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HomeMy WebLinkAbout068-200-02168-20-21 ,a 92-1021 BPEM PUGH, -W. R. - 1231-70B i THOMSON, Stephen 1125-70E 5 Valinda Cr, Oroville 0 - OP cont: Lawson & Sparks Cons' -18-2 4 addition/sf #5 Valinda Circle, Oro ille j (new single family) 0 f � - ��-�� � `` - --J RESIDENTIAL 68-20-21 92-1021 BPEM THOMSON, Stephen 5 Valinda Cr, Oroville cont: Lawson & Sparks Const addition/sf JOB FINALE Signature I J=OK O=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 MISCELLANEOUS Date DECKS, COVERS, CARPORTS, GARAGES, (Plans)OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Footings; Soils -Size -Depth -Spacing -Connectors -Steel 3. Decks; Griders and/or Joists -Decking -Bracing -Stairs -Rails 4. Wood Awn.; Posts- Bea ms- Rftrs.-Connectors Shthg.-Rfg.-Bracing 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Carports; Windows -Doors 7. Electric 8. Frmg; Sils-Anchors-Studs-Rftrs-Trusses 9. Siding; Nailing -Veneer -Stucco -Mesh 10. Roof; Shthg-Roofing 11. Ext.; Steps -Doors -Landings Date Card B-1 Date Card B-1 Date Card B-1 Date Card -B-1 Date POOLS (Plans) OK except #'s 1. Setbacks -Easements 2. Soils; Compaction -Structure Stability 3. Pool Structure; Steel -Connections -Thickness Dead Men -Lining 4. Elec.; Receptacles and Lighting, Distances-GFI 5. Elec.; Pool Lighting; 15 volts-GFI 6. Elec.; Enclosures; Conduit Entries -Terminals -Listed 7. Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater 8. Elec.; Grounding; Equip. w/5' Circulating Equip. -Pool Lghtg. _ Boxes-Enclosures-Panelboards-Ins. to Main in Conduit 9. Health Department Approval 10. Plumb.; Cir. Test -Water Supply Test Date Card B-1 Date Card B-1 Date Card B-1 Date Card 3-1 3. Sewer; Location -Test -Fall -C/O Concrete 4. Water; Location -Test -Easement Needed (Sketch) 5. Electricity; Location-Clearences-Grnd-/ /Amp -Concrete 6. Gas; Location -Test -Wrap: / P L" ft. / /"Nat. or/ /"L"ft./ /"LPG 7. Well Clearance & Disconnect 8. Utility Clearance Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date MOBILE HOME INSTALLATION (Plans) OK except #'s 1. Zoning Requirements -Setbacks Easements 2. Footings; Size -Spacing -Marriage Line 3. Gas; MH Test -Demand -Valve -Connector 4. Electricity; MH Test -Crossovers -Breakers -Clearances 5. Drain; MH Test -Fall -Flex Connector 6. Water; MH Test -Regulator -Connector a 7. Water and Sewer Connected -C/O to Grade -HD Approval 8. Gas and Electricity Tagged 9. Exits; Insp.-Sketch 10. Cert. of Occupancy Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 MISCELLANEOUS Date DECKS, COVERS, CARPORTS, GARAGES, (Plans)OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Footings; Soils -Size -Depth -Spacing -Connectors -Steel 3. Decks; Griders and/or Joists -Decking -Bracing -Stairs -Rails 4. Wood Awn.; Posts- Bea ms- Rftrs.-Connectors Shthg.-Rfg.-Bracing 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Carports; Windows -Doors 7. Electric 8. Frmg; Sils-Anchors-Studs-Rftrs-Trusses 9. Siding; Nailing -Veneer -Stucco -Mesh 10. Roof; Shthg-Roofing 11. Ext.; Steps -Doors -Landings Date Card B-1 Date Card B-1 Date Card B-1 Date Card -B-1 Date POOLS (Plans) OK except #'s 1. Setbacks -Easements 2. Soils; Compaction -Structure Stability 3. Pool Structure; Steel -Connections -Thickness Dead Men -Lining 4. Elec.; Receptacles and Lighting, Distances-GFI 5. Elec.; Pool Lighting; 15 volts-GFI 6. Elec.; Enclosures; Conduit Entries -Terminals -Listed 7. Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater 8. Elec.; Grounding; Equip. w/5' Circulating Equip. -Pool Lghtg. _ Boxes-Enclosures-Panelboards-Ins. to Main in Conduit 9. Health Department Approval 10. Plumb.; Cir. Test -Water Supply Test Date Card B-1 Date Card B-1 Date Card B-1 Date Card 3-1 ✓=OK O=Not OK Not = Not Ready RESIDENTIAL RESIDENTIAL (Single Date UNDE21FLOORO(Plans) OK except #'s Date o ' '•g -Setbacks -Easements -Flood -Slope _Vftg., Main; Soils-Elec. Grnd.-jZ(:�,Ftg. Depth 3. Ftg., Garage: Soils-Steel-Elec. Grnd.-/ /" Ftg. Depth 4. Ftg., Porches & Decks; Soils -Steel-/ /Ftg. Depth temwalls, Main; Steel-Blockouts-Wrapped 6. Stemwalls, Garage; Steel-Blockouts-Wrapped 6a. Hold Downs and Special Anchors 7. Slab; Steel -Wrapped lef-F:ro.,�nra�taa� .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 -Anchor -Regulator -Service Test 12. Electric; Underground -L3 -P'- ums & Ducts; Clearance -Material -Support -Ins. Gir rs-Sills-Anchor Bolts -Joists -Vents -Cripples -+e Access & Ventilation 16. Insulation Dat —.ard B- Date Card B-1 Date-( Lft/Card B- Date Card B-1 Date PLUMBING (Permit),OK except 4's 16. Water Htr.: Vent -Access -Combustion Air -Baffle 1M. Water Pipe: Test & Anchor -Nail Protection ------------ Test-Fittings ------Test-Fittings & Anchor -Nail Protection 19. Shower Pan: Test, First Floor -Tub Access 20. Test Tub & Shower, Second Floor -Tub Access 21. Gas Pipe; Size & Anchors Date- - -Card B_1 ---- Date - Card B1 Date Card B-1 Date Card B-1 Date ELECTRICAL (Permit) OK except #'s Fi re & Transformer Clearance -Ins. Protection ----------- --- - ----------------- ----------- ---- ---- ------- EI Receptacles Spacing -Lights & Switches at Doors ySiy�_Boxes & No. of Conductors-Stapled _ l25 R x Installed Close to Edge of Studs & C.J. -------- --------------- ----------led Close to ---f Stud---C.--------------------- Equip. Ground made up w/Meeh. Fastners-Bond Gas & Water --- -- ---------------------- ------------------------------------------------------- 22-2-Apptiance Circuts in Kitchen & Conductor Size/GFI -------------- -- ---------------------------------- ---------------- eed Wire Sizer r ga. Cu or AI-A.C. Wire Size ! ! ga. Cu or Al --------------------------------------Ra . - ------------ -------g --------------- ---- 7 a. Cu or AI -Oven Circ. / / a. Cu or Al. Insulated Neutral ❑ Yes ❑ No --------------------------- ------------------------------------------------ rvice-Riser nductors & Ground -Main Disconnect -------------------------- ---------------------- ------------ ----------------- p. Clearances Panels -Motors -Meth. Equip. Clothes Closet Light -Shower Light -Spa Light ------------ ------------------------------------------- ----------------------- 33. — - - - Smoke Detector ----------- -- ----- ------ ---- - ---- ------ -- ------------------------------------ Date Card B -t Date Card -B- 1 --------------------------------------------------------------------------------- Date Card B-1 Date Card B-1 Date MECHANICAL (Permit) OK except #'s 34. A.C. Ducts Insulation & Support 35. Vent Fan; Exhaust above insulation 36. Condensate Drain & Overflow: Size & Grade ------- --- - - - -- 37.-Furnance_Vent: Access_Comb_Air_Return-Air Vent --1-1-5 out -let -38. -Attic -Access-&- Platform if Furnance in Attic ----------------------------------------------------------------------- Card ----- - - -- --- --- ------------------------- ----------- - Date - - Card B_1 Date Card B-1 ----------B- ----------------- ------------- Date Card B-1 Date Card B-1 Date FRA '(Plans) OK except #'s 9. Sils, Proper Material & Anchors -------------- --- --------------------------------------------------------------- II tuds-Nailing. Spacing & Bracing -Plates -Sound Bearing Walls over Girders & Floor Nailing ---------- - ------------------------------------------------ - Draft Stop in Walls (rat proof) ........... "'----------------------------------- -- ------ -------------------- 43. Fire Stops: Furred Ceilings -Stairs -Chases -Tub --- ------ ---------------------i: 44 Headers & Beam -Size & Bearing & Duplex) FRAMING (Continued Hddngers-Post Caps -Anchors -Connectors - Csi ing. Joist-Rftr. ties-Purlin-roof Brac-Truss-Shthng.-Rfng. _ 4-; F— ptave Ties or Type A Flue -Fireplace Throat clearance &4a -'Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles . Windows or Exiting Doors -Sill Hqt. & Dimensions 56:-19mm7e-Fire Protection Framing tine Firewall & Openings ------------------------- - _ 3' -Check Garage -3rd Story, 2 Exits ------ ------ __ room -Rise -Run -Landing -Fire Protection ----------- ywood on Roof Overhang -Attic Vents -Rafter Outriggers -&-Tiding- Nailing Veneer ------------------------ _ _ ,'��y - Screed -Fd. Vents-Underflr. Access _ ri;• ._Glazing Area -Glass Protection -Skylights -Plastic 58. Sh ir Walls; Nailing -Bolts nsulation-Walls-Ceilinas 60. Infiltration -Walls -Windows Date Card B-1 Date _ Card B-1 Dat Card B-1 / Date Card B-1 Date FINA Plans) OK except #'s - - E>>xt.��Steps-Door &Sidelight Protection -Landings 6e-5moke Detector -------------------- ----- - 63. Fu ce: Vents -Clearance -Comb. Air -Connector - In Garage: Above Floor -Ducts -Meeh. Protection - ----- -- 64-----r m Exiting -- - 615- F.I &Bath Fixtures & Tub Access -Spa 66. rim & Subpanel: Breaker Sizes & Labels --------- ---- �6�"Stama Ha is =- ----- ---------------------`------. — arances-Hearth Outlets at Wood Panel: Int. Ext. _------------- - -- 7 ix . pp i ce; Grnd.-Air Gap -Cooking Clearance 7--- eptacles at Kit. Counter --------- - - _ Swing -Landing -Closer - 1<2-11-6 ^ �^ Damper ------- ---------------l.--------------- '' � _:..e:a„rance-Comb. Air-Connector-P.R.V. In Garage: Above Floor -Meth. Protection ------------ -------------------- - 7 isted for Location ---------------------------------------- -. c es rage: (G.F.I.)-Romex Protection -------------- ecept ----- ulation-Foam-Looked in Attic ❑ Yes --------------- ----------------------------- -- - UeCK Cu6struction -Post Caps 7 Vents & Crawl Hole Door -Drainage & Wood -Earth --------Clearance Looked -under Floor ❑ Yes ---------------------------------- - !Zwing in e ❑ Yes ❑ No: Walks ❑ Yes ❑ No: Planters ❑ Yes ❑ No - --_- rown_Fimsh ------ 8 e�hElectrical, Plumbing 8 ents Above Roof; Plbg.-Appliance-Fireplace.-Clearance to Openings I. Electrical, Plumbing x or Elec. Trim; G.F.I. Receptacle -Underground ------------------ ---- -------- Throughout - - Throughout House - ----- - ----- - - ---- ------------ la rotection orr_ections from Previous Inspections -- - -- 8 ged; Gas -Electric -- - - 6artrrected-C/O to Grade -HD Approval — 9 Energy Compliance Certificate -Other Certificates��--- Dat �/ ward B-1 i Date - Card B_1_- - - ~ ---- -f -- -Date--.. Card B-1 _ Date ---Card-B-1 Date Card B-1 Date Card B-1 Comments at Final: COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 1469 Humboldt Road, Chico, CA - (916) 891-2751 7 County Center Drive, Oroville, CA - (916) 538-7541 747 Elliott Road, Paradise, CA - (916) 872-6307 CORRECTION NOTICE -T /-/ D .S0 SZ_1aZl OWNER PERMIT NO. A routine inspection indicates that the following violations of Butte County Ordinances exist at the above address and should be corrected. Please 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. � id K S r •:_ �i Date < / 21 Inspector REV 11/91 , / COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 1469 Humboldt Road, Chico, CA - (916) 891-2751 7 County Center Drive, Oroville, CA - (916) 538-7541 747 Elliott Road, Paradise, CA - (916) 872-6307 CORRECTION NOTICE OWNER PERMIT NO. A routine inspection indicates that the following violations of Butte County Ordinances exist at the above address and should be corrected. Please 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. iv '� l'D �.% ✓ d '� iA r 1, r i 74 Date el -L— Inspector REV 11/91 ENERGY CERTIFICATION alu_ v0CA ` A.F. ROOF MATERIAL THICKNESS EXTERIOR WALL BRAND NAME THERMAL RES. MATERIAL Fiberglass BRAND \AME Certineed THICKNFSS . THERMAL RES. 43 CEILING BATT OR BLANKET TYPE—FIBERGLASS BRAND NAME Certineed THICKNESS THERMAL RES. LOOSE FILL INSULSAFE III BRAND NAME CERTAINTEED THICKNESS ,�Z �, THERMAL RES. FLOOR—ELEVATED MATERIAL Fiberglass THICKNESS FLOOR—SLAB INTERIOR WALL MATERIAL Fiberglass THICKNESS BRAND NAME Certineed THERMAL RES. L� BRAND NAME Certineed, THERMAL RES. I HEREBY CERTIFY THAT THE ABOVE INSULATION WAS INSTALLED IN THE ABOVE BUILDING IN CONFORMANCE WITH THE STATE OF CALIF. ENERGY REQUIREMENTS. HAWKINS IND.INC%dba SHASTA INSULATION LIC.#650722 A/ 02 /91? Ihereby certifv the above insulation and all required items as shown on the building department approved plans and attachments have been installed as required by the State of California Energy Requirements. All equipment,devices and materials are of the quality prescribed or -,are specifically approved by the State +of Calif. ----------------------------------------------------------------- - FIRM NAME/OWNER (PLEASE PRINT) STATE CONT. LIC# SIGNATURE OF GENERAL CON V OWNER DATE . This certificate must be on file with the Rri l iii ry mmnt _ n�4 nr t„ F4 nc,, 5,2 --/Os/ 600-.2C)- z/ Worm Loads for bdi-LdM Beams 24F -V4 Douglas Fir " C` 13'/t • 315 1614 1198 ' 775 Spen(kretl Floor BeGMS ,tet t S. 10 12 14 16 18 20 22 24 26 28 30 32 34 36 38 40 Fb--2.400 psi 31b x 6 366 188 109 — — — — — — — — — Fvm165 psi 1'/t IIS 366 212 133 — 6-1.800.000 psi 9 9S2 633 366 _—_„— 231 154 109 DF --1.0 101/1 1155 875 582 366 245 172 126— T—Wection Limit='/Mo 2161 112 1031 825 547 366 251 108 141 109 — — -- — 13'/t • 315 1614 1198 952 775 521 366 267 201 154 122. —- 15 1875 1315 1086 .897 115 502 366 275 •212 161 133 109 — 161/1 2161 1565 1226 1008 856 669 467. 366 282 _222._118 _118 144 119 — 16 2475 1168 1375 1125 952 825 633 ' 475 366 288 231 188 I S4 129 109 -- — 19'h 2822, -19.86 - 1.532 1247 1051 909 792 604 466 366 298 238 196 164 138 117 101 21 _ 3201{ 2221 � 1699 1315 1155 996 87S 755 562 4S7 366 298 245 205 172 147 126 221/t 3640 2475 1875 1509 1263 1086 9S2 848 715 563 450 366 302 2$2 212 180 154 24 4125 2750 2063 1650 1375 1179 1031 917 811 683 $47 444 366 305 257 219 188 3'/16s6 403 206 119 — —- 7'/: 787 403 233 147 -- — as -- -•- — — = — — — — 9 1047 696 403 254_- 170 119 — —- 101/: 1271 963 640 _-_ 403 _ 270 190 138 104 — -- — - -- — -- --- _ .w 12 1513 _1134 908 601. 403 283 206 ISS 119 — — — 13,b 1716. jll7 1041 852 574 403 294 221 170 134 107 --- — — is 2063 1513 1194 986 787 553 403 303 233 183 141 119- 16'/t 2317 i 1721 1349 1109 942 735 536 403 310 244 195 1159 131 109 — •-- 18 2723 1945 1513 1238 1047 908 696 523 403 317 254 206 170 142 119 101 — 19!/1 310S 1685 1372 1157 1000 871 665 512 403 323 262 216. 180 151 119 Ill 21 $529 _2185. 2443 1868 1513 1271 1095 963 822 640 503 403 318 W403 270 225 190 161 138 22' 1 .4004 2723. 2063 1660 1389 1194 1047 932 780 619_495 _ 332 277 233 198 110 24 4538 3025 2269 1815 1513 1296 1134 1008 682 746 601 489 403 336 283 241 206 5'/6 x4 401 308 178 112 — —. - - *Depending on the supply of raw material. VN Industrial Grade Redi-Lams may be produced as 24F -V5, mixed species lay up, with no loss of structural strength. 2' d _SNS 'Wad -15d 9S : ZG1 00, 22 d3S COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS / 7 County Center Drive - Oroville, California 95965 - Telephone: 916/538-7541 APPLICATION AND PERMIT PERMIT NO. gz �Ozl ASSESSOR PARCEL NUMBER 068-200-021 ZON.ING A R BUILDING PERMIT OWNER SQ. FT. OCC. BUILDING VALUATION R. STEPHEN 79OMSON OWNER'S MAILING ADDRESS 568 R 30,672 5 VaLINDA CIR OROVILLE CONTRACTOR'S NAME LAWSON & SPARKS CONST CONTRACTOR'S MAILING ADDRESS P.O. BOX 782 OROVILLE Fireplace CONSTRUCTION LENDER OWNER UNKNOWN Total Valuation $ Filing Fee $ 15.00 LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ Bu1L51 VaLINDAG ADORES s CIR OROVILLE Permit tee PLUMBING PERMIT FIIingFee 15.00 Each Trap 2 5.00 10.00 Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP Water piping 7.o0 7.00 Each qas water heater or vent 7.00 USE OF STRUCTURE SF Duplex❑ Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 15.001 15.00 Mobile Home I S I G JW I @ 15.00 TYPE OF WORK New ❑ Addition ® Remodel ❑ Utilities ❑ Installation ❑ Other ❑ Describe work: ADD 568 SQ FR LIVING SPACE _ Permit Fee $ 47.00 Contractor ELECTRICAL PERMIT Filing Fee 15.00 1 Main service R SS 200A OR LESS 1. 18.50 Main service 200A TO IOOOA) 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 an /my license is in full force and effect. License No. 6 Classification ❑ I, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONST. ( DWELLING OCCUP.N\ 3.64sq.ft. 10.90 OR ACDNS. 1 ACC. BLDGS. I NEW CONSTR. MULTI—OUTLET NON-RESIO BRANCH CIRC ITS @ 5.00 POWER APPARATUS &) SINGLE OUTLET CIR. EX. OCCUp(OUTLETS OR FIXTURES 20 764 FIXED APLNS. Ex. QCCUp. OUTLETS (RESID 1REA.� 3.00 Temporary service 15.00 Mobile Home Facilities 15.00 Misc. bVirin g '15.00 Permit Fee $ 34.90 — 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 FiIirgFee 1 15.00 Heating EXTEND 9.00 Cooling g Hood 6.50 Ventilation permit Fee $ 2 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 id County in consequence f the gr mg of this permit. X/ Date � Signatur of Applicant — Own ' Contractor Agent ❑ An OSHA permit is required for excavations over 'Qj Je p n demolition or construct- ion of structures over 3 stories in height. If /%/ Mobile Home Installation Fee $ Energy Inspection Fee $ 40.00 OCC CONST TYPE TOTAL FEE 554.40 P FOOD DF P�R,6t PD H Iss This permit is hereby issued under the applicable provi- sions of the Butte County Code and/or resolutions to do work indicated abo for which fees have been paid. D�IEC R OF . C WORKS p By Date -?�I— PERMIT EXPIRE ate i Receipt No. 110398 — 0-010 WNITC-D.P.W., YELLOW -ASSESSOR, PINK -INS CTOR. G E D- LICANT S �". . :ate 1 ��iv:='.` �i"''ji., . �.. , Y _, r.� , , k�"fv` ' _' „^ _ w'�'aer•c�_. . r 1. e • , °n COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS - BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILLEl�CALIFORNIA 95965 - TELEPHONE: 916/538-7541 PERNITAPPLIC.g.ATION DATA SHEET ke /Permit No.OWNER � n7/0 W50 4 A. P. No. Proposed Building Use ( Building Inspector Date 7 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 ......... Statement of Intent for Non-Heated and AC Buildings .............. gineered truss details and layout in duplicate (required prior to plan check) --Mobile home installation data including manufacturer's installation instructions....................................................... 10. Fees of $ ........................ 11. Chico Urban Area fees paid....................................... 12. Park fes paid r e) hool Ditrict fees paid .............. – Z 14. Sanitation approval from 0 LJ ')I(? Health Department _g 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: ...... c 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 theermit, process as follows: Mail o owner. Mail to contractor. Telephone and hold for pickup at office. Deliver w/inspector. Other Applicant ate Copy of Hdz-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 iss an e: (Circle new item not checked above). 1. Index permit for above items-No.—S �i 2. Additional items required: frac esigner, owner, was advised of above required data by_phone___jnail._cou er byl-Ull—date 2 Contractor, designer, owner, was advised of above required data by—phone—mall—conter by date Plans checked by Date Plans approved by Date Sets of plane hold it Binet AP folder Copy—DPW �y`` INJ TO FROM: SUBJECT: Buildina Department Environmental Health Sanitation.Clearance J Aomlo /2l owner Location AP# Plan Approved for: Hold final for: Sewaqe Disposal X Final clearance O.K. for: acW i-�,rm 0 bed room cLnd a -n o Clearance for bedroom mobile home. Other NOTE * * * Water Supply Water Supply Water Supply Sanitarian Date COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT NO. 7 County Center Drive - Oroville. California 95965 - Telephone: 916.'538-7541 APPLICATION,AND PERMIT A SSESSOj P= RCEL NUMBER tJO 40 1 ZONING BUILDING PERMIT OW R �T TELEPHON / SO. FT. OCC. BUILDING VALUATION V OWNER'S MAI LI GESS S 4 J v i e-QS'Q CO//N��TRR�A99CT�OIRI'/S NAME TELEPHO� CON R�jCT R'S MAILING ADDRESS p I , X /,?-- $�Z elooll-b �j �S / bs Fireplace ONSTRUCTION LENDER ® l AMIE le__ UNKNOWN Total Valuation is Filing Fee $ 15,00 LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ 4 If,S Energy Plan Checking Fee $ 140.00 ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS n C Permit fee $ r ` PLUMBING PERMIT Filing Fee 15.00 Each Trap I I5.00 Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME Q L A1C �C/` �s PARCEL MAP Water piping 7.00 Each qas water heater or vent 7.00 USE OF STRUCTURE SFX Duplex❑ Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 15.00 Mobile Home S G W @ 15.00 TYPE OF WORK New ❑ Addition K Rie-model X Utilities ❑ Installation El Other ❑ Describe work: /fPgh �� hg�� 1-111%(/4 501115- Permit Fee $ �L- Contractor ELECTRICAL PERMIT Filing Fee 15.00 Main service 600V OR LESS 18.50 200A OR LESS Main service 20CA TO 1000A1 37.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): ` 1 am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in full rce and effect. License Ao. ✓ 6 �� 6 Classification E]I, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONST. ( DWELLING OCCUP.n 3.60 sq.ft. �, OR ADDNS. ACC. BLDGS. 90 NEW CONSTR. ULTI-OUTLET @ 5 00 NON.RESID BRANCH CIRC ITS POWER APPARATU S USe` (SINGLE OUTLET CIR. / 20 764 Ex. Occup( OUTLETS OR FIXTURE S\\ R AL C@ 464 FIXED APPLNS, Ex. OCCup. OUTLETS (RESID )REA.) I 3.00 Temporary service 15.00 Mobile Home Facilities 15.00 Misc. Wiring g '15.00 Permit Fee $ — WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. ❑ I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. Contractor MECHANICAL PERMIT Filing Fee 15.00 Heating zr tah r Cooling g Hood 6.501 1 Ventilation permit Fee $ 0;110C L 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 consequenc of the gra ing of this permit. X Date A/ -6 9� Signature of Applicant — OWne Conrracto Agent ❑ An OSHApermit is required for excavations over 5'0" deep and demolition or construct - ion of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ .Q OCC CONST TYPE TOTAL FEE $ , rlAz OFEES IMP FLOOD CDF PARCEL PO HO ISSUE This permit is hereby issued under the applicable provi- sions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DIRECTOR OF PUBLIC WORKS By DatePERMIT EXPIRES Date Receipt No. WNITC-D.P.W., YELLOW-A38[t130 R, PINK -INSPECTOR. GOLDENROD -APPLICANT APPI;Qtrlf fButte County I Environmental Health' U0%., Date �Iigg ` 1 �EXX; . co . s 1 1 �l �1 Environment a! He aith 5v, APR ® 6 199; Orovill e, Calitorn`� . �k`6r El-�4T- vcrCG 3 v FgL-4I., ADDITIONS TO RESIDENTIAL BUILDINGS ENERGY SHEET PACKAGE "A" (Additions) I , . Owner Permit # /0Z / Floor Area FOR M 7 Climate Zone The following data showing mandatory and required features of Package "A" shall be installed for additions to dwellings. Additions to dwellings include room additions, converting garages and patios to living areas, house moves that add footage and attic conversions, and any space that is existing non -conditioned space that is converted to conditioned space. Remodeling of existing conditioned space is not included. APPLIES TO NEW AREA CEILING WALL FLOOR SLAB GLAZING SHADING SOUTH - OPTIMUM OVERHANG ZONE 11 R-30 R-11 R-11 R-7 U-.65 (Dual) or .36 Shading Coefficient WEST - .36 Shading Coefficient LOOSE FILL INSULATION (Density) NE 16 -38 R 1 R- 9 R 7` -.E5 (Dual) INFILTRATION CONTROL (Weatherstrip..doors, certified windows, caulking) VALOR uueR.T�(�'on�ei�j6� DUCTS PER UNIFORM`MECHANICAL CODE - Ch. 10 LIGHTING KITCHEN & BATH NOT LESS THAN 25 LUMENS/WATT MAXIMUM GLAZING 16% OF AREA PLUS REMOVED GLAZING NEW HEATING, VENTILATING,'AIR CONDITIONING AND HOT WAT��SYSTEMS IN CONJUNCTION WITH AN ADDITION SHALL BE INJF N ON BACK OF THIS SHEET. �N OTHER � � �V���I�� D�PA 12/85 *1 HEATING. VENTILATING. AIR CONDITIONING SYSTEM (A) Heating 1 ❑ Central Gas Furnace % (brand and model'number) SE Btu/hr (heating capacity) ❑ Heat Pump (brand and model number) ACOP, Btu/hr (heating capacity at 47°F) ❑ Active Solar type (liquid or air) Collector brand and ft2 model number solar fraction collector area collector orientation collector tilt rated y-iotercept rated slope ❑ Other (describe) *1 (B) Cooling ❑ Electric Air Conditioner (brand and model number) (seasonal EER) Btu/hr (cooling capacity at 95°F) ❑ Electric Heat Pump EER Btu/hr (cooling capacity at 95°F) ❑ Other (describe) :J U ❑ *2 DOMESTIC WATER -SYSTEM (A) Gas Only ' Gallons (brand and model number) (tank size) Heat Pump w/Electric Backup _ (brand and model number) Gallons (tank size) Active Solar (collector brand and model number) (rated y -intercept) (rated slope) (solar fraction) ft (backup heater type, brand and model number) (collector area) (collector orientation) (collector tilt) Location of Solar Panels Other (Describe) *1 Submit documentation of sizing heating and cooling equipment by Manual J, sizing charts (form #4) or other approved methods, section 2-5352(8), and fill out the following: Heating: Winter design temperature °, elevation heating load BTU elevation factor x heating load maximum outlet capacity gas furnace BTU Cooling: Summer design temperature °, cooling load BTU *2 Submit T.I.P.S.E. chart'or other approved system (form #5) to document sizing of solar panels. ® DESIGN COMPLIANCE STATEMENT: The above building design meets the requirements of W-o,,,T,itle 24, Part 2, Chapter 2-53 of the California Administration Code. : sig' 7 � I , L ' AIG'AT. OF BUILDING DESI R OR APPLICANT .`_...�wA�IM�'P�''�*�"�'�3#r•...:�"'t�,:;�,y�;ti'Y,t���-�T�'n-+.y.�;,,,�r,n.c....w�+n'>^•,r•—�,:,irr�""�-..-�^'ea�..'c+; Y.+,y.. F, BUTTE COUNTY SCHOOLS DEVELOPMENT FEE CERTIFICATION FORM (One ,Form per,Building) A.P. Number p.Building Department No. School District nip P /oO W City 1-1 County r-" Jurisdiction Property Owner 'f (i V/C h /��•ti1 sp y! Project Location/Address, Subdivision Lot Number Residential Development: a COUNTYOFBU?TE Sq. Footage �J' BUILDING DEPT # of Living MHI Addi ion (Group R) APR 0 9 1992 Units -- Commercial/Industrial: New °/ Buildilrr§'Department Representati: Sq. Footage Addition (Including Exterior Roofed Areas) e Date ******************************************************************* (Floor Plans reviewed by School District Personnel) District Id No. School District certifies that (Ap licant Name) (Phone Number) (Street Address) (City) _ (State) (Zip.Code), has complied with the requirements of Resolution No. 0 90 by the payment of $ g9�% �y representing .S'��do square feet. School District Representative Date PAID BY CHECK NO. BANK NO f %- k0 -2 fhalo PAID BY CASH REMARKS: white -applicant, yellow -building department, pink -school district SCHOOL.FEE (8/88)