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069-600-047
�9_ �� _ r DOUGLAS GEYER ONSTRUCTION #5 Ian -Lee Circle;Heritage•Est• Oroville Permit#2031=82B,P E,M(newr,SJF), ., HERITAGE INVESTMENT C09 -6P ) X Permit#3966-88B,E(to com' wo star�le I under 2031-82)SE 69 -60 -YL ContR: Northstate `Landscapings b� ermit#17-89P(lawn sprinklers)- 069-600-047t`w, y4 ' • 06-1499 RC EL'BINSON, JO 5 SAGURA DR, OROVILLE ,+ `Cont: OWNER •'�4 t'' RE ROOP", , �, �3 stir 2S • b7 r� o • ! �7 f ry �9_ �� _ r DOUGLAS GEYER ONSTRUCTION #5 Ian -Lee Circle;Heritage•Est• Oroville Permit#2031=82B,P E,M(newr,SJF), ., HERITAGE INVESTMENT C09 -6P ) X Permit#3966-88B,E(to com' wo star�le I under 2031-82)SE 69 -60 -YL ContR: Northstate `Landscapings b� ermit#17-89P(lawn sprinklers)- 069-600-047t`w, y4 ' • 06-1499 RC EL'BINSON, JO 5 SAGURA DR, OROVILLE ,+ `Cont: OWNER •'�4 t'' RE ROOP", , �, �3 stir 2S • b7 r� o • ! �7 Fcmcol'� �I �I 069-600-046 --x otDauctry mat 06:1499 ✓r T iROBINSON, JOELawao,CA a-.^xz Is DR ORO-IL,L'E� "Cont:OWNER, r.- •.... +rr'cc 0 RE ROOF ' ._. ��., ._..��_...�._._... L 069-600-047 .06-1499 ,fROBINSON, JOEL ST :WGURA_D_R,_OROVILLS N ICont: OWNER .F LRE ROOF � IN -- • j Contractor. Type of Permit: SPECIAL CONDITIONS CHECKED BY SRA FLOOD CERTIFICATE EQUIRED FIRE SPRINKLERS REQUIRED i SPECIAL INSPECTION ITEMS VERIFY USE PERMIT CONDITIONS SUB -STANDARD HOUSING LETTER ENCROACHMENT PERMIT REINSPECTION FEE PAID F, 7 ` DATE JOB FINALED: (D Z J t ' SIGNATURE: r r BUTTE COUNTY PERMIT NO. DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT BP061499 24 HOUR INSPECTION #: (530) 538-7636 (OROVILLE) (530) 891-2834 (CHICO) OFFICE #: (530) 538-7541 B. C. Building Permit 01-16-04 pg 1 LICENSED CONTRACTORS DECLARATION I hereby affirm under penalty ofpeau S that I licensed under provisions of Chapter 9 (commencing with Section 700000 ) of Division 3 of Issued Date: 06/22/2006 APN: 069-600-046-000 the Business and Professions Code, and my license is In full force and effect. Site e Address: 6 SEGURA DR ORO License Class: License Number: Map Index: Date: Contractor: Description: REROOF 2 CONDOS & 2 GAR W/COMP (55) OWNER -BUILDER DECLARATION 1 hereby affirm under penalty of perjury that I am exempt from the Contractors' State License Law for the following reason (Sec. 7031.5 Business and Professions Code: Any city or county which requires a Owner: ROBINSON FAMILY TRUST permit to construct, alter, improve, demolish, or repair any structure, prior to its issuance, also requires the applicant for such permit to file a ROBINSON, JOEL AND ELIZABETH signed statement that he or she is licensed pursuant to the provisions of TRUSTEES the Contractor's State License Law (Chapter 9 commencing with Section 928 E EVANS REIMER RD 7000) 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 GRIDLEY, CA 95948 violation of Section 7031.5 by any applicant for a permit subjects the 530-846-3862 applicant to a civil penally of not more than five hundred dollars ($500).): I, as owner of the property, or my employees with wages as their \\l sole compensation, will do the work, and the structure is not intended or offered for sale (Sec. 7044, Business and Professions Code: The Contractors' State License Law does not apply to an Applicant: ROBINSON FAMILY TRUST owner of property who builds or improves thereon, and who does such work himself or herself or through his or her own employees, ROBINSON, JOEL AND ELIZABETH provided that such improvements are not intended or offered for TRUSTEES sale. If however, the building or improvements are sold within one year of completion, the owner -builder will have the burden of 928 E EVANS REIMER RD proving that he or she did not build or improve for the purpose of GRIDLEY, CA 95948 sale.). 530-846-3862 ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec. 7044, Business and Professions Code. The Contractors' State License Law does not apply to an owner of property who builds or improves thereon, and who contracts for such projects with a contractor(s) licensed pursuant to the Contractors' State License Law.). Contractor: ❑ I am Exempt under ArticIp 5 of the usin sa sions Code P L �( DatetfaA Owner: WORKERS'COMPEN&OON DECLARATION I hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for License #: workers' compensation, as provided for by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ 1 have and will maintain workers' compensation insurance, as Architect: required by Section 3700 the Labor Code, for the performance of the work for which this permit is issued. My workers' compensation Engineer: insurance carrier and policy number are: Carrier: Policy #: Total Square Ft: 0 S. F. I certify that in the performance of the work for which this permit is Valuation: $0.00 issued, I shall not employ any person in any manner so as to Census Code: become subject to the workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with 51sions. 1those Date: Applicana''tci WARNING: F ' secure workers' compensation coverage is unlawful, and shall subject an employer to criminal penalties and one hundred thousand dollars ($100,000), in addition to the cost of compensation, damages as provided for in Section 3706 of the Labor code, interest, and attorney's fees. CONSTRUCTION LENDING AGENCY This permit is hereby iss ed under the applicable provisions of the Butte County Code and/or I hereby affirm that there is a construction lending agency for the performance of the work for which this permit is issued (Sec 3097 Civ.) Resolutions to indicated above for which fees have been paid. G . BY Date: `+' v T Name: ' U Address: PERMIT EXPIRES 0 Date ❑ 1 hereby certify that the use of this facility shall comply with Sections 25505, 25533, and 25534 of the California Health and Safety Code, which regulate the storage, handling and use of hazardous materials. ❑ Notification in accordance with Section 19827.5 of California Health & Safety Code is not applicable to the scheduled construction of this project. ❑ Attached are copies of the required E.P.A. notification forms. I hereby certify that I have -read this application, that the above Information is correct, and that I am the owner or the duly authorized agent of the owner. I agree to comply with all county and state laws relating to building construction. I acknowledge it is unlawful to alter the substance of any official form or 4oqment of Butte County. I hereby authorize representatives of Butte County to enter u t e above mentioned property for inspection purpqses. 1 L �JV Print Name: L Signature: Date: �/ yarOwner ❑ Contractor C3Agent for Owner ❑ Agent for Contractor )<O B. C. Building Permit 01-16-04 pg 1 +=OK 0 = Not OK MANUFACTURED HOMES DATE Lj PERMANENT FOUNDATION Lj SOFT -SET 1 Zoning -Setbacks -Easements 2 Soils; Special MH Support Sketch 3 Sewer; Loctn-Test; FalUC/0-Concrete 4 Wtr; Loctn-Test-Easeinent Needed -Regulator 5 Elec Loctn-Clrncs-Gmd ' Amp -Concrete 6 Yard Gas; Loetn-Test-Wrap Nat F or LPO Inch Sz Ft Lngth 7 Bickng; SzSpacing-Marriage Line 8 Gas; MH Test-Demand-Valve-Cnnctr 9 Elec MH Cntnty Test-Crossovers-Breakers-Cimes 10 Drain; MH Test -Fall -Flex Cnnctr 11 Wtr & Sewer Connected -C/O to Grade 12 Gas and Electricity Tagged 13 Tie Downs Foundation F 14 Exits 15 Cert of Occupancy 16 HUD Label/insignia Numbers Serial Numbers o0 MISCELLANEOUS- _DATE DECKS-COVERS•CARPORTS'GARAGES 1 Zoning -Setbacks -Easements 2 Ftga; SollsSz-DpthSpacing-CnnctrsSteel 3 Decks, Glyders/Joists4)cking-Brcing Stairs-Guard/Handrails 4 Wood Awn; Posts-Beams-Rftrs-CnnctrsShthg, Frmg-Brcng 5 Alum Awn; Columns-CnnctnsSpiice4Decal-Encisrs 6 Carports; Wndws-Doors 7 Electric 8 Frmg; Sills-AnchrsStuds-Rftrs Tnuses 9 Siding; Nailing -Veneer -Stucco -Lath 10 Roof; Shthg-Roofing 11 Ext; Steps -Doors -Landings 12 Braced Wail pnls 4P DATE IPOOLS 1 Setbacks -Easements 2 Soils; Compaction -Structure Stability 3 Pool Structure; Steel-Cnnctns-Thickness Dead Men -Lining 4 Elec Rcptcis/Ung; Distance-GFI 5 Elec Pool Lung; 15 volts-GFI 6 Elec Enclsrs; Conduit Entries -Terminals -Listed 7'Elec Bonding; Metal w/5'-Crcltng Egp-Htr 8 tciec Grndng; Eqp w/5' Crcltng Eqp-Pool Ightg Boxes-Enclsrs-pniboardsansultn-to Main Conduit 9 Health Dept Apprvl 10 Plmb; Cir Test-Wtr Supply Test 11 Lt Niche , 12 Enclsr; Fencing -Alamos 13 Bonding, Diving board or Slide 4P Pool Drawing RESIDENTIAL (Single & Duplex) — — WWg% UAie IPLUMBING 1 ZoningSetbacks-Easements-FloodSlope 53 Wtr Htr; Vent-Acc-Cmbstn Air Baffle 2 Ftg Main; Soils-Elec Grnd Ftg DRth 54 Wtr Pipe; Test & Anchr-Nail Prtctn 3 Ftg Garage; SoilsSteel-SteelGrnd Ftg Dpth 55 DWV; Test Fittings & Anchr. Nall Prtctn 4 Ftg Porches/Decks; SollsSteel Ftg Dpth 56 Shwr Pan; Test, First fir -Tub Act 5 Stemwalis Wain; Steel-Blockouts Wrapped 57 Test Tub & Shwr, 2nd fir - Tub Ace 6 Stemwalls Garage; Steel-Blockouts-Wrapped 58 Gas Pipe; Sz & Anchrs 6a Hold Downs and Special Anchrs 59 Fire Sprinkler; Test 7 Slab, Steel Wrapped 60 Yard Gas Piping 8 Piers-Frplc Ftg-Steel 9 DWV; Fall -Fitting -Test -2 -way CIO -Sewer Test 10 UF, Gas Pipe; Sz AnchrsSz Test 11 Wtr Pipe; Test-Anchrs-RgitrService Test 12 Elec Undrgmd DATE IM E C H A N I C A L 13 Plenums & Ducts; Cimc-MaterialSupport4nsultn 61 AC Ducts Insultn & Support " 14 GirdersSills-Anchr Bolts-Joists-Vnts-Cripples 62 Vent Fan, Exhaust abv Insultn 15 Ace & Vntltn 63 Condensate Drain & Ovrfiw, Sz & Grade 16 Insulation 64 Furnace -Vent Acc-Comb Air Rtrn/Vent 115 Outlet 65 Attic Ace & Pitfrm if Furnace in attic DATE IFRAMING 17 Sills Proper Materials & Anchrs 18 Wells Studs -Nailing Spacing & Braces -Plates -Sound 19 Bearing Walls over Girders 8 flr Nailing 20 Draft Stop in Walls (rat proof) , 21 Fire Stops; Furred CeilingsStairs-Chasers-Tubs 22 Headers & Be i"i & Bearing' 23 Hangers-PosfCaps-Anchrs-Cnnctns 24 Ceiling Joist -116 Ties-Purlin-Root Brac TrussShthg 25 Frpic Ties or Type A Flue =Frplc Throat Clmc 26 Attic Acc; Sz &'Rmx P`tctn-Draft Stop -Ins Baffles 27 Bdrm Wndws or Exiting Doors -Sill Ht & Dimensions 28 Garage Fire Prtctn Framing -RC Channel 29 Prprty Line Firewall & Opngs 30 Ext Doors -One 3' -Check Garage 3rd Story, 2 Exits 31 Stairs; Width-Hdrm-Rise-Run-Landing-Fire Prtctn 32 Plywd on Roof Ovrhng-Attic Vnts-Rftr Outrgrs 33 Siding -Nailing Veneer 34 Stucco Lath -Weep Screed-Fndtn Vnts-Undrflr Ace 35 Glazing Area -Glass PrtctnSkyLts-Plastic . 36 Shear Walls; Nailing -Bolts 37 Brace Int/Ext Wall pnls 38 Insultn-Walls-Ceilings 39 Infiltration -Walls -W ndws DATE JELECTRICAL 40 Fxtr & Trnsfrmr Cirnc4ns Prtctn 41 Elec Rcptcls Spacing-Lts & Switches at Doors 42 Sz Boxes & No Of Cndctrs Stapled 43 Romex Installed Close to Edge of Studs & CJ 44 Eqp Grnd made up w/Meth Fstnrs 45 Grndng Electrode Bond Gas & Wtr 46 2 Appinc Cires In Ktchn & Cndctr Sz GFI 47 Subfeed Wire Sz , [—ICU or ❑ AL AC Wire Sz Qa Q CU or 0 AL 48 Range Circ ga Q CU or 0 AL Oven Circ ya Q CU or DAL Insulated Neutral Q Yes Q No 49 Service -Riser Cndctrs & Grnd Main Dscnnct 50 Eqp Cirncs pnls-Motors-Meth Eqp 51 Clothes Closet Lt-Shwr Lt -Spa Lt 52 Smoke Detector cle FINAL 66 Ext Steps -Door & SideLt Prtctn-Landings 67 Smoke Detector 68 Furnace Vnts-Clmc-Comb, Air-Cnnctr In Garage; abv-flr-Ducts-Meth Prtctn 69 Bedroom Exiting 70 GFI & Bath Fxtrs & Tub Ace -Spa 71 GFI Are Fault 72 Elec Trim & Subpnl, Breaker Szs & Labels 73 Stairs, Guard/Handrails 74 Frplc or Stove, Clmc-Hearth 75 Elec Outlets at Wood Pnl, Int & Ext 76 Ktchn, Fxtr & Appinc; Gmd Air -Gap -Cooking Cirnc 77 Elec Outlets & Rcptcis at Ktchn Counter 78 Garage Fire Door, Swing -Landing -Closure 79 AC Duct In Garage -Damper - 80 Wtr Htr; Vnts-Cirnc-Com Air Cnnctr-PRV; abv fir Mech Prtctn; LPG Appince Undr House 3" drain 81 Plmb; Elec & Meeh Eqp Listed for Loctn 82 Elec Rcptcis in Garage (GFI) Ramex Prtctn 83 Insultn-Foam-Looked in Attic 84 Guard Rails & Deck Cnstrctn-Post Caps 85 Fndn Vnts & Crawl Hole Door Drnge & Wood -Earth 86 Clmc Dmge Planters Q Yes ❑ No 87 Stucco Brown -Finish 88 AC Unit Dscnnct, Elec-Pimb 89 Vnts abv Roof, Plmb-Appinc-Frplc-Clmc to Opngs 90 Wtr Well, Dscnnct, Elec, Plmb 91 Ext Elec Trim, GFI Rcptcl-Undrgrnd 92 Vntltn thru House 93 Glass Prtctn 94 Corrections from previous Irispctns 95 Gas Test -Meters Tagged, Gas-Elec 96 Wtr & Sewer Cnnctd-C/O to grade -HD Apprvl 97 Energy Cmpinc Cert -Other Certs 98 Address Posted 99 Fire Sprinkler VIP 0`3` 40— Ole '' BUTTE COUNTY PERMIT NO. DEPARTMENT OF DEVELOPMENT SERVICES . BUILDING PERMIT BP061499 24 HOUR INSPECTION #: (530) 538-7636 (OROVILLE) (530) 891-2834 (CHICO) OFFICE #: (530) 538-7541' B. C. Building Permit U1-16-04 pg 1 LICENSED CONTRACTORS DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of Issued Date: 06/22/2006 APN:O69-600-046-000 the Business and Professions Code, and my license is In full force and effect.Site Address: q License Class: License Number: SEGURA DR ORO Map Index: Date: Contractor: Description: REROOF 2 CONDOS & 2 GAR W/COMP (55) OWNER -BUILDER DECLARATION 1 hereby affirm under penalty of perjury that I am exempt from the -t Contractors' State License Law for the following reason (Sec. 7031.5 Business and Professions Code: Any city or county which requires a Owner: ROBINSON FAMILY TRUST permit to construct, alter, improve, demolish, or repair any structure, prior to its issuance, also requires the applicant for such permit to file a ROBINSON, JOEL AND ELIZABETH signed statement that he or she is licensed pursuant to the provisions of TRUSTEES the Contractor's State License Law (Chapter 9 commencing with Section 928 E EVANS REIMER RD 7000) 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 GRIDLEY, CA 95948 violation of Section 7031.5 by any applicant for a permit subjects the 530-846-3862 applicant to a civil penalty of not more than five hundred dollars ($500).): I, as owner of the property, or my employees with wages as their \\1 sole compensation, will do the work, and the structure is not intended or offered for sale (Sec. 7044, Business and Professions Code: The Contractors' State License Law does not apply to an Applicant: ROBINSON FAMILY TRUST owner of property who builds or improves thereon, and who does such work himself or herself or through his or her own employees, ROBINSON, JOEL AND ELIZABETH provided that such improvements are not intended or offered for TRUSTEES sale. If however, the building or improvements are sold within one year of completion, the owner -builder will have the burden of 928 E EVANS REIMER RD proving that he or she did not build or improve for the purpose of GRIDLEY, CA 95948 sale.). 530-846-3862 Cl I, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec. 7044, Business and Professions Code. The Contractors' State License Law does not apply to an owner of property who builds or improves thereon, and who contracts for such projects with a contractor(s) licensed pursuant to the Contractors' State License Law.). Contractor: ❑ I am Exempt under Articl of theusin s a ro Bions Code 4L Date. Owner: WORKERS' COMPEN ON DECLARATION I hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for License #: workers' compensation, as provided for by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ 1 have and will maintain workers' compensation insurance, as Architect: required by Section 3700 the Labor Code, for the performance of the work for which this permit is issued. My workers' compensation Engineer: insurance carrier and policy number are: Carrier: Policy #: Total Square Ft: 0 S. F. I certify that in the performance of the work for which this permit is Valuation: $0.00 issued, I shall not employ any person in any, manner so as to Census Code: become subject to the workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those rovisions. �! Date: Applicant WARNING: Fa to secure workers' compensation coverage is unlawful, and shall subject an employer to criminal penalties and one hundred thousand dollars ($100,000), in addition to the cost of compensation, damages s provided for in Section 3706 of the Labor code, interest, and attorney'stfees. LC� ���, CONSTRUCTION LENDING AGENCY This permit Is hereby issued under the applicable provisions of the Butte County Code and/or I hereby affirm that there is a construction lending agency for the of the work for which this permit is issued (Sec 3097'Civ.) Resolutions to o indicated above for which fees have been paid. / G performance BY Date: Name: a U Address: PERMIT EXPIRES O (Date) ❑ 1 hereby certify that the use of this facility shall comply with Sections 25505, 25533, and 25534 of the California Health and Safety Code, which regulate the storage, handling and use of hazardous materials. ❑ Notification in accordance with Section 19827.5 of California Health & Safety Code is not applicable to the scheduled construction of this project. ❑ Attached are copies of the required E.P.A. notification forms. I hereby certify that I have -read this application, that the above Information is correct, and that I am the owner or the duly authorized agent of the owner. I agree to comply with all county and state laws relating to building construction. 1 acknowledge it is unlawful to alter the substance of any official form or 4o4ment of Butte County. I hereby authorize representatives of Butte County to enter u t e ablov�ee mentionedproperty for inspectionurp ses. G &L Print Name: 11� ✓ 1 1 V vv / v Signature: Date: 1, Owner ❑ Contractor ❑ Agent for Owner ❑ Agent for Contractor B. C. Building Permit U1-16-04 pg 1 COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 196 Memorial Way, Chico — Phone: 891-2751 7 County Center Drive, OroviIle — Phone: 534-4541 Skyway and Elliott Road, Paradise — Phone: 872-2961, Ext. 57 CORRECTION NOTICE BUILDING OR PROPERTY ADDRESS A routine inspection indicates that the following violations of County Ordinance exist at the above address and should be corrected. Please notify this office when correction of work is completed. If you have any question pertaining to this matter, or need additional explanation, please contact this office immediately. 0 P-orH 61- 4 21- A/d- 't./1v1?'S &C- L U ©1 s<,C -- P. 7X4 ,1( 4 A 6L AL SFX t6s Inspector> r_'/��/+' 'I Date COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 196 Memorial Way, Chico — Phone: 891-2751; 7 County Center Drive, Oroville — Phone: 534-4541 Skyway and Elliott Road, Paradise — Phone: 872-2961, Ext. 57 CORRECTION NOTICE BUILDING OR PROPERTY ADDRESS A routine inspection Indicates that the following violations of County Ordinance exist at the above address and should be corrected. Please notify this office when correction 'of work is completed. If you have any question pertaining to this matter, or need additional explanation, 'please contact this office immediately. Q c z./ C.-_ F1Z-40V/!/i.C.- YJ AS-tC-- c7/� FL (3G- . l L. iL. L'C A/51 Inspector howaj�� Date �� eS / s COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 196 Memorial Way, Chico — Phone: 891-2751 7 County Center Drive, Orovi Ile — Phone: 534-4541 Skyway and Elliott Road, Paradise — Phone: 872-2961, Ext. 57 CORRECTION NOTICE 3Lt W � -- � S-- � .: � � BUILDING OR PROPERTY ADDRESS A routine Inspection indicates that the following violations of County Ordinance exist at the above address and should be corrected. Please notify this office when correction of work is completed. If you have any question pertaining to this matter, or need additional explanation, please contact this office immediately. e-k1T S //--J /(�/ Inspector / �� Date /— /e)~ (2031-82)' PERMIT NO. 3966-88B,E PERMIT EXPIRES 12/12/89 OWNER HERITAGE INVESTMENT CO. CONTR. OWNER ASSESSOR PARCEL 69-60-02 LOCATION #5 Ian Lee Circle, Oroville { L r ti .y t( t Temp. Power Pole 9, Called PG&E x s 'jTemp. Elec. Service t Called PG&E Temp. Gas Service Called PG&E c, JOB FINALED (Date) /J Signature PERMIT NO. �• att PERMIT EXPIRESZ2 a Za 3 ._ _.._..__ 4. DOUGLAS GEYER CONSTRUCTION INC, - OWNER CONTR. owner T " ASSESSOR PARCEL �1 LOCATION #5 Ian Circle, Her; take RNid Est, - .. • � �,-t sem. _ • • r ' /J2'CS G kA-1IVr�v { Temp. Power OFFICE COPY Y Called Address :26�25 L ^"` �- Temp. Elec. Se; Called PG .'GAS Meter Temp. Gas Sen'„Meter.By DateC Called PG` JJOB FINALED (Date) Signature T J = OK 0 = Not OK = Not Applicable MOBILEHOMES ! MISCELLANEOUS = Not Ready Date MOBILEHOME UTILITIES (Plans) OK except H's Date DECKS, COVERS, CARPORTS, CTC. (Plans) Ot. except N 1. Zoning Requirements -Setbacks -Easements 1. Zoning Requirements -Setbacks -Easements 2. Soils; Special MH Support -Sketch 2. Footings; Size -Depth -Spacing -Connectors 3. Sewer; Location -Test -Fall -C/0 -Concrete 3. Decks;,Girders and/or Joists -Decking -Bracing -Stairs -Rails A 4. Water; Location -Test -Easement Needed (Sketch) 4. Wood Awn.; Posts- Beams-Rftrs.-Connec.-Shthg.-Rfg.--.Bracing 5. Electricity; Location-Clearances-Grnd.-/ / Amp -Concrete 5. Alum. Awn.; Columns-Connections-Splice-Decal-Enc;:js�res 6. Gas; Location -Test -Wrap:/ /"L"ft./ /"Nat. or/ /"L"ft./ P' LPG 6. Carports; Windows -Doors 7. Utility Clearance _ 7. Elec. Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Date MOBILEHOME INSTALLATION (Plans) OK except H's Date _ POOLS (Plans) OK except k's 1, Zoning Requirements -Setbacks -Easements 1. Setbacks -Easements 2. Footings; Size -Spacing -Marriage Line 2. Soils; Compaction -Structure Stability 3. Gas; MH Test -Demand -Valve -Connector 3. Pool Structure; Steel -Connections -Thickness -Dead Men -Lining__ 4. Electricity; MH Test -Crossovers -Breakers -Clearances 4, Elec.; Receptacles and Lighting; Distances-GFI 5. Drain; MH Test -Fall -Flex Connector 5.- Elec.; Pool Lighting; 15 volts-GFI 6. Water; MH Test -Regulator -Connector 6. Elec.; Enclosures; Conduit Envies -Terminals -Listed 7. Water and Sewer Connected -C/0 to Grade-HD.Approval 7. Elec.; Bonding; Metal w/5' -Circulating Equipment -Heater 8. Gas and Electricity Tagged 9. Exits; Insp.-Sketch 8. Elec.; Grounding; Equip. w/5' -Circulating Equip. -Pool Lghtg. Boxes -Enclosures -Panel boards -Ins. to Main in Conduit 10. Cert. of Occupancy 9. Health Department Approval 10. Plumb; Cir. Test -Water Supply Test Card B-1 Date Card -BI Date Card -BI Date Card -BI Date Card B -I Date Card -BI Date Card -BI .Date Card -BI Date V = OK 0 Net OK - Not Applicable = Not Ready RESIDENTIAL, (Single and Duplex) Date UNDERFLOOR (Plans) OK except#'s tonin requirements -Setbacks -Easements yMain Soils -Steel -Flet. Grnd.- //moi' Ftg Depth Wig., Garage; Soils -Steel- //S.P'"Ftg. Depth 4. Ftg., Porches & Decks; Soils -Steel- / /" Ftg. Depth - 1frpralls, Main; Steel-Blockouts-Wrapped-S ,6e'55emwalls, Garage; Steel-Blockouts-Wrapped-Slab 7. Piers-Fi lace Ftg.-Steel 8 F�(yFPCt' - 2 way O- Tes 9. Gas Pipe; Size -Anchors 10. Water Pipe; Test -Anchors -Regulator -Service Test 11. Electric; Underground 12. Plenums & Ducts; Clearance -Material -Support -Ins. 13. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples C I Date f -/ rd -BI Date Card -BI Dater Card -BI Date Date PLUMBING (Permit) OK except p's 1)47-N!a---" Access -Combustion Air Ater ipe; Test & Anchors -Nail Protection 1115v-11XV.; Test-Fttngs & Anchors -Nail Protection 17. irst Floor -Tub Access 18. 2nd Floor -Tub Access 19.E Anchors Q*TBOw Date Date Card -BI Date = Card -BI Date Date ELECT nAL (Permit) OK except q's 2G/�ixIure & Transformer Clearance -Ins. Protection 2L_E+eL--FMceptacles Spacing -Lights & Switches at Doors Boxes & No. of Conductors -Stapled x 19,94alled Close to Edge of Studs & C.J. 2 . Ground made up w/Mech. Fasteners i3,A4rate Appliance Circuits in Kitchen & Conductor Size [ - 26. Subfeed Wire Size / ga. Cu or A.C. Wire Size / / ga. Cu or AI 27. Range Circ. / / a. Cu o Oven Circ. / / ga. Cu or At, Insulated Neu ral es ❑No 2 ervice-Riser Conductors & Ground -Main Disconnect 2 - p. Clearances; Panels-Motors-Mech. Equip. 313,toht-Shower Liaht e"62r - 6&, Date` -/E> �bLl Card -BI Date II CAB-1 A- _-Date /-/ 7. and -BI Date Date MECHA (Permit) OK except q's .C. Ducts; Insulation & Support _ 32. Vent Fan; Exhaust above Insulation 33. Condensate Drain & Overflow; Size & Grade _ 34. Furnace -Vent; Access -Comb. Air -Return Air Vent -115V outlet 35. Attic Access & Platform if Furnace in Attic - I Date C I Date/ Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Date FRAMING(Plans) OK except p's Comments at Final: . Sills; Proper Material & Anchors _ alts; Studs -Nailing, Spacing & Bracing -Plates -Sound ng Walls over Girders & Floor Nailing__ _ _ Dr top in Walls rat pro _ FireStop irs-Chases-T 44 --Reader Aeam-Size & Bearing 4 H ers-Post Caps -Anchors -Con dors CIn oist-Rftr. Ties-Purlin- of Brac.-Truss-Shthnq.-Rinq. replace Ties or Type A ue- ire I Throat 45. ttic-Access; Size o aft Stop -In Bdr rndows or Exiting Doors -Sill Hgt. &Dimensions Garage Fire Protection Framing (NOTE: Anentry must be made each time youvisit jobsite) Date FRAMING -(Continued) roperty Line Firewall & Openings V._.Ex+.-OVors-One 3' -Check Garage -3rd story, 2 exits 50. Stair&-.* Cth=-Madroom-Rise-Run-Landing-Fire Protection lywood on Roof Overhang -Attic Vents -Rafter Outriggers 52. Siding lilaillreg-Ve St o Mesh -Drip Screed-Fdn. Vents-Underflr. Access Glazing Area -Glass Protection -Skylights -Plastic 55. ear Walls; ai rng- olts Date BI Date ar BI Date and -BI Date I ea,,_Pete Jti and -BI Date Date FINA tans OK except N's Ext eps-Door & Sidelight Protection -Landings moke Detector 58. Furnace; V - earance-Comb. Air -Connector - I ge; Above Floor-Ducts-Mech. Protection 5 roo xiting 6 Bath Fixtures & T as Ale"Elec. Trim & Subpan eak zes a els 62. fireplace or-SCwt- Clearances -Hearth 6 ; Int. & Ext. it & Appliance; Grnd.-Air Gap -Cooking Clearance lec. Outlets & Receptacles at Kit. Counter 7 Garage Fire Door; Swing_-Landin_. loser 68. in arag - mper �' 69. Wtr. Htr.; Vents -Clearance -Comb. Air-Connector-Pdl. In Garage; Above Floor-Mech. Protection LD_-f`TF., Elec. & Mech. Equip. Listed for 1-8cation 7 rec. Receptacles in Garage; (G.F.I.)-Romex Protec. 72. Insulation -Foam -looked in Attic es 7_ -Guau Rails &Deck �r n -Post Caps 74. Fd a oor-Drainage & Wood -Earth Clearance ooked under Floor ❑ Yes 75. Fol 'ng instld.: Drive ❑ Yes 1�Jo; Walks Yes 0 No; anters ❑Yes ll Stucco; B wn- inish Q1110 A.C. Unit; Clrnce & Cond. Size -115V Outlet 78. Vents Above Roof; Plbg.-Appliance- rrepl.-Clearance to Opngs. 79. Water Well; Disconnect, Electrical, Plumbing xterior Elec. Trim; G.F.I. Receptacle -Underground entilation throughout House 8 ass Protection _ 8 from Previous Inspections as Test -Meters Tagged; Gas -Electric a Se ected-C/O to Grade -HD Approval Energy Compliance Certificate -Other Certificates Card -BI Date Card -BI Date Card -BI Date RES IDENT IAL ENERGY CONSERVATION STANDARDS CONSTRUCTION COMPLIANCE CERTIFICATE THIS IS TO CERTIFY THAT ENERGY CONSERVATION REQUIREMENTS HAVE BEEN INSTALL IN CONFORMANCE WITH CURRENT ENfRGY CONSERVATION REGULATIONS AT4% L e Q d,,p-- - (location) BUILDING PERMIT N0. X96% T AiP. NO. THE FOLLOWING HAVE BEEN INSTALLED AS PER APPROVED PLANS: (Check each item or write N/A if not applicable) INSULATION: Slab Edge. Fdn. Walls — IfIlA .Floors Walls Ceiling/Roof_ _/5� Ducts Circulating Pipes APPROVED HEATER VS.SZ APPROVED WTR. HTR— g— GLAZING : Single Glazed %�!! Special (Insulated) CERT. & LABELED WDS. & SLIDING DRS.' WEATHERSTRIPPED DRS. yceS BACK DAMPERED FANS �S INTERMITTENT IGNITION E ICES , CERT. APPLIANCES I DECLARE THAT ALL REQUIRED ITEMS AS NOTED ABOVE HAVE BEEN INSTALLED IN ACCORDANCE WITH, THE ENERGY CONSERVATION REQUIREMENTS AND AGREE TO THE COMPLETENESS OF THIS CERTIFICATE S SUBMITTED. Insulation Applicator Name Signature of /,.<'(please print) Insulation Applicator_ state Contractors License No. General Contractor/Owner Name Signature of (please print) General Contractor/ er Date State Contractors License No. THIS CERTIFICATE MUST BE ON FILE WITH THE BUILDING DEPARTMENT PRIOR TO REQUESTING FINAL INSPECTION AND SHALL BE POSTED IN A CONSPICUOUS LOCATION WITHIN THE DWELLING. = OK 0 = Not OK yable MOBILE HOMES ' = Not Ready MISCELLANEOUS " 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- Bea ms- Rftrs.-Connec.- Shthg.-Rfg.-Bracing 5. Electricity; Location-Clearances-Grnd.-/ / Amp -Concrete 6. Gas; Location -Test -Wrap: / P' ft. / J"Nat. or/ P'L"ft./ /"LPG 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 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 -131 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 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 Card -131 Date Card -131 Date Card -131 Date Card -61 Date Card -131 Date Card -131 Date Card -131 Date Card -61 Date 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 board s -Ins. to Main in Conduit 9. Health Department Approval 10. Plumb.; Cir. Test -Water Supply Test ICard -131 Date Card -81 Date Card -131 Date Card -61 Date = OK 0=Not OK ='fyot Applirable =Not Ready RESIDENTIAL (Single and Duplex) Date UNDERFLOOR (Plans) OK except #'s Date FRAMING (Continued) 1. Zoning -Setbacks; -Easements -Flood -Slope 45. Hangers -Post Caps -Anchors -Connectors 2. Ftg., Main; Soils-Steel-Elec. Grnd.-/ /" Ftg. Depth 46. Cing. Joist-Rftr. Ties-Purlin-Roof Brac.-Truss-Shthng.-Rfng. 3. Ftg., Garage; Soils -Steel-/ /" Ftg. Depth 47. Fireplace Ties or Type A Flue -Fireplace Throat Clearance 4. Ftg., Porches & Decks; Soils -Steel-/ /"Ftg. Depth 48. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 5. Stemwalls, Main; Steel-Blockouts-Wrapped 49, Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions 6. Stemwalls, Garage; Steel -Blockouts-Wrapped 50. Garage Fire Protection Framing 7. Slab; Steel -Wrapped 51. Property Line Firewall & Openings 8. Piers -Fireplace Ftg.-Steel 52. Ext. Doors -One 3' -Check Garage -3rd story, 2 exits 9. D.W.V.; Fall -Fittings -Test -2 way C/O -Sewer Test 53, Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 10. Gas Pipe; Size -Anchors 54. Plywood on Roof Overhang -Attic Vents -Rafter Outriggers 11. Water Pipe; Test -Anchors -Regulator -Service Test 55. Siding -Nailing Veneer 12. Electric; Underground 56. Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access 13. Plenums & Ducts; Clearance-Material-Supprt-Ins. 57. Glazing Area -Glass Protection -Skylights -Plastic 14. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples 58. Shear Walls; Nailing -Bolts 15. Insulation 59. Insulation-Walls-Clg. 7 60. Infiltration-Walls-Wndws Card -131 Date Card -B1 Date Card -81 Date Card -131 Date Date PLUMBING (Permit) OK except #'s 16. Water Ht. Vent -Access -Combustion Air -Baffle 17. Water Pipe; Test & Anchors -Nail Protection 18. D.W.V.; Test-Fttngs & Anchors -Nail Protection 19. Shower Pan; Test, First Floor -Tub Access 20. Test Tub & Shower, 2nd Floor -Tub Access 21. Gas Pipe; Size & Anchors Card -131 Date Card -B1 Date Card -81 Date Card -131 Date Date ELECTRICAL (Permit) OK except #'s 22. Fixture & Transformer Clearance -Ins. Protection 23. Elec. Receptacles Spacing -Lights & Switches at Doors 24. Size Boxes & No. of Conductors -Stapled 25. Romex Installed Close to Edge of Studs & C.J. 26. Equip. Ground made up w/Mech. Fasteners -Bond Gas & Water 27. 2 Appliance Circuts in Kitchen & Conductor Size/G.F.I. 28. Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / /ga. Cu or Al 29. Range Circ. / / ga. Cu or AI -Oven Circ. / / ga. Cu or Al. Insulated Neutral Yes No 30. Service -Riser Conductors & Ground -Main Disconnect 31. Equip. Clearances Panels-Motors-Mech. Equip. 32. Clothes Closet Light -Shower Light -Spa Light 33. Smoke Detector Card -131 Date Card -131 Date Card -131 Date Card -131 Date 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. Furnace -Vent; Access -Comb. Air -Return Air Vent -115 outlet 38. Attic Access & Platform if Furnace in Attic Card -B1 Date Card -61 Date Card -131 Date Card -61 Date Date FRAMING (Plans) OK except #'s 39. Sills, Proper Material & Anchors 40. Walls Studs -Nailing, Spacing & Bracing -Plates -Sound 41. Bearing Walls over Girders & Floor Nailing 42. Draft Stop in Walls (rat proof) 43. Fire Stops; Furred Ceilings -Stairs -Chases -Tub 44. Header & Beam -Size & Bearing Card -131 Date Card -B1 Date Card -131 Date Card -81 Date Well; Disconnect, Electrical, Plumbing xtefior Elec. Trim; G.F.I. Receptacle -Underground entilation throughout House I ss Protection $ olections from Previous Inpections 8 a est -Meters Tagged; Gas -Electric ter & Sewer Connected -C/O to Grade -HD Approval nergy Compliance Certificate -Other Certificates ac. MooTing ueruncate Card -131 Dated/ - Card -B1 Date Card -61 Date and -131 Date Card -131 Date and -131 Date Comments at Final: (NOTE: An entry must be made each time you visit job site) .11 Date FI L (Plans) OK except #'s V1. Eg.-tteps-Door & Sidelight Protection -Landings . Smo e- Detector W115 -Mace; Vents -Clearance -Comb. Air -Connector - In arage; Above Floor -Ducts -Meeh. Protection belffegroom Exiting & Bath Fixtures & Tub Access -Spa . lec rim & Subpanel; Breaker Sizes -Labels 7 a' & Rails ire ace or Stove; Clearances -Hearth 6 . Outlets at Wood Panel; Int. & Ext. it ixt. & Appliance; Grnd. -Air Gap -Cooking Clearance 7 Iec-Outlets & Receptacles at Kit. Counter 72 arage Fire Door; Swing -landing -Closer in Garage -Damper tr. Htr.; Vents -Clearance -Comb. Air-Connector-P.R.V.- In Garage; Above Floor-Mech. Protection 7 lec. & Mech. Equip. Listed for Location 7 receptacles in Garage; (G.F.I.)-Romex Protec. Insulation -Foam -Looked in Attic ❑ Yes to-inq,erd Rails & Deck Construction -Post Caps 7 dn. Vents & Crawl Hole Door -Drainage & Wood -Earth Clearance Looked under Flog ❑ Yes 8,9_.F�owing ins Drive es ❑ No; Walks es ❑ No; Plan ers UYYes ❑ No kj�tq.Qco; Brown -Finish 8,2-A.9, it; Disconnect, Electrical, Plumbing 8 ents Above Roof; Plbg.-Appliance-Firepl.-Clearance to ODeninas. Well; Disconnect, Electrical, Plumbing xtefior Elec. Trim; G.F.I. Receptacle -Underground entilation throughout House I ss Protection $ olections from Previous Inpections 8 a est -Meters Tagged; Gas -Electric ter & Sewer Connected -C/O to Grade -HD Approval nergy Compliance Certificate -Other Certificates ac. MooTing ueruncate Card -131 Dated/ - Card -B1 Date Card -61 Date and -131 Date Card -131 Date and -131 Date Comments at Final: (NOTE: An entry must be made each time you visit job site) V COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Orovllle. California 95965 - Telephone: 916/538-7541 APPLICATION AND PERMIT 3P R IT NO*, / ASSESSOR PARCEL NUMBER 6 d -- �-- ZO G C BUILDING PERMIT OWNER- L' T LEPHONE 589 o4s SQ. FT. OCC. BUILDING VALUATION a ` OWNER'S MAILI ADORES 5 a�7, S old vi /- CONTRACTOR'SNAME TELEPHONE CONTRACTOR'S MAILING ADDRESS F i rep l ace CONSTRUCTION LENDER UNKNOWN Total Valuation Is Filing Fee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS Permit fee PERMIT Filing Fee 10.00 7e e -PLUMBING N Each Trap 2.00 e��� �r Q Sfa�e S c�%O V I–e Solar or heat pump water heater 20.00 LOT NO. SUBDIVISWON NAME PARCEL MAP Water piping 5.00 Each qas water heater or vent 5.00 USE OF STRUCTURE SF Duplex❑ Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home I S G W 0.00 ea TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation❑ Other Describe work: Cam I%le ;4 e (.tJ 0/--/C �¢ar/C / 1 Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 600V OR LESS 100 AMP OR LESS 10.00 Main service EA. ADO'L 100 AMP 2.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): ❑ I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in full force and effect. License No. Classification ❑ I, as the owner, or my employees with wages as their sole compen• sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONST. DWELLING OCCUP.li) , OR ADDNS. ACC. BLDGS. 0osq ft NEW CONSTRMU TI -OUTLET 2,50 ea NON.RESID BRANCH CIRC 5 POWER APPARATUS e (SINGLE OUTLET CIR. / Ex. OCcup(OUTLETS OR FIXTURES 200502 SALe30 FIXED Ex. Occup. OUTLETS P(RESID.)REA.1 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 Permit Fee $ 6,0-a 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. jqj I shall not employ any person in any manner so as to become subject P 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 Hood 3.00 Ventilation 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 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, judgment costs, and expenses which may in any way accrue again said ounty in c quence of th granting of this permit. X Date — S lure of Applicant — Owner ❑ Contractor ❑ Agent ❑ n OSHA permit is required for excavations over 5'0" deep and demolition or construct -IRE ion of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ TOTAL PERMIT FEE $ occUP. CONST.T7; scNooL PL000 PARCEL PD I NO I ISSUE This permit is hereby issued under sions of the Butte County Code and/or work ?ind'ted above for which F PU B PERMIT EXPIRES Date the applicable provi- resolutions to do fees have been paid. I WORKS D a e J Receipt No. ! WNITE-D.P.W.. YELLOW -ASSESSOR, PINK -INSPECTOR. GOLDENROD -APPLICANT COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS �.. ! 7 County Center Drive - Oroville, California 95965 - Telephone 916/534-4541 APPLICATION AND PERMIT PERMIT NO. ASSESSOR PA C9L NUMBERNG BUILDING PERMIT OW L HONE SQ. FT. OCC. BUILDING VALUATION OWN R'S MAI G ADDRESS ' NTRACTOR AME TELEPHONE Q/`r s� C 115�_ O T AC AI NG ADDRESS - f-_jo rCONSTRO—� Fireplace I A 1 010 Q V�ER 12 UNKNOWN Total Valuation Is Filing Fee $ 10,00 LENDER'S ING ADDRESS Permit Fee $ AR ITECT OR EN EER V LICENSE N Plan Checking Fee $ too Penalty $ ARC TECT O NGIN ERMAILING ADDRESS Permit fee $ ,� BUILDING ADDR SS PLUMBING PERMIT Filing Fee 10.00 ^ , ( _LG t I _ H&) Each Trap 2.00 Repair drainage or vent piping 5.00 Water piping LOT NO.SUBDIVISION NAME PARCEL MAP Each qas water heater or vent 5.00 Gas piping system 1 - 5 outlets �-,/ USE OF STRUCTURE SF L�'�f Dupiex❑ Mobilehome❑ Other SPECIFY Building sewer oo Lawn sprinkler system 5.00 TYPE OF WORK New[E�' Addition❑Remodel Utilities❑ Installation❑ Other[] Describe work: A�� �� %S' �7 Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 11 01 LE 100 AMP ORSLESS 00 Main service EA. ADD'L 100 AMP 2;50 NEW CONST. DWELL( G d OR ADDNS. ACC. BL G f I <I t CONTRACTORS LICENSE LAW I dere under penalty of perjury (check one): i I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code an my license is in full rce and effect. J License No. /5 Classification ❑ I, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively -contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONSTR -OU ET 2.50 ea NON-RESID. BRANCH CIRCUITS) NEw CONSTR /POWER APPARATUS S1 NON-RESID, (SINGLE OUTLET CIR. 50 @ zsa Ex. OCCUp OUTLETS OR FIXTURES BAL@1 EX. OCCU IXED APPLNS, OR p•(OUTLETS (RESID,) EA. 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 7.50 Permit Fee $ Contractor MECHANICAL PERMIT FiIirig Fee 10.00 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 shal I be deemed revoked. Heating 11 Cooling I �� Hood 3.00 Ventilation 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 Butte against all I iabi I it1pV judgments, c ts, and expenses which may in any way accrue gainst s ount in co quence of the granting of this permi . �"�'�� to % �2 !�� gnatur o Appli nt OwnerZ Contractor Agent ❑ j An 0 per is quired for excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee $ TOTAL PERMIT FEE $ occUP. GROUP _ I TYPE OF CONST. PARCEL PD H& ISSUE This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which DIRECT OF PUBLIC By. PE IT EXPIRES Date`- the applicable provi- resolutions to do fees have been paid. WORKS Date �� Receipt No.4 .�(Y 7 WNITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLOENROD-APPLICANT J )Nkm RESIDENTIAL PLAN CHECKING GUIDE (S.F., DUPLEX, & MISC. ONLY) Bldg. Permit # A.P. # A. GENERAL v v 1. Zoning requirements (sideyards and parking). 2. Valuation. 3. Signature by R.C.E. or Architect (if required). B. PLOT PLAN . 1. Complete parcel size and dimensions. 2. Setbackq, sideyards, easements, etc. 3. Other buildings or structures. 4. Grading, fills, drainage. C. FLOOR PLAN Complete to scale plan with dimensions. .�S Required windows for light and ventilation (Sec. 1405). (3�7 Required windows for second exit (Sec. 1404). Allowable glazing for energy requirements (20% max. per.State law). . • : Human impact glass (Sec. 5406) . Required room sizes, ceiling heights (Sec. 1407). p G.F.C.I.'s in baths and exterior outlets (Sec. 210-8). • Light fixtures, switches, receptacles, ani e ferror receptacles for maintenance of mechanical equipment. °Locations of water heater, heating & cooling equipment other electrical or gas equipment, and plumbing fix ures. .Jao.' Garage firewall, door size, and closer (Sec. 503(d)(4)). a 1 - 3'0".exterior exit door (Sec. 3303d). Fireplace location. ' Smoke detectors (Sec. 1413). D. STRUCTURAL DETAILS d-:' Foundation plan complete enough to construct building. -2.O�' Floor construction details complete enough to construct building. ,3o' Elevations and wall construction details complete enough to construct building. Roof construction details complete enough to construct building. , Fireplace construction details and calcs if over one-story in height. Sufficient data and details to satisfy energy insulation requirements (State law). E. MISCELLANEOUS ITEMS TO LOOK OUT FOR i CCX plywood on exposed locations and overhangs. f Stairway details (Sec. 3305). g Guardrail details (Sec. 1716). Brick or stone veneer (Chapter 30). Exterior plaster - weep screeds (Sec. 4706 & 4708). Proper roof pitch for roof covering (Chapter 32). Rafter ties or bearing ridge beam. Garage door or porch header sizes. ,So.' Adequate bracing. 45- Living area over garage - complete 1 -hour separation required including supporting walls and posts, etc. Two (2) exits on three-story dwellings (Sec. 3302). /4 St v �2 K Q S / `r in -sw6- s� _ Fr /` 7 L!/ (_rD_Y_CLB_z'_—CSO_-Ps' __ ( =moi � _ ,_- ' r .._ .� r `` .. .: . "' - - _ �.- - -`"• � �. _ _ �. _ - - . ... - �. z � � . ';v _..• L . � ♦ �. - _. t ;60T COMPAeEO VAT" .-�l.t�n-..- ►T -return to DPI' 1"•-`- `�' AGRICULTURAL STATEMENT OF ACKNOWLEDGEMENT 3z��1 FOR RESIDENTIALDEVELOPMENT OFFIGIAL 4i (��r•�ir, L''JTTE COUti 'i''>' - !; .1 Section 26-8:I of the Butte County Code requires this acknowledgemetitEDDiiDS RE,`,a be recorded prior to issuance of a building permit. The property described herein isl adjacent to land or included within an area zoned for agricultural purposes, and residents of LEANDR 5'�XEfi• this property may be subject to inconveniences or discomfort arisiC g X'-�MRDER but not limited to herbicides from the use of agricultural chemicals, including, , EE pesticides, and fertilizers; and from the pursuit of agricultural operations including, but not limited to cultivation, plowing, spraying, pruning, and harvesting which occa- sionally generate dust, smoke, noise, and odor. But County has established agricul- tural zones which have as a priority use for productive agricultural purposes, i and residents within said zones and on adjacent property should be prepared to accept such inconvenience or discomfort.from normal, necessary farm operations. All that real property situate in the County of -Butte, State of California, described as follows: Date SEE ATTACHED LEGAL DESCRIPTION State of ) SS. County of ) PROPERTY OWNERS: 1�c On this the day of , 19_�-, before me, the undersigned Notary Public, personally appeared STATE OF CALIFQRN A_ l COUNTY OF tSlle I On October 28, 1982 r before me, the undersigned, a Notary Public in and for said State, peraonetl Y a pPeared DOUGLAS' GEYER me(s) personally known to me (or proved to me on the acknowledged - le purposes basis of satisfactory eviJence) to be the persons who executed the within Instrument as President MKW ?,. on behalf of Ind and official DOUGLAS GEYER CON RU TION INC. the corporation therein`named, and acknowledged to me that OFFICIAL SEAL s. such corporation executedtltewithin instrumeritpursuant toits x, cr ANGELA D. HENDERSHOT v.' by-laws or a resolution of its board of directors ` '% NOTARY PUBLIC • CALIFORNIA PRINCIPAL OFFICE IN WITNESS my hand and official seal. BUTTE COUNTY /� \ MY CONM�SSION EXPICf: SEPT 7, 1996 A Mwe Signatu >��.1.X (This area for official notarial seal) J DESCRIPTION: All that certain lot, piece or parcel of land situated, located and lying in the County of Butte, State of California as shown on that certain plat entitled "RECORD OF SURVEY, A PORTION OF N.W. 1/4 SEC. 1@, T19N, R5E, M.D.M. BUTTE COUNTY CALIF. FOR P;TER BRADLEY" prepared by Geddis Driscoll and Associates, Engineering Su-Neying Planning, Oroville, California, dated November, 1980 and recorded January 28, 1981 in Book 78 of Maps, at page 44, Butte County official records, and more particularly described as follows: COMMENCING at a point on the South line of the Northwest quarter of said Section 18, said South line being also the North line of the Oroville- Wyandotte Fruit Lands, Unit No. 5, recorded July 20, 1928 in, Book 8 Qf Maps, at pages 37A and 38A9 records of the County of Butte, State of California, and said point of commencement being distant South 8610 39' 06" East, 305.19 feet (South 890 09' East, 305.56 feet, recorded) along the said Subdivision . line from the Northwest corner of Lot 148 of said Unit 5; thence from said ti point of commencement, North 860 39' 06" West, along said subdivision line and Westerly prolongation thereof, 327.83 feet to the Southwesterly line of the Highway 80 feet in width and being the true point of beginning; thence leaving the Southwesterly line of said Highway North 890 17' 44" West 82.18• feet to the centerline of Rachel Drive, formerly the old Oroville-La Porte Road; thence along the centerline -of Rachel Drive North 440 19' 44" West 1681.45 feet to a point. at the intersection of the centerline of said Rachel Drive and Heritage Road (formerly Oroville-Quincy Highway) thence running along the centerline of Heritage Road North 240 37' 49" East 1286.3 feet to a point at.the intersection of the centerline of Heritage Road and the Southwesterly line of Kelly Ridge Road (formerly Hillcrest Avenue); thence running alone the Southwesterlv line of Kelly Ridge Road -the following courses; South 170 32' 49" East 362.70 feet to a point; tnence along the arc or'a curve to the right whose radius is 4,040 feet through a central angle of 080 34' 10" a distance of 592.28 feet to a point: thence continuing along the South- westerly line of said Kelly Ridge.Road South 080 58' 39" East, a distance of 489.29 feet to a point; thence continuing along said Southwesterly line of Kelly Ridge Road along the are of a non -tangent curve to the left whose radius is 2,040 feet through a central angle of 130 59' 27" for a distance of 498.14 feet to a point; thence continuing along the Southwesterly line of said Kelly Ridge Road South 220 58+, 06" East, a distance of 213.01 feet --to a point; thence continuing along the Southwesterly line -of said Kelly Ridge Road along the arc of a tangent curve to the right whose radius is 960 feet . through A central angle of 190 54' 33" for a distance of 333.58 feet to a point at the intersection of said Southwesterly line of Kelly Ridge Road with the North line of the aforesaid Oroville Wyandotte Fruit Lands, Unit No. 5 and the true point of beginning for this property. sit . - 4 COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT N 7 County Center Drive - Oroville;/California 95965 - Telephone: 916/538-7541 1"' APPLICATION AND PERMIT ASSES OR PARCEL NUMBE^R� ZlONNIIN BUILDING PERMIT , OWNER T .LEt;.H oNE SO. FT. OCC. BUILDING VALUATION OWNER'SMAIL. G ADDRESS -- _;, CJs s T CONTRACTOR'S NAME I N ., <s cry, d��ti TELEPHONE s CO TRACTOR'S MAILING ADDRESS G rd %(f1. S,7—, moi/ 14- Fireplace LENDER CONSTRUCTION LENDER IL -e, /",. , UNKNOWN Total Valuation $ Filing Fee $ 10,00 LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER /Z.-IlIze. 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 �r.�%✓ , E Water piping 5.00 Each qas water heater or vent 5.00 USE OF STRUCTURE SF ❑ Duplex❑ Mobilehome❑ Other �jfyF/�j���j, S SPECIFY Gas piping system 1 - 5 outlets 5.00 --- Building sewer 5.00 Mobile Home S G W O.00ea TYPE OF WORK.<1Z-�S New, Addition❑ Remodel❑ Utilities❑ Installation❑ Other ❑ Describe work: S. Permit Fee $ / Contractor ELECTRICAL PERMIT Filing Fee 10.00 C- t �Y ( Main service 10ov OR LESS 100 AMP OR LESS 10.00 Main service EA. ADD'L 100 AMP 2.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (Check One): I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in full force and effect. - - \ License No. { �k-- Classification L. I, as the or my employees with wages as their sole compen- ❑owner, sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONST. ( DWELLING OCCUP.N) '/zQsgft OR ADDNS. ACC. BLDGS. NEW CONSTR. ULT' -OUTLET 2.50 ea NON-RESID BRANCH CIRC ITS (POWER APPARATUS a) (POWER OUTLET CIR. / EX. DCCUp\OUTLETS OR FIXTURES eALO 30 FIXED APPLNS. OR Ex. Occup. OUTLETS (RESID.) EA.1 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 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.4L, ` F]1 shall not employ any person in any manner so as to become,subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. MECHANICAL PERMIT FiIingFee 10.00 Heating Cooling Hood 3.00 Ventilation permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the 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 against said County ,in consequence of the granting of this permit. _ — X ` r r f Date /` c/ ` Signature of Applic t - Owner ❑ Contractor`❑ Ag*nt ❑ An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ TOTAL PERMIT FEE $ OCCUP, CON3T.TYPE SCHOOL I FL000 PARCEL PD ND S9UE rte_ This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which DIRECTOR OF PUBLIC By " `c:7WHITE-D.P.W.. PERMIT EXPIRES Date the applicable provi- resolutions to do fees have been paid. WORKS Date Receipt No.�."�zz 7 � YELLOW -ASSESSOR. PINK -INSPECTOR, GOLDENROD -APPLICANT COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT0 7 County Center Drive - Oroville, Califotnia'95965 - Telephone: 916/538-7541 APPLICATIt' -ANil PERMIT ASSESfOR PARCEL NUMBER / G Z�1 BUILDING PERMIT O NEAR �Tp'jy[�eP�o/NE SQ. FT. OCC. BUILDING VALUATION OWJ,IER�AILI G ADDRESS ,�L7L. CC RACTOF'S NAME X02 s - cr3vs �ti TELEPHONE AILIN,57 / CO/d, OR'S MAILING Fireplace CONSTRUCTION_ LENDER UNKNOWN Total Valuation is Filing Fee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER u- 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 -4,45 L� L� Each Trap 2.00 Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP Water piping 5.00 Each qas water heater or vent 5.00 USE OF STRUCTURE SF ❑ Duplex❑ Mobilehome❑ Other S�1Ab<ZC5_ S, SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home is 10.00ea TYPE OF WORK New Addition❑ Remodel[:] Utilities❑ Installation❑ Other [1 i Describe work: Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 1- Main service GOO AMP LESSOR 100Main 10.00 service EA. ADD'L 100 AMP 2.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (Check one): IYY I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions 7 Code and my license is in full force and effect. License No. &} � Classification c, - Z 7 ❑ 1, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONST. DWELLING OCCUPM OR ACDNS. ACC. BLDGS. / +/z�sgft NEW CONSTR. MULTI -OUTLET 2,50 ea NON.RESID .BRA CH CIRC TS POWER APPARATUS e) SINGLE OUTLET CIR. Ex. OCcup(OUTLETS OR FIXTURES 200SOS eAL030 FIXED APPLNS. OR Ex. DCCUp. OUTLETS (RESID.) EA.) 1 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 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 Hood 3.00 Ventilation permit Fee $ Contractor's 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, indemnif and keep harmless the County of Butte against all liabi•' 'es, judgments, oc, sts, and expenses which may in any way accrue Rear sa' Countyi�con qu ce of the granting of this permit. / _ y Date nature of A p Ic — Owner❑ Conrraoro/ Ag.nr ❑ An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures overstories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ TOTAL PERMIT FEE $ oeeuP. CONST.TYPc SCHOOL FLOOD PARCEL PD NO ISSUE This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which DIRECTOR OF PUBLIC By_2E��� PER EXPIRES Date the applicable provi- resolutions to do fees have been paid. WORKS Date >>3 Receipt No.Z:,L4Z WHITE-D.P.W., YELLOW-A3e(330 R. PINK -INSPECTOR. GOLDENROD -APPLICANT ti r , ,FT r A-- ' n .,,.: y",� .�; a .,,. 7t�,,.Y„'!r'`:%.wcS'y�n`a+FC""..W...-•.-iw•1 3. . •,'ax=.,.;;.: ter.' ..« N`;^ . . %y. t..,. COUNTY OF BUTTE - DEPARTMENT OF -PU.BLIC WORKS -BUILDING DIVISION / y 7 COUNTY CENTER DRIVE - OROVILLE, CA' f.. R1i9A 95965 - TELEPHONE: 916/538-7541 PERMIT APPLICATION DATA SHEET Permit No. OWNER 222� A. P. No. Proposed Building Use Building inspector Date At time of permit application, I was advised the following data must be submitted prior to permit processing and/or issuance: DATE RECEIVED APPROVED 1. All items have been submitted . .................................... 2. Plot plans in duplicate/triplicate, signed by p.reparer 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. Energy Design Compliance and supporting documentation ......... 6. Statement of Intent for Non -Heated and AC Buildings .............. 7. Engineered truss details and layout in duplicate (required prior to plan check) 8. Mobilehome installation data including manufacturer's installation instructions....................................................... 9. Fees of $ .......................... 10. Chico Urban Area fees paid ........................................ 11. Park fees*paid.............................................. 12. - School District fees paid .......•. � ...... . 13. Sanitation approval from Health D�artment ... 14. City of Chico plumbing permit ..................................... . 15. Plot plan and business license approval from City of (see City for other requirements) 16. Planning approval for (A) Use: (B) Parking: .........t- 17. Improvements may be required. 18. Driveway permit (construction approval required prior to occupancy) ... ! 19. Pre -Inspection for required . , , Pre-Inspen request to t• •Building Inspector (Date) �0. Contractor's license information (No., Name Style, Classification) ....... 1. Certificate of Workmans Compensation Insurance . 22. Owner -Builder Verification (Given to owner ❑, Mail to owner ❑) ........ 23. Recorded copy of Agricultural Acknowledgment Statement ............ 24. Letter of signature authorization ........................ ............. . 25. 26. When you issue the permit, process as follows: Mail to owner. - Mail to contractor. Telephone and hold for pickup at office. Deliver w/inspector. Other Applican� /. Date i l� 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---jnail_counter by date+ Contractor, designer, owner, was advised of above required data by—phone _mal l—counter by date I Plans checked by Date Plans approved by Date Sets of plans on hold in File cabinet AP folder Copy—DPW