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Home My WebLink About066-060-016,k;,, 66-06-16 k,.13784 McVay .. , ark -Dr:-;! lot -108`; ' PPC'C#1;--Mag , ' #3562-80ByP,E,M(new single ' • l�C2 .66-06-16 . arkagalia':_ =84B,E(c av< t o fam= i ly •room/ SF) — _ -mi .66-06:1.6 Perm' 1-85B(lst renewal/831-84)SF -, - -, +t : 92-1744P .:,WALSH, Ed' & Joan � 13784 S Park Drive, ••Magalia', �;9.'S i (water htr,+;&' gas• piping) Sautter Plbg ' r -WALSH, Eds,x�r< 13784'`'South Park Dr, t Magalia• F` _ (extend'; ;gas piping/fr/ee .sttanding } stove) �'�„ �I;��(•� �7y � "`. .. i r 6-06=0-016 99-2042 PM ' M ~' .moi rte! {- Y� h'�.h"a y '•. r rO--6 ALSH Ed:. ., �...,. , 13784 'South. Park -Dr.. Maar `(ext6nd' 'gas, piping/freer standing .stove) • A ti 7 222Fj2Fj ` ��S�Q'�j leg, f�as •t�.s f e � •, f 01 1 ' 1 M COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-7541 PER o• (Rev. 12/96) APPLICATION AND PERMIT i ASSESSOR PARCEL NUMBER /j% �% _D �, / /! /V�7Y� Olt '00 ZONING' BUILDING PERMIT OWNER ! '51 Jtt li I TEK j'' 3 SO. FT. OCC. BUILDING VALUATION OWNER'S MAIU ADDRESS CONTRALTO ;� ,44, ASP Q 61 M"Il TE877E 071 ��jjj CONTRACTORS MAILING ADDRESS ,• t CONSTRUCTION LENDER ' Fireplace LENDER'S MAIUNG ADDRESS Total Valuation $ ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00 Permit Fee $ ARCHITECT OR ENGINEERS MAILING ADDRESS Plan-CheckingFee $ BUILDING AD%R3 7 ^ ,6 dL "`� ♦* / G CY/ �'!L`. r Energy Plan Checking Fee $ 4 /1101 q PERMIT FEE $ LOT NO. SUBDIVISION'S NAME PARCEL MAP PLUMBING PERMIT Filing Fee 20.00 USEOFSTRUCTURE SF Duplex ❑ Mobilehome ❑ Other SPECIFY Each Trap 7.00 Solar or heat pump water heater 23.00 Water piping of 15.00 Each gas water heater or vent 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other Com]" Describe Work: Ax i`P�+ ' to xi++S�I e4 15+.0 1/ IC 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. Main Service 2o0A 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 ful orce and effect.POWER License Class .> Lic. No. % 34/ 31 R OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: ❑ I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the erformance of the work for which this permit is issued. 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-6+-ftr V" C Policy Number )la — i X V 17—C -OZ; (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 provi ons of section 3700 of the Labor Code, I shall foWithmply withosepfilvisions. /,>� ...«-- X '47Da Signature of Applicant - Owner ❑ ContractorAgent An OSHA permit is required for excavations over 60" doerep and demolition or construction of structures over 3 stories in height. Main Service TO 46.00 CCU000A NEW CONST. DWEWNG OCCUP. SO W:O OR ADDNS. ( a ACC. BLDS. 3.50FT. CONST. MULTI.OIITLET 97.50 APPARATUs a SINGLE OUTLET LIR. 20 DR Ex. Occup. OUTLET OR FIXTURES BAL @ I: 0 Ex. Occup. Ops A� o.) E 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE _ MECHANICAL PERMIT Fling Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE $ ,Q � Mobile Home Installation Fee $ Energy Inspection Fee $ Occ CONST. TYPE TOTAL FEE $ 7& 0U MAZ. D. FE6 IMP R I FLOCD I CDF I PARCEL I PD HD 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. G, By44, % Date � /�� 091 PERMIT EXPIRES ON 77!A"!Y Date Receipt No. 0/01 WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT r �, a—+..=-.c..:,:,..,.-.•�`�i�.r`-'k.�aF�.f"�„�`�4a7�Tv'u��'iris..�'."w'':-'"�„t-i4�-+w:P��.i; �st� COUNTY OF BUTTE [ BUILDING DIVISION DEPARTMENT OF DEVELOPMENT SERVICES 411 Main Street • Chico, CA • (530) 891-2751 7 County Center Drive • Orwille CA • (5301 5RA-7rd1 t F; CORRECTION NOTICE OWNER PERMIT NO. A routine inspection indicates that the following violations of butte county Ordinances exist at the above address and should be corrected. Please notice this office when correction of work is completed. If yo ,have any questions pertaining to this matter, or need additional explanation, please contas office immediately. Date' ate4 47 Inspector REV 10/ COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive • Oroville, California 95965 • `Telephone (530) 538-7541PER o. (Rev. 12/96) APPLICATION AND PERMIT ASSESSOR PARCEL NUMBER D�l 01ZONING vl/(ln r, BUILDING PERMIT OWNER \A/05 L TE HONE 7 7- 353 SO. FT. OCC. BUILDING VALUATION OWNERS ILING6 ESS 1 , / / v �� CONTRALTO E �QG I M e r'0 p13� TELEPHONE 877-0710) CONTRACTORS MAILING ADDRESS &2,l1 if ��t CONSTRUCTION LENDER Fireplace LENDER'S MAIUNG ADDRESS Total Valuation $ ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00 Permit Fee $ ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ BUILDING ADDRESS - -7 - G5CLdf. PANIC Pr 13-78 Energy Plan Checking Fee $ /" F^( it PERMIT FEE $ LOT NO. SUBDNISI NS NAME PARCEL MAP PLUMBING PERMIT Fling Fee 20.00 USEOFSTRUCTURE SF,J$"'Duplex ❑ Mobilehome ❑ Other SPECIFY Each Trap 7.00 Solar or heat pump water heater 23.00 Water piping 15.00 Each aas water heater or vent 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other Describe Work: If e -�n �-q F�C'P5� a -76 ., �t n r, �S J40 I/ Gas piping system 1 - 5 outlets15.00 0 Q Building sewer 15.00 Mobile Home I S I G I W @20.00 PERMIT FEE $ ? J ELECTRICAL PERMIT Fling Fee 20.00 LESS Main Service zo.A OR LESS 23.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is infU1 Orce and effect. License Class Lic. No. 7 3`q 31 p OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors License for the following reason: ❑ I, as owner of the property, or my employees with wages as their sole compensation,Mobile 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. 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' compensptio��jj insurance carr r and policy number are: Carrier 'S S7'e i . 2 Main Service 200A TO 1000A 46.00 NEW CONST. DW NG OCC OR ADDNS. ( 8 EwACC. BLDS.UP. SO 3.5¢FT. =14.Ip MULTI -OUTLET 97.50 POWER APPARATUS 8 SINGLE OUTLET LIR. Ex. OCCU OUTLET OR FIXTURESV23.00 20 Ex. Occu . ourLEeDrsA RESID.OEALaw Tem orar Service Home Facilities Misc. Wirin PERMIT FEE t MECHANICAL PERMIT Fling Fee 20.00 Heating % s0 Cooling Hood 6.50 Ventilation PERMIT FEP_ $ Policy Number -;;) —!7,g. u�✓ i 777e?P,5160TIMobile (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 provi 'ons of section 3700 of the Labor Code, I shall fo ply with os ovisions. X d'Da ature of Applicant - Owner ❑Contractor Agent An OSHA permit is required for excavations over 5'0" eep and demolition or construction of structures over 3 stories in height. Home Installation Fee $ Energy Inspection Fee $ Occ CONST. TYPE TOTAL FEE $ 70, HAZ. I o FEES IMP I FLOOD I LDF I PARCEL I PO I HD ISSUE This permit is hereby issued under of the Butte County Code and/or indicated above for which fees have - By PERMIT EXPIRES ON the applicable provisions Resolutions to do work been paid. Date e- / gn Date ReceiptNo. r WHITE-D.D.S.-B.D. CANA Y -ASSES OR PINK-INSP CTOR GOLDENROD -APPLICANT V • e+^^':,salAv� 'Yimv� Y+4'•Q.7r'".}"7.`+i+"�`"s'++Pas+� �n � :Sc { ��2+: � yK, S�� ? .• { t ,, .r�,;;�c:..�:t,�,;a....`vp':r�, sVc`+.e �.: s�� 14. 7k l/ s � - OWJTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County C®ntsr Drly® - Or®vlll®, C®Ilfornl® 06086 - TaIlJph0hlJ' 9166,;638.1641 .r APPLICATION AND PERMIT PIRMIT NO. Agbr.SADPI 7- ZONING 1 66-06-16 RT 1 BUILDING PERMIT ED & JOAN WALSH873-3357 SO. FT. OCC. 9UILDING VALUATION _87N_ff9 13784 S PARR DRIVE MAGALIA 95954 C N SAU M PLUMBING TC NONIL CONTRACTOR'S MAILING ADDRESS PEARSON ROAD PARADISE Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ Filing Fee $ 15.00 LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS 13784 S. PARK DRIVE MAGALIA Permit fee $ PLUMBING PERMIT Filing Fee 15.00 Each Trap 5.00 Solar or heat pump water heater 20.00 LOT NO.SUBDIVISION NAME PARCEL MAP Water piping 7.00 Each qas water heater or vent 7.00 7.00 USE OF STRUCTURE SF [�o Duplex❑ Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets 5.00 5.00 Building sewer 15.00 Mobile Home S I G I W TYPE OF WORK New❑ Addition❑ Remodel❑ Utilities[] InstallationD Other F] Describe work: WATER HEATER & GAS PIPING _ Permit Fee $ 27.00 Contractor ELECTRICAL PERMIT Filing Fee 15.00 Main service 600VORLESS 18.50 200A OR LESS _ Main service 200A TO 10o0A) 37.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): ❑ I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in full force and effect. License No. ClassificationEx. El 1, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure isnot intended or offered for sale. (Sec. 7044) Er I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ 1 am exempt under Sec. , Business and Professions Code for this reason NEW CONST'(DWELLING OCCUP.& 3.64 sq.ft. OR ADDNS. ACC. BLDGS. NEW CONSTR MULTI -OUTLET NON-RESID BRANCH CIRC ITS @ 5.00 POWER APPARATUS &) (SINGLE OUTLET CIR. Occup(OUTLETS OR FIXTURES 20 76 Ex. Occup. OUTLETS P(RESID.)REA.) 3.00 Temporary service 15.00 Mobile Home Facilities 15.00 Misc. 6Virin 15.00 9 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. �+ 1 shall not employ.any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. Contractor MECHANICAL PERMIT Filing Fee 15.00 Heating Cooling Hood 6.50 I Ventilation Permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the Countyot Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue against said County in consequence of the granting of this permit. X '!�`• t%% l iii/c<: f Date �- 6• � e_- Si nature of Applicant – owner ' Signature pp 0 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 S Energy Inspection Fee $ OCC CONST TYPE TOTAL FEE $ 27.JISSUE HAz DFEES IMP FLOOD COF PARCEL PO This permit is hereby issued under the applicable provi- sions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DIRECTOR OF PUBLIC WORKS By.Z / ``-� i /Date s/� /9'Z PERMIT EXPIRES � Date Si l 7/> G Receipt No. M51a y WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR. GOLDENROD -APPLICANT COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 196 Memorial Way, Chico — Phone: 891-2751 7 County Center Drive, Orovi Ile — Phone: -538-7541' •t1. 747 Elliott Road, Paradise — Phone: 872-6307 CORRECTION NOTICE, ER T NO. A routine inspection indicates that the following violations of County Ordinance exist at the above address and should be corrected. Please notify this office when correction of work is completed. If you have any question pertaining to this matter, or need additional explanation, please contact this office immediately. Date4// A� Inspector J; COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 - Telephone: 916.'538-7541 APPLICATION AND PERMIT PERMIT N0. n ASSESSOR PARCEL NUMBER 66-06-16 ZONING RT 1 _ BUILDING PERMIT OWNER ED & JOAN WALSH TELEPHONE 873-3357 ,SQ, FT. DCC. BUILDIN LUA • ON OWNER'S MAILING ADDRESS 13784 S PARK DRIVE MAGALIA 95954 CONTRACTOR'S NAME SAUTTER PLUMBING TELEPHONE CONTRACTOR'S MAILING ADDRESS PEARSON ROAD PARADISE Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation Is LENDER'S MAILING ADDRESS Filing Fee $ 155,00 Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Energy Plan Checking Fee $ Penalty $ BUILDING ADDRESS 13784 S. PARK DRIVE MAGALIA Permit fee $ PLUMBING PERMIT Filing Fee 15.00 Each Trap 5.00 Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP Water piping 7.00 Each qas water heater or vent 7.00 7.0 USE OF STRUCTURE SF q Duplex❑ Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets 5.001 5.00 Building sewer 15.00 Mobile Home S I G I W @ 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑ Describe work: WATER HEATER & GAS PIPING Permit Fee $27.00 Contractor ELECTRICAL PERMIT Filing Fee 15.00 Main service 200AORLESS 18.50 Main service 200ATO1000A, 37.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): ❑ I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license IS in full force and effect. License No. Classification ❑ I, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not 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 OCCUPM 3.64sq.ft. OR ADDNS. l ACC. BLDGS. / NEW CON5TRMULTI-OUTLET @ 5 00 NON-RESID BRANCH CIRC ITS POWER APPARATUS & (SINGLE OUTLET CIR. Ex. Occup(OUTLETS OR FIXTURES 20 760 D APLNS. Ex. Occup. our LE Ex. PRESID 1REA.) I 3.00 Temporary service 15.00 Mobile Home Facilities 115.00— Misc. IYirin 9 15.00 Permit Fee $ — WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. Contractor MECHANICAL PERMIT Filing Fee 15.00 Heating Cooling 9 Hood 6.50 Ventilation permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue against aid County/i�n� consequence of the granting of this permit. X I �" Date .S'-a� Z Si Applicant re of Signature A �/ Contractor ❑ Agent El 9 PP — OwnerL`1' An OSHA permit is required for excavations over 5'0" deep and demolition or construct - ion of structures over 3 stories in l,eighr.QR Mobile Home Installation Fee S Ener Inspection Fee $ 9Y P occ CONST TYPE I TOTAL FEE $ 27.50 I HAz I DFEES IMP I FLOOD I CDF I PARCEL I PD I HD I ISSUE This permit is hereby issued under the applicable provi- of the Butte County Code and/or resolutions to do I work indi d abov for which fees have been paid. OF PUBLIC WORKS BY ate :S 27 P6RIlhit EXPIWES Date..S 2 7 9 Receipt No. — (�� WHITE-D.P.W., YELLOW-ASSrsS R, PINK -INSPECTOR, GOLDENROD -APPLICANT COUNTY OF BUTTE - DEPARTMENT OF PUBLIC W0nKS 7 County Center Drive - Qrov..Ille,,Cellfornla 95965 - Telal hune: 010 '538-7541 APPLICATION AND PERMIT PERMIT NO 9�-/7�V A SSE550 F1 q^ �� ' r._ 6 Z N N BUILDING PERMIT OWNERTELEPHONE r Soo, N 1Jca IS K '? SO. FT. OCG`, BUILDING VALUATION OWNER'S MAYLING ADDRESS CONTR C�T+OR'S NAME J� Q r t11n t TELEPHONE CONTRACTOR'S MAILING ADDRESS tz>'eC,rs o y. Fireplace _ CONSTRUCTION LENDER UNKNOWN Total Valuation Is Filing Fee $ 15.00 LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER LICENSE No. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS Permit fee $ PLUMBING PERMIT Filing Fee 15.00 Each Trap 5.00 JCS Jl�G/ Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP Water piping 7.00 Each pas water heater or vent 7.00 m= USE OF STRUCTURE SF Duplex[]Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets 5.00 S- oC7 Building sewer 15.00 Mobile Home S I G W @ 15.00 TYPE OF WORK New! I Addition U Remodel ❑ Utilities ❑ Installation❑ Other Describe work: _ Permit Fee $ 9137 o 0 Contractor ELECTRICAL PERMIT Filing Fee 15.00 T T Main service 200AA 00OR LESS 18,50 2OR LESS _ _ Main service 200A TO IOOOA1 37.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (Check one): 1 am licensed under provisions of Chapt. 9, Div. 3 of the Busines$ and Professions Code and my license Is In full force and effect. License Ao. Classification �J 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) L j I am exempt under Sec. , Business and Professions Code for this reason NEW CONST. ( DWELLING OCCUP. �\ 3.66 sq.lt. OR ADONS. ACC. BLDGS. / NEW CONSTR ULTI-O U'TLET 5 00 NON-RESID BRANCH CIRC ITS @ POWER APPARATUS a SINGLE OUTLET CIR, / 76 Ex. Occup(OUTLETS OR FIXTURES20 d Ex. OCCUp, OUTLETS PIRESID IREA.1 I 3.00 Temporary service 15.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 Permit Fee $ Contractor - WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): n The permit is for $100.00 (valuation) or less. ❑ 1, have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. MECHANICAL PERMIT Filing Fee 15.00 Heating Cooling Hood 6.50 Ventilation v Permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the Countyot Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue against said County in consequence of the granting of this permit. X Date si natuA g pp — Owner❑ Contractor❑ Agent ❑ Applicant re of 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 S Energy Inspection Fee $ OCC CONST TYPE TOTAL FEES HAz OFEES IMP FL000 CDF I PARCEL I PD I HD ISSUE This perrnit is hereby issued under the applicable provi- sions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DIRECTOR OF PUBLIC WORKS By Date PERMIT EXPIRES Date Receipt No., WHITE-O.P.W.. YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD-APPL I CANT COUNTY OF BUTTE - DEPARTMI�Nt OF PUBLIC WORKS - BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE (916) 538-7541 PERMIT APPLICATION DATA SHEET OWNER IJ" Q 1& K A. P. No. 6 G- O 6 -/6 Proposed Building Use & QF Building Inspector J " Z- Date 4->1 6 9 Z -- At time of permit application, I was advised the following data must be submitted prior to permit processing and/or issuance: GATE RECEIVED BY -5 1. All items have been submitted . ............................. . 2. Plot plans, 3/4 sets, signed by preparer of plans . .......................... 3. Complete plans, 3/4 sets, signed by preparer of plans . ...................... 4. Engineered plans and calcs, 3/4 sets, with wet signature on plans . ............. 5. Hazardous Material Form . ............................................ 6. Energy Design Compliance and supporting documentation . .................. 7. Statement of Intent for Non -Heated and A/C Buildings . ...................... 8. Engineered truss details and layout in duplicate (required prior to plan check). .... 9. Mobilehome data and manufacturer's installation instructions, 2 sets. ........... 10. Fees of$ .......................................... 11. Impact fees as shown on attached schedule . .............................. 12. California Department of Forestry plan approval/fees. ........................ 13. Flood elevation letter (100 year flood) by California Engineer . ................. . 14. Sanitation and plot plan approval Health Department . ............. 15. City of Chico plumbing permit ..................... . 16. Plot plan and business license approval from City of Biggs/Gridley. ............. 17. Planning approval for (A) Use: (B) Parking: I . ........ 18. Contact Land Development about (A) Improvements (B) Drainage. .......... . 19. Driveway permit (construction approval required prior to occupancy). .. ... ... . 20. Pre -inspection for required. oBuiildiingInspector (Date) 21. Contractor's license information. (No., Name Style, Classification) . ............. . 22. Certificate of Workmans Compensation Insurance . .......................... 23. Owner -Builder Verification (Given to owner , Mail to owner _)............ 24. Recorded copy of Agricultural Acknowledgement Statement . .................. . 25. Letter of signature authorization . ........................................ 26. Copy of recorded deed of parcel creation and 60 right of way to a public road. .... . 27. Letter of intent on building use . ......................................... 28. Mobilehome utility clearance . .......................................... 29. Documentation of legal access . ........................................ 30. Documentation of 50% subdivision developed or (A) Road improvements completed and (B) Parcel meets zoning area and frontage requirements . ............... 31. Existing violations/expired permits . ....................................... 32. Plan check list. ........................... . 33. 34. When you issue the permit, process as follows: >0 Mail to owner. Mail to contractor. _ - TelephoneS?J-77-7 and hold for pickup at office. Deliver with inspector. Other Parcel Creation /// Acreage Applicant �� v" Date s� a 6 - 47-) 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: (Circle new item not checked above). 1. Index permit for above items No. 2. Additional items required: Contractor, designer, owner, was advised of above required data by _ phone -mail Counter by _ Date Contractor, designer, owner, was advised of above required data by _ phone _ mail Counter by _ Date Plans checked by Date Plans approved by Date Sets of plans on hold in File cabinet AP folder Copy - Department of Public Works y PERMIT NO. 3562-80B,P,E;M t PERMIT EXPIRES �'- �: r Carey &McVay OWNER r CONTR. Wayne.Carey Constr.,Paradise i 1 ASSESSOR PARCEL 66-06-16 LOCATION 305 S. Park Dr., Lot 108, PPCC#I, 4 Magalia 4 T- ar. T x 9�Temp. Power Pole f Iz Called PG&E . Temp. Elec. Service ` 9//' S; } Called PG&E �� ✓/_moi O U ��—'^ 'r Temp. Gas Service Called PG&E Yi JOB FINk), Signature e J = OK 0 = Not OK - = Not Applicable MOBILEHOMES * = Not Ready 17.-x. MISCELLANEOUS Date MOBILEHO,ME UTILITIES (Plans) OK except It's Date DECKS, COVERS, CARPORTS, ETC. (Plans) OK except p's 1. Zoning Requirements -Setbacks -Easements 1, Zoning Requirements=Setbacks-.Easements 2. Soils; Special MH Support -Sketch t 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.-Shing.-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 -BI 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 -BI Date POOLS (Plans) OK except k's 1, Setbacks -Easements' 2. Footings; Size -Spacing -Marriage Line 2. Soils; Compaction -Structure Stability 3. Gas; MH Test -Demand -Valve -Connector 3. Pool Structure; Steel -Connections -Thickness -Dead Men -Lining 4. Electricity; MH Test -Crossovers -Breakers -Clearances 4. Elec.; Receptacles and Lighting; Distances-GFI 5. Drain; MH Test -Fall -Flex Connector 5. Elec.; Pool Lighting; 15 volts-GFI 6. Water; MH Test -Regulator -Connector 6. Elec.; Enclosures; Conduit Entries -Terminals -Listed 7. Water and Sewer Connected -C/0 to Grade -HD Approval 7, Elec.; Bonding; Metal w/5' -Circulating Equipment -Heater 8. Gas and Electricity Tagged 8. Elec.; Grounding; Equip.w/5'-Circulating Equip. -Pool Lghtg. Boxes -Enclosures -Panel boards -Ins. to Main in Conduit 9. Exits; Insp.-Sketch 10. Cert. of Occupancy 9. Health Department Approval 10. Plumb; Cir. Test -Water Supply Test Card B-1 Date Card -BI Date Card -BI Date Card -BI Date Card B -I Date Card -BI Date Card -BI Date Card -BI Date t 4 I V = OK t t O = Not OK = Not Applicable = Not Ready RESIDENTIAL. (Single and Duplex) ' Date UNDERFLOOR Plans 0_,except#' Date FRAMING (Continued) 1. Zoning requ nts-Se sEasements 48. Property Line Firewall & Openings •story, Jilt2. Ftg., Majae30-1s-Ste -- / " Ftg. Depth 49. Ext. Doors -O 3' -Check Garage -3rd 2 exits 3. Fig., ge; Soils-31eer'/ Q " Ft ept 50. -9'-'--,' 'a h is adroom-Rise-Run-Landing-Fire Protection 11AIA A. Flgjy- orC+i$ s; Soils " lywood on Roof Overhang -Attic Vents -Rafter Outriggers _ 5. Stemw ain; Stea' ing-Nailing-Veneer 6. Stemwad+s, e; Std- es"F- rip Screed-Fdn. Vents-Underflr. Access ex 7. 5 55. ing Area -Glass Protection -Skylights -Plastic Shear Walls; Nailing -Bolts = 8. - o 10. Water Pipe; TA7si- n4froTs--Reg r -S tce ifisr 11. Electric; Underground 12. PlenuRfs'T acts; Clea ce-Ma ial-Sup ort- ns. 13. Girdeh"Si�- nchor s-Jw1IFlAi e --Vents-Crs Card-Bl�' Date l( / jt! Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI to 5V Card -BI JIF Date Date FINAL P s) OK except #'s Card -BI ateCard-BI Date Date 11 PLUMBING (Permit) OK except #'s 6 xI. Steps -Door & Sidelight Protection -Landings 5 e D tector 14. Water Ht.; Vent- Access-Qpmbustion Air 58 F ce; Vents -Clearance -Comb. Air -Connector - In Gara bove Floor-Ducts-Mech. Protection •15. Wa jpe; T A ors -Nail Protection 16. D.".; Illegit-Fttfils& Anchors -Nail Protection 5 Exiting 17.s, irst Floor -Tub Access F.I. &Bath Fixtures & Tub Access 18. Test Tub & Shower, 2nd Floor -Tub Access 6 ri ubpane1; Breaker Sizes -Labels 19. Gas Pipe; Size & Anchors 6 s 63 rept Stove; Clearances -Hearth Z ct 6 ec is at Wood Panel; Int. & Ext. Card -BI Date (t j V Card -BI Date Kit. F liance; Grnc.-Air Gap -Cooking Clearance Card -BI Date Card -BI Date 6 e ets & Receptacles at.Kit. Counter Date ELECTRICAL Permit OK except #'suct arage F' Door; Swing -Landing -Closer in Garage- amp 20. Fixes4 Transformer Clearance -Ins. Protection _ 69--Wtr-F14r•; - earance-Comb. Air-Connector-P.R.V.- In Gar bove Floor- e . Protection 21. Re pt Spacing -Lights &Switches at Doors 22. Si Si z oxes & No. No. of Conductors -Stapled 70-151b., Elec. & Mech. Equip. Listed for Location 23. Romex led Close to Edge of Studs & C.J. 7 • •ec. Rece tacles in Garage; (G.F.I.)-Romex Protec 24. EquipL-43rround made up w/Mech. Fasteners -Bond Gas & Water 7 ua �Foam-Looked in Attic 25. 2 Appliance Circuits in Kitchen & Conductor Size 79rd Rails &Deck Construction -Post Caps 26. Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / / ga. Cu or Al 7 n. Vents & Crawl Hole -Drainage & Wood -Earth Clearance Looked under.Floor ❑ es I 27. Range Circ. / / ga. Cu or AI -Oven Circ. / / ga. Cu or At, Insulated Neutral ❑Yes ❑No 75• Following instld.: Drive s 0 No; Walks ❑ Yes No; Planters ❑�-Yes o - k28. Service -Riser Conductors & Ground -Main Disconnect ?6 -Finish 29. Equip. Clearances; Panels-Motors-Mech. Equip. ;Disconnect-Clrnces-Brkr. & Co .,Size -115V Outlet S 30. ClotlboSCloset Light -Shower Light 78 nts Above Roof; Plbg.-Appliance-Firepl.-Clearance to Opngs. 80. isconnect, Electrical, Plumbing _ xterio lec. Trim; G.F.I. Receptacle -Underground . Card B -I C.� Date tL Card BI Date 81 entilation throughout House Card B -I Date Card -BI Date g s rotection Date MECHANICAL (Permit) OK except #'s- 31. A.C. Ducts; Insulation & Support 8 rrections from Previous Inspections agged; Gas -Electric 8 ater & Se F-Connected-C/C to Grade -HD Approval 32. 33. Vent Fan; Exhausaalrove Insulation Condensate Drain & Overflow; Size & Grade 86 gy Compliance Certificate -Other Certificates 34. 35. Furnace -Vent; Access -Comb. Air -Return Air Vent -115V outlet Attic Access & Platform if Furnace in Attic Card-BI Date_.'- Card -BI Date Card -BI ��y/ Date(j II W Card -BI Date //// Card -BI Card -BI _Dare' JA r 11 j1Card-BI Date Date Card -BI Date Card -BI Date Card -BI Date Date FRAMIN tans) OK except #'s Comments at Final: 36. SKS: Proper Material & Anchors1 - �- 411 �i� 37. Wa , Studs -Nailing, Spacing & Bracing -Plates -Sound- _ 38. Bearing Is over Girders & Floor Nailing 39. Draft S46p in Walls (rat proof) Fire Sk ps; Furred Ceilin s-Stairs-Cha.%e<Tub _40. 41. He der B -s" e & IMaring 42. 43. 43 44. - Connectors Han, rs��-Post Caps-As-connectors----- Cingi o -Ries-Pim-Roof Brac.-Truss-Shthnq.-Rfnq. Fire ce Ties or Type ue-Fireplace Throat _ 45. Attic_ess; Si" -l-& Romex Protea -Draft Stop - I . Baffles 46. _Bdrm. Wbildws or Exiting Doors -Sill Hgt. & Dimensions 47. Garage F Protection F ming - - ` (NOTE:Anentrymust be made each time youvisit jobsite) RESIDENTIAL .ENERGY CONSERVATION STANDARDS CONSTRUCTION COMPLIANCE CERTIFICATE THIS IS TO CERTIFY THAT ENERGY CONSERVATION REQUIREMENTS HAVE BEEN INSTALLED IN CONFORMANCE WITHi CU NERGY �CNSERV4TION REGULATIONS AT J,-)7 %ii �� .SD W '� /7cr c1C bee (location) v BUILDING PERMIT NO.. _1562 —L20 A:P. NO.6�-®�, % 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) 45 Floors CERT. & LABELED WDS. Walls 1J•'00 & SLIDING DRS,. Ceiling/Roof OV WEATHERSTRIPPED DRS. Ducts �),P.r vy 4A"ak BACK. DAMPERED FANS —r Circulating Pipes _it 11 INTERMITTENT IGNITIO DEVICES APPROVED HEATER CERT. APPLIANCES ,b APPROVED WTR.HTR. f i Cc 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' e— C' p Signature of ( lease t) , Insulation Applicator JA State contral6tors License No._ 9!!Z20 General Contractor/Owner Name Signature of 011"- General Contractor/Owner (ple,,$se print) / Date_�=2—yfo Sdte Contractors License No. ,q3 �22z_0 THIS CERT IF ICATE MUST BE ON FILE WITH THE BU ILD ING DEPARTMENT PRIOR TO REQUESTING FINAL INSPECTION AND SHALL BE POSTED IN A CONSPICUOUS LOCATION WITHIN THE DWELLING. r RESIDENTIAL .ENERGY CONSERVATION STANDARDS CONSTRUCTION COMPLIANCE CERTIFICATE THIS IS TO CERTIFY THAT ENERGY CONSERVATION REQUIREMENTS HAVE BEEN INSTALLED IN CONFORMANCE WITHi CU NERGY �CNSERV4TION REGULATIONS AT J,-)7 %ii �� .SD W '� /7cr c1C bee (location) v BUILDING PERMIT NO.. _1562 —L20 A:P. NO.6�-®�, % THE FOLLOWING HAVE BEEN INSTALLED AS PER APPROVED PLANS: (Check each item or write N/A if not applicable) INSULATION: GLAZING: Slab Edge. Single Glazed Fdn. Walls Special (Insulated) 45 Floors CERT. & LABELED WDS. Walls 1J•'00 & SLIDING DRS,. Ceiling/Roof OV WEATHERSTRIPPED DRS. Ducts �),P.r vy 4A"ak BACK. DAMPERED FANS —r Circulating Pipes _it 11 INTERMITTENT IGNITIO DEVICES APPROVED HEATER CERT. APPLIANCES ,b APPROVED WTR.HTR. f i Cc I DECLARE THAT ALL REQUIRED ITEMS AS NOTED ABOVE HAVE BEEN INSTALLED IN ACCORDANCE WITH THE ENERGY'CONSERVATION REQUIREMENTS AND AGREE TO THE COMPLETENESS OF THIS,CERTIFICATE AS SUBMITTED. Insulation Applicator Name' e— C' p Signature of ( lease t) , Insulation Applicator JA State contral6tors License No._ 9!!Z20 General Contractor/Owner Name Signature of 011"- General Contractor/Owner (ple,,$se print) / Date_�=2—yfo Sdte Contractors License No. ,q3 �22z_0 THIS CERT IF ICATE MUST BE ON FILE WITH THE BU ILD ING DEPARTMENT PRIOR TO REQUESTING FINAL INSPECTION AND SHALL BE POSTED IN A CONSPICUOUS LOCATION WITHIN THE DWELLING. {. N COUNTY OF BrILITTE!- DEPARTMENT OF PUBLIC WORKS PERMIT 7 County Centor Drive - Oroville, California 95965 - Telephone 916/534-454 /) • APPLICATION AND PERMIT ASS FSSORPA 'EL NUMBER Z/J JG BUILDI GPfRMIT OWNERwC, v/,N// TELEPHONE SQ. FT. OCC. BUILDING VALUATION 3 OWNER'S MAI LIN AD ESS .. 6a 0 CO 'TRAC'S NA /dA /]r CONT RgA7CT ,iyAI jNG ADp R�S• CONSTRUCTION LENDS - UNKNOWN Fireplace .O b D Total Valuation $ 0 LENDER'S MAILING ADDRESS Permit Fee $ 0 ARCHITECT OR ENGINEER LICENSE No. Plan Checking Fee $ Penalty $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Permit fee $,,e f BUILDING ADDRESS O ,' PLUMBING PERMIT Filing Fee 3.00 .%) S Each Trap 2.00 , QO Repair drainage or vent piping 2.00 Water piping LOT NO. 1E SUBDIVISION NAME loG'G � [PARCEL MAP e 5 b Each Each qas water heater or vent 2.00 Gas piping system 1 - 5 outlets USE OF STRUCTURE SF DuplexM Mobilehome❑ Other SPECIFY Building sewer Lawn sprinkler system 2.00 TYPE OF WORK NewAddition❑ RemodelUtilities❑ Installation❑ Other ❑ Describe work: Permit Fee $ - Z op Contractor 6?6o tr" ELECTRICAL PERMIT Filing Fee 3.00. Main service 1000 AMP ORV OR LESS5.00 Main service EA. ADD -L 100 AMP 2.50 NEW CONST. DWELLING O L76) p OR ADDNS. ( ACC.. BLDG /([i1 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. �%�%i�2�i'3 Classification �. El 1, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NON.RESID R BRANCH CIRCUITS) 2.50 ea NEw CONSTR. POWER APPARATUS &) NON-RESID. (SINGLE OUTLET CIR. EX. OCCUp(OUTLETS OR FIXTURES 50@ ,5 FIXED APPLNS. OR Ex. Occup. (0UTLETS (RESID.) EA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 6.25 i LG! Permit Fee $ Contractor ecu at WORKMEN'S COMPENSATION INSURANCE 1 declare under penalty of perjury (check one): n-Tb'e 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 f Consent to Self-Insure.Hood *,_10shall not employ any person in any manner so as to become subject 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. MECHANICAL PERMIT Filing Fee 3.00 Heating /Op'.u- p VO f u� Cooling/ Ott .Od ' '�f„� Ventilation 2.00 Permit Fee $ , fl _ Contractor oy�� I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the Countyot Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue against s id County in c ns nce of the granting of this permit. X - Date 7— rw-0 d Signature of Applicant — Owner --tractor ❑ Agent ❑ An OSHA permit is required for excov Ions over 5'0" deep and demolition or construct- ion of structures over73 stories in height. Mobile Home Installation Fee $ Land Development Fee $ v TOTAL PERMIT FEE $ ? 94'1,10D occuP. GROUP 1e TYPE OF�NST. [vJ-, PARC PD HD ssDE This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which DIRE R OF PUBLIC By P �ITEXPIRES Date the applicable provi- resolutions to do fees have been paid. WORKS Date '`��y Receipt No.Y51 J D WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT .,COUNTY OF BUTTE --Department of Public Works 7 County.Center Drive, Oroville, CA. 95965 Phone: .916-534-4541 OWNER -BUILDER VERIFICATION Attention Property Owner: An "owner -builder" building permit has been applied for in your name and bearing .your signature. Please complete and return this information in the envelope provided at your earliest opportunity to avoid unnecessary delay in processing and issuing your build- ing permit. No building permit will be issued'until this verification is received. 1. I personally plan to provide the major labor and materials for construction of the proposed property improvement (yes or no) -2 2.' I (have/have not) u _ signed an application for a building permit for the proposed work. 3. I have contracted with the following person (firm) to provide the proposed construction: ! Ramp l.NWQIIV C �ZC`i Ci��lis 1 _ Address to l0 lhA_i� City. F(xarti�.� r Phone Contractors License No. '512 2243 4. I plan to provide portions of this work, but I have hired the following person to coordinate, supervise, and provide the major work: Name Address City Phone Contractors License No. 5. I will provide some of the work but I have contracted (hired) the following persons to provide the work indicated: Signed: Property- Owner Social Security numbe - Date ' 11, 9-q) NOTE:' This Owner -Builder Verification is sent to you as required by Sections 19831 + and 19832 of the California Health and.Safety Code. This verification must be,completed and returned to our office before we are permitted to issue the permit. RESIDENTIAL PLAN CHECKING GUIDE (S.F., DUPLEX, & MISC. ONLY) Bldg. Permit # OWNER Own� �.. A. P. # A. GE RAL v .Zoning requirements (sideyards and parking). 2/ Valuation. 2o"' Signature by R.C.E. or Architect (if required). B.k, MOT PLAN Complete parcel size and'dimensions. Setback*, sideyards, easements, etc. Other buildings or structures. �►� Grading, fills, drainage. C. FLOOR PLAN' Complete to scale plan with dimensions. Required windows for light -and ventilation (Sec. 1405). 3e`,� Required windows for second exit (Sec. 1404). Allowable glazing for energy requirements (20% max. per.State law). Human impact glass (Sec. 5406). f;�Required room sizes, ceiling heights (Sec. 1407). G.F,C,I,°s in baths and exterior outlets (Sec. 210-8). .Light fixtures, switches, receptacles, and exterior receptacles for maintenance of /mechanical equipment. 9! Locations of water heater, heating & cooling equipment, other electrical or gas equipment, and plumbing fixtures. W<. -Garage firewall, door size, and closer (Sec, 503(d)(4)). 1X - 3°0" exterior exit door (Sec. 3303d). 1�F�eplace location, Smoke detectors (Sec. 1413). Di$TUCTURAL DETAILS 4// Foundation plan complete enough to construct building. 10.1 --'Floor construction details complete enough to construct building. levations and wall construction details complete enough to construct oof construction details complete enough to construct building. �.r irep?ace construction details and talcs if over one-story in height. Sufficient data and details to satisfy energy insulation requirements E. MISCELLANEOUS ITEMS _TO_LOOK OUT FOR plywood on exposed locations and overhangs. Sttairany details (Sec, 3305). 011rdre it details (Sec. 1716) . B_aiel: or stone veneer (Chapter 30) . 5.� Ei:terior plaster - weep screeds (Sec. 4706 & 4708). C'Proper roof pitch -for roof covering (Chapter 32). ;e` Raf•ter ties or bearing ridge beam. VGarage door or porch header sizes. Adequate bracing. building. (State law). 1(, Living area over garage - complete 1 -hour separation required including supporting-. walls ind posts, etc,' ll,f Two (2) exits on.three-story dwellings (Sec. 3302). g i' 1 , PERMIT NO. PERMIT EXPIRES OWNER JOHN,EARLEY CONTR. owner ASSESSOR PARCEL 66-06-16 p LOCATION 13784 S Park Magalia vlt hrC- T -AG 0/ Temp. Power Pole_ a k Called PG&E _ I i Temp. Elec. Service Y Called PG&E_ Temp. Gas Service _ J Cal led PG&E JOB FINALED (Dat s F 4 4 l� Signature � vlt hrC- T -AG 0/ J = OK ( T 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 3. Sewer; Location -Test -Fall -C/0 -Concrete 2. Footings; Size -Depth -Spacing -Connectors _ 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 6. Gas; Location -Test -Wrap:/ /''L" ft./ /"Nat. or/ /"L"ft./ /"LPG 7. Utility Clearance _ 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Carports: Windows -Doors• _ 7. Elec. Card -BI Date Card -BI Date Card -BI Date Card -BI - Date Card -BI Date Date Card -BI Date MOBILEHOME. INSTALLATION (Plans) OK except k's 1. Zoning Requirements -Setbacks -Easements Card -BI Date _ Date Card -BI 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 3. Pool Structure: Steel -Connections -Thickness -Dead Men -Lining 4. Electricity; MH Test -Crossovers -Breakers -Clearances 4. Elec.; Receptacles and Lighting; Distances-GFI 5. Drain; MH Test -Fall -Flex Connector 5. Elec.; Pool Lighting; 15 volts-GFI 6. Water; MH Test -Regulator -Connector 6. Elec.: Enclosures; Conduit Entries -Terminals -Listed 7. Water and Sewer Connected -C/0 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 Lghtg. Boxes-Enclosures-Panelboards-Ins. to Main in Conduit 9. Exits; Insp.-Sketch 10. Cert. of Occupancy 9. Health Department Approval 10. Plumb; Cir. Test -Water Supply Test Card B -I Date Card -BI Date Card -BI Date Card -BI Date Card B -I Date Card -BI Date Card -BI Date Card -BI Date i V -OK OL= Not OK Not Applicable RESIDENTIAL (Single and Duplex) = Not Ready . , Date UNDERFLOOR (Plans) OK exce tk's Date FRAMI�ontinued) 1. Zoning requirements -Setbacks -Easements 48. refiy Line Firewall & Openings 2. Ftg., Main; Soils-Steel-Elec. Grnd.- / /" Ftg. Depth 49. Ext. Doors -One 3' -Check Garage -3rd story, 2 exits 3. Ftg., Garage; Soils -Steel- / /" Ftg. Depth 5 . Sta' t --=Headroom-Rise-Run-Landing-Fire Protection 4. Ftg., Porches & Decks; Soils -Steel- / /" Ftg. Depth 51, lyyead on Roof Overhang -Attic Vents Rafter,Outriggers 5. Stemwalls, Main; Steel-Blockouts-Wrapped-Slab 52ji<iding-Nailing-Veneer 6. Stemwalls, Garage; Steel-Blockouts-Wrapped-Slab 53. S1 Nco Mesh -Drip Screed-Fdn. Vents-Underflr. Access 7. Piers -Fireplace Ftg.-Steel 54. Gla 'ng Area -Glass Protection -Skylights -Plastic 55. ear ails; Nailing- 1-s . 01 8. D.W.V.: Fall -Fittings -Test -2 way C/O -Sewer Test 9. Gas Pipe; Size -Anchors 10. Water Pipe; Test -Anchors -Regulator -Service Test La U 11. Electric; Underground 12. Plenums & Ducts; Clearance -Material -Support -Ins. 13. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples Card -BI ate %Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Date FINAL (Plans) OK except N's Card -BI Date Card -BI Date Date _ PLUMBING (Permit) OK except q's 14. Water Ht.; Vent -Access -Combustion Air 15. Water Pipe; Test & Anchors -Nail Protection Ae Ext. Steps -Door & Sidelight Protection -Landings . Smoke Deteotor 41 e -e l< - Z ^7- t' 0 58. Furnace; Vents -Clearance -Comb. Air -Connector - In Garage; Above Floor-Ducts-Mech. Protection 16. D.W.V.: Test-Fttngs & Anchors -Nail Protection Bedroom Exiting 17. Shower Pan; Test, First Floor -Tub Access -�fifl. G.F.I. & Bath Fixtures & Tub Access - - 18. Test Tub & Shower, 2nd Floor -Tub Access Elec. Trim & Subpanel; Breaker Sizes -Labels 19. Gas Pipe; Size & Anchors Stairs & Rails _ ireplace or Stove; Clearances -Hearth - Elec. Outlets at Wood Panel; Int. & Ext. Card -BI Date Card -BI Date Kit. Fixt. & Appliance; Grnd.-Air Gap -Cooking Clearance Card -BI Date Date Card -BI Date ELECTR Permit OK except q's Elep. Outlets & Receptacles at Kit. Counter -X&7,-Garage Fire Door; Swing -Landing -Closer .-68.. A.C. Duct in Garage -Damper 20. xt & Transformer Clearance -Ins. Protection Wtr. Htr.; Vents -Clearance -Comb. Air-Connector-P.R.V.- In Garage; Above Floor-Mech. Protection 21. ..le ceptacles Spacing -Lights &Switches at Doors Plb., Elec. &Mech. Equip. Listed for location _ 22. ox s & No. of Conductors -Stapled Ro Installed Close to Edge of Studs & C.J. Elec. Receptacles in Garage; (G.F.I.)-Romex Protec. --Guard 24., quip. Ground made up w/Mech. Fasteners -Bond Gas & Water ;2 Insulation -Foam -Looked in Attic E] Yes ; Rails & Deck Construction -Post Caps - 2 ppliance Circuits in Kitchen &Conductor Size _u feed it Size / / ga. Cu or AI-A.C. Wire Size / / ga. Cu or At 7p! Fdn. Vents & Crawl Hole Door -Drainage & Wood -Earth Clearance l Looked under Floor ❑ Yes - 2 Range Circ. / / ga. Cu or AI -Oven Circ. / / ga. Cu or Al, Insulated Neutral `Yes ❑No Following instld.: Drive es ❑ No; Walks ❑ Yes [IICo; Planters ❑Yes QNo 28. ervice-Riser Conductors & Ground -Main Disconnect;_ Stucco; Brown -Finish - 29. uip. Clearances; Panels-Motors-Mech. Equip. A.C. Unit; Disconnect-Clrnces-Brkr. & Cond. Size -115V Outlet _ 30. Clrhes Closet Light -Shower Light _ . Vents Above Roof; Plbg.-Appliance-Firepl.-Clearance to Opngs. -------------- ----- Card B.I_RJ C� Card -BI Date Card B I pate/ Card -BI Date -4e--Water Well; Disconnect, Electrical, Plumbing �8 -Exterior Elec. Trim; G.F.I. Receptacle -Underground y Ventilation throughout House .-9Z� Glass Protection Date _ MECHANICAL (Permit) OK except N's A_C Ducts: Insulation & Support Vent an; Exhaust above Insulationto 33. Conde sate Drain _& Overilow; Size & Grade _ - 9-eorreclions from Previous Inspections .-@*-Gas Test -Meters Tagged; Gas -Electric --65. VySEer & Sewer Connected -CSO to Grade -HD Approval nergy Compliance Certificate -Other Certificates 34. Furnac -Vent; Access -Comb. Air -Return Air Vent -115V outlet -- Card -BI Ca- d -BI 35. Attic A ess & Platform if Furnace in Attic -- _----.------_-- - - Date - --Card-BI Date Date Card -BI Date Card-BIMZZ Date 7 - Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Date FR G(Ptans) OK except q's Comments at Final: -- 36. Sill roper Material & Anchors _3_7.l ails; Studs -Nailing, Spacing & Bracing -Plates -Sound 3 alls_over Girders & Floor Nailing__ 3�_ _ in Walls (rat proof) _ 4 tops; Furred Ceilings -Stairs -Chases -Tub 41. Header -Beam-Size & Bearing 4 rs-Post Caps -Anchors -Con tors - - Joist-Rftr. Ties-Purlin oof Brac.-Truss-Shthnq.-Rfnq. 43/F"eplace 44Ties or Type A ue-Fireplace Throat 45 Access: Size &Romex Protection -Draft Stop -Ins. Baffles _ 46_-&f _H._ ,nndows_or_Exiting Doors -Sill H_gt. & Dimensions__ _ 47 _ ire Protection Framing - /S �M Lff - (NOT E: An entry must be made each lime you visiI job site) COUNTY OF BUTTE 4' DEPARTMENT OF PUBLIC WORKS 196 Memorial Way, Chico — Phone: 891-2751 7 County Center Drive, Oroville — Phone: 538-7541 747 EI I iott Road, Paradi se -`Phone: 872-6307 3:00- % JO --------------- CORRECTION NOTICE -Ae(Fv OWNER PERMIT NO. A routine inspection indicates that the following violations of County Ordinance exist at the above address and should. be corrected. Please notify this office when correction of work is completed. If, you have any question pertaining to this matter, or need additional explanation, please contact this office immediately. i�illcA r llAAT' Y,)t�i Y-1 f�(,�T l-1 A� � i'in/t1� ani S i��'frla�i• c�i.i 7"c1 ;' _ C-APAr;e FAMic M C nl Ug2S 1-1AoT7. rills INS) rcrio.J. Inspector U, I..—A Date -5-- X6,-88 COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 196 Memorial Way, Chico — Phone: 891-2751 7 County Center Drive, Orovi Ile — Phone: 534-4541 Skyway and Elliott Road, Paradise — Phone: 872-2961, Ext. 57 CORRECTION NOTICE r BUILDING OFyPMOPERTY ADDRESS A routine inspection indicates that the following violations of County Ordinance exist at the above address and should be corrected. Please notify this office when correction of work is completed. If you have any question pertaining to this matter, or ne ditional explanation,'please contact this office immediately. / -� -�� /�. /2 .. COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 - Telephone 916/534-4541 APPILOTAN AND PERMIT PERMIT NO. / ASSESSOR PARCEL NUMBERZONING s DG --� o BUILDING PERMIT OWNER ELEP=ONE SO. FT. OCC. BUILDING VALUATION OWNER'S M�LING ADDRESS CO RACTOR'S NAME TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation Is Filing Fee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee $ p 6\6ARCHITECT OR ENGINEER LICENSE No. Plan Checking Fee $ Penalty $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Permit fee $ BUILDING ADDRESS PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 Solar Water Heater 20.00 Water piping 5.00 LOT NO.SUBDI VISION NAME PARCEL MAP Each qas water heater or vent 5.00 Gas piping system 1 - 5 outlets 5.00 USE OF STRUCTURE SF ❑ Duplex❑ Mobilehome❑ Other SPECIFY Building sewer 5.00 Mobile HomeJSJGJWJ 10.00 eEi TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation❑ Other ❑ Describe work: / �/L��1t'J,[ Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 100 AMPOR0V OR 10.00 ' Main service EA. ADD'L too AMP 2:50 NEW CONST. DWELLING OCCUP.& OR ADDNS. ACC. BLDGS. 2/20sq ft CONTRACTORS LICENSE LAW I declare under penalty of perjury (Check One): ❑ I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in full force and effect. License No. Classification I, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ 1, 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 U TI -OUTLET 2.50 ea NON -RE SID BRANCH CIRCUITS) NEW CONSTR. (POWER APPARATUS &) NON RES,D. (SINGLE OUTLET CIR. Ex. Occu zoesoa P(o OR FIXTURES BAL®30 FIXED A Ex. Occup. OUTLETS P(RESID,)LNS REA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring _,__F15.00 Permit Fee $ Contractor WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for -$100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. 1 shall not employ any person in any manner so as to become subject f� 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. MECHANICAL PERMIT Filing Fee 10.00 Heating Cooling Hood 3.00 Ventilation Permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the Countyot Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue against said ounty i nse uence of the granting of this permit. X 3 -ate g� Date Signature of A licant — Owner XJontractor ❑ Agent ❑ An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories in height. IM Mobile Home Installation Fee $ TOTAL PERMIT FEE $ , OCCUP. GROUP TYPE OF CONST. PARCEL PD ND ISSUE This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which DIRf CTOR OF PUBLIC B E P RES Date the applicable provi- resolutions to do fees have been paid. WORKS Date 1/1 Receipt No. _ S1% ?D �—PERMIT WRITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT M COUNTY OF BUTTE - partment of Public Works 7 County Center Drive, Oroville, CA. •95965 OWNER -BUILDER VERIF ICAT ION Attention Property Owner: Phone:, 916-534=4541 An "owner -builder" building permit has been applied for in your name and bearing your signature. Please complete and return this information in the envelope provided at your earliest opportunity to avoid unnecessary delay in processing and issuing your build- ing permit. No building permit will be issued until this verification is received. 1. I personally plan to provide the major labor and materials for construction of the proposed property improvement/ (yes or no). 2. I (have/have not) signed an application for a building permit for the proposed work. 3. 'I have contracted with the following -person (firm) to provide the proposed construction: Name Address.' City Phone Contractors License No. 4. I plan to provide portions of this work, but.I have hired the following person to coordinate, supervise, and provide the major work: Name Address City Phone -ContractorsLicense No. 5. I will provide some of the work but I have contracted (hired) the following persons to provide the work indicated: Name Address Phone Type of Work Signed:, Property Owner Social Security number Date NOTE: This Owner -Builder Verification is sent to you as required by Sections 19831 and 19832 of the California Health and Safety Code. • This verification roust' be completed and returned to our office before we are permitted to issue the permit. COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 - Telephone 916/534-4541 APPEICAT[Oli! Ai'@ TERMIT PERMIT NO. f 0 ASSESSOR PARCEL NUMBER ZONING BUILDING PERMIT OWNER TELEPHONE, SO. FT. OCC, BUILDING VAI UA ON OWNER'S MAI ING ADDRESS- Vo CONTRACTOR'S NA E TELEPHONE Xi CONTRACTOR'S MAIL( G ADDRESS Fireplace ' tt 8" CONSTRUCTION LENDER UNKNOWN Total Valuation Is '51606 — Filing Fee $ 10,00 LENDER'S MAILING ADDRES Permit Fee $ p ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $aO 10&5 Penalty $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Permit fee BUILDING ADDRESS PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 Solar Water Heater 20.00 Water piping 5.00 LOT NO. SUBDIVISION NAME PARCEL MAP Each qas water heater or vent 5.00 Gas piping system 1 - 5 outlets 5.00 USE OF STRUCTURE SF yDuplex ❑ Mobi lehome ❑ Other SPECIFY Building sewer 5.00 Mobile Home S GW 10.00 e TYPE OF WORK New ❑ Addition ❑ Remod.el ❑ Utilities ❑ Installation ❑ Other [ Describe work: Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service OR LESS 100 100 AMP OR LESS 10.00 Main service EA. ADD'L 100 AMP 2.50 NEW CONST. DWELLING OC& OR ADDNS. ACC, BLDGS. 2/20sgft CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): ❑ I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in full force and effect. License No. Classification ❑ I, as the owner, or my employees with wages as their sole compen- sation, will do the work, and the structure is not intended or offered for sale. (Sec. 7044) I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONSTR U TCI OUTLET 2,50 ea NON-RESID BRANCH CIRC ITS NEW CONSTR. /POWER APPARATUS & NON-RESID. (SINGLE OUTLET CIR. Ex. Occu 20®50a p�OUTLETS OR FIXTURES 9AL®ao FIXED APPLNS, OR EX, OCCUp. OUTLETS (RESID.) EA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 Permit Fee $ Contractor 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. Not ce 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. MECHANICAL PERMIT FiIingFee 10.00 ` Heating j Cooling Hood 3.00 Ventilation permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the Countyot Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue 'consequence of the granting of this p rmit. aga' st id Ae,v,z %� Date3 Z. Q Signature of Applicant — w er Contractor ❑ Agent ❑ An OSHA permit is required for excavations ov r 5' "deep an demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee $ _ TOTAL PERMIT FEE occuP. GROUP I TYPE of CONST. PARCEL PD ND_ V/ Issu This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which DIRECTO OF PUBLIC BY PE T EXPIRES Date the applicable provi- resolutions to do fees have been paid. WORKS Date, —� o Receipt No. WHITE-D.P.W., YELLOW -ASS 3P OR, DOL DEN RO D -APPLICANT _-5) To*-. Building Department From: Environmental Health Subject: Sanitation Clearance Owner Plans approved for: Sew Hold final for: Final Clearance O.K. for: Clearance for bedroom mobile home. Clearance for addition of Note** rN _ /� n n Sanitarian ?aA- Location -0Gr1-6 AP age Disposal Water -Supply Water Supply a Water Supply i" Other Men Date COUNTY OF BUTTE - DEP AI_TWMENIT OFkBLIC WORKS - BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILLE. 1tXLIFORNIA 95965 - `TELEPHONE: 916/534-4541 \/ PERMIT APPLICATION DATA SHEET Permit No. OWNER A. P. No. l/v- �Z, Proposed Building Use Permit Fee Based Upon: Complete -Contract Price DPW Valuation ther (Explain) Building Inspector Date At time of permit application, I was advised the following data must be submitted prior to permit processing and/or;/.'A ssuan'c2: DATE RECEIVED APPROVED II items have been submitted. . . . . . . . . . . , 2. Plot plans in duplicate./triplicate. . . . . . . . . . . 3. Complete plans in duplicate. /triplicate. . . . . . . , . 4. Complete engineered plans and calcs. . . . . . . . . . 5. Plans with Energy Design Compliance Statement. . . . . . 6. State Energy Forms No. , 7 Statement of Intent for Non -Heated and AC Buildings. Fees of $ &S -P . . . . . . . . 9. Letter of signature authorization. . . . . . . . . . . 10. Sanitation approval from Health Dept. . . 11. Planning approval for (A) Use: (B) Parking: 12. Certificate of Workmen's Compensation Insurance. . . . . . 13. Contractor's License Information (no., name style, classif.) 14...Owner-Builder Verification (Given to owner0, Mail to owner ❑•) 15. Improvements may be required. . . . . . . , . . . . 16. Mobilehome Installation Data. . . . . . . .. 17. Pre -Inspection for •Pre-Inspec. request to Required. Building Inspector (Dates' 18. Other When you issue the permit, process as follows: Mail to owner. Mail to contractor. Telephone and hold for pickup at office. Deliver w/inspector. Other Date-�,'-a-,-' RSL Copy of plans sent Health Dept., Fire Dept., Other Date During the plan checking process, the following data must be submitted prior to permit issuance: (For required items not checked above at time of application, circle item.) 1. Index permit for above Items No. 2. Additional items required:f (Contractor, Desig Plans checked by Plans aDDroved bt Other: Copy—DPW was advised of above required data by elephone Mail Other By Date Date Date P� INSTALLED ENERGY SHEET FOR ADDITIONS TO RESIDENTIAL BUILDINGS PERMIT N0. -d PACKAGE "A" (Additions) n FORM 'J NAME SQUARE FOOTAGE JOB ADDRE Existing Residence..= TYPE OF WORK New Addition C74-0 a New Total 0 d The followinginformation-sheet, showing mandatory features and required features of Package "A" must be completed and attached to all plans for additions. to dwellings. Additions to dwellings include room additions, converting garages and patios to living areas, house moves that add footage and attic conversions, and any space that is ex- isting non -conditioned space that is converted to conditioned space. Remodeling of. existing conditioned space is not included. ZONE 11 ZONE 12 ZONE 16 APPLIES TO NEW AREA CEILING R-30 R-30 R-38' ,)j%WALL R-11 R-11 R-19 FLOOR R-11. R-11 R-19. SLAB R- 7 R-11(��l R- 7 GLAZING , 65 _ .65 bI�� Q U4 .65 SHADING SOUTH --OPTIMUM OVERHANG Q Foy or .36 S.C. WEST - .36 S.C. r KLOOSE FILL INSULATION (Density) -AINFILTRATION CONTROL (Weatherstrip doors, certified windows, caulking) VAPOR BARRIER (Zone 16) A DUCTS PER UMC - Ch, 10 LIGHTING KITCHEN & BATH NOT LESS THAN 25 LUMENS/WATT __* MAXIMUM GLAZING 16% OF AREA PLUS REMOVED GLAZING NEW HVAC AND HOT WATER IN CONJUNCTION WITH AN ADDITION SHALL COMPLY AND FILL OUT DATA ON BACK OF THIS SHEET 7/83 ❑ *2 M HEATING. VENTILATING, AIR CONDITIONING SYSTEM (A) Heating Central Gas Furnace (brand and model number) SE Btu/hr (heating capacity) Heat Pump (brand and model number) ACOP Btu/hr (heating capacity at 47°F) Active Solar type (liquid or air) Collector brand and ft2 model number solar fraction collector area collector orientation collector tilt rated y -intercept rated slope Other (describe) (B) Cooling Electric Air Conditioner (brand and model number) (seasonal EER) Btu/hr (cooling capacity at 9 °F) Electric Heat Pump EER Btu/hr (cooling capacity at 95°F) Other (describe) DOMESTIC WATER SYSTEM (A) Gas Only Gallons (brand and model number) (tank size) Heat Pump w/Electric Backup (brand and model number) Gallons (tank size) Active Solar (collector brand and model number) (rated y -intercept] (rated slope) , (solar fraction) ft 2 (backup heater type, brand and model number) (collector area) (collector orientation) (collector tilt) Location oolar Pa eis Other (Describe) *1 Submit documentation of sizing heating and cooling equipment by Manual J, sizing charts (form #4) or other approved methods, section 2-5352(g), and fill out the following: Heating: Winter design temperature S?Y—°, elevation heating load BTU elevation factor x heating load = maximum outlet capacity gas furnace BTU Cooling: Summer design temperature ', cooling load BTU *2 Submit T.I.P.S.E. chart or other approved system (form #5) to document sizing of solar panels. ® DESIGN COMPLIANCE STATEMENT: The above building design meets the requirements of Title 24, Part 2, Chapter 2-53 of the California Administration Code. 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