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069-310-029
R. X471 Jack Hill Dr., lot 448 0�el Mellon KRAC' Oroville %contr: Better Bldrs.Const., oroviAle ermit #2834-80B,P,E,M (new single family) Z. 0 f /I 69-31-29 Contr\ Waibel Permit #254-87M(heat pump)SF 069-710.!-,029 92-2432P MELLON, Joan 6471 Jack Hill Dr, Oroville contr: Coast Gas move '- as , ---0693ib- 1-_---92=2718-B- Joan -- -------- 6471 Jack. Hill Dr, bville conv port shop to livin' f 069-310-029 --92�---2719 MELLON, Joan 6471 Jack 1 1 Dr, Oroville (ga zeb spa) 7 e RESIDENTIAL r069=3'1U=0U29 92=2X—B,E— MELLON, Joan 6471 Jack Hill Dr, Oroville gazebo & spa JOB FINALE Signature J=OK' O = Not OK Not = 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: / P L" ft. / /"Nat. or/ /"L"ft./ /"LPG 7. Well Clearance & Disconnect 8. Utility Clearance Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date MOBILE HOME INSTALLATION (Plans) OK except #'s 1. Zoning Requirements -Setbacks Easements 2. Footings; Size -Spacing -Marriage Line 3. Gas; MH Test -Demand -Valve -Connector 4. Electricity; MH Test -Crossovers -Breakers -Clearances . 5. Drain; MH Test -Fall -Flex Connector 6. Water; MH Test -Regulator -Connector 7. Water and Sewer Connected -C/O to Grade -HD Approval 8. Gas and Electricity Tagged 9. Exits; Insp.-Sketch 10. Cert. of Occupancy Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 MISCELLANEOUS Date DECK 'COVERS, RPORTS, GARAGES, (Plans)OK except #'sN. ing equirements-Setbacks-Easements Fo gs; Soils -Size -Depth -Spacing -Connectors -Steel D ; Griders and/or Joists -Decking -Bracing -Stairs -Rails Wood Awn.; Posts-Beams-Rftrs.-Connectors Shthg.-Rfg.-Bracing 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. ports; Windows -Doors electric 8. Frmg; Sils-Anchors-Studs-Rftrs-Trusses 9. Siding; Nailing -Veneer -Stucco -Mesh 10. Roof; Shthg-Roofing 11. Ext.; Steps -Doors -Landings Date tiCard B-1 vv Date Card B-1 Date? Card B-1 414 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. _ Bo xes- Enclosu res- 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 Frady RESIDENTIAL (; ' = Date UNDERFLOOR (Plans) OK except ti's 1. Zoning -Setbacks -Easements -Flood -Slope 2. Ftg., Main; Soils-Elec. Grnd.-/ /" Ftg. Depth 3. Ftg., Garage; Soils-Steel-Elec. Grnd.-/ /" Ftg. Depth 4. Ftg., Porches & Decks; Soils -Steel-/ /Ftg. Depth 5. Stemwalls, Main; Steel-Blockouts-Wrapped 6. Stemwalls, Garage; Steel-Blockouts-Wrapped 6a. Hold Downs and Special Anchors 7. Slab; Steel -Wrapped 8. Piers -Fireplace Ftg.-Steel 9. D.W.V.; Fall -Fitting -Test -2 Way C/O -Sewer Test 10. UF. Gas Pipe; Size -Anchors - yard gas piping: size -test 11. Water Pipe; Test -Anchor -Regulator -Service Test 12. Electric; Underground 13. Pienums & Ducts; Clearance -Material -Support -Ins. 14. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples 15. Access & Ventilation 16. Insulation Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date PLUMBING (Permit),OK except ti's 1E. Water Htr.: Vent -Access -Combustion Air -Baffle ---------------------- ------------------------------ 17. Water Pipe: Test & Anchor -Nail Protection ------- ---------------------------------------- 18. D.W.V.; Test -Fittings & Anchor -Nail Protection ---------------- --- - ----19.-Shower 19.-- Shower Pan: Test. First Floor -Tub Access ---- ---- ------------------- 20. Test -Tub &---- Shower. -- Second Floor -Tub Access ------------------ ----------------- 21. Gas Pipe: Size & Anchors --- ------------------------------------------------------- Date ----------------Date Card B-1 Date Card B-1 ------------------------------------------ -------------------------- Date Card B-1 Date Card B-1 Date ELECTRICAL (Permit) OK except ti's 22. Fixture & Transformer Clearance -Ins. Protection -------------------- ----------------------------------------------- ------------ 23.-Elec.- Receptacles Spacing -Lights & Switches at Doors ------------ ---------------------------------- 24. Size Boxes & No. of Conductors -Stapled ------ --------------------------------------------------------------- 25. Romex Installed Close to Edge of Studs & C.J. 26. Equip. Ground made up w/Mech. Fastners-Bond Gas & Water ----------- ------------------------------------------------------------- 27. 2 Appliance Circuts in Kitchen & Conductor Size/GFI ---- ----------------------------------------------------------- 28. Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / / ga. Cu or AI - ----------------------------------------------------- 29. Range Circ / / ga. Cu or AI -Oven Circ. / / ga. Cu or Al. Insulated Neutral ❑ Yes ❑ No ----------- ----------------------------- - - --- -- - 30. Service -Riser Conductors & Ground -Main Disconnect --------- ---------------------------------------------------------------- _ 31. Equip. Clearances Panels-Motors-Mech. Equip. -------------------------------------------------- 32. Clothes Closet Light -Shower Light -Spa Light --- - - ------ ----- -- - ----- - --- - ----- ----------------------------- -- - --------- 33. ------- ------------ ------- 33. Smoke Detector --------------------------------------------------------- ----------------- Date Card -B-1 Date Card -B- 1 Date Card B-1 Date Card B-1 Date MECHANICAL (Permit) OK except N's 34.- A. -C.- Ducts Insulation & Support ------------------------------------------------------------------------------- 35. Vent Fan: Exhaust above insulation -------------- ---------------------------------------------- 36. Condensate Drain & Overflow: Size & Grade 37. Furnance-Vent: Access -Comb. Air -Return Air Vent -115 outlet ------------ ---- ------------------------------------------------------ -------------- 38. Attic -Access-&. Platform if Furnance in Attic ---------------------------------------------------------------------------------- Date ------------ ----------------Date Card -B-1 Date Card-B-1-- Date ardB-tDate Card B-1 Date Card B-1 Date FRAMING (Plans) OK except ti's 39. Sils. Proper Material & Anchors' - - ------ ------------------------------------------------------------------ 40. Walls Studs -Nailing. Spacing & Bracing -Plates -Sound 41. Bearing Walls over Girders & Floor Nailing --------- ---------------------------------------------------------- --------------- 42. Draft Stop in Walls (rat proof) 43. Fire Stops: Furred Ceilings -Stairs -Chases -Tub 44. Headers & Beam -Size & Bearing NO ►ingle & Duplex) Date FRAMING (Continued) 45. Hangers -Post Caps -Anchors -Connectors 46. Cing. Joist-Rftr. ties-Purlin-roof Brac-Truss-Shthng.-Rfng. 47. Fireplace Ties or Type A Flue -Fireplace Throat clearance 48. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 49. Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions 50. Garage Fire Protection Framing 51. Property Line Firewall & Openings 52. Ext. Doors -One 3' -Check Garage -3rd Story, 2 Exits 53. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection _ _54. plywood on Roof Overhang -Attic Vents -Rafter Outriggers 55. Siding -Nailing Veneer 56. Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access 57. Glazing Area -Glass Protection -Skylights -Plastic 58. Shear Walls; Nailing -Bolts 59. Insulation -Walls -Ceilings ----------------------- - 60. Infiltration -Walls -Windows ------ - -------------- - ---- -Date -------------------------Date __________Card B-1__ _ Date Card B-1 Date Card B-1 Date Card B-1 Date FINAL (Plans) OK except ti's 61. - Ext. Steps -Door & Sidelight Protection -Landings ----------------------- -- 62. Smoke Detector -------------------- 63. Furnace: Vents -Clearance -Comb. Air -Connector - In Garage: Above Floor-Ducts-Mech. Protection -------------- - ------------------- 64. Bedroom Exiting 65. G F.I & Bath Fixtures & Tub Access -Spa ------------------------------- 66. Elec. Trim & Subpanel: Breaker Sizes & Labels -------------- 67. Stairs & Rails 68. Fireplace or Stove: Clearances -Hearth 69. Elec. Outlets at Wood Panel, Int. & Ext. -- ----- - - - - - ------------------------------ 70. Kit.Fixt. & Appliance; Grnd.-Air Gap -Cooking Clearance 71. Elec. Outlets & Receptacles at Kit. Counter ---------- -- ------------------------ ----- 72. Garage Fire Door; Swing -Landing -Closer Duct in Garage -Damper 74. Wtr. Htf Vents -Clearance -Comb. Air-Connector-P.R.V. In Garage; Above Floor-Mech. Protection -------- -------------------- 75. Plb.. Elec. & Mech. Equip. Listed for Location ----------------------------------------- - 76. Elec. Receptacles in Garage; (G.F.I.)-Romex Protection 7 . Insulation -Foam -Looked in Attic 0 Yes ------------------------------------------ -- 78. Guard Rails & Deck -Const ruct ion -Post Caps 79. Fdn Vents & Crawl Hole Door -Drainage & Wood -Earth Clearance Looked under Floor ❑ Yes 80. Following instld.; Drive ❑ Yes ❑ No; Walks ❑ Yes ❑ No; Planters ❑ Yes ❑ No ------------------ -- 81. Stucco: Brown -Finish ------------------------- 82. A.C. Unit; Disconnect. Electrical, Plumbing --------------------------------------------- ---- 83. Vents Above Roof; Plbg.-Appliance-Fireplace.-Clearance to Openings 84. Water Well: Disconnect, Electrical, Plumbing -------------------------- - - - - - - - - - - - ------------- -- -- 85. - - Exterior--Elec. Trim; G.F.I. Receptacle -Underground - --- ------------------------ ------ 86. Ventilation Throughout House --- ----------------------------------- 87. Glass Protection --------------------------------- -------------- 88. Corrections from Previous Inspections - - - - - - -- --- ---- ----------- 89. Gas Test -Meters Tagged; Gas -Electric ------ ------ ---------------------------------------- 90. Water & Sewer Connected -C/O to Grade -HD Approval - - - - --------------------- 91. -------------------91. Energy Compliance Certificate -Other Certificates -------------------------------------------- ----- -- Date CardB-1 Date Card B-1 - ------------- ----------- ------------ ----- -- Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Comments at Final: . c� •.,_. COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 1469 Humboldt Road, Chico, CA - (916) 891-2751 7 County Center Drive, Otoville,•CA - (9161 538-7541 747 Elliott Road, Paradise, CA - (916) 872-6307 CORRECTION NOTICE &I, /� I't —7/5 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. Ifyou hav any questions pertaining to this matter, or need additional explanation, please conte is ce immediately. / L� F� Date Z 6 Z Inspector REV 11/91 i r Date Z 6 Z Inspector REV 11/91 r COUNTY'OF BUTTE - DEPARTMENT OF PUBLIC WORK 7 County Center Drive - Orovllle, California 95985 - Telephone: 916/538.7 APPLICATION AND PERMIT P�PE7RMIT- NO, ] !, ASSESSOR PARCEL NUMBER 069-310-029 ZONING RT 1 BUILDING PERMIT OWNER JOAN E. MELLON TELEPHONE 589-3181 SQ. FT. OCC. BUILDING VALUATI N 144 C 1872 OWNER'S MAILING ADDRESS 6471 JACK MILL DRIVE OROVILLE 95966 CONTRACTOR'S NAME OWNER TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER NONE UNKNOWN Total Valuation Is 18/2 LENDER'S MAILING ADDRESS Filing Fee $ 15,00 Permit Fee $ 36.00 ARCHITECT OR ENGINEER NONE LICENSE NO. Plan Checking Fee $ 20.00 Ener Plan Checking Fee 9Y 9 $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ 5 BUILDING ADDRESS JACK HILL DRIVE OROVILLE 95966 Permit fee $ 71 .00 PLUMBING PERMIT Filing Fee 15.00 Each Trap 5.00 Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP Water piping 7.00 Each qas water heater or vent 7.00 USE OF STRUCTURE SF ❑ Duplex❑ Mobilehome❑ Other GAZEBO SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 15.00 Mobile Home S I G I W= @ 15.00 TYPE OF WORK New [X] Addition ❑ Remodel ❑ Uti lities ❑ Installation❑ Other ❑ Describe work: GAZEBO AND SPA Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 15.00 Main service 200A DOR LESS 18.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (Check One): ❑ I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in full force and effect. License .Jo. Classification I, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ 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 20GAT0100OA) 37.50 OCCUR.&) NEW CONST. / DWELLING OR ADDNS. ACC. BLDGS. / ` 3.6p sq.ft. NEW CON5TR ULTI.OUTLET NON-RESIO BRANCH CIRC ITS @ 5.00 POWER APPARATUS Q SINGLE OUTLET CIR. ) EX. OCCU p OUTLETS OR FIXTURES 20 76FIXED APPLNS. OR EX. Occup. OUTLETS (RESID.) EA.) 3.00 no Temporary service 15.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 Permit Fee $ — WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Noticb to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. Contractor MECHANICAL PERMIT FiIingFee 15.00 Heating Cooling g Hood 6.50 Ventilation permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the 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 li ties, judgments, costs, and expenses which may in any way accrue,HAz aga st s id Countvions equence o t granting of this permit. X (i Date �p Sig ure of Applicant — Owner Contractor ❑ Agent ❑ An OSHA TT permit is required for excavations over S'0" deep and demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST TYPE I I TOTAL FEE $ 92.00 DFEES IMP FLOOD COF PARCEL PO HD IS This permit Is hereby issued under the applicable provi sions of the Butte Count de and/or resolutions to do work indicat o or hich fees have been paid. F PUBLIC WORKS By Date P I EXPIRES Date C / — /p :jl.:_ Receipt No. 117796 WNITE•D.P. W., YELLOW-ASSLSSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT ' r � �,y-1 r�'r F r lrr , Rj•, �'' COUNTY OF BUTTE -,DEPARTMENT OF PUBLIC WORKS - B NG DIVISION -7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE (916) 538-7541 PERMIT APPLICATION DATA SHEET OWNER li �i(lDN A. P. No.&q ' 31 t�-D?� Proposed Building Use G a m 60 Building Inspector Date 7 131/ 9 L At time of permit application, I was advised the following data must be submitted prior to permit processing and/or issuance: DATE RECEIVED BY 1. All items have been submitted . ....................................... . 2. Plot plans, 3/4 sets, signed by preparer of plans. Ck 3./Comp lete plans/4 sets, signed by preparer of plans. 4. Engineered plans and calcs, 3/4 sets, with wet signature on plans . ............. 5. Hazardous Material Form . ............................................. 6. Energy Design Compliance and supporting documentation . .................. 7. Statement of Intent for Non -Heated and A/C Buildings . ...................... 8. Engineered truss details and layout in duplicate (required prior to plan check). .... 9. Mobilehome data and manufacturer's installation instructions, 2 sets. ........... 10. Fees of $......................................... 11. Impact fees as shown on attached schedule . ............................ _ . 12. California Department of Forestry plan approval/fees. ....................... . 13. Flood elevation letter (100 year floyyd) by California Engineer. . . co ot 14. Sanitation and plot plan approvaV_0'/t -,A410 Health Department . ............. 15. City of Chico plumbing permit . ......................................... 16. Plot plan and business license approval from City of Biggs/Gridley. ............. 17. Planning approval for (A) Use: (B) Parking: . ........ 18. Contact Land Development about (A) Improvements (B) Drainage. .......... . 19. Driveway permit (construction approval required prior to occupancy). .. ... . Pre-Inspedion requ� 20. Pre -inspection for required. . to Bwtding Inspector (Date) 21. Contractor's license information. (No., Name Style, Classification) . .............. 22. Certificate of Workmans Compensation Insurance . .......................... 23. Owner -Builder Verification (Given to owner , Mail to owner, ........... . 24. Recorded copy of Agricultural Acknowledgement Statement . .................. 25. Letter of signature authorization . ....................................... . 26. Copy of recorded deed of parcel creation and 60 right of way to a public road. .... . 27. Letter of intent on building use. ..... . .................................. 28. Mobilehome utility clearance. .....'. 29. Documentation of legal access. '30. Documentation of 50% subdivision developed or (A) Road improvements completed and (B) Parcel meets zoning area and frontage requirements . ............... 31. Existing violations/expired permits . ...................................... 32. Plan check list . ..................................................... 33. 34. Whe ou issue the permit, process as follows: Mail to owner. Mail to contractor.. Telephone and hold for pickup at 06 office. Deliver with inspector. Other Parcel Creation Acreage Applicant ' Date Copy of Haz-Mat form sent Health Dept. Fire Dept. / Air Pollution Date Copy of plans sent Health Dept. Fire Dept. Ot er Date By The following data must be submitted prior to permit issuance: (Circle new item not checked above). 1. Index permit for above items No. 2. Additional items required: Contractor, designer, owner, was advised of above required data by _ phone _ mail Counter by _ Date Contractor, designer, owner, was advised of above required data by_ phone _ mail Coun er by _ Date Plans checked by Date Plans approved by Date/ 1d qZ_ Sets of plans on hold in File cabinet AP folder Copy - Department of Public Works ,= COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT NO. 7 County Center Drive - Orovllle, Callfornla 95965 - Telephone: 916.'538.7541 APPLICATION AND PERMIT AS9/Oj0YARCj�B Q©a z NT BUILDING PERMIT OWNER LrO e' PiSO. TELEPHONE FT. OCC. BUILDING VALUATION 7Z. M OWNER' AILING R S r la a� CO TRACTOR'S NAME w A& Y_ TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONS RUCTTION LENDER UNKNOWN Total Valuation Is le7Z_ LENDEOR'S MAILING ADDRESS Filing Fee $ 15,00 Permit Fee $ 13 AR H ECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILD NG ADDR Q ) for / I 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 1J, SF ❑ Duplex❑ Mobilehome❑ Other LJ0Ze J 0 SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 1 15.001 Mobile Home S G W 615.00 TYPE OF WORK NewX AdditionnnjJ Re__moodel❑ Utilities[] Installation❑ Other F] Describe work:%AIV sm i Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 15.00 Main service 200AORLESS 18.50 Main service 2orATO1000A1 37.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): ❑ I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in full force and effect. License No. Classification LJ 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 OCCUPM OR ACDNS. 1 ACC. BLDGS. / 3.60 sq.ft. NEW CONSTR. RANCH CIRCUITS) NO N.R ESI BRANCH CIRC ITS @ 5.00 POWER APPARATUS e (SINGLE OUTLET CIR. Ex. OCCup(OUTLETS OR FIXTURES 20 76d a Ex. Occup. OUTLETS P(RESID )REA.� 3.00 Temporary service 15.00 Mobile Home Facilities 15.00 Misc. Wiring g 15.00 Permit Fee $ 2- C) Z> — 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. ❑ 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 15.00 Heating Cooling g Hood 6.50 Ventilation permit Fee $ L Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the 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. X Date Signature of Applicant — Owner❑ Contractor ❑ Agent ❑ An OSHA permit is required For excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ OCC CONST TYPE TOTAL FEES HAZ OFEES IMP I FLOOD I CDF PARCEL PO HO ISSUE This permit is hereby issued under the sions of the Butte County Code and/or work indicated above for which fees DIRECTOR OF PUBLIC By PERMIT EXPIRES Date applicable provi- resolutions to do have been paid. WORKS Date Receipt No. 7 / / WHITE-D.P.W., YELLOW-ASSE330R, PINK -INSPECTOR. GOLDENROD -APPLICANT COUNTY'OF BUTTE - Department of Public Works 7 County Center Drive, Oroville, CA 95965 OWNER -BUILDER VERIFICATION* Attention Property Owner: Phone: 916-538=7541 An 'owner -builder" building permit -has been applied for in your -name and bearing your signature. Please complete and return -this information at your earliest opportunity to avoid . unnecessary delay in processing and issuing your building permit. No building permit will be issued until this verification is received. 1. I.personally plan to provide the major labor and materials for construction of the proposed property �/improvement (yes or no) , 2. I (have/have not) signed an' application for a building permit for the proposed work. 3. I have contracted with the following person (firm) to provide the proposed construction: Name Address City Phone Contractors -License No. 4. I plan to provide portions of this work, but I have hired the following person to coordinate, supervise, and provide the major work Name Address City Phone Contractors License No. 5. I will provide some of the work but I have contracted (hired) the following persons to provide the work indicated: Name Address Phone Type of Work Signed: Property Owner Social Securityber Date 3 NOTE: This Owner -Builder Verification is sent to you as required by Sections 19831 and 19832 of the California Health and Safety Code. This verification must be completed and returned to our office before we are per- mitted to issue the permit. Q ►. :i'� ti'.. y' A .. VP4 ' Th set of plans and specifications MUST bE' T �;,,,,;';•.•.'' :X . % 2 -� �' / Ieept on the job, at all times and it is unlawfuLte 'make any changes or alterations on same with- ' �( ut written permission from the Department of ! _ ..+l�orks. County of Butte. bCee W . i � ��• ��nshi Shall Be in. %%__A Materials & Workmanship S •..r.:a-.<'-...,.�,-:;,�.,.' .. I `� ? s with Recognized Good Practices and' } of a lsivality prescribed for the Specified use in the y, I U Building, Plumbing & Mechanical, Codes and " jj �v I Fftional Electrical Code. . a i ! M < 1 I Location of stru res 8 I .from the equipment shall be as shown ' A NibK of satbdc a . p@ & clear of all a ements. #h property 5f _ _� -- c+I 6.0-tJt. fro_m`.i s- ' 11 be Of �r.:r:•.al �'�� i!%: L:y':y,� � � �t'1�' • � __ _. ��tlf�� mow_ dw� IMP so 46 love /vI9•.1o'� • •S I, .�:. ♦ j „�:...:.:' is 1 1011' :}., ,��� � . $•.,, .,} JJ Y ' BUTTE COU BUILDING DEPARTMENT.... 3 APP -R. 0. V, �WN.AN au y: „' In i"i r f �� ir? � •� i �, £ ` ..•1. L r'w x ;rte • � • •n� .� � _.. t: Ap 49 P• �WN.AN �M L r'w x fYyr•S r ��,N \ fa7►�I p 2d1 1. i �1 rD BUTTE COUNTY ---------BUILDING DEPARTME APPROVE .D DoE- A�erE' -ImAwVr. 1• • J Ly Kil 1221 fi� � 121 �1 rD BUTTE COUNTY ---------BUILDING DEPARTME APPROVE .D l� � �sr i 4 I %8" TEG PLYWOOD CC EYr. fr; r- a—u 4,x(o. OF 2 TxV DECKING -(ALT) GIRDERS rlYs" TIG PLYWOOD CC EXT. / 111 MAX. z G-UARPRAIL �MAX.c �DECICIUG GIRDER &91ii FRMr CLII 'S a"X V I`.' _- __ - --L r - � 0 m 2" x12" STAIR STRINGER. 48'a.c,. MAX. -TOP VIEW H AW)VAIL NOT SHOW H FDP, CLAIZITY. 3/gI 13OLT PREAST 4'X9„ POST ,SPEW TE' DIAG ONA L 6°MIIJ� BRACING. ETEPICAL Rb -.5106M,41- 97APS AN%RDTCX COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 14"X14"MIN. roof/NC .. 7 County Center Drive — Orovllle, California 95965 • Tel e..l....... .. .... ��.. 1-- z 2"X4" MOBILE HOME � LU OR DELKm -J 4" � cc MAX. 0a L___ MTL. FRMU — — N _ �'�� .l 9'�Fa,� M#5" CLIP (EA. DE 9`MIN. 4',c (D,. _ ; 4!,(,V POST - 2^x 12" x *'ZDF-- (2) 3/a' (2) °o 2'x4„ PRESSURE - 8"M�IN: DOLTSR pwoo0PLArE DEPART_�'� PREAST 4'X9„ POST ,SPEW TE' DIAG ONA L 6°MIIJ� BRACING. ETEPICAL Rb -.5106M,41- 97APS AN%RDTCX COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 14"X14"MIN. roof/NC .. 7 County Center Drive — Orovllle, California 95965 • Tel e..l....... .. .... ��.. 4;'s �n �p o n Per.A,ts for a mveesio ✓t <KA ctze b ©v j6ne wlo &r,n: is, T 40IJ Ae✓` whaf cue- nFc-dc- w in -'4e "y o ,f1 /Qn s *�- RISO + W� 4JOGt,I�/ UiQ�F �O t i vlct ` 0(d cc /pQn < I' V�P s4 i� ryctr,e <_5 Yof'l ��F CX4n+ �}II ��� OwKS P raper Cw� tc'1 E' f Me U e: � � e fcc n j5 n e- cl G pi Ga 11 ` �o r c n P 7R ,N8r,b& RESIDENTIAL - P ,--069-310�029� MELLON, Joan 6471 Jack Hill Dr, Oroville conv port shop to living/sf JOB FINALE Signature J=OK O =.Not OK Not = Not Readyable 'MOBILE HOMES Date MOBILE HOME UTILITIES (Plans) OK except q'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: / P L" ft. / /"Nat. or/ /" L"ft./ /"LPG 7. Well Clearance & Disconnect 8. Utility Clearance Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date MOBILE HOME INSTALLATION (Plans) OK except #Ys 1. Zoning Requirements -Setbacks Easements 2. Footings; Size -Spacing -Marriage Line 3. Gas; MH Test -Demand -Valve -Connector 4. Electricity; MH Test -Crossovers -Breakers -Clearances 5. Drain; MH Test -Fall -Flex Connector 6. Water; MH Test -Regulator -Connector 7. Water and Sewer Connected -C/O to Grade -HD Approval 8. Gas and Electricity Tagged 9. Exits; Insp.-Sketch 10. Cert. of Occupancy Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 MISCELLANEOUS Date DECKS, COVERS, CARPORTS, GARAGES, (Plans)OK except tf's 1. Zoning Requirements -Setbacks -Easements 2. Footings; Soils -Size -Depth -Spacing -Connectors -Steel 3. Decks; Griders and/or Joists -Decking -Bracing -Stairs -Rails 4. Wood Awn.; Posts- Bea ms- Rftrs.-Connectors Shthg.-Rfg.-Bracing 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Carports; Windows -Doors 7. Electric 8. Frmg; Sils-Anchors-Studs-Rftrs-Trusses 9. Siding; Nailing -Veneer -Stucco -Mesh 10. Roof; Shthg-Roofing 11. Ext.; Steps -Doors -Landings Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date POOLS (Plans) OK except H's 1. Setbacks -Easements 2. Soils; Compaction -Structure Stability 3. Pool Structure; Steel -Connections -Thickness Dead Men -Lining 4. Elec.; Receptacles and Lighting, Distances-GFI 5. Elec.; Pool Lighting; 15 volts-GFI 6. Elec.;Enclosures; Conduit Entries -Terminals -Listed 7. Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater 8. Elec.; Grounding; Equip. w/5' Circulating Equip. -Pool Lghtg. _ Boxes -Enclosures -Panel boards -Ins. to Main in Conduit 9. Health Department'Approval 10. Plumb.; Cir. Test -Water Supply Test Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 k MISCELLANEOUS Date DECKS, COVERS, CARPORTS, GARAGES, (Plans)OK except tf's 1. Zoning Requirements -Setbacks -Easements 2. Footings; Soils -Size -Depth -Spacing -Connectors -Steel 3. Decks; Griders and/or Joists -Decking -Bracing -Stairs -Rails 4. Wood Awn.; Posts- Bea ms- Rftrs.-Connectors Shthg.-Rfg.-Bracing 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Carports; Windows -Doors 7. Electric 8. Frmg; Sils-Anchors-Studs-Rftrs-Trusses 9. Siding; Nailing -Veneer -Stucco -Mesh 10. Roof; Shthg-Roofing 11. Ext.; Steps -Doors -Landings Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date POOLS (Plans) OK except H's 1. Setbacks -Easements 2. Soils; Compaction -Structure Stability 3. Pool Structure; Steel -Connections -Thickness Dead Men -Lining 4. Elec.; Receptacles and Lighting, Distances-GFI 5. Elec.; Pool Lighting; 15 volts-GFI 6. Elec.;Enclosures; Conduit Entries -Terminals -Listed 7. Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater 8. Elec.; Grounding; Equip. w/5' Circulating Equip. -Pool Lghtg. _ Boxes -Enclosures -Panel boards -Ins. to Main in Conduit 9. Health Department'Approval 10. Plumb.; Cir. Test -Water Supply Test Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 'J=OK O = Not OK Not Applicable Not Ready RESIDENTIAL (Single & Duplex) ' = Date UNDERFLOOR (Plans) OK except N's Date FRAMING (Continued) 1. Zoning -Setbacks -Easements -Flood -Slope 2. Ftg., Main; Soils-Elec. Grnd.-/ /" Ftg. Depth 3. Ftg., Garage; Soils-Steel-Elec. Grnd.-/ /" Ftg. Depth 4. Ftg., Porches & Decks; Soils -Steel-/ /Ftg. Depth 5. Stemwalls, Main; Steel -Bloc kouts-Wrapped 6. Stemwalls, Garage; Steel-Blockouts-Wrapped 6a. Hold Downs and Special Anchors 7. Slab; Steel -Wrapped 8. Piers -Fireplace Ftg.-Steel 9. D.W.V.; Fall -Fitting -Test -2 Way C/O -Sewer Test 10. UF. Gas Pipe; Size -Anchors - yard gas piping: size -test 11. Water Pipe; Test -Anchor -Regulator -Service Test 12. Electric; Underground 13. Pienums & Ducts; Clearance -Material -Support -Ins. 14. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples 15. Access & Ventilation 16. Insulation Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date PLUMBING (Permit),OK except fr's 16. Water Htr.: Vent -Access -Combustion Air -Baffle --------- --- - -------------------------- 17. Water Pipe: Test & Anchor -Nail Protection -- - -- 18. D_W.V.; Test -Fittings & Anchor -Nail Protection ----------------- 19. ----------- 19. Shower Pan; Test. First Floor -Tub Access ----------------- ---- -------------- 20. Test Tub & Shower. Second Floor -Tub Access ---------- ------- ------------ ----------------- 21. ------- -21. Gas Pipe: Size & Anchors ---------- -------------------------------------------------- Date -----------------Date Card B-1 Date Card B-1 ------------------------------------------- ---------------------- Date Card B-1 Date Card B-1 Date ELECTRICAL (Permit) OK except ft's 22. Fixture & Transformer Clearance - Ins. Protection 23. Elec.. Receptacles Spacing -Lights & Switches at Doors -------------- ---------------------------------------------- 24. Size Boxes & No. of Conductors -Stapled -------------------------------------------- ----------------- ----------- Romex Installed Close to Edge of Studs & C_J -- _ 26. Equip. Ground made up w/Mech. Fastners-Bond Gas & Water ---- ----------------------------------- ------------------------------- 27. 2 Appliance Circuts in Kitchen & Conductor Size/GFI - - ------------------------------------------------------------ 28. Subfeed Wire Size / ga. Cu or AI-A.C. Wire Size ! / ga. Cu or Al ------------------------------------- ----------------------------- 29. Range Circ. ! / ga. Cu or AI -Oven Circ. / / ga. Cu or Al, Insulated Neutral ❑ Yes ❑ No - ---- ------- ------- ----------- ------------------- 30. ---------- - - --- - -- 30. Service -Riser Conductors & Ground -Main Disconnect ---------------------- ------------------------------- 31. Equip Clearances Panels-Motors-Mech. Equip. ------------- --------------------------------------------------------- 32. Clothes Closet Light -Shower Light -Spa Light -- -------- -------- ---- ----- --------------------- 33. Smoke Detector ----------------------------------------- --------------------------------------- Date Card B-1 Date Card B-1 ----------------- ----------------- -------------------------------------------- Date Card B-1 Date Card B-1 Date MECHANICAL (Permit) OK except #'s 34. A.C. Ducts Insulation & Support 35. Vent Fan: Exhaust above insulation ----------------------- ----------------- - -- - ----- - -------------- - - ----------- 36. --------- 36. Condensate Drain & Overflow: Size & Grade 37 Furnance-Vent: Access -Comb Air -Return Air Vent-115outlet - 38. Attic -Access-&. Platform if Furnance in Attic ------------------------------------------------------------------------------- a" Date -- --- -- Card B-1 - Date - -- Card -B-1 ------ ------------ ---- -- - - Date Card B-1 Date Card B-1 Date FRAMING (Plans) OK except 4's 39. Sils. Proper Material & Anchors - ------------------------------------------------------------- 40. Walls Studs -Nailing. Spacing & Bracing -Plates -Sound ---------- ---------------------------------------------------------------- 41. Bearing Walls over Girders & Floor Nailing ---------------------------------------- ------------ ------------- -------- 42. Draft Stop -in--Walls-(rat proof)- ---------------------------- ----------------------- 43. Fire Stops: Furred Ceilings -Stairs -Chases -Tub -------------------------------- ---------------------------------------- 44. Headers & Beam -Size & Bearing 45. Hangers -Post Caps -Anchors -Connectors 46. Cing. Joist-Rftr. ties-Purlin-roof Brac-Truss-Shthng.- 47. Fireplace Ties or Type A Flue -Fireplace Throat clearance 48. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 49. Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions 50. Garage Fire Protection Framing 51. Property Line Firewall & Openings 52. Ext. Doors -One 3' -Check Garage -3rd Story, 2 Exits _ 53. _Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 54. plywood on Roof Overhang -Attic Vents -Rafter Outriggers 55. Siding -Nailing Veneer 56. Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access 57. Glazing Area -Glass Protection -Skylights -Plastic _ 58. Shear Walls; Nailing -Bolts 59. Insulation -Walls -Ceilings 60. Infiltration -Walls -Windows Date _ _ Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date FI (Plans) OK except #'s 1. Ext Steps -Door & Sidelight Protection -Landings -------------- '87 Smoke Detector 63. Furnace; V teff s -Clearance -Comb. Air -Connector - In Garage; Above Floor -Ducts -Meth. Protection -------------------------------- 64-6edT0Ul Tf E x i t i n g ---------------------------------- a i Fixtures & Tub Access -Spa ---------------- ec. rim & Subpane1: Breaker Sizes & Labels --------------------------------- - 67. Stairs &Rails ------------------�/S - p ace Stove: Clearances -Hearth 9. Elec. Outlets at Wood Panel: Int. & Ext. ------------- ------------ -----...------------------------- -- t.Fixt. & Appliance; Grnd.-Air Gap -Cooking Clearance & Receptacles at Kit. Counter --- arage Fire Door: Swing -Landing -Closer --------------- ---------------------- m arage-Damper 'L Air-Connector-P.R.V. Air-Connector-P.R.V. In Garage: -Above Floor -Meth. Protection - ----------------------- -- --- Plb.. Elec. & Mech. Equip. Listed for Location - ----- ------------------------ --- -- Garage: (G.F.I.) -Romex Protection - ----- ------------------------------- 7-�n- oa Looked in Attic ❑ Yes ------------------------------------------ -- - ai - eck Construction -Post Caps --------------------------------------- -- 79-Fdrr-Cents�awl Hole Door -Drainage & Wood -Earth Clearance Looked under Floor ❑ Yes 80. Following instld. Drive ❑ Yes ❑ No; Walks ❑ Yes ❑ No: Planters ❑ Yes ❑ -No1 ywn-Finish - --------------------------------------- --- -- it : Disconnect. Electrical. Plumbing --------------------------------------- -- 83 1FeRls-hbvva Roof: Plbg.-Appliance-Fireplace.-Clearance to Openings e; isconnect, Electrical, Plumbing im; G.F.I. Receptacle -Underground entilation Throughout House _ lass Protection 88�CorreetT61 STbm Previous Inspections - - - --------- ------------------------------------------ 8 . s est -Me ers Tagged; Gas -Electric - --------------------------------------------------- 96-4,44ef-8�ewer Connected -C/O to Grade -HD Approval - nergy Compliance Certificate -Other Certificates -... - ------------ --------- Date�/ and B-1 Date Card B-1 - Date Card -B-1 Date Card B-1 Date Card B-1 Date Card B-1 Comments at Final: ------------------------------------------ 1 COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 - Telephone: 916/538-741 APPLICATION AND PERMIT PERMIT NO. " <7 lam' ASSESSOR PARCEL NUMBER 069-310-029 ZONING RT i BUILDING PERMIT OWNER JOAN E. MELLON TELEPHONE 589-3181 SO. FT. OCC. BUILDING VALUATION 217 M R 4,3 0 OWNER'S MAILING ADDRESS 6471 JACK HILL DRIVE OROVILLE 95966 CONTRACTOR'S NAME OWNER TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER NONE UNKNOWN Total Valuation is 4,340 LENDER'S MAILING ADDRESS Filing Fee $ 15,00 Permit Fee $ 60.00 ARCHITECT OR ENGINEER NONE ' LICENSE NO. Plan Checking Fee $ 30.00 Ener Plan Checking gy 9 F ee $ 20,00 ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS 6471 JACK 11ILL DRIVE OROVILLE 95966 Permit fee $ 125.00 PLUMBING PERMIT Filing Fee 15.00 Each Trap 5.00 Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAMEPARCEL 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 S I G I W 015.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Uti lities ❑ Installation ❑ Other ❑ Describe work: CONVERT PORTION OF WORKSHOP TO _ FAMILY ROOM Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 15.00 ' V LESS Main service 200A OR LESS 18.50 Main service 200A To 1000AI 37.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check One): ❑ I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in full force and effect. License 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.OR ADDNS, ( ACC. BLDGS. DWELLING OCC 3.6 3.64sq.ft. 7.60 NEW CONSTR ULT' -OUTLET NON-RESIO BRANCH CIRC ITS @ 5.00 POWER APPARATUS & (SINGLE OUTLET CIR. ) Ex. Occup(OUTLETS OR FIXTURES 20 76 FIXED APPLNS. OR Ex. Occup. OUTLETS (RESID.) EA.) 3.00 Temporary service 15.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 Permit Fee $ — WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. Contractor MECHANICAL PERMIT FiIingFee 15.00 Heating Cooling g Hood 6.50 Ventilation Permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the 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 agains 'd County in onsequence f the granting of this permit. X Date-.7/.3/,�� Sign u of Applicant — Owner Contractor ❑ Agent ❑ An A ion structures tover 3gstoriesoineheigvhttions over 5'0" deep and demolition or construct- Mobile Home Installation Fee S Energy Inspection Fee $ 40.00 OCC CONST TYPE TOTAL FEE $ 187.60 HAz DFEES I -IMPJ FLOOD I CDF PARCEL PD I HD ISSU This permit is hereby issued under sions of the Butte Coun Code and/or work indica ab v f r which fees D OF PUBLIC BY PERMIT EXPIRES Date the applicable provi- � resolutions to do have been paid. WORKS Datel/—/D-9 Receipt No. 117796 WHITE-O.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT �� r i"I I+ civ � • r; 15*+o �j s1, k fy�i�'�i1�.� •w,� p " "" COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS - BU LODI DIVISIO141 i �- -' ?'COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE (916) 538-7541 -«. •t r. PERMIT APPLICATION DATA SHEET OWNER Jc7 FYr-3 Vle-116n) A. P. No. (oq-3/6 -107 9 Proposed Building Use 6 o Co V 7/iit/ Building Inspector Date 31 Z At time of permit application, I was advised the following data must be submitted prior to permit processing and/or issuance: DATE RECEIVED BY 1. 2. 3. 4. 5. 6. 7. 8. 9. 10. 11. 12. 13. 14. 15. 16. 17. 18. 19. 20. 22. 23. 24. 25. 26. 27. 28. 29. 30. 31. 32. All items have been submitted . ........................................ Plot plans, 3/4 sets, signed by preparer of plans . .......................... Complete plans, 3/4 sets, signed by preparer of plans . ..................... . Engineered plans and calcs, 3/4 sets, with wet signature on plans . ............. Hazardous Material Form . ............................................ Energy Design Compliance and supporting documentation . .................. Statement of Intent for Non -Heated and A/C Buildings . ......................... Engineeredtruss details and layout in duplicate (required prior to plan check). .... Mobilehome data and manufacturer's installation instructions, 2 sets. ........... Feesof $ ......................................... . Impact fees as shown on attached schedule. 044�1C4!l................. o r California Department of Forestry plan approval/fees. ....................... . Flood elevation letter (100 year flood) by California Engineer . ................. . Sanitation and plot plan approval (-QA -A,,Z? Health Department. .....:..... . City of Chico plumbing permit. ........................................ . Plot plan and business license approval from City of Biggs/Gridley. ............. Planning approval for (A) Use: (B) Parking: . ........ Contact Land Development about (A) Improvements (B) Drainage. .......... . Driveway permit (construction approval required prior to occupancy). .. ... .. . Pre -Inspection requ� Pre -inspection for required. . to Building Inspector (Date) Contractor's license information. (No., Name Style, Classification) . .............. Certificate of Workmans Compensation Insurance . ............ :............. Owner -Builder Verification (Given to owner , Mail to owner _) ............ Recorded copy of Agricultural Acknowledgement Statement . .................. Letter of signature authorization . ........................................ Copy of recorded deed of parcel creation and 60 right of way to a public road. .... . Letter of intent on building use . ......................................... Mobilehome utility clearance . .......................................... Documentation of legal access . ........................................ Documentation of 50% subdivision developed or (A) Road improvements completed and (B) Parcel meets zoning area and frontage requirements . ............... Existing violations/expired permits . ....................................... Plan check list. ........................................... When you issue the permit, process as follows: Mail to owner. Mail to contractor. Z Telephon and hold for pickup at office. Deliver with inspector. Other Parcel Creation %3t 9Z_ Acreage Applicant ' Date Copy of Haz-Mat form sent Health Dept. Fire Dept. Air Pollution Date / Copy of plans sent Health Dept. Fire Dept. O er Date By The following data must be submitted prior to permit issuance: (Circle new item not checked above). 1. Index permit for above items No. 2. Additional items required: Contractor, designer, owner, was advised of above required data by _ phone _ mail iCounter b Date Contractor, designer, owner, was advised of above required data by _phone _mail nte y _ Date Plans checked by Date Plans approved by Date Sets of plans on hold in File cabinet AP folder Copy - Department of Public Worsts COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT NO. 7 County Center Drive - Orovllle, California 95965 - Telephone: 916.'538-7541 APPLICATION AND PERMIT A8Obp ARCNUMB a^ /P v� Zo"' T. BUILDING PERMIT OWN �' Me ° ril TELEPHONE " - SQ. FT. OCC. BUILDING VALUATION OWNER' MAILING ADDRESS '� r ' - D CONTRACTOR'SNAME L A,-�s_L 1 TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CON T CATION LENDER -` �+ 11 `.�, UNKNOWN Total Valuation $ 3 416 ENDER'SL`M.-AILING ADDRESS w-, Filing Fee $'f 15,00 Permit Fee $ �d ARC TECT OR ENGINEER ,� t-��• 1 n e tf:� LICENSE NO. Plan Checking Fee ARCHITECT OROENGINEER'S MAILING ADDRESS,--."' ' Energy Plan Checking Fee Penalty $ BUILDIN ADDRESS V ' i i` t` ( Permit fee $ IZ5, Gd PLUMBING PERMIT Filing Fee 15.00 Each Trap I 5.00 Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP Water piping 7.00 Each qas water heater or vent 7.00 USE OF STRUCTURE SFR] Duplex❑ Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 1 15.001 Mob le HomeS G W @ 15.00 TYPE OF WORK New - Addition Remodel ❑ Ut' ities❑ Installation Other ® Describe work On nA4rf r flf D n O 01` 8 4 O go F OA W1 Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 15.00 Main service LESS 200AORLESS 18.50 Main service 20GATO 1000A1 37.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury' (check one): I am licensed under p provisions of Cha t. 9, Div. 3 of the Business and Professions Code and my license is in full force and effect. License 'Jo. Classification I, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ 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 OCCUPM OR AD DNS. 1 ACC. BLDGS. 3.6Q sq.f[. d NEW CONSTR ULTI.OUTLET NO N.R ESI BRANCH CIRC ITS 5.00 POWER APPARATUS 6 SINGLE OUTLET CIR. ) Ex. OCCUp( OUTLETS OR FIXTURES AO 760 FIXED APLNS. Ex. Occup. OUTLETS (RESID )OR EAT I 3.00 Temporary service 15.00 Mobile Home Facilities 15.00 Misc. IYirin g 15.00 11 Permit Fee $ — WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. Contractor MECHANICAL PERMIT FiIingFee 15.00 Heating Cooling Hood 6.50 Ventilation Permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the Countyot Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue against said County in consequence of the granting of this permit. X Date Signature of Applicant - OwnerElContractor ❑ 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 $ L OCC CONST TYPE TOTAL FEE $ �rJ HAz 1 0FEES IMP FL000 CD PAR EL PO I HD I ISSUE This permit is hereby issued under the sions of the Butte County Code and/or work indicated above for which fees DIRECTOR OF PUBLIC By EXPIRES Date applicable provi- resolutions to do have been paid. WORKS DatePERMIT Receipt No. / WHITE-D.P.W.. YELLOW -ASSESSOR. PINK -INSPECTOR. GOLDENROD -APPLICANT A� • y � ., i3�, �S �o . o p a 5�. s� �©/. �S_ ����k "}��iSC.Gn'Y°�r#�CT'tr' ,.�ynW :•yST.Trna•j{-v.•r :uT� •,•P�[w.-•4 '.T. tEi' .0. «r .�� '�*.-rwa; 4r-.�..wr , BUTTE COUNTY SCHOOLS IMPACT FEE CERTIFICATION FORM .- (One Form Per Building) �4 M J School District Building Department No. A.P. Number �p % ~316 U Z % Jurisdiction City. County, 'P Y � Pro ert Owner_ Jbt Property Location/Address �o C1 '7 '1 Subdivison Lot No. Residential Development 0 0 Sq. Footage 7 C6N(�PI�$jlJ/V No. of Living MHI Addition l (Group R) Sh op Units Commercial/Industrial Sq. Footage New Addition (Including Exterior oofed Areas) :t y r 71,11, Z Buildin epartment reset ive Date (Floor Plans reviewed by School District Personnel) District Identification No. �sp s -- School District certifies that (A plicant �y ;. -,(Street Address) '' (Phone Number) as 41 - has complied with the requirements of Resolution No._ representing o2 �% square feet. WN,,c.a�,� District Representative Paid by Check Number Bank Number Paid by Cash (Zip Code) by payment of $ Date Remarks: 2 If, subsequent to the School District Representative signing this Butte County Schools Impact Fee Certification Form, the School District is notified by the applicable Local Planning Agency that this project is being reviewed under the California Environmental Quality Act (CEQA), this project may be subject to additional school fees to fully mitigate its impact on the school district's schools. White (applicant), Yellow (building department), Pink (school district)' r feeformmkl (4/92) L-- r�7 This set of plans and specifications MUST be kept on the: job at all times and it is unlawful tc make any changes or alterations on same with. out written permission from the Department of °ublir. Wnrks. ('oiinty of Butte. NOTE:—All Materials & Workmanship Shall Be in Accordance. with Recognized Good Practices and of a quality prescribed for the Specified use in the Uniform Building, Plumbing & Mechanical Codes and Fhe National Electrical Code. BUTTE COUNTY BUILDING DEPARTMENT APPROVED Fravide app e�ed at u app �exterior b�nlmL . FOR N 7 ADDITIONS TO RESIDENTIAL BUILDINGS ENERGY SHEET PACKAGE "A" (Additions) Owner Climate Zone Permit # Floor Area The following data showing mandatory and.required features of Package "A" shall be installed for additions to dwellings. Additions to dwellings include room additions, converting garages and patios to living areas, house moves that add footage and attic conversions, and any.space that is existing non -conditioned space that is converted to conditioned space. Remodeling of existing conditioned space is not included. ZONE .11 ZONE 16 APPLIES TO.NEW AREA CEILING R-30 R-38 WALL R-11 .R-19 FLOOR R-11 R-19 SLAB R-7 R-7 GLAZING ' U-.65 (Dual) U-.65 (Dual) SHADING SOUTH - OPTIMUM OVERHANG or .36 Shading Coefficient WEST - .36 Shading Coefficient LOOSE -FILL INSULATION (Density) INFILTRATION CONTROL (Weatherstrip doors, certified windows, caulking) VAPOR BARRIER (Zone 16) DUCTS PER UNIFORM MECHANICAL CODE - Ch. 10 LIGHTING KITCHEN & BATH NOT LESS THAN 25 LUMENS/WATT MAXIMUM GLAZING 16% OF AREA PLUS REMOVED GLAZING NEW HEATING, VENTILATING, AIR CONDITIONING AND HAT WATER SYSTEMS IN CONJUNCTION WITH AN ADDITION SHALL BE INSTALLED AS SHOWN ON BACK OF THIS SHEET. L OTHER 12/85 *1 HEATING. VENTILATING. AIB. CONDITIONING SYSTEM (A) Heating Q Central Gas Furnace x orand and model number) SE Btu/hr (heating capacity) Q Heat Pump .(brand and model number) ACOP Btu/hr (heating capacity At 47°F) Q 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 Q Other ' (describe) *1 (B) Cooling Q Electric Air Conditioner (brand and model number) (seasonal EER) Btu/hr (cooling capacity at 95°F) Q Electric Heat Pump EER Btu/hr (cooling capacity at 95°F) Q Other (describe) DOMESTIC WATER SYSTEM ❑ (6) Gas Only Gallons - (brand and model number) (tank size) Q Heat Pump w/Electric Backup (brand and model number) Gallons Z (tank size) Q * 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) Q Location of Solar Panels ❑ Other (Describe) *1 Submit documentation of sizing heating and cooling equipment by Manual J, sizing charts (form #4) or other approved methods, section 2-5352(g), and fill out the following: Heating: Winter design temperature °, elevation ', heating load BTU elevation factor x heating load - maximum outlet capacity, gas furnace BTU Cooling: Summer design temperature °, cooling load BTU *2 Submit T.I.E. chart or other approved system (forms) 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 California administration Code. (��, , j Q�e- ��2 e ZZ"4 Sir OF BUILDING DE OR APPLI NT COUNTY OF BUTTE - Department of Public Works 7 County Center Driva,'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.pe-rmit. No building permit will be issued until this verification is received. 1. I personally plan to provide.the major labor and materials for construction of the.proposed property improvement (yes or no) 2. I (have/have not) signed an application for a building permit for the proposed work. 3. I have contracted with the following person (firm) to.provide the proposed construction: Name _ Address City Phone Contractors License No. 4. , I plan to provide portions of this work, but. I have hired -the fallowing 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 umber <%% Date 3� NOTE: This Owner -Builder Verification is sent to you as required by Sections 19831 and 19832 of the California Health and Safety Code. This verification must be completed and returned to our office before we are per- mitted to issue the permit. Permit#254-87M T r Ray Melton • { 6471 Jackhill Dr, Oro 9 i jj 1_ - 1 t` • a Cie % 1 COUNTY OF BUTTE - DEPARTNfENT OF PUBLIC WORKS PERMIT NO. 7 County Center Drive - Oroville, California 95965 - Telephone 916/534-4541 APPLICATION AND PERMIT ASSESSOR PARCEL NUMBER ZONING BUILDING PERMIT OWNER TELEPHONE SO. FT. OCC, BUILDING VALUATION OWNER'S MAILING ADDRESS CONTRACTOR'S N AME TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION 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 ADDRESS Permit fee $ PLUMBING PERMIT Filing Fee 10.00 { 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 G W 10.00 ea TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation[— Other ❑ Describe work: _ Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 o Main service 8000 AMP ORLESS10.00 Main service EA. ADD'L too AMP 2.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): El 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. f rr i " Classification ❑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) ❑ ossa the owner, am exclusively contracting with licensed contract- 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONST. / DWELLING OCCUP.� , BI_ 2/z¢sgft OR ACDNS. C A ) NEW CONSTR.ULTI-OUT L LET NON.RESID BRANCH CIRC ITS 2.50 ea POWER APPARATUS e) SINGLE OUTLET CIR. Ex. OCCUp(OUTLETS OR FIXTURES 20@50t Ex. OCCUp. FIXED P OUTLETS (RESID )REA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 Permit Fee $ WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to 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 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 liabilities, judgments, costs, and expenses which may in any way accrue against said County in consequence of the granting of this permit. %� Date Signature of Applicant — Owner ❑ Contractor ❑ Agent ❑ An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ TOTAL PERMIT FEE $ occuP. CONST.TYPEJ FLOOD PARCEL 1 PD ND 159UE This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which DIRECTOR OF PUBLIC By PERMIT EXPIRES Date the applicable provi- resolutions to do fees have been paid. WORKS Date Receipt No. WHITE•O.P.W., YELLOW -ASSESSOR. PINK -INSPECTOR. GOLDENROD -APPLICANT I COUNTY OF BUTTE - DEPARTIVIE-NT-40F PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 - Telephone 916/534-4541 APPLICATION AND PERMIT PERMIT N0. ASSESSOR PAR11-1 NMBER -- .5 / a ZONING BUILDING PERMIT OWNER r" AAAIAO-7. TELEPHONE SO. FT. OCC. ,BUILDING VALUATION OWNER'S MAI ING A RESS ✓^ CWIT A T R' S N E T L P_ ty j a -Y SS I ONTRACTOR'S M G ADD E Fireplace CONSTRUCTION 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 ADDRESS 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 A0 Duplex❑ Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home S I G 1W 10.00 ea TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Uti lities ❑ Installation[] Other Describe work: 40 Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service eooV 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): AQ'—1 am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code nd my license is in full force and effect. License No. Classification ElI, 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,EI , OR ACDNS. ACC. BLDGS. /zlCsgft NEW CONSTRESID. BRANCH2,50 ea NON.RESID BRANCH CIRC ITS POWER APPARATUS e SINGLE OUTLET CIR. Ex. FIXTURES 2ALOt eL030 FIXED Ex. OCCup. OUTLETS P(RESID IAPLNS.REA.1 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. byirin 15.00 9 Permit Fee $ WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. 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 P. ( 11-00 Cooling 5 % L0b 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 Inst said County in consequence of the granting of this permit. /_�9,0� - Date J r7 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 $ �^ �O TOTAL PERMIT FEE $ �1 0Ccup. CONST*TYPIJ IFLOOOIPAPCELI P11 I NO I Issu This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which DIRECTORP BLIC BY PERMIT EXPIRES ate the applicable provi- resolutions to do fees have been paid. WORKS at o�9 !/�e -� Receipt No. ' L L D WHIT!-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT 069-310-029- . ' V i7ELLON, Joan 92-2432P. 6471 Jack Hill Dr, Oroville contr: Coast Gas move gas line/sf , "OFFICE COPY Address GAS Meter By Date t. E C Met --- r / COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Orovllle, California 95965 - Telephone: 918/538.7541 APPLICATION AND PERMIT PERMIT NO. �2: ASSESSOR PARCEL NUMBER 069--310-029 ZONING " RT 1 BUILDING PERMIT OWNER JOAN 14EIMN TELEPHONE 589•-3181 SO. FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS 6471 JACK HILL DRIVE OROVIME CONTRACTOR'S NAME COAST GAS TELEPHONE r CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ LENDER'S MAILING ADDRESS Filing Fee $ 15.00 Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS I 6471 JACK HILL DRIVE OROV = Permit fee $ PLUMBING PERMIT Filing Fee 15.00 Each Trap 5.00 Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP Water piping 7.00 Each qas water heater or vent 7.00 USE OF STRUCTURE Gas piping system 1 - 5 outlets 5.00 Building sewer 15.00 SF � Duplex❑ Mobilehome❑ Other Mobile Home S I G I W @ 15.00 SPECIFY TYPE OF WORK New ❑ Addition ❑ RemodeI ❑ Utilities ® Installation❑ Other ❑ Permit Fee $ 20,M Describe work: MOVE GAS LINE Contractor ELECTRICAL PERMIT Filing Fee 15.00 Main service 600V OR LESS 18.50 200A OR LESS Main service 200ATO1000AI 37.50 CONTRACTORS LICENSE LAW I declar under enact of perjury (check one): penalty P l Y ( ) I am licensed under provisions Of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in full force and effect. License No.&296CIIA Classification r ( NEW CONST. DWELLING OCCUP.&3.64sq.ft. OR ADDNS. ( ACC. BI_OGs. ) NEW R.S,.. RANCH TLET CIRCUITS) 5.00 _N O N•R ESID BRANCH CIRC ITS POWER APPARATUS &) (SINGLE OUTLET CIR. ) Ex. Occup( OR FIXTURES 20 76 ❑ I, as the owner, or my employees with wages as their sole; mpen- 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) Ex. Occup. OUTLETS (RESID.)REA./ I .3.00 Temporary service 15.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 ❑ 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 he permit is for $100.00 (valuation) or less. Heating 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 g ❑ I shall not employ any person in any manner so as to become subject Hood 6.50 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. Ventilation Permit Fee $ Contractor I certify that I have read this application and state that the above information Mobile Home Installation Fee S 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, cogts, and expenses which may in any way accrue against said Counntty in cons fluence of the granting of this permit. / -} X �� J Date / �.� ` / �"" Ener Inspection Fee $ Energy P occ CONST TYPE TOTAL FEES 20.00 �r HAz DFEES IMP FL000 coF PARCEL Po Ho Is E This permit is hereby issued under the applicable provi- Sign�licant - OWner ❑ pp ❑ Contractor' Agent An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories in height. Receipt No. 117387 sions of the Butte County Code and/or resolutions to do work indicate for which fees have been paid. �DIRECTOFi OF PUBLIC WORKS By%'' -- Date 7 /G-�Z PERMIT EXPIRES Date `7— `f WHITE-D.P.W., YELLOW -ASSESSOR. PINK -INSPECTOR, GOLDENROD -APPLICANT COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT NO. 7 County Center Drive - Orovllle, California 95965 - Telephone: 916/538-7541 ✓c, ARFUCATION AND PERMIT ASSESSOR PARCEL NUMBER 069-310-029 ZONING RT 1 BUILDING PERMIT OWNER JOAN MELLON TELEPHONE 589-3181 SQ. FT. OCC. BUILDING VALU OWNER'S MAILING ADDRESS 6471 JACK HILL DRIVE OROVILLE CONTRACTOR'S NAME COAST GAS TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ LENDER'S MAILING ADDRESS Filing Fee $ 15.00 Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS 6471 JACK HILL DRIVE OROVILLE Permit fee $ PLUMBING PERMIT FiIingFee 15.00 Each Trap 5.00 Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP Water piping 7.00 Each qas water heater or vent 7.00 USE OF STRUCTURE SF [� Duplex❑ Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets 5.00 5-00 Building sewer 15.00 Mobile Home S I G i= @ 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities [0 Installation[] Other ❑ Describe work: MOVE GAS LINE Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 15.00 Main service 200V OR LESS 00AOR LESS 18.50 CONTRACTORS LICENSE LAW I declar under penalty of perjury p y p l y (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 pnd effect. License NNo-6,20116028 Classification ❑ I, as the owner, or my employees with wages as their sole ompen- 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 200A TO IOOOA) _37.50 NEW CONST. DWELLING OCCUP.q� 3.6QSq.ft. OR ADONS. ACC. BLOGS. NEW CONSTF MULTI -OUTLET NON-RESID BRANCH CIRC ITS @ 5.00 POWER APPARATUS &) SINGLE OUTLET CIR. Ex. Occup( OUTLETS OR FIXTURES 20 @ 76 6L (a 451 FIXED APPLNS. Ex. OCCUp. OUTLETS (RESID,)REAJ I 3.00 Temporary service 15.00 Mobile Home Facilities 15.00 Misc. Wiring "15.00 Permit Fee $ — WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ e permit is for $100.00 (valuation) or less. I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. ❑ I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. Contractor MECHANICAL PERMIT FiIingFee 15.00 Heating Cooling g Hood 6.50 Ventilation Permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the Countyot Butte to enter upon the above-mentioned property for inspection purposes. 1 also agree to save, indemnify and keep harmless the County of Butte against all liabili s, judgme ts, co ts, and expenses which may in any way accrue against id/Cou cans uence of the granting of this ermit. X ate –/3– Signature ofpplicant — Owner F1 ContrAgenf ❑ actor An OSHA ion of structures toverr3QstoriesoineheightIons over 5'0" deep and demolition or construct- Mobile Home Installation Fee S Energy Inspection Fee $ OCC CONST TYPE TOTAL FEES 20.00 rtAz DFEES IMP FLOOD CDF PARCEL PD HD IS E This permit is hereby issued under the applicable provi- sions of the Butte Count Code and/or resolutions to do Y work indica above which fees have been paid. T F PUBLIC WORKS BY Date 712 -F Pl5fiMfT EXPIRES Date 7—�� Receipt No. 117387 WHITE-D.P.W., YELLOW -ASSESSOR. PINK -INSPECTOR, GOLDENROD -APPLICANT A t �/ +QtVA`i►U ^' . �S% �r nRfi.,� . _�,�,s-. r ,�.jt t 4i t' tv`f"t'? `i�1 ov •P a, ):rte 1 ?l:?�`i +` <V ' ';.',t: e- COUNTY OF BUTTE - DEPARTA,ENcT OF PUBLIC WORKS - BUILDING DIVISION „t• ,�• 7 COUNTY CENTER DRIVE�_,;� OR6VIII E, CALIFORNIA'195965 - TELEPHONE (916) 538-7541 PERMIT APPLICATION DATA SHEET OWNER���D�D�%` 3/p '-Q Proposed Building Use Building Inspector Date / 3 % At time of permit application, I was advised the following data must, be submitted prior to permit processing and/or issuance: DATE RECEIVED BY 1. All items have been submitted . ........................................ 2. Plot plans, 3/4 sets, signed by preparer of plans . .......................... 3. Complete plans, 3/4 sets, signed by preparer of plans . ...................... ` 4. Engineered plans and calcs, 3/4 sets, with wet signature on plans . ............. 5. Hazardous Material Form . .................:........................... 6. Energy Design Compliance and supporting documentation . ................. . 7. Statement of Intent for Non -Heated and A/C Buildings . ...................... 8. Engineered truss details and layout in duplicate (required prior to plan check). .... 9. Mobilehome data and manufacturer's installation instructions, 2 sets. ........... 10. Fees of $ .......................................... 11. Impact fees as shown on attached schedule . ........................... 12. California Department of Forestry plan approval/fees. ....... 1 /./.� I t , c•,...,'......... . 13. Flood elevation letter (100 year flood) by California Engineer. .r ............. 14. Sanitation and plot plan approval Health Department. ... ........ 15. City of Chico plumbing permit . .............................. . 16. Plot plan and business license approval from City of Biggs/Gridley. ......� ..... . 17. Planning approval for (A) Use: (B) Parking:"-''""��.. . 18. Contact Land Development about (A) Improvements (B) Drainage. ...... Pre -I.. . 19. Driveway permit (construction approval required prior to occupancy). .. . 20. Pre -inspection for nspection request-- requlred. . . to Building Inspector (Date) 1. Contractor's license information. (No., Name Style, Classification). .. 22. Certificate of Workmans Comper"pation Insurance . ......................... 23. Owner -Builder Verification (Given to owner , Mail to owner _) ........... . 24. Recorded copy of Agricultural Acknowledgement Statement . .................. 25. Letter of signature authorization . ....................................... . 26. Copy of recorded deed of parcel creation and 60 right of way to a public+road...... 27. Letter of intent on building use . ........................................ 28. Mobilehome utility clearance . ........................................... 29. Documentation of legal access . ....................................: ` 30. Documentation of 50% subdivision developed or (A) Road improvements completed and (B) Parcel meets zoning area and frontage requirements. I ....... 31. Existing violations/expired permits. 32. Plan check list . .................................................... . 33. 34. <'• r When you issue the permit, process as follows: Mail to owner. Mail to contracor. Telephone = and hold for pickup at office. Deliver with inspector. Other Parcel Creation . � / Acreage Applicant ,_.tG Date 711 --Y7 Z, Copy of Haz-Mat form sent Health Dept. Fire Dept. Air Pollution Date Copy of plans sent Health Dept. Fire Dept. Other Date By The following data must be submitted prior to permit issuance: (Circle new item not checked above). 1. Index permit for above items No. 2. Additional items required: 1 Contractor, designer, owner, was advised of above required data by _ phone _ mail Counter by _ Date Contractor, designer, owner, was advised of above required data by _ phone -mail Counter by _ Date Plans checked by Date . Plans approved by Date Sets of plans on hold in File cabinet AP folder Copy - Department of Public Works COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT NO. 7 County Center Drive - Orovllle, California 95965 - Telephone: 916!538-7541 APPLICATION AND PERMIT ASSESSOR PARCEL NUMBER ! f0 - 3iQ -Q ZONING K --r- BUILDING PERMIT OWNER �071Jv Q 6 ri TELEPHONE S —3 S I SQ. FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDR _A /P(Z O ei^^ CONTRACTOR'S NAME 1�r' U 5 p TELEPHONE CONTRACTOR'S MAILING ADDRESS F i replace CONSTRUCTION LENDER UNKNOWN Total Valuation $ Filing Fee $ 15,00 LENDER'S MAILING ADDRESS Permit' Fee $ ARCHITECT OR ENGINEER LICENSE N0. Plan Checking Fee ,$' Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS ^ / ^ - -/(/ Permit fee $ PLUMBING PERMIT Filing Fee 15.00 Each Trap 1 5.00 Solar or heat pump water heater 1 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP Water piping 1 7.00 Each qas water heater or vent 7.00 USE OF STRUCTURE SKY Duplex❑ Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 15.00 Mobile Home I S I G JW I @ 15.00 TYPE OF WORK New ❑ Addition F� Rem/oodel ❑ /Uti lities6n Installation ❑' Other EJ Describe work: -�w�y �S C% WE Y Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 15.00 Main service 20000AA OR LESS 2OR LESS 18.50 Main service 200A TO 1000A) 37.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): ❑ I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in full force and effect. License No. Classification EJI, 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 ACDNS. ACC. BLDGS. / 3.64sq.ft. NEW CONSTR UTLET NON.R ESID BRRAANNCCH CRC., TO I @ 5.00 POWER APPARATUS &) SINGLE OUTLET CIR. Ex. Occup( OUTLETS OR FIXTURES 20 76d IXED EX. OCCup. OUTLETS PRESID IAPLNS.REA.) I 3.00 Temporary service 15.00 Mobile Home Facilities 15.00- Misc. Ilyirin 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 Filing Fee 1 15.00 Heating Cooling g Hood 6.50 Ventilation Permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the Countyot Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all all liabiliti judgments costs, nd expenses which may in any way accrue against s unty ' segue a of the granting of this ermit. X Date si nature of Applicant – owner Sig pP ❑ Contractor ❑ Agent ❑ An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee S Energy Inspection Fee $ OCC CONST TYPE o 8.!!-- TOTAL FEE $-..� rlAz OFEES IMP FLOOD cDF PARCEL PD ND IssuE This permit is hereby issued under the sions of the Butte County Code and/or work indicated above for which fees DIRECTOR OF PUBLIC PERMIT EXPIRES Date applicable provi- resolutions to do have been paid. WORKS Date Receipt No.By WNIT[-D.P.W., TELLO W -A58 C980R, PI 4 -INSPECTOR, GOLDENROD -APPLICANT FU 2834-80B,P,E,M i PERMIT NO. ' - PERMIT EXPIRES (0 lo231, OWNER R. J. Mellon 4. Better Bldrs..Const., Oroville CONTR. LOCATION (A.P. 34-89-29 . 6471 'Jack Hill Dr., lot 448, KRIM, Oroville s sL i 0 i� 4 rl Temp. Power Pole Called PG&E Temp. Elec. SA Called PG&E Temp. Gas Serv. Called PG&E JOB '� I INA12 (Dat i (S gnature) y COUNTY OF •BUTTE — DEPARTMENT OF PUBLIC WORKS . I . BUILDING INSPECTION RECORD BUILDING BUILDING (Cont'd) PLUMBING Setback v Firewall Soil Piping Forms Parapets 1st Floor Main Bldg. Restroom Finish 2nd Floor Footings '2 Windows 3rd Floor Stemwall Sidinq 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 physically handica ed 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 Fixtures Bond Beam FIRE SPRINKLERS Motors Framing Test Water Htr. Stucco Final Subpanels Mesh MECHANICAL Grd. Fault Prot. Scratch Heating Service Brown Cooling Temp. Pole Finish Ducts Underground Interior Lath Ventilation Permanent Door Closer Final Final MOBILEHOME UTILITIES ------------------Elec. Service Elec. Pedestal Water Piping Sewer Gas Piping BILEHOME INSTALLATION - - - - - - - - - - - - - - Support Elec. Continuity Water Piping Drainage Gas Piping DATE - REMARKS OR CORRECTIONS (NOTE: An entry must be made on this form each time you visit the job site.) COUNTY OF BUT: E_ _ r' 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 BUILDING OR PROPERTY ADDRESS A routine inspection indicates that the following violations of County Ordinance exist at the above address and should, be conecte . Please notify this office when correction of work is completed: If you have any question -pertaining to this Patter, or need additional explanation, please contact this office immediately. C�- � �,i �� '� N_'�i �- € � T'' � . • J�%J aTM � ��7_ it.t % f�iG,sr� %s' S ' Inspector Date 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 BUILDING OR PROPERTY ADDRESS 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'fiave any question pertaining to this matter, or need additional explanation, please contact this office immediately. 11-0 Inspector J :l/ O 16- 0 L© Hor a�� . " riot RESIDENTIAL (Single and Duplex)' -- AfA UNDERFLOOR Plans OWexe t q's Date FRAMING Continued - & 1. Zoning requirements -Setbacks -Easements X19. ro arty Line Firewall & I 2.te,V,3V 4 ^ -3Fb �-F-t ain; Soils -Steel -Edge. m- d. " Fig. Depth �t -Omrs-One 3' -Check Garage�rd-scary, 2 enits tg., Garage; Soils -Skil- " Ftd. Depth 4. Ftg., Porches & Decks; Soi ttiel- Ej" Fig. Depth temwalls, Main;CSI outs -Wrapped -Slab Stemwalls, Gare a B I oc kouts-Wrapped--S lab 7. Pi s-Firelace Ft .-Steel Fall -Fittings -Test -2 way C/0 -Sewer Test ,.D.rGas Pipe; Size -Anchors 10. Water Pipe; Test -Anchors -Regulator -Service Test 11. Electric; Underground 12. Plenums & Ducts; Clearance-Material--Support-Ins. ' 13. Girders-Sills--Anchar Bolts -Joists -Vents -Cripples Card 91 Date 7 /- Card -BI Date Card -81 ateD Card -Bi Date Date PLUMBING 04t) -OK except q's 1.4. Water Ht.; Vent -Access -Combustion Air 15. Water Pipe: Test & Anchors -Nail Protection 16. D.W.V.; Test-Fttngs & ARChore-Nail Protection 17. Shower Pan; Test, First Floor -Tub Access 18. Test Tub & Shower, 2nd Floor -Tub Access 19. Gas Pipe; Size & Anchors Ca"I Date Card -81 Date Cart! -81 Date Card -BI Date Date ELECTRICAL (P tit) OK except N's •eOr- Fixture & Transformer Clearance -Ins. Protection lec. Receptacles Spacin -Lights & Switches at Doors e Boxes & No. of Conductors -Stapled' omax Installed Close to Edge of Studs & C.J. (, Equip.-GrkWA . Fastens -Bond Elie-& water.' ZwOTAppliance CIrgAW In Kitchen & Conductor rze 26. Subfeed Wir e / /_ a. Cu or .C. Wire Size /NO ga. Cu ALI 27. Range Circ. / ga. r AI -Oven Clrc. / ga u r AI, I ated Neutral 0 -Yes ❑ No pe -Riser e=ft ='T & Gr d -Main D' nett 2&Equip. Clearances; Panels -Motors -Meth. Equip. QO-Clothes Closet Light -Shower Light. S(Wr C E o Card 8-1 Date Card -BI Date Card B4 Date Card -81 Date Date MEC NICAL (P ) OK except Ws A.C. Ducts: Insulation & Support Vent Fan; Exhaust above Insulation `Syr_Condensate Drain & Overflow; Size & Grade .94—Furnace-Vent; Access -Comb. Air -Return Air Vent -115V outlet •9r Attic Access & Platform if Furnish In Attic Card -BI Date Card -BI Date Card -BI Date Card -BI Date Date FR G(Plans) OK except p's Oj-t). Sills: Proper Material & Anchors Studs -Nailing, Spacing & Bracing -Plates -Sound Bearing Walls over Girders & Floor Nailing _ Orafj Slop in Walls (rat proof) 40 -'Fire -Slops; Furred Ceilings -Stairs -Chases -Tub tAder & Beam -Size & Bearing ngers-Post Caps -Anchors -Connectors a_f_Brac.-Truss-Shthng.-R1ng. Fireplace Ties or Type A Flue -Fireplace Throat ccess; Size & Romex Protection -Draft Stop -Ins. Beliefs 480'-Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions. ge Fire Protection Framing �r Width-Headroom-Rise-Run-Landlno-Fire Protection Ja i I i ng -Veneer - lash -Drip Screed-Fdn. Vends-Underflr. Access Area --Glass Protection-Skvliahts--Plastic Card E'ate and -BI Date ' Card -el Data Card -BI Date Card -81 Date Card -BI Date :Date FINAL Pans) OK except q's xt. Steps -Door & Sidelight Protection -Landings oke Detector - 58. Furnace; Vents -Clearance -- Above Floor -Ducts -Mach. Protection Oeo-Bedroom Exiting I. & Bath Fixtures & Tub Access ec. Trim & Subpanel; Breaker Sizes --Labels air & Rails roplace or Stove; Clearencss-Hearth �CA+rEI tlets at Wood Panel; Int. & Ext. _ Kit. Fixt. & Appliance; Grnd.-Air Gap -Cooking Clearance lec. Outlets & Receptacles at Kit. Counter 67. Garage Fire Door; Swing-Landing-Closor C. Duct in Gara �S 69, tr. Htr.; Vents -Clearance --Comb. Air-Conncct P.R.V. In ge; Above Floor -Meth. Protection lVelf-lb., Elec. & Mach. Equip. Lisied for Location 7 lec. Receptacle .F.I. -Romex Protec.. 72 Insulatlon-Fo ked In ❑Yes Rails & Deck Construction -Post Caps n. Vents & Crawl Hole Door -Drainage & Wood -Earth Clearance Looked under Floor ❑Yes 75. Following instld.: Drive es Q No; Walks es Q No-. Planters ❑Yes o; Creating Drug. Problems ❑ Yes nQ No' --?-SMcco; Brown -Finish th-XT.,pnit; Disconnect-Clrnces-Brkr. & Cond. Size -115V Outlet ents Above Roof; P lbg.-Apptiance-F irepl.-C leara rice to Op s. -Zer-Water Well; Disconnect, Electrical, Plumbing x�ior Elec. Trim: G.F.I. Receptacle -Underground Ventilation throughout House 467. --Glass Protection rrections from Previous Inspections -44-Xlas Test -Meters Tagged; Gas-Eleclrlc 85. Water & Sewer Connected -C/O to Grade -HD Approval 86. Energy Compliance Certificate -Other Certificates Card-BICard-BI Date Card -B ata Card -BI Date Card -BI Date Card -BI Date Comments at Final: RES IDENT IAL ENERGY CONSERVATION STANDARDS ,t CONSTRUCTION COMPLIANCE CERTIFICATE THIS IS -TO CERTIFY THAT ENERGY CONSERVATION REQUIREMENTS HAVE BEEN INSTALLED IN CONFORMANCE WITH CURRENT ENERGY CONSERVATION REGULATIONS (location) ' BUILDING PERMIT NO. Zggf/- 6,013 A,:P. NO. 3-,:�p 9 THE FOLLOWING HAVE BEEN INSTALLED AS PER,APPROVED PLANS: (Check each item or write N/A if not applicable) INSULATION: , Slab Edge. A)�q Fdn. Walls 0 I Floors Ahq 'Walls Ceiling/Roof e/ Ducts Circulating Pipes - APPROVED HEATER ✓ APPROVED WTR.HTR. GLAZING: Single Glazed Special (Insulated) CERT. & LABELED WDS. & SLIDING DRS. WEATHERSTRIPPED DRS. BACK DAMPERED FANS /Ude INTERMITTENT IGNITION DEVICES NA CERT. APPLIANCES ✓ 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 Signature of � (�e print) Insulation Applicator o 0 State Contractors License No. General Contractor/Owner Name \S}l�eRlZ Signature of (please print) General Contractor/Owner Date �d,4 S' State Contractors License No. 3a -49--f THIS CERT IF ICATE MUST BE ON FILE WITH THE BU ILD ING DEPARTMENT PRIOR TO REQUESTING FINAL INSPECTION AND SHALL BE POSTED IN A CONSPICUOUS LOCATION WITHIN THE DWELLING. COUNTY OF BUTTE 4DEFARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 - Telephone 916/534-4541 APPLICATION AND PERMIT PERMIT NO. 3T— (0•, A ASS E SOR PARE L MBEIN r BUILDING PER D I T LEPHONE SQ. FT. OCC. BUILDIN VALUATION OWNER'S MAILING ADDRESS ONTRAC TOR'S AME T EPHONE _ CONTRA TOR'S MAILING ADDRUSS r r, O TRUCTION ENDER UNKNOWN Fireplace / Total Valuation $ �✓ LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ O Penalty $ ARCHITECT OR ENGINEER'S MAILING 'ADDRESS Permit fee $ BUILDIyG A DBE S r[/ q , ` `tLTj_t PLUMBING PERMIT Filing Fee 3.00 Each Trap 2.00 Repair drainage or vent piping 2.00 Water piping , LOTNOO. p SUBDIVISION NAME ,4RIt., tA,- c-, PARCEL MAP Gt:'// Each qas water heater or vent 2.00 Gas piping system 1 - 5 outlets USE OF STRUCTURE SF Duplex ❑ Mobi lehome ❑ Other SPECIFY Building sewer I So Lawn sprinkler system 2.00 TYPE OF WORK New �dition❑ Remodel❑ Utilitiesinstailation❑ Other ❑ Describe work: Permit Fee $ Contractor ELECTRICAL PERMIT FiiingFee 3.6o Main service 6101 OR LESS 100 AMP OR LESS 5.00 Main service EA. ADD'L 100 AMP 2.50 NEW CONST 7DWELING OR ADDNS. ( ACCLBLDG V 2tsgft 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 Co 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 CONSTFI TI -OUT` T NON.RESID BRANCH CIRCUITS 2.50 ea NEW CONSTRPOWER APPARATUS & NON.RESID, (SINGLE OUTLET CIR. Ex. Occup(ouTLETs OR FIXTURES 5°@� ;t BAL@10¢ FIXED APPLNS. OR \ Ex. Occup.(ouTLETs (RESIDJ EA./ 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 6.25 - Permit Fee $ x, Contractor WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ®/i have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. ❑ I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. MECHANICAL PERMIT Filing Fee 3.00, HeatingoV ppr- I 0Z AA Cooling ' Hood 2.00 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 Count in consequence of the granting of this permit. Signature of Applicant — Owner ❑ Contractor Agent ❑ An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures oovve`r 3 sto7riies in height. Mobile Home Installation Fee $ Land Development Fee $ TOTAL PERMIT FEE OCCUP. GROUP - TYPE OF CONST. - PARCEL P11 HD 551E This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which DIRECTOR OF PUBLIC BY PE IT EXPIRES Date the applicable provi- resolutions to do fees have been paid. WORKS Date 6- z- 3�� o C—L�fS� ' J Receipt No. / WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT OWNER RESIDENTIAL PLAN CHECKING GUIDE. (S.F.. DUPLEX. & MISC_ ONLY) A GENERAL Zoning requirements Valuation. Signature by R.C.E. (sideyards and parking). or Architect (if required). Bldg. Permit # A. P. # B. PLOT, PLAN / /C_ JI? omplete parcel size and dimensions. etbackq, sideyards, easements, etc. Other buildings or structures. •� n Grading, fills, drainage. `^f�� `IGS Y 40CPell C.' FLOOR PLAN Complete to scale plan with dimensions.a� Required windows for light and ventilation (Sec. 1405). o�,../ .� Required windows for second exit (Sec. 1404). ��� .-w- . Allowable glazing for energy requirements (20% max. per.State law). Human impact glass (Sec. 5.406). �. Required room sizes, ceiling heights (Sec. 1407). a! 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. tions of water heate , heating & cooling equipment, other electrical or gas equipment, and plumbing fixtures. JA':' Garage°firewall, door size, and closer (Sec. 503(d)(4)). yY. 1 - 3'0" exterior exit door (Sec. 3303d). Fireplace location. Smoke detectors (Sec. 1413). D. STRUCTURAL DETAILS •i! Foundation plan complete enough to construct building. _!;4r06_ oe Floor construction details complete enough to construct building. .3! Elevations and wall construction details complete enough to construct building. Roof construction details complete enough to construct building. 45_y Fireplace construction details and calcs if over one-story in height. . Sufficient data and details to satisfy energy insulation requirements (State law). E. MISCELLANEOUS ITEMS TO LOOK OUT FOR ,A'?. CCX plywood on exposed locations and overhangs. Stairway details (Sec. 3305) . Guardrail details (Sec.'1716). �OK Brick or stone veneer (Chapter 30). Exterior plaster'- weep screeds (Sec. 4706 & 4708). Proper roof -pitch for roof covering (Chapter 32). /7. Rafter ties or bearing ridge beam. I ug,a 1pGarage door or porch header sizes. r Adequate bracing. ,: Living,area over garage - complete 1 -hour separation required including supporting. walls and. posts, etc. Two (2) exits on three-story dwellings (Sec. 3302). 4` Telephone A 533-2000 n 'Pu li Utility North Burba b c y District k 1960 Elgin Street OROVILLE, CALIFORNIA 95965 119-80 DISTRICT APPROVAL AND VERIFICATION OF INSPECTION + BUILDING SEWERS This verification form must be submitted to 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 b�y,North Burbank Public Utility District, must be submitted to Butte County. Applicant: R. J. MELLON Applicant Address: 6471 lack Hill Drive. Oroville. CA 93965 Applicant Phone No.: Property Location (s): 6471 JACK HILL DRIVE KELLY RIDGE ESTATES, LOT 448 UNIT 4C A. P. No. (s): 034-89-0-029-0 Fees Paid: $ 700.00 SC -OR FACELITY CHARGE PAID Ofir`,100 613180 ' NBPUD—CONNECTION TEE PAID IN ADVANCE BY SOUTHERR CALIFORNIA FINANCIAL CORP Application for service approved• JUNE 39 1980 ' ,� �r �4 ~ r North Burbank Public Utility District Inspections) made and successful test(s) observed: Location: �4�� G 'Date: By: North Burbank Public Utility District release to close permit: Date: /�/i �= �� By: %�Z1-,a f� ' .A '101 ri ^^Iw ✓r "e'� r� i rt �v �. II f. 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'- ; M ♦ , y� .. x'� r s. � � .. i. l � .., , ., � -. _.. ;. ., I�..a ,_ .,.�1 _. � e r ,� ,. 4� ;f is 4 1 1 1 �: U A rr '! I: .� wN.i. ISM �jW�p 1 Y S br � yt�u�,t � 1 e � � o � c� �� �� �' i c i Z v i 1 «# �� I 5 z r M ` ` , I �, � C i�� u � i'� . � i� �'';,�_ � 1'�