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058-190-184
058-190-184 06-16231•! BIRD, KIYOMINOTES 3501 SHUMAN LN; CONCOW Cont: FOUR SEASONS ROOFING RE ROOF t. RESIDENTIAL - APN: Permit No. Owner. Site Address: Contractor. Type of Permit: r Ir i { 1 J it , SPECIAL CONDITIONS CHECKED BY SRA FLOOD CERTIFICATE EQUIRED FIRE SPRINKLERS REQUIRED SPECIAL INSPECTION ITEMS VERIFY USE PERMIT CONDITIONS SUBSTANDARD HOUSING LETTER ENCROACHMENT PERMIT REINSPECTION FEE PAID ENV HLTH CLEARANCE DATE JOB FINALEDgt,-x SIGNATURE: 4, E SPECIAL CONDITIONS CHECKED BY SRA FLOOD CERTIFICATE EQUIRED FIRE SPRINKLERS REQUIRED SPECIAL INSPECTION ITEMS VERIFY USE PERMIT CONDITIONS SUBSTANDARD HOUSING LETTER ENCROACHMENT PERMIT REINSPECTION FEE PAID ENV HLTH CLEARANCE DATE JOB FINALEDgt,-x SIGNATURE: +=OK MANUFACTURED HOMES MISCELLANEOUS" DATE PERMANENT FOUNDATION Lj SOFT -SET 1 ZoningSetbacks-Easements 2 Soils; Special MH Support Sketch 3.Sewer; Loctn-Test; FalllC/O-Concrete 4 Wtr, Loctn-Test-Easeinent Needed -Regulator 5 Elec Loctn-Clrncs-Gmd Amp -Concrete 6 Yard Gas; Loctn-Test-Wrap Nat ❑ or LPO Inch Sz Ft Lngth 7 Bickng; SzSpacing-Marriage Line 8 Gas; MH Test-Demand-Valve-Cnnctr 9 Elec MH Cntnty Test-Crossovers-Breakers-Clmcs 10 Drain; MH Test -Fall -Flex Cnnctr 11 Wtr & Sewer Connected -C/O to Grade 12 Gas and Electricity Tagged 13 Tie Downs ❑ Foundation ❑ 14 Exits 15 Cert of Occupancy 16 HUD Label/Insignia Numbers Serial Numbers ' '--,DATE ID E C K S -C O V E R S -C A R P O R T S •G A R A G E S 1 Zoning�Setbacks-Easements 2 Figs; SailsSz=DpthSpacing-CnnctmSteel 3 Decks, Girders/Jolsts-Dcking-Brcing Stairs•Guard/Handralls 4 Wood Awn; Posts-Beams-RSrs-CnnctrsShthg, Frmg-Brcng 5 Alum Awn; Columns-CnnctnsSplice-Decal-Enclsrs 6 Carports; Wndws-Doors 7 Electric 8 Frmg; Sills-AnchrsStuds-R crs Tnisses 9 Siding; Nailing -Veneer -Stucco -Lath 10 Roof; Shthg-Roofing 11 Ext; Steps -Doors -Land igs 12 Braced Wall pnis ya .s+ ° DATE IPOOLS 1 Setbacks -Easements 2 Soils; Compaction Stability 3 Pool Structure; Steel-Cnnctns-Thickness Dead Men -Lining 4 Elec Rcptcls/Lting; Distance-GFI 5 Elec Pool Lting; 15 volts-GFI 6 Elec.'6elkrs; Conduit Entries Temdnals4.isted 7 Elec Bonding; Metal w/5'-Crdtng Egp-Htr 8 Elec Gmdng; Eqp w/5' Crcltng Eqp-Pool Ightg Boxes-Enclsrs-pnlboardsansultn to Main Conduit 9 Health Dept Apprvl 10 Plmb; Cir Test-Wtr Supply Test 11 Lt Niche , 12 Endsr, Fencing -Alarms 13 Bonding, Diving board or Slide Pool Drawing f+ " 0 = Nat RESIDENTIAL (Single & Duplex) L DATE iUNDERFLOOR 1 Zoning -Setbacks -Easements -Flood -Slope 2 Ftg Main; Soils-Elec Grnd Ftg Dpth 3 Ftg Garage; SoilsSteel-Elec Gmd Ftg Dpth 4 Ftg Porches/Decks; Soils -Steel Ftg Dpth 5 Stdmwails Main; Steel-Blockouts Wrapped 6 Stemwalls Garage; Steel-Blockouts-Wrapped 6a Hold Downs and Special Anchrs 7 Slab, Steel Wrapped 8 Piers-Frplc Ftg-Steel 9 DWV; Fall -Fitting -Test -2 -way CIO -Sewer Test 10 UF, Gas Pipe; Sz Anchrs-Sz Test 11 Wtr Pipe; Test-Anchrs-RgltrService Test 12. Elec Undrgrnd 13 Plenums & Ducts; Clrnc-MaterialSupport4nsultn 14 GirdersSlits-Anchr Bolts-Joists-Vnts-Cripples 15 Ace & Vntltn 16 Insulation o+r DATE IFRAMING 17 Sills Proper Materials & Anchrs 18 Walls Studs -Nailing Spacing & Braces -Plates -Sound 19 Bearing Walls over Girder$ A flr Nailing 20 Draft Stop In Walls (rat proof) 21 Fire Stops; Furred CeilingsStairs-Chasers-Tubs 22 Headers B.Bear'hsSi &'Bearing• 23 Hangers-Post'Caps-Anchrs�nnctns 24 Ceiling Joist-Rftr Ties-Purlin-Roof Brac-TrussShthg 25 Frplc Ties or Type A Flue=Frpic Throat Clrnc 26 Attic Ace; Sz &_Rinz Prtctn-Iyrafi Stop -Ins Baffles 27 Bdrm Wndws or Editing 646tirsSiil Ht & Dimensions 28 Garage Fire Prtcth Framing -RC Channel 29 Prprty Line Firewall .& Opngs' 30 Ext Doors -One X -Check Garage 3rd Story, 2 Exits 31 Stairs; Width-Hdrm-Rise-Run4-anding-Fire Prtctn 32 Plywd on Roof Ovrhng Attic VntsWr Outrgrs 33 Siding -Nailing Veneer 34 Stucco Lath Weep Screed-Fndtn Vnts-Undrflr Ace 35 Glazing Area -Glass PrtctnSkyLts-Plastic . 36 Shear Walls; Nailing -Bolts 37 Brace Int/Ext Wall pnls 38 lnsultn-W al Is -Ceilings 39 Infiltration -Walls -W ndws 4 �*I, DATE JELECTRICAL 40 Fxtr & Trnsfrmr Cirnc4ns Prtctn 41 Elec Rcptcls Spacing-Lts & Switches at Doors 42 Sz Boxes & No Of Cndctrs Stapled 43 Romex Installed Close to Edge of Studs & CJ 44 Eqp Gmd made up w/Mech Fstnrs 45 Grndng Electrode Bond Gas & Wtr 46 2 Appinc Cires in Ktchn & Cndctr Sz GFl 47 Subfeed Wire SzCU or [DAL AC Wire Sz ya H CU or El AL 48 Range Circ ❑ CU or ❑ AL Oven Circ ya ❑ CU or ❑AL Insulated Neutral ❑Yes [:1 No 49 Service -Riser Cndctrs & Gmd Main Dscnnct. 50 Eqp Cirncs pnis-Motors-Mech Eqp 51 Clothes Closet Lt-Shwr Lt -Spa Lt 52 Smoke Detector DATE IPLUMBING 53 Wtr Htr; Vent-Acc-Cmbstn Air Baffle 54 Wtr Pipe; Test & Anchr-Nail Prtctn 55 DWV; Test Fittings & Anchr. Nail Prtctn 56 Shwr Pan; test, First fir -Tub Ace 57 Test Tuti & Shwr, 2nd fir - Tub Ace 58 Gas Pipe; Sz & Anchrs 59 Fire Sprinkler; Test 60 Yard Gas Piping 0 0. DATE IMECHAKICAL 61 AC Ducts Insults & Support " 62 Vent Fan, Exhaust abv Insulin 63 Condensate Drain & Ovrflw, Sz & Grade 64 Furnace Vent Acc-Comb Air Rtrn/Vent 115 Outlet 65 Attic Ace & Pltfrm if Furnace in attic DATE IFINAL 66 Ext Steps -Door & SldeLt Prtctn-Landings 67 Smoke Detector 68 Furnace Vnts-Clmc-Comb, Air-Cnnctr In Garage; abv-flr-Ducts-Meth Prtctn 69 Bedroom Exiting 70 GFl 8 Bath Fxtrs & Tub Ace -Spa 71 GFl Arc Fault 72 Elee Trim & Subpnl, Breaker Szs & Labels 73 Stairs, Guard/Handrails 74 Frplc or Stove, Cimc-Hearth 75 Elec Outlets at Wood Pnl, Int & Ext 76 Ktchn, Fxtr & Appinc; Gmd-Air-Gap-Cooking Clmc 77 Elec Outlets & Rcptcls at Ktchn Counter 78 Garage Fire Door Swing -Landing -Closure 79 AC Duct In Garage -Damper. 80 Wtr Htr, Vnts-Clmc-Com Air Cnnctr-PRV; abv fir Mech Prtctn; LPG Appince Undr House 3' drain 81 Plmb; Elec & Mech Eqp Listed for Loctn 82 Elec Rcptcls in Garage (GFl) Romex Prtctn 83 Insultn-Foam-Looked in Attic 84 Guard Rails & Deck Cnstrctn-Post Caps 85 Fndn Vnts & Crawl Hole Door Drnge & Wood -Earth 86 Clmc Dmge Planters ❑ Yes ❑ No 87 Stucco Brown -Finish 88 AC Unit Dscnnct, Elec-Pimb 89 Vnts abv Roof, Plmb-Appinc-Frplc-Cimc to Opngs 90 Wtr Well, Dscnnct, Elec, Plmb 91 Ext Elec Trim, GFl Rcptcl-Undrgmd 92 Vntitn thru House 93 Glass Prtctn 94 Corrections from previous Irispctns 95 Gas Test -Meters Tagged, Gas-Elec 96 Wtr & Sewer Cnnctd-C/O to grade -HD ApprA 97 Energy Cmpinc Cert -Mer Certs 98 Address Posted 99 Fire Sprinkler dr BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT 24 HOUR INSPECTION At: (530) 538-7636 (OROVILLE) (530) 891-2834 (CHICO) OFFICE #: (530) 538-7541 PERMIT'NO. BP061623 BECOME NULL AND VOID 1 YEAR FROM THE DATE OF ISSUANCE, OR IF WORK IS DONE IN VIOLATION OF ANY COUNTY OR STATE LAWS. .PERMITS LICENSED CONTRACTORS DECLARATION I hereby affirm under penally of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of Issued Date: 07/06/2006 APN:O58-190-184-000 the Business and Professions Code, and my license Is In full force and effect. S`l e73 License Class : C''- 30J License Number: Site Address: 3501 SHUMAN LN CON Date: 2—CO-OCa Contractor: i'`o0917 i5ensusn Rcll+ Map Index: - OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Description: RE ROOF 19 SQ'S COMP Contractors' Slate License Law for the following reason (Sec. 7031.5 Business and Professions Code: Any city or county which requires a permit to construct, alter, improve, demolish, or repair any structure, prior Owner: BIRD KIYOMI L " to Its Issuance, also requires the applicant for such permit to file a signed statement that he or she Is licensed pursuant to the provisions of 3501 SHUMAN LANE the Contractor's Stale License Law (Chapter 9 commencing with Section OROVILLE, CA 7000) of Division 3 of the Business and Professions Code) or that he or 95965 she is exempt therefrom and the. basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil penally of not more than five hundred dollars ($500).): ❑ I, as owner of the properly, or my employees with wages as their sole compensation, will do the work, and the structure Is not Intended or offered for sale (Sec. 7044, Business.and Professions Code: The Contractors' State License Law does not apply to an Applicant: FOUR SEASONS ROOFING • owner of property who builds or Improves thereon, and who does such work himselr or herself or through his or her own employees, provided that such improvements are not intended or offered for #11 COMMERCE COURT sale. If however, the building or Improvements are sold within one SUITE #1 95928 year of completion, the owner -builder ,will have the burden of proving that he or she did not build or Improve for the purpose of 530-895-0418 sale.). ❑ I, as owner•• of the property, am exclusively contracting with licensed contractors to construct the project (Sec. 7044, Business and Professions Code. The Contractors' State License Law does not apply to an owner of property who builds or Improves thereon, Contractor: FOUR SEASONS ROOFING and who contracts for such projects with a contractor(s) licensed ; pursuant to the Contractors' Slate License Law.). #11 COMMERCE COURT ❑ 1 am Exempt under Article 3 of the Business and Professions Code SUITE #1 95928 Date: Owner: 530-895-0418 WORKERS' COMPENSATION DECLARATION I hereby affirm under penally of perjury one of the following declarations: License #: 659073 ❑ I have and will maintain a certificate of consent to sell -insure for workers' compensation, as provided for by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. Architect: ❑ I have and will maintain workers' compensation Insurance, as Engineer: g required by Section 3700 the Labor Code, for the performance of the work for which this permit is Issued—My My workers' compensation Insurance carrier and policy number are: Crll Carrier: ni Policy #: o C� IU -236 5-1 Total Square Ft: 0 S. F. Valuation: $0.00 ❑ 1 certify that in the performance of the work for which this permit is Census Code: Issued, I shall not employ any person in any manner so as to become subject to the workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. Date: Applicant: ` e WARNING: Failure to secure workers' compensation coverage is unlawful, and shall subject an employer to criminal penalties and one hundred thousand dollars (s100,000), In addition to the cost of compensation, damages as provided for In Section 3706 of the Labor i--•. code, Interest, and attorney's fees. t. /,s& '• G CONSTRUCTION LENDING AGENCY it ihereby Issued under a pplicable provisions of the Butte County Code and/or Thi pertno: 1 hereby affirm that there Is a construction lending agency for the of the work for which this permit Is Issued (Sec 3097 CIv.) Re olulldo work In4Jcateddbovd for which fees have been paid. performance BY• Date: Name: PERMIT EXPIRES ON: Address: (Date) ❑ 1 hereby certify that the use of this facility shall comply with Sections 25505, 25533, and 25534 of the California Health and Safely Code, which regulate the storage, handling and use of hazardous materials. ❑ Notlficatlon in accordance with Section 19827.5 of California Health & Safety Code Is not applicable to the scheduled construction of this project. ❑ Attached are copies of the required E.P.A. notification forms. I hereby certify that I'have read this application, that the above information Is correct, and that I am the owner or the duly authorized agent of the owner. I agree to comply with all county and state laws relating to building construction. I acknowledge It Is unlawful to alter the substance of any official form or ocumrnt of Butte County. I hereby authorize present es of utte County to enter upon lh above mentioned property for Inspection purposes 1 f t Signature: Print Name. SII f r_HAN Date: :2—G 0C. ❑ Owner ❑ Contractor ❑ Agent for Owner 3i?0gent for Contractor b. C. nunoing Fermin ui-i6-uv pg i BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT APPLICATION AND SUBMITTAL REQUIREMENTS 24 HOUR INSPECTION#: OROVILLE: (530) 538-7636 • CHICO: (530) 891-2834 OFFICE #: (530) 538-7541 A FEE WILL BE REQUIRED AT TIME OFAPPLICATION Website: www.buttecounty.net/dds "PLEASE PRINT CLEARLY" OWNER INFORMATION Last Name i Name Sn2jIfO �ou,r ` Address Spl Zjp9S%�� State City 0v_oVEZ- Zip q leS Phon Fax 5 gFS E-mail CONTRACTOR Name Name Address Urt �ou,r ` city (;tnr�� Spl Zjp9S%�� Phone,S3 ge15 - oyl is Fax E-mail Lic # Class C—Xq APPLICANT INFORMATION ARCHITECT/ENGINEER Name Address Address StateC� City Phone /gyp State Zip Phone t Address Fax E-mail State License Number APPLICANT INFORMATION NameeAr", 6`- tJ Address C4 I StateC� Zip Phone /gyp Fax E-mail APP CANT SIGNATURE X fice use onl E AP# /�\� Property Address 50t�o Flood Zone SRA Yes No Occ• Type Const. Subdivision Name Map Book Page Lot # IUare Approved: I OVER FOR SUBMITTAL REQUIREMENTS K:\FORMSIBUILDING FORMS1BIdgApp1SubRgmts.doc Page 1 of 3 PERMIT NO �P BIN # PROJECT LOCATION AP# /�\� Property Address 50t�o Cit [Cross Street WORKER'S COMPENSATION Policy Number Carrier Cr Ifhiring anyone other than license contractors, acertificate of worker's compensation must be shown at the time of permit issuance. LENDING AGENCY Name Address Description or Scope of Work: Sq FT- Living Garage Open Cov ❑ Proposed Change of Occupancy (Note previous use): EXPIRATION OF APPLICATION Applications for which a permit has not been issued will expire one year after the date of application. In order to renew action on an application after expiration, a new application, plans and fee will be REQUEST FOR REFUNDS Refunds can only be made upon written request by the person who paid the fee. The request must be made prior to the expiration of the permit and no construction work has been done. Filing fees, plan check fees for work plan checked and other department costs are not refundable. Received by W-1 Amount Cd Bldg �SRA ` Receipt #: fJ � Sheriff SMIP Date: �p �S r Other (l _ Gv Total REV 8-12-05 SUBMITTAL & PERMIT REQUIREMENTS The following drawings and specifications must be submitted to the Building Division in order to apply for a permit. INCOMPLETE SUBMITTALS WILL NOT BE ACCEPTED. ALL PLANS MUST BE LEGIBLE AND IN INK. ❑ 1. Site plans, 3 or 4 sets, signed by the preparer of the plans. No graph paper! ❑ 2. Complete plans, 3 or 4 sets, signed by the preparer of the plans (No graph paper!) POR Engineered plans, 3 or 4 sets, with wet signature on plans AND 2 sets of stamped and signed calculations. ❑ 3. Engineered truss details and layouts in duplicate (if required). No faxes! ❑ 4. Energy compliance design and supporting documentation in duplicate. ❑ 5. Statement of Intent for Non -heated and AIC for Non -Residential Buildings. ❑ 6. Manufactured homes: (A) Installation manual, (B) Marriage line info, (C) Floor Plan, (D) Tie down or fnd plans, all in duplicate ❑ 7. Metal bldgs: (A) Metal Bldg Plans, (B) Fnd plans and calcs in triplicate, (C) Elevations in triplicate. (D) Floor plans in triplicate. All of these must be stamped and wet -signed by the engineer. ❑ 8. Flood Elevation Certificate, wet -stamped and signed, in duplicate (if required). ❑ 9. Site plan and business license approval from the City of Biggs. ❑ 10. Letter of intent for non-residential buildings. ❑ 11. Building Permit Application Without Required Clearances Form [I' 12. Hazardous Material Form (for Commercial Buildings only). Remaining items needed to issue the permit. Additional items may be required after Plan Check and Planning review (May require additional plan review upon receipt of the following items.) ❑ 1. Agricultural Bufferclearance and site plan approval from the Ag Commissioner's office (if required). ❑ 2. Impact Fees. ❑ 3. California Department of Forestry plan approval (if required). --- - - -4_NPDES Form. ._.__...-..- ❑ 5. Encroachment Permit for driveway from the Public Works Dept. (construction approval prior to occupancy). ❑ 6. Contractor's license information. (Number, Name Style, Classification). ❑ 7. Worker's Compensation Carrier and Policy Number. ❑ 8. Owner -Builder Verification (if required). ❑ 9. Letter of Signature authorization (if required). ❑ 10. Recorded copy of Agricultural Acknowledgment Statement. ❑ 11. ❑ Legal description from current recorded grant deed, ❑ Copy of M.H. Title, Title transfer, or MCO. ❑ 12. Sanitation and site plan approval from the Environmental Health Department. If you have questions or would like additional information regarding this process, please contact a Permit Assistant at (530) 538-7541. EXPIRATION OF APPLICATION Applications for which a permit has not been issued will expire one year after date of application. In order to renew action on an application after expiration, a new application, plans and fees will be required. REQUEST FOR FEE REFUNDS Refunds can only be made upon written request by the person who paid the fee. The request must be made within two years from the date of fee payment,on permits not issued, and two years from the date of permit issuance for permits issued; however, on issued permits refundsNcan only be made if no construction work has been done. Filing fees, plan check fees -for work plan checked arid other department costs are not refundable. OVER FOR BUILDING PERMIT APPLICATION KAFORMSMILDING F0RMS\B1dgApp1SubRgmts.doc Page 2 of 3 REV 8-12-05 NOTES PE:ITNO. RESIDENTIAL PE IT NO. 058-190-184 05-1687 BIRD, KIYOMI 3501 SHUMAN LN, OROVILLE j Cont: WOOD HEAT & SPA INSTALL OF NEW WOOD STOVE SPECIAL CONDITIONS CHECKED BY SRA FLOOD CERTIFICATE REQ. FIRE SPRINKLERS REQ. SPECIAL INSPECTION ITEMS VERIFY USE PERMIT CONDITIONS SUB -STANDARD HOUSING LETTER JOB FINALED (Date) Signature = OK =Not OK = Not Ryable MOBILE HOMES = Not Ready Date MOBILE HOME UTILITIES (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Soils; Special MH Support Sketch 3. Sewer, Location -Test -Fall -C/O -Concrete 4. Water, Location -Test -Easement Needed (Sketch) 5. Electricity, Location-Clearances-Gmd-/ /Amp -Concrete 6. Gas; Location -Test -Wrap;-/ /" L'ft. / P Nat. or/ /" L "ft1 P LPG Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 MISCELLANEOUS Date DECKS, COVERS, CARPORTS, GARAGES (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Footings; Soils -Size -Depth -Spacing -Connectors -Steel 3. Decks, Girders and/or Joists -Decking -Bracing -Stars -Rails 4. Wood Awn.; Posts-Beams-Rftrs-Connectors Shthg- Frg- Bracing 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Carports; Windows -Doors 7. Electric 8. Frmg.; Sills-Anchors-Studs-Rftrs-Trusses 9. Siding; Nailing -Veneer -Stucco -Mesh 10. Roof; Shthg-Roofing 11. Ext.; Steps -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. Pool Structure; Steel -Connections -Thickness Dead Men -Lining 4. Elec.; Receptacles and Lighting, Distance-GFI 5. Elec.; Pool Lighting; 15 Volts-GFI 6. Elec.; Enclosures; Conduit Entries -Terminals -Listed 7. Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater 8. Elec.; Grounding; Equip. w/5' Circulating Equip. -Pool Lghtg. Boxes-Enclosures-Panelboards-Ins. to Main Conduit 9. Health Department Approval 10. Plumb.; Cir. Test -Water Supply Test 11. Light Niche 12. Enclosure; Fencing -Alarms Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 7. Well Clearance & Disconnect 8. Utility Clearance Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date MOBILE HOME INSTALLATION (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Footings;- Size -Spacing -Marriage Line 3. Gas; MH Test -Demand -Valve -Connector 4. Electricity; MH Test -Crossovers -Breakers -Clearances 5. Drain; MH Test -Fall -Flex Connector 6. Water, MH Test -Regulator -Connector 7. Water and Sewer Connected -C/O to Grade -HD Approval 8. Gas and Electricity Tagged 9. Tie Downs -Type -Installation Cert. 10. Exits; Insp.-Sketch 11. Cert. of Occupancy Date Cana B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date PERMANENT END SYSTEM (ONLY) 1. Zoning Requirements -Setbacks -Easements 2. Footings; Size -Spacing -Marriage Line 3. Blocking 4. Gas; MH Test -Demand -Valve 5. Electricity; MH Test 6. Water, MH Test 7. Water and Sewer Connected 8. Gas and Electricity Tagged 9. Exits 10. License Decals 11. Verify #'s with Office Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 MISCELLANEOUS Date DECKS, COVERS, CARPORTS, GARAGES (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Footings; Soils -Size -Depth -Spacing -Connectors -Steel 3. Decks, Girders and/or Joists -Decking -Bracing -Stars -Rails 4. Wood Awn.; Posts-Beams-Rftrs-Connectors Shthg- Frg- Bracing 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Carports; Windows -Doors 7. Electric 8. Frmg.; Sills-Anchors-Studs-Rftrs-Trusses 9. Siding; Nailing -Veneer -Stucco -Mesh 10. Roof; Shthg-Roofing 11. Ext.; Steps -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. Pool Structure; Steel -Connections -Thickness Dead Men -Lining 4. Elec.; Receptacles and Lighting, Distance-GFI 5. Elec.; Pool Lighting; 15 Volts-GFI 6. Elec.; Enclosures; Conduit Entries -Terminals -Listed 7. Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater 8. Elec.; Grounding; Equip. w/5' Circulating Equip. -Pool Lghtg. Boxes-Enclosures-Panelboards-Ins. to Main Conduit 9. Health Department Approval 10. Plumb.; Cir. Test -Water Supply Test 11. Light Niche 12. Enclosure; Fencing -Alarms Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 4=OK = Not OK = Not Applicable = Not Ready RESIDENTIAL (Single & Duplex) Date UNDERFLOOR (Plans) OK except #'s 1. Zoning -Setbacks -Easements -Flood -Slope 2. Ftg., Main; Soils-Elec. Gmd.-/ /" Ftg. Depth 3. Ftg., Garage; Soils-Steel-Elec. Grnd.-/ /" Ftg. Depth 4. Ftg., Porches & Decks; Soils -Steel-/ /" Ftg. Depth 5. Stemwalls, Main; Steel-Blockouts-Wrapped 6. Stemwalls, Garage; Steel-Blockouts-Wrapped 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/O -Sewer Test 10. UF, Gas Pipe; Size Anchors -Yard Gas Piping; Size Test 11.Water Pipe; Test -Anchors -Regulator -Service Test 12. Electric Underground 13. Plenums & Ducts; Clearance -Material -Support -Ins. 14. Girders -Sills -Anchor Bolts-Joists-Vents-Crippies 15. Access & Ventilation 16. Insulation Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date PLUMBING (Permit) OK except #'s Date 17. Water Htr.; Vent -Access -Combustion Air Baffle Date 18. Water Pipe; Test & Anchor -Nail Protection 19. D.W.V.; Test Fittings & Anchor -Nail Protection 20. Shower Pan; Test, First Floor -Tub Access 21. Test Tub & Shower, Second Floor -Tub Access 22. Gas Pipe; Sixe & Anchors 23. Fire Sprinkler, Test 69. Elec. Trim & Subpanel, Breaker Sizes & Labels Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date ELECTRICAL (Permit) OK except #'s 24. Fixture & Transformer Clearance -Ins. Protection 25. Elec. Receptacles Spacing -Lights & Switches at Doors 26. Size Boxes & No. of Conductors Stapled 27. Romex Installed Close to Edge of Studs & C.J. 28. Equip. Ground made up w/Mech Fasteners -Bond Gas & Water 29. 2 Appliance Circuits in Kitchen & Conductor Size GFI 30. Subfeed Wire Size/ /ga. Cu or AI-A.C. Wire Size/ /ga Cu or Al 31. Range Circle/ /ga Cu or AI -Oven Circ. / /ga Cu or AI Insulated Neutral O Yes ❑ No 32. Service -Riser Conductors & Ground Main Disconnect 33. Equip. Clearances Panels-Motors-Mech. Equip. 34. Clothes Closet Light -Shower Light -Spa Light 35. Smoke Detector 84. Stucco Brown -Finish Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date MECHANICAL (Permit) OK except #'s 36. A.C. Ducts Insulation & Support 37. Vent Fan, Exhaust above insulation 38. Condensate Drain & Overflow, Size & Grade 39. Fumace-Vent Access -Comb. Ait-Return Air Vent 115 Outlet 40. Attic Access & Platform if Furnace in Attic Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date FRAMING (Permit) OK except #'s 41. Sills Proper Materials & Anchors 42. Walls Studs -Nailing Spacing & Braces -Plates -Sound 43. Bearing Walls over Girders & Floor Nailing 44. Draft Stop in Walls (rat proof) 45. Fire Stops, Furred Ceilings -Stairs -Chasers -Tubs 46. Headers & Beams -Size & Bearing Date FRAMING (Continued) 47. Hangers -Post Caps -Anchors -Connectors 48. Ging. Joist-Rftr. Ties-Purlin-Roll Brac.-Truss-Shting: Rtng. 49. Fireplace Ties or Type AFlue-Fireplace Throat Clearance 50. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 51. Bdrm. Windows or Exiting Doors -Sill Ht. & Dimensions 52. Garage Fire Protection Framing -RC Channel 53. Property Line Firewall & Openings 54. Ext. Doors -One 3' -Check Garage 3rd Story, 2 Exits 55. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 56. Plywood on Roof Overhang -Attic Vents -Rafter Outriggers 57. Siding -Nailing Veneer 58. Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access 59. Glazing Area -Glass Protection -Skylights -Plastic 60. Shear Walls; Nailing -Bolts 61. Brace Interior/Exterior Wall Panels 62. Insulation -Walls -Ceilings 63. Infiltration -Walls -Windows Date Cana B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date FINAL (Plans) OK except #'s 64. Ext. Steps -Door & Sidelight Protection -landings 65. Smoke Detector 66. Furnace Vents -clearance -Comb, Air -Connector - In Garage; Above Floor-Ducts-Mech. Protection 67. Bedroom Exiting 68. G.F.I. & Bath Fixtures & Tub Access -Spa 69. Elec. Trim & Subpanel, Breaker Sizes & Labels 70. Stairs & Rails 71. Fireplace or Stove, Clearance -Hearth 72. Elec. Outlets at Wood Panel, Int. & Ext. 73. Kit. Fixt. & Appliance; Ground -Air -Gap -Cooking Clearance 74. Elec. Outlets & Receptacles at Kit. Counter 75. Garage Fire Door, Swing -Landing -Closure 76. A.C. Duct in Garage -Damper 77. Wtr. Htr.; Vents -Clearance -Comb. Air Connector-P.R.V. in Garage; Above Floor-Mech. Protection 78. Plb.; Elec. & Mech. Equip. Listed for Location 79. Elec. Receptacles in Garage (F.F.I.)-Romex Protection 80. Insulation -Foam -Looked in Attic 81. Guard Rails & Deck Construction -Post Caps 82. Fdn. VBents & Crawl Hole Door Drainage & Wood -Earth Clearance Looked under Floor ❑ Yes 83. Following InsUdJDrive 0 Yes O No/Walks O Yes O WPlanters O Yes O No 84. Stucco Brown -Finish 85. A.C. Unit Disconnect, Electrical -Plumbing 86. Vents Above Roof, Plbg-Appliance-Fireplace-Clearance to Openings 87. Water Well, Disconnect, Electrical, Plumbing 88. Exterior Elec. Trim, G.F.I. Receptacle -Underground 89. Ventilation Throughout House 90. Glass Protection 91. Corrections from Previous Inspections 92. Gas Test -Meters Tagged, Gas -Electric 93. Water & Sewer Connected -C/O to Grade -HD Approval 94. Energy Compliance Certificate -Other Certificates 95. Address Posted 96. Fire Sprinkler 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: 00 0 BUTTE COUNTY TTF0r DEPARTMENT -OF, DEVELOPMENT SERVICES BUILDING PERMIT 24 HOUR INSPECTION #: (530) 538-7636 (OROVILLE) (530) 891-2834 (CHICO)' 0 "OFFICE #: (530) 538-7541 FAX#; (530)538-2140 r 0 WEBSITE:'. www.buttecounty.neAdds PERMIT NO. BIP051687 LICENSED CONTRACTORS DECLARATION I hereby affirm 6nder penalty- . of perjury that I am licensed . under provisions of Chapter 9 (commencing With Sqction,700.0)-of Division 3 of Issued Date: 06/28/2005 APN: 058-190 ' -184-000 the Business and Professions Code, and my license is in full force and effect. License Class: License Number: --Site,Addr ess3501,SHUMAN LN CON.,..,., -.11,..."",...,.""..,,",.,,. Map Index: Date: Contractor: • Description: \doc), 0 5 T6 \f E OWNER -BUILDER DECLARATION I,hereby affirm under penalty of perjury that .1 am exempt from the Contractors' State' LicehsiL6W'for the following, reason:(Sec. -7031.5 Business and Professions -Code: -Any,city or county . which, iequires a Owner: i3iRb'K"I-YOMW L permit to construct, alter, improve, -demolish, or repair any structure, prior to its issuance; also requires the, applicant, or such permit to file a 3501 SHUMAN LANE signed' statement fQ -he or she is licensed pursuant'tothe provisions of OROVILLE, CA the Contractor's State License Law (Chapter 9 commencing with Section_95965 7000) of *Division 3 of the; Business and Professions Code) or that he or� she lis,ei(empt,theiefiorh and,the basis for• the- alleged.exemption. Any violation;--W'�Sec66' 703f5 by any ii�pliciii,i'for'a permit. --subjects the applicant.to.axivi) penalty of not more than five hundred dollars ($500).): 13 i.-iTs;6Jner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not. intended (q% .944,.114 -§L rig, ss.@PO,Prpfessiqn,§, . ..-.-,—..,Apptkant:..B.IRD.KIYOMI,L- Code: The Contractors' State License Law does not apply to an 3501 SHUMAN LANE ,,..-.owner of property, who builds or -improves thereon, and Who does ,.such work himself or herself or through, his or her own employees OROVILLE, CA provided that such, improvements are"not 'intendiia:-or offered for; ' 95965 owever, the" building eale If li' .1- Rf 'TKOv�, i�nts are sold within one' _T year , ar of completion, the owner -builder willh6v6 the- burden of" t proving that he or -she did. not build &'iinpi6ve for the purpose of sale.). .J,-aA.,owrter.,..-oL,t-tze-.,Proper,,ty.:.am,, exclusively, contracting with: licensed contractors to construct the project (Sec. 7044, Business and,Professions Code. The,Contractors' State License Law does Contractor: RELIANCE PROPANE ,not apply to an owner, of property who builds or improves thereon,, contracts for. such projects,.with,a contractor(s) licensed -pursuant to the Contrictors'iState License' Law.). 6426 SKYWAY {rl:am E)tem . piund , under - Article 3 of the Business and Pro Code . PARADISE, CA 95969 53 . 0-872-9200 2206 bate: 12 �,i6'Owner: License.#:, .734318- WORKERS', COMPENSATION DECLARATION ECLARATION 4 hereby affirm under -penalty of perjury one of the following declarations: 0 :1 have and will -maintain a certificate oLconsent.td self -insure for *qrkdr .cornpensation,.as provided for.,.by-Section 3700 of the. Architect: %Labor, Code, for the.perfo.rmance of the; work,for which this permit: is,issued. and workers Engineer:.__-, have will maintain woscom'pensation -insurance, as . -,,,,,required by.Section , 3700.the Labor. Code, for, the performance of- the work for which this permit is issued. ; My workers' compensation - insurance carrier and policy riurAbeTr are: Garner Total Square Ft: Valuation: $0.00 Census Code: ZI I certify that in the performance of the work for which this permit is issued. I -shall not. employ any person in any, manner so as to' become subject to the, workers' compensation, laws of California, and �. agree _that if-1,,should , become. subject .to, the workers'. v.compensation provisions of Section 3700 of. the Labor Code, I shall. !qrthwith.comply with. those provisions. Date: 'Applicant: 'WAMkING:141Z06re 'to' secure workers' coiiip6rsatio:'n coverage is -,unlawf6l,,and shall - subject an drhployef,to criminal penalties and one .,hunated'Ah6usaWd "dollks ($100,000); - in idditi6n: to the cost of compdfisation, damages as'provided for'in Section 3706 of the Labor code_ interest, and attome 's fees. CONSTRUCTION LENDING AGENCYs This permit hereby issued under the applicable provisions of the Butte County Cody antliffir hereby affirm that there'is'a constr'uction lending agency for the Resolution to do work indicated above foF,which fees have been paid. , perf6rmance of the work for which this permit is issued (Sec 3097 Civ.) so. 6 ' Name: B Date: P MIT XPIRES ON: (Date) ,•Address:. use of this facility shall comply with Sections 2550 25533, and 25534 of the California Health and Safety Code, which regulate the storage, handling and.use. of hazardous materials. 0 'Notification in accbiidance'with Section 19827.5 of California Health& Safety Code is not applicable to.the scheduled construction of this project. 0 --Xfialcji6b'are '6o' copes,of th"e'l-e'quired E.P A' n6tificaitionfqrnis. Ihereby- r, that I have read this application, that the above information'is correct, and that I am the owner or the duly authorized agent of the owner. I agree to comply with all . county , and state laws relating to building co , nstructioo.. I acknowledge it is unlawful to alter the substance of any official form or document of Butte County. I hereby iiith6'nie`ie6re'ientif1ves:,of Butte C6unijito enter u;5onthe above mentioned property for inspection purposes. _Print , Name: Signature: M. txowner L3 Contractor Q Agent for Owner 0 Agent for Contractor BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT APPLICATION AND SUBMITTAL REQUIREMENTS 24 HOUR INSPECTION#: OROVILLE: (530) 538-7636 • CHICO: (530) 891-2834 OFFICE #: (530) 538-7541 A FEE WILL BE REQUIRED AT TIME OFAPPLICA TION Website: www.buttecounty.net/dds "PLEASE PRINT CLEARLY* AjPr OWNER Last Name 00a Q Go— Fit ame Address 3 50) 1 City(�e � J` Zip q S90 State C� Zip Phone S 3 Z E-mailLic. Fax E-mail Class AjPr !' CONTRACTOR Name 00a Q Go— AddressLllb S(C Wex City . � � Stat Ot Zip q S90 Phone 977-0772 Fax E-mailLic. E-mail # Class AjPr ARCHITECT/ENGINEER Name Some_ as ocaner Address SRA I City No StateZip 7 Zip Phone Map Book - Fax E-mail Planner State License Number APPLICANT SIGNATURE X For offVe use only: APPLICANT NAME Name Some_ as ocaner Address SRA I City No State Zip Phone Map Book Fax E-mail Planner APPLICANT SIGNATURE X For offVe use only: Zoning Property Addres 350 S Flood Zone Cit Orr>v� ((� SRA I Yes I No Occ. Type Const. Subdivision Name Map Book Page Lot # Planner Date Approved: OVER FOR SUBMITTAL REQUIREMENTS PERMIT NO. BP p 5' 16B BIN # LOCATION AP# OSS — 16o — / $' T/., — coo Property Addres 350 S Cit Orr>v� ((� Cross Street itc GLt WORKER'S COMPENSATION Policy Number Carrier If hiring anyone other than license contractors, a certificate of worker's compensation must be shown at the time of permit issuance. LENDING AGENCY Name Pk Address K:\FORMS\BUILDING FORMS\BldgApplSubRgmts.doc Page 1 of 2 Description or Scope of Work: 1 cJ Sq. Footage ❑ Structure Built without Permits ❑ Proposed Change of Occupancy (Note previous use): EXPIRATION OF APPLICATION Applications for which a permit has not been issued will expire one year after the date of application. In order to renew action on an application after expiration, a new application, plans and fee will be REQUEST FOR REFUNDS Refunds can only be made upon written request by the person who paid the fee. The request must be made prior to the expiration of the permit and no construction work has been done. Filing fees, plan check fees for work plan checked and other department costs are not refundable. Received by:Amount: I <<O . — Bldg f SRA Receipt #� 1�t^ —Sheri! 1 _ 1 SMIP Other Date: . z 1 . p I to Total REV 2-24-05 SUBMITTAL & PERMIT REQUIREMENTS The following drawings and specifications must be submitted to the Building Division in order to apply for a permit. INCOMPLETE SUBMITTALS WILL NOT BE ACCEPTED. ALL PLANS MUST BE LEGIBLE AND IN INK. ❑ 1. Site plans, 3 or 4 sets, signed by the preparer of the plans. No graph paper! ❑ 2. Complete plans, 3 or 4 sets, signed by the preparer of the plans (No graph paper!) OR Engineered plans, 3 or 4 sets, with wet signature on plans AND 2 sets of stamped and signed calculations. ❑ 3. Engineered truss details and layouts in duplicate (if required). No faxes! ❑ 4. Energy compliance design and supporting documentation in duplicate. ❑ 5. Statement of Intent for Non -heated and A/C for Non -Residential Buildings. ❑ 6. Manufactured homes: (A) installation inst, (B) Marriage line info, (C) Floor Plan, (D) Tie down or fnd plans, all in duplicate. ❑ 7. Metal bldgs: (A) Metal Bldg Plans, (B) Fnd plans and calcs in triplicate, (C) Elevations in triplicate. (D) Floor plans in triplicate. All of these must be stamped and wet -signed by the engineer. ❑ 8. Flood Elevation Certificate, wet -stamped and signed, in duplicate (if required). ❑ 9. Site plan and business license approval from the City of Biggs. ❑ 10. Letter of intent for non-residential buildings. ❑ 11. Detached Accessory Building Form filled out by the owner (if required). ❑ 12. Hazardous Material Form (for Commercial Buildings only). Remaining items needed to issue the permit. Additional items may be required after Plan Check and Planning review (May require additional plan review upon receipt of the following items.) ❑ 1. Agricultural Buffer clearance and site plan approval from the Ag Commissioner's office (if required). ❑ 2. Impact Fees. ❑ 3. California Department of Forestry plan approval (if required). ❑ 4. NPDES Form. ❑ 5. Encroachment Permit for driveway from the Public Works Dept. (construction approval prior to occupancy). ❑ 6. Contractor's license information. (Number, Name Style, Classification). ❑ 7. Worker's Compensation Carrier and Policy Number. ❑ 8. Owner -Builder Verification (if required). ❑ 9. Letter of Signature authorization (if required). ❑ 10. Recorded copy of Agricultural Acknowledgment Statement. ❑ 11. ❑ Grant Deed, ❑ M.H. Title/Statement of Facts. ❑ 12. Sanitation and site plan approval from the Environmental Health Department. If you have questions or would like additional information regarding this process, please contact a Permit Assistant at (530)538-7541. EXPIRATION OF APPLICATION Applications for which a permit has not been issued will expire one year after date of application. In order to renew action on an application after expiration, a new application, plans and fees will be required. REQUEST FOR FEE REFUNDS Refunds can only be made upon written request by the person who paid the fee. The request must be made within two years from the date of fee payment on permits not issued, and two years from the date of permit issuance for permits issued; however, on issued permits refunds can only be made if no construction work has been done. Filing fees, plan check fees for work plan checked and other department costs are not refundable. OVER FOR BUILDING PERMIT APPLICATION KAFORMSWILDING F0RMS\B1dgApp1SubRgmts.doc Page 2 of 2 REV 2-24-05 BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT 24 HOUR INSPECTION #: (530) 538-763 i (OROVILLE) (530) 891-2834 (CHICO) OFFICE #: (530) 538-754'1 FAX#: (530)538-2140 WEBSITE: www.buttecounty.net\dds PERMIT NO. BP041769 LICENSED CONTRACTORS DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of Issued Date: 06/17/2004 APN•' 058-190-184-000 the Business and Professions Code, and my license is in full force and effect. License Class: C Z Licens Number: 2i�0 S�o Site Address: 3501 SHUMAN LN CON Date: —17-6VContractor: Q M K+ea C- Map Index: Description: NEW ROOF UNIT OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors' State License Law for the following reason (Sec. 7031.5 Business and Professions Code: Any city or county which requires a permit to construct, alter, improve, demolish, or repair any structure, prior • Owner: BIRD KIYOMI L to its issuance, also requires the applicant for such permit to file a 3501 SHUMAN LANE signed statement that he or she is licensed pursuant to the provisions of the Contractor's State License Law (Chapter 9 commencing with Section OROVILLE, CA 7000) of Division 3 of the Business and Professions Code) or that he or 95965 she is exempt therefrom and the basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars ($500).): ❑ I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale (Sec. 7044, Business and Professions Applicant: BIRD KIYOMI L " Code: The Contractors' State License Law does not apply to an pp owner of property who builds or improves thereon, and who does such work himself or herself or through his or her own employees, provided that such improvements -are not intended or offered for sale. If however, the building or improvements are sold within one year of completion, the owner -builder will have the burden of proving that he or she did not build or improve for the purpose of sale.). ❑ I, as owner of the property, am 'exclusively contracting with licensed contractors to construct the project (Sec. 7044, Business and Professions Code. The Contractors' State License Law does not apply to an owner of property who builds or improves thereon, Contractor: C & N HEATING & AIR and who contracts for such projects with a contractor(s) licensed pursuant to the Contractors' State License Law.). 2210 BIRD STREET I am Exempt under Article 3 of the Busines d Professions Code OROVILLE, CA 95965 —o c{ 530-534-9419 Date: Owner: License #• 700568 WORKERS' COMPENSATION dtARATION 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 Architect: is issued. ❑ I have and will maintain workers' compensation insurance, as Engineer: required by Section 3700 the Labor Code, for the performance of the work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier: Total Square Ft: 0 S. F. Policy #: Valuation: $0.00 Census Code: I certify that in the performance of the work for which this permit is issued, 1 shall not employ any person in any manner so as to become subject to the workers' compensation laws of California, 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. 3 � �� • Date: / !j Applicant: 9, A1A3 1x13 M/WLR V WARNING: Failure to secure workers' compensation coverage is unlawful, and shall subject an employer to criminal penalties and one JJJ�� /// hundred thousand dollars ($100,000), in addition to the cost of compensation, damages as provided for in Section 3706 of the Labor `1 `-' code, interest, and attorney's fees. 1 C>C CONSTRUCTION LENDING AGENCY This perfnit is reby sued under the applicable provisions of the Butte County Cod. ?nrU " I hereby affirm that there is a construction lending agency for the for this is issued (Sec 3097 Civ.) Resolutib don dicated above for which fees have been paid. c 1 performance of the work which permit BY - Name: lDate. EXPIRES I /� Address: PERMIT Date ❑ I hereby certify that the use of this facility shall comply with Sections 25505, 25533, and 25534 of the California Health and Safety Code, which regulate the storage, handling and use of hazardous materials. ❑ Notification in accordance with Section 19827.5 of California Health & Safety Code is not applicable to the scheduled construction of this project. ❑ Attached are copies of the required E.P.A. notification forms. I hereby certify that I have read this application, that the above information is correct, and that I am the owner or the duly authorized agent of the owner. I agree to comply with all county and state laws relating to building construction. I acknowledge it is unlawful to alter the substance of any official form or document of Butte County. I hereby authorize repre. ntatives of Butte County to enter upon the above mentioned property for inspection purpo S. vw / Cd �YL Print Name: t�s A4, 14 AJ Signature: / U V, Date: ❑ Owner I A Contractor 0 Agent for Owner ❑ Agent for Contractor BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT 24 HOUR INSPECTION #: (530) 538-7636 (OROVILLE) (530) 891-2834 (CHICO) OFFICE #: (530) 538-7541 FAX#: (530)538-2140 WEBSITE: www.buttecounty.net\dds PERMIT NO. BP041759 LICENSED CONTRACTORS DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of Issued Date: 06/17/2004 APN•' 058-190-184-000 the Business and Professions Code, and my license is in full force and effect. , t^ /! License Class: 2� Licens Number:7D� Site Address: 3501 SHUMAN LN CON Date:/6-1?-:t>Ly^ Contractor: Q ka A C Map Index: OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Description: NEW ROOF UNIT Contractors' State License Law for the following reason (Sec. 7031.5 Business and Professions Code: Any city or county which requires a permit to construct, alter, improve, demolish, or repair any structure, prior Owner: BIRD KIYOMI L to its issuance, also requires the applicant for such permit to file a 3501 SHUMAN LANE signed statement that he or she is licensed pursuant to the provisions of the Contractor's State License Law (Chapter 9 commencing with Section OROVILLE, CA 7000) of Division 3 of the Business and Professions Code) or that he or 95965 she is exempt therefrom and the basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars ($500).): i ❑ 1, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or. offered for sale (Sec. 7044, Business and Professions Applicant: A BIRD KIYOMI L' Code: The Contractors' State License Law does not apply to an pP • owner of property who builds or improves thereon, and who does such work himself or herself or through his or her own employees, provided that such improvements are not intended or offered for sale. If however, the building or improvements are sold within one year of completion, the owner -builder will have the burden of proving that he or she did not build or improve for the purpose of sale.). ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec. 7044, Business and Professions Code. The Contractors' State License Law does not apply to an owner of property who builds or improves thereon, Contractor: C & N HEATING & AIR and who contracts for such projects with a contractor(s) licensed pursuant to the Contractors' State License Law.). 2210 BIRD STREET I am Exempt under Article 3 of the Busines d Professions Code OROVILLE, CA 95965 �? �p 530-534-9419 Date: Owner: License #• 700568 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 Architect: is issued. i ❑ I have and will maintain workers' compensation insurance, as Engineer: required by Section 3700 the Labor Code, for the performance of the work for which this permit is issued. My workers' compensation insurance carrier and policy number are: r f Carrier: Total Square Ft: 0 S. F. • Policy #: Valuation: $0.00 7� I certify that in the performance of the work for which this permit is Census Code: / issued. I shall not employ any person in any manner so as to become subject to the workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. Date: Applicant: OVI� l 6 �6� /N.t V WARNING: Failure to secure workers' compensation coverage is / �� unlawful, and shall subject an employer to criminal penalties and one /// hundred thousand dollars ($100,000), in addition to the cost of compensation, damages as provided for in Section 3706 of the Labor (�l� 1 I/ ► ^� `L code, interest, and attomey's fees. �1 -- OC CONSTRUCTION LENDING AGENCY This permit is prebflssued under the applicable provisions of the Btitte County Code ?nrt/ I hereby affirm that there is a construction lending agency fogy the ' Resoluti do indicated above for which fees have been paid. " performance of the work for which this permit is issued (Sec 3097 Civ.)By:_ _ Date Name: Address: PERMIT EXPIRES Date ❑ I hereby certify that the use of this facility shall comply with Sections 25505, 25533, and 25534 of the California Health and Safety Code, which regulate the storage, handling and use of hazardous materials. ❑ Notification in accordance with Section 19827.5 of California Health & Safety Code is not applicable to the scheduled construction of this project. If ❑ Attached are copies of the required E.P.A. notification forms. I hereby certify that I have read this application, that the above information is correct, and that I am the owner or the duly authorized agent of the owner. I agree to comply with all county and state laws relating to building construction. I acknowledge it is unlawful to alter the substance of any official form or document of Butte County. I hereby authorize repro . ntatives of Butte County to enter upon the above mentioned property for inspection purpo s. "n Cbf Print Name: N1 1"' /yu, 14 `'V Signature: ^ I ? U C" Date: ❑ Owner �, Contractor 0 Agent for Owner 0 Agent for Contractor BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT APPLICATION AND SUBMITTAL REQUIREMENTS 24 HOUR INSPECTION#: OROVILLE: (530) 538-7636 - CHICO: (530) 891-2834 OFFICE #: (530) 538-7541 A FEE WILL BE REQUIRED AT TIME OF APPLICATION OWNER Name A Ll 0 C Address Address City y State Zip S%6�7 Phone ; Fax E-mail CONTRACTOR Name ,► e Address Address City d ho City State L Zip Phone S31-1 y N l Phone Fax 5 3 �/ ^ �j 9 2,6 E-mail E-mail Lic. # -,&asp $ Cla s �. i APPLICANT NAME ARCHITECT/ENGINEER Name City Address Zip CIVAS City Fax •� 3 cl - `7 c/ 2--4 State Zip Phone Book Fax E-mail Planner State License Number i APPLICANT NAME Name �® W ON Address nn City Statet� Zip CIVAS Phon' 3 y —e7 L( l f1 Fax •� 3 cl - `7 c/ 2--4 E-mail APP ANT SIGNATURE X L��IWUA A For office use only: Zoning Flood Zone SRA Yes No Occ. Type Const Subdivision Name Map Book Page Lot # Planner Date Approved: OVER FOR SUBMITTAL REQUIREMENTS PERMIT NO. I �P BIN # LOCATION AP# �S1g 'a 1?(/ oa( Property Addres, Y� U Cross Street WORKER'S COMPENSATION Policy Number Carrier If hiring anyone other than license contractors, a certificate of worker's compensation must be shown at the time of permit issuance. LENDING AGENCY Name Address Description or Scope of Work: ` uJ ti Sq. Kootage 13 (j O ❑ Structure Built without Permits ❑ Proposed Change of Occupancy I (Note previous use): EXPIRATION OF APPLICATION Applications for which a permit has not been issued will expire one year after the date of application. In order to renew action on an application after expiration, a new application, plans and fee will be REQUEST FOR REFUNDS Refunds can only be made upon written request by the person who paid the fee. The request must be made prior to the expiration of the permit and no construction work has been done. Filing fees, plan check fees for work plan checked and other department costs are not refundable. Received by: Amount: Bldg SRA Re ipt _Sheriff _SMIP � Dat Other I I Total KAFORMS\BUILDING F0RMS\B1daAoo1SubRamts.doc Paae 1 of 2 REV 4-30-04 SUBMITTAL REQUIREMENTS The following drawings and specifications must be submitted to the Building Division in order to apply fora permit. INCOMPLETE SUBMITTALS WILL NOT BE ACCEPTED. ALL PLANS MUST BE LEGIBLE AND ININK. Residential, New, Remodels, Additions, and Accessory Structures: ❑ 1. 3 Site Plans, signed by the preparer. NO GRAPH PAPER! ❑ 2. 3 Complete sets of plans, signed by the preparer. NO GRAPH PAPER! ❑ 3. 3 Engineered plans (if required) with wet signature on plans AND 2 sets of stamped and signed calculations. ❑ 4. 2 Engineered truss details and layouts (if required) (NO FAXES!). ❑ 5. Letter from Engineer or Architect for truss design review. ❑ 6. 2 Energy compliance design and supporting documentation: (Note: Not required for additions to mobile or modular homes) ❑ 7. 2 Flood Elevation Certificate, wet -stamped and signed (if required). ❑ 8. Detached Accessory Building Form, filled out by the property owner (if required). ❑ 9. Sanitation and site plan approval from the Environmental Health Department. ❑ 10. Metal Buildings: (A) Metal Bldg Plans, (B) Fnd plans and calcs in triplicate, (C) Elevations in triplicate, (D) Floor plans in triplicate, All of these must be stamped and wet -signed by the engineer. Mobile, Manufactured, or Modular Homes: ❑ 1. 3 Site Plans, signed by the preparer. NO GRAPH PAPER! ❑ 2. 2 Data sheets and installation instruction manual. ❑ 3. 2 Marriage line information. ❑ 4. 2 Floor plans. ❑ 5. 2 Engineered Tie Downs or Foundation plans. ❑ 6. Sanitation and site plan approval from the Environmental Health Department. ❑ 7. 2 Flood Elevation Certificate, wet -stamped and signed (if required). Commercial, New, Additions and Remodels: ❑ 1. 4 Site Plans, signed by the preparer. NO GRAPHPAPER! ❑ 2. 4 Engineered plans with wet signature on plans AND 2 sets of stamped and signed calculations, with code analysis. ❑ 3. 2 Engineered truss details and layouts (if required) (NO FAXES!). ❑ 4. Letter from Engineer or Architect for truss design review. ❑ 5. 2 Energy compliance design and supporting documentation (if required). ❑ 6. 2 Flood Elevation Certificate, wet -stamped and signed (if required). ❑ 7. Statement of Intent for Non -heated and A/C (if required). ❑ 8. Metal Buildings: (A) Metal Bldg Plans, (B) Fnd plans and calcs in triplicate, (C) Elevations in triplicate, (D) Floor plans in triplicate, All of these must be stamped and wet -signed by the engineer. ❑ 9. Letter of intent. ❑ 10. Hazardous Material Form. ❑ 11. Sanitation and site plan approval from the Environmental Health Department. If you have questions or would like additional information regarding this process, contact a Permit Application Assistant at (530) 538-7541. OVER FOR BUILDING PERMIT APPLICATION KAFORMSWILDING F0RMS\BIdgApp1SubRgmts.doc Page 2 of 2 REV 430-04 o V,3 �j cj�yz-) i b A.P. 58-19 \2yy SHUMAN Concow Rd., i mi. N. of 70 • Permit-.. .4. 74,L.j.P,.E...(.New-.,S,F.)....... 58-19-1�€i-/ -r Shuman w/s Concow 'd. /2 mi. no. of Hwy. 70, 1 Orov' e Pe 1837-74 (convert porch to utility room) AP 58-19- Permit 3716- B �� 7�� (deck addi on) —58---- Permit 4604-76B(lst renewal for per it ��3716 6) 7/7� LSP 58-19-184 Permit 6204-77B,E �1I (a dition/sf)'. �I _ �.58-19-184 JPermi 413-79B,E(add bedroom/SF)' ! _ 92"--3352_ _B -E © BIRD,' Joel.. - r i 'Orovi116- \.3501 Shuman `Ln, addition/sf_ D � ' 058-190-18,4 PERMIT#9.6-93AG -BIRD, Kiyomi 3501 Shuman) Ln., Oroville Ag Exem t -a t r, �� � � 6"'-�. �'.�4� `! -• BUILDING DIVISION COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES 7 COUNTY CENTER DRIVE — OROVILLE, CALIFORNIA 95965 — TELEPHONE: (916) 538-7541 AGRICULTURAL BUILDING EXEMPTION PERMIT / PERMIT NO. 9(-9S Agricultural building is defined as follows: Agricultural building is a structure des6ned and constructed to house farm implements, hay, grain, poultry, livestock, or other horticultural products. This structure shall not be a place of human habitation or a place of employment where agricultural products are processed, treated, or packaged, nor shall it be a place used by the public. ASSESSOR PARCEL NO. ZONING 0-15-2r— o FR. 7, OWNER i �r^te 13rr PHONE NO. 532-07R? OWNER'S ADDRESS 3,Y61 :5hU.0ect4e CA gs-9f-01- LOCATION OF BUILDING 50111 e A;5 A bOVC- USE OF BUILDING Rc{ �'� � I 'rp�►i5l I-rwosj k'Rt)— S�vi seecd rQ�.s SIZE OF STRUCTURE X 3� = dZ� SO. FT. TYPE OF CONSTRUCTION: WOOD FRAME STEEL,X_ CONCRETE OTHER (Specify) TYPE OF SIDING 131-9eI ROOF COVERING FLOOR TYPE HEM- Y4 -E L, IS2reel ESTIMATED COST OF CONSTRUCTION $ Ito, 060 AG Buildings shall comply with the minimum front, side, and rear yard setback requirements of the applicable County Ordinances as follows: r FRONT /j""-� I 20 SIDES /1''''�� REAR /n'r-'r AG Buildings shall be a minimum of five (5) feet from any septic tank or leach fields. AG Buildings less than 1000 sq. ft. in floor area shall be located a minimum of 6 feet from a residence, 10 feet from a mobilehome, and 23 feet from a commercial building. AG Buildings greater than 1000 sq. ft. in floor area shall be located a minimum of 23 feet from a residence and a mobilehome, and 40 feet from a commercial building. AG Buildings must comply with Flood Zone requirements. Finish floor elevation must be at or above elevation USGS Datum. I declare under penalty of perjury that the building will be used as stated above and the purposed use confirms with the AG Building definition. If any change in use or occupancy of the building is made, I will contact the Building Division and obtain any necessary permits, inspections, and approvals to comply with the requirements in effect at that time and before occupancy. Date 9 13 —c?b Signature of Owner Permit Fee - $60.00 The above described AG Building is exempt,trom a buildina permit_ FL PA� L P.D ROOR IS Receipt No. (� aJ�F I/ l� v Manager Building Division By �Date / ¢� White — DPW, Yellow — Assessor, Pink — B. I., Goldenrod — Applicant ;`COUNTYOF BUTTE - DEPARTMENTOF DEVELOPMENT SERVICES - BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 -TELEPHONE (916) 538-7541 PERMIT APPLICATION DATASHEET OWNER ( Cg'1L�- F� P. No.d" �q6 b Proposed Building Use Building Inspector P's- Date FIT At time' ofp,�cKf '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 . .................. 7. Statement of Intent for Non -Heated and A/C Buildings . ...................... . 8. Engineered truss details and layout in duplicate (required prior to plan check). .... 9. Mobilehome data and manufacturer's installation instructions, 2 sets. ........... 10. Fees of $......................................... 11. Impact fees as shown on attached schedule . .............................. 12. California Department of Forestry plan approval/fees. ....................... . 13. Flood elevation letter (100 year flood) by California Engineer . ................. . 14. 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). ...Pre�neonrequest _ 20. Pre -inspection for required. .. to B.;;d;ng J.spector (Date) 21. Contractor's license information. (No., Name Style, Classification) . .............. 22. Certificate of Workmans Compensation Insurance . .......................... 23. Owner -Builder Verification (Given to owner , Mail to owner _). .......... . 24. Recorded copy of Agricultural Acknowledgement Statement . .................. 25. Letter of signature authorization . ........................................ 26. Copy of recorded deed of parcel creation and 60 right of way to a public road. .... . 27. Letter of intent on building use . ......................................... 28. Mobilehome utility clearance . .......................................... 29. Documentation of legal access . ..................... :.................. 30. Documentation of 50% subdivision developed or (A) Road improvements completed and (B) Parcel meets zoning area and frontage requirements . ............... 31.. Existing violations/expired permits . ..................................... 32. Plan checklist . ......................................................... 34. When you issue the permit, process as follows: Mail to owner. Mail to contractor. Telephone and hold for pickup at office. Deliver with inspector. Other - Parcel Creation Acreage Applicant Date 9? /3 -%(o 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: .11 le Contractor, designer, owner, was advised of above required data by _ phone _ mail Counter by --Date Contractor, designer, owner, was advised of above required data by _ phone -mail Counter by _ Date Plans checked by Date Plans approved by Date Sets of plans on hold in File cabinet AP folder Copy - Department of Public Works RESIDENTIAL 05 -19-0-184~92- Joel 3352.B,E�r'� BIRD, 351 Shuman Ln, Oroville addition/sf J- / d//(, 93 I 4 4F T JOB FINALED (Date)' Signature l J=OK O = Not OK Not = Not Readyable 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: / /"L"ft. / /"Nat. or/ /"L"ft./ /"LPG 7. Well Clearance & Disconnect - 8. Utility Clearance Date Card B-1 Date Card B-1 Date Card B-1 Date Card,13-1 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 '� _ „ I 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-1 Date Card B-1 MISCELLANEOUS Date DECKS, COVERS, CARPORTS, GARAGES, (Plans)OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Footings; Soils -Size -Depth -Spacing -Connectors -Steel 3. Decks; Griders and/or Joists -Decking -Bracing -Stairs -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-Anchors-Studs-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, 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 -Panel boards -Ins. to Main in Conduit 9. Health Department Approval J i • - 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 RESIDENTIAL (Single & Duplex) ` ' = Date UNDERFLOOR (Plans) OK except ft's Date FRAMING (Continued) Zoning -Setbacks -Easements -Flood -Slope jeilang Caps -Anchors -Connectors t Main Soils-Elec Grnd -/ /" Ft De th - -------- 9• 9 P 3. Ftg., Garage; Soils-Steel-Elec. Grnd.-/ /" Ftg. Depth 4. Ftg., Porches & Decks; Soils -Steel-/ /Ftg. Depth I 5. Stemwalls, Main; Steel -Bloc kouts-Wrapped 6. Stemwalls, Garage; Steel-Blockouts-Wrapped 6a. Hold Downs and Special Anchors 7. Sla ,Steel -Wrapped Piers -Fireplace Ftg.-Steel 9. D.W.V.; Fall -Fitting -Test -2 Way C/O -Sewer Test 10. UF. Gas Pipe; Size -Anchors - yard gas piping: size -test 11. Water Pipe; Test -Anchor -Regulator -Service Test 12. Electric; Underground 13. Pienums & Ducts; Clearance -Material -Support -Ins. 14. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples 15. Access & Ventilation 166.. Insulation Date/D '-_Z/"--Card B-144 Date Card B-1 DateT� Card B-1 - Date Card B-1 Date PLUMBING (Permit),OK except ti's 6 Water Htr.; Vent -Access -Combustion Air -Baffle -------- - --- - -------- -------------- --- 17. Water Pipe, Test & Anchor -Nail Protection 18. D.W.V.; Test -Fittings & Anchor -Nail Protection 19. Shower Pan; Test. First Floor -Tub Access 20. Test Tub & Shower. Second Floor -Tub Access 21. Gas Pipe; Size & Anchors --------------------------- -- -- - - --------- - Date - Card B-1 Date Card B-1 - ---- - - Daly Card 8-1 Date Card B-1 Date ELECTRICAL (Permit) OK except ti's -- -- --22. FF''xture & Transformer_ Clearance -Ins. Protection ---- - -�23. Elec. Receptacles Spacing -Lights & Switches at Doors ------ -- - - - - - -- - -- Size Boxes & No. of Conductors -Stapled ---------- - ---------------------------------- -- ---- -- - -- 2�Romex Installed Close to Edge of Studs & C.J. -------------- --------------------------------------------- quip. Ground made up w!Mech. Fastners-Bond Gas & Water �7 °ryry"^�Circuts in Kitchen & Conductor -------- '�-- ---Conductor Size/GFI --------------------------- - ----------- _2?__SoWeed-Wm Size / r ga. Cu or AI-A.C. Wire Size ! ! ga. Cu or AI �fi_EangeBicc. / r ga. Cu or AI -Oven Circ. / / ga. Cu or Al. Insulated Neutral ❑ Yes ❑ No -------- -------- ----------------------- ---- - ---------------------- Conductors & Ground -Main Disconnect ------------------------------------------------------------------------------- 3 es Panels-Motors-Mech. Equip. closet Light -Shower Light -Spa Light -------------- - - -- - --- - --- - ---- ------------- 3 moke Detector ----------------------------- -- -- Date and B-1 Date - Card B-1 Date Card B-1 Date Card B;1 Date MECHANICAL (Permit) OK except ti's 34. A.C. Ducts Insulation & Support ---------- --------------------------------------------------------------------- 35. Vent Fan: Exhaust above insulation -- --------36. Condensate Drain & Overflow; Size & Grade - 37.-Furnance_Vent: Access-Comb_Air_Return-Air Vent -115 -outlet -- 38. Attic Access & Platform if Furnance in Attic ------------------------ ------------------------------------- ----- -------------------------------------- Date Card B_1 Date Card B-1 ---------------------- --------------------------------------- Date Card B-1 Date Card B-1 Date FRAXING (Plans) OK except ti's S' Proper Material & Anchors ----------- 4 IIs Studs -Nailing. Spacing & Bracing -Plates -Sound ------------------------------------------------ ---- ring Walls over Girders & Floor Nailing ------------------ --- -------------------------------- --- -------------------- raft Stop in Walls (rat proof) - --- ---------------------------------- --- - ----------------- 3. ire Stops: Furred Ceilings -Stairs -Chases -Tub --------------- --- ---------------- . Headers & Beam -Size & Bearing 4A--Cing. Joist-Rftr. ties-Purlin-roof Brac-Truss-Shthng.-Ring. ace ies or Type A Flue -Fireplace Throat clearance 4a�Access; Size & Romex Protection -Draft Stop -Ins. Baffles Windows or Exiting Doors -Sill Hgt. & Dimensions _ ire rotection Framing 10 pinnP Line Firewall & Openings 3' -Check Garage -3rd Story, 2 Exits ---- - fairs; Width -Headroom -Rise -Run -Landing -Fire Protection -- - --. plywood on Roof Overhang -Attic Vents -Rafter Outriggers Siding -Nailing Veneer ------------------- -- - - ,b6-6lnese-k4ecl�-Drip Screed -Fd. Vents-Underflr. Access - -- ��-��- ���rrlaazzi'''''n-----gArea-Glass Protection -Skylights -Plastic - - -alts; Nailing -Bolts ii Insulation -Walls -Ceilings 60. Infiltration -Walls -Windows A--- Dat'e Date_.y_lard - Date Card B-1 E d B-1Date Card B-1Dat 1^ B FINAJ,-(Plans) OK except ti's Looe -Ext. Steps -Door & Sidelight Protection -Landings oke Detector ------------------------- - 64.-Clearan e -Comb. Air -Connector - I .Garage; Above Floor -Ducts -Meth. Protection ------------- --------------- _155-, -------- --------------- __ Bedroom Exiting - ---- ',xtures & Tub Access -Spa lec. Trim & Subpanel; Breaker Sizes & Labels --- -------- ---------------� ------ ails or love: Clearances -Hearth -------------- -- - ----------------- lec`Outlels at Wood Panel_Int. &Ext' --------------------- ante; Grnd.-Air Gap -Cooking Clearance - - - - eptacles at Kit. Counter --------------------- 7 wing -Landing -Closer -------------------------------------- - 7 -- - ar ge_Damper--- 4. Wt'r. Htr.: Vents -Clearance -Comb. Air-Connector-P.R.V. - _ Inl�Garaggee: A--bove Floor-Mech. Protection R�Pib:. Elec. &Mech. Equip. Listed for Location -----------------=---------------------- - 76�p c'es in Garage: (G.F.I.)-Romex Protection ------------------------------ --- �'- ionnd a -looked in Attic ❑ Yes -------------- - 78t'6>mrd-R' &-Deck Construction -Post Caps 7n Fd�1-.& Crawl Hole Door -Drainage & Wood -Earth Clearance Looked under Floor- ❑ Yes i3D-Fnauiucl-instlF1'Drive ❑ Yes ❑ No; Walks ❑ Yes ❑ No; Planters ❑ Yes ❑ No --- -- --- 8Z. -U" St -Finish - b2 -A ec-t-Jfii1; Disconnect_ Electrical, Plumbing - 89-U te-Above-Roof •Plbg.-Appliance-Fireplace.-Clearance to Openings --- - -- 8 t rw-F I: -Disconnect, Electrical, Plumbing --� /Ex�Enor Elec. Trim; G F.I. Receptacle -Underground Lai. Ve .wation Throughout House - ---------- --------------- ------ Glass Protection 88. erections from Previous Inspections s est- eters Tagged; Gas -Electric 9 ewer Connected -C/O to Grade -HD Approval irminergy-Compliance Certificate -Other Certificates ------------------ Date- Z �i Card -B-1 Date Card B-1 Date/ � Card ---1 -------- -- Date _ Card _B_ - 1 ----_-Date Card B-1 Date Card B-1 Date Card B-1 Comments at Final: r� L • ENERGY INSTALLATION CERTIFICATE Building Owner I C - Building Permit #�- Building Location 3.S01 <Xopw(M L�gyV- � ; C C1S965— DESCRIPTION OF INSULATION ROOF Material Brand Name Thickness(inches) The --mal Resistance (R Value) EXTERIOR WALL �Material_F I -e Thickness(inches) MicGkness r Blanket Type �.(inches) Loose Fill Type Minimum Thickness(Inches) Area covered(ft.2) FLOOR, ELEVATED Material Thickness(inches) -FLOOR, SLAB Material Thickness(inches) . Width(inches) FOUNDATION WALL Material Thickness(inches) Brand Name ©toe• Thermal Resistance(R Value) Brand Name CL-'•e4s - n i,t Thermal Resistance(R Va ue) R '30 Brand Name Number of Bags Wt. pe.'bag lb. Thermal Resistance(R Value) 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, ..,is* consistent with- approved building department. --plans--and attachments and- con- forms with requiremerzq of Chapter 2-53 of State of California Energy Requirement 5� G' • 3 � Wil/ F SIGNA,T= OF INSTALLATION APPLICATOR I here(iv rPrtifv the rami—A -P STATE CONTRACTOR'S LICENSE NO. 7-z57-F3 DATE - -z--- ---, _ a iu c4uiYwciiL, ab snown on Lne approves 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. _ HVAC FIRM �W/OWNER (Please rPrint) STATE CONTRACTOR'S LICENSE NO. DATE STATE CONTRACTOR'S LICENSE NO. • 0&'A. SIGNATURE OF HVAC CONTRACTOR/OWNER DATE/T THIS CERTIFICATE MUST BE ON FILE WITH THE BUILDING DEPARTMENT PRIOR TO FINAL APPROVAL AND A COPY SHALL BE POSTED WITHIN THE BUILDING. SEPTEMBER 1988 INSPECTION i<$-:'La*�1'ir.:2-t""'"7"f� 4c7 �C � "�`�'esi:-:iX ..F'v�^a'tY..-"tFi=Ir--�- y. Tvy,n`...tlrt:.:a.-*!`-3..4, � ...,.- •a..: .-.�,. - � COUNTY OF BUTTE BUILDING DIVISION DEPARTMENT OF DEVELOPMENT SERVICES 1469 Humboldt Road, Chico, CA - (916) 891-2751 n. 7 County Center Drive, Oroville, CA - (916) 538-7541 747 Elliott Road, Paradise, CA - (916) 872-6307 CORRECTION NOTICE OWNER PERMIT 07 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 comp ed. If you have any questions pertaining to this matter, or need additional explanation, i ple contact this office immediately. - C vej lve e. ' SPe ?',46,v If r y; lR�T • `i a Date _ Inspectors REV 10/ 2 F� r r COUNTY OF BUTTE BUILDING DIVISION -DEPARTMENT OF DEVELOPMENT SERVICES ilk 0•B-wnboldt Road, Chico, CA - (916) 891-2751 9 Courmty Center Drive, Oroville, CA - (916) 538-7541 1747 OEllion Road, Paradise, CA - (916) 872-6307 CORRECTION NOTICE =z %3 ®aYL(ffBR PERMIT NO. a wmtdineiiiinffumtes that the following violations of Butte County Ordinances exist at ' =' t(muffinsreinfiflrsssmnrtlahmAd me corrected. Please notify this office when correction of work =. iisa= f .11i k; � grou[h�s�ve�ayquestions pertaining to this matter, or need additional explanation, r gid cnritaw t(his alae ummediately. r; 3 "a i . rc Cate l .o Inspector _t iRRl W =92 COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 1469 Humboldt Road, Chico, CA - (916) 891-2751 7 County Center Drive, Oroville, CA - (916) 538-7541 747 Elliott Road, Paradise, CA - (916) 872-6307 CORRETION NOTICE OWNER r- -3 15�7? PERMIT NO. A routine inspectio ndicates that the following violations of Butte County Ordinances exist at the above addr s and should be corrected. Please notify this office when correction of work is complete you have any questions pertaining to this matter, or need additional explanation, ple�ec ac this office imm,jately. v� —/ i T u''T Del. i Date i "� �'%�� Inspector REV 11/91 ;:.�. �' `X'� ��.'•'✓•�',.+7tti`.t'i�.�`E"�Yf•rr � •"�,..`.:-`� .r,,y,.�„-�.� .-.;.�..., y� t `�f�{�v-•r.;�•a'L• �,�,w,,i..,..ptda t COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS; 1469 Humboldt Road, Chico, CA - (916) 891-2751 7 County Center Drive, Oroville, CA - (916) 538-7541 747 Elliott Road, Paradise, CA - (916) 872-6307 CORRECTION NOTICE 4z -3Sz.- 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. — .,Oi o v4 0 lo✓ r..r. a, U •o �n ✓e 4::;1!u �c .9es2 • L /f 1 ! l/ /9 l!' f •i M 1 /+IeQ " h =� a . �S / g ✓ .t -e— ,YJ r ; ate- Gt i- c + o � t A4 L Date /p%Z�_%z Inspector�,,l�— 1 REV 11/91 COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 - Telephone: 916/538-7541 APPLICATION AND PERMIT PERMIT NO. ASSESSOR PARCEL NUMBER 058-190-184 ZONING A 2 BUILDING PERMIT OWNER JOEL TELEPHONE 645-7658 S0. FT. OCC. BUILDING VALUATION OWNER'S MAILINGS DDRESS 4391 MT PLEASANT ROAD LINCOLN 95648 320 R 17,280 . 64 C 832 CONTRACTOR'S NAME OWNER TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ 18,112 LENDER'S MAILING ADDRESS Filing Fee $ 15.00 Permit Fee $ 165.00 ARCHITECT OR ENGINEER ED HOTLAND LICENSE NO. 013892 Plan Checking Fee $ 82.50 ARCHITECT OR ENGINEER'S MAILING ADDRESS Energy g ee Ener Plan Checking F $ 20.00 Penalty $ BUILDING ADDRESS'i9m STEIMAN LANE. "22M— f, �� V Permit tee $ 282.50 PLUMBING PERMIT Filing Fee 15.00 Each Trap 5.00 Solar or heat pump water heater 20.00 LOT NO. 7 UBDIVISION NAME P /ARCEL MAP 1p pC Water piping 7.00 Each qas water heater or vent 7.00 USE OF STRUCTURE SF ® Duplex❑ Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 15.00 Mobile Home S I G JW I @ 15.00 TYPE OF WORK New ❑ Addition D Remodel ❑ Utilities ❑ Installation❑ Other ❑ Describe work: ONE BDRM Permit Fee Contractor ELECTRICAL PERMIT Filing Fee 15.00 Main service 200AORLESS 18.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): ❑ I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in full force and effect. License No. Classification I, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason Main service 200A TO 1000A) 37.50 OCCUP.&\ 3.60sq.ft. NEW CONST. ( DWELLING OR ADONS. ACC. BLDGS. // 1 11.20 NEW CONSTR ULTI-OUTLET NON.R E SID BRANCH CIRC ITS @ 5.00 (POER APPARATUS IN —SINGLE OUTLET CIR. Ex. Occup(OUTLETS OR FIXTURES 20 760 FIXED APLNS EX. Occup. OUT LE Ex. P(RESID.IRE A.� I 3.00 Temporary service 15.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 Permit Fee $ 26.20 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. j I shall not employ any person in any manner so as to become subject 1� 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 FiIingFee 15.00 Heating Cooling Hood 6.50 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,V all liabilit' judgments, costs, an xpenses which may in any way accrue against id oun in copse uen the granting of this permit. X Date �%' 2 2 — Z si at re of Applicant — ' Owner Contractor ❑ Agent l] n SHA permit is required for excavations over 5'0" deep and demolition or construct- a of structures over 3 stories in height. Mobile Home Installation Fee S Energy Inspection Fee $ or.:J corer PE OTAL FEES 348.70 ttAz DF E IMP FL CDF PARC PD yD 1/ I E l This permit is hereby issued under the applicable provi- sions of the Butte County Code and/or resolutions to do j work indicated above for which fees have been paid. DI TOR OF PUBLIC WORKS BY - Date73 6_^-� PER E PIRES Date Receipt No. 125827 WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR. GOLDENROD -APPLICANT I *�..�ik ,''. 1�;'���0:���r�TM"'� ��1�''►�:KFtT�7'1'�'�s'(�t+.aKti.,,%,� a� �11� � k COUNTY OF BUTTE �Y�`-PARTM8NT OF PUBLIC WOR ".-'-.',BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVIJLE; ALIFORNIA 95965 - TELEPHONE (916) 538-7541 PERMIT APPLICATION DATA SHEET OWNER Joej d A. P. No.��'(� Proposed Building USeS, 6k One Building Inspector Date "2 7 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 . .................. Statement of Intent for Non -Heated and�ings. ...................... Engineered truss details and layout in c required prior to plan check). .... D -S �t2 'tk_ g. Mobilehome data and manufacturer's installation instructions, 2 sets. ........... ar10. . Fees of $ . ........... . . 11. Impact fees as shown on attached schedule.....dW6 16 U...... .. . ...... 12. California Department of Forestry plan approval/fees. ....................... . 13. Flood elevation letter (100 year flood�b_y _California Engineer. .. 14. Sanitation and plot plan approval (}dip 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). .... . P�aAsve'od.o" `e for sr - 20. Pre -inspection for required. . to Building Inspeaor (Date) 21. Contractor's license information. (No., Name Style, Classification) . .............. 22. Certificate of Workmans Compensation Insurance . .......................... 23. Owner -Builder Verification (Given to owner , Mail to owner _) ............ 24. Recorded copy of Agricultural Acknowledgement Statement . .................. 25. Letter of signature authorization . ....... ............................... . 26. Copy of recorded deed of parcel creation and 60 right of way to a public road. .... . 27. Letter of intent on building use . ......................................... 28. Mobilehome utility clearance . ......................................... . 29. Documentation of legal access . ........................................ 30. Documentation of 50% subdivision developed or (A) Road improvements completed and (B) Parcel meets zoning area and frontage requirements . .............. . 31. Existing violations/expired permits . ...................... 0 ............... 32. Plan check list . ..................................................... 34. Whe you issue the permit rocess as follows: Mail to ner. Mail to contractor. Tee,l�lephone6 s S� and hold for pickup at D office. Deliver with inspector. �er9 8 Pa c I Creation Acreage Applicant Date Copy of Haz-Mat form sent Health' Dept. L Fire Dept. Air Pollution Date Copy of plans sent Health Dept. Fire Dept. Ot er Date By The following data must be submitt riora mit issuance: (Circle new item not checked above 1. Index permit for above items No. - - /`e re 2. Additional items required: r /D. ---/S' (11 Contractor, designer, o ner was advised of above required data by one _ mail Counter by ate /0 Contractor, designer, owner, was advised of above required data by _ phone _ mail Counter b Date Plans checked by Date 1 - fS-92-Plans approved by Date -7P-16-90-, Sets of plans on hold in File cabinet AP folder Copy - Department of Public Works F.11. 11\lit)\LY Hot Plan Attached _ Flour Ilan Attached sent Io U.D. / TO: Building Department FROM: Environmental Health SUBJECT: Sanitation Clearance 350 u n1g pt �.In19 Owner Location AP# Plan Approved for: Sewage Disposal L-�'Alater Supply: Public =400�- Private Well Clearance for bedroom home. Other Hold final for: —TT a. Final clearance O.K. for: NOTE-: A Environmental ) Heal 8/92 Specialist /eQ aa� Date Ofo U!,Jr()a .COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Orcville, California 95965 - Telephone: 916.'538-7541 APPLICATION AND PERMIT PERMIT NO. Assessoa PARCEL NUMBER _ — J Z°N' � BUILDING PERMIT OWNERS �Oef - VC, Q/ /Is– E �' �7 SO. FT. OCC. BUILDING VALUATION OWNER'S MAILING ADOR T. S N T +0 C1AX0L A/ CA9566 % q C_ 3� CONTRACTOR'SNAME l/t✓ TELEPHONE CONT'RACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation Is 1 S 1 1 Z_ LENDER'S MAILING ADDRESS R HITECT OR LLENGINEER LICENSE ISO. (7l'2 Filing Fee $ 15.00 Permit Fee $ oto Plan Checking Fee $ 82 rso ARCHITECT OR ENG E S MAILING ADDRESS / � ii- C ISMcS7_ cffmo. G19 . Energy Plan Checking Fee $ -�'•c� Penalty $ BUILDING ADDRESS e—© C) UM ON LAI J JAI 1 ry Permit fee $ � PLUMBING PERMIT Filing Fee 15.00 Each Tra N 5.00 Solar or heat mp water heater 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP Water piping 7.00 Each qas water heat or vent 7.00 USE OF STRUCTURE SFX Duplex❑ Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 tlets 5.00 Building sewer 15.00 Mobile Home S I G I W 015.00 TYPE OF WORK New❑ Addition Remodel❑ Utilities❑ Installation ❑ Other ❑ Describe work: One Ae&oem S Permit Fee Contractor ELECTRICAL PERMIT Filing Fee 15.00 Main service 200V OR LESS 00A OR LESS 18.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): ❑ I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in full force and effect. License No. Classification ❑ I, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I', as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason Main service 20GATO1000A1 37.50 NEW CONST. ( DWELLING OCCUP.&\ 3.6Qsq.ft. 20 OR ADDNS. l ACC. BLDGS. I NEw coNSTR ULTI.OUTLET NON-RESID BRANCH CIRC ITS 5•00 POWER APPARATUS e) SINGLE OUTLET CIR. P Ex. OCCU OUTLETS OR FIXTURES 20 76FIXED APNSd Ex. Occup. OUTLETS PIRESIO IREA.) 3.00 Temporary service 1 15.00 Mobile Home Facilities 1 15.00 Misc. Wiring g 15.00 Permit Fee $ 'ZO WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. Contractor ME HANICAL PERMIT Fi I ing FeeT 15.00 Heating Cooling I Hood 6.50 Ventilation Permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the Countyot Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue against said County in consequence of the granting of this permit. X Date Signature of Applicant — Owner❑ Contractor ❑ Agent ❑ An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee S OCC CONST TYPE �O TOTAL FEE $3i.� , ! I HAz DFEES IMP FLODO CDF I PARCEL PO I HD ISSUE This permit is hereby issued under the applicable provi- sions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DIRECTOR OF PUBLIC WORKS By Date PERMIT EXPIRES Date Receipt No. 115-52-7 WNIT!•a. P. W., 7ELLOW-A$9[990A, PINK -INSPECTOR. GOLDENROD -APPLICANT 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 theproposed property improvement or no') 2.. I ave have not) 4 fie— 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 N er Date x-22 - Z. 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 per- mitted to issue the permit. ----•„ter Y`'+F:;Ht.+o''��1'3�"'{y�a�tu:sa ��r^�m�A+ar'tlP�w�-. �.�. �y.r-:;�'o�•.. �.. ,_� _,.-�,,p'.r.,,.,,,,v�,cz�Kr¢rsvwrt..r,.a'.,lk^.—'.,.5;yt7►.�'+,�..var.,a.'r,. �C BUTTE COUNTY SCHOOLS IMPACT FEE CERTIFICATION FORM (One form Per Building) School District W10,A N16d Building Department No. A.P. Number 19 -1 Q> 9 Jurisdiction City County Property Owner J p e,� IS I t ck Property Location/Address 3-501 SH UM 6 AJ Subdivison Lot No. r .. Residential Development 0 0 Sq. Footage �2 No. of Living MHI A - dilion (Group R) Units { Commercial/Industrial 0 Sq. Footage New Addition,.. (Including Exterior Roofed Areas) / -2 2 -q z— Date . District Identification No. 930569 School District certifies that (Applicant) (Street Address) '' (Phone Number) 6PAMIZo14 . (!�!A 9 i1 (City) (State) (Zip Code) has complied with the requirements of Resolution No. 1� " 90 by payment of $ -l9- representing square feet. School District Representative Date Paid by Check Number Bank Number Paid by Cash If, subsequent to the School District Representative signing this Butte Cou®ty Schools Impact Fee Certification Form, the School District is notified by the applicable Local Planning Agency that this Iproject 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) feeformmkf (4/92) FORM 7 ADDITIONS M RESIDENTIAL BUILDINGS ENERGY SHEEE PACKAGE "A" (Additions) ; Owner 'j lzt> -;:-Clicriate Zone Permit # !27,- 3352F1oor 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. -- APPLIES TO .NEW - AREA - CEILING WALL -- _ FLOOR SLAB GLAZING SHADING SOUTH - OPTIMUM OVERHANG R-30 R- R -11 R-7 U-.65 (dual) or .36 Shading Coefficient WEST - .36 Shading Coefficient LOOSE FILL INSULATION (Density) ZONE 16- R-38 R-19 R-19 R-7 T U-.65 (Dual) INFILTRATION CONTROL (Weatherstrip doors, certified windows, caulking) VAPOR BARRIER (Zone 16) DUCTS PER UNIFORM MECHANICAL CODE - Ch. 10 LIGHTING KITCHEN & BATH NOT LESS THAN 25 LUMENS/WATT MAXIMUM GLAZING 16% OF AREA PLUS REMOVED GLAZING 51 SQ,FT ` kt , NEW HEATING, VENTILATING, AIR CONDITIONING AND HOT WATER SYSTEMS IN CONJUNCTION WITH AN ADDITION SHALL BE INSTALLED AS SHOWN ON BACK OF THIS SHEET. Wfffi C(MTy OTHER DO)ART r 11 12/85 *1 HEATING, VB.YTILATING, AIR CONDTTIONLNG SYSTEM (A) Heating Q Central Gas Furnace Z (brand and model number) SE Btu/hr (heating capacity) Q Heat Pump (brand and modal number) ACOP Btu/hr (hearing capacity At 47•F) Q Active Solar type (liquid or air) Collectgr brand and model number solar fraction collector area collector, orientation collector tilt raced y-iocarcepc rated slope Q Other (describe) *1 (B) Cooling Q Electric Air Conditioner (brand and model number) (seasonal EER) Btu/hr (cooling capacity at 95'7) Q Electric Haat Pump Btu/hr (caaling capacity at 9507) Q Other (describe) DCWMIC WATER SYSTEM Q (A) Gas Only Gallons (brand and model number) (tank size) Q Heat Pump v/Electric Backup (brand and model number) Gallons (tank size) Q Active Solar (collector brand and model number) (rated y-intarcepc) (raced slope) (solar fraction) Z ft (backup beater type, brand and model cumber) (collector area) (collector orientation) (collector tilt) Q Location of Solar Panels Q Other (Describe) +►1 Submit documentation of sizing heating and cooling equipment by Manual J, sizing charts (form #4) or ocher approved methods, section Z-535Z(g), and fill out the following: Heating: Gunter design cemperacure •, elevacion heating load BTU elevation factor x heating load - maximum ouclec capacity gas furnace BTU Cooling: Suom<sr design camperacars •, cooling Load BTU *2 Submit T.I.P.S.E. chart or ocher approved system (form ip5) cc document sizing of so Lar paneLS. ® DESIGN COMPLIANCE STATEIMTT: The above building design meets the requirements of Title 24, Part Z, Chapter Z-53 of the California Administration Code.. ?t sz RE of auILDING OESI OR APPUCMIT ! 1 y .. r E� JOEL BIRD 4391 MT. PLEASANT ROAD LINCOLN CA 95648 COUNTY OF BUTTE = DEPARTMENT OF PUBLIC WORKS 7 County Center Drive, Oroville, CA 95965 PHONE: 916-538-7541 T DATt0-14-92 RE: 92-3352 A.P. # 058-190-184 With reference to the above subject: / / 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 OTHER " 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: 1469 Humboldt Road, -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. Should you have any questions concerning the above, of this office. please contact Bob Keith Yours very trulyETWEEN 3 & 5 P.M. William Cheff Director of Public Works Al Glander JFG/aj / . 11 1 "aA.;3413-79B,E PERMIT NO. i e i ti � PERMIT EXPIRES i Lawrence W. Shuman i OWNER t . I CONTR. owner -19-18 LOCATION (A.P. ) W/S Concow Rd., z mi.N.of Hwy 70, Oroville t C.9 CO C sHomj L 7" U {y {J r k� Jp1ry� /J� •44 (� 1Y' ✓ �� rr Temp.EPower Pole Called PG&E Te�i�p. Elec. Serv. `ICalled PG&E mp. Gas Serv. / Called PG&E JOB iJ FINALED_—_n <. (Date) (Signature) COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS ' BUILDING INSPECTION RECORD BUILDING BUILDING (Cont'd) PLUM ING Setback ,—/ 5- % Firewall Soil Piping Forms ?- Parapets 1st Floor Main Bldg. Restroom Finish 2nd Floor Footings —/ ? Windows L�% d' —' 3rd Floor StemwalI Slab 6 `-�/. -- Siding •-- 2 -- Roof Sheathing /e--7 To out Water Piping Piers Roofing Sewer Garage Fdn. Vents Fixtures Footin s Stemwa I I Garage Vents Insulation Water Htr. Heaters Slab Carport p Footin s Prov, for phsically _ handica ed Conformance of ex. structure Appliances Gas Piping & Test Temp. Gas Slab Final Sanitation Patio FIREPLACE Final Footings FootingELECTRICAL Masonry Walls Throat Rough — 10, Reinf. Steel Final Fixtures ,-P 17 Bond Beam FIRE SPRIN ERS Motors Framing • %®,. Test Water Htr. Stucco Final Subpanels Mesh ot M CHANICAL Grd. Fault Prot. Scratch Heatin Service Brown Cooling Temp. Pole Finish Ducts Underground Interior Lath Ventilation Permanent Door Closer •- -X_" If Final 2 MOBILEHOME UTILITIES ------------------ Elec_ Service Elec. Pedestal Water Piping Sewer Gas Piping MOBILEHOME INSTALLATION - - - - - - - - - - - - - - Support Elec. Continuity Water Piping Drainage Gas Piping DATE REMARKS OR CORRECTIONS (NOTE: An entry must be made on this form each time you visit the job site.) 1 Y. RESIDENTIAL ENERGY CONSERVATION STANDARDS CONSTRUCTION COMPLIANCE CERTIFICATE THIS IS TO CERTIFY THAT ENERGY CONSERVATION REQUIREMENTS HAVE BEEN INSTAL IN CO ORMANCE WITH CURRENT ENERGY CONSERVATION REGULATIONS AT / o2�D-x/ (location) BUILDING PERMIT NO. ref/ -S - %A;P. NO. THE FOLLOWING HAVE BEEN INSTALLED AS PER APPROVED PLANS: (Check each item or write N/A if not applicable) INSULATION: S1ab, Edge . Fdn.' Walls Floors Walls ri Ceiling/Roof t. - Ducts Ducts Circulating Pipes APPROVED HEATER APPROVED WTR.HTR. GLAZING: Single Glazed Special (Insulated) ✓ CERT. & LABELED WDS. & SLIDING DRS. WEATHERSTRIPPED DRS. BACK DAMPERED FANS INTERMITTENT IGNITION DEVICES CERT. APPLIANCES 1 I DECLARE THAT•ALL REQUIRED ITEMS AS NOTED ABOVE HAVE BEEN INSTALLED IN ACCORDANCE WITH THE ENERGY CONSERVATION REQUIREMENTS AND AGREE TO THE COMPLETENESS OF`THIS CERTIFICATE AS SUBMITTED. Insulation Applicator Name Le/P le / Sf/CJ/� A �Y Signature of (please print) Insulation Applicator State Contractors License No. General Contractor/Owner Name (please print) Signature of �D ,, Gy General Contractor Owne ��2�c�Date State Contractors License No. THIS CERTIFICATE MUST BE ON FILE WITH THE BUILDING DEPARTMENT PRIOR TO REQUESTING FINAL.INSPECTION AND SHALL BE POSTED IN A CONSPICUOUS LOCATION WITHIN THE DWELLING. pro COUNTY OFaBUT Tt, 4DEPARTMENT OF PUBLIC WORKS 7 County Center Drive Oroville, California 95965 Telephone: 534-4541 APPLICATION AND PERMIT %. 5 " &_�� ,09/ autnonze representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. X e6*( Date ? Signature of Permitee or Agent Receipt No. 2 � White-D.P.W. - Yellow -Assessor - laink-Inspector - Goldenrod -Applicant This permit is hereby issued under the applicable provisions of the Bu County Code and/or resolutions to do work indicated abov for which fees have been paid. CR OF IC WORKS Date a_17 �� Building permit expires Da e BUILDING Owner L/�RLt%%z['/✓C� 1!� , 7�U SQ. FT. OCC. BUILDING V TION ` S Mai I i ng Address � Q r�r � � � .1-010 9s TLJ n e_Ia Contractor^7 Mailing Address Fireplace Total Valuation fY Telephone No. Permit Fee Building Address 6c,"Ig' Plan Checking Fee&/or Penalty Permit Fee ZP� / /iV/ . A✓ Y 769 PLUMBING No. @ FEE U PERMIT FILING FEE $3.00 Each Trap 1.50 ®��% Repair drainage or vent piping 1.50 A. P. No. / / V Zoning & Planning Water piping 1.50 Each gas water heater or vent 1.50 Fe ire Dept. Fire Zone Use Permit Gas piping system 1 - 5 outlets 1.50 EQA Parking Plans Parcel Declaration Parcel Map 0' R/W Imp ements Each additional outlet .30 Building sewer 5.00 ��_ Bldg. aPrns Recd Parcel A rove Plans Approval Lawn sprinkler system 2.00 NEW ❑ ADDITION UTILITIES ❑ OTHER ❑ Permit Fee $ f� ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 Main service 600V OR LESS 100 AMP OR LESS 5.00 Single Family Duplex ❑ Mobil Home ❑ Others ❑ Main service EA. ADD'L 100 AMP 2.50 Main service OVER 600V 25.00 100 AMP OR LESS Main service EA. ADD'L 100 AMP 1.00 NEW CONST. OR ADDNS. CAC Gs.CCUP. 41 - 22sgft �, Q 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: NEW CONSTR ULTI.OU L T NON.RESID BRANCH CIRCUITS) 2.50ea NEW CONSTR. (POWER APPARATUS.&J NON-RESID. SINGLE OUTLET CIR. Ex. Occup{OUTLETS OR FIXTIIRES) 50@25¢ BAL@1 FIXED APPLNS. OR Ex. Occup. OUTLETS (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 $ eo r $ T% WORKMEN'S COMPENSATION INSURANCE 1 am aware of the provisions of Section 3700 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 J$3.00 Heating Cooling Ventilation Hood 2.00 Permit Fee $ $ 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 Land Development Fee $ TOTAL PERMIT FEE $ autnonze representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. X e6*( Date ? Signature of Permitee or Agent Receipt No. 2 � White-D.P.W. - Yellow -Assessor - laink-Inspector - Goldenrod -Applicant This permit is hereby issued under the applicable provisions of the Bu County Code and/or resolutions to do work indicated abov for which fees have been paid. CR OF IC WORKS Date a_17 �� Building permit expires Da e i_ COUNTY OF BUTTE, DEPARTMENT OF PUBLIC WORKS 7 County Center Drive — OroviIIe, California 95965 A Telephone: 534-4541 APPLICATION AND PERMIT n �J/V— 77 L c vounLy vi oU.t.Le • 11- BUILDING Owner wVetq e L) S SQ. FT. OCC. BUILDING VALUATION Mailing Address 0 V UO ,?O. Oro V f` Telephone140. Fireplace Contractor Total Valuation Mailing Address Permit Fee Plan Checking Fee &/or Penalty Telephone No. Permit Fee $ �� Ot Building Address S COGS) PLUMBING No. @ FEE PERMIT FILING FEE $3.00 L Each Trap 1,50 Repair drainage or vent piping 1.50 V,C U (Lief Water piping 1.50 Each gas water heater or vent 1.50 A. P. No. — Zoning & Planning Gas piping system 1 - 5 outlets 1.50 Each additional outlet .30 Fes C. 'gn FireDept. Fire Zone Use Permit Building sewer 5.00 EQA Parking Plans Parcel Declarati Parcel M P 60' R/W Improvements Lawn sprinkler system 2.00 Bldg. Plans Recd Parc A irpwal Plan pproval Permit Fee $ NEW ❑ ADDITION UTILITIES ❑ OTHER E] No. @ FEE PERMIT FILING FEE $3.00 3, v0 $3.00 f' ' V Main service i°o°V OR o AMP ORLESS5.00 Main service EA. ADO'L 100 AMP 2,50 Single Family Duplex ❑ Mobil Home ❑ Others ❑ Main service OVER 600V 00 AMP OR LESS 25.00 Main service EA. ADD•L 100 AMP 1,00 NEW CONST. DWELING 0 OR ADDNS. ( ACCLBLOGS.C.f& ) 20 sq 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)@2S BAL@1 Ex. Occup.(OUTLETS ((RESID )REA) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 [Misc. License No.Classification Wiring 6.25 I am exempt from the Contractors License Laws of the State of California. Permit Fee $ 6, 25 1 $ 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. ❑ I have placed on file with the County of Butte a certificate of Workmen's Compensation Insurance. 14 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.1 @ I FEE PERMIT FILING FEE J$3.00 Heating Cooling Ventilation Hood 1 2.00 Permit Fee $ $ 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 authori•-7p- r•p�•nrr•p�c�a�n••ta�n•t•i•—•�o� i tah„rt n . TOTAL PERMIT FEE 1$.3o L35 lU enter upon the above -men ioned property for inspection purposes. X Date Signature of Permitee or Agent Receipt No. 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 paid. DIRECTOR OF/15bIBLIC WORKS By— Date _/ 7— 7 ildingpermitepirs—�Date -fZ xeZ Owner: -all 0 M SPECIAL INSPECTION REPORT Address: _RT aq,0 x Tenant: Building Location: S Type of Inspection requested: A. P. # - / 9-- IL / Date of Inspection 9 Inspe�cttor 1. Housing / / 2. Financing 3. Change of Occupancy to 4. Other (specify) &C, -rt 7,,9-/nJ /F IZIMIc �r+r J'7�1t% Q %/L /,f7-,(/Ces%,.ectop11 Present use of building: :zk A. Sanitation (Housin 1. Water closet• ",--"2. Lavatory: 3. Bathtub or shower: 4. Kitchen sink: 5. Hot and cold water to fixtures: 6. Heating facilities: 7. Natural light and ventilation: .8. Room and space requirements: 9. Bedroom window or door for second exit: 10. Infestation of insects, vermin, or rodents: 11. Connection'to sewage disposal: 12. Connection to water supply: 13. Rubbish and garbage facilities: 14. Comments: Structural a ' -� Piers and footings �i(� 2. Floor construction: 3. Wall construction: 4. Ceiling and roof construction: 5. Fireplaces: 6. Comments• -0-- C.- Electrical. 1. Service and ground: 2. Receptacles: 3. Fusing: 4. Comments: D. Plumbing '1. Fixtures connected and vented: 2. Gas water heater: 3. Gas heating vents: 4. Comments• (continued on back) E. Other 1. Maintenance and repair: 2. Fire hazards: 3. Safety hazards: 4. Weather protection: 5. Underfloor and attic ventilation: 6. Comments• F. Commercial Buildings 1. Roof covering: 2. Distance to property lines: 3. Physically handicapped: 4. Restroom floors and walls: 5. Exits: 6. Improvements• 7. Zoning: 8. Cocmnents G. Field Problems or Violations' 1. Problem or violation (give complete description): 2. What action taken (give complete description): 3. What action recommended: A. Information only - file. B. Hold for ten (10) days, then write letter. C. Write letter. D. Other: 1° PERMIT NO. f; P ' E V. M it MH UTIL. PERMIT NO. M i PERMIT EXPIRES OWNER L.W. Shuman )CONTR. owner LOCATION (A.P. 58119-161 ) i. w/s Concow Rd., 1/2 mi. no, of Hwy. 70, Oroville t' i t 1 a 9 Temp. Power Pole Called PG&E Temp. Elec. Serv. Called PG&E Temp. Gas Serv. Called PG&E JOB FINALE Dk(D ( natu e) r �-1 COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS BUILDING INSPECTION RECORD BUILDING BUILDING (Cont'd) PLUMBING Setback Firewall Soil Piping Forms Parapets 4 1st Floor', Main Bldg. Restroom Finish 2nd Floor Footings Windows 3rd Floor Stemwall Siding To out Slab Roof Sheathin Water Piping Piers Roofing Sewer Garage Fdn. Vents Fixtures Footings Garage Vents Water Htr. StemwaII Slab Prov. for physically handicapped Heaters Appliances Carport Footings Conformance of ex. structure Gas Piping & T st Temp. Gas Slab Final Sanitation FIREPLACE Final Footin s Q--/6 Footing ELECT Masonry Walls Throat Rou h Reinf. Steel Final Fixtures Bond Beam r FIRE SPRI LERS Motors Framing Test Water Htr. Stucco ° Final Subpanels Mesh MECHANI AL Grd. Fault P -ot. Scratch Heating Service Brown Cooling Temp. Pol Finish Ducts Under roue Interior Lath Ventilation Permanent Door Closer Final Final DATE REMARKS OR CORRECTIONS ol qc. COUNTY OF BUTTE — DEPAR-1-1IIENT OF PUBLIC WORKS 7 County -Center Drive Uroville, California 95965 Telephone: 5$4-4541 APPLICATION AND PERMIT authorize representatives of the County of Butte to enter upon the abZkgnature oned property for inspection purposes. X Date 15-1615, of Permitee/or Agent Receipt No., ` 5-1 6/ 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 paid. DIRECTOR OaUBLIC WORKS or uilding permit expires Date BUILDING 107 Owner 4. SQ. FT. OCC. BUILDING VALUATION Mailing Address 7— o�', Q X I ` c1L Telephone No. Fireplace Contractor rum J r— Total Valuation Mailing Address Permit Fee Plan Checking Fee &/orPenalty Telephone No. Permit Fee Va. E!Eil $ ef,, S Building Address S / `C PLUMBING No. @ FEE PERMIT FILING FEE J$3.00 r U.J Each Trap 1.50 Repair drainage or vent piping 1,50 Water piping 1.50 Each gas water heater or vent 1.50 c- , /G _ / A. P. No. Q / / to Zoninc 8 Planning Gas piping system 1 - 5 outlets 1.50 Each additional outlet .30 Fees C. 8titt'i-taQ+er� Fire Dept. FireZone Use Permit Building sewer 5.00 EQA Parkin DeParcel a a ion Parcel Map 60' R/W Improvements Lawn sprinkler systemPlans 2.00 .131rg Parcel Approval Plans Approval Permit Fee $ NEW ❑ ADDITION ❑ UTILITIES ❑ OTHER © ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 'r 2CA/A �1 V OR LES Main service 100 AMP ORS SLESS 5.00 Main service EA- ADD'L too AMP 2.50 Single Family 9L Duplex ❑ Mobil Home ❑ Others ❑ OVER 600V Main service 1100 AMP OR LESS 25.00 Main service EA. ADD'L too AMP 1,00 NEW CONST. DWEL-ING O OR ADDNS. ( ACCLBLDGSCCUP. &) 2¢sgft NEWCONSTR MULTI -OUTLET NON-RESID. (BRANCH CIRCUITS) 12.50eal 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)50 @250 BAL@1 Ex. Occu (O00 APP LNS. OR p•(OUT LETS (RESID,) EA) 2.00 UT Temporary service 10.00 Mobile Home Facilities 15.00 License No. Classification Misc. Wiring 6.25 EZI 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. ❑ 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 Heating Cooling Ventilation Hood 2.00 Permit Fee $ $ 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 TOTAL PERMIT FEE authorize representatives of the County of Butte to enter upon the abZkgnature oned property for inspection purposes. X Date 15-1615, of Permitee/or Agent Receipt No., ` 5-1 6/ 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 paid. DIRECTOR OaUBLIC WORKS or uilding permit expires Date COUNTY OF BUTTE — DEPAATMENT OF PUBLIC W « 7 County Center Drive — Orovi Ile, California 95965 j —,,57 Telephone: 534-4541 APPLICATION AND PERMIT s BUILDING Owner SQ. FT. OCC. BUILDING VALUATION Mailing Address let Telephone No. — Fireplace Contractor Total Valuation Mailing Address 1VWPermit Fee Plan Checking Fee&/or Penalty Telephone No. Permit Feeo V r Building Address �S"�7t.�Gt1" PLUMBING No. @ FEE PERMIT FILING FEE $3.00 Each Trap 1.50 Repair drainage or vent piping 1.50 Water piping 1.50 Each gas water heater or vent: 1.50 A. P. No. _ (J Zoning & Planning Gas piping system 1 - 5 outlets 1.50 Each additional outlet .30 Fke� 4e�.<6ggo Fire Dept. Fire Zone Use Permit Building sewer 5.00 EQA Parking Plans -,- Parcel Declaration parcel Ma P 60' R/W Im r p ov ents Lawn sprinkler system 2.00 Bldg. Peaffs Recd Parc pprovol P ns Approval Permit Fee $ ADDITION UTILITIES ❑ OTHER ❑ ELECTRICAL N0.1 @ FEE PERMIT FILING FEE $3.00 Main service incl. 1 meter Additional meters, each 1.00 Sub -panel (12 or less) (more than 12) _ Single Family Duplex ❑ OthersElRange, Cook -top or Oven 1.00 / Z Water Heater or Space Heater 1.00 Light fixtures 60 a 02 Receps., switches & fix outletsh.1 In 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: Hood, Ex. Fan or F.A. Furn. Motor 1.00 Evap. cooler, gar. disp. or D.W. 1.00 Air conditioner or heat pump Water pump Mobil Home Facilities 5.00 Temp. Power Pole 5.00 License No. Classification Misc. wiring 1 am exempt from the Contractors License Laws of the State of Cal ifomia. Permit Fee $ $ MECHANICAL No. @ FEE 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 JAJ 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. PERMIT FILING FEE $3.00 Heating Cooling Ventilation Hood 2.00 Permit Fee $ $ 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 r inspection purposes. i r Date XZSR- 5 Signature o permitee or Agent Receipt No./_;VC4e_�7� White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant TOTAL PERMIT FEE $ 6 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. DIRECTOR OF UBLIC WORKS By Date -/---,I `"-I A uilding permit expires Date ;1_3/- 76 . r- PERMIT NUMBER - B 704-74B,P,E P E 1 PERMIT EXPIRES OWNER L. W. Shuman i CONTR: Owner i LOCATION (A.P. 58-19-156 i �.W/S of Concow Rd., 2 mi. N, of s Hwy. 70 O DA /vo iv� P �� (I REMARKS OR CORRECTIONS . -5 . Z O , COUNTY OF BUTTE Department of Public Works BUILDING INSPECTION R`EEC00%RD Zoning Setback '/'� (/ / �/ f % Forms �� / �v ✓ Foundation Piers & Girders Fireplace gh. Plumbing cj `�^=Plmg. Bond Beam Lath & Plaster 7777 Rein. Steel Gas Piping & Test Found. Vents Framing — �^ Topout Rough Elec. �W07.—_2 Wtr. Htr. Furnace Kitchen Vent _ Firewall Garage Vents Sanitation & Water ELECTRIC GAS BUILDING Temporary Z � Temporary Cert. of Oceu Fin Fina_-h`ly'//J1 .=�� Final DA /vo iv� P �� (I REMARKS OR CORRECTIONS . -5 . Z O , COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS 7 County Center Drive — Oroville, California 95965 Telephone: 534-4541 APPLICATION AND PERMIT authorize representatives of the county of Butte to enter upon the above-mentioned property for inspection purposes. X ate 7X Signature of Permitee or Agent Receipt No. 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 paid. DIRECTOR OF/RUBLIC WORKS BY Date ng permit expires Date ............... .5...3 IIdi.'7. BUILDING Owner S' SQ. FT. OCC. B DING VALUATION v O I O Mailing Address L ® S Telephone No. Fireplace IC S-6 , QQ Contractor Al oE Total Valuation,, Mailing Address Permit Fee Plan Checking Fee&/or Penalty Telephone No. Permit Fee r Building Address S�p� OclJ b PLUMBING No. @ FEE PERMIT FILING FEE $2.00 10��. Each Trap 1.50 Repair drainage or vent piping 1.50 Water piping 1.50 Each gas water heater or vent 1.50 A. P. No. LS— $76 Zoning 8 Planning Gas piping system 1 - 5 outlets 1.50 Each additional outlet .30 Ft" I ywlSarSUal-5-n Fire Dept. Fire Zone Use Permit Building sewer 5.00 EQA Parking Parcel Plans Declaration Parcel Ma P 60' R/W ImprovementsLawn sprinkler system 2.00 Parcel of PIa pprova1 Permit Fee $ W ADDITION 29" UTILITIES ❑ OTHER ❑ ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 cel, 072, ZZ / dooey Main service incl. 1 meter O ® — Additional meters, each 1.00 Single Family Duplex ❑ Mobil Home ❑ Others ❑ Sub -panel (12 or less) (more than 12) Range, Cook -top or Oven 1.00 Water Heater or Space Heater 1.00 Light fixtures 2I�?o Receps., switches & fix outlets 0-(025 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: Hood, Ex. Fan or F.A. Furn. Motor 1.00 Evap. cooler, gar. lisp. or D.W. 1.00 Air conditioner or heat pump Water pump Mobil Home Facilities 5.00 Temp. Power Pole 5.00 License No. Classification Misc. wiring I am exempt from the Contractors License Laws of the Stats of California. Permit Fee 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 � ermit 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. FEEPERMIT FILING FEE $3.00 Heating Cooling Ventilation Hood 2.00 Permit Fee $ $ 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 TOTAL PERMIT FEE authorize representatives of the county of Butte to enter upon the above-mentioned property for inspection purposes. X ate 7X Signature of Permitee or Agent Receipt No. 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 paid. DIRECTOR OF/RUBLIC WORKS BY Date ng permit expires Date ............... .5...3 IIdi.'7. COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS / _ 7 County Center Drive — Oroville, California 95965 Telephone: 534-4541 APPLICATION AND PERMIT BUILDING Owner a SQ. FT. OCC. BUILDING VALUATION Mailing Address ` T hone o. FP ! J Fireplace Contractor Total Valuation Mai I i ng Address Permit Fee Plan Checking Fee &/or Penalty Telephone Na. Permit Fee $ Building Address PLUMBING No.1 @ FEE PERMIT FILING FEE $2.00 a Each Trap 1.50 Repair drainage or vent piping 1.50 Water piping 1.50 Each gas water heater or vent 1.50 A. P.�� � Zoning & Planning Gas piping system 1 - 5 outlets 1.50 Each additional outlet .30 F s Si i n Fire Dept. Fire Zone Use Permit Building sewer 5.00 EQA Parking Plans Parcel Parce 60' R/W Declarratii n Imp rovements P Lawn sprinkler system 2.00 ss�� Bldg. ns Re 'd 8 K Parcirl / Plans pproval Permit Fee $ NEW177 11*1 ADDITION ❑ UTILITIES ❑ OTHER ❑ ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 Main service incl. 1 meter Additional meters, each 1.00 Sub -panel (12 or less) (more an 12) Single Family Duplex ❑ Mobil Home ❑ Others ❑ Range,ok-top or 0 en 1.00 Water eater or Spa ater 1.00 Light fixtures Re ps., sw" es & fix Wtiets 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: Hood, Ex. Fan or F.A. Furn. Motor 1.00 Evap. cooler, gar. disp. or D.W. 1.00 Air conditioner or heat pump Water pump Mobil Home Facilities 5.00 Temp. Power Pole 5.00 License No. Classification Misc. wiring 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. ❑I have placed on file with the County of Butte a certificate of Workmen's Compensation Insurance. CT 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 Heating Cooling Ventilation Hood 2.00 Permit Fee $ 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 inspectiop purposes. Z, , -4 0.4 4_JP_0 Date /// S77 K ignature of Permitee orLAge J't / Receipt No. ` / 7 (.�_ White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant TOTAL PERMIT FEE $ L-5-0 Thispermit 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. DIRECTOR OF BLIC WORKS By Date 3 —1 — 8 Ing permit expires Date................�.-�.�.7s� pA li ■ r III'10II I kqij .. Y r. :.'I ,, . - ,.. "Mn,.^j'�^we'awk}�. .+'-9{:-e:,.,.- ., _: I ':r "t„.,I.I. .": 1I . .: '..,I�, ' I. :.,. .,..: I .. .:I .,�I, .c:': . m•4•i*r,.r.rrT-rI,- .,,,. , a,.y��Yrp•. I .. U .t I I ff .1' , t ft � 1 � iI � ,.1 .. . r. 1. „r, ir oI:L w Tj 0 R PL . IL, r Wr.Kf � � � i'„ �e. � f ;,L.. 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