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069-580-019
' � -69-58-19 1775-90B,P,E,M ' ~JOHNSON, Leslie''- (new single f amily')'- .. � . > 8. 0 . r // i� RESIDENTIAL 0_-5811-9, JOHNSON, Leslie 1 73 Hercules Drive, Oroville + (new single family) — ----- '—_ 7/f/fi { A 1412- I/To } H s k- G oG i. T4 i c 1 f r R F f JOB FINALED (Date) Signature j& J=OK O = Not OK - = Not Applicable =Not Ready MOBILE HOMES ' Date MOBILE HOME UTILITIES (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Soils; Special MH Support Sketch 3. Sewer; Location -Test -Fall -C/O Concrete 4. Water; Location -Test -Easement Needed (Sketch) 5. Electricity; Location-Clearences-Grnd-/ /Amp -Concrete 6. Gas; Location -Test -Wrap: / /"L"ft. / /"Nat. or/ PV'ft./ /"LPG 7. Utilitv 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 r MISCELLANEOUS Date DECKS, COVERS, CARPORTS, GARAGES, (Plans)OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Footings; Soils -Size -Depth -Spacing -Connectors -Steel 3. Decks; Griders and/or Joists -Decking -Bracing -Stairs -Rails 4. Wood Awn.; Posts-Beams-Rftrs: Connectors Shthg: Rfg.-Bracing 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Carports; Windows -Doors 7. Electric 8. Frmg; Sils-Anchors-Studs-Rftrs-Trusses 9. Siding; Nailing -Veneer -Stucco -Mesh 10: Roof; Shthg-Roofing 11. Ext.; Steps -Doors -Landings Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date POOLS (Plans) OK except #'s 1. Setbacks -Easements 2. Soils; Compaction -Structure Stability 3. Pool Structure; Steel -Connections -Thickness Dead Men -Lining 4. Elec.; Receptacles and Lighting, Distances-GFI 5. Elec.; Pool Lighting; 15 volts-GFI 6. Elec.; Enclosures; Conduit Entries -Terminals -Listed 7. Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater '8. Elec.; Grounding; Equip. w/5' Circulating Equip': Pool Lghtg. Boxes-Enclosures-Panelboards-Ins. to Main in Conduit 9. Health Department Approval 10. Plumb.; Cir. Test -Water Supply Test Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 4 O O=Not OK - = Not Applicable = Not Ready RESIDENTIAL (Single & Duplex) Date UN FLOOR (Plans) OK except #'s Zoning -Setbacks -Easements -Flood -Slope Wig., Main; Soils-Elec. Grnd.-//'g�,Ftg. Depth k,,8. Ftg., Garage; Soils-Steel-Elec. Grnd.-/ /" Ftg. Depth 4. Ftg., Porches & Decks; SojJs-Steel-/ /Ftg. Depth Stemwalls, Main; Steel-Blockouts-W[apped 146�Stemwalis, Garage; Steel- Bloc kouts-Wrapped 6a. Hold Downs and Special Anchors 7. Slab; Steel -Wrapped 8. Pi -Fireplace Ftg.-Steel W.V.; Fall -Fitting -Test -2 Way C/O -Sewer Test 10. Qat Pipe; Size -Anchors Water Pipe; Test -Anchor -Regulator -Service Test 12. Electric; Underground 13. Pienums & Ducts; Clearance -Material -Support -Ins irders-Sills-Anchor Bolts -Joists -Vent Cri 15. Insulation Date Card B- Date Card B-1 Date Card B-1 Date Card B-1 Date PLU GING Permit OK except #'s Htr.; Vent -Access -Combustion Air -Baffle W Pipe; Test & Anchor -Nail Protection D.W.V.; Test -Fittings & Anchor -Nail Protection pe-thower Pan; Test, First Floor -Tub Access 20. Test-7-6—shower, Second Floor -Tub Access L21r Gas Pipe; Size & Anchors Date Card B-1 Date Card B-1 Date` 4 D Card B-1 Date Card B-1 Date ELE TRICAL Permit OK except #'s 2. Fixture & Transformer Clearance -Ins. Protection Elec. Receptacles Spacing -Lights & Switches at Doors ize Boxes & No. of Conductors -Stapled . Rorav Installed Close to Edge of Studs & C.J. p. Ground made up w/Mech. Fastners-Bond Gas & Water 2 Appliance Circuts in Kitchen & Conductor Size/GFI feed Wire Size -f--/ ga. Cu or AI-A.C. Wire Size b/ ga. CUpor At P"faange Circ. / / ga. Cu r AI -O n Circ. / / ga. Cu or Al. Insulated Neutral es ❑ No L20r."3erv'ce-Riser Conductors & Ground -Main Disconnect 81�Equip. Clearances Panels-Motors-Mech. Equip. &.-Clothes Closet Light -Shower Light -Spa Light smoke Detector DateCard B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date MECH LAICAL (Permit) OK except #'s A.C. Ducts Insulation & Support t3&.--V'ent Fan; Exhaust above insulation Condensate Drain & Overflow; Size & Grade 37. Furnance-Vent; Access -Comb. Air -Return Air Vent -115 outlet 38. Attic Access & Platform if Furnance in Attic Date Card B-1 Date Card B-1 Date Card B-1 v Date Card B-1 Date FRAMING (Plans) OK except #'s ifs, Proper Material & Anchors Walls Studs -Nailing, Spacing & Bracing -Plates -Sound e ring Walls over Girders & Floor Nailing Draft Stop in Walls (rat proof) Stops; Furred Ceilings -Stairs -Chases -Tub L-414. Headers & Beam -Size & Bearing Date FRAMING (Continued) / 45. a ers-Post Caps -Anchors -Connectors ,C nq_.Joist-Rftr. ties -Pu rlin -roof Bra -T ss -S hrk7-'FEiXj.— Fireplace Ties or Type A Flue -Fireplace Throat clearance Atli ccess; Size & Romex Protection -Draft Stop -Ins. Baffles Bdrm. Windows or Exiting Doors -Sill jdg�Dimensions /Se�Garaae Fire Protection Framinq --Y Z_A T 1 xt. Doors -One 3' -Check Garage -3rd Story, 2 Exits . Stairs- Width -Head room -Rise-Run-Landino-Fire Protection L54!' -plywood on Roof Overhang -Attic Vents -Rafter Outriggers 55_Siding-Nailing Ven er 5 . - ri Screed:Fd. Vents-Underflr. Access Glazing Area -Glass Protection -Skylights -Plastic 5 . ailing -Bolts W-Irnsulation-Walls-Ceilings Infiltration -Walls -Windows Date49,0 Card B-1 Date and B-1 Date Card B-1 Date Card B-1 Date FIN Plans OK except #'s Of Ext.,,Steps-Door & Sidelight Protection -Landings mo a Detector 6 urnace; Vents -Clearance -Comb. Air -Connector - In Garage: Above Floor-Ducts-Mech. Protection om Exiting /` . G.F.I. & Bath Fixtures & Tub Access -Spa G.6 Iec. Trim & Subpanel; Breaker Sizes & Labels Stair Rails irep�or Stove; Clearances -Hearth _9 ec. Outlets at Wood Panel; Int. & Ext. .Fixt. & Appliance; Grnd.-Air Gap -Cooking Clearance . Elec. Outlets & Receptacles at Kit. Counter 7 . arMe Fire Door; Swing -Landing -Closer 1 7 C-Buct in Garage -Damper P/�7!Wtr. Htr.; Vents -Clearance -Comb. Air-Connector-P.R.V. v I rage; Above Floor-Mech. Protection Plb., Elec. & Mech. Equip. Listed for Location Elec Receptacles in Garage; (G.F.I.)-Romex Protection ation-Foam-Looked in Attic O Yes . Gua Rails & Deck Construction -Post Caps dn. Vents & Crawl Hole Door -Drainage & Wood -Earth Clearance Looked under Flo 0 Yes 80. Following instid.; Drive PYes 0 No; Walks ZI Yes o; i PjAaters 11 Yes 13 -Mb S!. ; Brown -Finish AS,, Unit; Disconnect, Electrical, Plumbing J ents Above Roof; Plbg.-Appliance-Fireplace.-Clearance to Openings L 8 e ; isconnect, Electrical, Plumbing +` yterior Elec. Trim; G.F.I. Receptacle -Underground AW.Vegtilation Throughout House I�ss Protection C rections from Previous Inspections Ga est -Meters Tagged; Gas -Electric Lswwater & Sewer Connected -C/O to Grade -HD Approval 9 ergy Compliance Certificate -Other Certificates Date 17 `E- Card B-1 i Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Comments at Final: (NOTE: An entry must be made each time you visit job site) +: rn COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS to 196 Memorial Way, Chico — Phone: 891-2751 7 County Center Drive, Oroville — Phone: 538-7541 747 Elliott Road, Paradise— Phone: 872-6307 CORRECTION NOTICE � )r-) cJ SCM /975-90 OWMER PERMIT NO. + ZS 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 addition/al explanation, please contact this office immediately. t,• / 9r' -- Date � / '`—.�Lnspector yJ1 f -- Date � / '`—.�Lnspector fa-•px;,�.w.,�r• ' �t;�t�++:�sr-i'�rw:�r:r.:-�--"° � c.��N+,s�..S�ai +' �;� �..s: fir"?7 COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 196 Memorial Way, Chico — Phone: 891-2751 7 County Center Drive, Oroville — Phone: 538-7541' , 747 Elliott Road, Paradise — Phone: 872-6307 CORRECTION NOTICE 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. / 1' � S � cc••lc � u v r s ! r .r; s. e2 - Date ��/% 2AI) Inspector���t' _ ' COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS t 196 Memorial Way, Chico — Phone: 891-2751 7 County Center Drive, Oroville — Phone: 538-7541 747 Elliott Road, Paradise— Phone: 872-6307 J CORRECTION NOTICE N 1 / 775-% OWNn 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. Date Inspector ✓"/aLl COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 196 Memorial Way, Chico — Phone: 891-2751 7 County Center Drive, Oroville — Phone: 538-7541 747 Elliott Road, Paradise — Phone: 872-6307 CORRECTION NOTICE OWNE - e-1 IT 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. G'i��__. 60 "de Sa �i/✓or� ice.- � � � � � P-1 e. S��l�, V-3 /�-7 0 Date Inspector i LOCATION.;.. NO. ` ROOF MATERIAL BRAND NAME THICKNESS EXTERIOR WALL THERMAL RESISTANCE (R VALUE) MATERIAL FIBEGLASS BRAND NAME CERTAINTEED_ THICKNESS (INCHES), i CEILING THERMAL RESISTANCE (R VALUE BATT OR BLANKET TYPE FIBERGLASS BRAND NAME CERTAINTEED_ THICKNESS__ 'I -- LOOSE FILL _ THERMAL RESISTANCE (R VALUE) TYPE_FIBERGLASS — MINIMUM THICKNESS (INCHES) BRAND NAME CERTAINTEED AREA COVERED (SQ FT) ' Z 0 NUMBER OF BAGS -L % WT PER BAGc' LB FLOOR, ELEVATED THERMAL RESISTANCE (R VALUE) MATERIAL FIBER LASS THICKNESS (INCHES)______ BRAND NAME CERTAINTEED __._ FLOOR, SLAB � THERMAL RESISTANCE (R VALUE) —.L_1___._ MATERIAL BR1aND NAME THICKNESS (INCHES) FOUNDATION WALL THERMAL RESISTANCE (R .VALUE) MATERIAL BRAND NAME THICKNESS (INCHES)THERMAL RESISTANCE (R. VALUE) I HEREBY CERTIFY THAT THE ABOVE INSULATION WAS INSTALLED IN THE ABOVE BUILDING IN CONFORMANCE WITH THE STATE OF CALIFORNIA ENERGY REQUIREMENTS... HAWKINS INSULATION 379407 FIRM NAME/OWNER 7- • SIGNATURE STATE CONTRACTOR'S LICENSE NO. DATE I HEREBY CERTIFY THE ABOVE INSULATION F3fv1) ALL REQUIRED ITEMS AS SHOWN ON THE BUILDING DEPARTMENT APPROVED PLANS. AND ATTACHMENTS HAVE BEEN INSTALLED AS REQUIRED BY THE STATE OF CALIFORNIA ENERGY. REQUIREMENTS. ALL EQUIPMENT, DEVICES AND MERTIALS ARE OF THE QUALITY PRESCRIBED OR ARE SPECIFICALLY APPROVED BY THE STATE OF CALIFORNIA. X FIRM NA /OWNER STATE CONTRACTOR'S LICENSE NO. SIGATURE. G N. CONTRACTOR/0 / WNER DA fE –1– COUNTY OF BUTTE - DEPARTMENt T OF PtUBLIC WORKS 7 County Center Drive - Oroville, California 95965 - Telephone: 916/538-7541 APPLICATIf VAND' PERMIT PERMIT NO. 1775-90 1� ASSESSOR PARCEL NUMBER 69-58-19 ZONING ARI BUILDING PERMIT OWNER Leslie P. Johnson TELEPHONE 345-8032 SO. FT. OCC. BUILDING VALUATION 1894 R 7 160 OWNER'S MAILING ADDRESS 1033 Cordelia Ct Chico 95926 528 M 7,392 CONTRACTOR'SNAME Owner TELEPHONE 168 cov 1.680 280 1 open1,400 CONTRACTOR'S MAILING ADDRESS Fireplace It1A11 85,682 CONSTRUCTION LENDER UNKNOWN Total Valuation Is Filing Fee $ 1000 LENDER'S MAILING ADDRESS Permit Fee $ 391.00 I/ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ 195.50 Energy Plan Checking Fee _$ 30.00 ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS 73 Hercules Drive Permit fee $ 626.50 PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 Oroville Solar or heat pump water heater 20.00 LOT NO. 21 j ` SUBDIVISION NAME Lakeridge Village PARCEL MAP I�s--[ Water piping 5.00 5.00 Each qas water heater or vent 5.00 5.00 USE OF STRUCTURE SF RJ Duplex❑ Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets 5.00 5.00 Building sewer 5.00 5.00 Mobile Home S I G I W 10.00e TYPE OF WORK New[JX Addition[] Remodel[] Utilities IryaIJatig�ryDAther❑ Describe work: To Be Mastered C(f�' o�/ _ 3 bdrm. Permit Fee $ 50.00 Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service tOO AMP ORV OR LESS10.00 10.00 Main service EA. ADD'L 100 AMP 2.50 2.50 CONTRACTORS LICENSE LAW 1 declare under penalty of perjury (check one): ) r�NON•RESID 1 am licensed under provisions of Chapt. 9, Div. 3 of the Business and Profession ode and my license is in full force and effect. License No. -In/5-Classification - rQ ❑ I, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONST. DWELLING OCCUP.9?) OR ACDNS. ACC. BLDGS. ( h¢sgft 46.35 NEW CONST R.MULTI-OUTLET BRANCH CIRC ITS 2.50 ea POWER APPARATUS Q (SINGLE OUTLET CIR. ) Ex. Occup(OUTLETS OR FIXTURES 20050a e AL®30 FIXED APPNS Ex. Occup. OUTLETS ((RESID )REA.) 1 2.00 Temporary service 10.00 1 10.00 Mobile Home Facilities 15.00 Misc. Wiring g 15.00 Permit Fee $ 78.85 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. No ice 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 6.00 Cooling g 6.00 Hood 3.00 3.00 Ventilation 3 3,00 9.00 Permit Fee $ 34.00 Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. 1 also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue aga- . St sai Count in onsequence of the granting of this permit. XJ"-) Date / Signature of Appl' ant - 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 $ 30.00 CONST PE TOTAL FEE $ 819.35 HAz -' CUA PARK '- SCHi V/ FLD PAR PD ISSUE I� Th:s permit is hereby issued under sions of the Butte County Code and/or work indicated above for which fees DIRECTO OF PUBLIC ByDate PE IT EXPIRES Date the applicable provi- resolutions to do have been paid. WORKS 7•- 7- 7� �/ Receipt No. 66392 WHITE-O.P.W.. YELLOW -ASSESSOR. PINK -INSPECTOR, GOLDENROD -APPLICANT ,ptkiw�.��fT1'41'T'1�%1ix1RkI''oi'1�'7`�3'St1+"'i'•r'�;bl^i".(y,Yk�ti`ty} M�~t.t�f�i(�'Yl'...-�[•f.m`+ .�' COUNTY OF BUTTE - DEPARTMENT.OF PtJ,BLIC WORKS - BUILDING DIVISION, 7 COUNTY CENTER DRIVE - OROVILLE, qA�,-••IF RNNIA1195985 - TELEPHONE: 918/538-7541 - ":...,. PERMIT APPLICATION DATA SHEET ; Permit No. 'OWNER Lu 0 P. No. Proposed Building Use S Building Inspector Dates At time of permit application, I was advised the following data must be submitted prior to permit processing and/or issuance: DATE RECEIVED APPROVED 1. All items have been submitted . ........................ 2. Plot plans in duplicate/triplicate, signed by preparer of plans ........ 3. Complete plans in duplicate/triplicate, signed by preparer. of plans . . 4. Complete engineered plans and calcs, with wet signature on plans .. 5. Hazardous Material Form ....................... . �L'`6. Energy Design Compliance and supporting documentation ......... 7. Statement of Intent for Non -Heated and AC Buildings ............... 8. Engineered truss details and layout in duplicate (required prior to plan check) 9. Mobilehome installation data including manufacturer's installation instructions....................................................... 10. Fees of $ ........................ X11. Chico Urban Area fees paid ....................................... 12. Park fees paid_ 13. 012' - Fiem • School District fees paid ........... o�.. 14. Sanitation approval from � • O. A P u D Health Department 19(, (f i (? tm soupy - mo 15. City of Chico plumbing permit ..................................... 16., Plot plan and business license approval from City of (see City -for other requirements) 17, Planning approval for (A) Use: (B) Parking: ...... 18. Improvements may be required. Contact Land Development Section DPW -19. Driveway permit (construction approval required prior to occupancy) t Pre-Inspec. request to 20. Pre -Inspection for required ... Building Inspector ti (Date) yam, --a! 1. Contractor's licerise information (No., Name Style, Classification) ... 2. Certificate of Workmans Compensation Insurance .................. 23. Owner -Builder Verification (Given to owner ❑, Mail to owner ❑) ..... ) 24. Recorded copy of Agricultural Acknowledgment'Statement ......... 2 et of t thorizati ..................... ...... /7 27. When you issue theermit,� ss as follows:Mail owner. Mail to contractor. Telephone up; and hold for pickat 0office. Deliver w/inspector. Other Applicant_ iter"—.Date Copy of Haz-Mat form sent Health Dept. Fire Dept. Air Pollution Date Copy of plans sent Health Dept. - Fire Dept. Other Date By The following data must be submitted prior to permit issu ce: (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_-naiI—counter by ..date Contractor, designer, owner, was advised of above required data by—phone _ all counter by date fr' Plans checked by •�- e�Plans approved by � Date 7--51v Sets of plans on hold in File cabinet AP folder Copy—DPW TO: Building Department FROM: Encroachment Permit Section RE: Driveway Clearance owner Driveway permit �D�% (9 s ature location s0 / AP # has been issued for the above property U s-3/-Qo date Ll 0V0 7 County Center Drive - Oroville, California 95965 - Telephone: 916/538-7541_ 6� I - APPLICATION AND PFRMIT - �`S 9/0 ASSESSOR P RCEL NUMBER � — �S8 -I ZONING 112 �_ BUILDING PERMIT OWNER1,66 t o JQ l2 n gor131i-903Z TELEPHONE SO.FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS /033 COl(1! Q Q.L Cf • G>l'LCGD 9S9 26 l 2 10 /6 e ou d CONTRACTOR'S NAM E TELEPHONE 5 20 73q2 CONTRACTOR'S MAILING ADDRESS dztlZ m\ V V Fireplace i, CONSTRUCTION LENDER UNKNOWN Total Valuation Is S 2 LENDER'S MAILING ADDRESS ARCHITECT OR ENGINEER LICENSE No. Filing Fee $ 10.00 Permit Fee $ 3q �CM Plan Checking Fee $ I 5� ARCHITECT OR ENGINEER'S MAILING ADDRESS Energy Plan Checking Fee $ J 30--_ - Penalty $ BUILDING ADDRESS ago Permit fee PLUMBING PERMIT Filing Fee 10.00 Each Trap 0 2.00 20.00 Solar or heat pump water heater 20.00 LOT /NO. ZI SUBDIVISION NAME n U PARCEL MAP Water piping 5,00 /: ,06 Each pas water heater or vent Gas piping system 1 - 5 outlets 5,00 5.00 �✓ a ',Ob USE OF STRUCTURE SF® Duplex❑ Mobilehome❑ Other SPECIFY Building sewer 5.00 r 3,0 Mobile Home S I G I W 10.00 e TYPE OF WORK NewN Addition❑ Remodelll[] �AU,,tt�iil^lities❑ Installation❑ Other❑ Describe work: SIF12 Permit Fee $ G;0 -.Ob Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 100 AMP ORSLESS 10.00 Mal CONTRACTORS LICENSE LAW I declare under penalty of perjury p y p I y (check one): ❑ I am licensed under provisions of Chapt. 9, Div. 3 of the BUSlnes$ and Professions Code and my license is in full force and effect.SINGLE License No. Classification El1, 1, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered sale. (Sec. 7044) ElI, as the owner, am exclusively contracting with licensed contract - ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason Main service EA. ADD -L 100 AMP 240 2,50 NEW CONST. DWELLING OCCUP.ai, OR AODNS. ACC. BLDG S. �2,tsgft 4(0,35 NEW CONSTR. ULTI-OUTLET NON•RESID BRANCH CIRC ITS 2.50 ea (POW OWER APPARATUS &) OUTLET CIR, EX. OCCU OUTLETS OR FIXTURES 200600 P eALO 3o APPLNS. OR EX. Occup. OUTLETS (RESID,1 EAT2.00 Temporary service 10.00 /0,0-0for 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. ❑ 1 have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. © I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. Contractor MECHANICAL PERMIT Filing Fee 10.00 Heating Cooling 3 Hood 3.00 3.dz Ventilation Cl�� Permit Fee $ Contractor 1 certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to 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 Butt= against all liabilities, judgments, costs, and expenses which may in any way accrue against said County in consequence of the granting of this permit. XTh;$ 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 $ 30.J occ CONST TYPE TOTAL FEE $ HAZ CLIA PARK SCHL I FLD I PAR PO Ho I ISSUE permit is nereby issued under sions or the Butte County Code and/or work indicated above for which fees DIRECTOR OF PUBLIC B y PERMIT EXPIRES Date the applicable resolutions have been WORKS Date provi- to do paid. Receipt No. WHITE-D.P.W., YCLLOW-ASSESSOR, PINK -INSPECTOR. GOLDENROD -APPLICANT t BUTTE COUNTY SCHOOLS DEVELOPMENT FEE CERTIFICATION FORM ` (one Form pea.B.ui,lding ) A.P. Number 6q- IT 8- 19 Building Department No. School District ()ko CU-rh City County © Jurisdiction Property Owner LSC 10 11S<M Project Location/Address H,9AW Do z� Subdivision a �«iQQ S„I, _ oeo Lot Number 2� Residential Development: � a El Sq. Footage b5`� # of Living MHI Addition (Group R). Units Commercial/Industrial: Buil Sq. Footage New Addition (Including Exterior Roofed Areas) g uepartment Representative 5-3)-aQ Date ******************************************************************* (Floor.Plans reviewed by School District Personnel) District Id No'. 9 % kg, � School District certifies that (Appl,' ant Name) (Phone Number) (Street Address) -2 City) (State) (Zip Code) has complied with the requirements of Resolution No. lf�_90-0 to -by the payment of $v29o29, J?%� representing square feet. r) dAz__P_ School District PAID BY CHECK N0. BANK NO 9Q -z "700 3 PAID BY CASH resentati.ve Date REMARKS: r --M" white -applicant, yellow -building department, pink -school district SCHOOL.FEE (8/88) ♦ C PERMIT NO: 66-90 Lake Oroville Area Public Utility District 1980 Elgin street OROVILLE, CALIFORNIA 95966 533-2000 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 by Lake Oroville Area Public Utility District, must be submitted to Butte County. Date: May 31, 1990 Applicant: LESLIE JOHNSON Applicant Address: 1033 Cordelia Ct . , Chico, CA 95926 Applicant Phone No.: 345-8032 Property Location (s): 73 Hercules Avenue, Oroville, CA 95966 Lakeridge Village Estates, Lot 21 A. P. No. (s): 69-58-19 Fees due: $900.00 SC -OR Regional Facility Charge & $275.00 LOAPUD.Connection Fee Application for service approved: LAKE OROVILLE AREA PUBLIC UTILITY DISTRICT Inspection(s) made and successful test(s) observed: Location: Date: By: Lake Oroville Area Public Utility District release to close permit: Date:. By: RESIDENTIAL -PLAN CHECKING GUIDE MISCELLANEOUS ITEMS TO LOOK OUT FOR (CONY D) Exterior plaster - weep screeds (Sec. 4706). �oper roof pitch for roof covering (Chapter 32). �_aoof covering type - (fire hazard). /Rafter ties or bearing ridge beam. �arage door or porch header sizes. ___&dequate bracing. Q. Living area over garage - complete 1 -hour separation required on garage side including supporting walls and posts, etc. "o exits on three-story dwellings (Sec. 3303 & see Mezannines - 1716). • ftic access and ventilation (Sec. 3205). . Underfloor access and ventilation (Sec. 2516). . Combustion air for fuel burning appliances. . Noise requirements on duplexes. Ae soils - special foundation design. . Retaining walls requiring design. . Unusual shape, size, or split level house requiring lateral design. t Flashing at all exterior openings. ®A C 5/89 RESIDENTIAL PLAN CHECKING GUIDE (S.F., DUPLEX & MISC._ONLY) �� Bldg. Permit # -r /��15 OWNER � J 0 tyllt''--'�o n A.P. # GENE .AL f ing requirements: (sideyards cation. ns signed by designer. rgy Design and Compliance. sting violations on property. ms on data sheet. PLOT PLAN and number of permitted living units). omplete parcel size and dimensions. etbacks, sideyards, easements, etc. Vther buildings or structures. rading, fills, drainage. lood hazard. pecial conditions on -creation map or compliance document. .FAU & FAS road setback. FLOOR PLAN omplete to scale plan with dimensions. /Required windows for light and ventilation (Sec. 1205). Sequired windows for second exit (Sec. 1204). kylights (Chapter 34 & Sec. 5207). Human impact glass (Sec. 5406). Required room sizes, ceiling heights (Sec. 1207). CIs in baths, garage, and exterior outlets (Article 210-8). • Li dit fixtures, switches, receptacles, and exterior receptacles mechanical equipment. Locations of water heater, heating and cooling equipmen , other was equipment, and plumbing ixtures. Q. Garage firewall, door size, and closer (Sec. 503(d)(3)). i�k3'0" exterior exit door (Sec. 3304(e)). -replace and wood stove location, alcoves, and clearance. 3-.-�Smoke detectors (Sec. 1210). DETAILS 5/89 for maintenance electrical or Foundation plan complete enough to construct building. loor construction details complete enough to construct building. �b 400f levations and wall construction details complete enough to construct building. construction details complete enough to construct building. F -Fireplace construction details and talcs if necessary. `MISCELLANEOUS ITEMS TO LOOK OUT FOR airway details: landings, rise and run, head clearance, handrails (Sec. 3306). Guardrail details (Sec. 1711 & 3306(j)). rick or stone veneer (Chapter 30). ri--T'j AEYIs s $Y - �.. - •.c' lsri i37 c� v S¢dCTT'rti('ei1S + •:1.x..7, _P.+ + t kept on th0• }_ fl1Y17 O, i1(ly Lr �V :. writt� ► parini�y�n from pf , pubik Works. County --0 f ` •..y_ V.! �J://I T'�.�-..i Lit lam. �e Y� ",: -... ' .. — �� i--1 ��� u>:ES �- per.:.... - -• : � � � - • .. ' : ^ -. � .. � � � � _� �� �...:�� , r • .. � fib�ck o{� � a-s�tbatk,'`� :� .. _ 1� ..: -.►._ Sit lino C� opeLrty . • fide rOl, � :.. ' - Q �- U • � J .' �+� I i J ��': ur A C11lii'i �' tjilthii' tem ��1 Qn Q • N AEYIs s $Y - �.. - •.c' lsri i37 c� v S¢dCTT'rti('ei1S + •:1.x..7, _P.+ + t kept on th0• }_ fl1Y17 O, i1(ly Lr �V :. writt� ► parini�y�n from pf , pubik Works. County --0 f ` •..y_ V.! �J://I T'�.�-..i Lit lam. �e Y� ",: -... ' .. — �� i--1 ��� u>:ES �- per.:.... - -• : � � � - • .. ' : ^ -. � .. � � � � _� �� �...:�� , r • .. � fib�ck o{� � a-s�tbatk,'`� :� .. _ 1� ..: -.►._ Sit lino C� opeLrty . • fide rOl, � :.. ' - Q �- U • � J .' �+� I i J ��': ur A Return to DPW AGRICULTURAL STATEMENT OF ACKNOWLEDGEMENT FOR RESIDENTIAL DEVELOPMENT Section 26-8.1 of the Butte 'County Code, `90-22598 requires this acknowledgement be recorded _----------�""-- ` , --- prior to issuance of a building permit. ' 90-02259_ S Re c F e a The property described herein is adjacent Total to land or included within an area zoned Recorded .for agricultural purposes, and residents Official Records of this property may be subject to incon- County of 1 veniences or discomfort arising from the Butte use of agricultural chemicals, including, Candace J. Grubbs ; but not limited to herbicides, pesticides, Recorder and fertilizers; and from the pursuit 8:01am 1 -Jun -90 of agricultural operations including, but not limited to cultivation, plowing, spraying, pruning, and harvesting which 5.00 5.00 BG 1 occasionally generate dust, smoke, noise, and odor. Butte County has established agricul- tural zones which have as a priority use for productive agricultural purposes, and residents within said zones and on adjacent property should be prepared to accept such inconvenience or disconform from normal, necessary farm operations. All that real property situate in the County of Butte, State of California, described as follows: ALL THAT CERTAIN REAL PROPERTY SITUATE IN THE STATE OF CALIFORNIA, COUNTY OF BUTTE, DESCRIBED AS FOLLOWS: LOT 21, AS SHOWN ON THAT CERTAIN MAP ENTITLED, "LAKERIDGE VILLAGE", WHICH MAP WAS RECORDED IN THE OFFICE OF THE RECORDER OF THE COUNTY OF BUTTE, STATE OF CALIFORNIA, ON OCTOBER 28, 1981, IN BOOK 85 OF MAPS, AT PAGE(S) 11, 12, 13, 14 AND 15. EXCEPTING THEREFROM ALL MINERAL INTERESTS AND RIGHTS IN THE PROPERTY OF WHATEVER KIND, EXCEPTING THE TOP 500 FEET THEREOF AND THERE SHALL BE NO RIGHT OF ENTRY ON THE SURFACE OF SUCH PROPERTY - TO EXTRACT ANY SUBSTANCES THEREFROM AS RESERVED IN DEED RECORDED JULY 29, 1980, IN BOOK 2536, PAGE 363, OFFICIAL RECORDS. Date: May 31, 1990 PROPERTY OWNERS: State of CA ) On this the 31st day of May , 19 90 , before me, ) SS. the undersigned Notary Public, personally appeared County of Butte ) /G-�Li e P. Johnson OFFiCtl�LS�AL Personally known to me. XQ Proved to me on the basis SANDY A. STACK � of satisfactory evidence. NOTARY PUBLIC -CALIFORNIA. o be the person(4 whose name(Y.) is qFldn� ," � bscribed to the within instrument and acknowledged that he • ecuted the same for the purposes therein contained. IN k4lTNESS WHEREOF, I hereunto set my hand and official seal. Nota Present A.P. NoFT 5 6 END OF DOCUMENT OZp 1910- 011-6 ck Ae S -i W/ 0 9, 6ce t y �b�l�i�' I -c - ._ _'(�� ©.moo �,`z � DC��z - ---....- --- --- - -- - - -- - Y, W i� OF CCPL�: iii G Z� Z ��� � , Z C) L4- UJMi Fes. �! )z4 2 0 CGI i .. AFFIDA VIT REQUESTING DUPLICATION OF PLANS (California Health and Safety Code Section 19851) The official copy of the building plans may not be duplicated without written permission from the certified, licensed, or registered professional, if any, who signed the plans and the building owner. I hereby request duplicate copies of the building plans on file with the Butte County Building Division for Permit Number - and the building known as (Residence or Business Name) I am aware of the following three provisions of the Health and Safety Code as follows: 1. That the copy of the plans shall only be used for the maintenance, operation, and use of the building. 2. That drawings are instruments of professional service and are incomplete without the interpretation of the certified, licensed, or registered professional of record. 3. That subdivision (a) of Section 5536.25 of the Business and Professions Code states that a licensed architect who signs plans, specifications, reports, or documents shall not be responsible for damage caused by subsequent changes to, or use of, those plans, specifications, reports, or documents where local governmental agencies, are not authorized or approved by the licensed architect who originally signed the plans, specifications, reports, or documents, provided that the architectural service rendered by the architect who signed the plans, specifications, reports, or documents was not also approximate cause of the damage. Current Building Owner: Design Professional of Record: Signature of person requesting copies: Printed or typed name of person requesting copies: Date: Address: Reason for requesting duplicated set of plans: For Building Department Use ❑ Owner Permission received - Date Sent: DateReceived: ❑ Professional Permission received - Date Sent: DateReceived- Receipt Number. Match 1996