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Home My WebLink About069-370-004BRIERI,Y^ . Jack 69-37-04 •� L �,- _ c.k 1078 67B , ` J�Oak RLY _ 861-67E � ] 14# -Oak- -st Dr,ORoville 4 - Permit#186- P,EXaddition &^remodel - -_ cF . . } '-14 Oakcrest Dr., 0r ville (extend bedroom.) (a - 3 =� gAct 6 -04,on��" 1�Q �:Q i r� PertR:. k8- E "est.. .�,. . mit 9 ( lec ser ch) 1388' X069-370 004*"' W ft CELLANEOUS rage Shop, g _ _ .DETACHED GARAGE'1020'SQ.FT.J(3(v �_ = r '14'OAKCRESTDR r .,e OX WILLIAM D c r r o F v ti 1 t - 1 1 t - 1 r Tca BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT 24 HOUR INSPECTION #:(530) 538-7636 (OROVILLE) (530) 891-2834 (CHICO) OFFICE #:(530) 538-7541 FAX#: (530) 538-2140 WEBSITE: www.buttecounty.net\dds PROJECT INFORMATION Site Address: 14 OAKCREST DR Owner: • ,, a. - Permit No: B07-1388 ' APN: - 069-370-004 FOX WILLIAM D, Issued Date: 07/12/2007 By KCG Permit type: MISCELLANEOUS 14 OAKCREST DR Subtype: ' Private Garage/Shop CA 95966 OROVILLE, C • Expiration Date: 07/11/2008 Description: DETACHED GARAGE 1020 SQ.FT. I (530) 864-1159 Occupancy: Zoning: AR -I Contractor I Applicant: Square Footage: BETTER BUILDERS CONSTRUCTION BETTER BUILDERS CONSTR - Building Garage Remdl/Addn 5263 ROYAL OAKS DRIVE 526S ROYAL OAKS DRIVE 1,020 ' .• OROVILLE, CA 95966 OROVILLE, CA 95966 Other Porch/Patio ' Total (530)589-2574 (530)589-2574' 1,020 FEE INFORMATION DBEH Building Review Fee $75.70 DBF Garage -Wood Frame Plan Che $303.55 DBFIRE Fire Inspection (SRA) R $205.40 + DBFIRE SRA Fire Plan Review (S $102.70 DBMSC Garage/Shop/Strge Wood F' $455.32 DBOMSCF Fire Safe Standards Re $115.98 DBSMIP Residential $2.45 Total Charged: $1,261.10 Fees Paid:$1 ,261.10 Balance Due: $0.00 Receipt No: B3874 �. LICENSED CONTRACTOR'S DECLARATION • OWNER/ BUILDER DECLARATION - ' Contractor (Name) State Contractors License No. / Class / Expires I HEREBY AFFIRM UNDER PENALTY OF PERJURY that I am exempt from the Contractor's License ' BETTER BUILDERS CONSTRU 323225 / B / 07/31/2007 Law for the following reason (Sec. 7031.5), Business and Professions Code: Any city or county that requires a permit to construct, alter, improve, demolish, or repair any structure prior to its issuance, also requires the applicant for such permit to file a signed statement that he or she is licensed I HEREBY AFFIRM UNDER PENALTY OF PERJURY that I am licensed under provisions of Chapter 9 (commen 'ng with Section 7000) of Division 3 of the Business and Professions Code, and my license Pursuant to the provisions of the Contractor's License Law [Chapter 9 (commencing with Section 7000) is in full for and ffect. of Division 3 of the Business and Professions Code] or that he or she is exempt therefrom and the ��// basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars [$500]; �/�l 07/12/2007 Please check one of the following: 05ntfact0 SSI 4ttt Date 7 -11, AS OWNER OF THE PROPERTY, OR MY EMPLOYEES WITH WAGES AS THEIR SOLE COMPENSATION, WILL DO THE WORK, AND THE STRUCTURE IS NOT INTENDED OR WORKERS' COMPENSATION DECLARATION ' OFFERED FOR SALE (Sec. 7044, Business and Professions Code: The Contractor's License Law does not apply to an owner of the property, who builds or improves thereon, and who does I HEREBY AFFIRM UNDER PENALTY OF PERJURY one of the following declarations: the work himself or herself or through his or her own employees, provided that such improvements ❑I HAVE AND WILL MAINTAIN A CERTIFICATE OF CONSENT TO SELF -INSURE FOR are not intended or offered for sale. If, however, the building or improvement is sold within one WORKERS' COMPENSATION, as provided for by Section 3700 of the Labor Code, for the year of completion, the owner -builder will have the burden of proof that he or she did not build or performance of the work for which this permit is issued. improve for the purpose of sale.). • ®I HAVE AND WILL MAINTAIN WORKER'S COMPENSATION INSURANCE, as required by `Section ❑ I, AS OWNER OF THE PROPERTY, AM EXCLUSIVELY CONTRACTING WITH LICENSED CONTRACTORS TO CONSTRUCT THE PROJECT (Sec. 7044, Business and Provessions Code: 3700 of the Labor Code, for the performance of the work for which this permit is issued. —My The Contractor's License Law dows not apply to an owner of the property who builds or improves Workers' Compensation insurance carrier and policy number are; thereon, and who contracts for the projects with a contractor(s) licensed pursuant to the State Fund 713-0011835 10/01/2007. Carrier: Policy Number: Exp. Date: Contractors License Law.). (This section need not be completed if the permit is or on' e�llars ($100) or ess. ❑ I AM EXEMPT under Section B. & P.C. for this reason: ❑I CERTIFY THAT IN THE PERFORMANCE OF THE WORK FOR WHICH THIS PERMIT IS ISSUED, I shall not employ any person in any manner so as to become subject to the Workers' Compensation laws of California, and agree that if I should become subject to the workers' X - '07/12/2007 copensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those Owner's Signature Date " pro Bions. \11,07/12/2007 I hereby certify that I have read this application and slate that the above information is correct. I agree to comply with all City and County ordinances, rules, regulations, and State laws relating to building construction, and with any and all conditions of I to defend, indemnify, hold harmless 1X_ Signature'' Date 9 If J.7 - L WARNING: URE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, permit. agree and Butte County, its officers, agents and employees from any and all claims and liability for personal AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE injury, including death, and property damage caused by, arising out of, or in any way connected with HUNDRED THOUSAND DOLLARS ($100,000), IN ADDITION TO THE COST OF COMPENSATION, the issuance of this permit. I hereby acknowledge that issuance of this permit does not authorize the DAMAGES AS PROVIDED FOR INSECTION 3706 OF THE LABOR CODE, INTEREST AND use or occupancy of any sidewalk, street, or subsidewalk. I hereby authorize representatives of Butte ATTORNEY'S FEES. County to enter the above mentioned property for inspection purposes. I hereby certify that I am the r Deft owns r m authorized to act on the property owner's behalf. CONSTRUCTION LENDING AGENCY — 07/12/2007 " r 1 HEREBY AFFIRM UNDER PENALTY OF PERJURY that there is a construction lending agency for N e Permittee [SIGN]—Print-.. t Date the performance of the work for which this permit is issued. (3097 civ. code) (� Owner ` yContractor OR: Agent for Owner ❑Agent for Contractor y FILE COPY Lender's Address City State zip I BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT APPLICATION OFFICE #: (530) 538-7541 FAX #: (530) 538-2140 A FEE WILL BE REQUIRED AT TIME OF APPLICA TION Website: www.buttecounty.net/dds **PLEASE PRINT CLEARLY** OWNER INFORMATION Last Name First 911/1 Mailing Address L City OM11110 No State CA Zip Phone OWN�)1 _1191 `I Fax 1 E-mail APPLICANT SIGNATURE X Ewp 'Laos PERMIT NO. �Oe7, 13Z� PROJECT LOCATION / 00Property Address City D22i WORKER'S COMPENSATION Policy Number Carrier If hiring anyone other than license contractors, a certificate of worker's compensation must be shown at the time of permit issuance. , LENDING AGENCY Name Address DESCRIPTION OR SCOPE OF WORK: CONTRACTOR Name Name Address No ' Addres ❑ Structure Built without Permits ❑ Proposed Change of Occupancy (Note previous use): State Zip City !� � Sta E-mail Zip l Phone �, � Fax _ y Email c, j � n6+ tac. # .. r32t5 Class APPLICANT SIGNATURE X Ewp 'Laos PERMIT NO. �Oe7, 13Z� PROJECT LOCATION / 00Property Address City D22i WORKER'S COMPENSATION Policy Number Carrier If hiring anyone other than license contractors, a certificate of worker's compensation must be shown at the time of permit issuance. , LENDING AGENCY Name Address DESCRIPTION OR SCOPE OF WORK: ARCHITECT/ENGINEER Name Name Address No City ❑ Structure Built without Permits ❑ Proposed Change of Occupancy (Note previous use): State Zip Phone !� � Fax E-mail Phone State License Number APPLICANT SIGNATURE X Ewp 'Laos PERMIT NO. �Oe7, 13Z� PROJECT LOCATION / 00Property Address City D22i WORKER'S COMPENSATION Policy Number Carrier If hiring anyone other than license contractors, a certificate of worker's compensation must be shown at the time of permit issuance. , LENDING AGENCY Name Address DESCRIPTION OR SCOPE OF WORK: 00 APPLICANT INFORMATION Name SRA es No Address ❑ Structure Built without Permits ❑ Proposed Change of Occupancy (Note previous use): City r' !� � State Zip Phone �(}, �, � Fax E-mail APPLICANT SIGNATURE X Ewp 'Laos PERMIT NO. �Oe7, 13Z� PROJECT LOCATION / 00Property Address City D22i WORKER'S COMPENSATION Policy Number Carrier If hiring anyone other than license contractors, a certificate of worker's compensation must be shown at the time of permit issuance. , LENDING AGENCY Name Address DESCRIPTION OR SCOPE OF WORK: 00 Flood Zone SRA es No Sq FT- Living Garage Open Cov ❑ Structure Built without Permits ❑ Proposed Change of Occupancy (Note previous use): For office use only: Zoning Flood Zone SRA es No Occ. Type Const. LIN BUTTE COUNTY FEE SUMMARY 7 County Center Drive Oroville, CA 95965 Department of Development Services Phone (530) 538-7541 Fax (530) 53&2140 Permit Number: B07-1388 Job Address: 14 OAKCREST DR Contractor: BETTER BUILDERS CONSTRUCTION 5263 ROYAL OAKS DRIVE OROVILLE, CA 95966 Printed: 06/26/2007 2:03 pm Fee Description Account Number Fee Amount Paid Date Pmt Amt DBEH Building Review Fee 0021-540013-4614901-1010 $75.70 06/26/2007 $75.70 DBFIRE Fire Inspection (SRA) R 0100-450001-4617240-1010 $205.40 06/26/2007 $205.40 DBOMSCF Fire Safe Standards Re 0010-440001-4210500-1010 $115.98 D_BFIRE SRA Fire Plan Review (S 0100-450001-4617240-1010 $102.70 06/26/2007 $102.70 DBMSC Garage/Shop/Strge Wood F 0010440001-4210500-1010 $455.32 DBF Garage -Wood Frame Plan Che 0010-440001-4210500-1010 $303.55 06/26/2007 $303.55 DBSMIP Residential 1001-0-280-1011298 $2.45 Printed By: Tammie Powell 19261.10 $687.35 Balance Due: $573.75 At the time of permit application, I was advised the above fees are required prior to issuance of the permit. These fees may change during the plan checking process. Signature: Rhl)o V'� Date: 06/26/2007 Pursuant to Government code Section 66020, you are hereby notified those items listed above may have been imposed on your project. You have 90 days from the date of approval of the project or from the impostion of the above referenced items during which you may request a protest. The requirments for a protest are specified in Government Code Section 66020(a). Butte County Department of Development Services TIM SNELLINGS, DIRECTOR I PETE CALARCO, ASSISTANT DIRECTOR 7 County Center Drive Oroville, CA 95965 (530) 538-7601 Telephone (530) 538-2140 Fax www.buttecounty.net/dds NOTICE TO BUILDERS Before your building permit can be issued, your plans must be checked for compliance with the California Building Codes. In addition, your plans are routed to other regulatory entities including but not limited to Planning, Public Works, Environmental Health, and the California Department of Forestry for their clearances and approvals. There are some things you can do to expedite your permit: 0 Make sure your application is complete. 0 Be responsive to requests from County departments for any additional materials or requirements. The Building Division places its highest priority on processing building permits as quickly as possible and each day that passes without a complete application adds to processing time. Every permit issued by the Building Official shall expire and become null and void if the work authorized by such permit is not started or completed within one year from the date of issuance of such permit. A permit may be renewed (for a fee) prior to expiration an indefinite number of times, provided construction progress has been documented by the Building Division during each year during scheduled inspections. No changes may be made in the original plans and specifications for such work. In order to reinstate action on a permit after expiration, the permittee shall pay a new full permit fee and additional plan checking and documentation may be required. Upon completion of work covered by this permit, please contact this office for final inspection. As a reminder to you, it is illegal to occupy this building or any portion of the building for which this permit is issued without a final inspection. EXPIRATION OF PERMIT APPLICATION AND REFUND POLICY Application for which a permit has not been issued will expire one year after date of application. Refunds may only be made upon written request by the person who originally paid the fees. Refunds for permit applications (not yet issued) must be requested within two years from the date of fee payment. Fees paid at the time of application are for Plan Check and administration. The Plan Check portion of fees is refundable only if the permit is cancelled or withdrawn before any plan checking is done. Building Division costs will be deducted prior to authorizing a refund and a charge of $54.99 to process the refund application will be assessed. Refunds on permits (issued) may be requested prior to the expiration of the permit, provided no work has been done pursuant to the permit. An Inspection may be required (and deducted from any refund amount) to determine no work was done. Fee/refund information can be read on-line at http://municinalcodes.lexisnexis.com/codes/butteco/ Reference Number: B07-1388 Location: 14 OAKCREST DR Parcel Number: 069-370-004 Date: 06/26/2007 Owner Name: FOX WILLIAM D, Phone: (530) 864-1159 Description: DETACHED GARAGE 1020 SQ.FT. ( 30X34) Signature of Property Owner: �LO Date: 06/26/2007 FILE Butte County Department of Public, Works J. MICHAEL CRUMP, DIRECTOR LAND DEVELOPMENT DIVISION Storm Water Managment Program 7 County Center Drive Oroville, CA 95965 (530) 538-7266 Telephone (530) 538-7171 Fax www.buttecounty.net/dds f �8 National Pollutant Discharge Elimination System (NPDES) Phase II Construction Storm Water Permit and Storm Water Pollution Prevention Plan (SWPPP) Acknowledgment [LESS THAN 1 ACRE 1 Reference Number: B07-1388 Date: 06/26/2007 Location: 14 OAKCREST DR Parcel Number: 069-370-004 Owner Name: FOX WILLIAM D, Description: DETACHED GARAGE 1020 SQ.FT. ( 30X34) By: TMP Sub Type: Private Garage/Shop Phone: (530) 864-1159 By signing below, I the project owner/owners' agent, certify that this project WILL NOT DISTURB 1 acre or more of land and that I therefore, do not need to apply for a Construction Storm Water Permit from the State of California Regional Water Quality Control Board. Phased projects that contain multiple site buildouts of less than one acre but when combined with subsequent phases total more than one acre of disturbed soil will require a Construction Storm Water Permit from the state of California Regional Water Quality Board. I am aware that submitting false and/or inaccurate information or failure to apply for a Construction Storm Water Permit from the State of California Regional Water Quality Control Board for this project that disturbes one acre or more of land may result in revocation of grading and/or other permits or other santions provided by law. . U FILE Date: 06/26/2007 s California Department of Forestry and Fire Protection Butte County Fire Department Fire Prevention Bureau 176 Nelson Avenue, Oroville CA 95965 (530) 538-7888 Office, (530) 538-2105 Fax Reference Number: B07-1388 Date: 06/26/2007 Location: 14 OAKCREST DR Parcel Number: 069-370-004 Owner Name: FOX WILLIAM D. Description: DETACHED GARAGE 1020 SO.FT. ( 30X34) By: TMP Sub Type: Private Garage/Shop Phone: (530) 864-1159 To meet the requirements of Government Code section 51182 and Public Resource Code 4291, Butte County requires a pre -construction inspection to pro -actively provide the below building and site requirements to the property owner. Your property is located within the State Responsibility Area (SRA) of Butte County. SRA is required to meet the below requirements: ✓ Public Resources Code 4290 ✓ Public Resources Code 4291 ✓ California Building Code, Chapter 7A ✓ Butte County Improvement Standards Requirements prior to scheduling the pre -inspection: ✓ Full plan submittal to Butte County Development Services -Building Division ✓ Driveway and building pad must be identified on site ✓ Structure location must be staked out on the building site All development within the Requests for inspections shall be made a minimum of 72 hours in advance by calling the Fire Prevention Bureau's 24 hour inspection line at (530) 538-6837, ext. 169, (When the recording comes on, enter the extension number). For the pre -inspections, the property owner or authorized agent is required to meet the inspector at the construction site with two hard copies of the site plan. I have read and understand the above pre -inspection requirements. 06/26/2007 Date Signature All of the Fire Safe Requirements are posted on the Butte County Fire Department website at http://buttefire.org/FireDrevention/protl)lan/protDIan.html Rev'd 5/7/07 FILE Butte County Department of Development Services 0 TT"0 TIM SNELLINGS, DIRECTOR I PETE CALARCO, ASSISTANT DIRECTOR 0 0 7 County Center Drive o 0 Oroville, CA 95965 0 0 (530) 538-7601 Telephone o o (530) 538-2140 Fax N www.buttecounty.net/dds PERMIT APPLICATION DATA SHEET Reference Number: B07-1388 Date: 06/26/2007 Location: 14 OAKCREST DR B TMP Parcel Number: 069-370-004 Sub Type: Private Garage/Shop Owner Name: FOX WILLIAM D, Phone: (530) 864-1159 Description: DETACHED GARAGE 1020 SO.FT. ( 30X34) The above permit application has the following Clearance/95-4711 prior to rmit issuance. Please contact each department indicated below regarding specific requirements pertaining rmit ap ication. Yes No DRAINAGET Thermalito Irrigation District, 410 Grand AvenuA 95965 (530) 533 7 LOAPUD, 1960 Elgin Street, Oroville CA 95966 --2000 City of Chico, 545 Vallombrosa, Chico CA 959265-4711 PARKS & RECREISTRICTS Chico Area Recreation District, 545 Vallombr a, Chico CA 95926 - (530) 895-4711 ❑ ❑ Durham Park & Recreation District, 9447 idway, Durham CA 95938 - (530) 345-1921 ❑ ❑ Feather River Recreaction & Park Dist ct, 1200 Myers Street, Oroville CA 95966 - (530) 533-2011 ❑ ❑ Paradise Parks & Recreation, 6626 ay, Paradise CA 95969 - (530) 872-6393 SCHOOL DISTRICTS Biggs Unified School District, 3 0 B Street, Biggs CA 95917 - (530) 868-1281 ❑ Chico Unified School Distri , 1163 East 7th Street, Chico CA 95926 - (530) 891-3006 Durham Unified School strict, 4920 Putney Drive, Durham CA 95938 - (530) 895-4675 Gridley School Distric , 429 Magnolia, Gridley CA 95948 - (530) 846-4723 /Reed ille School strict, 1919 B Street, Marysville CA 95901 (530) 741-6000 Elemen ry School District, 2795 Yard Street, Oroville CA 95966 - (530) 532-3000 Unio High, 2211 Washington Ave, Oroville CA 95966 - (530) 538-2300 Ext:105 e ified School District, 6696 Clark Road, Paradise CA 95969 - (530) 872-6400 OTHER 11 d copy of Agricultural Acknowledgment Statement- See Attached Instructions iggs Planning Department, 3016 Sixth Street Biggs CA 95917 - (530) 868-5447 Signature of Property Owner: FILE Date: 06/26/2007 BETTER BUILDERS CONSTRUCTION, INC John J. Starr, License No. 323225 5263 Royal Oaks Dr., Oroville, CA 95966 Phone (530) 589-2574 Fax (530) 589-2942 June 13, 2007 Butte County Building Department 7 Center Dr. Oroville, CA 95965 RE: permit application Better Builders Construction, Inc. has my permission to apply for and take out a building permit for shop/garage to be built on my property at 14 Oakcrest Dr. Oroville, Ca. 95966 Thank You, William Fox 14 Oakcrest Dr. Oroville, Ca. 95966 ENCROACHMENT PERMIT County of Butte Department of Public Works 7 Count Center Drive Oroville, CA 95965 Phone (530) 538-7157 Ext. 2016 Fax: (530) 538-4356 Download Forms: www.buttecounty.net/publicworks/forms.html NOTIFY COUNTY 24 HOURS BEFORE WORK IS TO BE DONE Phone (530) 538-7157 Ext. 2016 Permit Number U �� District �--� / / C �0 APPLICATION f / WE, the undersigned, hereby apply to the County of Butte for an encroachment permit to do the following work under or over the County roads ind highways, all in accordance with County ordinances and general laws. All information except signature must be typed or legibly rinted. 1. Applicant's Name: i�oa a s la. Company Name: Z. Address: S t ' j2o D� lis 3. Phone: S - 4. -Assessor's -Parcel -Number: coyl 5. Location of Work to be Done O Ot4Weazst••�►< l�r tali•41 <ST. 6. Applicant's Signature7. Date: CONTRACTOR'S INFORMATION 8. Contractor's Name 9. Address 10. Phone: 11. Fax: 12. Contractor's License Number: 13. Certificate of Insurance: Yes ❑ N0: ❑ 14. Contractor's Signature: 14a. Date Signed: 15. Authorized Agent: TYPE OF WORK TO BE DONE 16. Please Check: Curb: El Gutter: El Sidewalk: El 17. If Driveway List Type: 18. Other Work - Describe: )41UCW 19. Plans Attached: 11 Yes ❑ No PERMIT GRANTED In compliance with the above request, and subject to all terms, conditions (including those on page 2 of this permit form) and special conditions written below, permission is hereby anted. 20. Conditions Underground Service Alert U.S.A. must be notified two working days prior to any excavation. 800-227-2600 21. 9All work shall conform to accompanying: Detail !a Plans ❑ Special Conditions D' 22. Date Issued 03 O 23. Expiration Date: LJ d,.r OSJi 24. Surety: 25. Date Paid: / 26. Amount Paid: 00 27. Paid By: -Z�ZS.3f 28. Receipt No.: GG ;z% Mike Crump, Director of Public Works By: For County 29. Final Inspection Date: 30. Inspected By: ❑ Completed - OK ❑ Completed - Not OK ❑ Additional Comments Attached ou on1r: 31. Comments: Note: If permits are faxed to any number besides (530) 5384356, they can be delayed up to one week. Page 1 of 2 }� w e PERMIT NO. 186-89B,P,E,M PERMIT EXPIRES )90 OWNER JACK`BRIERLY a CONTR. owner F ASSESSOR PARCEL 69-37-04 LOCATION 14 Oakcrest Dr, ORoville a' t i ik s+ x i ,1 !f Temp. Power Pole - Called PG&E ,1 Temp. Elec. Service t Called PG&E Temp. Gas S Called P, JOB FINALE Signatun =_OK ` K-- 0 = Not OK-- Not MOBILE HOMES MISCELLANEOUS yable = Not Ready Date MOBILE HOME UTILITIES (Plans) OK except #'s Date DECKS,COVERS,CARPORTS,GARAGES, (Plans)OK except #'s 1. Zoning Requirements -Setbacks -Easements 1. Zoning Requirements -Setbacks -Easements 2. Soils; Special MH Support -Sketch 2. Footings; Soils -Size -Depth -Spacing -Connectors -Steel 3. Sewer; Location -Test -Fall -C/O -Concrete 3. Decks; Girders and/or Joists -Decking -Bracing -Stairs -Rails 4. Water; Location -Test -Easement Needed (Sketch) 4. Wood Awn.; Posts- Beam s-Rftrs.-Connec.- 5. Electricity; Location-Clearances-Grnd.-/,. / Amp -Concrete Shthg.-Rfg.-Bracing 6. Gas; Location -Test -Wrap: / /"L"ft. 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures / /"Nat. or/ /"L"ft./ /"LPG 6. Carports; Windows -Doors 7. Utility Clearance 7. Elec. 8. Frmg; Sills-Anchors-Studs-Rftrs-Trusses 9. Siding; Nailing -Veneer -Stucco -Mesh Card -131 Date Card -B1 Date 10. Roof; Shthg-Roofing Card -B1 Date Card -131 Date 11. Ext.; Steps -Doors -Landings Date MOBILEHOME INSTALLATION (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements Card -B1 Date Card -B1 Date ' -2. Footings; Size-Spacing=Marriage Line, Card -131 Date Card -131 Date 3. Gas; MH Test -Demand -Valve -Connector 4. Electricity; MH Test -Crossovers -Breakers -Clearances Date POOLS (Plans) OK except #'s 5. Drain; MH Test -Fall -Flex Connector 1. Setbacks -Easements 6. Water; MH Test -Regulator -Connector 2. Soils; Compaction -Structure Stability 7. Water and Sewer Connected -C/O to Grade -HD Approval 3. Pool Structure; Steel -Connections -Thickness-_ 8. Gas and Electricity Tagged Dead Men -Lining 9. Exits; Insp.-Sketch 4. Elec.; Receptacles and Lighting, Distances-GFI 10. Cert. of Occupancy 5. Elec.; Pool Lighting; 15 volts-GFI 6. Elec.; Enclosures; Conduit Entries -Terminals -Listed 7. Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater 8. Elec.;Ground ing; Equip. w/5' -circulating Equip. -Pool Lghtg. Card -81 Date Card -81 Date Boxes -Enclosures -Panel boards -Ins. to Main in Conduit Card -131 Date Card -61 Date 9. Health Department Approval 10. Plumb.; Cir. Test -Water Supply Test Card -131 Date Card -131 Date 'Card -61 Date Card -131 Date 1 • • f •t • .S . = OK 0 = NotOK RESIDENTIAL (Single and Duplex) -.� Not Applicable = Not Ready Date U RFLOOR (Plans) OK except #'s Date FR IN -(Continued) 7>oning-Setbacks;- Easements- Flood -Slope 451 H ers-Post Caps -Anchors -Connectors Fig., Main; Soils-Steel-Elec. Grnd.-/ /" Ftg. Depth . Cing. Jgj.st-Rftr. Ties -Pu rlin-Roof Brac.-Truss-Shthng.-Rfng. 3. Ftg., Garage; Soils -Steel-/ /" Ftg. Depth i ace Ties or Type A Flue -Fireplace Throat Clearance 4. Ftg., Porches & Decks; Soils -Steel-/ /"Ftg. Depth . At ' 'Access; Size & Romex Protection -Draft Stop -Ins. Baffles 5. Stemwalls, Main; Steel-Blockouts-Wrapped drm. Windows or Exiting Doors -Sill Hgt. & Dimensions 6. Stemwalls, Garage; Steel-Blockouts-Wrapped a Fire Protection Framing 7. Slab; Steel-Wrappedarty Line Firewall & Openings i =Fireplace Ftg.-Steel xt. Doors -One T -Check Garage -3rd story, 2 exits .W.V.; Fall -Fittings -Test -2 way C/O -Sewer Tests; Width -Headroom -Rise -Run -Landing -Fire Protection 10. Pipe; Size-AnchorsI cod on Roof Overhang -Attic Vents -Rafter Outriggers Water Pipe; Test -Anchors -Regulator -Service Test . Siding -Nailing Veneer 12. Electric; Underground6 Mesh -Drip Screed -Fd. Vents-Underfir. Access 13. Ple ums & Ducts; Clearance-Material-Supprt-Ins. Glazing Area -Glass Protection -Skylights -Plastic Girders -Sills -Anchor Bolts -Joists -Vents -Cripples 58. Shear Walls; Nailing-BQLts nsulation 59. Insulation-Walls-Clg.P'U��l 60. Infiltration-Walls-Wndws Card -B1 Dat Card -B1 Date Card -131 at ' `J and -B1 Date Card-Byg{� Date 2l Card -61 Date Card -B1 Date Card -131 Date Date PLUMBING (Permit) OK except #'s '�Tfi t€' Ht. Vent -Access -Combustion Air -Baffle Date FIN (,P,lans) OK except #'s W r Pipe; Test & Anchors -Nail Protection &f E . Steps -Door & Sidelight Protection -Landings D.W.V.; Test-Fttngs & Anchors -Nail Protection moke Detector 19. Shower Pan; Test, First Floor -Tub Access . Furnace; Vents -Clearance -Comb. Air -Connector - In Garage; Above Floor -Ducts -Meth. Protection 20. Test Tub & Shower, 2nd Floor -Tub Access 21. Gas Pipe; Size & Anchors gdroom Exiting I. & Bath Fixtures & Tub Access -Spa Elec. Trim & Subpanel; Breaker Sizes -Labels Card -B1 Date Card -131 Date _-e7.'STMrs &Rails Card -B1 Date Card -131 Date lace or Stove; Clearances -Hearth EI . Outlets at Wood Panel; Int. & Ext. Date ELECTRICAL (Permit) OK except #'s re &Transformer Clearance -Ins. Protection *tdEI . Kit. Fixt. & Appliance; Grnd. -Air Gap -Cooking Clearance 'T^ -^p' Outlets &Receptacles at Kit. Counter . Receptacles Spacing -Lights & Switches at Doors Si oxes & No. of Conductors -Stapled r Z2—Garage Fire Door; Swing -Landing -Closer 26. ex Installed Close to Edge of Studs & C.J. . Duct in Garage -Damper • Wtr. Htr.; Vents -Clearance -Comb. Air-Connector-P.R.V.- Inage; Above Floor -Meth. Protection Eg�j. -.-Ground made up w/Meth. Fasteners -Bond Gas & Water rYT. 2 Appliance Circuts in Kitchen &Conductor Size/G.F.I. Ib., Elec. &Mech. Equip. Listed for Location 28. Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / /ga. Cu or Al Receptacles in Garage; (G.F.I.)-Romex Protec. n ation-Foam-Looked in Attic ❑ Yes 29. Range Circ. / / ga. Cu or AI -Oven Circ. / / ga. Cu or Al. Insulated Neutral Yes No . G d Rails & Deck Construction -Post Caps —�30 5—vice-Riser Conductors & Ground -Main Disconnect taolcln. Vents & Crawl Hole Door -Drainage & Wood -Earth Clearance Looked under Floor ❑ Yes ki Clearances Panels-Motors-Mech. Equip. �Fquip. rhes Closet Light -Shower Light -Spa Light 80. Following instld.; Drive • es ❑ No; Walks ❑ No; Planters ❑Yes ❑ No W. Smoke Detector ucco; Brown -Finish Card -131 Date Card -B1 Date G. Unit; Disconnect, Electrical, Plumbing Card -131 Date Card -B1 Date ents Above Roof; Plbg.-Appliance-Firepl.-Clearance to Openings. Date MECHANICAL (Permit) OK except #'s mater Well; Disconnect, Electrical, Plumbing 34. A. ucts Insulation & Support" JK.-ExWrior Elec. Trim; G.F.I. Receptacle -Underground Vent Fan; Exhaust above insulation jae'ywrfilation throughout House 36. Condensate Drain & Overflow; Size & Grade ss Protection 37. Furnace -Vent; Access -Comb. Air -Return Air Vent -115 outlet rections from Previous Inpections 38. Attic Access & Platform if Furnace in Attic as Test -Meters Tagged; Gas -Electric 1�4'0.VXer & Sewer Connected -C/O to Grade -HD Approval Energy Compliance Certificate -Other Certificates Card -61 Date Card -131 Date 92. Roofing Certificate Card -B1 Date Card -B1 Date Card -131 Date Card -61 Date Card -131 Dat � Card -61 Date Date FRAM NG (Plans) OK except #'s 059. s, Proper Material & Anchors Card -B Dat Card -131 Date Comments at Final: alts Studs -Nailing, Spacing & Bracing—Plates-Sound aring Walls over Girders & Floor Nailing Stop in Walls (rat proof) Fir tops; Furred Ceilings -Stairs -Chases -Tub Bader & Beam -Size & Bearing (NOTE: An entry must be made each time you visit job site) ENERGY INSTALLATION CERTIFICATE Building Owner A c K �' /� 1, Building Permit # Building Location DESCRIPTION OF INSULATION ROOF Material Brand Name V Thickness(inc es) � "V Thermal Resistancy (R Value EXTERIOR WALL tJ �•;jGff Material X4—Brand Name r Thickness(inches) Thermal Resistance(R Value) CEILING Batt or Blanket Type Thickness(inches) 6 Loose Fill Type Minimum Thickness(Inches) Area covered(ft.2) FLOOR, ELEVATED Material Y Xl Thickness(inches FLOOR, SLAB Material Thickness(inches) Width(inches) FOUNDATION W� Material /:t- 10/ Thickness(inches) _/ Brand Name A-�t Thermal Resistance(R Valu lJ Brand Name Number of Bags Wt. per bag lb. Thermal Resistance(R Value) Brand Name �'-"�� Thermal Resistance(R Value / -7 Brand Name Thermal Resistance(R Value) Brand Name Thermal Resistance(R Value) I hereby certify that the above insulation was installed in the above building, is consistent with approved building department plans and attachments and con- forms with requirements of Chapter 2-53 of State of California Energy Requirements. tj F 7z�;— WNER STATE CONTRACTOR'S LICENSE NO. 7SIG OF INSt-KtLATION ADPL OR DA E I hereby certify the required features, devices, and equipment, az:i shown on the approved Building Department plans and attachments have been installed and conform to the appli- ance standards and Chapter 2-53 of the State of California Energy requirements. BUILDING CONTRACTOR/OWNER (Please Print) (FIRM NAME) SIGNATURE OF BUILDING CONTRACTOR/OWNER HVAC FIRM NAME/OWNER (Please Print) SIGNATURE OF HVAC CONTRACTOR/OWNER STATE CONTRACTOR'S LICENSE NO. DATE STATE CONTRACTOR'S LICENSE NO. DATE THIS CERTIFICATE MUST BE ON FILE WITH THE BUILDING DEPARTMENT PRIOR TO FINAL INSPECTION APPROVAL AND A COPY SHALL BE POSTED WITHIN THE BUILDING. SEPTEMBER 1988 . �; � . T-+ r :.� ., r ?4'`• �- . -'� �-r.._ . ,{ .: ^`v, » s.: `i.-''.� r -v .rix:.,.. ,.. �.., . ,,,.ra .:. r b"E : , COUNTY OF BUTTE r DEPARTMENT OF PUBLIC WORKS 196 Memorial Way, Chico — Phone: 891-2751 ;« 7 County Center Drive, Orovi Ile — Phone: 538-7541 w 747 Elliott Road, Paradise — Phone: 872-6307 CORRECTION NOTICE ;1 KER / PERMIT NO. 3 A routine inspection indicates that the following violations of County Ordinance exist at the above address and should be corrected. Please notify this office when correction of work is completed. If you have any question pertaining to this matter, or need additional explanation, please contact this office immediately.. - •K: "i "y 'e 1 Inspector G��/ . Date _� a •� j`• -.r R i COUNTY OF BUTTE +!' ' DEPARTMENT OF PUBLIC WORKS; J„„ 196 Memorial Way, Chico — Phone: 891-2751 7 County Center Drive, Oroville — Phone: 538-7541 747 Elliott Road, Paradise— Phone: 872-6307 C RRECTION NOTICE W-el O PERMIT NO. A routine inspe ion indicates that the following violations of County Ordinance exist at the above address and should be corrected. Please notify this office - when correction of work is completed. If you have any question pertaining to this matter, or need additional explanation, please contact this office immediately. Inspectory/ // Date COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 196 Memorial Way, Chico — Phone: 891-2751 7 County Center Drive, Orovi Ile — Phone: 538-7541 747 Elliott Road, Paradise— Phone: 872-6307 CORRECTION NOTICE J �o /��i R / PERMIT NO. A routine inspection indicates that the following violations of County Ordinance exist at the above address and should be corrected. Please notify this office when correction of work is completed. If you have any question pertaining to this matter, or need additional explanation, please contact this office immediately. Inspector'" Date^�/ O 0 COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 196 Memorial Way, Chico — Phone: 891-2751 7 County Center Drive, Oroville — Phone: 538-7541 747 Elliott Road, Paradise— Phone: 872-6307 - C-"ALE040b" OT IC E AMroutine inspection indicates that—fhe following violations of County Ordinance exist at the above address and should be corrected. Please notify this office when correction of work is completed. If you have any question pertaining to this matter, of need additional explanation, please contact this office immediately. Inspector Datey�- R� COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville. California 95965 - Telephone: 916/538-7541 APPLICATION AND`PERMIT i PER IT NO. A,S S ' PA NUMB74 _. zoN G BUILDING PERMIT ow "� Y` TE EPHO SO. FT. O C. BUILDING VALUATI N O R'S LIJG ADDRESS <112 ce:101�-- v CON AC OR'S NA r TELEPHON CO RACTOR'S MAi LING ADDRESS Fireplace CONS UCTION LENDER UNKNOWN Total Valuation is (01 11 LENDER'S MAILING ADDRESS Filing Fee $ 10.00 Permit Fee $ ARCH CT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITE T 01R ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS t, Permit fee $ 20 .2r PLUMBING PERMIT Filing Fee 10.00 Each Trap 2,00 000 V" Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAMEPARCEL MAP Water piping 5.00 10 1*9 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 5.0000 Mobile Home S I G I W 10.00ea TYPE OF WORK New ❑ Addition Remodel Utilities ❑ Installation❑ Other ❑ Describe work: Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 100 AMP ORV OR LESS10.00 Main service EA. ADD'L 100 AMP 2.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): ❑ I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in full force and effect. License No. Classification 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 occ OR ADDNS. ( ACC. BLDG,. , /4sgft NEW CONSTR TI-OUTLE NON.RESIO .BRA CH CIRCUITS 2.50 ea APPARATUS e (SINGLE \SINGLE OUTLET CIR, ) p 120050c Ex. OCcU OUTLETS OR FIXTURES ALO 30 FIXED APLNS. Ex. DCCUp. OUTLETSP(RESID )REA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 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. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement,should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. Contractor MECHANICAL PERMIT Filing Fee 10.00 Heating Cooling g Hood 3.00 Ventilation Permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the 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 agai aid County,'r con eque ce of the granting of this permit. X� Date Si lure of Applicant — OwnIControcro. ❑ Agent ❑ An OSHA permit is required for eions over 5'0" eep and demolition or construct- ion of structures over 3 stories in . Mobile Home'Installation Fee $ Energy Inspection Fee $ TOTAL PE IT FEE oe UP, CO T PL scNo F ARFEL f ND ISSUE This pe it is hereby issued under sions of the Butte County Code and/or work indicate above for w ich R T R O UBLIC BY PERMIT EXPIRES Date the applicable provi- resolutions to do fees have been paid. WORKS Date Receipt No. WNITL-D.P.W.. YELLOW -ASS ESSO R, NR-INSP CCTOR, IDLNRO -APPLICANT qtr,..'3w.n:�r•M4'`{L�it"'rrri+i,.'iyF 5 COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS - BUILDING DIVISION 7 COUNTY CENTER DRIVE - ORO VIL E, CALIF61`19A 95965 -TELEPHONE: 916/538-7541 l OWNER Proposed Building Use PERMIT APPLICATION DATA SHEET Permit No. , o. (Ul r Building Inspector PDate_ At time of permit application, I was advised the following data must be submitted prior to permit processing and:/or.issuance: DATE RECEIVED APPROVED 1. All items.have been submitted. . . . . . . . . . . . 2. Plot plans in duplicate./triplicate, signed by preparer of plans. , 3. Complete plans in duplicate./triplicate, signed by preparer of plans. 4. Complete engineered plans and calcs, with wet signature on plans. _ A. PI ns wit��JJ Energy Design Compliance Statement. ill� School District "Fees Paid" Stamp on Floor Plana 7 Statement of Intent for Non -Heated and AC Buildings. 8. Fees of $ , , , , , , , , ___6*L er of signature authorization. __Sanitation approval from 0n i i �� Health Dept. 11. Planning approval for (A) Use: (B) Parking:- 12. arking: 12, Certificate of Workmen's Compensation Insurance. . . . . . 13. Contractor's License Information (no., name style, classif.) 14. Owner -Builder Verification (Given to owner❑, Mail to owner ❑ ) _15. Improvements may be required. , , , , , , , , 16. N1obi lehome Installation Data. . . . . . . . . . Pre-Inspec. request to 17. Pre -Inspection for Required, Building Inspector (Date) 18. Recorded copy of Agricultural Acknowledgment Statement. 19. Driveway Permit. ' 20. JPJ�II °t plan approval from city of 21. gineered trusses in duplicate (required prior to,plan check). 22, W e you issue the r t, roce s as follows: Mail t owner, Mail to contractor. Telephone ®0- and hold for pickup amffice, Deliver w/inspector, Other / Applican// Date � '/ Copy of plans sent. Health Dept., Fire Dept„ Other Date The following data must be submitted prior to permit issuance: (Circle new item not checked above), 1. Index permit for above items No. 2. Additional items required: Contractor, designer, owner, was advised of above required data by_phone---nall—counter by date Contractor, designer, owner, was advised of above required data by—phone —mal l—counter date Plans checked by Date Plans approved by Date " Sets of plans on hold in File cabinet AP folder ,. r Copy—DPW TO Building Department FROM: Environmental Health SUBJECT: Sanitation Clearance Plan Approved for,: Hold final for: Sewage Disposal _ Water Supply Water Supply Final clearance O.R. for: Water Supply .Clearance for bedroom mobile home. Other C0dj1R2-7-1V4S NOTE all tarian D e -6W Owner. Location AP# Plan Approved for,: Hold final for: Sewage Disposal _ Water Supply Water Supply Final clearance O.R. for: Water Supply .Clearance for bedroom mobile home. Other C0dj1R2-7-1V4S NOTE all tarian D e COUNTY.OF BUTTE - Department of Public Works 7 County Center Drive, Oroville., CA 95965 Phone: 916-538-7541 OWNER -BUILDER VERIFICATION Attention Property Owner: An 'owner -builder" building permit has been applied for in your name and bearing your signature. Please complete and return this information at your.earliest opportunity to avoid unnecessary delay in processing and issuing your building permit. No building permit will be issued until this verification is received. 1. I personally plan to provide the major labor and materials for construction of the proposed property improvement (yes or no) '2. I (have/have not) 4,t1,L 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 Secu y tuber Date �U 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. BUTTE COUNTY SCHOOLS DEVELOPMENT FEE CERTIFICATION FORM (One Form pe-r 4 Bur•lding ) A.P. Number 6 ^3 / -Q"� Building Department No. School District Oeooie WICity Q County � Jurisdiction Property Owner ; *a�I� V) I r Project Location/Address Subdivision Lot Number Residential Development: �. � Sq. Footage�� # of Living MHI Addition (Group R) Units Commercial/Industrial: New Sq. Footage Addition (Including Exterior Roofed Areas) Date ******************************************************************* District Id No. nnQ,Z School, District certifies that (Applicari Name). (Phone _Number) (Street Address) (City) (State) Y ��.(Zip Code) has complied with the requirements of Resolution No. 474:1-1 by the payment of $ N IA representing 9/ square feet. JL�/�J School" •/strict Representative Date PAID BY CHECK NO. BANK NO PAID BY CASH REMARKS:* X02.0 0o n o��! 44d cCh l-) D white -applicant, yellow -building department, pink -school district SCHOOL . FEE ( 5/88) - FORM 7 ADDITIONS TO RESIDENTIAL BUILDINGS ENERGY SHEET PACKAGE "A°" (Kddi tions ) Owner Climate Zone Permit # [ I?&, g `I Floor Area 3 i 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 AANE U APPLIES TO NEW AREA CEILING R-30 R -�8 WALL R-11 R - FLOOR R-11 R - SLAB R-7 RP GLAZING U-.65 (Dual) U-.6� (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 C NEW HEATING, VENTILATING, AIR CONDITIONING AND HOT WATER SYSTEMS IN CONJUNCTION WITH AN ADDITION SHALL BE INSTALLED AS SHOWN ON BACK OF THIS SHEET. OTHER 12/85 *1 13 r HEATING, VENTILATING': AIR'CONDITTONING SYSTEM (A) Heating Central Gas Furnace % (brand and model number) SE Btu/hr (heating capacity) Heat Pump (brand and model number) ACOP Btu/hr (heating capacity at 47°F) 13 Active Solar type (liquid or air) Collector brand and ft2 model number solar fraction collector area collector orientation collector tilt rated y -intercept rated slope ❑ Other (describe) *1 (B) Cooling ❑ Electric Air Conditioner (brand and model number) (seasonal EER) Btu/hr (cooling capacity at 95°F) ❑ Electric Heat Pump EER Btu/hr (cooling capacity at 95°F) ❑ Other (describe) DOMESTIC WATER SYSTEM ❑ .(A) Gas Only Gallons (brand and model number) (tank size) ❑ Heat Pump w/Electric Backup (brand and model number) Gallons 2 (tank size) j3 * Active Solar (collector brand and model number) (rated y -intercept) (rated slope) (solar fraction) ft (backup heater type, brand and model number) (collector area) (collector orientation) (collector tilt) ❑ Location of Solar Panels ❑ Other (Describe) *1 Submit documentation of sizing heating and cooling equipment by Manual J, sizing charts (form #4) or other approved methods, section 2-5352(g), and fill out the following: _ Heating: Winter design temperature °, elevation ', heating load BTU elevation factor x heating load maximum outlet capacity gas furnace BTU Cooling: Summei design temperature ', cooling load BTU *2 Submit T.I.P,S.E. chart'or other approved system (form #5) to document sizing of solar panels. t , ® DESIGN COMPLIANCE STATEMENT: The above building design meets the requirements of Title 24, Part 2, Chapter 2-53 of the Califor a Administration Code. S N UR�BUIG IGNEROR NT COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 - Telephone: 916/538-7541 APPLICATION' AND PERMIT IT NO ASSE S R PC L NU BE ZONIWI IN BUILDING PERMIT OWN \ 6Y4 V a 01 6r TE HQNE �/[� SQ. FT. OCC. BUILDING VALUATION O 'S AI ING ADDRESS % r+ CONT C OR'S NAM ONE CONTRA_CT R' QA IN A OR ` -s± nou F i rep I ace CONSTRUCTION LENDE / UNKNOWN Total Valuation $ LENDER'S MAILING ADDRESS Filing Fee $ 10.00 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 SFX Duplex❑ Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home is G W 0.00 ea TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utiliti ❑Installation Other Describe wor ylu 1 j zap" 0 v j Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 1001 OR L 00 AMP ORSLESS 10.00 0. ff7 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): NI I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions C�Qde�7and my license is in full force and effect. 33s//p / c �O License No. Classification Flas the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ 1, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason Main service EA. ADD'L too AMP 2.50 ~� NEW CONST. DWELLING OCCUP.Ei , OR AODNS. ACC. BLDGS. /20sgft NEW CONSTR TI -OUTLET 2,50 ea NEW .BRA C CIRC ITS ON - /POWER APPARATUS eI \SINGLE OUTLET CIR. EX. OCCUp�OUTLETS OR FIXTURES 20050t .SAL* 30c FIXED APPLNS. Ex. OCCup. OUTLETS ((RESID IREAJ 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. CK 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 shal I be deemed revoked. Contractor MECHANICAL PERMIT Filing Fee 10.00 Heating Cooling g Hood 3,00 Ventilation permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the Countyot Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue against said County ' consequence of the granting of this permit. X A 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 occu P. CONST.TYPE SCHOOL FLOOD PARCEL PD I ND ISSUE This permit is hereby issued under sions of the Butte County Code and/or work inlP above for which IREC F PU At B AW ^4aalrl PE MIT XPIRES Date the applicable provi- resolutions to do f s have been paid. WORKS at Receipt No.TIcE WHITE-D.P.W.. YELLOW-ASDE330N. PINK -INSPECTOR. GOLD ENROO-APPLICANT FORM 7 ADDITIONS tO RESIDENTIAL BUILDINGS ENERGY SHEET PACKAGE "A"' '(Additions) Owner Climate Zone o Permit # i S'6 - g 9 � 'S�� or 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. APPLIES TO NEW AREA CEILING WALL FLOOR ZONE 11 SLAB R-7 GLAZING U-.65 (Dual) SHADING SOUTH - OPTIMUM OVERHANG or .36 Shading Coefficient WEST - .36 Shading Coefficient NE 16 R- 8 R- 9 R- 9 R-7 U-. (Dual) 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 � �V4OUIA) op A Q NEW HEATING, VENTILATING, AIR CONDITIONING AND HOT WATER SYSTEMS IN CONJUNCTION WITH AN ADDITION SHALL BE INSTALLED AS SHOWN ON BACK OF THIS SHEET. OTHER 12/85 *1 HEATING, VENTIIATING, AIR COADITIONING SYSTEM (A) Heating ❑ Central Gas Furnace % (brand and model number) SE Btu/hr (heating capacity) ❑ Heat Pump (brand and model number) ACOP Btu/hr (heating capacity at 47°F) ❑ Active Solar type (liquid or air) Collector brand and ft2 model number solar fraction collector area collector orientation collector tilt rated y -intercept 7M L rated slope Other (describe) (B) Cooling Electric Air Conditioner (brand and model number) Btu/hr (cooling capacity at 95°F) Electric Heat Pump Btu/hr (cooling capacity at 95°F) Other (describe) (seasonal EER) EER (Describe) *1 Submit documentation of sizing heating and cooling equipment by Manual J, sizing charts (form #4) or other approved methods, section 2-5352(g), and fill out the following. _ Heating: Winter design.temperature °, elevation ', heating load BTU elevation factor x heating load - maximum outlet capacity gas furnace BTU Cooling: Summer design temperature °, cooling load BTU *2 Submit T.I.P.S.E. chart'or other approved system (form X65) to document sizing of solar panels. r ® DESIGN COMPLIANCE STATEMENT: The above building design meets the requirements of Title 24, Part 2, Chapter 2-53 of the California Administration Code. SIGNATURE OF BUILDING DESIGNER OR APPLICANT DOMESTIC WATER SYSTEM ❑ (A) Gas Only Gallons (brand and model number) (tank size) ❑ Heat Pump w/Electric Backup (brand and model number) Gallons (tank size) 2 13* Active Solar (collector brand and model number) (rated y -intercept) (rated slope) (solar fraction) ft (backup heater type, brand and model number) (collector area) (collector orientation) (collector tilt) ❑ Location of Solar Panels ❑ Other (Describe) *1 Submit documentation of sizing heating and cooling equipment by Manual J, sizing charts (form #4) or other approved methods, section 2-5352(g), and fill out the following. _ Heating: Winter design.temperature °, elevation ', heating load BTU elevation factor x heating load - maximum outlet capacity gas furnace BTU Cooling: Summer design temperature °, cooling load BTU *2 Submit T.I.P.S.E. chart'or other approved system (form X65) to document sizing of solar panels. r ® DESIGN COMPLIANCE STATEMENT: The above building design meets the requirements of Title 24, Part 2, Chapter 2-53 of the California Administration Code. SIGNATURE OF BUILDING DESIGNER OR APPLICANT m