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062-560-022
~� 62-56-22 VCHARLES FOWLER.'Bald Rock Rd, Berry `Creek ` Permit#2257-864(utir' MH) �D ELEC A _ GAS SUPPORT STRUCTURE REQ r COMPACTION TEST REQ. 62-56-22 Permit#3325-87B,P,E,M(new single famil, �efl N } t ... 2257-8e PERMIT NO. 3325=87B, - P, E, M PERMIT EXPIRES / OWNER CHARLES FOWLER } CONTR.' Owner. ASSESSOR PARCEL 62-56-22 ,r LOCATION 458 Bald Rock Rd, Oroville `g R !i vr-oJ1 . 'aP Temp. Power Pole Called PG&E Temp, Elec. Service s Called PG&E Temp. Gas Service Called PG&E JOB FINALED (Date) Signature = OK 0 = •Not OK ' = Not Readyable MOBILE HOMES s c• MISCELLANEOUS Date MOBILE HOME UTILITIES (Plans) OK except #'s Date DECKS,COVERS,CARPORTS,GARAGES, (Plans)OK except #'s 1. Zoning Requirements-Setbacks-Easements 1. Zoning Requirements-Setbacks-Easements 2. Soils; Special MH Support-Sketch 2. Footings; Soils-Size-Depth-Spacing-Connectors-Steel 3. Sewer; Location-Test-Fall-C/O-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-Clearahces-Grnd.-/ / Amp-Concrete 6. Gas; Location-Test-Wrap: / P'L" ft. / /"Nat. or/ PV ft./ P'LPG 5. Alum. Awn.; Columns-Connections-Splice-Decal-Enclosures 6. Carports; Windows-Doors 7. Utility Clearance- 7. Elec. 8. Frmg; Sills-Anchors-Studs-Rftrs-Trusses 9. Siding; Nailing-Veneer-Stucco-Mesh Card-B1 Date Card-B1 Date 10. Roof; Shthg-Roofing Card-B1 Date Card-81 Date 11. Ext.; Steps-Doors-Landings Date MOBILEHOME INSTALLATION (Plans) OK except #'s 1. Zoning Requirements-Setbacks-Easements Card-131 Date Card-B1 Date 2. Footings; Size-Spacing-Marriage Line Card-B1 Date Card-B1 Date 3. Gas; MH Test-Demand-Valve-Connector 4. Electricity; MH Test-Crossovers-Breakers-Clearances Date POOLS (Plans) OK except #'s 5. Drain; MH Test-Fall-Flex Connector 1. Setbacks-Easements 6. Water; MH Test-Regulator-Connector 2. Soils; Compaction-Structure Stability 7. Water and Sewer Connected-C/O to Grade-HD Approval 3. Pool Structure; Steel-Connections-Thickness- Dead Men -Lining 8. Gas and- Electricity Tagged 9. Exits; Insp.-Sketch 4. Elec.; Receptacles and Lighting, Distances-GFI 10. Cert. of Occupancy 5. Elec.; Pool Lighting; 15 volts-GFI 6. Elec.; Enclosures; Conduit Entries-Terminals-Listed 7. Elec.; Bonding; Metal w/5'-Circulating Equip.-Heater 8. Elec.; Grounding; Equip. w/5'-circulating Equip.-Pool Lghtg. Boxes-Enclosures-Panel boards-Ins. to Main in Conduit Card-B1 Date Card-61 Date Card-B1 Date Card-B1 Date 9. Health Department Approval 10. Plumb.; Cir. Test-Water Supply Test Card-B1 Date Card-B1 Date Card-B1 Date Card-B1 Date = OK 0=Not OK - = Not-A,ppl;oable = Not Ready RESIDENTIAL (Single and Duplex) Date UNDERFLOOR (Plans) OK except #'s oning requirements -Setbacks -Easements Ftg., Main; Soils-Steel-Elec. Grnd.-/ P, 3. Fig., 8a.age, Soffs--Steel-/ /" Ftg. Deptl 4. ecks; Soils -Steel-/ /111 5. Stemwalls, Main; Steel-Blockouts-Wrapper 6. Stemwalls, Garage; Steel- Blockouts-Wrapl 7. Slab; Steel -Wrapped j!,b.W.V.; Fail itt Zest -2 way C/O -Sewer Test 10. Gas Pipe; Size- nchors 11. Water Pipe; Test -Anchors -Regulator -Service Test 12. Electric; Underground 13. Plenums & Ducts; Clearance-Material-Supprt-Ins. 14. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples 15. Insulation Card -131 L� Datq/06 VCard-B1 Date Card -B1 Datem -vZ_Tr Vard-B1 Date Date PLUMBING (Permit) OK except #'s ater Ht. Vent -Access -Combustion Air ater Pipe; Test & Anchors -Nail Protection lkt.W.V.; Test-Fttngs & Anchors -Nail Protection 19. Shower Pan; Test, First Floor -Tub Access 20. Test Tub & Shower, 2nd Floor -Tub Access Card -B1 Date Card -81 Date Card -B1 Date Card -131 Date Date ELECTRICAL (Permit) OK except #'s 22. ure & Transformer Clearance -Ins. Protection c. Receptacles Spacing -Lights & Switches at Doors Si `Boxes & No. of Conductors -Stapled Romex Installed Close to Edge of Studs & C.J. y . quip. Ground made up w/Mach. Fasteners -Bond Gas & Water 7Appliance Circuits in Kitchen & Conductor Size .04 - 26-Sabfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / /ga. Cu or Al 29. Range Circ. / / ga. u or AI -Oven Circ. / / ga. Cu or Al. In lated Neutral Yes No Se -Riser Conductors & Ground -Main Disconnect Equip. Clearances Panels-Motors-Mech. Equip. _.2 . o"f5 s Closet Light -Shower Light -Spa Light Card -B Date j X_8rd-B1 Date Card -131 Date Card -B1 Date Date MECHANICAL (Permit) OK except #'s 33. A.C. Ducts Insulation & Support 34. Vent Fan; Exhaust above insulation . Condensate Drain & Overflow; Size & Grade 36. Furnace -Vent; Access -Comb. Air -Return Air Vent -115 outlet 37. Attic Access & Platform if Furnace in Attic j Card -81 Date Card -B1 Date Card -131 Date Card -B1 Date Date FRAMING (Plans) OK except #'s -I 3 . ,5ills, Proper Material & Anchors alls Studs -Nailing, Spacing & Bracing—Plates-Sound aring Walls over Girders & Floor Nailing Draft Stop in Walls (rat proof) ),,I VJ 2 Fire Stops; Furred Ceilings -Stairs -Chases -Tub 43 eader & Beam -Size & Bearing Date FRAMING Continued 44. H gers-Post Caps -Anchors -Connectors CI -Rftr. Ties-Purlin-Roof Brac.-Truss-Shthng.-Rfng. i Ties or Type A Flue- ' eplace Throat AW-ftc Access; Size &6ote-wiliotection•Draft Stop -Ins. Baffles Bdrm. Windows or 5xiting Doors -i Hgt. & Dimensions age Fire Protection Framing r • erty Line Firewall & Openings Ext. Doors -One T -Check Garage -3rd story, 2 exits 52. Width -Headroom -Rise -Run -Landing -Fire Protection 10-Ply,wood on Roof Overhang -Attic Vents -Rafter Outriggers &*.-Nailing Veneer -3'Sf"—co Mesh -Drip Screed -Fd. Vents-Underflr. Access Glazing Area -Glass Protection -Skylights -Plastic - 57-SFear Walls; Nailing -Bolts 58. Insulation-Walls-Clg1 59. Infiltration-Walls�wndws Card -B1 h Datefz -b%Card-B1 Date ' Card -61 Date Card -131 Date Date FINA fans OK except #'s Steps -Door & Sidelight Protection -Landings Smoke Detector ' --82-Pt7rn3ce; Vents -Clearance -Comb. Air -Connector - In arage; Above Floor -Ducts -Mach. Protection e oom Exiting .F.I. & Bath Fixtures & Tub Access -Spa 6 Elec. Trim & Subpanel; Breaker Sizes -Labels & Rails it ace or Stove; Clearances -Hearth Outlets at Wood Panel; Int. & Ext. Ki ixt. & Appliance; Grnd. -Air Gap -Cooking Clearance ler. Outlets & Receptacles at Kit. Counter _1- P8Ts3tje-Fire Door; Swing -Landing -Closer in Garage -Damper tr. Htr.; Vents -Clearance -Comb. Air-Connector-P.R.V.- In_Ga'f-age; Above Floor -Meeh. Protection Mellib., Elec. & Mech. Equip. Listed for Location ceptacles in Garage; (G.F.I.)-Romex Protec. ns ion -Foam -Looked in Attic ❑ Yes Z7 . uard Rails & Deck Construction -Post Caps 78-FUn: Vents & Crawl Hole Door -Drainage & Wood -Earth Clearance Looked under Floor ❑ Ye 79. Following instld.; Drive ❑ Yes o; Walks ❑ Yes ZkNor Planters ❑ Yes ❑ No -89-9tilcco; Brown -Finish Disconnect, Electrical, Plumbing ents Above Roof; PIbg.-Appliance-Firep I. -Clearance to Openings. r Well; Disconnect, Electrical, Plumbing ZaC Exte ' 'r Elec. Trim; G.F.I. Receptacle -Underground elation throughout House Wit➢. uj s Protection . Co ctions from Previous Inpections est -Meters Tagged; Gas -Electric star & Sewer Connected -C/O to Grade -HD Approval nerav Compliance Certificate -Other Certificates Card -131 Date"- and -B1 Date Card -131 Date rd -B1 Date Card -81 Date and -Bt Date Comments at Final: (NOTE: An entry must be made each time you visit job site) COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS, �0 196 Memorial Way, Chico — Phone: 891-2751 7 County Center Drive, Oroville — Phone: 538-7541 747 Elliott Road, Paradise— Phone: 872-6307 CORRECTION NOTICE OWNER PERMIT N , . A routine inspection indicates that the following violations .of County Ordinance exist at the above address and should be corrected. Please notify this office when correction of work is, completed. If you have any question pertaining to this matter, or need additional explanation, please contact this office immediately. Inspector Date _ COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 196 Memorial Way, Chico — Phone: 891-2751 7 County Center Drive, Oroville — Phone: 538-7541 747 Elliott Road, Paradise— Phone: 872.-6307 CORRECTION NOTICE 33a2s = � OW R PERMIT N A routine inspection indicates that the following violations of County Ordinance exist at the above address and should be corrected. Please notify this office when correction of work is completed. If you have any question pertaining to this matter, or need additional explanation, please contact this office immediately. MEMO- Inspector _ Inspector /��/ Date__ COUNTY OF BUTTE + w DEPARTMENT OF PUBLIC WORKS 196 Memorial Way, Chico — Phone: 891-2751 7 County Center Drive, Orovi Ile — Phone: 538-7541 747 Elliott Road, Paradise — Phone: 872-6307 CORRECTION NOTICE r ER IT NO. A routine inspection indicates that the following violations of County Ordinance exist at the above address and should be corrected. Please notify this office when correction of work is completed. If you have any question pertaining to this matter, or need additional explanation, please contact this office immediately. Inspector Date_ COUNTY OF BUTTE �f DEPARTMENT OF PUBLIC WORKS . 196 Memorial Way, Chico — Phone: 891-2751 7 County Center Drive, Orovi Ile — Phone: 538-7541 747 Elliott Road, Paradise — Phone: 872-6307 CORRECTION NOTICE dS2 I-V? OWNER —PERMIT A routine Inspection indicates that the following violations of County Ordinance exist at the above address and should be corrected. Please notify this office ~ when correction of work is completed. If you have any question pertaining to this m iit/er, or need additional explanation, lease contact this office immediately. �l COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT' NO. 7 County Center Drive - Oroville, California 95965 - Telephone: 916/538-7541 . APPLICATION AND PERMIT ASSES O AR NUMBR -a. ZONING BUILDING PERMIT O WNE TEL HONE SQ. FT. OCC. BUILDING VALUATION OWNE S M LING ADDRESS S vl -966 CONTRAC TOR'S NAM E�AE TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace ()Q CONSTRUCTION LENDER UNK OWN Total Valuation $ LENDER .'S MAILING ADDRESS Filing Fee $ 10.00 Permit Fee $ 4 d el ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee ,$' 6' Idd Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS Permit fee $ PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 t Solar or eat pump ater heater 20.00 r% LOT NO, SUBDIVISION NAME PARCEL MAP Water piping 5.00 L3 % Each gas water heater or vent 5.00 USE OF STRUCTURE Gas piping system 1 - 5 outlets 5.00 SF I0 Duplex❑ Mobilehome❑ Other Building sewer 5.00LIN cs SPECIFY Mobile Home S I G I W 0.00ea TYPE OF WORK New [� Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑ Permit Fee $ Describe work: Contractor ELECTRICAL PERMIT Filing Fee 10.00 �( 100 AMP OR LES Main service 100V OR LESSR.. 10.00 w Main service EA. ADD'L 100 A2.50 CONTRACTORS LICENSE LAW NEW CONST. DWELLING OC'/z¢sgft I declare under penalty of perjury (check one): OR ADDNS. ACC. SLOGS. NEW CONSTR.U TI.OUTLET2.50 ea ❑ I am licensed under provisions of Chapt. 9, Div. 3 of the Business NON.RESID BRANCH CIRCUI POWER APPARAT (SINGLE and Professions Code and my license is in full force and effect. OUTLET License No. Classification E Ex. Occup(OUTLETS OR FIXTURES O zALO0 50t .200030 30 FZ FIXED APPLNS. OR Ex. OCCUp- OUTLETS (RESID.) EJ 2.00 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 Temporary service 10.00 for sale. (Sec. 7044) Mobile Home Facilities 15.00 ❑ I, as the owner, am exclusively contracting with licensed contract- MiscWiring 15.00 ors. (Sec. 7044) . i ❑ I am exempt under Sec. , Business and Professions Code , for this reason Permit Fee $ Contractor WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): MECHANICAL PERMIT Filing Fee 10.00 ❑ The permit is for $100.00 (valuation) or less. Heating �— ❑ 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. Cooling I shall not employ any person in any manner so as to become subject Hood 3.00 J to the W. C. laws of California. Ventilation Notice to Applicant: If after making this statement,should you become subject Permit Fee $ % to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. Contractor I certify that I have read this application and state that the above information Mobile Home Installation Fee $ is correct. I agree to comply to all County Ordinances and State Laws relating Energy Inspection Fee $ to building construction, and hereby authorize representatives of the Countyot Butte to enter upon the above-mentioned property for inspection purposes. TOTAL PERMIT FEE $ I alrae'to save, indemnify and keep harmless the County of Butte against 0AuP. co SCNooL FLOOD P e PD ND Is uEall es, judgments, costs, and expenses which may in any way accrue9��V/agad County in conseq nce of the granting of this permit. X 9b ^ This permit is hereby issued under the applicable provi- Date / Bions of the But County Code and/or resolutions to do Signature of Applicant — Owner Contractor ❑ Agent ❑ work indicated above for which fees have been paid. An OSHA permit is required for excavations over 5'0" deep and demolition or construct- DIRECT OF PUBLIC WORKS ion of structures over 3 stories in height. Receipt No.av BY Date WNITE-O.P.W., YELLOW-ASSEDSOR. PINK -INSPECTOR. GOLDENROD -APPLICANT PE IT EXPIRES Date /,0 y/ A OWNER COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS - BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE: 916/538-7541 Proposed Building Use PERMIT APPLICATION DATA SHEET Permit No. ✓` IPS , 1cD it) ICS r A. P. No. _ Building Inspector //l - /,-/- Date At time of permit application, I was advised the following data must be submitted prior to permit/processing and/or issuance: DATE RECEIVED APPROVED 1. All items have been submitted. . . . . . . . . — 2. Plot plans in duplicate/triplicate, signed by preparer of plans. . 3. Complete plans in duplicate/tr plicate, signed by preparer of plans. 4. Complete engineered plans and calcs, with wet signature on plans. 5. Plans with Energy Design Compliance Statement. . . . . . 6. School District "Fees Paid" Stamp on Floor Plan. 7 Statement of Intent for Non -Heated and AC Buildings. 8. Fees of $ . ... . . . . 9. Letter of signature authorize 'o9. An" 10. Sanitation approval from f 4 r, Health Dept. -0 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 (Dote) 17. Pre -Inspection for _.. _ _ _..._. _ Required, Building Inspector 18. Recorded copy of Agricultural Acknowledgment Statement. 19. Driveway Permit. — 20. Plot plan approval from city of 21. - - - 22. _ -- Whe/n, u Issue the permit, process as follows: Mail to owner; Mail to contractor. — Telephone and hold for pickup atQrD_office, Deliver w/inspector. Other n I� I - -- A Iican#�.(�//i'sr.+ PP / /� (D,ate Copy of plans sent Health Dept.; Fire Dept., Other Date The following data must be submitted prior to permit issuance: (Circle new item not checked above). 1. Index permit for above items No. 2. Additional items required: Contractor, designer, owner, was advised of above required data by_phone___nail_counter by date — Contractor, designer, owner, was advised c? above required data by—phone —ma iI_c i nter by date Plans checked by Date Plans approved by Date /0 '-t0_*C9 Sets of plans on hold in File cabinet AP folder Copy—DPW TO Buildinq Department FROM: Environmental Health SUBJECT: Sanitation Clearance A—C—/ Owner Location �- AP# Plan Approved for: Sewage Disposal Water Supply Hold final for: Water Supply Final clearance O.K. for: Water Supply Clearance for bedroom mobile om Other NOTE *** Sanitarian ( c ) �7 Date COUNTY OF BUTTE - Department of Public Works 7 County Center Drive,.Oroville., CA 95965 Phone: 916-538-7541 OWNER -BUILDER VERIFICATION Attention Property Owner: An 'owner -builder" building permit has been applied for in your name and bearing your signature. Please complete and return this information at your earliest opportunity to avoid unnecessary delay in processing and issuing your building permit. No building permit will'be issued until this verification is received. 1. I personally plan to provide the major. labor and materials for construction of the proposed property improvement (yes or no) �_ S 2. (have have not) signed an application for a building permit fo a proposed work. 3. I have contracted with the following person (firm) to provide the proposed construction: Name Address. City Phone Contractors License No. 4._ I plan to provide portions of this work, but I have hired the following person to coordinate, supervise, and provide the major work: Name Address City Phone Contractors License No. 5. I will provide some of the work'but I have contracted (hired) the following persons to provide the work indicated: Name Address Phone Type of Work Signed: Property Owner Social Security Number Date In 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. RESIDENTIAL PLAN CHECKING GUIDE -7/85 (S.F., DUPLEX & MISC. ONLY) Bldg. Permit # 33as"' Sr7 OWNER C14009 LA -60 OW A. P. # 10.1 • S(o • :z Z GENERAL e Zoning requirements: (sideyards and number of permitted.living units). Valuation. Plans signed by designer. >ergy Design and Compliance. Existing violations on property. PLOT PLAN &! Complete parcel size and dimensions. 2-1 tbacks, sideyards, easements, etc. �her buildings or structures. ading, fills, drainage. 5 ' Flood hazard. Special conditions on creation map or compliance document. FLOOR PLAN 1'0*�' Complete to scale plan with dimensions. 2�Required windows for light and ventilation (Sec. 1205). Required windows for second exit (Sec. 1204). -4— Skylights (Chapter 34 & Sec.,.. 5207). 5w00000'Human impact glass (Sec. 5406). 6 -"*-Required room sizes, ceiling heights (Sec. 1207). :. F.C.I.'s in baths, garage and exterior outlets (Article 210-8). Light fixtures, switches, receptacles, and exterior receptacles for maintenance of mechanical equipment.. %Locations of water heater, heating and cooling equipment, other electrical or gas equipment, and plumbing fixtures. -k9 -.—Garage firewall, door size, and closer (Sec. 503(d)(3)). ld/T - 3'0" exterior exit door (Sec. 3304(e)). 1Q0'0 --F &e and wood location. l&o-'**S-moke detectors (Sec. 1210). STRUCTURAL DETAILS jFoundation plan complete enough'.:to construct building. F� oor construction details complete enough:to construct building. F�levations and wall construction details complete enough to construct building. of construction details complete enough to construct building. Foreplace construction details and calcs if necessary. 64"'OSufficient data and details to satisfy energy requirements (State Law) (Form 1). MI SCELLANEOUS ITEMS TO LOOK OUT FOR posure I plywood on exposed locations and overhangs. details: landings, rise and run, head clearance, handrails (Sec. 3306). -3-r- Guardrail details (Sec. 1711 & 3306(j))- -4— Brick or stone veneer (Chapter 30). -5--Exterior plaster - weep screeds (Sec. 4706). Proper roof pitch for roof covering (Chapter 32). -9- Rafter ties or bearing ridge beam. RESIDENTIAL PLAN CHECKING GUIDE (CONT'D) 7/85 MISCELLANEOUS -ITEMS TO LOOK OUT FOR (CONT'D) . *�O--- Garage door or porch header sizes. 90*'O-Adequate bracing. -Living area over garage - complete 1 -hour separation required on garage side including supporting walls and posts, etc. 1 -1 --Two exits on three-story dwellings (Sec. 3303 & see Mezannines 1716). 1& -'-Attic access and ventilation (Sec. 3205). H. Underfloor access and ventilation (Sec. 2516). 14wo" ood stoves, clearances, alcoves & 1 -hour shafts. 15-w-- Combustion air for fuel burning appliances. I -6 --Noise requirements on duplexes. 1-7.—Adobe soils - special foundation design. �etaining walls requiring design. 1�9!— Unusual shape, size or split level house requiring lateral design. 7/83 4 FOR ' RESIDENTIAL ENERGY PLAN CHECK/INSPECTION SUMMARY Owner Wha4u.45 Ica ")L ^ Climate Zone Permit No. 33AS'42 Floor Area 746 _ - Compliance path: Package ❑ A ❑ B ❑ C OPoint System ❑ Budget M Other 40/63 MIN R -VALUE DESCRIPTION REQ'D ' INSTALLED ITEMS (1) INSULATION: Roof/Ceiling R.70 ® Wall /1,r ❑ Slab Floor Perimeter Cl Raised Floor (2) INFILTRATION: ❑ (A) A vapor barrier is required in climate zones, 1, 14 & 16. (B) All manufactured windows and sliding glass doors shall meet the 1972 ANSI Air Infiltration Standards and shall be certified and labeled. (C) All swinging doors and windows leading to unconditioned areas shall be fully weatherstripped. Tight - the above standard features plus: ❑ (D) Continuous infiltration barrier ❑ (E) Electrical outlet plate gasket ❑ (F) Air-to-air heat exchanger (3) GLAZING: (A) Location Area Glazing %Floor Area Single Double Triple Total Bldg frNy //,./(r j, North Nap X_ East /3.0_ South .23,p ale West 80.6 ❑ Skylights �---- — �. (B) Shading Shading Coefficient Description Q East %% ©t/IZLli►1.2./A�C� South West • GG Cl Skylights (C) South Overhang Length of projection rZ f ft. Description ❑ (D) Moveable insulation: Area ftZ Description (E) Thermal mass ❑ Type - Area Ft.2 HC= R= MC= Location ❑ Type - Area Ft.Z HC= R= MC= Location ❑ Type' - Area Ft. 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 FORM ❑ (4) MASONRY AND FACTORY -BUILT FIREPLACES shall be equipped with tight fitting closeable metal or glass doors covering the entire opening of the firebox; a combusion air intake equipped with a readily accessible, openable, and tight fitting damper to draw air from the outside of the building; and a tight fitting flue damper with a readily accessible control. E I—W *1(5) HEATING, VENTILATING, AIR CONDITIONING SYSTEM (A) Heating Central Gas Furnace (brand and model number) Btu/hr (heating capacity) Heat Pump (brand and model number) Btu/hr (heating capacity at 47°F) ` Active Solar SE ACOP type (liquid or air) ( Collector brand and ft2 model number solar fraction collector area collector orientation collector tilt rated y -intercept rated slope Other WOOD .3 i-%y%�- ' (describe) *1 (B) Cooling ❑ Electric Air Conditioner (brand and model number) (seasonal EER) Btu/hr (cooling capacity at 95°F) ❑ Electric Heat Pump EER Btu/hr (cooling capacity at 95°F) ❑ Other I (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. 19 (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 3 (6) DOMESTIC WATER SYSTEM ❑c (A) Gas Only (brand and model number) (tank size) Heat Pump w/Electric Backup (tank size) ❑ *2 Active Solar Gallons FORM 1 Gallons (brand and model number) (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) C] 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). IN (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 E� (A) Lamps used in luminaries for general lighting in kitchens and bathrooms shall have an efficacy of not less than 25 lumens per watt (usually florescent). *1 Submit documentation of sizing heating and cooling equipment, by Manual J, sizing charts (form #4) or other approved methods, section 2-5352(g), and fill out the following: Heating: Winter design temperature °, elevation ', heating load BTU elevation factor :AMating load = maximum outlet capacity gas furnace BTU (MOOD t.CpL Cooling: Summer design temperature °, cooling load BTU (USE ONLY AS A SIZING GUIDE) COOLING MAY BE INADEQUATE) 2' *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. Olin 7/83 SIGNATURE OF BUILDING DESIGNER OR APPLICANT 3 this set of plans and specifications MUbl be (ept on the job at all times and it is unlawful to rake any changes or alterations on same without written permisson from the Department of Public Works, County of Buttes. 6'9,4/7' NOTE:—All Maferials & Workmanship Shall Be its Accordance with Recognized Good Prccfices and Of a qualify prescribed for tine Spewilied use in the Uniform Building, Plumbing & Mechanical Codes and the .National Electrical Code. Utility connections shall be within 4 ft. of the mobilehome, either directly behind or within the rear half afbe- of the mobilehome. setback of 5 ft. from t � property lines and a setbac of 50ft. from the road centerline shall be clear of structures or equipment except 1 U 4/f for a 2 ft. eave overhang. I �` t\ 1 <�f t Y S 6a"eA Poc..� OE PARTMENT OF PUBLIC WORKS P RMIT rt Y:71�ilta. California 95965 -Telephone: 916/538-754160 PLIC PHONE AND PERMIT NTNG BUILDING PERMIT ` EPHONE SO. FT. OCC. I BUILDING VALUATION Jr/) 1'r� LEPHONE I 1St r Fireplace ,J,IKNOWN Total Valuation $ Filing Fee Permit Fee GENSE No. Plan Checking Fee Energy Plan Checking Fee Penalty Permit fee r ARCEL MAP R.... rA" -,-Co. ,)1 VIOUT, �g I�� n. ;r�T ftuCT u Olydi;l " U (}tllarr�� MobllallrMr►'t� ,� aft WC)14r 1 ❑ Other C1pIljrla><� ^, Inatallrstlr�n lit'- I i'�l utl Ilti�sv ..- �•I I�aN,ud a OrK, I )11,30111'a Wlowr.11• n l 'r 'r. rill I�iCEit>sf� LAtltl siness CON ritA� l� �(10 �ady, 000), t. 0 3 turceof handueffect. piv. (rl Irar)IirY alrnl8 �iIr C im ro In full 11ur un Ir Jrlrrrl my Ir" tion rlr lua 11111 CIa04l f i , thair sole compen- Un 9a(I 11a1 a „l,, rb "{I I nm �10�aaalollo Ili),,�,-- v,ith wn(jaa ate intended or offered ol1,t I ro No. ...-r� ,n / „nllr�t'iha �tru'%tura I a not L14urrr;a nwllar, a 11 V all tlnU with Ilcensed contract - flit) and the I{ (IL1 l)44) dlvaly control; (r I a"tlanlaw(SoO. / urn „<r%1 iI oda and Professions Code fur nv,,,,a(, fyualn I, ot$ tha 104a) '�.�- �.•� II,a. (5011.It ,n1(lol- I urn dX,unl ION IN3USANCE r 11 "�- �I,I,N3AT ler 111 1KN11:N'a (a�r,lrark rina)ar lana ilding Department yy0i ul I In'/ vnlllntrorl) ,rI f3utta pu I#)'0 ( ur a Certificate N 011e I,v,rllr 11'" �nrtafntlu„ Inauranca lea 1111i) f(1r ,Tarr{ t flit' panlilt nn 11I" ,,,,'a I}un4 as to become subject I 1 It I Plocritt y11nr1'1" mnrrrlal gall Irr Ii doll In Iw a Curllllr ataIli aur lnr nn o,� become subject al (;urlttalj1 1 'IIuY fifty jllur111a. t, should Y comply with such nut ,11111 to t.ra t111n atntnnlart lorthwrth -1 I dlutllW C Iowa rrlay.nlU I,rnln, Y, rnuat �.I to tlla If nflar rrr , ravfrKrxl, 111 APPj1Can1; I�f III" I •,rl'riffanla I npuve information ,111 1001 arnla 11101 th3tnta Laws relating 10041101.,.I'th1:1Pan'all1 all r,IluntIon and and I tlra W 11110 1111 r,uuntY Urn 1011 to �jlativae Uf the County of elluna ar aart ru 'Il l Inn InaVact1.0 Purposes. r.11v1 1 r111111urize inf oI Butte against t I I1ava arnlly f,)P"► Y County { 1,1„tlfv llljta1 10 to 111"'tis lot I1 ,,,,ad IJ tha nny way accrue IS 11111ant' cLnl:rlrul'1tit 11alalWvu "lalltl aa1, ennrhlnr NIUrh ,Uy In Inclgl"nlo�u7ft,i,n1 401 rnnllnU of thio parrnrt (11 1111 11(11 t� it ki0oll it) 1�,aa to 1n1U111arUa� n4t11,1"r111u 111 Or" U j1u11a U1 pnta 1 at hri:llltlaa, 1 n►y In ural A�.nt U 1 1 191 aald�,w .. CiNrlr'"` oorrrr d,r,&I;tion or Construct - PLUMBING PERMIT Each Trap Solar or heat pump water heater Water piping Each qas water heater or vent Gas piping system 1 - 5 outlets Building sewer Mob le Home S I G I W Permit Fee Contractor ELECTRICAL PERMIT Main service 600V OR LESS 100 AMP OR LESS Main service EA. ADD•L 100 AMP NEW CONST. ( DWELLING OCCUP OR ACDNS. ACC. SLOGS. NEW CONSTR. U T"OUTLET NON.RESI D, BRANCH CIRCUIT /POWER APPARATUS �wal permit $ 10.00 $ ini nn IS $ s 11 Filing Fee 2.00 20.00 5.00 5.00 5.00 5.00 0.00 e Filing Fee 10.00 2.50 EX. OCCUp(OUTLETS OR FIXTURES n-030 FIXED EX. Occup. OUTLETS t(RESID )HEA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 10.00 10.00 Permit Fee $ Contractor MECHANICAL PERMIT Filing Fee 10.00 Heatino Cooling Hood 3.00 Ventilation Permit Fee $ Contractor Mobile Home Installation Fee $ Energy Inspection Fee $ I TOTAL PERMIT FEE $ 111.00 I OCCUP.1 CONST.TYPC SCHOOL F-001 PARCEL I PD I ND I ISSUE This permit is hereby issued under the applicable provi- sions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DIRECTOR OF PUBLIC WORKS By Date PERMIT EXPIRES Date 10-21-89 PERMIT. NO. Imo` OFF�Cg COP PERMIT EXPIl,; OWNER Cl Pddres r �' �e Oa. } CONTR. oG ;+GPS gy Oak .7A ASSESSOR PARCEL,Mee '6y LOCAJION x+58 � � ��KjRd ^ BC 1. / , ► Called PC Temp. Elec. S j Called PC 1 Temp. Gas Sei Cal led PG JOB FINALE( b Signature -Y J _ 6K O = Not OK - = Not Applicable MOBILEHOMES * = Not Ready MISCELLANEOUS Date MOBILEHOME UTILITIES (Plans) OK except N's 1. Zoning Requirements -Setbacks -Easements Date DECKS, COVERS, CARPORTS, ETC. (Plans) OK except a's 1. Zoning Requirements -Setbacks -Easements _ 2. Soils; Special MH Support -Sketch 2. Footings; Siie-Depth-Spacing-Connectors 3. Se er; Location -Test -Fall -C/0 -Concrete 3. Decks; Girders and/or Joists -Decking -Bracing -Stairs -Rails daWater; Local io -Tes -Easement Needed (Sketchk 4, '.Wood Awn.; Posts-Beams-Rftrs.-Connec.-Shthg.-Rfg.-Bracing Electricit& oon learances-Grnd. Sly Amp Concrete _ 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Gas; Location -Test -Wrap:/ /"L"ft./ P'Nat.or/ /"L"ft./ /"LPG 6. Carports; Windows -Doors 7. Utility Clearance _ 7. Elec. Card -BI 94W Date_3 -_1i•g") Card -BI Date Card -BI Date Card -BI Date Card -BI Date'/ -g -V% Card -BI Date Card -BI Date Card -BI Date Date MOBILEHOME INSTALLATION (Plans) OK except N's 1. Zoning Requirements -Setbacks -Easements Date POOLS (Plans) OK except q's 1. Setbacks -Easements 2. Footings; Size -Spacing -Marriage Line 2. Soils; Compaction -Structure Stability v 3. Gas; MH Test -Demand -Valve -Connector 3. Pool Structure; Steel -Connections -Thickness -Dead Men -Lining 4. Electricity; MH Test -Crossovers -Breakers -Clearances 4. Elec.; Receptacles and Lighting; Distances-GFI 5. Drain; MH Test -Fall -Flex Connector 6. Water; MH Test -Regulator -Connector 5. Elec.; Pool Lighting; 15 volts-GFI 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 Lghig. Boxes -Enclosures -Panel boards -Ins. to Main in Conduit 9. Exits; Insp.-Sketch 10. Cert. of Occupancy 9. Health Department Approval 10. Plumb; Cir. Test -Water Supply Test Card B-1 Date Card -BI Date Card -BI Date Card -BI Date Card B -I Date Card -BI Date Card -BI Date Card -BI Date V = OK 0 = Not OK - = Not Applicable RESIDENTIAL (Single and Duplex) * = Not Ready Date UNDERFLOOR (Plans) OK except #'s 1. Zoning requirements -Setbacks -Easements _ 2. Ftg., Main; Soils -Steel -Elect Grnd.- / /" Ftg. 3 Ftg., Garage; Soils -Steel- / /'' Ftg. Depth 4. Ftg., Porches & Decks; Soils -Steel- / /" Ftg. 1 _ 5. Stemwalls, Main; Steel-Blockouts-Wrapped-Slab 6. Stemwalls, Garage; Steel-Blockouts-Wrapped-Slab 7. Piers -Fireplace Ftg.-Steel 8. D.W.V.: Fall -Fittings -Test -2 way C/O -Sewer Test 9. Gas Pipe; Size -Anchors 10. Water Pipe; Test -Anchors -Regulator -Service Test 11. Electric; Underground 12. Plenums &_Ducts; Clearance -Material -Support -Ins. 13. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples Card -BI DateCard-BI Date _ Card -BI Date Card -BI Date Date PLUMBING (Permit) OK except N's 14. Water Ht.: Vent -Access -Combustion Air 15. Water Pipe: Test _&_ Anchors -Nail Protection 16. D.W.V.: Test-Fttngs & Anchors -Nail Protection 17. Shower Pan: Test, First Floor -Tub Access 18. Test Tub & Shower, 2nd Floor -Tub Access__ 19. Gas Pipe: Size & Anchors Card -BI Date _ Card -BI Date _ Card -BI Date Card -BI Date Date ELECTRICAL (Perrr,it) OK except q's 20. Fixture & Transformer Clearance -Ins. Protection 21. Elec. Receptacles Spacing -Lights & Switches at Doors 22. Size Boxes & No. of Conductors -Stapled 23. Romex Installed Close to Edge of Studs & C.J. 24. Equip. Ground made up w/Mech. Fasteners -Bond Gas & Water 25. 2 Appliance Circuits in Kitchen & Conductor Size 26. Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / / ga. Cu or Al 27. Range Circ. / / ga. Cu or AI -Oven Circ. / / ga. Cu or At, Insulated Neutral Yes 28. Service -Riser Conductors & Ground -Main Disconnect _ 29. Equip. Clearances: Panels-Motors-Mech. Equip. _ 30. Clothes Closet Light -Shower Light Date Card -BI Date Date Card -BI Date MECHANICAL (Permit) OK except p's Card B -I Card B -I Date Card -BI Caid-Bt Date 31. A.C. Ducts. Insulation & Support 32. Vent Fan: Exhaust above Insulation 33. Condensate Drain & Overflow: Size & Grade 34. Furnace -Vent: Access -Comb. Air -Return Air Vent -115V outlet 35. Attic Access & Platform if Furnace in Attic 65. Kit. Fixt. & Appliance; Grnd.-Air Gap -Cooking Clearance 66. Elec. Outlets & Receptacles at Kit. Counter 67. Garage Fire Door; Swing -Landing -Closer 68. A.C. Duct in Garage -Damper 69. Wtr. Htr.; Vents -Clearance -Comb. Air-Connector-P.R.V.- In Garage; Above Floor -Meth. Protection 70. Plb., Elec. & Mech. Equip. Listed for Location 71. Elec. Receptacles in Garage; (G.F.I.)-Romex Protec. 72. Insulation -Foam -Looked in Attic E) Yes 73. Guard Rails & Deck Construction -Post Caps 74. Fdn. Vents & Crawl Hole Door -Drainage & Wood -Earth Clearance Looked under Floor ❑ Yes 75. Following instld.: Drive C Yes ❑ No: Walks ❑ Yes ❑ No; Planters ❑Yes ❑No 76. Stucco; Brown -Finish 77. A.C. Unit; Disconnect-Clrnces-Brkr. & Cond. Size -115V Outlet 78. Vents Above Roof; Plbg.-Appliance-Firepl.=Clearance to Opngs. _ 79. Water Well; Disconnect, Electrical, Plumbing 80. Exterior Elec. Trim; G.F.I. Receptacle -Underground 81. Ventilation throughout House -_ 82. Glass Protection _ _ 83. Corrections from Previous Inspections _ 84. Gas ;est -Meters Tagged: Gas -Electric _ 85. Water & Sewer Connected-CiO to Grade -HD Approval 86. Energy Compliance Certificate -Other Certificates Card -BI Date Card -BI Date Date Card -BI Date _ Card -BI r)ate Card -BI Date_ - Date Card -BI Date Card -BI Date Card -BI Date FRAMING(Plans) OK except q's Com lents at Final: 36. Sills, Proper Material & Anchors 37. Walls: Studs -Nailing, Spacing & Bracing -Plates -Sound 38. Bearing Walls over Girders & Floor Nailing 39. Draft Stop in Walls (rat proof) 40. Fire Stops. Furred Ceilings -Stairs -Chases -Tub 41 Header & Beam -Size & Bearing 42. Hangers -Post Caps -Anchors -Connectors 43. Cing. Joist-Rftr. Ties-Purlin-Roof Brac.-Truss-Shthng.-Rfng. 44. Fireplace Ties or Type A Flue -Fireplace Throat 45. Attic Access. Size & Romex Protection -Draft Stop -Ins. Baffles 46. Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions 47. Garage Fire Protection Framing - - -__ 11-- ---------- (NOTE Anentry must be made each time you visit job site) Date FRAMING (Continued) 48. Property Line Firewall & Openings It 49. Ext. Doors -One 3' --Check Garage -3rd story, 2 exits 50. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 51. _ Plywood on Roof Overhang -Attic Vents -Rafter Outriggers 52. Siding -Nailing -Veneer 53. Stucco Mesh -Drip Screed-Fdn..Vents-Underfir. Access_ 54. _ Glazing Area -Glass Protection -Skylights -Plastic 55. Shear Walls; Nailing -Bolts Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Date FINAL (Plans) OK except N's 56. Ext. Steps -Door & Sidelight Protection -Landings 57. Smoke Detector 58. Furnace; Vents -Clearance -Comb. Air -Connector - In Garage; Above Floor-Ducts-Mech. Protection 59. Bedroom Exiting 60. G.F.I. & Bath Fixtures & Tub Access 61. Elec. Trim & Subpanel; Breaker Sizes -Labels 62. Stairs & Rails 63. Fireplace or Stove; Clearances -Hearth 64. Elec. Outlets at Wood Panel; Int. & Ext. 31. A.C. Ducts. Insulation & Support 32. Vent Fan: Exhaust above Insulation 33. Condensate Drain & Overflow: Size & Grade 34. Furnace -Vent: Access -Comb. Air -Return Air Vent -115V outlet 35. Attic Access & Platform if Furnace in Attic 65. Kit. Fixt. & Appliance; Grnd.-Air Gap -Cooking Clearance 66. Elec. Outlets & Receptacles at Kit. Counter 67. Garage Fire Door; Swing -Landing -Closer 68. A.C. Duct in Garage -Damper 69. Wtr. Htr.; Vents -Clearance -Comb. Air-Connector-P.R.V.- In Garage; Above Floor -Meth. Protection 70. Plb., Elec. & Mech. Equip. Listed for Location 71. Elec. Receptacles in Garage; (G.F.I.)-Romex Protec. 72. Insulation -Foam -Looked in Attic E) Yes 73. Guard Rails & Deck Construction -Post Caps 74. Fdn. Vents & Crawl Hole Door -Drainage & Wood -Earth Clearance Looked under Floor ❑ Yes 75. Following instld.: Drive C Yes ❑ No: Walks ❑ Yes ❑ No; Planters ❑Yes ❑No 76. Stucco; Brown -Finish 77. A.C. Unit; Disconnect-Clrnces-Brkr. & Cond. Size -115V Outlet 78. Vents Above Roof; Plbg.-Appliance-Firepl.=Clearance to Opngs. _ 79. Water Well; Disconnect, Electrical, Plumbing 80. Exterior Elec. Trim; G.F.I. Receptacle -Underground 81. Ventilation throughout House -_ 82. Glass Protection _ _ 83. Corrections from Previous Inspections _ 84. Gas ;est -Meters Tagged: Gas -Electric _ 85. Water & Sewer Connected-CiO to Grade -HD Approval 86. Energy Compliance Certificate -Other Certificates Card -BI Date Card -BI Date Date Card -BI Date _ Card -BI r)ate Card -BI Date_ - Date Card -BI Date Card -BI Date Card -BI Date FRAMING(Plans) OK except q's Com lents at Final: 36. Sills, Proper Material & Anchors 37. Walls: Studs -Nailing, Spacing & Bracing -Plates -Sound 38. Bearing Walls over Girders & Floor Nailing 39. Draft Stop in Walls (rat proof) 40. Fire Stops. Furred Ceilings -Stairs -Chases -Tub 41 Header & Beam -Size & Bearing 42. Hangers -Post Caps -Anchors -Connectors 43. Cing. Joist-Rftr. Ties-Purlin-Roof Brac.-Truss-Shthng.-Rfng. 44. Fireplace Ties or Type A Flue -Fireplace Throat 45. Attic Access. Size & Romex Protection -Draft Stop -Ins. Baffles 46. Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions 47. Garage Fire Protection Framing - - -__ 11-- ---------- (NOTE Anentry must be made each time you visit job site) - 4 COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS • 7 County Center Drive - Oroville, California 95965 - Telephone 916/534-4541 APPLICATIQN AND PERMIT PERMIT0 SUM,a R ASSEo PAS Ey. N (o / 019— ZONIN BUILDING PERMIT OWNE� TELEPHONE SQ. FT. OCC, BUILDING VEAL N ,, OWNER' AI G DORE f CONTRrOR'S NAME TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace C ONSTR CTION LENDER UNKNOWN Total Valuation Is Filing Fee $a -- LENDER'S MAILING ADDRESS Permit Fee $ ARCHIT T OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARC]TKCT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS 0 C r Permit fee $ PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 e r r it Sol ar or heat pump water heater 20.00 �QOT NO. SUBDIVISION NAME rARCELMAP Water piping 5.00 Each qas water heater or vent 5.00 USE OF STRUCTURE I SF ❑ Duplex❑ Mobilehome Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home S G W 10.00ea TYPE OF WORK New [—I Addition❑ Re odel Utilities Installation❑ Other ❑ Describe work: Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 8001 OR LESS 100 AMP OR LESS 10.00 Main service EA. ADD'L 100 AMP 2.5 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): ❑ I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in full force and effect. License No. Classification 1, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONST. DWELLING OCCUP.N I AM�z2sgft BI- New CCONSTR.( ULTOUTLET NON-RESID BRANCH CIRC ITS 2.50 ea POWER APPARATUS &) (SINGLE OUTLET CIR. Ex. Occup(OUTLETS OR FIXTURES 200505 eAL030 FIXED APPLNS. OR \ EX. Occup. OUTLETS (RESID.) EA./ 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 / Misc. Wiring 15.00 9 Q Permit Fee $ WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ 1 have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. 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 g Hood 3.00 Ventilation permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue again t sai County ' consequen a of the nting of this permit. X Date Signature of Applicant — OwnerK 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 $ TOTAL PERMIT FEE $ 9 I OCCUP. CONST.TYPE 1FLOODVARC¢Ll ✓/ Po,( ND u This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which D CTOR O UBLIC By PERMIT EXPIRES Date the applicable provi- resolutions to do fees have been paid. WORKS Date eceipt No. NITC-D. P. W., YELLOW-A58�98 R, PINK -INSPECTOR. GOLDENROD -APPLICANT F OWNER COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS - BUILDING DIVISION / 7 COUNTY CENTER DRIVE - DROVj'LLE, CI-LIFORNIA 95965 - TELEPHONE: 916/534-4541 PERMIT APPLICATION`DATA SHEET J1 Permit No. � �Q ✓ (C S /-.o 0/ 0 V-A. P. No. G a -.5����� Proposed Building Use Permit Fee Based Upon Building Inspector At time of permit application, I was advised the following data must be submitted prior to permit processing and/or issuance: DATE RECEIVED APPROVED 4, Complete Contract Price DPW Valuation 1. All items have been submitted. . . . . . . . . . . . 2.. Plot plans in duplicate/triplicate. . . . . . . . . . . 3. Complete plans in duplicate/triplicate. . . . . . . . . 4. Complete engineered plans and calcs. . . . . . . . . . 5., Plans with Energy Design Compliance Statement. . . . . . 6. CUSD "Fees Paid" Stamp on Floor Plan . . . . . ... . 7 Statement of Intent for Non -Heated and AC Buildings. 8. Fees of $ . . . . . . . . 9. Letter of signature authoriza 'on. % 1 anitation approval from ✓' tJi l C 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. . . . . . . . • 7. Pre -inspection for Required..Pre-Inspec. request to (Date) pBuilding Inspector 3� Record-4.c�E P rI � u(� Acknowledgment Statement . _ Other i Knstruction approval required prior to occupancy i When you issue the permit, process as follows:, Mail to owner. Mail to contractor. Telephone and hold for pickup at office. Deliver w/inspector. Other Applicant 4, 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 plication, circle item.) 1. Index permit for above Items No. 2. Additional items required: t (Contractor, Designer, Owner) was advised of above required data by Telephone j Mail By Plans checked by Date Plans approved by Date Other Copy—DPW Date Other .1 -.a- TO: .iTO: Building Department FROM: Encroachment Permit Section RE: Driveway Clearance owner location AP # Driveway permit C% / `���— has been issued for the above property. s ut re date To: Building Z." From: `:'Iwironmontnl 11 lc<l Subject: Sanitation 6a - 6-16 .s (1,1,m (-, r Locat-ion AP,,/ - Plan Approved. fo,!,: 1./A.er :--upply Hold final. for: Final clearance O.K. .-I'or: Clearance for be(-,roOI.IED- 1101,;6. Ot S aP i t a r r, :Upply ivat,er supply D"Ite COUNTY OF BUTTE - Department of Public Works 7 County Center Drive, Oroville, CA 95965 Phone: 916-534-4541 OWNER -BUILDER VERIFICATION Attention Property Owner: An 'owner -builder" building permit has been applied for in your name and bearing your signature. Please complete and return this information at your earliest opportunity to avoid unnecessary delay in processing and issuing your building permit. No building permit will be issued until this verification is received. 1. I personally plan to provide the major labor and materials for construction of the proposed property improvement (yes or no) 3,.Crg 19 2. I (have/have not) a // --e—_ 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:� (O Property Owner L, Social Security Number Date Zz 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. this 1141t of plans and specitications ML151, be (opt on the job at all times and it is unlawful tc nake any changes or alterations on same without written permisson from the Department of Public 'Norks, County of Butte. � o Z I '7 s NOTE:—All Materials & Workmanship Shall Be in. Accordance wish Recognized Good Praeficos asld Of a qual i'Y pr`scr"'Lec f.^,r the ` DCC'! vied use in rhe UniforM Flurnibing & Macbanical Codes and the National Electrical Code. 3 Utility connections shall be with 4 ft. of the mobilehome, either directly behind or within the real half f the Mobile -home. t A�permit will be required for the inst ation of the mobilehome. A setback of 5 ft• fzr rom the of S Propertyft. lines and a setback centerline shall road hall be structures orequip fclear of fment except r a 2 ft. eave overhang, epi o 9 , 3 BUTTE COUNTY s 31JILDING DEPARTMENT APPROVED �N RECORDED IN OFFICIAL RECORDS Return to DPW AGRICULTURAL STATEMENT (?F ACKNOWLEDGEMENT OF BUTTE COUNTY CALIFORNIA FOR RESIDENTIAL DEVELOPMENT AT THF REQUEST OF Section 26-8.1 of the Butte County Code requires this acknowledgement PART'S SHOWN be recorded prior to issuance of a building permit. .SG -29939 1986 SEP -8 AN 9:23 The property described herein is adjacent to land or included` ELEANOR M.BECKER within an area zoned for agricultural purposes, and residents *of thiCLERK-RECORDER FEE ^ property may be subject to inconveniences or discomfort arising from pesticides, the use of agricultural chemicals, including, but not limited to herbicides, and fertilizers; and from the pursuit of agricultural operationhroccasionallbugenerat t not limited to cultivation, plowing, spraying, pruning, and harvesting whic y 9 smoke, noise, and odor. Butte County has established agrs4A-entBaWithin--as-iicd- �xeseand. on - - priority use for produc.ti_ve_agriculturaLaux- , "*", atw adjacent property should be prepared to accept such inconvenience or disconform from normal, necessary farm operations. All that real property situate in the County of Butte, State of.Clifornia, described as follows:"5cc- 10021►1s��iP 4-h L LG MWS L, A- k CC i 4 � �� ��� , � � � � G �.0 ��,��_k� (c' 1"1�C�SGC' �Oc"'6 �uAOOS rl C. o 0" CC 1 1- f -, tp- �(L a��)19 C�,l, l`� �h5 ,� lg3f' S Date: 'I, PROPERTY OWNERS : v State of ) On this the day of 19, before lu SS. me, the undersigned Notary Publ c, personally appeared County of ) 6jo l S E AJ/"- boa®®mm®®©eu®®u®®e®c®am®®® 0 CSHOME r .`inll 10-29`ESTA®NOTARY PUBLIC-CALIFORNIACutte County •aMy Commission Expiros May 19, 1989 �O®©®UOlUifa081313ODO 7UDU0e®® -� Personally known to me. L/ Proved to me on the basis of satisfactory evidence. to be the person(s) whose names) lo_ subscribed to the within instrument and acknowledged that f�- executed the same for the purposes therein contained. IN WITNESS WHEREOF, I hereunto set my hand and official seal. Present A.P. No. r . ............ 0", IIII'll, I, - ", t"'Ili -, ,, '1111,1P "I'll 11 11.111irillt'"' " I I�if,4 i"'ll, �i; " , I , . j,jt, TV t I. * I I I � , I ; �I� 11 11 ,, I � It, � ':lf i, � _:i, i, � ". , , , , 11-11 1, iV CI, T T` Nl AN 0 IT 11 All':: I"i, -,_' �� r,1:11 I ii i"i it AL - HC W L'E! 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