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HomeMy WebLinkAbout071-530-001E FDRAGON 71-34-19 W/S !QQer Coaster'Rd, approx 4/10 mi S' of. Grayst"ane Berry Creek Contr: Mike axon, .Los Gatos, Permit#550-83B, E M(new sin 0 W1 f ConS G t L* r ra Permi t y D M DRAGON s t e M, S� NXy 55 STRN A t single amily f detached _garage) 8 C Con 71-34-19. ontr: on i X* 3 1 X --Los Gatos Perm: - . 3 �f313 3B,E(add sP ace to basement r" vj s . .............. .0revised garage) basement 43 071-530-001 02-1 INALE DRAGON, LANNY .'I 420 SIMPSON KANCH RD.,'BE CREEK RS CONT: NORTHWfND BUILDERS MASTER BATH/CLOSET ADDITION N 10 I' NOTES RESIDENTIAL d PERMIT NO.' 071-530-001 02-1432 V ,_ 4 DRAGON; LANNY 420 SIMPSON RANCH RD., BERRY CREEK 4 CONT: NORTHWIND BUILDERS MASTER BATH/CLOSET ADDITION 57 5-3 i { j3 1 � 0- 57 5-3 SPECIAL CONDITIONS CHECKED BY SRA FLOOD CERTIFICATE REQ. FIRE SPRINKLERS REQ. SPECIAL INSPECTION ITEMS VERIFY USE PERMIT CONDITIONS SUB -STANDARD HOUSING LETTER i JOB FINALED (Date) Signature 0 j3 1 SPECIAL CONDITIONS CHECKED BY SRA FLOOD CERTIFICATE REQ. FIRE SPRINKLERS REQ. SPECIAL INSPECTION ITEMS VERIFY USE PERMIT CONDITIONS SUB -STANDARD HOUSING LETTER i JOB FINALED (Date) Signature 0 1 SPECIAL CONDITIONS CHECKED BY SRA FLOOD CERTIFICATE REQ. FIRE SPRINKLERS REQ. SPECIAL INSPECTION ITEMS VERIFY USE PERMIT CONDITIONS SUB -STANDARD HOUSING LETTER i JOB FINALED (Date) Signature 0 ✓ = OK 0 = Not OK - = Not Applicable = Not Ready MOBILE HOMES Date MOBILE HOME UTILITIES (Plans) OK except #'s Zoning Requirements -Setbacks -Easements 1. Zoning Requirements -Setbacks -Easements Footings; Soils -Size -Depth -Spacing -Connectors -Steel 2. Soils; Special MH Support Sketch Decks; Girders and/or Joists -Decking -Bracing -Stairs -Rails 3. Sewer; Location -Test -Fall -C/O -Concrete Wood Awn.; Posts- Bea ms- Rftrs.-Connectors Shthg.-Frg-Bracing 4. Water; Location -Test -Easement Needed (Sketch) Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 5. Electricity; Location-Clearances-Grnd-/ /Amp -Concrete Carports; Windows -Doors 6. Gas; Location -Test -Wrap;-/ /" L'ft. / P Nat. or / /"L"ft./ /'LPG Electric 7. Well Clearance & Disconnect Frmg.; Sills-Anchors-Studs-Rttrs-Trusses 8. Utility Clearance Siding; Nailing -Veneer -Stucco -Mesh 10. Roof; Shthg-Roofing 11. Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date MOBILE HOME INSTALLATION (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. 3. Footings; Size -Spacing -Marriage Line -,\i Gas; MH Test -Demand -Valve -Connector 4. Electricity; MH Test -Crossovers -Breakers -Clearances 1. 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. Tie Downs -Type -Installation Cert. 10. Exits; Insp.-Sketch 11. Cert. of Occupancy 12. Permanent Foundation Only; License Decal Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 MISCELLANEOUS Date DECKS, COVERS, CARPORTS GARAGES (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Footings; Soils -Size -Depth -Spacing -Connectors -Steel 3. Decks; Girders and/or Joists -Decking -Bracing -Stairs -Rails i 4. Wood Awn.; Posts- Bea ms- Rftrs.-Connectors Shthg.-Frg-Bracing 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Carports; Windows -Doors 7. Electric 8. Frmg.; Sills-Anchors-Studs-Rttrs-Trusses 9. Siding; Nailing -Veneer -Stucco -Mesh 10. Roof; Shthg-Roofing 11. Ext.; Steps -Doors -Landings 12. Braced Wall Panels Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date FINAL (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, Distance-GFI 5. Elec.; Pool Lighting; 15 Volts-GFI 1 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- Pan elboards-Ins. to Main in Conduit 9. Health Department Approval 10. Plumb.; Cir. Test -Water Supply Test 11. Light Niche Date Card B-1 Date Card B-1 4 Date Card B-1 Date Card B-1 V = OK 0 = Not OK - =Not Applicable = Not Ready RESIDENTIAL (Single & Duplex) Date Underfloor (Plans) OK except #'s Date FRAMING (Continued) 1. Zoning -Setbacks -Easements -Flood -Slope oL o f cangers-Post Caps -Anchors -Connectors 2. Ftg., Main; Soils-Elec. Grnd.-/ /" Ftg. Depth. linq. Joist-Rffr. Ties-Purlin-Roll Brac.-Truss-Shtinq.-Rfna. 3. Ftg., Garage; Soils-Steel-Elec. Grnd.-/ /" Ftg. Depth 4. Ftg., Porches & Decks; Soils -Steel-/ /" Ftg. Depth 5. Stemwalls, Main; Steel-Blockouts-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 -Anchors -Regulator -Service Test 12. Electric Underground 13. Plenums & Ducts; Clearance -Material -Support -Ins. 14. Girders -Sills -Anchor Bolts-Joists-Vents-Crippies 15. Access & Ventilation 16. Insulation Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date PLUMBING (Permit) OK except #'s 36. x aus ove insulation LYSater Htr.; Vent -Access -Combustion Air Baffle 3 e rain & verflow, Size & Grade ater Pipe; Test & Anchor -Nail Protection ;t! D.W.V.; Test Fittings & Anchor -Nail Protection 2G...9koaVOT-P8ri"Test, First Floor -Tub Access Date Card B-1 Date Catd B-1 21. T e , cond Floor -Tub Access Card B-1 Date Card B -1 - Date 22. Gas Pipe; Sixe & Anchors its Proper Materials & Anchors ails Studs -Nailing Spacing & Braces -Plates -Sound Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date ELECTRICAL (Permit) OK except #'s fixture & Transformer Clearance -Ins. Protection ec. Receptacles Spacing -Lights & Switches at Doors RS -119-1z. Boxes & No. of Conductors Stapled dZ-ornex Installed Close to Edge of Studs & C.J. 2 quip. Ground made up w/Mech Fasteners-sand-eag-9-Mer 28. 2 A li aap C'Irr 'rc . itchen & Conductor Size GFI e ga. Cu or AI-A.C. Wire Size / / ga Cu or AI 30 or AI -Oven Circ. / / ga Cu or At Insulated Neutral ❑ Yes O No 31SRn'r Rw,9; G-onductors & Ground Main Disconnect anels-Motors-Mech. Equip. lothes Closet Light -Shower Light -Spa Light 94.Smoke Detector Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date MECHANICAL (Permit) OK except #'s 4,3a!t bucts Insulation & Support 36. x aus ove insulation 3 e rain & verflow, Size & Grade 38. -Comb. Air -Return Air Vent 115 outlet flit Access & Platform if Furnace in Attic Date Card B-1 Date Catd B-1 Date Card B-1 Date Card B -1 - Date FRAMING (Permit) OK except #'s ' its Proper Materials & Anchors ails Studs -Nailing Spacing & Braces -Plates -Sound _ Baring Walls over Girders & Floor Nailing 3�praft Stop in Walls (rat proof) it tops, Furred Ceilings -Stairs -Chasers -Tubs s , Headers & Beams -Size & Bearing ` e ies or ype A Flue -Fireplace Throat Clearance Access; Size & Romex Protection -Draft Stop -Ins. Baffles L50_4�cMM. Windows or Exiting Doors -Sill Ht. & Dimensions 51. ming 52. Openings 53 F�^^� �'-check Garage 3rd Story, 2 Exits 54. Sm -Rise -Run -Landing -Fire Protection lywood on Roof Overhang -Attic Vents -Rafter Outriggers fib& Siding -Nailing Veneer 57 S ^^.^-'Me9"rip Screed -Fd. Vents-Underflr. Access vk*-5&. Glazing Area -Glass Protection -Skylights -Plastic �59. Shear Walls; Nailing -Bolts ��ee Interior/Exterior Wall Panels 62. I of iltration-Wal ls-Windows Dat Card 13-7 Date Card B-1 �< Date - Card B-1 Date Card B-1 Date YRNAL (Plans) OK except #'s /63 xt. Steps -Door & Sidelight Protection -Landings 64. Smoke Detector rnace Vents -clearance -Comb, Air -Connector - In Garage; Above Floor-Ducts-Mech. Protection edroom Exiting I. & Bath Fixtures & Tub Access -Spa Q8 Fio^ Tram x S hnan I Breaker Sizes & Labels 7 or ova, earanc - lec. Outlets at Wood Panel, Int. & Ext. d -Air Gap -Cooking Clearance 7 . u e s ece it. Counter 74 � g -Closure 76 it onnector-RR.V. in G ge; Above Floor-Mech. Protection Elec. & Mech. Equip. Listed for Location 24 Flpr a Rp^alye ()- aL&s+^ Gamgp F.FI. Romex Protection sulation-Foam-Looked in Attic 8 Post Caps rainage & Wood -Earth Clearance Looked under Floor O Yes 8 :) Yes :1 No/Planters ❑ Yes 'J No 8 cal -Plumbing 1(ents Above Roof, Plbg-Appliance-Fireplace-Clearance to Openings water e i ctrical, Plumbing F.I. Receptacle -Underground Ventilation Throughout House lag-5-iass Protection 90. GepreCtiOM ctions Al s -Gas TRst-MRip-r5 Taoged, Gas -Electric 92. Grade -HD Approval Energy Compliance Certificate -Other Certificates Address Posted Date L Card B-1 Date Card B-1 Date . Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Commdnts at Final: COUNTY OF BUTTE BUILDING DIVISION --- DEPARTMENT OF DEVELOPMENT SERVICES - ,==== -w -- 411 Main Street • Chico, CA • (530) 891-2751 7 County Centel• Drive • Oroville, CA • (530)'538-7541' CORRECTION NOTICE 22�=Q- C42 OWNER PERMIT NO. A routine inspection indicates that the following violations of butte county Ordinances exist at the above address and should be corrected. Please notice this office when correction of work is completed. If you have any questions pertaining to this matter, or need additional explanation, please contact this office immediately. Date Lf�7/ 6� Inspector REV 70/9 2 / �ujr A y P Dater "'� - � � �_ Inspector REV 10/92 it COUNTY OF BUTTE A BUILDING DIVISION s DEPARTMENT OF DEVELOPMENT SERVICES 411 Main Street • Chico, CA • (530) 891-2751 7 County Center Drive • Oroville, CA • (530) 538-7541 1'� CORRECTION NOTICE OWNER PERMIT NO. A routine inspection indicates that the following violations of butte county Ordinances exist at the above address and should be corrected. Please notice this office when correction of work is completed. If you have any questions pertaining to this matter, or need additional explanation, Vpleascontact this office immediately. �ujr A y P Dater "'� - � � �_ Inspector REV 10/92 it A -4 �ujr A y P Dater "'� - � � �_ Inspector REV 10/92 it COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION �'1'_ 7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-7541 PERMIT (Rev.12'fs6) APPLICATION AND PERMIT I> /`1o, ASSESSOR PARCEL NUMBER 21_9K_001 ZONING BUILDING PERMIT OWNER TELEPHONE SO. FT. OCC. BUILDING VALUATION R 9,612.00 .OWNERS MAIUNG DRESS -5,32-0-3086.-178 4.20 SID�M_QQN RANCH RD BERRY CREE. o a CONTRACTOR'S NAME NE NOIRIELUND BUILDING 153 CONTRACTORS MAIUNG ADDRESS O CONSTRUCTION LENDER Fireplace LENDER'S MAILING ADDRESS Total Valuation $ 00 • ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00 Permit Fee $ 117.00 ARCHITECT OR ENGINEERS MAIUNG ADDRESS Plan Checking Fee $ 76.00 BUILDING ADDRESS 420 SIMPSON RANCH RD. BERRY C'?EEIC Energy Plan Checking Fee $ •QQ $ PERMIT FEE $ 236.00 LOT NO. SUBDNIS IONS NAME PARCEL MAP PLUMBING PERMIT Fling Fee 20.00 Each Trap LI 7-0028.00 USEOFSTRUCTURE SF EK Duplex ❑ Mobilehome ❑ Other SPECIFY Solar or heat pump water heater 23.00 Water piping 15.00 15. DO Each as water heater or vent 15.00 TYPE OF WORK New ❑ Addition X1 Remodel ❑ Utilities ❑ Installation ❑ Other ❑ Describe Work: Mc,STF° R/�'TrFz P ('.T.t7gF.T Ai111T I TnPJ Gas piping stem 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home S G W @20.00 PERMIT FEE $ 63.00 ELECTRICAL PERMIT Fling Fee 20.00 Main Service AOR LESS 23.00 LICENSED CONTRACTOR'S DECLARATION 1 hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is i uII force and effect. )o License Class Lic. No. -7 �( O „3 OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: ❑ 1, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for 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 required by Section 3700 of the Labor Code, for the performance of work for which this permitis issued. My workers' compensation insurance carrier and policy number are: Carrier Policy Number (rhe above sections need not be completed if the permit is for work of a valuation one hundred dollars ($100) or less.) 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 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 co ly wit ose provisions. X _ _ Date `� Signo4fe of Applica t - ❑ Ovoger M.,Contractor ❑ Agent An OSHA permit is required for excavations over 5'0" deep and demolition or construction i of structures over 3 stories in height. Main Service 200A TO IOooA 46.00 NEW CONST. DWELLING OCCUP. SO OR ADDNS. ( 8 ACC. S.3.50Fr. 6.60 NON-FIEGSID. MULT I.OL7TLET 97,50 PowER APPARATus 8 SINGLE OUTLET CIR. .00 EX. Occup. OUTLET OR FIXTURES SAL @ L.SO Ex. Occup.OFlx��SPPR pOEA 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wirino 23.00 PERMIT FEE $ 26.60 MECHANICAL PERMIT Fling Fee 1 20.00 Heating 1 15.00 15.00 Cooling Hood 6.50 Ventilation PERMIT FEt $ 35.00 Mobile Home Installation Fee $ Energy Inspection Fee $ Occ CONST. TYPE TOTAL FEE $ 360.60 HAZ. I D. FE IMP CDF PARC HD IS E This permit is hereby issued nder the applicable of the Butte Coun Code and/or Resolutions indi a ab fo whieh fees have been By III, Date PERMIT EXPIRES ON 7 ZY provisions to do work paid. "L6- 0 ate Receipt No. WHITE-D.D.S.-B.O. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT w,. i. COUNTY OF BUTTE -DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING DIVISION 7 County Center Drive, Oroville, CA 95965 Phone (530)538-7541 Fax (530)538-2140 PERMIT APPLICATION DATA SHEET OWNER: ASSES OR PAJRCEL NUMBER Proposed Building Use: r�i � f !� Counter Technician: CVV/ Date: (D a. Items required in order to apply for a permit. All boxes MUST be checked OR marked NA in order to apply. Plot plans, 3 or 4 sets, signed by the preparer of the plans. Complete plans, 3 or 4 sets, signed by the preparer of the plans. 3. Engineered plans, 3 or 4 sets, with wet signature on plans AND 2 sets of stamped and signed calculations. J 4. Engineered truss details and layouts in duplicate. No faxes! Energy compliance design and supporting documentation in duplicate. `�'++''''-- ❑ 6. Manufactured homes: (A) Data sheets and installation instructions, (B) Marriage line information, (C) Floor Plan, (D) Tie down or a foundation plans,�all in duplicate. ❑ T. Metal buildings: (A) Metal Building Plans, (B) Foundation plans and calculations in triplicate, (C) Elevation views in triplicate. } (D) Floor plans in triplicate. All of these must be stamped and wet -signed by the engineer. A Items required for initial plan review. If checked items have not been received, plan review cannot proceed. The permit will be indexed and returned to the plan review line-up when required items are received. Date Received By ❑ 8. Flood Elevation Certificate, wet -stamped and signed, in duplicate ................................ ❑ 9. Plot plan and business license approval from the City of Biggs .................................... ❑ 10. Letter of intent for non-residential buildings......................................................... ❑ 11. Detached Accessory Building Form filled out by the owner.......................I.............. ❑ 12. Hazardous Material Form............................................................................... ❑ 13. Other Zning\items needed to issue the permit. (May require additional plan review upon receipt of the following items.) Fes as shown on the attached Schedule of Fees Due Sheet ....................................... 5. Statement of Intent for Non -heated and A/C Buildings ........................................... 6. ation and plot,plan approval from the Environmental Health Department in a ity of Chico Plumbing permit ..........................z� ................ 8. -alifornia Department of Forestry plan approval paid. Sentby:� .............. 9. Planning approval for (A) Use: O K (B)Parking: (C) Par el Check:®2- ❑ 0. Contact Land Development about ❑ Improvements, ❑ Drainage ............................... ❑ 21. Encroachment Permit for driveway from the Public Works Dept. (construction approval prior to occupancy). ❑ 22. Pre -Inspection for required ................ ❑ 23. Contractor's license information. (Number, Name Style, Classification) ...................... ❑ 24. Worker's Compensation Carrier and Policy Number ..............:.............................. ❑ 25. Owner -Builder Verification (❑ Given to owner, ❑ Mailed to owner) ..................... ❑ 26. Letter of Signature .................................................................... ❑ 27. Recorded copy of Agricultural Acknowledgment Statement .................................... ❑ 28. Manufactured home utility clearance............................................................... ❑ 29. Existing violations and/or expired permits ............................................. ......... Dsa'0* ElG;atxMeodA 51 Iyl.W0Tit}v/&at, megt qf gclsj U Lettejfso ,eg4J,bbA,4 It t wlv.py .D. $ ;?hen -issued 'f elephone p' 3 zu - d Ul bQ and hold for hiclp� I have been informed of e a e items,an equirements for obtaining a building permit. Applicant: Date: 1. Index permit application for the a ov riu tiered: Plan Check Letter 2. Additional items required Py, 10,2--V( for esigner, owner, was iWheove data by ❑mailu r, by Date:Contractor, designer, owner, wa advive ata by phone, ❑ mail, ❑ co ter, by Date: Plans reviewed by: PA, Date: 7 b 02— jkPlans approved by: Date: Structural reviewed by: Date: Structural approved by: Date: Z. Note transfer by: Date: Yellow: Building Division TO: FROM: SUBJECT: Building Department Environmental Health Sanitation Clearance t�a i Plan Approved for: Sewage Disposat-1 Water Supplyl: Pub Clearance for dwelling. Other rte" /div, ,Alm, -__ I tv Hold final for: Q Final clearance O.K. for: NOTE: nmental Health Specialist 8/96 E.H. USE ONLY riota Attach Floach dor Plan AmtnasAe Som to a.O 0 AP# lic Private Well Date COUNTY OF BUTTE DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE (530) 538-7541 SCHEDULE OF FEES DUE 1. BUILDING PERMIT FEES /l --Balance Due ................................................ V --Additional Fees Due ............................................ $ --Additional Fees Due... ......................................... $ --Revised Plan Checking Fee,,,,. .... _ ........ ** ..... .. .. $ 2. SCHOOL DISTRICT FEES�- (paid at District Office) 3. SHERIFF FEES (paid at Building Division) Residential .................................... x $360.00 = $ Units Commercial (sq. ft.) ...................... x $0.03 = $ Sq. ft. 4: URBAN AREA FEES Residential ............................ x = $ # Units Amt. Commercial (Sq. ft.) ............. x = $ Sq. ft. Amt. 5. RECREATION DISTRICT FEES 6. THERMALITO DRAINAGE DISTRICT FEES $510.00 (paid at Building Division) 7. SRA FIRE INSPECTION AND PLAN CHECK $89.00 (paid at Building Division) 8. WATER TENDER FEES (Battalion # ) $200.00 (paid at Building Division) 9. CSA 87 TRAFFIC FEE $2500.00 (paid at Building Division) 10. OTHER %C!d IrI01��/ DATE RECEIPT # DATE REC. - z At time of permit application, I was advisq the above fees are required to be paid prior to issuance of the building permit. These fees may be changed during the planchec ?nprocess. ij PLICANT� /I - PE e2 Pursuant to Government Code Section 66020, you are hereby notified that items 2, 3, 4, 5, 6, 7, 8, 9, and 10 above may have been imposed on your project. You have 90 days from the date of approval of the project or from the imposition of the above mentioned items during which you may protest. The requirements for a protest are specified in Government Code Section 66020(a). Original - Building Div. 2nd Copy - Applicant 3rd Copy - Owner (Rev. 6/00) r� •. 4 BUTTE COUNTY SCHOOLS IMPACT FEE CERTIFICATION FORM 'Ile `'(One form per Building) l+y . a+ -I 3 I, School District G -n A/c a 'g, Building Department No. A.P. Number OV -530 Jurisdiction: City `VA County ' Pro 1� Q 'erty owner Property Location/Address Subdivision Lot No. Residential Development Commercial/Industrial lot. _ Lt ........................ .......................................................................................... : ® € Sq. Footage / Addition/ 'Supplemental to (Group R) Conversion Permit # '(No foundation inspection): ........................................................................................................ Sq. Footage t District Ident`iffiicatiion�No. .� �'e~.► I D JUD (Street Address) (City) has complied with the representing School District (Floor Plans reviewed by School District Personnel) I�00009i ld of Resi (Including Exterior Roofed Areas) Date r School District certifies that s + 3"AL4 �[� / (Applicant)l 1 ) :1 � ' ( 1► KQ, .r'� e4,. t 4-If)L/, 533'. TIN No. 160 square feet: Paid by Check # Remarks: wrione Number) 4 . 1�;RI(D (Staatee))'� (Zip Code) �'1✓� +7V by payment of $ AB 2926 $ FULL MITIGATION $ 01 Date A\ 11 ....... " Notice: You may io, y protest the impositi,on of the fees identified above by submitting avwritten protest to the District, in compliance with Government Code Section 660201a), within 90 days from the date fees are paid. -"Failure to submit a timely writteprotest will prohibit you from challenging the imposition of the fees in any court action. J� If, subsequent to the School District Representative signing this -Butte Coun notified by the applicable Local Planning Agency thatfhisproject is,being ri this project may be subject to additional school fees to fully lmit g to its iml White (applicant), Yellow (building departrrient);_Pink (school district) 9hools ImpacfrFe`e Certification Form, the`School District is +ed=under the California Environmental Quality Act (CEQA), on the school district's schools. feeform.As (10/98)dmm 1 No of Living MobileHome` Units r Installation \ New Addition lot. _ Lt ........................ .......................................................................................... : ® € Sq. Footage / Addition/ 'Supplemental to (Group R) Conversion Permit # '(No foundation inspection): ........................................................................................................ Sq. Footage t District Ident`iffiicatiion�No. .� �'e~.► I D JUD (Street Address) (City) has complied with the representing School District (Floor Plans reviewed by School District Personnel) I�00009i ld of Resi (Including Exterior Roofed Areas) Date r School District certifies that s + 3"AL4 �[� / (Applicant)l 1 ) :1 � ' ( 1► KQ, .r'� e4,. t 4-If)L/, 533'. TIN No. 160 square feet: Paid by Check # Remarks: wrione Number) 4 . 1�;RI(D (Staatee))'� (Zip Code) �'1✓� +7V by payment of $ AB 2926 $ FULL MITIGATION $ 01 Date A\ 11 ....... " Notice: You may io, y protest the impositi,on of the fees identified above by submitting avwritten protest to the District, in compliance with Government Code Section 660201a), within 90 days from the date fees are paid. -"Failure to submit a timely writteprotest will prohibit you from challenging the imposition of the fees in any court action. J� If, subsequent to the School District Representative signing this -Butte Coun notified by the applicable Local Planning Agency thatfhisproject is,being ri this project may be subject to additional school fees to fully lmit g to its iml White (applicant), Yellow (building departrrient);_Pink (school district) 9hools ImpacfrFe`e Certification Form, the`School District is +ed=under the California Environmental Quality Act (CEQA), on the school district's schools. feeform.As (10/98)dmm Lia. 788183 *a eft- -_./ E s„t`i:ma=ter"'.._. All Phases of Cons . ction MINE ROGERS Owner (536) 533-2755 01,44—”- Insulation Certificate :tll11�� BUILDING LOCATION: Description of Installation t ROOF Material ( l Thickness (inches) BUILDING PERMIT #: F Brand Name ��"n.5 CO - R I ^12 Thermal Resistance (R -Value) CEILING Owg� S C r Baa or Blanket Type Brand Name Bart Thermal Resistance.(R-Value) Thickness ('inches) Brand Name Loose Fill Type . lb Minimum thickness inches Contractor's minimum installed weighdh Manufacturer's installed weight per square foot to acheive Thermal Resistance (R -Value) -... EXTERIOR -WALL �pG 1,c r Gr MaterialI.n ��� Brand Name /i1fDl S Thickness (inches) / '� Thermal Resistance (R -Value) 01'()ERAISED FLOO 22 i^ 12 r �- �� �" Brand Name Material Thermal Resistance (R -Value) Thickness (inches) SLAB FLOOR Material Thickness (inches) Width (inches) A Brand Name Thermal Resistance (R -Value) FOUNDATION WALL Mamt�al Brand Name Thickness (inches) -- --- ------ ,'rermal Resistance -(R -Value) Declaration I hereby certify that the above insulation was installed in the building at the above location in conformance with the current Building Energy Efficiency Standards for new residential buildings contained in Title 24 of the Cali mia Administrative Code. � � i � �S 2� License Number Gener o actor (Buil Signature Title Date Sub -Contractor (insulation Installer) Signature and Title License Number Date THIS CERTIFICATE MUST.BE PROVIDED TBHN THE DEPARTMENT PRIOR TO FINAL INSPECTION APPROVAL AND A COPY SHALL JANUARY 1993 Z-33$3 i PERMIT NO. / 550-83B, P,E M I L)�� " PERMIT EXPIRES! �D U OWNER LANNY DRAGON CONTR. Mike Dixon, Los Gatos t ASSESSOR PARCEL 71-34-19 W/S Roller Coaster Rd a rox 4/10 LOCATION � PP _ mi S Graystone, Berry Creek / OFFICE COPY Address GAS Meter By j ELECTRICateEC Meter By -q Date/ r Temp. Power Pole Called PG&E Temp. Elec. Servii OFFICE COPY Called PG&E Temp. Gas Service GAS Meter By D9 Called PG&E; ELECTRIC Meter By g44 Da JOB FINALED (Date) = 'r /i Signature .0 R I F I GATE i Y r OF CONFORMANC HE- UNDER- SIGNED• MANUFACTURER HEREBY that the products identified below and on attached sheets Nos. 1 are marked with the collective mark of the American Institute of Timber Construction (AITC) and are manufactured in accordance with the manufacturing and fabricating provisions of _CHAPTER 25 OF THE UNIFORM BUILDING CODE FOR LAMINMATED TIMBER, AS MODIFIED BY ICBO RESEARCH REPORT N0. 3346 and that such manufacture has been at our plant in COTTAGE GROVE. ORFGON which . _ plant has -a quality -control- system approved by the Inspection. Bureau of the American Institute of Timber Construction -and inspected periodically by such Bureau. `4, - JOB NAME: 1013 JOB LOCATION: V RDAI E CA CUSTOMER'S ORDER NO. 1011 DATE MFGR'S ORDER NO. 1S91-4445 WEYERHAEUSER COMPANY SIGNATURE COMPANY _ I AMINATFD LLIMBFR PRODUCTS TITLE C SUPERV I SOR ADDRESS rnTTAnE GROVE. OREGON DATE A/ TC HEREBY CERT/F/ES that the 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 code and report(s), 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 the undersigned, said company is capable of complying with applicable manufacturing and testing provisions of said code and report(s). in respect of products manufactured at said plant. Conformance with the said code and report(s) in respect of any specific or particular product is the sole responsibility of the manufacturer; AITC's certificate hereunder being that the said company is 4 qualified to produce a product meeting the said code and report(s) and that its plant is periodically inspected and verified by the AITC Inspection Bureau. ��''! E 21277 AITC Certificate No. Signed for AITC FORM ISCE ERICAN INSTITUTE OF TIMBER- CONSTRUCTION 2 Paul R. Beattie Jack Minneci xecutive Vice President Yirector, Inspection Bureau ® 1980 AMERICAN INSTITUTE OF TIMBER CONSTRUCTION R'E] EN'r� IAL ENERGY CONSERVATION STANDARDS CONSTRUCTION COMPLIANCE CERTIFICATE, THIS IS TO CERTIFY THAT ENERGY CONSERVATION REQUIREMENTS HAVE BEEN INSTALLED INCONFORMANCE WITHH CURRLNT ENERGY CONSERVATION REGULATIONS 7 �J,�r12'�_, I c` ll -eY xev. BUILDING PERMIT # ro,--83 ,D�'t'Et M A.P. # rA-34-\q sorf. ''fir-- 'R01.1.V;—*-c0ffl4s-rvbZ, lz,4, 't3eP.�� Cr.Smy, THE FOLLOWING HAS BEEN INSTALLED AS PER APPROVED PLANS; INSULATION: SLAB EDGE FDN. WALLS FLOORS_ WALLS `7 �9 CEILING/ROOF DUCTS •( S CIRCULATING PIPES - APPROVED HEATER APPROVED` WTR . HTR.- Y - GLAZING: SINGLE GLAZED SPECIAL (INSULATED) CERT.& LABELED & SLIDING DRS. (� WEATHERSTRIP .C?V- BACK DAMPERED FANS Vl2i _. INTERMITTENT IGNITION DEVICE CERT. APPLIANCE - 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 AS SUBMITTED. INSULATION APPLICATOR NAME: HAWKINS INSULATION COMPANY, INC OWNER/APPLICATOR: ATURE' & GENERAL CONTRACTOR/@WME [-It L 378407 >-�bo GENERAL CONTRAC TOR/OWNER �J IGNATU & ATE CONTRAC LICENSE # DATE [ I v THIS CERTIFICATE MUSTE ON FILE WITH THE BUILDING DEPARTMENT PRIOR TO REQUESTING FINAL INSPECTION AND SHALL BE POSTED IN A CONSPICUOUS LOCATION WITHIN THE DWELLING. 1/84 4k 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 OWNER PERMIT NO. A routine inspection indicates that the following violations of County Ordinance exist at the above address and should be corrected. Please notify this office when correction -of work is completed. If you have any question pertaining to this matter, or need ,additional explanation, please contact this office immediately. Inspector_ _ �Date /� s 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 OWNER PERMIT NO. A routine inspection indicates that the following violations of County Ordinance exist at the above address and should be corrected. Please notify this -office when correction of work is completed. If you have any question pertaining to this matter, or need ad�nal explanation, please contact this offimmediately. W C,4. /(/i 1 / (r Inspector_= Date �_ "_ W, --,MINN 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 OWNERPERMIT NO.� A routine inspection indicates t at the follow g violations of County Ordinance exist at the above a dress 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. F- G n 1' Inspector_ Date y i� 0 = Not OK - = NtRyable = Not Ready RESIDENTIAL(Singleand Duplex) � Date UNDERFLOOR (Plans) OK except#'s Date FRAMING C tinued Zoning requirements -Setbacks -Easements Prop y Line Firewall & Openings $! Ft ain; Soils-Steel-Elec. Grnd.- / /" Ftg. Depth 4 K. Doors -One 3' -Chet Garage -3rd story, 2 exits tg:; Garage; Soils -Steel- / /" Ftg. Depth / Stairs; Width -Headroom-. Width -Run -Landing -Fire Protection 4. ftg., Porches & Decks; Soils- teel- / /" Ft91 5 lywood on Roof Overhang -Attic Vents -Rafter Outriggers Stemwalls, Main; Steel-Blockouts-Wrapped- mwalls, Garage; Steel-Blockouts-Wrapped-S 5 . 53. 1 Siding -Nailing -Veneer Stucco Mesh -Drip Screed-Fdn. Vents-Underflr. Access 7. Piers -Fir lace Ftg.-Steel 5— Glazing Area -Glass Protection -Skylights -Plastic 8. D.W.V.: al Fittings -Test -2 way C/O -Sewer Test J15 hear Walls; Nailing Bolts 9. Gas Pipe; Size -Anchors 4. 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 Card -BI Dater C rd -BI Date _ 0/ Card -BI te.2 S and -BI Date QC Card -BI Date Card -BI Date Card -BI Card -BI Date Date FI A Plans) OK except k's Cwr�t I >�( Date BI Date Date PLUMBING (Permit) OK except T's �I p' 5 E Ceps -Door & Sidelight Protection -Landings 57. in2wOetector _- 1�/Water Ht.: Vent -Access -Combustion Air 1 Wa ipe; Test & Anchors- ail otection 58 _ _ ,. Air -Connector- ove Floor -Ducts -Meth. Protection _ W.V.; Test-Fttngs & n Nail Protection room Exiting hoover P3nAM First Floor -Tub Access 6 & Bath Fixtures & Tub Access _ (fps fub & Shower, 2nd Floor -Tub Access 6 . lec. Trim & Subpanel; Breaker Sizes -Labels Pipe; Size &Anchors Rails _ _las fireplace or Stove; Clearances -Hearth Card -BI Card -BI Date 61, . Ou lets at Wood Panel; Int. & Ext. 6 . Kit. xt. & Appliance; Grnd.-Air Gap -Cooking Clearance Card -BI ,ga1e5 . --W Card -BI Date 66. ec. Outlets & Receptacles at Kit. Counter Date ELECTRICAL PeNF�it OK except q's arage Fire Door; Swing -Landing -Closer G uct in Garage -Damper --- 2l�xture &Transformer Clearance -Ins. Protection 2,1/Elec. Receptacles Spacing -Lights & Switches at Doors 69' r. Hlr.; Vents -Clearance -Comb. Air-Connector-P.R.V.- In ara e; Above Floor -Meth. Protection :7„ Elec. &Mech. Equip. Listed for Location _ X/Size Boxes & No. of Conductors -Stapled 71 7 Elec eceptacles i Garage; (G.F.I.)-R ex Protec. ulation m-ooked in Attic Yes Romex Installed Close to Edge of Studs & C.J. Ground made up w/Mech. Fasteners -Bond Gas &Water Circuits in Kitchen &Conductor Size 2�Afeed Guard Rails & Deck•Conslruct' - ost Caps it 26. Subfeed Wir' ize / ga. Cu I- .C. Wire Size / / ga. Cu o ---- � 74. j Fdn. Vents & Crawl Hol or -Drainage & Wood -Earth Clearance Looked under Floor Yes 27. nage Circ- / / as.�r AI -O Cu or A1, r. Insulated Neutral [Yes ❑No No 175. F611bwin g instDrive Yes o; Walks ❑ Yes No; Planters ❑YeNo 28. Service -Riser Conductors & Ground -Main Disconnect -St o Brown -Finish _ 29.--i it r6dearances: Panels-Motors-Mech. Equip. 7• , . Unit; Disconnect-Clrnces-Brkr. & Cond. Size -115V Outlet 38-ett7tites-Closet Light -Shower Light _ V Above Roof; Plbg.-Appliance-Firepl. arance to Opngs. - --- - -- 7 ater Well; Disconnect, ec ri Bing -- -- ------ Card B -I 00_- Date �1 and -BI -- Date 80. Exterior Elec. m; .F- . eceptacle-Underground 81. Ventilati rou uCHouse CardB-I ateXil3~ Card -BI Date 82. Gla rote - n_,&, Date MECHANICAL (Permit) OK except N's 83 orrect' s f Prevctions .0 6 - Ga est eters 1f as-Electric�pEp��/$%~ d A.C. Ducts; Insulation & Support _01ergy er & SeweK ected-C/O to Grade -HD Approval Compliance Certificate -Other Certificates Vent Fan; Exhaust above Insulation ------ _ 33. Condensate Drain _& Overilow; Size & Grade - 34. Furnace -Vent; Access -Comb. Air -Return Air Vent -115V outlet 35. Attic Access & Platform if Furnace in Attic f Card -B to rd -BI Date Card- I Date and -BI Date Card -BI t ;ffCard-BI Date Comments Fina -- Card -BI _ Eatea -g Card -BI Date Card -BI Date - Card -BI Date Date FRAMING(PI s) OK except q's Sills; Proper Material & Anchors -W.- 6T Walls; u_ds-Nailing, Spacing & Bracing -Plates -Sound _ 386 ng Walls over Girders & Floor Nailing____ -- aft Stop in Walls (rat proof) _Fire Stops; Furred Ceilings -Stairs -Chases -Tub a't Header & Beam -Size & Bearing 4�Hangers-Post Caps -Anchors -Connectors 4};/Cing. Joist-Rftr. Ties-Purlin-Roof Brac.-Truss-Shthng.-Rfnq. _ T -- 44. Fireplace Ties or Type A Flue -Fireplace Throat rc Access: Size &__Romex Protection -Draft Stop -Ins. Baffles Bdrm. Windows or_Exiling Doors -Sill Hgt. & Dimensions _-- Garege Fire Protection Framing (NOT E: An entry must be made each time you visit job site) J = OK 0 = Not OK = Not Applicable MOBILEHOMES * = Not Ready MISCELLANEOUS CJS 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 -Sketchy 2. Footings, Size -Depth -Spacing -Connectors , F 3. Sewer; Location -Test -Fall -C/0 -Concrete 1 _ 3. Decks; Girders acid/or Joists -Decking -Bracing -Stairs -Rails 4. Water; Location -Test -Easement Needed (Sketch) -4-Wood Awn. Posts-Beams-Rftrs.-Connec.-Shing:=Rfg..-Bracing - 5. Electricity; Location-Clearances-Grnd.-/ / Amp -Concrete 6. Gas; Location -Test -Wrap:/ /"L"ft./ /"Nat. or/ /"L"ft./ /"LPG _ 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Carports; Windows -Doors 7. Utility Clearance ' 7. Elec. - Card -BI Date Card -BI, Date i Card -BI Date Card -BI Date Card -BI Date Date Card -BI. _Date MOBILEHOME INSTALLATION (Plans) OK except H's 1. Zoning Requirements-Setbacks-Easemerits `- Card -131 Date _ Date Card -BI Date POOLS. (Plans) OK except Vs 1" Setbacks --!Easements 2. Footings; Size -Spacing -Marriage Line 2. Soils; Compaction -Structure Stability 3, Gas; MH Test -Demand -Valve -Connector 4: Electricity; •MH Test -Crossovers -Breakers -Clearances` r ' 3. • Pool Structure; Steel -Connections -Thickness -Dead Men -Lining _ 4. Elec.,, Receptacles and Lighting; Distances-GFI � • 5. Drain; MH Test -Fall -Flex Connecfor' 6. Water; MH Test-iRegulator-Connector 7. Water and Sewer Connected -C/0 to Grade -HD Approval t: ra' S. Elec.; Pool Lighting; 15 volts-GFI ", 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 -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 - bate Card -BI Gate Card -BI' ""' Date Card -BI Date Card B -I Date Card -BI Date Card -BI Date Card -BI Date t - rf . COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 - Telephone 916/534-4541 APPLICATION AD PERMIT' PERMITNO. i:5 L//,'p_ (J ]/�� 4 r M ASSES OR PARC L NU R V ZONI G BUILDING PERMIT OWN TELEPHONE -1,04 1jam- .- P: OCC. BUILDING VALUATION OWNER'S MAILING DDRESS - ,�9-0C R'S NA ANA TELE HONEJAO%k COR'S PrAILING ADD SS, r- /� �- Fireplace "A O O CON RU TION LER .3 1UNKNOW Total Valuation $ Filing Fee $ 10,_00 LENDER'S MAILING ADDRESS Permit Fee $ q07 06-0 ARCHIT C R EN (NEER ' r LICENSE NO. Plan Checking Fee $ Penalty $ ARCHITECT OR ENG NEE 'S MAILING A DRESS Permit fee $ BUIL I G AD 55 PLUMBING PERMIT Filing Fee 10,00 11 Each Trap 2.00 l p� Solar Water Heater 20.00 4 Water piping 100' 5.00 1D LOT NO. SUBDIVISION NAME PARCEL MAP Each qas water heater or vent 5.00 Gas piping system 1 - 5 outlets 5.00 — USE OF STRUCTURE ,✓?� SF Duplex❑ Mobilehome❑ j� ! SPECIrY Building sewer 5.00 b, Mobile Home S G W 10.00e s TYPE OF WORK New e� Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑ Describe work: — 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 NEW CON -)WACC OR ADDNST LB &� 2'I2¢Sq ft ,� 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 m license is in full force and effect. y License No. Classification ❑ 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) 1, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONSTR MULTI- UT LET 2,50 ea NON-RESID BRANCH CIRC ITS NEW CONSTR POWER APPARATUS &) NON-RESID. SINGLE OUTLET CIR. Ex. Occu 20@50a P(ourLETs OR FIXTURES aALO 300 FIXED APPLNS• OR EX. OCCUp. OUTLETS (RESID.) EA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 Permit Fee $ Contractor MECHANICAL PERMIT FiIingFee 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 shall be deemed revoked. Heatingfteq If L) Colo Cooling 3�' 7 Hood 3.00 Ventilation MgD ID Permit Fee $ On 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 liabili 'es, judgments, cost §,, and expenses which may in any way accrue against i County i cons u ce of the granting of this permit. X / Date 3-a ^ 3 Signature of Applij.nt- 0 w er Contractor E]Agent❑ An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over storiesin height. Mobile Home Installation Fee $ TOTAL PERMIT FEE $ •�� OCCUP. OUP �V I TYF,�ONST, PE ,ii•VVl C PAR '- PD HD ISSU V/ This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which DIRECT OF PUBLIC By P IT EXPIRES Date the applicable provi- resolutions to do fees have been paid. WORKS Date �3p Receipt No. 9_/ 7 3 7 WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT Re/ to DPW AGRICULTURAL STATEMENT -OF ACKNOWLEDGEMENT FOR RESIDENTIAL DEVELOPMENT Sprction 26-8.1 of the Butte County Code requires this acknowledgement be recorded prior to issuance of a building permit. OFFICIAL RECORDS OU'°TF COUNT) The property described herein is adjacent to land or included aR 30 11 z 4q within an area zoned for agricultural purposes, and residents of this property may be subject to inconveniences or discomfort arising CLERK MORDER from the use of agricultural chemicals, including, but not limited to herbicides, pesticides, and fertilizers; and from the pursuit of agricultural operations including, but not limited to cultivation, plowing, spraying, pruning, and harvesting which occa- si¢nally generate dust, smoke, noise, and odor. Butte County has established agricul- tutal zones which have as a priority use for productive agricultural purposes, and residents within said zones and on adjacent property should be prepared to accept such inconvenience or discomfort from normal, necessary farm operations. All that real property situate in the County of Butte, State of California, described as follows: Date: - )— l '� ' � 'tI - - I . PROPERTY OWNERS; U State ofC '_) On this the �� day of m�RC� 19 U , ) $S. before me, the undersigned Notary Public, personally County of,�_ R °�d��A- ) appeared I r(rll l�Avw\l Ze�o� p"'& known to me to be the person whose name(( PjfZQ— subscribed to the within instrument and acknowledged that executed the same for the purposes therein c.ntained. IN WITNE seal. SS WHEREOF, I hereunto set my hand and official D / /Notary Public OFFICIAL BCA 9my F.R. KNACKSTEDT NOTARY PUBLIC - CALIFORNIASANTA CLARA COUNTY Cam SANTA Expires lune 6. 1982 i°. Present A.P. NO. / A Portion of Section 2 Tocrnship '210 aorta, R_anfe 5 East, :,',II, H. 6 t. and — - - - more -particularly described as follows: 1 "'w eoL3itlnC ing•eN rho NoYtl kv ac corner -of tn« soNitr %P t ;.'.RTlpr Ot Cha nOrJ:!14gnt quarter of said SecV.on 2; thence South 0' 09' 55" East alcne the »est Sine of said Section 2, a distance of 1920 feet to the true point of beginning for 0 the.parcel of land herein described; thence frim said point of beginning. South 89' 40' 50" East a distance of 336.39 feet; thencct South 0' 02' 25" East 240 feet; thence South 14' 53' 20" East 166.92 feet; thence South 7' 37' 29" nest .322.50 feet to a point on the South boundary of the Northwest quarter of the Southwest quarter of said Section 2; thence north 89' 31' 26" Feat along said 'South boundary, a distance of 334.82 feet cc the Westerly line of said Section 2; thence North G' 09' 55" West along the Westerly _ine o: Section 2. o distance of 1720 feet to the point of beginning. TOGETHER WITH and P."SERVING THERLFROM a zi;ht of way -or .road and utility 2urposeq over a strip of lard 60 feet in width, the centerlira of which is described a_- r, follows: N Commencing at, the Northwest corner of the Scwrlrest quarter of chr : or.h est quarter of said Section 2; t!:ence South; b9' 41' fast a distance of 340.58 fe�-t C-3 to the point of berinning for :;aid centgri.ine; thcnce South 0` 02' ',5" Z-ast 2160 feet; :hence South 14' 58' 20" East 1.66.92 feet; thence South i' 37' 29" Wait a. distance of 60 feet and the end of said centerline. C11 ALSO TOGETHER t, "rH a r_rht of way fAl. ro.14 .nand utility purrescs ever a r.trip of -,jSand' 60 feet in width, the centerline of which is described as follows: � .o \ Commencing at the t.orthwcct corner of th<; Southwr,st quarter of the North: -est ( o quarter of said Section 2; thence South 89' 41' East along the NOrth 3J.1le of the Southwest quarter of the ;:orthwesc quarter of Said SccCic;: 2 n distance of 1075.83 feet to the point of beginning for said centerline; thence South 9h8'''��: . 33" West 324.41 feet: thence South 0' 35" West 5062-:2 for.;. to the end of - said centerline,CIO c ALSO TOGETHER WITH a right of way for road and utility purrescs aver . strip of } land 60 feet in width,, the centerline or which is describe<: as fr'llews: com;nencing at the ::orthwept corner of the Southwest quarter cf the Worthweit it✓ quarter of said Section 2; thence South 89' 41' '.:ase along the North line of the Southwest quarter of the Northwest quarter of Said Sectio: 2 a distance of C-19 340.58 feet; thence Sou'h 0' 02' 25" East 31-0 feet to the ;tint of beglanicg for ,(lar said nterlinc; Chance South S9' 40' 53" East 679.76 foot to tha end of said, 00 centerline. + ALSO :OGET'r.ER »: H z, right of way for road and utility ;urtcses over a strip of _ land 6G feet it width lying Southerly of end arja.ect to the fo•lcyiag described line: Beginning at the Northwest corner of the Southwest quarter of thr,, \orth:acst quarter of said'Section 2; thence SoutFj 89' 4. 00" mast a distance of 340258 feet to the end of said line. ALSO 'TOGETHER WITH a non-exclusive right of way for road purpesc< over a stcip of land 60 feet in width the ccnterl.in:! of wh'.ch :.s described ns follows: Cotmaencing at the Northeast corner of ''..ct 3 in Seetien 2 Tcwnship 20 Vorch, Rznge 5 Ealt M.D.B. G .. thence South 89' 50' 1£" act r,'_e.-.g the ';er' c __ -. -1 1- 3, a distance of 449.44 feet to the point of baainning of the foll int, described centerline; thence from saidpoint of beginning, South a distance of 522.64 feet; thence North•89' 52' 30" West a distance of 1,1685E fel.^.t; then -Ce South 482.0E feet to enc end of said centerline. ALSO TOGETHER W17H alright of way for rord and ut•11ity purposes over a striv of land 60 feet in width, the.cenLerline of w•hich'is <lcstrSl.d a fc:_crs: S ' Commencing at' the Northwest corner of the Southeast quarter of the Southeast quarter of Secclon 35, Township 21 North, Ranga 5 East, ;t.D,B• 6 ti ; thenee South 00' 35' 10" gest, distance of 29.47 feu,t along the: Wost'l.ine of the Southeast quarter of the Southeast quarter of said Section 35 to a. ,,Dint ca the center;ine of Candor. Creek Road, also known as Rock..:tfallear Rnad; thence leaving the fest line of the Southeast quarcer of the Southeast ct:arcer of said Section 35. and running a:.cng the censer line of said Canyon Crock Road, ;;Orth 71' 06' 05" West, 52.99 fuec and North 53' 19' 05" Wcst, 143.94 feet; thence South 44' 55' 05" East, 30 feet to tha true point of beginaing for the foilowing described. center line; thence from srie true point of bcginaing,, South 45` 04' 55" West, 272.58 feet; thance South .nnd paralic.'_ with the North and South center line of said Section 35, to a point which boars North aatd perpendicularly distant 30 feet from the Southerly line of Said Section 35; chance Wcstcr;.y aad parallci with the Southerly line of said Section 35, a disrance of 960 feet. core or less, to the North and South centerline of said Section 35 and the end of said center line. I OWNER A. GENERAL `,/ 1. Zoning requirements SIDENTIAL PLAN CHECKING GUIDE S.F., DUPLEX, '& MISC. ONLY) Bldg. Permit # ��— A.P. # V c_ (sideyards and parking). ` mechanical equipment. -%1-,91..r, Locations of water.heater, heating & cooling equipment, other electrical or gas equipment, and plumbing 'fixtures. Garage firewall, door size, and closer (Sec. 503(d)(4)). 1 - 3'0" exterior exit door (Sec. 3303d). Fireplace location. Smoke detectors (Sec. 1413). .'D; :'STRUCTURAL DETAILS 1 Foundation plan complete enough to construct building. Floor construction details complete enough to construct building. Elevations and wall construction details complete enough to construct building. •� �oof 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 sly CCX plywood on exposed locations and overhangs. ;2 gtairway details (Sec. 3305). guardrail details (Sec. 1716). $rick or stone veneer (Chapter 30). �5xterior plaster - weep screeds (Secy. 4706 & 4708). -�Proper roof pitch for roof covering (Chapter 32). Rafter ties or bearing ridge beam. Garage door or porch header sizes. T Adequate bracing. Diving area over garage:- complete 1 -hour separation required including supporting walls and posts, etc. Y Two (2) exits on three-story dwellings (Sec. 3302).' COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville; California 95965 - Telephone 916/534-4541 APPLIC010*6_401 PERMIT PERMIT NO/ ASSESSOR JgRWLINIB R 7 / ZONIN —Z BUILDING PERMIT owNF, J ni OR" b �p� J5�L 2i SO. FT. OCC. BUILDING VALUATION 0 M/p M�7C�QI N " L D 1-0-5� / vs V / �ro city /r Y CQ,N S//�l� R•S NAME' / /\�rV TELEPHONE C�1 /-r �^ / �{YL C QMNTjAC �R'S M IUCr/�(// ,ivy ING ADDRESS E_ �S 6'03o ='V Fireplace CONSTRUCTION LENDER UN NOWN Total Valuation I $ O !� Filing Fee $ 10,00 LENDER'S MAILING ADDRESS Permit Fee $ 0-0 ARCHITECT OR ENGINEER LICENSE No. Plan Checking Fee $ /5-ov µ�1�n -""-- -' Rlw/6 �"'r" v 6 ARCHITECT OR ENGINEER'S MAILING ADDRESS Permit fee $ B5? ADDRESS PLUMBING PERMIT Filing Fee 10.00 ,I r �v! S ' or KA Each Trap 2.00 Solar Water Heater 20.00 �iGF-cam Water piping 5.00 LOT NO. SUBDIVISION NAME PARCEL MAP Each qas water heater or vent 5,00 Gas piping system 1 - 5 outlets 5.00 USE OF STRUCTURE SF Duplex ❑ Mobi lehome ❑ Other SPECIFY Building sewer 5.00 Mobile Home S G W 10.00 e TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other Describe w rk: %}?!� ���- %y ,6AS�l.1Cl 7 Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 100 AMP 00V OR LESS 10.00 ��'(J �(� /'� i o•••7 Main service EA. ADD'L 100 AMP 2.50 NEW CONST. DWELLING OC & OR ADDNS. ACC. BLDGS. 2/2QSQft 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 e ffect. 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 CONSTR ULTI-OUTL T NON-RESID BRANCH CIRC S 2.50 ea NEW CON STR POWER APPARAT S &'1 NON-RESID. (SINGLE OUTLET CIR. / 200509 Ex. Occup(o OR FIXTURES eALe3om BAL@30 FIXED A FIXED APPLNS, OR Ex. Occup. OUTLETS (RESID,) EA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 Permit Fee $ v 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 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 Countyot Butte to enter upon the above-mentioned property for inspection purposes. 1 also agr a to save, indemnify a keep harmless the County of Butte against all liab' I s, judgments, cost a d expenses which may in any way accrue agains sai County i conse n e of the granting of this permit. e O'l%� Date SiS4. ure of Apph a t — Ow err Contractor ❑ Agent ❑ An OSHA permi is required fore ovations over 5'0" deep and demolition or construct- ion of structures over 3 storQes in height. Mobile Home Installation Fee $ TOTAL PERMIT FEE $ A7 7, OCCUP. GROUP TYPE OF CONST. PARCEL PD HD ISSUE This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which DIREC F PUBLIC B-�wl PEV EXPIRES Date the applicable provi- resolutions to do fees have been paid. WORKS Date 7—x� Receipt No. 0/0s?, / 0s u WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT