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Home My WebLink About065-290-02265-29-22 i,,-.3728. 90B P;E-,M F ;HUGHES, Tom \n i 1L i 14800 Wildlife D qHo ' Contr: Solar Designs (new sf) 65-29-22 3883-90B,P,E,M SOLAR DESIGN HOMES 14800 Wildlife Dr; Magalia (new sf) a- aa.�l 0 s i w ` LOCATION ENERGY CERTIFICATION Yy\ A.P.NO. ROOF ' MATERIAL BRAND NAME THICKNESS ----- THERMAL RESISTANCE (R 0� EXTERIOR WALL-`�"�^------' MATER%ALFDBE8LASS BRAND NAMECERTAINTEED THICKNESS (INCHES) THERMAL RESISTANCE'(R VALUE) CEILING ' . -��----- BATT OR BLANKET TYPE FIBERGLASS BRAND NAMECERTA%NTEED ..'^`^=.ESo o THERMAL RESISTANCE (R VA`-" LOOSE FILL TYPE FIBERGLASS BRAND NAME MINIMUM THICKNESS(INC ___CERT�lINTEED'-'�---- UMBER OF BAGS T PER---------- LB AREA COVERED -(SOFT) THERMAL RESISTANCE —�� Lo" ''~ FLOOR, ELEVATED. ' "=~��--- MATERIAL FIBERGLASS_. BRAND NAMECERTA%NTEEQ THICKNESS (INCHES) THERMAL RESISTANCE (R VALUE) FLOOR, SLAB' ------ . MATERIAL - BRAND NAME THICKNESS (INCHES) THERMAL RESISTANCE (RV FOUNDATION WALL ' �"-`'�~------- MATERIAL ' BRAND NAME THICKNESS (INCHES) THERMAL RESISTANCE '�� V— % HEREBY CERTIFY THAT THE ABOVE INSULATION WAS INSTALLED IN THE ' ABOVE BUILDING IN CONFORMANCE WITH THE STATE OF CALIFORNIA ENERGY REQUIREMENTS.- . HAWKINS INSULATION FIRM NAME/OWNER SIGNATURE 379407 STATE CONTRACTOR'S . z 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 MERT%ALS ARE OF THE QUALITY I UA %TY'PRESCRIBED OR ARE SPECIFICALLY APPROVED BY THE STATE OF CALIFORNIA. " � FIRM NAME/OWNER STATE CONTRACTOR'S LICENSE NO. SIGNATURE GEN. CONTRACTOR/OWNER ---- DATE -1- . .� ;i. Width SAM .,_ Y '+ 71/2 J 10112 12 "s' 131/2 15',r-- '4 Weyerhaeuser �4` + Advanced Building Components yGlulam Headers 6.08 9.07 12:9 . •`�gy'1650 Series 23.6 30.6 Section Properties 4512 6497 8843 11550 17811 7y - r -art Depth (in)" ;� ;i. Width SAM .,_ Y '+ 71/2 8" 10112 12 "s' 131/2 15',r-- '4 -T 161/2`:, „ 18...."1 EI (x 100 million`Ib-inz). `"' 2.21 3.83 6.08 9.07 12:9 . 17.7 23.6 30.6 Moment Capacity (ft -lbs) 4512 6497 8843 11550 17811 18500 22623 27185 Shear Capacity (ft -lbs) 2888 3472 4050 4628 5207 5786 6364 6942 Minimum Bearing (in) 1-1/2 1-1/2 1-1/2 1-1/2 1-1/2 3 3 3 141(15.1/7" ]."t l;r' ; '.: y - '-' 7r1/2 V,". 8 -Ale -- 10-1/2 12 - 13.1/2. 16 ; 18.1/2 18- EI (x 100 million Ib -ink 3.48 6.01 9.55 14.3 20.3 27.8 37.1 48.1 Moment Capacity (ft -lbs) 7090 10209 13896 18150 23274 29071 35551 42719. Shear Capacity (ft -lbs) 4546 5455 6364 7273 8182 9092 10000 10909 Minimum Bearing (in) 1-1/2 1-1/2 1-1/2 1-1/2 1-1/2 3 3 3 Maximum Uniform Load (PLF) t ROOF -15% Increase (3-1/2" Width) Depth (1n) .' 4 x 10 3-1/2- x 9' 10,112 12 13.1/2 15'`°' 10-1/2.1 18 " 1604 2118 2746 3532 4543 5891 7778 10611 650 810 983 1170 1375 1597 1841 2110 297 421 564 698 806 919 1039 1165 154 233 314 405 507 620 721 802 �4127,� ;c 206 -134 277 ?557 . 448 1133 <657 744 76 _. 323 197 255 ...,,648- 320 k 392 471 556 20 119 ';121, �4 174219 . - ' ,« 268' a r, 323. 382 FLOOR - 0% Increase (3-1/2" Width) Depth (In) , y , 7.1R 8 +° 10 1/2 : 12 13-1/2 -15 -"' 16-1/2 18- 1394 1840 2387 3070 3949 5121 6762 9225 564 703 853 1016 1194 1387 1599 1833 258 365 490 606 699 798 902 1011 114 200 271 351 439 538 625 695 94' ;x165' 4239 ,:;310 E:;1388 `.47511: .y„"570, 645 55 99 160 221 277 339 408 482 x,29 a( 4; ;Y 89. x,136'it189. x+ 232;,; io 279 330 ion Tables Convert from #1 Timbers Replace with Weyerhaeuser Glulam Headers -1650 Series 4 x 10 3-1/2- x 9' �.4-x,12 -3.1/2' x 12__ h , 4 x 14 . 3-1/2' x 13-1/2' 4 x 16 --.._... '3-1/2° X 18• - 6 x8 5-1/2' x 7-1/2' 6 x 10 5-1/2' x 9' 6 x 12 5-1/2' x 10-1/2' 6 x 14 5-1/2' x 13-1/2' 6 x 16 5-1/2' x 15' Convert from Two -Ply Built-up Dimension Lumber Headers Replace with Weyerhaeuser Glulam Headers -1650 Series 2 x 6 3-1/2' x 7-1/2' 2 x 8 3-1/2"x 7-1/2' 2x 10 3-1/2' x 9' 2 x 12 3-1/2' x 10-1/2' ;,•� ,SL 1682 12-89 General Notes: 1. These tables apply to Weyerhaeuser Glulam Headers - 1650 Series only for straight, simple span applications under dry use service conditions. 2. Load values are for applied loading in plf. Beam weight of 35 pcf (lbs/cu ft) is already accounted for and need not be considered. 3. Deflection limits: roof applications = U180 for total load; floor applications = U240 for total load. Glulams used in floor applications should also be checked for U360 deflection limits for live load if live load is greater than 2x the dead load. 4. Shaded areas in load tables indicate pre-cut lengths of 17' and 24'. 5. Selected lumber section design bending stresses used were: Doug Fir #I - 1500 psi So. Pine 111 - 1450 psi Weyerhaeuser ROOF- 15% Increase 5-1/2" Width Span Depth (in) .'i -, 4 ' (feet) 7.112 1 ` 10.1/2 ` 12' 13.1/2 `" 18 , 16.1/2" " 18 =" 4 2520 3328 4315 5550 7138 9257 12223 16674 8 1021 1272 1544 1839 2160 2510 2893 3316 12 467 661 887 1097 1266 1445 1633 1831 16 242 367 493 636 797 974 1133 1260 17 ' 200 _. 323 435' W 562 X704 ; o,861 ;1033 ,, ;,•1169 20 119 211310 435 401 503 616 740 874 24 x;•65 .'%1174: x ,191„ .. 274, :; 344, s',422a 5q7}. -,•600 General Notes: 1. These tables apply to Weyerhaeuser Glulam Headers - 1650 Series only for straight, simple span applications under dry use service conditions. 2. Load values are for applied loading in plf. Beam weight of 35 pcf (lbs/cu ft) is already accounted for and need not be considered. 3. Deflection limits: roof applications = U180 for total load; floor applications = U240 for total load. Glulams used in floor applications should also be checked for U360 deflection limits for live load if live load is greater than 2x the dead load. 4. Shaded areas in load tables indicate pre-cut lengths of 17' and 24'. 5. Selected lumber section design bending stresses used were: Doug Fir #I - 1500 psi So. Pine 111 - 1450 psi Weyerhaeuser FLOOR - 0% Increase (5-1/2" Width) Span ,: ; .., ... .. ' _ - Depth hn)b : (feet) '74/2 6'.: 10.1/2 _ 12" '13.1/2- -16413 :x.18,-- 4 2190 2892 3750 4824 6205 8047 10626 14496 8 886 1105 1341 1597 1876 2180 2513 2880 12 405 179 573 314 769 952 1099 1254 1417 1589 16 427 �51 691 845 982 1093 17 �14Z 260 -r 3767 r486x ,r610`- ,',746', -t`895:q X1013 28 87 155 251 347 435 533 641 757 24;46. ,x.,85 p 139 213j 1? 297 +y 364 x 3?»438, 1'1518 General Notes: 1. These tables apply to Weyerhaeuser Glulam Headers - 1650 Series only for straight, simple span applications under dry use service conditions. 2. Load values are for applied loading in plf. Beam weight of 35 pcf (lbs/cu ft) is already accounted for and need not be considered. 3. Deflection limits: roof applications = U180 for total load; floor applications = U240 for total load. Glulams used in floor applications should also be checked for U360 deflection limits for live load if live load is greater than 2x the dead load. 4. Shaded areas in load tables indicate pre-cut lengths of 17' and 24'. 5. Selected lumber section design bending stresses used were: Doug Fir #I - 1500 psi So. Pine 111 - 1450 psi Weyerhaeuser V ri7:Rt-� R IFICATE 1�; 1� t OF CONFORMAN.CE::.. • 4�, A!; HE UNDERS16NED MANUFACTURER HEREB:)CERTIFIES 00at the products identified below and on attached sheets Nos, re marked a }te,!;ith the collective mark of the American Institute 'of"Timber "'Co6iti6ctioA (RITC) and are cating provisions . tolmanufactured in accordance with the manufacturing and fabri ofl`-- -!"'CHAPTER 25 I I -. f F TO UNIFORM —1-1—RIG CODE FOR GLUED IMINAlig b TIMBER'..As MODIFIED BY 4 TCW) RFSEAR (K BE= NO 3346 that has been in SAGE GROVE.OREGM �L�J'and such manufacture at our plant which V., plant has a quality 1,0 f Timber Construction control system m4icah. m approved by the, liispectiori�'BureaU o j -A` Institute inspected and periodically by such Buriau,"" TRC JOB NAME: STOCK HEADERS SACRAMENTO, CALIFORNIA J013 LOCATION: 'jt,PLISTOMER'S ORDER NO. 449n 1 Q 11 F; /R9 MFGR'S DATE ORDER NO. 30'A WMYERHAEUSER COMPANY*.. SIGNA cDmpA'NY' I&1v1MTM.TI11GM PRODUCE'S .111LE SUPERVISOR ADDRESS HIGHPW 99 SO= DATE /0 z—/4"9 A TC HEREB Y CER TIFIESthat the said corripany ai','its said plahi is licensed by the AMERICAN INSTITUTE OF TIMBER CONSTRUCTION to use the AITC Collective Mark in respect of products which comply with applicable provisions of said code and report(s), that the adequacy of the quality control system in effect at said plant is periodically inspicted and verified by the Inspection Bureau of the AMERICAN INSTITUTE OF TIMBER CONSTRUCTION,- and that, in the judgment of AITC, said company is capable of complying with applicable 'Manufacturing and testing provisions of said code and report(s) in respect of products manufactured aitiaid plant. Con- formance with the said code and report(s) in respect of any specific or particular. product is the sole responsibility of the manufacturer; AITC's Certificate hereunder being jhaifthe'. said company is ,qualified to produce a product meeting the said code and report(s) and that its plant is periodically inspected and verified by the AITC Inspection Bureau. 14 AITC Certificate. No. .11599* E -OF.'TIMBER.CONSTRUCTION 44 AMERICAN INSTITUTE. SEAL 1952 AA Q 2983 AMERICAN INSTITUTE OF ' TIMBER CONSTRUCTION AITC A'OR18CE IIE ulam Headers — 150 Series scription /erhaeuser Glulam Headers - 1650 as are engineered to meet or exceed design values of #1 solid sawn )ers and two-ply built-up dimension ber used in header and short beam lications. They are manufactured + kiln -dried MSR lumber for maximum ensional stability and won't warp, ck, cup or twist. The 1650 Series am Headers from Weyerhaeuser are iufactured in Cottage Grove, Oregon. "'Uses ;? + Weyerhaeuser Glulam Headers -1650 Series are designed to fit a variety of fps=i firesidential applications: + Garage door headers kE • Patio door headers Window Enheaders Entry door headers fj ;W • Beams for applications up to 24' «, • :j"t in length where appearance is not a requirement. .�y r, Ot11t -Features IF Installation -The 1650 Series x. (;Glulam Headers from Weyerhaeuser are 'r `manufactured with no camber;.there is no top or bottom, allowing for fast, easy r '`;installation. Plus, their 3-1/2" and 5-1/2" VVII width frames in easily with stud walls, leliminating the need for furring strips. No Checking, Cupping, Warping or �4wisting - These glulams are engineered ?products with assured, predictable +jperformance. The low moisture +content of the MSR lumber used in r ;,.•,," J,Weyerhaeuser Glulam Headers results 'i•Viz,-.1'in components with maximum a t '''dimensional stability. q { $:Competitively Priced - Weyerhaeuser 'wJz ,T,iGlulam Headers - 1650 Series are r .9,�,,'Vjj,,competitively priced with conventional 1 j, . + .V,+framing timbers, without wild fluctuations f in price. No Cull - Glulams from Weyerhaeuser are • .,guaranteed 100% usable, virtually ,eliminating callbacks. x; Code Approved - Each beam is clearly .stamped with its code approvals 1�(NER-267), and is certified by AITC. - •,l:ai .�kn`�t��Y by Weyerhaeuser Company's warranty. Weyerhaeuser Advanced Building Components Specifications Widths 3-1/2", 5-1/2" Depths 7-1/2" - 18" Lengths Pre-cut in lengths of 17' and 24'. Other lengths available. Appearance Grade Industrial (one face may be rough sawn). Moisture Content All laminations are kiln -dried to less than 16% before fabrication. Species Douglas Fir Bending Stress Fb = 1650 psi Stiffness MOE = 1.8 x 106 Horizontal Shear F h = 110 psi Compression (Bearing) F , = 630 psi All of our Glulam Beams are identified with the AITC quality inspection mark and accompanied by a Certificate of Conformance to the American National Standard ANSI/AITC A190.1, Structural Glued Laminated Timber. Weyerhaeuser's conformance to ANSI/AITC A190.1 is your assurance of receiving a product of consistent high quality. Service For more information, write: Weyerhaeuser Engineered Components Tacoma, WA 98477 or call 1-800-424-3401 (206) 924-3399 Availability Weyerhaeuser Glulam Headers - 1650 Series are available at the Weyerhaeuser Customer Service Center near you, your stocking wholesaler, local building supply dealer, or retail lumber yard. Weyerhaeuser 682 12-89 t 4 �y "RESIDENTIAL r 65-29-22 T 3883-90B,P,E,M 1 SOLAR DESIGN HOMES 14800 Wildlife Dr, Magalia (new sf ) xc+ 7 t' Y J t 4 ,y t OFFICE COPy +, fAddress . � f GA 4. M i ELECTRIC Meter By - ate JOB FINALED (Date) 2 — Signature w� VOK O=Not OK - =Not Applicable RESIDENTIAL (Single & Duplex) = Not Ready Date U E FLOOR Plans OK except #'s oning-Setbacks-Easement -Flood-Slope JZfAj�, Main; Soils-Elec. GV. -/)Z' Ftg. Depth . Ftg., Garage; Soils -Ste Elec. Grnd.-//U' Ftg. Depth 4. Ftg., Porche-v& Decks; Soils -Steel-/ /Fig. Depth -5. Stemwa , Main; Steel -Bloc kouts-Wrapped 6. Ste ails, Garage; Steel-Blockouts-Wrapped 6a. H61d Downs and Soecial Anchors 8. -> +8 D.W.V.; Fall-Fitting-Te4t-2 Ways/O-Sewer Test 10. GXs Pipe; Size -Anchors - Test 12. Electric; Underground 13. Pienums & Ducts; Clearance -Material -Support -Ins. 14. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples 15. Insulation Date CoSCard B-1 Date Card B -M- , Date Card B-1 3 Date Card B-1 Date PLUM -PING Permit OK except #'s . Wa er Htr.; Vent-Acce Combustion Air -Baffle 41-Sater Pipe nchor-Nail Protection 18. D.W. - gs & Anchor -Nail Protection ,,.iTest, First Floor -Tub Access 2 hower, Second Floor -Tub Access 2 . as Pipe; Size & Anchors Date/Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date ELECTRICAL Permit OK except #'s YI. cure & Transformer Clearance -Ins. Protection 2X,.&'ec. Receptacles Spacing -Lights & Switches at Doors Sze Boxes & No. of Conductors -Stapled ',?5-1<omex Installed Close to Edge of Studs & C.J. 2&.'1q0p. Ground made up w/Mech. Fastners-Bond Gas & Water 2*11'Appliance Circuts in Kitchen & Conductor Size/GFI �Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / / ga. CTror-AI 29. Range Circ. / / ga. Cu or AI -Oven Circ. / / ga. Cu or Al. Insulated Neutral ❑ Yes ❑ No Service -Riser Conductors & Ground -Main Disconnect quip. -Clearances Panels-Motors-Mech. Equip. es Closet Light -Shower Light -Spa Light 3 . Smoke Detector Date �„ 3. Card B- Date Card B-1 Date Card B-1 Date Card B-1 Date MEQ ICAL (Permit) OK except #'s 3 . A.C. Ducts Insulation & Support 35. Vent Fan; Exhaust above insulation 36. Condensate Drain & Overflow: Size & Grade 37. Furnance-Vent; Access -Comb. Air -Return Air Vent -115 outlet 38. Attic Access & Platform if Furnance in Attic Date ,�' Card B-1 Date Card B-1 Date Card B-1 Date _ Card B-1 Date FRAMING (Plans) OK except #'s / 30,.'Sils, Proper Material & Anchors 40. Walls Studs -Nailing, SpacingBr lates-Sound inq Walls over Girders & Floor Nailing 4 t Stop in Walls (rat proof) e Stops; Furred Ceilings -Stairs -Chas -Tub 441 Headers & Beam -Size & Bearing Date FRAMING (Continued) 4 . gers-Post Caps -Anchors -Connectors 46. Cing. Joist-Rftr. ties-Purlin-roof Bra ru -Shth .-Rfng 47. Fireplace Ties or Type A Flue -Fireplace Throa e e �if±ttic Access; Size & Romex Protection -Draft Stop -Ins. Baffles drm. Windows or Exiting Doors -Sill Hgt. & Dimensions Garage Fire Protection Framing 5ZiProperty Line Firewall & Openings j ,,-,Ext. Doors -One T -Check Garage 3rd Story, 2 Exits 53. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection plywood on Roof Overhang -Attic Vents -Rafter Outriggers 5 iding-Nailing Veneer es -Drip Screed -Fd. Vents-Underflr. Access 57. lazing Area -Glass Protection -Skylights -Plastic 58. S ar Walls; Nailing -Bolts Insulation -Walls -Ceilings 60. Infiltration -Walls -Windows DateCard B-1 Date 1' Card B-1 Date (" Card B-1 Date Card B-1 Date FINAL (Plans) OK except #'s 161. Ext. Steps -Door & Sidelight Protection -Landings 6 . Smoke Detector 63. Furnace; Vents -Clearance -Comb. Air -Connector - In Garage; Above Floor-Ducts-Mech. Protection -BeBedroom Exiting (-W. G.F.I. & Bath Fixtures & Tub Access -Spa 66. Elec. Trim & Subpanel; Breaker Sizes & Labels 67. Stairs & Rails Fireplace or Stove; Clearances -Hearth 69. Elec. Outlets at Wood Panel; Int. & Ext. 7 . Kit.Fixt. & Appliance; Grnd.-Air Gap -Cooking Clearance 1. Elec. Outlets & Receptacles at Kit. Counter 7 . Garage Fire Door; Swing -Landing -Closer X73. A.C. Duct in Garage -Damper 7 . Wtr. Htr.; Vents -Clearance -Comb. Air -Connector- .V. I Garage; Above Floor-Mech. Protection 75 Ib Elec. & Mech. Equip. Listed for Location 76. Elec. Receptacles in Garage; (G.F.I.)-Romex Protection 7'Nnsulation-Foam-Looked in Attic ❑ Yes 78. Guard Rails & Deck Construction -Post Caps . 79. Fdn. Vents & Crawl Hole Door -Drainage & Wood -Earth Clearance Looked under Floor ❑ Yes 80. Following instld.; Drive es ❑ No; Walks Yes o; Planters ❑ Yes 1211No 81. Stucco; Brown -Finish 82- A.C. Unit; Disconnect, Electrical, Plumbing 83. Vents Above Roof; Plbg.-Appliance-Fireplace.-Clearance to Openings 84. Water Well; Disconnect, Electrical, Plumbing 85. Exterior Elec. Trim; G.F.I. Receptacle -Underground 8 . V tilation Throughout House 81"Glass Protection 88. Corr c ' from Previous Inspections kl 89. a eters Tagged; Gas -Electric 90. Water & Sewer Connected -C/O to Grade -HD Approval Energy Compliance Certificate -Other Certificates Date - Card B-1 Date Card B -1 - Dat Card B- Date Card B-1 Date Card B-1 Date Card B-1 Comments at Final: (NOTE: An entry must be made each time you visit job site) V=Ok O = Not OK Not = Not Ready MOBILE MOBILE HOMES Date MOBILE HOME UTILITIES (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Soils; Special MH Support Sketch 3. Sewer; Location -Test -Fall -C/O Concrete 4. Water; Location -Test -Easement Needed (Sketch) 5. Electricity; Location-Clearences-Grnd-/ /Amp -Concrete 6. Gas; Location -Test -Wrap: / P L" ft. / /"Nat. or/ P L" ft./ /"LPG Date Card B-1 Date Card B-1 MISCELLANEOUS Date DECKS, COVERS, CARPORTS, GARAGES, (Plans)OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Footings; Soils -Size -Depth -Spacing -Connectors -Steel 3. Decks; Griders end/or Joists -Decking -Bracing -Stairs -Rails 4. Wood Awn.; Pdsts-Beams-Rftrs.-Coonectors Shthg.-Rfg.-B'raci ng 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Carports; Windows -Doors 7. Electric 8. Frmg; Sils-Anchors-Studs-Rftrs-Trusses 9. Siding; Nailing -Veneer -Stucco -Mesh 10. Roof; Shthg-Roofing 11. Ext.; Steps -Doors -Landings Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date POOLS (Plans) OK except #'s 1. Setbacks -Easements 2. Soils; Compaction -Structure Stability 3. Pool Structure; Steel -Connections -Thickness Dead Men -Lining 4. Elec.; Receptacles and Lighting, Distances-GFI 5. Elec.; Pool Lighting; 15 volts-GFI 6. Elec.;Enclosures; Conduit Entries -Terminals -Listed 7. Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater '8. Elec.; Grounding; Equip. w/5' Circulating Equip. -Pool Lghtg. Boxes-Enclosures- Pane Iboa rds-Ins. to Main in Conduit 9. Health Department Approval 10. Plumb.; Cir. Test -Water Supply Test Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 7. Utility Clearance Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date MOBILE HOME INSTALLATION (Plans) OK except #'s 1. Zoning Requirements -Setbacks Easements 2. Footings; Size -Spacing -Marriage Line 3. Gas; MH Test -Demand -Valve -Connector 4. Electricity; MH Test -Crossovers -Breakers -Clearances 5. Drain; MH Test -Fall -Flex Connector 6. Water; MH Test -Regulator -Connector 7. Water and Sewer Connected -C/O to Grade -HD Approval 8. Gas and Electricity Tagged 9. Exits; Insp.-Sketch 10. Cert. of Occupancy Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 MISCELLANEOUS Date DECKS, COVERS, CARPORTS, GARAGES, (Plans)OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Footings; Soils -Size -Depth -Spacing -Connectors -Steel 3. Decks; Griders end/or Joists -Decking -Bracing -Stairs -Rails 4. Wood Awn.; Pdsts-Beams-Rftrs.-Coonectors Shthg.-Rfg.-B'raci ng 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Carports; Windows -Doors 7. Electric 8. Frmg; Sils-Anchors-Studs-Rftrs-Trusses 9. Siding; Nailing -Veneer -Stucco -Mesh 10. Roof; Shthg-Roofing 11. Ext.; Steps -Doors -Landings Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date POOLS (Plans) OK except #'s 1. Setbacks -Easements 2. Soils; Compaction -Structure Stability 3. Pool Structure; Steel -Connections -Thickness Dead Men -Lining 4. Elec.; Receptacles and Lighting, Distances-GFI 5. Elec.; Pool Lighting; 15 volts-GFI 6. Elec.;Enclosures; Conduit Entries -Terminals -Listed 7. Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater '8. Elec.; Grounding; Equip. w/5' Circulating Equip. -Pool Lghtg. Boxes-Enclosures- Pane Iboa rds-Ins. to Main in Conduit 9. Health Department Approval 10. Plumb.; Cir. Test -Water Supply Test Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 196 Memorial Way, Chico — Phone: 891-2751 7 County Center Drive, Oroville — Phone: 538-7541 747 Elliott Road, Paradise— Phone: 872-6307 CORRECTION NOTICE L/Zti s�S%t Y-411-1 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 correc on of work is completed. If you have any question pertaining to this matter, or ed additional explanation, please contact this office immediately. ov ea 4 ,u-::� er AQ0L- rvG U4 7x0/f 1 0'" ffe fG0tj_ Date w Inspector .� ....0 s--.. ... .. ++�K+.y,.•it'�i( Orn.�*it►r'""]r`�..,a.',�i,^"y�"''o.JS'ty�sT�i.y-tn. -r��`.. r--^�_,-' COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 196 Memorial Way, Chico — Phone: 891-2751 7 County Center Drive, Orovi Ile — Phone: 538-7541' 747 Elliott Road, Paradise- Phone: 872-6307 CORRECTION NOTICE rez 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 mat r, or needadditional explanation, please contact this office immediately. o0&1 Li i ?I-7 .,OeA— A- �.✓ ti t i Date Inspector 1• 64-�s,�rc+s.v:f'>y �r ti;ys.�.t:�*; ,w>. t+>»y w.•-Yr..-,v+. COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 196 Memorial Way, Chico — Phone: 891-2751 7 County Center Drive, Oroville — Phone: 538-7541' 747 Elliott Road, Paradise— Phone: 872-6307 CORRECTION NOTICE OWNE a Us 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. r Date �� Inspector 3. 'ff r Date �� Inspector „,, _....;�-�G+.••1e.-w.”«i��'.,,''rw&'''r':��+..-laf-.�..;r-�s-.y... fvT.k�y'S..rtSwi.-�`�+•�.w`ti.^..s ^+�..�'ti�"-r-�.... .... .... , COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS . - ' 196 Memorial4l ay, -Chico — Phone: 891-2751 7 County Center Drive, Oroville — Phone: 538-7541 747 Elliott Road, Paradise— Phone: 872-6307 CORRECTION NOTICE OWNER 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. o/iA21n ��3'Pfff—V/f—CMIM.y Date �'�'�1 —� ! Inspector COUNTY OF BUTTE _ �. DEPARTMENT OF PUBLIC WORKS 196 Memorial Way, Chico — Phone: 891-2751 7 County Center DriverOroville — Phone: 538-7541 a 747 Elliott Road, Paradise — Phone: 872-6307 CORRECTION NOTICE ER 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 d'ditional explanation, please contact this office immediately. _t Al. e / ` 0 Date �.3—� ( Inspector �.',a, Y.�—i:.�t. •t'a.Y'`i `aFY>r•. .M i'.. 3. ��:_.�.�3.+j.-.4zL��,.��.: •„�Z�vs!!..>�-+fir-.�T >r��l COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 196 Memorial Way, Chico - Phone: 891-2751 1c 7 County Center Drive, Oroville —Phone: 538-7541 ,� r 747 Elliott Road, Paradise — Phone: 872-6307 z' CORRECTION NOTICE C -1,11&t7 04 401 .w. OWNER P'� �r 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 r` when correction of work is completed. If you have any question pertaining to this matter, or need additional explanation, please contact this office immediately. .1A , t r r'. i �S. r' rD. .' Date —/ -2, � ��Inspector L� ' 1 COUNTY OF BUTTE -DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Orovilld, Califoenia 95965 - Telephone: 916/538-7541 • APPLICATION AND PERMIT PERMIT NO. 388.3-90 ASSESSOR PARCEL NUMBER 69-29-22 ZONING BUILDING PERMIT OWNER qnlnr •s, , TELEPHONE SO. FT. DCC. BUILDING !VACN 1300 R 52,000 OWNER'S MAI LI G ADDRESS 14478 572 M 8,008 CONTRACT R'S ME nwnpr TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace I "At1 11000 CONSTRUCTION LENDER UNKNOWN. Total Valuation is 61 008 Filing Fee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee $ 31(9.00 ARCHITCT,OR ENGINEER - E LICENSE NO. Plan Checking Fee $ 159.90 Energy Plan Checking Fee $ )MBLM ARCHITECT OR ENGINEER'S MAILING ADDRESS amt $ 30.00 BUILDING ADDRESS 14800 Wildlife Dr Ma alfa Permit fee t18 .50 533L)M PLUMBING PERMIT - Filing Fee 10.00 Each Trap 2,00 Solar or heat pump water heater 20.00 LOT NO. 53 SUBDIVISION NAME �j �v PARCEL MAP M' 4 Water piping 5,00 5.00 Each pas water heater or vent 5,00 9-00 USE OF STRUCTURE SF)M Duplex❑ Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 nn Mobile Home S I G W 10.00e TYPE OF WORK Nevda Addition❑ Remodel❑ Utilities❑ Installation❑ - Other❑ Describe work: 2 bdrm To Be Mastered Permit Fee $ 46-00 Contractor ELECTRICAL PERMIT Filing Fee 10.00 •�jA /t 4 �� 600V OR LESS Main service 100 AMP OR LESS 10.00 10.00 Main service EA. ADD•L 100 AMP 2,50 CONTRACTORS LICENSE LAW 1 declare der penalty of perjury (check one): I am licensed under provisions of Chapt. 9, Div. 3 of the BusinessPOWER 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 end Professions Code for this reason NEW CONST. DWELLING OCCUR.& OR ADDNS. ( ACC. BLOGS. ) 2hQspft 1 46.80 NEW CONSTR- ULTI-OUTLET NON.RESID BRANCH CIRC ITS 2.50 ea APPARATUS SINGLE OUTLET CIR. ) (& Ex. ODCUp(OUTLETS OR FIXTURES AL@SAL00 3 FIXED APLNS. Ex, OCCUp. OUTLETS P(RESID )REA.) 2.00 Temporary service 10.00 10.00 Mobile Home Facilities 15.00 Misc. Wiring g 15.00 Permit Fee $ 76.80 WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. ❑ I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. Contractor MECHANICAL PERMIT Filing Fee 10.00 Heating 6.00 Dual Cooling 3 Ton 6.00 Hood 3.00 3,,00 Ventilation Permit Fee $ 25.00 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 Ot .Butte to enter upon the above-mentioned property for inspection purposes. .I also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs and expenses which may in any way accrueSSUE against sa•d Co ty in conse (i of the granting of this permit %� ( , Date Signature of Applicant - Owner ❑ Contractor N Agent An OSHA permit is required for excavations over 5'0" deep and demolition or construct- f stuctures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ 0_._00- occ 3 CONST TYPE r AL TOTAL FEE $ 96.30 6 .30 HAZ cuA PARK rL PAR O This permit is nereby issued under sions of the Butte County Code and/or work indicated above for which fees D E OR ELIC By PERMIT EXPIRES 4ate / the applicable provi- resolutions to do have been paid. WORKS DateED. rRecelptrNo.84261 - 244.00// `69457114 45.2.36 P. W., YELLOW-ASSESS0 FrMit-INSPECTOR, GOLDENROD -APPLICANT I TO Buildinc Department FROM: Environmental Health SUBJECT: Sanitation Clearance L •_ Zs �5c� Sy 1�us,) �l1 l� -� �� v e. j Z,? -0' o ZZ Owner Location AP# Plan Approved for: Sewage Disposal Water Supply Hold final for: Water Supply Final clearance O.K. for: Water Supply Clearance for 2 bedroom me4joApe home. Other NOTE *** an� arlan Date Wn- a TO: Building Department FROM: Encroachment Permit Section RE: Driveway Clearance 144el owner" location AP # Driveway permit "/ y 3 has been issued for the above property. 7 �o siature date COUNTY OF BUTTE - DEPAR;TMEN- , PU0,L 1,C WORKS - BUILDING DIVISION i_ 7 COUNTY CENTER DRIVE - OROVILLf, CALIFORNIA 95965 - TELEPHONE: 916/538-7541 PERMIT APPLICATION DATA SHEET '. Permit No. OWNER `�/L,.�}./�— Z�r✓"S% C� /!/ T'% D�I A. P NO.. (OS' Proposed Building Use—!S � Building Inspector Date At time of permit application, I was advised'the following data must be submitted prior -to permit rocessing and/or issuance: DATE CEIVED APPROVED 1. All items have been submitted. .......... 2..PIot plans in duplicate/triplicate, signed by preparer of plans ........ � 3. Complete plans in duplicate/triplicate, signed by preparer. of plans . . 4. Complete engineered plans and calcs, with wet signature on plans .. 5. Hazardous Material Form .......................................... 6. Energy Design Compliance and supporting documentation ......... Statement of Intent for Non -Heated and AC Buildings ............... _. . __ _. __s _e ails and layout in duplicate (required prior to plan check) 9. Mobilehome installation data including manufacturer's installation O nstructions . Fees of $ 3.0 ..................... I� 3 T 11. Chico Urban Area fees paid ....................................... 12. Parkes paid .................................................... 77 13. Ae254:) ch of istrict fees paid .............. L1�1_4. Sanitation approval from AA Health Department 45 qD_ — 15. City of Chico plumbing permit ..................................... 16. Plot plan and business license approval from City of (see City for other requirements) 17. Planning approval for (A) Use: (B) Parking: ...... ZugImprovements may be ;required. Contact Land Development Section DPW ' ,r Driveway permit (construction approval required prior to occupancy) 20. Pre -Inspection for required Pre-Inspec. r4u st to Building Inspector (Date) 21. Contractor's license information (No., Name Style, Classifications 22. Certificate of Workmans Compensation Insurance .................. Owner -Builder Verification (Given to owner ❑, Mail to owner ❑) ..... 0Recorded copy of Agricultural Acknowledgment Statement ......... /�- �-911 4 5. Letter of signature authorization .................. '.I:............... 26. 27. When you issue theermit roces s follows: Telephone -5 -5 and hold for pickup at _02fL90ffi Mail to owner. Mail to contractor. Other Deliver w. /inspector. Copy of Haz-Mat form sent Health Dept. Fire Dept. Air Pollution Date Copy of plans sent _Health Dept. Fire Dept. Other Date By. The following data must be submitted prior to permit issua 1. Index permit for above items No. 2. Additional items required: (Circle new item not checked above). ontrac , designer own was advised of above required data byi—phone_-mail—counter by—date Contractor, designer, owner, was advised of above required data by_phone—mal l—counter by date Plans checked by Date Plans approved by Date Sets of plans on hole cabinet AP folder Copy—DPW COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 - Telephone: 916,'538-7541 APPLICATION AND PERMIT PERMIT NO. ASSESSOR PARCEL NUMBER 1J ^ O� ZONING I/ /l nin14 Vv BUILDING PERMIT _ OWNER Q, n /� IGy FS TELEPHONE 273 -3 SO. FT. OCC. BUILDING VALUATION o /14")� �jq�� OWN R' M/II LYI N'Gi"A`D JT W/ 1 V �/ �, % 00 CONT A TX TELEPHONE CON ACTOR'S MAILING ADDRESS Fireplace / U� CONSTRUCTION LENDER - UNKNOWN Total Valuation $ 0 LENDER'S MAILING ADDRESS - Filing Fee $ 10.00 Permit Fee $ ARCHITECT OR ENGINEER LICENSE No. Plan Checking Fee $ Energy Plan Checking Fee $ - ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ 0 Q BUILDING A DRESS Dov iL- L Permit fee $ '!> �• M4 6 9 PLUMBING PERMIT Filing Fee 10.00 Each Trap 2,00 Q Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME `' ARCEL 1;3o-W Water piping 5.00er rO0 Each qas water heater or vent 5.00 0 d USE OF STRUCTURE SF)V Duplex[] Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets 5.00 ,O O Building sewer 5.00 v Mobile Home S G W 0.00e TYPE OF WORK New Addition ❑ Remodelp❑��n�Utilities❑ Installation❑ Other ❑ Describe work:-,--),, �F- i ► 1 Permit Fee $ Q Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 600V OR LESS 100 AMP OR LESS 10.00 s()d CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): ❑ I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in full force ,and effect. - License Nor Classification _ ElI, as the owner, -or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered -for sale. (Sec. 7044) • "' ❑ I, as the owner, am exclusively contracting with. licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason Main service EA. ADD'L 100 AMP 2.50 NEW CONST. DWELLING OCCUP.&, OR ADDNS. ( ACC, BLDGS. ) /2dsgft NEW CONSTR ULTI.OUTLET NO 11-R ESID BRANCH CIRCUITS 2.50 ea POWER APPARATUS e ( SINGLE OUTLET CIR. ) 7 Ex. Occup(OUTLETS OR FIXTURES 200306 5AL030 FIXED APPLNS. OR Ex. OCCup. OUTLETS IRESID.) EA.) 2.00 Temporary service 10.00,Q Mobile Home Facilities 15.00 Misc. �Yirin g 15.00 Permit Fee $ WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑The permit is for $100.00 (valuation) or less. I have placed on file with the County of Butte Building Department ❑ a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. Contractor MECHANICAL PERMIT FiIingFee 10.00 Heating �QQ Cooling Hood 3.00 Ventilation Perm it Fee $ Q 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 againstall liabilities, judgments, costs, and expenses which may in any way accrue against said County in consequence of the granting of this permit. X _ ;_._ "' Date Signature of Applicant — —Owner Q ---Contractor ❑ -'Agent ❑ An OSHA permit is.required for excavations ov r 5'0" deep and demolition or construct- ion of structures over 3 stories in height. Mobile Home Instal la ' n F e F Energy Inspection F e _ 0.0 occ CONST TYPE TOT7FEE?PA HAZ CUA PARK PO HO ISSUE This permit is nereby issued under sions of the Butte County Code and/or work indicated above for which fees DIRECTOR OF PUBLIC PERMIT EXPIRES Date the applicable provi- resolutions to do have been paid. WORKS Date =Receipt,.No- sem.By , YELLOW -ASSESSOR. '"PINK-IN9P ECTOR, aal a[MR .APPLICANT BUTTE COUNTY SCHOOLS DEVELOPMENT. FEE -CERTIFICATION FORM (One Form per Building) A.P. Number �, <- Building Department No. School District Pl%�j�� City = County Jurisdiction Property Owner S (} A t2- DSS / 6 Al ��OM F ,�; 95 9 "7 Project Location/Address z1 �-oc) W1 4z L-1 Ft5 D/2 4iA 6 Subdivision Residential Development: # of Living MHI Units Commercial/Industrial: New U uilding Department Representative Lot Number aSq. Footage Addition (Group R) aSq. Footage Addition (Including Exterior Roofed Areas) 7 Date ******************************************************************* (Floor Plans reviewed by School District Personnel) District, -Id No. `a0-IrKAf' School District certifies that (Applicant Name) (Phone Number) 14 � 11/� <411 M (Street Address)( ('City) U (State) (Zip Code) has complied with the requirements of Resolution No. by the payment of School District Representa PAID BY CHECK NO. IY--l0 7 BANK NO r i PAID BY CASH representing Iggle) square feet. le*-� A� ive ' Date REMARKS: white -applicant, yellow -building department, pink -school district SCHOOL.FEE (8/88) 5/89 RESIDENTIAL PLAN CHECKING GUIDE (S.F., DUPLEX & MISC. ONLY) Bldg. Permit # 3 S41D3 -/9'0 OWNER Sod AA 40(asigrl. A. P. # Z GENERAL Valuation. oning requirements: (sideyards and number of permitted living units). lans signed by designer. Design and Compliance. 55.�nergyIxisting violations on property. Items on data sheet. PLOT PLAN Complete parcel size and dimensions. Setbacks, sideyards, easements, etc. Other buildings or structures. { Grading, fills, drainage. Flood hazard. Ppecial conditions on -creation map or compliance document. .FAU & FAS road setback. FT.noR PLAN Complete to scale plan with dimensions. Required windows for light and ventilation (Sec. Required windows for second exit (Sec. 1204). Skylights (Chapter 34 & Sec. 5207). Human impact glass (Sec. 5406). 1205). Required room sizes, ceiling heights (Sec. 1207). GFCIs in baths, garage, and exterior outlets (Article 210-8). Light fixtures, switches, receptacles, and exterior receptacles for maintenance mechanical equipment. Locations of water heater, heating and cooling equipment, other electrical or as equipment, and plumbing fixtures. arage firewall, door size, and closer (Sec. 503(d)(3)). . .1 - 3'0" exterior exit door (Sec. 3304(e)). 1 Fireplace and wood stove location, alcoves, and 13.Smoke detectors (Sec. 1210). L DETAILS clearance. Foundation plan complete enough to construct building. Floor construction details complete enough to construct building. Elevations and wall construction details complete enough to construct building. Roof construction details complete enough to construct building. Fireplace construction details and calcs if necessary. MIS6 LLANEOUS ITEMS TO LOOK OUT FOR 0Bfairway details: landings, rise and run, head clearance, handrails (Sec. 3306). uardrail details (Sec. 1711 & 3306(j)). rick or stone veneer (Chapter 30). RESIDENTIAL PLAN CHECKING GUIDE MISCELLANEOUS ITEMS TO LOOK OUT FOR (CONT'D) xterior plaster - weep screeds (Sec. 4706). roper roof pitch for roof covering (Chapter 32). oof covering type - (fire hazard). R fter ties or bearing ridge beam. 8• Garage door or porch header sizes. dequate bracing. . Living area over garage - complete 1 -hour separation required on garage side .including supporting walls and posts, etc. wo exits on three-story dwellings (Sec. 3303 & see Mezannines - 1716). . Attic access and ventilation (Sec. 3205). 1 . nderfloor access and ventilation (Sec. 2516). 1 . ombustion air for fuel burning appliances. . Noise requirements on duplexes. dobe soils - special foundation design. etaining walls requiring design. 1, . nusual shape, size, or split level house requiring lateral design. 1 '. Flashing at all exterior openings. 5/89 i COUNTY OF BUTTE -DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 - Telephone: 916/538-7541 APPLICATION AND PERMIT R PARCEL NUMBER I ZONING PERMIT NO. 3883-90 I BUILDING PERMIT NE SQ. FT. I OCC. I BUILDING VALUATION CONTRACTOR'S NAME - nwnpr TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace 11P 1,000 CONSTRUCTION LENDER UNKNOWN Total Valuation $ 61.008 LENDER'S MAILING ADDRESS Filing Fee $ 10.00 Permit Fee $ 319.00 ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ 159.90 Energy Plan Checking Fee $ )M5LM ARCHITECT OR ENGINEER'S MAILING ADDRESS - _ ?f9VWy MA. -,t -PT $ in no BUILDING ADOR LOT NO.SUBDIVISION NAME 53 < f)U t` PARCEL MA `3o-41 USE OF STRUCTURE SF)M Duplex❑ Mobilehome❑ Other SPECIFY TYPE OF WORK NevgffX' Addition❑ Remodel❑ Utilities❑ Installation❑ Other E] Describe work: 2 bdrm To Be Mastered M,45re" -,fig - to 19 CONTRACTORS LICENSE LAW I declare der penalty of perjury (check one): 107, 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 WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. 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. I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, co is and expenses which may in any way accrue against 'd C�Jty in copse f the granting of this permitXDate qn Signature of Applicant — Owner Contractor 0 Agent An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories in height. Receipt No.84261 — 244.00// Permit fee PLUMBING PERMIT Each Trap .Solar or heat pump water heater Water piping Each qas water heater or vent Gas piping system 1 - 5 outlets Building sewer Mobile Home S I G IIA 10.00 Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 110.00 Main service 61°00 AMP ORSV OR LESS 10.00 10.00 Main service EA. ADD'L 100 AMP 2.50 NEW CONST. ( ✓S DWELLING OCCUP.� OR AODNS. ACC. BLDGS. 2'��2Sgft p 46.80 NEW CONSTR MULT I.OUTLET NON.RESID. BRANCH CIRCl11TO 2.50 ea (POWER APPARATUS &) (POWER OUTLET CIR. Ex. Occup(OUTLETS OR FIXTURES FIXED APPLNS. OR Ex. OCCUp. OUTLETS IRESID.1 EA.� Temporary service Mobile Home Facilities Misc. Wirina Permit Fee Contractor MECHANICAL PERMIT Heating Cooling 3 Ton Hood Ventilation Permit Fee Contractor Mobile Home Installation Fee Energy Inspection Fee OGCCONSTjYPE ■® /1 1 11 /1 1/ /1 3 I V IN TOTAL FEE $ i&96.30 HAZ CUA PARK SCHL f FLD 1 PARJl�D I HD I ISSUE Th;s permit is nereby issued under the applicable provi- sions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid.. DIRECTOR OF PUBLIC WORKS By -- -_.--'1.�•___ -,, Date BUILDING ADDRESS 14800 Wildlife Dr. .Maggaliav COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT NO. 7 County Center Drive - Oroville, California 95965 - Telephone: 916!538-7541 APPLICATION AND PERMIT 3883-90 Each Trap p 2,00 ZON'ING ..:.... .. .... .. .... RMW ........ ... .. .. ... .. ...... _... .. _ _ .... BUILDING PERMIT IWNER TELEPHONE SQ. FT. OCC -1 BUILDING VALUATION OWNER'S MAII-It0e. ADDRESS Each qas water heater or vent 1300 R 52.000 14478 CONTRACTO'R'S N ME - TELEPHONE 572 M $ 00$ CON RACTOR•S MAILING AODRE53 10.00 TYPE OF WORK NevqffX Addition[] Remodel❑ Utilities❑ Installation❑ Other ❑ Describe work: 2 bdrm To Be Mastered CONSTRUCTION LENDER UNKNOWN Fireplace "A" Total Valuation $ 1,000 61 008 LENDER'S MAILING ADDRESS Filing Fee $ 10.00 ARCHITECT OR ENGINEER LICENSE I.O. Permit Fee Plan Checking Fee $ 319.00 $ 159.90 ARCHITECT OR ENGINEER'S MAILING ADDRESS Energy Plan Checking Fee $. 2y,2sgft 40,80 NEW CONSTR. r ULTI.OUTLET NON.RESID BRANCH CIRC ITS r2i�'x MaGtPr $ in nn BUILDING ADDRESS 14800 Wildlife Dr. .Maggaliav Permit tee 18.50 9C�C�OC PLUMBING PERMIT Filing Fee 10.00 Each Trap p 2,00 Solar or heat pump water heater 20.00 LOT NO. 53 SUBOIVISION NAME PARCEL MAP 1 S f)y — 4 (5 Water piping 5,00 Each qas water heater or vent 5.00 USE OF STRUCTURE SFE Duplex❑ Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets 5.00 s nn Building sewer 5.00 Mobile Home Is 10.00 TYPE OF WORK NevqffX Addition[] Remodel❑ Utilities❑ Installation❑ Other ❑ Describe work: 2 bdrm To Be Mastered Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 r-- ` Main service 100 VAMP OR 10.00 10.00 CONTRACTORS LICENSE LAW 1 declareder penalty of perjury (check one): I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in full force and effect. License No. Classification ❑ I, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason Main service EA. AOO'L 100 AMP 2.50 NEW CONST.( DWELLING occuP.e� OR AOONS. 1 ACC. BLDGS. 2y,2sgft 40,80 NEW CONSTR. r ULTI.OUTLET NON.RESID BRANCH CIRC ITS 2.50 ea POWER APPARATUS e (SINGLE OUTLET CIS. / Ex. Occup(OUTLETS OR FIXTURES 20@30¢ eAL930¢ FIXED ZPP Ex. Occup. OUTLETS IRE5i0 )REA.) 2.00 . Temporary service 10.00 10.00 Mobile Home Facilities 15.00Misc. Wiring g 15.00 Permit Fee $ 76.50 WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for S100.00 (valuation) or less. have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. ❑ I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. Contractor MECHANICAL PERMIT FilingFee 10.00 Heating 6.00 Dual Cooling 3 Ton 6.00 Hood 3,00 3..00 Ventilation permit Fee $ 25.00 Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. 1 also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, coats, and expenses which may in any way accrue agains1d, Cot#tty in conse' f the granting of this permit (/ ��i�xlilrl— %� ' ��! %A Date Signature of Applicant — Owner❑ Contractor Z- Agent90 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 5 Energy Inspection Fee $ 10-00 o c i3 CONST rPE Ijl�l TOTAL FEE 5 96.30 "Az CUA '— PARKSCHL I FLO I PAR 0 I HO I ISSUE Th;s permit is nereoy Issued unser the applicable prdvi- sions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DIRECTOR OF PUBLIC WORKS Receipt No.84261 — 244.00// 1 By Date 4 , COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 - Telephone: 916!538-7541 APPLICATION AND PERMIT PERMIT NO. 3883-90 IRMW BUILDING PERMIT 'WNER TELEPHONE TM OWNER'S MAILI G ADORES$ 14478 agalia 99994572 S0. FT. OCC.1 BUILDING VALUATION 1300 R 52,000 M $ 00$ CONTRACTO`R'S ME TELEPHONE CON .ACTOR'S MAILING ADDRESS Fireplace I "All 1,0000 N CONSTRUCTION LEDER UNKNOWN Total Valuation 61.008 LENOER'S MAILING ADDRESS ARCHITECT OR ENGINEER LICENSE No. Filing Fee S 10.00 Permit Fee Plan Checking Fee $ 319.00 $ 159.90 ARCHITECT OR ENGINEER'S MAILING ADDRESS Energy Plan Checking Fee g, XD= $ 0.0 BUILDING ADDRESS 14800 Wildlife Dr. Magalia Permit fee 1 O C0 CV7{iJ.J �,LV'V 18 J 5330 lA PLUMBING PERMIT Filing Fee 10.00 Each Trap p 2,00 Solar or heat pump water heater 20.00 LOT NO. 53 SUBDIVISION NAME j oU I PARCEL MAP 7o _(4(9 4 (9 Water piping 5.00 5-00 Each qas water heater or vent 5,00 USE OF STRUCTURE SFU Duplex[] Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home I S I G JW I 10-00ea TYPE OF WORK NevgfX Addition ❑ Remodel ❑ Utilities ❑ Installation❑ Other ❑ Describe work: 2 bdrm To Be Mastered Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 4:5, R ��, Main service ;oo AMP OR 10.00 10.00 CONTRACTORS LICENSE LAW I declare der penalty of perjury (check one): I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in full force and effect. License No. Classification ❑ I, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason Main service EA. ADD'L 100 AMP 1 2.50 NEW CONST. OWELLINGoCCUI.a OR A.O.S. ACC. BLOCS. �z¢Sgft 46.80 NEW CONSTR. ULTI-OUTLET NO N.RESIO BRANCH CIRC ITS 2.50 ea IPOWER APPARATUS &) 1SINGLE OUTLET CIR. Ex. OCCU OUTLETS OR FIXTURES p� 2A=1SOe eoe5ot Ex. Occup. OUTLETS PIRESIO IRE A.) 2.00 Temporary service 10.00 10.00 Mobile Home Facilities 15.00 Misc. Wiring g 15.00 Permit Fee $ 76.80 WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for 5100.00 (valuation) or less. have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. ❑ I shall not employ any person in any manner so as to become subject to the W. C. laws of California. ' Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. Contractor MECHANICAL PERMIT FiIingFee 10.00 Heating 1 6.00 Dual Cooling 3 Ton 6.00 Hood 3,00 3,.00 Ventilation permit Fee $ 25.00 Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the Countyot Butte to enter upon the above-mentioned property for inspection purposes. 1 also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue against d Co ty in conse' [1 f the granting of this permit X �.�r �A � CIO ti f� �_ Date Signature of Applicant - Owner❑Contractor Agent An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee S o c CONSTRE i 3 j%TOTAL FEE $ 96.30 ""z CUA "- PARK r scH� FAD GAR o Ho ISSUE T ;s perms[ is Hereby Issued unser Sions or the Butte CCUnty Code and/or work indicated above for which DIRECTOR OF PUBLIC By the applicable provi- resolutions to do fees have been paid. WORKS Date Receipt No.84261 - 244.00// keLufll LU 111W Hl�\J.l,UL1Uhn1, .inl.,u•iix .: FOR RE'IDENTIAL DEVELOPMENT Section 26-8.1. of the Butte County Code requires this acknowledgement be recorded prior to issuance of a building permit. 90-51813 The property described herein is adjacent i 90-051813 1 Rec Fee 5.00 to land or included within an area zoned Check 5.00_ for agricultural purposes,. and residents Recorded of this property may be- subject to ancon- Official Records veni.ences or discomfort' arising from the County of use of agricultural chemicals, including, Butte but not limited to herbicides, pesticides, ' Candace J. Grubbs 1 . and fertilizers; and from the pursuit Recorder ' X 1 of agricultural operations including, i 11:22am 3 -Dec -90 1 but not limited to cultivation, plowing, spraying, pruning, and harvesting which occasionally generate dust, smoke, noise, and odor. Butte County has established agricul- Lural 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 disconform from normal, necessary farm operations. All that follows: real property situate in the County of Butte, State of California, described as Date: State of ) County of �) PROPERT OWNERS: . On this the �� day of , 19_�2n, before me, SS. the undersigned Notary Public, personally appeared OFRCIAL SEAL KAREN DORMS-KOLBU Notary PU MC-Cautoll BUTTE COUNTY September P, .1m Present A.P. No. [] Personally known to me.Proved to me on the basis of satisfactory evidence. to be the person( -s4 whose name(—} /S subscribed to the within instrument and acknowledged that executed the same for the purposes therein contained. IN WT'1'NESS WHEREOF, I hereunto set my hand and official seal. Notary Public . END OF DOCUMENT 2utte OROVILLE, CALIFORNIA GENERAL CLAIM CLAIMANT: Solar Design Homes ADDRESS: 14478 Skyway CITY & STATE: Magalia, CA 95954 IMPORTANT: October 31, 1990 SEE INSTRUCTIONS DATE OF CLAIM: ON REVERSE SIDE SUBMIT CLAIM JO DEPARTMENT RECEIVING GOODS OR SERVICES DATE DESCRIPTION OF CLAIM (DESCRIBE FULLY TO AVOID DELAY) i AMOUNT Owner has decided not to do work. Permit #3728-90B,P,E,M, AP#65-2 -22, Recei Total Permit Fees Paid -------------------------------$268,50 Retain Building Permit Filing Fee----------- $10.00 Retain Electrical Permit Filing Fee--------- 10.00 Retain Plumbing Permit Filing Fee----------- 10.00 etain Mechanical Permit Filing Fee--------- 10.00. Total Permit Fees Retained--------------------------- 40.00 REFUNDIDTAL DUE ------------------------------------- $228.50 TOTAL $228,50 I, the undersigned, declare under penalty of. perjury that the services or articles claimed have been performed or delivered, and that this claim is true and correct as stated. n _ Dated this V '�1 v�.C;Z.: .......... ....�............... day of .........\ 19�.�J at — Calif. Lnw, re of Claimant I, the undersigned. hereby certify that, to the best of my knowledge, the services or articles specified above have been performed or de- livered and that there is a Budget Appropriation❑ or Specific Board Approval IE] (Check one) for the same. �( " Dated this ............ 31st day or October 1990, Oroville calif. D mart Heed or Authorized D epgtl[,_ Dept. Exp. Code .....440-002 .................. Code .........4210500 .............PAYABLE FROM ........... GoA ... Fe.r.mFUND DO NOT WRITE BELOW THIS LINE - AUDITOR'S USE ONLY DEPT. & SUB. PROJ. SUB. OBJ. CLAIM NO. INV. NO. INV. DATE ENCUMB. GROSSAMT. r C) V,,- 10 / De -I / 90 0---\ . l �� IYO-6 1 qr600 0 v'\- Io/ 2 c. (c 6 ��c 1 ��3-33�v ,f COUNTY OF BUTTE,- DEPARTMENT OF PUBLIC WORKS PERMIT NO. 7 County Center Drivb - Oroville, California 95965 - Telephone: 916/538-7541 3728-90 APPLICATION AND PERMIT ASSESSOTR PARCEL NUMBER 65-29-22 ZONING RMHW BUILDING PERMIT OWNIR ��TTADDRESS ghes TELEPHONE 873-4123 SO. FT. OCC. BUILDING VALUATION 1761 R 70,440 OWNER''SS MAILING , 14792 Wildlife Dr Ma alfa 95954 440 M 6,160 CONTRACTOR'S NAME Solar Design Homes TELEPHONE 18.7 COV 187 CONTRACTOR'S MAILING ADDRESS 14478 Skyway, M a alfa 95954 Fireplace 1 "A" 1,00p0 CONSTRUCTION LENDER UNKNOWN Total Valuation $ 77,787 Filing Fee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee $ 367.00 ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ 183.50 Energy Plan Checking Fee $ 15.00 ARCHITECT OR ENGINEER'S MAILING ADDRESS - Penalty $ BUILDING ADDRESS 14800 Wildlife Dr Ma alfa Permit fee $ 575.50 PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 Solar or heat pump water heater 20.00 LOT NO. S SUBDIVISION NAME._ 1 C> PARCEL MAP �� d Water piping 5.00 5.00 Each qas water heater or vent 5.00 5-00 USE OF STRUCTURE SF Duplex❑ Mobilehome❑ Other ' SPECIFY Gas piping system 1 - 5 outlets 5.00 5-00 Building sewer 5.00 5 nn Mobile Home S I G W 10.00e TYPE OF WORK New ba Addition ❑ Remodel ❑ Utilities ❑ Installation❑ Other ❑ Describe work: 2 bdrm Permit Fee $ 56.00 Contractor ELECTRICAL PERMIT Filing Fee 10.00 OR L Main service j00VAMP ORSLESS 10.00 Main service EA. ADD'L 100 AMP 2.50 2-50 CONTRACTORS LICENSE LAW 1 declare der 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.TClassification �'�` i ❑ 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 CONST. DWELLING OCCUP.&` OR ADDNS. ACC. BLDGS. I 2/20sgft 44.02 NEW CONSTR. ULTI.OUTLET NON* ESID BRANCH CIRC ITS 2.50 ea POWER APPARATUS & SINGLE OUTLET CIR. ) Ex. Occup( 20050: p OUTLETS OR FIXTURES SAL®3O FIXED Ex. Occup. OUTLETS P(RESID. IRE A.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. byirin 9 J 15.00 Permit Fee $ 66- 99 WORKMEN'S COMPENSATION INSURANCE I declare under enalty of perjury (check one): ❑ permit is for $100.00 (valuation) or less. 1 have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. ❑ I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. Contractor MECHANICAL PERMIT Filing Fee 10.00 Heating 6.00 Cooling 21 ton 6.00 Hood 3.00 3,00 Ventilation 3 3.001 9.00 p Permit Fee $ 34.00 Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County. Ordinances and State Laws relating to building construction, and hereby authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue against said County in consequence of the granting of this permit. X 1� a Date Signature of Applicant - Owner[] Contractor Agent ❑ I An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 sto ies in height. Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST TYPE TOTAL FEE $ 62.0 HAZ CUA PARK SCHL EE PAR Lol D ISSUE This permit is hereby issued under the applicable sions or the Butte County Code and/or resolutions work indicated above for which fees have DIRECTOR OF PUBLIC WORKS By Date ' PERMIT EXPIRES Date provi- to do been paid. Receipt No84132 - 268.50// WHITE-D.P.W.. YELLOW -ASSESSOR. PINK -INSPECTOR. GOLDENROD -APPLICANT ^r�*ww�"'-'�5"` 9�•r.�++^•�57t.r..��.��.3��i�r�3�'�'t�}4`n�+%ti''i.,�li{t�.Pi� 1:.3»�-�r.�.,. •r:• ��y,rt�b�;.%�,b.:.a.:....� q :, COUNTY OF BUTTE - DEPAO PIi FAIT OF PUBLIC WORKS -BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILLE; CALIFORNIA 95985 - TELEPHONE: 918/538-7541 PERMIT APPLICATION DATA SHEET % Permit No. .1 OWNER I1004 A. P. No. �5 29' ZZ Proposed Building Use N�� S/.�'. Building Inspector-� r 5 Date 10 -2-V /..,:,r, At time of permit application, I was advised the following data must be submitted prior to permit processing and/or j ance: DATE RECEIVED APPROVED 1. All items have been submitted . ..................................... 2. Plot plans in duplicate/triplicate, signed by preparer of plans ........ 3. Complete plans in duplicate/triplicate, signed by preparer.of plans... 4. Complete engineered plans and calcs, with wet signature on plans:: / 9 l Q 5. Hazardous Material Form .................................. 6 6. Energy Design Compliance and supporting documentation ......... 7. Statement of Intent for Non -Heated and AC Buildings ............... 8. Engineered truss details and layout in duplicate (required prior to plan check) % a. 37 9. Mobilehome installation data including manufacturer's installation instructions. /r ...................................... ✓10. Fees of $ ........................ 11. Chico Urban Area fees paid ....................................... 2. Par fees p Id .............. �A 13. �e'ts 2= chool District fees pAid .............. 14. Sanitation approval fromftuAc1; 2- �- iFifalth Department 15. City of Chico plumbing permit. 16. Plot plan and business Iicense*approval fl'tio�r1 le6y of (see City for other requirements) 0 y 17., Planning approval for (A) Use: (B) Parking: ...... 18. Improvements may be required. Contact Land Development Section DPW 19. Driveway permit (construction approval required prior to occupancy) 20. Pre -Inspection for required ... Pre-inspec. request to Building Inspector (Date) 21. Contractor's license information (No., Name Style, Classifications ... 22. Certificate of Workmans Compensation Insurance .................. 3. Owner -Builder Verification (Given to owner ❑, Mail to owner ❑) ..... 4. Recorded copy of Agricultural Acknowledgment Statement ......... '25. Letter of signature authorization ................................... 26. 27. When you issue the permit, process as follows: Mail to wner. Mail to contractor. �- Telephone and hold for pickup at office. Deliver w/inspector. Other Applicant Date -I/,? i ho Copy of Haz-Mat form sent Health Dept. Fire Dept. _Air Pollution Date Copy of plans sent Health Dept. Fire Dept. Other Date By. The following data must be submitted prior to permit issuance 1. Index permit for above items No. 2. Additional items required: (Circle nei a. Contractor, designer, owner, was advised of above required data by_phone---naiI-counter by ..date Contractor, designer, owner, was advised of above required data by -phone _maII-counter by date Plans checked by Date Plans approved by Date Sets of plans on hold in File cabinet AP folder Copy -DPW above). .F A r1m 1 .1 Ar C-lL r1m 1 .1 (-rqP i tt J : G t _ , �—Thh set of plans and'speafiMUST catraris f t" Gia c+ ' b of all ti it is u awful { j t n the jo mes and nl to i � ma! -.9 any changes or alferations on same withodl 1 w itlon permission frond the mporf net t MOM —ill Materials & Workmanship $Fir•' >�s ib i j Accordance with Recognized Good a1`170ct:Z:05 and, S of a quality prescribed. for the Spec:f:ed us in he Uniform Building, Plumbing & Mechanical Cods arw � � NoEiond EloCtricd Codi„ 1 � t A setback of 5 ft. from the SeQ Witter Man on file for building, i y property lines and a setback pians. of 50ft. from the road I IMASTex -44 g� centerline shall be clear of structures or equipment except for a 2 ft. save -overhang. OF ALL. EASEmENTSr t 111NY 5199�3—�. BUTTE WUNTY FU HI Mita DEP •........�a �crnn � 1Y1C1V 1 APPROVE I