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Home My WebLink About058-590-024er wool ry Donald Ellsmore� r� _ Permit 3462-77B 2 ( 9th RENEWAL, 532=68) -- .- I e Permit #2073-81P(sdar addition to water heater/SF) �►..: 1./ _ ,.�) )1126 -th Road, Yankee Hill Permit#2 85B,P,E(new guest house & storage) it42655-86B(is8 renewal/2489-85 e/s Faith Rd. off Yankee Hill atAz4J ' Permit 532-68B (new single family) X1217 058-590-024 05-2569 KELLEY, SHARLENE 11126 FAITH RD., YANKEE HILL Cont: OWNER GUEST HOUSE D-Q7--6LY rda-qQ- Donald Ellsmore e/s Faith Rd, off Yankee Hill¢,aJ �� - -- Permit 613-69B -„(RENE1g71f -- �gB). - Donald. Ellsmore 441 0-h e/s Faith Rd. off Yankee Hill CZe�."j ,t/?e`j Permit 72(-70B (2nd RENEWAL � Donald Ellsmore � e/s Faith Rd, off Yankee Hill Otr. z-),� � y Permit 785-71B (3rd RENEWAL) �/ ELLSMORE e/s Faith Rd.'�, qC Chkee Permit 1472-72B� (4th renewal og Permit #532-68B) _ ONALD7ELLSMORE e/s Fait Rid,, off./ -Yan- kee Hi11�7 { Permit JCW- 73B DONALD ELLSMORE sFaith Rd., off ankee Hill a---A� - �Permit # 2761-74B A� 6th RENEWAL OF #532-68) V71 .. Permit# 3442-75B(7th RENEWAL). - om l / Z Permit #4033-76B(8th renewal for . I permit #532-68) � �/ ` - _ a � � . � �'w��''§xi^'€Akja r"�""f�"t7°'`�*v �iRiic:.^ r1'�ys�i'n� ;�','r��; �. i � ^�Fj �,��.u�;iM=s'Y_+t;.�Cr r.. ':I '�5,', .s,7Lp�. 'ti �. �tyi %�'.��'.�t.-P, r.r� �.,q: .��1.:' � � [ ' �t � � - � ��': s , ` - _ a � � . � �'w��''§xi^'€Akja r"�""f�"t7°'`�*v �iRiic:.^ r1'�ys�i'n� ;�','r��; �. i � ^�Fj �,��.u�;iM=s'Y_+t;.�Cr r.. ':I '�5,', .s,7Lp�. 'ti �. �tyi %�'.��'.�t.-P, r.r� �.,q: .��1.:' � � [ ' �t a TO: FROM: SUBJECT: Building Department Environmental Health Sanitation 'Clearance ,5A uz Owner l l Zk fA)��-, Location Plan Approved for: Sewage Disposal-_ Clearance for dwelling. Other Hold final for: Final clearance O.K. for: NOTE: E.H. USE ONLY Plot Plan Attached Flops Plan Attechad Sent to 8.0. ! AP# r Supply` u) Priv to We U� �.l () yam. Environmental Health Specialist 8/96 4x Date BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT 24 HOUR INSPECTION #: (530) 538-7636 (OROVILLE) (530) 891-2834 (CHICO) OFFICE #: (530) 538-7541 PERMIT NO. BP052569 B. C. Building Permit 01-16-04 p3 1 LICENSED CONTRACTORS DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of Issued Date: 10/20/2005 APN: 058-590-024-000 the Business and Professions Code, and my license is in full force and eon. Site Address: 11126 FAITH RD CON License Class : License Number: Li Map Index: Date: Contractor: Description: GUEST HOUSE (240) OPEN (256) OWNER -BUILDER DECLARATION 1 hereby affirm under penalty of perjury that I am exempt from the Contractors' State License Law for the following reason (Sec. 7031.5 Business and Professions Code: Any city or county which requires a Owner: KELLEY SHARLENE J permit to construct, alter, improve, demolish, or repair any structure, prior to its issuance, also requires the applicant for such permit to file a 11126 FAITH RD signed statement that he or she is licensed pursuant to the provisions of YANKEE HILL, CA the Contractor's State License Law (Chapter 9 commencing with Secticn 95965-9729 7000) of Division 3 of the Business and Professions Code) or that he or she is exempt therefrom and the basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars ($500).): I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale (Sec. 7044, Business and Professions Applicant: KELLEY SHARLENE J Code: The Contractors' State License Law does not apply to an 11126 FAITH RD owner of property who builds or improves thereon, and who does such work himself or herself or through his or her own employees, YANKEE HILL, CA provided that such improvements are not intended or offered for 95965-9729 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.). ly I, as owner of the property, am exclusively contracting with / licensed contractors to construct the project (Sec. 7044, Business and Professions Code. The Contractors' State License Law does Contractor: not apply to an owner of property who builds or improves thereon, and who contracts for such projects with a contractor(s) licensed pursuant to the Contractors' State License Law.). ❑ I am Exempt under Article 3 of tP/e Business and Professions Code Date: /0-,2M) owner: License #: WORKERS' COMPENSATION DECLARATION I hereby affirm under penalty of perjury one of the following d larations: ❑ I have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by Section 3700 of the Labor Code, for the performance of the work for which this permit Architect: is issued. Engineer: ❑ 1 have and will maintain workers' compensation insurance, as required by Section 3700 the Labor Code, for the performance of the work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier: Total Square Ft: 496 S. F. Valuation: $18,160.00 Policy a: Census Code: I certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to 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:/ D �V l Applicant: WARNING: Failure to secure workers' compe ation coverage is unlawful, and shall subject an employer to criminal penalties and one hundred thousand dollars ($100,000), in addition to the cost of V compensation, damages as provided for in Section 3706 of the Labor code, interest, and attorney's fees. CONSTRUCTION LENDING AGENCY This permit i ereby issu d e a plicab)e provisions of the Butte County Code and/or I hereby affirm that there is a construction lending agency for the performance of the work for which this permit is issued (Sec 3097 Civ.) Resolutigg to do w i 'c d above or w ch fees have been paid. /ai Name: By: Date: Address: PERMIT EXPIRE ON: // 1— 2,!o I_ Dat) J ❑ 1 hereby certify that the use of this facility shall comply with Sections 25505, 25533, and 25534 of the California Health and Safety Code, which regulate the storage, handling and use of hazardous materials. ❑ Notification in accordance with Section 19827.5 of California Health & Safety Code is not applicable to the scheduled construction of this project. ❑ Attached are copies of the required E.P.A. notification forms. I hereby certify that I have read this application, that the above information is correct, and that I am the owner or the duly authorized agent of the owner. I agree to comply tiith 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 uthorize representatives of Butte Countytoenter upon the above mentioned property for inspection purposes. Print Name:/moi/ Signature: ICROC� DJ— Date: Owner ❑ Contractor ❑ Agent for Owner ❑ Agent for Contractor B. C. Building Permit 01-16-04 p3 1 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** OWNER INFORMATION Last ame Fir ame Addr !o Fai %2Q City 22 11ilf Slaie Zip PhoneC-3 - 7 S 7- Fax s3 y_ 2 go a / E-mail`7c �. Com APPLICANT INFORMATION Name CONTRACTOR Name 2. Address Phone City E-mail State Zip Phone Map Book Fax E-mail Planner Lic. # Class APPLICANT INFORMATION Name ARCHITECT/ENGINEER Name State Address Phone City E-mail State Zip Phone Map Book Fax E-mail Planner State License Number APPLICANT INFORMATION Name Address City State Zip Phone Fax E-mail APPLICANT SIGNATURE X For office u e only: Zoning Property Address ffi Flood Zone Cross eft rL SRA Policy Number No Occ. Type Const. Subdivision Name Map Book Page Lot # Planner Date Approved: OVER FOR SUBMITTAL REQUIREMENTS K:\FORMS\BUILDING FORMS\BldgApplSubRgmts.doc PERMIT NO. BP BAIN / PROJECT LOCATION API G5'& t5 l l Property Address ffi 'Ci Cross eft rL 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: 61j"e Sq FT- Living Garage Open Cov ❑ Structure Built without Permits ❑ Proposed Change of Occupancy (Note previous use): Page 1 of 2 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. ReAmount: Bldg SRA Receipt #: Sheriff SMIP J Other. Total REV 8-12-05 SUBMITTAL & PERMIT REQUIREMENTS The following drawings and specifications must be submitted to the Building Division in order to apply for a permit. INCOMPLETE SUBMITTALS WILL NOT BE ACCEPTED. ALL PLANS MUST BE LEGIBLE AND IN INK. ❑ 1. Site plans, 3 or 4 sets, signed by the preparer of the plans. No graph paper! ❑ 2. Complete plans, 3 or 4 sets, signed by the preparer of the plans (No graph paper!) OR Engineered plans, 3 or 4 sets, with wet signature on plans AND 2 sets of stamped and signed calculations. ❑ 3. Engineered truss details and layouts in duplicate (if required). No faxes! ❑ 4. Energy compliance design and supporting documentation in duplicate. ❑ 5. Statement of Intent for Non -heated and A/C for Non -Residential Buildings. ❑ 6. Manufactured homes: (A) Installation manual, (B) Marriage line info, (C) Floor Plan, (D) Tie down or fnd plans, all in'duplicate ❑ 7. Metal bldgs: (A) Metal Bldg Plans, (B) Fnd plans and calcs in triplicate, (C) Elevations in triplicate. (D) Floor plans in triplicate. All of these must be stamped and wet -signed by the engineer. ❑ 8. Flood Elevation Certificate, wet -stamped and signed, in duplicate (if required). ❑ 9. Site plan and business license. -approval from the City of Biggs. ❑ 10. Letter of intent for non-residential buildings. ❑ 11. Building Permit Application Without Required Clearances Form ❑ 12. Hazardous Material Form (for Commercial Buildings only). Remaining items needed to issue the permit. Additional items may be required after Plan Check and Planning review (May require additional plan review upon receipt of the following items.) ❑ 1. Agricultural Buffer clearance and site plan approval from the Ag Commissioner's office (if required). ❑ 2. Impact Fees. ❑ 3. California Department of Forestry plan approval (if required). ❑ 4. NPDES Form. ❑ 5. Encroachment Permit for driveway from the Public Works Dept. (construction approval prior to occupancy). ❑ 6. Contractor's license information. (Number, Name Style, Classification). ❑ 7. Worker's Compensation Carrier and Policy Number. ❑ 8. Owner -Builder Verification (if required). ❑ 9. Letter of Signature authorization (if required). ❑ 10. Recorded copy of Agricultural Acknowledgment Statement. ❑ 11. ❑ Legal description from current recorded grant deed, El Copy of M.H. Title, Title transfer, or MCO. 1112. Sanitation and site plan approval from the Environmental Health Department. If you have questions or would like additional information regarding this process, please contact a Permit Assistant at (530) 538-7541. EXPIRATION OF APPLICATION Applications for which a permit has not been issued will expire one year after date of application. In order to renew action on an application after expiration, a new application, plans and fees will be required. REQUEST FOR FEE REFUNDS Refunds can only be made upon written request by the person who paid the fee. The request must be'made within two years from the date of fee payment on permits not issued, and two years from the date of permit issuance for permits issued; however, on issued permits refunds can only be made if no construction work has been done. Filing fees, plan check fees for work plan checked and other department costs are not refundable. OVER FOR BUILDING PERMIT APPLICATION KAFORMS\BUILDING F0RMS\B1dgApp1SubRgmts.doc Page 2 of 2 REV 8-12-05 COUNTY OF BUTTE -DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING DIVISION' 7 County Center Drive, Oroville, CA 95965 Phone (530)538-7541 Fax (530)538-2140 PERMIT APPLICATION DATA SHEET OWNER: 6_AASSESSOR PARCEL NUMBER c) • OD Proposed Building Use: �� / Permit Technician: Date: Items required in order to apl for a permit. All boxes MUST be checked OR marked NA in order tWapply. 1. Site plans, 3 or 4 sets, signed by the preparer of the plans. Y-� Iry V 2. Complete plans, 3 or 4 sets, signed by the preparer of the plans. 51 ❑ 3. Engineered plans, 3 or 4 sets, with wet signature on plans AND 2 sets of stamped and signed calculations. ❑ 4. Engineered truss details and layouts in duplicate. No faxesl ❑ 5. Letter from Engineer or Architect for truss design review. 6. Energy compliance design and supporting documentation in duplicate. ❑ 7. Statement of Intent for Non -heated and A/C for Non -Residential Buildings. ❑ 8. Manufactured homes: (A) Installation manual, including marriage line info, (C) Floor Plan, (D) Tie down or fnd plans, all in duplicate. ❑ 9. Metal bldgs: (A) Metal Bldg Plans, (B) Fnd plans and calcs in triplicate, (C) Elevations in triplicate. (D) Floor plans in triplicate. All of these must be stamped and wet -signed by the engineer. ❑ 10. Flood Elevation Certificate, wet -stamped and signed, in duplicate. ❑ 11. Letter of intent for non-residential' buildirigv. ❑ 12. -Hazardous Material Form 13. Acknowledgement of building permit application without required clearances. ❑ 14. Other �On needed to issue the permit. (May require additional plan review upon receipt of the following items.) itation and site plan approval from the Environmental Health Department in ❑ Chico ❑ Oroville, as applicable Sprinklers............................................................................................ 0 1 S.r cultural Buffer clr and site plan apr from the Ag Commissioner Sent by ' ❑ 18s Report and/or Engineered Foundation required ........................................... ❑ 19. Erosion Control Plan Required............................_........................................... 20. Fees as shown on the attached Schedule of Fees Due Sheet .............................. 21. City of Chico Plumbing permit........................................................................ ❑ 22. Site plan and business license approval from the City of Biggs....... ' . i California Department of Forestry Ian approval ❑paid. Sent b . — • R/'q/O5 24 tanning approval for (A) Use: Q (B)Parking: (C) Parce ❑ 5. Contact Land evelopment about _Improvements, _Drainage ........................ 15 26. NPDES Form............................................................................................. ❑ 27. Encroachment Permit for driveway from the Public Works Dept ........................... ❑ 28. Contractor's license information. (Number, Name Style, Classification) ................... ❑ 29. Worker's Compensation Carrier and Policy Number .......................................... 30. Owner -Builder Verification ( _ Given to owner, _Mailed to owner) ..................... ❑ 31. Letter of Signature authorization.................................................................... ❑ 32. Recorded copy of Agricultural Acknowledgment Statement ................................. ❑Existing violations and/or expired permits....................:.................................... ❑ V\4,.)Deed Restriction..........................................................::.............................. C3AW0 Legal description, ❑ M.H. Title, title search, registration or MCO ......................... ❑ 36. Other: ❑ 37. Other: When issued Telephone �' �o� and hold for pickup. P } I have been informefi of the above items and requirements for obtaining a building permit. Applicant: Date: 1.. Index periWitapplication fo ove i num re . Plan Check Letter 2. Additional items required Contractor, designer, owner, s Wvise`dV4heNI56ve data by ❑ phone, ❑ mail, ❑ counter, by Date: Contractor, designer, owner, Tas advised of the above data by ❑ phone, ❑ mail, ❑ counter, by Date: Contractor, designer, owner, was advised of the above data by ❑ phone, ❑ mail, ❑ counter, by Date: Plans reviewed by: =322 Date: fans approved by: jt2—.O Dat6: 0 4t ti Structural reviewed by: J Date: Structural approved bye ' Date: Note transfer by: Date: _ Yellow: Building Division COUNTY OF BUTTE DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE (530) 538-7541 SCHEDULE OF FEES DUE OWNER PROPOSED BUILDING USE BUILDING PERMIT FEES --Balance Due ..................................................... $ --Additional Fees Due .................. ......... --Additional Fees Due ............................................ $ A.P. # v DATE �o RECEIPT # DATE REC. --Revised Plan Checking Fee .......................`........... $ lc�'. SCHOOL DISTRICT FEES 1� ` 01Q16S (paid at District Office) i l0 - t_4 3. SHERIFF FEES (paid at Building Division) Residential .................................... x $360.00 = $ Units Commercial (sq. ft.) ...................... x $0.03 = $ Sq. ft. 4. URBAN AREA FEES Residential ............................ x = $ # Units Amt. Commercial (Sq. ft.) ............. x = $ j Sq. f Amt. / 5. RECREATION DISTRICT FEES i�� /2q /05 6. THERMALITO DRAINAGE DISTRICT FEES 1 I 0:y 10.00 (paid at Building Division) �f V 7. SRA FIRE INSPECTION AND PLAN CHECK $89.00 (paid at Building Division) 8. WATER TENDER FEES (Battalion # ) $200.00 (paid at Building Division) 9. CSA 87 TRAFFIC FEE $2500.00 (paid at Building Division) Alf THER�—:)M 0? At time of permit application, I was advised the above fees are required to be paid prior to issuance of the building permit. These fees may be changed during the plan checking process. DATE Pursuant to Government Code Section 66020, yo are ereby notified that items 2, 3, 4, 5, 6, 7, 8, 9, and 10 above may have been imposed on your project. You have 90 days from t date of approval of the project or from the imposition of the above mentioned items during which you may protest. The requirements for a protest are specified in Government Code Section 66020(a). Original - Building Div. 2nd Copy - Applicant 3rd Copy - Owner (Rev. 6/00) RA BUTTE COUNTY SCHOOLS IMPACT FEE CERTIFICATION FORM �. .� W (One form per Building) G .7• �.�� School District U `( i l� 1, _-`'Building Department No. A.P. Number (>n. (� Jurisdiction: City County i Property Owner Property Location/Address f' a4 • V1 ( t , ` - y ' O Subdivision Lot No. Residential DevelopmentQ No o Living Mobile Home Units Installation Commercial/Industrial Q Q New Addition Building Department Representative ........................................................ _..... :................................ ...... '� ry Sq. Footage 1 O Addition) *Supplemental to (Group R) Conversion Permit # *(No foundation inspection) Deed Restricted Sq. Footage (Attach a signed copy of Deed Restriction and Notice of Limited Use Facility document) Identification No. 0 60 0 7 0 DU; 1 \ Q- `/1 h 10Y\ • A-11 YSchool District certifies that Sq. Footage _ (Including Exterior Roofed Areas) q Date r - (Street Address) (Phone Number) Orw: 11- C� a§Ycomplied with the requirements of Resolution No. presenting V square feet.. Paid by Check of -- Remarks: (state)- /� F/ ✓ :;, (Zip Code) 157- by -payment of $, _ 2926 $ �` FULL MITiGA710N s N Date ! i Nodes: You may protest the Imposition of the fess Identified above by submitting a written protest to the District, in compliance with Govemment Code Section 66020(a), within 90 days from the date fess are paid. Failure to submit a timely w.I n protest w ill'prohlbit you from chslNnging the Imposition of the fees in any court action. N, subsequent to the School District Representative signing this Butte County Schools Impact Fee Certification Form, the School Dtetrlet Is notified by the applicable La" 'Plannirp Agency that this project Is being reviewed order the California EmlrorrnrrKal Quality Act (CEQA� thio prvIset may bs wele t to addmoiwi &4t o rfws to fully mltigste.ns Impact on the school dlsbicro schools. White (applicant), Yellow.' (building department), Pink (school district) fneformads (10/03)dm7 BUTTE COUNTY (DEVELOPMENT FEE CERTIFICATION FORM FEATHER RIVER RECREATION AND PARK DISTRICT (FRRPD) ❑ CHICO AREA RECREATION AND PARK DISTRICT (CARD) PARADISE RECREATION AND PARK DISTRICT (PRPD) 0 DURHAM RECREATION AND PARK DISTRICT (DRPD) Assessor Parcel Number (s) C) � '13� d Property Owner (s) Project Location /Address Subdivision Name V New Development Alteration/Addition(s) Building Permit Number M Assessable Sq. Ftge D L-`' Type of Residential Development (check one) Single Family -Detached Non -Residential to Residential Mobile home Mobile home replacement Demo Permit (date issued ) Comments:'( K: Building _yD,-65 Date Single Family -Attached Multi -Family Dwelling verified by Assessor Department verified by Building Department WV , ❑ FRRPD ❑ CARD PRPD 0 DRPD certifies that: 757 Applicant Name'/ Phone umber f y�nC� I l �a9"9ti� Mailing Address I City State — Zip Has complied with requirements of the Butte County Board of Supervisors Resolution No. by Payment of. Dwelling Units @ $ per unit for a total of $ Square Feet @ $ per sq foot for a total of $ VIA v .�rnm rc�rn m Tn.1/'_ Vl DT I0% --A1 --,. -A—A fn.-.. —, 7 r{nr. 0 .0. fi r \ pc0 s AUC WoF� Department C r) 11 n t Michael Crump. Director ®f O Public V)Orks LAND DEVELOPMENT DIVISION Storm Water Management Program 7 County Center Drive Oroville. CA 95965 (530) 538-7266 (FAX) 538-7171 National Pollutant Discharge Elimination System (NPDES) Phase 11 Construction Storm Water Permit and Storm Water Pollution Prevention Pian (SWPPP) Acknowledgement (LESS THAN 1 ACRE Project Description: o Location andlor Parcel Number: Project Lo � By suing below, L the project owner/owner's agent, certify that this project WILL NOT DISTURB 1 acre or more of land and that L therefore, do not need to apply for a Construction Storm Water Permit frau the State of .California Regional Water Quality Control Board. Phased projects that contain outs of less than one acre but when combined with subsequent phases total more multiple site build - than one acre of disturbed soil will require a Construction Storm Water Permit from the State of California Regional Water Quality Control Board. I am aware that submitting false and/or inaccurate information or failure to apply for a Construction Storm Water Permit from the State of California Regional Water Quality Control Board for a project that disturbs one acre or more of land may result in revocation of grading and/or other permits or other sanctions provided by law. Signed: Title: Date: OWNER -BUILDER VERIFICATION Attention Property Owner: An "owner -builder" building permit has been applied for in your name and bearing your signature. Please complete and return this information at your earliest opportunity to avoid unnecessary delay in processing and issuing your building permit. No building permit will be issued until this verification is received. 1. I personally plan to provide the major labor and material for construction of this proposed property improvement: YES] NO [ ]. 2. I HAVE [V] HAVE NOT [ ] signed an application for a building permit for the proposed work- 3. ork3. I have contracted with the following person (firm) to provide the proposed construction: NAME: ADDRESS: PHONE: CONTRACTOR'S LICENSE NO: 4. I plan to provide portions of the work, but I have hired the following person to coordinate, supervise, and provide the major work: NAME: _ ADDRESS: PHONE: CONTRACTOR'S LICENSE NO: 5. I will provide some of the work but I have contracted (hired) the following persons to provide the work indicated: NAME ADDRESS PHONE TYPE OF WORK SIGNED: PROPERTY OWNER: r DATE: 90Q 01- NOTE: This Owner -Builder verification is required by Section 19831 and 19832 of the California Health and Safety Code. This verification must be completed and returned to our office before we are permitted to issue the permit. Rev'd 11/4/2004 Butte County Department of Development Services ADMINISTRATION' BUILDING `GIS • PLANNING 7 County Center Drive Oroville, CA 95965 (530) 538-7541 Telephone (530) 538-2140 Facsimile OWNER -BUILDER INFORMATION Dear Property Owner: An application for a building permit has been submitted in your name listing yourself as the builder of the property improvements specified. For your protection you should be aware that as "owner -builder" you are the responsible party of record on such a pen -nit. Building permits are not required to be signed by property owners unless they are personally performing their own work. If your work is being performed by someone other than yourself, you may protect yourself from possible liability if that person applies for the proper permit in his or her name. Contractors are required by law to be licensed and bonded by the State of California and to have a business license from the city or county. They are also required by law to put their license number on all permits for which they apply. If you plan to do your own work, with the exception of various trades that your plan to subcontract, you should be aware of the following information for your benefit and protection: o If you employ or otherwise engage any persons other than your immediate family, and the work (including materials and other costs) is $200 or more for the entire project and such persons are not licensed as contractors or subcontractors, then you may be an employer. o If you are an employer, you must register with the state and federal government as an employer and you are subject to several obligations including state and federal income tax withholding, federal social security taxes, workers' compensation insurance, disability insurance costs, and unemployment compensation contributions. o There may be financial risks for you if you do not carry out these obligations, and these risks are especially serious with respect to workers' compensation insurance. o For more specific information about your obligations under federal law, contact the Internal Revenue Service (and, if you wish, the U.S. Small Business Administration). For more specific information about your obligations under state law, contact the Department of Benefit Payments and the Division of Industrial Accidents. If the structure is intended for sale, property owners who are not licensed contractors are allowed to perform their work personally or through their own employees, without a licensed contractor or subcontractor, only under limited conditions. A frequent practice of unlicensed persons professing to be contractor is to secure an "owner -builder" building permit, erroneously implying that the property owner is providing his or her own labor and material personally. Building permits are not required to be signed by property owners unless they are performing their own work personally. Information about licensed contractors may be obtained by contacting the Contractors' State License Board in your community or at 1020 N Street, Sacramento, California 95814. Please complete and return the enclosed owner -builder verification from so that we can confirm that you are aware of these matters. The building permit will not be issued until the verification is returned. Sincerely, Scott Rutherford Chief Building Inspector NOTE: This Owner -Builder Information is required by Section 19830 of the California Health and Safety Code. Butte County.. Department ol.Development Serrrces 0 $�, 'r \\ 7 County Center Drive <... ° �.� O Oroville, CA 95965 O �G�� O (530) 538-7601 Telephone °� 'O� ° (530) 538-7785 Facsimile )BUILDING PERMIT APPLICATION WITHOUT REQUIRED CLEARANCES I request and authorize the Building Division to process this building pen -nit application through the plans examination process WITHOUT first obtaining all necessary, related permits and clearances from other regulatory entities, including but not limited to, Planning, Environmental Health, Land Development, County Fire, and Agriculture. I hereby acknowledge: 0 I need to submit applications for septic andlor well to Butte County Environmental Health immediately. O I ant required to bring the approved Environmental Health site plan and approved sanitation clearance to the Building.Division as soon as clearance is obtained 0 I am responsible for notifying Development Services, in writing, to stop processing of the application and to arrange for disposition of plans. The Building Division will process the application through the plans examination process, as submitted, without input from other regulatory entities that could prohibit issuance of the building_ permit or require submission of amended building plans to the Building Division. Once the plans examination process begins, there will be no refund of plans examination fees. Any changes requiring submission of amended plans to the Building Division will incur additional fees. Within one year from the date of application for a building permit, all other required permits and clearances from other entities must be obtained for the permit to be issued. Failure to obtain these permits/clearances will void the application. Typically other required permits/clearances. include, but are not limited to, verification the parcel was legally created, adherence to, all mitigations and conditions imposed on the parcel at time of creation, as well as zoning requirements, legal access, and applicable set -backs and environmental issues (fire, agriculture buffer zones, and habitat/species). Please print: j r Applicant Name: e— APN: Building site address: Lla2 r_—a; fA Permit No.: I have read, understood and accept the terms and conditions as expressed herein as indicated by my submission of the above -referenced building permit application and my signature below: S GNATURE OFF AP L CANT DATE of I PER IT 2— t, i Xa P E .� M MH UTIL. PERMIT NO. J PERMIT EXPIRES OWNER Donald B11 smote 6ONTR. i LOCATION (A.P. 41-01•-72 ) 1W e/s Faith Rd., ., an ee Hill IN fy,t f r Temp. Power Pole Called PG&E _ Temp. Elec. Serv.. Called PG&E _ Temp. Gas Serv. _ Called PG&Ej0 JOB !'r t FINk ED (Date) (Signature PERMIT NUMBER, B 532-68_ -7,3 P 469-68 PERMIT EXPIRES OWNER Donald Ellsmore CONTR: owner E 482-68 LOCATION (A.P. 41-01-72 e/s Faith Rd. off Oro-Concow Rd., Yankee Hill. Zoning Foundation 7V Rgh. Plumbing Rein. Steel Framing Wtr. Htr. Firewall ELECTRIC Temporary Final COUNTY OF BUTTE Department bf Public Works BUILDING INSPECTION ECO.RD Setback Piers &rders Bond Beam Gas Piping & Test Plmg. Topout Furnace Garage Vents GAS Temporary Final Forms 144-1v Fireplace Lath & Plaster_ Found. Vents Rough Elec. Kitchen Vent _ Sanitation & Water BUILDING Cert. of Occup. Final DATE REMARKS OR CORRECTIONS ,C/�� Ain - COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS BUILDING INSPECTION RECORD BUILDING BUILDING (Cont'd) .' PLUMBING Setback Firewall — Soil Piping Forms Parapets 1st Floor 2 ' Main Bldg. Restroom Finish ;;; 2nd Floor Footings Windows 3rd Floor Stemwall Siding'' To out X�. Slab Roof Sheathing G Water Piping)( Piers Roofing Sewer Garage Fdn. Vents orl Fixtures Footings Garage Vents Water Htr. Stemwall Slab Prov. for physically handicapped Heaters Appliances Carport Footings Conformance of ex. structure Gas Piping & Test Temp. Gas Slab Final Sanitation 872,1117Si Patio FI . EPL CE Final 2—/ Footings Footing ELECTRICAC— ELECTRICAL- MasonryWalls Masonry Throat Rough Reinf. Steel Final / Fixtures Bond Bearm FIRE SPRINKLERS Motors Framing Test Water Htr. Stucco Final Subpanels Mesh MECHANICAL Grd. Fault Prot. Scratch Heating Service Brown Cooling Temp. Pole Finish Ducts Under round Interior Lath Ventilation Pennanen. Door Closer;A 5L Final 'I- %ice ') Final DATE REMARKS OR CORRECTIONS 00 it lool" qua - COUNTY OF BUTTE' — DEPARTMENT OF PUBLIC WORKS �f 7 County Center Drive — Oroville, California 95965 Telephone: 534-4541 (Q APPLICATION AND PERMIT — cF4v u— Ui t— 11Uu11iy UI ouuc w cnicl uNUII ulc a -mentioned property for inspection purposes. X t Signature of Peerrrmitee or Agent Receipt No. A 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 PUBLIC WORKS BY ^ Date2—/ flding permit expires Date BUILDING Owner SQ. FT. OCC. BUILDING VALUATION Mailing Address STelephone No. Fireplace Contractor Total Valuation Mailing Address Permit Fee p Plan Checking Fee&/or enalty Telephone No. Permit Fee $ � Building Address 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. -- ,+ %2.. Zoning 8 Planning Gas piping system 1 - 5 outlets 1.50 Each additional outlet .30 F Fire Dept. Fire Zone Use Permit Building sewer 5.00 EQA Parking Plans Parcel Declaration Parcel Ma P 60' R/W Im rovements P Lawn sprinkler system 2.00 Bld ns Recd Parcel Approval Plans Apprcval Permit Fee $ $ NEW ❑ ADDITION ❑ UTILITIES ❑ OTHER ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 r Main service 600V OR LESS 100 AMP OR LESS 5.00 Main service EA. ADD'L 100 AMP 2.50 Single Family ❑ Duplex ❑ Mobil Home ❑ Others ❑ Main service OVER 25.00 100 AMPP OR LESS O Main service EA. ADD'L 100 AMP 1,00 NEW CONST. OR ADDNS. ( DWEACCLBLOGS.LING CCUP. &) 20sgft 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 st le of: Y Ex. Occup(OUTLETS OR FIXTURES) BAL � IQ G EX. QCCU FIXED APPLNS. OR P•(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 $ $ 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. ❑ 1 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 $ $ 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 $ — cF4v u— Ui t— 11Uu11iy UI ouuc w cnicl uNUII ulc a -mentioned property for inspection purposes. X t Signature of Peerrrmitee or Agent Receipt No. A 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 PUBLIC WORKS BY ^ Date2—/ flding permit expires Date - COUNTY OF BUTTE — DEP,AFtTMENT OF PUBLIC WORKS ' 7 County Center Drive — Uroville, California 95965 Telephone: 534-4541 APPLICATION AND PERMIT authorize representatives of the County of Butte to enter upon the ve-mentioned property for inspection purposes. Date Signature offPPermitee or Agent Receipt No. �i/V 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 6f-IPUBLIC WORKS BY IIding permit expires Date ��7 BUILDING Owner L SQ. FT. OCC. BUILDING VALUATION Mailing Address 600 G o0 F Tel phone h� Q ✓ Fireplace Contractor Total Valuation Mai I i ng Address Permit Fee . PlanChecki gFee&/or Penalty Telephone No. Permit Fee $ wilding ddress �. �) ©� p� 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.Gas Zoning & Planning piping system 1 - 5 outlets 1.50 Each additional outlet .30 Fees W.C. SaartaUw Fire Dept. Fire Zone Use Permit Building sewer 5.00 EQA Parking Plans I Parcel Declaration Parcel Ma P 60' R/W Improvements P Lawn sprinkler system 2.00 Parcel Approval Plans Approval Permit Fee $ NEW ❑ ADDITION ❑ UTILITIES ❑ OTHER ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 Main service 110000 AMOR L P ORSLESS 5.00 Main service EA. ADD'L 100 AMP 2.50 Single Family Duplex ❑ Mobil Home ❑ Others ❑ Main service OVER 600V 1100 AMP OR LESS 25.00 Main service EA. ADD'L 100 AMP 1.00 NEW CONST. &) 20sgft OR ADDNS. ( DWEACCLBLDGS,LING Ccup- 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)BA@A L @Hi Ex. QCCU FIXED APPLNS, OR P• 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 $ 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. 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 $ 6Z authorize representatives of the County of Butte to enter upon the ve-mentioned property for inspection purposes. Date Signature offPPermitee or Agent Receipt No. �i/V 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 6f-IPUBLIC WORKS BY IIding permit expires Date ��7 COUNTY OF BUTTE — DEPARTMENT OF PUBLIC 7 County Center Drive — OroJiIle, Cal,ifornia 95965 ' Telephone: 534-4541 APPLICATION AND PERMIT Owner Mailing Address Telephone No. Contractor Mai I i ng Address Telephone No. Building Address A. P. No. _ Zoning & Planning Fe Wim' Sa�n I •Fire Dept. Fire Zone Use Permit EQA I Parking I Parcel Parcel Ma I 60' R/W I Improvements Plans Declaration P p ovements B I Plans Approval NEW ❑ ADDITION ❑ UTILITIES ❑ OTHER 'jr /V LQ -r-- d /Ci e d I . T Single Family Duplex ❑ Mobil Home ❑ Others ❑ 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: BUILDING SQ.FT. OCC. BUILDING VALUATION Fireplace Total Valuation Permit Fee Plan Checking Fee &/or Penalty Permit Fee ` PLUMBING PERMIT FILING FEE Each Trap Repair drainage or vent piping Water piping Each gas water heater or vent Gas piping system 1 - 5 outlets Each additional outlet Building sewer Lawn sprinkler system Permit Fee ELECTRICAL PERMIT FILING FEE Main service incl. 1 meter Additional meters, each Sub -panel (12 or less) (more than 1: Range, Cook -top or Oven Water Heater or Space Heater. Light fixtures Recaps„ switches & fix outlets Hood, Ex. FanorF.A. Furn. Motor Evap, cooler, gar. disp. or D.W. Air conditioner or heat pump Water pump Mobil Home Facilities Temp. Power Pole FEE $3.00 1.50 1.50 1.50 1.50 1.50 .30 5.00 2.00 @ FEE $3.00 1.00 1.00 1.00 2u 0,25 =a 1.00 1.00 5.00 5.00 77,j, Misc. wiring License No. Classification am exempt from the Contractors License Laws of the State of California. Permit Fee $ MECHANICAL No. @ FEE WORKMEN'S COMPENSATION INSURANCE PERMIT FILING FEE $3.00 1 am aware of the provisions of Section3700 of the California Labor Heating 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 Cooling Workmen's Compensation Insurance. I certify that in the performance of the work for which this Ventilation permit ,is issued I shall not employ any person in any manner so as to become subject to the Workmen's Compensation Laws of Hood 2.00 California. Permit Fee $ $ I- certify that I have read this application and state that the above information is correct. 1 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 abo entioned property for inspection purposes. mate , Signature of Permitee or Agent Receipt No./& ? White-D.P.W. - Yellow -Assessor - Pink -Inspector - Goldenrod -Applicant TOTAL PERMIT FEE 1$ Z8•IO 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 0 P BLIC WORKS �7, By Date uiIdin�gap e r �mit expires Date 2-1 Jw 7 A COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS 7 County Center Drive — Oroville, California 95965 Telephone: 534-4541 APPLICATION AND PERMIT f ' authorize representatives of the County of Butte to enter upon the ab, -mentioned property for inspection purposes. l >` ate �J Signature of Permiteeeogor 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 PU IC WORKS By Date B Ing permit expires Date ........ ,o.....d ..�.. .......... BUILDING Owner dle z=- SQ. FT. OCC. BUILDING VALUATION Mailing Address /Coo A D1� N 57— ® Telephone No. Fireplace Contractor Total Valuation Mailing Address Permit Fee Plan Checking Fee &/or Penalty Telephone No. Permit Fee $ 8. Building Address �S' d,F PLUMBING No. @ FEE PERMIT FILING FEE $2.00 m?D W - Lc r 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. O/— 7 --2" Zoning & Planning Gas piping system 1 - 5 outlets 1.50 Each additional outlet .30 F W. Fire Dept. Fire Zone Use Permit Building sewer 5.00 EQA Parking Plans Parcel Declaration Parcel Ma p 60' R/W Im provements Lawn sprinkler system 2.00 Bldg. P(osr�ec'd �/�� Parce'TApproval Plans Approval Permit Fee $ NEW ❑ ADDITION ❑ UTILITIES ❑ OTHER [ ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 Main service incl. 1 meter 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 ball 2 Receps., switches & fix outlets 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. i [2�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. @ FEE PERMIT FILING FEE $3.00 Heating Cooling Ventilation Hood 1 1 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 C authorize representatives of the County of Butte to enter upon the ab, -mentioned property for inspection purposes. l >` ate �J Signature of Permiteeeogor 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 PU IC WORKS By Date B Ing permit expires Date ........ ,o.....d ..�.. .......... COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WOR 7 County Center Drive — Oroville, California 95965 r Telephone: 534-4541 � APPLICATION AND PERMIT t,L� authorize representatives of the County of Butte to enter upon the a" -mentioned property for inspection purposes. ' ate" Signature of Permitee or Agent Receipt No. / � '33 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 0 PUBLIC WORKS By Date Building permit expires Date%�.�7,11_9_-,,,, BUILDING Owner QN SQ. FT. OCC. BUILDING VALUATION Mailing Address llaO.0 S 1L, 7 / / G lFireplace aQ Telephone No. Contractor Total Valuation Mailing Address Permit Fee e= _ Cf Plan Checking Fee &/or Penalty Telephone No. Permit Fee $ $ s Building Address Q! , Q PLUMBING No.1 @ FEE PERMIT FILING FEE $2.00 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. �� — ZZoni Zoning $ Planning Gas piping system 1_ - 5 outlets 1.50 Each additional outlet .30 Sanitation FireDept. FireZone Use Permit Building sewer 5.00 EQA Parking Plans Parcel Declaration parcel Ma P 60' R/W Im provements Lawn sprinkler system 2.00 Bldg. P+9P-&_"c'd I Par pproval Plans A oval Permit Fee $ $ NEW ❑ ADDITION ❑ UTILITIES ❑ OTHER ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 12 &4�16 Main service incl. 1 meter Additional meters, each 1.00 Sub -panel (12 or less) (more than 12) Single Family Duplex ❑ Mobil Home ❑ Others ❑ Range, Cook -top or Oven 1.00 Water Heater or Space Heater 1.00 Light fixtures balf@?o _+ ' Receps., switches & fix outletsIff 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 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. .l 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 $J9 ice authorize representatives of the County of Butte to enter upon the a" -mentioned property for inspection purposes. ' ate" Signature of Permitee or Agent Receipt No. / � '33 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 0 PUBLIC WORKS By Date Building permit expires Date%�.�7,11_9_-,,,, COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS 7 County Center Drive — Oroville, California 95965 I/ Telephone: 533-1230, Ext. 259 APPLICATION AND PERMIT BUILDING Owner o__ _ SQ. FT. I OCC. I BUILDING VALUATION Mai I i ng Address/ _ 20 Contractor Mai I i ng Address Building Address G A. P. No. /� �� Zoning Fire Zone Fire Dept. Sanitation Planning Plans I Fees W. C. R/W Encroachment NEW ❑ ADDITION ❑ OTHER ❑ USE OF STRUCTURE Single Family ❑ Duplex ❑ Others ❑ 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: License No. Classification Jq7i am exempt from the Contractors License Laws of the State of California. 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. 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. 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 a -mentioned property for inspection purposes. ' Date,/ Signature of Permitee or Agent Receipt No. �/U — White-D.P.W. — Pink -Inspector —'Goldenrod -Assessor — Yellow -Applicant Fireplace $ Total Valuation No. @ FEE Permit Fee $3.00 PI an Checki ng Fee &/or Penalty Permit Fee `,Z $ PLUMBING No. @ FEE PERMIT FILING FEE $2.00 Each Trap 1.50 Repair drainage or vent piping 1.50 Water piping 1.50 Each gas water heater or vent 1.50 Gas piping system 1 - 5 outlets 1.50 Each additional outlet .50 Building sewer 5.00 Lawn sprinkler system 2.00 Permit Fee $ ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 Main service incl. 1 meter Additional meters, each 1.00 Sub -panel (12 or less) (more than 12) Range, dryer or water heater 1.00 Oven, Cook -top or space heater 1.00 Light fixtures 1.20 0 2Y Receps., switches & fix outlets 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 Misc. wirina Permit Fee $ MECHANICAL No.1 @ I FEE PERMIT FILING FEE $3.00 Heating Coo I i Ventilation Permit Fee $ $ PMate Fee for Strpng Motion $0.07/ 1000 Evaluation $ nstrumentation rogrom $ TOTAL PERMIT FEE $ Z 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 PUBLIC WORKS z 7Z BY � Date -7 Building Permit Expires Date COUNTY OF BUTTE, � DEPARTMENT OF PUBLIC WORKS +' 7 County Center Drive - Oroville, California 95965 Phone: 533-1230, Ext. 259 <:A P P�L IC AT I O N AND BUILDING PERMIT Permittee Owner /� Mailing Address - / » r. - .r ' - / A. P. No. Fire Zone Zoning Contractor r- Mailing Address -r ' . Sanitation Plannin Plans Fees W.C. BLDG. Address , - R W Encmac b e t `f ` NEW ADDITION El REPAIRS O Others Single USE OF STRUCTURE Family Q Duplex Others OTHER E -3F - / l Multi Dwelling O U N D A T I O N MATERIAL EXTERIOR PIERS Width at Top Width at Bottom Depth in Ground SO. FT. OCC. BUILDING VALUATION R.W. PLATE (Sill) SIZE SPACING SPAN Girders Joists- 1st Floor Joists- 2nd Floor Fireplace Joists - Ceiling Total Valuation Exterior Sttlds Permit Fee Interior Studs Plan Checking Fee &/or Penalty Roof Rafters Total Permit Fee / y _ r-rJ Bearing Walls %ouK 1 KAU I UKJ LICENSE LAW A. LICENSED CONTRACTORS COMPLETE THE FOLLOWING: I am licensed under the provisions of Chapter. 9, Div. 3, of the State of California Business & Professions Code under the name styleof................................................................................................................................................................................................................................................ . License No. Classification ................ and certify that the aforesaid license is in --full force and effect. B. OWNER -BUILDER fl, OTHERS COMPLETE THE FOLLOWING: I am exempt from the Contractors License Laws of the State of California under Sec. 7031.5 because (check one): I am the owner of the above property and I will contract to have all of the above work performed by licensed contractors. ( Sec. 7044). I on the owner of the above property ,and do not intend to offer it for sale for one year from the date of completion of the improvements. (Sec. 7044). Basis,. if any, for other statutory exemption,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, .............................................................................. WORKMEN'S COMPENSATION INSURANCE I am aware of the provisions of Section 3700 of the California Labor Code which requires every employer to be insured against liabil- ity for Workmen's Compensation. I have placed on file with the County of Butte a certificate of compliance or proof of exemption pursuant to Section 3800. I certify that I have read this application and state that the above information is correct. I agree to comply to all County ordinances and State Laws relating to building construction, and hereby authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. X........................................................................ Date .................... SIGNATURE OF PERMITTEE OR AGENT This BUILDING PERMIT is hereby issued under the appli- cable provisions of County resolutions and/or ordinances. DIRECTOR OF PUBLIC WORKS By................................................................................ Date ................................ ReceiptNo......................................................................................................... 11 Permit Expires Date . COUNTY OF BUTTE. DEPARTMENT OF PUBLIC WORKS a 7 County Center Drive - Oroville, California 95965 Phone: 533-1230, Ext. 259 APPLICATION AND BUILDING PERMIT Permittee Owner Mailing Address + r y0 Contractor r 'Sanitation Mailing Address A. P. No. Fire Zone Zoning Planning Plans' Fees W.C. S BLDG. Address R W E croac e t NEW 0 ADDITION REPAIRS OTHER Q Others ✓ _� Single Multil USE OF STRUCTURE Family [] Duplex Dwelling Others F O U N D A T 10 N MATERIAL EXTERIOR PIERS Width at Top Width at Bottom Depth in Ground SO. FT. OCC. BUILDING VALUATION R.W. PLATE (Sill) SIZE SPACING SPAN Girders joists - 1st Floor Joists - 2nd Floor Fireplace Joists - Ceiling Total Valuation Exterior Studs Permit Fee Interior Studs Plan Checking Fee &/or Penalty Roof Rafters Total Permit Fee Bearing Walls UUMTRAGTURS LICENSE LAW A. LICENSED CONTRACTORS COMPLETE THE FOLLOWING: I am licensed under the provisions of Chapter. 9, Div. 3, of the State of California Business & Professions Code under the name style of...................................................................................................._.......................................................................................................................................... License No. Classification ............................................... and certify that the aforesaid license is in -full force and effect. B. OWNER -BUILDER & OTHERS COMPLETE THE FOLLOWING: I am exempt from the Contractors License Laws of the State of California under Sec. 7031.5 because (check one): 0 I am the owner of the above property and I will contract to have all of the above work performed by licensed contractors. (Sec. 7044). I am the owner of the above property and do not intend to offer it for sale for one year from the date of completion of the improvements. (Sec. 7044). 0 Basis,, if any, for other statutory exemption................................................................................. ..... WORKMEN'S COMPENSATION INSURANCE I am aware of the provisions of Section 3700 of the California Labor Code which requires every employer to be insured against liabil- ity for Workmen's Compensation. I have placed on file with the County of Butte a certificate of compliance or proof of exemption pursuant to Section 3800. I certify that I have read this application and state that the above information is correct. I agree to comply to all County ordinances and State Laws relating to building construction, and hereby authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. X.................................................................. Date ................................ SIGNATURE OF PERMITTEE OR AGENT Receipt No......................................................................................................... This BUILDING PERMIT is hereby issued under the appli- cable provisions of County resolutions and/or ordinances. DIRECTOR OF PUBLIC WORKS BY................................................................................ Date ............. Permit Expires Date mac_ COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 Phone: 533-1230, Ext. 259 APPLICATION AND BUILDING PE R M I T NEW ADDITION Others �''t' ' L ✓1 Single—) USE OF STRUCTURE Family Others REPAIRS OTHER Duplex 'Dwelling SQ. FT. I OCC. 'I BUILDING VALUATION A Total Valuation I V, -7,,-, 1 Permit Fee .�6'. j MATERIAL Width at Top Width at Bottom Depth in Ground R.W. PLATE (Sill) Girders oists - 1st Floor Joists- 2nd Floor Joists - Ceiling Exterior Sttlds Interior Studs FOUNDATION EXTERIOR PIERS SIZE SPACING SPAN r i 1 Plan CheckingFee &/or Penalty 1 1r Y Roof Rafters Total Permit Fee I J . I Bearing Walls CONTRACTORS LICENSE LAW A. LICENSED CONTRACTORS COMPLETE THE FOLLOWING: I am licensed under the provisions of Chapter. 9, Div. 3, of the State of California Business & Professions Code under the name styleof................................................................................................................................................................................................................................................ . License No. Classification ............................................... and certify that the aforesaid license is in -full force and effect. B. OWNER -BUILDER & OTHERS COMPLETE THE FOLLOWING: 1 am exempt from the Contractors License Laws of the State of California under Sec. 7031.5 because (check one): I am the owner of the above property and I will contract to have all of the above work performed by licensed'contractors. (Sec. 7044). O I am the owner of the above property and do not intend to offer it for sale for one year from the date of completion of the improvements. (Sec. 7044). 0 Basis,, if any, for other statutory exemption................................:................................................................................................................................. WORKMEN'S COMPENSATION INSURANCE I am aware of the provisions of Section 3700 of the California Labor Code which requires every employer to be insured against liabil- ity for Workmen's Compensation. I have placed on file with the County of Butte a certificate of compliance or proof of exemption pursuant to Section 3800. I certify that I have read this application and state that the above information is correct. I agree to comply to all County ordinances and State Laws relating to building construction, and hereby authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. X.............................................................................. Date ................................ SIGNATURE OF PERMITTEE OR AGENT Receipt No........................L/............................................................. This BUILDING PERMIT is hereby issued under the appli- cable provisions of County resolutions and/or ordinances. y DIRECTOR OF PUBLIC WORKS BY............................. r........................ .................Date ............................... Permit Expires Date r ..................... r � Permittee Owner (� / / N �/ -.• e- A. R. No. %% V / Mailing Address �� U �� tea / oma- 1 C !' 'C�..� n ' S/ c. .3 Zoning —:]Fees Sanitation Contractor I - n.•. ,-t Plans . �''�� IW..C. Mailing Address Planning. ID.P.W. BLDG. Address 4- % /. r f NEW ADDITION Others �''t' ' L ✓1 Single—) USE OF STRUCTURE Family Others REPAIRS OTHER Duplex 'Dwelling SQ. FT. I OCC. 'I BUILDING VALUATION A Total Valuation I V, -7,,-, 1 Permit Fee .�6'. j MATERIAL Width at Top Width at Bottom Depth in Ground R.W. PLATE (Sill) Girders oists - 1st Floor Joists- 2nd Floor Joists - Ceiling Exterior Sttlds Interior Studs FOUNDATION EXTERIOR PIERS SIZE SPACING SPAN r i 1 Plan CheckingFee &/or Penalty 1 1r Y Roof Rafters Total Permit Fee I J . I Bearing Walls CONTRACTORS LICENSE LAW A. LICENSED CONTRACTORS COMPLETE THE FOLLOWING: I am licensed under the provisions of Chapter. 9, Div. 3, of the State of California Business & Professions Code under the name styleof................................................................................................................................................................................................................................................ . License No. Classification ............................................... and certify that the aforesaid license is in -full force and effect. B. OWNER -BUILDER & OTHERS COMPLETE THE FOLLOWING: 1 am exempt from the Contractors License Laws of the State of California under Sec. 7031.5 because (check one): I am the owner of the above property and I will contract to have all of the above work performed by licensed'contractors. (Sec. 7044). O I am the owner of the above property and do not intend to offer it for sale for one year from the date of completion of the improvements. (Sec. 7044). 0 Basis,, if any, for other statutory exemption................................:................................................................................................................................. WORKMEN'S COMPENSATION INSURANCE I am aware of the provisions of Section 3700 of the California Labor Code which requires every employer to be insured against liabil- ity for Workmen's Compensation. I have placed on file with the County of Butte a certificate of compliance or proof of exemption pursuant to Section 3800. I certify that I have read this application and state that the above information is correct. I agree to comply to all County ordinances and State Laws relating to building construction, and hereby authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. X.............................................................................. Date ................................ SIGNATURE OF PERMITTEE OR AGENT Receipt No........................L/............................................................. This BUILDING PERMIT is hereby issued under the appli- cable provisions of County resolutions and/or ordinances. y DIRECTOR OF PUBLIC WORKS BY............................. r........................ .................Date ............................... Permit Expires Date r ..................... `\ �/V � .'-"'-.-C�� o � �� 6" Y �� - � � r f COUNTY OF BUTTE _ DEPARTMENT OF PUBLIC •WORKS 7 County Center Drive - Oroville, California 95965 Phone: 533-1230, Ext. 259 A P P LICATION AND BUILDING PERMIT Permittee Owner A. P_ No.� Mailing Address Zoning Sanitation Contractor Plans Fees W..C. Mailing Address Planning BLDG. Address NEW ADDITION F_� REPAIRS 0 OTHER Q Others F O U N D A T I O N MATERIAL EXTERIOR PIERS Single Multi USE OF STRUCTURE Family D "Duplex 0 Dwelling Others Width at Top Width at Bottom Depth in Ground SO. FT. OCC. BUILDING VALUATION R.W. PLATE (Sill) SIZE ' . SPACING SPAN y Girders Joists - 1st Floor Joists - 2nd Floor Joists - Ceiling Total Valuation,y Exterior Studs Permit Fee Interior Studs Plan Checking Fee &/or Penalty Roof Rafters Total Permit Fee Bearing Walls CONTRACTORS LICENSE LAW A. LICENSED CONTRACTORS COMPLETE THE FOLLOWING: r am ttcensea under the provisions of Chapter 9, Div. 3, of the State of California Business & Professions Cod: under the name styleof................................................................................................................................................................................................................._............................. License No. Classification ......:......... I and certify that the aforesaid license is in -full force and effect. B. OWNER -BUILDER & OTHERS COMPLETE THE FOLLOWING: I am exempt from the Contractors License Laws of the State of California under Sec. 7031.5 because (check one): Q I am the owner of the above property ,and I will contract to have all of the above work performed by licensed contractors. (Sec. 7044). I am the owner of the above property and do not intend to offer it for sale for one year from the date of completion of the improvements. (Sec. 7044). QBasis, if any, for other statutory exemption................................................................................................................................._. .............................. WORKMEN'S COMPENSATION INSURANCE I am aware of the provisions of Section 3700 of the California Labor Code which requires every employer to be insured against liabil- ity for Workmen's Compensation. I have placed on file with the County of Butte a certificate of compliance or proof of exemption pursuant to Section 3800. I certify that I have read this application and state that the above information is correct, and agree to comply to all County ordinances and State Laws relating to building construction. X........................................................................................Date...................................... SIGNATURE OF PERMITTEE OR AGENT Receipt No...........................................::..�................ APPROVED........................ This BUILDING PERMIT is hereby issued under the appli- cable provisions of the; Health -'and -Safety, Code and the icalif- fornim Adtni-nistrative-Code '` DIRECTOR OF PUBLIC WORKS By................................................................................Date..:............................. Permit Expires Date... COUNTY OF BUTTE r, DEPARTMENT OF PUBLIC WORKS�� y / 7 County Center Drive - Croville, California 95965 PHONE: 533-1230, Ext. 259 ��••�� .APPLICATION AND ELECTRICAL PERMIT Permittee Owner 990.4, .t ley e '" q M -A A. P. `o. '4'/— 0I-7 Z - Mailing Address // @-TS t7 J Contractor O w ^rf&C Mailing Address BLDG. Address f DESCRIPTION �� ADDITION 9 OTHERS: Remarks: OF WORK METER SERVICE PERMIT FILING FEE No. Fee $2.00 *7• a--.�i Supplementary Filiag Fee 1.00 Main Service - - f Range, Dryer or Water Heater 3 Each 1.00 a_ Q Oven, Cook -Top of Space Heater Each .50 Light Fixtures g iFirst �J 20 20 Each Additional .10 J!o >7/j Receptacles., Switches & Fixture Outlets �j L First 20 Each Additional .20 .10 USE 0 -! OTHERS: Remarks: OF STRUCTURE Duplex Multi Dwelling Hood, Exhaust Fan or F.A. Furn. Motor Each .50 i Evap. Cooler, Gar. `1SIsp. or Dishwasher Each .50 �> Air Conditioner o' Heat Pump Water Pump Misc. Wiring Min. 3.50 TOTAL FEE ` .2 O CONTRACTORS LICENSE LAW A. LICENSED CONTRACTORS COMPLETE THE FOLLOWING: I am licensed under the provisions of Chapter 9, Div. 3, of the State of California Business & Professions Code under the name styleof .................................................... _........................ .......................... _....................................................................................... License No . ............................ I Classi:ication.............. , and certify that the aforesaid license is 1a full force and effect. B. OWNER -BUILDER & OTHERS COMPLETE THE FOLLOWING: I am exempt from the Contractors License Laws of the State of California under Sec. 7031.5 because (check one): 0 I am the owner of the above property and I will contract to have all of the above work performed by licensed contractors. ( Sec. 7044). !�] I am the owner of the above property and do not intend to offer it for sale for one year from the fate of completion of the ' improvements. (Sec. 7044). EDBasis, if any, for other statutory exemption ......... _............ _........................................................................................._.............................................. WORKMEN'S COMPENSATION INSURANCE I am aware of the provisions of Section 3700 of the California Labor Code which requires every employer to be insured against liabil- ity for Workmen's Compensation. I have placed on file with the County of Butte a certificate of complian=e or proof of exemption pursuant to Section 3800. I certify that I have read this application and state that the above information is correct, and agree to comply to all County ordinances and State Laws relating to building construction. X............................................................................._..... "Date ........................................ SIGNATURE OF PERMITTEE OR AGENT Receipt No..................� ............ _. ..... APPROVED .......:`.......... _..... D ............ This ELECTRICAL PERMIT is hereb- issued under the appli- cable provisions of County Ordinance 887. DIRECTOR OF PUBLIC WORKS .. Date' LO .T COUNTY OF,. BUTTE DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 Phone: 533-1230, Ext. 259 APPLICATION AND PLUMBING PERMIT Permittee Owner A If a I,- . A.P. No.Z- Mailing Address //000 Cgd Ia 1A> I* T /14- do L 4 a. rJ 19 clew, 0.1 Contractor O .n. nx 2 -- Mailing - Mailing Address BLDG. Address C --Ir f- a : /,rw .P -( , DESCRIPTION OF WORK No. @ Fee $2.90 a� NEW 0� ADDITION REPAIRS ED PERMIT FILING FEE Each fixture or trap or set of fixtures on one trap / I. i0 S(� OTHERS: Repair or alteration drainage or vent piping 1.50 Remarks: Installation or repair water piping / 1.50 J Each gas water heater or -- — USE OF STRUCTURE gas heater vent 1.50 Gas piping system 1 - 5 outlets 1.50 Single Multi RESIDENTIAL Family 0/ Duplex E] Dwelling F --j Gas piping 6 or more - Each .30 House Sewer 5.00 Lawn Sprinkler system a.00 OTHERS: Remarks: I I I I - I TOTAL FEE I $ -7 r (� CONTRACTORS LICENSE LAW ' A. LICENSED CONTRACTORS COMPLETE THE FOLLOWING: I am licensed under the provisions of Chapter 9, Div. 3, of the State of California Business & Professions Code under.the name styleof......................................................................................................................................................................................................_......................................... License No ...................•••........ Classification •,•••••,•••••,••„•„......•„•.......•,•„•,,, and certify that the aforesaid license is in full force and effect. B. OWNER -BUILDER & OTHERS COMPLETE THE FOLLOWING: I am exempt from the Contractors License Laws of the State of California under Sec. 7031.5 because (check one): Q I am the owner of the above property and I will contract to have all of the above work performed by licensed contractors. (Sec. 7044). 0.� I am the owner of the above property and do not intend to offer it for sale for one year from the date of completion of the improvements. (Sec. 7044). 0 Basis, if any, for other statutory exemption...................................................................................................................._..........................................., ...................................................................................................................................................................................................................._..........................................._. WORKMEN'S COMPENSATION INSURANCE I am aware of the provisions of Section 3700 of the California Labor Code which requires every employer to be insured against liabil- ity for Workmen's Compensation. I have placed on file with the County of Butte a certificate of compliance or proof of exemption pursuant to Section 3800. I certify that I have read this application and state that the above information is correct, and agree to comply to all County ordinances and State Laws relating to building construction. X..................r7-s^"Li�Date...................................... SIGNATURE OF PERMITTEE OR AGENT t ReceiptNo...................7.. v.. ...................APPROVED ...:................. This PLUMBING PERMIT is hereby issued under the appli- cable provisions of COUNTY ORDINANCE NO. 888. DIRECTOR OF PUBLIC WORKS BY.. "��%•.. ::•!;?!” .F•• •............ Date . �'................:.. -- M/b -- •sa4 '�f •JAS U�� •UOD +g •saQ •sep!g •off ou!ddow q!w,ad' ou!uuotd _-�eu!d g •s8P18 — -- do4S •1u!oyy 'Pb mag ,00ena 'w,oju! ,oj) — •� 'uap sq,GM MM-4 (c L'l us!ov ,0j) I A1NQ0:) 311,11 •ON 21llzi i � JOPDXFa 14UV40TSOV I . r.,I.toR oTlqrta jo alloGiTa Llo,& omwx -x0';DGchmI BUTPTM"-. S-X'6ddOH MPIPr $00 Jp: wr *am vnuoo esvo,[d lawm arta ftw,1004 quorwo4b Am GAvq lu)A pinoRs 'ATqwOPT8UO0 Istlual 00 0% jo Aqo-ods 9% ouvazow; pTnoo Aqpsod �T suaToop ps'XGMT:pus qweR no& phot; 11-IoAamolq fmin SMoutmoo umiaq spuia v %TA Oavqtte* tto- 400; =oj Aleqvmpw.tddu peTITap oq pTnolqo vaoseTw M towpjo aM u -T oaoq noA M,;K Pousnoop I By OITOIK eta BUTM. ip G-Wta ST a*q OTTqh noA -toj SUOSSTUD =01 M-rp 0'* -mr[vrp Tleft -ma InTA 4VwGVtwJJv U18 anO 440A 0'4 4 P UOA 14M UOA oo . WT48922ns ha eq ppwt 41 "01*41)" MOO ROM *E-ITJ V OAVq AIO'4TUT3OP TLOA WT4 PtMOJ: puha SUOT14TPtoo' TjTJ 0% '400deuT o -I 0,4To eta 0� topodau-C Mo. POPMOMODOU I sperqns omqu OV+ 04 Imerojej TnTA El"--ZC5# U=Gcl 2UTPTM lau 1396-E OVE 14s vmwua *4x avec 50CM vwjojTTua "pavMo '4100-4S uQPaIvO 0007EIC GmwTm 'Prmoa L COUNTY OF BUTTE - DEPAR*TMENT OF PUBLIC WORKS PERMIT NO. 7 County Center Drive - Oroville, California 95965 - Telephone 916/534-4541 APPLICATION AND PERMIT cJ /PARCEL A SS ESSO PARCEL NUMB R ZONING BUILDING PERMIT OW IG,(/A 1� a � J �� Ems` ETH jjp/ SO. FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS -�C� VO PT 60X 973Zz k�Gv/t' C L G CONTRACTOR'S NAME I 'TELEPHONE CONTRACT OR'S MAILING ADDRESS CONSTRUCTION LENDER UNKNOWN Fireplace C Total Valuation $ LENDER'S MAILING ADDRESS Filing Fee $ 10.00 ARCHITECT OR ENGINIE-FFL LICENSE NO. Permit Fee $ Plan Checking Fee ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILD NG ADDRESS / 2 5 r/7.174 PU., P 4C& A/ ar Permit fee $ - PLUMBING PERMIT Filing Fee 10.00 PIAJLC-8A-t) Each Trap 2,00 LOT NO. SUBDIVISION NAME PARCEL MAP Repair drainage or vent piping 5.00 Water piping Each qas water heater or vent 5.00 Gas piping system 1 - 5 outlets -, � USE OF STRUCTURE SF 52' Duplex ❑ Mobilehome❑ Other Building sewer Lawn sprinkler system 5.00 C �1 /� - / SPECIFY TYPE OF WORK New ❑ Addition ❑ Remodel ❑,�/ Utiyities❑ Install tion❑ Other Describe work:_ ., ex Ale.- X&bA, /Z %!/ ff-^ Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 100 AMP OROOV OR LESS5.00 Main service EA. ADD'L 100 AMP 2,50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (Check One): El am licensed under provisions of Chapt. 9, Div. 3 of the Bub ness and Professions Code and my license is in full force and effect. License No. Classification I, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) El 1, the owner, am exclusively contracting with licensed contract- ors.. ( (Sec. 7044) NEW OR ADDNST ACCLBLDGLING SCCUP.y) 20 sq ft NEW CONSTR I- U L T NON-RESID, RANCH CIRC ITS 2.50 ea NEW CONSTR. I POWER APPARATUS D1 NON-RESID, SINGLE OUTLET CIR. / Ex. Occup OUTLETS OR FIXTURES soe 250 BAL@1 EX. OCCU // IXED APPLNS, OR p•IOUT LETS (RESID,) EA,) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 7.50 ❑ I am exempt under Sec. , Business and Professions Code Permit Fee $ for this reason Contractor WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. MECHANICAL PERMIT Filing Fee 10.00 Heating ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate Ngof Consent to Self -Insure. 1 shall not employ p y an y person in any manner so as to become subject to the W. C. laws of California. Cooling Hood 3.00 Ventilation Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shal I be deemed revoked. Permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. 1 also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue aga�nst said County in consequence of the granting of this permit. r X' - �s�C� -"' • x ,/ - l�" f� ✓ is Date"�+�� • Signature of Applicant - Owner ❑ Contractor ❑ Agent ❑ An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee $ TOTAL PERMIT FEE $ OCCUP. GROUP I TYPE OF CONST. PARCEL PD HD ISSUE This permit is hereby issued under the applicable provi- S'Ops of the Butte County Code and/or resolutions to do wgrk Indicated above for which fees have been paid. DIRiCTOFt OF PUBLICWORKS B Date S �� Receipt Receipt No. 53634 WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT PERMIT EXPIRES Date G S J 2_ , J J COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 7 County Center Drive �Orovi(Pe, California 95965 - Telephone 916/534-4541 APPLICATION AND PERMIT i PERMIT NO. ASSESSO ARCE NU B R Qr— ZONING BUILDING PERMIT OW ER ^ , b �s/ a p_i5 /vM 99 E�� '_32--,-U©�116&6 E Hjjp�/ SO. FT. OCC. BUILDING VALUATION OWNER'S MAILING PT AD RQE �� /)�� CONTRACTOR'S NAME Ai - TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ Filing Fee $ 10.00 LENDER'S MAILING ADD ESS Permit Fee $ ARCHITECT OR ENGI LICENSE NO. Plan Checking Fee $ Penalty $ ARCHITECT OR ENG NEER'S MAILING ADDRESS Permit fee $ BUILDING ADDRESS/ 6 fig►-/ 774 ,-b' l � P o A/ & or PLUMBING PERMIT Filing Fee 10.00 //UL -8P-4-6--_- Each Trap 2.00 Repair drainage or vent piping 5.00 YXIA16_67 Water piping LOT NO. SUBDIVISION NAMEPARCEL MAP Each qas water heater or vent 5.00 Gas piping system 1 - 5 outlets ,—� USE OF STRUCTURE SF LIS Duplex❑ Mobilehome❑ Other SPECIFY Building sewer Lawn sprinkler system 5.00 S 01;%42 - 20 zx? TYPE OF WORK New ❑ Addition ❑ Remodel QUtipties ❑ install tion❑ Other s Describe work: OL�2 AN Z 1 Permit Fee $ 0 Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 100 AMP 00V OR ORSLESS 5.00 Main service EA. ADD'L 100 AMP 2050 NEW CONST. / DWELLING OCCUP.y\ OR ADDNS. \ ACC. BLDGS. / 20 sq CONTRACTORS LICENSE LAW I declare under penalty of perjury (check One): ❑ I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in full force and effect. License No. Classification I, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONSTR .OU LET NON.RESID. BRANCH CIRCUITS) 2,50 ea NEW CONSTR. POWER APPARATUS &) NON.RESID. (SINGLE OUTLET CIR. Ex. Occup(OUTLETS OR FIXTURES 50@25¢ 100 Ex. Occup.(OUTLETS IXED P(RESID )LNS REA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 7.50 Permit Fee $ Contractor MECHANICAL PERMIT FiIingFee 10.00 WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. 1 shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to,Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. Heating Cooling Hood 3.00 Ventilation permit Fee Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against al liabilities, judgments, costs, and expenses which may in any way accrue a a st s'id Coun y in ion. a uence o�thanting of thA% permit. Dat/ Signature of Applicant — Owner [IContractor1:14g nt ❑ An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories in height.61,� Mobile Home Installation Fee $ TOTAL PERMIT FEE 9> L50, DO OCCUP. GROUP I TYPE OF CONST. PARCEL PD I HD I ISSUE This permit is hereby issued under sio of the Butte County Code and/or w k indicated above for which fees V&JJRfiCTC01rR1 OF PUBLIC B PERMIT EXPfRES Date the applicable provi- resolutions to do have been paid. WORKS Date �/ 6" jf2—, Receipt No. 53 WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT t COUNTY OF BUTTE - Department of Public Works 7 County Center Drive, Oroville, CA. 95965 Phone: 916-534-4541 OWNER -BUILDER VERIFICATION Attention Property Owner: An "owner -builder" building permit has been applied for in your name and bearing your signature. Please complete and return this information in the envelope provided at your earliest opportunity to avoid unnecessary delay in processing and issuing your build- ing permit. No building permit will be issued until this verification is received. ' 1. I personally plan to provide the major labor and materia s r construction of the proposed property improvement (yes or no)"--." 2. 'I (have/have not) signed an application for a building permit for the proposed work. 3.. I have contracted with the following person (firm) to provide the proposed. construction: Name Address City Phone Contractors License No. 4. I plan to provide portions of this work, but I have hired the following person to coordinate, supervise,'and provide the major work: Name Address City Phone Contractors License No. 5. I will provide some of the work but I have contracted (hired) the following persons to provide the work indicated: Name Address Phone Type of Work Signed: Property Owner -7 Social Security number --:- Date ( "5-- 7-9, NOTE: This Owner -Builder Verification is sent to you as required by Sections 19831 and 19832 of the California Health and Safety Code. This verification must be completed and returned to our office before we are permitted to issue the permit. 1 JOB FINALED (Date) �J- Signature 'i i PERMIT NO. 2489-85B, P, E PERMIT EXPIRES - OWNER DONALD EL E CONTR.. owner ASSESSOR PARCEL s' LOCATION 11126 Faith Rd, Yankee Hill f h 'o `k *1 �e 1`N ' A **W �t • 't Temp. Power Pole Called PG&E _ Temp. Elec. Service Called PG&E t .s .n •TTemp. Gas Service ti Called PG&E 1 JOB FINALED (Date) �J- Signature 'i i J"= OK- - 0 = Not OK = Not Applicable MOBILEHOMES MISCELLANEOUS * = Not Ready Date MOBILEHOME UTILITIES (Plans) OK except p's ) 1. Zoning Requirements -Setbacks -Easements 2. Soils; Special MH Support -Sketch Date DECKS, COVERS, CARPORTS, ETC. (Plans) OK except N's 1. Zoning Requirements -Setbacks -.Easements 2. Footings; Size -Depth -Spacing -Connectors 3. Sewer; Location -Test -Fall -C/0 -Concrete ' 3. Decks; Girders and/or Joists -Decking -Bracing -Stairs -Rails 4. Water; Location -Test -Easement Needed (Sketch) 4. Wood Awn.; Posts-Beams-Rftrs.-Connec.-Shthg.-Rfg.-Bracing 5. Electricity; Location-Clearances-Grnd.-/ / Amp -Concrete 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Gas; Locatiort-Test-Wrap:/ /"L"ft./ /"Nat. or/ /"L"ft./ /"LPG 6. Carports; Windows -Doors 7. Utility Clearance 7. Elec. A r t Card -Bl Card -BI Date Date Card -BI Date Date Card -BI Date MOBILEHOME INSTALLATION (Plans) OK except N's 1. Zoning Requirements -Setbacks -Easements 2. Footings; Size -Spacing -Marriage Line Card -BI Card -BI Date Date Card -BI Date Date Card -BI Date POOLS (Plans) OK except N's r ' it. Setbacks -Easements t 2. Soils; Compaction -Structure Stability,' 3. Gas; MH Test -Demand -Valve -Connector 4. Electricity; MH Test -Crossovers -Breakers -Clearances 3. Pool Structure; Steel -Connections -Thickness -Dead Men -Lining 4, Elec.; Receptacles and Lighting; Distances-GI=1 5. Drain; MH Test -Fall -Flex Connector 5. Elec.; Pool Lighting; 15 volts-GFI 6. Water; MH Test -Regulator -Connector 6. Elec.; Enclosures; Conduit Entries -Terminals -Listed 7. Water and Sewer Connected -C/0 to Grade -HD Approval 7. Elec.; Bonding; Metal w/5' -Circulating Equipment -Heater 8. Gas and Electricity Tagged 8. Elec.; Grounding; Equip.w/5'-Circulating Equip. -Pool Lghtg. Boxes -Enclosures -Panel boards -Ins. to Main in Conduit 9. Exits; Insp.-Sketch 10. Cert. of Occupancy 9. Health Department Approval 10. Plumb; Cir. Test -Water Supply Test Card B -I Card B-1 Date Card -BI Date Date Card -BI Date Card -BI I Card -BI Date Card -BI Date Date Card -BI Date = OK = Not OK = Ntyeble = Not Ready RESIDENTIAL (Single and Duplex) Date UNDERFLOOR Plans OK except #'s Date FRAM G Continued o ing requirements -Setbacks -Easements property Line Firewall & Openings tg., Main; Soils-Steel-Elec. Grnd.- / /" Ftg. Depth . Ext. Doors -One 3' -Check Garage -3rd story, 2 exits 3. 4. Ftg., Garage; Soils -Steel- / /" Ftg. Depth Ftg., Porches & Decks• Soils -Steel- / /" Ftg. Depth 50 _( . irs; Width -Headroom -Rise -Run -Landing -Fire Protection Plywood on Roof Overhang -Attic Vents -Rafter Outriggers Stemwalls, MaK, S -Blockouts-Wrapped-SI 6. Steel-BIockouts-Wrapped-Slab 52. 53. Siding -Nailing -Veneer - Gree -Fdn. Vents-Underflr. Access 7. - .-Steel Glazing Area -Glass Protection -Skylights -Plastic 8. D.W.V.: Fall -Fittings -Test -2 way C/O -Sewer Test -Bolts 9. Gas Pipe; Size -Anchors 0• Water Pipe; Test -Anchors -Regulator -Service Test 11. Electric; Underground 12, plPn„mc x. n, Qts; clearance -Material -Support -Ins. 1 ers-SilIs-Anchor Bolts-Joi nts-Cri I Card -BI Date Card -BI Date ( r Card -BI Datelj--( Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Date FIAL (Plans) OK except N's Card -BI 9AM Date Card -BI Date Date PLUMBING (Permit) OK except N's 14. er Ht.; Vent -Access -Combustion Air 56. Ext. Steps -Door & Sidelight Protection -Landings 5 Smoke Detector ce; ents-Clearance-Comb. Air-Connector- Garage; Above Floor-Ducts-Mech. Protection 1f8-D.W.V.; DWOr Pipe; Test & Anchors -Nail Protection Test-Fttngs & Anchors -Nail Protection &tf Bedroom Exiting 17. Shower Pan; Test, First.Floor-Tub Access . G.F.I. & Bath Fixtures & Tub Access 18. Test Tub & Shower, 2nd Floor -Tub Access Alec. Trim & Subpanel; Breaker Sizes -Labels 19. Gas Pipe; Size & Anchors (.6. Stairs & Rails v63: Fireplace or Stove; Clearances -Hearth Elec. Outlets at Wood Panel; Int. & Ext. Card -BI Date Card -BI Date e; Grnd.-Air Gap -Cooking Clearance Card -BI Date Card -BI Date 6 ceptacles at Kit. Counter Date ELECTRICAL Permit OK except p's 67 F r Swing -Landing -Closer 5 -Damper' Fixt e & Transformer Clearance -Ins. Protection Wtr. Htr.; Vents -Clearance -Comb. Air-Connector-P.R.V.- In Garage; Above Floor-Mech. Protection 2j, -Slee. Receptacles Spacing -Lights &Switches at Doors 2 ze Boxes & No. of Conductors -Stapled Ib., Elec. & Mech. Equip. Listed for Location 2�mex Installed Close to Edge of Studs & G.J. ec. Receptacles in Garage; (G.F.I.)-Romex Prot c. 24.--E-quip. Ground made up w:/Mech. Fasteners -Bond Gas & Water I ulation-Foam-Looked in Attic ❑ Y Guard Rails & Deck Construction -Post Caps 25. Itchen &Conductor Size 26. Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / / ga. Cu or AI Ie Door -Drainage & Wood -Earth Clearance Looked under Floor ❑ Yes 27. AI -Oven Circ. / / ga. Cu or Al, El No 75. Following instld.: Drive ❑ Yes alks ❑ Yes o; �, Planters ❑Yes "LWq-o �SStuic-.�cconductors & Ground -Main Disconnect 29. `Ettvt►r t'leaianees Panels-Motors-Mech. Equip. 7 connect-Clrnces-Brkr. & Cond. Size -115V Outlet 30. s Closet Light -Shower Light r8. Vents Above Roof; Plbg.-Appliance-Firepl.-Clearance to Opngs. 7 nect, Electrical, Plumbing rior Elec. Trim; G.F.I. Receptacle -Underground Card B -I (�,��-a Date%� �j Card -BI Date Ventilatio out House Card B -I Date Card -BI Date ro ec ion Date MECHANICAL (Permit) OK except q's 31. A.C. Ducts; Insulation & Support jeas'Correct from Previous Inspections 84, a. To_ cr_M�s Tagged; Gas -Electric 85. ected-C/0 to Grade -HD Approval 32. 33. Vent Fan; Exhaust above Insulation Condensate Drain & Overflow; Size & Grade 86..-ETTergy-Gemptiance Certificate -Other Certificates 34. Furnace -Vent; Access -Comb. Air -Return Air Vent -115V outlet 35. Attic Access & Platform if Furnace in Attic Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI IQ Date Card -BI Date Date FR G Plans OK except p's Comments at Final: Sills; Proper Material & Anchors Walls; Studs -Nailing, Spacing & Bracing -Plates -Sound Baring Walls over Girders & Floor Nailing 39. Draft Stop in Walls (rat proof) 40. o s; urred Ceilings -Stairs -Chases -Tub 4 Hewer & Beam -Size & Bearing ngers-Post Caps -Anchors -Connectors Cing. Joist-Rftr. Ties-Purlin-Roof Brac.-Truss-Shthng.-Rfn_g_._ 44. Fireplace Ties or Type A Flue -Fireplace Throat 5.'c Access; Size & Romex Protection -Draft Stop -Ins. Baffles 4V Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions 47.a on Framing (NOT E: An entry must be made each time you vi sit jobsite) COUNTY OF BUTTE p DEPARTMENT OF PUBLIC WORKS 196 Memorial Way, Chico — Phone: 891-2751 7 County Center Drive, Oroville — Phone: 534-4541 Skyway and Elliott Road, Paradise — Phone: 872-2961, Ext. 57��` CORRECTION NOTICE A routine inspection indicates that the following violations of County Ordinance exist at the above address and should be corrected. Please notify this office when correction of work is completed. If you have any question pertaining to this matter, or need additional explanation, please contact this office immediately. w r/ �i�t✓f ` / I f �rl T)C 3 1//fthl-'_ / /,A 0 Inspector Vit. �a/�/�f /1 Z'W/X� 1G Date COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 - Telephone 916/534-4541 APPLICATION AND' PERMIT PERMIT NO. ASSESSO PARCEL NUMBER ZONI _'Z� BUILDING PERMIT OW TELE PHO SQ. FT. OCC.1 BUILDING VALUATION OWNER'S MAILING D Ea n _3 3 G 1) C014TRACTOR'S AME TELEPHONEJ7 CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation Is Filing Fee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee $ J�O ARCHITECT OR ENGINEER �A r' LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESSv Penalty $ BUILDING ADDRESS Permit fee PLUMBING PERMIT $ FiIingFee 10.00 Each Trap 2.00 L4 74A t I Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP Water piping 5.00 Each qas water heater or vent 5.00 USE OF STRUC URE IN SF ❑ Duplex❑ Mobilehome❑ Other e-CtS S , i' SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home I S I G JW 1 10.00 ea TYPE OF WORK NewBAdditionn Remodel ❑ Utilities ❑ Installation❑ Other ❑ Describe work: Permit Fee $i Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 100 AMP OR00V OR L LESS10.00 Main service EA. ADD'L 100 AMP 2.50 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 intenoed or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONST. DWEb_ I P.6 , AUC ) h2sgft New CONSTR.( TI -OUTLET NON-RESID BRANCH CIRC ITS 2.50ea POWER APPARATUS 6 (SINGLE OUTLET CIR. Ex. Occup(OUTLETS OR FIXTURES 200500 0ALO 30 FIXED APPLNS. OR Ex. Occup. OUTLETS (RESID.) EA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. lyirin g 15.00 Permit Fee $. 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 MECHANICAL PERMIT Filing Fee 10.00 Heating Cooling Hood 3.00 Ventilation permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against al 'abilities, judgments, costs, and expenses which may in any way accrue a ain said Coun y i c eq a Ice of the granting of this rmit. �j Dat 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 $ — A TOTAL PERMIT FEE $ 0 CUP. 3 CONST.TYPE -Y V Irlp.... Po N ssuE This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which DIRECT OF PUBLIC EXPIRES Date _�\ the applicable provi- resolutions to do fees have been paid. WORKS Date ��/ / Receipt No.pE WHITE-D.P.W., YELLOW-ASSE330R, PINK -INSPECTOR. GOLDENROD -APPLICANT L' COUNTY OF BUTTE - DEPARTMEfV ?,F...IPUBLIC WORKS - BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 --TELEPHONE: 9534=4541 PERMIT APPLICATION DATA SHEET 1/�� Permit No. , OWNER _ A. P. No. 0 177 2 Proposed Building Use Permit Fee Based Upon: Complete Contract.Price —DPW Valuation Other (Explain) Building Inspector Date At time of permit application, I w advised the following data must be submitted prior to permit processing and./or ' uance: DATE RECEIVED APPROVED 1. All items. have been submitted. . . . . . . . . . . . C2.. , lot plans in duplicate/triplicate. . . . . . . . . . . 47—/,a _ omplete plans in duplicate/tri.plicate. 4. Complete engineered plans and calcs. . . . . . . . . . <2�� Plans with Energy Design Compliance Statement. . . . . . 6. CUSD "Fees Paid'' Stamp on Floor Plan . . . . . . . . 7 Statement of Intent for Non -Heated and AC Buildings. 8. Fees of $ . . . . . . . . 9. Letter of signature authorization. . . . . . . . . . 10. Sanitation approval from Health Dept. . . 11. Planning approval for (A) Use: (B) Parking: . 12. Certificate of Workmen's Compensation Insurance. . . . . . 13. Contractor's License Information (no., name style, classif.) 14. Owner -Builder Verification (Given to owner❑, Mail to owner ❑ ) 15. Improvements may be required. . . . . . . . . . . . 16. Mobilehome Installation Data. . . . . . . . . . . Pre-Inspec. request to (Date) 17. Pre -Inspection for Required. Building Inspector 18. Recorded copy of Agricultural Acknowledgment Statement. . . 19. Other 7When y u issue the r it, proce s as follows: Mail too er. —Mail to contractor. Telephone��'ba and hold for pickup at office. Deliver w/inspector. Other ? Applicant Date Copy of plans sent Health Dept., Fire Dept., Other Date During the plan checking process, the following data must be submitted prior to permit issuance. (For required items not checked above at time of application, circle item.) 1. Index permit for above Items No. 2. Additional items required: (Contractor, Designer, Owner) was advised of above required data by Telephone Mail Other Date Plans checked by Date y Plans approved byf •J. Date Other: Copy—DPW To: Building Department From: Environmental Health Gubject:.Sanitation Clearance Lllolve Oianer . . Plan Approved. for: Hold .final for: a ° �1-i-� Location AP# Sewage disposal ^� mater supply water supply Final clearance O.K. for: water supply Clearance for, bedroom mobile home. Other PJOTE S anit e TOTAL POINTS = - Table 3-3a. Ceiling Insulation ! R -Value of Insulation I Points I I ZONE 11 I 19 I -4 ' 1 OWNER - POINTS PERMIT O. %�Q9 - QJ� ASSIGNED ACTUAL 1. SLAB - INSULATION +b Table 3-8. West-Faein Glazin Pts. I 24 1 2. P.AISED FLOOR - R-19 I 0 I o I T i .83 up I 3. CEILING - R-30- 30 1 4. WALL - R-19 Glazing Type 5. NORTH GLAZING - 2.4-3.6% d C� ! 43-.66 I `Si 6. EAST GLAZING - 2.5-3.6% �3, �i 2 West 7. SOUTH GLAZING - 1.6-3.6% e3 f I Floor 8. WEST GLAZING - 2.9-3.6% % ,5_3 8 Trpl, 9. SKYLIGHT - 0-1.3% 1 Floor I Area 1 -. 1. 11.10) 10. SHADING (Exclude Overhang) I I Glazing Type ! EAST .66 !oints I olnts I ointsl ! Total SOUTH - (J.9 .19-.42 .13-.36 1 0 1 0 1 0 1 0 1 0 k - +6 WEST 3•B - S .13-.36 +6 I x of Sngl, .SKYLIGHT - .37-.57 Trpl, I up to 1.3 1 1.4- 2.2 11. HORIZONTAL SOUTH OVERHANG 2' j I Floor 12. MOVABLE INSULATION - NONE O j 2.1- 2.8 13. INFILTRATION (Standard=0)(Tight=+12) _�_7-j I Axes 14. THERMAL MASS SF 0.41 I I 2.9- 3.6 15. GAS FURNACE (SE) 71-76% +1 I ( 16. HEAT PUI1P (EER) 7.5-7.9% down I I 1.7- 4.2 17. DUAL PACK (SE, SEER) 8.0-8.3/71-76% 0 1 ! 0.1 �1. i ++4 ! WOOD STOVE 1 I I WATER HEATER i I 1.3- 2.3 I +1 I ATTIC�Z% +2 1 .( -10 1 OTHER _ -i I 2.4- 3.6 TOTAL POINTS = - Table 3-3a. Ceiling Insulation ! R -Value of Insulation I Points I I Table 3-4a. Wall Insulation Points I R -Value of Insulation I Points Table 3-7 T- I I Total I 2 of I Floor I Area I up to 1.5 I 1.6- 3.6 I 3.7•- 5.2 I siZ:3 I 6.6- 7.7 1 1.8- 8.9 t 9.0-10.0 110.1-11.5 111.6-13.0 1 13.1-14.5 1 -Facing Glazing Pte Glazing Type I (U- I (U - 1.10) ! 0.65) ointa 1 olnts +3 +3 +2 I +2 -1 I 0 -4 I -2 -6 I -6 -9 I -6 -11 I -8 -13 1 -10 -17 I -13 -21 1 =16 -25 I ;12_ -23 I -22' (U I 0.41)1 11 I 19 I -4 ' 1 I 22 I 1 -230 1 East 0 I 38 i +2 I I 49 i +b Table 3-8. West-Faein Glazin Pts. Table 3-4a. Wall Insulation Points I R -Value of Insulation I Points Table 3-7 T- I I Total I 2 of I Floor I Area I up to 1.5 I 1.6- 3.6 I 3.7•- 5.2 I siZ:3 I 6.6- 7.7 1 1.8- 8.9 t 9.0-10.0 110.1-11.5 111.6-13.0 1 13.1-14.5 1 -Facing Glazing Pte Glazing Type I (U- I (U - 1.10) ! 0.65) ointa 1 olnts +3 +3 +2 I +2 -1 I 0 -4 I -2 -6 I -6 -9 I -6 -11 I -8 -13 1 -10 -17 I -13 -21 1 =16 -25 I ;12_ -23 I -22' (U I 0.41)1 SC by 11 I -7 I tatlon 1 East I I 3.2-j� I 10-3.1 I to 16.4 up I I I 6.3 I I I I Table 3-8. West-Faein Glazin Pts. I 24 1 +2 i I 3r= 8z' I 0 I o I T i .83 up I i 0 I -1 I -2 I I 1 South 30 1 ±3 1 Trpl, Glazing Type 1 0 1 +1 I +2 ! +2 ( +3 I .19-.42 1 0 1 0 I 0 1 0 1 0 ! 43-.66 I `Si Total up ' -2 I -4 I -4 I West t .1 11.6 13.2 16.4 13.0 Table 3-2. Raised I to I to I to I to I up I Floor Z of 1 Sngl, I Dbl, I Trpl, Table 3-5. �--- North -Facing Glazing Pts 1 Floor I Area 1 -. 1. 11.10) 1 - 1 0. 10.65) ! - 1 0. 0.41)1. I I Glazing Type ! I !oints I olnts I ointsl ! Total Il .13-.36 1 0 1 0 1 0 1 0 1 0 p +6 +6 +6 I x of Sngl, D, Trpl, I up to 1.3 1 1.4- 2.2 I +5 I I +3 ! +6 I +4 I +6 i +5 1 I Floor l u- l Ubl- I U- 'I j 2.1- 2.8 I 0 1 +2 I +3 I I Axes ! 0.66 ! 0.42- 1 0.41 I I 2.9- 3.6 I -3 1 0 1 +1 I ( 11.10 10.65 I down I I 1.7- 4.2 ! -5 I -2 I 0 1 ! 0.1 �1. i ++4 ! �, 1 1 I I 1 i I 1.3- 2.3 I +1 I +2 I +2 1 i 5s 1�5.6a -10 1 6 1 -i I 2.4- 3.6 I -2 I 0 1 +1 I ! 5.7- 6.2 1 -13 1 -8 i -6 I i 3.7- 4.8 I -4 1 -2 1 -1 I j 6.3- 6.9 I -15 I -10 1 -7 1 ! 4.9- 6.1 I -7 I -4 1 -3 I ! 7.0- 7.6 I -18 1 .-12 I -9 I I 6.2- 7.3 i -9 1 -6 I -5 1 ( 7.7- 8.2 I 8'd 1 -20 I -14 ! -11 I 1 7.4- 8.2 I -12 I -8 I -7 I ! -22 I T6 1 -13 I I 8.3- 9.7 ! -14 ! -10 I -8 1 j 8.9- 9.5 I -25 I -18 1 -15 I I 9.8-10.8 I -17 I -12 I -10 I ! 0.6-10.1 I -27 -20 I -16 I 110.9-12.0 I -19 I -14 ! -12 1 ! 10.2-11.0 ! -29 I -23 I -17 1 112.1-13.2 1 -22 i -16 I -13 I ! 11.1-11.8 1 -35 I -26 I -21 I 1 13.3-14. I -24 I -18 I -15 I 111.9-12.7 ( 12.8-13.5 I -33 I 1 -42 1 -29 I -32 I -24' 1 -27 ! l .6-15.3 I -27i -20 i -17 i 113.6-14.3 1 -46 1 -35 I -29 I -1 I 0 I I 13 - 18 I T2 I I 1 14.4-15.2 1 -50 1 -33 I -32 I SC by I I Orien- 1 Z Floor Area tatlon 1 East I I 3.2-j� I 10-3.1 I to 16.4 up I I I 6.3 I I I I I 0 -.19 1 0 ( +1 I +2 I .20-.36 i 0 I 0 I it I 37-:66 I 0 ( o i 0 I 3r= 8z' I 0 I o I T i .83 up I i 0 I -1 I -2 I I 1 South 1 0 1 3.2 1 6.4 19.0 ! 9.6 I I to I to I' to I to I up Trpl, 13.1 16.3 17.9 I1 9.5 0--18 1 0 1 +1 I +2 ! +2 ( +3 I .19-.42 1 0 1 0 I 0 1 0 1 0 ! 43-.66 I `Si 1 0 I -1 I -2 I v2 ,I -3 1 0 1 -6 up ' -2 I -4 I -4 I West t .1 11.6 13.2 16.4 13.0 Table 3-2. Raised I to I to I to I to I up I Floor 1.5 i 3.1 i 6.3 j 7.9 0-.12 I 0 1 +1 I +3 I +6 1 +7 .13-.36 I 0 1 0 1 0 1 0 1 o .37=.57 I 0 I -1 I -3 I 76 1 -7 •583 -4 ' up I -2 I -4 ! 77 -16 I I I I I Skylight I .1 I .8 11.6.1 3:2 1 4.0 ( to i to I to I to I to 11 7 1_5 13.1 13.9 ( 5.2 0-.12 1 0 1 +1 I +3 1 +6 I +7 .13-.36 1 0 1 0 1 0 1 0 1 0 .37-.57 1 0 1 -1 1 -3 I -6 ! -' .58-.82 I -1 I -3 I -6 1 -12 I -, .83 up I -2 1 -4 I -8 1 -16 1 -20 /f 4tV df Table 3-11. Horizontal South 0/.r, Overhane Points V Table 3-9. Skylioht PointsSouth Glazing 3-6. East -Facing Glazing Pts. I Length Out I Area, Z of Floor 1 I I Glazing Type I I from Wall 1 ! I Glazing Type I I Total I 1 1 ft r" - "'--I Total I I I Z of Sngl, Db!, Trpl, I 10-6.3 I 6.4 up I I Z of I Sngl, Dbl, Trpl, I Floor I U- I U- I U- 1 I I I I Table 3-1. Slab Floor Points Table 3-2. Raised Floor Points I Floor I (U - I (U - I (U - I I Area 10.66- 1 0.42- 0.411 - 0.5 -2 -4 ' I T --� T I Area 11.10) 1 0.65).1 0.41)1 1 ( 1.10 10.65 I down I I I -2 1" 73 I ( Tnc•jla- I R -Value of Insulation I 1 R -Value of I II�IPo:nts 1points I ointsl 11.1 - 1.9 1 -1 1 -2 1 clun I i _r ! Insulation I Points I o +.1 +.4 s ,� 1 up to 1.3 I -1 I 01 0 I ! 2.0 up I 0 I 0 I Depth, I I 1 ! up to 1.3 I +3 I +4 I +4 1 I 1.4- 2.2 I -3 I -2 I -1 I I I ! ! 1 inches I I I 0-2 13-4 I 5-6 I 7+ 1I4- 2.4 +1 ( +2 I +2 1 I 2.3- 2.8 I -6 I -4 I -3 I Table 3-12. Movable Insulation I I I 1 below 3 I -12 I 2.5- 3.6 -2 1 0 1 0 1 I 2.9- 3.6 I -9 I -6 ! -5 I Points I 3- 4 1 -8 1 1 3.7- 4.6 i -5 t -2 I -1 i I 3.7- 4.2 1 -11 -8 I -6 I ! 0 - 11 I -5 I -5 I -5 I -3 1 I 5 - 7 I -6 1 I 4.7- 5.6 1 -8 I -4 1 -3 I I 4.3- 5.0 1 -14 ! -10 I -8 I ! Moveable Insulation] I 112 - 15 I 116 -5 I -3 I -2 I -1 I 1 8 - 12 I -4' I I 3.7- 6.7 I -10 I -6 1 -5 I I 5.1- 5.6 ( -16 I -12 I -10 I I Area, Z of Floor I Points I - 19 I -5 j -2 I -1 I 0 I I 13 - 18 I T2 I I 6.8- T.7-1 -13 1 --T' 1 -7 ! 1 5.7- 6.2 1 -19 1 -14 ! -12 I 1 I 20 + 1 -5 ( -1 1 0 1 +1 I I •19+ I 0 I 1 7.8- 8.7 1 -15 1 -10 1 -8 1 1 6.3- 6.9 I -21 I -16 I -13 I 1 --�--� i I I I I I I I I I 8.8- 9.7 I -1.7 1-12 1 -10 1 1 7.0- 7.6 ( -24 ( -13 I -15 1 1 0- 5.5 ! 0 I 1 9.8-11.2 I -21 i .-15 1 -13 1 1 7.7- 8.2 1 -26 I -20 I -17 I 1 5.6 - 11.5 I +2 I % 3 111.3-12.7 1 12.8-14.0 I -25 1 -18 •1 -15 1 1 8.3- 8.8 ( -28 I -22 I -19 I 1 11.6 - 17.5 ( +4' I -23 1 -21 1 -18 1 1 8.9- 9.5 I -31 1 -24 I -21 I 1 17.6 - 23.5 I +6 I -32 I I -20 1 I 9.6-10.1 1 -33 I -26 -22 I 1 >23.6+ I +8 I -----I-- Table 3-13. I:lffittation Control Fearvres Points ICoa:rol Features I Points 1 T-- I I 1. Standard I 0 i I I 11.9 air changes per hr 1 I T- I 1 I Tight i +12 i I I I 10.6 air changes per hr I' I i I 1 Table 3-15. Cas Furnace Without Refrigeration Coollng Points 1-- 1 I Seasonal Efficiency I Points I I (SE), .i 1 I T I I I 71 - 76 I 0 1 I 77 - 82 I +2 I I 83-88 1 I I 89 - 94 I 6 1 95 up I +8 I i I I Table 3-16. Heat Pumo Potnts r 1 Energy Efficiency I Ports 1 I 2atiq (EER) I 1 I 7.5 - 7.9 I +3 i I 3.0 - 8.3 I +6 1 I 8.4 - 8.7 I +9 I 1 8.8 - 9.1 I +12 1 I 9.2 - 9.6 I +15 I I 9.1 - 10.2 I +18 I I 10,3 - 10.8 J +21 i i 10.9 - 11.5 1 +24 J 1 11.5 - 12.3 1 +27 1 I 12.4 - 13.2 I +30 1 I I I Table 3-17. Cas Furnace With Refriveration Cooling Points 1Refrigeracfonj Cas Furnace. I I Cooling I SE % i I171 -177-i a 3- 89- 95 I 1 761 821 881 941 uo I 1 8.0 - 8.3 1 01 +21 +•41 +61 +8 1 1 8.4 - 8.7 1 +21 +41 +51 +31+10 1 1 8.8 - 9.2 1 +41 +61 +EI+101+12 I 9.1 - 9.7 1 +61 +81+101+121+14 1 1 9.8 - 10.3 1 +311101+121+141+16 1 1 10.4 - 10.9 1+105+12j+1:1+165+19 1 1 11.0 - 11.5 1+121+141+161+'181+"20 1 1 1 1 1 1 1 7/7/83 TABLE 3-14 (ADAPTED) MASS AREA 1,000 Sq. FT. , A e E ZONE 11 INTERIOR THERMAL MASS POINTS 1,500 2,000j 2,500_ 3,000 ` 3,500 + 4,000 I 4.SGO 5_,000 A B C 0 A 8 C D I 6 C 0 A B C D I A 8 C 0 A B C D I A 6 C G 1. 8 50 100. 150 2 4 6 2 4 6 2 4 6 2 2 4 2 2 4 2 2 4 2 2 4 0 j 2 2 2 2 2 2 2 •2 2 2 2 0 2 2 1 0 0 I 2 2 2 2 0 2 2 0 0 2 0 2 2 0 2 2 0 2 2 0 0 2 0 2 2 0 2 2 0 0 2 0 0 2 1 0 2 2 0 2 2 0 0 2 0 1 0 0 2 0 2' 0 2 7 0 0 2 CtI 0! 01 0. 2 0 2 0 2 0 0 200 B 8 6 4 6 6 4 2 4 A 4 2 ♦ 4 2 2 2 2 2 2 2 2 2 2 22 +10 2 2 2 2 2 212 +3 ? t 0 253 10 10 8 6 6 6 6 4 6 6 4 2 4 4 4 2 4 4 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 -! 300 12 12 10 6 8 B 6 4 6 6 6 % 6 6 4 2 4 4 4 2 4 4 2 2 2 2 2 7 2 2 2 7 2. 7 2 2 350 14 14 12 8 10 10 8 6 6 6 6 4 6 6 6 2 6 4 4 2 4 4 4 2 4 4 2 2 4 4 2 7I 2 2 7 2 400 14 14 12 8 10 10 8 6 8 8 6 4 6 6 4 4 6 - 6 4 2 4 4 4 '2 4 4 4 2 I 4 4 2 2I 3 4 Z 2 $00 18 18 16 10 12 12 10 6 10 10 8 6 R 8 6 4 6 6 6 4 6 6 6 2 6 6 4 4 44 2 4 4 4 . j 600 22 20 18 12 14 14 12 8 12 12 10 6 10 10 8 6 8 8 6 4 8 G 6 4 6 6 6 4 I 6 6 4 2 6 6 4 2 793 230 24 f ?6 24 14 20 22 14 16 18 20 16 16 14 16 10 10 14 14 14 14 12 12 0 8 10 12 10 10 10 10 6 6 10 10 10 10 8 8 6 6 8 10 8 8 6 8 4 4 8 ? 6. 6 6 6 4 1 6 4 I 8 A 6 5 6 41 4I 6 6 6 6 6 G 7 1 1 _ 900 1,0.0 128 30 28 )0 74 25 16 18 22 �2 I?4 20 20 18 20 12 14 i6 18 16 18 14 16 10 10 14 14 14 14 12 12 6 8 12 12 12 12 10 10 6 6 10 12 10 10 3 10 6 6 13 10 8 10 '8 B 4 B 6 8 8 8 6 C 4, 4 8 I S 8 6 E r. •i i 1,700 32 32 28 2J 24 22 14 20 20 18 10 16 16 14 8 14 114 14 12 8 12 12 10 6 10 1J 10 6 )0 10 8 11200 34 32 30 22 26 26 22 16 22 20 18 12 18 18 14 10 14 12 8 14 12 12 8 '12 12 10 6 I 10 10 8 6 1 10 to 8 6 i 1,7C0 34 14 32 22 28 26 24 16 22 22 20 12 18 18 lE 10 l0 14 14 8 14 12 12 8 12 12 10 1 6 112 10 10 L� 10 ;n. F. u 1,400 34 34 32 24 28 28 26 18 24 24 20 14 20 18 12 18 16 14 10 14 1412 8 X 14 14 li 8 12 1? 7G t; IO 10 10 6 1,500 1 2,000 36 34 34 24 30 34 30 34 26 32 18 22 24 30 24 30 22 26 110 14 18 22 26 20 26 18 22 12 16 18 22 18 22 16 20 10 14 (20 16 IE 20 14 18 8 12 14 18 14 18 12 16 a 117 10 16 12 16 10 14 61 L� 72 14 12 14 I- 12 6 j E 1 2,50'0 I 3,000 3,500 4,030 34 34 30 22 30 3II 30 37 26 30 18 22 26 30 32 26 30 32 24 26 30 16 18 20 24 28 30 32 24 26 30 32 22. 24 26 30 14 16 124 ld i'rd 20 22 30 22 24 28 30 79 22 24 26 :2 20 14 22 16 26 I8 ! ?9 20 2? 14 28 18 2U 22 24 !:• 14� lti If 19 +4 5 1-, :4 2b lE 20 22 '0 14 ; If 4,500 32 32 28 201 30 30 26 11I ie 2-, 7E , A) 1. 3's` Concrete Slab: HC•8.93; R-.29: Factor -7.3 2. 3 3/4- Thick Comnon Brick: IIC=7.125; R-.13: Factor -7.3 B) 1. Sy' Concrete Slab: HC -14.106; R -.4S8; Fi ctor•7.1 C 1. 8" Solid Filled Block: HL -20.63; R-1.93; Factor -6.1 2. 8` SolidFilled Block With Both Sides Exposed To Conditioned Air. NOTE: Use all square footage directly exposed to conditioned air for Thermal',Mass Area: IICp10.164; R-.96;; Factor -6.1 D) 1" Thick Concrete/Tile: MC -2.5S; R-.083; Factor, -3.7 Table 3-19. Zonally Controlled Electric Reslstance t Space Heating Points r 1 Points forthis measure will I Table 3-2n. Solar Water Heating With Cas Backun Paints 1 be completed after the CEC I I has approved an Alternative I Component Package for Resistance I I neat. Table 3-I8, Active Solar Space HestInq with Cas Points i net Solar Fraction I Points I (NSF), Z I I 1 0- 6 1 0 1 I 7 - 14 J +2 J I 15 - 23 J +4 1 I 24 - 30 J +6 I I 31 - 39 J +8 1 I 40 - 47 I ; +10 I ( 48 - 55 I +12 1 I 56 - 63 I +14 ) I 64 - 71 J +18 72 up I 1 +20 I { I wood stove #33 poinfs(no back up) Casablanca fan + 1 point tifamil ( er unit op ints)oor I Heating Pts. T-'- T 1' System Type I Points I Area rF I I I Cas Only I Net Solar Fraction (NSF), Z I Heat Pump I r unit, I Solar with Electric I i I I Re9tstance Backup I i Heecinj the Require- menti i:. Part 2 I ft2. I I Eleccrtc Resistance i I I 1 Only -30 I 0.9 10-19 20-29 30-39 40-49 50-59 60-69 70-79 , 600-799 0 +3 +7 +10 +14 +17 +21 +24 800-999 0 +3 +5 +8 +11 +14 +16 +19 1,000-1,499 0 +-2 +4 +6 +8 +10 +12 +14 1,500-1,999 0+1 +3 +4 +6 +7 +8 +10 2.('00- and u 0' +I +2 +4 +5 +5 +7 +9 All others (pe building points) _ 8U0 -P.99 0 +5 +10 +14 +19 +24 +29 � +34 900-999 0 +4 +9 +13 +17 +il +26 +30 1,000 1,199 0 +4 •1.7 +11 +15 +-19+22 +26 1,20(,I .499 0 +3 +6 +9 +12 +15 +18 +21 1,500-1,999 0 +2 +5 +7 +9 +12 +14 +U2,1)00-:,909 +2 +3 +5 +7 +8- +10 +11 3,40 .1,.d uo 0 -0 0 +1 a3 +4 +5 4J +8 +10 1 Table 3-21. Other Water I Heating Pts. T-'- T 1' System Type I Points I 1 I I I Cas Only I I 0 1 I Heat Pump I I I I 0 1 I Solar with Electric I i I I Re9tstance Backup I i Heecinj the Require- menti i:. Part 2 I 1 0 i I I Eleccrtc Resistance i I I 1 Only -30 I w`t , A RESIDENTIAL ENERGY PLAN CHECK/INSPECTION.SUMMARY R I E Owner _VOAIAtdp 6LLSr*?DN-,G Climate Zone Permit No.. _G? F�9- gs- Floor Area Compliance path; Package ❑.A ❑ B ❑ C S Point System ❑ Budget 1Other 2 _�Aa3 MIN R -VALUE DESCRIPTION REQ'D INSTALLED ITEMS (1) INSULATION: Roof/Ceiling Wall ❑ Slab Floor Perimeter ® Raised Floor -/of (2) INFILTRATION• ❑ (A) A vapor barrier is required in climate zones, 1, 14.& 16. (B) All manufactured windows and sliding glass doors shall meet the 1972 ANSI Air Infiltration Standards and shall be certified and labeled. C} (C) All swinging doors and windows leading to unconditioned areas shall be fully weatherstripped. Tight - the above standard features plus: ❑ (D) Continuous infiltration barrier ❑ (E) Electrical outlet plate gasket ❑ (F) Air-to-air heat exchanger (3) GLAZING:' (A) Location Area Glazing %Floor Area Single Double Triple Total Bldg S% A Z4, D 1� ❑ _ North . ® East /S D • 3 ® South ® West ❑ Skylights (B) Shading Shading Coefficient Description ❑ East ❑ South ❑ West ❑ Skylights ® (C) South Overhang Length of projection ft. Description ❑ (D) Moveable insulation: Area ftz Description (E) Thermal mass ❑ Type - Area Ft.,2 HC= R= MC= Location ❑ Type - Area Ft. HC= R= MC= Location ❑ Type - Area Ft.2 HC= R= MC= Location ❑ Type - Area Ft.Z HC= R= MC= Location ❑ Type - Area Ft.2 HC= R= MC= Location ❑ Type - Area Ft.Z HC= R= MC= Location 7/83 E KJI In] SRM (4) MASONRY AND FACTORY -BUILT FIREPLACES shall be equipped with tight fitting closeable metal or glass doors covering the entire opening of the firebox; a combusion air intake equipped with a readily accessible, openab le, and tight fitting damper to draw air from the outside of the building; and a tight fitting flue damper with a readily accessible control. *1(5) HEATING, VENTILATING, AIR CONDITIONING SYSTEM (A) -Heating Central Gas Furnace . SE (brand and model number) Btu/hr (heating capacity) Heat Pump. (brand and model number) ACOP Btu/hr (heating capacity at 47°F) ❑ Active Solar :type (liquid or air) Collector brand and ft2 model number solar fraction collector area collector orientation collector tilt rated y -intercept rated slope Q Other (describe) *1 (B) Cooling ❑ Electric Air Conditioner (brand and model number) (seasonal EER) Btu/hr (cooling capacity at 95°F) ❑ Electric Heat Pump EER Btu/hr (cooling capacity at 95°F) r ❑ Other (describe) ❑ (C) A TWO-STAGE THERMOSTAT, which controls the supplementary heat on its second stage, shall be required for heat pumps. (D) AN -AUTOMATIC SETBACK shall be provided for all thermostats, except those controlling heat pumps. ® (E) AN INTERMITTENT -IGNITION DEVICE shall be provided for all gas-fired fan type central furnaces, gas-fired fan type wall furnaces and gas cooking appliances. ® (F) BACKDRAFT DAMPERS shall be provided for all fan systems exhausting air to the outside. ® (G) DUCT CONSTRUCTION & INSULATION. All transverse duct; plenum; and fitting joints shall be sealed with pressure sensitive tape or - mastic to prevent air loss and shall be insulated to conform to the provisions of Section 1005 of the UMC, 1976 Edition. 7/83 2 I ❑ *2 (6) DOMESTIC WATER SYSTEM (A) Gas Only FORK 1 Gallons (brand and model number) (tank size) Heat Pump w/Electric Backup /�/„S (brand and model number) Gallons (tank size) Active Solar (collector brand and model number) (rated y -intercept) (rated slope) (solar fraction) ft (backup heater type, brand and model number) (collector area) (collector.orientation) (collector tilt) ❑ Location of Solar Panels ❑ Other (Describe) ❑ :(B) TANK INSULATION. Storage type water heaters and storage and backup tanks for solar systems shall be externally wrapped with R-12 insulation or greater. ® (C) PIPE INSULATION. The five feet of pipe closest to the water heater and outside conditioned space shall be insulated with a minimum of R-3. Steam and steam conditioned space shall be insulated with a minimum of R-3. Steam and steam condensation return piping and recirculating hot water piping outside the building envelope shall.be insulated in accordance with T20 -1408(d). ® (D) FLOW RESTRICTORS shall be provided for showerheads and faucets as outlined in the new appliance efficiency standards and shall be certified to the Energy Commission. (7) LIGHTING ® (A) Lamps used in luminaries for general lighting in kitchens and bathrooms shall have an efficacy of not less than 25 lumens per watt (usually florescent). *l Submit'documentation'of sizing heating and cooling equipment by Manual J'9 sizing charts (form #4) or other approved methods, section 2-5352(g), and fill out the following: Heating: Winter design temperature °, elevation ', heating load BTU . elevation factor x heating load = maximum outlet capacity gas furnace BTU Cooling: Summer design temperature °, cooling load BTU (USE ONLY AS A SIZING GUIDE, COOLING MAY BE,INADEQUATE) *2 Submit T.I.P.S.E. chart or other approved system (form #5) to document sizing of solar panels. ® DESIGN COMPLIANCE STATEMENT: The above building design meets the requirements of Title 24, Part 2, Chapter 2-53 of the California Administration Code. 7/83 SIGNATURE OF BUILDING DESIGNER OR APPLICANT 13 Es ❑ *2 (6) DOMESTIC WATER SYSTEM (A) Gas Only FORK 1 Gallons (brand and model number) (tank size) Heat Pump w/Electric Backup /�/„S (brand and model number) Gallons (tank size) Active Solar (collector brand and model number) (rated y -intercept) (rated slope) (solar fraction) ft (backup heater type, brand and model number) (collector area) (collector.orientation) (collector tilt) ❑ Location of Solar Panels ❑ Other (Describe) ❑ :(B) TANK INSULATION. Storage type water heaters and storage and backup tanks for solar systems shall be externally wrapped with R-12 insulation or greater. ® (C) PIPE INSULATION. The five feet of pipe closest to the water heater and outside conditioned space shall be insulated with a minimum of R-3. Steam and steam conditioned space shall be insulated with a minimum of R-3. Steam and steam condensation return piping and recirculating hot water piping outside the building envelope shall.be insulated in accordance with T20 -1408(d). ® (D) FLOW RESTRICTORS shall be provided for showerheads and faucets as outlined in the new appliance efficiency standards and shall be certified to the Energy Commission. (7) LIGHTING ® (A) Lamps used in luminaries for general lighting in kitchens and bathrooms shall have an efficacy of not less than 25 lumens per watt (usually florescent). *l Submit'documentation'of sizing heating and cooling equipment by Manual J'9 sizing charts (form #4) or other approved methods, section 2-5352(g), and fill out the following: Heating: Winter design temperature °, elevation ', heating load BTU . elevation factor x heating load = maximum outlet capacity gas furnace BTU Cooling: Summer design temperature °, cooling load BTU (USE ONLY AS A SIZING GUIDE, COOLING MAY BE,INADEQUATE) *2 Submit T.I.P.S.E. chart or other approved system (form #5) to document sizing of solar panels. ® DESIGN COMPLIANCE STATEMENT: The above building design meets the requirements of Title 24, Part 2, Chapter 2-53 of the California Administration Code. 7/83 SIGNATURE OF BUILDING DESIGNER OR APPLICANT RESIDENTIAL PLAN CHECKING GUIDE (S.F. , DUPLEX ,& MISC. ONLY) 7/85 Bldg. Permit # OWNER �ril•z A . P . #'Z - GENERAL 1. Zoning requirements: (sideyards and number of permitted living units). xValuation. 4) Plans signed by designer. Energy Design and - Compliance. C5/Existing violations on property., PLOT PLAN Complete parcel size and dimensions. y Setbacks, sideyards, easements, etc. r3/ Other buildings or structures. Grading, fills,'drainage. Flood hazard. Special conditions on creation map or compliance document. FLOOR PLAN Complete to scale plan 'with dimensions. 1>1:Required windows for light and ventilation (Sec. 1205). ' �if.Required windows for second -exit (Sec. 1204). kylights (Chapter 34 & Sec. 5207). Human impact giiss-(Sec. 5406). Required room sizes, ceiling heights (Sec. 1207). �. G.F.C.I.'s in baths, garage and exterior outlets (Article 210-8). ,A'. Light fixtures, switches, receptacles, and exterior receptacles for maintenance of echanical equipment. Locations of water heater, heating and cooling equipment, other electrical or gas equipment, and plumbing fixtures. -3,9< Garage firewall, door size, and closer (Sec. 503(d)(3)). 3'0" exterior exit door (Sec. 3304(e)). �ireplace and wood stove location. ;� Smoke detectors (Sec. 1210). STRUCTURAL DETAILS I Foundation plan complete enough :to construct building. Floor construction details complete enough::to construct building. ,�3f! Elevations and wall construction details complete enough to construct building. • Roof construction details complete enough to construct building. sfireplace construction details and calcs if necessary. ufficient data and details to satisfy energy requirements (State Law) (Form 1). MISCELLANEOUS ITEMS TO LOOK OUT FOR Exposure I plywood on exposed locations and overhangs. �j Stairway details: landings, rise and run, head clearance, handrails (Sec. 3306). r3: Guardrail details (Sec. 1711 & 3306(j)).: Brick or stone veneer (Chapter 30). Exterior plaster' - weep screeds .(Sec..4706). - /Proper roof pitch for roof covering (Chapter 32).. Y Rafter ties or bearing ridge beam. RESIDENTIAL KLAN CHECKING GUIDE (CONT'D) MISCELLANEOUS ITEMS TO LOOK OUT FOR (CO NT'D) rage door or porch header sizes. Adequate bracing. Living area over garage - complete 1 -hour separation required on garage side including supporting walls and posts, etc. ,;;/Two exits on three-story dwellings (Sec. 3303 & see Mezannines 1716). 1" Attic access and ventilation (Sec. 3205). Underfloor access and ventilation (Sec. 2516). ood stoves, clearances, alcoves & 1 -hour shafts. Combustion air for fuel burning appliances. %. Noise requirements on duplexes. Adobe soils - special foundation design. - Retaining walls requiring design. �+ Unusual shape, size or split level house requiring lateral design. iced 7/85 COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 - Telephone 916/534-4541 APPLICATION AND' PERMIT PERMIT NO. ASSESSOR PARCEL NUMBER 58-58-72 ZONING BUILDING PERMIT OWNER Donald Ellsmore TELEPHONE 534-0819 SO. FT. OCC, BUILDING VALUATION OWNER'S MAILING ADDRESS 11126 Faith Rd., Oroville CONTRACTOR'S NAME owner TELEPHONE 1st rrenewalermit CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER none UNKNOWN Total Valuation $ FilingFee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee @' FEE $ 55.25 ARCHITECT OR ENGINEER none LICENSE NO. Plan Checking Fee ,$ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS 11126 Faith Rd. Permit fee $ 65.25 PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 Yankee Hil Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP Water piping 5.00 Each qas water heater or vent 5.00 USE OF STRUCTURE SF ❑ Duplex❑ Mobilehome❑ Other guest ho PEeI & stg, FY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home S I G I W 10.00ea TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation❑ Other ❑ Describe work: _ 1st renewal of permit #2489-85 Permit Fee $ Contractor ELECTRICAL PERMIT f.Nli'ngFee 10.00 Main service 1011 OR LESS 100 AMP OR LESS 10.00 Main service EA. ADD'L 100 AMP 2.50 CONTRACTORS LICENSE LAW I declare under peva ty of perjury (check one): F]I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in full force and effect. License No. Classification 1, as the owner, Or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this son NEW CONST. DWELLING,OCCUP.& .OR ADONS. ( ACC. BLDGS. , /20sgft NEW CONSTR. U TI.OUTLET 2,50 ea NON.RESID BRANCH CIRC ITS POWER APPARATUS &) (SINGLE OUTLET CIR. Ex. Occup(OUTLETS OR FIXTURES 20010t DAL@30 FIXED APPLNS. OR EX. Occup. OUTLETS (RESID.) EA.1 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 Permit Fee $ WORKMEN'S COMPENSATION INSURANCE I declare under enalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. exrshall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. Contractor MECHANICAL PERMIT Filing Fee 10.00 Heating Cooling Hood 3.00 Ventilation Permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. 1 also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue 0q,nsa;aid County in cons"ut,,rice of the granting of this ermit. r Signature of Applicant — Owner Contractor ❑ Agent An OSHA permit is required for ex avations over 5'0" deep and demolition or construct -DIRE ion of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ TOTAL PERMIT FEE $' 65.25 occu P. CONST.TYPE I I FLOOD PARCEL PD I HD I ISSUE This permit is hereby issued under the applicable provi- si ins of the Butte County Code and/or resolutions to do ed above for which fees have been aid. p F PU)/WORKS woa1EXPIRES B Date P Date 9-11-87 Receipt No. ' WHITE-D.P.W., YELLOW-ASS93S , PINK -INSPECTOR. GOLDENROD -APPLICANT g�6 SINS �oM�\16� ��o� Sy'a51'., COUNTY OF BUTTE - Department of Public Works 7 County Center Drive, Oroville, CA 95965 Phone: 916-534-4541 OWNER -BUILDER VERIFICATION Attention Property Owner: An 'owner -builder" building permit has been applied for in your name and bearing your signature. Please complete and return this inf5brmation 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 m terials for construction of the proposed property improvement (yes or no) 2. I (have/have not). _/ signed an app cation for a building permit 1 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 Soci 1 Se urity Number - Date /. /4 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. �� r :--••-•:................... :............. :....__..:.... - . �� 5 SITE PLAN :...._.......:...__.:---.__.....:...... 0 .. _ .. .. — a _ .._ ��s = = -- ............. .. �.. `..G 5 ( `O .. •. "� G. 4 "fes' i - c......;_....:.. .:... 1 .. ................... ._ ` ? .. ............ .. .. \: rr ............. t i............... ... T.. _. .. . :-•6C.: .. ._ ....................�.. ._ .. __ .... • ....... .. _ .. +1.....: r . .. ............. .. �..:...d= .. .. .... .. .. .. . •• - . _ ............ _.. ...... • • . ........... -- �... .s 8: i Kp, i _ %� `..:.. i! 6 - a ._....r...................r_.._.- ._ .. — — .. x....;.. .�- .......... _fi _. .. _ i� • - ................ .. .. .............. .. 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