HomeMy WebLinkAbout068-030-116A
-03-116 ,
�o� LITKE; Ed ---------- _ __ .822-72.'
B, P, E, M
1 X ae 58-73�/>> 358-7j M
40 Fields Drive, Oroville y
CONTR: Mt. DevelopmentCo., Oroville —
(New single family)
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HELLON
40 Field Drive, Oroville
Permit #5854-79B inst. "0" cle
anc,� fireplace) �j�'
68-03-116 3356-91B
HELLON, Gary'
40 Field Dr, Oroville
cont: Harward & Co
-(vinyl siding/sf)
068-030-116 #98-2623
HELLON GARY W.
40 FIELD DR. OROVEME a�
WOOD HEAT & SPA ' i A
GAS FIREPLACE INSERT Ia1a
L
3-0-116 99-0071 BEM,
N, Gary
ld Drive, Oroville) rs,addition L well Hag -berg
06-8ON-116 99-0573
HELLON, Gary
40 Field Drive, Oroville
Contr: S. Lowell Hagberg
Covered Deck 16 X 16Alfhok-
I
iii
NOTES
RESIDENTIAL
068-030-116 99-0573
PERMIT NO. HELLON, Gary
40 Field Drive, Oroville
Contr: S. Lowell Hagberg
Covered Deck 16 X 16
11 SPECIAL CONDITIONS 11
SRA
FLOOD CERTIFICATE REQ.
FIRE SPRINKLERS REQ.
SPECIAL INSPECTION ITEMS
VERIFY
USE PERMIT CONDITIONS
SUB -STANDARD HOUSING LETTER
J013 FINALED (Date) Z r G
Signature d)—I-If n,44
CHECKED
BY
V = OK
0 = Not OK.
- = Not Applicable
= Not Ready
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./ PLPG
7.
Well Clearance 8 Disconnect
8.
Utility Clearance
10.
Roof; Shthg-Roofing
11.
Ext.; Steps -Doors -Landings
Date
12.
Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1
Date
MOBILE HOME INSTALLATION (Plans) OK except #'s
Date
1.
Zoning Requirements -Setbacks -Easements
Date
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 Occupancy
12.
Permanent Foundation Only; License Decal
11.
Light Niche
Date
Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1
MISCELLANEOUS
Date DECK , COVERS; . ARPORTS GARAGES (Plans) OK except #'s
oning equirements-Setbacks-Easements
ootings; Soils -Size -Depth -Spacing -Connectors -Steel
3.
Decks; Girders and/or Joists -Decking -Bracing -Stairs -Rails
ood Awn.; Posts- BVarys.Rt;se-eon c ors
Shthp,;5 ting
5.
Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures
6.
Carports; Windows -Doors
7.
Electric
8.
Frmg.; Sills -Anchors- Studs- Rftrs-Trusses
9.
Siding; Nailing -Veneer -Stucco -Mesh
10.
Roof; Shthg-Roofing
11.
Ext.; Steps -Doors -Landings
12.
Braced Wall Panels
Date �L
Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1
Date
FINAL (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 in Conduit
9.
Health Department Approval
10.
Plumb.; Cir. Test -Water Supply Test
11.
Light Niche
Date
Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1
J = OK
0 = Not OK
- = Not Applicable = Not Ready
RESIDENTIAL (;
Date
46.
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
Insulation -Walls -Ceilings
15.
Access & Ventilation
Infiltration -Walls -Windows
16.
Insulation
Date
Date
Date
Card B-1 Date Card B-1
Date
Date
Card B-1 Date Card B-1
Date
PLUMBING (Permit) OK except #'s
Ext. Steps -Door & Sidelight Protection -Landings
17.
Water Htr.; Vent -Access -Combustion Air Baffle
Smoke Detector
18.
Water Pipe; Test & Anchor -Nail Protection
Furnace Vents -clearance -Comb, Air -Connector -
In Garage; Above Floor -Ducts -Mach. Protection
19.
D.W.V.; Test Fittings & Anchor -Nail Protection
Bedroom Exiting
20.
Shower Pan; Test, First Floor -Tub Access
G.F.I. & Bath Fixtures & Tub Access -Spa
21.
Test Tub & Shower, Second Floor -Tub Access
Elec. Trim & Subpanel, Breaker Sizes & Labels
22.
Gas Pipe; Sixe & Anchors
Stairs & Rails
70.
Date
Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1
Date
ELECTRICAL (Permit) OK except #'s
Elec. Outlets & Receptacles at Kit. Counter
23.
Fixture & Transformer Clearance -Ins. Protection
Garage Fire Door; Swing -Landing -Closure
24.
Elec. Receptacles Spacing -Lights & Switches at Doors
A.C. Duct in Garage -Damper
25.
Size Boxes & No. of Conductors Stapled
Wtr. Htr.; Vents -Clearance -Comb. Air Connector-P.R.V.
in Garage; Above Floor-Mech. Protection
26.
Romex Installed Close to Edge of Studs & C.J.
Plb., Elec. & Mech. Equip. Listed for Location
27.
Equip. Ground made up w/Mech Fasteners -Bond Gas & Water
Elec. Receptacles in Garage (F.F.I.)-Romex Protection
28.
2 Appliance Circuits in Kitchen & Conductor Size GFI
Insulation -Foam -Looked in Attic
29.
Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / / ga Cu or AI
Guard Rails & Deck Construction -Post Caps
30.
Range Circle / / ga Cu or AkOven Circ. / / ga Cu or Al
Insulated Neutral O Yes O No
Fdn. VBents & Crawl Hole Door Drainage & Wood -Earth
31.
Service -Riser Conductors & Ground Main Disconnect
Clearance Looked under Floor O Yes
32.
Equip. Clearances Panels-Motors-Mech. Equip.
Following Instld./Drive ] Yes ] No/Walks ] Yes ] No/Planters 7 Yes ] No
33.
Clothes Closet Light -Shower Light -Spa Light
Stucco Brown -Finish
34.
Smoke Detector
A.C. Unit Disconnect, Electrical -Plumbing
85.
Date
Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1
Date
87.
MECHANICAL (Permit) OK except #'s
35.
A.C. Ducts Insulation & Support
36.
Vent Fan, Exhaust above insulation
37.
Condensate Drain & Overflow, Size & Grade
38.
Furnace -Vent Access -Comb. Air -Return Air Vent 115 outlet
39.
Attic Access & Platform if Furnace in Attic
93.
Energy Compliance Certificate -Other Certificates
94.
Address Posted
Date
Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1
FRAMING (Permit) OK except #'s
40.
Sits Proper Materials & Anchors
41.
Walls Studs -Nailing Spacing & Braces -Plates -Sound
42.
Bearing Walls over Girders & Floor Nailing
43.
Draft Stop in Walls (rat proof)
44.
Fire Stops, Furred Ceilings -Stairs -Chasers -Tubs
45.
Headers & Beams -Size & Bearing
jingle & Duplex)
Date
FRAMING (Continued)
46.
Hangers -Post Caps -Anchors -Connectors
47.
Cling. Joist-Rftr. Ties-Purlin-Roll Brac.-Truss-Shting.-Ring.
48.
Fireplace Ties or Type A Flue -Fireplace Throat Clearance
49.
Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles
50.
Bdrm. Windows or Exiting Doors -Sill Ht. & Dimensions
51.
Garage Fire Protection Framing
52.
Property Line Firewall & Openings
53.
Ext. Doors -One 3' -Check Garage 3rd Story, 2 Exits
54.
Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection
55.
Plywood on Roof Overhang -Attic Vents -Ratter Outriggers
56.
Siding -Nailing Veneer
57.
Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access
58.
Glazing Area -Glass Protection -Skylights -Plastic
59.
Shear Walls; Nailing -Bolts
60.
Brace Interior/Exterior Wall Panels
61.
Insulation -Walls -Ceilings
62.
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
63.
Ext. Steps -Door & Sidelight Protection -Landings
64.
Smoke Detector
65.
Furnace Vents -clearance -Comb, Air -Connector -
In Garage; Above Floor -Ducts -Mach. Protection
66.
Bedroom Exiting
67.
G.F.I. & Bath Fixtures & Tub Access -Spa
68.
Elec. Trim & Subpanel, Breaker Sizes & Labels
69.
Stairs & Rails
70.
Fireplace or Stove, Clearance -Hearth
71.
Elec. Outlets at Wood Panel, Int. & Ext.
72.
Kit. Fixt. & Appliance; Ground -Air Gap -Cooking Clearance
73.
Elec. Outlets & Receptacles at Kit. Counter
74.
Garage Fire Door; Swing -Landing -Closure
75.
A.C. Duct in Garage -Damper
76.
Wtr. Htr.; Vents -Clearance -Comb. Air Connector-P.R.V.
in Garage; Above Floor-Mech. Protection
77.
Plb., Elec. & Mech. Equip. Listed for Location
78.
Elec. Receptacles in Garage (F.F.I.)-Romex Protection
79.
Insulation -Foam -Looked in Attic
80.
Guard Rails & Deck Construction -Post Caps
81.
Fdn. VBents & Crawl Hole Door Drainage & Wood -Earth
Clearance Looked under Floor O Yes
82.
Following Instld./Drive ] Yes ] No/Walks ] Yes ] No/Planters 7 Yes ] No
83.
Stucco Brown -Finish
84.
A.C. Unit Disconnect, Electrical -Plumbing
85.
Vents Above Roof, Plbg-Appliance-Fireplace-Clearance to Openings
86.
Water Well, Disconnect, Electrical, Plumbing
87.
Exterior Elec. Trim, G.F.I. Receptacle -Underground
88.
Ventilation Throughout House
89.
Glass Protection
90.
Corrections from Previous Inspections
91.
Gas Test -Meters Tagged, Gas -Electric
92.
Water & Sewer Connected -C/O to Grade -HD Approval
93.
Energy Compliance Certificate -Other Certificates
94.
Address Posted
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:
COUNTY OF BUTTE - DEPARTMENAEVELOPMENT SERVICES - BUILDING DIVISION
7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-7541 P MIT NO.
(Rev. 12/96) APPLICATION AND PERMIT �I9 D5-5
ASSESSOR PARCEL NUMBER 068-030-116
20NIN
BUILDING PERMIT
OWNER HELLON, GARY
T5EPHONE 7
—207
SQ. FT. OCC. BUILDING VALUATION
25 3,328.00
.OWNERS MAILING ADDRESS
FIELD DRIVE, OROVILLE, CA
CONTRACTOR'S NAME
S. LOWELL HAGBERG
TELEPHONE
846-3076
CONTRACTORS MAILING ADDRESS
1129 DEWSNUP AVENUE, GRIDLEY. CA 95948
CONSTRUCTION LENDER
Fireplace
LENDER'S MAILING ADDRESS
Total Valuation $ 3
328.00
ARCHITECT OR ENGINEER
LICENSE NO.
Filing Fee
$ 20.00
Permit Fee
$ 63.00
ARCHITECT OR ENGINEERS MAILING ADDRESS
Plan Checking Fee
$ 40.95
BUILDING ADDRESS
40 FIELD DRIVE OROVILLE
Energy Plan Checking Fee
$
$
PERMIT FEE
$ 123.95
LOT NO.
SUBDIVISIONS NAME
PARCEL MAP
PLUMBING PERMIT
Filing Fee 20.00
USEOFSTRUCTURE
SF ffi Duplex ❑ Mobilehome ❑ 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 ❑ Remodel ❑ Utilities ❑ Installation ❑ Other IR
Describe Work: COVERED DECK 16 X 16
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
Filing Fee 20.00
Main Service 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. c /�
License Class �f^n .R . Lic. No. 3Q ii J /S
OWNER -BUILDER DECLARATION
1 hereby affirm under penalty of perjury that I am exempt from the Contractors License
Law for the following reason:
❑ I, as owner of the property, or my employees with wages as their sole compensation,
will do the work, and the structure is not intended or offered for sale.
O 1, as owner of the property, am exclusively contracting with licensed contractors
to construct the project.
O 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:
O 1 have and will maintain a certificate of consent to self -insure for workers'
compensation, as provided for by section 3700 of the Labor Code, for the
performance of the work for which this permit is issued.
❑ I have and will maintain workers' compensation Insurance, as required by Section
3700 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.)
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 0 1 should become subject to the
workers' compensation provisions of section 3700 of the Labor Code, I shall
fo hwitWcom with ose r vision
X Date 3 �� _
Signatu f pplicant - O Owner on for ❑ Agent
An OS A ermit is required for excavati s ov 5'0" deep and demolition or construction
of stru t res over 3 stories in height.
Main Service TO
46.00So
WEE200A
CCU000A
NEW CONST. DWELLING OCCUP. SO
OR ADDNS. ( a ACC. BLDS. 3.50x.
,mµp�IMULTI.O11 UT UITS T @a 7.50
POWER APPARATUS
6 SINGLE OUTLET CIR.
20 @ 1.00
Ex. Occup. CUTLET OR FIXTURES SAL @ .SO
Ex. Occup. ounFrs EM.) E 5.00
A
Temporary Service 23.00
Mobile Home Facilities 20.00
Misc. Wiring 23.00
PERMIT FEE $
MECHANICAL PERMIT Filing Fee 20.00
Heating
Cooling
Hood 6.50
Ventilation
PERMIT FEIE $
Mobile Home Installation Fee $
Energy Inspection Fee $
occ CONST. TYPE
TOT L FE
p ES ,IM FLA
This permit is hereby issued under the
of the Butte County Code and/or
indicated above for which fees have
By
PERMIT EXPIRES ON
1 !4
$
CD P EL
applicable pr
Resolutions to c
been paid.
''``
Dated
d�
ate
Receipt No. 71 UV
WHITE-D.D.S.-B.D. CANAR -ASSES R PINK-INSP CT R GOD NRO -APPLICANT
• COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION
7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-7541�� DPE
��pp
(Rev.12/913) APPLICATION AND PERMIT �.2
'SSF99ORP"RCa'""'M _® o ^
ZONNO
BUILDING PERMIT
OWNER
TElEPWNE
5912-2027
SO. FT. OCC. BUILDING VALUATION
OWNER'S MALINO ADDRESS
yD �—r l
t)I la C
CONTRACTOR'S NAW3_
TELEPWNE
CONTRACTOR'S MALINO ADDRESS
W
CONSTRUCTION LENDE7R
LENDER'S "UNG -ADDRESS
Fire lace
Total Valuation $
ARCHITECT OR ENGINEER
LICENSE NO.
Filing Fee $ 20.00
Permit Fee $
ARCWTECT OR ENGINEER'S MAILING ADDRESS
Plan Checking Fee $ 6
SULOWOADORESB I /n
Energy Plan Checking Fee $
$
PERMIT FEE $ "L =
IDT NO.
BUBDN610N'STIAAE
PARCEL MAP
PLUMBING PERMIT Fling Fee 20.00
USEOFSTRUCTURE
SF Duplex O Mobilehome O Other
SPWFY
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 O Addition O Remodel O Utilities O Installation O Other
Describe Work: C_4*vcr;-t_ w e16 Y/(
Gas piping system 1 - 5 outlets 15.00
Building sewer 15.00
Mobile Home I S I G I W Q20.00
PERMIT FEE t
ELECTRICAL PERMIT -Filing Fee 20.00
Main Service 2ooA °ORP LES: 23.00
ReceiptNo.
WHITE•O.D.S7F .. SOR PINK -INSPECTOR
GOLDENROD -APPLICANT
Main Service 200A TO IOWA 46.00
NEW CONST.OWE11N0 OCCUP. 3.5QS .
OR ADONS. i ACC. BLDS.
NON•RESID. UULTH'*0. fT 97.60
POWER APPARATUS
i SOME OUTLET CIR.
100
OUTLET OR FIXTURES 20 0.
Ex. Occup. SAL .50
Ex. Occup.s,� D °R, 5.00
23.00
-TemporaryService
Mobile Home Facilities 20.00
Misc. Wiring 23.00
PERMIT FEE _
MECHANICAL PERMIT Fling Fee 20.00
Heating
-Cooling
Hood 6.50
Ventilation
PERMIT FEL: $
Mobile Home Installation Fee $
Energy Inspection Fee $
O0O
NST. TYPE TOTAL FEE $ l Z
IIAZ
0. FEES IMP
I FLOOD
COF
PARCEL
I PO
NO
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.
By Date
PERMIT EXPIRES ON
to
-COUNTY Off' BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION
7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE (916) 538-7541
PERMIT APPLICATION DATA SHEET
OWNER: 6-1,+ I`\/ Z-{CZ-4-'�'--- ASSESSOR PARCEL ER: 6(?- - 0_30
Proposed Building se: �,��y. �-� ,7d _ Building Inspector: Date: 3 - 7_:
At time of permit application, I was advised the following data must be 9brnifted prior to permit processing and/or issuance:
Date Received By
❑ 1. All iiems have been submitted.----------------------------='-------------------------------------------------------
❑2. Plot plans, 3/4 sets, signed by the preparer of plans. ----------------------------------------------------
❑3. Complete plans, 3/4 sets, signed by the preparer of plans. ---------------------------------------------
04. Engineered plans, 3/4 sets, with wet signature on plans. All engineering must be shown on plans.
❑ 5. Engineered truss details and layout in duplicate (required prior to plan review) No faxes! ---------
❑ 6. Energy Design Compliance and supporting documentation. -------------------------------------------
117.
------------------------------------------
❑7. Statement of Intent for Non -Heated and A/C Buildings. ------------------------------------------------
0 8. Hazardous Material Form.---------------------------------------------------------------------------------
. Manufactured Home da� installation instructions including Tie Down Specifications.------------------
. Fees of $------------------------------------------------------------------------------------- Z -
❑ 1. Impact fees shown on the attached schedule. -----------------------------------------------------------------
❑ 12. California Department of Forestry plan approval/fees. ----------------------------------------- ---------------
0 13. Flood elevation certificate. ----------------------------------------------------------------------------------------
JP EJ-1'4..FSanitation and plot plan approval La Health Department. -------------------------------------------
❑ 15. City of Chico plumbing permit. -----------------------------------------------------------------------------------
❑ 16. Plot plan and business license approval from the City of Biggs. ----------------------------------------------
PTI7. Planning approval for (A) Use: Q14 (B) Parking: --------------------------
❑ 18. Contact Land Development about ❑ Improvements, ❑ Drainage, ❑ Legal Parcel. ----------------------- _
❑ 1.9. Encroachment Permit for driveway (construction approval prior to occupancy) - -----------
-----------------
❑20. Pre -inspection for
required Request to Building Inspector on ! (Date)
021. Contractor's license information. (Number, Name Style, Classification). ---------------------- =-------------
❑22. Workers' Compensation carrier and policy number. ---------------------------------------------
E123. Owner -Builder Verification (Given to owner ❑, Mailed to owner EI) - ----------------------
❑ 24. Letter of signature authorization.-----------------------------------------------------------------
❑25. Recorded copy of Agricultural Acknowledgment Statement. ----------------------------------
026. Letter of intent on building use. -------------------------------------------------------------------
❑ 27. Manufactured Home utility clearance.------------------------------------------------------------
❑28. Existing violations and/or expired permits. ------------------------------------------------------
029. 0433 A, ❑Grant Deed, ❑ M.H. Title, ❑ Check to H.C.D $
030. Other:
When you issue the permit, process as follows ❑ Mail to owner, ❑Mail to contractor.
❑ T ephone - 3 (5 G and hold for pickup atC-Q�0� office ❑ Deliver with inspector.
Applicant: Date: 3 r Z
Copy of Haz-Mat form sent ❑ Health Department, ❑ Fire Department, ❑ Af7llution Date: / By:
Copy of plans sent ❑ Health Department, ❑ Fire Department, ❑ Other: Date: V By:
1. Index permit application for the above items numbered: 10 ❑ Plan Check List
2. Additional items required:
Contractor, designer, owner, was advised of the above required data by ❑ phone, ❑ mail, ❑ Building Division counter, by Date:
Contractor, designer, owner, was advised of the above required data by ❑ phone, ❑ mail, ❑ Building Division counter, by Date:
Contractor, designer, owner, was advised of the above required data by ❑ phone, ❑ mail, ❑ Building Div' ion counter, by Date:
Contractor, designer, owner, was advised of the above required data by ❑ phone, ❑ mail, ❑ Buildin . i rsion counter, by D te:
Plans reviewed by: Date: Plans approved by: Date: -4
Sets of plans on hold in ❑ Plan Cabinet, ❑ A.P. folder. Note transfer by: Date:
Yellow Copy - Department of Development Services, Building Division.
E.H. USM§&Y
Plot Plan Attached
Floor Plan Attached
Sent to B.D. /
TO: Building Department
FROM: Environmental Health
SUBJECT: Sanitation Clearance
Llapl\ ���- dad
Owner Location AP#
Plan Approved for: Sewage Disposal Water Supply: Public Private Well
Clearance for they
Hold final for:
Final clearance O.K. for:
NOTE:
Environmental Hea
8/96
Specialist
Date
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ALL BE!
FT. FFOM THE r%D C=t L� 4-
'?JENT EXCEPT
ROCTUREVAND EWj
GEAR OF'sl
i i / I6VERHANG.
KM A 2 Ft. EAVE,
j-1
UFO'
SHAM
T,
Bo
j.
RESIDENTIAL 068-03-0-116 � 99-0071 BEM �I
HEL.LON, Gary
40 Field Drive, Oroville
(bedroom addition) Lowell'"Hagberg
PERMIf
PERMIT EXPIRES - �� 7 d
OWNER
CONTR.
ASSESSOR PARCEL
LOCATION
it
1 -
.1 .4 1J
BY
SRA
FLOOD CERTIFICATE REQ.
FIRE SPRINKLERS REQ.
SPECIAL INSPECTION ITEMS
VERIFY
Temp. Power Pole
Called PG&E
Temp. Elec. Service
Called PG3F
Temp. Gas Sere
Called PGA
JOB FINALED
Signature
OK RESIDENTIAL
Not OK
Not Applicable
Not Ready
• NOERFLOOR (Plans) OK except IY
I Z9 I in vtg•Setbaeks-Easrrxnts FloodSbpe
t . Fm.. Main: Sats Ekc. Gmd: 47• Depth
3. Fig. Garage: SalsSteel Flet. GrrxV t ftg. Depth
4. Fig. Porches a Decks: Soils Steel-/ Ftg. Depth
S. Stenrwans• Main; Sleet- lockouts-WIle
6. Stemwans, Garage; Steet-Bloclwtrtt. Wr3pped
6a. Hold Dawns and Special Anchors
7. Stab, Sw,4Wrapped
-------------
8. Piers nptace Ftg.Steel
9. D.W.V.; Faa•Fittlng-Test•2 Way CiOSewer Test
10. UF. Gas Pipe; Sim Anchors - Yard Gas Piping; Size Test
11. Water Pipe: Test-AAncclioMRegulatorSenRce Test
12. Electric Underground
13. P'renu s a Duets; Clea ateriaiS
15. Access a ventnation
16_ insulation
Single & Duplexy,
,3t a
Card B -t Date
Gaal ts-1
1 ire r
;e % �—
Card B 1&fj= Date
PLUMBIItG rjrnet4 OK aoot»pt!!e
Card B-1
Water Wx4 ventAccessoCauxubm Ail Baine
1a PrpC Test a Andton•Nai Plotbc6a
1s. D.wk; b
20. Shower Pan Floor -Tub Access
21. a Shower. Fioot`Tub Access
Gas P''qw. S'ota S Ansftors
ate
Card B-1 Date
Card B-1
ate
Card B-1 Dame
Card B-1
ate
ELECTRICAL rasmilo OK rapt ft
ocyrte a Transfom>crClearmce-b s: Pcotecdan
Receptacles Spacrrg-Lats a Srfthes at Doors
a No. of C=Axllom Stapled
Rornac kntalled Close to Edge of surds a C1
Equip. Ground made up vaUech _
AI
I Yes � hio
0
. Cb Closet LightShower UghtSpa light
Smoke Detector
Oate3Zy
Card B-1 Date
Card B-1
Date d-�
Card B-1 Date
Card B-1
Cate
CHANICAL (Permit) OK except Vs
A.C. Cucts Insuta6cn a Support
insulation
37. rftcw• Size a Grade
arce .ent-Access omb. Air -Return Air Vent I IS outlet
onn-t macein Attic
Oat;� ,q _Card B -t /j- Date Card B•1
Date Card 3.1 Date Card B-1
Date F ING (Plans) OK except N s
Sits o r Materials a Anchors
Walls Studs -Nailing Spacing d Braces -Plates -Sound
ng a s o.er xders a now Nailing
-V-Q- Draft Stop in Walls (rat proof)
fairs -Chasers -Tubs
Headers S Beams -Size b Bearing
Data FRAMING (Continued)
Hangers -Post Caps -Anchors -Connectors
ug. hist Rfb Ties P+ toff BraeShtinp. Rtnp.
48. .
Attic Access: Size a Romex Protection-Oraft Scop -Ins- Battles
Bdrrn. Windows or Exiting Doors -Sm Mgt a Mrsensions
SL—Gamee-F+tte44ollsction Eraming
s
S3- Garage 3rd Story, 2 Exit
s un•I.ani*V-Fire Protection
on Roof Cnerhang-Attic Vents -Rafter Outriggers
-V--w-Sidug-Nailing Veneer
d. Vents Undertlr. Access
L-SrGlazing Area -Glass Protection -Skylights -Plastic
rru�Boks---=-
ace Interior / Etderior Wall Panels
1' Insula ' Wa
62- Infiltration-WallsWindows
Date Card B-1 Date 3/ Card B-1
pate Card B-1 Date Card B-1
Data FINAL (P1ans) OK except is
& Sidelight Protection -Landings
Detector
r.S tri ro• Vantcl'.banefer.Carrlb, AIr-CiOnlQpr-
In G ge: Above floor-Ducts-Mech. Protection
Exiting
67. G.F. a Bath Foctures a Tub Access -Spa
68 Etee- Trim a &Dpan"rwker Sizes a Labels
rth
Outlets at Wood Panel, Int a Ext
Ground. -Air Gap Cooking Clearance
a-uNTXRecepticales at Kit Counter
74..6atag�Swing-Landing-Closure
--qS-*.Q-G etw-Gasage-Damper
78ywtr Hen vac L rice Comb. Aa Connector-P.R.V.
In Garage• Above Floor-M�. Protection
Z pts. • • _-` IF--ujp. Listed for Location
78 es in arae F1. -Romex Protection
nsuladcn-Foam-Looked in Attic
tion -Post Caps
n. VBents a Crawl Hole Door Drainage a Wood -Earth
Clearance Looked under Floor 0 Yes
82. me a Yes 0 No/Watks 0 Yes Q No/Planters Q Yes Q No
4�
rai. ' w
B4' i -Plumbing
13S"Wems%Mve Roos- P4,- Appliance-Freplace-Clearance to Operiutgs
r trical Plumbing
-eptacle-Underground
48%-Venbladon Throught House
89. rotecdon
retious Inspections
9t . Gas -Electric
ewer Connected -CA to Grade -HD Approval
rgy Compliance Certil�ajeOther Certificates
Date �
' Card 9 t 6 AWDate Date Card B-1
Date Card B -t Date Card B-1
Date Card B-1 Date Card B-1
Comments at Final:
V-QK , -
O - Not OK
- - Not Appkable
--Not Ready MOBILE HOMES
Date MOBILE HOME t/TILNTIES (Plans) OK except /'s
1. Zonk g Regiirernuft - Sebecits- Easements
2. Sada; Spectral MH Support Skatth
3. Sewer Laca6ort-
4. Wats; Location Needed (Sketch)
5 Electricity; Loa /AmpConorete
8 Gas; Location-TeaW ap; / /VL
/ /Nat or/ /L3/ /LPG
7. Wed Clearance 3 Disoomect
8. Utility Clearance
Date Card B-1 ala Card B-1
Date Card B-1 ate Card 8-1 _
Date MOBILE HOME INSTALLATION Axils) OK except #'s
- 1. Zoning Requirements Setbeeks Easements
2. Footings; SmSpaurg*laniege Lits
3. Gas; MH
4. Electricity; MH
5. Drain: MH Tedfalfkx Cortneetor
8. Water, MH Test•RegL&io •Camec%or
7. Water and Sewer Corrected -W to Grade -HD Approval
8. Gas and Ekxtricity Tagged
10. 6dts;
11. Cert of Occupancy
12. Pertranerti Foundation Only: Ltwm Decal
Date Card B-1 Date Card B-1
Data Card B-1 ate Card B-1
MISCELLANEOUS
Date DECKS. COVERS. CAAPORM uAAAGES (Plans) OK incept is
1. Zomig RequirernenbSelbaeka•Easemenb
2. Footings: SodsSixaDeplh•Spacnp•Comecbrl.Sled
3. Decks: Girders and/or'Ioi Bm�PSdis Rail
4. Wood Awn.: Poab-8ean94fts.•Comecft"
Sht,g.-Afg.-BracbV
S. Alum. Awn.: Cdurnn
8. Carports; Wwm ws-Doors
7. Electric
8. Fmrg.: Sds-AnchorsStuds•Rftrs•Tivaaea
9. Siding: Nadtrg•1/enewS%xco.Mesh
10. Root: Shthg•Roo&V
11. Ext: Steps0corotAndirgs
12. Braced Wad Panels
Date Card B-1 ale Can! B-1
Dale Card B-1 ale Card B-1
ate POOLS (Piens) OK except /'s
1. Sed adxs•Easements
2. Sods: Campecdon•Struet<re Stability
3. Pool StrtrcesK SW&CaV ee9one-7hicimess
Dead Mend. ft
4. Elec.; Receptacles and LV*+g. 0slanc&CM
S. Elec.: Pod Lighting 15 VdW4(L9
8. Ekx; Enclosures; CondultEnbiesTurnixtab4bted -
7. Elec.: Berdirp: Metal W34CIrctlallnp Equip healer
8. Elee : Groux*V Equp. v4W Circulating; Equip -Pod Lgh%;. .
nc to Main in Candu t
9. Health DeparWwd Approyal
10. Pkxnb.• Cir. I=WYater Supply Test
11. light Niche
Date Card B-1 ate Card B-1
Date Card 8-1 ale Card B-1
COUNTY OF BUTTE.
BUILDING DIVISION
DEPARTMENT OF DEVELOPMENT SERVICES
!nao u,,...h,.la« D 1 rti:,.,. rn /c»c\ ons ��c1
u=—VIUI IIVQU, 1.1111,V, fill - \J 1 V/ VJ 1-L/ J 1
7 County Center Drive, Oroville, CA - (916) 538-7541
747 Elliott Road, Paradise, CA - (916) 872-6307
4
CORRECTION NOTICE
OWNER PERMIT NO.
• t�
�S
A routine inspection indicates that the following violations of Butte County Ordinances exist at
the above address and should be corrected. Please notify this office when correction of work
is completed. If you have any questions pertaining to this matter, or need additional explanation,
please contact this office immediately.
+� h
-yf7
r
l
^"M
:«s
a
y
tai
4
r.
i�
'f
Date Inspector
f
r,.
REV 10192
COUNTY OF BUTTE
BUILDING DIVISION
DEPARTMENT OF DEVELOPMENT SERVICES
411 Main Street • Chico, CA • (530) 891-2751
7 County Center Drive • Oroville, CA • (530) 538-7541
CORRECTION NOTICE
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 you have any questions pertaining to this matter, or need additional explanation,
plena-sea-c-o-nnttact this office immediately.
e /.
r-- V` 1 9- A
.� rUFO,oa/�"'L/ •i- (n. v �aov rS rX c.c.fZ_S, �i G —
Date Inspector
REV 10/92
�e s..�..— •s., ..QVr-s �4,'�'�' .s i''r �RiYy .
COUNTY OF BUTTE
BUILDING DIVISION
DEPARTMENT OF DEVELOPMENT SERVICES
411 Main Street • Chico, CA • (530) 891-2751
7 County Center Drive • Oroville, CA • (530) 538-7541
'1
CORRECTION NOTICE
ER
p67 /
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 you have any questions pertaining to this matter, or need additional explanation,
pleasq-�ontact this office immediately.
COUNTY OF BUTTE
BUILDING DIVISION
DEPARTMENT OF DEVELOPMENT SERVICES
411 Main Street • Chico, CA • (530) 891-2751
7 County Center Drive • Oroville, CA • (530) 538-7541
CORRECTION NOTICE
ER
PERMIT NO.
a
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 you have any questions pertaining to this matter, or need additional explanation,
please contact this office immediately.
%0 ✓U .6OO.r� /
Date Inspector i`/AT 16a
REV 10792
LOERKE INSULATION CO., INC. INSULATION CERTIFICATE
i
40 Field Dr. Oroville
Number and StreetCity
County Subdivision
Lot Number
DESCRIPTION. OF INSTALLATION
1. ROOF
Material
Brand Name
Thickness (inches)
Thermal Resistance (R -Value)
2. CEILING
Batt or Blanket Type Fiberglass Batts
Brand Name Johns Manville
Thickness (inches) 10.25"
Thermal Resistance (R -Value) R30
Loose Fill Type Fiberglass
Brand Name Johns Manville
Contractor/s min. installed weight/ft sq. fib.'
Minimum Thickness inches.
Manufacturer's installed weight per square foot to achieve Thermal Resistance (R Value)
3. EXTERIOR WALL
Material Fiberglass Batts
Brand Name Johns Manville
Thickness (inches) 3.5"
Thermal Resistance (R -Value) R13
( )
4. RAISED FLOOR
Material Fiberglass Batts
Brand Name -Johns Manville
Thickness (inches) 6.5"
Thermal Resistance (R -Value) R19
5. SLAB FLOOR /PERIMETER
Material
Brand Name
Thickness
Thermal Resistance .(R -Value)
Perimeter Insulation Depth (inches)
6. FOUNDATION WALL
Material
Brand Name
Thickness (inches)
Thermal Resistance (R -Value)
DECLARATION
I hereby certify that the above insulation was installed in the
building at the above location in conformance
with the current Energy Efficient Standards for residential
Regulations) indicated on the Uertificate of compliance,
buildings (Title 24,Part 6, California Code of
where applicable.
as
C.L.#499150Ywj)LOERKE
INSULATION CO., INC.
Item s- Signature, a e MAR 2 6 1999
Insta ing Subcontractor Co. Name)Or
General Contractor (Co. Name) Or Owner
Item Signature, Date
Installing Subcontractor Co. ame Or
General Contractor (Co.Name) Or Owner
Item #s Signature, Date
Installing Subcontractor (Co. Name) Or
General Contractor (Co. Name) Or Owner
5 R
_ COUNTY OF BUTTE -DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING DIVISION
7 County Center Drive • Oroville, Califorhia 95965 • Telephone (530) 538-7541 PERMIT NO.
(Rev. 12/96) APPLICATION AND PERMIT
g- ao 7z
ASSESy�',,QAf bS—u USER, 16
lJ `J 1
20NINy� R_'
BUILDING PERMIT
OwN
Mellon, GARY
1 on
TELEPHONE
SQ. FT. OCC. BUILDING VALUATION
995
1"TOITM.tEIX
VENUE, OROVILLE
"N"M LrEHAGBERG
TE 846E 3076
CONTRACTORS MAILING ADDRESS
CONSTRUCTION LENDER
Fireplace
LENDER'S MAIUNG ADDRESS
Total Valuation $
ARCHITECT OR ENGINEER
LICENSE NO.
Filing Fee
$ 20.00
Permit Fee
$ 144.00
ARCHITECT OR ENGINEERS MAILING ADDRESS
Plan Checking Fee
$ 911-6
BUILDIyO FIELD DRIVE, OROVILLE
4
Energy Plan Checking Fee
$ 23.00
$
PERMIT FEE
S
LOT NO.
SUBDIVISIONS NAME
PARCEL MAP
PLUMBING PERMIT
Fling Fee 20.00
USEOFSTRUCTURE
SF 6 Duplex ❑ Mobilehome ❑ 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 1I Remodel ❑ Utilities ❑ Installation ❑ Other ❑
Describe Work: BEDROOM ADDITION
Gas piping sy2tem 1 - 5 outlets
15.00
Building sewer
15.00
Mobile Home I S I G I WF__
@20.00
PERMIT FEE
S
ELECTRICAL PERMIT
Fling Fee 20.00
Main Service pp.AORLESS
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 fo and effect. p
3 O j' f IT'
License Class Lic. No. U l
WNER-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 To wCU00A
46. 00
WEL200A
NEW CONST. DWEWNG OCCUP.
OR ADONS. ( a ACC. BLDS.
so
SO
3.50 FT.
NON.R SID. MULTI-ounET
97.50
POWER APPARATus
a SINGLE OUTLET CIR.
Ex. Occup. OUTLET OR FDCTUREs
20 @'.00
SAL @ .so
Ex. Occup. ouriEDTs RESID.OEA
5.00
Temporary Service
23.00
Mobile Home Facilities
20.00
Misc. Wiring
23.00
PERMIT FEE
$
WORKERS' COMPENSATION DECLARATION
1 hereby affirm under penalty of perjury one of the following declarations:
❑ 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
MECHANICAL PERMIT
Fling Fee 20.00
Heating
Cooling
Hood
6.50
Ventilation
PERMIT FEt
$
Policy Number
(The above sections need not be completed if the permit is for work of a valuation
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 omply with th se provisions.
G
X Date /— z— /
Sig re of Applicant - ❑ Owne ontractor ❑ Agent
An HA permit is required for Ifover 60" deep and demolition or construction
of uctures over 3 stories in height.
Mobile Home Installation Fee
$
Energy Inspection Fee $ 46.00
corer. PE
TAL F $ 9 • 0
_; D I PAR HD
This permit is hereby issued under the
of the Butte County Code and/or Resolutions
indicated above for which fees have
j
By iW �I`
PERMIT EXPIRES ON
applicable provisions
to do work
been paid.
tate17
pe
Receipt No. 257899 153.60 5 $
WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR I GOLDENROD -APPLICANT
COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION
7 County Center Drive • Oroville. California 95965 • Telephone (530) 538-754a PERMIT NO
(Rev. 12/96) APPLICATION AND PERMIT 0 7 /
ASSMORPA"CS.NUNSI j �- G L
111 N
BUILDINGPERMIT
01NN"
'vgpfON°
SO. FT. OCC. BUILDING VALUATION
Omm$ MALWO ADOMN _
D
OOMAACTOR'1 IMI!
coM A TORS luaaa ADDAM
CONsTmCnON UINDIM
Ueroora MAN ADOPT
Fire lace
Total Valuation S
ARameeT OR ENGUMM
ueeNse No.
Fifina Fee
S
20.00
ARCNnlCTOR ENGRUMV MAGMA ADORER
Permit Fee
i
Plan Checkina Fee
S
eULONOADDRQi
Energy Plan Checking Fee
t
1-fILA a_
i
PERMIT FEE
_
u°t"° eueD�nNswilE
PARCEL MAP
PLUMBING PERMIT
FiRng Fee 12o.00
Each Trap
7.00
USEOFSTRUCTURE
Solar or heat pump water heater
23.00
SFA5 Duplex O Moblehome O Other
Water piping0
sPeesv
Each gas water heater or- vent
15.00
TYPE OF WORK
/
Gas In 1 - s
15.00
New O AddRlan,O Remodel O ut> " O InatieMtlon O
Other O
Building sower
15.00
Describe Work: h
Moble Ho S I G 1W
020.00
PERMIT FEE
t
ELECTRICAL PERMIT
FlUn -Fee 20.00
Main Service ='.
23.00
Mein Service 200A TO IOWA
48.00
NEW CONST. OWEilllO OCCW.
OR ADONS. f ACC. diDS.
3.St8
NOM YYlT1OVILET
07.50
APPARA W4
ISOWER
EX. Occup,_ oimer OR Wng=
ReceiptNo.
'w`",. miss —e 5.001 1
Ex. Occup. aim�ra Esm. �►
Temporary Service 23.00
Mobile Home Facilities 1 20.00 '
PERMIT FEE _ 1
MECHANICAL PERMIT Fling Fee 20.00
Heating /U G
Cooling
Hood 1 6.50
PERMIT FEE S ✓
Mobile Home installation Fee $
Energy Inspection Fee $
occ CONST. TYPE TOTAL FEES E
NAZ 0. FEES WP A=O COP PMRCEL PO NO 6SLE
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 �—
(li PERMIT EXPIRES ON
COUNTY OF BUTTE DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION
7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE (916) 538-7541
PERMITAPPLICATION DATA SHEET
OWNER:PA09-tA,-,6hA&1AS PARCELER:
Proposed Building se' 29 Building Inspector: CJ Date: )
At time of permit application, I was dvised the following data must be submitted prior to permit processing and/or issuance:
Date Received By
❑ 1. All iiems have been submitted --------------------------------------------------------------------------------------
E12. Plot plans, 3/4 sets, signed by the preparer of plans. ------------------------------------------------------------
03. Complete plans, 3/4 sets, signed by the preparer of plans. -----------------------------------------------------
04. Engineered plans, 3/4 sets, with wet signature on plans. All engineering must be shown on plans.--------
ngineered truss details and layout in duplicate (required prior to plan review) No faxes! ------------------
Energy Design Compliance and supporting documentation. ------------------------------=---- -----------------
1❑ 7. Statement of Intent for Non -Heated and A/C Buildings.------------------------------------'--------------------
❑ 8. Hazardous Material Form.------------------------------------------------------------------------------------------
❑9. Manufactured Home data and installation instructions including Tie Down Specifications .------------------
sof $------------------------------------------------------------------------------`=
pact fees as shown on the attached schedule.--------------------------------------------------------------'--
California Department of Forestry plan approval/fees. -� ------------------------------------------------
❑ 3. Flood elevation certificate. ----------------------------------------------------------------------------------------
Sanitation and plot plan approvaleCAOalth Department. -------------------------------------------
Ell 5. City of Chico plumbing permit. -----------------------------------------------------------------------------------
cPlot plan and business license approval from the City of Biggs. ----------------------------------------------
lanning approval for (A) Use: 0 k_' W (B) Parking: --------------------------
❑ 18. Contact Land Development about ❑ Improvements, ❑ Drainage, ❑ Legal Parcel. -----------------------
❑ 1.9. Encroachment Permit for driveway (construction approval prior to occupancy). ----------------------------
❑ 20. Pre -inspection for required Request to Building Inspector on (Date)
❑21. Contractor's license information. (Number, Name Style, Classification). ---------------------- =-------------
❑22. Workers' Compensation carrier and policy number. -----------------------------------------------------------
❑23. Owner -Builder Verification (Given to owner ❑, Mailed to owner 0) - --------------------------------------
024. Letter of signature authorization. --------------------------------------------------------------------------------
❑25. Recorded copy of Agricultural Acknowledgment Statement. --------------------------------------------------
026. Letter of intent on building use. -----------------------------------------------------------------------------------
❑27. Manufactured Home utility clearance. ---------------------------------------------------------------------------
❑ 28. Existing violations and/or expired permits. ----------------------------------------------------------------------
❑29. ❑433 A, C3 Grant Deed, ❑ M.H. Title, ❑ Check to H.C.D $ .---------------
030.
--------------
❑30. Other: -------
en you issuKr_
t, process as ollows ❑ Mail to owner, ❑Ma' tractor.
�Tllelephone 3 � � and hold for pickup at62 ofl'ic5e �❑ Deliver witih inspector.
1-12--
Applicant: ate:
Copy of Haz-Mat form sent ❑ Health Department, ❑ Fire Department, ❑ Otollution Date: By:
Copy of plans sent ❑ Health Department, ❑ Fire Department, ❑ 0 Date: By:
1.. Index permit application for the above items numbered: G 6 l /
❑ Plan Check List
2 -Additional items required:
Contractor, designer, owner, was advised of the above required data by ❑ phone, ❑ mail, ❑ Building Division counter, by
Date:
Contractor, designer, owner, was advised of the above required data by ❑ phone, ❑ mail, ❑ Building Division counter, by
Date:
Contractor, designer,, own was advised of the above required data by ❑ phone, ❑ mail, ❑ Building Division counter, by
Date:
Contractor„designer, owner, was advised of the above required data by ❑ phone, ❑ mail, ❑ Building Di ision counter, by
Date:
Plans reviewed by: Date: Plans approved by: Date: o? --70--
Sets of plans on hold in ❑ Plan Cabinet, ❑ A.P. folder. Note transfer by: Date:
Yellow Copy - Department of Development Services, Building Division.
COUNTY OF BUTTE
DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING -DIVISION
7 COUNTY CENTER DRIVE, OROVILLE CA 95965 TELEPHONE (916) 538-7541
SCHEDULE OF FEES DUE
OWNER
PROPOSED BUILDING USE
r_ BUILDING PERMIT FEES
-- Balance Due ................
-- Additional Fees Due ...........
-- Additional Fees Due ...........
ar2.
isedPlan Checking Fee .......
HOOL DISTRICT FEES
(paid at District Office)
3. SHERIFF FEES (paid at Building Division)
Residential ........ x $360.00 = $
Units
Commercial (sq.ft.)... x $0.03 = $
Sq. Ft.
4. URBAN AREA'FEES (paid at Building Division)
Residential (per unit) . X_ = $
#Units Amt.
Commercial (sq.ft.) .. x =$
Sq.Ft. Amt.
5. RECREATION DISTRICT FEES (paid at District Office)
6. THERMALITO DRAINAGE DISTRICT FEES
$510.00 (paid at Building Division)
77.sRA FIRE INSPECTION AND PLAN CHECK
$89.00 (paid at Building Division)
8. WATER TENDER FEES (Battalion # )
$200.00 (paid at Building Division)
9. CSA 87 TRAFFIC FEE $2500.00 (paid at Building Division)
10. OTHER
A. P. #
DATE—/
RECEIPT # DATE REC
)w 7 /-.:: - _/ A_-� � -.
At time of permit application, I was advised the above fees are required to be paid prior to issuance of the building permit.
These fees may be changed during the plan checking process.
APPLICANT e,/ DATE
Pursuant to Gove nt Code Section 66020, you ar ereb otified that items 2,3,4,5,6,8,9, and 10 above may have been imposed on your
project. You have 0 days from the date of approval of the project or from the imposition of the above mentioned items during which you may
protest. The requirements for a protest are specified in Government Code Section 66020(a).
Original -Building Div. 2nd Copy -Applicant 3rd Copy -Owner (Rev. 2/97)
Dat
tmoor clans reviewed oy scnool uistnct versonneo
District Identification No.
School District certifies that /.
(Applicant)
v J -UV
(Str`eet Address) (Phone Number)
(City) (State) (Zip Code)'
has complied with the requirements of Resolution No.70 0 `� by payment of $
representing ��� square feet. AB 2926 $
FULL MITIGATION $
School District Representative Date
Paid by Check #
Remarks:
Notice: You may protest the imposition of the fees identified above by submitting a written protest to the District, in compliance with
Government Code Section 66020(a), within 90 days from the date fees are paid. Failure to submit a timely written protest, will prohibit
you from challenging the imposition of the fees in any court action.
If, subsequent to the School District Representative signing this Butte County Schools Impact Fee Certification Form, the School District is
notified by the applicable Local Planning Agency that this project is being reviewed under the California EnvironmentalQuality Act 'ICEQA).
this project may be subject to additional school fees to fully mitigate its impact on the school district's schools.
White (applicant), Yellow (building department), Pink (school district) feeform.xis (10/98)dmm
BUTTE COUNTY SCHOOLS IMPACT FEE CERTIFICATION FORM
(One form per Building)
�•✓
School District 0/10k
11,2— L
Building Department No.
a: )ff ftq
A.P. Number 03 0-114 Jurisdiction: � City
County
Property Owner �laey
gZ-110A
Property Location/Address
I 1
r3P t/ o
ga¢-1/1 V r Dili 1
Subdivision
Lot No.
Residential Development
...................................................................................................................
ESq.
Footage
�.
No of Living Mobile Home
Addition/ *Supplemental to
(Group R)
Units Installation
Conversion Permit #
"(No foundation inspection);
i...................................................................................................................
Commercial/Industrial
Sq. Footage
New Addition
(Including Exterior
Roofed Areas)
Dat
tmoor clans reviewed oy scnool uistnct versonneo
District Identification No.
School District certifies that /.
(Applicant)
v J -UV
(Str`eet Address) (Phone Number)
(City) (State) (Zip Code)'
has complied with the requirements of Resolution No.70 0 `� by payment of $
representing ��� square feet. AB 2926 $
FULL MITIGATION $
School District Representative Date
Paid by Check #
Remarks:
Notice: You may protest the imposition of the fees identified above by submitting a written protest to the District, in compliance with
Government Code Section 66020(a), within 90 days from the date fees are paid. Failure to submit a timely written protest, will prohibit
you from challenging the imposition of the fees in any court action.
If, subsequent to the School District Representative signing this Butte County Schools Impact Fee Certification Form, the School District is
notified by the applicable Local Planning Agency that this project is being reviewed under the California EnvironmentalQuality Act 'ICEQA).
this project may be subject to additional school fees to fully mitigate its impact on the school district's schools.
White (applicant), Yellow (building department), Pink (school district) feeform.xis (10/98)dmm
COMPUTER METHOD SUMMARY Page 1 C -2R
________________________________________________________________________________
Project Title: HELLON/HAGGARD ADDITION Run: 246 25 -Sep -55
Project Address: 40 FIELD DRIVE HELLON/HAGGARD
OROVILLE, CA
Building Title: HELLON/HAGGARD ADDITION Building Permit #
Document Author: CURT KEEN
Telephone: 530 846-3159 Plan Check / Date
------------------------
Compliance
______________________Compliance Method: CALRES2 Version 1.31 Field Check / Date
Climate Zone: 11 '
================================================================================
ENERGY USE SUMMARY (kBtu/ft2-yr)
Energy Use Standard Design
_______________ _______________
Space Heating 10.13
Space Cooling ^ 29.69
Water Heating 67.07
Total 106.89
GENERAL INFORMATION
Conditioned Floor Area:
Building Type:
Building Front Orientation:
Number of Dwelling Units:
Number of Stories:
Proposed Design
---------------
8. SO
______________8.80
23.85
67.68
-------- Complies
100.33 Yes
225 ft2
SFD Single Family Detached
180 deg (South)
1.00
'1
Floor Construction Type:
Raised
floor
Number of Conditioned Zones:
1
Total Conditioned Volume:
1800 ft3
Conditioned Footprint Area:
225 ft2
_
Ground Floor Area:
225 ft2
BUILDING ZONE INFORMATION
Floor
Vent
Vent
Zone Area Volume
Thermostat
Height
Area
Name (ft2) (ft3)
____________ _______
Type
Type
(ft)
(ft2)
________
HOUSE 225 1800
_____________
Conditioned
____________
CEC_Standard
______
270"
4.2
OPAQUE SURFACES
Surface Area U- Insl
Tru
Slr
Construction
Type (f12) value Rval
__________ ______ _____ ____
Azm
___
Tlt
___
Gns
___
Type
____________
Location/Comments
Zone = HOUSE
__________________________
Wall 96.0 0.088 13
0
90
Yes
W13.2x4.16
Outside
Wall 120.0 0.088 13
180
90
No
W13.2x4.16
Unconditioned
Wall 102.0 0.088 13
90
90
Yes
W13.2x4.16
Outside
Wall 120.0 0.088 13
270
90
Yes
W13.2x4.16
Outside
Ceiling 225.0 0.031 30 ^
--
0
Yes'R30.2x4.24
Attic ^
'
Floor 225.0 0.007 19
1-
180
No
FC19.2X6.24
Crawlspace
COMPUTER METHOD SUMMARY Page 2 C -2R
Project Title: HELLON/HAGGARD ADDITION Run: 246 25 -Sep -55
================================================================================
PERIMETER LOSSES
Insul
Perimeter Length F2 Insul Depth
Type (ft) Factor R-val (in) Location/Comments
___________ ________ ______ _____ ______ ----------------------------------
Non L.,
_________________________________None .
FENESTRATION SURFACES
GLAZING CHARACTERISTICS
Glazing
Charactr Glazing # of U- SC GIs Interior SC Int Exterior' SC Ext
Name Type Panes value Only Shade Type Shade Shade Type Shade
VINYL1 Clear 2 0.530 0.520 Std Drape 0.780 Bug Screen 0.870
OVERHANGS
Fenestration '
-------------------------- Above Left Right
Name Height Width Depth Glazing Extension Extension
____________ ______ ______ ______ _________ _________ -----------
N o n e
________None
FINS Left Fin Right Fin
__________________________ ---------------------------
Fenestration
_________________________Fenestration Exten Dist Exten Dist
-------------------------- Fin Fin above to Fin Fin above to
Name Height Width Depth Height glzng glzing Depth Height glzng glzing
____________ ______ ______ ______ ______ _____ ______ ______ ______ _____ -------
None
_____None
THERMAL MASS
Vol Cond-
Area Thck Heat duct- Construction Insd
Mass Name (ft2) (in) Cap ivity Type Rval Location/Comments
______________ _____ ____ ____ _____ ____________ ____ -------------------------
N o n (.-.?
________________________None
Glazing
Fenestration
Area
Tru
Open
Frame
Charactr
Name
______________
Type
____
(ft2)
Azm
Tlt
Type
Type
Name Comments
Zone = HOUSE
_____
'
___
___
_______
________
____________ ________________
N1
Wind
24.0
0
90
Slider
Vinyl
VINYL1
E1
Wind
18.0
90
90
Slider
Vinyl
VINYL1
GLAZING CHARACTERISTICS
Glazing
Charactr Glazing # of U- SC GIs Interior SC Int Exterior' SC Ext
Name Type Panes value Only Shade Type Shade Shade Type Shade
VINYL1 Clear 2 0.530 0.520 Std Drape 0.780 Bug Screen 0.870
OVERHANGS
Fenestration '
-------------------------- Above Left Right
Name Height Width Depth Glazing Extension Extension
____________ ______ ______ ______ _________ _________ -----------
N o n e
________None
FINS Left Fin Right Fin
__________________________ ---------------------------
Fenestration
_________________________Fenestration Exten Dist Exten Dist
-------------------------- Fin Fin above to Fin Fin above to
Name Height Width Depth Height glzng glzing Depth Height glzng glzing
____________ ______ ______ ______ ______ _____ ______ ______ ______ _____ -------
None
_____None
THERMAL MASS
Vol Cond-
Area Thck Heat duct- Construction Insd
Mass Name (ft2) (in) Cap ivity Type Rval Location/Comments
______________ _____ ____ ____ _____ ____________ ____ -------------------------
N o n (.-.?
________________________None
COMPUTER
METHOD
SUMMARY
Page
3
C -2R
Project
================================================================================
Title:
HELLON/HAGGARD ADDITION
Run:
246
' 25 -Sep -55
SOLAR GAIN DISTRIBUTION
Fenestration Winter Summer Targetted
Name Fraction Fraction Thermal Mass Comments
____________ ________ ________ ____________ ----------------------------------
N an F -,
_______________________________None
HVAC SYSTEMS
Duct Location
System Name System Type Efficiency and R -value
______________ __________________________ __________ ---------------
Zone
____________Zone = HOUSE
GasFurn.78 Space heater 0.78 AFUEAttic R-4.2
See Note 2. Air cond. -- central split 10.00 SEER* Attic R-4.2
WATER HEATING SYSTEMS
WATER HEATING SYSTEMS MISC
Solar savings Solar system Wood stove Wood stove
System Name fraction type boiler? boiler pump?
Standard_Gas -- -- No No
WATER HEATER/BOILER DETAILS
Rated Pilot
Water Recovery Input Standby Tank Light
Heater Name Efficiency AFUE (kBtuh) Loss R -value (Btuh)
____________ __________ ____ _______ _______ _______ ______
StandardGas 76% -- 36.00 -- -- --
HYDRONIC DISTRIBUTION AND TERMINALS
� Pipe Pipe Insul Insul
System/Name Type Number run (ft) diam (in) thck (in) R -value
�
______________ _____________ ______ ________ _________ _________ --------
None
______None
Distrib
Water
Water
# of Energy
Volume
Wrap
System Name
____________
Type
________
Heater Name
�
____________
Heater
_________________
Type
Htrs Factor
(gal)
R-val
Standard-Gas
Standard
StandardGas
Storage
gas
____ ______
1 0.53
______
50
--------
____Standard_Gas
10
WATER HEATING SYSTEMS MISC
Solar savings Solar system Wood stove Wood stove
System Name fraction type boiler? boiler pump?
Standard_Gas -- -- No No
WATER HEATER/BOILER DETAILS
Rated Pilot
Water Recovery Input Standby Tank Light
Heater Name Efficiency AFUE (kBtuh) Loss R -value (Btuh)
____________ __________ ____ _______ _______ _______ ______
StandardGas 76% -- 36.00 -- -- --
HYDRONIC DISTRIBUTION AND TERMINALS
� Pipe Pipe Insul Insul
System/Name Type Number run (ft) diam (in) thck (in) R -value
�
______________ _____________ ______ ________ _________ _________ --------
None
______None
COMPUTER
METHOD
SUMMARY
Page
4
C -2R
Projdct
================================================================================
Title:
HELLON/HAGGARD ADDITION
Run:
246
25 -Sep -55
SPECIAL FEATURES, REMARKS, AND NOTES
1. EXISTING HEATING UNIT WILL BE USED TO HEAT ADDITION.
2. No air conditioning equipment is specified for zone 'HOUSE'. Minimum SEER
and attic ducts assumed.
TO: Building Department
FROM: Environmental Health
SUBJECT: Sanitation Clearance
E.H. USE ONLY
Plot Ran Attached
Floor Plan Attached
Sent to B.D.
T
P-I�PA U &4 //o o — – qc) 'D4 4k-()30- /A.
Owner Location AP#
Plan Approved for: Sewage Disposal Water Supply: L+r=,rN2j
lic Private Well
Clearance for dwelling. Other — �AS
I ^ n � i . N n_ m/1e /.,► A
Hold final for: IA
Final clearance O.K. for:
NOTE:
Environmental Health Specialist Date
6/96
HAGBERG
CONSTRUCTION
1129 Dewsnup Ave.
Gridley, CA. 95948. _^
I t!Xisl'�V%t-
14GI\ t')c'y
C�\os�.�.
0
� e,vJ K O D\PA a 6 &� \' O ✓1
V )(40 APPROVED
Butte County
115 Environmental Health
Ite
l� `cakz YI Signature
C�Yovi Id af,
lle� Cg .
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CDF FIRE SAFE REQUIREMENTS
d 9--n 3,11(0 99—oa7/ 4 -LO A), Gni
AP# PERMIT # NAME
Under authority of PRC 4290, the following checked items are required
by the Butte County Fire Department and are made a part of this permit.
These requirements are minimums and will be superseded by Butte County
local regulations which equal or exceed these standards. Field
inspections will be made by the Butte County Building Department for
compliance.
(x] 1272.00 Maintenance of Defensible Space. To ensure continued
\\ maintenance of properties in conformance with these
standards and measures and to assure continued avail-
ability, access and utilization of the defensible space
provided for in these standards, annual maintenance
must be provide for by the land owner.
Driveway Standards
1273.02
Surface. All driveway surfaces and structures (bridges,
/
/
1273.07
culverts and other appurtenant structures which supple-
ment the roadway bed er shoulders) shall provide unob-
structed access to conventional drive vehicles, includ-
ing sedans and fire apparatus weighing up to 40,000
pounds.
[�]
1273.03
Grade. Not to exceed 16 percent unless paved.
'
1273.04
Driveway Radius
]
1. No roadway shall have a horizontal inside radius of .
curvature of less than 50 feet and additional sur-
face width of 4 feet shall be added to curves of 50-
100 feet radius; 2 feet to those from 100-200 feet.
2. The length of vertical curves in roadways exclusive
of gutters, ditches and drainage structures designed
to hold or divert water shall be not less than 100
feet.
[�]
1273.05
Turnarounds. If required, will have a minimum turning
I
radius of 40 feet from the center of the road.
[�]
1273.05
Turnouts. Shall be a minimum of 10 feet wide and 30
feet long with a minimum 25 foot taper on each end.
1270.10
Width. All driveways shall provide a minimum 10 foot
traf f is lane and unobstructed vertical clearance of 15
feet along its entire length.
Page 1 o;f - 3- ,
69- 03 clg—ods/ ,G'lq�
AP # PERMIT # NAME
IV.
V 1273.10 Turnouts. Driveways exceeding 150 feet in length, but
less than.800 feet in length, shall provide a turnout
near the midpoint of the driveway. Where a driveway
exceeds 800 feet, turnouts shall be provided no more
than 400 feet apart.
[�] 1273.10 Turnaround. A turnaround shall. be provided at all
building sites on driveways over 300 feet in length and
shall be within 50 feet of the building.
1273.11 Gates
1�3 1. Gate entrances shall be at least two feet wider than
the roadway it serves.
[y] 2. The gates must be located at least 30 feet from the
roadway and shall open to allow a vehicle to stop
without obstructing traffic on that roadway.
[ ) 3. Where a one-way road with a single traffic lane
provides entrance, a 50 foot turning radius shall be
used.
Fuel Modification
1276.01 Setback for Structure Defensible Space.
[ ] 1. All parcels 1 acre and larger shall provide a mini-
mum 30 foot setback for buildings and accessory
buildings from 411 property lines and/or the center
of the road.
[�) 2. For parcels less than 1 acre, local jurisdiction
shall provide for the same practical effect. See
Other Requirements below.
1276.02 Disposal of Vegetation and Fuels. Disposal, including
chipping, burying, burning or removal to a landfill site
approved by the local jurisdiction, of flammable
vegetation and fuels caused by site development and
construction, road and driveway construction and fuel
modification shall be completed prior to completion of
road construction )r fi_ial inspection of a building
permit.
Page 2 of 3
—o 3
AP #
e_? F-06 ? /
PERMIT #
Other Reauirements
[ ] If Building Setback is 15 to 30 Feet:
- Class A or B roof
- Enclosed eaves
AME
[ ] if Building Setback is Less Than 15 Feet
Choose any 3 of the following:
- Metal or no doors on side toward property line with insuffi-
cient setback
- Class A or B roof with enclosed eaves
- Interior automatic sprinkler system per NFPA 13D
- Glass area not to exceed 10% of wall area toward property
line with insufficient setback
- Siding from the following list:
Stucco - 3 coat
Hardi-Board or Plank
Masonry
Masonry veneer
Metal
Other )3utte County Fire Department approved materials
Date Signature
Page 3 of 3
I.1, ,no.IF. 9 7Z-- 1e�.•. ��• X41. a
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HAGBERG
CONSTRUCTION
1129 Dewsnup Ave.
Gridley, CA. 95948.
I.1, ,no.IF. 9 7Z-- 1e�.•. ��• X41. a
1
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— — �- r-�'IZ_
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CERTIFICATE OF COMPLIANCE: Residentia]
Project Title: HELLON/HAGGARD ADDITION Run: 246 25 -Sep -55
Project Address: 40 FIELD DRIVE HELLON/HAGGARD
OROVILLE, CA
Building Title: HELLON/HAGGARD ADDITION Building Permit #
Document Author: CURT KEEN
Telephone: 530 846-3159 Plan Check / Date
Compliance Method: CALRES2 Version 1.31 Field Check / Date
Cli'mate Zone: 11
================================================================================
GENERAL INFORMATION
Conditioned Floor Area: 225 ft2
Building Type: SFD Single Family Detached
Building Front Orientation: 180 deg (South)
Number of Dwelling Units: 1.00
Floor Construction Type: Raised floor
BUILDING SHELL INSULATIO
Component
Insul
Assembly
Type
R-valUe
U -value
Location/Comments
_______________
Wall
________
13
________
0.088
------------------------------------------
_______________________________________Wall
Outside
Wall
13
0.088
Unconditioned
Ceiling
30
0.031
ALtic
Floor
19
0.007
Crawlspace
FENESTRATION
Area
U-
Interior Exterior
Overhang
Frame
Orientation
_________________
(ft2) 'value
_____ _____
Panes
_____
Shading Shading
__________ __________
and Fins
________
Type
Window North
24,0 0.530
2
Std Drape Bug Screen
None
Vinyl
Window East
18.0 0.530
2
Std Drape Bug Screen
None
Vinyl
THERMAL MASS Area Thick
Type Exposed? (ft2) (in) Location/Comments
.... ..... .... ..... .... .... .... ..... .... .... .... .... ____________________________
None
HVAC SYSTEMS
Duct Location
Type Efficiency and R -value
__________________________ __________ ---------------
Space
____________Space heater 0.78 AFUE Attic R-4.2
'
WATER HEATING SYSTEMS
Distrib Water Water. # of Energy Volume Wrap
System Name Type Heater Name Heater Type Htrs Factor (gal) R-val
____________ ________ ____________ _________________ ____ ______ ______ _____
Standard_Gas Standard StandardGas Storage gas 1 0.53 50 10
CERTIFICATE OF COMPLIANCE: Residential Page 2 CF -1R
Project Title: HELLON/HAGGARD ADDITION Run: 246 25 -Sep -55
WATER HEATING SYSTEMS MIS(::.'
Solar savings Solar system Wood stove Wood stove
System Name fraction type boiler? boiler pump?
�
---- _------- _____________ ____________ __________ _____________
Standard_Gas -- -- No No
WATER HEATER/BOILER DETAILS
Rated Pilot
Water Recovery Input Standby Tank Light
Heater Name Efficiency AFUE (kBtuh) Loss R -value (Btuh)
____________ __________ ____ _______ _______ _______ ______
StandardGas 76% -- 36.00 -- -- --
HYDRONIC DISTRIBUTION AND TERMINALS
Pipe Pipe Insul Insul
System/Name Type Number run (ft) diam (in) thck (in) R -value
______________ ____________ ______ ________ _________ --------- ------
None
SPECIAL FEATURES, REMARKS, AND NOTES
1. EXISTING HEATING UNIT WILL BE USED TO HEAT ADDITION.
2. No air conditioning equipment is specified for zone 'HOUSE'. Minimum SEER
and attic ducts assumed.
COMPLIANCE STATEMENT
This certificate of compliance
lists
the
building features and performance
specifications needed to
comply
with the
Energy Standards in Title 24,
Parts 1
and 6, of the California
Code of
Regulations,
and the Administrative
regulations
to implement them. This
certificate
has
been signed by the individual
with
overall design responsibility.
When this
certificate of compliance is
submitted
for a single building plan
to be
built in
multiple orientations, any
shading
feature that is varied is
indicated
in the
Special Features, Remarks,
and Notes
section.
^
CERTIFICATE OF
COMPLIANCE: Residential
Page 3 CF -1R
Project Title:
================================================
HELLON/HAGGARD
ADDITION
Run: 24� 25 -Sep -55
================================
DESIGNER OR OWNER
KEEN'S DESIGN DRAFTING
292 ARCHER AVE.
GRIDLEY, CA 95948
530 846-3159
Lic-------
---
-------
g
cl
_gd
ENFORCEMENT AGENCY
Signed Date
DOCUMENTATION AUTHOR
CURT KEEN
KEEN'S DESIGN DRAFTING
292 ARCHER AVE.
GRIDLEY, CA 95948
530 846-3159
..... ... ... ______________.... ..... ..... _.... ..... ____........ _.....
_______
Signed Date
01
i COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS
�. 7 County Center Drive - Orovlller California 95965 - Telephone: 916/538-7541
APPLICATION ANP PERMIT
PERMIT N
ASSESSOR PARCEL NUMBER
%-030--116
ZONING
AR 1
BUILDING PERMIT
OWNER
GAPY MJM
TELEPHONE
589--2077
SO. FT. OCC. - BUILDING VALUATION
OWNER'S MAILING ADDRESS
40 FEILD DRIVE OROVILLE
EST 5300
CONTRACTOR'S NAME
KMARD & CO
TELEPHONE
'638-5898
CONTRACTOR'S MAILING ADDRESS
3291 MONIER CIRCLE #1 RAN(MO CORDOVA 05670
Fireplace
CONSTRUCTION LENDER
UNKNOWN
Total Valuation $ 5
LENDER'S MAILING ADDRESS
Filing Fee
$ 15.00
Permit Fee
$ 67.50
ARCHITECT OR ENGINEER
LICENSE NO.
Plan Checking Fee
$
Energy Plan Checking Fee
$
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Penalty
$
BUILDING A40 FE .DRIVE OROVILLE
Permit tee
$ 78,50
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
USE OF STRUCTURE
SF [J Duplex❑ Mobilehome❑ Other
SPECIFY
Gas piping system 1 - 5 outlets
5.00
Building sewer
15.00
Mobile Home I S I G JW=
@ 15.00
TYPE OF WORK
New ❑ Addition[] Remodel, Utilities ❑ Installation❑ Other
Describe work: VINYL SIDING
Permit Fee
$
Contractor
ELECTRICAL PERMIT
Filing Fee 15.00
Main service 600V OR LESS
200A OR LESS
18.50
Main service 200ATO1000A)
37.50
CONTRACTORS LICENSE LAW
I declare UP40 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 rce and effect.
License .JO.J "2 A0 f' 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 gxempt under Sec. , Business and Professions Code
for this reason
NEW CONST. DWELLING OCCUP.y+
OR AODNS. ( ACC. BLOGS.
3.60 sq.ft.
NEWCONSTR ULT. -OUTLET
NON.RESID BRANCH CIRC ITS
@ 5 00
POWER APPARATUS tr
(SINGLE OUTLET CIR. )
Ex. O( OUTLETS OR FIXTURES
20 76
FIXED APLNS❑
EX. Occup. OUTLETS PRESID )REA.)
I 3.00
Temporary service
15.00
Mobile Home Facilities
15.00
Misc. INirin g
15.00
Permit Fee
$ -
-
WORKMEN'S COMPENSATION INSURANCE
I declare unde enalty of perjury (check one):
❑ e permit is for $100.00 (valuation) or less.
I have placed on file with the County of Butte Building Department
a Certificate of Workmen's Compensation Insurance or a Certificate
of Consent to Self -Insure.
❑ I shall not employ any person in any manner so as to become subject
to the W. C. laws of California.
Notice to Applicant: If after making this statement, should you become subject
to the W. C. provisions of the Labor Code, you must forthwith comply with such
provisions or this permit shall be deemed revoked.
Contractor
MECHANICAL PERMIT
FiIingFee 15.00
Heating
Cooling
LHood
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 Countyot
Butte to enter upon the above-mentioned property for inspection purposes.
I also agree to save, indemnify and keep harmless tta-G6unty of Butte against
avr liabilities, judgments, costs, d expenses. whl-ch may In any way accrue
a inst/sai �,o/uatI-T--con,segq e o .-ttf(e ntntingg-o-f this permit.
X J ' ''�A' ,1� �/��' �c� /'� Date
Signature A
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 FEE $ 75.50
HA2
DFEES
IMP
FLOOD
CDF
PARCEL
PD
HD
ISSU
This permit is hereby issued under the
cions of the Butte County Code and/or
work inda ed abpai foJ which fe
i
r' AR,F OF PUBLI
BY ) . r I
PERf1fF EXPIRES ate
applicable provi
resolutions to do i
ve been paid.
RKS /
Date
-
Receipt No. , or
WHITE-D.P.W., YELLOW-ASSE350R. PINK -INSPECTOR, GOLDENROD -APPLICANT
COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS
7 County Center Drive - Oroville, California 95965 - Telephone: 916/538-7541
APPLICATION AND PERMIT
PERMIT N
ASSESSOR PARCEL NUMBER
68-030-116
ZONING
�AR 1
BUILDING PERMIT
OWNER
GARHELLON
TELEPHONE
589-2077
SO. FT. OCC. BUILDING VALUATION
EST 5,300
OWNER'S MAILING ADDRESS
40 FEILD DRIVE OROVILLE
CONTRACTOR'S NAME
HARWARD & CO
TELEPHONE
638-5898
CONTRACTOR'S MAILING ADDRESS
3291 MONIER CIRCLE #1 RANCHO CORDOVA 95670
Fireplace
CONSTRUCTION LENDER
UNKNOWN
Total Valuation Is 5,300
LENDER'S MAILING ADDRESS
Filing Fee
$ 15.00
Permit Fee
$ 67,50
ARCHITECT OR ENGINEER
LICENSE NO.
Plan Checking Fee
$
Energy Plan Checking Fee
$
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Penalty
$
BUILDING ADDRESS
40 FEILD DRIVE OROVILLE
Permit fee
$ 78.50
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
USE OF STRUCTURE
SF g Duplex[] Mobilehome❑ Other
SPECIFY
Gas piping system 1 - 5 outlets
5.00
Building sewer
15.00
Mobile Home S I G I W
@ 15.00
TYPE OF WORK
New ❑ Addition ❑ Remodel.W Uti lities ❑ Installation ❑ Other Fvl
Describe work: VINYL SIDING _
Permit Fee
$
Contractor
ELECTRICAL PERMIT
Filing Fee 15.00
Main service 20V OR S
00A OR LESS
18.50
Main service 200A TO IOOOAI
37.50
CONTRACTORS LICENSE LAW
enalty of perjury (Check One):
I dec;��ensedunder provisions of Chapt. 9, Div. 3 of the Business
and Professions Code and my license is in full rce and effect.
License ,Jo.,� `1 AQ 9 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 CONST. DWELLING OCCUP.tr
OR ADONIS. ACC. BLOGS.
3.64 sq.ft.
NEW CONSTR. ULT' -OUTLET
NO BRANCH CIRC ITS
@ 5 00
POWER APPARATUS tr
SINGLE OUTLET CIR. )
EX. OCCU
Occup(OUTLETS OR FIXTURES
20 76
FIXED APLNS.
Ex. Occup. OUTLETS PRESID OR EA.)
I 3.00
Temporary service
15.00
Mobile Home Facilities
15.00
Misc. byirin g
15.00
:E
Permit Fee
$
—
WORKMEN'S COMPENSATION INSURANCE
I declare unde alty of perjury (check one):
❑ e 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
g
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 Countyot
Butte to enter upon the above-mentioned property for inspection purposes.
I also agree to save, indemnify and keep harmless ounty of Butte against
a (abilities, judgments, costs, Md exp a ich may in any way accrue
a inst ai nsequ a of a Ing of this permit.
Date
signature of Applicant — Owner ❑ Contractor ❑ Agent
An OSHA permit is required for excavations over 5'0" deep and demolition or construct-
ion of structures over 3 stories fin height.
Mobile Home Installation Fee $
Energy Inspection Fee $
occ
CONST TYPE
TOTAL FEE
I I
HAz
1 11 FEES I
IMP
I FLOOD
cDF
PARCEL I PD
I HD
ISSu
This permit is hereby issued under the
sions of the Butte County Code and/or
work in 'c ed ab v f r whicWeve
DIR F PUBKS
By I
PER EXPIRES ate
applicable provi-
resolutions to do
been paid.
Date
Receipt No. liRS �0�Z
WHITE-D.P.W.. YELLOW-ASSFSSOR. PINK -INSPECTOR. GOLDENROD -APPLICANT
'�r.+^'r."�.,r�r..•r - eco•-.y,� .. ....,..-r*-.+`�q^n7;`."+Xl'!Y.' io"+�71r?M`[.4z A.y�y:,.•N._%Z"jv�
COUNTY OF BUTTE - DEPARTMENT�O,F, PUBLIC WORKS - BUILDING DIVISION
7 COUNTY CENTER DRIVE - OROVILL CALIFORNIA 95965 - TELEPHONE: 916/538-7541
+3
PERMIT A'PEFFICAVOWDATA SHEET
Permit No.
OWNER /
. A. P. No. �O'3�. —�
'Proposed Building Use S/'/%li(% Building Inspector Date 1k A%/
• � �'r r
At time of permit application, I was advised the following data must be submitted prior to permit processing and/or issuance:
DATE RECEIVED APPROVED
1. All items have been submitted . ....................................
2. Plot plans in duplicate/triplicate, signed by preparer of plans........
3. Complete plans in duplicate/triplicate, signed by preparer. of plans . .
4. Complete engineered plans and calcs, with wet signature on plans . .
5. Hazardous Material Form ..........................................
6. Energy Design Compliance and supporting documentation .........
7. Statement of Intent for Non -Heated and AC Buildings ..............
8. Engineered truss details and layout in duplicate (required prior to plan check)
9. Mobilehome installation data including manufacturer's installation
instructions.......................................................
10. Fees of $
11. Chico Urban Area fees paid .......................................
12. Park fees paid ....................................................
13• School District fees paid ..............
14. Sanitation approval from Health Department
15. City of Chico plumbing permit ......................................
16. Plot plan and business license approval from City of
(see City for other requirements)
17. Planning approval for (A) Use: (B) Parking: ......
18. Improvements may be required. Contact Land Development Section DPW
19. Driveway permit (construction approval required prior to occupancy)
20. Pre -Inspection for required Pre-Inspec. request to
Building Inspector (Date)
21. Contractor's license information (No., Name Style, Classifications ...
22. Certificate of Workmans Compensation Insurance ..................
23. Owner -Builder Verification (Given to owner ❑, Mail to owner ❑) .....
24. Recorded copy of Agricultural Acknowledgment Statement .........
25. Letter of signature authorization ...................................
26.
27.
When you issue the permit, process as follows: Mail to owner. Mail to contractor.
Telephone and hold for pickup at office. Deliver w/inspector.
Copy`of !-laz-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_—ttall—counter by ..date
Contractor, designer, owner, was advised of above required data by—phone —mal l—counter by date
Plans checked by
Sets of plans on hold in
Copy—DPW
Date Plans approved by
File cabinet AP folder
Date
J
COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT NO.
7 County Center Drive - Oroville. California 95965 - Telephone: 916.'538-7541
APPLICATION AND PERMIT
ASSESSOR PARCEL NUMB R
30 /
70NIN�
`� p� /
BUILDING PERMIT
OWNER D�
TJF-.LEP1,2�
SO. FT. OCC. BUILDING VALUATION
OWNER'S MAI LING DORESS /2 o 11i
; (t
CONTRACTOR'S NAME
TELEPHONE
_S
C� /
ONTRACTOR'S MAILING ADDRESS c
2 f-1 &70,rN Z e 057jn 7��i iU
Fireplace
CONSTRUCTION LENDER UNKNOWN
Total Valuation $
LENDER'S MAILING ADDRESS
Filing Fee
$ 155,00
Permit Fee
$ 5–O
ARCHITECT OR ENGINEER
LICENSE NO.
Plan Checking Fee
$
Energy Plan Checking Fee
$
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Penalty
$
BUILDING ADDRESS
Permit fee?
$ , I 0
PLUMBING PERMIT
Filing Fee I 15-oo
Each Trap
1 5.001
Solar or heat pump water heater
1 1 20.00 I
LOT NO.
SUBDIVISION NAME PARCEL MAP
Water piping
/.00' 1
Each qas water heater or vent
7.00
USE OF STRUCTURE
SFX Ouplex ❑ Mobilehome❑ Ot
SPECIFY
Gas piping system 1 - 5 outlets
5.00 I
Building sewer
15.001
Mobile HomeSIG W
@ 15.00
TYP OF WORK
New ❑ AdditionRemo I l—. Utilities Installation[ Other1
Describe work: �� �,f !� / N
Permit Fee
$
Contractor
ELECTRICAL PERMIT
Filing Fee 15.00
Main service 2000A OR LESS
18.50 j
Main service 20GATO IOOOAI
1 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 Jo. Classification
1 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
NEW CONST. / OWEL:ING OCCUP.y)
OR AODNS. l ACC. SLOGS.
j 13.5Cso.it.l
l I
NEW CONST R UL . I.OUTLE i
NON.RESIO. BP ANCH CIPC' ITS
I I@ 5.001
POWER APPAR ATIJS e
21NGL= OUTL-r =:R. )
Ex. OCcuo(OUTLETS OR=IXT'JRES
I aa0�a5a I
60
F;AEO APPL!JS. OR
Ex. Occup. uTL-'S 'RESIC.; EA.)
I 3.00
Temporary service
15.00
Mobile Home Facilities
15.00 I
Misc. Wiring
g
i 15.00
Permit Fee
S
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
FilingFee 15.00
Heating
Cooiing
Hood
1 6.50
Ventilation
permit Fee
S
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
$ignoture of Applicant — Owner C Contractor ❑ Agent ❑
An OSHA
;on of structures toverr 3 storiesoineheight. ons over 5'0" deep and demolition or construct- '
Mobile Home Installation Fee S
Energy Inspection Fee $
OCC CONST TYPE
TOTAL FEE'9-. , v
HA[ OFEES IMM FLOOD I CDF I PARCEL IPD
i
HD ISSUE
I
This permit is hereby issued under
sions of the Butte County Code and/or
work indicated above for which fees
DIRECTOR OF PUBLIC
By ---
PERMIT EXPIRES Date
the applicable provi-
resolutions to do j
have been paid.
WORKS
Date 1 i
Receipt No.
"Hirt-O.R.'N.. }ELLOW- 55ESSOR. �Mt•M9V ECTOR. rn, nr..onn_�R �, ,r�ur I
79B
, PERMIT NO. 5854 -
PERMIT EXPIRES 9Z24Z80
OWNER GARY HELLON
CONTR. owner
*LOCATION (A.P. 34-03-116
40 Field Drive, Oroville
G%
Temp. Power Pole
Called PG&E
Temp. Elea Serv.
Called PG&E
Temp. Gas Serv.
Called PG&E
JOB
F I N A VEZI.
(Date C000,
(Signature)
COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS
BUILDING INSPECTION RECORD ~
BUILDING
BUILDING (Cont'd)
PLUMBING
Setback
Firewall
Soil Piping
Forms
Parapets
1st Floor
Main Bldg.
Restroom Finish P
2nd Floor
Footings
Windows
3rd Floor
Stemwall
Siding
To out
Slab
Roof Sheathing
Water PI In
Piers
Roofing -
Sewer
Garage
Fdn. Vents V
Fixtures
'
Footings
Stemwall
Garage Vents A
Insulation `
Water Htr.
Heaters
Slab
Carport
Footings
nr physically !
handicapped
Conformance of ex. '
X structure
Appliances
Gas Piping &Test
Temp. Gas
Slab
Final y
Sanitation
Patio
FIREPLACE
Final
Footings
Footing C?
ELECTRICAL
Masonry Walls
Throat
Rou h
r
Reinf. Steel
Final — �j`~ G
Fixtures
Bond Beam
FIRE SPRINKLERS
Motors
Framing
Test
Water Htr.
Stucco
Final
Subpanels
A
Mesh
MECHANI AL
Grd. Fault Prot.
IN
Scratch
Heating
Service
1 t.
Brown
Cooling
Temp. Pole
Finish
Ducts
Undergroun
Interior Lath
entilation !
Perm
Door Closer
nal
Final
MOBILEHOME UTI ITIES - - - - - - - - • - - - - - - - - - Ele . S!E' ice
Elec . Pedestal
Water Piping
Sewe
Gas Piping
BI EME IN ALL TION
-J - - - - - - - - - - - - - Support i
Elec. Continuity
Water Piping
Drainage
Gas Piping
DATE
REMARKS OR CORRECTIONS
(NOTE: An entry must be made on this form each time you visit the job site.)
COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS
7 County Center Drive - Oroville, California 95965 ///�����/�
Telephone: 534-4541
APPLICATION AND PERM)
authorize representatives of the County of Butte to enter upon the
above-mentioned property for inspection purposes.
x Date
Si azure rmltee or Agant
o -
Receipt No. 7 o o
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
2fors hAbeenpahCTC WORKS
Date
a
BUILDING
Owner �GL��
SQ. FT. OCC. BUILDING VALUATION
Mailing Address
r Telephone No.
O_> L l—
V
Contractor
Mailing Address
Fireplace
Total Valuation Lip,
Telephone No.
Permit Fee
Building AddressPlan
Checking Fee&/or Penalty
Permit Fee�cx>
PLUMBING No.1 @ FEE
PERMIT FILING FEE $3.00
Each Trap 1.50
v LLRepair
drainage or vent piping 1.50
Ll
A. P. No. L — O (p
_
oning & Planning
Water piping 1.50
Each gas water heater or vent 1.50
Fees
41
•-&anttatton
Fire Dept.
FireZone
Use Permit
Gas piping system 1 -5 outlets 1.50
EQA
Parking
Plans
Parcel
Declaration
Parcel Map
60' R/W
Improvements
Each additional outlet .30
Building sewer 5.00
Bldg. Pon 9 Rere'd I
Parcel AEproval
Plans Approval
Lawn sprinkler system 2.00
NEW ❑ ADDITION ❑ UTILITIES ❑ OTHER H
Permit Fee $
$
ELECTRICAL No. @ FEE
PERMIT FILING FEE $3.00
Main service 100 AMP LOR ESS 5.00
Single Family Duplex ❑ Mobil Home ❑ Others ❑
Main service EA. ADD'L 100 AMP 2.50
,%�Main
_�� f/
service OVER 600V 25.00
100 AMP OR LESS
Main service EA. ADD'L 100 AMP 1.00
NEW
OR ADDNST ( ADWECCLBLDGSCCUP. s) 20sgft
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 of:
NEW CON5T1i BRANCHMULT CIR T
NON-RESID (BRANCH CRCUITS) 2.50ea
I
NEW CONSTR. POWER APPARATUS &I
NON.RESID. (SINGLE OUTLET CIR.
EX. OCCUP(OUTLETS OR FIXTIIRES BAL01
FIXED A
Ex. Occup.(OUTLETSPLNS (RESID)REA) 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 $
$
MECHANICAL No. @ F_EE
WORKMEN'S COMPENSATION INSURANCE
1 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.
R1 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.
PERMIT FILING FEE J$3.00
Heating
Cooling
Ventilation
Hood 2.00
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 Date
Si azure rmltee or Agant
o -
Receipt No. 7 o o
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
2fors hAbeenpahCTC WORKS
Date
a
068-030-116 #98-2623
"HELL° ON GARY W.
40 FIELD DR. OROVILLE
WOOD HEAT & SPA
GAS FIREPLACE INSERT
COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING D�,VISION
7 County Center Drive Oioville, California 95965 • Telephone (530) 538 4 PERMIT NO.
(Rev. 12/96) APPLICATION AND PERMIT e _ Q- � Hl
ASSESSOR PARCEL NUMBER
068-ni0-116
ZONING
AR1
BUI DING PERMIT
OWNER
"F? 1MY CARY 41.
TELEPHONE
9-99-2077
SO. FT. OCC. BUILDING VALUATION
OWNERS MAILING ADDRESS 40 FTFLT) DRIVE
CONTRACTORS NAME GrPT) 'TrAT kID SPA
�3J
TELEPHONE
CONTRACTORS MAILING ADDRESS
PARAnIST'
CONSTRUCTION LENDER
Fireplace
LENDERS MAILING ADDRESS
Total Valuation $
ARCHITECT OR ENGINEER
LICENSE NO.
Filing Fee $
20.00
Permit Fee $
ARCHITECT OR ENGINEERS MAILING ADDRESS
Plan Checking Fee $
BUILDING ADDRESS
40 FIT'LD IORIt't',OR(1VILLT'
Energy Plan Checking Fee $
$
PERMIT FEE $
LOT NO.
SUBDIVISIONS NAME
PARCEL MAP
PLUMBING PERMIT Fling Fee
20.00
Each Trap 1 7.00
USEOFSTRUCTURE
V
SF ❑ Duplex ❑ Mobilehome ❑ Other
SPECIFY
Solar or heat pump water heater 23.00
Water piping 15.00
Each gas water heater or vent 15.00.
TYPE OF WORK
New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑
Describe Work: GAS F11REPT,Arr- IA14FRT
Gas piping system 1 - 5 outlets 15.00
15.010
Building sewer 15.00
Mobile Home ISI GI W1 @20.00
PERMIT FEE $
35.0!')
ELECTRICAL PERMIT Fling Fee
20.00
1100V LES
Main Service p 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.
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:
❑ 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 +000A 46.00
NEW CONST. DWELLING OCCUP. SO
OR ADONS. ( a acC. eLos. 3.5QFT:
EW CONST.
NON•RESID. MU LTI-OUTLET 97.50
POWER APPARATUS
8 SINGLE OUTLET CIR.
20
Ex. Occu OUTLET OR FIXTURES
SAL @ I;o
FIXED APPLNS. OR 5.00
Ex. Occup. ouTLETs RESID. EA
Temporary Service 23.00
Mobile Home Facilities 20.00
Misc. Wiring 23.00
PERMIT FEE S
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 issues{. t
❑ 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 15.6r
Cooling
Hood 6.50
Ventilation
PERMIT FEt $ 1S (N1
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.)
certify that in the performance of the work for which this permit is issued, I shall
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.
n
X A,✓},.h Z(J •i ��"1.�. Date ��- 9 - %8
Signature of\Applicant - ❑ Owner ❑ Contractor ❑ Agent
An OSHA permit is required for excavations over 60" deep and demolition or construction
of structures over 3 stories in height.
Mobile Home Installation Fee $
Energy Inspection Fee $
Occ
CONATYPEI
TOTALFEE $ 7n• 0ftnot
HAZ.IMP
I FLOOD
I CDF
PARCEL
PD
I HD
I ISSUE
This permit is hereby issued under the applicable provisions
of the Butte County Code and/or Resolutions to do
indicated above for which fees have been paid.
By-' ^r ! ., �r Date �� �i
PERMIT EXPIRES ON %
Date
work
i• I'
Receipt No. ZS 11L,7
WHITE-D.D.S.-B.D. CA PINK -INSPECTOR GOLDENROD -APPLICANT
„ COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SZ-RVICES - BUILDING�QSION
7 County Center Drive • Oroville, California 95965 • Telephone (530) 53 No.
(Rev. 12/96) APPLICATION AND PERMIT 1.00
ASSESSOR PARCEL NUMBER 068--030-116
ZONING R1
BUILDINGPERMIT
OWNER
FELLOW GARY W.
TELEPHONE
589-2077
SO. FT. OCC. BUILDING
VALUATION
.OWNERS MAILING ADDRESS 40 FIELD DRIVE
CONTRACTOR'S NAME r.I00D '-TEAT APID SPA
TELEPHONE
CONTRACTORS MAILING ADDRESS
PARADISR
CONSTRUCTION LENDER
Fireplace
LENDERS 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 4.0 FIELD DRIVE. OROVIL LEEnergy
Plan CheckingFee $
$
PERMIT FEE S
LOT NO.
SUBDIVISIONS NAME
PARCEL MAP
PLUMBING PERMIT
Fling Fee 20.00
USEOFSTRUCTURE
SF 1� 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 ❑ Utllities ❑ Installation ❑ Other ❑
GAS FIREPLACE IPTSERT
Describe Work:
Gas piping system 1 - 5 outlets
15.00 15.00
Building sewer
15.00
Mobile Home S G W
920.00
PERMIT FEE S
35.00
ELECTRICAL PERMIT
Fling Fee 20.00
800VOR LE
Main Service 20 OA OR LESS
23.00
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter
9 (commencing with Section 7000) of Division 3 of the Business and Professions Code,
and my license is in full force and effect.
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:
❑ 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
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 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.
-7 pp
X lit) , "I C-� Date �/—y 0[9
Signa ure of,pplicant - ❑ Owner ❑ Contractor ❑ Agent
An OSHA permit is required for excavations over 60” deep and demolition or construction
of structures over 3 stories in height.
Main Service 200A TO 1000A
46.00
NEW CONST. DW8 ACELLING OCCUR SO
OR ADDNS. ( C. BLDS. 3.5¢FT.
N"�RESDT MULTI.OUTLET 97,50
POWER APPARATUS
8 SINGLE OUTLET CIR.
Ex. Occup. OUTLET OR FIXTURES BAl 1.50
Ex. Occu , oFunEDTSA .a.DEA
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 15.00
Cooling
Hood 6.50
Ventilation
PERMIT FEIE $
Mobile Home Installation Fee $
Energy Inspection Fee $
occ
CONST. TYPE
TOTAL FEE $ 70.00
HAZ.
1 D. FEES IMP I
FLOOD
I CDF
PARCEL
PD
I 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.
By Date
PERMIT E IRES ON
I rate
Receipt No.
WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT
(Rev. 12/96)
COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION
7 County Center Drive • Oroville, California 95965 Telephone (530) 538-7541
APPLICATION AND PERMIT
PERMIT NO.
ASSESSOR PARCEL NUMBER D / Aj ^ 0 ^ � / 6
�� /S
6 CY%` (-00-
:71 a /
BUILDING PERMIT
OWNER
12 y W, EL.LC)A)
TELEPHONE
9-7.077
SO. FT. OCC. BUILDING VALUATION
OWNERS MAILING ADDRESS
CONTRACTOR'S
V LLf Cl* a'V.L�
TELEPHONE
CONTRACTORS MAILING ADDRESS PbL,_^ ,.,`1 C p A
CONSTRUCTION LENDER
LENDER'S MAILING ADDRESS
Fireplace
Total Valuation b
ARCHITECT OR ENGINEER
LICENSE NO.
Filen Fee $
20.00
Permit Fee $
ARCHITECT OR ENGINEERS MAILING ADDRESS
Plan Checking Fee S
BUILDING ADDRESS
4,
Energy Plan Checking Fee S
a
PERMIT FEE _
LOT NO.
SUBDIVISIONS NAME
PARCEL MAP
PLUMBING PERMIT
Filing Fee 20.00
USEOFSTRUCTURE
SF F J?t0lex ❑ Mobilehome ❑ Other
BPEc�v
Each Tre
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 ❑ Rejmodel ❑ Utilities ❑ Ins/tana*m ❑ Other ❑
Describe Work: Ko- 's
Gas piping system 1 - 5 outlets
15.00 C)
Buildingsewer
15.00
Mobile Home IS1G W
(920.00
PERMIT FEE _00
ELECTRICAL PERMIT
Filing Fee 20.00
ES
Main Service OR s
23.00
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter
9 (commencing with Section 7000) of Division 3 of the Business and Professions Code,
and my license Is in full force and effect
License Class LIC. No.
OWNER -BUILDER DECLARATION
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
performance of the work for which this permit Is issued.
❑ 1 have and will maintain workers' compensation Insurance, as required by Section
3700 of the Labor Code, for the performance of work for which this permit is issued.
My workers' compensation insurance carrier and policy number are:
Carrier
Policy Number
(The above sections need not be completed If the permit is for work of a valuation
of one hundred dollars ($100) or less.)
❑ 1 certify that in the performance of the work for which this permit Is issued, I shall
not employ any person in any manner so as to become subject to workers'
compensation laws of California, and agree that if I should become subject to the
workers' compensation provisions of section 3700 of the Labor Code, I shall
forthwith comply with those provisions.
X Date
Signature of Applicant - ❑ Owner ❑ Contractor ❑ Agent
An OSHA permit is required for excavations over 50• deep and demolition or construction
of structures over 3 stories in height.
Main Service PRA TO 1000A 46.00
NEW CONST. DWELLING OCCUP. s0
OR ADONS. ( 6 ACC. UDS. 3. *FT,
I CUI Q7.50
NOI+RESID. NEW CONST.Z.O. CIRCUITS
PowER APPARATus
8 som OLRLEr G0.
Ex. Occu OUTLET OR FIXTURES20 ® 1.00
eA! .50
Ex. Occup.D AP ID6 °ER, 5.00
Temporary Service 23.00
Mobile Home Facilities 20.00
Misc. Wiring 23.00
PERMIT FEE i
MECHANICAL PERMIT Filing Fee 20.00
Heating S.
—Cooling
Hood 6.50
Ventilation
PERMIT FEt $ �S '
Mobile Home Installation Fee $
Energy Inspection Fee $
occ
CONST. TYPE d
TOTAL FEE $
HAZ
D SEs IMP
FL000
CDF
PARCEL
PO
Ho
ISSUE
This permit is hereby issued under the applicable
of the Butte County Code and/or Resolutions
indicated above for which fees have been
By Date
PERMIT EXPIRES ON
Mato)
provisions
to do work
paid.
iptNo.
rRec
WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT
f _ HAGBERG
CONSTRUCTION
1129 Dewsnup Ave.
U M k Gridley, CA. 95948.
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COUNTY OF BUTTE
BUILDING DIVISION ti ms
DEPARTMENT OF DEVELOPMENT SERVICES
7 COUNTY CENTER DRIVE
ca
f
OROVILLE, CALIFORNIA 95965-3397 co
d w
ADDRESS CORRECTION REQUESTED
i
s,
3 09 4 $--'�
tr Qovic�
S. LOWELL HAGBERG
1129 DEWSNUP AVENUE
GRIDLEY CA 95948
HAGB129 959481158 1200 17 03/09/00
RETURN TO SENDER
HAGBERG
i251 W GRANITE DR
LAYTON UT 84041-8129
f- I'm,I" it. I I Is If I I III 1111ijill�i���lli Iflits 1L,111
I
I
.Fars'- /))) ///���+++-? nt.' / ti •. L�
Ile
MARCH 7, 2000 1
V i
L014ELL HAGBERG
1129 SNUP AVENUE -J
GRIDLEY, 48
t
y
LAND OF NATURAL VY EA LTH AND BEAUTY
BUILDING DIVISION
DEPARTMENT OF DEVELOPMENT SERVICES
7 COUNTY CENTER DRIVE • OROVILLE, CALIFORNIA 95965-3397
TELEPHONE: (530) 538-7541
FAX: (530)538-2140
RE: Building Permit # 99-0573(DECK)
Expiration Date: 4/12/00
A.P. y 068-03-0-116
With reference to the above subject, our records indicate that your building permit expires on the above
date and your permit falls into one of the categories marked below:
[ ] Permit work started, but not completed. Permit may be renewed for 1/2 the original building
permit fee (plus a $20.00 filing fee). The renewal permit will extend the building permit for an
additional year from the original expiration date. Should you not renew your permit within 30
days of the expiration date, all work must cease until a new building permit has been issued. For
your convenience, we are enclosing a renewal application form and owner -builder form to be
completed and signed by you where indicated and returned to this office together with the fee
shown. Please return all copies of the application form.
X(f X No inspections have been made on permit work. Inspections are required to verify code
compliance. We are unable to renew a permit where the work has not been started and inspected
prior to permit expiration. After expiration of your permit, no work may be started until a new
permit has been issued.
[ ] A final inspection has not been made on permit work. Final inspection approval is required
before occupancy. Our field inspector has verified that the building is occupied. Occupancy
must cease until a final inspection can be made and final approval given. You have 30 days to
voluntarily cease occupancy or to present an acceptable plan for abatement or corrective actions
to be taken by you.
If our records are in error or should you have any questions concerning this matter, please contact the
OROVILLE office.
Thank you for your prompt attention concerning this matter.
MCV:ahb
Attachments
Chico Office - 1469 Humboldt Rd/891-2751
Yours very truly,
4ceC. Vira, C.B.O.
Manager, Building Inspection
Paradise Office - 747 Elliott'Rd/872-6307
CC: GARY HELLON, 40 FIELD DRIVE, OROVILLE CA 95966