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069-300-046
(/ . � �Ora Bailey 5383 Royal Oaks Dr., lot 391, KR#4C, Oroville Permit #48-8DB,P,,E,M(1aew famil Y, ' ~ . � _ ^ 56-90 .' B0SELLY, Barry ^ ' ` C00ID:.Jobooy,Sitb Cooat,..4,- |�5383 Royal'Oaks Dr,�OroViIle*'(SF ADDITION) 'U` � �]69-30-46 ` . / ` ,,BOSELLY, Harry5383 Royal.Oaks Dr,' Orovi U69-300-046 06-1591BOSELLY, =HARRY5383 ROYAL OAKS DR, OROVILLE` Cont: OLMSTED PLASTERING � ' ` | ' | BUTTE COUNTY PERMIT"NO. DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT 24 HOUR INSPECTION #: (530) 538-7636 (OROVILLE) (530) 891-2834 (CHICO) BP061591 OFFICE M (530) 538-7541 PERMITS BECOME NULL AND VOID 1 YEAR FROM THE DATE OF ISSUANCE, OR IF WORK IS DONE IN VIOLATION OF ANY COUNTY OR STATE LAWS. LICENSED CONTRACTORS DECLARATION I hereby affirm under penally 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 Issued Date: 06/30/2006 APN: 069-300-046-000 effect. License Class: License Number: Site Address: 5383 ROYAL OAKS DR ORO Date: Contractor. Map Index: OWNER -BUILDER DECLARATION I hereby affirm under penally of perjury that I am exempt from the Description: STUCCO SIDING 12 SQ'S Contractors' State License Law for the following reason (Sec. 7031.5 Business and Professions Code: Any city or county which requires a permit to construct, alter, improve, demolish, or repair any structure, prior Owner: BOSELLY HARRY A & GWENDOLYN C to Its Issuance, also requires the applicant for such permit to file a signed statement that he or she Is licensed pursuant to the provisions of the Contractor's Slate License Law (Chapter 9 commencing with Section 5383 ROYAL OAKS DR 7000) of Division 3 of the Business and Professions Code) or that he or Any OROVILLE, CA she is exempt therefrom and the. basis for the alleged exemption. violation of Section 7031.5 by any applicant for a permit subjects the 95966 applicant to a civil penally of not more than five hundred dollars ($500).): ❑ 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 (Sec. 7044, Business.and Professions Code: The Contractors' State License Law does not apply to an owner of property who builds or Improves thereon, and who does Applicant: BOSELLY HARRY A & GWENDOLYN C such work himself or herself or through his or her own employees, provided that such improvements are not intended or offered for sale. If however, the building or Improvements are sold within one 5383 ROYAL OAKS DR year of completion, the owner -builder will have the burden of proving that he or she did not build or Improve for the purpose of OROVILLE, CA sale.). 95966 J& 1, as owner. of the property, am exclusively contracting with (530) 589-4112 licensed contractors to construct the project (Sec. 7044, Business and Professions Code. The Contractors' State License Law does not apply to an owner of property who builds or Improves thereon, and who contracts for such projects with a cohtractor(s) licensed pursuant to the Contractors' State License Law.). Contractor: OLMSTED PLASTERING, PAUL ❑ 1 am Exempt under Article 3 of the Business and Professions Code Date:�,�'L�-�lOwner P O BOX 5432 OROVILLE, CA 95966 WORKERS' COMPENSATION DECLARATION I hereby affirm under penalty of perjury one of the following declarations: Cl I have and will maintain a certificate of consent to self -insure for (530) 589-5903 workers' compensation, as provided for by Section 3700 of the Labor Code, for the performance of the work for which this permit License #: 664134 is issued. ❑ I have and will maintain workers' compensation insurance, as required by Section 3700 the Labor Code, for the performance of the work for which this permit is issued. My workers' compensation Insurance carrier and policy number are: Architect: Engineer: Carrier: Policy M I� I certify that in the performance of the work for which this permit Is Issued, I shall not employ any person in any manner so as to Total Square Ft: 0 S. F. become subject to the workers' compensation laws of California, Valuation: $0.00 and agree that if I should become subject to the workers' compensation provisions of Section 3700 of the Labor Code, I shall Census Code: forthwith comply with those provisions. Date: Applicant: WARNING: Failure to secure workers' compensation cov ge is unlawful, and shall subject an employer to criminal penalties and one hundred thousand dollars ($100,000), In addition to the cost of compensation, damages as provided for In Section 3706 of the Labor code, Interest, and attorney's fees. - 1 r / ) CC): C CONSTRUCTION LENDING AGENCY This permit is hereby issuedx der the applicable provisions of the Butte County Code and/or I hereby affirm that there Is a construction lending agency for the Re olulion to do work Indi at d above for which fees have been paid. performance of the work for which this permit Is Issued (Sec 3097 CIV.) B , Dater C� Name: �r PERMIT EXPIRES ON: Address: (Date) ❑ 1 hereby certify that the use of this facility shall comply with Sections 25505, 25533, and 25534 of the California Health and Safety Code, which regulate the storage, handling and use of hazardous materials. ❑ Notification in accordance with Section 19827.5 of California Health & Safety Code Is not applicable to the scheduled construction of this project. ❑ Attached are copies of the required E.P.A. notification forms. I hereby certify that I have.read this application, that the above information Is correct, and that I am the owner or the duly authorized agent of the owner. I agree to comply with all county and state laws relatfng to building construction. I acknowledge It Is unlawful to alter the substance of any official form or document of Butte County. I hereby authorize representatives of Butte County to enter upon the above mentioned property for Inspection purposes. Print Named L. c�� F Imo! �Signature. Date: P Owner ❑ Contractor ❑ Agent for Owner ❑ Agent for Contractor B. C, Building Permit 01-16-04 pg i BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT APPLICATION AND SUBMITTALREQUIREMENTS 24 HOUR INSPECTIONC OROVILLE: (530) 538-7636 - CHICO: (530) 891-2834 OFFICE #: (530) 538-7541 A FEE WILL BE REQUIRED AT TIME OFAPPLICATION Website: www.buttecounty.nettdds **PLEASE PRINT. CLEARLY*-' APPLICANT SIGNATURE ✓� NX. 0 /' jo I � �_ A f] For office use only: OWNER INFORMATION Last Name 2 irst, a � Address /J2 City Qe"d L: 5 State�� Zi Phot/ E-mail Fax E-mail APPLICANT SIGNATURE ✓� NX. 0 /' jo I � �_ A f] For office use only: CONTRACTOR Name 2 Address Map Book Page Lot # City le- Statee Zi Z Phone E-mail Fax E-mail Lic. # Class APPLICANT SIGNATURE ✓� NX. 0 /' jo I � �_ A f] For office use only: 4 ARCHITECT/ENGINEER . Name 2 Address Map Book Page Lot # City State 4 Zip Phone Fax E-mail State License Number APPLICANT SIGNATURE ✓� NX. 0 /' jo I � �_ A f] For office use only: APPLICANT INFORMATION Name 2 Address Map Book Page Lot # City Date Approved: State Zip Phone Fax E-mail APPLICANT SIGNATURE ✓� NX. 0 /' jo I � �_ A f] For office use only: Zoning Flood Zone r SRA Yes No Ccc• Type Const. Subdivision Name Map Book Page Lot # Planner Date Approved: uvtK t -UK SUBMITTAL REQUIREMENTS KAFORMSOUILDING FORMSM31dgAppISubRgmts.doc Page 1 of 3 PERMIT NO. BIN N PROJECT LOCATION AP# J ` VY) !` Property coo' s�L ; �,.� city Cross Street WORKER'S COMPENSATION Policy Number Carrier If hiring anyone other than license contractors, a certificate of worker's compensation must be shown at the time ofpennit Issuance. LENDING AGENCY Name Address Sq FT- Living Descripti n or Scope of Work: Garage Open Cov ❑ Proposed Change of Occupancy (Note previous use): EXPIRATION OF APPLICATION Applications for which a permit has not been issued will expire one year after the date of application. In order to renew action on an application after expiration, anew application, plans and fee will be REQUEST FOR REFUNDS Refunds can only be made upon written request by the person who paid the fee. The request must be made prior to the expiration of the permit and no construction work has been done. Filing fees, plan check fees for work plan checked and other department costs are not refundable. Received by: Amount Bldg j SRA Receipt M �1�(LJ �Y� Sheriff Nv SMIP Date: Other Total REV 8-12-05 SUBMITTAL & PERMIT REQUIREMENTS, The following drawings and specifications must be submitted to the Building Division in order to apply for a permit. INCOMPLETE SUBMITTALS WILL NOT BE ACCEPTED. ALL PLANS MUST BE LEGIBLE AND IN INK. ❑ 1. Site plans, 3 or 4 sets, signed by the preparer of the plans. No graph paperl ❑ 2. Complete plans, 3 or 4 sets, signed by the preparer of the plans (No graph paper!) 'OR Engineered plans, 3 or 4 sets, with wet signature on plans AND 2 sets of stamped and signed calculations. ❑ 3. Engineered truss details and layouts in duplicate (if required). No faxesl ❑ 4. Energy compliance design and supporting documentation in duplicate. ❑ 5. Statement of Intent for Non -heated and AIC for Non -Residential Buildings. ❑ 6. Manufactured homes: (A) Installation manual, (B) Marriage line info, (C) Floor Plan, (D) Tie down or fnd plans, all in duplicate ❑ 7. Metal bldgs: (A) Metal Bldg Plans, (B) Fnd plans and caics in triplicate, (C) Elevations in triplicate. (D) Floor plans in triplicate. All of these must be stamped and wet -signed by the engineer. ❑ 8. Flood Elevation Certificate, wet -stamped and signed, in duplicate (if required). ❑ 9. Site plan and business license approval from the City of Biggs. ❑ 10. Letter of intent for non-residential buildings. ❑ 11. Building Permit Application Without Required Clearances Form ❑ 12. Hazardous Material Form (for Commercial Buildings only). Remaining items needed to issue the permit. Additional items may be required after Plan Check and Planning review (May require additional plan review upon receipt of the following items.) ❑ 1. Agricultural Buffer -clearance and site plan approval from the Ag Commissioner's office (if required). ❑ 2. Impact Fees. ❑ 3. California Department of Forestry plan approval (if required). _ ._.__._4. _NPDES Form...___.._-_.-.--------_--------._.___._.__._ ❑ 5. Encroachment Permit for driveway from the Public Works Dept. (construction approval prior to occupancy). ❑ 6. Contractor's license information. (Number, Name Style, -Classification). ❑ 7. Worker's Compensation Carrier and Policy Number. ❑ 8. Owner -Builder Verification (if required). ❑ 9. Letter of Signature authorization (if required). ❑ , 10. Recorded copy of Agricultural Acknowledgment Statement. ❑ 11. ❑ Legal description from current recorded grant deed, ❑ Copy of M.H. Title, Title transfer, or MCO. ❑ 12. Sanitation and site plan approval from the Environmental Health Department. If you have questions or would like additional information regarding this process, please contact a Permit Assistant at (530) 538-7541. EXPIRATION OF APPLICATION Applications for which a permit has not been issued will expire one year after date of application. In order to renew action on an application after expiration, a new application, plans and fees will be required. REQUEST FOR FEE REFUNDS Refunds can only be made upon written request by the person who paid the fee. The request must be made within two years from the date of fee payment on permits not issued, and two years from the date of permit issuance for permits issued; however, on issued permits refunds can only be made if no construction work has been done. Filing fees, plan check fees -for work plan checked arid other department costs are not refundable. OVER FOR BUILDING PERMIT APPLICATION K:TORMS1t3lJILDING F0RMS\131dgApp1SubRgmts.doc Page 2 of 3 REV 8-12-05 i.�'8'0'ir :la°'.J� s,,,,,';S ^`'�Y:_ t� �.rSv-.,�.'�,,.r.«rr. A'4s:'aa'r+•SyA+y'•. , .m.ti,,,e4d•..7�.,�;a'.'`�?5�. ,"'i„X�.ik�y"f :'..4. �,, .,-�+� a,c?,r°*,ram, ,�14 � ." «,z-+I�w•., .a�;�� ... �•�°:'n r � " ' COUN'TY OF BUTTE;- DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroviller California 95965 - Telephone: 916/538-7541/ APPLICATION AND PERMIT PERMI N0. � Z A.9_.3ESSOR PARCEL NUMBER 069-300-046 ZONING BUILDING PERMIT yVALUATION OWNER HARRY A. BOSELLY TELEPHONESQ. 589-4112 FT. OCL`.,. i BUILDIN OWNER'S MAILING ADDRESS ` 5383 ROYAL OARS DR OROVILLE ' CONTRACTOR'S NAME La Grone a/c TELEPHONE 33-7811 CONTRACTOR'S MAILING ADDRESS 1051 SIERRA AVE OROVILLE Fireplace �LLENDER CONSTRUCTION LENDER UNKNOWN Total Valuation $ Filing Fee $ 10.00 LENDER' MAI`Li ING ADDRESS 441 '..-,- Permit Fee $ ARCHITECTOREEj�NGINEER LICENSE NO. Plan Checking Fee ,4 Energy Plan Checking Fee $ ARCHITECT OQR ENGINEER'S MAILING ADDRESS .�- Penalty $ BUILDIN.' 5383 ADDRESS OAKS DR OROVILLE Permit fee $ PLUMBING PERMIT Filing Fee 10.00 f Each Trap 2.00 Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAMEPARCEL MAP Water piping 5.00 Each qas water heater or vent 5.00 USE OF STRUCTURE SF[.� Duplex❑ Mobilehome❑ Other SPECIFY Gas piping 'system 1 -5 outlets 5.00 Building sewer 5.00 Mobile Home S I G W 0.00 ea TYPE OF WORK New F-1Addition ❑ Remodel [:JI lities [jd Installation❑ Other ❑ rD scribe work: REPL,.AC;R DITA1. PA(:K _ Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 - Main service 600V OR LESS t00 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. �� i � 01 I Classification. e 0 �- 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. ( DWELLING OCCUP.tr OR ACDNS. BLDGS. , 20sq ft �50ea CONSTR.(LTIACC. NEW CONSTU.OUT LET NON.RESID BRANCH CIRC ITS 2.50 ea POWER APPARATUS &) (SINGLE OUTLET CIR. Ex. Occup( OUTLETS OR FIXTURES eALO 20@30 FIXED APPLNS. OR EX. Occup. OUTLETS (RESID.) EA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. 6Virin g 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 afte making this statemen , ould you become subject to the W. C. pro�i f,tJt Lpor Co e, u must for ith comply with such provisions or this fF shal LP `deemee re MECHANICAL PERMIT FiIingFee 10.00 Heating 80,000 6.00 lin Cooling 31 TON 6.00 Hood 3.00 Ventilation- MIN Pennlf Fee f ; $,' 25.00 Contractor, 4� 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-menned propert for inspection purposes. I also agree tave, i` nZiemc�i 1aan `i a harmle�y g' the Count of Butte against g o s 1 all liabilities, judgments, cos 4 and ex s h' h may in any way accrue against said County i consequence of the, rantin` "9 this permit. ' G X /� ��� ���� �" �T i+ � �5 Date Signature of Applicant — Ownet/ X11 Contractor r*71 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 , y TOTAL FEE $ 25.00 HAZ G A PA U SCHV L PAR PD ) HD ISSU This permit is hereby issued unaer the applicable provi- sions of the Butte County. Code and/or resolutions to do work indicated aboveforwhich f�s have been paid. f J DI R OF PUELI WORKS (r Bty / Date V—FWHITE-D.P.W., PE MIT EXPIRES Date A Receipt No. 97057 ' YELLOW-ASSE330R. PINK -INSPECTOR. GOLDENROD -APPLICANT COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS •g; 196 Memorial Way, Chico — Phone: 891-2751 7 County Center Drive, Orovi Ile —Phone: 538-7541 747 Elliott Road, Paradise — Phone: 872-6307 CORRECTION NOTICE 111 7,11 OWNER o 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. *I-,Qq7.c4 n i Date l v // f Inspector �' COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Orovll le, California 95965 - Telephone: 916/538.7541 APPLICATION AND PERMIT PERMIT- NO. --7� ASSESSOR PARCEL NUMBER 069-300-046 ZONING BUILDING PERMIT OWNER HARRY A. BOSELLY TELEPHONE 589-4112 S0. FT. DCC. BUILDING VALU TION - OWNER'S MAILING ADDRESS 5383 ROYAL OAKS DR OROVILLE CONTRACTOR'S NAME La Grone a/c TELEPHONE 533=7811 CONTRACTOR'S MAILING ADDRESS 1051 SIERRA AVE OROVILLE Fireplace CONSTRUCTION LENDER NONE UNKNOWN Total Valuation Is Filing Fee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER NONE LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS 5383 ROYAL OAKS DR OROVILLE Permit fee $ PLUMBING PERMIT Filing Fee 10.00 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 SF `X' Duplex❑ Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 , Mobile Home I S I G JWT 10.00ea TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities [� Installation[] Other ❑ Describe work: REPLACE DUAL PACK _ Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 100V OR LESS 100 AMP OR LESS 10.00 Main service EA. ADO'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 BuslnesS and Professions -Code and my license is in _full force and effect. 7 I License No. Classification. 7_ 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. DWELLING OCCUP.Ed OR ACDNS. ( ACC. BLDGS. 2,hQsgft NEW. CONSTR. ULT'.OUTLET NONRES'D BRANCH CIRC ITS 2.50 ea POWER APPARATUS e (SINGLE OUTLET CIR. Ex. Occup(OUTLETS OR FIXTURES 20050S 9ALe3o FIXED APPLNS. OR Ex. Occup. OUTLETS (RESIC.) EA.) 1 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. �Yirin 9 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. 50 1 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. ❑ Ishall 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 80,000 6.00 Cooling 31 TON 6.00 Hood 3.00 Vent ilationMIN_ Permit Fee $ 25.00 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 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 liabilities, judgments, costs, and expenses which may in any way accrue against said County i consequence of the granting of this permit. ' " %�� ��� Date d / Signature of Applicant — Owntractor � Agent An OSHA permit is required for 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 $ 25.00 HAL I CUA-1PARK SCHL I FLD I CDFM PD ) Ho. 117all This permit is hereby issued unoer the applicable provi sions of the Butte County. Code and/or resolutions to do - work in ted above for which f s have been aid. p DI OF PU aLI WORKS ^ B Date Y P MIT EXPIRES Date Receipt No. 97057 WHITE-D.P.W.. YELLOW -ASSESSOR. PINK -INSPECTOR. GOLDENROD -APPLICANT COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT NO. 7 County Center Drive - Oroville, California 95965 - Telephone: 916.538--541 APPLICATION AND PERMIT ASSES R P RCEL NUMBER ( -- 1 NI BUILDING PERMIT OAR , Q r r s TELE HON 5 -'� SO. FT. OCC. BUILDING VALUATION OWNER'S M (LING DDRESS 5 D r v ` gS� COZTRAC R'S NAM r TELEPHONE- ELEPHONE S CON CON(�T @CTO MAILING AD RE 5 ICS -1 ' rr (L U C Fireplace CONS RUCTION LENDER UNKNOWN Total Valuation Is Filing Fee $ 10.00 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 ADDRESSPermit Ls- fee $ PLUMBING PERMIT Filing Fee 10.00 i 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 SFX Duplex❑ Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home S I G I IN 10.00 ea TYPE OF WORK New ❑ Addition ❑ R emodel Utilities Installation Other E]Permit Describe work: Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 1011 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, F-1 1, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ 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. 1 DWELLING OCCUP.& OR ADDNS. ACC, BLDGS. +/z¢sgfi NEW CONSTR ULTI.OUTLET NON-RESI. BRANCH CIRC ITS 12.50 ea POWER APPARATUS e SINGLE OUTLET CIR. ) Ex. OCcup(OUTLETS OR FIXTURES 20@50C SAL@s0: FIXED APNS Ex. Occup. OUTLETS PRESID IREA.) 1 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 9 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. ❑ 1 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 d 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, 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. XThis 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 $ Energy Inspection Fee $ occ CONST TYPE TOTAL FEE $ E HAZ CLIAI PARK SCHL FLD PAR i Pp I H `D7 i I i 11 S110 permit is hereby issued unser 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. 2 Q - (/ WHITE-D.P.W.. YELLOW-ASBE330R. PINK -INSPECTOR, GOLDENROD -APPLICANT COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS - BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILI-E, CALIFORNIA 95965 - TELEPHONE: 916/538-7541 PERMIT APPLICATION DATA SHEET Permit No. OWNER � NP A. P..No. Proposed Building Use k�49FBuildin4spector—M.Date 77? mit application, I was advised.the following data must be submitted prior to permit processing and/or issuance: All items have been submitted. 2. Plot plans in duplicate/triplicate, signed by preparer of plans. 3. Complete plans in duplicate/triplicate, signed by preparer of plans. 4. Complete engineered plans and calcs, with wet signature on plans. 5. Hazardous Material Form. 6. Energy Design Compliance and supporting documentation. 7. Statement of Intent for Non -Heated and AC Buildings. 8. Engineered truss details and layout in duplicate (required prior to plan check). 9. Mobilehome installation data including manufacturer's installation instructions. 10. Fees of $ 11. Chico Urban Area fees paid. 12. Park fees paid. 13. School District fees paid. 14. Sanitation approval from Health Department. 15. City of Chico plumbing permit. 16. Plot plan and business license approval from City of (see City for other requirements) 17. Planning approval for (A) Use: (B) Parking: 18. Improvements may be required. Contact Land -Development Section of DPW. 19. Driveway permit (construction approval required prior to occupancy). 20. Pre -Inspection for required. 21. Contractor's license information (No., Name Style, Classification). 22. Certificate of Workmans Compensation Insurance. 23. Owner -Builder Verification (Given to owner o, Mail to owner o). 24. Recorded copy of Agricultural Acknowledgment Statement. 25. Letter of signature authorization. 26. 27. When you issue the permit, process as follows Mail to owner. Mail to contractor. Telephone and hold for pickup at Other Applicant GENERAL INFORMATION BUILDING DEPARTMENTp FF CEES Chico. ,a,g 46 U&S Idt Road Phone: 891-2751 Hours: 8:00 a.m. - 12:00 a.m. Orovi I le 7 County Center Drive Phone: 538-7541 Hours: 8:00 a.m. - 5:00 p.m. Parad i se . . . 747 Elliott Road Phone: 872-6307 Hours: 8:00 a.m. - 12:00 a.m. office. e, Deliver w./inspector. Date HEALTH DEFARTMENT OFFICES Chico .r1 oldt Road Phone: 891-2727 Hours: 8:00 a.m. - 9:00 a.m. OroviIle . . . 7 County Center Drive Phone: 538-7281 Hours: 8:00 a.m. _ 10:00 a.m. Paradise. . . 747 Elliott Road Phone: 872-6308 Hours: 8:00 a.m. - 9:00 a.m. PLANNING DEPARTMENT — 7 County Center Drive, Oroville — Phone: 538-7601 — Hours: 10:00 a.m. - 3:00 p.m. Original — Applicant . Ny,ti7•,f...c. ..j{- -„ K- -- Nr%+. W'rr•�r•• .-r•T.,w�....,�]re ..dn., t1^�inDt` ;'ti's Si�y" 'i u�,Yi►(r�""'1'�'rY�.j-'Yr r; ,.r, R+ . ? 1 ,r, f COUNTY OF BUTTE - DEPARTME T 0 PUBLIC WORKS - BUILDING DIVISION{.'"> 7 COUNTY CENTER DRIVE - ORCiAiE;'CALIFORNIA 95965 - TELEPHONE: 916/538-7541 a. PERMIT &PPLICATION DATA SHEET .. r Permit No. p OWNER fi-V i 12-! A. P. No 06 / »300 Proposed Building Use (4e(�Bui`Idin Inspector Date J!^ At time of p it application, I was advised the following data must be submitted prior to permit processing and/or issuance: DATE RECEIVED APPROVED 1. All items have been submitted. .... 2. Plot plans in duplicate/triplicate, signed by preparer of plans ........ 3. Complete plans in duplicate/triplicate, signed by preparer. of plans . . 4. Complete engineered plans and calcs, with wet signature on plans .. 5. Hazardous Material Form ................ + ....................... . 6. Energy Design Compliance and supporting documentation ......... 7. Statement --of Intent for Non -Heated and AC Buildings .............. 8. Engineered truss details and layout in duplicate (required prior to plan check) 9. Mobilehome installation data including manufacturer's installation instructions....................................................... 10.. Fees of $ 11. Chico Urban Area fees paid ....................................... 12. Park fees paid .................................................... 13. School District fees paid .............. 14. Sanitation approval from Health Department 15. City of Chico plumbing permit ..................................... 16. Plot plan and business license approval from City of (see City for other requirements) r 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 ................... t 23. Owner -Builder Verification (Given to owner ❑, Mail to owner ❑) ..... 24. Recorded copy of Agricultural Acknowledgment Statement ......... 25. Letter of signature authorization ......................... ....... . 26. 27. When you issue the permit, process as follows: Mail to owner.Mail to contractor. Telephone and hold for pickup at office. Deliver w/inspector. Other Applicant Date 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---nail—counter by ..date Contractor, designer, owner, was advised of above required data by—phone —ma ll—counter by date Plans checked by Date Plans approved by ='� Date Sets of plans on hold in Copy—DPW File cabinet AP folder 47 e v;7 i� y�.tL..e. �.. '^+i�.._:,a•pF �:'r""r!,uF:.'9Cjca,-�+,j!i"rt' w. ; e at •'cs .r.,1. `'!cA COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT NO. 7 County Center Drive - Oroville, California 95965 - Telephone: 916/538-7541 .144 APPLICATION AND'PERMIT ASSESSOR PARCEL NUMBER 69-30-46 ZONING _ -� BUILDING PERMIT OWNER / HARRY BOSELL i TELEPHONE 589-4112 SQ. FT. OCC.1 BUILDING VALUATION OWNER'S MAILING ADDRESS 5383 ROYAL OARS DRIVEGROVILLE 95966 CONTRACTOR'S NAME ( R TELEPHONE CONTRACTOR'S MAILING ADDRESS �� Fireplace Cog= ' CTION LENDER UNKNOWN Total Valuation $ Filing Fee $ 10,00 LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER NOV,j+ LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING 5383 ROYAL ADDRESS OAKS DRIVE QR VT ..�' Permit fee $ PLUMBING PERMIT Filing Fee 10.00 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 SF [9 Duplex❑ Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets 5.00 5.00 Building sewer 5.00 Mobile Home S I G I W 10.00 ea TYPE OF WORK New ❑ Addition ❑ Remodel nn Utilities Installation ❑ Other [r Describe work: INSTALL GAS PING _ MJLNIMUM 10.00 10.00 Permit Fee $ 25.00 Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 100 00V OR LESS 1AMP OR LESS 10.00 Main service EA. AOD'L 100 AMP 2.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): ❑ 1 am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in full 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) ❑ 1, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. Business and Professions Code for this reason NEW CONST. DWELLING OCCUP.S+ NEW , hltsgft CONSTR.(A ULTI ODUTLET NON-RESID BRANCH CIRC ITS 2.50 ea POWER APPARATUS &) (SINGLE OUTLET CIR. Ex. Occu p OUTLETS OR FIXTURES SAL0 eAL03030 FIXED APPLNS. OR \ Ex. Occup. OUTLETS (RESID.) EA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. 9 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 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 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 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, costs, and expenses which may in any way accrue against said County in consequence of the granting of this permit. j s f� Date[. -, J,r.tc�41 ,19 // Signature of Applicant — Owner Contract AS ne t ❑ U 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 $ E 25.00 HA Z. CUA PARK SCHL FLD PAR PD I Ho. Iss This permit is hereby issued unser the applicable provi- sions of the Butte County. Code and/or resolutions to do work indicated above for which fees have been aid. /I p ,E QrA TOR O ,' P BLIC WORKS `J 7/24/91 By,M Date PERMIT EXPIRES Date 7/24/92 Receipt No. 96830 WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR. GOLDENROD -APPLICANT COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT NO. 7 County Center Drive - Orovlller Califor„Ia 95965 - Telephone: 916/538.7541 APPLICAT40N AND PERMIT ASSESSOR PARCEL NUMBER 69-30-46 ZONING _ BUILDING PERMIT OWNER HARRY BOSELLY TELEPHONE ,SQA FT. OCC.1 BUILDING VALUATION OWNER'S MAILING ADDRESS 5383 ROYAL OAKS DRIVE, OROVILLE 95966 CONTRACTOR'S NAME QWNFR TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CO CTION LENDER UNKNOWN Total Valuation is Filing Fee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER T LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS 5383 ROYAL OAKS DRTVF OROWLTY, Permit fee $ PLUMBING PERMIT Filing Fee 10.00 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 SF [B Duplex❑ Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets 5.00 5.00 Building sewer 5.00 Mobile Home S G W 0.00 ea TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other `XK Describe work: INSTALL GAS PIPING MINIMUM 10.0 10.00 Permit Fee $ 25.00 Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 1000V OR 0 AMP ORLESS10.00 Main service EA. ADO'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. • I, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONST. / DWELLING OCCUP.N OR ACDNS. C ACC. BLDGS. , �Z�sgft NEW CONSTRESID, RANCH TLET NON.R ESID BRANCH CIRC ITS CIRCUITS) 2.50 ea POWER APPARATUS e SINGLE OUTLET CIR. / Ex. Occup\OUTLETS OR FIXTURES 20050C SALO3o FIXED APPLNS. OR EX. Occup. OUTLETS (RESID.) EA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. 6yirin 9 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. ov 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 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, costs, and expenses which may in any way accrue against said County in consequence of the granting of this permit. ate Signature of Applicant — Owner Contract r nt E:1 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 $ 25.00 HAL PARK SCHL FLD EDF PAR PD ) HD• I0 This permit is hereby issued unaertne applicable provi- sions of the Butte County. Code and/or resolutions to do work indicated above for whi fees have been paid. OR;Of P LIC WORKS - 7/24/91 B Date PER T• EXPIRES Date _ 7/24.92 Receipt No. 96R'i(1 WHITE-D.P.W., YELLOW -ASSESSOR. PINK -INSPECTOR. GOLDENROD -APPLICANT COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 - Telephone: 916/538-7541 APPLICATION )4 -ND PERMIT PERMIT NO. ASSESSOR PAR E NUER — — ZONING RT- / BUILDING PERMIT OWNER ' y c),S�U TELEPHONE 1589 LO Z SQ. FT. OCC. BUILDING VALUATION OWNER'S MAILING Kov 1 Qc�ks D(- I(4e (fa ` CONTRACTOR'S NAME �v^^'�eV_ TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER yl v(IL UNKNOWN Total Valuation Is LENDER'S MAILING ADDRESS Filing Fee $ 10.00 Permit Fee $ ARCHITECT OR ENGINEER yt or 'e - LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING DRESSS ��r Q f t Permit fee $ PLUMBING PERMIT Filing Fee 10.00 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 SR -Q7 Duplex❑ Mobilehome❑ Other \ sPEctFr Gas piping system 1 - 5 outlets 5.00 1 5• Dc7 Building sewer 5.00 Mobile Home I S I G JW 1 10.00 ea TYPE OF WORK Installation[:]Other (i' New❑ Addition ❑ Remodel❑ UtilitieAy)v(:!!-- Describe work: _—Z-1,r5?7�Gt t3 �` /Al`� U U 0 Permit Fee $ .Q Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 8001 OR LESS 100 AMP OR LESS 10.00 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- 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, ADD'L 100 AMP 2.50 DWELLING OCCUP.& NEW CONST.OR AODNS, l // ACC. BLDGS. 22¢sgft NEW CONSTR ULTI.OUTLET NON-RESID BRANCH CIRC ITS 2.50ea POWER APPARATUS .&) SINGLE OUTLET CIR. / Ex. OCCUp\OUTLETS OR FIXTURES e0 IV 50C 2ALI30 0¢ Ex. OCCUp. OUTLETS IXED AP(RESIO )REA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 Permit Fee $ WORKMEN'S COMPENSATION INSURANCE 1 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. ❑ 1 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 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, costs, and expenses which may in any way accrue against said County in consequence of the granting of this permit. XThis 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 $ Energy Inspection Fee $ occ CONST TYPE f TOTAL FEE $ ""z CUA I PARK SCIIL I FLO I COF i PAR Pf) moo. ,ssue i permit is hereby issued unser sions or the Butte County Code and/or work indicated above for which fees DIRECTOR OF PUBLIC By PERMIT EXPIRES Date the appttcable provi- resolutions to do have been paid. WORKS Date Receipt No. NNITE-O.P.W.. YELLOW-ASSE770R, PIN It•INSPECTOR, GOLOENROO-APPLICANr COUNTY OF BUTTE - & partment 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. I personally plan to provide the major labor and materials for construction of the proposed property improvement (yes or no) I (have/have not)signed an application for a building permit Ofor 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 NOTE: This Owner -Builder Verification is sent to you as required by Sections 19831 and 19832 of the California Health and Safety Code. Thisverification must be completed and returned to our office before we are per- mitted to issue the permit. 'RESIDENTIAL 69-30-46 56-90 BOSELLY, Harry CONTR: Johnny Smith Const., 5383 Royal Oaks Dr, Oroville (SF ADDITION) JOB FIN Signat 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. / P'Nat. or/ /" L"ft./ /"LPG 7. 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 Nil MISCELLANEOUS Date DECKS, COVERS, CARPORTS, GARAGES, Plans OK except #'s . Zo ' g Requirements -Setbacks -Easements Foo ' 'Soils -Size -Depth -Spacing -Connectors -Steel ecks; Griders and/or Joists -Decking -Bracing -Stairs -Rails 4. Wood Awn.; Posts-Beams-Rftrs.-Coonectors Shthg: Rfg.-Bracing 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Carports; Windows -Doors 7. Electric its-Anchors-Studs-Rftrs-Trusses 9. Siding; Nailing -Veneer -Stucco -Mesh 10. Roof; Shthg-Roofing Lt Fact.; Steps -Doors -Landings Date Card B- Date Card B-1 Date - � Card B-9,9=Date Card B-1 Date POOLS Plan 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' Circylating 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 O=Not OK - = Not Applicable ' = Not Ready RESIDENTIAL (Single & Duplex) Date UNDERFLOOR (Plans) OK except #'s Date FRAMING (Continued) 1. Zoning -Setbacks -Easements -Flood -Slope 45. Hangers -Post Caps -Anchors -Connectors 2. Ftg., Main; Soils-Elec. Grnd.-/ /" Ftg. Depth 46. Cing. Joist-Rftr. ties-Purlin-roof Brac-Truss-Shthng.-Ring. 3. Ftg., Garage; Soils-Steel-Elec. Grnd.-/ /" Ftg. Depth 47. Fireplace Ties or Type A Flue -Fireplace Throat clearance 4. Ftg., Porches & Decks; Soils -Steel-/ /Ftg. Depth 48. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 5. Stemwalls, Main; Steel-Blockouts-Wrapped 49. Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions 6. Stemwalls, Garage; Steel- Bloc kouts-Wrapped 50. Garage Fire Protection Framing 6a. Hold Downs and Special Anchors 51. Property Line Firewall & Openings 7. Slab; Steel -Wrapped 52. Ext. Doors -One T -Check Garage -3rd Story, 2 Exits 8. Piers -Fireplace Ftg.-Steel 53. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 9. D.W.V.; Fall -Fitting -Test -2 Way C/O -Sewer Test 54. plywood on Roof Overhang -Attic Vents -Rafter Outriggers 10. Gas Pipe; Size -Anchors 55. Siding -Nailing Veneer 11. Water Pipe; Test -Anchor -Regulator -Service Test 56. Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access 12. Electric; Underground 57. Glazing Area -Glass Protection -Skylights -Plastic yr 13. Pienums & Ducts; Clearance -Material -Support -Ins. 58. Shear Walls; Nailing -Bolts - 14. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples 59. Insulation -Walls -Ceilings 15. Insulation 60. Infiltration -Walls -Windows 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 PLUMBING (Permit) OK except #'s Date Card B-1 Date Card B-1 16. Water Htr.; Vent -Access -Combustion Air -Baffle Date FINAL (Plans) OK except #'s 17. Water Pipe; Test & Anchor -Nail Protection 61. Ext. Steps -Door & Sidelight Protection -Landings 18. D.W.V.; Test -Fittings & Anchor -Nail Protection 62. Smoke Detector 19. Shower Pan; Test, First Floor -Tub Access 63. Furnace; Vents -Clearance -Comb. Air -Connector - In Garage; Above Floor-Ducts-Mech. Protection 20. Test Tub & Shower, Second Floor -Tub Access 21. Gas Pipe; Size & Anchors 64. Bedroom Exiting 65. G.F.I. & Bath Fixtures & Tub Access -Spa Date Card B-1 Date Card B-1 66. Elec. Trim & Subpanel; Breaker Sizes & Labels Date Card B-1 Date Card B-1 67. Stairs & Rails Date ELECTRICAL (Permit) OK except #'s 68. Fireplace or Stove; Clearances -Hearth 22. Fixture & Transformer Clearance -Ins. Protection 69. Elec. Outlets at Wood Panel; Int. & Ext. 23. Elec. Receptacles Spacing -Lights & Switches at Doors 70. Kit.Fixt. & Appliance; Grnd.-Air Gap -Cooking Clearance 24. Size Boxes & No. of Conductors -Stapled 71. Elec. Outlets & Receptacles at Kit. Counter 25. Romex Installed Close to Edge of Studs & C.J. 72. Garage Fire Door; Swing -Landing -Closer 26. Equip. Ground made up w/Mech. Fastners-Bond Gas & Water 73. A.C. Duct in Garage -Damper 27. 2 Appliance Circuts in Kitchen & Conductor Size/GFI 74. Wtr. Htr.; Vents -Clearance -Comb. Air-Connector-P.R.V. In Garage; Above Floor-Mech. Protection 28. Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / / ga. Cu or At 75. Plb., Elec. & Mech. Equip. Listed for Location 29. Range Circ. / / ga. Cu or AI -Oven Circ. / / ga. Cu or Al. Insulated Neutral 0 Yes 0 No 76. Elec. Receptacles in Garage; (G.F.I.)-Romex Protection 77. Insulation -Foam -Looked in Attic 0 Yes 30. Service -Riser Conductors & Ground -Main Disconnect 78. Guard Rails & Deck Construction -Post Caps 31. Equip. Clearances Panels-Motors-Mech. Equip. 79. Fdn. Vents & Crawl Hole Door -Drainage & Wood -Earth Clearance Looked under Floor ❑ Yes 32. Clothes Closet Light -Shower Light -Spa Light 33. Smoke Detector 80. Following instld.; Drive 0 Yes ❑ No; Walks ❑ Yes ❑ No; Planters Cl Yes ❑ No Date Card B-1 Date Card B-1 81. Stucco; Brown -Finish Date Card B-1 Date Card B-1 82. A.C. Unit; Disconnect, Electrical, Plumbing Date MECHANICAL (Permit) OK except #'s 83. Vents Above Roof; Plbg.-Appliance-Fireplace.-Clearance to Openings 34. A.C. Ducts Insulation & Support 84. Water Well; Disconnect, Electrical, Plumbing 35. Vent Fan; Exhaust above insulation 85. Exterior Elec. Trim; G.F.I. Receptacle -Underground 36. Condensate Drain & Overflow; Size & Grade 86. Ventilation Throughout House 37. Furnance-Vent; Access -Comb. Air -Return Air Vent -115 outlet 87. Glass Protection 38. Attic Access & Platform if Furnance in Attic 88. Corrections from Previous Inspections 89. Gas Test -Meters Tagged; Gas -Electric 90. Water & Sewer Connected -C/O t0 Grade -HD Approval Date Card B-1 Date Card B-1 91. Energy Compliance Certificate -Other Certificates Date Card B-1 Date Card B-1' Date FRAMING (Plans) OK except #'s Date Card B-1 Date Card B-1 39. Sils, Proper Material & Anchors Date Card B-1 Date Card B -i 40. Walls Studs -Nailing, Spacing & Bracing -Plates -Sound Date Card B-1 Date Card B-1 41. Bearing Walls over Girders & Floor Nailing Comments at Final: 42. Draft Stop in Walls (rat proof) 43. Fire Stops; Furred Ceilings -Stairs -Chases -Tub 44. Headers & Beam -Size & Bearing each time you visit job site) (NOTE: An entry must be made Y f 4 COUNTY OF BUTTE - D"EPI``_ :f M .NT OF PUBLIC WORKS 7 County Center Drive - Oroville, CaTiforrfia "b965 - Telephone: 916/538-7541 APPLICATION AND PERMIT / PERMIT NO. r ASS S(`f R PAW5k NUMBE zo NG BUILDING PERMIT Ow r r © (- TELEPHONE SQ. FT. OCC. BUILDING VALUATION 0 VCON O Or�ER'S MAI N ADDRES R/� R'S NA �f , Sir` N EPHONE CONTRACTOR'S MAIL NG ADDRESS Zg S ozo Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ Filing Fee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ 60 Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS - Penalty $ BUILDING ADDRESS o r Permit fee $ s PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 r0 v 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 SF;6 Duplex❑ Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home Is G W 0.00 e TYPE OF WORK New ❑ Addition ,,�,J Re/r}Q►deI ❑ Utilities ❑ Installn❑ ther E] Describe work: en , © t/ 0 ✓t s '(� 0 T - Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 6001 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): Irl TYI-] I am licensed under provisions of Chapt. 9, Div. 3 of the Buslnes$ and Professions Code and my license is in full force and effect. License No. S ��3 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- ontract- ors.(Sec. 7044) ors. ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONST. DWELLING OCCUP.d OR ACDNS. ACC. SLOGS. 2 ,/x2sgft NEW CONSTR.MULTI-OUTLET NON-RESID BRANCH CIRC ITS 2.50 ea /POWER APPARATUS e\ \SINGLE OUTLET CIR. / E Ex. Occup( OR FIXTURES .20 050c 0AL030 FIXED APPLINIS Ex. OCCUp. OUTLETS RESID IREA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 9 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 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. 1 also agree to save, indemnify and keep harmless the County of Butte against all liabilItIe judgments, costs, and expenses which may in any way accrue against sai County in consequ ce of the granting of this permit. X rQ— /y Date __� Siure cf licant - owner PF ❑ Contractor Agent ❑ SHA ermit is required for excavations over 5' "deep and demolition or construct- tr ctures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST TYPE AL TOTAL FEE $�,� HAZ cuA PARK ____ FLD �_ PAR A -i PD HD ISSUE This permit is hereby issued under sions of the Butte County. Code and/or work indicated above for which fees DIRE OR LIC By PERMIT EXPIRES Date the applicable provi- resolutions to do have been aid. p WORKS Date -01 Receipt No. WHITE-D.P.W., YELLOW -ASSESSOR, INR -INSPECTOR, GOLDENROD -APPLICANT •.r.,--.. ,.. ..-'+.r=.t�t�+�� �.ry.�.ay.-.. :r..�•.t•.�.r-..•...may..,•... ...-.--•�u.'i -,.w .I ��-9.• ..�.., T��� r�,.,�-.iY'•�. vY'J3:i.f.. .:=+T'M.«`cr''•„i,�'..ti--r^�+'S?+i�"X+•`A '"":i. �(��.�. COUNTY OF BUTTE - DEPARTMENTr OFP" CLIC WORKS - BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE: 916/538-7541 OWN.ER Proposed Building Use PERMIT APPtICATION DATA SHEET I; Permit No. A. P. No. Building- 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 . .................................... 2. Plot plans in 1p-up-fl-c-a-te-J7 replicate, signed by preparer of plans. . * * * * * lans....... . 3. Complete plan -m- �uplicate/triplicate, signed by preparer of plans .. 4. Complete engineered plans and calcs, with wet signature on plans .: 5. Hazardous Material Form .......................................... 6. Energy Design Compliance and supporting documentation ......... 7. Statement of Intent for Non -Heated and AC Buildings .............. 8. Engineered truss details and layout in duplicate (required prior to plan check) 9. Mobilehome installation data including manufacturer's installation instructions....................................................... 10. Fees of $ ........................ 11. Chico Urban Area fees paid ....................................... 12. Park fees paid .................................................... 13. School District fees paid .............. —� 14. Sanitation approval from ra «gyp � Health Department 15. City of Chico plumbing permit ..................................... 16. Plot plan and business license approval from City of (see City for other requirements) 17. Planning approval for (A) Use: (B) Parking: ...... 18. Improvements may be required. Contact Land Development Section DPW 19. Driveway permit (construction approval required prior to occupancy) 20. Pre -Inspection for required Pre-Inspec. request to Building Inspector 21. Contractor's license information (No., Name Style, Classifications ... 22. Certificate of Workmans Compensation Insurance .................. 23. Owner -Builder Verification (Given to owner ❑, Mail to owner ❑) ..... 24. Recorded copy of Agricultural Acknowledgment Statement ......... 25. Letter of signature authorization ................................... 26. 27. When you issue the permit, process as follows: Mail toy owner. Mail to contractor. rV Telephone and hold for pickup at� office. Deliver w/inspector. Other „ Copy of plans sent Health Dept., Applicant Fire Dept., The following data must be submitted prior to permit 1. Index permit for above items No. 2. Additional items required: Date Other Date ance: (Circle new item not checked above). Contractor, designer, owner, was advised of above required data by—phone---mai 11—counter by .date Contractor, designer, owner, was advised of above required data by —phone _maII—counter by date Plans checked by Date � 2"'d Plans approved by Date Sets of plans on hold in . File cabinet AP folder Copy—DPW COUNTY OF BUTTE.- DEPARTMENT OF PUBLIC WORKS 7 County Center Drive, Oroville, CA 95965 PHONE: 916-538-7541 Johnny Smith Const DATE 28 Shad Ct. Oroville, CA 95966 RE: Permit appin #56-90 for cov & open deck @ 5383 Royal Oaks Dr. for A.P. IP 69-30-46 Harry Boselly With reference to the above subject: L� Attached is: Application for permit .Mobilehome Utilities Installation Sheet Building Plans Mobilehome Installation Information Sheet Engr. Calcs Typical.Plan Sheet Owner -Builder Verification Form List of Codes Enforced 77 We need the following information: Permit application signed and completed where indicated with all copies returned. Fees of $ payable to Butte County Treasurer. Certificate of Workmen's Compensation Insurance or check exemption statement. Contractor's License Law information or check exemption statement. Complete plans in , including plot plans. Plot plans in duplicate. Structural details in Complete plans and calcs in by registered engineer or architect. Energy design including Street and drainage improvement plan approval from Land Development Section (DPW). sets of plans in accordance with the changes marked in red. Sanitation approval from Butte County Health Department at: 196 Memorial Way,' Chico 7 County Center Dr., Oroville Skyway & Elliott Rd., Paradise Planning approval from Butte County Planning Department, 7 County Center Drive, .Oroville, for Completed Owner -Builder Verification form. Recorded copy of deed showing Recorded copy of agricultural acknowledgement statement. OTHER Should you have any questions concerning the above, please contact of this office. JFG/aj Yours very truly, William Cheff Director of Public Works J.F. Glander Chief Building Inspector • r x PERMIT NO. A8-80B,P,E,M i PERMIT EXPIRES y ,t OWNER Ora Bailey CONTR. Geyer Const, ,.Orovi7l_P 34-90-46 LOCATION (A.P. ) SR 5383 Royal Oaks Dr.,lot 391,KR#4C, Oro. c .Y- �I fy Temp. Power Pole Called PGG E Temp.EIe,//Serv. ( Called"PG&E !J' t TemVdtas Serv. ? ailed PG&E t JOB FINALED (Date) � c (Signature)17 r COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS BUILDING INSPECTION RECORD RS rramin v so BUILDING BUILDING (Cont'd) Stucco PLUMBING Setback Firewall Soil Piping Scratch Forms Service Parapets 1st Floor --L Main Bldg. Ducts �'/ ����= Restroom Finish 2nd Floor Ventilation Footings S Windows� 3rd Floor MOBILEHOME UTILITIES ------------------ Stemwall Elec. Pedestal Siding — — -•O To out — Slab Roof Sheathing Water Piping =_ Piers Roofing Sewer Garage Fdn. Vents Fixtures Footings Stemwall Garage Vents Insulation Water Htr. Heaters Slab Carport Footings Prov. for phsically handicapped Conformance of ex. structure Appliances Gas Piping & Test Temp. Gas Slab Final Sanitation Patio FIREPLACE Final Footings Footing ELECTRICAL Masonry Walls Throat Rough Relnf. Steel Final el....— RS rramin v so Test Water Htr. Stucco Final Subpanels Mesh MECHANICAL Grd. Fault Prot. Scratch Heating Service ,,Brown Cooling Temp. Pole Finish Ducts �'/ ����= Under round Interior Lath Ventilation Permanent Door Closer Final Final MOBILEHOME UTILITIES ------------------ Elec_ Service Elec. Pedestal Water Piping Sewer Gas Piping OBILEHOME INSTALLATION - - - - - - - - - - - - - - Support Elec. Continuity Water Piping L Drainage Gas Piping DATE a REMARKS OR CORRECTIONS /� `S i az 4Q606,S Jt -v � _0 ��� �t � � � a �-. � ` qua— � h��-lam- R•�t a ��'®,�, criz �o-�yit�G- � ce»A-1.�5 71 If �ee)14 o� �L! G 1¢-7 JF_A&x ®C ?►e� l� �or (NOTE: An entry must be made on this form each time you visit the job site.) 644- woes �l � P L U M B I N G Check List ❑ Permit ❑ Underfloor Stage ❑ D.W.V.: (1il"Sizing. (2fMaterials. (3) Fittings. (4) Grade & Support. (5) Cleanouts & Accessibility. (6) Clearances. (7) Rough -in Locations. ❑* (8) Wrapping. (9),Test - including "Ts". (10) Additional test not required.* ❑ Water: (1)' Sizing. (2) Materials. (3) Support. (4) Test. (5) Wrapping. ®* (6) Dissimilar metals. (7) Service regulator installed or not required.* ❑ Gas: (1) Sizing. (2) Materials. (3) Support. (4) Log Lighter. (5) Wrapping. ❑ Framing Stage (Top Out •• D.W.V.: (1) Size. (2) Vent Area & Termination. (3) Materials. (4) Fittings. (5) Grade & Support. (6) Cleanouts..(7) Traps. (8) Nail Protection. (9) Plumbing Access. (10) Toilet Clearances. (11) Shower size. (12) Shower Pan Test. (13) Vents - turns, horiz., runs, loop, wet, etc. ❑" (14) Additional 2nd floor test not required.* ❑ Water: (1) Pipe Test. (2) Mixer Valves. (3) Support. (4) Roof drains. ❑ Gas: (1) Size. (2) Materials. (3) PR Valve Drain. r ❑ Water Heater: (1) Vent. (2) . Location. (3).* PR Valve Drain. ❑ Final �D.W..V.: (1) Connected to sewer system. (2) Special systems. ❑ Water: (1) Water Source. (2) Shut-off. (3) Anti -siphon Valves. ❑ Gas: (1) Test.'(2) Connectors. , .n Water heater: (1) Location. (2) Accessibility. (3) Clearances. (4) Stability. (5) 18" Garage Floor. (6) Mechanical protection. (7) Combustion Air. (8) Draft Diverter. (9) Vent Connector. (10) Vent. (11) Shut-off and connector. (12) PR Valve & Drain. ❑ Fixtures: (1) Approved. (2) Stability. (3) Clearances. (4) Trapped. (5) Connections. (6) Cross -connections. (7) Dishwasher Air Gap. • E { 5/79 M E C H A N I C A L Check List ❑ Permit ® Underfloor Stage ❑ Underfloor Supply Plenum: (1) One-story. (2) Clearances. (3) Combustible material. (4) Insulation and vapor barrier. (5) Access. (6) Catch. receptacles and registers. (7) Fire -stopping. (8) Boots. (9) Supply ducts. (10) Gas lines and plumbing cleanouts. ❑ Ducts: (1) Size. (2) Materials. (3) Support. (4) Fittings. (5) Wrapping. (6) Insulation. (7) Clearances - ground, crawlspace, cleanouts,•. plumbing, etc. ❑ Combustion Air: (1) Size. ❑ Refrigerant Piping: (1) Material. (2) Support. (3) Fittings. (4) Insulation. ❑ Framing Stage " ❑ Heating: (1) Approved appliances. (2) Accessibility. (3) Clearances. (4) Combustion air. ❑ Vent and Connector: (1) Approved. (2) Size. (3) Clearances: (4) Cap. r. (5) Termination. ❑ Ducts: (1) Materials. (2) Size. (3) Support. (4) Fittings. (5) Insulation. (6) Fire Damper. r ❑ Refrigerant'Piping: (1) Material. (2) Support. (3) Fittings. (4)•Insulation. (5) Condensate drain. F inal ❑ Heating: (1) Accessibility. (2) Combustion air. (3) Safety controls. (4) Electrical connection. (5) Fuel shut-off. ❑ Cooling: (1) Accessibility. (2) Support. (3) Controls. (4) Pressure• relief valves'. (5) Class 2 refrigerant. 5/79 COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS > , 695 Oleander Avenue, Chico — Phone 343-4211, Ext. 70 7 County Center Drive, Oroville — Phone 534-4541 Skyway and Elliott Road, Paradise — 'Phone 877-3435 `CORRECTION NOTICE BUIL46ING OR PROPERTY ADDRESS A routine inspection indicates that the fol lowing. 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 tg..'this matter, or need additional- explanation, please contact this office immediately. � �i?--�id f,..i�� ,.,� r'' :�.�%�-li`�: �'- t_ �:j%'%y.a '`��✓ate. �.- fi �•./ ;7L- --L," � ... r c ,t e Inspector 16,110,�� G•'� Ater 4zJ- RES ID%NT IAL I 4406 069 ENERGY CONSERVATION STANDARDS CONSTRUCTION C0:1PI.IANCE CERTIFICATE THIS IS TO CERTIFY THAT ENERGY CONSERVATION REQUIREMENTS HAVE BEEN INSTALLED IN CONFORMANCE WITH CURRENT ENERGY CONSERVATION REGULATIONS (locatYion) Y / BUILDING PERMIT A. P. NO.G�'Gi THE FOLLOWING HAVE BEEN INSTALLED AS PER APPROVED PLANS: (Check each item or write N/A if not applicable) INSULATION: Slab Edge. Fdn. Walls ,{I Floors ,4/ Walls..1Q Ceiling/wct* R•-28 Ducts /teayG Circulating Pipes APPROVED HEATER i APPROVED WTR.HTR. GLAZING: Single Glazed Special (Insulated) CERT. & LABELED WDS. & SLIDING DRS. ✓ WEATHERSTRIPPED DRS. BACK DAMPERED FANS INTERMITTENT IGNITION DEVICES CERT. APPLIANCES i Attic - FISERCRU „ ( cellulose fiber) ' R -Value R-28. Walls SPX FOAM (U. F. foam type) - R -Valu® R-10.. I DECLARE THAT ALL REQUIRED ITEMS AS NOTED ABOVE HAVE BEEN INSTALLED IN ACCORDANCE WITH THE ENERGY CONSERVATION REQUIREMENTS AND AGREE TO THE COMPLETENESS OF THIS, CERTIFICATE AS SUBMITTED. Insulation Applicator Name A.11 Weather InsulatioA, Sound Proofing, & Signature of (ple s print) Construction Insulation Applicator �*Ilj LmJOIS State 96ntractors License No. 127617 General Contractor/0wne-r Name -- Signature of General Contractor/ lease print) ��- Dated State Contractors License No. THIS CERTIFICATE MUST BE ON FILE WITH THE BUILDING DEPARTMENT PRIOR TO REQUESTING FINAL INSPECTION AND SHALL BE POSTED IN A CONSPICUOUS LOCATION WITHIN THE DWELLING. UNDERFLOOR Plans 2. se Setbacks - a 3. Ftg., Main; Soifs - Steel - Elec. Grnd - O" Ftg. Depth Above Completed - O Except: Job Card Signed Date Corrections Completed _ /Job Card Signed Date F ., Garage; Soils - Steel - O" Ftg. Depth NW'Fjg., Porches & Decks; Soils - Steet - O" Ftg.', Depth Si walls, Garage; Steal - Blackouts temwalls, Garage; Steal - Blackouts Piers - Fireplace Ftg. - Steal 9. Drain; Fall -Fittings ; 042" Test - 2 way C/O - Sewor Test - _.�..� t• �.��_ ..... +_� 11. Wat��Test -Anchors egulator Serv" ,est _ 12. Electrical jpm6ms & Ducts; Clearance - Material - Support - Ins. girders - Sills - Anchor Bolts - Joists - Vents - Cripples Above Completed r ❑ ExMt: Job Card Signed Corrections Completed Job Card Signed Date , ::Water Mir. - °6--_Access.�ion Air 4_ Water Pipe - Test & Anchors -Nil Protect on D in Pipe - Test - Fttngs & Anchors -- Nail Prot. - 42" Test ❑ Shower Pan - Test, First Floor - Tub Access est Tub & Shower, 2nd floor - Tub Access ,as Pipe - Size & Anchors Above Completed - ❑ Except: Job Card SigneddAZZI.,Date -� Corrections Compleited Jab Card Signed Date ELECTRICAL - ABOVE FLOOR Clearance & Insulation Prot. at Flush Light Fixtures �El Receptacles Spacing - Lights & Switches at Doors A!$ixe Boxes & No. of Conductors - Staoled R ex Installed Close to dge gf Stud• & C.J. 2,0Equip. Ground made up wlMerh. Fasteaers ;,Appliance Circuits in Kitchen & Conductor Size -Fee-WirASubJ%�angs .C. -Wire SizeJ3 a. Cu o Cir: Cu a Oven Circ. ❑ga. Cu or AI, Insulated N tral es ❑No 29. ice - 30. & Water Pipes 31. Clothes Closet Light -Shower Light Above Completed - ❑ Except: Job Card Signed _ Date Corrections Completed Job Card Signed Date ` ME=CHANICAL - ABOVE FLOOR _C. Ducts -- Insulation & Support _ Vent Fan - Exhaust above Insulation 34. Condensate Drain & Overflow - size & Grade Furnace - Vent - Acces-Comb. Air -- Return Air Vent 115V outlet Attic Access & .Plat urnace in attic Above Completed - ExceoL Job Card Sign'wi Corrections Completed Job Card Siqned Date FRAMING /. PI S ill roper Material & Arichors = Studs - Nailing & Spacing & Bracing - Plates BW'ng Walls over Girders & Floor Nailing ,r'a'ft Stop in Walls (rat proof) 42. Fire Stops - Furred Ceilings, - Stairs - Chases - Tub Bader & Beam - Size & Bearing ngers - Post Caps - Anchors - Connectors C11 g. Joists-Rftr. Tles-Purlins-Rt. Brac.-Trus,.-SMtmg.-Ring. fi#`5& +gta9e=ies-or Types A Flue - R4ap 26A Them_ ccess-Size & Pomex Protection Wind iwo or Exiting Doors - Sill, Hgt. & Dimonsions r Garage Fire Protection Framing r 50. E�.t: Doors •-• one 3' - Check Garage i �SSa" ire -Width-11 eadroom-Rfsa•Run-Landing-F_ire Protection PI ad on Roof Overhang - Attic Vents - Rafter Outriggers. Siding - Nailing •- Vs+ieer �p & n. Aeeecs �. Glare Protection It required 57. Shear Walls- -� :Above Compldred - Exospi: 41, Job Card Signed Date�— Corrections Comliletsd _ Jeb Card Signed - Date FINAL_ J . Plans _ 59. tees, Door & - 4�IC1T1g4� -i Smoke Detector Vents-Clrnet-3-Comb. Air-ConncMar- In Garage.Hgt. & Mesh. Protection edroom Exiting 9� G.F.I. & Bath Fixtures & Tub Access I�Trim & Subpanct! - Breaker Sizes - Labels %�. Stairs &Rails ���-----�� '' , rireplace or Sova - Clearances -Hearth EI .. Outlets at Wood .Panel -dnt-& Ext. 1 -,ija -`Fjxiljrea & Appliances in Kit. - Grnded - Air Gap -• Ckng. Clrnce •I . Outlets -& Receptacles at Kit. Counter ,r Garag r9 Door - Swing 'Ft. C. Duct in Garage - Dampor /e' Wtr. Htr�mb. it-P.R.V Connector - in Garage. Connector - in Garage. Mech o ' Firevaalls & Openings - T4. E . Receptacles in Garage (G.F.I.) Romex Protec. idimlyA wrN4 Zkmlalion - Foam - Looked in Attic / es and Rails & Deck Construction Fdn. Vents & C.rakW has door - Dr ' rge � Wood-Eaith Clrnces- ked under floor 1•- IYes . Following instld: Dr es ONo; Walks es ONo; Planters OYes Creating Drng. Problems OYes �o er97a o; Brown - Finish A.C. Unit-Disconnect-Clrnces-Brkr & Cond. Size- 115V Outlet 7W Vents Above Roof - Plbg.-Appliances-Firepl. - Clrnce to Opngs `ffg- ' ter Well -- Disconnect, Electrical, Plumbing _ E erior Elec. Trim & G.F.I. Receptacle Alo"Ventilation throughout House �t�1ol ss Protection UP—WIC-orrect from Previous Inspections rgr.--Gas Test - Meters Tagged -Gas & Electric t3 Ply & 'DA,104 Energy Compliance Certificate Above Completer) 0 Except: 7 2- - ] O Job Card Signed Date Corrections Completed Job Card Signed Date rll� COUNTY OF BUTTE -- J)EPARTMENT OF PUBLIC WORKS 7 County Center Urive — Oroville, California 95965 �' D Telephone: 534-4541 / APPLICATION AND PERMIT authorize represe atives of the County of Butte to enter upon the above -mention operty fo inspection purposes. X Date /_' 5® Sig a rrrjmitee or gent Receipt No. V l r White-D.P.W. — Yello sse — Pink -Inspector — Goldenrod -Applicant This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DIRECTOR 0c'PUBLIC WORKS t r" &- ��� _ --N "ice n; ;'IA . Building permit expires Date 2=4p�� BUILDING Owner 3�,iy Q?A-41 SQ. FT. OCC. BUILDING VALUATION Mailing Address qo M b Telephone No. 3 Contractor (2,L=i\t eP- CZ)IVST. Mailing Address LLQ CR"c5 408- Fireplace8slro✓ p, Total Valuation /�� oft 0 1 W5 Tele hone No. f (- C(,3 Permit Fee 137,60 Building AddressQ� S ��Ud� Plan Checking Fee&/or Penalty - TO Permit Fee b C PACIV 16 C) i %t> 0 E 7ACK N?aL QR. PLUMBING No. @ FEE X383 ROVALOA4� lQW406"PERMIT FILING FEE $3.00 3,®6 Each Trap X41 / � VIZ 4 i G Wr :jy 1 V6LLW goo Repair drainage or vent piping 1.50 A. P. �+ —446 T Zoning & Planning Water piping �0 ,�,,�; Each gas water heater or vent 1.50 F s I V/C. I VjtaLwkFireDept. FireZone Use Permit Gas piping system 1 -5 outlets 1.50 Parking EQA Plans ParcelEach I Declaration Parcel p 60 R/W Improv is additional outlet .30 Building sewer 5.00 Bldg. ansR c'd Parc royal Plans` proval Lawn sprinkler system 2.00 NEW ADDITION ❑ UTILITIES ❑ OTHER ❑ Permit Fee ELECTRICAL No.1 @ FEE PERMIT FILING FEE J$3.00 GJ 600V OR LESSV Main service 100 AMP OR LESS 5.00 Single Family LK Duplex ❑ Mobil Home ❑ Others ❑ Main service EA. ADD'L 100 AMP 2.50 Main service OVER soov 25.00 100 AMP OR LESS Main service EA. ADD'L 100 AMP 1.00 NEW OR ADDNS. E SCCUP. Y) 2¢sgft CONTRACTORS LICENSE LAW I am licensed under the provisions of Chapter 9, Div. 3, of the State of California Business &Professions Code under the name style of: NEW CONSTR. MULT I.OUTLET NON-RESID. BRANCH CIRCUITS) 2.50ea i NEW CONSTR. (POWER APARATUS t1) NON- RESID. SIGLE OUPTLET CIR. Ex. Occup (OUTLETS OR FIXTIIRES) g L@; Ex. OccupAPP( FIXEDOUTLETSRETS (RE SID.) EA) S. OR \ • 2.00 Temporary service 10.00 License No r � Classification �� Mobile Home Facilities 15.00 Misc. Wiring 6.25 ❑ I am exempt from the Contractors License Laws of the State of California. Permit Fee $ , . 5 $ MECHANICAL No. @ FEE + 10,00l WORKMEN'S COMPENSATION INSURANCE I am aware of the provisions of Section3700 of the California Labor Code which requires every employer to be insured against liability for Workmen's ComfJensation. ❑ I have placed on file with the County of Butte a certificate of Workmen's Compensation Insurance. I certify that in the performance of the work for which this � permit is issued I shall not employ any person in any manner so as to become subject to the Workmen's Compensation Laws of California. PERMIT FILING FEE $3.00 3,fX� Heating uAk. A% RLr0 41co L4,00 Hejw, PV P Cooling 4.W 4,00 -r-�S Ventilation Hood 2.00 00 Permit Fee $ (3,00 $ 93 1 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 buildinq construction, and hereby Land Development Fee $ `1,4.0:^ TOTAL PERMIT FEE itfl, authorize represe atives of the County of Butte to enter upon the above -mention operty fo inspection purposes. X Date /_' 5® Sig a rrrjmitee or gent Receipt No. V l r White-D.P.W. — Yello sse — Pink -Inspector — Goldenrod -Applicant This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DIRECTOR 0c'PUBLIC WORKS t r" &- ��� _ --N "ice n; ;'IA . Building permit expires Date 2=4p�� Telephone 633-2000 North Burbank Public Utility District 1960 Elgin Street OROVILLE, CALIFORNIA 95965 DISTRICT APPROVAL AND 16-80 VERIFICATION OF INSPECTION BUILDING SEWERS This verification form must be submittedto the Butte County Department of Public Works - Building Department prior to issuance of a building or occupancy permit, whichever is applicable. Prior to final approval by Butte County of a Building or an Occupancy Permit, a copy of this verification form, signed off by North Burbank Public Utility District, must be submitted to Butte County. Applicant: ORA & nnRCLX I, BAILay Applicant Address: 1925 Studebaker Rd., Long Beach, CA 90815 Applicant Phone No.: Work213-430-9467 - Res. 213-425-1221 Property Location (s). 5383 Royal Oaks Drive, Kelly Ridge Estates 4C,Lot 391 Contractor: Geyer Construction Co. A. P. No. (s): 034-90-0-046-0 Fees Paid: $700.00 SCOR Facility .harge paid by Geyer 2.125/80 N.B.P.U.D. Connection Fee paid in advance by Southern C a Financial Corp. Application for service approved: North Burbank Public Utility District Inspection(s) made alld successful test(s) observed: Location: Date: 0 North Burbank Public Utility District release to close permit: Date: By: 1�m cra► ?UL cra► a BUTTE COUNTY DEPARTMENT OF PUBLIC WORKS SPECIAL INSPECTION REPORT IJ�� A.P. #. Owener: Address: S-��� �'('�,� �� r lig• v Date of Inspection :.44`s°'�1" �_,�,(-. •,,, r �0� Inspector LdIW�e����/ Building Location: Type of Inspection requested: 1. Housing. 2. Financing 3. Change of Occupancy to 2140 Other ( specify) 7' ' Present use.of buildinn• �' µ A Sanitation (Housing) 1. Water closet: '2. Lavatory : ' 3. Bathtub or shower: ' 4. Kitchen sink: 5. Hot and cold water to fixtures: 6: Heating facilities:` '7. Natural light and. ventilation: 8. Room and space requirements: '9.. Bedroom window or door for second exit: ` 10. Infestation of insects, vermin, or rodents: 11. Connecti.or.-to sewage disposal: 12. Connection to wate-'.supply: 13. Rubbish and garbage facilities: ,r 14. Comments: B. Structural 1. Piers and footings: 2. Floor construction: . 3'. Wall construction: ' roof construction: 4. Ceiling and: 5. Fireplaces:' 6. .Comments: C. Electrical l.. Service ground: 2. Recept.�r-. is: ' 3. Fusi.ng:_ 4. Comment s : r D. Plumb ing . 11 Fixtures connected and vented: 2: Gas water heater: 3. Gas heating vents: 4.. Comments • - ° E. Other 1. �\and Maintena-nce 2. Fire hazards: repair. 3. - Safety hazards:' 4. Weather protection: 5. T.Juderfloor and attic ventilation: 6. Conuients: F. Commercial Buijdip&s 1. Roof covering:_ 2. Distance to property lines: 3. PIrysically handicapped: 4. restroom floors and walls: 5. Exits: 6. Improvements: 7. Zoning:' 8. connefit.z. G. Field Problems or Vicla;.�iuns 1. Problem or :,.Lolation ",give complete deEcription): 2. What action taken egive complate Jescripuiou): 3. What an-s.Jion reconm.ended: A. Tnfun-iiiation only B. Hold for tcn (110.) days, then wri-c- litter. Write 7atter. 77D D. Other: "'to L - &RAO