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HomeMy WebLinkAbout056-350-001�n--o�� _ 1 ri , .pp:l 0' of g llie Rd. nch t 79`7- 6B,,P,E,M(riew sin' le family) 56-35'01 579=90B,E PELLASCIO, Susan & Michael 16160-Shoshannah,•Forest Ranch c (sf garage conv.-- to fam rm.) + 056-350-001 PELLASCIO, MICHAEL 04-p073} 16160 SHOSHA Cont: OWNER SAHLN' F0S ® CH � HVAC C/O;ADDyGA'S LSE s . 36 - p M �n--o�� _ 1 ri , .pp:l 0' of g llie Rd. nch t 79`7- 6B,,P,E,M(riew sin' le family) 56-35'01 579=90B,E PELLASCIO, Susan & Michael 16160-Shoshannah,•Forest Ranch c (sf garage conv.-- to fam rm.) + 056-350-001 PELLASCIO, MICHAEL 04-p073} 16160 SHOSHA Cont: OWNER SAHLN' F0S ® CH � HVAC C/O;ADDyGA'S LSE s . 36 - p gra mi c� �ea COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive • Oroville, California 95965 • Telephon (530) 538-75 1 PERMIT NO. (Rev. 12/96) APPLICATION AND PERMIT - ASSESSOR PARCEL NUMBER / ` j�f� ZONING BUILDINGPERMIT OWNER VeI I et O SO. FT. OCC. BUILDING VALUATION . OWN 10 J,L)°RES t*�,5 COM O 'S NAMErLe W TELEPHONE CONTRACTORS MAILING ADDRESS CONSTRUCTION LENDER LENDER'S MAILING ADDRESS Flr@place Total Valuation $ ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00 ARCHITECT OR ENGINEERS MAILING ADDRESS Permit Fee $ Plan Checkin Fee $ BUILDING ADDRESS Yn -0 O ^v�/IY /?�� If Ln Energy Plan Checking Fee $ $ PERMIT FEE $ LOT NO. SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMIT Fling Fee 20.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome ❑ Other SPECIFY Each Trap 7.00 Solar or heat pump water heater 23.00 Water piping 15.00 Each gas water heater or vent 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑ Descr' Work: ((��� 1 r �) �) (tQ � V � " n I — Gas piping system 1 - 5 outlets 15.00 S,QD Building sewer 15.00 Mobile Home S G W 920.00 PERMIT FEE S65- 00 rr r'G �� a ELECTRICAL PERMIT Fling Fee 20.00 Main Service 000VA OR LESS 200OR LESS 23.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect. License Class Lic. NO. OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: ❑ I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. 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. DWELLING OCCUR OR ADONS. ( a AM. BLDS. SG 3.5¢FT: RESID. MULTI -OUTLET @7,50 POWER APPARATUS & SINGLE OUTLET CIR. Ex. Occup. OUTLET OR FIXTURES 20 @ 1.000 B 5 Ex. Occup. otmEEDrs a IES �.°EA 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE $ WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ 1 have and will maintain workers' compensation Insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier Policy Number (The above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) 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 fo with comply with those provisions. X Date / %-O-c+ 4 Signature of Applicant - ❑ Owner ontractor CKAgentf An OSHA permit is required for excavations over 5'0"deep and demolition or construction of structures over 3 stories in height. MECHANICAL PERMIT Fling Fee 20.00 Heating Cooling 15. OZ Hood 6.50 Ventilation PERMIT FEE $ Mobile Home Installation Fee $ Energy Inspection Fee $ Occ CONST. TYPE S HAZ. 1 0. FEES IMP I FLOOD I COF PARCEL PD HD ISSUE This permit is hereby issued under the applicable provisions of the tte County Code and/or Resolutions to do work Indic ed bove for is fe shave been paid. By Date Hlyoy PERMIT EXPIRES ON H,3-05 (Date) Receipt No. WHITE-D.D.S.-S.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT 011,12/2004 23:49 6:163236746 ATIA PAGE 02 My wife and I are the property owners of the below property. We are living in Illinois and authorize Robert E. Moody, my father-in-law, to take out building permits to install a propane heater/air conditioner replacement for the electric heat pump and the propane tank and line between them. The total cost is supposed to be I► (Frank's Heating and Air Conditioning and Suburban Propane are doing the work, with our own hired help to dig the trench.) This is for the property: ASMT NUMBER: 056-350-001-000 at: , ASSESED OWNER: PELLASCIO MICHAEL L & SUSAN A JT LOCATION: 16160 SHOSHANNAH LANE Forest Ranch, CA 95942 Our current address and phone numbers are: 4006 Adams Road Oak Brook, IL 60523 630-887-8536 Please contact us if you have any questions. Thank you. Sincerely, Michael P II scio Evvi ron!°.ental. Heal 1'a JAN 1 3 7nn4 Chico, CA - -.,N. �,..,,,,, s•:.ey+-{ `�T -'., rw._..r..c-+'r...: 7R4�.v�1.'�;?`-r�q,S"i'Yi- •. .' �-. ..+.:�, .. •. Y-};�7I'�*•�-41-:e-hrr�..'"`a.., i+�ti•.4,'arv� is .r• �-.= r ,.,���r".�� ���,, .� _ . _ ,� 'r,� 056-350-001 "4-) f PELLASCIO, M4 . ABLN, F&RE -.' RANCH 16166 SNOSHANNAH e Cont: OWNER. . S LINE HVAC C/O;PD GA s, .r 4; ,a OFFICE COPY 4 Address GAS Meter By DatJ•V-o� ELECTRIC. Meter By Date i .. _ �c rot v�• t. • tax=- �. . COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive • Oroville, California 95965 • Telepho(530)'538-7541PERMIT NO. (Rev. 12/96) APPLICATION AND PERMIT (_/'ren -73 ASS ESSOR PARCEL NUMBER i1 U ZONING BUILDING PERMIT OWNER f/ e TELEPHONEW SQ. Fr. OCC. BUILDING VALUATION OWN¢i'$ MAIUNG v�9RES3.� L/ I G /l r1-te I� TL L-( 2 i CONCr ITOR'S NAME /� TELEPHONE CONi1RRAC,l1I/TOWS MAILING ADDRESS CONSTRUCTION LENDER LENDER'S MAILING ADDRESS Fireplace Total Valuation $ ARCHITECT OR ENGINEER LICENSE NO. Flin Fee $ 20.00 Permit Fee $ ARCHITECT OR ENGINEERS MAILING ADDRESS d!fr^ Plan Checkin Fee $ BUILDING ADDRESS r _ / / _ �l i �-� j ~�( 51 (G (( 4 ( Ener Plan CheckingFee Energy $ / J / $ PERMIT FEE $ LOT NO. SUBDIVISION'S NAME PARCEL MAP PLUMBING PERMIT Fling Fee 20.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome ❑ Other SPECIFY Each Trap 7.00 Solar or heat pump water heater 23.00 Water piping 15.00 Each gas water heater or vent 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑ Describe Work: f 16 U H V� f C C i i I + i Gas piping system 1 - 5 outlets 15. 0 0 Building sewer 15.00 Mobile Home S G W @20.00 PERMIT FEE $ `` (� (� �(, tC( 1 f! ( { ELECTRICAL PERMIT Fling Fee 20.00 r Main Service zoOA OR LESS 23.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect. License Class LIC. NO. OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: ❑ I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. 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.) I certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall fo' with comply with those provisions. X Date Signature of Applicant - ❑ Owner,-V'Contractor Q Age An OSHA permit is required for excavations over 5'0" deep and demolition or construction of structures over 3 stories in height. _ Main Service Zoog To i000A 46.00 NEW CONST. DWELLING OCCUP. SO OR ADDNS. ( a ACC. BLDS. 3.50 �. NON-RE81D. ' MULTI.OUTLET @7,50 POWER APPARATUS a SINGLE OUTLET CIR. Ex. OCCu OUTLET OR FIXTURES 20 ®''0° BAL @-ED.50 Ex. Occup. ouTrs AEslo °ER,, 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE $ MECHANICAL PERMIT Fling Fee 20.00 Heating }•.ate c J Cooling Hood 6.50 Ventilation PERMIT FEE $ X -` Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST. TYPE TOTAL FEE $ HAz. D FEES IMP FLOOD CDF PARCEL PD HD SSUE This permit is hereby issued under of the Butte County Code and/or indic sled' above for which fe s have By r PERMIT EXPIRES ONITE-D.D.S.-B. the applicable provisions Resolutions to do work been paid. •... Date / r (Date) rReceiptNo. �� �� D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT COUNTY OF BUTTE v BUILDING DIVISION DEPARTMENT OF DEVELOPMENT SERVICES 411 Main Street • Chico, CA • (530) 891-2751 7 County Center Drive • Oroville, CA • (530) 538-7541 CORRECTION NOTICE OWNER PERMIT NO. ; A routine inspection indicates that the following violations of butte county Ordinances exist at the above address and should1be corrected. Please notice this office when correction of work is completed. If you have any questions pertaining to this matter, or need additional explanation, please contact this office immediately. �-. ✓r. ry 1 's t r r Date ) Inspector 111 - 'Af 1 REV 10/92 1, ,-k a•' 1 Date ) Inspector 111 - 'Af 1 REV 10/92 1, REV 10/92 COUNTY OF BUTTE • BUILDING DIVISION DEPARTMENT OF DEVELOPMENT SERVICES, 411 Main Street - Chico, -CA - (530) 891-2751 -7 County Center Drive - Oroville,- CA - (530) 538-7541 CORRECTION NOTICE OWNER PERMIT N IV roulihe inspection indicates that the following violations of butte county Ordinances exist at above address and should be corrected. -Please notice this office when correction of work is completed. If you'have any questions pertaining to this matter, or need additional explanation, please contact'llhis of ke -immediately. ............ _wm'= Z REV 10/92 Wi. RESIDENTIAL 56-35-01 579-90B,E �PELLASCIO, Susan & Michael 16160 Shoshannah, Forest Ranch (sf garage conv. to fam rm.) VAN'. I JOB FINALE Signature v %I OK O = Not OK Not Applicable = Not Ready MOBILE HOMES Date MOBILE HOME UTILITIES (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Soils; Special MH Support Sketch 3. Sewer; Location -Test -Fall -C/O Concrete 4. Water; Location -Test -Easement Needed (Sketch) 5. Electricity; Location-Clearences-Grnd-/ /Amp -Concrete 6. Gas; Location -Test -Wrap: / PU ft. / /"Nat. or/ /"L"ft./ /"LPG 7. 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; Size -Spacing -Marriage Line - 3. Gas; MH Test -Demand -Valve -Connector 4. Electricity; MH Test -Crossovers -Breakers -Clearances 5. Drain; MH Test -Fall -Flex Connector 6. Water; MH Test -Regulator -Connector 7. Water and Sewer Connected -C/O to Grade -HD Approval 8. Gas and Electricity Tagged ' -- 9. Exits; Insp.-Sketch 10. Cert. of Occupancy Date Card B-1 Date Card B-1 Date Card B-9 Date Card B-1 ' k I1 , MISCELLANEOUS Date DECKS, COVERS, CARPORTS, GARAGES, (Plans)OK except #'s 1. Zoning Requirements -Setbacks -Easements t 2. Footings; Soils -Size -Depth -Spacing -Connectors -Steel 3. Decks; Griders and/or Joists -Decking -Bracing -Stairs -Rails 4. Wood Awn.; Posts-Beams-Rftrs: Coonectors Shthg.-Rfg.-Bracing 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Carports; Windows -Doors 7. Electric 8. Frmg; Sils-Anchors-Studs-Rftrs-Trusses 9. Siding; Nailing -Veneer -Stucco -Mesh! 10. Roof; Shthg-Roofing \ 11. Ext.; Steps -Doors -Landings l • `� f Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date POOLS (Plans) OK except #a 1. Setbacks -Easements , t 2. Soils; Compaction -Structure Stability 3. Pool Structure; Steel -Connections -Thickness Dead Men -Lining 4. Elec.; Receptacles and Lighting, Distances-GFI 5. Elec.; Pool Lighting; 15 volts-GFI 6. Elec.; Enclosures; Conduit Entries -Terminals -Listed 7. Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater '8. Elec.; Grounding; Equip. w/5' Circulating Equip. -Pool Lghtg. Boxes -Enclosures- Pane Iboa rds-Ins. to Main in Conduit 9. Health Department Approval 10. Plumb.; Cir. Test -Water Supply Test Date Card B-1 - Date Card B-1 Date Card B-1 Date Card B-1 J=OK O=Not OK - = Not Applicable = Not Ready Date UNDERFLOOR (Plans) OK except #'s RESIDENTIAL (Single & Duplex) 2. Ftg. ain; Sq -Elec. Grnd.-/ /" Ftg. Depth , Gar ; Soils-Steel-Elec. Gr Ftg. Depth 4. Ftg. Porches & Decks; Soils -St I-/ /Ftg. Depth 5. Ste ails, Main; Steel -Block uts-Wrapped 6. Stem IIs, Garage; Steel- ockouts-Wrapped 6a. Hold Awns and Spec' Anchors 7. Slab; Ste-Wrappe 8. Piers-Firep ce g. -Steel 9. D.W.V.; Fall- ting -Test -2 Way C/O -Sewer Test 10. Gas Pipe- ize- chors 11. Water ipe; Test -A chor-Regulator-Service Test 12. EI ric; Undergroun 13Aen-ms & Ducts; Clea nce-Material-Support-Ins. 14. Girders -Sills -Anchor Bolts- oi-t--vents-cripples 15. Insulation Date/ -7Z l Card 13-1 V15 Date Card B-1 Date Card B-1 Date Card B-1 Date PLUMBING Permit OK except #'s 16. Water Htr.; Vent -Access -Com stion Air -Baffle 17. Water Pipe; Test & Anchor -fail Protection 18. D.W.V.; Test -Fittings & chor-Nail Protection 19. Shower Pan; Test, Fir Floor -Tub Access 20. Test Tub & Showe , Second Floor -Tub Access 21. Gas Pipe; Size Anchors Date Card 5!� Date Card B-1 Date Car B-1 Date Card B-1 Date 22. Fixture & Transformer Clearance -Ins. Prjftection 23. Elec. Receptacles Spacing -Lights & S itches at Doors 24. Size Boxes & No. of Conductors -St led 25. Romex Installed Close to Edge of tuds & C.J. 26. Equip. Ground made up w/Mec . Fastners-Bond Gas & Water 27. 2 Appliance Circuts in Kitche & Conductor Size/GFI 28. Subfeed Wire Size / / ga. or AI-A.C. Wire Size / / ga. Cu or Al 29. Range Circ. / / ga. Cu r AI -Oven Circ. / / ga. Cu or Al. Insulated Neutral ❑ Yes ❑ No 30. Service -Riser Cond ctors & Ground -Main Disconnect 31. Equip. Clearance Panels-Motors-Mech. Equip. 32. Clothes Closet ght-Shower Light -Spa Light 33. Smoke Detec r Date Card B Date Card B-1 Date Card ` -1 Date Card B-1 Date MECHANICAL Permit OK except #'s 34. A.C. Ducts Insulation & Suppor 35. Vent Fan; Exhaust above ins tion 36. Condensate Drain & Overf w; Size & Grade 37. Furnance-Vent; Access- omb. Air -Return Air Vent -115 outlet 38. Attic Access & PlatfoA if Furnance in Attic Date Card B-1 Date Card B-1 Date Card B-1 Date. Card B-1 Date FRAMING (f3 ans) OK except`#'s 39. Sils, Proper Mateadr& Anchors 40. Walls Studs -fling, Spacing & Bracing -Plates -Sound 41. Bearing W s over Girders & Floor Nailing 42. Draft Sto in Walls (rat proof) 43. Fire St s; Furred Ceilings -Stairs -Chases -Tub 44. He rs & Beam -Size & Bearing Date FRAMING (Continued) / 46. Cing. Joist-Rftr. ties-Purlin-roof Br -Truss-Shthng.-Rfng. 47. Fireplace Ties or Type A Flue -Fir lace Throat clearance 48. Attic Access; Size & Romex Pr ection-Draft Stop -Ins. Baffles 49. Bdrm. Windows or Exiting oors-Sill Hgt. & Dimensions 50. Garage Fire Protection F aming 51. Property Line Firew & Openings 52. Ext. Doors -One 3'- heck Garage -3rd Story, 2 Exits 53. Stairs; Width -H Broom -Rise -Run -Landing -Fire Protection 54. plywood on 13&f Overhang -Attic Vents -Rafter Outriggers 55. Siding-Nai ' g Veneer 56. Stucco esh-Drip Screed -Fd. Vents-Underflr. Access 57. Gla z' g Area -Glass Protection -Skylights -Plastic. 58. Vear Walls; Nailing -Bolts /60. Infiltration -Walls -Windows Date/L •V/ Car B-1 //pQ Date Card B-1 Date Card/8-1 Date Card B-1 OK except #'s Door & Sidelic Smoke Detector 63. F - ir-Connector- 71. YtMter 72. r 73. 74. . Air-Connector-P.R.V. In or -Milch. Protection 75. P uip. Listed or o ation 76. Elec .8fcentarign arage7 JG,9,MRomex Pro ction ed i t, lym Guard ilsDeck C nstructio ost Caps 7 . Vents & Crawl Hole Door -Drainage &arth Clearance Looked unde to r es 80. Following instld.; Dri o; Walks ❑ Yes o; Planters ❑ Yes o 81. 82. b' ents Above Roof; Plbg.-Appliance-Firep e. -Clearance to Openings 84. ambing . E or Elec. Trim; G.F.I. Receptacle -Underground aw`venuiar'on Throughout House 8 la ection 8 . orrections from Previous Inspections 89. agge - 90.Viaonnected-C/O to Grade -HD Approval Energy Compliance Certificate -Other Certificates Datej-,7 -q l Card B-1 V80 Date Card B-1 Date' `Y].q( Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Comments at Final: (NOTE: An entry must be made each time you visit job site) F COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 196 Memorial Way, Chico — Phone: 891-2751 7 County Center Drive, Oroville — Phone: 538-7541,, 747 E I I iott Road, Parad i se — Phone: '$72-6307 CORRECTION NOTICE OWNER PERMIT N A routine inspection indicates that the following violations of County Ordinance exist at the above address and should be corrected. Please notify this office we correction of work is completed. If you have any question pertaining to this m:716 ter, or need additional explanation, please contact this office immediately. W j20 1 /1!'A ' Date / _�O Inspector V ENERGY INSTALLATION CERTIFICATE Building Owner in�G�'lge,l $ �G{xt,'� 1"��IQ �CiU Building Permit # _I006 Building Location l(ol(oQ 3hosknneg-E. Lane, ; roSeS`f eanci, C)g 95qq2. DESCRIPTION OF INSULATION ROOF !� Material 9! lit10, Brand Name Thickness(inches) �z Thermal Resistance (R Value) EXTERIOR WAL �O- er a 61)x Brand Name Thickness(inch ) 3 " Thermal Resistance(R Value) / CEILING Batt or Blanket Type Brand Name d Thickness(inches) _Thermal Resistance(R Value) Loose Fill Type e0 Brand Name _ L-_ %aU1 .Co e si Minimum Thickness(Inches) /O " Number of Bags Wt. pelr bag lb. Area covered (ft.2) 42V r Thermal Resistance(R Value) ,3(7 FLOOR, ELEVATED Material Brand Name Thickness(inches) Thermal Resistance(R Value) FLOOR, SLAB, Material. :l &7KA Brand Name Thickness(inches)���"v+cr� " Thermal Resistance(R Value) Width(inches) %X $ *v v-jer 480 kf FOUNDATION WALL Material e4;pLer &oc- Brand Name Thickness(inches) Thermal Resistance(R Value) I hereby certify that the above insulation was installed in the above building, is consistent with approved building department plans and attachments and con= forms with reuirements of Chapter 2-53 of State of California Energy Requirements. a A 'oes/ce% � L /SC7 FIRM NAME/OWNER STATE CONTRACTOR'S LICENSE N0. SIGNATURE OF INSTALLATION APPLICATOR DATE I hereby certify the required features, devices, and equipment, a6 shown on the approved Building Department plans and attachments have been installed and conform to the appli- ance standards and Chapter 2-53 of the State of California Energy Lequirements. h IQScr�j BUILDING CONTRACTOR OWNER Please Print) ( FIRM NAiME ) S NATURE OF BUILDING CONTRACTOR/OWNER HVAC FIRM NAME/OWNER (Please Print) SIGNATURE OF HVAC CONTRACTOR/OWNER STATE CONTRACTOR'S LICENSE NO. -,)- IRqo DATE STATE CONTRACTOR'S LICENSE NO. DATE THIS CERTIFICATE MUST BE ON FILE WITH THE BUILDING DEPARTMENT PRIOR TO FINAL INSPECTION APPROVAL AND A COPY SHALL BE POSTED WITHIN THE BUILDING. SEPTEMBER 1988 COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMAT NO. 7 County Center Drive - Or&lle, Cdlifornia 95965 - Telephone: 916/538-7541 APPLICATION AND PERMIT ASSESSOR PARCEL NUMBER 56-35-0 ZONING _ BUILDING PERMIT OWNER Pel TELEPHONE 894-2345 SQ. FT. OCC -1 BUILDING VALUATION OWNER'S MAILING ADDRESS P.O. Box 65 Forest Ranch CA 95942 16 Qppn 80.00 CONTRACTOR'SNAME Owner TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace lWood 1,000.00 CONSTRUCTION LENDER UNKNOWN Total Valuation $ Filing Fee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee $ 56.50 ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ 28.25 Energy Plan Checking Fee $ 15.00 ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS Permit fee $109.75 PLUMBING PERMIT Filing Fee 10.00 16160 Shoshannah, Forest Ranch 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 SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home S G W 10.002 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation❑ Other 0 Describe work: Garage Conversion to Fami 17 Roam _ EXISTING Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 60OV OR LESS 100 AMP OR LESS 10.00 Main service EA. ADD'L 100 AMP 2.50 CONTRACTORS LICENSE LAW 1 declare under penalty of perjury (check one): ❑ I am licensed under provisions Of Chapt. 9, Div. 3 of the Business and Professions Code and my license Is In full force and effect. License No. Classification 1, as the owner, Or my employees With wages as their sole compen- sayion, 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 OCC4q,O) X 2'/zQsgft 12.00 OR A.D.S. ACC. SLOGS. O NEW CONSTR. MULTI -OUTLET 2.50 ea NON.RESID BRANCH CIRC ITS (POWER APPARATUS 2) SINGLE OUTLET CIR. 20 @ 300 Ex. Occup(OUTLETS OR FIXTURES 20@030 FIXED APP LNS. OR Ex. Occup. OUTLETS IRESI D.> EA.) 1 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 Permit Fee $22.00 Contractor WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. jR( I shall not employ any person in any manner so as to become subject l9 to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. MECHANICAL PERMIT Filing Fee 10.00 Heating Cooling Hood 3.00 Ventilation Permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to 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 i cons ence of the granting of this permit. 3� I �Q� X ��A P Aa .-- 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 3Qstories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ .0-�0.0 occ CONST TYPE TOTAL FEE $ 161.75 HAz r+ CUA PARK SCH FLD PAR PD o I s Th's permit is nereby issued under sions of the Butte County Code and/or work indicated above for which fees DIRECTOR OF PUBLIC BY PERM EXPIRES Date the applicable provi- resolutions to do have been paid. WORKS Date ` Z�s .91 Receipt No. U�S D WNITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR. GOLDENROD -APPLICANT COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 2 , 7 County Center Drive - Ordville, California 95965 - Telephone: 916/538-7541 APPLICATION AND PERMIT PERMIT NO. ASSESSOR PARCEL NUMBER 6 .- 3 5'— p ZONING IM' -� BUILDING PERMIT OWNER TELEPHONE $Q, FT. OCC. BUILDING VALUATION v • "��`� to L `-'�� OW R'3 MAIL G ADDRESS D, o G S Foci esfr 75/ 2- � 6 a El o CONTRACTOR'S NAME -v- TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace po�'' CONSTRUCTION LENDER UNKNOWN Total Valuation is s gIbb Filing Fee $ 10,00 LENDER'S MAILING ADDRESS Permit Fee $ 5.4 _57�D ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ E9 —1-L 5 Energy Plan Checking Fee $ EGD ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS Permit fee $ f Q9-%51 PLUMBING PERMIT Filing Fee 10.00 O J� f Each Trap 2.00 919,jc-H 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 SFA�r Duplex❑ Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer5.00 Mobile Home S G W ea. TYPE OF WORK New[:] Addition[] Remodel❑ Utilities❑ Installation❑ OtherN Describe work: (fi0 70 ro'll/ No /� �— Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service I1OOV OR LESS 100 AMP OR LESS 10.00 Main service EA. ADD'L 100 AMP 2.50 CONTRACTORS LICENSE LAW 1 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 J L�N/I 1, as the owner, Or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason oR ADDNST DWELL ACC, LOGS CC�L�-)) iiJJ I/ 'hQsq it /•) O L NEW CONSTR. MULTI-OUT_T NON.RESID BRANCH CIRC ITS 2.50 ea (POWER APPARATUS e1 SINGLE OUTLET CIR. E%. Occup 20@50C OUTLETS OR FIXTURES SAL030 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 $ 2 r Contractor WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ 1 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. RA I shall not employ any person in any manner so as to become subject 1eV to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. MECHANICAL PERMIT FiIingFee 10.00 Heating Cooling g Hood 3.00 Ventilation permit Fee $ tor Contractor 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 c equence of the granting of this permit. X �, J a.a� Date I q d Signature of Applicant — OwnerkrContractor ❑ Agent ❑ An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories in height. Receipt No. 5_9 _7� WHITE-D.P.W.. YELLOW -ASSESSOR. PINK -INSPECTOR. GOLDENROD-APPL I CANT Mobile Home Installation Fee $ Energy Inspection Fee $ OCC I CONST TYPE TOTAL FEE $ /,6/.757 HAZ I CUA I PARK I SCHL I FLO I PAR I PD I HO I ISSUE Th's permit is nereby issuea unser the applicable provi- sions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DIRECTOR OF PUBLIC WORKS By PERMIT EXPIRES Date Date . y� i F I�jr✓i,+�f� T ! , COUNTY OF BUTTE - DEPARTMENT,OF PUBLIC WORKS - BUILDING DIVISION t� 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE: 916/538-7541 PERMIT APPLICATION DATA SHEET Permit No. OWNER A A. P..No. _:-_ Proposed Building Use S/�C4IAAC-r_ Co.a+J_ Building Inspector G S✓ Date O At time of permit application, I was advised the following data must be submitted prior to permit processing and/or issuance: DATE RECEIVED APPROVED 1. All items have been submitted . .................................... 2. Plot plans in duplicate/triplicate, "signed by preparer of plans........ 3. Complete plans in duplicate/triplicate, signed by preparer of plans . . 4. Complete engineered plans and calcs, with wet signature on plans .. 5. Hazardous Material Form .......................................... 6. Energy Design Compliance and supporting documentation ......... 7. Statement of Intent for Non -Heated and AC Buildings .............. 8. Engineered truss details and layout in duplicate (required prior to plan check) 9. Mobilehome installation data including manufacturer's installation instructions....................................................... 10. Fees of $ ........................ 11. Chico Urban Area fees paid ....................................... 12. Park fees paid .................................................... 3. School District fees paid .............. 4. Sanitation approval from CHI e�D Health Department 3`' 15. City of Chico plumbing permit ..................................... 16. Plot plan and business license approval from City of (see City for other requirements) 17. Planning approval for (A) Use: (B) Parking: ...... 18. Improvements may be required. Contact Land Development Section DPW 19. Driveway permit (construction approval required prior to occupancy) 20. Pre -Inspection for required Pre-Inspec. request to Building Inspector 21. Contractor's license information (No., Name Style, Classifications ... 22. Certificate of Workmahs Compensation Insurance .................. Owner -Builder Verification (Given to owner ❑, Mail to owner ❑) ..... lu2 Recorded copy of Agricultural Acknowledgment Statement ......... 3 -)U -Sy 25. Letter of signature authorization ................................... 26. 27. (Date) When you Issue the permit, process as follows: Mail to owner. Mail to contractor. _(Telephone 891-1.94_and hold for pickup at C114office. Deliver w/inspector. Other tN Applicant Copy of plans sent Health Dept., Fire Dept., Other Date The following data must be submitted prior to permit issua 1. Index permit for above items No. 2, Additional items required: I9 new item not checked above). Contractor, designer, own , was advised of above required data by_phone__m il_counter by_,4=$-date J s Contractor, designer, owner, was advised of above required data by_phone_mail_counter by date PJ,ans checked by 4�_ Date Plans approved by �!5 Date 415�_V Sets of plans on hold in File cabinet AP folder ti. Copy—DPW TO Buildina Department FROM: Environmental Health SUBJECT: Sanitation Clearance �PL�asCr o Owner Location AP# Plan Approved for: Sewage Disposal Water Supply Fold f incl for : Final clearance O.R. for: Clearance for bedroom mobile home. NOTE Water Supply Water Supply Other �. Sanitarian Date COUNTY OF BUTTE - Department of.Public Works 7 County Center Drive, Oroville, CA 95965 Phone: 916-538-7541 OWNER -BUILDER VERIFICATION Attention Property Owner: An "owner -builder" building permit has been applied for in your name and bearing your signature. Please complete and return this information at your earliest opportunity to avoid unnecessary delay in processing and issuing your building permit. No building permit will be issued until this verification is received. 1. I personally plan to provide the major labor and materials for construction of the proposed property improvement (yes or no) �1J 2. I (hav ��`-�� signed .an application for a building permit for the.ptsedwork. 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 �J Social Security Number Date -37 1 R O NOTE: This Owner -Builder Verification is sent to you as required by Sections 19831 a,nd 19832 of the California Health and Safety Code. This verification must be completed and returned to our office before we are per- mitted to issue the permit. ... .,.-.,.- -R �,�. ._._ ._ �-_-_...,+....,,v.'^.�-�s"�iP,w•y.,_�..-..�.-ate .-....—.-.0 - ^^T `+'wDrvs.`•°ry;.�-.r�..�,r.gy;�,p,,.,.n,,,.._. ,s,r• --mow.., .s .. .. _.-.... � ,.- .- ... ., r BUTTE COUNTY SCHOOLS DEVELOPMENT'FEE CERTIFICATION FORM (One Form per Building) A.P. Number �Q Building Department No. J &/sc- School District "�f�// G� city -F71 County [�O" Jurisdiction Property owner USAF✓ X1!CAme f°L4SC Project Location/Address Subdivision Lot Number Residential Development: Sq. Footage # of Living MHI Addition (Group R) Units Commercial/Industrial: 0 Sq. Footage New Addition (Including Exterior Roofed Areas) Bl�g Department Representative D;te (Floor Plans reviewed by School District Personnel) . ' District Id No.. A)M School District certifies that yS (Applicant Name�') (Phone Number). -(Street Address) ,e&sr- )e1,vc�r c� �s�V . (City) (State) -(Zip Code) has complied with the requirements of Resolution No. by the payment -of $ �'!� / representing d -square feet. School District Representativ&�,o PAID BY CHECK NO. /-/,* BANK NO i PAID BY CASH Date white -applicant, yellow -building department, pink -school district SCHOOL.FEE (8/88) Susan & Michael P.O. Box 65 Forest Ranch, CA COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive, Oroville, CA 95965 Pellascio 95942 With reference to the above subject: PHONE: 916-538-7541 DATE 3-7-90 RE: BP#579-90'Garage Conv. to Family Room A.P. # 56-35-01 l� Attached is: Application for permit Mobilehome Utilities Installation Sheet Building Plans Mobilehome Installation Information Sheet Engr. Calcs Typical Plan Sheet Owner -Builder Verification.Form List of Codes Enforced LL We need the following information: Permit application signed and completed where indicated with all copies returned. Fees of $ payable to Butte County Treasurer. Certificate,of Workmen's Compensation Insurance or check exemption statement. Contractor.'s License Law information or check exemption statement. Complete plans in including plot plans. Plot plans in Structural details in Complete plans and calcs in by registered engineer or architect. Energy design including Street and drainage improvement plan approval from Land Development Section (DPW). sets of plans in accordance with the changes marked in red. Sanitation approval from Butte County Health Department at: 196 Memorial Way,'Chico 7 County Center Dr., Oroville Skyway & Elliott Rd., Paradise Planning approval from Butte County Planning Department, 7 County Center Drive, Oroville, for Completed Owner -Builder Verification form. Recorded copy of deed showing Recorded copy of agricultural acknowledgement statement. OTHER 1. I need a. floor pl dimensions, and types of doors. 2. I need to know if you have a ceiling in that room. if so. what size ceiling joists and how far are they spanning - 20' or 24'? 3. Also the built in oven is not allowed. Should you have any questions concerning the above, please contact Linda Sexton -of this- office. _....... _ ...._ _ . .. .. _ ....- .between .3pm. &...5pm - --- .- _. Yours very truly, William Cheff Director of Public Works • /J.F. Glander JFG/aj Chief Building Inspector Iq W.-DI,W AGRICULTURAL STATEMENT OF ACKNOWLEDGEMENT 90--089.48 FOR RESIDENTIAL DEVELOPMENT Section 16-8.1 of the Butte County Code requires this acknowledgement be recorded prior to issuance of a building permit. 90-008948. I Rec. Fee. 7.00 `l.'he property described herein is adjacent SHO -1:00 to land or included within an area zoned Recorded I Check 6.001. for agr.i.cul.t..ur.al purposes, and residents Official Records _ s' of this I.rr(.)Iu•r-ty may be srlbJecL to incon County of, I ven:i.enccs or d i.scomfort ar-i sing :from the use of agr.:i cul.i.ura.l chemicals, -including, t� ace J. Grubbs ; _I but noL limit -ed to herbicides, pesticides, ' Recorder I ` and ferL:i l.irers; and from the pursuit I '-9 ,1K 2 1.07am G -Mar -�U I of ag!:.i.c.u.lt.ura1. ope:raLions including, but not: 1im:i.t ed to cultivation, plowing, - -- spraying, pr•unlrig, and harvesting which occasionally generate dust, smoke, noise, and odor. Butte County has established agric.u.l- Lural zones which have as a priority use for productive agricultural. purposes, alld r.esi.dcnts within said zones and on adjacent property should be prepared to accept such i nconvell i.ence. or discomfort from normal, necessary farm operations. All that real property situate in the CounLy of Butte, State of California, de:;c•ri,bed as Follows: See Date:P PROPERTY OWNERS: P 0 . &a -x 6S- ► 1 C�f2o s I1 M se s +- 'p�a,r. ch , C n 9 5 g q 2_ State of Calif ) On this the 12fid day of March f 19 90 I>c fore me, ) SS. the undersigned Notary Public, personally appeared County of Butte ) SUSAN FELLASCIO AND MICHAEL L PELLASCIO 711!911!191'111II1111!III[7111i!!!!(RIC!If':!i!{!{!I[7111!IIIIIiiI[IIIIIIII!IIII[]IIIIIIL� EJ Personally ICnOWTI to me. ©Proved t0 m2 on the bFIS I S SARA ILENE PALMER of satisfactory ev.ideii c. NOTARY PUBLIC-CALIFOIINIAti to be the persReDwithin whose name(s) Are -- PRINCIPAL OFFICE IN 9 subscribed to tinstrument and acknowledged Lha t. They BUTTE COUNTY executed the same for the purposes therein contained. 1'N WJrNF,SS IIMy.Gommiss ion!Expi'IesIII I�september 74; 299 '9 WHEREOF, I hereunto set my hand and official seal. . Present A.P. No. 056-350 -CJ0/ !c C� Notary . ubl.,i c 7cc Spl . Order No. 20718 P-12123 DESCRIPTION All that certain real property situate in the County of 'Butte, State of California, described ,as follows: PARCEL ONE: s Parcel 2, as shown on that certain Parcel Map of a portion of the Southeast of the Northeast quarter of. Section 32, Township 24 North, Range 3 East, M.L�.R quarter do M., and also a Redivision of Parcel 1 of Book 53 of Parcel Maps at page 36, which map was filed in the office of the recorder of the County of Butte, State of California, on June 3, 1976 in Book 57 of Parcel Maps, at pages 49 and 50. PARCEL TWO: s A 60 foot non-exclusive easement for road and public utility purposes as shown on that certain Parcel Map filed in the office of the Recorder of the County of Butte, State of California, on Tune 3, 1976 in Book 57 of,Parcel Maps, at pages 49 and 50. PARCEL THREE: .t' A non-exclusive easement for road and public utility purposes 60 feet in width running through Parcel 2 to Sugar Pine Place as shown on the Parcel Map fUed in the office of the Recorder of the County of Butte, State of California, on September 3, 1975 in Book 53 of Parcel Maps, at page . 36. END OF DOCUMENT FORM 7 ADDITIONS TO RESIDENTIAL BUILDINGS ENERGY SHEET PACKAGE "A" (Additions) Owner PQ11Cj ,5 j° /(' Climate Zone Permit # — O Floor Area The following data showing mandatory and required features of Package "A" shall be installed for additions to dwellings. Additions to dwellings include room additions, converting garages and patios to living areas, house moves that add footage and attic conversions, and any space that is existing non -conditioned space that is converted to conditioned space. Remodeling of existing conditioned space is not included. ZONE 11 VR- 0 APPLIES TO NEW AREA 0 CEILING R-30 WALL R-11 FLOOR R-11 R 19 SLAB R-7 -7 m GLAZING U-.65 (Dual) U-.65 ual) SHADING SOUTH - OPTIMUM OVERHANG or .36 Shading Coefficient WEST .36 Shading Coefficient LOOSE FILL INSULATION (Density) OINFILTRATION CONTROL (Weatherstrip doors, certified windows, caulking) VAPOR BARRIER (Zone 16) DTJCTS.PER UNIFORM MECHANICAL CODE - Ch. 10 A IGHTING KITCHEN &•BATH NOT LESS THAN 25 LUMENS/WATT V MAXIMUM GLAZING 16%. OF*AREA PLUS REMOVED GLAZING NEW HEATING, VENTILATING, AIR CONDITIONING AND HOT WATER SYSTEMS IN CONJUNCTION WITH AN ADDITION SHALL BE INSTALLED AS SHOWN ON BACK OF THIS SHEET. OTHER 12/85 *1 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 ❑ Other - (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) DOMESTIC WATER SYSTEM ❑ •(A) Gas Only Gallons (brand and model number) (tank size) ❑ Heat Pump w/Electric Backup (brand and model number) Gallons 2 (tank size) j3* 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) *1 Submit documentation of sizing heating and cooling equipment by Manual J, sizing charts (form #4) or other approved methods, section 2-5352(g), and fill out the following: _ Heating: Winter design temperature elevation ', heating load BTU . elevation factor x heating load maximum outlet capacity gas furnace BTU Cooling: Summer design temperature ', cooling load BTU *2 Submit T.I.P..S.E. chart or other approved system (form #5) to document sizing of solar panels. ® DESIGN COMPLIANCE STATEMENT: The above building design meets the requirements of Title 24, Part 2, Chapter 2-53 of the California Administration Co de. '�& k - SIGNATURE OF BUILDING DESIGNER OR APPLICANT r 0 T= � s ' kn 110 s� �o •�e�S ,ir Gj� �'(J 6D VN �F t.09— ap .09— C av APP"- Or p u,�a�`� lay-:,rrn G --tear.n fop r4H fa -be 36 in h intermediate rails to he The Pei22u o Family P.O. Box 65 Forest Rank, Calf 95942 --- - - _ 4'x ''Co " m*j1-f':' ,-s �1r��-� C Cc t--tFl� I2 „ so %ri \ I^ cyx Q 1 r n G q q <7--.7 `PERIAIT NO. •449-78,B,P,E,M PERMIT EXPIRES ca Harry Koenig Q, ;OWNER ��jeONT.R. owner LOCATION (A.P. 56-24-124 port. " ri v� SIS .rd.,a 400'E.of Pine Wa ' p pp. Way,.Forest Ranch s-- OC.�'�. 7"cD l \ • 1 , rY • - - Y Temp. Power Pole t; Called PG&E Temp. Elec. Serv. C-51 led PG&E " v T mp. Gas Serv. Called PG&E r JOB FINALED ` (Date (Signature) �� � ���� � h �0 �� .. f .�� .: ' ` 1 COUNTY OF BUTTE — DEPARTMELNT OF PUBLIC WORKS t BUILDING INSPECTION RECORD BUILDING BUILDING Cont'd) PLUMBING Setback 7 — Firewall Soil Piping --f Forms —� — Parapets 1st Floor I uz. Main Bldg. Restroom Finish 2nd Floor Footings —'7 Windows 3rd Floor StemwaII Siding To out 7 — Slab Roof Sheathin —0�t0 —Zr Water Piping Piers rl7 Roofing Sewer Garage Fdn. Vents Fixtures Footings j ''j Garage Vents Water Htr. StemwaI I Insulation Heaters Slab Prov. for ph sically�_ Appliances Carport handicaped Gas Piping & Test J Conformance of ex. Footings structure oe Temp. Gas Slab Final ' Sanitation Patio FIREP Final jZ Footings Footin —7— ELECTRICAL Masonr Walls Throat Rou h Reinf. Stee Final Z� Fixtures Bond Beam. FIRE SPRINKLERS Motors Fr ming --s —% Test Water Htr. Stucco Final Subpanels Mesh MECHANICAL Grd. Fault Prot. Scratch Heating Service Brown -------- Cooling Temp. Pole Finish Ducts q Underground Interior Lath — Ventllatlon Permanent Door Closes Final :; Final MOBILEHOME UTILITIES ------------------ Elec. Service Elec. Pedestal Water Piping Sewer Gas Piping MOBILEHOME INSTALLATION - - - - - - - - - - - - - - Support Elec. Continuity Water Piping Drainage Gas Piping DATE REMARKS OR ORRECTIONS o& (NOTE: An entry must be made on this form each time you visit the job site.) • • COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS 7 County Center Drive — Uroville, California 95965 TelepMne' §'34=4541 APPLICATION AND PERMIT C./ authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. X Date $i lure of Permitee or fent Receipt No. )(a(,(. -7S White-D.P.W. – Yellow -Assessor – Pink -Inspector – Goldenrod -Applicant 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 DIRECTOR OFIPUBLIC WORKS By Date a' 7-7P B ilding permit expires Date y' 7— 7 j BUILDING Owner SO. FT. OCC. BUILDING VALUATION . 00 Mailin AddressWSJ J&W - 2 ,00 (31 T lie hone N Fi e e ContractorTotal Valuate Mailing Address Permit Fee , Qo Plan Checking Fee &/or Penalty Telephone No. Permit Fee $ Building AddressS S PLUMBING No. @ FEE PERMIT FILING FEE $3.00 anjD D Each Trap 1.50 ,0 Repair drainage or vent piping 1.50 Water piping 1.50 Each gas water heater or vent 1.50 ��fZ r A. P. No.— '��. NYU '77"'z— Gas piping system 1 - 5 outlets 1.50 ` Each additional outlet .30 F Sa lIt 'on FireDept. FireZone Use Permit Building sewer 5.00 EQA PPIk sg Dec 60' 60' R/W Improvements Lawn sprinkler system 2.00 Bldg. Pla Recd/—"'?'Par Approval Plon royal Permit Fee $ NEW ADDITION ❑ UTILITIES ❑ OTHER ❑ ELECTRICAL No.1 @ FEE PERMIT FILING FEE 1 $3.00 Main service &OOV OR LESS 5.00 100 AMP OR LESS Main service EA. ADD'L 100 AMP 2.50 Single Family E100, Duplex ❑ Mobil Home ❑ Others ❑ Main service OVER 600V 100 AMP OR LESS 25.00 Main service EA. ADD•L 100 AMP 1.00 NEW CONST. DW I COUP. & OR ADDNS. ( AC . L G ) 20sgft NEW CONSTR (MULTI -OUTLET NON.RESID. BRANCH CIRCUITS) 12.50ea NEW CONSTR (POWER APPARATUS .&) NON-RESID. (SINGLE OUTLET CIR. CONTRACTORS LICENSE LAW I am licensed under the provisions of Chapter 9, Div. 3, of the State of California Business & Professions Code under the name style of: Ex. Occup(OUTLETS OR FIXTURES) BAL@100 FIXED APP LNS. OR Ex. Occup. (OUT LETS (RESID.) EA) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00' License No. Classification Misc. Wiring 6.25 I am exempt from the Contractors License Laws of the State of California. Permit Fee $ $ WORKMEN'S COMPENSATION INSURANCE 1 am aware of the provisions of Section3700 of the California Labor Code which requires every employer to be insured against liability for Workmen's Compensation. ❑ WI have placed on file with the County of Butte a certificate of orkmen's Compensation Insurance. permit is issued I shall not employ any person in any manner FoI certify that in the performance of the work for which this as to become subject to the Workmen's Compensation Laws of California. MECHANICAL No. @ FEE ' f PERMIT FILING FEE $3.00 34" Heating 00 Cooling 3 Ventilation Hood 2.00 Permit Fee $ 3 $ 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 E TOTAL PERMIT EE authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. X Date $i lure of Permitee or fent Receipt No. )(a(,(. -7S White-D.P.W. – Yellow -Assessor – Pink -Inspector – Goldenrod -Applicant 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 DIRECTOR OFIPUBLIC WORKS By Date a' 7-7P B ilding permit expires Date y' 7— 7 j =row: Sewa(,e and/or Wa'er and or A-'. ition Clearance(5) -- E r i�:i_ a -e approved for: :i•:,id up final for: LOCATION ;,ps t Seriaoe Disposal V Water Supply' Water Sup,..Ply, Final Clearance ok for: Cieara.-:ce .is for a 3 b=_dreoa (hom_ or mobile home) . � ,:= additioz(s) will be Oth_r. Water Supply za_ia<< V CERTIFICATIONS" V ' • As required by tt;a State regulation5, -both.the guilder and thE"`insulatio.n applicatorrmust sign a card certifyin that the proper "R" values for all insulation locations have been installed. An example of a certification_ card, which is furnished by the builder or insulation applicator is shown in Fig. 13. -- THIS IS TO CERTIFY THAT INSU%ATION HAS BEEN INSTALLED IN CONFORMANCE WITH THE CURRENT ENERGY REGULATIONS. CALIFORNIA ADMINISTRATIVE CODE, TITLE 25. STATE OF CALIFORNIA. IN THE BUILDING LOCATED AT: reet f Lot Number ract-ho. EXTERIOR WALLS 0rn��'/ / Manufacturer( TMrkness/Type RValue (/\ CEILINGS /1 60 4 i T Le' Batts: Manufacturer- Yl Thickness R Value Blom: Manufacturer ' ........ Thickness'' No. Bags " " " Wt./Bag, Sq. Ft. Covered RValue FLOORS q Manufacturer ✓�+4�0- 7 p� Thlekness/Type 7 R Value SLAB ON GRACE Manufacturer Thickness/Type R Value Width of Insulation Inches_ _. FOUNDATION HALLS Manufacturer Thickness/Type R Value GENERAL CONTRACTOR LICENSE h fflER(-')L4j?1 1A BY TITL� DATE IA NTRACTOR�'— - pr ICENSE NUMBER_ BY TITLE �S1-c� a�(_Q/y DATE Fig. 13 8-14 ego !46 AN&k m I I� A. G NERAL > Zoning requirements Valuation. Signature by R.C.E. RESIDENTIAL PLAN CHECKING GUIDE (S.F. DUPLEX & MISC. ONLY) Bldg. Permit # "y E' A.P. # ap r (s ideyards and parking).' y,s off . �a0 or Architect ( if required) . ��' �°. 2g W ley. B. POT PLAN Complete parcel size and dimensions. Setbackq, sideyards, easements, etc. Other buildings or structures. Grading, fills, drainage. rN Go-o--� J3 n 4f C. FLOOR PLAN /,3o ,y.&7 Complete to scale plan with dimensions. Required windows for light and ventilation (Sec. 1405). Required windows for second exit (Sec. 1404). ; Allowable glazing for energy requirements (20% max. per State law). Human impact glass (Sec. 5406). Required room sizes, ceiling heights (Sec. 1407). G.F.C.I.'s in baths and exterior outlets (Sec. 210-8). 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). 1f2 Fireplace location. A �1 Smoke -detectors (Sec. 1413). 91 D. STRUCTURAL DETAILS Foundation plan complete enough to construct building. F�j`o%� construction details complete enough to construct building. Elevations and wall construction details complete enough to construct Roof construction details complete enough to construct building. Fireplace construction details and calcs if over one-story in height. Sufficient, data and details to satisfy energy insulation requirements E. MISCELLANEOUS ITEMS TO LOOK OUT FOR CCX plywood on exposed locations and overhangs. Stairway details (Sec. 3305). �. Guardrail details (Sec. 1716). Brick or stone veneer (Chapter 30). �5 Exterior plaster — weep screeds (Sec. 4706 & 4708). Proper roof pitch for roof covering (Chapter 32) . 6X._ ' '�a�,�`_ Rafter ties or bearing ridge beam. Garage door or porch header sizes. f Adequate bracing. building. D f/» (State law). Living area over garage - complete 1 -hour separation required including supporting walls and posts, etc. �. Two (2) exits on three-story dwellings (Sec. 3302). &Wd* Oo ' 9Utbe OROVILLE, CALIFORNIA GENERAL CLAIM CLAIMANT: Harry Ke`nig ADDRESS: 20 #1 Drake WAY CITY & STATE: CbiCoTCA. 9S926 IMPORTANT: DATE OF CLAIM:Feb_ 2- 1977 SEE INSTRUCTIONS ON REVERSE SIDE SUBMIT CLAIM TO DEPARTMENT RECEIVING GOODS OR SERVICES DATE DESCRIPTION OF CLAIM (DESCRIBE FULLY TO AVOID DELAY) AMOUNT Oymer decided not to build. Permit #2797-76 B P E M - Receipt #146710 - AP'56-24-124) Building permit fee $118.00 Retain 1/3 of fee ---.----. 39.33. ". Amount of refund due Plumbing.permit fee ----- 16:50 Retain filing fee ------- 3.00 .Amount of refund due - 13.50 Electrical permit fee -- 41.60 Retain filing fee ------- A.00 Amount of refund due ------------ 38.60 Mechanical permit fee -- 12.00 Retain filing fee -:----- 3.00 TOTAL REFUND DUE ---------------- $139.77 $139.77 i TOTAL $13 .77 I, the un signed, declare under pen I o perJury that the services or articles claimed have been performed or delivered, and that this claim is a and correct as stated. Dated this .................................. day of ............................. 19....... at................................. Calif..................................................................................... Signature of Claimant I, the undersigned, hereby certify that, to the beat of my knowledge, the services or articles specified above have been performed or de- livered and that there is a' Budget Appropriation Q or Specific Board Approval F_� (Check one) for the same. Dated this .......... 2nd ................. day of ...... FA&............ 19....7.73[ ....OtovilLe.. . Calif.................:................................................................... Department Head or Authorized Deputy Dept. Exp. Code ............................................ Code ................................................PAYABLE FROM ............................... ....... ........................................ ............. FUND DO NOT WRITE BELOW THIS LINE _ AUDITOR'S USE ONLY VENDOR CODE DEPT. & SUB. PROD• SUB. 0BJ. CLAIM NO. INVOICE NO. INVOICE DATE DISC. GROSS AMOUNT ENCUMB. SUB -DIST. 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. PERMIT NO. 279,1r76B;,P,E,M -7 97-26 PERMIT EXPIRES OWNER Harry Koenig CONTR. owner LOCATION (A.P. 56 -*24-111 E/S pri.rd., app. 1400'NE of Sugar Pine Rd., Forest Ranch 11 Temp. Power Pole Called PG&E Temp. Elec. Serv. Called PG&E Te p. Gas Serv. Called PG&E NAG l- -2? FINA lof 1pLo (Date) (Signature) Mesh COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS BUILDING INSPECTION RECORD Grd. Fault Prot. BUILDING BUILDING (Cont'd) PLUMBING Setback Firewall Soil Piping Forms Parapets 1st Floor Main Bldg. Restroom Finish 2nd Floor Footings Windows 3rd Floor Stemwall Siding To out Slab Roof Sheathing Water Piping Piers Roofing Sewer Garage Fdn. Vents Fixtures Footings Stemwa I I Garage Vents Insulation Water Htr. Heaters Slab Carport Footings Prov. for physically handicaped Conformance of ex. structure Appliances Gas Piping &Test Temp. Gas Slab Final Sanitation Patio FIREPLACE Final Footings Footing ELECTRICAL Masonry Walls Throat Rough Reinf. Steel Final Fixtures Bond Beam FIRE SPRINKLERS Motors Framing Test Water Htr. Stucco Final Subpanels Mesh MECHANICAL Grd. Fault Prot. Scratch Heatinq Service Brown Cooling Temp. Pole Finish Ducts Underground Interior Lath Ventilation Permanent Door Closer Final Final DATE REMARKS OR CORRECTIONS 67-� (NOTE: An entry must be made on this form each time you visit the job site.) COUNTY OF BUTTE, — DEPARTMENT OF PUBLIC WORKS 7 County Center DriVC• — eroville, California 95965 / Telephone: 534-4541 APPLICATION AND PERMIT / �p F, rp X Date Si tureen/f Permmiitee or A ent Receipt No/ ll� White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant the Butte County Code and/or resolutions to do work indicated above for which fees have beeA.Daid. DIRECTOR QF VUBLIC WORKS Date = 4/ 2 uilding permit expires Date BUILDIN OwnerSQ. G _ FT. OCC. BUILDING VALUATION Mailing Address # L P /, y76 7 y �D r,�� elephone No. 3 -7-3 00 Fireplace Contractor Total Valuation Mai I i ng Address Permit Fee Plan Checking Fee &/or Penalty Telephone No. Permit Fee / p Building Address_ S f �A ����� PLUMBING No. @ FEE PERMIT FILING FEE $3.00 300 OQ�f ` s(/ ,fJ� �� /� Each Trap 1.50 j Z p0 Repair drainage or vent piping 1.50 \ 5 �) Water piping 1.50 So Each gas water heater or vent 1.50 ,_�77 � A. P. o. /� /� Zoning & Planning Gas piping system 1 - 5 outlets 1.50 Each additional outlet .30 Feeyl W.Wire Dept. Fire Zone Use Permit EQA Pa i Plann 6 ' R/W Imp me s Bldg. Plans Recd Parcel pprov Plans Approval Building sewer 5.00 Lawn sprinkler system 2.00 Permit Fee $ NEW ADDITION ❑ UTILITIES ❑ OTHER ❑ ELECTRICAL No.1 @ FEEPERMIT FILING FEE J$3.00 e0 Main service 1000V OR 0 AMP ORLESS5.00 Main service EA, ADO'L foo AMP 2.50 Single Family Duplex ❑ Mobil Home ❑ Others ❑ Main service OVER 6001 1100 AMP OR LESS 25.00 Main service// EA. ADD'L 100 AMP 1.00 NEW CONS.OR ADDNST % ACCLBLDGS. 1"; &) 20sq ft NEW CONSTR. MULTI -OUTLET NON-RESID. BRANCH CIRCUITS) 2.50ea - NEW CONSTR./POWER APPARATUS & NON-RESID, \SINGLE OUTLET CIR. CONTRACTORS LICENSE LAW I am licensed under the provisions of Chapter 9, Div. 3, of the State of California Business & Professions Code under the name style of: Ex. Occup(OUTLETS OR FIXTURES) BAL@251a oq Ex. Occup. ( OUTLETS IXED AP(RESID )LNS.REA) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 License No. Classification Misc. Wiring 6.25 1 am exempt from the Contractors License Laws of the State of California. Permit Fee $ $///,1 ee WORKMEN'S COMPENSATION INSURANCE I am aware of the provisions of Section3700 of the California Labor Code which requires every employer to be insured against liability for Workmen's Compensation. ❑ I have placed on file with the County of Butte a certificate of Workmen's Compensation Insurance. I certify that in the performance of the work for which this permit is issued I shall not employ any person in any manner so as to become subject to the Workmen's Compensation Laws of California. MECHANICAL No. @ FEE PERMIT FILING FEE $3.00 —740 0 Heating Cooling Ventilation �� Z►B Hood 2.00 Z.n p Permit Fee $ f 7- e? $>2 , F0 I certify that I have re d this application and state that the above information is correct. I gree 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 d ar above-mentionenrnnrtu fnr inenctinn U OSBS TOTAL PERMIT FEE $/ This permit is hereby issued under the applicable provisions ns of F, rp X Date Si tureen/f Permmiitee or A ent Receipt No/ ll� White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant the Butte County Code and/or resolutions to do work indicated above for which fees have beeA.Daid. 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