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068-210-051
Tip & Judy Wilmarth E/S Travers Lane, app.250'S.of Oro Quinc wy,vlle con w4�;ostl, Paradi e Pe - 'B e sin fa ily) T 71 4B' 2 /- S/ contr• Ray Stephens & Son, Orovill Permit #567-813^P,E,M(new single family) „� /� 068-21-0-051 __��+1 91-4201 WILMARTH, TIP CONTR: GRAVISON, TOM 23 TRAVERS LN, OROVILLE ADDITION/SF 68-21-51 23 Travers Lane, Oroville Permit #99-37A(AgL c Mural Bldg, Bxcm- stg of ag equip & Materials`" �' / � i `��� RESIDENTIAL ' 068-21-0-051 91-4201 WILMARTH, TIP CONTR: GRAVISON, TOM 23 TRAVERS LN, OROVI,LLE ADDITION/SF k JOB FINALE Signature A J=OK O = Not OK -=Not Readyable 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 z. Date DECKS, COVERS, CARPORTS, GARAGES, (Plans)OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Footings; Soils -Size -Depth -Spacing -Connectors -Steel 3. Decks; Griders and/or Joists -Decking -Bracing -Stairs -Rails 4. Wood Awn.; Posts-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. Roof; Shthg-Roofing 11. Ext.; Steps -Doors -Landings Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date POOLS (Plans) OK except #'s 1. Setbacks -Easements 2. Soils; Compaction -Structure Stability 3. Pool Structure; Steel -Connections -Thickness Dead Men -Lining 4. Elec.; Receptacles and Lighting, Distances-GFI 5. Elec.; Pool Lighting; 15 volts-GFI 6. Elec.; Enclosures; Conduit Entries -Terminals -Listed 7. Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater 8. Elec.; Grounding; Equip. w/5' Circulating Equip. -Pool Lghtg. _ Boxes-Enclosures-Panelboards-Ins. to Main in Conduit 9. Health Department Approval 10. Plumb.; Cir. Test -Water Supply Test Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 V OK O=Not OK r X0 Not = Not ReadyaVe RESIDENTIAL( ingle`& Duplex) Date UND FLOOR (Plans) OK except #'s Zoning -Setbacks -Easements -Flood -Slope Dato FRAMING (Continued) '. angers -Post Caps -Anchors -Connectors 19-�tg_ Main; Soils-Elec. Grnd.-A/" Ftg. Depth- Ing. Joist-Rttr. ties-Purlin-root Brac-Truss-Shthng.-Ring. 3. Ftg., Garage; Soils-Steel-Elec. Grnd.-/ /" Ftg. Depth- — 49-ftepiace-dies or Type AFlue-Fireplace Throat clearance 4. Ftg., Porches & Decks; Soils -Steel-/ /Ftg. Depth 4B-AtTr�ccess; Size & Romex Protection -Draft Stop -Ins. Baffles 5. Stemwalls, Main; Steel -Bloc kouts-Wra pped m. Windows or Exiting Doors -Sill Hgt. & Dimensions 6. Stemwnlls Garane Steel-Rlncknuts-Wrannerl -- -- — 6a. Hold Downs and Special Anchors 7. Sip: Steel -Wrapped 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 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 ------- ----- --------------------- ..28--riec. Receptacles_ Spacing -Lights & Switches at Doors ----------�---�-- --------------- �S ze Boxes & No. of Conductors -Stapled _25�R" mex Installed Close to Edge of Studs & C.J. ------------- -- - - - --------------- ------------- 6. Equip Ground made up w/Mech. Fastners-Bond Gas-&- Water ---------------- - ----------------------------- yYl'Appliance Circuts in Kitchen & Conductor Size/GFI -------------- ----- -------------------------------------------- r r ga. Cu or AI-A.C. Wire Size ! ! ga. Cu or AI r ga Cu or AI -Oven Circ. / / ga. Cu or Al. Insulated Neutral ❑Yes ❑ No ductors & Ground -Main Disconnect --------------------------- ------------- -------------------------------..- 2+.-fgarp-G4ee.Rnces Panels-Motors-Mech. Equip. ghI-Shower Light -Spa Light ------------------------------------------ --- ------- ----------- - - ---------- 33. Smoke Detector --- ---------------------- --------------------------------------------- -. Dat -- e Card --1 Date Card B-1 Date Card B-1 Date Card B-1 Dale MECHANICAL (Permit) Ok except 4's A.C. Ducts Insulation & Support -------------------------------------- -------------------------------------------- 315. Volt Fan: Exhaust above insulation ------------ 3&_ C.^^a_ensate Drain & Overflow: Size & Grade 9 c n nce-V-en--t: - Access -Comb Air -Return -Air Vent-1--15-outlet-- ----- -- - - ---------------- ------------- ---------------- ttic Access & Platform if Furnance in Attic ----- -- ------------------- -- ---- - -- ----- - - -- - Date - Z� ]ward B-1 Date - -Card 8_1 --- -�---�------------ ----------------- ------ - Date Card B-1 Date Card B-1 Date FRAMI tans) OK except N's Sils Proper Material & Anchors ------ ---- ----- 49 -'Walls --------------- alls Studs -Nailing. Spacing & Bracing -Plates -Sound --------------------------------------------------------- 4 earing Walls over Girders & Floor Nailing ------------- --- -------------------------- -- raft Stop in Walls (rat proof) _ _ _ _ -------------------- Stops - - Fu ----------------- ire rred Ceilings -Stairs -Chases -Tub --------------------- ------------ ---- --- - -------------------------- eaders & Beam -Size & Bearing 50. GarageMProtection Framing "-rroperty--L-me Firewall & Openings 52-Ext.-B"f-s-One 3' -Check Garage -3rd Story, 2 Exits Headroom Rise -Run -Landing -Fire Protection 54 plywood on Roof Overhang -Attic Vents -Rafter Outriggers &a.-Nailina Veneer 56-5lneee-PAezh-Brip Screed -Fd. Vents-Underflr. Access _ a -Glass Protection -Skylights -Plastic ------ hear Walls; Nailing -Bolts 5 sulation-Walls-Ceilings - 60. Infiltration -Walls -Windows Date z3>B-_ Date Card B-1 _f Card B-1 Date Card B-1 Date FINAL (Plans) OK except a'sFINAL (Plans) OK except 4's Ext. Steps -Door & Sidelight Protection -Landings ------------ -�-�-y=--- fyf Smoke Detector ----------------- 6 rnace: Vents -Clearance -Comb. Air -Connector - In Garage; Above Floor-Ducts-Mech. Protection ---------- - --- -84'�edroom Exiting .6�►G'1`I & Bath Fixtures & Tub Access -Spa - ----- 6 ec .Trim& Subpanel; Breaker Sizes &Labels .Stairs &R_ails -- - -- 6e3-F+�eplaee� Stove Clearances -Hearth GH!Elec. Outlets at Wood Panel: Int. & Ext. -------------------------------- ---- 7QJSi4-Fiat.-&-Appliance; Grnd.-Air Gap -Cooking Clearance -- ---- -- - --------------- __ ---- -- }i-E4ee--9rrl4ets& Receptacles at Kit. Counter -- - -------- - - ----------------------- ----- 79. Garage -Fire -Door; Swing -Landing -Closer are a -Dam er ---------------------------- 'd `Wu "t `--nts-Clearance-Comb. Air-Connector-P.R.V. In G age: Above Floor-Mech. Protection 5 ec. & M_ech._Equip. Listed for Location 7 ec. Receptacles in Garage: (G.F.I.)-Romex Protection �uar5,kgils oam-Looked in Attic ❑ Yes ----- - --------------------------- - 7 & Deck Construction -Post Caps -- ----------------- --------------- 7 n. V-ents & Crawl Hole Door -Drainage & Wood -Earth Clear ce Looked under Floor ❑ Yes �' 8 lowing instld.: Driv� Yes ll�o: Walks ❑ Yes D-ITO Planters ID -Yes 1 No ------------ ru Surrn Ryn-Finish --- -- 8-. Disconnect. Electrical, Plumbing . ents Above Roof; Plbg.-Appliance-Fireplace.-Clearance to Openings __ - -- Ser Well; Disconnect, Electrical, Plumbing ' ai =_lec. Trim; G.F.I. Receptacle -Underground- ---- ----- -- - entilation Throughout House - -. assss Protection --------------- ------------ ------------ -- �r tions rn Previous Inspections - ----- 89. as ters Tagged; Gas -Electric -- - -- -._-- _ ewer Connected -C/O to Grade -HD Approval — nergy Compliance Certificate -Other Certificates --------------------------------- Date �r��< 2rd 8-1 Date _ Card B-1 - Date . ZY and B-1 Date Card B-1 Date Card B-1 Date Card B-1 Comments at Final: 13. Pi nums & Ducts; Clearance -Material -Support -Ins. Gi ers-Sills-Anchor Bolts -Joists -Vents -Cripples f3 Access & Ventilation 16. Insulation Date -2--'/ -q 0, Card B-1 Date Card B-1 Date!D-%7-1-1-.Card B-1 Date Card B-1 Date PLUMBING (Permit),OK except a's ------------ 16. Water- tr.: Ven ccess-Combustion Air -Baffle --- ---------------------------- 17. Water e' est & Anchor -Nail Protection - - 18. D.W.V.; t -Fittings & Anchor -Nail Protection ------------- - - - - -- 19. Shower Pa 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 ------- ----- --------------------- ..28--riec. Receptacles_ Spacing -Lights & Switches at Doors ----------�---�-- --------------- �S ze Boxes & No. of Conductors -Stapled _25�R" mex Installed Close to Edge of Studs & C.J. ------------- -- - - - --------------- ------------- 6. Equip Ground made up w/Mech. Fastners-Bond Gas-&- Water ---------------- - ----------------------------- yYl'Appliance Circuts in Kitchen & Conductor Size/GFI -------------- ----- -------------------------------------------- r r ga. Cu or AI-A.C. Wire Size ! ! ga. Cu or AI r ga Cu or AI -Oven Circ. / / ga. Cu or Al. Insulated Neutral ❑Yes ❑ No ductors & Ground -Main Disconnect --------------------------- ------------- -------------------------------..- 2+.-fgarp-G4ee.Rnces Panels-Motors-Mech. Equip. ghI-Shower Light -Spa Light ------------------------------------------ --- ------- ----------- - - ---------- 33. Smoke Detector --- ---------------------- --------------------------------------------- -. Dat -- e Card --1 Date Card B-1 Date Card B-1 Date Card B-1 Dale MECHANICAL (Permit) Ok except 4's A.C. Ducts Insulation & Support -------------------------------------- -------------------------------------------- 315. Volt Fan: Exhaust above insulation ------------ 3&_ C.^^a_ensate Drain & Overflow: Size & Grade 9 c n nce-V-en--t: - Access -Comb Air -Return -Air Vent-1--15-outlet-- ----- -- - - ---------------- ------------- ---------------- ttic Access & Platform if Furnance in Attic ----- -- ------------------- -- ---- - -- ----- - - -- - Date - Z� ]ward B-1 Date - -Card 8_1 --- -�---�------------ ----------------- ------ - Date Card B-1 Date Card B-1 Date FRAMI tans) OK except N's Sils Proper Material & Anchors ------ ---- ----- 49 -'Walls --------------- alls Studs -Nailing. Spacing & Bracing -Plates -Sound --------------------------------------------------------- 4 earing Walls over Girders & Floor Nailing ------------- --- -------------------------- -- raft Stop in Walls (rat proof) _ _ _ _ -------------------- Stops - - Fu ----------------- ire rred Ceilings -Stairs -Chases -Tub --------------------- ------------ ---- --- - -------------------------- eaders & Beam -Size & Bearing 50. GarageMProtection Framing "-rroperty--L-me Firewall & Openings 52-Ext.-B"f-s-One 3' -Check Garage -3rd Story, 2 Exits Headroom Rise -Run -Landing -Fire Protection 54 plywood on Roof Overhang -Attic Vents -Rafter Outriggers &a.-Nailina Veneer 56-5lneee-PAezh-Brip Screed -Fd. Vents-Underflr. Access _ a -Glass Protection -Skylights -Plastic ------ hear Walls; Nailing -Bolts 5 sulation-Walls-Ceilings - 60. Infiltration -Walls -Windows Date z3>B-_ Date Card B-1 _f Card B-1 Date Card B-1 Date FINAL (Plans) OK except a'sFINAL (Plans) OK except 4's Ext. Steps -Door & Sidelight Protection -Landings ------------ -�-�-y=--- fyf Smoke Detector ----------------- 6 rnace: Vents -Clearance -Comb. Air -Connector - In Garage; Above Floor-Ducts-Mech. Protection ---------- - --- -84'�edroom Exiting .6�►G'1`I & Bath Fixtures & Tub Access -Spa - ----- 6 ec .Trim& Subpanel; Breaker Sizes &Labels .Stairs &R_ails -- - -- 6e3-F+�eplaee� Stove Clearances -Hearth GH!Elec. Outlets at Wood Panel: Int. & Ext. -------------------------------- ---- 7QJSi4-Fiat.-&-Appliance; Grnd.-Air Gap -Cooking Clearance -- ---- -- - --------------- __ ---- -- }i-E4ee--9rrl4ets& Receptacles at Kit. Counter -- - -------- - - ----------------------- ----- 79. Garage -Fire -Door; Swing -Landing -Closer are a -Dam er ---------------------------- 'd `Wu "t `--nts-Clearance-Comb. Air-Connector-P.R.V. In G age: Above Floor-Mech. Protection 5 ec. & M_ech._Equip. Listed for Location 7 ec. Receptacles in Garage: (G.F.I.)-Romex Protection �uar5,kgils oam-Looked in Attic ❑ Yes ----- - --------------------------- - 7 & Deck Construction -Post Caps -- ----------------- --------------- 7 n. V-ents & Crawl Hole Door -Drainage & Wood -Earth Clear ce Looked under Floor ❑ Yes �' 8 lowing instld.: Driv� Yes ll�o: Walks ❑ Yes D-ITO Planters ID -Yes 1 No ------------ ru Surrn Ryn-Finish --- -- 8-. Disconnect. Electrical, Plumbing . ents Above Roof; Plbg.-Appliance-Fireplace.-Clearance to Openings __ - -- Ser Well; Disconnect, Electrical, Plumbing ' ai =_lec. Trim; G.F.I. Receptacle -Underground- ---- ----- -- - entilation Throughout House - -. assss Protection --------------- ------------ ------------ -- �r tions rn Previous Inspections - ----- 89. as ters Tagged; Gas -Electric -- - -- -._-- _ ewer Connected -C/O to Grade -HD Approval — nergy Compliance Certificate -Other Certificates --------------------------------- Date �r��< 2rd 8-1 Date _ Card B-1 - Date . ZY and B-1 Date Card B-1 Date Card B-1 Date Card B-1 Comments at Final: COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 1469 Humboldt Road, Chico, CA - (916) 891-2751 7 County Center Drive, Oroville, CA - (916) 538-7541 747 Elliott Road, Paradise, CA - (916) 872-6307 CORRECTION NOTICE OWNER PERMIT NO. A routine inspection indicates that the following violations of Butte County Ordinances exist at the above address and should be corrected. Please notify this office when correction of work is completed. If you have any questions pertaining to this matter, or need additional explanation, please contact this office immediately. r Dated !S -9 Inspector REV 11/91 TCS k 4e- XLH;%r r—c L' • ENERGY INSTALLATION CERTIFICATE Building Owner jA f l h ,f j4it7 ���= Building Permit # / '12 Building Location 2 Zi rQ /�yLsyLS DESCRIPTION ROOF Material _ Thickness(inches)f/b EXTERIOR WALL / Material f., Thickness(inches); / CEILING Batt or Blanket Type Thickness(inches) Loose Fill Type Minimum Thickness(Inches) Area covered(ft.2) FLOOR, ELEVATED ll Material Thickness(inches) l Y FLOOR, SLAB Material Thickness(inches) Width(inches) FOUNDATION WALL Material Thickness(inches) OF INSULATION Brand Name4/,� )del g Thermal Mesistance (R Value) Brand Name l Thermal Resistance(R Value) Brand Name fC Thermal Resistance(R Value)_ Brand Name . Number of Bags Wt. per bag lb. Thermal Resistance(R Value) Brand Name Thermal Resistance(R Value) 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, -is is consistent with- approved building depart-ment -plan s --and attachments and- con- forms with requirements of Chapter 2-53 of State of California Energy Requirement FIRM NAE/OWNER STATE CONTRACTOR'S LICENSE NO. SIGNATURE OF INSTALLATION APPLICATOR DATE I hereby certify the required features, devices, and equipment, ab shown on the approved Building Department plans and attachments have been installed and conform to the appli- ance standards and Chapter 2-53 of the State of California Energy requirements. �Nill IA� UILDING CONTRACTO OWNER lease Print) (FIRM NAM (SIGTTME OF BUILDING CONTRACTOR/OWNER HVAC FIRM NAME/OWNER (Please Print) STATE CONTRACTOR'S LICENSE NO. 1 DATE STATE CONTRACTOR'S LICENSE NO. SIGNATURE OF HVAC 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. SEPTEMBER 1988 COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive- Oroville, dalifornla 959050 Telephone: 916/538-7541 �► APPLICATION ANYPERMIT PERMIT NO. ASSESSOR PARCEL NUMBER ;ONING068-210-051 A R BUILDING PERMIT OWNER TTP WILMARTH TELEPHONE SO. FT. OCC. BUILDING VALUATION 480 R 24,480 OWNER'S MAILING ADDRESS 23 TRAVERS LANE OROVILLE 160 C 2,080 CONTRACTOR'S NAME TOM GRAVTSON TELEPHONE 589-3457 CONTRACTOR'S MAILING ADDRESS 4996 ROYAL OAKS DRIVE OROVILLE Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation Is Filing Fee ' $ 15.00 LENDER'S MAILING ADDRESS Permit Fee $ 223.00 ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ 111.50 Energy Plan Checking Fee $ 20,00 ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS 23 TRAVERS LANE ROVILLE Permit fee $ 369.50 PLUMBING PERMIT Filing Fee 15.00 Each Trap 1 5.00 Solar or heat pump water heater 1 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP Water piping 7.00 Each qas water heater or vent 7.00 USE OF STRUCTURE SF ® Duplex❑ Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 15.00 Mobile Home I S G W @ 15.00 TYPE OF WORK New F, Addition Remodel❑ Utilities❑ Installation❑ Other ❑ Describe work: FLA041-1-v AnrIM AND SITTING ROOM AND _ GOVERED PECK Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 15.00 Main service soot/ OR LESS 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 Professio s`Cgde andy license is in full force and effect. _ License .Jo. X� Classification a ❑ 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 OR ADDNS. ACC. BLDGS.M / 3.64 sq.ft. NEW CONSTRES.D, RANCHUTLET NO N•R ESID BRANCH CIRC ITS @ 5.00 POWER APPARATUS e (SINGLE OUTLET CIR. OR FIXTURE Ex. Occup(OFIXED 20 20 76d APLNSUTLETS Ex. Occup. OU LETS P(RESID.IREA./ I 3.00 Temporary service 15.00 Mobile Home Facilities 15.00 Misc. byirin g 15.00 Permit Fee $ 31.80 - 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 DUCT EXT 9.00 Coolin g Hood 6.50 Ventilation Penult Fee $ XXX90 24.00 Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the Countyot Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgm nts, costs, and expenses which may in any ay accrue agai said County consequence of the granting of this perm t. X %" Date signature of Appli ant - Owner Contractor Agent ❑ An OSHA permit is required for excavations over 5't)" dee a moliti or construct- ion of structures over 3 stories in height. /f Mobile Home Installation Fee S Energy Inspection Fee $ 40.00 C. YPE �/_�V TOTAL FEE $ 465.30 HAz O IMP FL00 ti/ coF PARCE D Is This permit is hereby issued under the sions of the Butte County Code and/or work indicated above for which fees IRE TO. F PUBLIC By PERr EXPIRE Date applicable provi- resolutions to do j i have been paid. WORKS Date 2-/ -9) z- Receipt No. 103508 191.50 on SZ11A, 7.3 WHITE-D.P.W., YELLOW -ASSESSOR, PINK -I ECTOR. GOLDENROD -APPLICANT COUNTY OF BUTTE - DEPARTMENT OF -PUBLIC WORKS - BUILDING DIVISION OWNER Proposed Building Use 7 COUNTY CENTER DRIVE - OROVILLE, CALIFO.,RNIA'95965 -TELEPHONE: 916/538-7541 PERMIT APPLICATION ATA SHEET r� /J� /� # Permit No. /1 VV / 11414 1' 7f A. P. No. 6297— ZIV 'OS/ Iding Inspector Date 'S %/ 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 ........................ Fees of $ .�C 7 S ....................................... Z G Chico Urban Area fees paid ....................................... 1 Park fees, paid ................................................. oeo c le -'g School District fees paid .............. 14. Sanitation approval from 0490, Health Department 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 ❑) ..... 24. Recorded copy of Agricultural Acknowledgment Statement ......... t 25. Letter of signature authorization ................................... 26. 27. When you issue the permit, process as follows: Mail to owner. - Telephone Rq-MK7 and hold for pickup at Q r 1/%ffice. I Other_ Copy of Hdz-Mat form sent Health Dept C Mail to contractor. _Deliver w/inspector. Fire Dept. Air Pollution opy of plans sent Health Dept. Fire; Other Date By The following data must be submitted prior too pe(mit ' suance: (Circle new item not checked above). 1. Index permit for above items No. X 2. Additional items required: Contractor, designer, owner, was advised of above required data by_phone_—nail—counter by OW .date 2 �� Contractor, designer, owner, was advised of above required data by_phone_mall_,—coun er by date Plans checked by 6W —Date 0 ! Plans approve D�;�� Date Sets of plans on hold in Copy—DPW File cabinet AP folder TO Buildina Department FROM: , Environmental Health SUBJECT: Sanitation Clearance Owner ! Locat' n AP# D . Plan Approved for: Sewage Disposal Water Supply Hold final for: 461 Water Supply Final clearance O.R. for: Laos ®�� Water Supply e aline / /L Clear nce for 'gyp. - her _L6_�� FII -1-4 /C . AQil1 %.CL cilli Date COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroviller Callfornla'95965 - Telephone: 916.'538-7541 APPLICATION AND PERMIT PERMIT NO. ASSESSOR PARCEL NUMBER 6 (J� /J- / () I ZONING ' BUILDING PERMIT OWNER �. TEL HONE SO. FT. OCC. �JBUILDING VALUATION OWNER'S MAIL NG AD DR SS O G 0 23 fI U s ()-.47o CONTRACTOR'S NAME TELEPHONE 5d_ —L5'% CONTRACT, AILING AD KESS /- oeS g �4,0 Fireplace CONSTRUCTION LENDER' UNKNOWN Total Valuation I $ Z 6, LENDER'S MAILING ADDRESS Filing Fee $ 15.00 Permit Fee $ �F5% d20 ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ , Sp ARCHITECT OR ENGINEER'S MAILING ADDRESS Energy Plan Checking Fee $ z o - (90 Penalty $ BUILDING ADDRESS 69101 Permit fee PLUMBING PERMIT Filing Fee 15.00 Each Trap 1 5.00 Solar or heat pump water heater 1 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP Water piping 7.00 Each qas water heater or vent 7.00 USE OF STRUCTURE Gas piping system 1 - 5 outlets 5.00 SF,& Duplex❑ Mobilehome❑ Other Building sewer 15.00 SPECT FY Mobile Home S I G I W @ 15.00 TYPE OF WORK New ❑ AdditionCR Rem del❑ Utilities Installation❑ Other F1 Permit Fee $ Describe work: �� 1�o6/✓t "il% / Joel¢ Contractor ELECTRICAL PERMITFiling Fee 15.00 4--18.501 Main service 600V OR LESS 200A OR LESS Main service 20CATO 1000A1 37.50 CONTRACTORS LICENSE LAW DWELLING OCC NEW CONST. ( / 3.64sq.ft. I declare under penalty of perjury (check one): OR ADONS. A CC. BLDG S.� NEW CONSTF ULTI-OUTL T @ S.00 ❑ 1 am licensed under provisions of Chapt. 9, Div. 3 of the Business NON-RESID BRANCH CIRC ITS POWER APPARATUS eR. and Professions Code and my license is In full force and effect. (SINGLE OUTLET Ct License No. Classification Ex. Occup(OUTLETS OR FIXTURES 20 76d ❑ I, as the owner, or my employees with wages as their sole compen- FIXED APPLNS. EX. Occup. OUTLETS ((RESID 1REA.7 I 3.00 sation, will do the work,and the structure is not intended or offered Temporary service 1 15.00 for sale. (Sec. 7044) ❑ I, the licensed Mobile Home Facilities 15.00 as owner, am exclusively contracting with contract- Misc. byirin 15.00 ors. (Sec. 7044) g ❑ I am exempt under Sec. , Business and Professions Code for this reason Permit Fee $ — Contractor WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): MECHANICAL PERMIT FiIingFee 15.00 ❑ The permit is for $100.00 (valuation) or less. Heating ❑ I have placed on file with the County of Butte Building Department G t7. C>,::> a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. Cooling ❑ I shall not employ any person in any manner so as to become subjectHood 6.50 to the W. C. laws of California. Ventilation Notice to Applicant: If after making this statement, should you becomesubject to the W. C. provisions of the Labor Code, you must forthwith comply with such permit Fee $ z , oa provisions or this permit shall be deemed revoked. LSontractor I certify that I have read this application and state that the above information Mobile Home Installation Fee $ is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the Countyot Energy Inspection Fee $ (), !D Butte to enter upon the above-mentioned property for inspection purposes. occ CONST TYPE I TOTAL FEE $ 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 FIAz 0FEES IMP FLOOD CDF PARCEL PD HD ISSUE against said County in consequence of the granting of this permit. 1 I I 1 X Date This permit is hereby issued under the applicable provi- Si nature of Applicant – Owner g pp ❑ Contractor ❑ Agent ❑ sions of the Butte County Code and/or resolutions to do An OSHA permit is required For excavations over 5'0" deep and demolition or construct - work indicated above for which fees have been paid. ion of structures over 3 stories in height. DIRECTOR OF PUBLIC WORKS Receipt 0 j 5a? — O/ 5 BY Date No. o ! PERMIT EXPIRES Date WNITC-D.P.W.. YELLOW-ASSE330R, PINK -INSPECTOR. GOLDENROD -APPLICANT i FORM 7 ADDITIONS -TO RESIDENTIAL BUILDINGS ENERGY SHEET PACKAGE "A" (Additions) Owner Nji Climate Zone 11 Permit # —c)/- 4 20 f Floor Area 4An 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 APPLIES TO NEW AREA '`C IE LING R-30 WALL R=11 FLOOR R.-11 SLAB R-7 GLAZING U 65—(_Dual) SHADING SOUTH - OPTIMUM OVERHANG or .36 Shading Coefficient WEST - .36 Shading Coefficient LOOSE FILL INSULATION (Density) N -- ZONE 16 R-38 R-19 R-19 R-7 ' -U-.65 (Dual) INFILTRATION CONTROL (Weatherstrip_doors, certified windows, caulking) VAPOR BARRIER (Zone 16) DUCTS PER UNIFORM MECHANICAL CODE - Ch. 10 T T(_L7TTT (_ TiTT('TYiF11i tee,: R_ TH NOT LESS"-THAN'25YLUMENS%WATT MAXIM GLAIQG_16_�0 OF AREA __MAXIMZIPLUS REMOVED LAZING NEW HEATING, VENTILATING, AIR CONDITIONING ANN�S� WATER SYSTEMS IN CONJUNCTION WITH AN ADDITION SHALL BE INSTA �4OTV ON BACK OF THIS SHEET. VILDINO DTPA -0m IT OTHER . — _ _ APPROVED 12/85 *1 HEATING, VENTILATING. AIR CONDITIONING SYSTEM (A) Heating Central Gas Furnace" % (brand and model number) SE Btu/hr (heating capacity) Heat Pump (brand and model number) ACOP Btu/hr (heating capacity at 47°F) Active Solar type (liquid or air) Collector brand and ft2 model number solar fraction collector area collector orientation collector tilt rated y -intercept rated slope Other (describe) *1 (B) Cooling Electric Air Conditioner (brand and model number) (seasonal EER) Btu/hr (cooling capacity at 95°F) Electric Heat Pump EER Btu/hr (cooling capacity at 95°F) Other (describe) DOMESTIC WATER SYSTEM ❑ • (B) Gas Only Gallons . (brand and model numbet) (tank size) ❑ Heat Pump w/Electric Backup (brand and model number) Gallons (tank size) ❑ *2 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 D Other (Describe) *1 Submit documentation of sizing heating and cooling equipment by Manual J, sizing charts (form #4) or other approved methods, section 2-5352(8), and fill out the following: Heating: Winter design temperature °, elevation ', heating load BTU elevation factor x heating load maximum outlet capacity gas furnace BTU Cooling: Summer design temperature cooling load BTU *2 Submit T.I.P.S.E. chart or other approved system (form #5) to document sizing of solar panels. ® DESIGN COMPLIANCE STATEMENT: The above building design meets the requirements of Title 24, Part 2, Chapter 2-53 of the CaliforniaAdministration Code. IGNA RE OF G DESIGNER OR AP LICA I��!",'�P"^'4Fr--i-v..��.hr. .: •+.... t..r...�`Kt.....st'' .-+'"._` r�.�.Fy�•.�[yf�v FyY'..n"7'..��w_'�('rS'.t.'-�•".�„ir+�'ir-'r"l;'L''4••�F•n�:S-•!k(-rT".•"/f'yj t�•J,.,�.•..y :.'7..:r ... .... .. ni :.c .. - BUTTE COUNTY SCHOOLS DEVELOPMENT -FEE CERTIFICATION FORM (One Form per Building) r� f 99 ' A.P. Number Pe7-,G/J,,�f5'/. Building Department No. School District '-:�Wa 215-/O�7 Cit;/P County IM f . P y / / f/ �i�/%��T Property Owner �X �i Jurisdiction J . . _ - .- Project Location/Address Z-5��/IVS Subdivision Lot Number Residential Development: © LIfo Sq. Footage ']'(j �/ # of Living MHI Addition (Group R) Units Commercial/Industrial: D 1-1 Sq. Footage New Addition (Including Exterior . Roofed Areas) Building Department Representative Date ******************************************************************* (Floor Plans reviewed by School District Personnel) TM. District Iro.� ':�23 Applicant Name Street Address School District certifies that Phone Number (City) (State) wK (Zip Code) has complied with the requirements of Resolution No. �g-ya-Oti by the payment of $ /V representing square feet. School District Representative bate PAID BY CHECK NO. REMARKS: L�iL7J BANK NO PAID BY CASH ?'`F Sat white -applicant, yellow -building department, pink -school district SCHOOL.FEE (8/88) COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 959`5 - Telephone 916/534-4541 AGRICULTURAL BUILDING EXEMPTION PERMIT PERMIT NOV 92d 2 Agricultural building is defined as follows: Agricultural building is a structure designed and constructed to house farm implements, hay, grain, poultry, livestock, or other horticulutral products. This structure shall not be a place of human habitation or a place of employment where agricultural products are processed, treated, or packaged, nor shall it be a place used by the public. ASSES PARCEL NO. ZONING OWNEt PHO � �� V fv OWNER'S ADDRE§,9,- Ile, QST :. ra ✓ 6- rs n �`o v I LOCANOF BUILDING QWL le: USE O BUILDING � .� 15 -r o r SIZE OF STPUCTURE ''911 x = SQ. FT. TYPE OF CONSTRUCTION: WOOD FRAME STEEL CONCRETE OTHER (Specify) TYPE OF SIDING co ROOF COTING�S ` FLOOR TYPE Oty1 00 ESTIMATED COST 'OF�CONSTRUCTION 15-`/� $ l.l AG Buildings shall comply with the building front, side, and rear yard requirements of the applicable County Ordinances as follows: e —r FRONT --5Z S �...4 SIDES 1S REAR AG Buildings shall be a minimum of five (5) feet from any septic tank or leach fields. AG Buildings less than 1000 sq. ft. in floor area shall be located a minimum of 6 feet from a residence, 10 feet from a mobilehome, and 23 feet from a commercial building. AG Buildings greater than 1000 sq. ft. in floor area shall be located a minimum of 23 feet from a residence and a mobilehome, and 40 feet from a commercial building. I declare under penalty of perjury that the building will be used as stated above and the proposed use conforms with the AG Building definition. If any change in use or occupancy of the building is made, 1 will contact the Department of Public Works and will obtain any necessary permits, inspections, and approvals to comply with the requirements in effect at that time and before occupancy. 1 Date C1 (0 �� Signature of Owner Permit Fee - $25.00 The above described AG Building is exempt from a building permit. Receipt No. �� I Director of Public Works By Date White - DPW, Yellow - Assessor, Pink - B.I., Goldenrod - Applicant ItY..i, y �. BM Propos( r - u COUNTY OF BUTTE - DEPARTMENT OFQPUBL'IC WORKS - BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 111,965 - TELEPHONE: 916/538-7541 PER_ MIT APPLICATION DATA SHEET I ( v- _i Permit No. At time of permit application, I was advised the following data must be submitted prior to permit processing and/or* suance: 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. Plans with Energy Design Compliance Statement. . . . . . 6. School District ''Fees Paid" Stamp on Floor Plan. 7 Statement of Intent for Non -Heated and AC Buildings. 8. Fees of $ . . . . . . . . 9. Letter of signature authorization. . . . . . . . . . 10. Sanitation approval from _ Health Dept. . . 11. Planning approval for (A) Use: (B) Parking: . 12. Certificate of Workmen's Compensation Insurance. . . . . . 13. Contractor's License Information (no., name style, classif.) _14. Owner -Builder Verification (Given to owner❑, Mail to owner ❑ ) _.__..._15. Improvements may be required. . . . . . . . . . 16. Mobilehome Installation Data. . . . . . . Pre-Inspec. 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. When, you issue the permit, process as follows: XMail to owner; Telephone and hold for pickup at office, Other Mail to contractor_ _Deliver w/'inspector. (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: —_ Contractor, designer, owner, was advised of above required data by—phone----mail counter by date Contractor, designer, owner, was advised c? above required data by—phone —ma il_counter by date Plans checked by Copy—DPW Sets of plans on hold in Date Plans approved by File cabinet AP folder Date IC a eaunug- ag OROVILLE, CALIFORNIA GENERAL CLAIM CLAIMANT: Jared T. Wilmarth ADDRESS: 418 Skyline Blvd. CITY & STATE: Oroville, CA. 95965 IMPORTANT: February 23, 1981 SEE INSTRUCTIONS DATE OF CLAIM: ON REVERSE SIDE SUBMIT CLAIM TO DEPARTMENT RECEIVING GOODS OR SERVICES DATE j DESCRIPTION OF CLAIM (DESCRIBE FULLY TO -AVOID DELAY) 4MOUNT 9/18/80 i Not going to build. B1dg.Permit #4653-80B,P,E,M - Receipt #42052 AP34-17-51I Building permit fee paid ----------------$302.50 Retain plan check fee -- Retain filing fee -----`-'.$97.50 T—otal amount retaine ' 07.5 --------- .5 I Amount of refund due ------------------------------$195.00 I Plumbing permit fee paid ----------------$ 46.00 Retain filing fee ----------------------- 10.00 I Amount of refund due ------------------------------$ 36.00 Electrical permit fee paid -------------- $ 64.50 Retain filing tee ----------------------- Amount of refund due ------------------------------$ 54.50 Mechanical permit fee paid --------------$ 25.50 Retain filing fee _______________________ 10.00 --- Amount of refund due ------------------------------ 15.50 TOTAL REFUND DUE ----------------------------------$301.00 I $301;.00 �— I I TOTAL I $301.00 I, the undersigned, declare under penalty of perjury that the services or articles claimed have been performed or delivered, and that this claim is true and correct as stated. hh Dated this �Q..........,,•„ day of ,F 19�f,�,, at�J�1\�44�r= Calif. � 1� ................. .. .T........... ......................• ..... .. ....... . Signature of Claimant I, the undersigned, hereby certify that, to the best of my knowledge, the services or articles specified above have been performed or de- livered and that there :s a Budget Appropfiation❑ or Specific Board Approval F-] (Checkone) for the same. Dated this............ �qKq ............ day of Feb, , 1981, at Oroville , Calif. .............. .......... ............................................................................................... Department Head or Author: zed Deputy Dept. Exp. Code............................................ Code ................................................PAYABLE FROM............................................................................................ FUND DO NOT WRITE BELOW THIS LINE - AUDITOR'S USE ONLY ENCU`iB. SUB- DIS'i. VENDOR DEPT. CODE & SUB. PP.OJ. SUB. OBJ. I CLAIM I NO. I INVOICE NO. INVOICE DATE GROSS L DISC. I AMOUNT I I I . .. .. it ..�. , PERMIT NO. G4653—j80B.P.E.M PERMIT EXPIRES OWNER Tip & Judy Wilmarth Saw Const., Paradise CONTR. 34-17-51 ASSESSOR PARCEL LOCATION E/S Travers Ln., app.250'S.of Oro K Quincy Hwy, Oroville e ' v Temp. Power Pole Called PG&E Temp. Elec. Service Called PG&E Temp. Gas Service Cal led PG&E JOB FINALED (Date) Signature V = OK O = Not OK = Not Applicable MOBILEHOMES MISCELLANEOUS * = Not Ready Date MOBILEHOME UTILITIES (Plans) OK except b's 1. Zoning Requirements—Setbacks—Easements Date DECKS, COVERS, CARPORTS, ETC. (Plans) OK except a's 1. Zoning Requirements—Setbacks—Easements 2. Soils; Special MH Support—Sketch 2. Footings; Size—Depth—Spacing—Connectors 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 5. Alum. Awn.; Columns—Connections—Splice—Decal—Enclosures 6. Gas; Location—Test—Wrap:/ /"L"ft./ /"Nat. or/ /"L"ft./ /"LPG 6. Carports; Windows—Doors 7. Utility Clearance 7. Elec. Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Date Card -BI Date MOBILEHOME INSTALLATION (Plans) OK except H's 1. Zoning Requirements—Setbacks—Easements Card -BI Date Date Card -BI Date POOLS (Plans) OK except k's 1, Setbacks—Easements 2. Footings; Size—Spacing—Marriage Line 2. Soils; Compaction—Structure Stability 3. Gas; MH Test—Demand—Valve—Connector 4. Electricity; MH Test—Crossovers—Breakers—Clearances 3. Pool Structure; Steel—Connections—Thickness—Dead Men—Lining 4. Elec.; Receptacles and Lighting; Distances—GFI 5. Drain; MH Test—Fall—Flex Connector 5. Elec.; Pool Lighting; 15 volts—GFI 6. Water; MH Test—Regulator—Connector 6. Elec.; Enclosures; Conduit Entries—Terminals—Listed 7. Water and Sewer Connected—C/O to Grade—HD Approval 7, Elec.; Bonding; Metal w/5'—Circulating Equipment—Heater B. Gas and Electricity Tagged 8. Elec.; Grounding; Equip. w/5'—Circulating Equip.—Pool Lghtg. Boxes—Enclosures—Panel boards—Ins. to Main in Conduit 9. Exits; Insp.—Sketch 10. Cert. of Occupancy 9. Health Department Approval 10. Plumb; Cir. Test—Water Supply Test Card B-1 Date Card -BI Date Card -BI Date Card -BI Date Card B -I Date Card -BI Date Card -BI Date Card -BI Date ' COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT NO.�} 7 County Center Drive - Orovil le, California 95965 - Telephone 916/534- 41�v ~ APPLICATION AND PERMIT A4 �J v AS R EL BER j =` % ZONING AP, f -!L/ BUILDING PEW! /0 �— OWNER T LEAPH ONEp L�.1 / U,b Y AJI L-M4P-7-t1 p/"�2 /3 O / tg S SfL�'t AD DR {J 'S LV D. C SO. FT. OCC. BUILDING VALUATION 717&-00 CON T.RyA'C yOR'S NA1-74 M 7,s/ c,;P-7OvQ��,7� �77/v2 i/ 7/- sir/ Iii �-0c1 //�a r�J A� C NSTR UC TION E R I UNKNOWN M4 Fireplace 5 � LENDER'S MAILING ADDRESS /� 40 POO Z>q- l 1134-11(b. Q re -0 lLC.� C4 �S74,S Total Valuation $ Permit Fee .470 $ 5-01) ARCHITECT OR ENGINEER LICENSE NO. ARCHITECT OR ENGINEER'S MAILING ADDRESS Plan Checking Fee Penalty Permit fee $ SD $ _ $ B I DING ADORES S %2AI�E�.s PLUMBING PERMIT Filing Fee /000 ORO ` a L ' y iTw Each Trap Repair drainage or vent piping 2.00 100 2.00 Q�✓LLL Water piping '5100 LOT NO. SUBDIVISION NAME PARCEL MAP Each qas water heater or vent e.08 0 Gas piping system 1 - 5 outlets 6.00 USE OF STRUCTURE SF Duplex❑ Mobilehome❑ Other SPECIFY Building sewer 57. f,7 Lawn sprinkler system 2.00 11 TYPE OF WORK New �ddition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑ Permit Fee $ t 00 Contractor ELECTRICAL PERMIT Filing Fee / Z1.00 Describe work: — Main service jp0 AMP ORV OR LESS5.00 , pa Main service EA, ADD'L 100 AMP 2.50 2,50 NEW CONST. DWELLING OR ADDNS. ACC. BLDG S /, 22 sq ft ,0() CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): ❑ I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in full force and effect. License No. Classification ❑ I, as the owner, or my employees with wages as their sole compen- NEW CONSTR UL I I-OUTLE 2,50 ea NON-RESID, BRANCH CIRCUITS) NEW CONSTR.POWER APPARATUS &\ NON-RESID. (SINGLE OUTLET CIR. / Ex. Occup(OUTLETS OR FIXTURES 5D@2 BAL@t0¢ FIXED APP LHS. OR Ex. Occup.(0UTLETS (RESID,) EA.) 2.00 Temporary service 10.00 4 Mobile Home Facilities 15.00 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) Misc. Wiring 6.25 Permit Fee $ .SO ❑ I am exempt under Sec. , Business and Professions Code Contractor for this reason MECHANICAL PERMIT Filing Fee /0.00 WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): Heating 90/006-00 !/M ❑ The permit is for $100.00 (valuation) or less.E./9-/ ❑ 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. Cooling'9177-7-7 S -D Hood �?$0 ,3 BO Ventilation bg 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. permit Fee $ _ a Contractor I certify that I have read this application and state that the above information Mobile Home Installation Fee $ Land Development Fee $ 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. TOTAL PERMIT FEE $ ��.�� 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 agahist said County in SGQIJence of the granting of this permit. 1 DccUP_GROUP I T PE O CONST. I IPARCELI P I I,D'/ f/ IS;uV � 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. X DateThis Signa re 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. DIRECT R F PUBLIC By -115"IT EXPIRES Date_ WORKS Date Q (i /7i� P O 7 Receipt No. 7-05 WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS — BUILDING DIVISION ;,�7 County Center Drive—_Cgovil;e, California 95965 - Telephone: 534.4541 PERMIT APPLICATION DATA SHEET f Permit No. OWNER l' �� JU l) ���L �� i l A.P. No. LJ Proposed Building Use Permit fee based upon': Complete Contract Price DPW Valuation /l� r (explain) Building Inspector i, r Date At time of permit application,'l 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............................................................... 3. Complete plans in duplicate/triplicate................................................... 4. Complete engineered plans and calcs..................................................... 5. Plans with Energy Design Compliance Statement ............................ 6. State Energy Forms No. .................... 7. Statement of Intent for Non -Heated & AC Buildings ................... 8. Fees of $.................................................. 9. Letter of signature authorization............................................................. oe-10. Sanitation approval from - Health Dept.... 11. Planning approval for ............. y12. Certificate of�Workmen's Compensation Insurance ........................ 'Contractors --License Information (no., name style, classification) ............................... 14. Improvements may be required. Contact Land Development Section of Dept. Public Works (see addressbelow)................................................................................................. Pre -ins ectionfor required. Pre•inspec. request to ,_ bldg.-inspector(date) Other When you issue the permit, process as follows:/Mail to owner Mail to contractor. Telephone and hold for pick-up at office. Deliver w/inspection. Other Applicant U'�t L ` �� _ -,Date (C Copy of plans sent Health Dept., 1 Fire Dept., Other Date— During the plan checking process, the following data must be submitted prior to permit issuance: (For required items not checked above at time of application, circle item.) 1. Index permit for above Items No. 2. Additional items required: (Contractor, Designer, Owner) was advised of above required data by Plans checked by Plans approved by OTHER: Copy/DPW Telephone Mail Other Date Date Date From: Enviro=ental Health Regardig: Sewage and/or Water and/or. -Addition Clearance(s) OWDER LUATiON A.P. No. Plans are approved for: Sewage Disposal ./ Water Supply Hold uo Final for: Final Clearance OK for: Clearance is for a k!3 bedroom hone lor mobile home). Other The additions) will be Water Supply Water Supply e Sani arian Date OWNER RESIDENTIAL PL:�N CHECKING GUIDE (S.F.,, -DUPLEX, & MISC. ONLY) ,.o !**YBldg. Perm t �k T'`� A. P. # 34" A. GENERAL Zoning requirements (sideyards and parking). #4 iL Valuation. Signature by R.C.E. or Architect (if required). B. VLOT PLAN Complete parcel size and dimensions. Setback$, sideyards, easements, etc. Other buildings or structures. Grading, fills, drainage. C. FLOOR PLAN Y Complete to scale plan with dimensions. Required windows for light'and ventilation (Sec. 1405). Required windows for second exit (Sec. 1404). Allowable glazing for energy requirements (20% max. per State law). Human impact glass (Sec. 5406). Required room sizes, ceiling heights (Sec. 1407). •� G.F.C.I.'s in baths and exterior outlets (Sec. 210-8). Light fixtures, switches, receptacles, and exterior receptacles for maintenance of mechanical equipment. Locations of water heater, heating & cooling equipment, other electrical or gas equipment, and plumbing fixtures. Garage firewall, door size, and closer (Sec. 503(d)(4)). 1 - 3'0" exterior exit door (Sec, 3303d). Fireplace location. 1,R'Smoke detectors (Sec. 1413). D. STECTURAL DETAILS T_. Foundation plan complete enough to construct building. elevations loon construction details complete enough to construct building. and wall construction details complete enough to construct building. oof construction details complete enough to construct building. 5. Fireplace construction details and calcs if over one-story in height. 60o0'*Sufficient data and details to satisfy energy insulation requirements (State law). E. MISCELLANEOUS ITEMS TO LOOK OUT FOR j/ CCX plywood on exposed locations and overhangs. ZooO'Stairuny details (Sec. 3305). 30% Guardrail details (Sec. 1716). 4.#0*tricic or stone veneer (Chapter 30). 5/E3:terior plaster - weep screeds _(Sec. 4706 & 4708). 6.oeProper roof pitch for roof covering (Chapter 32). 7*0"'Rafter ties or bearing ridge beam, 8 Garage door or porch header sizes. y Adequate bracing. 1QP.- Living area over garage - complete 1 -hour separation required including supporting Malls and posts, etc. l.e, li'io (2) exits on three-story dwellings (Sec. 3302). OPI . 567-81B,P E,M PERMIT EXPIRES A/ OWNER Tip & Judy.Wilmarth COftR. Ray Stephens & Son, Oroville ASSESSOR PARCEL 34-17-51 LOCATION E/S Travers Ln. ,app. 250'So. of Oro Quincy Hwy, Oroville /e, JOB FINALED ,D Date) L' Signature Temp. Power Pole Called PG&E Temp. Elec. Service Called PG&E Temp. Gas Service CalledPG&E C' w li JOB FINALED ,D Date) L' Signature 0 = Not OK _ = Not Applicable MOBILEHOMES MISCELLANEOUS * = Not Ready Date MOBILEHOME UTILITIES (Plans) OK except N's 1. Zoning Requirements -Setbacks -Easements Date DECKS, COVERS, CARPORTS, ETC. (Plans) OK except Lt's 1. Zoning Requirements -Setbacks -Easements 2. Soils; Special MH Support -Sketch _ 2, Footings; Size -Depth -Spacing -Connectors 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 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Gas; Location -Test -Wrap:/ /"L"ft./ /"Nat. or/ /"L"ft./ /"LPG 6. Carports; Windows -Doors 7. Utility Clearance 7. Elec. Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Date Card -BI Date I MOBILEHOME INSTALLATION (Plans) OK except it's 1. Zoning Requirements -Setbacks -Easements 2. Footings; Size -Spacing -Marriage Line Card -BI Date Date Card -BI Date POOLS (Plans) OK except tt's 1. Setbacks -Easements 2. Soils; Compaction -Structure Stability 3. Gas; MH Test -Demand -Valve -Connector 3. Pool Structure; Steel -Connections -Thickness -Dead Men -Lining 4. Electricity; MH Test -Crossovers -Breakers -Clearances 4. Elec.; Receptacles and Lighting; Distances-GFI 5. Drain; MH Test -Fall -Flex Connector 5. Elec.; Pool Lighting; 15 volts-GFI 6. Water; MH Test -Regulator -Connector 6. Elec.; Enclosures; Conduit Entries -Terminals -Listed 7. Water and Sewer Connected -C/O to Grade -HD Approval .7, Elec.; Bonding; Metal w/5' -Circulating Equipment -Heater 8. Gas and Electricity Tagged 8. Elec.; Grounding; Equip. w/5' -Circulating Equip. -Pool Lghtg. Boxes -Enc losures- Pane [boards -Ins. to Main in Conduit 9. Exits; Insp.-Sketch 10. Cert. of Occupancy 9. Health Department Approval 10. Plumb; Cir. Test -Water Supply Test Card B -I Date Card -BI Date i " Card -BI Date Card -BI Date Card B -I Date Card -BI Date Card -BI Date Card -BI Date Q V = OK 0 = Not OK = Not Applicable = Not Ready RESIDENTIAL (Single -and Duplex) II I Date UNDERFLOOR Plans OK except #'s Date FRAMING Continued o 'ng requirements -Setbacks -Easements '25 roperty Line Firewall & Openings gv,lrtg., Main; Soils-Steel-Elec. Grnd.- /' Z /" Ftg. Depth 4P—Ext. Doors -One 3' -Check Garage -3rd story, 2 exits t ., Garage; Soils -Steel- /!Z/" Ftg. Depth Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection tg., Porches & Decks; Soils -Steel- / /" Ftg. Depthlywood on of Overhang -Attic gents- after Outriggers 6-.&Mmwalls, Main; Steel-Blockouts-Wrapped-Slab 5 Siding Veneer _ ` mwalls, Garage; Steel-Blockouts-Wrapped- 53. tucco Mesh -Drip Screed-Fdn. Veft'-b1tiderfir. Ac es 7. Piers -Fireplace Ftg.-Steel azing Area -Glass Protection -Skylights -Plastic V.: Fall -Fittings -Test -2 way C/O -Sewer Test 5;;' . Shear Walls; Nailing -Bolts Gas Pipe; Size -Anchors ter Pipe; Test -Anchors -Regulator -Service Test lectric; Underground Fa lenums &Ducts; Clearance -Material -Support -Ins. irders_Sills-Anchor Bolts -Joists -Vents -Cripples Card- I Date Card -BI Date C -BIate =2, Card -BI Date Card -BI Date7 Card -BI Date Card -BI Date Card -BI Date Date FINAL (P s) OK except #'s Card -BI Card -BI Date Date PLU GING (Permi) OK except #'s t. Steps -Door & Sidelight Protection -Landings W --Smoke Detector 1 Water Ht.; Access -Combustion Air 5�_.--�++ase,ts-Clearance-Comb. Air -Connector - In Garage; Above Floor-Ducts-Mech. Protection ter Pipe; Test & Anchors N i Test-Fttn s & Anchors -Nail Protection 5%—Bedroom Exiting 1 r Pan, irst Floor -Tub Access .F.I. & Bath Fixtures & Tub Access Tub & Shower, n ' r Tub Access 61JElec. Trim & Subpanel; Breaker Sizes -Labels 19. Gas Pipe; Size & Anchors 6a -stairs & Rails r fireplace or Stove; Clearances -H � 64. Elec. Outlets at Wood Panel; Int. & Ext. Card -BI Date Card -BI ate 65. IUt-rixt. & Appliance; Grnd.-Air Gap -cooking Clearance Card -BI Date Card -BI Date ec. Outlets & Receptacles at Kit. Counter Date ELECTRICAL Pe ut OK except #'s 6 rage Fire Door; Swing -Landing -Closer uct to Garage -Damper ure & Transformer Clearance -Ins. Protection 69. Wtr. Htr.; Vapte�Clearance-Comb. Air-Connector-PtB.-. In Garage; Above Floor-Mech. Protection Elec. Receptacles Spacing -Lights & Switches at Doors 7 „ Elec. & Mech. Equip. Listed for Location Si Boxes & No. of Conductors -Stapled le s c. Receptacles in Garage; (G. F.I.)-Romex Protec. t x Installed Close to Edge of Studs & C.J. Ground made up w/Mech. Fasteners -Bond Gas & Water 72. Insulation Insulation -Foam -Looked in Attic es . Guard Rails & Deck Construction -Post Caps ppliaCircuits in Kitchen & Conductor Size Wire 26. Subfeed Wire Size /.�f ga. Cu or AI-A.C. Wire Size / / ga. Cu or 74. Fdn. Vents & Crawl Hole Door -Drainage & Wood -Earth Clearance Looked under Floor 4n'Ves 75, Following instl Drive inY-es ❑ No; WalksYes E] No; Planters Yes 1:1 No 27. Range Circ. / / ga. Cu or Oven Circ. / / ga. CTJ or At, Insulated Ne ut I []YesNo 28. Service -Riser Conductors & Ground -Main Disconnect rown-Finish ZpEquip. Clearances; Panels-Motors-Mech. Equip. X1./A,C. Unit; Disconnect-Clrnces-Brkr. & Cond. Size -115V Outlet 38�G1GtMe5 Closet Light -Shower Light 7& -.bents Above Roof; Plbg.-Appliance-Firepl.-Clearance to Opngs. 79---WvterRAJ9Tr-,-DTsconnect, Electrical, Plumbing ' 8 xterior Elec. Trim; G.F.I. Receptacle -Underground Card -I L Date- Z12_ and -BI Datea tilation throughout House ' Ca)i B -I Dat! -7 Date g ass Protection Date MECHANICAL (Permit) OK except #'s _ 83. Corr tions from Previou Inspe tions y 84. G est -Meters Ta ed; G -EI is C. Ducts; Insulation & Support r & Sewer Connected -C/O to Grade -HD Approval ._ ai `�zL.F-'T" Exhaust above Insulation _ 33. Condensate Drain & Overflow; Size & Grade ergy Compliance Certificate -Other Certificates - 1\ 34. Furnace -Vent; Access -Comb. Air -Return Air Vent -115V outlet 35. Attic Access & Platform it Furnace in Attic I Card- Dat ,� Card -BI Date C BI Date Card -BI Date Card -BI Date _ _Date Card -BI Date Cid-BI _DatL7_:2-=_a Card -BI Date Card -BI Date Card -BI Date Comments at Final: VJ Date FRAM G PIaA< OK except #'s 3 ills; Proper Material & Anchors _ Falls; Studs -Nailing, Spacing & Bracing -Plates -Sound 3t Bearing Walls over Girders & Floor Nailing DraA.Wop in Walls (rat proof) _40 FI ops; Furred Ceilings -Stairs h 4 Header & am -Size & Bearing st Caps -Anchors -Connectors `4 Rftr. Ties- rlin-Roof Brac.-Truss-Shthnq.-Rfnq. _ H�ac 4 es or TFlue-Fireplace Throat 4 4ic Access; Size & Romex Protection -Draft Stop -Ins. Baffles Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions _ arage Fire Protection Framing (NOTE: An entry must be made each time you visit job site) RI:S IDI:N'r JAL ' ENERGY CONSERVATION STANDARDS CONSTRUCTION COMPLIANCE CCRTIFICATE THIS IS TO CERTIFY TILAT ENLRCY CONSFRVATION, IITQUTREMENTS IIAVE BEEN INSTALLED IN CONYOIITtj�,NCE WITH CURRI?NT ENERI ,Y CONS%RVATION RECUI.AT7UNS AT 'a3CA�It- t� E.G4C 'F. (location) / 1fUn.n1NC PI:f:Etl'r No. -�y-00/_ A. P. NO - 31 "5/ T11r FOLLOW TNC HAVE BEEN INSTALLED AS PER APPROVED PLANS (Check item or write N/A it not applicahlc) INSITLAT ION: C ZINC. Slab Edge NA ClAzed &4W&1tXL w1AVb,,as Fdn, Walls NA Spccial (Insulatcd)'T � FoA t1J F 100 s NA CERT, 1, LA111a.i•:D WI)S, 6e4 -1A y NalallylsR_11 1-440 0 ti SLIDING DRS.DU sk Ce it inE/1100 f_R-19 375 WLA'1'IIk:I1S'fRI1'1'l:U •1)IIS Ducts NA BACK DA11l1I:RII:D FANS VA Circulating Pipes_ INTRIit1ITT1:NT ICNITION DE:VICLS�__ APPROVED IIFATE R- P�y�v4CLR•r APPLIANCES /�//Q�— JA Al'i'ROVED IrrR.IrrR, 1670-S paG evmett I DECLARE THAT ALL REQUIRED ITEMS AS NOTED ABOVE IIAVE BEEN .INSTALLED IN ACCORDANCE WITH THE YNERCY CONSERVATION REQUIREMENTS ANR ACKEE TO 'rm.: C(%%1L'1 1'ENESS OF THIS CERTIFICATE AS SUJIMI1"1'ED, �.�'^� Insulation Applicator Name llawklns ns •la inn o In Signature of (Ple e int) In ml:it ion ApplicatoA_,//, State Contractoro License No. 378407 /lhatl C ri N vno�� 1 sii,n.Iture of i OtI C r.1C t(11 �L7� /Qq.(�. S)�"j'%1�.aUs Da t eZS_9 ldcone No.actor� 1•icrnsc NO,� 3 THIS CERTIFICATF, }KIST 'BC ON FILE WITH THE BULLDINC DEPARTMWr PRIOR TO 14,(�ll:STING FINAL INSPECTION AND SILALL BL I'OS'rE) IN A CONSPICUOUS LOCATION W 1•1'11ltl 'no., imi- .L.1NG. , _ COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 - Telephone 916/534-4541 - • APPLICATIQN AND PERMIT PERMIT N ASSESSOR PARCEL NUMBER ZON NG' BUILDING PERMI o TELEPHONE 1 `i' v 1n'1 -a SQ. FT. OCC. BUILDING VALUATION OWNER S MAILING ADDRES i ZK I 'BIA, dM t4 TRACTOR' AME TELEPHONE 4146 C NTRA TOR• AI INGDD ESS Fireplace " '' ©� C N CT L NDER UNKNOWN Total Valuation I$ Filing Fee $ 10.00 LENDER'S MAILING ADD ESS - V Permit Fee $ A FiCHITECT OR ENGIN LICENSE NO. Plan Checking Fee $ Penalty $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Permit fee $ BUILDIN ADDRESS S �h fSD PLUMBING PERMIT Filing Fee 10.00 © Each Trap gl 2.00 Repair drainage or vent piping 5.00 Water piping LOT NO. SUBDIVISION NAME PARCEL MAP Each qas water heater or vent 5.00 Gas piping system 1 - 5 outlets USE OF STRUCTURE SF Duplex❑ Mobilehome❑ Other SPECIFY Building sewer Lawn sprinkler system 5.00 TYPE OF WORK NewoAddition❑ Remodel E:1 Utilities[:]Installation❑ Other❑ Describe work: Permit Fee $ Q r Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service DOOV OR LESS 100 AMP OR LESS 5.00 Main service EA. ADD'L 100 AMP 2.50 NEW CONST. DWEL G Ilii. N1 , p` OR ADDNS. ACCI 20 Sq ft CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): ❑ I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in full force and effect. License No. Classification ❑ 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) 1 am exempt under Sec. , Business and Professions Code for this reason NEW CONSTR I-Ou L 2.50 ea NON-RESID BRANCH CIRC ITS NEW CONSTR, IPOWER APPARATUS D1 NON-RESID, ISINGLE OUTLET CIR. I Ex. Occup OUTLETS OR FIXTURES BAL@1 FIXED APPLNS. OR EX. OCCup.(OUTLETS (RESID,) EA. 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 +r' Misc. Wiring 7.50 Permit Fee $ Contractor MECHANICAL PERMIT Filing Fee 10.00 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. Heating Re 0 -AA i U Cooling Hood 3.00 ' Ventilation Permit Fee S '- Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the 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 ag st sai County in ns quence of the granting of thiss permit. �1 X Date �`F�� Sign re of Applicant — Owner Contractor ❑ Agent ❑ An OSHA permit is required for a covotions over 5'0" deep and demolition or construct- of structures over 3 stories in eight. bile Home Installation Fee $ 2 o(O.�iC) TOTAL PERMIT FEE $ OCCUP. GROUP I TYPE OF CONST. AlCT ..[� cV I PAL ,PD N I ISSUE This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which ll OR OF PUBLIC BV IT EXPIRES Date the applicable provi- resolutions to do fees have been paid. WORKS Date EZ LReceiptNo. b 671 v TE-D.P.W., ®/1-S S PINK CT GOLDENROD -APPLICANT COUNTY, OF. BUTTE - DEPARTMENT OF PUBLIC WORKS - BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE: 916/534-4541 PERMIT APPLICATION DATA SHEET Permit No. f f OWNER 1 t Q/A. P. No. x iPlr.oposed Building Use yPermit Fee Based Upon: Complete Contract Pricey DPW Valuation &,_O er (Explain) Building Inspector Q• _ 3Date `e. At time of permit application, I was ahvised the following data must be submitted prior to permit processing and/or Issuance: DATE RECEIVED APPROVEI7' 1. All items have been submitted. . . . . . . . . . . . 2. Plot plans in duplicate/triplicate. . . . . . . . . . . 3.. Complete plans in duplicate/triplicate. . . . . . . . . 4. Complete engineered plans and calcs. . . . . . . . . . ' 5. Plans with Energy Design Compliance Statement. . . . . 6. State Energy Forms No. 7 Statement of Intent for Non -Heated and AC Buildings. 8. Fees of $ . . . . . . Letter of signature authorization. . . . . . . . . . 0. Sanitation approval from (:3na Health Dept. . . 1 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. . . . . . . . . . . Pre-Inspec. request to 17. Pre -Ins ection fo Required. Building Inspector (Date) 18. OtherMy,, Y', LCI Q. -Mat_ When you issue the permit, process as follows: Mail to owner. Mail to contractor. Telephone and hold for pickup at office. Deliver w/inspector. Other Applicant &)--41, �"M&Date-zo-tiar)-, • 1 Copy of plans sent Health Dept., Fire Dept., V Other Date During the plan checking process, the following data must be submitted prior to permit issuance. (For required items not checked above at tiWwl*tion, circle item.) 1. Index permit for above Items No. 2. Additional items required: (Contractor, Designer, Owner) was advised of above required data by Telephone Mail Other By Date Plans checked by Date Plans approved by Date Other: Copy—DPW / .1i, 1.t', I I I :, , , ""It � I" I , :., "l, _� , ,.I I ,,, � I �-i , , , , . , , I I � , , , I I I ,, , �,[ , , 'i, , ! �� ,: t . , I I., ,� � , , 1� l." . ? - - = -, , , I , . - , ,I � :, I I - , , li� ,i I , I , , . , , , � !, . ,l _� ", � " , ,,, � T � i , _� l -T-., , - , , . . � .- - i. � I , I " ,� .11, .1 , , �i, 1, I 1 :1 ,i , � ; 1 , 1 I , I M ti. , , " .i� l, , , , 1" , , , ",I �i � I I l . . , , , i, �, , i, i ,� : I I , ; , i 11. � 1 ''I i, ; l, , ,.: , I , , , i ". � ., l , It. , I �_�� ,,, �,��, , � I � i il, 1, 1 I � l,� T �, , . :, I '' , T , I 1 , I I I '' , �': I ,. � �, 11 I I , I , i I I Ill". �. :, , ,,,, � : l , I ! ,,; I - '' � I .. ,�i , , I L , , "" , . ,� �Il ,I , �, :1,� � . :;�,I�! ��� � �_ ". :��i�,� "i ..'' , � , I 6 �: ,T , i t , I , 1, , I I , � , , -, : , - I I �, 1, , , - , , , i , I ,T , , , , , . i I, � l , '' ,, , , , , ; ,� i � t" , ; : i it I i , � . . 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