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068-010-021
_ � /OJ 4'rs. ;�-. ,rte �' J� .�„�1„��•• :�" "` " avid Henderson 660-67- Z/ 25 Canyon Dr., Or ville �• ermit #1622-78E(fu ure co A t - tie p. alec , sere) A� O i —:3 Permit #303-%8B,P,E,M(new single family) / 068-010-021 02-218gAL ANK, BENJAMIN Esc NANCY325 CANYON DR., OROVILLE RE -ROOF 068-010-021 04-0093 ANK, BEN & NANCY 325 CANYON DR, OROVILLE CONT: OWNER UPGRADE ELEC SERV 7ANK,jB3EN' 04-0092 &NANCY N DR, OROVILLF NER',,�`CHED GARAGE' \ ��� 6 al O�CoB pl� CI7 X21 I ,. ��� -• - -_'� ...f� r.: NOTES RESIDENTIAL X06"8 -010 -021 - PERMIT NO. 4 -AN+ K� BEN & NANCY 04-0092. 3Co CANYON DR, OROVILLE CONT: OWNER NEW DETACHED GARAGE i 4 1 ' -t! l{ SPECIAL CONDITIONS CHECKED BY SRA FLOOD CERTIFICATE REQ. FIRE SPRINKLERS REQ. - SPECIAL INSPECTION ITEMS VERIFY 1 J USE PERMIT CONDITIONS .yl SUB -STANDARD HOUSING LETTER 1 1 i Y It1 i ♦rt 1 l JOB FINALED ((Date � f - Sig nature J=OK 0 = Not OK Not Applic + = NotReadyabte 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-Clearances-Grnd-/ /Amp -Concrete 6. Gas; Location -Test -Wrap;-/ /" L 'ft. / P Nat. or/ /" L "ft./ P LPG 7. Well Clearance & Disconnect 8. 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. Tie Downs -Type -Installation Cert. 10. Exits; Insp.-Sketch 11. Cert. of Occupancv MISCELLANEOUS Date DECK %,-C6VgFtt, CARPORTS, GARAGES (Plans) OK except #'s G01. Date 3. Card B-1 Date Card B-1 Date 5. Card B-1 Date Card B-1 Date PERMANENT END SYSTEM (ONLY) Electric 2. Soils; Compaction -Structure Stability 1. Zoning Requirements -Setbacks -Easements 4. Elec.; Receptacles and Lighting, Distance-GFI 2. Footings; Size -Spacing -Marriage Line 6. Elec.; Enclosures; Conduit Entries -Terminals -Listed 3. Blocking 8. Elec.; Grounding; Equip. w/5' Circulating Equip. -Pool Lghtg. Boxes-Enclosures-Panelboards-Ins. to Main Conduit 4. Gas; MH Test -Demand -Valve 10. Plumb.; Cir. Test -Water Supply Test 5. Electricity; MH Test 12. Enclosure; Fencing -Alarms 6. Water; MH Test Date Card B-1 Date Card B-1 7. Water and Sewer Connected 8. Gas and Electricity Tagged 9. Exits 10. License Decals 11. Verify #'s with Office Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 MISCELLANEOUS Date DECK %,-C6VgFtt, CARPORTS, GARAGES (Plans) OK except #'s G01. Z g Requirements -Setbacks -Easements 3. Footings; Soils -Size -Depth -Spacing -Connectors -Steel Decks, Girders and/or Joists -Decking -Bracing -Stairs -Rails 4. Wood Awn.; Posts- Beams- Rftrs-Connectors Shthg-Frg-Bracing 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Carports; Windo s -Doors 7. Electric 'ding; Nailing -Veneer -Stucco -Mesh R f; Shthg-Roofing jtv E ; Steps -Doors -Landings Braced Wall Panels Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date POOLS (Plans) OK except #'s 1. Setbacks -Easements 2. Soils; Compaction -Structure Stability 3. Pool Structure; Steel -Connections -Thickness Dead Men -Lining 4. Elec.; Receptacles and Lighting, Distance-GFI 5. Elec.; Pool Lighting; 15 Volts-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-Panelboards-Ins. to Main Conduit 9. Health Department Approval 10. Plumb.; Cir. Test -Water Supply Test 11. Light Niche 12. Enclosure; Fencing -Alarms Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 J=OK 0 = NotOK Applicable - = Not pliczble RESIDENTIAL (Single & Duplex) . = Not Ready Date UNDERFLOOR (Plans) OK except #'s 1. Zoning -Setbacks -Easements -Flood -Slope 2. Ftg., Main; Soils-Elec. Grnd.-/ /" Ftg. Depth 3. Ftg., Garage; Soils-Steel-Elec. Grnd.-/ /" Ftg. Depth 4. Ftg., Porches & Decks; Soils -Steel-/ /" Ftg. Depth 5. Stemwalls, Main; Steel-Blockouts-Wrapped 6. Stemwalls, Garage; Steel-Blockouts-Wrapped 6a. Hold Downs and Special Anchors 7. Slab, Steel -Wrapped 8. Piers -Fireplace Ftg.-Steel 9. D.W.V.; Fall -Fitting -Test -2 Way C/O -Sewer Test 10. UF, Gas Pipe; Size Anchors -Yard Gas Piping; Size Test 11. Water Pipe; Test -Anchors -Regulator -Service Test 12. Electric Underground 13. Plenums & Ducts; Clearance -Material -Support -Ins. 14. Girders -Sills -Anchor Bolts-Joists-Vents-Crippies 15. Access & Ventilation Date 16. Insulation 47. Hangers -Post Caps -Anchors -Connectors Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date PLUMBING (Permit) OK except #'s 17. Water Htr.; Vent -Access -Combustion Air Baffle 18. Water Pipe; Test & Anchor -Nail Protection 19. O.W.V.; Test Fittings & Anchor -Nail Protection 20. Shower Pan; Test, First Floor -Tub Access 21. Test Tub & Shower, Second Floor -Tub Access 22. Gas Pipe; Sixe & Anchors 23. Fire Sprinkler; Test 58. Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date ELECTRICAL (Permit) OK except #'s 24. Fixture & Transformer Clearance -Ins. Protection 25. Elec. Receptacles Spacing -Lights & Switches at Doors Date 26. Size Boxes & No. of Conductors Stapled Date 27. Romex Installed Close to Edge of Studs & C.J. Date 28. Equip. Ground made up w/Mech Fasteners -Bond Gas & Water 29. 2 Appliance Circuits in Kitchen & Conductor Size GFI 30. Subfeed Wire Size/ /ga. Cu or AI-A.C. Wire Size/ /ga Cu or Al 31. Range Circle/ /ga Cu or AI -Oven Circ. / /ga Cu or Al Insulated Neutral ❑ Yes O No 32. Service -Riser Conductors & Ground Main Disconnect 33. Equip. Clearances Panels-Motors-Mech. Equip. 34. Clothes Closet Light -Shower Light -Spa Light 35. Smoke Detector 71. Fireplace or Stove, Clearance -Hearth Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date MECHANICAL (Permit) OK except #'s 36. A.C. Ducts Insulation & Support 37. Vent Fan, Exhaust above insulation 38. Condensate Drain & Overflow, Size & Grade 39. Furnace -Vent Access -Comb. Ait-Return Air Vent 115 Outlet 40. Attic Access & Platform if Furnace in Attic Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date FRAMING (Permit) OK except #'s 41. Sills Proper Materials & Anchors _ 42. Walls Studs -Nailing Spacing & Braces -Plates -Sound 43. Bearing Walls over Girders & Floor Nailing 44. Draft Stop in Walls (rat proof) 45. Fire Stops, Furred Ceilings -Stairs -Chasers -Tubs 46. Headers & Beams -Size & Bearing Date FRAMING (Continued) 47. Hangers -Post Caps -Anchors -Connectors 48. Cling. Joist-Rftr. Ties- Purlin-Roll Brac.-Truss-Shting.-Rtng. 49. Fireplace Ties or Type A Flue -Fireplace Throat Clearance 50. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 51. Bdrm. Windows or Exiting Doors -Sill Ht. & Dimensions 52. Garage Fire Protection Framing -RC Channel 53. Property Line Firewall & Openings 54. Ext. Doors -One T -Check Garage 3rd Story, 2 Exits 55. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 56. Plywood on Roof Overhang -Attic Vents -Rafter Outriggers 57. Siding -Nailing Veneer 58. Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access 59. Glazing Area -Glass Protection -Skylights -Plastic 60. Shear Walls; Nailing -Bolts 61. Brace Interior/Exterior Wall Panels 62. Insulation -Walls -Ceilings 63. Infiltration -Walls -Windows Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date FINAL (Plans) OK except #'s 64. Ext. Steps -Door & Sidelight Protection -Landings 65. Smoke Detector 66. Furnace Vents -clearance -Comb, Air -Connector - In Garage; Above Floor-Ducts-Mech. Protection 67. Bedroom Exiting 68. G.F.I. & Bath Fixtures & Tub Access -Spa 69. Elec. Trim & Subpanel, Breaker Sizes & Labels 70. Stairs & Rails 71. Fireplace or Stove, Clearance -Hearth 72. Elec. Outlets at Wood Panel, Int. & Ext. 73. Kit. Fixt. & Appliance; Ground -Air -Gap -Cooking Clearance 74. Elec. Outlets & Receptacles at Kit. Counter 75. Garage Fire Door; Swing -Landing -Closure 76. A.C. Duct in Garage -Damper 77. Wtr. Htr.; Vents -Clearance -Comb. Air Connector-P.R.V. in Garage; Above Floor-Mech. Protection 78. Plb.; Elec. & Mech. Equip. Listed for Location 79. Elec. Receptacles in Garage (F.F.1.)-Romex Protection 80. Insulation -Foam -Looked in Attic 81. Guard Rails & Deck Construction -Post Caps 82. Fdn. VBents & Crawl Hole Door Drainage & Wood -Earth Clearance Looked under Floor ❑ Yes _ 83. Following Instld./Drive O Yes D No/Walks O Yes O No/Planters D Yes D No 84. Stucco Brown -Finish 85. A.C. Unit Disconnect, Electrical -Plumbing 86. Vents Above Roof, Plbg-Appliance-Fireplace-Clearance to Openings 87. Water Well, Disconnect, Electrical, Plumbing 88. Exterior Elec. Trim, G.F.I. Receptacle -Underground 89. Ventilation Throughout House 90. Glass Protection 91. Corrections from Previous Inspections 92. Gas Test -Meters Tagged, Gas -Electric 93. Water & Sewer Connected -C/O to Grade -HD Approval 94. Energy Compliance Certificate -Other Certificates 95. Address Posted 96. Fire Sprinkler Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Comments at Final: I'1 I• • � COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-7541 PERMIT NO. (Rev. 12/96) APPLICATION AND PERMIT og z ASSESSOR PARCEL NUMBER —0 ZONING A BUILDING PERMIT OWNER B TELEPHONE SO. FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS 125 CAMN DR OROVIIIE CA 95966 768 U 13 825.00 CONTRACTOR'S NAME IAM2 TELEPHONE CONTRACTORS MAILING ADDRESS CONSTRUCTION LENDER [Fireplace LENDER'S MAILING ADDRESS Total Valuation $ 13.824/M ARCHITECT OR ENGINEER- LICENSE NO. —Filing Fee $ 20.00 Permit Fee $153.00 ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ 99.45 BUILDING ADDRESS 325 ( ON DR OROVILM Energy Plan Checking Fee $ $ PERMIT FEE $ 272.0' LOT NO. SUBDNISIONS NAME PARCEL MAP PLUMBING PERMITFling Fee 20.00 USEOFSTRUCTURE 1^, SF Duplex ❑ Mobilehome ❑ Other SPECIFY Each Trap t, 1 7.00 Solar or heat pump water heater 23.00 Water piping 15.00 Each gas water heater or vent 15.00 TYPE OF WORK {•r New ❑ Addition ❑ Remodel ❑ Liilities ❑ Installation ❑ OtherJV Describe Work: NEW DETACHED GARAGE Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home I S I G I W @20.00 PERMIT FEE S ELECTRICAL PERMIT Fling Fee 20.00 Main Service zoOA OR LESS 23.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect. License Class Lic. No. 4 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 Main Service 200A TO I000A 46.00 `y NEW CONST. ( DWELLING OCCUR 3.SQS5 /. • ORw c Nr',S. BUDS. MUL"CC. NDN REs1D. @7.50 POWER APPARATUS a SINGLE OIJTLtT CIR. EX. OCCU OUTLET OR FIXTURES 209''00 BAIL Q .SO Ex. Occup. .RXED Aa OR, 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE S.$9 WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued.Hood ❑ 1 have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier MECHANICAL PERMIT Fling Fee 20.00 Heating Cooling 6.50 Ventilation PERMIT FEE $ Policy Number (The above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) rl 1 certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to workers' compensation laws of California, and agree that if I should become subject to the>� workers' compensation provisions of section 3700 of the Labor Code, I shall forthwith comply with those provisions. J X / l i / 1 r J/ tom_ Date 1 / �0 / _ Sigriature of Applicant - O Owner ❑ Contractor ❑ Agent An OSHA permit is required for excavations over 5'0" deep and demolition or construction of structures over 3 stories in height. I A ' F Mobile Home Installation Fee $ Energy Inspection Fee $ Ce ��� TOTAL FEE $ 319.33 Hk DFEES IMP I FLOOD COF`11 P EEL PD HD ISSUE 3 q This permit is hereby issued under the applicable provisions of the Butte County Code and/or Resolutions to do work indicated, Bove for which fees have been paid. / d IU� B��jI �AAnj/Date / 7 PERMIT EXPIRES ON � b ? / Dal i `��i �� `��'" �� -��� Receipt No. � ; 4 WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-7541PERMIT NO. (Rev. 12/96) APPLICATION AND PERMIT D q '60?Z' ASSESSOR PARCEL NUMBE4 068-010-021 ZONING AR1 BUILDING PERMIT OWNER REN & NANCY ANK TELEPHONE SO, FT, OCC. BUILDING VALUATION . OWNERS MAILING ADDRESS 129 CANYON D1R GROVITIE CA 99966 68 U 13P825.00 CONTRACTOR'S 7NAMMEp OWN L\ TELEPHONE CONTRACTORS MAILING ADDRESS CONSTRUCTION LENDER LENDER'S MAIUNG ADDRESS Fireplace Total Valuation $ 13.824/00 ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00 Permit Fee $153.00 ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ 99-45 DRESS BUILDING AD 325 QW0N DR OROVILLE Energy Plan Checking Fee $ $ PERMIT FEE $ 272.4 LOT NO. SUBDNISbNS NAME PARCEL MAP PLUMBING PERMIT Filing Fee 20.00 USEOFSTRUCTURE SF * Duplex ❑ Mobilehome ❑ Other SPECIFY Each Trap 7.00 Solar or heat pump water heater 23.00 Water piping 15.00 Each gas water heater or vent 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Otherk Describe Work: NEW DETACHED GARAGE Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home S G W @20.00 PERMIT FEE $ ELECTRICAL PERMIT Filing Fee 20.00 Main Service 200, OR LESS 23.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect.P License Class Lic. No. OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: X 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 performance of the work for which this permit is issued. ❑ 1 have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier Main Service 200A TO 1000A 46.00 NEW CONST. DWELLING OCCUP. OR ADDNS. ( a ACC. BLDs. SO 2(, 88 3.5Qs,; 26 88 LpµR°SID T. MULTI -OUTLET @7,50 OWER APPARATUS 8 SINGLE OUTLET CIR. Ex. Occup.GLmET OR FDCTURES a,20 O 1:00 Ex. Occup. DOS RAID,°PRw 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE $ 46. $$ MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEt $ Policy Number (The above sections need not be completed 4 the permit is for work of a valuation of one hundred dollars ($100) or less.)° I certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall forthwith com ly w'th those provisions. X Date / /(gyp Si atu plicant - Owner ❑ Contractor ❑ Agent A OSHA ermit is required for excavations over 5'0" deep and demolition or construction of structures o r 3 stories in heig t. ReceiptNo. WHITE-D.D.S.-B.D. CANARY -AS ESSOR PINK -INSPECTOR GOLD -APPLICANT Mobile Home Installation Fee $ Energy Inspection Fee $ PE TOTAL FEE $ H IMP FLOOD C pggp�[ !/ pp E This permit is hereby issued under the applicable provisions of the Butte County Code and/or Resolutions to do work indic ve for which fes have been paid. �• B Date Z O4— PERMIT EXPIRES ON ds at TD zil1, Iy N BA COUNTY OF BUTTE - DEPrARTMENT' OF DEVELOPMENT SERVICES - BUILDING DIVISION �1 7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-754,1 .G 12/96) _ APPLICraTIONAND PERMIT U ZONING BU I LDING P ER M IT &FM LNUA76E CPS �J CJIi SQ. FT. OCC. BUILDING VA AME TELEPHONE ADDRESS 4TION NO. LENDUMMUNGADDRESS Fireplace -- Total Valuation $ ARGHCTOR ENGINM � LICENSE N0. Fitin Fee $ 20.00 Permit Fee* $ ARqKTEGT OR ENGCd=4s MA UNG ADDRESS suaalNGAoaaEss /�I Plan Checkin Fee '$ Energy Plan Checking Fee NZAQJ�(�J Sl�� LOT NO. SUMMONS UWE ° "aP. �= fq_ PERMIT FEE PLUMBING PERMIT S Firing Fee 20.00 Each 7.00 USEOFSTRUCTURE SFA Duplex E3Mobilehome E3Other sPL��15.00 Solar or heat u ater heater 23.00 Water piping 15.00 Each gas water heater or vent TYPE OF WORK New ❑ Addition ❑ Remodel ❑ UbTilies ❑ Installation ❑ Other Describe Work: In n o. 4.n Gas piping rystern 1 - 5 outlets 15.00 Building sewer 0 Mobile Home S G W @20.00 PERMIT FEE S ELECTRICAL PERMIT Filing Fee 20.00 Main Service ::N= 23.00 L'Jb1D t X �� 2' c J .PERMIT FEE PAID $ ��' SDA $ RLQ SHERIFF $ OTHER $ Main Service To toanA 46.Oa NEW COT. DLWEA.ddG OOOUP. NS WE OR ADDNS. d ACC. BIDS. coxa . NNLTL•OUnbT @7.50 A POWER APPARATUS 8 SDJGLE O d0. Ovnzr OR FDrrURes @ L.50 Ex. OCttJ 6AL .so FD® APPLNS. DA 5.00 Ex. Otxu DtrrtETs ESID. EA Temporary Service 23.00' Mobile Home Facilities 20.00 M'isc. Wiring 23.00 PERMIT FEE $ MECHANICAL PERMIT Firing Fee 20.00 Heating Cooling Hood 6.50 $ S AMOUNT RECEIVED $ 4 (3 DATE RECEIVED i I 101,q PERMIT FEE S Mobile Home Installation Fee $ Enemy Inspectio-D Fee $ 1 77 1-T'T'e'T (TOTAL �A J/ I HAZ I Q FEES I V I D t:DF CEL 'V 1511 "SLE This permit is hereby issue unde plicable provisions of the Butte County Code and/or Resolutions to do work indicated above for which fees have been paid. By Date . � ` ,,. r .:.W' . r`iMw:i�r fir" .�.'iK,�..-;.-T.•-:..�'•.r�'�-�f7�... P.: -y, -..;i-}-;r...v=-r..:,,-i7-.-..v. , ,.�-x--�.s.^pL,..,....t � r,`� ��-+a }'oS-... ;.'`ti:=�.f3f h,. ;. `kyr+... :'�:• COUNTY OF BUTTE -DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING DIVISION GO 7 County Center Drive, Oroville, CA 95965 Phone (530)538-7541 Fax (530)538-2140 PERMIT"APPLICATION DATA SHEET OWNER: ASSESSOR PARCEL NUMBER Proposed Building Use: Counter Technician: Date: .���. � Q. ,!ims required in order to apply for a pe(m . All bo es MUST be checked OR marked NA in order to a ply. 1., Site plans, 3 or 4 sets, signed by the prepr of the plans. 2.:Complete plans, 3 or 4 sets, signed by the preparer of the plans. D 3., Engineered plans, 3 or 4 sets, with wet signature on plans AND 2 sets of stamped and signed calculations. 4. Engineered truss details and layouts in duplicate. No faxes! ❑ 5. Letter from Engineer or Architect for truss design review. ❑ 6. Energy compliance design and supporting documentation in duplicate. ❑ 7. Statement of Intent for Non -heated and A/C for Non -Residential Buildings. ❑ 8. Manufactured homes: (A) Data sheets and installation inst, (B) Marriage line info, (C) Floor Plan, (D) Tie down or fnd plans, all in duplicate. , ❑ 9. Metal bldgs: (A) Metal Bldg Plans, (B) Fnd plans and calcs in triplicate, (C) Elevations in triplicate. (D) Floor plans i,r triplicate. All of these must be stamped and wet -signed by the engineer. ❑ 10. Flood Elevation Certificate, wet -stamped and signed, in duplicate t- ❑ 11. Site plan and business license approval from the City of Biggs WWI ❑ 12. Letter of intent for non-residential buildings IV 13. Detached Accessory Building Form filled out by the owner 14. Hazardous Material Form t 15. Sanitation and site plan approval from the Environmental Health Department in ❑ Chico ❑ Oroville, as applicable. ❑ 16. Other Remaining items needed to issue the permit. (May require additional plan review upon receipt of the following items.) ❑ 17. Fire Sprinklers............................................................................................ ❑ 18. Agricultural Buffer clr and site plan apr from the Ag Commissioner Sent by ❑ . Soils Report and/or Engineered Foundation required ........................................... ........ ❑ 20. Erosion Control Plan Required........................................................................ ........ O 21. Fees as shown on the attached Schedule of Fees Due Sheet .............................. I ity of Chico Plumbing permit................................................................ ZI 23 California Department of Forestr plan approvalaid. Sent by: /I�ZS...... 1.-ZI -0 - �%� 4. Planning approval (A) Use: (B)Parking: (C) Parcel Check: i - r ❑ 25. Contact Land Development about _ Improvements, _ Drainage ......................... 26. NPDES Form............................................................................................. ❑ 27. Encroachment Permit for driveway from the Public Works Dept ........................... ❑ 28. Pre -Inspection for required....... ❑ 29. Contractor's license information. (Number, Name Style, Classification) ................... ❑ 30. Worker's Compensation Carrier rid Policy Number ........................................... \ 31. Owner -Builder Verification (ven to owner, _Mailed to owner) ..................... \ ❑ 32. Letter of Signature authorization.................................................................... ❑ 33. Recorded copy of Agricultural Acknowledgment Statement ................................. ❑ 34. Manufactured home utility clearance............................................................... ❑ 35. Existing violations and/or expired permits......................................................... ❑ 36. Deed Restriction.....................................................................""................ ❑ 37. ❑ Grant Deed, ❑ M.H. Title/Statement of Facts, ❑ Letter from Legal Owner, ❑ Check to H.C.D. $ ti ❑ 38. Other: ❑ 39. Other: When issued Telephone G and hold for pickup. • I have been informed of the above items and requirements fqr obtaining a building permit. �:R . 1. Index perm (al*jcati fff Ahe aTove items numbered: 7�G Plan Check Letter 2. Additional items re fired Contractor, designer, owner, was advised of the above data ❑ phone, ❑ mail, ❑ counter, by Date: Contractor, designer, owner, was advised of the above data ty ❑ phone, ❑ mail, ❑ counter, by Date: Plans reviewed by: Date: Plans approved by: -/Date: Structural reviewed by' Date: Structural approved by: Date: 14 Note transfer by: Date: Yellow: Building Division E.M. USE ONLY Piot Poen Attached Raw Men Attached Sent to S.D. TO: Building Department FROM: Environmental Health SUBJECT: Sanitation Clearance �O/� r 0--,1- iAm�.c J �cJl� • -� `S �� oiv �� - Dom- / Owner Cocation AP# Plan Approved for: Sewage Disposal ✓ Water upply: Public Private Well Clearance for dwelling. Other e- ' 9 Hold final for: Final clearance O.K. for: NOTE: Environmental Hea 8/96 alist £.s43 �'crn 9. aoo Date 1 National Pollutant Discharge Elimination System (NPDES) Phase II Construction Storm Water Permit and Storm Water Pollution Prevention Plan (SWPPP) Acknowledgement [LESS THAN 1 ACREI Project Title: `4 2N r'a /I - By signing below, I, the project owner/owner's agent, certify that I am aware that a construction project that disturbs 1 acre or more of land requires a Construction Storm Water Permit from the State Water Resources Control Board and that it is my responsibility to submit a Notice of Intent (N.O.I.), a Storm Water Pollution Prevention Plan (SWPPP), and a check for $700.00 made payable to the State Water Resources Control Board to obtain such a permit if my project disturbs I acre or more of land. I, further, certify that this project will not disturb 1 acre or more of land. I am aware that submitting false and/or inaccurate information may result in revocation of grading and/or other permits or other sanctions provided by law. Signed: Title: Date: 4 . O.B.- I OWNER -BUILDER VERIFFICATION Attention Property Owner: An "owner -builder" building permit has been applied for in your name and bearing your signature. Please complete and return this information at your earliest opportunity to avoid unnecessary delay in processing and issuing your building permit. No building permit will be issued until this verification is received. I personally plan to provide the major labor and materials for construction of the proposed property improvement: YES)< NO ❑ QD I HAVE HAVE NOT ❑ signed an application for a building permit for the proposed work, I have contracted with the following person (firm) to provide the proposed. construction: NAME: ADDRESS: PHONE: CONTRACTOR'S LICENSE NO. 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: PHONE: CONTRACT'OR'S LICENSE NO. 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 PROPERTYOWNER: v DATE: )1 i/i/,/6 `! NOTA. This Owner -Builder Verification is required by Section 19831 and 19532 of the California Health and Safety Code. This verification must be completed and returned to our office before we are permitted to issue the permit OVER I OWNER BUILDER INFORMATION Dear Property Owner: An application for a building permit has been submitted in your name listing yourself as the builder of property improvements specified. For your protection, you should be aware that as "owner -builder" you are the responsible party of record on such a permit Building permits are not required to be signed by property owners unless they are personally performing their own work. If your work is being performed by someone other than yoursel4 you may protect yourself from possible liability if that person applies for the proper permit in his or her name. Contractors are required by law to be licensed and bonded by the State of California and to have a business license from the city or county. They are also required by law to put their license number on all permits for which they apply. If you plan to do your own work, with the exception of various trades that you plan to subcontract, you should be aware of the following information for your benefit and protection: 0 If you employ or otherwise engage any persons other than your immediate. f unily, and the work (including materials and other costs) is $300 or more for the entire project, and such persons are not licensed as contractors or subcontractors, then you may be an employer. 0 If you are an employer, you must register with the State and Federal Governments as an employer and you are subject to several obligations including state and federal income tax withholding, federal social security taxes, workers compensation insurance, disability insurance costs, and unemployment compensation contributions. ♦ There may be financial risks for you if you do not carry out these obligations, and these risks are especially serious with respect to worker's compensation insurance. ♦ For more specific information about your obligations under Federal Law, contract the Internal Revenue Service (and, if you wish, the U.S. Small Business Administration). For more specific information about your obligations under State Law, contact the Department of Benefit Payments and the Division of Industrial Accidents. If the structure is intended for sale, property owners who are not licensed contractors are allowed to perform their work personally or through their own employees, without a licensed contractor or subcontractor, only under limited conditions. A frequent practice of unlicensed persons professing to be contractors is to secure an "owner builder" building Permit, erroneously implying that the property owner is providing his or her own labor and material personally. Building permits are not required to be signed by property owners unless they are performing their own work personally. Information about licensed contractors may be obtained by contracting the Contractors State License Board in your community or at 1020 N Street, Sacramento, CA. 95814. Please complete the "Owner Builder Verification" on the reverse side of this form so that we can confirm that you are aware of these matters. The building permit will not be issued until the verification is returned. n', Mic 1 C. Vi ira, C.B.O. er, Building Inspection NOTE: This Owner-BuilderLzformadon is required by Section 19830 of the California Health and Safety Code OVER Department of Development Services Building Division 7 County Center Drive Oroville, CA 95965 (530) 538-7541 (530) 538-2140 FAX DETACHED ACCESSORY BUILDING OWNER'S STATEMENT OF USE Plan review will not be started until this form is completed, signed by the property owner, and returned to the Butte County Building Division. Attached Accessory Buildings and Additions will be checked for residential use. Exception: Garages and Carports. Owner: �)9A 0 /I 1/f'! Phone: Mailing Address o07 �i9 ✓> 0.-i <zb✓ & Site Address: - de Assessor's Parcel Number: () �- D/ D - O2� Zone: Please answer questions 1-16, and explain any yes answers for questions 2-14 in the space provided on page 2 of this form GENERAL LNFORML ATION: 1. Is there a primary dwelling on the property? Yes © No ❑ 2. Is the structure already built, under construction, or under notice of code violation? Yes ❑ No FW 3. Will items produced in this building be offered for sale? Yes ❑ No 4. Will the public have access to this building? Yes ❑ No (� 5. Will any advertising, on or off site, be associated with the use of this building? Yes ❑ No SITE CONDITIONS: 6. Is the structure foundation within 5' of septic tank or 10' of leach lines? Yes ❑ No 7. Is any portion of the structure located closer than 20' to your front property line? Yes ❑ No S. Do you plan to add a driveway or modify existing access to a county maintained road? Yes ❑ No 9. Will the proposed structure encroach within any recorded easement? Yes ❑ No CONSTRUCTION FEATURES: 10. Will this building have insulated floor, walls, or ceiling? Yes ❑ No 11. Will. this building be heated or cooled? Yes ❑ No 12. Will this building have a water closet/toilet? Yes ❑ No Ej 13. Will this building have a sink? Yes ❑ No 29 14. Will this building have a water heater? Yes ❑ No ED 15. What type of floor covering will the building have? N/w yt 16. What type of mall covering will the building have? 7 41-0C �f OVER 1 of 2 PROPOSED USE: (check only one bog) 1. ❑ Residential Storage Shed — I will be storing in this building and it will not be used for any other purpose (no bathroom and no heating or cooling). 2. M Private Garage — "A building or a portion of a building not more that 1,000 square feet (3,000 by exception) in area in which only motor vehicles used by tenants of the building or buildings on the premises are stored or kept." A garage door is required. 3. ❑ Residential Carport — A covered structure intended for parking of vehicles. Two or more sides must be entirely open. 4. ❑ Residential Occupancy — Structures meant to be occupied, as opposed to a storage shed, garage, or carport If you checked #4, please check the uses below which best fit this building. ❑ GuestHouse ❑ Pool House ❑ Studio Apartment ❑ In-law quarters ❑ Recreation Room ❑ Game Room ❑ Study ❑ Library ❑ Bonus Room ❑ Playroom ❑ Den ❑ Studio ❑ Artist Studio ❑ Hobby Room ❑ Craft Room ❑ Sewing Room ❑ Canning Kitchen ❑ Music Room ❑ Family Room❑ Sun Room ElPrivate Office C3 Workshop' ElHome Occupancy2 ❑ Other — Use = 1. Describe type of Wo&hop 2. Must be approved by the Butte Cotuay Planning Division Explanations: This area is for explanation of any "yes" answers on questions 2-14. Please indicate the question number before the explanation. Additional Information: Plan review will not be started until this form is completed and received. A Plans Examiner will contact the owner with specific requirements per the use indicated. I hearty affirm under penalty of perjury that the above information is true and correct. I understand that any changes to the use, or character of use, of this building will require permits from the permitting authority. I understand that Real Estate Disclosure laws require disclosure of this information if or when the property is offered for sale. O«vner's Name: Please Print --XAj,/L'ti 4n k J Owner's Signature: Date: / /610 C/ 2of2 COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-7541 PERMIT NO. (Rev. 12/96) APPLICATION AND PERMIT-^T4--AAQ R ASSESSOR PARCEL NUMBER 068-010-021 ZONING AR1 BUILDING PERMIT OWNER BEN & NANCY ANK 934-0300 TELEPHONE SO. FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS 125 CANYON DR DROVITIF CA 95966 CONTRACTOR'S NAME TELEPHONE CONTRACTORS MAILING ADDRESS CONSTRUCTION LENDER LENDER'S MAILING ADDRESS Fireplace Total Valuation $ ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00 Permit Fee $ ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ BUILDING SS CANYON DR OROVILLE CA Energy Plan Checking Fee $ $ PERMIT FEE $ LOT NO. SUBDNISIONS NAME PARCEL MAP PLUMBING PERMIT Fling Fee 20.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome O Other SPECIFY Each Trap 7.00 Solar or heat pump water heater 23.00 Water piping 15.00 Each as water heater or vent 15.00 TYPE OF WORK New ❑ Addition O Remodel ❑ Utilities ❑ Installation O Other ❑ Describe Work: UPGRADE SERVICE PANEL Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home ISI GI W1 @20.00 PERMIT FEE S ELECTRICAL PERMIT Fling Fee 20.00 800VOR UE Main Service 20 DA OR LESS 23.00 23.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect.P License Class LIC. NO. OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: +�fX 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, em exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ 1 have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier Policy Number (The above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) 1 certify that in the performance of the work for which this permit is issued, I shall not employ any person In any manner so as to become subject to workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall forthwith comply ' h those rovisions. X _ Date /0 _ g Ure of 1 n - wrier ❑ Contractor ❑ Agent A SHA p rmit is squired for excavations over 60" deep and demolition or construction structur s over 3 stories in height. Main Service tow TO ,DDOA 46.00 NEW CONST. OWEwNG OCOUP. SO 3.5¢FT: ORNEW ONS. ( T. 18UACCO&NTDS NON-RESID. 97.50 OWER APPARATUs 8 SINGLE OUTLET CI R. Ex. OCCu OUTLET OR FDTTURES BAL' ':w Ex. Occup. ouriETs R D� 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wirino 23.00 PERMIT FEE $43.00 43.00 MECHANICAL PERMIT Fling Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE $ Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST. TYPE TOTAL FEE $ 43.00 HA2. I D. FEES I IMP I FLOOD I CDF PARCEL I PO I HD ISSUE This permit is hereby issued under the of the Butte Co my Code and/or indicat d abov for which fees have y PERMIT XPIRES N applicable provisions Resolutions to do work been paid. Date l W �D ' Date Receipt No. WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION PERK 7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-75AA (Rev.12le6) APPLICATION AND PERMIT u mw BUILDING PERMIT ASSESSORPARCMNl1MBER OW U SO. FT. OCC. BUILDING VALUATION s AD TELEPHONE M jr0AMn;r9 NAME coMTRUCnON LENDER sAL @ .50 OCU ES lDD re lace�EnMUNGADD�tal 4,'O Valuation $ Mobile Home Facilities LICENSE Nfin Fee $ AkC u�- ORENMHEER $ ermitFee ARCHTEcT OR ENGRAMM `ARM ADDRESS Plan Chetlin Fee $ 9UBDING ADDRESS Energy Pian Checking Fee $ 1 ) $ PERMIT FEE $ SUBDNISIDNS NAME PARCEL MAP PLUMBING PERMIT tDT NO. Each Trap USEOFSTRUCTURE Solar or heat pump water heater Water piping SF ❑ Duplex 13Mobilehome D Other spmm Each gas water heater or vent TYPE OF WORK Gas piping system 1 - 5 outlets New ❑ Addition ❑ Remodel D U6Gfles D Installation ❑ Other D E Sulding sewer / t r- o 1 Mobile Home I S i G I W PERMIT FEE PAID SRA SHERIFF OTHER S S S S AMOUNT RECEIVED $ DATE RECEIVED � � � 6 NO. 20.00 Eng Feel 20.00 7.00 23.00 15.00 15.00 15.00 15.00 @20.00 PERMIT FEE $ ELECTRICAL PERMIT Fling Fee 20.00 "'N LEss 23. Main Service 2.A oR tFss Main Service :.M TO jOODA 46.00 NEW CONST. Dwairao osxuP. 3.54 T. Ex. OCCu . OUTLET OR MURES sAL @ .50 OCU ES lDD .00OE5Ex Temporary Service 23.00 Mobile Home Facilities 20.00 L- PERMIT FEE I $ I ---" MECHANICAL PERMIT F Frmg Fee L20.OD - 6.50 Mobile Home Installation Fee $ Energy Inspection Fee $ CCC cO-T- T'(PE TOTAL FEE $ HAL 10. FEES I WP I FLOOD cOF PARCEL PD This permit is hereby issued under the applicable provisions ' of the Butte County Code and/or Resolutions to do work indicated above for which fees have been paid. By Date O.B.- I OWNER -BUILDER VERIFICATION Attention Property Owner: An "owner -builder" building permit has been applied for in your name and bearing your signature. Please complete and return this information at your earliest opportunity to avoid unnecessary delay in processing and issuing your building permit. No building permit will be issued until this verification is received. dI personally plan to provide the major labor and materials for construction of the proposed property improvement: YES V NO D I HAVE* HAVE NOT 11 signed an application for a building permit for the proposed work. I have contracted with the following person (firm) to provide the proposed construction: NAME: ADDRESS: PHONE: CONTRACTOR'S LICENSE NO. 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: PHONE: CONTRACTOR'S LICENSE NO. 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 � PROPERTYOWNER:v DATE:,A ///Z/a NOTE. This Owner -Builder Verification is required by Section 19831 and 19532 of the California Health and Safety Code. This verification must be completed and returned to our office before we are permitted to -issue the permit. OVER O.B.-1 I OWNER BUILDER INFORMATION Dear Property Owner: An application for a building permit has been submitted in your name listing yourself as the builder of property improvements specified. For your protection, you should be aware that as "owner -builder" you are the responsible party ofrecord on such a permit. Building permits are not required to be signed by property owners unless they are personally performing their own work. If your work is being performed by someone other than yourself; you may protect yourself from possible liability if that person applies for the proper permit in his or her name. Contractors are required by law to be licensed and bonded by the State of California and to have a business license from the city or county. They are also required by law to put their license number on all permits for which they apply. If you plan to do your own work, with the exception of various trades that you plan to subcontract, you should be aware of the following information for your benefit and protection: ♦ If you employ or otherwise engage any persons other than your immediate family, and the work (including materials and other costs) is $300 or more for the entire project, and such persons are not licensed as contractors or subcontractors, then you may be an employer. 0 If you are an employer, you must register with the State and Federal Governments as an employer and you are subject to several obligations including state and federal income tax withholding, federal social security taxes, workers compensation insurance, disability insurance costs, and unemployment compensation contributions. ♦ There may be financial risks for you if you do not carry out these obligations, and these risks are especially serious with respect to worker's compensation insurance. ♦ For more specific information about your obligations under Federal Law, contract the Internal Revenue Service (and, if you wish, the U.S. Small Business Administration). For more specific information about your obligations under State Law, contact the Department of Benefit Payments and the Division of Industrial Accidents. If the structure is intended for sale, property owners who are not licensed contractors are allowed to perform their work personally or through their own employees, without a licensed contractor or subcontractor, only under limited conditions. A frequent practice of unlicensed persons professing to be contractors is to secure an "owner builder" building permit, erroneously implying that the property owner is providing his or her own labor and material personally. Building permits are not required to be signed by property owners unless they are performing their own work personally. Information about licensed contractors may be obtained by contracting the Contractors State License Board in your community or at 1020 N Street, Sacramento, CA. 95814. Please complete the "Owner Builder Verification" on the reverse side of this form so that we can confirm that you are aware of these matters. The building permit will not be issued until the verification is returned. 4rely, C. Vi ira, C.B.O. r, Building Inspection NOTE. This Owner -Builder Information is required by Section 19830 of the California Health and Safety Code. OVER ��.4..kr-�^.r�:z..-_�...»,,...,,�.>.•...sve..;..a>'ryc+a:�n�.���_`S`;�:=ri�i+ti'Sim«�;i�+F..Tei^i�Sit.•�.4.srw4i'�§�"*'�a�':!"-�€� +:s.�",;-i/;;:.,:ti,Ji;L--� 068-010-021 02-2186 ANK, BENJAMIN &c NANCY ,fit 325 CANYON DR., OROVILLE RE -ROOF• COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION �* 7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-7541 PERMIT NO. (Rev. 12/96) APPLICATION AND PERMIT O !'qtl r ASSESSOR PARCEL NUMBER 068-010-021 ZONING BUILDING PERMIT OWNER ANK BENJAMIN AND NANCY TELEPHONE Saq-niii SQ. FT. OCC. BUILDING VALUATION 20 SOUAR G F 1s CANYON DRIVE OROMIE CA 95966 CONTRACTORS NAME 0WM TELEPHONE CONTRACTOR'S MAILING ADDRESS CONSTRUCTION LENDER Fireplace LENDER'S MAILING ADDRESS Total Valuation $ 1.200. W ARCHITECT OR ENGINEER LICENSE NO. Flin Fee $ 20.00 Permit Fee $ 9.IX ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ WVEMN DRIVE ORMLU. CA 95966 Energy Plan Checking Fee $ $ PERMIT FEE $ 49.W LOT NO. SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMIT Fling Fee 20.00 Each Trap 7.00 USEOFSTRUCTURE SF )i Duplex ❑ Mobilehome ❑ Other SPECIFY Solar or heat pump water heater 23.00 Water piping 15.00 Each gas water heater or vent 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other M ( Describe Work: RE ROOF WM OOP'iP ( Gas piping system t - 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 800v OR LESS Main Service 200A OR LESS 23.00 LICENSED CONTRACTOR'S DECLARATION 1 hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect. License Class Lic. No. OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: 20fI, 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. s COI am exempt under Sec. Business and Professions Code for this reason Main Service 200A TO 1000A 46.00 NEW CONST. OWE LING UP. OR ( 8 Acc. BLDS. sD 3.5QFT: CNS. NEW CONST. MULTI- OUTLET NON-RESID. @7.50 Por APP US 8 SINGLE OUTLET CIR. EX. Occup. OUTLET OR FIXTURES .00 BAL @ 1.50 FIXEDAPPLNS. OR Ex. Occup. ounETs REBID. EA 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring23.00 PERMIT FEE S WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations:, I have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ 1 have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier MECHANICAL PERMIT Fling Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE $ Policy Number (The above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) i I certify that in the performance of the work for which this permit is issued, I shall �'. A not employ any person in any manner so as to become subject to workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall forthwith comply with those provisions. � �D,ate (' //(� y✓ Ig-gAtu(e 'oi �Ap�licant, - Ow`ne� ❑Contractor ❑ Agent An OSHA permifis require for excavations over 5'0" deep and demolition or construction of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST. TYPE TOTAL FEE $ 49.00 HAZ. D. FEES IMP FLOOD CDF PARCEL 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. �' y..--. ee► Date Q JJ PERMIT EXPIRE4b0 Q , /.3 — '" I Date ReceiptNo. 360933/$49.00 WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION = 7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-7541 PERMIT (Rev. 12/96) APPLICATION AND PERMIT �� ASSESSOR PARCEL NUMBER 068-010-021 ZONING BUILDING PERMIT OWNER `NK B TELEPHONE — SO. FT. OCC. BUILDING VALUATION 20 U ES 1,200-00 OWNER'S MAILING ADDRESS 325 CANYON DRIVE OROVILLE CA 95966 CONTRACTOR'S NAME OW TELEPHONE CONTRACTORS MAILING ADDRESS CONSTRUCTION LENDER Fireplace LENDER'S MAILING ADDRESS Total Valuation $ ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00 Permit Fee $ AM29.Q ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ BUILDING ADDRESS 325 CANYON DRIVE OROVILLE CA 95966 Energy Plan Checking Fee $ PERMIT FEE $ 49.00 LOT NO. SUBDNISIONS NAME PARCEL MAP PLUMBING PERMIT Filing Fee 20.00 Each Trap 7.00 USEOFSTRUCTURE SF XI Duplex ❑ Mobilehome ❑ Other SPECIFY Solar or heat pump water heater 23.00 Water piping 15.00 Each gas water heater or vent 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other Describe Work: RE ROOF WITH COMP Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home ISI G1 W @20.00 PERMIT FEE $ ELECTRICAL PERMIT Fling Fee 20.00 R 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 in full force and effect.POWER License Class Lic. NO. OWNER -BUILDER DECLARATIONOUTLETORFDRURES 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 astheir 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. I 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: I have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ 1 have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier Policy Number (The above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) �1 I certify that in the performance of the work for which this permit is issued, I shall X/ ' \ not employ any person in any manner so as to become subject to workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall forthwith comply wit tho rovisions. to ()%.i O /� �/ Ig toe Ap I' nt - Owner ❑Contractor ❑Agent An OS/A per is re ire for excavations over 5'0" deep and demolition or constructionC�C" of str ctures er 3 stories in height. Main Service TO l 46.00 NEW CONST. DWEWNG OCCUP. SO W U OR ADDNS. ( a ACC. sans. 3.5QFT; NON-RESI� MULTI.OUTLET 97,50 APPARATUS 8 SINGLE OUTLET CIR. EX. O CCU SAL Q I.SO Ex. Occup. oirt RXErs RE�SIDOEA 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE S MECHANICAL PERMIT Fling Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FE15 $ Mobile Home Installation Fee $ Energy Inspection Fee $ occ coNBT.TYPE EE $ 49.00 HAZ. D. FEESlFi�Ll D CDF pARC0. PD HD I 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. �+ Date P—/3 PERMIT EXPIRE(N O — / 3 ^ S Date ReceiptNo. 360933/$49.00 WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT O`VNER-BUILDER VERIFICATION Attention Property Owner: An "owner -builder building permit has been applied for in your name and bea&g your sionaffe. Please complete and return this information at your earliest opportunity to avoid nonaxsea F in processing and issuing your building permit. No building permit will be 1mied until Ws verification is received. 1. 1�personally plan to provide the major labor and materials for construction of the proposed property improvement: YESA NO 13 2. HAVE 0 HAVE NOT 0 signed an application for a building permit for the VFG& have contracted with the following person (firm) to provide the proposed 'a®: YA�1E: ADD S• CITY° PHONE: CON TRACTOR'S LI SE NO. 4. I plan to provide portions this work, but I hired the following person to coordinate, supervise, and provide the major rk: NAME: � ADDRESS: CITY: PHOLNT: CONTRACTOR'S LI E NO. 5. I will provide some of a work but I have contacted (hired) the fo g persons to provide the work indicated- .0. ADDRESS PHONE TYPE WORK SIGNED: PROPERTYOWNER SOCIAL SECURITY DATE: Jr//S( 0 Z NOTE: This Owner -Builder Verifwation is required by Section 19831 and 19832 4VAW California Health and Safety Code. This verification must be eons kftd mrd returned to our office before we are permitted to issue the permit OVER O.B.-II O`VNER-BUILDER VERIFICATION Attention Property Owner: An "owner -builder building permit has been applied for in your name and bea&g your sionaffe. Please complete and return this information at your earliest opportunity to avoid nonaxsea F in processing and issuing your building permit. No building permit will be 1mied until Ws verification is received. 1. 1�personally plan to provide the major labor and materials for construction of the proposed property improvement: YESA NO 13 2. HAVE 0 HAVE NOT 0 signed an application for a building permit for the VFG& have contracted with the following person (firm) to provide the proposed 'a®: YA�1E: ADD S• CITY° PHONE: CON TRACTOR'S LI SE NO. 4. I plan to provide portions this work, but I hired the following person to coordinate, supervise, and provide the major rk: NAME: � ADDRESS: CITY: PHOLNT: CONTRACTOR'S LI E NO. 5. I will provide some of a work but I have contacted (hired) the fo g persons to provide the work indicated- .0. ADDRESS PHONE TYPE WORK SIGNED: PROPERTYOWNER SOCIAL SECURITY DATE: Jr//S( 0 Z NOTE: This Owner -Builder Verifwation is required by Section 19831 and 19832 4VAW California Health and Safety Code. This verification must be eons kftd mrd returned to our office before we are permitted to issue the permit OVER PERMIT NO. 3032-78B,P,F4,1 PERMIT EXPIRES. //�// David Henderson OWNER :CONTR. owner 34-55-21 LOCATION (A.P. 325 Canyon Dr., Oroville Temp. Power Pole— Called PG&E Temp. Elec. Serv. Called PG&E Uv *4 Temp. Gas Serv. Called PG&E JOB FINALED (Da (Signature) F COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS ; BUILDING INSPECTION RECORD BUILDING BUILDING (Cont'd) PLUMBING Setback Firewall Soli Piping Forms Parapets 1st Floor 1 �a Main Bldg. Restroom Finish 2nd Floor Footings Windows 3rd Floor StemwaI l -/U Siding To out - ai Slab Roof Sheathing `� -i�j,,L� Water Piping Piers Roofing Sewer Garage Fdn. Vents - Fixtures Footings Garage Vents Water Htr. Stemwa I I Insulation Heaters Slab A Prov. for ph sically Appliancee2 Zs o Carport -handicapped Conformance of ex. Gas Piping & Tifst Footings structure Temp. Gas Slab FinalSanitation Patio FIREPLACE Final rX7 Footings A Footing ELE TRICAC Masonry Walls Throat Rough ,�- Relnf. Steel Final Fixtures 1,G" Bond Beam FIRE SPRINKLERS Motors ® 0 Framin - as - Test Water Htr- 7 Stucco Final Subpanels Mesh ECHANICAL Grd. Fault Prot V7 Scratch Heating Service Brown 7 Cooling Temp. Pole 1 Finish b Ducts r Under round Interior Cat Ventilation 0 Permanent Door Closer Final Final MOBILEHOME TIL IES - - - - - - - - - - - - - - - - - - Elec. Servio4 Elec. Pedestal Water Piping Sewer Gas Piping MOBILEHOME INSTALL ATI ON - - - - - - - • - - - - - - Support Elec. Continuity Water Piping Drainage Gas Piping p. PATE- .O T� % 'yREMARKS OR CORRECTIONS o 41579 Z_ 4 8OW&uZO jW&5 '. Q W �V z I " W Ot ' O• a oik s 0 -� w (NOTE: An entry must be made on this form each time you visit the job site.) COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS 7 Qounty Center Drive — Oroville, California 95965 Telephone: 534-4541 / APPLICATION AND PERMIT aU111UIILU IeflICSCIItd1IVeJ UI Ule liUUnly UI OUIIC LU enlet UNUrl Ine above-mentioned property for inspection purposes. iFDA,112������ Date Signature of Permitee or Agent Receipt No. 1-77 / 0 0 White-D.P.W. - Yellow -Assessor - Pink -Inspector - Goldenrod -Applicant 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. DIRECTOR 0 ELIC WORKS By Date 6 F' %,oP Building permit expires Date BUILDING Owner Day,0.ki SQ. FT. OCC. BUILDING VALUATION Mailing Address ® © �,X7-72,00 OnvkI ` el hon Ne. Contractor 000 h Mailing Address Fireplace 144 Total Valuation 0 Telephone No. Permit Fee Building Address �SY Plan Checking Fee &/orPenalty Permit Fee PLUMBING No. @ FEE PERMIT FILING FEE $3.00 V, 0 Each Trap 1.50 Repair drainage or vent piping 1.50 A. P. No. �;� _ Zohnin Water piping 1.50 Each gas water heater or vent 1.50 Fe W. . Sanik9flonj Fire Dept. I Fire one U ge Permit Gas piping system 1 - 5 outlets 1.50 EQA Parking Plans Declar`e Par441!Ero 60' R/W Improv is Each additional outlet .30 Building sewer 5.00 Bldg. . ans Re 'd yal Plans pproval Lawn sprinkler system 2.00 NEW ADDITION ❑ UTILITIES ❑ OTHER ❑ Permit Fee $ a ELECTRICAL No.1 @ FEE ! PERMIT FILING FEE $3.00 0_ Main service 100 AMP OR00V OR SLESS 5.00 Single Family Duplex ❑ Mobil Home ❑ Others ❑ Main service EA. ADD'L 100 AMP 2.50 Main service OVER 25.00 V AMPP OR LESS Main service EA. ADD'L 100 AMP 1.00 NEW OR ADDNST A C G C P 51 2�Sq ft l CONTRACTORS LICENSE LAW I am licensed under the provisions of Chapter 9, Div. 3, of the State of California Business & Professions Code under the name style le of: NEW CONSTR M LTI.OUTL T NO N.R ESID BRANCH CIRCUITS) 2.50ea NEW CONSTR. POWER APPARATUS 0 NON.RESID. SINGLE OUTLET CIR. EX. OCCUp(OUTLETS OR FIXTI]RES BAL� Ex. Occu FIXED APPLNS. OR p•(OUTLETS (RESID.) EA) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 License No. Classification Misc. Wiring 6.25 I am exempt from the Contractors License Laws of the State of California. Permit Fee $ 3 ,QQ $ MECHANICAL No @ FEE WORKMEN'S COMPENSATION INSURANCE I am aware of the provisions of Section3700 of the California Labor Code which requires every employer to be insured against liability for Workmen's Compensation. ❑1 have placed on file with the County of Butte a certificate of I Workmen's Compensation Insurance. FI certify that in the' performance of the work for which this permit is issued I shall not employ any person in any manner so as to become subject to the Workmen's Compensation Laws of California. PERMIT FILING FEE $3.00 3, ot) HeatingED AA 15 U Coo ling®� Ventilation Hood 2.00 Permit Fee $ &0 $ 3- 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 Land Development Fee I$AS', 0-0 TOTAL PERMIT FEE $ aU111UIILU IeflICSCIItd1IVeJ UI Ule liUUnly UI OUIIC LU enlet UNUrl Ine above-mentioned property for inspection purposes. iFDA,112������ Date Signature of Permitee or Agent Receipt No. 1-77 / 0 0 White-D.P.W. - Yellow -Assessor - Pink -Inspector - Goldenrod -Applicant 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. DIRECTOR 0 ELIC WORKS By Date 6 F' %,oP Building permit expires Date J COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Orovi Ile, California 95965 Telephone: 534-4541 APPLICATION AND PERMIT authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. X �;� ,lYL4492"- Date Signature of 'Permitee or Agent Receipt No. White-D.P.W. - Y low -Assessor - Pink -Inspector - Goldenrod -Applicant 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. DI OF P L C WORKS B Date Building permit expires Date _� BUILDING Owner SO. FT. OCC. BUILDING VALUATION Mailing Address (� Telephone No. �vf Contractor Mailing Address Fireplace Total Valuation Telephone No. Permit Fee Building Address Plan Checking Fee&/or Penalty Permit Fee PLUMBING No. @ FEE CD`%1t°r �� drI PERMIT FILING FEE $3.00 Each Trap 1.50 DP- /,�i Repair drainage or vent piping 1.50 A. P. No.. � �% �- SJ Zoning &Planning Water piping 1.50 Each gas water heater or vent 1.50 Fe6� / WAC. Fire Dept. Fire Zone Use Permit Gas piping system 1 - 5 outlets 1.50 EOA Parking Plans Parcel Declaration Parcel Map 60' R/W Improvements Each additional outlet .30 Building sewer 5.00 Bld Parcel A royal Plans Approval Lawn sprinkler system 2.00 NEW ❑ ADDITION ❑ UTILITIES ❑ OTHER Permit Fee $ $ ELECTRICAL No.1 @ FEE ✓P111_4 PERMIT FILING FEE $3.00 Main service 600V OR LESS 100 AMP OR LESS 5.00 Single Family ❑ Duplex ❑ Mobil Home ❑ Others Main service EA. AOD•L 100 AMP 2.50 Main service OVER soov 25.00 100 AMP OR LESS Main service EA. ADD'L 100 AMP 1.00 NEW CONST. ( OR ADDNS. ACCLBLDGS.LING CCUP. S\ r�0Sq}t / CONTRACTORS LICENSE LAW 1 am licensed under the provisions of Chapter 9, Div. 3, of the State of California Business & Professions Code under the name of: NEW COS,., ULTI.OUTL T NO? BRANCH CIRCUITS) 2.b0ea NEW CONSTR. (POWER APPARATUS 6 NON-RESID. SINGLE OUTLET CIR. Ex. Occur) (OUTLETS OR FIXTIIRES 1 5 L25 FIXED APLNS.style Ex. Occup. ( OUTLETS P(RESID )REA) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 License No. Classification Misc. Wiring 6.25 14 I am exempt from the Contractors License Laws of the State of California. Permit Fee $ 3. M$ WORKMEN'S COMPENSATION INSURANCE I am aware of the provisions of Section3700 of the California Labor Code which requires every employer to be insured against liability for Workmen's Compensation. ❑I have placed on file with the County of Butte a certificate of Workmen's Compensation Insurance. I certify that in the performance of the work for which this permit is issued I shall not employ any person in any manner so as to become subject to the Workmen's Compensation Laws of California. MECHANICAL No. @ FEE PERMIT FILING FEE $3.00 Heating Cooling Ventilation E2O Hood Permit Fee $ $ 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 Land Development Fee $ TOTAL PERMIT FEE $ authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. X �;� ,lYL4492"- Date Signature of 'Permitee or Agent Receipt No. White-D.P.W. - Y low -Assessor - Pink -Inspector - Goldenrod -Applicant 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. DI OF P L C WORKS B Date Building permit expires Date _� RESIDENTIAL PLAN CHECKING GUIDE •, (S.F., DUPLEX, & MISC. ONLY) -"EKICE �Ot) Bldg. OWNER A.P. A. GENERAL Zoning requirements (sideyards and parking). ��aluation. Signature by R.C.E. or Architect (if required). B. PIOT PLAN Complete parcel size and dimensions. �etbackq, sideyards, easements, etc. ther buildings or structures. 4/Grading, fills, drainage. C. FLOOR PLAN Complete to scale plan with dimensions. Required windows for light and ventilation (Sec. 1405). 3! Required windows for second exit (Sec. 1404). Pers tit 410- Allowable glazing for energy requirements (20% max. per.State law). Human impact glass (Sec. 5406). 6O."' Required room sizes, ceiling heights (Sec. 1407). .70�.G.F.C.I.'s in baths and exterior outlets (Sec. 210-8). 80o'O'Light fixtures, switches, receptacles, and exterior receptacles for maintenance of mechanical equipment. Locations of water heater, heating & cooling equipment, other electrical or gas equipment, and plumbing fixtures. 10.0' Garage firewall, door size, and closer (Sec. 503(d)(4)). 1A*** -"1 - 3'0" exterior exit door (Sec. 3303d). 1� ireplace location. 1 . Smoke detectors (Sec. 1413). D. STRUCTURAL DETAILS Foundation plan complete enough to construct building. •@! Floor construction details complete enough to construct building. 8' Elevations and wall construction details complete enough to construct Ge*" Roof construction details complete enough to construct building. S�Fireplace construction details and calcs if over one-story in height. 60'00'Sufficient data and details to satisfy energy insulation requirements E. MIS ELLANEOUS ITEMS TO LOOK OUT FOR CCX plywood on exposed locations and overhangs. Stairway details (Sec. 3305). Guardrail details (Sec. 1716). Brick or stone veneer (Chapter 30). Exterior plaster - weep screeds (Sec. 4706 & 4708). 00-10"Proper roof pitch for roof covering (Chapter 32). Rafter ties or bearing ridge beam. $� arage door or porch header sizes. building. (State law). 9r Adequate bracing. 190.0" Living area over garage - complete 1 -hour separation required including supporting walls and posts, etc. ._ . Two (2) exits on three-story dwellings (Sec. 3302). ' . . ^ ! THIS THAT ' ATIONS,c«uFRNm Anm/NSTR«TVCODE, TITLE 25, STATE OF CALIFORNIA, IN THE E 'ICEWITH THE CURRENT BUILDING LOCATED AT: Stree Lot No. Tract No. - E �/mNm0AL� ^'� Moomhctum,- Thickness/Type ___� _+~�'��----� 8Ya|ue CBUN�� ' --�'=--- '- -- ' uuuo. Manufacturer ......... -'— 7h�k�o -- --~- - ' ___ ___._� nYokm Blown: Mo��ummr um/reMp �� �---� ---------. '"��' . uuFl:o�md —8��o Wt/Bag �--- ' �umxs '................................. Manufacturer ................................. Thickness/Type ................................ R Yo/oo SLAB 0NGRADE --------� ` Manufacturer -. Thickness/Type ............... 8 Value - ----- WimoofInsulabo .................. --' _ FOUNDATION WALLS Manufacture, GENERAL CONTRACT ........ ENSE NUMBER | ...... 40 ~_~ DAT[ aY� ----� �' L " / .- _ _--.' "°." �----' __ _ _