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Home My WebLink About064-450-042``-��-- --�'—'''�---------- -- -- ' -----'-�,--r-��--� `----------� --� -� -'^-`------- -� ----- ' ----,~' ^` John V. Olson � 64-45-42 14239 ,C1 lot ' \ | | ! to lot 39) � 064-450-042 98-2314' ' ' |OLSON VERNON. | � OWNER - | .061445M42- MISCELLANEOUS,' 'idihWStucco..� DRY ROT R'EPAIR[RUPLACE SID.rNG ` / | L ' � '; ^ Z-7 � � � | � ! | � ° | - ^ -~ `�-'-- m Ln ` 064-450-042 98-2314 f RESIDENTIA OLSON, VERNON 14239 NANATEE CIR.OR r - OWNER 3 DORMERS 1 /, PERMIT NO. ''PERMIT EXPIRES OWNER CONTR. ASSESSOR PARCEL LOCATION CHECKED BY: s f SRA FLOOD CERTIFICATE REQ. ,� " FIRE SPRINKLERS.'REQ. �- ... SPECIAL INSPECTION ITEMS s VERIFY. Temp. Power Pole ` ft Called. PG&E Temp. Elec.. Service Called PG&E Temp. Gas Service ` : Called PG&E t ; JO FINALED . - Signature V=OK O = Not OK Not •=NotRepady MOBILE HOMES Date MOBILE HOME UTILITIES (Plans) OK except #'s 5. Alum. Awn.; Columns-ConnectionsSplice Decal -Enclosures 1. Zoning Requirements - Setbacks - Easements 6. Carports; Windows -Doors 2. Soils; Special MH Support Sketch 7. Electric 3. Sewer, Location -Test -Fall -C/O -Concrete 8. Frrng.; Sils-AnchorsStuds-Rttrs-Trusses 4. Water, Location -Test -Easement Needed (Sketch) 9. Siding; Nailing VeneerShxco-Mesh 5. Electricity; Location-Clearances-Gmd-/ /Amp -Concrete 10. Roof; Shthg-Roofing 6. Gas; Location -Test -Wrap; / I'L'ft. / /Nat. or/ PL"ft./ /LPG 11. Ext.; Steps -Doors -Landings 7. Well Clearance & Disconnect 12. Braced Wall Panels 8. Utility Clearance Date Card B-1 Date Card B-1 Date Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date MOBILE HOME INSTALLATION (Plans) OK except #'s 2. Soils; Compaction -Structure Stability 1. Zoning Requirements- Setbacks Easements 3. Pool Structure; Steel -Connections -Thickness Dead Men -Lining 2. Footings; Size -Spacing -Marriage Line 4. Elec.; Receptacles and Lighting, Distance-GFI 3. Gas; MH Test-DemandVatveConnector a 5. Elec.; Pool Lighting; 15 Volts-GFl 4. Electricity; MH Test -Crossovers -Breakers -Clearances 6. Elec.; Enclosures; Conduit Entries -Terminals -Listed 5. Drain; MH Test -Fall -Flex Connector 7. Elec.; Bonding; Metal w/6 -Circulating Equip. -Heater 6. Water; MH Test -Regulator -Connector 8. Elec.; Grounding; Equip. w/S Circulating Equip. -Pool Lghtg. Boxes-Enclosures-Panelboards-Ins. to Main in Conduit 7. Water and Sewer Connected -C/O to Grade -HD Approval 9. Health Department Approval 8. Gas and Electricity Tagged 10. Plumb.; Cir. Test -Water Supply Test 9. Tie Downs -Type -Installation Cert. 11. Light Niche 10. Exits; Insp.-Sketch 11. Cert of Occupancy 12. Permanent Foundation Only: License Decal Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 MISCELLANEOUS Date DECKS, COVERS, CARPORTS, GARAGES (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Footings; Soils-Size-DepthSpacing-Connectors-Steel 3. Decks; Girders and/or Joists-Decking-BracingStairs-Rails 4. Wood Awn.; Posts-Beams-Rttrs.-Connectors Shthg.-Rfg.-Bracing 5. Alum. Awn.; Columns-ConnectionsSplice Decal -Enclosures 6. Carports; Windows -Doors 7. Electric 8. Frrng.; Sils-AnchorsStuds-Rttrs-Trusses 9. Siding; Nailing VeneerShxco-Mesh 10. Roof; Shthg-Roofing 11. Ext.; Steps -Doors -Landings 12. Braced Wall Panels Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date POOLS (Plans) OK except #'s 1. Setbacks -Easements 2. Soils; Compaction -Structure Stability 3. Pool Structure; Steel -Connections -Thickness Dead Men -Lining 4. Elec.; Receptacles and Lighting, Distance-GFI 5. Elec.; Pool Lighting; 15 Volts-GFl 6. Elec.; Enclosures; Conduit Entries -Terminals -Listed 7. Elec.; Bonding; Metal w/6 -Circulating Equip. -Heater 8. Elec.; Grounding; Equip. w/S Circulating Equip. -Pool Lghtg. Boxes-Enclosures-Panelboards-Ins. to Main in Conduit 9. Health Department Approval 10. Plumb.; Cir. Test -Water Supply Test 11. Light Niche Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 ✓ = OK O = NotOK - = Not Applicable = Not Ready RESIDENTIAL (Single & Dbplex) Date UNDERFLOOR (Plans) OK except #'s 1. ZoningSetbacks-Easments-Flood-Slope 2. Ftg., Main; Soils-Elec. Gmd. / P Ftg. Depth Date 3. Ftg. Garage; Soils-Steel-Elec. Gmd/ i Ftg. Depth 4. Ftg. Porches & Decks; Soils -Steel-/ /" Ftg. Depth 47. 5. Stemwalls, Main; Steel-Blockouts-Wrapped 48. 6. Stemwalls, Garage; Steel-Blockouts-Wrapped 49. 6a. Hold Downs and Special Anchors 50. 7. Slab, Steel -Wrapped 51. 8. Piers -Fireplace Ftg.-Steel 9. D.W.V.; Fall -Fitting -Test -2 Way C/O -Sewer Test 10. UF. Gas Pipe; Size Anchors - Yard Gas Piping; Size Test 11. Water Pipe; Test -Anchors -Regulator -Service Test 12. Electric Underground 13. Pienums & Ducts; Clearance -Material -Support -Ins. 14. Girders -Sills -Anchor Bolts-Joists-Vents-Crippies 15. Access & Ventilation 16. Insulation 60. Brace Interior / Exterior Wall Panels Date Insulation -Walls -Ceilings Card B-1 Date Card B-1 Date Infiltration -Walls -Windows Card B-1 Date Card B-1 Date Date PLUMBING (Permit) OK except #'s Card B-1 Date Card B-1 17. Water Htr.; Vent -Access -Combustion Air Baffle 18. Water Pipe; Test & Anchor -Nail Protection 19. D.W.V.; Test Fittings & Anchor -Nail Protection 63. 20. Shower Pan; Test, First Floor -Tub Access 64. 21. Test Tub & Shower, Second Floor -Tub Access 65. 22. Gas Pipe; Sae & Anchors 66. Bedroom Exiting Date G.F.I. &Bath Fixtures & Tub Access -Spa Card B-1 Date Card B-1 Date Elec. Trim & Subpanel, Breaker Sizes & Labels Card B-1 Date Card B-1 Date Stairs & Rails ELECTRICAL (Permit) OK except #'s 70. 23. Fixture & Transformer Clearance -Ins. Protection 71. 24. Elec. Receptacles Spacing -Lights & Switches at Doors 72. 25. Size B+es & No. of Conductors Stapled 73. 26. Romex I stalled Close to Edge of Studs & C.J. 74. 27. Equip. Ground made up w/Mech Fastners-Bond Gas & Water 75. 28. 2 Appliance Circuts in Kitchen & Conductor Size GFI 76. 29. Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / / ga Cu or AI 77. 30. Range Circ. / / ga Cu or AI -Oven Circ. / / ga Cu or Al Insulated Neutral 0 Yes 0 No 78. 31. Service -Riser Conductors & Ground -Main Disconect 79. Insulation -Foam -Looked in Attic 32. Equip. Clearances Panels-Motors-Mech. Epuip. Guard rails & Deck Construction -Post Caps 33. Clothes Closet Light -Shower Light -Spa Light Fdn. VBents & Crawl Hole Door Drainage & Wood -Earth Clearance Looked under Floor 0 Yes 34. Smoke Detector Following Instld./Dmre 0 Yes 0 No/Walks 0 Yes 0 No/Planters 0 Yes 0 No W. Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date MECHANICAL (Permit) OK except #'s Water Well, Disconnect, Electrical, Plumbing 35. A.C. Ducts Insulation & Support Exterior Elec. Trim, G.F.I. Receptacle -Underground 36. Vent Fan, Exhaust above insulation Ventilation Throught House 37. Condensate Drain & Overflow, Size & Grade Glass Protection 38. Fumance-Vent Access -Comb. Air -Return Air Vent 115 outlet Corrections from Previous Inspections 39. Attic Access & Platform if Furnace in Attic Gas Test -Meters Tagged, Gas -Electric 92. Water & Sewer Connected -C/O to Grade -HD Approval 93. Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Date FRAMING (Plans) OK except #'s Card B-1 Date Card B-1 40. Sits Proper Materials & Anchors Card B-1 Date Card B-1 41. Walls Studs -Nailing Spacing & Braces -Plates -Sound Card B-1 Date Card B-1 42. Bearing Walls over Girders & Floor Nailing 43. Draft Stop in Walls (rat proof) 44. Fire Stops, Furred Ceilings -Stairs -Chasers -Tubs 45. Headers & Beams -Size & Bearing Date FRAMING (Continued) 46. Hangers -Post Caps -Anchors -Connectors 47. Cling. Joist-Rftr. Ties-Purlin-roff Brac.-Truss-Shting.-Ring. 48. Fireplace Ties or Type A Flue -Fireplace Throat clearance 49. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 50. Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions 51. Garage Fire Protection Framing 52. Property Line Firewall & Openings 53. Ext. Doors -One 3 -Check Garage 3rd Story, 2 Exits 54. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 55. Plywood on Roof Overhang -Attic Vents -Rafter Outriggers 56. Siding -Nailing Veneer 57. Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access 58. Glazing Area -Glass Protection -Skylights -Plastic 59. Shear Walls; Nailing -Bolts 60. Brace Interior / Exterior Wall Panels 61. Insulation -Walls -Ceilings 2. Infiltration -Walls -Windows ZL 4Y _ Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date FINAL (Plans) OK except #'s 63. Ext Steps -Door & Sidelight Protection -Landings 64. Smoke Detector 65. Furnace; Vents -Clearance -Comb, Air-Conector- In Garage; Above Floor -Ducts -Meth. Protection 66. Bedroom Exiting 67. G.F.I. &Bath Fixtures & Tub Access -Spa 68. Elec. Trim & Subpanel, Breaker Sizes & Labels 69. Stairs & Rails 70. Fireplace or Stove, Clearance -Hearth 71. Elec. Outlets at Wood Panel, Int. & Ext. 72. Kit. Fixt. & Appliance; Ground. -Air Gap -Cooking Clearance 73. Elec. Outlets & Recepticales at Kit. Counter 74. Garage Fire Door; Swing -Landing -Closure 75. A.C. Duct in Garage -Damper 76. Wtr. Htr.; Vents -Clearance -Comb. Air Connector-P.R.V. In Garage; Above Floor-Mech. Protection 77. Plb., Elec. & Mach. Equip. listed for Location 78. Elec. Receptacles in Garage (G.FI.)-Romex Protection 79. Insulation -Foam -Looked in Attic 80. Guard rails & Deck Construction -Post Caps 81. Fdn. VBents & Crawl Hole Door Drainage & Wood -Earth Clearance Looked under Floor 0 Yes 82. Following Instld./Dmre 0 Yes 0 No/Walks 0 Yes 0 No/Planters 0 Yes 0 No W. Stucco Brown -Finish 84. A.C. Unit Disconnect, Electrical -Plumbing 85. Vents Above Roof, Plbg-Appliance-Fireplace-Clearance to Openings 86. Water Well, Disconnect, Electrical, Plumbing 87. Exterior Elec. Trim, G.F.I. Receptacle -Underground 88. Ventilation Throught House 89. Glass Protection 90. Corrections from Previous Inspections 91. Gas Test -Meters Tagged, Gas -Electric 92. Water & Sewer Connected -C/O to Grade -HD Approval 93. Energy Compliance Certificate -Other Certificates Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Comments at Final: 1 " COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION IZ 2 `� 7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-7541 P M (Rev. 12/96) APPLI CATI ON AiV D PERMIT - ASSESSOR PARCEL NUMBER 064-450-042 ZONIN ail I BUILDING PERMIT OWNER AXON? XWENNN OLSON, VERNON TELEPHONE 873-6678 SO. FT. OCC. BUILDING VALUATION 1944.00 . OWNERS MAILING &DRESS 14239 NANATEE CIR rn Q. CONTRACTOR'S NAME OWNER TELEPHONE CONTRACTORS MAILING ADDRESS CONSTRUCTION LENDER Fireplace LENDER'S MAILING ADDRESS Total Valuation $ ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00 Permit Fee $ ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ a BUILDING ADDRESS 14239 NATEE CIR Energy Plan Checking Fee $ - $ PERMIT FEE $ LAT NO. SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMIT --Filing-Fee 2o.6o Each Trap 7.00 USEOFSTRUCTURE SF R 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 131 Remodel ❑ Utilities ❑ Installation ❑ Other ❑ Describe Work: 3 DORMERS Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home I S I G I W @20.00 PERMIT FEE $ ELECTRICAL PERMIT Fling Fee 20.00 vR Main Service 2DOA 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.POWEPPARATUS License Class Lic. No. OWNER -BUILDER DECLARATION 0 -hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason WORKERS' COMPENSATION DECLARATION I hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ 1 have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier Policy Number (The above sections need not be completed if the permit is for work of a valuation I of one hundred dollars ($100) or less.) j I certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall fort with comply with those provisions. X Date _ Signature of Applicant .owner ❑ Contractor ❑ Agent An OSHA permit is required for excavations over 60" deep and demolition or construction of structures over 3 stories in height'. Main Service 200A TO 1000A 46.00 NEW CONST. DWELLING OCCUP. SO OR ADONS. ( a Acc. e1 Ds. 3.52FT: Laoµp6lpT MULTI. OUTLETITS @7,50 b SINGLER AOUTLET CIR. 20 Q 1.00 Ex. Occup. OUTLET OR FIXTURES BAL_ o .so Ex. Occup. ouTIFTs PRM.) E 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE t MECHANICAL PERMIT Fling Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE $ Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST. TYPE TOTAL FEE $ HAZ. i D. FEES I P FLOOD e— CDF P PO + 11 ISSUE This permit is hereby issued under the applicable provisions of the Butte County Code and/or Resolutions to do work indicated above for which fees have been paid. By Date a / ` PERMIT EXPIRES ON 17 d_ Dat Receipt No. C! WHITE-D.D.S.-B.D. CANARY -A S SOR I PI INSPECTOR I GOLDENROD -APPLICANT i. s , C 1 COUNTY OF BUTTE -DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING DIVISION 7 County Center Drive • Oroville, California 95965 • Telephone (530) 53NO. (Rev. 12/96) APPLICATION AND PERMIT ASSESSOR PARCEL NUMB .__.. /1 , r `� �/D/ ZONING BUILDING PERMIT °N'"E" �MONE SO. FT. OCC. BUILDING VALUATI N owNFRs OREsa /� . CONTRACTOR'S NAME W TELFPIpNE CONTRACTORS HARING ADDRESS CONSTRUCTION LENDER LENDER'S MAILING ADDRESS Fireplace Total Valuation S ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00 Permit Fee S ARCHITECT OR ENGNEOts MAILING ADDRESS Plan Checking Fee S SULDNG ADDRESS Energy Plan Checking Fee S S PERMIT FEE S LOT NO. sLJBDIVBIo1JSNAME PARCEL MAP PLUMBING PERMIT Filing Fee 20.00 USEOFSTRUCTURE SF Duplex ❑ Mobilehome ❑ Other aPECFY Each Trap 7.00 Solar or heat pump water heater 23.00 Water piping 15.00 Each as water heater or vent 15.00 TYPE OF WORK New ❑ Addition Remodel ❑ Utilities13 Installation ❑ Other ❑ Describe Work: ,� �—(/�� Gas piping stem 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home I S I G I W @20.00 PERMIT FEE t ELECTRICAL PERMIT Fling Fee 20.00 Main Service OR 23.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license Is in full force and effect License Class Lic. No. OWNER -BUILDER DECLARATION 1 hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: ❑ I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project ❑ 1 am exempt under Sec. , Business and Professions Code for this reason WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penally of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is Issued. ❑ 1 have and will maintain workers' compensation Insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier Policy Number (The above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) 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 of section 3700 of the Labor Code, I shall forthwith comply with #lose provisions. X Date Signature of Applicant - ❑ Owner ❑ Contractor ❑ Agent An OSHA permit is required for excavations over 50• deep and demolition or construction of structures over 3 stories in height Main Service 200A TO 1000A 46.00 NEW CONST. DWELLRq OCCLIP. 3.5¢x. OR AC.ONS ;ACC, Rif Da. N0µR�1D.' MLILTIounEr @7.50 NGLE PS0 APPARATUS 8 OURE7 CIP Occup. ° cit FocruREs 200 1 00 BA•50 Ex. Occup. °7Da �Io 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE i MECHANICAL PERMIT Filing Fee 20.00 Heating Conlin Hood 6.50 Ventilation PERMIT FEt $ Mobile Home Installation Fee $ Energy Inspection Fee $ TYPE❑ $ / EocCONST D ��fTiOETALLIFEE 0 COF PAR HD ssuE This permit is hereby Issued under the applicable of the Butte County Code and/or Resolutions indicated above for which fees have been By Date PERMIT EXPIRES ON provisions to do work paid. Receipt No. WHITE-D.D.S.-S.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD-APPLICANT(Date) COUNTY OF BUTTE DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE (916) 538-7541 PERMIT APPLICATION DATA SHEET OWNER: ASSESSOR PARCEL ER: e-(1 L ?' 7 Proposed Building Use: Building Inspector: Date: At time of permit application, I was advised the following data. must be submitted prior to permit processing and/or issuance: Date Received By t/ -. All items have been submitted .--------------------------------------------------------------------7----------------- ❑2. Plot plans, 3/4 sets, signed by the preparer of plans. ------------------------------------------------------------ ❑3. Complete plans, 3/4 sets, signed by the preparer of plans. --------------------------------------------- 04. Engineered plans, 3/4 sets, with wet signature on plans. All engineering must be shown on plans. ❑ 5. Engineered truss details and layout in duplicate (required prior to plan review) No faxes! --------- 06. Energy Design Compliance and supporting documentation. ------------------------------------------- ❑ 7. Statement of Intent for Non -Heated and A/C Buildings. ------------------------------------------------ ❑ 8. Hazardous Material Form. ----------------------------------- ❑ . ufactured Home data and installation/_�___tructions inc Fees of $Q---- --� d ❑ 11. Impact fees as shown on the attached schedule. ---------- ❑ 12. California Department of Forestry plan approval/fees. -- Ell 3. Flood elevation certificate. ------- ❑ 14. Sanitation and plot plan approval Health Department. ❑ 15. City of Chico plumbing permit. --------------------------------------- ❑ 16. Plot plan and business license approval from the City of Biggs. --- 1117. -- ❑17. Planning approval for (A) Use: (B) Parking: _ Down Specifications. ❑ 18. Contact Land Development about ❑ Improvements, ❑ Drainage, ❑ Legal Parcel. ----------------- ❑ 1.9. Encroachment Permit for driveway (construction approval prior to occupancy). --------------------- ❑20. Pre -inspection for required Request to Building Inspector on 021. Contractor's license information. (Number, Name Style, Classification). ----------------------=------------- 0 22. ------------❑22. Workers' Compensation carrier and policy number. ----------------------------------------------------------- 023. Owner -Builder Verification (Given to owner ❑, Mailed to owner 0) - -------------------------------------- _ ❑24. Letter of signature authorization.-------------------------------------------------------------------------------- _ ❑25. Recorded copy of Agricultural Acknowledgment Statement. -------------------------------------------------- _ ❑26. Letter of intent on building use.----------------------------------------------------------------------------------- _ ❑27. Manufactured Home utility clearance.--------------------------------------------------------------------------- _ ❑28. Existing violations and/or expired permits.---------------------------------------------------------------------- _ ❑29. 0433 A, ❑Grant Deed, ❑ M.H. Title;❑ Check to H.C.D $ .--------------- 1130. --------------❑30. Other:------- Wh ou issue e�errr prpcess a of ws ❑Mai l to owner, ❑ ail t contractor. Telephone (/Y„ and hold for pickup at ice. ❑ Deliver with inspector (Date) Applicant: Date: woe Copy of Haz-Mat form sent ❑ Health Department, ❑ Fire Department, ❑ Air Pollution Date: By: Copy of plans sent ❑ Health Department, ❑ Fire Department, ❑ Other: Date: By: 1. Index permit application for the above items numbered: 11 Plan Check List 2. Additional items required: Contractor, designer, owner, was advised of the above required data by ❑ phone, ❑ maC, ❑ Building Division counter, by Date: Contractor, designer, owner, was advised of the above required'data by ❑ phone, ❑ mail, ❑ Building Division counter, by Date: Contractor, designer, owner, was advised of the above required data by ❑ phone, ❑ mail, ❑ Building Division counter, by Date: Contractor, designer, owner, was advised of the above required data by ❑ phone, ❑ mail, ❑ Building Divisi n counter, by Date: Plans reviewed by: Date: Plans approved by: 61:7 - Date: %0- Sets of plans on hold in ❑ Plan Cabinet, ❑ A.P. folder. Note transfer by:Date: Yellow Copy - Department of Development Services, Building Division. v 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. 1 persoftally plan, to. provide the major labor and materials for construction of the propoied property improvement : YES 13 NO C3 I HAVE � HAVE NOT. 13 signed an application for a building permit for the proposed %6&.. 3. 1 have contracted with the following person (firm) to provide the proposed constiuctl6ni"- ADDRESS: CITY: PHONE: CONTRACTOR'S LICENSE NO. 6 4.- 1 plan to 'provide portions of this . work,'but I have hired the e followmig'person to coordinate; supervise, and provide the major work: NAME: ADDRESS: CITY: PHONE: CONTRACTOR'S LICENSE NO. 5. Iwill provide some of the work but I have contracted (hired) the following persons toide pm the work indicated: NAME ADDRESS PHONE TYPE OF. WORK' SIGNED: PROPERTYOVVNFR: L SOCIAL SECURITY NUMMER: DATE: //7/ �,q NOTE: This Owner -Builder Verification is required by Section 19831 and 19832 of the. California Health and Safety Code. This verification must be -completed and returned to our office before we are permitted to issue the permit. OVER 1 Plica,v\ V"'\P L Nev Ota^ 2"x b" �"�,��erS �' (3cn�er• p�.�.1-e. 1��QS . co, FJINCI All Materials &7 or Accordance with Recognized Good PractiOO. and Thtcxfij�. o a"4 (r-- 1, �g] Prescribed far the eci dw o t941 2�C �( �R `► , S� orYn Etv3dirg, l'' ,. b &P IfdG 2 _..oamatio r ....._._.............._....................}. ....... .................. P Cr 'rhtw!�, ovt exist► g�.�...... _._...... _ n d apedit, +.s u� the tof4 es e� 8 9 the Z°b at 811 t alt. °� ®fit .v .. . J ke``t nD cX►ea OT . yllytroll,_ _ v-, 1 PERMIT NO.--TRAI35FER TO 3695-81B, P,E,M PERMIT EXPIRES OWNER John V.'01Son CONTR. owM r ASSESSOR PARCEL 64-45-42 LOCATION 14239 Manatee Cir., lot 39,PP#6, Magalia • 1, i +r, a, 33i Temp. Power Pole Called PG&E Temp. Elec. Service 3 2� �Z LL �� I Called PG&E 07/' Cq c Temp. Gas Sewice CalledPG&E JOB FINALED te) _z Signature V _ OK ' 0 - 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 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-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 Date Card -Bl-" '• _ Date Card -BI Date Card -BI Date Card -BI Date Date Card -BI ' Date ' MOBILEHOME INSTALLATION (Plans) OK except N's 1. Zoning Requirements -Setbacks -Easements Card -BI' Date _ Date Card -Bl 'Date _ POOLS (Plans) OK except H's 1. Setbacks -Easements t 2. Footings; Size -Spacing -Marriage Line 2. Soils; Compaction -Structure Stability 3. Gas; MH Test -Demand -Valve -Connector i 3. Pool Structure; Steel -Connections -Thickness -Dead Men -Lining 4. Electricity; MH Test -Crossovers -Breakers -Clearances' 4• Elect; Receptacles, and Lighting; Distances-GFI 5. Drain; MH Test -Fall -Flex Connector t 5. Elec.; Pool Lighting; 15 volts-GFI 6. Water; MH Test -Regulator -Connector 6. Elec.; Enclosures; Conduit Entries -Terminals -Listed" 7. Water and Sewer. Connected -C/0 to Grade -HD Approval a J " 7. Elec.; Bonding; Metal w/5' -Circulating Equipment -Heater 8. Gas and Electricity Tagged f 9. Exits; Insp.-Sketch S 8. Elect; Grounding; Equip,w/5'-Circulating Equip. -Pool Lghtg. Boxes -Enclosures -Panel boards -Ins. to Main in Conduit 10. Cert. of Occupancy 9. Health Department Approval 10. Plumb; Cir. Test -Water Supply Test t Card B -I Date Card -BI Date Card 131 Date Card -BI Date Card B-1 Date Card -BI Date Card -BI Date, Card -BI Date V = OK O = Not OK * = Not Applicable = Not Ready RESIDENTIAL (Single and Duplex) _. • Date UNDERFLOOR Plans OK exce t# Date FRA ING Continued 1. g requ' nts a a;i 1 48. o r ine Firewall & Openings 2.ai t s-SWel--rE4 Ftg. Depth 4 ."boors -One 3' -Check Garage -3rd story, 2 exits 3. arage; Soils -Steel- / /" Ftg. Depth 5 tai ; Width -Headroom -Rise -Run -Landing -Fire Protection 4. Ftg., Porches & Decks; Soils -Steel- / /" Ftg. Depth 51 ywood on Roof Overhang -Attic Vents -Rafter Outriggers 5. Stemwalls, Main; Steel -B lockouts -Wrapped -Slab 521 Siding -Nailing -Veneer 6. Ste IIs, Garage; Steel-Blockouts-Wrapped-Slab 53. Stucco Mesh -Drip Screed-Fdn. Vents-Underflr. Access JG -'Piers -Fireplace Ftg.-Steel 54. Glazing Area -Glass Protection -Skylights -Plastic W.V.: Fall -4 ttU9fs-Te -2 vKy C/OTest 55. Shear Walls; Nailing -Bolts g7,3a%-P`Tipe; Size -Anchors 10 er Pipe; Test-AnchorsReg or-Servst 11. Electric; Underground 12. Plen s & Duct - aterial-Support-Ins. 1 irders-Sills-Anchor Bolts -Joists -Vents -Cripples Card -BI ate rd -BI Date Card -BI to BI Date --- -- %V (. Y9 Di�A,5 Or. Soa no %jAr_eKT fino I Plemc Oe4 Card-BI Date Card -BI Date Card -BI ate U-_0 Card -BI Date Date L (Plans) OK except N's Card-BII Date Card -BI Date Date ING (Permit) OK except p's t. Steps- - an Ings . Smoke Detector 14. ter Vent -Access -Combustion Air urnace; Vents -Clearance -Comb. Air -Connector - I Garage; Above Floor-Ducts-Mech. Protection 5. r Pipe; Test & Anchors -Nail Protection 1 .W.V.; Test-Fttngs & Anchors -Nail Protection edroom Exiting 1.7.�er Pan; Test, First Floor -Tub Access 0 F.I. & Bath Fixtures & Tub Access 1 est Tub & Shower, 2nd Floor -Tub Access Elec. Trim & Subpanel; Breaker Sizes -Labels 2 Stairs & Rails 63!Fireplace or Stove; Clearances -Hearth as Pipe; Size & Anchors .64rE1ec. Outlets at Wood Panel; Int. & Ext. Card -BI Date rd -BI Date Kit. Fixt. & Appliance; Grnd.-Air Gap -Cooking Clearance Card -BI Date Card -BI Date . Elec. Outlets & Receptacles at Kit. Counter Date ELECTRICAL Permit OK except q's Garage Fire Door; Swing -Landing -Closer • Duct in Garage -Damper 20. FjxAure & Transformer Clearance s..Prot io fiqeWtr. Htr.; Vents -Clearance -Comb. Air-Connector-P.R.V.- In Garage; Above Floor-Mech. Protection 2tQc, Receptacles Spacing -Lights & Switches at Doors Plb., Elec. & Mech. Equip. Listed for Location ec. Receptacles in Garage; (G. F.I.)-Romex Protec. 22 Siz Boxes & No. of Conductors -Stapled 2 o Installed Close to Edge of Studs & C.J. 24 q ' . Ground made up w/Mech. Fasteners -Bond Gas & Water Insulation -Foam -Looked in Attic es and Rails & Deck Construction -Post Caps 25. Appliance Circuits in Kitchen &Conductor Size Fdn. Vents Crawl Hole oor-Drainage & Wood -Earth Clearance L oked u er Floor Yes _ 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 ❑No IW-Folloymig instld.: Drivees ❑ No; Walks L-_'-y5s ❑ No; Pia er ' (tqe-s E) No 28. Service -Riser Conductors & Ground -Main Disconnect Stucco; Brown -Finish 29. Equip. Clearances; Panels-Motors-Mech. Equip. fr-A.C. Unit; Disconnect-Clrnces-Brkr. & Cond. Size -115V -Outlet 30. Clothes Closet Light -Shower Light Vents Above Roof; Plbg.-Appliance-Firepl.-Clearance to Opngs. -]ArtlCater Well; Disconnect, Electrical, Plumbing 80. Exterior Elec. Trim; G.F.I. Receptacle -Underground Card B -I n ate (i d BI Date entilation throughout House Card B -I �j and -BI Date 8 ass Prot tion Date MECH CAL (Permit) OK except q's _ 8 rrect' ns from Previous Inspections Gas st-Meters Tagged; Gas -Electric 31 A. cts; Insulation & Support W r & Se onnected-C/O to Grade -HD Approval _ 33. pent Fan; Exhaust above Insulation Condensate Drain & Overflow; Size & Grade g ergy CompliarLpe Certificate -Other Certificates Z 34. Furnace -Vent; Access -Comb. Air -Return Air Vent -115V outlet 35. Attic Access & Platform if Furnace in Attic f Card -BI `, Date 1 -Card -BI Date Card-BIleJ Card -BI _ and-BI Date ate and -BI Date Card BI Date Card -BI Date Card -BI Date and -BI Date Date FRAMI ans) OK except q's Comments at Final: 36 Proper Material & Anchors _ 37 37r _ills; 'rt Spacing & Bracing -Plates -Sound e_aring Walls over Girders & Floor Nailing t Stop in Walls (rat proof) _ FireSto s; Furred Ceilings -Stairs -Chases -Tub 41.adader & Beam -Size & Bearing - 42. 4rams-Post Caps -Anchors -Co tors ,-iA99. J -Rftr. Ties -P rl' - Roof Brac.-Truss-Shlhnp.-Rfnq. F'lace Ties or Type A lupe-Fireplace Throat _ 4 ttic cess; Size & Romex Protection -Draft Stop -Ins. Baffles ndows or Exiting Doors -Sill Hgt. & Dimensions _ Garage-, Fire Protection Framing ar -— --- (NOTE:Anentrymust be made each time youvisil jobsite) t' l • '� r � k L PERMIT NO. PERMIT EXPIRES OWNER J' CONTR. ASSESSOR PARCEL LOCATION 3210-81B,P,E,r John'. V. Olson owner 64-45-41 .14235 Manatee Cir., lot 40, PP#6, Magalis s _ P! ins n, tl — Temp.' Power Pole/ Called PG&E 7, �s- � 1�� raj ,'M Temp. Elec. Service Called PG&E Temp. Gas Service Called PG&E JOB FINALED (Date) Signature J = OK O = Kot OK' = Not Applicable MOBILEHOMES * = Not Ready MISCELLANEOUS Date MOBILEHOME,UTILITIES (Plans) OK except H's 1. Zoning Requirements -Setbacks -Easements Date DECKS, COVERS, CARPORTS, ETC. fPlans� OKEexcept q's 1. Zoning Requirements -Setbacks -Easements 2. Soils; Special MH Support -Sketch _ 2. FootingslSize-Depth-Spacing-Connectors s 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.-Rig.-Bracing 5. Electricity; Location-Clearances-Grnd.-/ / Amp -Concrete _ 5.Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Gas; Location -Test -Wrap:/ /"L"ft./ P'Nat.or/ /"L"fL/ /"LPG 6. Carports; Windows -Doors 7. Utility Clearance 7. Elec., Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date 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 N's 1. Setbacks -Easements 2. Footings; Size -Spacing -Marriage Line 2. Soils; Compaction -Structure Stability 3. Gas; MH Test -Demand -Valve -Connector 4. Electricity; MH Test -Crossovers -Breakers -Clearances 3. Pool Structure; Steel -Connections -Thickness -Dead Men -Lining 4. Elec.; Receptacles and Lighting; Distances-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' B. Gas and Electricity Tagged B. Elec.; Grounding; Equip. w/5.' -Circulating Equip. -Pool Lghig. Boxes- Enc losures- Pane Iboards- 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 • .c s J = OK 0 ,= Not OK Not Applicable RESIDENTIALSingle and Duplex) Not Ready „ Date UND FLOOR Plans OK except N's Date FRAMING (Continued) Zoning requirements -Setbacks -Easements 48. Property Line Firewall & Openings g., Main; Soils-S1eel-EY1!==9I1Adw- / /" Ftg. Depth 49. Ext. Doors -One 3' -Check Garage -3rd story, 2 exits tg., Garage; Soils -Steel- / /" Ftg. Depth 50. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 4. Ftg., Porches & Decks; Soils -Steel- / /" Ftg. Depth 51. Plywood on Roof Overhang -Attic Vents -Rafter Outriggers emwalls, Main; Steel-Blockouts-Wrapped-Slab 52. Siding -Nailing -Veneer emwalls, Garage; Steel-Blockouts-Wrapped-Slab 53. Stucco Mesh -Drip Screed-Fdn. Vents-Underfir. Access 7 eers-Ficep4ees-Ft 54. Glazing Area -Glass Protection -Skylights -Plastic 8. D.W.V.: Fall -Fittings -Test -2 way C/O -Sewer Test 9. Gas Pipe; Size -Anchors 55. Shear Walls; Nailing -Bolts 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 Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Datat Y) . Card -BI Date Date FINAL (Plans) OK except N's 56. Ext. Steps -Door & Sidelight Protection -Landings Card -BI' Date Date Card -BI Date PLUMBING (Permit) OK except q's 14. Water Ht.; Vent -Access -Combustion Air 57. 58. Smoke Detector Furnace; Vents -Clearance -Comb. Air -Connector - In Garage; Above Floor-Ducts-Mech. Protection 15. Water Pipe; Test & Anchors -Nail Protection 16. D.W.V.; Test-Fttngs & Anchors -Nail Protection 59. Bedroom Exiting 17. Shower Pan; Test, First Floor -Tub Access 60. G.F.I. & Bath Fixtures & Tub Access 18. Test Tub & Shower, 2nd Floor -Tub Access '61. Elec. Trim & Subpanel; Breaker Sizes -Labels 19. Gas Pipe; Size & Anchors 62. Stairs & Rails 63. Fireplace or Stove; Clearances -Hearth 64. _ Elec. Outlets at Wood Panel; Int. & Ext. Card -BI Date Card -BI Date 65. Kit. Fixt. & Appliance; Grnd.-Air Gap -Cooking Clearance Card -BI Date Date Card -BI Date ELECTRICAL Permit OK except q's 66. Elec. Outlets & Receptacles at Kit. Counter 67. Garage Fire Door; Swing -Landing -Closer 68. 69. A.C. Duct in Garage -Damper Wtr. Htr.; Vents -Clearance -Comb. Air-Connector-P.R.V.- In Garage; Above Floor-Mech. Protection 20. Fixture & Transformer Clearance -Ins. Protection 21. Elec. Receptacles Spacing -Lights &Switches at Doors Size Boxes & No. of Conductors-Stapled 70. Plb., Elec. & Mech. Equip. Listed for Location 23. R ex RomInstalled Close to Edge of Studs & C.J. 71. Elec. Receptacles in Garage; (G.F.I.)-Romex Protec. 24. Equip. Ground made up w/Mech. Fasteners -Bond Gas & Water 72. Insulation -Foam -Looked in Attic E] Yes 25. 2 Appliance Circuits in Kitchen & Conductor Size 73. Guard Rails & Deck Construction -Post Caps - 26. Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / / ga. Cu or AI 74. Fdn. Vents Crawl Hole Door -Drainage &Wood -Earth Clearance Looked under Floor El Yes 27. Range Circ. / / ga. Cu or AI -Oven Circ. / / ga. Cu or Al, Insulated Neutral ❑Yes El No 75. Following instid.: Drive E] Yes ❑ No; Walks [3 Yes [3 No; Planters ❑Yes Cl No 28. Service -Riser Conductors & Ground -Main Disconnect 76. 77, Stucco; Brown -Finish A.C. Unit; Disconnect-Clrnces-Brkr. & Cond. Size -115V Outlet 29. Equip. Clearances; Panels-Motors-Mech. Equip. 30. Clothes Closet Light -Shower Light 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 Card B -I Date Card -BI Date 81. Ventilation throughout House Card B -I Date Card -BI Date 82. Glass Protection Date MECHANICAL (Permit) OK except N's 31. A.C. Ducts; Insulation & Support 83. Corrections from Previous Inspections 84. Gas Test -Meters Tagged; Gas -Electric 85. 86, Water & Sewer Connected -C/O to Grade -HD Approval Energy Compliance Certificate -Other Certificates _ 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 T Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Comments at Final: Date FRAMING(Plans) OK except N's 36. Sills; Proper Material & Anchors 37. Walls; Studs -Nailing, Spacing & Bracing -Plates -Sound _ 38. Bearing Wails 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. 43. 44. 45. Hangers -Post Caps -Anchors -Connectors Cing. Joist-Rflr. Ties-Purlin-Roof Brac.-Truss-Shlhng.-Rfnp. Fireplace Ties or Type A Flue -Fireplace Throat Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 46. Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions 47. Garage Fire Protection Framing (NOTE: An entry must be made each time youvisit jobsite) COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 196 Memorial Way, Chico — Phone: 891-2751 7 County Centor Drive, Orovi Ile — 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. Inspector�Date RESIDENTIAL ENERGY CONSERVATION STANDARDS CONSTRUCTION COMPLIANCE CERTIFICATE THIS.IS TO CERTIFY THAT ENERGY CONSERVATION REQUIREMENTS HAVE BEEN INSTALLED IN CONFORMANCE WITH CURRENT ENERGY CONSERVATION REGULATIONS AT 161 '1 IM anciA'2g—, C'_(`; (location) BUILDING PERMIT NO. A;P. NO., vel- THE FOLLOWING HAVE'BEEN INSTALLED AS PER'APPROVED..PLANS: (Check each item or write N/A if'not applicable) INSULATION: GLAZING:. Slab Edge Single Glazed Fdn. Walls Special. (Insulated) 11 Floors.- CERT. & LABELED WDS. Walls` & SLIDING DRS. VIA /A Ceiling/Roof WEATHERSTRIPPED DRS. WA Ducts, _ BACK DAMPERED FANS Circulating PipAs t4/A INTERMITTENT IGNITION DEVICES APPROVED HEATER CERT. APPLIANCES APPROVED WTR.HTR.� I DECLARE THAT'ALL REQUIRED ITEMS AS NOTED ABOVE HAVE�BEEN INSTALLED IN ACCORDANCE WITH THE ENERGY CONSERVATION REQUIREMENTS AND -AGREE -TO THE COMPLETENESS OF THIS CERTIFICATE AS SUBMITTED. Insulation Applicator Name Signature of n (please print) Insulation Applicator ._1q1_ e— k hE .. State Contractors License No. 4M/06f. 3:Z 9�(Ul General Contractor/Owner Name ,pin•� �/��'� (please print) Signature of General Contractor/Owner Date 17,,,,j� 2�, 5?Z State Contractors License No. c.) y /O 6-i THIS CERTIFICATE MUST BE ON -FILE WITH THE BUILDING DEPARTMENT PRIOR TO REQUESTING FINAL INSPECTION AND SHALL BE POSTED IN'A CONSPICUOUS LOCATION WITHIN THE DWELLING. ;Perini°t# INSULATION CERTIFICATION { _ 1423_5 M'ariatee Circle; ' Magalia Number, and Street - City County Lot Number Subdivision DESCRIPTION OF INSTALLATION ROOF Material Brand Name Thickness (inches) Thermal Resistance (R -Value) EXTERIOR WAL_L Material Fiberglass Brand Name C_ertainteed lr Thickness (inches) 3 2_ Thermal Resistance (R Value) R-11 10504 CEILING Batt or Blanket Type Fiberglass Brand Name Certainteed . Thickness (inches) . g.22-'_ : .350.»� Thermal Resistance (R Value)"_ � Loose Fill Type Brand Name , Minimum Thickness (inches) Number of bags____ Weight per bag Ib Area Covered (ft 2) Thermal Resistance (R Value) FLOOR,ELEVATED Fiberglass Material ,Brand Name Certainteed.' Thickness (inches) 3-2- Thermal Resistance (R Value) R-11 . 1380:,x' FLOOR,SLAB Material Brand Name Thickness (inches) Thermal Resistance M Value) Width (inches) FOUNDATION WALL Material Brand Name Thickness (inches) Thermal Resistance (R Value) HEATING SYSTEM Gas Furnace Make Model Description Rated Bonnet Capacity _ DECLARATION I hereby certify that the above insulation was installed in the building at the shove location ir. conformance with the current regulations setting Energy Conservation Standards for new residential buildings (located in Title 74 of the California Administrative Code). - t General Contractor (builder) License Number Signature and Title Date Hawkins Insulation CO-- c. 378407 � u -Contractor (Insulatlo PPlic,t ) License Number � 4 _D 3/30/82' 5i 9. hue and Title Date CERTIFICATE REVIEWED BY _ Date BIN -029 _(Building Inspection Office) -.-� COUNTS OF BUTTE - DEPARTMENT OF PUBLIC WORK PERMIT NO. - 7 County Center Drive - Oroville, California 95965 - Telephone -916/5 -454 ` APPLICATION AND PERMIT [� ASS ESSO PA Gy NU — ZO M BUILDING PERMIT O WN EJ F3�0g Avl f a 01 ,vl J�O� TELEPHONE ,SQ FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS R'S N E /,-CSI C D!/OL�/O/�/ Vr'r/�� T��J ✓VI CONTRACTOR'S MAI G ADIP Del, C ��/� 35C V Fire lace p CONSTRUCTION LENDER UNKNOWN Total Valuation $ Filing Fee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER I/'y __ • LICENSE NO. Plan Checking Fee $ 10r00 Penalty $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Permit fee $ ,0-6 BUILDING f� RES,^- c /W AAj14TEe / L✓< Cl��'�� PLUMBING PERMIT Fee Filin Fee 10.00 Filing Trap 8'1 2.00 Repair drainage or vent piping 5.00 Water piping LOT NO. 3 sUBDPI sygN NAnyE� ��/ f� PARCEL MAP Each qas water heater or vent 5.00 Gas piping system 1 - 5 outlets USE OF STRUCTURE SF Duplex ❑ Mobi lehome ❑ Other SPECIFY Building sewer Lawn sprinkler system 5.00 TYPE OF WORK New Q/Addition ❑ Remodel ❑ Uti lit' s ❑ Installation a Describe work: 75/�C�p ��— �� %�y Permit Fee $ /Q, f�a Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service e001 OR LESS5.00 100 AMP OR LESS Main service EA. ADD'L 100 AMP 2.50 1' NEW CONST. DWELLING OC ./ OR ADDNS. ACC. BLDGS. 20sgft ' ' CONTRACTORS LICENSE LAW I declar 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: 39 to6n _ Classification _� ❑ I, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONSTR.I-OUTL T 2,50 ea NON.RESID BRANCH CIRC ITS e\ NEW CONSTR.POWER APPARATUS NON-RESID. SINGLE OUTLET CIR. 1 Ex. Occup OUTLETS OR FIXTURES AL@1 BAL@1 Ex. OCCUp.�OUTLE EA. 2.00 ETS XED P(RESID )R Temporary service 1.10.00 Mobile Home Facilities 15.00 Mi sc. Wiring 7.50 Permit Fee $ /0-0 Contractor f MECHANICAL PERMIT F'IingFee 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 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 coo Pa114P Cooling 7— Hood 3.00 Ventilation Permit Fee S �Qt�jD Contractor I certify that I have read this application and state that the above informat'on is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. 1 also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue aga st d County in c nsequence of the granting of this permit. X ate /�� Signt e 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 $ OCCOP. oRoOP TrPF_oF f.ONST. v ,aVF/ PARCEL PD ND Ss0 Th s permit is hereby issued under sions of the Butte County Code and/or work indicated above for which DIRECT9"F PUBLIC By PERM EXPIRES Date the applicable provi- resolutions to do fees have been paid. WORKS Date _ Receipt No. WHITE -D. P. W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT Return to DPW r 'AGRICULTURAL STATEMENT' OF ACKNOWLEDGEMENT FOR RESIDENTIAL DEVELOPMENT 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 this property may be subject'to inconveniences or discomfort arising from the use of agricultural chemicals, including, but not limited to herbicides, 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: OFFIC.AL .RE1,C)PI)S BUTTE COUNJTY- ;; I 'F=. RECORDS EQ"UEST: ED By Sep 29 95q CLARK A. NEL's02d CLERK -RECORDER FEE Date:. ;`�{ �q-PROPERTY"-OWNERS : —TT S �3 �� State of California' ) On this the 28th day of September , 19 81 , SS.* before me,,the undersigned Notary Public, personally .County of Butte ) appeared JOHN VERNON OLSON 1 °":��sq.: ae OFFICIAL SEAL known to me to be the person(s) whose name(s). is `_} MAXINE M HEBERT subscribed to the within instrument and acknowledged a< NOTARY PUBLIC `CALIFORNIA that he executed the `same for the purposes BUTTE COUNTY _ My comm., expires JUN 8, 1984 therein contained. aavv IN WITNESS WHEREOF, I hereunto set my hand and official seal. Present A.P: NO. 'Notary Public Maxine M. Hebert END OF DOCU"AENT CIO 0 0 4,/ J f • Id►S►�►.0►�►t ► ► ► 1861 sx�oM 01784d gun® ao o COUNTY OF 6'UTTE•- DEPAPrTMENT OF PUBLIC WORKS ' PERMJT NO - 7 7 County Center Drive - Oroville, California 95965 - Telephone 916/534-45 - APPLICATION AND PERMIT ASS ESSO PAR C'EL NUMBER ZO - ,Q`. t BUILDING PERMIT Ow E TELEPHONE o SaH -337 SQ. FT. OCC.. BUILDING VALUATION .,430. S76d OWNER'S MAILING ADORE 3 �"" S 4 4 3&' A^ 3eg d CONTRACTOR'S NAME .TE )E/P /HONE W,`/ 3Z 0 V� '% CONTRACTOR'S MAILING DD SS p f a T7 3 (OV ��C_�_ M� �Ll/� Fireplace 40 ONSTRUCTION LENDER AL u UN KN 04Y� Total Valuation $ 2 Filin g'Fee • $ 10.00 LENDER'S MAILING ADDRESS '-- Permit Fee $ ,Ocl ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee,$ Penalty $ ARCHITECT OR ENGINEER'S MAILINGADDRESS Permit fee $ BUILDING ADDRESS �� A !V1,: PLUMBING PERMIT FilingFee 10.00 Each Trap 2.00 1 00 Repair drainage or vent piping 5.00 e Water piping , LOT NO. Q SUBDIVISION NAME P CEL MAP 5,9.3 - Each qas water heater or vent /,v0 5.00. &L400 Gas piping system 1 - 5 outlets SN, CD0 USE OF STRUCTURE SF K Duplex❑ Mobilehome❑ Other SPECIFY Building sewer pb Lawn sprinkler system 5.00 TYPE OF WORK NewK Addition❑ Re del[:] Utilities❑ Installation❑ Other❑• Descr' work: Permit Fee $ 'o0 Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 100V OR LESS 100 AMP OR LESS 5.00 6100 ' Main service EA. ADD'L 100 AMP ry� 2.50 Zw NEW CONST. / DWELLING O •d� OR.ADDNS. \ ACC. BLDGS 20 sq it NTRACTORS LICENSE LAW I decl re under penalty of perjury (check one): - I am licensed under provisions of Chapt. 9, Div. 3 of the Business50 and Professions Code and my license is in full force and effect. 3�rJ� License No: ` Classification �'` ❑ I, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. Business and Professions Code for this reason NEW CONSTR. I.OUTLET 2,50 ea NO N.RESID BRANCH CIRCUITS) NEWCONSTR. POWER APPARATUS !1 NON .RESID, SINGLE OUTLET CIR• / @ 2s¢ Ex. Occup OUTLETS OR FIXTURES IBAL@100 FIXED EX. QCCUp.�OPLISIS KE ULETS(RESID ) A. 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 7.50 Permit Fee $ Contractor MECHANICAL PERMIT FiIirig Fee 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 Certificate of Workmen's Compensation Insurance or a Certificatef Consent to Self -Insure. WIshall 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 2,0 000 100 114P Cooling /7— Bp Hood 3.00 3 O Ventilation Permit Fee $ pQ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. 1 also agree to save, indemnify and keep harmless the County of Butte against all 1'abilities, judgments, costs, and expenses which may in any way,accrue agarMsaCounty,imco equence of the granting of this permit. �-¢` Date S� Signak 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 'Q _Z ,`v TYPE ol•{ONST. .N_. h/'X PARC L P N 1SSo� This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which DIR OR OF PUBLIC By P IT EXPIRES Date the applicable provi- resolutions to do fees have been paid. WORKS Date'�� -toie Receipt NO. �,�/ 7 0 WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT