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071-400-058
-7/-4d - HERBERT F'OLSON 54'NIS of pri. rd., app. 1.1 mi. NE of Oro Quincy Rd., approx. 1 mi. N of Bidwell BarBridge Permit ##2153-76E (temp, pow ,pole for irrigation(pump) ����/ r Permit ##2980=76B,P,E,M(new single family)�� 71-08-66 Permit #5196-76B(add open deck/SF) 407 Si s Rd, Oroville Permits#365`1 (new private garage) 1 =4�» P _ X369 -87B E(add ,fami_ly room 071-400-058 94-0217.B,E OLSON, HERB & MARION 407 SIMMONS',RD.-, OROVILLE07 ENCLOSE DECK TO SUNROOM/SFV FR(t-Roof' O'71.400-OS$ �iMMOM Rd. OrolAlt Garalt C$ 7(Scan rel )R: C-,eorck QnnC 0 07/- ,71 �® { 111 41 0 1 i 't I -7/-4d - HERBERT F'OLSON 54'NIS of pri. rd., app. 1.1 mi. NE of Oro Quincy Rd., approx. 1 mi. N of Bidwell BarBridge Permit ##2153-76E (temp, pow ,pole for irrigation(pump) ����/ r Permit ##2980=76B,P,E,M(new single family)�� 71-08-66 Permit #5196-76B(add open deck/SF) 407 Si s Rd, Oroville Permits#365`1 (new private garage) 1 =4�» P _ X369 -87B E(add ,fami_ly room 071-400-058 94-0217.B,E OLSON, HERB & MARION 407 SIMMONS',RD.-, OROVILLE07 ENCLOSE DECK TO SUNROOM/SFV FR(t-Roof' O'71.400-OS$ �iMMOM Rd. OrolAlt Garalt C$ 7(Scan rel )R: C-,eorck QnnC 0 07/- ,71 �® { 111 41 0 1 i , V=OK O --"Not OK = Not Ready Applicable MOBILE HOMES Date/Initials MOBILE HOME UTILITIES (Plans) OK except #'a 1. Zoning Requirements -Setbacks -Easements 2. Soils; Special MH Support Sketch 3. Sewer; Location -Test -Fall -C/O Concrete 4. Water; Location -Teat -Easement Needed (Sketch) 5. Electricity; Location-Clearencea-Grnd-/ /Amp -Concrete 6. Gas; Location -Teat -Wrap: / PV ft. / /"Net. or/ PV ft./ /"LPG 7. Well Clearance & Disconnect S. Utility Clearance Date/Initials MOBILE HOME INSTALLATION (Plans) OK except #'a 1. Zoning Requirements -Setbacks Easements 2. Footings; Size -Spacing -Marriage Line 3.. Gas; MH Test-Demand-Valve—Connector 4. Electricity; MH Teat-Crossovers-Breakere-Clearances 5. Drain; MH Teat -Fall -Flex Connector 6. Water; MH Test -Regulator -Connector T Water and Sewer Connected -C/O to Grade -HD Approval B. Gas and Electricity Tagged 9. Exits; Insp.-Sketch 10. Cert. of Occupancy . MISCELLANEOUS Date/initial DE08, COVERS CARPORTS GARAGES Plana OK except #'a Z. ning Requirements -Setbacks -Easements Footings; Soils -Size -Depth -Spacing -Connectors -Steel 3. Decks; Griders and/or Jolsts-Decking-Bracing-Stairs-Rails 4. Wood Awn.; Posts-Beams-Rftrs -Connectore Shthg: Rfg: Bracing 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Carports; Windows -Doors Loe,6rng; Sils-Ancho -Studs-Rftrs-Trusses ia�ng; Nailing -Veneer -Stucco -Mesh o f; Shthg-Roofing Ext.; Steps -Doors -Lendings Date/Initials POOLS (Plans) OK except #'a 1. Setbacks -Easements 2. Soils; Compaction -Structure Stability 3. Pool Structure; Steel -Connections -Thickness bead 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 6. Elec.; Grounding; Equip. w/5' Circulating Equip. -Pool Lghtg. Boxes-Enclosu res -Pane lboards- Ins. to Main in Conduit 9. Health Department Approval 10. Plumb.; Cir. Test -Water Supply Test V=OK O = Not OK - = Not Applicable = Not Ready RESIDENTIAL (Single & Duplex) Date/Initials UNDERFLOOR (Plans) OK except #'s 1. Zoning -Setbacks -Easements -Flood -Slope 2. Ftg., Mein; Soils-Elec. Grnd.-/ /' Ftg. Depth 3. Ftg., Garage; Soils-Steel-Elec. Grnd. / /" Ftg. Depth 4. Ftg., Porches & Decks; Soils -Steel-/ /Ftg. Depth 5. Stemwalls, Main; Steel -Bloc kouts-Wrapped 6. Stemwalls, Garage; Steel-Blockouts-Wrapped 6a. Hold Downs and Special Anchors 7. Slab; Steel -Wrapped 8. Piers -Fireplace Ftg.-Steel 9. D.W.V.; Fall -Fitting -Test -2 Way C/O -Sewer Test 10. UF. Gas Pipe; Size -Anchors - yard gas piping: size -test 11. Water Pipe; Test -Anchor -Regulator -Service Test 12. Electric; Underground 13. Plenums & Ducts; Clears nce-Material-Support-Ins. 14. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples 15. Access & Ventilation 16., Insulation Date/Initials PLUMBING (Permit) OK except k's 16. Water Htr.; Vent -Access -Combustion Air -Baffle 17. Water Pipe; Test & Anchor -Neil 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/initials ELECTRICAL (Permit) OK except #'a 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/Mach. Fastners-Bond Gas & Water 27. 2 Appliance Circuts in Kitchen & Conductor Size/GFI 28. Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / / ga. Cu or Al 29. Range Circ. / / ga. Cu or Al -Oven Circ. / / ga. Cu or Al. Insulated Neutral ❑ Yes ❑ No 30. Service -Riser Conductors & Ground -Main Disconnect 31. Equip. Clearances Panels -Motors -Meth. Equip. 32. Clothes Closet Light -Shower Light -Spa Light 33. Smoke Detector Date/Initials MECHANICAL (Permit) OK except M'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/Initials FRAMING (Plans) OK except M's 39. Sils, Proper Material & Anchors 40. Walls Studs -Nailing, Spacing & Bracing -Plates -Sound 41. Bearing Walls over Girders & Floor Nailing 42. Draft Stop in Wells (ret proof) 43. Fire Stops; Furred Ceilings -Stairs -Chases -Tub 44. Headers & Beam -Size & Bearing Date/Initials FRAMING (Continued) 45. Hangers -Post Caps -Anchors -Connectors 46. Cing. Joist-Rftr. ties-Purlin-roof Bmc-Truss-Shthng.-Rfng. 47. Fireplace Ties or Type A Flue -Fireplace Throat clearance 48. Attic Access; Size & Romex Protection -Draft Stop -Ins. Battles 49. Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions 50. Garage Fire Protection Framing 51. Property Line Firewall & Openings 52. Ext. Doors -One 3' -Check Garage -3rd Story, 2 Exits 53. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 54. plywood on Roof Overhang -Attic Vents -Rafter Outriggers 55. Siding -Nailing Veneer 56. Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access 57. Glazing Area -Glass Protection -Skylights -Plastic 58. Shear Walls; Nailing -Bolts 59. Insulation -Wells -Ceilings 60. Inf filtration -Walls -Windows Date/Initials FINAL (Plans) OK except M's 61. Ext. Steps -Door & Sidelight Protection -Landings 62. Smoke Detector 63. Furnace; Vents -Clearance -Comb. Air -Connector - In Garage; Above Floor -Ducts -Mach. Protection 64. Bedroom Exiting 65. G.F.I. & Bath Fixtures & Tub Access -Spa 66. Elec. Trim & Subpanel; Breaker Sizes & Labels 67. Stairs & Rails 68. Fireplace or Stove; Clearances -Hearth 69. Elec. Outlets at Wood Panel; Int. & Ext. 70. Kit.Fixt. & Appliance; Grnd.-Air Gap -Cooking Clearance 71. Elec. Outlets & Receptacles at Kit. Counter 72. Garage Fire Door, Swing -Landing -Closer 73. A.C. Duct in Garage -Damper 74. Wtr. Htr.; Vents -Clearance -Comb. Air-Connector-P.R.V. In Garage; Above Floor -Meth. Protection 75. Plb., Elec. & Mach. Equip. Listed for Location 76. Elec. Receptacles in Garage; (G.F.I.)-Romex Protection 77. Insulation -Foam -Looked in Attic ❑ Yes 78. Guard Rails & Deck Construction -Post Caps 79. Fdn. Vents & Crawl Hole Door-Drainagge & Wood -Earth Clearance Looked under Floor O Yes 80. Following instld.; Drive ❑ Yes ❑ No; Walks ❑ Yes ❑ No; Planters ❑ Yes ❑ No 81. Stucco; Brown -Finish 82. A.C. Unit; Disconnect, Electrical, Plumbing 83. Vents Above Roof; Plbg.-Appliance-Fireplace: Clearance to Openings 84. Water Well; Disconnect, Electrical, Plumbing 85. Exterior Elec. Trim; G.F.I. Receptacle -Underground 86. Ventilation Throughout House 87. Glass Protection 88. Corrections from Previous Inspections 89. Gas Test -Meters Tagged; Gas -Electric 90. Water & Sewer Connected -C/O to Grade -HD Approval 91. Energy Compliance Certificate -Other Certificates Comments at Final: COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive - Oroville, C&Oo-mia 95965 - Telephone (916) 538-754 PERMIT NO. APPLICATION AND PERMIT -C9 / 7111Z ASSESSOR PARCEL NUMBER 071-400-058 U ZONING BUILDING PERMIT 77" OWNER HERB & MARION OLSON TELEPHONE 89-0415 SQ. FT- OCC. BUILDING VALUATION —384 18,048 -no OWNER S MAILING ADDRESS 407 SIMMONS RD OROVILLE 95966 CONTRACTOR'S NAME OWNER TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace 1,500.00 CONSTRUCTION LENDER UNKNOWN Total Valuation Is , LENDER'S MAILING ADDRESS Filing Fee $ 20,00 Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS 407 SIMMONS RD PERMIT FEE $ 341.55 OROVILLE,Each PLUMBING PERMIT Filing Fee 20.00 Trap 7.00 Solar or heat pump water heater 23.00 Water piping 15.00 LOT NO. SUBDIVISION'S NAME PARCEL MAP Each gas water heater or vent 15.00 USE OF STRUCTURE SFS Duplex ❑ Mobilehome ❑ Other SPECIFY Gas piping system 1 5 outlets 15.00 Building sewer 15.00 Mobile Home S G W @20.00 TYPE OF WORK New 1:1Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Otherj Describework: ENCLOSE DECK TO—SUNROOM PERMIT FEE $ Contractor ELECTRICAL PERMIT Filing Fee 20.00 Main Service ( 101 OR LESS ) 200A OR LESS 23.00 Main Service ( 200A TO 1000A ) 46.00 NEW CONST. DWELLING OCCUP. OR ADONS. ( 8 ACC. BLDS. I SO, 3.50 FT, CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one) ❑ I am a licensed underrovisions of Chapter 9, Division 3 of the Business and P P Professions Code and my license is in full force and effect. _/(cense No. . Classification I, as the owner, or my employees with wages as their sole compensation, 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 contractors. (Sec 7044) ❑ 1 am exempt under Sec. Business and Professions Code forthis reason NEW CONST. MULTI -OUTLET -NON-RESIO. ( BRANCH CIRCUITS I @7.50 ( POWERAPPARATUS ) S SINGLE OUTLET CIR. Ex. Occup. ( OUTLET OR FIXTURES ) 20 @ 1.00 BAL. .60 Ex. Occup.FIXED APPS.OR ( OW UTLETS IRESID.I EA. I 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 23.00 WORKER'S COMPENSATION INSURANCE 1 declare under penalty of perjury (check one): ❑ This permit is for $100.00 (valuation) or less. ❑ 1 have placed on file with the County of Butte Dept. of Development Services, Building Division 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 Worker's Compensation laws of California. Notice to Applicant: If after making this statement, should you become subject to the Worker's Compensation provisions of the Labor Code, you must forthwith comply with such provisions or this permit will be revoked. PERMIT FEE $ 43.00 Contractor MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all Butte County Ordinances and California 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 r nesting of this permit. Date (Z Sign to of Applicant - &-Owner ❑ Contractor ❑ Agent I A - SHA permit is required for excavations over 5"0" deep and demolition or construction of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST. TYPE TOTAL FEE $ 384.55 HAZ• D. FEES IMP FLOo0 CDF PARCEL PD H Issu This permit is hereby issued under the applicable provisions of the Butte County Code and/or Resolutions to do work indicated above for which fees have been paid. By Z4A6V`� Date �7 q PERMIT EXPIRES ON (Date) Receipt No. 1 5595 WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT COUNTY OF BUTTE BUILDING DIVISION " *'` •; DEPARTMENT OF DEVELOPMENT SERVICES 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 OWNER �_P RMIT NO. A routine inspection indicates that the following violations of Butte County Ordinances exist at the above address and should be corrected. Please notify this office .when correction of work is completed. If you have any questions pertaining to this matter, of need additional explanation, please contact this office immediately. _ 404144 1, rxW y, k` X' ;i yJ 3 .L %y1 5 Date ,� Inspector REV 10/ 2 'Y�1roc.•'^•."Y''rAYZ.Ar.'...r`I••t,_,1+�^/+r'T,�.,�,�.�y{�.i.""t i°` i"i7�..+✓ T"r��+'�••-'7 �.1�g��'s. '"�t�F"� "i.�r' ��'iiyY1,,.!`�^-av,.� IN COU NTYOF BUTTE - DEPARTMENT OF DE`II UPMENTSERVICES -BUILDING DIVISION TGOUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 TELEPHONE (916) 538-7541 / PERMIT APPLICATION DATASHEET OWNER C����� A,,P3,, — G ", Q Proposed Building Use %- Building Inspector Date c� r At time of permit application,= I.was advised the following data must be submitted prior to permit processing adnd/or issuance: DATE RECEIVED BY 1. All items have been submitted. ........ 2. Plot plans, 3/4 sets, signed by preparer of plans. C,_00. .... .......... omplete plans, 3/4 sets, signed by preparer of pla /.. $ � T. . .4. Engineered plans and calcs, 3/4 sets, with wet signature on . ............ . 5. Hazardous Material Form. ......................................... . 6. Energy Design Compliance and supporting documentation . .................. �1 tatement of Intent for Non -Heated and A/C Buildings . ...................... 8 ngineered truss details and layout in duplicate (required prior to plan check). .... . obilehome data and manufacturer's installation instructions, 2 sets. ........... 10. Fees of $ .......................................... Impact fees as shown on attached schedule. .......... � 12. California Department of Forestry plan approval/f.Ce �. 1'`" Flood elevation letter (100 year flog y California Engineer ................... 14. Sanitation and plot plan approval Health Department.. .... Z- 15. City of Chico plumbing permit . ......................................... 16. Plot plan and business license approval from City of Biggs/Gridley. ............. 17. Planning approval for (A) Use: (B) Parking: . ........ 18. Contact Land Development about (A) Improvements (B) Drainage. ...... . 19. Driveway permit (construction approval required prior to occupancy). .. .sp .. . 20. Pre -inspection for required. .. e�i,dingg Inspector (Date) 21. Contractor's license information. (No., Name Style, Classification) . ............. 22. Certificate of Workmans Compensation Insurance . .......................... 23. Owner -Builder Verification (Given to owner, Mail to owner �. .......... . 24. Recorded copy of Agricultural Acknowledgement Statement . .................. 25. Letter of signature authorization . ....................................... . 26. Copy of recorded deed of parcel creation and 60 right of way to a public road. ..... 27. Letter of intent on building use . ......................................... 28. Mobilehome utility clearance . .......................................... 29. Documentation of legal access . ..................... :.................. Irl 30. Documentation of 50% subdivisioh developed or (A) Road improvements completed �— and (B) Parcel meets zoning area and frontage requirements . ............... 31. Existing violations/expired permits . ...................................... 32. Plan check list . ..................................................... 33. 34. When you issue the permit, proce as follows: Mail to owner. Mail to contractor. Telephone V/5' and hold for pickup at 0,/1 4 office. Deliver with inspector. Other Parcel Creation L Acreage Applican L-- Date Copy of Haz-Mat form sent Health Dept. Fire Dept. — Copy of plans sent Health Dept. Fire Dept. Other '=The following data must be submitted 1. Index permit for above items No. _ 2. Additional items required: it issuance: (C Air Pollution Date .� Date By new item not checked above). Contractor, designerowner, as advised of above required data by phone _ mail Co nter by -ate 2—%G% Contractor, designer, o was advised of above required data by�hone _ mail C unter by _ Date. Plans checked by Date Plans approved by-- Date Sets of plans on hold in File cabinet AP folder Copy - Department of Public Works Final clearance O.K. for: N � w.�..� -- , VN , - Environmental Health Special 8/92 RJLLMI�� Aol • ~� Hof I1Iiin AII:Idivd kill i.. N: D F1'0 Building DgpitFtmont FROM; rIIVIF®IIIIIUIltell r tllth SUBJECT; Sanitation Cloaralleu 0 7 _ S� 1 wt o�S D • _ Owner Location (�/e�, AP# Plan Approved for: Sewaoc Disposal Water Supply: � Public Private Well Clearance for —' Other /02 X —3,,2pO RC/4 Final clearance O.K. for: N � w.�..� -- , VN , - Environmental Health Special 8/92 COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 COUNTY CENTER DRIVE, OROVILLE CA 95965 - TELEPHONE (916) 538-7541 OWNER Q S A. P. # zo 71 - OG - �/SO PROPOSED BUILDING USE DATE o-�f U,v le- O0yi REC. # _ DATE REC ZI. SCHOOL DISTRICT FEES O (.I_:() (-//I//-i �/ (paid at District Office). /�� 2. SHERIFF FEES ........................ (paid at Building Department) Residential...... x =$ unit amt. Commercial (sqft) x _$ 3. URBAN AREA FEES sq.ft. amt. (paid at Building Department) Residential (per unit) x =$ # units amt. Commercial (per sq.ft) x =$ sq.ft. amt. 4. RECREATION DISTRICT FEES (paid at District Office) ......................... 5. DRAINAGE DISTRICT FEES (Contact Land Development Division) .............. &?"6.' SRA FIRE INSPECTION AND PLAN CHECK =='00 (paid at Building Department) 7. OTHER 8. OTHER At time of permit application, I was advised the above fees are required to be paid prior to issuance of the permit. APPLICANT DATE COUNTY OF BUTTE - Departtment'of Public Works 7 County Center Drive, Oroville, CA 95965 OWNER -BUILDER VERIFICATION Attention Property Owner: Phone: 916-538-7541 An 'owner -builder" building permit has been applied for in your name and bearing your signature. Please complete and return this information at your earliest opportunity to avoid unnecessary delay in processing and -issuing your building permit. No building permit will be issued until this verification is received. 1. I personally plan to provide the major labor and materials for construction of the proposed propertyijimprovement (yes or no) 2. I. av Piave not) �4z� e_ signed an application for a building permit for the proposed work. 3. I have contracted with the following person (firm) to provide the proposed construction: Name' Address City Phone Contractors License No. a•. I plan to provide portions of this work, but I have hired the following person to coordinate, supervise, and prov'id'e the major work: Name Address . City Phone Contractors License No. 5. I will provide some of the work but I have contracted (hired) the following persons to provide the work indicated: Name Address Phone Type of Work Signed: / Property Owne�c/ a _ r Date NOTE: This Owner -Builder Verification is sent to you as required by Sections 19831 and 19832 of the California Health and Safety 'Code. This verification must be completed. and *returned to. our office before we are per- mitted to issue the permit. ,- .. ,. .•^.t*71l l . . .. .. � � ._. ... •.v r "hl'�,.. °�A�_�_�.� .m.,�.... �79/�4R1'�'aRr .' r�e.+lP'1I�r.V+GiI 4 BUTTE COUNTY SCHOOLS IMPACT FEE CERTIFICATION FORM (One Form Per Building) sa' .. School District 6 VIP HS '4 Building Department No. A.P. Number /) ]l' Y00—'05 5f' Jurisdiction } City - County Property Owner Property Location/Address 10 S/ /V1 /'YI (� �/ S -D, OP— Z? Subdivison Residential Development Commercial/Industrial 0 No. of Living MHI Units 0 New —Lot No. Ur Addition Sq. Footage 3 e y (Group R) Sq. Footage Addition (Including Exterior Roofed Areas) Building DepartmdKt Representative Dat (Floor Plans reviewed by School District Personnel) District Identification No. 940099 owillt, V(VU «ti School District certifies that !�M7 SINM (Street Address) (CRY) PJ) (State) ''(Applica t) i"N (Phone Number) (Zip has complied with the requirements of Resolution No. IDS- �_v by payment of $ h � representing square feet. n. School Paid by Check Number Remarks:— Bank Number _ \ Paid by Cash tr Date If, subsequent to the School District Representative signing this Butte County Schools Impact Fee Certification Form, the School District is notified by the applicable Local Planning Agency that this project is being reviewed under the California Environmental Quality Act (CEQA), this project may be subject to additional school fees to fully mitigate its impact on the school district's schools. White (applicant), Yellow (building department), Pink (school district) feeformmki (4/92) K PERMIT NO. 3657-86B PERMIT EXPIRES -2 / OWNER HERB OLSON CONTR. owner ASSESSOR PARCEL 71-40-32 LOCATION 407 Simmons Road, Oroville Temp. Power Pole ?- Called PC Temp. Elec. S 1 Called PC j' ' Temp. Gas Sei i • Called PC- JOB G JOB FINALE[ Signature J = OK 0 = Not OK - = Not Applicable _- Not Ready RESIDENTIAL (Single and Duplex) Date U FLOOR Plans OK except N's Date FRAMING (Continued) ir Zoning requirements -Setbacks -Easements 48. R,03, yrL�ne-firew penings 2. FSg:, Main; Soils -Steell-._ / /" Fig. Depth $,--Fig., Garage: Soils -Steel- / 1,7,-4•`'-Ftg. Depth - 49. 50. Ext. Doors -One 3' -Check Garage -3rd story, 2 exits ise-Run-Landing-Fire Protection 4 cks; Soils -Steel- / /" Fig. Depth 1. Plywocd on Root Overhang -Attic Vents -Rafter Outriggers _ S CtermzranS,'I�Idin; Steel-Blockouts-Wrapped-Slab emwalls, Garage; Steel-Blockouts-Wrapped�1 3. Siding -Nailing -Veneer Stucco Mesh -Drip Screed-Fdn. Vents-Underflr. Access_ 7. Piers -Fireplace Ftg.-Steel _ - s Protection -Skylights -Plastic -8. - r D.W V.: Fall -Fittings -Test -2 way C/O -Sewer Test 55.eaSfi- 77rs;'Nailing-Bolts _ _ 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-AnchorBolts-Joists-Vents-Cripples Card -BI Dat - b'87 Card -Bl Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI v Date [( Card -BI Date r Card -BI Date Date F (Plans) OK except q's Card -BI Date Oate PLUMBING (Permit) OK except p'sector "6_/Ext. Steps -Door & Sidelight Protection -Landings 14. 15. 16. 17. 18. 19. Z Card -BI Water Ht.: Vent- Access -Combust ion Airn Water Pipe; Test & Anchors -Nail Protection D.W.V.: Test-Fttngs & Anchors -Nail Protection Shower.Pan: Test, First Floor -Tub Access Test Tub & Shower, 2nd Floor -Tub Access Gas Pipe.: Size &Anchors Date Card -BI Date Date Card -BI Date s- arance-Comb. Air- nnector- In Garage; Above Floor -Ducts -Meth, tection 6 & Tub A&eefs 61. Elec. Trim & Subpanel; Breaker Siz -Labels 62. 63__F - p r tove; Cle ces-Hearth is at Wood n ; Int. & Ext. Iia c Grnd.-Air Gap -Cooking Clearance is &AqcFptacIes at Kit. Counter Date ELECTRICAL Permit OK except q's it or, Swing -Landing- loser 6 ara e -Damper 20. 21. 22. 23• 24. 25. 26. 27. 28. 29. 30. Card B- Card B-1 _ Fixture & Transformer Clearance -Ins. Protection Elec. Receptacles Spacing -Lights & Switches at Doors Sie Boxes & No. of Conductors -Stapled Rozmex Installed Close to Edge of Studs & C.J. Equip. Ground made up w/Mech. Fasteners -Bond Gas & Water 2 Appliance Circuits in Kitchen & Conductor Size Subfeed Wire Size / / ga Cu or AI-A.C. Wire Size / / ga. Cu or At Range Circ. / / ga. Cu or Al -Oven Circ. / / ga. Cu or AI, Insulated Neutral Yes �No _ _ - Service -Riser Conductors & Ground-MainDisconnect_ - Equip. Clearances: Panels-Motors-Mech_ Equip. Clothes Closet Light -Shower Light -_ - ---_-.---• _ _ --_ -- - - Date Card -BI Date __n Date Card -BI - Date 6 . it. tr a -Clearance-Comb. Air-Connector-P.R.V.- arage, bove Floor -Meth. Protection 0.Ib., . & Mech. Equip. Listed for Location - arage; (G.F.I.)-Romex Protec. I tion -Foam -Looked in Attic [j Yes r ion -Post Caps _ dn. Vents & Crawl !-tole Doo nage & Wood -Earth Clearance Looked under Floor es 75. Following instld.: Drive es [) No: Walks ❑ Yes [C��1et- Planters ❑Yes C. o n- nish onn-Clrnces-Brkr. & Cond. Size -115V Outlet _ oof; Plbg.-Appliance-Firepl.-Clearance to Opngs. 7 isconnect, Electrical, Plumbing 80. Exterior lec. Trim; G.F.I. Receptacle -Underground roughout House lass jotection Dail � MECHANICAL (Permit) OK except q's . Corregfions from Previous Inspections -- as est -Meter Tagged; Gas -Electric 31. 32. 33. 34. .35. Card -Bt jI Caid-B A.C. Ducts. Insulation & Support _ T- -`_ Vent Fan: Exhaust above Insulation _ Condensate Drain & Overflow: Size _& Grade Furnace -Vent: Access -Comb. Air -Return Air Vent -115V outlet Attic Access & Platform if Furnace in Attic Date Card -BI Date _ Date Card -81 Date - Wa r & Sewer Connected -C/O to Grade -HD Approval E ergy Compliance Certificate -Other Certificates Card -81 Card -BI Date = Card_BI Date _ date Card -BI Date Card -BI Date Card -BI Date Date FR NG(Plans) OK except q's Com lents at Final: 06�, Sills; Proper Material & Anchors ✓�"-Walls: St ds -Spacing & Bracing -Plates -Sound X38. Bearing Walls over Girders & Floor Nailing _ 39, -Craft Stop in Walls (rat proof) - T 409,-Fire13trps Ceilin s-Stairs-Chases-TubC,-'4 1 Header & Beam -Size & Bearing 42r-H7nger7--r=Caps-Anchors-Connectors �f rv,s. Ctng. Joi*-R'ftr. Tie>�rlin-Roof i�Truss-Shthnq.-Rtlif 44. F pe A Flue -Fireplace Throat 45. . Baffles /a n ows or xiting Doors -Sill Hgt. &Dimensions - V47. Garage Fire Protection Framing _ - (NOTE An entry must be made each time youvisit jobsite) = OK = Not OK = Not Applicable MO B I LEHOM ES = Not Ready MISCELLANEOUS Date MOBILEHOME UTILITIES (Plans) OK except N's 1. Zoning Requirements -Setbacks -Easements Date DECKS, COVERS, CARPORTS, ETC. (Plans) OK except N's 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 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 -Enclosures 6. Gas; Location -Test -Wrap:/ /"L"ft./ /"Nat. or/ /"L"ft./ /"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 Date Card -BI Date MOBILEHOME INSTALLATION (Plans) OK except N's 1. Zoning Requirements -Setbacks -Easements Card -BI Date Date Card -BI Date POOLS (Plans) OK except #'s 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 S. Drain; MH Test -Fall -Flex Connector 5. Elec.; Pool Lighting; 15 volts-GFI 6. Water; MH Test -Regulator -Connector 7. Water and Sewer Connected -C/0 to Grade -HD Approval 6. Elec.; Enclosures; Conduit Entries -Terminals -Listed 7. Elec.; Bonding; Metal w/5' -Circulating Equipment -Heater 8. Gas and Electricity Tagged 8. Elec.; Grounding; Equip. w/5' -Circulating Equip. -Pool Lghtg. Boxes -Enc losures- Pane lboards-Ins. to Main in Conduit 9. Exits; Insp.-Sketch 10. Cert. of Occupancy 9. Health Department Approval 10. Plumb; Cir. Test -Water Supply Test Card B -I Date Card -BI Date Card -BI Date Card -BI Date Card B -I Date Card -BI Date Card -BI Date Card -BI Date _ COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, Californid 95965 - Telephone 916/534-4541 APPLICATION AND PERMIT PERMIT NO ASSE SOR PARC L U�xMBER pi / — V — 3 � ZO G �. BUILDING PERMIT OWNERTELEPHONE �gcj,6L/�S- SQ. FT. OCC.1 BUILDING VALUATION OWNER'S MAILI ADDR -7 ( ESS 41 CO AC TOR'S NAME TELEPHONE C NTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation Is Filing Fee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS LIU - ✓120n S AVI Permit fee $ S 1/717 PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 V 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 \ SPECLVY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home I S I G W10.00 ea Az�TYPE OF WORK New$ Addition - Remodel[] Utilities ❑ Installation[] Other ❑ Describe work: Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 100 AMP ORV OR LESS10.00 Main service EA. ADD'L 100 AMP 2,50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): ❑ I am licensed under provisions of Chapt. 9, Div. 3 of the Buslnes$ 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) El I, as the owner, am exclusively contracting with licensed contract-Mobileo ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONST. DWELLING OCCUP,y� , OR ADONS. ACC. BLDGS. / h2sgft LET NEW CONSTRESID, RANCH CRC 2.50 ea NON.R ESID BRANCH CIRC ITS POWER APPARATUS &) SINGLE OUTLET CIR. Ex. Occup( 20050C p OUTLETS OR FIXTURES eAL@30 Ex. Occup. OUTLETS (RESID )REA.1 2.00 Temporary service 10.00 Home Facilities 15.00 Misc. 6'/i 9 15.00 Permit Fee $ WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. Contractor MECHANICAL PERMIT Filing Fee 10.00 Heating Cooling g Hood 3.00 Ventilation Permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the Countyot Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue Wagainstaid County in conse ce of the granting of this permit.This Date v of Applicant — Owner ❑ Contractor ❑ Agent ❑ An OSHA permit is required for excavations over 5'Q" deep and demolition or construct- ion of structures over 3/'s�tories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ TOTAL PERMIT FEE ,l Occup. CONST.TYP! FLoo PA L PD N ISSUE permit is hereby issued under sions of the Butte County Code and/or work indicated above for which DIRECTO OF PUBLIC BY PE T EXPIRES Date the applicable provi- resolutions to do fees have been paid. WORKS �'� Receipt No. / 37�?= WNIT!-D.P.W., YELLOW-ASSE,SOR, PINK -INSPECTOR, GOLDENROD -APPLICANT OWNER COUNTY OF BUTTE - DEPARTMENT.�OF+PUBLIC WORKS - BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILLE, ~CALIFORNIA 95965 - TELEPHONE: 916/534541 PERM T'APPLICATIOWDATA SHEET Permit No. A P No %i— 410 --�� Proposed Building Use Building Inspector Date Ica -�- At time of permit application, I was advised the following data must be submitted prior to permit processing andJor issuance: DATE RECEIVED APPROVED 1, All items have been submitted. . . . . . . . . . . . 2. Plot plans in duplicate./triplicate, signed by preparer of plans. . 3. Complete plans in duplicate. /triplicate, signed by preparer of plans. 4. Complete engineered plans and calcs, with wet signature on plans. 5. Plans with Energy Design Compliance Statement. . . . . . 6. CUSD "Fees Paid'' Stamp on Floor Plan . . . . . . . . 7 Statement of Intent,1for Non -Heated and AC -Buildings. 8. Fees of $ t . . . . . . . . fo ...Sanitation Letter of signature authorization.f ).i . approval from Health Dept. ` 11. Planning approval for (A) Use: (B) Parking: 12. Certificate of Workmen's. -Compensation Insurance. . . . . . 13. Contractor's License Information (no., name style, classif.) 14. Owner -Builder Verification.(Given to owner, Mail to ownerE]), _15. Improvements may be required. . . . . . . . . . . . 16. Mobi lehome Installation Data. . . . . . . . . . 17. Pre-Inspec. request to Pre -Inspection for Required. Building Inspector (Date) 18. Recorded copy of Agricultural Acknowledgment Statement. 19. Driveway Permit. 20. Plot plan approval from city of 21. i 22. When you issue the permit, process as follows: Mail to owner, Mail to contractor. 11a Telephone and hold for pickup at office, Deliver w/inspector, Other Mr -w -r-111-3 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---Mail —counter by Contractor, designer, owner, was advised of above required data by—phone—mall—counter by Plans checked by Sets of plans on hold in Copy—DPW Date Plans approved by File cabinet AP folder date date —4ate 1 Z — Hours: 10:00 a.m. - 3:00 p.m. 'o To: au.ilding Departmei-it From: ,environmental Hon1th Sub t: Sanitation Cle;ar.'u,c< Owner Location AP1� Plan Approved for: "est!r,,e cii.;:po:,al water upply Hold final for: l;::c,er :supply Final clearance O.R. for: anter supply Clearance for bedroom mobile hoi-ne. OLher Sanitarian Date; COUNTY OF BUTTE - Department of Public Works 7 County Center Drive, Oroville, CA 95965 Phone: 916-534-4541 OWNER -BUILDER VERIFICATION Attention Property Owner: An 'owner -builder" building permit has been applied for in your name and bearing your signature. Please complete and return this information at your earliest opportunity to avoid unnecessary delay in processing and issuing your building permit. No building permit will be issued until this verification is received. 1. I personally plan to provide the major labor and materials for construction of the proposed property improvement (yes or no)�. 2. I (have/have not) signed an application for a building permit for the proposed work. 3. I have contracted with the following person (firm) to provide the proposed construction: Name Address City Phone Contractors License No. 4. I plan to provide portions of this work, but I have hired the following person to coordinate, supervise, and provide the major work: Name Address City Phone Contractors License No. 5. I will provide some of the work but I have contracted (hired) the following persons to provide the work indicated: Name Address Phone Type of Work Signed: Property Owne — Social Security Nu er Date NOTE: This Owner -Builder Verification is sent to you as required by Sections 19831 and 19832 of the California Health and Safety Code. This verification must be completed and returned to our office before we are per- mitted to issue the permit. ; (/7.- /✓ R, G nis W of plans and specifications MUST be kept on the job at all times and it is unlawful to iq'I make any changes or alterations on some without i written permission from the Department of Pubes �I Works. County of Butte. O o� �� yv c• V/ N Provide � ' x 10" anchor bolts @ 6' O.G. max. and within —'12" of joi s. BUTT COUNTY UILDING DEPARTMENT 'SPP OVER .3W/-8(:%, n. &I I 7 i �Q I L� O o� �� yv c• V/ N Provide � ' x 10" anchor bolts @ 6' O.G. max. and within —'12" of joi s. BUTT COUNTY UILDING DEPARTMENT 'SPP OVER .3W/-8(:%, n. &I — II II I — T ! I �I— IT --TJ iY. T NOTE: --All Materials Aiccordsac.ce wi;l� Recognized ` Workmanship Sfiafl Be % 016.a c% r l✓ ' fill' Practices and l.�Iiifs.r;ro i �,snc,. fa + • fill' Specified use in fJW 'AeNWional Elecfrical Code. �ecl�anical CodesaW ''A ' r' wmr Iz4,JAM PAT'VOIL &"��ttov� ,v. c,�►s� Provide %z" x -10" anchor bolts @ 6' O.C. max. and within 13" o Ple-w V) neK f joints. BU17E COUNTY SUILDING DEPARTMENT APPROVE® . V 4ti j Q I Y 1 Y ., M Q 1s� NOL \ N Q 9 v It • N .00 w EX i� rig' 9 fy �eToack o; o i i'. o i of-, ti,e property lines and a setback � of 50ft. from the road centerline shall be clear of '4�:' structures or equipment except for 'a 2 ft. eave overhang. BUTTE BUILDING DEPA APPROVED A setback of 5 ft. from the F 4 " property lines and a setback L flus set of plans and specifications MUST bo of 50ft. from the road kept' on the job at at1 times and it is unlawful bo of centerline shall be clear of Make any changes or alterations on same without 01 �'' written permission fr®m the Departmentof PuMle ,. structures or equipment except - iT1 Works, County of Butte. or a 2 ft. eave overhang.. O '0 •/ O - • ,a CO ON 000, 41 v 1346 7T4 N UN728.33 ,6�i_ SUU.DING Of DEP TMEI�i SAP P R®'. , w c•� w a_ o I 1.11 H N,ri'i�- i0 •r, 1.11 H N,ri'i�- i0 t �G M !, •R , I. t 1 , Qi , IS I P� , do i m y � Z t 1.11 H N,ri'i�- i0 t I i f '�� !.. , —i � � j �`�=�f `�"�- / , `�. ' _._t./r'I I L<_.._' _ i i!=' 'L.—g—"��. ! i �i I I � ----- /�.�:._G,J � • 11 I ; 11 I• Cj i i i' `' - + \ �lh ` " I it I ...os.y��r• i I , "��•! 1 ,,�I.I i i t I i Ii � t it f i � ` �;N • �� � ?� DER �`�AD� 1 ii 1 i i i —'4- ' ... Li _—.-- —, { i �..L..'�'.'. —Provide/z" x 10" anchor bolts -=----__-__ -__ -----� _ -- - __._ _ _.---_-_--_------- __--_. ;�� • _ -,.. _• . ------w--.-_ ��- ----12.6-0 O -C. max and within _ ----- i `�-/� ' `�"�- / ! /'� .:e .`ori • / :�.�. 11 I ; Cj 1 — ' t• i ! IV 3WTTE COUNTYCp D,I NG DEPA RTMEN11 i PROVED ��`� ;' ? � �� ` �,�flt� '', 140% ---:Ag McArials & Workmanship Shap go 1h Accordance with Recognized Good Practices and I of a quality prescribed for the Specified use in the I Uniform Building, Plumbing & Machang�,al Codes anC f6 National Electrical Code. .17 IN V •A 'o 4w Z-490 IS&X12 7;PL— A 7— BUTTE COUNTY RTMEM it i ��`� ;' ? � �� ` �,�flt� '', 140% ---:Ag McArials & Workmanship Shap go 1h Accordance with Recognized Good Practices and I of a quality prescribed for the Specified use in the I Uniform Building, Plumbing & Machang�,al Codes anC f6 National Electrical Code. .17 IN V •A 'o 4w Z-490 IS&X12 7;PL— A 7— BUTTE COUNTY RTMEM ------------- r C Ig 11 Vew-TEzc- Ii3locK ,7 :�C77Z / /IMI _ T ..Z X ' ''ion/( WA A, 4-•,.o a ?' _ d _ BUILDING DEPARTMEW d _ 1 AoeL Y t • ! � !� r / i _, 11 � l 7 i G ry C/ t� �� ��_�i� fi'i� ''1 � ��' � -, 't - ,� Un< ,c.r / ` ,�'� , v� �-� 7__ �� -� _ -� -z � � _._ ..v�.� ENERGY SHEET FORM FOR ADDITIONS TO RESIDENTIAL BUILDINGS PERMIT NO. 3,l 9 -S 7 PACKAGE "A" (Additions) NAME YEAia Qt-SoNSQUARE FOOTAGE JOB ADDRESS Existing Residence /54(, TYPE OF WORK S IF New Addition (6 New Total /&Sz,- The following information sheet, showing mandatory features and required features of Package "A" must be completed and attached to all plans for additions. to dwellings. Additions to dwellings include room additions, .converti'ng garages and patios to living areas, house moves that add footage and attic conversions, and any space that is ex- isting non -conditioned space that is converted to conditioned space. Remodeling of existing conditioned space is not -included. ONE 1 Z NE 12 YR9 INSTALLED *APPLIES TO NEW AREA CEILING R-30 R 0 WALL R-11 R 11 FLOOR R-11, - 1 SLAB R- 7 -1 GLAZING 65 .65 ,65 SHADING SOUTH -OPTIMUM OVERHANG or .36 S.C. WEST - .36 S.C. LOOSE FILL INSULATION (Density) INFILTRATION CONTROL (Weatherstrip doors, certified windows, caulking) VAPOR BARRIER (Zone 16) r CTS PER UMC - Ch, 10 ..� Z FOGHTING KITCHEN & BATH NOT LESS THAN 25 LUMENS/WATT NF�XIMINI GLAZING 16% OF AREA PLUS REMOVED GLAZING 6� - �O[t/ED = 75-. 76 / C A)er141,=l4-¢ or - HVAC AND HOT WATER IN CONJUNCTION WITH AN ADDITION SHALL COMPLY TA FILL OUT DATA ON BACK OF THIS SHEET 7/83 ❑o HEATING. VENTIIATING, 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°F) 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) (B) Cooling Electric Air Conditioner (brand and model number) (seasonal EER) Btu/hr (cooling capacity at 95°F) Electric Heat Pump Btu/hr (cooling capacity at 95°F) Other (describe) *1 Submit documentation of sizing heating and cooling equipment by Manual J, sizing charts (form #4) or other approved methods, section 2-5352(g), and fill out the following: Heating: Winter design temperature °, elevation ', heating load BTL' 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 requirements of Title 24, Part 2, Chapter 2-53 of the California Administration Code. 4SITFUJ�R'-E OF BUI ING DESIGNER OR APPLICANT DOMESTIC WATER SYSTEM ❑ .(A) Gas Only Gallons (brand and model number) (tank size) ❑ Heat'Pump w/Electric Backup (brand and model number) Gallons (tank size) �. 2 [3* 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) ❑ Ivcation of Solar Panels ❑ Other (Describe) *1 Submit documentation of sizing heating and cooling equipment by Manual J, sizing charts (form #4) or other approved methods, section 2-5352(g), and fill out the following: Heating: Winter design temperature °, elevation ', heating load BTL' 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 requirements of Title 24, Part 2, Chapter 2-53 of the California Administration Code. 4SITFUJ�R'-E OF BUI ING DESIGNER OR APPLICANT (r County of Butte DEPARTMENT OF PUBLIC WORKS REQUEST FOR INSPECTION Date �� �r Time Rece+�d 114-e9 --YO Permit# Job Adde�r//esss••���� �0X—,j � Owne�T��.�L�� ene—Sa ✓ Contractor BLDG. PLUMBING ELECTRICAL OTHER Form Rough Rough Frame Gas Piping Appliances Lath Sewer oMete;..Fireplace Water Pipe rtFinal Final Ready for-1nsp.� on S- 3- 19 76 Date By Inspection 'made: 1 (aoo.z) � Q Ica (�lop , � Q Ica 10 I r (Signature) PERMIT NO. 2980-76B,P,E,M ( PERMIT EXPIRES "OWNER H. F. Olson 'j, 'jCONTR. owner i ;LOCATION (A.P. 71-08-66 W/S'pr.i. rd.,app. 1.1 mi. NE of Oro Quincy Rd., app. 1 mi. N.of Bidwell Bar Bridge f , k 1 5t T ,M. fry. I l T r. LL ,l 4 Temp. Power Pole Called PG&E Temp. Elec. Serv. Called PG&E Temp. Gas Serv. ° Called PG&E ' JOB FINALE (Signature) COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS Stucco Brown Cooling Finish Ducts Interior Lath Ventilation Door Closer Final DATE REMARKS OR CORRECTIONS ��- /7-7�6 Water Mr. Sub anels Grd. Fault Pr Service f•Z Temp. Pole Undergrouni Permanent Final • %%// (NOTE: An entry must be made on this form each time you visit the job site.) BUILDING INSPECTION RECORD BUILDING .BUILDING (Cont'd) PLUMBING Setback 6-15-- 7(_ Firewall Sol[ Piping Forms Parapets 1st Floor Main Bldg. Restroom Finish 2nd•Floor Footings - 1.S- 7L Windows %Z 3rd Floor Stemwall Sidin 75 Slab Roof Sheathing -?/ Water Piping' Piers Roofing 6 Sewer Garage Fdn. Vents Fixtures %i iv Footings Stemwa I I to - 7 Garage Vents, Insulation Water Htr. Heaters Slab Carport Footings Prov. for physically handicaped Conformance of ex. structure 4 Appliances 7 I Gas PI in &Test Temp. Gas Slab Final Sanitation Patio FIREPLACE Final Footings Footing —' ELECTRICAL Masonry Walls Throat ���- Rough •Reinf. Steel Final Fixtures Z Z G Bond Beam FIRE SP IN ERS Motors Stucco Brown Cooling Finish Ducts Interior Lath Ventilation Door Closer Final DATE REMARKS OR CORRECTIONS ��- /7-7�6 Water Mr. Sub anels Grd. Fault Pr Service f•Z Temp. Pole Undergrouni Permanent Final • %%// (NOTE: An entry must be made on this form each time you visit the job site.) COUNTY OF BUTTE —' 6 P 'k'TMENT.OF PUBLIC WORKS 7 County Center Drive — Urovillp, California 95965 Telephone: 534-4541 APPLICATION AND PERMIT / � 6 Dov Wilding =xpire�sDate��� Receipt No. White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant permit—l'7 BUILDING Owner p1, so A/ SQ. FT. OCC. BUILDING VALUATION 5 6 22 3. 196- V Mailing Address , Z CO u rT 6-30 -.l I -1 o �V t�II rL Le Telephone No. 53 '-oio7 / Cb1101e plvG Fireplace p,kl tD& A Contractor Total Valuation Mailing Address Permit Fee Plan Checking Fee &/or Penalty Telephone No. Permit Fee $ BuildingAddress I/��� �F- (?YW AiPPnx PLUMBING No.1 @ FEE PERMIT FILING FEE $3.00 s,pp r 0 F 10 YO (A I W gppy,,SL Each Trap 8 1,5012. p 61 e F , ALL A1r' rtc� 6 Repair drainage or vent piping 1.50 Water piping 1.50 Each gas water heater or vent 1.50 Its- t—Gas A. P. No. 7/— d �� (Q ( Zoning& Planning Gaspiping system 1 - 5 outlets 1.50 Each additional outlet 30 F W i n Fire Dept. Fire Zone Use Permit Building sewer 5.00 EQA Parking Platens I Parcel Declaration parcel Ma p 60' R/W Im provements Lawn sprinkler system 2.00 Bldg. aPT ns Recd Parcel proval PIans Approval Permit Fee $ $ NEW ADDITION ❑ UTILITIES ❑ OTHER ❑ ELECTRICAL No.1 @ I FEE PERMIT FILING FEE J$3.001, p Main service i00V OR 00 AMP ORLESS5.00 Main service EA. ADD'L 100 AMP 2.50 Single Family Duplex ❑ Mobil Home ❑ Others ❑ Main service OVER 600V 100 AMP OR LESS 25.00 MP Main service EA. ADD'L 100lJAp1.00 NEW CONST OR ADDNS. ( ACCLBLDGS LING Q / &) 22sgft ,; NEW CONSTR. (MULTI -OUTLET NON.RESID. BRANCH CIRCUITS) '2.50ea NEW CONST. POWER APPARATUS & NON.R RESID. (SINGLE OUTLET CIR. CONTRACTORS LICENSE LAW I am licensed under the provisions of Chapter 9, Div. 3, of the State of California Business & Professions Code under the name style of: Ex. Occup(OUTLETS OR FIXTURES)@L2% BAL Ex. OCCU FIXED APPLNS. OR p• ( OUTLETS (RESID.) EA) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 License No. Classification Misc. Wiring 6.25 I am exempt from the Contractors License Laws of the State of California. Permit Fee $ 1.1'3. S -O $ J43 IS -0 WORKMEN'S COMPENSATION INSURANCE I am aware of the provisions of Section3700 of the California Labor Code which requires every employer to be insured against liability for Workmen's Compensation. ❑ I have placed on file with the County of Butte a certificate of Workmen's Compensation- Insurance. I certify that in the performance of the work for which this ermit is issued I shall not employ any person in any manner As to become subject to the Workmen's Compensation Laws of California. MECHANICAL No. @ FEE PERMIT FILING FEE $3.00 3, 60 Heatin g o ppO 13-rLt Cooling ''p V -0 Ventilation Hood 2.00 Permit Fee $ 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. - ate// Signature of Pe itee or Agent ! TOTAL PERMIT FEE h $ of mD This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DIRECTOR OF P IC WORKS —� / � 6 Dov Wilding =xpire�sDate��� Receipt No. White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant permit—l'7 COUNTY OF BUTTE" 2 DEPARTMENT,OF PUBLIC WORKS 7 County Center Dkive - Oroville, California 95965 Telephone: 534-4541 APPLICATION AND PERMIT uuuwiicc icNicsarltaUvcs UI the ,,Ouniy o1 Butte to enter upon the above-mentioned property for inspection purposes. /ate Signature of r r nt Receipt No. White-D.P.W. – Yellow -Assessor – Pink -Inspector – Goldenrod -Applicant This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DIRECTO OF PUBLIC WORKS BY Date 6 -�Building-permit expires Date BUILDING Owner SQ. FT. OCC. BUILDING VALUATION Mailing Address 72E,94— 101 QnO L)) L �, c^ c /� /]1 Teleph e No. Fireplace Contractor (, Total Valuation Mailing Address Permit Fee Plan Checking Fee &/or Penalty Telephone No. Permit Fee Building Address ,4= PLUMBING No.1 @ FEE PERMIT PERMIT FILING FEE $3.00 ,'/ /— Each Trap 1.50 ` /iU or� /1jp� m�, i1� �Y �iJ �pi',",� Repair drainage or vent piping 1.50 'e ,,/ F !R./ Z voT �/—/[� ��' Water piping 1.50 Each gas water heater or vent 1.50 njQ A. P. No. / I Zoning & Planning Gas piping system 1 - 5 outlets 1.50 Each additional outlet .30 Fekell W. . —ga" 4ivft° Fire Dept. Fire Zone Use Permit Building sewer 5.00 EQA Plans Parkin Declaration Parcel Map 60' R/W Improvements Lawn sprinkler system 2.00 Bldg. Plans Recd I Parcel Approval Plans Approval Permit Fee NEW ❑ ADDITION ❑ UTILITIES ❑ OTHER ELECTRICAL No.1 @ I FEE PERMIT FILING FEE $3.00 ' O •/�� n^- AA ©G(J�%Q� O �r /� Main service 600' OR LESS 5•00 100 OROR LESS Main service EA. ADD'L 100 AMP 2.50 Single Family ❑ Duplex ❑ Mobil Home ❑ Others ❑ OVER 600V Main service 100 AMP OR LESS 25.00 Main service EA. ADD'L 100 AMP 1.00 NEW CONS. DWELLING OR ADDNST ( ACC. BLOGSCCUP. &) 20sgft NEWCONSTR. MULTI -OUTLET NON .RESID. (BRANCH CIRCUITS) 2.50ea NEW CONSTR. POWER APPARATUS & NON.RESID. (SINGLE OUTLET CIR. CONTRACTORS LICENSE LAW 1 am licensed under the provisions of Chapter 9, Div. 3, of the State of California Business & Professions Code under the name style of: A 49 O Ex. Occup(OUTLETS OR FIXTURES) BAL@1 09 Ex. OCCU FIXED APPLNS. OR P•(OUTLETS (RESID.) EA) 2.00 Temporary service 10.00 p Q Mobile Home Facilities 15.00 License No. Classification Misc. Wiring 6.25 FT I am exempt from the Contractors License Laws of the State of California. Permit Fee $ 111;011-099 $ /y. WORKMEN'S COMPENSATION INSURANCE I am aware of the provisions of Section3700 of the California Labor Code which requires every employer to be insured against liability for Workmen's Compensation. ❑ I have placed on file with the County of Butte a certificate of Workmen's Compensation Insurance. I certify that in the performance of the work for which this permit is issued I shall not employ any person in any manner so as to become subject to the Workmen's Compensation Laws of California. MECHANICAL No. @ FEE PERMIT FILING FEE $3.00 Heating Cooling Ventilation 12.00 Hood Permit Fee 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 TOTAL PERMIT FEE $/y / 00 uuuwiicc icNicsarltaUvcs UI the ,,Ouniy o1 Butte to enter upon the above-mentioned property for inspection purposes. /ate Signature of r r nt Receipt No. White-D.P.W. – Yellow -Assessor – Pink -Inspector – Goldenrod -Applicant This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DIRECTO OF PUBLIC WORKS BY Date 6 -�Building-permit expires Date ns/ -66 THIS IS TO CERTIFY THAT INSULATION HAS BEEN INSTALLED IN CONFORMANCE WITH THE CURRENT REGULA- TIONS, CALIFORNIA ADMINISTRATIVE CODE, TITLE 25, STATE OF CALIFORNIA, IN THE BUILDING LOCATED AT: Street Lot Number Tract No. EXTERIOR WALLS C�i����=�' Manufacturer Thickness/Type R Value CEILINGS' �. Batts: Manufacturer `�� Thickness R Value Blown: Manufacturer Thickness No. Bags Wt./Bag Sq. Ft. Covered R Value_ FLOORS Manufacturer Thickness/Type R Value SLAB ON GRADE j Manufacturer Thickness/Type R Value Width of Insulation FOUNDATION WALLS Manufacturer Thickness/Type R Value GENERAL CONTRACTOR LICENSE BY. TITLE _ DATE INSULATIO ONTRACTO HAWKINS INSULATION CO. LICENSE No. No. 215-925 BY TITLE.— DATF BUTTE COUNTY DEPARTMENT OF PUBLIC WORKS SPECIAL INSPECTION REPORT Owner: Address: Tenant: Building Location: L Type of Inspection requested: 1. Housing / / 2. Financing / / 4. Other (specify) Present use of buildin A.:- Sanitation (Housing) 1. Water closet: A. P. # Date of'Inspection Inspector 3. Change of Occupancy to 2. Lavatory: 3. Bathtub or shower: 4. Kitchen sink: 5. Hot and cold water to fixtures: 6. Heating facilities: 7. Natural light and ventilation: 8. Room and space requirements: 9. Bedroom window or door for second exit: 10. Infestation of insects, vermin, or rodents: 11. Connection to sewage disposal: 12. Connection to water supply: 13. Rubbish and garbage facilities: 14. Comments: B. Structural 1. Piers and footings: 2. Floor construction: 3. Wall construction: 4. Ceiling and roof construction: 5. Fireplaces: 6. Comments: . C. Electrical 1. Service and ground: 2. Receptacles: 3. 'Fusing: 4. Comments: D. Plumbing 1. Fixtures 2. Gas water connected and vented: heater: 3. Gas heating vents: 4. Comments: (continued on back) E. Other 1. Maintenance and repair: 2. Fire hazards: 3. Safety hazards: 4. Weather protection: 5. Underfloor and attic ventilation: 6. Comments: F. Commercial Buildings 1. Roof covering: 2. Distance to property lines: 3. Physically handicapped: 4. Restroom floors and walls: 5. Exits: 6. Improvements: 7. Zoning: 8. Comments: a, G. Field Problems or Violations 1. Problem or violation (give complete description): 2. What action taken (give complete description): 3. What action recommended: A. Information only - file. B. Hold for ten (10) days, then write letter. C. Write letter. D. Other: BUTTE COUNTY DEPARTMENT OF PUBLIC U C HEALTH ' DIVISION OF ENVIRONMENTAL HEALTH 695 OLEANDER AVENUE 7 COUNTY CENTER DRIVE 747 ELLIOTT ROAD RICO, CALIFORNIA OROVILLE, CALIFORNIA PARADISE, CALIFORNIA 43-4211, Ext. 62 534-4281 877-0852 APPLICATION FOR PERMIT TO CONSTRUCT A SEWAGE DISPOSAL SYSTEM Owner's Name ,r�-�r��/-�,��J� �. '= �5.� �/ Assessor's Parcel No. Q"%/- d S'- O'D6 6 _C Applicant's NamePhone 5L - «% % Mailing Address 1. Construction site (Street and'number or direction and distance to nearest crossr Lot size feet z feet. .` Application for new system for new building Auxiliary or secondary system ❑ acres Repair of or addition to old system❑ New system to replace existing sewage disposal facilities[:) Type of building to be served by proposed system: Mobile Home❑ Length Width Home]. Number bedrooms_ Number baths /% L Garbage grinder Yes No❑ Other❑ (Specify) Water supply for premises: (Must be safe, potable water) Community ❑ Private well Other. Water supply for. -ad -joining properties: Community❑ Private well® Other SCALE PLOT FLAN TO BE FURNISHED Sketch to scale on reverse side hereof, or attach scale sketch of plot plan of the premises showing: a. Property lines. e. Show direction and approximate amount of slope. b. Location of all proposed and existing buildings, f. Source of'water. structures, driveways and parking areas. g. Water lines. c. Location of large trees, rocks, or other obstacles. h. Set back lines and easements. d.. Location of any well, spring, creek or other body of i. Proposed sewage disposal system and area water on the parcel and within 100 feet of property line. for replacement. I hereby state that the information above and on the reverse side hereof or attached hereto is correct and true to the best of my knowledge. I understand that the permit must be obtained before any construction is begun either on the building or on the sewage disposal system, and that a satisfactory inspection of the system is required before the new building or dwelling may be occupied or th-hesystem*bkfilled, or put into use. I also understand that a safe potable water ,01000omust be supplied to the new b`uN.ding,or dwelling before occupancy can take place. to FOR ANNINVIEW gal Parcel Yes No ❑J"_ " �1 ing _ Permittees No[:] ent Signed C/ FICE USE ONLY Date By Water Plans Cleared ;2-3 %C otable Water R �" Permit Issued Permit Denied Comment 184 � jjll r 1' PERMIT N0. 5196-76B ''� '`:•r . . y'z�7-980�7� .I PERMIT EXPIRES 4Z12h7 OWNER Herbert F. Olson CONTR. owner �i LOCATION (A.P. 71-08-66 NIS pri.rd.,app.l.l mi.NE of Oro Quincy Rd,app. 1 mi.N.of Bidwell Bar Bridge, Oroville 4 $ D 57;q 2 'Y 1 I y. i Temp. Power Pole Called PG&E Temp. Elec. Serv. Called PG&E F�p. Gas Serv. //—,A Called M681-_ JOB ��!/ FINALED 7 (D gna e Masonry Walls Throat Rough Reinf. Steel Final Fixtures FIRE SPRINKLERS Motors Framing Test Water Htr. Stucco Final Subpanels Mesh MECHANICAL Grd. Fault Pri Scratch Heating Service Brown Cooling Temp. Pole Finish Ducts Under rouni Interior Lath Ventilation Permanent Door Closer Final Final DATE REMARKS OR CORRECTIONS �. _ a� Q2 4 I• I a v I } (NOTE: An entry must be made on this form each time you visit the job site.) COUNTY OF BUTTE — DEPARTIMENTrOF PUBLIC WORKS BUILDING INSPECTION RECORD BUILDING BUILDING (Cont'd) PLUMBING Setback - Z -2 Firewall Soil Piping Forms Parapets 1st Floor Main Bldg. Restroom Finish, 2nd Floor Footings Windows 3rd Floor StemwalI Siding To out Slab Roof Sheathing Water Piping Piers Roofing Sewer Garage Fdn. Vents Fixtures Footings StemwaI I Garage Vents Insulation Water Htr. Heaters Slab Carport Footings Prov. for physically handica ed Conformance of ex. structure Appliances Gas Pi in &Test Temp. Gas Slab Final Sanitation Patio REPLACE Final Footings q-74-74, Footing ELECTRICAL Masonry Walls Throat Rough Reinf. Steel Final Fixtures FIRE SPRINKLERS Motors Framing Test Water Htr. Stucco Final Subpanels Mesh MECHANICAL Grd. Fault Pri Scratch Heating Service Brown Cooling Temp. Pole Finish Ducts Under rouni Interior Lath Ventilation Permanent Door Closer Final Final DATE REMARKS OR CORRECTIONS �. _ a� Q2 4 I• I a v I } (NOTE: An entry must be made on this form each time you visit the job site.) COUNTY OF BUTTE — DEF` ;R.TMENT OF PUBLIC WORKS 7 County Center Drive".1Urogille, Calitornia 95965 Telephone: 534-4541 APPLICATION AND PERMIT 4 « icNicacnwuvea of me wnlt uiy UI tsue iv enter upon the above-mentioned property for inspection purposes. nature of Permitee or qen ReZ pt No. White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DIRECTO 0 PUBLIC WORKS BY --Date ;01 (ding permit expires Date P-1 BUILDING Owner �/L: L �L SO. FT. OCC. BUI LDI G VALUATION �b o Ao Mailing Address Tod 4/4 6m, , 0/7,0 L L— Telephone No. 5341— 0C 707— Fireplace Contractor Total Valuation 16 4--0 08 Mailing Address Permit Fee Plan Checking Fee &/orPenalty Telephone No. Permit Fee 00 $ / 7,00 Building Address �/ ��,/� ,4go PLUMBING No. @ FEE PERMIT FILING FEE $3.00 //I� �� /1/� ®ic Each Trap 1.50 �✓O .laic131pG1/ 4 ��- Repair drainage or vent piping 1.50 Water piping 1.50 vlr,e V) Each gas water heater or vent 1.50 A. P. No. 7/ Zoning& Planning Gas piping system 1 - 5 outlets 1.50 Each additional outlet .30 F WV S ion Fire Dept. Fire Zone Use Permit Building sewer 5.00 EOA Parking Plans Parcel Declaration Parcel Ma p 60' R/W ImprovementsLawn sprinkler system 2.00 Bldg. Plans Recd VI Parcel pproval Plans Approval Permit Fee $ NEW ❑ ADDITION UTILITIES ❑ OTHER ❑ ELECTRICAL No.1 @ I FEEPERMIT FILING FEE $3.00 Main service 100 AMP ORV OR LESS5.00 Main service EA. ADD'L too AMP 2.50 Single Family Duplex ❑ Mobil Home ❑ Others ❑ OVR 600V Main service 100E EAMP OR LESS 25.00 Main service EA. ADD'L too AMP 1.00 NEW CONST. DWELLING OccUP. & OR ADDNS. ACC. BLDGS. ) 2¢sgft NEW CONSTMULTI-OUTLET NON- R. RESID. ( BRANCH CIRCUITS) 2.50ea NEW CONSTR. (POWER APPARATUS &) NON -RES,D. SINGLE OUTLET CIR. CONTRACTORS LICENSE LAW I am licensed under the provisions of Chapter 9, Div. 3, of the State of California Business & Professions Code under the name style of: Ex. OCcup(OUTLETS OR FIXTURES)@?SC BAL�1 (FIXED Ex. OCCU FIXED AS LNS. OR (RESID.) EA) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 License No. Classification Misc. Wiring 6.25 am exempt from the Contractors License Laws of the State of California. Permit Fee $ $ WORKMEN'S COMPENSATION INSURANCE I am aware of the provisions of Section3700 of the California Labor Code which requires every employer to be insured against liability for Workmen's Compensation. ❑ I have placed on file with the*County of Butte a certificate of /Workmen's Compensation Insurance. 0I certify that in the performance of the work for which this permit is issued I shall not employ any person in any manner so as to become subject to the Workmen's Compensation Laws of California. MECHANICAL No. @ FEE PERMIT FILING FEE $3.00 Heating Cooling Ventilation Hood 1 2.00 Permit Fee $ $ 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 TOTAL PERMIT FEE $ 17 Z 4 « icNicacnwuvea of me wnlt uiy UI tsue iv enter upon the above-mentioned property for inspection purposes. nature of Permitee or qen ReZ pt No. White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DIRECTO 0 PUBLIC WORKS BY --Date ;01 (ding permit expires Date P-1 • 1W. FA 3657-86 I PERMIT NO. PERMIT EXPIRES OWNER HERB OLSON CONTR. owner ASSESSOR PARCEL 71-40-32 LOCATION 407 Simmons Rd, Oroville i{ y}yat ■ ,1. t. C Temp. Power Pole Called PG&E Temp. Elec. Servi Called PG&E j t I Temp. Gas Service 1 { Called PG&E, JOB FINALED (D Signature C J = OK 0 = Not OK - = Not Applicable :k = Not Ready (RESIDENTIAL (Single and Duplex) G Date UN FL (Plans) OK except N's Date FRAMING (Continued) - 1. Z ng requirements -Setbacks -Easements 48. Property Line Firewall & Openings Ftg., Main; Soils-Steel-Elec. Grnd.- / /" Ftg. Depth 9. Ext. Doors -One 3' -Check Garage -3rd story, 2 exits - rhS=STeeI- / /" Ftg. Depth 0. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection _ 5 Decks; Soils -Steel- / /" Ftg. Depth Stemwalls, Main -Blockouts-Wrapped-Slab t _ 51. Plywood on Roof Overhang -Attic Vents -Rafter Outriggers 52. Siding -Nailing -Veneer a s, Garage; Steel-Blockouts-Wrapped-Slab 53.t-fi�Mip Screed-Fdn. Vents-Underflr. Access_ - 8. _ters-Fireplace tg.-Steel D.W.V. Fall -Fittings -Test -2 way C/0 -Sewer Test _ 54. Pla�g-Asea-Glass Protection -Skylights -Plastic 55. ails; Nailing -Bolts _ _9. Gas Pipe; Size -Anchors 10. Water Pipe: Test -Anchors -Regulator -Service Test 11. 12. Electric; Underground Plenums & Ducts; Clearance -Material -Support -Ins. _-13.-Girders-Sills-AnchorBolts-Joists-Vents-Cripples Card -BI Datgh - Card -BI Date Card -BI Date Z.-7,$ Card -BI Date _ Card -BI t Date r%-�j- Card -BI Date Card -BI Date r Card -BI Date Card -BI Date Date Card -BI Date FINA Plans) OK except N's Dat PLUMBING (Permit) OK except N's �. Steps -Door & Sidelight Protection -Landings 7. Smoke Detector 14. 15. 16. 17. 18, 19. Card -BI Card -BI Water Ht.: Vent -Access -Combustion Air Water Pipe; Test & Anchors -Nail Protection D.W.V.: Test-Fttngs & Anchors -Nail Protection Shower Pan: Test, First Floor -Tub Access Test Tub & Shower, 2nd Floor -Tub Access Gas Pipe: Size & Anchors J Date _Card -BI Date Date Card -BI Date 58. Furnace; Vents -Clearance -Comb. Air -Connector - In Garage; Above Floor-Ducts-Mech. Protection 59.--Be&eeerf-xitfng 60. Fixtures & Tub Access ubpanel; Breaker Sizes -Labels . Stairs & Rails 63. FirPnlacp nr QA G4earances-Hearth 6 s a ood Panel; Int. & Ext. 65. Jit. N' . 'RplTance; Grnd.-Air Gap -Cooking Clearance 66•• eptacles at Kit. Counter Date ELECTRICAL(Permit) OK except p's 67. 'ng -Landing -Closer 68.. Damper 20. L-2'4. 23• -24. 25. 2 27. _ 28. 29. 30. Card B -I (-1 _rf Card B -I - Fixture & Transformer Clearance -Ins. Protection Elec. Receptacles Spacing -Lights_& Switches at Doors Size Boxes & No. of Conductors -Stapled Romex Installed Close to Edge of Studs & C.J. Equip. Ground made up w/Mech. Fasteners-Bond Gas & Water nce tt trcus Kitchen & Conductor Size re ize / / ga. Cu or AI-A.C. Wire Size / / ga. Cu or At / ga. Cu or AI -Oven Circ. / / ga. Cu or Al, Insulated Neutral Yes ,-;No _ _ _ - uctors & Ground -Main _Disconnect_ _ _ quip. earan es: PaneIS-Motors-Mech. Equip. lolhes Closet Light -Shower -Light - _ - _ �- ----- ---- -- DateS'gf e Card -BI Date _ - Date Card -BI Datei-BT__GIass 69. n s- earance-Comb. Air-Connector-P.R.V.- In Garage; Above Floor-Mech. Protection Plb., Elec. & Mech. Equip. Listed for Location 71, rage; (G.F.I.)-Ro ex Protec. - 2.Jrtsulation-Foam-Looked in Attic Yes "'T. -Guard Rails &Deck Construction -Post Caps �4 �Fdn. Vents &Crawl Hole Do�o[-Drainage &Wood -Earth Clearance Looked under Floor 7es 75. Following instld.: Drive es Ej No; Walks [j Yes Planters ❑Yes o �h�rr a.... .., 76 ,-bTMPch--� - - 77. - rrtces-Brkr. & Cond. Size -115V Outlet 78. tov oaf; -W g.-Appliance-Firepl.-Clearance to Opngs. 79. ct--Electrical, Plumbing 80.error el c Trim; G.F.I. Receptacle -Underground +-B�Ventilation throughout House Protection Date MECHANICAL (Permit) OK except N's c.8.8 orrections from Previous Inspections 84.x=,est=futeie T1'a-gged-Gas-Electric 31. 32. 33. 34. 35. Cara -BI Card -BI A.C. Ducts. Insulation & Support - T_ _ - Vent Fan: Exhaust above Insulation Condensate Drain & Overflow: Size _& Grade Furnace -Vent: Access -Comb. Air -Return Air Vent -115V outlet Attic Access 8 Platform if Furnace in Attic - Date Card -BI Date _ -Card Date Card -BI Date 85. onnecte -C/O to Grade -HD Approval JAO.--p4iertce-Certificate-Other Certificates --- Card -BI Date Card -BI Date BIdate Card -BI Date Card -BI _ Date Card -BI Date Date F AMING(Plans) OK except q's Com lents at Final: 36. 7. 3Bearing 39. �. 41 42. ArJ'.Clng. 44. �45 46. 47.Geraig Sills: Proper Material & Anchors Walls: Studs -Nailing, Spacing & Bracing -Plates -Sound Walls over Girders & Floor Nailing Draft Stop n Walls (rat proof) _ _ ngs-Stairs ,Chases -Tubi Header & Beam -Size & Bearing Hangers -Post Caps-Anchors-Conneclors Joist-Rftr. Ties-Purlin-Roof Brac.-Truss-Shthnq.-Rfnp. Fr• ies-ot y' -pe /-Flue-Fireplace Throat'--- Atuc Access: Size -& Romex Protection -Draft Stop -Ins. Baffles - Bdrm. Windows or Exiting Doors -Sill Hgl. & Dimensions ire rotecuon Framing - - - -- (NOTE, An entry must be madeeach lime youvisit jobsite) = OK = Not OK = Not Applicable MOBILEHOMES = Not Ready MISCELLANEOUS Date MOBILEHOME UTILITIES (Plans) OK except N's 1. Zoning Requirements—Setbacks—Easements Date DECKS, COVERS, CARPORTS, ETC. (Plans) OK except H's 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 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—Enclosures 6. Gas; Location—Test—Wrap:/ /"L"ft./ /"Nat. or/ /"L"ft./ /"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 Date Card -BI Date MOBILEHOME INSTALLATION (Plans) OK except N's 1. Zoning Requirements—Setbacks—Easements Card -BI Date Date Card -BI Date POOLS (Plans) OK except N's 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 Entries—Terminals—Listed 7. Water and Sewer Connected—C/0 to Grade—HD Approval 7. Elec.; Bonding; Metal w/5'—Circulating Equipment—Heater B. Gas and Electricity Tagged B. Elec.; Grounding; Equip. w/5'—Circulating Equip.—Pool Lghig, Boxes—Enclosures—Panel boards—Ins. to Main in Conduit 9. Exits; Insp.—Sketch 10. Cert. of Occupancy 9. Health Department Approval 10. Plumb; Cir. Test—Water Supply Test Card B -I Date Card -BI Date Card -BI Date Card -BI Date Card B-1 Date Card -BI Date Card -BI Date Card -BI Date COUNTY OF BUTTE - DEPAF3TMEN,T OF PUBLIC WORKS County Center Drive - OroviIIe, California -95615 - Telephone 916/534-4541 APPLICATION AND PERMIT PERMIT N ir/A RPARGELNUM� O{{�;4 ZOASSESSOR G BUILDING PERMI OWNER T LEPHONE SQ. FT. OCC. BUILDING VALUATION OWNER'S AILING ADDRESS ONTRACTOR'S NAME TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ Y ZZ Filing Fee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS Permit fee $ PLUMBING PERMIT Filing Fee 10.00 `7 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 d[ Duplex❑ Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home I S I G I W 10.00ea TYPE OF WORK New ❑ Addition Remodel ❑ Utilities ❑ Installation[—] Other ❑ Descri work* Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 100 OR OR 100 OR OR LESS 10.00 Main service EA. ADO'L 100 AMP 2.50 CONTRACTORS LICENSE LAW 1 declare under penalty of perjury (check one): ❑ I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in full force and effect. License No. Classification as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ 1, as the owner, am exclusively contracting with licensed contract- ontract- ors. ors.(Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONST. DWE CCUP.e7 , NEW CONSTFLMULTI-OUTLET .50 ea NON.RES ID BRANCH CIRCUITS) 2.50 ea POWER APPARATUS e (SINGLE OUTLET CIR. Ex. Occup(OUTLETS OR FIXTURES 5AL0AL030 FIXED APLNS. Ex. Occup. OUTLETS P(RESID )REA.� 1 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. �Virin 15.00 9 Permit Fee $ (3, 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. r shalI not employ any person in any manner so as to become subject � to the W. C. laws of California. Notice to Applicant: if after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. Contractor MECHANICAL PERMIT FiIingFee 10.00 Heating Cooling 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 saioCounty in conseqlieoce of the granting of this permit. 2_ _ Date ignat r of Applicant — Owner ❑ Contractor ❑ Agent ❑ An HA 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 CJ 3> t occu P. �Q3 co It PLo AR E PD HD 590E This permit is hereby issued under sions the Butte County Code and/or work in icated a ova for which R CTQR OF PUBLIC BY PERMIT EXPIRES Date the applicable provi- resolutions to do fees have been paid. WORKS Date 92��{ F� Receipt No. 0(� WNITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT +t7 .. _� � .—a.y. . r. .,, ev.s ;:i'..'!. � .z �s'ir� ,^T >r i:. ''�1'.r .limit^ �nP=T.'...'-: 7�:°i''r'`',i7•.yf.i''Y'-t COUNTY OF BUTTE - DEPARTMENT ,OF_, PUBIC WORKS - BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE: 916/534-4541 OWNER PERMIT APPLICATION DATA SHEET Permit No, Proposed Building Use At time of permit application, I was advised the following data must be submitted prior to permit processing andJor issuance: DATE RECEIVED APPROVED 1 All items have been -submitted. . . . . . . . . . . . Plot plans i duplicateGtriplicate, signed by preparer of plans. . 3. Complete plans In duplicate. /triplicate, signed by preparer of plans. 4. Complete engineered plans and calcs, with wet signature on plans. 5. Plans with Energy Design Compliance Statement. . . . . . 6. CUSD "Fees Paid" Stamp on Floor Plan . . . . . . . . 7 Statement of Intent for Non -Heated and AC Buildings. 8. Fees of $ . . . . . . . Letter of signature authorizaj ion. 1 �$anitation approval from • Health Dept. / ?az 11. Planning approval for (A) Use: (B) Parking: . 12. Certificate of Workmen's Compensation Insurance. . . . . . 13. Contractor's License Information (no., name style, classif.) 14. Owner -Builder Verification (Given to owner❑, Mail to owner ❑ ), —15. Improvements may be required. . . . . . . . , . , , 16. Mobi lehome Installation Data. . . . . . . . . . Pre-Inspec. request to (Date) 17. Pre -Inspection for Required. Building Inspector 18. Recorded copy of Agricultural Acknowledgment Statement. 19. Driveway Permit. 20. Plot plan approva from city of. 2 22. 1 ` 1' When you issue the permit, process as follows: Mail to owner, Mail to contractor. V} Telephone and hold for pickup at—off ice, Deliver w/inspector. Other Copy of plans sent Health Dept., Fire Dept., Other Date The following data must be submitted pr io to 1. Index permit for above items No. 2. Additional items required: nce: (Circle new item not checked above). Contractor, designer,owner as advised of above required data by#phone---jnall_counter by__.4_—"_1—date7--/3•Y7 Contractor, designer, owner, was advised of above required data by—phone _mall—counter by date Plans checked by /,Date.PIans approved by Ir Date Z� Zy� P/ Sets of plans on hold in File cabinet AP folder Copy—DPW — Flours: 10:00 a.m. - 3:00 p.m. To: Building Dep;:irtmer)t From: `!.nvironmental Health Subject: cSanitation Clearance 0,wn e r Locrition Apil Plan Approved for Hold fined for: �.,i.atcr supply Final clearance O.K. for: - water supply Clearance for 'Lledroom mobile home. Oth;I-r NMI, **4- S,,,anitani. an COUNTY OF BUTTE - Department of Public Works 7 County'Center Drive, Oroville, CA 95965 Phone: 916-534-4541 OWNER -BUILDER VERIFICATION Attention Property Owner: An "owner -builder" building permit has been applied for in your name and bearing your signature. Please complete and return this information at your earliest opportunity to avoid unnecessary delay in processing and issuing your building permit. No building permit will be issued until this verification is received. 1. I personally plan to provide the major labor and materials for construction of the proposed property improvement (yes or no) 2. I (have/have not) signed an application for a building permit for the proposed work. 3. I have contracted with the following person (firm) to provide the proposed construction: Name Address City Phone Contractors License No. 4. I plan to provide portions of this work, but I have hired the following person to coordinate, supervise, and provide the major work: Name Address City Phone Contractors License No. 5. I will provide some of the work but I have contracted (hired) the following ,persons to provide the work indicated: Name Address . Phone Type of Work. Signed: Property Owne i:i Social Security Nu er Date NOTE: This Owner -Builder Verification is sent to you as required by Sections 19831 and 19832 of the California Health and Safety Code. This verification must be*completed and returned to our office before we are per- mitted to issue the permit. 50 SHEEIS 5 50U,RL S:1 f r 5 S 51i11ARL .100 200 s Cjf., 5 5 SOUAP. All 0 -Z L3xzSi (,IbS I,7/s v•24 -6-1 i Gi L turn COUNTY ItA- 8 IL *, DEPARTMr-M PROVED Is "y;ty/{j/�;.:"/l/,//�/.'/"'�//•�J�rK '� Y.r v r= ft., r_ 7' -t . .. .,Cti.'j. .t:... - . -i .. )Tt I FTIMQ,e; , Tt CER I F 1 CAT E. - ER C O N. F 0 R -M A N C E..., HE UNDERSIGNED . MANUFACTURER HEREBY CER TIfIES that the products identified below and on attached sheets Nos. are marked with.the Collective Mark of. the AMERICAN INSTITUTE OF TIMBER CONSTRICTION (AITC) and were manufactured in conformance with applicable provisions of American National Standard ANSI/AITC A190.1-1983, Structural Glued" Laminated Timber, and that such•: manufacture has been at our plant in Swisshcmme, . OR which plant has a quality control system- ` approved by the Inspection Bureau of the. AME RICAN INSTITUTE'OF.TIMBER'CONSTRUCTION and inspected periodically by such Bureau. ; The manufacture of these members complies with the manufacturing and fabricating provisions of,-.. Chapter f- Chapter 25 of the Uniform Building Code. JOB NAME: Keller Limlber Sales'-,, .JOB LOCATION:' Redding, CA CUSTOMER'S ORDER NO. 12401 DATE 12-1"' %FGR'S ORDER NO. 1379—A _ 24F—V4,'WP Glue1`ARCH A .r Indv. Wra American Laminators, .Inc.. SIGNATURE 4.I .3' �' • �'; COMPANY TITLE Quality Control _ADDRESS' POB991'SW1sshOM1: �ATE 12- A/TC HEREB Y CERTIF/ES that th6'said company at its'said plant is licensed by the AMERICAN INSTITUTE OF TIMBER CONSTRUCTION to use the AITC Collective Mark in respect of products which comply with applicable provisions of said Standard,; -that the adequacy of the quality control system in effect at said plant is periodically inspected and verified by the Inspection Bureau of - the AMERICAN INSTITUTE OF TIMBER CONSTRUCTION, and that, in the judgment of AITC, said company is capable of complying with applicable manufacturing and testing provisions of said Standard in respect of products manufactured at said plant. Conformance with the Standard in respect of any specific or particular product is the. sole responsibility of the manufacturer; AITC's guarantee hereunder being that the said company is qualified•to produce a product meeting the said Standard and that its plant is periodically inspected and verified by the AITC Inspection'Bureau. AITC FORM IBCA AITC Certificate No. AMERICAN INSTITUTE OF TIMBER CONSTRUCTION RECEIYEO KFS i ca I.BR. SAS ® 1983 AMERICAN INSTITUTE OF TIMER CONSTRUCTION