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069-580-039
' -~ ` � 69-59-39 1776-90B,P-E,M JOHNSON, Leslie 174 Lodgeview Dr, Oroville (new t;ingle family)69-58-3992-1109-B '04 Lo'dgevieiv`br,'Oro�ille f ' � � � Arm 0 RESIDENTIAL ' 69-58-39 -`_�-- 92-1109 B,E,M NICHOLS Ralph j 174 Lod' geview Dr, Oroville cont: _Mark Wilson conv cov deck to living/sf S/9 , t i i i f JOB FINALE Signature J=OK O=Not OK = N t Applicable Not 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 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 -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 4. Water; Location -Test -Easement Needed (Sketch) 5. Electricity; Location-Clearences-Grnd-/ /Amp -Concrete 6. Gas; Location -Test -Wrap: / /" L" ft. / /"Nat. or/ /"L"ft./ /"LPG 7. Well Clearance & Disconnect 8. Utility Clearance Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date MOBILE HOME INSTALLATION (Plans) OK except #'s 1. Zoning Requirements -Setbacks Easements 2. Footings; Size -Spacing -Marriage Line 3. Gas; MH Test -Demand -Valve -Connector 4. Electricity; MH Test -Crossovers -Breakers -Clearances 5. Drain; MH Test -Fall -Flex Connector 6. Water; MH Test -Regulator -Connector 7. Water and Sewer Connected -C/O to Grade -HD Approval 8. Gas and Electricity Tagged 9. Exits; Insp.-Sketch 10. Cert. of Occupancy Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 MISCELLANEOUS 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 -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 ✓=OK O = Not OK = Not Applicable Not Readyy RESIDENTIAL (; ' = Date -'UNDERFLOOR (Plans) OK except h's o ing-Setbacks-Easements-Flood-Slope 1,21fig., Main; Soils-Elec. Grnd.-/fj4;41f'q. Depth 3. Ftg., Garage; Soils-Steel-Elec. Grnd.-/ P' 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 &-D-.VV-T-, 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 Dat Card 13-1 Date Card B-1 Date Card B-1 Date Card B-1 Date PLUMBING (Permit),OK except h'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. Shower Pan: Test, First Floor -Tub Access 20. Test Tub & Shower. Second Floor -Tub Access ------------------------------- ------------------ 21. Gas Pipe: Size & Anchors Date Card B-1 Date Card B_1 -------------------------------------- ----------- Date Card B-1 Date Card B-1 Date ELECTRICAL (Permit) OK except N's 22. F'xture & Transformer Clearance -Ins. Protection --- ------------------------------------ - - Elec_Receptacles Spacing -Lights & Switches at Doors -- 24. Size Boxes & No. of Conductors -Stapled 25. Rtsi Installed Close to Edge of Studs & C.J. _Equip. Ground made-up w/Meth. Fastne.rs-Bond Water ---- ------------------------------------------------Gas-&---------------- 27. 2 Appliance Circuts in Kitchen & Conductor Size/GFI -------------------- ------------------------ 28. Subfeed Wire Size/ / ga. Cu or AI-A.C. Wire Size! / ga. . Cu or At -------------- -------------------------------------- ------------------------------- 29. -- -------------------------------------------------------- 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. Smoke Detector -------------------------------------------------------------------------------- Date Card B-1 Date Card B-1 --------------- ------------------------------------------------------------------ Date Card B-1 Date Card B-1 Date MECHANICAL (Permit) OK except h's 3 C. Ducts Insulation & Support --------_ 5 Vent Fan Exhaust above insulation ------------------------ -------------- 36. _Condensate Drain & Overflow: Size & Grade - 37.- Furnance-Vent:---Access-Comb Air -Return -Air Vent --1-1-5 -outlet- -------------------------------------------------- 38. Attic -Access-&- Platform if Furnance in Attic ------------------------------------------------------------------------------- Date ------------------------------------------------------------------------------ - Card B-1 Date Card B-1 Date C d B-1 Date Card B-1 Date FR ING (Plans) OK except h's 9 Is. Proper Material & Anchors ------- ------ ---- -------------- 0. -------------- --- ails Studs -Nailing. Spacing & Bracing -Plates -Sound -------------------------------------- ----------------------- 1. 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 jingle & 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.r Walls; Nailing -Bolts -- Insulation -walls -Ceilings EJAS - 60.- Infiltration -Walls -Windows J J ------------------------ - Date gJ-Fgy Card B 1 Date Card B-1 Date[ Card B 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 -Meth. Protection 64. Bedroom Exiting 65 G.F.1 & Bath Fixtures & Tub Access-Spa 66. Elec. Trim & Subpanel; Breaker Sizes & Labels ---------- fairs & 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 A C.. Duct in Garage -Damper -- 74. Wtr. Htr.: 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 -------------------- -------- nsul tion -Foam -Looked in Attic ❑ Yes ---- ------------- ----- --- --T---------------- ails & Deck Construction -Post Caps -- ------------ ----------------- ---- - - - - Fdn., Vents & Crawl Hole Door -Drainage & Wood -Earth Clearance Looked under Floor ❑ Yes ..-_...------------------------------------- 80. Following instld.: Drive ❑ Yes ❑ No; Walks ❑ Yes ❑ No; PI ❑ Yes ❑ No ------------------ ------- ------------ Stucco: Brown -Finish 82. A.C_Unit: Disconnect_ Electrical, Plumbing -- 83. Vents Above Roof; Plbg.-Appliance-Fireplace.-Clearance to Openings 84. Wat------------ e _ Iell; Disconnect, Electrical. Plumbing 8 xt 'or Elec. Trim; G.F.I. Receptacle -Underground ent' ton Throughout House - - - - - - ----- ------------------------ -- 87 ass Protection --- - --------------------------------------- 88. Corrections from Previous Inspections - - - -- - - ----- ----------------------------------- 89. Gas Test -Meters Tagged: Gas -Electric _ 90. Water & Sewer Connected -C/O to Grade -HD Approval ------------ -- - - - --- ----- - ----= Energy Compliance Certificate -Other Certificates Date / 9 ---�� rd 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: 'k r COUNTY OF BUTTE' DEPARTMENT OF PUBLIC WORKS 1469 Humboldt Road, Chico, CA - (916) 891-2751 ' 7 County Center Drive, Oroville, CA - (916) 538-7541' 747 Elliott Road, Paradise, CA - (916) 872-6307 CORRECTION NOTICE A -� Aid— t WNER .1 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 ofwork is completed. If you have any questions pertaining to this matter, or need additional explanation, please contact this office immediately. 3 d :`4 rel Date Inspector REV 11/91 ..5 COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Orovifler Cali.Tornia 95965 - Telephone: 916.'538-7541 APPLICATION AND PERMIT PERMIT NO. r UN ASSESSOR PARCEL NUMBER 069-580-039 ZONING A R 1 BUILDING PER OWNER RALPH NICHOLS TELEPHONE SQ.FT. OCC. BUILDIN ATION i 168 @ 41 6,888 COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Orovifler Cali.Tornia 95965 - Telephone: 916.'538-7541 APPLICATION AND PERMIT PERMIT NO. r UN ASSESSOR PARCEL NUMBER 069-580-039 ZONING A R 1 BUILDING PER OWNER RALPH NICHOLS TELEPHONE SQ.FT. OCC. BUILDIN ATION OWNER'S MAILING ADDRESS 174 LODGE VIEI1 DRIVE OROVILLE 168 @ 41 6,888 CONTRACTOR'S NAME NARK WILSON TELEPHONE 342-3393 CONTRACTOR'S MAILING ADDRESS 8 PICUAL CT CHICO Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation is 6,888 LENDER'S MAILING ADDRESS Filing Fee $ 15.00 Permit Fee $ 75.00 ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ 37.50 Energy Plan Checking Fee $ 20.00 ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS 174 LODGE VIEW DRIVE OROVILLE Permit tee $ 147.50 PLUMBING PERMIT Filing Fee 15.00 Each Trap 1 5.00 Solar or heat pump water heater 1 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP IV 15 Water piping 1 7,00 Each qas water heater or vent 7.00 USE OF STRUCTURE SF D 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 ❑j Addition [ J Remodel ❑ Uti lities ❑ Installation ❑ Other ❑ Describe work: CONVERT 168 SO FT OF COVERED DECK TO T.TVTNG Reim Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 15.00 Main service 200A OR LESS 18.50 Main service 20CATO IOOOAI 37.50 CONTRACTORS LICENSE LAW 1 decla a under penalty of perjury (Check one): I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Profess' Godde-d my license is in f I force and effect. License No. '1y Classification 16 El 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) EJ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) E]I am exempt under Sec. , Business and Professions Code for this reason NEW CONST.( DWELLING OCCUP.&� OR ADDNS. ACC. BLDGS. 3.6Qsq.ft. 5.90 NEW CONSTR MULTI -OUTLET NON•RES19 IU BRANCH CIRC ITS @ 5.00 (POWER APPARATUS &1 I SINGLE OUTLET CIR. / Ex. Occup(OUTLETS OR FIXTURES 20 764 FIXED Ex. QCCUp. OUTLETS IIRESID )REA.� 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): ❑ The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department Certificate of Workmen's Compensation Insurance or a Certificate ;/01f Consent to Self -Insure. shall not employ any person in any manner so as to become subject 1 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 DUCT EXT .00 Coolin g Hood 6.50 Ventilation Permit Fee $ 24.00 Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the Countyot Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnif nd keep harmless the County of Butte against all liabilities, judgments, cos J and expenses which may in any way accrue a s s ,•d County in coCn/seq ince of the granting of this permit. Date - I I - (z_ i'gnature of Applicant — Owner❑ Contractor 6 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 $ /L0.00 occ CONST TYPE TOTAL FEE $ 232.40 HAz �-- DFEES IMP �- FLOOD — CDIF PARCEJt t-// PO HD ISS This permit is hereby issued under the cions of the Butte County Code and/or work indicated ab ve for which fees IF TOR F PUBLIC By ' PE IT EXPIRES Date L applicable provi- resolutions to do j have been paid. WORKS Date 5- Z -' Receipt No. l �, WNIT!-D.P.W., YELLOW -ASSESSOR, PINK•IN9PECT0 R, GOLDEN OD -APPLICANT 'COUNTY OF BUTTE - DEPARTMENX OF PUBLIC WORKS - BUILDING D VIS I ION 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE: 916/538-7541 `t PERMIT 4APrOCATION DATA SHEET ti a // €. Permit No. _,✓.r' OWNER l 015 A. P. No. " J "v Proposed Building Use �iyiUG �.� /��1�•�idi✓ Building Inspector Date lO fZ At time of permit application, I was advised the following data must be submitted prior to permit processing and/or issuance: All items have been submitted. DATE RECEIVED APPROVED Plot plans in duplicate/tripli °led by preparer of plans ....... . omplete plans in duplicatk 16te, signed by preparer. of plans 4. Complete engineered plans and calcs with wet signature on plans .. 5. Hazardous Material Form .......................................... 6. Energy Design Compliance and supporting documentation ......... ' 7. Statement of Intent for Non -Heated and AC Buildings .............. 8. Engineered truss details and layout in duplicate (required prior to plan check) 9. Mobilehome installation data including manufacturer's installation instructions . 10 Fees of r 9. ®o :......................................... s ri Chico Urban Area fees paid ....................................... Park fees paid or- 10 UJZOrjC 4 School District fees paid .............. `L i011e 14. Sanitation approval from Lsc)^ - ,df/Z--? Health Department 15. City of Chico plumbing permit ..................................... 16. Plot plan and business license approval from City of (see City for other requirements) r 17. Planning approval for (A) Use: (B) Parking: 18. Improvements may be required. Contact Land Development Section DPW 19. Driveway permit (construction approval required prior to occupancy) 20. Pre -Inspection for required Pre-Inspec. request to Building Inspector (Date) 21. Contractor's license information (No., Name Style, Classifications ... 22. Certificate of Workmans Compensation Insurance .................. 23. Owner -Builder Verification (Given to owner ❑, Mail to owner ❑) ..... 24. Recorded copy of Agricultural Acknowledgment Statement ......... 25. Letter of signature authoriiation................................... 26. 27. When you issue the permit, process as follows: Mail to owner. Mail to cont c`tor.� _Telephone 3y2-.���`. and hold for pickup at office. Del.iver w/inspector. T Other Applicant Date Copy of !-Idz-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 is uance: rcle a item -not ked above). 1. Index permit for above items No. 7. 2. Additional items required: v v - , esigner, owner, was advised of above required data b _ q y phone�natI_co`unter by date ��t7rl,tymdeslgner, owner, was advised of above required data by �hone_mail_counter^by. -date jblP/YJ J Plans checked by Date checked by_ Date�Plans approved h/) Date v�f14' 1 approved hU 1 Date v�f14' 19'"L Sets of plans on hold in File cabinet AP folder Copy—DPW CoA -I-aD COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT NO. 7 County Center Drive - Oroviller California 95965 - Telephone: 916 '538-7541 APPLICATION AND PERMIT ASSESSOR PARCEL NUMBER ^` ZONING BUILDING PERMIT OWNER / `� S TELEPHONE SO. FT. qCC.1 BUILDING VALUATION OWNER'S MAILING AD SS / �(//]V� ff ^/ CONT ACTOR' NAIYtG`{-� - TE EPHONE OF �f 23353 CO TRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER - UNKNOWN Total Valuation $ 8� LENDER'S MAILING ADDRESS ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 15,00 Permit Fee Plan Checking Fee $ �Jr 0 $ O ARCHITECT OR ENGINEER'S MAILING ADDRESS - Energy Plan Checking Fee $ Penalty $ BUILDING ADDRESS i / D �l `IlView rC (`7� L• Permit fee $ PLUMBING PERMIT Filing Fee 15.00 Each Trap Solar or heat pump water heater 1 5.001 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP Water piping 7.00 Each qas water heater or vent 7.00 USE OF STRUCTURE SF� Duplexi I Mobilehome[] Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 15.00 Mobile Home JTFG LW @ 15.00 TYPE OF WORK Never Addition. Remodel pr! Utilities❑ Installation[ Othet Describe work:O tF 1-14Ur" gitGl� 1 ��'�j�;uc- �,o®,riL Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 15.00 Main service 200A OR LESS 18.50 CONTRACTORS LICENSE LAW I declare under penalty ,perjury--pcheck one): `I 1 am licensed under provisions Of Chapt. 9, Div. 3 of the Business Professions Code and my license is in full force and effect.License .Jo. ClassificationEx. 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) - Q" I, as the owner, am exclusively contracting ,with licensed contract- ors. (Sec. 7044) - r 1 am exempt under Sec. Business and Professions Code for this reason Main service 200ATO1000AI 37.50 NEW CONST. / DWELLING OCCUR.&\ OR ADDNS. ACC. BLOGS. / l 3.66sq.ft. NEw CONSTR. r ULTI.OUTLET NON•RESID. BRANCH CIRC SITS (SPOWER APPARATUS INGLE OUTLET CIR.e)and �111 Occup( OUTLETS OR FIXTURES FIXED APLNS. EX. OCCUp. OUTLETS (RESID.)REA.) 1 3.001 1 Temporary service 1 15.00 Mobile Home Facilities5.00 1 Misc. IlVirin 9 15.00 Permit Fee $ 2 WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): r The permit is for $100.00 (valuation) or less. I have placed on file with the County of Butte Building DepartmentGfi a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. Ir 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 I MECHANICAL PERMIT FiIingFee 15.00 Heating Cooling 9 Hood 6.50 Ventilation p Permit Fee $ 7� 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 OT 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 FJAgent� A An OSHA permit is required For excavations over 5'0" deep a d demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee S 71 Energy Inspection Fee $ ZJA OCC CONST TYPE I TOTAL FEE $ Z LIMP FIA2 I ! I DFEES FLOOD COF I PARCEL I PD t,o ssuE This permit is hereby issued under the Bions of the Butte Count Code and/or y work indicated above for which fees DIRECTOR OF PUBLIC By PERMIT EXPIRES Date applicable provi- resolutions to do have been paid. I WORKS I Date {� Receipt No. PC l� WHITE•O.P.W*. YELLOW -ASSESSOR. PIN% -INSPECTOR. GOLDENROD- PPLI CANT *1 '.'HEATING. VENTILATING, AIR CONDITIONING SYSTEM (A) Heating ❑ Central Gas Furnace % (brand and model number) SE Btu/hr (heating-capacity) ❑ Heat Pump (brand and model number) ACOP Btu/hr (heating capacity at 47°7) ❑ 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) ❑ * 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(8), and fill out the following:, Heating: Winter design temperature °, elevation ', heating load BTU elevation factor x heating load maximum outlet capacity gas furnace BTU Cooling: Summer design temperature ", cooling load BTU *2 Submit T.I.P.S.E. chart or other approved system (form #5) to document sizing of solar panels. ® DESIGN COMPLIANCE STATEMENT: The above building design meets the re u'rements of Title 24, Part 2, Chapter 2-53 of the California Administration Cod •. SIGNATURE OF BUILDING DESIGNER OR APPLICANT ADDITIONS TO RESIDENTIAL -BUILDINGS ENERGY SHEET PACKAGE "A" (Additions) Owner Permit # Floor Area FORM 7 Climate Zone 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) 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 HOT WATER SYSTEMS IN CONJUNCTION WITH AN ADDITION SHALL BE INSTALLED AS SHOWN ON BACK OF THIS SHEET. OTHER 12/85 ,a...r.Y•wr4.nMW�1W�t+7�`rD,%r4K�f'i"�,.��y��,��`:r.�.�rb-rc'#�1i�Wn2'+Yk�'�„�i'"'ii,,,4.�%'�''Xp'�iti`Y�+��''��Fo-A"#1i0`�'Eij'a.tiri�'rM*..!'.%rv'r'-s+`"t lA,: rj { • Er BUTTE COUNTY SCHOOLS DEVELOPMENT FEE CERTIFICATION FORM (one Form} per Building) A.P. Number Qlp%-WO--031'7 Building Department .No. School District Q� City [:::] County t�g Jurisdiction Property Owner C y o S Project Location/Address 77L Lo Subdivision Residential Development: � a COUNTY OF BUTTE BUILDING DEPT # of Living MHI MAY 14 1992 units Lot Number Sq. Footage MIR Addition (Group R) Commercial/Industrial: Sq. Footage New Addition (Including Exterior Roofed Areas) /d 2 Builaing Department Representative ate (Floor Plans reviewed by School District Personnel). District Id No. School District certifies,that (Applicant Name) (Phone Number) .(Street dress) (City) (State) (Zip Code) has complied with the requirements of Resolution No. by the- pa ment of $_0 A representing jh� square feet. School District Rep sentative Date PAID BY CHECK NO. REMARKS: �lJ BANK NO 69 If PAID BY CASH white -applicant, yellow -building department-;;,-;pink-school district SCHOOL.FEE (8/88) 0 Y / a. RESIDENTIAL + 69-58-39 1776-90B,P,i M�� JOHNSON, Leslie D 174 Lodgeview Dr, Oroville (new single family) ' • 71/.3191 } it • f" _A, e 4r /J/2 L/� �'`�.��,� ,�vc.vt/� �✓ice �.L j..,,q�-y l� 4 OFFICE COPY Address Gj' 1-f/�C3Zt% ( GAS i Meter By Date + ELECTRIC Meter By t .a Y •t JOB FINALE Signature it OK O = Not OK - -=.Not Applicable MOBILE HOMES ' Not Ready 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. / P'Nat. or/ P L" ft./ /"LPG 7. Utility Clearance Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date MOBILE HOME INSTALLATION (Plans) OK except #'s 1. Zoning Requirements -Setbacks Easements 2. Footings; Size -Spacing -Marriage Line 3. Gas; MH Test -Demand -Valve -Connector 4. Electricity; MH Test -Crossovers -Breakers -Clearances S. Drain; MH Test -Fail -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 #'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.-Rig.-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 SUDDIY 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 = Date UN RFLOOR (Plans) OK except #'s Zoning-Setbacks-Easeme s ood-Slope Ft , Main; Soils-Ele. Grn //Z/J' Ftg. Depth Ftg., Garage; Soils-Steel-Elec. Grnd.-J 24:-Ftg. Depth 4. Ftg., Porches &'Decks; Soils -Steel-/ /Ftg. Depth . Ste alis, Main; Steel -Bloc kouts-Wrapped 6 temwalis, Garage; Steel -Blockouts-Wrapped Hol wns and SPeetaf,A hors Slab; Steel -Wrapped Pier eplace Ftg.-Steel .W.V.; Fall -Fitting -Test -2 Way C/O -Sewer Test as Pipe; Size -An ater Pipe; T t-Ancho-Regulato Service Test Underground Pienums & Ducts; Clearance -Material -Support -Ins. 44 -Sills -Anchor Bolts -Joists -Vents -Cripples 15. Insulation Date Card B-1 ,w Date Card B-1 Date //•4�C)Card B-1 44 Date Card B-1 Date PLUMBING (Permit) OK except #'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. Shower Pan; Test, First Floor -Tub Access 20. Test Tub & Shower, Second Floor -Tub Access 21. Gas Pipe; Size & Anchors Date Card 371 Date Card B-1 Date Card B-1 Date Card B-1 Date ELEC ICAL Permit OK except #'s fT'FixUoe-&Transformer Clearance -Ins. Protection Elec. Receptacles Spacing -Lights & Switches at Doors 4 ze Boxes & No. of Conductors -Stapled mex Installed Close to Edge of Studs & C.J. 26. Equp. Ground made up w/Mech. Fastner and Gas & Water Appliance Circuts in Kitchen & Conductor Size/GFI r28,.Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / / ga. Cu or Al' Range Circ. / / ga. Cu or AI -Oven Circ. / / ga. Cu or Al. ,Rystrlated Neutral ❑ Yes ❑ No 0. Service -Riser Conductors & Ground -Main Disconnect Clearances Panels-Motors-Mech. Equip. 30-612 s Closet Light -Shower Light -Spa Light moke 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. 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 Date Card B -1 - Date FRAMING (Plans) OK except #'s 9&t5, Proper Material & Anchors Wa Studs -Nailing, Spacing & Bracing -Plates -Sound ea pg Walls over Girders & Floor Nailing t Stop in Walls (rat proof) 434itp Stops; Furred Ceilings -Stairs -Chases -Tub 44" -Headers & Beam -Size & Bearing (Single & Duplex) Date t6e�CInVJoist-Rftr. ties-Purlin—roof Bra j.TZT thng.-Rfng. irepl Ties or Type A Flue -Fireplace Throat clearance ic- Access; Size & Romex Protection -Draft Stop -Ins. Baffles 4Q_-9-drn1,Wf-ndows or Exiting Doors -Sill Hgt. & Dimensions Fire Protection F r Line Firewall & 52.,E -%f. Doors -One T -Check Garage -3rd Story, 2 Exits S . irs; i - eadroom-Rise-Run-Landing-Fire Protection 5 0 Ff on Roof Overhang -Attic Vents -Rafter Outriggers 5 . ing-Nailing Veneer uc o Mesh Drip Screed -Fd. Vents-Underflr. Access la ' Area Glass Protection -Skylights -Plastic, h alts; Nailing -Bolts nsulation-Walls-Ceilings 60. Infiltration -Walls -Windows Date]/- Qard B-1 Date Card B-1 Dateand B-1 Date Card B-1 Date FIN tans OK except #'s 1nF. Steps -Door & Sidelight Protection -Landings 62. Smo 'Detector urn e; Vents -Clearance -Comb. Air-Connector- �arage; Above Floor-Ducts-Mech. Protection 64. Beqpxf6 Exiting 6 F & Bath Fixtures & Tub Access -Spa EI rim & Subpanel; Breaker Sizes & Labels Rails Fire a or Stove; Clearances -Hearth I utlets at Wood Panel; Int. & Ext. ixt. & Appliance; Grnd.-Air Gap -Cooking Clearance ICY'l EI utlets & Receptacles at Kit. Counter 7 . Garage Fire Door; Swing -Landing -Closer in Garage- a tr. Htr.; Vents -Clearance -Comb. Air-Connector-P.R.V. I arage; Above Floor-Mech. Protection 7 Plb., Elec. & Mech. Equip. Listed for Location 76 eceptacles in Garage; (G.F.I.)-Romex Protection In 10 -Foam-Looked in Attic ❑ Yes . Gua & Deck Construction -Post Caps Fdn. Vents & Crawl Hole Door -Drainage & Wood -Earth Clearance Looked under Floor ❑ Y 80. Following instld.; Drive eso; Walks ❑ Yes ❑ No; PI `rs ❑ Yes ❑ No St c; Brown -Finish LJW`A.C. nit; Disconnect, Electrical, Plumbing ents Above Roof; Plbg.-Appliance-Fireplace.-Clearance to Openings Disconnect, Electrical, Plumbing Exter'� r Elec. Trim; G.F.I. Receptacle -Underground enti tion Throughout House ass Protection 88. Corr ctions from Previous Inspections qaJ Test -Meters Tagged; Gas -Electric A;< Water & Sewer Connected -C/O to Grade -HD Approval nergy Compliance Certificate -Other Certificates Date _ Card B-1� v 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) �1 LESLIE JOHNSON 1033 CORDELIA CT CHICO CA 95926 1;Utte Count, LAND OF NATURAL WEALTH AND BEAUTY DEPARTMENT OF PUBLIC WORKS WILLIAM (Bill) CHEFF, Director 7 COUNTY CENTER DRIVE t OROVILLE, CALIFORNIA 95965 Telephone: (916) 538-7541 .TUNE 17, 1991 RONALD D. McELROY Deputy Director RE: Building Permit No. 1776-90 Expiration Date 7-13-91 (A.P. No. 69-58-39 ) With reference to the above subject, our records indicate that your Building Permit EXPIRES on the above date. Building permits are valid for one year and should construction be started but not completed by the expiration date of the permit, the .permit shall be renewed for z the original Building Permit Fee (plus a $10.00 "Filing Fee"). The renewal permit will extend the Building Permit for an additional year from the original expiration date. Should you not renew your permit within thirty days of the expiration date, it cannot be renewed and all work must cease until a new building permit is issued. I F If your construction is completed or should you have any questions concerning this matter, please contact the OROVILLE_,office.� For your convenience, we are enclosing,a,rerewal application form and owner - builder form to be completed and signed 'by�rou where indicated and returned to this office together with the fee shown. Please return all copies of the application form. I Thank you for your prompt attention concerning this matter. Yours very truly, � William Cheff Director of Public Works Glander JFG:aam ferilef Building Inspector Attachments: Permit Application Owner -Builder Information Owner=Builder Verification cc: Building Inspector - Chico - 196 Memorial Wav/ t / tNERGY CERTIFICAT N LOCATION A. P. NO. ROOF MATERIAL THICKNESS BRAND NAME EXTERIOR WALL " THERMAL RESISTANCE (R VALUE) MATERIAL FIBEGLASS BRAND NAME CERTAINTEED THICKNESS (INCHES) �' __ CEILING _ THERMAL RESISTANCE (R VALUE BATT OR BLANKET TYPE FIBERGLASS BRAND NAME CERTAINTEED_ _ THICKNESS__ (� _ LOOSE FILL TYPE_FIBERGLASS _ THERMAL RESISTANCE (R VALUE) MINIMUM THICKNESS(INCHES)OF BRAND NAME CERTAINTEED 'Z AREA COVERED (SQ FT) D BAGS-_ -WT PER RAG LB THERMAL RESISTANCE FLOOR, ELEVATED (R VALUE) MATERIAL FIBER LASS THICKNESS (INCHES)_ BRAND NAME CERTAINTEED FLOOR, SLAB THERMAL RESISTANCE (R VALUE> _L�- MATERIAL THICKNESS (INCHES) FOUNDATION BRAND NAME THERMAL RESISTANCE (R VALUE) WALL' MATERIAL THICKNESS (INCHES) BRAND NAME 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 379+07 FIRM NAME/OWNER STATE CONTRACTOR'S LICENSE NO. SIGNATURE - 0 r DATE I HEREBY CERTIFY THE ABOVE INSULATION AND 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 SPECIFIC LLY APPROVED BY THE STATE OF CALIFORNIA. I NA / WNER STATE CONTRACTOR'S LICENSE NO. SI NATURE G N. CONTRACTOR/OWNER DATE -1- v�`.v-r�v�r�t.�7(T-SKy'`�','r•. .b r•RY';=�.J��...1�•'g4^-C���n-� .n:y Y""4 i✓�i'�'A4eVe.. s:'i'ie:' N„'Gs41 s+^M':..y�A,,,�(ii.4+�5`� COUNTY OF BUTTE E, s DEPARTMENT OF PUBLIC WORKS W196 Memorial Way, Chico — Phone: 891-2751 _ 7 County Center Drive, Orovi Ile — Phone: 538-7541 AW ,747 Elliott Road, Paradise — Phone: 872-6307 CORRECTION NOTICE kOWNER - t 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 pertainingto this matter, or need additional explanation, please contact this office immediately. 0X fc-, �""y' %, kuZ- :w Date �� /� Inspector -(% . - F- .. - .'� ...ra �t *,ice �+t. r _ z��..:"'"•,�9�1(;«.:FA's � . '�'i.. a'A .... .. � _ .!'...'. \ 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 it 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. L% /-B . / q fr mac. 14 % W- l 1=.� IJ c'bi E�:36ze5 (�;z Date 1 Inspector_ 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 t CORRECTION NOTICE OWNER 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. ZZd V `-' / o 7(k3 ci .yam Z , VL A, 5 .ean-^ • 1. /� l 1�,--�,i � � Date// -7,-7 Inspector 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 ER ITN(T. 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 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 _- 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. 1 JVA,, COY (X ��` .� ✓ V - 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 /779-7.0 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 �x matter, or need additional explanation, please contact this office immediately. •� V ' X- I a s' t �f Date '�' Inspector ej�M s:i COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS !� 7 County Center Drive - Oroviller California 95965 - Telephone: 916/538-7541 APPLICATION AND PERMIT PERMIT NO. 1776-90 ASSESSOR PARCEL NUMBER 69-5A-39 ZO IN BUILDING PERMIT ' OWTNER eslie Johnson 1 T LEP NE 345-8032 SO. FT. OCC. BUILDING VALUATION 1854 R 74,160 ER S MAILING ADDRESS OWNER'S 1033 Cordelia Ct Chico 95926 528 M 7,392 CONTRACTOR'S NAME Ownpr TELEPHONE 168 (07 168 COV 1,680 ppen 1,400 CONTRACTOR'S MAILING ADDRESS "All Fireplace I1,000 CONSTRUCTION LENDER UNKNOWN Total Valuation Is Filing Fee $ 10.00 LENDER'S MAILING ADDRESS - Permit Fee $ 91.00 ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee Energy Plan Checking Fee $ 15.00 ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS 174 Lodpyipw Dr. D Permit fee PLUMBING PERMIT Filing Fee 10.00 Each Trap Lo 2.00 20.00 Solar or heat pump water heater 20.00 LOT NO. -LLZ-- SUBDIVISION NAME t / 441ke PARCEL MAP Water piping 5.00 5,00 Each qas water heater or vent 5.00 5.00 USE OF STRUCTURE SF CU 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 000e TYPE OF WORK NewKR Addition[] Remodel El Utiljties(SII allation❑ Other[] Describe work: MaRt-Pr # �� _ Permit Fee $ 50.00 Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 100 AMP OR00V 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): rill I am licensed under provisions of Chapt. 9, Div. 3 of the BuslnesS and Professions C de and my license is in full force and effect. License No. -� S Classification r_1I, 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. k ACC. SLOGS. / /22sq ft 46.35 NEW CONSTR ULT' -OUTLET NON-RESID BRANCH CIRC ITS 2.50 ea /POWER APPARATUS 6 (SINGLE OUTLET C'R. Eo 20®OO¢ x. Occup( p( UTLETS OR FIXTURES 9ALO 30 FIXED APLINIS EX. Occup. OUTLETS P(RESID )'EA.) 1 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring g 15.00 Permit Fee $ 68.85 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. (Ta 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 6.00 Cooling 6.00 Hood 3.00 3.00 Ventilation 9.00 Permit Fee $ 34 , . 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 id ounty in con equence of the granting of this permit. X Date 31 --y' d Signature of Applicant Owner El 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 c co s n E TOTAL F $ 613. 5 HAz CUA PARK sc F� P R D HD Issu This permit is hereby issued under the applicable sions of the Butte County Code and/or resolutions work indicated above for which fees have 1 T OF UBLIC WORKS By Dat PERMIT.EXPIRES Date provi- to do been paid. I5 90 Receipt No. 66393 WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT COUNTY OF BU - DEPARTMENT,OF'PUBLIC WORKS - BUILDING bIVISION ER DRIVE - OROV4�ltL-E 4(IFORNIA 95965 - TELEPHONE: 916/538-7541 PERMITAPPLICATION DATA SHEET ---) Permit No OWNER h f A. P..No. Proposed Building Use 51kBuilding Inspector 4 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 plahi Jn duplicate/triplicate,_signed by preparer,of plans........ 3. Complete plans in duplicate/tripiicater signed by'preparer.of plans 4. Complete engineered plans and calcs, with wet signature on plans 5. Hazardous MaterialfForms f........................................ 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. Mobilehcme installation data including manufacturer's installation :w 'inst`ructions....................................................... Fees of $ `` ........................ 11. Chico•Urban. Area fees paid ................. r 12. Park fees -paid .................................................... 13. School District fees paid ...... ...... 14. Sanitation approval from Health Department 15. City of Chico plumbing permit .....................:... ........ 16. Plot plan and business license approval from City of (see City for other requirements) 17. Planning approval for (A) Use: (B) Parking: 18. Improvements may be required. Contact Land Development Section DPW 19. Driveway permit (construction approval required prior to occupancy) ` 20. Pre -Inspection for required Pre-Inspec. request to a Building Inspector -(Date) 21. Contractor's license information (No., Name Style, Classifications ... 22. Certificate of Workmans Compensation Insurance .................. 23. Owner -Builder Verification (Given to owner ❑, Mail to owner ❑) .... . 24. Recorded copy of Agricultural rAyycknoo�wledgment Statement ......... . Letter �Sgsat � auth �atioTP 1 . /...................... . 2. e IN. When you issue the permit process as follows: Mai to owner. Mail to contractor. Telephone * and hold for pickup at _office. Deliver w. /inspector. Other Applicant Date 5—Y—lo 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 's nce: (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—mal I —counter by ..date— Contractor, designer, owner, was advised of above required data by —phone —ma II—counter by date— Plans checked by . Date Plans approved by Date 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 s Zq;iature , .F 7 �cJ� ev'�ec✓ ��, 9 location AP has been issued for the above property. 3/ -to date 7 County Center Drive - Oroville• California 95965 - Telephone: 916/538-7541 APPLICATION AND PERMIT AS ES DR PARC L NU ZONINfi BUILDING PERMIT OWNER TELEPHONE SQ. FT. OCC. BUILDING VALUATION R'S MAILI ADDR SS �� 33 �, C TR CTOR'S NAME a TEL PHONE /> d CONTRACTOR'S MAILING ADDRESS Fireplace '• t'r 00 N� RUCTION TION LENDER UNKNOWN Total Valuation $ L N R'S MAILING ADDRESS Filing Fee $ 10.00 Permit Fee $ ARCHITECTT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee A C ITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS �O Permit fee $ PLUMBING PERMIT Filing Fee 10.00 Each Trap/ L? 2.00 orb ✓ Solar or heat pump water heater 20.00 LOT NO.SUBOIVISION NAME PARCEL MAP Water piping 5.00 Each qas water heater or vent 5.00 00 USE OF STRUCTURE SF P' Duplex[] Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets 5.00 s' Building sewer 5.00 — Q Mobile Home S G W 0.00e TYPE OF WORK Newt/ Addition[] Rem I❑ tilities❑ Installation❑ Other❑ Describe work: 7Cf A I Permit Fee $ S(9 On Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 6000V OR 0 AMP ORSLESS 10.00 16.190 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 F1I, 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.81 DR ADONS. (ACC. BLDGS. I /z¢sgft NEW CONSTRESID. RANCH TLET NO N•R ESID BRANCH CIRC ITS CIRCUITS) 2.50 ea POWER APPARATUS &) (SINGLE OUTLET CIR. Ex. Occup( OUTLETS OR FIXTURES 20®306 eAL@3o FIXED Ex. Occup. OUTLETS PP IRESID,IALNS.REA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring g 15.00 Permit Fee Contractor $ WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. ❑ I shall not employ any person in any manner so. as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. MECHANICAL PERMIT Filing Fee 10.00 Heating Cooling g Hood 3.00 Ventilation Permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save• indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue against said County in consequence of the granting of this permit. X Date Signature of Applicant — Owner ❑ Contractor ❑ Agent ❑ An OSHA 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 TOTAL FEE $ HAZ CUA PARK scHL FLD PAR I PD I HD ISSUE Th;s permit is Hereby issued under sions of the Butte County Code and/or work indicated above for which fees DIRECTOR OF PUBLIC By PERMIT EXPIRES Date the applicable provi- resolutions to do have been paid. WORKS Date Receipt No. WNITE-O.P.W., YELLOW-ASSE770R. PINK -INSPECTOR. GOLDENROD -APPLICANT BUTTE COUNTY SCHOOLS DEVELOPMENT FEE CERTIFICATION FORM (One Form -per Building) A.P. Number /ogi_ C;8c} Building Department No. School District Own euu City-= County � Jurisdiction Property Owner_�g��nkn��M Project Location/Address L0,1 C`.P1)i&6 Subdivision QYI�-Q,� '- QI�Q Lot Number .Residential Development: © a Sq. Footage 1�5 # of Living MHI Addition (Group R) Units l Commercial/Industrial: a a Sq. Footage New Addition (Including Exterior Roofed Areas) b7 31- 90 Buildin<Department Representative Date (F1oor.Plans reviewed by School District Personnel) District Id No.� (� School District certifies that (App icant Name) (Phone Number) /033. C (Street.Address) Ca (City) (State) (Zip Code) (has -complied with the requirements of Resolution No. ,Pi- 0 by 'the pay ent of $ 3,;2-- representing �s` square feet. School District'Rep€bsentative Date PAID BY CHECK NO., BANK NO PAID BY CASH REMARKS: white -applicant, yellow -building department, pink -school district SCHOOL.FEE (8/88)• PERMIT NO: 65-90 Lake Oroville Area Public Utility District 1960 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): 174 Lodgeview Drive, Oroville, CA 95966 Lakeridge.Estates, Lot 112 A. P. No. (s): Fees due: 69-58-39. $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: Lake Oroville Area Public Utility District release to close permit: Date: By: ..._<., / 02 •�jG�h \ pyo' ! i. BY...-4� '. .�-I�•. DATE- �_� ! !,✓SUBJECT..✓t --- ---� f 1---f L. ?�__ �� lSHEET N0.. OF aG CHKD. BY---------- DATE. �r '!?.-.x.. Y4Z�O� i -- JOB JOB NO. aD%� ,.------------------------------------------------------------- u1-amsL-- _r.a '4jI-4: ----------------- CJ G,i to 0 lJ\cat1o0 MV pec A s - At ok o�khe \ob015,%oe oti �,pyPOP kart �n3 5 v 3M ��\tt itoO (�o�r� 4 . Vdo�' • t- ' e�baG� ��� Vca t�' y ��� OkGePi .01 ea`l j 4 ti Co 01Q P ads;ee�� G� t Lon��vItvu ' Return to DPW AG ICULTURAL STATEMENT OF ACKNOWLEDGEMENT FOR RESIDENTIAL DEVELOPMENT Section 26-8.1 of the Butte County Code requires this acknowledgement be recorder: prior to issuance of a building permif. 90-22597 The property described herein is adjacent 90-022597 : Rec Fee to land or included within an area zoned 1 Total for agricultural purposes, and residents Recorded of this property may be subject to incon- Official Records i County of veniences or discomfort arising from the Butte use of agricultural chemicals, including, J. 1 Candace J. Grubbs but not limited to herbicides, pesticides, and fertilizers; and from the pursuit Recorder ' of agricultural operations including, 8s01am 1 -Jun -90 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 112, 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 , 1990 , before me, ) SS. the undersigned Notary Public, personally appeared County of Butte ) 4L S11'e- rr P. Johnson asaaaaaaam Personally known to me. 0 Proved to me on the basis OFFMM SEAL of satisfactory evidence. SANDY A. STACK NOTARYPUBLIC-CALIFORNIA. be the person(X) whose name(K) is PrincoalONiceinBUTTECounty bscribed to the within instrument and acknowledged that he APT, 1 sloe kV DEC 71993 .. . ecuted the same for the purposes therein contained. IN WITNESS EREOF, I hereunto set my hand and official seal. 0 �I(Present A.P. No. b- je,j.., Notary Public END OF DOCUMENT