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068-210-019
DECK, PATIO COVER & CARPORT W/O PERMITS 10/28/91 0/ '(Il 31 r ' 68-221-IIL DON POLITOVICH10/1 12 Linda Loma Dr, ORoville PErmit#2904_-87B,E(add family room) 068-22-1-01q 91-4018 POLITOVICH, DON '-'—" 8 CONTR: OWNER 12 LINDA LOMA DR, OROVILLE PAT 10, Cld�,,DECKa6-�1 Jr. 68-221-11 92�B POLITOVICH, Don 12 Linda Loma Dr, Oroville carport � Z 068-22-1-011 Permit#94- m}2 - B POLITOVICH, D.W. IS13%. 12 Linda Loma Drive, Oroville (add open deck)SF .*f / 068-22- 00-1151 POLITOV ON 12 LINDA LOMA OROVILLr9 , CONT: SIERRA ROOF REROOF I, • �• a � /qY CARD, Harold 1659B __ 2060E 2077P �_- Lot #12, Linda Loma Dr., Sub. #1, Orovili.o CONTR: S. John Voorhees, P.O. Bo -4: -WG— I Oroville Cfll i r 068-22-1-017 I' ._,-09-1151 POLITOVICH, DON ` 12 LINDA LOMA DR., OROVILLE CONT: SIERRA ROOFING REROOF r COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES- BUILDING PiVISION 7 County Center Drive • Oroville, California 95965 • Telephone (530) 5 -7541PERMIT NO. (Rev. 12/96) APPLICATION'AND PERMIT l%("i.//3�'i ASSESSOR PARCEL NUMBER- I L/ ZONING / BUILDING PERMIT , OWNER N - , / TELEPHONE SO. FT. OCC. BUILDING VALUATION OWNERSLMAILING ADORE 40, t- L C C / e%r, 1600 CONTRACTOR'S NAME C t TELEPHONE Il CONTRACTOMAWNG ADDRESS 1 25 Z tA. CONSTRUCTION LENDER LENDER'S MAIUNG ADDRESS Fireplace Total Valuation $ ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00 Permit Fee $ ) �� ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ BUILDING ADDRESS 17 L t �� M � r � Energy Plan Checking Fee $ $ PERMIT FEE S .= LAT NO. - SUBDIVISION'S NAME PARCELIMAP Il PLUMBING PERMIT Fling Fee 20.00 USEOFSTRUCTURE SF Duplex ❑ Mobilehome ❑ Other / SPECIFY Each Trap 7.00 Solar or heat pump water heater 23.00 Water piping 15.00 t Each as water heater or vent 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑ M Describe Work: C © r., -i r41 h Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 ' Mobile Home S G W @20.00 PERMIT FEE S r101W� 5 /( t ?rr f a ELECTRICAL PERMIT Fling Fee 20.00 Main Service zo.A OR LESS 23.00 - LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect.POWEPPARATUS License Class e . 9 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 I hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. 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 `l� . 'VLA"J1 Policy Number Z "x1`14 1� (The above sections need not be completed f the permit is for work of a valuationInspection of one hundred dollars ($100) or less.) * 1 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'. 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 rthwith comply'with those provisions. X Date L - Q Signature of Applicant - ❑ wner Contractor ❑ Agent An OSHA permit is required for excava Ions over 60" deep and demolition or construction of structures over 3 stories in height. Main Service 200A TO 1000A 46.00NEW CONST. DWELLING OCCUP. SO OR ADDNS. ( & ACC. BLDS. 3.5¢FT. LNEW jON.gESID_ MUL I'l ClRM,97,50 A SINGLER AOV. CIR. EX. Occup. OUTLET OR FIXTURES 20 MLFIX® + Ex. Occup. OUTLEfBRa O 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring23.00 PERMIT FEE S MECHANICAL PERMIT Fling Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEP_ $ ome Installation Fee $ KEnergyFee $ CONST. TYPE❑ TOTALFEE$not D FEES IMP --� FLOOD COF PARCEL PDcompensation This permit is hereby issued under of the Butte County Code and/or indicated above for which fees have By / �-!/L PERMIT EXPIRES ON I the applicable provisions Resolutions to do work been paid. / _Date �, " / ats / Receipt No.7_3 V1 6 WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT F . COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING PIVISION 7 County Center Drive • Oroville, California 95965 • Telephone (530) 5 -7541 _ 71MNO. (Rev. 12/96) L APPLICATION AND PERMIT i�� �� Z ASSESSOR PARCEL;4UMBER (ra ^ -Z -L0 / --� ZONING -- BUILDING PERMIT OWNER PpjESjg Po L 0 V I LHA^ TEjLEPHONE SO. FT. OCC. BUILDING VALUATION 15* o0 OWt'Ig Ml.NNG/1D(RNb* L,.^^ )/N litt 11> "?7- 7 � i/ t- L c r 600 CONTRACTOR'S NAME -1"` TELEPHONE CONTRALTO MAILING ADDRESS CONSTRUCTION LENDER Fireplace LENDER'S MAIUNG ADDRESS Total Valuation $ 'L ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00 Permit Fee $ ARCHITECT OR ENGINEERS MAIUNG ADDRESS Plan Checking Fee $ BUILDING ADDRESS L; si M Energy Plan Checking Fee $17 $ ( Q PERMIT FEE $ 41, LOT NO. SUBDNISIOWS NAME PARCEL MAP PLUMBING PERMIT Filing Feel 20.00 USEOFSTRUCTURE SFXDuplex ❑ Mobilehome ❑ Other SPECIFY Each Trap 7.00 - Solar or heat um 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 ❑ Describe Work: ti I�" a s , � r1i 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 600V OR LESS ) Main Service 2o.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 force and effect. ! �c License Class ( . � J Lic. No. t,p C� 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. ❑ 1, 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: ❑ I have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. 1 have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation in@}�urance carrier and policy number are: Carrier `54 - �und Main Service 200A TO 1000A 46.00 NEW CONST. DWELLING Or -CUP. OR ( & ACC. BLDS. SO 3.5¢Fr: CNS. NEW ReSIOT MULTI -OUTLET @7.50 POWER APPARATUS 8 SINGLE OUTLET LIR. Ex. Occup. OUTLET OR FIXTURES 20 @'•00 BAL � .50 Ex. Occup.OUnFTs RESID.DEEa 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE S MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE $ Policy Number Z $ S (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 ith cormp�witthose provisions. X_�7 r Date Signa a of Applicant - ❑ 1wner Contractor ❑ Agent An OSHA permit is required fof excav Ions over 60" deep and demolition or construction of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ Occ CONST. TYPE TOTAL FEE $ o FEES IMP FLOOD COF PARCEL D HD ISS 74;4 This permit is hereby issued under the of the Butte County Code and/or indicated above for whic fees have By P EXPIRES ON applicable Resolutions been Date provisions to do work paid. Gl > ¢ b !� e!e Receipt No. WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT RESIDENTIAL 068-22-1-017 Permit#94-1532 B POLITOVICH, D.W. - y _ I f 3L - 12 Z12 Linda Loma Drive, Oroville (add open deck)SF S JOB FINALED (Date) Signature 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 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: / /"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 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 DECK OVERS, CARPORTS, GARAGES, (Plans)OK except #'s Zo g Requirements -Setbacks -Easements tings; Soils -Size -Depth -Spacing -Connectors -Steel Decks; Griders and/or Joists -Decking -Bracing -Stairs -Rails 4. Wood Awn.; Posts-Beams-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. R f; Shthg-Roofing Ext.; Steps -Doors -Landings Date _ Card B-1 Date Card B-1 Date 4 f' Card B-1 . , Date Card B-1 Date r� 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 B-1 J=OK c O=Not OK = Not Applicable Not Ready RESIDENTIAL (Single = Date UNDERFLOOR (Plans) OK except N'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 & Duplex) Date FRAMING (Continued) 45. Hangers -Post Caps -Anchors -Connectors 46. Cing. Joist-Rftr. ties-Purlin-roof Brac-Truss-Shthng.-Rfng. 47. Fireplace Ties or Type A Flue -Fireplace Throat clearance 48. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 5. Stemwalls, Main; Steel-Blockouts-Wrapped -"-- 6. Stemwalls, Garage; Steel- Bloc kouts-Wrapped -- 6a. Hold Downs and Special Anchors 51. Property Line Firewall & Openings -------------- 52. Ext. Doors -One 3' -Check Garage -3rd Story, 2 Exits 53. Stairs: Width -Headroom -Rise -Run -Landing -Fire Protection 54. plywood on Roof Overhang -Attic Vents -Rafter Outriggers --------------- ----- _ 55. Siding -Nailing Veneer 56. Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access 49. Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions 50. Garage Fire Protection Framing 7. Slab; Steel-Wra 8. Piers -Fireplace 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 -Anchor -Regulator -Service Test 12. Electric: Underground 13. Pienums & Ducts; Clearance -Material -Support -Ins. 14. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples 15. Access & Ventilation 16. Insulation Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date PLUMBING (Permit) OK except ft's 16. Water Htr.: Vent -Access -Combustion Air -Baffle 17. Water Pipe: Test & Anchor -Nail Protection 18. D.W.V.: 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 -B-1 ------ ------ --- --- --------------------------- ----------------------- Date Card B-1 Date Card B-1 Date ELECTRICAL (Permit) OK except ti's 22. Fixture & Transformer Clearance -Ins. Protection - - - - -- -- ----------------------- ___ --------------------- 23. Elec. Receptacles Spacing -Lights & Switches at Doors - - - --- -------------------- ---- --------------- ---------- 24. Size Boxes & No. of Conductors -Stapled 25. Romex Installed Close to Edge of Studs & C.J. 26. Equip. Ground made up wrMech. Fastners-Bond Gas & Water -- -- - ------------------ --- --- ------ ------- ------ -- 27. 2 Appliance Circuts in Kitchen & Conductor Size'GFI - - -- - --- -- - - - - - -- ---------- 28. Subfeed Wire Size ga. Cu or AI-A.C. Wire Size ga. Cu or At -- - - -- -- - - -- ------------- --- ----- 29. Range Circ. ga. Cu or AI -Oven Circ. I / ga. Cu or Al. Insulated Neutral O Yes 0 No - --- - --- -- --- ----------------------------- ------- ------- 30. Service -Riser Conductors & Ground -Main Disconnect 31. Equip. Clearances Panels-Motors-Mech. Equip. - - -- --- --- --- --- --------------------------- ------- ---------- 32. Clothes Closet Light -Shower Light -Spa Light . ... . --- --- -- ---- ------- -- ---------- --- ----------- ----- 33 Smoke Detector - -- --- --- --- --- -- -- --------- ------- ------- --- --- -- Date Card B-1 DateCard B-1 - ---------- --- --- ------- ---------- Date Card B-1 Date Card B-1 Date MECHANICAL (Permit) OK except ti's 34. A.C. Ducts Insulation & Support - -- --- ----- -- --- - - - --- - '- '--- ---- --------- 35. Vent Fan: Exhaust above insulation - ----- - -- ---- -- 36. 36. Condensate Drain & Overflow; Size & Grade 37. Furnance-Vent; Access -Comb. Air -Return Air Vent -115 outlet 38 Attic Access & Platform if Furnance in Attic -- --- --.__ -- - - - -- ------- - - - Date Card B-1 Date Card B-1 _ -... _. ---- - --------------------- ---------- Date Card B-1 Date Card B-1 Date FRAMING (Plans) OK except ti's 39. Sils. Proper Material & Anchors - -- -- --- --- --- --- . . ... -- -------------. ... . - - - - - 40. Walls Studs -Nailing, Spacing & Bracing -Plates -Sound 41. Bearing Walls over Girders & Floor Nailing -- --- --------- -- - - 42. Draft Stop in Walls (rat proof) - --- --- ..._-- - - . --- ..------- I-- --------- - - ----- 43. Fire Stops, Furred Ceilings -Stairs -Chases -Tub 44. Headers & Beam -Size & Bearing 57. Glazing Area -Glass Protection -Skylights -Plastic 58. Shear Walls; Nailing -Bolts 59. Insulation -Walls -Ceilings 60. Infiltration -Walls -Windows Date _ Card B-1 DateCard B-1 Date Card B-1 Date Card B-1 Date FINAL (Plans) OK except ti's 61. Ext. Steps -Door & Sidelight Protection -Landings 62. Smoke -Detector--- 63. etector63. Furnace: Vents -Clearance -Comb. Air -Connector - In Garage; Above Floor -Ducts -Meth. Protection 64. Bedroom Exiting 65. G F.I_& Bath Fixtures & Tub Access -Spa -------------------------------- __ 66. ------ - 66. Elec. Trim & Subpanel Breaker Sizes & Labels 67. Stairs & Rails ------------ ---------------------------------- 68. Fireplace or Stove: Clearances -Hearth 69. Elec. Outlets at Wood Panel: Int. & Ext. 70. Kit.Fixt & Appliance; Grnd.-Air Gap -Cooking Clearance 71. Elec. Outlets & Receptacles at Kit. Counter - -------------------- ----- ---- 72. Garage Fire Door: Swing -Landing -Closer 73. A.C. Duct in Garage -Damper ----- ---------------------------- 74. Wtr. Htr.: Vents -Clearance -Comb. Air-Connector-P.R.V. In Garage: Above Floor-Mech. Protection 75. Plb. Elec. & Mech. Equip. Listed for Location 76. Elec. Receptacles in Garage: (G.F.I.)-Romex Protection ------ ----------------------- 7;. ---------------------7 . Insulation -Foam -Looked in Attic 0 Yes ------------ -------------------------------------------------- 78. Guard Rails & Deck Construction -Post Caps ------ ------- ---------------------------- 79. Fdn. Vents & Crawl Hole Door -Drainage & Wood -Earth Clearance Looked under Floor 0 Yes 80. Following instld.; Drive 0 Yes ID No: Walks 0 Yes 0 No; Planters 0 Yes D No ----------------- ---------------------- 81. ----- -------- - --- ----- ------- 81. Stucco: Brown -Finish 82. A.C. Unit Disconnect Electrical, Plumbing - ------ ------- -------------------------- ----- ----- 83. Vents Above Roof; Plbg.-Appliance-Fireplace.-Clearance to Openings 84. Water Well: Disconnect. Electrical, Plumbing -------------------------------- --- - ------- 85. Exterior Elec. Trim; G.F.I. Receptacle -Underground a6. Ventilation Throughout House - - - - - - ------------------------ -- 87. Glass Protection . - ... . - -------- - - ------------ ------ --- -- - ------- 88. Corrections from Previous Inspections -- --'---------- - ---- - - --- ------ -- ------ ---- a9. Gas Test -Meters Tagged; Gas -Electric 90. Water & Sewer Connected -C/O to Grade -HD Approval ---- ---------------- ---------------------------- ---- --- --- 91. Energy Compliance Certificate -Other Certificates -- --- ---------- --------- Date ------- Date Card B-1 Date Card B-1 --- - - - --------------- -- ------ -- ----- Date Card B-1 Date Card B-1 -- -- - - - - -- ---- Date ---Date Card B-1 Date Card B-1 Comments at Final: COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive - Oroville, California 95965 - Telephone (916) 538-7541�'� No APPLICATION AND PERMIT AIESSOR PARCEL NUMBER 068-221 —017 ZONING Rl BUILDING PERMIT OWNER D.W. POLITOVICH TELEPHONE 533-7305 SQ. FT. OCC. BUILDING TION 28 8 0 2016 OWl 'SLOMADL SS NDA DR, OROVILLE CA 95966 CONTRACTOR'S NAME OWNER TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER NONE UNKNOWN Total Valuation $ Filing Fee $ 20,00 LENDER'S MAILING ADDRESS Permit Fee $ 54.00 ARCHITECT OR ENGINEER NONE LICENSE NO. Plan Checking Fee $ 35.10 Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS 12 LINDA LOMA DR., OROVILLE PERMIT FEE $ 109-10 PLUMBING PERMIT Filing Fee 20.00 Each Trap 7.00 Solar or heat pump water heater 23.00 Water piping 15,00 LOT NO. SUBDIVISION'SNAME PARCEL MAP Each gas water heater or vent 15.00 USE OF STRUCTURE SF ff Duplex ❑ Mobilehome ❑ Other SPECIFY Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home S G W @20.00 TYPE OF WORK New ❑ Addition Ck Remodel ❑ Utilities ❑ Installation EI Other ❑ Describe Work: OPEN DECK PERMIT FEE $ Contractor ELECTRICAL PERMIT Filing Fee 20.00 Main Service ( 800V OR LESS ) 2ODA OR LESS 23.00 Main Service ( 200A TO 1000A ) 46.00 NEW CONST. DWELLING OCCUR OR ADDNS. ( 8 ACC. BLOS. ) 3.50 S0. FT. CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one) ❑ I am a licensed under provisions of Chapter 9, Division 3 of the Business and Professions Code and my license is in full force and effect. License No. Classification I, as the owner, or rry employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. (Sec 7044) O I, as the owner, am exclusively contracting with licensed contractors. (Sec 7044) ❑ 1 am exempt under Sec. Business and Professions Code forthis reason NEW CONST. MULTI -OUTLET -NON-.NON( BRANCH CIRCUITS ) @7.50 ( POW ER APPARATUS ) & SINGLE OUTLET CIR. Ex. Occup. ( OUTLET OR FIXTURES ) 20 @ 1.000 BA0 Ex. Occu FIXED APPWS. OR p' ( OUTLETS (RESID.) EA. ) 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 WORKER'S COMPENSATION INSURANCE 1 declare under penalty of perjury (check one): ❑ This permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Dept. of Development Services, Building Division a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -insure. k -shall not employ any person in any manner so as to become subject to the Worker's Compensation laws of California. Notice to Applicant: If after making this statement, should you become subject to the Worker's Compensation provisions of the Labor Code, you must forthwith comply with such provisions or this permit will be revoked. PERMIT FEE $ Contractor MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling 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 Butte County Ordinances and California State Laws relating to building construction, and hereby authorize representatives of the County of Butte to enter upon the above mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments c sts, an expenses w • h may in any way accrue against said Coun i onsequ c of the granting of th permit. X Date Com/ / ` D Sicyature of App ' ant -caner EJContractor ❑ Agent An OSHA permit is required for excavations over 5"0" deep and demolition or construction of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST. TYPE TOTAL FEES 109.10 HAZ• D. FEES IMP F100D COF PARCEL PD HD ssuE This permit is hereby issued under of the Butte County Code and/or indicated above for which fees have By r PERMIT EXPIRES ON the applicable provisions Resolutions to do work been paid. Dat /Date/ Receipt 163199 WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT COUNTY OF BUTTE Department of Development Services Building Division Oroville: 7 County Center Dr., Oroville CA 95965 Ph: 916-538-7541 Chico: 1469 Humboldt Rd., Chico CA 95928 Ph: 916-891-2751 OWNER -BUILDER VERIFICATION Attention Property Owner: An "owner -builder" building permit has been applied for in your name and bearing your signature. Please complete and return this information at your earliest opportunity to avoid unnecessary delay in processing and issuing your building permit. No building permit will be issued until this verification is received. 1. I personally plap to provide the major labor and materials for construction of the proposed property improvement (yes or no)GS' 2. F(have/have not) signed an application for a building permit for the proposed work. 3. I have contracted with the following person (firm) to provide the proposed construction: Name Address City Phone Contractor's License No. 4. I plan to provide portions of this work, but I have hired the following person to coordinate, supervise, and provide the major work: Name Address City Phone Contractor's License No. 5. I will provide some of the work but I have contracted (hired) the following persons to provide the work indicated: Name Address Phone Type of Work Signed: NOTE: This Owner -Builder Verification is sent to you as required by Sections 19831 and 19832 of the California Health and Safety Code. This verification must be completed and returned to our office before we are permitted to issue the permit. I- msYP-. . 4.v',. Y. "e"', , .h, i , ilk ,'.T --1 .....r. ---. ♦ .1 . f . . . r '., . . COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE (916) 538-7541 EI MIT APPLICATION DATA SHEET OWNER A. "o. Proposed Building Use ���G Building Inspector Date f� At time of permit application, I was advised the following data must be submitted prior to permit processing and/or issuance: DATE RECEIVED BY 1. All items have been submitted . ........................................ 2. Plot plans, 3/4 sets, signed by preparer of plans . .......................... 3. Complete plans, 3/4 sets, signed by preparer of plans . ..................... . 4. Engineered plans and calcs, 3/4 sets, with wet signature on plans . ............. 5. Hazardous Material Form . ............................................ 6. Energy Design Compliance and supporting documentation . .................. 7. Statement of Intent for Non -Heated and A/C Buildings . ...................... 8. Engineered truss details and layout in duplicate (required prior to plan check). ... . 9. Mobilehome data and manufacturer's installation instructions, 2 sets. ........... 10. Fees of $ ......................................... . 11. Impact fees as shown on attached schedule. ............................. '. 12. California Department of Forestry plan approval/fees. ....................... . 1 13. Flood elevation letter (100 year flood) by California Engineer . ............:: : . . C� 14. Sanitation and plot plan approval 4 A - Health Department. . 15. City of Chico plumbing permit . ......................................... 16. Plot plan and business license approval from City of Biggs/Gridley. ............. 17. Planning approval for (A) Use: (B) Parking: . ........ 18. Contact Land Development about (A) Improvements (B) Drainage. .......... . 19. Driveway permit (construction approval required prior to occupancy). .. Pre-Insp.ection request 20. Pre -inspection for required. .. to Building Inspector (Date) 21. Contractor's license information. (No., Name Style, Classification) . .............. 22. Certificate of Workmans Compensation Insurance . .......................... 23. Owner -Builder Verification (Given to owner , Mail to owner _) ............ 24. Recorded copy of Agricultural Acknowledgement Statement . .................. 25. Letter of signature authorization . ........................................ 26. Copy of recorded deed of parcel creation and 60 right of way to a public road. .... . 27. Letter of intent on building use . ........................................ . 28. Mobilehome utility clearance . .......................................... 29. Documentation of legal access . ..................... :.................. 30. Documentation of 50% subdivision developed or (A) Road improvements completed and (B) Parcel meets zoning area and frontage requirements . ............... 31. Existing violations/expired permits . ...................................... 32. Plan check list . ..................................................... 33. 34. When you issue the ermit rocess as follows: Mail to owner. Mail to contractor. Telephone and hold for pickup at 4� k 42 office. Deliver with inspector. Other Parcel Creation Acreage Applicant Date b 1117 Copy of Haz-Mat form sent Health Dept. Fire Dept. Air Pollution Date Copy of plans sent Health Dept. Fire Dept. Other Date By The following data must be submitted prior to permit issuance: (Circle new item not checked above). 1. Index permit for above items No. 2. Additional items required: Contractor, designer, owner, was advised of above required data by _ phone _ mail Counter by _ Date Contractor, designer, owner, yvas advised of abov req Ired da by _phone _mail counter by _Date Plans checked by Dat •-' Tans approved by Dat &i;�K Sets of plans on hold in File cabinet AP folder Copy - Department of Public Works -Tylp 2.41 GFIDD C— v 4 X6 D'F Glgaf4f` P-9 T H. FOOTtIv J; If. le -ko vj Pb ,U-1 F 4X Shall Be in moramanshlP s and & Good Practices .TE mate in .be _, No th SecOgn' Sper,-Ified cooes atlu Afn P.09EID Accordance Wl t3ed f®' the t\Aecha6lcal ot a OualltY pres--fl plu�rnblllg unitorm Su011ngl Code. the National Electrical Qr,Nlax. gise Min. Run to 7M' easured toe 4x. Rud �jerarlce belP en tc voz) ajjp frun ,k ,es rise .3ro V t6ye, Til\. tefatto .1 to ml, *Top s v p .615 TOL0.69 -0 L 6� �.z� ���oQP J DEC, tt ' E.H. USE QNL Plot Plan Mad" Fkw PLa AUKI" Seat to B.D. TO: Building Department FROM: Environmental Health SUBJECT: Sanitation Clearance \6�. P6 1, 17-0 ��j / Ci -l- C�- Owner Location CX6 AP# Plan Approved for: Sewage Disposal Water Supply: Public Private Well Clearance for b . Other Z I) Hold final for: Final clearance O.K. for: NOTE: 8/92 .90 92 ` SE.� Ct blW 0 7 VC -NI -7 z r y a3Q �e4Ua uoainu�' . no: a4na r ",Yd -71Vd' e7�lv0-3 40-:4 5-Ll,'9J�YJ/7 ,SX X I7 O�AWdy whyr zf k „O)l x C)/ NI �, gds r1ol ol�( ---9A1., WV N/ 9; 1 ,til f�r� 54914Xfc - == . I/ RESIDENTIAL 068-22-1-017 91-4018 POLITOVICH, DON CONTR: OWNER 12 LINDA LOMA DR, OROVILLE PATIO,GAT,DECK IP►)auiw 3 3w ? S L - l C/ 6 F JOB FINALE Signature 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 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: / /" 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 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 Date DECKS, COVERS, CARPORTS, GARAGES, (Plans)OK except #'s oni g Requirements -Setbacks -Easements ootings; Soils -Size -Depth -Spacing -Connectors -Steel 3_,0015-s Griders and/or Joists -Decking -Bracing -Stairs -Rails mod Awn.; Posts- Bea ms- Rftrs.-Con nectors Shthg.-Rfg.-Bracing 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Carports; Windows -Doors 7. Electric .13�mg-, Sils-Anchors-Studs-Rftrs-Trusses 9. Siding; Nailing -Veneer -Stucco -Mesh 10. Roof; Shthg-Roofing 11. Ext.; Steps -Doors -Landings Dates> Zard 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 -Panel boards -Ins. to Main in Conduit 9. Health Department Approval 10. Plumb.; Cir. Test -Water Supply Test Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 J=OK O=Not OK = Not Applicable Not Ready RESIDENTIAL (Single & Duplex) = Date UNDERFLOOR (Plans) OK except f1'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 -Bloc kouts-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 -Anchor -Regulator -Service Test 12. Electric; Underground 13. Pienums & Ducts; Clearance -Material -Support -Ins. 14. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples 15. Access & Ventilation 16. Insulation Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date PLUMBING (Permit),OK except #'s 16. Water Htr.: Vent -Access -Combustion Air -Baffle --------------- ----- ------------- ------------- 17. Water Pipe: Test & Anchor -Nail Protection 18.- D.W.V.; 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 B-1 ------------------------------------- --------------------- Date Card B-1 Date Card B-1 Date ELECTRICAL (Permit) OK except N's 22. Fixture & Transformer_ Clearance -Ins. Protection ---- - - - ------------------------------ 23. Elec. Receptacles Spacing -Lights & Switches at Doors -------------------------------------------------------------------------- 24. Size Boxes & No. of Conductors -Stapled ------------ - ---------------------------------------------------------------- 25. Romex Installed Close to Edge of Studs & C.J. ---------------------------------------------------------------- 26. Equip. Ground made up wiMech. Fastners-Bond Gas & Water -------------------------------------------- ------------------- 27. 2 Appliance Circuts in Kitchen & Conductor SizerGFI -------------------------- ----- ---'------------------------ 28. Subfeed Wire Sizer ga. Cu or AI-A.C. Wire Size ! ! ga. Cu or At ------------------------------ 29. -----------------------29. Range Circ ! ga Cu or AI -Oven Circ. / / ga. Cu or Al. Insulated Neutral ❑ Yes❑ No --- ------ - - ---- ------------------------- ------------ - --- -- - 30. Service -Riser Conductors & Ground -Main Disconnect ------------------------- --------------------------------- ------- 31. Equip Clearances Panels-Motors-Mech. Equip. 32. Clothes Closet Light -Shower Light -Spa Light ------------- 33. --------- 33. Smoke Detector ------------------------------- --- ---------------------------------------------- DateCard -B-1 Date Card -B-1 ---------------------- - -------------------------------------------------------- Date Card B-1 Date Card B-1 Date MECHANICAL (Permit) OK except a'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 -115 outlet ----------- ----------------------------------------------------------------- 38 Attic Access & Platform if Furnance in Attic -------------- ------------------------- -------------------------------------- Date Card B-1 Date Card -B-1 Date Card B-1 Date Card B-1 Date FRAMING (Plans) OK except 4's 39. Sils. Proper Material & Anchors ------ - ------ ------------------------------------------------------------------ 40. Walls Studs -Nailing. Spacing & Bracing -Plates -Sound 41. Bearing Walls over Girders & Floor Nailing ------------------------------------------------------------------ 42. Draft Stop in Walls (rat proof) ----------------------------------------- ----------------------- 43. Fire Stops: Furred Ceilings -Stairs -Chases -Tub ----------------------------------------------------------------------- 44. Headers & Beam -Size & Bearing Date • FRAMING (Continued) _ 45. Hangers -Post Caps -Anchors -Connectors _ 46. Cing. Joist-Rftr. ties-Purlin-roof Brac-Truss-Shthng.-Ring. 47. Fireplace Ties or Type A Flue -Fireplace Throat clearance 48. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 49. Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions 50. Garage Fire Protection Framing Property Line Firewall & Openings 52. Ext. Doors -One 3' -Check Garage -3rd Story, 2 Exits 53. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection - 54. plywood on Roof Overhang -Attic Vents -Rafter Outriggers 55. Siding -Nailing Veneer 56. Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access 57. Glazing Area -Glass Protection -Skylights- Plastic Shear Walls; Nailing -Bolts - 59. Insulation -Walls -Ceilings 60. Infiltration -Walls -Windows --- - ---------------------------- _Date __________Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date FINAL (Plans) OK except 4's Ext. Steps -Door & Sidelight Protection -Landings 62. Smoke Detector -- -------------------------- 63. Furnace: Vents -Clearance -Comb. Air -Connector - In Garage: Above Floor-Ducts-Mech. Protection 64. Bedroom Exiting ---------------------------- - --- 65. G.F.I. & Bath Fixtures & Tub Access -Spa 66. Elec. Trim & Subpanel: Breaker Sizes & Labels 67. Stairs & Rails 68. Fireplace or Stove: Clearances -Hearth -------------- -------------------------- 69. Elec. Outlets at Wood Panel; Int. & Ext. ----------------------------- 70. ---------------------------70. Kit.Fixt. & Appliance: Grnd.-Air Gap -Cooking Clearance --- -71. Elec. Outlets & Receptacles at Kit. Counter 72. Garage Fire Door: Swing -Landing -Closer ---- 73. -A.C.-Duct in -Garage -Damper ------- ----------------------- ------ 74. Wtr. Htr.: Vents -Clearance -Comb. Air-Connector-P.R.V. In Garage: Above Floor-Mech. Protection ------------ ----------------------- 75. Plb.. Elec. & Mech._Equip. Listed for Location 76. Elec. Receptacles in Garage: (G.F.I.)-Romex Protection 7;. Insulation -Foam -Looked in Attic ❑ Yes -------------------------------------------- - 78. Guard Rails & Deck Construction -Post Caps ------------------------------------ ----- -- 79. Fdn. Vents & Crawl Hole Door -Drainage & Wood -Earth Clearance Looked under Floor ❑ Yes 80. Following instld.: Drive ❑ Yes ❑ No: Walks ❑ Yes ❑ No; Planters ❑ Yes ❑ No ---------------- --- 81-.- Stucco: Brown -Finish ----------------------------------------- - 82. A.C. Unit_ Disconnect. Electrical_ Plumbing 83. Vents Above Roof: Plbg.-Appliance-Fireplace.-Clearance to Openings 84. Water Well: Disconnect, Electrical, Plumbing -------------- ----------------------- --- --- 85. Exterior EIec. Trim; G.F.I. Receptacle -Underground 86. Ventilation Throughout House ...... -------------------------------------- 87. Glass Protection ---------------------------------------------------- 88. Corrections from Previous Inspections ------ ----------------------------------------------- 89. Gas Test -Meters Tagged: Gas -Electric -------------------------------- ----------------------------- 90. Water & Sewer Connected -C/O to Grade -HD Approval ------------------------------ 91. Energy -Compliance -Certificate. -Other Certificates ------------------------------------------- -- 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 - DEPARTMENT OF PUBLIC WORKS PERMIT NO. 7 County Center Drive - Oroville• California 95965, - Telephpne: 916/538-7541 91" APPLICATION AND PERMIT - ASSESSOR PARCEL NUMBER 68-221-17 ZONI I BUILDING PERMIT '� OWNER TEL P ONE SQ. OCC. N .F�FT. yBUIILLDIINNGG_VALUATI -11-988 "'� C 11 988— OWNER'S MAILING ADDRESS CONTRACTOR'S NAME OWNER TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace "A" 1,500 CONSTRUCTION LENDER UNKNOWN Total Valuation Is Filing Fee $ .00 LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS Permit fee $ PLUMBING PERMIT Filing Fee 15.00 Each Trap I 5.00 Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP d' � Water piping Each qas water heater or ventUSE OF STRUCTURE ® Duplex❑ Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outletsSF 17.00 Building sewer Mobile Home S G W TYPE OF WORK New [-I Addition E] Remodel ❑ Utilities ❑ Installation ❑ Other ❑ Describe work: PATIO COVER, 2, DECK AND WOODSTOVE. BUILT W/O PERMITS Permit Fee $ Contractor ELECTRICAL PERMITFiling Fee 15.00 4— Main service 600V OR LESS 18.50 200A OR LESS �_ Main service 200ATO10o0A) 37.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury check one): P Y P 1 Y ( / ❑ I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in full force and effect. License No. Classification I, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONST. ( DWELLING OCCUP.Iti\ 3.6Qsq.ft. OR ACDNS. ACC. BLOGS. NEW CONSTR MULTI -OUTLET @ 500 NON-RESID BRANCH CIRC ITS POWER APPARATUS (SINGLE OUTLET CIR. ) Ex. Occup(OUTLETS OR FIXTURES 20 76 FIXED APPLNS. OR Ex. Occup. OUTLETS (RESID.) EA.) 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 1 15.00 Heating Cooling g Hood 6.50 Ventilation �errnit 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 t e- bove-mentioned property for inspection purposes. I also a ree to sa i demn p y g t g y and kee harmless the Count of Butte a ains all Iabik'ties, j gme ts, sts, and exp ses which may in any way accrue ag ns aid Cc my con equenceeof th ranting of this pe mit. Date ignature of plicant - OWner ❑ Contractor ❑ Agent ❑ An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee S Energy Inspection Fee $ ,�j� �/ 1 coNs TVP 1� TOTAL FEE $ _21t r HAz DFEES IMP FOOD COF PARCEL PD HD Issu This permit is hereby issued under the applicable provi- sions of the Butte unty Code and/or resolutions to do 'Mork indicat o e fo ch fees have been paid. I OR F PU LIC WORKS / By Date ?ER IT EXPIRES Date P _ A Receipt No. 103252 PC FEES 82.50 WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT COUNTY OF BUTTE - DEPARTMENTS 15-L7BL IP WQBX- S - BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE: 916/538-7541 /, PERMIT AP,PLICKTION DATA SHEET (/�/ r / I' /f� Permit No. / OWNER 1011) -! � �Q 1� �C�/( A.P.No�p S ' Z Z / "l . Proposed Builcing Use riC �'c?tlefi 'C �At:(IOf*f"guilding Inspector Date 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 . .................................... t s 2. Plot plans in duplicate/triplicate, signed by preparer of plans........ it 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 in ufacturer's installation instructions. .00. _44- Fees of $ a. &— ZS / 11. Chico Urban Area fees p ...................... 12. Park fees paid .................................................... 3. School District fees paid .............. �L 14. Sanitation approval from 44e0y.'1/C Health Department /5 -2 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 0)... .. 24. Recorded copy of Agricultural Acknowledgment Statement ......... 25. Letter of signature authorization ................................... 26. 27.• When you issue the permit, process as follows: Mail to own r. Mail to contractor. l/ Telephone 533- 7345 and hold for pickup at 6OD eliver w/inspector. Other Applicant ffic .Date Copy of Haz-Mat form sent Health Dept. Fire Dept. Air Pollution Date Copy of plans sent Health Dept. Fire Dept. Other Date By The following data must be submitted prior to permit issuance' (C'rcle 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---naiI—counter by .date Contractor, designer, owner, was advised of above required data by—phone —ma II—counter by date Plans checked by Date Plans approved by_ 4�Z,5 Date �Z::� _ Sets of plans on hold in File cabinet AP folder Copy—DPW ,�-/L COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 - Telephone: 916.'538-7541 APPLICATION'AND PERMIT PERMIT NO. ASSESSOR PARCEL NUMBER '/ ZONLNG BUILDING PERMIT OWNER pN >I,,16(f/ TELEPHONE 533-7305 SO. FT. OCC. BUILDING VALUATION Or7 4o C_ ,! OWNER'S AILING AES SZJNb OM.4 O2 I Z CONTRACTOR'S NAMES /` TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation Is 11,403 Filing Fee $ 15.00 LENDER'S MAILING ADDRESS Permit Fee Plan Checking Fee $ 15�I�(i $ U ARCHITECT OR ENGINEER LICENSE NO. Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS ^ }�� /�,� G O,N U �/�`lA permit fee -'''7 1_7,50 G _ gS5v1 G 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 SFC® 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 F- Remodel ❑ Utilities ❑ Installation ❑ Other ❑ .AC('--- Describe work: PArlE6CUUee. A IND ,het CL3 /q N_) �eCk i L,,),)0 IX ST(Jkbte Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 15.00 p 'Q Q C.-� �t s J� 600V OR LESS Main service 200A OR LESS 18.50 Main service 200ATO1000A) 37.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): ❑ I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in full force and effect. License .Jo. 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) ElI, as the owner, am exclusively contracting with licensed contract - ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONST.( DWELLING OCCUP. �� OR AODNS. ACC. BLDGS. 3.6d sq.ft. NEW CONSTR.MULTI-OUTLET NON.RESID BRANCH CIRC ITS @ 5.00 POWER APPARATUS (SINGLE OUTLET CIR.tt Ex. Occup(ouTLETs OR FIXTURES RAO 76d Ex. Occup. OUTLETS FIXED P(RESID )REA.) I 3.00 Temporary service 15.00 Mobile Home Facilities 15.00 Misc. Wiring 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 Se!f-!nsure. arnpicy any person -n any manner so as to become subject — to the W. C. !aws of California. Notice to Applicant: it after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. Contractor MECHANICAL PERMIT Filing Fee 15.00 Heating Cooling Hood 6.50 Ventilation permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the County Ot Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue against said County in consequence of the granting of this permit. X Date Si nature of Applicant - Owner 9 PP ❑ Contractor ❑ Agent ❑ An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee S Energy Inspection Fee $ OCC CONST TYPE I TOTAL FEE$.2 f - 5✓ I HAz OFEES IMP I FLOOD CDF I PARCEL PO HO ISSUE 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 have been paid. WORKS Date Receipt No. QZ5�' C ce-75 S� WHITE-O.P.W., FELLOW -ASSESSOR. PINK -INSPECTOR. GOLDENROD -APPLICANT COUNTY OF BUTTE - Department of Public Works 7 County Center Drive,'Oroville, CA 95965 Phone: 916-538-7541 OWNER -BUILDER VERIFICATION Attention Property Owner: _ An 'owner -builder" building permit has been applied for in your name and bearing your signature. Please complete and return this information at your earliest opportunity to avoid unnecessary delay in processing andissuing your building permit. No building permit will be issued until this verification is received. 1. I personally plan to provide the major labor andaterials or construction of the proposed property improvement (yes or no) , o 2. I (have/have not) signed an application for a building permit for the proposed w6rk. 3. I have contracted with the following person (firm) to provide the proposed construction: Name Address City Phone Contractors License No., • 4. ;I plan to provide portions of this work, but I have hired the following person to coordinate, supervise, and provide the major work: Name Address City Phone Contractors License No. 5. I will provide some of the work but I have contracted (hired) the following persons to provide the work indicated: Name Address . Phone Type of Work Signed: Property Owner Social Security Number Date NOTE: This Owner -Builder Verification is sent to you as required by Sections 19831 and 19832 of the California Health and Safety Code. This verification must be completed and returned to our office before we are per-. mitted to issue the permit. s� Kj r79- (bi `✓Q T :- 4 X- lfb lo 0 TO FROM: SUBJECT: Buildinc Department Environmental Health Sanitation Clearance 7)O& PO / c j 0 vi / x, A- 4-o,,� oY- :?, � Owner Location AP# Plan Approved for: Sewage Disposal 'Rater Supply Hold final for: Water Supply ^anal clearance O.K. for: Water Supply Clearance for bedroom mobile home. Other 'fix -t �, � ��K 'n•. .4 � f j�3 , .. '. ,, \ i `. • - + 1� 11 77 , - r r Ste• - � rY -.. PATIO � COUNTY OF BUTTE - DEP T ENT OF-PUBLVC WORKS PERMIT N0. 7 County Center Drive - Oroville, C i for la 95965 - Telephone: 916!538-7541 APPLICATI ND PERMIT ZONING BUILDING PERMIT AS R PARCEL NUMBER 8-221— 7 TELEPHONE SO, FT. OCC. BUILDING VALUATION OWNER 87 C 11,388 — C 1,519 OWNER'S MAILING ADDRESS TELEPHONE CONTRACTOR'S NAME CONTRACTOR'S MAILING ADDRESS Fireplace "A" 1 500 (UNKNOWN Total Valuation $ CONSTRUCTION LENDER I Filing_ Fee $ 15.00 LENDER'S MAILING ADDRESSRemi: -cE $ LICENSE No. Plan Checking Fee $ 67-50 ARCHITECT OR ENGINEER r_......, OI BUILDING ADORES OT NO. I SUBDIVISION NAME USE OF STRUCTURE FS":Fa Duple -0 Mobilehome❑ Other PARCEL MAP SPECIFY TYPE OF WORK New ❑ Addition PATIO COVERYitiDEOCACARPORT, o E Other 13 p�scribe work: . AND WOODSTOVE BUILT W/O PERMITS CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): andmProfess o sn Codeandmy ons license tis9inDlfull force and Business licensed uder a deffect. License No. Classification XI, 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) ❑y contracting with licensed contract - I, as the owner, am exclusivel ors. (Sec. 7044) Business and Professions Code ❑ I am exempt under Sec. for this reason _ Penalty Permit fee PLUMBING PERMIT Each Trap Solar or heat pump water heater Water piping Each qas water heater or vent Gas piping system 1- 5 outlets Building sewer Mobi le Home S G W Permit Fee Contractor ELECTRICAL PERMIT Main service 200AORLESS Main service 20GATO 1o00A1 NEW CONST.( DWELLING OCCUP.tkl OR ADDNS. ACC. BLDGS• I 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 atter making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. I certify that I have read this application and state that the above Information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the County of utte to enter upon t e above-mentioned property for inspection purposes. oalso agree to sa i demn' y and keep harmless the County of Butte against il liabi�)))'ties, j gme is, sts, and exp ses which may in any way accrue agains Said Co my ' Con equencerof th ranting of this pe mi O /I. �� Date ent ignoture of plicant — Owner❑ Contractor ❑ 9 An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories in height. no'1C7 Dr' FRR.0 R9 - 50 POWER APPARATUS h (POWER OUTLET CIR. Ex. Occup(OUTLETS OR FIXTURES FIXED APPLNS. OR Ex. Occup. OUTLETS IRESID.) EA. Temporary service Mobile Home Facilities Misc. Wiring Permit Fee Contractor MECHANICAL PERMIT Heating $ I 15.00 @ 15.00 Filing Fee 18.50 37.50 3.64 sq.ft. Cal 5.00 3.00 15.00 15.00 15.00 FiIingFee Cooling Hood 6.50 Ventilation I I Permit Fee $ Contractor 15.00 15.00 15.00 Mobile Home Installation Fee $ Energy Inspection Fee $ OCC CONST TYPE TOTAL FEE $ 217.50 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 Date PERMIT EXPIRES Date -�all, ! . PERMIT NO. 2904-87B, E PERMIT EXPIRES OWNER DON P LITOVICH CONTR. Owner ASSESSOR PARCEL 68-221-17 LOCATION 12 Linda Loma Dr, ORoville i i z J, yi Temp. Power Pole Called Temp. Elec, Called Temp. Gas Called JOB FINAL Signatu = OK 0 = Not OK * NotNot Readyble MOBILE HOMES MISCELLANEOUS Date MOBILE HOME UTILITIES (Plans) OK except #'s Date DECKS,COVERS,CARPORTS,GARAGES, (Plans)OK except #'s 1. Zoning Requirements -Setbacks -Easements 1. Zoning Requirements -Setbacks -Easements 2. Soils; Special MH Support -Sketch 2. Footings; Soils -Size -Depth -Spacing -Connectors -Steel 3. Sewer; Location -Test -Fall -C/O -Concrete 3. Decks; Girders and/or Joists -Decking -Bracing -Stairs -Rails 4. Water; Location -Test -Easement Needed (Sketch) 4. Wood Awn.; Posts-Beams-Rftrs.-Connec.- Shthg.-Rfg.-Bracing 5. Electricity; Location-Clearances-Grnd.-/ / Amp -Concrete 6. Gas; Location -Test -Wrap: / /"L"ft. / /"Nat. or/ /"L"ft./ /"LPG 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Carports; Windows -Doors 7. Utility Clearance 7. Elec. 8. Frmg; Sills-Anchors-Studs-Rftrs-Trusses 9. Siding; Nailing -Veneer -Stucco -Mesh Card -B1 Date Card -131 Date 10. Roof; Shthg-Roofing Card -131 Date Card -131 Date 11. Ext.; Steps -Doors -Landings Date MOBILEHOME INSTALLATION (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements Card -131 Date Card -81 Date 2. Footings; Size -Spacing -Marriage Line Card -131 Date Card -B1 Date 3. Gas; MH Test -Demand -Valve -Connector 4. Electricity; MH Test -Crossovers -Breakers -Clearances Date POOLS (Plans) OK except #'s 5. Drain; MH Test -Fall -Flex Connector 1. Setbacks -Easements 6. Water; MH Test -Regulator -Connector 2. Soils; Compaction -Structure Stability 7. Water and Sewer Connected -C/O to Grade -HD Approval 3. Pool Structure; Steel -Connections -Thickness - Dead Men -Lining 8. Gas and Electricity Tagged 9. Exits; Insp.-Sketch 4. Elec.; Receptacles and Lighting, Distances-GFI 10. Cert. of Occupancy 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 Card -81 Date Card -B1 Date Card -81 Date Card -81 Date 9. Health Department Approval 10. Plumb.; Cir. Test -Water Supply Test Card -131 Date Card -131 Date Card -131 Date Card -131 Date = OK = Not OK Not App.licable RESIDENTIAL (Single and Duplex) = = Not Ready I I Date UNDERFLOOR (Plans) OK except #'s Date FRAMING (Continued) _ . Zo g requirements -Setbacks -Easements . angers -Post Caps -Anchors -Connectors - /j!A2-Ftg., Main; Soils-Steel-Elec. Grnd.-/f /" Ftg. Depth . Cing. Joist-Rftr. Ties-Purlin-Roof Brac.-Truss-Shthng.-Rfng. feel-/ /" Ftg. Depth A6 --Fireplace Ties or Type A Flue -Fireplace Throat ecks; Soils -Steel-/ /"Ftg. Depth 4? -Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles Q--1-7 Stemwalls, Main; Steel-Blockouts-Wrapped -4"drm. Windows or Exiting Doors -Sill Hgt. & Dimensions el-Blockouts-Wrapped arage Fire Protection Framing 7 - roperty Line Firewall & Openings xt. Doors -One T -Check Garage -3rd story, 2 exits 9. - i Ings -Test -2 way C/O -Sewer Test -52.-Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 1 - nc ors lywood on Roof Overhang -Attic Vents -Rafter Outriggers 13 W,toF�i ep st-Anchors-Regulator-Service Test AArSiding-Nailing Veneer 12_Qacifka-, rtderground 69-5tucco Mesh -Drip Screed -Fd. Vents-Underflr. Access 1 s; Clearance-Material-Supprt-Ins. Glazing Area -Glass Protection -Skylights -Plastic . Girders -Sills -Anchor Bolts -Joists -Vents -Cripples �, r Walls; Nailing -Bolts 15. Insulation Insulation all Clg. 59. Infiltration-Walls-Wndws Card -B1 Dat / ,- Card -B1 Date P'2 Date _ Card -B1 Date Card -B Date/6/4and-B1 Date Card -B1 Dat Date )PLUMBING (Permit) OK except #'s , - _ (� and -B1 Date 16. Water Ht. Vent -Access -Combustion Air Date FI (Plans) OK except #'s 17. Water Pipe; Test & Anchors -Nail Protection xt. Steps -Door & Sidelight Protection -Landings 18. D.W.V.; Test-Fttngs & Anchors -Nail Protection L,41. Smoke Detector 19. Shower Pan; Test, First Floor -Tub Access Clearance -Comb. Air -Connector - In Garage; Above Floor -Ducts -Mach. Protection 20. Test Tub & Shower, 2nd Floor -Tub Access 21. Gas Pipe; Size & Anchors 63--Bedroum-Exiting 61, Q EA:B_Bath Fixtures & Tub Access -Spa Elec. Trim & Subpanel; Breaker Sizes -Labels Card -B1 Date Card -B1 Date Card -B1 Date Card -B1 Date 6 ye; Clearances -Hearth Date ELECTRICAL (Permit) OK except #'s 6 ood anal; Int. & Ext. 22. fIxture & Transformer Clearance -Ins. Protection ; Grnd. -Air Gap -Cooking Clearance EI c. Receptacles Spacing -Lights & Switches at Doors 7p- Frac nutleta & Rareptacles at Kit. Counter t*0'Si;p Boxes & No. of Conductors -Stapled 71 g -Landing -Closer mex Installed Close to Edge of Studs & C.J. 72• er Equip. Ground made up w/Mech. Fasteners -Bond Gas & Water a -Comb. Air-Connector-P.R.V.- In Garage; Above Floor-Mech. Protection -2 Appliance Circuits in Kitchen &Conductor Size 7 ach. Equip. Listed for Location 28-Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / /ga. Cu or At 7 in Garage; (G.F.I.)-Romex Protec. .26 -Range Circ. / / ga. Cu or AI -Oven Circ. / / ga. Cu or AI. Insulated Neutral Yes No Insulation -Foam -Looked in Attic " Goaod'b"°c a nano Construction -Post Caps 30 -Service -Riser Conductors & Ground -Main Disconnect Io7 . Fdn. Vents & Crawl Hole Door-Drainagge & Wood -Earth Jearance Looked under Floor _-a-Yes 01 -Equip. Clearances Panels-Motors-Mech. Equip. Clothes Closet Light -Shower Light -Spa Light . Following instld.; Drive CLAs O No; Walks O Yes O uj:q- Planters O Yes paid -Finish Card -B1 Date Card -61 Date nect, Electrical, Plumbing Card -B1 Date Card -131 Date 82_Vew4e-A 15ye Roof; Pibg.-Appliance-Firept.-Clearance to Openings. Date MECHANICAL (Permit) OK except #'s isconnect, Electrical, Plumbing 33. A.C. Ducts Insulation & Support 9 xterior Elec. Trim; G.F.I. Receptacle -Underground 34. Vent Fan; Exhaust above insulation 85. Ventilation throughout House 35. Condensate Drain & Overflow; Size & Grade 6. 92ss Protection 36. Furnace -Vent; Access -Comb. Air -Return Air Vent -115 outlet . Corrections from Previous Inpections 37. Attic Access & Platform if Furnace in Attic ters Tagged; Gas -Electric er Connected -C/O to Grade -HD Approval 0. Energy Compliance Certificate -Other Certificates Card -B1 Date Card -B1 Date Card -B1 Date Card -B1 Date Card -131 Date and -131 Date Date FRAMING (Plans) OK except #'s Card -131 _ Date Card -B1 Date . �sals, Proper Material & Anchors Card -131 Date Card -B1 Date ..Walls Studs Nailing, Spacing & Bracing—Plates-Sound Comments at Final: .Dearing Walls over Girders & Floor Nailing 4VPraft Stop in Walls (rat proof) Fire Stops; Furred Ceilings -Stairs -Chases -Tub Header & Beam -Size & Bearing (NOTE: An entry must be made each time you visit iob site) COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 196•Memorial Way, Chico — Phone: 891-2351 7 County Center Drive, Orovi Ile — Phone: 538-7541 747 Elliott Road, Paradise— Phone: 872-6307 CORRECTION NOTICE � OWNER PERMIT NO. A routine inspection indicates that the following violations of County Ordinance exist at the above address and should be corrected. Please notify this office when correction of work is completed. If you have any question pertaining to this matter, or need additional explanation, please contact this office immediately. 61 Inspector Date/ 6)-7- Y 7_ ,. Owner: O V� Pb I j� U 1 Civ Permit No. rte( 9 -7 -v—r9 ENERGY CERT IF ICAT ION LOCATION A.P. No. DESCRIPTION OF INSULATION ROOF Material Thickness(inches) EXTERIOR WALL Material Thickness(inches) ' CEILI G Batt r Blanket Type ckness(inches) Loose Fill Type Minimum Thickness(Inches) Area covered(ft.2) FLOOR, ELEVATED Material FXn- Thickness(inches) FLOOR, STAB Material Thickness(inches) Width(inches) FOUNDATION WALL Material Thickness(inches) Brand Name Thermal Resistance (R Value) Brand Name D C IF Thermal Resistance(R Value Brand Name 17 CzT _ Thermal Resistance(R Value) — Brand Name Number of Bags Wt. per bag lb. Thermal Resistance(R Value) Brand Name n C,)C- Thermal Resistance(R Value) TR, -11 Brand Name Thermal Resistance(R Value) Brand Name Thermal Resistance(R Value) I hereby certify that the above insulation was installed in the above building in conformance with the State of California Energy Requirements. FIRM O ORAS LICENSE NO. S GNATURE OF INSTALLATION APPLICATOR DATE I hereby certify the above insulation and all required items as shown on the Building Department approved plans and attachments have been installed as required by the State of California Energy Requirements. All equipment, devices and materials are of the quality prescribed or are specifically approved by the State of California. FIRM NAME0 (P"ase print) LICENSED NO. SIGNATURE OF GENERAL CONTRACTOR OWNER DATE THIS CERTIFICATE MUST BE ON FILE WITH THE BUILDING DEPARTMENT PRIOR TO FINAL INSPECTION APPROVAL AND A COPY SHALL BE POSTED WITHIN THE BUILDING. January 1984 I COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT NO. 7 County Center Drive - Oroville, California 95965 - Telephone: 916/538-754 irk2 APPLICATION AND PERMIT ASS 5R-PA�CNUMBER rQ�)� 1 ZON BUILDING PERMIT OWNETELEPHONE I SQ. FT. OCC. BUILDING VALUATION O OWNa ER'S MAI ING A ORE55 w �' CONTRACTOR -S NAME /WV TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ y� DO Filing Fee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee ,$ 14 1:215 Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS Permit fee $ PLUMBING PERMIT Filing Fee 10.00 r' Each Trap 2.00 onn v`� Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP Water piping 5.00 Each pas water heater or vent 5.00 USE OF STRUCTURE SFVI_ Duplex❑ Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home Is ==1 O.00ea TYPE OF WORK New ❑ Addition [p Remodel ❑ Utilities ❑ Installation❑ Other ❑ Describe work: _ Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 600V OR LESS 100 AMP OR LESS 10.00 Main service EA. ADD'L 100 AMP 2.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check.one): ❑ I am licensed under provisions of Chapt. 9, Div. 3 of the BusinesS and Professions Code and my license is in full force and effect. License No. Classification 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. ( DWELLI ..\ /z2sgft �S OR ACDNS. ACC. BL / NEW CONSTR ULTI.O L T 2,50 ea NON.RESID BRANCH CIRC ITS (POWER APPARATUS e) SINGLE OUTLET CIR. Ex. Occup(OUTLETS OR FIXTURES 2ALO 30 .ALO HO FIXED APPLNS. OR \ Ex. Occup. OUTLETS (RESIO.) EA./ 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 Permit Fee $ Contractor WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. MECHANICAL PERMIT FiIingFee 10.00 Heating Cooling Hood 3.00 Ventilation permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the Countyot Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, ' emnify and keep harmless the County of Butte against all Ii ilities, judg a s, c ts, and expenses which may in any way accrue again t i Count i n quence oft granting of this permit. X Date %— 8 Si nature of App icant - Owner ❑ Controctor ❑ Agent ❑ An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures//over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ TOTAL PERMIT FEE $ I �+ P*J iU` coNS FLooD PARCEL D D 59UE This permit is hereby issued under sions of the Butte County. Code and/or work indicated above for which DIRECTOR OF PUBLIC By `� PER EXPIRES Date the applicable provi- resolutions to do fees have been paid. WORKS Date -1 Receipt No �02t2l WHITE-D.P.W.. YELLOW-ASeE33 R. PINK -INSPECTOR, GOLDENROD -APPLICANT W JW PC)C i T cavl-et4 t4 P pow -z q -a z i�D 7 �sA`P5- �,ortZ P l :EN PREPARED FROM COMPUTER INPUT, SUBMITTED BY TRUSS FABR. 1 TC X -L":: L -R: 8.29 4.98 8.82 1.2.66 16.58 17.35 23.E7 i 27.73 32.71 BC *X -LOC L -R: .01.29 4.98 8.82 13.41 17.54 23.86 32.71 IT IS THE RESPONSIBILITY OF THE BUILDING DESIGNER AND TRUSS, FABRICATOR TO REVIEW THIS DRAWING PRIOR TO CUTTING LUMBER TO VERIFY THAT ALL DATA, INCLUDING DIMENSIONS AND LOADS. CONFORM TO THE.ARCHITECTURAL PLANS/SPECIFICATIONS AND FABRICATOR'S TRUSS LAYOUT. - REFER TO DRAWINGS 4183 AND A104R FOR OVERHANG DETAILS. Bottom chord checked for 10 PSF live load. SX,. `2X4 ;'l F.L. R-11005 d- 16-0-0 Ic•c-n -s-o 1-io-u-o 2411 O.H. .0 'PORTS d TO ERECTION CONTRACTOR LF REV 13.0.7 ,�-,- S REQUIRE E%TREt".E CARE AND ._^.r •:� '•�`�'• -5;`;, - OESIGN CRIT REF 045 RDLING, ERECTION '., S/ :,,n i tV�.. TC LL 16.0 PSF DATE 06/09/87 (BRACING WOOD TRUSSES' •• �'• ENORTlONS-•TPI). SEE `l TC 'DL 10.0 PSF DRYG CRusR427 87160001 ITIONRL SPECIAL PER11A- :�.'.:�`, ENTS. UNLESS OTIIERVISE ;('- +:.: •'CXti3 �r;I DL * 5.0 PS CR-ENG FSI RACEO,BC HEDLL BKYYlTERFLLY 000SHERIHING, ••.l`,.' '� `',/� TOT.LD.• 31 .0 PSF 0/R LEN. 33-0-0 GI CEILING OR BRACING SIGN. 00 NOT USE THIS �jr: f�''`.��•. .� �r•i• t % OUR. FRC. 1.25 Pitch: 6/4/12 WORNT TRF.RIFU LUMBER. .'� '` %,� SPACING 24.0" TYPES Special tion CONS TWUCT ICN _ COUNTY OF BUTTE - DEPARTMENT'OF PUBLIC WORKS - BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE: 916/538-7541 PERMIT APPLICATION DATA SHEET...._.. Permit No. OWNER 0" TO t QVK%['� A. P. No. !7 Proposed Building Usea" jF Building Inspector Date /_ At time of permit application, I was advised the following data must be submitted prior to permit processing an7or Issuance: DATE RECEIVED APPROVED yJ 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. Plans with Energy Design Compliance Statement. . . . . . 6. School District "Fees Paid" Stamp on Floor Plan. 7 Statement of Int`e�ntt)for Non-Hteated.�a�nd.�A�C Buildings. E y- 8. Fees of $ 1!C1, ? 0 /6L_ IFf%'�5 . . . . . . . . 9. Letter of signature autho6ZA4 10. Sanitation approval from Health Dept. . . 11. Planning approval for (A) Use: (B) Parking: . 12. Certificate of Workmen's Compensation Insurance. . . . . . 13. Contractor's License Information (no., name style, classif.) _14. Owner -Builder Verification (Given to owner❑, Mail to owner ❑ ) __—_..._15. Improvements may be required. . . . . . . . . . . . 16. Mobilehome Installation Data. . . . . . . . . . Prednspec.request to 17. Pre -Inspection for__ __. _ __ _ Required. Building Inspector 18, Recorded copy of Agricultural Acknowledgment Statement. 19. Driveway Permit. — 20. Plot plan approval from city of 21. _ 22. . t, E (Date) Wyou issue the >ermit process as follows: Mai l to owner; , ?ail to contractor - Telephone✓ �� and hold for pickup 'k_office, Deliver w/inspector. Other /-` _ -- Applican Date= Copy of plans sent Health Dept.; Fire Dept., Other Date 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: 5-4T— Contractor, designer,Cne as advised of above required data by_phone_nail—counter by ate 3 Contractor, designer, r, w advised c? above required data by—phone —ma il—counter by date 7 Plans checked by Date 3 Plans approved by Date Sets of plans on hold in File cabinet AP folder / Copy -DPW TO Buildina Department FROM: Environmental Health SUBJECT: Sanitation Clearance PaL 10,A -74 Owner Location,,., v,L L Plan Approved for: Sewage Disposal Hold final for: Final clearance O.R.for: Clearance for _ be4r-Gem mobile *er APN Water Supply Water Supply Water Date ly COUNTY OF BUTTE - Department. of Public Works 7 County Center Drive,.Oroville., CA 95965 Phone: 916-538-7541 OWNER -BUILDER VERIFICATION Attention Property Owner: An 'owner -builder" building permit has been applied for in your name and bearing your signature. Please complete and return this information at your earliest opportunity to avoid unnecessary delay in processing and issuing your building permit. No building permit will'be issued until this verification is received. 1. I personally plan to provide the major labor and aterials for construction of the proposed property improvement (yes or no) s 2. I (have/have not) signed an application for a building permit for the proposed work. 3. I have contracted with the following person (firm) to provide the proposed construction: Name Address City Phone Contractors License No. 4,. I plan to provide portions of this work, but I have hired the following person to coordinate, supervise, and provide the major work: Name Address City Phone Contractors License No. 5. I will provide some of the work'but I have contracted (hired) the following persons to provide the work indicated: Name Address Phone Type of Work Signed: Property Owner. Social Security Number Date 69 / Q zz NOTE: This Owner -Builder Verification is sent to you as required by Sections 19831 and 19832 of the California health and Safety Code. This verification must be completed and returned to our office before we are per- mitted to issue the permit. FORM 7 ADDITIONS TO RESIDENTIAL BUILDINGS ENERGY SHEET PACKAGE "A" (Additions) Owner b/ (16 L aml% / e a Climate Zone Permit # o�J�O �%- Floor Area 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. ZONE 11 ONE 16 APPLIES TO NEW AREA -"CEILING R-30 R- 0 - 8 v WALL R-11 R- 9 %FLOOR R-11 9 SLAB R-7 R-7 GLAZING U-.65 (Dual) U-.65 (Dual) SHADING SOUTH - OPTIMUM OVERHANG or .36 Shading Coefficient /NEST - ;36 Shading Coefficient ,XOOSE FILL INSULATION (Density) XNFILTRATION CONTROL (Weatherstrip doors, certified windows, caulking) VAPOR BARRIER (Zone 16) k,-15UCTS PER UNIFORM MECHANICAL CODE - Ch. 10 LIGHTING KITCHEN & BATH NOT LESS THAN 25 LUMENS/WATT V1`IAXIMUM GLAZING 16% OF -AREA PLUS .REMOVED. GLAZING NEW HEATING, VENTILATING, AIR CONDITIONING AND HOT WATER SYSTEMS IN CONJUNCTION WITH AN ADDITION SHALL BE INSTALLED AS SHOWN ON BACK OF THIS SHEET. OTHER 12/85 no *2 HEATING. VENTILATING. AIR CONDITIONING SYSTEM (A) Heating Central Gas Furnace % (brand and model -number) SE Btu/hr (heating capacity) Heat Pump (brand and model number) ACOP Btu/hr (heating capacity at 47°F) Active Solar type (liquid or air) Collector brand and ft2 model number solar fraction collector area collector• orientation collector tilt rated y -intercept Other (describe) (B) Cooling 13 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) 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(g), 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 X65) to document sizing of solar panels. ® DESIGN COMPLIANCE STATEMENT: The above building design meets the requirements of Title 24, Part 2, Chapter 2-53 of the Californa Administrarlon Code. S GNATURE 0 F B ILDING DESIGNER OR APPLICANT RESIDENTIAL PLAN CHECKING GUIDE (S.F., DUPLEX & MISC. ONLY) OWNER ��I I�C� �. l 10 vt c Id.. GENERAL FValuation. 'ngrequirements: (sideyards Plans signed by designer. 4.,iiergy Design and Compliance. Existing violations on property. 7/85 Bldg. Permit # sg)o 14 b'' A. P. # and number of permitted living units). PLOT PLAN /Gomplete parcel size and dimensions. �'�*Setbacks, sideyards, easements, etc. 3!� O''her buildings or structures. Grading, fills, drainage. ,7 Flood hazard. Special conditions on creation map or compliance document. FLOOR PLAN Complete to scale plan with dimensions. 2 Required windows for light and ventilation (Sec. 1205). ��- uired windows for second exit (Sec. 1204). ' hts (Chapter 34 & Sec.. 5207). man impact glass (Sec. 5406). Rwired room sizes, ceiling heights (Sec. 1207). eF.C.I.'s in baths, garage and exterior outlets (Article 210-8). Light fixtures, switches, receptacles, and exterior receptacles for maintenance of mechanical equipment. '—T.— Locations of water heater, heating and cooling equipment, other electrical or gas equipment, and plumbing fixtures. Garage firewall, door size, and closer (Sec. 503(d)(3)). iYl�l - 3'0" exterior exit door (Sec. 3304(e)). 'Fireplace and wood stove location. Smoke detectors (Sec. 1210). STRUCTUBAL DETAILS undation plan complete enough -,'.:to construct building. or construction details complete enough:to construct building. Elevations and wall construction details complete enough to construct building. 4 Roof construction details complete enough to construct building. %—fir Fireplace construction details and calcs if necessary. Sufficient data and details to satisfy energy requirements (State Law) (Form 1). MISCELLANEOUS ITEMS TO LOOK OUT FOR r Exposure I plywood on exposed locations and overhangs. 2. Stairway details: landings, rise and run, head clearance, handrails (Sec. 3306). —3— Guardrail details (Sec. 1711 & 3306(j)).. --4— Brick or stone veneer (Chapter 30). --S- erior plaster - weep screeds (Sec. 4706). roof pitch for roof covering (Chapter 32). Rafter ties or bearing ridge beam. RESIDENTIAL PLAN CHECKING GUIDE (CONT'D) 7/85 MISCELLANEOUS ITEMS,TO LOOK OUT FOR (CONT'D) X81. 9 .r -age door or porch header sizes. 9/ Adequate bracing. .44— Living area over garage - complete 1 -hour separation required on garage side including supporting walls and posts, etc. Two exits on three-story dwellings (Sec. 3303 & see Mezannines 1716). Attic access and ventilation (Sec. 3205). 13: Underfloor access and ventilation (Sec. 2516). Wood stoves, clearances, alcoves & 1 -hour shafts. Combustion air for fuel burning appliances. i6. Noise requirements on duplexes. 'Adobe soils - special foundation design. •�" Retaining walls requiring design. .13.x. Unusual shape, size or split level house requiring lateral design. a 9 CONTR: S. Jckin Voorhees, Oroville P.O. go .f r �'''}`:;� � ""x,r'`e`e�' '�'' ��''�'����`` ., . �"�. _ a•. w:.'. .. c .iZt '�,y„-:stn arm- ••v•�{;,y, �,. �% n '..•... a �; +s zr. ,�.- ..�''�farsd"'r,'4'� �$�vt'+�s���yl+ 1..t ..:y'y, a.7 i ~,lO'�•t_^.b'�h?yl-� t .,♦R.'.twiy,.yr. 4-`'�Y�''�if� :J•f. ;� . --... ... t ;v:Y.• �♦ .�.^.lp��'.Sf' COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 196 Memorial Way, Chico — Phone: 891-2751 7 County Center Drive, Oroville — Phone: 538-7541 747 Elliott Road, Paradise— Phone: 872-6307 CORRECTION NOTICE 12. /-/ w as OWNER PERMIT NO. A routine inspection indicates that the following violations of County Ordinance exist at the above address and should be corrected. Please notify this office when correction of work is completed. If you have any question pertaining to this mattes► nr naarl arldifinnni avnlanafinn nlaaca rnnfarf fhi¢ nffira immndiafnl.. Date Inspector COUNTY OF BUTT 7 County Center Drive - Orov APPLICATI --IVORKS DFRYIT �tepn�nu. sly . ss,.t I 1� - ~O� PERMIT ASSESSOR P.3 CEL NUMBER_ ZONbNL BUILDING PERMIT OWNED I _ELEPHONE SO. FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS .-�� CONTH ACTORSNAME ' ru��_ TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace f CONSTRUCTION LENDER UNKNOWN " Total Valuation $ - Filing Fee ` y. t0 .00 LENDER MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checl<ig Fee n $ -- ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty S BUILDING ADDRESS Permit fee PLUMBING PERMIT Filing Fee 10.00 L- �� _ ���` Each Trap 2.00 Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP Water piping - 5.00 Each qas water heater or vent 5.00 USE OF STRUCTURE SFQ Duplex❑1 Mobilehome❑ Other SPECIFY Gas piping system) 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home S ' G I W 0 0.00 ea TYPE OF WORK New❑ Addition® Remodel❑ Utilities❑ Installation[ _ Other ❑ Describe work: II Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 00V OR L Main service 100 AMP OORSLESS 10.00 CONTRACTORS LICENSE LAW 1 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 force and effect. License No. Classification 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 Main service EA. ADO'L too AMP 2.50 NEW CONST. DWELLIN'Lr1>CFL,f.e4 1 I OR ADONIS. ACC. BLD-.'�,^r— i �z2S ft NEw CONSTR. ULTI.O LET NON.RESID BRANCH r. _I ITS 2.50 ea (POWER APPARATUS tr (SINGLE O:;TLET CIR. ) , Ex. OCCu p( OUTLETS OR FIXTURES 20050t 6AL030 Ex. Occup. APPLNS. OP ) ouFIXrEDLE,S (RESID.) EA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 Permit Fee $ f G 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 10.00 Heating Cooling g Hood 3,00 Ventilation Permit Fee ; Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the Countyot Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save,,tTidemnify and keep harmless the County of Butte against all IiabiIities, judgments, costs, and expenses which may in any way accrue agaiRgt said County'in`consiquence of the granting of this permit. X/" `� / `���� Date - / - Si nature of App icant - OWner ❑ Contractor ❑ Agent ❑ An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ TOTAL PERMIT FEE $ i og P. CONS=T`Pf " I 1 IF2PA:��/N/ L 199UE 1 This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which DIRECTOR OF PUBLIC / , By L -I.- 1 PERMIT EXPIRES Date the applicable provi- resolutions to do fees have been paid. WORKS Date ,- N" a Receipt No. �•� f -! WHITE-D.P.W., YELLOW -ASS E330R, PINK -INSPECTOR, GOLDENROD -APPLICANT COMPLAINANT ADDRESS: PHONE NUMBER: OTHER COMMENTS: RESIDENTIAL 68-221-17 92-1469B POLITOVICH, Don 12 Linda Loma Dr, Oroville carport Y// Al 19 /fAl/Q 2 JOB FI Sign J=OK O = Not OK == 'Not Applicable "��vot Ready MOBILE HOMES Date MOBILE HOME UTILITIES (Plans) OK except #'s 7. Elec ' 1. Zoning Requirements -Setbacks -Easements rmg; Sils-Anchors-Studs-Rftrs-Trusses 2. Soils; Special MH Support Sketch r8-Srdin ;_Nailing -Veneer -Stucco -Mesh 3. Sewer; Location -Test -Fall -C/O Concrete 1 oof; Shthg-Roofing 4. Water; Location -Test -Easement Needed (Sketch) 11. Ext.; Steps -Doors -Landings 5. Electricity; Location-Clearences-Grnd-/ /Amp -Concrete 6. Gas; Location -Test -Wrap: / /-L-ft. / /"Nat. or/ /"L"ft./ /"LPG 7. Well Clearance & Disconnect 7 Card B-1 Date Card B-1 Card B-1 Date Card B-1 8. Utility Clearance POOLS (Plans) OK except #'s 1. Setbacks -Easements Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date MOBILE HOME INSTALLATION (Plans) OK except #'s 5. Elec.; Pool Lighting; 15 volts-GFI 1. Zoning Requirements -Setbacks Easements 6. Elec.;Enclosures; Conduit Entries -Terminals -Listed 2. Footings; Size -Spacing -Marriage Line 7. Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater 3. Gas; MH Test -Demand -Valve -Connector 8. Elec.; Grounding; Equip. w/5' Circulating Equip. -Pool Lghtg. 4. Electricity; MH Test -Crossovers -Breakers -Clearances Boxes -Enclosures -Panel boards -Ins. to Main in Conduit 5. Drain; MH Test -Fall -Flex Connector 9. Health Department Approval 6. Water; MH Test -Regulator -Connector 10. Plumb.; Cir. Test -Water Supply Test 7. Water and Sewer Connected -C/O to Grade -HD Approval 8. Gas and Electricity Tagged 9. Exits; Insp.-Sketch 10. Cert. of Occupancy Card B-1 Date Card B-1 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 DECKS OVERS, CARPOR GARAGES, ( ns)OK except #'s o Requirements -Setbacks -Easements Footings; Soils -Size -Depth -Spacing -Connectors -Steel 3. Decks; Griders and/or Joists -Decking -Bracing -Stairs -Rails ood Awn.; Posts-Beams-Rftrs.-Connectors Shthg.-Rfg.-Bracing 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Carports; Windows -Doors 7. Elec ' rmg; Sils-Anchors-Studs-Rftrs-Trusses r8-Srdin ;_Nailing -Veneer -Stucco -Mesh 1 oof; Shthg-Roofing 11. Ext.; Steps -Doors -Landings Dat Date' 7 Card B-1 Date Card B-1 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 -Panel boards -Ins. to Main in Conduit 9. Health Department Approval 10. Plumb.; Cir. Test -Water Supply Test Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 J=OK O=Not OK = Not Applicable Not Ready RESIDENTIAL (; ' = Date UNDERFLOOR (Plans) OK except ft's j 1. Zoning -Setbacks -Easements -Flood -Slope 2. Ftg., Main; Soils -Elea Grnd.-/ /" Ftg. Depth 3. Ftg., Garage; Soils-Steel-Elec. Grnd.-/ P' 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 -Anchor -Regulator -Service Test 12. Electric; Underground 13. Pienums & Ducts; Clearance -Material -Support -Ins. 14. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples 15. Access & Ventilation 16. Insulation Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date PLUMBING (Permit),OK except ✓r's 16. Water Htr.: Vent -Access -Combustion Air -Baffle ---------- 17. Water Pipe: Test & Anchor -Nail Protection --------- -------------------------------- ------- 18. D.W.V.: 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 B_1 Date Card B-1 Date Card B-1 Date ELECTRICAL (Permit) OK except #'s 22. Fixture & Transformer Clearance -Ins. Protection ------------------------------------------ 23. Elec. Receptacles Spacing -Lights & Switches at Doors ---------------------------- ------------------------------------------------ 24. Size Boxes & No. of Conductors -Stapled ------------ - - - - ----------------------------- 25. Romex In Close to Edge of Studs & C.J. 26. Equip. Ground made up w/Mech. Fastners-Bond Gas & Water --------------------------------------------------- --- - ---------------------------- 27. ----------- -------------------------------------------------------------- 27. 2 Appliance Circuts in Kitchen & Conductor SizerGFI ------- - -------------------------------------------------------- 28. Subfeed Wire Size ga. Cu or AI-A.C. Wire Size / ga. Cu or Al 29. Range Circ. / ga. Cu or Al -Oven Circ. / ! ga. Cu or Al. Insulated Neutral ❑ Yes ❑ No ----- --------------------------------------- -------------------------------- 30. Service -Riser Conductors & Ground -Main Disconnect ------------------ ----------------------------------------- - ----- - 31. Equip. Clearances Panels-Motors-Mech. Equip. ----------- ------------------------------------------------ 32. Clothes Closet Light -Shower Light -Spa Light ---- - - -------------------------------------------- ------------------- 33. Smoke Detector ----------------------------------------------------------------------------------- ---------------------------------------- --------------------------------------- Date Card B-1 Date Card B-1 ---------------------------------------------------------------------------------- Date Card B-1 Date Card B-1 Date MECHANICAL (Permit) OK except ft'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 -115 outlet ---------- ----- ---------------------------------------------------------- 38 Attic Access & Platform if Furnance in Attic ------------------------------------------------------------------------------------ ----------------------------------- ------ ------------------------------------- Date Card B-1 Date Card B-1 -------------------------------------------------------------------------------- Date Card B-1 Date Card B-1 Date FRAMING (Plans) OK except #'s 39. Sils. Proper Material & Anchors ------ ------- ------------------------------------------------------------ 40. Walls Studs -Nailing. Spacing & Bracing -Plates -Sound ---------- -------------------------------------------------------- 41. Bearing Walls over Girders & Floor Nailing ---------------- ---------------------------------------- ----------------- --- ---- 42. Draft Stop in Walls (rat proof) ------- - - ----------------------- ----------------------- 43. Fire Stops: Furred Ceilings -Stairs -Chases -Tub ------------- -- -- -------------------------------------------------------- 44. Headers & Beam -Size & Bearing ;Ingle & Duplex) Date FRAMING (Continued) _ 45. Hangers -Post Caps -Anchors -Connectors - -46. Cing. Joist-Rftr. ties-Purlin-roof Bra c-Truss-Shthng. -Ring. _ 47. Fireplace Ties or Type A Flue -Fireplace Throat clearance 48. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 49. Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions 50. Garage Fire Protection Framing 51. Property Line Firewall & Openings 52. Ext. Doors -One 3' -Check Garage -3rd Story, 2 Exits _ 53. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection ------------ 54.--- plywood on Roof Overhang -Attic Vents -Rafter Outriggers ---- --- ----------- 55. Siding -Nailing Veneer 56. Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access --------------------- --- 57. Glazing Area -Glass Protection -Skylights -Plastic ----------------- --- 58. Shear Walls: -Nailing -Bolts 59. Insulation -Walls -Ceilings 60. Infiltration -Walls -Windows ----------------- ------------------------------- Date Card B-1 Date Card B-1 ---------------------------- -- Date Card B-1 Date Card B-1 Date FINAL (Plans) OK except N's 61. Ext. Steps -Door & Sidelight Protection -Landings 62. Smoke Detector ----------------------------- 63. Furnace: Vents -Clearance -Comb. Air -Connector - In Garage: Above Floor-Ducts-Mech. Protection ---------- ----------------- 64. Bedroom Exiting ----------------------------- --- 65.- G.F.I. & Bath Fixtures & Tub Access -Spa ------------- ----------------- 66. Elec_ Trim & Subpanel: Breaker Sizes & Labels ____________ 67. Stairs -&-Rai-Is _ 68. Fireplace or Stove: Clearances -Hearth --- ------------------ 69. Elec. Outlets at Wood Panel: Int. & Ext. 70. Kit.Fixt. & Appliance; Grnd.-Air Gap -Cooking Clearance ------ ---- --- --------------------------- --- 71. Elec. Outlets & Receptacles at Kit. Counter 72. Garage Fire Door; Swing -Landing -Closer 73. -A.C.-Duct in -Garage -Damper 74. Wtr. Htf Vents -Clearance -Comb. Air-Connector-P.R.V. In Garage: Above Floor-Mech. Protection 75. Plb.. Elec. & Mech. Equip. Listed for Location 76. Elec. Receptacles in Garage: (G.F.I.)-Romex Protection 7;. Insulation -Foam -Looked in Attic ❑ Yes - ---------------------- --- 78 Guard Rails & Deck Construction -Post Caps - -------------------------------------- 79. Fdn. Vents & Crawl Hole Door -Drainage & Wood -Earth Clearance Looked under Floor ❑ Yes ------------------------------------ -- - 80. Following instld.: Drive ❑ Yes ❑ No: Walks ❑ Yes ❑ No: Planters ❑ Yes ❑ No -------------------- Stucco', Stucco: Brown -Finish 82.A.C. Unit Disconnect. Electrical, Plumbing - ------------------------------- -- 83. Vents Above Roof; Plb9 _ A pp liance-Firep lace. -Clearance to Openings - - - - - ----------------------------- --- 84. Water Well: Disconnect, Electrical, Plumbing -------------- --------------- ---------- -- 85. Exterior Elec. Trim: G.F.I. Receptacle -Underground 86. Ventilation Throughout House .. ... ---------------------------------------- 87. Glass Protection ..... -- - -------------------------------------------- 88. Corrections from Previous Inspections --------- ------------------------------------------------ 89. Gas Test -Meters Tagged; Gas -Electric_ 90. Water & Sewer Connected -C/O to Grade -HD Approval 91. Energy Compliance Certificate -Other Certificates ---------------------------------------------------- --- 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 - DEPARTMENT OF PUBLIC WORKS v 7 County Center Drive - Oroville, (5alifornia 95965 - Telephone: 916/538-7541 APPLICATION AND PERMIT PERMIT N0. ASSESSOR PARCEL NUMBER 68-221-17 ZONING R 1 BUILDING PERMIT OWNER DON POLITOVICH TELEPHONE 533-7305 so. FT. occ. BUILDING V TION OWNER'S MAILING ADDRESS 12 LINDA LOMA DRIVE OROVILLE CONTRACTOR'S NAME OWNER TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation Is 5.096 Filing Fee $ 15.00 LENDER'S MAILING ADDRESS Permit Fee $ 67.50 ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ 33.75 Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS 12 5LINDA LOMA DRIVE OROVILLE Permit fee $ PLUMBING PERMIT Filing Fee 15.00 Each Trap 1 5.00 Solar or heat pump water heater 20.00 LOT NO. 12 SUBDIVISION NAMEPARCEL MAP 18-22 Water piping 7.00 Each pas water heater or vent 7.00 USE OF STRUCTURE SF ❑ Duplex❑ Mobilehome❑ Other CARPORT 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 E] Remodel E] Utilities❑ Installation❑ Other Describe work: BUILT W/O PERMITS Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 15.00 Main service 600V OR LESS 18.50 200A OR LESS Main service 200A TO 1000AI 37.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): I am licensed under ❑ prOVISIOf1S Of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in full force and effect. License No. Classification I, as the owner, Or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ 1, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONST. / DWELLING OCCUPM 3.64 sq.ft. OR ACDNS. l ACC. BLDGS. NEW RES,., BRANCH @ 5.00 NON -RE ESID BRANCH CIRC ITS POWER APPARATUS &) (SINGLE OUTLET CIR. Ex. Occup(OUTLETS OR FIXTURES 20 76 FIXED S. OR \ EX. Occup. OUTLETS TS ( (RR ESID,) EA./ 3.00 Temporary service 15.00 Mobile Home Facilities 15.00 Misc. lyirin 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 Cool 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 a above-mentioned property for inspection purposes. I also agree to sa ,Inde nify and keep harmless the County of Butte against all liabilities, jug ents costs, and xpenses which may in any way accrue It aid Co t )'In- c nseque;ce o he granting of this permit. ZY v Dates J �� �� Signature of Applicant — Owne;X Contractor ❑ Agent ❑ An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ OCC CONST TYPE TOTAL FEE $ 116.25 NAz DFEES IMP FLO CDF PARCEL PD HD i This permit is hereby issued under the applicable provi- sions of the Butte Co my Code and/or resolutions to do work indicate dab ve for w Ich fees have been paid. R OR F P BLIC WORKS _ By Date PE MITE PI A E Date Receipt No. _]_1_5.792 WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT M T Jv/ _COUNTY OF BUTTE - DEPARTMENT OF"PUBLIC WORKS -BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE: 916/538-7541 PERMIT APPLICATION DATA SHEET Permit No. OWNER (l��d �/� d U% C r<� o + - A. P. No., 6 19 - 2.: 2- 1 - //7 Proposed Building Use /�/.r70!� Building Inspector Date SZ 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 ..... PZ / -�� 10. Fees of 11. Chico Urban Area fees paid ....................................... 12. Park fees paid .................................................... x/13. School Distri efes paid ............. . L 14. Sanitation approval from ©�V ' ���Health Department S 6 �Z 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: ...... x 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 0) ..... 24. Recorded copy of Agricultural Acknowledgment Statement ......... 25. Letter of signature authorization ................................... 26. 27. When you issue the permit, process as follows: Mail t ner. Mail to contractor. Telephone X33-73C25nd hold for pickup at office. Deliver w/inspector. Other Applicant I .Date `; / z_ 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 issuance: (Circle new item not checked above). 1. Index permit for above items No. 2. Additional items required: Contractor, designer, owner, was advised of above required data by_phone_mail_count/b--.date Contractor, designer, owner, was advised of above required data by_phone_mailjrounte date Plans checked by Sets of plans on hold in Copy -DPW Date Plans approved by i File cabinet AP folder Date To Building Department FROM: Environmental Health SUBJECT: Sanitation Clearance / d- L / /L, -'b A _..� 0 Ci w 7-0 G!f AP# Owner Location Plan Approved for: Hold final for: 7inal clearance O.R. for: cleat=or NOTE *** Sanitarian Sewaqe Disposal Water Supply Water Supply Water Supply e ome. Other Date 33� COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville. California 95965 - Telephone: 916.'538-7541 APPLICATION AND PERMIT PERMIT NO. ASSESSOR PARCEL NUMBER 2 1`7 ZONING e BUILDING PERMIT OWNER - O� U / �� L TELEPHONE 5 3 _ SO. FT. OCC. BUILDING//VALUATION V ,PJ OWNER'S MAILING ADDRESS a'VV / dy&f 1161M,4 / �Y CONTRACTOR'S NttI E TELEPHONE CONTRAC OR'S MAILING ADDRESS i Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ LENDER'S MAILING ADDRESS Filing Fee $ 15.00 Permit Fee $ - 5_Z_> ARCHITECT OR ENGINEER LICENSE NO. Checking Fee—$ _'7sAPlan 3s--7-5- Energy Plan Checking Fee $ ARCHITECT RCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS 1•2 GiN0� oNt�- v-,•v� Permit fee $ la, 2 51 - PLUMBING PERMIT Filing Fee 15.00 Each Trap 1 5.00 Solar or heat pump water heater 1 20.00 LOT NO. SUBDIVISION NAME 114?- PARCEL MAP Z Z_ Water piping 7.00 Each qas water heater or vent 7.00 USE OF STRUCTURE /� /! /!Ae— SF ) Duplex❑ Mobilehome❑ Other rlm SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 1 15.00 Mobile Home S I G I W @ 15.00 TYPE OF WORK New ❑ Addition I[[�� Remodel E]Utilities ❑ Installation❑ Other (W Describe work: 'CJU fr�t u%-0 e r1f 5 Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 15.00 Main service LESS 200AORLESS 18.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (Check One): I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in full force and effect. License No. Classification 17I, 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) ❑ 1 am exempt under Sec. , Business and Professions Code for this -reason Main service 200AT01o00AI 37.50 OCCUP.E\ NEW CONST. ( DWELLING OR ADDNS. ACC. BLDGS. // 1 3.66 sq.ft. NEW CON5TR ULTI-OUT LET NON.RE51 BRANCH CIRC ITS ^ 5 00 POWER APPARATUS 6 (SINGLE OUTLET CIR. ) Ex. OCCUp(OUTLETS OR FIXTURES AO 76d EX. OCCUp. OUTLFIXED TS P(RESID )KEA.) I 3.00 Temporary service 15.00 Mobile Home Facilities 15.00 Misc. byirin g 15.00 Permit Fee $ — WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. ❑ I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such Provisions or this permit shall be deemed revoked. Contractor MECHANICAL PERMIT FiIingFee 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 County of Butte to enter upon the above-mentioned property for inspection purposes. 1 also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue against said County in consequence of the granting of this permit. X Date Signature of Applicant — Owner❑ Contractor ❑ Agent ❑ An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee S Energy Inspection Fee $ occ CONST TYPE TOTAL FEE $ HAz 1 0 FEEST IMP FLOOD CDF PARCEL PD HD ISSUE This permit is hereby issued under the sions of the Butte County Code and/or work indicated above for which fees DIRECTOR OF PUBLIC By PERMIT EXPIRES Date applicable provi- resolutions to do have been paid. WORKS Date 1, j 9 a Receipt No. l WNIT!•D. P. W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT Location of structures & equipment shall be as shown & clear of all easements. This set of plans and specifications MU$T,N kept on the job at all times and it is'lunlawful to make any changes or alterations on same with - Out written permisslon from the Departmeri I of Publk Works,. County. Of Butte. "OTE --,--AJ Mcterials with Workmanship Accordance wifSt l0RecognFzed of a quality prescribe;}prescribe;}for frl,; raices and Specified use in, fhe Uniform Building, Plumbing & Mecho-nicci cides and Phe National - a' Electrical Code. - I Bun cOli BUILDING DEPARTMENT pR 9VED QVED B%W4-Tj. Qwe.ty/ Envirqnm,-ntO1 14@4W Date Signature lot vim'- Y• ,;+. ''.., ,,,_ - p:J Dr Y ��Ai�i''7. ` �r ^' t' '•1► .: as! r.'.+- 6_ rV 4 w'I�f►'• iA n I f r . -kk I• /., r�a*1' AT y,1<� 7,.. • Lr 1S K! •+ S r `'_ ! %�Ov�r �`t3 c . 'L.i� n•S.3e40.. %. ai 1f I �����.i`a,,' �_ ' r;.�• •�~�q�''{ t, o. •„':4 '�t�, , � .::f.. 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