 0.65) 1 0.41)1 1 22 1 -2 1 1 [points I olnts I ointsl I East 1 I 3.2 I 30 1 0 1 0 1 +! 1 +3 1 + 3 T 1 10-3.1 1 to 1 6.4 up I 38 1 +2 1 1 up to 1.5 I +2 I +2 1 +2 1 1 I I 6.3 I I 49 1 +4 1 1 1.6- 3.6 I -1 I 0 I 0 1 1 I I I 1 I I 1 3.7•- 5.2 I -4 I -2 I -2 ( I I 5.3- 6.5 1 -6 I -4 I -3 1 1 0 -.19 1 0 ( +1 I +2 6.6- 7.7 I -9 I -6 I -5 1 1 .20-.36 1 0 I 0 I ♦1 1 7.8- 8.9 1 -11 1 -8 1 -7 11 .37-.66 I 0 I 0 1 0 I 9.0-10.0 I -13 I -10 .I -9 1 1 .67-.82 I 0 I 0 I -I !able 3-4a. Wall Insulation Points ( 10.1-11.5 I -17 I -13 ( -11 I I .83 up I 0 I -1 I -2 111.6-13.0 I -21 I =16 1 -14 1 1 I I I I R -Value of Insulation I Points i 113.1-14.5 l -25 I -19 I -16 1 I I I 114.6-16.0 I -28 I -22 I -19 I I South 1 0 1 3.2 1 6.4 18.0 19.6 I I I I 1 1 1 to I to. I' to I to I up I 11 I -7 I I 1 3.1 16.3 17.9 19.5 I I 19 I 0 1 Table 3-8. WeSt-F3CIng ClazinPts. 1 I 24 I +2 I I o -.la IT o if -+I-IF-+2-71 --+-2,1-+3 30 i +3 1 1 total Glazing Type 1 I .19-.42 1 0 1 0 1 0 1 0 1 0 Z of I Sn 1, 0bl, Tr 1, 1 .43-.66 I 0 I -1 I -2 I -2 I -3 8 D I .67 up 1 0 1 -2 I -6 I -4 I -6 Sable 3-5. North-Facin Glazing Pts I Floor I (U - 1 0. - 1 (U - 1 1--- '-`� I Area 11.10) 10.65) 10.41)1 I I oints 1 ofnts 1 ointsl West I .1 1 1.6 l 3.2 16.4 19.0 I I Glazing Type I o • g +6 +6 I to I to to I to I up I Total 1 I up to 1.3 I +5 I +6 I +6 I 11.5 13.1 1 6.3 17.9 1 I Z of ST, , Dbl, Trpl, 1 1.4- 2.2 I +3 I +4 I +5 1 I 1 I 1 I I Floor I U- I U- I U- I 1 2.1- 2.8 I 0 1 +2•I +3 I Azea 1 0.66 10.42- 10.41 I I 2.9- 3.6 I -3 I 0 1 +1 I 0-.12 i 0 1 +1 I +3 I +6 I +7 I 11.10 10.65 I down I I 3.7- 4.2 I -5 I -2 I 0 1 .13-.36 l 0 1 o f 0 1 0 1 0 + 4 + q + a 1 4.3- 5.0 I -8 I -4 ( -2 I .37-.57 l 0 I -1 i -3 1 -6 I -7 I 0.1- 1.2 I +4 } +4 I 5.1- 5.6 I -10 1 -6 I -4 .58-.82 1 -1 I -3 l -6 1 -12 1 -15 I 1.3- 2.3 I +1 I +2 1 +2 I I 5.7- 6.2 I -13 i -8 1 -6 I .83 up I -2 I -4 I -8 1• -16 I 20 I 2.4- 3.6 1 -2 I 0 1 +1 1 I 6.3- 6.9 I -15 I -10 I -7 I I I 1 1 I_ I 3.7- 4.8 I -4 I -2 1 -1 1 I 7.0-.7.6 I -18 I -12i -9 1 i I 4.9- 6.1 1 -7 I -4 1 -3 1 I 7.7- 8.2 I --2J I -14 I -11 1 Skylight 1 .1 I .8 11.6 1 3.2 l 4.0 1 6.2- 7.3 I -9 I -6 I -5 I 1 8.3- 3.8 1 -22 I -16 .1 -13 I 1 to 1 to I to I.to I to I 7.4- 8.2 i -12 1 -8 1 -7 I I 8.9- 9.5 I -25 I -18 I -15 1 1 7 1 1.5 1 3.1 13.9 1 5.2 1 8.3- 9.7 I -14 1 -10 I -8 i I 9.6-10.1 I -27 -20 I -16 1 �- 1 9.8-10.8 I -17 I -12 I -10 I 110.2-11.0 I -29 I -23 I -17 I 0-.12 1 0 1 +1 I +7 I +6 I +7 110.9-12.0 I -19 I -14 I -12 I 111.1-11.8 I -35 I -26 I -21 I .13-.36 1 0 1 0 1 0 1 0 1 0 112.1-13.2 I -22 1 -16 I -13 I 111.9-12.7 I -33 I -29 1 -24' I .37-.57 1 0 1 -1 I -3 I -6 I ( 13.3-14.5 I -24 I -18 1 -15 I 112.8-13.5 I -42 I -32 1 -27 I .58-.82 I -1 i -3 1 -6 I -11 I -. 1 14.6-15.3 I -27 I -20 I -17 1 ) 13.5-14.3 1 -46 1 -35 1 -29 I .83 up 1 -2 I -4 I =8 I -16 I -20 14.4-15.2 I -50 I -33 I -32 1 1 ( I 1 Table 3-11. Horizontal South Overhane Points Table 3-9. Sk llpht To Inca -- I South Gla --Ing Table 3-6. East -Facto Glazing Pts. I I Glazing e I Length Out I Area, Z of Floor I g Typ I 1 from Nall I i 1 I Glazing Type I 1 Total I l I ft 7-''-1 Total I 1 I Zof Sngl, Dbl, Trpl, 1 1 0-6.3 I 6.4 up I I Z -of. I sngl, Dbl, Trpl, I Floor I U- I U- I U- I I I I I 1 Floor 1 (U - 1 (U - I (U - I I Area 1 0.66- 10.42- 1 0.41 l 1 0 - 0.5 1 -2 1 Area 1 1.10) 1 0.65).1 0.41)1 1 11.10 1 0.65 1 down 1 1 0.6 - 1.0 1 -2 1 -3 1 I I L1 Ls I oints I ointsl 11.1 - 1.9 1 -1 I -2 I T a IIS+ + t4 -I I up to 1.3 I -1 I o 1 0 I I 2.0 up 1 0 I 0 I I up to 1.3 I +3 I +4 I +4 1 I 1.4- 2.2 I -3 I -2 1 -1 I I 1 I I 1 1.6- 2.4 I +1 I +2 I +2 1 I 2.3- 2.8 I -6 1 -4 I -3 1 Table 3-12. Movable Insulation 1 2.5- 3.6 I -2 l 0 1 0 1 I 2.9- 3.6 1 -9 ( -6 I -5 I Points I 3.7- 4.6 I -5 I -2 I -1 I 1 3.7- 4.2 I -11 I -8 I -6 1 I 4.7- 5.6 1 -8 I -4 I -3 1 I 4.3- 5.0 I -14 1 -10 I -8 I I Moveable Insulation] 1 5.7- 6.7 I -10 I -6 1 -5 ( I 5.1- 5.6 I -16 I -12 I -10 I I Area, Z of Floor 1 Points I I 6.8- 7.7 I -13 1 -8 1 -7 I I 5.7- 6.2 1 -19 I -14 I -12 I I I I 7.8- 8.7 I -15 1 -10 I -8 1 I 6.3- 6.9 I -21 l -16 I -13 I I 8.8- 9.7 i -1.7 1 -12 1 -10 1 1 7.0- 7.6 1 -24 I -13 1 -15 I I 0- 5.5 1 0 I 1 9.8-11.2 I -21 f -15 1 -13 1 1 7.7- 8.2 I -26 I -20 I -17 I 1 5.6 - 11.5 I +2 I 111.3-12.7 I -25 I -18 •1 -15 I I 8.3- 8.8 I -28 I -22 I -19 I I 11.6 - 17.5 I +4 I 112.8-14.0 I -28 1 -21 I -18 I I 8.9- 9.5 I -31 i -24 I -21 I I 17.6 - 23.5 I +6 1 14.1-15.3 I -32 1 -24 1 -20 I I 9.6-10.1 1 -33 I -26 ( -22 ( I _23.6+ I +8 1 +-- ---- - 4-- I...-- j- ----� I------- - -- -- Table 3-13. Lnfllttation Control Fer.rvres Points r --- I Coctrol Features I Points I I Standard I 0 I � ( i 1 1.9 air changes per hr I 1 i I t I Tight 1 +12 i I I I 0.6 air changes per hr 1' I i i I Tsble 3-15. Cas Furnnce Without Refrieeratlon Coolir.e Points 1 Heat Pumo I Seasonal Efficiency I Points I I (SE), Z I I I I I 71 - 76 I 0 1 I 77 - 62 I +2 I I 83 - 38 I +4 1 1 89 - 94 1 +6 1 95 up I I I +8 1 I 8.3 i +6 I Table 3-16. Heat Pumo ?otnts T Energy Efficiency Floor Area I Points I I Ratio (EER) 1 I per unit, +3 i I S.0'- 8.3 i +6 I I 8.4 - 8.7 I +9 I 8.8 - 9.1 I +12 I I 9.2 - 9..6 I +15 1 I 9.7 + 10.2 1 +18 i I 10.3 - 10.9 I +21 1 i 10.9 - 11.5 j +24 1 I 11.5 - 12.3 I +27 I I 12.4 - I 13.2 I +30 I 1 i +10 +14 +17 Table 3-17. Cas Furnace With Refriveration Coo'line Points Refelgeracionl Cas Furnace I I Cooling I SE Z I (171-117-i 83-s-9--T-95--T i 1 761 821 881 941 up I I 8.0 - 8.3 1 0I +21 +4j +61 +8 1 1 8.4 - 8.7 1 +21 +41 +61 +31+10 1 1 9.8 - 9.2 1 441 +61 +E1+101+12 1 ( 9.: - 9.7 1 +61 +81+101'121+1+ 1 I 9.8 - 10.3 1 +31+101+121+141+16 1 1 10.4 - 10.9 I+1Gi+121+141+16i+18 I 1 11.0 - 11.6 1+121+141+1614'181+20 1 I I I I 1 I 7/7/83 ZONE 11 TABLE 3-14 (ADAPTED) INTERIOR THERMAL MASS POINTS MASS _ DWELLING ARFA SgUARE FOOT AREA 1,000 1,500 2,000 2,500 1 3,000 ` 3,500 4,000I 4,500 _5_,000 1 SQ. FT. i A B C D A_ 8 C D A 6 C D A 8 C D A B C D A B C' 0 A B C 0 A 6 C G :� B C G1 50 2 2 2 2 2 2 2 0 1 2 2 2 0 1 0 0 0 0 0 0 0 0 0 00 0 r 0 0 0 0 0 C 0 C 0. 0 0 0 '.00. 4 4 4 2 2 2 2 2 2 2 2 2 2 2 2 0 2 2 2 0 2 2 0 0 2 2 0 0 2 2 0 O I 0 0 0 01 ISO 6 6 6 / 4 4 4 2 2 •2 2 2 7 2 Z 2 2 7 2 2 2 2 2 '2 2 2 2 0 Z ? 2 OI 2 I 2 0 1 200 8 B 6 4 6 6 4 2 4 4 4 2 4 4 2 2 2 2 2 2 2 2 2 2 2 2 2 2( 2 2 2 < I 1 7 s, 259 1010 8 6 6 6 6 4 6 6 4 2 4 4 4 2 4 4 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 Z 2 :! 300 12 12 10 6 8 8 6 4 6 6 6 4 6 6 4 2 4 4 4 2 4 4 2 2 2 2 2 2 1 2 2 2 7 2. I 2 2 350 14 14 12 8 10 10 8 6 6 6 E 4 6 6 6 2 6 4 4 2 4 4 4 2 4 4 2 2 1 4 4 2 7I 2 2 1 2 400 14 14 12 8 10 10 8 6 8 8 6 4 6 6 4 4 6• 6 4 2 4 4 4 2 4 4 4 2 I 4 4 7 2 I 4 4 2 2 503 18 18 16 10 12 12 10 6 10 10 8 6 R .8 6 4 6 6 6 4 6 6 6 2 6 6 4 4 4 4 2 t 4 4 600 22 20 18 12 14 14 12 8 12 12 10 6 10 10 8 6 8 8 6 4 8 G 6 4 6 6 6 4 1 6 6 4 2 1. 6 6 4 2 1 179 24 24 20 14 18 16 11 10 14 14 12 8 10 10 10 6 10 10 8 6 8 8 6 4 8 A. 6 4 I b A 6 41 6 6 R 7. 130 126 14 22 16 70 16 1, 10 14 14 12 8 12 10 10 6 10 l0 a 6 10 R 8 4 I? 6 6 4 I 8 6 6 4I 6 6 6 4 900 28 28 74 16 22 20 18 12 16 16 14 10 14 14 12 8 12 12 10 6 10 10 3 6 13 8 '8 0 B 8 6 0� B B 6 r. 1,000 30 70 26 18 I 22 20 20 14 10 18 16 10 14 14 12 8 12 17. 13 6 12 10 10 6 l0 1 8 6 8 8 0 41 8 G 11,;OU 32 32 28 1O 24 24 22 14 20 20 la 10 16 16 14 8 14 14 12 8 12 12 10 6 10 10 10 6 118 10 9 t j !•3 e e ! 1.200 34 32 30 22 26 26 22 16 22 20 18 12 18 18 1410 114 14 12 8 14 12 12 8 •12 12 10 E 1 J 1 0 B 6 ? 1!1 10 8 6 1,300 34 34 32 22 28 26 24 16 22 22 20 12 18 18 IE 10 1;,14 14 8 14 12 12 8 12 12 10 6 IIT 10 10 Li 10 10 F. b 1 1,400 134 34 32 24 28 28 26 18 24 24 20 14 20 20 18 12 18 16 14 10 10 14 12 8 14 14 12 8 j 12 1' :G L; 10 19 13 5 I 1,500 136 34 34 24 30 30 26 18 24 24 22 14 122 20 18 12 18 18 lb 10 16 lE 14 8 14 14 12 a 117 12 10 G 111 12 1; o i 2.900 34 34 32 22 30 30 26 18 26 26 22 16 22 22 20 14 20 20 18 12 18 18 16 10 1C 1E i4 F,� 14 14 13 5 j 2,500 I 34 34 30 22 130 30 26 18 26 26 24 16 24 24 12. 14 12 22 t3 :2 20 20 18 !: I is 1; lb J,000 34 32 30 22 30 30 26 18 28 26 24 lb 124 24 22 14 22 22 2U 14 :: :3 3,500 I 32 32 30 20 30 30 26 ld �28 28 74 16 26 14 1.000 21 1: i ±a :4 20 14 32 32 30 20 ! 30 30 16 18 ! :'9 2b 24 if 1 75 2.i 22 if 4,500 32 32 28 20 30 30 26 it i5 1 r. 2-- ;E ; �' - 5_00 = 32 17 'i 23 j- 13 A) 1. 3'1' Concrete Slab: MC•8.93; R-.29; Factor -7.3 2. 3 3/4" Thick Common Brick: IIC-7.125; R-.13; Factor -7.3 • a) 1. 5k- Concrete Slab: HC -14.106; R-.458; Factor -7.1 C) 1. 8•' Solid Filled Block: *HC -20.63; R-1.93; Factor -6.1 wood stove #33 point s -(no back up) ' 2. 8- Solid Filled Block With Both Sides Exposed To Conditioned Air, casablanca fan + 1.point NOTE: Useall square footage directly exposed to conditioned air for Thermal',Mass Area: IIC=10.164; R-.9b�; Factor -6.1 0) 1- Thick Concrete/Ti.le: KC -2.55; R-.083; Fac to Table 3-19. Zonally Controlled Electric Resistance Space Heating Points ' I Pointsfoc this measure will I Table 3-20, Solar Water Heatin With Cas Back;1 Points ' I be eomp!eted after theCEC 1 I has approved an Alternative 1 I Component Package for Resistance I I neat. Table 3-15. Active Solar Spnee Heating with Cas Points I Net Solar Fraction I Points I I (NSF), it 1 i 1 ( I 0-6 i 0 I 1 7 - 14 I +2 1 1 15 - 23 j +4 I I 24 - 30 I +6 1 1 31 - 39 1 +8 I ( 40 - 47 j +10 I ( 48-55 i +12 I 56 - 63 I +14 I I 64 - 71 I +18 1' { 72 up i +20 I { {: I Y.ultifamil (per unitpoints) Floor Area Net Solar Fraction (NSF), Z per unit, ft 2. 0.9 10-19 20-29 30-39 40-49 50-59 60-69 70-79 , 600-799 0 +3 +7 +10 +14 +17 +21 +24 800-999 0 +3 +5 +8 +11 +14 +16 +19 1,000-1,499 0 4.2 +4 +6 +8 +10 +12 +14 1,500-1,999 0 +1 +3 +4 +6 +7 +8 +10 2,1100 and u 0' +( 1 +2 +4 +5 +5 +7 +9 All others (Pe building paints) 800--.99 0 +5 +10 +14 +19 +2i7-+29 +34 900-999 0 +4 +9 +13 +17 +11 +26 +30 S,OOo-•1,199 0 +4 .1.7 +11 +15 +19 +22 +26 1,20f,1,499 0 +3 +6 +9 +12 +15 +18 +21 1,500-1,999 0 +2 +5 +7 +9 +12 +14 +lc 2,000-',9:9 0 +2 +3 +5 +7 +8 +10 +11 3,06.0 -t,-.d uo 0 +1 +3 +4 +5 +•7 +3 r10 ! Table 3-21. Other Water Heating Pts. I System Type I Points I 1 i I I Cas Only I 0 I I ( I Heat Poop 1 0 1 i i ( Solar with Electric I I ( Resistance Backup 1 Neecing the Require- I I ments in Part 2 1 0 1 I Eleccrtc Resistance ( I I Only i -:0 t I 1 FORM RESIDENTIAL ENERGY PLAN CHECK/INSPECTION SUMMARY Owner Climate- Zone,,_ Permit No. 020.3_3-06 Floor Area Compliance path:. Package ❑ A ❑ B ❑ CPoint System [3Budget ❑ Other MIN R -VALUE DESCRIPTION REQ D i INSTALLED ITEMS (1) INSULATION: Roof/Ceiling Wall Slab Floor Perimeter ❑ Raised Floor (2) INFILTRATION• ❑ (A) A vapor barrier is required in climate zones, 1,14 & 16. ® (B) All manufactured windows and sliding glass doors shall meet the 1972 ANSI Air Infiltration Standards and shall be certified and labeled. (C) All swinging doors and windows leading to unconditioned areas shall be fully weatherstripped. Tight - the above standard features plus: ❑ (D) Continuous infiltration barrier ❑ (E) Electrical'outlet plate gasket ❑ .(F) Air-to-air heat exchanger. (3) -GLAZING: (A) Location Area Glazing %Floor Area Single Double Triple ❑ Total Bldg 3*91_ North 1.6, East South' o West L �. ❑ . Skylights (B) Shading Shading Coefficient Description East ® South , Q West ❑ Skylights ❑ (C) South Overhang Length of projection ft. Description 0 (D) Moveable insulation: Area fty Description (E) Thermal MASS 11 Type - Area ,Ft.2 HC= R= MC= Loc tion 5 Type y:- ea Ft.Z HC= R= MC= Location ❑ Type - Area Ft.2 HC= R= MC= Location ❑ Type - Area Ft.7- HC= R= MC= Location ❑ Type - Area Ft.2 HC= R= - MC= Location ❑ Type - Area Ft.Z HC= R= MC= Location 7/83 L1 N �r FORM (4) MASONRY AND FACTORY -BUILT FIREPLACES shall be equipped with tight fitting closeable metal or glass doors covering the entire opening of the firebox; a combusion air intake 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. *1(5) HEATING, VENTILATING; AIR CONDITIONING SYSTEM (A).:::Heating Central Gas Furnace % (brand and model number) Btu/hr (heating capacity) Heat Pump. _ (brand and model number). Btu/hr (heating capacity at 47°F) Active Solar _ 'type (liquid or air) SE ACOP Collector brandand. ft2 ' model number solar fraction collector area collector orientation rated slope Other collector tilt *1 (des (B) Cooling 1 V°Dp Electric Air Conditioner rated y -intercept (brand and model number) Btu/hr (cooling capacity at 950F)' Electric Heat Pump Btu/hr (cooling capacity at 95°F) Other -eb',-i i Klz) (seasonal EER) EER (describe) (C) A TWO-STAGE THERMOSTAT, which controls the supplementary heat on its second stage, shall be required for heat pumps. (D) AN AUTOMATIC SETBACK shall be provided for all thermostats, except those controlling heat pumps. (E) AN INTERMITTENT IGNITION DEVICE shall be provided for all'gas-fired fan type central furnaces, gas-fired fan.type wall furnaces and gas cooking appliances. (F) BACKDRAFT DAMPERS shall be provided,for all fan systems exhausting air to the outside. (G) 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 the provisions of Section 1005 of the UMC, 1976 Edition. 7/83 2 FORM 1 . (6) DOMESTIC WATER SYSTE ® .(,A). Gas Only Gallons (brand and model number") (tank size)- ❑ Heat.Pump w/Electric Backup (brand and model number) Gallons 2 (tank size) ❑ * Active Solar (collector brand and model number) (rated y -intercept) (rated slope) (solar fraction) ft2 :(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 feet 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 hot 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 lumens.per watt (usually florescent). *1 Submit documentation of sizing heating and cooling equipment by Manual J, sizing charts (form #4) or other.approved methods, section 2-5352(8), and fill out the following. Heating: Winter design temperature o� °, elevation>2COf) ', heating load3f�BTU elevation factor _1,e& x heating load = maximum outlet capacity gas furnace DDCITU Cooling: Summer design temperature q11 °, cooling loadG�BTU (USE ONLY AS A SIZING GUIDE, COOLING MAY BE INADEQUATE) *2 Submit T.I.P.S.E. chart or other approved system (form #5) to document sizing of solar panels. ® DESIGN COMPLIANCE STATEMENT: The above building design meets the requirements of Title 24, Part 2, Chapter 2-53 of the California Administration Code. 7/83 SIGNATURE OF BUILDING DESIGNER OR APPLICANT 3 • e BUTTE COUNTY DEVELOPMENT SERVICES Complainant: Address: Phone Number: Other Comments: Inspector must draw a plot plan with all building locations: r f Additional comments from Inspector: 2 George Rippy W/.St,Resources ,Ln,. -BOO' •N. of..piles, Cohasset P rmitYA4182-.8�g ," ele:: for," 56-14-70 Permit., #1 3-14B tE( W pr vete garage) . ti j .• =:=. 56-14-70 Perini 86:-84' E.(util; � MH ELEC '/00 GAS - SUPPORT STRUCTURE �, go -,COMPACTION TEST RE(j 1; Permit#29 < _ .- •-'r:;-14-70,��/� I s su vT 56-14-70 Permitfh031786B P'E M(new single famil `.�v �g� � s .�1 r,;� y � o. �`� �.. • � 9 ,. ,e COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS t PERMIT NO. 7 County Center -Drive - Oroville, California 95965 - Telephone 916/534-4541 ' Y ' APPLICATION AND PERMIT ASSISSOR PARCEL NUMBER �. _ ,� ZONING BUILDING PERMIT OWNER 0 TELEPHONE + SO. FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS ' CONTRACTOR'S NAME t TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ Filing Fee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Penalty $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Permit fee $ BUILDING ADDRESS PLUMBING PERMIT FilingFee Filin Fee 10.00 Trap 2.00 Solar Water Heater 20.00 If- .) , r' Water piping 5.00 LOT NO. SUBDIVISION NAME PARCEL MAP Each qas water heater or vent 5,00 Gas piping system 1 - 5 outlets 5.00 USE OF STRUCTURE SF ❑ Duplex❑ Mobilehome❑ Other SPECIFY Building sewer 5.00 Mobile Home JSJGJWJ 10.00e TYPE OF WORK New F] Addition ❑ Remodel❑ Utilities ❑ Installation❑ Other ❑ Describe work: ,f `' Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service BOOV OR LESS 100 AMP OR LESS 10.00 Main service EA. ADD'L 100 AMP 2.50 _ NEW CONST.(DWELLING OCCUP.&` OR ADDNS. ACC• BLDGS. I / 2/20sgft CONTRACTORS LICENSE LAW I declare under penalty of perjury (Check one): ❑ I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and m license is in full force and effect. y License No. Classification ❑ I, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONSTR ULT(.OUTLET 2,50 ea NO N•RESID BRANCH CIRC ITS NEW CONSTR /POWER APPARATUS &' NON.RESI D. (SINGLE OUTLET CIR, zoes0e XTS OR FIXTURES 9 Ex. Occup(o AL@300 FIXEEDD APP LHS. OR Ex. OCCUp. OUTLETS (RESID.) EA,) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 , I r ' ' L - ' Permit Fee $ L, Contractor MECHANICAL PERMIT FiIingFee 10.00 WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. ❑ I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. Heating Cooling Hood 3.00 Ventilation Permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue[ against said County in consequence of the granting of this permit. ! X Date Signature of Applicant — Owner ❑ Contractor ❑ Agent ❑ An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee $ TOTAL PERMIT FEE $ .. _ ,ISSUE OCCUP. GROUP I TYPE OF CONST. -I PARCEL PD NDI This permit is hereby issued under the applicable provi- sions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DIRECTOR OF PUBLIC WORKS By - - - L ` Date ' PERMIT EXPIRES Date ' Receipt No. /- WHITE-D.P.W., YELLOW-ASSCSSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT 1 t Y�7 .. fi ,; C+• Nlp apoIF , { • ' J=w • r l! .< ! f h l _f •� i 1 f .J = I a i w ' a i, T = OK ' $; D = Not OK - = NotApplik,401C RESIDENTIAL (Single 'and Duplex) t**- = Not Ready i 4 Date UNDERFLOOR (Plans) OK except H's Date FRAMING (Continued) 1. Zoning requirements -Setbacks -Easements h: 48. Property Line Firewall & Openings 2. Fig., Main; Soils -Steel -Elea Grnd.- G A" Ftg',Depth_ ,49. _ Ext: Doors -One -,3' -Check Garage -3rd story, 2 exits _ - 3. Fig.. Garage: Soils --Steel- /_ /1' Ftp:''Drpth 50. Stairs; Width-Headroom--Rise-Run-Landing-Fire Protection 4. Fig., Porches & Decks; Soils -Steel'- / /" Ftg. Depth 51. Plywood on Roof Overhang -Attic Vents -Rafter Outriggers- »- 5. Siemwalls, Main; Steel-Blockouts-151rapped-Slab 52. Siding -Nailing -Veneer - -_ 6. Stemwalls, Garage: Steel-Blockouts-Wrapped-Slab - 53. Stucco Mesh -Drip Screed-Fdn. Vents-Underflr. Access 7. Piers -Fireplace Ftg:-Steel 54. Glazing Area -Glass Protection -Skylights -Plastic 8. _ _ D.W.V.: Fall -Fittings -Test --2 way C/O-Sewei'Test R 55. Shear Walls: Nailing -Bolts - IF , 9. Gas Pipe: Size -Anchors 10. Water Pipe: Test -Anchors -Regulator -Service Test - - - 11. Electric: U_ndcrg_round -----_-__ - ------ -- 12. ___- Plenums & Ducts; Clearance -Material -Support -Ins. T 13.- Girders -Sills -Anchor Bolts -Joists -Vents -;-Cripples Card -BI Date I Card -BI Date 1 !. Card -BI Date Card -BI Date Card -BI _ Date Card -BI - Date Card -BI Date - Card -BI Date Date FINAL (Plans) OK except H's Card -BI Date Card -BI -. Date ' a - , 56. Ext. Steps -Door & Sidelight Protection -Landings Date PLUMBING (Petrnit) OK except H's 57. Smoke Detector 14. Water Ht.: Vent- Air 58. Furnace; Vents -Clearance -Comb. Air -Connector - 15. _Access=Combustion Wales Pipe: Test &Anchors -Nail Protection' In Garage: Above Floor -Ducts -Meth. Protection_ 59. Bedroom Exiling 16. D.W V.: Test-Fnngs-& Anchors -Nail Protection 60. G.F.I. &Bath Fixtures &Tub Access 17. Shower Pan: Test, Firs, Floor -Tub Access _ 61. Elec. Trim & Subpanel; Breaker Sizes -Labels Test Tub & Shower, 2nd'Floor-Tub Access -18-.1 19. Gas Pipe: Size & Anchors 62. Stairs & Rails _ / 63. Fireplace or Stove; Clearances -Hearth 64. Elec. Outlets at Wood Panel; Int. & Ext. ` -- Card -BI Date Card -B l- +I Date ' 65. Kit. Fixt. & Appliance; Grnd.-Air Gap -Cooking Clearance Card -BI _ Date -Card-BI Date 66. Elec. Outlets & Receptacles at Kit. Counter 1 67. Garage Fire Door; Swing -Landing -Closer Date ELECTRICAL PenT,il OK -except H's r- - --68. A.C. Duct in Garage -Damper - - -- - 20. - 21. 2 Fixt6i'e & Transformer C'learance=lns. Protection , -r- r-- m-=-- �- 7lec. Receptacles Spacing -Lights & Switc'hes at Doors Size Boxes & No of Conductors -Stapled 69. Wtr. Htr.; Vents ,Clearande-Cornb.'Air-Cdnnector-P.R.V.- In'Garage; Above Floor -Meth. Protection 70. Plb., Elec. &Mech. Equip. Listed for Location 71. Elec. Receptacles in Garage; (G.F.I.)-Romex Protec. - 233. 2 25. 26 27. 28. - 29_ 30. _Romex.lnstalled Close to Edge of Studs & C.J. Equip:'Groumade up w/Mech. Fasteners -Bond Gas & Water 2 Appliance Circuits in Kitchen &Conductor Size Subfeed Wire Size r % ga. Cu or Al-A.C. Wire Size / / ga. Cu or At Range Circ. / ga Cu or AI -Oven Circ_ / / ga. Cu or Al, Insulated Neutral _Yes ,.No Service -Riser Conductors & Ground -Main Disconnect - - Equip Clearances: Pane Is-Motors-Mech. Equip_-- - Clothes Closet Light -Shower Light - - - - - -_- 72, _ Insulation -Foam -Looked in Attic ❑Yes_nd 73. Guard Rails & Deck Construction -Post Caps 74. - Fdn. Vents & Crawl Hole Door -Drainage & Wood -Earth Clearance Looked under Floor ❑ Yes --- 75. �- Following instld.: Drive ❑Yes G No; Walks Yes ❑ No; Planters ❑Yes ❑No 76. Stucco; Brown -Finish 77, A.C. Unit; Disconnect-Cirnces-Brkr. & Cond. Size -115V Outlet -- ----- 78. Vents Above Roof; Plbg.-Appliance-Firepl.-Clearance to Opngs. 79. Water Well: Disconnect, Electrical, Plumbing Card B I _m I B Date Card -Bi _ _ Date -_ - -- Date _ Catd-BI Date 80. Exterior Elec. Trim: G.F.I. Receptacle -Underground 81. -- 82. Ventilation throughout House Glass Protection - 83. Corrections from Previous Inspections ():it(- MECHANICAL (Pt'vnu) OK except it's 84. 85. _ Gas Test -Meters Tagged: Gas -Electric -- __ Water & Sewer Connected -C/O to Grade -HD Approval__ 31. A.C. Oucis: Insulation &Support - - - - -- - _-_ K. Vans F,ni F_xhau:>t above Insulauon 86. _ Energy Compliance Certificate -Other Certificates 33. Condensate Drain & Ovenlow. Size & Grade - - -- 34. Furnace -Vent. Access-Cotnb. Air -Return Air Vent -115V outlet -.---- --'"--- -- ----------- 35. Attic Access & Platform i1 Furnace u1 Attid - ----- -- -- -'------' --- C.d-131 Card -BI - _ Date Gaal -BI Date - - - -- Date Card -BI Date Card -BI - -_ _Date Card -BI Date Catd-BI _ _-_Dale Card -BI Date Card -BI Date - Date FRAMING(Plans) OK except H's Comments at Final: 36. Sills; Proper Material & Anchors 3 •" t 37. Walls: Studs --Nailing, Spacing & Bracing -Plates -Sound - - -------_- --- --- ---- - t -------- 38. - . ---- -- - - - - -- ----- Bearing Walls over Girders & 1=1oor Nailing - - - ------ -- -- -- ----- ---- 39. Drah Stop in Walls (rat proof) --- t --- - 40. Foe Stops: Furred Ceilings_Sians_.Chases-T_ub_---- --- 41. _-- Header & Beam -Size & Bearing - ---- ---- -- 43. Hangery-Post Caps -Anchors --Connectors . 43. Cing. Joist-Rflr. 1 ies-Purlin-Roc! Brac.-Truss-Shthng.-Rfnq. 44. Frreplace Ties or Type A Flue -Fireplace Throat ------------ 45. Attic Access Size & Romex Protection-_Drah Slop -Ins. Baffles 46. Born,. Winoows or Exiling Doors -Sill Hgt. & Dimensions'---- - ---- - ------ -------- ------- 47. Garage Fife P weciion Framing - -- -- -- (NCTE*Anentryrrwst be made each timeyouvisil lobsile) t� COUNTY OF BUTTE- _PEPART,IUENT OF PUBLIC WORKS - .je >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 ,T Rol A routine inspection indicates that the following violations of County Ordinance exist at the above address and should be corrected. Please notify this office when correction of work is completed. If you have any question pertaining to this matter, or additional explanation, please contact this office immediately. 1✓ COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 - Telephone 916/534-4541 APPLICATIOWAND PERMIT PERMIT NO. —fJ / ASS€SSOR PARCEL NU BER ZONING BUILDING PERMIT OW R.� TELEPHONE�J, S0. FT. DCC. BUILDING VALUATIO OWNER'S MAILING ADDRES 5� let) CONTRACTOR'S NAME ,040h JEW TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ Filing Fee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee .$' Penalty $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Permit fee $ BUIL ING ADDRESS OO , PLUMBING PERMIT Filin Fee 10.00 FilingFee ( Each Trap 2.00 Solar Water Heater 20.00 © �7 Water piping 5.00 LOT NO. SUBDIVISION NAME PARCEL MAP Each qas water heater or vent 5.00 Gas piping system 1 - 5 outlets 5.00 USE OF STRUCTURE SF ❑ Duplex ❑ Mobi lehome ❑ Other SPECIFY Building sewer 5.00 Mobile Home S G W 10.00 e TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation❑ Other ❑ Describe work: EJ_E;eys� ! � Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 00v OR LESS 1 100 AMP OR LESS 10.00 60 Main service EA. ADD'L 100 AMP 2:50 ILI-5- NEW CONST. / DWELLING OCCUP.& OR ADDNS. (ACG. BLDGS. t 2/22sgft CONTRACTORS LICENSE LAW ' I declare under penalty of perjury (check one): ❑ I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in full force and effect. License No. Classification - 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) ❑ 1 am exempt under Sec. , Business and Professions Code for this reason NEW CO N5 ULT' -OUTLET 2,50 ea NON-RESID BRANCH CIRC ITS NEWCONSTR. POWER APPARATUS 6' NON-RESID. (SINGLE OUTLET CIR. 20@50a OR FIXTURES 9AL030 Ex. Occup(o XED A FIXED APP LHS. OR Ex. OCCUp- OUTLETS (RESID.) EA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 1 151100 t� L157,81d � Permit Fee $ 21S Contractor MECHANICAL PERMIT Filing Fee 10.00 WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. Heating Cooling Hood 3.00 Ventilation permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the Countyot Butte to enter upon the above-mentioned property for inspection purposes. 1 also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue against aid County in consequence of the granting of this permit. X Date (i 'Z 3A.3 Signature of 4 pplicant - OwnerT' Contractor ❑ Agent ❑ An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee $ y� TOTAL PERMIT FEE $ J7�a-s-V OCCOP. GROUP I TYPE OF CONST. PARCEL PD ND IssuE This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which DIRTOR O PUBLIC "6rCI By__k( PERMIT EXPIRES Date the applicable provi- resolutions to do fees have been paid. WORKS Date Receipt No. 0 Q WHITE-D.P.W., YELLOW -ASSESSOR. PINK -INSPECTOR. GOLDENROD -APPLICANT P �. "PERMIT NO. 193-84B,E PERMIT EXPIRES-/ �� OWNER GEORGE RIPPY CONTR. Owner ASSESSOR PARCEL 56-14-70 LOCATION W/S Resources Ln, 700' N Lower Vilas Rd..,;,Cohasset N rr 1 Temp. Power Pole Called PG&E q Temp. Elec. Servi Called PG&E Temp. Gas Service Called PG&E JOB FINALED (Date) Signature J = OK 0 = Not OK - = Not Applicable * = Not Ready MOBILEHOMES R MISCELLANEOUS Date MOBILEHOME UTILITIES (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Soils; Special MH Support -Sketch Date DECKS, COVERS, CARPORTS, ETC. (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Footings; Size -Depth -Spacing -Connectors 3. Sewer; Location -Test -Fall -C/0 -Concrete 4. Water; Location -Test -Easement Needed (Sketch) _ 3. Decks; Girders and/or Joists -Decking -Bracing -Stairs -Rails 4. Wood Awn.; Posts-Beams-Rftrs.-Connec.-Shthg.-Rfg.-Bracing_ 5. Electricity; Location-Clearances-Grnd.-/ / Amp -Concrete _ 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Gas; Location -Test -Wrap:/ /"L"ft./ /"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 Date Card -BI Date MOBILEHOME INSTALLATION (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements Card -BI Date _ Date Card -BI Date _ POOLS (Plans) OK except #'s 1.. Setbacks -Easements 2. Footings; Size -Spacing -Marriage Line 2. Soils; Compaction -Structure Slabll4t �- 3. Gas; I•AH Test -Demand -Valve -Connector 4. Electricity; MH Test-Crossovers-Breakers=Clearances 3. 'Pool Structure: Steel -Connections -Thickness -Dead Men -Lining 4• Elec.; Receptacles and Lighting; Distances-GFI 5. Drain; MH Test -Fall -Flex Connector 5. Elec.; Pool Lighting; 15 volts-GFI 6. Water; MH Test -Regulator -Connector 6. Elec.; Enclosures; Conduit Entries -Terminals -Listed 7. Water and Sewer Connected -C/0 to Grade -HD Approval 7. Elec.; Bonding; Metal w/5'-CireMating Equipment -Heater 8. Gas and Electricity Tagged 8. Elec.; Grounding; Equip. w/5' -Circulating Equip. -Pool Lghtg. Boxes -Enclosures -Panel boards -Ins. to Main in Conduit 9. Health Department Approval 10. Plumb; Cir. Test -Water Supply Test 9. Exits; Insp.-Sketch 10. Cert. of Occupancy - - Card -BI Date Card -BI Date Card B -I Date Card -BI Date Card B -I Date Card -Bl-- ---Date- - Card -BI Date Card -BI Date J = O: 0 = Not OK ' =,?Ia:Applicable RESIDENTIAL (Single and Duplex) y:(=' Not steady I Date UNDERFLOOR Plans OK except 's Date IF MING (Continued) ning requirements -Seib s -Easements Property Line Firewall & Openings Elec. Grnd.- /PL-'/" Ftg. Depth Ext. Doors -One 3' -Check Garage -3rd story, 2 exits J�eftg., Garage; Soils:OW- / " Ftg. Depth 96 Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection -4--Fte,�PtncHes & Decks; Soils -Steel- / . /'' Ftg. Depth Plywood on Roof Overhang -Attic Vents -Rafter Outriggers 5. Stemwalls, Main; Steel-Blockouts-Wrapped-Slab 5V. Siding -Nailing -Veneer . Stemwalls, Garage; - -S 5,$. Stucco Mesh -Drip Screed-Fdn. Vents-Underflr. Access mace Ftg.-Steel Glazing Area -Glass Protection -Skylights -Plastic .B -B INrt/- Fall -Fittings -Test -2 way C/0 -Sewer Test Shear Walls; Nailing -Bolts *9.-Gae-Rpe; Size -Anchors 40__WA4erPipe; Test -Anchors -Regulator -Service Test Tjgsu� y� —Uj S- CCj1j ✓7�', ectric; Underground }2--FTEnums & Ducts; Clearance -Material -Support -Ins. 13r-Otn12Ts-Sills-Anchor Bolts -Joists -Vents -Cripples Card -BI Date Ila M Card -BI Date Gt LL�/GY7 Card -BI Date Card -BI Date Card -BI Date ! Card -BI Date Card -BI Date j' S' Card -BI Date Date FIN! (Plans) OK except H's Card -BI Date/, - ) Card -BI Date Date PLUMBING (Permit) O xcept q's Ext. Steps -Door & Sideli - s 5t=ftZff0ZM3W 14, _ 14. water Ht.; Vent- cess -Combustion Air nate; nts-Clearance-Comb. Air -Connector - In Garage; Above Floor-Ducts-Mech. Protection 15. Water Pipe; Te & Anchors -Nail Protection 16. D.W.V.; Test-NUj4s & Anchors -Nail Protection g 17. Shower Pan; Test, F' st Floor -Tub Access in Fixtures & Tub Access _ 18. Test Tub & Shp2nd Floor -Tub Access rbc. Tpi panel; Breake4S+res=t2be.s. 19. Gas Pipe; Si4& Anchors learances-Hearth at Wood Panel, . & Ext. Card -BI Date Card -BI Date rnd.-Air Gap -Cooking Clearance Card -BI Date Card -BI Date 6 cies at Kit. Counter Date ELEC +CA Per!r,it OK except q's 60. fte. 150't hv-eem r Fi & Transforme - ce-Comb. Air-Connector-P.R.V.- In or-Mech. Protection Rece&ag e, spacing is & Switches at Doo —�Elec. _ -�xes & No. of Conductors-94epfed & MeeH�Listed for ocation let. Receptacles in Garage; (-Rom&x-Protec. 2 omex-Installed Close to Edge of Studs CJ _ quip. Ground made up w/ asteners-Bt2• rat a- W -e• 7 stietimes _ ' ctor Size uc tion -Post Caps - -- - i 'es-Drainage4BrYaQ68-Earth Clearance 4�8d6feed Wire Size /Z-/ ga. Gu_or AI' !y 6 -JC!' �' a1—I-ga. Cu or AlL---- _ _ _ 2 ga. Cu or AI -Oven Circ. / / ga. Cu or At, _ Insulated Neutral 'Yes DN�o� 28. Service -Riser Conductors & Gr64... -Main Disconnect wing instld.: Drive ❑ Yes [gf oalks ❑ Yes K4!c Planters El Yes Ubw- _`tp. _89 t?�aarartces; P — Glethes_- -Shower Light _ 7 r. il, Siese eet GIFAGOG-441w_4 -+&V Outlet 78. gs. - -- Card B I Card B -I --- Date Card -BI Date Date Card -BI Date=__QlasaPpsiomion ater Well; Dis c , PIumbior-- 8@�ztarerElec. Trim; G.F.I. R - nderground Ouse _ 88 -- �•� o irn, Inspections Date MECHANICAL (Permit) OK except q's T—tluleric s; nsu tion & Support ewer onne -C/O to Grade -HD Approval above Insulation _ 3 _ nsa a ra _& Overi I_ow; Size & Grade 3_urnace-Vent; ccess-Co_mb._Air-Return Air Vent -115V outlet 86. eivy rice Certificate -Other -Certificates Card -BI Card -BI 35. if Furnace in Attic - - ---- -- -- - Date - -Card-BI Date Date Card -BI Date Card- Dat Card -BI Date Card -B Dat S Card -BI Date Card -BI Date Card -BI Date Comments at Final: Date FRAMING(Plans) OK except q's _Sills; - Proper Material &Anchors _ -XWails, Studs -Nailing, Spacing & Bracing -Plates_ -Sound Bearing Walls over Girders & Floo_r_Nailing___ _ Draft Stop in Walls (rat proof) Fire Stops; Furred Ceilings -Stairs -Chases -Tub 4 Header & Beam -Size & Bearing Hangers -Post Caps -Anchors -Connectors Ctng. Joist-Rftr. Ties-Purlin-Roof rip.- ng. IK Fireplace Ties or Type A Flue -Fireplace Throat QAttic Access: Size & Romex Protection -Draft Stop -Ins. Baffles !.j8orm. Windows or Exiting Doors -Sill Hgt. & Dimensions _- Garage Fire Protection Framing _ (NOTE: Anentrymust be made each time youvisit jobsite) S COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS '7 County Center Drive - Oroville, CaLtfornia 95965 - Telephone 916/534-4541 APPLICATION AND PERMIT ASSESSOR PARCEL NUM ER ZONING TM -5 BUILDING PERM T OWNER �Dn 4S7 /lop TELE P S/ �J�JQAG7 SQ. FY. OCC. BUILDING VALUATION OW-NEE�R'S MAILING ADDRESS ' O RACTOR'S NAME TELEPHONE CONTRACTOR'S MAILING ADDRESS F i replace CONSTRUCTION LENDE UNKNOWN Total Valuation $ 619 Filing Fee $ 10.00 A LENDER'S MAILING DDRESS Permit Fee $ 4661 BO ARCHITECT OR ENGI LICENSE NO. Plan Checking Fee $ 80 Penalty $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Permit fee $ i Bfl BUDI G ADDRESS ^^nn� i W PLUMBING PERMIT Filing Fee 10.00 �GlJ j� Each Trap 2.00 Solar Water Heater 20.00 lD SS4;77Water piping 5.00 LOT NO. SUBDIVISION NAMEPARCEL MAP 7J -S Each qas water heater or vent 5.00 Gas piping system 1 - 5 outlets 5.00 USE OF STRUCTURE SF [:1 Duplex ❑ Mobi lehome F1 Other SPECIFY Building sewer 5.00 Mobile Home S G W 10.00 e TYPE OF WORK Newt/ Addition ❑ Remodel ❑ Utilities ❑ Installation❑ Other ❑ Describe work: Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service e00V OR LESS 100 AMP OR LESS 10.00 Main service EA. ADO'L 100 AMP 2.50 NEW CONST. DWELLING OC P. OR ADDNS. ACC. BLDGS. 2�20Sitft 11110 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): ❑ I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in full force and effect. License No. Classification I, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONSTR ULT' -OUTLET 2.50 ea NON.R ESID BRANCH CIRC ITS NEW CONSTR. ( POWER APPARATUS IN'1 NON -R ESID. SINGLE OUTLET CIR. / RES BAL030 Ex. Occu SAL@30 p( FIXED APPLNSx OR EX. OCCUp. OUTLETS (RESID.) EA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 Permit Fee $ Z 4 Contractor MECHANICAL PERMIT FiIingFee 10.00 WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. Heating Cooling Hood 3.00 Ventilation Permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the Countyot ' Butte to enter upon the above-mentioned property for inspection purposes. 'I also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue against aid County in consequence of the granting of this permit., X Date �� Signature of A plicant — Owner[E Contractor E] Agent 'An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee $ TOTAL PERMIT FEE $ JE7 OCCUP. GROUP TYPE OF CONST. PARC L PD H 7uE / This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which DIRECTOR OF PUBLIC By P IT EXPIRES Date the applicable provi- resolutions to do fees have been paid. WORKS Date Receipt No. �� OQ� WHITE-D.P.W., YELLOW -ASSESSOR. PINK -INSPECTOR, GOLDENROD -APPLICANT 6 COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 196 Memorial Way, Chico — Phone: 891-2761 7 County Center Drive, Oroville — Phone: 534-4541 Skyway and Elliott Road, Paradise— Phone: 872-2961, Ext. 57 CORRECTION NOTICE C�' 16 324111le C '�- I A routine Inspection indicates that the following violations of County Ordinancb exist at the above address and should be corrected. Please notify this office when correclion of work is completed. It you have any question pertaining to this atte,;Zrneed additional explanation, I please contact this office Immediately. �'/ , e- Z� //. //A . , I I �' /-- X, Inspector Date 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 1 CORRECTION NOTICE MIT 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 matter, or need additional explanation, please contact this office Immediately. /i 'K Inspector Date 611) 56 -;1,4,- PA R TOF SE C�,,..2fi 612 7. T 2 4 N. R. 2 E. M. D. B.'61 M. 0 .7b OR 41 N ;V4 CA N TRA NS N 89 59'26 E TRA N S. TOArIL-A 0,#4fiNOO I WA y 4� 770 It -4t OCA' 6 664.05 1625.25 346.f ,�C ---T080.56 40 2.70 72 (�6�3 795 Of 5. % 4 PIM.50-89 @ W. 1.7 400' 1009.79 r58AC, I I 27� aD q78.79 52 K2 3 7.4 4 4c v I" ; " /, 'c f " ." 54 51 , ;.63 # 1'-1530-92;1 A 7 �L /M 70-6 IV - 6J6.20 140.91 v 8.90,09 c 4 9.494c to 0 10 60a 55 ar (P 0 1!, 2.87 Ar. 58.47 Aq .12 81 52.85 30-413 745.79 --t'- 7.49 AWtE. AC- - - �jj 3 too,, ZPfl 6 70.-- 5A4, 4.07Ac %_ 'll 5.03A;' 648.34 iNc_ .2 73-15 795.96 5 8.17 fS 10. 4AC I 400 C\i -276 (80 �0) Cl .86 526 1346.6.9 tD A IC Z.34Av A A C6, gli� 7.40A& - z 928.69 640.48 U a6 IM 71 - .4 38.49AC'! 14, as, 1 0 - I'l -. ''. - - ;�: - - _7'1-_� NP (36.09 Ac Y U 216.48- ./s A, In .3fAC 26.72 Ac IIA . . . . . . W 77A,7, 2.80AC 4. 76' - 27 w v - 'r 'w 76 830 34'36 IT, s 'x C3 I 5.35-40' 46, A - R81,96 - 14 44- I FW) A2.85 3 625.39 52775 940 VP 71 239A 78 S 8.9051'22",W 16Jt, 008 72 s 8 890 114 COR pM 51.3-98 830. -14 A a sessor S, Afqp No'. .56 Cqiinty, ofl-BuftelCa f 5 rl \(4) , /4�7 1. O'� c2 REW�ED:7--a,921 iiiiijil AROMA A setba (ck of,5-4 from the property lines and a setback of 50ft., from the road -centerlike shall ba clear of I structurrs or equipment exceOt for a 2 t eave overhang. /0, /1;9 C> S C W -W 0 NOTE* ---All Materials & Workmanship Shall Be in Accordcr66e 'With Recognized Good Practices and of a qualify prescribed for the -Specified use in the Uniform Building, Plum6ing & Mechanical Codes ancl the National Electrical Code. This set of plans and specifications MUST be kept on the job at aIll times and.it is unlawfrd make any changes or, eliferations on same wiflioui written 'pern'iission from the Department of P611- lic Works, County of Butte. 704) V L #9 S 10 4 tio BUTTE COUNTY BUI.LDING DEPARTMENT A-P-PR.OVF D. 20 Aq reh, C, t?,5 e— R �0/5 yUtility conne�ctions s'hdn'beV'-'ViYh`m 4 ft. of the -mbb"I-dhome, either directly be'Hind or WI:hin fbeTtrair half of the 1roadside ,(left) of Qha rnr).bilehome. 7-7 /1;9 C> S C W -W 0 NOTE* ---All Materials & Workmanship Shall Be in Accordcr66e 'With Recognized Good Practices and of a qualify prescribed for the -Specified use in the Uniform Building, Plum6ing & Mechanical Codes ancl the National Electrical Code. This set of plans and specifications MUST be kept on the job at aIll times and.it is unlawfrd make any changes or, eliferations on same wiflioui written 'pern'iission from the Department of P611- lic Works, County of Butte. 704) V L #9 S 10 4 tio BUTTE COUNTY BUI.LDING DEPARTMENT A-P-PR.OVF D. �, I , I , 1 , , I J ,, I � I I I , , . , , I , I , i I � I - , � � I I , I : , � , I f I , I , , I I , 1, ", , I � , 1 1 , , , ; � I , ,� : � ,�" , I :1 , � l, -,I , ?,r ;, , . � �, , � �i , ,,I, I -;,� , . '', ,;,j I � , I i � . , � i i , , I , I , � � � � � � , 1 , I , l , I", I ,,, , , . I " , , , I , I 'i . , , I", I I'. '� i , , '." , I , , , ; I ,,, , � , , I I i I , I I � , , [ I ,, , � , � I , I , 4 ,, 7 1:1 ok �: I I I I , I I I I ... , I III I , , - I , , , , , I , , , � '' I , , I I i .1 I I I j, I - - I i 1, , , �, , Ili I, 11 � ,,, , ,�� ,�� l 11 I I .1 I, � , , , , , I": � , , I ,I� ,,� I I � " i. � :, 'i, , - , I , I l� � , , I l , , , . 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