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HomeMy WebLinkAbout072-200-013a _ 72-20-13 WILLIAM THOMAS @ end of Little Oak Rd, app,6/10 S f Forbestown Rd, Oroville &m Permit #1148-83B, P,E,M (new S;,,i nt ) !. r7 M' fs ermit#1355-84B,E(complete garage tarted under 1148-83)) i N N O � � ■�� NOTES __R 02-6j96 072-200-013 MOSER, RUTH 248 BARDOL'No'op'OVII'LF ARAGE CONVERsioN 11 SPECIAL CONDITIONS 11 SRA FLOOD CERTIFICATE REQ. FIRE SPRINKLERS REQ. SPECIAL INSPECTION ITEMS VERIFY USE PERMIT CONDITIONS SUB -STANDARD HOUSING LETTER JOB FINALED (Date) vs, Signature CHECKED BY ./;�t OK 0 = Not OK - = Not Al5plicablb * = N6t Ready MOBILE HOMES Date MOJ31LE HOME UTILITIES (Plans) OK except #'s 1 . Zoning Requirements -Setbacks- Easements 2. Soils; Special MH Support Sketch 3. Sewer; Location-Test-Fall-C/0-Concrele 4. Water; Location -Test- Easement Needed (Sketch) 5. Electricity; Location-Clearances-Grnd-/ /Amp -Concrete 6. Gas; Localion-Test-Wrap;-/ /" L 'ft. P Nat. or /"L"tt./ PLPG 7. Well Clearance & Disconnect 8. Utility Clearance Date CardB-1 Date Card B-1 Date Card B-1 Date Card B-1 Date MOBILE HOME INSTALLATION (Plans) OK except ff's 1. Zoning Require ments-Selbacks- Easements 2. Footings; S ize-Spacing- Marriage Line 3. Gas; MH Test-Demand-Vatve-Connector 4. Electricity; MH Test -Crossovers -Breakers -Clearances 5. Drain; MH Test -Fall -Flex Connector 6. Water; MH Test- Reg ulator-Conne ctor 7. Water and Sewer Connected -C/O to Grade -HD Approval 8. Gas and Electricity Tagged - 9. Tie Downs -Type -Installation Carl. 10. Exits; Insp.-Sketch 11. Cent. of Occupancy 12. Permanent Foundation Only; License Decal Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 i MISCELLANEOUS Date DECKS, COVERS, CARPORTS GARAGES (Plans) OK except #'s 1 . Zoning Require ments-Setbacks- Easements 2. Footings; Soils-Size-Depth-Spacing-Connectors-SteeI 3. Decks; Girders and/or Joists- Decking -Bracing- Stairs- Rai Is 4. Wood Awn.; Posts- Beams- Rftrs.-Con nectors S hthg. - Frg- Bracing 5. Alum. Awn.; Columns -Connections -Splice -Decal- Enclosures 6. Carports; Windows -Doors 7. Electric 8. Frmg.; Sills-Anchors-Studs-Rftrs-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 Stiucture; Steel -Connections -Thickness Dead Men -Lining 4. Elec.; Receptacles and Lighting, Distance-GFI 5. Elec.; Pool Lighting; 15 Volts-GFI 6. Elec.; Enclosures; Conduit Entries -Terminals- Listed 7. Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater 8. Elec.; Grounding; Equip. w/5' Circulating Equip. -Pool Lghtg. Boxes- Enclosures- Panelboards- Ins. to Main in Conduit 9. Health Department Approval 10. Plumb.; Cir. Test -Water Supply Test 11. Light Niche Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 V = OK 0 = Not OK - = Not Applicable * = Not Ready Date RESIDENTIAL (E Date Underfloor (Plans) OK except #'s 1 : Zoning -Setbacks- Ease ments-Flood-Stope 2. Ftg., Main; Soils-Elec. Grnd.-/ /" Ftg. Depth 3. Ftg., Garage; Soils-Steel-Elec. Grnd.-/ P' Ftg. Depth 4. Ftg., Porches & Decks; Soils -Steel-/ P' Ftg. Depth 5. Sternwalls, Main; S feel- Blockouts -Wrapped 6. Sternwalls, Garage; Steel-Blockouts-Wrapped 6a. Hold Downs and Special Anchors 7. Slab, Steel -Wrapped 8. Piers -Fireplace Ffg.-Steel 9. D.W.V.; Fall- Fitting -Test -2 Way C/0 -Sewer Test 10. LIF, Gas Pipe; Size Anchors - Yard Gas Piping; Size Test 11. Water Pipe; Test -Anchors- Reg u lato r -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 Card B-1 Date Card B-1 Date 63. PLUMBING (Permit) OK except #'s 17. Water Htr.; Vent -Access -Combustion Air Baffle 18. Water Pipe; Test & Anchor -Nail Protection 19, D.W.V.; Test Fittings & Anchor -Nail Protection 20. Shower Pan; Test, First Floor -Tub Access 21. Test Tub & Shower, Second Floor -Tub Access 22. Gas Pipe; Sixe & Anchors 70. Fireplace or Stove, Clearance -Hearth Date 71. Card B-1 Date Card B-1 Date 72. Card B-1 Date Card B-1 Date 73. ELECTRICAL (Permit) OK except #'s 23. Fixture & Transformer Clearance -Ins. Protection 24. Elec. Receptacles Spacing -Lights & Switches at Doors 25. Size Boxes & No. of Conductors Stapled 26. Romex Installed Close to Edge of Studs & C.J. 27. Equip. Ground made up w/Mech Fasteners -Bond Gas & Water 28. 2 Appliance Circuits in Kitchen & Conductor Size GFI 29. Subieed Wire Size / ga. Cu or AI-A.C. Wire Size / / ga Cu or Al 30. Range Circle / ga Cu or Al -Oven Circ. / / ga Cu or Al Insulated Neutral Ij Yes 0 No 31. Service -Riser Conductors & Ground Main Disconnect 32. Equip. Clearances Panels-Motors-Mech. Equip. 33. Clothes Closet Light -Shower Lighl-Spa Light 34. Smoke Detector 85. Vents Above Roof, Plbg-Appliance-Fireplace-Clearance to Openings Date 86. Card B-1 Date Card B-1 Date 87. Card B-1 Date Card B-1 Date 88. MECHANICAL (Permit) OK except #'s 35. A.C. Ducts Insulation & Support 36. Vent Fan, Exhaust above insulation 37. Condensate Drain & Overflow, Size & Grade 38. Furnace -Vent Access -Comb. Air -Return Air Vent 115 outlet 39. Attic Access & Platform if Furnace in Attic 94. Address Posted Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date FRAMING (Permit) OK except #'s Comments at Final: 40. Sills Proper Materials & Anchors 41. Walls Studs -Nailing Spacing & Braces- Plates- Sound 42. Bearing Walls over Girders & Floor Nailing 43. Dratt Stop in Walls (rat proof) 44. Fire Stops, Furred Ceilings- Stairs -Chasers -Tubs 45. Headers &-B-eams-Size & Bearing lingle & Duplex) Date FRAMING (Continued) 46. -Hangers-Post C aps-Anchors -Connectors 47. Cling. Joist-Rftr. Ties- Purlin-Roff Brac.-Truss-Shting.-Rfng. 48. Fireplace Ties or Type A Flue -Fireplace Throat Clearance 49. Attic Access; Size & Romex Protection- Draft Stop -Ins. Baffles 50. Bdrm. Windows or Exiting Doors -Sill Ht. & Dimensions 51. Garage Fire Protection Framing 52. Property Line Firewall & Openings 53, Ext. Doors -One X -Check Garage 3rd Story, 2 Exits 54. Stairs; Width - Headroom- R ise- Run- Landing- Fire Protection 55. Plywood on Roof Overhang -Attic Vents -Rafter Outriggers 56. Siding -Nailing Veneer 57. Stucco Mesh -Drip Screed -I'd. Vents-UnderfIr. Access 58. Glazing Area -Glass Protection -S kyl ights- Plastic 59. Shear Walls; Nailing -Bolts 60. Brace Interior/Exterior Wall Panels 6'. . Insulation -Walls -Ceilings 62. 1 nfi Itrati6 n -Wal Is- Windows Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date FINAL (Plans) OK except #'s 63. Ext. Steps -Door & Sidelight Protection- Landings 64. Smoke Detector 65. FurnaLce Vents -clearance -Comb. Air -Connector - In Garage; Above Floor-Ducts-Mech. Protection 66. Bedroom Exiting 67. G.F.I. & Bath Fixtures & Tub Access -Spa 68. Elec. Trim & Subpanel, Breaker Sizes & Labels 69. Stairs & Rails 70. Fireplace or Stove, Clearance -Hearth 71. Elec. Outlets at Wood Panel, Int. & Ext. 72. Kit. Fixt. & Appliance; Ground -Air Gap -Cooking Clearance 73. Elec. Outlets & Receptacles at Kit. Counter 74. Garage Fire Door; Swing -Landing -Closure 75. A.C. Duct in Garage -Damper 76. Wtr. Htr.; Vents -Clearance -Comb. Air Connector-P.R.V. in Garage; Above Floor-Mech. Protection 77. Plb., Elec. & Mech. Equip. Listed for Location 78. Elec. Receptacles in Garage (F.F.I.)-Romex Protection 79. Ins ulation- Foa m- Looked in Attic 80. Guard Rails & Deck Construction- Post Caps 81. Fdn. VBents & Crawl Hole Door Drainage & Wood -Earth Clearance Looked under Floor Q Yes 82. Following Insild./Drive :j Yes :) No/Walks :) Yes :) No/Planters Yes No 83. Stucco Brown -Finish 84. A.C. Unit Disconnect, Electrical- P I umbi ng 85. Vents Above Roof, Plbg-Appliance-Fireplace-Clearance to Openings 86. Water Well, Disconnect, Electrical, Plumbing 87. Exterior Elec. Trim, G.F.I. Receptacle -U nde rg round 88. Ventilation Throughout House 89. Glass Protection 90. Corrections from Previous Inspections 91. Gas Test -Meters Tagged, Gas -Electric 92. Water & Sewer Connected -C/O to Grade -HD Approval 93. Energy Compliance Certificate -Other Certificates 94. Address Posted Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Comments at Final: COUNTY OF BUTTE - DEPARTMENT OF OEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive - Oroville, California 95965 9 Telephone (530) 538-7541 aMNO. (Re\. -.12/96) APPLICATION AND PERMIT OA ASSESSOR PAFi4EL NUMBER 072-200-jI013 ZONING FP1 - 10 BUILDINGPERMIT OWNER MA8ER, RL= - TELEPHONE SQ. Fr. OCC. BUILDING VALUATION 428 F 36.00 15 408.00 I OWNERS MAILING ADDRESS P.O. BOX 63ol n-RnyTT T F CA 95966 CONTRACTORS NAME TELEPHONE CONTRACTORS MAILING ADDRESS CONSTRUCTION LENDER Fireplace A 1500.00 LENDERS MAJUNG ADDRESS Total Valuation 16909-00 ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00 Permit Fee 180.00 ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee 117.00 BUILDINGADDRESS 248 BARDOLIND LN-, MOVIIIE, CA Energy Plan Checking Fee $ � 23. 00 $ PERMIT FEE s 340.00 LOT NO. SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMIT Filing Fee 20.00 Each Trap -11 7.00 91 _ (y) USEOFSTRUCTURE SF 0 Duplex 0 Mobilehome 0 Other SPECIFY Solar or heat pump water heater 23.00 Water piping 15.00 15.00 Each gas water heater or vent 15.00 15.00 TYPEOF WORK New 0 Addition 0 Remodel 0 Utilities 0 Installation 0 Other 0 Describe Work: GARAC-E CONVMSION Gas piping system 1 - 5 outlets 15.00 Building sewer 15-00 15.00 Mobile Home I S I G 920.00 PERMIT FEE s 86.00 ELECTRICAL PERMIT Filing Fee 20.00 800V OR LESS Main Service OA 0. Lr 23.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect. License Class Lic. No. OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: 1-4 1, as ownerof theproperty, ormy employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. 0 1, as owner of the property, am exclusively contracting with licensed contractors to construct the project. 0 1 am exempt under Sec. Business and Professions Code for this reason Main Service 200A TO 1000A 46.00 NEW CONST. OR ADDNS. DIE=c!"momccup- )4�8 3.5osFor.- 14.98 NEW CONST. MULT'_O ET .cIRMCUIT. 97.50 OWELR AP� 6PATUS FSI.G E . CIR. Ex. Occup. OUTLET OR FIXTURES j 20 Q 1.00 BAL @ .50 ..FIXEDAPP . OR Ex. Occup. IR= .) EA 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.02t_ PERMIT FEE $34.98 WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: 0 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. 0 1 have and will maintain workers' compensation insurance, as required by Section 3700ofthe Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEt $ Policy Number (The above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) I certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall forthwith comply with s . rovisions. X Date !�ifg`­naidure of ant - 0 Owner 0 Cahtractor 0 Agent An OSHA, � is required for excavations over 60" deep and demolition or construction of structures over 3 stories in height. Mobile Home Installation Fee Energy Inspection Fee Occ CONST. TYPE TOTAL FEE$ 460-qq HAZ. I D. FEES tPj FVD P=CEL ISVE This permit is hereby issued under the applicable provisions of the Butte County Code and/or Resolutions to do work indicated above for which fees have been paid. By. D e z PERMITEXPIRESON ReceiptNo. 343736 $460,038 WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENRO = COUNTY OF BUTTE - DEPARTMENT OFb`EVELO`PMENT SERVICES - BUILDING DIVISION 7 County Center Drive - Oroville, California 95965 - Telephone (530) 538-7541 PE mi �ev 1-)/,,',6) APPLICATION AND PERMIT K", 29 BUILDINGPERMIT `07�ER - 64 -t) 0 OWNER TEM 61 a sex-, -QU4�n owllcn 6 ; _Vj� f D �o f 5Y., CO"1;LACTOAS NAML TELEPHONE BUILDING 'VAL — — ------------ 2T WATION �� 5 LO *FT.00C. I -CO-P-rf-fL,AC—T,CA—S,-'A—AIUN-0 Z—oness C3?jSI,IkjCT.C?4LENDEA Fireplace Total Valuation 1$ 1(oly-4 Lcr,sCEFI S vAuNG ADDRESS ARCHItECT C.Q ENGINEER uCENSE NO Filing Fee 2 C, Permit Fee $ _ze&..�JD Plan Checking Fee $ 00 Energy Plan Checking Fee $ CC _T-Ofi_EN­G_1_t_4E�_1 _wIu1r. Z_�-_Ess_ S ard o I nD Lii, Ovo o'lle, PERMIT FEE 1 $ Z) T NO SuBMSiONS NAME EL MAP PLUMBING PERMIT I Filing Feel 20.C, - USEOFSTRUCTURE SF 0 Duplex 0 Mobilehome 0 Other SPECIFY Each Trap 1�31 7-��O,�Ibc Solar or heat pump water heater 1 1 23.00t, Water piping 15.00 - Each gas water heater or vent 1 5. 0 0 Gas piping system 1 - 5 outlets 15 . TYPE OF WORK New 0 Addition 0 Remodel 0 Utilibes 0 Installation 0 Other 0 Descr;be Work: _t'Yl Kr�jb7� Building sewer 15.00�_T ; — Mobile Home ISI G1 W1 Ca)20.00' PERMIT FEE ELECTRICAL PERMIT Filing Fee� 20.00 OR LESS Main Service 8.00.VA ORLESS 23.00! *PEPJAIT FEE PA10 SRA SHMFF OTHM AAbVW RECEXWb TO $I wr mw cowvm Main Service 200A TO 1000A 46.00�! 01 NEW CONST. DWEW occu;,. OR ADDNS. & AC'C" BILD S 3. 5 c sF'T NEW CONST. NON-RIESID. ="OUTL��,s 07-50; OWER APPANUS, IPSIN.L E 0, CIR Ex. Occup. OUTLET OR FD(TURES 2o 4 EIAL 'Z� 50' OF1XLEO AP 02. Ex. Occup. ETS PR LENS 1.) 5.00: Temporary Service 2 .0�1 Mobile Home Facilities 20-00� Misc. Wiring 23.00 PERMIT FEE �5 MECHANICAL PERMIT Filing Fee 1 20 00 Heating Cooling Hood 6. 5. 0 Ventilation PERMIT FEE I S Mobile Home Installation Fee $ Energy Inspection Fee $ occ ( CONST. TYPE TOTAL Ff-E $ q(�j D.F:P,IIMP _�z This permit is hereby issued under the applicable provisions of the Butte County Code and/or Resolutions to do work indicated above for which fees have been paid. By Date Receipt No. PERMIT EXPIRES ON WHITE-D.D.S.-S.D. CANARY -ASSESSOR PINK -INSPECTOR GOLOENROO-APPLICANT I M. t.) W 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 ((Se K -72 OWNER: ASSESSOR PARCEL NUMBER - -2-0 Proposed Building Use: e V -S Counter Technician: Date: - q - 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. 2 Complete plans, 3 or 4 sets, signed by the preparer of the plans. Engineered plans, 3 or 4 sets, with wet signature on plans AND 2 sets of stamped and signed calculations. Engineered truss details and layouts in duplicate. No faxes! WEnergy compliance design and supporting documentation in duplicate. /6&1 Manufactured homes: (A) Data sheets and installation instructions, (B) Marriage line information, (C) Floor Plan, (D) Tie down or `_ foundation plans, all in duplicate. 0'7. 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. 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 0 8. Flood Elevation Certificate, wet -stamped and signed, in duplicate ................................ 0 9. Plot plan and business license approval from the City of Biggs .................................... 0 10. Letter of intent for non-residential buildings ......................................................... 0 11. Detached Accessory Building Form filled out by the owner ..................................... 0 12. Hazardous Material Form ............................................................................... 0 13. Other Remaining items needed to issue the permit. (May require additional plan review upon receipt of the following items.) �P4 Fees as shown on the attached Schedule of Fees Due Sheet ....................................... iStatement of Intent for Non -heated and A/C Buildings .................................. 7N . ..... 6. Sanitation and plot plan approval from the Environmental Health Department in C-" V 0 17. City of Chico Plumbing permit ........................................................................ 0 18. California Department of Forestry plan approval 0 paid. Sent by: . ...................... 0 19. Planning approval for (A) Use: B)Parking: (C) Parcel Check: 0 20. Contact Land Development about 0 Improvements, 0 Drainage ............................... 0 21. Encroachment Permit for driveway from the Public Works Dept. (construction approval prior to occupancy). 0 22. Pre -Inspection for required ................ 0 23. Contractor's license information. (Number, Name Style, Classification) ...................... F-1 24. Worker's Compensation Carrier and Policy Number ...... 0 25. Owner -Builder Verification (0 Given to owner, 0 Mailed to owner) ..................... 0 26. Letter of Signature authorization .................................................................... 0 27. Recorded copy of Agricultural Acknowledgment Statement .................................... 0 28. Manufactured home utility clearance ............................................ 0 29. Existing violations and/or expired permits ......................................... ............... K�@- 0 Grant D M.Wit s, 0 Letter from Legal Owner, 0 Check to H.�;V. ;��Ither: T4pci( I - ��� 4 §;�� 1AK i When issued Telephone n�� , 5LI t�'5 � LU L' F— ) and hold for pickup. I have been informed of t ab e ite r uirements for obtaining a building permit. Applican Date�*: 1. Index permit applicati or the above items numbered: kl?4� er 2. Additional items required Contractor, designer, owner, was advised of the above data by 0 phone, 0 mail, 0 counter, by Date: Contractor, designer, owner, was advised of the above data by 0 phone, El mail, 0 cou Date: Plans reviewed by: —Date: Plans approved by: _ Z�l Date: Structural reviewed by: —Date: Structural approved by: —Date: Note transfer by: Date: Yellow: Building Division COUNTY OF BUTTE DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE (530) 538-7541 SCHEDULE OF FEES DUE OWNER. A.P. # 0-7 20'-'4 PROPOSED BUILDING USE DATE 1. BUILDING PERMIT FEES --Balance Due ........................................................ $ --Additional Fees Due ............................................ $ --Additional Fees Due ............................................ $ �/--Revised Plan Checking Fee .................................. $ 2. SCHOOL DISTRICT FEES ny-oa it V� (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 RECEIPT # DATE REC. At time of permit application, I was advised the above fees are required to be paid prior to issuance of the building permit. These fees may be changed during the plan checking process. APPLICANT)9 D A�0 Pursuant to Government Code Section<i; �0'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) APR -05-02 FRI 09:Z8 AM AMERICAN CANCER SOCIETY 9167553019 P-01 1270 Stabler Lane #3 10 - Yuba City, CA 95993 Phone: (530) 755-3) 12 - Fax: (530) 755-3 019 ,,,A' OWNER -BUILDER VERIFICATION Attention Property Owner: An "owner -builder" building permit has been applied for in your name and bearing your signatum. Please complete and return this information at your earliest opportunity to avoid unnecessary delay in processing and issuing your building permit. No building permit will be issued until this verification is received. I personally plan to provide the major labor and materials for construction of the proposed property improvement: YES 0 NO 0 ��2_) I HAVE 13 HAVE NOT 13 signed an application for a building permit for the proposed WO& I have contracted with the following person (firm) to provide the proposed construction: NAME: ADDRESS: CITY: PHOiNE: CONTRACTOR'S LICENSE NO. 4. 1 plan to provide portions of this work, but I have hired the following person to coordinate, supervise, and provide the major work: NAINEE: ADDRESS: CITY: PHONNE: CONTRACTOR'S LICENSE NO. I will provide some of the work but I have contracted (hired) the following persons to provide the work indicated: NAME ADDRESS PHONE TYPE OF WORK SIGNED: PROPERTYOWNER: DATE: NOTE: This Owner -Builder Verij-1cation is required by Section 19831 and 19832 of the California Health and Safety Code. This verification must be -completed and returned to our office before we are permitted to issue the permit. OVER OWNER BUILDER INFORMATION Dear Property Ovrier: An application for a building permit has been submitted in your name listing yourself as the buildero'f property improvements specified. For your protection, you should be aware that as -owner-builder" you are the responsible party of record on such a pen -nit. Building permits are not required to be signed by property owners unless they are personally performing their own work. If your work is being performed by someone other than yourself, you may protect yourself from possible liability if that person applies for the proper permit in his or her name. Contractors are required by law to be licensed and bonded by the State of California and to have a business license from the city or county. They are also required by law to put their license number on all permits for which they apply - If you plan to do your own work, with the exception of various trades that you plan to subcontract, you should be aware of the following information for your benefit and protection: if you employ or otherwise engage any persons other than your immediate family. and the work (including materials and other costs) is S300 or more for the entire project, and such persons are not licensed as contractors or subcontractors. then you may be an employer. If you are an employer, you must re ' gister with the State and Federal Governments as an employer and you are subject to several obligations includin-'state and federal income tax withholding, federal social secuHty taxes', 0 workers compensation insurance, disability insurance costs, and unemployment compensation contributions. * There may be financial risks for you if you do not carry out these obligations, and these risks are especially serious with respect to worker's compensation insurance. + For more specific information about your obligations under Federal Law, contract the Internal Revenue Service (and, 0 if you wish. the U.S. Small Business Administration). For more specific information about your obligations under State Law, contact the Department of Benefit Payments and the Division of Industrial Accidents. If the structure is intended for sale, property owners who are not licensed contractors are allowed to perform their work personally or through their own employees, without a licensed contractor or subcontractor, only under limited conditions. A frequent practice of unlicensed persons professing 7 to be contractors is to secure an "owner buildee' building permit� erroneously implying that the property owner is providing his or her own labor and material personally. Building permits are not required to be signed by property owners unless they are performing their own work personally. 0 Information about licensed contractors may be obtained by contracting the Contractors State License Board in your com,munity or at 1020 N Street� Sacramento, CA. 95814. Please complete the "Owner Builder Verification" on the reverse side of this form so that we can confirm that you are aware of these matters. The building permit will not be issued until the verification is returned. 0 +I rely, Mic el C. Vidira, C.B.O. C specl ger, Buildtg Inspection Mic el Vi Mger%tui1d$ing In' NO TE.- Th is 0 w n er- B u ilde r Info rm a do n is r eq u ir ed by Se c flo n 19 83 0 of d: e Califo rn la Hea 11h a n d Safety Code. OVER BUTTE COUNTY SCHOOLS IMPACT FEE CERTIFICATION FORM (One form per Bul rig) lAn , �) _e_ -- School District 6f VV ;10— 0-01, Building Department No. urisdiction: city A.P. Number 0-7 2. 0-0, E county Property Owner - fn 6- V— Property Location/Address q �r Ta K -d 0 ( I, Vq C) Un OV -041,0 Subdivision Lot No. .................................................................................................................. Residential Development No of Living Mobile Home A8dition/ *Supplemental to Units Installation Conversion Permit # *(No foundation inspection) ................................................................................................................... Commercial/Industrial New Addition Sq. Footage (Group R) Sq. Footage (Including Exterior Roofed Areas) Ado -2�, Date / Y (r-ioor mans reviewed ny z:icnooi uistrict versonneo District Identification No. i -;2y-'7 School District certifies that (Applicant) (Street Address) (Phone Number) (City) (State) (Zip Code) has complied with the requirements of Resolution No. by payment of $ % representing square feet. AB 2926 $ 11FULL MITIGATION $ School Distri�t Representative Date Paid by Check # Remarks: Notice: You may protest the imposition of the fees identified above by submitting a written protest to the District, in compliance with Government Code Section 66020(a), within 90 days from the date fees are paid. Failure to submit a timely written protest will prohibit you from challenging the imposition of the fees in any court action. If, subsequent to the School District Representative signing this Butte County Schools Impact Fee Certification Form, the School District is notified by the applicable Local Planning Agency ha hi -S project is being reviewed under the California Environr6ntal Quality Act ICEGA), this project may be subject to additional school fees to fully mitigate its impact on the school district's schools., 4 White (applicant), Yellow (building department), Pink (school district) feeform.As (10/98)dmm E.H. USE ONLY Plot Plan Anmc�ad Floor Man Anachad —yes, Sent to B.D. TO: Building Department FROM: Environmental Health SUBJECT: Sanitation Clearance 1 '72 — 2 0 0-0/3 Owner Location AP# Plan Approved for: Sewage Disposal >< Water Supply: Public Private Well X Clearance for dwellin . Other 6o4zn. Hold final for: Final clearance O.K. for: NOTE: 0 2 - Environmental Health Specialist Date 8/96 a aleG tap ISIUGWUOJiAUS %noo euns, (33A0 0 %9 ..ELF= CL UTIL)T( G'. C) 3 3 -L- —A4 APPROVED 'Butte County EmAronmental Health Date re 177 110 t 0 5/-�T H �O GAME f--\00�1 Fylr-%-2�4 C -XT-, �/4 c 0 Z Z,4 Ir -'0-C . 17 15'- 4 7-' 11 EXISTING 2,(� (U50ENCE ENT. kA&\LL EY.1S.TINIC, Z�4 GARe^GE EXT. W,.\LL �IX E%Icl'--TINJG R00r Roof -Tlzu 55E 5 - W/ RL- 30 ADJ?E 0 E)<15TiNG GARAr- 4FQ0TwG,5 PFfz. PL, I AL�L WALt�5 2. 5lu ell 000 k 9UTTE COUNTY gUILDING DEPARTMgM 000 k Department of Development Services Building Division 7 County Center Drive Oroville, CA 95965 (530) 538-7541 (530) 538-2140 FAX ADDITIONS TO RESIDENTIAL BUILDINGS ENERGY COMPLIANCE PACKAGE CLIMATE ZONE I I Owner 96A mas-0-N— Permit Number 0_�11 _07 7 01' Address -Floor Area .The following data showing e. _T��datqy__pdrokquir d.features shall be installed for additions to dwellings) 'Additi.nsshal Sonverqi-o-n-ot�nLo-riLc-6r7i-eitioned-spaqgt-to-r-oRd pac—e[Remodeling of existing conditioned space isl not included. . I COMPONENT <=100SQ.FT 101-499SQ.FT 500-999SQ.FT 1000>SQ.FT Ceiling Ir.sulatior R-1 9 - �38 R-38 R-38 Wall Insulation R-1 3 R-1 3 R-13 R-19 Floor Insulation R-1 9 R-1 9 R-1 9 R-1 9 Radiant Barrier Required Required Required Required Glass U -factor .75 I . 75 .65 .65 Max.area of glass 50 sq.ft 16% plus removed 16% plus removed 16% Solar heat gain NSEW: .40 .40 .40 .40 Heat, Electric resistance Not allowed Not allowed Not allowed Not allowed Heat, Gas AFUE 78% AFUE 78% AFUE 78% AFUE78% Heat Pump -Split HSPF 6.8 HSPF 6.8 HSPF 6.8 HSPF 6.8 Heat Pump Package HS.PF 6.6 HSPF 6.6 HSPF 6.6 HSPF 6.6 Cooling - Split SEER10 SEER10 SEER10 M_aTOE COU i Cooling Package SEER 9.7 SEER 9.7 SEER 9.7 13UI L!CgE'B"�17,Zo- DEPA Thermostatic expansion valve* Required on new split A/C systems Required on new split A/C systems Required on new split A/C systems Required on new A 7 sp '7s '�) \ � T Duct Insulation Duct Sealing* R-4.2 Required R-4.2 Required R4.2 Required R4.2 Required Additional water heater: Any which meets budget Any �vhich meets budget Any which'meets; budget Any which meets budget 4TY ZTMEN'T F01 �Mi umm AS AN AL I ERNATIVE, GLAZING WITH A MAXIMUM 0.40 U -FACTOR AND A MAXIMUM 0.35 SOLAR HEAT GAIN COEFFICIENT, AND A 11.0 SEER SPACE COOLING SYSTEM CAN -BE SUBSTITUTED FOR DUCT SEALING AND THERMOSTIC EXPANSION VALVE. SEALEDDUCTS AND THERMOSTATIC VALVE REQUIRES SPECIAL INSPECTION BY A HERS RATER. PROVIDE INFILTRATION CONTROL - WEATHERSTRIP DOORS, CERTIFIED WINDOWS, CAULKING. LIGHTING KITCHEN AND BATH NOT LESS THAN 40 LUMENSIWATT DUCTS TO MEET REQUIREMENTS OF UNIFORM MECHANICAL CODE -CHAPTER 6. DESIGN COMPLIANCE STATEMENT: THE ABOVE BUILDING DESIGN MEETS THE REQUIREMENTS OF TITLE 24,'PARTS I AND 6 OF THE CALIFORNIA CODE OF REGULATIONS. kOPERTY OWNER OR CONTRATC (6/ 1 /01 / o 83 ($.I C qlf�o-�j &at C> Jr C O"k b -� -2-,- ->O -' / V = OK 0 = Not OK - = Not Applicabl, * = Not Ready ' .6 -.%, RESIDENTIAL (Single and Duplex) Date UNDERFLOOR (Plans) OK except#'s Date FRAMING/(Continued) 1. Zoni4 requirements -Setbacks -Easements 46 M N 2. Ftg., Main; Soils-Steel-Elec. Grnd.- Ft g. Depth 3. Ftg., Garage: Soils -Steel- Ftg. Depth 4. Ftg., Porches & Decks; Soils -Steel- Ftg. Depth 5. Sternwalls, Main; Steel -B lockouts -Wrapped -S lab ';Et. Doors -One X -Check Garage -3rd story. 2 exits 7 -SG.--&W_ir-s,�-cith-HeadrOom-Ris-e--'Run--�L-ancttng-F4fe-P-rotec4�e� Rjf�Elywood on Root Overhang -Attic Vents -Rafter Outriggers SZe,' Sid ing-Nai I ing-Ve-neer 6. Sternwalls, Garage; Steel-Blockouts-Wrapped-Slab 53. $I=O-Mesh-04pscreed-i�ctM7V-e-nls--U�d-erfir. ccess 7. Piers -Fireplace Ftg.-Steel 5W."Glazing Area -Glass Protect ion-Skyl ights-P last ic allla� 8. D.W.V.: Fall -Fittings -Test -2 way C/0 -Sewer Test V 9. Gas Pipe; Size -Anchors 1 10. Water Pipe; Test -Anchors -Regulator -Service Test 11. Electric; Underground 12 Plenums & Ducts; Clearance -Material -Support -Ins. 13. Girders -Sills -Anchor Bolts-Jolsts-Vents-Cripples Card -BI Date Card -81 Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Card -BI Date Card -BI Date Date Card -BI Date Date P FINK (plans) OK except #'s Date PLUMBING (Permit) OK except #'s 14. Water Ht.; Vent- Access -Combustion Air� F Ext. steps -Door & Sidelight Protect i on -Land i ngs 487-�rnace; Vents -Clearance -Comb. Air -Connector - In Garage; Above Floor-Ducts-Mech. Protection 15. W�kter Pipe; Test & Anchors -Nail Pr6fection 16. D.W.V,, Test-Fttngs & Anchor_s-6Nail Protection 59-.-FWdF6-6_m_ExIting 17. Shower Pa2: Test, First F(por-Tub Access 69--e-".-&-B-alb-Fixtufos-&-T-ub-Acce---s ub Access &t.-Ele�-�44m-"ubpafeij,-Bfeaker-Sizus--L-abels 19. Gas Pipe; Size &�Apdhors 62-Starifs-&-ftils., 63r7FIT-r-e-pli-c-eor _Sfbo�e_; Clearances-Hear-th- k4,--Ueo-OuUets.at-Wood-P-uiaL;-Lnt-&-Ext. Card -BI Date,,,' Card -81 Date 6S--K4+.--F-w+-"I)PUance-;.Grnd.-Air Gap -Cooking Clearance Card -BI Dafe Card -Bl Date 6ra-Elec.-Outtets & Receptacles at Kit. Counter Date E CTRICAL (Permit) OK except #'s 67,. -Gar.age.F ire, Door; - Sw 1 ng -Land i ng -C I oser _68-A.G-Duct-in Garage -Damper 20. Fixturei� Transformer Clearance-lpe Protection .69--VJ4T.-Mr.;-Vents�Clearance-Comb. Air-Connector-P.R.V.- ln_Garage; Above Floor-Mech. Protection 21. Elec. R68hptacles Spacing-Liahrs & Switches at Doors 22. Size Boxj�KNo. of Condugtt5rs-Stapled 70 - - Plb., Elec.& Mech,..Equip. Listed for Location 23. Romex Installe'kCiose Iq,1tdge of Studs & C.J. NONYC'--71-EJec.-Receplar-les.i.n Garage; (G.F.I.)-Romex Protec. 24. Equip. Ground mkeul!rw/mech. Fasteners -Bond Gas & Water 72. InsulqUqq_-F_oaat,-_Lookedjn Attic [-] Yes 25. 2 Appliance Circ^in Kitchen & Conductor Size 73. Guard -Rai ls..&,Deck_Construction-Post Caps 26. Subleed Wire S,1,te ga. Cu or Al-A.C. Wire Size ga. Cu or At 74. Fdn. Vents & Crawl Hole Door -Drainage & Wood -Earth Clearance --Looked -under Ptoor --- D'Ye-�- 27. Range Circ/ / ga. C&,or Al -Oven Circ. ga. Cu or Al, lnsulateqAeutral []Yes\C]No -75.-Eol-lowing,ihstid.: Drive E] Yes 0 No; Walks E] Yes E] No; Planters DYes D No 28. Servic '-Riser Conductors &Nround-main Disconnect 29. EqVl'p. Clearances; Panels -M s-Mech. Equip. 76. -tucco; Brown -Finish 30 9fothes Closet Light -Shower LigX 7-7--A.C.-Unit,;-Disconnect-Cfrnces-Brkr. & Cond. Size -115V Outlet TO-Ments-Abome-Root- P I bg.-A ppl i a nce- F i rep I. -C I eara nce to Opn9s. / - 79.-Water-Wel];Misconnect, Electrical, Plumbing 80. Exjte_rior_E.Iec_Tr1m_;-G.F.I. Receptacle -Underground Card B-1 Date Card -BI bate Card B-1 �jDate Card -BI Date 8-1-.VentTlat1or�_tfirouqhout House 82-:61ass-Protection Date MECHANI L (Perrr.it) OK excep,,�K� 83._CDriecA4ons4r*m--P-r-evious Inspections 84. _GA&_Tzs_t--Metem_Tagged: Gas -Electric 31. A.C. Dulqs; insulation &_Sd'pport 85. WaXe4ZSewer-"P.A9cted-C/O to Grade -HD Approval 32. Vent Fan;Fxhaust a�Ke Insulation .86 --EMM ComplOnce Certificate -Other Certificates 33. Condensate braiaA'Overflow; Size & Grade 34. Furnace-Veo^ccess-Comb. Air -Return Air Vent-1F5V -outlet � & Pbk 35. Attic Acp,-'s tform if Furnace in Attic _ _ ___ - \ 11_� \ Card -BI Date Ca��B I Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -Bill, Date Card -61 Date Card -BI Date Date FRA / ,MING(Plans) OK except #'s Comments at Final: .,36/ _S1 I Is; Proper Material & Anchors UVWalls; Studs -Nailing, Spacing & Bracing -Plates -Sound < CL -38--a.taLing-W.a.t4,s-over-Girdtlrs-&--r,iroor-Na-Hing- _Q0 A 39.--Dfeft-Srtop-t��proof-y� 40.-.Kjf"WPs"F-ur.o.d-g�eilLngs�-Sta,i,r,s=Chases-T--ub- !Y_.�1�2der & Beam -Size & Bearing V. Kangers-Post Caps- A nc hors -Connectors 400." Clng. Joist-Rftr. Ties-Purlin- Root Brac.-Truss-Shihnq.-Rfng. 44�-f�ipWace-T4e-%-or-:FypL-A--Plue--Firepla�e�roal, ,45�A-tiic-A-cceee--&+ze-&-RoTfre-x- Protect ion-_9r`afT-ST6p-- rits-BVnTs- boor`s-­­Sin-K94._��iqns (NOTE: An entry must be madeeach time youvisit jobsite) I ll'j COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT NO. 7 County Center Drive - Oroville, C21ifornia.95965 - Telephone 916/534-4541 APPLICATION AND PERMIT ASSESSOR PARCEL NUMBER .-/,a - ZONING BUILDING PERMIT OWNER ( I ) V, -N TELEPHONE s&—/- /0 IR -3 -SQ. FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS P�n I _.� 6-y- 4Z (I I I CONTRACTOR'S NAME 0 EPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN LENDER'S MAILING ADDRESS Total Valuation $ Filing Fee Permit Fee $ 10.00 $ 6.S.00 ARCHITECT OR ENGINEER LICENSE NO. ARCHITECT OR ENGINEER'S MAILING ADDRESS Plan Checking Fee Penalty Permit fee $ $ $ _4 0 0 BUILDING ADDRESS PLUMBING PERMIT FilingFee 10.00 Each Trap 2.00 Solar Water Heater 20.00 0 ro - Water piping 5.00 LOT NO. SUBDIVISION NAME _�ARCEL 1 MAP Each qas water heater or vent 5.00 Gas piping system 1 - 5 outlets 5.00 USE OF STRUCTURE SFEI Duplexn MobilehomeF� Other SPECIFY Building sewer 5.00 Mobile Home JSJGJWJ :P�_00e, TYPE OF WORK NewF� AdditionEJ Remodel [:1 uti-iities [:1 InstallationE] Other P�� Describework: 7o IF �j \AeAVA 3 Permit Fee $ Contractor ELECTRICAL PERMIT FilingFee 10.00 600V OR LESS Main service 100 AMP OR LESS 10.00 (Fc)u%k J\-� -0 Main service EA. ADD -L 100 AMP 2.50 NEW CONST DWELLIN.0S0FC­LJP.&) OR ADDNS. ACC. B L.. .1 U 21/20sqft ,u 0 Y-11 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): El I am licensed under provisions of Chapt. 9, Div. 3 of the Bu siness and Professions Code and my license is in full force and e ffect. License No. Classification F1 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 El 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. MULTI-.UTLET 2.50 ea NON.RES'D, BRANCH CIRCUITS) NEW.CONSTFL POWER APPARATUS.&') NON RESID. (SINGLE OUTLET CIR I Ex. Occup(OUTLETS OR FIXTURES 20@50t SAL@ 309t 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 $ L I, Contractor MECHANICAL PERMIT Fi I ing Fee 10.00 WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): F-] The permit is for $100.00 (valuation) or less. E] 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-In8ure. F-] I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shal I be deemed revoked. Heating Cooling — Hood 3.00 Venti lation Permit Fee $ Contractor 1 certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the Countyot Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue against said County in consequence of the granting of this permit. I I / X Date Signature of Applicant — Owner Contractor 0 Agent F� An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee $ TOTAL PERMIT FEE $ OCCUP. GROUP I TYPE OF CONST. This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which DiA—ECTOR OF PUBLIC By PERMIT EXPIRES Date the applicable provi- resolutions to do fees have been paid. WORKS Date S-3 -P71 Receipt No. I K -_17D WHITE-O.P.W.. YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD-APPLI CANT COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Orov I Ile, California 95965 - Telephone 916/534-4541 APPLICATION AND PERMIT PERMIT NO. ASSESSOR PARCEL NUMBER ILL _ao ZONING BUILDING PERMIT OWIER 0 vr\ cas :A r1DD TELEPHONE M—/0 �3 SQ.FT. OCC. BUILDING VALUATION 6�� OWN 'S M A I L I N G RINSSPM Q, 13,Mc'96 I I D r-0 CONTRACTOR'S N`AME 0 TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER LINK Total Valuation $ Filing Fee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee $ &L) 12 ARCHITECT OR ENGINEER /0 LICENSE NO. Plan Checking Fee $ Penalty $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Permit fee $ _ZS �10 BUILDING ADDRE Lh i e c) e--%) A A PLUMBING PERMIT Fi ling Fee 10.00 Each Trap 2.00 Solar Water Heater 20-00 Water piping 5.00 LOT NO. UBDIVISION NAME is PARCEL MAP Each qas water heater or vent 5.00 Gas piping system 1 - 5 outlets 5.00 USE OF STRUCTURE SF [:1 DuplexR Mobilehome[_1 Other SPECIFY Building sewer 5.00 __FT Mobile Home ST�� 10.00 ea TYPE OF WORK New n Additi )jn�.D R Tiodel lities El Installationq Othqr e Z, Describe work:- ko Jnt�jn�4 e Permit Fee $ Contractor ELECTRICAL PERMIT FilingFee 10.00 Main service 600V OR LESS 100 AMP OR LESS 10.00 C_ 0 tk -ba/1 IPA Main service EA. ADD -L 100 AMP 2.50 NEW CO ST. OWELL���) OR ADDNS. ( ACC. B 21/�Osqft CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): F� I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in full force and effect. License No. Classification 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 COSN'STP-(MULTI-.tJTL.T NON.RE D BRANCH CIRCUITS) 2.50 ea —NEW CONSTF;L I POWER APPARATUS &' NON-RESID. %SINGLE OUTLET CIR . Ex. OCCUP(OUTLETS OR FIXTURES 20050c BAL@300 OCCUP. FIXED APPLNS 0 R Ex. OUTLETS (RESI'D.) _ EA.) 2.00 Temporary service 10.00 Mobile Home Faciliti-es 15.00 Misc. Wiring 15.00 Permit Fee $ Contractor MECHANICAL PERMIT FilingFee 10.00 WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): F-] The permit is for $100.00 (valuation) or less. E] 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-Ingure. I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shal I be deemed revoked. Heating Cooling Hood 3.00 Venti lation Permit Fee $ Contractor 1 certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the Countyot Butte to enter upon the above-mentioned property for inspection purposes. 1 also agree to save, indemnify and keep harmless the County of Butte against I IjAbtyes, judgments , cops, and expenses which may in any way accrue 19 - s. i*d ou �_�uence of the granting of this permi _5 _ -� Date X US /..ture of Applicant OwnerM Contractor 1:1 Agent An OSHA permit is require . Over 5 a for excavo ions '0" deep and demolition or construct - ion of structures over 3 stories in height. Mobile Home Installation Fee $ TOTAL PERMIT FEE $ Z) 91. 9S_ occUP. GROUP I TYPE OF CONST. I PARCELI PD I HD I ISSUE This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which 7fw ? (2 PUBLIC , M"I By q,., PV PERMIT EXPIRFq D nVe '0�_ the applicable provi- resolutions to do fees have been paid. WORKS te 3 z - — Receipt No.. a70 WHITE-D.P.W., YELLOW -ASSESSOR. PINK -INSPECTOR, GOLDENROD-APPL I CANT PERMIT NO. 1148-83B9P$E:0M PERMIT EXPIRES - OWNER WILLIM THOMAS CONTR.- Owner - ASSESSOR PARCEL 72-20-13 LOCATION, @ end of Little Oak Rd, app 6/10 mi S of Forbestown Rd, Oroville Temp. Power Pole Called PG&E Temp. Elec. Service Called PG&E Temp. Gas Service CalledPG&E JOB FINALED (Date) Signature OK 0 = Not OK - = Not Applicable MOBILEHOMES * = Not Ready MISCELLANEOUS Date MOBILEHOME UTILITIES (Plans) OK except #'s 1. Zoning Requ irements-Setbacks- Easements Date DECKS, COVERS, CARPORTS, ETC. (Plans) OK except 4's 1. Zoning Requ i remedts-Setbac ks- Easements 2. Soils; Special MH Support -Sketch 2. Footings; Size -Depth -Spacing -Connectors 3. Sewer; Location -Test -Fall -C/0 -Concrete 3. Decks; Girders and/or Joists -Decking -Bracing -Stairs -Rails 4. Water; Location -Test -Easement Needed (Sketch) 4. Wood Awn.; Posts-Beams-Rftrs.-Connec.-Shthg.-Rfg.-Bracing 5. Electricity; Location-Clearances-Grnd.-/ Amp -Concrete 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Gas; Location -Test -Wrap: / /"L"ft./ Nat. or/ /"L"ft./ P, LPG, 7. Utility Clearance 6. Carports; Windows-Qoors 7. Elec. Card -BI Date Card -BI Date Card -BI Date -Card-81 Date Card -BI Date Date Card -BI Date MOBILEHOME INSTALLATION (Plans) OK except #'s Card -BI Date Date Card -BI Date POOLS (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements 1. Setbacks -Easements 2. Footings; Size -Spacing -Marriage Line 2. Soils; Compaction -Structure Stability 3. Gas; MH Test -Demand -Valve -Connector 4. Electricity; MH Tes t -C rossovers- Brea kers-C I eara nc6s 3. Pool Structure: Steel -Connections -Thickness -Dead Men -Lining 4. Elec.; Receptacles and Lighting; Distances-GFI 5. Drain; MH Test -Fall -Flex Connector 5. E I ec.; Pool Lighting; 15 volts-GFI 6. Water; MH.Test-Regulator-Connector 6. E lec.; Enclosures; Conduit Entries -Terminals -Listed 7. Water and Sewer Conne cted-C/0 to Grade -HD Approval 7. Elec.; Bonding; Metal w/5' -Circulating Equipment -Heater 8. Gas and Electricity Tagged 9. Exits; Insp.-Sketch 8. Elec.; Grounding; Equip. w/5' -Circulating Equip. -Pool Lghtg. Boxes -E nc I osures- Pane lboards- Ins. to Main in Conduit 10. Cart. of Occupancy 9. ealth Department Approval 10. Plumb; Cir. Test -Water Supply Test Card B -I Date Card -BI Date Card -BI Date Card -BI Date Card B -I Date Card -131 Date Card -BI Date Card -BI Date M k 1, . _' W=K 0 = Not OK - = Not Applicable * = Not Ready !N RESIDENTIAL (Sini-gle and Duplex) Date UNDERFLOOR (PATffs) OK except#'s �11�4i,_1_7 Date FRAMING (Continued) J.,<oning requirements-setbacks-EaseTo 48. Property Line Firewall & Openings kf!C1k, I Main; Soils-Steel-Elec. G;p5<�/ Ir' Ftg. Depth f9, �Doors-One 3' -Check Garage -3rd story, 2 exits _,F f,4lLF_tg., Garage; Soils -Steel- /_,M" Ftg. Dbpth Headroom -Rise -Run -Landing -F ire Protection 4. Ftg., Porches & Decks; Soils -Steel- /"'Ftg. Depth on Roof Overhang -Attic Vei ts-Rafter Outriggers &,-Slemwalls, Main; Steel-Blockouts-Wrapped-CLNI�,-� fr:47 di2g�Veneer t, 1,AWMwalls, Garage; Steel-Blockouts-Wrapped-*�= -._�-6ftmm-��Screed-Fdn. Vdhts-Undell1r. Access Is - 7. PieL5�_Fireplace Ftg.-Steel 6A_-etXf-ingArea-G lass Protect i on-Skyl i ghts-P last ic '.V.: Fall -Fittings -Test -2 way C/0 -Sewer Test 55. Shear Walls; Nailing -Bolts 9. Gas Pipe: Size -Anchors 10. --Weter-P4po4-Test-Anchors-Regulator-Sery ice Test 11. rg round 12.--Q4aauwL_& Ducts; Clearance -Material -Support -Ins. __13. Glaiaw-6+He-Anchor Bolts -Joists -Vents -Cripples 15 ard-BI Date' V Card -BI Date Card -BI Date Card -BI Date si!!5�54 DatU_�7713 Card -BI Date Date 194 FINAL (Plld-.,),-OK except #'s C�a#�- B I Dateo-.(,, _-q,3Card-BI Date Date PLUMBING (Permit) OK except #'s J�,.�xA-"Steps-Door & Sidelight Protection -Landings 5740Srnoke Detector 14. Access -combust ion Air __T4,-Fat_qrPipe; Test & Anchors -Nail Protection 5 urnace; Vents -C I eara nce-C omb. Air-Connector- , Garage; Above Floor-Ducts-Mech. Protection 1S,-15-W.V.: Test-Fttngs & Anchors -Nail Protection U-11&droom Exiting 17. Shower Pan; Test, First Floor -Tub Access 6��.F.I. & Bath Fixtures & Tub Access 18. Test ub & Shower, 2nd Floor -Tub Access Subpanel; Breaker Sizes -Labels Anchors 62_-SWr.s-& Rails _19%��� 16 . ireplace or Stove; Clearances -Hearth Outlets at Wood Panel; Int. & Ext. - --------- 4&arrd-BI Date '64-1;5t. Fixt. & Appliance; Grnd.-Air Gap -Cooking Clearance Card -BI Date Card -BI Date 6165�lec. Outlets & Receptacles at Kit. Counter Date LEC��JLenrrrdt) OK except #'s *L15.7 Q7--Iffa-rage Fire Door; Swing -Landing -C loser -611 -A -G -Duct in Garage -Damper - F Tra sformer Clearance -ins. Protection Wtr. Htr.; Vents -C leara nce-C om b. Air-Connector\Fzfi� AAWIn Garage; Above Floor-Mech. Protection 2k__K4ec-Tre_c_e_pt_a'*tIes Spacing -Lights & Switches at Doors 7A, -'15 -lb., Elec. & Mech. Equip. Listed for Location 22--51-ze BoxgA-&-No. of Conductors -Stapled 7Ze-f-lec. Receptacles in Garage; (G.F.I.)-Romex Protec. Installed Close to Edge of Studs & G.J. 2! t�ex ,p. : __ Mech. Fastenenk<�as_ACJ&Lt�, A 72. 1 nsu lat ion- Foam- Looked in Attic 9�h� 77_-G"ar4-QaiIs & Deck Construct ion -Post Caps 2,1w -2 -Appliance Circuits in Kitchen & Conductor Size 26. Subfeed Wire Size ga. Cu -or AI-A.C. Wire Size ga. Cu or At 74v --F �.n s�wl Hole Door -Drainage & Wood -Earth Clearance Looked under Floor El Yes 27. Range Circ. 4, 1 Cu OR2�jjoven Cu or At, Insulated Neutral . &4e s No 2 �.rviZ5e-Riser Conductors & Ground -Main Disconnect 75. Following instld.: Drive 2-fies Ej No; Walks P;�es [] No, -r-s EJJ No Planters S e 7t6--44ucco; Brown -Finish 29. Equip. Clearances; Pane I s-Motors-Mec h. Equip. 74-"X.,�'-Unit; Disconnect-Cirnces-Brkr. & Cond. Size -115V Outlet 30. Clothes Closet Light -Shower Light ti�`Vents Above Roof; Plbg.-Appliance-Firepl.-Clearance to Opngs. V%x', er Well; Disconnect, Electrical, Plumbing Card -Bi Date 89k,- xterior Elec. Trim: G.F.I. Receptacle -Underground 8Aw-Ventilation throughout House ard-BI Date 8t--15Tass Protection 8ae-torrections from Previous Inspections P 47 84. Gas Test -Meters Tagged; Gas-ELe�ctri-X,-' Date MECHANIE!Lt (Perrr!it) 0 r K except #'s Ducts: Insulation & Support 85. Water & S0kC5-nnect_e-J--Z7o- to Grade -HD Approval 32. Vent Fast; Exhaust above Insulation e&-*r-nergy Compliance Certificate -Other Certificates 33. Condensate Drain & Overflow; Size & Grade 34. Furnace -Vent; Access -Comb. Air -Return Air Vent -115V outlet 35. Attic Access & Platform if Furnace in Attic Card -BI 3�_Cardw Date Card -BI Date ___�ard-�l Date Date Card -BI Date FRAMING(Plans) OK exS PL_ Card -61 Date Card -BI Date Card -BI Date Card -BI Date Comments at Final: FF - i�l L 3&-lSi I Is; Proper Ma e & A,,4?rs �Ils- Studs -Nailing, Spacing & Bracing -Plates -Sound �7 eain, Is over Girders & FlJo, Nailin-g Walls (rat proof) _40- , -F-ire Stops; Furred Ceilings -Stairs -Chases -Tub 7�:_� 7 A6. Ze 41FI.�5(1.er & B.esa',m-Size & Bearing .9 - - P gers Caps -Anchors -Connectors Ing f7-d3d Ing. Joist-Rttr. Ties-Purlin! oof ffra thng-Rfrip. 44. Fireplace Ties or TypeA,.F �e-F.replace Throat 4�t I 'Lc_�� ess: �Tze & Romex Protect i on -Ora It Stop -Ins. Baffles -0 1 Q m. WindoWs or Exiting Doors -Sill HgI. & Dimensions Garage Fire Piolection Framing (NOTE: Anentry must bemadeeach timeyouvisil jobsite) COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 196 Memorial Way, Chico — Phone: 891-2751 7 County Center Drive, Orovi Ile — Phone' 534-4541 Skyway and Elliott Road, Paradise — Phone: 872-2961, Ext. 57 CORRECTION NOTICE A S �& � BUILDING OR PROPERTY ADDRESS A routine inspection indicates that the following violations of County Ordinance exist at the above address and should be corrected. Please notify this office when correction of work is completed. If you have any question pertaining to this matter, or need additional explanation, 'please contact this office immediately. #-- 7Zd ss �D L to) �10—, F --, . di g� o'z- IMA?;a� L - 7 D .. -iA - Inspector Date . r,,— - RESIDENTIAL ENERGY CONSERVATION STANDARDS CONSTRUCTION COMPLIANCE CERTIFICATE THIS IS TO CERTIFY THAT ENERGY CONSERVATION, REQUIREMENTS HAVE BEEN' IN AT��ALLEDIN CONjFMCE,,�W3TH C NT ENERGY,CONSERVATION REGULATIONS C. PC (loc7atio' BUILDING PERMIT NO.//-/ A�*P. NO. 7,;2 -',Zo—j THE FOLLOWIN& HAVE BEEN INS�ALLED AS-PER-APPROVED,,PLANS: (Check each item or write N/A if not applicable) INSULATION: GLAZING: Slab Edge V Single Glaized Fdn. Walls— 0 . - Speci*al (Insulated) Floors CERT. & LABELED WDS. Walls a 42 & SLIDING DRS. Ceiling/Ro'Of a,p/-) WEATHERSTRIPPED DRS. Ducts BACK DAMPERED FANS Circulating,PipesJA4, NTERMITTENT IGNITION DEVICES APPROVED HEAtE CERT.� APPLIANCES APPROVED WTR.HTA. I DECLARE THAT ALL REQUIRED ITEMS AS NOTED'ABOVE HAVE BEEN INSTALLED IN ACCORDANCE WITH THE ENERGY CONgERVATIO'N REQUIREMENTS ANDAGREE TO THE COMPLETENESS OF THIS CERTIFICATE AS SUBMITTED. Insulation Applicator Name Signature of (please print) Insulation Applicator State'Contractors License,No. General �ontra or Owner- amm e (ple nt Signature of General Contracto er DAte /,45T State Contra -c -tar/ License No. THIS CERTIFICATE MUST BE ON FILE WITH THE BUILDING DEPARTMENT PRIOR TO REQUESTING F124AL INSPECTION AND.SHALL BE POSTED IN A CONSPICUOUS LOCATION WITHIN THE DWELLING. COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, &alifbrnig V965 - Telephone 916/534-4541 1 APPLICAT106 AND PERMIT P N It I - — A P51 0 ASSESSOR PyjCEL NUMBER 3 ZON)�. BUILDING PERMIT Ce/ 0 77/U/A" 77-10A-I&S. TELEPHONE SJ16FZ(0 OCC. BUILDING VALUATION OWNER'PAILING 4DDRE;�,,/, -'- 4 0. 0(�Px f 9 Z, CONTRACTOR'S NAME PWAI ITELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LEND UNKNOWN Total Valuation I $ WQZ - Filing Fee $ 10.00 - LENDER'S MAILING AISDRESS Permit Fee $ 94-0 ARCHITECT OR ENGINEQ1R LICENSE NO. Plan -Checking Fee $. IV;_ Penalty Permit fee $ I f $ qW, ARCHITECT OR ENGLNEER'S MAILING ADDRESS; .U1Lt ,7G A.12REO, PLUMBING PERMIT 10.0 F i I i ng Fee 0 IW14E 5, OF- _F0e_8C5ZZ�WX1 ;L�*bl Each Trap 2.00 /4,00 -So4at.-ANater Heater AJE,4f PUMP 20.00 20, c90 0P_VV1LZ4!:__ a. Water piping 5.00 00 LOT SUB71VISION L E i 1(,� --k— _T7 MAP Each qas water heater or vent 5-00 Gas piping system 1 - 5 outlets 5.00 USE OF STRUCTURE PLE 4rq,41eAC4C— SF[9"�DuplexF� MobilehomeM Other SPECIFY Building sewer 5.00 5,00 Mobile Home S I G I W 10.00ea + TYPE OF WORK New UR""Addition Remode 10 Utilities 0 instaiiationE] other Describe work: Permit Fee $ Contractor ELECTRICAL PERMIT FilingFee 10.00 main service 111V OR LESS 100 AMP OR LESS 10.00 /0, CV Main service EA. ADD -L 100 AMP 2. 5 0 2"so NEW CONST. I DWELLING &�. OR ADDN S. ILACC.BLDG 21/�Osqft6�;�. CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): F-1 I am licensed under provisions of. Chapt. 9, Div. 3 of the Business and Professions Code and my license is in full force and effect. License No. Cl'assification ��1, as the owner, o*r 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. TI -OUTLET NON . RESID. BRANCH CIRCUITJ 2.50 ea NEW CONSTR. I POWER APPARATUS & NON -R ESID. %SINGLE OUTLET CIR . OCCUP(OUTLETS OR FIXTURES 20950C BAL030t FIXED APPLNS. OR Ex. OCCUP- OUTLETS (RESID.) EA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 1 Permit Fee $ Contractor MECHANICAL PERMIT Fi I ing Fee 10.00 WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): F1 The permit is for $100.00 (valuation) or less. E] 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-Inswe. NoZ1 shal I not employ any person in any manner so as to become subject to the W. C. laws of California. C, to Applicant: If after making this statement, should you become subject to the W. C. pi�ovisions of the Labor Code, you must forthwith comply with such -provisions or this permit shall be deemed revoked. Heating . #C-141— M " Cooling Hood 3.00 3Ar Ventilation Permit Fee $ #v 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 autherize representatives of the County ot Butte to enter upon the above -mention d property for inspection purposes. I also agree to save, in i lemnify and eep harmless the County of Bu te against a I liab�f)ties, judgments, cost , nv�xpenses which may in an�l ay accrue agains i ounty in con qu the granting of t is perm Y I 11 717 Dat A. Signature of Applicant ner Contractor Ag e pe dee p An OSHA a ova I tions ove� and cl�lolition or construct- rmit is required or e /,'o ion of stru res over 3 !�t ies n ight. e. ctu '6r , V Mobile Home Installation Fee $ TOTAL PERMIT FEE $ occup. GROUP I TYPE OF CONST. PAR ISSUE This permit is hereby issued under the applicable provi- sions Butte County Code and/or resolutions to do of bove for which fees have been paid. work in cctafad a IRECT PUBLIC WORKS P ).,w n at P, t'- -- V- P: 4JL, __ - ERMN�EXPIRES Q/e / Receipt N 71-3 /A0, 0 0 0. WHITE:D.P.W.. YELLOW-ASSESSOV�'...'-(.."'.'a/R, G.LDENROD.A /.'1. C A. T 83-13434 Retuin to DPW AGRICULTURAL STATEMENT. -OF ACKNOWLEDGEMENT-, FOR RESIDEKT_IALDEVELOPMENT OFFICIAL RECORDS BUTTE COUNTY -CALIF Section 26-8.1of the Butte County Code requires this acknowledgement., . ORD$ be recorded prior to issuance of a building permit. The property described herein is adjacent to land or included, within an area zoned'for agricultural'purposes, and residents of ELEANORKOECKER!$ this property may be subj ect to inconveniences- or discomfort arising CLERK - RECORDER from the use of agricultural chemicals, including, but not limited to herbicides, EE pesticides, and fertilizers; and from the pursuit of agricultural operations including, but not limited to cultivation, plowing, spraying, pruning, and harvesting which occa- sionally generate dust, smoke, noise, and. odor. Butte County has established.agricul- tural zones which have as a priority use for productive agricultural purposes, and residents within said zones and on adjacent property should be prepared to accept such inconvenience or discomfort from normal, necessary farm operations. All that real property situate in the County of Butte, State'of California, described as follows: I --/-;176 5-,o tc/k 1 -741r -a c/,;- 19 A)0k A.� Ini), /_3 , Date: PROPERTY OWNERS*: 0 State of Lt&i r),Ic, ) SS. County of 1bU+At._) //_ 'kh - I , Zza t on this the IL day of 0_�J 19 before me, the undersigned Notary Public, personally appeared L —rhory-o_s known to me to be the person(s) whose name(s) 0-M OFFICIAL SEAL subscribed to the within instrument and acknowledged SUSAN SHAIN BEFUMAN LIF �4 that exe�uted,the*same for the purposes NOTARY PUBLIC - CALIFORNIA U Ty BUTTE COUNTY therein conEained. ly 51 MY Commission Expires ju S. 1983 IN WITNESS WHEREOF, I hereunto set my hand and official seal. Notar PublIc Present A.P. NO. 3 a f l µay ..J � �� V. � l .7 ! h t F • � - t.^ h . ��i 3. 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Z.X 6 ADD-ON Tp RDTTOM CHORD 2�•:2k A ADD"ONS' TO 0c CHORD sddnn11ob4(atnat7w,lhlDdaslfssitppAred(BC.nslilr+ol,irl SE0,A•A SEC.A>A ATTACHED AS 5110'WN SEC,A,A ATTACHED AS SHORN 40111arsdclpenelp;Qlntt(4 A stinWnonclsti _, .r BOTTOM OP BOTTOM "" TOP _ DiroTnpt Tsmporerry snd pormanont brwng to be aslpnld GIA ER SUPPORTED TRUSS SPAN BOTTOM TOP ! 80�riD SUPPC 1. fO TRUSS SPAN M r• T 80AAD SUPPORTEDTBUS$ SPAN K eOMo CNf�(ta CHORD CNDfID 'HORI) Nnd provided by 61Mrs, (Design sssumes top chdra Ist6rA1 CHORD CHORD 5 roorAgl 7 roorha[ , SPAN S."� NF r1 Of NAtLINa SIZE' rbarAai SS NF tt! cSf' NAILING d SIZE S9 HF at Df NAILINO d SIZE bracJnglitme"ImumS'0 o.e.l. ". h! D" 4E' " fj I n" ++ 2XIa 93 _h0- 0 _ -70=57—...0 11 V2X4 104 77F, Ow 601_ vv 3. 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