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HomeMy WebLinkAbout056-140-071- \ ° ~ ' Cohasset I ' ) � M W/§,Resources Ln, 8001N Lower Vilas, �� ~ ' ` | , / ' � J NAC R 56-14-71 IS Resources Ln, Fli R MIN L wer Vilas,Coh rmit#3710-84BYP�E,M(new single family). � l 056-1-4-0-071 CHINM v lll` (u�56-14-71 ---- - | y . unurcesLaue' Cob U � . J '(�dditi""/Q�,k ^ uusec V _----- O50-1 97-I103 CHIN, Robert Ill R ., Cobaoaet ' | 1at Renewal BP#90-0977 U . , 85b -l4-0-07' 1, 97-1707 C8I0/8DD3KEY ' Ill Resources Lane / (landing w steps) "7/9/1^m�A' U �r f , PERMIT NO. 2845-84B,E PERMIT EXPIRES { OWNER RUDOLPH SGONTZ CONTR.. owner ASSESSOR PARCEL 56-14-71 eoo LOCATION W/S Resources. Ln, 409-'-N Lwr Vilas Cohasset AV \j I I Temp. Power Pole Called PG&E Temp. Elec. Service { Called PG&E Temp. Gas Service r Called PG&E JOB FINALED (Date) Signature Vit.. • _4 k_� , .. - ._ e J =� OK O = Not OK - = Not Applicable MOBILEHOMES * = Not Ready MISCELLANEOUS Date MOBILEHOME UTILITIES (Plans) OK except q's 1. Zoning Requirements -Setbacks -Easements Date DECKS, COVERS, CARPORTS, ETC. (Plans) OK except N's 1. Zoning Requirements -Setbacks -.Easements 2. Soils; Special MH Support -Sketch -- 2. Footings; Size-Depth-Spacing-Connectd-rs 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 N'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 3. Pool Structure; Steel -Connections -Thickness -Dead Men -Lining 4. Electricity; MH Test -Crossovers -Breakers -Clearances 4. Elec.; Receptacles and Lighting; Distances-GFI 5. Drain; MH Test -Fall -Flex Connector 5. Elec.; Pool Lighting; 15 volts-GFI 6. Water; MH Test -Regulator -Connector 6. Elec.; Enclosures; Conduit Entries -Terminals -Listed 7. Water and Sewer Connected -C/0 to Grade -HD Approval 7. Elec.; Bonding; Metal w/5' -Circulating Equipment -Heater B. Gas and Electricity Tagged 8. Elec.; Grounding; Equip. w/5' -Circulating Equip. -Pool Lghig. Boxes -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-1 Date Card -BI Date Card -BI Date Card -BI Date Card B-1 Date Card -BI Date Card -BI Date Card -BI Date Al e = OK = Not OK = Not Applicable RESIDENTIAL (Single and Duplex) = Not Ready 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. 4. Ftg., Garage; Soils -Steel- / /" Ftg. Depth Ftg., Porches & Decks; Soils -Steel- / /" Ftg. Depth 50. 51. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection Plywood on Roof Overhang -Attic Vents -Rafter Outriggers 5. Stemwalls, Main; Steel-Blockouts-Wrapped-Slab 6. Stemwalls, Garage; Steel-Blockouts-Wrapped-Slab 52. 53. Siding -Nailing -Veneer Stucco Mesh -Drip Screed-Fdn. Vents-Underflr. Access 7. Piers -Fireplace Ftg.-Steel S. D.W.V.: Fall -Fittings -Test -2 way C/O -Sewer Test 9. Gas Pipe; Size -Anchors 10. Water Pipe; Test -Anchors -Regulator -Service Test 54. 55. Glazing Area -Glass Protection -Skylights -Plastic Shear Walls; Nailing -Bolts 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 N's Card -BI Date Card -BI Date Date PLUMBING (Permit) OK except q's 14. Water Ht.; Vent -Access -Combustion Air 15. Water Pipe; Test & Anchors -Nail Protection 56. Ext. Steps -Door & Sidelight Protection -Landings 57. 58. Smoke Detector 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 Card -BI Date Card -BI Date 64. 65. Elec. Outlets at Wood Panel; Int. & Ext. Kit. Fixt. & Appliance; Grnd.-Air Gap -Cooking Clearance Card -BI Date 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. 72. Elec. Receptacles in Garage; (G.F.I.)-Romex Protec. Insulation -Foam -Looked in Attic E) Yes 23. Romex Installed Close to Edge of Studs & C.J. 24. Equip. Ground made up w/Mech. Fasteners -Bond Gas & Water 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 Al 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 At, Insulated Neutral ❑Yes ❑No 75. Following instld.: Drive ❑ Yes ❑ No; Walks ❑ Yes ❑ No; Planters ED Yes C3 No 28. Service -Riser Conductors & Ground -Main Disconnect 76. Stucco; Brown -Finish 29. Equip. Clearances; Panels-Motors-Mech. Equip. 77, A.C. Unit; Disconnect-Clrnces-Brkr. & Cond. Size -115V Outlet 30. Clothes Closet Light -Shower Light 78. 79. Vents Above Roof; Plbg.-Appliance-Firepl.-Clearance to Opngs. Water Well; Disconnect, Electrical, Plumbing 80. Exterior Elec. Trim; G.F.I. Receptacle -Underground Card B -I Date Card -BI Date 81. 82. Ventilation throughout House Glass Protection Card B -I Date Card -BI Date Date MECHANICAL! (Permit) OK except H's 31. A.C. Ducts; Insulation & Support 83. 84. Corrections from Previous Inspections Gas Test -Meters Tagged; Gas -Electric 85. Water & Sewer Connected -C/O to Grade -HD Approval 32. Vent Fan; Exhaust above Insulation 86. Energy Compliance Certificate -Other Certificates 33. Condensate Drain & Overflow; Size & Grade 34. Furnace -Vent; Access -Comb. Air -Return Air Vent -115V outlet 35. Attic Access & Platform if Furnace in Attic Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Date FRAMING Plans OK except q's 36. Sills; Proper Material & Anchors Comments at Final: 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. 43. 44. Hangers -Post Caps -Anchors -Connectors Cing. Joist-Rftr. Ties-Purlin-Roof Brac.-Truss-Shthng_.-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 youvisit jobsite) COUNTY OF BUTTE - DEPAFTMENT OF PUBLIC WORKS PERMIT NO. 7 County Center Drive - Oroville, California 95965 - Telephone 916/534-4541 APPLICATION AND PERMIT ASSESSOR PARCEL NUMBER ' ZONING BUILDING PERMIT OWNERi TELEPFONE SO. FT. OCC. BUILDING VALUATION ' OWNER'S MAILING ADDRESS - MAIL; � � �♦ `l rI CONTRACTOR'S NAME J TELEPHDNE CONTRACTOR'S MAILING ADDRESS Fireplace 'A ? CONSTRUCTION LENDER UNKNOWr- Total Valuation Is Filing Fee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee $ U J - ARCHITECT OR ENGINEER LICENSE JO. Plan Checking Fee $ " Penalty $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Permit fee $ BUILDING ADDRESS t PLUMBING PERMIT Filing Fee 10.00 I + t 1 Each Trap 2.00 Solar Water Heater 20.00 Water piping 5.00 LOT NO.SUBDIVISION NAME PARCEL MAP Each clas water heater or vent 5.00 Gas piping system 1 - 5 outlets 5.00 USE OF STRUCTURE SF ❑ Duplex❑ Mobilehome v❑_ Other SPECI FV Building sewer 5.00 Mobile Home S I G I W 10.00e TYPE OF WORK New ❑ Addition Q Remodel ❑ Utilities ❑ Installation ❑ Other ❑ If.r--,- � � ^� -� � —� Describe work: '� '�`�c�-- d• I Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 100°0 AMP ORSLESS 10.00 i Main service EA. ADD'L 100 AMP 2.50 NEW CONST. DWELING II OR ADDNS. ( ACCLBLDGS.1 t, I 2yxxsq ft CONTRACTORS LICENSE LAW I declare under penalty of perjury (Check one): ❑ I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in full force and effe:t. 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 offer -ad 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 Coce for this reason NEW CONSTR ULTI.OUTLET 2,50 ea NON•RESID BRANCH CIRC ITS NEW CONSTR POWER APPARATUS I! NON.RESID. ( SINGLE OUTLET CIR. 20e50e Ex. Occup(o OR FIXTURES BAL030 IXEDTs Ex. OCCUp. OUTLETS P(RESID.)REA.) 2.00 Temporary service 10,00 Mobile Home Facilities 15.00 Mi sc. Wiring 15.00 Vp N'a Ll ]• " Permit Fee $ ) '� Contractor MECHANICAL PERMIT Filing Fee 10.00 WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. ❑ I shall not employ any person in any manner so as to become subjec- 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 1 Ventilation Permit Fee $ Contractor 1 certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the Countyot Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue against said County in consequence of the granting of this permit. X Date 44This Signature of Applicant — Owner 0 Contractor ❑ Agent ❑ k 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 $ OCCUP. GROUP I TYPE OF CONST. 1777C HD IsSUE L permit is hereby issued under sions of the Butte County Code and/or work indicated above for which DIRECTOR OF PUBLIC By PERMIT EXPIRES Date the applicable provi- resolutions to do fees have been paid. WORKS Date I Receipt No. �~ WHITE-D.P.W.. YELLOW -ASSESSOR, PINK -INSPECTOR. GOLDENROD -APPLICANT Rudolph Sgontz 147P Cohasset Stage Chico, CA 95926 Dear Mr. Sgontz: BEAUTY 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 Telephone: (916) 534-4541 RONALD D. McELROY Deputy Director November 12, 1985 2845-84 & RE: Building Permit No. 3710-84 Expiration Date 12-14-85 (A.P. No. 56-14-71 ) _ With -reference to the above subject, our records indicate that your Building Permits expire • on the above date. Building permits are valid for one year and should construction be started but not complete'diby the expiration date of the permit, the permit shall be renewed for 1/2 the original Building Permit.Fee (plus a $10.00 "Filing Fee"). The renewal permit will extend the Building Permit for an additional year.from the original expiration date. Should you not renew your permit in a timely manner, it cannot be renewed and all work must cease until a new building permit is issued. If your construction is completed or should you have any questions concerning this matter, please contact the Chico office. For your convenience, we are enclosing a renewal application form and an owner - builder form to be completed and signed by you where indicated and returned to this office together with the fee shown. Please return all copies of the application form. Thank you for your prompt attention concerning this matter. Yours very truly, William Cheff Director of Public Works Glander JFG:aj `Chief Building Inspector Attachments: Permit,Application Owner -Builder Information Owner -Builder Verification cc.: Building Inspector - Chico . Chico - 196 Memorial ` r/891-2751 Paradise - 747 Elliott Rd./872-2961, Ext. 57 t FkE DENTIAL S� 7'��0� `056=14-0-071 96-0977BPEM' CHIN/HERHUSKY 111 Resources Lane, Cohasset (addition/SF) } 0,0 a. UJV\C r G%4R C_ 044 •k t r +il{ �4- S' v, 4, Y, i. a OFFICE COPY Address GAS Meter By Date ELECTRIC Meter By Dat i JOB FINALED (Date) K — Signature ��✓" V=OK O = Not OK '=NottReayy Applicable MOBILE HOMES_ Date MOBILE HOME UTILITIES (Plans) OK except #'s 1. Zoning Requirements - Setbacks - Easements 2. Soils; Special MH Support Sketch 3. Sewer, Locabon-Test-Fall-C/O-Concrete 4. Water, Location -Test -Easement Needed (Sketch) 5. Electricity; Location-Clearances-Gmd-/ /Amp -Concrete 6. Gas; Location -Test -Wrap; / /'L'k. / /Nat. or/ /'L"ft./ /LPG ~ 7. Well Clearance & Disconnect S. Utility Clearance Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date MOBILE HOME INSTALLATION (Plans) OK except #'s 1. Zoning Requirements- Setbacks Easements 2. Footings; SizeSpacing-Marriage Line 3. Gas; MH Test-DemandValve-Connector 4. Electricity; MH Test -Crossovers -Breakers -Clearances 5. Drain; MH Test -Fall -Flex Connector ' 6. Water; MH Test -Regulator -Connector 7. Water and Sewer Connected -C/O to Grade -HD Approval 8. Gas and Electricity Tagged j 9. Tie Downs -Type -Installation Cert.. - 10. Exits; Insp.-Sketch - 11. Cert of Occupancy I Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 r MISCELLANEOUS 1. Zoning Requirements -Setbacks -Easements 2. Footings; SoilsSize-Dep"pacing-Connectors-Steel 3. Decks; Girders and/or Joists-Decking-BracingStairs-Rails ) 4. Wood Awn.; Posts-Beams-Rftrs.-Connectors Shthg: Rfg: Bracing 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Carports; Windows -Doors 7. Electric 8. Frmg.; Sils-AnchorsStuds-Rftrs-Trusses 9. Siding; Nailing -Veneer -Stucco -Mesh 10. Roof; Shthg-Roofing 11. Ext.; Steps -Doors -Landings Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date POOLS (Plans) OK except #'s 1. Setbacks -Easements 2. Soils; Compaction -Structure Stability 3. Pool Structure; Steel -Connections -Thickness Dead Men -Lining 4. Elec.; Receptacles and Lighting, Distance-GFI J 5. Elec.; Pool Lighting; 15 Volts-GFI - - -. 6. Elec.; Enclosures; Conduit Envies -Terminals -Listed - - 7. Elec.; Bonding; Metal w/6 -Circulating Equip. -Heater r S. Elec.; Grounding; Equip. w/5 Circulating Equip. -Pool Lghtg. Boxes-Enclosures-Panelboards-Ins. to Main in Conduit - 9. Health Department Approval 10. Plumb.; Cir. Test -Water Supply Test Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 ) J=OK, O =tot OK = Not Applicable Not Ready RESIDENTIAL (Single & Duplex) = Date UN ERFLOOR (Plans) OK except ff's oning-Setbacks-Easements-Flood-Slope J.ktg., Main: Soils-Elec. Q4Wd.-/ " Ftg. Depth Ftg., Garage; Soils-Steel-Elec. Grnd.-/ /" Ftg. Depth 4,/Ftg., Porches & Decks; Soils -Steel-/ /Ftg. Depth 1. temwalls, Main; Steel -Bloc kouts-Wrapped e ails, Garage; Steel-Blockouts-Wrapped 6jAoId Ds and Special Anchors 8. Pierr%,FP place Ftg.-Steel 9. .W.V.; Fall -Fitting -Test -2 Way, C/O -Sewer Test 10. ipe; Size -Anchors - iping: size -test 11. Water Pipe; Test -Anchor -Regulator -Service Test 12. Electric; Underground 13. Pienum uct learance-Matal-S rt -Ins. 14. a Sill Bo s -Jo' is -V le.Access & Ventilation 16 Insulation Date Card B-1 r�'Ta Date Card B-1 Date Card B-1 Date Card B-1 Date PLUMB!(Permit) OK except tr's at r.: Vent -Access -Combustion Air-Baffie ------------ --------------------------------------------------- 1 . ater es & Anchor -Nail Protection ---------------------------------------------------------- ------- 1 W.V.: Test -Fittings &Anchor -Nail Protection -- — r9'9 -'Shower Pan: Test. First Floor -Tub Access - ------------------------- -- --------- ,--2Ti8st Tub & Shower. Second Floor -Tub Access --------- -------------------- --------------- ------- ------------------------ ,-%+.t3as Pipe: Size & Anc ors ---------------- - - ------------------------------------------- Date "� Card B-1 Date Card B_1 Date Card B-1 Date Card B-1 Date ELECTRICAL (Permit) OK except A's - -21-1-1 & Transformer Clearance -Ins. Protection lec. Receptacles Spacing -Lights & Switches at Doors ------------------- -------- ------ ----------- - tze B & No. of Conductors -Stapled ------------------ ------ -- ---------------- ... ... .. orae ailed Close to Edge of Studs & C J. q round made up wrMech. Fastners-Bond Gas & Water ----- -- - - - - . ....... _. -------------- -._. Ap - ante Circuts in Kitchen & Conductor S zerGFl ..... r7 - ... . .... .. ubfeed Wire S z -e -o ga Cu o A A.C. Wire Sze ga. ------ - -- -Cu or At -- .19 ange Circ,. , ga. Cu or AI -Oven Circ.' ga. Cu or AI. - Insulated Neutral ❑ Yes ❑ No !f3�7 ervs ! Conductors & Ground -Main Disconnect - -- quip. Clearances Panels-Motors-Mech. Equip. lollies Closet Light -Shower Light -Spa Light ----- - -------- ----- - oke Detector - -Dat - .. ....... ....... .. Dat %/ Card B-1 Date Card B -t Date Card B-1 Date Card B-1 Date MECH AL (Permit) OK except n's 3' . .C. Ducts Insulation & Support - -------------- ------..------. - - . ........................ ... "'9Y't//ent F haust above insulation on _ate Dra_ n & .0.verflow: Sze & Grade _ ulna nt, Access -Comb. Air -Return Air Vent -115 outtet 3 - - ttic Access & Platt I Furnance Ln.Athc Date( Card B.1 Date Card B-1 Date Card B-1 Date Card B-1 Date FRAMLN6-(Plans) OK exceot # s ��B� "r Material & Anchors s -Nailing. Spacing & Bracing -Plates -Sound Its over Girders & Floor Nailing op in Walls (rat proof)..... ... ---- F ellStops: Furred Ceilings -Stags -Chases -Tub Ir,` �'� 4 . Headers &Beam -Size & Beanno Date _6AAMING (Continued) Han Post Caps -Anchors -Connectors ------- 4 In -Rftr. ties-Purlin-roof Brac-Truss-Shthng.-Rfng. -- _---ireTies or Type A Flue -Fireplace Throat clearance tt' cess; Size & Romex Protection -Draft Stop -Ins. Baffles ------ ------ ---- -- -- drm. Windows or Exiting Doors -Sill Hgt. & Dimensions ---------- rage Fire Protection Framing ---------`ri!Pro _y Line Firewall & Openings Doors -One 3 -Check Garage -3rd Story, 2 Exits ---------tairs; th;Headroom-Rise-Run-Landing-Fire Protection ,.-p rywood on Roof Overhang -Attic Vents -Rafter Outriggers mcj-Nailing Veneer �_ 7_E_-_+_St_u_cc_o Mesh -Drip Screed -Fd. Vents-Underflr. Access Area -Glass Protection -Skylights -Plastic h 9n7lat!c ralls: Nailing -Bolts Walls -Ceilings 60. Infiltration -Walls -Windows ---=--- Date Card B-1 Date Card B-1 - - - -- Date and B-1 Date Card B-1 Date FIN Plans) OK except a's -------------t.-Steps-Door -t.-Steps-Door & Sidelight Protectio Landin - ----------------- --- Smoke_ Detector 63. Fi jefti learance-Comb. Air-Connector- -Ducts-Mech. Protection ...........- ------ - - ---------------- 4 Bedroom E.Aiting - - - --- 65 -6.­.-;--th Fixtures &Tub A 6 -& Subp_anel -reaker Sizes & Labels Stairs & Rails 6 Fireplace or to Clearances -Hearth 9 c. Outlets at Wood Panel: t. InXI.. .. ... ....... ------------------------- --- - 7 txt & Appliance_Grnd._- i---- - cokingCrance 71-EFer•6utlets & Recep cies at Kit. Counter -- 7- --- --- ---- ------------- - - -- ------ 7 rage- amper ......-------------------------------- ------ 4. r Htr.: Vents -Clearance -Comb. Air-Connector-P.R.V. In Gara e: Above Floor--Mech.- Protection q ---- 7 Elec. & Mech. Equip. . b.. Listed for Location ------- -------------------------------------------- — 7 - omexe4- - ---- - 7 ns on. Foam -Looked in Attic - --- es 7 u ails & Deck -Po aps _ -- 7 Fdn. Vents &Crawl Hole Door -Drainage od-Earth Cleara a Looked under Floor Yes \ 1 ❑ No: Walks ❑ Yes No: a ollowmg instld.: Drive/ � Planters ❑ Yes 211 o Town -Finish connec lecI -,al_ Plumbing ago"Vents Above Roof: Plbg.-Appliance-Firepl Clearance to OP 9s ------------ ... .... -------------- aterell: D sconnect. Ele al. Plumbing axteri Elec Tnm. I. Receptacle -Underground - --------------- ------------------- a enu n Throughout House -- --- ---- --------------------------------- a7 la otect on a orrect ons from Previous Inspections a9 G sTest-Meters Tagged. Gas-Evwll - 9 ater & Sewer Connected-CrO to Grade -HD Approval 9 Energy Compl ante Certificate -Other Certificates - -- Date 6.. 0 �SCard B-1 �� Date Card B-1 . e Data -------- Date ¢ Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Comments at Final: �'. - .'1+�."�R7� '.a', -:-._ »• Tiib�z4", s -' z ..,;a., ti�A y:y'�, COUNTY OF BUTTE I t BUILDING DIVISION DEPARTMENT OF DEVELOPMENT SERVICES 411 Main Street, Chico, CA - (916) 891-2751 7 County Center Drive, Oroville, CA - (916) 538-7541 OWNER A routine inspection the above address a is completed. If yo please contact t s 1 ) CORRECTION NOTICE Q-) - I e-)Ge�- PERMIT NO. sates that the following violations of Butte County Ordinances exist at should be corrected. Please notify this office when correction of work a any questions pertaining to this matter, or need additional explanation, c�immediately. �VA S�MaN, AA1 r 1 ENRON — - I.I� -IIIIIIE III III IC�:I. • Date Inspector REV 10192 COUNTY OF BUTTE BUILDING DIVISION DEPARTMENT OF DEVELOPMENT SERVICES 411 Main Street, Chico, CA - (916) 891-2751 7 County Center Drive, Oroville, CA - (916) 538-7541 CORRECTION NOTICE Col Af/i,{ff 9�- 1/6 3 OWNER PERMIT NO. A routine inspection indicates that the following violations of Butte County Ordinances exist at the above address and should be corrected. Please notify this office when correction of work is completed. If you have any questions pertaining to this matter, or need additional explanation, please contact this office immediately. REV 10/92 Inspector COUNTY OF BUTTE- DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive - Oroville, California 95965 - Telephone (916) 538-7541PERMIT NO. (Rev. 12/96) APPLICATION AND PERMIT Qr7_ 1 10�4/ ASSESSOR PARCEL NUMBER 056-140-071 ZONING TMS BUILDING PERMIT OWNER ROBERTSUSAN CHIN & HERHUSKY TELEPHONE 342-3753 SO. FT. OCC. BUILDING VALUATIO OWNERS MAILING ADDRESS 111 RESOURCES LN., COHASSET, CA 95973 CONTRACTORS TELEPHONE ' O RT++OCONTRACTORSNAME CONTRACTORS MAILING ADDRESS CONSTRUCTION LENDER Fireplace LENDER'S MAILING ADDRESS ' Total Valuation $ ARCHITECT OR ENGINEER LICENSE NO. Fee $ 20.00 —Filing Permit Fee $ 220.75 ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ BUILDING ADDRESS Energy Plan Checking Fee $ $ PERMIT FEE $ 240.75 LOT NO. SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMIT Filing Fee 20.00 USEOFSTRUCTURE SF CXXDuplex ❑ Mobilehome ❑ Other SPECIFY Each Trap 7.00 Solar or heat pump water heater 23.00 Water piping 15.00 Each as water heater or vent 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other Describe Work: 1ST RENEWAL BP#96-977 Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home I S G W @20.00 PERMIT FEE S ELECTRICAL PERMIT Filing Fee 20.00 Main Service ". oa LE: S' 23.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter ii 9 (commencing wth Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect. License Class LIC. No. OWNER -BUILDER DECLARATION I hereby affirm u er penalty of perjury that I am exempt from the Contractors License Law fort owing reason: as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason Main Service ( 200A TO /000A 46.00 NEW CONST. OW NG OCCUP. OR ADDNS. ( a EWACC. S. SO 3.50Fr, NEW CONST. MULTI -OUTLET NON-RESID. ANC 97.50 OWER APS a PSINGLE OUTLETPARATUCIR. Ex. Occup. OUTLET OR FUTURES 2O Q 1.00 &ll. p .so FIXED APPLNS. OR Ex. Occup. OurLErs RESID. EA. 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wirina 23.00 PERMIT FEE S WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ 1 have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier MECHANICAL PERMIT Fling Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE $ Policy Number (Th ove sections need not be completed if the permit is for work of a valuation one hundred dollars ($100) or less.) I certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to workers' compensation laws of California, and agree that if I should become subject to the ers� compensati n pro ision of section 3700 of the Labor Code, I shall f rt comply with those rovis ons. `1 X r _ Date __--- Signatur of Applican - Owner nVa for ❑ Agent An OSHA permit is required for excavations over 60" deep and demolition or construction of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ Occ CONST. TYPE TOTAL FEE $ 240.75 HAZ. D. FEES IMP FLOOD CDF PARCEL I Po I HO ISS This permit is hereby issued under the applicable provisions of the Butte County Code and/or Resolutions to do work indicat ov for hich fees have been paid. By �'� Date S 24 9 PERMIT EXPIRES ON_i!!a/`Q 98 Date Receipt No. `7�g� WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT .,.,<�L�.rY'KiW-v-�)+.+,.-^•7'�ty.. ,i ---•v/ �;: �..;u�tjM'F'•1 "'�'�',RiJ�t'"'�..,"?'�'�t�j!►,;��q+`4`.[�����'.,.'„!1'��O,�ir,6�^'iwc�t:F„'�. �r.rnr,/�a�ffi.�.•r;4�;,.:R'�. �'Y� . Z •, ,• � COUNTY OF BUTTE DEPARTMENT OF DEPEGUPMENT SERVICES -BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILLE,•CALIFORNIA 95965 - TELEPHONE (916) 538-7541 PERMIT APPLICATION DATA SHEET OWNER: -,aj I G-1 ASSESSOR PARCEL E(0.%0 -)y6 Proposed Building Use: �- 3 Building Inspector: Date: -01 At time of per fi t application? I was advised the following data must be submitted prior to permit processing and/or issuance: Date Received By All items have been submitted -------------------------------------------------------------------------------------- ❑ 2. Plot plans, 3/4 sets, signed by the preparer of plans.------------------------------------------------------------ ❑ 3 . Complete plans, 3/4 sets, signed by the preparer of plans. ----------------------------------------------------- 04. Engineered plans, 3/4 sets, with wet signature on plans. All engineering must be shown on plans. -------- ❑ 5. Engineered truss details and layout in duplicate (required prior to plan review) No faxes! ------------------ 06. Energy Design Compliance and supporting documentation. ---------------------------------------------------- ❑ 7. Statement of Intent for Non -Heated and A/C Buildings. --------------------------------------------------------- El 8. Hazardous Material Form. ------------------------------------------------------------------------------------------ ❑9. Manufactured Home data and installation instructions including Tie Down Specifications ------------------- El10. Fees of $------------------------------------------------------------------------------------- ❑ 11. Impact fees as shown on the attached schedule. ----------------------------------------------------------------- ❑ 12. California Department of Forestry plan approval/fees. --------------------------------------------------------- Ell 3. -------------------------------------------------------- ❑13. Flood elevation certificate. ---------------------------------------------------------------------------------------- ❑ 14. Sanitation and plot plan approval Health Department. ------------------------------------------- Ell 5. ------------------------------------------ ❑15. City of Chico plumbing permit.----------------------------------------------------------------------------------- ❑ 16. Plot plan and business license approval from the City of Biggs. ---------------------------------------------- ❑ 17. Planning approval for (A) Use: (B) Parking: -------------- ----------- 0 18. Contact Land Development about ❑ Improvements, ❑ Drainage, ❑ Legal Parcel. ----------------------- 1119. ---------------------- ❑19. Encroachment Permit for drivewayconstruction a prior to occupancy) ( rova approval P- --------- ------------------- 020. Pr'e-inspection for required Request to Building Inspector on ❑21. Contractor's license information. (Number, Name Style, Classification). ------------------------------------ 0 22. Workers' Compensation carrier and policy number. ----------------------------------------------------------- ❑23.Owner-Builder Verification (Given to owner ❑, Mailed to owner 0) - -------------------------------------- E124. ------------------------------------- ❑24. Letter of signature authorization. -------------------------------------------------------------------------------- ❑25. Recorded copy of Agricultural Acknowledgment Statement. --------------------------------------------------- ❑26. Letter of intent on building use. ----------------------------------------------------------------------------------- 027. Manufactured Home utility clearance. --------------------------------------------------------------------------- ❑28. Existing violations and/or expired permits. ---------------------------------------------------------------------- ❑29. 0433 A, ❑Grant Deed, ❑ M.H. Title, ❑ Check to H.C.D $ . --------------- ❑30. Other When you issue the permit, process as followsLRFMail to owner, ❑Mail to contractor. ❑Telephone and hold for pickup at o c, . e 'ver ith inspector. Applicant. Date: Copy of Haz-Mat form sent ❑ Health Department, ❑ Fire Department, ❑ Air Pollution _ By: Copy of plans sent ❑ Health Department, ❑ Fire Department, ❑ Other: Date: By: (Date) 6- n .<!-:7 1. Index permit application for the above items numbered: ❑ Plan Check List 2. Additional items required: Contractor, designer, owner, was advised of the above required data by ❑ phone, ❑ mail, ❑ Building Division counter, by Date: Contractor, designer, owner, was advised of the above required data by ❑ phone, ❑ mail, ❑ Building Division counter, by Date: Contractor, designer, owner, was advised of the above required data by ❑ phone, ❑ mail, ❑ Building Division counter, by Date: Contractor, designer, owner, was advised of the above required data by ❑ phone, ❑ mail, ❑ Building Division counter, by Date: Plans reviewed by: Date: Plans approved by: Date: ! Sets of plans on hold in ❑ Plan Cabinet, ❑ A.P. folder. Note transfer by: Date: Yellow Copy - Department of Development Services, Building Division. 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 earnest. oppormnity to avoid unnecessary delay is processing and issuing your budding permit No building permit will be issued until this verification is received. 1. I personally pian to provide the major or and materials for construction of the proposed pro improvement : YES[ kJ . NO[ j. 2. I HAVE[ I HAVE NOT[ ] signed an application for a - proposed work. ' - a. I.* have contracted, with the following person (firm) to • .... NAME: ... building permit for the ,r provide the proposed ADDRESS: CITY: PHONE: CON'TRACTOR'S LICENSE NO. 4.' I plan to provide portions of this work, but I have hired the following person to coordinate, supervise, and provide the major work: NAME: = ` ADDRESS: - _ CITY: -- PHONE: - -CONTRACTOR'S LICENSE NO. work but • �' S: I will provide some of thew I have contracted (hired) the followiag persons to •:r�-• _���{ a;... provide 'the work indicated: °- NAME - ADDRESS - PHONE.TYPE OF. WORK > •�� �� .. .. .. :7 .. �-, ..>. :Y..eee ..a•'......,... ... „a.....c t... _.. `+inr r„ err.wY�wS¢'.`{�y%,•(r��'�{, SIGNED._� R ' y hr3T ,! . PROPERTY OWNER C _:�� ' �•�� �. � '�.. _ -: _ .•. .. .._ .. •��. , - .: -.... •. «r:, fir. ,•,...^ 4 : k .► "� �� .`..n'.�,', .i - r..r..<• n,....t.".w"t -�.�- +e,x.r?�'/ tt sZ r•..ri '�+I�w. -rry v+� �«� �L '.a,«:, a�`k"'i^�r�'.�� , l qYe n., DA l ir: _,....�w. .�rlr..•: ii: i'+'l it • +•+ . tro+.�. .,e„« M1 :7.i ..Yw `wat �r..� .'moi. �r•�'S • i+4�: w;. 5r 1C 7.' i�",a.+., 1 �C+ .x•..i J i•t"�r':� ..'?i ..`r �....... w%.�W�� is :r°.•aJ �w%.,�.•v H•�1-]; .... c: _� �ti ,,;ULd. '•i•�r''i. rM4 '..ti�:.s. .r..r..• .�w(. .4 ?tl "'�•,5. �.r:. V,,> Thu owner- u:Ider Verification is required by,•Section 19831 and 19832 of the California Health and Safety Code., This verification must be completed and returned to our office before we are permitted to issue the permit. - 1• 1�. V..x -� 4 t h t ni. R,RC yam.'. ' _�t..s. •y 7 v L., '.rt � i = ,. , r y.., 4 L � ..� r4% '.� { t ..�' N] } R �U j�k.l•'716SY��. Y }r M �r..,.. .-+ \� _Sa •.. . 7• •` r. .y Y . L ti°' ♦.,; tf -k�a l ,,`. a et )r. , . r. .? �+--y,+' + Dear Property Owner. An application for a building permit has be= submitted in your name listing yourself as the binder of property improvements specified. .. For your protection. you should be aware that as "owner -builder" you are the responsible parry of rrrord. on such a permit Building permits are not required to be signed by property owners tmlest they are pawnajy performing their own work. If your work is being performed by someone other than yourself, you may prate= 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 worms with the exec spdon of various trades that you plan to subcontract, you • should be aware of the following information for your benefit and protection: 0 If you employ or otherwise engage any persons other than your immediate family, and the work ('including materials and other costs) is 5300 or more for the ' entire project. and such persons are not licensed as ` contractors or subcontractors. then you may be an employer. 0 If you are an employer. you must register with the State and Federal Governments as an employer and you are subject to several obligations including state and federal income tax withholding. federal social security taxes, workers compensation insurance disability insurance costs, and unemployment compensation contributions. 0 There may be financial risks for you if you do not carry out these obligations. and these risks are especially serious with respect to worker's compensation insurance. 0 For more specific information about your obligations under Federal Law, contract• the Internal Revenue Service (and. if you wish, the U.S. Small Business Administration). For more specific information about your obligations under State Law, contact the Department of Benefit Payments and the Division of Industrial Aaadents. If the structure is intended for sale, property owners who are not licensed contactors are allowed to perform their work personally or through their own employees. without a licensed contractor or subcontractor, only under limited conditions. A frequent practice of unlicensed persons professing to be contractors is to secure an "ownerbuilder" building permit. erroneously implying that the property owner is providing his or her own labor and material personally. Building permits are not required to be signed by property owners -unless they are performing their own work personally. Information about licensed contractors may be obtained by contracting the Contractors State License Board in your community or at 1020 N Street, Sacramento. CA. 95814. Please complete the "Owner- Builder Verification" on the reverse side of this form so that we can confirm that you are aware of these matters. The building permit will not be issued until the verification is returned. ni�rei •• - 2Si Michadi C. Vieth, C.B.O. Manager, Building Inspection NOTr-: This Owner -Builder Inforirtation is required by Section 19830 of the California Health and Safety Code. OVER DATE: PERMIT #: ASSESSOR PARCEL #: OWNER'S NAME: FEES (Amount and Purpose): REVISED PLAN' CHECK: $ BALANCE OF FEES: $ ADDITIONAL FEES: $ RIFF FEE: $ CUA FEE: $ TUA FEE: $ - CSA 87 TRAFFIC FEE: $ 2500.00 WATER TENDER FEE: $ 200.00 BATTALION # THERM DRAINAGE FEE $ IF BALANCE OF FEES OR ADDITIONAL VALUATION: VALUATION: $ ADDITIONAL VAL: $ (Check One) COUNTY (Check One) RECEIPT NUMBER: CITY OF BIGGS RESIDENTIAL COMMERCIAL �? COUNTY OF BUTTE- DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING DIVISION 7 County Center Drive - Oroville, California 95965 - Telephone (916) 538-75 PE IT N6. APPLICATION AND PERMITG` ?� ASSESSOR PARCEL NUMBER 056-140-071 ZONING TM5 S BUILDING PERMIT OWNER S R KY TELEPHONE 342-3753 SO. FT. OCC. BUILDING VALUATION 1007 R 54,378 OWNERS MAIUNG ADDRESS 111 CONTRACTOR'S NAME OWNER TELEPHONE CONTRACTORS MAILING ADDRESS Fireplace 1 A 1,500 CONSTRUCTION LENDER UNMOWN Total Valuation $ 55,87 Fling Fee $ 20.00 LENDER'S MAIUNG ADDRESS Permit Fee $ 441.50 ARCHITECT OR ENGINEER UCENSE NO. Plan Checking Fee $ 286.97 Energy Plan Checking Fee $ 23.00 ARCHITECT OR ENGINEERS MAILING ADDRESS Penalty $ BUILDINGADDRESS I 11 RESOURCES LN PERMITFEE $ 71.47. PLUMBING PERMIT Filing Fee 20.00 Each Trap 7.00 28.00 LAT NO. SUBDIVISIONS NAME PARCEL MAP Solar or heat pump water heater 23.00 Water piping 15.00 15.00 USEOFSTRUCTURE SF IX Duplex ❑ Mobilehome ❑ Other SPECIFY Each gas water heater or vent 15.00 Gas piping system 1 - 5 outlets 15.00 15.00 Building sewer 15.00 TYPE OF WORK New ❑ Addition IX Remodel ❑ Utilities ❑ Installation ❑ Other ❑ Describe Work: 1 BR Mobile Home I S I G W 1 920.00 PERMITFEE g 78-00 Contractor ELECTRICAL PERMIT Filina Fee 20:00 Main Service500v OR LESS ( 200A OR LESS ) 23.00 Main Service ( 200A TO I000A ) 46.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect. License Class Lic. No.FIXED OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors License Law fgvtre following reason: I/ I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason NEW CONST. DWELLING OCCUP. OR SO. 35.24 NS. ( 8 ACC. ) 3.S¢ FT. CONST. MULTI.OUTLETLE NEW CT NON-RESID. ( BRANCH CIRCUITS ) 97.50 WERUS (a sOirNGLE OUfIETTC R. ) Ex. Occup. (OUTLET OR FIXTURES ) BAL a LZ APPLNS. OR Ex. Occup. (OUTLETS (RESID.) EA) 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMITFEE $ 55.24 Contractor WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ 1 have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier MECHANICAL PERMIT Filing Fee 20.00 9 Heating 15.00 Cooling Hood 6.50 6.5 13 Ventilation 4.5 PERMITFEE $ 46. Q Contractor Policy Number (The above sections need not be completed 6 the permit is for work of a valuation /tf(one hundred dollars ($100) or less.) I certify that in the performanc of the work for which this permit is issued, I shall not employ any person in ny manner so as to become subject to workers' compen tion laws of Cal nia, and agree that if I should become subject to the rkers' c mpensatio pr visions f section 3700 of the Labor Code, I shall forth with h e rovisi s. X __ Date _ SI ure o lican - wner ❑ Co tractor ❑ Agent An OSHA permit is required for excavations o r 60" deep and demolition or construction of structures over 3 stories in heiight. Mobile Home Installation Fee $ Energy Inspection Fee Is 46. O OCC CONST. TYPE TOTAL FEE $ 996.7 HAZ. I D. FEES I 1j;K FLOOD I CDF PARC PD HD ISSUE This permit is hereby issued under the applicable provisions of the Butte County Code and/or Resolutions to do work indicated above for whi fee have been paid. B Date 5. Ze� PERMITEXPIRESON (D e) 2e Receipt No. 77 36 WHITE-D.D.S.-B.D. CANARY -ASS SSOR P/ -INSPECTOR OLD ROD -APPLICANT BUTTE COUNTY SCHOOLS IMPACT FEE CERTIFICATION FORM (On ForrwPiprMil School District/ A.P. Number Jurisdiction: 0 Property Owner %Z All'. Building Department No. City County A/�US/ls/ Property Location/Address u. Subdivison 1 Lot No. Residential Development Sq. Footage < 00 No. of Living MHI Addition (Group R) Units Commercial/Industrial Sq; Footage New Addition (Including Exterior Roofed Areas) Co--/U-Z Date Building Department (Floor Plans reviewed by School District Personne District Identification No. School District certifies thatr11C.�GM q(Applicant) (Street Address) ti. (City) (State) has complied with the requirements of Resolution No. r,:presenting ( QQy% square feet. District Representative Paid by Check # ` �� Remarks: Bank Number Paid by Cash (Phone Number) (Zip by payment of $,----I AB 2926 $ FULL MITIGATION $ Date If, subsequent to the School District Representative signing this Butte County Schools Impact Fee Certification Form, the School District is notified by the applicable Local Planning Agency that this project 'is being reviewed under the California Environmental Quality Act (CEQA), this project may be subject to additional school fees to fully mitigate its impact on the school district's schools. White (applicant), Yellow (building department), Pink (school district) feeform.wkl (11i94)dmm I COUNTY OF BUTTE- DEPARTMENTOF DEVELOPMENT SERVICES -BUILDING DIVISION 7 County Center Drive - Oroville, California 95965 - Telephone (916) 538-7541 PERMIT NO. APPLICATION AND PERMIT ASSESSOR PARCEL NUMBER h / BUILDING PERMIT OWNER k.�Sie J Cy //�o�r } TELEPHO"'"IESO. 72- - 7S_3 FT. OCC. BUILDING VALUATION 7 S _ /���rA")sy OWNERS � HD A0o8.se) U4 - CONTRACTOR'S NAME M ,-J eA— TELEPHONE CONTRACTORS MALKNG ADDRESS Fireplace %.SD o CONSTRUCTION LENDER UNKNOWN Total Valuation Fling Fee $ 20.00 LENDERS MAILING ADDRESS . Permit Fee ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee Energy Plan Checking Fee $ ARCHRECT OR ENGINEERS MAILING ADDRESS Penalty $ SUILDNGADDREss n O�2C��^ PERMITFEE S %-%% PLUMBING PERMIT Fling Fee 20.00 Co /�ILSSC'�—' Each Trap 7.00 2. 3 LOT NO. SUBDIVISIONS NAME' PARCEL MAP Solar or heat pump water heater 23.00 Water piping 15.00 USEOFSTRUCTURE SF,_kDuplex ❑ Mobilehome ❑ Other SPECIFY Each gas water heater or vent 15.00 Gas piping system 1 - 5 outlets 15.00 J, Building sewer 15.00 t N TYPE OF WORK New C�-Addition1 Remodel ❑ Utilities ❑ Installation ❑ Other ❑ -' �� Describe Work: Mobile Home IS I GI W1 @20.00 PERMITFEE : Contractor ELECTRICAL PERMIT Filina Fee 20:00 Main Service000v OR LESS. ( 2o0A OR LESS ) 23.00 Main Service ( 200A TO 1000A ) 46.00 LICENSED CONTRACTOR'S DECLARATION 1 hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect. License Class Lic. No. OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: ❑ 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. ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ 1 have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier Policy Number (The above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) ❑ 1 certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of section 3700 of the Labor Code. I shall forthwith comply with those provisions. X _ Date Signature of Applicant - ❑ Owner ❑ Contractor ❑ Agent An OSHA permit is required for excavations over 5'0" deep and demolition or construction of structures over 3 stories in height. NEW CONST. DWELLING OCCUP. s0. 5-- L OR ADONS. ( & ACC. BLOS. ) 3.5¢ Fr NEW CONST. MULTI.OUTLET NON RESID. ( BRANCH CIRCUITS ) 97.50 8 ESIWERNGLE APPARATUS (ULmEr CHR. ) Ex. Occup. (OUTLET OR FIXTURES ) SAL �':� Ex. Occup.FIXED APPLNKS. OR ( OUTLETS (RFSKD.) EA) 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMITFEE $ - ZLf Contractor MECHANICAL PERMIT Filing Fee 20.00 g Heating Cooling Hood 6.50 -So Ventilation PERMITFEE $ Y Contractor Mobile Home Installation Fee Is Energy Inspection Fee I $ OCC CONST. TYPE TOTAL FEE $ HA2. 1 D. FEES I IMP I FLOOD I CDF PARCEL PD HD ISSUE This permit is hereby issued under the applicable provisions of the Butte County Code and/or Resolutions to do work indicated above for which fees have been paid. BY Date PERMITEXPIRESON (Date) ReceiptNo. WHITE-D.D.S.-B.O. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT 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 provide the major lab and materials for construction of the proposed pro improvement : YES[ NO[ . I 2. I HAVE[ HAVE NOT[ ] signed an application for a building permit for the proposed work 3. I have contracted with the following person (firm) to provide the proposed construction: NAME: ADDRESS: CITY: PHONE: CONTRACTOR'S LICENSE NO. 4. I plan to provide portions of this work, but I have hired the following person to coordinate, supervise, and provide the major work: NAME: ADDRESS: CITY: PHONE: CONTRACTOR'S LICENSE NO. 5. I will provide some of the work but I have contracted (hired) the following persons to provide'the work indicated: NAME ADDRESS PHONE TYPE OF WORK SIGNEM PROPERTY OWNER: SOCIALSEC ER: DATE: 7 e l NOTE: This owner -Builder Verification is required by Section 19831 and 19832 of the California Health and Safety Code. This verification must be completed and returned to our office before we are permitted to issue the permit. OVER j 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 provide the major lab and materials for construction of the proposed pro improvement : YES[ NO[ . I 2. I HAVE[ HAVE NOT[ ] signed an application for a building permit for the proposed work 3. I have contracted with the following person (firm) to provide the proposed construction: NAME: ADDRESS: CITY: PHONE: CONTRACTOR'S LICENSE NO. 4. I plan to provide portions of this work, but I have hired the following person to coordinate, supervise, and provide the major work: NAME: ADDRESS: CITY: PHONE: CONTRACTOR'S LICENSE NO. 5. I will provide some of the work but I have contracted (hired) the following persons to provide'the work indicated: NAME ADDRESS PHONE TYPE OF WORK SIGNEM PROPERTY OWNER: SOCIALSEC ER: DATE: 7 e l NOTE: This owner -Builder Verification is required by Section 19831 and 19832 of the California Health and Safety Code. This verification must be completed and returned to our office before we are permitted to issue the permit. OVER O.B.-1 Dear Property Owner: An application for a building permit has been submitted in your name listing yourself as the builder of property improvements specified For your protection, you should be aware that as "owner -builder„ you are the responsible party of record on such a permit. Building permits are not required to be signed by property owners unless they are personally performing their own work If your work is being performed by someone other than yourself, you may protect yourself from possible liability if that person applies for the proper permit in his or her name. Contractors are required by law to be licensed and bonded by the State of California and to have a business license from the city or county. They are also required by law to put their license number on all permits for which they apply. If you plan to do your own work, with the exception of various trades that you plan to subcontract, you should be aware of the following information for your benefit and protection: 0 If you employ or otherwise engage any persons other than your immediate family, and the work (including. materials and other costs) is $300 or more for the entire project, and such persons are not licensed as contractors or subcontractors, then you may be an employer. 0 If you are an employer, you must register with the State and Federal Governments as an employer and you are subject to several obligations including state and federal income tax withholding, federal social security taxes, workers compensation insurance, disability insurance costs, and unemployment compensation contributions. 0 There may be financial risks for you if you do not carry out these obligations, and these risks are especially serious with respect to worker's compensation insurance. 0 For more specific information about your obligations under Federal Law, contract the Internal Revenue Service (and, if you wish, the U.S. Small Business Administration). For more specific information about your obligations under State Law, contact the Department of Benefit Payments and the Division of Industrial Accidents. If the structure is intended for sale, property owners who are not licensed contractors are allowed to perform their work personally or through their own employees, without a licensed contractor or subcontractor, only under limited conditions. A frequent practice of unlicensed persons professing to be contractors is to secure an "ownerbuilder" building permit, erroneously implying that the property owner is providing his or her own labor and material personally. Building permits are not required to be signed by property owners unless they are performing their own work personally. Information about licensed contractors may be obtained by contracting the Contractors State License Board in your community or at 1020 N Street, Sacramento, CA. 95814. Please complete the "Owner Builder Verification" on the reverse side of this form so that we can confirm that you'are aware of these matters. The building permit will not be issued until the verification is returned. Sanc rely.` Michail C. Vieira, C.B.O. Manager, Building Inspection NOTE. This Owner -Builder Information is required by Section 19830 of the California Health and Safety Code. OVER 11) 9 1 e COUNTYOF BUTTE - DEPARTMENTOF DEVELOPMENTSERVICES -BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA95965 -TELEPHONE (916) 538-7541 PERMIT APPLICATION DATA SHEET OWNER SvsAni AeA A. P. No. Proposed Building Use -`�/G Building Inspector Date 6 At time of permit application, I was advised the following data must be submitted prior to permit processing and/or issuance: DATE RECEIVED BY 1. All items have been submitted . ....................................... . 2. Plot plans, 3/4 sets, signed by preparer of plans . .......................... 3. Complete plans, 3/4 sets, signed by preparer of plans . ...................... 4. Engineered plans and calcs, 3/4 sets, with wet signature on plans . ............. 5. Hazardous Material Form. .......... ............................... . 6. Energy Design Compliance and supporting documentation . .......... :....... 48. Statement of Intent for Non -Heated and A/C Buildings . ...................... Engineered truss details and layout in duplicate (required prior to plan check). Mobilehomean facturer's installation instructions, 2 sets. .......... Fees of $ 96 .......... . .......Impact fees as shown on attached scheduleCalifornia Department of Forestry plan approval/fees.' f�%�%... . 3. Flood elevation letter (100 year flood) b�HaL� nia Engineer . ............... . Sanitation and plot plan approval Health Department . ............ 15. City of Chico plumbing permit . ......................................... 16. Plot plan and business license approval from City of Biggs/Gridley. ............. 17. Planning approval for (A) Use: (B) Parking: 18. Contact Land Development.about (A) Improvements (B) Drainage. .......... . 19. Driveway permit (construction approval required prior to occupancy). .. . . 20. Pre -inspection for required. .. to Building �sp� (Date) 21. Contractor's license information. (No., Name Style, Classification) . .............. 22. Certificate of Workmans Compensation Insurance . .......................... 23. Owner -Builder Verification (Given to owner , Mail to owner . .......... . 24. Recorded copy of Agricultural Acknowledgement Statement . .................. 25. Letter of signature authorization . .................................:...... 26. Copy of recorded deed of parcel creation and 60 right of way to a public road. .... . 27. Letter of intent on building use. dy 28. Mobilehome utility clearance . .......................................... 29. Documentation of legal access . ..................... :.................. 30. Documentation of 50% subdivision developed or (A) Road improvements completed and (B) Parcel meets zoning area and frontage requirements . ............... 31. Existing violations/expired permits . ...................................... 32. Plan check list ..................................................... 33. 34. When yo issue the as follows: Mail to owner. Mail to contractor. %Telephonnd hold for pickup at {face. Deliver with inspector. Other Parcel Creation Acreage Applicant Date Copy of Haz-Mat form sent Health Dept. Fire Dept. Air Pollution Date _ Copy of plans sent Health Dept. Fire Dept. Other Date By The following data must be submitted prior to permit issuance: (Circle new item not checked above). 1. Index permit for above items No. 2. Additional items required: Contractor, designer, owner, was advised of above required data by _ phone _ mail Counter by Date 5 ZZ Contractor, designer, owner, was advised of above required data by _ phone _ mail ounter by _ Date Plans checked by Date Plans approved by Dat Sets of plans on hold in File cabinet AP folder Copy - Department of Public Works E.H. USE ONLY r , Plot Plaa AM.W y ..- Flo" PI= Attached G j� Seat to B.D. .r / TO: Building Department FROM: Environmental Health SUBJECT: Sanitation Clearance Ile., IePSDu ree5 1,l7. , �SS�7L Owner Location AP# Plan Approved for: Sewage Disposal Water Supply: Public Private Well Clearance for , bedroom mobile home. Other /*kna ckl 0/7e' hdiy. `aeac, Hold final for: Final clearance O.K. for: NOTE: % �u.S.ezS .S'�p S hv�1�iar 3c�/�rhs i'Xiinu�i , Environme Health Frejalist 8/92 Date RESIDENTIAL `056-140-071 ' PERMIT#97-1767-� CHIN,Susan & HERHUSKY, Robert PERMIT- i., 111 Resources Ln., Cohasset Steps.& Ele'Ser Ch/SF PERMIT E.^� 1 Vo-o�-7-7, t� OWNER CONTR. ASSESSOR PARCEL LOCATION .'Temp. Power Pole Called PG&E Temp. Elec. Service Called PG&E Temp. Gas Service Called PG&E JOB FINALED (Date) Signature V=OK 0 = Not OK Not ` = t Applicable NoReaMOBILE HOMES Date MOBILE HOME UTILITIES (Pians) OK except #'s 7. Well Clearance & Disconnect I. Zoning Requirements - Setbacks - Easements 8. Utility Clearance 2. Soils; Special MH Support Sketch POOLS (Plans) OK except #'s 3. Sewer, Location-Test•Fall-CN-Concrete 1. Setbacks -Easements 4. Water, Location -Test -Easement Needed (Sketch) Card B-1 Date Card B-1 5. Electricity; Location-Clearances-Gmd-/ /Amp -Concrete, Card B-1 Date Card B-1 6. Gas; Location -Test -Wrap; / ^:ft MISCELLANEOUS Date DECKS:•fk „CARPORTS, .aM AGES (Plans) OK except #'s 1. Zoning RequirementsSetbacks-Easements 2. Footings: Soils-Size-DepthSpacing-Connectors-Steel . 3. Decks; Girders and/or Joists-Decking-BracingStairs-Rails 4. Wood Awn:; Posts-Beams-Rttrs.-Connectors Shit,-Rfg.-Bracing 5. Alum. Awn.; Columns-ConnectionsSpii Decal -Enclosures 6. Carports; Windows -Doors 7. Electric B. Frmg.; Sils-AnchorsStuds-Rftrs-Trusses 9. Siding; Nailing -Veneer -Stucco -Mesh 10. Roof; Shthg-Roofing 11. Ext.; S6ps-Doors•Landings 12. Braced Wall. Panels / /Nat or/ / L ft./ /LPG Date 7. Well Clearance & Disconnect Date 8. Utility Clearance Date POOLS (Plans) OK except #'s 1. Setbacks -Easements Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date MOBILE HOME INSTALLATION (Plans) OK except #'s , 1. Zoning Requirements- Setbacks Easements 2. Footings; Size -Spacing -Marriage Line 3. Gas; MH Test Demand Valve -Connector 4. Electricity; MH Test -Crossovers -Breakers -Clearances 5. Drain; MH Test -Fall -Flex Connector 6. Water; MH Test -Regulator -Connector 7. Water and Sewer Connected -C/0 to Grade -HD Approval 8. Gas and Electricity Tagged 9. Tie Downs -Type -Installation Cert. Date 10. Exits; Insp.-Sketch Date 11. Cert of Occupancy 12. Permanent Foundation Only: License Decal Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 MISCELLANEOUS Date DECKS:•fk „CARPORTS, .aM AGES (Plans) OK except #'s 1. Zoning RequirementsSetbacks-Easements 2. Footings: Soils-Size-DepthSpacing-Connectors-Steel . 3. Decks; Girders and/or Joists-Decking-BracingStairs-Rails 4. Wood Awn:; Posts-Beams-Rttrs.-Connectors Shit,-Rfg.-Bracing 5. Alum. Awn.; Columns-ConnectionsSpii Decal -Enclosures 6. Carports; Windows -Doors 7. Electric B. Frmg.; Sils-AnchorsStuds-Rftrs-Trusses 9. Siding; Nailing -Veneer -Stucco -Mesh 10. Roof; Shthg-Roofing 11. Ext.; S6ps-Doors•Landings 12. Braced Wall. Panels Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date POOLS (Plans) OK except #'s 1. Setbacks -Easements 2. Soils; Compaction -Structure Stability 3. PootStructure; Steel -Connections -Thickness Dead Men -Lining 4. Elec.; Receptacles and Lighting, Distance-GFI 5. Elec.; Pool Lighting; 15 Volts-GFI 6. Elec.; Enclosures; Conduit Entries-Terminals-Usted 7. Elec.; Bonding; Metal w/6 -Circulating Equip. -Heater 8. Elec.; Grounding; Equip. w/5' Circulating Equip. -Pool Lghtg. Boxes-Enclosures-Paneiboards-Ina. to Main in Conduit 9. Health Department Approval 10. Plumb.; Cir. TestaNater Supply Test 11. Light Niche Date Card B-1 Date Card B-1 Date Card B-1 Date Card 13-1 wl =No O = Not OK RESIDENTIAL - = Not Applicable = Not Ready Date UNDERFLOOR (Plans) OK except #a 1. ZoningSetbacks-Easments-FloodSlope 2. Ftg., Main; Soils-Elec. Gmd.-/ /' Ftg. Depth 3. Ftg. Garage; Soils-Steel-Elec. Gmd/ P Ftg. Depth 4. Ftg. Porches & Decks; SoilsSteel-/ C Ftg. Depth 5. Stemwalls, Main; Steel-Blockouts-Wrapped 6. Stemwalls, Garage; Steel-Blockouts4Nrapped 6a. Hold Downs and Special Anchors . 7. Slab, Steel -Wrapped 8. Piers -Fireplace Ftg.-Steel -� 9. D.W.V.; Fall -Fitting -Test -2 Way C/0 -Sewer Test S n 10. UF. Gas Pipe; Size Anchors - Yard Gas Piping; Size Test 11. Water Pipe; Test-Anchors-RegulatorService Test 12. Electric Underground 13. Plenums & Ducts; Clearance -Material -Support -Ins. 14. Girders -Sills -Anchor Bolts -Joists Vents-Crippies 15. Access & Ventilation 16. Insulation D to Card B-1 Date Card B-1 D Dto Card B-1 Date Card B-1 PLUMBING (Permit) OK except #'s 46. Hangers -Post Caps -Anchors -Connectors 17. Water Htr.; Vent -Access -Combustion Air Baffle 18. Water Pipe; Test & Anchor -Nail Protection 47. Cling. Joist-Rftr. Ties-Purlin-roff Brac: Truss-Shting.-Rfng. 19. D.W.V.; Test Fittings & Anchor -Nail Protection Fixture & Transformer Clearance -Ins. Protection 20. Shower Pan; Test, First Floor -Tub Access 24. 21. Test Tub & Shower, Second Floor -Tub Access 22. Gas Pipe; Sae & Anchors Da Card B-1 Date Card B-1 Date Card B-1 Date Card.B 1 Date 46. Hangers -Post Caps -Anchors -Connectors ELECTRICAL (Permit) OK except #'s - 47. Cling. Joist-Rftr. Ties-Purlin-roff Brac: Truss-Shting.-Rfng. 23. Fixture & Transformer Clearance -Ins. Protection Fireplace Ties or Type A Flue -Fireplace Throat clearance 24. Elec. Receptacles Spacing -Lights & Switches at Doors Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 25. 26. Size Boxes & No. of Conductors Stapled Romex Installed Close to Edge of Studs & C.J. Bdnn. Windows or Exiting Doors -Sill Hgt. & Dimensions 27. Equip. Ground made up w/Mech Fastners-Bond Gas & Water Garage Fire Protection Framing 28. 2 Appliance Circuts in Kitchen & Conductor Size GFI 29. Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / / ga Cu or AI 30. Range Circ. / / ga Cu or AI -Oven Circ. / / ga Cu or AI Insulated Neutral 0 Yes 0 No 52. 31. Service -Riser Conductors & Ground -Main Disconect 53. 32. Equip. Clearances Panels-Motors-Mech. Epuip. 54. 33. Clothes Closet Light -Shower Light -Spa Light 55. 34. Smoke Detector 56. Siding -Nailing Veneer Date Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access Card B-1 Date Card B-1 Date Glazing Area -Glass Protection -Skylights -Plastic Card B-1 Date Card B-1 Date Shear Walls; Nailing -Bolts MECHANICAL (Permit) OK except #'s 60. Brace Interior / Exterior Wall Panels 35. A.C. Ducts Insulation & Support Insulation -Walls -Ceilings 36. Vent Fan, Exhaust above insulation 62. 37. Condensate Drain & Overflow, Size & Grade 38. Fumance-Vent Access -Comb. Air -Return Air Vent 115 outlet Date 39. Attic Access & Platform if Furnace in Attic Date Card B-1 Date Card B-1 Date FINAL (Plans) OK except #'s Date 63. Card B-1 Date Card B-1 Date 64. Card B-1 Date Card B-1 Date 65. FRAMING (Plans) OK except #'s 40. Sits Prober Materials & Anchors 41. Walls Studs -Nailing Spacing & Braces -Plates -Sound 42. Bearing Walls over Girders & Floor Nailing 43. Draft Stop in Walls (rat proof) 44. =ire Stops, Furred Ceilings -Stairs -Chasers -Tubs 45. Headers & Beams -Size & Bearing (Single & Duplex) Date FRAMING (Continued) 46. Hangers -Post Caps -Anchors -Connectors 47. Cling. Joist-Rftr. Ties-Purlin-roff Brac: Truss-Shting.-Rfng. 48. Fireplace Ties or Type A Flue -Fireplace Throat clearance 49. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 50. Bdnn. Windows or Exiting Doors -Sill Hgt. & Dimensions 51. Garage Fire Protection Framing 52. Property Line Firewall & Openings 53. Ext Doors -One &-Check Garage 3rd Story, 2 Exits 54. Stairs; Width -Headroom -Rise -Run -landing -Fire Protection 55. Plywood on Roof Overhang -Attic Vents -Rafter Outriggers 56. Siding -Nailing Veneer 57. Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access 58. Glazing Area -Glass Protection -Skylights -Plastic 59. Shear Walls; Nailing -Bolts 60. Brace Interior / Exterior Wall Panels 61. Insulation -Walls -Ceilings 62. Infiltration -Walls -Windows Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date FINAL (Plans) OK except #'s 63. Ext Steps -Door & Sidelight Protection -Landings 64. Smoke Detector 65. Furnace; Vents -Clearance -Comb, Air-Conector- In Garage; Above Floor -Ducts -Meth. Protection 66. Bedroom Exiting 67. G.F.I. & Bath Fixtures & Tub Access -Spa 68. Elec. Trim & Subpanel, Breaker Sizes & Labels 69. Stairs & Rails 70. Fireplace or Stove, Clearance -Hearth 71. Elec. Outlets at Wood Panel, Int. & Ext. 72. Kit. Fixt. & Appliance; Ground. -Air Gap -Cooking Clearance 73. Elec. Outlets & Recepticales at Kit. Counter 74. Garage Fire Door; Swing -Landing -Closure 75. A.C. Duct in Garage -Damper 76. Wtr. Htr.; Vents -Clearance -Comb. Air Connector-P.R.V. In Garage; Above Floor -Meth. Protection 77. Plb., Elec. & Mech. Equip. Listed for Location 78. Elec. Receptacles in Garage (G.F.I.)-Romex Protection 79. Insulation -Foam -Looked in Attic 80. Guard rails & Deck Construction -Post Caps 81. Fdn. VBents & Crawl Hole Door Drainage & Wood -Earth Clearance Looked under Floor 0 Yes 82. Following Instid./Drive 0 Yes 0 NoAtValks 0 Yes 0 No/Planters 0 Yes 0 No 83. Stucco Brown -Finish 84. A.C. Unit Disconnect, Electrical -Plumbing 85. Vents Above Roof, Plbg-Appliance-Fireplace-Clearance to Openings 86. Water Well, Disconnect, Electrical, Plumbing 87. Exterior Elec. Trim, G.FI. Receptacle -Underground 88. Ventilation Throught House 89. Glass Protection 90. Corrections from Previous Inspections 91. Gas Test -Meters Tagged, Gas -Electric 92. Water & Sewer Connected -C/O to Grade -HD Approval 93. Energy Compliance Certificate -Other Certificates Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Comments at Final: ."t�.., �.-�i1�r�s�`t'�,-%"'3`r'�n.,,�a'�i';;�'+}`�'�t°i.�,'P'``.yK�.�y��,a,;.,,,.,��i*�r+v? �avj'�i�`c�:`sr5p�ay.:�:,-�t'.F*�'.��r-*cTr-�.-•:�;,.':�r.,3i?;:4��'�r7s*s'�'t+�S�,;4%�'`'�vk�:a':-;r�.."`�-r�.3=:. i ��-��� � .. � . . ,. . ... . - � �`''�, ��.,� 'O'` s'`'�'`' COUNTY OF BUTTE- DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION '7 County Center Drive - Oroville, California 95965 - Telephone (916) 538-7541 /,� PERMIT NO. (Rev.12/96) APPLICATION AND PERMIT �' ASSESSOR PARCEL NUM BbQ s`! O+ O— ! 0.ow�aEq _ 5 S BUILDING PERMIT erg TELEPHONE - 3 SO. Fr. OCC. BUILDING VALUATION OWNER' IJNG--` RES O k . CONTRACTOR'S NAME OW VN'eY' TELEPHONE CONTRACTOR'S MAILING ADDRESS CONSTRUCTION LENDER Fireplace LENDER'S MAILING ADDRESS Total Valuation ARCHITECT OR ENGINEER LICENSE NO. Film Fee $ 20.00 Permit Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Plan Checking Fee $ • U U BUILDING ADDRESS ' . Energy Plan Checking Fee $ PERMIT FEE $ LOT NO. SUBDIVISION'S NAME PARCEL MAP PLUMBING PERMIT Filing Feel 20.00 USEOFS-TRUCTURE SF Duplex ❑ Mobilehome ❑ Other ' F. SPECIFY Each Trap 7.00 Solar or heat pump water heater 23.00 Water piping 15.00 Each as water heater or vent 15.00 TYPE OF WORK New ❑ Addition 0 Remodel ❑ Utilities ❑ Installation ❑ Other El-- Describe Work: , � �i� r(yy 1 W �✓ Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home S G W @20.00 PERMIT FEE $ x t S +_ 01 t SELECTRICAL $1111V ffw PERMIT Filing Fee 20.00 Main Service 23.00 .Q() LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect. License Class LIC. No. OWNER -BUILDER DECLARATION 1 hereby affir�r .under penalty of perjury that I am exempt from the Contractors License Law f2o;,JheTollowing reason: as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. ❑ I, as owner of the property, am exclusively contracting with licensed 'contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ 1 have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier Main Service 200A TO 1000A 46.00 NEW CONST. DWELLING OCCUR OR ADONS. ( a ACC. BLDs. SO 3.50' NDN-RESID. T. ANCH UTCET @7,50 POWER APPARATUS a SINGLE 0 "LETCIR. Ex. Occup. ourLEr OR FDcruREs 20BAL@'.550 FIXED APP WS. OR Ex. Occup. ourLETs RESID. EA 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE $ MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE $ Policy Number (The above sections need not be completed if the permit is for work of a valuation f one hundred dollars ($100) or less.) I certify that in the performance of the work for which this permit is issued, I shall not employ any erson inlany man er so as to become subject to workers' �compeaati n 1 of Cali ornii and gree that if I should become subject to the tifbrlerrs' co p r1 tion rovisions k F section 3700 of the Labor Code, I shall forth w h c p,y ' th tl4o a pr'ovisioii j i X .0 Date Sig'nature of Appli a t - nei O C ntractor ❑ Agent An OSHA permit is required for excavations • ver 60" deep and demolition or construction of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ c cc O CONE . PE ' TOTAL FEE $ O S ' O HA2." ... . FEES •— IMP ,, FLOOD -- CDF .. PARCEL PD ,•EL .D HD HD This permit is hereby issued under of the Butte County Code and/or indicated above for which fees have By ,J /�M��'f...x PERMIT EXPIRES ON the applicable provisions Resolutions to do work been paid. ,tDate i o Date ReceiptNo. 0 61d co WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT COUNTY OF BUTTE -DEPARTMENT OFDEVELOPMENT SERVICES -BUILDING DIVISION 7 County Center Drive - Oroville, California 95965 - Telephone (916) 538-754bPE MIT NO. (Rev. 12/96) APPLICATION AND PERMIT f� ��/ ASSESSOR PARCEL NUMnS � _ O / U ZD 5 BUILDING PERMIT GW TELEPHONE SO. FT. OCC. BUILDING VALUATIO O OWNER I RESS� � � � C,ezCONTRACTOR'S NAME 1^ Y \� TELEPHONE CONTRACTORS MAILING ADDRESS. CONSTRUCTION LENDER Fireplace LENDER'S MAIUNG ADDRESS ' Total Valuation $ Q ARCHITECT OR ENGINEER LICENSE NO. —Filing Fee $ 20 Permit Fee $ UOR) ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ BUILDINGADDRESS Energy Plan Checking Fee $ $ ' PERMIT FEE $ LOT NO. SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMIT Filing Fee 20.00 USEOFSTRUCTURE F, SF LT Duplex ❑ Mobilehome ❑ Other ' 1 - ' SPECIFY Each Trap 7.00 Solar or heat um water heater 23.00 Water piping 15.00 Each gas water heater or vent 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other B--- Describe Work: W l aro Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home I S I G I W @20.00 PERMIT FEE $ F S� (O'g77 ELECTRICAL PERMIT Fling Fee 20.00 EOOY OR LESS Main Service 2ooA OR LEss 23.00 .O LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect.PSING License Class Lic. No. OWNER -BUILDER DECLARATION I hereby affir nder penalty of perjury that I am exempt from the Contractors License Law fortheFollowing reason: as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason Main Service ( 200A TO 1000A 46.00 NEW CONST. DWELLINGOCCUP. OR ADDNS. ( a ACC. O.CC. so 3.50FT: NEW CONST. MULTI.OUTLET NON-RESID. C CIRCUITS @7.50 8 E OUTLET CIR. APPARATUS R. Ex. OCCU OUTLET OR FIXTURES 20 Q 1'00 BAL @ .50 FIXED APPLNS. OR Ex. Occu ourLErs RESIo. EA 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE $ 3. WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ 1 have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier Policy Number (The ove sections need not be completed if the permit is for work of a valuation ne hundred dollars ($100) or less.) 1 certify that in the Performa "of the work for which this permit is issued, I shall not employ any erson I any ma er so as to become subject to workers' compe ti n I of Cali ornia, and gree that if I should become subject to the e ' p n tion rov'Isions f section 3700 of the Labor Code, I shall forth h p y th tho e p ovisi X Date Sign ture of Appli t - caner ❑ Cc ntractor ❑ Agent An OSHA permit is required for excavations ver 60" deep and demolition or construction of structures over 3 stories in height. MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE $ Mobile Home Installation Fee $ Energy Inspection Fee $ cc2 J poNsr T�Re TOTAL FEE $ HA . FEES IMP FLOOD C D F PARCEL pp HD SU This permit is hereby issued under of the Butte County Code and/or indicated above for which fees have Byc PERMIT EXPIRES ON the applicable provisions Resolutions to do work been paid. Date G, / —/s-9 00 Miq Receipt No. WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT TO: Building Department FROM: Environmental Health SUBJECT: Sanitation Clearance LN CY/�Cz� E.H_USiH ONLY Plat Plan AttacLod � Floor Plan Sent to B.D. Owner Location "AP// Plan Approved for: Sewage Disposal Water Supply: Public Private Well Clearance for bedroom mobile home. Other (IM be , KVU ;-cC)zt, t-4 , Hold final for: Final clearance O.K. for: Health Specialist 8/92 q. -1/- y�? Date .♦ -�'-' �.. .; �. y.'R�` �-a -s.y{'1':�Ay of n.�rw R^ '++., iY'"(.I .".+Y •M^.�.� •14.,T --v Y; ��Y`.f, i !k';fr, 4'.n.?'i i:I r•�v1%' :-'fi.,-... r"i... y.Y* t 4 . COUNTY OF BUTTE DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE (916) 538-7541 PERMIT APPLICATION DATA SHEET OWNER:ASSESSOR PARCEL/ _9/ NUMBER: Proposed Building Ose:��41,3�0VBuilding Inspector: 3 Date: At time of permit application, I was advised the following data must be submitted prior to permit processing and/or issuance: Date Received By ❑ 1: items have been submitted.------------------------------------------------------------------------------------- yG lot plans, A sets, signed by the preparer of plans. �---------- 3. Complete plans, 3/4 sets, signed by the preparer of plans. ----------------------------------------------------- ❑4. Engineered plans, 3/4 sets, with wet signature on plans. All engineering must be shown on plans. -------- ❑ 5. Engineered truss details and layout in duplicate (required prior to plan review) No faxes! ------------------ 116. Energy Design Compliance and supporting documentation. ❑ 7. Statement of Intent for Non -Heated and A/C Buildings. ---- 0 8. Hazardous Material Form. ------------------------------------------------------------------------ ❑9. Manufactured Home data and installation instructions including Tie Down Specifications. ❑ 10. Fees of $ ------------------------------------------------------------------- ❑ 11. Impact fees as shown on the attached schedule. ----------------------------------------------- ❑ 12. California Department of Forestry plan approval/fees.-------------- 13 . Flood elevation certificate. --------------------------------------------- 61Vanitation and plot plan approval l c 6� Health Department. ity of -Chico plumbing permit. --------------------------------------- ❑ 16. Plot plan and business license approval from the City of Biggs. --- ❑ 17. Planning approval for (A) Use: (B) Parking: ❑ 18. Contact Land Development about ❑ Improvements, ❑ Drainage, ❑ Legal Parcel. ❑ 19. Encroachment Permit for driveway, (construction approval prior to occupancy). --------------------- 0 20. Pre -inspection for required. Request to Building Inspector on 021. Contractor's license information. (Number, Name Style, Classification). ----------------------------- 0 22. Workers' Compensation carrier and policy number. ----------------------------------------------------- 1:123. Owner -Builder Verification (Given to owner ❑, Mailed to owner 0) - ------------------------------- C324. ----------------------------- ❑24. Letter of signature authorization. -------------------------------------------------------------------------- ❑25. Recorded copy of Agricultural Acknowledgment Statement. ------------------------------------------- ❑26. Letter of intent on building use. ---------------------------------------------------------------------------- ❑27. Manufactured Home utility clearance. --------------------------------------------------------------------- ❑28. Existing violations and/or expired permits. --------------------------------------------------------------- ❑29. 11433 A, ❑Grant Deed, ❑ M.H. Title, ❑ Check to H.C.D $ .-------- 030. ------- ❑30. Other: When you issue the permit, process as follows ❑ Mail to owner, ❑Mail to contractor ❑ Telephone and hold for pickup at Applicant: Copy of Haz-Mat form sent ❑ Health Department, ❑ Fire Department, ❑ Air Copy of plans sent ❑ Health Department, ❑ Fire Department, ❑ Other: (Date) 1. Index permit application for the above items numbered: d1r ❑ Plan Check List 2. Additional items required: e Contractor, designer weer, as advised of the above required data by Rphone Kmail, ❑ Building Division• counter, by Date: Contractor, designer, owner, was advised of the above required data by 11 phone, ❑ mail, ❑ Building Division counter, by Date: Contractor, designer, owner, was advised of the above required data by ❑ phone, ❑ mail, ❑ Building Division counter, by Date: Contractor, designer, owner, was advised of the above required data by ❑ phone, ❑ mail, ❑ Building Division counter, by Date: Plans reviewed by: Date: Plans approved by: Date: Sets of plans on hold in ❑ Plan Cabinet, 9,WP. folder. Note transfer by: Date: Y llow Copy - Department of Development Services, gi ilding Division. P 367_ x,.93 617 RECEIPT FOR CERTIFIED MAIL NO INSURANCE COVERAGE PROVIDED— NOT FOR INTERNATIONAL MAIL (See Reverse) Sent to Rudolph S onti Street and No. P.O., State and 21P Code Chico CA 95926 Postage $ Certified Fee Special Delivery Fee Restricted Delivery Fee Return Receipt Showing to whom and Data Delivered Return Receipt Showing to whom, N Date, and Address of Delivery ao �+ TOTAL' Postage and Fees $ a o w Postmark or Date o 0 , 00M en E U AP #56-14-71 w 3/15/84 STICK POSTAGE STAMPS TO ARTICLE TdCOVER FIRST CLASS POSTAGE, CERTIFIED MAIL FEE, AND CHARGES FOR ANY SELECTED OPTIONAL SERVICES. (see front) 1. If you want this receipt postmar4o, stick the gummed stub on the left portion of the address side, of the article leaving the receipt attached and present the article at a post office service window or hand it to your rural carrier. (no extra charge) . # l If you do not want this receipt.postmarked, stick the gummed stub on the left portion oV the �jddress side of the article, date, detach and retain the receipt, and mail the article. If you want a return receipt, write the certified -mail number and your name and address on a 'f: return receipt card, Form 3811; and attach it to the front of the article by means of the gummed ends if space permits. Otherwise, affix to back of article. Endorse front of article RETURN RECEIPT REQUESTED adjacent to the number. 4. If you want delivery; restricted to the addressee, or to an authorized agent of the addressee, �. endorse RESTRICTED DELIVERY on the front of the article. 6. Enter fees for the`aervices requested in the appropriate spaces on the front of this receipt. If return receipt is requested; check the applicable blocks in Item 1 of Form 3811. 8 S'hve this receipt and Present it if you make inquiry, ® SENDER: Complete.iterns 1, 2, and 3. Add y:Zur address in the "RETURN To" apace on Muse. 1. The following service is requested (check one.) yDq� Show to whom and date delivered..:......... —Q i�Show to whom, date and address of-delivcry..._� ❑ RESTRICTED DELIVERY Show to whom quid date delivered............ _ a ❑ RESTRICTED DELIVERY. Show to whom, date, and address of de,i.ery.$_ (CONSULT POSTMASTER FOR FEES) 2. ARTICLE ADDRESSED TO: �. . Rudolph Sgontz 2 Highland Circle Chico, CA. 95926 3. A;i rICLE DESCRIPTION: RZ=rERED NO.CER'r:TIED NO. INSilREDd10. IP367-193-817 (Always obtain signature of addreme or agent) I have received tt e.artic a described above. SIGNATURE C]Addressee ClAuthorized agent 1 4. DATE OF LIV 11 R 5. ADDRESarty If requ ) 6. UNABLE TO DELIVER BECAUSE: ? .r'CL'ER. IkIT Ls' AP #56-14-71 3/15/84 *GPO :tereaoo-4s9 ;. UNITED STATES POSTAL SERVICE OFFICIAL BUSINESS _ dim— PENALTY FOR PRIVATE SENDER INSTRUCTIONS USE To AVOID PAYMENT Print your name, address, and ZIP Code in the space below. of POSTAGE. asoo LL • Complete items 1, 2, and 3 on the reverse. • Attach to front of article If space permits, ptherwim affix to back of articles • Endorse anicbt "Retum Receipt Requested" adjacent to number, RETURNI GGO� ���LiG moo` pEp't. Department of Public Works (Name of Sender) : ONR 919$4 7 County Center Drive �M g 10�v►��1i2�3t4���� .....(street orP.o. Box) - - - ....... -. �fal Oroville, CA 95965 (City, State, and ZIP Code Attn: Building Department � WRAV, 3r oz,-d August 27, 1997 Chin, Susan & Herhusky, Robert 111 Resources Ln. Cohasset, CA. 95973 Assessor Parcel Number: 0567140-071 Building Permit Number: 97-1767 B E A U T Y DEPARTMENT OF DEVELOPMENT SERVICES 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965-3397 TELEPHONE: (916) 536-7541 FAX: (916) 538-2140 The above referenced building plans were reviewed by this office. Provide additional information and/or make revisions to plans, specifications and calculations as follows: 1. Provide complete plot plan with all structures indicated on the plan. The plan must be drawn to scale and signed by the preparer. 2. Sanitation and plot plan approval is required by the Chico office of the Environmental Health Department. If you wish to discuss any requirements, you may contact me at (916) 891-2751 between 1:00 p.m. and 4:00 p.m., Monday through Thursday. Sincerely, Glenn Gibbons r I ilC;ct, �fC •�.h;i FOR RESIDENTIAL DEVELOPMENT M; U. t°�3ylJ7Y-(3G1'r .Section 26-8.1 of the Butte County Code requires this acknowledgement be recorded prior to issuance of a building permit. 2 22 m i o B The property described herein is adjacent to land or included within an area zoned for agricultural purposes, and residents of this CLFRRS. l property may be subject to inconveniences or discomfort arising from I"`j•>?•�•5 FFE the use of agricultural chemicals, including, but not limited to herbicides, pesticides, and fertilizers; and from the pursuit of agricultural operations including, but not limited to cultivation, plowing, spraying, pruning, and harvesting which occasionally generate dust, smoke, noise, and odor. Butte County has established agricultural 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: Date: 1A-15 UU`A 't PROPERTY OWNERS: State of On this the I day of �QLe �, 9 , before SS. me, the undersigned Notary Public, personally appeared County of �� U�`Z— ) /ill ,L • .._..'\ � L/ Personally known to me. k/ -Proved to me on the basis of satisfactory evidence. to be the person(s) whose iiame(s) su�bocribed to the within instrument and acknowledged that executed the same for the purposes therein contained. IN WITNESS WHEREOF, I hereunto set my hand and official seal. t Notary Public Present A.P. No .729" I Ct DONALD DRIVON ® NOTARY PUBLIC -CALIFORNIA Butte County My Commission Expires Sept. 16, 1985 y=Zr T. til- yy7lY . A: s �. PARCEL 4arce1 4, as shown ' on the Pared 1 0.p,. a portion of the East half Of Northwest quarter of Section 26, ohip 24 North, Range 2 East, M.D.B. & 11., which Parcel Map was filedoffice of the Recorder of the County. of Butte, State of California, i:�•��* 1979, in Book '71 of -Parcel claps, at page 5. �4?FniFR r . PARCEL B ' A 60 foot' non --exclusive easement• fa, egress and egress and for. public util.ities, 'as shown on the Parcel Kap�,of�a "portion of the East half of the Northwest quarter of Section z't;jTownship 24 North, Range 2 East, M. D. B. & 14., which Parcel Man W421filed in the office of the Recorder . of the Countv of Butte, State of 61fforn.xa, May__9, 1979, in Book 71 of Parcel Maps, at nage EXH I BIT "'A" o; - o 00 ' t END OF DOCUMENT 0 ; RESIDENTIAL PLAN CHECKING GUIDE (S.F., DUPLEX, & MISC. ONLY) OWNER UQ C;r' S'�' 0 /(J T Z A. P. A. GE „RAL Zoning requirements (sideyards and parking). Valuation. Signature by R.C.E. or Architect (if required). B. PLOT PLAN ll!'�Complete parcel size and dimensions. Setbackq, sideyards, easements, etc. Other buildings or structures. Grading, fills, drainage. C. FLOOR PLAN Complete to scale plan with dimensions. Permit # 37/v 7"1. Required windows for second exit (Sec. 1404). 4. Allowable glazing for energy requirements (20% max. per.State law). f� Human impact glass (Sec. 5406). Required roomsizes, ceiling heights (Sec. 1407). G.F.C.I.'s'in baths and exterior outlets (Sec. 210-8). Light fixtures, switches, receptacles, and exterior receptacles for maintenance of mechanical equipment. Locations of water heater, heating & cooling equipment, other electrical or gas equipment,: and'plumbing fixtures. Garage firewall, door size, and closer (Sec. 503(d)(4)). 1 - 3'0" exterior exit door (Sec. 3303d). Fireplace location. Smoke detectors'(Sec. 1413). D, STRUCTURAL ,DETAILS x Foundation:plan complete enough to construct building. Floor construction details complete enough to construct building. Elevations and wall construction details complete enough to construct building. 4. Roof construction details complete enough to construct building. if Fireplace construction details and calcs if over one-story in height. 6. Sufficient data and details to satisfy energy insulation requirements (State law). E. MISCELLANEOUS ITEMS TO LOOK OUT FOR CCX plywood on exposed locations and overhangs. 2! Stairway details (Sec. 3305). f3: Guardrail details (Sec. 1716). Brick or stone veneer (Chapter 30). Exterior plaster - weep screeds (Sec. 4706 & 4708). �i. Proper roof pitch for roof covering (Chapter 32). Rafter ties or bearing ridge beam, r Garage door or porch header sizes. Adequate bracing. Living area over garage - complete 1 -hour separation required including supporting walls and posts, etc, Two (2) exits on three-story dwellings (Sec. 3302). ZONE 11 OWNER R &A!e_ 5*6A,) TZ POINTS PERMIT NO.ASSIGNED ACTUAL 1. SLAB - INSULATION s' 2. RAISED FLOOR - R-19 3. CEILING - R-30 i 4. WALL - R-19 'e -7 LE 5. NORTH GLAZING - 2.4-3.6% lit= 6. EAST GLAZING - 2.5-3.6% �• 2 7. SOUTH GLAZING - 1.6-3.6%,� ..d S. WEST GLAZING - 2.9-3.6% 9. SKYLIGHT - 0-1.3% 10. SHADING (Exclude Overhang) EAST - f •L .66 SOUTH - 1• Z.19-.42 WEST - C-7.13-.36 �- .SKYLIGHT - .37-.57 11. HORIZONTAL SOUTH OVERHANG 2' 12. MOVABLE INSULATION - NONE_ 13. INFILTRATION (Standard=0)(Tight=+12) M2 14. THERMAL MASS SF 15. GAS FURNACE (SE) 71-76% 16. HEAT PUI1P (EER) 7.5-7.9% 17. DUAL PACK (SE, SEER) 8.0-8.3/71-76% WOOD STOVE 33 WATER HEATER p ATTIC /Qy .7. 3 OTHER . O Table 3-3a. Ceiling Insulation Pntnta R -Value of Insulation I I I Points ! I I 1�'� I � 1 30 0 I 38 I +2 1 49 I +4 Table 3-4a. Wall Insulation Points R -Value of Insulation 1 Points Table 3-7. South-Facin Glazing Pta Table 3-10. Shading Coefficient Points T- .-I F 1__ 1 I Glazing Type I I Total I I Z of I Sngl, Dbl, Trpl, I Floor I (U - I (U - I (U - I I Area 11.10) 10.65) 10.41)1 I Ipoints [points [points[ o +s +3 +D l u eo t.s I +2 1 +2 1 +2 I 1 -r -773=I -I 1 "6 1 0 1 1 3.7•- 5.2 1 -4 1 -2 1 -2 ! 1 5.3- 6.5 1 -6 1 -4 1 -3 I 1 6.6- 7.7.1 -9 1 -6 1 -5 1 1 7.8- 8.9 1 -11 1 -8 1 -7 I 1 9.0-10.0 1 -13 1 -10 .I -9 I 110.1-11.5 I -17 I -13 I -11 I 111.6-13.0 I -21 I =16 I -14 ! 113.1-14.5 I -25 I -19 1 -16 I 114.6-16.0 I -28 I -22' I -'.9 1 SC by I 1 Orten- I Z Floor Area I cation I I I ! Ea at I 1 3.2T-- I 11 6.3 1 0 -.19 I 0 ( +1 I +2 I .20-.36 I 0 I 0 1 41 I 37-:66 ':'I;1 I $ 1 0 i 0 I -IT Table 3-8. West-Facin GlazingPts. I 0 1 -1 I -2 I I I South 1 0 1 3.2 1 6.4 1 8.0 1 9.6 I I to I to 1 -to I to I up I 1 3.1 16.3 1 7.9 19.5 I I 0 -.18 1 30 1 +3 1 I 0 1 -1 I -2 I e2 -3 Glazing Type I I West I I 1 Total i 1.5 13.1 16.3 17.9 I I I I I I 0-.12 1 0 1 +1 I +3 I +6 I +7 .13-.36 I 0 1 0 I 0 1 0 1 0 .37-.57 I Z of I Sngl, Dbl, Trp1,1 Sable 3-5. T- North -Facing Glazing pts I Floor I Area 11. - 11.10) 10. - 10.65) 1 0. - 1 10.41)1 1 7 1`5 13.1 13.9 15.2 I Glazing Type I I I pints ! pints I ointsl I Total I .83 up I 0 •6 ♦6 +6 Z of ST. . Dbl, Trpl, I up to 1.3 1 1.4- 2.2 ! +5 I I +3 I +6 +4 ! +6 i ! +5 I I Floor I U- l u- I U- I I 2.S- 2.8 I 0 l +2 I +3 I Axes ! 0.66 10.42- 10.41 1 I 2,9- 3,6 I -3 I 0 1 +1 I I 11.10 ! 0.65 I down 1 -+'4 I 3,7- 4,2 1 -5 I -2 i 0 1 O I 0.1- 1.2 + 4 I +4 ! a 4 +4 I +4 1 ! 4.3- 5.0 I -8 i -4 1 -2 I 1.3- 2.3 I +1 1 +2 I +2 I ! 5.1- 5.6 I -10 I -6 1 -4 I 1.4- T 6-i -2 I �- I +1 ! I S� I -13 I 1 1 1.4- 2.2 I -3 I I 3.7- 4.8 I -4 I -2 ! -1 ! I 6.3- 6.9 I -I S l -� I -7 1 I 4.9- 6..1 I -7 ! -4 I -3 1 I 7.0- 7.6 I -18 I -12 ! -9 I 6.2- 7.3 1 -9 1 -6 I -5 I 1 7.7- 8.2 1 -20 1 -14 ! -11 I 1 7.4- 8.2 I -12 i -8 1 -7 1 1 8.3- 8.8 1 -22 I -16 I -13 I 1 8.3- 9.7 I -14 ! -10 I -8 1 1 8.9- 9.5 ( -25 I -18 I -15 I I 9.8-10.8 ! -17 I -12 I -10 1 1 0.6-10.1 ! -27 -20 I -16 I 110.9-12.0 I -19 I -14 I -12 1 110.2-11.0 i -29 1 -23 ! -17 ! 12.1-13.2 1 -22 1 -16 I -13 I ! 11.1-11.8 I -35 I -26 I -21 I 1 13.3-14.5 I -24 I -18 I -15 I ! 11.9-12.7 I -38 I -29 I -24' I 14.6-15.3 -27 1 -20 -17 ! 12.8-13.5 1 -42 I -32 ! -27 I -2 i i i ) 13.6-14.3 I -46 I -35 1 -29 1 -19 1 -14 ! -12 I ! 1 14.4-15.2 1 -50 I -38 1 -32 I SC by I 1 Orten- I Z Floor Area I cation I I I ! Ea at I 1 3.2T-- ( 10-3.1 I to 1 6.4 up 6.3 1 0 -.19 I 0 ( +1 I +2 I .20-.36 I 0 I 0 1 41 I 37-:66 ':'I;1 I $ 1 0 i 0 I -IT I 0 I 0 I -I 1 .83 up I I 0 1 -1 I -2 I I I South 1 0 1 3.2 1 6.4 1 8.0 1 9.6 I I to I to 1 -to I to I up I 1 3.1 16.3 1 7.9 19.5 I I 0 -.18 1 0 1 +1 I +2 I ++2 IT +3 ( .19-.42 1 0 1 0 1 0 1 0 1 0 I 43-.66 I 0 1 -1 I -2 I e2 -3 "r% ups ,i I 0 I -2 I -4 I -4 ( -6 West I .1 i 1.6 13.2 16.4 19.0 I I Total I I to I to I to I to I up i 1.5 13.1 16.3 17.9 I I I I I I 0-.12 1 0 1 +1 I +3 I +6 I +7 .13-.36 I 0 1 0 I 0 1 0 1 0 .37-.57 I 0 1 -1 I -3 I -6 I -7 58-.82 I -1 I -3 I 6 1 -12 1 -15 �? up 1 -2 I -4 1 -8 I -16 I -.70 Skylight I .1 I .8 11.6 13.2 14.0 Sngl. I I to 1 to I to I to I to Trpl, 1 7 1`5 13.1 13.9 15.2 0-.12 1 0 1 +1 I +3 I +6 I +7 .13-.36 1 0 1 0 1 0 1 0 1 0 .37-.57 1 0 1 -1 I -3 I -6 I " .58-.82 I -1 I -3 I -6 I -12 1 -. .83 up i -2 i -4 i -8 i -16 i -20 Table 3-11. Horizontal South Overhane Points Table 3-9. Skylight Points South Gla -in TOTAL POINTS = ]�"/Z. Table 3-6. East -Facto Claz�lnB�Pt�s� I Length Out I Area, g Z of Floor I I I I Glazing Type I I from Wall I I I I Glazing Type I I Total I I I ft T ----I Total I Z of I 1 Sngl, Dbl, Trpl, I I Z of 1 Floor 1 Sngl. I Dbl, Trpl, 1 1 0-6.3 I 6.4 up I ?able 3-1. Slab Floor Points Table 3-2. Raised Floor Points I Floor I (U - I (U - i (U - I I Area 1 U- 0.66- 10.42- U- I 1 U- I 0.41 I I I 0 - 0.5 -2 1 I -4 T 7 T I Area 1 1.10) ! 0.65).1 0.41)) 1 11.10 10.65 I down I 10.6 - 1.0 I -2 I -3 I 17n=ula- I R -Value of Insulation 1 1 R -Value of I ( I I Polnts I pints I ointsl 1 1.1 - 1.9 l -1 i -2 I cion I I -T I Insulation 1 Points I l o l+ + ♦� -f I up to 1.7 I -1 I o f o f ! 2.0 up I D I u I I Depth, I I I 1 up to 1.3 1 +3 I +4 ! +4 1 1 1.4- 2.2 I -3 I -1 I -1 I I I I I I inches 1 ! 1 0-2 1 ! 3-4 ! I 5-6 1 I 7+ 1 I 1 I below 3 I -12 I 1.4- 2.4 I 2TTb I +1 I +2 1 +2 i -2 I -r 1 1 I 2.3- 2.8 I -6 I -4 I -3 I Table 3-12. Movable Insulation 0 1 I 2.9- 3.6 I -9 I -6 I -5 I Points i 3- 4 ! -8 I 1 3.7- 4.6 1 -5 I -2 i•-1 I I 3.7- 4.2 I -11 I -8 I -6 i 1 0- 11 I -5 I -5 I -5 1 -5 I I 5- 7 I -6 I I 4.7- 5.5 I -8 I -4 I -3 I 1 4.3- 5.0 I -14 I' -10 ( -8 I 1 Moveable Insulatlon'l I 112 - 15 I 116 - 19 I -5 I I -3 I I -2 1 -1 i I 8 - 12 1 -4' I I 5.7- 6.7 I -10 I -6 I -5 I I 5.1- 5.6 ( -16 I -12 ( -10 I I Area, Z of Floor ( Points I -5 -2 -1 I 0 I I 13 - 18 I r2 I ( 6.8- 7.7 I -13 I -8 I -7 I I 5.7- 6.2 I -19 1 -14 ! -12 I ! 20 + i -5 i -1 i 0 i +1 i 1 •19+ I 0 I I 7.8- 8.7 I -15 1 -10 I -B I i 6.3- 6.9 I -21 I -16 I -13 1 I I I I I I 8.8- 9.7 I -1.7 I-12 1 -10 1 1 7.0- 7.6 I -24 ! -18 I -15 1 1 0- 5.5 I 0 I I 9.8-11.2 I -21 I .-15 1 -13 1 1 7.7- 8.2 I -26 1 -20 I -17 I I 5.6 - 11.5 I +2 I 7/ 7 83 1 11.3-12.7 1 I -25 1 -18 •1 -15 1 1 8.3- 8.8 I -28 I -22 I -19 I I 11.6 - 17.5 I +4' I 12.8-14.0 I -28 I -21 1 -18 1 1 8.9- 9.5 I -31 1 -24 1 -21 I I 17.6 - 23.5 I +6 I t. i 14.1-15.3 1 -32 I -24 1 -20 1 1 9.6-10.1 I -33 1 -26 -22 I I >23.6+ I +8 1. r ' ' Table 3-13. lnf!l:tatioa Control Feetores Points I Coc:rol Features ( Points 1 1- I I I. Standard I 0 � I ( I Z.9 air changes per hr 1 I T- I I I Tight 1 +12 I I I I 1 +1.6 air changes per hr I I ; I I Table 3-15. Cas Furnace Without Refrieeration Ccol_r.e Points I Seasonal Efficiency 1 Points I I Ratio (EER) I •I 71 - 76 I 0 1 ! 77 - 82 1 +2 I I _ _83 = 88 I +4 I 189 - 94 ! +6 I ( 95 up I I I +8 I I 1 8.8 - 9.1 I Table 3-16. Peat Pumo Points T" I !nergy Efficiency I Points I I Ratio (EER) I I I 7.5 - 7.9 I +3 I S.0 - 8.3 I +6 I I 8.4 - 8.7 ( +9 I 1 8.8 - 9.1 I +12 I I 9.2 - 9.6 I +15 I 1 9.7 - 10.2 I +18 I 1 •10.3 - 10.8 1 +21 I I 10.9 - 11.5 1 +24 I t1.5 - 12.3 I +27 I I 12.4 - I 13.2 I I +30 I Table 3-17. Cas Furnace With Refriveration Coolinit Points :Refelgeraclonl Cas Furnace. I 1 Cooling I SE % I 1 1- 7-183- 89- 95 I 1 761 8:1 881 941 u I I 8.0 - 8.3 1 01 +21 +•41 +61 +8 1 I 8.4 - 8.7 1 +21 ++1 +61 +91+10 1 I 8.8 - 9.2 1 +4t +61 +0+101+12 1 I 9.1 - 9.7 1 +61 +81+101121+14 1 I 9.8 - 10.3 1 +31+1 a1+121+141+16 1 1 10.4 - 10.9 1+1G;+12i+141+16;+1S I 1 11.0 - 11.5 1+121+1:1+1614.131120 1 I I ! 1 I I 7/7/83 TABLE 3-14 (ADAPTED) MASS nvn, nee ZONE 11 INTERIOR THERMAL MASS POINTS AREA 1.000 1,500 I +2 I I 15 - 23 2,000 ( 24 - 30 I +6 I 2,500 I +8 I I 40 - 47 3,000 I 48 - 55 I +12 I 3,500 1 +14 I ' 4,000 I 4,sco_ fc2. 5,000 1 SQ. FT.I A B C D A 8 C D A B C Dj A B C D A B C 0 A 8 L D A 8 C D A 6 v +5 +8 +11 +14 SO2 ISO 2 2 2 2 4 4 4 2 2 6 6 6 4 4 2 2 4 2 2 4 C 12 2 2 2 2 2 2 •2 2 2 2 010 2 2 0 I 2 2 2 2 0 2 2 0 0 2 0 2 2 0 2 2 0 2 2 0 0 2 0 2 2 J 2 2 0 0 2 O 0 2 r o 2 2 0 2 2 o 0 2 a o 0 2 0 2 0 2 ? 0 0 2 0. O) o. 0 2 3 0 1 o 2 O 0 1 200 8 8 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 1I 2 ^ 2 0 J 253 10 10 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 2 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 2 2 2 2 2, 2 2 2 350 14 14 12 8 10 1G 8 6 6 6 6 4 6 6 6 2 6 4 4 2 4 4 4 2 4 4 2 2 4 4 2 7I 2 2 J 2 403 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 2 2 I 4 4 2 2 500 18 18 16 10 12 12 10 6 10 10 8 6 A 8 6 4 6 6 6 4 6 6 6 2 6 5 4 4 4 4 2 4 0 4 603 793 230 22 20 18 12 14 24 24 20 14 18 26 24 22 16 70 14 16 16 12 14 16 8 10 10 12 14 14 12 14 14 10 12 12 6 0 8 10 10 12 10 10 10 8 10 10 6 6 6 8 10 10 8 10 10 6 S. 8 4 6 6 8 8 10 C 8 A 6 6 8 4 4 4 6 8 ? 6 6. 6 6 6 6 4 I 6 4 1 6 4 I 8 6 R 6 < 6 6 2I 4t 4I 6 6 6 6 6 6 4 R 6 2 1 2 i a i 903 1,0110 28 28 24 16 22 30 JO 25 18 22 20 20 18 20 12 14 16 10 16 18 14 16 10 10 14 14 14 14 12 12 8 8 12 12 12 12 10 10 6 6 10 12 10 10 3 10 6 6 I u 10 8 10 '8 8 4 8 6 8 B 8 6 C 4e 4i 8 ^ 8 8 6 C t i d i I, ;OU 3' 37. 28 20 24 24 22 14 20 20 18 10 16 16 14 8 14 14 12 8 12 12 10 6 I)0 10 10 6 10 10 8 E I !J e e I � 1,200 1,3c0 34 32 30 22 26 34 34 32 22 28 26 26 22 24 16 16 22 22 20 22 18 20 12 12 18 18 18 18 14 1[ 10 14 10 1S 14 14 12 14 8 8 14 14 12 12 12 12 8 f•12 6 12 12 12 10 iJ E X10 6 12 10 10 8 10 6I Ci 10 10 In :e 8 F. 6 i b 1,400 34 34 32 24 28 28 26 18 24 24 20 14 20 20 18 12 16 16 14 10 14 14 12 8 14 14 12 B 11 1° :G 6; .0 I3 17 I E 1,500 136 34 34 24 30 30 26 18 24 24 22 14 I22 20 18 12 18 18 16 10 16 If 14 8 14 14 12 a I I? 1: 10 !•1 ;2 12 1; 1 d 2.000 34 34 32 22 3030 26 18 26 26 22 16 22 22 20 14 120 20 18 12 18 18 16 10 i 16 16 is CI 14 14 12 ? I 2,50'0 I J,000 3,500 1,030 34 34 30 22 I.0 34 30 32 26 30 18 22 26 30 32 26 30 32 24 26 ]0. 16 18 20 24 28 30 32 24 26 3026 32 22. 24 3C 14 16 I24 ld I2d 20 22 22 24 2B 30 19 22 24 16 ;2 20 14 22 16 26 18 i 20 20 22 24 28 18 20 22 24 !: 141 14 1 If 1 19 ;: ±; 5 1= :0 ;4 Zi t[ i'. 20 22 :0 li i 1.1 if 4,500 130 32 32 28 20 1 30 30 26 ;t I 5,003 _ I32 17 Zi 25j 1J ;v 26 I- i A) 1. 3'3' Concrete Slab: HC•8.93; R-.29; Factor -7.3 2. 3 3/4" Thick Comnon Brick: IIC-7.125; R-.13; Factor -7.3 8) 1. 5$" Concrete Slab: HC•14.106; P•.41B; Fattor•7.1 C 1. 8' Solid Filled Block: HC -20.63; R-1.90; Factor•6.1 2. 8' Soltd Filled Bloci Mlth Both Sides Exposed To Conditioned Air. NOTE: Use all square footage directly exposed to conditioned air for Thermal'Mass Area: I(C=10.164; R-.965; Factor -6.1 0) 1' Thick Concrete/Tile: HC -2.55; R-.083; Factorr3.7 wood stove #33 points -(no back up) ca,sablanca fan + 1 point Table 3-19. Zonally Controlled Electric Resistance Space Heating Points rte. ' Points foo this measure v!Ii I Table 3-20. Solar tinter Heating With Cas Backup Paints I be completed after the CEC I I has approved an Alternative 1 Component Package for Resistance I I Beat. Table 3-15, Active Solar Space Hestine with Cas Points Net Solar Fraction I Points I (NSF), z I I 1 ! I 0-6 I 0 I I 7 - 14 I +2 I I 15 - 23 I +4 I ( 24 - 30 I +6 I I 31 - 39 I +8 I I 40 - 47 ( : +10 I I 48 - 55 I +12 I ( 56 - 63 1 +14 I I 64 - 71 I +I8 I I 72 up I +20 I I: I Multifamll ( er unitpoints) Floor Area Net Solar Fraction (NSF), Z per un e, fc2. 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 +t6 +19 1,000-1,499 0 +2 +4 +6 +8 +t0 +12 +14 1.500-1,999 0 +1 +3 +4 +6 +7 +8 +10 2 (A,.d u 0 ' +1 +2 +4 +5 +5 +7 +9 All others (per building points) _ 800-899 0 +5 +10 +14 +1�' +-9 r :34 900-999 1,000 1,199 0 0 +4 +4 +9 .1.7 +13 +11 +17 +15 +il +26 +30 i -i9 +22 +26 1,20r,-1,499 0 +3 +6 +9 +12 +15 +18 +21 1,500-I,g99 0 +2 +5 +7 1 +9 +12 +14 +le 2,000-_,9:9 0 +2 +3 +5 +7 +8 +10 +11 I 3,01:0 ar.d uo -0 1 +1 +3- +4 +5 �7_ +S +11) 1 I Other Water Heatlne Pts. System Type ( Points I I I t Cas Only I 0 I Beat Pomp I 0 I Solar with Electric I ( Resistance Backup t Meeciny the Require- I I menu is Part 2 I 0 I I I Electric Resistance ( O ly ; -SO of Join OROVILLE, CALIFORNIA GENERAL CLAIM CLAIMANT: ADDRESS: CITY & STATE: IMPORTANT: SEE INSTRUCTIONS DATE OF CLAIM: ON REVERSE -SIDE SUBMIT CLAIM TO DEPARTMENT RECEIVING GOODS OR SERvtrEs DATE DESCRIPTION OF CLAIM (DESCRIBE FULLY TO AVOID DELAY) AMOUNT TOTAL I. the undersigned, declare under penalty of perjury that the services or articles claimed have b en Per)rmd or delivered, and that this claim is true /Ia\\1ndd "correct as stated. a Dated this ..L ll k., ,.. Y of 3 1 at l!"`I tl Cali[. .... .. . .......... .... Sign re o laiman[ I, the undersigned, hereby certify that, to the best of my knowledge, the services or articles specs ed above have been performed or de- livered and that there is a Budget Appropriation ❑ or Specific Board Approval ❑ (Check one) for the some. Dated this .................................... day of ............................ 19....... at Calif.........................................................:.............. Department Head or Authorized Deputy Dept. g=P, Code............................................ Code .......................... PAYABLE FROM .................................................................................................................. FUND DO NOT WRITE BELOW THIS LINE - AUDITOR'S USE ONLY DEPT. & SUB. PROJ. SUB. OBJ. CLAIM NO. INV. NO. INV. DATE ENCUMB. GROSS AMT. INSTRUCTIONS to CLAIMANTS All claims against the county must be itemized, giving dates and character of service rendered or work performed, quantities, de- scription and unit prices of articles .furnished or delivered. Claims must be certified by the claimant and submitted to the De- partment head for approval. Upon approval the Department head will forward claim to County Auditor for payment procedure. Do not file with the County Auditor first. Claims should be presented to officials for approval immediately upon completion of services requested or material ordered. Claims are paid every Tuesday; however, same must be approved by officials and in Auditor's office before preceeding Wednesday noon. Compliance with above will expedite payment of claim, failure to do so may delay payment considerably. BUTTE COUNTY DEVELOPMENT SERVICES Complainant: Address: Phone Number: Other Comments: - " ...................... .. ........ XX ........ . . .... ........ ........ ............ . .... . ..... . ............. ............ ............ ........... Wi a, e: ............ j, U .. ..............if Inspector must draw a plot plan with all building locations: Additional comments from Inspector: N - o Xp, .. ... .... . W, Cal led PC JOB FINALEI Signature t 04 GJ "—Pf-RMIT NO. 3710-84B, P, E,M PERMIT Ii OBJ EXPIRES OWNER RUDY SGONTZ . r t{ CONTR. owner ASSESSOR PARCEL 56-14-71 4-t LOCATION W/S Resources Ln, .NOON Lower Vilas ,111 it. Cohasset OFFICE COPY i Address GAS Meter By Date ELECTRIC Meter By Date • r 'V� OFFICE COPY -� Address E.9 4' GAS _ Date (7 fi Meter By— C ELECTRIC Date �S ,S Meter By ri r 5 Temp. Power Pole i Called PG&E Temp. Elec. Service w f Called PG&E Temp. Gas Service L l,, Cal led PC JOB FINALEI Signature J'=' OK' 0 = Not OK - = Not Applicable MOBILEHOMES MISCELLANEOUS * = Not Ready Date MOBILEHOME UTILITIES (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements Date DECKS, COVERS, CARPORTS, ETC. (Plans) OK except #'s 1. Zoning Requirements -Setbacks -.Easements 2. Soils; Special MH Support -Sketch 2. Footings; Size -Depth -Spacing -Connectors I 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 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 Stability 3. Gas; MH Test -Demand -Valve -Connector 3. Pool Structure; Steel -Connections -Thickness -Dead Men -Lining 4. Electricity; MH Test -Crossovers -Breakers -Clearances 4. Elec.; Receptacles and Lighting; Distances-GFI 5. Drain; MH Test -Fall -Flex Connector 5. Elec.; Pool Lighting; 15 volts-GFI 6. Water; MH Test -Regulator -Connector 7. Water and Sewer Connected -C/0 to Grade -HD Approval 6. Elec.; Enclosures; Conduit Entries -Terminals -Listed 7. Elec.; Bonding; Metal w/5' -Circulating Equipment -Heater 8. Gas and Electricity Tagged 8. Elec.; Grounding; Equip. w/5' -Circulating Equip. -Pool Lghtg. Boxes -Enclosures -Panel boards -Ins. to Main in Conduit 9. Exits; Insp.-Sketch 10. Cert. of Occupancy 9. Health Department Approval 10. Plumb; Cir. Test -Water Supply Test Card B-1 Date Card -BI Date Card -BI Date Card -BI Date Card B-1 Date Card -BI Date Card -BI Date Card -BI Date r rJ J = OK 0 = Net OK - Not Applicable RESIDENTIAL )Single and Duplex) jE = Not Ready Date UN RFLOOR Plans OK exce t#' Date FR;&ING (Continued) If Zoning requirements -Setback am -tents roperty Line Firewall & Openings Ftg., Main; Soils -Steel -E - / /" Ftg. Depth 4V Ext. Doors -One 3' -Check Garage -3rd story, 2 exits Garage; Soils -Steel- / /" Ftg. Depthrs; idth-Headroom-Rise-Run- Land ing- Fire Protection a4r-Ftg., Porches & Decks; Soils -Steel- / /" Ftg. Depth X. Plywood on Roof Overhang -Attic Vents -Rafter Outriggers emwalls, Main; Steel-Blockouts-Wrapped- Sidi -Nail' Veneer - _r 6temwalls, Garage; Steel-Blockouts-Wrapped-Slabs - rip Screed-Fdn. Vents-Underflr. Access Piers -Fireplace Ftg.-Steel lazing Area -Glass Protection -Skylights -Plastic Lae"D Fall -Fittings -Test -2 way C/O-SeOr lKit Shear Walls; Nailing-Bolts --3--6as Pipe; Size -Anchors !@: ater Pipe; Test -Anchors -Regulator -Ser es I Electric; nd oun Plenums & Ducts; Clearance -Material -Support -Ins. A3—Girders-Sills-Anchor Bolts -Joists -Vents -Cripples Card -BI Date Card -BI Date Iq Card -BI ate 5 Card -BI Date Card -BI Sr, Date Card -BI Date Card -BI Date Card -BI Date Date FI AL (Plans) OK except k's Card -BI Date Card -BI Date Date ` PLU BING (Per ' OK except q's Ext. Steps -Door & Sidelight Protection -Landings Smoke Detector Water 2Ht.; - ccess-Combustion Air fff.--PUR13t:e:'Vents-Clearance-Comb. Air -Connector- In Garage; Above Floor-Ducts-Mech. Protection . Water Pi • est & Anchors -Nail Protection 1 W.V.; t Anchors -Nail Protection r' Bedroom Exiting ower P est, first Floor -Tub Access & Bath Fixtures & Tub Access ItY est Tub & Shower, 2nd Floor -Tub Access 61' Elec. Trim & Subpanel; Breaker Sizes 1 Gas Pipe; Size & Anchors ai s I place r Stove; Clearances -Hearth E ec. Outlets at Wood Panel; Int. & Ext. Card -BI DateCard-BI Date • Kit. Fixt. & Appliance; Grnd.-Air Gap -Cooking Clearance Card -BI ate Q Card -BI Date Elec. Outlets & Receptacles at Kit. Counter Date ELXCTRICAL Permit OK except q'sGara 6i--{iatage�F'ine Door; Swing -Landing -Closer a -Dam er Fixture & Transformer Clearance -Ins. Protection tr. Htr.; Clearance -Comb. Air-Connector-P.R.V.- In Garage; Above Floor-Mech. Protection Elec. Receptacles Spacing -Lights &Switches at Doors Plb., Elec. & Mech. Equip. Listed for Location in Garage; (G.F.I.)-R mex Protec. Size Boxes & No. of Conductors -Stapled Romex Installed Close to Edge of Studs & C.J. quip. Ground made up w/Mech. Fasteners -Bond Gas & Water Insulation -Foam -Looked in Attic es Guard Rails & Deck Construction -Post Caps 2 Appliance Circuits in Kitchen & Conductor Size @abfeedti7if2STie / / ga. Cu or AI -,R C-N4saSa.J ia/ ga. Cu or Al . Fdn. Ve s Crawl Hole Door -Drainage & Wood -Earth Clearance oor ElYes Vfv-! �. / ga. Cu or AI -Oven Circ. / / ga. Cu or Al, /Insulated Neutral ❑Yes E) No . FoLookllowing instld.: Dr,11 ❑ Yes o; Walks E3 Yes No; Planters ❑Yes L`7No 2K K Service -Riser Conductors & Ground -Main Disconnect ucco; Brown -Finish ./Equip. Clearances; Panels-Motors-Mech. Equip. sconnect-Clrnces-Brkr. & Cond. Size -115V Outlet 3 Clothes Closet Light -Shower Light Vents Above Roof; Plbg.-Applianc - ire .-Clearance to Opn s. Well; Disconnect, Electrical, Plumbing If.Water 81r. Exterior Elec. Trim; G.F.I. Receptacle -Underground Card B -I Fj Date Card -BI Date Ventilation throughout House Card B -I Date Date f Card -BI Date MECHANICAL (Permit) OK except p's Glass Protection • Correc ions from Previous Inspections V. GaVTest-meters Tagged; Gas -Electric ucts &Support tI W Water & Sewer Connected -C/O to Grade -HD Approval QUSWent Fan!t.Fxhddst a ove Insula i Energy Compliance Certificate -Other Certificates in & Overflow; ize & Grade 24�nrtteee-.aLent; Access -Comb. Air -Return Air Vent -115V outlet Access & Platform if Furnace in Attic Card -BI DateCard-BI Date Card -BI Date Card -BI Date Card -BI Date / Card -BI Date Card -BI Date iPYSM Card -BI Date Card -BI Date Card -BI Date Date FR MING Plans OK except N's Comments at Final: V. ills; Proper Material & Anchors V./Walls; Studs -Nailing, Spacing & Bracing -Plates -Sound earing Walls over Girders & Floor Nailing raft Stop in Walls (rat proof) Fire Stops: Furred Ceilings -Stairs Chases Header & Beam -Size & Bearing angers -Post Caps -Anchors -Connectors Z Cing. Joist-Rftr. Ties-Purlin-Roof Brac.-Truss-S ng.-Rfng. _ ireplace Ties or Type A Flu -Fireplace Throat Vttic Access; Size & om6 ro ec i Draft Stop -Ins. Baffles Bdrm. Windows or Exiting ors- ill Hgt. & Dimensions 07. Galage Fire on Framing (NOTE: An entry must be made each time youvisit jobsite) COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 196 Memorial Way, Chico — Phone: 891-2751 5 7 County Center Drive, Oroville — Phone: 534-4541 Skyway and Elliott Road, Paradise— Phone: 872-2961, Ext. 57 CORRECTION NOTICE -�/r -6 V 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. A Inspector COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 196 Memorial Way, Chico — Phone: 891-2751 7 County Center Drive, Oroville — Phone: 534-4541 Skyway and Elliott Road, Paradise — Phone: 872-2961, Ext. 57 CORRECTION NOTICE OWNER PERMIT NO. A routine inspection indicates that the following violations of County Ordinance exist at the above address and should be corrected. Please notify this office when correction of work is completed. If you have any question pertaining to this m�fter, or need additional explanation, please contact this office immediately. < / G l / 1Z L-,,,,2 e-6 X L1l a fL/1 U/ j 77 �' �s7 %/ r// ��/€.t 1 f �� �o c, r�v . 7 r �� -5M6,1 C (-4',v �c.v �U lisp Inspector Date �� d COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 196 Memorial Way, Chico — Phone: 891-2751 7 County Center Drive, Oroville — Phone: 5344541 Skyway and Elliott Road, Paradise — Phone: 872-2961, Ext. 57 CORRECTION NOTICE N0. 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 q stion pertaining to this matter,, or need additional explanation, please contact this office immediately. Y, r' y Inspector �J�''� ' Date X --- COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 196 Memorial Way, Chico — Phone: 841-2751 7 County Center Drive, OroviIIe — Phone: 5344541 Skyway and Elliott Road, Paradise — Phone: 872-2961, Ext. 57 CORRECTION NOTICE OWNER y 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 ma ter, or need additional explanation, please contact this office immediately. Inspector Date _ Owner: Permit No. E N E R G Y CERT IF ICATION 147 P. Cohasset Stage LOCATION A.P. No. DESCRIPTION OF INSULATION ROOF Material Thickness(inches) EXTERIOR WALL Material Fiberglass Batts Thickness(inches) 31," CEILING Batt or Blanket Type Thickness(inches) Loose Fill Type Fiherolass Minimum Thickness(Inches) 8-3/411. Area covered(ft.2) 912 FLOOR, ELEVATED Material Thickness(inches) FLOOR, SLAB Material Thickness(inches) Width(inches) FOUNDATION WALL Material Thickness(inches) Brand Name Thermal Resistance (R Value) Brand Name Owens-Corning Thermal Resistance(R Value) R11 Brand Name Thermal Resistance(R Value) Brand Name Manville Number of Bags 13 Wt. per bag R19 lb. Thermal Resistance(R Value) R19 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. I nFRKF TNStJI ATTON COMPANY #432518 FIRM NAME/OWNER STATE CONTRACTOR'S LICENSE NO. May 15, 1985 SIGNATURE INSTALLATI APPLICATOR DATE I hereby certify the above insulation and all required items as shown on the Building Department approved plans and attachments have been installed as required by the State of California Energy Requirements. All equipment, devices and materials are of the quality prescribed or are specifically approved by the State of California. FIRM NAME/OWNER (Please print) STATE CONTRACTOR'S LICENSE NO. SIGNATURE OF GENERAL CONTRACTOR/OWNER DATE THIS CERTIFICATE MUST BE ON FILE WITH THE BUILDING DEPARTMENT PRIOR TO FINAL INSPECTION APPROVAL AND A COPY SHALL BE POSTED WITHIN THE BUILDING. January 1984 COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS P RMIT NO. 7 County Center Drive - Oroville, California 95965 - Telephone 916/534-4541`_ APPLICATION AND PERMIT ww ASS, 50R P/v— �M�ER ^/��__ ,. ZONING BUILDING PERMIT OWN �� �GQ- ! 7—z /C� TELEPHONE SQ.FT. OCC. BUILDING VALUA ION P OWNERL'SS MAI NGr^A•D.DREEESSS c �-•� / �y� GC CONTRACTOR'S NAME Hazy TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace Opp CONSTRUCTION LENDER UNKNOWN Total Valuation $ YAP/- Filing Fee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee $ /2J.03 ARCHITECT OR ENGINEER �GS•— LICENSE NO. Plan Checkipenalty ng Fee $ ,rQ�� �--n' PC-` $ r`-"� ARCHITECT OR ENGINEER'S MAILING ADDRESS Permit fee $ 00 BUILDING ADDRESS PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 /0. 6c_-, Solar Water Heater 20.00 Water piping 5.00 , 00 LOT NO.SUBDIVISION NAME PARCEL MAP (—S Each qas water heater or vent 5.00 ,tY.J Gas piping system 1 - 5 outlets 5.00 1r USE OF STRUCTURE SFJK Duplex ❑ Mobi lehome ❑ Other SPECIFY Building sewer 5.00 Mobile Home IS I G I W 1 10.00 e TYPE OF WORK Newfj4, Addition Remodel❑ Utilities❑ Installation❑ Other ❑ Describe work: _� leltSF�c/iLCi�S crS__ — Permit Fee $0, Contractor ELECTRICAL PERMIT Filing Fee 10:00 Main service BOOV OR LESS 10.00 €jJ 100 AMP OR LESS Main service EA. ADD'L 100 AMP 2.50 16 NEW CONST. ( DWELLING'y P") OR ADDNS. ACC. BLDGS. 21/4sq ft {� 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 ULTI.OUTLET 2,50 ea NON.RESID. BRANCH CIRCUITS) NEW CONSTR POWER APPARATUS &) NON-RESID. (SINGLE OUTLET CIR. 20@50t oR FIXTURES BAL®30 Ex. Occup(o XED A FIXED APPLNS. OR Ex. OCCUp. OUTLETS (RESID.) EA) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 Permit Fee $ Contractor MECHANICAL PERMIT 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. Ipj I shall not employ any person in any manner so as to become subject Jam' 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 WDOb 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 agai s id my in quence of the granting of this permit. X Date Signatur f Ap 'cant — Owner E:1 Contractor ❑ Agent An OSH permi is required for excavations over S' d n molition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee $ ,,d 10 TOTAL PE MIT FEE $ OCCUP. GROUP 3 TYPE OF CONST, A PARC PD H ISSUE This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which DIRECTO F PUBLIC By PERM EXPIRES Datef the applicable provi- resolutions to do fees have been paid. WORKS Date �b --A\\ Receipt No. - •s� 4•f%� 177 a WHITE-D.P.W.• YELLOW -ASSESSOR, PINK-INSP ECTO GOL(EN - L CANT RESIDENTIAL ENERGY PLAN CHECK/INSPECTION SUMMARY FORM J Owner_4��� r $� D/�/ T'Z Climate Zone —��— Permit No.. � Floor Area ' �/ Z = Compliance path: Package ❑ A ❑ B ❑ C ID•Point System []Budget W Other �QL MIN R -VALUE DESCRIPTION REQ'D INSTALLED ITEMS (1) INSULATION: a] Roof/Ceiling is Wall go 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 13 (F) Air-to-air heat exchanger (3) GLAZING• (A) Location Area Glazing %Floor Area- Single Double Triple Q Total Bldgy?. ® North Zf. .4; 2 / ® East South West _e2__ X {� Skylights (B) Shading Shading Coefficient Description ❑ East ❑ South ❑ West ❑ Skylights - 9 (C) South Overhang Length of projection Z ft. Description ❑ (D) Moveable insulation: Area ftZ Description (E) Thermal mass j./Z 606 &0.4 4. MOT c*CL O ❑ Type - Area Ft.2 HC= R= MC= Location ❑ Type - Area Ft. '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. HC= R= MC= Location 7/83 ORM (] . (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)- SE Btu/hr (heating capacity) ❑ Heat Pump (brand and model number) ACOP Btu/hr (heating capacity at 47°F) ❑ Active Solar "type (liquid or air) Collector brand and ft2 model number solar fraction collector area collector orientation collector tilt rated y -intercept rated slope Other VIOM (describe) *1 (B) Cooling ❑ Electric Air Conditioner (brand and model number) (seasonal EER) Btu/hr (cooling capacity at 95°F) ❑ Electric Heat Pump EER Btu/hr (cooling 'capacity at 95°F), ❑ Other (describe) ❑ (C) A TWO-STAGE THERMOSTAT, which controls the supplementary heat on its second stage, shall be required for heat pumps, Q (D) AN AUTOMATIC SETBACK shall be provided for all thermostats, except those controlling heat pumps. .jP (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 FORK 1 (6) DOMESTIC WATER SYSTEM 0 -(A)' Gas Only 40 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) ft (backup heater type, brand and model number) (collector area) (collector orientation) (collector tilt) ❑ Location of Solar Panels ❑ Other (Describe) :(B) TANK INSULATION. Storage type water heaters and storage and backup tanks for solar systems shall be externally wrapped with R-12 insulation or greater. 0 (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). 49 (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 24/ °, elevation 7Ld0cj ', heating load .B BTU elevation factor 67 x heating load = maximum outlet capacity gas furnace 6 4-0 BTU I ' Cooling: Summer design temperature 9V °, cooling load fi7. fto BTU 2 (USE ONLY AS A SIZING GUIDE, COOLING MAY BE INADEQUATE). * 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 STU4B-CUglil4DIN�DESIGNER OR APPLICANT 3 COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 - Telephone 916/534-4541 APPLICATION A,NA PERMIT PE MIT 0. %J ASSESSOR PAR EL NUMBER 1BUILDING ZONING PERMIT o R TELEPHONE S0. FT. OCC. BUILDING VALUATION OWNE MAIL.!ADDRESS O TR C OR'S NAME TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation Is Filing Fee - $ 10.00 LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER LICENSE No. Plan Checking Fee Energy Plan Checking Fee A$, $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS rcR.� CdA on, Permit fee Q $R-a4cli PLUMBING PERMIT FiIingFee 10.00 Each Trap 2.00 yL Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP Water piping 5.00 Each qas water heater or vent 5.00 USE OF STRUCTURE SF1 Duplex[] Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home S I G I W 10.00ea TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Uti lities ❑ Installation❑ Other Describe work: _ /JJt&,jU a1— l 4 ,-3-? 6nioci!/ Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 6001 OR LESS 100 AMP OR LESS 10.00 Main service EA. ADD'L 100 AMP 2.50 CONTRACTORS LICENSE LAW I declare under pens ty of perjury (check one): ❑ 1 am licensed under provisions of Chapt. 9, Div. 3 of the BUsinesS and Professions Code and my license Is In full force and effect. License No. Classification ❑ I, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ 1 am exempt under Sec. , Business and Professions Code for this reason NEW CONST. DWELLING OCCUP.SI , OR ADDNS. ( ACC. BLOGS. 2/20sgft NEW CONSTR. U I -OUTLET 2.50 ea NON•RESID BRANCH CIRCUITS POWER APPARATUS e (SINGLE OUTLET CIR. Ex. Occup(ouTLETs OR FIXTURES ISA030 E%. OCCUp. OIXED LETS IPRESID IRE A.% 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 Permit Fee $ 11 ORKMEN'S COMPENSATION INSURANCE I declare under enalty of perjury (check one): The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. Contractor MECHANICAL PERMIT Filing Fee 10.00 Heating Cooling 9 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 Signature of Applicant — Owner ❑ Contractor ❑ Agent ❑ An OSHA permit is required for excavations c 7'0" deep and demolition or construct- i*026f.itructures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ TOTAL PERMIT FEE $ occUP. cONST.TvaEP�noo PARCEL Po ND 1SSU E This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which DIRECTOR OF PUBLIC By PERMIT EXPIRES Date the applicable provi- resolutions to do fees have been paid. WORKS Date !� R'AGelpt No. _ _ _ wNtrt•o.P.w:, •EL-yUw-A,eL -^R, PINK-7Ne8(Ci . y. saRaoyAPrL clNT Nss �:., Irl LAND OF NATURAL WEALTH ANL', &EAUTY OFFICE OF THE COUNTY COUNSEL ADMINISTRATION CENTER 25 COUNTY CENTER DRIVE OROVILLE, CALIFORNIA 95965-3381 TELEPHONE: (916) 534.4621 December 18, 1984 Mr. Rudolph Sgontz 2 Highland Circle Chico, Ca. 95926 Dear Mr. Sgontz: It has been brought to our attention by Mr. Jim Glander, Chief Building Inspector for the'Butte County Public Works Department, that you are constructing a structure with a factory built fireplace on your property located off Resources Lane in the Cohasset area, without having obtained the required permits and inspections. Section 26-1 of the Butte County Code states that the County has adopted the 1979 Edition of the Uniform Building Code. The Uniform Building Code requires that all persons constructing buildings within the County of Butte, except for agricultural buildings, are required to obtain a permit from the County Building Department. Section 26-6 of the Butte County Code states that: "It shall be unlawful for any person, firm, or corporation to erect, construct, alter, repair, move, remove, improve, convert, demolish or equip any building or structure in the unincorporated areas of the County or to cause the same to be done contrary to or in violation of any of the provisions of this chapter. "The use or occupancy of any building in violation ,of any of the provisions of this chapter is hereby declared to be a public nuisance and may be abated in a manner Provided by law."" Section 1-7 of the Butte County Code provides that any violation of any provision of the Code constitutes a misdemeanor, or in the discretion of the District Attorney, be charged as an infraction. The penalty for a misdemeanor is punishment by a fine not exceeding $500.00 or imprisonment. The punishment for an infraction shall be a fine not to exceed the sum of $500.00. t Mr. Rudolph Sgontz Page 2. December 18, 1984 Therefore, you are to immediately cease occupying the structure you have constructed with a factory built fireplace on your property located off Resources Lane in the Cohasset area, until you have obtained the proper permits, inspections and approvals, from the Butte County Department of Public Works. Very truly yours, D LBERT M. SIEMSEN Butte County Counsel DMS:je cc: Jim Glander Chief Building Inspector -3 u to LAND OF NATURAL WEALTH AND BEAUTY j l f DEPARTMENT OF PUBLIC WORKS ®' 7 COUNTY CENTER DRIVE, OROVILLE, CALIFORNIA 95965' Telephone: (916) 534-4541���a�� Di rector] CERTIFIED MAIL March 15, 1984 Wolph fton"RE: Permits and Inspections 2 418bland CJz*14 (AP N0. 3B+i, n ) ChiccP, CA 9592-6 l�lc ftp. �gp��t s With reference to the above subject, on 7, 1984 we -wrote you a letter requesting that you obtain the required permits and the required inspections from this office for•the.work you have done as follows: Ce1110>Gsruetw$ a attucitato with 964tory built 911teploce oa property la"tod off Resources Lane, Cohassata Since both permits and inspections are required by both State and County laws, unless you have obtained the required permits and made arrangements for the required inspections within ten (10) days of the date you receive this letter, the matter will be referred to the proper authorities for appropriate action. Should you have any questions concerning this matter, please contact us. Yours very truly, wit-ISAM +CtItWirector of Public Works Original signed 6y -I F i..Iand®r J.F. Glander JFG:dd Chief Building Inspector cc: Building Inspector "O Assessor i " LAND OF NATURAL WEALTH AND BEAUTY DEPARTMENT OF PUBLIC WORKS . CLAY CASTLEBERRY. Director 7 COUNTY CENTER DRIVE, OROVILLE, CALIFORNIA 95965 Telephone: (916) 534-4541 WILLIAM (ill) CHEFF Deputy Director rebrwwy 70, 1984 Rudolph 8gdbtts RE: Building Permit Z Hi&tsnd Circle A.P. # "ab u-71 Chemo, CA i 95926 I Icor Vs • R, Rolats t With reference to the above subject, we have been advised by one of our building inspectors that you have not obtained the required permits and inspections from this office for the work you are doing as follows: I CalletcWWtinl a structure WSO factory built fireplace 6a your Property lara tid off VAIMC448 1441.9, Coh&"wt Since permits and inspections are required by both .State and County laws, please contact this office within ten (10) days of the date of this letter, submit two (2) complete sets of plans, apply for the required permits, and pay the appropriate fees a -d tse All work must stop until you obtain these.permits and are authorized by our field inspector to proceed. This field authorization cannot be made until the existing work is inspected and approved. Your cooperation.in resolving this matter would certainly be appreciated. Should you have any questions concerning this matter, please contact this office. JFG:aj cc: Building Inspector ASaessor Yours very truly, Clay Castleberry Director of Public Works Original signed 6y J. F. Glander J.F. Glander Chief Building Inspector Owner: Address: , Tenant: Building Location: Type of Inspection requested: DEPARTMENT OF PUBLI L INSPECTION REPORT Housing. f_�. 2. Financing f 4. Other (specify) 100, • M Present use of building: LS (,-� A. P. #- .. 6Date of Inspec on_l,?-`4- 3 Inspector 3. Change of Occupancy to f v A. Sanitation (Housing) 1. Water closet: 2. Lavatory 3. Bathtub or shower: 4. Kitchen sink: 5. Hot and cold water to fixtures: i 6. Heating'facilities:' ' 7. Natural light and ventilation: — _ (/ 8. Room and space requirements: %- 9.. Bedroom window or door for second exit: r S 11 0 ,z 14 ��-- 10. Infestation of insects, vermin, or rodents: .11. Connection -to sewage disposal: 12. Connection to water ,supply: 13. Rubbish and garbage facilities: 14. ,Comments: t 14 B. Structural ;. 1. Piers and footings: 2. Floor construction: 3. Wall construction: 4. Ceiling and ' roof construction: 5. Fireplaces:* 6. Comments: C. Electrical 1. Service and ground: 2. Receptac es: ' 3. Fusing: 4. Comments: t D. Plumbing 1. Fixtures connected and vented: 2. Gas water heater: 3. Gas heating vents: 4... Comments: E. Other 1. Ma-fintenance and repair: 2. ? Flfie- hazards :. 3. Safety hazards: -- 4: Weather protection: 5: Underfloor and attic ventilation: 6. Conments: F. Cmmercial Buildings 1. Roof covering:_ to property lines: 3. Physically handicapped: 4. Rest -room floors and* walls: S. Exits: 7. Zon-ing:' 8. Comerit.,,:—. "-'P'ield ProbleT.i-- or Vicla'Lions l.- PfoblM.o--!- --.riolation (give completa. descriptio -n): 2 What action taken (give complate description): ­ 73. What act L-,sn recommended: T7A'.mfo-naation,only T-1 B. Hold for tcn (10) days, then wri-e letter. C. Write letter. D. Other: Ell y{ y .-- Com. -v •, :_-,�^ '-'-'�_ w - . � • A,r t r J 't xl� ` "J 5 6 -- 1, tryx + .• ;` , 7 -ox 4. rek : u= • Z / f - $2j' .' -i13 47 Ac T�5 ;'9 r �y 3 ., 1 T ,� 1 10 . r.�'•,, Imo\ � i_ ... � � '('�r� �r�a , � \1\I ! � t •, 7 i Tz j It "4 3) /% / C•' 111--- r.• i1' G. s C r ^ I Asse,sor ;V:' P. ofCo1if. Coin ry c �cerrber ., ,9 7 3 File No. BUTTE COUNTY (For Action 1, 2,3) Public Works Dept. (For Information ✓) Director Dep. Dir. Sec. Rd. & Br. Mtce. Shop & Yards Bldgs. & Grnds. % Bldg. Insp. Admin. Design Engr. Bridge Engr. Constr. Engr. Surveys Mapping Transp. Land Dev. Drng. /S.I. Sub. & Pcl. Maps Permits Addr. r �� County Counsel Department of Public Works Building. Permit - AP #56-14-71 April 24, 1984 With reference to the above subject, -attached are copies of correspondence sent to Rudolph Sgontz about a structure with fireplace he constructed without permits, inspections and approvals from this office. '. To date, we have had no reply. Would you please send him the normal letter aboutobtaining permits. Should you have any questions concerning this, please contact'me. ' Original signeai by -- r J. F. Glander J.F. Glander JFG:aj Chief Building Inspector Attachments i COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 - Telephone 916/534-4541 APPLICATION AND PERMIT PERMIT NO. 22 ay—z�/ RASSESSOR PA CEL BE NUM ZONI BUILDING PERMIT OWN S z TELEPHONE SQ. FT. OCC. BUILDING VALUATION OWNE ' MAI IN DDRESS^ - j`,a• 'S NAME CONTRACTOR'S y� n LEPH CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation Is Filing Fee $ LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Penalty $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Permit fee $ BUILDING A DR ! PLUMBING PERMIT FiIingFee 10.00 Each Trap 2.00 Solar Water Heater 20.00 Water piping 5.00 LOT -NO. SUBDIVISION NAME PAIL EL M P Each qas water heater or vent 5.00 Gas piping system 1 - 5 outlets 5.00 USE OF STRUCTURE SF ❑ Duplex❑ Mobi lehome 2-' Other SPECIFY Building sewer 5.00 Mo Home G 101 10.00ea O 1A A. c00LkA \ TYPE OF WORK NewAddition❑ m ❑ Reodel❑ Utilities Installation❑ Other ❑ Describe work: Permit Fee $ �� 0 Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 500V OR LESS 100 AMP OR LESS 10.00 r w Main service EA. ADD'L 100 AMP 2.50 NEW CONST. DWELLING OCCUP.& OR ADDNS. ( ACC. BLDGS. 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 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) El 1, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. Business and Professions Code for this reason NEW CONSTR ULTI-OUTLET 2,50 ea NON-RESID BRANCH CIRCUITS) NEW CONSTR (POWER APPARATUS &) NON-RESID, 1 SINGLE OUTLET CIR. Ex Ex. Occup(o XTs OR FIXTURES 9ALe3o FIXEEDDAPPLNS. OR Ex. Occup. OUTLETS (RESID,) EA. 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00g^00 r a 0 Permit Fee $ 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 shal I be deemed revoked. Heating Cooling Hood 3.00 Ventilation permit Fee $ Contractor 1 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 Countyof 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 agai said Cou in co equence of the granting of this pe it 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 $ I ry occuP. GROUP I TYPE OF CONST.J%/'JPARC1L P HD ISSUE This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which DIRECTOR OF PUBLIC BY PERMIT EXPIRES Date the applicable provi- resolutions to do fees have been paid. WORKS Date Receipt No -. i" .0-6:Z2!—_ WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT OWNER Propose Permit Fee Based Upon COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS - BUILDING DIVISION - 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE: 916/534 -454'1 - PERMIT APPLICATION DATA SHEET A. P. No. — I Lf "% i Complete Contract Price DPW Valuation ' Other (Explain) n '' Building Inspector \ ' Date 7 �� At time of permit application, I was advised the following data must be submitted prior to permit processing and/or issuance: Iv DATE RECEIVED APPROVED 1. All items have been submitted. . . . . . . . . . . . 2. Plot plans in duplicate. triplicate. . . . . . . . . . . 3. Complete plans in duplicate/triplicate. . . . . . . . . 4. Complete engineered plans and calcs. . . . . . . . . . 5. Plans with Energy Design Compliance Statement. . . . . . 6. State Energy Forms No. 7 Statement of Intent for Non -Heated and AC Buildings. 8. Fees of $ . . . . . . . . 9 - Letter of signature authorization. 1. . . . . . . . . . �. Sanitation approval from C Zi ' HealthDep-t. 11. Planning approval for (A) Use:�A (B) Park ng:t ✓� C,� . Z 6 12. Certificate of Workmen's Compensation Insurance. . . . . . 13. Contractor's License Information (no., name style, classif.) 14. Owner -Builder Verification (Given to owner[], Mail to owner ❑ ) 15. Improvements may be required. . . . . . . . . . . 16. Mobilehome Installation Data. . . . . . . . . . . ,r\ Pre-Inspec. r quest to 1 Pre-Inspeon op for �R�uired. Buildi,ng Ins ec or (Dote) . Other When you issue the permit, process as follcW: _L Mail to owner. Ma it to contractor. Telephone and hold for pickup at office. Deliver w/inspector. Other Copy of plans sent Health Dept., Fire Dept., Other Date During the plan checking process, the following data must be submitted prior to perm• issuance. (For required items not checked above at time of application, ci le ' m.) 1. Index permit for above Items No. (� 2. Additional items required: (Contractor, Designer, Owner) was advised of above required data by Telephone Mail By Date Plans checked by Date Plans approved by Date Other: Copy—DPW Other COUNTY OF BUTTE - Department of Public Works 7 County Center Drive, Oroville, CA. 95965 OWNER -BUILDER VERIFICATION Attention Property Owner: Phone: 916-534-4541 An "owner -builder" -building permit has been applied for in your name and bearing your signature. Please complete and return this information in the envelope provided at your earliest opportunity to avoid unnecessary delay in processing and issuing your build- ing 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) (s,Q signed an -application for a building permit for the proposed work. 3. I have contracted with the following person (firm) to provide the proposed construction: Name Address. City Phone 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 Phone Contractors License No. C ity 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: - C Property Owner Q Social�e uri number Date e NOTE: This Owner -Builder Verification is sent to you as required by Sections 19831 and 19832 of the California Health and Safety Code. This verification must be completed and returned to our office before we are permitted to issue the permit. rHE T6e4lLc/L mo,U PeOr�c7t f(i4u 1(/1, Alvw.0 IL, 5 a COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS -y - - 7 County Center Drive - Oroville, California 95965 - Telephone 916/534-4541 APPLICATIOI�AND PERMIT PERMIT No ASSESSOR P RCEL NUMBER ZONING,_ BUILDING PERMIT OWNER 0 11D 1A TELEPHONE —1 SQ. FT. OCC, BUILDING VALUAT ON NJ T OWNER'S MAI NG AD RESS CONT ACTOR SNAM TELEP NE CONTRACTOR'S MAILING ADDRESS Fireplace �r " DOD CONSTRUCTION LENDER UNKNOWN Total Valuation $ Filing Fee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee ,$ 0 Penalty $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Permit fee $ BUILDING DDRE e / PLUMBING PERMIT Filing Fee 10.0 Each Trap 2.00 Solar Water Heater 20.00 S Water piping 5.00 LOT NO. SUBDIVISION NAMEPARCEL 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 +_r�Oe TYPE OF WORK el❑ Utiliti❑ Other❑ New Additiona=!a64 Describe work:es i s I ion Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 10Ov OR LESS 10.00 100 AMP OR LESS Main service EA. ADD'L 100 AMP 2.50 NEW CONST. DWELLING O!q0'�g I OR ADDNS. ACC. BLDGS. 't,J� 2/20sgft CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): F -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 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 CON5TR U TI.OUTL T 2.50 ea NON.RESID BRANCH CIRC ITS NEw CONSTR POWER APPARATUS &) NON.RESID. SINGLE OUTLET CIR. Ex. 20e50e ccup(OUTLD TS OR FIXTURES 9A FIXED APP LNS. OR 1 EX. OCCUp. OUTLETS (RESID.) EA.) 2.00 .00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 Permit Fee $ 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. 1 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 li ilities, jud ents, costs, and expenses which may in any way accrue a ag id Coun con ence of the granting of this permit. X Date Signature of Applicant — Owne Canrr tar ❑ 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 $ OCCUP. GROUP I TYPE OF CONST. JPARnPD HD SSDE 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. DIREC OF PUBLIC WORKS By Date PEO�(IT EXPIRES Date 2' ll Receipt No. WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT ti COUNTY OF BUTTE - DEPARTMENT OFPUBLIC WORKS - BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILLE, CAI-JFQRIVA 95965 - TELEPHONE: 916/534-4541 PERMIT APPLICATION DATA SHEET Permit No. OWNER A. P. No. r, Proposed Building Use .t Permit Fee Based Upon: Complete Contract Price DPW Valuation n O ther (Explain) Q::Building Inspector �(A �� Date At time of permit application, I was advised0the following data must be submitted prior to permit processing and/or issuance: DATE RECEIVED APPROVED 1. All items have been ssu�bmitted. Ev Plot plans in 0upld icate/triplicate.•. ;2-, �-- �.. - ��^ J C�-2-. Complete plans inup/triplicate. 1 Z- 4. Complete engineered plans and calcs. . . . . . . . . . 5. Plans with Energy Design Compliance Statement. . . . . . 6. State Energy Forms No. 7 Statement of Intent for Non -Heated and AC Buildings. 8. Fees of $ . . . . . . . . 0' Letter of signature authorizatio^ Sanitationnn approval from Cl Health Dept. 11. Planning approval for (A) Use: (B) Parking: 12. Certificate of Workmen's Compensation Insurance. . . . . . 13. Contractor's License Information (no., name style, classif.) 14. Owner -Builder Verification (Given to owner❑, Mail to owner ❑ ) 15. Improvements may be required. . . . . . . . . . . . 16. Mobilehome Installation Data. . . . . . . . . . Pre-Inspec. request to 17. Pre -Inspection for Required. Building Inspector (Date) 18. Other When you issue the permit, process as follows: Mail to owner. Mail to contractor. Telephone and hold for pickup at office. Deliver w/inspector. Other .M 5 l `� Applicant Date Copy of plans sent Health Dept., Fire Dept., Other Date During the plan checking process, the following data must be submitted p for to permit issuance. (For required items not checked above at tim f` pplic n, c' cl em.) 1. Index permit for above Items No. 2. Additional items required: (Contractor, Designer, Owner) was advised of above required data by Telephone Mail her By L' .I. Date `fib Plans checked by Plans approved b, Other Date Date. Copy—DPW i� 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 in the envelope provided at your earliest opportunity to avoid unnecessary delay in processing and issuing your build- ing permit. No building permit will be issued until this verification is received. 1. 1 personally plan to provide the major labor and materials for construction of the proposed property improvement (yes or no) �. 2. ,I (have/have not) signed an application for a building permit for the proposed work. 3. I have contracted with the following person (firm) to provide the proposed construction: Name Address. 'City, 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 City 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 number Date —( Zza!� NOTE: This Owner -Builder Verification is sent to you.as required by Sections 19831 and 19832 of the California Health and Safety Code. This verification must be completed and returned to our office before we are permitted to issue the permit. COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 - Telephone 916/534-4541 APPLICATION AND PERMIT PERMIT NO. ASSESSOR PARCEL NUMBER -71 ZONING BUILDING PERMIT OWNER TELEPHONE SO. FT. OCC.1 BUILDING VALUATION WNER'S MAI 1 G AD SS �� Lf Ar An Lxqlo� di ONT A ORSNAM. TELEPHONE CONTR R'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ Filing Fee to $ 10.00 LENDER'S MAILING ADDRESS Permit Fee Op la $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS �S �������`" Permit tee $ 06 PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP Water piping 5.00 Each qas water heater or vent 5,00 USE OF STRUCTURE SF ❑ Duplex❑ Mobilehome❑ Other 0CcJhot1-La- SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home S I G I W10.00ea TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation❑ Other ❑ Describe work: f�'�/kP_lZrQaslc;Z[ ea� /k", E_ I 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 ONTRACTORS LICENSE LAW I declare under pe ty 14of perjury (check one): ❑ 1 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 El 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. OCCUP.a , OR ADDNS. ( ACC. BLDGS. /z¢sgft NEW CONSTR. U TI.OUTLET NON.RESID BRANCH CIRCUITS) 2.50 ea POWER APPARATUS &) (SINGLE OUTLET CIR. Ex. Occup(OUTLETS OR FIXTURES !AL032 9000 30 FIXED EX. OCCUp. OUTLETS PIRESID IREA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring g 15.00 Permit Fee $ RKMEN'S COMPENSATION INSURANCE I declare undrrtenalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department a Certificate_of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. ❑ I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. Contractor MECHANICAL PERMIT Filing Fee 10.00 Heating Coolin g Hood 3,00 Ventilation permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the Countyot Butte to enter upon the above-mentioned property for inspection purposes. 1 also agree to save, indemnify and keep harmless the County of Butte against all 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 ' demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ TOTAL PERMIT FEE $ it7o OccUP, cONST.TTPC I I FL000 PARCEL Po ND 1590E This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which DIRECTOR OF PUBLIC By PERMIT EXPIRES Date the applicable provi- resolutions to do fees have been paid. WORKS Date d' Receipt No. WNlrt•e,•,W„ ♦aeentiv�;aga�aR. (IINx-IN` 'cTom. Go`- L CANT ..,....aH.lL•,.da,..e�..o..�...m..a...em..�..�...........�..v..e�..�..o..®.��.........ray.........oo,..�..�..�..ee..v..m..®.,.s.�..m..•c��.Ylr1.s.......�..�...-�..�...�...;} CHICO ' lfl E. Fifth Street P. 0. Saw r a 6440 Skyway'^-P^ O.'8oe 490 Phone (Area 9161 7142.7557553 7077 \`� +J, Pho�.e (Area 916) 877.6262 Orville 'T'itle Company.-. MAIN OFFICE 1835 Robinson Street - P. O. Boa 811 - Oroville, California 1 Phone (Area 916) 533.2616 '1} TO: Order No. 2 121206 OROVILLE TITLE COMPANY - Chico PURCHASER: SGONTZ,.Rudolph L. et ux cc: SUN REALTY 680 Rio Lindo #2 i Chico, California Attn: Mike Wiegert Extra Parcels no Resale rate: yes In response to the above referenced application for a policy of title insurance, Oroville Title. Company hereby. reports that it is prepared to issue, or cause to be issued, .as of the date hereof, a California Lanai Title Association Standard Coverage form Policy of Title insurance describing the land and the estate or interest therein hereinafter set forth, insuring against loss which may be sustained by .reason of any defect, lien or <!ncumbranccs not shown or referred to as an Exception below or not excluded from coverage pursuant to the printed Scheduies, Conditions and Stipulations of said policy form. This report (and any supplements- or amendments thereto) is issued solely for the purpose of facilitating the issuance of a policy of. title insurance And no liability is' assumed hereby. If it is desired that iiab:lity be assumed prior to the issuance of a potir,;, of title insurance, a Binder or Commitrne.W.. should be requested. If the real property covered by this *report is a residential condominium unit, a residential lot, or a residential lot improved with a structure containing one to four single family residential units,' then the policy issued to ars owner m connection, herewith, will not be the policy referred to above, but will, be the American Land Title Association a� Residential Policy-1979 Form. j 9:42 �! .Dated as of November 25 81 T?vom, Zo r 19 atV= a.m. _ Title Officer TEe estate or interest in the land hereinafter described or referred to covered by this Report is a Iee. 4 Title .to said estate or interest at the date hereof is vested in: . • DAVID W. JONES AND JONNA L. JONES, husband and wife, as Community Property as to an undivided 1/3 interest and IMHOFF AND STONE BROKERS, INC., a California corporation, as to an undivided 2/3 interest .:i :nom aate hereof exceptions to coverage in addition to the printed exceptions and exclusions con.fained in said :rl:-a f0'.= ....::1C: bz :.s follow:,. ih 1p 1., General and Special County taxes for the fiscal year 1981-82. First Installment $.156.90, -now due and payable, delinquent December 10, 1981. Second Installment $156.90, due.February 1, 1982, delinquent April 10, 1982. AP 56-14-71. Code 62-18. Assessment No. 54125. 2, Sale No. 27935 to the State of California on June 30, 1981 for delinquent taxes; amount necessary to redeem $341.88, if paid on or before December 31, 1981, according to the estimate of the County Auditor. 3. Nonexclusive easement for road purposes, as granted to Harold L. Ball, et ux, recorded July 10, 1967 in Book 1477 of Butte County Official Records, at page 483. a_.' Road Maintenance.Agreement executed by Donald V. Sorenson „ et al recorded February 13, 1969 in Book 1554 of Butte County Official Records, at page 43. 5, Effect of Septic Sytem areas and offer for dedication of Resources Lane for public use and road purposes to the County of Butte, as shown on the parcel map referred to herein. 6• Road Maintenance Agreement executed by Ronald D. Edmundson, recorded May 9, 1979 in Book 2397 of .Butte County Official' Records, at page 389. 7. Abstract of Judgment had in the Small Claims Court of the VIodoc Judicial District, County of Modoc, State of California, Actio? No. 697-dkt 41, in favor od Modoc Motor Parts, Inc., and against %John Hawkins'in the amount of $160.02, plus interest, dated August 30, 1979', and recorded September 18, 1979, in Book 2443 of Butte County Official Records, at page 240. 8. A Deed of Trust to secure an indebtedness of the amount stated herein: Amount : $2,650.35 Trustor : John D. Hawkins and Carol S. Hawkins,. husband and wife Trustee : Butte Countv Title Company,'a corporation Beneri;:iar:r : James J. Broz, Jr. and Edwina W. Broz, his wife, as Joint Tenants Dated : July 3, 1980 Recorded : July 22, 1981, in Book 2534 -of Butte County Official Records, at page 125. 9. A Deed of Trust to secure an indebtedness of the amount stated herein: Amount : $12,992.90 Trustor : John D. Hawkins and Carol S. Hawkins husband and wife Trustee : Butte County Title Company, a corporation Beneficiary : Ronald D. Edmundson, as'his separate property Dated : July 3, 1980 Recorded July 22, 1980, in Book 2534 oz but -`c County Official Records, aL page 126. continued ORDER NO. 2 1-'212,. b 9. Cont d. - The beneficial interest in the above Deed of Trust now vests of record in G. «illiam:Lothron and Doris B. Lothrop, husband and wife, as Joint Tenants, whose address is 3143 Royal Drive, Shingle Springs, California 95682-. NOTE: The land described herein qualifies for the standard CLTA Police. DESCRIPTION The land referred to herein is described as follows: All. that certain real property situate in the County .of Butte, State of California, described.as follows: PARCEL A: Parcel 4, as.siiown on the Parcel Map of a. portion of the East half of the Northwest ouarter 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, 1979, in Book 71 of -Parcel Maps, at page 5. PARCEL.B: A 60 foot non --exclusive easement for ingress and egress and for public utilities, as shown on the Parcel Map of a portion of the East half of the Northwest quarter of Section 26, Township 24.North, Range 2 East, M. D. B. & 11.; which Parcel Map was filed in the office of the Recorder of the County of Butte; State of California, Mav 9, 1979. in Book 71 of Parcel Maps, at page 5.. 7-7 r^: -T._717-177' 7" .. ro:. ...,r„�.- �.-. �- - ... ..,,,�•-• ..F^. '.r: , t :i" .^.'�"�'..�..��-..�... .�.�.t.... rv.�r....a.: ..r ,.V..._a T.,.-ro �Y7.^' •4�^f?.+T'i.!_^+'(. ?'^eC•?.. ., �• :+� i•.- �'- "p ...� ,�,,{"fV',.: ±p�r{� "a.+• t -"4 't�lG -bra}^Y• dr � r•. � � t�'c.'. aft.. (,, w.*•*•' �r spa .a�'„•3�',^" �. R ', w3Y .J�4y •'t,� - - �'. ��+�"'4 +�'2: !- +,1 1J * '7 .r. ��"'1r- � �y ....ic J'..:..x..��%-7�7'. :�"'•did-*c'R'�'•s ¢-._ t i:tyt,.,r.ss -- as.a•.ax.•�s: Mu•^.x.+�"ia�s�.x.es' ..•,�• .:.t?r�.'�atw�at-•>wvs.,:eR.. d...,a'rr-c a- '�-_— aat:c. J-trn r. 'u� '3a+'c�• •f^' .+-•+Mr,+c..r , +� i+r:.'�y'.+'k".^'n`1'-. C r i$: ,` i 5 ' t• r `. / ' °t '�4.f, } � Y '�9P?!:?':' ...sYv1• nu'+wsamac`�.t.'e3af - T 1 • . .�` %' r r 1 - , f . NorM linc c: 04, 3c.: Pb Nrr —s1 IS v\/cca 1 F.4a Co.. Sct..b 5 t:•r::.• cnPD•e'h• i•on FlFe 'Oaf/ jtumpee 7v cot(µo numDcrt "+r- , , i„(r.• �.'r { '� . S' ,� / Par 8,5.39%34 NO EVIDENCE iOF ,COMESTIG i"`...N• t. a \fVATER. AVAILABLE, PARCEL 4j E 60 NOWE:XCI r o_' •\ f _ �, �. P.7rcr,:1• II — EASEMrN i AVD EGRESS •` i• ' of �I �' UTILI i IES A •O RESERVED SCALE:1 15 bt _.S • " I .� t r' O Ito ryrcilel with Nort•h� „ N line of 4. 26PARCEL 2 ••,� Lp G + o� n Z to NH95815W to . 5.81 '� 628.69 p •! I ._ : ^ ?c�& ` ' ` e3 1, �.;; Not r part of CD n ro �� u a Q ? O !O v O / C' io Bo' "' m p+�ARCEL 'I 3i 0 7� f O se.r a rn T �'J N tJ o n i� Il N ..tl. arae t �. i well \ IPI r f-4 3 i tl �l 7 £ �j O /• �50 ei;diny_�e+back ^ s a p I T 0 i tnC SOf146-49Wn �VI:AS t r t2 pG.IJ� Q 11.20 -�' O aT �l =t `_e /• ••\` �, -+a r d S. 30 Dee .1 +o UqO� •� . (D 7r" � ••tt77 v yam/ _ (,ounly of Butte .'1'c:$: 7 A.O• / •SL# Ba kOA. Page.' ' o S _ 01 a 4. 6 `• - M f o" ~"7 `fir"✓ /S ow y ( Rra�9 sr41nt y^a I p �`ta` ar'•7Nt.!•/r.•_. i. •, ���fi•I, i� AI. N'4 MR 'co Pb co co N 1 Lx In \O OL Apo • . -C' " f 0 A S ,: ys �. ThU set of -plans and specifications MUBT be kept on the Job at all times and It is unlawful to make anY cl4azges or alterations On same without written permission from the Department of public Works, County of Butte. In MGT& All Materials 6 Workmanship Shall Be I &ccordan(3e with Itecognized Good Practices and of a Quality Prescribed for the Specified use • in the Uniform Bull", Plumbing 6F MechaniW Codes and the Nationsa Electric4a (;ode. r . ALL STRUCTURES AND EQUIPMENT INCLUDING • OVERHANGS SHALL BE CLEAR OF ALL EASEMENTS. A SET BACK OF F1. FROM THE SIDE AND FT. FROM THE REAR PROPERTY LINES AND FROM TH- PCIAD CENTERLINE SHALL BE APPF40VEC) CLEAR- OF" S CTUNES AND EQUIPMENT EXCEPT County FOR A 2 Fr. EAVE OV ;7 '. :.)?ntat f4e&M BUTTE COUNTY BUILDNG DEPARTMENT !)nihiure oil FILE C07YX wlop dj J2 'i PART OF SEC. 26827 T. 24 N. R. 2 E. M. D. B. B M. I .' II 0 N //4 COR 1 '! r rN 1/4 CORI N O TRANS 1 l PG 12�►+�� N 890 59 26 E ( I TRANS. 7q - - - -O W7�� - 7 _ - 6E4.05 /625.23 346. ! -- 72 �c6 .-g4- 0.31 0 r2.7AC, - • , ' , i �. 795 i� SG nIA 79 KMi ' ' ; , a r O P/AI 50-89 53 5.7aac 0 2. Ac z h m' \.. N W 4 / = 400 = ^ 1009.79 ° ,�O � - � �:� 7.58AC N 2% 0� r o► 478.79 7. 44 Ac v 52 3/ 506 3L 1 _ 49 ,6AC 54 S plM 70-6q a 53092 o,rg4" 5-'12 � w� �- - \\ 388.34 656.20 ` h � 71 9.49Ac 6 0.91 N 89 O/ % r- 401. I'• ( �Q 6 1 _ 1 3 10149 600 .... v��rf` �A� N: �A \1 ( : r W ti 0 F. 96 /% �.�� �/� N 58.47 Ac L _ 65 5.01Ac /y ` rL0 O 2.87 Ac . ��''� a % /303.13M ' • 8/ 0 145.79 �• 1 ►\, 832.83 O 7.49AC ,L 0 3 ►� �- - 9 I Q0 S2 ; ^ O 1 6 6 rr 3.037sc- ♦ l=/ -r3 r ' '07AC p� o� 44-0 �0 Ac I 70 5 t 67 4. . 3 648-34 86 PIM 73 -15 795.96 '� 1 583.78S, O ` 400 10.4dCt l i 6 1 F "� "� 80 -`� r 69 5Ac-I a�lc 90 h Q c� r ai Esc N 3 8 , 9:80335 383E ,1346.6926.86 � 7.40AC O i t I `��"' h 2.41 N 85 ' o r - 628.69 N 2. 34A ° h Z 640.48 Z I i I 5 Ac 38.49Acf ,,75.x' , I 'i i • �fl N PIM 71.5 2/ Imo+^ 0 (36.09 Ac) .. • 55 250. c��Q n� 1 `'� ' � Z 21.8 I � 39 6' 64 a 22Ac.• i • h , V 74 a to 26.72 -Ac E SIN M r 3 - - 82 � r �,ti /5 N � . 45 a P to a o f0 1=.r o 32 ► 12.80AC 76 r S 83034 36 1 --- �v ; 764.2T 42 [/.QAC in ' r 2.39AC �' !. • V l Fl. r'..' t10NM cFe312 `palA 77 ,�. a 22 "`l �-�� linj 5.35 Ac 46 7.014 _43 Md T{{,, I ,. • ri 9!/iT 425.1 1 RS.106-14 �� % f4!1& A, .�' P14C/bib I I 06 Ac v- 0 0 _ _ 625.33 527. 75 86'2.85 - 39 3 �` 008'W 940 S 8905/ 22 W 130. 7wn3.2:6 a 233A 78 _�, h X216 8 ,, •. 890 S COR ° PM 93-98 1/4 Y f /�0 r 830 27 I Assessor; Mop No. 56-14 r county of Butte, Calif. REVISED: 7- 92 %%<<o pIIst I h xR� 5k PPr'z�i►� I I� I I I I II11 10 I M _._. pvc*TIN6 sTap •I soft MLA.V. ,a'o". I sa, d x 1�4 cowMN _I I1 C4 I I z BUTTE COUNTY BUILDING DEPARTMENT APPROI ED �B i awl 14k JM� w aw► 1 wI ♦ ► ! ,