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063-180-011
^ rRICHARD LaFRANCHI f. 063-,18b 011- PERMIT#94-i-2*7k, Ni�W d pri dirt rd, app 7 01W Forest ;.-4735 SHUFFLETO N `FOREST RANCH Ranch RU%,%,Up 900'N Hwy 32, Contr: Paul B�elefevillel Paradise 18 17; Contr- 063-180-011 03-1215 LAFRANCHI, DICK RANCH CONT: FOURSEA �= LAFRANCHI ' . 063-180-011 06-1093 � RANCH Cont: MCCMi*ANV' HVAC � . ' . . . ` . ' � � ` ^ Butte County Department of Development Services ur aun NOTES 7 County Center Drive, Oroviile, CA 95965 (530) 538.7601 www.buttecaunty.neUd�s ur I RESIDENTIAL / APN: _.P_erm7tNe, 0063-180-011 06-1093 Owner. LAFRANCHI 4735 SHUFFLETON DR, FOREST Site Address RANCH Contractor. Cont: MCCLELLAND A/C HVAC Y- — Type of Permit: CHECKED BY SRA .FLOOD CERTIFICATE EQUIRED FIRE SPRINKLERS REQUIRED SPECIAL INSPECTION ITEMS VERIFY USE PERMIT CONDITIONS SUB -STANDARD HOUSING LETTER ENCROACHMENT PERMIT REINSPECTION FEE PAID ENV HLTH CLEARANCE DATE JOB FINALED: / SIGNATURE: =OK O = N.# nK MANUFACTURED HOMES MISCELLANEOUS-. DATE PERMANENT FOUNDATION SOFT -SET 1 ZoningSetbacks-Easements 2 Soils; Special MH Support Sketch 3 Sewer; Loctn-Test; Fall/C/O-Concrete 4 Wtr; Loctn-Test-Easement Needed -Regulator 5 Elec Loctn-Clrncs-Gmd "Am -Concrete 6 Yard Gas; Loctn-Test-Wrap Nat or LPQ Inch Sz Ft Lngth 7 Blckng; SzSpacing-Marriage Line S Gas; MH Test-Demand-Valve-Cnnctr 9 Elec MH Cntnty Test-Crossovers-Breakers-Clmcs 10 Drain; MH Test -Fall -Flex Cnnctr 11 Wtr & Sewer Connected -C/O to Grade 12 Gas and Electricity Tagged 13 Tie Downs .Q Foundation Q 14 Exits 15 Cert of Occupancy 16 HUD Label/Insignia Numbers Serial Numbers ID E C K S -CO V E R S -C A R P O R T S'G ARA G E S 1 Zoning -Setbacks -Easements 2 Ftgs; SoilsSz-DpthSpacing-CnnctrsSteel 3 Decks, Girders/Joists-Dcking-Brcing Stairs-Guard/Handrails, `. 4 Wood Awn; Posts-Beams-Rftrs-CnnctrsShthg. Frmg-Brcng 5 Alum Awn; Columns-CnnctnsSplice-Decal-Enclsrs 6 Carports; Wndws-Doors 7 Electric ., 6 Frmg; Sills-AnchrsStuds-Rftrs-Trusses 9 Siding; Nailing -Veneer -Stucco -Lath 10 Roof; Shthg-Roofing 11 Ext; Steps -Doors -Landings 12 Braced Wail pnis DATE JPOOLS 1 Setbacks -Easements 2 Soils; Compaction -Structure Stability 3 Pool Structure; Steel-Cnnctns-Thickness Dead Men -Lining 4 Elec Rcptcls/Lting; Distance-GFI 5 Elec Pool Lting; 15 volts-GFI 6 EIec.Enclsrs; Conduit Entries -Terminals -Listed 7 Elec Bonding; Metal w/5'-Crcltng Egp-Htr 8 Elec Gmdng; Eqp w/5',641tng Eqp-Pool Ightg _ .Boxes-Encisrs-pniboerds-lnsuitn to Main Conduit l Health Dept App'rvl . 10 Plmb; Cir Test-Wtr Supply Test 11 Lt Niche 12 Encisr; Fencing -Alarms 13 Bonding, Diving board or. Slide e`41 Pool Drawing .y o NOK o 0 =Not OK RESIDENTIAL (Single & Dut)lex PLUMBING 53 Wtr Htr; VentAcc-Cmbstn Air Baffle 54 Wtr Pipe; Test & Anchr-Nail Prtctn 55 DWV; Test Fittings & Anchr Nail Priem 56 Shwr Pan; Test, First fir -Tub Ace 57 Test Tub '& Shwr, 2nd fir - Tub Ace 58 Gas Pipe; Sz & Anchrs ' 59 Fire Sprinkler; Test 60 Yard Gas Piping uA�t MECHANICAL 61 AC Ducts Insultn & Support " 62 Vent Fan, Exhaust abv Insultn 63 Condensate Drain & Ovrfiw, Sz & Grade 64 Furnace -Vent Acc-Comb Air Rtrn/Vent 115 Outlet 65 Attic Ace & Pitfrm if Furnace in attic 40 FINAL 66 Ext Steps -Door & SideLt Prtctn-Landings 67 Smoke Detector 68 Furnace Vnts-Cimc-Comb, Air-Cnnctr In Garage; abv-flr-Ducts-Mech Prtctn 69 Bedroom Exiting 70 GFI & Bath Fxtrs & Tub Ace -Spa 71 GFI Arc Fault 72 Elec Trim & Subpnl, Breaker Szs & Labels 73 Stairs, Guard/Handralis 74 Frpic or Stove, Cimc-Hearth 75 Elec Outlets at Wood Pnl, Int & Ext 76 Ktchn, Fxtr & Appinc; Gmd Air -Gap -Cooking Cimc 77 Elec Outlets & Rcptcls at Ktchn Counter 78 Garage Fire Door; Swing -Landing -Closure 79 AC Duct in Garage -Damper 80 Wtr Htr, Vnts-Cimc-Com Air Cnnctr-PRV; abv fir Mech Prtctn; LPG Appince Undr House 3' drain 81 Plmb; Elec & Mech Eqp Listed for Loctn 82 Elec Rcptcls in Garage (GFI) Romex Prtctn 83 Insultn-Foam-Looked in Attic 84 Guard Rails & Deck Cnstrctn-Post Caps 85 Fndn Vnts & Crawl Hole Door Drn e & Wood -Earth 86 Cimc Drnge Planters [� Yes Q No 87 Stucco Brown -Finish 88 AC Unit Dscnnct, Elec-Plmb 89 Vnts abv Roof, PImb-Appinc-Frpic-Clrnc to Opngs 90 Wtr Well, Dscnnct, Elec, Plmb 91 Ext Elec Trim, GFI Rcptcl-Undrgrnd 92 Vntltn thru House 93 Glass Prtctn 94 Corrections from previous Inspctns 95 Gas Test -Meters Tagged, Gas-Elec 96 Wtr & Sewer Cnnctd-C/O to grade -HD Apprvl 97 Energy Cmpinc Cert -Other Certs 98 Address Posted 99 Fire Sprinkler 100 11 4e e DATE JUNDERFLOOR 1 Zoning -Setbacks -Easements -Flood -Slope 2 Ftg Main; Soils-Elec: Grnd Ftg DRth 3 Ftg Garage; SoilsSteel-Elec Grnd Ftg Dpth 4 Ftg Porches/Decks; SoilsSteel Ftg Dpth 5 Stemwalls Main; Steel-Blockouts Wrapped 6 Stemwalls Garage; Steel-Blockouts Wrapped 6a Hold Downs and Special Anchrs 7 Slab, Steel Wrapped 8 Piers-Frplc Ftg-Steel 9 DWV; Fall -Fitting -Test -2 -way CIO -Sewer Test 10 UF, Gas Pipe; Sz Anchrs-Sz Test 11 Wtr Pipe; Test-Anchrs-RgltrService Test 12, Elec Undrgmd v 13 Plenums & Ducts; Clmc-MaterialSupport4nsultn 14 GirdersSills-Anchr SoltsJoists-Vnts-Cripples 15 Ace & Vntltn 16 Insulation o'A 0 o$ d� DATE IFRAMING 17 Sills Proper Materials & Anchrs 18 Walls Studs -Nailing Spacing & Braces -Plates -Sound -19 Bearing Walis'over Girders & ftr Nailing 20 Draft Stop in Walls (rat proof) - 21 Fire Stops,'Furred CeilingsStairs-Chasers-Tubs 22 Headers & BeamsSi & Bearing 23 Hangers -Post Caps-Anchrs-Cnnctns 24 Ceiling Joist-Rftr Ties-Purlin-Root Brac-TrussShthg 25 Frplc Ties or Type A Flue-Frpic Throat Cimc 26 Attic Acc; 'Sz & Rmx Pitctn-braft Stop -Ins Baffles 27 Bdrm Wndws or Exiting Doors -Sill Ht & Dimensions 28 Garage Fire Prtctn Framing -RC Channel 29 Prprty Line Firewall .& Opngs 30 Ext Doors -One X -Check Garage 3rd Story, 2 Exits 31 Stairs; Width-Hdrm-Rise-Run-Landing-Fire Prtctn 32 Plywd on Roof Ovrhng Attic Vnts-Rftr Outrgrs - 33 Siding -Nailing Veneer 34 Stucco Lath -Weep Screed-Fndtn Vnts-Undrflr Ace 35 Glazing Area -Glass PrtctnSkyLts-Plastic . 36 Shear Walls; Nailing -Bolts - 37 Brace Int/Ext Wall pnis 4 38 lnsultn-Walls-Ceilings 39 Infiltration -Walls -W ndws o� 0`-P DATE JELECTRICAL 40 FxtY & Trnsfrmr Clrnc4ns Prtctn 41 Elec Rcptcls Spacing-Lts & Switches at Doors 42 Sz Boxes & No Of Cndctrs Stapled 43 Romex Installed Close to Edge of Studs & CJ 44 Eqp Grnd made up w/Mech Fstnrs 45 Grndng Electrode Bond Gas & Wtr 46 2 Appinc Cires in Ktchn & Cndctr Sz GFI 47 Subfeed Wire Sz Qa D CU or DAL AC Wire Sz pa Q CU or DAL 48 Range Clic oa DCU or DAL Oven Circ ya Q CU or DAL Insulated Neutral QYes 0 N 49 Service -Riser Cndctrs & Grnd Main Dscnnct 50 Eqp Clrncs pnis-Motors-Mech Eqp 51 Clothes Closet LtShwr Lt -Spa Lt 52 Smoke Detector PLUMBING 53 Wtr Htr; VentAcc-Cmbstn Air Baffle 54 Wtr Pipe; Test & Anchr-Nail Prtctn 55 DWV; Test Fittings & Anchr Nail Priem 56 Shwr Pan; Test, First fir -Tub Ace 57 Test Tub '& Shwr, 2nd fir - Tub Ace 58 Gas Pipe; Sz & Anchrs ' 59 Fire Sprinkler; Test 60 Yard Gas Piping uA�t MECHANICAL 61 AC Ducts Insultn & Support " 62 Vent Fan, Exhaust abv Insultn 63 Condensate Drain & Ovrfiw, Sz & Grade 64 Furnace -Vent Acc-Comb Air Rtrn/Vent 115 Outlet 65 Attic Ace & Pitfrm if Furnace in attic 40 FINAL 66 Ext Steps -Door & SideLt Prtctn-Landings 67 Smoke Detector 68 Furnace Vnts-Cimc-Comb, Air-Cnnctr In Garage; abv-flr-Ducts-Mech Prtctn 69 Bedroom Exiting 70 GFI & Bath Fxtrs & Tub Ace -Spa 71 GFI Arc Fault 72 Elec Trim & Subpnl, Breaker Szs & Labels 73 Stairs, Guard/Handralis 74 Frpic or Stove, Cimc-Hearth 75 Elec Outlets at Wood Pnl, Int & Ext 76 Ktchn, Fxtr & Appinc; Gmd Air -Gap -Cooking Cimc 77 Elec Outlets & Rcptcls at Ktchn Counter 78 Garage Fire Door; Swing -Landing -Closure 79 AC Duct in Garage -Damper 80 Wtr Htr, Vnts-Cimc-Com Air Cnnctr-PRV; abv fir Mech Prtctn; LPG Appince Undr House 3' drain 81 Plmb; Elec & Mech Eqp Listed for Loctn 82 Elec Rcptcls in Garage (GFI) Romex Prtctn 83 Insultn-Foam-Looked in Attic 84 Guard Rails & Deck Cnstrctn-Post Caps 85 Fndn Vnts & Crawl Hole Door Drn e & Wood -Earth 86 Cimc Drnge Planters [� Yes Q No 87 Stucco Brown -Finish 88 AC Unit Dscnnct, Elec-Plmb 89 Vnts abv Roof, PImb-Appinc-Frpic-Clrnc to Opngs 90 Wtr Well, Dscnnct, Elec, Plmb 91 Ext Elec Trim, GFI Rcptcl-Undrgrnd 92 Vntltn thru House 93 Glass Prtctn 94 Corrections from previous Inspctns 95 Gas Test -Meters Tagged, Gas-Elec 96 Wtr & Sewer Cnnctd-C/O to grade -HD Apprvl 97 Energy Cmpinc Cert -Other Certs 98 Address Posted 99 Fire Sprinkler 100 11 4e e Date: 5/18/2006 Job#: 06234 CERTIFICATE OF FIELD VERIFICATION & DIAGNOSTIC TESTING (Page I of 8) CF -4R Project Address 4735 Shuffleton Drive, Forest Ranch, Ca. Builder Name McClelland Heating and Air Builder Contact Telephone McClelland Heating and Air 530 891-6202 Plan Number HERS Rater Telephone Mervyn Martin 530 894-846 Sample Group Number Values Compliance Method (Prescriptive) Climate Zone 11 'A' y Digi By signed by Mervyn Malin Certifying Signature y / _ ON:CN= Mervyn MeNn.C= US. 0=Energ ,,.,.,Date .9emms Date: 2006.05.1912:36:59-07100' Sample House Number Fin" Energy Calculation Services HERS Provider CHEERS Street Address: 574 Manzanita Avenue, Suite 9 City/State/Zip: Chico, Ca. 95926 Copies to: BUILDER, HERS PROVIDER AND BUILDING DEPARTMENT HERS RATER COMPLIANCE STATEMENT The house was: ✓ El Tested ✓ E] Approved as part of sample testing, but was not tested As the HERS rater providing diagnostic testing and field verification, I certify that the house identified on this form complies with the diagnostic tested compliance requirements as checked ✓ on this form. The HERS rater must check and verify that the new distribution system is fully ducted and correct tape is used before a CF -4R may be released on every tested building. The HERS rater must not release the CF -4R until a properly completed and signed CF -6R has been received for the sample and tested buildings. 0 The installer has provided a copy of CF -6R (Installation Certificate). ❑ New Distribution system is fully ducted (i.e., does not use building cavities as plenums or platform returns in lieu of ducts). ❑ New systems where cloth backed, rubber adhesive duct tape is installed, mastic and draw bands are used in combination with cloth backed, rubber adhesive duct tape to seal leaks at duct connections. ✓ ❑ MINIMUM REQUIREMENTS FOR DUCT LEAKAGE REDUCTION COMPLIANCE CREDIT Procedures for field verification and diagnostic testing of air distribution systems are available in RACM, Appendix RC4.3. Duct Diagnostic Leakage Testing Results NEW CONSTRUCTION: Duct Pressurization Test Results (CFM @ 25 Pa) Measured Values I Enter Tested Leakage Flow in CFM: 2 Fan Flow: Calculated (Nominal: ✓ ❑ Cooling ✓ ❑ Heating) or ✓ ❑ Measured Enter Total Fan Flow in CFM: 2,000 3 Pass if Leakage Percentage <_ 6% [ 100 x [_(Line # 1) / 2,000 (Line # 2)]] ❑ Pass ❑ Fail ALTERATIONS: Duct System and/or HVAC Equipment Change -Out Enter Tested Leakage Flow in CFM from CF -6R: Pre -Test of Existing Duct System Prior to 4 Duct System Alteration and/or Equipment Change -Out. Enter Tested Leakage Flow in CFM: Final Test of New Duct System or Altered Duct System 5 for Duct System Alteration and/or Equipment Chan a -Out. 138 Enter Reduction in Leakage for Altered Duct System [_(Line # 4) Minus 138 (Line # 5)] 6 (Only if Applicable) 7 Enter Tested Leakage Flow in CFM to Outside (Only if Applicable) ✓ ✓ 8 Entire New Duct System - Pass if Leakage Percentage <_ 6% ❑Pass ❑Fail 100 x 138 Line # 5 / 2. 000 Line # 2 TEST OR VERIFICATION STANDARDS: For Altered Duct System and/or HVAC Equipment Change -Out ✓ ✓ Use one of the following four Test or Verification Standards for compliance: 9 Pass if Leakage Percentage 5 15% [100 x [ 138 (Line # 5) / 2,000 (Line # 2)1] 6,9 0 Pass ❑ Fail 10 Pass if Leakage to Outside Percentage <_ 10% [100 x [ (Line # 7) / 2,000 (Line # 2)]] ❑ Pass ❑ Fail Pass if Leakage Reduction Percentage >_ 60% [100 x [_(Line # 6) / 2.000 (Line # 4)]] 11 and Verification b Smoke Test and Visual Inspection ❑Pass ❑Fail 12 Pass if Sealing of all Accessible Leaks and Verification by Smoke Test and Visual Inspection ❑ Pass ❑ Fail Pass if One of Lines # 9 through # 12 pass ❑ Pass ❑ Fail Residential Compliance Forms April 2005 BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT 24 HOUR INSPECTION #: (530) 538-7636 (OROVILLE) (530) 891-2834 (CHICO) OFFICE #: (530) 538-7541 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 the Business and Professions Code, and my license Is In full force and effect. License Class: — �n License umbe/r: S Dale:cf' o Contractor. I&Cel�( OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors' Stale License Law for the following reason (Sec. 7031.5 Business and Professions Code: Any city or county which requires a permit to construct, alter, improve, demolish, or repair any structure, prior to its issuance, also requires the applicant for such permit to file a signed statement that he or she is licensed pursuant to the provisions of the Contractor's State License Law (Chapter 9 commencing with Section 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 Code: The Contractors' State License Law does not apply to an owner of property who builds or improves thereon, and who does such work himself or herself or through his or her own employees, provided that such improvements are not intended or offeredfor 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.). O I, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec. 7044, Business and Professions Code. The Contractors' State License Law does not apply to an owner of properly 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 the Business and Professions Code Date: Owner: WORKERS' COMPENSATION DECLARATION I hereby affirm under penalty of perjury one of the following declarations: O 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ I 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: 91Ae—, Policy #: ❑ 1 certify that in the performance of the work for which this permit is issued, 1 shall not employ any person in any manner so as to become subject to the workers' compensation laws of California, and agree that If I should become subject to the workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comp)y with those provisions. Date: Applicant: WARNING: Failure to secure workers' compensation coverage Is unlawful, and shall subject an employer to criminal penalties and one hundred thousand dollars ($100,000), in addition to the cost of compensation, damages as provided for in Section 3706 of the Labor code, interest, and attorney's fees. PERMIT NO. f-31�Z�iUZ'IK3 Issued Date: 05/10/2006 APN: 063-180-011-000 Site Address: 4735 SHUFFLETON DR FRN Map Index: Description: REPLACE HVAC Owner: LAFRANCHI RICHARD D & DONA M JT P O BOX 73 FOREST RANCH, CA 95942 Applicant: LAFRANCHI RICHARD D & DONA M JT Contractor: MCCLELLAND AIR CONDITIONING, INC 801 MARAUDER ST. CHICO, CA 95973 (530) 891-6202 License #: 345121 Architect: Engineer: Total Square Ft: Valuation: Census Code: CONSTRUCTION LENDING AGENCY Thls permit is hereby is I hereby affirm that there is a construction lending agency for the Resolulio to do work performance of the work for which this permit is issued (Sec 3097 Civ.) . e �0 EXPIRES ON: Address: 0 S. F. $0.00 �)_o qyl* applicable provisions of the Butte County Code and/or for which fees have been paid. Date: b k, I hereby certify that the use of this facility shall comply with Sections 25505, 25533, and 25534 of the California Health and Safety Code, which regulate the storage, handling and use of hazardous materials. ❑ Notification in accordance with Section 19827.5 of California Health & Safety Code Is not applicable to the scheduled construction of this project. ❑ Attached are copies of the required E.P.A. notification forms. I hereby certify that I have -read this application, that the above Information is correct, and that I am the owner or the duly authorized agent of the owner. I agree to comply with all county and state laws"relating to building construction. I acknowledge it is unlawful to alter the substance of any official form or document of Butte County. I hereby authorize representatives of Butt County enter upon the above mentioned property for inspection pur s s. Print Name: /r -L iC'�iL a-� ( !�7 T S Signature: Date: ❑ Owner ❑ Contractor �, Agent for Owner ❑ Agent for Contractor B. C. Building Permit 01-16-04 pg 1 063-180011 t 0 3-1 215 LAFRANCHI� DICK 3 r 4735.SHUFFLETONRD., FOREST, i` RANCH "• g CONT: FOURCSEASON'S ; ~ ' L REROOF%SF '1 COUNTY OF BUTTE- DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-754 PERMIT NO. (Rev.12/96) APPLICATION AND PERMIT ASSESSOR PARCEL NUMBER ; { / o iJ .... I .. i / ZONING ie. BUILDING PERMIT OWNER ` ', TELEPHONE4l 1 SO. FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS'1'' �Ik ) c; CONTRACTOR'S NAME- \.' A l TELEPHONE CONTRACTOR'S MAILING ADDRESS j_ + l CONSTRUCTION LENDER LENDER'S MAIUNG ADDRESS Fireplace Total Valuation $ ARCHITECT OR ENGINEER LICENSE NO. —FilingFee $ 20.00 Permit Fee $ ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ BUILDING ADDRESS \ Energy Plan Checking Fee $ $ PERMIT FEE $ LAT NO. s SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMIT Filing Fee 20.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome ❑ Other " ' SPECIFY Each Trap 7.00 Solar or heat pump water heater 23.00 Water piping 15.00 Each gas water heater or vent 15.00 TYPE OF WORK ti New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other E3'. Describe Work: 1jy t Gas piping system 1 - 5 outlets 15.00 Buildingsewer 15.00 Mobile Home S G W @20.00 \ PERMIT FEE $ ELECTRICAL PERMIT Fling Fee 20.00 600V R LESS ) Main Service 20 OA OR LESS 23.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect. f f t -, � �- 7 License Class t '� Lic. No. ��LL ���+++/// iii ✓✓✓ \\ OWNER -BUILDER DECLARATION .r. \ a 1 hereby affirm under penalty of perjury that I m exempt from the Contractors License Law for the following reason:` �` ❑ I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended'or offered for sale. ❑ I, as owner of the property, amiexclusively contracting with licensed contractors to construct the project. ti ❑ 1 am exempt under Sec. S. Business and Professions Code,for this reason MainrBervice =.A TO 1000A 46.00 NEW CONST. DWELLING OCCUP. OR ADDNS. ( d ACC. BLDS. so 3.50FT. 'NON•REBIDT MUCH CI CUI 97,50TS ' POWER APPARATUS 8 SINGLE OUTLET CIR. Ex. Occu ourLEr OR FaruREs 20 � ' 00 BAL @ .so FU(ED WS. Ex. Occup. oun.ETsAPPRESID. OR EA 5.00 Tem orar Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 ' PERMIT FEE $ WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ 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 is issued. ❑ 1 have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier C. i -k-A s -C '�"lIL.�� ..I I MECHANICAL PERMIT Fling Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE $ Policy Number ;:�1_. •- , I ? {,J1 I 1 1 ; ► (The above sections need not be completed if the permit is for wo` k of a valuation. Of one hundred dollars ($100) or less.) i ❑ 1 certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to becometsubject to workeis'HqZ, 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'shallt forthwith comply with those provisions. f �.�, QUO - � [[,,,,�� L1�/ ! ``�� X '-��`w h�� ate _ Signature of Applicant - ❑ Owner ❑ Contractor ❑. Agent An OSHA permit is required for excavations over 60" deep and demolition or constructiof of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ CONST. TYPE / f TOTAL FEE $ 1 W -f -Uv VThisperm�it D. FEES IMP FLOOD CDF PARCEL PD HD ISSUE 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. �%% a., .13 Qy_ A,, �6 � Date �//.,✓ �f PERMIT EXPIRES ON 1/r,5�dy Date rRecTeiptNo. `7i�/ 2. ©t% .D.S.-B.D. - "CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT f' BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT 24 HOUR INSPECTION #: (530) 538-7636 (OROVILLE) (530) 891-2834 (CHICO) . OFFICE #: (530) 538-7541 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 the Business and Professions Code, and my license is In full force and effect. �D t1 License Class: L " —;30� Licenseumber: Date:( r� Contractor: E �( / OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors' State License Law for the following reason (Sec. 7031.5 Business and Professions Code: Any city or county which requires a permit to construct, alter, improve, demolish, or repair any structure, prior to its issuance, also requires the applicant for such permit to file a signed statement that he or she is licensed pursuant to the provisions of the Contractor's State License Law (Chapter 9 commencing with Section 7000) of Division 3 of the Business and Protessions 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 (8500).): ❑ I, as owner of the property, or my employees with wages astheir sole compensation, will do the work, and the structure is not intended or offered for sale (Sec. 7044, Business and Professions Code: The Contractors' State License Law does not apply to an owner of property who builds or improves thereon, and who does such work himself or herself or through his or her own employees, provided that such improvements are not intended or offered for sale. If however, the building or improvements are sold within one year of completion, the owner -builder will have the burden of proving that he or she did not build or improve for the purpose of sale.). ❑ I, as owner of the property, am exclusively contracting with licensed. contractors to construct the project (Sec. 7044, Business and Professions Code. The Contractors' Stale License Law does 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 the Business and Professions Code Date: Owner: WORKERS' COMPENSATION DECLARATION I hereby affirm under penally of perjury one of the following declarations: ❑ 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 is issued. ❑ I 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: Policy #:/2 ❑ 1 certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to the workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. Date: - Applicant: WARNING: Failure to secure workers' compensation coverage is unlawful, and shall subject an employer to criminal penalties and one hundred thousand dollars (8100,000), in addition to the cost of compensation, damages as provided for in Section 3706 of the Labor code, interest, and attorney's fees. PERMIT NO. BP061093 Issued Date: 05/10/2006 APN: 063-180-011-000 Site Address: 4735 SHUFFLETON DR FRN Map Index: Description: REPLACE HVAC Owner: LAFRANCHI RICHARD D & DONA M JT P O BOX 73 FOREST RANCH, CA 95942 Applicant: LAFRANCHI RICHARD D & DONA M JT Contractor: MCCLELLAND AIR CONDITIONING, INC 801 MARAUDER ST. CHICO, CA 95973 (530) 891-6202 License #: 345121 Architect: Engineer: Total Square Ft: Valuation: Census Code: CONSTRUCTION LENDING AGENCY This permit Is hereby is I hereby affirm that there is a construction lending agency for the Resolution¢ to do work performance of the work for which this permit is issued (Sec 3097 Civ.) n a i EXPIRES Address: 0 S. F. $0.00 4- q)__6 qy/ pplicable provisions of the Butte County Code and/or for which fees have been paid. Date: Id I hereby certify that the use of this facility shall comply with Sections 25505, 25533, and 25534 of the California Health and Safety Code, which regulate the storage, handling and use of hazardous materials. ❑ Notification in accordance with Section 19827.5 of California Health & Safety Code is not applicable to the scheduled construction of this project. ❑ Attached are copies of the required E.P.A. notification forms. I hereby certify that I have read this application, that the above information is correct, and that I am the owner or the duly authorized agent of the owner. I agree to comply with all county and state laws relating to building construction. I acknowledge it is unlawful to alter the substance of any official form os document of Butte County. I hereby authorize reprbsentaattives of Butt County enter upon the above mentioned property for inspection pur s s. Print Name: /� iC rte/ 6L rlo /�iT7� S Signature: Date: ❑ Owner ❑ Contractor �. Agent for Owner ❑ Agent for Contractor B. C. Building Permit 01-16-04 pg 1 BUTTE COUNTY PERMIT DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT APPLICATION NO. AND SUBMITTAL REQUIREMENTS 24 HOUR INSPECTION#: OROVILLE: (530) 538-7636 • CHICO: (530) 891-2834 BP OFFICE M (530) 538-7541 A FEE [VILL BE REQUIRED AT TIME OF APPLICA TION BIN # **PLEASE PRINT CLEARLY** CONTRACTOR Name ond. Inc Address 801 Maruader Street city Chico State CA Zip 95973 Phone 891_6202 Fax 891_5137 E-mail Lic. # 3 4 5121 Clasr _ 2 ARCHITECTIENGINEER Name Address City Slate Zip Phone Fax E-mail State License Number Name �! City-- ,/� Phon� E-mail APPLICANT NAME LOCATION D (0-S-9 r) -C,) f/ ty Address Cross Street WORKER'S COMPENSATION Pnliry KlllmhP.r aia5yfo-os Carrier .2�GA� ALL,✓�!S!G /Ats 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 n / DescriAllon or Scope of Work: Gjl Sq. Footage O Proposed Change of Occupancy - (Note previous use): EXPIRATION OF APPLICATION Inc 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 ZID _ renini—I APPLICANT S/GNATURE K or office use only: 'oning Flood Zone SRA Yes No kc. Type Const. ubdivision Name Map Book Page Lot # tanner Date Approved. )VER FOR SUBMITTAL REQUIREMENTS �IFr1RMS1RIIII hl�ir_r•n�tinc�nia„n....l�`.d.n,....,._ ,. REQUEST FOR REFUNDS Refunds can only be made upon written request by the person who paid the fee. The request must be made prior to the expiration of the permit and no construction work has been done. Filing fees, plan check fees for work plan checked and other department costs are not refundable. Received by: Amount: Bldg Receipt #:4 SD SRA 0- Q Sheriff v9 SMIP. Date: Other --_Total COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-754 PERMIT.NO. (Rev. 12/96) APPLICATION AND PERMIT-�� ASSESSOR PARCEL NUMBER r ZONING BUILDING PERMIT OWNER T f ( SO. FT. OCC. BUILDING VALUATION OWNERS G ADD SS lY'•`` l`L^•'V`^y` on 01=1 41,n CO ,MF /fi CTOR'S NA � � LIYo CONTRACTOR'S MAILING ADDRESS CONSTRUGTION LENDER Fireplace LENDER'S MAILING ADDRESS Total Valuation Is ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00 Permit Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Plan Checking Fee $ BUILDING ADDRESS __ V s Energy Plan Checking Fee $ $ PERMIT FEE $ LOT NO. SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMIT Fling Fee 20.00 Each Trap 7.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome ❑ Other SPECIFY Solar or heat pump water heater 23.00 Water piping 15.00 Each gas water heater or vent 15.00 TYPE OF WORK New ❑ Addition ❑ odel ❑ ities ❑ In tion ❑ Other ❑ Describe Work: Lo Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home S G W @20.00 PERMIT FEE S ELECTRICAL PERMIT Filing Fee 20.00 800VOR LE Main Service zo.A OR LESS 23.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is i full force and effect.r License Class LIC. No. lO O� OWNFR-BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: ❑ I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason Main Service 20oA TO 46.00 CCU000A NEW CONST. DWELLING OCCUP. OR ADONS. ( MING BLDS. SO 3.5,sa p�0µga,..T MULTI -OUTLET BRANCH CIRCUITS 97,50 POER APPARATUS a SINW GLE OUTLET CIR. EX. OCCU OUTLET OR FIXTURES BAL @ I.00 Ex. Occup.OFIXUTLEETS RESID.) Ep 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring23.00 PERMIT FEE $ WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ 1 have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' co�ins nc�nd policy number are: Carrier _,, _ MECHANICAL PERMIT Fling Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE $ Policy Number — cC)CL.)71'[+ , (The above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) ❑ 1 certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions ofs i n 3700 of the Labor Code, shall hwith com ith�thosrovisions. `© X r _ ate r_ _ Sig t e of Applicant - Owner ❑ Co a for ❑ Agent An OSHA permit is required for excavations over 60" deep and demolition or constructioS of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST. TYPE TOTAL FEE $ HAZ. D. FEES IMP FLOOD CDF PARCEL ObHD ISSUE This permit is hereby.issued under of the Butte County Code and/or indicated above for which fees have PERMIT EXPIRES ON the applicable provisions Resolutions to do work been paid. ate �J bele Receipt No. -r WHITE-D.D.S.-B.D. CANARY -AS SSOR PINK -INSPECTOR GOLDENROD -APPLICANT 00 BUILDING DIVISION eG%itipc COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES �G ooF 7 COUNTY CENTER DRIVE — OROVILLE, CALIFORNIA 95965 — TELEPHONE: (916) 538-7541 �9 AGRICULTURAL BUILDING EXEMPTION PERMIT I� s P OW2T NO. C UU I "l I'll Agricultural building is defined as follows: Agricultural building is a structure deed and constructed to house farm implements, hay, grain, poultry, livestock, or other horticultural products. This structure shall not be a place of human habitation or a place of employment where agricultural products are processed, treated, or packaged, nor shall it be a place used by the public. ASSESSOR PARCEL NO. 0(0,3_ / Q®, / ZONING OWNER � (` PHONE NO. OWNER'S ADDRESS r(f:>,9Qk k3 LOCATION OF BUILDING oc "Olej USE OF BUILDING SIZE OF STRUCTURE 35 � ' X � SO. FT. TYPE OF CONSTR_ UNION: WOOD FRAME (y� STEEL CONCRETE OTHER (Specify) TYPE OF SIDING �V49ig ROOF COVERING FLOOR PE $STIMATED,nS��� ONSTRUCTION AG Buildings shall comply with the building front, side, and rear yard requirements of the applicable County Ordinances as follows: ' r FRONT SIDES �0 h`"'y`� REAR AG Buildings shall be a minimum of five (5) feet from any septic tank or leach fields. \ AG Buildings less than 1000 sq. ft. in floor area shall be located a minimum of 6 feet from a residence, 10 feet from a =.. mobilehome, and 23 feet from a commercial building. AG Buildings greater than 1000 sq. ft. in floor area shall be located a minimum of 23 feet from a residence and a mobilehome, and 40 feet from a commercial building. AG Buildings must comply with Flood Zone requirements. Finish floor elevation must be at or above elevation USGS Datum. I declare under penalty of perjury that the building will be used as stated above and the purposed use confirms with the AG Building definition. If any change in use or occupancy of the building is made, I will contact the Building Division and obtain any necessary permits, inspections, and approvals to comply with the requirements in effect at that time and before occupancy. �p /� Date_ ' (!i� Signature of Owner— L�U-' 0-! l 2 S //w zu, Permit Fee - $60.00 The above described AG Building is exempt from a building permit. Receipt No. FLOOD PA7 V/ I ROOFINGISS_ Manager Building Division By /� Date White — DPW, Yellow — Assessor, Pink — B. I., Goldenrod — Applicant i rr •.n«�.T'u..ar. -rtw:rS �k �A l � • t�:rw�r, nr+.i.+-.--�. �. .' i •rr.-,.rw a-. w--,,.rv.�^. ...,r-r,�v,...rilv�v+` ����h�^', � •�Ww�:':�::...,,y� .. � ^y`TN .e"»i ""fS. u. a*fw'.'. � ..-...r,-.�.. ., � ,. _ COUNTY OF -BUTTE - DEPARTMENTAOF DEVELOPMENT.SERVICES -BUILDING DIVISION ' 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965'- TELEPHONE (916) 538-7541 ERMIT APPLICATION DATA SHEET fi/l. OWNER - CSW A. -P. No. aA 3 Proposed Building Use Building Inspector Date Y At time of permit application, I was advised the following data must be submitted prior to permit processing and/or issuance: DATE RECEIVED BY 1. 2.- 3. 4. 5. 6. 7. 8. 9. 10. 11. 12. 13. 14. 15. 16. 17. 18. 19. 20. 21. 22. 23. 24. 25. 26. 27. 28. 29. 30. 31. 32. 33. 34. All items have been submitted . ........................................ Plot plans, 3/4 sets, signed by preparer of plans . .......................... Complete plans, 3/4 sets, signed by preparer of plans . ...................... Engineered plans and calcs, 3/4 sets, with wet signature on plans . ............. Hazardous Material Form . ........................................... . Energy Design Compliance and supporting documentation . .................. Statement of Intent for Non=Heated and A/C Buildings . ...................... Engineered truss details and layout in duplicate (required prior to.plan check). ... . Mobilehom d' and manufacturer's installation instructions, 2 sets. ........... Feesof $ 0 ...................' ........ ............ . Impact fees as shown on attached schedule. .t ... :....... i.+' . r ............:. . California Department of Forestry plan approval/fees. . . .1 . . . . . . . . . : . . . . . . . . . . Flood elevation letter (100 year flood) by California Engineer . ............... t. . Sanitation and plot plan approval Health Department. ..........{.. City of Chico plumbing permit. ......................................:.. . Plot plan and business license approval from City of Biggs/Gridley. Planning approval for (A) Use: (B) Parking: Contact Land Developr fent about (A) Improvements (B) Drainage. .......... . Driveway permit (construction approval required prior to occupancy). ...Pre!��e;AioA requ-eV Pre -inspection for required. .. to Building Inspector (Date) Contractor's license information. (No., Name Style, Classification). .. ........ . Certificate of Workmans Compensation Insurance. ...... i ....... ........... . Owner -Builder Verification (Given to owner Mail to owner _). .......... . Recorded copy of Agricultural Acknowledgement Statement.* ................. Letter of signature authorization . ........................................ Copy of recorded deed of parcel creation and 60 right of way to a public road. .... . Letter of intent on building use . ......................................... Mobilehome utility clearance . .......................................... Documentation of legal access . ..................... :.................. Documentation of 50% subdivision developed or (A) Road improvements completed and (B) Parcel meets zoning area and frontage requirements . ............... Existing violations/expired permits . ...................................... Plan check list . ..................................................... When you issue the permit, process as folio'�s: Mail to owner. Mail to contractor. Telephone and hold for pickup af�--- office. Deliver with inspector. Other Parcel Creation Acreage Applicant Date Copylof Haz-Mat form sent Health Dept. Fire Dept. Air Pollution Date Copy of plans sent Health Dept. Fire Dept. Other Date By The following data must be submitted prior to permit issuance: (Circle new item not checked above). 1. Index permit for above items No. 2. Additional items required: Contractor, designer, owner, was advised of above required data by _ phone _ mail Counter by _ Date Contractor, designer, owner, was advised of above required data.by _ phone -mail Counter by _ Date Plans checked by Date 'Pians approved by Date Sets of plans on hold in File cabinet AP folder Copy - Department of Public Works PERMIT NO. 6-73-83B,P,E,M PERMIT EXPIRES��D/O OWNER RICHARD LaFRANCHI CONTR. Paul Bellefeville, Paradise 6 ASSESSOR PARCEL 6318=11 LOCATION NW/end pri dirt rd, app 700'W Forest. Ranch Rd, app 900'N Hwy 32, Forest Ranch fK irh Jj ,tl S Temp. Power Pole / S —F3 Y Called PG&E 7 i Temp. Elec. Servic Called PG&E _ Temp. Gas Service i � Called PG&E JOB FINALED (Date) Signature ;t i.: J OK 0 = Not OK Not Applicable MOBILEHOMES * = Not Ready • MISCELLANEOUS 's Date MOBILEHOME UTILITIES (Plans) OK except N's 1. Zoning Requirements -Setbacks -Easements Date DECKS, COVERS, CARPORTS, ETC. (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Soils; Special MH Support -Sketch 2. Footings; Size -Depth -Spacing -Connectors 3. Sewer; Location -Test -Fall -C/0 -Concrete 3. Decks; Girders and/or Joists -Decking -Bracing -Stairs -Rails - 4. Water; Location -Test -Easement Needed (Sketch) 4. Wood. Awn.; Posts-Beams-Rftrs.-Connec.-Shthg.-Rfg.-Bracing 5. Electricity; Location-Clearances-Grnd.-/ / Amp -Concrete "5. -Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Gas; Location -Test -Wrap:/ /"L"ft./ /"Nat. or/ /"L" ft./ /"LPG 6. Carports; Windows -Doors' 7. Utility Clearance 7. Elec. Card -BI Card -BI Date Date Card - BI Date Date Card -BI Date MOBILEHOME INSTALLATION (Plans) OK except it's Card -BI Card -BI Date Date, Card -BI Date Date- Card -BI Date POOLS (Plans) OK except q's 1. Zoning Requirements -Setbacks -Easements 1. Setbacks -Easements 2. Footings; Size -Spacing -Marriage Line 2. Soils; Compaction -Structure Stability 3. Gas; MH Test -Demand -Valve -Connector 3. Pool Structure; Steel -Connections -Thickness -Dead Men -Lining 4. Electricity; MH Test -Crossovers -Breakers -Clearances _ 4. Elec.; Receptacles and Lighting; Distances-GFI 5. Drain; MH Test -Fall -Flex Connector 5. Elec.; Pool Lighting; 15 volts-GFI 6. Water; MH Test -Regulator -Connector 6. Elec.; Enclosures; Conduit Entries -Terminals -Listed 7. Water and Sewer Connected -C/O to Grade -HD Approval 7. Elec.; Bonding; Metal w/5' -Circulating Equipment-Heatei " 8. Gas and Electricity Tagged 8. Elec.; Grounding; Equip. w/5' -Circulating Equip. -Pool Lghtg. Boxes-Enclosures-Panelboards-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 -Bl Date Card -BI Date Card -BI Date 0 V - OK. O - NolI "•`-' Not pplicable } = Not Ready RESIDENTIAL (.iKgle• and Duplex) Date UNDE LOOK P s) OK except H's Date FRAM Continued O. -'Zoning requirements Setbacks Easements 4qPProperty Line Firewall & Openings aiPf •, Main; Soils-SiI' /" Ftg. Depth xt. Doors -One 3' -Check Garage -3rd story, 2 exits t , Garage; Soils -Steel-// /" Ftg. Depth lairs; Width -Headroom -Rise -Run -Landing -Fire Protection _ e Ig., Porches & Decks; Soils -Steel- / 6 /" Ftg. DepthPJ.y�wood on Roof Overhang -Attic Vents -Rafter Outriggers & walls, Main; St -Blockouts-Wrapped-Slab . Siding -Nailing -Veneer temwaIts, Garage; Steel-Blockouts-Wrapped-S 53. Stucco Mesh -Drip Screed-Fdn. Vents-Underflr. Access Fireplac I Le.W.V.: RaK Fi s- t w C/O ew est 5 55 I ' g Area -Glass Protection -Skylights -Plastic ear Walls; Nailing -Bolts ors 1 at 'pe; T -A rs- ervice a 11,�Elec ic; Underground ai AC ••a/ �( 47esToNC' /� S//✓C enum -Ducts; CI nce-Ma -Sapper(- rders-S'-Sidle-J s n Card -BI Date tCard-BDate Date .- Card -BI Date Date Card -BI Date C d -BI Date Card-BDalto Date Fly/ !_ (Plans) OK except N's Card -BI Date Card -BI Date Date PLUMBING (P rmit) OK except q's &8C Ext. Steps -Door & Sidelight Protection -Landings moke Detector Access -Combustion Air . Furnace; Vents -Clearance -Comb. Air -Connector - In Garage; Above Floor -Ducts -Meth. Protection 16 wa.er Pipe; Test & Anchors -Nail Protection __ V.; Test-Ftt -y rs-Nail Protection Shower Pan_ first Floor ub. 3 �edroom Exiting L5G--49,F_1. & Bath Fixtures & Tub Access 1 wer, 2nd Floor -Tub Access Pe- Elec. Trim & Subpanel; Breaker Sizes -Labels & Anchors Stairs & Rails _ place or Stove; Clearances -Hearth Card -BI ate Card -BI Dateit. ifil,,let. Outlets at Wood Panel; Int. & Ext. Fixt. & A liance; Grnd.-Air Gap -Cooking Clearance Card -BI Date �') Card -BI Date Elec. Outlets &Receptacles at Kit. Counter Date ELECTRICAL Permit OK except N's 6; -.1 -Garage Fire Door; Swing -Landing -Closer to Damper - 20 fixture & Transformer Clearance -Ins. Protection . Wtr. Htr.; Vents -Clearance -Comb. Air-Connector-P.R.V.- Ins,arage; Above Floor-Mech. Protection Receptacles Spacing -Lights &Switches at DoorsIb., _-21(,F!(ec. . 22 ze Boxes & No. of Conductors -Stapled Elec. & Mech. Equip. Listed for Location 71. Elec. Receptacles in Garage; (G.F.I.)-Romex Protec. _- 23 mex Installed Close to Edge of Studs & C.J. nsud in Attic quip. Ground made up w/Mech. Fasteners -Bond Gas & Water - _ _ Rails & Deck Consoked st Cas yard Rails &Deck Construction -Post Caps Circuits in Kitchen &Conductor Size Fdn. Vents & Crawl Hole Door -Drainage & Wood -Earth Clearance Looked under Floor El Yes `pliance - 2 S_hWeed Wire Size _/`X/ ga. Cu oj<20-A.C. Wire Size /-I/ ga. Cu or �/ 2 Range Circ. ga. Cu or AI -Oven Circ. / / ga. Cu or AI,7 Insulated Neutral VYes [j No Following instld.: Drive es ❑ No; Walks des ' ❑ No; Planters ❑Yes C r 28. Service -Riser Conductors & Ground -Main Disconnect tucco; ish -- Equip. Clearances; Panels-Motors-Mech. Equip. Unit; Disconnect-Clrnces-Brkr. & Cond. Size -115V Outlet - -- 9elothes Closet Light -Shower Light _ ----- ---- . 89 -7:1 Vents Above Roof; Plbg.-Appliance-Firepl.-Clearance to Opngs. ater Well; Disconnect, Electrical, Plumbing ) -Exterior Elec. Trim; G.F.I. Receptacle -Underground - - Card B -I Card -BI Date - - �. Ventilation throughout House Card B -I Date Card -BI Date U. -Glass Protection Date MECHANICAL (Permit) OK except q'sTest _ dens from Previous Inspections hleie,s Tagged; Gas -Electric -_ 31. A.C. Ducts; Insulation & Support _ 32. Vent Fan; Exhaust above Insulation _ __33. Condensate Drain _& Overilow; Size & Grade Water & Sewer Connected -C/O to Grade -HD Approval Energy Compliance 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 C d- Date Card -BI Date Car"I Date Card -BI Date Card -BI Date Card -BI Date Date FR NG(P16ns) OK except #'s Comments at Final: IIs; Proper Material & Anchors Valls;Studs-Nailing, Spacing & Bracing -Plates -Sound B ng Walls_over Girders & Floor Nailing _ _ Stop in Walls (rat proof)— 'f g F're Stops- FuVadX,& ions -St M.-eTT3ses- iN' Header &Beam -Size &Bearing _ _ _ _CY R�? Hangers -Post Caps -Anchors -Connectors (4' 'Cl g. Joist-Rftr. Ties - Pur Roof Brac.-Truss-Shthng.-Ring. 344. replace Ties or Ty Flue -Fireplace Throat - - /5r - 4C! AS1ic Access; Size & Romex Protection -Draft Stop -Ins. Baffles ✓rm. Windows or Exiting Doors -Sill Hg L_& Dimensions --- Garage Fire Protection Framing - - (NOTE: Anentrymust be made each time youvisit jobsite) CERTIFICATION OF ADDED INSULATION �- �' ATTIC RETROFITS (To Be Posted At Or Near Attic) PARTI-GENERAL ADDRESS OF RESIDENCE: NAME AND ADDRESS OF CONTRACTOR: Sldhea. enteRpRIS" DATE OF INSTALLATION COMPLETION: Chico, Ca 95926 !t PART II - ATTIC INSULATION - - ---- Estimated In -Place Insulation TYPE OF INSULATION: Material C� 05 Form Manufacturer's Product I. D. (if known) MANUFACTURER: (if known) Added Insulation TYPE OF INSULATION: Material Form O cZ Manufacturer's Product .D. MANUFACTURER: Estimated Estimated R—Value Applied R—Value Thickness Installed Thickness Minimum Installed Weight Per Square Foot of Loose Fills Total Insulation NkTOTAL AREA COVERED: 141 VS �SAFETY BAFFLES INSTALLED: Furnace Flue Water Heater Flue Recessed Lights Door Bell Transformer Chimney Other Heat Producing Devices ,Attic Has roper enting Total Total Ra—Value Thickness I I —�-- FART III - CE TIFICATION ' certify that the residence identified in PART I was insulated as specifi d in PART I I and :i 'ns allatio was c n ucted to conform with applicable codes, material standards and re ul tion . AUTHORIZED SIGNATURE TITLE J Sq. Ft. YES NO N/A ❑ ❑ ❑ ❑ ❑ ❑ 0 0 COUNTY OF BUTTE -• -� DEPARTMENT OF PUBLIC WORKS r 196 Memorial Way, Chico —Phone: 691-2751- 7 91-27517 County Center Drive, Oroville — Phone: 534-4541 Skyway and Elliott Road, Paradise — Phone: 872-2961, Ext. 57 CORRECTION NOTICE BUILDING OR PROPERTY ADDRESS 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. %�,3'�'3 GYM: �o L:t/t✓/� 7� ,� ES�P>��rae1C rs, l,L /eo,�'4out .®lam 1sa � 'dtCI4/ i Y Inspector 3 s Date R COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 196 Memorial Way, Chico — Phone: 891-2751 7 County Center Drive, Oroville — Phone: 534-4541 Skyway and Elliott Road, Paradise— Phone: 872-2961, Ext. 57 CORRECTION NOTICE BUILDING OR PROPERTY ADDRESS 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 correcti of work is completed. If you have any question pertaining to this matter, or ed additional explanation, please contact this office immediately. 2", r/'/ / C� / r G,) A//',,,'j, r1 Grp 1 s s / /�� 7, .. / S Inspector �i'� Date COUNTY OF BUTTE- DEPARTMENT OF PUBLIC WORKS ) 7 County Center Drive - Oroville, Califo ;-a 95965 —Telephone 916/534-4541 APPLICATION AND PERMIT' PERMIT N0. M ASSE SOR PARC L N MBER �^ ZAP - - BUILDING PERMIT Dw TELEPHONE. SQ.'FT. OCC. BUILDING VALUA ION OWNER'S MAILFNG ADDR S CoN CTCRSN TELEPHONE - CONTRACTOR' MAILING ADDRESS - "— ?—,yr- c Fireplace CONS=RSUCTION LENDER UNKNOWN Total Valuati6n $ Filing Fee $ 10.00 LENDER'S I ING ADDRESS ' Permit Fee . ' $ ARCHITECT OR ENGINE LICENSE No. Plan Checking Fee $ s Penalty $ ARCHITECT OR ENGINEER'S MA L NG ADDRESS Permit fee $ BUIL NG ADDRESS D - t PLUMI3ING'PERMIT Filing Fee 10.00 D f �Or S Each Trap 2.00 Sole. Wafter I leder � I--�� 20.00 a0,00 goo f RI 22— �-. f- Water piping 5.00 LOTN O. ,3 SUBDIVISION NAME PARCEL MAP S — � Each qas water heater or vent 5.00 Gas piping system 1 - 5 outlets 5.00 �(/ USE OF STRUCTURE SFU Duplex ❑ Mobi lehome ❑ Other SPEC) FV 'Building sewer 5.00 �Q Mobile Home IS I G W 10.00 e TYPE OF WORK New Addition[] Remodel❑ Utilities❑ Installation❑ Other❑ Describe work: — Permit Fee $ 0 Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 600V OR LESS 100 AMP OR LESS 10.00 Main Service EA, ADO'L 100 AMP 2.50 NEW CONST. .OR AD S. .( ACCLBI 1 '& 2y2QSgft CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): 11-J/I 1 am licensed under provisions of Chapt. 9, Div. 3 of the Business and s Code and my license is in full force and effect. License No. n 0-71i.1Classification .jh ❑ 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) rt ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CON5TR MULTI -OUTLET 2,50 ea NON.RESID. BRANCH CIRC ITS NEW CONSTR POWER APPARATUS &\ NON.RESID. (SINGLE OUTLET CIR. I Ex. Occup(OUTLE-rs OR FIXTURES BA ®g3 0 Profess' FIXED APPLNS. OR EX. OCCUp. OUTLETS (RESID.) EA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 Permit Fee $ Contractor MECHANICAL PERMIT FiIingFee 10.00 WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. ❑ I shall not employ any person in any manner so as'to become subject to the W. C. laws of Califorriia. 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 A- 0 Cooling Hood 3.00 Ventilation Permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the Countyot Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against. expenses which may in any way accrue all liabilities, judgments, oje�� against s�jd County in n f the granting of this permit. 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 (3 TYPE OF CONST. MAI J,JPARCE P HD ssu This permit is hereby issued under sions of the Butte County Code and/or work indicated. above for which D1 rG TOROF UBLIC By. 'PERMIT EXPIRES Date the applicable provi- resolutions to do ,fees have been paid. WORKS Dai Receipt No. � WHITE-D.P.W., YELLOW-ASSeSSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT OWNER A. GENERAL. - Zoning requirements Valuation. Signature by R.C.E. IDENT IAL PLAN CHECKING -GUIDE .F., DUPLEX, &, MISC. ONLY) / ` fa Bldg. Permit # Ci A. P. # (sideyards and parking). or Architect (if required). B;. PLOT PLAN ". Complete parcel size and dimensions. �Z. Setbacks, sideyards, easements, etc. Other buildings or structures. Grading,- fills, drainage. _ ` 7 y C. FLOOR PLAN , „Y Complete to scale plan with dimensions. .'.,2Y Required windows for light and ventilation (Sec. 1405). Required windows for second exit (Sec. 1404). Allowable glazing for energy requirements (20% max. per.State law),. .�. Human impact glass (Sec. 5406). 1611- Required room sizes, ceiling heights (Sec. 1407). �7� G.F.C.I.'s in baths and exterior outlets (Sec. 210-8). Light fixtures, switches, receptacles, and exterior receptacles for maintenance of mechanical equipment. '9.. Locations of water heater, heating & cooling equipment, other electrical or gas equipment, and plumbing fixtures. AG"." Garage firewall, door size, and closer (Sec.'503(d)(4)). 1 - 3'0" exterior exit door (Sec. 3303d). J12:' Fireplace location. Smoke detectors (Sec. 1413). 'D, � STRUCTURAL DETAILS (( �V Foundation plan complete enough to construct building. y1,'�Floor construction details complete enough to construct building. s�3! Elevations andlwall construction details complete enough to construct , 4., Roof construction details complete enough to construct building. �-5 fireplace construction details and calcs if over one-story in height. ,61' Sufficient data and details to satisfy energy insulation requirements E. MISCELLANEOUS ITEMS TO LOOK OUT FOR CCX plywood on exposed locations and overhangs. Stairway details (Sec. 3305).. V' < quardrail details (Sec. 1716). %4y lirick or stone veneer (Chapter 30). Exterior plaster - weep screeds (Secy. 4706 & 4708). /Proper roof pitch for roof covering (Chapter 32). f7'. Rafter ties or bearing ridge beam. ,,8. Garage door or porch header sizes. ,9� Adequate bracing. 0� Living area over garage.- complete 1=hour separation walls and posts; etc. Two (2) exits on three-story dwellings (Sec. 3302). building. (State law). required including supporting 83� 992. . .eturn xo DPW AGRICULTURAL STATEMENT -OF ACKNOWLEDGEMENT FOR RESIDENTIAL DEVELOPMENT 0ct1C;;l,_ ��c...;..:. t. J U �. Section 26-8.1 of the Butte County Code requires this acknowledgement be recorded prior to issuance of a building permit. The property described herein is adjacent to land or included within an area zoned for'agricultural'purposes,.and residents of E`CAH�<<'+ CLERK - this property may be,subject to inconveniences or discomfort arising RECCkfIEN from the use of agricultural chemicals, including,,but not limited to herbicides, FEES - - pesticides, and fertilizers; 'and from the pursuit of agricultural operations including, but not limited to cultivation, plowing, spraying, pruning, and harvesting which occa- sionally generate dust, smoke, noise, and odor. Butte County has established agricul- tural zones which have as a priority use for productive agricultural purposes, and residents within said zones and on adjacent property should be prepared to accept such inconvenience or discomfort from normal, necessary farm operations. All that real property situate in the County of Butte, State of California, described as follows: SEE ATTACHED Date: PROPERTY OWNERS/:n State of ) On this the day of , 19 , SS., before me, the undersigned Notary Public, personally County of ) appeared known to me to be the person(s) whose name(s) subscribed to the within instrument and acknowledged that executed the same for the purposes ,therein contained. IN WITNESS WHEREOF, I hereunto set my hand and official seal. Notary Public Present n _P_ Nn � "Return ,o DPW AGRICULTURAL STATEMENT OF ACKNOWLEDGEMENT l� FOR RESIDENTIAL, DEVELOPMENTrf�o;q_ t .^.rJUhli�..> i.i.i. Section 268.1 of the Butte County Code requires this acknowledgement' ?r"f:" r,1 �;, :.'I be recorded prior to issuance of a building permit. �o �f6 a ►9�� The property described herein is adjacent to land or included ELCdNCft I } within an area zoned for agricultural purposes, and residents of CLERK- ,•E..,, . RECGI;UER` this property may be subject to inconveniences or discomfort arising - __. _.. —.--- 'I ... 3 -_ 1-4- „„r 1 imitpd-t-n_herbicides. Fxc, State of California ) Butte )ss. County of ) 18th March 1983Sheryl I. Tuggle On this day of in the year , before me, a Notary Public, Stat of Salifornia duly commissioned and sworn, personally appeared ona evi to , personally known to me or proved to me on the basis of satisfactory evidence to be the person whose name is subscribed to this instrument, and acknowledged that she executed it. vcmnnanunmlulnmuumnnmmmmnnunnmmmm�nwnnnuuuuc: SHERYL I. TUGGLE NOTARY PUBLIC—CALIFORINIA °«��o a`•` • PRINCIPAL OFFICE IN Notary Public, Slate of California BUTTE COUNTY - My Commission Expires November 21, 1984 ^ My Commission expires Novermber 27, 1984 Q7111111111II10111illlllllllLIIIIIIIIIIR71111 WIIpgI11u1111BRIIIIUuuWLNIIIIp114 Acknowledgement, General Gs 134 10-82 Date: State of California ss. County of Butte PROPERTY OWNERS-,�,, On this 18th day of March , in the year 1983 before me, Sheryl I . Tuggle a Notary PublicState of Califo is dul Commissioned and sworn, personally appeared Ri.c'hard D. La ranc i , personally known to me or proved to me on the basis of satisfactory evidence to be the person whose name is subscribed to this instrument, and acknowledged that he executed it. SHERYL I. TUGGLE NOTARY PUBLIC—CAIIFUBNIA PRINCIPAL OFFICE IN BUTTE COUNTY My Commission Expires November 21, 1984 Acknowledgement, General Notary Public, St of California My Commission expires November 27, 1984 GS 134 10-82 hl,l that certain real property situate in. the County of Butte, State of California, described as fol,lows: 674-83BP E. ' ' ERMIT NO. PERMIT EXPIRES RICHARD 1AFRANCHI OWNER Paul Bellefeville, Paradise CONTR. s 63-18-11 y ASSESSOR PARCEL r E LOCATION NW/end pri dirt rd, app 700'W Forest Ranch Rd. app 900'N,Hwy 32, Forest Ranch e s 'd o v �j . ,y t F Temp: Power Pole Called PG&E i Temp. Elec. Service Called PG&E :. Temp. Gas Service Called PG&E t JOB FINALED (Date)��`C.0 / Signature J = OK 0 = Not OK = Not Applicable MOBILEHOMES * = Not Ready .tip. MISCELLANEOUS Date MOBILEHOME UTILITIES (Plans) OK except N's 1..Zoning Requirements -Setbacks -Easements Date DECKS, COVERS, CARPORTS, ETC. (Plans) OK except N's 1. Zoning Requirements -Setbacks -Easements 2. Soils; Special MH Support -Sketch 2. Footings; Size -Depth -Spacing -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-Rfirs.-Connec.-Shthg.-Rfg.-Bracing_ 5. Electricity; Location-Clearances-Grnd.-/ / Amp -Concrete _ 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Gas; Location -Test -Wrap:/ /"L"ft./ /"Nat. or/ /"L"ft./ /"LPG 7. Utility Clearance 6. Carports; Windows -Doors 7. Elec. Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Date Card -BI Date MOBILEHOME INSTALLATION (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Footings; Size -Spacing -Marriage Line Card -BI Date _ Date Card -BI Date _ POOLS (Plans) OK except H's 1. Setbacks -Easements 2. Soils; Compaction -Structure Stability 3. Gas; MH Test -Demand -Valve -Connector 3. Pool Structure; Steel -Connections -Thickness -Dead Men -Lining 4. Electricity; MH Test -Crossovers -Breakers -Clearances 4, Elec.; Receptacles and Lighting; Distances-GFI 5. Drain; MH Test -Fall -Flex Connector 5. Elec.; Pool Lighting; 15 volts-GFI 6. Water; MH Test -Regulator -Connector 6. Elec.; Enclosures; Conduit Entries -Terminals -Listed 7. Water and Sewer Connected -C/O 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 Date Card -BI Date Card -BI Date Card -BI Date Card B -I Date Card -BI Date Card -BI Date Card -BI Date 6 V = QK O.. _ 'NotpO1! Not Applicable Not Ready` .f /I- WESIDENTIALA!cand Duplex) Cr j Date UNDERFLOOR Plans OK except #'s 4 Date FRAMING (Continued) Zonin requirements -Setbacks -Easements 4 ings Main; Soils-Steel-Elec. Grnd.- / �/" Ftg. Depth 49/EjL_pDors-One 3' -Check Garage -3rd story, 2 exits - - th iiao. _Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 4 Ftg., Porches & Decks; Soils -Steel- / /" Ftg. Depth wood on R of Overhang -Attic Vents -Rafter Outriggers Steel- - - Siding Veneer lie ails, M"ee-S*vr-Blo&kMTs-Wrappe-T-S*tr- 5 - eed-Fdn. Vents-Underflr. Access s- lazing Area -Glass Protection -Skylights -Plastic .: i4Iar'Fi s -T C ewdr Test 5 g -Bolts 10. W r ipe es' Anchors -Regulator -Service Test d ,412. 121 w4kq;&_L.Dtjrtq* r1par 13 irders-Sills-nchor Bolls-4oists-Vents-Cripples Card -BI Datq Card -BI Date Card-BI.99, Date _$' Card -BI Date Card -BI Date Card -BI Date Card -B .Date and -BI Date Date FIy�ans) OK except p's Card -BI Date 2%jIJ? Card -BI Date Date PLU BING (Permit) OK except q's 5 teps-Door & Sidelight Protection -Landings Smoke_Detector --ater Ht.; Vent -Ac ess-Combustion Air 58. Furnace; Ve�tts-Clearance-Comb. Air -Connector- In Garage; AboveFloor-Ducts-Meth. Protection ter Pipe; T Anchors -Nail Protection _ ._D.W.V.: ttngs & Anchors -Nail Protection ` Bed"= Exiting _ _ Shower Pan; Test, First Floor -Tub Access 60. G & Bath Fixtu s & Tub Access est Tub & Shower, 2nd Floor -Tub Access Elec. Tri bpanel, reaker, - es-LaJ%iSr Gas Pipe; Size.& Anchors fairs v ireplaceC learances Hearth _ Etec. OutleTT1JT Wood Panel; Int. & Ext., Card -BI Date -/Card-BI Date `-=---rte-++ �& Appliance; Grnd.-Air Gap -Cooking Clearance Card -BI Date YELECTRICAL Date7-4-f.5 Card -BI Date P OK except q'sc & Receptacles at Kit. Counter arage Fire Door; Swing -Landing -Closer in Garage -Damper F'xture & Transformer Clearance -Ins. Protection Receptacles Spacing -Lights &Switches at Doors tr. Htr Veht arance Comb. Air -Connector -P. . - n Garage; Above loor-Meth. Protection ��Iec. ize Boxes & No. of Conductors -Stapled Plb., Elec. &Mech. Equip. Listed for cation lec. Receptacles in Garage; (G '. )-Romex tet. R mex Installed.Close to Edge of Studs & C.J. -- — Equip. Ground made up w/Mech. Fasteners -Bond Gas &Water 72. I�rsulation�oam-Looked in�lttic ❑Yes Guard ils & Deck C ruction -Post Caps t 2 Appliance Circuits . -in Kitchen & Conductor Size _ - 26. Subfeed.Wire Size / / ga. Cu or AI-A.C. Wire Size / / ga. Cu or At . Fdn. Vents & Crawl Hole Door -Drainage & Wood -Earth Clearance Looked under Floor ❑ Yes 27. Range Circ. / / ga. Cu or AI -Oven Circ. / / ga. Cu or At, Insulated Neutral ❑Yes [I No ;fig-instld.: Drive ❑ Yes No; Walks ❑ Yes ❑ No; Planters ❑Yes ❑No 28. Service -Riser Conductors & Ground -Main Disconnect 'o"grown-Finish `- 29. Equip. Clearances; Panels-Motors-Mech. Equip.C-pn7P-pisconnect-Clr ces-Brkr. & C d. Size -115V Outlet — 30. Clothes Closet Light -Shower Light _ 7.4 --gents Above Roof;-Applidnce ' e-pl.-Cleara4eeT Opngs. Card B -I Date _ Card -BI _ Date connect, Electrical, Plumbing xterior Elec. Trim; G.F.I. Receptacle -Underground '7117 -7717171`171T -ton throughout House Card B -I DafV_&V- Card -BI Date-at--Gj5-ss-1Trotection Date MECHANICAL (Permit) OK except N's 83. _ orrections from Previous Inspections Gas Test-MetersJagged; Gas-Electyc -__ _ _ 31. A.C. Ducts; Insulat' n & Support 32. Vent-Fan_Exhaust a ve Insulation _33. Condensate Drain Overilow; Size & Grade 34. Furnace -Vent; ccess-Comb._Air-Return Air Vent -115V outlet 8 Waye7& Se onnected-C/O t rade-HD Approval g nergy Compliance Certificate -Other Certificates 35. Attic Access & latform if Furnace in Attic Card -BI Card -BI — - -- - _-- -- Date _ _ — Card -BI Date Date Card -BI Date Card -B t Date -/ Card -BI Date Card -B Dat Card -BI Date Card -BI Date Card -BI Date Date FRAMING(Plans) OK except q's ; Prop_ terial Comments at Final: _ - _ Wall ;_Studs -Nailing, Spacing & Bracing -Plates -Sound Baring Walls over Girders & Floor Nailing 3�DrStop in Walls (rat proof) 4Q�F_,'re Stops; Furred Ce in s -Stairs -Chases -Tub ---4 eader & Beam -490_& Bearing 4 anangers-Post Caps -Anchors -Connectors 4Ing. Joist-Rflr. Ties-Purlin-Roof Brac.-Truss-Shthng.-Ring. FESS or Type lue-FiAogAaee-+hroat — —------- _ les drm. Windows or Exiting Doors -Sill Hgt. & Dimensions (NOTE: An entry must be made each time youvisit jobsite) Owner: Rye► o �f► �NCN1 Permit No. 6-73 -13 B, P t10rh ENERGY C E R'T IFICAT ION 'Sint,=- w PL L<V 3 - LOCATION DESCRIPTION OF INSULATION 3-JAS-il A.P. No. ROOF r rr Material?. V Brand Name �AIUSUI I,LC Thickness inches) Thermal Resistance (R Value) EXTERIOR WATL Material .G • ,�^ Brand Name l riu 1t-te Thickness(inches) z/ Thermal Resistance(R Value) CEILING Batt or Blanket Type Brand Name Thickness(inches) Thermal Resistance(R Value) Loose Fill Type Brand Name Minimum Thickness(Inches) Number of Bags Wt. per bag lb. Area covered(ft.2) Thermal Resistance(R Value) FLOOR, ELEVATED Material Thickness(inches) FLOOR, SLAB Material Thickness(inches) Width(inches) FOUNDATION WALL Material Thickness(inches) Brand Name Thermal Resistance(R Value) Brand Name Thermal Resistance(R Value) Brand Name Thermal Resistance(R Value) I hereby certify that -the above insulation was installed in the above building in conformance with the State of California Energy. Requirements. .�Awt, f-. SL1_G'PCu1 LL -G: L1012g-7 FIRM NAME/0 R STATE CONTRACTOR'S LICENSE NO. 4-1iLl y -3a- i� S GNA E OF INST LATION APPLICATOR DATE I hereby certify the above insulation and all required items as shown on the Building Department approved plans and attachments have been installed as required by the State of California Energy Requirements. All equipment, devices and materials are of the quality prescribed or are specifically approved by the State of California. -PRuL- R. _8euA-4_eu1 i.w goym FIRM NAME/OWNER "(Pleaasint) STATE CONTRACTOR'S LICENSE N0. 4mil %x%30' %q SIGNATURE OF GE.NEP4CONTRACTORIOWINER DATE THIS CERTIFICATE MUST BE ON FILE WITH THE BUILDING DEPARTMENT PRIOR TO FINAL INSPECTION APPROVAL AND A COPY SHALL BE POSTED WITHIN THE BUILDING. January 1984 COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 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 L A 14#21-4 T- 6-7 (f/ OWNER PERMIT NO. A routine inspection indicates that the following violations of County Ordinance exist at the above address and should be corrected. Please notify this office when correction of work is completed. If you have any question pertaining to this matter, or need additional explanation, please contact this office immediately. Gly )41 i/E; 7i� l I W p1K 1. 11 1 129 112 1 11 �� • I_ Date l—I NEW CONST / DWELLING OCCUP & OR ADDNS. ( ACC. BLDGS. 2/20sgft NEW CONSTR MU' -OUTLET BRANCH CIRC ITS NO N.R ESINEW 2.50 ea gD POWER NON -:9E S 1`3. SING SING LE OUTLETTUS CIR.6� Businesszo )d effect. 5cl. Ex. Occup(OUTLETS OR FIXTURES DAL@30Q FIXED ALNS. Ex. Occup." OUTLETS P(RESID.)REJ, 2.00 115.00 compen- Temporary service 10.00 )r offered Mobile Home Facilities contract - Misc. Wiring 15.00 ons Code Permit Fee" $ Contractor epartment MECHANICAL PERMIT Filing Fee 10.00 Heating Cool ing :ertificate Hood 3.00 le subject Ventilation to subject with such Permit Fee $ Contractor tformation s relating County of ses. le against ay accrue ( Mobile Home Installation Fee $ TOTAL PERMIT FEE $ � C� OCCUP. GROUP I TYPE OF CONST. I PARCEL PD ND 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. If DIRECTOR OF PUBLIC WORKS By Date PERMIT VPIRES Date Z --� r construct- County of Butte ✓' DEPARTMENT OF PUBLIC WORKS 695 Oleander Ave., Chico — 343-4211, Ext. 70 7 County Center Dr., Oroville — 534-4541 Skyway and Elliott Rd., Paradise — 877-3435 CORRECTION NOTICE Building or Property Address 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 immmediately..-/ ...........3—........s.................................................................... ....................111...:���...�1....... F es........................ -✓� u� /.. .............. r".................. .�...., ....................... ......................... ................................................................... Dat.......9..... 5 �G />........ Inspector ......................................... .............. Do Not Remove This T 4) COUNTY OF BUTTE DEPARTMENT OF I?UBLIC WORKS 196 Memorial Way, Chico — Phone: 891-2751 \\ 7 County Center Drive, Oroville — Phone: 534-4541,'` Skyway and El-liott Road, Paradise — Phone: 872-2961, Ext. 57 CORRECTION NOTICE BUILDI G OR PROPERTY ADDRESS 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 ne/ additlloonal explanation, please contactthisoffice immediately. //vrJ r Oil /,i //sem 1 �1 /i /i / A/ rf / `X �Al Gi <�,._.,� /- s L � Inspector ' r� COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, CaMfornia 959,ve5 - Telephone 916/534-4541 APPLICATION AND PERMIT . PERMIT 0. 4 ASSESSOR PARCEL NU BER 3 � �•^ /r ZO ING _�'"— BUILDING'PERMIT N R r-� Ir TELEPHONE SQ. FT. OCC. BUILDING VALUATION OWNE 'S MAILING ADDRESS ONT R CT R'S ME T LEPHONE 421 e CONTRACTOR'S M ILING A DRESS Y- 0`1 �fn / FireplaceI Al OO�0-0 ® o CONSTRUCTION LENDERUNKNOWN Total Valuation $ Filing Fee $ LENDER'S M ILING ADDRESS 1 Permit Fee ARCHITECT OR ENGINEER LICENSE NO. I Plan Checking -Fee " Penalty $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Permit fee �M$C74P 10.00 BUI D NG ADDRESS " 'PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 (o ,60 Solar Water Heater GrC 20.00 �• Water piping 5.00 S00 LOT NO.SUBDIVISION NAME PARCEL MAP Each gas -water heater or vent 5.00 Gas piping system 1 - 5 outlets 5.00 USE OF STRUCTURE SF ❑ Duplex ❑ Mobi lehome ❑ Other Y f S�p T ,Q SPECIFY Building sewer 5.00• , Mobile Home S I G I W 10.00 e TYPE OF WORK New [9" Addition ❑ Remodel❑ Utilities El Installation❑ Other❑ Describe work: �y I(,(,f �(� r t �jr 0Q _ i6001 1A 1 P Permit Fee $ AlfF Contractor ELECTRICAL PERMIT Filing Fee 10.00 OR LESS Main service 100 AMP OR LESS 10.00 I 1 l ee�. `�— Main service EA. ADO'L 100 AMP 2.50 NEW CONST.DWELLING & t OR ADDNS. ( ACC. BLDG W) 2�zQSg ft - CONT ACTORS 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 NEWCONSTRf MULTI-OUTLET2,50 ea NON .RESID BRANCH CIRC ITS APPARATUS fi 1 NEW CONSTR ! (SINGLE NON-RESID, SINGLE OUTLET CIR. / Ex. OCCUp(OUTLETS OR FIXTURES .20@50 y FIXED APPLNS. ,OR EX. OCCUp. OUTLETS (RESID.) EA./ 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 Permit Fee $ -A ESP Contractor MECHANICAL PERMIT Filing Fee 10.00 WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. 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. Heating En &U* el Cooling Hood 3.00 Ventilation permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the Countyot Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, a d expenses which may in any way accrue a Inst s C y , o equen the granting of this permit. X73—/,�! _ Date Signature of Applicant — 'Owner ❑ Contractor � Agent ❑ An OSHA permit is required fore covations over 5'0" deep and dem lition or construct- ion of structures over 3 stories in eight. ' - Mobile Home Installation Fee $ TOTAL PERMIT FEES%0, acSUP. GROUP Mme/ I TYPE OF C NST. ; PARCEL PD ND SSS This permit is hereby issued under the applicable sions of the Butte County Code and: or resolutions work indicated above for which fees have DIREC R OF PUBLIC WORKS By Date P1 EXPIRES Date `/— provi- to do been aid. p �+ Receipt No. v o 0 O� 8.00 WHITE-D.P.W.• YELLOW -ASSESSOR. PINK -INSPECT GOLDENROD -APP CANT •