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